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At least 1,009 records · Page 56Linked to original sources
PubMed2005

Can expanding access to basic healthcare improve children's health status? Lessons from Indonesia's 'midwife in the village' programme.

In the 1990s, the Indonesian government placed over 50,000 midwives in communities throughout the country. We examine how this expansion in health services affected children's height-for-age. To address the problem that midwives were not randomly allocated to communities, the estimation exploits the biology of childhood growth, the timing of the introduction of midwives to communities, and rich longitudinal data. The evidence indicates that the nutritional status of children fully exposed to a midwife during early childhood is significantly better than that of their peers of the same age and cohort in communities without a midwife. The former are also better off than children assessed at the same age from the same communities but who were born before the midwife arrived. Within communities, the improvement in nutritional status across cohorts is greater where midwives were introduced than where they were not. This result is robust to the inclusion of community fixed effects.

Body Height↗
PubMed1988

Swine brucellosis in Indonesia.

Brucella suis biotype 1 was isolated from 13.1% of the pigs slaughtered in Kapuk Jakarta, West Java and from 15.09% of the pigs slaughtered in Surabaya, East Java. The prevalence of B. suis by means of the Rose Bengal Plate Test, was 22.3% for West Java and 14.9% for East Java. The Rose Bengal Plate Test detected more B. suis infected animals (73% of the infected animals) than did the Complement Fixation Test (41%) and the Serum Agglutination Test (54.5%). The high infection rate is a potential health danger for the abattoir workers.

Agglutination Tests↗
PubMed1996

Growth faltering in Madura, Indonesia: a comparison with the NCHS reference and data from Kasongo, Zaire.

Weight and height data of Madurese children from two longitudinal studies, the East Java Pregnancy Studies I and II, are analyzed cross-sectionally and compared with the NCHS reference and a rural population in Kasongo, Zaire. A total of 1945 children are included in the analysis, giving 25,202 weight and 17,196 height measurements. Madurese children start to accumulate a weight deficit compared with NCHS data at the age of 4 months. A linear deficit is already noticeable at 1 month, increasing rapidly in the 1st year of life. This period is responsible for most of the linear deficit accumulated by the age of 5 years. Madurese children are relatively fatter than NCHS children up to the age of 12 months. Comparing the Madurese children with those in Kasongo reveals that the accumulation of their linear deficit occurs at a period when weight increments follow those of Kasongo. Since in the studied population food intake and breastfeeding could not explain the growth dynamics in the 1st year of life, it is suggested that the explanation may lie in micro-nutrient deficiency and intra-uterine development.

Body Height↗
PubMedDate not supplied

Serum protein polymorphism in Bali (Indonesia).

Serum samples from Bali, obtained in three different ethnic groups and in one isolated village were tested by isoelectric focusing electrophoresis for Gc, Pi, Tf and Hp subtyping. In addition to the three common alleles Gc1F, Gc1S and Gc2, two variants Gc1A1 and Gc1A8 were observed. In the Pi system, five alleles were present: PiM1, PiM2, PiM3, PiM4 and PiX. The Tf variability was exceptional with the presence of eight alleles: TfB1, TfC1, TfC2, TfC3, TfC4, TfC8, TfD1 and TfDchi. For Hp, there were two common alleles Hp1S and Hp1FS and two rare ones: Hp1F and Hp2SS. As expected, the genetic polymorphism is reduced in the isolated community. The anthropological significance of these genetic data is discussed.

Alleles↗
PubMed2000

AIDS and STD knowledge, condom use and HIV/STD infection among female sex workers in Bali, Indonesia.

The objectives of this paper were to examine changes in AIDS/STD knowledge and behaviour from 1992-1998, current levels of STD infection and psychosocial and demographic determinants of condom use and STD infection among female sex workers. Data for the study were drawn from cross-sectional surveys of female sex workers conducted in 1992, 1994 and 1997-8. For each survey, women participated in a face-to-face interview in the brothel complexes. Survey questions included information on AIDS/STD knowledge, demographics, sexual history and psychosocial factors related to condom use. After the last survey, women were offered a vaginal exam for STD diagnosis and treatment. Sera were tested for HIV infection (anonymous, Elisa/Western blot) and syphilis (TYPHA, RPR). Cervical mucous was tested for chlamydia (LcX), gonorrhea (LCx), herpes (pcr) and HPV (pcr). Knowledge of AIDS and awareness of STDs has increased tremendously in this population since 1992. Reported condom use has also increased substantially (69.9%). Perceived susceptibility toward HIV infection remains low. Ineffective preventive strategies such as medication use continue to be common. HIV infection remains very low in this population (0.2%), although the prevalence of other STDs such as gonorrhea (60.5%), chlamydia (41.3%) and HPV (37.7%) were very high. STD knowledge and self-efficacy were significantly related to condom use as were the sex workers' perceived susceptibility to STD and HIV infection. Women with a larger number of partners were more likely to be infected with gonorrhea, chlamydia and HIV. Women who had come to Bali recently were more likely to be infected with HIV and gonorrhea.

Adult↗
PubMed2005

Patterns of resistance and transgression in Eastern Indonesia: single women's practices of clandestine courtship and cohabitation.

This paper explores how single women in the regional Indonesian city of Mataram express sexual desire in a social, cultural and political climate that idealizes the confinement of female sexuality within marriage. It is based on 21 months of ethnographic fieldwork conducted with single women, their families and health care providers. Success for young women in negotiating sexual desire is dependent upon their ability to maintain a faultless public reputation and mediate between their desires and those of men. Many single women find ways to pursue their desires by bending the rules of courtship conventions, performing sexual purity in public, while resisting from within the hegemonic sexual culture. However, women who visibly transgress dominant sexual ideals (and in doing so offend the status quo) are stigmatized and ostracized. Single women's practice of resistance and sexual transgression in premarital relationships are represented using the examples of pacaran backstreet (clandestine courtship) and cohabitation prior to marriage.

Courtship↗
PubMed1999

Malaria prophylaxis using azithromycin: a double-blind, placebo-controlled trial in Irian Jaya, Indonesia.

New drugs are needed for preventing drug-resistant Plasmodium falciparum malaria. The prophylactic efficacy of azithromycin against P. falciparum in malaria-immune Kenyans was 83%. We conducted a double-blind, placebo-controlled trial to determine the prophylactic efficacy of azithromycin against multidrug-resistant P. falciparum malaria and chloroquine-resistant Plasmodium vivax malaria in Indonesian adults with limited immunity. After radical cure therapy, 300 randomized subjects received azithromycin (148 subjects, 750-mg loading dose followed by 250 mg/d), placebo (77), or doxycycline (75, 100 mg/d). The end point was slide-proven parasitemia. There were 58 P. falciparum and 29 P. vivax prophylaxis failures over 20 weeks. Using incidence rates, the protective efficacy of azithromycin relative to placebo was 71.6% (95% confidence interval [CI], 50.3-83.8) against P. falciparum malaria and 98.9% (95% CI, 93.1-99.9) against P. vivax malaria. Corresponding figures for doxycycline were 96.3% (95% CI, 85.4-99.6) and 98% (95% CI, 88.0-99.9), respectively. Daily azithromycin offered excellent protection against P. vivax malaria but modest protection against P. falciparum malaria.

Adolescent↗