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Aplication of Ethnomedicine-Based Complementary Midwifery Care in a Pregnant Woman with Mild Anemia: A Case Study Annisa Annisa; Indah Putri Ramadhanti; Dela Audina; Ikhtiarina Fakhri
Jurnal Kebidanan Midwiferia Vol. 12 No. 1 (2026): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i1.1772

Abstract

Anemia in pregnancy remains a significant public health problem. The 2023 Indonesian Health Survey reported a prevalence of 27.7% among pregnant women compared to 48.9% in 2018. Mild anemia can interfere with maternal well-being and pregnancy outcomes if not properly treated. Complementary ethnomedicine therapy using natural plants rich in iron, such as red dragon fruit and moringa leaves, has the potential to increase hemoglobin (Hb) levels. The purpose of this study was to evaluate the effect of complementary ethnomedicine therapy on hemoglobin levels in pregnant women with mild anemia. The research method was a case study conducted in February 2024 at the Midwife Independent Practice in Limapuluh Kota District. The subjects were primigravida women in their second trimester who were diagnosed with mild anemia based on clinical signs and laboratory tests. Primary data were collected through physical assessment and Hb measurement. The intervention consisted of complementary therapy using red dragon fruit and moringa leaves, administered daily for two weeks along with standard nutritional advice. Hb levels were measured before and after the intervention. Hb levels before the intervention were 10.2 g%, and Hb levels after the intervention were 11.3 g/dL. This represents an increase of 1.1 g%. In conclusion, treatment was provided according to the mother's needs. At the second visit, the mother did not have anemia. Complementary ethnomedical therapy using dragon fruit and moringa leaves can help prevent mild anemia in pregnant women.
The Impact of Digital Animated Flipbook on Knowledge and Adherence to Iron Supplementation: A Pre-Experimental Study Among Anemic Adolescent Girls Indah Putri Ramadhanti; Desri Nova H; Kholilah Lubis; Debby Ratno Kustanto; Aini Mulia Hidayat
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p183-194

Abstract

Anemia remains a significant public health problem among adolescent girls in Indonesia, with low adherence to weekly iron-folic acid supplementation (IFAS) programs. Innovative educational strategies are needed to improve both knowledge and adherence to supplementation. This study aimed to examine the effect of CEMARA animated flipbook education on knowledge and weekly iron supplement adherence among anemic adolescent girls. A pre-experimental one-group pretest-posttest design was used. The study involved 68 ninth-grade anemic girls from SMPN 03 Bukittinggi, Indonesia. Consecutive sampling was applied to recruit participants. The intervention consisted of the CEMARA animated flipbook, which was delivered over one month. During this period, the girls also received weekly monitoring of their iron tablet intake. Knowledge and adherence were measured using structured questionnaires, both of which had acceptable reliability (Cronbach's alpha = 0.812 for knowledge and 0.803 for adherence). Data analysis was performed using the Wilcoxon signed-rank test and Spearman's rank correlation test. The mean knowledge score increased from 12.90 ± 2.306 to 19.13 ± 1.683 (p < 0.001). The mean adherence score increased from 3.56 ± 1.028 to 5.84 ± 1.016 (p < 0.001). However, the correlation between knowledge improvement and adherence was weak and not statistically significant (r = 0.171; p = 0.162). CEMARA animated flipbook education significantly improved knowledge and weekly iron supplement adherence among anemic adolescent girls. However, increased knowledge was not significantly associated with adherence, indicating that behavioral and contextual factors may also influence supplementation practices.
Indonesian Beck Depression Inventory Adaptation and Validation Among Nursing Students: A Cross-Sectional Study Dian Sari; Dian Fitria; Irna Kartina; Retno Lestari; Andi Buanasari; Indah Putri Ramadhanti; Siti Mutia Kosassy
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.921

Abstract

BackgroundThe Beck Depression Inventory (BDI) is widely used to assess depressive symptoms; however, its validity among Indonesian nursing students has not been established.ObjectiveThe objective of this study to translate the BDI into Bahasa Indonesia and evaluate its psychometric properties among Indonesian nursing students.MethodsThe study followed the framework of adaptation and validation of instrument scale by Sousa and Rojjanasrirat. A total of 709 nursing students in Indonesia were participated with eligible criteria: actively enrolled; no history of mental health disorder and not currently on routine medication prescribed by a psychiatrist. Validity testing included exploratory and confirmatory factor analyses (EFA and CFA), concurrent validity, and assessment of ceiling and floor effects. Reliability was assessed using Cronbach’s alpha.ResultsEighteen items were retained. Internal consistency was high (Cronbach’s alpha = 0.914). EFA supported a three-factor structure: Negative Attitude, Somatic Symptoms, and Impaired Performance with factor loadings  0.376 to 0.684 (KMO= 0.946; Bartlett’s test p < 0.001). CFA demonstrated acceptable model fit. Ceiling and floor effects were minimum (7.7% amd 0.01%, respectively). Concurrent validity showed a strong correlation with the DASS-21 with depression subscale (r = 0.72, p < 0.001).ConclusionThe 18-item Indonesian BDI is a valid and reliable instrument for assessing depression severity among Indonesian nursing students and can be recommended for assessing depression among nursing students.KeywordsDepression, mental health, nursing student, reliability, validity