Previous studies have suggested that a toddler stunting is closely related to maternal characteristics. Working mothers, as a group, are vulnerable to having a stunted toddler. The present research aimed to analyze factors related to stunting incidence in toddlers with working mothers in Indonesia. The study sampled 44,071 toddlers with working mothers. The final stage used a multinomial logistic regression test. The study found that working mothers living in rural areas have a higher probability of having stunted or severely stunted toddlers. Maternal age partially affects the incidence of stunted toddlers in Indonesia. Mothers in the ≤19 age group are 1.461 (95% CI 1.140–1.872) times more likely than those in the ≥45 group to have a severely stunted toddler. Those who were never married were 1.433 (95% CI 1.006–2.043) times more likely than those who were divorced/widowed to have a severely stunted toddler. A married mother was 0.734 (95% CI 0.617–0.872) times less likely to have a severely stunted toddler than a divorced/widowed mother. Better education is protective against working mothers having stunted toddlers. Moreover, the present study found that the toddler’s age determined the incidence of stunted toddlers. This study concluded that there are five variables related to stunting incidence in toddlers with working mothers in Indonesia: residence, age, marital status, education, and toddler age.
Maternal Mortality Rate in Indonesia is still the highest compared to other ASEAN countries and faces a gap in access to health services. It needs a waiting house that is close to health service facility and can be temporarily occupied by pregnant mother before delivery which is Maternal Waiting Homes (MWH). This analysis to know aspects that can maintain the continuity of RTK services. This study uses secondary data by listing the policy and regulatory documents related to RTK policy and by organizing several workshops to gain a view of policy makers. The results show that the MWH fi nancing system is still local and not well coordinated. The number of health workers who provide services in MWH is still limited. Likewise, MWH facilities and facilities are still inadequate, in particular, water and electricity problems, as well as a place for families accompanying maternity mothers. Most MWH s only provide facilities for living without maternal and neonatal care services. Several efforts have been made by the local government in encouraging the utilization of MWH in pregnant women among others by involving customary institutions and the use of communication technology for early emergency detection of pregnant women. MWH sustainability can be built with the full support of local government, socialization and synergies with related sectors. Abstrak Angka Kematian Ibu di Indonesia tertinggi dibandingkan negara-negara ASEAN lain dan menghadapikesenjangan akses pelayanan kesehatan. Rumah tempat menunggu yang dekat dengan fasilitas pelayanankesehatan dan dapat dihuni sementara oleh ibu hamil sebelum persalinan yaitu Rumah Tunggu Kelahiran(RTK) merupakan salah satu alternatif solusi. Analisis dilakukan untuk mengetahui aspek yang dapat menjagakeberlangsungan layanan RTK. Kajian ini menggunakan data sekunder dengan cara menginventarisir dokumenkebijakan dan peraturan perundangan yang terkait dengan kebijakan RTK serta dengan mengadakan beberapaworkhop untuk memperoleh sudut pandang para penentu kebijakan. Hasil menunjukkan sistem pembiayaanRTK masih bersifat lokal dan belum terkoordinasi dengan baik. Jumlah tenaga kesehatan yang memberikanpelayanan di RTK masih terbatas. Demikian juga fasilitas dan sarana RTK masih belum memadai, terutama,masalah air dan listrik, serta tempat untuk keluarga yang mendampingi ibu bersalin. Sebagian besar RTKhanya menyediakan fasilitas untuk tinggal tanpa pelayanan perawatan kesehatan ibu dan bayi. Beberapaupaya telah dilakukan pemerintah lokal dalam mendorong pemanfaatan RTK pada ibu hamil di antaranyadengan melibatkan lembaga adat dan penggunaan teknologi komunikasi untuk deteksi darurat dini bumil risti.Keberlangsungan RTK dapat dibangun dengan dukungan penuh pemerintah daerah, sosialisasi dan bersinergidengan lintas sektor terkait.
Background: Involving husbands in maternal and child health programs can reduce maternal morbidity and mortality. The study aimed to analyze the factors related to the husband’s involvement in antenatal care (ANC) visits in Indonesia. Methods: The study was a cross-sectional study. The research employed secondary data from the 2017 Indonesian Demographic and Health Survey. The analysis units were wives aged 15–49 years old, married, and pregnant in the past 5 years, and the final samples obtained were 14,319 respondents. In addition to the husband’s involvement were residence, age, education, occupation, wealth, and parity. The study used a binary logistic regression test in the final stage. Results: Husbands who lived in urban areas have odds of being involved in ANC visits 1.2 times greater than those in rural areas. The better the husband’s education was, the more involved they were in ANC. The results show husbands who work in any field were better at being involved in ANC. Poorer husbands had odds of being engaged in ANC visits 2.0 times more likely than the husbands’ lowest group. The most prosperous husbands have odds of being involved in ANC visits 5.4 times than the poorest husbands. The husbands’ wealth is better, the more the husbands were engaged in ANC. The more children were born, the less frequent the husbands’ involvement in ANC is. Conclusion: The study concluded five variables associated with husbands’ participation in ANC in Indonesia, including residence, education, occupation, wealth, and parity.
Latar Belakang: Skrining kesehatan tertentu meliputi Inspeksi Visual dengan Asam Asetat (IVA), Pap Smear, krioterapi, dan pemeriksaan gula darah termasuk pogram deteksi dini penyakit tidak menular. Kota Bogor, Jawa Barat telah melaksanakan program skrining tersebut sejak 2010. Penelitian bertujuan untuk mengatahui gambaran program skinning kesehatan di Kota Bogor dari sisi sumber daya manusia, peralatan, dan capaian skrining. Metode: Desain penelitian cross sectional. Sumber data berasal dari Dinas Kesehatan dan Puskesmas di Kota Bogor, Jawa Barat. Tempat penelitian di Kota Bogor, Jawa Barat, dilaksanakan pada Februari –November 2018. Seluruh 25 Puskesmas se-Kota Bogor menjadi populasi dan sampel dalam penelitian ini. Analisis dilakukan secara deskriptif-kuantitatif dan analisis komparatif. Hasil: Hasil penelitian menunjukkan rata-rata SDM per Puskesmas untuk IVA, gula daraah, dan krioterapi adalah masing-masing 4,5 orang, 2,4 orang, dan 0,3. Belum ada SDM Pap smear. Rata-rata peralatan per Puskesmas untuk IVA (meja ginekologi) 1,08, speculum 10,3, Pap smear 0,28, krioterapi 0,32, dan gula darah 1,08. Capaian skrining IVA sebesar17,4% dari targettahun 2018. Rata-rata pemeriksaan IVA 890 per Puskesmas, krioterapi 4,9, pemeriksaan gula darah 837. Tidak ada pemeriksaan Pap smear. Hasil analisis komparatif menunjukkan tidak ada perbedaan rata-rata pemeriksaan IVA antarkecamatan di Kota Bogor Kesimpulan: SDM dan peralatan skrining IVA dan gula darah tesedia di semua Puskesmas, tetapi tidak untuk krioterapi dan Pap smear, capaian skrining IVA lebih rendah dari target, semua Puskesmas melakukan pemeriksaan IVA, krioterapi, dan gula darah tetapi tidak ada Pap smear. Tidak ada perbedaan rata-rata pemeriksaan IVA antar kecamatan.
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