Search

One of the provinces that have had a rise in MMR since 2019 is East Nusa Tenggara (NTT) Province. Southwest Sumba Regency saw an upsurge in maternal mortality cases in 2019, with ten cases; in 2020, there were nine cases; and as of October 2021, there were 14 MMR mothers. Having better antenatal care is one of the crucial measures to lower MMR and IMR. In order to perform their duties in accordance with the established standard operating procedures, midwives must be as prepared as feasible. One of them is raising the bar on several aspects of service quality, such as technical proficiency, service accessibility, effectiveness, efficiency, continuity, security, convenience, information, timeliness, and interpersonal relationships. This study has a cross-sectional design and is an analytical observational study. Using inclusion and exclusion criteria, a sample of 120 respondents was selected using the cluster random sampling technique. The information was gathered through the distribution of a questionnaire about midwives' knowledge of common antenatal care (ANC) examination services and the completion of a checklist to investigate the aspects of midwifery service quality and patient comfort during ANC visits. Chi-square analysis was used to examine the data. On the traits of the village midwives, the chi-square test and correlation test findings were obtained. Knowledge was the impacting factor (p-value 0.000; r = 0.599). With ANC visits, Polindes' distance from the houses of pregnant women had a p-value of 0.001 (r= 0.293). The p-value for the distance between Polindes and the residences of expectant women having quality ANC service is 0.027 (r=0.202). A p-value of 0.004 (r= 0.265) was obtained for the outcomes of the ANC visit test and the quality of ANC services. Knowledge and the geographic location of Polindes are the features of village midwives associated with the quality of ANC services in Southwest Sumba Regency. Keywords: Characteristics, of Village Midwives Distance to Village Maternity Post (Polindes) Quality of Antenatal Care (ANC)

The World Health Organization (WHO) states that 60-80% of the infant mortality rate (IMR) occurs due to low birth weight. Low Birth Weight (LBW) contributes 60% -80% of neonatal mortality. The Indonesian Health Demographic Survey (IDHS) in 2017 showed that the incidence of LBW in Indonesia reached 6.2% with a fairly high prevalence. These various effects of LBW are what then causes babies to often require intensive care in the hospital. This condition can then lead to anxiety in parents. Therefore, this study was conducted to determine the factors that influence anxiety in mothers who have babies with LBW conditions in Southwest Sumba Regency. This research was conducted on 20-26 March 2021 with a qualitative approach through interviews and measuring anxiety levels using the HARS questionnaire. The study population was all mothers who had LBW babies in Southwest Sumba. The research subjects were 6 respondents who were selected through the purposive sampling technique. The results showed that there were several factors that influenced the anxiety of mothers with LBW babies, including the mother's age at pregnancy, the amount of parity, and education. Keyword: LBW, Risk Factor, Anxiety

Background: Convalescent plasma (CCP) has been used for treating some infectious diseases; however, the efficacy of CCP in coronavirus disease 2019 (COVID-19) remains controversial. The aim of this research was to assess the efficacy of CCP as an adjunctive treatment in COVID-19 patients. Methods: Embase, PubMed, Web of Science, Cochrane and MedRix were searched for potentially relevant articles. All included papers were assessed for the quality using modified jadad scale and Newcaste-ottawa scale for randomized controlled trial (RCT) and non – RCT, respectively. We used a Q test and Egger test to assess the heterogeneity and publication bias among studies, respectively. Mortality rates between patients treated with standard treatment and standard treatment with CCP were compared using a Z test. Results: A total of 12 papers consisting of three cross-sectional studies, one prospective study, five retrospective studies, and two RCT studies were included in our analysis. Of them, a total of 1,937 patients treated with CCP and 3,405 patients without CCP were involved.. The risk of mortality was 1.92-fold higher in patients without CCP compared to patients treated with CCP (OR: 1.92; 95%CI: 1.33, 2.77; p=0.0005). In severe COVID-19 sub-group analysis, we found that patients without the CCP had a 1.32 times higher risk of mortality than those treated with the CCP (OR: 1.32; 95%CI: 1.09, 1.60; p=0.0040). Conclusions: CCP, as adjunctive therapy, reduces the mortality rate among COVID-19 patients.