Articles
<![CDATA[Analysis of Nutritional Intake and Economic Status as Risk Factors for Chronic Energy Deficiency (CED) in Pregnant Women at Patilanggio Community Health Center ]]>
<![CDATA[Silvoni Saleh]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/naj.v3i3.1019
<![CDATA[Chronic Energy Deficiency (CED) in pregnant women remains a major nutritional problem in Indonesia and contributes to various maternal and neonatal complications. CED reflects a long-term energy and macronutrient deficit, often influenced by inadequate nutritional intake and socioeconomic limitations. This study aims to analyze nutritional intake and economic status as risk factors for Chronic Energy Deficiency (CED) in pregnant women in the Patilanggio Community Health Center (Puskesmas) working area. This study used a quantitative observational design with a cross-sectional approach. The study sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected through interviews using a respondent characteristics questionnaire and food recall to assess energy and protein intake, as well as Mid-Upper Arm Circumference (MUAC) measurements to determine CED status. Data analysis was conducted descriptively and cross-descriptively. The results showed that all respondents had energy and protein intakes below 90% of the Recommended Dietary Allowance (RDA) and all were categorized as CED based on the MUAC measurement. All respondents were also categorized as low economic status, reflecting a homogeneous socioeconomic condition. These findings indicate that CED in pregnant women at the study site is associated with inadequate nutritional intake and limited economic status. In conclusion, CED in pregnant women is a chronic nutritional problem influenced by nutritional and socioeconomic factors, necessitating comprehensive prevention and treatment efforts based on primary health care services.]]>
<![CDATA[The Influence of Nutrition Education on the Knowledge and Attitudes of Adolescent Girls about the Importance of Consuming Iron Tablets at the Daruba Community Health Center, Morotai Islands ]]>
<![CDATA[Sindy Umasangadji]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/naj.v3i1.1020
<![CDATA[Anemia in adolescent girls remains a significant public health problem in Indonesia, particularly in island regions with limited access to health information and services. One of the main factors contributing to the high incidence of anemia is the low level of knowledge and attitudes among adolescent girls regarding the importance of consuming iron (Fe) tablets. Nutrition education is seen as a promotive-preventive strategy that has the potential to improve the determinants of anemia prevention behavior. This study aims to analyze the effect of nutrition education on the knowledge and attitudes of adolescent girls regarding the importance of consuming iron tablets in community health centers in the Morotai Islands. This study used a quasi-experimental design with a one-group pretest-posttest approach. The study sample consisted of 30 adolescent girls selected using a total sampling technique. Data were collected using a structured questionnaire to measure knowledge and attitudes before and after the nutrition education intervention. Data analysis was conducted descriptively and inferentially using paired statistical tests appropriate to the data distribution. The results showed an increase in the level of knowledge and attitudes of adolescent girls towards consuming iron tablets after being provided with nutrition education. Statistical tests showed a statistically significant difference between the conditions before and after the intervention in both knowledge and attitude variables. In conclusion, nutrition education significantly impacts adolescent girls' knowledge and positive attitudes toward iron tablet consumption. Structured and sustainable integration of nutrition education into primary healthcare services, particularly in island regions, is crucial to support anemia prevention efforts from adolescence onward.]]>
<![CDATA[The Effect of Perineal Wound Care Education on the Level of Knowledge and Compliance of Postpartum Mothers at Laiwui Community Health Center, South Halmahera ]]>
<![CDATA[Isna Ariani Syam]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 3 No. 1 (2025): Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/antigen.v3i1.992
<![CDATA[Perineal wounds due to spontaneous tears or episiotomy are common conditions experienced by postpartum mothers and have the potential to cause complications if not properly cared for. Low knowledge and compliance of postpartum mothers in performing perineal wound care remains a problem in primary health care. This study aims to analyze the effect of perineal wound care education on the level of knowledge and compliance of postpartum mothers at the Laiwui Community Health Center, South Halmahera. The study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 40 postpartum mothers with perineal wounds and were selected using a total sampling technique. The intervention in the form of perineal wound care education was provided in a structured manner through counseling, leaflets, and live demonstrations. The level of knowledge and compliance was measured before and after the intervention using a standardized questionnaire. Data analysis was performed univariately and bivariately using the Wilcoxon Signed Rank Test. The results showed an increase in the level of knowledge and compliance of postpartum mothers after being provided with education. The Wilcoxon test showed a significant difference between knowledge levels before and after education (p < 0.05), as well as a significant difference in postpartum maternal compliance (p < 0.05). It can be concluded that perineal wound care education has a significant effect on increasing postpartum maternal knowledge and compliance. Structured and applicable education is recommended to be integrated as part of the standard postpartum care in primary health care to support maternal recovery and prevent postpartum complications.]]>
<![CDATA[The Relationship between the Intensity of Cadre Assistance and Compliance with Iron Supplement Consumption among Pregnant Women at the Tomalou Community Health Center, Tidore Kepulauan City ]]>
<![CDATA[Juliyana Maradjabessy]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 3 No. 2 (2025): Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/antigen.v3i2.993
<![CDATA[Anemia during pregnancy is a public health issue that remains a challenge in developing countries, including Indonesia. Iron tablets are recommended as the primary intervention to prevent anemia, but compliance among pregnant women in taking iron tablets varies and is influenced by various factors, including health worker counseling. This study aims to analyze the relationship between the intensity of cadre assistance and the level of compliance with TTD consumption among pregnant women at the Tomalou Community Health Center, Tidore Kepulauan City. The study design used an observational analytical approach with a cross-sectional method. The study sample consisted of 30 pregnant women selected using total sampling technique. The independent variable was the intensity of cadre assistance, while the dependent variable was the level of compliance with TTD consumption. Data were collected using observation sheets, consumption monitoring forms, and respondent identity questionnaires, then analyzed using Spearman's rank correlation test at a significance level of 0.05. The results showed that most respondents were compliant in consuming TTD, but there was no significant relationship between the intensity of cadre assistance and the level of compliance with TTD consumption (r = 0.036; p = 0.848). This study concluded that the frequency of assistance alone was not sufficient to influence TTD consumption compliance, thus requiring a more comprehensive, educational assistance approach that involved family support. These findings could form the basis for evaluating the cadre assistance program in preventing anemia in pregnant women.]]>
<![CDATA[The Relationship Between Inpartu Mothers' Anxiety Regarding Guidance on Delivery and the Incidence of Perineal Rupture at OBI Hospital, South Halmahera ]]>
<![CDATA[Kartini Karim]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 3 No. 4 (2025): November: Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/antigen.v3i4.994
<![CDATA[Anxiety in laboring mothers is a psychological factor that can influence the course of labor, particularly during the second stage, and increase the risk of complications such as perineal rupture. Along with obstetric factors, the quality of labor guidance is crucial in preventing perineal trauma. This study aimed to analyze the relationship between maternal anxiety, labor guidance, and the incidence of perineal rupture at Obi Hospital, South Halmahera. Using an observational analytical design with a cross-sectional approach, the study involved 50 laboring mothers undergoing vaginal delivery, selected through purposive sampling. Data collection took place from February to April 2024, with maternal anxiety measured using a standardized anxiety questionnaire. Labor guidance and perineal rupture were assessed through observation sheets and clinical examinations. Data analysis was conducted univariately and bivariately using the Chi-Square test with a significance level of p < 0.05. The results showed a significant relationship between maternal anxiety and labor guidance (p < 0.05), as well as between maternal anxiety and perineal rupture (p < 0.05). Additionally, labor guidance was significantly associated with the incidence of perineal rupture (p < 0.05). Mothers with higher anxiety levels tended to receive poor labor guidance and had a higher risk of perineal rupture. The study concludes that maternal anxiety significantly impacts labor guidance and perineal rupture, emphasizing the need for holistic care that addresses both psychological and physical aspects of childbirth.]]>
<![CDATA[The Relationship between Family Roles and the Success of the Breastfeeding Process at the Neneng Village Health Center in Banjarmasin ]]>
<![CDATA[Rusmiati Agustina]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/ijmh.v4i4.6110
<![CDATA[Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.]]>
<![CDATA[The Effectiveness of Toddler Classes in Improving the Nutritional Quality of Infants Receiving MP-ASI at the Popayato Timur Community Health Center ]]>
<![CDATA[Silfia Nahdyatus Shoima]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/ijmh.v4i4.6111
<![CDATA[The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.]]>
<![CDATA[The Role of Midwives in Reproductive Health Education as an Effort to Delay Early Marriage Among Adolescents at the Dambalo Community Health Center ]]>
<![CDATA[Fitriana Sain]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i2.324
<![CDATA[Early marriage is a reproductive health issue that remains a challenge in various regions of Indonesia, requiring effective educational interventions for adolescents. This study aims to analyze the role of midwives in reproductive health education as an effort to delay early marriage among adolescents at the Dambalo Community Health Center (UPTD Puskesmas Dambalo). The study used an analytical observational design with a cross-sectional approach and involved 30 adolescents selected through total sampling. The variables examined included the role of midwives, knowledge, attitudes, and intentions to delay marriage. Data were collected through a standardized questionnaire and analyzed using Spearman's and Chi-square tests. The results showed that the role of midwives was significantly associated with an increase in adolescents' knowledge (r = 0.579; p = 0.0008). However, no relationship was found between the role of midwives and adolescent attitudes (r = 0.264; p = 0.158). Regarding the variable of intention, all respondents (100%) expressed a desire to delay marriage until the age of ≥ 20 years, so statistical analysis could not be performed. These findings confirm that midwife education is effective in increasing adolescent knowledge, but changes in attitudes and intentions are influenced by other social factors that have been established previously. A collaborative approach between midwives, families, and schools is needed to strengthen comprehensive prevention of early marriage.]]>
<![CDATA[The Effect of Oxytocin Massage on Breast Milk Production in Breastfeeding Mothers at the Galala Inpatient Health Center ]]>
<![CDATA[Fitriyati Syahbudin]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i1.325
<![CDATA[Breast milk production in the early postpartum period often experiences obstacles due to physiological and psychological factors, which can affect the success of exclusive breastfeeding. Non-pharmacological interventions such as oxytocin massage are known to help stimulate the milk ejection reflex, but their application in primary health facilities is still limited. This study aims to determine the effect of oxytocin massage on breast milk production in breastfeeding mothers. The study design used a quasi-experimental approach with a one-group pretest–posttest design. The study sample consisted of 30 breastfeeding mothers who met the criteria and were selected using total sampling technique at the Galala Inpatient Health Center. Breast milk production was measured based on volume and clinical signs of breast milk production before and after the oxytocin massage intervention. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant increase in breast milk volume and signs of production after the intervention with a p-value < 0.001. This indicates that oxytocin massage is effective in increasing breast milk production through a neurohormonal stimulation mechanism that enhances the let-down reflex. In conclusion, oxytocin massage can be recommended as a lactation support intervention in primary care facilities to support successful exclusive breastfeeding.]]>
<![CDATA[The Influence of Health Education on Interest in Cervical Cancer Screening in Women of Reproductive Age at the Daruba Community Health Center, Morotai Islands Regency ]]>
<![CDATA[Nurima Dano Mas'ud]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum ]]>
Publisher : <![CDATA[STIKES Columbia Asia Medan ]]>
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DOI: 10.62027/vitamedica.v3i4.677
<![CDATA[Cervical cancer remains a major public health problem among women, particularly in developing countries such as Indonesia, where morbidity and mortality rates are still high. Although effective screening methods are available, participation among women of reproductive age remains low due to limited awareness, knowledge, and interest in early detection. Health education is considered a key strategy to improve women’s understanding and encourage preventive behavior. This study aims to analyze the effect of health education on women’s interest in cervical cancer screening at the Daruba Community Health Center, Morotai Islands Regency. The research employed a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of reproductive-age women visiting the health center, with a total sample of 40 respondents selected using total sampling techniques. The intervention involved structured health education sessions covering cervical cancer risks, prevention, and screening procedures. Data on screening interest were collected before and after the intervention using validated and reliable questionnaires. Data analysis was conducted descriptively and inferentially using the Wilcoxon Signed Rank Test with a significance level of 0.05. The results showed a significant increase in women’s interest in cervical cancer screening after the intervention (p < 0.05). These findings indicate that health education effectively improves awareness and motivation. Integrating routine education into primary health services is recommended to enhance early detection coverage and support cervical cancer prevention programs, especially in island regions.]]>
