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Health and Technology Journal (HTECHJ)
Published by KHD Production
ISSN : 29865662     EISSN : 2985959X     DOI : https://doi.org/10.53713/htechj.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Health and Technology Journal (HTECHJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports and letters to the editor in the fields of nursing, midwifery, public health, pharmacy, medicine, nutrition, and allied health sciences.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 637 Documents
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Woolwich Massage as a Non-Pharmacological Intervention to Enhance Breast Milk Production Among Postpartum Mothers: A Quasi-Experimental Study Kristiani Anjelica Woli; Widia Shofa Ilmiah
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i5.755

Abstract

Insufficient breast milk production remains a major challenge during the postpartum period and may contribute to early discontinuation of exclusive breastfeeding. Non-pharmacological interventions that are safe, accessible, and applicable in maternal healthcare settings are needed to support improvements in lactation. Woolwich massage has been proposed as a supportive technique to stimulate physiological mechanisms associated with breast milk production; however, evidence regarding its effectiveness in specific postpartum care settings remains limited. This study aimed to evaluate the effectiveness of Woolwich massage in increasing breast milk production among postpartum mothers at KRI Madinah Pujon. A quasi-experimental study with a two-group pre-test and post-test design was conducted among 30 postpartum mothers. Participants were selected using quota sampling and divided into an intervention group that received Woolwich massage and a control group that received standard postpartum care. Breast milk production was assessed before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test at a significance level of p < 0.05. The findings showed an improvement in breast milk production following the Woolwich massage intervention. The mean production score increased from 9.377 before intervention to 11.310 after intervention. The Wilcoxon analysis demonstrated a significant difference between pre-test and post-test measurements (Z = −4.787; p < 0.001), indicating that Woolwich massage was associated with increased breast milk production among postpartum mothers. Woolwich massage represents an effective complementary intervention to support breast milk production during the postpartum period. The findings highlight its potential for integration into postpartum breastfeeding support programs as a practical, non-pharmacological approach to improving lactation outcomes. Further studies with larger sample sizes and rigorous experimental designs are recommended to strengthen the evidence for its clinical effectiveness.
Leaflet-Based Education for Dysmenorrhea Management Among Adolescent Girls: A Pretest–Posttest Study of Knowledge and Attitude Rozani, Leni; Ferasinta, Ferasinta
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i5.759

Abstract

Dysmenorrhea is a prevalent reproductive health concern among adolescent girls and may impair daily functioning, school attendance, and academic participation. Limited knowledge and unfavorable attitudes can prevent adolescents from adopting appropriate self-management practices or seeking timely healthcare. This study evaluated changes in knowledge and attitudes regarding the management of dysmenorrhea following a leaflet-based educational intervention among adolescent girls at State Junior High School 2 in Bengkulu City, Indonesia. A quantitative pre-experimental study with a one-group pretest–posttest design was conducted among 20 eligible students recruited through simple random sampling. Participants received a standardized group educational session accompanied by a leaflet that covered the definition, causes, symptoms, effects, prevention, and pharmacological and non-pharmacological management of dysmenorrhea. Knowledge and attitudes were assessed using structured self-administered questionnaires before and immediately after the intervention. Preintervention and postintervention scores were compared using paired-samples t-tests. The mean knowledge score increased from 13.75 (SD = 1.37) to 17.15 (SD = 1.18), representing a mean improvement of 3.40 points (p = 0.001). The mean attitude score increased from 45.65 (SD = 4.98) to 53.95 (SD = 2.80), with a mean improvement of 8.30 points (p = 0.001). Leaflet-supported education was associated with significant immediate improvements in participants’ knowledge and attitudes toward the management of dysmenorrhea. This low-cost and accessible approach may support school-based menstrual health education. However, controlled studies with larger sample sizes, validated instruments, and longer follow-up periods are required to establish effectiveness and sustainability.
Digital Competence, Organizational Support, and Proxy Compliance in Electronic Medical Record Use: An Explanatory Sequential Mixed-Methods Study Rahman, Aditya Safarudin; Anas, Muhammad; Mundakir; Amalia, Nuke
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

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Abstract

Electronic Medical Record (EMR) implementation depends not only on organizational readiness but also on healthcare workers’ digital competence and their everyday experience of using the system. This study examined digital competence, perceived organizational support, and lived experiences of EMR implementation among healthcare workers at an Indonesian private hospital using an explanatory sequential mixed-methods design. Phase 1 involved a cross-sectional survey of 76 of 109 eligible healthcare workers using a DigComp 2.2-adapted questionnaire, with data analyzed descriptively in IBM SPSS Statistics 31. Phase 2 involved semi-structured interviews, non-participant observations, and document review with 19 purposively selected participants across clinical, support, and management/IT groups, followed by a six-phase thematic analysis. Overall, 85.5% of respondents demonstrated high digital competence, although competence was lower among workers aged over 45 years, non-clinical health workers, and those reporting lower organizational support. Qualitative analysis identified four themes: reactive implementation and training gaps; technical infrastructure instability and downstream effects; field-level compromise and interprofessional role shifts; and prolonged hybrid transition with profession-specific motivation. A cross-cutting finding, termed proxy compliance, revealed that EMR documentation was sometimes entered by individuals other than the registered account holder with managerial tolerance. These findings indicate that apparent EMR compliance may not reflect genuine individual competence or technology acceptance. Sustainable EMR implementation requires targeted competency development, reliable infrastructure, accessible procedural guidance, and governance mechanisms that verify authentic system use and accountability.
Maximum Wind Speed, Wind Direction, and Pneumonia Incidence Among Children Under Five: An Ecological Study Dina, Dina Rawan G.Rana; Dian Mitra Desnawati Silalah; Prinawati
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i5.833

Abstract

Childhood pneumonia is influenced by interactions among infectious, individual, environmental, and meteorological factors, yet the contribution of wind characteristics to pneumonia occurrence remains insufficiently understood in tropical urban settings. This study examined the relationship between maximum wind speed, wind direction at maximum speed, and pneumonia incidence among children under five in Palangka Raya City, Indonesia, during 2016–2024. An analytical observational ecological design was applied using aggregate secondary data on childhood pneumonia and meteorological parameters. Descriptive analysis characterized temporal and spatial patterns, while linear regression assessed associations between wind parameters and pneumonia incidence. Pneumonia incidence varied substantially over the observation period, reaching its lowest level in 2021, with 22 cases, and its highest in 2024, with 139 cases. Spatial heterogeneity was observed across Community Health Center catchment areas, with a marked increase in Kereng Bangkirai during 2023–2024. Maximum wind speed showed a strong positive association with pneumonia incidence (β = 0.940, t = 8.827, p < 0.001), while wind direction at maximum speed also demonstrated a significant association (β = 0.972, t = 15.817, p < 0.001). These findings indicate that wind variability may contribute to ecological patterns of childhood pneumonia through atmospheric transport and exposure processes. Causal inference remains limited by the ecological design, unmeasured environmental confounders, and the circular nature of wind-direction data. Future studies should integrate circular statistical methods, air-quality indicators, emission sources, land cover, and spatiotemporal pneumonia data to strengthen environmental risk assessment.
Exclusive Breastfeeding and Timing of Postpartum Menstrual Resumption among Lactating Mothers: A Cross-Sectional Study Lindayani, Emi; Sukaesih, Nunung siti; Nariswari, Raina Azhari; Rahmat, Delli Yuliana
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i5.839

Abstract

Exclusive breastfeeding influences maternal reproductive physiology by suppressing ovulation and potentially delaying postpartum menstrual resumption through lactational amenorrhea. This study examined the association between exclusive breastfeeding and the timing of postpartum menstrual resumption among lactating mothers in Trunamanggala Village, Cimalaka District, Sumedang Regency, Indonesia. A quantitative correlational study with a cross-sectional design was conducted among 60 breastfeeding mothers aged 20–35 years with infants aged 6–12 months, recruited using total sampling. Data were collected using a validated 20-item questionnaire covering maternal characteristics, exclusive breastfeeding practices, and the timing of postpartum menstrual resumption. Univariate analysis was used to summarize participant characteristics and study variables, while Spearman’s rank correlation was applied to assess the association between exclusive breastfeeding and menstrual resumption. Most participants (93.3%, n = 56) reported exclusive breastfeeding for at least six months, and 65.0% (n = 39) experienced menstrual resumption at six months postpartum or later. Exclusive breastfeeding was significantly and positively associated with later postpartum menstrual resumption (Spearman’s ρ = 0.364, p = 0.004), indicating a modest relationship between longer exclusive breastfeeding and prolonged postpartum amenorrhea. Maternal age was not significantly associated with menstrual resumption (ρ = −0.196, p = 0.133). These findings support the role of sustained exclusive breastfeeding in delaying the return of menstruation and highlight its relevance to postpartum reproductive health and birth-spacing counseling. Interpretation should remain cautious because the cross-sectional design does not establish causality.
Maternal Knowledge, Medical History, and Family Support in Relation to Chronic Energy Deficiency among Pregnant Women: A Correlational Study Nurhidayah, Ida; Pipih Napisah
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

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Abstract

Chronic Energy Deficiency (CED) remains an important maternal nutritional problem because inadequate energy intake during pregnancy may adversely affect maternal health, fetal growth, and pregnancy outcomes. This study aimed to examine the relationships between maternal knowledge, medical history, family support, and the incidence of CED among pregnant women. A correlational study was conducted among 200 pregnant women receiving antenatal care at Cimalaka Community Health Center from July 7 to 31, 2026. Participants were recruited using purposive sampling based on predefined eligibility criteria. Data were collected using a structured questionnaire, an observation sheet, a hemoglobin-measuring device, a sphygmomanometer, a stethoscope, and a mid-upper arm circumference measuring tape. Univariate analysis was used to summarize participant characteristics, while bivariate associations were examined using the Chi-square test. Most participants had good knowledge, more than half reported a medical history, and slightly more than half received family support during pregnancy. CED was identified in 10.5% of participants. Statistically, there are no significant associations were observed between CED and maternal knowledge (p = 0.921), medical history (p = 0.564), or family support (p = 0.442). These findings indicate that factors beyond those examined may influence CED in this population. Comprehensive antenatal nutritional assessment should therefore consider broader socioeconomic, dietary, obstetric, and clinical factors to strengthen early identification and prevention of maternal nutritional vulnerability.
Occupational Heat Stress in Agricultural Workers: A Systematic Review of Physiological, Psychological, and Socioeconomic Impacts Informing Agronursing Practice Kurniyawan, Enggal Hadi; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur; Alfid Tri Afandi; Erti Ikhtiarini Dewi; Madiha Mukhtar; Sa Sa Aung
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

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Abstract

Climate change intensifies extreme heat, disproportionately threatening agricultural workers. The multifaceted impacts of occupational heat stress across physiological, psychological, and socioeconomic domains remain fragmented in current literature. This systematic review synthesizes recent empirical evidence on the impacts of heat stress on global farming populations to inform evidence-based agronursing interventions. A systematic search was conducted across Scopus, PubMed, and ProQuest for studies published in the last three years, adhering to PRISMA 2020 guidelines. Methodological quality was appraised using the Joanna Briggs Institute tools. Twelve studies met the inclusion criteria. Synthesis revealed that extreme heat induces severe physiological strain, notably acute kidney injury, electrolyte depletion, and high prevalence of heat-related symptoms. Psychologically, chronic heat exposure significantly elevates anxiety, depression, and climate-related distress, often exacerbated by restrictive immigration policies. Behaviorally, spontaneous adaptations like self-pacing are insufficient and disproportionately burden female workers. Macroeconomically, declines in heat-induced labor capacity threaten national GDP and exacerbate household welfare disparities in arid regions. Occupational heat stress precipitates cascading health and economic crises among agricultural workers. Agronursing frameworks must urgently integrate continuous physiological monitoring, routine mental health screenings, and gender-responsive occupational policies. Interdisciplinary collaborations are essential for developing localized early warning systems and enforcing stringent thermal risk regulations to safeguard worker well-being and global food security.

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