How to attract health students to remote areas in Indonesia: a discrete choice experiment

To cite this article: Ferry Efendi, Ching-Min Chen, Nursalam Nursalam, Nurul Wachyu Fitriyah Andriyani, Anna Kurniati, Susan Alison Nancarrow (2015): How to attract health students to remote areas in Indonesia: a discrete choice experiment

Background Remote areas of Indonesia lack sufficient health workers to meet the healthcare needs of the population. There is an urgent need for evidence regarding interventions to attract health workers and specifically health students to serve in remote areas. The aim of this research was to analyze the job preferences of health students to develop effective policies to improve the recruitment and retention of health students in remote areas. Methods A discrete choice experiment was conducted to investigate health students’ preferences regarding job characteristics. This study was conducted in three different regions of Indonesia, with a total included 400 health students. Mixed logit models were used to explore the stated preferences for each attribute. Results Data were collected from 150 medical, 150 nursing and 100 midwifery students. Medical students gave the highest preference for receiving study assistance, while nursing students viewed salary as the most important. Midwifery students valued advanced quality
facilities as an important attribute. Conclusions This study confirmed the importance of combination interventions in attracting and retaining health workers in remote areas of Indonesia. Money is not the only factor affecting student preferences to take up a rural post; good management and better facilities were viewed as important by all health students. Addressing health student preferences, which are the candidate of future health workforce, would help the nation solve the recruitment and retention issues. Copyright © 2015 John Wiley & Sons, Ltd.
Key Words: Discrete Choice Experiment; health students; retention; remote area

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Early weaning food for infants (0-6 months old) in madurese people based on transcultural nursing theory

To cite this article: Eka Mishbahatul, M. Syaltut, Tiyas Kusumaningrum, Ferry Efendi (2018): Early weaning food for infants (0-6 months old) in madurese people based on transcultural nursing theory

Abstract: The World Health Organization recommend weaning food is given to infants aged 6-24 months. In Madura culture still exist the practice of giving weaning food before infants reach six months old. The purpose of this study was to analyze the factors of giving weaning food for infants (0-6 months old) based on transcultural nursing theory. Design used was descriptive with cross sectional approach. Population was Madurese mothers who have infants (0-6 months old) who has been given early weaning food. A total of 61 respondents were chosen by cluster sampling method. Variables in this study were education, economic, political and legal, cultural values and lifestyles, kinship and social, religious and philosophical, and technology. Data were collected by using structured interview and described by using frequency and percentage distribution. The results had showed educational mostly were primary and middle education (92%). Economic mostly come from low economic status (70%). Political and legal mostly positive (54%). Cultural values and lifestyles mostly negative (62%). Kinship and social mostly negative (64%). Religious and philosophical mostly positive (64%). Technology factor dominantly low (56%). Based on transcultural nursing theory it is shown a diversity in positive and negative values. Further research was suggested to reduce the practice of giving weaning food behavior of Madurese mothers which suits with local culture.
Keywords: early weaning food, transcultural nursing theory, infant (0-6 months old)

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Factors Affecting Husband Participation in Antenatal Care Attendance and Delivery

To cite this article: R Rumaseuw, S M Berliana, N Nursalam, F Efendi, R Pradanie, P D Rachmawati, and G E Aurizki (2018): Factors Affecting Husband Participation in Antenatal Care Attendance and Delivery

Abstract: The government has implemented several programs to prevent and reduce a mother’s mortality rate by enhancing active role of the family. The most responsible family member on maintaining the pregnancy and delivery process is the husband. The husband must be active to take care of his wife. Active participation of the husband in accompanying his wife during pregnancy and the delivery process is one of the substantial factors, which helps the husband to take decisions related to the health of his wife. This study aimed to identify variables and its trends, which significantly affect a husband’s participation in accompanying his wife during pregnancy and the delivery process. The data used in this study was from an Indonesian Demographic Health Survey 2012. The study used binary logistic regression as the analysis method. The result showed as many as 8,237 husbands accompanied their wife in antenatal care and the delivery process. The significant variables affecting the husband participation are the age of the wife, the education of wife, the education of the husband, the occupational status of the wife and the husband, the number of children, pregnancy status, and residency region. The possibility for a husband to accompany his wife is larger in several factors, such as the wife being between the ages of 21 – 35 years old, a husband who minimally graduated from junior high school, a working husband, as well as a wife, and the number of children less than and equal to two and the expected pregnancy. The government should consider those factors to create policy related women’s health and integrate the factors into various sectors.
Key words: Husband participation, Indonesian DHS, Women’s Health

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