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Hubungan Kesehatan Mental pada Ibu Nifas dengan Tingkat Pengeluaran ASI di Puskesmas Lewa Nusa Kabupaten Sumba Timur Tenggara Timur (NTT) Niwa, Nasrani Hamu Kabeba; Nuryanti, Erni; Fajrin, Rafika
Midwifery Care Journal Vol. 6 No. 1 (2025): January 2025
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v6i1.11536

Abstract

 The postpartum period is the period after childbirth. The postnatal phase contains several adaptations, but not all postpartum mothers can go through it well and this can have an impact on mental health. Therefore, the mental health of postpartum mothers is something that must be considered, especially postpartum mothers who are very vulnerable to baby blues and postpartum depression, considering that poor mental health in postpartum mothers can hinder the smooth flow of breast milk. The aim of this research is to determine the relationship between mental health in postpartum mothers and the level of breast milk production in the Lewa Community Health Center working area, East Sumba Regency, NTT. This research was conducted at the Lewa NTT Community Health Center with a sample size of 30 postpartum mothers on days 1 to 10. This research used a correlation analytical method with a cross-sectional design. The instruments used were the EPDS questionnaire and the breast milk flow smoothness questionnaire. Bivariate analysis used the Spearman Rank test. The results showed that 19 (63.3%) respondents experienced moderate postpartum blues, and 21 (70%) respondents experienced irregular milk production. There is a relationship between mental health and the level of breast milk production in postpartum mothers with a P-value of 0.000 (<0.05). It is hoped that community health centers can increase outreach and counseling activities to provide information related to mental health and optimal health education for postpartum mothers.
HIV/AIDS Prevention through Pocketbook to Increase Knowledge and Attitudes Among Adolescents Fajrin, Rafika; Kurniawati, Yustina Tyas; Lorenna, May; Setianingsih, Agustin
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4899

Abstract

Adolescent reproductive health is a health condition that concerns to reproductive system, functions, and processes owned by adolescents. HIV attacks the immune system then AIDS is a symptom of reduced self-defense caused by the entry of HIV. Objective: to determine the effect of communication, information, and education methods using pocketbooks to increase adolescents' knowledge and attitudes about health as a preventive effort for HIV/AIDS at SMA Negeri 4 Semarang. Method: This quantitative research used the quasi-experimental method with one group pre-post test design. The sampling technique was a total sampling of 52 students. The instrument used was a questionnaire measuring the knowledge and attitude of adolescents. Results: statistical tests using the Wilcoxon Test with a Paired T-test. The majority of those aged 15-18 years (69%) and dominated by women (52%) showed that before the intervention with education using pocketbook, the level of knowledge was good and sufficient at 50% each. After the intervention, there was an increase in good knowledge to 73.1%. Before the intervention, the majority of respondents had a good attitude of 65.4% but after the intervention, there was an increase to 73%. Bivariate analysis showed the effect of pocketbook media on increasing knowledge and attitudes of adolescents about HIV/AIDS with a p-value of 0.116 and 0.023, respectively. Conclusions: Using pocketbooks significantly improves adolescents' knowledge and attitudes regarding HIV/AIDS, highlighting their effectiveness in conveying health information.
PENGARUH KELAS IBU TERHADAP PENGETAHUAN ISI BUKU KIA PADA IBU HAMIL DI WILAYAH KERJA UPTD PUSKESMAS GEYER 2 Retno Suciati; Triana Sri Hardjanti; Rafika Fajrin
Scientica: Jurnal Ilmiah Sains dan Teknologi Vol. 2 No. 3 (2024): Scientica: Jurnal Ilmiah Sains dan Teknologi
Publisher : Komunitas Menulis dan Meneliti (Kolibi)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.572349/scientica.v2i3.1076

Abstract

Kesehatan Ibu dan Anak (KIA) merupakan salah satu prioritas utama global dan merupakan layanan kesehatan masyarakat yang penting. Populasi penelitian ini adalah seluruh ibu hamil di wilayah kerja UPTD Puskesmas Geyer 2 yaitu 78 ibu hamil dengan jumlah sampel 44 responden pada bulan April sampai dengan bulan Desember 2023. Penelitian ini bertujuan untuk mengetahui pengaruh kelas ibu terhadap pengetahuan isi buku KIA pada ibu hamil di wilayah kerja UPTD puskesmas geyer 2. Penelitian ini menggunakan metode pendekatan pra eksperimen dengan pendekatan one group pretest posttest tanpa kelompok kontrol. Cara pengambilan sampel dalam penelitian ini adalah non probability sampling dengan teknik purposive sampling. Analisis bivariat yang digunakan yaitu uji Shapiro wilk karena jumlah sampel dalam penelitian berjumkah kecil sebanyak 44 orang (≤50 orang). Hasil dari penelitian ini adalah Pengetahuan ibu hamil sebelum (pretest) responden dengan kategori baik sebanyak 21 orang (47,7%) dan pengetahuan ibu hamil sesudah (posttest) mengalami peningkatan menjadi 42 responden (95,4%) dengan kategori baik . Pada uji shapiro wilk didapatkan α > 0,05 sehingga data berdistribusi normal dan dari uji simple paired T test menunjukkan p value 0,000 < 0,05 dapat disimpulkan bahwa terdapat pengaruh kelas ibu terhadap pengetahuan isi buku KIA pada ibu hamil di wilayah Puskesmas Geyer 2. Saran dalam penelitian ini adalah Ibu hamil diharapkan dapat selalu mengikuti kelas ibu hamil dan lebih aktif mencari informasi atau bertanya ke petugas kesehatan mengenai isi buku KIA yang belum dipahami agar dapat meningkatkan pengetahuan dalam hal pemeliharaan kehamilan, persiapan persalinan, perawatan bayi baru lahir, nifas dan KB
Health Education Of Anemia In Pregnant Women Using Pocketbook Media On Increasing Knowledge, Attitudes, And Compliance With Fe Tablet Consumption Wulandari, Anita; Octaviani, Dhita Aulia; Fajrin, Rafika
Journal of Applied Health Management and Technology Vol. 5 No. 3 (2023): July 2023
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i3.9982

Abstract

The proportion of anemia in pregnancy in Indonesia increased to 48.9%, whereas in Central Java the incidence of anemia in pregnant women was 43.5%. Iron deficiency is often the cause of anemia in pregnant women. Providing information through anemia health education for pregnant women is needed to increase the knowledge, attitudes, and compliance of pregnant women in consuming Fe tablets. The aim was to determine the effect of anemia health education for pregnant women using pocketbooks on increasing knowledge, attitudes, and compliance to the consumption of Fe tablets in Tlogopucang Village, where the village has 43 cases of anemia or 5.6%.            This type of research used a pre-experimental design with one group pretest and posttest. The population in this study were pregnant women in the first and third trimesters with a total of 36 respondents. Sampling with total sampling. The instruments used were questionnaires and pocketbooks. Data collection was carried out by pretest and posttest within one day. Statistical test using the Mc Nemar test.The results showed that anemia health education using pocketbooks affected the knowledge, attitudes, and compliance of pregnant women, with the sig score for the prepost test for knowledge, namely 0.008 <0.05, the sig value for the prepost test for attitude, namely 0.000<0.05. As well, the sig value for the prepost test for compliance, namely 0.002<0.05.Pocketbook media can be used as a tool or media to provide health education. It is hoped that health workers and pregnant women can utilize this anemia pocketbook as a source of information about anemia, particularly anemia in pregnancy. Proporsi anemia kehamilan di Indonesia meningkat menjadi 48,9%, di mana Jawa Tengah memiliki kejadian anemia ibu hamil sebesar 43,5%. Defisiensi zat besi sering kali menjadi penyebab kejadian anemia pada ibu hamil. Pemberian informasi melalui pendidikan kesehatan anemia ibu hamil diperlukan untuk meningkatkan pengetahuan, sikap, dan kepatuhan ibu hamil dalam mengonsumsi tablet Fe. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan anemia ibu hamil dengan media buku saku terhadap peningkatan pengetahuan, sikap, dan kepatuhan konsumsi tablet Fe di Desa Tlogopucang, di mana desa tersebut memiliki kasus anemia sebanyak 43 jiwa atau 5,6%.            Jenis penelitian ini menggunakan pre eksperimental dengan rancangan one group pretest and posttest. Populasi pada penelitian ini adalah ibu hamil trimester I dan III dengan jumlah 36 responden. Pengambilan sampel dengan total sampling. Instrumen yang digunakan yaitu kuesioner dan buku saku. Pengambilan data dilakukan dengan pretest dan posttest dalam kurun waktu satu hari. Uji statistik menggunakan uji Mc Nemar.            Hasil penelitian menunjukkan pendidikan kesehatan anemia dengan media buku saku berpengaruh terhadap pengetahuan, sikap, dan kepatuhan ibu hamil  dengan nilai sig skor prepost test pengetahuan yaitu 0,008<0,05, dan nilai sig skor prepost test sikap yaitu 0,000<0,05, serta nilai sig skor prepost test kepatuhan sebesar 0,002<0,05.            Media buku saku dapat dimanfaatkan sebagai alat atau media untuk memberikan edukasi kesehatan. Diharapkan tenaga kesehatan dan ibu hamil dapat memanfaatkan media buku saku anemia ini sebagai sumber informasi mengenai anemia, khususnya anemia dalam kehamilan.
Digital Maternal Health Education: Exploring the Potential of Mobile Applications for Anemia Prevention Widiastuti, Dhias; Dhita Aulia Octaviani; Rafika Fajrin
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v7i2.14027

Abstract

Anemia during pregnancy remains a major public health concern in Indonesia, with a prevalence of 37.1% reported in 2020. Despite ongoing iron supplementation programs, mild anemia continues to occur, potentially leading to maternal and neonatal complications. Mobile health applications offer innovative opportunities to enhance maternal knowledge and self-monitoring practices. This study aimed to develop and evaluate a prototype of a mobile-based anemia education application for pregnant women. A pre-experimental study involving 30 pregnant women aged 31–43 years at Puskesmas Ngesrep, Semarang, was conducted. Hemoglobin (Hb) levels were measured and participants were guided to use the application, which included features such as anemia information, Hb input, automatic anemia classification, and prevention tips. Results showed that 90% of respondents had normal Hb levels, while 10% experienced mild anemia. Feedback on the application was overwhelmingly positive: 100% of respondents agreed the application was easy to use, informative, visually appealing, and helpful in understanding anemia, with willingness to use it again. These findings align with previous studies emphasizing the role of mobile health tools in maternal education. The study concludes that the application has strong potential for further development, particularly in content enhancement and interactive features. The prototype reached Technology Readiness Level (TRL) 4–5, validating the system in a limited setting. This work contributes to advancing digital maternal health solutions in Indonesia. Keywords: pregnant women; anemia; mobile application; health education; maternal literacy