FACTORS ASSOCIATED WITH HYPERTENSION AMONG POSTMENOPAUSAL WOMEN IN PARANGTRITIS COASTAL AREA IN BANTUL, YOGYAKARTA, INDONESIA

Background: Blood pressure tends to increase in women associated with menopause. Thus, post-menopausal women more often had hypertension than pre-menopausal. One of the risk factors for hypertension is high blood cholesterol levels (hypercholesterolemia). Meanwhile, people who live in coastal areas can suffer from hypertension, which is higher than in rural or mountain areas. Objective: To study the factors associated with hypertension among post-menopausal women in Parangtritis Coastal Area. Method: We used an observational study using the Case-Control design conducted in Parangtritis village, Kretek subdistrict, Bantul district, in June-July 2013. Amount 62 respondents were recruited using consecutive sampling consist of 31 people for each case and control- data obtained from primary data (measurements and interviews). Analysis war performs using descriptive and the Chi-Square test. Results: Among the three risk factors we assessed, age and BMI significantly affect post-menopausal women's hypertension. At the same time, total cholesterol is not a risk factor for post-menopausal women to get hypertension. Conclusion: There was an association between age, BMI, and hypertension among post-menopausal women in Parangtritis coastal area. In contrast, total cholesterol was not a risk factor for post-menopausal women to get hypertension.

PRE-OPERATIVE EDUCATION TO REDUCE ANXIETY: LITERATURE REVIEW

Background: Surgical procedure is one of the stressors that can end up with psychological disorders such as anxiety. Anxiety can lead to increased blood pressure and the risk of bleeding. Receiving detailed information on the surgical procedure is a patient's right. The information provided is expected to reduce patient anxiety and foster good relations between health workers and patients. Considering the importance of this step, we study the effect of pre-operative information before surgical procedures based on the published literature. This study aimed to summarize the previous research that elaborates on the relationship between education pre-operative and anxiety.Method: A literature review was used in this study. Google Scholar, PubMed, and ProQuest databases were chosen as data sources. We sough article published during 2016-2021. In total, 450 articles were screened using inclusion and exclusion criteria for analysis.Results: Eight articles reported that there was an effect of education on patient anxiety.Conclusion: Providing education is an effective approach to reduce patient anxiety.

REFORM OF MATERNAL AND CHILD HEALTH SERVICES DURING THE COVID-19 PANDEMIC: IS IT NECESSARY?

The COVID-19 pandemic has impacted the health crisis and led to significant government policy changes with the maternal and child health care system. Long-term termination of essential services affects the risk of losing trust in the health system, decreasing services use. Health service reform is carried out to maintain the sustainability of health services. Priority services aim to ensure access to sexual and reproductive health, growth monitoring, screening for acute malnutrition in children, mothers, and pregnant women. Furthermore, implement a health information system to support maternal and child health and a robust system to monitor and respond to real-time data during COVID-19.

ENTOMOLOGICAL INDEX AND INSECTICIDE SUSCEPTIBILITY STATUS IN DENGUE-ENDEMIC AREAS YOGYAKARTA

Backgrounds: Dengue Hemorrhagic Fever (DHF) is a disease that receives special attention because of causing outbreaks in some countries, including Indonesia. The problems that often emerge on the DHF Control Program are the high vector density (Aedes aegypti) and the vector resistance resulting from continuous insecticide use. This study describes the entomological index and susceptibility status of Aedes aegypti against malathion and permethrin insecticides in Sorosutan, Umbulharjo, Yogyakarta.Methods: This study used a descriptive observational method with a cross-sectional design. An entomological survey is done at 354 houses in Sorosutan, which is randomly selected. The sample of Aedes aegypti was obtained through the larval collection and ovitrap installation in 100 places. Susceptibility tests performed using the bioassay method with impregnated paper were based on the WHO standard. This study was conducted from December 2018 – February 2019. The data were analyzed using univariate analysisResults: The entomological survey in Sorosutan showed the House Index value was 35.03%; Container Index was 16.68%; Breteau Index was 46.33; Density Figure was 5.00, and Larva Free Rate was 64.97%; meaning that Sorosutan had a high level of vector density. So, the risk of DHF transmission was high. The population of Aedes aegypti in Sorosutan has been tolerant against Malathion, with 87.83% mosquito mortality.Conclusion: Sorosutan was an area with high DHF transmission risk. Aedes aegypti population in Sorosutan has been tolerant against Malathion.

FACTORS RELATED TO STUNTING INCIDENCE IN CHILDREN UNDER-FIVE YEARS IN ARGODADI, SEDAYU, BANTUL

Background: Stunting is a chronic nutritional problem due to insufficient food intake with the standard nutritional needs - starting from pregnancy to 2 years of age. Stunting could be raising a lousy impact on children's health, inhibited brain development, motor development, and physical growth obstruction. Stunting is also harmful to national development because stunted children have low productivity and intelligence. This study aimed to determine the relationship between mother body height and the incidence of stunting in children aged 0-59 months in Argodadi, Sedayu, Bantul.Methods: This research was an observational analytic with a case-control design. This study population was all mothers who have toddlers aged 0-59 months. The population was 690 respondents. We recruited 154 samples using random sampling - consisting of 77 cases and 77 controls. Microtoise, infatometer, questionnaire, and WHO Anthro were used to collect the data. Data were analyzed using descriptive and chi-square tests.Results: The chi-square test shows that mother body height was associated with the incidence of stunting p-value 0.005 (p <0.05); OR: 3.2 CI (1.37- 7.52).Conclusions: Mother body height is a risk factor for stunting in children aged 0-59 months.

SPATIAL ANALYSIS OF TUBERCULOSIS, POPULATION AND HOUSING DENSITY IN YOGYAKARTA CITY 2017-2018

Background: Tuberculosis (TB) is an infectious disease that becomes a health problem globally, including in Indonesia. Yogyakarta City is a district that struggle with TB; from 2017-2018, there was an increase of TB case in this city. There was limited evidence concerning TB and its possible risk factors among TB case 2017-2018, mainly using GIS in Yogyakarta.Methods: This study used an ecological study design to determine the correlation between population and housing density with TB incidence in Yogyakarta City in 2017-2018. Secondary data was obtained from the Yogyakarta City Health Profile 2018-2019. Spearman rank correlation test and spatial analysis using Quantum GIS software were employed to analyse the data.Results: There was a relationship between TB and population density variables (p-value = 0.034; R = -0.568) and housing density (p-value = 0.012; R = -0.625) in Yogyakarta, 2017-2018.Conclusions: This study indicates that the density of housings and population affect the prevalence of Tuberculosis.

HOSPITAL MANAGEMENT INFORMATION SYSTEMS ACCEPTANCE AT WONOSARI REGIONAL HOSPITAL, GUNUNGKIDUL, YOGYAKARTA, INDONESIA

Background: The hospital management information system (HMIS) is a computer system that processes entire health care business processes, including reporting and administrative procedures, to obtain information quickly, precisely, and accurately. The Wonosari Regional Hospital is a type B hospital that has implemented the HMIS. This study aimed to analyse the HMIS use in the Wonosari Regional Hospital, Gunungkidul, Yogyakarta.Methods: This is a quantitative study using a cross sectional design. Seventy-nine staffs participated in this study that recruited using the purposive sampling technique. Data were collected using a pre-tested questionnaire, then analysed statistically.Results: Perceived ease of use was found significant (p-value ≤ 0.05) associated with HMIS use.Conclusions: Perceived ease of use influenced the use of HMIS at the Wonosari Regional Hospital, Gunungkidul, Yogyakarta.

LOW BIRTH WEIGHT AND IMMUNIZATIONS STATUS: RISK FACTORS OF ACUTE RESPIRATORY INFECTION IN CHILDREN 2-5 YEARS

Background: Acute Respiratory Infection (ARI) is one of the most important causes of morbidity and mortality in children under five years old (toddlers) worldwide, especially in developing countries. ARI is an acute upper or lower respiratory tract disease that occurs acutely, usually transmitted with mild to lethal symptoms. Various risk factors cause a high incidence of ARI cases in infants, including low birth weight (LBW) and incomplete immunization. Children aged 2-5 years are expected to have received basic immunizations and complete tests according to age to have a stronger immunity to ARI than children aged less than two years. Objective: To determine the relationship of LBW and immunization history with ARI events in children aged 2-5 years.Methods: This is an analytic observational study with a cross-sectional design using 31 samples of ARI and non-ARI pediatric patients treated at the PKU Muhammadiyah Hospital Surakarta. Samples were determined using a purposive technique - meaning that samples were taken according to specific criteria. The population was pediatric patients aged 2-5 years diagnosed with ARI: common cold, nasopharyngitis, tonsillitis, laryngitis, bronchitis, bronchiolitis, pneumonia, and SARS. This study's study populations are pediatric patients aged 2-5 years who were outpatient at PKU Muhammadiyah Hospital Surakarta in December 2019. Therefore, the number of samples is calculated using the Sample Formula for Study Groups with Different Sample Sizes, and data was taken employing a patient's parent interview.Results: There were 31 patients with details of 17 ARI and 14 non-ARI. Fisher's test showed there was no relationship between LBW and ARI (p-value = 0.597, p> 0.05 and Prevalence Ratio = 1.286). And there was no significant relationship between the history of immunization with ARI (p-value = 0.287, p> 0.05 and Prevalence Ratio = 2.5).Conclusions: There is no significant relationship between LBW and immunization history with ARI in children aged 2-5 years.

DIFFERENCES OF TODDLER OBESITY BASED ON EXCLUSIVE BREASTFEEDING HISTORY IN TEGALREJO HEALTH CENTER, YOGYAKARTA

Background: Obesity is a global problem and continues to affect low and middle-income countries, mainly urban areas. In Indonesia, the obesity rate of children was 11.5% and was ranked 21st in the world by 2016. Even according to WHO, the number of obese children will continue to increase every year. Several studies have shown that a history of exclusive breastfeeding can reduce the risk of obesity in toddlers. This study aimed to determine the differences in the obesity status of children under five based on a history of exclusive breastfeeding in the Tegalrejo Health Center, Yogyakarta City.Methods: This research employed an analytical observational study with a case-control design. The research sample consisted of 34 toddlers aged 6-24 months, calculated using the difference of two proportions: 17 cases of obese children under five and 17 controls under five who were not obese. A questionnaire was used to collect the data. A Chi-square test was used to analyse the data.Results: There were children under five without exclusive breastfeeding in the group of as many as 41.7% and 29.4% in the control group. 52,9% of children in the case group had exclusive breastfeeding, and 70% in the control group. The bivariate analysis showed no difference in the obesity status of children under five based on a history of exclusive breastfeeding with a value of p = 0.480 and OR = 2.133 (95% CI = 0.519-8.751).Conclusions: There was no difference in the obesity status of children under five based on a history of exclusive breastfeeding, but children without a history of exclusive breastfeeding were 2.133 times more likely to have obesity than children with exclusive breastfeeding.

THE RELATIONSHIP BETWEEN PREECLAMPSIA AND LOW BIRTH WEIGHT (LBW) IN WONOSARI, GUNUNGKIDUL REGIONAL HOSPITAL

Background: Globally, the infant and maternal mortality rate is still a severe problem because it was an indicator of national health – no exceptions for Indonesia. In 2017, the average infant mortality rate was 76 per 1,000 live births, while in Yogyakarta, it was 313 cases. The most common causes of infant and neonatal mortality were low birth weight babies (LBW) and sepsis. In 2018 in Wonosari, Gunungkidul Regional Hospital found 1,421 new-borns were normal, and 298 infants were experiencing LBW. This study aims to determine preeclampsia's relationship with the incidence of low-birth-weight babies (LBW) in Wonosari, Gunungkidul Regional Hospital Year 2018.Methods: This research was conducted in Wonosari, Gunungkidul Regional Hospital, using quantitative analysis with a case-control approach. The case population was 280 and using the Slovin formula. We recruited 170 controls and 170 cases. Inclusion criteria used include (1) Babies born with low birth weight <2,500 grams; (2) a single fetus; and (3) recorded in the medical record at the hospital.Results: There was a significant relationship between preeclampsia with low-birth-weight babies (LBW) in Wonosari, Gunungkidul Regional Hospital 2018 with a p-value of 0.004 (p <0.05) and crude OR 2.114; 95% CI (1.268-3.523).Conclusions: Pregnant women with preeclampsia will be at greater risk of giving birth to a baby with LBW.