Jurnal Kesehatan

Maternal knowledge and Determinant Factors Related to Cognitive Development of Stunted Toddlers in Bantul Regency, Yogyakarta

2025-07-21T11:55:57+07:00

Background: Stunting remains a major public health issue in Indonesia, with a prevalence of 21.6% in 2021 well above the SDG target of 14% by 2030. Beyond physical growth, stunting significantly impairs cognitive development, influencing future learning ability and productivity. Contributing factors include nutritional status, age, sex, birth conditions, and maternal knowledge.

Purpose: This study aimed to examine the association between maternal knowledge and other determinants with the cognitive development of stunted toddlers.

Methods: A cross-sectional study was conducted involving 48 mothers of stunted toddlers in Bantul Regency, Yogyakarta, selected via purposive sampling. Stunting was defined as a height-for-age z-score < -2 SD. Child cognitive function was measured using the Bayley-III, and maternal knowledge was assessed through a validated questionnaire. Statistical analysis included chi-square tests and logistic regression (p < 0.05; 95% CI), with model fit evaluated using AIC and R².

Results: Maternal knowledge was significantly associated with child cognitive development. Surprisingly, children of mothers with “adequate” knowledge had better cognitive outcomes compared to those with “good” knowledge (RR = 1.53; 95% CI: 1.52–1.53; p < 0.01). Other significant predictors included birth order (RR = 1.50 and 1.01; p < 0.05), gestational age (RR = 0.71; p < 0.01), low maternal education (RR = 1.33; p < 0.01), and maternal employment (RR = 1.42; p < 0.1 and p < 0.05). Child age was not significantly associated.

Conclusion: Maternal knowledge is a key determinant of cognitive development in stunted toddlers, even when controlling for demographic and social variables. Additional factors such as birth order, gestational age, maternal education, and employment also contribute. Holistic, stage-based interventions are essential to support cognitive development in stunted children.

A Study on Social Media’s Impact among Midwifery Students

2025-08-25T15:20:36+07:00

One of the key pillars of maternal and child health services is the midwifery profession, particularly in efforts to reduce maternal and infant mortality. However, in the globalized era, the challenges faced by midwives are more than just clinical skills, but also how the profession is portrayed and perceived by society, especially by the next generation of midwives. The aim of this research is to investigate at how utilizing social media affects how undergraduate students see midwifery as a profession. A correlational quantitative study was conducted involving 144 midwifery students from the Faculty of Medicine, Andalas University. We used proportionate stratified random sampling to choose the participants. Structured questionnaires were used to gather information about how people use social media and what they think about the midwifery profession. After checking that the data was normal, a Pearson correlation analysis was done. The findings demonstrated that most people had a positive opinion of the midwifery profession (mean = 29.84, SD = 3.10) and were highly interested in professional content on social media (mean = 26.10, SD = 3.20). YouTube, Instagram, and TikTok were the most visited websites. Social media use was strongly positively correlated with how others perceived your professional image (r = 0.548, p < 0.001). Social media has a major effect on how midwifery students see themselves as professionals. Adding digital professionalism and media literacy to the midwifery curriculum is important for helping people learn how to use digital tools in a responsible and moral way.

First to Listen, Last to Be Trained: A Pathway Analysis of Midwives’ Role in Perinatal Mental Health in Indonesia

2025-09-03T13:47:39+07:00

Background: Perinatal mental health disorders significantly contribute to maternal and neonatal morbidity, particularly in low- and middle-income countries (LMICs) such as Indonesia. Midwives, as frontline maternal healthcare providers, are uniquely positioned to screen for and support women experiencing mental health disorders. However, their involvement remains limited due to systemic, educational, and institutional barriers.

Purpose: This study aims to understand the factors influencing midwives' knowledge and utilization of perinatal mental health screening services in Indonesia.

Methods: A secondary analysis was conducted using cross-sectional data from an online survey of 300 midwives across Indonesia between June-August 2024. Variables included demographic characteristics, training experience, access to mental health resources, screening knowledge, and utilization behavior. Descriptive statistics and path analysis were used to examine direct and indirect influences on screening utilization.

Results: Despite an average of 15 years of clinical experience, only 9.7% of midwives had used mental health screening tools. Just 8.7% had received formal mental health training, and only one-third had access to relevant guidelines. Screening knowledge was significantly predicted by access to structured information sources (β = 1.42; p < 0.001) and directly influenced screening utilization (β = 3.05; p < 0.001). Indirect factors, such as duration of service or interest in training, had no significant effect. Public health outreach and structured training improved access to learning materials.

Conclusion: Despite strong interest among midwives, gaps in training, resources, and institutional support hinder effective mental health screening. Strengthening structured training programs and improving access to information are essential steps toward empowering midwives in perinatal mental health care. However, as most participants were from Western Indonesia, these findings should be interpreted with caution, and future studies should include broader geographic representation to better capture the national context

Community-Based Strategies for Perinatal Mental Health Services in Low-middle Income Countries: Scoping Review

2025-08-02T16:22:28+07:00

Introduction: Perinatal mental health is critical to the well-being of both mother and child, influencing maternal quality of life and child development. Community-based approaches have proven effective in enhancing service accessibility and quality while also reducing maternal morbidity.

Objective: This scoping review aims to identify and explore scientific evidence regarding strategies for delivering community-based perinatal mental health services in developing countries.

Method: This study employed a scoping review design guided by the Population–Concept–Context (PCC) framework. Literature searches were conducted across PubMed, ScienceDirect, Cochrane Library, EBSCO, and gray literature sources, including Google Scholar. Selected articles were critically appraised using the JBI Critical Appraisal Tools and the Mixed Methods Appraisal Tool (MMAT).
Results: Out of 726 records screened, 10 articles met the inclusion and exclusion criteria. The analysis revealed four central themes: (1) community-based mental health service strategies, (2) instruments used to detect perinatal mental health disorders, (3) enabling and limiting factors in implementing community-based services, and (4) the benefits of community-based mental health interventions.

Conclusion: Community-based mental health strategies are widely adopted in developing countries to address service gaps, particularly in settings with limited resources and access. However, challenges such as insufficient policy support, inadequate funding, limited training for healthcare providers, and persistent social stigma continue to hinder effective implementation.

Effect of Giving MMS (Multiple Micronutrient Supplement) Tablets on Changes in Anemia Status in Pregnant Women: A Quasi-Experimental Study

2025-07-07T13:17:20+07:00

Anemia in pregnancy is a health problem which impacts the mother and fetus, includes the risk of bleeding, premature birth, and low birth weight. One effort to overcome this condition is through giving nutritional supplement. This study aims to evaluate the effectiveness of administering Multiple Micronutrient Supplement (MMS) tablets in increasing hemoglobin levels in pregnant women who experience anemia. The research method used a randomized controlled study design such as an experiment with pre-test dan post-test with control group design. Respondents were pregnant women in their third trimester with a diagnosis of mild to moderate anemia, who were given MMS tablets for 30 days. Hemoglobin level data were measured before and after the intervention. The results showed a significant increase in hemoglobin levels after the administration of MMS with p-value(0.01<0.05), indicating that MMS tablets are effective as nutritional therapy to treat anemia in pregnancy. This study confirms that giving MMS supplements can be an alternative strategy in anemia control programs in pregnant women, especially in areas with high anemia incidence.

Symptom Severity, Anxiety, Family Support, and Resilience of Breast Cancer Patients Undergoing Chemotherapy

2025-04-29T16:49:50+07:00

Purpose: The objective of this study was to exploring the relationship of symptom severity, anxiety, and family support to the resilience of breast cancer patients undergoing chemotherapy. Method: This research is a quantitative correlation with a cross-sectional study design. The sample size was 107 breast cancer patients undergoing chemotherapy at hospitals in Aceh Province and selected non-randomly with consecutive sampling technique. Bivariate data analysis was Pearson correlation. Results: The results showed that there was a significant negative relationship between symptom severity with resilience (r -0.249; p 0.010), and anxiety with resilience (r -0.569; p < 0.001). There was a significant positive relationship between family support and resilience (r 0.184; p 0.049). Conclusions: Resilience of breast cancer patients undergoing chemotherapy is closely related to symptom severity, anxiety and family support. Recommendations, to oncology nurses in order to increase interventions, especially on factors that can reduce the severity of symptoms and anxiety of patients, also increase family support.

Work-Related Musculoskeletal Disorders in Brick Workers

2025-06-11T21:12:19+07:00

The brick-making industry is an industry with rough work that relies on the physical strength of its workers. The posture of workers when carrying out the work process is often not ergonomic, so workers are at risk of experiencing musculoskeletal disorders and discomfort due to posture when doing work that is not ergonomic and heavy physical workload because it is done manually relying on strength. This study was conducted to determine the description of MSDs complaints experienced by brickmakers and the factors influencing them. This study is a quantitative study with a cross-sectional design. Conducted from March to September 2024, with the research location in Sarilamak Village, Lima Puluh Kota Regency, West Sumatra. The study population was all workers, totaling 76 people in 35 brick production sites; the number of samples was 66 workers. Data collection was carried out using questionnaires and weight and height measuring instruments. Data were analyzed using univariate and bivariate analysis. The study shows that 80.3% of brick workers experience high-risk MSDs complaints. The body parts most complained about by workers during and after work are the waist, back, and calves. There is no relationship between age (p-value = 0.512), work period (p-value = 0.799), BMI (p-value = 0.191), work posture (p-value = 0.713), and workload (p-value = 0.517) with MSDs complaints in brick workers. There is no relationship between age, length of service, BMI, work posture, and workload with MSD complaints in brick workers. Business owners are expected to provide workers with ergonomic work equipment and help them improve their body position while working.

Pharmacogenomics in Drug Absorption and Its Implications for Personalized Medicine

2025-07-01T11:37:01+07:00

Pharmacogenomics explores the impact of genetic differences on medication responsiveness. Drug absorption, affecting bioavailability and therapeutic efficacy, is controlled by genetic variations in transporters including P-gp and the SLC family. Genetic polymorphisms may alter plasma medication concentrations, affecting both safety and effectiveness. Understanding pharmacogenomics in drug absorption may encourage individualized therapy by modifying drug selection and dose according to genetic profiles. Despite implementation problems, pharmacogenomics offers potential for safer and more effective medications.

THE EFFECT OF INTERPERSONAL THERAPY ON DEPRESSION AND ANXIETY AMONG ADOLESCENT INMATES IN ACEH: A PRE-EXPERIMENTAL STUDY

2025-06-13T19:37:39+07:00

Juvenile inmates are highly vulnerable to mental health disorders, particularly depression and anxiety. Factors such as the prison environment, limited social support, and restricted access to mental health services contribute to this vulnerability. If left untreated, these conditions can adversely impact their psychological well-being and rehabilitation process. Interpersonal Therapy is a psychotherapeutic approach focusing on interpersonal relationships, proven effective in treating affective disorders among adolescents. This study aimed to assess the effectiveness of Interpersonal Therapy in reducing depression and anxiety among juvenile inmates at the Banda Aceh Juvenile Correctional Institution. A Pre - experimental one-group pre-test and post-test design was employed. A total of 33 participants were recruited using purposive sampling, based on power analysis (power 0.80, effect size 0.70, α = 0.05). The intervention consisted of five sessions of Interpersonal Therapy. Data were collected using demographic questionnaires, the Beck Depression Inventory-II (BDI-II) to measure depression, and the Beck Anxiety Inventory (BAI) to assess anxiety levels. The Wilcoxon Signed-Rank Test revealed a significant effect of Interpersonal Therapy on reducing depression (Z = -3.764; p < 0.001) and a non-significant trend in reducing anxiety (Z = -1.732; p = 0.083). Before the intervention, most respondents had moderate depression (60.6%) and mild anxiety (66.7%). After the intervention, 45.5% of participants experienced minimal depression, while mild anxiety increased to 87.9%. The mean depression score decreased from 20.94 to 13.79, and the anxiety score from 17.27 to 13.58. Interpersonal Therapy was effective in reducing depression and contributed to improvements in anxiety among juvenile inmates. This therapy can be used as a non-pharmacological approach in psychiatric nursing to support adolescents mental well-being in correctional settings

Comparison of DNA Extraction Feasibility from Menstrual Blood and Endometrial Tissue in Reproductive-Aged Women

2025-07-01T11:58:29+07:00

ABSTRACT

The endometrium is a highly vascularized tissue composed of numerous blood vessels, with cells that are formed and destroyed during each menstrual cycle. Menstrual blood, which is shed cyclically from the endometrium in women of reproductive age, contains endometrial tissue or cells. Both deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) are the primary nucleic acids present in cells with nuclei. In this study, 20 samples of menstrual blood and endometrial tissue were collected from women of reproductive age. Menstrual blood was gathered using specially designed filter paper, and DNA was extracted using the QIAamp DNA Mini Kit (Qiagen, Cat No.: 51304). Endometrial tissue was obtained via biopsy, and DNA was extracted using the Geneaid DNA Isolation Kit (Geneaid, New Taipei, Taiwan). DNA purity and concentration were measured using a Thermo Scientific Nano-Drop microvolume Spectrophotometer. The results indicated an average DNA purity of 1.88 ± 0.09 and a mean concentration of 116.9 ng/µL for menstrual blood, while endometrial tissue had a median DNA purity of 1.92 and a concentration of 192 ng/µL. Statistical analysis revealed no significant difference in DNA purity between menstrual blood and endometrial tissue (p = 0.083), but a significant difference in DNA concentration was observed (p = 0.002). Although there was a slight difference in DNA concentration, both menstrual blood and endometrial tissue samples were equally effective in preserving optimal purity and concentration of DNA molecules.

Keywords: Deoxyribonucleic Acid, DNA, Endometrial Tissue, Menstrual Blood, Nucleic Acid.

Healing Wound with Bioelectric stimulation: A Systematic Review

2025-07-07T20:53:23+07:00

This study delves into the burgeoning field of bioelectricity and its application to wound healing. A comprehensive literature analysis was conducted using Scopus, examining 831 articles published between 2014 and 2024. Keyword co-occurrence analysis through VOSviewer identified vital research themes. The findings underscore a growing interest in understanding the underlying bioelectric mechanisms that govern wound healing and the development and application of bioelectric therapies. A critical literature analysis reveals the potential of bioelectric interventions to accelerate wound closure, enhance tissue regeneration, and improve overall patient outcomes. However, significant challenges remain, such as the need for standardized protocols, the development of innovative bioelectric materials, and robust clinical evidence. This review emphasizes the importance of continued research to translate promising preclinical findings into effective clinical treatments. A deeper understanding of bioelectric signalling and its manipulation will be instrumental in developing novel therapeutic strategies for wound healing