Rifzul Maulina
Undergraduate Midwifery Study Program, Faculty of Health Sciences, Institute of Technology, Science and Health, Dr. Soepraoen Hospital, Malang, Indonesia

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Factors Influencing the High Acceptance of Injectable Contraceptives Rifzul Maulina; Dian Setyorini
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.560

Abstract

The use of injectable contraceptives remains the leading choice among women of reproductive age (WRA) in various regions in Indonesia. The number of injectable family planning (FP) acceptors has increased significantly compared to other contraceptive methods. This study aims to describe and analyze the factors influencing the high number of injectable contraceptive acceptors. This research employed a descriptive, cross-sectional design. The study population consisted of all active injectable contraceptive acceptors (35 respondents), selected using a total sampling technique. Data were analyzed descriptively using frequency and percentage distribution. The results showed that most respondents had good knowledge about injectable contraceptives (60.0%), a positive attitude toward their use (68.6%), received spousal support (74.3%), perceived the role of health workers as good (80.0%), and stated that access to services was easily reachable (82.9%). These factors collectively contributed to the high interest and continued use of injectable contraceptives in the study area. These findings underscore the importance of involving husbands and ensuring that midwifery services are supportive and accessible to sustain family planning programs in rural settings.
The Effect of Endorphin Massage on Reducing Anxiety Levels During the First Stage of Labor Didin Prasetya Cahyaningsih; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.571

Abstract

Anxiety in mothers entering the latent phase of the first stage of labor can arise due to various factors, including psychological conditions, lack of family support, fear of the birthing process, limited information, and physical complaints experienced during labor. One non-pharmacological approach that has the potential to help reduce anxiety is endorphin massage, a massage technique believed to stimulate the release of endorphins, which are natural stress reducers. This study aims to assess the effectiveness of endorphin massage in reducing anxiety levels in pregnant women. The research design used a quantitative descriptive method with a one-group pretest–posttest approach. A total of 25 mothers in the first stage of labor at TPMB Diah Ulul in Probolinggo City were included in the sample. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Univariate analysis was used to describe the distribution of results, while differences in anxiety scores were tested using the t-test. The results showed a statistically significant decrease in anxiety after endorphin massage (t = 19.5; p < 0.001), with the average HARS score decreasing from 29.9 to 13.9. These findings indicate that endorphin massage is an effective non-pharmacological intervention and can be recommended as a supportive measure to help reduce anxiety in laboring mothers, thereby potentially improving comfort and the quality of the birthing experience.