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All Journal International Journal of Public Health Science (IJPHS) Indonesian Journal of Human Nutrition The Indonesian Journal of Public Health SRIWIJAYA JOURNAL OF MEDICINE J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Contagion: Scientific Periodical Journal of Public Health and Coastal Health Journal of Issues in Midwifery Jurnal Ners Science Midwifery Lumbung Inovasi: Jurnal Pengabdian Kepada Masyarakat Kresna: Jurnal Riset dan Pengabdian Masyarakat Journal of Applied Nursing and Health Jurnal Ilmu Kebidanan dan Kesehatan Asian Journal of Health Research Journal of Community Health and Preventive Medicine (JOCHAPM) Media Kesehatan Politeknik Kesehatan Makassar Jurnal Medicare Media Penelitian dan Pengembangan Kesehatan Science Techno Health Journal JURNAL KEBIDANAN Jurnal Info Kesehatan
Diadjeng Setya Wardani
Departemen Kebidanan, Fakultas Kedokteran, Universitas Brawijaya
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Hubungan Supportive Environment dengan Peran Kader Posyandu dalam Pelayanan Kesehatan Masyarakat Sholikhah, Laila Aminatus; Wardhani, Viera; Fransiska, Ratna Diana; Wardani, Diadjeng Setya
Jurnal Kebidanan Vol 14 No 2 (2024): Jurnal Kebidanan Edisi September 2024
Publisher : ITSKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jib.v14i2.1375

Abstract

P Posyandu diukur melalui cakupan SKDN, dengan salah satu indikator jumlah balita yang ditimbang dibagi jumlah sasaran balita (D/S). Pencapaian target SKDN di Kelurahan Pagentan tahun 2022 untuk balita yang memiliki KMS (K/S) adalah 41,9% dan balita yang datang dan ditimbang (D/S) adalah 41,9%, serta pencapaian target balita yang naik berat badannya dari seluruh balita (N/S) adalah 32% dari target 75%. Kader berperan penting dalam meningkatkan keberhasilan posyandu. Oleh karena itu, keberhasilan tersebut dipengaruhi oleh peran kader itu sendiri. Tujuan penelitian ini, yaitu mengetahui hubungan supportive environment dengan peran kader posyandu dalam pelayanan kesehatan masyarakat. Penelitian menggunakan pendekatan cross-sectional dengan menggunakan sampel yang memenuhi kriteria inklusi dan eksklusi sebanyak 69 kader. Pengumpulan data menggunakan kuesioner yang kemudian dianalisis menggunakan rank spearman. Hasil penelitian menunjukan terdapat hubungan positif yang signifikan antara komponen supportive environment, yaitu reward and punishment (p-value 0,044), dukungan keluarga (p-value 0,000), dukungan tokoh masyarakat (p-value 0,027), dan dukungan masyarakat (p-value 0,005) dengan peran kader posyandu dalam pelayanan kesehatan masyarakat. Dengan demikian, strategi yang tepat dibutuhkan untuk meningkatkan dukungan, seperti penyuluhan yang berkaitan dengan pentingnya peran kader posyandu
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.
Strengthening Teacher Support and Adolescent Self-Efficacy Through the Teenager Care Method in Preventing Early Marriage Putu Sudewi Arsini; Dewi Kartika Sari; Diadjeng Setya Wardani; I Wayan Agung Indrawan; Sri Andarini; Agus Adi Putrawan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24047

Abstract

Indonesia is the country with the second-highest ranking in terms of child marriage. One preventive approach is to enhance teacher support and adolescent self-efficacy by utilizing innovative learning methods. This study aims to analyze the effect of the Teenager Care Method on improving teacher support and students' self-efficacy in preventing early marriage. This study used a quasi-experimental one-group pretest-posttest design. This research was conducted at Singosari State Junior High School. From a total population of 50 teachers and 250 students who met the inclusion and exclusion criteria, 44 teachers and 72 students were used as research samples. This research was conducted at one of the junior high schools in Singosari. The first involved the method for teachers, implemented through lectures, interactive dialogues, and role-play. The second intervention targeted adolescents and was conducted using lecture-based methods and small-group case discussions. This study utilizes IBM SPSS Statistics 26 software with a 95% confidence level. The significance limit value of alha is 0.05. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed a significant increase in teacher support for early marriage prevention after the implementation of the Teenager Care Method (p < 0.001). Similarly, there was a substantial improvement in students' self-efficacy regarding the prevention of early marriage (p < 0.001). The Teenager Care method effectively enhances teacher support and students' self-efficacy in preventing early marriage. This method could be a practical preventive strategy that involves active teacher participation and fosters adolescent empowerment.Keywords: Teacher Support, Self-Efficacy, Adolescents, Early Marriage
Strategi Edukasi Pemberian Makanan Pendamping ASI (MPASI) yang Tepat melalui Pendekatan Multi Media di Wilayah Kerja Puskesmas Sentolo II: Edukasi multi-media, Praktik pemberian MPASI tepat gizi Telaumbanua, May Kristina Indah K; Setya Wardani, Diadjeng; Aisyah Ardiana, Hanida; Retnaningtyas, Nining; Sinta Devi, Nabila; Widya Risanti, Arini; Permata Sari, Hannie; Emiliana, Farica; Dini Syarafina, Hafizahah
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 10 No 3 (2025): J-Dinamika
Publisher : Politeknik Negeri Jember

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

Abstract

Child malnutrition remains a pressing challenge in Indonesia, including in the catchment area of Sentolo II Health Center, Kulon Progo. In 2025, despite high coverage of child weighing (D/S 88.8%), only 50.88% of children gained weight (N/D), falling below the national target of 60%. Suboptimal complementary feeding (CF) practices, particularly in terms of dietary quality and limited family involvement, were identified as contributing factors. This community service introduced the SEKAR MPASI program (Srawung Edukasi Keluarga lan Anak Remen MPASI), a multi-media nutrition education strategy combining short recipe videos, an illustrated booklet with QR codes, interactive “Ngobrol Pawon” discussions, and local complementary feeding competitions. Evaluation showed a marked improvement in maternal knowledge (post-test scores increased from 82 to 97), stronger family engagement, and competition participation exceeding targets. The program demonstrates that participatory, culturally rooted multimedia education can effectively improve complementary feeding practices and is feasible for integration into routine posyandu activities. Keywords: complementary feeding; multimedia education; posyandu; behaviour change; child nutrition
The Influence of Nutritional Status on the Incidence of Postpartum Hemorrhage in Three Community Health Centers (CHCs) in Dili, Timor Leste Fernandes, Alcinda Pinto; Ariani, Novida; Wardani, Diadjeng Setya; Peguinho, Hermes; Maia, Hadidja Binti Ali Hosman; Soares, Filomena; Rodríguez, Mirioldis Matos
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24975

Abstract

Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality in low- and middle-income countries, including Timor-Leste. This analytical cross-sectional study, conducted from January to December 2024 in three community health centers (CHCs) in Dili, examined the association between maternal nutritional status and the incidence of PPH. Nutritional indicators included pre-pregnancy body mass index (BMI), gestational weight gain, anemia status, and mid-upper arm circumference (MUAC). Data were collected from medical records of 130 postpartum mothers (65 with PPH, 65 without). The prevalence of PPH was 50%. Among participants, 22.1% had anemia (hemoglobin <11 g/dL), 50.8% had MUAC <23.5 cm, and 41.5% had a pre-pregnancy BMI outside the WHO normal range (18.5-24.9 kg/m²). Only 26.4% achieved gestational weight gain within Institute of Medicine guidelines. Logistic regression analysis revealed that anemia significantly increased the risk of PPH (OR = 3.4; 95% CI: 1.38-8.40; p = 0.011), while other nutritional indicators showed no significant association. These findings highlight the critical role of antenatal anemia screening and targeted nutritional interventions in reducing PPH risk. This study provides locally relevant evidence to inform maternal health strategies in Timor-Leste. Keywords: Postpartum hemorrhage, Pre-pregnancy BMI, weight gain, Mid-Upper Arm Circumference, Antenatal Care, Community health center
Co-Authors Agus Adi Putrawan Aisyah Ardiana, Hanida Alidha Nur Rakhmani Anika Pratiwi, Sindy Anis Puji Rahayu Arcelia Putri Nurcahyani Ariani, Novida Arifiandi, Maya Devi Arifin Syamsul Bambang Rahardjo Chusna, Safira Mauliyatul da Silva, João Francisco Lela da Silva, Zelita Fernandes Devi, Nabila Sinta Dewi Kartika Sari Diana Fransisca, Ratna Dini Syarafina, Hafizahah Duhitatrissari, Fifin Pradina Emiliana, Farica Eri Kurniasari Fajar Ari Nugroho Fatmawati Fatmawati Fernandes, Alcinda Pinto 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 I Wayan Agung Indrawan Intan, Dara Jesica Mulyadi Kedaton, Rafi Andyah Arum Kedaton, Rafi’ Andyah Arum Krisjentha Iffah Agustasari Kristianingsih, Rey Kusworini Handono Lionardy, Chandra Maia, Hadidja Binti Ali Hosman Mergy Gayatri MIFTAHUL JANNAH Miftahul Jannah Nabila Sinta Devi Novida Ariani Nur Aini Retno Hastuti Nurazizah, Devita Alifia Nurul Fathiyyah Peguinho, Hermes Peguinho, Hermes Permata Sari, Hannie Puspita, Alfi Laili Putu Sudewi Arsini Rahayuningsih, Elba Putri rahmah, shofi nur Ratna Diana Fransisca Ratna Diana Fransiska Ratna Diana Fransiska Retnaningtyas, Nining Retno Hastuti, Nur Aini Rismaina Putri Rismaina Putri Rodríguez, Mirioldis Matos Sabilla Khaerunissa, Dymphna Sebrina, Keyko Dyandra Setiawati, Lisa Sholikhah, Laila Aminatus Simanjuntak, Roganda Sinta Devi, Nabila Sinta, Dewi Soares, Filomena Sri Andarini Sri Andarini Sri Andarini Telaumbanua, May Kristina Indah K Viera Wardhani Wahyuningtyas, Mariana Wardani, Arti Wati, Linda Ratna Widya Risanti, Arini Zamanti, Arfiyani