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INDONESIA
Jurnal Kesehatan Ibu dan Anak
Published by Poltekkes Kemenkes Yogyakarta
ISSN : 23026014     EISSN : 25993224     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan Ibu dan Anak particularly focuses on the main problems in the development of the sciences of midwifery areas. It covers the Antenatal Care, Intranatal and Newborn Baby Care, Postnatal and Breastfeeding Care, Reproductive Health, Family Planning, Maternal and Neonatal Emergency Care, Community Midwifery Care, Maternal and Child Health Promotion, Appropriate Technology in Midwifery.
Arjuna Subject : -
Articles 5 Documents
 1 
Search results for , issue "vol. 19 no. 1" : 5 Documents clear
Preventing Stunting from the Source: A Study of Premarital Couples on Participation in Preconception Care Nuriana Kartika Sari; Ismiyati, Atik; Hernayanti, Munica Rita; Sumarah, Sumarah; Siscadarsih, Indraswari
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2907

Abstract

Indonesia ranks among the highest globally for childhood stunting, largely due to chronic nutritional deficiencies beginning during the first 8000 days of life—starting even before conception. Poor health and nutritional status among women of reproductive age prior to marriage significantly increase the risk of adverse pregnancy outcomes and childhood stunting. This study aimed to identify the determinants of premarital couples’ participation in preconception care as a strategy to reduce stunting. This cross-sectional analytical study involved 61 premarital couples recruited through total sampling at the Office of Religious Affairs (KUA) in Kapanewon Sewon, Bantul Regency, Yogyakarta, Indonesia. Inclusion criteria included couples aged 20–35 years who met the study requirements. Data were analyzed using univariate, bivariate (Chi-square), and multivariate logistic regression tests. Knowledge (p = 0.001), attitude (p = 0.007), and social support (p = 0.015) were significantly associated with participation in preconception care. Multivariate analysis showed that couples with good knowledge were 4.3 times more likely (AOR = 4.30; 95% CI: 1.65–11.22) to participate in preconception care. Improved knowledge, positive attitudes, and strong social support significantly increase premarital couples’ participation in preconception care. Strengthening early health promotion and community-based interventions is essential to optimize reproductive health preparation and prevent stunting from its earliest source.
Sudoku-based health improves Gen Z’s knowledge and attitudes toward adolescent pregnancy risks Intan Nugraheni Hasanah; Sri Setiasih; Triana Sri Hardjanti; Cinta Kasih Salsabilla
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2903

Abstract

Adolescent pregnancy remains a public health concern in many countries, including Indonesia, as it increases the risk of maternal and infant mortality. Limited knowledge and inappropriate attitudes are contributing factors. This study explores the use of Sudoku games as an innovative medium for health education, aimed at enhancing student engagement and promoting interactive learning. The objective is to assess the effect of health education through Sudoku games on the knowledge and attitudes of Generation Z regarding adolescent pregnancy. This study employed a quantitative method with a pre-experimental design, utilizing a one-group pretest–posttest approach. The population consisted of 160 students, with a sample of 60 eleventh-grade students from Pembangunan Nasional Vocational School, Purwodadi. Samples were selected using purposive sampling, and the sample size was determined using the Slovin formula with a 5% margin of error. The intervention was conducted over one day, and data were analyzed using the Wilcoxon test. The results of this study indicate a significant effect. The proportion of students categorized as having good knowledge increased from 1.7% to 100%, representing a 98.3 percentage-point increase, with a significant effect (Z = -6.743, p < 0.001, r = -0.87). Attitude scores also improved from 33.3% to 88.3%, reflecting a 55 percentage-point improvement, indicating a shift toward more positive attitudes about the risks ofadolescent pregnancy (Z = -6.548, p < 0.001, r = -6.548). Both outcomes demonstrated medium-to-large effect sizes, confirming the educational relevance of the intervention. The provision of health education through Sudoku as an instructional medium demonstrated a significant influence on the knowledge and attitudes of Generation Z (Gen Z) concerning the risks ofadolescent pregnancy. These findings indicate that the Sudoku game can be utilized as an effective and practical tool for adolescent reproductive health education and holds potential as a reference for future scholarly investigations.
Maternal Nutritional Adequacy and Breast Milk Production Among Lactating Mothers in a Rural Primary Health Care Setting in Indonesia Aguslina Aguslina; Cut Yuniwati; Hendrika Wijaya Kartika Putri
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2923

Abstract

Adequate maternal nutrition during lactation is essential for maintaining maternal health and supporting optimal breast milk production. However, evidence regarding the relationship between maternal nutritional adequacy and breast milk production in primary health care settings remains limited, particularly in rural areas of Indonesia. This study aimed to examine the association between maternal nutritional adequacy and breast milk production among lactating mothers in a primary health care setting in North Aceh, Indonesia. A descriptive analytic study with a cross-sectional design was conducted from June to August 2024 among lactating mothers in the catchment area of the Nisam Primary Health Center, North Aceh, Indonesia. Total sampling was employed, and all eligible lactating mothers were included, resulting in a final sample of 41 participants. Maternal nutritional adequacy was assessed as a composite variable encompassing dietary intake, meal patterns, nutritional knowledge, and socioeconomic conditions. Breast milk production was evaluated using validated maternal-report indicators and categorized as adequate or inadequate. Data were analyzed using descriptive statistics and the Chi-square test, with statistical significance set at p < 0.05. Complete data were obtained from all 41 participants. Lactating mothers with adequate maternal nutritional status were more likely to report adequate breast milk production than those with inadequate nutritional status. The Chi-square analysis demonstrated a statistically significant association between maternal nutritional adequacy and breast milk production (p < 0.05). Maternal nutritional adequacy was significantly associated with adequate breast milk production among lactating mothers in a rural primary health care setting in North Aceh. These findings suggest that integrating routine nutritional assessment and nutrition-focused counseling into maternal and child health services may support favorable breastfeeding outcomes. Further longitudinal studies using objective measures of breast milk production are warranted to clarify the temporal relationship between maternal nutritional adequacy and breastfeeding outcomes.
Midwives' perceptions of patient safety and their impact on patient outcomes: systematic review Fajar Rubianti; Budi Aji; Joko Mulyanto
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2964

Abstract

Patient safety is a global health priority, particularly in maternity care, where midwives are central to ensuring safe maternal and neonatal outcomes. Yet, their own perceptions of safety remain underexplored. This systematic literature review aimed to synthesise evidence on midwives’ perceptions of patient safety and examine how these perceptions influence maternal and neonatal outcomes. The review followed PRISMA 2020 guidelines and used the JBI Critical Appraisal Checklist for quality assessment. Literature searches were conducted in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Eligible studies included quantitative research exploring midwives’ safety perceptions and related outcomes. From 250 identified records, four studies met the inclusion criteria.. Findings revealed that midwives’ perceptions of safety were shaped by staffing adequacy, work environment, managerial support, and communication systems. Understaffing of registered midwives was associated with an 11% increase in harmful incidents, and high patient turnover with a 19% increase in adverse events. Structured feedback and leadership-driven action planning improved teamwork climate and job satisfaction. Positive work environments correlated with stronger safety culture and intent to remain in the profession. Additionally, communication tools supporting woman-centred care enhanced shared decision-making and improved labour experiences. Midwives’ perceptions of safety reflect real systemic risks and can serve as early indicators of maternal care quality. Strengthening staffing levels, fostering supportive organisational cultures, and promoting woman-centred practices are critical to enhance both patient outcomes and workforce stability.
Association Between Maternal Knowledge of Developmental Stimulation and Toddler developmental status Among Toddlers Aged 12–36 Months Fitri Handayani; Juliastuti Juliastuti; Hafsah Hafsah
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2967

Abstract

Toddlerhood (12–36 months) is a critical period of rapid physical, cognitive, language, and socio-emotional development. Maternal knowledge of developmental stimulation is an important factor associated with children's toddler developmental status, yet evidence from community-based settings in Indonesia remains limited. This study aimed to examine the association between maternal knowledge of developmental stimulation and toddler developmental status among toddlers aged 12–36 months attending the Kasih Ibu Integrated Health Post (Posyandu) in Nisam District, North Aceh. A quantitative analytic study with a cross-sectional design was conducted between December 2024 and June 2025. The study involved 36 mothers with toddlers aged 12–36 months who were recruited using a total sampling approach. Maternal knowledge was measured using a 20-item questionnaire (Cronbach's α = 0.82), and toddler development was assessed using the Developmental Pre-Screening Questionnaire (Kuesioner Pra Skrining Perkembangan [KPSP]). Developmental status was categorized as normal or suspected developmental delay (doubtful and delayed). Data were analyzed using the Fisher–Freeman–Halton Exact Test. Most mothers demonstrated good knowledge of developmental stimulation (69.4%), while 16.7% and 13.9% had fair and poor knowledge, respectively. Overall, 69.4% of toddlers had normal developmental status and 30.6% were classified as having suspected developmental delay. The proportion of toddlers with normal developmental status declined from 84.0% among mothers with good knowledge to 50.0% and 20.0% among those with fair and poor knowledge, respectively. A statistically significant association was identified between maternal knowledge and toddler developmental status (exact p = 0.007), with a moderate association strength (C = 0.464). Maternal knowledge of developmental stimulation was significantly associated with toddler developmental status. Enhancing maternal education through Posyandu-based counseling and routine developmental monitoring may support optimal early childhood development.

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