Overview of Relation Between Coverage of Health Services and Maternal Mortality in East Java Province in 2015

Objectives: to analyze the efforts of maternal health services that may affect maternal mortality rate.Materials and Methods: The study was conducted at the Health Office of East Java using secondary data from 38 districts/cities in East Java in 2015 that includes performance antenatal care K1 and K4, postnatal care, early detection of complications in pregnant women, natal in health workers and health facilities, management of complications by health workers and MMR. Data were analyzed with statistical method with spatial regression and illustrated with thematic maps by application ArcView statistics.Results: the highest MMR was in Bojonegoro district, Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Some districts/cities that have the highest maternal mortality has proximity of areas, namely the district Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Their proximity concluded an association condition and the causes of MMR between districts so they can be studied more in depth about the causes of MMR kind of social, cultural and geographical characteristics. The coverage maternal health services to all districts/cities in East Java province is not much difference.Conclusion: the maternal mortality rate in the district/city of East Java province in 2015 was not much affected by maternal health services so we need more research on other causes of MMR in districts/city of East Java Province

The Role of Village Surveillance Officer to Prevent Dengue Hemorrhagic Fever

Dengue is a major public health problem in Indonesia. The program of elimination of mosquito breeding places is still low. This study was aimed to analyze the effectiveness of village surveillance officer for decrease container index. Study design was quasy experiment. The intervention included: community workshops; community involvement in clean-up campaigns; and distribution of information, education and communication materials in the village surveillans officer. Data were analyzed with t test, and path way analyzed. There is significantly differences knowdlege, attitude, behaviour, sanitation, and container index p<0.05. Based on the path analysis was concluded that village surveillance officer increased knowledge, attitude, behavior, sanitation and container index.Surveillance village officer is concluded to be more effectively decreased of larva index through comunity behavior. Surveillance village officer is important because it effectively the coverage of larva index through community behaviour participation

Process of Privatization: International Initial Public Offering (IPO) of an Indonesian State-Owned Enterprise (SOE)

This paper describes process of privatization through International initial public offering (IPO) of an Indonesia State Owned Enterprice (SOE). The case referred to in this paper is PT Tambang Timah, an Indonesian Mining SOE, which previously suffered from fundamental change in the industry but was successfully turned around prior to its IPO. The discussion starts with the background on privatization of SOEs by highlighting the historical policies of Government toward SOEs, environmental changes leading to improving performance of SOEs, and IPO as an alternative to improving SOE's performance. It followed by a summary description of a successful turn-around and privatization of PTTambang Timah as the case example. It concluded with some lessons learned from the process as well as the specific case

Perancangan Sistem Informasi Pelayanan Antenatal Terpadu (Sipat)

Hasil Survei Demografi Kesehatan Indonesia tahun 2012 AKI 359 per 100.000 kelahiran hidup naik dibandingkan tahun 2002 sebesar 307 per 100.000 kelahiran hidup. Angka tersebut berbanding terbalik dengan pencapaian cakupan pelayanan pada periode yang sama, yaitu angka pencapaian cakupan periksa kehamilan (92%-98%); persalinan oleh tenaga kesehatan (66%-83%); persalinan di fasilitas pelayanan kesehatan (40%-63%). Saat ini pencatatan hasil pemeriksaan antenatal masih sangat lemah, sehingga data tidak dapat dianalisa untuk peningkatan kualitas pelayanan antenatal. Penelitian bertujuan merancang prototype Sistem Informasi Pelayanan Antenatal Terpadu (SIPAT). Perancangan SIPAT dengan metode System Development Life Cycle (SDLC). Wawancara mendalam dan Focus Group Discussions (FGD) dilakukan untuk memperoleh data yang diperlukan. Prototipe SIPAT berbasis web dirancang dengan menggunakan PHP 5 dan Javascript, Firebird database, and Apache web server. Prototype SIPAT berbasis web dirancang bagi bidan dalam melakukan pencatatan ANC terpadu secara elektronik yang meliputi registrasi pasien; anamnesis dan pemeriksaan fisik; laboratium; penatalaksanaan kebidanan termasukKIE; diagnosis dan saran tindak lanjut. Output berupa informasi kesehatan individual skor risiko kehamilan metode Poedji Rochjati dan grafik pertumbuhan BB bumil berdasarkan IMT sebelum hamil. Informasi kesehatan aggregat berupa Kohort Ibu dan laporan PWS ANC. Kesimpulan penelitian SIPAT menghasilkan informasi kesehatan bumil individual dan agregat yang diperlukan bidan dalam manajemen ANC terpadu

Pengaruh Pemberian Jus Buah Belimbing dan Mentimun terhadap Penurunan Tekanan Darah Sistolik dan Diastolik Penderita Hipertensi

A single blind randomized pretest-posttest control group-quasi experiment was done to analyze the effect of star fruit and cucumber juice to decrease systolic and diastolic blood pressure of hypertension patients at Grati Public Health Care Center, Pasuruan, East Java. Screening test was done to find out the hypertension patient, and 28 patients were got and then grouped into treatment and control group consisting of 14 patients each. Each patient in treatment group drank a glass of the juice everyday during two weeks, on the other hand the patients in control group did not. However, the blood pressures of both groups patients were controlled by having them take the same medicine given by the health care center. After two weeks, posttest to measure systolic and diastolic blood pressures was measured to find out whether there was any difference in blood pressure before and after the treatment and also the difference of decreasing of the blood pressure between the patients in treatment and control group after the treatment. Anacova test was applied to analyze factors suspected to affect blood pressure. However, since the result showed that there were no significant variables affecting blood pressure, then t-test was applied further. The result of the study showed that there was no difference in systolic and diastolic blood pressures between the two groups at the beginning of this research. However, in treatment group, there was difference in systolic and diastolic blood pressure before and after treatment. While in control group, there was no difference in systolic and diastolic blood pressures. Another finding showed that there was no difference in the decrease of systolic blood pressure between treatment and control group, but there was difference in the decrease of diastolic blood pressure.Key words: systolic and diastolic blood pressure, star fruit and cucumber juice, hypertensio

Analisis Dinamika Kolaborasi Antara Badan Rehabilitasi Dan Rekontruksi Aceh Dan Nias (BRR) Dengan Lembaga Donor Pasca Tsunami 2004 Menggunakan Drama Theory

Indikator kelengkapan peran individu digunakan untuk mengukur kinerja tim. Sedangkan nilai-nilai personal menggunakan kombinasi dari dimensi multikultural yang diambil dari Hofstede and Trompenaars. Dan kepemimpinan kolaboratif sebagai variabel moderator menggunakan faktor-faktor dari Collaborative Leadership Turning Point (2001). Pengambilan data dengan menyebarkan kuesioner ke para pegawai PT Jasa Marga (Persero), Tbk, dan selanjutnya diolah dengan menggunakan analisis regresi linier berganda.Riset ini menunjukan bahwa terdapat tiga variabel yang memberikan pengaruh signifikan terhadap kinerja tim. Variabel-variabel tersebut adalah long term orientation, power distance, and neutral affective. Variabel power distance dan neutral affective memberikan pengaruh signifikan terhadap kinerja tim setelah diperkuat oleh variabel kepemimpinan kolaboratif

Keikutsertaan Kelas Ibu Hamil Berpengaruh Terhadap Pengetahuan Dan Sikap Ibu Dalam Praktik Inisiasi Menyusu Dini

Objectives: to know the effect participation in prenatal class to the practice of early initiation breastfeeding in Sisir health care center-Batu. Materials and Methods: This research was an analytical study with cohort retrospective design. The population in this study was divided into two populations, exposed populations were mothers who attend prenatal classes during the last pregnancy and unexposed population were mothers never attend prenatal classes. Sample size was 32 respondent. Data were analyzed by chi square test. Results: The results of the bivariate analysis of age (p value = 0.229), education (p value = 0.1790, parity (p value = 0.011), knowledge (p value = 0.047), attitude (p value = 0.893), history of labor (p value = 0,021), information (p value = 0.472), birth attendants (p value = 0.017), the place of delivery (p value = 0.003), participation in prenatal classes (p value = 0.27), decision makers (p value = 0.137), counseling during pregnancy (0.16) The analysis showed significant variable is the parity (p = 0.011), knowledge (p = 0.047), birth attendants (p = 0.017), the place of delivery (0.003), history of labor (p = 0.021), counseling during pregnancy (p = 0.010). Conclusion: There is no effect of the mother's participation in the prenatal class to the practice of early initiation breastfeeding, but the prenatal classes effect mothers knowledge which influence the practice of early initiation breastfeeding

Efek Pemberian Entrasol dan Biskuit MP-ASI terhadap Peningkatan Berat Badan dan Panjang Badan Balita Gizi Kurang

The objective of the study was to investigate the effect of ENTRASOL and MP-ASI BISCUIT on improving body weight and height of under five children with under nutrition in Jembrana Regency. This is an experimental study was under taken for 30 days (four weeks), the first group was given ENTRASOL and the second group was given MP-ASI BISCUIT. The study subjects were under five children aged 12 until24 months with under nutrition status. Subject were devided into two groups, each group comprising 16 under five children. The two treatment groups showed average increase of body weight and height before and after treatment. The higher difference of body weight was found in group receiving ENTRASOL (0,8 ± 0,1) kg, than in group MP-ASI BISCUIT (0,6 ± 0,2) kg. And about height, the higher difference was found in group receiving ENTRASOL (0,3 ± 0,1) cm, than in group MP-ASI BISCUIT (0,2 ± 0,1) cm. The result of Paired t test for increase of body weight and height before and after treatment for ENTRASOL and MP-ASI BISCUIT groups revealed significant difference in both group. In the other hand, high significant difference was found between ENTRASOL and MP-ASI BISCUIT by using independent t test. It was concluded that, the effect of ENTRASOL was better than MP-ASI BISCUIT to improved body weight an height of under fives child with under nutrition status.Key words: ENTRASOL, MP-ASI BISCUIT, nutritional status, under fives children, body weight, heigh