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Improving Maternal and Child Health Outcomes: A Community Midwifery Approach in Purwakarta, Indonesia Maryamah, Neneng
Archives of The Medicine and Case Reports Vol. 5 No. 4 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i4.619

Abstract

Maternal and child health (MCH) remains a critical public health concern in Indonesia, particularly in rural areas. Community midwives play a pivotal role in addressing MCH challenges by providing accessible and culturally sensitive care. This study aimed to evaluate the impact of a community midwifery program on MCH outcomes in Purwakarta, Indonesia, focusing on antenatal care (ANC) utilization, stunting prevalence, and sanitation practices. A quasi-experimental study was conducted in Purwakarta, involving two villages: one intervention village receiving the community midwifery program and one control village with standard care. The program encompassed health education, ANC promotion, growth monitoring, and sanitation improvement initiatives. Data on ANC visits, child growth, and sanitation practices were collected at baseline and after one year. The intervention village demonstrated a significant increase in ANC attendance (p < 0.05) and a reduction in stunting prevalence (p < 0.01) compared to the control village. Improved sanitation practices were also observed in the intervention village. In conclusion, the community midwifery program effectively enhanced MCH outcomes in Purwakarta. The findings underscore the importance of community-based midwifery interventions in improving ANC utilization, reducing stunting, and promoting sanitation practices. Scaling up such programs can contribute significantly to achieving sustainable development goals related to MCH in Indonesia.
Pengaruh Minuman Kunyit Asam Terhadap Perubahan Skala Nyeri Haid pada Remaja di SMK Bhakti Asih Purwakarta Maryamah, Neneng; Khaerunnisa, Gina
Jurnal Sosial Teknologi Vol. 5 No. 8 (2025): Jurnal Sosial dan Teknologi
Publisher : CV. Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsostech.v5i8.32372

Abstract

Based on data from the World Health Organization (WHO) in 2015, the incidence of dysmenorrhea is very high. It is estimated that 50% of women in the world experience dysmenorrhea, it was found that 1,815,211 people (90%) women experience dysmenorrhea with 11-15% experiencing severe dysmenorrhea. The incidence of dysmenorrhea in Indonesia is quite high, which is 54.89% of primary dysmenorrhea and 9.36% of secondary dysmenorrhea (Dahlan, 2017). Meanwhile, according to Andriyani (2016), the incidence of dysmenorrhea in West Java in 2015 was 72.89% primary dysmenorrhea and 27.11% of secondary dysmenorrhea and in Purwakarta as many as 63.2% of adolescents experienced dysminoria. Women who experience dysmenorrhea experience complaints such as pain or cramps, pain and are unable to work to take care of their own needs (Novia, 2013). Therefore, health workers must play an important role in helping health services, one of which is providing sour turmeric drinks to adolescents who experience menstrual pain. This study is to find out whether there is an effect of sour turmeric drink on reducing the intensity of menstrual pain in adolescents. This study is a quantitative research using a Quasy Experiment research design with a One Group Pretest- Posttest Design design using purposive sampling with a sample of 32 respondents, using the data obtained and then analyzed with the Wilxocon test using the help of the SPSS computer program. Study results: The results of the wilxocon analysis test had an effect on pain intensity in respondents before and after the experiment (giving sour kuyit drink) where the average value before being given was 6.28 ± 2.67 and after being given was reduced to 1.75 ± 1.918. P value 0.140 (p value > α) There was no effect of Menarce Age on Pain Scale in adolescents. The p value is 0.836 (p value > α) which means that there is no effect of menstrual length on the Pain Scale in Adolescents. There was a change in the pain scale before and after being given sour turmeric drink. Wilcoxon test results p value = 0.000 < ɑ (0.05) so that it can be concluded that there is a change in pain scale before and after being given sour turmeric drink, there is no relationship between menarche age and dysminorea pain scale with a p value of 0.140 > ɑ (0.05) nor is there a relationship between menarche age and dysminorea pain scale with a p value of 0.836 > ɑ (0.05). Continue to control primary dysmenorrhea factors that can be changed such as nutritional status and exercise habits through increasing knowledge and implementing a healthy lifestyle.