Implementation of SIJAREMAS to Reduce Maternal Mortality at Pku Muhammadiyah, Grobogan, Central Java

Background: Maternal and Neonatal Referal Network Information System (Sistem Informasi Jejaring Rujukan Maternal dan Neonatal, SIJARIEMAS) is a program that seeks to strengthen the referral system of maternal and neonatal health in Indonesia by capitalizing the advancement of information technology. This strategy was developed to reduce maternal mortality rate in Indonesia. This study aimed to analyze the implementation of SIJARIEMAS at PKU Muhammadiyah Hospital in Grobogan District, Central Java. Subjects and Method: This was a mixed qualitative-quantitative study conducted at PKU Muhammadiyah Gubug Hospital, Grobogan, Central Java, from May to October, 2017. The key informants of the qualitative study included manager and head of hospital ward. The variables under study included Input (Man, Machine, Material, Method), SIJARIEMAS implementation, and Output (maternal mortality). Results: Standard Operating Procedure already existed with 20 indicators. Machine and Material: Service Room, PC Client/ Tablet, Internet Connection, Speaker, LED Monitor, Phone line, Mobile Phone, already existed. Man: 1 Information Technology technician who was concurrently also an administration personnel, super administration staff, 2 midwives, 1 nurse, 1 general practitioner, and 2 obstetric specialists. Implementation: 10 out of 20 indicators did not performed well. The lowest compliance was that of the referring midwife, who did not communicate well with the Emergency Officers along the way to the Referral Hospital (72.7%). The most common obstetric problem was premature rupture of membranes (40%). There was no maternal death of SIJARIEMAS referral during the study. Conclusion: SIJARIEMAS has been already implemented at PKU Mu­ham­madiyah Gubug Hospital, Grobogan, Central Java. However, its performance has yet to be improved. The implementation should conform with the standard operating procedure. Keywords: SIJARIEMAS, maternal mortality rat

Effect of Child Growth and Development Training on The Knowledge and Attitude among Community Health Workers in Semarang, Central Java

Background: Measuring and monitoring a child’s growth is important to judge the adequacy of diets or supplementary food being given. Monitoring child's development is critical to find out if a child's development is on track. It is important to act early if there are signs of potential development delay because early treatment is so important for improving a child's skills and abilities. This study aimed to determine effect of child growth and development training on the know¬ledge and attitude among community health workers in Semarang, Central Java. Subjects and Method: This study was a quasi-experimental with pretest and posttest with no control design conducted at Rowosari Puskesmas (community health center), Semarang, Central Java. The study subjects involved 62 community health workers (CHWs). The dependent variables were knowledge and attitude about child growth and development. The independent variable was training on how to measure and monitor child growth and development. The data were collected by questionnaire, and analyzed by Wilcoxon test. Results:Knowledge was higher after training (Mean= 77; SD= 9.8) than before (Mean= 68; SD= 11.2), and it was statistically significant (p= 0.001). Attitude was higher after training (Mean= 80; SD= 12.8) than before (Mean= 70; SD= 10.1), and it was statistically significant (p= 0.001). Conclusion: Training is effective in improving knowledge and attitude about child growth and development monitoring among CHWs. Keywords: knowledge, attitude, growth,development, monitoring, children, community health workers

Effect of “Contraceptive Technology Update” Pre-Service Training on the Knowledge and Skill of Medical Student

Background: Contraception is an effective method of lowering the population rate. However, anecdotal evidenceshowed that generally doctors were unable to provide IUD and implant contraceptive installation services. This study aimed to determine the effect of Contraceptive Technology Update (CTU) pre-service training on the knowledge and skill of the medical college students. Subjects and Method: This was a quasi experiment using one group before and after with no comparison design. A sample of 50 college students from the medical college was selected for this study. All of the study subjects received CTU training for 5 days, comprising 3 days of in-class training using mannequin, and 2 days of practical training with patients. The independent variable was CTU pre-service training. The dependent variables were knowledge and skill. The knowledge data were measured by questionnaire. IUD and implant fixing skills were observed using MiniCEX. The data were analyzed by Wilcoxon test. Results: Knowledge after CTU training (median= 77.5) was higher than before CTU training (median= 62.5) with p= 0.001. IUD fixing skills after CTU training (median= 13.0) was higher than before CTU training (median= 10.0) with p= 0.001. Conclusion: CTU pre-service training significantly improves both knowledge and skills of IUD and implant fixingof medical college students. Keywords: CTU pre-service training, contraceptive, medical college studen