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All Journal JURNAL FARMASIMED (JFM) Jurnal Pengmas Kestra (JPK)
Haryono, Nathasia
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Health Professions Medicine & Pharmacology Nursing Public Health

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Improving Cervical Cancer Awareness Among Reproductive-Age Couples:An Educational Approach Using Visual Inspection with Acetic Acid (IVA) Haryono, Nathasia; Siregar, Wilda Wahyuni; Octavariny, Raisha; Kurniawati, Kurniawati; Aula, Khomaina
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jevx5211

Abstract

Cervical cancer is one of the leading causes of death among women in developing countries, primarily due to delays in early detection. According to data from the World Health Organization, there are more than 342,000 cervical cancer-related deaths each year, with 90% of these cases occurring in low- and middle-income countries. In Indonesia, cervical cancer ranks as the second most common cancer after breast cancer, with over 36,000 new cases annually and a death toll reaching 18,000. Visual Inspection with Acetic Acid (IVA) is a simple and affordable screening method that can be performed at primary healthcare facilities. This community service activity aims to increase the knowledge, attitudes, and readiness of couples of reproductive age (CoRA) in conducting early detection of cervical cancer through family-based education. The activity was carried out using lectures supported by media such as leaflets and videos. A total of 30 CoRA participants from the Sukorame health center area took part in the program. The education was delivered through lectures, interactive discussions, and educational video screenings. The education on VIA screening for couples of reproductive age proved effective in improving their understanding, attitudes, and readiness to carry out early detection of cervical cancer. Prior to the education, most participants lacked awareness about the importance of VIA screening. However, after the session, there was a significant increase in knowledge (86.67%), willingness to undergo screening (66.67%), and shared awareness between partners (60%) about the importance of early detection.This interactive and contextual educational approach was effective in building awareness and encouraging preventive action at both family and community levels.
The Effect Of Cocoa Cream (Theobroma Cacao L) Administration On Breast Engorgement In Primigravida Postpartum Mothers HARYONO, NATHASIA; Sri Putriani Sinaga; Fiyola Ladyvia; Ismah Khaerunisa
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/9rk55z42

Abstract

Breast engorgement is a common problem among postpartum mothers, especially primigravida, which can cause pain, swelling, and hinder the breastfeeding process. Conventional management such as warm compresses often provides only temporary relief, thus alternative therapies that are more effective and natural are needed. Cocoa (Theobroma cacao L.) contains flavonoids, polyphenols, and cocoa butter with anti-inflammatory, antioxidant, and emollient properties. This study aimed to determine the effect of cocoa cream on reducing breast engorgement in primigravida postpartum mothers. This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 36 primigravida postpartum mothers were recruited and divided into two groups: the intervention group (cocoa cream) and the control group (warm compresses). Measurements were conducted on days 1, 3, 5, and 7 using breast circumference measurement and the Visual Analog Scale (VAS) for pain. Data were analyzed using Paired t-test and Independent t-test with a significance level of p<0.05. Independent t-test results showed no significant differences at pretest (p=0.674) and day 3 (p=0.068). However, significant differences were observed from day 5 (p=0.003) and became more pronounced on day 7 (p=0.000), with the intervention group demonstrating greater reduction in pain and swelling compared to the control group. Cocoa cream was more effective than warm compresses in reducing breast engorgement among primigravida postpartum mothers, particularly after the fifth day postpartum. Cocoa cream may be recommended as a safe, natural, and non-invasive complementary therapy to support successful breastfeeding.
Co-Authors Aula, Khomaina Fiyola Ladyvia Ismah Khaerunisa Kurniawati Kurniawati Octavariny, Raisha Siregar, Wilda Wahyuni Sri Putriani Sinaga