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Factors influencing implementation early initiation of breastfeeding (IMD ) in post partum mothers: A scoping review Febriyani, Irma; Rokhanawati, Dewi
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3619

Abstract

Implementation of early initiation of breastfeeding (IMD) is the act of giving breast milk to babies within one hour after birth. In postpartum mothers, there are various factors that influence the implementation of IMD, such as the level of knowledge, education and support from the surrounding environment. A deeper understanding of these factors is essential to improve IMD implementation and promote optimal breastfeeding practices. To map evidence related to factors that influence the implementation of IMD in postpartum mothers. This type of research,  namely  Scoping Review, refers to the steps  of  Arksey  and  O'maley,  the framework  used is PEOS, the articles selected are articles from 2019 to 2023, articles in English and Indonesian and articles that focus on the  factors  that  influence  implementation  Early initiation of breastfeeding, in selecting articles using the Prisma Flow Chart Checklist, data  sources from journals were  accessed via the Pubmed, Wiley, and Google Scholar databases with the keywords (influencing factors) AND (early initiation of breastfeeding) which resulted  in  295  journals,  after  going through several stage  obtained  5 journals.  This research carried out a Critichal Appraisal according to the design in the research journal, namely cross-sectional Critical Appraisal. Based on 295 selected journals, only 5 articles were reviewed based on the inclusion criteria, Early Breastfeeding Initiation Has Various Factors that Influence the Success of Early Breastfeeding Initiation, namely Knowledge, Education, Attitude and Family Support. It is expected that this scope review will include further tracing of accessible databases to support this.
Pengabdian Masyarakat: edukasi gaya hidup sehat bagi Mahasiswi Kyoto Koka Women’s University Jepang 2024 Rokhanawati, Dewi; Handayani, Sri Astuti; Juliandari, Kriska Afri; Sartika, Dea Ayu; Pattimura, Istiqomah; Nur’anisyah, Lisna Nur’anisyah
Hasil Karya 'Aisyiyah untuk Indonesia Vol. 4 No. 2 (2025): April
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/hayina.4000

Abstract

Penyakit Tidak Menular (PTM) merupakan penyebab utama kematian secara global, faktor risiko utama PTM adalah perilaku tidak sehat, seperti pola makan yang tidak seimbang, kurangnya aktivitas fisik, konsumsi alkohol, dan merokok. Edukasi kesehatan menjadi langkah penting dalam membangun kesadaran masyarakat, terutama generasi muda, mengenai pentingnya penerapan gaya hidup sehat. Kegiatan pengabdian kepada masyarakat yang dilakukan oleh mahasiswa Universitas ‘Aisyiyah Yogyakarta bekerjasama dengan kampus Kyoto Koka Women’s University bertujuan untuk meningkatkan pengetahuan mahasiswa tentang gaya hidup sehat. Edukasi dilakukan melalui penyuluhan dengan metode diskusi interaktif yang membahas pola makan seimbang, pentingnya aktivitas fisik, manajemen stres, dan keseimbangan kesehatan mental. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan peserta setelah pelaksanaan intervensi, yang diukur melalui pre-test dan post-test. Pergeseran kategori pengetahuan dari "Kurang" ke "Baik" mengindikasikan bahwa program intervensi efektif dalam meningkatkan pemahaman dan kesadaran peserta. Selain itu, pendekatan partisipatif dalam diskusi interaktif mendorong peserta untuk lebih aktif memahami pentingnya gaya hidup sehat serta mengadopsi kebiasaan positif yang dapat diaplikasikan dalam kehidupan sehari-hari. Implementasi program ini diharapkan dapat menjadi langkah awal dalam menciptakan generasi muda yang lebih sehat, produktif, dan mampu menghadapi tantangan kesehatan di masa depan.
An Overview of Anemia Cases Among Third Trimester Pregnant Women at Puskesmas Tegalrejo, Yogyakarta Aini, Safira Nurul; Rokhanawati, Dewi
International Journal of Health Science and Technology Vol. 6 No. 3 (2025): April
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v6i3.3871

Abstract

Anemia remains a significant contributor to the rising maternal mortality rate (MMR) in recent years. In the Special Region of Yogyakarta, the prevalence of anemia among pregnant women increased from 14.23% in 2017 to 16.5% in 2021. Previous studies have shown that anemia during pregnancy may result in adverse maternal and fetal outcomes, including fetal growth restriction, premature delivery, low birth weight, congenital anomalies, and elevated risks of neonatal and perinatal mortality. This study aims to analyze the relationship between maternal age, interpregnancy interval, and nutritional status based on Mid-Upper Arm Circumference (MUAC), and the case of anemia among third-trimester pregnant women at Puskesmas (Public Health Center) Tegalrejo, Yogyakarta. A retrospective case–control design was used, involving 86 pregnant women with anemia (cases) and 86 without anemia (controls). Statistical analysis showed significant associations between all three factors and the case of anemia. At a 0.05 significance level, 70 respondents (81.4%) were of high-risk maternal age (<20 years or >35 years) (p = 0.000; OR = 13.542; 95% CI: 6.508–28.179); 62 respondents (72.1%) had a short interpregnancy interval (<2 years) (p = 0.000; OR = 7.996; 95% CI: 4.046–15.802); and 56 respondents (65.1%) had Chronic Energy Deficiency (CED) indicated by a MUAC of <23.5 cm (p = 0.000; OR = 6.160; 95% CI: 3.157–12.020). These findings confirm that maternal age, short interpregnancy intervals, and poor nutritional status are significant determinants of anemia in the third trimester.
Determinants of Iron Supplementation Adherence in Adolescent Girls: Challenges and Strategies: Scoping Review Fitriyah, Nurul; Sulistyaningsih, Sulistyaningsih; Rokhanawati, Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 2 (2025): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i2.3152

Abstract

Background: Anemia in adolescent girls is a health problem that can impact growth, cognitive development, and future productivity. Iron supplementation is one of the main strategies to prevent anemia, but compliance rates are still low. Objective: This review aims to identify factors that influence adolescent girls' adherence to iron supplementation, challenges faced, and strategies to improve adherence. Methods: The method used was a scoping review with the PRISMA-ScR approach. Literature searches were conducted on PubMed, ScienceDirect, Wiley and Google Scholar databases with related keywords. Of the 2,237 articles identified, 14 articles met the inclusion criteria. Results: Based on the results of the scoping review, five main themes were found in the study of adolescent girls' adherence to iron supplementation including adherence, influencing factors, health impact, improvement strategies, and the role of community and policy. These themes reflect key factors contributing to the effectiveness of supplementation as well as strategies to improve adherence. Conclusions: Recommended strategies to improve adherence include school-based education, adherence monitoring by teachers and health workers, and community-based health campaigns. More effective community-based interventions and educative approaches are needed to improve adolescent girls' adherence to iron supplementation to reduce anemia rates.
The Barriers To Exclusive Breastfeeding: A Case-Control Study Among Mothers In Gorontalo City, Indonesia Sarmin, Sukati; Makiyah, Sri Nabawiyati Nurul; Rokhanawati, Dewi
Jurnal Kesehatan Manarang Vol 9 No 3 (2023): December 2023
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v9i3.890

Abstract

Exclusive breastfeeding is one of the important contributions to reducing maternal mortality, infant mortality, economic and environmental benefits. However, mothers still face many barriers during exclusive breastfeeding. This study aims to explain the perceived barriers to breastfeeding and find the most dominant barriers to breastfeeding. This type of research is quantitative research with analytic observational design and case-control method. The number of respondents in this study was 86 breastfeeding mothers, with a division of 43 mothers into case groups and 43 mothers into control groups. Sampling was determined by simple random sampling technique using an online number randomization application, namely random generator. Data were obtained from an original survey using an online questionnaire distributed through a social media platform in the form of a google form link. The results showed that barriers to exclusive breastfeeding from the social aspect, namely inadequate support from health care providers, were the most visible, followed by barriers from the maternal and infant aspects. Lack of health worker support (AOR= 22.621) was considered the main barrier to exclusive breastfeeding for six months among mothers in Gorontalo City, Indonesia. This was followed by lack of knowledge on breastfeeding. The lowest barrier was family support. Research on barriers to exclusive breastfeeding can help nurses and midwives develop breastfeeding promotion programs to increase exclusive breastfeeding among women in Gorontalo City, Indonesia.
Pengaruh Pendidikan Gizi terhadap Pengetahuan Ibu Tentang Stunting Marlina, Titin; Rokhanawati, Dewi; Hidayat, Asri
VISA: Journal of Vision and Ideas Vol. 5 No. 1 (2025): Journal of Vision and Ideas (VISA)
Publisher : IAI Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/visa.v5i1.6755

Abstract

Nutrition issues, particularly stunting, have become the focus of global attention due to their serious impact on children's health and development. Stunting, or chronic growth impairment, can have long-term consequences on children's physical and mental health, and even affect the productivity and well-being of society as a whole. In the midst of this complex challenge, the role of mothers as the primary caregiver and decision-maker when it comes to family diets is crucial. Therefore, it is important to evaluate and understand the effect of nutrition education on mothers' knowledge of stunting, in the hope of providing deeper insights to support stunting prevention efforts. This study aims to explore the effect of nutrition education on mothers' knowledge about stunting. This study employs a scoping review method with a systematic approach.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DISMENORE PRIMER PADA REMAJA PUTRI KELAS VIII DI SMPN 2 GAMPING YOGYAKARTA Kartika Puteri, Istaniah; Rokhanawati, Dewi
KOSALA : Jurnal Ilmu Kesehatan Vol 12 No 1 (2024): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v12i1.317

Abstract

Latar Belakang: angka kejadian dismenore di Indonesia sebesar 64,22% yang terdiri dari 54,89% mengalami dismenore primer. Di salah satu SMP di Bantul didapatkan sebesar 64,4% pelajar mengalami dismenore yang mayoritas berumur 14 tahun. Di salah satu SMK di Moyudan Sleman terdapat 51 dari 72 responden yang mengalami dismenore atau sebesar 70,8%. Dismenore adalah rasa sakit pada saat menstruasi yang cukup parah hingga mengganggu aktivitas yang diakibatkan oleh meningkatnya hormon prostaglandin dalam tubuh. Dismenore primer yang paling sering terjadi lebih dari 50% wanita mengalaminya dan 10-15% diantaranya mengalami nyeri yang hebat yang sampai mengganggu kegiatan dan aktivitas sehari-hari. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian dismenore primer pada remaja putri. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel sebesar 78 siswi kelas VIII di SMP N 2 Gamping Yogyakarta. Teknik pengambilan sampel dengan cara proportional random sampling, pengambilan data menggunakan kuesioner dan analisis data dilakukan secara univariat, bivariat dengan uji chi-square. Hasil penelitian diperoleh 25 (32,1%) siswi mengalami dismenore. Berdasarkan data bivariat diperoleh hasil usia menarche (p value = 0,086), riwayat keluarga (p value = 0,169), lama menstruasi (p value = 1,000), aktivitas fisik (p value = 1,000), status gizi (p value = 0,398), dan tingkat stres (p value = 0,115). Dapat disimpulkan tidak ada hubungan antara usia menarche, riwayat keluarga, lama menstruasi, aktivitas fisik, status gizi, dan tingkat stres dengan kejadian dismenore primer pada remaja putri. Remaja diharapkan dapat meningkatkan pola hidup sehat (makan makanan bergizi, berolahraga dan istirahat yang cukup).   Kata kunci: dismenore, faktor-faktor, hubungan, nyeri haid   Background: the incidence of dysmenorrhea in Indonesia was found to be 64.22%, of which 54.89% experienced primary dysmenorrhea. In one junior high school in Bantul was found to be 64,2% experienced dysmenorrhea majority of whom were 14 years old. In one of the vocational schools in Moyudan Sleman was found to be 51 out of 72 respondents experienced dysmenorrhea or 70,8%. Dysmenorrhea is pain during menstruation that is severe enough to interfare with activities caused by increased prostaglandin hormones in the body. Primary dysmenorrhea most often occurs more than 50% of women experience it and 10-15% of them experience severe pain that interferes with daily activities and activities. The purpose of this study was to determine the factors associated with the incidence of primary dysmenorrhea in adolescent girls. This sudy was a quatitative study with a cross sectional approach. The sample size was 78 students of class VIII at SMPN (State Junior High School) 2 Gamping Yogyakarta. The sampling technique was proportional random sampling, data collection using questionnaires and data analysis was carried out univariate, bivariate with chi-square test. The results showed that 25 (32.1%) female students experienced dysmenorrhea. Based on bivariate data obtained the results of menarche age (p value = 1.000), family history (p value = 0.169), length of menstruation (p value = 1.000), physical activity (p value = 1.000),  nutritional status (p value = 0.398), and stress level (p value = 0.115). it can be concluded that there is no relationship between menarche age, family history, lenght of menstruation, physical activity, nutritional status, and stress level with the incidence of primary dysmneorrhea in adolescent girls. Adolescents are expected to improve a healthy lifestyle (eating nutritious food, exercising and getting enough rest.   Keywords: dysmenorrhea, factors, menstrual pain, relationship
The Effect of Kegel Exercises on the Healing of Perineal Wounds in Normal Postpartum Mothers at Morowali District Hospital Yuliadia, Kartika; Kartini, Farida; Rokhanawati, Dewi; Ari Astuti, Dhesi
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i2.1168

Abstract

During pregnancy and childbirth, women undergo significant physiological changes, including the loosening of the abdominal wall, vaginal canal, and pelvic floor muscles. Approximately 90% of women experience perineal tears during delivery, regardless of whether an episiotomy is performed. One approach to strengthening the pelvic floor muscles postpartum is through Kegel exercises. A quasi-experimental study design with quantitative random sampling was employed to compare the REEDA scale scores of the intervention group and the control group. The data were analyzed using the Mann-Whitney U test. The findings revealed that the intervention group, which performed Kegel exercises, had significantly lower REEDA scores than the control group, indicating faster recovery of perineal lesions in postpartum mothers at Morowali Regional Hospital in 2024 (p = 0.001, Sig. (2-tailed) < 0.05). It is recommended that postpartum mothers regularly engage in Kegel exercises to promote the healing of perineal tears.
Effectiveness Of Tui Na Massage On Increasing Appetite: A Scoping Review Cahya, Sara Eka; Rokhanawati, Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 2 (2025): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i2.3253

Abstract

Balita (usia 1–5 tahun) paling rentan terhadap masalah gizi, terutama kurus atau kekurangan berat badan untuk tinggi badan mereka. Menurut WHO (2024), meskipun prevalensi kurus global menurun dari 8,7% (2000) menjadi 6,8% (2022), sekitar 45 juta balita masih terdampak. Di Indonesia, data Profil Kesehatan 2022 mencatat prevalensi balita dengan berat badan sangat kurang sebesar 1,1% dan balita dengan berat badan kurang sebesar 6,2%, dengan disparitas yang signifikan antarprovinsi. Di Provinsi Jambi, prevalensi balita dengan berat badan sangat kurang mencapai 0,77%, dan balita dengan berat badan kurang 3,51%, dengan Kabupaten Batanghari sebagai daerah tertinggi (6,98%). Tujuan: Penelitian ini bertujuan untuk memetakan bukti mengenai efektivitas pijat tui na dalam meningkatkan nafsu makan balita. Metode: Penelitian ini merupakan tinjauan cakupan yang mengacu pada langkah-langkah yang diambil oleh Arksey dan O'Maley. Kerangka kerja yang digunakan adalah PICO. Artikel yang dipilih adalah artikel dari tahun 2020 hingga 2025, artikel berbahasa Inggris dan Indonesia, serta artikel yang berfokus pada peningkatan nafsu makan pada balita. Pemilihan artikel menggunakan daftar periksa diagram alir Prisma. Sumber data dari jurnal diakses melalui basis data PubMed, Wiley, Science Direct, dan Google Schoolar dengan kata kunci (Pijat Tuina) atau (Nafsu Makan Anak). Penelitian yang memenuhi kriteria inklusi dinilai kualitasnya menggunakan pedoman Joanna Briggs Institute (JBI). Penelitian ini melakukan penilaian kritis. Hasil: Tinjauan lingkup 10 jurnal tentang efektivitas pijat tuina dalam meningkatkan nafsu makan pada balita mengidentifikasi tema-tema penelitian utama, yaitu: Pijat tuina dalam meningkatkan nafsu makan, Faktor-faktor yang mempengaruhi keberhasilan pijat tuina, Kendala dalam pelaksanaan terapi pijat tuina, Peran pendukung dalam keberhasilan terapi pijat tuina, Efek fisik pijat tuina pada balita, Efek psikologis pijat tuina pada balita, Pencegahan gangguan nafsu makan jangka panjang, dan berdasarkan hasil dari empat jurnal, dapat disimpulkan bahwa pijat tuina efektif dalam meningkatkan nafsu makan pada balita.
THE EFFECTIVENESS OF BOOKLET MEDIA IN EFFORTS IO IMPROVE KNOWLEDGE AND ATTITUDE TO PREVENT CHRONIC ENERGY DEFICIENCY IN PREGNANT WOMEN IN TULUNGAGUNG D.K, Indah; isnaeni, Ely; Dewi Rokhanawati; Farida Kartini
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.7027

Abstract

The prevalence of Chronic Energy Deficiency (CED) among pregnant women globally reaches 35–75% (WHO, 2017), and around 40% of maternal deaths in developing countries are associated with this condition. In Indonesia, studies conducted in 2017–2018 reported a CED prevalence of 17.3% and anemia in 48.9% of pregnant women. The 2021 National Health Survey (Riskesdas) reported that the risk of CED in East Java was 29.8%, higher than the national rate of 28%. This study aimed to determine the knowledge and attitudes of pregnant women regarding CED before and after the intervention, as well as to analyze the effect of the “Prevent CED” booklet on first-trimester pregnant women at Kedungwaru Public Health Center in 2024. The study used a pre-experimental One Group Pre-Test Post-Test design with total sampling, involving 25 respondents—second-trimester pregnant women who were registered, received services at the health center, and provided informed consent. Data were analyzed using the Wilcoxon Signed Rank test. The results showed a p-value of 0.003 (<0.05), indicating a significant effect of the booklet on improving the knowledge and attitudes of pregnant women regarding CED prevention. It is recommended that first-trimester pregnant women read the booklet to enhance understanding and prevent CED during pregnancy.
Co-Authors Abkar Raden Adhe Lisna Adhe Lisna Gayuh Sasiwi Adhe Lisna Gayuh Sasiwi Afita, Anggit Asnea Agi Yulia Ria Dini Aini, Safira Nurul anggit asnea afita Annisa Rusdi Anugerah Destia Trisetyaningsih Ari Astuti, Dhesi Arimbawati Arimbawati Arimbawati, Arimbawati Askuri Askuri Asri Hidayat Astuti, Andari Wuri Aulia Ridla Fauzi Ayu Lestari Beby Yohana Bellavania, Devina Cahya, Sara Eka D.K, Indah Detty Siti Nurdiati Devi Elfita Sari Deviana, Meli Dian Shofia Reny Setyanti Djauhar Ismail Djauhar Ismail Dwi Ernawati Dwi Ernawati Eka Abelian Putri Kelana Eka Rati Astuti Ekawaty Lutfia Haksari Elika Puspitasari Ellyda Rizki Wijhati ellyda wijhati Endang Puji Ati Fasha, Nova Liana Fatma Ali Al Abdulla Febriyani, Irma Fitriya, Yuni G. Gunawan Handayani, Sri Astuti Hidayat, Asri Indika, Leony Manggivera Intan Mutiara Putri Intan Nur Aulia Dewi Irma Febriyani Ismarwati Isnaeni, Ely Istaniah Kartika Puteri Jaelani, Sri Hastini Juliandari, Kriska Afri Kartika Puteri, Istaniah Kartini, Farida Kriska Afri Juliandari Kurnia Kurnia Kurniati, Nurul Leony Manggivera Indika Lutfi Anggraini Marilia Reis Mur Octaviani Nanda Septi Rinardiyanti Nazula Rahma Shafriani Nidatul Khofiyah Norwidya Priansiska Nova Liana Fasha Nurbaity Nurbaity Nurbaity Nurbaity Nurul Fitriyah Nurul Fitriyah Nur’anisyah, Lisna Nur’anisyah Octaviani, Mur Pattimura, Istiqomah Purnomo Suryantoro Purnomo Suryantoro Rahmasari, Putri Rhipiduri Rivanica Rizka Adela Fatsena Rizka Adela Fatsena Rosmita Nuzuliana, Rosmita Rukmana, Siti Rusdi, Annisa Sari, Devi Elfita Sari, Lezi Mayang Sartika, Dea Ayu Sasiwi, Adhe Lisna Gayuh Silviatul Amalia Siti Rukmana SN Nurul Makiyah Sri Hastini Jaelani Sri Nabawiyati Nurul Makiyah Sukati Sarmin Sulistyaningsih Sulistyaningsih Sulistyaningsih, Sulistyaningsih - Sumiati Sumiati Sumiati Sumiati Tezi Kharina Aprezia Titin Marlina, Titin Tri Sunarsih Tri Sunarsih Trisetyaningsih, Anugerah Destia Ummi A&#039;isyah Nurhayati Umu Hani Edi Nawangsih Umu Hani Edi Nawangsih, Umu Hani Yohana, Beby Yuli Isnaeni Yuliadia, Kartika Yuni Fitriya Yuriska Verina