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Pencegahan Kanker Serviks pada Wanita Usia Subur di Posyandu Anggrek Kelurahan Bantan Timur Kecamatan Medan Denai Nugraeny, Lolita; Sitorus, Nopita Yanti; Rangkuti, Juni Andriani
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 6 No. 1 (2024): Vol.6 No. 1 April 2024
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/jpma.v6i1.1304

Abstract

Kanker serviks merupakan penyakit kanker dengan morbiditas tertinggi di Indonesia dan setiap tahun terus mengalami peningkatan kasus baru serta kematian. Upaya paling efektif untuk menurunkan kasus kanker serviks dapat dilakukan dengan deteksi dini pemeriksaan Inspeksi Visual Asam asetat (IVA). Kesadaran masyarakat khususnya kelompok Wanita Usia Subur (WUS) untuk melakukan pemeriksaan IVA masih rendah. Oleh karena itu perlu dilakukan upaya penyadaran kepada masyarakat melalui penyuluhan kesehatan untuk meningkatkan pengetahuan, sikap, dan tindakan pemeriksaan IVA. Kegiatan penyuluhan kesehatan dengan target WUS yang ada di Desa Selat. Hasil kegiatan menunjukkan ada peningkatan pengetahuan 13,7% dan sikap 10,6%. Setelah penyuluhan kesehatan 50% peserta langsung melakukan pemeriksaan IVA di Puskesmas. Pengamatan IVA seluruh peserta menunjukkan hasil negatif. Cervical cancer is a cancer disease with the highest morbidity in Indonesia and every year continues to experience an increase in new cases and deaths. The most effective effort to reduce cases of cervical cancer can be done with early detection by acetic acid visual inspection (IVA). Public awareness, especially in the Women of Childbearing Age group, of carrying out VIA examinations is still low. Therefore, it is necessary to make public awareness efforts through health education to increase knowledge, attitudes and actions for IVA examinations. Health education activities targeting WUS in Selat Village. The results of the activity showed that there was an increase in knowledge of 13.7% and attitude of 10.6%. After health education, 50% of participants immediately underwent an IVA examination at the Community Health Center. IVA observations of all participants showed negative results.
The effect of baby massage and baby spa on weight gain in 3-9 month-old babies at Mahanum Clinic Fauziah, Yaumil; Nasution, Yulia Fatma; Sitorus, Nopita Yanti; Lubis, Desi Handayani; Nasution, Annisa Namirah; R, Maimunah
Science Midwifery Vol 13 No 5 (2025): 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.v13i5.2158

Abstract

Child developmental disorders occur when genetic or environmental factors fail to meet a child's basic growth and development needs. Prompt detection and appropriate intervention can help improve the quality of a child's growth and development later in life. This study aimed to determine the effect of infant massage and baby spa treatments on weight gain in infants aged 3 to 9 months. This was a quasi-experimental study using a pre-test-post-test with a control group design. The subjects consisted of 20 infants in the case group and 20 infants in the intervention group at Mahanum Clinic. The results showed that the average weight gain in infants aged 3-9 months in the intervention group was 740.48 grams, while the average weight gain in the control group was 206.48 grams. The results of the Paired Sample T-test showed a p-value of 0.000 < 0.05, indicating that both baby spa and baby massage have an effect on the weight of babies aged 3-9 months. The results of the Independent T-test showed a p-value of 0.004 < 0.05, indicating that there is a significant difference between baby spa and baby massage on the weight of babies aged 3-9 months, with baby spa being superior to baby massage. It is recommended that midwives use baby spa as an appropriate health promotion strategy to increase infant weight.
The Relationship Between Mothers' Anxiety Levels and Hb-0 Vaccination among Infants in Kota Datar Village Yulia Safitri; Nurhaida Br Kaban; Nopita Yanti Sitorus; Pratiwi Syah Putri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26911

Abstract

 Timely administration of the hepatitis B vaccine at birth (HB-0) is crucial to prevent mother-to-child transmission of the hepatitis B virus. However, HB-0 vaccination coverage, both globally and locally, remains below the desired level. Maternal concerns have been suggested as a potential barrier to newborn vaccination. This study aimed to evaluate the relationship between maternal anxiety levels and the use of HB-0 vaccination in infants in Kota Datar Village, located in Hamparan Perak District, Deli Serdang. In January and February 2024, a cross-sectional survey was conducted involving all mothers with infants aged 0–7 days (n = 35). Maternal anxiety was measured using the 20-item Zung Anxiety Scale. HB-0 vaccine acceptance was documented based on maternal statements and local government records. Chi-square analysis was used to test the relationship, with a significance level of α = 0.05. The group of 35 participants consisted mostly of people aged 20–35 years, and all had completed high school education. HB-0 was administered to 37.1% of infants (13 of 35). Conversely, 62.9% (22 of 35) did not receive HB-0 within the specified birth period. Maternal anxiety was a common problem, affecting 25 of 35 women. Mothers with severe anxiety were significantly less likely to administer HB-0 than those with mild anxiety (χ², p = 0.002). Survey responses, which included quantitative data, showed that safety concerns, fear of fever after vaccination, and misinformation were common reasons for concern. In this group, a significant association was found between maternal anxiety and reduced HB-0 acceptance. To improve the timely immunization of newborns against hepatitis B, it is recommended to use interventions that include prenatal counseling, focused information about risks, and increased involvement of frontline health workers. Future research should investigate the extent to which interventions to reduce anxiety affect vaccine acceptance. Keywords:  Hepatitis B Birth Dose, HB-0 Immunization, Maternal Anxiety, Vaccine Uptake, Newborn Immunization.
The Impact of Health Education Using Audio-Visual Media on the Family's Role in LBW Care at Mutia Sari Hospital, Duri, Riau Helfrida Situmorang; Sri Dewi Br Siregar; Nopita Yanti Sitorus
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28572

Abstract

Low birth weight (LBW) is a major neonatal health concern that places considerable demands on families, who often lack adequate knowledge and skills to care for their infants. Health education through audiovisual media offers a concrete and engaging means of strengthening the family's caregiving role. This study aimed to determine the effect of health education using audiovisual media on the family's role in caring for LBW infants at Mutia Sari Hospital, Duri, Riau. A quantitative quasi-experimental design with a one-group pretest–posttest approach was employed. The population comprised all families of LBW patients at the hospital, and 30 respondents were selected through total sampling. Data on the family's role were collected using a validated questionnaire and analyzed using the Wilcoxon signed-rank test. Before the intervention, the family's role was predominantly in the poor category (50.0%), whereas after the intervention, the majority shifted to the adequate category (46.7%), with the good category rising to 36.7% and the poor category declining to 16.7%. The Wilcoxon signed-rank test yielded Z = −3.272 with a p-value of 0.001 (p < 0.05), indicating a statistically significant difference in the family's role before and after the intervention. It is therefore concluded that health education using audiovisual media significantly improved the family's role in LBW care, and it is recommended that nurses integrate this approach into routine maternal and neonatal care Keywords: Health education, Audiovisual media, Family role, Low birth weight, Neonatal care
Development A Behavioral Model of Family Planning Participation Among Women Of Reproductive Age Based On Lawrence Green’s Precede–Proceed Framework in Medan City, Indonesia Nopita Yanti Sitorus; Helfrida Situmorang; Sri Dewi Br Siregar; Desi Handayani Lubis; Yulia Safitri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.28425

Abstract

Participation of women of reproductive age (WRA) in the family planning (FP) programme in Medan City is only 42.2%, far below the national contraceptive prevalence rate of 59.4%. Existing programmes have not been guided by a locally validated behavioural model.  To develop a behavioural model of FP participation among WRA using Lawrence Green’s PRECEDE–PROCEED framework.  An analytical cross-sectional study was conducted in 2025 among 260 WRA attending 10 maternity clinics and 3 community health centres (puskesmas) in Medan City, selected by stratified random sampling with proportional allocation. Data were collected with a structured questionnaire measuring predisposing (education, knowledge, attitude, information-seeking behaviour, parity), enabling (income, access to health services, media exposure) and reinforcing (husband’s support, health-worker support) factors. Bivariate analysis used the chi-square test with prevalence ratios (PR) and 95% confidence intervals (CI); variables with p < 0.25 entered a multiple logistic regression (forward stepwise Wald). Forty-two respondents (16.2%) did not participate in the FP programme. Eight of ten variables qualified for multivariable modelling. Four determinants remained significant in the final model: knowledge (AOR = 31.37; 95% CI 12.29–80.06), education (AOR = 17.66; 95% CI 8.03–38.85), husband’s support (AOR = 9.52; 95% CI 4.42–20.50) and income (AOR = 2.83; 95% CI 1.20–6.66). Knowledge was the dominant predictor. A woman with poor knowledge, low education, an unsupportive husband and low income had a predicted probability of non-participation of 99.8%, compared with 0.9% for a woman with none of these characteristics. FP participation in Medan is determined by the interaction of predisposing, enabling and reinforcing factors. Interventions should combine contraceptive literacy education, couple-based counselling and economic empowerment of low-income households Keywords: Contraceptive Behaviour; Family Planning; Logistic Regression; PRECEDE–PROCEED Model; Women of Reproductive Age
PENGARUH PRENATAL YOGA TERHADAP KECEMASAN IBU HAMIL DALAM MENGHADAPI PERSALINAN DI PUSKESMAS X KABUPATEN PADANG PARIAMAN Novvi Karlina; Nopita Yanti Sitorus; Rahmi Mutia Ulfa
Menara Medika Vol 9, No 1 (2026): VOL 9 No 1 SEPTEMBER 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v9i1.8380

Abstract

Latar Belakang: Kecemasan pada ibu hamil trimester III merupakan masalah psikologis yang sering terjadi menjelang persalinan dan dapat memengaruhi kesiapan fisik maupun mental ibu dalam menghadapi proses persalinan. Tingginya tingkat kecemasan dapat berdampak terhadap proses persalinan, kondisi kesehatan ibu, serta kesejahteraan janin. Salah satu upaya nonfarmakologis yang dapat dilakukan untuk membantu menurunkan kecemasan ibu hamil adalah prenatal yoga. Tujuan : ntuk mengetahui pengaruh prenatal yoga terhadap kecemasan pada ibu hamil dalam menghadapi persalinan di wilayah kerja Puskesmas Lubuk AlungKabupaten Padang Pariaman. Metode : ini menggunakan desain pre eksperimen dengan pendekatan one group pretest-posttest. Sampel penelitian berjumlah 34 ibu hamil trimester III yang dipilih menggunakan teknik total sampling. Intervensi prenatal yoga dilakukan sebanyak enam kali selama tiga minggu. Pengumpulan data menggunakan lembar observasi Hamilton Rating Scale for Anxiety (HRS-A). Analisis data menggunakan uji Paired Sample T-Test. Hasil : menunjukkan sebelum dilakukan prenatal yoga terdapat 7 responden mengalami kecemasan berat, 18 responden mengalami kecemasan sedang, 8 responden mengalami kecemasan ringan, dan 1 responden tidak mengalami kecemasan. Setelah dilakukan prenatal yoga terjadi penurunan tingkat kecemasan, yaitu kecemasan berat menjadi 4 responden, kecemasan sedang menjadi 14 responden, kecemasan ringan menjadi 13 responden, dan tidak cemas menjadi 3 responden. Hasil uji statistik menunjukkan nilai p value = 0,000 (0,05), sehingga Kesimpulan : dapat disimpulkan terdapat pengaruh prenatal yoga terhadap kecemasan ibu hamil dalam menghadapi persalinan. Kata Kunci: prenatal yoga, kecemasan, ibu hamil, persalinan, trimester III
Co-Authors Annisa Namirah Nasution br Kaban, Nurhaida Desi Handayani Lubis Desi Handayani Lubis Harahap, Rizki Noviyanti Helfrida Situmorang Helfrida Situmorang Karlina, Novvi Maimunah R Maimunah R Maimunah R Martilova, Dona Maya Sari Mutia Ulfa, Rahmi Novvi Karlina Nugraeny, Lolita Nurhaida br Kaban Nurhaida Br Kaban Nurhaida Br Kaban Pratiwi Syah Putri Pratiwi Syah Putri Putri, Pratiwi Syah R, Maimunah Rahmi Mutia Ulfa Rangkuti, Juni Andriani Safitri, Yuli Sri Dewi Br Siregar Sri Dewi Br Siregar Suhartini Yaumil Fauziah Yuli Safitri Yulia Fatma Nasution Yulia Safitri Yulia Safitri