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Jurnal Kesehatan
Published by Universitas Prima Nusantara Bukittinggi
ISSN : 20857098     EISSN : 26571366     DOI : https://doi.org/10.35730
Core Subject : Health,
Nursing
Jurnal Kesehatan is open access, a peer-reviewed journal and authoritative source of health information. The journal has a special focus on Public health, nursing, midwifery, and relevant topics of health issues. The scopes of Jurnal Kesehatan are : Public health: Epidemiology, Health promotion, health policies and systems, environmental, health information, Nursing: Neurologist, paediatrics, community and home care, gerontology, maternity, medical and surgical nursing, psychiatric mental health Midwifery: midwifery in complementary based, midwifery in community with gender-based.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 512 Documents
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The Influence of Culturally Grounded Communication on Adolescent Decision-Making Related to STI and HIV/AIDS Risk in Semarang, Central Java, Indonesia Sujianto, Untung; Dwi Hastuti, Yuni; Kusuma, Henni; Ropyanto, Chandra; Hidayati, Wahyu
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1404

Abstract

This study explores how communication rooted in local cultural values in Central Java influences adolescents' capacity to make appropriate decisions regarding the risks of sexually transmitted diseases and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Adolescents in Central Java are highly vulnerable to the risks of sexually transmitted diseases and HIV/AIDS given the sociocultural dynamics that influence their sexual behaviour. This phenomenon is exacerbated by the shift in the age of sexual initiation to an increasingly early age, from 18-19 years to 17-18 years, based on data from the Indonesian Demographic and Health Survey. The increase in the prevalence of risky sexual behaviour among adolescents requires a comprehensive approach, particularly through culture-based communication, to improve the ability to make appropriate decisions in the face of the threat of STDs and HIV/AIDS. Keywords: Communication, culture, STDs, HIV AIDS
Addressing Reproductive Justice in Midwifery: Insights from Eastern Indonesia Herbawani, Chahya Kharin; Kristianingrum , Ika Ayu
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1427

Abstract

Background: Reproductive justice links reproductive rights with social justice, highlighting how systemic inequalities shape reproductive autonomy. Midwives, especially in underserved areas, are frontline advocates who provide clinical care, emotional support, and community advocacy aligned with this framework. Purpose: This study explores midwives’ experiences in responding to requests for assistance with unwanted pregnancy termination, a central issue in reproductive justice. Methods: A community service approach was used through Focus Group Discussions (FGDs) in Sorong, Southwest Papua, Indonesia. Fifteen midwives from rural and peri-urban health facilities participated. The FGDs aimed to understand their dual roles as healthcare providers and advocates for women’s reproductive rights. Results: Findings show midwives in Eastern Indonesia are key actors in advancing reproductive rights by offering vital reproductive health services and supporting marginalized women. However, their ability is hindered by barriers such as limited knowledge of regulations, lack of resources, cultural stigma, and restrictive policies. These challenges restrict their capacity to address reproductive justice issues effectively. Conclusion: The study highlights the urgent need to integrate reproductive justice principles into midwifery education and training. Equipping midwives with knowledge, advocacy tools, and policy awareness will strengthen their role in protecting women’s reproductive rights in low-resource settings. This research adds to global discussions on reproductive justice and underscores the transformative potential of midwifery practice in advancing health equity in Eastern Indonesia.
From Discontinuation to Commitment: A Participatory Model for Contraceptive Adherence Sariati, Yuseva
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1484

Abstract

Background: Contraceptive discontinuation remains a critical challenge in reproductive health programs, threatening program sustainability and maternal health outcomes. Transforming patterns from discontinuation to sustained commitment requires innovative health promotion models that address multi-dimensional factors influencing contraceptive behavior. Understanding the pathway from discontinuation to continuity is essential for designing effective, context-specific interventions. Purpose: This study aimed to design a comprehensive health promotion model that transforms contraceptive discontinuation patterns into sustained commitment among acceptors in Malang Regency, Indonesia, utilizing Health Belief Model and Social Cognitive Theory as theoretical foundations Methods: An exploratory qualitative study using Grounded Theory methodology was conducted through Focus Group Discussions (FGDs) involving key stakeholders including heads of Population and Family Planning Department, health center directors, midwives, Family Planning Field Officers (PLKB), and community health workers in Malang Regency. Data analysis followed the three-stage Grounded Theory coding process: open coding, axial coding, and selective coding. Results The designed health promotion model encompasses five interconnected dimensions grounded in Health Belief Model and Social Cognitive Theory: Individual Factors (knowledge, attitudes, self-efficacy), Environmental Factors (social support, healthcare accessibility), Behavioral Factors (observational learning, reinforcement), Perceptions (perceived risks, benefits, barriers), and Sustained Participation in Contraceptive Services. The transformation pathway "from discontinuation to commitment" was achieved through innovative strategies including the "Susimilek" program (husband involvement in contraceptive selection), community health worker engagement, and data-driven policy interventions. The model demonstrates how addressing multi-level determinants can convert discontinuation patterns into sustained contraceptive commitment, particularly addressing cultural, geographical, and structural barriers specific to Indonesian context. Conclusion: The designed health promotion model provides a comprehensive theoretical and practical framework for transforming contraceptive discontinuation patterns into sustained commitment through evidence-based, multi-level interventions. This culturally-sensitive model offers practical guidance for contraceptive services to enhance continuation rates and build long-term commitment among acceptors in similar low-middle income country contexts.
Kehamilan Tidak Direncanakan dalam Keluarga Patriarkal: Sebuah Scoping Review Purnamasari, Arryan Rizqi Aulia; Wuri Astuti, Andari; anjarwati, anjarwati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1502

Abstract

Background: Unintended pregnancy is a global issue that threatens women's physical and mental health, with 50% of pregnancies worldwide falling into this category, largely influenced by male dominance in decision-making. In patriarchal families, women often lose their reproductive decision-making rights, increasing health risks and gender-based violence. Objectives: The purpose of this scoping review is to analyze women's experiences in facing unintended pregnancies within patriarchal families. Methods: The method used involved searches across four databases PubMed, Wiley, Science Direct, and Google Scholar using the PRISMA ScR methodology. Data were collected based on research objectives, publication year, study design, respondent characteristics, and research context. Critical appraisal was conducted using the JBI Critical Appraisal Tools. Results: This scoping review analyzed five qualitative studies from South Asia (Bangladesh, Pakistan, Nepal) and Africa (Eswatini, Nigeria) related to unintended pregnancy in patriarchal families. Based on the assessment, two articles were categorized as Grade A, while three were categorized as Grade B. The analysis identified three main themes: male-dominated decision-making patterns, gender inequality in contraceptive use and gender literacy, and the role of families in either supporting or opposing unintended pregnancies, including abortion decisions. Conclution:Unintended pregnancy in patriarchal families reflects the complexities of male dominance, gender inequality, and the lack of family support, which undermine women's rights, autonomy, and well-being.
Molecular Mechanisms and Therapeutic Potential of Soy Isoflavones in Breast Cancer: A Narrative review Rusnita, Dewi; Nurhajjah, Siti; Syah, Nur Afrainin
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1384

Abstract

Breast cancer remains a multifaceted disease requiring deeper understanding of dietary interventions. Soy isoflavones represent a promising area of investigation. Despite extensive research, a synthesis of insights from laboratory, animal, and human research to elucidate mechanisms by which soy isoflavones could be used for preventing and treating breast cancer remains lacking. This review analyses recent findings laboratory, animal and human research to clarify molecular mechanisms of soy isoflavones in breast cancer prevention and treatment. Soy isoflavones, particularly genistein and daidzein, influence cell proliferation, cell cycle regulation, apoptosis induction, epigenetic modifications, cell signalling pathways, angiogenesis, and metastasis in breast cancer models. These compounds modulate expression of crucial genes and proteins participate in these processes, such as p21, Bax, Bcl-2, BRCA1, and BRCA2, and disrupt essential cancer signalling pathways. Soy isoflavones impact breast cancer cell metabolism, particularly glucose, lipid, and nucleotide metabolism, through effects on the pentose phosphate pathway. These compounds demonstrate immunomodulatory properties, influencing immune cell recruitment and signalling in the breast cancer microenvironment. While soy isoflavone effects vary based on dose, timing of exposure, and tumour subtype, evidence suggests their potential as chemopreventive agents, warranting further clinical investigation.
Continuity of Care oleh Mahasiswa Kebidanan meningkatkan Efikasi Diri dan Ekspektasi Ibu Wahyuni, Sri; Istikhomah, Henik; Susilowati, Dewi; Puji Wahyuningsih, Heni
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1505

Abstract

Background: Despite the documented benefits of continuity of care for both pregnant women and midwifery students, research on the self-efficacy and expectations of mothers who receive continuity of care from midwifery students remains limited. Objectives: Exploring the self-efficacy and expectations of mothers who receive continuity of care provided by midwifery students. Methods: This study employed a descriptive-analytic design with a cross-sectional approach. A total of 80 mothers who received continuity of care from midwifery students between June and August 2023 participated in the study and provided written informed consent. Data were collected using a self-efficacy and an expectations questionnaire. Participants also completed a demographic characteristics form. The data were analyzed and presented in the form of frequency distributions. Results: The mean age of participants was 30.40±7.39 years. Most participants had a secondary education (50%), unemployed (57.5%), primigravida (52.5%). Self-efficacy was assessed in three aspects: perceived difficulty level (good in 77%), strength of belief (good in 73%), and scope of knowledge (good in 76%). Most mothers reported experiences that met their expectations during pregnancy (90%), labor (83.8%) and the postpartum and breastfeeding period (88.8%) while receiving continuity of care from midwifery students. Conclusion: The CoC model implemented by midwifery students is effective in enhancing pregnant women’s self-efficacy and satisfaction throughout the antenatal, intrapartum, and postnatal periods. It is essential for midwifery students to establish effective and trusting relationships with women to ensure the successful implementation of continuity of care.
Deteksi Dini Terjadinya Stunting Berdasarkan Faktor Risiko Berbasis Mobile di Kabupaten Gunungkidul Daerah Istimewa Yogyakarta SUSANTI, REVITA; SUNARSIH, TRI; HAKIMI, MOHAMMAD; ZAKIAH ZULFA, SITI; SAPUTRA, RAHMAT; NINDYA KIRANA, DESI
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1538

Abstract

Background: In 2017, out of 11 countries in Southeast Asia, Indonesia ranked second for the country with the highest number of stunting events, 36.4%. The need for screening / early detection of stunting based on risk factors to prevent stunting in children. Purpose: To detect the risk of stunting based on mobile-based risk factors in Gunungkidul Regency, Yogyakarta. Methods: This research is an analytic survey with cross sectional approach. The sample was 98 mothers and their children aged 6-12 months with a quota sampling. In determining stunting risk categories based on risk factors, a data mining process is carried out using the C4.5 algorithm in predicting stunting in children with the results of categories in the form of risk and no risk of stunting. Data analysis was performed using univariate analysis, D2S application validity test (Deteksi Dini Stunting), and D2S application system feasibility test. Results: The results of the D2S application validity test found a sensitivity value of 20% (95% CI 5.67% -50.98%), specificity 97.73% (95% CI 92.09% - 99.37%) and an accuracy of 89.79%. Based on the results of the feasibility test application using the user acceptence questionnaire on 20 users it was found that as many as 19 people (95%) stated that the D2S application was very feasible and as many as 1 person (5%) stated it was fit to use. Conclusion: The D2S application is less sensitive in detecting the risk of stunting in children, but is very precise in detecting no risk of stunting in children.
DETERMINANTS OF ANTIRETROVIRAL THERAPY ADHERENCE AMONG PEOPLE LIVING WITH HIV IN NORTH SUMATERA, INDONESIA Hutapea, Lidya; Widyawati, Tri; Rahmawaty Lubis, Rodiah; M. Ichwan, M. Ichwan; Isti Ilmiati Fujiati, Isti Ilmiati Fujiati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1647

Abstract

Background: Human Immunodeficiency Virus (HIV) continues to pose a major global public health challenge, especially in low and middle income countries. Sustained adherence to Antiretroviral Therapy (ART) is fundamental to achieving viral suppression, preventing disease progression, and reducing transmission. Despite advances in treatment availability, suboptimal adherence continues to hinder optimal clinical outcomes. Aims: This study aimed to examine the key determinants influencing ART adherence among people living with HIV (PLHIV) in North Sumatra, Indonesia. Methods: A quantitative cross-sectional study was conducted from April to December 2024 at Dr. Ferdinand Lumbantobing General Hospital, Sibolga City. All 88 PLHIV receiving ART during the period were recruited using total sampling. Data were collected via structured questionnaires and analyzed using univariate analysis, chi-square tests, and multivariate logistic regression to identify significant adherence predictors. Results: ART adherence was significantly associated with treatment-related knowledge, family support, healthcare provider support, and access to healthcare facilities (p < 0.05). Multivariate logistic regression revealed that treatment knowledge was the most influential determinant of adherence, followed by family support, healthcare provider support, and healthcare accessibility. Conclusion: ART adherence in this tropical setting is shaped by a dynamic interplay of individual understanding and social and healthcare system support. Strengthening patient education, fostering family engagement, and improving access to healthcare services are essential strategies for sustaining treatment adherence over time. Future longitudinal research is warranted to explore adherence trajectories and evaluate targeted intervention models
Therapeutic Potential of Topical Metformin in Diabetic Wound Healing: Preclinical Mechanistic Insights Citra Safitri Wirman; Darmawi; Benni Iskandar
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1657

Abstract

Diabetic wounds remain one of the most challenging complications of diabetes mellitus, largely due to persistent inflammation, oxidative stress and impaired tissue regeneration. These conditions contribute to delayed healing and increase the risk of infection and amputation. In recent years, topical metformin has gained attention as a potential therapeutic option to improve wound healing outcomes. This review aims to summarize current preclinical evidence on the effectiveness of topical metformin, with a particular focus on its underlying molecular mechanisms. Evidence from experimental studies suggests that topical metformin can accelerate wound healing through several interconnected pathways, including activation of AMP-activated protein kinase (AMPK), suppression of NF-κB–mediated inflammation, reduction of reactive oxygen species (ROS) and regulation of extracellular matrix remodeling. Moreover, the advancement of sophisticated delivery technologies, such as hydrogels and nanocomposites has significantly augmented the localized therapeutic efficacy of metformin. The evidence suggests that topical metformin may be a new way to treat diabetic wounds. However, additional rigorously planned studies and clinical trials are necessary to validate its safety, enhance its formulation and facilitate its clinical use. Keywords : AMPK activation; Diabetic wound; Inflammation; Preclinical evidence; Topical metformin
Effectiveness of a LATCH-Based Midwife Training Program on Breastfeeding Attachment and Mastitis Risk: A Randomized Controlled Trial mutiaradwiyanti; Siagian, Nurul Aini; Purba, Tetty Junita; Ariani, Peny; lubis, kholilah
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1689

Abstract

Background: Most literature indicates that direct contact between health workers and postpartum mothers, even when the mother is not in the hospital, is a significant intervention. In this model, health workers face time and distance constraints in implementing the intervention. This study proposes an intervention model based on education and additional training for midwives. This improvement in midwives' knowledge and skills is expected to significantly contribute to breastfeeding practices. Objective: This study aims to analyze the effectiveness of LATCH score-based midwife training on breastfeeding attachment quality (latch) and reducing the risk of mastitis. Methods: This study involved 130 postpartum mothers at Sembiring Hospital, North Sumatra Province, Indonesia. Randomization was conducted at the level of the mothers, who were allocated to the midwives on duty. Data collection was carried out from June to August 2025 and was divided into three periods. Data were analyzed using descriptive statistical methods, the Mann–Whitney test, and the Chi-Square test. Results: The breastfeeding practice profiles of the study participants have been described. The mean LATCH scores for each period were 6.16 (±1.69), 7.13 (±1.71), and 7.47 (±1.70). Statistically significant differences in LATCH scores were found between the intervention and control groups at each period. A significant association between group type and mastitis incidence was observed only in the early postpartum period and was not significant after maternal discharge. Conclusion: Training is effective in the short term, but for long-term impact a more comprehensive model is needed.

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