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Challenges in Maternal and Child Health Routine Data Administration in Indonesia: A Qualitative Study Arief Priyo Nugroho; Diyan Effendi; Zulfa Auliyati Agustina; Asep Kusnali; Siti Maimunah; Irfan Ardani; Ratna Widyasari
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16795

Abstract

Background: Maternal and child health (MCH) routine data is essential in making a good health-relatedpolicy. However, the quality of MCH routine data in Indonesia is doubted, and thus the Indonesian governmentrelies heavily on the survey data for policymaking. This condition raises questions about where the problemsexist in routine data recording stages. This study aims to explore the barriers and strategies of MCH routinedata recording by the administrators in the primary healthcare center.Method: This study was qualitativeresearch conducted in Buru Regency, Ambon City, Purworejo Regency, and Surakarta City from May toNovember 2020. The data collections were intended to understand administrators’ efforts to deal with the datarecording problems. Data triangulation was performed through in-depth interviews with primary healthcarecenter staff and observations on daily routine data administration practices.Results: The study demonstratedchallenges in the MCH routine data administration context. The first problem is behavioral contexts lead toincorrect input and delay data submission. Second, technical determinant shows the lack of integration thatleads to repetitive data recording and data fragmentation. The third was the organizational problem suchas lack of inter and intra-departmental coordination in data sharing, infrastructure, and human resourceshortage.Conclusion: The findings elucidate the problem of administrative structures in the implementationof routine data policy. A comprehensive response to cope with routine data policy implementation contextis needed. Existing maternal and child healthcare routine data requires structural administration refinementthat provides a context for implementing reliable routine data recording of maternal and child health.
Medicinal Plants Knowledge and Traditional Healing Practices of Mentawai Indigenous People in Indonesia: An Ethnomedicine Approach Suharmiati Suharmiati; Zulfa Auliyati Agustina; Diyan Effendi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15951

Abstract

Background: Medicinal plants have an important role in traditional medicine. Mentawai ethnic in Mentawai islands is one of the indigenous tribes in Indonesia that have strong traditional practices. However, little information is known about the medicinal plants that they use. This study aims to analyze medicinal ingredients used by Mentawai people seen from ethnomedicine and modern pharmacology perspectives. Methods: Data was collected through observations and interviews with key informants in Madobag village, Mentawai Regency, Indonesia. Results: Most of the medicinal plants according to the informant (Sikerei)were used for treating swelling, new wounds, and lymphatic diseases. Based on modern pharmacology literature, some of the plants used by the Mentawai people have the properties of antimicrobial, antiinflammation, and antioxidants. Conclusion: Traditional healer in Mentawai islands has knowledge of medicinal plants even though some of them do not correspond to the modern pharmaceutical science.
Ecological Study of Healthcare Childbirth in Indonesia: Does Antenatal Care Matter? Zulfa Auliyati Agustina; Mara Ipa; Pramita Andarwati; Lusi Kristiana; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.16013

Abstract

The Indonesian government is encouraging childbirth in healthcare to reduce maternal mortality in Indonesia, which is still high.This study aims to conduct an ecological analysis related to the factors that affect Indonesia’s healthcare childbirth.The researchconducted the ecological analysis using secondary data from the Ministry of Health of the Republic of Indonesia report in 2018. The study takes all provincesas samples. Apart from the proportion of healthcare childbirth, four other variables analyzed as independent variables were the proportion of antenatal care 1st visit, the proportion of antenatal care 4th visit, the ratio of health center per district, and the hospital per 100,000 population ratio. Data were analyzed using a scatter plot.The study results found a tendency for the proportion of healthcare childbirth to be lower in the eastern than other Indonesia regions. The study also found that the higher the antenatal care 1st visit in a province, the higher the proportion of healthcare childbirth in that province.Meanwhile, the higher the antenatal care 4th visit in a region, the higher the proportion of healthcare childbirth in that region. The higher the ratio of health centers per district in a province, the higher the proportion of healthcare childbirth in that province. Moreover, the higher ratio of health centers per district in an area, the higher the proportion of healthcare childbirth in that area.The study concluded that four independent variables were analyzed ecologically related to healthcare childbirthin Indonesia.
TELAAH SEMI-SISTEMATIK POTENSI Mimosa pudica L. SEBAGAI ANTIDEPRESAN, ANTIANSIETAS, DAN GANGGUAN SUASANA HATI Lusi Kristiana; Pramita Andarwati; Zulfa Auliyati Agustina
Jurnal Tumbuhan Obat Indonesia Vol 14 No 1 (2021): Jurnal Tumbuhan Obat Indonesia
Publisher : Balai Besar Penelitian dan Pengembangan Tanaman Obat dan Obat Tradisional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jtoi.v14i1.4051

Abstract

ABSTRACT Basic Health Research (Riskesdas) revealed that mental health problems prevalence increased from 6% (2013) to 9.8% (2018). If left untreated, it has the potential to become a mental disorder that requires complex medication and affects productivity. The facts revealed that the availability and the utilization of mental disorder drugs in primary health care are still limited. There is a possibility of unwanted side effects, as well. Plants are expected to be one of the sources for the discovery of new drugs that have the least possible side effects. As having been identified in the Research of Medicinal Plants and Jamu (Ristoja) 2012, Mimosa pudica (putri malu) is believed to have the potential in treating mental disorders. This paper aimed to provide scientific information about the prospects of M. pudica as an antidepressant, anti-anxiety, and mood disorders treatment. A semi-systematic literature review was used to analyze 61 references based on searches for relevant keywords, with open access references limit from 1995 to 2020. The results show that M. pudica has antidepressant activity, anti-anxiety, helps overcome mood disorders, and also acts as a muscle relaxant. The toxicity study confirms its safety in beneficial doses. The human LD50 is 15.516 g/kg, indicating a reasonable safety limit. As this plant can be grown anywhere without special treatment, it will be a potential source for medicinal ingredients to treat anxiety and depression. Further research is also needed to explore therapeutic dosage in humans and its interactions with other drugs or herbs. Keywords: Mimosa pudica, antidepressant, anti-anxiety, mood disorder, semi-systematic review ABSTRAK Riskesdas mencatat gangguan mental emosional mengalami kenaikan dari 6% (2013) menjadi 9,8% (2018). Bila tidak tertangani dengan baik, gangguan mental emosional berpotensi menjadi gangguan jiwa yang perlu penanganan kompleks dan berkontribusi pada hilangnya produktivitas penderitanya. Ketersediaan obat di pelayanan kesehatan primer untuk gangguan ini masih rendah, penggunaan obat antidepresi dan antiansietas yang dibatasi, serta adanya efek samping yang tidak diinginkan adalah permasalahan yang perlu dicari solusinya. Tumbuhan diharapkan menjadi salah satu solusi sumber penemuan obat baru yang memiliki efek samping sekecil mungkin. Salah satu yang diyakini berpotensi untuk mengatasi gangguan mental emosional adalah Mimosa pudica L. (putri malu). Tumbuhan ini telah diidentifikasi dalam Riset Tumbuhan Obat dan Jamu 2012, dan memiliki potensi yang baik untuk dieksplorasi lebih lanjut sebagaimana bukti profil farmakologisnya terhadap gangguan mental emosional. Tulisan ini bertujuan memberikan informasi kajian ilmiah potensi tumbuhan M. pudica untuk membantu mengatasi gangguan depresi, ansietas, dan gangguan suasana hati. Metode yang digunakan adalah telaah semi-sistematik, menganalisis 61 referensi berbasis pencarian kata kunci yang relevan, dengan batasan referensi akses terbuka tahun 1995-2020, dan hasil dideskripsikan secara kualitatif. Hasil menunjukkan bahwa M. pudica memiliki aktivitas antidepresi, antiansietas, membantu mengatasi gangguan suasana hati, serta bermanfaat sebagai relaksasi otot. Hasil studi toksisitas mengkonfirmasi keamanan dalam dosis manfaat. LD50 manusia sebesar 15,516 g/kg BB, menunjukkan batas keamanan wajar. Tumbuhan ini dapat tumbuh dimana saja tanpa perawatan khusus sehingga berpotensi menjadi sumber bahan obat, terutama pengobatan kecemasan dan depresi dengan lebih sedikit efek samping. Interaksinya dengan obat atau herbal lainnya masih perlu dieksplorasi karena belum tersedia data yang cukup, sehingga penggunaannya tetap harus berhati-hati. Kata kunci: Mimosa pudica, antidepresan, antiansietas, gangguan suasana hati, telaah semi-sistematik