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Contact Name
Andari Wuri Astuti
Contact Email
jhtam@unisayogya.ac.id
Phone
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Journal Mail Official
jhtam@unisayogya.ac.id
Editorial Address
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Location
Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
Journal of Health Technology Assessment in Midwifery
ISSN : 26208423     EISSN : 26205653     DOI : -
Core Subject : Health,
Journal of Health Technology Assessment in Midwifery publishes the latest peer reviewed international research in May and November per year. It informs the Health Technology Assessment (HTA) in Midwifery. HTA is described as a multidisciplinary process that summarises information about the medical, social, economic and ethical issues related to the use of a health technology in a systematic, transparent, unbiased, robust manner. It is supporting decision making at different level of the healthcare system.
Arjuna Subject : -
Articles 24 Documents
Service quality of integrated Antenatal Care (ANC) and pregnant women participation on Human Immunodeficiency Virus (HIV) tests Asni, Asni; Anwar, Mochamad; Sulistyaningsih, Sulistyaningsih
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.717

Abstract

WHO data in 2016 estimated that 36.7 million people suffered from HIV globally, and 34.5 million among them were adults. Yogyakarta Special Province in 2016 found that there were 2,954 cases of HIV with the highest cases in Sleman Regency as many as 868 cases. Mlati I Primary Health Center was a Primary Health Center with the lowest coverage of HIV testing for pregnant women, namely in 2017 there were 752 pregnant women, and only 414 (55.05%) were tested for HIV. The purpose of this study was to determine the relationship between perceptions of integrated antenatal care quality service and the participation of HIV testing of pregnant women. The study applied cross sectional research method. The population in this study were pregnant women who performed ANC examinations at Mlati I Primary Health Center in September - November 2018 with a total of 318 pregnant women. The samples in the study were 154 with the simple random sampling technique. The instrument of data collection in this study used a questionnaire. Data analysis employed chi Square and logistic regression. The results of bivariate statistical tests using chi square showed that sig value = 0.000 <0.05 with OR 13.896 meaning that women who had a good perception of the quality of ANC services had 13.896 higher chance to have HIV tests compared to those who had poor perceptions of the quality of integrated ANC services . Good perception of the quality of integrated ANC services for pregnant women had a greater chance of taking an HIV test.
The effect of reproductive health counseling on readiness of managing menarche Asni, Asni; Dwihestie, Luluk Husnul
Journal of Health Technology Assessment in Midwifery Vol 1, No 1 (2018): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.445

Abstract

The lack of knowledge of reproduction health contributed to the readiness toward coping menarche. It is believed that reproductive health counselling could improve the adolescents’ readiness of coping menarche. This study aimed to determine the effect of the reproductive health counseling on the adolescents’ readiness in coping menarche. This study used a quasi experimental method with non-equivalent control group. Sample of the study was 34 in the control group, and 34 in the experiment group recruited by using convenience sampling. Independent sample t-test showed that there was an effect of reproduction health counseling on the readiness in coping menarche among female students of Junior High School (p-value <0.01).
Strenghtening the implementation of strategic plan in Hasanuddin University Hospital (HUH) Sari, Nurmala; Kalliecharan, Ricky Van
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.787

Abstract

Background: Strategic plan has been recognized as an important tool in management practice as it provides organization framework for decision making, facilitates the measurement of organization changes, and enables the organization to understand where the direction of organization. Various researches indicate that most organization fail to execute their strategy because it is poorly implemented. Hasanuddin University Hospital (HUH) also faced similar challenges. HUH has evaluated its first strategic plan for period of 2010 to 2014 and showed that less than 50% of hospital strategies were implemented. This study aimed to develop strategy to strengthen the implementation of strategic plan in hospital.Methods: The type of the study is an in-depth study using secondary data. Data were obtained from online databases, including Global Health, Medline ovid, Pubmed, NCBI,HMIC, and World Health Organization databases , and also grey literature sources.Result: There are several strategies plan can be considered to be developed as an effort to strengthen strategic plan of HUH which are mobilize all stakeholders to gather in meeting regarding the issue of changing the strategic plan implementation in teaching hospital; creating guideline of strategic plan implementation; redesign Hospital information system as Strategic Information System; and Training of Planning Skill.Conclusion and recommendation: The best strategies to strengthen the HUH plan are establishing the guideline for implementing strategic plan, linking the strategic plan into operational plan, and developing Strategic Information System (SIS). International experience also has been examined to show the various countries that have been successful to adopt those strategies. Based on that analysis, the following recommendations are explained below
The correlation between age of first dating and sexual behavior of adolescents and young adults in indonesia Sari, Devi Elfita; Rokhanawati, Dewi
Journal of Health Technology Assessment in Midwifery Vol 1, No 1 (2018): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.441

Abstract

Premarital sexual behavior among Indonesian adolescents currently becomes easier to be found than previous generation. Based on health survey in 2017, both female and male adolescents admitted that they experienced dating since the aged of 16. Data showed that adolescents who were in relationship admitted having premarital sex than the common adolescents. This study’s objectives was to investigate the correlation between age of first dating and sexual behavior among adolescents and adults in Indonesia. The sample of this study involved respondents of health demographic survey in Indonesia 2012 who fulfilled the inclusion criteria of men and women aged 15-24 years and unmarried. This research was a quantitative research using descriptive analytic research design with cross sectional approach. The age of first dating on adolescents was higher (96.2%) than young adults (3.8%). The numbers of dating teenagers and adults with sexual behavior (90.3%) was higher than those without sexual behavior (9.7%). Chi-Square correlation test results by using 95% of confidence revealed p-value equal to 0.004 < 0.05 with value of correlation coefficient equal to 0.023 indicating positive and significant correlation. Conclusion: There was correlation between age of first dating and sexual behavior on adolescents and adults in Indonesia.
Indonesian mother’s feeling and thought during pregnancy: a qualitative study Suryaningsih, Endang Koni; Wu, Shiang-Feng; Yan, Xuan-Yi; Lin, Hung-Ru
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.606

Abstract

During pregnancy, the mother may have a different experience based on many factors. The purpose of this study was to explore the experience of pregnant women in Indonesia. Some studies establish to explore experience during pregnancy in a particular area. However, limit number study underlined the experience in the general area. A descriptive phenomenological study was used to explore the experience of pregnant women during pregnancy. Purposive sampling, one-on-one, in-depth with semi-structural interviews were conducted to collect data. Narratives were analyzed by Colaizzi’s (1978) seven-step method. Data saturation was achieved after interviewing 3 pregnant women. Four themes and the sub-themes were : having feelings (happy for pregnancy coming true and worry about cannot have vaginal delivery), changes in physical condition (evening sickness, appetite changes, difficult sleep, and eating pattern have to change), deal with pregnant physical condition (lying down when vomiting and changing the meals time), ensure pregnancy safety (seeking help from husband, continuous monitoring of fetal head’s position, pay attention to changes in body weight, and pay attention to the data of hemoglobin). This finding presents the evidence for midwives to the importance of understanding the feeling and experience of the mother during pregnancy. Support and attention consider important for mother who experiences CS history and Placenta Previa in the current pregnancy.
Gestational diabetes mellitus and macrosomia: An analysis of secondary data Mufdlilah, Mufdlilah; Rachmawati, Fijri
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.819

Abstract

Excessive fetal weight is considered as a health issues because it increases perinatal and maternal morbidity and mortality. The prevalence of macrosomia worldwide has increased over the past 2 to 3 decades. This study aimed to determine correlation between the incidence of gestational diabetes mellitus and macrosomia among pregnant women. The design of this study was analytical with a case control approach. Data used to analyze the incidence of macrosomia based on secondary data from 2014-2018. This research suggested that diabetes mellitus in pregnancy has a significant relationship with the incidence of macrosomia.
Interventions analysis of addressing exclusive breastfeeding (EBF) barriers to improve EBF coverage among industrial women employees in indonesia Astuti, Andari Wuri; Morgan, Rosemary
Journal of Health Technology Assessment in Midwifery Vol 1, No 1 (2018): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.442

Abstract

Low coverage of EBF is a global public health problem. Employment has been recognized as a factor that contributes to additional problems of EBF practice among women employees in Indonesia as they work more than 8 hours per day. In Indonesia, about 200,000 industrial companies which employed women in their production activities and they give only 3 months maternity leave. As a result, the coverage of EBF among industrial remains low. While policies already exist, the technical guidelines on the interventions are not well implemented due to unpractical approaches on these guidelines. This dissertation aims to analyse the interventions to address barriers of EBF in order to increase EBF coverage among industrial women employees in Indonesia. This is an in depth study using secondary data to review best practices to increase low coverage of EBF among industrial women employees. Propose of the study was to provide recommendations that could be implemented in Indonesian setting. The study show that there are three group level barriers i.e individual, group and social-culture contributed to low coverage of EBF. The analysis revealed that work place intervention such as lactation program and increasing employers’ awareness on breastfeeding are effective in implementation and feasible to be implemented in Indonesia. Another intervention is personal intervention i.e prenatal planning and preparation, job sharing and day care. It is recommended that those two interventions could be implanted simultaneously to address the barriers of EBF practice among industrial women employees in Indonesia.
Electrocardiogram interpretation skills among healthcare professional and related factors: A Review on Myocardial Infraction cases Prihatiningsih, Dwi; Hutton, Alison
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.796

Abstract

Acute Coronary Syndrome (ACS) is a major cause of death and disability worldwide. In spite of the advance of many other diagnostic techniques of biomarkers and imaging, the 12-lead electrocardiogram (ECG) remains the gold standard for early identification and management of ACS. The aim of this study was to determine the HCPs interpretation skills on 12 lead ECG especially in Myocardial Infarction cases. Primary research of ECG interpretation skill of HCPs and related factors were identified by searching electronic databases and bibliographies. Sixteen articles were identified based on inclusion and exclusion criteria. Variations were found on ECG interpretations among HCPs. Moreover it was found that training, experience & seniority and AMI mimicking pattern influence ECG interpretation skills among HCPs and decision making for thrombolytic therapy.
Factors associated with failure of exclusive breastfeeding practice Purnamasari, Desy; Mufdlilah, Mufdlilah
Journal of Health Technology Assessment in Midwifery Vol 1, No 1 (2018): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.443

Abstract

Failure of exclusive breastfeeding has become a significant issue in Indonesia. There are several factors lead to such issue occurred. This cross-sectional analytical survey study aimed to investigate the relationship of mother's knowledge, mother's education and mother's job to unsuccessful exclusive breastfeeding. There were 31 mothers with infants aged 0-24 months participated in this study. Data were collected by employing closed-ended questionnaire and analyzed by applying chi-square test. The results revealed that knowledge, maternal education and maternal job associated with unsuccessful breastfeeding (p< 0.05). The failure of exclusive breastfeeding were influenced by mothers’ knowledge, mothers’ education and mothers’ occupation.
An analysis of 1999 world health organisation (WHO) guidelines for drug donations for better donation practice in emergency situations Djojodibroto, Joep Ahmed; Huss, Reinhard
Journal of Health Technology Assessment in Midwifery Vol 1, No 1 (2018): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.447

Abstract

In disasters and emergency situations, a lot of drug and medical supplies comes to the affected area from local or international donors. But, those donations often generate more problems for the recipients. The WHO and major humanitarian organisations developed WHO Guidelines for Drug Donations in 1996. The guidelines based on four core principles which are all donation should benefit the recipient, respect for wishes and authority of the recipient, there should not be a double standard in quality, and effective communication between donor and recipient. The guidelines influenced positively to drug donation practices for several years until 2004. The drug donation practices during 2004 tsunami relief in Sri Lanka and Aceh (Indonesia) showed that the compliance with WHO Guidelines for Drug Donations was low. This study aim was to strengthen the effectiveness of WHO Guidelines for Drug Donations in disaster and emergency situations. While the objectives are to explore the strength and weakness of the WHO Guidelines for Drug Donations and to recommend how to improve the effectiveness of drug donations. In this study, the WHO Guidelines for Drug Donations were analysed using the model of health policy analysis from Walt and Gilson, which is specifically used for analysing health policies. The framework is viewed as a tool to describe the interactions and interconnections systems between content, context, process and groups of actors. The author concludes that presence of donation operator team for drug donations is needed during the emergency situations and it should be stated in the WHO Guidelines for Drug Donations. The WHO needs to encourage donors and recipients to refer to WHO Guidelines for Drug Donations when they are making their own guidelines. The guidelines can be strengthened at country level and adjusted to regulations in the countries. The WHO Guidelines for Drug Donations should state that donations are preferred in form of New Emergency Health Kit (NEHK) or cash donations, and the necessity of information and communication centre in the WHO Guidelines for Drug Donations.

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