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All Journal Jurnal Minfo Polgan (JMP) Jurnal Ilmiah Kesehatan Masyarakat Indonesian Journal of Innovation Multidisipliner Research International Journal of Health Science
Santi Widya Purba
Universitas Efarina
Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Industrial & Manufacturing Engineering Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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A Qualitative Study on the Implementation of Preconception Care in Preparation for Parenthood for Prospective Married Couples at Tanjung Tiram Community Health Center Siti Nurul Fadhilah Sari; Santi Widya Purba; Martaulina Sinaga
International Journal Of Health Science Vol. 5 No. 1 (2025): : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i1.5672

Abstract

Preconception care is a crucial component of reproductive health services aimed at preparing couples, especially prospective brides and grooms, for a healthy pregnancy and responsible parenting. This qualitative study used a phenomenological design to explore the implementation of preconception care for parenthood preparation among engaged couples at Tanjung Tiram Public Health Center. Data were collected through in-depth interviews with 13 participants, including 3 couples and 7 individual women. Thematic analysis revealed several key themes: initial knowledge, perceived benefits, sources of information, access readiness, the role of healthcare workers, barriers and support, and expectations. The findings show that most participants understood preconception care as physical check-ups but lacked awareness of its importance in educating for psychosocial readiness and childrearing. Although healthcare workers provided basic services and some counseling, the educational aspect on parenting and emotional preparation was insufficient. This study highlights the need for comprehensive preconception education that includes mental, social, and parenting preparation. It implies that preconception services should go beyond screening to include structured and culturally relevant health promotion, especially in rural areas like Tanjung Tiram.
MANAJEMEN KOMUNIKASI EFEKTIF ANTARA BIDAN, PASIEN, DAN KELUARGA Sefentina Sefentina; Santi Widya Purba; May Linda Kristina
Jurnal Minfo Polgan Vol. 13 No. 2 (2024): Artikel Penelitian
Publisher : Politeknik Ganesha Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33395/jmp.v13i2.15408

Abstract

Communication is at the heart of quality midwifery care. Effective interactions between midwives, patients (mothers), and family members are the foundation for building trust, ensuring understanding of health information, facilitating shared decision-making, and ultimately improving satisfaction and health outcomes. However, various barriers can hinder effective communication in the clinical setting. This literature review examines the importance of effective communication, the challenges faced, and strategies for improving communication management between midwives, patients, and families. The aim is to provide insight into how communication skills can be improved to support patient- and family-centered midwifery care and promote positive pregnancy, labor, and postpartum experiences.
PENERAPAN KERANGKA MANAJEMEN RISIKO KLINIS DALAM PRAKTIK KEBIDANAN, MENCAKUP IDENTIFIKASI RISIKO YANG SPESIFIK Sefentina Sefentina; Santi Widya Purba; May Linda Kristina
Jurnal Minfo Polgan Vol. 11 No. 1 (2022): Article Research
Publisher : Politeknik Ganesha Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33395/jmp.v11i1.15409

Abstract

Midwifery practice, although focused on physiological events, is not free from clinical risks that have the potential to cause injury or harm to mothers and babies. Incidents such as postpartum hemorrhage, neonatal asphyxia, or infection can have serious consequences. Clinical risk management is a systematic approach to identifying, assessing, and mitigating potential hazards in healthcare to improve patient safety. This literature review aims to explore the application of a clinical risk management framework in midwifery practice, encompassing specific risk identification, risk assessment methods, and effective mitigation strategies. The review results indicate that proactive integration of clinical risk management can reduce adverse incidents, increase adherence to clinical standards, improve team communication, and ultimately, improve maternal and infant health outcomes. Implementation challenges include a lack of a reporting culture, limited resources, and the need for ongoing training. Comprehensive implementation requires leadership commitment and the active participation of all midwifery staff.
Pengaruh Edukasi Postpartum terhadap Kemampuan Perawatan Bayi dan Pemberian ASI Eksklusif pada Ibu Primipara Post Sectio Caesarea di Rumah Sakit Efarina Etaham Pematang Siantar Santi Widya Purba; Siti Nurul Fadhilah Sari; Renta Sihombing
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 5 No. 1 (2026): Januari 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v5i1.6589

Abstract

The postpartum period is a critical time for mothers to adapt to their new roles, especially for primiparous mothers who have undergone delivery through a caesarean section (CS). Postoperative conditions often lead to limited mobility and pain, which can affect a mother’s ability to care for her baby and provide exclusive breastfeeding. One effective intervention that can help mothers during this transitional period is comprehensive postpartum education. This study aims to determine the effect of postpartum education on baby care ability and exclusive breastfeeding among primiparous mothers post caesarean section at Efarina Etaham Hospital, Pematang Siantar. The research design used was a quasi-experimental approach with a pre-test and post-test control group design. The sample consisted of primiparous mothers post-CS who met the inclusion criteria, selected through purposive sampling. Research instruments included a baby care ability observation sheet and a questionnaire on exclusive breastfeeding practices. Data analysis was conducted using paired t-tests and independent t-tests to determine differences in ability before and after education. The results showed a significant improvement in baby care ability and exclusive breastfeeding practices after postpartum education was provided (p < 0.05). Therefore, it can be concluded that postpartum education has a positive effect on improving the ability of primiparous mothers post caesarean section in baby care and exclusive breastfeeding.
Pengaruh Literasi Kesehatan Digital, Self-Efficacy, dan Dukugan Suami Terhadap Kepatuhan Kunjungan Antenatal Care Pada Ibu Hamil: Pengembangan Health Belief Modal Renta Sihombing; Santi Widya Purba; Fransiska Debataraja; Salim Efendi
Indonesian Journal of Innovation Multidisipliner Research Vol. 4 No. 3 (2026): Juli - September
Publisher : Institute of Advanced Knowledge and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69693/ijim.v4i3.1658

Abstract

Kepatuhan kunjungan Antenatal Care (ANC) merupakan indikator penting dalam pelayanan kesehatan maternal yang berkontribusi terhadap penurunan angka kematian ibu dan bayi. Di era transformasi digital, literasi kesehatan digital menjadi faktor yang berpotensi memengaruhi perilaku kesehatan ibu hamil. Selain itu, self-efficacy dan dukungan suami berperan penting dalam pengambilan keputusan terkait kesehatan kehamilan. Health Belief Model (HBM) digunakan sebagai kerangka konseptual untuk menjelaskan hubungan antara faktor-faktor tersebut dengan kepatuhan kunjungan ANC. Menganalisis pengaruh literasi kesehatan digital, self-efficacy, dan dukungan suami terhadap kepatuhan kunjungan ANC pada ibu hamil melalui pengembangan Health Belief Model di wilayah kerja Puskesmas Matiti, Kabupaten Humbang Hasundutan, Tahun 2026.Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 57 ibu hamil trimester II dan III yang dipilih menggunakan teknik total sampling. Data dikumpulkan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data meliputi analisis univariat, bivariat menggunakan uji Chi-Square, dan multivariat menggunakan regresi logistik berganda. Sebanyak 73,7% responden patuh melakukan kunjungan ANC sesuai standar. Responden dengan literasi kesehatan digital tinggi sebesar 56,1%, self-efficacy tinggi sebesar 61,4%, dan dukungan suami baik sebesar 66,7%. Hasil analisis bivariat menunjukkan bahwa literasi kesehatan digital (p = 0,012), self-efficacy (p = 0,003), dan dukungan suami (p = 0,001) berhubungan signifikan dengan kepatuhan kunjungan ANC. Analisis multivariat menunjukkan bahwa dukungan suami merupakan faktor yang paling dominan memengaruhi kepatuhan kunjungan ANC dengan nilai OR = 4,72 (95% CI = 1,82–12,21). Literasi kesehatan digital, self-efficacy, dan dukungan suami berpengaruh signifikan terhadap kepatuhan kunjungan ANC pada ibu hamil. Dukungan suami merupakan faktor yang paling dominan dalam meningkatkan kepatuhan kunjungan ANC. Oleh karena itu, upaya peningkatan keterlibatan suami, penguatan self-efficacy ibu hamil, serta peningkatan literasi kesehatan digital perlu menjadi fokus dalam program pelayanan kesehatan maternal untuk meningkatkan kepatuhan ANC dan mendukung pencapaian kesehatan ibu yang optimal.
Analisis Faktor Yang Mempengaruhi Minat Kunjungan Ulang Poli Obstetric dan Gynecologi Rumah Sakit Wulan Windi Medan Tahun 2025 Jumadiah Wardati; Yeni Trisna Purba; Santi Widya Purba; Pajriani Khairunnisa
Indonesian Journal of Innovation Multidisipliner Research Vol. 4 No. 3 (2026): Juli - September
Publisher : Institute of Advanced Knowledge and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69693/ijim.v4i3.1692

Abstract

Pelayanan kesehatan yang berkualitas merupakan salah satu faktor penting dalam meningkatkan kepuasan pasien serta mendorong minat kunjungan ulang ke fasilitas pelayanan kesehatan. Kualitas pelayanan dapat diukur melalui dimensi RATER (Reliability, Assurance, Tangibles, Empathy, dan Responsiveness) yang berpengaruh terhadap persepsi pasien terhadap pelayanan yang diterima. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi minat kunjungan ulang pasien di Poli Obstetric dan Gynecology Rumah Sakit Wulan Windi Medan Tahun 2025. Penelitian menggunakan metode kuantitatif dengan desain cross-sectional. Populasi penelitian adalah seluruh pasien Poli Obstetric dan Gynecology sebanyak 60 responden, dengan teknik pengambilan sampel menggunakan total sampling. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa pada kategori pelayanan petugas administrasi yang baik, sebanyak 46 responden (76,7%), terdiri atas 24 responden (40,0%) yang berminat melakukan kunjungan ulang dan 22 responden (36,7%) yang tidak berminat melakukan kunjungan ulang. Sementara itu, pada kategori pelayanan administrasi kurang baik, sebagian besar responden tidak berminat melakukan kunjungan ulang. Hasil uji chi-square menunjukkan bahwa pelayanan petugas administrasi berpengaruh signifikan terhadap minat kunjungan ulang dengan nilai p = 0,003 (p < 0,05). Analisis regresi logistik menunjukkan bahwa variabel yang paling dominan memengaruhi minat kunjungan ulang adalah pelayanan perawat dengan nilai p = 0,001 dan OR = 36,026, yang menunjukkan bahwa pasien yang memperoleh pelayanan perawat yang baik memiliki peluang sekitar 36 kali lebih besar untuk melakukan kunjungan ulang dibandingkan pasien yang memperoleh pelayanan kurang baik. Disimpulkan bahwa peningkatan kualitas pelayanan, terutama pelayanan perawat dan administrasi, menjadi faktor utama dalam meningkatkan minat kunjungan ulang pasien di Poli Obstetric dan Gynecology Rumah Sakit Wulan Windi Medan.  
Co-Authors Fransiska Debataraja Jumadiah Wardati Martaulina Sinaga May Linda Kristina Pajriani Khairunnisa Renta Sihombing Renta Sihombing Salim Efendi Sefentina Sefentina Siti Nurul Fadhilah Sari Siti Nurul Fadhilah Sari Yeni Trisna Purba