Development of contextual learning models through collaboration between lecturers, students, and village governments in nursing education / 한국의학교육

Purpose@#This study aims to develop a contextual learning model through a collaboration between lecturers, students, and the village government for nursing education. @*Methods@#This study used a qualitative design. The process of collecting the data was done through focus group discussions with 12 informants representing four stakeholders. There were four focus groups, namely universities, village governments, community health centers, and students. The discussion used open-ended questions that were developed through two parameters, the learning outcomes and learning activities. The data analysis undertaken used thematic analysis specifically. @*Results@#There were 11 grouped concepts found in this study which were able to be divided into three categories. The learning outcome category was formed of four concepts, including attitudes, mastery of knowledge, skills, and values. The learning process category was formed of five concepts, namely learning resources, learning methods and forms, learning media, learning time, and learning subjects. The main sources of contextual learning were found to be programs and maternal and child health (MCH) issues in the village. Techniques and instruments were the two concepts in the assessment category. A collaboration between lecturers and the village government to help students and to provide learning resources in the village integrates the program (MCH) with the learning outcomes. @*Conclusion@#These concepts are the initial framework to help the head of the study program to integrate the MCH programs and cases in the curriculum and to facilitate the contextualization of the knowledge from the nursing students.

Factors related to low birth weight in Indonesia

@#Introduction: Previous studies have reported that low birth weight (LBW) correlates with neonatal death and 15 - 20% of all births worldwide are LBW. This research aimed to analyse the factors related to LBW in Indonesia. Methods: The authors collated secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). The sample consisted of 17,443 respondents. Besides LBW as the dependent variable, the independent variables consisted of maternal age, residence, wealth, education, employment, marital status, health insurance, antenatal care (ANC) visits, smoking behaviour, and gender of the baby. The final stage employed binary logistic regression. Results: Women aged 35-39 years were 0.688 times less likely than women aged 15-19 years to give birth to LBW babies. The wealthiest women were 0.712 times less likely than the poorest women to give birth to LBW babies. Women with higher education levels were 0.670 times less likely to have a LBW baby than women with no education level. Women who attended ≥4 ANC visits were 0.829 times less likely to have LBW babies than women who attended <4 ANC visits. Baby girls were 1.161 times more likely than baby boys to be born with LBW. Conclusion: The study concluded that the factors related to LBW in Indonesia were maternal age, wealth, education, ANC, and gender of the baby.

Barrier to contraceptive use among childbearing age women in rural Indonesia

@#Introduction: The contraceptive prevalence rate in Indonesia has not experienced much improvement, which has led to an increase in the number of pregnancies. This study aimed to analyse the barriers to contraception use among women of childbearing age in rural Indonesia. Methods: This study used a cross-sectional design with data from the Indonesian Demographic and Health Survey (IDHS) of 2017. The independent variables were age, employment status, education, marital status, wealth status, health insurance and parity. The dependent variable was the use of contraception. The statistical significance was set at p <0.05 using bivariate analysis and binary logistic regression. Results: The study showed that the age group of 45–49 years (OR 0.199; 95% CI 0.149–0.266), secondary education (OR 2.227; 95% CI 2.060–2.514), women married/living with their partner (OR 43.752; 95% CI: 35.484–53.946), wealth status: middle (OR 1.492; 95% CI 1.400–1.589) and multipara (OR 2.524; 95% CI: 2.328–2.737) exhibited the increased use of contraception among women of childbearing age in rural Indonesia. Conclusion: The variables proven to represent obstacles to contraceptive use among women of childbearing age in rural Indonesia include old age, no education, no husband/partner, poverty and already having one child.