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Ariani, Elli (STIKes Mitra Husada Medan)</text>
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Ariani, Rizka (STIKes Mita Husada Medan)</text>
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                <text>Implementasi Self Monitoring Iron Supplementation Card Yang Service Excellent Pada Ibu Hamil Untuk Pemantauan Kepatuhan Konsumsi Tablet Tambah Darah Pada Ibu Hamil Di Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2025</text>
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                <text>Anemia pada kehamilan masih menjadi masalah kesehatan masyarakat dengan prevalensi yang tinggi di Indonesia. Salah satu upaya pencegahan anemia adalah melalui konsumsi Tablet Tambah Darah (TTD). Namun, kepatuhan ibu hamil dalam mengonsumsi TTD masih rendah akibat kurangnya pemantauan dan dukungan pelayanan yang optimal. Kegiatan ini bertujuan untuk meningkatkan kepatuhan konsumsi TTD pada ibu hamil melalui implementasi kartu pemantauan mandiri yang dikombinasikan dengan pendekatan pelayanan prima dari tenaga kesehatan. Kegiatan dilaksanakan di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang dengan melibatkan 15 ibu hamil trimester II dan III. Intervensi dilakukan dalam bentuk edukasi, distribusi kartu pemantauan konsumsi TTD, pendampingan kader. Evaluasi dilakukan melalui pre–post test, observasi penggunaan kartu, dan wawancara terstruktur. Hasil kegiatan menunjukkan signifikansi dalam kepatuhan konsumsi TTD, dari 33% menjadi 83% ibu hamil yang mengonsumsi secara rutin setelah selesai intervensi. Penggunaan kartu pemantauan efektif dalam membangun kesadaran dan keterlibatan ibu serta keluarga. Pelayanan prima dari tenaga kesehatan juga meningkatkan kepuasan ibu terhadap layanan kesehatan. Kombinasi kartu pemantauan dan pelayanan prima terbukti efektif sebagai strategi peningkatan kepatuhan konsumsi TTD pada ibu hamil. Intervensi ini direkomendasikan untuk diterapkan secara lebih luas dalam upaya pencegahan anemia kehamilan.</text>
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                <text>Latar Belakang: Anemia selama kehamilan masih menjadi permasalahan global. Pemerintah bersinergi dengan tenaga kesehatan untuk menurunkan prevalensi anemia, salah satunya dengan pemberian TTD. Namun, alternatif ini belum mampu menurunkan angka kejadian anemia di Indoensia. Tujuan: tujuan&#13;
penelitian adalah untuk mengetahui strategi penurunan kejadian anemia pada ibu hamil. Metode Penelitian: Penelitian kualitatif dengan pendekatan studi kasus tunggal holistik. Informan penelitian kepala puskesmas, bidan, nutrisionis, ATLM, dokter, dan ibu hamil anemia. Pengumpulan data selama 1 bulan. Analisis data menggunakan model miles and Huberman. Instrumen pengumpulan data pedoman wawancara, studi dokumentasi, observasi, logbook dan field note. Hasil penelitian ini, terdapat 4 tema yakni: &#13;
1) peningkatkan kompetensi sumber daya manusia; 2) pemberian pendidikan kesehatan lebih komprehensif serta pemilihan kata lebih sederhana; 3) Inovasi media edukasi dengan pemanfaatan platform online; dan 4) dukungan suami dan keluarga. Kesimpulan: Peningkatan SDM dapat melalui pelatihan dan bimbingan teknis manajemen penanganan anemia selama kehamilan dan pemeriksaan hematology anemia, memanfaatkan platform media social seperti Instagram, TikTok, Youtube dan Whatsapp sebagai alat bantu promotif preventif ke masyarakat dan konseling lebih menekankan pada cara konsumsi tablet tambah darah terutama minuman-minuman yang dapat memblokir penyerapan zat besi. Serta, suami lebih mendorong dan mengingatkan ibu hamil untuk teratur konsumsi TTD setiap hari.</text>
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                <text>Penerapan e-pocket book SIAP-TTD berbasis family centered empowerment model dalam meningkatkan self-efficacy dan kepatuhan konsumsi tablet tambah darah pada ibu hamil</text>
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                <text>blood supplement tablet compliance; e-pocket book; family-centered empowerment model; pregnant women; self-efficacy</text>
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                <text>Non-compliance with the consumption of Blood Supplement Tablets (TTD) is the main factor causing anemia in pregnant women which can increase the risk of postpartum bleeding. This community service aims to optimize self-efficacy and compliance with TTD consumption through the downstream  of  the SIAP-TTD e-Pocket Book with the Family-Centered Empowerment Model (FCEM) approach. The activity was carried out for four weeks in the working area of the Sentosa Baru Health Center involving 25 pregnant women and their families. The methods used include socialization, demonstration of the application's interactive features, and intensive assistance based on family empowerment. The results of the evaluation showed a significant improvement in participants' basic understanding from 20% to 85%, as well as application usability and consumption compliance from 15% to 80%. This intervention succeeded in increasing the mother's confidence to complete the 90-tablet program and fostering the active role of the family as emotional and informational support. Adaptation in the form of providing a hard copy version  was carried out to overcome mobile data access constraints. The synergy between digital technology and family empowerment has proven to be effective in improving maternal health at the community level.</text>
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                <text>Ariska Fauzianty, Friza Novita Sari Situmorang, Sonia Novita Sari, Nova Isabella Mariance Br Napitupulu, Hari Putra Darmawan, Vivi Restiyani Hasibuan, Yuliska Febriyan</text>
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                <text>Effectiveness of a family-centered empowerment-based digital pocketbook on self-efficacy and iron supplement adherence among pregnant women: A quasi-experimental study</text>
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                <text> Abstract&#13;
 References&#13;
 Licensing&#13;
 How to cite&#13;
Pregnancy-related anemia remains a major public health problem in Indonesia, largely attributable to low iron supplementation adherence among pregnant women. Evidence regarding digital interventions based on the family centered empowerment model (FCEM) remains limited. This study aimed to evaluate the effectiveness of an FCEM-based digital E-Pocket Book in improving self-efficacy and adherence to iron tablet consumption among pregnant women. A quasi-experimental pretest–posttest control group study was conducted at the Sentosa Baru Community Health Center in Medan, Indonesia, from July to August 2025. A total of 50 pregnant women (gestational age, 14–36 weeks) were allocated to an intervention group (n = 25) and a control group (n = 25). The intervention group received the FCEM-based E-Pocket Book for four weeks, while the control group received standard antenatal education. Data were analyzed using the Wilcoxon signed-rank and Mann–Whitney U tests. The intervention group demonstrated significantly greater improvements in self-efficacy (p = 0.027; d = 0.78) and adherence to iron supplementation (p = 0.001; d = 0.91) than the control group. In conclusion, the family-centered empowerment–based digital pocketbook is effective in improving self-efficacy and adherence to iron supplementation among pregnant women.</text>
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                <text>Ariska Fauzianty, Friza Novita Sari Situmorang, Sonia Novita Sari, Siti Sabiah, Vivi Restiyani Hasibuan, Yuliska Febriyan&#13;
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                  <text>Lampiran Bukti Korespodensi Jurnal Internasional Bereputasi</text>
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                <text>Effectiveness of a family-centered empowerment-based digital pocketbook onself-efficacy and iron supplement adherence among pregnant women: A quasiexperimental study</text>
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                <text>Digital    health    education, FCEM,    iron    supplementation, pregnancy, self-efficacy</text>
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                <text>Pregnancy-related  anemia  remains  a  major  public  health  problem  in Indonesia,  largely  attributable  to  low  iron  supplementation  adherence among  pregnant  women.  Evidence  regarding  digital  interventions  based on  the  family  centered  empowerment  model  (FCEM)  remains  limited. This  study  aimed  to  evaluate  the  effectiveness  of  an  FCEM-based  digital E-Pocket  Book  in  improving  self-efficacy  and  adherence  to  iron  tablet consumption  among  pregnant  women.  A  quasi-experimental  pretest–posttest   control   group   study   was   conducted   at   the   Sentosa   Baru Community Health Center in Medan, Indonesia, from July to August 2025. A  total  of  50  pregnant  women  (gestational  age,  14–36  weeks)  were allocated to an intervention group (n = 25) and a control group (n = 25). The intervention group received the FCEM-based E-Pocket Book for four weeks,  while  the  control  group  received  standard  antenatal  education. Data  were  analyzed  using  the  Wilcoxon  signed-rank  and  Mann–Whitney U   tests.   The   intervention   group   demonstrated   significantly   greater improvements in self-efficacy (p = 0.027; d = 0.78) and adherence to iron supplementation   (p   =   0.001;   d   =   0.91)   than   the   control   group.   In conclusion, the family-centered empowerment–based digital pocketbook is     effective    in    improving    self-efficacy    and    adherence    to     iron supplementation among pregnant women.</text>
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                <text>Ariska Fauzianty, Friza Novita Sari Situmorang, Sonia Novita Sari, Siti Sabiah, Vivi Restiyani Hasibuan, Yuliska Febriyan</text>
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                <text>Hubungan Pengetahuan dan Sikap Ibu Hamil Dengan Kepatuhan Konsumsi Tablet FE di Wilayah Kerja Puskesmas Semula Jadi Kecamatan Datuk Bandar Timur Kota Tanjung Balai Provinsi Sumatera Utara Tahun 2023</text>
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                <text>Ariska Fauzianty, Kamelia Sinaga, Anna Waris Nainggolan, Yunaji Sri Rezeki, Paslina Gulo, Cantik Marlin Batee</text>
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                <text>Efektivitas Promosi Kesehatan Terhadap Kepatuhan, Self Efficacy Dan Konsumsi Tablet Fe Pada Ibu Hamil Di Klinik Sarfina</text>
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                <text>Anemia pada kehamilan masih menjadi masalah kesehatan di global dengan tingkat kejadian yang tinggi, salah satunya akibat ketidakpatuhan ibu hamil dalam mengonsumsi tablet tambah darah (TTD). Promosi kesehatan merupakan strategi penting untuk meningkatkan efikasi diri dan kepatuhan ibu hamil dalam mengonsumsi TTD. Penelitian ini bertujuan untuk mengetahui efektivitas promosi kesehatan terhadap self-efficacy, kepatuhan, dan konsumsi tablet tambah darah di Klinik Sarfina melalui pendekatan kuantitatif dengan quasi experiment desain pendidikan intervensi digital. Subjek penelitian berjumlah 20 ibu hamil yang menerima suplementasi tablet tambah darah (TTD). Instrumen yang digunakan adalah kuesioner MMAS-8 dan media leaflet. Analisis data menggunakan uji wilcoxon. Hasil menunjukkan bahwa terdapat peningkatan signifikan tingkat self-efficacy, kepatuhan, dan konsumsi TTD pada kelompok intervensi setelah diberikan promosi kesehatan melalui media leaflet secara signifikan (p&lt;0,05). Promosi kesehatan yang dilakukan dengan media leaflet secara digital efektif dalam meningkatkan efikasi diri, kepatuhan dan konsumsi TTD pada ibu hamil. Saran bagi bidan dan tenaga kesehatan agar memberikan promosi kesehatan yang lebih terstruktur dan terukur, salah satunya melalui media leaflet dan dilakukan secara rutin dalam pelayanan antenatal care.</text>
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                <text>Ariska Fauzianty, Nova Isabella Mariance Br. Napitu, Yesica Geovany Sinaga, Friza Novita Sari Sitorus</text>
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                <text>Hubungan Jarak Kehamilan dan Status Ekonomi dengan Kekurangan Energi Kronik di UPTD Puskesmas Teluk Nibung Kecamatan Teluk Nibung Kota Tanjung Balai Provinsi Sumatera Utara Tahun  2023</text>
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                <text>Ariska Fauzianty, Rasmi Manullang, Siska Suci Triana Ginting, Indra Septiady Manurung, Lusia Sadarni Gulo, Lastini Siagian</text>
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