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All Journal Jurnal Kesehatan
Eva Berliana
Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia
Health Professions Public Health

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Sociodemographic and Environmental Characteristics of Pregnant Women with Chronic Energy Deficiency Nelly Indrasari; Nurlaila; Roslina; Risneni; Amrina Oktaviana; Eva Berliana
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5602

Abstract

Chronic Energy Deficiency (CED) during pregnancy remains a major maternal nutrition problem associated with adverse pregnancy outcomes. This study aimed to describe the sociodemographic and environmental characteristics of pregnant women with CED attending Independent Midwifery Practices in Panjang District, Bandar Lampung City. A descriptive cross-sectional study was conducted in 2024 involving pregnant women identified with CED based on mid-upper arm circumference measurements of <23.5 cm. Total sampling was applied. Data were collected through interviewer-assisted structured questionnaires, anthropometric measurements, and antenatal care record reviews. Descriptive analysis was performed using frequency and percentage distributions. The findings showed that CED occurred across various maternal age groups, including women aged 20–35 years. CED was more common among pregnant women with low educational attainment, informal employment, and low household income. Most respondents also had a history of CED or malnutrition, low body mass index, low protein intake frequency, infrequent consumption of nutrient-dense foods, inadequate antenatal care visits, limited family support, and exposure to secondhand smoke. In conclusion, CED among pregnant women was associated with multiple sociodemographic, nutritional, and environmental characteristics. These findings highlight the importance of strengthening nutritional monitoring, family support, and antenatal care services at the primary health care level to support maternal nutritional status during pregnancy.
Determinants of The Incidence of Childbirth Complications in Bandar Lampung City Roslina Roslina; Amrina Octaviana; Nelly Indrasari; Eva Berliana; Riyanto Riyanto
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4817

Abstract

In 2021, the Maternal Mortality Ratio (MMR) in Lampung Province increased significantly, rising from 115 to 187 cases compared to 2020. Bandar Lampung emerged as one of the areas with the fourth highest MMR, recording 15 cases (8.02%). This study aims to identify determinants of childbirth complications among mothers in Bandar Lampung in 2024. This type of research is analytical-descriptive, with random sampling, so that samples are obtained from 432 post-natal mothers. This research method uses interviews and observations of post-natal mothers analyzed through a quantitative cross-sectional approach with a random sampling of 432 participants. Results indicate a correlation between birth spacing (p=0.015, OR=2.725), history of pregnancy complications (p=0.000, OR=2.049), and parity (p=0.011, OR=1.764) with childbirth complications. Recommendations include improving healthcare services at the primary level and educating pregnant women and families on risk factors to reduce maternal mortality.
Exploration of Contextual Factors Affecting the Effectiveness of E-Kescatin Application Utilization: A Qualitative Study in Pringsewu Regency Nelly Indrasari; Risneni Risneni; Warjidin Aliyanto; Nurlaila Nurlaila; Eva Berliana; Marlina Marlina
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5108

Abstract

The E-Kescatin application was developed as an innovation in premarital health services to support stunting prevention efforts through a digital approach. However, the effectiveness of utilization of this application still shows variations between regions and is not optimal at the implementation level. This study aims to explore the contextual factors that influence the effectiveness of the E-Kescatin application utilization in Pringsewu District, Lampung Province. The research used a qualitative approach with an exploratory study design. Informants were selected purposively, consisting of midwives, brides-to-be, Health Office officers, and MCH program managers. Data collection was conducted through in-depth interviews and focus group discussions. Data analysis was done thematically with an interpretative approach. The results identified five main themes that influence the effectiveness of app utilization, namely: (1) accessibility of technology and digital infrastructure; (2) digital competence of health workers; (3) perceived benefits from the user side; (4) policy and regulatory support at the local level; and (5) cross-sector integration in the implementation of premarital services. It is concluded that the effectiveness of E-Kescatin application utilization is influenced by contextual factors that include technical, social, and institutional aspects. Therefore, improving the success of application implementation requires a collaborative and adaptive approach to local conditions. The findings of this study provide a significant contribution to strengthening digital transformation policies in the field of reproductive health.
Co-Authors Amrina Octaviana Amrina Oktaviana Marlina Marlina Nelly Indrasari Nurlaila Nurlaila Nurlaila Risneni Risneni Risneni Riyanto Riyanto Roslina Roslina Roslina Warjidin Aliyanto