ORCID Profile
0000-0002-3023-003X
Current Organisations
Universitas Pattimura Fakultas Kedokteran
,
Center for Health Research Universitas Indonesia
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Publisher: Research Square Platform LLC
Date: 11-11-2020
DOI: 10.21203/RS.3.RS-71492/V2
Abstract: Background Despite the increasing rate of exclusive breastfeeding in Indonesia, there is still a need for supportive interventions. Breastfeeding self-efficacy of mothers is a key factor positively associated with optimum breastfeeding practices. Our analysis aims to assess the determinants of low breastfeeding self-efficacy amongst a s le of women with children aged under six months in Malang and Sidoarjo Districts, East Java, Indonesia. Methods We used information from 1210 mothers of children aged months recruited in the BADUTA study conducted in 2015-2016 in Malang and Sidoarjo Districts. The outcome variable in this analysis was mothers' self-efficacy for breastfeeding using the 14 statements in the Breastfeeding Self Efficacy-Short Form. We evaluated 17 potential predictors of breastfeeding self-efficacy, organized into six sub-groups of variables: (1) context/demographic (2) household factors (3) maternal characteristics (4) child characteristics (5) breastfeeding practices and (6) antenatal and delivery care. Logistic regression analyses were employed to examine factors associated with mothers' self-efficacy with breastfeeding. Results More than half of the women in this study had a low level of self-efficacy. One of the factors associated with low breastfeeding self-efficacy found in this study was problems encountered by mothers related to breastfeeding. Mothers who had problems with breastfeeding not related to illness (aOR=3.27, 95%CI: 2.45-4.36) or problems related to both illness and non-illness conditions (aOR=3.57, 95%CI: 1.37-9.33) had higher odds of low breastfeeding self-efficacy than those who did not have any problems. Compared to mothers who completed university education, there was a significantly higher odds of low breastfeeding self-efficacy in mothers who completed primary school or lower (aOR=1.88, 95%CI: 1.16-3.05) completed junior high school (aOR=2.27 95%CI: 1.42-3.63) and completed senior high school (aOR=1.94, 95%CI: 1.29-2.91). Other significant predictors of low breastfeeding self-efficacy were mothers not exposed to any breastfeeding interventions (aOR=1.87, 95%CI: 1.09-3.22) working outside the house (aOR=1.69, 95% CI: 1.23-2.32) not obtaining any advice on breastfeeding (aOR=1.40, 95%CI: 1.08-1.82) with low knowledge of breastfeeding (aOR=1.38, 95%CI: 1.03-1.84) and delivered by Caesarean section (aOR=1.34, 95%CI: 1.05-1.70). Conclusions Multipronged breastfeeding education programs and support are required to improve women's self-efficacy with breastfeeding. Improved access to breastfeeding counsellors, active support for mothers following caesarean delivery, and increased supporting facilities at workplaces are essential to improve self-efficacy with breastfeeding.
Publisher: Elsevier BV
Date: 2012
Abstract: Several trials have shown that iron-folic acid supplements during pregnancy protect newborns against preterm delivery and early neonatal death, but the impact beyond the neonatal period is unclear. We determined whether live-born children <5 y of age born to mothers who used antenatal iron-folic acid supplements had reduced risk of death. Pooled 1994, 1997, 2002-2003, and 2007 Indonesia Demographic and Health Survey data were used to examine the relation between the use of iron-folic acid supplements and child death in 3 cumulative (0-30 d, 0-11 mo, and 0-4 y) and 4 mutually exclusive (first day of life and 1-30 d, 1-11 mo, and 1-4 y of age) time periods. Risk of death was estimated by using Cox regression to control for 19 potential confounders. Survival information for 52,917 singleton live-born infants and 1525 deaths of children <5 y of age was examined. After adjustment for potential confounders, risk of death of children <5 y of age was reduced significantly by 34% if the mother consumed any iron-folic acid supplements [adjusted HR (aHR): 0.66 95% CI: 0.53, 0.81 P < 0.001]. This protective effect was greatest for deaths on the first day of life (aHR: 0.40 95% CI: 0.21, 0.77 P = 0.005) but was also shown for neonatal deaths on days 1-30 of life (aHR: 0.69 95% CI: 0.49, 0.97 P = 0.035) and postneonatal deaths (aHR: 0.74 95% CI: 0.56, 0.99 P = 0.044). There was a strong dose response of greater protection from death of children <5 y of age with increasing numbers of iron-folic acid supplements consumed. In developing countries increased use of antenatal iron-folic acid supplements will reduce deaths of children <5 y of age, especially in the first year of life.
Publisher: Research Square Platform LLC
Date: 05-01-2021
DOI: 10.21203/RS.3.RS-71492/V3
Abstract: Background Despite the increasing rate of exclusive breastfeeding in Indonesia, there is still a need for supportive interventions. The breastfeeding self-efficacy of mothers is a key factor positively associated with optimum breastfeeding practices. Our analysis aims to assess the determinants of low breastfeeding self-efficacy amongst a s le of women with children aged under six months in Malang and Sidoarjo Districts, East Java, Indonesia. Methods We used information from 1210 mothers of children aged months recruited in the BADUTA study conducted in 2015-2016 in Malang and Sidoarjo Districts. The outcome variable in this analysis was mothers’ self-efficacy for breastfeeding using the 14 statements in the Breastfeeding Self-Efficacy-Short Form. We evaluated 17 potential predictors of breastfeeding self-efficacy, organized into six sub-groups of variables: (1) context/demographic (2) household factors (3) maternal characteristics (4) child characteristics (5) breastfeeding practices and (6) antenatal and delivery care. Logistic regression analyses were employed to examine factors associated with mothers’ self-efficacy with breastfeeding. Results More than half of the women in this study had a low level of self-efficacy. One of the factors associated with low breastfeeding self-efficacy found in this study was mothers' problems related to breastfeeding. Mothers who had problems with breastfeeding not related to illness (aOR=3.27, 95%CI: 2.45, 4.36) or problems related to both illness and non-illness conditions (aOR=3.57, 95%CI: 1.37, 9.33) had higher odds of low breastfeeding self-efficacy than those who did not have any problems. Compared to mothers who completed university education, there was a significantly higher odds of low breastfeeding self-efficacy in mothers who completed primary school or lower (aOR=1.88, 95%CI: 1.16, 3.05) completed junior high school (aOR=2.27 95%CI: 1.42, 3.63) and completed senior high school (aOR=1.94, 95%CI: 1.29, 2.91). Other significant predictors of low breastfeeding self-efficacy were mothers not exposed to any breastfeeding interventions (aOR=1.87, 95%CI: 1.09, 3.22) working outside the house (aOR=1.69, 95%CI: 1.23, 2.32) not obtaining any advice on breastfeeding (aOR=1.40, 95%CI: 1.08, 1.82) with low knowledge of breastfeeding (aOR=1.38, 95%CI: 1.03, 1.84) and delivered by Caesarean section (aOR=1.34, 95%CI: 1.05, 1.70). Conclusions Multipronged breastfeeding education programs and support are required to improve women’s self-efficacy with breastfeeding. Improved access to breastfeeding counselors, active support for mothers following cesarean delivery, and increased supporting facilities at workplaces are essential to improve self-efficacy with breastfeeding.
Publisher: Public Library of Science (PLoS)
Date: 03-03-2022
DOI: 10.1371/JOURNAL.PONE.0264685
Abstract: Anemia remains a major public health problem worldwide. This study examined the relationship between anemia and the nutritional status of non-pregnant women aged 19–49 years in Indonesia. The data were derived from the 2018 Basic Health Research Data of Indonesia. We used information from 11,471 non-pregnant women aged 19–49 years. The dependent variable was anemia (hemoglobin level g/dL). The independent variable was women’s nutritional status, a combined indicator of body mass index (BMI) and mid-upper arm circumference (MUAC). Our analysis controlled for women’s age, education, physical activity, fruit and vegetable consumption, and the presence of communicable or non-communicable diseases. We performed logistic regression analyses. The prevalence of anemia in non-pregnant women aged 19–49 years was 22.3% (95% confidence interval [CI]: 21.4–23.3). Women with overweight and obesity were less likely to develop anemia than those with a normal BMI, regardless of their MUAC score. The highest odds for developing anemia were observed in underweight women with low MUAC scores (adjusted odds ratio [aOR] = 2.83, 95%CI: 2.19–3.68). Higher odds ratios were also observed in women with insufficient physical activity, despite their sufficient consumption of fruits or vegetables (aOR = 1.87, 95%CI: 1.06–3.28). However, women who had been diagnosed with a non-communicable disease had a reduced likelihood of developing anemia (aOR = 0.75, 95%CI: 0.67–0.83). Strengthening health promotion activities to improve nutritional status and healthy behaviors, particularly a healthy diet, remains important for women in Indonesia to reduce the prevalence of anemia and improve their overall health status.
Publisher: Innovare Academic Sciences Pvt Ltd
Date: 10-2017
DOI: 10.22159/AJPCR.2017.V10S5.23126
Abstract: Objective: In Indonesia, pregnant women are recommended to take a minimum of 90 tablets of iron/folic acid (IFA), to prevent iron deficiency anemia. Our analysis aimed at examining the extent to which improved knowledge on IFA supplementation is associated with women’s compliance with taking a minimum of 90 IFA tablets during their last pregnancy in four districts in Indonesia.Methods: Data were derived from a cross-sectional study conducted in four districts, that is, Lebak and Pandeglang District (Banten Province) as well as Purwakarta and Subang District of West Java Province, Indonesia on June 2014. We used information from 436 mothers who delivered their baby in the last 6 months from the time of the survey and received at least 90 IFA tablets during her last pregnancy. Logistic regression analysis was used to examine the role of knowledge after controlling for confounders and other significant predictor on compliance with taking a minimum of 90 IFA tablets during pregnancy.Result: Significant association was found between knowledge of IFA supplements and compliance. Compared to women with poor knowledge of IFA supplementation, the odds of taking a minimum of 90 IFA tables increased by almost 100% in women with moderate knowledge (adjusted odd ratio [aOR]=1.96, 95% confidence interval [CI]: 1.17-3.30, p=0.011) and by more than four times (aOR=5.42, 95% CI: 1.76-16.68, p=0.003) in women with good knowledge of IFA supplementation. Other factors associated with compliance was attendance in at least four antenatal services (aOR=5.71, 95% CI: 1.28-25.53, p=0.023) and pregnant women experience of no side effects resulting from taking IFA tablets during pregnancy (aOR=2.70, 95% CI: 1.63-4.46, p .001).Conclusions: Efforts to increase women’s knowledge on IFA supplementation through community-based education will increase women’s compliance of taking IFA supplements. Strengthening counseling services on potential side effects of IFA supplementation and ways to manage them will also help to improve compliance.
Publisher: Oxford University Press (OUP)
Date: 02-08-2011
Abstract: Access to skilled birth attendants and emergency obstetric care are thought to prevent early neonatal deaths. This study aims to examine the association between the type of delivery attendant and place of delivery and early neonatal mortality in Indonesia. Four Indonesia Demographic and Health Surveys from 1994, 1997, 2002/2003 and 2007 were used, including survival information from 52 917 singleton live-born infants of the most recent birth of a mother within a 5-year period before each survey. Cox proportional hazards regression models were used to obtain the hazard ratio for univariable and multivariable analyses. Our study found no significant reduction in the risk of early neonatal death for home deliveries assisted by the trained attendants compared with those assisted by untrained attendants. In rural areas, the risk of early neonatal death was higher for home deliveries assisted by trained attendants than home deliveries assisted by untrained attendants. In urban areas, a protective role of institutional deliveries was found if mothers had delivery complications. However, an increased risk was associated with deliveries in public hospitals in rural areas. Infants of mothers attending antenatal care services were significantly protected against early neonatal deaths, irrespective of the urban or rural setting. An increased risk of early neonatal death was also associated with male infants, infants whose size at birth was smaller than average and/or infants reported to be born early. A reduced risk was observed amongst mothers with high levels of education. Continuous improvement in the skills and the quality of the village midwives might benefit maternal and newborn survival. Efforts to strengthen the referral system and to improve the quality of delivery and newborn care services in health facilities are important, particularly in public hospitals and in rural areas.
Publisher: Poltekkes Kemenkes Palu
Date: 15-11-2022
Abstract: The rates of cases and deaths from COVID-19 started to decline following the increased coverage of vaccination. In Indonesia, the coverage of COVID-19 vaccination has not met the national target, including in Ambon City. By conducting a webinar, this activity aimed at improving the knowledge of the development and the importance of the COVID-19 vaccination program amongst the academic community of Pattimura University and health workers at Dr. M Haulussy Hospital, the main COVID-19 referral hospital in Ambon City.This webinar was conducted by the Faculty of Medicine of Pattimura University (FK UNPATTI) on 10 December 2021 as part of the efforts to accelerate the COVID-19 vaccination coverage in Ambon. There were 275 participants (including students, lecturers and health workers from Dr. M. Haulussy Hospital, the main referral hospital in Ambon City) filled out the evaluation questionnaires (pre- and post-test). Resource persons were from the Health Office of Ambon City, FK UNPATTI’s research team members for COVID-19 acceptance, and leaders of FK UNPATTI. We found an increased percentage of correct answers in the results of the post-test evaluation. At the pre-test, the average percentage of correct answers was 87.4%, and in the post-test the percentage increased to 92.8%. In the pre-test, 89% of participants were categorized as having a high level of knowledge, while in the post-test evaluation, the percentage increased to 93.4%. This webinar could improve participants’ knowledge and therefore could be conducted in the future as part of FK UNPATTI contributions in preventing COVID-19 transmission in Ambon City. ABSTRAK Jumlah kasus dan kematian akibat COVID-19 terus mengalami penurunan seiring meningkatnya cakupan vaksinasi. Di Indonesia, cakupan vaksinasi COVID-19 sayangnya masih belum memenuhi target nasional, termasuk di wilayah Kota Ambon. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan civitas akademika Universitas Pattimura serta tenaga Kesehatan di RSUD Dr. M Haulussy sebagai RS rujukan utama COVID-19 di Kota Ambon tentang perkembangan dan pentingnya program vaksinasi COVID-19. Kegiatan dilakukan oleh Fakultas Kedokteran Universitas Pattimura (FK UNPATTI) pada 10 Desember 2021 dalam bentuk webinar edukasi. Sebanyak 275 peserta (termasuk mahasiswa, staf pengajar, serta tenaga kesehatan RSUD Dr. M. Haulussy) mengisi secara lengkap kuesioner evaluasi (pre- dan post-test). Narasumbe dalam webinar ini berasal dari Dinas Kesehatan Kota Ambon, tim peneliti studi penerimaan vaksinasi COVID-19 dari FK UNPATTI, serta pimpinan FK UNPATTI. Pengisian kuesioner pre dan post-test menunjukkan peningkatan persentase jawaban benar peseta webinar pada evaluasi post-test. Pada pre-test, rerata persentase jawaban benar peserta adalah 87,4% sedangkan pada post-test meningkat menjadi 92,8%. Pada evaluasi pre-test, 89% peserta dikategorikan memiliki pengetahuan tinggi, sedangkan pada post-test, persentase ini meningkat menjadi 93,4%. Kegiatan webinar ini diharpakan dapat dilakukan untuk mendukung peningkatan pengetahuan peserta dan sekaligus sebagai kontribusi FK UNPATTI dalam pengendalian transmisi COVID-19 di Kota Ambon.
Publisher: Research Square Platform LLC
Date: 04-09-2020
DOI: 10.21203/RS.3.RS-71492/V1
Abstract: Background Despite the increasing rate of exclusive breastfeeding practice in Indonesia, supportive interventions are still required. Breastfeeding self-efficacy of mothers is a key factor positively associated with optimum breastfeeding practices. Our analysis aims to assess the determinants of low breastfeeding self-efficacy amongst a s le of women with children aged under six months in Malang and Sidoarjo Districts, East Java, Indonesia. Methods We used information from 1210 mothers of children aged months recruited in the BADUTA study conducted in 2015-2016 in Malang and Sidoarjo Districts. The outcome variable in this analysis was mothers' self-efficacy for breastfeeding using the 14 statements in the Breastfeeding Self Efficacy-Short Form. In total, 17 potential predictors of breastfeeding self-efficacy were evaluated, categorised into six sub-groups: (1) context/demographic variables (2) household characteristics (3) maternal characteristics (4) child characteristics (5) breastfeeding characteristics and (6) antenatal and delivery care characteristics. Logistic regression analyses were employed to examine factors associated with mothers' self-efficacy with breastfeeding. Results More than half of the women had a low level of self-efficacy. Factors associated with low breastfeeding self-efficacy were low levels of education, i.e. completed primary school or lower (aOR=1.95, 95%CI: 1.20-3.15), completed junior high school aOR=2.30 95%CI: 1.44-3.69), and completed senior high school (aOR=2.01, 95%CI: 1.34-3.00) working outside the house (aOR=1.72, 95% CI: 1.26-2.35) never received any advice on breastfeeding (aOR=1.37, 95%CI: 1.04-1.81) and low knowledge of breastfeeding (aOR=1.38, 95%CI: 1.04-1.85). Problems encountered with breastfeeding was also emerged as a significant predictor for low breastfeeding self-efficacy, either for mothers receiving solutions (aOR=2.16, 95%CI: 1.58-2.95) or those not receiving any solutions (aOR=2.65, 95% CI: 1.91-3.67). Furthermore, mothers who had cesarean section deliveries were more likely to have low breastfeeding self-efficacy (aOR=1.33, 95%CI: 1.06-1.68) while mothers exposed to three or more breastfeeding interventions were more likely to have a high level of breastfeeding self-efficacy (aOR=1.84, 95%CI: 1.03-3.27). Conclusions Multipronged breastfeeding education programs and support are required to improve women's self-efficacy with breastfeeding. Improved access to breastfeeding counsellors, active support for mothers following cesarean delivery, and increased supporting facilities at workplaces are essential to improve self-efficacy with breastfeeding.
Publisher: Elsevier BV
Date: 10-2017
DOI: 10.1016/J.MIDW.2017.07.014
Abstract: this analysis aims to explore midwives' insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. a qualitative study using in-depth interviews was conducted with 12 village midwives from 12 villages, to explore their perceptions and experiences in delivering family planning services. the study was carried out in May-June 2013, as part of the baseline assessment in the Improving Contraceptive Method Mix (ICMM) study. We interviewed 12 village midwives working in 12 villages in six study districts: Tuban, Kediri, and Lumajang Districts in East Java Province and Lombok Barat, Lombok Timur, and Sumbawa Districts in NTB Province. an interview guideline was used in all interviews. It covered several topics, such as community perceptions of LAPMs, availability of contraception and related equipment, availability of human resources, and midwives' efforts to improve LAPM coverage. All interviews were recorded and transcribed. Content and thematic analyses were carried out by grouping and coding the information based on the identified themes and topics. according to village midwives interviewed in this study, community-level acceptance of LAPMs has increased over time however, some still prefer using short-acting methods for a long period. The reasons include lack of awareness about the benefits and side effects of LAPMs, fear of surgical procedures, rumored consequences (for ex le, that LAPMs would limit women's ability to perform hard physical labor), and religious beliefs. There were several challenges reported by village midwives in delivering LAPM services, such as confusion about midwives' eligibility to provide LAPM services, lack of Contraceptive Technology Update (CTU) and counseling trainings, and shortage of supporting equipment (such as exam tables and IUD and implant insertion kits). There were several strategies implemented by village midwives to improve LAPM use, including strengthening the counseling services, accompanying clients to higher health facilities to obtain LAPM services, and providing services for groups of clients. All village midwives emphasized the importance of strengthening collaboration among stakeholders to increase the uptake of LAPM services. as midwives are the main family planning providers in Indonesia, efforts to address their challenges is essential. Enabling a supportive policy environment, strengthening promotional activities, increasing the number of training programs designed for village midwives-in addition to enhancing inter-sectoral collaboration-are some recommendations to improve LAPM uptake in study areas.
Publisher: JMIR Publications Inc.
Date: 08-09-2020
DOI: 10.2196/18521
Abstract: Over the past decade, the prevalence of stunting has been close to 37% in children aged years in Indonesia. The Baduta program, a multicomponent package of interventions developed by the Global Alliance for Improved Nutrition, aims to improve maternal and infant nutrition in Indonesia. This study aims to assess the impact of the Baduta program, a package of health system strengthening and behavior change interventions, compared with the standard village health services on maternal and child nutrition. The impact evaluation uses a cluster randomized controlled trial design with 2 outcome assessments. The first uses cross-sectional surveys of mothers of children aged 0-23 months and pregnant women before and after the interventions. The second is a cohort study of pregnant women followed until their child is 18 months from a subset of clusters. We will also conduct a process evaluation guided by the program impact pathway to assess coverage, fidelity, and acceptance. The study will be conducted in the Malang and Sidoarjo districts of East Java, Indonesia. The unit of randomization is the subdistricts. As random allocation of interventions to only 6 subdistricts is feasible, we will use constrained randomization to ensure balance of baseline covariates. The first intervention will be health system strengthening, including the Baby-Friendly Hospital Initiative, and training on counseling for appropriate infant and young child feeding (IYCF). The second intervention will be nutrition behavior change that includes Emo-Demos a national television (TV) advertising c aign local screening TV spots a free, text message service and promotion of low-cost water filters and hygiene practices. The primary study outcome is child stunting (low length-for-age), and secondary outcomes include length-for-age Z scores, wasting (low weight-for-length), anemia, child morbidity, IYCF indicators, and maternal and child nutrient intakes. The s le size for each cross-sectional survey is 1400 mothers and their children aged years and 200 pregnant women in each treatment group. The cohort evaluation requires a s le size of 340 mother-infant pairs in each treatment group. We will seek Gatekeeper consent and written informed consent from the participants. The intention-to-treat principle will guide our data analysis, and we will apply Consolidated Standards of Reporting Trials guidelines for clustered randomized trials in the analysis. In February 2015, we conducted a baseline cross-sectional survey on 2435 women with children aged years and 409 pregnant women. In February 2017, we conducted an end-line survey on 2740 mothers with children aged years and 642 pregnant women. The cohort evaluation began in February 2015, with 729 pregnant women, and was completed in December 2016. The results of the program evaluation will help guide policies to support effective packages of behavior change interventions to prevent child stunting in Indonesia. RR1-10.2196/18521
Publisher: JMIR Publications Inc.
Date: 16-03-2020
Abstract: ver the past decade, the prevalence of stunting has been close to 37% in children aged & years in Indonesia. The Baduta program, a multicomponent package of interventions developed by the Global Alliance for Improved Nutrition, aims to improve maternal and infant nutrition in Indonesia. his study aims to assess the impact of the Baduta program, a package of health system strengthening and behavior change interventions, compared with the standard village health services on maternal and child nutrition. he impact evaluation uses a cluster randomized controlled trial design with 2 outcome assessments. The first uses cross-sectional surveys of mothers of children aged 0-23 months and pregnant women before and after the interventions. The second is a cohort study of pregnant women followed until their child is 18 months from a subset of clusters. We will also conduct a process evaluation guided by the program impact pathway to assess coverage, fidelity, and acceptance. The study will be conducted in the Malang and Sidoarjo districts of East Java, Indonesia. The unit of randomization is the subdistricts. As random allocation of interventions to only 6 subdistricts is feasible, we will use constrained randomization to ensure balance of baseline covariates. The first intervention will be health system strengthening, including the Baby-Friendly Hospital Initiative, and training on counseling for appropriate infant and young child feeding (IYCF). The second intervention will be nutrition behavior change that includes i Emo-Demos /i a national television (TV) advertising c aign local screening TV spots a free, text message service and promotion of low-cost water filters and hygiene practices. The primary study outcome is child stunting (low length-for-age), and secondary outcomes include length-for-age Z scores, wasting (low weight-for-length), anemia, child morbidity, IYCF indicators, and maternal and child nutrient intakes. The s le size for each cross-sectional survey is 1400 mothers and their children aged & years and 200 pregnant women in each treatment group. The cohort evaluation requires a s le size of 340 mother-infant pairs in each treatment group. We will seek i Gatekeeper /i consent and written informed consent from the participants. The intention-to-treat principle will guide our data analysis, and we will apply Consolidated Standards of Reporting Trials guidelines for clustered randomized trials in the analysis. n February 2015, we conducted a baseline cross-sectional survey on 2435 women with children aged & years and 409 pregnant women. In February 2017, we conducted an end-line survey on 2740 mothers with children aged & years and 642 pregnant women. The cohort evaluation began in February 2015, with 729 pregnant women, and was completed in December 2016. he results of the program evaluation will help guide policies to support effective packages of behavior change interventions to prevent child stunting in Indonesia. R1-10.2196/18521
Publisher: SAGE Publications
Date: 30-07-2020
Abstract: Our study examined factors associated with the utilization of health services in children younger than 5 years with acute respiratory infections (ARIs) symptoms in Indonesia. Data were derived from the 2012 and 2017 Indonesia Demographic and Health Survey. Information from 1408 children younger than 5 years showing ARI symptoms in the past 2 weeks before the survey was analyzed using logistic regression analyses. Around 25% of children younger than 5 years with ARI symptoms did not receive medical care. The odds of receiving care increased in mothers from rich households. The odds reduced in children aged 2 or more years children of mothers not assisted by trained delivery attendants mothers attending none or antenatal visits mothers delivering at home, and mothers reporting that permission to visit health services was a problem. Efforts to improve care-seeking behavior are required. Health promotion strategies and interventions to improve access to reach community not regularly exposed to health services are important.
Publisher: BMJ
Date: 2012
Publisher: Springer Science and Business Media LLC
Date: 2016
Publisher: Public Library of Science (PLoS)
Date: 03-11-2016
Publisher: MDPI AG
Date: 18-05-2019
DOI: 10.3390/NU11051106
Abstract: Indonesia is ranked fifth among countries with the highest burden of stunting in children under five. This study aims to examine the determinants of stunting in children aged 0–2 years in Indonesia using data derived from the 2013 Indonesia Basic Health Survey. Twenty potential predictors of stunting, categorized into household and housing characteristics maternal and paternal characteristics antenatal care services and child characteristics were analyzed. Multilevel analyses were performed to examine the role of cluster/district rovincial differences, as well as in idual/household level characteristics and stunting status. Of 24,657 children analyzed, 33.7% (95%CI: 32.8%–34.7%) were stunted. The odds of stunting increased significantly among children living in households with three or more children under five-years-old (aOR = 1.33, 95%CI: 1.03–1.72), households with five to seven household members (aOR =1.11 95%CI: 1.03–1.20), children whose mothers during pregnancy attended less than four antenatal care services (aOR = 1.22, 95%CI: 1.08–1.39), boys (aOR = 1.33, 95%CI: 1.22–1.45), children aged 12–23 months (aOR = 1.89 95%CI: 1.54–2.32), and children who weighed g at birth (aOR = 2.55 95%CI: 2.05–3.15). The odds also increased significantly with the reduction of household wealth index. Integrated interventions to address environment, an in idual level associated with stunting in Indonesia, from the environment- to in idual-level factors are important.
Publisher: Springer Science and Business Media LLC
Date: 11-08-2010
Publisher: Springer Science and Business Media LLC
Date: 10-10-2010
DOI: 10.1007/S10995-010-0697-1
Abstract: This study aimed to examine factors associated with utilization of village midwife and other trained delivery attendants for home deliveries. Information from 14,672 cases of the most recent home deliveries of mothers in the 5 year-period prior to the Indonesia Demographic and Health Survey 2002/2003 and 2007 were analysed. Multinomial logistic regression analysis was performed. The association between 26 factors categorised into external environment, predisposing, enabling, need and previous utilization of maternal health services, and utilization of village midwife and other trained delivery attendants, such as nurses, other midwives and doctors, for home deliveries was examined. The population attributable risk of selected significant predictors was calculated. The odds of using village midwives and other trained delivery attendants at childbirth for home deliveries increased with increasing household wealth index and levels of parental education. The odds increased among first birth, mothers who were exposed to mass media, mothers with knowledge of delivery complications, and mothers who had any delivery complications. However, mothers who attended less than four antenatal care visits, who had high parity, or who reported distance and transportation to health facilities was a major problem, had significantly reduced odds for utilizing any trained delivery attendants. Health promotion strategies to raise community awareness about the importance of safe delivery should target low educated parents, mothers from low household economic status, as well as high parity mothers. Efforts to promote antenatal care visits are likely to increase utilization of trained delivery attendants for home deliveries in Indonesia.
Publisher: Diva Enterprises Private Limited
Date: 2019
Publisher: Springer Science and Business Media LLC
Date: 12-10-2010
Publisher: Springer Science and Business Media LLC
Date: 09-07-2008
Publisher: Springer Science and Business Media LLC
Date: 25-05-2018
Publisher: Public Library of Science (PLoS)
Date: 11-11-2022
DOI: 10.1371/JOURNAL.PNTD.0010900
Abstract: One challenge to achieving Lymphatic filariasis (LF) elimination is the persistent coverage-compliance gap during annual mass drug administration (MDA) and the risk of ongoing transmission among never treated in iduals. Our analysis examined factors associated with in iduals who were never treated during MDA. Data were derived from two cross-sectional surveys conducted in Waihaong and Air Salobar Health Center in 2018 and 2019. We analyzed information from 1915 respondents aged 18 years or above. The study outcome was in iduals who self-reported never treatment during any round of MDA. All potential predictors were grouped into socio-demographic, health system, therapy and in idual factors. Logistic regression analyses were used to examine factors associated with never treatment in any year of MDA. Nearly half (42%) of respondents self-reported they were never treated during any round of MDA. Factors associated with increased odds of never treatment were respondents working in formal sectors (aOR = 1.75, p = 0 . 040 ), living in the catchment area of Waihaong Health Center (aOR = 2.33, p = 0 . 029 ), and those perceiving the possibility of adverse events after swallowing LF drugs (aOR = 2.86, p . 001 ). Respondents reporting difficulty swallowing all the drugs (aOR = 3.12, p . 001 ) and having difficulties remembering the time to swallow the drugs (aOR = 1.53, p = 0 . 049 ) also had an increased odds of never treatment. The highest odds of never treatment were associated with respondents reporting almost none of their family members took LF drugs (aOR = 3.93, p . 001 ). Respondents confident that they knew how to swallow LF drugs had a reduced odds (aOR = 0.26, p . 001 ) of never treatment. Efforts to reassure community members about adverse events, specific instructions on how to take LF drugs, and improving awareness that MDA participation is part of one’s contribution to promoting community health are essential drivers for uptake with LF drugs during MDA.
Publisher: BMJ
Date: 03-05-2009
Abstract: Postnatal care helps prevent neonatal deaths. This study aims to examine factors associated with non-utilisation of postnatal care in Indonesia. A cross-sectional analytic study was conducted using data from the 2002-3 Indonesia Demographic and Health Survey (IDHS), which used multistage cluster random s ling. Contingency table and logistic regression analyses were used to determine the factors associated with non-utilisation of postnatal care services. The population attribution risk percentage (PAR%) for non-utilisation of postnatal care services was also calculated. Data were available for 15,553 singleton live-born infants. The prevalence of non-attendance at postnatal care services was consistently higher in rural areas than in urban areas. Maternal factors associated with lack of postnatal care included low household wealth index, low education levels, lack of knowledge of pregnancy-related complications or where distance from health services was a problem. Infants of high birth rank and those reported to be smaller than average were less likely to receive postnatal care. Other indicators of access to healthcare services which were associated with non-utilisation of postnatal care services included few antenatal care checks, use of untrained birth attendants and births outside healthcare facilities. Public health interventions to increase the utilisation of postnatal care services should target women who are poor, less educated, from rural areas and who use untrained birth attendants. Strategies to improve the availability and accessibility of antenatal care services and skilled birth attendance including focused financial support and health promotion programmes, particularly in the rural areas, should increase utilisation of postnatal care services in Indonesia.
Publisher: Institute of Research and Community Services Diponegoro University (LPPM UNDIP)
Date: 21-06-2021
Abstract: Background: Lymphatic Filariasis (LF) is an infectious disease caused by filarial worms and transmitted by mosquitoes. Mass drug administration (MDA) for LF is used in endemic areas to stop transmission and prevent disability due to LF. This study aims to identify factors associated with overall compliance with the MDA in 2018 in the catchment areas of Waihaong and Air Salobar Health Centers, Ambon. Method: This analysis used data derived from a survey conducted by the Faculty of Medicine Pattimura University, Ambon, in January 2019. We used information from 745 subjects who received LF drugs in both study areas. Logistic regression analysis was employed to determine factors associated with community compliance with taking filariasis drugs. Results: Our study found that only 67% of the community swallowed LF drugs (60,3% in Waihaong and 72,6% in Air Salobar). Higher compliance with swallowing the LF drugs was found in respondents living in the catchment area of Air Salobar Health Center (OR=2,01, 95%CI:1,42-2,86, P-value ,001) with a high level of knowledge (OR=1,91, 95%CI:1,34-2,74, P-value ,001 and with a high sense of trust towards the drugs deliverers (OR=4,93, 95%CI:2,17-11,22, Pvalue ,001). Furthermore, respondents who felt a high moral obligation to take the drugs (OR=2,39, 95%CI:1,15-4,94, P-value=0,019) and received social support to take the drugs (OR=5,12, 95%CI:3,18-8,23, P-value ,001) were also more likely to comply with treatment. This study shows that health promotion interventions to increase community awareness and knowledge are still required in Ambon City despite many rounds of mass drug administration. Various educational media and efforts to increase knowledge and capabilities of the drug deliverers are essential to improve community compliance with taking LF drugs.
Publisher: MDPI AG
Date: 16-12-2020
DOI: 10.3390/NU12123851
Abstract: The need for a multisectoral approach to tackle stunting has gained attention in recent years. Baduta project aims to address undernutrition among children during their first 1000 days of life using integrated nutrition-specific and nutrition-sensitive interventions. We undertook this cohort study to evaluate the Baduta project’s effectiveness on growth among children under 2 years of age in two districts (Sidoarjo and Malang Districts) in East Java. Six subdistricts were randomly selected, in which three were from the intervention areas, and three were from the control areas. We recruited 340 pregnant women per treatment group during the third trimester of pregnancy and followed up until 18 months postpartum. The assessment of breastfeeding and complementary feeding practices used standard infant and young child feeding (IYCF) indicators in a tablet-based application. We measured weight and length at birth and every three-months after that. The enumerators met precision and accuracy criteria following an anthropometry standardization procedure. Among the breastfed children, the percentage of children who achieved the minimum dietary ersity score (DDS) and minimum acceptable diet (MAD) was higher for the intervention group than the comparison group across all age groups. The odd ratios were 3.49 (95% CI: 2.2–5.5) and 2.79 (95% CI: 1.7–4.4) for DDS and 3.49 (95% CI: 2.2–5.5) and 2.74 (95% CI: 1.8–5.2) for MAD in the 9–11 month and 16–18-month age groups, respectively. However, there was no significant improvement in growth or reduction in the prevalence of anemia. The intervention was effective in improving the feeding practices of children although it failed to show significant improvement in linear growth of children at 18 months of age.
Publisher: SAGE Publications
Date: 11-2017
Abstract: This analysis aimed at examining the association between the level of knowledge about long-acting ermanent methods of contraceptives (LAPM) and nonuse of LAPM among currently married, nonpregnant, and fecund women aged 15 to 49 years intending to limit childbearing. Data were derived from a cross-sectional study in Tuban, Kediri, and Lumajang District (East Java Province) and Lombok Barat, Lombok Timur, and Sumbawa District (Nusa Tenggara Barat Province) in June 2012. Information was obtained from 4323 respondents. Using multivariate logistic regression, we found that women with moderate levels of LAPM knowledge were less likely to use LAPM than women with high levels of knowledge (adjusted odds ratio [aOR] = 2.01, 95% CI = 1.51-2.68). Women with low level of LAPM knowledge were less likely to use LAPM than women with high levels of knowledge (aOR = 4.25, 95% CI = 3.37-5.36). Efforts to strengthen counseling services and increased provider knowledge and counselling skills are important to improve women’s knowledge about and use of LAPM.
Publisher: WHO Press
Date: 29-12-2010
Publisher: Springer Science and Business Media LLC
Date: 19-01-2021
DOI: 10.1186/S13006-021-00357-5
Abstract: Despite the increasing rate of exclusive breastfeeding in Indonesia, there is still a need for supportive interventions. The breastfeeding self-efficacy of mothers is a key factor positively associated with optimum breastfeeding practices. Our analysis aims to assess the determinants of low breastfeeding self-efficacy amongst a s le of women with children aged under 6 months in Malang and Sidoarjo Districts, East Java, Indonesia. We used information from 1210 mothers of children aged 6 months recruited in the BADUTA study conducted in 2015–2016 in Malang and Sidoarjo Districts. The outcome variable in this analysis was mothers’ self-efficacy for breastfeeding using the 14 statements in the Breastfeeding Self-Efficacy-Short Form. We evaluated 17 potential predictors of breastfeeding self-efficacy, organized into six sub-groups of variables: (1) context/demographic (2) household factors (3) maternal characteristics (4) child characteristics (5) breastfeeding practices and (6) antenatal and delivery care. Logistic regression analyses were employed to examine factors associated with mothers’ self-efficacy with breastfeeding. More than half of the women in this study had a low level of self-efficacy. One of the factors associated with low breastfeeding self-efficacy found in this study was mothers’ problems related to breastfeeding. Mothers who had problems with breastfeeding not related to illness (adjusted odds ratio [aOR] 3.27 95% CI 2.45, 4.36) or problems related to both illness and non-illness conditions (aOR 3.57 95% CI 1.37, 9.33) had higher odds of low breastfeeding self-efficacy than those who did not have any problems. Compared to mothers who completed university education, there was a significantly higher odds of low breastfeeding self-efficacy in mothers who completed primary school or lower (aOR 1.88 95% CI 1.16, 3.05) completed junior high school (aOR 2.27 95% CI 1.42, 3.63) and completed senior high school (aOR 1.94 95% CI 1.29, 2.91). Other significant predictors of low breastfeeding self-efficacy were mothers not exposed to any breastfeeding interventions (aOR 1.87 95% CI 1.09, 3.22) working outside the house (aOR 1.69 95% CI 1.23, 2.32) not obtaining any advice on breastfeeding (aOR 1.40 95% CI 1.08, 1.82) with low knowledge of breastfeeding (aOR 1.38 95% CI 1.03, 1.84) and delivered by Caesarean section (aOR 1.34 95% CI 1.05, 1.70). Multipronged breastfeeding education programs and support are required to improve women’s self-efficacy with breastfeeding. Improved access to breastfeeding counselors, active support for mothers following cesarean delivery, and increased supporting facilities at workplaces are essential to improve self-efficacy with breastfeeding.
Publisher: Universitas Airlangga
Date: 30-09-2023
Publisher: Elsevier BV
Date: 07-2010
Abstract: In nonmalaria regions, iron/folic acid supplementation during pregnancy protects newborns against preterm delivery and early neonatal death. Other studies from malaria-endemic areas have reported an adverse effect of iron supplements on malaria prevalence in pregnant women. We examined the association between iron/folic acid supplements and prenatal antimalaria prophylaxis on neonatal mortality in malaria-endemic countries of sub-Saharan Africa. This analysis used the most recent data from Demographic and Health Surveys of 19 malaria-endemic countries in sub-Saharan Africa. Survival information of 101,636 singleton live-born infants from the most recent delivery of ever-married women < or =5 y before each survey was examined. The effect of each potential predictor on neonatal deaths was analyzed by using Cox proportional hazards regression models. Infants whose mothers received any iron/folic acid supplements and sulfadoxine-pyrimethamine intermittent preventive treatment (SP-IPT(p)) for malaria during pregnancy were significantly protected from neonatal death [hazard ratio (HR): 0.76 95% CI: 0.58, 0.99]. The protective effect was not significant in mothers who received only iron/folic acid supplements (HR: 0.90 95% CI: 0.73, 1.12) or only SP-IPT(p) (HR: 1.08 95% CI: 0.74, 1.57). Among the sociodemographic and birth characteristics, factors that significantly increased the risk of neonatal death included first-born infants, a birth interval of or =30 y, smaller than average-sized infants, and male infants. The use of antenatal iron/folic acid supplements combined with appropriate intermittent preventive treatment of malaria during pregnancy is an important intervention to reduce neonatal mortality in malaria-endemic regions.
Publisher: Springer Science and Business Media LLC
Date: 16-08-2010
Publisher: Wiley
Date: 29-04-2022
DOI: 10.1111/MCN.13362
Abstract: Suboptimal infant young child feeding practices are frequently reported globally, including in Indonesia. This analysis examined the impact of a package of behaviour change interventions on breastfeeding practices in Malang and Sidoarjo Districts, East Java Province, Indonesia. The BADUTA study (which in the Indonesian Language is an acronym for BAwah DUa TAhun, or children aged less than 2 years) was an impact evaluation using a cluster‐randomized controlled trial with two parallel treatment arms. We conducted household surveys in 12 subdistricts from Malang and Sidoarjo. We collected information from 5175 mothers of children aged 0–23 months: 2435 mothers at baseline (February 2015) and 2740 mothers at endline (January to February 2017). This analysis used two indicators for fever and diarrhoea and seven breastfeeding indicators (early initiation of breastfeeding, prelacteal feeding, exclusive breastfeeding under 6 months, predominant breastfeeding, continued breastfeeding, age‐appropriate breastfeeding and bottle‐feeding). We used multilevel logistic regression analysis to assess the effect of the intervention. After 2 years of implementation of interventions, we observed an increased odds of exclusive breastfeeding under 6 months (adjusted odds ratio [aOR] = 1.85 95% confidence interval [CI]: 1.35–2.53) and age‐appropriate breastfeeding (aOR = 1.39 95% CI: 1.07–1.79) in the intervention group than in the comparison group, at the endline survey. We found significantly lower odds for prelacteal feeding (aOR = 0.52 95% CI: 0.41–0.65) in the intervention than in the comparison group. Our findings confirmed the benefits of integrated, multilayer behaviour change interventions to promote breastfeeding practices. Further research is required to develop effective interventions to reduce bottle use and improve other breastfeeding indicators that did not change with the BADUTA intervention.
No related grants have been discovered for Christiana Titaley.