Overview of Relation Between Coverage of Health Services and Maternal Mortality in East Java Province in 2015

Objectives: to analyze the efforts of maternal health services that may affect maternal mortality rate.Materials and Methods: The study was conducted at the Health Office of East Java using secondary data from 38 districts/cities in East Java in 2015 that includes performance antenatal care K1 and K4, postnatal care, early detection of complications in pregnant women, natal in health workers and health facilities, management of complications by health workers and MMR. Data were analyzed with statistical method with spatial regression and illustrated with thematic maps by application ArcView statistics.Results: the highest MMR was in Bojonegoro district, Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Some districts/cities that have the highest maternal mortality has proximity of areas, namely the district Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Their proximity concluded an association condition and the causes of MMR between districts so they can be studied more in depth about the causes of MMR kind of social, cultural and geographical characteristics. The coverage maternal health services to all districts/cities in East Java province is not much difference.Conclusion: the maternal mortality rate in the district/city of East Java province in 2015 was not much affected by maternal health services so we need more research on other causes of MMR in districts/city of East Java Province

The Influence of Internal Factors of Pregant Women on Triple Elimination Examination

Background: HIV, Hepatitis dan Syphilis can be transmitted from mother to fetus which causes high morbidity dan mortality, especially in developing countries. Transmission of this infection can be prevented by early detection of triple elimination during pregnancy to the maximum. Optimizing the scope of the examination through the identification of internal factors that influence pregnant women to perform triple elimination examination Methods: This study is a descriptive analytic study with a cross sectional approach. The number of samples was 69 pregnant women at Poli KIA Puskesmas who had never done a triple elimination examination. Sampling with accidental sampling. The independent variable of the study was the mother's internal factors consisting of the mother's socio-economic characteristics, knowledge, attitudes dan motivation. The dependent variable is the willingness of pregnant women to perform triple elimination examination. Analysis using the Mann Whitney test, significant if the difference in p-value <0.05. Result : From 69 respondents, 13 mothers were not willing to do the examination. The internal factors of pregnant women have a different average between those who are willing dan unwilling, but the difference is not significant (> 0.05) dan has no influence on the mother's decision to perform a triple elimination examination. The P-value of each factor was obtained from characteristics dan socio-economic characteristics (age (0.550), education (0.602), gravida (0.829), gestational age (0.612), family type (0.567), number of family members (0.407), mother's occupation (0.886 ), husbdan's occupation (0.761), income (0.733), knowledge (0.311), motivation (0.281), dan attitude (0.714) Conclusion: There is no internal factor of the mother that affects the willingness to perform triple elimination examination during pregnancy, further research is needed on external factors from pregnant women to maximize the coverage of triple elimination examinatio

Implementation of Ten Steps Towards Successful Breastfeeding at Tanah Kalikedinding Health CENTER Surabaya City, 2020

Background One of the government's efforts to increase the achievement of exclusive breastfeeding is the 10 LMKM program. Since 1991 in Indonesia, it has been introduced, but in its implementation it is not yet known by all health facilities even though several existing steps have been implemented, but the 10 LMKM policy has not been known by providers.Objectives Describe implementation and barriers to providers in program implementation, identify compliance and barriers to mothers as program recipients. Methods The research used descriptive qualitative research. The sampling technique used was purposive sampling to explore the implementation of 10 LMKM in Tanah Kalikedinding Health Center. Informants in accordance with the inclusion criteria 7 providers and 8 mothers as program recipients. Researchers interacted offline and online via video calls while adhering to health protocols. Results The implementation of 10 LMKM has been running with the internal policies of the Puskesmas referring to the Permenkes, carrying out tasks according to the SOP. Several providers have attended training and disseminated it to staff. Monitoring and evaluation is carried out through the credential team at the Puskesmas. Officers in implementing 10 LMKM to support the achievement of exclusive breastfeeding are committed to complying with the SOP. Provider barriers from external factors are the lack of health workers, especially midwives on duty, so that KIE regarding breastfeeding and others is not optimal. Mothers as program recipients when ANC is already in IEC, obediently follow the services provided and have not been fostered or referred to breastfeeding support groups. Barriers to exclusive breastfeeding in program implementation are influenced by external factors of working mothers. Conclusion The implementation of the 10 LMKM program at the Tanah Kalikedinding heath center has not been maximized

Characteristic Of Parents's Acceptance In Getting Child Diagnosis AS Autism

Background: Autism is a child development disorder which usually late in case finding and intervention. It used to done in 30 month old of child. In Dr. Saiful Anwar Malang Regional Hospital, it was found that the average of case finding in 48 month of child. This study aims to determine how the acceptance of parents while getting diagnosis of their child and their action to give their child autism intervention. Method: This study used a qualitative research design with a phenomenological approach. Data colleted by in-depth interviews with 6 informants. Data analysis used Collaizi's (1978) Nine Steps method. Results: Most informants were late in recognizing the symptoms of autism in children, but they had a positive perception of the received diagnosis. All informants have felt bad feelings due to the diagnosis received, but have had coping methods for these feelings and have given autism interventions to children. Factors that influence parental acceptance include the level of education, knowledge, age, occupation, household harmony, social support, economic conditions, ethnicity, interaction between informants and experts, the clarity of symptoms shown by the child and the presence of siblings. Conclusion: Parental acceptance is a process from refusing, getting angry, bargaining, to accepting. In the process of being accepted, parents continue to make efforts to save childre

Factors Related to Nutritional Status in Pre-school Children

Background: The problem of nutrition in children at Indonesia was still an unresolved problem. Unicef said that one in ten children were underweighted and a fifth of children were overweighted or obesed. This number will not decrease and it will increase if we not handled this problem seriously. This study was conducted with the aimed of analyzed the factors that influenced nutritional status in pre-school children, so that more effective prevention and treatment can be carried out. Method: This research was a cross sectional study with a total sample of 150 preschool child in the age of 3 to 6 years old and the parents with online questionnaire. Sampling was done by cluster random sampling. The study was conducted in PAUD at Tanah Kali Kedinding, Kenjeran, Surabaya. The data was analyzed with Spearmean test, Chi-square, and Fisher exact. Result: Knowledge p value = 0,025 r = 0,182. Income p value < 0,001 r = 0,368. Eating frequency p value < 0,001 r = 0,721. The amount of food p value < 0,001 r = 0,738. The kind of food p value < 0,001 C = 0,443. Physical activity p value = 0,438. Conclusion: Parental knowledge and income, and children's eating patterns were related to the nutritional status of pre-school children, while the physical activity of children does not affected the nutritional status of children