Articles
Factors Influencing the High Acceptance of Injectable Contraceptives
Rifzul Maulina;
Dian Setyorini
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production
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DOI: 10.53713/htechj.v4i1.560
The use of injectable contraceptives remains the leading choice among women of reproductive age (WRA) in various regions in Indonesia. The number of injectable family planning (FP) acceptors has increased significantly compared to other contraceptive methods. This study aims to describe and analyze the factors influencing the high number of injectable contraceptive acceptors. This research employed a descriptive, cross-sectional design. The study population consisted of all active injectable contraceptive acceptors (35 respondents), selected using a total sampling technique. Data were analyzed descriptively using frequency and percentage distribution. The results showed that most respondents had good knowledge about injectable contraceptives (60.0%), a positive attitude toward their use (68.6%), received spousal support (74.3%), perceived the role of health workers as good (80.0%), and stated that access to services was easily reachable (82.9%). These factors collectively contributed to the high interest and continued use of injectable contraceptives in the study area. These findings underscore the importance of involving husbands and ensuring that midwifery services are supportive and accessible to sustain family planning programs in rural settings.
The Effect of Endorphin Massage on Reducing Anxiety Levels During the First Stage of Labor
Didin Prasetya Cahyaningsih;
Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production
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DOI: 10.53713/htechj.v4i1.571
Anxiety in mothers entering the latent phase of the first stage of labor can arise due to various factors, including psychological conditions, lack of family support, fear of the birthing process, limited information, and physical complaints experienced during labor. One non-pharmacological approach that has the potential to help reduce anxiety is endorphin massage, a massage technique believed to stimulate the release of endorphins, which are natural stress reducers. This study aims to assess the effectiveness of endorphin massage in reducing anxiety levels in pregnant women. The research design used a quantitative descriptive method with a one-group pretest–posttest approach. A total of 25 mothers in the first stage of labor at TPMB Diah Ulul in Probolinggo City were included in the sample. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Univariate analysis was used to describe the distribution of results, while differences in anxiety scores were tested using the t-test. The results showed a statistically significant decrease in anxiety after endorphin massage (t = 19.5; p < 0.001), with the average HARS score decreasing from 29.9 to 13.9. These findings indicate that endorphin massage is an effective non-pharmacological intervention and can be recommended as a supportive measure to help reduce anxiety in laboring mothers, thereby potentially improving comfort and the quality of the birthing experience.
The Effect of Information, Education, and Communication on Compliance with Multiple Micronutrient Supplements Consumption in Pregnant Women
Nurul Wahidatil Yusro Islami;
Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production
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DOI: 10.53713/htechj.v4i2.590
Multiple micronutrient supplements (MMS) are widely recommended during pregnancy to prevent anemia and improve maternal nutritional status. Despite their proven benefits, adherence to MMS intake among pregnant women remains suboptimal, contributing to the persistently high prevalence of maternal anemia in many low- and middle-income countries. Effective Information, Education, and Communication (IEC) delivered by health workers may play a crucial role in improving maternal knowledge and adherence to supplementation. This study aimed to examine the association between the quality of IEC provided by health workers and compliance with MMS consumption among pregnant women. A cross-sectional study was conducted involving 30 pregnant women selected through a total sampling method. Data were collected using validated and reliable questionnaires measuring the quality of IEC and adherence to MMS intake. Descriptive statistics were used to summarize participant characteristics, and the association between IEC quality and MMS compliance was analyzed using the Chi-square test. Odds ratios (OR) were calculated to estimate the strength of the relationship. The majority of respondents received high-quality IEC (63.3%), and 66.7% of pregnant women reported compliance with MMS consumption. Statistical analysis revealed a significant association between IEC quality and MMS compliance (p = 0.012). Pregnant women who received high-quality IEC were 10.5 times more likely to adhere to MMS intake compared with those who received poor-quality IEC (OR = 10.5). The quality of Information, Education, and Communication (IEC) significantly influences pregnant women’s compliance with MMS consumption. Strengthening structured, interactive, and continuous IEC during antenatal care is recommended to improve adherence to supplementation and ultimately enhance maternal nutritional outcomes.
The Effect of Lactation Massage on Breast Milk Production in Postpartum Mothers
Viky Aulia Restyo;
Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production
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DOI: 10.53713/htechj.v4i2.591
Inadequate breast milk production remains a common challenge among postpartum mothers, often associated with hormonal imbalance, maternal fatigue, and insufficient breast stimulation, which can hinder the achievement of exclusive breastfeeding targets. Despite global recommendations, exclusive breastfeeding rates remain suboptimal, highlighting the need for effective, non-pharmacological interventions. Lactation massage has been proposed as a technique to stimulate oxytocin release and improve the milk ejection reflex. This study aimed to evaluate the effect of lactation massage on breast milk production among postpartum mothers. A quasi-experimental study with a pretest–posttest control group design was conducted involving 20 postpartum mothers selected through purposive sampling. Participants were equally assigned to intervention and control groups. The intervention group received lactation massage for three consecutive days, while the control group received standard postpartum care. Breast milk production was measured by expressed milk volume using a breast pump for 10–15 minutes at 08:00 a.m. daily. Data were analyzed using appropriate statistical tests with a significance level set at p < 0.05. The intervention group demonstrated a significant increase in mean breast milk production, from 45.2 mL at baseline to 77.6 mL post-intervention, with a mean difference of 32.4 mL (p < 0.001). In contrast, the control group showed no statistically significant change (p = 0.214). Between-group analysis revealed a significant difference in posttest milk production (p < 0.001). Lactation massage significantly enhances breast milk production in postpartum mothers. This simple, non-invasive intervention may be integrated into routine postpartum care to support optimal breastfeeding outcomes.
Pengaruh Rebusan Daun Rami (Boehmeria Nivea) Terhadap Percepatan Penyembuhan Luka Jahitan Perinieum Pada Ibu Nifas
Anggie Nur'aini Ramadhani;
Rifzul Maulina;
Anik Purwati
Indonesian Journal of Health Community Vol 7 No 1 (2026): Volume 7 Nomor 1 Tahun 2026
Publisher : Universitas Ivet
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DOI: 10.31331/ijheco.v7i1.4439
Perineal sutures in postpartum mothers require proper care to prevent infection and promote faster wound healing. One complementary therapy that may be used is boiled ramie leaf (Boehmeria Nivea), as it contains bioactive compounds with anti-inflammatory and antibacterial properties. This study aimed to determine the effect of boiled ramie leaf (Boehmeria Nivea) on accelerating perineal suture wound healing among postpartum mothers at TPMB Ngadillah, Pakis District, Malang Regency. This research employed a quantitative approach using a quasi-experimental design with a non-equivalent control group design. The sample consisted of 32 postpartum mothers selected through purposive sampling and divided into an intervention group (n = 16) and a control group (n = 16). The findings showed that the mean REEDA score in the intervention group was 2.75, whereas the control group had a mean score of 6.88. The Mann-Whitney test yielded a p-value of less than 0.05, indicating a statistically significant effect of boiled ramie leaf administration on accelerating perineal suture wound healing. Therefore, boiled ramie leaf (Boehmeria Nivea) was proven to be effective in promoting faster healing of perineal sutures in postpartum mothers, as demonstrated by lower REEDA scores compared with the control group.
THE EFFECT OF LAVENDER AROMATHERAPY ON SLEEP QUALITY AMONG ADOLESCENTS WITH SLEEP DISTURBANCES AT SMK MUHAMMADIYAH 07 GONDANGLEGI MALANG
Ayunda Aprilia;
Nila Widya Keswara;
Rifzul Maulina
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 1 (2026): VOLUME 10 ISSUE 1 APRIL 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia
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DOI: 10.29082/IJNMS/2026/Vol10/Iss1/819
Sleep disorders in adolescents are common health problems that can affect physical health, emotional well-being, and learning ability. One non-pharmacological therapy that can be used to help improve sleep quality is lavender aromatherapy, which has a relaxing effect on the nervous system. This study aimed to determine the effect of lavender aromatherapy on sleep quality among adolescents at SMK Muhammadiyah 7 Gondanglegi. This study used a pre-experimental design with a one group pretest - posttest approach. The population in this study consisted of 60 twelfth-grade nursing students at SMK Muhammadiyah 7 Gondanglegi, while the sample included 43 respondents selected using purposive sampling technique. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire before and after the intervention of lavender aromatherapy for seven days. Data were analyzed using the paired sample t-test with a significance level of α = 0.05. The results showed that the mean PSQI score before the intervention was 12.35, while after the intervention it decreased to 5.23, indicating an average reduction of 7.12 points. The statistical test showed a p-value = 0.000 (p < 0.05), which means that there was a significant effect of lavender aromatherapy on improving adolescents' sleep quality. Based on these results, it can be concluded that lavender aromatherapy has an effect on improving sleep quality in adolescents and can be used as a non-pharmacological alternative therapy to help overcome sleep disorders.
Pengaruh lukisan jari (finger painting) terhadap perkembangan motorik halus anak prasekolah usia 4-5 tahun
Nurul Annisa'un Sholihah;
Raden Maria Veronika;
Rifzul Maulina
Jurnal Asuhan Kebidanan Vol 5 No 2 (2025): Journal of Midwifery Care
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi
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DOI: 10.34305/jmc.v5i02.1701
Latar Belakang: Anak merupakan individu yang sangat unik dan memiliki karakteristik tersendiri, namun mereka masih sangat bergantung pada orang dewasa dalam hal pemenuhan kebutuhan dasar seperti makanan, perlindungan, dan kasih sayang. Anak usia prasekolah atau yang sering disebut sebagai masa awal kanak-kanak, adalah kelompok anak yang berada pada rentang usia antara 3 hingga 6 tahun, di mana pada masa ini perkembangan fisik dan mentalnya berlangsung dengan pesat. Penelitian ini dilakukan dengan tujuan utama untuk mengetahui apakah terdapat pengaruh yang signifikan dari kegiatan lukisan jari atau finger painting terhadap perkembangan keterampilan motorik halus pada anak-anak prasekolah yang berusia 4 sampai 5 tahun di TK Dharma Wanita Sukolilo Jabung.Metode: Penelitian menggunakan metode pre-experimen dengan desain one-group pretest-posttest. Subjek penelitian ini adalah 20 anak prasekolah usia 4-5 tahun di TK Dharma Wanita Sukolilo Jabung Malang, yang dipilih menggunakan purposive sampling. Data dikumpulkan menggunakan instrument Denver II.Hasil: Hasil analisis menggunakan uji Wilcoxon menunjukkan adanya peningkatan signifikan dalam perkembangan motoric halus setelah diberikan intervensi finger painting (p < 0,05).Kesimpulan: Kegiatan ini direkomendasikan sebagai metode peningkatan motorik halus pada anak yang efektif.
Pengaruh Edukasi Terapi Bermain Kolase terhadap Perkembangan Motorik Halus Anak Prasekolah di Era Digital
Sandrina Dewi Marshanda;
Rifzul Maulina;
Raden Maria Veronika Widiatrilupi
HORIZON: Indonesian Journal of Multidisciplinary Vol. 4 No. 3 (2026): HORIZON: Indonesian Journal of Multidisciplinary
Publisher : Lembaga Intelektual Muda (LIM) Maluku
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DOI: 10.54373/hbx5n488
Fine motor development is an essential aspect of preschool children's readiness for learning. In the digital era, reduced engagement in manipulative play activities due to excessive gadget use may hinder children's fine motor development. This study aimed to determine the effect of collage play therapy on the fine motor development of preschool-aged children. A quantitative approach with a quasi-experimental design using a non-equivalent control group design was employed. The sample consisted of 20 respondents, including 10 children in the intervention group and 10 children in the control group, selected through purposive sampling. Data were collected through observation and analyzed using the Wilcoxon and Mann–Whitney tests. The results showed a significance value of 0.004 (p < 0.05), indicating that collage play therapy had a significant effect on improving children's fine motor development. Collage play therapy proved to be an effective, simple, and enjoyable stimulation method for supporting preschool children's development. The limitations of this study include the relatively small sample size and the implementation of the study in a single location. Future research is recommended to involve a larger sample and a wider geographical coverage to enhance the generalizability of the findings
Hubungan Tingkat Pengetahuan Akseptor terhadap Pemilihan Alat Kontrasepsi Hormonal di Desa Gedog Wetan
Ima Rusmawati;
Rifzul Maulina
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.55606/klinik.v4i3.4598
The proper selection of hormonal contraceptive methods is a crucial component in supporting the success of the Family Planning (FP) program. However, variations in knowledge levels among acceptors remain a major factor influencing the accuracy of contraceptive method choices. This study aims to analyze the relationship between the level of acceptors' knowledge and the selection of hormonal contraceptive methods in Gedog Wetan Village. A descriptive quantitative approach with a comparative design was used, involving two independent groups: an intervention group and a control group. A total of 30 women of reproductive age were selected using a total sampling technique. Data were collected through a structured questionnaire using the Guttman scale, and analyzed using the Independent Samples Test via SPSS version 22. The results showed a significant difference between knowledge levels and the accuracy of hormonal contraceptive selection (p = 0.000), with the intervention group that received educational sessions demonstrating more accurate choices compared to the control group. In conclusion, the level of knowledge significantly influences the selection of hormonal contraceptive methods. Therefore, structured and continuous education is essential to support rational decision-making in contraceptive use.
Pengaruh Slow Deep Breathing terhadap Kecemasan Ibu saat Pemasangan KB Implan
HELEN MARSHANDA;
RETNO DEWI PRISUSANTI;
RIFZUL MAULINA
Hang Tuah Medical Journal Vol 23 No 2 (2026): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah
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DOI: 10.30649/htmj.v23i2.976
The Family Planning (FP) program is a government initiative to control population growth through the use of long-term contraceptive methods, including implant contraception. However, fear and anxiety regarding pain during implant insertion often become barriers for acceptors. This study aimed to determine the effect of slow deep breathing relaxation techniques on anxiety levels of women during implant insertion at TPMB Afita Delianah, Turen, Malang Regency. A quantitative quasi-experimental study with a Nonequivalent Control Group design was conducted with 32 respondents divided equally into an intervention group and a control group. The intervention group received slow deep breathing exercises for 15 minutes before implant insertion, while the control group did not receive any intervention. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data analysis included Shapiro-Wilk normality test, paired t-test, Levene’s homogeneity test, and Independent Sample T-Test. Results showed that before the intervention, the mean anxiety score of the intervention group was 28.75 and the control group was 27.88. After the intervention, the intervention group’s anxiety score significantly decreased to 20.00, while the control group only decreased to 27.13. Independent Sample T-Test results indicated that the reduction in anxiety was significantly greater in the intervention group compared to the control group (p < 0.05). These findings indicate that slow deep breathing relaxation is effective in reducing anxiety during implant insertion. This technique can serve as a practical, safe, and applicable non-pharmacological strategy in midwifery practice to enhance women’s psychological comfort during reproductive health procedures.