GROUP DISCUSSION REPORT:

INTERPROFESSIONAL COMMUNICATION
(PUBLIC HEALTH)
Arranged to complete Nursing Communication III

By:
GROUP 4

1. Fuzna Dahlia Mudzakiroh (I1J020010)

2. Harsanti Ratna Hanifah (I1B020053)
3. Jonathan Puji Hadisasono (I1J020009)
4. Nurul Izzah Islamy (I1B020028)
5. Yusmita Puji Lestari (I1B020013)

Nursing International Class/

Third Semester

DEPARTMENT OF NURSING FACULTY OF HEALTH SCIENCES

JENDERAL SOEDIRMAN UNIVERSITY

SEPTEMBER 2021
Interviewees : Zahratul Uyun
 DISCUSSION REPORT OF INTERPROFESSIONAL COMMUNICATION WITH
THE PUBLIC HEALTH UNDERGRADUATE STUDENT

Case : Baby T weighs 1,800 grams, has weak reflexes and has not been able to suckle
properly. Infants are given parenteral fluids, injection of antibiotics, care in an
incubator and given strict nutritional compliance. The baby's mother said that
the ANC process was routinely carried out but during pregnancy, the baby's
mother often experienced dizziness and was treated several times with a
diagnosis of hypertension, the patient also had no appetite and often snacked
on fast food through online applications. Since the beginning of her pregnancy,
doctors have said that the baby she is carrying may not be healthy so the baby's
mother should be more careful. Currently after giving birth, the baby's mother
is healthy but the baby must be treated intensively so that his weight reaches a
normal number.

Discussion

Group : Is the epidemiology of pregnant women who consume junk food that causes
low birth weight in Indonesia to be quite high?

Interviewees : In Indonesia itself, the prevalence of LBW is quite high, both from ancient
times to the present, LBW is a classic problem that continues to occur and has
not found a bright spot on how to solve the problem. Junk food consumed by
pregnant women is one of the many causes of low birth weight and it could be
that the consumption of junk food in pregnant women does not have any effect.
The occurrence of LBW can even be related to the fulfillment of micro and
macro nutrition since the mother was born, the adolescent phase, before
pregnancy, until giving birth to her child.

Group : What kind of health promotion has been done? Is this method effective
enough?

Interviewees : At the puskesmas level, there is a separate section that specifically handles
pregnant women, from early pregnancy to delivery, even the assistance can be
in the form of visits to pregnant women to monitor the development of
maternal and infant health. The assistance provided is in the form of
consultation, giving Fe tablets, folic acid, etc. This is one of the government's
efforts/health promotions to reduce the number of LBW. In addition, there are
also health promotion programs that can be carried out by students as agents
of change, for example by new Faculty of Public Health students Diponegoro
University in the form of mentoring pregnant women from early pregnancy to
delivery. Not forgetting the policy from the Ministry of Health regarding the
obligation to consume Fe tablets even as a teenager. The non-smoking
movement also plays a role in suppressing the LBW rate. And lastly, is the
ANC program. However, the ANC program still has not been able to overcome
LBW, but this is not the fault of the ANC program but another factor.

Group : The high prevalence of LBW in the mountains is caused by risk factors for
exposure to pesticides, but junk food is rare in the area. Is the pesticide
exposure caused only by the livelihoods of the mountainous people?
Interviewees : Exposure to pesticides and junk food are different risk factors for LBW.
Pesticide exposure to pregnant women is the cause of the high prevalence of
LBW in the mountains. This is due to the work of more than part of the
population in the mountains who work as farmers, so that inevitably direct or
indirect contact between pesticides and pregnant women in the mountains can
occur.

On the other hand, junk food is a risk factor for LBW because it does not
contain poor nutrition. In fact, this junk food is dominated by saturated fat.
Whereas in principle pregnant women need a balanced nutritional content.
Junk food causes the mother to become malnourished and causes the baby to
not develop properly. The appetite of pregnant women is also very influential
because there are additional calorie needs that the mother must fulfill, which
is around 200kcal per day.

Group : Are current health promotions such as ANC effective? And what needs to be
improved from the current Health promotion?

Interviewees : The initial goal of ANC is an effective goal because it is a program to monitor
the health of pregnant women, but in practice this ANC program is less
effective because it depends on each individual. The main obstacle to the
failure of the ANC program is the lack of education to mothers about the
importance of the program.

What needs to be improved is education. When a mother has been educated, it

will be easier for her to join the programs. The environment and the
surrounding culture are undeniable as well as things that need to be considered
in promoting the health of pregnant women. Therefore, education is not only
given to pregnant women but also involves husbands, closest family, in-laws,
and so on.
Screenshot of Interprofessional Communication Group 4

Link Video Recording of Interprofessional Communication Group 4

https://drive.google.com/file/d/1mMih0yQT3i6SEwrqFoaygV4GpFAfnnAB/view?usp=s
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