The Effectiveness of Health Management-Assisted Technology on Glycated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus: Meta-Analysis

Background: Given the number of patients failing to achieve control of Diabetes Mellitus (DM), it causes an increase in the incidence of DM complications. Along with the rapid deve­lopment of technology in this era, this study aimed to prove the effectiveness of technology-based health management compared to usual treatment for levels glycated hemoglobin (HbA1c) in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-ana­lysis using a randomized controlled trial. Arti­cles were obtained from PubMed, Google Scholar, and ResearchGate databases. The arti­cles used in this study were those published from 2012-2021. The search article was carried out by considering the eligibility of the criteria determined using the PICO model. Population: type 2 DM patients (HbA1c>7%), Intervention: health management-assisted technology, Com­parison: usual care Outcome: HbA1c levels. There were 10 articles used with a sample size of 1693 people who were divided into two groups (845 people in the health management-assisted technology group and 848 people in the group usual care). Articles were analyzed using Review Manager 5.3 Appli­cation to determine the Standard Mean Diffe­rence (SMD) and heterogeneity of the study sample.Results: From 10 articles that were processed using RevMan 5.3, significant results were obtained, this is indicated by the overall effect (diamond) which does not touch the vertical line H0 (d= 0) and can also be seen from the 95% CI range of -0.62 to -0.13 which shows significant because it does not pass the number 0 (SMD= -0.37; 95% CI= -0.62 to -0.13; p= 0.003). The heterogeneity of the research data shows I2 = 82% so that the distribution of the data is very heterogeneous (random effects model).Conclusion: Using technology to help health management of patients with type 2 diabetes mellitus can reduce HbA1c levels compared to usual care.Keywords: Health management, technology, diabetes mellitus, HbA1cCorrespondence: Fajar Novianto. Center for Research and Deve­lopment of Medicinal Plants and Traditional Medicine, National Institute of Health of Health, Jl. Raya Lawu No. 11 Karanganyar, Central Java. Email: dr.fajarnovianto@gmail.­com.Journal of Health Policy and Management (2021), 06(02): 81-93https://doi.org/10.26911/thejhpm.2021.06.02.01

Meta-Analysis: Breastfeeding and Its Correlation with Stunting

Background: Stunting is a problem of chronic malnutrition in the first 100 days of life (HPK) which can be prevented by breastfeeding in children. This study aims to analyze the relationship between breastfeeding and the incidence of stunting based on the results of a number of similar primary studies previously.Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P = Children under five, I = Breastfeeding, C = Not Breastfeeding, O = Stunting. Article searches were conducted using electronic databases, namely PubMed, Goegle Scholar and Science Direct. Article searches were conducted using the keyword and Mesh methods as follows “Breastfeeding” AND “Stunting” AND “Children” “Breastfeeding and Malnutrition” OR “Breast­feeding Benefits”. sectional, the articles were analyzed using the Review Manager 5.3 application.Results: There were 8 articles from the continents of Africa, Asia and South America which included Ethiopia, Rwanda, Tanzania, Zambia, Pakistan, Indonesia, and Ecuador from 2001-2022 which were analyzed using PRISMA flow diagrams. Research studies show that children who are breastfed have a risk of experiencing stunting as much as 0.62 times compared to those who are not breastfed (aOR= 0.62; CI 95%= 0.41 to 0.94; p= 0.020).Conclusion: Breastfeeding can reduce the risk of children experiencing stunting.Keywords: Breastfeeding, Stunting, children under five.Correspondence: Alfi Makrifatul Azizah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285375335480.Journal of Maternal and Child Health (2022), 07(03): 334-345https://doi.org/10.26911/thejmch.2022.07.03.10

BUKU PENDAMPING SATGAS WANI NGANDANI “KOMUNIKASI EFEKTIF SOSIALISASI 5 M CEGAH COVID 19”

Komunikasi adalah keseluruhan bentuk perilaku seseorang secara sadar ataupun tidak sadar yang dapat memengaruhi orang lain tidak hanya komunikasi yang diucapkan dan ditulis, tetapi juga termasuk gerakan tubuh serta tanda-tanda somatik dan simbol-simbo