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Relationship between Knowledge about Food, Pregnancy Myths, Education and Anxiety in Pregnant Women at the "J" Health Center in Tangerang Regency in 2025 Siti Maisaroh; Yuliwati Yuliwati
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55556

Anxiety among pregnant women remains a common problem in antenatal care and can be influenced by various factors, both in terms of knowledge and socio-cultural aspects. Knowledge about nutrition during pregnancy, beliefs about pregnancy myths, and the mother's level of education are factors that are thought to play a role in the emergence of anxiety among pregnant women. This study aims to analyze the relationship between knowledge about food, belief in pregnancy myths, and education with anxiety in pregnant women at the "J" Community Health Center in Tangerang Regency in 2025. This study uses a quantitative approach with a descriptive analytical design and a cross-sectional method. Data collection was conducted in April 2025 on 67 pregnant women who visited the health center, using accidental sampling. Data were collected using a closed questionnaire and analyzed univariately and bivariately using the chi-square test. The results of the analysis showed that mothers' knowledge about food had a significant relationship with anxiety in pregnant women (p = 0.005). In addition, belief in pregnancy myths was also significantly related to anxiety in pregnant women (p = 0.001). Maternal education also showed a significant relationship with maternal anxiety (p = 0.002). Pregnant women with less knowledge, who still believed in pregnancy myths, and who had lower education tended to experience anxiety compared to pregnant women who had good knowledge, did not believe in pregnancy myths, and were more educated.Based on these results, it can be concluded that knowledge, belief in pregnancy myths, and education play a role in the level of anxiety experienced by pregnant women. Health education tailored to the educational background and culture of the community needs to be improved as an effort to reduce anxiety during pregnancy

Compliance with Iron Tablet Consumption and the Risk of Anemia in Third Trimester Pregnant Women in the Context of Midwifery Communication Yuliwati Yuliwati; Siti Maisaroh
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55557

Anemia in third trimester pregnant women remains a common health issue and has the potential to increase the risk of pregnancy complications. Iron tablet consumption is one of the preventive measures for anemia, but the level of compliance among pregnant women in consuming them varies, influenced by individual characteristics, knowledge levels, and midwifery communication processes during antenatal care. This study aims to analyze iron tablet consumption compliance and the risk of anemia in third-trimester pregnant women in the context of midwifery communication in the working area of the "J" Community Health Center in 2025. This study used a cross-sectional design. The research subjects were third trimester pregnant women who underwent pregnancy check-ups at the "J" Community Health Center during the period of September–November 2025, with a sample size of 62 respondents. Compliance with iron tablet consumption was determined based on a minimum consumption of 90 tablets during pregnancy, while the incidence of anemia was determined based on hemoglobin levels. Data analysis was performed using univariate and bivariate analysis with the Chi-square test and presented in Odds Ratio (OR) values with a 95% confidence level. The results showed that most pregnant women were non-compliant in consuming iron tablets (67.7%), and anemia was found in 82.3% of respondents. Bivariate analysis showed a significant difference in the risk of anemia between pregnant women who adhered to and did not adhere to iron tablet consumption (p = 0.014). Pregnant women who did not adhere to iron tablet consumption had a higher risk of anemia than pregnant women who adhered to iron tablet consumption (OR = 5.115; 95% CI: 1.286–20.343). Variations in the incidence of anemia were also found based on maternal age (p = 0.015) and level of knowledge (p < 0.001), while parity did not show a significant relationship (p = 0.679). There is a correlation between iron tablet compliance and the risk of anemia in third trimester pregnant women. Iron tablet compliance plays an important role in reducing the risk of anemia, so strengthening midwifery communication through education and assistance during antenatal care needs to be continuously improved as part of efforts to prevent anemia in pregnant women

FACTORS ASSOCIATED WITH KNOWLEDGE OF WARNING SIGNS AMONG PREGNANT WOMEN IN THE THIRD TRIMESTER AT THE “C” COMMUNITY HEALTH CENTER IN TANGERANG REGENCY, OCTOBER–DECEMBER 2025 Siti Maisaroh
International Journal of Multidisciplinary Research and Literature Vol. 4 No. 1 (2025): INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND LITERATURE
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/ijomral.v4i1.457

Accidental sampling with the Slovin formula was as many as 100 pregnant female respondents. The analysis was used univariate and bivariate with Chi-square statistical test. Results: bivariate analysis there was a relationship between age P-Value value 0.001, education P-Value 0.016, work P-Value 0.006, P-Value parity 0.000, and exposure to P-Value 0.021 information on pregnant women's knowledge about the danger signs of pregnancy in the third trimester at Puskesmas C Tangerang Regency in 2025 P-Value = P<a 0.05. Conclusion: from this study, there is a relationship between age, education, occupation, parity and information exposure with pregnant women's knowledge of pregnancy danger signs at Puskesmas C Tangeang Regency in 2025. The suggestion of this research is to further add a broader insight into the importance of having knowledge and understanding of danger signs in pregnant women.

THE RELATIONSHIP BETWEEN COMMUNITY SUPPORT AND ADHERENCE TO ANTENATAL CARE VISITS AMONG PREGNANT WOMEN Siti Maisaroh
International Journal of Multidisciplinary Research and Literature Vol. 4 No. 3 (2025): INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND LITERATURE
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/ijomral.v4i3.458

Pregnancy is one of the important periods that requires special attention to maintain the health of the mother and fetus. One of the efforts made to monitor health during pregnancy is through antenatal care (ANC) visits. The compliance of pregnant women in conducting ANC visits is influenced by various factors, one of which is community support. Objective: This study aims to determine the relationship between community support and compliance with antenatal care (ANC) visits in pregnant women. Methods: This study used the Systematic Literature Review (SLR) method. Articles are obtained through Google Scholar and national and international journals relevant to the research topic. The selection of articles was carried out based on inclusion and exclusion criteria, then analyzed according to the research objectives. Results: The results of the literature review showed that the support of husbands, families, health cadres, and the community had a significant relationship with compliance with ANC visits in pregnant women. The support provided is in the form of emotional, informational, motivational, and mentoring support that helps increase the awareness of pregnant women to carry out routine pregnancy checkups. In addition, pregnant women's classes and community-based health education also help increase the use of maternal health services. Conclusion: Community support has an important role in improving compliance with ANC visits in pregnant women so that it can support maternal and fetal health during pregnancy.

ANALYSIS OF EMOTIONAL INTELLIGENCE AMONG MIDWIFERY AND NURSING STUDENTS IN THEIR CARE OF BPJS PATIENTS AT SALAKANAGARA UNIVERSITY IN 2025 Galuh Chandra Dewi; Siti Maisaroh
International Journal of Multidisciplinary Research and Literature Vol. 3 No. 4 (2024): INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND LITERATURE
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/ijomral.v3i4.459

The government's health insurance program called the National Social Security System (SJSN) began in January 2014. The Social Security Administration Agency as the implementing agency of the SJSN program in its efforts to support the overall participation of the National Health Insurance will improve the availability and quality of health facilities as well as the preparation of Service Operational Systems/Standards. The method used is descriptive analytical, with a cross sectional research design. The provision of health services to BPJS patients (dependent variables) is carried out at the same time as independent variable measurements to see the Emotional Intelligence of students, midwives, and nurses in providing services to BPJS patients. Data collection of both independent variables and dependent variables with a cross sectional approach was carried out together. The results of the study show that a person's emotional intelligence affects the provision of health services to BPJS patients. The contribution of this research lies in a comprehensive synthesis that provides a conceptual framework and practical recommendations for the development of policies, training, and service system innovations that are responsive to the needs and rights of patients This finding is expected to be an empirical foundation for the transformation of more inclusive and quality service practices and provide input to institutional leaders to be able to determine concrete steps in the implementation of education Midwifery and Nursing in improving the quality and skills of students, especially in improving the soft skills of graduates.

The Role of Posyandu in Monitoring Toddler Growth and the Prevalence of Stunting in Indonesia Siti Maisaroh; Thahirah Thahirah
International Research of Multidisciplinary Analysis Vol. 3 No. 10 (2025): International Research of Multidisciplinary Analysis
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/irma.v3i10.99

Background: Posyandu are the primary venues for monitoring the growth of toddlers in the community; however, the national prevalence of stunting remained virtually unchanged from 2022 to 2023. Objective: To compare the prevalence of stunting across provinces in the 2022 SSGI and the 2023 SKI and to examine its consistency with trends in growth monitoring indicators at Posyandu. Methods: An ecological study using publicly available secondary data from the Ministry of Health. Changes in prevalence across 32 provinces with comparable geographical boundaries were tested using the Wilcoxon test and paired t-tests; regional differences were tested using the Mann–Whitney test; and Posyandu indicators from 2021–2023 were compared descriptively. Results: The median provincial prevalence was 21.6% (IQR 18.6–27.0) in 2022 and 22.3% (IQR 17.9–25.3) in 2023 (Wilcoxon p = 0.41); 17 provinces showed a decrease and 15 showed an increase. Only three provinces fell below the 14% target, and provinces outside Java–Bali had a higher median (24.6% vs. 18.0%; p = 0.021). The proportion of toddlers whose growth was monitored increased from 68.9% to 82.2% (2021–2023), while only 55.8% of toddlers were weighed ≥8 times a year. Conclusion: Increased administrative coverage of posyandu has not been accompanied by a significant reduction in stunting; strengthening the quality of monitoring, follow-up, and the role of village midwives is necessary.

Unmet Family Planning Needs and the Role of Village Midwives in Contraceptive Services in the Community Siti Maisaroh; Dessi Juwita
International Research of Multidisciplinary Analysis Vol. 3 No. 11 (2025): International Research of Multidisciplinary Analysis
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/irma.v3i11.100

Background: Midwives are the primary providers of contraceptive services in the community, but the unmet need for family planning in Indonesia is declining slowly. Objective: To describe national trends in unmet need, the role of midwives in contraceptive services, and variations in the prevalence of family planning users across provinces and their relationship with the midwife-to-population ratio. Methods: An ecological study using open-access secondary data: the 1991–2017 SDKI series (World Bank), the 2022 Indonesia Health Profile (contraceptive users by method, service location, and province), and the 2020 midwife-to-population ratio per 100,000. Associations were assessed using Spearman’s correlation (95% CI via Fisher’s z-test), the Kruskal–Walli’s test, and the Mann–Whitney test. Results: Unmet need decreased from 17.0% (1991) to 10.6% (2017), with the rate of decline slowing. In 2022, 59.9% of PUS were family planning participants; 61.6% of modern method users were served at midwife clinics; 61.9% received injections and 22.3% used IUDs. The median prevalence of family planning participants across 33 provinces was 56.7% (IQR 49.5–63.6), with nine provinces below 50%. The midwife-to-population ratio was negatively correlated with the prevalence of family planning participants (ρ = −0.32; 95% CI −0.61 to 0.03; p = 0.066; excluding Papua and West Papua, ρ = −0.45; p = 0.011). Conclusion: The availability of midwives per capita does not guarantee the utilization of family planning services; strengthening counseling and comprehensive family planning services by village midwives, as well as indicators of geographic access, are necessary.

Interprovincial Coverage of Complete Basic Immunization for Infants: Challenges for Community Midwifery Care Siti Maisaroh; Ade Tyas Mayasari
International Research of Multidisciplinary Analysis Vol. 4 No. 4 (2026): International Research of Multidisciplinary Analysis
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/irma.v4i4.101

Background: Complete basic immunization (CBI) is a key indicator of infant health care in the community; however, coverage varies significantly across provinces and data sources. Objective: To describe variations in CBI coverage across provinces, assess the sustainability of provinces with low capacity, and compare provincial rankings based on routine data and the 2023 Indonesia Health Survey (SKI). Methods: An ecological study using open-access secondary data: 2021 routine reports on infant IDL (34 provinces), a list of provinces with IDL < 90% in 2022, monthly routine reports through September 2023, and the 2023 SKI (children aged 12–23 months). Regional differences were tested using the Mann–Whitney test, and rank agreement was assessed using Spearman’s correlation. Results: The median coverage in 2021 was 84.2% (IQR 73.6–89.9; range 42.7–100.0); only eight provinces met the 90% target. Coverage was higher in Java–Bali (90.3% vs. 81.3%; p = 0.030) and lower in the eastern region (73.0% vs. 87.3%; p = 0.015). Ten of the 11 provinces with an IDL < 90% in 2022 were among the 11 provinces with the lowest rates in 2021. The 2023 SKI recorded a national IDL of 35.8%, well below the routine rate, but provincial rankings were highly consistent (ρ = 0.95; p < 0.001; n = 8). Conclusion: Interprovincial IDL disparities are substantial and persistent; village midwives need to strengthen record-keeping, use every mother–infant contact to check immunization status, and prioritize outreach in low-capacity areas.

Anemia in Pregnant Women and Adherence to Iron Supplement Intake in the Community Siti Maisaroh; Shinta Mona Lisca
International Research of Multidisciplinary Analysis Vol. 4 No. 3 (2026): International Research of Multidisciplinary Analysis
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/irma.v4i3.102

Background: Anemia among pregnant women remains a public health issue in Indonesia, while the distribution of iron supplements does not necessarily translate into consumption. Objectives: To describe trends in anemia among pregnant women and the gap between iron supplement distribution and consumption data; to analyze variations in iron supplement coverage among adolescent girls and pregnant women across provinces in 2022; and to assess its association with the midwife-to-population ratio. Methods: An ecological study using publicly available secondary data: the 2018 Riskesdas, the 2023 SKI, and the 2022 Indonesia Health Profile (34 provinces), as well as the 2020 midwife-to-population ratio. Analyses utilized the median and interquartile range (IQR), the Mann–Whitney U test, and Spearman’s correlation with 95% Fisher-z confidence intervals. Results: The prevalence of anemia among pregnant women was 37.1% (2013), 48.9% (2018), and 27.7% (2023). In 2018, only 38.1% of pregnant women consumed ≥90 iron tablets, whereas the 2022 routine report noted that 86.2% received ≥90 iron tablets. The median TTD coverage among pregnant women across provinces was 82.8% (IQR 77.6–87.7) and among adolescent girls was 46.7% (IQR 30.5–63.2); coverage in the eastern region was significantly lower (60.0% vs. 84.5% among pregnant women; p < 0.001). Coverage among adolescent girls and pregnant women was strongly correlated (ρ = 0.78), whereas the midwife-to-population ratio was negatively correlated with TTD coverage among pregnant women (ρ = −0.48; p = 0.004). Conclusion: Iron-folic acid supplement coverage varies significantly across provinces, and the number of midwives does not guarantee adherence; village midwives need to emphasize adherence counseling, monitoring of consumption, and prevention starting in adolescence.

Regional Disparities in Access to Maternal and Child Health Services in Indonesia: An Ecological Analysis of 34 Provinces Siti Maisaroh; Samsinar Samsinar
International Research of Multidisciplinary Analysis Vol. 4 No. 2 (2026): International Research of Multidisciplinary Analysis
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/irma.v4i2.103

Background: Geographical disparities, including those between rural and urban areas and between Java and non-Java regions, hinder the equitable distribution of maternal and child health services in Indonesia. Rural–urban tables by province from the 2023 Indonesian Health Survey (SKI) and the National Socioeconomic Survey (Susenas) are not yet publicly available; therefore, disparities were examined at the regional level. Objective: To describe interprovincial and interregional disparities in antenatal care, facility-based deliveries, postpartum care, and complete basic immunization (IDL), and to examine their association with the midwife-to-population ratio. Methods: A cross-sectional ecological study across 34 provinces. Indicators K1, K4, deliveries at health care facilities, and complete postpartum visits (KF) for 2022 were obtained from the 2022 Indonesia Health Profile; IDL for 2021 from routine immunization reports; and the midwife-to-population ratio for 2020 from the 2020 Health Profile. Analyses used the median and interquartile range (IQR), the Mann–Whitney, Kruskal–Wallis, and Wilcoxon tests, and Spearman’s correlation with a 95% Fisher-z confidence interval (CI), along with sensitivity analyses excluding Papua and West Papua. Results: The median K1 was 85.5% (IQR 77.3–89.7), while the median K4 was only 63.8% (IQR 53.4–74.9); the difference between K1 and K4 had a median of 15.8 percentage points (p < 0.001). The median K4 in Java–Bali was 74.9%, and in Nusa Tenggara–Maluku–Papua, it was 42.7%. Provinces in the eastern region had lower K1, K4, facility-based deliveries, and complete KF scores (p = 0.008–0.044), but these differences were no longer statistically significant after excluding Papua and West Papua. Facility-based deliveries correlated with complete antenatal care (ρ = 0.77) and with IDL (ρ = 0.62). The midwife-to-population ratio showed a weak negative correlation with K4 (ρ = −0.36). Eleven provinces fell below the median for K4, facility-based deliveries, and IDL simultaneously. Conclusion: The largest disparities were observed in the completeness of antenatal visits and in the easternmost provinces. A rural–urban analysis by province requires microdata from the 2023 SKI or Susenas surveys.

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