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Journal of Issues in Midwifery
Published by Universitas Brawijaya
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Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Issues in Midwifery (JOIM) adalah jurnal online dalam bidang kebidanan yang dikelola oleh Jurusan kebidanan Fakultas Kedokteran Universitas Brawijaya Malang Indonesia. JOIM terbit tiga kali dalam setahun pada periode bulan April - Juli , Agustus - November , dan Desember - Maret dan memuat berbagai artikel sebagai hasil penelitian utuh, tinjauan pustaka, laporan kasus dan komunikasi singkat dalam bidang kebidanan.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 117 Documents
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Pengaruh Teknik Relaksasi Pernafasan dan Olah Tubuh terhadap Pengurangan Ketidaknyamanan Ibu Hamil Trimester III Muliatul Jannah; Alfiah Rahmawati
Journal of Issues in Midwifery Vol. 7 No. 1 (2023): Volume 7 No 1
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.01.4

Abstract

Pregnancy is the most challenging and the happiest phase in every woman’s life in which a mother goes through physical and psychological changes. These physical changes will lead to discomforts to pregnant women. These discomforts may occur in their third trimester of pregnancy, such as backache, leg cramps, pain in pubic bones, false contraction, insomnia, breathing soreness, and fatigue. If these continue for a long time, it will have an impact on the readiness for the labor. These discomforts can be reduced by doing exercises. Exercises that can be done during pregnancy are practicing breathing techniques and body exercises (Prenatal Yoga). This study aims to find out the effect of breathing relaxation techniques and body exercises on the discomfort decrease in the third trimester of pregnant women. This type of study is Quasi Experiment with Non Equivalent Control Group approach. The study was conducted by examining the pregnant women’s discomforts in the third trimester before (pre-test) and after (post- test) practicing breathing techniques and body exercises (Prenatal Yoga). The population in this study were all the third trimester pregnant women who practiced breathing techniques and body exercises at Kasih Ibu Hospital. The sampling technique used was quota sampling. This study was conducted at Kasih Ibu Mother and Child Hospital in Tegal and carried out from October to November 2020. The Wilcoxon test results obtained p value = 0.000, then p = 0.000> = 0.05, it can be concluded that there is a significant difference between the discomfort of third trimester pregnant women before breathing relaxation techniques and body exercises and after breathing relaxation techniques and exercise body (yoga).
Laporan Kasus Kanker Endometrium Tipe Sekretori: Kasus Jarang Subandi Subandi
Journal of Issues in Midwifery Vol. 7 No. 1 (2023): Volume 7 No 1
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.01.5

Abstract

Endometrial cancer is the most common gynecological cancer in developed countries, second most in poor countries and developing countries after cervical cancer. Most endometrial cancer patients come with complaints of bleeding and come at an early stage. It’s important to make the right diagnosis to determine the appropriate treatment. Treatment depends on the stage determined by surgery. After surgery, the patient’s risk was classified as low, moderate, or high risk. This risk is determined by stage, cell type, differentiation, involvement of blood vessels and lymph vessels. From these risk factors, it is determined whether or not additional postoperative therapy is needed in the form of radiation or chemotherapy. Secretory type of endometrial cancer is a rare endometrial malignancy. This case’s population is 1-2% of all endometrial cancer. Histologically, this type of cancer belongs to type one. We report a secretory type of endometrial cancer case in a 41-year-old woman with a complaint of irregular menstruation, and a total hysterectomy, bilateral salpingo oophorectomy, bilateral pelvic lymphadenectomy and para-aortic lymphadenectomy was done. Histologically, secretory carcinoma must be separated from carcinoma clear cell to determine the prognosis.
Literature Review: Pengaruh Bayam Hijau (Amaranthus hybridus L.) terhadap Panjang Badan, Rasio Kepala dan Panjang Badan, Aktivitas Embrio, dan Motilitas pada Zebrafish Stunting Israyani, Kartika Wahyu; Khotimah, Husnul; Jannah, Miftahul
Journal of Issues in Midwifery Vol. 7 No. 2 (2023)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.02.1

Abstract

Stunting is a failure to achieve physical development based on height for age (Z-score <-2 SD). Environmental factors such as exposure to pesticides can affect growth and development. One type of pesticide that is toxic to embryos is rotenone because its exposure can increase the production of ROS. The antioxidant content in green spinach (Amaranthus hybridus L.) can reduce ROS production. This study aimed to determine the effectiveness of green spinach extract on body length, head ratio and body length, embryo activity, and motility in the stunting model of zebrafish larvae exposed to rotenone. This study uses a literature review method by reviewing a number of literatures that match the inclusion criteria. Based on the 11 journals that were examined, 4 journal stated that rotenone can cause oxidative stress in zebrafish that can cause stunting. 3 journals state that green spinach contains good antioxidants and anti-inflammatory. From 11 journals, 6 journals discuss the body length in zebrafish stated that the use of antioxidants can increase body length rotenone-induced zebrafish. In 3 journals discussing the motility of zebrafish, it was stated that giving antioxidants was able to increase the motility of zebrafish induced by rotenone. In one journal that discussed the activity of zebrafish embryos, it was stated that giving antioxidants could normalize embryo activity which can be seen through embryonic tail flick activity. In conclusion, the administration of antioxidants caused an increase in body length, motility and normalization embryonic activity in rotenone-induced zebrafish. Keywords: Green spinach (Amaranthus hybridus L.), head ratio, body length, embryo activity, zebrafish, stunting, rotenone.
Pengaruh Pemberian Sari Ketela Ungu (Ipomea Batatas L.) Terhadap Kadar Insulin Tikus Wistar Bunting Model DMG Ningrum Irfandi Putri, Nur Ilmya Nugraha; Mayangsari, Elly; Dewi, Mustika
Journal of Issues in Midwifery Vol. 7 No. 2 (2023)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.02.2

Abstract

Background : Gestational Diabetes Mellitus is a complication of pregnancy in mothers without a previous diagnosis of diabetes, then chronic hyperglycemia is detected during pregnancy. Generally, this hyperglycemia is caused by impaired glucose tolerance due to pancreatic cell dysfunction, which begins with chronic insulin resistance conditions. The prevalence of GDM in Southeast Asia is 10%, while the overall diagnosis of diabetes in women in Indonesia is 1.8%. Nowadays, antioxidant therapy is being developed to treat DMG, one of which is the use of purple cassava plants.Objective : to determine the effect of purple cassava juice (Ipomea Batatas L.) on increasing insulin levels of wistar rats model of gestational diabetes mellitus. Methode : This study used an experimental method which was designed with the Post Test Only Group Design method. The total number of samples used in this study was 30 rats which were divided into 5 groups. Furthermore, the treatment group was given STZ injection of 45 mg/KgBB and then given purple cassava juice therapy for 14 days. Next, blood samples were tested for insulin levels using the ELISA Rat Kit. Result : There are no differences of insulin level between the treatment group and the control group because they had constant result. Conclusion : In this study, it was not found that there was an increase in insulin levels after treatment of purple yam juice for 14 days. So the research hypothesis was rejected. Keyword : Diabetes Mellitus Gestasional, Insulin Levels, Wistar Rats, Purple Yam Juice.
Pengaruh Pemberian Tele-Edukasi Berbasis Video Terhadap Kepatuhan Konsumsi Tablet Besi pada Ibu Hamil di Puskesmas Rawa Buntu Gojali, Gusti Putri Salsabilla; Putri , Rismaina; Anggarina Gumanti, Kentri
Journal of Issues in Midwifery Vol. 7 No. 2 (2023)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.02.3

Abstract

Anemia zat besi yang terjadi pada ibu hamiI dapat berdampak pada perkembangan janin selama kehamilan dan beberapa waktu setelahnya. Pemberian tabIet besi merupakan salah satu upaya daIam mencegah dan mengatasi anemia, khususnya anemia defisiensi besi. Salah satu cara agar kepatuhan konsumsi tabIet besi tetap terjaga adalah dengan memberikan tele-edukasi berbasis video. Tujuan peneIitian ini adaIah untuk mengetahui pengaruh pemberian tele-edukasi berbasis video terhadap kepatuhan konsumsi tabIet besi pada ibu hamiI. PeneIitian ini adaIah peneIitian kuantitatif dengan rancangan Pre-Eksperiment dengan One Group Pre-Test and Post-Test Design. Data pada penelitian ini dikumpulkan dengan menggunakan kuesioner MMAS-8 modifikasi. Sampel penelitian yang digunakan adalah ibu hamil di Puskesmas Rawa Buntu yang memenuhi kriteria inkIusi dan ekskIusi sebanyak 66 responden. AnaIisis data yang digunakan daIam peneIitian ini adalah uji WiIcoxon Signed Ranks Test. Hasil penelitian didapatkan niIai significancy O,OOO (p<O,O5), sehingga dapat disimpuIkan bahwa ada pengaruh tele-edukasi berbasis video terhadap kepatuhan konsumsi tabIet besi pada ibu hamiI di Puskesmas Rawa Buntu.
Efektifitas Murottal Qur’an dan Virtual Reality terhadap kecemasan ibu hamil trimester 3 Iin Setiawati; Rohmah, Mawadatur
Journal of Issues in Midwifery Vol. 7 No. 2 (2023)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.02.4

Abstract

Anxiety is a psychological element that describes a psychological element that describes feelings, emotional state of a woman when facing the reality of her life. Based on a 2012 report, 73.5% of mothers experience anxiety in the third trimester, 46.7% mild anxiety and 53.3% moderate anxiety. Aims was to analyze the effectiveness of murottal Qur'an and Virtual Reality on the anxiety of third-trimester pregnancy. The research used a quasi-experimental research design with Nonequivalent Control Group Design approach. The sample size was 56 pregnant women, with 28 pregnant women being the control group and 28 pregnant women being the treatment group. The statistical test used was paired T test with α 0.05. in the Murottal Qur'an group there was a decrease in anxiety level of pregnancy before and after listening to murottal Qur'an, with an average decrease of 8.64, while in Virtuan Reality group there was a decrease in the anxiety level of pregnancy before and after being given Virtual Reality, with an average of 8.54. Statistical test results for before and after each group result is ρ 0.000. Statistical tests using Paired T test obtained ρ 0.000, meaning that Murottal Qur'an and Virtual Reality are effective to reducing anxiety level of third-trimester pregnancy. Murottal Qur'an and Virtual Reality are both effective to reducing anxiety level of third-trimester pregnancy
PENGARUH E-KIE TERHADAP TINGKAT PENGETAHUAN DAN KEPUASAN IBU HAMIL DALAM ANTENATAL CARE DI MASA PANDEMI COVID-19: (Studi Pre-Eksperimental di Praktik Mandiri Bidan Siti Nurcahyani Kabupaten Tulungagung). Fitria, Ruman; Setijowati, Nanik; Kusumaningtyas, Dian
Journal of Issues in Midwifery Vol. 7 No. 2 (2023)
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.02.5

Abstract

Background: The Covid-19 pandemic that has occurred throughout the world affects all aspects, including health aspects. The Covid-19 pandemic is certainly an obstacle for the government to overcome the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia. Optimal Antenatal Care is one of the efforts to suppress MMR and IMR. The government recommends using online counseling to support antenatal care during the Covid-19 pandemic. Research objective: to determine the impact of e-KIE on the knowledge level and satisfaction of pregnant women in antenatal care during the Covid-19 pandemic. Research Methods: The design used was pre-experimental, namely one group pre-post test design to see the effect between the independent variables of the e-KIE method and the dependent variable, namely level of knowledge and satisfaction of pregnant women which were analyzed by marginal homogeneity. The research sample was selected by purposive sampling taken from the registration book (K1) with a population range of pregnant women from September to October 2021 totaling 37 respondents. Research results: there is a significant increase in the level of knowledge of pregnant women before and after e-KIE with a p value of 0.035 and an insignificant effect due to the compatibility between the expected value and the reality of pregnant women with a p value of 0.059. Conclusion: E-KIE significantly affects the level of knowledge of pregnant women and the e-KIE provided does not significantly affect the satisfaction of pregnant women in supporting dialogue/counseling in antenatal care during the Covid-19 pandemic. ABSTRAK Latar Belakang: Pandemi Covid-19 yang terjadi di seluruh dunia mempengaruhi segala aspek termasuk aspek kesehatan. Pandemi Covid-19 tentunya menjadi penghambat pemerintah untuk mengatasi Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) di Indonesia. Antenatal Care yang optimal merupakan salah satu upaya untuk menekan AKI dan AKB. Pemerintah merekomendasikan untuk penggunaan konseling online dalam menunjang antenatal care di masa pandemi Covid-19. Tujuan Penelitian: mengetahui pengaruh e-KIE terhadap tingkat pengetahuan dan kepuasan ibu hamil dalam antenatal care di masa pandemi Covid-19. Metode Penelitian: Desain yang digunakan adalah pre-eksperimental, yakni one grup pre-post test design untuk mengetahui pengaruh antara variabel bebas yaitu metode e-KIE dengan variabel terikat yaitu tingkat pengetahuan dan kepuasan ibu hamil yang dianalisis dengan marginal homogeneity. Sampel penelitian dipilih dengan purposive sampling yang diambil dari buku registrasi (K1) dengan rentang populasi ibu hamil September-Oktober 2021 berjumlah 37 responden. Hasil Penelitian: terdapat peningkatan yang signifikan terhadap tingkat pengetahuan ibu hamil sebelum dan sesudah e-KIE dengan p value 0,035 serta pengaruh yang tidak signifikan dikarenakan kesesuaian antara nilai harapan dan kenyataan ibu hamil dengan p value 0,059. Kesimpulan: E-KIE mempengaruhi tingkat pengetahuan ibu hamil secara bermakna dan e-KIE yang diberikan tidak berpengaruh signifikan terhadap kepuasan ibu hamil dalam menunjang temu wicara/konseling pada antenatal care di masa pandemi Covid-19.
HUBUNGAN LAMA PENGGUNAAN GADGET DENGAN PERKEMBANGAN SOSIAL ANAK USIA 4-6 TAHUN DI DESA OROBULU KECAMATAN REMBANG KABUPATEN PASURUAN Rizkia, Della Eka; Madjri, Asmika; Agustasari, Krisjentha Iffah
Journal of Issues in Midwifery 2023: Volume 7 No. 3
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.03.1

Abstract

ABSTRAK Masa prasekolah merupakan masa seorang anak memiliki kepekaan yang tinggi dengan adanya kontak sosial dan komunikasi yang dapat mempengaruhi cara bersosialisasi dengan lingkungan sekitar. Gadget adalah alat untuk berkomunikasi yang memiliki berbagai tampilan yang akan menjadi daya tarik bagi anak. Penggunaan gadget yang tidak terkontrol menimbulkan dampak yang dapat mempengaruhi perkembangan sosial mereka. Tujuan penelitian: menganalisis hubungan antara lamanya penggunaan gadget dengan perkembangan sosial anak usia 4-6 tahun di Desa Orobulu Kecamatan Rembang Kabupaten Pasuruan. Metode Penelitian: penelitian ini menggunakan 83 responden sebagai sampel dengan metode purposive sampling. Hasil penelitian: 57 responden (68.7%) yang menggunakan gadget dengan intensitas yang tinggi dapat dikelompokkan menjadi 2 berdasarkan perkembangan sosialnya. Responden dengan perkembangan sosial normal berjumlah 37 responden (44.6%) sedangkan responden yang memiliki perkembangan sosial suspect berjumlah 20 responden (24.1%). Uji data dengan Chi-Square membuktikan H0 ditolak. Kesimpulan: terdapat hubungan yang signifikan antara lama penggunaan gadget dengan perkembangan sosial pada anak usia prasekolah (4-6 tahun) di Desa Orobulu Kecamatan Rembang Kabupaten Pasuruan. . Kata kunci: Lama penggunaan gadget, perkembangan sosial anak prasekolah ABSTRACT Preschool is a moment when children have a high sensitivity due to social contact and communication that affect how they interact with their surroundings. Gadgets are a form of technological advancement with a variety of models that can attract preschoolers. The uncontrolled use of gadgets has several implications for their social development. This study aims to analyze the relation between device usage time and the social development of children aged 4 to 6 years in Orobulu Village, Rembang District, Pasuruan Regency. The researcher used a purposive sampling method that included a total of 83 respondents. The results showed that 57 respondents (68.7%) who used gadgets with high intensity could be grouped into 2 based on their social development. Thirty-seven (44.6%) respondents had normal social development, and 20 (24.1%) were in suspect social development. H0 is disproved by data analysis using the Chi-Square test with p = 0.000 0.05. Therefore, it can be inferred that there is a significant connection between gadget use and social development in preschool children (4-6 years old) in Orobulu village, Rembang District, Pasuruan Regency. Keywords: device usage time, social development of preschool children
FAKTOR TINGKAT KEPATUHAN IBU DALAM PEMBERIAN IMUNISASI DASAR PADA MASA PANDEMI COVID-19 DI WILAYAH KERJA PUSKESMAS SINGOSARI KABUPATEN MALANG Alfaroz, Sheila; Aini Retno H, Nur; Nurisa Windari, Era
Journal of Issues in Midwifery 2023: Volume 7 No. 3
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.03.2

Abstract

Latar Belakang : Imunisasi adalah upaya kesehatan yang cost-effective agar kejadian kematian, kesakitan juga cacat yang ditimbulkan karena penyakit yang dapat dicegah dengan imunisasi (PD3I) bisa turun. Mewabahnya COVID-19 di Indonesia menimbulkan dampak terhadap pelaksanaan dari program kesehatan termasuk pelaksanaan layanan imunisasi, misalnya terdapat adanya gangguan operasional posyandu dan penurunan angka cakupan imunisasi. Tujuan: Mengetahui faktor tingkat kepatuhan ibu dalam pemberian imunisasi dasar pada masa pandemi COVID-19 di wilayah kerja Pusat Kesehatan Masyarakat (Puskesmas) Singosari, Malang. Metode : Studi ini memakai metode analitik observasional dengan pendekatan Cross Sectional. Sampel berjumlah 110 orang ibu dari baduta. Data dikumpulkan melalui online form dan dianalisis memakai chi square test. Hasil dan Pembahasan : Hasil uji chi square variabel pengetahuan terhadap kepatuhan menunjukkan tidak berhubungan (p-value=0,617), variabel dukungan keluarga dan kepatuhan menunjukkan tidak berhubungan (ρ-value=0,632) dan pada variabel hambatan dengan kepatuhan dalam imunisasi dasar menunjukkan bahwa kedua variabel berhubungan dengan p-value = 0,020. Kesimpulan : Tidak adanya keterkaitan antara pengetahuan dan kepatuhan imunisasi dasar, tidak terdapat hubungan antara dukungan keluarga dengan kepatuhan ibu dalam pemberian imunisasi dasar, serta terdapat keterkaitan antara persepsi hambatan yang ibu rasakan dengan kepatuhan dalam pemberian imunisasi dasar pada masa pandemi COVID-19 di Wilayah Kerja Puskesmas Singosari Kabupaten Malang.
HUBUNGAN PERSEPSI IBU TENTANG PENTINGNYA IMUNISASI ANAK DIBAWAH USIA 2 TAHUN DENGAN TINGKAT KEPATUHAN JADWAL IMUNISASI DI PUSKESMAS SINGOSARI KABUPATEN MALANG Yuliana Putri, Acness; Monica, Laurentia Ima; Fransiska, Ratna Diana
Journal of Issues in Midwifery 2023: Volume 7 No. 3
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2023.007.03.3

Abstract

ABSTRAK Putri, Acness Yuliana., 2022. Hubungan Persepsi Ibu Tentang Pentingnya Imunisasi Anak Dibawah Usia 2 Tahun dengan Tingkat Kepatuhan Jadwal Imunisasi di Puskesmas Singosari Kabupaten Malang. Tugas Akhir, Program Kebidanan, Fakultas Kedokteran Universitas Brawijaya. Pembimbing: (1) dr. Laurentia Ima Monica, SpA., M.Biomed (2) Ratna Diana Fransiska, SST., MPH Latar Belakang : Imunisasi adalah pencegahan penyakit yang berbahaya dan sebagai salah satu upaya pemerintah untuk mencapai Sustainable Development Goals (SDGs) yaitu mencegah terjadinya kematian pada anak. Memasuki tahun 2020 pada awal bulan Maret, pandemi covid-19 telah mewabah memasuki Indonesia. Pembatasan aktivitas membuat beberapa ibu memiliki persepsi yang kurang tepat dan berdampak pada penurunan kunjungan imunisasi yang seharusnya dilakukan sesuai jadwal.Tujuan : Mengetahui adakah hubungan antara persepsi ibu mengenai pentingnya imunisasi dengan kepatuhan jadwal imunisasi di tingkat Puskesmas. Metode : Studi .ini menggunakan metode analitik dengan pendekatan Cross Sectional. Sampel berjumlah 110 ibu yang memiliki anak dibawah usia 2 tahun. Data dikumpulkan melalui google form dan analisis memakai chi square test. Hasil dan Pembahasan : Hasil uji chi square didapatkan hasil yang signifikan (p=0,000) dimana nilai p < , p <0,05 yang berati H0 ditolak dan H1 diterima. Kesimpulan : Adanya hubungan persepsi ibu tentang pentingnya imunisasi anak dibawah usia 2 tahun terhadap tingkat kepatuhan terhadap jadwal imunisasi di Puskesmas Singosari Kabupaten Malang. Kata kunci: Persepsi, Kepatuhan, Imunisasi Putri, Acness Yuliana., 2022. Mothers' Perceptions of the Importance of Immunization of Children Under the Age of 2 Years with the Level of Compliance with the Immunization Schedule at the Singosari Health Center, Malang Regency. Final Assignment, Bachelor of Midwifery Program, Faculty of Medicine Universitas Brawijaya. Supervisors: (1) dr. Laurentia Ima Monica, SpA., M.Biomed (2) Ratna Diana Fransiska, SST., MPH ABSTRACT Background : Immunization is the prevention of dangerous diseases and as one of the government's efforts to achieve the Sustainable Development Goals (SDGs), namely preventing deaths in children. In 2020 at the beginning of March, the COVID-19 pandemic has spread into Indonesia. Activity restrictions make some mothers have an incorrect perception and have an impact on reducing immunization visits that should be carried out as schedule. Aims : Knowing whether there is a relationship between the mother's perception of the importance of immunization and compliance with the immunization schedule at the Public Health Center. Methods : This research uses an analytical method with a Cross Sectional approach. The sample was 110 mothers who had children under the age of 2 years. The data was collected through google form and analysis using chi square test. Result and Discussion : The results of the chi square test obtained significant results (p = 0.000) with p <0.05 weighing H0 was rejected and H1 was accepted. Conclusion : There is a relationship mothers perceptions of the importance of immunization of children under the age of 2 years to the level of compliance with the immunization schedule at the Singosari PHC, Malang Regency. Key words: Perception, Compliance, Immunization

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