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EFFECTIVENESS OF PAPAYA LEAF EXTRACT SPRAY ON THE HEALING OF PERINEAL WOUNDS WHITE RATS Setyaningsih, Erna; Wijayanti, Krisdiana; Susanto, Edy; Runjati, Runjati
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3020

Abstract

Kejadian robekan perineum pada ibu pasca bersalin mendekati angka 90%. Kondisi luka robekan perineum yang kurang baik dapat menjadi tempat awal terjadinya infeksi. Kejadian infeksi terjadi kisaran antara 0,1%-23,6% pada ibu pascapersalinan. Perawatan luka perineum dapat mencegah infeksi dan mempercepat penyembuhan. Daun pepaya mengandung senyawa flavonoid, saponin, tanin yang dapat mempercepat kesembuhan luka. Tujuan dalam penelitian ini untuk membuktikan efektivitas dari spray ekstrak daun pepaya terhadap kesembuhan luka perineum menurut skor skala REEDA. Penelitian dilaksanakan di laboratorium hewan coba Universitas Muhammadiyah Semarang pada tanggal 6-19 November 2024. Jenis penelitian ini merupakan true experiment dengan metode posttest-only control group design menggunakan teknik simple random sampling. Jumlah sampel 36 tikus betina yang diberi luka insisi  ±1 cm. Kemudian, dibagi menjadi 2 kelompok yaitu kelompok intervensi yang memperoleh spray ekstrak daun pepaya 10% dan perawatan bersih kering 2x/hari selama tujuh hari. Pada kelompok kontrol diberikan perawatan bersih kering 2x/hari selama tujuh hari. Analisis data menggunakan Friedman Test dan Mann Whitney Test. Alat ukur penelitian ini menggunakan skor skala REEDA. Spray ekstrak daun pepaya efektif dalam mempercepat kesembuhan luka perineum pada hari ketujuh (0,00±0,000) dibandingkan kelompok kontrol (0,50±0,514) dengan nilai p-value 0,001. Pemberian spray ekstrak daun pepaya efektif sebagai alternatif pengobatan tradisional berbasis herbal dalam praktik kebidanan untuk mempercepat kesembuhan luka perineum.
Efektivitas Pendidikan Kesehatan Video Animasi Tentang Pernikahan Dini Terhadap Pengetahuan Remaja Putri Hanifa Andisetyana Putri; Shusmitha Sekar Satriani; Runjati
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 11 No. 1 (2023): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/mpd9zw80

Abstract

Background: The phenomenon of early marriage during the COVID-19 pandemic thatoccurred in Batang Regency increased by 200% compared to the previous year withthe average age of marriage being 17 years. From 2019 to 2020 there has been adecrease of 0.6%, but it has not yet reached the target of reducing it to 8.74% in 2024.One of the factors causing early marriage is the lack of knowledge of reproductive health in adolescents and the risks that can occur due to contraceptives. reproductiveorgans that are not ready for pregnancy and childbirth. This can increase maternaland infant mortality as a standard for a country's health status. Social and economicimpacts also occur due to reduced peer interaction, discontinued education levels,resulting in narrower job opportunities.Purpose: The aim of this study was to determine the effectiveness of health educationthrough animated video media on young women's knowledge of early marriage duringa pandemic at SMA Negeri 1 Batang. This type of research uses a quasi-experimentaland pretest-posttest with control design. The sampling technique was simple randomsampling with a total of 134 respondents. Data collection used a questionnaire filledout online via the Google form.Result: The results of the study showed an increase in the average knowledge scorein both the control and experimental groups. In the control group, the increase in scorereached 12.69 ± 2.211, while in the treatment group it experienced a higher increase,namely 22.55 ± 7.509. The results of the Mann Whitney test showed that providinghealth education using animated video media was effective in increasing theknowledge of SMA Negeri 1 Batang students with a p value = 0.000.Keywords: early marriage, animation videos, knowledge
The Effect Of Peer Peer Education On The Level Of Knowledge and Attitudes About Examination of Breast Self Examination in Adolescent Indri Bakti Salsabila, Dinar; Sri Hardjanti, Triana; Runjati
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4194

Abstract

Background: Early detection through Breast Self-Examination (BSE) is an easy and affordable preventive effort. Since peers strongly influence adolescents’ health behaviors, peer education is considered an effective way to increase their knowledge and attitudes toward BSE. Method: This study employs a quasi-experimental design with a pretest-posttest control group. The study included 42 female adolescents, divided into 21 participants each in the intervention and control groups. The intervention group was given peer education, and the control group was only given a leaflet, then the group's knowledge and attitudes were measured before and after the intervention, and data were collected using a questionnaire. Sampling used simple random sampling based on inclusion criteria, namely 10th grade students, students who were present during the study, and willing to be respondents. Result: There were differences in the intervention group after being compared with the control group. The results showed that the average increase in knowledge in the intervention group was 5.05, while in the control group it was 3.52, with a p-value of 0.004 (<0.05). The average increase in attitude scores in the intervention group was 6.71 compared to 2.86 in the control group, with a p-value of 0.001 (<0.05). Conclusion: The health education intervention was effective in improving respondents' knowledge and attitudes compared to the non-intervention group. Therefore, it is recommended that similar health education programs be implemented more widely in the community and that further research be conducted to assess their long-term effectiveness.
PENINGKATAN KAPASITAS IBU BALITA MELALUI KELAS IBU BALITA PLUS COPING SKILL TRAINING UNTUK PENCEGAHAN STUNTING DI KELURAHAN KEDUNG KELOR, TEGAL Runjati, Runjati; Hardjanti, Triana Sri; Atifah, Shinta Dhian Hasna’; Abadi, Nur
Jurnal LINK Vol 21 No 2 (2025): NOVEMBER 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i2.14082

Abstract

Stunting is a chronic nutritional problem that affects children’s physical growth, cognitive development, and long-term quality of life. Prevention efforts require integrated interventions, including nutrition education and the strengthening of emotional management skills for mothers of children under five. This community service program aims to improve mothers’ knowledge through mother classes combined with coping skill training (CST) as a strategy to monitor child growth and detect stunting early. The program was implemented through several stages: planning, coordination with posyandu cadres, pretest-Posttets, health education using leaflets, posttest, data analysis, and evaluation. The participants were mothers of children under five at Posyandu Mawar Merah, Kedungkelor Village, Warurejo District, Tegal Regency. The results showed an increase in knowledge among 29 respondents, while 1 respondent experienced a decrease, with a statistically significant difference between pretest and posttest scores (p = 0.000; p < 0.05). These findings demonstrate that enhancing the capacity of mothers with toddlers through the Toddler Mothers Class combined with coping skill training for stunting prevention in Kedung Kelor, Tegal is effective in improving mothers’ knowledge of emotional management in monitoring child growth and development for stunting prevention. The program is recommended to be further developed with varied counseling methods to enhance sustainability and effectiveness.
Peningkatan Keterampilan Kader Posyandu Melalui Pelatihan dan Asesmen Berbasis Kompetensi Sugiyanto; Bedjo Santoso; Supriyadi; Esti Handayani; Runjati; Sri Widiyanti; Muflihah Isnawati; Nabiha, Puteri Inandin; Rr Sri Endang Pujiastuti; Shinta Dhian Hasna Atifah; Nurul Aeni
Jurnal LINK Vol 21 No 2 (2025): NOVEMBER 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i2.14144

Abstract

Posyandu cadres play a strategic role in supporting the transformation of primary health services. However, variations in their abilities in measurement, early detection, health education, and record-keeping remain a challenge. This community engagement program aimed to improve cadre skills through a refresher training based on the five core competencies outlined in the 2024 Ministry of Health Posyandu Cadre Skills Guidelines, while also assessing their competencies. The program was conducted from August to November 2025 in the working area of Puskesmas, Brebes District, involving 91 active cadres from 15 posyandu. A competency-based community empowerment approach was applied using hands-on practice, simulations, and field exercises supervised by health professionals. Skill assessments used structured observation checklists across the five core competency areas. Most cadres were at skill levels equivalent to Purwa to Madya, indicating readiness for formal certification. This competency-based training effectively strengthened cadres’ promotive and preventive skills and is recommended as a tiered training model at the puskesmas level to support primary care transformation indicators and accelerate stunting reduction.
Effect of Pregnancy Classes Plus Early Warning System on Postpartum Hemorrhage Prevention and Self-Efficacy Sulistiawati, Sulistiawati; Runjati, Runjati; Nugraheni, Hermien
Journal of Maternal and Child Health Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.02.01

Abstract

Background: Postpartum hemorrhage, defined as blood loss exceeding 500 ml after delivery, is a leading cause of maternal mortality in Indonesia. This condition can lead to serious consequences, including anemia, shock, and even death if not treated promptly and appropriately. Prevention efforts include educating pregnant women about early detection and preventive measures. One intervention is the implementation of pregnancy classes plus an Early Warning System (EWS) as a learning tool to improve mothers' self-efficacy and actions in preventing postpartum hemorrhage. The purpose of this study was to analyze the effect of pregnancy classes plus an early warning system on actions and self-efficacy in preventing postpartum hemorrhage. Subjects and Methods: This study used a True Experiment with a Pretest-Posttest with Control Group Design. The study location was the Gayamsari Community Health Center in Semarang City. Data collection was conducted from June to July 2025. The intervention group consisted of two groups: the intervention group, which received the pregnancy class with an Early Warning System (EWS), and the control group, which received a standard pregnancy class. The dependent variables studied were women's postpartum hemorrhage prevention practices and self-efficacy, while the independent variable was the early warning system (EWS) class. The analysis technique used was the Wilcoxon test. Results: Women in the intervention group reported higher postpartum hemorrhage prevention practices after the EWS class (median = 20; min-max = 13-20) compared to before the intervention (median = 10; min-max = 3-14) and was statistically significant (p <0.001). Women in the intervention group reported higher postpartum hemorrhage prevention practices after the EWS class (median = 52; min-max = 40-60) compared to before the intervention (median = 25; min-max = 20-35) and was statistically significant (p <0.001). Conclusion: The EWS class and early warning system have been shown to be effective in increasing postpartum hemorrhage prevention practices and efficacy, making them a safe and practical alternative for promotive and preventive interventions.
Co-Authors Abadi, Nur Abidah, Siska Nurul Agi Yulia Ria Dini Agus Suwandono Agus Suwandono Anwar, Choiroel Apoina Kartini Apriliana Apriliana Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ari Suwondo Ariawan Soejoenoes Aris Santjaka Aris Santjaka Arum Budiyati Asmaidar, Asmaidar Astiti, Gustiyana Atifah, Shinta Dhian Hasna’ Auliana Rochsas Bambang Trisnowiyanto Bedjo Santoso Beniqna Maharani Besmaya Beniqna Maharani Besmaya Budiyati, Arum Chr. Lia Uripmi Chr. Lia Uripmi, Chr. Lia Christina Lia Uripmi Cicilia, Fitri Daru Lestyanto Dewi Candra Resmi Dhanio, Yeyen Wulandari Diah Ulfa Hidayati Donny Kristanto Mulyantoro Donny Kristanto Mulyantoro Donny Kristanto Mulyantoro Dwi Erma Kusumawati edy susanto Eki Dwi Ariani Elisa Ulfiana Elisa Ulfiana Emy Suryani Endri Astuti Endri Astuti Endri Astuti Erna Widyastuti Erna Widyastuti Ertitawati Siregar Esti Handayani Fachry Abda El Rahman Farida Sukowati Febriana, Tyas Fitria, Candra Tyas Nur Hanifa Andisetyana Putri Hasriyanti Romadhoni F Hermien Nugraheni Ida Ariyanti Ida Ariyanti Ida Ariyanti, Ida Idayati Idayati, Idayati Imam D Mashoedi Imam Djamaludin Mashudi Indri Bakti Salsabila, Dinar Indriawati, Nina Irmastuti Lukitaning Alam Ismail, Wan Ismahanisa Iswatun Nadhofah Iswatun Nadhofah, Iswatun Kholifah Kholifah Krisdiana Wijayanti Kurnianingsih Kurnianingsih, Kurnianingsih Kuswanto Kuswanto Laksonowati, Setyo Mahanani Leny Latifah Lestari, Ayuning Tias Budi Listyaning Eko Martanti Lucky Herawati Luthfiyah, Ummu M. Choiroel Anwar Mahalul Azam Maya Erisna Maya Erisna Melyana Nurul Widyawati Mudinillah, Adam Muflihah Isnawati muliana aras Mundarti Mundarti Mutiara Ayu Muthiatulsalimah Nabiha, Puteri Inandin Ngadiyono Ngadiyono Nurharisah, Siti Nurlina Nurlina Nurul Aeni Nuuva Yusuf Octaviani, Dhita Aulia Panglukies Ratna Agustie Paulina Pida Pujiastuti, Rr Sri Endang Putri Maretyara Saptyani Rasipin Rasipin Rosi Kurnia Sugiharti Rosi Kurnia Sugiharti Rr Sri Endang Pujiastut Rr Sri Endang Pujiastuti Sakundarno Adi Setyaningsih, Erna Shinta Dhian Hasna Atifah Shusmitha Sekar Satriani Shusmitha Sekar Satriani Siti Nurharisah Siti Nurharisah Soeharyo Hadi Saputro Soeharyo Hadisaputro Sri Hardjanti, Triana Sri Rahayu SRI RAHAYU Sri Sumarni Sri Sumarni Sri Widiyanti Sudirman Sudirman Sudirman Sudiyono Sudiyono SUGIYANTO Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Suharyo Hadisaputro Sulistiawati Sulistiawati Sundari Supriyadi Supriyadi Supriyadi Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana, Supriyana Suryono Sutopo Patria Jati Syamsul Arifin Syarief Thaufik Hidayat Ta'adi, Ta'adi Titi Suherni Triana Sri Hardjanti Triana Sri Hardjanti, Triana Sri Ulfa Nadia Nurul Firdaus Ulfa, Maqhfiratul Uluwiyatun Uluwiyatun Umaroh Umaroh, Umaroh Vera Rahmawati Wahyuni, Sri Wien Sulistiyo Adi Winnie Tunggal Mutika Yulvira Febriani Yuniarti - Yuniarti - Zubaeda Zubaeda