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All Journal JURNAL MUTIARA NERS JURNAL ILMIAH MAKSITEK JURNAL ILMIAH KOHESI Jurnal Pengabdian Masyarakat Aufa (JPMA) International Journal of Public Health Excellence (IJPHE) International Journal of Community Service (IJCS) Jurnal Pengabdian Masyarakat Aufa (JPMA)
Maryam Latifah Harahap
Akademi Kebidanan Darmais Padangsidimpuan
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Analysis of Anemia Screening Policy Implementation for Pregnant Women in Tier I Healthcare Facilities: A Mixed-Methods Study in Urban-Rural Areas of South Tapanuli Fatimah, Fatimah; Suryani, Elvi; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1066

Abstract

Background: Anemia in pregnant women remains a significant public health issue in Indonesia, including in South Tapanuli. Anemia screening is a crucial policy for early detection and timely intervention, yet its implementation in primary healthcare facilities (Tier I) remains suboptimal. Objective: This study aims to analyze the implementation of anemia screening policies for pregnant women in Tier I healthcare facilities across urban-rural areas of South Tapanuli using a mixed-methods approach. Methods: The study employed a sequential explanatory mixed-methods design, combining quantitative data (a survey of 150 pregnant women and 30 healthcare workers) and qualitative data (in-depth interviews with 15 stakeholders, including health workers and policymakers). Quantitative data were analyzed using descriptive statistics, while qualitative data were examined using framework analysis. Results: Quantitatively, anemia screening coverage reached 68%, with disparities between urban (78%) and rural (58%) areas. Barriers included limited equipment, insufficient healthcare worker training, and low public awareness. Qualitative findings revealed issues in inter-stakeholder coordination, uneven budget allocation, and inadequate policy socialization. Conclusion: The implementation of anemia screening policies in South Tapanuli remains suboptimal, particularly in rural areas. Improvements in infrastructure, healthcare worker training, and culturally adapted community education are needed to enhance screening coverage.
Determinants of First-Trimester Antenatal Care Delay in Indonesia's Disadvantaged Regions: A Cross-Sectional Study of Socioeconomic Barriers in South Tapanuli Suryani, Elvi; Fatimah, Fatimah; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1100

Abstract

Background: Delayed access to first-trimester Antenatal Care (ANC) among pregnant women in underdeveloped, frontier, and outermost (3T) regions is a significant public health issue, as it increases the risk of pregnancy complications. This study aims to analyze the socio-economic determinants associated with delayed ANC access in South Tapanuli, a 3T region in Indonesia. Methods: This cross-sectional study involved 250 pregnant women selected through purposive sampling in South Tapanuli. Data were collected through structured interviews using a questionnaire covering socio-demographic variables (education, income, occupation, distance to health facilities) and ANC practices. Statistical analysis employed chi-square tests and logistic regression to identify dominant factors influencing ANC delay. Results: A total of 62.4% of respondents delayed accessing ANC in the first trimester. Significant socio-economic factors associated with delayed ANC included low income (OR=3.21; 95% CI: 1.87-5.49), low education (OR=2.45; 95% CI: 1.42-4.22), distance to health facilities >10 km (OR=4.12; 95% CI: 2.34-7.25), and lack of knowledge about ANC importance (OR=2.89; 95% CI: 1.65-5.07). Conclusion: Socio-economic factors such as income, education, geographic access, and maternal knowledge significantly influence delayed ANC access in 3T regions. Community-based interventions and equitable health service policies are needed to improve first-trimester ANC coverage.
The Effect of Simplicia Leaves of Papaya (Carica Papaya L) on Adequacy of Breast Milk in Babies Aged 6 Months Batubara, Novita Sari; Rangkuti, Nur Aliyah; Siregar, Rya Anastasya; Suryani, Elvi; Siregar, Ratna Dewi; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.3

Abstract

Adequacy of breast milk is the condition of the baby or mother showing several signs that indicate satisfaction in the production or consumption of breast milk. Infants aged 6 months, can be judged to have adequate breastfeeding, one of which is marked by the baby drinking breast milk every 2-3 hours or in 24 hours at least getting breast milk 8 times in the first 2-3 weeks. Papaya leaf simplicia can be one way to increase the rate of secretion and milk production and a strategy to overcome the failure of exclusive breastfeeding caused by low milk production. Based on this background, the researchers conducted a study on the effect of papaya leaf simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 6 months. This type of research is a quasi-experiment with a one-group pretest-posttest design. The results showed that there was an effect of Papaya Leaf Simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 6 months (sig=0,000<α=0,05). This shows that consuming Papaya Leaf Simplicia (Carica Papaya L.) is proven to be effective in increasing the adequacy of breast milk.
The Effect of Hypnobreastfeeding Technique on the Production of Breast Milk in Postpartum Mothers in Independent Practice Midwives Rangkuti, Nur Aliyah; Batubara, Novita Sari; Siregar, Rya Anastasya; Suryani, Elvi; Siregar, Ratna Dewi; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.4

Abstract

Breastfeeding is influenced by several factors, including breast milk does not come out immediately after giving birth, the baby's difficulty in sucking, the condition of the mother's nipples being unsupported, the mother working, and the influence/promotion of breast milk substitutes. The purpose of this study was to determine the effect of the hypnobreastfeeding technique on breast milk production in postpartum mothers at BPM Atikah, Panyabungan District. The research design is an analytic experimental pre-experimental type with a pretest-post test one group design approach. all postpartum mothers < 24 hours at BPM Atikah as many as 25 postpartum mothers, the sampling technique was total sampling. The results of the research on breast milk production before the hypnobreastfeeding technique was carried out in postpartum mothers were mostly less than 7-123 ml as many as 12 (48%) and after hypnobreastfeeding in postpartum mothers at BPM Atikah mostly good > 7-123 ml as many as 12 (48%). There is an effect of hypnobreastfeeding technique on milk production with a p value of 0.001 < 0.05. Postpartum mothers should increase their knowledge and experience in an effort to increase breast milk production so that mothers can give breast milk optimally.
Analysis of Factors Affecting Poor Nutrition in Infants Aged 0-6 Months Harahap, Maryam Latifah; Suryani, Elvi; Rangkuti, Nur Aliyah; Batubara, Novita Sari; Siregar, Rya Anastasya; Siregar, Ratna Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.11

Abstract

Malnutrition (kwashiorkor) is a form of malnutrition. Malnutrition itself can be understood as a nutritional error. It can be in the form of deficiency or excess of nutrients. This research is a case control study. The population in this study were 45 people. Data was collected through medical records and interviews using a questionnaire. Data were analyzed univariately, bivariately using Chi-Square test at 95% confidence level (P<0.05) and multivariate using multiple logistic regression test. The results showed that the results of the statistical test of the knowledge independent variable obtained a Sig value of 0.001 < p: 0.05, family income obtained a Sig value of 0.001 < p: 0.05, exclusive breastfeeding obtained a Sig value of 0.001 < p: 0.05, which means that there is a significant relationship between the independent and dependent variables. The most dominant variable that has the greatest influence on the incidence of malnutrition is knowledge which has the largest Exp (B) value of 112,687 with a regression coefficient (B) of 4.725. The Health Office of South Tapanuli Regency is expected to be able to increase outreach and counseling programs about the importance of nutritional status in infants aged 0-6 months.
The Influence of Knowledge of Mother Who Have Baby 6-12 Months on Supplementary Feeding Suryani, Elvi; Harahap, Maryam Latifah; Rangkuti, Nur Aliyah; Batubara, Novita Sari; Siregar, Rya Anastasya; Siregar, Ratna Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.12

Abstract

Based on data from the Health Organization (WHO) in 2002 reported that 54% of deaths were caused directly or indirectly by undernutrition and malnutrition. IV pijorkoling, southeast Padangsidimpuan sub-district in 2022. This type of research is descriptive using a total sampling of 30 respondents. Collecting data using a questionnaire sheet, researched based on influence, age, education, occupation, parity and sources of information. The majority of respondents with less influence are 18 people (60%), the majority are less than 20-40 years old as many as 16 people (53.34%), the majority have less influence have a high school education as many as 15 people (50%), the majority have less influence are household workers as many as 14 people, (46.67%), the majority of respondents with low influence received information from health workers as many as 18 people (60%) and the majority with less influence based on parity of mothers who gave birth 3-4 times as many as 10 people (33.33%). The majority of the influence of mothers who have babies 6-12 months regarding complementary feeding is still lacking, so it is hoped that mothers will increase their influence and increase awareness and follow the instructions of health workers.
The Relationship of Respondent Characteristics With the Implementation of Public Infection Prevention by Private Practice Midwife in the Work Area Fatimah; Harahap, Maryam Latifah; Elvi Suryani
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i2.40

Abstract

The purpose of this study to determine the relationship between the characteristics of respondents with the implementation of postpartum prevention by Private Midwives Practice in the work area. The type of this research is descriptive correlative with cross sectional approach. Researchers used totally sampling technique. Analysis of data used chi-square. Based on the results of the study, 40 respondents were 22 - 39 years old, 23 people (57,5%), D - I midwifery education 22 people (55%), work experience 14 - 26 years old as many as 27 people (67,5 %), and less knowledge as many as 24 people (60%) .The results of data analysis of age relationship with the implementation of postpartum prevention obtained p value = 0.002 and OR = 11.40 means there is a significant relationship. Education with the implementation of postpartum prevention obtained p value = 0.032 and OR = 5.343 means there is a significant relationship and work experience with the implementation of postpartum prevention obtained p value = 0.063 and OR = 5.923 means there is no significant relationship. From the results of this study is expected to midwives as health workers to further improve the experience, knowledge, quality of service in prevention of infeksinifas.
The Relationship of Learning of ASKEB II Course Practicum Laboratory With the Achievement of Level II Students' Competence Suryani, Elvi; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Ihram Kurnia Agusta
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i2.41

Abstract

Practical learning is a process to improve the skills of participants by using various methods according to the skills provided and the equipment used. This type of research is descriptive analytic with a cross sectional approach. Data analysis was performed using the chi square formula. The results showed that from the results of the cross table between laboratory practicum learning and competency achievement, the majority of both categories were good, namely as many as 22 people (39.3 %), the majority category was sufficient, namely 15 people (26.8%). And the less majority category is sufficient, namely 2 students ( 3.6 %). The results of statistical tests with the Chi-Square test showed that the value of X 2 count (22.485) > (9.488) and the value of p = 0.000 < 0.05 . It means that Ho is rejected and Ha is accepted, so that there is a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students. The conclusion of this study is that bivariate analysis with the Chi-Square test is known to have a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students.
Knowledge of Postpartum Mothers about Kegel exercises for Perineal Wound Healing Siregar, Rya Anastasya; Novita Sari Batubara; Rizka Heriansyah; Lubis, Tapi Endang Fauziah; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.788

Abstract

The World Health Organization reported 2.7 million perineal injuries in women giving birth in 2009, reaching 6.3 million in 2020. A study was conducted to determine postpartum mothers' knowledge about kegel exercises to prevent perineal wounds. The study involved 30 respondents, with 83% having less knowledge than others. The majority had less knowledge of housework, tertiary education, and health workers. The study suggests that more knowledge is needed from health workers, electronic media, and print media. Respondents' knowledge about Kegel exercises for healing perineal wounds was based on information sources, the majority had little knowledge with health workers as many as 15 people (50%) and the minority had enough knowledge with electronic media as many as 2 people (7%).
Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey Siregar, Rahmah Juliani; Harahap, Maryam Latifah; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.794

Abstract

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.
Co-Authors Aisyah Siregar Ayu Ariana Batubara, Novita Sari Cut Khairunnisah Harahap Elvi Suryani Endang, Tapi Fatimah fatimah Fatimah Fauziah Lubis, Tapi Endang Heriansyah, Rizka Ihram Kurnia Agusta Novita Sari Batubara Rangkuti, Nur Aliyah Rizka Heriansyah Said, Arisa Harfa SIREGAR, RAHMAH JULIANI Siregar, Ratna Dewi Siregar, Rya Anastasya Suryani, Elvi