Septyana Choirunisa

Bio: Septyana Choirunisa is an academic researcher from University of Indonesia. The author has contributed to research in topics: Nurse education & Health education. The author has an hindex of 1, co-authored 5 publications receiving 2 citations.

Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia.

Abstract: Background Kangaroo mother care (KMC) has been proven to decrease rates of morbidity and mortality among premature and low-birth-weight infants. Thus, this study aimed to obtain baseline data regarding KMC knowledge, attitudes, and practices (KAP) among nursing staff caring for mothers and newborns in a hospital in Indonesia. Methods This cross-sectional study included 65 participants from three hospital wards at Koja District Hospital, North Jakarta. Participants included 29 perinatal ward nurses, 21 postnatal ward nurses and midwives, and 15 labor ward midwives. Data on KAP of KMC were collected using a self-administered questionnaire with closed-ended questions. Each questionnaire can be completed in approximately 1 hour. Results Among the included nursing staff, 12.3% (8/65) were determined to have received specific training on KMC, whereas 21.5% (14/65) had received more general training that included KMC content. About 46.2% of the nursing staff had good knowledge concerning KMC, 98.5% had good knowledge of KMC benefits, and 100% had a positive attitude toward KMC. All perinatal ward nurses had some experience assisting and implementing KMC. Some KAP that were observed among the nursing staff included lack of knowledge about the eligible infant weight for KMC and weight gain of infants receiving KMC, lack of education/training about KMC, and concerns regarding necessary equipment in KMC wards. Conclusions This study identified several issues that need to be addressed, including knowledge of feeding and weight gain, workload, incubator use, and the need for well-equipped KMC wards. We recommend that hospitals improve their nursing staff’s knowledge of KMC and establish well-equipped KMC wards.

Strategies to Promote Six Months of Exclusive Breastfeeding: A Review of Theses and Undergraduate Theses of Faculty of Public Health, University of Indonesia, Indonesia

Abstract: EBF is one of major factors in child survival, growth and development. Strategies have been done to improve the prevalence of breastfeeding. Several studies examining the role of health education, support from family and peers, and support from health professionals on EBFhas been carried out in Indonesia. In current study, we aimed to explore the role of such strategies on EBF prevalence by reviewing 22 theses (bachelor's and master's) and doctoral dissertations from Faculty of Public Health, University Indonesia. There were 7 studies that evaluated the effects of mothers being exposed to EBF information from different sources of media. The percentages of mothers being exposed to EBF information through media ranged from 47.5%-85.2%. No indication that being exposed to EBF information through media is associated with EBF practice. There was a significant positive correlation between percentages of mother received support from families and peer for EBF and percentages of practicing EBF (r=0.587, p=0.005). This involved all 22 studies. Evaluation for mother received support from health providers was obtained from 20 studies (12 studies in rural, and 8 in urban settings). Mothers in rural areas were reported to receive higher support from health provider for EBF compared to those reported in urban areas (59.0%-87.7% vs. 48.1%-64.1%, respectively). Positive correlation between percentages of receiving support from health providers and of practicing EBF was found (r=0.504, p=0.028). We conclude that all strategies were effective to improve EBF practice. Considerations regarding the target of intervention need to be made. For working mothers, family and peer support, and also adequate EBF information seems to be more effective. Current available modes of communication such as twitter, facebook and the like might be well used to share EBF information. Meanwhile, supports from family and health providers would seem to be the best option for housewives.

Pendapatan Daerah, Pembiayaan Kesehatan, dan Gizi Buruk pada Balita: Studi Korelasi Tingkat Kabupaten/Kota

Abstract: Pendanaan kesehatan merupakan salah satu faktor penting dalam memengaruhi derajat kesehatan, termasuk salah satu masalah gizi pada balita yang disebut gizi buruk. Oleh karena itu, penelitian ini bertujuan mendeskripsikan pendapatan daerah dan pembiayaan kesehatan serta korelasinya dengan gizi buruk pada balita di tingkat kabupaten/kota di Indonesia tahun 2007. Penelitian ini merupakan studi ekologi/korelasi. Data pendapatan daerah dan pembiayaan kesehatan didapat dari Kementerian Keuangan, sedangkan data gizi buruk menggunakan data Riset Kesehatan Nasional tahun 2007. Sebanyak 250 kabupaten/kota yang diteliti dengan tidak mengikutsertakan kabupaten/kota yang datanya tidak lengkap atau tidak valid. Secara nasional, hanya persentase pendapatan asli daerah (PAD) per total pendapatan yang berkorelasi dengan gizi buruk, meskipun korelasinya lemah (r = 0,22). Berdasarkan kawasan di Indonesia, Kawasan Indonesia Barat dan Kawasan Indonesia Timur menunjukkan persentase PAD per total pendapatan berkorelasi lemah dengan gizi buruk (r = 0,20 dan r = 0,53). Terlihat kecenderungan bahwa semakin tinggi persentase pendapatan daerah dan pembiayaan kesehatan, semakin rendah persentase gizi buruknya. Korelasi antara pendapatan daerah, pembiayaan kesehatan dan masalah status gizi tidak dapat diabaikan. Data yang lebih lengkap dan valid diperlukan untuk dikembangkan penelitian selanjutnya. Health financing is one of the factors which contribute important role in influencing health status, including nutritional problem among children under five, called severely wasted. Therefore, the aim of this study was to describe districts income and health financing and examine it correlations with the prevalence of severely wasted among children under 5 years at regencies/ municipalities level in Indonesia in 2007. This research was an ecological study. Data on revenue and health financing were obtained from Ministry of Finance, and severely wasted data were obtained from the Indonesian Basic Health Research (Riskesdas) 2007. There are 250 regencies/municipalities were being objects of this research, while the others were excluded due to incomplete/missing or invalid data. Result shows nationally, only the percentage of local revenue by total district income had correlation with severely wasted, although it is weak (r = 0,22). By regions, in the Western Region Indonesia and the Eastern Region Indonesia, those variable had weak correlation with severely wasted (r = 0,20 and r = 0,53). The graphics trend shows higher percentage of local revenue and health financing, related to lower number of the prevalence of severely wasted. The correlation between district income and health financing for poor nutritional status cannot be ruled out. More valid and complete data on district income and health financing is needed for further research.

Cost analysis of taxane-based and cisplatin-based chemotherapy regimens for epithelial ovarian cancer in dharmais national cancer hospital

Abstract: Objective: This exploratory study aimed to evaluate and compare the treatment costs of taxane-based versus cisplatin-based chemotherapy. Methods: This study used data from the medical and financial records of ovarian cancer patients who were admitted to Dharmais National Cancer Hospital (RSKD) between 2008 and 2012 and subsequently underwent surgery and were treated with chemotherapy. Data were analyzed using descriptive analysis, and a Kaplan–Meier graph was plotted to compare the survival of the patients in the taxane-based and cisplatin-based chemotherapy groups. Results: Of 41 patients, treatment costs were available for nine patients who had undergone taxane-based chemotherapy and for 31 patients who had undergone cisplatin-based chemotherapy. In general, surgical procedures accounted for the highest proportion of the treatment costs, followed by chemotherapy. Taxane-based chemotherapy (six cycles) was 4 times more expensive than cisplatin-based therapy. The pre- and post-chemotherapy costs of care among those treated with the taxane-based regimen were 3-4 times more expensive than those of the patients who received cisplatinbased treatment. The disease-free recurrence duration of the patients treated with taxane was longer (median=18 months) than that of the patients treated with cisplatin (median=5 months). Conclusions: Taxane-based therapy increased the disease-free recurrence duration of the patients, with disease-free recurrence 3 times longer than that of the patients treated with the cisplatin-based regimen. However, the treatment costs of the taxane-based regimen were 4 times higher than those of the cisplatin-based treatment.

What influences the implementation of kangaroo mother care? An umbrella review

Abstract: Kangaroo mother care (KMC) is an evidence-based intervention that reduces morbidity and mortality in preterm infants. However, it has not yet been fully integrated into health systems around the world. The aim of this study is to provide a cogent summary of the evidence base of the key barriers and facilitators to implementing KMC.An umbrella review of existing reviews on KMC was adopted to identify systematic and scoping reviews that analysed data from primary studies. Electronic English databases, including PubMed, Embase, CINAHL and Cochrane Library, and three Chinese databases were searched from inception to 1 July 2022. Studies were included if they performed a review of barriers and facilitators to KMC. Quality assessment of the retrieved reviews was performed by at least two reviewers independently using the Joanna Briggs Institute (JBI) critical appraisal checklist and risk of bias was assessed with the Risk of Bias Assessment Tool for Systematic Reviews (ROBIS) tool. This umbrella review protocol was documented in the PROSPERO registry (CRD42022327994).We generated 531 studies, and after the removal of duplicates and ineligible studies, six eligible reviews were included in the analysis. The five themes identified were environmental factors, professional factors, parent/family factors, access factors, and cultural factors, and the factors under each theme were divided into barriers or facilitators depending on the specific features of a given scenario.Support from facility management and leadership and well-trained medical staff are of great significance to the successful integration of KMC into daily medical practice, while the parents of preterm infants and other family members should be educated and encouraged in KMC practice. Further research is needed to propose strategies and develop models for implementing KMC.

The Series of Leaflets as Media for Education, Promotion and Monitoring of Exclusive Breastfeeding

Abstract: Mother's knowledge about the importance of exclusive breastfeeding is a problem that determines the success of exclusive breastfeeding. Information support is needed to increase the mother's knowledge. This research create an acceptable media for increasing breastfeeding mother's knowledge of exclusive breastfeeding. This research uses the action research method. There are 5 stages including diagnosis, making an action plan, acting, evaluating and learning. The informants of this research are the baby mothers, maternal and child health services cadres and the breastfeeding counseling team at the Pleret health centre. Data collection instruments and techniques using questionnaires and interviews. Credibility test with technical triangulation, which was analyzed using theories from Milles and Huberman. The creation of a series of leaflet media about exclusive breastfeeding guidelines consisting of six series. Leaflets are made attractive in terms of design. This series of leaflet media effective as an educational and promotional media about exclusive breastfeeding.

Building Critical Awareness Through HIV and AIDS Management Policy at Subdistrict and Village Level

Abstract: The number of PLWHA in Jember Regency has been increasing every year from 2004 to 2016 always, hence HIV/AIDS prevention must involve the community, not just relying on programs from the Department of Health or KPAD. Jember Regent’s policy on HIV/AIDS Management Team at Subdistrict and Village Level strategically involve all components of the society. Society’s participation was not limited to physical participation but extended to critical awareness. This is a descriptive analytic study about logical thinking on fostering critical awareness on HIV/AIDS through subdistrict and village HIV/AIDS team regulated by Jember’s Regent. Policy analysis was done through Triangle of Policy Analysis theory which includes: context, content, process and actors. The result showed that Jember Regent’s policy on HIV/AIDS prevention teams at subdistrict and village level was very effective to foster community’s critical awareness in HIV/AIDS preventive programs at Jember Regency.