The Association between Motivation and Performance in Early Detection of High-Risk Pregnancy among Midwives at Community Health Center Air Beliti, Musi Rawas, South Sumatera

Background: Midwives as the spearhead of health services should have a good performance in the early detection of pregnant women. Midwife performance was hypothesized to be influenced by several factors, including knowledge, motivation and work infrastructure. This study aimed to analyze the association between motivation and performance in early detection of high-risk pregnancy among midwives at community health center Air Beliti, Musi Rawas, South Sumatera. Subjects and Method: This was a cross-sectional study conducted at Air Beliti Community Health Center, Musi Rawas, South Sumatera. A sample of 30 midwives at this community health center was selected for this study. The independent variable was motivation. The dependent variable was performance in early detection of high-risk pregnancy. The data were collected by questionnaire and analyzed by Chi-square. Results: Performance in early detection of high-risk pregnancy was associated with motivation. Midwives with high motivation were 12 times more likely to have good performance in early detection of high-risk pregnancy (OR= 12.0; 95% CI= 0.06 to 0.13; p= 0.003). Conclusion: There is a positive association between performance in early detection of high-risk pregnancy and motivation among midwives. Keywords: motivation, performance, early detection, high-risk pregnancy, midwif

Factors Associated with Adherence to Take Iron Tablet among Pregnant Women in Empat Lawang District, South Sumatera

Background: Provision of iron in pregnant women is one of the requirements of antenatal care in pregnant women in Indonesia. Iron supplements are particularly important for pregnant women who have anemia.During pregnancy, iron deficiency anemia is a specific risk factor associated with negative maternal and perinatal outcomes. In women who have normal blood values, taking iron supplements as a precautionary measure probably does not have any health benefits. They can get enough iron in their diet. Many countries have iron supplementation (IS) programs—as recommended by the World Health Organization—during pregnancy. Pregnant women with anemia are recommended to take a total of 90 iron tablets during pregnancy. This study aimed to determine factors associated with adherence to take irontablet among pregnant women in EmpatLawang District, South Sumatera. Subjects and Method: This was a cross-sectional study conducted in Talang Padang community health center, Empat Lawang, South Sumatera, from August to November 2017. A sample of 41 pregnant women of last trimester was selected for this study. The dependent variable was adherence to take the iron tablet. The independent variables were knowledge about antenatal care, side effect, and husband support. The data were collected by questionnaire. The data were analyzed by Chi-Square. Results: Adherence to take the iron tablet increased with good knowledge (OR= 3.78; 95% CI= 1.56 to 9.13; p= 0.002), absence of side effect (OR= 2.57; 95% CI= 1.09 to 6.13; p= 0.032), and strong husband support (OR= 2.20; 95% CI= 1.03 to 4.71; p= 0.042). Conclusion: Adherence to take the iron tablet increases with good knowledge, absence of side effect, and strong husband support. Keywords: iron tablet, adherence, knowledge, side effect, husband suppor

The Analytical Hierarchy Process (Ahp) of Consumer Purchase Decision in Selecting Bubble Tea Shop

Bubble tea also known as pearl milk tea is a popular Taiwanese tea-based drink invented in Taichung in the 1980s. Nowadays bubble tea shops are really popping up all over the world. Bubble tea shops have mushroomed all around Indonesia over the last few years. In Manado, there are at least three bubble tea brands that are very popular in town, those are Share Tea, Cha Time and Tea Presso. In today\u27s era, the effect of the development of business has brought the business into a very tight competition to gain the attention of customers. In order to create a successful business, it is necessary to understand the factors that motivates consumers to make purchases. The purpose of this research are to identify which bubble tea shop that people in Manado prefer the most and to identify which criteria has major influence in selecting bubble tea shop. The method used in this research is Analytical Hierarchy Process (AHP). The main findings of this research are: 1) Based on the overall result that developed using Analytical Hierarchy Process (AHP), Share Tea become the most preferred bubble tea shop by the consumers with score 0.52, followed by Cha Time (0.29) and Tea Presso (019). 2) Among all the criteria, flavour became the major influence or the key consideration for consumers in selecting bubble tea shop

Characteristics of Malaria Patients with Positive Parasite at Dr. M. Yunus Hospital, Bengkulu

Background: Malaria eradication efforts become a global commitment to the Millennium Development Goals (MDGs) by 2015, then continue through Sustainable Development Goals (SDGs). Riskesdas 2013, the proportion of people with positive malaria reached 1.3% or about twice that of 2010 (0.6%). In 2015, Bengkulu became one of the provinces in Sumatra with the highest Annual Parasite Incidence (API) number of 2.03. In 2016 there were 110 malaria sufferers with positive parasites who were hospitalized in Dr. M.Yunus Hospital, Bengkulu. This study aimed to describe the characteristics of malaria patients with parasite positive that were hospitalized at Dr. M. Yunus Hospital, Bengkulu, Sumatera. Subjects and Method: This was a descriptive case series study conducted in Dr. M. Yunus Hospital, Bengkulu, Sumatera. The study population was 110 malaria patients with a positive parasite that hospitalized in Dr. M. Yunus Hospital in 2016. A sample of 86 patients was selected for this study by simple random sampling. The independent variables were sociodemographic characteristics, parasite type, complication status, the average length of stay, circumstances of return time. The dependent variable was malaria. The data were collected from medical record and questionnaire. Results: 20.91% malaria patients were 15-24 years of age, 56.36% male, 22.6% pregnant women, 96% Islam, 34.3% self-employment, and 63.7% residence in the area of ​​Bengkulu City. The highest proportion of parasite species was Plasmodium Vivax (94.4%). Patients with >1 complication were 2.4%. The average length of stay was 3.63 days. 42.3% hospital discharge state was healed. Conclusion: The majority of malaria-infected men aged 15-24 years, who spent much time outdoors, and also pregnant women. Dr. M. Yunus Hospital, Province Health Office, and all related parties, are recommended to enhance health education, socialization of the active management, and malaria treatment. Keywords: malaria, parasite positive, sociodemographic, characteristi

Factors Associated with Community Health Worker Performance in North Musi Rawas District, Bengkulu

Background: Earlier studies concluded that community health workers did not consistently provide services that were likely to have substantial effects on health and that quality was usually unsatisfactory. This study aimed to analyze factors associated with community health worker performance. Subject and Method: This was a cross sectional study conducted in North Musi Rawas District, Bengkulu. A sample of 89 community health worker were selected by exhaustive sampling. The dependent variable was community health worker performance. The independent variables were knowledge, age, and tenure. The data were collected by questionnaire and analyzed by a multiple logistic regression model. Results: Work performance was associated with knowledge (OR= 5.21; 95% CI= 1.32 to 9.13; р= 0.001), age (OR 3.115; 95% CI= 1.09 to 1.32; p= 0.013), and tenure (OR 2.112; 95% CI= 0.93 to 2.13; p= 0.043). Conclusions: Work performance of community health workers is associated with knowledge, age, and tenure. Keywords: performance, tenure, knowledge, age, community health worke

KEPERCAYAAN TERHADAP KADER DALAM MENJALANKAN PELAYANAN KESEHATAN PADA POSBINDU PTM DI PULAU SAPARUA DAN KOTA AMBON

Salah satu usaha kesehatan berbasis masyarakat yang dilakukan untuk menyelesaikan masalah penyakit tidak menular di Indonesia adalah Posbindu PTM. Sebagai sebuah UKBM, kader berperan sebagai pelaksana kegiatan Posbindu PTM. Keterbatasan kader terutama dalam hal pengetahuan dan keterampilan menjadi hambatan dalam melaksanakan tugasnya. Hal ini sering kali mempengaruhi kepercayaan masyarakat terhadap kader. Penelitian ini bertujuan untuk mengetahui perspektif pengambil kebijakan, masyarakat, dan kader tentang kepercayaan kepada kader dalam melakukan pelayanan kesehatan di Posbindu PTM. Penelitian kualitatif ini dilaksanakan di lima wilayah kerja Puskesmas yang ada di Kota Ambon dan Pulau Saparua pada bulan November 2019-Januari 2020. Penelitian ini melibatkan 46 informan dalam diskusi kelompok terfokus dan  43 informan dalam wawancara mendalam. Dalam penelitian ini dipeorleh beberapa alasan masyarakat meragukan pelayanan yang dilakukan kader yaitu masalah legal etik pemeriksaan oleh tenaga non kesehatan, kader tidak memiliki latar belakang pendidikan kesehatan, kader tidak percaya diri dalam melaksanakan pemeriksaan, takut kader melakukan kesalahan dalam pemeriksaan, kurangnya dukungan pengambil kebijakan dan masih kurangnya pemahaman tentang konsep penyelenggaraan posbindu. Sebaliknya, kader lebih mendapatkan kepercayaan apabila telah mendapatkan pelatihan dan tetap mendapatkan pendampingan dari puskesmas Pembina, dukungan pengambil kebijakan kepada para kader, serta masyarakat yang telah memiliki pengetahuan yang baik tugas kader di Posbindu

Fine root dynamics across pantropical rainforest ecosystems

Fine roots constitute a significant component of the net primary productivity (NPP) of forest ecosystems but are much less studied than above-ground NPP. Comparisons across sites and regions are also hampered by inconsistent methodologies, especially in tropical areas. Here, we present a novel dataset of fine root biomass, productivity, residence time, and allocation in tropical old-growth rainforest sites worldwide, measured using consistent methods, and examine how these variables are related to consistently determined soil and climatic characteristics. Our pantropical dataset spans intensive monitoring plots in lowland (wet, semi-deciduous, deciduous) and montane tropical forests in South America, Africa, and Southeast Asia (n=47). Large spatial variation in fine root dynamics was observed across montane and lowland forest types. In lowland forests, we found a strong positive linear relationship between fine root productivity and sand content, this relationship was even stronger when we considered the fractional allocation of total NPP to fine roots, demonstrating that understanding allocation adds explanatory power to understanding fine root productivity and total NPP. Fine root residence time was a function of multiple factors: soil sand content, soil pH, and maximum water deficit, with longest residence times in acidic, sandy, and water-stressed soils. In tropical montane forests, on the other hand, a different set of relationships prevailed, highlighting the very different nature of montane and lowland forest biomes. Root productivity was a strong positive linear function of mean annual temperature, root residence time was a strong positive function of soil nitrogen content in montane forests, and lastly decreasing soil P content increased allocation of productivity to fine roots. In contrast to the lowlands, environmental conditions were a better predictor for fine root productivity than for fractional allocation of total NPP to fine roots, suggesting that root productivity is a particularly strong driver of NPP allocation in tropical mountain regions.Output Status: Forthcoming/Available Online Additional co-authors: Christopher E. Doughty, Imma Oliveras, Darcy F. Galiano Cabrera, Liliana Durand Baca, Filio Farfán Amézquita, Javier E. Silva Espejo, Antonio C.L. da Costa, Erick Oblitas Mendoza, Carlos Alberto Quesada, Fidele Evouna Ondo, Josué Edzang Ndong, Vianet Mihindou, Natacha N’ssi Bengone, Forzia Ibrahim, Shalom D. Addo-Danso, Akwasi Duah-Gyamfi, Gloria Djaney Djagbletey, Kennedy Owusu-Afriyie, Lucy Amissah, Armel T. Mbou, Toby R. Marthews, Daniel B. Metcalfe, Luiz E.O. Aragão, Ben H. Marimon-Junior, Beatriz S. Marimon, Noreen Majalap, Stephen Adu-Bredu, Miles Silman, Robert M. Ewers, Patrick Meir, Yadvinder Malh

Penerapan Prinsip Good Corporate Governance pada Perusahaan Keluarga Produsen Kemasan Kertas

Good Corporate Governance (GCG) merupakan sis­tem yang digunakan untuk mengarahkan dan mengatur pem­ba­gian tugas, hak dan kewajiban pemegang saham, karyawan dan stakeholder (OECD, 2003). Penelitian ini dilakukan dengan tu­juan untuk mendeskripsikan penerapan prinsip good corporate go­vernance pada subjek penelitian yang mana meng­gu­nakan me­to­de wawancara dengan tiga informan dan metode do­kumentasi. Subjek penelitian merupakan Perusahaan percetakan di Mojokerto. Hasil penelitian menunjukkan bahwa subjek pe­ne­li­ti­an masih belum menerapkan prinsip GCG dengan maksimal, an­ta­ra lain mengenai penerapan prinsip GCG, tidak memiliki SOP, tidak mencantumkan reward dalam kebijakan Perusahaan, tidak ada dewan komisaris, tidak adanya kegiatan CSR yang memberi dampak positif dan masih ada intervensi pada Perusahaan

Hubungan Pola Asuh Orang Tua Dengan Perkembangan Motorik Anak Prasekolah

Penelitian ini bertujuan untuk mempelajari hubungan pola asuh orang tua dengan perkembangan motorik anak pra sekolah di PAUD X Kota Bengkulu. Penelitian ini menggunakan rancangan survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh orangtua Balita dikelas B2, B4 dan B5 di PAUD X sebanyak 66 orang. Pengumpulan data dalam penelitian ini yaitu menggunakan data primer dengan kuesioner pola asuh yang diberikan kepada orang tua untuk diisi sesuai pola asuh yang dilakukan sehari-hari, sedangkan pengumpulan data perkembangan motorik dilakukan dengan observasi langsung menggunakan formulir Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang (SDIDTK). Analisis data dilakukan dengan analisis univariat dan bivariat. Hasil penelitian didapatkan: (1) Dari 66 responden, terdapat 51,5% yang menerapkan pola asuh demokratis; (2) Dari 66 responden, terdapat 74,2% anak perkembangan motoriknya dalam kategori normal dan (3) Diketahui terdapat hubungan antara pola asuh orang tua dengan perkembangan motorik anak di PAUD X Kota Bengkulu dengan kategori hubungan sedang. Diharapkan pada pihak sekolah untuk dapat memperbaiki proses pembelajaran sesuai dengan perkembangan motorik anak dan dapat meningkatkan pengetahuan orangtua dengan melakukan seminar atau penyuluhan serta pembagian selebaran (leaflet) tentang dampak pola asuh yang kurang baik terhadap perkembangan motorik anak, sehingga orangtua dapat merubah pola asuh yang diberikan pada anak sesuai dengan pola asuh yang dianjurkan

Analysis of the Questions Item for Biology Olympiad Participants

Biology Olympiad is one of the national tests run annually. The quality of the item tests needs to be analyzed details. This study aims to determine the quality of the MAN (Public Islamic School) Model Biological Olympiad questions in Jambi City. The subjects in this study were 10 graders of MAN Model Jambi City who attended the Biology Olympiad training. The data analysis technique used in this study was a program called States 4.0.9. The results in the study showed that for the validity of the items at the coefficient level of 5%, there were 13 valid questions and 27 invalid questions. Meanwhile, for the reliability of the questions, the value was 0.46 which was categorized as sufficient. Furthermore, for the difficulty level of the questions, they were 3 questions in the easy category, 16 questions in the medium category, and 21 questions in the difficult category. Then for the results of the distinguishing power of the questions, 7 questions were categorized as very good, 12 questions were categorized as good, 7 questions were categorized as poor, and 14 questions were categorized as very poor. Meanwhile, for the results of the analysis of the quality of distracting items, there were 4 questions with quality was categorized as very good and good, while the rest were classified as poor, poor, and very poor criteria, or those criteria need to be revised