HOPE (The Journal of Health Promotion and Education)
HOPE (The Journal of Health Promotion and Education) is a scholarly publication dedicated to advancing knowledge and understanding in the fields of health promotion and education. Published regularly, HOPE serves as a platform for researchers, educators, practitioners, and policymakers to share their insights, experiences, and innovative approaches to promoting health and educating communities. The journal covers a wide range of topics related to health promotion and education, including but not limited to: Health behavior change interventions, Health communication strategies, Community health promotion initiatives, Health education programs, Public health campaigns, Health literacy and empowerment, Social determinants of health, Policy development and advocacy for health promotion, Evaluation and assessment of health promotion efforts, Health equity and social justice in health promotion
Kebijakan Pengendalian Tembakau di Indonesia: Tantangan Implementasi FCTC dan Implikasinya terhadap Kesehatan Masyarakat
Kerangka Konvensi Pengendalian Tembakau (Framework Convention on Tobacco Control/FCTC) merupakan perjanjian internasional untuk menurunkan prevalensi merokok melalui pengendalian ketat terhadap industri tembakau. Indonesia menghadapi tantangan serius dalam penerapan FCTC karena kuatnya tekanan industri tembakau dan ketergantungan fiskal terhadap cukai rokok yang mencapai sekitar 10% dari total pendapatan negara pada tahun 2020. Penelitian ini menggunakan metode meta analisis review terhadap publikasi tahun 2019–2024 untuk mengidentifikasi peluang dan hambatan implementasi FCTC di Indonesia. Hasil analisis menunjukkan bahwa pengaruh lobi industri dan ketergantungan pada cukai menciptakan dilema kebijakan, dengan potensi kehilangan penerimaan hingga Rp50 triliun per tahun apabila konsumsi rokok menurun drastis. Namun, keberhasilan negara seperti Australia, Prancis, dan Thailand dalam melakukan diversifikasi pendapatan negara dan memperkuat kampanye edukasi masyarakat membuka peluang bagi Indonesia untuk mengadopsi strategi serupa. Studi ini merekomendasikan pendekatan multisektoral yang mengintegrasikan diversifikasi fiskal, penguatan regulasi, serta edukasi publik untuk mengoptimalkan implementasi FCTC tanpa mengorbankan stabilitas ekonomi nasional.
Copyright (c) 2026 HOPE (The Journal of Health Promotion and Education)
Gambaran Masalah Kesehatan Mental, Penanganan dan Akses Informasi tentang Kesehatan Mental pada Remaja di Denpasar Selatan
Kesehatan mental remaja merupakan masalah yang memerlukan perhatian khusus. Sekitar 10-20% remaja mengalami masalah kesehatan mental antara lain kecemasan (45%), depresi (35%) dan perilaku menyakiti diri sendiri (25%). Hanya 40% remaja yang mengetahui sumber informasi tentang kesehatan mental. Penelitian ini menggunakan desain deskriptif. Data dikumpulkan melalui survey menggunakan kuesioner yang dibuat sendiri oleh peneliti serta telah dilakukan uji validitas dan reliabilitas. Tempat penelitian di SMP Negeri 11 Denpasar pada Bulan Januari 2025. Populasi dalam penelitian ini adalah remaja yang berusia 11-18 tahun di Denpasar Selatan. Teknik cluster sampling digunakan untuk merekrut 195 remaja sebagai responden survey. Data dianalisis secara deskriptif dan disajikan dengan distribusi frekwensi. Hasil penelitian menunjukkan bahwa sekitar 46,2% remaja pernah mencari informasi tentang kesehatan mental. Sumber informasi yang paling banyak digemari adalah internet (94,4%). Media edukasi kesehatan mental yang paling banyak digemari adalah video edukasi (73,8%). Media sosial yang paling digemari untuk menyebarkan informasi kesehatan mental adalah youtube (75,4%). Masalah kesehatan mental remaja di Denpasar Selatan merupakan isu yang memerlukan perhatian. Berbagai tantangan harus diatasi, terutama akses informasi dan stigma. Diperlukan kolaborasi antara sekolah, keluarga dan masyarakat untuk menciptakan lingkungan yang mendukung kesehatan mental remaja. Penelitian lebih lanjut dan program intervensi yang efektif sangat penting untuk meningkatkan kesehatan mental remaja di Kota Denpasar.
Konseling Edukasi Pemberian Pijat Endorphin untuk Mengatasi Kecemasan Persalinan dalam Asuhan Kebidanan Berkesinambungan
Kehamilan, persalinan, bayi baru lahir, dan masa nifas merupakan proses alami yang dialami perempuan, namun pada kondisi tertentu dapat timbul komplikasi yang berisiko terhadap keselamatan ibu dan bayi bahkan dapat menyebabkan kematian. Studi kasus ini bertujuan untuk mengetahui hasil penerapan asuhan kebidanan Continuity Of Care pada ibu “MFS” umur 36 tahun multipara beserta bayi yang menerima asuhan kebidanan secara komprehensif dan berkesinambungan dari umur kehamilan 35 minggu 1 hari sampai 42 masa nifas. Metode yang digunakan wawancara, pemeriksaan, observasi serta dokumentasi. Asuhan dilakukan dari bulan Februari 2026 sampai April 2026. Masa kehamilan berlangsung fisiologis tanpa komplikasi, dengan asuhan yang berfokus pada pemantauan kesehatan ibu dan janin, edukasi gizi, istirahat, ketidaknyamanan trimester III, tanda bahaya kehamilan, persiapan persalinan, serta pemberian asuhan gentle birth berupa pijat endorphin. Asuhan Intranatal Care Ny. MFS berlangsung secara spontan dan fisiologis tanpa penyulit. Bayi lahir spontan dengan berat badan 3000 gram dan segera dilakukan Inisiasi Menyusu Dini (IMD). Asuhan nifas yang diberikan menunjukkan proses involusi uterus yang baik tanpa adanya tanda-tanda komplikasi. ASI keluar lancer sehngga proses laktasi berlangsung lancar. Asuhan bayi baru lahir diberikan secara menyeluruh dan menunjukkan bayi beradaptasi dengan baik. Melalui pemberian asuhan berkesinambungan, ibu hamil menjadi lebih siap dan yakin dalam menghadapi perubahan fisiologis, sehingga faktor risiko dapat dideteksi sejak dini serta komplikasi pada ibu dan bayi dapat diminimalkan.
Edukasi Pemberian Aromaterapi Lavender untuk Mengatasi Nyeri Persalinan pada Asuhan Kebidanan Berkesinambungan
Kehamilan, persalinan, bayi baru lahir, dan masa nifas merupakan proses fisiologis pada perempuan, namun dapat terjadi komplikasi yang mengancam keselamatan ibu dan bayi hingga menyebabkan kematian. Studi kasus ini bertujuan untuk mengetahui hasil penerapan asuhan kebidanan Continuity Of Care pada ibu “PE” umur 27 tahun primigravida beserta bayi yang menerima asuhan kebidanan secara komprehensif dan berkesinambungan dari umur kehamilan 30 minggu 5 hari sampai 42 masa nifas. Metode yang digunakan wawancara, pemeriksaan, observasi serta dokumentasi. Asuhan dilakukan dari bulan Februari 2024 sampai Mei 2026. Masa kehamilan berlangsung fisiologis hingga akhir kehamilan dan diberikan asuhan sesuai standar dengan memperhatikan keluhan dan kebutuhan Ibu Melahirkan secara normal melalui jalan lahir pada usia kehamilan aterm tanpa disertai komplikasi. Bayi lahir spontan dengan berat badan lahir 3120gram dan segera dilakukan Inisiasi Menyusu Dini (IMD). Asuhan masa nifas telah diberikan sesuai standar pelayanan kebidanan melalui pemantauan kondisi ibu, pemberian edukasi, deteksi dini komplikasi, serta konseling KB, dengan hasil masa nifas berlangsung normal tanpa komplikasi. Asuhan komplementer yang diberikan pada ibu “PE” selama kala I persalinan adalah relaksasi napas dengan aromaterapi lavender. Pemberian aromaterapi lavender melalui diffuser dapat membantu mengurangi nyeri dan kecemasan serta memberikan efek relaksasi pada ibu bersalin. Proses laktasi berjalan lancar dengan dukungan suami dan keluarga. Asuhan kebidanan pada bayi diberikan sesuai pelayanan neonatal esensial disertai asuhan komplementer berupa pijat bayi. Melalui asuhan berkesinambungan, ibu hamil menjadi lebih siap dan percaya diri menghadapi perubahan fisiologis, sehingga faktor risiko dapat dideteksi sejak dini dan komplikasi pada ibu maupun bayi dapat dicegah.
Hubungan Tingkat Pengetahuan Wanita Usia Subur (WUS) dengan Perilaku Pencegahan Kanker Serviks Di UPTD Puskesmas Kintamani VI
Cervical cancer remains a significant global and national health burden among the female population. At the primary health care level, such as the Puskesmas (Community Health Center), the participation rate in early prevention still faces various obstacles, one of which is the lack of public knowledge. This study aims to analyze the relationship between the knowledge level of Women of Childbearing Age (WCA) and cervical cancer prevention behaviors in the working area of Kintamani VI Community Health Center. The research design utilized an analytical observational quantitative method with a cross-sectional approach. The study sample involved 120 randomly selected women of childbearing age using a simple random sampling technique. Variable measurements were conducted using a standardized structured questionnaire that had been tested for validity and reliability. Data analysis was performed univariately and bivariately using the Chi-Square Correlation statistical test at a significance level of ($\alpha = 0.05$). The univariate distribution showed that the majority of respondents had a moderate knowledge level (45.8%), and the proportion of cervical cancer prevention behavior fell into the poor category (58.3%). The results of the bivariate cross-tabulation analysis showed a strong positive relationship between the two variables, where the bivariate test yielded a $p\text{-value} = 0.001$ ($p < 0.05$), thus rejecting the null hypothesis. In conclusion, there is a significant relationship between the knowledge level of women of childbearing age and cervical cancer prevention behaviors at the Kintamani VI Community Health Center.
Respons Publik Terhadap Kebijakan Sampah Berbasis Sumber di Media Sosial Bali: Analisis Konten Digital untuk Promosi Kesehatan Lingkungan
Kebijakan pengelolaan sampah berbasis sumber tidak hanya meminta warga memilah sampah, tetapi juga mengandaikan kemampuan rumah tangga mengelola sebagian sampah organik, sementara residu tetap memerlukan layanan pengangkutan yang konsisten. Penelitian ini menganalisis respons publik media sosial terhadap ketegangan tersebut. Penelitian menggunakan desain kualitatif deskriptif dengan analisis konten digital dan coding sentimen manual. Data berasal dari unggahan dan komentar publik Instagram akun media lokal serta akun pemerintah di Bali pada Januari 2025-Mei 2026. Data diekstraksi menggunakan Apify Instagram Scraper, dibersihkan dan ditabulasi dengan Python dan Microsoft Excel, lalu dikodekan menggunakan codebook tematik. Dari 600 unggahan awal, 53 unggahan relevan dan 340 komentar publik diseleksi; 141 komentar substantif menjadi korpus analitik. Hasil: Respons publik didominasi kritik/keluhan (118/141; 83,7%). Tema utama mencakup dampak lingkungan-kesehatan, layanan pengangkutan/fasilitas, ketidakpercayaan pada rantai pemilahan-pengangkutan, dan kritik akuntabilitas. Secara substantif, warga tidak menolak pemilahan, tetapi mempertanyakan legitimasi ajakan perilaku ketika organik sulit dikelola mandiri, residu tidak terangkut, atau sampah terpilah dipersepsikan kembali tercampur. Kesimpulan: Promosi kesehatan lingkungan perlu bergeser dari instruksi normatif menuju digital listening, transparansi layanan, serta pembuktian jalur organik, anorganik, dan residu secara operasional.
I Desak Ketut Dewi Satiawati Kurnianingsih
Pengujian Aktivitas Fungsional Makrofag Alveolar Post Diinduksi Asap Rokok
Background: The increasing incidence of smoking causes an increase in the death rate due to smoking. Cigarette smoke can affect alveolar macrophages as part of the nonspecific immune system. The study was to see the effect of secondhand smoke exposure on the decrease in functional activity of alveolar macrophages. Methods: This was an experimental study using a post-test only design, conducted at the Laboratory of Microbiology and Biomedical Faculty of Medicine Andalas University. For the in vitro study, Wistar rats were exposed to cigarette smoke for three weeks; a control group was maintained. Macrophages were isolated from the lungs of both groups, cultured, and tested for bactericidal activity against Klebsiella pneumoniae. For the in vivo study, similar groups of Wistar rats were used. Both groups received intrapulmonary injections of Escherichia coli for three days. Lung suspensions were cultured, and bacterial colonies were counted. Results: By unpaired t-test, in vitro studies show a significant decline in macrophage bactericidal activity (P=0.030), whereas in vivo studies showed a decline in protective function against bacterial infection, but this was not significant (P=0.796). Conclusion: There is a decrease in the alveolar macrophages' ability induced by cigarette smoke.
Determinan Gejala Kesehatan Mental Remaja dengan Kuesioner SRQ-20 di SMPN 3 Ubud
Background: Children’s mental health has become an important issue that requires attention from healthcare professionals, parents, and caregivers in the post–COVID-19 pandemic era. The highest users of social media are adolescents aged 10–14 years (early adolescence) and 15–20 years (late adolescence). Prevention and early detection of mental disorders in children must be carried out with appropriate management from the outset. The determination of mental emotional symptoms among junior and senior high school students in Indonesia shows that 60.17% of students, particularly those aged 13–15 years, experience mental emotional problems. Females tend to have a higher risk of mental health problems than males. Among them, 44.45% feel lonely, 40.75% feel anxious, and 7.33% have had suicidal ideation. Objective: This study aims to identify symptoms of mental disorders experienced by students and to determine adolescents’ mental health conditions based on age and gender. Methods: This study employed a cross-sectional survey design conducted at SMPN 3 Ubud. A consecutive sampling technique was used with a total sample of 117 students. The instrument used was the Self Reporting Questionnaire (SRQ-20), which demonstrated validity values (r count = 0.708–0.941 > r table = 0.136) and reliability with a Cronbach’s Alpha of 0.981 > 0.688. Data were analyzed using univariate analysis and cross-tabulation. Results: The findings showed that mental emotional disorder symptoms among students had a relatively high prevalence, particularly difficulty in making decisions (52.1%) and easy fatigability (47.9%). Emotional symptoms such as fear, anxiety, and mental exhaustion were also frequently reported, along with cognitive and somatic complaints. These findings highlight the importance of early detection and mental health interventions in school settings to prevent more severe outcomes. Conclusion: Of the 117 students, 24 were identified as having poor mental health conditions, while 93 had good mental health conditions. The most commonly reported symptoms were easy fatigability (47.9%) and difficulty in making decisions (52.1%).
PENGARUH EDUKASI PEER GROUP TERHADAP PENGETAHUAN DAN KESEHATAN MENTAL IBU POSTPARTUM
Background: The postpartum period is a critical phase vulnerable to mental health disorders, particularly postpartum depression (PPD). The prevalence of PPD in Indonesia ranges from 22–57%, significantly higher than the global average of 10–15%. Limited maternal knowledge and lack of social support are identified as primary risk factors. Peer group education is a community-based intervention considered effective in improving knowledge and mental health status among postpartum mothers. Objective: To determine the effect of peer group education on knowledge and mental health of postpartum mothers in the working area of Denpasar City. Methods: This study employed a quasi-experimental design with a pretest-posttest control group design. A total of [n] respondents were selected using purposive sampling and divided into an intervention group (n=[n1]) and a control group (n=[n2]). The intervention group received four sessions of peer group education (±60–90 minutes/session), while the control group received standard care. Data were collected using a knowledge questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Statistical analysis included paired t-test, independent t-test, and linear regression at a significance level of p < 0.05. Results: A significant increase in mean knowledge scores was observed in the intervention group following peer group education. Mean EPDS scores in the intervention group decreased significantly post-intervention. Significant differences were found between the intervention and control groups in both knowledge score changes 0,01 (p < 0.05) and EPDS score changes 0,00 (p < 0.05). Multivariate analysis confirmed peer group education as an independent predictor of improved knowledge and mental health outcomes, after controlling for family support and educational level. Conclusion: Peer group education significantly improves knowledge and mental health status of postpartum mothers. This method is recommended for integration into postnatal care programs at primary healthcare facilities as a community-based promotive-preventive intervention. Keyword : Peer group education, mental health, postpartum depression, EPDS
Copyright (c) 2024 HOPE (The Journal of Health Promotion and Education)
Edukasi Pada Asuhan Kebidanan Dari Usia Kehamilan 21 Minggu Sampai Dengan 42 Hari Masa Nifas Di Uptd Puskesmas Kuta Utara
Comprehensive obstetric services are provided to prevent complications that can threaten the lives of mothers and babies and can reduce maternal and infant mortality rates. This report aims to determine the results of the implementation of continuity of care according to standards in mother "SS" aged 26 years old primigravida from 21 weeks of pregnancy to 42 days of postpartum period. On the third visit, a problem was found, namely back pain and prenatal yoga was given. The first stage of labor lasted for 3 hours and 40 minutes, the second stage lasted 20 minutes from 10 cm dilation until the baby was born. The baby was born at 09.00 WITA with strong cries and active movements. The third stage lasted 10 minutes, the mother had no problems in the fourth stage. There were no problems with the baby during the neonatal visit. Mrs. SS's postpartum period was carried out 4 times, during the first visit the mother felt pain in the birth canal, during the second visit the mother had no complaints. Complementary postpartum care the author taught Mrs. S's husband to do endorphin back massage to increase breast milk production. During the 28-day monitoring, the baby was healthy with no complications. The mother used a 3-month injection of birth control. Continuity of Care midwifery care for Mrs. SS starting from 21 weeks of pregnancy, labor, postpartum, BBL and family planning has been implemented and the mother is included in the low-risk group.
Copyright (c) 2025 HOPE (The Journal of Health Promotion and Education)
EDUKASI ASUHAN CONTINUITY OF CARE (COC) DAN KOMPLEMENTER PADA IBU “YA” DARI MASA KEHAMILAN HINGGA NIFAS
Program pemerintah berkaitan dengan usaha meningkatkan Kesehatan Ibu dan Anak yang berkesinambungan dari kehamilan, persalinan, masa nifas . Asuhan kebidanan komprehensif sesuai standar dari kehamilan sampai masa nifas adalah salah satu upaya untuk menurunkan AKI dan AKB. Tujuan studi kasus ini untuk mengetahui hasil asuhan yang diberikan pada ibu “YA” dari kehamilan trimester II sampai masa nifas dan bayi baru lahir sesuai standar. Metode penentuan kasus yang digunakan yaitu melalui wawancara, pemeriksaan, observasi serta dokumentasi. Asuhan diberikan dari bulan September 2024 sampai Maret 2025. Perkembangan kehamilan ibu “YA” berjalan secara fisiologis. Asuhan komplementer diterapkan dengan baik sesuai kebutuhan ibu. Ibu bersalin pervaginam tanpa komplikasi. Kala I berlangsung selama sepuluh jam, kala II tiga puluh menit, kala III lima menit dan pemantauan kala IV dalam batas normal. Bayi lahir tanggal 1 Maret 2025 pukul 05.30 Wita segera menangis, gerak aktif, kulit kemerahan dan berat lahir 3150 gram. Pada masa nifas proses involusi uterus, pengeluaran lokea, laktasi dan psikologis berlangsung dalam batas normal. Bidan harus selalu memberikan asuhan kebidanan sesuai standar karena sangat penting untuk memantau dan mendeteksi penyulit dan komplikasi pada proses kehamilan, persalinan, nifas dan bayi.
PEMBERIAN EDUKASI DAN ASUHAN PADA IBU “YJ” UMUR 23 TAHUN DARI MASA KEHAMILAN HINGGA NIFAS
Continuity of Care (COC) masa kehamilan, persalinan, nifas, neonatus dan bayi merupakan salah satu upauya yang dilakuakn Pemerintah untuk menurunkan Angka Kematian Ibu dan Bayi. Tujuan penulisan laporan kasus ini untuk mengetahui hasil penerapan asuhan kebidanan COC pada ibu “YJ” umur 23 tahun primigravida beserta bayinya dari umur kehamilan 13 minggu sampai dengan 42 hari masa nifas. Pengumpulan data dilakukan melalui wawancara, pemeriksaan, observasi, dan dokumentasi. Asuhan kehamilan berlangsung fisiologis, sesuai standar 12 T dan penerapan komplementer prenatal massage, prenatal yoga dan kompres hangat. Asuhan persalinan kala I berlangsung 12 jam, kala II 20 menit, kala III 10 menit, kala IV dan bayi baru lahir berlangsung normal dengan penerapan komplementer relaksasi nafas dalam, birth ball dan massage punggung bawah. Pada masa nifas proses involusi, lochea, laktasi, dan adaptasi psikologis berlangsung normal dengan penerapan komplementer pijat oksitosin, body massage, dan senam kegel. Asuhan neonatus hingga bayi berumur 42 hari sudah sesuai standar, dengan penerapan komplementer pijat bayi. Pertumbuhan dan perkembangan bayi normal. Saran menerapkan COC pada semua ibu hamil dengan penerapan komplementer sesuai dengan budaya local.
TINGKAT PENGETAHUAN SWAMEDIKASI DIARE AKUT DI BANJAR ROBOKAN PADANGSAMBIAN KAJA
Acute diarrhea is a common health issue that can have fatal consequences if not properly managed. This study aims to identify the knowledge level of the community regarding self-medication for acute diarrhea and its relationship with demographic factors. The method used is a quantitative approach with a cross-sectional study design, where data were collected through questionnaires distributed to 97 respondents in Banjar Robokan. Data analysis was performed using Chi-Square statistical tests to determine the relationship between variables. The results indicate that 55.67% of respondents have a good level of knowledge, while 44.33% have sufficient knowledge. No respondents fell into the poor knowledge category. A significant relationship was found between knowledge and gender, but no relationship was identified between knowledge and the factors of occupation, age, or education. The conclusion of this study is that the knowledge level of the community regarding self-medication for acute diarrhea in Banjar Robokan is reasonably good; however, there is still a need for enhanced understanding through health education programs. This research provides important insights for the development of health policies in the community, particularly concerning diarrhea
PEMBERIAN EDUKASI CONTINUITY OF CARE (COC) PADA IBU ‘NI’ USIA 29 TAHUN SEJAK KEHAMILAN HINGGA MASA NIFAS
Comprehensive and continuous midwifery care provided from pregnancy to postpartum for mothers and babies can improve health and reduce the risk of complications. This report aims to determine the results of care provided to mother 'NA' from 20 weeks of pregnancy to 42 days of postpartum and newborns. This study uses a case study with data collection techniques through interviews, examinations, observations and documentation. Care has been provided from September 2024 to March 2025. The development of mother 'NA's' pregnancy was physiological and in accordance with the standards of ANC visits and complementary care provided, namely prenatal yoga, acupressure and aromatherapy. The mother gave birth vaginally without complications at PMB. The first stage lasted for 4 hours, the second stage 20 minutes, the third stage 10 minutes and monitoring of the fourth stage was within normal limits. The baby was born crying immediately, actively moving and weighing 2,900 grams and IMD had been carried out and was successful in the first hour. The process of uterine involution, lochia discharge and lactation during the postpartum period were normal. The care of the baby of mother “NA” for 42 days has implemented the principles of asah, asih, asuh and good baby growth and development. Midwifery care must be provided according to standards as an effort to monitor and detect complications in the process of pregnancy, childbirth, postpartum and the baby.
PEMBERIAN EDUKASI CONTINUITY OF CARE (COC) PADA IBU ‘NA’ USIA 32 TAHUN SEJAK KEHAMILAN HINGGA MASA NIFAS
Pregnancy is a physiological process that requires special attention, especially for Primigravida mothers who have a higher risk of obstetric complications. This case study aims to determine the results of the implementation of Continuity Of Care midwifery care for a 29-year-old primigravida mother "NI" and her baby who received comprehensive and continuous midwifery care from 16 weeks of pregnancy to 42 weeks of postpartum. The methods used were interviews, examinations, observations and documentation. Care was carried out from October 2024 to May 2025. The pregnancy period was physiological and the complementary care provided during pregnancy was a brain booster with Mozart classical music, prenatal yoga, massage efleurage and Gym Ball. Giving birth at full term vaginally without complications. The baby was born spontaneously, birth weight 2800 grams and Early Breastfeeding Initiation was carried out. The postpartum period was physiological, care was given according to standards and the complementary care provided was oxytocin massage. The lactation process is not hampered because it is supported by the husband and family. Midwifery care for babies is in accordance with essential neonatal services and complementary baby massage is carried out. Through continuous care, pregnant women are more prepared and confident in facing every physiological change. Risk factors can be detected as early as possible so that no complications occur in the mother or baby.
The high prevalence of undetected and untreated mental health problems in adolescents in Indonesia due to a number of reasons, such as a lack of knowledge or awareness of mental health among health workers, or stigma that prevents adolescents from seeking help, can increase the possibility of risky behavior. The purpose of this study was to determine the effectiveness of educational videos in efforts to promote mental health in adolescents at Junior High Scholl Number 11 Denpasar in 2025. The research method was a pre-experimental design with a one-group pretest and post-test design involving 36 samples of adolescent students in grade IX of Junior High school Number 11 Denpasar. The results of this study showed that the level of knowledge of students about mental health before being given education through videos was mostly sufficient, namely 25 people (69.4%). The level of knowledge of students about mental health after being given education through videos was mostly in the good category, namely 23 people (63.9%). Educational videos were effective in efforts to promote mental health in adolescents at Junior High school Number 11 Denpasar in 2025 with a p-value of 0.00. It is hoped that educational videos will be integrated into the education curriculum. This can help students better understand mental health issues and prepare them to face potential challenges.
Faktor-Faktor yang Mempengaruhi Perilaku Bullying pada Anak dan Remaja: Kajian Systematic Review Berdasarkan Protokol PRISMA
Bullying merupakan fenomena kekerasan sosial yang berdampak serius terhadap kesejahteraan psikologis dan perkembangan sosial anak serta remaja. Penelitian ini bertujuan mengidentifikasi dan mensintesis hasil penelitian terkait faktor-faktor yang mempengaruhi perilaku bullying dengan pendekatan Systematic Review menggunakan protokol PRISMA. Pencarian literatur dilakukan melalui database PubMed, ScienceDirect, Google Scholar, dan SpringerLink dengan kata kunci “bullying”, “factors influencing bullying”, “school bullying”, dan “adolescent”. Artikel yang dipublikasikan antara tahun 2015–2024 diseleksi menggunakan kriteria inklusi dan eksklusi yang telah ditetapkan. Proses seleksi mengikuti empat tahapan PRISMA: identification, screening, eligibility, dan inclusion. Dari total 312 artikel yang diidentifikasi, 18 artikel memenuhi kriteria untuk dianalisis. nalisis menunjukkan bahwa faktor yang mempengaruhi bullying terbagi menjadi tiga kategori utama: (1) faktor individu (rendahnya empati, kontrol diri, dan harga diri); (2) faktor keluarga (pola asuh otoriter, kekerasan dalam rumah tangga, kurangnya dukungan emosional); dan (3) faktor lingkungan sosial dan sekolah (norma kelompok, iklim sekolah negatif, dan pengaruh media digital). Kesimpulan: Perilaku bullying merupakan hasil interaksi kompleks antara faktor internal dan eksternal. Pendekatan pencegahan yang efektif memerlukan kolaborasi antara sekolah, keluarga, dan masyarakat dengan menekankan penguatan karakter, empati, dan komunikasi positif.
The Effect of Lactation Massage Education on Breast Milk Production in Postpartum Mothers
Exclusive breastfeeding can indirectly reduce the Infant Mortality Rate (IMR). Insufficient breast milk production may cause mothers to experience difficulties during the breastfeeding process. This study aimed to determine the effect of lactation massage on breast milk production among postpartum mothers in the TPMB Ni Ketut Parwati, A.Md.Keb area.The method used in this study was a pre-experimental design with a one-group pretest–posttest design. The research was conducted from March to April 2025. Breastfeeding does not always proceed normally; therefore, efforts to increase breast milk production can be carried out using non-pharmacological methods such as lactation massage. The study population consisted of all postpartum mothers aged 0–42 days who were breastfeeding and recorded in the visit register in the TPMB Ni Ketut Parwati, A.Md.Keb area. A total of 30 respondents were selected using purposive sampling. Univariate analysis was performed using frequency distribution, while bivariate analysis involved the Shapiro–Wilk normality test. Data were analyzed using a paired t-test if the data were normally distributed, and the Wilcoxon test if the data were not normally distributed. Data processing was conducted using computer-based applications. Univariate and statistical analyses were performed with a significance level of p < 0.05. The results of the univariate analysis showed that all respondents were aged 20–35 years, most of them were primiparous, and the respondents’ educational levels were evenly distributed between basic and secondary education categories. The normality test in this study used the Shapiro–Wilk test. Data were analyzed using a paired t-test, resulting in a p-value of 0.000, which indicates that lactation massage has a significant effect on breast milk production. Lactation massage intervention in postpartum mothers can improve the smooth flow of breast milk during breastfeeding because lactation massage stimulates the pituitary gland to release prolactin and oxytocin hormones, which play an important role in the milk ejection process. This study is expected to serve as a Standard Operating Procedure (SOP) in comprehensive midwifery care to increase breast milk production among postpartum mothers.
Gambaran Pengetahuan Ibu Tentang Baby Gym Untuk Pemberian Edukasi Perkembangan Anak Usia 1-5 Tahun
Infancy is a golden and critical period of development. The prevalence of developmental delays among infants in Indonesia remains high, one of which is caused by a lack of early stimulation from parents. Baby gym has been proven to be effective in improving infants’ gross motor development. This study aimed to describe mothers’ knowledge of baby gym as a form of gross motor development stimulation for children aged 1–5 years at TPMB Wahidah, S.ST in 2025. The method used in this study was a descriptive design with a cross-sectional approach. The study was conducted over a one-month period, in May 2025. The population consisted of mothers who had children aged 1–5 years. A total of 30 mothers with children aged 1–5 years were selected as samples using purposive sampling. Data were collected using structured questionnaires and analyzed using univariate analysis. The results showed that most mothers were aged 20–35 years, had secondary education, worked as housewives, and were primiparous. In addition, the majority of mothers had a moderate level of knowledge regarding baby gym. Mothers’ knowledge levels were influenced by age, education, occupation, and parity. Mothers aged 20–35 years, with secondary education, housewives, and multiparous mothers tended to have better knowledge. This study recommends the need for continuous education to improve mothers’ and families’ knowledge about the importance of baby gym in supporting child growth and development, as well as providing easily understandable informational media.
Pemberian Stimulasi Oleh Ibu Berhubungan Dengan Perkembangan Motorik Kasar Dan Halus Pada Anak Usia 6-12 Bulan
ABSTRACT During infancy, a child undergoes a critical phase that significantly influences their development. Often referred to as the "golden period," this stage is essential in shaping a person's character. It is termed a critical period because, during this time, the baby is highly responsive to its environment, and it is called the golden period due to the rapid and irreversible nature of development in infancy. According to screening tests conducted by the Indonesian Ministry of Health across 30 provinces, 45.12% of infants were found to have developmental delays, primarily caused by insufficient stimulation. This study aims to determine the relationship between providing stimulation and the development of infants aged 6-12 months. The research design is quantitative with a cross-sectional approach. The study population were babies aged 6-12 months in the working area of Gamping 1 Health Centre in Yogyakarta, with a quota sampling technique used to select 120 respondents. The research instruments included a questionnaire for stimulation variables and the KPSP (Kuesioner Pra Skrining Perkembangan) for assessing infant development variables. Bivariate data analysis was conducted using the Chi-Square test. The results showed that most mothers provided good stimulation (93.3%), and 84.2% of infants aged 6-12 months exhibited normal development. A significant relationship was found between providing stimulation and infant development, with a p-value of 0.000. In conclusion, there is a strong relationship between providing stimulation and the development of infants aged 6-12 months in the working area of Gamping 1 Health Centre in Yogyakarta
SKOR NEUROPATI PADA LANSIA DENGAN DIABETES MELLITUS DI POLIKLINIK GERIATRI RUMAH SAKIT TK II UDAYANA DENPASAR
The most common complication that arises in elderly individuals with diabetes mellitus is neuropathy. People often overlook neuropathy because they rarely feel its symptoms. This study is quantitative with a cross-sectional approach, with a sample size of 89 elderly patients with diabetes mellitus at the Geriatric Polyclinic of RS Tk II Udayana. Data collection was conducted through direct observation by the researcher to assess neuropathy scores using the Ipswich Touch Test. The analysis used was univariate analysis with descriptive analysis. The study found that based on the characteristics of the elderly, there were 65 people (73.03%) aged 60-74, 49 men (55.05%), 32 people (35.96%) with a high school education, and 57 people (64.04%) with diabetes for more than 5 years. The neuropathy score mostly indicated no neuropathy, with 81 people (91.01%), but 8 people (8.99%) still showed neuropathy symptoms. Elderly individuals with diabetes mellitus experience neuropathy after assessment and exhibit symptoms related to neuropathy. The elderly are required to conduct regular self-examinations for early detection.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KUALITAS HIDUP PADA LANSIA HIPERTENSI YANG MEMBUTUHKAN PERAWATAN JANGKA PANJANG
Hypertension is a degenerative disease that is often suffered by older people. Older people with hypertension often require long-term care in managing blood pressure to avoid complications. Chronic disease and complex management often have an impact on the quality of life of older people. Families have an important role in assisting older people with hypertension to improve their quality of life. The purpose of this study was to determine the relationship between family support and the quality of life of older people with hypertension. The method used in this study was correlation analytic with a cross-sectional approach. The population in this study were older people suffering from hypertension in the working area of Puskesmas IV South Denpasar. The number of samples in this study were 110 respondents who were taken with convenience sampling technique. The research instruments used were a family support questionnaire (cronbach’s alpha 0.628) and a quality of life questionnaire (cronbach’s alpha 0.880). The results showed that most older people had good family support (69 respondents/62.7%) and most hypertensive older people had a good quality of life (70 respondents/63.6%). The results of the analysis of the Spearman Rho correlation coefficient calculation were 0.663 with a p value <0.001. This means, there was a strong relationship between family support and the quality of life of older people with hypertension. The better the family support, the better the quality of life of older people. Families need to increase family support, especially in the information domain for older people who have poor quality of life.
Balita, Gangguan Bicara, Tenung GAMBARAN TENUNG KELAHIRAN PADA BALITA DENGAN GANGGUAN BICARA DI PRAKTIK MANDIRI BIDAN NI MADE SINARSARI
Someone is said to be late in speaking (speech disorder) if at that age his ability to produce sounds and communicate is below the average for children his age. Handling speech disorders can be done through two approaches, namely conventional and traditional approaches. This research is useful to help provide traditional services and solutions to toddlers with speech disorders. This type of research is descriptive research, with the aim of finding out the description of Pranata Wangsa's birth magick with speech disorders in toddlers. This research was carried out in November 2024. Based on Tenung Pranata Mangsa, the modus results were obtained, namely the birth of sasih Kasa, Kadasa and Sadha, each of which had 9 toddlers (15.0%). The characteristics of children with sasih include being quiet, liking to be alone, having a tough character, not wanting to give in and being intelligent. Meanwhile, based on Pythagorean Numerology, 60 toddlers (100%) have the number 2 on the maternal line, which means they are indecisive, timid and also have speech impediments when they are young.
PENGARUH PENYULUHAN DETEKSI DINI KANKER SERVIKS DENGAN MOTIVASI IBU MELAKUKAN PEMERIKSAAN IVA DI KLINIK MENYALI HUSADA
The high number of deaths due to cervical cancer in Indonesia is still a cause for concern and concern. The highest death rate for women of childbearing age after breast cancer is cervical cancer. Meanwhile, early detection of cervical cancer using the simple method of visual inspection with acetic acid (IVA) is very low. This research aims to analyze the effect of counseling on mothers' motivation to undergo VIA examinations at the Nyali Husada clinic. This research method is quantitative with a one group pre-post test approach. The dependent variable is the mother's motivation for having an IVA examination while the independent variable is health education. The sampling technique in this research was purposive sampling with a total sample of 76 respondents. The research instrument used a questionnaire that was given before and after receiving counseling. Next, carry out univariate and bivariate analysis by previously normalizing the data. The research results report that there is a statistically significant effect of counseling which can increase mothers' motivation to undergo VIA examinations with a p value <0.05. The conclusion is that counseling has an effect on increasing mothers' motivation to undergo VIA examinations. Keywords: Extension; Motivation; Cervical cancer; IVA
Hubungan Pengetahuan, Dukungan Suami, Dan Jarak Tempat Tinggal Dengan Perilaku Pemeriksaan Iva Pada Wanita Usia Subur Di Puskesmas Kuta Utara
The 2020 World Health Organization report stated that cervical cancer is the leading cause of death among women in Indonesia, with 21,003 fatalities and a mortality rate of 14.4 per 100,000 population. In Badung Regency, the incidence of cervical cancer increased from 12.1% in 2021 to 17.1% in 2022, with the highest number of cases reported in the working area of North Kuta Public Health Center (18.8%). This study aimed to analyze the relationship between knowledge, husband's support, and residence distance with IVA Test examination behavior among women of childbearing age (WCA). Methods: This quantitative study employed a cross-sectional design conducted in March-April 2024. The sample was selected using purposive sampling, and data were collected through questionnaires. Results: The study found that most respondents had sufficient knowledge (45%), lived far from the North Kuta Public Health Center (58%), and did not receive support from their husbands (69%). However, the majority of respondents (64%) had undergone an IVA Test. Chi-Square analysis revealed a significant relationship between knowledge and IVA Test examination behavior (p = 0.019) and between husband's support and IVA Test behavior (p = 0.044). Conversely, there was no significant relationship between residence distance and IVA Test behavior (p = 0.357).Conclusions: IVA Test examination behavior among WCA is associated with knowledge and husband's support but is not related to residence distance. The Public Health Center is encouraged to enhance health education about the importance of IVA Test as an early detection measure for cervical cancer.
Hubungan Antara Pengetahuan, Paritas, Dan Dukungan Suami Dengan Penggunaan Kontrasepsi Implant Di Unit Pelaksana Teknis Daerah Puskesmas Kuta Utara
Background: The use of implant contraception among couples of reproductive age remains a major concern in efforts to improve reproductive health, especially in developing countries. This study aims to determine the relationship between knowledge, parity, and husband support with the use of implant contraception at the North Kuta Community Health Center Technical Implementation Unit (UPTD Puskesmas Kuta Utara) in 2024. Methods: This study used a quantitative approach with a cross-sectional design. Sampling was conducted using purposive sampling technique from February to March 2024, with a total sample of 38 respondents. Data were collected using a questionnaire that had been tested for validity and reliability (test result 0.361). Data analysis was performed using univariate and bivariate analysis with the Rank-Spearman test. Results: The results showed a significant relationship between knowledge and the use of implant contraception (p = 0.001), parity and the use of implant contraception (p = 0.05), and husband support and the use of implant contraception (p = 0.008). Good knowledge about implant contraception, high parity, and strong husband support were identified as important factors encouraging the use of implant contraception. Conclusion: It was found that knowledge, parity, and husband support have a significant relationship with the use of implant contraception. Therefore, efforts to improve knowledge about implant contraception, understanding of parity, and husband support need to be enhanced to encourage the use of implant contraception in the community.
HUBUNGAN PENGETAHUAN DENGAN KEPATUHAN MINUM OBAT DI PUSKESMAS KUTA SELATAN DAN PUSKESMAS KUTA UTARA
Tuberculosis (TB) is one of the infectious diseases that is still a global health problem. In 2023, there were 820,789 cases (77%) per year with an increase of 42.3% per year, with a mortality rate reaching 134 thousand per year. Low levels of medication adherence are still often found in TB patients, so medication adherence is the key to successful TB treatment. This study aims to determine the relationship between knowledge and medication adherence in TB patients. This study used a cross-sectional design, a population of 93 people and a sample of 75 people. The sampling technique used was purposive sampling. The independent variables include knowledge, the dependent variable is medication adherence, measured using a questionnaire and pill count sheet. Data analysis used the Spearman's rho test. The results showed that knowledge had a significant and strong relationship with r value= 0,632 and p value (p = 0.000). The conclusion of the study is that there is a relationship between the level of knowledge with medication adherence in TB patients. Research is needed on other factors related to compliance in taking tuberculosis medication
Gambaran Perilaku Anak Buah Kapal Tentang Higiene Sanitasi Kapal Penumpang di Pelabuhan Harbour Bay Tahun 2024
Ship hygiene and sanitation are important in disease prevention efforts. Ship's crew (ABK) does not know much about the hygiene and sanitation of this ship. This study aims to determine the description of the knowledge, attitudes, and actions of crew members about ship sanitation hygiene at the Port. This study uses a quantitative descriptive research design, a sample of 70 crew members at Harbour Bay Port. The results showed the measurement of the level of knowledge of respondents about the application of ship sanitation hygiene in the good category as many as 36 respondents (51.4%), had sufficient knowledge as many as 33 respondents (47.2%) and had less knowledge as many as 1 respondent (1.4%). Respondents had a positive attitude as many as 53 respondents (75.7%), had a negative attitude as many as 17 respondents (24.3%). All respondents (100%) had good actions about ship sanitation hygiene. It is recommended that crew members can seek more information about ship sanitation hygiene through existing information sources such as the internet or social media so that crew members' knowledge can increase. Keyword : Port, Sanitation Hygiene, Ship Crew.
Persepsi Remaja Kota Terhadap Perilaku Merokok Elektrik
Electric Cigarettes or often called Vape, are a modification of conventional smoking behavior. The number of e-cigarette users increased from 516,377 people (0.3% of the population) in 2011 to more than 6 million people (3% of the population) (WHO, 2024). Vape communities have been found in many big cities. The Jabodetabek area is an urban area in three provinces in Indonesia, namely DKI Jakarta, West Java and Banten. The largest number of Vape users are teenagers, where the use of e-cigarettes has become a trend or lifestyle for teenagers. The purpose of this study was to see the perception of teenagers starting from the intention (intention) of teenagers to behave which is the result of a combination of attitudes and subjective norms and characteristics of teenagers regarding e-cigarette smoking behavior. The research method used a cross-sectional method. The population of this study were Muhammadiyah school teenagers spread across the Jabodetabek area with a quata sampling technique of 350 respondents. The results of the study were carried out through univariate, bivariate and multivariate analysis. The variables related to the bivariate analysis are age, pocket money and knowledge, as well as the results of the multivariate analysis. The three variables reappear, but the knowledge variable has a significant result (p <0.001) with Exp (B) = 0.079, indicating that higher knowledge can reduce positive perceptions of e-cigarettes. Overall, the knowledge variable shows a significant effect on the perception of danger, both in bivariate and multivariate analysis, while the age and pocket money variables are less significant in the multivariate model. The conclusion of the study shows that the Theory of Planned Behavior (TPB) perception of adolescents is directly proportional to positive subjective norms as a result of decision making not to smoke e-cigarettes
FACTORS RELATED TO THE INCIDENT OF TUBERCULOSIS IN BTA (+) POSITIVE PATIENTS IN THE WORKING AREA OF THE JONGGOL HEALTH CENTER IN 2024
Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. This disease usually attacks the respiratory organs, especially the lungs and can be transmitted to other organs. The aim of this research is to find out what factors influence the incidence of tuberculosis in the working area of ??the Jonggol Community Health Center. The number of samples was 134 for cases and 134 for controls. The method used in this research is case control. Determining respondents using probability sampling. Data collection techniques were carried out by distributing questionnaire sheets, literature studies with several supporting references. The data analysis technique used is the chi square test. The results of the bivariate test show that variables related to the incidence of Tuberculosis are smoking behavior (pvalue=0.000), knowledge (pvalue=0.005), residential density (pvalue=0.000), and ventilation (pvalue=0.009). Based on the results of this research, it is hoped that the Jonggol Community Health Center can be more active in providing more information to sufferers about the risk of contracting tuberculosis and inviting the public to play a role in preventing the transmission of tuberculosis.