Objectives
The study aims to explore any possible regulations which are generated by the Local Governments to strengthening the MMS program in Indonesia.
Methods
The implementation research was conducted in 6 Districts in Indonesia, using qualitative approach completed with problem solving. A multi-sector approach was done to identify the health problems and how the existing programs were performed. The MMS was distributed in 6 Disricts area as a part of local government's program on stunting reduction acceleration as well as maternal mortality reduction, since 2019. The MMS was provided by Vitamin Angels & Kirk Humanitarian. Simultaneous with the distribution of MMS, we identify the regulations which were generated by Local Government. The evaluation of the effectiveness of MMS intervention and the availability of government's regulation was conducting on September – December 2021.
Results
The six districts where our study conducted are categorized as focus location of stunting reduction program determined by the Indonesian Government. All of districts has programs priority on stunting reduction acceleration. In this context, MMS was adopted by local government (District Health Office) as complementary program of IFA in routine antenatal care and preconception services. All districts generate the regulations related to stunting reduction acceleration, where MMS may play a role as a part of specific intervention. Four of 6 Districts were explicitly explain MMS intervention in the documents, but all Districts committed to use MMS in their program. There are 30–50% reduction of stunting prevalence among 6 districts.
Conclusions
All of districts committed to use the MMS as a part of intervention on stunting reduction, and aware about the important of regulations to a sure the MMS program implementation.
Funding Sources
The Vitamin Angels Alliance, Inc., California, USA.
Niven's theory. This study aimed to compare nurse obedience to using PPE through the analyses of Milgram's and Niven's theories. This study was an observational study with a cross-sectional study design. The population of this study was 187 nurses in the inpatient installation of Dr. R. Sosodoro Djatikoesoemo Bojonegoro Hospital. A sample of 113 nurses were then selected to be the respondents. The influence test was performed using linear regression. Based on Milgram's theory, external factors were more dominant in controlling obedience to using PPE. The external factors that had a significant effect included location status, proximity to authority figures, and the legitimacy of authority figures. Meanwhile, Niven's theory showed only one internal factor, understanding instruction significantly influenced nurse obedience to using PPE. Therefore, it is recommended to formulate regulations and a more binding system through rewards and punishment to increase nurse obedience to using PPE
Cases of early marriage are reported to have increased during the pandemic due to stressed teenagers with the pressure of online learning. The increase in this number plays a role in increasing the risk of teenage pregnancy. This study aimed to analyse the risk factors for adolescent pregnancies during the new normal era of the COVID-19 pandemic. A case-control design using a simple random sampling technique involved 40 pregnant adolescents aged 15-19 years and 80 non-pregnant adolescents during the online learning period (July 2021 to January 2022) in Ngawi Regency, Indonesia. Data obtained from interviews were analysed to find Odds Ratio (OR) with a 95% Confidence Interval (CI). Results showed factors associated with adolescent pregnancies were underpaid parental income (OR 4.00, 95%CI 1.64–9.74), authoritarian and permissive parenting (OR 12.75, 95%CI 4.71–34.46), lack of exposure to media about reproductive health (OR 7.91, 95%CI 3.32–18.84), risky dating behaviour (OR 37.09, 95%CI 4.86–283.25), and smoking habit (OR 5.57, 95%CI 1.03–30.12). Preventing adolescent pregnancies could be done through public health education focusing on adolescent communities, parent-child discussion on reproductive health, as well as exposure to educative media related to reproductive health and the impacts of juvenile delinquency.
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