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JKM (Jurnal Kebidanan Malahayati)
Published by Universitas Malahayati
ISSN : 24768944     EISSN : 2579726X     DOI : 10.33024
Core Subject : Health,
Jurnal Kebidanan Malahayati menyediakan platform untuk mempublikasikan bidang kebidanan dan jurnal juga berusaha untuk memajukan kualitas penelitian dengan memperkenalkan atau menguraikan metode baru di bidang kesehatan kebidanan untuk publikasi termasuk kebidanan dan ilmu kesehatan inti. Jurnal ini berisi naskah tentang Ilmu Kesehatan yang meliputi: asuhan Kebidanan, Gizi, Psikologi, kebidanan komunitas, kesehatan Reproduksi, Kesehatan Lansia, Kesehatan Masyarakat
Articles 971 Documents
Effectiveness Of Perineum Massage In Pregnant Women Primigravida Trimester III To Rubber Of The Birth Road Indah Fitri Agustina; Risa Mundari; Herliana Herliana
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.6696

Abstract

Latar belakang : Perdarahan postpartum merupakan penyebab utama kematian maternal di seluruh dunia dengan insiden sebesar 5% sampai 10% dari seluruh persalinan. Di Indonesia angka kejadian perdarahan postpartum sebagai penyumbang utama yaitu sebesar 40%. Penyebab perdarahan postpartum yaitu atonia uteri, retensio plasenta, robekan jalan lahir, sisa plasenta dan gangguan pembekuan darah. Tujuan penelitian untuk menganalisis pengaruh pijat perineum pada ibu hamil primigravida trimester III di wilayah kerja Puskesmas Puspahiang Kabupaten Tasikmalaya.Metode penelitian: Eksperimen semu (Quasy eksperimen ) yaitu kegiatan percobaan yang bertujuan untuk mengetahui suatu gejala atau pengaruh yang ditimbulkan sebagai akibat dari suatu perlakuan tertentu di lakukan pengamatan pada ibu hamil primigravida trimester III sebanyak   30 orang dan dibagi menjadi 2 kelompok, yaitu kelompok eksperimen sebanyak 15 orang yang diberikan perlakuan pijat perineum dan kelompok kontrol sebanyak 15 orang  yang tidak diberikan perlakuan pijat perineum.Hasil Penelitian : Ada perbedaan kejadian robekan jalan lahir pada kelompok eksperimen dengan terapi pijat perineum dengan kelompok kontrol tanpa perlakuan pijat perineum denganHasil uji statistic dengan menggunakan uji T diperoleh nilai thitung sebesar 9,466 jika dibandingkan dengan nilai ttabel (1,701) maka nilai thitung lebih besar dari pada ttabel (9,466 > 1,701) yang bermakna ada pengaruh pijat perineum pada ibu hamil primigravida terhadap robekan jalan lahirKesimpulan: Ada pengaruh pijat perineum pada ibu primigravida trimester III  yaitu Peningkatan elastisitas perineum akan mencegah kejadian robekan perineum maupun episiotomi               Saran: bidan dapat meningkatkan ilmu pengetahuan dan keterampilannya tentang terapi komplemter salah satunya tentang pijat perineum dan terapi lain yang bisa mencegah terjadinya robekan jalan lahir pada saat bersalin baik itu dengan mengikuti pelatihan, workshop sehingga nantinya bisa memberikan pelayanan yang optimal kepada masyarakat. Kata Kunci : Pijat Perineum, Robekan Jalan Lahir ABSTRACT Background: Postpartum hemorrhage is the main cause of maternal death worldwide with an incidence of 5% to 10% of all deliveries. In Indonesia, the incidence of postpartum hemorrhage as the main contributor is 40%. Causes of postpartum hemorrhage are uterine atony, retained placenta, torn birth canal, retained placenta and blood clotting disorders. The purpose of the study was to analyze the effect of perineal massage on third trimester primigravida pregnant women in the working area of Puspahiang Health Center, Tasikmalaya Regency.Research method: Quasi experiment (Quasy experiment) which is an experimental activity that aims to determine a symptom or effect caused as a result of a certain treatment. Observations were made on 30 people in third trimester primigravida pregnant women and divided into 2 groups, namely the experimental group as many as 30 people. 15 people were given perineal massage treatment and the control group was 15 people who were not given perineal massage treatment.Results: There is a difference in the incidence of birth canal tears in the experimental group with perineal massage therapy with the control group without perineal massage treatment. The statistical test results using the T test obtained a tcount value of 9.466 when compared to the ttable value (1.701), the tcount value is greater than ttable (9.466 > 1.701) which means that there is an effect of perineal massage on primigravida pregnant women on birth canal tearsConclusion: There is an effect of perineal massage on third trimester primigravida mothers, namely the increase in perineal elasticity will prevent the incidence of perineal tears and episiotomySuggestion: midwives can improve their knowledge and skills about complementary therapy, one of which is perineal massage and other therapies that can prevent birth canal tears during childbirth either by attending training, workshops so that later they can provide optimal service to the community. Keywords: Primigravida, Perineal Massage, Torn Birth Canal, Trimester III
Analysis The Causes Of Anemia In Pregnant Women Supriyatun Supriyatun
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.7505

Abstract

Latar Belakang : kematian Ibu di Indonesia saat ini masih cukup tinggi berada pada angka 305 per 100.000 kelahiran hidup dan belum mencapai target MDGs ditahun 2015 yaitu 102 per 100.000 kelahiran hidup, sedangkan target SDGs AKI adalah 70 per 100.000 kelahiran hidup pada tahun 2030.  Di jawa barat pada tahun 2019 jumlah kematian ibu adalah 684 kasus, perdarahan merupakan penyebab utama kematin ibu tersebut. Anemia pada ibu hamil merupakan salah satu penyebab terjadinya kasus perdarahan dan prevalensinya masih tinggi mencapai 48.9 persen di Indonesia,  63.246 kasus di Jawa Barat, 578 kasus di Kota Banjar dan 86 kasus di wilayah kerja puskesmas Langensari 2. Terdapat beberapa faktor yang dapat menyebabkan kejadian anemia pada ibu hamil diantaranya Pendidikan, pekejaan, status sosial ekonomi dan status KEK.Tujuan : menganalisis faktor penyebab anemia pada ibu hamil di wilayah kerja puskesmas langensari 2 Kota Banjar.Metode : jenis penelitian yang digunakan adalah penelitian korelasional dengan menggunakan rancangan Kasus Kontrol. Analisis penelitian terdiri dari univariate untuk mengidentifikasi variable bebas dan Analisa bivariate menggunakan Chi-square dan uji Fisher Exact Test untuk menguji adakah hubungan antara variabel bebas dengan variabel terikat. Jumlah subjek penelitian sebanyak 116 orang dengan rincian kelompok kasus 58 responden dan kelompok kontrol sebanyak 58 responden. Tekhnik sampling yang digunakan adalah random sampling  dengan kriteria inklusi responden yang datanya lengkap tersedia di laporan puskesmas. Cara pengambilan data menggunakan data sekunder dan Instrumen penelitian yang  digunakan adalah lembar ceklis. Hasil : analisis univariat didapatkan sebagian besar ibu hamil pada kelompok kasus memiliki pendidikan menengah sebanyak 35 (60,3%) dan sebagian kecil 4 (6,9%) dengan pendidikan tinggi. Jumlah ibu hamil yang memiliki pekerjaan pada kelompok kasus sebanyak 9 (15,5%) dan jumlah yang sama yaitu sebanyak 9 (15,5%)  untuk ibu hamil pada kelompok kontrol. Ibu hamil yang tidak bekerja pada kelompok kasus sebanyak 49 (84,5%), begitupun pada ibu hamil pada kelompok kontrol sebanyak 49 (84,5%). Responden yang memiliki status ekonomi non gakin lebih banyak mengalami anemia yaitu 56 orang atau 96,6 % dan pada kelompok kontrol juga lebih banyak pada kelompok non gakin yaitu 54 orang atau 93,1 %.  Responden yang memiliki status Tidak KEK lebih banyak mengalami anemia yaitu 53 orang atau 91,4 % dan pada kelompok kontrol juga lebih banyak pada kelompok tidak KEK yaitu 51 orang atau 87,9 %.  Hasil analisis bivariat menunjukkan tidak terdapat hubungan faktor pendidikan nilai p-value 0,325 lebih besar dari  0,05, tidak terdapat hubungan yang bermakna antara pekerjaan dengan p-value 1,000 lebih besar dari  0,05 status social ekonomi dengan p-value 0,679 lebih besar dari  0,05, dan status KEK nilai p-value 0,542 lebih besar dari  0,05 dengan kejadian anemia pada ibu hamil.Kesimpulan : tidak terdapat hubungan yang bermakna antara faktor Pendidikan, pekerjaan, status sosial ekonomi dan status KEK dengan kejadian anemia pada ibu hamil diwilayah kerja puskesmas Langensari 2 Kota Banjar.Saran :  Diharapkan pada petugas Kesehatan yang terkait dengan pelayanan kepada ibu hamil untuk dapat memberikan edukasi mengenai pentingnya konsumsi tablet tambah darah dan bagaimana cara konsumsinya sehingga kejadian anemia pada ibu hamil dapat dicegah. Kata kunci : Anemia, Pendidikan, Pekerjaan, Sosio Ekonomi, KEK   ABSTRACT  Background :. At 305 deaths per 100,000 live births, Indonesia's maternal mortality rate is still relatively high compared to the 102 deaths per 100,000 live births target set by the MDGs for 2015 and the 70 deaths per 100,000 live births target set by the SDGs for 2030. 2030 in West Java In 2019, there were 684 incidents of maternal fatalities, with hemorrhage being the primary factor. One of the reasons of bleeding in pregnant women is anemia, which has a high frequency of 48.9% in Indonesia, 63,246 cases in West Java, 578 cases in Banjar City, and 86 cases in the Langensari Health Center 2's work area. Anemia can be brought on by a number of circumstances. in expectant mothers.Objective : In the working space of the Langensari 2 Public Health Center, Banjar City, the causes of anemia in pregnant women were examined.Methods:. Correlational research with a case-control design is the method of choice. The study analysis used univariate to pinpoint the independent variable and bivariate analysis with Chi-square and Fisher's Exact Test to determine whether the independent variable and dependent variable were related. There were 116 research subjects in all, with 58 respondents in the case group and 58 respondents in the control group. Random sampling is the sample method that was employed, and the inclusion criteria were respondents whose full data were accessible in the puskesmas report. Secondary data are employed in the data collection process, and a checklist is the research tool. Results: According to a univariate analysis, 4 (6.9%) and 35 (60.3%) of the case group's pregnant women respectively had higher education. Nine (15.5%) of the pregnant women in the case group were working, while nine (15.5%) of the pregnant women in the control group were. 49 (84.5%) of the pregnant women in the case group and 49 (84.55%) of the pregnant women in the control group did not work. A greater percentage of respondents—56, or 96.6%—have non-gain economic status, while a greater percentage of respondents in the control group—54, or 93.1%—have non-gain economic status. 53 respondents, or 91.4%, of those without chronic low energy status in the sample had more anemia and 51 persons or 87.9% more in the non-chronic low energy  group in the control group.According to the results of the bivariate analysis, there was no correlation between factors relating to education (p-value 0.325 greater than 0.05), occupation (p-value 1,000 greater than 0.05), socioeconomic status (p-value 0.679 more than 0.05), or KEK status (p-value 0.542 greater than 0.05) and the prevalence of anemia in pregnant women.Conclusion: In the working area of Langensari 2 Public Health Center, Banjar City, there is no correlation between education, occupation, socioeconomic position, or KEK status and the prevalence of anemia in pregnant women.Suggestion: In order to reduce the occurrence of anemia in pregnant women, it is anticipated that health professionals who work with them will be able to educate patients about the value of taking blood-added supplements and how to do so. Keywords: anemia, education, occupation, socio economic, chronic low energy (KEK). 
Whatsapp Gateway Education On Perception And Self Efficacy Avoiding Free Sex In Students Riris Andriati; Fenita Purnama Sari Indah; Rita Dwi Pratiwi; Gina Aulia; Rani Aprilia Simamora
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.5939

Abstract

Latar Belakang: AIDS pada tahun 2017 terutama pada kelompok usia 20-29 tahun, yang berarti penularan HIV terjadi dalam 5-10 tahun terakhir saat remaja. Berdasarkan laporan data tahun 2019, Kota Tangerang Selatan memiliki 2.937 kasus ODHA.Tujuan: Mengetahui pengaruh konseling WhatsApp gateway terhadap persepsi dan efikasi diri pada siswa jurusan administrasi perkantoran di SMK Sasmita Jaya 1.Metode: Penelitian ini menggunakan studi kuantitatif yang menggunakan data primer (kuesioner) dan metode penelitian eksperimen semu. Jumlah sampel sebanyak 95 siswa di SMKN 1 Sasmita Jaya tahun 2020.Hasil: Pada penelitian ini diperoleh hasil bahwa rerata skor pada variabel persepsi sebelum penyuluhan adalah 34,67 dan setelah penyuluhan meningkat menjadi 37,44. Hasil uji statistik diperoleh pada analisis bivariat -nilai = 0,00. Dapat disimpulkan bahwa ada perbedaan persepsi menghindari seks bebas sebelum dan sesudah konseling pada siswa di bagian administrasi perkantoran SMKN 1 Sasmita Jaya. Pada variabel efikasi diri diperoleh rerata skor sebelum konseling sebesar 49,63 dan meningkat ke 51.68. Hasil uji statistik diperoleh pada analisis bivariat -nilai = 0,00.Kesimpulan: Terdapat perbedaan yang signifikan antara pengaruh konseling WhatsApp gateway terhadap efikasi diri menghindari seks bebas pada siswa jurusan administrasi perkantoran di SMKN 1 Sasmita Jaya.Saran: Bagi institusi pendidikan, penelitian ini diharapkan dapat dijadikan sebagai tambahan informasi bagi mahasiswa dan dosen mengenai pendidikan, persepsi, dan efikasi diri pada masa remaja. Bagi masyarakat sebagai informasi, pengetahuan tentang pentingnya bahaya pergaulan khususnya di kalangan remaja dapat mencegah kerusakan moral dan kesehatan pada remaja. Kata kunci: Efikasi Seks,Konseling Whatsapp Gateway, Persepsi, Seks Bebas ABSTRACT Background: AIDS in 2017 was mainly in the age group of 20-29 years, which means that the transmission of HIV occurred in the past 5-10 years as a teenager. Based on data reports in 2019, the city of South Tangerang has 2,937 cases of PLWHA.Purpose: Determine the effect of WhatsApp gateway counseling on perceptions and self-efficacy in students majoring in office administration at Sasmita Jaya Vocational School 1.Methods: The research uses a quantitative study that uses primary data (questionnaires) and quasi-experimental research methods. The number of samples was 95 students in Sasmita Jaya 1 Vocational School in 2020.Results: In this study, the results obtained were that the mean score on the perception variable before counseling was 34.67, and after counseling, it increased to 37.44. The statistical test results were obtained in the bivariate analysis -value = 0.00. It can be concluded that there is a difference between perceptions of avoiding free sex before and after counseling for students in the office administration department of Sasmita Jaya Vocational School 1. On the self-efficacy variable, the mean score obtained before counseling was 49.63 and increased to 51.68. Statistical test results were obtained in the bivariate analysis -value = 0.00.Conclusion: There are significant differences between the influence of WhatsApp gateway counseling on self-efficacy to avoid free sex in students majoring in office administration at Sasmita Jaya 1 Vocational School.Suggestions: For educational institutions, this research is expected to be used as additional information for students and lecturers regarding education, perception, and self-efficacy in adolescence. For the community as information, knowledge about the importance of the dangers of association, especially among adolescents, can prevent moral and health damage in adolescents. Keywords: Whatsapp Gateway Counseling, Perception, Free Sex, Sex Efficacy INTR
The Application Of Shallots (Allium Ascalonicum L) Against Breast Engorgement Ranny Septiani; Sumiyati Sumiyati
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 3 (2022): Volume 8 No.3 July 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i3.6562

Abstract

Latar Belakang: Pembengkakan payudara (breast engorgrment) merupakan salah satu masalah yang sering dialami ibu paling awal pada masa setelah persalinan. Pembengkakan payudara terjadi karena peningkatan produksi air susu melebihi kapasitas penyimpanan. Tingkat kejadian pembengkakan payudara yang terjadi pada ibu di masa awal menyusui dapat mencapai hingga 85% terutama ibu primigravida. Sekitar10 % ibu post partum mengalami nyeri payudara akibat dari membengkaknya payudara dan memerlukan obat penghilang rasa sakit untuk meredakan nyeri.Tujuan: Penelitian ini bertujuan mengetahui efektifitas aplikasi Bawang Merah (Alium Ascalonicum L) terhadap pembengkakan payudara (Breast Engorgement) pada ibu nifas.Metode: Penelitian ini menggunakan rancangan penelitian quasi eksperimen dengan pendekatan Non Equivalent Control Group. Populasi penelitian ini adalah seluruh ibu nifas yang mengalami pembengkakan payudara (breast engorgement) di Wilayah Kabupaten Pringsewu. Variabel dependen penelitian ini adalah pembengkakan payudara (breast engorgement) sedangkan variabel independent dari penelitian ini adalah bawang merah. Pengumpulan data dalam penelitian ini menggunakan data primer dengan teknik observasi dengan menggunakan instrumen berupa kuesioner/checklist yang diisi oleh responden sebelum dan sesudah melakukan perlakuan. Waktu pelaksanaan penelitian ini adalah tahun 2019.Hasil :Didapat nilai signifikasi/ nilai Asymp Sig (2–tiled) adalah 0,000 < 0,05. Berarti ada perbedaan hasil skor pembengkakan payudara sesudah diberi kompres bawang dengan hasil skor pembengkakan payudara sesudah perawatan payudara Breast Care.Simpulan:kompres bawang pada payudara efektif terhadap pembengkakan payudara pada ibu nifas. Bidan mempunyai kemampuan untuk menerapkan terapi komplementer untuk melakukan penatalaksanaan pembengkakan payudara.Saran: Meningkatkan kemampuan bidan dalam melakukan deteksi dini pembengkakan payudara saat menyusui, meningkatkan pengetahuan dan keterampilan dalam manajemen pembengkakan payudara saat menyusui dengan berbagai metode atau teknik komplementer menggunakan ramuan atau obat tradisional yang terbukti secara ilmiah bermanfaat. Kata Kunci : Bengkak, Bawang Merah,Payudara ABSTRACT Background: Breast engorgement is one of the problems that are most often experienced by mothers in the postpartum period. Swelling of the breast occurs because the increase in milk production exceeds the storage capacity. The incidence of breast swelling that occurs in mothers during early breastfeeding can reach up to 85%, especially in primigravida mothers. About 10% of postpartum mothers experience breast pain due to breast swelling and need painkillers to relieve pain. Purpose: To determine the effectiveness of the application of Shallots (Alium Ascalonicum L) against breast engorgement in postpartum mothers. Methods: This study uses a quasi-experimental research design with the Non-Equivalent Control Group approach. The study population was all postpartum mothers who experienced breast engorgement in the Pringsewu District. The dependent variable of this study was breast engorgement while the independent variable of this study was the onion. Collecting data in this study using primary data with observation techniques using instruments in the form of a questionnaire/checklist filled out by respondents before and after treatment. The time of this research is 2019. Results : of this study found the significance value / Asymp Sig (2-tiled) value was 0,000 <0.05. This means there is a difference in the results of the breast swelling score after being given an onion compress with the result of the breast swelling score after breast care. Conclusion: Compressing the onion on the breast is effective against breast swelling in the puerperal mother. Midwives can apply complementary therapy to manage breast swelling.Suggestion Improving the ability of midwives to carry out early detection of breast swelling during breastfeeding, increasing knowledge and skills in breast swelling management when breastfeeding with various complementary methods or techniques using ingredients or traditional medicines that are scientifically proven to be useful.Keywords: Breasts, Swelling, Shallots.
Factors Associated With The Incidence Of Perineal Rupture In Normal Delivery Vetti Andina; Rohaya Rohaya; Rizki Amalia
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 3 (2022): Volume 8 No.3 July 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i3.5654

Abstract

    Latar Belakang: Ruptur perineum adalah robekan atau cedera pada jalan lahir perineum yang terjadi pada saat persalinan baik secara spontan maupun akibat episiotomi dan persalinan yang dibantu. Umumnya, ruptur perineum terjadi pada pelahiran primipara dan seringkali pada pelahiran berikutnya. Di Indonesia, ruptur perineum dialami oleh 75% wanita yang melahirkan pervaginam. Dari 1951 kelahiran spontan pervaginam, 57% wanita menerima jahitan perineum, 8% karena episiotomi dan 29% karena robekan spontan.       Tujuan Penelitian: untuk mengetahui hubungan berat badan lahir, usia ibu, dan paritas ibu dengan kejadian ruptur perineum pada persalinan normal di wilayah kerja Puskesmas Karya Mukti tahun 2021.       Metode: Desain penelitian yang digunakan dalam penelitian ini adalah kuantitatif dengan metode survei analitik menggunakan pendekatan cross sectional. Dalam desain penelitian cross-sectional, para peneliti mengumpulkan data dari banyak individu yang berbeda pada satu titik waktu. Populasi dalam penelitian ini adalah seluruh ibu yang bersalin normal pada bulan Januari – Agustus 2021 di wilayah kerja Puskesmas Karya Mukti, sebanyak 57 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah total sampling. Karena jumlah populasi kurang dari 100 maka seluruh populasi dijadikan sampel penelitian yang terdiri dari 57 orang.       Hasil: uji statistik Chi-Square pada variabel berat lahir diperoleh p-value 0,019 (< = 0,05), pada variabel usia ibu diperoleh p-value 0,023 (< = 0,05) dan pada variabel paritas diperoleh p-value dari 0,014 (< = 0,05). Artinya ada hubungan yang signifikan antara berat badan lahir, usia ibu dan paritas dengan kejadian ruptur perineum di wilayah kerja Puskesmas Karya Mukti.      Saran : Sebaiknya Puskesmas Karya Mukti lebih aktif memberikan penyuluhan kepada bidan terkait dengan kejadian kejadian ruptur perineum. Kata kunci: Berat lahir,Paritas,Ruptur perineum, Usia ibu ABSTRACT Background: Perineal rupture is a tear or injury to the perineal birth canal that occurs during delivery either spontaneously or as a result of an episiotomy and assisted delivery. Generally, perineal rupture occurs in primiparous deliveries and often in subsequent deliveries. In Indonesia, perineal rupture is experienced by 75% of women who give birth vaginally. Of the 1951 spontaneous vaginal births, 57% of women received perineal sutures, 8% was due to episiotomy and 29% was due to spontaneous tears.Research Objective: to determine the relationship of birth weights, maternal age, and maternal parity with the incidence of perineal rupture in normal delivery in the working area of Karya Mukti Public Health Center in 2021.Methods: The research design used in this study was quantitative with an analytical survey method using a cross sectional approach. In cross-sectional research design, the researchers collected data from many different individuals at one point in time. The population in this study were all mothers who gave birth normally in January – August 2021 in the working area of Karya Mukti Public Health Center, as many as 57 people. The sampling technique used in this study was total sampling. Because the total population was less than 100, the entire population was used as the research sample consisting of 57 people.Results: statistical test, Chi-Square on birth weight variable was obtained p-value of 0.019 (< = 0.05), on maternal age variable was obtained p-value of 0.023 (< = 0.05) and on parity variable was obtained p-value of 0.014 (< = 0.05). It meant that there was a significant relationship between birth weight, maternal age and parity with the incidence of perineal rupture in the working area of Karya Mukti Public Health Center.Suggestion: It is recommended that Karya Mukti Public Health Center should be more active in providing counseling to midwives related to the incidence of the incidence of perineal rupture. Keywords: Birth weight, Maternal age,Parity,Perineal rupture 
Factors Related To Quality Of Life Of Post Menopausee Ana Tince Wati Sihombing; Yulistiana Evayanti; Yuli Yantina; Ana Mariza
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.7963

Abstract

Latar Belakang: Menopause merupakan suatu kondisi yang akan dialami oleh setiap wanita sebagai bagian dari proses penuaan. Mengeluh Menopause dapat menimbulkan rasa tidak nyaman dan khawatir yang dapat mengganggu aktivitas sehari-hari atau bahkan dapat menurunkan kualitas hidup seorang wanita.Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan kualitas hidup wanita pascamenopause di Desa Bakauheni Kecamatan Bakauheni Kabupaten Lampung Selatan Tahun 2022.Metode: Jenis penelitian kuantitatif, dengan desain cross sectional. Populasi seluruh wanita pascamenopause di Desa Bakauheni Kecamatan Bakauheni Kabupaten Lampung Selatan sebanyak 217 orang. Sampel penelitian adalah 141 responden dengan teknik random sampling. Teknik pengumpulan data menggunakan lembar angket dan analisis data univariat, analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik.Hasil: Hasil penelitian menunjukkan bahwa distribusi frekuensi responden memiliki kualitas hidup buruk sebanyak 77 responden (54,6%), keluhan menopause ringan 101 responden (71,6%), menopause berisiko (≥ 5 tahun) 85 responden (60,3% ), paritas tidak berisiko (< 4) 76 responden (53,9%), pendidikan rendah (SD/SMP) 92 responden (65,2%), pendapatan keluarga rendah 82 responden (58,2%),Kesimpulan: Ada hubungan antara keluhan gejala menopause, lama menopause, paritas, pendidikan, pendapatan dengan kualitas hidup wanita menopause di Desa Bakauheni Kecamatan Bakauheni Kabupaten Lampung Selatan Tahun 2022. Paritas merupakan faktor dominan yang berhubungan dengan kualitas hidup wanita menopause di Desa Bakauheni Kecamatan Bakauheni Kabupaten Lampung Selatan tahun 2022.Saran kepada petugas kesehatan untuk mengedukasi masyarakat khususnya wanita menopause tentang upaya peningkatan kualitas hidup wanita menopause dengan menggunakan media poster. Kata kunci : faktor, kualitas hidup, pasca menopause    ABSTRACT Background: Menopause is a condition that every woman will experience as part of the aging process. complainMenopause can cause discomfort and worry that can interfere with daily activities or can even reduce a woman's quality of life.Objectives: The purpose of the study was to determine the factors related to the quality of life of postmenopausal women in Bakauheni Village, Bakauheni District, South Lampung Regency in 2022.Methods: This study uses a quantitative research type, with a cross sectional design. The population in this study were all postmenopausal women in Bakauheni Village, Bakauheni District, South Lampung Regency as many as 217. The sample was 141 respondents with random sampling technique. Data collection techniques using questionnaire sheets and univariate data analysis, bivariate analysis using chi square test and multivariate analysis using logistic regression.Results: The results showed that the frequency distribution of respondents had poor quality of life as many as 77 respondents (54.6%), complaints of mild menopause 101 respondents (71.6%), menopause at risk (≥ 5 years) 85 respondents (60.3%), parity was not risk (< 4) 76 respondents (53.9%), low education (SD/SMP) 92 respondents (65.2%), low family income 82 respondents (58.2%),Conclusions and suggestions: There is a relationship between complaints of menopausal symptoms, length of menopause , parity, education, income with quality of life of postmenopausal women in Bakauheni Village, Bakauheni District, South Lampung Regency in 2022. Parity is the dominant factor related to the quality of life of postmenopausal women in Bakauheni Village, Bakauheni District, South Lampung Regency in 2022,It is recommended for health workers to educate the public, especially menopausal women about efforts to improve the quality of life of postmenopausal women by using poster media. Keywords : factors, post menopause, quality of life
Behavior Of Pregnant Mothers To Prevent Malaria With Pre And Post Personal Counseling Methods Hasnia Hasnia; Sri Ramadany; A. Arsunan Arsin; Yuyun Widaningsih; Muhammad Tamar
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.7822

Abstract

Background: : One of the public health problems that can increase maternal and infant mortality and morbidity is malaria. The risk of pregnancy complications can occur in every pregnant woman and can threaten her life, so pregnant women must know what these complications are by providing information according to the mother's needs related to pregnancy to be the right strategy to reduce the number of pregnancy complications. According to WHO, in 2015 the number of new cases found worldwide was 214 million cases and at the same time there were 438,000 cases of malaria which caused death. Based on data on Malaria Endemicity per Regency/City in Indonesia in 2018, the third level of malaria endemic districts is Papua Province, namely Jayapura, Yapen Islands, Mimika, Boven Digoel, Sarmi, Keerom (Indonesian malaria endemicity, 2018). Based on previous data on malaria patients who were examined by health workers through blood tests, the highest provinces were Papua (12.07%), West Papua (8.64%) and East Nusa Tenggara (1.99%). Based on the latest data on the number of positive malaria cases and the number of malaria infections (Annual Parasite Incidence/API), all malaria cases in 2019 in Indonesia were 250,644 cases and the incidence of malaria in pregnancy in 2019, Papua Province is the province in Indonesia with the highest number of cases in the 1769 category case.Destination: Analyzing the behavior of pregnant women towards malaria prevention with the method of pre and post personal counseling in the Working Area of the Sentani Health Center in 2022.Method: This type of research is quasi-experimental with a pre-post control design approach which approaches two groups, namely the intervention group by providing treatment (personal counseling) and the control group (leaflets). The data collected is primary data and secondary data with personal counseling variables as independent variables and changes in knowledge, attitudes and behavior as the dependent variable. The research sample was pregnant women as many as 33 respondents in each group. Sampling with purposive sampling technique in accordance with predetermined criteria. The instrument used is a knowledge, attitude and behavior questionnaire. Analysis of the data used is a non-parametric test, namely the Mc Nemar and Mann-Withney test .Results: There was a change in the knowledge of pregnant women on the prevention of malaria pre and post personal counseling at the Sentani Health Center, Jayapura Regency in the intervention group with the results of the calculation of x2 with the Mc Nemar distribution table using degrees of freedom 1 with a level of = 0.05 ie 3.841 obtained X 2 count 18 0.05 > 3.841 with a value of 0.000 < 0.05, while in the control group obtained X 2 count 7.04 > 3.841 with a value of 0.021 < 0.05 and there are differences in changes in pre-post knowledge in the two groups obtained a value of 0.011 < 0.05. There is a change in the attitude of pregnant women towards malaria prevention pre and post personal counseling at the Sentani Health Center, Jayapura Regency in the intervention group obtained X 2 count 25.03 > 3.841 with a value of 0.031 > 0.05, while in the control group obtained X 2 count 5.93 > 3.841 with a value of 1,000 < 0.05 and there are differences in pre-post attitude changes in the two groups obtained a value of 0.001 < 0.05. There is a change in the behavior of pregnant women towards malaria prevention pre and post personal counseling at the Sentani Health Center, Jayapura Regency in the intervention group obtained X 2 count 21.33 > 3.841 with a value of 0.031 > 0.05, while in the control group obtained X 2 count 6.32 > 3.841 with a value of 0.500 <0.05 and there is a difference in pre-post attitude changes in the two groups obtained a value of 0.013 <0.05.Conclusion: There was a change in knowledge, attitude and behavior of pregnant women after being given personal counseling about malaria prevention in the Sentani Health Center Work Area and there were differences in changes in knowledge, attitudes and behavior of pregnant women in the intervention group and the control group. Keywords : Behavior of pregnant women, malaria prevention, personal pre-counseling, personal post-counseling
The Relationship Of Knowledge, Dietary Intake And Nutrition-Conscious Family With The Incidence Of Stunting / Severe Stunting Cahyani Fajaria; Sastra Yunola; Eka Rahmawati
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 3 (2022): Volume 8 No.3 July 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i3.5551

Abstract

          Latar Belakang: Stunting adalah suatu kondisi yang dialami oleh anak balita yang memiliki panjang atau tinggi badan lebih dari 2 standar deviasi median Standar Pertumbuhan Anak World Health Organization. Faktor langsung penyebab stunting adalah asupan makanan. Salah satu faktor tidak langsung terjadinya masalah gizi adalah tingkat pengetahuan dan kesadaran akan pentingnya status gizi anak. Berdasarkan laporan data pengelola program gizi 2021 yang mengutip hasil pemutakhiran laporan e-PPGBM hingga Mei 2021 di Puskesmas Karya Mukti, jumlah balita sebanyak 1.246, dan ditemukan 197 balita. pendek dan sangat pendek.         Tujuan Penelitian: Mengetahui hubungan antara pengetahuan, asupan makanan dan keluarga sadar gizi dengan kejadian stunting dan stunting berat di Puskesmas Karya Mukti tahun 2021.         Metode: Jenis penelitian adalah deskriptif kuantitatif. Metode kuantitatif digunakan untuk mengetahui hubungan pengetahuan, asupan makanan dan kesadaran gizi keluarga dengan kejadian stunting dan stunting berat. Desain penelitian yang digunakan adalah cross sectional, artinya penelitian dilakukan dengan cara mengukur atau mengamati pada waktu yang sama atau pada satu waktu. Populasi dalam penelitian ini adalah anak balita yang berjumlah 197 anak yang mengalami stunting yang tersebar di wilayah kerja Puskesmas Karya Mukti. Sampel dalam penelitian ini adalah balita di wilayah kerja Puskesmas Karya Mukti, dan respondennya adalah ibu balita yang mengalami stunting. Pengambilan sampel dilakukan secara acak dan diperoleh 66 orang.          Hasil : uji statistik Chi-Square pada variabel pengetahuan diperoleh p-value 0,035 (< = 0,05), pada variabel asupan energi makanan diperoleh p-value 0,035 (< = 0,05), pada variabel asupan energi protein diperoleh p -nilai 0,008 (< = 0,05) dan pada variabel keluarga sadar gizi diperoleh p-value 0,028 (< = 0,05)         Kesimpulan ada hubungan yang signifikan antara pengetahuan, asupan energi makanan, asupan energi protein dan kesadaran gizi keluarga dengan stunting dan stunting berat di Puskesmas Karya Mukti tahun 2021.       Saran : Puskesmas Karya Mukti lebih aktif memberikan penyuluhan kepada bidan terkait kejadian stunting dan stunting berat Kata kunci: Asupan makanan stunting, Keluarga sadar gizi,Pengetahuan,Stunting ABSTRACT Background: Stunting is a condition experienced by children under five years who have a length or height that is more than −2 standard deviations of World Health Organization Child Growth Standards median. The direct factor that causes stunting is dietary intake. One of the indirect factors in nutritional problems is the level of knowledge and awareness about the importance of the nutritional status of children. According to the 2021 nutrition program manager data report citing the results of the updated report until May 2021 e-PPGBM at Karya Mukti Public Health Center, the total number of children under five years was 1,246, and 197 children under five years were found to be short and very short.Research Objective: to find out the relationship between knowledge, dietary intake and nutrition-conscious family with the incidence of stunting and severe stunting at Karya Mukti Public Health Center in 2021.Methods: the type of study was a descriptive quantitative. Quantitative methods were used to find out the relationship of knowledge, dietary intake and nutrition-conscious family with the incidence of stunting and severe stunting. The research design used was cross sectional, meaning that the study was carried out by measuring or observing at the same time or at one time. The population in this study were children under five years, totaling 197 children who experienced stunting spread across the work area of Karya Mukti Public Health Center. The sample in this study was children under five years in the work area of Karya Mukti Public Health Center, and the respondents were mothers of children under five years who experienced stunting. Random sampling was conducted and obtained 66 people.Results : statistical test, Chi-Square on knowledge variable was obtained p-value of 0.035 (< = 0.05), on dietary energy intake variable was obtained p-value of 0.035 (< = 0.05), on protein energy intake variable was obtained  p-value of 0.008 (< = 0.05) and on the nutrition-conscious family variable was obtained  p-value of 0.028 (< = 0.05).Conclusion  that there was a significant relationship between knowledge, dietary energy intake, protein energy intake and nutrition-conscious family with stunting and severe stunting at Karya Mukti Public Health Center in 2021.Suggestion: It is recommended that Karya Mukti Public Health Center should be more active in providing counseling to midwives related to the incidence of stunting and severe stunting Keywords: stunting, knowledge, dietary intake, stunting, nutrition-conscious family 
Meta-Analysis Study of The Effect of Rewards on Nurse Job Satisfaction In Health Services Yan&#039;ariyanti Wydyiastuti; Rosihan Adhani; Adi Nugroho; Eko Suhartono; Fauzie Rahman
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.8039

Abstract

Latar Belakang: Penghargaan berupa penghargaan yang diberikan oleh institusi atau fasilitas pelayanan kesehatan kepada perawat atas pekerjaan yang telah dilakukan, baik penghargaan intrinsik maupun ekstrinsik. Tujuan penelitian ini untuk menganalisis pengaruh penghargaan terhadap kepuasan kerja pada perawat. Metode: Penelitian ini menggunakan metode systematic review dengan meta-analisis. Termasuk dua database PubMed dan Perpustakaan Online Wiley. Artikel penelitian telah melalui tahap penyaringan dan uji kualitas data dan diperoleh 7 artikel untuk dianalisis. Hasil: Kesempatan belajar memiliki kecenderungan berpengaruh besar terhadap kepuasan kerja perawat dengan nilai ES 1,15, promosi memiliki kecenderungan berpengaruh besar terhadap kepuasan kerja perawat dengan nilai ES 0,56, gaji memiliki kecenderungan berpengaruh besar terhadap kepuasan kerja perawat dengan nilai 0,43, penghargaan kompetensi/bonus cenderung berpengaruh besar terhadap kepuasan kerja perawat dengan nilai ES 3,45. Kesimpulan: Reward kompetensi, kesempatan belajar, promosi, dan gaji memiliki I-kuadrat yang besar. Tingkat kepuasan pada artikel yang disintesis menunjukkan persentase yang berbeda. Dari semua artikel yang disintesis, lebih dari 50% perawat merasakan kepuasan kerja. Kata kunci: Penghargaan, pengakuan, promosi, kesempatan belajar, gaji, imbalan kompensasi, bonus, perawat, kepuasan kerja ABSTRACT Backgrounds: Awards in the form of rewards given by institutions or health care facilities to nurses for the work they have done, both intrinsic and extrinsic rewards. The purpose of this study to analyze the effect of appreciation of job satisfaction in nurses. Methods: This study uses a systematic review method with meta-analysis.Includedtwo PubMed databases and the Wiley Online Library. The research articles have gone through the screening and data quality test stages and obtained 7 articles for analysis. Results: Learning opportunities have a tendency to have a large effect on job satisfaction of nurses with an ES value of 1.15, promotions have a tendency to have a large effect on job satisfaction of nurses with an ES value of 0.56, salaries have a tendency to have a large effect on job satisfaction of nurses with a value of 0.43 , competency rewards/bonuses tend to have a large effect on nurse job satisfaction with an ES value of 3.45. Conclusion:Reward competence, learning opportunities, promotions, and salaries have a large I-squared. The level of satisfaction in the synthesized articles shows a different percentage. From all the articles synthesized, more than 50% of nurses felt job satisfaction. Keywords:Awards, recognition, promotion, learning opportunities, salary, compensation rewards, bonuses, nurse, job satisfaction
Health Education About Covid-19 On Anxiety Level Of Pregnant Women During Pandemic Ni Putu Mirah Yunita Udayan; Dian Kristiani Loru Kii; Ni Gusti Ayu Pramita Aswitami; Putu Ayu Dina Saraswati
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 3 (2022): Volume 8 No.3 July 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i3.6313

Abstract

Latar Belakang : Iibu hamil merupakan salah satu kelompok yang rentan terkena virus covid-19 dimana pada masa kehamilan terjadi penurunan kekebalan parsial dan juga dikarenakan tingkat kecemasan yang meningkat menyebabkan ibu hamil lebih rentan terhadap virus. Kecemasan dapat mengganggu kesehatan mental ibu hamil. Sehingga menjadi masalah psikologis pada ibu hamil menjelang persalinan. Akibatnya berpengaruh pada kesehatan fisik dan psikologis. Beberapa solusi altrnatif dalam mengurangi angka kecemasan pada ibu hamil dimasa pandemic salah satunya penyuluhan kecemasan yang mempengaruhi untuk meningkatkan pengetahuan dan pemahaman ibu hamil.Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan kesehatan tentang covid-19 terhadap tingkat kecemasan ibu hamil pada masa pandemi  di Puskesmas RadamataMetode : Penelitian ini menggunakan pra-ekperimental dengan One Group Pretest-Posttest, dimana sebelum dilakukan perlakuan dan setelah dilakukan perlakuan berupa penyuluhan pada satu group dengan jumlah sampel sebanyak 30 responden yang mengalami kecemasan sebelum dilakukan penyuluhan telah dilakukan pengukuran kecemasan menggunakan skala HARS . Data dianalisis menggunakan wilcoxon signed rank test.Hasil : Uji wilcoxon signed rank test menunjukkan adanya signifikansi penurunan tingkat kecemasan yang dibuktikan dengan perolehan kemaknaan p=0.000 < α 0,05Kesimpulan : Ada pengaruh penyuluhan kesehatan tentang covid-19 terhadap tingkat kecemasan ibu hamil pada masa pandemi di Pukesmas Radamata.Saran : Ibu hamil disarankan untuk lebih aktif mencari informasi terbaru berkaitan dengan kesehatan ibu dan janin, terlebih lagi untuk mempersiapkan diri dalam persalinan khususnya pada kondisi pandemi covid-19. Kata kunci : Penyuluhan Kesehatan, Ibu hamil, Covid-19, kecemasan. ABSTRACT Background: Pregnant women are one of the groups that are vulnerable to the Covid-19 virus, where during pregnancy there is a partial decrease in immunity, and also due to increased anxiety levels, pregnant women are more susceptible to the virus. Anxiety can interfere with the mental health of pregnant women. So that it becomes a psychological problem for pregnant women before delivery. As a result, it affects physical and psychological health. Some alternative solutions to reduce anxiety in pregnant women during the pandemic, one of which is health education which affects to increase knowledge and understanding of pregnant women.Purpose : The purpose of this study was to determine the effect of health education about covid-19 on the anxiety level of pregnant women during the pandemic at Radamata Health CenterMethod      : The design of this study used Pre-Experimental with One Group Pretest-Posttest, where before treatment and after treatment was carried out in the form of counseling in one group with a sample of 30 respondents who experienced anxiety. Before the health education was conducted, the anxiety of pregnant women was measured using a hars scaleData  were  analyzed using Wilcoxon Signed Rank Test.Result : The Wicoxon signed rank test difference test showed a significant decrease in the level of anxiety as evidenced by the significance of p= 0.000 > α 0.05.Conclusion : There was a significant effect of health education on Covid-19 on the level of anxiety of pregnant women during the pandemic at Radamata health center.Suggestion : Pregnant women are advised to be more active for searching the latest information related to the health of the mother and fetus, even more so to prepare for childbirth, especially during the covid-19 pandemic. Keywords  : Health Counseling, pregnant women, Covid-19, anxiety 

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