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Analisis hubungan komunikasi bidan dengan tingkat kepuasan ibu hamil pada pelayanan antenatal care Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Nasrianti Nasrianti
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2547

Background: Antenatal Care (ANC) is an early preventive measure to detect risk factors during pregnancy and childbirth, reduce the maternal mortality rate (MMR), and monitor fetal well-being. One factor that encourages pregnant women to attend regular ANC visits is not only the provision of information about their health condition, but also the midwife's ability to listen to complaints, show empathy, and provide friendly service. Effective communication can create patient satisfaction, which ultimately influences adherence to follow-up visits. Purpose: To determine the relationship between midwife communication and pregnant women's satisfaction with antenatal care services. Method: This quantitative study used an analytical survey design and a cross-sectional approach. The sample consisted of 20 pregnant women selected using a total sampling technique. The study was conducted in July 2025 at the Khomba Waliyauw Community Health Center, Sentani. The research instruments used were a midwife communication questionnaire and a patient satisfaction questionnaire. Data were analyzed using univariate and bivariate chi-square statistical tests. Results: Most midwives had good communication skills, and most pregnant women were satisfied with antenatal care services. The chi-square test yielded a ρ value of 0.000 (<0.05). Conclusion: There is a significant relationship between midwife communication and maternal satisfaction with antenatal care services. Suggestion: Future research should expand the scope of variables, such as facilities and medical personnel competence, to provide more comprehensive results. Keywords: Antenatal Care Services; Midwife Communication; Satisfaction Level; Pregnant Women. Pendahuluan: Antenatal Care (ANC) merupakan upaya pencegahan dini untuk mendeteksi faktor risiko selama kehamilan dan persalinan, menurunkan Angka Kematian Ibu (AKI), serta memantau kesejahteraan janin. Salah satu faktor yang mendorong ibu hamil untuk melakukan kunjungan ANC secara rutin bukan hanya pemberian informasi mengenai kondisi kesehatannya, tetapi juga kemampuan bidan dalam mendengarkan keluhan, menunjukkan empati, dan memberikan pelayanan yang ramah. Komunikasi yang efektif dapat menciptakan kepuasan pasien, pada akhirnya memengaruhi kepatuhan terhadap kunjungan ulang. Tujuan: Untuk mengetahui hubungan antara komunikasi bidan dengan tingkat kepuasan ibu hamil terhadap pelayanan antenatal care. Metode: Penelitian kuantitatif dengan desain survei analitik dan pendekatan cross-sectional. Sampel penelitian terdiri atas 20 ibu hamil yang dipilih dengan teknik total sampling. Penelitian ini dilaksanakan pada bulan Juli 2025 di Puskesmas Khomba Waliyauw, Sentani. Instrumen penelitian yang digunakan berupa kuesioner komunikasi bidan dan kuesioner kepuasan pasien. Data dianalisis menggunakan univariat dan bivariat uji statistik Chi-Square. Hasil: Sebagian besar bidan memiliki kemampuan komunikasi yang baik dan sebagian besar ibu hamil merasa puas terhadap pelayanan antenatal care. Uji Chi-Square menghasilkan nilai ρ sebesar 0.000 (<0.05). Simpulan: Terdapat hubungan yang signifikan antara komunikasi bidan dengan tingkat kepuasan ibu hamil terhadap pelayanan antenatal care. Saran: Penelitian selanjutnya diharapkan dapat memperluas cakupan variabel seperti fasilitas dan kompetensi tenaga medis agar hasil penelitian lebih komprehensi Kata Kunci: Ibu Hamil; Komunikasi Bidan; Kepuasan Ibu Hamil; Pelayanan Antenatal Care.

Optimalisasi Kesehatan Remaja melalui Edukasi Reproduksi Sehat Pada Remaja Putri di SMA YPK Sentani Hasnia Hasnia; Wiwit Vitania; Yustika Rahmawati Pratami; Endah Purwanti Handayani; Eftyaningrum Dwi Wahyu Astutik; Susi Lestari; Tiyan Febriyani Lestari; Arum Surya Utami; Fetty Satu Ryan Utami; Harlinda Widia Putri; Fenny Dinge; Pranita Kartika Candra Nurhijrahaeni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 5 (2026): Volume 9 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i5.24735

ABSTRAK Remaja putri merupakan kelompok yang rentan terhadap permasalahan kesehatan reproduksi akibat perubahan fisik dan psikologis yang terjadi pada masa pubertas serta keterbatasan pengetahuan yang dimiliki. Kegiatan Pengabdian kepada Masyarakat ini bertujuan untuk mengoptimalkan kesehatan remaja putri melalui edukasi reproduksi sehat di SMA YPK Sentani. Dilakukan melalui ceramah interaktif, diskusi, dan tanya jawab dengan materi meliputi pubertas, menstruasi, personal hygiene saat menstruasi, serta pencegahan masalah kesehatan reproduksi. Menunjukkan bahwa remaja putri memiliki antusiasme yang tinggi selama mengikuti edukasi dan aktif dalam sesi diskusi. Evaluasi secara deskriptif menunjukkan adanya peningkatan pengetahuan dan pemahaman peserta mengenai pentingnya menjaga kesehatan reproduksi, khususnya kebersihan diri saat menstruasi dan perilaku hidup sehat. Edukasi reproduksi sehat yang dilaksanakan di lingkungan sekolah terbukti efektif sebagai upaya promotif dan preventif dalam mendukung optimalisasi kesehatan remaja putri. Kata Kunci: Edukasi tentang Kesehatan Reproduksi, Pengetahuan, Remaja Putri, Kesehatan Reproduksi. ABSTRACT Adolescent girls are a vulnerable group to reproductive health problems due to the physical and psychological changes that occur during puberty and their limited knowledge. This Community Service activity aims to optimize the health of adolescent girls through healthy reproductive education at YPK Sentani High School. This activity was conducted through interactive lectures, discussions, and QA sessions covering puberty, menstruation, personal hygiene during menstruation, and preventing reproductive health problems. The adolescent girls demonstrated high enthusiasm during the education and actively participated in the discussion sessions. Descriptive evaluation showed an increase in participants' knowledge and understanding of the importance of maintaining reproductive health, particularly personal hygiene during menstruation and healthy lifestyle behaviors. Healthy reproductive education implemented in the school environment has proven effective as a promotive and preventive effort in supporting the optimization of adolescent girls' health. Keywords: Reproductive Health Education, Knowledge, Adolescent Girls, Reproductive Health.

Qualitative Study: Family Support for Post-Partum Mothers with HIV in Papua Yustika Rahmawati Pratami; Wiwit Vitania; Hasnia Hasnia; Yuliandary Yunus
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6310

The support that mothers with HIV expect is not only during pregnancy but also throughout the postpartum period and the rest of their life as a mother. Objective: to dig deeper into family support for postpartum mothers with HIV. This research is a quantitative research with a phenomenological approach. The number of participants in this study is two participants who will be interviewed in depth using an unstructured interview guide. Data analysis in this study is divided into three parts, including data reduction, data display and conclusion or verification. Family support is important for all informants, both support from parents and from husbands. Participants felt that the support they received from their families was much greater than the support they received from their husbands.

Midwives' Experiences in Caring for Post-Part Mothers with HIV/AIDS Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Nasrianti Nasrianti; Fathia Fakhri Inayati Said; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.697

Pregnancy and the postpartum period are periods with a continuous and ongoing risk of HIV/AIDS infection, which are the targets of mother-to-child HIV prevention. Postpartum mothers with HIV positive require special care from health workers, especially midwives who are not only skilled in the technical aspects of patient care, but more than that must have empathy and be skilled in therapeutic communication. The high risk of HIV/AIDS transmission in midwives causes feelings of anxiety and reluctance to provide care to patients. Many health workers experience stress due to work, feelings of anxiety about contracting the disease, feelings of inability to meet job demands or what is expected from the job, which impacts the mental and physical health of midwives, which ultimately impacts the services provided. Objective: To explore the experiences of midwives in caring for postpartum mothers with HIV/AIDS. This type of research is qualitative with an exploratory phenomenological approach. Participants in this study were two midwives who had provided assistance to postpartum mothers with HIV/AIDS. Data collection techniques were observation, interviews, documentation, and triangulation. Data processing was carried out using the Colaizzi approach. The importance of midwives' experience in caring for postpartum mothers with HIV/AIDS will improve the midwives' ability to provide care to postpartum mothers with HIV. The midwives' ability to care for postpartum mothers with HIV/AIDS is also influenced by the midwives' experience in caring for postpartum mothers with HIV/AIDS. Some of the obstacles encountered by midwives in providing care are feelings of anxiety and shame in postpartum mothers that make sufferers disappear and refuse to undergo ANC examinations and refuse treatment. Midwives' hopes in caring for postpartum mothers with HIV/AIDS, postpartum mothers must remain enthusiastic and continue treatment to prolong life and prevent transmission to children, extra support is needed for the mother's psychology, emotional support from health workers and the patient's family. Motivation and deeper support are needed for postpartum mothers with HIV/AIDS in midwife care so that care can be carried out properly without any obstacles.

The role of Midwives in Managing Pregnant Women’s Anxiety Levels during HIV Testing: A Phenomenological Study Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Tiyan Febriyani Lestari; Nasrianti Nasrianti; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.698

Pregnant women can be at risk of contracting HIV/AIDS because based on age range, the highest number of HIV/AIDS cases are at the age of 25-49 years, and if based on employment status, the second highest number is housewives because... they have had sexual intercourse before, so the risk of infection is high. This study aims to to explore in depth the role of midwives in managing the anxiety levels of pregnant women undergoing HIV tests. The method in this study is a qualitative research type with an exploratory phenomenology approach. Participants in this study were midwives who provided HIV examination services to pregnant women as many as 2 people with the Colaizzi approach. The results found that midwives have an important role in providing services to manage the anxiety levels of pregnant women undergoing HIV tests. Public trust tends to be more towards midwives who have worked for a long time, because they assume that midwives who have worked for a long time have experience, but there are still some mothers who refuse and become Inhibitors then the approach to provide psychological support that can reduce anxiety, shame and fear by providing motivation , deeper support especially family such as husband and parents, so that pregnant women are willing to take an HIV test . It is concluded that there is a relationship between family support and behavior in taking an HIV/AIDS test, because in facing health problems, each individual needs family and motivation from within themselves.

THE The Influence of Animated Video Media on Adolescents' Knowledge about HIV/AIDS Prevention Endah Purwanti Handayani; Eftyaningrum Dwi Wahyu Astutik; Hasnia Hasnia; Hardini Hardini
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.699

To determine the influence of animated video media on adolescent knowledge about HIV/AIDS prevention. Method: Quasy Experiment research design or quasi-experiment with One Group Pretest Posttest Design. Data were collected using a questionnaire then data tabulation and data analysis were carried out.The pre-test value of the animated video media and leaflet groups obtained an average knowledge value that was not much different, namely 5.45 in the treatment group and 5.05 in the leaflet group. This means there was no difference in the average knowledge in the animated video media and leaflet groups before being given knowledge about HIV/AIDS. The level of knowledge of animated video media has an effect compared to leaflet media on HIV/AIDS knowledge. There is a difference in adolescent knowledge about HIV/AIDS before and after being given counseling with animated video media and leaflet media in adolescents.

The Effect of Education on HIV/AIDS Prevention Housewives' Knowledge Fathia Fakhri Inayati Said; Fenska Narly Makualaina; Nasrianti Nasrianti; Yestin Norita Joni; Hasnia Hasnia
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.701

The number of HIV cases in Indonesia tends to increase Based on data from the Ministry of Health, the number of housewives infected with HIV has reached 35%. This figure is higher than HIV cases in other groups such as husbands of sex workers and MSM (men between sexes Objective to determine the effect of education about HIV/AIDS. HIV/AIDS Prevention on Housewives' Knowledge Method: This research is an experimental study with a one- group pretest-posttest design The population in this study was 55 The sampling technique used is purposive sampling, which involves selecting samples based on the researcher’s considerations that meet certain criteria. Results: There is an influence of providing education on HIV AIDS prevention for housewives in the AREMA Association, Jayapura Regency. The results of the analysis using paired sample t-test, P value of (0.000) < alpha (0.05) or the P value (0.000) is very small when compared to the alpha value (0.05). Conclusion: There is an influence of providing education on HIV AIDS prevention for housewives in the AREMA Association, Jayapura Regency.

The Effect of Daily Text Message Intervention on Antiretroviral (ARV) Treatment Compliance in Pregnant Women Infected with HIV Eftyaningrum Dwi Wahyu Astutik; Yustika Rahmawati Pratami; Hasnia Hasnia; Susi Lestari; Endah Purwanti Handayani; Pranita Kartika Candra
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.1003

Compliance Antiretroviral (ARV) treatment in mothers pregnant women infected with HIV are component important in prevent HIV transmission from Mother to children and achieve viral load suppression. However, various factor like effect side medication, lack of knowledge, stigma, and duration treatment can lower compliance patients. Objective to know influence Daily Text Message intervention on compliance ARV treatment in mothers HIV-infected pregnant women at the Community Health Center Sentani Jayapura Regency. Research use design Quasy Experimental with Pretest-Posttest with Control Group Design on 30 selected respondents through consecutive sampling. Compliance measured use Morisky Medication Adherence Scale (MMAS-8) questionnaire. Analysis using the Wilcoxon test, Spearman correlation, and multiple linear regression. The content validity of the instrument was ensured through the use of a standardized and previously validated MMAS-8. Instrument reliability was supported by prior studies reporting a Cronbach’s alpha of ≥ 0.80. Although reliability was not re-tested due to the limited sample size, consistent use of the same instrument during pretest and posttest supported measurement reliability. The majority respondents own level compliance high (44%). There is difference significant between mark compliance before and after intervention in groups treatment (p=0.000). The Daily Text Message intervention increased compliance ARV treatment compared group control. Educational factors, effects side medication, and duration of treatment participate influence change MMAS-8 scores. Effective increase compliance ARV treatment in mothers pregnant women infected with HIV. Message text daily can become a supporting strategy for the PPIA program strengthen compliance treatment term long.

The Effect of Pregnancy Dance on Maternal Mental Health from Pregnancy to the Postpartum Period Wiwit Vitania; Yustika Rahmawati Pratami; Hasnia Hasnia; Bq Safinatunnaja; Nurul Hidayati; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1374

Maternal mental health from pregnancy to the postpartum period represents a major public health concern with substantial implications for maternal well-being and early child development. Physiological and psychological changes during pregnancy increase vulnerability to anxiety, stress, and depression, particularly in settings with limited access to mental health services. Pregnancy dance has emerged as a non-pharmacological, mind–body intervention that may support maternal psychological well-being. Objective to examine the effect of pregnancy dance on maternal mental health from pregnancy through the postpartum period. A quasi-experimental pretest–posttest design was applied. The study involved 32 pregnant women in the second and third trimesters who participated in a structured pregnancy dance programme conducted 2–3 times per week during pregnancy. The sampling technique used was purposive sampling. Mental health outcomes were assessed using the Edinburgh Postnatal Depression Scale and the Depression Anxiety Stress Scale (DASS-21) at three time points: before the intervention, after the antenatal intervention, and during the postpartum period. Statistical analyses were performed according to data distribution, with a significance level of α = 0.05. Significant reductions in depression, anxiety, and stress scores were observed following the pregnancy dance intervention (p < 0.001). Improvements in mental health were sustained into the postpartum period, with most participants classified as having a low risk of mental health disorders. The greatest reduction was observed in stress scores, followed by anxiety and depression. Pregnancy dance is an effective intervention for improving maternal mental health from pregnancy to the postpartum period. This approach offers a safe, low-cost, and feasible promotive and preventive strategy for integration into comprehensive antenatal care, particularly in areas with limited access to mental health services.

Lived Experiences of Postpartum Mothers after Mastitis Surgery in Breastfeeding and Infant Care: A Qualitative Study Yustika Rahmawati Pratami; Wiwit Vitania; Hasnia Hasnia; Eftyaningrum Dwi Wagyu Astutik; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1670

The postpartum period after mastitis surgery is a challenging time for mothers, especially in continuing breastfeeding. Understanding mothers' experiences during this phase is crucial for improving the quality of healthcare and support for breastfeeding mothers. Objective to explore in depth the experiences of postpartum mothers after mastitis surgery when caring for their babies. This study employed a qualitative design with a phenomenological approach. Data were collected through in-depth interviews with postpartum mothers who had undergone mastitis surgery. The total number of research participants was two. The data were analyzed using thematic analysis techniques to identify emerging patterns of experience. Researchers found seven main themes that describe the experiences of post-operative post-mastitis mothers in the breastfeeding process. The experiences of postpartum mothers with mastitis after surgery demonstrate complex challenges, but also demonstrate resilience and strong motivation to continue breastfeeding.

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