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 Effect of Referral Process and Complications to Maternal Mortality

Maternal Mortality Rate (MMR) in East Java was still high. in 2013, MMR in sidoarjo district has readed 96.27 per 100,000 live birth. This aim of this study was to the effect of the referral process to maternal mortality in RSUD Sidoarjo. This research was analytic observational with case control design. The Samples of this study were 25 pregnant women who were referred to RSUD Sidoarjo and death. The case controls were 50 pregnant women who were referred to RSUD Sidoarjo who did not experience death. Techniques of data collection using secondary data from the register book maternal and neonatal Emergency (MNE) and medical records and interviews with the mother/family/husband of respondents. The data was analyzed by using univariable, bivariable and multivariable analysis with logistic regression. The results of this study confirmed that the referral process was poor (OR=9,783,95% CI: 2,275 to 42,072, p=0,002) and the complications (OR=0,005,95%CI: 0,001-0,057, p=0,000).thus, the incidence maternal mortality increased. The conclusion of this study is the referral process and the complications to maternal mortality affect the occurrence of maternal mortality. Midwives need to conduct health education should be given to women in their productive age, increase the participation of families, communities and cadres in the process of early detection of complications during pregnancy, childbirth and postpartum, the quality of antenatal care (ANC) and the quality of referrals should be improved by creating a close referral system in a region associated with a high risk pregnant women were detected inventoried and scheduled control/termination and monitored (follow-up) so that high risk always monitored

Perbandingan Metode Brass dengan Metode Trussell dalam Menghasilkan Angka Harapan Hidup

There are several indirect methods in estimating life expectancy, some of them are Brass method and Trussell method. The selection of the correct method is really needed in order to get the most appropriate life expectancy toward the considerable area. This research is done in order to compare Brass method and Trussell method in getting the most appropriate life expectancy. This is descriptive research which uses secondary data. If it is review from its purpose, this is an applied research. The samples taken in this research are all citizens of Eastern Jakarta based on the result of population census at the year of 2000. Based on the results of analysis of ANOVA similar subject and Paired sample T Test can be gotten that there is difference of life expectancy of woman resulted from Brass method, and Trussell method posed by value p = 0,042 (alpha = 0,05). There is no difference of life expectancy of men between life table and Trussell method posed by value p = 0,0553 (alpha = 0,05).While a more appropriate method is Trussell method. The areas which have not had ASDR (Age Specific Death Rate) should use Trussell method in estimating the rate of life expectancy; while the areas which have had ASDR can do an estimation of life expectancy directly.Key words: Brass method, life expectancy, life table, Trussell metho

The Body Size and Micronutrients Status Among the Bride-To Be in Probolinggo Districtof East Java

Micronutrients deficiency is prevalent among women in reproductive age, particularly in developing countries, including in Indonesia. Small body size reflects a chronic deficiency of nutrients intake. Both of those problems may correlate each other and making maternal nutrition more complicated. Brides-to be are the most important group of women in reproductive age who require better recognition, because they will become mothers. This study was to describe inter-correlation among anthropometric indices which reflected the maternal body size and several indicators of micronutrient status. A cross sectional study was conducted in selected sub-districts of Probolinggo District, East Java Province year 2012. The samples size of 115 brides-to be were randomly selected from list of brides-to be in Sub-district Office of Religious Affair. The observed variables were body weight, height, body mass index (BMI), mid upper arms circumference (MUAC), micronutrients status including concentration of hemoglobin, serum ferritin, serum retinol and serum zinc. Pearson correlation test was used to analyze data using SPSS for Window version 13.0. Result showed that the average of body weight was 47,3 kg, average stature was 150,4 cm, BMI was 20, MUAC was 25,3 cm. The average of hemoglobin level was 12,4 g/dL, serum ferritin was 50,6 µg/L, serum retinol level was 1,06 µmol/L, and serum Zn level was 12,9 µmol/L. Statistical analisis showed significant correlation between the body weight and hemoglobin concentration (r =0,25, p = 0,01) and serum retinol (r = 0,21, p = 0,03); between BMI and hemoglobin concentration (r = 0,31, p = 0,00) and serum ferritin (r = 0,23, p = 0,03), and serum retinol (r = 0,21, p = 0,02); between MUAC and hemoglobin (r = 0,32, p = 0,00) and serum retinol (r = 0,24, p = 0,02); between hemoglobin concentration and serum ferritin concentration (r = 0,30, p = 0,00). Stature did not correlate with any indicators of micronutrient. It implies that among the indices of body size, body weight and BMI as well as MUAC are important indicators relating to iron status, and vitamin A status, but not zinc status

Effects of high-intensity interval training treadmill with changes in inclination on TGF-β2 serum level of overweight male

A third of adults in Indonesia were overweight. Overweight and abdominal obesity also have associations with musculoskeletal disorders, limited respiratory function, and decreased physical function and quality of life, so public health interventions are needed to overcome them. High-Intensity Interval Training (HIIT) has more efficient time and has similar effectiveness as endurance exercise. Transforming Growth Factor-β2 (TGF-β2) is secreted from adipose tissue in response to exercise and improves glucose tolerance. Sixteen overweight subjects who met the study criteria were randomly assigned to the intervention and control groups. The intervention group did HIIT using a treadmill with incline changes for 4 weeks. This research measures weight, body mass index (BMI), waist and hip ratio (WHR), body fat mass, and TGF-β2 serum levels pre- and post-intervention in both groups. There was significant decrease in body fat mass percentage (p=0,002) and WHR (p=0,003) but no significant decrease in weight (p=0.51) and BMI (p=0.526) and no significant increase in TGF-β2 serum levels (p=0.208). However, the control got a significant decrease in TGF-β2 serum levels (p=0.029). Although HIIT for 4 weeks did not increase the TGF-β2 serum levels, it is effective to prevent a significant decrease in TGF-β2 serum levels in overweight men

Effects of high-intensity interval training treadmill with changes in inclination to body fat mass percentage of overweight men

A higher body fat percentage reflects an increased risk of comorbidities. High-Intensity Interval Training (HIIT) is a more efficient and effective form of exercise in reducing body fat mass. This study aimed to determine the effects of HIIT treadmill with changes in inclination to body fat mass percentage of overweight men. Twenty-two overweight subjects who met the study criteria were randomly assigned to the intervention group and the control group. The intervention group did HIIT using a treadmill with incline changes for 4 weeks. Measurements of the anthropometrics such as weight, body mass index (BMI), waist and hip ratio (WHR), and body fat mass were performed pre and post the intervention in both groups. There was significant decrease in body fat mass percentage (p=0,000) and WHR (p=0,000) in intervention group and significant difference in body fat mass percentage (p=0,000) in the intervention group compared to the control group (p=0,00). However, there is no significant decrease in BW (p=0.598) and BMI (p=0.592) in the intervention group after exercise. HIIT treadmill with changes in inclination is good to reduce body fat mass percentage of overweight men

Does Weight-bearing Exercise for Better Balance (WEBB) Program by Telerehabilitation Improve Balance and Walking Speed in Obese Men?

Obesity and various other pathologies increase postural instability which will lead to the risk of falling. Several anthropometric measurements (height and weight) showed a significant effect on postural stability. This study examines the effects of the telerehabilitated Weight Bearing Exercise for Better Balance (WEBB) program on balance and walking speed in obese men. Ten adult males with grade 2 obesity participated in this study and received a telerehabilitative WEBB exercise intervention 3 times a week for 8 weeks. Static and dynamic balance were assessed by the One Leg Stance test (OLS) and Four Square Step Test (FSST), while walking speed was assessed by the 10 Meter Walk Test (10MWT). The study found that there was a significant improvement in both leg static balance (p=0.005; p=0,003), dynamic balance (p=0.005), and walking speed (p=0.00) in obese male subjects. In conclusion, the WEBB program in telerehabilitation can significantly improve balance and walking speed in obese men

Effects of High-intensity Interval Training Treadmill with Changes in Inclination to Body Fat Mass Percentage of Overweight Men

A higher body fat percentage reflects an increased risk of comorbidities. High-Intensity Interval Training (HIIT) is a more efficient and effective form of exercise in reducing body fat mass. This study aimed to determine the effects of HIIT treadmill with changes in inclination to body fat mass percentage of overweight men. Twenty-two overweight subjects who met the study criteria were randomly assigned to the intervention group and the control group. The intervention group did HIIT using a treadmill with incline changes for 4 weeks. Measurements of the anthropometrics such as weight, body mass index (BMI), waist and hip ratio (WHR), and body fat mass were performed pre and post the intervention in both groups. There was significant decrease in body fat mass percentage (p=0,000) and WHR (p=0,000) in intervention group and significant difference in body fat mass percentage (p=0,000) in the intervention group compared to the control group (p=0,00). However, there is no significant decrease in BW (p=0.598) and BMI (p=0.592) in the intervention group after exercise. HIIT treadmill with changes in inclination is good to reduce body fat mass percentage of overweight men

Effects of High-intensity Interval Training Treadmill with Changes in Inclination on TGF-β2 Serum Level of Overweight Male

A third of adults in Indonesia were overweight. Overweight and abdominal obesity also have associations with musculoskeletal disorders, limited respiratory function, and decreased physical function and quality of life, so public health interventions are needed to overcome them. High-Intensity Interval Training (HIIT) has more efficient time and has similar effectiveness as endurance exercise. Transforming Growth Factor-β2 (TGF-β2) is secreted from adipose tissue in response to exercise and improves glucose tolerance. Sixteen overweight subjects who met the study criteria were randomly assigned to the intervention and control groups. The intervention group did HIIT using a treadmill with incline changes for 4 weeks. This research measures weight, body mass index (BMI), waist and hip ratio (WHR), body fat mass, and TGF-β2 serum levels pre- and post-intervention in both groups. There was significant decrease in body fat mass percentage (p=0,002) and WHR (p=0,003) but no significant decrease in weight (p=0.51) and BMI (p=0.526) and no significant increase in TGF-β2 serum levels (p=0.208). However, the control got a significant decrease in TGF-β2 serum levels (p=0.029). Although HIIT for 4 weeks did not increase the TGF-β2 serum levels, it is effective to prevent a significant decrease in TGF-β2 serum levels in overweight men