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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Penelitian Kesehatan Suara Forikes Health Notions JURNAL PENELITIAN KESEHATAN 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Aisyah : Jurnal Ilmu Kesehatan AloHA International Journal of Health Advancement (AIJHA) Jurnal Abdi Masyarakat Indonesia International Journal of Advanced Health Science and Technology Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Gema Bidan Indonesia (e- Journal). Health Community Engagement Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Gema Bidan Indonesia (e-Journal) Jurnal Info Kesehatan Borneo Nursing Journal
Suharto, Agung
Poltekkes Kemenkes Surabaya
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The Effectiveness of Audiovisual and Posters on Increasing SADARI Behavior in Couples of Childbearing Age Desti Ria Fortuna Isatanto; Nana Usnawati; Agung Suharto; Suparji Suparji
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.637

Abstract

Low awareness of early detection of breast cancer causes SADARI practice to still not be optimal. This study aims to analyze the effectiveness of audiovisual media and posters in improving knowledge, attitudes, and practices of SADARI in Couples of Childbearing Age (PUS) aged 30–49 years. This quantitative research uses a quasi-experimental type with a pretest-posttest control group design. The study population amounted to 255 Couples of Childbearing Age (PUS), with a sample of 156 respondents determined using the Slovin formula and selected through purposive sampling techniques. The sample was divided equally into the audiovisual group (78 respondents) and the poster group (78 respondents). The independent variables of the research are health education media (audiovisual and posters), while the dependent variables include knowledge, attitudes, and practices of SADARI. Data were collected using a questionnaire that had met the validity and reliability test (Cronbach's Alpha). Data analysis was carried out using paired t-test and independent t-test with the help of SPSS software version 34.00. The results showed that the audiovisual group experienced a significant increase in knowledge, attitudes, and practices of SADARI (p<0.001). In the poster group, a significant increase occurred in knowledge and practice (p<0.001), but attitudes did not increase significantly (p=1,000). The results of the independent t-test confirmed that there was a significant difference in effectiveness between the two media on, attitudes, and practices of AWARENESS (p<0.001). Audiovisual media has been proven to be more effective than poster media in increasing knowledge, attitudes, and practices of SADARI in couples of childbearing age, so it is recommended as a health education medium to support early detection of breast cancer.
Effectiveness of Video and Leaflet to Improve Knowledge and Attitudes of Pregnant Women Regarding Multiple Micronutrient Supplement (MMS) Consumption Crysma Alfina Damayanti; Agung Suharto; Nana Usnawati; Tinuk Esti Handayani
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.639

Abstract

Multiple Micronutrient Supplements (MMS) are multimicronutrient preparations containing 15 essential vitamins and minerals that play a critical role in preventing anemia and supporting fetal growth and development during pregnancy. Inadequate knowledge and negative attitudes among pregnant women toward MMS consumption may compromise adherence to supplementation regimens. This study aimed to analyze and compare the effectiveness of video and leaflet educational media in improving pregnant women’s knowledge and attitudes regarding MMS consumption. This study employed a quasi-experimental design with a nonequivalent control group pretest–posttest approach. The study population consisted of 63 pregnant women in the working area of Sukomoro Primary Health Center (Puskesmas Sukomoro), Magetan Regency, East Java, with a sample of 60 respondents selected using simple random sampling, divided equally into a video group (n=30) and a leaflet group (n=30). Data were collected using validated knowledge and attitude questionnaires and analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test. Results showed that knowledge increased by 85.71% in the video group and 84.57% in the leaflet group, while attitudes improved by 67.55% in the video group and 103.71% in the leaflet group. Statistical analysis demonstrated significant improvements in both groups (p < 0.001). However, there was no significant difference in effectiveness between video and leaflet media in improving either knowledge (p = 0.059) or attitudes (p = 0.496) among pregnant women. Both video and leaflet educational interventions were effective in improving pregnant women’s knowledge and attitudes regarding MMS consumption, with no statistically significant difference between the two media types
Case Report: Midwifery Care for Second-Trimester Emesis Gravidarum with Evening-Predominant Symptoms Friska Diah Puspitasari; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70807

Abstract

Emesis gravidarum is common in early pregnancy, typically manifesting as morning sickness and subsiding by 12–16 weeks of gestation. However, persistent symptoms, particularly with evening predominance, may present clinical challenges. This case describes an atypical presentation of emesis gravidarum in the second trimester. This descriptive case report was conducted from January 29 to March 8, 2026, at the Independent Midwife Practice of Mrs. E, Bendo District, Magetan Regency, Indonesia. The subject was a second-trimester pregnant woman experiencing evening-predominant emesis gravidarum. Assessment and documentation used the SOAP approach, supported by structured assessment formats. Informed consent was obtained from the participant. At 20 weeks of gestation, the patient experienced nausea and vomiting 4–5 times daily, accompanied by reduced appetite and mild dehydration. Following four midwifery care visits, nausea decreased and occurred occasionally when exposed to strong odors, while vomiting ceased. Appetite was restored, maternal weight increased, vital signs remained stable, no signs of dehydration were observed, and fetal condition remained within normal limits. The case demonstrates an atypical evening-predominant pattern of emesis gravidarum in the second trimester. Hormonal changes, environmental triggers, and maternal fatigue may contribute to symptom patterns. Combined pharmacological and non-pharmacological interventions supported symptom improvement. Individualized and holistic midwifery care with continuous monitoring and tailored interventions can support maternal and fetal well-being in atypical emesis gravidarum.
Case Report: Parental Refusal of Immunization in a 12-Month-Old Infant as a Midwifery Case Report on Knowledge Factors Heny Trisetyowati; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70806

Abstract

Introduction: Routine childhood immunization is an essential public-health intervention for preventing vaccine-preventable diseases. Despite high reported immunization coverage in Magetan Regency in 2025, delayed or incomplete vaccination can still occur when parents have limited knowledge, safety concerns, or conflicting family information. Objective: To describe midwifery care for a 12-month-old infant whose routine immunization was incomplete because of parental knowledge-related hesitancy. Methods: A descriptive case report was conducted at a private midwifery practice in Magetan, East Java, from 2 to 21 February 2026. The case was managed using the SOAP framework. Data were collected through maternal interviews, review of the child’s immunization record, physical examination, growth and developmental assessment, observation of parental responses, and four follow-up visits. Counseling used therapeutic communication and a leaflet covering immunization benefits, vaccine-preventable diseases, routine schedules, and common adverse events following immunization (AEFI). Results: The 12-month-old male infant had received only a birth dose of hepatitis B vaccine, with no subsequent routine immunizations documented. At the first visit, the mother reported limited knowledge and fear of adverse effects and was influenced by information from neighbors and social media. The infant had mild cough and coryza but was otherwise clinically well, with normal growth and development. Across four visits, maternal understanding improved after structured counseling and leaflet-based education. By the final visit, the mother could explain the benefits of immunization and expressed willingness to vaccinate her child, but implementation had not yet occurred because the decision still required discussion with her husband. Conclusion: Individualized counseling, empathetic communication, and accessible written information improved maternal knowledge and vaccine acceptance in this case. Family involvement and continued follow-up are important when parental decision-making is shared.
Asuhan Kebidanan Pada Ibu Nifas Multipara Post Sectio Caesarea Dengan Postpartum Blues Gelintina Kurniawati; Sulikah; Agung Suharto; Tutiek Herlina
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1275

Abstract

Postpartum blues merupakan gangguan psikologis ringan yang sering terjadi pada masa nifas dan ditandai dengan perubahan suasana hati, mudah menangis, cemas, serta kesulitan beradaptasi dengan peran sebagai ibu. Meskipun lebih sering terjadi pada ibu primipara, kondisi ini juga dapat dialami oleh ibu multipara sehingga memerlukan deteksi dini dan penatalaksanaan yang tepat. Penelitia ini bertujuan mendeskripsikan penerapan asuhan kebidanan pada ibu nifas multipara post sectio caesarea yang mengalami postpartum blues. Penelitian menggunakan desain laporan kasus (case report) dengan pendekatan manajemen asuhan kebidanan menggunakan metode SOAP. Subjek penelitian adalah seorang ibu nifas multipara post sectio caesarea yang mengalami postpartum blues. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik, dokumentasi, serta skrining menggunakan Edinburgh Postnatal Depression Scale (EPDS). Asuhan kebidanan meliputi edukasi mengenai postpartum blues, dukungan psikologis, konseling, peningkatan dukungan keluarga, pemenuhan kebutuhan istirahat dan nutrisi, serta pemantauan kondisi ibu secara berkala. Hasil asuhan menunjukkan adanya perbaikan kondisi emosional ibu yang ditandai dengan berkurangnya keluhan sedih, cemas, dan mudah menangis, meningkatnya kemampuan ibu dalam beradaptasi dengan peran barunya, serta penurunan skor EPDS dari 10 pada kunjungan kedua menjadi 9 pada kunjungan ketiga. Penerapan asuhan kebidanan secara komprehensif disertai dukungan keluarga dan skrining menggunakan EPDS berperan dalam membantu pemulihan kondisi psikologis ibu nifas yang mengalami postpartum blues. Skrining kesehatan mental pada masa nifas perlu dilakukan secara rutin sebagai upaya deteksi dini dan pencegahan berkembangnya gangguan psikologis yang lebih berat. Kata kunci: postpartum blues; nifas; sectio caesarea
Effect of Perception and Anxiety of Breastfeeding Mothers on the Success of Exclusive Breastfeeding Irnama Syahara; Suparji Suparji; Nana Usnawati; Agung Suharto
Health Notions Vol 10, No 9 (2026): September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn100902

Abstract

The success of exclusive breastfeeding remains a major issue in the working area of Panekan Health Center, driven by psychosocial factors such as mothers' inaccurate perceptions and anxiety. Exclusive breastfeeding coverage has fluctuated significantly, rising from 22.8% (2023) to 98.8% (2024), then declining again to 47.9% (2025). This study aimed to analyze the influence of perception and anxiety among breastfeeding mothers on the success of exclusive breastfeeding. A quantitative study with a cross-sectional design was conducted on 152 breastfeeding mothers with infants aged 6–11 months, selected using proportional simple random sampling from 17 villages. The perception was measured using a 24-item Health Belief Model (HBM) Likert-scale questionnaire, anxiety was measured using the 14-item Hamilton Anxiety Rating Scale (HARS), and the success of exclusive breastfeeding was measured using a structured ordinal questionnaire. Data were analyzed using an logistic regression test. Most respondents were of healthy reproductive age (86.2%), had a secondary education (62.5%), were unemployed (83.6%), and had one child (51.3%). The majority of mothers had a good level of perception (61.8%) and mild anxiety (38.8%), and 75% of respondents successfully exclusively breastfed for 6 months. The ordinal logistic regression test showed that perception had a significant effect on the success of exclusive breastfeeding (p less than 0.001), while anxiety had no significant effect (p more than 0.05). Breastfeeding mothers' perception was the dominant factor influencing the success of exclusive breastfeeding. Efforts to improve positive perceptions through lactation counseling and ongoing health education are urgently needed to increase exclusive breastfeeding coverage. In conclusion, mothers’ perception plays a crucial and statistically significant role in determining the success of exclusive breastfeeding, whereas anxiety does not demonstrate a meaningful influence.  Keywords: perception; anxiety; exclusive breastfeeding; Health Belief Model
Katuk Leaf-Based Education Improves Lactation in a Primiparous Postpartum Mother with Hypogalactia and Obesity Yulia Prasetyani Lestari; Tinuk Esti Handayani; Rahayu Sumaningsih; Agung Suharto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: Hypogalactia is a condition in which breast milk production is insufficient to meet an infant's nutritional needs. It commonly occurs among primiparous postpartum mothers due to limited breastfeeding experience, anxiety, fatigue, and other factors affecting lactation. Obesity may also contribute to impaired milk production and ejection. Katuk leaves are widely used as a local herbal galactagogue to support breastfeeding. Objective: To describe midwifery care for a primiparous postpartum mother with hypogalactia and obesity through local herbal-based education using katuk leaves. Methods: This case report employed a case study approach using the SOAP method including the study design, data collection methods, and data analysis. Data were collected through interviews, physical examinations, observations, and documentation during the postpartum period. Results and Discussion: Assessment of Mrs. R, a 23-year-old primiparous mother (P10001) on the fourth postpartum day, revealed low breast milk production, maternal anxiety regarding milk adequacy, and a BMI of 34.72 kg/m² (obesity). Interventions included breastfeeding education, on-demand breastfeeding, oxytocin massage, breast acupressure, psychological support, nutritional counseling, and education on katuk leaf consumption. By the 25th postpartum day, breast milk production improved, maternal confidence increased, and the infant's weight rose from 2,900 g to 3,600 g. Conclusion: Comprehensive midwifery care combined with local herbal-based education using katuk leaves helped improve breast milk production and support successful breastfeeding in a primiparous postpartum mother with hypogalactia and obesity. Keywords: Hypogalactia; Obesity; Primiparous Postpartum Mother; Katuk Leaves
Case Report: Type I Obesity Associated with Three-Month Injectable Contraceptive Use at Mrs. “P” Independent Midwifery Practice Refiola Priska Talia; Triana Septianti Purwanto; Agung Suharto; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Type I obesity is a condition of weight gain observed in a user of the 3-month injectable contraceptive, characterized by a Body Mass Index (BMI) of 25–29.9 kg/m². Long-term use (over 10 years) of this contraceptive was associated with a weight gain of 17 kg. This is attributed to the progesterone hormone in DMPA, which increases appetite and affects fat metabolism, thereby contributing to weight gain. The objective was to describe the implementation of midwifery care for a 3-month injectable contraceptive user with Type I obesity. This report employs a case study method focusing on Mrs. E, a user of the 3-month injectable contraceptive with Type I obesity, at the Independent Midwifery Practice (TPMB) of Mrs. "P" in Magetan Regency. Midwifery care was provided over four weeks, involving three nutritional guidance visits facilitated by a midwife; the process included comprehensive assessment, monitoring of weight and BMI, a low-calorie diet, increased physical activity, and counseling regarding hormonal contraceptive use. The comprehensive and continuous midwifery care provided proved successful, resulting in a weight loss of 3 kg. The client's weight gradually decreased from 67 kg to 64 kg over the one-month care period (comprising three sessions), accompanied by reductions in waist circumference and BMI. Periodic monitoring helped control weight gain and prevent obesity-related complications.Through a balanced, low-calorie diet, the client was able to maintain a healthy lifestyle by adhering to balanced nutrition, engaging in regular physical activity, and monitoring weight periodically; these measures prevent the worsening of obesity and the onset of complications.
Co-Authors Afitsya Salsa Ayudi Alfi Rusdianti Ardela Reza Fernanda Astin Nur Hanifah Astuti Setiyani, Astuti Berliana Septy Harviandani Budi Joko S Budi Joko Santosa Budi Joko Santoso Budi Yulianto Crysma Alfina Damayanti Debby Rahmawati Desti Ria Fortuna Isatanto Dwi Yuniarti Elly Marliana Elly Marliana Elsa Safira Prameswari Febriana, Citra Nurwidya Friska Diah Puspitasari Gelintina Kurniawati Handayani, Tinuk Esti Harviandani, Berliana Septy Hendriyani, Feftin Heny Trisetyowati Herlina, Tutiek Herlina, Tutiek Heru Santoso Wahito Nugroho Icha Amelia Kusuma Wardani Ike Mutiarasari Irnama Syahara Kasiati, Klanting Maria Oktaviani Moh. Wildan N Surtinah Nana Usnawati Nana Usnawati Nani Surtinah Ngestiningrum, Ayesha Hendriana nurlailis saadah Nurlailis Sa’adah Nurtatik Nurul Zakinah Nurweningtyas Nurweningtyas Nuryani Nuryani Nuryani Nuryani, Nuryani Oktavia Puspita Sari Purwanto, Triana Septianti Rahayu Sumaningsih Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Refiola Priska Talia Sanjung Alam Amanda Santosa, Budi Joko Santosa, Budi Joko Sukarni Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Surtinah, N Swastika Sari Sakina Syaifoel Hardy Tigor Maylani Tinuk Esti H Tinuk Esti Handyani Triana Septianti Triana Septianti Tutiek Herlina Tutiek Herlina Tutiek Herlina Wisnu, Nurwening Tyas Wisnu, Nurwening Tyas Yulia Prasetyani Lestari