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All Journal Majalah Obstetri dan Ginekologi Jurnal Ilmiah Universitas Batanghari Jambi Syntax Literate: Jurnal Ilmiah Indonesia Journal of Maternal and Child Health Holistik Jurnal Kesehatan Jurnal Ilmu Kedokteran dan Kesehatan INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan Jurnal Ners Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Pediomaternal Nursing Journal JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Indian Journal of Forensic Medicine & Toxicology MAHESA : Malahayati Health Student Journal INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL PROFESSIONAL HEALTH JOURNAL KESANS : International Journal of Health and Science Jurnal Abdi Masyarakat Indonesia Media Farmasi Indonesia Jurnal Sosial dan Sains Matriks Women Midwives and Midwifery Jurnal Pengabdian Masyarakat Bangsa JUKEJ: Jurnal Kesehatan Jompa Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Journal Research Midwifery Politeknik Tegal Jurnal Vokasi Keperawatan (JVK) Jurnal Pengabdian Masyarakat Kesehatan Dan Sains
Woro Setia Ningtyas
Midwifery Department, Faculty Of Medicine, Universitas Airlangga, Jl. Mayjen Prof. Dr. Moestopo No.47, Tambaksari Surabaya 6013
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The Association Between Maternal Knowledge of Immunization and Acceptance of Multiple Injection Immunization at Community Health Posts in an Urban Primary Healthcare Setting Sabrina, Haifa Rafiqa; Husada, Dominicus; Ningtyas, Woro Setia; Lestari, Pudji
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.544

Abstract

Introduction: Multiple injection immunization is a service strategy that administers more than one vaccine in a single visit to improve immunization efficiency and coverage. Despite evidence of safety, parental concerns regarding adverse effects remain a major barrier to its acceptance. Maternal knowledge plays a critical role in decision-making related to childhood immunization. Objective: This study aimed to analyze the association between maternal knowledge of immunization and acceptance of multiple injection immunization at community health posts in an urban primary healthcare setting. Method: An analytical observational study with a cross-sectional design was conducted among 82 mothers with children aged 2–24 months, selected using purposive sampling. Data were collected using structured questionnaires and analyzed using the Chi-square test. Result and Discussion: More than half of respondents demonstrated a high level of immunization knowledge (57.3%), and the majority accepted multiple injection immunization (68.3%). Among mothers who accepted multiple injections, 67.9% had a high knowledge level. Statistical analysis showed a significant association between maternal knowledge level and acceptance of multiple injection immunization (p = 0.001). Conclusions: Maternal knowledge of immunization is significantly associated with acceptance of multiple injection immunization. Strengthening educational interventions targeting mothers and families is essential to improve acceptance and sustain optimal immunization coverage.
Optimalisasi Support System Keluarga Dalam Menjaga Kesehatan Remaja Putri Sebagai Orang Tua Tunggal Putri Utami Sukmawardani; Woro Setia Ningtyas; Ivon Diah Wittiarika
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41136

Abstract

Latar Belakang: Kehamilan remaja menjadi masalah serius, termasuk di Indonesia, dengan perkiraan 1,5 per 1000 perempuan usia 10-14 tahun pada 2023. Meskipun angka kelahiran menurun, dampaknya buruk bagi kesehatan fisik, mental, dan masa depan remaja, serta berisiko menyebabkan komplikasi seperti anemia, preeklamsia, dan kelahiran prematur. Pencegahan kehamilan remaja merupakan agenda SDGs. Pencegahan kehamilan remaja melalui pendekatan komprehensif dan pemberian dukungan penting untuk mengurangi risiko komplikasi bagi ibu dan bayi. Tujuan: Mengoptimalkan support system keluarga dan mengevaluasi keefektifan intervensi dalam mendukung remaja putri sebagai orang tua tunggal.  Metode: Penelitian ini menggunakan metode studi kasus dengan pendekatan deskriptif, sampel seorang remaja putri berusia 17 tahun, P1A0, dan menggunakan data primer dan sekunder. Hasil: Remaja putri 17 tahun hamil dengan latar belakang sosial ekonomi rendah. Ibu dari remaja sangat perhatian, namun merasa khawatir dan menyalahkan diri sendiri. Kehamilan pertama diperiksa di trimester 3, dan mengalami persalinan prematur. Setelah melahirkan, mengalami gangguan produksi ASI. Awalnya, ayah dari remaja menolak kehamilan, namun kemudian memberikan dukungan. Ibu dari remaja membantu merawat cucunya, sementara keluarga menjauh dari lingkungan sekitar. Remaja belum menikah dan dikeluarkan dari sekolah. Simpulan: Asuhan komprehensif yang melibatkan support system keluarga efektif dalam meningkatkan kesejahteraan dan kesehatan ibu.
Peran Konselor Sebaya dalam Meningkatkan Pengetahuan tentang Anemia pada Remaja Putri Tingkat Sekolah Menengah Pertama di Malang Rize Budi Amalia; Woro Setia Ningtyas; Restiningsih Restiningsih
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46539

Abstract

Anemia masih menjadi masalah kesehatan utama pada remaja putri di Indonesia, dengan kepatuhan terhadap suplementasi zat besi yang rendah. Konselor sebaya dinilai efektif dalam meningkatkan pengetahuan sehingga dapat meningkatkan kesadaran remaja mengenai pencegahan anemia. Tujuan penelitian adalah untuk mengetahui efektifitas edukasi oleh konselor sebaya untuk meningkatkan pengetahuan tentang anemia pada remaja putri tingkat sekolah menengah pertama di Malang. Penelitian menggunakan desain kuasi-eksperimen dengan pendekatan pre test dan post test one group. Penelitian dilakukan di salah satu SMP di Kota Malang pada Oktober–November 2024 dengan 49 remaja putri kelas 7–9 sebagai responden, baik yang telah maupun belum menerima tablet tambah darah, dipilih melalui purposive sampling. Instrumen penelitian berupa kuesioner pengetahuan anemia yang telah diuji validitas dan reliabilitasnya. Hasil menunjukkan peningkatan rata-rata skor pengetahuan dari 54,59 pada pretest menjadi 81,12 pada posttest. Uji normalitas Shapiro-Wilk menunjukkan data tidak berdistribusi normal (p = 0,001; p < 0,05), sehingga analisis dilakukan menggunakan Wilcoxon Signed-Rank Test. Hasil uji menunjukkan adanya perbedaan signifikan sebelum dan sesudah intervensi (p = 0,005; p < 0,05). Hal ini mengindikasikan bahwa edukasi oleh konselor sebaya efektif dalam meningkatkan pengetahuan tentang anemia pada remaja putri dan dapat menjadi strategi yang dapat diterapkan dalam upaya pencegahan anemia di lingkungan sekolah. Kata Kunci: konselor sebaya, remaja putri, anemia, edukasi, kesehatan.
Case Report: Empowering Mothers, Protecting Newborns (The Role of Midwifery Continuity of Care in Promoting Exclusive Breastfeeding During Mother-Infant Separation) Ningtyas, Woro Setia; Lovita, Agnestia Naning Dian; Setyowati, Dewi; Rohma, Annisa Nur
Women, Midwives and Midwifery Vol. 6 No. 1 (2026): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.6.1.44-54.2026

Abstract

Background: exclusive breastfeeding (EBF) is critical for neonatal health, but complications like jaundice can disrupt early feeding due to mother-infant separation. Midwifery Continuity of Care (MCoC), where a known midwife provides consistent support throughout the perinatal period, may play a crucial role in maintaining EBF during such challenges. This case report aims to explore the role of MCoC in sustaining exclusive breastfeeding during mother-infant separation due to neonatal jaundice. Case Presentation: a 29-year-old woman (G2P1A0) received MCoC from early pregnancy through postpartum. After a cesarean delivery due to preeclampsia, her newborn developed jaundice with a total bilirubin level of 15.31 mg/dL and an index bilirubin of 14.96 mg/dL. It required 48 hours of phototherapy and NICU admission. Despite separation, the mother sustained lactation through regular milk expression, supported by her midwife, husband, and family. The mother had received education from the midwife about the importance of breastfeeding for the baby, starting from pregnancy until after delivery. The continuous presence and support of the midwife empowered the mother to remain consistent in expressing breast milk until the baby’s condition improved, allowing the infant to continue receiving exclusive breastfeeding. After receiving phototherapy, the infant’s bilirubin level decreased to 9.82 mg/dL and the baby was discharged in stable condition. Exclusive breastfeeding was successfully continued post-discharge Discussion: this case highlights the important role of MCoC in supporting successful exclusive breastfeeding in infants with neonatal jaundice. Through ongoing education and support, midwives help mothers continue to provide expressed breast milk during phototherapy, which contributes to lowering bilirubin levels. The MCoC approach strengthens mothers' confidence and emotional resilience, while also increasing breastfeeding success in complex medical conditions Conclusion: MCoC is a valuable model for supporting EBF during mother-infant separation caused by jaundice. It empowers mothers through continuous clinical, emotional, and educational support, ensuring continuity of care and improved breastfeeding outcomes. This case underscores the importance of integrating MCoC into midwifery practice and policy to enhance breastfeeding outcomes and maternal-infant health
Implementasi pelatihan Continuity of Care Berbasis komunitas untuk Menurunkan Angka Kematian Ibu di Puskesmas Kabat Kabupaten Banyuwangi Jawa Timur Dwi Izzati; Endyka Erye Frety; Woro Setia Ningtyas; Farida Fitriana; Atika Atika; Riri Aprianti; Zalfa Dinah Khairunnisa; Fabella Elisa Cahyaningtyas; Marta Ayu Shintia Dewi Pribadi Luhur; Zahrotul Lailin Nadziroh
Jurnal Abdi Masyarakat Indonesia Vol 6 No 3 (2026): JAMSI - Mei 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2877

Abstract

Tingginya Angka Kematian Ibu (AKI) di Kabupaten Banyuwangi masih menjadi permasalahan kesehatan yang memerlukan perhatian serius. Berdasarkan data Badan Pusat Statistik (BPS) Banyuwangi tahun 2023, AKI tercatat sebesar 95 per 100.000 kelahiran hidup. Kondisi ini tetap memerlukan strategi berkelanjutan, terutama melalui pendekatan Continuity of Care (CoC) dalam pelayanan kebidanan. Data Dinkes Banyuwangi tahun 2022 menunjukkan bahwa 60% ibu hamil yang melakukan kunjungan antenatal secara teratur dan kurang dari 50% yang melanjutkan ke layanan postnatal. Ketidakteraturan ini meningkatkan risiko komplikasi yang dapat dicegah. Oleh karena itu, dibutuhkan intervensi berupa program pengabdian masyarakat yang menitikberatkan pada edukasi kesehatan, peningkatan akses layanan, serta peran keluarga dalam mendukung CoC. Pelaksanaan Pengabdian dilakukan di Puskesmas Kabat Kabupaten Banyuwangi pada bulan Mei 2025 dengan sasaran kegiatan adalah Bidan dan Kader. Pelaksanaan pengabdian masyarakat dimulai dengan Persiapan dan koordinasi kegiatan, penyusunan modul CoC, pelaksanaan kegiatan pelatihan dan Evaluasi kegiatan. Pelaksanaan kegiatan pelatihan dilakukan dengan metode diskusi, tanya jawab dan FGD. Sebelum dan setelah dilakukan kegiatan dilakukan pretest dan posttest. Untuk menuliskan evaluasi kegiatan pelatihan.  Hasil Kegiatan menunjukkan Peningkatan nilai posttest secara signifikan dengan nilai signifikansi p = 0,000 (p < 0,05), menunjukkan bahwa modul yang diberikan telah berhasil meningkatkan pemahaman peserta terhadap pentingnya CoC. Hal ini menunjukkan bahwa pelatihan juga mampu menjangkau dan memberdayakan komunitas di luar tenaga kesehatan formal. Pelatihan ini menggunakan metode paparan materi interaktif dan FGD, yang terbukti efektif dalam meningkatkan keterlibatan peserta dan pemahaman materi.
The Correlation of Anxiety in Postpartum Mothers During Covid-19 Pandemic With Breast Milk Expression Izzah, Laili Nur; Sa'adii, Ashon; Ningtyas, Woro Setia
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 10, No 3 (2022): Special Issue
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v10i3.58642

Abstract

Background: The COVID-19 pandemic has had a negative impact on people's psychology, such as panic disorder, stress, anxiety, and depression. Anxiety can affect the production of breast milk produced by the mother. The concentration of inhibiting and stimulating factors in the lactation process is influenced by various external stimuli such as baby sucking, the sound of a baby crying, and stress which is the impact of anxiety. The purpose of this study was to study and determine the relationship of anxiety in postpartum mothers during the COVID-19 pandemic with breastfeeding in Sekaran Lamongan Public Health CenterMethods: This type of research is analytic observational with a cross-sectional research design. The samples in this study were all populations that met all inclusion and exclusion criteria with a sampling technique using a non-probability sampling method with a purposive sampling technique. The independent variable of this study is anxiety and the dependent variable studied in this study is breast milk release.Results: Based on the results of this study, it was found that anxiety during the COVID-19 pandemic in 31 postpartum mothers in the working area of the Sekaran Lamongan Health Center, most of them did not experience anxiety as many as 23 people (74.2%) and most of them experienced smooth breastfeeding as many as 21 people ( 67.7%). The results of the bivariate analysis obtained a significance value of (p) = 0.000 which means the value is <0.05, so there is a relationship between anxiety in postpartum mothers during the COVID-19 pandemic and breastfeeding. The correlation value between the two variables obtained a value of (r) = -0.697 which indicates that the anxiety variable in postpartum mothers during the COVID-19 pandemic with breastfeeding has a strong relationship.Conclusion: The majority of respondents who do not experience anxiety during the COVID-19 pandemic will experience smooth breastfeeding, and there is a relationship between anxiety in postpartum mothers during the COVID-19 pandemic and breastfeeding at the Sekaran Lamongan Health Center.
Dampak Kurangnya Dukungan Suami Pada Kehamilan Tidak Diharapkan: Sebuah Laporan Kasus Riza Saputri Alistianti; Euvanggelia Dwilda F; Woro Setia Ningtyas
Jurnal Ilmu Kedokteran dan Kesehatan Vol 13, No 6 (2026): Volume 13 Nomor 6
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v13i6.23934

Abstract

Kehamilan tidak diharapkan merupakan kondisi ketika kehamilan terjadi tanpa kesiapan atau keinginan salah satu maupun kedua pasangan, yang sering berkaitan dengan rendahnya dukungan suami dan berisiko mempengaruhi keputusan reproduksi. Seorang perempuan berusia 32 tahun dengan kehamilan tidak diharapkan tidak melakukan pemeriksaan antenatal akibat penolakan dan kurangnya dukungan suami. Pasien mengonsumsi obat penggugur kandungan secara mandiri hingga mengalami intrauterine fetal death (IUFD) disertai parsial HELLP syndrome, hipoglikemia, hipokalemia, dan gangguan metabolik yang memerlukan stabilisasi kondisi serta terminasi kehamilan di rumah sakit rujukan. Selama perawatan hingga masa nifas, pasien tidak memperoleh dukungan emosional, instrumental, informasional, maupun penghargaan dari suami. Bidan memberikan asuhan berupa stabilisasi kondisi, pemantauan nifas, konseling psikologis, edukasi kesehatan reproduksi, konseling kontrasepsi, serta tindak lanjut melalui telehealth. Kasus ini menunjukkan bahwa kurangnya dukungan suami diduga berkontribusi terhadap penolakan kehamilan, rendahnya pemanfaatan pelayanan antenatal, dan pengambilan keputusan reproduksi yang tidak aman sehingga meningkatkan risiko komplikasi maternal dan perinatal. Oleh karena itu, diperlukan asuhan kebidanan yang holistik, berpusat pada perempuan, berbasis keluarga, serta didukung konseling pasangan untuk mencegah terulangnya kehamilan tidak diharapkan beserta komplikasinya.
MOTHERS’ EXPERIENCES OF RESPONSIVE FEEDING AMONG STUNTED CHILDREN AGED 6–23 MONTHS : A QUALITATIVE STUDY Heina Azzahra Putri; Woro Setia Ningtyas; Widati Fatmaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v10i2.2026.120-129

Abstract

Background: Stunting remains a major public health problem, with a global prevalence of 23.2% and 21.5% in Indonesia in 2024, where it is targeted to be reduced to 14%. Chronic undernutrition, especially from birth to 2 years, significantly contributes to impaired linear growth. Optimal feeding practices, including responsive feeding, are critical in ensuring adequate nutrient intake and preventing growth faltering. This study aims to explore how mothers implement responsive feeding practices among stunted children aged 6–23 months. Method: This study uses a qualitative method with a phenomenological approach. Informants were mothers of stunted children aged 6–23 months in Pesantren Subdistrict, Kediri East Java, selected using purposive sampling based on specific criteria. Data were collected through semi-structured interviews and analyzed thematically. Result: Four theme emerged: recognition of hunger and satiety cues, mother–child interaction during feeding, introduction of new foods and responses to refusal, and challenges in complementary feeding. Although most mothers recognized hunger and satiety cues, feeding practices were often distracted, and food refusal commonly led to lack of reintroduction and substitution with snacks or milk. Conclusion: Responsive feeding practices were not consistently implemented according to optimal nutrition principles. Feeding behaviors tended to be situational rather than structured, potentially affecting children’s daily energy intake. Strengthening caregiver education on responsive feeding is essential to improve feeding practices and support optimal child growth.
Overview of the Implementation of Innovative Health Promotion Programs on Stunting Prevention in Adolescents Annisa Fathulluluu; Budi Utomo; Woro Setia Ningtyas
Journal of Community Medicine and Public Health Research Vol. 7 No. 2 (2026): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v7i2.53789

Abstract

Stunting is a health problem that requires immediate attention to support the success of national development. Nutritional status will significantly influence the development of high-quality human resources in the future. Efforts to prevent stunting from an early age can be carried out through effective methods targeting youth. One of the health centers in Tasikmalaya district developed an innovation in health education, called GEN MULIA, to increase adolescents' knowledge and participation in the prevention and treatment of anemia from an early age. This study aims to describe the implementation of a health education program for adolescents. This research is descriptive with a qualitative approach. Data were collected through observation and in-depth interviews and analyzed using the Miles & Huberman approach. The population in this study was health workers and school teachers. This study showed that several considerations are needed for the health center to begin developing health promotion using digital media, including social media in the form of short videos that combine information and entertainment, which have been proven effective in increasing adolescents' knowledge. Selecting the correct method for implementing health education is very important, as it is essential to consider who receives it and the availability of time, funds, and health promotion personnel. Health promotion activities in schools should be carried out continuously and on target, given the many diseases for which health education is the only treatment.
Co-Authors 'Izza, Alifina Adeylla Mayang Sari Agus Suprijono, Moch. Ahmad Suryawan Andriyanti Andriyanti Andriyanti, Andriyanti Annisa Fathulluluu Atika Atika Atika Atika Aurelia Margaretha Manurung AYU WULANSARI Ayuningtyas, Jayanti Febry Azra Fauziyah Azyanti Bagus Setyoboedi Bambang Purwanto Berliana Nur Frisda Budi Prasetyo Budi Utomo Budi Utomo Budi Utomo Cahyaningtyas, Fabella Elisa Dewi Setyowati Dharmayanti, Hanifa Erlin Dominicus Husada Dwi B. Izzati Dwiyanti Puspitasari, Dwiyanti Endyka Erye Frety Euvanggelia Dwilda F Fabella Elisa Cahyaningtyas Fadayeen Khoirun Nisa' Fauzun Nikmatush Sholihah Fitriana, Farida Gebyar Catur Wahyuning R Hanna Dyahferi Anomsari Heina Azzahra Putri IRWANTO Isha Akastia Iswara, Salma 'Afindi Ivon Diah Wittiarika Izzah, Laili Nur Izzati, Dwi Izzatul Ainiyah Katharina Laurentia Monika Nago Adja Khairunnisa, Zalfa Dinah Lilik Djuari Linda Dewanti Lovita, Agnestia Naning Dian Marta Ayu Shintia Dewi Pribadi Luhur Martono Tri Utomo Maytasya Dwinaqifah Mesah, Winny MufidahSheena Andani Muhammad Miftahussurur Muhammad Yusuf Mukronah Urvia Ngatwati, Ngatwati Ningrum, Astika Gita Poempida, Fayka Putri Poempida Pranadyan, Rizki Pranadyan Prasetyo, Muhammad Rizkinanda Prima Cardayo, Kamelia Pudji Lestari Purnama Sari, Yulia Putri Utami Sukmawardani Rahayu Rani Sidaryanti Rania, Najwa Miftah Restiningsih Restiningsih Restiningsih, Restiningsih Riri Aprianti Risa Etika, Risa Riza Saputri Alistianti Rizal, M. Masrur Rize Budi Amalia Rohma, Annisa Nur Rosfiantini, Marlia Rukmini Rukmini Sa'adii, Ashon Sabilillah, Nabilah Sabrina, Haifa Rafiqa Samisatun Maulina, Siti Sampurna, Mahendra Tri Arif Samsriyaningsih Handayani Sari, Gadis Meinar Setianingrum, July Shalma Alya Fadilla Shella Permata Sari Sri Setyaningsih Sukmawardani, Putri Utami Suryaningtyas, Adnani Allia Mahmudah Susanti Susanti Tunjungseto, Arif Widati Fatmaningrum Widati Fatmaningrum Widya Retno Sari Zahrotul Lailin Nadziroh Zalfa Dinah Khairunnisa