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Betrisia Betrisia; Widia Shofa Ilmiah

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

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.

Faujia Masri; Raden Maria Veronika Widiatrilupi

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

The maternal mortality rate in Indonesia remains high, reaching 305 per 100,000 live births in 2021, with one contributing factor being the lack of maternal knowledge regarding pregnancy danger signs. Prenatal classes are considered a strategic intervention to improve pregnant women’s understanding of critical warning signs such as bleeding, severe abdominal pain, and infection symptoms. This study aims to analyze the influence of pregnancy classes on pregnant women’s knowledge of danger signs. The research employed a quantitative design with a cross-sectional approach involving 30 pregnant women selected through purposive sampling at several community health centers. Data were collected using validated and reliable questionnaires, with measurements conducted before (pre-test) and after (post-test) participants attended at least three prenatal classes. Data analysis used descriptive statistics and the Wilcoxon Signed Rank Test with SPSS. The results showed that most respondents were aged 20–35 years (63.3%), had a high school education (36.7%), were housewives (60.0%), and multigravida (56.7%). Before the intervention, 50% had poor knowledge and only 20% had good knowledge. After attending prenatal classes, 63.3% achieved good knowledge, while only 10% remained in the poor category. The Wilcoxon test showed a significant difference (p = 0.000). Thus, prenatal classes effectively improve knowledge and support early detection of complications, potentially reducing maternal and infant mortality rates.

Nadira Katim; Reny Retnaningsih

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

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.

Elisa Silvia Aritonang; Marti Silfia

Journal of Health Sciences, Public Health and Pharmacy 2025 International Forum of Researchers and Lecturers

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Fitriani Fitriani; Maria Asyerem; Chiana Endemina Bonsapia; Inggrit Rita Uli Manik

Jurnal Kemitraan Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Sambofuar Village in Samofa District, Biak Numfor Regency, faces various maternal health challenges due to limited access to healthcare services, low socioeconomic conditions, and inadequate capacity of posyandu cadres in supporting pregnant women with high-risk conditions. With a population of 954 people and 228 households, only 64% of pregnant women received antenatal care during the second trimester, while 18% did not undergo any pregnancy check-up. To address these issues, the Student Creativity Program was implemented using a community-based cadre empowerment approach. The program was carried out from October 11 to December 9, 2024, involving five posyandu cadres, most of whom were 50–59 years old, had an elementary school education, and had more than five years of experience. The intensive training provided resulted in a significant increase in knowledge, where pre-test scores ranging from 30–50 improved to 70–90 in the post-test. Mentoring activities at the posyandu also showed that all cadres (100%) were able to perform their duties effectively, including providing health education and independently assisting high-risk pregnant women. This program has contributed positively by improving cadre competency, strengthening maternal health literacy, and potentially reducing the risk of pregnancy complications. Overall, cadre empowerment through training and education has proven effective and should be continued to strengthen the maternal health system in Sambofuar Village.

Syafrina Ulfah; Nurcholisah Fitra

VitaMedica : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Stunting is a chronic nutritional problem characterized by a child’s height being inappropriate for their age, particularly among children under five years old. One of the interventions implemented to prevent stunting is immunization. However, immunization coverage, especially complete basic immunization, has not yet reached the target, including in Medan City. Therefore, this literature study aims to explore the determinants of complete basic immunization coverage in Medan City using the Google Scholar database. The literature search identified nine articles that were extracted and discussed in this study. The determinants of complete basic immunization coverage include individual maternal factors such as age, education level, knowledge, attitudes, and mothers’ beliefs or perceptions toward immunization; social support factors including family support, economic conditions, and prevailing norms and cultural practices within families and communities; as well as health service factors. Comprehensive and integrated interventions are urgently needed to achieve optimal complete basic immunization coverage in Medan City.

Eva Dona Sinaga; Ali Imran Sirait; Marta Armita Silaban; Sella Pratiwi

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

Posyandu, as a form of community-based health efforts, plays a crucial role in improving maternal and child health. However, its implementation in the Mutiara Community Health Center (Puskesmas Mutiara) in Asahan Regency still faces various challenges, such as low cadre capacity, suboptimal service quality, and limited community participation. This community service activity aims to strengthen cadre capacity through Posyandu revitalization as an effort to improve the quality of basic health services. A total of 63 Posyandu cadres participated in the activities, which were implemented through counseling, education, and coaching using revised service standard guidelines. This program was implemented through four stages: preparation, implementation, analysis of results, and evaluation. Improvement in cadre knowledge was measured using pretests and posttests. The results of the activity showed a significant increase in the level of knowledge of cadres, as seen in the change in assessment categories from the majority being in the "poor" category during the pretest to "sufficient" and "good" in the posttest. This indicates that the education and coaching provided were effective in improving cadres' understanding and skills. Increasing cadre capacity is expected to improve the quality of Posyandu services, increase public trust, and support efforts to reduce morbidity and mortality in the Mutiara Community Health Center's work area. Cross-sector collaboration and ongoing mentoring are needed to maintain the sustainability of Posyandu revitalization.

Tessa Julia Tifania; Zesika Intan Navelia; Siti Fadhilah

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

heritage: persistent power Deficiency (CED) among pregnant women is a dietary problem that may have an effect on both maternal and fetal fitness. one of the influencing factors is the mother’s nutritional know-how. This look at aimed to investigate the relationship between nutritional knowledge and the prevalence of CED amongst pregnant ladies in the running area of Tempunak clinic. take a look at methods: This study employed an analytic observational design with a pass-sectional technique. The population consisted of 88 pregnant girls selected the use of purposive sampling. studies gadgets blanketed a dietary understanding questionnaire and Mid-higher Arm Circumference (MUAC) measurement to decide CED fame. statistics analysis turned into executed the use of univariate analysis within the form of frequency distribution, and bivariate analysis with the Chi-rectangular check. effects: maximum respondents had exact nutritional information (fifty nine.09%), and greater than 1/2 did not experience CED (55.68%). The Chi-square check received a p-cost of 0.000 (<zero.05) with a Chi-square fee of 30.410, indicating a massive relationship between dietary knowledge and CED. Pregnant ladies with top dietary understanding were much less in all likelihood to enjoy CED, even as all respondents with terrible information skilled CED. end: there's a large courting between dietary understanding and the incidence of CED amongst pregnant girls. continuous dietary training is vital to lessen the risk of CED and enhance maternal fitness.

Waldatul Hamidah; Hardisman, Hardisman

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

Background: Maternal Mortality Rate (MMR) in Indonesia remains a significant health challenge, with the majority of deaths related to preventable pregnancy complications. Empowering pregnant women through increased knowledge and skills in early detection is a key strategy to encourage timely care seeking. Objective: To review and analyze policies and implementation of programs empowering pregnant women in early detection of complications in Indonesia over the past five years (2020–2025), including policy frameworks, implementation models, research findings related to impacts and barriers, and policy recommendations. Methods: A scoping review using the Population-Concept-Context (PCC) approach was conducted. The literature search included scientific publications, national policy documents, and program reports published between 2020–2025. Relevant works included quasi-experimental studies, program reports, and policy documents. Main results: Maternal empowerment programs are driven by national policies to improve maternal health literacy and reduce MMR. Implementation is often integrated into Pregnant Women's Classes (KIH) or through digital media. Educational interventions have shown significant improvements in maternal knowledge of danger signs, but challenges include the low quality and availability of educational materials, as well as issues with outreach to mothers in remote areas. Conclusion: Empowering pregnant women in early detection is an important policy initiative to reduce maternal mortality. However, standardization of the curriculum, strengthening the role of cadres, and increased digital support are needed to ensure equitable reach and effectiveness.

Erlina, Erlina; Nurul Huda; Marduati, Marduati

FUNDAMENTUM : Jurnal Pengabdian Multidisiplin 2025 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

Infancy is a crucial golden period for determining the quality of a child's future growth and development. Infant massage has long been recognized for its numerous benefits for infant growth and development. Various studies have shown that infant massage can increase weight gain, improve sleep quality, strengthen the immune system, and aid digestion. Many parents still lack understanding of infant massage. Some assume that infant massage is only performed on sick babies and is performed by traditional healers or medical personnel skilled in infant massage. The purpose of this community service is to increase mothers' knowledge about infant massage through outreach. The target audience was 22 mothers with babies in Gampong Barat, Nisam District, North Aceh Regency. The implementation method used was lectures, discussions, and demonstrations. The results showed that the majority of mothers' knowledge was in the good category after the outreach. This was due to the mothers' enthusiasm in participating in the outreach. Outreach is an effective method for increasing knowledge. Mothers are expected to continue to improve their knowledge about infant massage by increasing their interest in seeking information, whether through reading books, the media, or other sources.

Nur Azizah; Khaira Rizki; Wildan Seni

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Growth resulting from chronic hunger from birth to two years of age is called stunting. Children who experience stunting are more susceptible to problems related to their cognitive and motor development, as well as an increased risk of disease. The purpose of this study was to determine the relationship between maternal knowledge and the prevalence of stunting in toddlers in the service area of ​​the Krueng Barona Jaya Community Health Center. The purpose of this study was to investigate the relationship between maternal knowledge and child stunting. Quantitative research using cross-sectional and correlational methodologies. A sample of 59 respondents was selected using a proportional sampling design technique. The time period for this investigation was May 8-16, 2025. This study used univariate and bivariate analysis. The research data were collected using a closed questionnaire paradigm with multiple-choice questions, and the Chi-Square test was used for analysis. A P-value of 0.047 (P < 0.05) indicates a relationship between maternal knowledge and the prevalence of stunting in toddlers in the work area of ​​the Krueng Barona Jaya Community Health Center. Research shows a link between stunting in toddlers and maternal knowledge. Stunting is more likely to affect toddlers born to mothers with less knowledge than those with more knowledge. Mothers of toddlers are advised to receive regular counseling and educational materials to raise awareness and reduce the prevalence of stunting.  

Lutvia Amellia; Khaira Rizki; Muhammad Daud

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Nutrition is crucial for children's growth and development. A mother's ability to serve food dishes can affect nutrition knowledge, economic status, and family income. This study aims to determine if there is a correlation between maternal knowledge and the nutritional needs of children aged 1-4 years in Indrapuri Public Health Center. The study used a correlational analytical design with a cross- sectional approach. The sample consisted of 60 respondents, chosen using the total sampling technique. The research was conducted from April 30 to May 26, 2025. Data was analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that out of 60 respondents, most of the respondents were in the lower category of maternal knowledge level, with 57 respondents (95.0%), and 3 respondents (5.0%) were in the acceptable category. Fisher's Exact Test gave a p- value = 0.558 >0.005. These findings indicated no correlation between maternal knowledge levels and the nutritional needs of children. It is expected that the Public Health Center and health officials provide counseling to mothers on the importance of healthy food and nutritional knowledge from the Integrated Health Service Center (Posyandu).

Rahmatia Anwar; Anik Purwati

Jurnal Ilmu Kesehatan dan Gizi 2025 Pusat Riset dan Inovasi Nasional

Complete basic immunization for infants is an important effort in preventing infectious diseases and improving public health. However, certain regions still have subpar vaccination rates, which may be due to parents' ignorance and attitudes. Children who do not receive all recommended vaccinations are more vulnerable to illness and, worse, may die from it. This study was conducted at the Jikohay Community Health Center in the West Obi District to examine the impact IEC on mothers' attitudes and knowledge on the provision of full basic immunizations for newborns. Maternal and child health books (KIA) and a questionnaire approach were used in this qualitative study. The purpose of this study is to ascertain how IEC affects mothers' knowledge and attitudes on giving their babies the recommended basic vaccinations at the Jikohay Health Center in the West Obi District. There were 60 individuals in the population and 40 responders in the sample. Purposive sampling was used for the sample process. The Wilcoxon test was utilized for data analysis. According to the study's findings, 20 respondents had good attitudes, 20 had sufficient attitudes, and 29 had good knowledge, 10 had sufficient knowledge, and 1 had insufficient knowledge after receiving counseling on parental attitudes and knowledge in providing full basic immunizations to infants. At the Jikohay Health Center in the West Obi District, the results of the statistical test with a p-value of 0.000 indicated that IEC had an impact on mothers' attitudes and knowledge toward giving their infants all of the recommended basic vaccinations.

Ni Gusti Made Ayu Agung Budhi; Karningsih, Karningsih; Sri Sukamti; Mardeyanti, Mardeyanti

Journal of Health Sciences, Nursing and Nutrition 2025 International Forum of Researchers and Lecturers

Despite global efforts, maternal mortality remains a critical public health challenge. A major contributing factor is the delay in recognizing and responding to obstetric emergencies. A pregnant woman's awareness of potential danger signs and her subsequent proactive attitude toward early detection are considered pivotal in facilitating timely and life-saving healthcare access. This study was undertaken to investigate the direct correlation between the level of knowledge pregnant women possess regarding pregnancy danger signs and their attitude toward the early identification of maternal emergencies.This research utilized an analytic survey design, a cross-sectional approach. The study sample was drawn using accidental sampling, comprising 110 pregnant women. Data were collected via structured questionnaires and analyzed statistically using the Spearman Rank correlation test. The descriptive analysis revealed a positive outcome regarding knowledge: the majority of participants (70) demonstrated a sufficient level of knowledge about pregnancy danger signs. However, this did not translate into a desired behavioral disposition, as a majority of participants (40) simultaneously displayed a poor attitude toward the early detection of maternal emergencies. The inferential statistical analysis confirmed this disconnect: the Spearman Rank test yielded a calculated ρ-value (pcount) of 0.068, which was less significant than the critical ρ-table value (ptable) of 0.364. Crucially, the significance level(p=0.72) exceeded the predetermined alpha (α=0.05).The study concludes that there is no significant relationship between a pregnant woman's knowledge of obstetric danger signs and her attitude toward seeking the early detection of maternal emergencies.

Ummi Rakida; Fauziah Fauziah; Nurul Sakdah

Nursing Applied Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Exclusive breastfeeding, sometimes known as ASI, is the practice of giving infants only breast milk, along with vitamins, supplements, and prescription medications for illnesses, and no other liquids or solid foods, either directly from the breast or expressed. The purpose of this study was to determine the relationship between maternal awareness of pumping and the effectiveness of exclusive breastfeeding at the Lampulo Community Health Center. This study used a cross-sectional methodology and an analytical quantitative design. 53 breastfeeding mothers constituted the study population. There were 53 respondents in total, and the sampling strategy used the total sampling method. A 20-question survey taken from Desriati Sinaga's 2024 study served as the instrument. The Lampulo Community Health Center in Banda Aceh conducted this study from May 19 to June 25, 2025. The Chi-square test results showed a p-value of 0.001 < 0.05. Based on the research findings, maternal awareness of expressing breast milk is related to the success of exclusive breastfeeding at the Lampulo Community Health Center. These findings are expected to form the basis for more comprehensive instructions for breastfeeding mothers to improve the success of exclusive breastfeeding with expressed breast milk.

Arvy Cahyaningtyas; Qomariyah Qomariyah; Nella Vallen

Journal of Health Sciences, Nursing and Nutrition 2025 International Forum of Researchers and Lecturers

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

Nunik Suhartyny; Sulistiyah Sulistiyah

Journal of Educational Innovation and Public Health 2025 Pusat Riset dan Inovasi Nasional

Maternal knowledge of newborn care plays an important role in maintaining neonatal health and preventing early complications. Parity is considered one of the factors that affect the mother's level of knowledge, as previous childbirth experiences can improve the understanding and skills of caring for the baby. However, primipara mothers often face challenges due to limited experience. This study aims to analyze the relationship between parity and newborn care knowledge in primipara mothers at the Tumpunglaung Health Center. The research method uses an analytical quantitative design with a cross-cutting approach. The study population was mothers who had just given birth at the Tumpunglaung Health Center, with a sample of 30 primipara mothers selected through purposive sampling. Data were collected using a structured questionnaire that included maternal characteristics and newborn care knowledge, including breastfeeding, hygiene, thermoregulation, and red flags. Data analysis was carried out by Chi-square test using SPSS at a significance level of p < 0.05. The results showed that most primitive mothers had moderate to low levels of knowledge, with a significant relationship between parity and newborn care knowledge. The conclusion of the study confirms the importance of strengthening education and counseling for primitive mothers to improve infant care practices and support neonatal health.

Lela Dwi Andriani; Ani Khoirinda; R.A. Rahmawati Nurul Fadilah

Jurnal Pengabdian Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Maternal mental health is an important aspect during pregnancy and postpartum, which has a significant impact on both mother and baby. There are various psychological problem that may occur during pregnancy and the postpartum stage due to the physical and psychological changes that occur. In addition, a woman also adapt as her new role as s new parent. The purpose of this community service is an effort to increase the knowledge of pregnant and postpartum woman to minimize the occurrence of mental health disorders. This community activity method with socialization on mental health education for pregnant women and postpartum was held on May 15, 2023, at the Melati Posyandu Gunungjati Village, this program is aimed at pregnant women in first and third trimesters, the number of participants who attended was 16 people. Assessment of mother’s knowledge about mental health with pre-test and post-test. The result of socialization were analyzed by approaching descriptively, proving that with the educational provisions that have been provided, new knowledge can be added.

Lela Dwi Andriani; Ani Khoirinda; R.A. Rahmawati Nurul Fadilah

Jurnal Pengabdian Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Maternal mental health is an important aspect during pregnancy and postpartum, which has a significant impact on both mother and baby. There are various psychological problem that may occur during pregnancy and the postpartum stage due to the physical and psychological changes that occur. In addition, a woman also adapt as her new role as s new parent. The purpose of this community service is an effort to increase the knowledge of pregnant and postpartum woman to minimize the occurrence of mental health disorders. This community activity method with socialization on mental health education for pregnant women and postpartum was held on May 15, 2023, at the Melati Posyandu Gunungjati Village, this program is aimed at pregnant women in first and third trimesters, the number of participants who attended was 16 people. Assessment of mother’s knowledge about mental health with pre-test and post-test. The result of socialization were analyzed by approaching descriptively, proving that with the educational provisions that have been provided, new knowledge can be added.

Murfi Hidamansyah; Raudhatul Jannah; Ummi Kulsum; Zainun Wahida Fithriani

ARDHI : Jurnal Pengabdian Dalam Negri 2025 Asosiasi Riset Pendidikan Agama dan Filsafat Indonesia

Pregnant women with Chronic Energy Deficiency (KEK) are in a condition that can affect the health of both the mother and the fetus. KEK in pregnant women increases the risk of Low Birth Weight (LBW) babies, premature birth, maternal and infant mortality. Various efforts have been made to address KEK during pregnancy, yet its prevalence remains high. The aim of this community service is to improve the knowledge and nutritional fulfillment of pregnant women with KEK, as well as the prevention and management of KEK, through education for pregnant women with KEK and also explaining how to improve the nutrition of pregnant women. The target of this community service activity is pregnant women with KEK at the UPTD Camplong Health Center. The implementation of community service was carried out using a quasi-experimental approach with a pre-test and post-test design in the form of questionnaires for all pregnant women. The goal of this activity is to increase pregnant women's knowledge about KEK and balanced nutrition fulfillment. The results and benefits obtained from this community service activity include educating about fulfilling a balanced diet and improving nutrition, as well as increasing knowledge and insight for the community, especially pregnant women with KEK. The conclusion of this community service activity is that education and assistance can be an effective strategy to improve the health of pregnant women with KEK.