Indonesia Conference Directory

Corresponding Author
Muhamad Fahmi Hasan

Institutions
Sport Science Research Group, School of Pharmacy, ITB.
Pharmacology and Clinical Pharmacy Research Group, School of Pharmacy, ITB

Abstract
Background: Related to work productivity, the fitness level is one of the important conditions to be able to work optimally. On the other hand, based on an analysis of the daily activities of ITB lecturers and staff, in general they lack physical activity. Such conditions are of course very concerning because if you have low physical activity for a long time can have an impact on health, bad habits have the potential to make it easier to get degenerative diseases such as metabolic disorders, heart disease, cholesterol, diabetes and others. Purpose: On that basis, mapping the fitness level and physical activity of lecturers and staff in the ITB environment is very appropriate to be done as a first step in an effort to increase work productivity. Methods: Retrieval of data through the Rocport test, which is a test to measure the ability of aerobics by constantly walking as far as 1.6 km, then the output of this test will produce predictions of VO2Max ability. The sample in this activity are lecturers and staff aged 45 years and over. Results: From this study it can be described that ITB lecturers and staff are divided into several categories, namely the 0% thin category, 40% normal, 45% fat, 10% obesity. Then the condition of fitness with a very low category of 10%, low 16%, enough 23%, good 23%, very good 2%, superior 6%. In daily activities doing physical activity in the low intensity category is 36%, moderate is 34% and high is 30%. Conclusion: Physical activity with a low category has a tendency to fall into the normal and fat category, seen from the Body Mass Index. But because of the support of nutritional intake and good rest, the fitness level tend to be in the moderate and good category.

Keywords
Physical Activity, Fitness Level, Lecturer, Public Health

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/wuahxAXfDJ9Q

Corresponding Author
Ayu Egayosi Prambandari

Institutions
a) Universitas Aisyiah, Yogjakarta, Indonesia
Jl. Siliwangi (Ring Road Barat) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta 55292.
*egha.single[at]yahoo.com

Abstract
Background: The initial two-year period of a babys life is an important period as well as a critical period in the process of physical, psychological and intelligence development. One of the factors that influence childrens growth and development is nutritional factors. Mothers milk is widely recommended as the best way to feed infants. The aim is to increase promotion and support for breastfeeding for the success of exclusive breastfeeding. Method: This research method uses electronic bibliographic database with database search using PubMed and Sciencedirect done systematically from 2008 to 2018. Quality articles are selected based on inclusion criteria and extraction results from 987 articles to 10 articles. Results: Based on the results of the review it was found the need to instill a professional attitude in order to facilitate the promotion of breastfeeding. However, the benefits of breastfeeding support have not been able to increase the success rate of exclusive breastfeeding. Establish a breastfeeding room at work at an important value as a form of priority action for nursing mothers who work. The government and private institutions are implementing efforts to create a work environment that supports mothers in choosing and providing the best nutrition for their babies. Conclusion: Full breastfeeding is highly recommended by nutritionists around the world. The success of exclusive breastfeeding can be done by providing breastfeeding support by health and non-health professionals. The success of the Exclusive ASI Health Promotion Program can be done with creativity and active efforts to carry out health promotion strategies.

Keywords
Breastfeeding, Exclusive breastfeeding, Promotion, Support.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/9pKU2HgNba3x

Corresponding Author
Devi Octaviana

Institutions
Department of Public Health, Faculty of Health Sciences, University of Jenderal Soedirman

Abstract
Dengue Virus (DENV) infection is still an important public health problems including in Indonesia. Dengue prevention and control program must be based on integrated knowledge also related to public perceptions of this disease. The aim of this study is to find out community perception on their risk to have dengue infection and also their treatment seeking behaviour. This is qualitiatative study which involved 9 informants from community in Banyumas Regency, Central Java, Indonesia. Data collection was obtained by indept interview to the informants and data was analyzed by content analysis. Result of this study highlighted that most informants feel that they had less risk to contract with DENV infection. This perception could affect the less prevention and control effort which carried out in community. However, for they tend to seek treatment to health facility promptly after the symptoms of dengue appeared. Informants also emphasize that they support the prevention and control for minimize the dengue cases .

Keywords
dengue, prevention, qualitative

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/eXELruAvWNBy

Corresponding Author
Ismiati Ismiati

Institutions
Midwifery Masters students at Aisyiyah Yogyakarta University

Abstract
Background: Qualified midwives have comprehensive and professional abilities that can only be achieved through high quality midwife education. One effort to improve the qualifications of midwives is by implementing a Continuity of Care model in clinical education to ensure that the graduates are ready to keep responsibility for providing safe and effective delivery care. The majority of maternal and infant deaths can be avoided if Continuum of Care is provided in a structured pathway from pregnancy to birth and the first week of life for a newborn baby. Purpose : The purpose of this study was to review the Continuity of Care learning model for midwifery students. Methods: This Systematic Literature Review used the PubMed, Science Direct and ProQuest databases with a period of 2008-2018, out of the 989 initial articles identified, 4 articles were selected since they met the inclusion and exclusion criteria for final review. Results: The Continuity of Care learning model for midwifery students took place between students and patients, which enabled them to experience continuity with a woman through pregnancy, childbirth, birth and the postnatal period. In fact, students learnt directly from patients and from other health care providers who then consolidated students in understanding the philosophy of female-centered care. Conclusion: There were two CoC (Continuity of Care) learning models for midwifery students namely CoC (Continuity of Care) with Follow Through Experience (FTE) and CoC (Continuity of Care) with Case-loading models. The benefits of midwifery care with the Continuity of Care model had a very important role in reducing MMR and IMR and a positive impact on the continuity of the midwifery care model. On the other hands, students learnt directly from patients and from other health care providers who consolidated students in understanding the philosophy of female-centered care.

Keywords
Learning Model, CoC, Midwifery Students

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/nxLTcPbXJajz

Corresponding Author
Ridho Tristantiningsih

Institutions
Jenderal Soedirman University

Abstract
Background: Hypertension is a health problem from non-communicable diseases that occurs a lot in praeldery in the Community Health Center Punggelan 1. Counseling is one of the interventions that can be applied to suppress the increase and reduce recurrence where this guidance is done by someone who is an expert to help overcome the problems experienced. This study aims to determine the effect of giving counseling to preliminary knowledge and attitudes about hypertension Methodology: This study uses a quasi-experimental design with pre and post test design with a control group. The sampling technique is simple random sampling. The number of samples was 32 respondents for two groups. The instrument uses a questionnaire. Statistical tests using paired t test and continued with Mann-Whitney. Results: The results showed that health counseling can improve knowledge and attitudes with the value of knowledge (p = 0,000) and attitudes (p = 0,002). Conclusions: Counseling can be applied to patients with hypertension in problem solving of knowledge and attitudes pra eldery about hypertension. Keywords: Counseling, Knowledge, Attitude, Hypertension.

Keywords
Counseling, Knowledge, Attitude, Hypertension

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/pR6D9XCyhrzG

Corresponding Author
Martina Pakpahan

Institutions
1 Lecturer Of Faculty Of Nursing And Allied Health Science, Universitas Pelita Harapan
2 Lecturer of Public Health Faculty-Universitas Indonesia
Indonesia

Abstract
Non-communicable diseases and infectious diseases closely associated with unhealthy behaviors. The current disease development trend throughout the world is non-communicable disease. According to Basic Health Reasearch of Indonesia (Riskesdas) in 2013, the proportion of household healthy behavior nationally was 32.3%, North Sumatera was 24.6%, while in Samosir district 14.7%. This study aims to analyze the determinants of household healthy behavior in Samosir district in 2016. The research was conducted in three sub-districts; Pangururan, Simanindo and Ronggur Nihuta. The research used quantitative and qualitative research methodologies (mixed method) but in this study only discusses the quantitative research. This study used the cross-sectional design. The sample were 187 housewives with multistage random sampling technique. The results showed health behavior of households in Samosir district was 12.8%. Variables that have a meaningful relationship with household healthy behavior were attitude (p value=0.001; OR=8.79), income (p value=0.001; OR=7.92), and the availability and affordability of health facilities (p value = 0,049; OR=3.32). Attitude is the dominant variable. Health promotion strategies need to be applied as whole to resolve the determinants of household healthy behavior.

Keywords
Determinants, Healthy Behavior, Household, Samosir, Health Promotion Strategies

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/U4D98AjZfa6P

Corresponding Author
Indah Setyowati

Institutions
General Soedirman Of University

Abstract
Background: Care for LBW babies in the intensive room causes separation with parents who influence bonding attachments. Mother involvement in the process of baby care is a way to strengthen bonding attachments. Knowledge and skills of mothers who do not make mother and baby attachment bonding needs difficult to fulfill. This study aims to determine the effect of audio visual bonding attachment media on the knowledge and skills of LBW mothers. Methodology: This research was a quasi experiment by using consecutive sampling with 34 respondents, divided into 17 respondents and 17 respondents. The intervention group was given health education through audio visual. The research instrument used a knowledge questionnaire and a bonding attachment observation sheet. Statistical tests using paired t test, independent t test, Wilcoxon and Mann Whitney Results: There were differences in the increase in knowledge (p = 0.001) and improvement in skills (p = 0,000) bonding attachments that were significant in the intervention group before and after the intervention was given. Conclusion: There is the influence of the use of audio visual bonding attachment media on the knowledge and skills of LBW mothers.

Keywords
audio visual, bonding attachments, LBW babies, knowledge, skills.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/UZmXQwahvR2V

Corresponding Author
elia nur ayunin

Institutions
Faculty of Health Sciences, University Muhammadiyah Prof Dr Hamka (UHAMKA), Jakarta

Abstract
Background: Low Birth Weight (LBW) in Boyolali still be serious problem. In 2013 LBW incidence was reached 15.3 per 1000 live births, plus exclusive breastfeeding coverage was 51.3% still below national target 80%. Therefore, midwives roles required to resolve these problems. Midwives were necessary to improve their capacity through a combination of lactation management and KMC training. Purpose: The purpose of this study was to evaluate effectiveness of combination training using primary data and compared with secondary data (Data Perinasia in 2010-2014). Methods: Design of this study used qualitative approach with quacy experiment design study one group pretest and post-test with time series measurement. This study using two data sources, primary data obtained in combination training and secondary data from PERINASIA. Primary data collection uses knowledge questionnaire at pretest, 1st post-test, and 2nd post-test which filled by respondents independently. While secondary data was obtained from Perinasia training-s data, it was pretest and post-test value in lactation management and KMC training in period 2010 – 2014. Secondary data was selected based on suitability characteristics in training participants, that is similarity of education, age and residence. Data analysis involved univariate and bivariate analysis. Bivariate analysis used paired t-test, independent t-test and correlation analysis, because all data are normally distributed. Results: The learning evaluation result showed that overall knowledge score of lactation management and KMC were increased. Comparative result of secondary data showed there were signicant difference in knowledge score between the combination training and the lactation management training only. Conclusion: Overall training this succefully increased knowledge and midwives skill releated of lactation management and KMC.

Keywords
Effectivisness training, Midweves, Lactation Management, KMC

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/kUxubrq6t9EM

Corresponding Author
Nur Islami Mohd Fahmi Teng

Institutions
Universiti Teknologi MARA

Abstract
Sunnah eating practices has the element of healthy eating practices. The Sunnah which refers to the practices of the prophet Muhammad should be followed by Muslim worldwide. Nevertheless, most Muslim has the problem of overweight and obese including the Muslim in Malaysia. Less was known on Sunnah eating practices as previous studies were focusing more on Sunnah foods. To design appropriate, faith-based intervention on Sunnah eating practices, the facilitators and barriers towards it should be assessed. The aim of this study is to explore the facilitators and barriers to Sunnah eating practices among overweight middle-aged Muslim women. A total of 22 participants (age 52.45±4.68 years) in Klang Valley were recruited through purposive sampling design and were interviewed face-to-face using an in-depth semi-structured interview guide. Data collected were analysed using thematic content analysis. The major facilitators of Sunnah eating practices are health status, awareness, observe Sunnah practice and culture. Meanwhile, the major barriers are time constraints, outside foods, preferences and culture. Overall, the facilitators and barriers to Sunnah eating practices were much influenced by several factors including family, environment and education. This study provides the deeper look into what are the facilitating factors and barriers for Muslim people to implement Sunnah eating practice and insights for health professionals to design a relevent faith-based intervention.

Keywords
facilitators, barriers, sunnah eating practice, overweight

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/hGyATX83bLEN

Corresponding Author
Wahyu Ernawati

Institutions
Aisyiyah University of Yogyakarta
Jl. Siliwangi (Ring Road West) No. 63 Mlangi, Nogotirto, Gamping, Sleman,
Yogyakarta. 55292.Telepon: (0274) 4469199 Fax .: (0274) 4469204
Wahyuernawati584[at]yahoo.co.id

Abstract
Background: Globally, approximately 515,000 women die from pregnancy related complications each year. According to WHO, about 90-95% Maternal and infant mortality remains a huge public health problem in developing countries. One of the strategies to minimise the risks of both maternal and infant mortality is access to and utilisation of antenatal care (ANC) services. The World Health Organization (WHO) recommends antenatal care (ANC) as an important approach for the care of pregnant women. Method: Apprasial studies program using Critical Appraisal Skills Program (CASP) and methods of synthesis using a modification PEOS data sources obtained from PubMed, Sincedirect, and ProQuest. Results: Accessibility factors such as lack of transport, high transport costs and long distances to health care facilities, health care workers- attitudes, type and quality of services provided, family support, and social pregnancy. Conclusion: Pregnant women are expected to routinely check their condition at least 4 times of the standard visit (K4) during pregnancy

Keywords
Antenatal Care Visits, Factors, and Pregnancy

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/xhbQfBMLRed2

Corresponding Author
Juanda Syafitasari

Institutions
Aisyiyah University of Yogyakarta
Jl. Siliwangi (Ring Road West) No. 63 Mlangi, Nogotirto, Gamping, Sleman,
Yogyakarta. 55292.Telepon: (0274) 4469199 Fax : (0274) 4469204
juandaanindya[at]gmail.com

Abstract
Background : Antenatal iron supplementation is a cost effective way of reducing iron deficiency anaemia. Poor adherence to iron supplements has limited its effectiveness in reducing maternal anaemia as evidenced by the high burden of iron deficiency anemia . Purpose: The purpose of this study was to determine factors associated with adherence to iron supplementation. Methods : Appraisal studies using Joanna Briggs Institute (JBI), and methods of synthesis using a modification PEOS data sources obtained from PubMed and science direct. Results: The results of five journals that met the inclusion criteria obtained factors that influenced adherence of pregnant women to consume iron supplements namely age, education, employment, knowledge, socio-economic, and ANC visit. Conclusion: Promoting early and frequent ANC, enhancing the quality of ANC counseling and promoting the knowledge of women on anemia are essential strategies for improving the utilization of iron supplements.

Keywords
Compliance, factors, consumption, iron supplements, and pregnancy.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/MhjeJcuZk6yQ

Corresponding Author
Novia Nazirun

Institutions
a) Universitas Islam Riau, Jl. Kharudin Nasution, Pekanbaru, Indonesia

Abstract
This study aims to determine the factors associated with the incidence of low birth weight (LBW) in the Arifin Achmad Pekanbaru Hospital in 2015. This type of research is quantitative analytic with the type of study case study design non mmatching. Pupulasi is all babies born at Arifin Achmad Pekanbaru Hospital in 2015. Cases are babies born with a weight <2500 and controls are babies born over> 2500 gr. The sample was 1,680 people, namely the case of 182 infants and control of 182 infants taken by random sampling. Data analysis was carried out in univariate, bivariate and multivariate. The results of this study found that the most related variables were maternal education (OR: 1,693; 95% CI: 1108-2,586), birth distance (OR: 1,586: 95% CI: 1,027-2,450) and anemia (OR: 1,540: CI 95%: 1,002-2,368). From these results it can be concluded that there is a relationship between maternal education, birth distance and anemia with the occurrence of late. Health workers and related agencies are more active in providing IEC counseling and mothers are more active in finding information about LBW.

Keywords
Low Birth Weight Genesis

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/r6p8hzygKftE

Corresponding Author
Budiharjo Budiharjo

Institutions
(a) Student Master of Health Promotion in Diponegoro University Semarang
(b) Lecturers in Health Promotion Masters in Diponegoro University Semarang

Abstract
Background: Breast cancer is one of the deadliest diseases. The incidence of breast cancer in Indonesia is 11% of all cancer events. Data in RSUD Soewondo Kendal noted that caesarean sufferers increase every year. In 2014, there were 547 patients with ca mamae outpatient and 6 people inpatient care, in 2015 there were 681 outpatients and 3 inpatients, in 2016 there were 609 outpatients and 4 people inpatient care. The cause of breast cancer can not be known with certainty, but handling breast cancer cases can be done by the BSE method. Purpose: The purpose of this study was to analyze the factors that influence the behavior of young women about conscious examination in early detection of breast cancer in RSUD Soewondo Kendal. Methods: The design of this study was a cross sectional design. The population of this study is young women who have a mother with a history of breast cancer in RSUD Soewondo Kendal. The research sample amounted to 30 people taken using a purposive sampling technique. The collection of research data using a questionnaire. Data analysis was carried out through 3 stages, namely univariate, bivariate and multivariate. Results: The results showed that the factors that had a significant relationship with conscious behavior were age (p = 0.023), knowledge (p = 0.016) and family support (p = 0.024). While the most influential variable on my awareness is the family support variable with an OR value of 12,627 (95% CI: 2,567 - 62,120). Conclusion: It is suggested that families can provide support to young women to improve health related to breast cancer and early detection of breast cancer through BSE.

Keywords
Breast cancer, BSE, Adolescent girls

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/6nZmqU8WrR3K

Corresponding Author
Lita Heni Kusumawardani

Institutions
a. Department of Nursing, Universitas Jenderal Soedirman, Indonesia
b. Hospital of dr. R. Goeteng Taroenadibrata Purbalingga, Indonesia

Abstract
Background: Montessori is a method of teaching children based on children activity. It can activate gross motoric skill development on children. Purpose: This study is to find out the effect of Montessori method on the gross motoric skill development of children aged 3-5 years. Methods: This study is a quasy experiment research with pre and post test with control group design approach. Sampling method used is purposive sampling. Sample size are 40 children consisting of 21 children in Nur Hidayah Ages Early Chidhood Education (treatment group) and 19 children in Bina Kasih I Ages Early Chidhood Education (control group). Research instrument is Denver Development Screening Test (DDST) II. Statistical data analysis used is the Mann-Whitney test and Wilcoxon. Results: The results showed that the result of statistic test with Mann-Whitney was got p=0,005 for gross skill motoric after intervention. The results showed that the result of statistic test with Wilcoxon was got p=0,014 for gross skill motoric. Conclusion: Montessori method can improve gross motoric skill development of children aged 3-5 years in Nur Hidayah Ages Early Chidhood Education. Montessori method is effective for improving of gross skill motoric especially combination of Montessori method with engklek to stimulate gross motoric development. It is recommended that parents can pay more attention in optimizing the gross motoric skill development of their children.

Keywords
children 3-5 years, gross motoric skill child development, Montessori

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/PVBqpvKEJZA3

Corresponding Author
Yustiana Olfah

Institutions
(a) Post Graduate Program, Sebelas Maret University Surakarta, Indonesia. yustinjogja67[at]student.uns.ac.id
jalan Ir. Sutami No 36 A, Pucangsawit, Jebres, Surakarta.
(b) Sebelas Maret University

Abstract
Background: childrens is person who are before eighteen years old who will become a gold generation and human capital, thus determining the direction of Indonesias sustainability in the future. Children-s violence often occurs in schools, homes and in public places. The types of children-s violence include physical, sexual, emotional, medical abuse and neglect. Sexual violence includes an element of forced sexual will or results in actions by perpetrators who are unwanted and offensive to the victim. In dealing with children-s sexual violence, parents must have knowledge, be more open and informative to children, especially sexual education in order to provide maximum assistance to prevent children from sexual abuse. The community has strong contribution in efforts to prevent children-s sexual violence. The population in this study was the dasawisma group from Sleman Yogyakarta Regency which amounted 112 people. The sample size was 66 people as 33 respondents for each village community group (Kelurahan Sidorejo, Kecamatan Godean) or the people of the city (Kelurahan Nogotirto, Kecamatan Gamping). Purpose: Determine differences in the knowledge level and participation of rural and urban communities in preventing children-s sexual violence. Result: Indicate the knowledge and participation of villagers in preventing children-s sexual violence with significance value of 0.011 while in the urban community the significance value is 0.001. The significance value is less than 5% or 0.05, so it can be stated that the level of knowledge influences a person to participate in preventing sexual violence in children. Conclusion: there are differences in the level of knowledge and participation of rural and urban communities in preventing children-s sexual violence. Keywords: Child abuse, sexual violence

Keywords
Child abuse, sexual violence

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/mpJHhwyV7uqa

Corresponding Author
Md. Aminul Haque

Institutions
Department of Population Sciences, University of Dhaka

Abstract
Background: Adolescent sexual and reproductive health is best addressed through identifying their perceived needs, eradication of barriers to SRH services. This study aimed to assess married female adolescents (15-19 years) perceived needs for SRH service and barriers to utilization SRH services. Methods: The study was a cross-sectional survey of married female adolescents- (15-19 years) from six villages, three from Kurigram and other three from the Nilphamari district of northern Bangladesh. A total of 436 adolescents were selected randomly through multistage sampling completed a structured questionnaire with both open and close ended. This was supplemented with 10 in-depth interview. Univariate and Bivariate types of analysis have been applied. Results: Overall mean age of respondents is 17.85 years, mean age at first marriage of the respondent 15.26 years, 46.3% respondents have primary education and only 5.3% have education higher than secondary level. Over 75.2% respondents reported about having sexual and reproductive health related problems. 65.8% identified that they have knowledge about the components of SRH services. However only 37.2% perceived needs for the components of SRH services. Some barriers are responsible for non-utilization of SRH services such as: Personal, Socio cultural, Religious, Familial, Financial and Structural. There was difference among respondents of various age group, educational status and income groups regarding barriers to SRH service utilization. In-depth interviews also suggested similar situation. Conclusion: Respondents have knowledge about SRH services, Perceived needs for SRH services was very high in the study area. Yet due to victimize by several barriers they are unable to receive SRH services. In Bangladesh though SRH services are mainly designed for married women but most of the married female adolescents- (15-19 years) especially those who are residents of rural areas are vulnerable to utilize SRH services owing to numerous barriers, which requires urgent policy attention.

Keywords
Bangladesh, Married Female adolescents Sexual and Reproductive Health, Perceived Needs, Perceived Barriers.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/Lx9fjhamWdQZ

Corresponding Author
Lellyawaty Lellyawaty

Institutions
1 Faculty of Health Science, Universitas ‘Aisyiyah Yogyakarta, Indonesia

*Lellyawaty : lellyawaty30[at]gmail.com

Abstract
Background: The 2018 UNAIDS data showed that 36.9 million people live with HIV. Of these, 4,400 cases found among adults (> 15 years old) and nearly 43% were women. In Sub-Saharan Africa, it was estimated that 24% of maternal deaths during prenatal or postnatal care were associated with HIV. Therefore, clinical attention is highly required during pregnancy and after delivery, particularly for those who are infected or at greater risk of HIV. Purpose: This study aimed to determine pregnancy experience among women with HIV. Methods: PubMed and Proquest were used to search relevant articles from 2015-2018 by typing the keywords: "pregnant HIV" OR "pregnancy HIV" OR "HIV pregnancy" OR "HIV pregnancy" AND “experience”. The inclusion and exclusion criteria was determined through: Population, Exposure, Outcome and Study Design (PEOS) framework, PRISMA flow diagram, data extraction and CASP, and mapping the findings. Results: Of 378 selected articles, 7 articles were found to be relevant with the study objective. Using qualitative designs, the articles discussed the disclosure of HIV status that remained hidden. This was due to lack of courage, high level of violence, negative stigma in community and lack of support from health practitioners in providing information about HIV during pregnancy. Support from family and peers can prevent HIV transmission from pregnant women to their fetus. Pregnant women with HIV can still expect that their pregnancy will be healthy and no HIV transmission to their newborn. Conclusion: Disclosure of HIV status remains be fear and concern. However, positive support from family, community and health practitioners can motivate pregnant women with HIV to improve their health.

Keywords
HIV, HIV pregnancy, HIV experience

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/4XRKyUmteYB7

Corresponding Author
Agus Sudaryanto

Institutions
1Department of Nursing, Universitas Muhammadiyah Surakarta, Indonesia
2Department of Public Health, China Medical University, Taiwan
*Corresponding Author: Agus Sudaryanto (agus_sudaryanto[at]ums.ac.id)

Abstract
Background: Hypertension is one of the cardiovascular system diseases which mostly affects the elderly in the community. The country of Indonesia consists of urban and rural areas. Many hypertensive patients are living in rural areas of Indonesia. Purpose: This study sought to determine the relationship between family support and quality of life of Hypertensive patients in a rural area of Surakarta. Methods: A cross-sectional survey was conducted on a convenience sample of 68 older adults residing in Gayam Village, Surakarta using a questionnaire. Results: There was a significant relationship between family social support and quality of life of Hypertensive patients in a rural area of Surakarta, p-value: 0.031; χ2: 4.666. Based on the level of family support of 68 respondents, there are 30 people (44.1%) lack family support, and 38 people (55.9%) received well. Conclusion: Family support is correlated with quality of life among Hypertensive Patients in rural area of Surakarta. This study recommends taking take into account to provide support for Hypertensive patients, especially from family.

Keywords
Hypertension, Hypertensive patients, family support, quality of life, urban

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/3zrZXUB2mqfF

Corresponding Author
Getrudis Wilhelmina Gudhu

Institutions
Jenderal Soedirman University

Abstract
Background: Adolescence is a transition period in the development of major physical, cognitive, and psychosocial changes. Growth and development begin with maturity of reproductive organs that involve hormonal and physical changes, which are experienced by early adolescents or adolescents at the age of puberty. To shape adolescent attitudes toward physical changes during puberty, parents need a communication pattern that can affect the effectiveness of interpersonal. Objective: This research aimed to analyze the relationship between parents communication patterns with adolescent attitudes about physical change during puberty in eighth grade of junior high school. Method: This research used a cross sectional design. The researcher used simple random sampling with 67 students as respondents. This research used adolescent attitude questionnaire to measure the attitude. Statistical tests used The Chi Square Test. Results: Chi square statistical test showed that there was no relationship between parents communication patterns with adolescent attitudes about physical changes during puberty in eighth grade of junior high school with values (p = 0.499) correlation coefficient values (OR = 1,313) CI 95% (0,293-5,887) so that Ho was accepted. Conclusion: There is no relationship between parents- communication with adolescent attitudes about physical changes during puberty in eighth grade of junior high school.

Keywords
Adolescent attitudes, parents- communication patterns, physical changes

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/6zqhdyjPVpMx

Corresponding Author
Hindun Rahim

Institutions
Universitas Aisyiyah Yogyakarta

Abstract
RISK FACTORS AFFECTING THE EVENT OF BREAST CANCER IN SOUTHEAST ASIA : SYSTEMATIC LITERATURE REVIEW Hindun Rahim1, Ismarwati2, Sri Ratnaningsih3 . Corresponding Author : Hindun (hindunrahim171090@gmail.com) Abstract Background: Breast cancer is one of the reproductive cancers that cause increased morbidity and mortality. Based on the Global Burden Cancer (Globocan) data, breast cancer has increased by more than 20%, while the mortality rate has increased by 14% since 2008. Purpose: The aim of the study is to conclude a systematic literature review that is related to risk factors that influence breast cancer in Southeast Asia. Methods: This study emphasizes risk factors that influence breast cancer incidence such as; contraceptive use, age, body mass index, menarche, menopause, parity, breastfeeding, and smoking using the systematic literature review method identified a total of 7 relevant journals and summarized in a narrative manner. Result: The results of this journal review show that contrast use, age, body mass index (BMI) in this case a higher BMI or obesity, early age menarche that is influenced by unhealthy lifestyles, menopause, and the Human Papillomavirus (HPV) significant risk factors that influence breast cancer incidence in Southeast Asia. Conculison: Age, body mass index (BMI), and the contraseptive use very influential on the incidence of cancer Keyword: breast cancer, contraceptive, risk factors

Keywords
breast cancer, contraceptive, risk factors

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/fAV3y9WuwbXj

Corresponding Author
siti Masfiah

Institutions
Jurusan Kesehatan Masyarakat, Universitas Jenderal Soedirman

Abstract
Background: The insidence of Diabetes Mellitus (DM) in Banyumas District is increasing, especially in rural area. There are about 306 cases of insulin dependent DM, and 1.878 Non-Insulin DM. The highest contribution of cases is from Karanglewas primary health care (puskesmas). Diabetes Mellitus prevention program should be strengthening in order to tackle this issues. This paper try to explore the situational analysis of facility-based support for Diabetes Mellitus prevention program in rural community in Banyumas District. Methods: This was qualitative study. Data was collected by in-depth interview and observation in tree rural areas in Karanglewas primary health care namely Babakan village, Jipang village and Singosari village. Data was analysis by content analysis approach. Ethical clearence was approaved by committe of ethics, Faculty of Medicine, Jenderal Soedirman University. Results: Analysis was categorized in two unit level; i) facility-based suport in sub-district level, ii) facility-based support in village level. There are several facility-based supports for promotive, curative and rehabilitative services available and accesible in sub-district unit both public and private, hovewer the support in private facility is limited, and some of the services are less affordable. In village unit, there are several community involvement program to support prevention and promotion for Diabetes Mellitus in rural community. Most of the programs are supervised by primary health care in the area, hovewer the private clinics also involved in the programs. In community level most of the challeges is related with funding availability, equipments and human resouces sustainability. Conclution: Facility-based support for Diabetes Mellitus prevention program is available in rural community in Banyumas District, hovewer there are several challeges in community level should be address to improve the Diabetes Mellitus prevention program.

Keywords
Diabetes Mellitus, facility-based support, rural community, Banyumas District

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/KPQcC4ZYAJGy

Corresponding Author
Anantia Prakasa

Institutions
1 Fakultas Teknik Elektro & Telekomunikasi, Institut Teknologi Telkom Purwokerto (ITTP), Indonesia
2 Fakultas Kedokteran, Universitas Jenderal Soedirman (UNSOED), Indonesia.

Abstract
Background: Industry 4.0 aims to increase the productivity in all aspects and to create simultaneously effectivity and efficiency by using Artificial Intelligence (AI), Machine Learning (ML) and Hypoconnectivity; to achieve these objectives in medical education and health service it needs collective big data, algorithms and statistic tools. Purpose: The purpose of these study is to look for the possibility the utilization of AI, ML in medical education and health service in Indonesia. Methods: Literature Study Results: Data required by ML is a thousand of predictor variable such: physiology data, anatomy, biochemistry, patient data sourcing from anamnesis, physical examination and supporting data examination. All kind of those data process using algorithm and statistical standard model. With the result of that we have record for data and information to make diagnosis and prognosis. In biomedicine, ML are able to determine the optimum diet based on function and protein structure from genetic sequences. AI, ML and matric curriculum capable to made excellent format as “click-on”. Curriculum matrix can be explored by the expected learning outcomes, Curriculum contents of expertise covered, Students Assessment, Learning Opportunities, Learning Location, Learning Resources, Time Table, Staff, Curriculum management and Students. The matrix provides one way of tracing the link between curriculum level as planned, as delivered and as experienced. A curriculum has at least four important elements: contents, teaching, learning strategy, assessment process and evaluation process. Implementation ML not only limited to curriculum but also virtual patient, virtual teacher, virtual environment. Conclusion: Human physician and AI doctors will work together to create the best hospital services. “Click-on” easily identified: what, when, where, how students and staff, also curriculum elements.

Keywords
Industry 4.0 revolution, Artificial Intelligence, Machine Learning, Medical Education, Health Services

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/axeGm4yYEwpZ

Corresponding Author
pratiwi cahya skania

Institutions
Universitas ‘Aisyiyah Yogyakarta

Abstract
Background: Anemia still becomes a problem worldwide, especially in developing countries. The World Health Organization (WHO) states that there are still more than 50 percent of women in the world suffering from anemia. In pregnant women the incidence of anemia can cause complications both for the mother and the fetus such as life-threatening bleeding, miscarriage, low birth weight (LBW) and premature birth. WHO defines anemia in pregnant women as a condition in which hemoglobin level is less than 11 mg / dL in the first and last trimester or 10.5 mg / dL in the second trimester or the hematocrit level is less than 37 percent. Purpose: The study aim to determine the effect of Fe tablets consumption on hemoglobin (Hb) level increase in pregnant women and to find out the factors related to the compliance of pregnant women taking Fe tablets. Method: This Systematic Literature Review employed Pubmed and Science direct database with a period of 2008-2018. The selection of articles was based on the inclusion and exclusion criteria. The Appraisal study employed The Joanna Briggs Institute Critical Appraisal Tools. Result: Consuming Fe tablets had an effect on increasing Hb levels of pregnant women. Pregnant women who got support from the people closest to them felt that they were appreciated, cared for and loved. Educational material about iron supplementation (Fe) should also emphasize on how to take Fe tablets properly and should give an understanding about the effects of anemia on mother and fetus. Health practitioners need to involve families in providing health education to increase support for pregnant women in taking Fe tablet. Conclusion: Iron supplement (Fe tablet) is effective for reducing anemia in pregnancy. Family and closest people-s support plays as an important role in increasing compliance in consuming Fe tablets.

Keywords
Iron deficiency, Hb Level, Pregnancy

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/EgRMaekWGNXB

Corresponding Author
Rahmawati Nur Jannah

Institutions
Jenderal Soedirman Of University

Abstract
Background: Teenage pregnancy is one of the indirect causes of high maternal mortality, the high rate of teenage pregnancy is influenced by one of them due to lack of knowledge and attitudes. This study aims to determine the effect of health education through audio visual on adolescents- knowledge and attitudes in preventing teenage pregnancy. Methodology: This study is a true experiment using randomized control trials with 48 respondents, divided into 24 respondents of intervention group and 24 respondents of control group. The intervention group was given health education through audio visual. The research instrument used a questionnaire. Statistical tests using Paired t-test, Independent t-test, Wilcoxon and Mann Whitney Research Results: The statistical test results showed that there were significant differences in the posttest of knowledge between the intervention group and the control group. Likewise, the value of the attitude variable indicates that there are significant differences in posttest attitudes between the intervention group and the control group. Conclusion: Health education through audio visual can significantly improve the adolescents knowledge and attitudes about prevention of teenage pregnancy.

Keywords
audio visual, teenage pregnancy, health education, knowledge, attitude.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/9evZQgFzwNqB

Corresponding Author
Aditya Pandu Widiatmoko

Institutions
Unsoed

Abstract
Background: Breast cancer is the second leading cause of death in women after cervical cancer, but breast cancer can be prevented by reducing risk factors. This study aims to determine the effect of health education through audio visual on women childbearing ages knowledge and attitudes about preventing of breast cancer. Methodology: This study uses the method quasy experiment with pre-post test with control group. The number of respondents was 62, divided into 31 respondents of control group and 31 respondents of intervention group 31. The research Instrument used a questionnaire. The data were examined using Paired t-test, Wilcoxon, Independent t-test and Mann-Whitney. Research Results: The statistical test results showed that there were significant differences in the posttest knowledge between the control group and the intervention group (p= 0.001). The results of statistical tests on attitudes variables showed that there were significant differences in the posttest between control group and intervention group (p= 0.003). Conclusion: Health education through audio visual could significantly improves the women childbearing ages knowledge and attitude about prevention of breast cancer

Keywords
audio visual, breast cancer, health education, knowledge, attitudes, women of childbearing age

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/86YUvXPWVuH9

Corresponding Author
Nurul Huda

Institutions
‘Aisyiyah University Yogyakarta

Abstract
Background: Introduced in 1970 as a strategy for assessing clinical skills in medical students, Objective Structured Clinical Examination (OSCE) has been widely accepted as a strategy for assessing clinical competence in various health related curricula (eg dentistry, pharmacology and physiotherapy) and now this has been established in nursing education and midwifery training. The experience of midwifery students in dealing with OSCE is to make students feel anxious. This will affect the value that will be obtained by midwife students because they cannot concentrate on the OSCE. However, many argue that when they experience anxiety, midwifery students will better prepare themselves for the OSCE and they feel that the OSCE assessment will ultimately benefit them. Methods: Studies appraisal program uses Critical Appraisal Skills Program (CASP), and methods of synthesis using a modification PEOS data sources available from Pubmed, ProQuest, and Sience Direct. Results: With the implementation of OSCE, it can evaluate clinical competence and psychomotor skills of midwifery students. OSCE can also develop the internal mental abilities of midwifery students before doing skills on practical land. Conclusion: OSCE can increase the confidence of midwifery students. With the OSCE midwifery students can develop mental and clinical abilities before doing skills in the practice area. OSCE encourages midwifery students to assess their knowledge and understanding of clinical practice. OSCE also makes midwifery students skilled in communicating with patients

Keywords
OSCE, Midwifery Students, Experience

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/tvaLedq9ExYz

Corresponding Author
NANA CONDRO WASIAT

Institutions
a) Master Student of Health Promotion Program, Faculty of Public Health, Diponegoro University
*dokternanacondro[at]gmail.com
b) Faculty of Public Health Diponegoro University

Abstract
Background. Exclusive breastfeeding (EBF) practices are the infant only receives breast milk for the first 6 months of life. This is expected to be well known and practised by healthcare workers who are in the position to educate, promote and support the community. Objective. To analyze factors that affect on exclusive breastfeeding practices by healthcare workers at the Semarang District Hospital. Methods. The research was observational analytic with cross-sectional design, the samples were healthcare workers at the Semarang District Hospital who had 6-24 month-old babies. The data were gathered by using questionnaires and analyzed by using chi-square test and logistic regression analysis. Results. Ninety eight healthcare workers were recruited, including doctors, nurses, pharmacists and other healthcare workers. Only 43,9 % healthcare workers practiced EBF. The main reason why they did not practiced EBF was being a busy work schedule. Knowledge (OR CI95%=3.028 p=0.046) and availability of facilities (OR CI95%=2.849 p=0.036) were related to exclusive breastfeeding practice. Conclusion. Because of shortcomings in exclusive breastfeeding practices among the healthcare workers, they need to be empowered and supported to promote and support exclusive breastfeeding. To improve their exclusive breastfeeding practices and knowledge, fulfill the facilities and training periodically should be conducted.

Keywords
Exclusive Breastfeeding, Healthcare Worker

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/uNRayJvt2mdP

Corresponding Author
M. ZULFIKAR AL FARIQI

Institutions
a)Master Student of Health Promotion Program, Faculty of Public Health, Diponegoro University
b)Faculty of Public Health Diponegoro University

Abstract
Background : Diabetes mellitus in Indonesia is increasing every year. Diabetes mellitus can be prevented, delayed and slowed down by controlling the level of stress so that blood glucose levels can be controlled. Purpose : The purpose of this study was to analyze the effect of Islamic spiritual guidance on changes in blood sugar levels through stress levels in patients with diabetes mellitus type 2 who participate in diabetes exercise at PERSADIA Ungaran Hospital and Ambarawa Hospital Semarang Regency. Methods : The research method used was quasi-experimental design with pretest-posttest two group design. The research instrument used questionnaire and digital glucometer. The research sample amounted to 22 respondents for the intervention group and 22 respondents for the control group. Data analysis using application of SPSS Statistics 17 version with the Wilcoxon test, t-test dependent, spearman rank correlation. Results: The results showed that there was a significant decrease in stress levels in the intervention group given Islamic spiritual guidance with p value = 0,000 and there was a significant decrease in blood sugar levels in the intervention group with p value = 0,000. There is a significant relation between stress levels and blood sugar levels with p value = 0.033. Conclusion : Diabetes mellitus patients are expected to control stress by following Islamic spiritual guidance and doing diabetes exercises to control blood sugar levels.

Keywords
Islamic spiritual guidance, blood sugar levels, diabetes mellitus, diabetes exercise

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/dxmuvrHyZwpU

Corresponding Author
Maryam Habib Shodiq

Institutions
Magister of Midwifery, ‘Aisyiyah University Yogyakarta, Indonesia

Abstract
Background: Death and illness are still serious health problems in developing countries, the Maternal Mortality Rate (MMR) in the world is 289,000. Some countries have high MMR, such as Sub-Saharan Africa 179,000, South Asia 69,000 and Southeast Asia 16,000 (WHO, 2014). The cause of maternal death is dominated by low public awareness about the health of pregnant women. In addition, other import ant factors that influence maternal mortality include the not-so-good empowerment of women, educational background, family socio-economic, which one example of low womens empowerment is the lack of attention from men to pregnant and childbirth women. The male attention in the form of the husbands role in pregnancy and pregnancy outcomes affects the delivery process which can reduce the negative impact of maternal health behavior psychologically. Research Objectives: To assess or review whether the literature we are going to use can be used as a reference for future research. Data Source: Data sources were obtained from Pubmed, science direct. Inclusion Criteria: Husbands with a normal maternal history, Husbands who play a role during normal labor. Appraisal studies and synthesis methods: Appraisal studies use CASP, and the synthesis method uses PEOS modification. Results: the labor experienced is a joint process for couples. The involvement of a husband or father during labor, working with a midwife and being involved in support and care for her partner can reduce pain and anxiety. Conclusions and Implications of the Results: information, roles, expectations, experiences, and challenges especially during pregnancy and childbirth are very important to promote the involvement of a husband or father to maternal health problems. Future research is expected to be able to identify the needs of husbands or fathers to carry out their roles.

Keywords
husband role, experience, labour, childbirth.

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/QUzmvnbaEB47

Corresponding Author
Lia Kartika

Institutions
a) Faculty of Nursing, Universitas Pelita Harapan
Jl. Boulevard Jenderal Sudirman No. 15, Lippo Karawaci, Tangerang 15811, Indonesia
*sarah.kartika[at]uph.edu

Abstract
Background One of the main problems of public health in the world is malnutrition in children. Lack of education and knowledge about nutrition is one of the factors that cause the problem of malnutrition. Smartphone and computer-based educational games, which nowadays children familiar with, are few forms of technological advancements used in the health sector. Purpose This literature review aimed to explore articles about the use of technology in raising awareness of nutrition needs in the pediatric area. Method The searching process involved two databases; the e-resources page of the National Library of the Republic of Indonesia and Google Scholar in the 2012-2019 period. Keywords used in the literature search include children, nutrition, dietary behavior, technology, and nutrition learning. From 278 articles obtained and through the selection process, 5 articles were found that were in accordance with the inclusion and exclusion criteria. Results Thematic analysis revealed five themes: the changes of children behavior in choosing food, various application forms, the knowledge improvement amongst children, the increase of the children-s participation, and the enhancement of children-s attitude in learning about nutrition. Conclusion Finally, nurses are expected to have curiosity and the willingness to accept technological developments in the intervention of providing education to children and families. The latest evidence-based technology can be used by health care educator as a new strategy in an effort to improve the nutritional status of children. The recommendation from this literature review is to conduct research to identify the factors that influence the effectiveness of games and application in increasing the awareness of the essential nutrition in children.

Keywords
Awareness; Child; Nutrition; Technology

Topic
Health Promotion and Education

Link: https://ifory.id/abstract/N2ZrFqHefx4Q