Background: Asphyxia neonatorum is the condition of an infant who does not breathe spontaneously and regularly immediately after birth. This condition is accompanied by hypoxia, hypercapnia, and ends with acidosis. Long-standing asphyxia can cause brain damage and death. This study aimed to investigate risk factors of asphyxia in Nganjuk Hospital, East Java. Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Nganjuk Hospital, East Java, in July 2018. A total sample of 150 neonates was selected by fixed disease sampling, consisting of 50 neonates with asphyxia and 1oo neonates without asphyxia. The dependent variable was asphyxia. The independent variables were low birth weight, preterm birth, and pre eclampsia. The data were obtained from medical record and analyzed by a multiple logistic regression. Results: The risk of asphyxia increased with low birth weight (OR= 2.58; 95% CI = 3.80 to 46.15; p<0.001), premature birth (OR= 1.27; 95% CI= 1.23 to 10.25; p= 0.019), and pre-eclampsia (OR= 3.74; 95% CI= 12.54 to 141.05; p <0.001). Conclusions:The risk of asphyxia increases with low birth weight, premature birth, and preeclampsia.

Background: Cervical cancer is the fourth most prevalent cancer in women. Pap smear and visual inspection acetic acid (VIA) are essential screening tests to early detect cervical cancer. However, the use of screening tests remained low among women of reproductive age in Nganjuk district, East Java. This study aimed to determine the effectiveness of health education using flip chart and video on knowledge about early detection of cervical cancer among women of reproductive age in Nganjuk district, East Java. Subjects and Method: A randomized control trial conducted in Rejoso, Nganjuk, East Java, from October to November 2019. A sample of 120 women of reproductive age was randomized into two groups: (1) Experiment group that received health education using a flip chart and video, and (2) Control group that received no intervention. The dependent variable was knowledge of early detection of cervical cancer. The independent variable was health education using a flip chart and video. The data were collected using questionnaire. The data were analyzed by independent t-test. Results: After the intervention, knowledge about early detection of cervical cancer in the experimental group (Mean= 80.40; SD= 10.54) was higher than the control group (Mean= 70.53; SD= 9.68), and it was statistically significant (p <0.001). Conclusion: Health education using a flip chart and video is effective in improving knowledge about early detection of cervical cancer among women of reproductive age. Keywords: early detection, cervical cancer, health education, women of reproductive age Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI, Nganjuk, East Java. Email: ike.nurrochma@gmail.com. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.02.36

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