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Journal : Health Sciences International Journal

Treatment of perineal wounds using complementary alternative therapies: Evidence based case review Rahmah, Lailatul; Yuliana, Fitri; Palimbo, Adriana; Wahdah, Rabia; Rahayu, Irma Putri
Health Sciences International Journal Vol. 2 No. 1: February 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i1.14

Abstract

Background: Perineal wounds can cause pain, inflammation, and mechanical trauma and even affect daily mobility. Furthermore, over a long period, prolonged pain can also cause women to become irritable, tired, and even depressed. Midwives are responsible for providing episiotomy pain management services and offering evidence-based good practices for such problems or complaints. Objective: This evidence-based case review aims to determine the results of alternative treatments in relieving and healing perineal wound pain, both spontaneous tears during childbirth and suture wounds. Method: This review is based on a good practice stage report carried out by a group of midwife professional program students who handled midwifery care in the Fatimah Azzahra postpartum ward, Islamic Hospitals, Banjarmasin, in June 2023 with cases including spontaneous lacerations, episiotomies, and second-degree suturing. Then, three articles were assessed and analyzed to provide comparison and evidence relevant to our case report.  Criteria indicators use the PICO format. Findings: The problem was seen in episiotomy wound pain, with some differences in intervention, including lavender oil, ice blocks, rosemary cream, and lavender oil vapor. Furthermore, the comparison between the studies was the group of material used, method, and design of interventions. The outcomes were reduced local temperature of the skin and subcutaneous tissue and a lower rate of the wound in the intervention. Conclusion: Complementary therapy of midwifery care in hospitals has been implemented quite well as long as it does not conflict with procedures, raw materials are easy to obtain, and it is also under continuous supervision by other practitioners.
Optimization of basic immunization coverage at Paku Alam Hasanah, Siti Noor; Friscila, Ika; Wahdah, Rabia
Health Sciences International Journal Vol. 2 No. 2: August 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i2.45

Abstract

Background: Immunization plays a vital role in preventing infectious diseases, significantly reducing morbidity and mortality worldwide. Indonesia's national immunization program has been in place since 1956, focusing on vulnerable groups such as infants and pregnant women. However, despite these efforts, immunization rates in Paku Alam Village, South Kalimantan, remain suboptimal, with 90% of the target population yet to complete basic immunization in 2023. Factors contributing to this gap include misinformation, vaccine hesitancy, and low health literacy among the population. Case presentation: In Paku Alam Village, only 27 out of the 30 targeted children for the 2023 immunization program received partial immunizations, with none completing the full schedule by mid-year. Misinformation spread via social media, coupled with fears about vaccine side effects, has fueled parental reluctance to immunize. Midwives and healthcare workers have struggled to combat these challenges due to a lack of effective communication tools and deep-rooted distrust in the healthcare system. Discussion: Addressing the immunization gap in Paku Alam Village requires a multifaceted approach, including educational interventions tailored to parents. These interventions should include visual aids, interactive discussions, and community-based outreach to improve vaccine knowledge and trust. Additional strategies like offering incentives, collaborating with early childhood education centers, and strengthening healthcare worker training are also critical. Building trust through culturally appropriate messaging from trusted community leaders is essential to overcoming vaccine hesitancy. Conclusion: The immunization program in Paku Alam Village faces challenges rooted in low parental knowledge and the spread of misinformation. However, targeted health education, collaboration between healthcare workers, schools, and community leaders, and incentivization strategies can improve immunization coverage. A comprehensive, multi-sectoral approach is required to meet the village's immunization goals.
Posyandu cadres roles and complete basic immunization coverage in Muara Teweh Community Health Center Nathalia, Ayu; Meldawati; Wahdah, Rabia
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.77

Abstract

Background: Complete basic immunization remains a critical public health intervention to reduce infant morbidity and mortality. In Indonesia, immunization coverage remains below the national target, especially in remote regions such as Muara Teweh, Central Kalimantan. Posyandu cadres—community health volunteers—are essential actors in promoting immunization at the grassroots level. However, the effectiveness of their roles has not been consistently evaluated. Objective: This study aimed to assess the association between the roles of Posyandu cadres—both during Posyandu sessions and outside regular activities—and the achievement of complete basic immunization coverage in Muara Teweh Comuunity Health Center. Method: A quantitative cross-sectional study was conducted involving 32 Posyandu cadres in Kelurahan Pangkuh Raya. Total sampling was applied. Data were collected using a structured, validated questionnaire assessing cadre roles and immunization status, verified through Posyandu and Mother and Child Health records. Data analysis involved Chi-Square and Fisher’s Exact tests, with significance set at p < 0.05. Result: The findings revealed that 68.7% of infants had complete basic immunization. Most cadres (78.1%) were highly involved during Posyandu, and 87.5% were active outside it. However, statistical analysis showed no significant relationship between cadre roles during (p = 1.000) or outside (p = 0.465) Posyandu and immunization coverage. Conclusion: While cadre involvement was generally high, it did not significantly impact immunization outcomes. Future interventions should focus on improving cadre communication skills, addressing contextual barriers, and integrating supportive systems to enhance immunization effectiveness in remote settings.