STUDI META-ANALISIS: DETERMINAN KEJADIAN ANEMIA PADA IBU HAMIL DI PROVINSI SULAWESI SELATAN: Meta-Analysis Study: Determinants of Anemia in Pregnant Women in South Sulawesi

Anemia merupakan keadaan apabila terjadi penurunan dibawah normal kadar Hb, hitung eritrosit dan hematokrit. Anemia adalah kondisi dimana sel darah merah (eritrosit) menurun atau menurunnya hemoglobin sehingga berkurangnya kapasitas daya angkut oksigen untuk kebutuhan organ vital pada ibu dan janin. Anemia sering terjadi pada ibu hamil, angka kejadiannya 20 sampai dengan 60%. Penelitian ini bertujuan untuk mengetahui hubungan umur, pengetahuan, pendidikan, tingkat ekonomi, status gizi, ANC (Antenatal Care), paritas, jarak kehamilan serta asupan zat besi dengan kejadian anemia ibu hamil di Sulawesi Selatan dengan meta-analisis. Penelitian dilakukan dengan meta-analisis menggunakan software Review Manager (RevMan). Analisis dilakukan dengan menggunakan random effect model serta fixed effect model. Hasil penelitian menunjukkan adanya hubungan antara umur, pengetahuan, status gizi, ANC (Antenatal Care), paritas, jarak kehamilan serta asupan gizi dengan kejadian anemia ibu hamil dengan effect size terbesar terdapat pada variabel pengetahuan yaitu OR 4.89 serta variabel asupan zat besi dengan OR 5.63. Sedangkan berdasarkan hasil pendidikan dan tingkat ekonomi tidak menunjukkan adanya hubungan yang signifikan dengan kejadian anemia ibu hamil. Kesimpulan: Adanya hubungan antara umur, pengetahuan, status gizi, ANC (Antenatal Care), paritas, jarak kehamilan serta asupan gizi dengan kejadian anemia ibu hamil dengan variabel pengetahuan serta variabel asupan zat besi memiliki ukuran efek yang terbesar. Disarankan pemerintah untuk melakukan intervensi terutama edukasi terkait anemia serta pelayanan yang dibutuhkan oleh ibu hamil dalam menurunkan kejadian anemia pada ibu hamil

DETERMINAN PENGGUNAAN KB METODE KONTRASEPSI JANGKA PANJANG DI WILAYAH KERJA PUSKESMAS LAWAWOI KABUPATEN SIDENRENG RAPPANG: Determinants of the Use of Long-Term Contraceptive Methods in the Work Area of the Lawwoi Health Center, Sidenreng Rappang District

Indonesia merupakan salah satu negara dengan laju pertumbuhan penduduk terbesar dan menempati posisi keempat dengan laju pertumbuhan penduduk sebesar 1,49% atau sekitar 4 juta jiwa per tahun. Salah satu upaya pemerintah untuk menekan laju pertumbuhan penduduk adalah dengan melalui pelaksanaan program Keluarga Berencana (KB). Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan penggunaan KB MKJP (Metode Kontrasepsi Jangka Panjang) pasca persalinan di wilayah kerja Puskesmas Lawawoi Kabupaten Sidenreng Rappang. Penelitian ini merupakan penelitian observasional yang dilakukan dengan rancangan Case Control. Jumlah populasi pada penelitian untuk kelompok kasus sebanyak 71 orang dan untuk kelompok kontrol sebanyak 54 orang dengan jumlah sampel untuk masing- masing kelompok sebanyak 36 orang. Teknik pengambilan sampel menggunakan systematic sampling. Analisis data menggunakan analisis univariat dan bivariat. Hasil uji Odds Ratio menunjukkan besaran risiko usia dengan OR=5,09 (95% CI=1,33-23,57), jumlah paritas OR=3,31 (95% CI=1,03-11,20), konseling KB OR=1,38 (95% CI=0,21- 10,09) dan keikutsertaan JKN OR=3,35 (95% CI=1,11- 10,36). Usia, jumlah paritas dan keikutsertaan JKN merupakan faktor yang berhubungan secara signifikan dengan penggunaan KB MKJP Pasca Persalinan di wilayah kerja Puskesmas Lawawoi Kabupaten Sidenreng Rappang, sedangkan konseling KB merupakan faktor yang tidak bermakna secara statistik terhadap penggunaan KB MKJP Pasca Persalinan di wilayah kerja Puskesmas Lawawoi Kabupaten Sidenreng Rappang

Correlation Study between Elevation, Population Density, and Dengue Hemorrhagic Fever in Kendari City in 2014–2018

BACKGROUND: The incidence of dengue hemorrhagic fever (DHF) has experienced rapid development throughout the world in recent decades. Indonesia was reported as the 2nd country with the largest DHF cases among 30 endemic countries. Dengue virus can develop properly based on certain regional conditions. The elevation is an important factor that can affect the presence of dengue vector mosquitoes. High population density contributes to dengue transmission by increasing the contact between infected mosquitoes and human hosts. AIM: This study aimed to determine the correlation between elevation and population density with the incidence of dengue in Kendari City in 2014–2018. METHODS: This research is an observational analytic study with ecological study design. Data incidence of DHF in 2014–2018, elevation and population density were respectively obtained from the Health Office of Kendari City, Meteorology, Climatology and Geophysics Agency of Kendari City, Statistics Agency of Kendari City. The analysis of the data used in the study is univariate and bivariate analysis. Bivariate analysis using Pearson correlation test was performed. RESULTS: The results showed that the correlation between elevation and DHF (p = 0.014, r = 0.339) and the correlation between population density and DHF (p = 0.186). CONCLUSION: It can be concluded that there is significant correlation with positive direction between elevation and the DHF, and there is no significant correlation between population density and DHF incidence in Kendari City in 2014–2018

EFFECTIVENESS OF MUROTTAL THERAPY ON BABIES’ WEIGHT CHANGES

Many newborn babies have a low weight, it has a bad impact in the process of growth and development.Murottal is a recording of the sound of the Qur'an which is sung by a qori . Murotal therapy performed for several minutes or hours in a voice that sounds good can give a sense of comfort for the body to move up to be able to raise the baby's weight. The Purpose Of This Research Is To Know The Murottal Effects Of Changes In Baby Weight. This research is quasi experimental pre-test post test kontrol group design. Samples in this study A total of 44 newborn babies, divided into two groups consisting of 22 respondents, namely the Intervention Group and the Control Group. The Intervention Group received treatment hearing murottal therapy and the control group did not receive treatment. Using the Mann Whitney statistical test. The results of the study with the Mann Whitney Statistical Test p: 0.630> 0.05. This means that there is no average difference between the weight of infants in the intervention group and the control group. However, it only gave a change, by showing that the weight of the intervention group infants after being given a treatment was lower in body weight compared to the control group which was 2,577 grams, whereas in the control group without being treated there was more weight loss than the intervention group which was 2,750 grams. Murottal therapy has not changed statistically but there has been a change in the mean and standard deviation, so it is recommended that mothers apply Murottal therapy during the breastfeeding process using appropriate Standard operating procedures

Determinant Factors of Interprofessional Collaborationin Labuang Baji General Hospital

Background: Health services provided to the community were often overlapped among health care professionals. Poor communication may affect the quality of patient care and potentially increase the number of medical errors. Objective: The study aims to analyze the most determinant factors associated with the implementation of Interprofessional Collaboration (IPC) at Labuang Baji General Hospital. Method: The study used a cross-sectional design for data collection method. A questionnaire was administered to 291 respondents. The data analysis was performed using a computer program and statistical analysis, namely Univariate analysis distribution (of frequency) and logistic regression. Results: The results reveal that the determinant factors affecting the implementation of IPC are Communication (P = 0.000), Trust and Respect (P = 0.017), Administrative Support (P = 0.000), Culture (P = 0.000), Law and Regulations (P = 0.001), and Finance (P = 0.000). Conclusion: An effective communication with other healthcare teams in the implementation of IPC leads to effective and safe healthcare services at Labuang Baji General Hospital, Makassar. Based on this reason, a policy is needed to improve the implementation of IPC in Labuang Baji General Hospital

AITCS as a Reliable Instrument for Evaluating IPC (Interprofessional Collaboration): A Systematic Review

This study aims to summarize, evaluate, and systematically describe AITCS instruments as well as find the most appropriate collaborative practice assessment instruments for measuring IPC. A systematic literature review was conducted on 4 databases namely PubMed, Science Direct, Wiley, and Ebsco. The last 8 years of articles written in English related to the use of AITCS in evaluating/measuring IPE were gathered. Based on 8 articles analyzed, AITCS had undergone several development processes. AITCS (37 items) had been shortened to 23 items (AITCS II). AITCS had been adapted and developed in Swedish and Japanese versions. Various articles showed the overall Cronbach alpha value ranged from 0.89 to 0.98. Each item rated has a Cronbach alpha > 0.70 (acceptable). Thus, this study indicates that AITCS will continue to be developed in the future for it is an appropriate instrument that can be used to evaluate IPE

Do parents need application-based learning media to learn baby massage? A qualitative study

BACKGROUND: Growth and development delays can occur in childhood under five years. Early stimulation is very important to help babies grow according to their age which can be done with baby massage. Increasing the skills of parents in learning baby massage is a main focus because parents are the closest people to babies. This initial research was conducted to determine the learning media needed by parents in learning baby massage. MATERIALS AND METHODS: A qualitative research with a phenomenological approach was used to explore the views of parents, providers/health workers, Information Technology (IT) experts, and media design experts. Focus group discussion (FGD) was used to obtain information from a number of samples taken by purposive sampling. Data were analyzed using thematic analysis. RESULTS: A total of 11 people consisting of four parents with babies aged 0–12 months, two IT experts, one media design expert, and four midwives involved in FGD. There was an agreement that an android application-based baby massage media was needed to include a baby massage video feature that was made every step of baby massage, starting with baby massage of the feet, hands, stomach, chest, face, and back. The baby massage application will be equipped with a baby massage feature that conveys the benefits of baby massage, massage instructions, diaries, and contact midwives. CONCLUSION: Parents who have babies, midwives who are competent in the implementation of baby massage, IT experts, and media design experts agree to develop learning media for the baby massage based on android applications by developing six features and systems