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The Relationship of Hemoglobin Levels with Menstrual Patterns in Adolescent Girls at Surakarta Nahdiyah Karimah; Dyah Krisnawati Satia Pratiwi; Emma Anastya Puriastuti
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 1 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i1.3152

Abstract

Adolescent girls are susceptible to anemia because they bleed during menstruation. If it continues into pregnancy, anemia can cause the fetus to experience stunting in the future. The percentage of stunted babies and toddlers in Indonesia in 2021 will reach 24.4%. This study aims to determine the relationship between hemoglobin levels and menstrual patterns in adolescent girls. This research is a quantitative observational research with a cross sectional research design. The sampling technique used Cluster Random Sampling with a sample size of 76 respondents. Data analysis used the Pearson Correlation Test and Spearman Correlation Test. Based on the research results, there was no significant relationship between hemoglobin levels and menarche (p value 0.626). There is a significant relationship between hemoglobin levels and menstrual duration (p value 0.0001) and a strong inverse correlation (-0.693). There is a significant relationship between hemoglobin levels and the menstrual cycle (p value 0.0001) and a moderate correlation (0.485). There is a significant relationship between hemoglobin levels and the incidence of dysmenorrhea (p value 0.0001) and a strong correlation (0.691). Female students are advised to maintain diet, rest and exercise patterns so that the hemoglobin formation process is optimal and menstrual patterns are normal.
Prevention of Early Marriage and Stunting through the CARE Program for Adolescents in Raja Ampat, Southwest Papua Nahdiyah Karimah; Entan Afriannisyah
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 12, No 2 (2026): Juni
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.106157

Abstract

In 2023, Southwest Papua reported a stunting prevalence of 31%. Raja Ampat was identified as the district with the highest contribution to stunting cases in the region. Early marriage accounted for 55% of these cases. This community service initiative aimed to prevent early marriage and stunting through the Comprehend, Ask, Respond, Evaluate (CARE) program for adolescents in Raja Ampat, Southwest Papua. The program involved all 51 third-year students at SMKN 2 Raja Ampat (Vocational High School 2 Raja Ampat). Participants’ knowledge and attitudes regarding early marriage and stunting were measured before and after the intervention using two instruments: an 18-item questionnaire on knowledge of early marriage and stunting and a 20-item questionnaire assessing attitudes toward early marriage. Univariate analysis was conducted to describe participant characteristics, knowledge levels, and attitudes. Bivariate analysis using the Wilcoxon signed-rank test was performed to assess changes in knowledge and attitudes. Data were analyzed using SPSS version 22. The results showed that participants’ knowledge improved significantly after the intervention, with low knowledge decreasing from 90.2% at pretest and 58.8% of participants demonstrating excellent knowledge at posttest (p=0.0001). Participants’ attitudes also changed significantly, from predominantly supporting early marriage at pretest (66.7%) to rejecting it after the intervention (88.2%) (p=0.0001). These findings indicate that the CARE program improved adolescents’ awareness of, and critical attitudes toward, early marriage, adolescent pregnancy, and stunting in a geographically isolated area. However, this evaluation measured only short-term outcomes immediately after the intervention, was conducted in a single school, and did not assess long-term behavioral changes. Overall, the CARE program demonstrates the potential of participatory school-based health education as a community engagement strategy for preventing early marriage and reducing future stunting risks in remote areas such as Raja Ampat.
Effectiveness of E-KSPR Telemedicine in Pregnancy Risk Assessment and Antenatal Care Quality Nahdiyah Karimah; Emma Anastya Puriastuti; Ririn Indriani
Jurnal Manajemen Informasi Kesehatan (Health Information Management) Vol. 11 No. 1 (2026): Health Information and Management
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jmik.v11i1.949

Abstract

Background: Perceived health status is an important subjective indicator reflecting individuals’ physical and psychological conditions and is closely associated with productivity in occupational settings. This study aimed to analyze factors associated with perceived health status among lecturers at the Faculty of Nursing, Universitas Padjadjaran. Method: This analytic observational study used a cross-sectional design. A total of 68 lecturers were included using total sampling. Data were collected using structured questionnaires assessing perceived health status and associated factors, including behavioral, health service, environmental, and genetic factors. Data were analyzed using Chi-square tests and logistic regression, with a significance level of p < 0.05. Result: Among 68 respondents, 86.8% reported a positive perceived health status. Behavioral factors (p = 0.001) and genetic factors (p < 0.001) were significantly associated with perceived health status, while health service and environmental factors were not significantly associated (p > 0.05). Multivariate analysis showed that behavioral factors (p = 0.012) and genetic factors (p = 0.008) remained significant predictors, with behavioral factors identified as the most dominant factor. Conclusion: Behavioral factors and family history of disease significantly influence perceived health status among nursing lecturers. The novelty of this study lies in identifying these determinants in a specific lecturer population within nursing education. Faculty-based workplace health promotion programs focusing on healthy lifestyle behaviors, stress management, periodic health check-ups, and early detection of non-communicable disease risk factors are recommended to improve lecturers’ well-being, academic productivity, and the quality of nursing education.
Development of the E-KSPR Telemedicine Application for Screening Pregnancy Risk Factors to Prevent Maternal Mortality Nahdiyah Karimah; Entan Afriannisyah
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1354

Abstract

Background: In 2023, the global maternal mortality rate (MMR) reached 197 per 100.000 live births. Most maternal deaths caused by complications are preventable through early detection. The Poedji Rochjati Score Card (KSPR) serves as a widely used screening tool in Indonesia for detecting high-risk pregnancies. However, users may still miscalculate the KSPR score. To minimize errors in completing the conventional KSPR, developers created the E-KSPR Telemedicine application. This tool includes online chat features, explanations of follow-up actions based on score results, and accessibility for both clients and family members. Objective: This study aimed to develop the E-KSPR Telemedicine application to screen risk factors in pregnant women as a preventive measure against maternal mortality. Methods: This research and development (R&D) study developed a web-based E-KSPR Telemedicine application. The study took place from June 24 to July 31, 2024, at Sangkrah Public Health Center. A total of 94 respondents who met the inclusion and exclusion criteria participated. The study used the User Experience Questionnaire (UEQ) to evaluate the application. Researchers analyzed the evaluation results using the UEQ Data Analysis Tool Version 12. Results: The E-KSPR Telemedicine application scored an average above 2.5 across all UEQ scales, indicating that respondents generally had a highly positive perception. Reliability coefficients using Cronbach’s Alpha and Guttman’s Lambda2 showed that five out of six scales scored above 0.7. The novelty scale scored a moderate reliability (alpha = 0.67), but it remained within acceptable limits. Conclusion: The E-KSPR Telemedicine application has strong potential for broader implementation as a digital innovation in maternal and child health services. Recommendation is to integrate E-KSPR Telemedicine with electronic medical record systems at healthcare facilities.
Effect of Parenting Style on the Incidence of Sibling Rivalry in Children in Surakarta, Central Java Ropitasari; Nindy Widiastuti; Fanny Kartika Fajriyani; Nahdiyah Karimah
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.09

Abstract

Background: Proper parenting can reduce incidents of jealousy, competition, or arguments. (siblings' rivalry) a child towards the presence of a new sibling. One solution to the sibling effect rivalry through parents who encourage children to change their behavior, knowledge, and values that are considered appropriate so that children can be independent, grow and develop healthily and optimally, and have a sense of believe self, characteristic flavor want to know, friendly, and oriented towards progress without drop the one others. This study aimed to analyze the influence of parenting patterns on sibling rivalry in children in Surakarta.Subjects and Method: This study employed a cross-sectional design and was conducted in the Sangkrah area, Surakarta, Indonesia. The study population consisted of parents who had more than one child under the age of five. A total of 120 respondents were selected using systematic random sampling. The independent variable in this study was parenting patterns, while the dependent variable was sibling rivalry, which was measured using a nominal scale. Data were collected directly through a structured questionnaire. The data were then analyzed using bivariate analysis with the Chi-Square test.Results: The study showed that 77.5% (93 children) experienced sibling abuse. rivalry among them, 7 people have an authoritarian parenting style (5.8%), 101 people have a democratic (84.2%), 78 people have a permissive (65%), and 11 parents have a passive (9.2%). Permissive (OR= 1.65; 95% CI= 0.68 to 3.98) and passive parenting style (OR = 2.29; 95% CI = 0.54 to 9.66) increased the likelihood of sibling rivalry, by the associations were statistically non-significant.Conclusion: There is no significant influence of the four parenting patterns on sibling incidents. rivalry is insignificant.
Health Education Approach In Congenital Hypothyroidism Screening: Sytematic Review Ropitasari Ropitasari; Fanny Kartika Fajriyani; Nahdiyah Karimah; Fatiya 'Izzatuna Tsiqqoh
Journal of Health Promotion and Behavior Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.01.01

Abstract

Background: Congenital hypothyroidism (CH) is a preventable cause of intellectual disability in newborns if detected early through neonatal screening. Maternal knowledge and health promotion interventions are critical to ensure timely screening and treatment. This study systematically reviews evidence on maternal education, knowledge, attitude, and promotional strategies for CH screening. Subjects and Method: This study uses a systematic review conducted by searching for articles from several databases, namely ScienceDirect, MDPI, PubMed, Springer Nature Link, and Taylor &amp; Francis Group and Google Scholar with a search range from 2019-2025. The keywords used to search for articles were "Education" OR "promotion" AND "congenital hypothyroidism" OR "neonatal hypothyroidism" OR "Congenital Thyroid disorder" OR "Primary congenital hypothyroidism" OR "Neonatal Thyroid" AND "newborn screening" OR "early screening"”. The articles included in this study are full-text research articles focusing on education about congenital hypothyroidism screening, utilizing quantitative methods. Articles were collected using the PRISMA flow chart. Results: There are 9 articles included in this review. Educational interventions and community service programs, significantly improved maternal knowledge and attitude toward CH screening. Higher maternal education was associated with better neonatal thyroid outcomes, including lower TSH levels and reduced incidence of screen-positive CH. Key barriers identified include limited maternal awareness, parental refusal, early postnatal discharge, and insufficient formal training for healthcare providers. Effective promotion strategies involved integrating CH education into ante­natal care, leveraging social media, providing continuous training for health cadres, and conducting community-based awareness programs. Conclusion: Maternal education and structured promotion significantly enhance awareness and uptake of CH screening. However, challenges in healthcare infrastructure, parental compliance, and professional training persist.
Digital Health Interventions to Improve Parental Literacy and Nutritional Status of Preschool-Aged Children: A Systematic Review Ropitasari Ropitasari; Fanny Kartika Fajriyani; Oktia Woro Kasmini Handayani; Nahdiyah Karimah; Herliana Riska
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.06

Abstract

Background: Nutrition of preschool children, especially toddlers, greatly determines the quality of life of children in the future. In line with the rapid development of information technology in the digital era, many health promotion media have been developed to improve the digital literacy of parents. Assessment of children's nutritional status by utilizing technology is considered more accurate and easily accessible to parents. This study aims to conduct a systematic review related to digital health interventions as an effort to improve parental literacy and nutritional status of children under five. Subjects and Method: This study is a systematic review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach. Articles were obtained from Scopus, PubMed, ScienceDirect, Web of Science, and Google Scholar databases for the period 2020-2025. Inclusion criteria include English-language studies, quantitative, qualitative, and mixed-methods research, full text, evaluating digital tools, AI-based models, or behavioral-based approaches to improve the nutritional status and eating behavior of toddlers. The assessment of the quality of the study uses Critical Appraisal Skills Programs (CASP) for quantitative and qualitative research. Results: 7 articles were found consisting of 2 articles from China and Sweden, 1 article each from Indonesia, Thailand, Nigeria. The use of digital technology has developed in various countries with a focus on improving parents' digital literacy, especially related to children's health, including anthropometric measurements, assessment of children's nutritional status, and dietary recommendations based on the results of nutritional status analysis. Conclusion: Digital health intervention innovations are considered effective in improving parental literacy and nutritional status of children under five  
Baby massage training as an effort to empower mothers in supporting child growth and development Rizka Adela Fatsena; Nahdiyah Karimah; Emma Anastya Puriastuti; Ropitasari; Cahyaning Setyo Hutomo; M. Nur Dewi Kartikasari
Transformasi: Jurnal Pengabdian Masyarakat Vol. 22 No. 1 (2026): Transformasi Juni
Publisher : LP2M Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20414/transformasi.v22i1.15171

Abstract

[Bahasa]: Pada tahun 2024, sebanyak 37 dari 137 bayi (27%) di Sangkrah, Surakarta, mengalami Bayi Berat Lahir Rendah (BBLR), jauh lebih tinggi dibandingkan dengan prevalensi BBLR di Indonesia sebesar 3,9%. Pijat bayi merupakan salah satu bentuk stimulasi yang dapat mendukung pertumbuhan dan perkembangan bayi. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan ibu tentang pijat bayi sebagai upaya pemberdayaan keluarga dalam mendukung tumbuh kembang anak. Kegiatan menggunakan desain one-group pre-test post-test dan dilaksanakan di Puskesmas Sangkrah pada 16 Juli 2025 dengan melibatkan 43 ibu yang memiliki bayi usia 0-12 bulan. Kegiatan diawali dengan pre-test pengetahuan mengenai pijat bayi, dilanjutkan dengan edukasi dan demonstrasi pijat bayi, dan diakhiri dengan post-test. Evaluasi dilakukan dengan membandingkan skor pengetahuan sebelum dan sesudah intervensi menggunakan uji paired t-test. Hasil menunjukkan peningkatan rata-rata skor pengetahuan yang signifikan dari 80,5 menjadi 90,1 (p=0,0001). Pada pre-test, 19 responden memiliki pengetahuan yang baik, 15 cukup, dan 9 kurang. Pada post-test, meningkat menjadi 38 kategori baik dan 5 cukup. Kegiatan edukasi dan demonstrasi pijat bayi meningkatkan pengetahuan ibu secara signifikan. Hasil ini menunjukkan bahwa pelatihan dapat menjadi strategi edukatif untuk meningkatkan pemahaman ibu mengenai pijat bayi, sedangkan peningkatan keterampilan praktis dan kemampuan ibu melakukan pijat bayi secara mandiri perlu dievaluasi melalui penilaian keterampilan secara khusus. Kata Kunci: pemberdayaan ibu, pendidikan kesehatan, pengetahuan ibu, pijat bayi, tumbuh kembang anak. [English]: In 2024, 37 out of 137 babies (27%) in Sangkrah, Surakarta, were reported to have Low Birth Weight (LBW), substantially higher than the national prevalence of LBW in Indonesia (3.9%). Baby massage is a form of stimulation that can support infant growth and development. This community service program aims to improve mothers’ knowledge of baby massage to empower families in supporting children’s growth and development. The activity employed a one-group pre-test post-test design and was conducted at Sangkrah Community Health Center on July 16, 2025, involving 43 mothers with infants aged 0-12 months. The activity began with a pre-test assessing knowledge of baby massage, followed by educational sessions and a demonstration of baby massage, and concluded with a post-test. Evaluation was conducted by comparing knowledge scores before and after the intervention using a paired t-test. The results showed a significant increase in the mean knowledge score from 80.5 to 90.1 (p=0.0001). In the pre-test, 19 respondents had good knowledge, 15 had moderate knowledge, and 9 had low knowledge. In the post-test, the number of respondents with good knowledge increased to 38, and 5 respondents had moderate knowledge. The educational and demonstration sessions significantly improved mothers’ knowledge of baby massage. These findings indicate that the training can serve as an educational strategy to improve mothers’ understanding of baby massage; however, improvements in practical skills and mothers’ ability to perform baby massage independently should be evaluated through a specific skills assessment. Keywords: maternal empowerment, health education, maternal knowledge, baby massage, child growth and development  
The Effectiveness of Core Stability Exercise Toward the Beta-Endorphin Hormon Level of Postpartum Mothers Karimah, Nahdiyah; Afriannisyah, Entan
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.105754

Abstract

Background: Postpartum mothers experience a drop in beta-endorphin levels on day 4. Beta-endorphins play an important role in analgesics, milk production, and preventing postpartum depression.Objective: This study aimed to determine the effectiveness of core stability exercise on the level of beta- endorphin hormones in postpartum mothers.Methods: The research design used a pretest and posttest controlled group design. Involving 42 respondents, namely postpartum mothers at Halmahera and Ngesrep Health Centers, Semarang. Respondents were divided into 2 groups equally by simple random sampling, namely: experimental group (core stability exercise) and control group (postpartum exercise). Then the effect before and after the intervention on beta-endorphin hormone levels will be seen by controlling anxiety scores. Analysis using independent T test and MANCOVA.Results: The mean increase in beta-endorphin hormone level in the experimental group was 140 ng/ml, while in the control group it was 43.1 ng/ml. Core stability exercise is more effective for increasing beta-endorphin hormone levels after controlling anxiety compared to postpartum exercise with a p value of 0.023.Conclusion: Core stability exercise is effective in increasing beta-endorphin hormone levels in postpartum mothers. This research serves as a guideline for midwives to apply core stability exercise when providing midwifery care to postpartum mothers.