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PENGARUH EDUKASI BERBASIS LEMBAR BALIK TERHADAP PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN Ariescha, Putri Ayu Yessy; Ariani, Peny; Purba, Silvia Kartika
Jurnal Inovasi Kesehatan Masyarakat Vol. 6 No. 2 (2025): Jurnal Inovasi Kesehatan Masyarakat (JIKM)
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v7i1.2757

Abstract

The maternal mortality rate (MMR) remains a significant public health concern in Indonesia and serves as a key indicator in achieving the targets of the Sustainable Development Goals (SDGs). One of the major contributing factors to the high MMR is the delay in recognizing and managing pregnancy danger signs, which is often due to a lack of knowledge among pregnant women. Additionally, the suboptimal coverage of antenatal care (ANC) visits exacerbates this issue, as fewer women receive critical information during pregnancy. Providing education to pregnant women is a strategic effort to enhance their understanding and foster positive attitudes throughout pregnancy. One educational medium that can be utilized is the flipchart an interactive, visual, and communicative tool designed to deliver health information in an engaging and easy-to-understand manner. This study aimed to analyze the effect of flipchart-based education on improving pregnant women’s knowledge of pregnancy danger signs. A quasi-experimental design with a one-group pre-test–post-test approach was employed. The sample consisted of 17 primigravida women receiving antenatal care at Juliana Dalimunthe Clinic, selected through purposive sampling. A validated and reliable knowledge questionnaire was administered before and after the educational intervention. Data were analyzed using a paired sample t-test. The results showed a significant increase in knowledge among pregnant women regarding danger signs of pregnancy following the educational intervention, with a significance value of p = 0.004. These findings indicate that flipchart media is an effective educational tool in maternal health promotion. Not only does it improve maternal understanding of danger signs, but it is also expected to enhance awareness and motivation to attend regular ANC visits. Therefore, it is recommended that healthcare providers optimize the use of flipcharts in health education and counseling sessions for pregnant women, as part of preventive efforts to reduce complications.
Maternal Risk Factors Associated with Low Birth Weight: A Case Control Study in Deli Tua District Nur Mala Sari; Peny Ariani; Putri Ayu Yessy Ariescha
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24528

Abstract

Low birth weight (LBW) remains a significant public health concern in Indonesia, contributing to neonatal morbidity, mortality, and long-term developmental challenges. Although numerous studies have explored LBW, evidence on maternal risk factors in low-resource settings particularly within independent midwife practices remains scarce. This study examined the associations between maternal age, parity, antenatal care (ANC) visits, history of anemia, and gestational weight gain with LBW incidence in Deli Tua Sub-District, Deli Serdang Regency. A case-control design was employed from December 2024 to March 2025, involving 95 postpartum mothers (35 cases, 60 controls) selected through purposive sampling. Data were collected using validated questionnaires (Content Validity Index = 0.82; Cronbach's α = 0.85) and maternal health records, and analyzed using Chi-square tests and multivariate logistic regression (SPSS version 22). Multivariate analysis identified maternal age at risk (<25 or >35 years) as the sole significant predictor of LBW (OR = 6.69; 95% CI = 3.21-25.22; p = 0.006). Parity (OR = 2.76; p = 0.077), ANC visits (OR = 1.22; p = 0.797), history of anemia (OR = 0.57; p = 0.421), and gestational weight gain (OR = 1.20; p = 0.773) were not significantly associated with LBW. The model demonstrated acceptable fit (Hosmer Lemeshow p = 0.49; Nagelkerke R² = 0.29). Maternal age emerged as the most influential determinant of LBW in this population. These findings underscore the importance of targeted surveillance for high-risk age groups and the enhancement of promotive and preventive strategies including improved ANC service quality, nutritional counseling, and family engagement in maternal care to reduce LBW incidence in resource-limited settings. Keywords: Anemia, Antenatal Care, Gestational Weight Gain, Low Birth Weight, Maternal Age, Parity
Systemic Barriers to Postpartum Midwifery Visits and Their Effect on Exclusive Breastfeeding in Rural Indonesia Peny Ariani; Putri Ayu Yessy Ariescha; Dinillah Salsabila Bahar; Jekson Martiar Siahaan; Nurmala Sari
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24285

Abstract

Postpartum visits by independent midwives play a critical role in initiating and sustaining exclusive breastfeeding. However, operational and institutional barriers may compromise their effectiveness, particularly in semi‑urban and rural settings such as Deli Tua District. This study examined the association between these barriers and exclusive breastfeeding practices among mothers in Deli Tua. A quantitative cross-sectional study was conducted in 2025, involving all independent midwives in the district (n = 85) and a purposive sample of 120 postpartum mothers (1-6 weeks post-delivery). Data were collected using structured questionnaires and analyzed through Chi-Square tests and multivariate logistic regression at a 95% confidence level. Key barriers negatively associated with exclusive breastfeeding included lack of government incentives (OR = 0.23; 95% CI: 0.09-0.61; p = 0.004), excessive workload and fatigue (OR = 0.33; 95% CI: 0.14-0.78; p = 0.013), high operational costs (OR = 0.38; 95% CI: 0.17-0.83; p = 0.015), and limited time for visits (OR = 0.43; 95% CI: 0.19-0.96; p = 0.043). Conversely, institutional support from health centers significantly increased the likelihood of breastfeeding success (OR = 2.01; 95% CI: 1.01-4.01; p = 0.046). Socio-cultural factors such as stigma and customary practices showed no significant association. To enhance the effectiveness of postpartum care and promote exclusive breastfeeding, the study recommends implementing performance-based incentives, reducing workload burdens, providing financial subsidies, and establishing standardized visit-time guidelines. Strengthening cross-sectoral collaboration and resource allocation is essential to improve service delivery and breastfeeding outcomes. Keywords: Exclusive breastfeeding, postpartum care, health system barriers, community midwives, maternal health services
ANALISIS PENGARUH PEMBERIAN EDUKASI SDIDTK PADA IBU TERHADAP TUMBUH KEMBANG BALITA DI WILAYAH KERJA PUSKESMAS PINTU RIME KECAMATAN PINING KABUPATEN GAYO LUES PROVINSI ACEH TAHUN 2024 Zuliarni Lubis; Elmina Tampubolon; Peny ariani
Jurnal Kajian Kesehatan Masyarakat Vol. 6 No. 2 (2026): JURNAL KAJIAN KESEHATAN MASYARAKAT
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v6i2.1823

Abstract

SDIDTK is growth and development during the first 5 years of life. The aim of the research is for all toddlers aged 0-5 years and preschool children aged 5-6 years to grow and develop optimally. The writing aims to determine the effect of providing primary education to mothers on the growth and development of toddlers in the working area of ​​Pintu Rime Health Center, Pining District, Province. Aceh last year, the type of the research used quantitative with a quasi-experimental pre and post-test design, a population of 35 respondents in the Pintu Rime Community Health Center area, Pining District, Aceh Province, with consecutive technique, data sampling obtained from the results interviews by distributing questionnaires that have been prepared by researchers. The Data of analysis was carried out univariate and bivariate using the independent t-test with an alpha (a) value of 0.05. The results of research using the independent t-test obtained a significance value of 0.000, so it can be concluded that there was an influence of providing SDIDTK education to the mothers on the growth and development of toddlers in the Pintu Rime Health Center Working Area, Pining District, Aceh Province last year.
ANALISIS HUBUNGAN DUKUNGAN SUAMI DENGAN KONDISI FISIK DAN PSIKIS IBU PADA SAAT PERSALINAN DI RSU MUHAMMAD ALI KASIM KABUPATEN GAYO LUES PROVINSI ACEH TAHUN 2024 Nia Syafriati; Gerry Silaban; Peny ariani
Jurnal Kajian Kesehatan Masyarakat Vol. 6 No. 2 (2026): JURNAL KAJIAN KESEHATAN MASYARAKAT
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v6i2.1826

Abstract

Husband's support is often known by another term, namely support in the form of sympathy, which is proof of affection, attention, and a desire to listen to other people's complaints. Needs, abilities, and sources of support change throughout a person's life. The Family is the first environment known to individuals in their socialization process. The aim of the research to analyze the relationship between the husband's support and the mother's physical and psychological condition during childbirth at Muhammad Ali Kasim Hospital, Gayo, Aceh Province., the population of 40 respondents at Muhammad Ali Kasim Hospital , Gayo Lues Aceh, the purposive of the sampling technique, the data was obtained from the results of interviews by distributing questionnaires that had been prepared by the researcher. The Data of analysis was carried out univariately and bivariately using the chi-square test with an alpha value (a) of 0.05. The results of research using the chi-square test obtained a p-value of 0.000 (p < 0.05). It can be concluded that Ho was accepted, which means there is a relationship husband's support with the mother's physical condition during childbirth at Muhammad Ali Kasim Hospital, Aceh. The results of the research using the chi-square test, the p-value was obtained at 0.002 (p<0.05) it can be concluded that Ho was accepted, which means There is a relationship between the husband's support and the mother's psychological condition during childbirth at Muhammad Ali Kasim Hospital, Gayo Lues Aceh.
Co-Authors Adang Bachtiar Alprindo Sembiring Meliala Amirah, Nada Andayani Boang Manalu Andayani Boang Manalu Andayani Boang Manalu Andriani Andriani Angelika Terulin Angge Ayune Aderia Saragih Ariescha, Putri Ayu Yessy Aritonang, Silvia BAKRI, TEDY KURNIAWAN Barus, Bunga Rimta Bella Agustria Bunga Rimta Barus Delmi Sulastri Delmi Sulastri Dinillah Salsabila Bahar Eka Sri Wahyuni Elisabeth Dame Manalu Elmina Tampubolon Elmina Tampubolon Elvida Sulistiani Eva Chundrayetti Fadilla Rasanty Felix Kasim Fitriani . Gerry Silaban GINTING, SELAMAT Gusti Revilla Hadi, Milvan Halawa, Kris Angelina Hardianti, Ema Hariati, Erni Hariaty, Erni Hema Malini, Hema Husna Sari Husna Sari Hutabarat, Vitrilina Ilvira Ulpa Ismail Insani, Septa Dwi Jekson Martiar Siahaan Juli Fransiska Tumanggor Juni Vera Konsinur, Karmelya Amanda Krisna, Putri Kristin Natalia Kristin Natalia, Kristin Linta Meliala Linta Meliala Luhur Monalisa MARBUN, VIKTOR EDYWARD Mardiah Mardiah Marlen Sadrina Sitepu Mastary . Mayetti Mayetti Meliala, Linta Melisa Indriani Tarigan Mierza, Vriezka Monika Nina Ginting Mutiara Dwi Yanti Nasution, Naimah Neherta, Meri Nerdy, Nerdy Nia Syafriati NINGSIH, INDAH SUCI Nur Indrawaty Lipoeto Nur Mala Sari Nurhamidah Siregar Nurmala Sari Pasaribu, Sumihar Puji Lestari PUJI LESTARI Purba, Silvia Kartika Purti Ayu Yessy Ariescha Putri Ayu Yessie Ariescha Putri Ayu Yessy Ariecha Putri Ayu Yessy Ariescha Putri Yessy Ariescha Raden Mohamad Herdian Bhakti Rani Mariana Rasninta Devi Ansela Ratna Sari Fitria Ria Novita Sari Rizki, Elda Naila Rusli, Kenvin Ruttama Hutauruk Sari Batubara, Hamidah Sari, Mediana Selamat Ginting Siagian, Nurul Aini Siahaan, Jekson Martiar Siregar, Agnes Rahel Brigitha Siregar, GF Gustina Sitepu, Marlen Sadrina Sitepu, Stefani Anastasia Sitorus, Friska Ernita SKM, M.kes, Dr. Elmina Tampubolon Solin, Raju solin Raju Sori Muda Sarumpaet Sri Wahyuni, Rika Suriani Suriani Suventy Safrina Ginting Tedy Kurniawan Bakri Tetty Junita Purba Tifani Hadi Tri wahyuni Uswatun, Uswatun Vitrilina Hutabarar Vriezka Mierza Wilfa Muslimah Sihaloho Yuki Nia Nadia Nahdeak Yulia Fahmila Zuliarni Lubis