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Fandro Armando Tasijawa
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Karya Kesehatan Siwalima
Published by Universitas Kristen Indonesia Maluku
ISSN : 28288408     EISSN : 28288181     DOI : https://doi.org/10.54639/kks.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Karya Kesehatan Siwalima (KKS) is a peer-reviewed scientific journal committed to the dissemination of knowledge, research findings, and evidence-based practices in the field of health sciences. The journal aims to advance interdisciplinary perspectives and promote innovative approaches to improving health outcomes at the individual, family, and community levels, both nationally and globally. KKS serves as a scholarly platform for academics, researchers, practitioners, and policymakers to publish high-quality original research articles, systematic reviews, case studies, and theoretical analyses that contribute to the advancement of health sciences and the development of healthcare services. The journal places strong emphasis on research-based practice, community-oriented interventions, and the integration of science, technology, and humanistic care in addressing contemporary health challenges. In particular, Karya Kesehatan Siwalima highlights the importance of contextual and culturally sensitive approaches, especially within archipelagic and multicultural settings such as Indonesia, while maintaining relevance within the broader global health discourse. The journal also supports the achievement of the Sustainable Development Goals (SDGs), especially those related to health and well-being, through the publication of empirical studies, innovative models, and conceptual frameworks. Managed by the Faculty of Health, Universitas Kristen Indonesia Maluku, Karya Kesehatan Siwalima publishes articles derived from both research projects and community service activities. These works encompass a wide range of themes, including health education, counseling, community engagement and socialization programs, as well as evaluations of development initiatives, survey-based studies, and experimental research in the health sector.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 108 Documents
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The Marmet Technique as an Effort to Improve Breast Milk Production in Postpartum Mothers Astri Yuliandini; Dwi Ghita; Reskiawati Azis; Ani Ani
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1678

Abstract

The Marmet technique, which combines breast expression and massage, is designed to stimulate the breast milk ejection reflex. This method is believed to enhance the smooth flow of breast milk in postpartum mothers, but requires scientific validation. This study aimed to examine the effect of the Marmet technique on breastfeeding smoothness among postpartum mothers in the working area of the Watunohu Health Center, North Kolaka Regency. A quasi-experimental design with a two-group post-test only approach was employed. The study involved 32 postpartum mothers, divided into an intervention group (n=16) and a control group (n=16) through purposive sampling. The intervention group received the Marmet technique according to standard operating procedures (SOP), while the control group did not receive any treatment. Breastfeeding smoothness was assessed using a questionnaire covering eight indicators. Data were analyzed with the Mann-Whitney test, with a significance level set at p < 0.05. On the fourth day postpartum, exclusive breastfeeding smoothness was achieved in 62.5% of mothers in the intervention group compared to only 18.8% in the control group. The Mann-Whitney test yielded a p-value of 0.017 (<0.05), indicating a statistically significant effect of the Marmet technique. These findings demonstrate that the Marmet technique results in a significant increase in exclusive breastfeeding rates among postpartum mothers. It is recommended that healthcare providers in maternal and child health services adopt this technique as part of routine interventions to promote successful breastfeeding.
Education on Healthy Household Practices in Efforts to Prevent Stunting : Case Study in Sidomulyo Village, Tanjungpinang Indra Martias; Luh Pitriyanti; Risman Kurnia; Rinaldi Daswito; Hevi Horiza; Suci Yuliana Pratiwi
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1685

Abstract

Clean and healthy living behaviours (PHBS) are habits practised by individuals or families that enable them to take independent action on health issues and play an active role in health initiatives both within the family and in the community. PHBS can start with oneself and one's family through clean and healthy habits in daily life. The implementation of PHBS is also an important step in preventing various diseases in children, especially diseases that are difficult to prevent, one of which is stunting. The target audience for this outreach programme was housewives in Kampung Sidomulyo RT 002/RW 13. The outreach programme was conducted through presentations and discussions. Before the outreach programme was implemented, a pre-test questionnaire was administered to determine the level of knowledge about PHBS related to stunting. Then, outreach material on household PHBS and clean water was provided. Following the presentation of the material, a discussion session and post-test were conducted to assess the level of understanding of the material provided. The results of the respondents' knowledge before the PHBS counselling (pre-test) were 5.12%, and the results of the respondents' knowledge after the PHBS counselling (post-test) were 5.94%. Socialisation of PHBS to housewives has been proven to increase their knowledge about the importance of implementing clean and healthy living behaviours in the household environment. This increased understanding plays an important role in encouraging the adoption of daily healthy habits, which not only maintain family hygiene and health, but also serve as a strategic step in preventing stunting in children. With better knowledge, housewives can play an active role as the main drivers of family and community health.
Herbal-Based Community Training For Hypertension Prevention Using TENSITEA Vina Juliana Anggraeni; Asep Roni; Siti Saidah Mutmainah; Anne Yuliantini; Deden Indra Dinata
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1687

Abstract

Hypertension remains one of the most prevalent non-communicable diseases worldwide and is increasingly becoming a health burden in Indonesian communities. Limited knowledge about hypertension and the lack of access to preventive strategies contribute to its high incidence in rural areas. This community empowerment program was conducted to improve public understanding of hypertension and to provide practical training on the production of a herbal tea formulation, known as Tensi Tea, using locally available ingredients such as breadfruit leaves, bay leaves, and cinnamon. The activity took place in Mandalawangi Village and involved community members, local health cadres, and students. The program was implemented in several stages, including educational sessions on hypertension prevention, interactive discussions, and hands-on training in harvesting, processing, and packaging herbal ingredients into tea bags. Participants were actively engaged, demonstrated high enthusiasm, and were able to produce the herbal tea product independently by the end of the training. The results showed an increase in community knowledge regarding risk factors and prevention of hypertension, as well as enhanced skills in producing a simple herbal preparation that has the potential to support both health promotion and local economic opportunities. In conclusion, education on hypertension prevention, accompanied by training on herbal tea, is an effective strategy to empower communities. It is recommended that similar programs be expanded to other rural areas and supported by local health services to ensure sustainability.
The Role of Clinical Instructors in Guiding Nursing Students during Clinical Practice at Gunung Maria Hospital Pricilia Maria Toreh; Maria Novita Ria
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1694

Abstract

Nursing education requires the integration of theory and practice; therefore, clinical mentoring plays an essential role in shaping students’ competencies. Clinical Instructors serve as educators, caregivers, and role models who directly influence the success of clinical learning. This study aims to identify and analyze the role of Clinical Instructors in implementing clinical mentoring for students at Gunung Maria Hospital, Tomohon. The study employed an analytical observational design with a cross-sectional approach, involving all Clinical Instructors who met the inclusion criteria through a total sampling technique. The instrument used was a questionnaire that had been tested for validity and reliability prior to administration. Data were analyzed univariately using frequency distributions. The results indicated that the majority of respondents rated the role of Clinical Instructors as good (70%), while 24% rated it as adequate and 6% as poor. Strong performance was particularly evident in educational roles, motivational support, and professional role-modeling for students. However, several limitations were identified, including limited interaction intensity, inconsistent feedback, and restricted mentoring time due to workload demands. In conclusion, the role of Clinical Instructors has generally been implemented effectively and contributes positively to the development of nursing students’ competencies, although improvements are still needed in consistency and mentoring strategies. The study recommends continuous training for Clinical Instructors on effective clinical mentoring approaches, institutional policies to optimize the instructor–student ratio, and strengthened collaboration between hospitals and educational institutions to enhance the overall quality of clinical learning.
Smart Talk About Cervical and Breast Cancer in Women of Reproductive Age Donny Richard Mataputun; irman Irman; Mia Atlantic
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1699

Abstract

Background: Cervical cancer and breast cancer are two leading causes of cancer-related mortality among women in Indonesia. Low levels of knowledge and awareness in the community, particularly among Women of Reproductive Age (WRA), regarding early detection remain a serious challenge in cancer prevention and management. Objective: This activity aims to improve WRA’s knowledge and awareness of the importance of early detection of cervical and breast cancer through a community-based educational approach. Method: This community service program employed a pre-experimental one-group pre-test and post-test design. The intervention was carried out through education using the peer group method, educational video screening, and discussion sessions with cancer survivors. Data were collected using pre-test and post-test questionnaires and analyzed descriptively. Results: Prior to the educational intervention, the majority of respondents (52.3%) had low levels of knowledge. After the intervention, a significant improvement was observed: respondents with good knowledge increased to 47.7%, while those with poor knowledge decreased to 11.4%. Conclusion: Peer group- and video-based educational activities proved effective in enhancing WRA’s knowledge and awareness regarding the importance of early cancer detection. This educational model is recommended for broader implementation as a promotive and preventive strategy in women’s cancer prevention.
The Effect of Student-Centered Learning with the Make a Match Method on Nursing Students’ Knowledge of Patient Safety Goals Yunita Fitri Rejeki; Deris Riandi Setiawan; Adinda Triani Nur Hasanah
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1702

Abstract

Understanding nursing students’ knowledge of the six patient safety goals is essential to prevent adverse events. Innovative and interactive learning strategies are needed to strengthen students’ comprehension of these goals. The make-a-match method, as a cooperative learning approach, encourages active engagement and is expected to enhance knowledge retention. This study aimed to examine the effect of patient safety goals education on the knowledge of undergraduate nursing students using the make-a-match method. A pre-experimental one-group pretest–posttest design was conducted with 69 undergraduate nursing students selected through purposive sampling. Data were collected using a structured patient safety goals knowledge questionnaire. The Wilcoxon signed-rank test was applied to analyze the differences between pretest and posttest scores, with a significance level of 0.05. Prior to the intervention, most participants demonstrated a moderate level of knowledge (63.8%). Following the intervention, the majority of students achieved a good level of knowledge (91.3%). Statistical analysis using the Wilcoxon test revealed a significant improvement in knowledge scores (p = 0.001, p < 0.05). The findings indicate that education using the make-a-match method is effective in improving nursing students’ knowledge of patient safety goals. This method may serve as a valuable learning strategy in nursing education to strengthen patient safety competencies.
Early Health Detection among Housewives to Enhance Family Health and Well-Being Alvian Pristy Windiramadhan; Rd. Gita Mujahidah; Dewi Eka Stia Murni
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1706

Abstract

Early detection of non-communicable diseases (NCDs) is a strategic effort to raise public health awareness, especially among housewives who play a central role in maintaining family welfare. This community service activity aims to conduct basic health screenings, including blood pressure measurements, blood glucose levels, and Body Mass Index (BMI) assessments, among housewives participating in the Enhancing Women's Roles Towards Healthy and Prosperous Families (P2WKSS) program in Haurgeulis Village, Haurgeulis Subdistrict, Indramayu Regency. The activity was conducted through simple health examinations followed by discussions and education on healthy lifestyles. The results of the examination of 60 participants showed that the majority of respondents were in the pre-hypertension to hypertension category (87%), (25%) were in the pre-diabetes to diabetes category, and (63%) were overweight to obese. These findings indicate a high risk factor for NCDs among housewives in the area. This early detection program not only provides an initial overview of the community's health condition but also serves as a means of education and empowerment for housewives to be more concerned about their own health and that of their families. Thus, this activity supports the achievement of the Sustainable Development Goals (SDGs), particularly the third goal on good health and well-being, and the fifth goal on gender equality through empowerment.
Balanced Nutrition Education for Women in the P2WKSS Program in Haurgeulis Village, Indramayu Dedeh Husnaniyah; Riyanto Riyanto; Irda Novrida Ashar
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1709

Abstract

The Program for Increasing the Role of Women Towards Healthy and Prosperous Families (P2WKSS) is one of the government's efforts to improve the quality of family life through women's empowerment. Women have a very important role in providing food and family health, so women ideally have good knowledge about balanced nutrition. The aim of this Community Service Activity is to provide education about balanced nutrition for women in the Women's Role Enhancement Program Towards a Healthy and Prosperous Family (P2WKSS) in Haurgeulis Village, Indramayu. The method for community service includes three stages, namely: the stage of analyzing the partner's situation and condition, the education stage and the evaluation stage. The results of this community service activity are an increase in knowledge about balanced nutrition for women in the Program for Increasing the Role of Women Towards Healthy and Prosperous Families (P2WKSS) in Haurgeulis Village, Indramayu, This program significantly improved women’s knowledge on balanced nutrition.
Improving Nutritional Awareness Through Food Label Reading Education among School-Age Children Joan Herly Herwawan; Fandro Armando Tasijawa; Lea Mediatrix Y Janwarin; Hery Jotlely; Maria Nindatu
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1710

Abstract

The nutritional status of school-age children is a crucial determinant of their health, growth, and academic performance. However, low nutrition literacy and frequent consumption of packaged foods high in sugar, salt, and fat pose significant challenges. This community service program aimed to improve students’ nutritional awareness through food label reading education at SD YPPK Waenibe (YPPK Waenibe Elementary School). The program employed health education sessions on balanced nutrition and interactive practice in reading food labels, including demonstrations of sugar and salt content. Evaluation was conducted using pre-test and post-test assessments among 19 students. Results showed a significant improvement in knowledge, with the mean score increasing from 68.37 (pre-test) to 80.11 (post-test). Most students shifted from the “fair” to the “good” knowledge category. These findings confirm that simple, practice-based educational interventions can effectively enhance nutrition literacy among school-age children. Moreover, the program has the potential to empower students as change agents in both school and family contexts. Nevertheless, this initiative was limited to a single intervention and lacked parental involvement. It is recommended that future programs be integrated into school curricula and involve parents to strengthen children’s healthy consumption behaviors.
The Triple Burden Phenomenon and Eating Behaviors of Generation Z: A Phenomenological Study Among Health Science Students Lutfiah Ramadhani; Nadya Ulfa Tanjung
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1720

Abstract

The digital revolution has reshaped the consumption patterns of Generation Z and contributed to the triple burden of malnutrition, including overeating, which has become a growing concern among university students. This study examines the triple burden phenomenon in relation to the eating behaviors of Generation Z at the Faculty of Public Health, State Islamic University of North Sumatra. This qualitative phenomenological research involved 10 students. Data were collected through in-depth interviews and observations, triangulated using a 3×24-hour food recall, and analyzed using the Miles and Huberman model. Calorie requirement calculations based on Body Mass Index (BMI) criteria showed that seven participants exceeded their daily caloric needs, consuming an average of 2,102 calories per day—above the normal requirement. Social media food simulacra triggered visual cravings in eight participants, while mukbang content increased appetite by two to three times. Seven participants demonstrated low self-efficacy in controlling portion sizes. Eating patterns shifted from conventional meal structures to a grazing pattern (6–8 times per day), with fifty-eight percent of eating episodes consisting of snacking, indicating overnutrition within the triple burden context. Social media simulacra and low self-efficacy significantly influenced overeating among Generation Z, even among individuals with adequate nutritional knowledge. Social media creates a hyperreality that encourages consumption beyond biological needs, contributing to the complexity of the triple burden of malnutrition in the digital era. Strengthening digital literacy and self-efficacy is recommended to address the triple burden among Generation Z

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