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Migrasi perawat lintas batas merupakan isu internasional yang memiliki dampak besar pada negara sumber dan tujuan. Belum tersedianya layanan penyediaan akses informasi migrasi dalam bentuk aplikasi teknologi berbasis android menyebabkan terhambatnya desiminasi informasi yang didapatkan mengenai seputar peluang kerja di luar negeri. Tujuan pengabdian masyarakat adalah membantu menyelesaikan permasalahan mitra khususnya Kementeria Kesehatan Republik Indonesia untuk meningkatkan kesempatan kerja yang lebih luas bagi perawat Indonesia melalui pendayagunaan perawat ke luar negeri. Metode yang digunakan dalam pengabdian masyarakat ini adalah pembuatan aplikasi android pasar kerja perawat dan workshop dengan Kemenkes sebagai upaya peningkatan akses informasi pasar kerja keperawatan. Hasil dari pengabdian masyarakat ini adalah Aplikasi Pasar Kerja Perawat berbasis android dengan jumlah pengguna baru yaitu 1,130 dan pengguna aktif 925 yang tersebar di 7 negara. Kemenkes RI menyambut baik pengabdian masyarakat terkait aplikasi berbasis android sebagai upaya pendayagunaan perawat Indonesia.

High graduation of nurses and limited job opportunities in Indonesia may lead to the emigration of nurses particularly through facilitated migration. This study aimed at identifying the prevalence of Indonesian nursing students with intention to work in Japan and predictors of their intention to migrate as well as having a definite plan to work in Japan. The study adopted cross-sectional design with a sample of 1,407 Indonesian nursing students. Factors associated with having migration intention, as well as a definite plan to work in Japan, were age, residence, and overseas experience. Other factors related to a definite plan to work abroad were family income, mastering a foreign language, knowledge about the nurse migration related to Indonesia-Japan cooperation, and their motivations to migrate to Japan. Sustainability of this international recruitment of nurses is possible by understanding the context of both source and destination countries. Maximizing benefits of migration of nurses for Indonesia and Japan requires structured policies targeting the educational sector and addressing the sustainability issues.

Introduction: This study was undertaken to verify effect of regular exercise training on insulin sensitivity and the modifiable cardiovascular risk factors, and to determine if there was any effect from the different regular exercises. Methods: A database search using PRISMA examined articles from Scopus, ScienceDirect and ProQuest. The inclusion criteria were that the article used a randomized controlled trial within the last 10 years, that the respondents were people with type 2 diabetes mellitus and that only physical exercise was the intervention involved. In total, 1,303 articles were screened and 16 articles were included that fit the criteria of inclusion in this systematic review. Results: Based on the review of the 15 articles, the findings show that regular exercise training has some benefits related to glycemic control. It can reduce insulin resistance, plasma insulin, fasting blood glucose, postpandrial blood glucose and hbA1c. . Moreover, physical exercise has other benefits for people with type 2 diabetes mellitus, such as an increased peak oxygen consumption (VO2 peak) and decreased c-reactive protein (CRP) level. Conclusion : Regular exercise training has benefits for people with type 2 diabetes mellitus and it can allow them to achieve of optimal glycemic control by improving insulin resistance and decreasing the cardiovascular risk factors. Physical exercise such as combined exercises (aerobic and resistance exercise) or a single exercise such as aerobic exercise can be recommended to improve insulin sensitivity and the modifiable cardiovascular risk factors in patients with T2DM.

Purpose This study aimed to analyze the effect of Trauma-Focused Cognitive Behavior Therapy (TF-CBT) on the depression level and quality of life of the elderly in an earthquake-affected district of North Lombok Regency, Indonesia. Design/methodology/approach A Randomized Controlled Trial (RCT) with a population of two elderly groups living in an earthquake-affected district was used in this study. The intervention comprised giving TF-CBT. There were three research instruments applied to determine the variables, namely, the Clinician-Administered PTSD Scale (CAPS-5), the Geriatric Depression Scale 15 (GDS 15) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). All instruments were adopted and translated using back translation to Bahasa Indonesia, which is appropriate at the suggestion of the WHO. To investigate the effect of the intervention, we used hierarchical linear models (HLM) with intent-to-treat analysis. The patent parameter effect was tested using the Wald test (t-test) with a confidence Interval of 95 per cent. Findings The final analysis applied CAPS-5 and showed that there was a decrease in the PTSD of the respondents, which was down to only 8 (17.8 per cent) in the post-test. The same situation happened for the depression variable (2.8 per cent) after it was assessed using GDS-15C. The Quality of life (WHOQoL-BREF) variable was divided into Physical (50.7), Psychological (57.1), Social (53.6) and Environmental (45.7). These components show there to be a significant result in terms of improving the quality of life of the elderly victims of the earthquake. The finding highlights that applying TF-CBT in the elderly population can significantly drop post-traumatic stress disorder and depression level and enhanced quality of life. Social implications The intervention decreased the depression level and improved the quality of life of the elderly as found in the six- week follow-up. Longer training and integration with the structured local wisdom could be necessary to better address the mental health of the elderly affected by the earthquake. Moreover, strengthening the role of the family as the primary caregiver is required to improve the outcome. Originality/value This is the first study that has attempted to use TF-CBT as a method of treatment for the elderly to decrease their depression and to increase quality of life among the Indonesian elderly who have experienced an earthquake. This paper provides knowledge on the effectiveness of TF-CBT that can be used by therapists to treat depression problems suffered by the elderly in a post-disaster area.

Cil: Zdravotnický personal je považovan za jeden ze zasadnich faktorů ve snaze snižit mortalitu a morbiditu při porodu. Nas výzkum si klade za cil prozkoumat vztah mezi kvalitou zdravotnickeho personalu a komplikacemi při porodu. Metodika: Byla provedena retrospektivni průřezova studie, ve ktere byla analyzovana data týkajici se porodů a zdravotnickeho personalu ve vysoce specializovaných (terciarnich) nemocnicich v indoneskem regionu Java. Výsledky: Tato studie odhalila, že kvalita zdravotnickeho personalu je silně spojena s výskytem komplikaci při porodu. Porodni saly s větsim poměrem zdravotnickeho personalu na jeden porod omezily pravděpodobnost výskytu komplikaci při porodu o 52 % (OR = 0.476; 95 % CI: 0.307-0.739). Na porodnich salech s větsim poměrem porodnich asistentek na jeden porod nicmeně doslo k 1,8nasobnemu zvýseni pravděpodobnosti komplikaci při porodu (OR = 1.809; 95% CI: 1.070-3.059). Pravděpodobnost výskytu komplikaci při porodu na porodnich salech je u zdravotnich sester snižena o 52 % za každý dalsi odsloužený rok (OR = 0.476; 95% CI: 0.304-0.745) a o 69 % za každý dalsi odsloužený rok u porodnich asistentek (OR = 0.313; 95% CI: 0.200-0.491). Zavěr: Zjistěne skutecnosti ukazuji význam zdravotnickeho personalu v mateřske peci na terciarni urovni. Doporucuje se provest dalsi výzkum, který by dale podpořil zavaděni zdravotni politiky založene na faktech při nastavovani standardů zdravotni pece pro zdravotnický personal v ramci mateřske pece.

The hospital is an organization in the service sector with nurses as the main resource. Increasing the commitment of the nurses was one of the ways to retain nurses. This cross-sectional study explained nurse’s foci of commitment model to decrease turnover intention. Variables in this study included nurse characteristics, job characteristics, work experience, organizational factors, nurse commitment, and turnover intention. The population was nurses who have worked in islamic hospital in Surabaya, Indonesia. The 119 nurses selected as sample based on simple random sampling. Data collected using questionnaires and analyzed using partial least squares (PLS). Nurse characteristics influenced nurse commitments (path coefficient=0.252; t=2.953) and turnover intention (path coefficient=- 0.239; t=2.458). Job characteristics influenced nurse commitments (path coefficient=0.190; t=2.409) and turnover intention (path coefficient=-0.183; t=2.107). Work experience influenced nurse commitments (path coefficient=0.208; t=2.231) and turnover intention (path coefficient=-0.153; t=1.964). organizational factors influenced nurse commitments (path coefficient=0.218; t=2.170) and turnover intention (path coefficient=-0.174; t=2.330). Nurse commitment influenced turnover intention (path coefficient=-0.226; t=2.084). The nurse's commitment as moderate these factors in reducing turnover intention. The influence of job satisfaction, nurse commitment, and perceived organizational support to turnover intention needs further research.

Objective The coverage of postnatal care (PNC) is among the lowest globally when compared with other maternal and child interventions. This study aims to assess PNC utilisation in Indonesia and its association with women’s empowerment indicators to provide evidence for the need for policy change. Methods Data from the 2017 Indonesian Demographic Health Surveys was analyzed for any use of PNC, early first PNC (within 2 days of birth) and PNC after discharge for newborns. Women’s empowerment factors were calculated using a principal component analysis of 17 indicators. The association between women’s empowerment factors and PNC was assessed using logistic regression adjusted for covariates and complex survey design. Results The prevalence of any PNC by skilled professionals in Indonesia was high but PNC after discharge was very low. Labor-force participation and women’s knowledge level were associated with any PNC, but the association between women’s knowledge level and any PNC was modified by place of birth. Disagreement towards justification of wife beating and women’s knowledge level were associated with early PNC but the association was modified by place of birth. Decision-making power was also associated with early PNC but modified by infant’s gender. Disagreement towards justification of wife beating was negatively associated with PNC after discharge, but the association between decision-making power and PNC after discharge was modified by the infant’s size at birth. Conclusions for Practice PNC coverage after discharge in Indonesia needs improvement. Women’s empowerment indicators need to be addressed in improving PNC coverage. Supplementary Information The online version contains supplementary material available at 10.1007/s10995-021-03324-y.

Background Complementary foods with breastfeeding are foods or drinks given to children aged 6–23 months to meet their nutritional needs. The non-optimal provision of complementary feeding influences malnutrition in children of this age. Aims To analyze the factors associated with complementary feeding practices among children aged 6–23 months in Indonesia. Methods A cross-sectional design was employed using data from the 2017 Indonesia Demographic and Health Survey. A total of 502,800 mothers with children aged 6–23 months were recruited through multistage cluster sampling. Data were analyzed using a logistic regression test to determine the correlation between predisposing, enabling, and reinforcing factors and complementary feeding practices. Results A prevalence values of analysis showed that approximately 71.14%, 53.95%, and 28.13% of the children met MMF, MMD, and MAD, respectively. The probability of achieving minimum dietary diversity (MDD) was high in the following: children aged 18–23 months (odds ratio [OR] = 9.58; 95% confidence interval [CI] = 7.29–12.58), children of mothers with higher education (OR = 5.95; 95% CI = 2.17–16.34), children from households with upper wealth index (OR = 2.53; 95% CI = 1.85–3.48), children of mothers who received childbirth assistance by professionals (OR = 1.63; 95% CI = 1.20–2.20), and children of mothers who had access to the Internet (OR = 1.26; 95% CI = 1.06–1.50). Moreover, children from households with the upper wealth index (OR = 1.40; 95% CI = 1.03–1.91), children whose mothers were employed (OR = 1.19; 95% CI = 1.02–1.39) living in urban areas (OR = 1.28; 95% CI = 1.06–1.54) and children of mothers who received childbirth assistance by professionals (OR = 1.33; 95% CI = 0.98–1.82) were more likely to meet Minimum Meal Frequency (MMF). Finally, children aged 18–23 months (OR = 2.40; 95% CI = 1.81–3.17), of mothers with higher education (OR = 3.15; 95% CI = 0.94–10.60), from households with upper wealth index (OR = 1.41; 95% CI = 1.05–2.90) and born with professional childbirth assistance (OR = 1.82; 95% CI = 1.21–2.75) were significantly associated with minimum acceptable diet (MAD). Conclusions The findings revealed that the prevalence of MDD and MAD in Indonesia was low. Strategies such as improving health services, economic conditions, and education level of mothers are needed to improve infant and young child feeding in Indonesia.

Background and objective Coronavirus disease 2019 (COVID-19) survivors face societal stigma. The study aims to analyze the association of this stigma with the mental health and quality of life of COVID-19 survivors. Methods In this cross-sectional study, we observed 547 adults who were previously documented as severe acute respiratory syndrome coronavirus (SARS-CoV-2) positive by a polymerase chain reaction (PCR) test, treated in a hospital or an emergency hospital and proven to be SARS-CoV-2 negative by their latest PCR test. We adopted the Berger HIV Stigma Scale to measure stigma; the World Health Organization Quality of Life Brief Form to measure quality of life; and the Mental Health Inventory-38 to measure mental health. The chi-square and binary logistic regression tests were used to find the correlation between the variables. Results The multivariate analysis revealed that medium stigma was more likely related to quality of life and mental health than low stigma. Females were less likely to experience stigma related to mental health than men, and respondents who worked as laborers and entrepreneurs were less likely to experience stigma related to mental health than those who worked as civil workers/army personnel/teachers/lecturers. COVID-19 survivors experienced medium stigma in society and lower quality of life and mental health status. We found that quality of life and mental health were affected by stigma, sex, and occupation. Conclusion COVID-19 survivors are a vulnerable group that is most at risk when they return to their communities. Creating a safe environment and providing respectful care, including addressing complex stigma factors, is vital for developing appropriate interventions.

Ferry Efendi,1,2 Joni Haryanto,1,2 Retno Indarwati,1,2 Heri Kuswanto,3 Elida Ulfiana,1,2 Eka Mishbahatul Mar’ah Has,1,2 Mei-Chan Chong4 1Department of Advanced Nursing Care, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; 2Community Health, Geriatric and Family Nursing Research Group, Universitas Airlangga, Surabaya, Indonesia; 3Department of Statistics, Institut Teknologi Sepuluh Nopember (ITS), Surabaya, Indonesia; 4Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaCorrespondence: Ferry Efendi Email ferry-e@fkp.unair.ac.idBackground: The Indonesian policymakers need to respond to the current challenges, particularly the excess of nurses and the increased demand for nurses in the global market.Objective: This study aimed to present the perception of policymakers and stakeholders on the management of overseas migration of Indonesian nurses.Methods: This study is a descriptive qualitative design where data were collected through structured interviews with key stakeholders representing the Indonesian government, namely the Ministry of Health (MOH), the Ministry of Labour (MOL), Ministry of Education (MOE) and the Indonesian Migrant Workers Protection Agency (BP2MI). The in-depth interviews involved participants who were responsible for managing Indonesian nurses’ migration. The qualitative data were analyzed thematically using a content analysis approach.Results: The issues involving nurses’ migration policy are quite complex and sectoral. Themes emerging from this study include the move towards global market orientation, addressing challenges on international nurse migration, strengthening coordination among stakeholders and making the most of opportunities. All the themes reflect that the country should work hard to achieve the balance between quantity and quality of nursing resources for the international market.Conclusion: As regulator and executor of Indonesian nurse migration, various government policies have responded to the low number of Indonesian nurses’ migration overseas, emphasizing the three cycles of migration: pre-migration, migration and post-migration. The preparation of resources, regulations and placements for Indonesian nurses abroad open the opportunity to the international nursing labour market. Hence, the policies need to be strengthened from upstream to downstream to make Indonesian nurses more competitive and adaptive in global market.Keywords: health worker, Indonesian nurses, migration, workforce, active labour market policies, global jobs

Purpose The purpose of this paper is to analyze factors associated with post-traumatic stress disorder (PTSD) among elderly who live in a post-earthquake area. Design/methodology/approach This was a cross-sectional study involving 152 elder people who survived the disaster and were selected conveniently. The study was conducted in two worst-affected districts of Lombok Utara regency. PTSD was diagnosed using a modified version of the Clinician-Administered PTSD Scale version 5 (CAPS-5). The demographic data were assessed using a self-developed questionnaire consisting of 13 items. All data were analyzed by descriptive analysis, χ2 test and binary logistic regression with p Findings Out of the 152 elder people, 91 (59.9 percent) suffered PTSD. Intrusion symptoms were the most common symptoms experienced by the respondents (94.1 percent). The factors associated with the PTSD in the elderly after the earthquake were having chronic illnesses (OR=2.490; 95% CI=1.151–5.385), public health center utilization (OR=2.200; 95% CI=1.068–4.535) and occupational status before the disaster (OR=2.726; 95% CI=1.296–5.730). These findings highlight that individual factors and access to health care services remain an important aspect of stress identification among the elderly following the disaster event. Social implications Elder people constitute a vulnerable group that is often forgotten and neglected during post-disaster recovery, though they have potentially higher psychosocial distress than younger age groups. This study was conducted to raise awareness about mental health problems suffered by the elderly. Originality/value This is the first study to apply CAPS-5 to assess PTSD among Indonesian elderly people following a natural disaster. This paper also provides insights that can be used by governments and other relevant parties to address PTSD problems suffered by many elderly people in a post-disaster area.

PurposeThe raising of grandchildren by grandparents is a global phenomenon, and it is common in Indonesia. This is because parents are often unable or unwilling to raise their own children. However, the debate around “grandparenting” is still limited in Indonesia. The purpose of this paper is to gain a better understanding of the experience and views of grandparents on “grandparenting.”Design/methodology/approachThe methodology employed was qualitative and informed by phenomenology. The authors conducted in-depth interviews with 13 grandparents who were raising their grandchildren who were under five years old. The data were analyzed using thematic content analysis.Findings5 main themes and 13 subthemes emerged from the analysis of the data. The themes were responses, strategies for overcoming negative responses, the grandparents’ role, the reason for raising grandchildren, and the cultural aspect of “grandparenting” in Java. All of the grandparents enjoyed their roles as grandparents. They felt that they helped fulfill their grandchildren’s physical and educational needs.Social implicationsThe experience of raising a grandchild can be both positive and negative, depending on the cultural aspects in the Java and the family as a whole system. Grandparents require healthcare and informal support to maintain their well-being.Originality/valueThis paper provides new insights into “grandparenting” closely related to social and cultural aspect within the community. Grandparents enjoy being a part of the Javanese tradition. The supportive role of grandparents in Indonesia is important. However, older adults need to balance the role of “grandparenting” and rest time so that they remain healthy and happy.

Lingkungan perumahan yang padat serta rendahnya perilaku warga menjaga kebersihan lingkungan serta belum adanya pengelolaan sampah rumah tangga membuat pemandangan yang kurang indah dipandang di wilayah Kendangsari Surabaya. Solusi untuk menyelesaikan masalah tersebut adalah dengan pendekatan strategi kampung kreatif membentuk kelurahan Kendangsari menuju kampung Pelangi di Surabaya. Tujuan Pengabdian Masyarakat ini adalah merintis Kelurahan Kendangsari menjadi Kampung Pelangi dengan lingkungan bersih, asri bernuansa warna warni, meningkatkan perilaku kebersihan lingkungan, serta membangun kreativitas warga. Target kegiatan yang dilakukan adalah kerjabakti pengecatan, sosialisasi Bank sampah, serta pelatihan pembuatan batik celup. Kegiatan dilaksanakan di RT 03 RW 04 Kelurahan Kendangsari sebagai daerah rintisan kampung pelangi. Metode dalam pelaksanaan pengabdian masyarakat menggunakan tahapan strategi kampung kreatif yaitu pembentukan ide kreatif, realisasi ide kreatif, penguatan sistem pendukung, penguatan sistem pendukung, penyediaan ruang basis aktivitas kreatif, dan ealuasi aktivitas kreatif. Pada akhir tahap evaluasi dapat dilihat secara langsung satu wilayah telah bernuansa warna warni, adanya upaya membentuk unit bank sampah, serta adanya ketrampilan warga membuat batik celup. Kata kunci : Kampung pelangi, Kendangsari, Surabaya, kreatif

Background: Dementia had effect on the dependence status of the elderly. Living in family can increase independence among elderly. The purpose of the study was to determine the effectiveness of home care intervention on the family’s ability to conduct caregiving at home as well as the independence of the elderly with dementia. Also, to determine the effect of family ability to conduct caregiving at home on the independence of the elderly with dementia. Design and Methods: This study used quasi-experimental with cross-sectional design. The sample size was 40 respondents into two groups and it was selected using simple random technique. Data were collected from January to June 2021. The intervention group received home care intervention, and the control group did not receive any treatment. The outcome was measured using questionnaire and analyzed using paired t-test and linear regression test. Results: This study showed that home care intervention is effective in improving the family’s ability to do home care ( p value Conclusion: The home care intervention was effective in improving family ability and independence of elderly with dementia. This intervention was developed based on caregiver empowerment. It can be the guideline of family to conduct home care.

Editorial: Time to Invest in Community Setting: Preparing for the Future Pandemics

Purpose: Using a quantitative approach, this study aims to assess Indonesian nursesâ perception of their knowledge, skills, and preparedness regarding disaster management. Methods: This study was a descriptive comparison in design. The research samples are Indonesian nurses working in medical services and educational institutions. The variables of nursesâ preparedness to cope with disaster victims were measured using the Disaster Preparedness Evaluation Tool (DPET), which was electronically distributed to all nurses in Indonesia. Data were analyzed using a statistical descriptive one-way Analysis of Variance (ANOVA) and t-test with a significance level of 95. Results: In total, 1341 Indonesian nurses completed this survey. The average scores of preparedness to cope with disasters, the ability to recover from disaster, and evaluation of disaster victims were 3.13, 2.53, and 2.46, respectively. In general, nurses surveyed in this study are less prepared for disaster management, and do not understand their roles both during the phase of disaster preparedness, and when coping with a post-disaster situation. Conclusion: Nursesâ preparedness and understanding of their roles in coping with disasters are still low in Indonesia. Therefore, their capacity in preparedness, responses, recovery, and evaluation of disasters needs improvement through continuing education. The efforts needed are significant due to potential disasters in Indonesia and adequate nurses resources. © 2018 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University

Background Mental health issues following the occurrence of disaster remain neglected area especially for older people group. The purpose of this study was to explore stakeholders’ perspectives on post-disaster management related to the elderly's mental health needs. Design and methods This qualitative case study was conducted between June and October 2020. The investigators conducted in-depth interviews with policymakers who were in charge of disaster management at national, provincial, and regional levels. The policymakers were selected through purposive sampling. A policy analysis was conducted by the investigators to answer the research question. Results The results were presented based on actor, content, context, and process. The actors engage in intersectoral collaboration between disaster agencies, health agencies, and social agencies. The content is largely comprehensive; however, the disaster management policy should not neglect to address mental health conditions after a disaster event. The context is the vulnerability and risk of the elderly in terms of experiencing physical and mental issues after a disaster, which should be considered by policymakers in Indonesia. The process is the development of disaster management policies, which are influenced by cultural, economic, political, and international factors. Conclusions This study reveals that stakeholders need to pay attention to the mental health issue of elderly in national and regional policy, particularly during post-disaster situations. In addition, posttraumatic stress in post-disaster situations should be highlighted in order to formulate a better aged care policy.

Introduction: The use of health care services in mothers was a very important concern in developing countries because it was very beneficial in terms of declining maternal mortality rate, but the use of maternal health services in mothers aged 15-24 years In Indonesia was still not maximized. The purpose of this review was to analyze best practices in the use of maternal health services in mothers aged 15-24 years.Method: The systematic review of this search was done by the publication range was five years ago. Article criteria were articles reviewed by Bestari Partners, government documents and research locations in developing countries. Acquired 10 references that meet predefined criteria.Results: The analysis obtained was the use of maternal health services in mothers aged 15-24 years needs to be increased by looking at the factors that influence among them were seeing from the socio-demography of mothers and husbands, household factors, access to health services and regional factors.Conclusion: These recommendations are aimed at governments, health professionals and families that efforts to increase not only can be done by a single community line, but the whole must also be able to cooperate by the role in the efforts to increase the use of Health care services.

Background Neonatal mortality appears to be one of the most concerning problems to fulfill Sustainable Developmental Goals globally. Indonesia, as a developing country with uneven distribution of standardized health facilities over the archipelago, has been reported to be the country with the highest fatality cases of the newborn in Southeast Asia. To address this problem, we evaluate how substantive the socioeconomic spectrum and proximate determinants as a substantial predictor of the neonatal mortality rate in advance to maximize the health policies’ quality in reducing the rate of newborn death. Method The analysis was conducted using the data source of the 2017 Indonesia Demographic Health Survey from 11.965 live-born infants born from singleton pregnancy in the year of 2017. By using a hierarchical approach and logistic regression, the multilevel analysis was carried out to assess the possible contributing factors including socioeconomic, household, and proximate factors to neonatal mortality. Results At socioeconomic determinants, the odds of newborn death was significantly higher for those who born from mothers with poor education level (OR = 1.72, p = 0.03), insufficient antenatal visits (OR = 3.98, p = 0.01), and not being involved to postnatal care (OR = 6.60, p = 0.01). Regarding community factors, the variable of traditional birth attendants was significantly higher for the odds of newborn death (OR = 2.06, p = 0.01) as well as the delivery in government public hospitals (OR = 1.89, p = 0.01). In terms of proximate determinants, the odds of newborn death found to be higher for male infants (OR = 1.43, p = 0.03) and low birth (

Background: In Indonesia, maternal mortality remains high, significantly 61.59% occur in the postnatal period. Postnatal care (PNC) provision is a critical intervention between six hours and 42 days after childbirth and is the primary strategy to reduce maternal mortality rates. However, underutilization of PNC in Indonesia still remains high, and limited studies have shown the regional disparities of PNC in Indonesia. Methods: This study aims to explore the gaps between regions in PNC service for mothers who have had live births during the last five years in Indonesia. This study was a secondary data analysis study using the Indonesian Demographic and Health Survey (IDHS) in 2017. A total of 13,901 mothers aged 15-49 years having had live births within five years were included. Chi-squared test and binary logistic regression were performed to determine regional disparities in PNC. Results: Results indicated that the prevalence of PNC service utilization among mothers aged 15-49 years was 70.94%. However, regional gaps in the utilization of PNC service were indicated. Mothers in the Middle of Indonesia have used PNC services 2.54 times compared to mothers in the East of Indonesia (OR = 2.54; 95% CI = 1.77-3.65, p Conclusion: Structured policies are needed to reduce gaps in areas with low service utilization. Developing innovative strategies to address PNC inequality in maternal services to improve maternal health is expected.

Background: Women are a highly vulnerable population for HIV-infection, influenced by biological, cultural, social and eco- nomic factors. Inadequate knowledge about the risk for exposure to HIV will impact the prevention and treatment of HIV. Objectives: The aim of this study was to examine HIV-related knowledge among women in Indonesia and the associated de- mographic determinants that influence their access to accurate HIV-related information. Methods: This was a secondary analysis of the Indonesia Demographic and Health Survey in 2012. Level of HIV-related knowledge was determined by analyzing nine items on the 2012 IDHS instrument. Results: The percentage of women in Indonesia between the ages of 15 and 49 years of age, more than half (53.6%) had high score of HIV-related knowledge. The results from logistic regression showed that women aged 30-34 years old had 2.2 times higher knowledge level about HIV compared to older women. Married women, living in rural area, with a lower level of educa- tion, reported to have limited or no access to HIV related information; thus, had a correspondingly lower knowledge level of HIV. Conclusion: Study findings underscore the lack of knowledge-level among Indonesian women about HIV, especially the pre- vention, transmission, and prevention mother to child transmission (PMCT). Keywords: HIV; Knowledge; prevention; women; demographic health survey.

© 2020 The Authors. Published by University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences. Introduction: Indonesia is recognized as an active player in the sending of health professionals, including nurses, abroad. Indonesian nurses are also placed in Middle Eastern countries, such as Kuwait. Nevertheless, there is little research exploring the life experience of Indonesian nurses living and working in Kuwait. Methods: The design of this study was qualitative with a phenomenological approach. Participants in this study were 21 Indonesian nurses who have lived and worked in Kuwait for a minimum of one year. The participants were recruited from hospitals in Kuwait. This study used a semi-structured interview which was conducted in appointed places. Data were then transcribed verbatim and thematically analyzed. Results: Five themes were identified, namely: Escalating career prospects; Immersing in the local culture; Added value for Muslims; Language barriers; and Dealing with homesickness. Discussion: Participants’ economic and social motives reflected different migration goals. Meanwhile, living in a Muslim country lessens the stress and may serve as a benefit during migration. Conclusions: Indonesian nurses who work in Kuwait tend to enjoy a good experience and decent salary. However, they may need upskilling in terms of the acquisition of the language needed in the receiving country. In addition, cultural adaptation and making adjustments to manage homesickness were among the strategies for surviving in the workplace whilst working in Kuwait.

Background and objective Maternal healthcare utilization by young women and adolescent girls is associated with maternal health outcomes and plays a critical role in reducing maternal mortality rates in low- and middle-income countries. This study sought to analyze current data on antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) utilization with a focus on mothers aged 15–24 years in Indonesia. Methods This study was a secondary analysis of data from the 2017 Indonesian Demographic and Health Survey. The unit data analyzed 2,584 mothers aged 15–24 years who had delivered babies within the five-year period preceding the survey. Bivariate analysis and multiple logistic regression utilizing descriptive statistics were used to explore correlations between the independent variables and ANC, INC, and PNC visits. Results Among the mothers included in the study, the prevalence of service utilization was 90.9% for ANC, 79.4% for INC, and 68.9% for PNC. Women’s age, education level, number and birth order of children, difference in age between the mother and her husband, her husband’s occupation, wealth index, access to the health service, and regional factors were significantly associated with the utilization of ANC, INC, and PNC services. Conclusion This study provides insights for policymakers on how to strengthen healthcare policies and laws with the aim to improve maternal healthcare services for mothers aged 15–24 years. To improve maternal healthcare utilization among young mothers, national policy should focus on service equality, accessibility, and reliable implementation.

Ferry Efendi,1 Lisa McKenna,2 Sonia Reisenhofer,2 Anna Kurniati,3 Eka Misbhahatul Marah Has1 1Department of Advanced Nursing Care, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; 2School of Nursing and Midwifery, La Trobe University, Melbourne, Australia; 3Center of Planning and Management of Human Resources for Health, Ministry of Health of the Republic of Indonesia, Jakarta, IndonesiaCorrespondence: Ferry EfendiDepartment of Advanced Nursing Care, Faculty of Nursing, Universitas Airlangga, Jl. Mulyorejo Kampus C Unair, Surabaya, 60115, IndonesiaTel +62-315913257; +6281331533805Email ferry-e@fkp.unair.ac.idBackground: International migration of healthcare workers is a global phenomenon driven by growing demand in developed countries and expectations of healthcare workers from developing countries to have improved employment and lives. This migration has been understood to impact both the individuals and countries involved, with positive and negative consequences. However, little is known about returnees’ experiences that could be used to address challenges and optimize benefits. The aim of this review was to understand what is known about experiences of migrant health workers after returning to their home countries.Methods: A scoping review of primary research addressing experiences of migrant health workers upon their return to their homelands. A range of database were searched including Career and Technical Education Database via ProQuest, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education database via ProQuest, Excerpta Medica Care (EMCare) via Ovid, Education Resources Information Center (ERIC), Excerpta Medica database (EMBASE) via Ovid, MEDLINE and Scopus. A systematic process was performed guided by the work of Arksey and O’Malley. Eight databases were searched and 226 articles were retrieved. After screening articles and abstracts, 15 full-texts were assessed for eligibility, and finally seven studies were further analyzed and synthesized.Results: Five qualitative studies, one quantitative study and one mixed methods study met inclusion criteria. Five themes emerged: (1) reasons to return, (2) upskilling and deskilling, (3) impact on human, financial, and social capital, (4) challenges and opportunities in the home country, and (5) facilitation supports.Conclusion: Return migration is portrayed as a complex situation experienced by returnees. Structured policy and supports are required to help healthcare worker returnees prepare, and to adjust to life after their return. This study highlights the importance of comprehensive approach in return migration stage. Return migration policy should support healthcare worker returnees in their home country and facilitate utilization of their skills. Multi-stakeholder partnerships are vital to develop platforms for helping and facilitating returnees in the reintegration process at their home countries.Keywords: international migration, migrant worker, migration policy, nurse migration, return migration

The excessive use of online gaming before sleep in adolescents could be a risk factor of sleep disorders such as insomnia. This study aimed to assess the association between playing online games before sleep and insomnia based on gender perspective among middle school students in Indonesia. This was a retrospective study and the data came from a cross-sectional survey that included 315 of Grade 8 and 9 students from four middle schools in Jakarta, Indonesia. Self-reported data were collected via a structured questionnaire, which consisted of demographic variables, sleep duration per day, frequency of playing online games before sleep and the Insomnia Severity Index (ISI). Insomnia status was classified into &ldquo, none or mild&rdquo, and &ldquo, moderate to severe&rdquo, according to ISI score. The proportions of male and female students who often or always played online games before sleep were 50.3% and 21.7%, respectively. Grade 9 students were more likely to have moderate to severe insomnia than Grade 8 students for males (odds ratio&mdash, OR = 4.34, p = 0.005) but not for females (OR = 0.69, p = 0.363). However, female students who often or always played online games before sleep were more likely to have moderate to severe insomnia (OR = 4.60, p = 0.001), such an association was relatively smaller for male students (OR = 3.09, p = 0.061). Gender differences should be taken into account when developing health education or interventions.

Background:In Indonesia, maternal health care services are widely available, aiming to improve health and survival among mothers. However, these services remain underutilised, and its determining factor was unknown. This study sought to identify determinant factors of maternal healthcare services utilisation among Indonesian mothers.Methods:This population-based cross-sectional study leveraged the 2017 Indonesia Demographic and Health Survey data. A total of 12,033 mothers aged from 15 to 49 years who had a live birth in the five years preceding the survey were included in the analysis. Multivariable logistic regressions were used to identify the determinant factors.Results:Approximately 93.44% of the mothers had adequate antenatal care, 83.73% had a delivery at the healthcare facility, and 71.46% received postnatal care. The mother’s age and household wealth index were the typical determinants of all maternal healthcare services. Determinants of antenatal care visits were husband’s occupational status, the number of children, and access to the healthcare facility. Next, factors that drive mothers’ delivery at the healthcare facility were the mother’s education level, husband’s educational level, and residential area. The use of postnatal care was determined by the mother’s occupational status, husband’s educational level, number of children, wealth index, access to the healthcare facility, and residential area.Conclusions: The utilisation of each maternal healthcare service was determined by various socio-structural and intermediary determinants, but the mother’s age and household wealth index were emerged as the typical determinants of all maternal healthcare services. Providing maternal healthcare services that are adjusted and tuned with these socio determinant factors may ensure that mothers can adequately utilise each service.

Pendahuluan: Isolasi mandiri merupakan salah satu metode yang digunakan untuk mengendalikan penyebaran SARS-CoV-2 sebagai penyebab pandemi COVID-19. Tujuan dari literature reviewini adalah merangkum hasil penelitian sebelumnya yang memberikan gambaran tentang kondisi dan kebutuhan penderita COVID-19 yang menjalani isolasi mandiri. Metode: Literature reviewini menggunakan teknik naratif, meringkas atau mensintesis apa yang telah ditulis tetapi tidak mencari generalisasi. Pencarian artikel dilakukan pada empat database: Scopus, Science Direct, PubMed, dan Google Scholar. Hasil: Hasil analisis dijabarkan ke dalam lima tema tentang kebutuhan penderita COVID-19 yang melakukan isolasi mandiri. Kelima kebutuhan tersebut adalah kebutuhan biologis, psikologis, sosial, spiritual, dan budaya. Simpulan: Isolasi mandiri mempengaruhi hampir semua aspek kehidupan manusia. Semua kebutuhan orang dengan COVID-19 yang sedang menjalani isolasi mandiriperlu diperhatikan.

Introduction: Minimum service standards field of administration and management about employee training require at least 20 hours per year. The aims of this study was to analyze the training needs of nurses at the Ahmad Yani Islamic hospital in Surabaya. In addition, this study explain the organizational analysis, conduct operational analysis, explain individual analysis nurse staff and prioritize nurse training needs in Ahmad Yani Islamic Hospital Surabaya. Method: This research is a observational description. The number of respondents about 55 nurses participating the study. Results: Based on the aspect of quantity of work, the workload of nurses is classified as high by 49.1%. Most have applied a high quantity of work aspects as much as 78.1%. In the aspect of quality of work, most nurses have performed high tasks. Conclusion: Analysis of organizations related to organizational climate at Ahmad Yani Islamic hospital in general was described by nurses in good condition. There are a number of things that need to be considered, namely guaranteed nurse self development through Training, work protection for nurses, nurse remuneration needs to be improved. Operational analysis related to the general competence of nurses in the nurse law is quite capable and most nurses have already taken action. Operational analysis relating to the priority of nurses' training needs is a main priority. Keywords: Operational Analysis; Individual Analysis; Nurse Training Priority.

Type 2 diabetes mellitus (T2DM) was one of chronic disease that remain global concern including in Indonesia. Healthy lifestyle is a part of diabetes mellitus treatment to achieve the highest health status and to prevent diabetes complication. Purpose: This study aimed to examine the effect of community and peer support based healthy lifestyle program (CP-HELP) on self-care behavior and fasting blood glucose in patient with T2DM. Methods: The research design was used quasi experimental pre and post-test design. 163 participants with T2DM were divided into two groups, 83 participants as intervention group were given CP-HELP intervention and 80 participants as control group were given usual care. Measurement of self-care behavior used Diabetes Self-Management Questionnaire (DSMQ). Furthermore, measurement of fasting blood glucose was measured by capillary blood test. This study was used paired t test and multivariate analysis of variance. Results: An increase of mean value of self-care behavior was occurred in both of group intervention and control. A significant different between pre-test and post-test in intervention group (p = 0.000). Results of statistical test used paired t test in control group, was not showed significantly different (p = 0.249). Improved of fasting blood glucose only occurred in intervention group (p = 0.020). Results of multivariate statistic test was showed in both outcomes obtained significant value less than 0.05, self-care behavior (p = 0.010), fasting blood glucose (p = 0.042). Conclusion: CP-HELP may be a promising interventional strategy to improve self-care behavior and improving of fasting blood glucose in patient with T2DM. The research results can be used as an important reference for improving self care behavior and fasting blood glucose in patient with type 2 Diabetes Mellitus.

Pendahuluan: Prevalensi kehamilan usia muda pada ibu remaja di Kupang yang tinggi meningkat, sehingga diperlukan informasi dan penyuluhan kesehatan yang tepat serta cara penggunaan kontrasepsi. Tujuan penelitian ini adalah untuk mengetahui determinan pengetahuan tentang kontrasepsi pada ibu muda di Puskesmas Pasir Panjang Kupang Nusa Tenggara Timur.Metode: Penelitian ini menggunakan desain cross sectional. Jumlah populasi 144 dan diperoleh 71 sampel dengan teknik simple random sampling. Variabel bebas dalam penelitian ini adalah umur, pendidikan, informasi, dan pengaruh orang tua, sedangkan variabel terikat dalam penelitian ini adalah pengetahuan. Data diperoleh dengan kuesioner dan dianalisis menggunakan chi-square dan regresi ordinal.Hasil: Ada hubungan umur (p = 0,001), pendidikan (p = 0,000), informasi (p = 0,000) dengan pengetahuan, namun tidak ada hubungan antara pengaruh orang tua (p = 0,099) terhadap kontrasepsi pada ibu muda.Kesimpulan: Bertambahnya usia dewasa, pendidikan tinggi, penyebaran informasi yang tepat dapat meningkatkan pengetahuan responden tentang kontrasepsi. Diharapkan perawat di puskesmas dapat memberikan informasi yang sesuai tentang kontrasepsi di lingkungan pendidikan formal dan selanjutnya peneliti dapat melakukan intervensi pendidikan kesehatan tentang kontrasepsi yang mudah dipahami remaja dan melakukan penelitian etnografi terkait perilaku remaja yang menikah di Indonesia. remaja mereka dan mengembangkan penelitian ini berdasarkan budaya lokal

Noncompliance with fluid restrictions and diet is a major problem among hemodialysis patients. This can lead to fluid overload in the interdialytic phase and the accumulation of metabolic waste. This study aims to explore the life experience of patients undergoing hemodialysis and their compliance with fluid restrictions and diet.The design of this study was qualitative with a phenomenological approach. It involved 15 patients undergoing hemodialysis interviewed using semistructured interview guidelines. The data were collected and then transcribed and analyzed using the Van Mannen method. The coding analysis used Nvivo 12 software.Patients ranged from 24 to 64 years old. More than half of the patients were not compliant with the fluid restrictions based on the IDWG score (60%, n=15). Five themes emerged: fluid restrictions and understanding related to diet (health education, fluid and diet restriction, information provider, and experience), personal motivation (activity, side effects, need, and lack of motivation), social support (family), compliance (motivation and attitude), and disease management (management of fluid and diet restriction).Hemodialysis patients expressed a number of concerns that caused them not to comply with diet and fluid restrictions. Several issues identified were patient-related and potentially modifiable using the correct information or health education related to diet and fluid restriction. Nurses should be more aware of identifying these problems to address compliance issues. Future research should aim to understand nurses' perceptions and practices that may guide interventions to resolve this urgent compliance issue.

Pendahuluan: Merokok pada remaja menjadi salah satu penyumbang mortalitas dan morbiditas di tingkat dunia. Kasus merokok sampai sekarang ini terus mengalami peningkatan. Namun, literature review untuk membandingkan kesenjangan penelitian yang telah lalu dengan yang saat ini menggunakan data Survei Demografi Kesehatan Indonesia belum pernah dilakukan.Metode: Pencarian literature review yang relevan menggunakan database pencarian sumber menggunakan mesin pencari Scopus, PubMed, Sciencedirect dan Search Engine Google Scholar dengan menggunakan kata kunci: determinan, merokok, remaja, Survei Demografi dan Kesehatan (SDK). Hasil pencarian yang sesuai dengan kriteria didapatkan dua belas artikel yang berhubungan dengan perilaku merokok pada remaja pria.Hasil: Terdapat duabelas artikel yang menyatakan perilaku merokok dapat berhubungan dengan usia, tingkat pendidikan, asuransi kesehatan, pekerjaan, agama, wilayah tempat tinggal, frekuensi penggunaan radio, televisi dan surat kabar.Kesimpulan: Penelitian dimasa yang akan datang terutama di Indonesia perlu meneliti lebih lanjut mengenai determinan perilaku merokok pada remaja pria menggunakan data Survei Demografi dan Kesehatan Indonesia Kesehatan Reproduksi Remaja (SDKI KRR) 2017

Background Low birth weight (LBW) is still a significant problem in Indonesia because it affects the growth and development of infants. It is also one of the factors that increase the risk of developing chronic disease later in life. Purpose The study aimed to analyse the determinants of LBW in Indonesia. Methods This cross-sectional analytic study used secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). Data on the maternal factors (maternal age, frequency of antenatal care (ANC) visits, education, and maternal smoking status), children's birth order, and socio-demographic factors of the 14,239 respondents were examined. The association between LBW and the independent variables was analysed using bivariate analysis with a chi-square test (X2), followed by multivariate analysis in the form of binary logistic regression. Results LBW was identified in 960 infants (6.74%). Fewer than four ANC visits [AOR = 1.86; 95% CI = 1.44–2.42], uneducated mothers [AOR = 2.09; 95% CI = 1.00–4.37], and mothers who finished only primary school [AOR = 1.45; 95% CI = 1.05–2.00] were significantly associated with the incidence of LBW. Conclusions This study revealed that the frequency of ANC visits was a dominant factor in the incidence of LBW. Practice implication To reduce LBW in Indonesia, the government must increase ANC visits through health promotion programmes and maintain ANC facilities and quality.

The trend of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) prevalence in Indonesia has increased significantly. This study was aimed to develop family empowerment model based on belief and analyze the effects of health-related quality of life (HRQL) in patients infected by HIV/AIDS. Mixed methods design with the first stage using quantitative research with cross sectional approach. A total 135 respondents with HIV/AIDS were determined from purposive sampling. For developing the model, we conducted focus group and expert discussion to make the model and the intervention tool for the second stage. We analyzed the collected data using Structural Equation Model Partial Least Squares (SEM-PLS) test. The outer loading value measured the sub-variable validity value of its latent variable, where the outer loading is valid if the value is >0.4. Based on the research results, nine indicators were invalid (outer loading value = 0.4), and the indicator must be removed from the model. Evaluation of inner models was used to test the research hypotheses. The research hypothesis can be accepted if the value of T count >T table. The health services, patient factors, family factors and empowerment have a significant influence between some of these factors on HQRL (T >1.96). The development of a family empowerment model based on belief has a good effect in healthrelated quality of life among women with HIV/AIDS. From the developed model, it be seen that HRQL is related to health services, patient factors, family factors and empowerment. © Advanced Scientific Research. All rights reserved.

Adolescent childbirth remains a central issue for lower-middle-income countries such as Indonesia. The available literature suggests that this is associated with several adverse outcomes, including health and socioeconomic factors. This study aimed to evaluate determinants that correlate with mothers in Indonesia who first gave birth when they were adolescents. This study is a cross-sectional and examined data collected by Indonesia Demographic and Health Survey (IDHS) in 2017. We investigated the variables of educational level, wealth index, residence, and access to media (frequency of reading newspaper or magazine, listening to the radio, watching television, using the internet) and their correlation with a weighted sample of women who had their first live birth when they were younger than 19 years old. We used multivariate logistic regression to adjust for confounding factors and to analyze the determinants of adolescent first birth. Education (AOR=15.39; 95 CI=11.13-21.26), wealth index (AOR=1.22; 95 CI=1.08-1.39), place of residence (AOR=1.23; 95 CI=1.13-1.34), frequency of reading newspaper or magazine (AOR=1.31; 95 CI=1.11-1.55), and frequency of using internet (AOR=1.30; 95 CI=1.02-1.65) were significant determinants of.adolescent first births in Indonesia. This study recommends better access to education for poor and lower educated young women to be prioritized. Policies and programs that support the wellbeing of adolescents to achieve the best outcome of health reproduction are needed. © Advanced Scientific Research. All rights reserved.

Salah satu upaya yang dapat dilakukan untuk membangun desa tangguh bencana dan budaya keselamatan masyarakat terhadap resiko bencana adalah penanganan bencana berbasis masyarakat melalui peningkatan kapasitas kemampuan pemuda dalam penanganan bencana. Tujuan pengabdian kepada masyarakat melalui pendidikan dan pelatihan (diklat) ini adalah mengidentifikasi perubahan perilaku dan perubahan kemampuan pemuda dalam penanganan triase kuning pada korban bencana dengan metode andragogi pra bencana. Metode pengabdian kepada masyarakat ini dilakukan dengan pendekatan diklat dengan metode andragogi (pembelajaran orang dewasa yang menumbuhkan motivasi untuk bertanya dan belajar secara berkelanjutan). Rancangan diklat ini meliputi tahap persiapan, pelaksanaan, dan evaluasi. Partisipan yang mengikuti diklat adalah semua pemuda yang hadir dan mengikuti rangkaian proses diklat yang dipilih dengan total sampling yang berjumlah 27 responden. Teknik analisis menggunakan Wilcoxon Ranks Test dengan derajat signifikansi 95%. Hasil pengabdian kepada masyarakat melalui diklat menunjukkan bahwa kegiatan berjalan sesuai dengan perencanaan dan berjalan lancar, pemuda memahami permasalahan yang dihadapi berkaitan resiko bencana, adanya kesungguhan dan disiplin yang tinggi dalam mengikuti diklat, pre-test kemampuan penanganan pada triase kuning sebagian besar kategori tidak mampu sebesar 44.5% (mean 4.07, standar deviasi 3.13, nilai minimum 1 dan maksimum 14) dan setelah diklat sebagian besar kategori mampu sebesar 59.3% (mean 18.48, standar deviasi 5.99, nilai minimum 6 dan maksimum 25). Ada peningkatan kemampuan pemuda dalam penanganan triase kuning dengan metode andragogi pra bencana (P=0.00

Introduction: The elderly are human who experience various decreases in anatomical, physiological, social and economic aspects, this can cause some elderly aren�t able to be independent in fulfilling their daily needs. One of efforts to improve the quality of life for the elderly, through the government issued a policy on the implementation of Aged-Friendly Primary Health Care Program for the elderly. Purpose: This study aimed to explore the factors that affect the success of Aged-Friendly Primary Health Care Program for the elderly. Method: This study used qualitative study with a phenomenological approach. The saturation of data was obtained by 15 participants which were conducted the data collection by using indept interview. Data analysis used Collaizi analysis method. Results: The identification found four main themes and eight sub themes: (1) characteristics of elderly (physiological and psychological factors), (2) Health workers (knowledge, services quality provided); (3) Health facilities (the availability of tools and technology, the distance of health care); (4) Family support (material supports, psychological supports). Conclusion: Aged-Friendly Primary Health Care Program for the elderly was affected by several factors, all of the factors were interrelated so that it is needed a good coordination among the elderly, family and health workers to provide a quality of aged-friendly services for the elderly. © 2020, World Informations Syndicate. All rights reserved.

Introduction: Early initiation of breastfeeding (EIBF), the immediate provision of mothers' breast milk to infants within the first hour of life, has been recommended by the WHO. However, EIBF is not widely practiced, thereby increasing infant mortality risk. This review explored the available and published studies that identified interventions that empower mothers to practice EIBF. Method: We conducted a scoping review to answer the aforementioned aims. Empowerment, Women, Breastfeed, and Initiation were used as initial keywords, which were further developed using Medical Subject Headings by the National Center for Biotechnology Information. Five databases, namely: Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature via EBSCO, ProQuest, and MedLine via PubMed, were searched for potential articles. We also searched the references in addition to the main search. Findings: We included 28 articles in this review. Education was mostly used as women's empowerment indicator in EIBF intervention. Additionally, we identified barriers (C-section and postoperative pain, lactation problems and pregnancy complications, mothers' social and demographic factors, mothers' lack of professional support, babies' condition preventing EIBF) and facilitators (mothers' positive behavior in relation to educational level, completion of antenatal care, poor economic situations of mothers, babies' size at birth) of EIBF. Discussion: Education is the widely used intervention to promote mothers' participation in improving EIBF rate. Furthermore, mothers' and babies' deferring conditions and traditional practices are barriers for EIBF. This review recommends future research and empowerment efforts that sensitively address the identified barriers. © 2020 Elsevier Inc.

Background: Contraceptives in family planning are used to control the timings between pregnancies. Although the number of those using family planning has increased, determinants of contraceptive use among married women in Indonesia remain insufficient. This research aimed to identify the factors associated with contraceptive use among married women in Indonesia. Methods: This study employed data from the Indonesian Demographic and Health Survey 2017. We selected 35,621 married women aged 15–49 years. Then, the determinants of contraceptive use among married women in Indonesia were examined by binary logistic regression. Results: Women’s age (Adjusted Odds Ratio (AOR)=0.529; 95% CI=0.470–0.597), the number of living children (AOR=44.024; 95% CI=33.193–58.390), education level (adjusted odds ratio=2.800; 95% CI=2.181–3.594), wealth index (AOR=1.104; 95% CI=0.978–1.246), frequency of watching television (AOR=1.555; 95% CI=1.321–1.829), and frequency of using the Internet (AOR=0.856; 95% CI=0.794–0.924) were significantly associated with contraceptive use among married women. Conclusions: This study highlights the determinants of contraceptive use among married women in Indonesia. Women’s age, the number of living children, education level, wealth index, and access to information may influence contraceptive use among these women. This study emphasizes that health education and promotion on the importance of using contraception should be initiated in innovative ways.

الملخص: أهداف البحث: تهدف هذه الدراسة لفحص تأثير تطبيق نموذج الرعاية الذاتية لتحسين قوة الرعاية الذاتية، وعملية الرعاية الذاتية، وجودة الحياة للمرضى الذين يعانون من الذئبة الحمامية الجهازية. طرق البحث: استخدمت هذه الدراسة تصميما تجريبيا مسبقا مع مجموعة واحدة قبل الاختبار- وبعد الاختبار. تم اختيار ستة وثلاثين مستجيبا باستخدام أسلوب أخذ العينات الكلي. كما تم إجراء تدريب إدارة الرعاية الذاتية على المجموعة التجريبية التي تمت متابعتها كزيارة منزلية أربع مرات أسبوعيا. وتم قياس قوة الرعاية الذاتية باستخدام مقياس تدريب قوة الرعاية الذاتية. وقياس المتغيرات الأخرى بواسطة قدرات ذاتية التقييم لمقياس الممارسات الصحية وجودة مخزون الذئبة. وتم تحليل البيانات بواسطة اختبار ت – المزدوج مع الفا أقل من ٠.٠٥. النتائج: معظم من يعانون من الذئبة الحمامية الجهازية سيدات عاملات نشطات متزوجات في عمر الإنجاب. معظمهن لديهن الذئبة الحمامية الجهازية منذ ١-٢ عاما (٣٣.٣٪)، تم تسجيل التهاب المفاصل من الأعراض الأكثر شيوعا لدى ٦١.١٪. وكان العامل المحفز للظهور عند الغالبية هو الإجهاد البدني (٦٦.٧٪) الذي أدى إلى التعب. في المتوسط، تطبيق نموذج الرعاية الذاتية ممكن أن يحسن قوة الرعاية الذاتية ١٩.٩٣٪، وعملية الرعاية الذاتية ٥٣.١٧٪ وجودة الحياة ١٢.١٩٪. كانت فعالة بشكل كبير في تعزيز قوة الرعاية الذاتية، وعملية الرعاية الذاتية، وجودة الحياة عند مرضى الذئبة الحمامية الجهازية. الاستنتاجات: تطبيق نموذج الرعاية الذاتية ل''أوريم'' فعال في تحسين قوة الرعاية الذاتية، والرعاية الذاتية، وجودة الحياة، ويقدم الدليل على ذلك استخدامه في الرعاية التمريضية لمرضى الذئبة الحمامية الجهازية في المجتمع. يجب على مقدمي الرعاية الصحية دمج نموذج الرعاية الذاتية لإوريم في الرعاية التمريضية لتعزيز قوة الرعاية الذاتية، الرعاية الذاتية وجودة الحياة عند مرضى الذئبة الحمامية الجهازية. Abstract: Objectives: This study aimed to examine the effect of the application of a self-care model to improve self-care agency (SCA), self-care operation, and quality of life (QoL) in patients with systemic lupus erythematosus (SLE). Methods: This study employed a pre-experimental design with one pretest-posttest group. Thirty-six respondents were selected through total sampling. The experimental group was provided self-care management training, followed by four weekly home visits. Self-care agency was measured with the self-care agency scale, the other variables through self-rated abilities on the health practices scale and Lupus quality inventory. Data were analysed using paired t-tests with α

Objectives: This study aimed to develop an empowerment model for burnout syndrome and quality of nursing work life (QNWL). Methods: This study adopted a mixed-method cross-sectional approach. The variables included structural empowerment, psychological empowerment, burnout syndrome and QNWL. The population consisted of nurses who have civil servant status in one of the regional hospitals in Indonesia. The participants were recruited using multi-stage sampling measures with 134 respondents. Data were collected using questionnaires, which were then analysed using partial least squares. A focus group discussion was conducted with nurses, chief nurses and the hospital management to identify strategic issues and compile recommendations. Results: Structural empowerment influenced psychological empowerment (path coefficient = 0.440; t = 6.222) and QNWL (path coefficient = 0.345; t = 4.789). Psychological empowerment influenced burnout syndrome (path coefficient = −0.371; t = 4.303), and burnout syndrome influenced QNWL (path coefficient = −0.320; t = 5.102). Structural empowerment increased QNWL by 39.7%. Conclusion: The development of a structural empowerment model by using the indicators of resources, support and information directly influenced the psychological empowerment of the sample of nurses. As an indicator of meaning, psychological empowerment decreased burnout syndrome. In turn, burnout syndrome, as the indicator of personal achievement, could affect the QNWL. Structural empowerment directly influenced the QNWL, particularly within the workplace context. Further studies must be conducted to analyse the effects of empowerment, leadership styles and customer satisfaction. Keywords: Burnout, Empowerment, Nurses, Quality of working life

This study examines the determinants of premarital sex and its effect on the ages at which Indonesians first marry. Survival analysis has been applied to the 2012 Indonesia Demographic and Health S...

Background One of the factors contributing to a high maternal mortality rate is the utilization of non-healthcare facilities as a birthplace for women. This study analyzed determinants affecting birthplace in middle-to lower-class women in Indonesia. Methods This study analyzed the 2017 Indonesian Demographic and Health Survey (IDHS) data. The total national sample size was 49,627 eligible women. Our sample included 11,104 women, aged 15–49, who had delivered babies and were of low-to-middle economic status. The type of survey dataset was individual record dataset. Data were analyzed with chi-square and multivariate logistic regression tests using Stata 16 software. Results About 64.99% middle to lower class women in Indonesia delivered in healthcare facilities. Women aged 45–49 (OR = 2.103; 95% CI = 1.13–3.93), who graduated from higher schools (OR = 2.885; 95% CI = 1.76–4.73), whose husbands had higher education (OR = 2.826; 95% CI = 1.69–4.74) and were employed (OR = 2.523; 95% CI = 1.23–5.17), who considered access to healthcare facilities was not a problem (OR = 1.528; 95% CI = 1.28–1.82), who had a single child (OR = 2.349; 95% CI = 1.97–2.80), and who lived in urban areas (OR = 2.930; 95% CI = 2.40–3.57) were determinants that significantly correlated with women giving birth in healthcare facilities. Conclusion This study provides insights for policymakers and healthcare centers in the community to strengthen access to healthcare services and devise health promotion strategies for pregnant mothers. Policy interventions designed for middle- to lower-class women should be implemented to support vulnerable groups.

Background: In Indonesia, maternal mortality remains high, significantly 61.59% occur in the postnatal period. Postnatal care (PNC) provision is a critical intervention between six hours and 42 days after childbirth and is the primary strategy to reduce maternal mortality rates. However, underutilisation of PNC in Indonesia still remains high, and limited studies have shown the regional disparities of PNC in Indonesia. Methods: This study aims to explore the gaps between regions in PNC service for mothers who have had live births during the last five years in Indonesia. This study was a secondary data analysis study using the Indonesian Demographic and Health Survey (IDHS) in 2017. A total of 13,901 mothers aged 15-49 years having had live births within five years were included. Chi-squared test and binary logistic regression were performed to determine regional disparities in PNC. Results: Results indicated that the prevalence of PNC service utilisation among mothers aged 15-49 years was 70.94%. However, regional gaps in the utilisation of PNC service were indicated. Mothers in the Central of Indonesia have used PNC services 2.54 times compared to mothers in the Eastern of Indonesia (OR = 2.54; 95% CI = 1.77-3.65, p Conclusion: The results suggest the need for national policy focuses on service equality, accessible, and reliable implementation to improve postnatal care utilisation among mothers to achieve the maximum results for the Indonesian Universal Health Coverage plan.

Background: The improvement of nursing student competency currently is still being an issue for the majority of nursing education institutions in Indonesia. This is due to partnership with hospitals has not been supported by adequate policies and other factors. Objectives: The purpose of this study was to identify the appropriate model in improving student competency in a clinical study. Design used in this study was observational study with cross-sectional approach. Methods: The research design used cross-sectional approach with involving five hospitals (Fatmawati Jakarta Hospital, Hasan Sadikin Bandung Hospital, Kariadi Semarang Hospital, Sardjito Yogyakarta Hospital, Soetomo Surabaya Hospital) and five universities namely Muhammadiyah Jakarta University, Padjajaran Bandung University, Gadjah Mada Jogjakarta University, Diponegoro Semarang University, Airlangga Surabaya University. Three hundred and eighty-four participants were recruited from these sites. Data were analyzed using multiple logistic regression. Results: The result showed that partnership contributed 3,36 times, the patient variations 2,96 times, job description of clinical educator 2,30 times, a role model 2,28 times, expertise of faculty educator 2,08 times, toward the achievement of student competency in clinical study. Conclusions: It can be concluded that partnership aspect, the patient variation, job description of clinical educator, role model, expertise of faculty educator, and level of education have significant role to improve the achievement of student competency in clinical study. The results of this study can be used by nursing educational institutions, hospitals and government to organize nursing education model that has been present for more optimal achievement of student competencies.

Introduction: According to Economic Partnership Agreement (EPA) between Indonesia and Japanese governments, Japanese government plans to recruit Indonesian nurses and caregivers to fulfill the demand of those positions at the hospital and health centers. However, to be a qualified worker in Japan, one has to pass a national examination that is conducted by the Minister of Health, Labor and Welfare for a license of a registered nurse within 3 or 4 years of working as a nurse or caregivers, respectively. Method: Having considered that matter, a comparative study of the background of educational systems in Indonesia and Japan is discussed in this paper, with particular reference to the Diploma 3 nursing program. R esult: There is no specific difference between Indonesian and Japanese nursing educational systems. Discussion: However, current health condition of the countries remains as the focus of the curriculums where Indonesian nursing education is focusing on communicable disease and surgery nursing, whereas Japanese is focusing on gerontology and chronic disease nursing. In case of qualification method, Japanese nurses should undertake national board examination to be a qualified nurse. On the other hand, there is no national board examination for Indonesian nurses.

Introduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses.Methods : This study used cross-sectional design involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05.Results : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139.Conclusion :It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs.

Suami SIAGA, which translates literally as the 'alert husband', is a national campaign that was created in early 2000 to promote male participation in maternal and child health program in Indonesia. The purpose of this study was to identify the proportion of men who took part in Suami SIAGA and the factors associated with their participation using the 2012 Indonesia Demographic and Health Survey (IDHS). This study also examined the relationship between Suami SIAGA and the following results related to the national campaign: The presence of husbands at antenatal care (ANC) units and the place of delivery at health facilities. Data on the characteristics of husbands and wives, as well as other related factors, the perceived elements of Suami SIAGA, and the national campaign outcomes were obtained from a total of 1256 eligible male subjects, drawn from the matched couples' data set. The data was analysed using bivariate and multiple logistic regression to test the associations. This study found that 86 of the respondents were categorised as SIAGA husbands. After controlling all the variables, age and education of wife factors were significantly associated with Suami SIAGA, especially in the group of women aged 41-49 years old (OR=2.4, 95 CI: 1.1-5.5) and women with a secondary level of education (OR=1.8, 95 CI: 1.2-2.7) and higher (OR=2.8, 95 CI: 1.4-5.6). SIAGA husbands were more likely to attend their wives' ANC (OR=2.3; 95 CI: 1.4-3.7). This study provides evidence on the benefit of husband involvement in maternal health, especially to improve ANC attendance. Empowering women themselves should also be addressed in leveraging the impact of Suami SIAGA. © 2017 The Author.