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
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.
PENGARUH METODE KANGURU TERHADAP PERUBAHAN SUHU TUBUH PADA BAYI BERAT LAHIR RENDAH DI RSUD DOMPU TAHUN 2023
The kangaroo method is the most effective way to maintain normal body temperature for LBW by holding the baby close to the mother's body with direct contact between the baby's skin and the mother's skin. This study aims to determine the effect of the kangaroo method on changes in body temperature in low birth weight (LBW) babies. This research design uses an experimental research design with a Pre-Experimental One Group Pretest-Posttest design. The sample in this study were all LBW who received kangaroo method treatment in the NICU Room at Dompu Regional Hospital from July to August 2023, namely 35 babies. The sampling technique is purposive sampling. Data were collected using measurements and observations, before and after the intervention was given, then analyzed using the Paired T-test with a significance level of 95% (? 0.05). The results showed that the average change in temperature after using the kangaroo method was 0.23oC. Based on the results of the analysis using the Paired T-test with an interpretation value obtained þ= 0.000 (?< 0.05), which means the kangaroo method has an effect on changes in LBW body temperature. From the research results, it is hoped that the kangaroo method of treatment will be used as a reference for treating hypothermia in low birth weight (LBW) babies.
Hubungan Peran Ibu sebagai Anggota PKK sekaligus Orang Tua terhadap Status Vaksinasi Covid-19 Anaknya di Kota Denpasar
Keberhasilan dan tingginya cakupan vaksinasi covid-19 pada anak usia 6 – 11 tahun memerlukan dukungan dan kerja sama lintas sektoral. Tidak hanya lembaga – lembaga pemerintah, peran ibu juga sangat diperlukan. Tujuan penelitian ini untuk mengetahui hubungan antara partisipasi ibu sebagai anggota PKK sekaligus orang tua terhadap status vaksinasi covid-19 anaknya. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini adalah ibu yang menjadi bagian anggota PKK dan memiliki anak usia 6 – 11 tahun di Kota Denpasar. Pengumpulan data dilakukan secara daring menggunakan google formulir hingga jumlah sampel sebanyak 159 orang terpenuhi. Hasil penelitian menunjukkan ibu PKK yang aktif dalam kegiatan PKK sebesar 98,04%, anaknya telah menerima vaksin lengkap, namun keaktifan ibu dalam kegiatan PKK tidak berpengaruh terhadap status vaksinasi covid-19 anaknya, melainkan status vaksinasi covid-19 pada anak usia 6 – 11 tahun dipengaruhi oleh faktor ibu yang mengetahui bagaimana cara menangani KIPI (p = 0,001). Dari hasil penelitian ini dapat disimpulkan, Ibu yang mengetahui bagaimana cara menangani KIPI memiliki pengaruh terhadap status vaksinasi covid-19 anaknya, sehingga pemberian sosialisasi kepada ibu sebelum vaksinasi sebaiknya tidak hanya tentang manfaat vaksin, tapi juga menekankan bagaimana langkah penanganan KIPI yang tepat, sehingga ibu tidak khawatir dan was – was untuk memberikan ijin vaksinasi pada anaknya. Kata Kunci : Peran ibu; vaksin anak; covid-19
PENGARUH MEDIA VIDEO DAN POWER POINT SADARI TERHADAP PENINGKATAN PENGETAHUAN REMAJA PUTRI DI SMK KESEHATAN AMANAH HUSADA DAN SMK KENDEDES TAHUN 2023
The cases of breast cancer in Indonesia in the last five years reached 201,143 cases. With a death incident of 22,430 in 2020.The high incidence of breast cancer is not balanced by the spread of knowledge about it. There is still a lack of knowledge and methods of early detection, especially in women. The research method used in this study is quasi-experimental with a pre and post test two group design. This research design was carried out by comparing two groups given different media, namely SADARI video and SADARI PowerPoint for comparison of research results. The post test was carried out as a benchmark for the intervention given on the same day. There was an increase in the average score of knowledge of adolescent girls about SADARI after being given education through video and a decrease in the average score of knowledge of adolescent girls about SADARI after being given education through powerpoint. There is an effect of providing SADARI Video Media on the level of knowledge of adolescent girls at the SMK Kesehatan Amanah Husada. And there is no effect of SADARI PowerPoint media on the level of knowledge of adolescent girls at SMK Kendedes. There is a difference in the level of knowledge regarding the provision of video media and PowerPoint media with the average knowledge in the video group being higher than the PowerPoint group, so it can be said that providing video educational media is better than providing education through PowerPoint media.
EFEKTIVITAS MEDIA EDUKASI E-BOOKLET TERHADAP PENGETAHUAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBUR (WUS) DI PMB JABA DENPASAR
The prevalence of cervical cancer in Indonesia in 2019 based on the Indonesian Ministry of Health is 23.4/100,000 population with an average death rate of 13.9/100,000 population. The global strategy to accelerate the elimination of cervical cancer as a public health problem by setting a target of 70% of women being screened at the age of 35 years and repeated at the age of 45 years. The percentage of cervical and breast cancer screening examinations in women aged 30-50 years in West Java province is only 3.02%. The low knowledge and awareness of women to do early detection of cervical cancer is one of the reasons for the low number of women who do screening for early detection of cervical cancer. This study aims to determine the effectiveness of e-booklet educational media on knowledge of early detection of cervical cancer in WUS at PMB Jaba Denpasar. The research design was a pre-experimental one group pre-posttest design, using a non-probability sampling technique: purposive sampling with a total sample of 66 people. Data analysis used the Wilcoxon signed rank test. The result of the significance of the p-value on the knowledge variable is 0.000, there is a significant difference between WUS knowledge about early detection of cervical cancer before and after being given an intervention using the E-Booklet. It can be concluded that statistically there is an effect of providing health promotion with E-booklet media on increasing the knowledge of WUS at PMB Jaba Denpasar.
EFEKTIFITAS E-BOOKLET TERHADAP PENINGKATAN PENGETAHUAN TENTANG IVA TEST PADA WANITA USIA SUBUR DI DESA KAPAL KABUPATEN BADUNG BALI
The high mortality from cervical cancer is due to late detection. The screening method recommended by the government at the puskesmas level is the IVA test because it has the advantage of being cheap, practical and does not require a long time. Currently health promotion takes advantage can reach broader targets, one of which is by using e-booklets.The aim is to determine the effectiveness of the e-booklet on increasing WUS knowledge about the IVA test. This research is a quasi-experimental design with pre and post without control designs. The sample in this study were 100 women of childbearing age in Cempaka Baru Village, Kemayoran, Central Jakarta. The statistical test used tchi square test to determine the relationship of each characteristic, and used the Wicolxon test to determine the effectiveness of the e-booklet on WUS knowledge. The results of this study stated that there was a significant relationship between age, education level, parity, and work of women of childbearing age with the level of knowledge of women of childbearing age about cervical cancer detection. As well as the effect of providing Health Education with e-booklets on increasing knowledge in women of childbearing age with a p-value of 0.000 (<0.005).
GAMBARAN SUPERVISI PEMBERIAN EDUKASI KEPADA PASIEN DALAM PEMBERIAN PELAYANAN KESEHATAN DI KLINIK TA DENPASAR
Dalam dunia medis, komunikasi memegang peran penting terutama untuk tujuan menjaga manajemen kesehatan pasien di rumah sakit yang menyangkut nyawa. Kualitas edukasi dapat ditingkatkan dengan melakukan supervisi. Hasil studi pendahuluan yang dilakukan terhadap lima orang tenaga kesehatan menunjukan bahwa supervisi untuk mengevaluasi edukasi kesehatan kepada pasien yang dilakukan perawat dan bidan jarang sekali dilakukan. bekerja sama dengan pasien dan keluarga dalam mengidentifikasi kebutuhan edukasi yang diperlukan untuk meningkatkan kemampuan pasien merawat dirinya. Metode penelitian yang digunakan adalah kualitatif dengan case study. Penelitian ini menggunakan 5 petugas klinik yaitu 2 orang bidan, 2 orang perawat dan 1 orang farmasi. Informan kunci yaitu kepala klinik TA. Penentuan jumlah informan peneliti menggunakan simple random sampling. Hasil penelitian ditinjau dari man, money, method, machine, material dan environment masih sangat membutuhkan perbaikan dan perencanaan yang matang dari manajemen klinik untuk kegiatan supervise edukasi dalam pelayanan kesehatan.
The EFFECT OF AUDIOVISUAL HEALTH PROMOTION TO THE ENHANCE OF MOTHER KNOWLEDGE ABOUT STUNTING IN GADUNGAN VILLAGE, TABANAN, BALI
Stunting is not only a problem of height but also about a child’s low ability to learn, mental retardation and the emergence of chronic diseases. Stunting is a problem of chronic malnutrion in toddlers which is characterized by delayed growth. Quantitative research design, pre experimental research design, using design of one group pretest-posttest which is combined with one shot case study. This study only used one group sample, consists of 97 respondents, without any comparison groups. Observations were carried out twice, before and after the intervention. Pre experimental was used to examine the increase in mother’s knowledge about the incidence of stunting based on undertsanding, symptoms, prevention and treatment of stunting. The intervention was carried out once, by providing audiovisual impressions then continued by doing the post test. The data analysis used was Bivariat analysis with the wilcoxon Signed Rank Test, there were differences in the effect of applying audiovisual methods on increasing mother’s knowledge about stunting at the Gadungan Village Tabanan Bali with value 0,00 (p<0,05) there is an effective increase in the mother’s knowledge about stunting because one can receive messages quickly and easily remembered it can be received well, it’s more interesting and not watched because the mother can hear and see so the mother is very enthusiastic about the content of the material in the video . Health education using audiovisuals has a 71,4 % influence on mother’s knowledge about stunting, while 28,6 % influenced by other factors not studied.
The Correlation Knowledge, Attitudes, and The Role of Parents on HIV/AIDS Prevention Behavior Among Adolescents in Cilincing Sub-district, North Jakarta City in 2024
HIV/AIDS is a disease that attacks the human immune system, specifically targeting CD4 cells, which are an important component of the immune system. DKI Jakarta is ranked 7th as the province with the most AIDS patients in the productive age group, it can be interpreted that the beginning of HIV infection until it enters the condition of AIDS which lasts 5-12 years, then the initial age of infection is around 15-29 years old in the adolescent age group category. The purpose of this study was to determine the relationship between knowledge, attitudes, and the role of parents in HIV/AIDS prevention behavior in adolescents. In this study, the methodology used was a quantitative approach with a cros sectional study design. The sampling technique used was purposive sampling, data collection used was structured interviews using questionnaires. The statistical analysis used was bivariate analysis using the Chi Square test. The results of the bivariate test showed knowledge (p-value = 0.003 and PR = 1,770; 95% CI (1,111-2,820), and attitude (p-value = 0.034 and PR = 1,338; 95% CI (1,012-1,769). Knowledge and attitude variables have a significant relationship with HIV/AIDS prevention behavior in adolescents. Therefore, adolescents are encouraged to improve their knowledge and attitude in order to create consistency in preventing HIV/AIDS, and break the rope of spreading the virus.