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Optimizing Postpartum Depression Prevention in Primary Health Care Services Ashifa, Ade Nurul; Nafiani, Elvira; Septiana, Krisna Siska; Adnani, Qorinah Estiningtyas Sakiah; Susiarno, Hadi
Jurnal Kesehatan Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i2.4580

Abstract

Post-partum depression (PPD) is a post-natal disorder that not only impacts the mental health of the mother but also has long-term effects on the development and well-being of the child and family. PPD is a preventable disorder, starting from interventions at primary health care facilities. As one of the developing countries with a PPD incidence of 22% per 100,000 births, PPD is considered an urgent public health issue in Indonesia. In practice, evaluation, and improvement of services at primary health care facilities are needed. This study aims to identify and adapt international intervention strategies to reduce post-partum depression prevalence in Indonesian primary health care. A scoping review analysis method was used, involving previous studies on activities from pregnancy to post-partum that can prevent and reduce post-partum depression. The reviewed articles employed Randomized Controlled Trials or Randomized Clinical Trials (RCT) methods with specific inclusion and exclusion criteria. Data were collected from relevant sources, and a synthesis was conducted on 16 articles that met the inclusion criteria. The results show that direct psychological support activities (through health professionals or groups) and indirect support using digital platforms and applications are effective in reducing depression. Strategies such as digital technology, direct support programs, physical therapy, pharmacological therapy, community involvement, and strengthening health services, particularly post-partum psychological counseling, are recommended to enhance prevention. This research supports the expansion of evidence-based strategies that can be implemented in primary healthcare facilities to address post-partum depression.
Implementasi Interprofessional Education (IPE) dalam Kurikulum Pendidikan Kebidanan: Literature Review Ashifa, Ade Nurul; Susanti, Ari Indra; Susiarno, Hadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 14, No 2 (2025): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.99012

Abstract

Background: The increasing complexity of maternal and child health services in the era of globalization demands effective collaboration among healthcare professionals. Interprofessional Education (IPE) is recognized as a strategic approach to enhance teamwork and communication skills among midwifery students. However, the effective forms and methods of IPE implementation in midwifery education remain underexplored, especially in Indonesia.Methods: This literature review aimed to identify various forms and methods of IPE implementation in midwifery education to improve interprofessional collaboration. Articles were selected from databases such as Google Scholar, Scopus, and Sage Journals, focusing on studies published between 2017 and 2024. The review included qualitative, quantitative, and mixed-method studies that discussed IPE implementation and its impact on collaborative skills. The PRISMA flow diagram was used to document the selection process.Results: Twelve articles from diverse countries were reviewed, revealing four main forms of IPE implementation: interprofessional simulation and workshops, portfolio/reflection-based learning and assessment, structured programs and certification, and collaborative clinical experiences. These approaches were shown to improve students’ communication, teamwork, and understanding of professional roles. Institutional support and resource investment were identified as key factors for successful IPE integration.Conclusion: IPE implementation in midwifery education enhances students’ interprofessional collaboration skills and has the potential to improve the quality of maternal and child health services. Comprehensive curriculum design and institutional commitment are essential to maximize the benefits of IPE in preparing future midwives for collaborative practice.
The Role of Husband’s Support in Preventing Postpartum Depression: A Scoping Review Ashifa, Ade Nurul; Herman, Herry; Hilmanto, Dany; Sutedja, Endang; Nurihsan, Juntika; Anwar, Ruswana
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025257

Abstract

Postpartum depression is a serious issue affecting mothers after childbirth and can harm both maternal mental health and child development. Hormonal declines postpartum increase vulnerability, often compounded by high stress and limited social support—especially from husbands. This study reviews nine articles from the past five years to examine how husband support maintains postpartum maternal mental health. Database searches with strict inclusion criteria and mixed-method analyses were conducted. Findings show that strong husband support—physical, emotional, and informational—reduces postpartum depression risk by more than twofold. Spousal relationship quality, maternal age, and socioeconomic conditions also influence outcomes, while insufficient husband support can affect fathers’ mental health. This study underscores the need for educating and engaging husbands during the postpartum period. These findings inform inclusive maternal mental health policies and programs, including: adoption and enforcement of routine EPDS screening as standard care (aligned with WHO recommendations and Indonesia’s Permenkes No. 21/2021 on maternal mental health services); strengthening family-centered services that actively involve husbands (partner-inclusive antenatal/postnatal classes, structured father education, couple counseling); culturally sensitive supports across socioeconomic contexts; and clear referral pathways from primary care to specialized services to ensure timely, equitable treatment for all mothers and families.