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Hamid Mukhlis
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Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 96 Documents
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Non-Pharmacological Management of Pregnancy Anemia and Labor Acceleration: The Role of Date Fruit Consumption Jumiati; Judati , Mitsalina Durrah; Martini, Titin
Majalah Kesehatan Indonesia Vol. 6 No. 2: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025239

Abstract

Anemia during pregnancy continues to be a significant public health issue, especially in low- and middle-income countries, often leading to severe maternal and neonatal complications. This study aimed to evaluate the relationship between date fruit consumption and improvements in hemoglobin levels, as well as the acceleration of Stage I labor among anemic pregnant women. A quasi-experimental design with a non-equivalent case-control approach was utilized, involving 48 pregnant women with anemia at Permata Bunda Clinic, Serang City, from March to August 2024. The intervention group consumed approximately 70 grams (5–7 fruits) of dates daily for four consecutive weeks before delivery, while the control group received standard iron supplementation alone. Hemoglobin levels were assessed using the cyanmethemoglobin method, and labor duration was measured using a standard partograph. Results showed a statistically significant improvement in hemoglobin levels (p = 0.002) and reduced duration of labor (p < 0.002) in the date-consuming group compared to the control group. These findings highlight date consumption as an effective, culturally acceptable, and practical strategy to manage anemia and accelerate labor among pregnant women, suggesting its integration into antenatal care programs. Abstrak: Anemia pada kehamilan masih menjadi permasilahan kesehatan masyarakat yang signifikan, terutama di negara-negara berpenghasilan rendah dan menengah, yang sering menyebabkan komplikasi serius pada ibu dan bayi baru lahir. Penelitian ini bertujuan untuk mengevaluasi hubungan antara konsumsi buah kurma dengan peningkatan kadar hemoglobin serta percepatan proses persalinan tahap pertama pada ibu hamil anemia. Penelitian ini menggunakan desain kuasi-eksperimental dengan pendekatan non-equivalent case-control, melibatkan 48 ibu hamil anemia di Klinik Permata Bunda, Kota Serang, periode Maret hingga Agustus 2024. Kelompok intervensi mengonsumsi buah kurma sebanyak 70 gram (5–7 buah) setiap hari selama empat minggu berturut-turut menjelang persalinan, sementara kelompok kontrol hanya mendapat suplementasi zat besi standar. Kadar hemoglobin diukur menggunakan metode cyanmethemoglobin, dan durasi persalinan dinilai dengan partograf standar. Hasil penelitian menunjukkan peningkatan kadar hemoglobin yang signifikan secara statistik (p = 0,002) serta penurunan durasi persalinan yang signifikan (p < 0,002) pada kelompok yang mengonsumsi kurma dibanding kelompok kontrol. Temuan ini menunjukkan bahwa konsumsi kurma merupakan strategi yang efektif, praktis, dan dapat diterima secara budaya dalam mengelola anemia dan mempercepat proses persalinan pada ibu hamil, sehingga direkomendasikan untuk diintegrasikan ke dalam program pelayanan antenatal.
The Influence of Gestational Age on Neonatal Hypoglycemia Among Preterm Neonates in Secondary Hospital Setting Mastuti, Ni Luh Putu Herli
Majalah Kesehatan Indonesia Vol. 6 No. 2: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025248

Abstract

Preterm neonates frequently encounter health challenges due to immaturity of organ systems, particularly metabolic complications such as hypoglycemia. This study aimed to analyze gestational age as a risk factor for neonatal hypoglycemia in a secondary hospital setting. An observational retrospective design was employed using medical records of preterm neonates born before 37 weeks gestation, admitted to Mitra Delima Hospital, Malang, Indonesia, between January and December 2023. Neonates with diabetic mothers or congenital anomalies were excluded. Hypoglycemia was defined as blood glucose levels below 60 mg/dL measured via heel puncture. Of 59 preterm neonates studied, 17 (29%) experienced hypoglycemia, while 42 (71%) maintained normoglycemia. Cesarean section deliveries accounted for 74.6% of the cases, with no significant differences in maternal age or neonatal complications between groups. Gestational age was significantly lower in hypoglycemic neonates compared to those normoglycemic (mean 24.18 vs. 33.93 weeks; p=0.045), although birth weight alone did not significantly correlate with hypoglycemia. These findings suggest that lower gestational age constitutes a primary risk factor for neonatal hypoglycemia. Thus, rigorous clinical monitoring and targeted screening protocols are strongly recommended, especially for neonates born prematurely, to mitigate hypoglycemia-related morbidity and long-term neurodevelopmental complications.
Attitude towards Breast Cancer and Breast Self-Examination in Middle Aged Females at a Tertiary care hospital in Lahore Pakistan Riaz, Muhammad Waseem; Azam, Muhammad Saad; Ashraf, Shiza; Butt, Nauman Ismat; Waris, Barak; Ghoauri, Muhammad Sohail Ajmal
Majalah Kesehatan Indonesia Vol. 6 No. 2: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025254

Abstract

Breast self-examination (BSE) is an accessible, self-performed screening method for detecting potential changes or abnormalities in the breast such as breast cancer, allowing individuals to familiarize themselves with their normal breast tissue and identify any unusual signs, but it is not a substitute for other breast cancer screening methods like mammograms or clinical exams. The objective of this research was to assess attitudes towards Breast Cancer and BSE in middle aged females from Lahore Pakistan.This descriptive cross-sectional study was conducted at OPD of Chaudhary Muhammad Akram Teaching and Research Hospital, Azra Naheed Medical College Superior University Lahore Pakistan. Fifty females attending OPD of the hospital, aged 35 to 45 years were enrolled in the study after taking informed consent using non-probability consecutive sampling technique. Females with a present or past diagnosis of breast abnormalities (cysts, mastitis, benign or malignant tumors) were excluded from the study. Demographic information was noted and then the participants filled a structured questionnaire comprising of 3 domains: first domain was regarding attitude towards Breast Cancer; second domain was about attitude towards BSE; while the third domain focused on BSE and mammography practices. All the data was entered and analyzed through SPSS version 26. Majority of the females were aged 35 to 40 years (33, 66.0%). Based on socioeconomic background, 19 (38.0%) females belonged to middle socio-economic status. Majority of the females (17, 34.0%) were undergraduates on educational status followed by 16 (32.0%) illiterate. Forty (80.0%) were married. In the present study, 37 (74.0%) females had heard about Breast Cancer but only 09 (18.0%) were aware about BSE. Only 09 (18.0%) respondents reported performing BSE while 14 (28.0%) had a history of mammographic scan. Advice from friends (04, 8.0%) was the biggest sources of BSE information. Attitude regarding breast cancer and BSE was poor in our study. Our study highlights the need to promote knowledge and awareness regarding breast cancer and BSE by educational programs, public health messages, seminars and through social media. Targeted public health interventions should be done, including educational campaigns and community outreach, to improve awareness and encourage early detection practices such as BSE and mammography, especially among less educated and lower-income women.
Strategies To Reduce Patient Anxiety and Stress Through Reminiscence Therapy Manurung, Nixson
Majalah Kesehatan Indonesia Vol. 6 No. 2: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025242

Abstract

Introduction. Stress in heart patients is caused by unpreparedness in accepting the verdict given by health workers. The way and sentence of delivery that is done directly provides shock therapy to heart patients which increases stress. Stress can result in problems in all systems of the human body. Methods. Data collection was carried out using participant demographic data and measurement of stress conditions with the Perceive Stress Scale (PSS) which will be analyzed using univariate, bivariate and Anova. The sampling technique of this study used purposive sampling inclusion criteria willing to become participants, patients with stage-1 heart failure (NYHA), not experiencing visual and hearing impairment, communicative and cooperative Results. The tcount value is 22.798 which is greater than ttable (2.035) for a confidence level of df=33 at a confidence level of 95%, so it can be concluded that Ho is rejected and Ha is accepted, which means there is a difference in reducing stress in heart failure sufferers between before and after the intervention in the therapy group reminiscence. Conclusion. The reduction in stress in heart failure sufferers with Reminiscence therapy after the intervention was better than Reminiscence therapy before the intervention and there was a significant reduction in stress in heart failure sufferers with reminiscence therapy treatment.
Association of socioeconomic status, consanguinity and congenital ophthalmological anomalies Abbas, Sana; Muzaffar, Waqar
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025260

Abstract

This cross-sectional analytical study was carried out at Tertiary Care Institute from September 2020 to January 2021 in Pakistan. All pediatric patients with congenital ophthalmological abnormalities, scheduled for ophthalmological surgeries or examinations born with uncomplicated pregnancies and parturition were included in the study. Since government basic pay scales are fixed, it gives an estimation of average income, therefore, these were employed to determine socioeconomic status. If a couple had a history of infertility and complicated pregnancy or parturition, they were excluded from the study. The mean maternal and paternal age was recorded to be 23.86±5.4 and 27.07±9.6 respectively. We studied 184 children with congenital abnormalities, with a ratio of 126 (68.5%) males and 58 (31.5%) females. The median age in years was reported to be 2.0 years with a 25% inter-quartile range of 1.0. The most common congenital abnormality observed was congenital cataract, reported in 66/184 (35.9%) of the children, followed by squint present in 17/184 (9.24%) children and retinoblastoma was reported in 12/184 (6.52%) of children. Parents from the lower middle income group were more likely to have undergone inter-family marriages compared to the middle and upper middle income group, respectively (80% vs. 62% vs. 20%). There is an evidence that cataracts and retinoblastoma in the studied Pakistani population are dependent on the age of patients and consanguinity and later, in turn caused by socioeconomic status. It is highly unlikely to establish a link that glaucoma is caused by consanguinity and socioeconomic status. Congenital malformations were observed in a greater proportion of pediatric patients whose parents had consanguineous marriages than non-consanguineous parents. Congenital anomalies in ophthalmological patients are more common and are on the rise consistently due to a lack of awareness both in numbers and spectrum. The congenital anomalous patient needs a team effort for the disease management. The psychological impact on the parents of the affected child is significant and they need prolonged psychological support to prepare themselves to fight with prolonged illness and care.
The Role of Husband’s Support in Preventing Postpartum Depression: A Scoping Review Ashifa, Ade Nurul; Herman, Herry; Hilmanto, Dany; Sutedja, Endang; Nurihsan, Juntika; Anwar, Ruswana
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025257

Abstract

Postpartum depression is a serious issue affecting mothers after childbirth and can harm both maternal mental health and child development. Hormonal declines postpartum increase vulnerability, often compounded by high stress and limited social support—especially from husbands. This study reviews nine articles from the past five years to examine how husband support maintains postpartum maternal mental health. Database searches with strict inclusion criteria and mixed-method analyses were conducted. Findings show that strong husband support—physical, emotional, and informational—reduces postpartum depression risk by more than twofold. Spousal relationship quality, maternal age, and socioeconomic conditions also influence outcomes, while insufficient husband support can affect fathers’ mental health. This study underscores the need for educating and engaging husbands during the postpartum period. These findings inform inclusive maternal mental health policies and programs, including: adoption and enforcement of routine EPDS screening as standard care (aligned with WHO recommendations and Indonesia’s Permenkes No. 21/2021 on maternal mental health services); strengthening family-centered services that actively involve husbands (partner-inclusive antenatal/postnatal classes, structured father education, couple counseling); culturally sensitive supports across socioeconomic contexts; and clear referral pathways from primary care to specialized services to ensure timely, equitable treatment for all mothers and families.
The Effectiveness of Telemedicine for Glycemic (Hba1c) Management of Patients with Diabetes Mellitus Type 2: A Meta-Analysis Putri, Santy Irene; Supriyono, Nisa'i Daramita; Fajriah, Asruria Sani; Akbar, Prima Soultoni
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025261

Abstract

Diabetes mellitus (DM) is a degenerative disease caused by genetic and environmental factors. Therefore, patients with DM type 2 requires regular control. One of the health facilities that allows a fine control and follow up over patients with DM is telemedicine. This study aimed to estimate the average effectiveness of telemedicine on glycemic management (HbA1C) of patients with DM type 2. The current research employed a systematic review with meta-analysis research design. The subjects of the study were articles published in 2005 - 2021. The article search was conducted for a maximum of 1 month over journal databases: PubMed, ScienceDirect, and Google Scholar. The primary study employed Randomized Controlled Trial with articles search according to the established PICO model, where P (Population), in this sense, patients suffering from DM type 2, I (Intervention) which was Telemedicine, C (Comparison) or non-telemedicine, and O (Outcome), which was glycemic management (HbA1c). A total of 10 primary studies were assessed with Critical Appraisal Center for Evidence-Based Medicine (CEBM). The results demonstrated that telemedicine is effective in glycemic management (HbA1c) of DM type-2 patients with a p-value of <0.05, namely p<0.04 and a standardized mean difference (SMD) value of -0.24 (95% CI, -0.34 to -0.15). The results of this meta-analysis provide strong scientific evidence regarding the benefits of telemedicine in lowering HbA1c levels in patients with type 2 DM.
The Effect of Combined SEFT and SPEOS Therapy on Anxiety and Breast Milk Production in Postpartum Women: A Quasi-Experimental Study Mona, Silvia; Dasaryandi, Kiki Rizki; Susanti, Susanti
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025272

Abstract

Postpartum anxiety affects approximately 30–40% of mothers and can reduce breast milk production by inhibiting the let-down reflex. Effective and holistic non-pharmacological interventions are still limited. This study aimed to test the effectiveness of the combination of SEFT and SPEOS therapy in addressing anxiety and increasing breast milk production in the postpartum period. This study used a quasi-experimental pretest–posttest design with a control group. A total of 48 postpartum mothers who met the inclusion criteria were divided into intervention and control groups using a purposive sampling technique. The intervention group received a combination of Spiritual Emotional Freedom Technique therapy and Endorphin, Oxytocin, and Suggestive Massage Stimulation for eight sessions (4 weeks) lasting 30–45 minutes. Anxiety levels were measured using the Postpartum Specific Anxiety Scale (PSAS), while breast milk production was recorded based on volume. Data were analyzed using a paired t-test. The results of this study indicate that the combination of SEFT and SPEOS therapy effectively reduces anxiety and significantly increases breast milk production (p < 0.05). The combination of SEFT and SPEOS is a non-pharmacological intervention that contributes practically to midwifery services to support successful exclusive breastfeeding and theoretically expands understanding of the interaction of psychological and neurohormonal factors in lactation.
Mapping the motives: Patterns and contributing factors of sexual violence against women in Indonesia Susanti, Susanti; Retnowati, Yuni; Gusriani, Gusriani; Alfianur, Alfianur
Majalah Kesehatan Indonesia Vol. 6 No. 1: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025273

Abstract

Sexual violence remains a pervasive and underreported human rights violation, affecting one in three women globally and constituting a serious public health issue. Grounded in gender-based violence theory, this study critically analyzed 40 cases of sexual violence against women reported to the Tarakan City Police from 2020–2021 to examine how cases are documented, categorized, and understood locally. Using a descriptive design and secondary police data, the research found that most reported victims were young women aged 18–24, with boyfriends and husbands comprising the majority of perpetrators. Molestation (35%) and domestic violence (22.5%) were the most frequently reported forms, while “biological” motives predominated in police records (77.5%). Notably, no cases of rape were documented, suggesting possible underreporting or misclassification. These findings reflect not the true prevalence of sexual violence, but rather the patterns of reporting and official categorization, shaped by social stigma, legal norms, and systemic barriers. The study calls for enhanced education for law enforcement, survivor-centered reporting protocols, and multisectoral interventions to improve prevention and support. Limitations include the use of only reported cases, the small sample size, and inherent bias in administrative data, underscoring the need for further qualitative and mixed-method research. Abstrak: Kekerasan seksual tetap menjadi pelanggaran hak asasi manusia yang meluas dan kurang dilaporkan, memengaruhi satu dari tiga perempuan secara global serta menjadi masalah serius dalam kesehatan masyarakat. Berlandaskan teori kekerasan berbasis gender, studi ini menganalisis secara kritis 40 kasus kekerasan seksual terhadap perempuan yang dilaporkan ke Kepolisian Kota Tarakan pada tahun 2020–2021 untuk menelaah bagaimana kasus-kasus tersebut didokumentasikan, dikategorikan, dan dipahami secara lokal. Dengan menggunakan desain deskriptif dan data sekunder dari kepolisian, penelitian ini menemukan bahwa sebagian besar korban yang dilaporkan adalah perempuan muda berusia 18–24 tahun, dengan pacar dan suami sebagai pelaku terbanyak. Pencabulan (35%) dan kekerasan dalam rumah tangga (22,5%) merupakan bentuk kekerasan yang paling sering dilaporkan, sementara motif “biologis” mendominasi dalam catatan kepolisian (77,5%). Menariknya, tidak ada kasus pemerkosaan yang tercatat, yang dapat mengindikasikan adanya underreporting atau salah klasifikasi. Temuan ini tidak mencerminkan prevalensi kekerasan seksual yang sebenarnya, melainkan pola pelaporan dan kategorisasi resmi yang dipengaruhi oleh stigma sosial, norma hukum, dan hambatan sistemik. Studi ini merekomendasikan peningkatan edukasi bagi aparat penegak hukum, protokol pelaporan yang berpusat pada korban, serta intervensi multisektor untuk memperkuat pencegahan dan dukungan. Keterbatasan penelitian ini mencakup hanya menggunakan kasus yang dilaporkan, ukuran sampel yang kecil, dan bias bawaan pada data administratif, sehingga menekankan perlunya penelitian lebih lanjut dengan metode kualitatif dan campuran.
Determinants of Outpatient Satisfaction in Regional Public Hospitals: The Dominant Role of Waiting Time and Process Quality in Indonesia Norsaputera, Eka; Hamzah, Hamzah; Harun, Lukman
Majalah Kesehatan Indonesia Vol. 6 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025274

Abstract

This study examined factors associated with outpatient patient satisfaction at Datu Sanggul Regional Public Hospital, Rantau, integrating Donabedian’s structure–process–outcome, SERVQUAL, and Swanson’s Caring Theory to explicitly link facilities (structure) and waiting time, social interaction, service effectiveness, and nurse caring (processes) to satisfaction (outcome). Using purposive sampling justified by operational access to experienced OPD users, we surveyed N = 124 adults in June 2025 with 5-point Likert instruments adapted via forward–back translation, expert review, and pilot testing. Descriptive statistics summarized domains; bivariate associations used chi-square (α = .05). Multivariable analysis applied ordinal logistic regression with assumption checks (multicollinearity, logit linearity where applicable, Test of Parallel Lines), and sensitivity plans for partial proportional odds when required. The final model outperformed the intercept-only model (likelihood ratio p < .001) and explained substantial variation (Nagelkerke R² = 0.66). Waiting time showed a strong negative association with satisfaction (Estimate = −6.710, p = .001), while social interaction, service effectiveness, and nurse caring were not statistically significant after adjustment. Findings emphasize process improvements—particularly queue transparency and throughput optimization—over incremental facility enhancements once adequacy thresholds are met. The study advances evidence from regional Indonesian hospitals, offering actionable levers for patient-centered outpatient redesign.

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