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Analisis Efektivitas Model Asuhan Berbasis Holistik dalam Meningkatkan Kesejahteraan Ibu dan Bayi Mildaratu; Raehan; Halisah; Fyzria Qudratullah; Armiyati Nur
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2816

Abstract

Model asuhan kebidanan yang berfokus secara biomedis sering kali belum mampu menjawab kebutuhan menyeluruh ibu dan bayi dalam periode perinatal. Pendekatan holistik dipandang mampu meningkatkan kesejahteraan dengan memperhatikan aspek fisik, emosional, sosial, dan spiritual secara terpadu. Menilai efektivitas model asuhan berbasis holistik dalam meningkatkan kesejahteraan ibu dan bayi pascapersalinan. Penelitian ini merupakan studi quasi-eksperimental dengan desain pretest-posttest kelompok kontrol. Sampel terdiri dari 60 ibu bersalin yang dibagi menjadi kelompok intervensi (asuhan holistik) dan kelompok kontrol (asuhan konvensional). Asuhan holistik meliputi pijat relaksasi, konseling emosional, aromaterapi, dan dukungan spiritual. Data dikumpulkan melalui kuesioner depresi postnatal (EPDS), kepuasan pasien (CSQ-8), dan bonding ibu-bayi (MIBS), kemudian dianalisis menggunakan uji paired dan independent t-test. Hasil analisis menunjukkan peningkatan signifikan dalam aspek kesejahteraan ibu dan bayi pada kelompok intervensi dibandingkan kelompok kontrol, dengan penurunan skor depresi postnatal (p=0,001), peningkatan kepuasan pelayanan (p=0,000), dan perbaikan ikatan ibu-anak (p=0,004). Model asuhan berbasis holistik efektif dalam meningkatkan kesejahteraan ibu dan bayi, serta layak diintegrasikan ke dalam pelayanan kebidanan sebagai pendekatan komplementer terhadap model konvensional.
Analyzing the Economic and Legal Impacts of Foreign Vessel Dominance in Indonesia's Trade Activities Najmah Ramadhani Syukur; Ade Siti Ardila; Nanna Daun Tasik; Halisah; Erlin Aulia Ningsih
Punggawa Global Research: Jurnal Multidisiplin Vol. 1 No. 3 (2026): Punggawa Global Research
Publisher : Punggawa Legacy Center

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Abstract

This study analyzed the economic and legal impacts of foreign vessel dominance in Indonesia's international trade and evaluated the effectiveness of maritime regulation in strengthening the national shipping industry. Using normative legal research that combined statutory and conceptual approaches, the study examined relevant maritime legislation, trade data, and law-enforcement mechanisms. The findings revealed a striking paradox in the implementation of the cabotage principle. Although domestic cabotage had enabled the national fleet to secure 99.9% of the domestic market, international trade remained heavily dominated by global shipping companies, which controlled more than 90% of export-import cargo. This imbalance produced substantial annual capital outflows, estimated at between IDR 190 trillion and IDR 380 trillion in freight payments. The legal analysis indicated that this underperformance was rooted in regulatory loopholes, particularly ambiguous exemption clauses for foreign vessels, weak enforcement, the absence of integrated real-time data, and high commercial lending rates that constrained domestic fleet expansion. The study concluded that comprehensive regulatory harmonization, stricter exemption criteria, targeted fiscal incentives, and integrated digital maritime supervision were required to safeguard national maritime sovereignty.
Co-Authors Ade Siti Ardila ARMIYATI NUR Erlin Aulia Ningsih Fyzria Qudratullah Mildaratu Najmah Ramadhani Syukur Nanna Daun Tasik Raehan