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Effectiveness of Resources to Provide Health Care of National Health Insurance Participants Satisfaction: Meta-Analysis Pertiwi, Mumpuni Intan; Khuril, Muslihatin; Sari, Okky Nurlita; Purba, Prajna Pramitha; Palupi, Raras Indung; Tahta Firmansyah, Reza Ramadhana; Apriyanti, Ruth; Dania, Samara Rahma; Atin, Ulya Khoirunnisa'; Handriani, Winei
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.979 KB)

Abstract

Background: Indonesia is one of the coun­tries in the world that has a commitment to Universal Health Coverage in 2019. Indo­ne­sia has made various efforts to realize this commitment, one of which is through Natio­nal health insurance. The presence of the National Administrative Body is new hope for the Indonesian people for the quality of health services that will be provided. The quality of service can be perceived as good and satisfies the patient if the service received is appropriate or exceeds what is expected. So it is necessary to apply a solution in training or training related to existing resources.Subjects and Method: This study is a syste­matic review and meta-analysis. The articles used in this study were obtained from Pub­med and Scopus. The articles used in this research are articles published from 2016-2021. The article search was carried out by considering the eligibility criteria defined using the PICO model. P: JKN participants, I: adequate resources, C: insufficient resources, O: patient satisfaction. The articles included in this study are articles full text with a study design Cross-sectional. Articles were ana­lyzed using the application Review Manager 5.3.Results: Funnel plot of comparisons showed a publication bias, as evidenced by the unbalanced number of plots on the left and right sides. The distance between the plots was far. Forest plot of national health insu­rance (JKN) patients with sufficient resour­ces has 5.56 to experience patient satisfaction compared to patients with insufficient resources.Conclusion: Publication bias in funnel plots is evidenced by the unbalanced number of left and right-sided plots. Whereas in the forest plot, JKN patients with adequate resources had a higher score, namely 5.56, to experience patient satisfaction than patients with inadequate resources. As a result, there are many complaints about the dissatisfac­tion of JKN participants with inadequate resources, so it is necessary to apply a solu­tion in the form of training or training related to existing resources.Keywords: Resources, Patient Satisfaction, JKN, CrossectionalCorrespondence: Mumpuni Intan Pertiwi.Health Polytechnic Ministry of Health Yogyakarta. Jl. Tata Bumi No 3, DIY 55293, Central Java. Email: mumpuni.ip@gmail.com. Mobile: 085325638182Journal of Health Policy and Management (2021), 06(02): 154-159https://doi.org/10.26911/thejhpm.2021.06.02.08
Effect of Mother and Infant Skin to Skin Contact on Early Initiation Breastfeeding: A Meta Analysis Pertiwi, Mumpuni Intan; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.349 KB) | DOI: 10.26911/thejmch.2022.07.04.01

Abstract

Background: Skin to Skin Contact (SSC) of mothers and babies immediately after giving birth provides many benefits at the beginning of breastfeeding, an effective intervention can increase the competence of breastfeeding babies compared to just getting routine care. This study aims to analyze the primary study of the effect of mother-infant skin to skin contact on the success of the first breastfeeding with a meta-analysis. Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: mothers and newborns. Intervention: skin to skin contact. Comparison: Routine care. Outcome: Successful first breastfeeding. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, Science Direct and Springerlink. Keywords to search for articles (“skin to skin contact” OR “early initiation breastfeeding” OR “kangaroo mother care” AND “first breastfeeding” OR “duration breastfeeding” AND “Randomized Control Trials” OR “RCT”). The articles included are full text in English and Indonesian with a Randomized Controlled Trial study design from 2011 to 2021 and reports on the Mean and SD in a multivariate analysis. Article selection is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application. Results: A total of 10 randomized controlled trials from Iran, India, Pakistan, Egypt, and Thailand were selected for a systematic review and meta-analysis. The data collected showed that skin to skin contact increased the success of the first breastfeeding by 1.05 times compared to conventional method care (SMD= 1.10; 95% CI= 0.63 to 1.58; p<0.001). Conclusion: Skin to skin contact can increase the success of the first breastfeeding. Keywords: skin to skin contact, breastfeeding success, meta-analysis. Correspondence: Alfi Makrifatul Azizah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: alfimakrifatulazizahh@gmail.com. Mobile: +6285375335480.
Management Of Gestational Diabetes Mellitus Permana Sari, Fitriana Yuni; Pertiwi, Mumpuni Intan; Rodliya, Adzka Fahma
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 12 (2024): Volume 10 No.12 Desember 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i12.18611

Abstract

Latar belakang: Gestational Diabetes Mellitus (GDM) adalah kondisi intoleransi glukosa yang terdiagnosis selama kehamilan, sering kali muncul pada trimester kedua atau ketiga. Meskipun dapat menandakan diabetes tipe 1 atau 2 yang tidak terdeteksi sebelumnya, GDM umumnya disebabkan oleh intoleransi glukosa sementara terkait kehamilan. Wanita hamil dengan faktor risiko seperti obesitas, riwayat keluarga diabetes, atau melahirkan bayi besar perlu dicurigai mengalami GDM. Jika tidak ditangani, GDM dapat menyebabkan komplikasi serius bagi ibu dan janin, termasuk preeklamsia dan makrosomia. Di Indonesia, prevalensi GDM diperkirakan mencapai 1,9% hingga 5% dari total kehamilan. Penelitian ini bertujuan: untuk mengevaluasi manajemen GDM di Primary Health Centre wilayah Kota Yogyakarta dengan pendekatan deskriptif fenomenologi. Metode: Data dikumpulkan melalui wawancara semi-terstruktur dengan lima bidan yang memberikan pelayanan Kesehatan Ibu dan Anak. Hasil: analisis menunjukkan dua tema utama yaitu pendekatan perubahan perilaku dan strategi reorientasi pelayanan kesehatan masyarakat. Kesimpulan: Manajemen yang baik melalui deteksi dini dan penanganan yang tepat dapat meningkatkan kesehatan ibu hamil dan mengurangi risiko komplikasi. Saran: skrining awal dan pengaturan gaya hidup penting untuk dilakukan selama kehamilan. Kata Kunci: Bidan, Gestasional Diabetes Mellitus (GDM), Manajemen ABSTRACT Background: Gestational Diabetes Mellitus (GDM) is a condition of glucose intolerance diagnosed during pregnancy, often presenting in the second or third trimester. Although it can signify previously undetected type 1 or 2 diabetes, GDM is generally caused by pregnancy-related temporary glucose intolerance. Pregnant women with risk factors such as obesity, family history of diabetes, or giving birth to a giant baby need to be suspected for GDM. Unsolved GDM, lead to serious complications for both mother and fetus, including preeclampsia and macrosomia. In Indonesia, prevalence of GDM is estimated at 1.9% to 5% of total pregnancies. This study aimed to evaluate the management of GDM at Primary Health Centre in Yogyakarta City using a descriptive phenomenological approach. Methods: data were collected through semi-structured interviews with five midwives who provide Maternal and Child Health services. The results: of the analysis showed two main themes, namely the behavior change approach and the strategy of reorienting public health services. Good management through early detection and appropriate treatment can improve the health of pregnant women and reduce the risk of complications. Suggestions: early screening and lifestyle regulation is important to conduct during pregnancy. Key words: Midwife, Gestational Diabetes Mellitus (GDM), Management 
The relationship between the history of low birth weight babies and the growth and development of children 1-2 years old Rodliya, Adzka Fahma; Dhiani, Dysa Noor; Pertiwi, Mumpuni Intan
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.970

Abstract

Background: The World Health Organization (WHO) estimates that 15% to 20% of all births worldwide are low birth weight (LBW) births, representing more than 20 million per year. LBW causes asphyxia, hypothermia, infection and growth and development disorders. This study aims to see the extent of the risk of growth and development disorders in children with a history of LBW. Method: Methods in this study used an observational retrospective cohort design. The affordable population in this study were children aged 1-2 years in the working area of Puskesmas Wates. For children who had a history of LBW samples taken by purposive sampling and for children who had a history of normal birth weight samples taken by accidental sampling with samples of 70 respondents. Data obtained from KIA book, KMS card and the results of measuring results development used KPSP. Data analysis used chi-square test. Results: 65.7% of children aged 1-2 years with a history of LBW experienced growth and development disorders, while 28.6% of children aged 1-2 years with a history of LBW experienced growth disorders and 31.4% experienced development disorders. Statistical tests obtained a p-value of growth = 0.002 and relative risk (RR) = 2.3 (95% CI 1.293-4.091). Statistical tests obtained a p-value of development = 0.004 and relative risk (RR) = 2.1 (95% CI 1.213-3.605). Conclusion: The conclusion of this study shows that children aged 1-2 years with a history of LBW are 2.3 times more likely to experience growth disorders and 2.1 times more likely to experience developmental disorders.
Chronic energy deficiency status in pregnant women as a risk of low birth weight Pertiwi, Mumpuni Intan; Permatasari, Mekar Anggun; Rodliya, Adzka Fahma
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.972

Abstract

Abstract Background: The condition of pregnant women with chronic energy deficiency (CED) could cause bad influence on mothers and children such as delivering infant with low birth weight (LBW). In 2020 the proportion of CED in Surakarta was 4,16% and experienced increase compared to 2019. The highest LBW case in Surakarta was obtained in work area of Pajang Pajang Health Center with case proportion 2,8%. The CED status is included into maternal factor of LWB because of insufficient nutrition of mothers and infants.This study aim to find out the status of CED on pregnant women towards the risk of LBW. Method: Analytic observational research with case control design retrospective approach using secondary data of Pajang Public Health Center in 2020. The research samples consisted of case sample with total sampling technique and control sample comparison 1:2 until obtained case sample 25 and control sample 50. Results: The result of chi-square showed that p-value 0.005 and odd ratio = 4,935. Conclusion: Pregnant women with CED has risk of 4,935 times higher to give birth with LBW compared to pregnant women with no CED.
EFEKTIVITAS KONSUMSI DAUN KATUK (SAUROPUS ANDROGYNUS) TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA IBU HAMIL: STUDI META ANALISIS Pertiwi, Mumpuni Intan; Notiyanti, Muslica; Permatasari, Mekar Anggun; Rodliya, Adzka Fahma
Prosiding Seminar Informasi Kesehatan Nasional 2025: SIKesNas 2025
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/94ky2k71

Abstract

Anemia pada kehamilan merupakan masalah kesehatan global yang berdampak terhadap ibu dan janin, dengan prevalensi tinggi di negara berkembang. Salah satu intervensi yang digunakan adalah suplementasi zat besi, namun keterbatasan kepatuhan dan efek samping memerlukan alternatif terapi berbasis herbal. Sauropus androgynus (daun katuk) dikenal kaya akan zat besi dan senyawa bioaktif yang berpotensi meningkatkan kadar hemoglobin. Studi ini bertujuan untuk menganalisis efektivitas pemberian Sauropus androgynus terhadap peningkatan kadar Hb pada ibu hamil melalui pendekatan meta-analisis. Data diperoleh dari pencarian sistematis terhadap database Google Scholar, PubMed, dan Researchgate dari tahun 2021-2025, dengan kriteria inklusi studi eksperimental, populasi ibu hamil, serta intervensi menggunakan Sauropus androgynus. Sebanyak 10 artikel memenuhi kriteria dan dianalisis menggunakan software RevMan 5.4. Hasil meta-analisis menunjukkan bahwa pemberian Sauropus androgynus secara signifikan meningkatkan kadar hemoglobin (SMD=1.59; 95% CI= 0.99-2.18; p<0.001).
NORMALISASI BASIS DATA SISTEM DETEKSI DINI DAN KONSULTASI KOMPLIKASI KESEHATAN MASA NIFAS Nurhayati, Nurhayati; Pertiwi, Mumpuni Intan; Kholilurrohman, Maulana Rifky; Tamarussal, Naraya Kyesa
Jurnal Infokes Vol 15 No 2 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/7e91s431

Abstract

Masa nifas merupakan fase penting yang rawan terhadap berbagai komplikasi kesehatan sehingga membutuhkan pemantauan dan penanganan medis yang optimal. Untuk mendukung upaya deteksi dini dan konsultasi komplikasi kesehatan pada masa nifas, diperlukan sistem informasi yang memiliki struktur data yang efisien, konsisten, dan bebas dari penyimpangan. Penelitian ini bertujuan untuk merancang basis data perangkat lunak yang mendukung deteksi dini dan konsultasi komplikasi kesehatan masa nifas, dengan menerapkan teknik normalisasi sebagai pendekatan utama dalam perancangan struktur data. Metode penelitian yang digunakan adalah pendekatan rekayasa perangkat lunak berbasis desain basis data melalui normalisasi meliputi identifikasi kebutuhan data, analisis relasi antar entitas, bentuk tidak normal, normal bentuk kesatu, normal bentuk kedua dan normal bentuk ketiga. Penelitian ini menghasilkan rancangan basis data yang terdiri dari 11 tabel terstruktur yang telah melalui proses normalisasi sehingga bebas dari redundansi dan ketidakteraturan data. Simpulan dari penelitian ini adalah setelah melalui tahapan normalisasi, maka dihasilkan basis data yang memiliki struktur relasional yang efisien yang mampu mendukung perangkat lunak deteksi dini komplikasi dan konsultasi kesehatan masa nifas yang akurat dan terstruktur.