Sinta Wati
Dinas Kesehatan Kota Semarang

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Faktor yang Berhubungan dengan Praktik Manajemen Terpadu Bayi Muda oleh Gasurkes KIA di Kota Semarang Sinta Wati; Apoina Kartini; Martini Martini; Ayun Sriatmi
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 1: Februari 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i1.9048

Abstract

Background: The main causes of neonatal deaths in Semarang city were low birth weight (LBW) approximately 38%, birth asphyxia (23%), congenital defect (8%), infections such as sepsis (3%), jaundice (3%), and others (25%). The most common causes of mortality were considered preventable and treatable at an affordable, easily-to-implement, and efficient through integrated management of  young  infants (IMYI) performed during neonatal visits. It has previously been observed that IMYI has contributed to reducing the neonatal mortality rate by 30-60%. This study aims to investigate the factors that determine the integrated management of young infants carried by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.Methods: Quantitative research designs were adopted to provide the correlation between independent variables and dependent variables using statistical hypothesis testing. A cross-sectional approach was utilized to collect the data, both independent dan dependent variables simultaneously. The data were analyzed using chi-square, Fisher exact test, and logistic regression.Results: The result suggests that knowledge, work period, attitude, workload, recording system, supervision had an association toward the practice of IMYI conducted by MPDSR workers in Semarang City. No significant correlation was found on the availability of tools and appraisal toward the practice of IMYI. Work periods was the most dominant factor affecting IMYI practice.Conclusion: these results indicate that knowledge, work period, attitude, workload, recording system, supervision has an important role to increase the practice of IMYI performed by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city. 
Gambaran Kematian Neonatal Berdasarkan Karakteristik Ibu di Kota Semarang Sinta Wati; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 5, No 2: Agustus 2020
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v5i2.6430

Abstract

Background: The Neonatal Mortality Rate of Central Java in 2018 was 7.3 per 1000 live births and the neonatal mortality rate in Semarang City in 2018 was 4.57 per 1000 live births. The purpose of this study was to analyze neoanatal mortality based on maternal characteristics in Semarang City.Methods: This research used descriptive analysis, derived from secondary data in the Semarang City Health Office. The data was taken from Verbal Perinatal Autopsy data sampling from neonatal cases aged 0-28 days who died in Semarang City. In 2019 there were 50 cases out of 101 neonatal death cases.Results: From the analysis showed that neonatal mortality in Semarang City based on the place of delivery were 90% in hospitals with 86% birth attendants assisted by obstetrics and gynecology specialists. Mothers were aged 20-35 years (74%) and 80% have maternal parity less than 3 children, with pregnancy spacing less than 2 years (56%). Beside that, more than 74% mothers have gestational age less than 37 weeks or during the preterm period and 68% of mothers also do Antenatal Care more than 4 times during pregnancy. Most of mothers have hypertension and anemia (20%). Looking at the risk factors, there are 26% of mothers who have a history of abortion, the mother’s age is too old (16%) and childbirth by cesarian section (10%).Conclusion: Neonatal deaths in Semarang City are already numerous in hospitals and delivery assistants by obstetricians. The biggest possibility is that the quality of ANC services is inadequate and not according to ANC-10-T standards.