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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,484 Documents
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Health and social burdens of TB-HIV co-infection in Indonesian risk populations Chairunnisa, Nur Indah; Rejeki, Dwi Sarwani Sri; Wijayanti , Siwi Pramatama Mars
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2265

Abstract

This systematic literature review aims to examine the health and social burdens of TB-HIV co-infection among at-risk populations in Indonesia. The review analyzed four quantitative primary studies published between 2021 and 2024, including three from Indonesia and one from Ethiopia as a comparative reference. Literature was identified from electronic databases using defined inclusion criteria and screened through PRISMA guidelines. Data were extracted on sample characteristics, quantitative instruments, and statistical findings relevant to TB-HIV prevalence, risk factors, treatment challenges, and public health interventions. Results showed that TB-HIV co-infection poses significant burdens, especially among populations with low socio-economic status and limited access to healthcare. Key challenges include poor treatment adherence, stigma, psychological distress, and fragmented health services. Although some interventions have been implemented, they remain inconsistent and unequally distributed. This review highlights the need for integrated, community-based, and multi-sectoral approaches to address TB-HIV co-infection in Indonesia’s vulnerable populations effectively.
Descriptive study of pregnant women's knowledge level about high-risk pregnancy Ferdina, Cucun Setya; Christiana, Elisa; Zainab, Zainab; Himawati, Ernia Haris
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2272

Abstract

Pregnancy is a physiological process, beginning with egg fertilization and culminating in child birth, although pregnancy is a natural process, not every pregnancy proceeds without problems. Some women encounter difficulties that could lead to pregnancies with a high risk. The objective of this research is determining the degree of knowledge expectant women have on high-risk pregnancies. For this investigation, a descriptive research methodology was used. The participants comprised 41 pregnant women chosen using overall sampling techniques. The main instrument used to gather data was a questionnaire. Uni-variate methods were used to conduct data analysis. According to the results, most participants lacked enough knowledge regarding high-risk pregnancies; 36 people (88%) displayed little understanding; only 4 individuals (10%) had great understanding; and only one person (2%) was fairly informed. Regarding participant demographics, almost all were in their twenties to early 30s; nevertheless, many still showed inadequate knowledge. Nearly all participants in every evaluated subject matter showed a low degree of knowledge. The study finds that awareness of high-risk pregnancies among pregnant women is still fairly low, therefore stressing the need of better and more enduring maternal health education programs.
Effectiveness of health services through the mobile-JKN application for the elderly: A case study at the Gunung Tua BPJS health office, North Sumatra Siregar, Hikmah; Nasution, Annio Indah Lestari; Qarni, Waizul
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2274

Abstract

This study aims to analyze the effectiveness of healthcare services delivered through the Mobile JKN application for elderly participants at the BPJS Kesehatan Gunung Tua Office, North Padang Lawas Regency. A descriptive qualitative approach was applied, with data collected through interviews, observations, and literature review. The findings indicate that the utilization of Mobile JKN among the elderly has not yet reached an optimal level due to low digital literacy, limited smartphone ownership, unstable internet access, and difficulties in using application features. Family support plays a crucial role in improving service effectiveness, particularly through assistance from children or grandchildren in accessing digital services. Based on the SERVQUAL dimensions, Mobile JKN shows adequate reliability and empathy but still requires improvement in interface simplicity, responsiveness, and accessibility for elderly users. Overall, Mobile JKN has strong potential to enhance healthcare service efficiency if supported by continuous socialization, digital literacy strengthening, improved infrastructure, and family-based assistance.
Pharmacy technician knowledge and behavior regarding high alert drugs Agusfina, Muhajri; Fika, Renatalia; Trisna, Mevy; Kurniaty, Desy; Zulfisa, Zulfisa
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2240

Abstract

High Alert is a drug that often causes serious errors (sentinel event). This drug is very high risk and can cause unwanted impacts (adverse outcomes), therefore it is necessary to supervise its use. The purpose of this study was to determine the level of knowledge of pharmacy vocational staff about the management of high alert drugs at the Pharmacy Installation of X Hospital in Dumai City and to describe the relationship between knowledge and behavior of pharmacy vocational staff about the management of high alert drugs at the Pharmacy Installation of X Hospital in Dumai City. The research   was conducted using non-experimental observational methods with a cross-sectional analytic approach with questionnaire data design. The population in this study were all pharmacy vocational staff at the Pharmacy Installation of X Hospital in Dumai City, totaling 23 people. The sample used was using total sampling technique. The validity and reliability values obtained by researchers about knowledge and behavior statements are declared valid if the r count and the value of Person Croanch's Alpha obtained> 0.630. Based on the questionnaire, it is declared reliable because the value of Person Cronch's Alpha for knowledge is 0.702 and behavior is 0.891> 0.630.  Based on the results of the research conducted, it can be concluded that there is no relationship between the knowledge and behavior of pharmacy vocational staff in managing high alert drugs at X Hospital in Dumai City with a significance value> 0.005 p = value 1.028. This study shows that there is no relationship between knowledge and behavior.
A systematic literature review of meaning-oriented resilience as a coping process for pregnancy anxiety and maternal well-being Jannah, Nurul; Anganthi, Nisa Rachmah Nur; Lestari, Sri; Ruhaena, Lisnawati
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2267

Abstract

Pregnancy involves profound physiological and psychosocial changes that increase vulnerability to stress and anxiety. Psychological resilience has been widely recognized as a protective factor for maternal mental health; however, existing research has largely emphasized functional outcomes, with limited attention to meaning-oriented coping processes underlying maternal adaptation. This systematic literature review aimed to synthesize empirical and conceptual evidence on meaning-oriented resilience in relation to pregnancy anxiety and maternal well-being. Following PRISMA 2020 guidelines, systematic searches were conducted in Scopus and Google Scholar, yielding 26 eligible studies analyzed through theory-driven thematic synthesis. The findings indicate that psychological resilience operates as a dynamic coping process that reduces prenatal anxiety and supports emotional regulation and adjustment. Religious and spiritual coping consistently emerged as meaning-oriented mechanisms that strengthen resilience by enabling pregnant women to interpret pregnancy experiences within value-based and existential frameworks. Conceptual evidence suggests that ṣabr represents an active form of meaning-oriented resilience characterized by emotional regulation, endurance, and value-driven perseverance. While most studies focused on symptom reduction, emerging evidence highlights the role of resilience and spirituality in promoting holistic maternal well-being. This review advances a meaning-oriented framework of maternal resilience integrating psychological and Islamic perspectives and supports the incorporation of meaning-based and culturally sensitive approaches within midwifery care to enhance maternal mental health during pregnancy.
Development of a natural eosinophil stain based on cordyline fruticosa leaves extract and selenicereus monacanthus (dragon fruit peel extracts) for hematology diagnostic applications Hasanah, Annisa Nur; Liswanti, Yane; Kusmiati, Meti; Salsabila, Aliya Fitria; Prihartini, Linda
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2268

Abstract

The search for natural alternatives to conventional hematological stains has gained attention due to issues of dependency on imported reagents, cost, and potential environmental impact. This study aimed to explore the potential of Cordyline fruticosa (andong leaves) and Selenicereus monacanthus (dragon fruit peel) extracts as natural eosinophil stains in hematology. Pigment extraction was performed using standard procedures, followed by phytochemical screening for anthocyanins and flavonoids. The total anthocyanin content was higher in C. fruticosa (1.20 mg/L) compared to S. monacanthus (0.30 mg/L), while relative flavonoid absorbance values also indicated greater pigment density in andong leaves. Application of the extracts in the hemocytometer method demonstrated staining of the background and cellular components, although with weaker intensity than conventional eosin. In peripheral blood smear preparations, Giemsa stain produced the most distinct results, clearly differentiating eosinophil nuclei, cytoplasm, and characteristic granules. In contrast, the natural extracts yielded paler orange cream staining, with less clarity and limited granule visualization, and some smears exhibited detachment due to imperfect fixation. These findings suggest that while andong leaves and dragon fruit peel contain bioactive pigments with staining potential, their application in hematology requires further optimization, particularly in fixation methods, extract concentration, and stability testing over longer storage periods. 
The influence of spiritual well-being on burnout in kindergarten teachers with self-efficacy as a mediating variable Rambe, Rifatun Nihaya; Hasanuddin, Hasanuddin; Hardjo, Suryani
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2276

Abstract

Improving the quality of human resources is a national strategic agenda, with early childhood education playing a crucial role in shaping cognitive, social, emotional, and spiritual foundations. Kindergarten teachers face complex work demands that are prone to burnout. Spiritual well-being, the ability to feel meaning, inner peace, and spiritual connectedness, is believed to protect teachers from stress and enhance a positive outlook on work. Self-efficacy, or self-belief, plays a role in strengthening teachers' ability to face challenges, manage the classroom, and remain productive. This study aims to understand the relationship between spiritual well-being, self-efficacy, and burnout in kindergarten teachers as a basis for developing psychological interventions. This quantitative correlational study used an online questionnaire with 200 kindergarten teachers in North Labuhanbatu, analyzed using PLS-SEM to test reliability, validity, and model fit. Spiritual well-being was measured using the SWBS (Paloutzian & Ellison, 1983), burnout using the Maslach Burnout Inventory (MBI), and self-efficacy using Bandura (2006). The results showed that Spiritual Well-Being had no significant effect on burnout (β = 0.080; p = 0.581), self-efficacy was also not significant on burnout (β = −0.186; p = 0.180), but Spiritual Well-Being had a significant positive effect on self-efficacy (β = 0.768; p < 0.001). The indirect effects analysis showed that self-efficacy was not a mediator (β = −0.143; p = 0.184; 95% CI = −0.353 to 0.068). Thus, the effect of Spiritual Well-Being on kindergarten teacher burnout is more complex and requires other mediators, such as coping strategies or emotional regulation, to be effective.
The effect of social support on the self-efficacy of parents of children with autism through the mediation of emotional intelligence Anwar, Aini Shafra; Dewi, Salamiah Sari; Lubis, Suaidah
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2278

Abstract

Parenting a child with Autism Spectrum Disorder (ASD) presents unique challenges that can lower parents' self-confidence and self-efficacy. While social support is considered a crucial external factor, its effectiveness in boosting self-confidence often depends on internal factors, such as emotional intelligence. The purpose of this study was to examine the mediating role of emotional intelligence in the relationship between social support and self-confidence in parents of children with autism. This study used a quantitative approach with a purposive sampling technique. Data were collected from respondents, parents of children with autism, using instruments such as the Multidimensional Scale of Perceived Social Support (MSPSS). Data analysis was performed using Structural Equation Modeling with Partial Least Squares (SEM-PLS). The results of a study of 153 parents of autistic children showed that social support influenced self-confidence by 51.7% with a p value <0.001. Social support influenced emotional intelligence by 57.3% with a p value <0.001, and emotional intelligence influenced self-confidence by 36.5% with a p value <0.001. Thus, it can be concluded that increasing social support can increase the self-confidence of parents of autistic children through their emotional intelligence.
The relationship between nutritional status and knowledge with HB levels in adolescent girls Sripratiwi, Chesy; Prautami, Erike Septa; Meriyani, Depita; Yudha, Jenny Ramadona Putri Ardi; Febrianti, Arly
Science Midwifery Vol 14 No 1 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2284

Abstract

Anemia remains a significant public health problem among Indonesian adolescent girls, as evidenced by prevalence data reaching 32% according to a national health survey. This study aims to analyze the relationship between nutritional status and knowledge with hemoglobin levels in adolescent girls at SMK NU Muara Padang. This study used a quantitative method with a cross-sectional design conducted on 52 adolescent girls selected through a purposive sampling technique. Data collection included a structured questionnaire to measure nutritional knowledge, anthropometric measurements to determine Body Mass Index, and hemoglobin level examination using a digital hemoglobinometer. Statistical analysis was performed using the Statistical Package for the Social Sciences version 26 with a chi-square test at a significance level of 0.05. The results showed that 67.3% of respondents had insufficient nutritional knowledge, data showed that 55.8% had abnormal nutritional status, and 32.7% had anemia. Chi-square analysis revealed no significant relationship between nutritional knowledge and hemoglobin levels (p = 0.51), and no significant relationship between nutritional status and hemoglobin levels (p = 0.14). Although there was no statistically significant relationship, the high prevalence of anemia and low nutritional knowledge indicate the need for comprehensive interventions. Schools and health facilities should collaborate to implement regular nutrition education programs, anemia screening, and iron supplementation to prevent and manage anemia in adolescent girls.
Strategy for enhancing stability and bioavailability of active lipid ingredients through nanoparticle technology: Review Nurohman , Ikra; Putriyanti, Al-fira
Science Midwifery Vol 14 No 1 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2288

Abstract

Background: Lipid-based active ingredients have high pharmacological potential, such as anti-inflammatory, antioxidant, and anticancer activities, but often face biopharmaceutical challenges such as low water solubility, poor chemical stability, and limited bioavailability. Objectives: This review article aims to analyze various nanoparticle technology-based formulation strategies to improve the stability and pharmacological activity of lipid active ingredients. Methods: A total of 31 scientific articles published between 2020 and 2025 were systematically analyzed to evaluate the types of lipid nanoparticle systems, production methods, the role of surfactants and additives, and their impact on stability and bioavailability. Commonly used systems include Solid Lipid Nanoparticles (SLN), Nanostructured Lipid Carriers (NLC), and nanoemulsions. Results: The results of the study indicate that encapsulation in a nano lipid matrix can protect the active ingredients from oxidative, photolytic, and enzymatic degradation and increase membrane solubility and permeability. Key factors for successful formulation include the selection of lipid type, production method, and the combination of surfactant and coating polymer. In addition to improving pharmacokinetic parameters, lipid nanoparticle systems also show potential for cost efficiency through dose reduction and increased therapeutic efficacy. Conclusions: Overall lipid nanoparticle technology is an effective, applicable and prospective approach in the development of modern pharmaceutical preparations based on lipophilic active ingredients.

Page 148 of 149 | Total Record : 1484

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