Background: The optimal neonatal resuscitation requires healthcare personnel knowledge and experience. This study aims to assess the readiness of hospitals through its healthcare personnel in performing neonatal resuscitation. Methods: This study was an observational study conducted in May 2021 by distributing questionnaires to nurses, midwives, doctors, and residents to determine the level of knowledge and experience of the subject regarding neonatal resuscitation. We conducted the research in four types of hospitals A, B, C, and D, which are defined by the Regulation of the Minister of Health of the Republic of Indonesia by the capability and availability of medical services. The type A hospital is the hospital with the most complete medical services, while type D hospitals have the least medical services. The comparative analysis between participants’ characteristics and the knowledge or experience score was conducted.  Results: The total 123 participants are included in the knowledge questionnaire analysis and 70 participants are included in the resuscitation experience analysis. We showed a significant difference (p = 0.013) of healthcare personnel knowledge between the A type hospital (Median 15.00; Interquartile Range [IQR] 15.00–16.00) and the C type hospital (median 14.50; IQR 12.25–15.75). For the experience, the healthcare personnel of type A and type B hospitals have significantly higher experience scores than the type D hospital (p = 0.014; p = 0.007), but we did not find a significant difference between others type of hospital comparison. Conclusions: In this study, we found that the healthcare personnel from type A and type B hospitals are more experienced than the type D hospital in conducting neonatal resuscitation. We suggest more neonatal resuscitation training to improve the readiness of healthcare personnel from type C and type D hospital.

Background: Optimal neonatal resuscitation requires knowledge and experience on the part of healthcare personnel. This study aims to assess the readiness of hospital healthcare personnel to perform neonatal resuscitation. Methods: This was an observational study conducted in May 2021 by distributing questionnaires to nurses, midwives, doctors, and residents to determine the level of knowledge and experience of performing neonatal resuscitation. Questionnaires were adapted from prior validated questionnaires by Jukkala AM and Henly SJ. We conducted the research in four types of hospitals A, B, C, and D, which are defined by the Regulation of the Minister of Health of the Republic of Indonesia. Type A hospitals have the most complete medical services, while type D hospitals have the least medical services. The comparative analysis between participants’ characteristics and the knowledge or experience score was conducted. Results: A total of 123 and 70 participants were included in the knowledge and experience questionnaire analysis, respectively. There was a significant difference (p = 0.013) in knowledge of healthcare personnel between the type A hospital (median 15.00; Interquartile Range [IQR] 15.00–16.00) and type C hospital (median 14.50; IQR 12.25–15.75). In terms of experience, the healthcare personnel of type A (median 85.00; IQR 70.00-101.00) and type B (median 92.00; IQR 81.00-98.00) hospitals had significantly (p =0,026) higher experience scores than the type D (median 42.00; IQR 29.00-75.00) hospital, but we did not find a significant difference between other type of hospitals. Conclusions: In this study, we found that the healthcare personnel from type A and type B hospitals are more experienced than those from type D hospitals in performing neonatal resuscitation. We suggest that a type D hospital should refer the neonate to a type A or type B hospital if there is sufficient time in cases of risk at need for resuscitation.

Early detection of syphilis, especially during pregnancy, is important to prevent comorbidities for the mother and the baby. This study aims to determine whether VDRL is more sensitive and specific than RPR as a diagnostic screening test for syphilis infection in pregnant women. Literature searches for relevant articles were conducted in PubMed, Cochrane, and Proquest using the keywords "VDRL AND RPR AND pregnancy AND syphilis". From the search results, we found 7 articles in Pubmed, 2.290 articles in Proquest, and no relevant articles were found in Cochrane. Title and abstracts were screened for their conformity with the case and clinical questions that had been made. Selected articles were then critically appraised. The results of the study in selected articles indicated that VDRL and RPR showed a false positives rate of 10.5% and 9.6%, respectively. The sensitivity and specificity of VDRL were 71.6% and 89.5%, and those of RPR were 73.5% and 90.5%. VDRL and RPR have a moderate agreement with the TPHA (kappa = 0.6). From these studies it can be concluded that VDRL is not more sensitive and specific than RPR, implying that RPR is a better diagnostic screening test for syphilis infection in pregnant women than VDRL.

Introduction: Fastest developmental period of infants is on their first six months of life. However, smoking is a habit in Indonesia, done mostly by adult male (47.5%) on 30-34 years old group (33.4%) which can harm others, especially their family. Secondhand smoke, defined as environmental smoke that contains more than 4,000 dangerous chemicals, is the major cause of cigarette exposure, and home is the main place where children get exposed. Exposure of secondhand smoke can affect fetal brain, specifically on neurodevelopment stage, which can affect infant development.Methods: This study used analytic observational with cross sectional approach. Sampling method of the study was cluster sampling. This study involved 103 subjects who came to the selected primary health center. Data of smoking family was collected by interview, and infant’s development examination was done by the screening tool Pre-Screening Development Questionnaire (KPSP). Data were analyzed by chi-square correlation test between smoking habit and infant's development.Results: Number of infants in families with smoking habit were dominant which exposed by father is dominant (28.1%), followed by exposure by father and other family members (25.2%), and other family members (7.8%). Infants that were not exposed by secondhand smoke tend to pass the development test (67.5%). There was no significant relationship between infant’s development and smoking family habit (p = 0.128).Conclusion: Although the correlation is insignificant, parents should consider family smoking habit due to infants’ health and development.