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Andari Wuri Astuti
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Journal of Health Technology Assessment in Midwifery
Published by Universitas Aisyiyah Yogyakarta
ISSN : 26208423     EISSN : 26205653     DOI : https://doi.org/10.31101/jhtam
Core Subject : Health, Science, Education,
Education Health Professions Immunology & microbiology Public Health
Journal of Health Technology Assessment in Midwifery provides an international forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, current knowledge and promotes continuing education through publication of systematic and other reviews and updates across broad range of clinical and interdisciplinary topics including: 1. midwifery; 2. maternity and children health; 3. primary care for women and newborn; 4. public health; 5. health care policy; 6. health system, and global health. It also covers cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception and other health systems.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 103 Documents
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The use of smartphones as educational media for optimizing maternal and child health: A qualitative systematic review Devi Maya Arista; Nurvitriana, Nidya Comdeca; Karunia Wijayanti; Vina Firmanty Mustofa
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3794

Abstract

Introduction: Currently, communication technology shows great potential in exchanging information, including educational interactions for health messages through smartphones. The implementation of this educational communication scope can be a strategy to enhance maternal and child health. Various approaches from different scientific articles necessitate the examination of characteristics, strengths, weaknesses, and outcomes in delivering smartphone-based health education. Purpose: This study aims to review the literature of smartphone uses in implementing maternal and infant care practices. Method: This is a qualitative systematic review was conducted in the databases PubMed, ScienceDirect, and Cochrane using a combination of Medical Subject Headings (MeSH) and relevant keywords: “maternal” OR “mother” OR “pregnant women” AND “child” OR “baby” AND “health education” AND “smartphone” OR “mobile phone” OR “mobile application. Obtained a total of 9 articles for review. Results: This qualitative systematic review discusses 9 articles from several countries and covers 3 main topic themes. These themes included interactive voice response (IVR), direct counseling, and applications (SMS, Social Media, Health Platforms). Conclusion: Based on review, text/SMS messaging on smart phones was better at improving the implementation of maternal and infant care practices
Instrument for measuring maternal attitudes, knowledge and self-confidence towards breastfeeding: Literature review Rosyidah, Hanifatur; Nafisah, Wardatun; Surani, Endang; Nakatudde, Hadijah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3915

Abstract

The level of exclusive breastfeeding in Indonesia has still not reached the expected target. According to the World Health Organization (WHO), in 2019 the average rate of exclusive breastfeeding in the world was around 38%. This is far above the target of 50%. The causes of low coverage of exclusive breastfeeding are influenced by lack of awareness of the importance of breastfeeding, lack of maternal self-confidence, and low knowledge about the benefits of breastfeeding for mothers and babies. The research aims to describe and compare breastfeeding assessment instruments which include assessing mothers' attitudes, knowledge and beliefs in exclusive breastfeeding. The method used in this review is identification based on keywords, screening titles and abstracts, and selecting based on inclusion and exclusion criteria. The total of 10 articles were reviewed. According to 10 articles, 7 instruments were obtained, such as NeoEAT-Breastfeeding and IIFAS, which are effective in assessing the attitudes, knowledge, and beliefs of breastfeeding mothers. Overall, the instruments mentioned above can be used by healthcare workers to assess a mother's ability to breastfeed, with the note that validation and adaptation of the instrument into the national language are required.
Peer education program improved the knowledge and skills of adolescents regarding breast self-examination Waliyanti, Ema; Nurul Arinandika , Kailifah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3680

Abstract

The prevalence of adolescents doing BSE in Indonesia is still low at 46.3%. This is because young women are still unfamiliar with BSE. Based on this, peer education needs to be implemented to increase teenagers' knowledge and skills related to BSE through peers. This study aims to determine the effectiveness of peer education in improving adolescents' knowledge and skills regarding breast self-examination. This research uses a Quasi-experimental method with a control group design. The research respondents were 36 teenagers who were divided into 18 intervention groups and 18 controls. The sampling method used is Simple Random Sampling. Respondents in the intervention group were given peer education related to BSE with the help of modules. Research data processing uses SPSS with Wilcoxon and Mann-Whitney. This research has been declared ethically appropriate for research with number 030/EC-KEPK FKIK UMY/I/2024. The results of the study showed that there was a difference in pretest-posttest knowledge scores of 0.014 (p<0.05) in the intervention group and there was no difference in results in the control group with a result of 0.257 (p>0.05). Differences in pretest-posttest skill scores occurred in the intervention and control groups with sequential results of 0.001 (p<0.05), and 0.014 (p<0.05). The comparison of posttest knowledge and skills scores between the intervention and control groups respectively was 0.001 and 0.003 (p<0.05). Based on the result peer education is effective in improving teenagers' knowledge and skills related to BSE so that it can be used as an educational method related to BSE.
Healthy behavior during pregnancy: Scoping review Yasmin, Yasmin; Suryaningsih, Endang Koni
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3703

Abstract

Background:Maternal-fetal attachment (MFA) refers to the emotional bond or attachment that a mother has with her unborn child during pregnancy. Health behavior during pregnancy includes nutrition, personal hygiene, clothing, and stress management. Health in pregnant women to get a healthy mother and child is done while the mother is pregnant. Objective: to map the existing evidence on maternal-fetal attachment and healthy living behavior during pregnancy with a scoping review approach. Methods: using databases namely Pubmed, Science Direct, Wiley, EBSCO published between 2014-2023. Result: there are 580 articles obtained from several databases, then filtered into 4 relevant articles. Obtained from several countries, namely, Finland 1 article, America 1 article, Iran 1 article, and Rhode Island with a total of q articles. Of the 4 articles, 2 articles were obtained that used a cross-sectional design, namely in articles A3 and A4, then for articles with a cohort-study design, namely A1, while articles that used qualitative research were A2. Conclusion: there are several influences of maternal-fetal attachment for healthy behavior during pregnancy. Some health practices that can support pregnant women are avoiding alcohol consumption, quitting smoking, exercising, conducting regular pregnancy checks.
Postoperative pain experience in post caesarean section mothers in developing countries: A scoping review Sales, Eurosia Maria; Astuti, Dhesi Ari
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3925

Abstract

Background: The increase in the number of global caesarean sections highlights the importance of understanding the postoperative pain experience as well as the factors that influence patient experience after this procedureObjectives: The aim of this scoping review was to identify the best evidence of pain experience in post-sectio caesarean mothers, evaluate the factors that influence patients' experiences of pain after caesarean sections, and identify barriers to dealing with postoperative pain.Methods: Databases were searched from 2019 to 2023 from various databases, including PubMed, ScienceDirect, and Wiley. As well as using search engines such as Google Scholar and Research Rabbit and selecting them using Mendeley assistance. Critical appraisal and data charting are adopted from the JBI checklist, including cross-sectional, cohort, RCT, and quasi-experimental JBI. Of the 870 articles identified, only nine met the criteria.Results: The results of this review identified three themes, including supporting and inhibiting factors for pain management efforts, the implications of post-sectio cesarean pain, and patient characteristics.Conclusions:  Health professionals are advised to implement holistic, evidence-based post-cesarean pain management by combining pharmacological and non-pharmacological methods, supported by improved preoperative education and strict monitoring of analgesic use. An individualized approach and further follow-up studies are essential to optimize maternal recovery and long-term quality of life.
Maternal weight gain management during pregnancy: A scoping review Metty Tsabitah Aziz; Ismarwati
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4010

Abstract

Background: Unhealthy weight gain during pregnancy can result in adverse outcomes for both mother and baby. Globally, there are 6,400 neonatal and 800 maternal deaths every day. To reduce maternal and neonatal mortality rates, it is imperative to enhance the health condition by effectively regulating weight gain throughout pregnancy. Objective: This study aimed to identify scientific evidence on managing maternal weight gain during pregnancy. Methods: This scoping review used the five steps outlined by Arksey and O'Malley and adhered to the Prisma-ScR checklist. This study used the population, concept, and context (PCC) framework. The article searches used EBSCO, Science Direct, and PubMed databases. The inclusion criteria applied were original studies written in English published from 2018 to 2023, full-text articles, and articles that discussed maternal weight gain management during pregnancy. The exclusion criteria applied were review articles and articles with research data collected before 2013. The critical appraisal tools used were the Joanna Briggs Institute (JBI) and Mix Methods Appraisal Tools (MMAT). Results: Based on this review, the authors identified that behavioral change interventions were crucial as a foundation for more extensive interventions to achieve standard maternal weight gain during pregnancy. Several interventions for managing weight gain during pregnancy include setting weight gain goals, daily weighing, exercise, counseling on healthy lifestyle, multi-interventions, and a combination of technologies. Conclusion: Behavior modification and some interventions can enhance success in achieving the standard weight gain during pregnancy. Integrating weight management into routine antenatal care is essential for strengthening maternal and fetal health.
An innovative educational media for reproductive health: The impact of the pillow t-shirt on knowledge among junior high school girl Sari, Gita Nirmala; Ichwan, Erika Yulita; Aticeh; Munawarah, Raudhatul; Sukamti, Sri; Mulyana, Nana; Mulyati, Sri; Yamada, Eri
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4043

Abstract

Enhancing reproductive health knowledge among adolescents is crucial to prevent unwanted pregnancies. This study aims to develop and evaluate the effectiveness of the "Reproductive Health Pillow T-Shirt GIRL" educational media using the Research and Development (R&D) method. This interactive media was designed in collaboration with professional fashion designers and media experts. A quasi-experimental study with a control group was conducted involving 98 adolescent girls aged 13–15 years in junior high schools in Jakarta. The intervention group utilized the "Pillow T-Shirt," while the control group received lectures using audiovisual aids. Results demonstrated a significant increase in knowledge among the intervention group compared to the control group. This media shows promise as a standard educational tool for reproductive health in schools.
Improving Midwives Competence in Postpartum Depression Screening through EPDS Training Christiana, Indah; Wahyuningsih, Indah; Novitasari, Erlin
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4080

Abstract

Postpartum depression  represents preventable challenges and has a significant impact on both mother and baby.  Depression affects over ten percent of individuals during the perinatal period. The prevalence of reported cases of postpartum depression statistically appears low, but in reality there are still cases in the community. The cause of the high obstacle is that many midwives have not been able to apply due to lack of knowledge and skills in using EPDS. This study aims to determine the effect of postpartum depression screening training using EPDS on the knowledge and skills of midwives in detecting postpartum depression. Pre-experimental research type and one group pretest posttest design. The population was all midwives at Genteng Hospital as many as 31 midwives with sampling using total sampling.  Analysis of the data was performed using SPSS for Windows (Version 25), employing the Wilcoxon signed-rank test and multiple logistic regression.  The analysis yielded a significant increase in knowledge scores, with a mean difference of 38.71 and skills by 88.533 after training. Multivariate results showed that age, education, nursing field, did not affect knowledge and skills, while length of work did not affect knowledge but affected skills by 14, 107 times. Midwives can be more proactive in screening for postpartum depression using EPDS as an early prevention step, so as to identify the risk of postpartum depression more precisely.
Association between high-risk pregnancy and mode of delivery in Kalibaru Aslina, Wiwit; Silviatul Amalia; Nita Indah Lestari
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4087

Abstract

High-risk pregnancy is a critical public health concern associated with increased maternal and neonatal morbidity and mortality, particularly in developing regions such as Banyuwangi, Indonesia. The Kalibaru area reported the highest number of pregnant women with complications in 2024. This study aims to examine the relationship between high-risk pregnancy status and mode of delivery in Kalibaru, addressing a gap in literature regarding their association. A retrospective cross-sectional study was conducted using secondary data from 762 postpartum mothers in Kalibaru. A total of 262 samples were selected using Slovin’s formula with a 5% margin of error and simple random sampling. Eligibility criteria included complete medical records from women who delivered in Kalibaru in 2024. Data were anonymized and analyzed using the Chi-Square test to determine the association between high-risk pregnancy status (categorized as high-risk or not) and delivery method (vaginal or cesarean section).Among the 262 respondents, 198 (75.6%) had high-risk pregnancies and delivered via cesarean section (CS), while 64 (24.4%) had spontaneous vaginal births. The Chi-Square test showed a statistically significant association between high-risk pregnancy and cesarean delivery (p = 0.000). Odds ratio analysis revealed that high-risk pregnant women were 63.68 times more likely to undergo cesarean section (OR = 63.677; 95% CI: 9.108–445.161) compared to non-high-risk women. Key risk factors contributing to the increased likelihood of cesarean delivery included maternal age <20 or >35 years, height ≤145 cm, low parity, and prior cesarean history. These findings highlight the importance of early detection and comprehensive risk assessment during antenatal care to reduce medically unnecessary cesarean sections. Implementation of routine pregnancy risk screening using tools such as the Poedji Rochyati Scorecard (KSPR), along with strengthening referral systems and public education, is essential for improving maternal outcomes in high-risk pregnancies.
Breastfeeding flashcards (BFC): An innovative tool for breastfeeding education using ADDIE model Rosyidah, Hanifatur; Prameswari Rahayu, Indira; Aisyaroh, Noveri; Mathurin, Jeffthanie
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4137

Abstract

This study outlines the development and evaluation of Breastfeeding Flashcards (BFC) as a tool to support breastfeeding education for pregnant and postpartum mothers. The flashcards are intended for use by midwives, healthcare professionals, and community health workers or cadres. The development process followed the ADDIE model, which includes five stages: Analysis, Design, Development, Implementation, and Evaluation. The BFC development process involved information gathering, storyboard creation, color coding, and card printing. The content and design were validated through consultations with breastfeeding and media experts. The flashcards were then pre-tested with mothers and community health cadres to assess their usability and effectiveness. Post-implementation surveys and interviews revealed significant improvements in cadres’ knowledge, as confirmed by the Wilcoxon signed-rank test. Cadres were able to effectively deliver breastfeeding education using BFC. Feedback from mothers, cadres, and midwives was highly positive. Cadres found the flashcards easy to use, citing the clear information, supportive images, and brief explanations on the back as helpful for communication. They expressed strong willingness to continue using the tool. Mothers appreciated the support from cadres and found the education beneficial. Overall, BFC proved to be an effective tool in supporting cadres’ breastfeeding education efforts. The involvement of trained cadres in delivering breastfeeding education is crucial for the successful integration of strategies aimed at improving breastfeeding practices and increasing breastfeeding coverage. Additionally, the BFC has potential for broader use, including by other health professionals and as an educational resource in health training programs.

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