Background: Indonesia is one of the countries with the highest preterm birth rate. Preterm infants are more likely than term and normal weight infants to experience neonatal mortality and morbidity due to acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems. Kangaroo mother care (KMC) is a proven cost-effective intervention to help reduce mortality rates among preterm infants; however, it has not been fully implemented in hospitals.Purpose: Assess KMC knowledge and perceptions among health providers.Methods: This qualitative study was conducted from December 2015 to April 2016 and consisted of 21 in-depth interviews and 3 focus group discussions (FGDs). The 3 categories of health personnel in the study were clinical providers, hospital management representatives, and Indonesian Midwife Association members.Results: Most health providers know about the benefits of KMC including stabilizing temperatures, weight gain, and maternal-infant bonding and reducing human resources and labor costs. They were also aware of which newborns were eligible for KMC treatment. Their knowledge was mostly gained from observation or obtained from pediatricians and personal experience. They believed that a low birth weight infant in an incubator could not be treated with KMC and that it could only be practiced if a special gown was used when holding the baby. This perception could be caused by a lack of formal KMC training, leading to misunderstanding of its aspects.Conclusion: In conclusion, KMC knowledge of clinical providers in the 2 hospitals was sufficient, primarily due to their health-related educational background. Some perceptions could be potential barriers to or facilitate the implementation of KMC practice. These perceptions should be considered in future KMC training designs.
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.
ABSTRACT Nowadays, phubbing phenomena occur in various social groups, including college students. This has an impact on social relationships and physical health. This is a qualitative study which aims to describe the causes, behavior, and impact of phubbing. The informants were fifth semester Faculty of Public Heath, University of Indonesia undergraduate students’ year 2018. Data collected through focus group discussions on female students and in-depth interviews with male students. The results of this study indicate that students understand phubbing as a phenomenon where a person is more engaging with mobile phones than interacting with the surrounding environment. Duration of internet usage starts from 5 hours to almost 24 hours a day. Phubbing among students was due to the desire to get updated information and events, entertainment, and shows the activities or achievements of themselves. The influence of the social environment and the demands of the academic environment encourage the use of smartphones frequently. Some students experience physical health problems (tiredness, sore eyes, dizziness, nausea) and sign of mental problem (sad, depressed, lost confidence) due to improper use of smartphones. Therefore, education students regarding the use of the internet wisely to prevent phubbing behavior and its effects are needed. In addition, academic and student activities through direct interaction rather than internet need to be maintained. Keywords: Phubbing, student, internet, smartphone ABSTRAK Saat ini fenomena phubbing terjadi di berbagai kelompok sosial, tidak terkecuali mahasiswa. Hal ini berdampak pada hubungan sosial maupun kesehatan fisik seseorang. Penelitian ini merupakan studi kualitatif yang bertujuan untuk mengetahui penyebab, perilaku, dan dampak phubbing. Informan adalah mahasiswa FKM UI Strata 1, semester 5 tahun 2018. Pengumpulan data dilakukan dengan cara Focus group discussion (FGD) kelompok mahasiswa perempuan dan wawancara mendalam terhadap mahasiswa laki-laki. Hasil penelitian menunjukkan bahwa mahasiswa mengetahui phubbing sebagai fenomena dimana seseorang lebih banyak berkutat dengan handphone dibandingkan berinteraksi dengan lingkungan sekitarnya. Durasi penggunaan internet sehari mulai dari 5 jam sampai hampir 24 jam. Phubbing yang terjadi di kalangan mahasiswa dikarenakan keinginan agar tetap update informasi dan kejadian yang berlangsung, hiburan, dan juga menunjukkan kegiatan atau capaian diri sendiri. Pengaruh lingkungan sosial dan tuntutan lingkungan akademik mendorong penggunaan smartphone setiap saat. Sebagian mahasiswa mengalami gangguan kesehatan fisik (lelah, mata pedih, pusing, mual) dan tanda gangguan kesehatan mental (sedih, depresi, hilang percaya diri) akibat penggunaan smartphone yang tidak tepat. Perlu adanya upaya edukasi kepada mahasiswa mengenai penggunaan internet secara bijak sehingga mencegah perilaku phubbing dan dampaknya. Selain itu juga, perlu dipelihara kegiatan akademis maupun kegiatan mahasiswa yang dilakukan melalui interaksi secara langsung dibandingkan melalui internet. Kata kunci: Phubbing, mahasiswa, internet, smartphone
Toddlers’ eating behavior is influenced by many factors. This study aimed to determine food consumption behavior of toddlers in the urban slum (Kampung Melayu) and semi urban slum (Bantul). The study used the Rapid Assessment Procedure qualitative approach. The informants were mothers or toddler sitters, health workers, and local community leaders. The results showed that in slum urban areas, there was a tendency for parents to give children options to decide for themselves how much and what foods they wanted. In addition, this condition was supported by habits of mothers who did not cook because of the narrow space at their home, therefore buying ready-to-eat food was practice, easier and relatively cheaper. In semi urban areas, mothers still cooked at home and occasionally bought food outside. However, the main reasons for cooking were efficiency, to reduce the use of flavorings and preservatives, as well as to control food hygiene. Milk was a complementary and given to children aged under three years. Eating in the dining room and at the dinner table was not a necessity due to space limitation in the slum urban area.
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