Background: The infant and neonatal mortality rate in Depok City is still high, with low birth weight (LBW) and premature births being one of the main causes. In 2018, 14 out of 41 cases of early neonatal death were due to LBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBW deaths caused by hypothermia, but the implementation is still not evenly distributed. Objective: Describe KMC feasibility as a supporting material for a KMC policy umbrella at Depok City. Method: Qualitative research was conducted with a Rapid Assessment Procedure (RAP) design. A total of 56 informants were divided into 8 discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD). The types of informants were families and inter-sectoral officers. Thematic analysis was used to analyze the data. Results: KMC implementation feasibility in Depok City in terms of facilities and infrastructure was still limited and the quality was insufficient. The number of human resources was still limited, and the competency was still not evenly distributed. LBW family readiness can be maintained if provided with complete and accurate knowledge; therefore, a strong commitment may develop to continue KMC at home. The potential sources of KMC financing are found at health facilities and inter-sectoral; however, to use it, a legal umbrella at the city district level is necessary. Conclusions: The factors of potential financing sources need to be followed up into a priority. This is to overcome the constraints of KMC feasibility implementation.
Measles is one of the main causes of global mortality in the under-fives. The existence of groups that reject immunization caused a decrease in immunization coverage. Anti-vaccine messages are widely delivered on social media. Identification of vaccine rejection behavior can be used as the basis to formulate effective program strategies. The design of this study used rapid assessment procedures (RAP). The informants were from two anti-vaccine communities in the Facebook group. In-depth interviews and observations were done for data collection, and data analysis was performed using the Framework Method. The results found that determinants, such as knowledge, beliefs in health behavior and disease prevention, religion, culture, and government policies play a role in shaping informants’ perceptions of vaccines and disease risks. The design factors of vaccination programs and the reliability of vaccine producing sources were found to be inhibiting factors for informants to receive vaccines. Also, experience with vaccines, health workers' role, and lobbying by anti vaccine groups strengthened informants' attitude who initially doubted vaccines, causing them to reject vaccines ultimately. It is suggested to the Ministry of Health to improve vaccination campaigns through social media, conduct vaccine development study, and increase health workers' knowledge related to vaccines and make their communication techniques more effective.
Nutritionist from Center of Public Health Beji stated that there are still many cadres who have not participated in training on complementary foods for children under two years (baduta). Likewise, nutritional counseling is rarely done in Integrated Services Post (Posyandu) because of the limited knowledge and resources of adequate cadres. The results of research findings in the Depok city area showed that the mothers have knowledge about nutrition and complementary children’s foods is still lacking. The community service program was carried out in the form of training involving 10 Posyandu represented by 28 cadres from Beji and East Beji Villages. The cadres’ engagement method is in a form of training. The purpose of training is to improve the nutrition, knowledge of complementary foods for children, and the skills of cadres in information & education, and counseling. The training took place on 29-30 August 2019. The facilitator from the Depok City Health Office, Center of Public Health Beji, and Universitas Indonesia. Cadres practiced information & education in Posyandu with the target of 129 infant mothers and counseling for twenty mothers under two years of children. The success of training is measured through pre-test and post-test for cadres and observations of skill cadres. An increase in cadre knowledge score after training by 11 points and category knowledge of cadres are sufficient and good. The results of cadre observations while information & education showed there were still shortcomings in terms of verbal reinforcement skills and fun activities such as singing. Cadre counseling activities still need to be improved in terms of conducting studies such as looking at maternal as child health books also recording counseling results. Training of cadres can improve the knowledge of complementary foods and skills of communication & education also counseling for the mother’s baduta
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