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THE EFFECT OF RED GUAVA-RED SPINACH JUICE COMBINED WITH IRON SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN Sarmin, Sukati; Pangestuti, Restu; Aminati, Fifi Ratna
Nurse and Holistic Care Vol. 5 No. 3 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i3.8062

Abstract

Background: Anemia in pregnancy remains a major public health concern, with prevalence exceeding 20% in Indonesia. This condition is commonly associated with hemodilution and inadequate iron intake. Objective: This study aims to analyze the effect of red guava–red spinach juice combined with iron (Fe) tablet fortification on the hemoglobin (Hb) levels of third‑trimester pregnant women. Methods: A quasi‑experimental pretest–posttest design with a control group was implemented involving 60 pregnant women. Participants were divided into control (Fe tablets only) and intervention groups (Fe tablets + 200 mL red guava–red spinach juice daily for 14 days). Hemoglobin was measured using a calibrated digital hemoglobinometer. Paired and independent t‑tests were used. Result: The control group showed an Hb increase from 9.21 ± 0.18 g/dL to 12.10 ± 0.27 g/dL (mean difference 2.89 g/dL, p < 0.001). The intervention group increased from 8.41 ± 1.12 g/dL to 13.00 ± 0.90 g/dL (mean difference 4.59 g/dL, p < 0.001). An independent t‑test revealed significant differences in post‑test Hb levels between groups (t = −20.4, p = 0.01). Effect size (Cohen’s d = 1.21) indicated strong clinical significance. Conclusion: Red guava–red spinach juice combined with Fe tablets is more effective in increasing Hb levels than Fe tablets alone. This intervention can be recommended as a complementary non‑pharmacological strategy for anemia prevention programs.
PENGARUH PENGETAHUAN DAN PELATIHAN KADER POSYANDU TERHADAP PELAYANAN KESEHATAN IBU DAN ANAK DI KABUPATEN PURWOREJO Nurma Ika Zuliyanti; Restu Pangestuti
Jurnal Kebidanan VOLUME 11. No.02, Desember 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v11i02.407

Abstract

ABSTRAK            Latar Belakang: Kinerja kader merupakan salah satu indikator keberhasilan program Posyandu dalam pelayanan kesehatan ibu dan anak. Adanya faktor individu dan sosial dapat mempengaruhi kinerja kader dalam memberikan pelayanan kesehatan. Tingkat pengetahuan dan pelatihan yang diberikan kepada kader mampu menunjang kinerja dalam pelayanan Posyandu. Tujuan Penelitian: Mengetahui pengaruh pengetahuan dan pelatihan kader Posyandu terhadap pelayanan kesehatan ibu dan anak di Kabupaten Purworejo. Metode Penelitian: Jenis penelitian yang digunakan yaitu observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan pada 25 Posyandu dari bulan Juni - Juli 2019 di Purworejo, Jawa Tengah. Subjek penelitian sebanyak 200 kader dengan teknik pengambilan sampel menggunakan simple random sampling. Variabel dependen dalam penelitian ini adalah pelayanan kesehatan. Variabel independen yang digunakan yaitu pengetahuan dan pelatihan. Pengumpulan data menggunakan kuesioner dan analisis data menggunakan uji Chi-Square dengan Stata 13. Hasil Penelitian: Kader dengan pengetahuan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 24,56 kali daripada kader dengan pengetahuan yang kurang. Kader dengan pelatihan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 35,55 kali daripada kader yang memiliki pelatihan kurang dalam memberikan pelayanan kesehatan ibu dan anak. Nilai signifikansi p yaitu <0.001. Kesimpulan: Pengetahuan kader yang baik dan pelatihan yang baik yang diberikan kepada kader dapat meningkatkan pelayanan kesehatan ibu dan anak dalam kegiatan Posyandu dengan nilai p<0.001. Hasil tersebut menunjukkan bahwa pengetahuan dan pelatihan sangat berpengaruh dalam meningkatkan pelayanan. Saran: Memberikan pelatihan untuk meningkatkan ketrampilan dan pengetahuan pada semua kader Posyandu secara berkala dan menyeluruh.Kata kunci : Kader Posyandu, Pelayanan Kesehatan, Kesehatan Ibu dan AnakTHE EFFECT OF POSYANDU CADRE KNOWLEDGE AND TRAINING ON MATERNAL CHILD HEALTH SERVICES IN PURWOREJO REGENCYABSTRACTBackground: Cadre performance is one of the indicators Posyandu program in maternal and child health services. The existence of individual and social factors can affect the performance of cadres in providing health services. The level of knowledge and training given to cadres is able to support the performance in Posyandu services. Purpose: Knowing the effect of posyandu cadre knowledge and training on maternal and child health services in Purworejo Regency. Subjects and Method: The type of research used is observational analytics with a cross sectional approach. The research was conducted on 25 Posyandu from June - July 2019 in Purworejo, Central Java. The study subjects were 200 cadres with sampling techniques using simple random sampling. The dependent variable in this study is the health service. Independent variables used are knowledge and training. Data collection using questionnaires and data analysis using Chi-Square test with Stata 13. Results: Cadres with good knowledge have the possibility to perform good service 24.56 times than cadres with less knowledge. Cadres with good training are more likely to perform good service 35.55 times than cadres who have less training in providing maternal and child health services. The value of p significance is <0.001. Conclusion: Good cadre knowledge and good training provided to cadres can improve maternal and child health services in Posyandu activities with p value <0.001. These results show that knowledge and training are very influential in improving services. Suggestions: Providing training to improve skills and knowledge to all Posyandu cadres periodically and comprehensive.Keywords: Posyandu Cadre, Health Services, Maternal and Child Health
Effectiveness and quality of mobile applications for pregnancy monitoring: A systematic review Pangestuti, Restu; Sutomo, Adi Heru; Ratrikaningtyas, Prima Dhewi
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 13, No 1 (2025): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v13i1.98462

Abstract

Background: Technology is now increasingly developed and widely used in the world of health. This condition triggers the use of mobile applications for monitoring the health of pregnant women. However, the effectiveness of using applications for pregnancy monitoring still needs to be studied more deeply.Method: This article is a literature study on the use of mobile applications for pregnancy monitoring. This systematic review aims to identify research published from January 2011 to December 2024 by searching in four databases (PubMed, Science Direct, Scopus, ProQuest). The included study addresses the effectiveness and quality of the use of mobile apps for health monitoring of pregnant women and this study is the primary study. Data extraction was carried out by 3 researchers with screening and discussion methods.Results: A total of 3130 articles have been screened, 8 articles are included in the inclusion criteria. A total of 7 articles were randomized controlled trials and only 1 article was a quasi-experiment. The grouping category is 4, namely 2 articles providing health information, 1 article discussing pregnancy counselling, 2 articles discussing decision making and mental support, and three articles discussing pregnancy management.Conclusion: Mobile applications for pregnancy monitoring have an effective function in four categories of use, namely provide health information, pregnancy counselling, decision-making and mental support, and pregnancy care management.