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Determinants Factors of Husbandâ€™s Participation in Prenatal Class Widatiningsih, Sri; Ayuningtiyas, Ayuningtiyas; Mundarti, Mundarti
JURNAL KEBIDANAN Vol. 13 No. 2 (2023): Oktober 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i2.9860

Pregnancy is an important transition period in the biochemical, physiological and anatomical changes of the female body. Prenatal Class as a forum for pregnant women and their families to obtain information together and learn about maternal and child health as the main social support during pregnancy. Men who feel unprepared for fatherhood tend to be fathers who are not involved early, resulting in a difficult transition into parenthood, less likely to become committed fathers. This study aims to analyze the factors that influence the low participation of husbands in the Prenatal Class. This type of research is analytic research with a cross sectional approach. Population of husbands of pregnant women class participants in the city of Magelang. The sample in this study used the cross-sectional sample size formula and obtained a total sample of 48 people, taken using purposive sampling using a questionnaire instrument. Statistical analysis with Spearman Rho correlation test. Interpretation of statistical test results is based on the p value, the strength and direction of the correlation. The results of the analysis in testing the hypothesis by looking at the significance value, there is a significant influence on the factors of education (0.000), employment (0.000), socialization (0.009) and there is no effect of age (0.774), number of pregnancies (0.494) on husband's participation in class pregnant mother. Factors of education, employment, and socialization affect participation, while age, number of pregnancies do not affect husband's participation in classes for pregnant women.

Hybrid Education Program for Couples: A Strategy to Enhance Pregnancy Quality of Life Widatiningsih, Sri; Mundarti, Mundarti; Handayani, Esti; Tungga Dewi, Christin Hiyana
Jurnal Kesehatan Vokasional Vol 10, No 3 (2025): August (In Process)
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.106192

Background: Pregnancy involved physical, emotional, and social changes, making spousal support crucial in reducing stress, anxiety, and improving maternal quality of life. However, participation of mothers and husbands in prenatal classes in Indonesia remained low. A hybrid education model (online and face-to-face) had the potential to address these limitations.Objective: This study aimed to assess the effectiveness of a digital-based hybrid companion class on improving the quality of life of pregnant women in Magelang City.Methods: This was a quasi-experimental study with a non-randomized pretest-posttest with control group design. The sample consisted of 60 couples of reproductive age (30 intervention, 30 control) selected through simple random sampling. The hybrid class intervention included modules, educational videos, and mentoring through WhatsApp, conducted in four sessions. Quality of life was measured using WHOQOL-BREF at three time points and analyzed with GLM-RM.Results: The intervention significantly improved the quality of life of pregnant women in the psychological domain (p = 0.001; η² = 69.3%), social domain (p = 0.021; η² = 34.2%), and environmental domain (p = 0.001; η² = 65.7%), while the physical domain was not significant (p = 0.510).Conclusion: The digital-based hybrid companion class was effective in improving the quality of life of pregnant women in psychological, social, and environmental aspects. Integration of the program into antenatal services was recommended to enhance the role of husbands in pregnancy care.

Analysis of Factors Associated with Basic Immunization Coverage in Infants Rini, Purwati Mustiko; Idhayanti, Ribkha Itha; Hapsari, Wanodya; Mundarti, Mundarti
Midwifery and Nursing Research Vol. 7 No. 2 (2025): SEPTEMBER 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Basic immunization is a mandatory immunization given to infants from birth to protect them from dangerous diseases. Complete basic immunization coverage is an essential requirement for infants. In Indonesia, immunization implementation is regulated by Law No. 17 of 2023 concerning Health and Minister of Health Regulation No. 36 of 2017 concerning Immunization Administration. Although the government is actively implementing this program, obstacles remain. Therefore, this study is needed to identify factors influencing the completeness of basic immunization in infants.Objective: This study aims to analyze factors associated with the completeness of basic immunization in infants.Methods: This study used a quantitative descriptive design with a cross-sectional approach. The study population was mothers with infants aged 0â€“12 months in Wotgalih Village, Jatinegara District, Tegal Regency. The sampling technique used saturated sampling. All respondents were given a questionnaire to analyze factors influencing the completeness of basic immunization in infants.Results: The study showed a significant relationship between knowledge, trust, and family support and the completeness of basic immunizations in infants. The p-value for the relationship between knowledge and immunization completeness was 0.0004; trust and immunization completeness was 0.011; and family support and immunization completeness was 0.003.Conclusion: Maternal knowledge, trust, and family support play a significant role in ensuring the completeness of basic immunizations in infants. Efforts to improve these three factors are expected to increase basic immunization coverage in the community

FAKTOR-FAKTOR PENYEBAB KEMATIAN PERINATAL Idhayanti, Ribkha Itha; Kemalasari, Galuh; Chunaeni, Siti; Mundarti, Mundarti
Juru Rawat. Jurnal Update Keperawatan Vol. 3 No. 2 (2023): Desember 2023
Publisher : Prodi D3 Keperawatan Tegal Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v3i2.10811

Angka Kematian Perinatal (AKP) merupakan salah satu indikator yang dapat digunakan dalam menilai derajat kesehatan suatu bangsa Banyak faktor yang dianggap sebagai factor penentu kematian perinatal, faktor-faktor penyebab tersebut dijadikan sebagai faktor determinan diantaranya faktor usia, paritas, pendidikan, faktor bayi yaitu IUFD, BBLR, Kelainan kongenital, premature dan asfiksia.Â Jenis penelitian deskriptif. Variabel dalam penelitian ini adalah usia, status paritas, pendidikan, penyakit penyebab kematian perinatal (IUFD, BBLR, kelainan kongenital, premature, dan asfiksia)Â Berdasarkan hasil penelitian menggunakan uji Chi-square terdapat hubungan antara usia dengan kematian perinatal dengan pvalue=0,000. Terdapat hubungan antara paritas dengan kematian perinatal dengan pvalue=0,000. Terdapat hubungan penyakit penyebab kematian perinatal dengan pvalue=0,000. Sedangkan tidak ada hubungan antara pendidikan ibu dengan kematian perinatal dengan pvalue=0,750. Diharapkan tenaga kesehatan mampu meningkatkan kualitas pelayanan ANC pada ibu hamil beresiko yang dapat mengalami kematian perinatal

PENGARUH NUGGET KELLA (KELOR DAN NILA) TERHADAP BERAT BADAN DAN TINGGI BADAN BADUTA Idhayanti, Ribkha Itha; Puspitasari, Dini; Sukini, Tuti; Mundarti, Mundarti
Juru Rawat. Jurnal Update Keperawatan Vol. 4 No. 1 (2024): Juni 2024
Publisher : Prodi D3 Keperawatan Tegal Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v4i1.11421

Kondisi gizi yang bagus ialah salah satu aspek berarti buat menggapai tingkatan kesehatan yang maksimal. Baduta atau bayi usia 12-24 bulan berada pada periode emas dan periode kritis, karena mengalami masa pertumbuhan dan perkembangan yang pesat. Periode emas dapat dicapai secara optimal apabila memperoleh asupan gizi yang sesuai dengan tumbuh kembangnya. Salah satu upaya pencegahan permasalahan gizi dengan memberikan asupan protein dan karbohidrat dalam bentuk makanan tambahan berupa pemberian nugget kelor dan nila terhadap berat badan dan tinggi badan baduta. Tujuan dalam penelitian ini adalah mengetahui pengaruh nugget KELLA terhadap berat badan dan tinggi badan baduta. Jenis penelitian ini merupakan Quasi Experiment dengan rancangan penelitian One Group Pretest-Post Test Design. Populasi dalam penelitian ini adalah seluruh baduta usia 12 â€“ 24 bulan di Desa Kemiriombo wilayah kerja Puskesmas Gemawan. dan pengambilan sampel menggunakan total sampling yaitu sebanyak 37 responden baduta. Hasil penelitian menggunakan uji T-Dependent ditemukan hasil p-value 0,000 pada berat badan (pvalue < 0,05), maka disimpulkan ada pengaruh pemberian nugget KELLA terhadap peningkatan berat badan baduta dan pada tinggi badan diperoleh p-value 0,000 (palue<0,05), maka disimpulkan ada pengaruh pemberian nugget KELLA terhadap peningkatan tinggi badan badutaHasil penelitian ini diharapkan sebagai pertimbangan dalam tindakan pencegahan masalah gizi pada balita dengan memberikan penyuluhan mengenai pemanfaatan bahan lokal seperti daun kelor dan ikan nila dan dapat menerapkan pemberian nugget KELLA sebagai alternatif makanan tambahan balita.

REPRODIS: An Innovative Cloud-Based Interactive Platform to Improve Reproductive Health Knowledge of Adolescents with Intellectual Disabilities Lusiana, Arum; Arfiana, Arfiana; Mundarti, Mundarti; Septiani, Ranny; Martini, Martini; Anggraini, Yetti
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5307

Adolescents with intellectual disabilities are a vulnerable group who often face barriers in accessing comprehensive reproductive health education. Limited communication skills, difficulty understanding abstract concepts, and social stigma hinder their ability to gain adequate knowledge, increasing the risk of sexual exploitation, early pregnancy, and sexually transmitted infections. Digital innovations have shown promise, yet cloud-based platforms tailored to this population remain limited. This study evaluated the effectiveness of the Reproductive Health Interactive System (REPRODIS), a cloud-based, interactive web platform, in improving adolescents with intellectual disabilities' reproductive health knowledge. A quasi-experimental one-group pre-test–post-test design was conducted with 30 adolescents aged 13–18 years with mild to moderate intellectual disabilities in a special needs school in Central Java, Indonesia. Participants completed a validated reproductive health knowledge questionnaire before and after four REPRODIS sessions delivered twice weekly over two weeks. The platform included simplified text, audio-visual animation, voice guidance, interactive quizzes, and parental monitoring features. Data were analyzed using a paired t-test with a significance level of 0.05. The mean knowledge score increased significantly from 46.3±8.2 (pre-test) to 73.5±7.9 (post-test) (p=0.001). More than 83% of participants improved by ≥20 points. Observations indicated higher engagement during REPRODIS sessions compared to conventional lectures, while parents reported greater confidence in discussing reproductive health at home. REPRODIS significantly improved reproductive health knowledge among adolescents with intellectual disabilities. This innovation demonstrates the potential of cloud-based interactive platforms as inclusive educational tools.

PENGEMBANGAN PELATIHAN KADER PEDULI STUNTING DALAM UPAYA PENCEGAHAN STUNTING Maryani, Siti; Yunianti, Bekti; Mundarti, Mundarti
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 4 (2025): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i4.31885

Abstrak: Stunting merupakan ancaman serius bagi anak-anak di Indonesia saat ini dan masih memiliki tingkat prevalensi yang tinggi. Masalah stunting ini menjadi sangat penting karena dapat meningkatkan risiko kematian, penyakit, serta menghambat perkembangan mental dan motoric. Tujuan dari pengabdian masyarakat ini agar kader kesehatan mampu mendampingi masyarakat agar masing-masing keluarga mampu melakukan berbagai upaya untuk mencegah stunting, Sehingga kejadian stunting dapat dicegah. Metode yang digunakan adalah pelatihan dengan pendidikan kesehatan kepada kader dan penugasan dari kader kepada masyarakat. Selanjutnya dilakukan evaluasi. Kegiatan pengabdian ini dilaksanakan di desa Kalijoso dengan mitranya adalah 20 kader di Desa Kalijoso Kabupaten Magelang. Pada kegiatan ini evaluasi dilakukan melalui kuesioner berisi 20 pertanyaan dilakukan dengan melakukan pretest dan posttest, mengevaluasi proses pendampingan kader kepada kelompok masyarakat yang di dampingi, mengevaluasi peningkatan pengetahuan masyarakat yang di damping. Rata-rata pengetahuan setelah dilakukan kegiatan pengabdian mengalami peningkatan sebesar 7,5 dengan rata-rata hasil posttest sebesar 95,25. Nilai terendah 85 dan nilai tertinggi 100. Hal ini menunjukkan pengetahuan kader tentang stunting dan upaya pencegahan stunting meningkat.Abstract: Stunting is a growth disorder in children where their height is lower than the standard for their age. The stunting rate in Magelang Regency reached 37.6 percent. The results of the Nutritional Status Monitoring in 2017 showed that the stunting problem was at 28.5 percent, ranking second among the Regencies/Cities in Central Java. Stunting will affect the quality of human resources in the future (Paramashanti et al., 2016). There is a need for serious handling by the government. One strategy is to empower cadres. Cadres as active partners in the community can help tackle stunting. Therefore, it is essential to have health cadres who care about the stunting issue to assist families with infants or toddlers, in order to form families that are aware and concerned about stunting. Through this activity, we are planning to establish a Health Cadre Concerned with Stunting as a step to conduct early detection of stunting cases in family environments especially in Kalijoso Village, Secang District, Magelang Regency. It is hoped that this effort can reduce the rate of stunting while supporting the government's program in tackling stunting in Indonesia.

PENDAMPINGAN KELUARGA PEDULI STUNTING SEBAGAI UPAYA PENCEGAHAN STUNTING Maryani, Siti; Mundarti, Mundarti; Yuniyanti, Bekti
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.19630

Abstrak: Stunting merupakan salah satu masalah gizi kronis yang terjadi di Indonesia. Angka gizi buruk dan stunting di Indonesia cukup tinggi, menduduki peringkat kedua di Asia Tenggara. Berdasarkan data Riskesdas 2018, angka prevalensi sebesar 30,8%. Keluarga mempunyai peran penting dalam mencegah stunting di semua tahap kehidupan. Mulai dari janin dalam kandungan, bayi baru lahir, balita, remaja, pernikahan, kehamilan, dll. Hal ini mendukung upaya pemerintah untuk mengatasi permasalahan di Indonesia. Kegiatan ini bertujuan untuk meningkatkan pengetahuan keluarga agar peduli dan melakukan berbagai upaya untuk mencegah stunting di lingkungan keluarganya. Pelaksanaan kegiatan pengabdian ini di lakukan dengan menggunakan metode pendampingan pada keluarga yang memiliki balita di Desa kalijoso sejumlah 20 keluarga. Mitra dalam kegitan ini adalah keluarga yang memiliki balita dan pendampingan ini di lakukan pada ibu balita karena ibu balita memiliki waktu paling banyak dengan balita yaitu sejumlah 20 orang. Kegiatan yang di lakukan antara lain pemberian materi tentang stunting, pola asuh keluarga, dan praktik pemberian makan pada balita. Kegiatan berlangsung selama 3 bulan. Kegiatan ini berjalan dengan baik dan memberikan kontribusi terhadap peningkatan pengetahuan dan ketrampilan keluarga dalam pencegahan stunting. Prestest di lakukan dengan menggunakan kuesioner tentang stunting dan peran upaya pencegahan stunting sejumlah 10 pertanyaan. hasil pretest dan posttest mengalami peningkatan sebesar 20%.Abstract: Stunting is one of the chronic nutritional problems in Indonesia. The rates of malnutrition and stunting are quite high, ranking second in Southeast Asia. According to the 2018 Riskesdas data, the prevalence rate is 30.8%. Families play a crucial role in preventing stunting at all stages of life, from the fetus in the womb to newborns, toddlers, adolescents, marriage, pregnancy, and beyond. This supports the government's efforts to address these issues in Indonesia. The objective of this activity is to enhance family knowledge, encouraging them to take various measures to prevent stunting within their households. The implementation of this community service activity involves a mentoring method with 20 families who have toddlers in the Kalijoso Village. The partners in this activity are families with toddlers, and mentoring is specifically targeted at mothers of toddlers, totaling 20 individuals. The activities include providing information about stunting, family parenting patterns, and practicing feeding toddlers. The entire initiative spans a duration of 3 months. The activity progressed well, contributing to the improvement of family knowledge and skills in preventing stunting. A pre-test was conducted using a questionnaire about stunting and the role of prevention efforts, comprising 10 questions. The results of the pre-test and post-test showed an improvement of 20%.

Hybrid Education Program for Couples: A Strategy to Enhance Pregnancy Quality of Life Widatiningsih, Sri; Mundarti, Mundarti; Handayani, Esti; Tungga Dewi, Christin Hiyana
Jurnal Kesehatan Vokasional Vol 10, No 3 (2025): August
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.106192

Background: Pregnancy involved physical, emotional, and social changes, making spousal support crucial in reducing stress, anxiety, and improving maternal quality of life. However, participation of mothers and husbands in prenatal classes in Indonesia remained low. A hybrid education model (online and face-to-face) had the potential to address these limitations.Objective: This study aimed to assess the effectiveness of a digital-based hybrid companion class on improving the quality of life of pregnant women in Magelang City.Methods: This was a quasi-experimental study with a non-randomized pretest-posttest with control group design. The sample consisted of 60 couples of reproductive age (30 intervention, 30 control) selected through simple random sampling. The hybrid class intervention included modules, educational videos, and mentoring through WhatsApp, conducted in four sessions. Quality of life was measured using WHOQOL-BREF at three time points and analyzed with GLM-RM.Results: The intervention significantly improved the quality of life of pregnant women in the psychological domain (p = 0.001; η² = 69.3%), social domain (p = 0.021; η² = 34.2%), and environmental domain (p = 0.001; η² = 65.7%), while the physical domain was not significant (p = 0.510).Conclusion: The digital-based hybrid companion class was effective in improving the quality of life of pregnant women in psychological, social, and environmental aspects. Integration of the program into antenatal services was recommended to enhance the role of husbands in pregnancy care.

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