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LITERATURE REVIEW : FAKTOR-FAKTOR YANG MENYEBABKAN KETIDAKPATUHAN ANTENATAL CARE PADA IBU HAMIL Panji Raraswati, Rhela
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45081

Abstract

Kesehatan ibu hamil merupakan salah satu indicator penting dalam menilai kualitas pelayanan kesehatan masyarakat, karena berkaitan langsung dengan angka kemaian ibu (AKI) dan angka kematian bayi (AKB). Di Indonesia ANC diterapkan minimal 6 kali kunjungan, akan tetapi didalam kunjungan antenatal care terdapat factor yang menghambatnya, dimana bisa menjadi penghambat kesejahteraan ibu dan janin. Oleh karena itu dibutuhkan kajian yang didalamnya terdapat apa saja faktor yang mempengaruhinya. Artikel yang digunakan dalam literature review didapatkan melalui database google schoolar, pubmed dan garuda. Peneliti menuliskan kata kunci sesuai dengan topik yaitu “ketidakpatuhan ANC” “ibu hamil” dan dipilih secara full text. Tahun yang digunakan diartikel dibatasi dari tahun 2020-2025. Muncul sebanyak 1.513 temuan yang dipersempit dengan merujuk ke 5 tahun terakhir dan berdasarkan temuan di persempit menjadi 7 jurnal yang sesuai. Berdasarkan hasil penelitian menunjukkan total 7 jurnal yang telah dianalisis membahas tentang faktor yang menyebabkan ketidakpatuhan pada ibu hamil untuk melakukan kunjungan ANC diantarannya dukungan suami, tenaga kesehatan, tingkat pengetahuan, sikap ibu hamil, usia, pendidikan, pekerjaan dan paritas. Tinjauan literatur ini memberikan gambaran beberapa artikel penelitian dan hasil yang relevan hal apa saja yang dapat menyebabkan ketidakpatuhan ibu hamil untuk melakukan kunjungan ANC, faktor faktor tersebut bisa memicu terjadinya komplikasi di saat kehamilan. Oleh karena itu agar bisa menjadi tambahan wawasan atau bukti ilmiah sehingga ibu hamil terhindar dari resiko tinggi kehamilan dikarenakan sudah melakukan pemeriksaan ANC.  
AI-powered whatsapp chatbots for maternal and child health: a quasi-experimental study among pregnant women in Indonesia Faujiah, Irfa Nur; Raraswati , Rhela Panji
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13858

Abstract

Maternal and child health remains a critical priority in global health strategies, particularly in achieving the Sustainable Development Goals (SDGs). In Indonesia, maternal mortality remains significantly higher than the SDG target, underscoring the urgent need for accessible and high-quality maternal health information. Digital innovations, such as Artificial Intelligence (AI)-based chatbots, have emerged as promising tools to help bridge this gap. This study aimed to evaluate the effectiveness of a Meta-AI chatbot delivered via WhatsApp in improving pregnant women’s access to maternal and child health information. A quasi-experimental one-group pretest–posttest design was employed, involving 30 pregnant women in Singasari Village, Tasikmalaya Regency. Participants received a one-time training session on accessing health information—particularly related to pregnancy care—through the Meta-AI WhatsApp chatbot, supported by a guidance booklet. Data were collected using a validated and reliable questionnaire that assessed participants’ knowledge and skills before and after the intervention. Paired sample t-tests were used to compare pre- and post-intervention scores. The results demonstrated significant improvements in both knowledge and skills. Knowledge scores increased from 5.00 (SD = 2.00) to 9.40 (SD = 0.85), t(29) = 29.0, p < 0.001, Cohen’s d = 1.88, 95% CI [1.27, 2.47]. Similarly, skills scores rose from 26.5 (SD = 5.40) to 36.7 (SD = 3.02), t(29) = 29.0, p < 0.001, Cohen’s d = 2.31, 95% CI [1.61, 2.99]. These findings indicate that the Meta AI chatbot, accessed via WhatsApp, significantly enhanced pregnant women’s knowledge and skills, thereby improving access to accurate maternal health information, strengthening health literacy, and supporting informed decision-making. Future research should explore the long-term effects of this intervention and its potential integration into public health systems.
Vibration Stimulation to Increase Milk Production in Puerperal Mothers Raraswati, Rhela Panji; Wijayanti, Krisdiana; Hendriyani, Heni
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1488

Abstract

Breast milk is the best food for babies, but insufficient production can hinder breastfeeding. Many mothers face challenges with milk production, preventing optimal breastfeeding. This study aims to innovate and develop a vibration-based electric massage device to enhance breast milk production and analyze its effectiveness based on baby weight indicators. The research employs a quantitative method with a Quasi-Experimental design, divided into an intervention group and a control group. A random sampling technique selected 46 respondents, split evenly between the two groups. The intervention group received breast care using the vibration-based device, while the control group received standard breast care for 14 days. Breast care was administered twice daily for 2-3 minutes. Baby weight was measured at 14, 21, and 28 days. Tools to measure energy intake, protein intake, and fluid intake utilized food recall, and breastfeeding frequency was measured by a scale. Psychological status was assessed using the DASS questionnaire. Data analysis included Repeated Measure ANOVA and Independent Simple T-Test. Results indicated a significant difference in breast milk production based on baby weight between the intervention and control groups (p=0.000). The mean weight difference between the groups was 200.21 grams, favoring the intervention group. Increased breast milk production was not influenced by confounding variables such as energy intake, protein intake, fluid intake, breastfeeding frequency, and psychological status. In conclusion, the developed vibration-based electric massage device effectively increased breast milk production, evidenced by significant weight gain in babies within the intervention group compared to the control group (p=0.000). 
GAMBARAN PERAN KADER KESEHATAN TERHADAP KEBERHASILAN INISIASI MENYUSUI DINI (IMD) Agustini , Fenty; Raraswati , Rhela Panji; Rahayu, Novita Tri
Jurnal Bidan Pintar Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jubitar.v7i1.6860

Abstract

Abstrak Penelitian ini mengkaji peran kader kesehatan terhadap keberhasilan Inisiasi Menyusu Dini (IMD) di Desa Cikunir, wilayah kerja Puskesmas Singaparna, tahun 2025. IMD merupakan langkah penting dalam pemberian ASI eksklusif yang direkomendasikan WHO dan Kemenkes RI untuk meningkatkan daya tahan tubuh bayi, menurunkan risiko kematian neonatal, dan memperkuat ikatan ibu–bayi. Dengan desain deskriptif kuantitatif, penelitian melibatkan 20 ibu yang memiliki bayi usia <24 bulan, menggunakan kuesioner dan wawancara. Hasil menunjukkan bahwa mayoritas kader berperan baik dalam edukasi, pemberian informasi yang mudah dipahami, kerja sama dengan tenaga kesehatan, dan pemberian motivasi. Sebanyak 90% kader aktif memberikan edukasi, 95% mampu memberikan informasi yang jelas, dan 90% bekerja sama dengan tenaga kesehatan. Namun, 65% kader tidak mendampingi ibu saat persalinan, dan hanya 60% yang melakukan kunjungan rumah. Temuan ini menegaskan pentingnya pelatihan kader, peningkatan pendampingan persalinan, dan optimalisasi kunjungan rumah untuk mencapai target cakupan IMD sesuai standar WHO. Penelitian merekomendasikan penguatan sinergi kader dan tenaga kesehatan serta peningkatan dukungan emosional kepada ibu agar pelaksanaan IMD lebih optimal.   Kata Kunci      : Peran Kader, IMD, Keberhasilan
Pengabdian Masyarakat: Screening Status Gizi dan Edukasi pada Remaja di Bimbingan Belajar X Kota Tasikmalaya Panji Raraswati, Rhela; Ratna Hidayani, Wuri; Ifah Latifah, Ade
JURNAL ABDIMAS KESEHATAN TERPADU Vol. 4 No. 2 (2025): Jurnal Abdimas Kesehatan Terpadu
Publisher : Fakultas Kedokteran Gigi, Universitas Trisakti bekerjasama dengan Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jakt.v4i2.25039

Abstract

Adolescents are a vulnerable group to nutritional problems due to increased nutritional needs during growth. The 2018 Basic Health Research (Riskesdas) reported a prevalence of undernutrition at 12.8% and overweight at 16% among Indonesian adolescents. Similar conditions were also found in West Java and Tasikmalaya City, indicating the need for early detection and nutrition education. This community service activity aimed to assess the nutritional status of adolescents at Learning Center X in Tasikmalaya City and to improve their knowledge of healthy eating patterns. The methods included anthropometric measurements (weight, height, body mass index, and mid-upper arm circumference) and nutrition education through interactive counseling using QR-based media. The target participants were 10 adolescents aged 13–18 years enrolled at the learning center. The results showed that 30% of adolescents were undernourished based on BMI-for-age, while 50% experienced Chronic Energy Deficiency (CED) based on MUAC. Nutrition education was conducted after the screening, and participants demonstrated enthusiasm and improved understanding of the importance of breakfast, balanced diet, and stunting prevention. This activity highlights that simple screening can identify adolescents at risk of undernutrition and serves as an effective medium for nutrition education. In conclusion, nutritional problems among adolescents remain high and may impact long-term health. It is recommended to conduct regular monitoring through adolescent health posts or school health units and strengthen collaboration with schools and primary health centers to ensure program sustainability.