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Effectiveness of Hot Herbal Compress and the Waistband to Reduce Height the Fundus of Uterus Widiyanti, Desi; Destariyani, Elvi; Yuniarti, Yuniarti; Yulyana, Nispi
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 3 (2024): Volume 6 Nomor 3 Desember 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i3.944

Abstract

The disrupted recovery process of postpartum mothers can lead to subinvolution which is one of the causes of postpartum hemorrhage, with the current incidence rate in Indonesia 5% - 20% of deliveries. Treatment in the postpartum period is influenced by cultural factors in the community such as the use of waistband and hot herbal compresses. The purpose of this study was to determine the effectiveness of hot herbal compresses and the use of waistband to reduce the height of the uterine fundus. This research method is quantitative with a Quasi-experimental approach with two group pre-posttest design with a total sample of 60 postpartum mothers and taken by using purposive sampling technique. The results showed that the average decrease in uterine fundal height in the hot herbal compress group and the waistband group had a significant difference with p value <0,05. In conclusion, there was a more significant decrease in the height of the fundus of uterus by giving hot herbal compresses. It is hoped that the use of hot herbal compresses by postpartum mothers as an alternative non-pharmacological therapy.
The influence of ANC cadre empowerment on ANC visits of pregnant women in Bengkulu City Yuniarti, Yuniarti; Yorita, Epti; Widiyanti, Desi; Destariyani, Elvi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 3 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(3).332-344

Abstract

Background: Services during pregnancy are pregnancy health check-up services carried out  by health workers, especially midwives or doctors for pregnant women which are carried out at least four times in pregnancy   with details, namely one time gestational age 0-12 weeks, one time ANC gestational age 13-27 weeks and twice when the gestational age is 28-36 weeks. Based on the profile of K1 and K4 visits from 20 Public Health Centers in Bengkulu City, there are 3 Public Health Centers with K1 and K4 visits which are still low and have not reached the set targets and there is still a drop out where there is a decrease between K1 and K4 visits.Objectives: The study aims to knowing the influence of the empowerment of ANC   the community health worker on the visit of ANC Pregnant Women in Bengkulu City Methods: This research uses a quasi-experimental method. The samples taken for the study were all pregnant women in Bengkulu City who were selected by purposive sampling.  The sample consisted of 2 groups, namely the experimental group on pregnant women with the empowerment of ANC the community health worker  and  the ontrol group with counseling totaling 40 people.  Data collection is carried out through data collection sheets and analyzed data with univariate and bivariate Data analysis used bivariate Results: The results of the study found that there was an Effect of Empowerment of ANC the community health worker  on ANC visits to pregnant women in Bengkulu City in 2020Conclusions: The results Thisstudy was used as an alternative recommendation  for increasing ANC visits
Factor influencing child marriage in Tanjung Terdana Village 2020-2022 Sholehah, Annida; Destariyani, Elvi; Damarini, Susilo; Elly, Nur; Widiyanti, Desi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).412-421

Abstract

Background: Child marriage is a marriage that takes place at an age under 19 years that can threaten life and health. Indonesia's child marriage rate is ranked 7th globally and is ranked 2nd in ASEAN. Child marriage brings more harm than good, it tarnishes children rights in so many aspects including the health rights. It can affects children’s growth and development, especially females under the age of 19 can experience such serious injuries considering the reproductive organ is still immature for them to have sex, let alone pregnant and give birth. Apparently, the child marriage can be influenced by many factors, such as culture, socio-economic and environment. Altough the marriage age has been regulated in laws, the number of child marriage is still arrising.Objectives: This study aims to determine the factors that affecting child marriage in Tanjung Terdana Village, Pondok Kubang District, Central Bengkulu Regency.Methods: The research method is analytic observational with a cross-sectional design. The population is a reproductive age women that married in KUA Pondok Kubang distric in 2020-2022. Samples were taken by a total sampling technique of 31 reproductive age women, and data was collected using a questionnaire. Data analysis used a chi square, fisher’s exact and logistic regression.Results: The results indicate that culture, environment and sosio-economic influence the child marriage with a value (p-value) <0,05, where the most dominant factor is culture.Conclusions: The health workers can work and collaborate cross-sectorally with the local community leaders in order to develop counseling and education programs about reproductive health in the community, especially among adolescents.
QR Code Increases Knowledge The Dangers of Free Sex Elvi Destariyani; Yuniarti Yuniarti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23565

Abstract

In Bengkulu Province, 1.0% of teenagers have engaged in premarital sexual activity with their partners, with a prevalence of 1.6% among male teenagers and 0.6% among female teenagers. This study aims to examine the effectiveness of QR Code digital media in enhancing teenagers' awareness of the risks associated with casual sex at State Senior High School 8 Bengkulu. The research adopts a quasi-experimental design using a pre-test and post-test with a control group methodology. The sampling technique employed proportionate stratified random sampling, selecting a total of 72 students 36 in the intervention group and 36 in the control group. The analysis was conducted using the Wilcoxon test and the Mann-Whitney test. The findings indicate that QR Code digital media (p = 0.000) and Instagram (p = 0.000) were both effective in increasing adolescents' knowledge regarding the risks of casual sex. The mean difference in knowledge levels was 5.69 for QR Code digital media and 5.41 for Instagram. Furthermore, QR Code digital media demonstrated a greater impact (0.47) in improving teenagers' awareness of these risks at State Senior High School 08 and State Senior High School 10, Bengkulu. These findings highlight the potential of QR Code digital media as an effective educational tool. It is recommended that academics, educational institutions, and researchers further integrate and develop digital media-based learning strategies to enhance teenagers' knowledge, particularly regarding sexual health education. Keywords: Teenagers; Dangers of free sex; QR Code; Instagram; Knowledge
Effectiveness of the My ADA Application on ANC Visiting Behaviour of Pregnant Women in the Cities of Bengkulu and Cilandak, South Jakarta Yuniarti Yuniarti; Elvi Destariyani; Erlin Puspita; Nurhayati Nurhayati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21974

Abstract

Antenatal care (ANC) is a medical service that expectant mothers get from qualified personnel. In the current era of digitization, apps are extremely required since they may make things simpler. ANC results are often entered in the KIA book, but recording is still done by hand, and pregnant women frequently forget to bring the KIA book. The purpose of this study is to evaluate the application's efficacy. My ADA on the ANC visitation patterns of expectant mothers in South Jakarta's Bengkulu and Cilandak cities. This kind of quantitative study employs a control group design in a quasi-experimental setting. The study will be conducted in Cilandak, South Jakarta, and PMB Bengkulu City. In 2023, there were 6,279 pregnant women in the PMB neighborhood of Bengkulu City, Cilandak, South Jakarta; 106 of them were selected using the purposive sampling approach. Pregnant women's average knowledge of ANC increased in the intervention group using the My ADA application compared to the control group using the KIA book. The intervention group's knowledge increased with a p-value of 0.000 <0.05, indicating that the My ADA application had an impact on pregnant women's knowledge, while the intervention group's p-value of 0.000 <0.05 indicated that the KIA book had an impact on pregnant women's knowledge of ANC in South Jakarta. The Mann-Whitney test results showed that Mean P-Value = 0.000, there is a difference in the average knowledge score between the My ADA application group and the KIA book group, so it can be concluded that the My ADA Application is more effective in increasing pregnant women's knowledge about ANC compared to KIA book. Keyword: Application, Attitude, Knowledge , Pregnant
The Relationship between exclusive breastfeeding history and nutritional status of toddlers on the incidence of stunting in toddlers Destariyani, Elvi; Burhan, Rialike; Andriani, Lusi; Sari, Ade Zayu Cempaka; Utami, Rega Yunike
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 4 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(4).611-622

Abstract

Background: Stunting is a chronic nutritional problem that impacts the physical growth, cognitive development, and health of children in the future. In 2023, Indonesia still had a high rate of stunting at 21.5%, which is higher than the national goal of 14%. In Bengkulu Province, the prevalence of stunting reached 20.2%, while in North Bengkulu Regency it was 8.7%. One of the areas with a high stunting rate is the Kemumu Health Center, where stunting cases were recorded in 120 toddlers (10.56%) in 2024. Factors that affect the incidence of stunting include the history of exclusive breastfeeding and the nutritional status of toddlers.     Objectives: To determine the relationship between exclusive breastfeeding history and nutritional status of toddlers with stunting incidence. Methods: This type of study is a retrospective case-control design. This research was conducted in July 2025. The population of this study is all toddlers whose data were recorded in the register of the Kemu Health Center’s integrated health post (Posyandu). The sample used was 238 toddlers (119 stunted, 119 not stunted) with a simple random sampling technique. The data were analyzed using chi-square.Results: There was a correlation between exclusive breastfeeding history (p=0,000; OR=8,066) and Nutritional Status of Toddlers (p=0,008) with the incidence of stunting. Toddlers who do not get exclusive breastfeeding are eight times more likely to experience stunting. Conclusions: There is a relationship between the history of exclusive breastfeeding and the nutritional status of toddlers with the incidence of stunting in toddlers aged 6-59 months at the Kemu Health Center. It is recommended that to solve the stunting problem, it is essential to provide nutritional information corresponding to the specific needs of toddlers.
The Influence of Spinning Wheel Media and Module on The knowledge and Attitude of Adolescent Marriage Age Maturation at Bengkulu Elvi Destariyani; Yuniarti Yuniarti; Nispi Yulyana
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.26783

Abstract

Early marriage, according to the WHO, is a marriage that occurs in individuals under the age of 19. This phenomenon is often caused by a lack of knowledge and insufficient information about the importance of delaying marriage until an appropriate age. The impacts of early marriage include premature birth, delivery complications, divorce, domestic violence, school dropout, and other social problems. The aim is to determine the influence of spinning whell  media on the knowledge and attitude of adolescent marriage age maturation.  This study uses a Quasi-Experimental method with a Two Group Pretest and Posttest design. The research sample was taken using simple  Random Sampling, involving 32 respondents who were given pretest and posttest questionnaires. The normality test used the Shapiro-Wilk test, and non-normal data were analyzed using the Mann-Whitney test. The results showed that the group receiving education through Spinning Wheel media experienced a significant increase in knowledge (average before 5.81, after 13.16) and attitudes (average before 39.00, after 52.94). Meanwhile, the group receiving education through Modul also showed an increase, though to a lesser extent, with an average knowledge score before 7.50 to 11.63 and an attitude score before 43.53 to 48.22. Statistical analysis showed a significant influence of education through Spinning Wheel media on improving adolescents' knowledge (p-value=0.000) and attitudes (p-value=0.000) about the maturity of marriage age. The findings of this study are expected to encourage academics, educational institutions, and other researchers to use Spinning Wheel media and develop other game-based learning methods to improve adolescents' knowledge and attitudes about the maturity of marriage age Keywords: Knowledge, Attitude, Early Marriage, Spinning Wheel Game, Adolescent Health.
Utilization of the My ADA Application for ANC Visits for Pregnant Women in the City of Bengkulu Yuniarti Yuniarti; Elvi Destariyani; Nurniati Tianastia; Rahmadona Rahmadona
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.26300

Abstract

Antenatal care (ANC) plays an important role in the early detection and prevention of complications during pregnancy, childbirth, and the postpartum period. However, ANC utilization in Indonesia, including Bengkulu City, remains below the expected standard. Limited maternal knowledge and the less optimal use of conventional educational media, such as the Maternal and Child Health (KIA) book, contribute to low ANC attendance. Therefore, innovative digital-based educational media, such as the My ADA application, are needed to improve ANC utilization among pregnant women. This quantitative study employed a quasi-experimental design with a pretest–posttest two-group approach. The study was conducted at independent midwifery practices in Bengkulu City. A total of 50 second-trimester pregnant women who met the inclusion criteria were selected using purposive sampling and divided into two groups: the My ADA application intervention group and the KIA book comparison group. Data were collected before and after the intervention using structured questionnaires and ANC visit records. Statistical analysis was performed using appropriate parametric and non-parametric tests after normality testing with the Shapiro–Wilk test. The results demonstrated a statistically significant difference in ANC utilization and visit frequency between the intervention and comparison groups (p < 0.05). Pregnant women who used the My ADA application showed greater improvement in ANC utilization and higher ANC visit frequency compared to those who used the KIA book. The findings indicate that the My ADA application is more effective than conventional KIA book media in improving ANC utilization among second-trimester pregnant women. Digital health applications can be utilized as alternative educational and monitoring tools to support maternal health services and enhance adherence to antenatal care visitsKeyword : My ADA application, antenatal care, Pregnant women, Health technology, Maternal health, ANC utilization 
ANALYSIS OF RISK FACTORS FOR CERVICAL CANCER OCCURRENCE: A CASE-CONTROL STUDY AT BANGKA BELITUNG Dwiyanti Wulandari; Diah Eka Nugraheni; Dwie Yunita Baska; Elvi Destariyani; Suci Sholihat
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.6617

Abstract

Cervical cancer ranks as the second most common malignancy among women in Indonesia, following breast cancer, and is the second leading cause of cancer-related mortality. Over 70% of cervical cancer cases are diagnosed at an advanced stage, often due to delayed detection and treatment, which significantly affects therapeutic outcomes and increases mortality rates. This study employed an observational analytic approach with a case-control design to examine the association between age at first marriage, parity, smoking habits, hormonal contraceptive use, and family history with cervical cancer incidence. A total of 116 respondents were selected and evenly divided into case and control groups (1:1 ratio). Data were collected from medical records at Dr. (H.C) Ir. Soekarno Regional General Hospital, Bangka Belitung Islands Province, in 2024. The data analysis was conducted using chi-square statistical test and multivariate logistic regression. The findings revealed that age at marriage, parity, and hormonal contraceptive use were significantly associated with cervical cancer incidence (p < 0.05). Conversely, no significant associations were observed for smoking and family history (p > 0.05). Hormonal contraceptive use and parity emerged as key determinants. These results underscore the need to reinforce cervical cancer prevention programs through targeted education on the long-term risks of hormonal contraceptive use and by enhancing routine screening coverage at the primary healthcare level.
The Spousal Support And Knowledge Influence Exclusive Breastfeeding Elvi Destariyani; Suci Sholihat; Vina Ananda
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.883

Abstract

Exclusive breastfeeding is essential for the health of mothers and children; however, its coverage remains low, with only 44% of infants aged 0-6 months worldwide receiving exclusive breastfeeding. This low coverage can lead to health issues for both infants and mothers. Objective: This study aims to analyze the relationship between maternal knowledge and spousal support regarding exclusive breastfeeding in the working area of Puskesmas Kandang, Bengkulu City, in 2025. Methods: The research design used is analytical with a cross-sectional approach. The sample consists of 106 breastfeeding mothers with infants aged 7-12 months. Data were analyzed univariately and bivariately using the chi-square test. Results:The analysis results indicate a significant relationship between maternal knowledge (p = 0.000) and spousal support (p = 0.001) with exclusive breastfeeding at Puskesmas Kandang. Conclusion: This study is expected to contribute to academic development and Puskesmas, as well as encourage the enhancement of educational programs regarding the benefits of exclusive breastfeeding, involving husbands as primary supporters to increase exclusive breastfeeding coverage and support the health of mothers and infants.