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Paper and mobile-based education to improve knowledge and self-efficacy on exclusive breastfeeding Aufanida Zakia; Sita Helida Dwi Rahma; Titik Kuntari
JHeS (Journal of Health Studies) Vol. 9 No. 2 (2025): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.4030

Abstract

Knowledge and self-efficacy are important elements of exclusive breastfeeding success. Educational interventions with various media are conducted to improve exclusive breastfeeding. The study aimed to explain the effectiveness of education using a combination of leaflets (paper), e-leaflets, and videos with WhatsApp media to increase knowledge and self-efficacy of breastfeeding. The research design was a pre and post-test without a control group and involved a group of 20 pregnant women in the second and third trimesters. The intervention was carried out for 4 weeks. Knowledge measurement and Prenatal Breastfeeding Self-Efficacy Scale (PBSE) scores were conducted before and after the intervention. The intervention significantly improved maternal knowledge (pre-test: 17.9 ± 1.447; post-test: 18.55 ± 1.234; p=0.046) but did not significantly increase PBSE scores (pre-test: 63.5 ± 7.54; post-test: 65.35 ± 9.19; p=0.327). Education should employ diverse approaches and media, targeting both mothers and their immediate social environment, particularly families.
Tren Prevalensi dan Beban Disabilitas (DALY) Skizofrenia di Indonesia Sebelum dan Pasca Pandemi COVID-19: Analisis Data Global Burden of Disease 2020–2023 Luna Litami; Titik Kuntari; Vita Widyasari
Jurnal Medical Laboratory Vol. 5 No. 2 (2026): Juli: Jurnal Medical Laboratory
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/medlab.v5i2.571

Abstract

Schizophrenia is a severe chronic mental disorder that contributes substantially to the overall disability burden at the population level. This study aimed to analyze trends in the prevalence and disability burden of schizophrenia in Indonesia before and after the COVID-19 pandemic using Disability-Adjusted Life Years (DALYs) as the main indicator. This research employed a quantitative observational design with an analytic descriptive approach, utilizing secondary data from the Global Burden of Disease (GBD) database for the period 2020–2023. The analysis included age-standardized estimates of schizophrenia prevalence and DALYs across 34 provinces in Indonesia. Statistical analyses consisted of descriptive analysis, Pearson correlation tests, and paired samples t-tests to assess year-to-year differences. The results demonstrated a small but consistent and statistically significant increase in schizophrenia prevalence throughout the study period. A parallel and significant increase in DALYs was also observed. A very strong correlation between prevalence and DALYs was found across all years, indicating that increases in prevalence were closely associated with higher disability burden. Significant differences in both prevalence and DALYs were identified between the pre- and post-COVID-19 pandemic periods, suggesting a sustained impact of the pandemic on schizophrenia burden. In conclusion, schizophrenia remains a persistent public mental health challenge in Indonesia, with an increasing disability burden over time. These findings highlight the need for strengthened mental health policies, improved access to continuous treatment, and expanded psychosocial rehabilitation services to mitigate long-term disability associated with schizophrenia.  
Tren Prevalensi dan YLD Stroke di Indonesia Tahun 2021-2023: Analisis Data Global Gurden of Disease Yuni Asnaini; Titik Kuntari; Vita Widyasari
Jurnal Medical Laboratory Vol. 5 No. 2 (2026): Juli: Jurnal Medical Laboratory
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/medlab.v5i2.572

Abstract

Stroke is one of the non-communicable diseases that remains a leading cause of mortality and disability worldwide, including in Indonesia. The increasing prevalence of stroke and the high number of Years Lived with Disability (YLD) indicate the substantial health burden caused by this disease. This study aimed to analyze the trends in stroke prevalence and YLD in Indonesia during the period 2021–2023 based on data from the Global Burden of Disease (GBD). This research employed a quantitative descriptive method with an ecological approach and time-trend analysis. Secondary data were obtained from the GBD Results Tool platform and analyzed using R software version 4.4.1. The analysis was conducted based on geographical regions, particularly across the major islands of Indonesia. The results showed that both stroke prevalence and YLD gradually increased during the 2021–2023 period. Java Island recorded the highest prevalence and YLD compared to other regions, while Maluku and Papua exhibited lower prevalence but greater variation in YLD. The increase in prevalence and YLD was associated with high urbanization, unhealthy lifestyles, hypertension, diabetes, and unequal access to healthcare and rehabilitation services. Pearson correlation analysis demonstrated a very strong relationship between stroke prevalence and YLD in each study year (r > 0.99). In addition, significant regional differences were identified in the distribution of stroke prevalence and YLD. This study concludes that the burden of stroke in Indonesia continues to increase and demonstrates regional disparities. Therefore, health policies should focus more on controlling major risk factors, improving equitable access to healthcare services, and strengthening post-stroke rehabilitation programs to reduce disability caused by stroke in Indonesia.
Perbandingan Prevalensi dan Kematian Ileus Paralitik dengan Kanker Usus Besar di Indonesia: Analisis Data Global Burden of Disease (GBD) Tahun 2019, 2021 dan 2023 Irma Nurvita Zerlinda; Vita Widyasari; Titik Kuntari
Jurnal Medical Laboratory Vol. 5 No. 2 (2026): Juli: Jurnal Medical Laboratory
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/medlab.v5i2.574

Abstract

Colorectal cancer and paralytic ileus are significant health concerns worldwide, including in Indonesia, where their prevalence and mortality rates have shown concerning trends. This study aims to compare the prevalence and mortality of paralytic ileus and colorectal cancer in Indonesia using data from the Global Burden of Disease (GBD) for the years 2019, 2021, and 2023. A secondary data analysis was conducted using GBD 2023 data, focusing on prevalence, incidence, and mortality rates for both conditions across 34 provinces in Indonesia. The study employed a time-trend analysis to observe the changes in disease burden over the specified years, along with examining the differences in disease characteristics based on sex, age groups, and regions. Results indicated that colorectal cancer has a higher burden of disease, with significantly higher prevalence and mortality rates compared to paralytic ileus. This highlights the urgent need for enhanced prevention, early detection, and management strategies for colorectal cancer in Indonesia. The findings emphasize the importance of integrated healthcare policies to address both conditions effectively, focusing on regions with the highest disease burden. Further research is recommended to explore the underlying risk factors and to evaluate the effectiveness of current healthcare interventions.