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Risk of breast cancer among women with a breastfeeding history of less than two years Marleni Marleni; Dyah Retnoningrum
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2403

Abstract

Background: Breast cancer remains a major public health problem among women, with its incidence continuing to increase each year. Breastfeeding is known to have a protective effect against breast cancer; however, a shorter duration of breastfeeding may reduce this protective benefit and increase the risk of disease development. Purpose:  To determine the risk of breast cancer among women with a history of breastfeeding for less than two years. Method: An analytical survey with a cross-sectional design was conducted involving 95 respondents selected using probability sampling. Breastfeeding duration was assessed as the independent variable, while breast cancer incidence was the dependent variable. Data were analyzed using the Chi-square test and Prevalence Odds Ratio (POR). Results: The results demonstrated a statistically significant association between breastfeeding duration and breast cancer incidence (p-value = 0.000). Women who breastfed for less than two years were found to have a 9.20-fold higher risk of developing breast cancer compared to those who breastfed for two years or longer (POR = 9.20; 95% CI = 3.55–23.89). Conclusion: A breastfeeding duration of less than two years is a significant risk factor for breast cancer. Strengthening breastfeeding promotion and support for longer duration may serve as an important preventive strategy against breast cancer among women.
Penguatan Kesiapan Menyusui pada Ibu Hamil Trimester III melalui Edukasi Teknik Menyusui Berbasis E-Booklet di Wilayah Kerja Puskesmas Kelapa Marleni Marleni; Gina Rizky Anggrayni
Jurnal Pengabdian Masyarakat Nusantara Vol. 8 No. 1 (2026): Maret: Jurnal Pengabdian Masyarakat Nusantara
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/pengabmas.v8i1.1152

Abstract

Limited readiness for breastfeeding among third-trimester pregnant women may affect the success of breastfeeding practices. Insufficient knowledge regarding proper breastfeeding techniques can lead to various lactation-related problems, including incorrect breastfeeding positions, poor infant attachment, and ineffective breastfeeding. Therefore, effective educational interventions are needed to improve breastfeeding readiness during pregnancy. This community service program aimed to strengthen breastfeeding readiness among third-trimester pregnant women through e-booklet-based education on breastfeeding techniques in the working area of Kelapa Community Health Center. The program was conducted in June 2025 and involved 20 third-trimester pregnant women. Educational activities were delivered through interactive lectures, discussions, question-and-answer sessions, and the distribution of e-booklets. Evaluation was carried out using pre-tests and post-tests to assess changes in participants’ knowledge and attitudes after the intervention. The results showed an improvement in participants’ knowledge, with the proportion of women in the good knowledge category increasing from 20.0% to 75.0%, while the poor knowledge category decreased from 30.0% to 0%. Positive attitudes toward breastfeeding also increased from 40.0% to 85.0% following the educational intervention. The use of e-booklets as educational media facilitated participants’ understanding of breastfeeding materials and enabled independent review of the information after the program. This community service activity demonstrates that e-booklet-based breastfeeding education is effective in improving knowledge, fostering positive attitudes, and strengthening breastfeeding readiness among third-trimester pregnant women
Peningkatan kapasitas kader posyandu dalam pendampingan kesehatan mental ibu nifas melalui aromaterapi kunyit Marleni Marleni
JOURNAL of Public Health Concerns Vol. 4 No. 6 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i6.3445

Abstract

Background: Postpartum maternal mental health is an often overlooked aspect of maternal health, despite its crucial role in postpartum adaptation. One of the most common psychological disorders experienced by postpartum mothers is baby blues syndrome. Limited knowledge of Posyandu (Integrated Health Post) cadres regarding postpartum maternal mental health and the use of complementary therapies remains a barrier to supporting postpartum mothers in the community. One approach that can be utilized to support postpartum maternal mental health is aromatherapy. Aromatherapy is a method that uses aromas from natural ingredients to provide relaxation, increase comfort, and help reduce anxiety and stress. Purpose: To increase the capacity of Posyandu cadres in providing postpartum maternal mental health support through the use of turmeric-based aromatherapy. Method: A community service activity was conducted on March 15, 2024, in Penagan Village, Mendo Barat District, Bangka Regency. It involved 15 local Posyandu cadres and a collaboration between the community service team from the International Image Institute (ICI) and the village government. Using a participatory and educational approach implemented through counseling, demonstrations, direct practice, and mentoring for Posyandu cadres. The assessment instrument used a questionnaire administered before the activity (pre-test) and after the educational activity (post-test) to determine changes in the level of knowledge of participants after participating in the entire series of activities. In addition, skills evaluation was conducted through direct observation of the cadres' ability to make turmeric-based aromatherapy according to the procedures that have been taught. The evaluation results were used to assess the effectiveness of community service activities in increasing the capacity of Posyandu cadres regarding mental health assistance for postpartum mothers. Results: Demonstrates an increase in cadre knowledge regarding postpartum maternal mental health, baby blues syndrome, and the use of turmeric-based aromatherapy as a complementary therapy. The proportion of cadres with good knowledge increased from 13.4% to 66.6%, while the proportion of cadres with poor knowledge decreased from 53.3% to 6.7%. Meanwhile, the average pre-test score of 61.3 points increased to 84.7 points in the post-test. Conclusion: The training, which combined counseling, demonstration, and hands-on practice methods, proved effective in improving cadre understanding and skills. Community service activities in the form of training on the use of turmeric-based aromatherapy successfully increased the capacity of Posyandu cadres in providing mental health support for postpartum mothers, particularly in their ability to independently prepare turmeric-based aromatherapy according to the procedures provided during the training. Suggestion: It is recommended that cadres who have received this training play a more active role in providing education, support, and assistance to postpartum mothers in the community. The use of turmeric-based aromatherapy can also be an easy-to-implement alternative complementary therapy that leverages the potential of local ingredients available within the community. Similar activities need to be carried out continuously, involving health workers, village governments, and the community to ensure optimal and sustainable efforts to improve the mental health of postpartum mothers. Keywords: Cadre empowerment; Complementary therapy; Integrated Health Post; Postpartum mental health;Turmeric aromatherapy Pendahuluan: Kesehatan mental ibu nifas merupakan salah satu aspek kesehatan maternal yang sering terabaikan meskipun memiliki peran penting dalam proses adaptasi pasca persalinan. Salah satu gangguan psikologis yang paling sering dialami ibu nifas adalah baby blues syndrome. Keterbatasan pengetahuan kader Posyandu mengenai kesehatan mental ibu nifas dan pemanfaatan terapi komplementer masih menjadi kendala dalam upaya pendampingan ibu nifas di masyarakat. Salah satu pendekatan yang dapat dimanfaatkan dalam mendukung kesehatan mental ibu nifas adalah terapi komplementer berupa aromaterapi. Aromaterapi merupakan metode yang menggunakan aroma dari bahan alami untuk memberikan efek relaksasi, meningkatkan kenyamanan, serta membantu mengurangi kecemasan dan stres Tujuan: Untuk meningkatkan kapasitas kader Posyandu dalam pendampingan kesehatan mental ibu nifas melalui pemanfaatan aromaterapi berbasis kunyit. Metode: Kegiatan pengabdian kepada masyarakat dilaksanakan pada tanggal 15 Maret 2024 di Desa Penagan, Kecamatan Mendo Barat, Kabupaten Bangka. Melibatkan 15 kader Posyandu setempat dan kerja sama antara tim pengabdian dari Institut Citra Internasional (ICI) dengan pemerintah desa. Menggunakan pendekatan partisipatif dan edukatif yang dilaksanakan melalui penyuluhan, demonstrasi, praktik langsung, dan pendampingan kepada kader Posyandu. Instrumen penilaian menggunakan kuesioner yang diberikan sebelum kegiatan (pre-test) dan sesudah kegiatan edukasi (post-test) untuk mengetahui perubahan tingkat pengetahuan peserta setelah mengikuti seluruh rangkaian kegiatan. Selain itu, evaluasi keterampilan dilakukan melalui observasi langsung terhadap kemampuan kader dalam membuat aromaterapi berbasis kunyit sesuai dengan prosedur yang telah diajarkan. Hasil evaluasi digunakan untuk menilai efektivitas kegiatan pengabdian dalam meningkatkan kapasitas kader Posyandu terkait pendampingan kesehatan mental ibu nifas. Hasil: Menunjukkan adanya peningkatan pengetahuan kader mengenai kesehatan mental ibu nifas, baby blues syndrome, dan pemanfaatan aromaterapi berbasis kunyit sebagai terapi komplementer secara proporsi kader dengan kategori pengetahuan baik meningkat dari 13.4% menjadi 66.6%, sedangkan kategori pengetahuan kurang menurun dari 53.3% menjadi 6.7%.. Sedangkan, nilai rata-rata pre-test sebesar 61.3 poin  meningkat menjadi 84.7 poin pada post-test. Simpulan: Pelatihan yang mengombinasikan metode penyuluhan, demonstrasi, dan praktik langsung terbukti efektif dalam meningkatkan pemahaman dan keterampilan kader. Kegiatan pengabdian kepada masyarakat berupa pelatihan pemanfaatan aromaterapi berbasis kunyit berhasil meningkatkan kapasitas kader Posyandu dalam pendampingan kesehatan mental ibu nifas khususnya kemampuan pembuatan aromaterapi berbasis kunyit secara mandiri dan sesuai prosedur yang telah diberikan selama pelatihan. Saran: Diharapkan kepada kader yang sudah diberikan edukasi untuk berperan lebih aktif dalam memberikan edukasi, dukungan, serta pendampingan kepada ibu nifas di masyarakat. Pemanfaatan aromaterapi berbasis kunyit juga dapat menjadi salah satu alternatif terapi komplementer yang mudah diterapkan dan memanfaatkan potensi bahan lokal yang tersedia di lingkungan masyarakat. Kegiatan serupa perlu dilakukan secara berkelanjutan dengan melibatkan tenaga kesehatan, pemerintah desa, dan masyarakat agar upaya peningkatan kesehatan mental ibu nifas dapat terlaksana secara optimal dan berkesinambungan.
Effectiveness of The Educational Game “Engklek” In Prevention of Dengue Hemorrhagic Fever Deska Viorentira; Marleni Marleni; Ayudita Ayudita
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 12, No 1 (2026): Jurnal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v12i1.1569

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted by the Aedes aegypti mosquito, which can be prevented by implementing the PSN 3M Plus principle, namely draining, covering, recycling, and taking additional measures. This study aims to evaluate the effectiveness of the educational game "Engklek" in improving children's knowledge, attitudes, and self-confidence towards DHF prevention. The method used is mixed methods with quantitative and qualitative approaches. The quantitative design uses a quasi-experimental design with two groups pretest posttest, while the qualitative design involves in-depth interviews. The sample consisted of 80 students of grades IV and V, divided into intervention and control groups. Quantitative data analysis was carried out using the Paired t-Test and independent t-test. The results showed a significant increase in knowledge scores (p = 0.000), attitudes (p = 0.004), and self-confidence (p = 0.045) after the intervention. The conclusion of this study is that the “Engklek” game is effective as an educational medium for dengue fever prevention, and it is recommended to be widely implemented in schools as part of interactive health promotion.
EDUKASI KESEHATAN KOMPLEMENTER PENANGANAN TRADISIONAL ANAK DEMAM DAN SEMBELIT DI DESA PAYA BENUA Nur Ain Desta Sulasdi Sulasdi; Marleni Marleni; Sri Putriani Sinaga; Yohana Samosir
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 5 No. 2 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jisomba.v5i2.2251

Abstract

Demam dan sembelit merupakan masalah kesehatan yang sering terjadi pada anak dan umum dijumpai di masyarakat pedesaan, yang kerap ditangani dengan cara tradisional tanpa didukung edukasi kesehatan yang memadai. Di Desa Paya Benua, keterbatasan akses informasi kesehatan berpotensi menyebabkan penanganan demam dan sembelit pada anak yang kurang tepat dan berisiko terhadap kesehatan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu dalam edukasi kesehatan komplementer terkait penanganan tradisional demam dan sembelit pada anak. Kegiatan ini dilaksanakan pada bulan Juni 2025 di ruang pertemuan Kantor Desa Paya Benua dengan melibatkan 15 ibu beserta anaknya. Metodologi kegiatan meliputi penyuluhan kesehatan, diskusi interaktif, demonstrasi penanganan tradisional yang aman, serta evaluasi pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan pemahaman peserta mengenai penanganan demam yang tepat, penggunaan terapi tradisional secara aman seperti kompres hangat dan baluran bawang merah, serta pemanfaatan bahan alami tinggi serat untuk mengatasi sembelit pada anak. Peserta juga menunjukkan peningkatan kesadaran terhadap tanda bahaya yang memerlukan rujukan ke fasilitas kesehatan. Kegiatan ini menyimpulkan bahwa edukasi kesehatan komplementer efektif dalam meningkatkan pengetahuan ibu dan mendorong praktik penanganan tradisional yang lebih aman pada anak. Edukasi berkelanjutan berbasis masyarakat direkomendasikan untuk memperkuat upaya promotif dan preventif kesehatan anak di wilayah pedesaan.