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Health Promotion Using Counseling Cards to Increase Perceived Benefit, Perceived Barrier, and Self-Efficacy for Congenital Hypothyroid Screening Gantini, Dede; Rismawati, Sariestya; Dita Eka Mardiani; Rahmi Nursyadiah
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2611

Abstract

Congenital hypothyroid screening coverage in Indonesia remains low (2.3%), partly due to limited effective health promotion and inadequate use of educational media, leading to low maternal participation. Strengthening health promotion through appropriate media and optimizing the role of health cadres are essential to improving mothers’ perceived benefits, reducing perceived barriers, and enhancing self-efficacy for screening. This study aimed to analyze the effect of education delivered through counseling cards by health cadres on mothers' perceived benefits, perceived barriers, and self-efficacy in conducting congenital hypothyroid screening. A quasi-experimental pre–post test design was conducted in Tasikmalaya City, involving 41 third-trimester pregnant women selected via quota sampling from 20 primary health center service areas. Trained cadres provided education using counseling cards. Data were collected before and after the intervention using validated questionnaires measuring perceived benefit, perceived barrier, and self-efficacy. Data analysis showed significant improvements in all variables after the intervention (p < 0.05). In conclusion, counseling card–based education is effective in improving mothers’ perceived benefits, perceived barriers, and self-efficacy toward congenital hypothyroid screening. It is recommended that this approach be integrated into routine maternal health promotion and scaled up through community health cadres to enhance screening uptake and support early detection at the population level.
SHORTENING THE DURATION OF THE SECOND STAGE OF LABOR AND INCREASING COMFORT WITH ESA CHAIR Mardiani, Dita Eka; Sapia, Noni; Lestari, Meti Widiya; Rismawati, Sariestya; Purnamasari, Wiwin Mintarsih; Mulyani, Nunung; Nurcahyani, Lia; Tajmiati, Atit; Badriah, Siti; Sofie, Muhamad
JURNAL KESEHATAN REPRODUKSI Vol 16 No 2 (2025): JURNAL KESEHATAN REPRODUKSI VOLUME 16 NOMOR 2 TAHUN 2025
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v16i2.374

Abstract

Background: The duration of labor is an important indicator of maternal and infant safety. The success and length of labor is influenced by birthing position. The ESA chair is designed to facilitate an upright position during labor, which, in theory, speeds up the birth process and increases maternal comfort. Objective: to analyze the comparison of the duration of  mothers using ESA chairs and delivery beds at independent midwives in Tasikmalaya city. Method: This study used a quasi-experimental approach with a two-group-posttest-only design, namely interventions in the group of mothers giving birth using ESA chairs and the group of mothers giving birth using delivery beds. The sampling technique used a total of 24 respondents. Data analysis used the Mann-Whitney test. Results: The results of the analysis showed that the duration of labor between the two groups showed that the average duration of labor in the ESA Chair group (34.23) was significantly faster than the average duration of labor in the “Delivery Bed” group (51.45). The results of statistical analysis using the Mann-Whitney test showed a p-value of 0.000. Conclusion: ESA chairs are more effective than delivery beds in shortening the duration of labor in mothers.