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

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Postpartum as the Dominant Period of Maternal Death in Indonesia: Analysis of Survey Results Lisa Suarni; Warjidin Aliyanto; R. Pranajaya; Sono Sono
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.v17i1.5650

Abstract

Maternal mortality remains a critical public health challenge in Lampung Province, which consistently records one of the highest maternal mortality rates in Sumatra and has not yet reached the national Sustainable Development Goals (SDGs) target. Understanding the temporal patterns and dominant risk factors of maternal deaths is essential for designing more targeted preventive strategies. This case-control study included 193 respondents: 64 cases (maternal deaths) and 129 controls (surviving mothers), selected through purposive sampling from health facilities across Lampung Province. Data were obtained from medical records, maternal death audit reports, and structured interviews, then analyzed using univariate, bivariate (chi-square), and multivariate (binary logistic regression) approaches. The majority of maternal deaths occurred in the postpartum period (78.3%), with the highest concentration within the first 24 hours (63.1%), indicating this as the most critical vulnerability window in Lampung. Hemorrhage was the leading cause of death (53.9%), with most fatalities occurring within hospital settings (71.2%), suggesting that referral delays and suboptimal emergency obstetric care remain persistent challenges in the province. Binary logistic regression revealed that chronic diseases were the most dominant risk factor (OR = 3.80; 95% CI: 1.56–9.24), followed by irregular Antenatal Care visits (OR = 3.77; 95% CI: 1.58–8.99) and history of pregnancy complications (OR = 3.48; 95% CI: 1.45–8.34). Gestational age showed no significant association (p = 0.635). Urgent need for Lampung Province to strengthen early detection of chronic diseases through integrated ANC programs at the primary care level (Community Health Centers), improve emergency obstetric care quality, and reduce referral delays across districts to prevent avoidable maternal deaths.
Analysis of Demographic Factors Affecting Exclusive Breastfeeding Success among Breastfeeding Mothers Nelly Indrasari; Mugiati; Nurlaila; Warjidin Aliyanto; Indah Trianingsih
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4632

Abstract

Successful breastfeeding significantly impacts the health of both mothers and infants. This study aims to analyze factors affecting breastfeeding success through a quantitative design incorporating bivariate and multivariate analyses. Data were collected from 90 breastfeeding mothers and analyzed using statistical tests. The results reveal that maternal age is a significant factor (p-value=0.007); mothers aged 20–35 are 1.6 times more likely to breastfeed successfully than those younger than 20 or older than 35. Maternal education also plays a critical role (p-value=0.002); mothers with higher education levels are 2.3 times more likely to succeed in breastfeeding than those with primary education. Employment status is another significant factor (p-value=0.013); non-working mothers are 1.8 times more likely to breastfeed successfully than working mothers. Parity also influences success (p-value=0.029); multiparous mothers are 1.2 times more likely to succeed than primiparous mothers. These findings highlight the need for targeted interventions. Educational programs should prioritize mothers with primary or secondary education and those employed. Support mechanisms for working and primiparous mothers are crucial to address breastfeeding challenges. Policies such as extended maternity leave and workplace lactation facilities are also recommended to foster breastfeeding success. In conclusion, maternal age, education, employment status, and parity significantly impact breastfeeding outcomes. Tailored programs and supportive policies can improve breastfeeding rates and enhance maternal and infant health.
Community Readiness in Utilization of Android Application (mHealth) for Increasing Healthy Family Index Warjidin Aliyanto; Lisa Suarni; Sono Sono
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.v16i1.4937

Abstract

SIPISPeKa G-2 was introduced as an innovative mHealth solution to bridge this gap by enabling real-time communication between families and health workers. This study aims to evaluate the effectiveness of the SIPISPeKa G-2 mHealth application in improving the Healthy Family Index (IKS) in the work area of Kotabumi 2 Health Center, North Lampung. The quasi-experimental pre-test and post-test design was carried out on 150 families who were categorized as unhealthy based on 12 IKS indicators. The study was conducted from February to November, with a trial period of 3 months. Sampling using the Multi-Stage method, the results showed a significant increase in the Healthy Family Index (IKS) from an IKS value of 0.64 to 0.79 (p < 0.05). The most widely accessed services were smoking cessation services (29.01%), National Health Insurance 16.41%), and hypertension (16.03%). However, 16.03% of consultations were deemed irrelevant, indicating the need for further education. This study concluded that the mHealth application can effectively improve family health, with recommendations for optimization and broader implementation.
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 Eva Berliana Indah Trianingsih Lisa Suarni Marlina Marlina Mugiati Nelly Indrasari Nurlaila Nurlaila Nurlaila R. Pranajaya Risneni Risneni Sono Sono Sono Sono Suarni, Lisa