Jurnal Sehat Masada

EVALUASI PASCA PELATIHAN PENCEGAHAN DAN PENGENDALIAN INFEKSI TENAGA KESEHATAN PUSKESMAS: PENDEKATAN MODEL KIRKPATRICK

Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: Post-training evaluation is essential to assess the effectiveness of health training programs, particularly in ensuring behavioral change and workplace impact. This study aimed to evaluate post-training evaluation of Infection Prevention and Control (IPC) training based on the Kirkpatrick Model, particularly at the behavior and results levels, and to identify factors influencing post-training behavioral change. Methods: A quantitative evaluative cross-sectional design was employed. Respondents included IPC training alumni, their direct supervisors, and co-workers working in primary health centers across 10 districts/city in West Java Province. Data were collected using structured questionnaires and analyzed through descriptive statistics, difference tests, correlation analysis, and regression. Results: The alumni demonstrated high levels of knowledge, attitudes, and skill application; however, post-training behavioral change scores were relatively lower. Implementation of the Follow-up Plan showed a strong and consistent association with post-training behavioral change and emerged as the only significant predictor in the linear regression model. The logistic regression model revealed that self-assessment, action plan implementation, and enabling factors jointly contributed to a higher likelihood of behavioral change, although none were individually significant. Conclusion: This study concludes that behavioral outcomes of IPC training are largely determined by effective implementation of Follow-up Plans and supportive workplace environments. Strengthening the Action Plan mechanisms and integrating post-training evaluation based on the Kirkpatrick Model are therefore essential for enhancing the effectiveness and sustainability of health training programs.

EFEKTIVITAS SENI USIK WIWITAN DALAM MENURUNKAN TINGKAT KECEMASAN PADA PENYINTAS KANKER DI YAYASAN TANGAN BAIK INSANI

Alfina Nurislami, Emma Aprilia Hastuti, Efri Widianti, Siti Sugih Hartiningsih — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: Problems in psychological aspects, such as anxiety disorders. To overcome anxiety, this study used the Usik Wiwitan art intervention. Objective: This study aims to identify the effect of Usik Wiwitan art on anxiety levels in cancer survivors at the Tangan Baik Insani Foundation. Method: The type of research conducted was a pre-experiment with a one group pretest posttest design. The population in this study were cancer survivors at the Tangan Baik Insani Foundation with a total of 100 people in the past month. The sample of this study was 50 people. The results of the study before the Usik Wiwitan art intervention, most respondents experienced moderate anxiety, namely 31 people (63%). While after the Usik Wiwitan art intervention, the majority of respondents had mild anxiety, namely 26 people (52%). After conducting the Wilcoxon Signed Rank Test, a P-Value of 0.000 (< 0.05) was obtained Results: There was an influence of the art of Usik Wiwitan on the level of anxiety in cancer survivors at the Tangan Baik Insani Foundation. H1 is accepted and H0 is rejected.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN METODE KONTRASEPSI PADA AKSEPTOR KB DI UPTD PUSKESMAS TAMANSARI TAHUN 2025

Naili Rahmawati, Rodiyah Nuraeni, Maya Indriati, Berty Risyanti — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: UPTD Tamansari Public Health Center provides both long-acting reversible contraceptive methods (LARCs) and non-LARCs; however, the 2024 coverage rates remain low for IUDs (0.4%), implants (0.16%), condoms (0.48%), and oral contraceptive pills (0.2%), while injectable contraceptives reached 10.14%. Suboptimal contraceptive coverage may contribute to population growth and increase the risk of the “4 Too” conditions (too young, too old, too closely spaced pregnancies, and too frequent childbirth). The choice of contraceptive method is influenced by women’s knowledge, husband’s support, and the role of healthcare providers, including service availability, cost, and quality of counseling. Objective: To determine the frequency distribution of women’s knowledge about contraception, husband’s support, and the role of healthcare providers, as well as to analyze the associations between these factors and the choice of contraceptive method among family planning acceptors at UPTD Tamansari Public Health Center in 2025. Methods: This study employed a quantitative cross-sectional design. A total of 80 women of reproductive age were included as respondents. Data were collected using a structured questionnaire. Univariate analysis was conducted to describe frequency distributions, while bivariate analysis was performed to assess associations between variables. Statistical analysis was carried out using Jeffreys’s Amazing Statistics Program (JASP). Results: Of the respondents, 39 (48.75%) had good knowledge, 21 (26.25%) had moderate knowledge, and 20 (25%) had poor knowledge. Husband’s support was reported by 41 (51.25%) respondents, while 39 (48.75%) reported no support. The role of healthcare providers was perceived as adequate by 51 (64%) respondents and inadequate by 29 (36%). There were significant associations between women’s knowledge and contraceptive method choice (p = 0.043), husband’s support and contraceptive method choice (p = 0.026), and the role of healthcare providers and contraceptive method choice (p = 0.000). Conclusion: Women’s knowledge, husband’s support, and the role of healthcare providers are significantly associated with contraceptive method choice among women of reproductive age at UPTD Tamansari Public Health Center in 2025.

EVALUASI KEPATUHAN PELAPORAN INDIKATOR NASIONAL MUTU (INM) RUMAH SAKIT DI JAWA BARAT

Gugum Pamungkas, Intan Ananda Putri — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: The quality of hospital healthcare services can be measured through the periodic reporting of National Quality Indicators (NQI). NQI reporting constitutes a crucial component in quality improvement efforts and hospital accreditation assessment, as stipulated in Minister of Health Regulation No. 30 of 2022. However, some hospitals remain non-compliant with reporting requirements, necessitating a comprehensive evaluation of the underlying challenges. Objective: This study aimed to evaluate compliance with NQI reporting in hospitals that have never submitted reports by analyzing input, process, and output factors influencing its implementation. Methods: A qualitative study with an evaluative approach was conducted through in-depth interviews, observation, and document review. Informants included the Hospital Quality Assurance Officer and the Quality Team of the West Java Provincial Health Office. Data were analyzed using thematic analysis based on the Input–Process–Output (IPO) framework. Results: Compliance with NQI reporting was influenced by input factors, including staff knowledge and understanding, availability of infrastructure, the presence of standard operating procedures (SOPs), and training. In the process component, technical application issues, reporting delays, and suboptimal internal monitoring were identified. From the output perspective, non-compliance affected hospital accreditation processes and highlighted the need for technical guidance and capacity-building from the Health Office. Conclusion: Compliance with NQI reporting is strongly influenced by input readiness, smooth reporting processes, and supportive evaluation and supervision. Strengthening staff capacity, improving system and application support, and ensuring consistent internal monitoring are essential to enhance NQI reporting compliance.

DISKUSI KELOMPOK FOKUS YANG DIPIMPIN TEMAN SEBAYA MELALUI PIK-R UNTUK MENCEGAH TRIAD KRR REMAJA DI LINGKUNGAN SEKOLAH MENENGAH PERTAMA

Mira Meliyanti, Sintya Wulansari, Naya Oktaviani — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: Adolescents are a vulnerable age group to reproductive health problems known as the TRIAD of Adolescent Reproductive Health (TRIAD KRR), which includes risky sexual behavior, HIV/AIDS, and drug abuse. Limited knowledge and inappropriate attitudes toward reproductive health are factors that increase adolescents’ risk, particularly among junior high school students. Therefore, effective, participatory, and adolescent-friendly educational methods are needed to prevent TRIAD KRR. Methods: This study aimed to analyze the effectiveness of Focus Group Discussion (FGD) as a method for preventing TRIAD KRR by involving the Youth Information and Counseling Center (PIK-R) as peer educators at SMP Global Nusantara. A quasi-experimental design with a one-group pre-test and post-test approach was used. The participants were adolescents at SMP Global Nusantara selected through total sampling. The intervention was conducted using Focus Group Discussions facilitated by PIK-R peer educators. Data on knowledge and attitudes were collected using questionnaires and analyzed using a paired t-test. Results: The results showed a significant increase in the mean scores of adolescents’ knowledge and attitudes after the implementation of the Focus Group Discussion intervention. Statistical analysis indicated a p-value < 0.05, demonstrating a significant difference between pre-test and post-test scores for both knowledge and attitude variables. Conclusion: Focus Group Discussion involving PIK-R as peer educators is effective in improving adolescents’ knowledge and attitudes toward the prevention of TRIAD KRR. This method is recommended as an applicable and sustainable promotive and preventive strategy in adolescent reproductive health programs within the school setting.

EFEKTIVITAS PIJAT BAYI TERHADAP KUALITAS TIDUR BAYI 3-6 BULAN: STUDI PRE-EKSPERIMENTAL DI TPMBS S BAYONGBONG GARUT

Nabila Verin ZT, Maya Indriati — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: Infants aged 3–6 months are in a critical growth period in which sleep quality plays an important role. Infant massage is a non-pharmacological intervention that may improve infant sleep quality. Objective: To determine the effect of infant massage on sleep quality among infants aged 3–6 months at TPMB “S” Bayongbong, Garut, in 2025. Methods: This quantitative study used a pre-experimental one-group pretest–posttest design. The sample consisted of 30 infants aged 3–6 months who received routine infant massage for a specified period. Sleep quality was assessed before and after the intervention using the Brief Infant Sleep Questionnaire (BISQ). Data were analyzed using the Wilcoxon test with a significance level of p < 0.05. Results: Before the intervention, 66.7% of infants had poor sleep quality. After routine infant massage, all infants (100%) demonstrated good sleep quality. The Wilcoxon test showed a statistically significant difference in sleep quality scores before and after the intervention (p < 0.05), indicating a significant effect of infant massage on improving infant sleep quality. Conclusion: Infant massage is effective in improving sleep quality in infants aged 3–6 months. This intervention may serve as a simple therapy that can be performed independently by parents with education and guidance from healthcare providers, particularly midwives.

PERILAKU MEROKOK DAN DURASI TIDUR SEBAGAI KORELASI KESEHATAN MENTAL DI KALANGAN MAHASISWA KESEHATAN MASYARAKAT

Ejeb Ruhyat, Teguh Prawira, Weni Tusrini, Gugum Pamungkas — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background Mental health among students is related to lifestyle factors such as smoking behavior and sleep duration. Smoking behavior can have detrimental effects on mental health. Similarly, sleeping habits among students can also impact their mental well-being. Poor sleep duration can worsen the mental well-being of students. Objective The aim of this study is to analyze the relationship between smoking behavior and sleep duration with the mental health of students in the Departmen Public Health STIKes Dharma Husada Bandung. Research Method this study employs a descriptive quantitative method with a cross-sectional approach. The research was conducted on 109 students. The results were obtained using the chi-square test with a P-Value = 0.000. There is a significant relationship between smoking behavior and sleep duration with the mental health of students (P-Value 0.000 < 0.05). Conclusion 85 non-smoking students were found to have a 24,7% indication of mental health disorders, while among the 24 smoking students, 87,5% were indicated to have mental health disorders. Students with very good sleep duration (>7 hours) showed a 16,7% indication of mental health disorders, whereas students with very poor sleep duration (<5 hours) had a 90,7% indication of mental health disorders.

DUKUNGAN KELUARGA SEBAGAI PENENTU KEMANDIRIAN AKTIVITAS KEHIDUPAN SEHARI-HARI PADA LANSIA PASCA-STROKE

Erlina Fazriana, Depi Susanti — Mon, 16 Feb 2026 00:00:00 SE Asia Standard Time

Background: Stroke contributes to functional decline in older adults, particularly in performing Activities of Daily Living (ADL), thereby increasing the risk of dependency. Family support plays a critical role in promoting recovery and restoring independence. According to the 2023 Indonesian Health Survey, the prevalence of stroke was 3.54 per 1,000 among individuals aged 65–74 years and increased to 4.13 per 1,000 among those aged ≥75 years. Methods: This quantitative correlational study employed a cross-sectional design involving 50 post-stroke older adults selected through purposive sampling in the working area of Babakan Sari Public Health Center, Bandung City. Data were collected using a family support questionnaire and the Barthel Index. The Chi-square test was used to examine the association between variables. Results: Most respondents reported good family support and demonstrated mild to moderate levels of dependency in ADL. Statistical analysis revealed a significant association between family support and ADL independence (p < 0.05). Conclusion: There is a significant relationship between family support and ADL independence among post-stroke older adults. Strengthening active family involvement, particularly through informational support related to nutrition and elderly care as well as motivational and appraisal support during the recovery process, is recommended to improve quality of life.

HUBUNGAN FAKTOR PREDISPOSISI PREEKLAMSIA DENGAN KEJADIAN PREEKLAMSIA DI RSUD PALABUHANRATU TAHUN 2024

Nurhidayah Nurhidayah, Dyah Triwidiyantari — Tue, 17 Feb 2026 09:27:45 SE Asia Standard Time

Background: Preeclampsia is one of the major pregnancy complications contributing to maternal and fetal morbidity and mortality, particularly in developing countries. It is characterized by hypertension occurring after 20 weeks of gestation and may be accompanied by organ dysfunction, including proteinuria, renal impairment, and neurological disorders. Objective: This study aimed to determine the association between predisposing factors (maternal age, gravida status, history of preeclampsia, chronic hypertension, and multiple pregnancy/gemelli) and the incidence of preeclampsia at Palabuhanratu Regional General Hospital, Sukabumi Regency. Methods: This was an analytical observational study with a cross-sectional approach. The sample consisted of the total population of 131 delivering mothers diagnosed with preeclampsia at Palabuhanratu Regional General Hospital from January to December 2024. Data were collected from medical records and analyzed using the chi-square test with a significance level of p<0.05. Results: The results showed significant associations between maternal age (p=0.003), gravida status (p=0.002), history of preeclampsia (p=0.003), chronic hypertension (p=0.002), and multiple pregnancy/gemelli (p=0.001) with the incidence of preeclampsia. Conclusion: Maternal age, gravida status, history of preeclampsia, chronic hypertension, and multiple pregnancy were significantly associated with the incidence of preeclampsia at Palabuhanratu Regional General Hospital in 2024.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DEPRESI POSTPARTUM DI TEMPAT PRAKTIK MANDIRI BIDAN S KOTA BANDUNG TAHUN 2025

Sri Hennyati A, Alda Delvia, Maya Indriati, Ida Suryani — Tue, 17 Feb 2026 10:45:31 SE Asia Standard Time

Background: Postpartum depression is a common psychological disorder experienced by mothers after childbirth and may adversely affect the mother, infant, and family. Several factors are presumed to contribute to the occurrence of postpartum depression, including maternal age, parity, education level, and husband’s support. Objective: This study aimed to identify factors associated with the incidence of postpartum depression among postpartum mothers at an Independent Midwifery Practice (PMB S) in Bandung City. Methods: A descriptive correlational study with a cross-sectional design was conducted. The sample consisted of 40 postpartum mothers selected using total sampling. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure postpartum depression, and the Postpartum Social Support Questionnaire (PSSQ) was used to assess husband’s support. Data were analyzed using Fisher’s Exact Test. Results: A total of 67.5% of postpartum mothers experienced postpartum depression. Statistical analysis showed no significant association between age (p = 0.083), parity (p = 0.053), and education level (p = 0.664) with postpartum depression. However, a significant association was found between husband’s support and postpartum depression (p = 0.000). Conclusion: Husband’s support was the most significant factor associated with postpartum depression among postpartum mothers at PMB S Bandung City in 2025. Therefore, interventions involving husbands in postpartum care are essential to prevent postpartum depression.

PENGARUH PIJAT DEEP BACK MASSAGE TERHADAP NYERI PERSALINAN PADA FASE AKTIF TAHAP PERTAMA PERSALINAN PADA WANITA YANG MELAHIRKAN

Yeti Hernawati, Rina Elisa, Dyah Triwidiyantari, Rosita Rosita — Tue, 17 Feb 2026 11:00:12 SE Asia Standard Time

Background: Labor is a physiological process commonly accompanied by pain, which may lead to traumatic experiences and anxiety; appropriate non-pharmacological pain management, such as Deep Back Massage, may help mothers feel calmer and more relaxed. Methods: This study employed a quasi-experimental design with a pretest–posttest control group approach among mothers in the active phase of the first stage of labor at Bandung Kiwari Regional Public Hospital, Bandung City. Data were analyzed using univariate and bivariate analysis. Results: The administration of Deep Back Massage showed a significant effect in reducing labor pain intensity among mothers in the active phase of the first stage of labor. Conclusion: Deep Back Massage is effective in reducing labor pain during the active phase of the first stage of labor and can be implemented as a non-pharmacological method for pain management during childbirth.

PELVIC ROCKING SEBAGAI INTERVENSI NONFARMAKOLOGIS DALAM MEMPERCEPAT KEMAJUAN PERSALINAN KALA I

Ira Kartika, Mira Meliyanti, Dita Depiyanti — Tue, 17 Feb 2026 11:14:36 SE Asia Standard Time

Background: Aromatherapy during childbirth is considered a complementary therapy to reduce pain intensity. Aromatherapy may influence the brain’s limbic system (the center of emotions) and stimulate the release of endorphins and enkephalins, which have analgesic effects, as well as serotonin, which helps reduce anxiety and tension. Objective: To determine the effect of peppermint aromatherapy on labor pain during the active phase of the first stage of labor at TPMB “S”, Ujungberung District, Bandung City. Methods: This study employed a pre-experimental design using a one-group pretest–posttest approach. The sampling technique was total sampling, involving 30 women in the active phase of the first stage of labor. Pain intensity was measured using the Numeric Rating Scale (NRS) through an observation sheet. Data were analyzed using univariate and bivariate analysis, with the Wilcoxon test to assess the effect of peppermint aromatherapy on labor pain. Results: Before the intervention, the majority of participants experienced severe pain (25 respondents; 83.3%), while 5 respondents (16.7%) reported moderate pain. After the intervention, most participants reported moderate pain (22 respondents; 73.3%), while only 1 respondent (3.4%) remained in the severe pain category (another category was recorded in 7 respondents; 23.3%). The Wilcoxon test showed a p-value of 0.000 (α = 0.05). Conclusion: Peppermint aromatherapy significantly reduced labor pain during the active phase of the first stage of labor at TPMB “S”.