ABSTRACT
Background. The Maternal Mortality Rate (MMR) in Indonesia is still a health problem that must be solved. In 2018 and 2019, the postpartum period still dominates maternal mortality in Surabaya. The postpartum visit method is one of the essential things that can affect postpartum services, so it is necessary to evaluate the implementation of the postpartum visit method and recommend visiting methods to improve maternal health. Objective.The study explores the implementation and recommendation of postpartum visit methods during the COVID-19 Pandemic. Materials and Methods. It used a qualitative research type by assessing the interview and observation dept. The instruments used are questionnaires and observation sheets. Researchers conducted interviews with 14 mothers who had completed the postpartum period, five midwives, a stakeholder in the health office and two experts in the field of maternal health. The data is processed using organizing, reduction, coding, description, linking between themes, and data interpretation. Results. Offline visits to health facilities still dominate the implementation of the postpartum visit method. The recommended postpartum visit method combines visits to health facilities, home visits, and telehealth. Besides that, it is necessary to consider maternal postpartum services up to 3 months after delivery, especially for postpartum mothers who have problems. Conclusion. The postpartum visit method during the COVID-19 pandemic, has not run optimally because there are restrictions on offline visits. However, it has not been supported by online monitoring or home visits.Copyright © the Author(s), 2023.
ABSTRACT
Provider Initiated HIV Testing and Counseling (PITC) is an HIV test offered by health professionals to patients as an initial diagnosis of HIV and a facility for obtaining HIV medication. Patient satisfaction helps assess the communication pattern between the client, the healthcare provider, and the healthcare manager. This study was conducted at 30 public health centres with 120 patients to determine patient Satisfaction concerning PITC, assessed through Customer Satisfaction Index (CSI) analysis. Then, the public health centre prioritized the importance-performance analysis (IPA) method in a Cartesian chart. The result obtained a 66,73% CSI value, meaning the PITC offered was relatively not good. The education level of patients and HIV test results correlate with patient Satisfaction with PITC services. Health professionals could optimize PITC service by improving the service quality by explaining that the HIV test was confidential, asking for the patient's consent before taking any action, and defining the phase of HIV growth thoroughly until it converted into AIDS.
ABSTRACT
Introduction: Many pregnant women and their families are lack to carry out the examination to detect earlier about highrisk pregnancies. Family empowerment models can improve the ability of families to early detection of pregnancy during the COVID-19 pandemic. This study aims to analyze the effectiveness of the family empowerment model on the ability to detect early pregnancy at risk during the COVID-19 pandemic. Methods: This study used an explanatory survey with a cross-sectional study approach and interventions of the family empowerment model on early detection ability of risk pregnancy. Sampling using the Probability sampling method with simple random sampling, a sample size of 100. Independent variables are interventions of the family empowerment model, while dependent variables of early detection ability of risk pregnancy during the covid-19 pandemic. Data collection instrument using questionnaires. The research data were analyzed using Structural Equation Modeling (SEM) based on variance or SEM-based components, known as Partial Least Squares (PLS). Results: The influence of personal factors, resource factors, cognitive behavioral factors, interpersonal factors, filial values, and commitments showed t-statistics > 1.96 and p-values <0.05. This means that there is a significant effect on all of these variables on family empowerment. The resulting coefficient is positive 0.080 so it can be said that better family empowerment tends to increase the ability of families in early detect high-risk pregnancies. That means there is a family empowerment model that makes participants feel more responsive, and alert, pay attention to self-care, and immediately check with health workers if there are danger signs. Conclusion: After being given the family empowerment model intervention almost all respondents were good in the ability to detect early pregnancy at risk during the COVID-19 pandemic contributed to increasing family involvement in intensive care for pregnant women to prevent pregnancy complications. © 2022, Sanglah General Hospital. All rights reserved.
ABSTRACT
The spread of the coronavirus disesase 2019 (COVID-19) virus is relatively fast and has infected hundreds of countries. The number of people suffering from COVID-19 continues to increase and is increasingly concerning. To reduce the possibility of spreading the Coronavirus, which is easily contagious, the World Health Organization (WHO) advises the public to maintain a safe distance from other people through physical distancing. This study is a systematic review using the preferred reporting item for systematic reviews and meta-analyzes (PRISMA) method using 454 articles from online journal databases. The databases used in the literature search were Pubmed, Science Direct, Sage, Emerald, and Proquest from 2020-2021. Based on the inclusion and exclusion characteristics, there were 8 of 454 articles met the inclusion criteria, and select for in-depth analysis. Physical distancing policy has an impact on adolescent mental health. Some of the mental disorders experienced by adolescents include feeling lonely, anxious, stressed, psychiatric disorders, to emotional disturbances. Boys have a higher increase in mental health problems than girls. We need a social network and social support specifically in adolescents to maintain physical distancing during the adolescent mental health policy in the COVID-19. © 2022, Intelektual Pustaka Media Utama. All rights reserved.
ABSTRACT
Covid-19 is an infectious disease caused by a type of coronavirus that was only discovered in 2019. Social support for Covid-19 patients is very important because there is a sharp stigma that society puts on patients and their families so that it can disturb the patient's psyche, along with the emergence of the global pandemic COVID-19, seems to add a line of disease that can create negative stigma for sufferers and their families. The purpose of this study was to analyze the effect of social support on COVID-19 patients in Kediri. The sample of this study was the patient's family and health personnel in Kediri, with descriptive analysis using SEM. Method. This research was explanatory research. The Population of this research was consisting of 170 patients and 150 patients according to cluster sampling technique. This research was using SEM analysis with AMOS tool which aimed to determine sampling in the city of Kediri. The results showed emotional support (B;2,377;Lower = 1,064;Upper = 2,775), instrumental support (B;0.560;Lower = 0.524;Upper = 0.830), information support (B;2.301;Lower = 1.647;Upper = 2,680), Award Support (B;2,360;Lower = 1,702;Upper = 2,740). Chi-Square Results (28,267);Probability (0.078);GFI (0.954);TLI (0.957);RMSEA (0.058) with a P-Value: 0.000 with an estimate of 0.720. It showed that the significant in building a social support model that affects the recovery of COVID-19 virus patients.