Publication Search

Long-acting contraceptive methods (LACMs/MKJP) are effective family planning options for controlling fertility and improving maternal health. However, the utilization of LACMs among women of reproductive age remains relatively low, which may be influenced by their level of knowledge. This study aimed to examine the relationship between women’s knowledge levels and the utilization of long-acting contraceptive methods in the working area of UPT Puskesmas Basarang. A quantitative study with a cross-sectional design was conducted involving 58 women of reproductive age selected using purposive sampling. Data were collected using a structured questionnaire to assess knowledge levels and contraceptive use, and analyzed using the Kendall’s tau-b correlation test. The results showed that more than half of respondents had good knowledge of LACMs, yet only 39.7% reported using these methods. Bivariate analysis revealed a statistically significant relationship between knowledge level and LACM utilization (p = 0.012). The study concludes that knowledge is significantly associated with the use of long-acting contraceptive methods, although other factors may also influence decision-making. Strengthening education and counseling interventions is essential to improve informed contraceptive choices and increase the utilization of long-acting contraceptive methods.

Anxiety is a common psychological response experienced by contraceptive users, particularly among implant acceptors. Feelings of anxiety may arise due to hormonal changes, fear of side effects, and unpleasant experiences during contraceptive insertion. Aromatherapy using lavender essential oil has been shown to produce a calming effect through the activation of the limbic system and regulation of neurotransmitters, making it a potential method for reducing anxiety. This study aimed to determine the effect of lavender essential oil therapy on reducing anxiety among contraceptive implant acceptors at Tiley Health Center. A quasi-experimental design with a pretest-posttest control group approach was employed. A total of 30 respondents were randomly divided into treatment and control groups. The treatment group received inhalation of lavender essential oil for 10 minutes daily over three consecutive days, while the control group received no intervention. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). The results indicated a significant reduction in anxiety scores in the treatment group before and after the intervention (p < 0.001), while the control group showed no meaningful difference (p > 0.05). These findings demonstrate that lavender essential oil aromatherapy is effective in reducing anxiety among implant contraceptive acceptors. This non-pharmacological therapy can be recommended as an easy, affordable, and safe complementary intervention in midwifery care services.

Menstrual cycle disturbances are common side effects of injectable hormonal contraception and may affect contraceptive satisfaction and continuation. This study aimed to analyze the relationship between the duration of injectable contraceptive use and menstrual cycle disturbances among injectable contraceptive acceptors. A quantitative analytic study with a cross-sectional design was conducted at TPMB Maya from September to October 2025. A total of 67 injectable contraceptive users were included using a total sampling technique. The independent variable was the duration of injectable contraceptive use, categorized as less than one year and more than one year, while the dependent variable was menstrual cycle disturbance. Data were collected using a structured questionnaire and analyzed through univariate analysis and Kendall’s tau-b correlation test. The results showed that most respondents were aged 20–35 years (86.6%), had a senior high school education (55.2%), and were multiparous (77.6%). Most respondents had used injectable contraception for more than one year (82.1%), and 74.6% experienced menstrual cycle disturbances. Bivariate analysis revealed a statistically significant relationship between the duration of injectable contraceptive use and menstrual cycle disturbances (τ = −0.264; p = 0.032). The study concludes that longer use of injectable contraception is associated with a higher occurrence of menstrual cycle disturbances, emphasizing the importance of duration-based counseling in family planning services.

Breast milk production during the postpartum period is a crucial factor in successful breastfeeding and achieving exclusive breastfeeding. However, during the early postpartum period, many postpartum mothers experience difficulties in breast milk production, influenced by physical and psychological conditions. One non-pharmacological intervention that can be used to help facilitate breast milk production is oxytocin massage, which aims to stimulate the release of the hormone oxytocin and increase the let-down reflex. This study aims to analyze the effect of oxytocin massage on breast milk production in postpartum mothers at the Marisa Community Health Center. This study used a quantitative pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling according to the inclusion criteria. Breast milk production was measured before and after the oxytocin massage intervention using a structured observation sheet with units of milliliters (ml). Data analysis was performed using univariate and bivariate methods. Normality was tested using the Shapiro–Wilk test, while differences were tested using the Wilcoxon signed-rank test. The results showed that the average milk output before oxytocin massage was 18.00 ± 5.95 ml, and increased to 51.83 ± 10.94 ml after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of oxytocin massage on increasing breast milk output. It was concluded that oxytocin massage is effective as a non-pharmacological intervention to increase breast milk production in postpartum mothers and can be integrated into postpartum care in primary health care services.

The active phase of labor is a crucial stage that determines the progress and success of the delivery process. Prolonged labor during this phase can increase the risk of maternal complications and reduce the comfort of the laboring mother. Various non-pharmacological interventions have been developed to support the physiological progress of labor, including acupressure at the SP6 point and oxytocin massage. This study aims to analyze the differences in the effects of SP6 acupressure and oxytocin massage on the duration of the active phase of labor at the Galala Health Center in the Tidore Islands. This study used a quasi-experimental design with a comparative approach in two intervention groups. The sample consisted of 40 mothers in the first stage of active labor who met the inclusion criteria, with 20 respondents in the SP6 acupressure group and 20 respondents in the oxytocin massage group. The duration of the first stage of labor was calculated from 4 cm cervical dilation to complete 10 cm dilation and recorded using a partograph. Data were analyzed univariately to describe the distribution of labor duration and bivariately using the Mann–Whitney U test to assess the difference between the two groups. The results showed that the median duration of the first stage of labor in the SP6 acupressure group was shorter than in the oxytocin massage group. The Mann–Whitney test showed a statistically significant difference between the two intervention groups (p < 0.05). The conclusion of this study indicates that SP6 acupressure is more effective than oxytocin massage in shortening the duration of the first stage of active labor. These findings support the use of SP6 acupressure as a safe and effective nonpharmacological intervention in intrapartum midwifery care in primary health care facilities.

Discomfort during pregnancy is a common experience resulting from physical, physiological, and psychological changes, yet it is often not well understood by pregnant women. Limited knowledge about normal bodily changes and pregnancy-related discomfort can reduce maternal comfort and increase anxiety. Counseling serves as an important educational strategy to improve pregnant women’s understanding, particularly within antenatal care services at primary health care facilities. This study aimed to examine the effect of counseling on pregnancy discomfort in improving mothers’ knowledge about changes during pregnancy. A quasi-experimental design with a one-group pretest–posttest approach was employed. The sample consisted of 50 pregnant women selected using a total sampling technique. Mothers’ knowledge levels were assessed before and after the counseling intervention using a structured questionnaire. Data analysis included univariate analysis to describe the distribution of knowledge levels and bivariate analysis using the Wilcoxon Signed Rank Test to evaluate differences before and after the intervention. The findings demonstrated a notable increase in knowledge following counseling, indicated by a shift from predominantly poor and moderate knowledge levels in the pretest to good knowledge in the posttest. Statistical analysis revealed a significant difference between pretest and posttest results (p < 0.05). In conclusion, counseling significantly improves pregnant women’s knowledge regarding pregnancy-related changes and discomfort.

Early mobilization is an important component of postpartum midwifery care to prevent complications, accelerate physical recovery, and improve maternal comfort after delivery. However, not all mothers are able to perform early mobilization optimally due to fatigue, pain, and decreased energy after delivery. Sukari date palm juice (Extractum Phoenix dactylifera) is known to contain simple carbohydrates, minerals, and bioactive compounds that have the potential to increase energy and accelerate maternal recovery. This study aims to analyze the effect of consuming Sukari date palm juice on accelerating early mobilization of postpartum mothers from day 1 to day 3 in the working area of ​​the Sikui Community Health Center (UPT). The study used a quasi-experimental design with a pretest–posttest control group approach. The study sample consisted of 30 postpartum mothers divided into an intervention group (n=15) and a control group (n=15). Early mobilization ability was assessed based on the time the mother was able to sit, stand, and walk. The results showed that postpartum mothers in the intervention group experienced a significant acceleration in early mobilization compared to the control group, particularly in walking ability, with a time difference of up to 8–12 hours faster. The results of the Mann–Whitney statistical test showed a significant effect of date palm juice consumption on the acceleration of early mobilization (p < 0.001). Thus, Sukari date palm juice has been proven to be effective in accelerating early mobilization and can be recommended as a supporting nutritional intervention in postpartum midwifery care.

Preterm birth remains a significant public health concern due to its contribution to neonatal morbidity and mortality worldwide. Among the various risk factors, maternal infections—particularly sexually transmitted infections (STIs)—have been identified as preventable yet critical determinants of premature delivery. This study aimed to examine the relationship between STIs and preterm birth among mothers receiving care at Tomalou Primary Health Care Center. A cross-sectional analytical design was employed, involving 30 postpartum mothers whose medical records and antenatal care data were available. Data on STI status and birth outcomes were collected from health center records and laboratory results, while maternal demographic and obstetric characteristics were also documented. Results indicated that 40% of participants were diagnosed with STIs during pregnancy, and 33.3% experienced preterm birth. Chi-square analysis revealed a significant association between maternal STI status and preterm delivery (p = 0.003). Logistic regression demonstrated that mothers with STIs were sixteen times more likely to deliver prematurely compared to uninfected mothers (OR = 16.0; 95% CI: 2.45–104.3; p = 0.002). These findings suggest that STIs represent a substantial risk factor for preterm birth, even among mothers with adequate antenatal care attendance. Early detection, timely treatment, and comprehensive reproductive health education are recommended to reduce infection-related adverse outcomes. Strengthening STI screening and management within primary healthcare settings is essential to improve maternal and neonatal health outcomes. This study provides evidence for the importance of integrating infection prevention strategies into routine antenatal care to mitigate the risk of premature delivery.

This study aims to analyze the role of human resource management (HRM) in improving performance and retention among healthcare professionals in health service facilities. Using a systematic literature review approach based on the PRISMA method, this study reviewed 25 international and national journal articles published between 2015 and 2025. The findings indicate that strategic HRM practices—such as competency-based recruitment, continuous professional development, fair compensation, and transformational leadership—positively influence both performance and retention of healthcare workers. Additionally, factors like organizational culture, work-life balance, and psychological well-being play a mediating role in enhancing job satisfaction and organizational commitment. The results highlight that HRM practices are not merely administrative functions but strategic elements that determine healthcare organizations’ sustainability and competitiveness. The study contributes to the development of theoretical frameworks in strategic HRM and provides practical recommendations for healthcare managers to design more adaptive, fair, and human-centered HR policies.

Public health administration plays a strategic role in strengthening primary health care governance amid increasingly complex health system challenges. This study aimed to synthesize recent evidence on the development, challenges, and implications of public health administration during the period 2020–2025. A literature review with a systematic approach was conducted by analyzing peer-reviewed articles retrieved from major scientific databases and selected through a PRISMA 2020 flow process. The findings indicate that effective public health administration—characterized by strong governance, adaptive leadership, and the integration of digital health information systems—contributes to improved performance of primary health care services in terms of service quality, efficiency, and sustainability. However, the review also reveals persistent gaps, particularly the limited empirical evidence examining causal relationships between administrative capacity and health service performance, as well as challenges related to human resource readiness and data governance in digital transformation. These findings highlight the need to strengthen administrative capacity, leadership competencies, and integrated information systems to support resilient primary health care. The study provides theoretical and practical implications for policymakers, health managers, and researchers in advancing public health administration toward more effective and sustainable health systems.

Malang Regency is known as a strategic location with considerable potential as a tourism destination in Indonesia. According to data released by the Central Bureau of Statistics, Malang Regency has recorded 267 tourist destinations spread across 33 districts. This study uses data from one water tourism destination, referred to as Tourism Site X, which focuses on the management and development of recreational areas, including swimming pools, bathing facilities, water attractions, artificial lakes, as well as the management of recreational parks and family facilities such as playgrounds, seating areas, and recreational and educational facilities. Tourism Site X is located in Pakis District, Malang Regency. The reuse of treated wastewater as a non-potable water source for irrigating green open spaces represents a crucial strategic approach to conserving water resources, particularly in water tourism areas such as Tourism Site X, which require substantial water supplies. In practice, the wastewater generated in Tourism Site X mainly originates from domestic sources, including activities such as cleaning swimming pool areas and animal enclosures, toilet usage, and food court operations. This study aims to assess whether the quality of treated wastewater from the wastewater treatment process at Tourism Site X complies with the required standards for green open space irrigation, in accordance with the Regulation of the Minister of Environment/Environmental Control Agency of the Republic of Indonesia Number 11 of 2025 concerning Wastewater Quality Standards and Wastewater Treatment Technologies for Domestic Wastewater, as well as to identify parameters that need to be reduced or eliminated.

This study analyzes the conditions of extreme overcapacity in an installed exhaust ventilation system (Qinstalled = 18.00 /minute) that serves four acid cabinet units, specifically for the storage of volatile Hazardous and Toxic Materials (B3) such as toluene and methanol in tightly sealed containers. Although high capacity ensures safety, this practice causes significant energy inefficiency and unnecessary negative pressure problems in the room. Based on engineering analysis using a conservative Air Change Rate (ACR) standard of   for liquid storage of 1.38 /minute. By applying the industry standard safety factor (FoS) of 1.5, the ideal flow rate (Qideal) that must be allocated is 2.07 . The optimization analysis concludes that the currently installed system is theoretically capable of safely and efficiently serving 8 units of volatile storage acid cabinets, with the addition of 4 new cabinets to maximize efficiency and reduce energy waste. This utilizes 92% of the total capacity while maintaining a safety factor above 1.5.

Increased production in the lubricant industry has become a significant issue because it generates production waste in the form of packaging, plastic, and paper waste as a direct consequence of manufacturing activities. Proper and systematic waste management is essential to reduce environmental impacts, comply with regulations, and support responsible and sustainable business practices. Lubricant production waste can damage the ecosystem and surrounding environment if not managed properly, so continuous innovation is needed to minimize environmental risks and reduce potential economic losses for the company. This study aims to analyze and implement effective waste management strategies using a combination of qualitative and quantitative approaches, including in-depth interviews with relevant stakeholders and analysis of secondary data obtained from company records. The waste management process begins with several waste reduction programs applied during the production stage to limit waste generation. Furthermore, the waste storage facility (TPS) available on the company’s premises, covering an area of 59 m², is capable of accommodating approximately 60% of the total waste that must be processed internally before further treatment or disposal.

The plastic recycling industry generates wastewater that poses a potential threat to aquatic environments if not managed optimally. Performance evaluation of Wastewater Treatment Plants (WWTP) is typically conducted partially by comparing outlet parameters against effluent standards, often failing to depict water quality conditions holistically. Therefore, this study employs the Water Quality Index (WQI) approach using the Canadian Council of Ministers of the Environment (CCME) method to evaluate the performance of PT X's WWTP in East Java. This research utilized secondary data from inlet and outlet wastewater quality tests over 23 months (January 2024–November 2025), covering 10 parameters. Analysis was conducted by calculating removal efficiency and determining factors F1 (scope), F2 (frequency), and F3 (amplitude) as the basis for the WQI-CCME calculation. The results indicate that the WWTP achieved high efficiency (>80%) in reducing dominant parameters such as TSS, TDS, BOD, and COD. However, violations of effluent standards were still observed in certain parameters. The obtained WQI-CCME value was 69,30, categorized as "Fair" with a moderate level of violation. These findings demonstrate that although the WWTP meets regulatory standards, the WQI-CCME approach provides a more comprehensive assessment of performance. Optimization of advanced treatment units is recommended to improve effluent quality and sustainable WWTP performance.                                                                   

This study aims to explore public perceptions of urban spatial planning policies in addressing the impacts of urbanization in Medan. Data were collected using a 15-item Likert-scale questionnaire and analyzed descriptively, using proxy factor analysis (PCA), and using cross-demographic difference tests. The initial sample size consisted of seven respondents. The results showed strong recognition of the impacts of urbanization, such as increasing land pressure, slums, and limited infrastructure. The majority of respondents also supported data-driven spatial planning to address these issues. However, there were doubts about the effectiveness of government land conversion controls, which were considered suboptimal. Nevertheless, these results demonstrate the importance of public participation in urban planning. The internal reliability of this study was relatively low, with a Cronbach's alpha value of -0.112, making the findings exploratory in nature. The researchers recommend that this study be conducted with a larger sample size and further testing to obtain more representative and valid results, as well as to delve deeper into public perceptions of urban spatial planning policies.

This research was conducted at PT PLN Nusantara Power UP Paiton, one of the largest coal-fired power plants (PLTU) in Indonesia, which focuses on reducing the generation of hazardous and toxic oil waste through the implementation of an oil purification system. The use of large amounts of lubricating oil in the Electro-Hydraulic System (EHS) has the potential to produce high amounts of used oil waste. To address this, the company implemented two main technologies, namely Water Content and Varnish Removal, which function to reduce water content and varnish layers so that the oil can be reused without reducing engine performance. This research used a quantitative descriptive method with data collection techniques through field observations, interviews, and operational documentation from 2021 to 2024. The results showed that the oil purification system was able to reduce hazardous and toxic waste generation by 11.46 tons over four years. In addition to providing environmental benefits, the implementation of this system also resulted in savings in oil waste costs of approximately Rp6,200,560,000. Technically, purification maintains engine performance by reducing water and varnish content, while from an environmental perspective, this activity supports the principle of reduce in hazardous and toxic waste management. Overall, the oil purification system has proven effective in improving operational efficiency, extending oil life, and supporting sustainable waste management for industrial operations.

The KRI Nagapasa Class is a submarine of the Indonesian Navy that has the capability to deploy sea mines, launch anti-surface missiles, and release countermeasure torpedoes. However, to face the increasingly complex dynamics of the regional strategic environment, it is necessary to increase combat power through the installation of a Sub Launch Missile weapon system. Until now, the Indonesian Navy does not have a submarine equipped with this underwater missile, especially in the Chang Bogo class. This study aims to analyze and determine the most appropriate choice of Sub Launch Missile missiles to support submarine training and operations. The method used is the Analytic Hierarchy Process (AHP) with a quantitative approach. The results of the ranking of five respondents showed that the SM-39 Exocet missile was in first place with a value of 0.46424 followed by the CM708UNB with a value of 0.41461 and the UGM-84 Harpoon with a value of 0.12115. The SM-39 Exocet missile was chosen as a priority because it has technical specifications that best meet the operational needs of the Indonesian Navy (TNI AL), as well as significantly contributing to enhancing the deterrence effect and combat capability of the Nagapasa-class submarines.

As a maritime nation with vast sea territories, Indonesia faces significant challenges in safeguarding its waters, particularly in strategic regions such as the Natuna Sea. This area is vulnerable to various threats, including territorial violations, marine resource theft, and illegal underwater activities. This study aims to formulate a concept for the utilization of Autonomous Underwater Vehicles (AUVs) as an alternative solution to enhance underwater security systems in the region. The method employed is Research and Development (R&D), adopting model development steps and complemented by a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis to assess the feasibility and effectiveness of AUVs in the context of Indonesian maritime defense. The research findings indicate that the main strength of AUVs lies in their technological capability to effectively detect underwater threats. Although they have weaknesses, such as high operational costs, dependency on imported components, and limitations in battery endurance and sonar capabilities, these factors do not significantly hinder AUV effectiveness. Major opportunities arise from global technological advancements, yet challenges remain due to insufficient government policy support. The threats faced include the risk of sabotage and extreme weather conditions. Therefore, the recommended strategies are to maximize the use of technology, strengthen supporting regulations, and address logistical and financial barriers to realize effective and sustainable AUV operations in the Natuna Sea.

Indonesia, as the largest archipelagic state in the world, lies on international trade and transportation routes and possesses abundant natural resources. This strategic position creates both opportunities and challenges, particularly in the maritime domain, which requires the Indonesian Navy’s significant contribution in force deployment planning to counter future threats and disruptions. The evolving strategic environment necessitates specific policies and strategies for the Navy to enhance its strength in safeguarding sovereignty, territorial integrity, and national security. This development is pursued through the establishment of the Minimum Essential Force (MEF), a fundamental standard that defines the minimum level of naval capability required to effectively execute missions and functions. This study employs a qualitative descriptive method, using primary data from expert and user interviews as well as secondary data from observation and documentation, to analyze the selection of helicopter escorts utilized by the Indonesian Navy.

The advancement of technology and information, which coincides with digitalization alongside the development of Artificial Intelligence (AI), has colored human social life around the world. Currently, cadets of the Naval Academy often use gadgets/digital tools to access information or other media. With this, there are emerging threats that are very dangerous for individuals and the state. An currently prevalent case is Cyber Crime Identity Theft. Cyber crime identity theft refers to the crime of stealing someone's personal information online for the purpose of fraud or financial gain by stealing personal data such as names, identity numbers, and financial information, to carry out illegal transactions or obtain illegal benefits, which can lead to financial loss and damage the victim's reputation. Indonesia still has a very high number of cases of cyber crime identity theft, but it should be preventable by fostering. the cyber security awareness of cadets at the Naval Academy of the Indonesian National Armed Forces. The conclusion of this research is that by strengthening modern technological infrastructure, both equipment and administrative services, developing modern software and hardware with strong security systems, and tightening regulations regarding access to users' personal data in cyber services, supported by strengthening cyber security institutions, it can enhance the cyber security awareness of cadets at the Naval Academy of the Indonesian National Armed Forces.