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All Journal Jurnal Kesehatan Komunitas JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Contagion: Scientific Periodical Journal of Public Health and Coastal Health Best Journal (Biology Education, Sains and Technology) Jurnal Doppler Jurnal Doppler Science Midwifery Indonesian Journal of Global Health research JURNAL PENELITIAN KEBIDANAN & KESPRO JURNAL PENELITIAN KEPERAWATAN MEDIK JURNAL KAJIAN KESEHATAN MASYARAKAT JURNAL INOVASI KESEHTAN MASYARAKAT Nursing and Health Sciences Journal (NHSJ) JIDAN (JURNAL ILMIAH KEBIDANAN) Jurnal Pengabdian Masyarakat Putri Hijau Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Jurnal Kedokteran Hewan Pengabdian Deli Sumatera
Ariani, Peny
Department Of Midwifery, Faculty Of Midwifery, Institut Kesehatan Deli Husada, Deli Serdang, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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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.
Family support as a predictor of breastfeeding self-efficacy among postpartum mothers Tetty Junita Purba; Peny Ariani; Mutiara Dwi Yanti; Putri Ayu Yessy Ariescha; Friska Ernita Sitorus; Jekson Martiar Siahaan
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.665

Abstract

While family support is widely acknowledged as a critical determinant of breastfeeding self-efficacy, research on its independent predictive effect remains sparse. This limitation is particularly pronounced among postpartum mothers in Indonesia, where context-specific evidence is currently insufficient. This study aimed to analyze the relationships and effects of family support, educational level, and parity status on postpartum mothers' breastfeeding self-efficacy. A multicenter cross-sectional study was conducted among 180 postpartum mothers recruited from nine primary health centers across urban, semi-urban, and rural areas using purposive sampling. Family support was measured using a Friedman-based questionnaire, and breastfeeding self-efficacy was assessed using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Spearman correlation and multiple linear regression were performed. Family support showed a moderate positive correlation with breastfeeding self-efficacy (rs = 0.559, p < 0.01). In multivariate analysis, family support remained the strongest predictor of breastfeeding self-efficacy (β = 0.509, p < 0.01), followed by parity (β = 0.255, p < 0.001), whereas maternal education was not statistically significant. Family support is the primary determinant of breastfeeding self-efficacy among postpartum mothers. Interventions to improve breastfeeding outcomes should integrate family-centered support strategies, particularly for first-time mothers.
The Impact of a Structured Physical Exercise Program on Physical Function and Quality of Life among Patients with Chronic Kidney Disease Undergoing Hemodialysis Friska Ernita Sitorus; Alprindo Sembiring Meliala; Hariati Hariati; Jekson Martiar Siahaan; Rostiodertina Girsang; Bahtera Bindavid Purba; Putri Ayu Yessy Ariecha; Nurul Aini Siagian; Peny Ariani; Tetty Junita Purba; Elmina Tampubolon
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.677

Abstract

Chronic kidney disease is a progressive condition characterized by a permanent decline in kidney function and requires renal replacement therapy, one of which is hemodialysis. Patients with chronic kidney disease undergoing hemodialysis often experience decreased physical function and quality of life due to activity limitations, fatigue, and psychological impacts. One non-pharmacological therapy that can be applied to address these problems is a physical exercise program. This study aims to determine the effect of a physical exercise program on physical function and quality of life among patients with chronic kidney disease undergoing hemodialysis at Sembiring General Hospital Deli Tua in 2026. This study used a quasi-experimental design using a one-group pretest–posttest approach. Sampling was conducted using a purposive sampling technique, resulting in a total sample of 54 respondents. Data analysis was performed using the Wilcoxon test with a significance level of α=0.05. The results showed that the mean score of physical function before the intervention was 54.56 and increased to 57.50 after the intervention. Similarly, the mean score of quality of life increased from 56.83 before the intervention to 58.93 after the intervention. The Wilcoxon test analysis revealed a p-value of 0.000<α=0.05 for both physical function and quality of life. The conclusion shows that the physical exercise program had a significant effect on improving physical function and quality of life among patients with chronic kidney disease undergoing hemodialysis at Sembiring General Hospital Deli Tua in 2026. It is recommended that physical exercise program can be implemented for patients with chronic kidney disease to enhance their physical function and quality of life.
EDUCATION OF BALANCED NUTRITION FOR MAINTAINING REPRODUCTIVE HEALTH IN MENOPAUSE WOMEN Naimah Nasution; Erlina Hayati; Peny Ariani
Jurnal Pengabdian Masyarakat Putri Hijau Vol. 6 No. 3 (2026): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i3.3074

Abstract

Menopause is a natural phase experienced by women aged 45–55 years due to the cessation of ovarian function, resulting in a decrease in the hormones estrogen and progesterone. This condition causes changes in reproductive, mental, and physical health that affect quality of life. Therefore, balanced nutrition is needed to keep their reproductive health, mood and physical endurance. If left untreated, this can reduce self-confidence and affect social and family relationships. This community service activity was held on May 13, 2026, in Hamlet 5, Patumbak 1 Village, with the aim of raising awareness about the importance of balanced nutrition in maintaining the reproductive health of menopausal women. Education was conducted through lectures, discussions, and interactive Q&A sessions. The material covered understanding menopause, the physiological changes that occur, and the role of balanced nutrition as a promotive-preventive strategy. Nutrients emphasized included calcium for bone density, vitamin D for metabolism, protein for muscle strength, fiber for digestion, and phytoestrogens for reducing vasomotor symptoms. Results showed that participants were able to understand the concept of menopause and recognize the contribution of balanced nutrition in reducing symptoms and supporting reproductive health. Nutrition education has been proven to increase knowledge and encourage the adoption of healthy eating patterns, which play a role in preventing long-term complications such as osteoporosis, heart disease, diabetes mellitus, and hypertension. It is recommended that similar activities be carried out on an ongoing basis, involving local health workers and community leaders to strengthen awareness and program sustainability.
Health Workers’ Experiences and Challenges in Providing Comprehensive Antenatal Care in Rural Primary Health Centers in West Nias District Putri Ayu Yessy Ariescha; Peny Ariani; Nur Mala Sari; Friska Ernita Sitorus
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.v8i2.26599

Abstract

Antenatal care (ANC) plays a critical role in reducing maternal and neonatal risks, yet its delivery in rural and remote areas remains constrained by geographic isolation, limited health resources, workforce shortages, and sociocultural barriers. This study explored the experiences and challenges of health workers in providing comprehensive ANC services in rural primary health centers in West Nias District, North Sumatra, Indonesia. A qualitative study with a grounded theory approach was conducted among 16 health workers, consisting of 11 midwives and five physicians, who were selected through purposive sampling. Data were collected through in-depth semi-structured interviews, supported by field notes, limited participant observation, and review of relevant service documents. Data were analyzed using open, axial, and selective coding. The findings identified professional resilience as the core category explaining how health workers sustain ANC services in resource-limited and culturally complex settings. This resilience was shaped by four interrelated themes: limited resources and infrastructure, human resource constraints, sociocultural influences, and adaptation strategies. Health workers maintained service continuity through manual examination methods, mobile services, home visits, informal counseling, community-based education, and collaboration with village leaders, religious leaders, and traditional birth attendants. These strategies helped strengthen community trust and improve access to ANC services. The study highlights the need to strengthen rural maternal health systems through improved infrastructure, adequate staffing, supportive supervision, and culturally responsive service planning Keywords: Antenatal Care, Health Workers, Maternal Health, Professional Resilience, Rural Health Services, Community Collaboration
Pengaruh Kombinasi Mindfulnes Breathing And Guided Imagery Terhadap Penurunan Kecemasan Emosi Negatif Pada Ibu Post Sectio Caesarea Tetty Junita Purba; Peny Ariani; Sumihar Pasaribu; Friska Ernita Sitorus; Alprindo Sembiring
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 2 (2025): September 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i2.12206

Abstract

Abstrak- Sectio caesarea merupakan prosedur bedah mayor yang sering menimbulkan dampak psikologis berupa kecemasan dan emosi negatif pada ibu postpartum. Kondisi ini dapat mengganggu pemulihan, menghambat ikatan ibu dan bayi, serta meningkatkan risiko depresi postpartum. Intervensi non-farmakologis seperti mindfulness breathing dan guided imagery dipandang efektif dalam menurunkan kecemasan dan meningkatkan regulasi emosi, namun penelitian mengenai kombinasi keduanya masih terbatas. Penelitian ini bertujuan untuk menganalisis pengaruh kombinasi mindfulness breathing dan guided imagery terhadap penurunan kecemasan dan emosi negatif pada ibu post-sectio caesarea. Penelitian menggunakan desain pre–post test without control group dengan jumlah responden sebanyak 49 orang ibu post-sectio caesarea yang dipilih melalui teknik purposive sampling. Instrumen penelitian meliputi kuesioner Hospital Anxiety and Depression Scale-Anxiety (HADS-A) untuk mengukur kecemasan dan Positive and Negative Affect Schedule-Negative Affect (PANAS-NA) untuk mengukur emosi negatif. Data dianalisis menggunakan uji normalitas Shapiro-Wilk dan uji paired t-test.Rata-rata skor kecemasan menurun dari 11,18 (SD = 3,68) menjadi 6,90 (SD = 4,34), sedangkan rata-rata skor emosi negatif menurun dari 29,96 (SD = 5,55) menjadi 23,73 (SD = 5,88). Uji paired t-test menunjukkan adanya perbedaan signifikan pada kecemasan (t(48) = 7,95; p < 0,001) dan emosi negatif (t(48) = 8,42; p < 0,001). Kombinasi mindfulness breathing dan guided imagery terbukti efektif menurunkan kecemasan dan emosi negatif pada ibu post-sectio caesarea. Intervensi ini sederhana, mudah diterapkan, minim efek samping, dan dapat diintegrasikan ke dalam praktik keperawatan maternitas sebagai upaya mendukung pemulihan psikologis ibu postpartum
Policy Analysis On Exclusive Breastfeeding for Informal Workers in Traditional Markets in North Sumatra Peny Ariani; Nur Indrawaty Lipoeto; Eva Chundrayetti; Hema Malini; Adang Bachtiar; Delmi Sulastri; Mayetti Mayetti; Meri Neherta
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4064

Abstract

Most informal female workers in traditional markets are in the reproductive age range. One of the causes of low exclusive breastfeeding in women informal workers is the low implementation of policies related to exclusive breastfeeding in the workplace, especially in the informal sector. Objective to analyze the policies carried out by the local government related to exclusive breastfeeding policies for informal workers in traditional markets. Method: the study was qualitative with a phenomenological approach. Participants consisted of 12 employees of related agencies with purposive sampling. Data collection was done through in-depth interviews using voice records. Data analysis used content analysis by the collaizi method. The principle of traceability was applied to ensure rigor in the research. The results of this study obtained two themes related to the analysis of exclusive breastfeeding policies in Informal Workers of Traditional Markets in North Sumatra, namely 1) perception of lactation corner facilities in the markets; and 2) barriers to the certainty of lactation corners in the traditional market. It is essential to analyze the exclusive breastfeeding policy for informal workers in convention markets to create better policies by providing adequate lactation corner facilities for informal workers.
Community counselling to strengthen breastfeeding support during World Breastfeeding Week 2026 at Taman Kebun Bunga Medan Mutiara Dwi Yanti; peny ariani; wina intan sari sagala
Jurnal Pengabdian Masyarakat Putri Hijau Vol. 6 No. 4 (2026): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Accessible breastfeeding support is needed during pregnancy and after childbirth. This community service article describes a breastfeeding education and counselling activity organised by the Medan Branch of the Indonesian Breastfeeding Counsellors Association during World Breastfeeding Week 2026. The activity took place on August 2, 2026, at Taman Kebun Bunga Medan. The wider programme ran simultaneously in nine cities: Tangerang Selatan, Surakarta, Medan, Bandung, Malang, Denpasar, Bekasi, Cirebon, and Dumai. The stages included morning exercise, a discussion on breastfeeding support, leaflet distribution, a quiz, and counselling. The team included five lactation counsellors, two midwives, and seven Midwifery Professional Programme students serving as volunteers. A total of 28 women attended: 12 pregnant women at 23–38 weeks of gestation and 16 breastfeeding mothers or mothers with children aged 0–2 years. Participants differed in prior breastfeeding experience; some described a history of mastitis, breast engorgement, or limited family support. During the activity, participants gave feedback, joined the quiz, and responded positively to the counselling and leaflet distribution. The team considered their understanding and readiness for breastfeeding to have improved based on these interactions. Because no structured baseline, post-activity scores, or follow-up data were recorded, the magnitude and persistence of change cannot be determined. No participant reported a special condition requiring additional management during the event. Community counselling offered a direct opportunity for mothers to discuss breastfeeding concerns. Future activities should document counselling contacts and use a simple, consistent assessment to clarify participant outcomes.
Co-Authors Adang Bachtiar Alprindo Sembiring 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 Bahtera Bindavid Purba 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 Elvida Sulistiani Erlina Hayati Eva Chundrayetti Fadilla Rasanty Felix Kasim Fitriani . Gerry Silaban GINTING, SELAMAT Gusti Revilla Hadi, Milvan Halawa, Kris Angelina Hardianti, Ema Hariati Hariati Hariati, Erni Hariaty, Erni Hema Malini, Hema Husna Sari Husna Sari Hutabarat, Vitrilina Ilvira Ulpa Ismail Insani, Septa Dwi 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 Mutiara Dwi Yanti Naimah Nasution Nasution, Naimah Neherta, Meri Nerdy, Nerdy Nia Syafriati NINGSIH, INDAH SUCI Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur Mala Sari Nur Mala Sari Nurhamidah Siregar Nurmala Sari Pasaribu, Sumihar PUJI LESTARI Puji Lestari Purba, Silvia Kartika Purba, Tetty Junita Purti Ayu Yessy Ariescha Raden Mohamad Herdian Bhakti Rani Mariana Rasninta Devi Ansela Ratna Sari Fitria Ria Novita Sari Rizki, Elda Naila Rostiodertina Girsang 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 Solin, Raju solin Raju Sori Muda Sarumpaet Sri Wahyuni, Rika Sumihar Pasaribu Suriani Suriani Suventy Safrina Ginting Tedy Kurniawan Bakri Tifani Hadi Tri wahyuni Uswatun, Uswatun Vitrilina Hutabarar Vriezka Mierza Wilfa Muslimah Sihaloho wina intan sari sagala Yuki Nia Nadia Nahdeak Yulia Fahmila Zuliarni Lubis