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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Aisyah : Jurnal Ilmu Kesehatan AloHA International Journal of Health Advancement (AIJHA) International Journal of Advanced Health Science and Technology Health Community Engagement Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Jati Emas (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat) Borneo Nursing Journal
Sulikah, Sulikah
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Case Report: Parental Refusal of Immunization in a 12-Month-Old Infant as a Midwifery Case Report on Knowledge Factors Heny Trisetyowati; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70806

Abstract

Introduction: Routine childhood immunization is an essential public-health intervention for preventing vaccine-preventable diseases. Despite high reported immunization coverage in Magetan Regency in 2025, delayed or incomplete vaccination can still occur when parents have limited knowledge, safety concerns, or conflicting family information. Objective: To describe midwifery care for a 12-month-old infant whose routine immunization was incomplete because of parental knowledge-related hesitancy. Methods: A descriptive case report was conducted at a private midwifery practice in Magetan, East Java, from 2 to 21 February 2026. The case was managed using the SOAP framework. Data were collected through maternal interviews, review of the child’s immunization record, physical examination, growth and developmental assessment, observation of parental responses, and four follow-up visits. Counseling used therapeutic communication and a leaflet covering immunization benefits, vaccine-preventable diseases, routine schedules, and common adverse events following immunization (AEFI). Results: The 12-month-old male infant had received only a birth dose of hepatitis B vaccine, with no subsequent routine immunizations documented. At the first visit, the mother reported limited knowledge and fear of adverse effects and was influenced by information from neighbors and social media. The infant had mild cough and coryza but was otherwise clinically well, with normal growth and development. Across four visits, maternal understanding improved after structured counseling and leaflet-based education. By the final visit, the mother could explain the benefits of immunization and expressed willingness to vaccinate her child, but implementation had not yet occurred because the decision still required discussion with her husband. Conclusion: Individualized counseling, empathetic communication, and accessible written information improved maternal knowledge and vaccine acceptance in this case. Family involvement and continued follow-up are important when parental decision-making is shared.
Asuhan Kebidanan Pada Ibu Nifas Multipara Post Sectio Caesarea Dengan Postpartum Blues Gelintina Kurniawati; Sulikah; Agung Suharto; Tutiek Herlina
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1275

Abstract

Postpartum blues merupakan gangguan psikologis ringan yang sering terjadi pada masa nifas dan ditandai dengan perubahan suasana hati, mudah menangis, cemas, serta kesulitan beradaptasi dengan peran sebagai ibu. Meskipun lebih sering terjadi pada ibu primipara, kondisi ini juga dapat dialami oleh ibu multipara sehingga memerlukan deteksi dini dan penatalaksanaan yang tepat. Penelitia ini bertujuan mendeskripsikan penerapan asuhan kebidanan pada ibu nifas multipara post sectio caesarea yang mengalami postpartum blues. Penelitian menggunakan desain laporan kasus (case report) dengan pendekatan manajemen asuhan kebidanan menggunakan metode SOAP. Subjek penelitian adalah seorang ibu nifas multipara post sectio caesarea yang mengalami postpartum blues. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik, dokumentasi, serta skrining menggunakan Edinburgh Postnatal Depression Scale (EPDS). Asuhan kebidanan meliputi edukasi mengenai postpartum blues, dukungan psikologis, konseling, peningkatan dukungan keluarga, pemenuhan kebutuhan istirahat dan nutrisi, serta pemantauan kondisi ibu secara berkala. Hasil asuhan menunjukkan adanya perbaikan kondisi emosional ibu yang ditandai dengan berkurangnya keluhan sedih, cemas, dan mudah menangis, meningkatnya kemampuan ibu dalam beradaptasi dengan peran barunya, serta penurunan skor EPDS dari 10 pada kunjungan kedua menjadi 9 pada kunjungan ketiga. Penerapan asuhan kebidanan secara komprehensif disertai dukungan keluarga dan skrining menggunakan EPDS berperan dalam membantu pemulihan kondisi psikologis ibu nifas yang mengalami postpartum blues. Skrining kesehatan mental pada masa nifas perlu dilakukan secara rutin sebagai upaya deteksi dini dan pencegahan berkembangnya gangguan psikologis yang lebih berat. Kata kunci: postpartum blues; nifas; sectio caesarea
Peer Pressure as the Dominant Predictor of Adolescent Promiscuity: Evidence of Ineffective Social Support Among Students Ika Nur Azizah; Sunarto Sunarto; Sulikah Sulikah; Teta Puji Rahayu
Health Notions Vol 10, No 3 (2026): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10303

Abstract

Adolescent promiscuity is an increasing public health concern in Indonesia, reflected in rising cases of premarital sexual activity and unintended pregnancies. In 2025, Magetan Regency recorded 60 marriage dispensation applications, 34 of which involved unintended pregnancies. These trends highlight the need to understand psychosocial factors that may contribute to risky adolescent behavior, particularly peer pressure and social support, which are known to influence decision‑making and emotional regulation during adolescence. This study aimed to analyze the simultaneous influence of peer pressure and social support on adolescent promiscuity among students at SMK PGRI 1 Magetan. This analytical quantitative study employed a cross-sectional design with a total of 193 respondents selected through proportional random sampling in 2026. Data collection utilized three standardized instruments: the Peer Pressure Scale Questionnaire-Revised (PPSQ-R), the Multidimensional Scale of Perceived Social Support (MSPSS), and The Emotional Promiscuity Scale. Data were analyzed using Chi-Square tests and binary logistic regression to determine both individual and simultaneous influences of peer pressure and social support on promiscuity behavior. The analysis showed that both peer pressure (p = 0.000) and social support (p = 0.000) had significant relationships with adolescent promiscuity behavior. Logistic regression further identified peer pressure as the most dominant factor influencing promiscuity (p = 0.000). The findings also suggest that social support did not function effectively as a protective factor, likely due to insufficient supervision or guidance within adolescents’ social environments. In conclusion, peer pressure plays a critical role in shaping adolescent promiscuity behavior, surpassing the influence of social support. The limited protective effect of social support indicates gaps in parental and school supervision. Strengthening communication, monitoring, and guidance within families and educational institutions is essential to reduce adolescents’ engagement in risky behaviors.Keywords: adolescent; peer pressure; promiscuity behavior; social support 
Case Report on Weight and Blood Pressure Monitoring in a Pregnant Mother with Grade I Obesity in the Third Trimester with Gestational Hypertension Shinta Aprillya Nugraheni; Sulikah Sulikah; Sunarto Sunarto; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Pregnancy with obesity has become a pathological condition that carries the risk of triggering complications such as gestational hypertension. Hypertension still remains a complication that leads to high morbidity and mortality rates for both the mother and the fetus. In this case, the mother had grade I obesity even before pregnancy. Gestational hypertension occurred after 20 weeks of pregnancy, associated with low physical activity and a diet that was not in line with balanced nutrition. The uniqueness of this case lies in the use of a 24-hour food recall as a method for monitoring adherence to a low-salt and low-fat diet. The aim of this case report is to evaluate diet adherence, blood pressure, and body weight in a pregnant woman with grade I obesity and gestational hypertension. The case report was conducted on Mrs. “T”, 29 years old, G1P00000, 35–36 weeks pregnant, pre-pregnancy BMI of 30.92 kg/m², and a blood pressure of 130/85 mmHg, using a case report method through a midwifery care approach with SOAP over two weeks. Care was provided by Midwife “D” and Student “S” in the working area of Puskesmas “P”. Interventions included education on a low-salt and low-fat diet, monitoring 24-hour food recall, blood pressure, body weight, and recommendations for light physical activity. The patient's body weight decreased from 89.7 kg to 89.0 kg, and blood pressure improved from 135/92 mmHg to 124/80 mmHg. Dietary patterns also improved based on the 24-hour food recall, with no complications observed during the follow-up period. Monitoring using a 24-hour food recall, combined with nutritional education and dietary counseling, improved adherence to the prescribed diet and contributed to better control of blood pressure and body weight. The mother's condition remained stable, and the pregnancy progressed without complications.
Case Report: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity Rheinanda Inez Syagita Cinantya; Triana Septianti Purwanto; Sulikah Sulikah; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Wound dehiscence is a complication of cesarean section that can delay wound healing and increase the risk of infection. Obesity is an important risk factor because impaired tissue perfusion may slow the healing process. This case report aimed to describe the provision of comprehensive midwifery care for a postpartum woman with obesity who experienced wound dehiscence following cesarean section. A descriptive case report design was used involving a 41-year-old postpartum woman, P20002, with grade II obesity and cesarean wound dehiscence on postpartum day 20. Care was provided at Taji Public Health Center, Magetan Regency, from January 31 to February 9, 2026, consisting of an initial assessment and three home visits. Midwifery care was provided using the Varney management approach and documented in the SOAP format. Interventions included aseptic wound care, education on self-care, adequate high-protein nutrition, gradual mobilization, proper body mechanics, non-pharmacological pain management, breastfeeding-position education, and regular wound monitoring using the REEDA scale and Numeric Rating Scale (NRS). The wound condition gradually improved, with the REEDA score decreasing from 4 to 0 and pain intensity decreasing from NRS 4 to 0. The wound healed completely without signs of infection, accompanied by improved adherence to wound care, nutritional recommendations, and other advised measures. Comprehensive midwifery care supported wound healing through appropriate wound management, continuous education, nutritional support, gradual mobilization, and regular monitoring.
Empowering Partner Villages in Preventing Early Marriage as a Sustainable Effort to Prevent Stunting through the Healthy and Decent Housing Program (RUSELA) Nurlailis Saadah; Sulikah Sulikah; Aries Prasetya; Budi Yulianto; Uswatun Khasanah
Frontiers in Community Service and Empowerment Vol. 5 No. 3 (2026): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Early marriage is a contributing factor to the increased risk of stunting through teenage pregnancy, low reproductive readiness, and limited knowledge in child care and nutrition. These issues require a sustainable community empowerment approach involving various stakeholders at the village level. This community service activity aims to empower partner villages to prevent early marriage as a sustainable effort to prevent stunting through the Healthy and Decent Homes Program (RUSELA). Implementation methods include outreach and education on adolescent reproductive health, maturing marriage age, stunting prevention, training on the application of healthy and decent home indicators, and mentoring for adolescents, families, and health cadres. Evaluation was conducted using pretests and posttests on 38 respondents, accompanied by observation and monitoring of community participation. The evaluation results showed an increase in the average knowledge score of participants from 61.8 in the pretest to 86.5 in the posttest, an increase of 40.0%. A total of 34 respondents (89.5%) experienced an increase in knowledge scores after participating in the activity. In addition, there was an increase in understanding of the risks of early marriage, the importance of preventing stunting from adolescence, and community awareness of creating a healthy and decent home environment to support child growth and development. This program also resulted in a joint commitment between the village government, cadres, and the community to integrate the RUSELA Program into village development activities as a sustainable community empowerment model to support the acceleration of stunting reduction.
PEMBERDAYAAN MASYARAKAT UNTUK PENCEGAHAN  STUNTING BERBASIS HEALTH PROMOTION MODEL MELALUI PELATIHAN KADER POSYANDU ILP Agung Suharto; Luluk Widarti; Sulikah Sulikah
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 5 (2026): MAJU : Indonesian Journal of Community Empowerment, September 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i5.2965

Abstract

Stunting is a condition of impaired growth in children resulting from chronic malnutrition, particularly during the first 1,000 days of life. The objective of this community service initiative was to demonstrate the effectiveness of training based on the Health Promotion Model in enhancing the knowledge of ILP *Posyandu* (Integrated Health Post) cadres regarding stunting prevention. The initiative employed training and mentoring for ILP *Posyandu* cadres, conducted from June to August 2026, and included pre-test and post-test assessments. The participants consisted of 50 ILP *Posyandu* cadres. Training results indicated that pre-test scores were predominantly "good" (48%) and a small minority were "poor" (12%); post-test scores showed a majority rated as "very good" (52%) and a small minority as "sufficient" (10%). Knowledge levels improved for 90% of the cadres, while remaining unchanged for 10%. Conclusion: there is a relationship between the training and mentoring provided and the improvement in cadres' knowledge regarding stunting prevention.
Characteristics of Preconception Readiness in Women Married 1–2 Years with Obesity Status at Community Health Center Intan Auria; Sulikah Sulikah; Sunarto Sunarto; Nuryani Nuryani
Health Notions Vol 10, No 3 (2026): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10304

Abstract

Obesity among women of reproductive age is a significant preconception risk factor because hormonal, metabolic, and psychosocial disturbances associated with obesity can adversely affect fertility and pregnancy outcomes. In 2025, the prevalence of obesity among couples at the Panekan Community Health Center in Magetan Regency reached 9.19%, ranking among the highest in the district. This study aimed to describe physical, psychological, and attitudinal readiness among 44 women married for 1–2 years with obesity. A descriptive cross-sectional design with total sampling was used. Data were collected from January to May 2026 using the Health Promoting Lifestyle Profile II (HPLP II), consisting of 52 Likert-scale items, and the Preconception Care Improvement Scale (PCIS), consisting of 17 nominal-scale items. Descriptive analysis used frequencies and percentages, while bivariate analysis used cross-tabulations. Respondents were aged 21–35 years (mean 27.11 years); most had senior high school education (79.55%) and were unemployed (61.36%). Physical, psychological, and attitudinal readiness were sufficient in 75.00%, 77.27%, and 70.45% of respondents, respectively. All respondents (100%) were classified as preconception-ready based on PCIS. In conclusion, although overall preconception readiness was sufficient/ready, obesity remains a critical fertility-related risk, particularly in the physical domain, and therefore requires intensive and structured preconception management. Health centers should integrate nutrition counseling, structured weight management, and psychological support into preconception services.Keywords: obesity; preconception readiness; newly married women; reproductive age; cross-sectional
Case Report Kegagalan Laktasi pada Ibu Menyusui dengan Riwayat Postpartum Blues Sayyidah Shofiyyah Setya Dewi; Rahayu Sumaningsih; Agung Suharto; Sulikah Sulikah
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1667

Abstract

Kegagalan laktasi pada ibu menyusui dengan riwayat Postpartum Blues melibatkan interaksi faktor psikologis, fisiologis, dan sosial. Postpartum Blues dapat menekan hormon oksitosin dan prolaktin, sehingga menghambat produksi dan pengeluaran ASI. Menerapkan dan memperoleh gambaran umum Manajemen Asuhan Kebidanan pada ibu menyusui dengan kegagalan laktasi dan riwayat Postpartum Blues. Pendekatan asuhan kebidanan dengan menggunakan dokumentasi SOAP yaitu: Pengumpulan data subyektif dan obyektif, analisis data, dan penatalaksanaan. Case Report dilakukan pada Ny. A, P10001, postpartum hari ke-30 dengan keluhan ASI tidak lancar, frekuensi menyusui kurang dari 6 kali/hari, pemberian susu formula, serta tekanan psikologis Postpartum Blues. Intervensi yang diberikan meliputi edukasi laktasi berkelanjutan, pengajaran teknik peningkatan produksi ASI (pijat oksitosin, perawatan payudara, teknik menyusui benar), dukungan psikologis, skrining EPDS, edukasi kebutuhan dasar ibu nifas, serta keterlibatan aktif keluarga melalui kunjungan rumah. Pemantauan menunjukkan peningkatan frekuensi menyusui menjadi 8–12 kali/hari, penghentian pemberian susu formula, perbaikan status psikologis dari fase taking hold menjadi letting go, serta skrining EPDS negatif depresi postpartum. Pendekatan holistik berbasis kunjungan rumah yang mengintegrasikan edukasi laktasi, dukungan psikososial, dan keterlibatan keluarga efektif dalam mengatasi kegagalan laktasi.
The Effectiveness of the Combination of Natural and Murottal Music in Preventing Depression in the Elderly Rahayu Sumaningsih; Fatimah Fatimah; Sulikah Sulikah; Teta Puji Rahayu
Health Notions Vol 9, No 3 (2025): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn70701

Abstract

The elderly are prone to depression, due to their lack of ability to adapt to changes in themselves due to physical, mental and social setbacks. This study explained the effect of a combination of natural and murotal music on preventing depression in the elderly. The study used one group pretest and posttest design, with the treatment of combination of natural and murotal music therapy for 30 minutes and lasted for 3 consecutive days the instrument used the Geriatric Depression Scale (GDS). The p-value of stastical analysis using paired sample t-test was 0.000. As conclusion, natural and murotal music combinations was effective in reducing depression levels. Keywords: natural music; murotal; elderly 
Co-Authors Aini Ahmad Ajeng Mardiani Alfi Rusdianti Aries Prasetya Aries Prasetyo Ashio Liana Yudha Wijaya Astin Nur Hanifah Astuti Setiyani, Astuti Budi Joko S Budi Joko Santosa Budi Yulianto Fadia Meisyn Tassyabela Fatimah Fatimah Friska Diah Puspitasari Gelintina Kurniawati Handayani, Tinuk Esti Heny Trisetyowati Heru Santoso Wahito Nugroho Icha Amelia Kusuma Wardani Ika Nur Azizah Ike Mutiarasari Intan Auria Khambali, Khambali Luluk Widarti, Luluk Meila Marindawati Miliana Fantini Nana Usnawati Nisa Khoirotul Qoni'ah nurlailis saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Nurweningtyas Wisnu Nuryani, Nuryani Purwanto, Triana Septianti Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Rheinanda Inez Syagita Cinantya Sanjung Alam Amanda Santosa, Budi Joko Sayyidah Shofiyyah Setya Dewi Shinta Aprillya Nugraheni Sri Murti Yanti Subagyo, Subagyo Suharto, Agung Sumasto, Hery Sunarto Sunarto Suparji Suparji Suparji Suparji Surtinah, N Syaifoel Hardy Syilfa Uswatun Khasanah Teta Puji Rahayu Tinuk Esti H Tinuk Esti Handyani Triana Septianti Tutiek Herlina Tyas Arini Uswatun Khasanah Wisnu, Nurwening Tyas