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INDONESIA
JOURNAL OF Mother and Child Health Concerns
Published by Indonesian Public Health-Observer Information Forum
ISSN : 27984095     EISSN : 27984192     DOI : 10.56922
Core Subject : Health,
Health Professions Nursing Public Health
Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, khususnya di bidang kesehatan ibu dan anak yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek pokok, yakni: promotif, preventif, kuratif, dan rehabilitatif. Terbit 2 kali dalam satu tahun bulan Juni dan Desember
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 333 Documents
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Association of age and marital status with viral load among people living with HIV Aditya Saiser Anugraha; Nazula Rahmah Shafriani; Siti Khotimah
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4063

Abstract

Background: Human Immunodeficiency Virus (HIV) remains a global health problem, including in Indonesia. One of the main indicators used to monitor disease progression and evaluate the success of antiretroviral (ARV) therapy is viral load testing. Viral load is the main indicator in monitoring the success of antiretroviral (ARV) therapy in people with HIV/AIDS (ODHIV). Viral load results can be influenced by various factors, including age and marital status. Therefore, it is necessary to know the relationship between these two factors with viral load test results in ODHIV. Porpuse: To determine the relationship between age and marital status with viral load test results in ODHIV patients. Method: This study used an observational analytical design with a retrospective approach. The study sample was 67 ODHIV patients who met the inclusion criteria with a total sampling technique. Data were obtained from patient medical records for the period 2024-2025. Analysis of the relationship between age and viral load used the Spearman rank test, while the relationship between marital status and viral load used the chi-square test. Results: The majority of respondents were teenagers (44.8%), male (91.0%), single (98.5%), and had undetectable viral load results (80.6%). The analysis showed a significant relationship between age and viral load (p=0.038; r=0.254) and between marital status and viral load (p=0.006; r=0.398). Conclusion: There is a significant relationship between age and marital status with viral load test results in ODHIV patients. Demographic and social factors play a role in achieving viral load suppression in ODHIV.
The Reproductive health literacy among vocational high school students: A descriptive study Reza Stevani Rondonuwu; Febi Kornela Kolibu; Hilman Adam
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4064

Abstract

Background: Reproductive health is an essential component of individual well-being, encompassing physical, mental, and social aspects related to the reproductive system. Reproductive health literacy enables adolescents to access, understand, evaluate, and apply health information to make informed decisions and prevent reproductive health risks. However, reproductive health literacy among Indonesian adolescents remains a major concern, as evidenced by the persistence of risky sexual behaviors, low literacy levels, and the continued occurrence of early marriage. Previous studies in Manado have also indicated that students' reproductive health literacy is relatively low. Purpose: This study aimed to determine the level of reproductive health literacy among students by assessing their ability to access, understand, evaluate, and apply reproductive health information from various sources in order to support informed decision-making and prevent risky reproductive health behaviors. Method: This study employed a quantitative descriptive design involving Grade X and XI students at SMK Negeri 6 Manado. The study population consisted of 604 students, and A minimum sample size of 76 respondents was calculated using the Lemeshow formula, and participants were selected through stratified random sampling. Results: The primary sources of reproductive health information were school teachers and the internet, whereas parents and other family members were less frequently utilized. Overall, students' reproductive health literacy ranged from sufficient to problematic. The accessing dimension was predominantly sufficient (59.2%), the understanding dimension was predominantly sufficient (47.4%), and the evaluating dimension showed equal proportions of sufficient and problematic literacy (43.4% each). The applying dimension was predominantly problematic (59.2%). Conclusion: The study revealed that students had relatively better literacy in accessing and understanding reproductive health information, while the applying dimension was the weakest. These findings indicate the need to strengthen reproductive health education by emphasizing critical evaluation and practical application of information.
Attitude, husband’s support, and health facility distance associated with interest in VIA screening Ina Royani; Dyah Retnoningrum
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4083

Abstract

Background: Cervical cancer is a malignancy that originates in the cells lining the cervix, the lower part of the uterus that connects the uterus to the vagina. The primary cause of cervical cancer is persistent infection with Human Papillomavirus (HPV), which is primarily transmitted through sexual contact, including vaginal, anal, and oral sexual activity. Purpose: This study aimed to determine the factors influencing the interest of women of reproductive age in undergoing Visual Inspection with Acetic Acid (VIA/IVA) screening. Method: This study employed a quantitative analytic research design using a cross-sectional survey approach. The study was conducted among 106 respondents selected from a population of 2.399 women of reproductive age in the working area of Petaling Community Health Center from March 2 to 28, 2026. Data were collected using a structured questionnaire and analyzed using univariate and bivariate analyses. The chi-square test was used to determine the association between the independent variables and respondents’ interest in undergoing VIA screening. Results: The results demonstrated significant associations between attitude (p < 0.001), husband’s support (p = <0.001), and distance to health facilities (p < 0.001) and the interest of women of reproductive age in undergoing VIA screening at Petaling Community Health Center in 2026. Conclusion: Attitude, husband’s support, and distance to health facilities were significantly associated with women’s interest in undergoing VIA screening. Suggestion: Women of reproductive age are encouraged to proactively seek accurate information regarding VIA screening procedures to reduce negative perceptions, including fear and embarrassment, and to increase participation in cervical cancer screening.
The Effect of Booklet-Based Education on Adolescent Girls’ Knowledge Regarding Anemia Maimunah Rahayu; Riona Sanjaya; Sukarni Sukarni; Elsy Juni Andri Kariny
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4123

Abstract

Background: Anemia remains a significant health problem among adolescent girls, particularly in developing countries, including Indonesia. Adolescent girls are at increased risk of anemia due to rapid growth, increased iron requirements, and menstrual blood loss. Inadequate knowledge regarding anemia, balanced nutrition, and iron supplementation may contribute to poor preventive behaviors. Health education using appropriate media, such as booklets, may help improve adolescents’ understanding of anemia and its prevention. Purpose: To determine the effect of booklet-based health education on adolescent girls’ knowledge regarding anemia. Method: This study employed a quantitative pre-experimental design using a one-group pretest–posttest design. The study was conducted in January 2026 at SMPN 02 Kebun Tebu, West Lampung, Indonesia. The population consisted of 112 female students, and 30 respondents were selected using simple random sampling. Data were collected using a structured knowledge questionnaire. The questionnaire was tested for validity using product-moment correlation and for reliability using Cronbach’s alpha. Data were analyzed using univariate analysis and a paired-samples t-test. Results: The mean knowledge score before booklet-based education was 58.00 ± 11.715, with scores ranging from 35 to 75. After the intervention, the mean score increased to 80.50 ± 8.131, with scores ranging from 60 to 95. The mean difference was 22.50 points. The paired-samples t-test showed a statistically significant difference in knowledge scores before and after the intervention (p < 0.001). Conclusion: Booklet-based health education significantly improved adolescent girls’ knowledge regarding anemia. Booklets may therefore be considered an appropriate health education medium for increasing adolescents’ understanding of anemia and its prevention.
The association of age, sex, residence, and parental occupation with acute lymphoblastic leukemia in children A Fatwa Alwaliu; Resti Arania; Zaleha Ulfa; Nita Sahara
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4126

Abstract

Background: The Association of Age, Sex, Place of Residence, and Parental Occupation with Acute Lymphoblastic Leukemia in Children at Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung. Acute lymphoblastic leukemia (ALL) represents the predominant hematologic malignancy affecting the pediatric population, with its development believed to be associated with both demographic and environmental determinants. Purpose: To examine the associations of age, sex, place of residence, and parental occupation (mother) with ALL among pediatric leukemia patients. Method: This analytical observational study used a cross-sectional design and secondary data from the medical records of 123 pediatric patients with leukemia at Dr. H. Abdul Moeloek Regional Hospital, Bandar Lampung, Indonesia, from January 2024 to December 2025. Total sampling was used. Data were analyzed using the Chi-square test or Fisher's exact test. Results: Among 123 pediatric leukemia patients, 104 (84.6%) were diagnosed with ALL. Most patients were aged 1–5 years (44.7%), male (71.5%), lived in regency areas (81.3%), and had parents working as farmers/laborers (47.2%). Sex was significantly associated with ALL (p = 0.011; OR = 3.511; 95% CI: 1.283–9.607). Parental occupation was also significantly associated with ALL (p = 0.001). Age (p = 0.059) and place of residence (p = 0.196) were not significantly associated with ALL. Conclusion: Sex and parental occupation were significantly associated with ALL among pediatric leukemia patients, whereas age and place of residence were not. Further studies should assess specific occupational and environmental exposures to clarify potential risk factors for childhood ALL.
The effectiveness of effleurage and counter-pressure massage in reducing labor pain intensity during the first stage of labor: A literature review Ni Made Budiartini; Ni Wayan Ariyani; Ni Komang Yuni Rahyani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4138

Abstract

Background: Labor pain during the first stage of labor is a physiological condition caused primarily by uterine contractions, cervical dilatation, and pressure on the pelvic structures. Although pharmacological methods are available, nonpharmacological interventions such as effleurage and counter-pressure massage are increasingly used because they are simple, inexpensive, and have minimal adverse effects. However, evidence regarding the comparative effectiveness of these techniques remains variable. Purpose: To review and synthesize the available evidence regarding the effectiveness of effleurage and counter-pressure massage in reducing labor pain intensity during the first stage of labor. Method: A literature review was conducted through searches of PubMed, ScienceDirect, and Google Scholar for articles published between January 2021 and June 2026. Articles were selected according to predefined inclusion and exclusion criteria. Eligible studies included original research articles, randomized controlled trials, quasi-experimental studies, and clinical trials involving women in the first stage of labor and evaluating effleurage, counter-pressure, or related massage interventions. Nine articles were included in the review. Results: The reviewed studies generally demonstrated that massage-based nonpharmacological interventions reduced labor pain intensity and improved maternal comfort. Effleurage massage was associated with reduced pain through tactile stimulation, relaxation, and distraction, whereas counter-pressure appeared particularly beneficial for women experiencing lower back pain during contractions. Direct comparative evidence indicated that both techniques were effective, although some studies reported greater pain reduction with counter-pressure. Other benefits included reduced anxiety, increased comfort, and improved childbirth satisfaction. Conclusion: Effleurage and counter-pressure massage are promising nonpharmacological interventions for managing pain during the first stage of labor. Effleurage may be particularly useful for promoting relaxation and reducing generalized pain perception, whereas counter-pressure may be more appropriate for women experiencing predominant lower back pain. The choice of technique should consider maternal preference, pain location, labor progression, and practitioner skill.
Maternal age and parity associated with postpartum care visit compliance Miftah Chairunnisa; Septina Boru Saragih; Thatit Nurmawati; Rizki Amartani; Ummy Khairussyifa; Silvia Finida Hannisa
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4183

Abstract

Background: The postpartum period is a critical phase requiring continuous maternal healthcare to facilitate the early detection and management of postpartum complications. In Sintang Regency, the coverage of complete postpartum care visits decreased from 80.4% in 2023 to 78.9% in 2025. The implementation of Integrated Primary Health Care (PHC) is expected to strengthen continuity of maternal healthcare through integrated and community-based services. However, individual maternal characteristics may influence compliance with recommended postpartum care visits. Purpose: To analyze the association between maternal age and parity and compliance with postpartum care visits during the implementation of Integrated Primary Health Care (PHC). Method: This study employed a quantitative analytic design with a cross-sectional approach. The study population consisted of 206 postpartum mothers who received postpartum care services in the working area of Sungai Durian Community Health Center from January to December 2025. Total sampling was used, and data collection was conducted from May to June 2026. The data were analyzed using bivariate analysis with a significance level of 0.05. Results: Of the 206 respondents, 80 (38.8%) were classified as compliant and 126 (61.2%) as non-compliant with postpartum care visits. The mean maternal age was 30.1 ± 8.7 years, with a range of 19–36 years. Respondents aged <20 years, 20–35 years, and >35 years accounted for 22.8%, 27.7%, and 49.5%, respectively. The respondents consisted of 37.9% primiparous, 36.4% multiparous, and 25.7% grand multiparous mothers. Maternal age was significantly associated with compliance with postpartum care visits (p < 0.001). Parity was also significantly associated with compliance with postpartum care visits (p = 0.009). Conclusion: Maternal age and parity were significantly associated with compliance with postpartum care visits during the implementation of Integrated Primary Health Care. Strengthening community-based monitoring and providing age- and parity-sensitive education may support improved continuity of postpartum care. Suggestion: Sungai Durian Community Health Center should strengthen coordination within Cluster 2 (Maternal and Child Health) and optimize community-based territorial monitoring to facilitate timely scheduling, reminders, and follow-up of postpartum care visits
LI4 and SP6 acupressure with dhikr for menstrual pain among adolescent girls Viranti Diah Andarista; Winarni Winarni
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4208

Abstract

Background: Menstrual pain is a common complaint among adolescent girls and may interfere with daily activities, concentration, and well-being. Non-pharmacological approaches such as acupressure and dhikr may provide simple and accessible options for pain management. Purpose: To determine the effect of acupressure massage at LI4 and SP6 combined with dhikr on menstrual pain intensity among adolescent girls. Method: This quantitative study used a pre-experimental one-group pretest-posttest design. The study involved 25 adolescent girls who experienced menstrual pain at SMP Muhammadiyah 5 Surakarta. Participants received acupressure at LI4 and SP6 combined with dhikr when menstrual pain occurred. Pain intensity was measured using a 0–10 Numeric Rating Scale (NRS) before and after the intervention. Data normality was assessed using the Shapiro-Wilk test, and the Wilcoxon Signed-Rank Test was used for non-normally distributed paired data. Results: The mean menstrual pain score decreased from 4.92 ± 1.412 before the intervention to 3.12 ± 1.364 after the intervention. The Wilcoxon Signed-Rank Test showed a statistically significant difference between pre-intervention and post-intervention pain scores (Z = −4.168; p < 0.001). Conclusion: Acupressure at LI4 and SP6 combined with dhikr was associated with a significant reduction in menstrual pain intensity among adolescent girls. This combination may be considered a simple non-pharmacological approach for menstrual pain management.
Application of deep breathing relaxation technique in a child with acute pain following laparotomy for obstructive ileus: A case study Arum Winantu; Istinengtyas Tirtasuminar
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4211

Abstract

Background: Obstructive ileus is a gastrointestinal emergency caused by mechanical obstruction of the intestinal tract and may require surgical intervention. Acute postoperative pain is one of the common problems following laparotomy and may interfere with comfort, mobility, and recovery. Purpose: To describe comprehensive nursing care for a child following laparotomy for obstructive ileus with acute pain as the primary nursing diagnosis and to describe the application of deep breathing relaxation as a complementary intervention for pain management. Method: This study used a descriptive case study approach. Data were collected through interviews, observation, physical examination, documentation, and medical record review. Nursing care was developed according to the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Results: The patient was a 9-year-old boy who reported postoperative pain with an intensity of 5 on the Numeric Rating Scale (NRS). The patient demonstrated grimacing, protective behavior toward the surgical wound, and anxiety during movement. After three days of nursing care combining pharmacological therapy and deep breathing relaxation, pain intensity decreased from 5 to 4. The patient appeared more relaxed, showed reduced grimacing and protective behavior, and was able to perform the deep breathing relaxation technique independently. Conclusion: Deep breathing relaxation provided positive complementary effects in managing acute postoperative pain in this pediatric patient. Although pain was not completely resolved, the intervention was associated with reduced pain intensity and improved behavioral responses and pain-control ability.
The The effect of the rebozo technique on the duration of the active phase of labor among primigravida women Yeyen Putriana; Dea Adhitya Putri; Risneni Risneni; Eva Berliana; Indah Trianingsih
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 5 (2026): August 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i5.4236

Abstract

Background: Prolonged labor is one of the complications that can increase maternal and neonatal morbidity and mortality. The active phase of the first stage of labor is a critical period because labor lasting longer than the normal duration may increase the risk of postpartum hemorrhage, infection, fetal distress, and even maternal and neonatal death. Various pharmacological and non-pharmacological interventions have been implemented to accelerate labor progress, one of which is the Rebozo technique. However, the effect of the Rebozo technique on the duration of the active phase of the first stage of labor among primigravida women in Independent Midwifery Practices (PMB) in Bandar Lampung has not been fully established. Purpose: To determine the effect of the Rebozo technique on the duration of the active phase of the first stage of labor among primigravida. Method: This quantitative study employed a quasi-experimental design using a posttest-only control group design. The study population consisted of women in the active phase of the first stage of labor who delivered at PMB Marlina Turnip and PMB Wirahayu between March and May 2026. A total of 32 respondents were recruited, including 16 women in the intervention group who received the Rebozo technique and 16 women in the control group who received standard care without the Rebozo technique. Data were analyzed using the Independent Samples t-test. Results: The mean duration of the active phase of the first stage of labor in the intervention group was 301.88 minutes (approximately 5 hours and 1 minute), whereas the control group had a mean duration of 461.25 minutes (approximately 7 hours and 41 minutes). Bivariate analysis demonstrated a statistically significant effect of the Rebozo technique on the duration of the active phase of the first stage of labor among primigravida women (p = 0.000; p < 0.05). Conclusion: The Rebozo technique significantly reduced the duration of the active phase of the first stage of labor among primigravida women in Independent Midwifery Practices (PMB) in Bandar Lampung City. Midwives are encouraged to incorporate the Rebozo technique into routine intrapartum care to shorten labor duration and minimize unnecessary medical interventions.

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