The effect of health education in improving the knowledge and attitudes of integrated service post cadres about early detection of high-risk pregnancies in the working area of the Mamajang health center, Makassar city, Indonesia.

Maternal mortality can be reduced by strengthening the process of early detection of high-risk pregnancies. However, the lack of knowledge related to high-risk pregnancy is still an obstacle. This study aims to analyze the effect of health education on the knowledge and attitudes of cadres about early detection of high-risk pregnancy in the working area of Health Centre Mamajang Makassar City. Experimental research with a pretest protest design with a control group, involving 80 cadres spread across 20 Integrated Service Posts who were divided into four treatment groups. There was an increase in mean knowledge between the intervention group (P=0.000) and the control group (P=0.002). There was also an increase in attitude between the intervention group (P=0.000). However, there was no improvement in attitude (P=0.475) in the control group. The intervention group through combined video+booklet had the highest mean knowledge score (6.65-13.90) than the groups that received intervention through video (6.60-12.69) or booklet alone (6.75-12.07), respectively. On attitude, the highest average attitude score in the intervention group was the combined video+booklet group (22.0-35.8), video (21.22-34.65) and booklet alone (22.25-34.55). While the average score of the control group on knowledge (6.00-6.95) and attitude (22.60-23.05). The role of health education by involving a combination of both video and booklet media is appropriate as an effort to influence Integrated Service Post cadres in increasing knowledge and attitudes about the early detection of high-risk pregnancies.

Do parents need application-based learning media to learn baby massage? A qualitative study.

BACKGROUND: Growth and development delays can occur in childhood under five years. Early stimulation is very important to help babies grow according to their age which can be done with baby massage. Increasing the skills of parents in learning baby massage is a main focus because parents are the closest people to babies. This initial research was conducted to determine the learning media needed by parents in learning baby massage. MATERIALS AND METHODS: A qualitative research with a phenomenological approach was used to explore the views of parents, providers/health workers, Information Technology (IT) experts, and media design experts. Focus group discussion (FGD) was used to obtain information from a number of samples taken by purposive sampling. Data were analyzed using thematic analysis. RESULTS: A total of 11 people consisting of four parents with babies aged 0-12 months, two IT experts, one media design expert, and four midwives involved in FGD. There was an agreement that an android application-based baby massage media was needed to include a baby massage video feature that was made every step of baby massage, starting with baby massage of the feet, hands, stomach, chest, face, and back. The baby massage application will be equipped with a baby massage feature that conveys the benefits of baby massage, massage instructions, diaries, and contact midwives. CONCLUSION: Parents who have babies, midwives who are competent in the implementation of baby massage, IT experts, and media design experts agree to develop learning media for the baby massage based on android applications by developing six features and systems.

Risk factors for asphyxia neonatorum in public health centres of nosarara and pantoloan, Palu City.

OBJECTIVE: This study aims to determine the risk factors of asphyxia neonatorum in two PONED Public Health Centers of Nosarara and Pantoloan, in Palu City, Central Sulawesi. METHODS: This study used a case-control study design. Sampling was conducted by a simple random sampling technique. The sample size in this study was 60 samples. The data collected was secondary data from medical records at Nosarara and Patoloan Public Health Centers, Palu City. Multivariate analysis used to determine the main risk of the incidence of neonatal asphyxia. RESULTS: The results showed the Prolong Parturition OR=5.714 (95% CI 1.724-18.944); Prematurity OR=4.333 (95% CI 1.203-15.605); LBW OR=7.000 (95% CI 1.381-35.487). CONCLUSION: risk factors for neonatal asphyxia were prolonged labour, prematurity, and LBW. The main factors causing neonatal asphyxia were LBW.

Biscuits containing Moringa oleifera leaves flour improve conditions of anemia in pregnant women.

OBJECTIVE: This study analyzes whether anemia in pregnant women improves with indicators of increased hemoglobin, intake of iron and zinc when intervened with biscuits contain Moringa oleifera leaf flour. METHOD: It was Quasy experiment carried out at Antang, Mamajang and Batua Public Health Center in Makassar, South Sulawesi, Indonesia. The subject were the pregnant women of Trimester I and III trimesters which are divided into 2 groups with the intervention Group (n=35) obtained M. oleifera leaf flour biscuits with combination iron tablet and the control group (n=35) only accept FE tablets. Intervention group was given biscuits containing 40% moringa leaf flour (2.8g per biscuits) with a dose of 2 pieces a day containing Moringa leaf flour and a combination of iron tablets with a dose of 2 times 250mg, while the control group only consumed iron tablets at a dose of 2 times 250mg. After 60 days, a posttest was carried out to examine hemoglobin, iron and zinc. RESULT: The results showed that there was a significance increasing of hemoglobin after intervention (1.04g/dl, p=0.001), increasing of iron intake significantly (2.51mg, p=0.001) and zinc intake (0.14mg, p=0.144) also increas but not statistically significant. The increase in these three indicators was higher than the control group. CONCLUSION: Biscuits containing M. oleifera leaf flour are able to provide improvement in the condition of pregnant mothers who have anemia, especially in hemoglobin levels, iron and zinc intake.

Moringa oleifera leaf flour biscuits increase the index of erythrocytes in pregnant women with anemia.

BACKGROUND: Moringa Oleifera leaves contain nutrients such as proteins, iron, and vitamin C that potentially prevent anemia more common in pregnant women. In the manufacture of cookies that are substituted Moringa Oleifera leaf flour substitution, 40% obtained Fe levels 22.68ppm so that it can be developed to prevent anemia. The purpose of this research is to know the effect of giving biscuits (cookies) Moringa Oleifera leaf flour to index erythrocytes (MCH, MCHC, MCV) of pregnant women with anemia. METHOD: It was a quasi-experiment research with design nonequivalent Control Group design. The research was conducted at Antang, Mamajang, and Batua Public Health Center in Makassar, examination of hematology analyzer in the Clinic Pathology Laboratory of Universitas Hasanuddin Hospital. Sampling techniques using purposive sampling. Samples were pregnant women with trimester I and III anemia amounted to 25 samples on the biscuit moringa group and 25 samples in the control group. Data were analyzed using test Paired T-Test, T-Test Independent, Wilcoxon, and Mann - U Withney. RESULT: Characteristics of age, gestational age, income, physical activity, education, and parity of both groups has been comparable before the treatment with the value p>0.05, with most of the samples aged 20-35 years having a pregnancy age of 4-8 weeks, income IDR 1 million - IDR. 2 million, activity score Baecke 6.00-7.25, Senior High School education, parity >1. A significant average increase in the value of MCH from 27.55 to 28.00 and MCV from 78.57 to 78.93 in the group provided biscuits (cookies) of Moringa Oleifera leaf flour with p-value <0.05, in the control group, occurred an average but insignificant increase with p-value >0.05. The MCHC Group control and biscuit moringa group had an average increase, but both were not statistically significant, p>0.05. There is a significant difference in increased MCH and MCV erythrocyte indices between the biscuit moringa and control groups with a p-value <0.05. As for the MCHC value, the two groups do not differ meaningfully with p-value=0.611, p>0.005. CONCLUSION: There is the effect of giving biscuits (cookies) Moringa Oleifera leaf Flour Against the index of erythrocytes MCH and MCV in pregnant women with anemia. However, it has no effect on the MCHC value of pregnant women with anemia. It is recommended for pregnant women to utilize local plants, the Moringa Oleifera leaves to fulfill the intake of nutrients that can help pregnant women from anemia.

Determinant factors of weight status among under two years children received the complementary feeding program.

OBJECTIVE: The study explored determinant factors of weight status among children aged 12-24 months who received complementary feeding program of the Ministry of Health in Luwu Timur, South Sulawesi Province. METHODS: The study used case-control design. It involved 82 children from poor families who received complementary feeding program. Forty-one children as a case group with constant body weight and forty-one children as a control group with increasing body weight within the last two months selected with a purposive sampling technique. RESULTS: Exclusive breastfeeding (OR=3.485; 95% CI=1.380-8.798), the duration of complementary feeding consumption (OR=0.299; 95% CI=0.095-0.939), history of diarrhea (OR=3.071; 95% CI=1.174-8.028) and milk consumption pattern (OR=0.233; 95% CI=0.069-0.791) were significant determinant of body weight status. Exclusive breastfeeding was the most dominant variable for body weight status (B=6.152). CONCLUSIONS: Exclusive breastfeeding during the first six months is crucial to support complementary feeding programs in increasing the body weight status of children aged 12-24 months.

Risk factors for asphyxia neonatorum in public health centres of nosarara and pantoloan, Palu City

Objective: This study aims to determine the risk factors of asphyxia neonatorum in two PONED Public Health Centers of Nosarara and Pantoloan, in Palu City, Central Sulawesi. Methods: This study used a case-control study design. Sampling was conducted by a simple random sampling technique. The sample size in this study was 60 samples. The data collected was secondary data from medical records at Nosarara and Patoloan Public Health Centers, Palu City. Multivariate analysis used to determine the main risk of the incidence of neonatal asphyxia. Results: The results showed the Prolong Parturition OR = 5.714 (95% CI 1.724–18.944); Prematurity OR = 4.333 (95% CI 1.203–15.605); LBW OR = 7.000 (95% CI 1.381–35.487). Conclusion: risk factors for neonatal asphyxia were prolonged labour, prematurity, and LBW. The main factors causing neonatal asphyxia were LBW. (AU)

Biscuits containing Moringa oleifera leaves flour improve conditions of anemia in pregnant women

Objective: This study analyzes whether anemia in pregnant women improves with indicators of increased hemoglobin, intake of iron and zinc when intervened with biscuits contain Moringa oleifera leaf flour. Method: It was Quasy experiment carried out at Antang, Mamajang and Batua Public Health Center in Makassar, South Sulawesi, Indonesia. The subject were the pregnant women of Trimester I and III trimesters which are divided into 2 groups with the intervention Group (n = 35) obtained M. oleifera leaf flour biscuits with combination iron tablet and the control group (n = 35) only accept FE tablets. Intervention group was given biscuits containing 40% moringa leaf flour (2.8 g per biscuits) with a dose of 2 pieces a day containing Moringa leaf flour and a combination of iron tablets with a dose of 2 times 250 mg, while the control group only consumed iron tablets at a dose of 2 times 250 mg. After 60 days, a posttest was carried out to examine hemoglobin, iron and zinc. Result: The results showed that there was a significance increasing of hemoglobin after intervention (1.04 g/dl, p = 0.001), increasing of iron intake significantly (2.51 mg, p = 0.001) and zinc intake (0.14 mg, p = 0.144) also increas but not statistically significant. The increase in these three indicators was higher than the control group. Conclusion: Biscuits containing M. oleifera leaf flour are able to provide improvement in the condition of pregnant mothers who have anemia, especially in hemoglobin levels, iron and zinc intake. (AU)

Moringa oleifera leaf flour biscuits increase the index of erythrocytes in pregnant women with anemia

Background: Moringa Oleifera leaves contain nutrients such as proteins, iron, and vitamin C that potentially prevent anemia more common in pregnant women. In the manufacture of cookies that are substituted Moringa Oleifera leaf flour substitution, 40% obtained Fe levels 22.68 ppm so that it can be developed to prevent anemia. The purpose of this research is to know the effect of giving biscuits (cookies) Moringa Oleifera leaf flour to index erythrocytes (MCH, MCHC, MCV) of pregnant women with anemia. Method: It was a quasi-experiment research with design nonequivalent Control Group design. The research was conducted at Antang, Mamajang, and Batua Public Health Center in Makassar, examination of hematology analyzer in the Clinic Pathology Laboratory of Universitas Hasanuddin Hospital. Sampling techniques using purposive sampling. Samples were pregnant women with trimester I and III anemia amounted to 25 samples on the biscuit moringa group and 25 samples in the control group. Data were analyzed using test Paired T-Test, T-Test Independent, Wilcoxon, and Mann – U Withney. Result: Characteristics of age, gestational age, income, physical activity, education, and parity of both groups has been comparable before the treatment with the value p > 0.05, with most of the samples aged 20–35 years having a pregnancy age of 4–8 weeks, income IDR 1 million – IDR. 2 million, activity score Baecke 6.00–7.25, Senior High School education, parity >1. A significant average increase in the value of MCH from 27.55 to 28.00 and MCV from 78.57 to 78.93 in the group provided biscuits (cookies) of Moringa Oleifera leaf flour with p-value <0.05, in the control group, occurred an average but insignificant increase with p-value >0.05. The MCHC Group control and biscuit moringa group had an average increase, but both were not statistically significant, p > 0.05. (AU)

Determinant factors of weight status among under two years children received the complementary feeding program

Objective: The study explored determinant factors of weight status among children aged 12–24 months who received complementary feeding program of the Ministry of Health in Luwu Timur, South Sulawesi Province. Methods: The study used case–control design. It involved 82 children from poor families who received complementary feeding program. Forty-one children as a case group with constant body weight and forty-one children as a control group with increasing body weight within the last two months selected with a purposive sampling technique. Results: Exclusive breastfeeding (OR = 3.485; 95% CI = 1.380–8.798), the duration of complementary feeding consumption (OR = 0.299; 95% CI = 0.095–0.939), history of diarrhea (OR = 3.071; 95% CI = 1.174–8.028) and milk consumption pattern (OR = 0.233; 95% CI = 0.069–0.791) were significant determinant of body weight status. Exclusive breastfeeding was the most dominant variable for body weight status (B = 6.152). Conclusions: Exclusive breastfeeding during the first six months is crucial to support complementary feeding programs in increasing the body weight status of children aged 12–24 months. (AU)

A social cognitive theory-based programme for eating patterns and sedentary activity among overweight adolescents in Makassar, South Sulawesi : a cluster randomised controlled trial.

BACKGROUND AND OBJECTIVES: Social cognitive theory provides the opportunity for program development to enhance healthy personal behvioural characteristics. We devised study to employ social cognitive theory to reduce snacking habits and sedentary activity among overweight adolescents . METHODS AND STUDY DESIGN: Eight junior high schools in Makassar city were randomly assigned as intervention and control schools. A total of 238 overweight students aged 11-15 years (BMI z-score >=1 SD, according to a 2007 report from the WHO) were recruited. Adolescents from the intervention schools attended 12 weekly 75-min nutrition education group sessions, which focused on behavioural modification assisted by trained facilitators; furthermore, their parents received weekly nutrition education leaflets. Adolescents from the control schools, but not their parents, received leaflets on evidenced-based nutrition information. The BMI z-scores, waist circumference, snacking habits, sedentary activity, and the adolescents' self-efficacy data were assessed prior to and after 3 months of intervention. The outcomes were analysed on an intent-to-treat basis. RESULTS: Compared with the control group, the intervention group showed a higher reduction in BMI z-scores (-0.08; p<0.05) and waist circumference (-1.5; p<0.05) at 3 months. Significant between-group differences were also observed for decreased snacking habits, but not for sedentary activity. Additionally, the programme improved self-efficacy for reducing these behaviours. Mean compliance and satisfaction with the programme were 95% and 92%, respectively. CONCLUSIONS: These high reduction rates suggest that the programme is promising and may address the problem of overweightness in adolescents. Additional studies are required to develop the programme in community settings.