Open Access Macedonian Journal of Medical Sciences Open Access Macedonian Journal of Medical Sciences (OAMJMS) is an international peer reviewed journal published four times per year by the ID Design 2012/DOOEL Skopje on behalf of Foundation Macedonian Donor Registry (MKDR), Skopje Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia en-US Open Access Macedonian Journal of Medical Sciences 1857-9655 <p>All rights reserved.</p> The Determinant Factors of Stunting Among Children in Urban Slums Area, Yogyakarta, Indonesia <p><strong>BACKGROUND: </strong>In Indonesia, health indicators in urban areas are better than in rural areas. It is related to the health services’ accessibility. However, in some regions, the stunting rate among children under five in urban areas is higher than in rural areas, including in Yogyakarta.</p> <p><strong>AIM: </strong>The research purpose was to analyze the determinant factor influencing the stunting incidence in children under five in urban slums areas.</p> <p><strong>MATERIALS AND METHODS: </strong>The study design employed a case control with a sample of mother and 29 children under five as a case group and 42 children under five as a control group in Yogyakarta District during the December–January 2020 period. The inclusion criteria were children aged 6–59 months living in the urban slum area, while the exclusion criteria were children who had physical and mental disabilities, suffering from illness or were hospitalized, and had congenital diseases. The data collection was conducted by questionnaire and anthropometric measurements. Data analysis used central tendency, Chi-square, and logistic regression.</p> <p><strong>RESULTS: </strong>The results showed that the majority of children were girls in the case group and boys in the control group with a history of non-exclusive breastfeeding. Most respondents have mothers with low levels of education and work as housewives. The results of the correlation test showed that of the seven variables studied as a risk factor, there are two factors which were birth weight and mother occupation which were related with stunting in children under five with p = 0.041 and 0.047, respectively.</p> <p><strong>CONCLUSION: </strong>This study concluded that birth weight (AOR = 3.49) and mother’s occupation (AOR = 0.25) are the determinant cause of stunting in children under 5 years of age in urban slums areas. The pregnant women’s health promotion needs to be improved because it will affect birth weight, a risk factor for stunting in children under five.</p> Titih Huriah Putri Handayani Tiwi Sudyasih Bambang Edi Susyanto Copyright (c) 2021 Titih Huriah, Putri Handayani, Tiwi Sudyasih, Bambang Edi Susyanto (Author) 2021-02-05 2021-02-05 9 T4 1 5 10.3889/oamjms.2021.5593 Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia <p><strong>BACKGROUND: </strong>The limited palliative care services can affect the late in palliative care management, such as late in decision making. Decision making is one of the crucial processes that every patient with life-threatening health life-limiting illness needs to overcome. Nurses can be the third party between the patients and physicians in helping them with decision making.</p> <p><strong>AIM: </strong>The aim of this study was to explore the differences perspectives of palliative care decision making for palliative patients and families in Indonesia and Malaysia.</p> <p><strong>METHODOLOGY: </strong>The study design used qualitative method with the phenomenology approach. The sample size of this study was 12 participants from two different study settings. They were three palliative nurses and three physicians from each country, selected by purposive sampling. The study was carried out at PKU Muhammadiyah Yogyakarta Hospital and Tuanku Fauziah Hospital Kangar, Perlis, Malaysia. Data collection used in-depth interview. The interpretative phenomenology analysis was used to analyze the data.</p> <p><strong>RESULTS: </strong>There were differences in the perspectives of palliative care services in Indonesia and Malaysia based on the culture form each of the countries. Nurses played a supportive role in ensuring that the care delivered to the patients and families were effective and efficient. Lack of staff was one of the challenges for Indonesia and Malaysia palliative care services need to face.</p> <p><strong>CONCLUSION: </strong>Three themes emerged from the collected data; there were views on palliative care, nurses’ supportive roles, and limited resources. To encounter the challenges and difficulties that interrupt the care delivery to the patients, nurses need to improve knowledge about palliative and their skills.</p> Madihah Binti Abdullah Titih Huriah Arianti Arianti Rosnani Binti Sarkasi Copyright (c) 2021 Madihah Binti Abdullah, Titih Huriah, Arianti Arianti, Rosnani Binti Sarkasi (Author) 2021-02-20 2021-02-20 9 T4 6 17 10.3889/oamjms.2021.5594