Midwife Acceptability in Implementation of Labor Warranty Policy in the District Mojokerto

Background: The existence of midwive as the Jampersal main guard so important. Midwive acceptability has become Jampersal issue\u27s at district level, then the reason is enough to do a policy analysis of Jampersal.It is important to ensure successful implementation in the field, so the aim of improving access to maternal and child health services, as well as further reduction of MMR and IMR can be achieved. This study aimed to analyze the midwifes acceptability to the implementation of Jampersal in Mojokerto regency. Methods: This research is observational study. This study is also the policy analysis research on policy implementation stage.Policy research is classified as an ‘analysis of policy\u27. In-depth interviews and focus group discussions withthe data obtained from the field actors. Content analysis is done by analyzing the acceptability of thematically based midwives in Mojokerto regency to the Jampersal membership, benefit package, accountability, and the tariff. Result: Research shows that midwives most accept to the Jampersal accountability. It is perceived more easily than other health financing. For the acceptability of the benefit package and the tariff, midwives could still accept although with little objection. For Jampersal membership, most midwives still objected to the Jampersal membership models. Conclution: It needs to be disseminated to a deeper understanding of the meaning and purpose of the Jampersal philosophy. Recommendation: Socialization is also able to explain what the background of every detail measures taken, including what makes the midwife objected

Pemberian Pupuk Fosfat dan Fungi Mikoriza Arbuskular terhadap Pertumbuhan Tanaman Legum Pohon (Indigofera Zollingeriana)

Tujuan dari penelitan ini adalah untuk mengetahui pertumbuhan legum pohon Indigofera terhadap pemberian pupuk fosfat dan fungi mikoriza. Metode penelitian yang digunakan adalah dengan menggunakan Rancangan Acak Lengkap (RAL) pola faktorial dengan 2 faktor perlakuan dan 3 kali ulangan. Faktor pertama adalah fungi mikoriza dengan level pemberian M0 : Tanpa Mikoriza, M1 : 5 gr Mikoriza / polybag, M2 : 10 gr Mikoriza/ polybag. Faktor kedua fosfat dengan perlakuan, P0 : Tanpa Pupuk, P1 : Pupuk Rock Fosfat (20% P2O5) 270kg/ha P2 : Pupuk SP-36 (36% P2O5) 150 kg/ha. Hasil penelitian pertumbuhan tanaman indigofera yang diberi perlakuan fungi mikoriza arbuskular dan pupuk fospat menunjukan berpengaruh nyata (P<0,05) terhadap tinggi tanaman, serta berpengaruh tidak nyata (P>0,05) terhadap diameter batang, jumlah cabang dan jumlah nodul. Pertumbuhan tanaman Indigofera zollligeriana yang diberi pupuk fosfat P2 : Pupuk SP-36 (36% P2O5) 150 kg/ha dan Inokulasi fungi mikoriza M2 :10 gr Mikoriza/ polybag memberikan hasil terbaik pada parameter tinggi tanaman

Community-Based Ecosystem Approach In Controlling Dengue Hemorrhagic Fever Vector

BACKGROUND: Dengue hemorrhagic fever vector control needs to involve the community as dengue is a bio-anthroposocial disease. However, vector control has been so far implemented separately from the community involvement. It is therefore necessary to integrate the vector control into an ecosystem approach. This study aimed to determine the effect of ecosystem approach in reducing the density of dengue vector in urban areas. SUBJECT AND METHODS: A community-based controlled trial was conducted in six neighborhoods and four elementary schools in Malang, from June 2013 to December 2015. These communities were assigned into 3 groups: (1) Ecosystem I group; (2) Ecosystem II group; and (3) Control group. The independent variable under study was the ecosystem approach comprising larva surveillance, ovitrap, and inorganic waste management. This ecosystem was preceded by an in-depth community need assessment. This ecosystem was implemented over 4 months. The dependent variables included Density Index, Maya Index, and mean number of eggs per ovitrap. The data were analyzed with 3 weekly moving average charts, Kruskal-Wallis test and Mann-Whitney Test. RESULTS: The Density Index was lower both in ecosystem I group and ecosystem II group than in the control group, and it was statistically signi-ficant (p=0.002). The difference in Density Index between the ecosystem I group and ecosystem II group was not statistically significant (p>0.05). The Maya Index (p=0.287) and mean number of eggs per ovitrap (p=0.851) were not statistically different among the 3 groups. All of the mosquito larvae hatched from ovitrap eggs are Aedes. CONCLUSION: The ecosystem approach with mosquito larva surveillan-ce, ovitrap application, and inorganic waste management, preceded by in-depth need assessment, can decrease the density of Aedes mosquito. The ecosystem approach can improve community participation. Keywords: dengue hemorrhagic fever, ecosystem approach, larva surveillance, ovitrap, Density Index, Maya Inde

Subkultur Grunge (Analisis Kritis Tentang Konstruksi Realitas Sosial dan Kesadaran Kritis Musisi Grunge di Kota Surabaya)

Subculture born from rock subcode frequently creates a counterculture of the mainstream. In fact, subculture of grunge shows its counterculture side through its resistance against capitalism, such as grunge offers new freedom to provide platforms for its followers to put forth their idealism, anger, disappointment towards the surroundings, politics, and social matters. The purpose of this study is to determine how the construction of social reality, such as the freedom, and resistance as well as critical consciousness of grunge subculture in Surabaya. The research was conducted to the grunge musicians in Surabaya. This study uses phenomenology method consisting of the object, meaning, experience, and consciousness from the grunge musicians\u27 perspectives. The theory used is the theory of social reality construction of Peter L. Berger and Thomas Luckmann, combined with the critical theory ─ the theory of music from Theodor W. Adorno. Data were collected through direct observation and in-depth interviews. The validity of the data was done by using triangulation.The findings show that the grunge musicians tend to choose grunge as their music genre because it has motivation referring to the past and the future. The factors underlied their selection of grunge genre are the lack skill of music, the influence of the association, and also the influence of the close friends or family. The purpose their selection of grunge genre are to share their hobby in music and to share aspirations. The grunge musicians construct the freedom within the characteristic aspect of musicality in which its musicians are not required to have high skills in music due to no strick standard, a performance style that shows simplicity, and also the ethics of “Do It Yourself (DIY)” which shows the attitude of self-reliance. The freedom in subkultur grunge which formerly was known as a form of resistance, indeed it is not. In fact, not all musicians interpret the freedom in grunge as a resistance. From various interpretations upon this resistance, the grunge musicians can be categorized into three kinds, namely resistance grunge musicians, subjective-resistance grunge musicians, and non-resistence grunge mucisians. Encountering some objective structures like the music industry and socio-politic matters, the grunge musicians have found their consciousness dimensions. Those dimensions include magical, naive, and critical consciousness. Through the grunge musicians who have critical consciousness, grunge genre becomes social media criticism

Conservation Area at Cirebon Quarry (Mt. Blindis) Ands IT's Potency in Carbon Sequestration

The biodiversity conservation areas of Cirebon quarry, in this case Blindis and Sari mountains is a limestone ecosystem.Limestone ecosystems play an important role in climate regulation. Quantifying the organic carbon storage of limestoneecosystems in this area definitely helps to evaluate the roles of these ecosystems in both global and regional carbon cyclesand also their impact on climate. This research was carried out to know the complete data of carbon storage in Cirebonquarry on each ecosystem types. In deep, it will give information which ecosystem and carbon pool that contributes thehighest carbon stock. The carbon stock calculating methods in above-ground was based on RaCSA (Rapid Carbon StockAppraisal) methods. Based on the observation, there are three ecosystem types in Cirebon Quarry i.e. Opened Area, ThickBushes and Secondary Forest. The result showed that Secondary forest had the highest total C-stock which was 87.18 t Cha-1, while the C-stock on Thick Bushes and Opened Area were 42.95 and 17.92 respectively. The total C stock inbiodiversity conservation area of Cirebon Quarry was 148.05 t C ha-1 comprises 48% of C plant biomass and 52% of Csoil

Studi Kasus Kesehatan Maternal Suku Muyu Di Distrik Mindiptana, Kabupaten Boven Digoel

Background: Maternal health problems are often closely related to local specific cultural customs. In the formulation of a policy, the local context is often overlooked in decision making that is often applied generically the same for the whole region. Objective: To describe maternal health behavior in related with local wisdom and tradition Methods: This research is a descriptive qualitative research by using ethnographic approach in the Muyu ethnic-group in Mindiptana District, Boven Digoel. In this research, researchers lived and mingled with Muyu ethnic-group for 60 days (May-June 2014). In the ethnographic research researcher is the main instrument. Result: Muyu has a strong belief related with dirty atmosphere which come from maternity and menstruation. This dirty environment could be weakening, or even could loss the power of male Muyu. Its urged community to isolate every Muyu women who will had childbirth. It\u27s also strongly supported with customary for noncompliance. Conclutions:, Muyu belief women should be isolated during the time of giving birth.. Iptèm is the dirty blood of women in labor.This exile is an obligation that must be run, which is reinforced with a fine if it does not comply. Muyu communities\u27 belief about ìptèm on labor embodied into "home delivery is not in the house" is an opportunity that must be arrested. This should be used to shift the pattern of labor "is not in the house of origin" to deliver in health facilities by health personnel

Dynamic band structure tuning of graphene moir\'e superlattices with pressure

Heterostructures of atomically-thin materials have attracted significant interest owing to their ability to host novel electronic properties fundamentally distinct from their constituent layers. In the case of graphene on boron nitride, the closely-matched lattices yield a moir\'e superlattice that modifies the graphene electron dispersion and opens gaps both at the primary Dirac point (DP) and the moir\'e-induced secondary Dirac point (SDP) in the valence band. While significant effort has focused on controlling the superlattice period via the rotational stacking order, the role played by the magnitude of the interlayer coupling has received comparatively little attention. Here, we modify the interaction between graphene and boron nitride by tuning their separation with hydrostatic pressure. We observe a dramatic enhancement of the DP gap with increasing pressure, but little change in the SDP gap. Our surprising results identify the critical role played by atomic-scale structural deformations of the graphene lattice and reveal new opportunities for band structure engineering in van der Waals heterostructures.Comment: 26 Pages, 16 Figures. (v2) Main text and figures are update

Malnutrisi Akut Berat dan Determinannya pada Balita di Wilayah Rural dan Urban

Malnutrisi akut berat merupakan malnutrisi yang paling serius yang memengaruhi Balita dan merupakan masalah kesehatan utama di negara-negara berkembang. Malnutrisi telah meluas baik di perkotaan maupun perdesaan. Akar permasalahan malnutrisi di negara berkembang salah satunya adalah faktor sosial demografi. Tujuan penelitian untuk melihat perbedaan kejadian malnutrisi dan determinannya di area perkotaan dan pedesaan di Yogyakarta. Penelitian menggunakan desain potong lintang dengan responden adalah semua Balita malnutrisi akut berat di Kabupaten Sleman (23 Balita) dan Kota Yogyakarta (33 Balita). Analisis data menggunakan statistik deskriptif dan inferensial. Penelitian dilaksanakan pada Bulan Desember 2012 - Februari 2013. Prevalensi Balita malnutrisi akut lebih banyak di perkotaan daripada di pedesaan (59% vs. 41%). Persentase faktor risiko kejadian malnutrisi pada kelompok urban dan rural adalah jumlah Balita dalam keluarga satu orang (60,7%), jenis kelamin laki-laki (58,9%), riwayat pemberian ASI tidak eksklusif (60,7%), usia ibu kurang dari 35 tahun (62,5%), pekerjaan non-PNS (98,2%), penghasilan orang tua lebih dari UMR (58,9%), tingkat pendidikan ayah dan ibu tinggi (71,4% dan 64,3% ) dan pengasuh Balita di rumah adalah ibu (82,1%). Perbedaan yang signifikan (p<0,05) pada variabel pekerjaan dan penghasilan orang tua, tingkat pendidikan orang tua dan pengasuh Balita, sedangkan hasil pengukuran antropometri tidak menunjukkan adanya perbedaan. Determinan kejadian malnutrisi pada kelompok urban dan rural adalah jumlah Balita dalam keluarga.Severe acute malnutrition is the most serious form of malnutrition affecting children under-five and widely recognized as a major health problem in developing countries. It is wide spread in rural and urban areas. Social demographic factor is one of the main causes of severe acute malnutrition. This study was conducted to determine the prevalence of severe acute malnutrition and determinants of children in urban and rural area in Yogyakarta. A cross-sectional study was used in this study, where the respondents were all children with severe acute malnutrition in Sleman and Yogyakarta (23 and 33 children respectively). Descriptive and inferencial statistic were used to analyze the data. The study was carried out in December 2012-February 2013. The prevalence of severe acute malnutrition children was higher in urban than rural communities (59% vs. 41%). Risk factors percentage of malnourished were number of children in family was one person (60.7%), male gender (58.9%), the history of not exclusive breastfeeding (60.7%), mother age less than 35 years old (62.5%), lower class job (98.2%), monthly income was high (58.9%), higher education of father and mother (71.4% and 64.3% respectively), and children caregiver was mother (82.1%). There were a significant diference (p<0.05) in father profession, parents\u27 education, household economic status, and caregiver of children, whereas anthropometric measurement did not show any difference between two groups. Determinants of malnutrition in urban and rural groups is the number of children in the family