http://localhost:8080/xmlui/handle/123456789/6529 Vol 16 No 1 - Vol 19 No 2 2026-04-20T06:29:35Z http://localhost:8080/xmlui/handle/123456789/11476 Title: Level of Knowledge, Mother's Perception, and Family Support with Exclusive Breastfeeding Authors: Jayanti, Resty; Dewi Pertiwi, Fenti; Nasution, Andreanda; Walidaturrahmah Alfaeni1, Siti; Susi, Siti Abstract: Background: The baby's immune system is strengthened by exclusive breastfeeding, thus protecting the baby from various diseases that can endanger his health. To determine the relationship between the level of knowledge, perception, family support, and exclusive breastfeeding. Method: This was a cross-sectional study. This study used the chi-square analysis test. This quantitative research was carried out in the work area of the Sindang Barang Community Health Center between October 2024-March 2025. The samples were collected using an accidental sampling technique. The sample size was determined using the Slovin Formula, resulting in a total of 78 samples. The data used are taken directly using a questionnaire consisting of the variables level of knowledge, mother's perception, and family support. Result: There is a significant relationship between knowledge, positive perception, family support and exclusive breastfeeding with respective p values (0.000; 0.016; 0.000). Based on statistical tests, the OR value for the knowledge variable was also 13.8, which means that mothers with poor knowledge have a 13.8 times greater chance of not providing exclusive breastfeeding than mothers with good knowledge. The OR value for the family support variable is 5.5, which means that mothers who have a negative perception are 5.5 times more likely to not provide exclusive breastfeeding than mothers with a positive perception. The OR value for the family support variable is 26.1, which means that mothers with a lack of family support have a 26.1 times greater chance of not providing exclusive breastfeeding than mothers who receive family support. It can be concluded that there is a significant relationship between knowledge, positive perceptions, family support, and exclusive breastfeeding 2025-10-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11473 Title: Self-disclosure of Men Having Sex with Men (MSM) as an Effort to Prevent HIV and AIDS Authors: Ninda Putri, Dhea; Nur Rif'ah, Erwin; Rokhmah, Dewi Abstract: Background: The HIV epidemic in Indonesia is still a major health problem, especially among men who have sex with men (MSM). The high prevalence of HIV in MSM is influenced by fear of stigma, discrimination, or negative consequences. Self-disclosure is an important aspect of efforts to prevent HIV and AIDS, but there are still MSM who experience obstacles related to self-disclosure. Method: This study uses a qualitative approach with a phenomenological method. The main informants consisted of 10 MSM domiciled in the Jember Regency, selected using the snowball technique. Source triangulation was carried out by involving HIV and AIDS NGO companions, peers, partners, and health workers. Data collection was carried out through in-depth interviews, while data analysis used the Interpretative Phenomenological Analysis (IPA) method. Result: The results of the study showed that self-disclosure in MSM was influenced by several main factors, namely motivation, intensity, accuracy of feedback, time, and depth and breadth of information shared. The majority of informants felt comfortable opening up to peers and MSM friends compared to family or health workers. Negative feedback from the social environment tended to inhibit openness, while positive support could increase motivation to share information. This study emphasizes the importance of a supportive environment, especially in health services, to increase openness in HIV and AIDS prevention efforts. A supportive environment, especially in health services, is essential to increase openness in HIV and AIDS prevention efforts. The suggestion given is to conduct health promotion to increase self-disclosure of MSM in preventing HIV and AIDS, which can be done through education, social support, and increasing access to health services. 2025-10-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11468 Title: Effectiveness of Prenatal Class Participation on Maternal Anxiety: A Scoping Review Authors: Rahmawati, Rahmawati; Hidayat, Asri; Koni Suryaningsih, Endang Abstract: Background: Pregnancy-related anxiety is a common condition that can negatively affect both maternal and fetal health. This type of anxiety has been associated with a higher risk of complications such as premature birth and low birth weight. One intervention shown to be effective in reducing anxiety during pregnancy is prenatal education through structured classes for expectant mothers. Method: The scoping review adapted the PICO (Population, Intervention, Comparison, Outcome). Framework and was systematically reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart, then selected from the PubMed, Biomed Central, Wiley Online Library, and ResearchGate databases. A total of 2.078 articles were screened using inclusion and exclusion criteria, resulting in 16 articles to be reviewed. These were then further selected by assessing the quality of the articles using the Critical Appraisal JBI (Joanna Briggs Institute) Checklist based on the type of research from the reviewed articles. Result: Five main themes emerged from the reviewed studies: the role of prenatal classes in reducing anxiety, their impact on birth outcomes and maternal-infant health, the use of technology-based and online learning platforms, maternal mental health during pregnancy and postpartum, and various models and approaches in delivering prenatal education. Both in-person and online formats were found to be beneficial, especially when tailored to the individual needs and circumstances of pregnant women. Prenatal education classes are an effective strategy to lower anxiety levels during pregnancy and to improve maternal readiness for childbirth. Additionally, such education supports better health outcomes for both mother and baby. The delivery method whether face-to-face or digital should be selected based on the specific needs of the participants to maximize the benefits of the program 2025-07-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11467 Title: Prospective Brides’ Experiences of Reproductive Health and Premarital Care: A Scoping Review Authors: Fitri, Fitri; Hakimi, Mohammad; Sulistyaningsih, Sulistyaningsih Abstract: Background: Reproductive health and premarital services are important aspects of marriage preparation to prevent health hazards for the bride and groom. There are still many prospective brides who have limited knowledge about reproductive health and the benefits of premarital screening and counseling. Low utilization of premarital services can increase the risk of pregnancy complications, sexually transmitted infections, as well as early marriage, which poses a high risk to maternal and child health. This study aims to explore the experiences of prospective brides related to reproductive health and premarital services through a systematic review using the scoping review method. Method: This study employed a scoping review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Flowchart approach. The literature search was performed in the main databases such as PubMed, ScienceDirect, and Wiley, using keywords determined based on the PEOS (Population, Exposure, Outcome, and Study Design) framework. The literature review was conducted on scientific publications in English, primary research articles or reviews relevant to the same theme, as well as studies published within the last 10 years. In addition, it was analyzed thematically to identify patterns of key findings. Result: The level of knowledge of future husbands and wives’ reproductive health and premarital services still varies, with most individuals having limited understanding before undergoing educational interventions. Interventions such as premarital courses, counseling, and brochure-based counseling are effective in improving the knowledge and attitudes of future husbands and wives. However, there are barriers to the implementation of premarital services, such as limited access, social stigma, and a lack of rules regulating obligatory premarital examinations. Therefore, stronger policies are needed from the government, as well as ongoing education in schools and universities to increase public awareness of the importance of reproductive health before marriage. 2025-07-01T00:00:00Z