Résumé
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.
Résumé
Introduction: The lack of perception in determining service distribution of the queue system cause inefficiency of service. Therefore, this study aims to analyze and simulate the queue system of antigen rapid test in Terminal I Juanda Surabaya Airport area. Methods: This study used an observational design on antigen rapid test customers. It was conducted for three days consecutively in a week namely Saturday, Sunday, and Monday, while the data collected include customer arrival time and duration for each service. Furthermore, a total of eight variables were analyzed using Minitab and Matlab software. Results: The applied queue model was FIFO and the highest customer arrival rate was found in the registration and sample-taking services with 30 customers per hour. The highest means of service and waiting durations, as well as customer queue and average time spent for a service, was observed in the result-taking service with values of 19.26 minutes per customer, 9.27 minutes per customer, 167 customers per hour, and 28.53 minutes per customer. The highest idle service probability was found in the registration service with 0.76% per hour, while the highest chance of one customer being on the queue was observed in the result-taking service with 57.18% per hour, and the overall waiting time for service was 38.01 minutes. Conclusion: Simulation of queue system was suitably obtained with real-life conditions, the management needs to add channel at the result-taking service to minimize the waiting time. Each addition of one channel will decrease waiting time by 6.13 minutes. © 2022 UPM Press. All rights reserved.
Résumé
Introduction: Overweight and obesity in children is a global health problem among children of all ages. Based on the Indonesia Basic Health Research, overweight problems in children aged 5 12 years was still high, 18.8% were overweight and 8.8% were obese. In developing countries, the rate increased obesity and overweight in children 30% higher than developed countries. Aims: Our study aims to identify the relationship between gadgets use and pocket money with school children s nutritional status. Methods: This research was a cross-sectional study involving 672 schoolchildren randomly selected from ten elementary schools in Surabaya City, Indonesia. Data about duration of gadget use, pocket money, and snacking habit were assessed using structured questionnaire. Body weight and height were directly measured to calculate the subject s nutritional status using digital weight scale and stadiometer. Statistical analysis done in this study was Chi-square test to assess the relationship between variable tested. Results: The results showed that 38.8% of participants were overweight. 71.9% children were having gadget use for more than 2 hours/day, exceeding the recommended time use. Duration of gadget use and pocket money were significantly correlated with the nutritional status of school children (p 0.001). Snacking habits at home (p=0.302) and school (p=0.933) were not significantly correlated with nutritional status. Conclusions: Gadget use duration and pocket money proved to be correlated with the increase of nutritional status among schoolchildren. Thus, parents should pay more attention to control gadget use and pocket money to prevent overweight.