Background: People in East Manggarai have a strong belief in traditional birth attendants in assisting delivery. It affects the selection of birth attendants. The strong belief in the people of East Manggarai to date is the practice of "Abdominal Massage" during pregnancy and birth delivery. This study aimed to get information about the abdominal massage practice performed by traditional birth attendants in Mamba Community Health Center, East Nusa Tenggara. Subjects and Method: This study was a qualitative analytical study using a phenomenological study approach in Mamba Community Health Center. The informants of this study were traditional healers, pregnant women who were going to give birth to traditional birth attendants and women who gave birth who had been helped by traditional birth attendants, head of community health center, public figures, and village midwives. This study used the purposive sampling technique. This study used in-depth interviews with non-participant observation to collect the data. Results: "Abdominal massage" technique to date was still performed by the people in East Manggarai, especially pregnant women and women who would give birth. This "Abdominal Massage" technique aimed to know and adjust the fetus position. Besides, the mother would feel strong, the baby would be healthy, the maternal body could move easily, and made the process of lowering the fetal head faster. The ingredients used for "abdominal massage" were easy to find. The minimum problems when performing "abdominal massage" with no "abdominal massage" costs made the practice still used by mothers. Conclusion:The practice of "abdominal massage" is medically dangerous for the mother and the fetus if it is carried out by non-professionals, such as traditional birth attendants.
Background:The COVID-19 vaccination has been recommended by WHO and the Ministry of Health of the Republic of Indonesia. Vaccination is carried out by pregnant women starting from the age of 13 weeks. Vaccines are expected to reduce the risk of pregnant women exposed to COVID-19. However, participation in receiving the COVID-19 vaccine in Manggarai Regency is still low. The purpose of this study was to analyze the factors that influence the willingness to vaccinate against COVID-19 in pregnant women in Manggarai Regency Subjects and Method: This was an analytic observational study with a cross-sectional design approach. This study was conducted in Manggarai Regency, East Nusa Tenggara, from January to May 2022. The sample in this study was 65 pregnant women who had never been vaccinated against COVID-19 with purposive sampling technique. The dependent variable in this study is the willingness of the vaccine. The independent variables are knowledge about COVID-19, knowledge about COVID-19 vaccination, belief, safety, effectiveness and side effects of COVID-19. Data collection using questionnaires and data processing using logistic regression analysis Results: Vaccination willingness was strongly influenced by mother's knowledge about COVID-19 in pregnancy (b=0.046; 95% CI= 0.003 to 0.73; p= 0.031), belief in the COVID-19 vaccine (b= 0.044; CI 95%= 0.003 to 0.757; p= 0.169), vaccination safety (b= 0.048; 95% CI= 0.004 to 0.639; p= 0.022). there was no significant effect, namely knowledge of vaccines (b= 0.195; 95% CI = 0.019 to 2.007; p=0.169) and vaccine effectiveness (b= 0.470; 95% CI= 0.048 to 0.4578; p=0.516). Conclusion:Vaccination willingness was strongly influenced by mother's knowledge about COVID-19 in pregnancy, belief in the COVID-19 vaccine and vaccination safety.
Pandemi COVID-19 yang mewabah di Indonesia sejak Maret 2020 telah menyebabkan perubahan berbagai aspek kehidupan, terutama dalam aspek kesehatan masyarakat. Kementerian Kesehatan Republik Indonesia menekankan perlunya kolaborasi lintas sektor untuk mengendalikan penyebaran COVID-19. Salah satu kolaborasinya adalah melibatkan institusi pendidikan untuk turut serta mencegah penularan COVID-19. Peran penting perguruan tinggi adalah peran civitas akademika khususnya mahasiswa untuk memberikan edukasi tentang COVID-19 kepada masyarakat. Penelitian ini bertujuan untuk menganalisis pengetahuan, sikap, dan perilaku siswa kesehatan dalam memberikan edukasi pencegahan COVID-19 kepada masyarakat. Studi ini adalah studi kuantitatif dengan desain potong lintang. Penelitian ini dilakukan di Manggarai, Nusa Tenggara Timur dan Malang, Jawa Timur. Waktu penelitian pada Juli-Agustus 2020 dengan sampel sebanyak 133 subjek dan dipilih dengan teknik random sampling sederhana. Variabel dependen dalam penelitian ini adalah perilaku siswa kesehatan. Variabel independen adalah pengetahuan dan sikap siswa kesehatan tentang COVID-19. Data dikumpulkan dengan menggunakan kuesioner online dan dianalisis dengan menggunakan regresi linier berganda. Perilaku siswa kesehatan dalam memberikan edukasi pencegahan COVID-19 kepada masyarakat dipengaruhi oleh pengetahuan (b = 0.57, 95% CI = 0.02 hingga 1.13, p = 0.043), dan sikap tentang COVID-19 (b = 2.86, 95% CI = 0.95 hingga 4.77, p = 0.004). Penelitian ini menyimpulkan bahwa pengetahuan dan sikap mahasiswa kesehatan memiliki hubungan yang signifikan dengan perilaku mereka dalam memberikan edukasi pencegahan COVID-19 kepada masyarakat.
ABSTRAKRevolusi KIA merupakan salah satu terobosan pemerintah Provinsi Nusa Tenggara Timur dalam rangka mempercepat penurunan kematian ibu dan bayi dengan cara luar biasa melalui persalinan pada fasilitas kesehatan yang memadai dan siap 24 jam. Penelitian ini bertujuan untuk mengevaluasi ketersediaan fasilitas kesehatan memadai yang meliputi kuantitas dan kualitas tenaga kesehatan, ketersediaan sarana fisik, obat dan peralatan kesehatan serta pembiayaan. Penelitian ini menggunakan metode kualitatif dengan wawancara mendalam pada 15 partisipan kunci yang meliputi kepala bidang kesehatan masyarakat Dinas Kesehatan Kabupaten Manggarai, kepala puskesmas, bidan, masyarakat (ibu nifas). Data dianalisis secara thematic. Hasil penelitian menunjukkan bahwa ketersediaan fasilitas kesehatan yang memadai untuk mendukung kebijakan revolusi KIA di Kabupaten Manggarai belum optimal seperti jumlah dokter yang sangat terbatas, kualitas tenaga kesehatan yang belum memadai, belum semua fasilitas kesehatan memiliki fasilitas rumah tunggu persalinan, peralatan kesehatan yang masih terbatas. Oleh karena itu, diperlukan komitmen pemerintah Kabupaten Manggarai untuk terus berupaya meningkatkan kualitas tenaga kesehatan, merekrut tenaga dokter, menyediakan rumah tunggu persalinan dan mengalokasikan anggaran yang cukup untuk pembiayaan kesehatan. Kata Kunci : Revolusi, KIA, Fasilitas, kesehatan, memadai THE EVALUATION OF THE AVAILABILITY OF GOOD HEALTH FACILITIES TO SUPPORT THE REVOLUSI KIA PROGRAM IN MANGGARAI ABSTRACTRevolusi KIA is one of the programs of Nusa Tenggara Timur Province (NTT) aim at decreasing the maternal and infant mortality by providing the good health facilities for 24 hour service. This research aims to evaluate the availability of the good health facilities by looking at some aspects such as the quantity and quality of professional health, the availability of physical buildings, medicine, medical tools and finance. This research uses qualitative model by depth interview with 15 key informants from varied background like health public health office of Manggarai Regency, the head of Puskesmas, midwife and puerperal mother. Data analyzed thematically. The result shows that from the side of providing the good health facilities, the Revolusi KIA Program of Manggarai Regency has not run optimally in decreasing the maternal and infant mortality. In indicates through the lack of doctors, the bad quality of health workers, lack of maternity waiting house and the limit of medical tools. Therefore, the local government must seriously improve the quality of health workers, increase the number of doctors, provide the maternity waiting house and allocate the enough budget for health financing. Keyword : Revolusi, KIA, facilities, health
Background: Childbirth and the culture surrounding it are powerful dimensions of human society. Birthplace is an important component of birth, which can include physical, emotional, cultural and social aspects. Women make birthplace decisions within their socio-political and cultural context, which adds to its complexity. This study aimed to examine the association between socioeconomic factors and selection of birthplace in pregnant women. Subjects and Method: A cross sectional study was conducted at 6 puskesmas (Community Health Centers) in Pota, Manggarai, East Nusa Tenggara. A sample of 59 pregnant women was selected for this study. The dependent variable was selection of birthplace (home versus hospital). The independent variables were maternal education, employment, family income, decision maker, and travel time. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: The choice of hospital as the birthplace was associated with high maternal education (OR= 4.51; p= 0.020), being employed (OR= 2.75; p= 0.040), high family income (OR= 4.77; p<0.001), maternal shares the decision making (OR= 3.12; p= 0.030), and short travel time (OR= 4.45; p= 0.001). Conclusion:The choice of hospital as the birthplace is associated with high maternal education, being employed, high family income, maternal shares the decision making, and short travel time.
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