Jurnal Komunikasi Kesehatan

THE RELATIONSHIP BETWEEN KNOWLEDGE LEVEL AND PARITY WITH COMPLIANCE WITH THE FIRST ANC VISIT AMONG PREGNANT WOMEN AT THE JUWANGI COMMUNITY HEALTH CENTER

Siti Agustina — 2026-07-21

Achievements visit antenatal care first (K1) in the District Juwangi in 2025 was 87%, still is below the national target of ≥95 %. Compliance Mother pregnant in do first ANC visit influenced by various factors , including level knowledge And parity . Study This aim know connection level knowledge And parity with compliance first ANC visit on Mother pregnant at the Community Health Center Fragrant . Study use method quantitative with design cross sectional . Population study is all over Mother pregnant in the area Work Community Health Center Juwangi on April 2026. Sampling technique using quota sampling with amount sample of 30 respondents, respondents are pure K1. Data collection using questionnaire knowledge And sheet observation. The knowledge in questin is knowlwdge about the objectives, benefits, and timing of ANC imlementation. Data analysis using test Chi-Square . Results study show part big respondents own level knowledge not enough as many as 12 respondents (40%), some of them big 27 respondents ( 90 %) were multigravida , and the majority of respondents were compliantwith attending the first antenatal care (ANC) visit before 12 weeks of gestasion according to the standart (pure K1) as many as 16 respondents (53.3%). Results analysis show there is connection significant between level knowledge with compliance first ANC visit with a p-value of 0.000 < 0.05 . No there is connection significant between parity with compliance first ANC visit with a p-value of 0.626 > 0.05 . The conclusion of this study shows a relationship between pregnant women's knowledge and compliance with their first ANC visit. Meanwhile, parity, or the number of deliveries experienced, does not affect the level of pregnant women's compliance with their first ANC visit.

Keywords : ANC, compliance, parity, knowledge.

HUBUNGAN USIA DENGAN KEJADIAN SPOTTING PADA AKSEPTOR KB IMPLAN DI PUSKESMAS GRABAG, PURWOREJO

Ulfah Hidayati — 2026-07-21

Spotting is light bleeding that occurs outside the menstrual cycle. Spotting is often associated with hormonal disturbances caused by the use of hormonal contraceptives, one of which is the implant. A preliminary study showed that 2 out of 10 implant acceptors experienced spotting. This study aimed to determine the relationship between age and the incidence of spotting among implant family planning acceptors at Grabag Public Health Center, Purworejo. This research was a quantitative study with a cross-sectional design using a retrospective approach. A total of 90 respondents were selected using total sampling. Data collection was conducted from January to July 2025. Data were analyzed using univariate and bivariate analysis. Bivariate analysis was performed using the chi-square test to assess the relationship between age and the incidence of spotting among implant family planning acceptors. The results showed a p-value of 0.06 (p > 0.05), indicating that there was no relationship between age and the incidence of spotting among implant family planning acceptors at Grabag Public Health Center, Purworejo.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MANAJEMEN LAKTASI PADA IBU MENYUSUI DI PMB ROSIDA HIMAWATI

Nurma Ika Zuliyanti — 2026-07-21

Lactation management encompasses all efforts made to assist mothers in successfully breastfeeding their infants. These efforts are particularly crucial during the exclusive breastfeeding period, defined as the first 0–6 months postpartum. A preliminary study conducted at the Independent Midwifery Practice (PMB) of Rosida Himawati, S.S.T., Bdn, between January and September 2025, identified 135 breastfeeding mothers with infants aged 0–2 years; of these, 123 were breastfeeding, while 12 were not (comprising housewives, entrepreneurs, civil servants, farmers, and laborers). The study aimed to identify factors associated with lactation management among breastfeeding mothers at this practice in the Tambakrejo area, Purworejo District. An analytic observational study design with a cross-sectional approach was employed. The study population consisted of all breastfeeding mothers attending the practice. Total sampling was used, and data were analyzed using the Chi-square test. Results indicated significant associations (p < 0.05) for the variables of knowledge (p = 0.018), family support (p = 0.02), and income (p = 0.001). No significant associations were found regarding education (p = 0.825), place of delivery (p = 0.403), occupation (p = 0.774), or age (p = 0.997). Husbands and family members are encouraged to provide emotional support, information, and assistance with maternal care during the breastfeeding period. Optimal family support boosts maternal confidence and facilitates successful lactation management.

INTEGRASI ASUHAN KEBIDANAN BERBASIS BUKTI DALAM PENCEGAHAN PENYAKIT TIDAK MENULAR PADA PEREMPUAN: LITERATURE REVIEW

Catur Setyorini — 2026-07-21

Background: Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality in women, including during preconception, pregnancy, childbirth, and postpartum. Midwives have a strategic role in promotive and preventive efforts through evidence-based midwifery care to reduce NCD risk factors. Objective: To analyze scientific evidence regarding the effectiveness of evidence-based midwifery care in preventing NCDs in women throughout the life cycle. Methods: This study used the Literature Review method referring to the PRISMA 2020 guidelines. Literature searches were conducted on PubMed, Scopus, ScienceDirect, SpringerLink, Wiley Online Library, and Google Scholar for articles published in 2020–2025. After the process of identification, screening, and eligibility assessment, 7 articles were obtained that met the inclusion criteria and were analyzed narratively. Results: The synthesis showed four main themes, namely the integration of NCD prevention in midwifery services, promotion of healthy lifestyles, implementation of Midwife-led Continuity of Care, and utilization of mobile health (mHealth). These interventions contribute to improved early detection of risk factors, changes in healthy lifestyles, increased adherence to antenatal care, and strengthened continuity of midwifery care. Conclusion: Evidence-based midwifery care plays a crucial role in preventing NCDs through a promotive, preventive, and continuous approach. Strengthening midwives' competencies and integrating NCD screening into midwifery services are necessary to improve the quality of women's health throughout the life cycle.

Keywords: midwifery care, non-communicable diseases, evidence-based midwifery, continuity of care, systematic literature review.

PREGNANT MOTHERS' PERCEPTION OF INTEGRATED ANTENATAL CARE SERVICES IN THE BRAGOLAN HEALTH CENTER AREA, BANYURIP DISTRICT, PURWOREJO REGENCY

Tri Puspa Kusumaningsih — 2026-07-21

Integrated ANC includes maternal neonatal tetanus elimination (MNTE), anticipation of nutritional deficiencies in pregnancy, prevention of malaria in pregnancy (PMDK), prevention of mother-to-child HIV transmission (PMTCT), birth planning and prevention of complications (P4K), prevention and treatment of STIs/UTIs in pregnancy, elimination of congenital syphilis (ESK/CSE), and management of TB in pregnancy (TB-ANC), as well as dental health checks for pregnant women. Based on a preliminary study conducted in September 2025, there were 60 pregnant women who had Integrated ANC at the Bragolan Health Center. From the results of interviews with midwives. There was an MMR of 1 case, namely Pre-Eclampsia on the 16th day of childbirth and an IMR of 2 cases, namely DM. The total coverage of K1 at the Bragolan Health Center was 100%. This study aims to determine the perception of pregnant women about integrated antenatal care services at the Bragolan Health Center, Banyurip District, Purworejo Regency. This research method is a descriptive study with a cross-sectional method. The population in this study were pregnant women from TM 1, TM 2 and TM 3. The number of respondents was 30 people, the initial population in this study was 30 people, the sample in the study used total sampling with 30 respondents, the research data were presented in the form of frequency distribution and cross tabulation. The results of the study showed that the level of knowledge of respondents was good for 16 people (53.33%), sufficient for 9 people (30%) and lacking for 5 people (16.66%). The conclusion in this study is that the level of knowledge and attitudes of most respondents at the Bragolan Health Center is good. Suggestions from researchers for midwives to be able to continue to improve Integrated ANC services well and friendly to get a satisfactory and good value for the progress of the Bragolan Health Center.