Background and purpose: Indonesia is categorized as a country with moderate level of hepatitis B virus (HBV) infection, where the majority of HBV transmissions occur from mother to child, horizontal transmission during childhood and adulthood, and transmission in health services. This study aims to determine factors associated with HBV infection among pregnant women.

Methods: A case control study was conducted among 80 pregnant women with sero-positive HBsAg as cases and 80 pregnant women with sero-negative HBsAg as controls. The sources of cases and controls were the registers of pregnant women at 12 public health centers (PHCs) and Karangasem District Hospital from June 2017 to December 2018. Cases were selected by systematic random sampling from 129 pregnant women with sero-positive HBsAg and controls were selected through the same method from 1,408 pregnant women with sero-negative HBsAg. They were then matched based on village or residence. Data collected were including history of marriage, pregnancy, childbirth and abortion, history of health services relevant to HBV infection, use of contraception, mobility, permanent tattoos and history of injecting drug use. Data collection was carried out from June to August 2019 through face-to-face interviews with pregnant women as respondents in their respective homes using a pre-tested questionnaire. Bivariate data analysis was conducted with chi square test and multivariate analysis with logistic regression.

Results: The case and control groups were similar in terms of age, number of pregnancy and parity. Risk factors which found to be significantly associated with HBV infection in pregnant women were age at first marriage <19 years with AOR=2.51 (95%CI: 1.13-5.60), history of husband’s mobility with AOR=3.07 (95%CI: 1.13-8.34), husband has a permanent tattoo with AOR=2.77 (95%CI: 1.04-7.44) and low level of maternal education with AOR=2.47 (95%CI: 1.06-5.73).

Conclusion: Young marital age, low education, husband's mobility and husband with permanent tattoos increase the likelihood of HBV infection among pregnant women. The coverage of HBV examination among pregnant women and early detection of HBV among husbands ought to be increased, especially among those with associated risk factors.

Background and purpose: Indonesia has made several regulations to tackle the corona virus disease 2019 (COVID-19) pandemic, including large scale social limitation (Pembatasan Sosial Berskala Besar (PSBB)). This regulation is related to physical distancing in all sectors and activities, including religious activities. But efforts made by government and other organizations are not enough to ensure society that these regulations will not affect their religiosity. To strengthen this policy, majelis ulama Indonesia (MUI) and other Islamic organizations have made fatwa and official statement about how worships, especially those which are done in groups should be conducted during this pandemic. This paper aims to provide report and analysis of Islamic organizations response during pandemic in relation to Islamic worships during COVID-19 pandemic in Indonesia

Methods: This is a case study of Islamic organizations response during pandemic. It includes Majelis Ulama Indonesia (MUI), Muhammadiyah, and Nahdlatul Ulama responses (fatwa and official statement) to this issue and public responses as well. COVID-19 case also compared to vaccine hesitancy case, due to similarities of Islamic organization response between them.

Results: Some fatwas had been made by MUI as response to Islamic worships performance during pandemic. But still there were cases like Banjarbaru and Solo case, indicating that fatwas could not guarantee the success of COVID-19 prevention in religious worships.

Conclusion: Religious and community leaders are needed to strengthen government move by helping government promote and educate people about health issues from religious perspectives. Moreover, some kinds of punishment made by government are needed to strengthen fatwas and rulings, as most of these religious opinions do not have legal enforcement.

Background and purpose: Lack of stimulation can cause deviations in child development and even permanent disturbances. The purpose of the study is to determine parenting factors in providing developmental stimulation in pre-school age children in Pakis Sub-District, Malang City, East Java.

Methods: This was a cross-sectional study of 120 mothers who have pre-school age children in Curah Ampel Village, Pakis Sub-District, Malang, conducted from September-November 2018. Data were collected with self-administered questionnaire. The questionnaire consists of mothers’ demographic characteristics (age, education, and employment), father’s involvement, knowledge about development stimulation, parenting style, and parental stimulation. Data analysis were including univariable, bivariable, and multivariable analysis conducted with STATA. 

Results: On average, mother's age was 30 years old, 70.0% with low education, and 83.3% were unemployed. This study found that 55% of parents provide stimulation development that falls in the poor categories. From the result of multivariable analysis with logistic regression, it was found that mother’s education associated with parental stimulation to pre-school age children (OR=0.322, 95%CI: 0.121-0.858, p=0.023). 

Conclusions: This study highlights that mother's educational background has an important role in providing parental stimulation. Poor parental stimulation can cause developmental delays. A parenting program is needed to develop the knowledge and the ability of parents in accompanying every phase of their child development.

Background and purpose: Medical students have higher rate of stress, depression and anxiety compared to the general population of the same age and are at risk of having high level of body fat percentage. The objective of this study is to determine the association between stress, depression and anxiety with body fat percentage among medical students.

Methods: This is a cross sectional study carried out among 90 undergraduate medical students of Faculty of Medicine and Health Sciences of Atma Jaya Catholic University, North Jakarta, from January to March 2019. Sampling was performed by using the stratified proportional random sampling method. Stress, depression and anxiety were measured with Depression Anxiety Stress Scale 42 and body fat percentage was measured with Bioelectrical Impedance Analysis. Data analysis was performed by using Spearman correlation.

Results: Based on sociodemographic characteristics, the respondents were mostly 19 years old, female and 1^st year students. This study shows that 34.4% of respondents had stress, 22.2% had depression and 48.9% had anxiety. This study shows that 62.1% of the male respondents and 32.8% of the female respondents had high body fat percentage. Spearman analysis showed moderate positive correlation between stress (r=0.505), depression (r=0,403) and anxiety (r=0,485) with body fat percentage among the respondents.

Background and purpose: Cervical cancer is the second most prevalent cancer in women after breast cancer. Nationally, the coverage of cervical cancer screening among reproductive age women from 2014 to 2018 only reached 7.34%, while in Badung District was 10.3% in 2018. In the era of the Universal Health Coverage (UHC) schemes, cervical cancer screening has been covered. This study aims to explore factors associated with the utilization of cervical cancer screening programs in the UHC era in Badung District.

Methods: This cross-sectional study was conducted from January-February 2020, involving 195 women aged 20-50 years who were selected through multistage random sampling from two villages in the Badung District. Characteristics of the women, perceptions of seriousness, vulnerability, barriers and benefits, self-efficacy, cues to action and knowledge on cervical cancer screening programs were assessed. Data was analyzed descriptively, and association was assessed with Chi square and multiple logistic regression.

Results: The proportion of reproductive age women who utilized cervical cancer screening program in the last 5 years was 44.1%. The utilization of cervical cancer screening program was associated with age (AOR=0.03; 95%CI: 0.03-0.300), perceived vulnerability (AOR=28.77; 95%CI: 3.745-221.68), perceived barriers (AOR=55.70; 95%CI: 7.12-435.72), self-efficacy (AOR=34.44; 95%CI: 4.34-273.66), cues to action (AOR=19.56; 95%CI: 3.32-115.24).

Conclusion: The perception of barriers was found to be significantly associated with the use of cervical cancer screening programs along with other variables related to the Health Belief Model (HBM). Structured campaigns and improvement of the quality of services should be carried out in order to increase access of women to cervical cancer screening. 

Background and purpose: Fall prevention is an essential part of patient safety system. At Tabanan District Hospital (BRSUD Tabanan), incidence of falling among patients is still happening. This study aims to determine the relationship between level of knowledge and workload of nurses with compliance in implementing standard operational procedures (SOP) to prevent the risk of falling in the inpatient rooms at Tabanan District Hospital.

Methods: This study was a cross-sectional survey. The sample size was 75 nurses in the inpatient room at BRSUD Tabanan. Data collection was carried out in the period of December 2, 2019 - January 2, 2020 which included 1). direct interviews to obtain data on characteristics, the level of knowledge and workload of nurses, 2). observations of nurses' adherence in the implementation of standard operational procedures to prevent the risk of falling patients. Data analysis was performed by univariate, bivariate with chi-square test and multivariate analysis with logistic regression.

Results: Most of the respondents were ≤40 years old (86.7%), female (72%), length of working ≤10 years (81.4%), education level of bachelor in nursing (65.4%). Two third of the respondents have a good level of knowledge (66.7%), with medium workload (26.7%) and heavy workload (73.3%). Most of the respondents (70.7%) adhere to the implementation of standard operating procedures to prevent the risk of falling patients. Variables associated with the compliance to SOP are age (AOR=5.35; 95%CI: 1.230-23.259; p=0.025), level of knowledge (AOR=6.409; 95%CI: 1.720-23.873; p=0.006), and workload (AOR=0.076; 95%CI: 0.17-0.339; p=0.001), where the workload variable has a negative relationship with nurse compliance (AOR<1).

Conclusion: The conclusion of this study is that there is a relationship between the level of knowledge and workload on nurses' compliance in implementing standard operational procedures to prevent the risk of falling patients.