Cultural, Belief, And Lifeway Factors in Diabetes Patients: An Ethnonursing Study

@#Introduction: The people of Sumba prefer traditional medication from shamans as they believe that diabetes they suffer from the Marapu, hence uncurable by modern medical means. This study aimed to derive a picture regarding diabetes patients’ cultural values, beliefs, and lifeways in the East Sumba ethnic of Indonesia. Methods: This study uses a qualitative design with an ethnographic approach which was conducted in 2018. The main participants in the study were seven diabetic patients, were determined purposively. Focused discussions were held with the person in charge of the non-communicable disease program from seven Public Health Centers. Data were collected from interviews, focus group discussions, field notes and observation sheets. All data were analyzed by content analysis method corresponding to the 4 phases in ethnonursing. Results: Five themes were generated in this study with details of three themes describing the cultural values of diabetic patients (subthemes traditional ceremonies, chewing happa, and traditional medicine), one theme describing the beliefs of diabetic patients (subthemes perceptions about diabetes) and one theme describing the lifestyle of diabetic patients (subthemes eating/drinking patterns, spiritual values, rest/sleep habits, and daily activities). The culture of diabetics depicted in adat ceremonies, happa or betel nut chewing, and traditional medication, which is still thick in East Sumba and their beliefs on the disease they suffer from, exert influence on their daily lives, including their eating or drinking patterns, spiritual values, resting or sleeping patterns, and daily activities. Conclusion: This finding can be helpful for the effort to improve nursing for diabetes patients by cultural approaches.

Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia / 소아과

PURPOSE: This study aimed to evaluate a pilot project of the Nursing Feeding Center “Posyandu Plus” (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6–36 months at community health centers in Indonesia. METHODS: A quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3. RESULTS: LFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ (0.96±0.97) and WAZ (0.45±0.72) increased; BAZ increased (1.12±0.93) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by 0.53±0.52, which indicated 57.8% had short stature. CONCLUSION: The NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent / 한국역학회지

OBJECTIVES: Complex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents. METHODS: A cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses. RESULTS: The prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran [courtship] and nikah siri [non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior. CONCLUSIONS: Sex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls.