Reaching the Unreached: Improving Population Health in the Rural and Remote Areas最新文献

{"title":"Does Employment Status Determine Completeness of Nursing Care Documentation in Medical Record? A Path Analysis Evidence","authors":"Tegar Wahyu Yudha Pratama, D. Tamtomo, E. S. Sulaeman","doi":"10.26911/theicph.2018.04.50","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.50","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133587497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Ambient Tobacco Smoke Exposure Increase the Risk of Preterm Birth? A New Multivariate Evidence from Surakarta, Indonesia","authors":"Harrys Bachtiar, Uki Retno Budihastuti, Harsono Salimo","doi":"10.26911/THEICPH.2018.03.35","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.03.35","url":null,"abstract":"Background: A handful of studies have reported a positive association between exposure to environmental tobacco smoke and an increased risk for preterm birth. However, such studies using data from Indonesian population are lacking. This study aimed to estimate the effect of ambient tobacco smoke exposure on the risk of preterm birth, after controlling for the effects of maternal age, parity, and maternal middle upper arm circumference (MUAC). Subjects and Methods: This was a case control study conducted at Dr. Moewardi Hospital, Surakarta, Indonesia, using retrospective data in March 2018 and concurrent data in April and May 2018. A total sample of 200 newborn infants were selected for this study, comprising 50 preterm newborn infants and 150 term newborn infants. The dependent variable was prematurity. The independent variables included environmental tobacco smoke exposure during pregnancy, maternal age, parity, and maternal MUAC. Data were collected by a set of questionnaire. MUAC was measured by MUAC tape. The data were analyzed by multiple logistic regression model. Results: Ambient tobacco smoke exposure increased the risk of preterm birth (OR= 4.16; 95% CI= 1.51 to 11.47; p= 0.006). This estimate has accounted for the effects of confounding factors, including maternal age <20 or ≥35 years (OR= 4.84; 95% CI= 1.91 to 12.22; p= 0.001), parity ≥4 (OR=5.89; 95% CI= 2.39 to 14.47; p<0.001), and MUAC ≥23.5 cm (OR= 0.14; 95% CI= 0.05 to 0.34; p<0.001). Nagelkerke R2= 56.9%. Conclusion: Ambient tobacco smoke exposure increases the risk of preterm birth, after controlling for the effect of maternal age, parity, and MUAC.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132270250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Education, Knowledge, and Attitude with Antenatal Care Visit in Medan, North Sumatera","authors":"Polma Ria Metawati Panjaitan, Heru Santosa, Surya Utama","doi":"10.26911/theicph.2018.03.27","DOIUrl":"https://doi.org/10.26911/theicph.2018.03.27","url":null,"abstract":"Background: It has been estimated that 25 percent of maternal deaths occur during pregnancy. Therefore, good care during pregnancy is important for the health of the mother and the development of the unborn baby.This study aimed to determine the associations of education, knowledge, and attitude with antenatal care (ANC) visit in Medan, North Sumatera. \u0000Subjects and Method: This was a case control study conducted at Ridos General Hospital, Medan, North Sumatera. A sample of 89 pregnant women was selected for this study. The dependent variable was completeness of ANC. The independent variables were education, knowledge, and attitude. The data were collected by questionnaire. The data were analyzed by a multiple linear regression. \u0000Results: Knowledge about pregnancy and birth delivery (b= 048; p= 0.045) was associated with completeness of ANC visit, after controlling for the effects for other variables.\u0000Conclusion: Knowledge about pregnancy and birth delivery is associated with completeness of ANC visit.\u0000\u0000Keywords: antenatal care, education, knowledge, attitude, pregnant women.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"451 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132725282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association between Family Support, Social Support, Gross Motoric Skill, and Quality of Life among Children with Cerebral Palsy","authors":"Alinda Nur Ramadhani, Rita Benya Adriani, Harsono Salimo","doi":"10.26911/theicph.2018.03.41","DOIUrl":"https://doi.org/10.26911/theicph.2018.03.41","url":null,"abstract":"Background: With a prevalence of approximately 2 per 1,000 births, cerebral palsy (CP) is the most common physical disability in childhood and is considered to be a permanent disorder of movement and posture. Assessment of Quality of Life (QOL) is increasingly used as a mechanism to gain insight into a child’s life, to identify areas of life that are positive or challenging and to inform and evaluate interventions. This study aimed to determine the association between family support, social support, and gross motoric skill, and quality of life, among children with cerebral palsy. Subject and Method: This was a cross sectional study conducted at Fondation for the Care of Disable Children (YPAC) and Pediatric Neurodevelopmental Therapy Center, Surakarta, Central Java, from April to May 2018. A sample of 110 children with cerebral palsy was selected for this study with fixed disease sampling. The dependent variable was quality of life. The independent variables were family support, social support, and gross motoric skill. The data quality of life collected by Cerebral Palsy Quality of Life (CP-QOL) questionnaire and analyzed by a multiple logistic regression model. Results: Quality of life was increased by strong family support (OR= 1.22; 95% CI= 0.22 to 2.22; p= 0.016) and gross motoric skill (OR= 2.79; 95% CI= 1.44 to 4.15; p=0.001). Quality of life was decreased by low social support (OR= 0.91; 95% CI= -o.76 to 1.91; p=0.070). Conclusion: Quality of life is increased by family support and gross motoric skill, but is decreased by low social support","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115349050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Hypertension, Smoking, and Obesity on Stroke Incidence in Riau","authors":"Armaliza Permata Sari, R. Lubis","doi":"10.26911/THEICPH.2018.01.27","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.27","url":null,"abstract":"Background: Global health has entered a stage where the recognition that tackling non communicable diseases (NCDs) including stroke is not only a clinical and public health issue but also an important challenge for global economic development. A stroke happens when blood stops flowing to any part of the brain. Strokes can be large or small, and the effects of stroke depend on the part of the brain affected and the extent of damage. The effects of stroke can include communication problems, tiredness and fatigue, emotional changes and pain. This study aimed to assess the effects of hypertension, smoking, and obesity, on stroke incidence in Riau. Subjects and Method: This was a case-control study conducted at Rokan Hulu General Hospital, Riau, in June 2018. A sample of 100 patients was selected for this study, consisting 50 patients with stroke and 50 patients without stroke. The dependent sample was stroke incidence. The independent variables were hypertension, smoking, and obesity. Hypertension was measured by sphygmomanometer. The smoking data was measured by questionnaire. The obesity data were measured by Body Mass Index (BMI). The data were analyzed by a multiple logistic regression. Results: Of 100 patients sampled, 72% had hypertension, 74% were smokers, and 68% had obesity. Stroke incidence increased with hypertension (OR= 5.44; 95% CI= 2.21 to 13.40; p<0.001). It also increased with smokers (OR= 1.83; 95% CI= 0.78 to 4.63; p= 0.207) and obesity (OR= 1.71; 95% CI= 0.69 to 4.24; p= 0.246) although it was statistically non-significant. Conclusion: The risk of stroke incidence increases with hypertension. The increased risk of stroke with smoking and obesity is statistically non-significant in this study.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114491080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Hemoglobin Level in Pregnant Women","authors":"Indah Permatasari Sinawangwulan, Yulia Lanti Retno Dewi, Csp. Wekadigunawan","doi":"10.26911/THEICPH.2018.03.34","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.03.34","url":null,"abstract":"Background: Anemia in pregnancy is defined as a hemoglobin concentration of less than 110 g/L (less than 11 g/dL) in venous blood. It affects more than 56 million women globally, two-thirds of them being from Asia. Anemia increases perinatal risks for mothers and neonates; and increases overall infant mortality. The odds for fetal growth restriction and low birth weight are tripled. The odds for preterm delivery are more than doubled. Even a moderate hemorrhage in an anemic pregnant woman can be fatal. Anemia is the major contributory or sole cause in 20–40% of maternal deaths. Many women go through the entire pregnancy without attaining the minimum required intake of iron. The purpose of this study was to investigate factors associated with hemoglobin level in pregnant women.\u0000Subjects and Method: This was a cross-sectional study carried out Karanganyar, Central Java, from February to March 2018. A sample of 200 pregnant women was selected for this study by fixed disease sampling, comprising 50 women with anemia and 150 women without anemia. The dependent variable was hemoglobin level. The independent variables were iron tablet consumption, nutrition intake, dietary culture, and family size. Data on hemoglobin level were taken from medical record. The other variables were measured by questionnaire. The data were analyzed by a multiple linear regression.\u0000Results: Hemoglobin level increased with adequate iron tablet consumption (b= 0.38; 95% CI= 10.79 to 11.37; p<0.001) and better nutrition intake (b= 0.46; 95% CI= 0.17 to 0.75; p= 0.002). Hemoglobin level decreased with inhibitory dietary culture (b= -0.28; 95% CI= -0.55 to <0.01; p= 0.050) and larger family size (b= -0.30; 95% CI= -0.63 to 0.03; p= 0.070).\u0000Conclusion: Adequate iron tablet consumption and better nutrition intake increase hemoglobin level. Inhibitory dietary culture and larger family size decrease hemoglobin level.\u0000\u0000Keywords: hemoglobin level, anemia, iron tablet consumption, nutrition intake, family size, pregnant women","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117277312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home Environment Factors Associated with Falciparum Malaria in Lembata, East Nusa Tenggara","authors":"S. Kedang, Yustinus Rindu, R. Paun","doi":"10.26911/THEICPH.2018.01.56","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.56","url":null,"abstract":"Background: Malaria remains a global public health problem. Approximately 40% of the world’s population lives in more than 140 countries at risk of malaria, including Indonesia. The strategies employed to prevent and control malaria have been effective in reducing the burden of disease. Yet, as analyses of health out-comes become more refined, it is increasingly evident that poor and marginalized populations might not be benefiting from investments in malaria prevention and control. This study aimed to estimate home environment factors associated with Falciparum malaria infection in Lembata, East Nusa Tenggara. Subjects and Method: This was a case control study conducted in Lembata, East Nusa Tenggara. A sample of 226 subjects was selected for this study, consisting of 113 Falciparum malaria cases and 113 controls. The dependent variable was Falciparum malaria infection. The independent variables were sunlight, distance to breeding place , house ventilation, use of wire net, and use of bed-net. Data on Falciparum malaria infection were taken from the medical record. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of Falciparum malaria infection decreased with sunlight penetrating breeding place (OR= 0.13; 95% CI= 0.02 to 0.66; p= 0.014), distance to breeding place (OR= 0.45; 95% CI= 0.22 to 0.95; p= 0.036), house ventilation (OR= 0.18; 95% CI= 0.08 to 0.39; p<0.001), used of wire net (OR= 0.15; 95% CI= 0.04 to 0.61; p= 0.008), and use of bed-net (OR= 0.09; 95% CI= 0.02 to 0.50; p= 0.006). Conclusion: The risk of Falciparum malaria infection decreases with sunlight penetrating breeding place, distance to breeding place, house ventilation, use of wire net, and use of bed-net.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115999025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Sustainability of Integrated Geriatric Health Post in Tabanan, Bali","authors":"Indra Peratiwi, Hesteria Friska Armynia Subratha","doi":"10.26911/theicph.2018.04.46","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.46","url":null,"abstract":"Background: Much has been written recently about the need to develop more integrated care for older people. The term comprehensive geriatric assessment, is a form of integrated care for older people that is used to describe the practice of specialist multidisciplinary assessment and management of predominantly frail older people. Medical and social care may be integratively associated within and outside of the health care sector. The societal idea of care of the elderly as part of a general welfare system may be seen as such integration. This study aimed to factors associated with sustainability of integrated geriatric health post in Tabanan, Bali. Subjects and Method: A qualitative study was carried out at “posyandu lansia” (integrated geriatric health post), Tabanan, Bali. Key informants were selected for this study, including the elderly, village head, and a few community health center workers. The study theme was sustainability of integrated geriatric health post. The data were collected by in-depth interview, direct observation, and document review. Results: From the health care provider perspective, the government had imposed the introduction of “posyandu lansia” (integrated geriatric health post). From the perspective of enabling factor, there was a need for the provision of human resources, facilities, and infrastructure, to establish and operate “posyandu lansia”, and support from the community. From the perspective of the elderly, some did not visit “posyandu lansia” because they did not have enough time or they have felt security under the health insurance protection. Conclusion: Sustainability of the integrated geriatric health post depends on the preparedeness of the human resources, availability of facilities and infrastructure, and support from the community.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117181352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association between Body Mass Index and Premenstrual Syndrom among Female High School Students in Padang Lawas, North Sumatera","authors":"Cahayu Mesra Hairani Hrp, R. Sanusi","doi":"10.26911/theicph.2018.03.12","DOIUrl":"https://doi.org/10.26911/theicph.2018.03.12","url":null,"abstract":"Background: Premenstrual syndrome (PMS) is a condition that affects a woman's emotions, physical health, and behavior during certain days of the mens-trual cycle, generally just before her menses. Earlier studies reported that both physical and mental premenstrual symptoms have significant negative impact on quality of life, assessed as ADL. This study aimed to asses the association between body mass index (BMI) and the risk of nutritional status with premenstrual syndrome (PMS) among females. Subjects and Method: This study was a cross sectional study conducted at Aliya MAS Robitotul Istiqamah, Padang Lawas, North Sumatera. A sample of 139 female high school students was selected for this study, consisting of 72 students with PMS and 67 students without PMS. The dependent variable was PMS. The independent variable was nutritional status as measured by BMI. Weight was measured by a scale, and height was measured by microtoise. Data on BMI were categorized into 2 groups: BMI <25 (coded 0) and BMI ≥ 25 (coded 1). The other data were collected by questionnaire. The data were analyzed by a logistic regression. Results: The risk of premenstrual syndrome in female students with BMI ≥ 25 was 7.73 times than counterparts with normal BMI (OR= 7.73; 95%CI= 3.56 to 16.78; p= 0.001). Conclusion: The risk of premenstrual syndrome in female students increases with high BMI.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128368327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Unit Cost Analysis of Echocardiography Service between Activity-Based Costing, INA-CBGs, and Hospital Charge at Muhammadiyah Yogyakarta Hospital","authors":"Kusumawardhani Nindya, F. Pribadi","doi":"10.26911/THEICPH.2018.04.33","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.04.33","url":null,"abstract":"Background: All countries allocate a portion of resources to the health sector. Under the National Health Insurance (NHI, JKN), tariffs of hospital care service are pre-determined by the Indonesian Case Base Groups (INA-CBGs) payment scheme. Anecdotal evidence reported that there often occurred some discrepancy between hospital charge and INA-CBGs tariff for a specified hospital care service. This gap may cause either loss or excess profit to the hospital. This study aimed to estimate and compare the unit costs of providing echocardiography service using Activity Based Costing (ABC) method, hospital charge, and INA-CBGs tariff, respectively, at Muhammadiyah Yogyakarta Hospital. Subjects and Method: This was a cost analysis conducted at Muhammadiyah Yogyakarta Hospital, Yogyakarta. A sample of patients aged ≥45 years who used echocardiography was selected for this study. The dependent variable was unit cost of echocardiography. The independent variable was costing method (ABC, hospital charge, and INA-CBGs tariff). The data were obtained from the financial management of the hospital. Results: The estimated unit costs of echocardiography using ABC method, hospital charge, and INA-CBGs were Rp309.370, Rp343.000, Rp369.500, respecti-vely. The estimated unit cost using ABC method was Rp33.630 lower than hospital charge and Rp 60.130 lower than INA-CBGs tariff. Conclusion: The unit cost using ABC method was lower than hospital charge and INA-CBGs tariff. Corrective policy action should be made to fill this gap.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128508612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}