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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.
Clustering of Provinces in Indonesia based on Maternal Health Indicators Herti Maryani; Lusi Kristiana; Astridya Paramita; Pramita Andarwati; Nailul Izza
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.v15i4.16913

Abstract

Indonesian health issues that deserved top priority was maternal and child health because it determines thequality of the human resources of future generations. The objective of this research is to analyze the clusteringof provinces in Indonesia based on maternal health indicators. This cross-sectional study was conducted in34 provinces using secondary data from the Basic Health Research and Statistics Indonesia. Analysis ofprovincial clustering used FUZZY C-MEANS. Analysis produces six clusters. Cluster 2 has a high meanvalue of maternal health indicators that exceeded the Indonesian target, consisting of the provinces of DKIJakarta, DI Yogyakarta, and East Nusa Tenggara. Cluster 2 was formed by the value equation variable Age offirst mating, Ownership of maternal and child health monitoring book, Vitamin A Provision, K4, postpartumvisits, Iron supplementation tablets consumption and Childbirth delivery in health facilities. Indicators ofownership of the maternal and child health monitoring book for pregnant women had met Indonesia targetin all clusters. Meanwhile, the active participation of family planning program indicator was still below theIndonesia target in all clusters.
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
Non-Communicable Diseases among the Elderly in Indonesia in 2018 Rukmini Rukmini; Adianti Handajani; Astridya Paramita; Pramita Andarwati; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17631

Abstract

Non-Communicable Disease (NCD) is closely related to the aging process, social development, and increased risk factors. The study aims to analyze the prevalence of NCD among the elderly in Indonesia based on demographic characteristics. The study employed the 2018 Indonesia Basic Health Survey data. The survey used the multi-stage cluster random sampling method; it was a weighted sample of 85,358 elderly. In this analysis, the NCDs prevalence in the elderly includes hypertension, heart disease, bronchial asthma, chronic renal failure, diabetes mellitus (DM), stroke, and cancer determined based on a doctor’s diagnosis. The study result shows the prevalence of NCD in the elderly population in Indonesia, most of which are hypertension, mental-emotional disorders, depression, DM, and heart disease. Based on age group, the prevalence of hypertension, mental-health disorders, and depression tends to increase with increasing age, stroke and bronchial asthma are higher in the 70-79. DM and cancer were higher in the 60-69. Heart disease and kidney failure did not differ relatively between age groups. The prevalence of hypertension, mental-emotional disorders, depression, DM, heart disease, and cancer was higher in women. Still, asthma, stroke, and chronic kidney failure tended to be more in men. The study concluded that the most prevalent NCDs among older people in Indonesia were hypertension, mental, emotional disorders, depression, DM, and heart disease. NCDs have demographic characteristics.