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Journal of Health Technology Assessment in Midwifery
Published by Universitas Aisyiyah Yogyakarta
ISSN : 26208423     EISSN : 26205653     DOI : -
Core Subject : Health,
Health Professions Nursing Public 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 6 Documents
 1 
Search results for , issue "Vol 2, No 1 (2019): May" : 6 Documents clear
The evaluation of objective structure clinical examination (OSCE) implementation within midwifery school Selvia, Anisya; Kusumawati, Wiwik; Fitriani, Herlin; Mufdlillah, Mufdlillah
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.272 KB) | DOI: 10.31101/jhtam.914

Abstract

Assessment during pre registration in midwifery school is one of the necessary process which need to be concerned as it would strengthen the quality of the graduation. It also could become a tool to evaluate ability and competency of the pre registration midwifery student. There is an evaluation which applied in Indonesian midwifery school as national standard i.e. OSCE in which is considered could fulfil the validity, reliability and feasibility within Indonesian context. This study aimed to evaluate the implementation of OSCE among midwifery school in Yogyakarta. This research was a mixed methods study used sequential explanatory design method i.e. quantitative phase and qualitative phase. Analytic descriptive study was applied in quantitative phase, whilst a case study was applied in  qualitative phase. Quantitative data collection was conducted by using a checklist sheet and analyzed by using descriptive analysis, whilst qualitative data by using in-depth interviews and analyzed by using content analysis. The quantitative result show that the implementation of OSCE among midwifery schools in Yogyakarta has score 68 out of 92. The qualitative analysis showed that OSCE was challenging to be implemented due to technical problems such as broken media of assessment, different phantom model in delivery stages, assessor has been late, assessment rooms were not conducive and there were limited model who skilled as OSCE model. Conclusion: Standardized OSCE implementation has not been carried out properly in midwifery school. Therefore there is a need of national evaluation of the OSCE itself in order to understand the real condition across Indonesian midwifery school.
Integrated antenatal care reduce childbirth anxiety among primigravida women Hariyati, Nena Riski; Raden, Abkar; Mawarti, Retno; Tarigan, Mula
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.228 KB) | DOI: 10.31101/jhtam.719

Abstract

Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.
Effect of health promotion and Whatsapp reminder to self-efficacy of the consumption of Fe tablets adherence among pregnant women Dewi, Dyah Tri Kusuma; Kusumawati, Wiwik; Ismarwati, Ismarwati
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.683

Abstract

Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.
Quality of maternal health care in Indonesia Rosyidah, Hanifatur; Koning, Korrie De; Ormel, Hermen
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.521 KB) | DOI: 10.31101/jhtam.924

Abstract

Maternal Mortality Ratio (MMR) in Indonesia remains high, 190 per 100,000 live births in 2013. World Bank emphasizes that 60% of maternal death is contributed by poor quality of care. Lack of attitude, competence and compliance of midwives were found in Indonesia, which indicate poor quality of maternal health care. The objective of this study is to analyze factors influencing the quality of maternal health care in Indonesia. The literatures from 2004-2014 were selected and reviewed. The latest framework of 2014 on quality maternal health care by Renfrew et al. was used as a guide. The quality of maternal health care in Indonesia is influenced by lack of midwives’ competence, inadequate supervision and monitoring, lack of drugs and equipment supply, lack of community involvement in health services. In order to address the gaps in quality of maternal health care in Indonesia, six effective interventions are proposed; namely: maternal health audit and feedback, cultural competence, education, educational outreach visit, optimizing the role of lay health workers, group prenatal care and ensure adequate supply of drugs and equipment. The interventions needs to be carried out through a collaborative approach, policy change, pilot study and strengthen activities in implementation level.
The life scenarios of family who have autistic child at home Jiu, Cau Kim; Rungreangkulkij, Somporn
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.279 KB) | DOI: 10.31101/jhtam.765

Abstract

Living with autism is not easy for the autistic children themselves and their family members. Especially the family members who are also the main caregivers. This ethnographic study aimed to describe the ways of life of families who have children with autism at home. Data were collected through participant observations, focus group discussions and in-depth interviews. There were 20 families as key informants taken by purposive sampling who consist of mothers, grandmothers, and siblings. The data were analyzed by thematic analysis. There were four family life scenarios of family living with autistism including: 1) basic self care activity, 2) locking doors to protect the autistic children, 3) woman act as a main caregiver, 4) risk of child abuse, and 5) supporting from spouse and other family members. Main caregivers risk psychological, physical and social problems. Nurses should provide counseling to the main caregiver by deep listening to their concerns and teaching them how to manage stress. In addition, caregivers need supports from the family member particularly the husband.
The effect of maternal-fetal attachment education on pregnant women’s mental health Perwitasari, Perwitasari; Hakimi, Mohammad; Anjarwati, Anjarwati
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.785 KB) | DOI: 10.31101/jhtam.1043

Abstract

Physiological and psychological changes in pregnancy have a considerable effect on mother?s wellbeing. Hence, in this period pregnant women are vulnerable to develop mental health difficulties due to hormonal alterations and other external factors. Mental health problems during pregnancy may impact to child?s growth and psychological development. The aim of this study was to determine the effect of maternal-fetal attachment (MFA) education on the scores of mental health disorders among pregnant women. This study was quasy-experimental. The sample were 55 pregnant women (28=control group, 27=experimental group) who registered in Community Health Centers. Participants were selected by consecutive sampling technique. Data collection tools were EPDS, SRQ, SSQ-6, and demographic questionnaire. These questionnaires were filled out by both groups as pre-test and two weeks later. The data were analyzed by paired and independent t-test in SPSS/20 with significant levels p0,05). This study indicated that maternal-fetal attachment education might contribute in improving pregnant women?s mental health. The future study should be tested in larger sample sizes with more than two weeks follow up to confirm these results.

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