ABSTRACT
Abstract: An analysis of Continuity of Care implementation at Tarus and Baumata Public Health Center, Kupang Regency was conducted to analyze the implementation of midwifery care during pregnancy, childbirth and postpartum towards quality midwifery care acts partially and simultaneously. This study is a mixed method study using a concurrent model. This research used quantitative research using cross sectional design and qualitative research using case control design. Samples were 52 mothers who had babies aged 40 days to 2 months at Tarus and Baumata Public Health center taken using a purposive sampling technique. The instrument used was a structured questionnaire and interview methods, documentation, recording, and recording to support the data. Hypothesis test results showed that H1, H2 and H4 are accepted but H2 is rejected. The results showed that midwifery care during pregnancy and postpartum had a partial effect on midwifery care quality which have Sig. value 0,000 < 0,05, while midwifery care during childbirth has no partial effect on midwifery care quality which have Sig. value 0,271 > 0,05. However, midwifery care during pregnancy, childbirth, and postpartum have an effect on midwifery care quality simultaneously which have Sig. value 0,000 < 0, 05. Midwifery care during pregnancy and postpartum have been carried out in accordance with the standards of midwifery care quality at Tarus and Baumata Public Health Centre. Meanwhile, midwifery care during childbirth has not been carried out according to midwifery care quality standards.
ABSTRACT
Abstract: Introduction: Pregnancy at an early age causes nutritional competition between mother and fetus, which has a negative impact on the health of the mother and fetus, and inhibits growth in infancy. The purpose of this study was to determine the effect of nutritional status of young pregnant women and the health of newborns on the growth of children aged 6-24 months. Material and Methods: A sample of 100 mothers and children based on inclusion criteria. Primary and secondary data collection was carried out from April to June 2020 after obtaining ethical permission. The analysis method uses Partial Least Square with the smart PLS 3.0 application. Result: The R2 values generated for the variables of child growth and newborn health were 0.074 and 0.055. The nutritional status of pregnant women at early age significantly affects the health of newborns (T-statistic above the rule of thumb, namely 3.024). Furthermore, the health of the newborn significantly affects the growth of the child (the T-statistic is above the rule of thumb, namely 2.136). The nutritional status of pregnant women at early age had an impact but did not significantly affect the growth of the child (T-statistic under the rule of thumb, namely 0.124). Conclusion: Prevention of pregnancy at an early age is important because it affects the growth of children aged 6-24 months and is a risk factor for growth problems from generation to generation.
ABSTRACT
Abstract: Analysis of factors affecting the achievement of complete basic immunization for babies at the Weliman Public Health Center, Malaka was conducted to analyze the implementation of the immunization program. This research is a quantitative study using a cross sectional design. The sample in this study were mothers who had babies aged 9-12 months at Weliman Public Health Center, totaling 97 respondents and were taken using purposive sampling technique.Data analysis used simple logistic regression and multiple logistic regression. The results of the bivariate analysis showed that there was an influence of predisposing factors, namely mother’s knowledge (p = 0.016), mother’s attitude (p = 0.019), mother’s education (p = 0.001), and mother’s occupation (p = 0.000). The results of the multivariate analysis test showed that there was an effect of mother’s attitudes (p = 0.039), mother’s education (p = 0.002), and mother’s work (p = 0.008) on this.The variable with the highest Exp (B) value is mother’s education (7,571). Factors that influence the achievement of complete basic immunizationfor babies at the Weliman Public Health Center, Malaka are mother's knowledge, mother's attitude, mother's education, mother's job. Therefore, it is necessary to make efforts to improve the quality of health services by conducting regular evaluations of health workers, holding training and increasing promotional and preventive efforts by conducting IEC for mothers and families.
ABSTRACT
Abstract: Aim: The study was conducted to examine the prevalence of obstetric emergencies as seen at Hajiya Gambo Sawaba General Hospital Kofar Gayan Zaria between January 2018 and June 2019. Methods: A retrospective research design was adopted for the study, data were collected from case records of 573 clients seen in the facility over the study period using a structured checklist, and the data were analysed using descriptive and inferential statistical methods. Results: The finding revealed that postpartum haemorrhage was the most leading obstetric emergency complication (24.7%) followed closely by eclampsia and ante-partum haemorrhage with 23.7% and 20%, respectively; age, parity were found to have significant association with obstetric emergencies (p<0.05). Discussion: Postpartum, haemorrhage was the major obstetric complication. The public and private actors should roll out of new family welfare programmes and fund them adequately to increase the women’s uptake of maternal and child health services across various economic strata of the society.
ABSTRACT
Abstract: Introduction: Antenatal care, which is one of the pillars of safe motherhood, is health services provided by health workers for mothers during their pregnancy, which are implemented in accordance with the antenatal service standards set out in the Midwifery Service Standards based on 10 T. Objective: The aim of this study was to analyze the determinants of the organization that affect the performance of midwives in implementing Antenatal Care (10T) in a very remote area of Kupang Regency. Material and Method: The number of research samples was 72 samples in 2019 with data collection techniques using documentation studies, namely the checklist sheet. Data were analyzed using simple logistic regression analysis and multiple logistic regressions. Results: The results showed that the factors that significantly correlated between organizational factors and the performance of midwives in implementing ANC according to 10 T standards were the completeness of infrastructure (p = 0.0.046; OR = 2.800) and leadership (p = 0.006; OR = 4.185). The most significant determinant related between organizational factors and midwife performance in implementing ANC according to 10T standards in very remote areas in Kupang Regency was leadership (p = 0.033; OR = 3,340; 95% CI: 1.103-10,118). Conclusion: In integrated Antenatal Care services, health workers must be able to ensure that the pregnancy takes place normally, improve the mother's health status, carry out various health efforts, both promotive, preventive and curative and rehabilitative, seek services for pregnant women, help deliveries by health workers, able to detect early problems and diseases experienced by pregnant women, intervene adequately so that pregnant women are ready to undergo normal delivery, family planning counseling services, and reproductive health.
ABSTRACT
Abstract: Background: The growth and development of children will vary from one child to another. Development focuses on changes that occur gradually from the lowest level to the highest and most complex levels through the process of maturation and learning. Development relates to changes in quality, including an increase in individual capacity to function which is achieved through a process of growth, maturation, and learning. Subjects and Method: This study aims to determine knowledge, change attitudes and behavior of parents regarding Stimulation, Detection, and Early Intervention for children aged 1-5 years at Kenarilang Health Center, Alor.Descriptive research data collection based on cross sectional approach. The population taken in this study was all healthcare center’s cadres and mothers who have children aged 1-5 years who live in the working area of Kenarilang Health Center, Alor, totaling 252 people. The technique for determining the sample is proportional random stratification. The number of samples used in this study was 50 samples. Results: Most of the respondent’s as many as 27 people (54.0%) had a lack of ability to stimulate growth and development, as many as 42 people (84.0%) had a good ability to detect growth and development, and 46 people (92.0%) had good abilityat interventions for growth and development. Conclusion: Most of the respondents have less ability to stimulate growth and development. Most of the respondents have less ability to detect growth and development. Most of the respondents have a good ability in conducting growth and development interventions.
ABSTRACT
Abstract: Parenting patterns are the care that is given by the mother or other caregivers in the form of attitudes and behaviors in terms of their closeness to children, feeding, caring for cleanliness, giving love and so on. Good care is very important to ensure optimal growth and development of children, therefore, poor care can cause children to have less nutritional status. This type of research is analytic observational usingdesign cross sectional. The sample in this study was parents and pre-school children aged 4-5 years, so that the number of samples in each region was 73 parents and 73 preschool children aged 4-5 years. Sampling was done by using cluster sampling method, purposive sampling and stratified sampling. The results of thetest chi square showed that the p-value was smaller than α 0.05, so the analysis showed that there was a significant effect of feeding practices on children's development. The results of thetest chi square showed that the p-value was 0.000 smaller than α 0.05, so the analysis showed that there was a significant effect of hygiene and health practices on children's development. The results of thetest chi square showed a p-value of 0.000 smaller α 0.05, so the results of the analysis showed that there was a significant effect of the practice of hygienic affection on child development. The results of thetest chi square showed a p-value of 0.000 smaller α 0.05, so the results of the analysis showed a significant effect of stimulation practice on child development.
