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All Journal Indonesian Journal of Human Nutrition The Indonesian Journal of Public Health Journal of Issues in Midwifery Science Midwifery Lumbung Inovasi: Jurnal Pengabdian Kepada Masyarakat Journal of Applied Nursing and Health Journal of Community Health and Preventive Medicine (JOCHAPM) Media Kesehatan Politeknik Kesehatan Makassar Media Penelitian dan Pengembangan Kesehatan JURNAL KEBIDANAN Jurnal Info Kesehatan
Wardani, Diadjeng Setya
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Impact Of Socio-Economic Factors On Postpartum Haemorrhage in Three Health Centres In Dili, Timor Leste- Cross-Sectional Study Fernandes, Alcinda Pinto; Ariani, Novida; Wardani, Diadjeng Setya; Peguinho, Hermes; da Silva, Zelita Fernandes; da Silva, João Francisco Lela
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.369

Abstract

Background: Postpartum haemorrhage (PPH) is a leading cause of maternal mortality in low- and middle-income countries, including Timor-Leste. Socioeconomic factors may significantly influence the risk of PPH, yet limited local evidence is available. This study aimed to analyse the influence of education, occupation, and household income on the incidence of PPH in three Community Health Centres (CHCs) in Dili City, Timor-Leste. Methods: A cross-sectional study was conducted from January to December 2024, involving 130 postpartum mothers who delivered at CHC Comoro, CHC Becora, and CHC Vera-Cruz. Inclusion criteria were postpartum mothers aged ≥19 years, vaginal delivery at ≥37 weeks gestation, and complete medical records, including maternal and child health books or Liziu, and family socioeconomic data. Exclusion criteria included mothers with incomplete records or those who underwent medical interventions such as oxytocin induction or vacuum extraction. Data were collected retrospectively from medical records, KIA books, and antenatal care cohorts. Socioeconomic variables (education, occupation, household income) were categorised using standardised criteria. Data were analysed using chi-square tests and simple logistic regression to estimate odds ratios (OR) and 95% confidence intervals (CI). This report follows the STROBE guidelines for observational studies. Results: Most mothers (84.6%) were aged 19–34 years, and 61.5% had high-risk obstetric factors. Among respondents, 54.6% had high education, 62.3% were employed in the non-formal sector, and 64.6% had household income at or below the national minimum wage (USD 115). Only household income was significantly associated with PPH (OR = 3.309; 95% CI: 1.429–6.465; p = 0.006), indicating that mothers from low-income families had over three times higher risk of PPH. Education and occupation were not significantly associated with PPH. Conclusion: Household income is a significant socioeconomic determinant of postpartum haemorrhage in Dili, Timor-Leste. Strengthening community-based interventions targeting low-income families, including improved access to maternal health services and socioeconomic support is recommended to reduce PPH incidence
The relationship of parental characteristics with adolescents' knowledge and attitudes regarding early marriage Wardani, Diadjeng Setya; Nurazizah, Devita Alifia; Jannah, Miftahul; Putri, Rismaina
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1641

Abstract

East Java is the province with the highest rate of child marriage, which is 10.44% higher than the national average. Early marriages carried out by minors are also inseparable from the role of parents. In this study, the characteristics of parents that will be studied are education, employment status, income and history of early marriage. To determine the relationship between parental characteristics and teenagers' attitudes and knowledge about early marriage. This research uses an analytical survey method with a cross-sectional study approach. This research was attended by 80 students and pupils who met the inclusion criteria. Data collection was carried out using a questionnaire. Bivariate analysis used the Chi-square test with a significance value of 5%. There is no relationship between parental characteristics and student knowledge. Apart from that, there is no relationship between employment status and parental income and student attitudes. However, there is a significant relationship between recent education (p value 0.048) and parents' history of early marriage (p value 0.006) with students' attitudes. Recent education and history of early marriage of parents have a significant relationship with students' attitudes at State Islamic Boarding School Al-Maarif 03 Singosari, Malang.
Husband Support and Coping Stress on Exclusive Breastfeeding in Primipara Simanjuntak, Roganda; Wardani, Diadjeng Setya; Indrawan, I Wayan Agung; Hinisa, Fariha Nuzulul
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1505

Abstract

Breastfeeding is the best strategy to ensure optimal growth and development for infants. Social support, fatigue, and stress are the main factors that hinder breastfeeding for primiparous mothers. This cross-sectional study analyzes husband support and coping stress of exclusive breastfeeding for primiparous mothers with a quantitative approach. The samples were 70 respondents taken with a total sampling technique. The research instruments were the husband support questionnaire and coping strategies inventory. The researchers analyzed the data with chi-square and multiple logistic regression. The results found 48 (68.5%) mothers with excellent husband support and exclusive breastfeeding. Meanwhile, mothers with excellent husband support but without exclusive breastfeeding were 18 respondents (25.71%). The results of statistical tests with a significance level of 5% obtained a sig value (p-value) of husband support (p=0.002) and coping stress p=0.000. The result indicates a correlation between husband support and coping stress on exclusive breastfeeding with OR value = (3.667). On the other hand, mothers with excellent husband support could provide exclusive breastfeeding 4 times higher than those with poor husband support. Husband support and coping stress affect exclusive breastfeeding of primiparous mothers in the employed area of Puskesmas Dinoyo Malang City. Coping stress is the dominant factor influencing exclusive breastfeeding in primiparous mothers in the employing area of Puskesmas Dinoyo Malang City. The research recommends public health centers improve programs that support maternal care in helping to improve skills in managing stress, on exclusive breastfeeding both at the public health center, the integrated public health service, and the auxiliary health center.                 
MODEL FAMILY CENTER APPROACH (FCA) UNTUK MENINGKATKAN KOMPETENSI IBU PRIMIPARA DALAM MENINGKATKAN BERAT BADAN BAYI Wardani, Diadjeng Setya; Wardani, Arti; Indrawan, I Wayan Agung
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 1 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i1.2079

Abstract

Good breastfeeding competence can help the baby get enough calories to increase the baby's weight. The Family-Center Approach (FCA) model is a method that emphasizes family support to assist mothers to increase breastfeeding competence in primiparous mothers who have no previous breastfeeding experience. This research aimed to analyze the effect of FCA on increasing the competence of primiparous mothers in increasing baby weight. This study used a quasy experiment with a pretest-posttest with a control group design on 34 respondents who were divided into 2 groups (17 respondents in the mother group with high breastfeeding competence and 17 respondents in the mother group with low breastfeeding competence). The sample in this study was primiparous mothers who had babies aged 0-6 months in the working area of ​​the Dinoyo Health Center, Malang City. The results from this research using the Wilcoxon Test followed by the Mann-Whitney Test showed p= 0.000 (0.000 < 0.05), this shows that the highest increase in baby weight was in the group of mothers with high breastfeeding competence (mean rank 25.3) compared to the group of mothers with low breastfeeding competence (mean rank 9.7). FCA can increase the competence of primiparous mothers in breastfeeding. This was accompanied by a higher increase in baby weight compared to the comparison group.
The Effectiveness of Hematological Indicator and Iron Biomarkers Evaluation as an Early Detection of Anemia in Adolescent Girls: A Systematic Review Kedaton, Rafi’ Andyah Arum; Devi, Nabila Sinta; Kusworini, Kusworini; Wardani, Diadjeng Setya
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1708

Abstract

Due to elevated iron requirements during growth and menstruation, anemia in adolescent girls remains a major global health concern. Hemoglobin (Hb) testing alone has low sensitivity in detecting early iron deficiency anemia (IDA). This study aims to evaluate the diagnostic accuracy of hematological indicators (MCV, MCH, MCHC) and iron biomarkers compared to Hb alone. A systematic literature review was conducted in PubMed, Cochrane Library, SAGE Journals, ScienceDirect, Wiley Online Library, Taylor and Francis, and DOAJ, covering publications from 2015 to 2025, following PRISMA guidelines. The Joanna Briggs Institute (JBI) approach was used to assess methodological quality and risk of bias. Analysis of five relevant publications showed that Hb alone often misses subclinical iron deficiency. Sensitivity and specificity improve when combined with ferritin, soluble transferrin receptor (sTfR), and adjustments for inflammatory markers such as alpha-1-acid glycoprotein (AGP) and C-reactive protein (CRP). These findings support a multifaceted approach that integrates hematological indicators, iron biomarkers, and inflammation markers for early and accurate anemia detection in adolescent girls, in line with national and international recommendations to reduce prevalence and long-term complications.
Strategi Holistik Penanganan Anemia Remaja Putri untuk Mencegah Stunting Antar Generasi di SMPN 2 Singosari, Malang Wardani, Diadjeng Setya; Fransiska, Ratna Diana; Hastuti, Nur Aini Retno; Sebrina, Keyko Dyandra; Sinta, Dewi; Hernistanti, Alya Dwi Rahma
Lumbung Inovasi: Jurnal Pengabdian kepada Masyarakat Vol. 10 No. 4 (2025): December
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/ssze1k21

Abstract

Anemia pada remaja putri masih menjadi masalah kesehatan yang berdampak terhadap kualitas generasi mendatang dan berpotensi meningkatkan risiko stunting pada anak di masa depan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan, sikap, dan perilaku remaja putri dalam pencegahan anemia melalui pendekatan holistik yang mencakup aspek biomedik, sosial, dan intervensi gizi di SMPN 2 Singosari, Malang. Kegiatan dilaksanakan melalui skrining kadar hemoglobin, penyuluhan kesehatan reproduksi, edukasi pentingnya konsumsi tablet tambah darah, serta pelatihan penyusunan menu bergizi seimbang berbasis bahan pangan lokal. Pendekatan sosial melibatkan guru, orang tua, serta kader kesehatan sebagai agen perubahan dalam mendukung keberlanjutan program. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta sebesar 82%, peningkatan kepatuhan konsumsi tablet tambah darah dari 40% menjadi 75%, serta peningkatan kadar hemoglobin rata-rata dari 11,2 g/dL menjadi 12,4 g/dL. Selain itu, partisipasi aktif masyarakat dalam kegiatan gizi meningkat signifikan. Selain menghasilkan perubahan jangka pendek, program ini berpotensi mendorong perilaku sehat yang berkelanjutan melalui keterlibatan komunitas dan pemantauan rutin oleh sekolah serta kader kesehatan. Keberlanjutan program ini diharapkan dapat berkontribusi pada penurunan risiko stunting di masa mendatang dan menjadi model intervensi terpadu bagi sekolah lain. A Holistic Strategy for Managing Anemia Among Adolescent Girls to Prevent Intergenerational Stunting in Junior High School 2 Singosari, Malang Abstract Anemia in adolescent girls is still a health problem that has an impact on the quality of future generations and has the potential to increase the risk of stunting in children in the future. This community service activity aims to improve the knowledge, attitudes, and behaviors of adolescent girls in the prevention of anemia through a holistic approach that includes biomedical, social, and nutritional intervention aspects at SMPN 2 Singosari, Malang. Activities were carried out through hemoglobin level screening, reproductive health counseling, education on the importance of consuming blood-boosting tablets, and training on preparing balanced nutritious menus based on local food. The social approach involves teachers, parents, and health cadres as agents of change in supporting the sustainability of the program. The results showed an increase in participants' knowledge by 82%, an increase in adherence to blood supplement consumption from 40% to 75%, and an increase in average hemoglobin levels from 11.2 g/dL to 12.4 g/dL. In addition, the active participation of the community in nutrition activities has increased significantly. In addition to generating short-term change, the program has the potential to encourage sustainable healthy behaviors through community engagement and regular monitoring by schools and health cadres. The sustainability of this program is expected to contribute to reducing the risk of stunting in the future and become a model of integrated intervention for other schools.
Co-Authors Anika Pratiwi, Sindy Bambang Rahardjo Chusna, Safira Mauliyatul da Silva, João Francisco Lela da Silva, Zelita Fernandes Devi, Nabila Sinta Diana Fransisca, Ratna Duhitatrissari, Fifin Pradina Fajar Ari Nugroho Fernandes, Alcinda Pinto Gumanti, Kentri Anggarina Hafshah, Hafshah Hastuti, Novianti Tri Hastuti, Nur Aini Retno Hernistanti, Alya Dwi Rahma Hinisa, Fariha Nuzulul I Wayan Agung Indrawan Intan, Dara Kedaton, Rafi’ Andyah Arum Kristianingsih, Rey Kusworini Handono Miftahul Jannah Novida Ariani Nurazizah, Devita Alifia Peguinho, Hermes Ratna Diana Fransiska Retno Hastuti, Nur Aini Rismaina Putri Sabilla Khaerunissa, Dymphna Sebrina, Keyko Dyandra Setiawati, Lisa Sholikhah, Laila Aminatus Simanjuntak, Roganda Sinta, Dewi Sri Andarini Viera Wardhani Wardani, Arti Zamanti, Arfiyani