Journal of Health Technology Assessment in Midwifery
Journal of Health Technology Assessment in Midwifery provides an international forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, current knowledge and promotes continuing education through publication of systematic and other reviews and updates across broad range of clinical and interdisciplinary topics including: 1. midwifery; 2. maternity and children health; 3. primary care for women and newborn; 4. public health; 5. health care policy; 6. health system, and global health. It also covers cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception and other health systems.
Articles
86 Documents
Gestational diabetes mellitus and macrosomia: An analysis of secondary data
Mufdlilah Mufdlilah;
Fijri Rachmawati
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.819
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.
The relationship of the maternal-fetal attachment and the attitude toward exclusive breastfeeding among pregnant women in Indonesia
Wahidah Sukriani;
Endang Koni Suryaningsih;
Nguyen Dieu Linh
Journal of Health Technology Assessment in Midwifery Vol 3, No 1 (2020): May
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.1324
Compare to others province in Borneo, central Borneo has fail to meet the minimum target of exclusive breastfeeding, estimated only about 20.5%. However, in Palangka Raya City, the prevalence of exclusive breastfeeding roughly only 14.99% and this number has decreased slowly year by year. Maternal Fetal Attachment (MFA) is playing an important role to the mother’s attitude to breastfeed their babies when they birth. Maternal-fetal attachment also affected to the mother’s health practice attitude toward her pregnancy. The aimed of this study is to explore the relationship between maternal-fetal attachment and their attitude toward breastfeeding exclusively. The consecutive sampling was used to recruited 97 participants in this study. Rank spearmen was calculated to determine the relationship between two variables. The result finding there is no a significant relationship between maternal-fetal attachment and their attitude to breastfeed exclusively. Limitations and recommendations have been made in this article for further study in the same area.
The Influence of MEDULA (Education Media for Snakes and Ladders) on Adolescent Knowledge Levels on Reproductive Health
Ema Waliyanti;
Anindya Sekar Utami;
Evi Novitasari;
Miranda Ayu Fitri Amelia;
Rahmawati Rahmawati;
Faudyan Eka Satria
Journal of Health Technology Assessment in Midwifery Vol 4, No 1 (2021): May
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.1933
Adolescents have a distinctive characteristic of great curiosity to take risks without careful consideration. This makes teenagers enter susceptible to perform behaviors such as pre-marital sexual behavior which bring many negative effects, physically, psychologically, and socially. Therefore, it is required the availability of reproductive health services that are friendly and appealing to teenagers, such as a playful education by using the ladder snake games, so that the respondents catch much information is submitted. This study was tried to determine the effect of health education with the ladder snake games to students’ knowledge level about adolescent reproductive health. This quasi-experimental study used pre-posttest design with control group. The sample used was 116 students in the secondary school, selected through the total sampling method. Instruments in this study used questionnaires that its validity and reliability had been tested. As well as ladder snakes measuring 2x2 meters. Data were analyzed by nonparametric Statistic test. Wilcoxon test showed a significance value of 0.000 (p 0.05) which means there are significant differences in the intervention group before and after health education with snake ladder. This research concluded that there was ladders snake game influence to the students’ knowledge about adolescent reproductive health.
Quality of life of Indonesian adolescents in the time of the COVID-19 pandemic
Herlin Fitriana Kurniawati;
Herlin Fitriani Kurniawati
Journal of Health Technology Assessment in Midwifery Vol 5, No 2 (2022): November
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.2184
The outbreak of Coronavirus Disease 2019 (COVID-19) in Indonesia has been declared as a public health emergency, which requires some prevention and control efforts as a mitigation strategy. This pandemic requires all activities to be carried out at home including school. This study aims to determine the quality of life of adolescents during the COVID-19 pandemic. This study was conducted using a quantitative approach, and descriptive analytic method. It involved high school/vocational high school students in Kulon Progo who were willing to be respondents as the research subjects and samples. 301 respondents were selected using simple random sampling technique. The research instrument used The World Health Organization Quality of Life (WHOQOL) –BREF. The data were analyzed descriptively by looking at the presented data percentage in the frequency distribution table. The research respondents comprised of 117 male respondents (39%) and 184 female respondents (61%), with an age range of 15-19 years old. 149 respondents (49.5%) were mostly satisfied with their health during the COVID-19 pandemic or having their health in the good category. 121 respondents (40.2%) mostly considered their ability to learn during the COVID-19 pandemic in the average category. 124 respondents (41.2%) who experienced negative feelings, such as feeling blues, anxiety and depression during the COVID-19 pandemic were mostly in the rare category. Most teenagers, 156 respondents (52%), have a good quality of life during the COVID-19 pandemic.
Indonesian mother’s feeling and thought during pregnancy: a qualitative study
Endang Koni Suryaningsih;
Shiang-Feng Wu;
Xuan-Yi Yan;
Hung-Ru Lin
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.606
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.
Hemoglobin concentration is correlated with Low Birth Weight Babies (LBWB)
Ratna Ningsih;
Fitri Febriana
Journal of Health Technology Assessment in Midwifery Vol 2, No 2 (2019): November
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.1091
Out of 9% prevalence of Low Birth Weight Babies (LBWB), 5.32% takes place in Special Region of Yogyakarta. Out of 5 municipalities in Yogyakarta, the highest rate of LBWB case takes place in the Municipality of Kulon Progo. According to perinatal birth rate in Kulon Progo in 2018, out of 2,392 babies, 359 babies were born with LBWB. Babies born with LBWB condition may experience breathing pattern problem, hypothermia and other potential infections. The population of this study were 2,392 babies delivered in a Public Hospital within the Municipality of Kulon Progo, Yogyakarta City in the period of January-December 2018. Mothers giving birth to 171 babies with LBWB condition (50%) and 171 babies of normal birth weight (50%). Respondents' characteristic determined in the study is those with the risk factor of Hemoglobin (Hb) concentration of 44.7%. According to the analysis result, hemoglobin concentration correlates with the case of LBWB with p-value of 0,000 and Odd Ratio of 7.638 times.
Factor influence pre-marital pregnancy in Yogyakarta, Indonesia: a qualitative study
Endang Koni Suryaningsih;
Meei Ling Gau
Journal of Health Technology Assessment in Midwifery Vol 4, No 1 (2021): May
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.1371
Getting pregnant before married will raise the multifaceted consequence that can affect to the maternal mental health. In Indonesia, the incident stigmatized as the negative event and particularly, female, will have insecure feeling in their own family as well as in the community. However, the studies have been recognized the predictors of getting pregnant before married among adult. This study aimed to explore the predictors of unwanted pregnancy among Indonesian adults. Qualitative approach has been established and in-depth interview has been applied.The researcher invited teenager who eligible such as female, aged under 18, and they got pregnant before married in Bantul Regency. The main resource of data was based on the local Civil Registry Office, and the secondary data based on headman of targeted districts. Sample sized is determined using snowball sampling. The researcher has assisted by health cadres for each districts for facilitating the process of data collection. To test the validity, triangulation has been used. The parents and partner of participants have participated in this study. The observation during interaction with participants also has been done to support the validity of the result. The researcher have found in relationship, lack of knowledge, and social, as well as lack of awareness from parents are the main factors influence to getting pregnant before married among teenager in Yogyakarta, Indonesia.The findings is important for parents to build positive communication with their adolescence children. The local Civil Registry Office need to consider to collaborate with health care provider to provide information on the consequence of pregnancy before married through the program of local Civil Registry Office goes to school. Nurse and midwives need to advocate an unexpected women to have access of health.
Smokeless tobacco consumption in South Asia: a review of the health programmes and interventions to reduce consumption
Neha Mehta;
Surabhi Sharma
Journal of Health Technology Assessment in Midwifery Vol 5, No 1 (2022): May
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.2426
Over 290 million smokeless tobacco (SLT) users are located in South Asia (SA), accounting for 80% of the global burden of disease. Consequences of consumption include oral cancer, ischemic heart disease and still births, leading to an increased morbidity and mortality. The lack of a global mandate has led to less regulation and greater affordability of smokeless tobacco products, causing smokers to switch to these products. The need to identify effective interventions to reduce smokeless tobacco consumption is evident. This review will appraise the effectiveness of health programmes and interventions used to reduce SLT consumption in SA and identify areas for future research. Literature was found by searching Global Health, Medline, Web of Science, Google Scholar and Pubmed, using key terms. Literature was then systematically assessed using inclusion and exclusion criteria to yield 19 pieces of literature for this review. Four broad intervention categories were identified and appraised using different criteria for effectiveness. Each intervention had varying levels of effectiveness which depended on external factors. The lack of literature evaluating SLT interventions was noted and feasibility was estimated where necessary. Although interventions had a high effectiveness in some areas, many demonstrated low effectiveness due to their complex multi-sectoral nature. Further research is required to identify effective strategies and barriers precluding implementation.
The correlation between age of first dating and sexual behavior of adolescents and young adults in indonesia
Devi Elfita Sari;
Dewi Rokhanawati
Journal of Health Technology Assessment in Midwifery Vol 1, No 1 (2018): May
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.441
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.
The effect of maternal-fetal attachment education on pregnant women’s mental health
Perwitasari Perwitasari;
Mohammad Hakimi;
Anjarwati Anjarwati
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta
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DOI: 10.31101/jhtam.1043
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.