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Thaila Nensis; Nasrul Zaman; Said Usman; Irwan Saputra; T.Maulana

International Journal of Public Health 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: The elderly aged 60-69 years in Banda Aceh are 15,820. The coverage of the lowest number of elderly visits to elderly posyandu in the city of Banda Aceh is the Jaya Baru Health Centre (5.5%), the Lampaseh Health Centre (6.5%), and the Kuta Alam Health Centre (7.7%). Objective: This study aims to analyse factors related to the participation of the elderly in the Banda Aceh City Health Centre. Research Method: The type of research uses a cross-sectional design. The population in this study includes all older people in 3 (three) Banda Aceh City Puksesmas, namely Jaya Baru, Lampaseh, and Kuta Alam. The sample in this study amounted to 98 older people. Results: there was no relationship between accessibility and elderly posyandu participation (t= 1,356; p=0.176), there is a relationship between the availability of facilities and infrastructure and the participation of the elderly posyandu ( (t= 3.496; p=0.001), ), there was a relationship between motivation and support for elderly families (t=2.294; p=0.022), there was a relationship between the knowledge of the Posyandu program (t= 5.197; p=0.000), there was no relationship between the role of health workers and the participation of elderly posyandu at the Banda Aceh City Health Center (t=0.257; p=0.797), The factor that most affects the participation of elderly posyandu in Banda Aceh City is the knowledge of the posyandu program (t= 5.197; p=0.000). Conclusion: knowledge of the elderly posyandu program, the availability of infrastructure, motivation and support of elderly families affect the participation of posyandu in Banda Aceh City

Anny Eka Pratiwi; Sri Ratna Dewi; Tangking Widarsa; I Wayan Darwata

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  

Kusmiwati Kusmiwati; Heny Puji Wahyuningsih; Gunarmi Gunarmi

International Journal of Public Health 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

The purpose of the study was to analyze the effectiveness of P4K with the innovation of the Dora Backpack to anticipate pregnancy risk in pregnant women in the working area of the Mantup Health Center in Lamongan Regency.This type of research is quasi-experimental with Post-test Only Control Group Design. The population of this study were pregnant women in the third trimester in the work area of the Mantup Health Center and Tikung Health Center totaling 262 pregnant women. The sampling technique is purposive sampling. The number of samples was 176 pregnant women, consisting of 88 control pregnant women and 88 intervention pregnant women. Univariate data analysis with frequency distribution table, bivariate analysis with Mann Withney and Logistic Regression. Based on the results of the Mann Withney test in the control and intervention groups, ap value of 0.000 means that P4K with the Si Dora Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy and based on the results of the Logistics Regression test, external variables do not affect the ability to anticipate pregnancy risk factors, namely age with p value 0.341, education with p value 0.587, and occupation with p value 0.631. P4K With Si Dora's Backpack Innovation is effective in increasing the ability of pregnant women to anticipate the risk of pregnancy.

Rini Andriani; Rinawati MM

Jurnal Manuhara : Pusat Penelitian Ilmu Manajemen dan Bisnis 2025 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Training and career development play a crucial role in improving the performance of health center (puskesmas) employees to deliver optimal healthcare services. This study aims to analyze the influence of training and career development on employee performance at puskesmas and to identify challenges in their implementation. The method used is a literature review with a descriptive-analytical approach based on previous studies related to training, career development, and human resource performance in the health sector. The results show that relevant and continuous training enhances employee efficiency, accuracy, and mental readiness, while clear and sustainable career development increases motivation, loyalty, and employee engagement. The synergy between training and career development is key to successfully improving employee competence and motivation sustainably. However, program implementation faces challenges such as budget constraints, lack of policy support, geographic barriers, and less operational HR development policies. Therefore, strategic and integrated HR management is essential to improve the quality of healthcare services at puskesmas.  

Rey Arsyalia; Ali Mutazam; Indah Ningtiyas Hidayati

Jurnal Pengabdian Masyarakat dan Transformasi Kesejahteraan 2025 Lembaga Pengembangan Kinerja Dosen

Introduction: Sport has a significant influence on human life and provides various benefits. First, these activities allow individuals to make productive use of their free time, while also developing skills. However, during matches or training, players are at risk of injury. These injuries can occur due to lack of warm-up, technical errors, physical impacts, excessive training, or inadequate facilities and infrastructure conditions. Purpouse: The purpose of this educational activity is to provide a good overview of training to avoid injuries and correct initial handling in the event of an injury. Method: The method provided in community physiotherapy activities is to provide counseling on the definition, causes, risk factors of injury, types of injuries, first treatment of injuries, and muscle strengthening for badminton players/athletes using posters as promotional media. Result: The counseling process went smoothly, Ciptomulyo Health Center employees further understood sports injuries and the proper first treatment of sports injuries, with the aim of getting employee understanding from 0% to 100% after counseling was carried out. So that there is a decrease in the risk of sports injuries experienced by employees after knowing how to prevent injuries. Counseling activities that have been carried out at the Ciptomulyo Health Center, Malang can increase employees' knowledge and insight about sports injuries and the proper first treatment of sports injuries.

Frederich Ramiga Seputra Gaut; Karolus K. Medan; Heryanto Amalo

Journal of Administrative and Sosial Science (JASS) 2025 Sekolah Tinggi Ilmu Administrasi (STIA) Yappi Makassar

Prison, is an institution whose existence is inseparable from law enforcement in Indonesia. Unlike prisons, Rutan functions as a temporary detention place for suspects or defendants who are undergoing the trial process.  Currently, almost all prisons and prisons in Indonesia are experiencing an overcrowding crisis  with an overcrowding rate. 92%. This condition is like a time bomb ready to explode. Extreme overcrowding in prisons and prisons has various negative impacts. Overcrowding in  correctional facilities and prisons is a serious problem that must be overcome immediately. The impact is not only on the health and safety of residents, but also on the effectiveness of coaching and the state budget. This study aims to find out and discuss the impact  of overcrowding on class IIB state prison inmates in Ruteng Regency. This research is an empirical legal research or empirical juridical research supported  by a statuecause  approach using primary data and secondary data collected using observation, documentation and interview techniques conducted with 33 informants. The data obtained was processed using editing techniques, data classification, data verification and description after which it was analyzed in a qualitative descriptive manner. The results of the study showed that (1) Overcrowding in Ruteng Class IIB Prison was caused by several interrelated factors. First, the limited capacity of Ruteng Detention Center. Second, the crime rate has increased in three districts. Third, the penal policy is not yet effective. Fourth, the low legal awareness of the public also plays a role in the increase in crime rates. (2) Overcrowding in Ruteng Class IIB Prison has a significant impact on inmates, especially in fulfilling their rights including the right to inmate health, the right to security, and the right to rehabilitation. Social coaching and reintegration programs cannot run effectively due to limited resources and space.

Cut Fauziah; Rachmad Suhanda; Said Usman; Irwan Saputra; T. Maulana

International Journal of Public Health 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Immunization is an effort to provide immunity to infants and children by introducing vaccines into the body. This vaccine stimulates the body to produce antibodies that function to prevent certain diseases. The coverage of Complete Basic Immunization in Banda Aceh City/District from 2022 to 2024 has decreased each year by (43.9%) in 2022, (37.8%) in 2023, and (34.9%) in 2024. The immunization coverage is still very low and below the national target of (95%). To determine the factors influencing maternal behavior in basic immunization within the working area of the Banda Aceh City Health Center. Research. Quantitative research with a Cross Sectional Study approach using primary data. The population in this study consists of all mothers with infants aged 6-11 months within the working area of the Banda Aceh City Health Center. The sample in this study consisted of 200 respondents, with data collection methods using questionnaires and analyzed univariately to describe the distribution and proportion, as well as bivariately. Bivariate data analysis with Spearman correlation test. This study found a relationship between each variable and maternal behavior regarding basic immunization with the variables Attitude Toward Immunization (p=0.000), Subjective Norm of Immunization (p=0.000), Perceived Behavioral Control of Immunization (p=0.000), Actual Behavioral Control of Immunization (p=0.000). All variables are related to maternal behavior in basic immunization within the working area of the Banda Aceh City health center.

Usvatimah Usvatimah; Tutik Ekasari; Nova Hikmawati

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Anemia in pregnancy is a condition where the hemoglobin (Hb) level in the blood is less than normal and the hemoglobin (Hb) level in the mother has decreased from the normal Hb level, namely 11 g/dI. One of the main and common causes of anemia in pregnant women is a lack of nutrients. Iron in the body is caused by a lack of food sources that contain sufficient iron, but food sources that have low iron content, so that less iron is absorbed. Apart from the lack of food containing iron, routine antenatal care also influences the occurrence of anemia in pregnant women. Effective antenatal care provides a solid foundation for midwives to first assess the needs of pregnant women and families. The aim of this study was to analyze the relationship between diet and regular antenatal care with the incidence of anemia in pregnant women in the working area of the Maron Community Health Center. The design of this study was cross sectional. The population in this study were all pregnant women who were in the working area of the Maron Community Health Center, totaling 79 respondents. The research sample included 44 respondents of pregnant women who were in the working area of the Maron Public Health Center. With random sampling technique. The instruments used were questionnaires and KIA books. The research results show that almost all anemic pregnant women have poor eating patterns and irregular antenatal care. Based on the chi square statistical test, it is known that the P value is 0.000 α 0.05, so HO is rejected and HI is accepted that there is a relationship between diet and antenatal care with anemia in pregnant women in the working area of the Maron Community Health Center. It is hoped that the results of this research can be used to increase insight into health science, especially midwifery, that a good diet and regular antenatal care are very necessary to prevent risks that will occur during childbirth.

Tati Baina Gultom; Wibowo Ady Sapta; Bambang Murwanto; M. Alfath Bayu Putra

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Dengue Fever is a viral infection that spreads from mosquitoes to humans. In Susunan Baru Health Center, the number of dengue cases increased by 55% in 2024.  Mosquito nest eradication (PSN) with 3M Plus combination, fogging, and community service can reduce the breeding of Aedes mosquitoes and reduce Dengue Fever. The purpose of this study was to determine the relationship between 3M plus behavior and Dengue Fever in Susunan Baru Health Center, Bandar Lampung City. This method is quantitative research, case control study. The sample was 128 samples, 64 case respondents and 64 control respondents (1:1). Case samples were taken with total sampling technique, control samples were taken with purposive sampling technique. Data analysis was conducted with chi-square test (α)=0.05. Conclusion There is a significant relationship between closing water reservoirs (p value = 0.000), draining water reservoirs (p value = 0.003), recycling used goods (p value = 0.000), changing flower vase water (p value = 0.000) and sprinkling larvicide powder (p value = 0.036) with the incidence of Dengue Fever in the Susunan Baru Health Center Working Area, Tanjung Karang Barat Subdistrict, Bandar Lampung City. Keywords: Aedes, DBD, Dengue Fever, PSN, 3 M Plus.

Guruh Anang Setyadi; Aries Widiyoko

International Journal of Public Health 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

The rapid advancement of digital technology has transformed healthcare services, including the implementation of online registration systems in hospitals. RSUP Surakarta has operated an online patient registration system since 2021 to reduce wait times and improve service efficiency. However, no formal evaluation has been conducted from the user experience (UX) perspective. This study aims to evaluate the UX of RSUP Surakarta’s online registration system using the User Experience Questionnaire (UEQ) method. A descriptive quantitative approach was employed with accidental sampling involving 100 respondents who had used the system in 2024. The UEQ measured six aspects: Attractiveness, Perspicuity, Efficiency, Dependability, Stimulation, and Novelty. Results revealed that all aspects scored positively, with Attractiveness (1.920) and Dependability (1.810) reaching the “Excellent” benchmark. Perspicuity (1.863) and Efficiency (1.868) also showed strong scores, while Stimulation (1.693) and Novelty (1.130) scored lower in the “Good” category. These findings suggest that although the system is well-received, improvements are necessary in terms of user engagement and innovation. Enhancing the user interface and enriching system features are recommended to optimize user satisfaction and ensure alignment with patient-centered service standards. This study contributes to digital service evaluation practices in public healthcare by providing empirical insights into user perceptions and expectations.

Sevia Naldi Velangi; Mona Rahayu Putra; T. Eltrikanawati

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

This study investigates the relationship between Antenatal Care (ANC) education and pregnant women's adherence to routine visits at Sei Lekop Public Health Center, Batam City. A quantitative, cross-sectional design was used, involving 96 pregnant women selected through purposive sampling. Data were gathered using a questionnaire assessing ANC education and visit adherence. The results showed that 50% of participants demonstrated high adherence to ANC visits, while the other 50% had low adherence. Additionally, 51% had a good understanding of ANC. Statistical analysis using the Chi-Square test revealed a significant relationship between ANC education and adherence levels (p = 0.000). The Odds Ratio (OR) of 5.343 indicates that women with good ANC education are 5.3 times more likely to attend routine visits. The study concludes that effective ANC education significantly improves adherence to antenatal care. It is recommended that healthcare providers enhance the quality of ANC education by adopting more interactive and personalized approaches and leveraging technology to reach a broader audience of pregnant women.

Sri Juwarni; Irwan Batuabara; Herawati Harahap; Rika Apripan; Ramlan Ramlan

Jurnal Pengabdian Sosial dan Kemanusiaan 2025 Lembaga Pengembangan Kinerja Dosen

Community service has been carried out by the service team involving students from the Padangsidimpuan Midwifery Study Program, Poltekkes Kemenkes Medan. The community service activities carried out were to provide counseling and demonstrations about Endorphine massage which is a light touch or massage therapy that is quite important to be given to pregnant women, in the time leading up to and during childbirth. This massage can stimulate the body to release endorphin compounds which are pain relievers and can create a feeling of comfort. Endorphins in the body can be triggered through various activities, such as deep breathing and relaxation, and meditation. Endorphine massage should be done to pregnant women who are 36 weeks pregnant. Because endorphin massage can stimulate the release of the hormone oxytocin which can trigger the labor process (Kuswandi, 2014). This Community Service aims to demonstrate endorphin massage to reduce pain in mothers giving birth in the first stage in the Pintu Padang Health Center work area, South Tapanuli Regency. Target pregnant women in the third trimester, young couples, Participants 40, endorphin massage is expected to be implemented in the management of the first stage to reduce pain and speed up the labor process. The results of this community service are an increase in knowledge of 50% and skills of 87% about endorphin massage correctly applied when pregnant women later undergo the labor process. This community service is carried out in collaboration with partners used as the location of this activity, namely Kalurahan Pintu Padang, Batang Angkola District, South Tapanuli Regency and Health Cadres, Village Midwives at the local Health Center. This activity received a positive response from local participants, and as a follow-up, it can be carried out by Health Cadres and midwives at the Health Center to monitor the skills that have been obtained when pregnant women are in the labor process that will be undergone

Nurhaida Br. Kaban; Anita Yasmin

ALINEA: Health Science & Medical International Journal 2025 Yayasan Media Utama Sains

Background: Gender-based violence (GBV) remains a major public health issue that negatively affects women’s psychological well-being and reproductive health. Trauma-informed care (TIC) is an approach to health services that recognizes the long-term effects of trauma and incorporates this understanding into all aspects of patient care. This study aimed to evaluate the effectiveness of TIC implementation in midwifery services on the psychological recovery of pregnant and postpartum women with a history of GBV in Medan City. Methods: This study applied a quasi-experimental pre-test and post-test control group design involving 86 pregnant and postpartum women identified through GBV screening at six primary health centers in Medan. Participants were divided into a TIC intervention group (n=43) and a control group (n=43). Psychological outcomes assessed included post-traumatic stress disorder symptoms using the PCL-5, depression with the EPDS, anxiety with the GAD-7, self-efficacy with the GSE, and mother–infant bonding using the PBQ. Data collection was conducted at baseline, week 8, and week 16. Statistical analysis employed repeated measures ANOVA and multiple linear regression.Results: Women receiving TIC showed significantly better psychological outcomes at week 16 compared with the control group. PTSD, depression, and anxiety scores decreased significantly, while self-efficacy and mother–infant bonding improved markedly (p<0.001). TIC also emerged as an independent predictor of psychological recovery after adjustment for confounding variables (β=-0.48; p<0.001). Conclusion: Trauma-informed care in midwifery services effectively enhances psychological recovery among women with GBV histories and should be integrated into maternal healthcare standards for vulnerable populations in Indonesia. 

Cindy Casilia Marfati; Osnawati H. Marsaoly; Arif Mustofa

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Stunting is a chronic nutritional problem in toddlers characterized by shorter body height that is not appropriate for their age. Stunting can be caused by many factors such as socio- economic conditions, maternal nutrition during pregnancy, the health of the baby, and lack of nutritional intake for the baby. Toddlers who experience stunting in the future will experience difficulties in achieving optimal physical and cognitive development. This research aims to determine the relationship between several variables on the incidence of stunting among toddlers in the Talagamori Community Health Center working area. This type of research is descriptive analytics using a case control approach. The number of samples used in this research was 150 people and total sampling was carried out using inclusion and exclusion criteria. The independent variables in this study are open defecation behavior, washing hands with soap, managing household drinking water and food, managing household waste and managing household liquid waste. Meanwhile, the dependent variable is the incidence of stunting. The results of the study showed that there was a relationship between open defecation behavior and the incidence of stunting (p=0.002). There is no relationship between washing hands with soap and the incidence of stunting (p=0.130). There is no relationship between household drinking water and food management and the incidence of stunting (p=0.336). There is a relationship between household waste management and the incidence of stunting (p=0.020). There is a relationship between household liquid waste management and the incidence of stunting (p=0.017). Community-Based Total Sanitation (STBM) is the first step in ensuring family hygiene and health. Good sanitation can prevent families, especially children under five, from malnutrition and infectious disease infections.

Haswini Harun; Hary Chandra

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

Non-communicable diseases (NCDs) are the leading cause of death globally, with type 2 diabetes being one of the most prevalent conditions. Nutritional management for clients with type 2 diabetes requires strict adherence to the correct schedule, type, and quantity of food. To improve medication adherence, it is essential to implement preventive strategies that promote patient engagement and self-management. One such strategy is the Health Belief Model (HBM), which encourages patients to adopt healthy behaviors based on their perceptions of risk, severity, benefits, and barriers. This study aims to analyze the relationship between the Health Belief Model and medication adherence among type 2 diabetic patients in the Galala Community Health Center (Puskesmas) work area. A quantitative cross-sectional study design was used, with a sample size of 108 participants selected through simple random sampling. The independent variables in this study were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, while the dependent variable was medication adherence. The results revealed significant relationships between all the HBM constructs and medication adherence. Specifically, perceived susceptibility (p=0.000), perceived severity (p=0.000), perceived benefits (p=0.000), perceived barriers (p=0.000), and cues to action (p=0.000) all had strong associations with adherence to medication. The findings suggest that the Health Belief Model is a valuable framework for improving medication adherence among type 2 diabetes patients. Additionally, the use of health information technology is an effective strategy to increase patient awareness of the risks of non-adherence and the importance of regular medication intake. A combination of education, social support, technology, and an individualized approach can create a supportive environment that encourages patients to manage their treatment effectively.

Juliyana Maradjabessy; Reny Retnaningsih

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Anemia during pregnancy is a public health issue that remains a challenge in developing countries, including Indonesia. Iron tablets are recommended as the primary intervention to prevent anemia, but compliance among pregnant women in taking iron tablets varies and is influenced by various factors, including health worker counseling. This study aims to analyze the relationship between the intensity of cadre assistance and the level of compliance with TTD consumption among pregnant women at the Tomalou Community Health Center, Tidore Kepulauan City. The study design used an observational analytical approach with a cross-sectional method. The study sample consisted of 30 pregnant women selected using total sampling technique. The independent variable was the intensity of cadre assistance, while the dependent variable was the level of compliance with TTD consumption. Data were collected using observation sheets, consumption monitoring forms, and respondent identity questionnaires, then analyzed using Spearman's rank correlation test at a significance level of 0.05. The results showed that most respondents were compliant in consuming TTD, but there was no significant relationship between the intensity of cadre assistance and the level of compliance with TTD consumption (r = 0.036; p = 0.848). This study concluded that the frequency of assistance alone was not sufficient to influence TTD consumption compliance, thus requiring a more comprehensive, educational assistance approach that involved family support. These findings could form the basis for evaluating the cadre assistance program in preventing anemia in pregnant women.

Diana Dayaningsih; Dwi Marliana

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

The family is an essential unit consisting of two or more individuals living together due to ties of blood, marriage, or adoption, and it plays a significant role in supporting the health of its members, including those with diabetes mellitus, which can be hereditary. One of the serious complications that often arise in diabetes mellitus patients is diabetic ulcers, which can be prevented through proper foot care practices. In this context, the family has an important role in helping prevent foot injuries by providing support through foot care education. This study aims to describe the implementation of foot care education using audiovisual media as a means to improve the knowledge of diabetes mellitus patients in the working area of Sekaran Public Health Center, Semarang. The research method applied was a case study with a descriptive approach, in which an intervention was carried out through pre-test and post-test assessments related to foot care education using audiovisual media over five days, with the research instrument being the Diabetic Foot Knowledge Scale (DFKS) questionnaire. The results showed an increase in patient knowledge after the intervention, where in subject I the pre-test score was 8 (fair), which increased to 12 (good) in the post-test, while in subject II the pre-test score of 9 (fair) increased to 13 (good) in the post-test. These findings confirm that audiovisual-based foot care education is effective in enhancing the knowledge of diabetes mellitus patients regarding foot care. Based on the results, it is recommended that both patients and their families consistently apply foot care education in their daily activities, and health workers at Sekaran Public Health Center are encouraged to utilize audiovisual education methods as a strategy to improve patients’ knowledge and foot care practices, thereby preventing further complications in diabetes mellitus patients.

Nurdian S.Bangsa; Retno Dewi Prisusanti

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Infant anxiety following routine immunizations, such as DPT vaccination, can lead to distress, prolonged crying, and negative behavioral responses, affecting both the child and caregivers. Non-pharmacological interventions, including aromatherapy, have been explored to alleviate such anxiety. This study aimed to examine the effect of lavender aromatherapy inhalation on anxiety levels in infants after DPT immunization at Puskesmas Rum Balibunga Tidore. A quasi-experimental design with pre-test and post-test measurements was employed, involving 30 infants aged 2–6 months. Anxiety was assessed using a validated observational scale, focusing on behavioral indicators such as crying duration, facial expressions, and body movements. Lavender essential oil was administered via inhalation for five minutes immediately after immunization. Data were analyzed using paired t-tests to evaluate changes in anxiety scores before and after the intervention. The results demonstrated a significant reduction in infant anxiety following lavender inhalation, with mean scores decreasing from 14.5 ± 2.8 to 9.3 ± 2.1 (p < 0.001). Behavioral indicators, including the frequency and duration of crying, were also markedly reduced, supporting the effectiveness of the intervention. These findings align with prior research indicating that lavender essential oil can modulate the autonomic nervous system, promoting relaxation and reducing stress responses. In conclusion, inhalation of lavender aromatherapy effectively decreases post-immunization anxiety in infants. Incorporating this intervention into routine vaccination procedures at community health centers offers a safe, non-invasive, and culturally acceptable method to improve infant comfort and enhance the overall immunization experience.

Dwi Ris Hasanah; Lili Nurmaliza

ALINEA: Health Science & Medical International Journal 2025 Yayasan Media Utama Sains

Background: Midwifery-led care (MLC) is a continuity of care model that positions midwives as the primary responsible providers in managing low-risk pregnancies. Despite endorsement by the World Health Organization, its implementation in Indonesia remains limited. This study aimed to analyze the effect of MLC intervention on maternal and neonatal outcomes in low-risk pregnancies.Methods: A prospective cohort study was conducted at four primary health centers in Surabaya, Indonesia, from January to December 2024. A total of 240 low-risk pregnant women meeting inclusion criteria were allocated into two groups: MLC intervention (n=120) and conventional care control (n=120). Outcomes measured included preeclampsia, preterm delivery, cesarean section, postpartum hemorrhage, low birth weight, neonatal asphyxia, and maternal satisfaction. Data were analyzed using chi-square test, independent t-test, and multivariate logistic regression with significance set at p<0.05.Results: The MLC group demonstrated significantly better maternal outcomes, including lower cesarean section rate (15.7% vs 28.2%; p=0.018), lower preeclampsia incidence (5.2% vs 13.7%; p=0.024), and lower postpartum hemorrhage (3.5% vs 10.3%; p=0.034). Neonatal outcomes also showed significant differences in low birth weight (4.3% vs 12.0%; p=0.029) and neonatal asphyxia (2.6% vs 8.5%; p=0.041). Overall maternal satisfaction was higher in the MLC group (92.2% vs 71.8%; p<0.001). Multivariate analysis identified MLC as a protective factor against adverse maternal-neonatal outcomes (OR=0.42; 95% CI: 0.24–0.73; p=0.002).Conclusion: Midwifery-led care intervention significantly improves maternal and neonatal outcomes in low-risk pregnancies and enhances maternal satisfaction with care. This model is recommended for broader implementation within the Indonesian maternal and child healthcare system.

Marwah Marwah; Rifzul Maulina

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

The incidence of hypertension at the Tadoy Community Health Center was 29.4%. Based on the Tadoy Community Health Center Report in 2023, there were 78 cases of hypertension in pregnant women, dominated by pregnant women with HDK (50%). The short-term impact of hypertension during pregnancy can affect both the mother and the fetus. In addition to medication, therapy for pregnant women with hypertension can be given by soaking the feet in warm water and regularly consuming Ambon bananas. The purpose of this study was to determine the effect of warm water therapy and Ambon banana consumption on reducing blood pressure in pregnant women with hypertension. This type of research used a qualitative research method with a case study approach. This activity was carried out on two pregnant women with hypertension at the Tadoy Community Health Center. Providing warm water therapy was effective in reducing blood pressure in pregnant women from 150/90 mmHg at the first visit to 130/85 mmHg at the second visit and to 120/75 mmHg. Consuming bananas was also effective in reducing blood pressure from 150/90 mmHg at the first visit to 140/90 mmHg at the second visit and to 120/80 mmHg. There was a difference in effectiveness between warm water therapy and consuming Ambon bananas in reducing blood pressure in hypertensive pregnant women, where warm water therapy was more effective than Ambon bananas in lowering blood pressure. It is hoped that the results of this study can help lower blood pressure by soaking feet in warm water, so that pregnant women can do it independently and can reduce risks in pregnancy.