Gambaran Cakupan Pelayanan Kesehatan Maternal dan Neonatal pada Peserta Jaminan Kesehatan Masyarakat Miskin di Provinsi Jawa Barat (Analisis Data Pws Kia dan Jpsbk Tahun 2004)

The Maternal Mortality Rate in Indonesia was 373/100.000 per live birth (SDKI 2002). It is the highest in South East Asia. The Infant Mortality Rate was 40/1000 per live birth, the highest compared among ASEAN countries. The Human Development Index In West Java year 2002 was 0.658 and at 17th rank out of 30 provinces which was better than East Java in which at 25th. But rank was higher compared with others provinces in Java-Bali: Banten, Bali, Central Java, DI Jogjakarta, and DKI Jakarta. The Jaminan Kesehatan Masyarakat Miskin (JKMM) is an intervention program to increase economic gap and to achieve higher coverage of childbirth care by midwives for the poor families. In the other side, there was no information on the influence of JKMM to coverage of childbirth care by midwives for the poor families, esspecially the information about moving up of childbirth care from traditional birth attendants (TBA) to midwives. The research was an evaluation study with across sectional approach. The research was done at 3 Districts in West Java (Garut, Sumedang and Sukabumi). The data consist of secondary data (PWS KIA) and primer data (by in-depth interview). The Bivariate Analysis was done on the secondary data to determine factors that related between independent variable and dependent variable. Results of the research showed that there were no significant different between coverage of childbirth care by midwives (LINAKES) at health centers with the higher poor proportion people and the lower poor proportion people groups. It showed that the JKMM program not different in the coverage childbirth care by midwives between the poor people and the non­ poor people. The geographic factors (longer distance, cost of transportation, longer time from village to health center) were significant different in childbirth care by midwives. The health centers with good geographic conditions had better coverages of childbirth by midwives compared with the health center with hard geographic situation (p < 0.01)

Regional Disparity of Drug Availability for Basic Emergency Obstetrict and Neonatal Care (BEONC): an Indonesian National Study in 2011

Background:As an important component to support the implementation of the Basic Emergency Obstetric and Neonatal Care (BEONC)the drugs should be available in the district/city pharmacy (IFK) in entire region in Indonesia. However, availability disparity occurred. Therefore, it is necessary to describe the disparity on the availability drugs in Indonesia.Methods: A cross-sectional study was conducted in August-October 2011, which covered all IFK districts / municipalities in 33 provinces of Indonesia. The location comprised regional: Sumatra, Java and Bali, Nusa Tenggara, Kalimantan, Sulawesi, Maluku, and Papua. BEONC essential medicines were divided into two classifications: (1) very very important, and (2) very important.Results: In January 2012, out of 497 districts / cities 316 (64%) were available for this analysis. There were disparities on availability BEONC classified as very very important as well as very important drugs. Among the very important BEONC essential drugs, Dextrose infusion and Ergomterin / methiler-gometrin maleate injection, and injection Oxytosin available in all regions except in the Maluku. Anti-tetanus serum (ATS), furosemide injection, furosemide injection, Magnesium sulfate, and Procaine Penicillin were available in all regions. The important BEONC essential drugs, except Bicarbonas in Papua, all essential drugs BEONC less available in all regions. The most available was A2 infusion fluid, Cedilanide injection, sodium bicarbonate injection, and pethidine injection. It seemed that Nusa Tenggara region had relatively better BEONC drug stock as compared to other regions.Conclusion:There was significantly disparity on availability of very important essential BEONC drugs in all regions in Indonesia. Therefore it is necessary to solve the disparity problems of BEONC drugs. (Health Science Indones 2012;2:xx-xx

Fetal Monitor Calibration Among Public Hospitals in Indonesia

Background: Periodic calibration for diagnostic tool in hospitals is essential for accurate diagnosis. The purpose of analysis was to identify the dominant factors related to implementation of periodic calibration of the fetal monitor in the hospitals. Methods: Analysis data using a part of Rifaskes 2011 data among selected hospitals in Indonesia which had fetal monitors. To identify the dominant factors related to fetal monitor on time calibration compared with not doing calibration fetal monitor we used relative risk approach. Results: Out of the 297 hospitals that met the inclusion criteria which had fetal monitor, 82 (27.6%) hospitals calibrated the monitor on time, and 132 hospitals did not perform calibration. The accredited hospitals compared with not accredited hospitals had more performing on time fetal monitor calibration. Compared with not accredited hospitals, the accredited hospitals for 5 services, for 12 services, and for 16 services had 2.2-fold, 2-fold, and 3.4-fold to perform on time fetal monitor calibration respectively. Conclusion: The accredited hospitals compared with not accredited hospitals had more on time performed fetal monitor calibration. (Health Science Indones 2013;1:7-10

Influence of Stressor on Blood Pressure in School Children

INFLUENCE OF STRESSOR ON BLOOD PRESSURE IN SCHOOL CHILDRE

The effect of clonidine drip in hypertensive crisis in children

[no abstract available

Effect of double dose oseltamivir on clinical and virological outcomes in children and adults admitted to hospital with severe influenza: Double blind randomised controlled trial

10.1136/bmj.f3039BMJ (Online)3467911-BMJO