 Okay, so we will start with our speakers. The first one I will introduce our speaker. We have Riska Ayusatiani, SSTMPH, is currently a public health doctoral program at Universitas Blasmaret Indonesia. She's a lecturer, researcher, book author, consultant, speaker, reviewer of the journal and midwife who initiated and developed complementary delivery therapy in Indonesia. She's a prenatal, gentle yoga facilitator and certified mom and baby masses and spa. She is an expert on reproductive health and highlight women issues in HIV-AIDS. She has experiences as a mentor in the abstract mentoring program. 11 IAS conference on HIV science, IAS 2021 and the 24 international AIDS conference in 2022 and IAS mentorship program. CIS awarded Paragon Innovation Award, Social Innovation Health Initiative, as IHI and SOTIS Asian Women 2021. Last year, Riska was a speaker at a virtual international day of the midwife. With the abstract title is the birth equity in the midwivery services of pregnant women living with HIV-AIDS in Indonesia has been realized. So Riska, the time is yours, please. Okay, thank you Mrs, thank you for the time Mrs. Gita and also thank you so much for all participants in virtual international day of the midwife 2022 for the opportunity. Is it clear for you, is it my voice? Yes, yes, it's clear. Thank you. Okay, thank you Mrs. Gita. I'm very grateful because this is the second time for me as a speaker in VidM. Good afternoon, everyone. My name is Riska Isyani. I'm a PhD student at Public Health University of West Malat, Indonesia. I'm a midwife who initiated Scholar Komplemender Sinta Ibu and today I would like to talk to you about initiation of Scholar Komplemender Sinta Ibu SCOTCHI program in releasing safe motherhood based entrepreneurial care in Indonesia and hopefully this will act as a springboard for discussion. I plan to speak for about 30 minutes and my talk will be divided into three sections. The first is the background of SCOTCHI and second we will learn about the description of SCOTCHI innovation as a problem-solving SCOTCHI products and achievements. And finally I will explain the SCOTCHI's impact and milestone. I will sure be glad to ensure an equation at the end of my presentation. So please hold your question if you have any. So let's discuss everyone. Okay, I will start of my slides all with the problems. Stunting affects one-third of children under five years old in developing countries and 14% of childhood deaths are attributable of it. A large number of risk factors for stunting have been identified in epidemiological studies even though child mortality is decreasing. Child children around the world are still suffering from delights physical growth. In fact, 30% of children in developing countries are stunted. It means that they have had more than two standard deviation below the global and which is one of the highest in Southeast Asia. And maternal health issues are closely related to stunting chronic malnutrition caused by insufficient nutrition consumption within a long period of time which disrupts child growth. Around 27.7% of children under five are stunted. According to the 2019 survey of nutritional status of Indonesia under the age of five in the world, Indonesia occupies the 17th position of 117 countries for the stunting incident. So it's too many. The first 1,000 days of life up until a child turns two are most important because development during this period impacts a child for the rest of his or her life. Stunting during this period is related to poor outcomes in health, cognitive development and educational and economic attainment later in life. In order to reduce stunting, it is important to understand it is determinants and their relative effect to help priority setting in designing policies to improve childhood growth. Safemotherhood means ensuring that all women have access to the information and services they need to go safely through pregnancy and childbirth. It includes education on Safemotherhood, prenatal care during pregnancy and counseling with focus on high risk pregnancies, promotion of maternal nutrition, adequate delivery assistance in all cases, provision for obstetric emergencies, including referral services for pregnancy, childbirth and abortion complication and postnatal care or care after childbirth. Undernatal care refers to health, education and regular medical checkup given to a pregnant woman in order to make the outcome of pregnancy saver, reduce cases of maternal morbidity and mortality through early detection and treatment. Antenatal care is also necessary to screen high risk pregnancy and high risk labor sign. However, the Indonesia cooperates of full antenatal visits in 2020, only 79.36%. It was caused by lack of information and lost to follow up. Global and national targets for 2025 is 90% pregnant women to attend four or more antenatal care visits. Today, around the worldwide, midwives use complementary therapies in their provision more than the other medical practitioners. Complimentary therapy is usually used in combination with current treatments and alternative treatments are used instead of current treatments. A literature review estimate that between 65 until 100% of midwives have used one or more complementary therapies. Common types of complementary alternative medicine that are recommended by midwives were message therapy, herbal medicine, relaxation techniques, nutritional supplements, aromatherapy, homeopathy, and acupuncture. These methods can be used for treatment of nausea and vomiting, big pain, NCT, postmortem, depression, anemia, streak, gravedorum, insomnia, hemorrhoid, vaginal infection, malpresentation, augmentation and induction of labor, pre-renail care, retent, placenta, and lactation problems. So that midwives not only need to know the strengths and limitations of complementary alternative medicine methods, but also they should be able to talk to women about the effectiveness and possibilities of these procedures. So let's see my innovation. We initiated Sekolah Komplementar Sinta Ibu Sekocci to release safe motherhood-based antenatal care services with a holistic complementary midwifery care approach. Sekocci is innovation in developing a class of pregnant women with a complementary midwifery approach with targets, pregnant women, and community health workers. We also developed ASIC application Sayang Ibu Bayi Komplementar as data documenting and monitoring application based on websites and Android. And we will go to the next slide. Okay. Sekolah Komplementar Sinta Ibu, or Sekocci, is an organization for maternal and child health. Sekocci is a health innovation program that is in collaboration with the public health center. Sekocci was first implemented in Sleman and Yogyakarta, Indonesia. The Sekocci program aims to educate and empower pregnant women independently during pregnancy and childbirth and postpartum. Sekocci also advocates for the mental health of expecting and new to motherhood women, especially during COVID-19 pandemic by providing massage, yoga, aroma therapy, hypnotherapy practices. Sekocci innovation has been copyright and received several awards such as the Patagon Innovation Award 2021 in the health category and the Social Innovation in Health Initiative 2021. Products produced from Sekocci activities include digital information technology, books, aroma therapy masks, moringa noodles, and tea. We open opportunities for volunteers who support Sekocci classes. So look at the slide. There are five activities in the Sekocci class. So this is the five activities, namely, Sekocci launch it. Sekocci was launched for the first time on February 9, 2020 in Sleman, Special Region of Yogyakarta, Indonesia. Begepati Region Sleman, this event, was attended by the Sleman Health Office, villages, sub-district pregnant women and community health workers. We train Sekocci volunteers, include midwives and community health workers to increase their knowledge about maternal and children health. Sekocci direct class was held at the public health center and pre-fed midwife to improve pregnant women's knowledge and health. This class is scheduled and can only be followed by patients in Sekocci partners in public health center. Sekocci online class was held through WhatsApp group, YouTube, Instagram, Zoom to improve pregnant women's knowledge and health. This class is flexible and can be followed by all pregnant women in Indonesia and also another world, although no patients in Sekocci partners. Monitoring and evaluation with research and partnership of Sekocci for at least three years. And the next slide. This is the mini research of Sekocci program. We have conducted research on the impact of Sekocci classes on 150 pregnant women spread through the Indonesia. We collect the identity of pregnant women, including age, education, occupation and pregnancy status. The average age of them was 27.31 years with 96% having a senior high school and university education, 28.67% as a housewife and 57.33% currently having their first pregnancy. In conclusion, Sekocci was effective as a medium of midwife counseling for pregnant women, especially during the COVID-19 pandemic. Most of the participants said that they were satisfied with Sekocci, which is 80% in the health education program and 94% in the pregnancy consultation program. As many as 70% of participants prefer the WhatsApp group as a means of implementing Sekocci. The use of WhatsApp group media was recommended because it was easier to use and cost effective. We recommend the government scale up the Sekocci program so that it has a broad impact. Okay, next slide. In the sixth slide, I will show you about the male stones of Sekocci. Sekolah Komplementer Cinta Ibu began to be initiated and implemented in 2020. Furthermore, there needs to be a five years follow-up plan in 2021 until 2025. We have signed a memorandum of understanding between the Sekocci team and Depok to Sleman and Gedung Tengen Jogjakarta Public Health Center in Indonesia as partner for three years. In 2021, we were training community health workers to make functional food from natural ingredients, such as moringa leaves, catfish flour, and lemongrass as nutritional enhancers for pregnant women just feeding and to those. In addition, we also developed a website-based Sekocci application. In 2022, we initiated the implementation of Sekocci at other health centers in Surakarta City, Indonesia. Started building a network of local, national, and international partners and evaluated the program. We hope that FIDIM's activities will become a medium for Sekocci promotion to expand partnership. Next year, we will advocate the policy of Sekocci to be a regional and national program in Indonesia with complementary therapy in pregnancy classes. If you want to know more about the Sekocci program, you can visit our social media via Instagram and YouTube or do not hesitate to send us your email. So that is all for me. At last, but not least, we would like your participation in Sekolah Complementer Cinta Ibu as a partner or volunteer. Thank you so much for your time and attention. I would like to apologize if there is a mistake. I hope what I have shared will be beneficial for all of us. Looking forward to see you soon. I give the section back to Mrs. Kita. Thank you so much. Thank you very much, Mrs. Rizka. So a very great presentation and very good information, especially for the Indonesian midwife and for all of the midwife over the world. So maybe if you have a question for Mrs. Rizka, please, you can ask through the chat box or you can raise your hand and directly to give the question to the Mrs. Rizka. Okay, Mrs. Rizka, we can see here we have one question from Yanti. Hello, Yanti. So thank you very much for the question. This is a question about... I would like to ask about the Kochi program that is effective for tackling STEM children. That is the question. Thank you. You can answer, try to answer, please. Thank you, Mrs. Yanti for the question and Mrs. Kita for the facilitated need in this event. I want to ensure the Mrs. Yanti question about the Kochi program. What is the effective for tackling STEM children? Is it the indirect effect in the Kochi program to reduce the STEM problems in Indonesia? But in antenatal care, we have activities such as a massage for the increase or improve the body weight in babies. And it is the improve the relaxation of the babies. So it is the effect of the effect of the Kochi program is indirectly for the stunting, but indirectly is the improve for the baby weights and the stun cases. Thank you, Mrs. Yanti. Okay, so Kochi has the program like a baby massage for the mother and baby like that. And maybe another health promotion already established in the Kochi, such as the promotion for the prenatal women or pregnancy women, about how to get the good nutrition, I think like that, right? Yeah, of course, Mrs. Kita. And also for relaxation activities such as hypnotherapy, and yoga, yeah, it is during the pregnancy period. During pregnancy period. Okay, so interesting. So, okay, please guys, if you have a question, please you can put in the chat box or you can raise your hand and directly give the question to the Ms. Riska. Maybe Ms. Riska, you can tell us a little bit about the Kochi. Maybe some participants here want to understand what is Kochi in the English name? Kochi is a Kola school, like what is Kochi in English? You can explain a little bit about that. So Kochi's name is Kochi, what is that? So Kochi is School of Complementary Alternative Medicine in pregnancy class, maybe. So Kochi is a Britishian. It is not a translator in English, but also it is a definition of Kochi in other language, maybe School of Complementary Trafficking in pregnancy woman. Okay, so interesting in Indonesia. So interesting, this is the meaning of the Kochi, right? So Kochi is a school for the mother like that, right? Yeah. Yeah, we hopes can give a lot of the benefit for mother and children in Indonesia. And we still have maybe 10 minutes to question and answer and for discussion. So feel free to give the question for us. And maybe during we will wait and other participants will ask the question. So we can maybe, I curious about a kind of the complementary therapy that mostly used by the midwife in the Kochi, what kind of the complementary therapy that mostly use and the women need to use and ask to get a service in the Kochi? Yeah, thank you so much Mrs. Erika and about the regulation in Indonesia about midwife recomplementary such as, yeah, about regulation such as a national government regulation and undang undang and then the permanecus maybe in the Ministry of Health government. It had also developed in my provision in midwifery in Indonesian midwife association. So it is the developed others in Indonesia about regulation but also in psychology programs, it is the not substitute of the pregnancy class program but also it is the develop of pregnancy class in public health centers maybe. So please we can collaborate and we can support of the complementary in alternative medicine in Indonesia in our provision in midwifery in Indonesia with regulation and national program permanecus, undang undang and so on. Okay, so maybe the question from Mrs. Erika you can get the answer from the Mrs. Erika, right? So about the regulation, like the law, like a policy in Indonesia already established but maybe because Sekochi has connected and collaboration with the public health center. So maybe that is the key point in this activity. Yes, it's not independently a program but also is the included of a public health center program in pregnancy class, which is a program of national program in Ministry of Health in Indonesia and please support for complementary midwife and I hope the Indonesian midwife association can be supported of regulation about midwifery complementary in Indonesia. Yes, we hope together. And please anyone want to ask question we still have a lot of time to discuss about this and this is very interesting topic for us. Thank you, thank you Cecil and you're welcome but also not Kochi but Sekochi. Yeah, not Kochi. Sekochi, Sekola Cinta Ibu, okay. And so in this, in this Kochi what maybe we will understand again about my question before Mrs. Erika asking the question for you the mostly complementary therapy that used by Skochi team to the midwife already a lot of the question for the women need to ask to get the kind of services from the complementary therapy. So what is the mostly use kind of complement therapy from Skochi? Yeah, in Skochi program we usually use, most of the usually use in therapy about massage, massage therapy for pregnant women and babies. We teach pregnant women to can do massage for baby and also pregnant general yoga, yoga for pregnancy women and hypnotherapy, aroma therapy. Okay, and the question from the Cecilia tell us more about foods that are available to women in pregnancy, what food are usually eaten especially in Indonesia or maybe in your region. Yeah, pregnant women are usually eaten some food because the smells of the food in pregnant women are not specific in smells to smells because the pregnant women have sensitivity of smells. In Indonesia, maybe usually eat food like fruits and vegetables and we have moringa leaves to support the activities in ingredients, in natural ingredients and like noodles and tea but also it substitute in tea leaves to moringa leaves to reduce anemia. Catfish floor is more protein than gluten floor and I use it to make noodles and then the other natural and other spices in Indonesia is so more interesting to be our functional food in pregnant women and noodles. Okay, interesting, noodle for the pregnant women is Riska. So you and Scoti has a collaboration with Nutrition Factory. Yeah, sure, I collaborate with a nutritional expert to make sure in ingredients in functional food in Scoti activities is the interest and it's important for the pregnant women. Okay, that's so great. Another question, okay, please. Okay, and I have many research of the develop in the products. Okay, so interesting, maybe next time you can share about the research to us. And one question again from Miss Erika. Pregnancy class in Indonesia. So how you can include Scoti program to the national program like pregnancy class, maybe you can explain. Yeah, sure. Miss Erika, I want to share about the curriculum of Scoti class but not in here because it is the more administration in curriculum. I want to share with the partners in public health centers or in the partners individual such as institutional midwife or another partners which collaborate in Scoti program. But if you're interested to be a partner in Scoti I want to share you about the curriculum and you can make in the others place in Scoti to build and develop of it. Okay, interesting. So maybe anyone or any institution will join and imitate this program. Welcome in Scoti. You can contact Miss Erika directly. And please you can maybe make a note. This is the email for the Scoti what kind of institution or program or some activities. Okay, anyone want to ask again the question please. You have five minutes and maybe during this presentation and don't forget to send the evaluation and in the last session we will put the email and the link and you can get the certificate. But again, I remember maybe you want to ask the question please we still welcome the question. If not, okay if not maybe we will finish this session. Thank you very much for Miss Riska. Thank you so much Miss Skrita and also all participants.