{"title":"Kematian Perinatal di Indonesia dan Faktor yang Berhubungan, Tahun 1997-2003","authors":"Meidy Farenti Prameswari","doi":"10.21109/kesmas.v1i4.298","DOIUrl":"https://doi.org/10.21109/kesmas.v1i4.298","url":null,"abstract":"WHO predicted that every year there are more than 9 millions perinatal deaths and almost all occurred in developing countries. In Indonesia, at present time the perinatal mortality rate is 24 per 1000 life birth, and about 77% was contributed by neonatal death. The objective of this study is to know factors related to perinatal mortality in Indonesia and to assess the most important intervention program to reduce it. The study used secondary data source, that is Indonesian Demographic and Health Survey (IDHS) in the period of 2002-2003. Design of the study is cross sectional. The results show that variables related to perinatal mortality are parity, delivery complications, maternal education, low birth weight, birth assistant, ANC visit, and residential address. Based on PAR calculation, low birth weight has PAR% of 14,90 meaning that if intervention program is focused on reducing prevalence of low birth weight, the perinatal mortality risk will be reduced by around 15% of the total cases among live newborn infants population. Key words: Perinatal mortality, low birth weight, ANC","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114432101","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":"Hubungan Pertambahan Berat Badan Selama Kehamilan dengan Berat Lahir Bayi di Sukaraja Bogor Tahun 2001- 2003","authors":"Elmy Rindang Turhayati","doi":"10.21109/KESMAS.V1I3.310","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I3.310","url":null,"abstract":"In indonesia, body weight gain among pregnant mother is low (<10 kg), even the body weight gain is an important indicator for embryo growth. In district of Bogor, the prevalen of pregnant mother who safer from chronical energy deficiency (27,6%) is height. The objective of this study is to know the mean of body weight gain among pregnant mother during the pregnancy and it relationship with her new born baby weight. The study design used is cross sectional study design with sample size of 270 pregnant mother who delivered during gestation period more than 37 weeks. Analysis method used in this study is multiple regression method. The study result shows the proportion of 2500-2999 gram baby weight is 47,8%, the mean newborn baby weight is 3015 gram; the proportion of mother with body weight gain during pregnancy < 9 kg is 48,9 %. The mean of mother body weight gain during pregnancy is 9,1 kg. The variables related to newborn body weight statisticaly significance are mother body weight gain during pregnancy period, (OR = 7,28, 95% CI = 4,25-12,46) and energy intake (OR = 5,15, 95% CI = 2,976-8,913). It also pointed out the interaction between energy intake and mother body weight gain during pregnancy. Key words: Pregnant mother body weight gain, newborn baby weight","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134529323","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":"Praktik Budaya dalam Kehamilan, Persalinan, dan Nifas pada Suku Dayak Sanggau Tahun 2006","authors":"Edy Suprabowo","doi":"10.21109/KESMAS.V1I3.305","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I3.305","url":null,"abstract":"According to WHO data, maternal mortality is still the main public health problem in many developing countries with mortality rate of 400 per 100.000 live birth. Maternal mortality rate in West Kalimantan Province is 442 per 100 000 live birth, higher than average mortality rate in developing countries. The objective of this study is to identify and analyse cultural practices among Dayak Sanggau tribe relating to pregnancy, birth, and postpartum periods. This study is a qualitative study employing in-depth interview, focus group discussion and observation methods. Analysis method employed in this study is thematic analysis. Study was conducted in Sanggau Community Health Center work area in May 2006 with pregnant mothers, postpartum mothers, village midwife, head of cultural committee, and women at reproductive age. The study found that there were cultural practices which can either harm or support healthy and safe pregnancy, delivery, and postpartum periods among the researched community. Harmful cultural practices during pregnancy period include messages related to hard working, less sleeping time, and inappropriate uterus massage; during delivery: non sterile intravaginal examination, unclean place of birth (in the kitchen), nyurung, finding badi through balian, non sterile umbilical cord cutting, and non sterile placenta extraction by hand, taking river water for baby bathing, and give ginger water with local alcoholic beverage (tuak) to infant; during postpartum period: fasting, nyandar, and sexual intercourse at postpartum period. The supportive practices include husband's company during delivery and comprehensive service from village midwife. Key words: Traditional practice, pregnancy, delivery, post partum","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123536062","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":"Determinan Indeks Massa Tubuh Remaja Putri di Kota Bukit Tinggi Tahun 2006","authors":"R. Santy","doi":"10.21109/KESMAS.V1I3.308","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I3.308","url":null,"abstract":"In Indonesia, in period of 1999-2003, abot 35%-40% women in productive age of 15-19 are at risk of Chronic Energy Deficiency because of insufficient consumption of energy. This research is aimed at obtaining the description of nutritional status of girls in Bukittinggi and factors related to it. The research that was conductec in period of February tol March 2006 used the design of cross sectional. The study population is the girls studied are represented by the third-grade female students of senior high schools of 16-18 who are categorized as a late teenager who is very close to pregnant period. The sample consist of 156 female student that was selected by systematic random sampling at 11 schools. The results show that the BMI of the girls is 20,69 kg/m2 ± 2,63 on average. The proportion of students having BMI<18,5 kg/m2 is 19,9% all of which is distributed to 14,1% of light level of malnutrition and 5,8% for heavy level of malnutrition. Intake per day is 1694 calorie on average with protein contributed to intake is 11,8%, fat 26,7%, dan carbohydrat 58,7%. Intake energy compared with Recommended Dietary Allowence (RDA) are total energy consumption 77%, protein 93,6%, lemak 65,3%, and carbohydrat 84,7%. There is a significant relation between energy consumption, eating habit, body image by BMI. Variable energy consumption is the dominant variable influencing BMI. Key words: BMI, chronic energy deficiency, teenagers","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128442024","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":"Faktor Kesehatan Reproduksi Ibu Hamil dan Hubungannya dengan Kejadian Bayi Berat Lahir Rendah di Kota Sukabumi Tahun 2005-2006","authors":"E. Saraswati","doi":"10.21109/kesmas.v1i3.304","DOIUrl":"https://doi.org/10.21109/kesmas.v1i3.304","url":null,"abstract":"In Indonesia, low birth weight (LBW) is main factor related to perinatal and neonatal mortalities. In West Java province, it was reported that the proportion of LBW (less than 2500 grams) was 6,4%. The objective of this study is to understand reproductive health factors related to LBW. The study was conducted in Sukabumi City with case-control design using pregnant mothers cohort data available at Sukabumi City Health Office. Cases are LBW infants born in the period of January 2005-June 2006, while controls were non-LBW infants born in the same period. Data on independent variables were collected through interview with mothers at their homes and document review including mother cohort data, pregnancy card or pregnant mothers healthy card (Kartu Menuju Sehat). The study shows that birth spacing, anemia status, upper arm circumference, weight gain more less 10 kilograms, working status, and proportion of non food expenditure significantly associated with LBW. The study also find an interaction between birth spacing and anemia status. Key words: Reproductive health, low birth weight, case-control","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132300200","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":"Pengembangan Sistem Informasi Program Kusta Berbasis Geografis di Kabupaten Cirebon Tahun 2005","authors":"Haeria","doi":"10.21109/kesmas.v1i2.316","DOIUrl":"https://doi.org/10.21109/kesmas.v1i2.316","url":null,"abstract":"Leprosy caused by Mycobacterium leprae is a contagious disease that generates complex problems. Over the last three years, the District of Cirebon reported 1207 leprosy cases (prevalence rate 1,69/10.000 population) and had not yet reach leprosy elimination situation, thus the disease was keep spreading. The purpose of this system development was to develop an application of Leprosy System Information Program Based on geographical information system for leprosy elimination acceleration program in Cirebon. The method used in this study was System Development Life Cycle method (planning, analysis, design, implementation, maintenance, and evaluation), by combining Data Base Management System concept and spatial data. Data and information needed were collected by interview and document observation. The system was designed for facilitating data input and automation of its process mechanism to produce information. Output were in form of regular report, tabulation, graphic, and area endemic mapping information with urban smallest observation unit. Epidemiologic interpretation on leprosy case from visual map can identify case transmission diffusion model and health service (Puskesmas) range capacity in leprosy elimination. Keywords: Geographical information system, elimination, leprosy","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128522689","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":"Hubungan Berat Badan Lahir Bayi dan Infeksi Nosokomial di ruang Perinatologi","authors":"Eviana S Tambunan","doi":"10.21109/KESMAS.V1I2.320","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I2.320","url":null,"abstract":"Nosocomial infection is still a health problem on the world because of its increasing morbidity and mortality rates. Nosocomial infection is mostly occured among infant and the highest infection is in the neonatus intensive care unit. The objective of the study is to examine the relationship between birth weight and nosocomial infection of neonates (pneumonia, bacteremia, and septicemia) in level III, Perinatal Ward, Rumah Sakit Anak Bersalin Harapan Kita (RSAB Harapan Kita) in the period of 2002-2004. The data used was the medical record of infants under care in level III, Perinatal Ward, RSAB Harapan Kita. Major sites of infection were septicemia (52,91%), bacteremia (35,48%), and pneumonia (11,61%). The most commonly found pathogens were Gram-negative bacteria: Serratia sp. (range 2,3%-38,10%), Klebsiella pneumonia (range 3,2%-6,8%), and Candida sp. (1%-4,2%). Neonates with birth weight <2500 gram using long line intravenous catheter and/or umbilical catheter faced high risk of nosocomial infection. Neonates with birth weight <2500 gram having intravenous catheter showed no case of nosocomial infection. Key words: Birth weight, nosocomial infection, perinatal ward","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"2020 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133843917","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":"Pengaruh Pemeriksaan Kehamilan Terhadap Pemilihan Penolong Persalinan","authors":"Besral","doi":"10.21109/KESMAS.V1I2.318","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I2.318","url":null,"abstract":"In Indonesia, the proportion of mother who delivered by professional birth attendant is still low. The Antenatal Care (ANC) can be used to motivate mothers to have delivery assisted by health personnel birth attendant. The objective of this study is to know the role of ANC and counselling on birth delivery choice. This study used a secondary data from the Evaluation on Benefit of Family Health Nutrition (FHN) Project, which was conducted in five provinces in Indonesia. Data were analyzed using multiple logistic regressions method. The effect of ANC on birth attendant choice was measured using association measurement of odd ratio. The study showed that mothers who had four times or more ANC had 2,0 times higher chance to have delivery assisted by professional birth attendant than mothers who had less than 4 times ANC, after adjusted for mother’s characteristics (family income, education, and occupation of household’s head), (ORadj = 2,1, 95% CI = 1,4-3,0). Mothers who got counselling were delivered by professional birth attendant 3,7 times higher than non counselled mother (ORadj = 3,7, 95% CI = 2,4-5,7). The ANC alone was not sufficient to increase the number of mother who delivered by professional birth attendant, the ANC should be complemented by counselling about pregnancy, birth attendance, breast feeding, and suggestion to have delivery assisted by professional birth attendant. Key words: Antenatal care, quality of care, professional birth attendant","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126419148","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":"Faktor-faktor Prognosis Kematian Tetanus Neonatorum di RS Kabupaten Indramayu dan Kabupaten Cirebon","authors":"Lili Tantijati, Krisnawati Bantas","doi":"10.21109/KESMAS.V1I2.311","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I2.311","url":null,"abstract":"The Infant Mortality Rate (IMR) in Indonesia is still high. Based on Central Bureau of Statistics (CBS) data, the IMR in 1995 was 55/1000 live births. One of the main causes of infant death in Indonesia is tetanus neonatorum. The objective of this study was to determine the relationship between neonates’ age of disease onset and the infant death caused by tetanus neonatorum in Indramayu and Cirebon Districts in 1996-2001. The study design was case control study with ratio of the number of cases and control of 1:1. The total number of sample was 160 neonates with tetanus neonatorum, consisted of 80-cases(death) and 80-control (live). The study population was neonates with tetanus neonatorum who were hospitalized in Cirebon and Indramayu District Hospital. All of the study variables were measured using categorical scale. Study was analyzed by multivariate analysis, using unconditional logistic regression method. The result of the study showed that the prognostic factors of tetanus neonatorum death risk were age 2 days (OR = 6,95; p value = 0,000). Key words: Prognosis factor, tetanus neonatorum death","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125199627","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":"Hubungan Akreditasi dengan Mutu Lulusan","authors":"Febrina Dumaria","doi":"10.21109/KESMAS.V1I1.323","DOIUrl":"https://doi.org/10.21109/KESMAS.V1I1.323","url":null,"abstract":"Competitiveness in the globalization era has raised the needs for qualified and professional human resources. One of the key indicators of a high quality health service is the availability of professional medics, which obviously cannot be separated from the health education system. The objectives of this study is to investigate the correlation between the accreditation rates of Borang Akreditasi 2000's sub-components and the quality of the health institution graduates. The data used is from the accreditation results to March 2005 and the report of Information System of Health Manpower Education from Specialist of Health Education and Accreditation Division, Centre of Health Manpower Education, Department of Public Health. The study design used this research is cross sectional. The data is analysed by using multiple logistic regression and factor analysis. Proportion of the institution with good quality graduates is 44,1%. Institutions with very good marks on education planning with an adequate on the full time lecturer’s state, possess 0,16 times risk (95% CI: 0,03-0,87), to produce a good graduates compared to the institution with adequate marks on education planning after being controlled by the variables: application of teaching assistance program, periodic report, teaching evaluation, audio visual aids, and infrastructures. Based on the factor analysis, the author acquired 5 factors with a variance of 60,28%, they were curriculum, infrastructure, lecturer, laboratorium, and educational support. The research has shown that the most significant factors for highly qualified health education graduates are the accreditation rates for the full-time lecturer involvement sub-component and the planning of the teaching program sub-component. Between these two, the full-time lecturer involvement is a more dominant factor. From the factor analysis, the administration staff and librarians sub-component has raised a new factor. Also, the laboratory subcomponent does not correlate with other factors. In fact, it has emerged as an independent factor. Key words: Accreditation, centre of health manpower education, quality of graduates, the health institutions","PeriodicalId":367223,"journal":{"name":"Kesmas The National Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131217799","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}