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Media Informasi https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi <p><em data-start="174" data-end="191">Media Informasi</em> (<a href="https://issn.brin.go.id/terbit?search=2086-3292" target="_blank" rel="noopener"> ISSN</a><a href="https://issn.brin.go.id/terbit?search=2086-3292" target="_blank" rel="noopener">: 2086-3292</a> | <a href="https://issn.brin.go.id/terbit/detail/1548399979" target="_blank" rel="noopener">eISSN: 2655-9900</a>) is a journal published by Poltekkes Kemenkes Tasikmalaya. The journal was initially accredited with SINTA 5, starting from Volume 13, Issue 2, in 2017, and has since been upgraded to SINTA 4. <em data-start="422" data-end="439">Media Informasi</em> is published twice a year—in June and November—and features health-related articles in the following scientific fields: Nursing, Midwifery, Dental Nursing, Nutrition, Pharmacy, <span style="font-size: 0.875rem;">Medical Records and Health Information (RMIK), </span>and Public Health.</p> en-US jurnal.bmi@poltekkestasikmalaya.ac.id (Dr. Imat Rochimat SKM., MM) uniti@poltekkestasikmalaya.ac.id (Anjar Syafari) Sun, 29 Jun 2025 09:55:50 +0700 OJS 3.3.0.9 http://blogs.law.harvard.edu/tech/rss 60 EFFECT OF THE TOURIST GUARD PROGRAM ON THE INCIDENCE OF OBSTETRIC COMPLICATIONS AT TALANGO COMMUNITY HEALTH CENTER https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/821 <p>One of the benchmarks for the success of a country's development is improving the quality of life, which is one of the main prerequisites in developing human resources (HR). One of the causes of the high maternal mortality rate is because the mother experiences obstetric complications. Complications of pregnancy, childbirth and postpartum are conditions that cause health problems in pregnant women, mothers giving birth, mothers in the postpartum period, or fetuses in the womb. This condition can occur directly or indirectly, including due to infectious or non-infectious diseases that have the potential to endanger the lives of the mother and fetus. Talango Health Center itself has a tourist post. The Tourist Post (integrated movement to reduce maternal and neonatal mortality) is a new innovation carried out by the Talango Health Center. This innovation is carried out by village representative cadres in Talango sub-district, each village appoints 2 cadres as representative cadres, the 2 cadres will become coordinators for the cadres in their village. Each cadre monitors high-risk pregnant women, babies and postpartum mothers to ensure that the condition of the mother and baby can reduce the risk of maternal and neonatal mortality. The purpose of this study was to determine the effect of the tourist guard program on the incidence of obstetric complications. This type of research is an observational analytical study with a <em>cross-sectional design </em>. The independent variables in the study include the tourist guard program which includes assistance for pregnant women, pregnancy classes, postpartum visits and transportation. While the dependent variable in this study is the incidence of obstetric complications. The population in this study were all fertile couples in the Talango Health Center work area totaling 6910 people. The sample size used a cross-sectional sample size of 73 people with <em>a simple random sampling technique. </em>The bivariate analysis in this study used a simple regression test. The results of the simple regression test between assistance for pregnant women, pregnancy classes and postpartum visits with the incidence of obstetric complications</p> <p>had a significant effect. While for the results of the data analysis of pregnant women who received pick-up and drop-off services, there was no effect between receiving pick-up and drop-off services for pregnant women to do ANC with the incidence of obstetric complications. The conclusion of this study is that there is an effect of the tourist guard program on the incidence of obstetric complications</p> Eka Meiri Kurniyati, Sri Yunita Suraida Salat, Yulia Wardita, Naily Huzaimah, Khafifa Hidayati Copyright (c) 2025 Eka Meiri Kurniyati, Sri Yunita Suraida Salat, Yulia Wardita, Naily Huzaimah, Khafifa Hidayati https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/821 Fri, 27 Jun 2025 00:00:00 +0700 IMPROVING INFANT GROWTH THROUGH BABY MASSAGE: A STUDY ON 3–6-MONTH-OLD BABIES IN TAMANSARI HEALTH CENTER, TASIKMALAYA https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/870 <p>Infant weight that has not increased optimally is still a child health problem in Indonesia. One of the non-pharmacological interventions that can be given is infant massage. Infant massage has been shown to be beneficial in stimulating the nervous system and blood circulation, increasing appetite, and improving the quality of infant sleep, all of which contribute to weight gain. Purpose This study aims to determine the effect of infant massage on the weight of infants aged 3–6 months in the Tamansari Health Center, Tasikmalaya City. The method of this type of research is a quasi-experiment with a one group pretest-posttest design. Sampling was carried out using a purposive sampling technique of 20 infant respondents aged 3–6 months. The intervention in the form of infant massage was carried out for 15 minutes, once a week for 4 weeks. Data analysis using the Paired T-Test test, Results The average infant weight increased significantly. The results of the Paired T-Test test showed a p value = 0.007 in the intervention group. Conclusion Infant massage has a significant effect on increasing the weight of infants aged 3–6 months. Therefore, it is recommended for mothers to imagine regular baby massage as a form of beneficial growth and development stimulation</p> Tia Sri Sutiawati, Yanti Cahyati, Laila Putri Suptiani, Meti Widia Lestari, Helmi Diana Copyright (c) 2025 yanti cahyati, Tia Sri Sutiawati, Laila Putri Suptiani, Meti Widia Lestari, Helmi Diana https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/870 Fri, 27 Jun 2025 00:00:00 +0700 Needs Analysis for Mental Health Screening Application Development https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/682 <p><strong>Background</strong>: Mental health is an important issue among university students, with many cases of depression, anxiety, and stress often detected late. Constraints in early identification and reporting require innovative solutions, such as surveillance-based mobile applications to support early detection and treatment of mental health. <strong>Purpose</strong>: to identify the needs related to the development of mobile applications in supporting mental health surveillance using the Depression Anxiety Stress Scales-21 (DASS-21). Methods: The type of research is qualitative research with interview method. The research was at Health Polytechnic Tasikmalaya in January-April 2024. The number of samples in this study amounted to 3 people. Data collection using interview guidelines. Data analysis using qualitative analysis. Research ethics letter numbers No.EA/3048/KEPK Poltekkes_Sby/V/2024.&nbsp; <strong>Results</strong>: The results of the needs analysis show that the development of mobile applications in supporting mental health surveillance is needed to help the identification process, store data and accelerate action and have data related to the mental health picture of students. Application development in the form of a mobile health app that is easy to use and access with an android-based that can display results as self-evaluation material, future development can be done as needed. <strong>Conclusion</strong>: The development of mental health applications has been adjusted to the needs through the needs analysis process at Health Polytechnic of Ministry of Health Tasikmalaya.</p> Andri Gustiadi, Lutfan Lazuardi Copyright (c) 2025 Andri Gustiadi, Lutfan Lazuardi https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/682 Fri, 27 Jun 2025 00:00:00 +0700 The Effect of Combination of Classical Music Therapy and Progressive Muscle Relaxation on Stress Score of Final Project of D-III Nursing Students at Bakti Tunas Husada University https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/869 <p>Final year students often experience stress in the process of preparing their final project which can interfere with mental health and reduce academic quality. Stress is an individual's inability to deal with challenges that are being faced by someone. This condition can be triggered by various things, such as physical pressure, social situations and even uncontrolled environments that can ultimately have an impact on one's own condition. Management of this stress can be done non-pharmacologically which does not involve drugs, but uses other methods such as by performing a combination of classical music therapy and progressive muscle relaxation. Objective: to determine the effect of a combination of classical music therapy and progressive muscle relaxation on the stress score of D-III Nursing students at Bakti Tunas Husada University. The theoretical basis underlying this research is stress, students and classical music therapy and progressive muscle relaxation. Method: using pre experiment with one-group pretest- posttest design on 50 final year students. Sampling using Probability Sampling with Simple Random Sampling. Data were analyzed using the Dependent T test. Results: showed that there was a significant decrease before and after the intervention with an average difference in stress scores of 8.96 with a p-value of 0.000 which means Ha is accepted and Ho is rejected. Conclusion: There is an effect of the combination of classical music therapy and progressive muscle relaxation in reducing stress scores.</p> Devita Arsilia Fitriawati, Peni Cahyati, Ridwan Kustiawan, Asep Riyana Copyright (c) 2025 Devita Arsilia Fitriawati, peni cahyati, Ridwan Kustiawan, Asep Riyana https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/869 Fri, 27 Jun 2025 00:00:00 +0700 NUTRITIONAL CONTENT OF ANALOG RICE FROM SAGO WITH MUNG BEAN PROTEIN AS A SUBSTITUTE FOR PADDY RICE https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/855 <p>Analog rice is one of the staple food alternatives developed to support national food diversification and reduce dependence on paddy rice. This study aims to analyze the nutritional content of sago-based analog rice and compare it with the nutritional content of white rice (Oryza sativa) in an equivalent portion of 200 grams. Laboratory analysis showed that sago analog rice contains 756 kcal of energy, 174.8 g of carbohydrates, 2.88 g of protein, 5.16 g of fat, and 1.64 g of ash. Meanwhile, in the same quantity, white rice contains approximately 720 kcal of energy, around 156 g of carbohydrates, approximately 13.6 g of protein, and about 1.2 g of fat. The conclusion of this study is that sago analog rice has higher energy and carbohydrate content but significantly lower protein content compared to white rice. Therefore, although sago analog rice has potential as an energy source and utilization of local food resources, reformulation with protein-rich ingredients is necessary to improve its nutritional value. This study supports the development of sago-based analog rice as a strategic food alternative in sago-producing regions, provided that further nutritional enrichment is conducted to make it acceptable as a nutritionally equivalent staple food.</p> lina mufidah, RR. Christiana Mayang Anggraeni, Niken Oktaviani, Nabilla Rida Tri, Yayang Ade Suprana Copyright (c) 2025 lina mufidah, RR. Christiana Mayang Anggraeni, Niken Oktaviani, Nabilla Rida Tri, Yayang Ade Suprana https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/855 Fri, 27 Jun 2025 00:00:00 +0700 The Influence of Health Education About Complementary Foods for Breast Milk (MPASI) on the Knowledge and Attitudes of Mothers of Babies Aged 0-6 Months https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/789 <p>Background: Infant development and growth are natural processes that can be supported by good nutrition coverage. Providing complementary foods for breast milk is an effective way to improve development and infant growth since the age of 6 months. However, in reality, there are still many mothers who do not know about infant nutritional needs causing infant nutritional needs to be unmet. Therefore, health education is very important to improve mothers' knowledge and attitudes so that infant nutritional needs are met. Objective: To determine the effect of health education about complementary foods for breast milk on the knowledge and attitudes of mothers of infants aged 0-6 months. Method: This study used a pre-experimental one-group pre-test post-test design method. The population in this study were mothers who had infants aged 0-6 months total of 29 people. The sampling technique used a purposive sampling technique total of 25 people. The collection of research data was carried out by distributing questionnaires 2 times, namely before health education (pre-test) and after health education (post-test). The data analysis technique used univariate tests and the Paired Sample T-test. Results: The results of the study before health education were given showed that the majority of mothers' knowledge regarding the provision of complementary foods was in the sufficient category, namely 14 people (56%), while the majority of mothers' attitudes were in the positive category, namely 15 people (60%). After being given health education, the mothers' knowledge regarding the provision of complementary foods increased to the good category, namely 20 people (80%), and positive category attitude, namely 23 people (92%). Conclusion: From the results of the study, it can be concluded that health education greatly influences the increase in mothers' knowledge and attitudes regarding complementary foods.</p> <p> </p> Sariestya Rismawati, Herni Kurnia Copyright (c) 2025 Sariestya Rismawati, Herni Kurnia https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/789 Fri, 27 Jun 2025 00:00:00 +0700 Elsimil Application to Increase Knowledge and Attitudes of Young Women to Prevent Stunting https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/847 <p>Based on the results of the Indonesian Nutrition Status Survey, the incidence of stunting in 2021 was 24.4%, and it decreased to 21% in 2022. The government continues to strive to reduce the stunting rate with a target of 14% by 2024. In 2022, the National Population and Family Agency (BKKBN) innovated through the Elsimil application to reduce the stunting rate. This study is relevant to the government's efforts to reduce the incidence of stunting. The primary objective of this study is to assess the application of Elsimil in women as prospective brides and mothers to prevent stunting. This research aims to analyze the application of Elsimil in increasing the knowledge and attitudes of teenagers regarding the prevention of stunting in Cirebon City. This is a quantitative research study, a type of quasi-experimental research with a one-group pretest-posttest design. The population is late adolescents (15-19 years old). The sample consisted of 30 young women aged 15-19 years, selected using purposive sampling. The research instrument uses a questionnaire. Univariate analysis uses frequency distribution. Bivariate analysis of the Marginal Homogeneity test for the knowledge variable yields a p-value of 0.00. The McNemar test for the attitude variable yields a p-value of 0.00. There are significant differences in knowledge and attitudes between those who used the Elsimil application before counseling and those who used it after counseling. The Elsimil application can serve as an alternative educational medium for teenagers to help prevent stunting. </p> didit khaerudin, Karina Utami, Lisnawati Lisnawati Copyright (c) 2025 didit khaerudin, Karina Utami, Lisnawati Lisnawati https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/847 Fri, 27 Jun 2025 00:00:00 +0700 FORMULATION OF PEPPERMINT ESSENTIAL OIL AROMATHERAPY PREPARATIONS: A PRELIMINARY STUDY ON THE ORGANOLEPTIC https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/782 <p><strong>Background: </strong>Peppermint oil has a distinctive refreshing aroma as well as analgesic, antispasmodic, and calming effects, making it suitable for use in aromatherapy. This study aims to develop formulations and evaluate the organoleptic properties of peppermint essential oil-based aromatherapy preparations, which are known to have therapeutic benefits in reducing stress, increasing alertness, and providing a relaxing effect. <strong>Method:</strong> The research method used a laboratory experimental approach with two formulations of different concentrations of peppermint essential oil, menthol, and olive oil. Organoleptic tests involved visual observation of shape, color, aroma, and sensation on the skin, along with pH measurements and preference tests on 40 respondents. <strong>Results:</strong> &nbsp;The results showed differences in organoleptic properties between the two formulations. The first formula was brown in color with a strong aroma, while the second formula was yellowish brown with a more fragrant and softer aroma, which was preferred by respondents. Both formulations gave a warm sensation on the skin, while pH measurements showed a range between 5 and 6, which is safe for the skin as per the pH standard of topical products (4.5-6.5). In the favorability test, the second formulation received higher preference from respondents, especially in terms of aroma and feel on the skin. <strong>Conclusion</strong>: this peppermint oil based aromatherapy formulation showed positive results in organoleptic aspects and pH safety, so it has the potential as a natural aromatherapy product that can be well received by consumers. This research opens up opportunities for further development regarding the stability and therapeutic potential of essential oil combinations in aromatherapy.</p> Tia Amestiasih, Januar Rizqi, Cahyo Pramono, Ririn Wahyu Widayati, Dhea Cahya Lintang Copyright (c) 2025 Tia Amestiasih, Januar Rizqi, Cahyo Pramono, Ririn Wahyu Widayati, Dhea Cahya Lintang https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/782 Fri, 27 Jun 2025 00:00:00 +0700 DESIGN OF EDUCATIONAL MEDIA ON DANGER SIGNS OF LABOR TO PREVENT COMPLICATIONS IN EXPECTANT MOTHERS AT BANTAR PUBLIC HEALTH CENTER, TASIKMALAYA CITY https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/715 <p>This study aimed to develop and validate an audio-visual educational media product titled “MEDITASI” (Media Informasi Tanda Bahaya Persalinan), designed to increase awareness of childbirth danger signs. Using a Research and Development (R&amp;D) approach based on Sugiyono’s model, the research adapted nine steps to create this product. The video was developed with engaging visuals, animations, music, and narration to ensure clarity and appeal. Validation and feasibility testing involved healthcare providers, pregnant women, and community members, resulting in the media being deemed valid and highly appropriate for educational purposes. Small-scale and large-scale trials showed excellent ratings, particularly in visual clarity (92%-94%) and audio appeal (94%-95%). This highlights the effectiveness of audio-visual media in improving comprehension and information retention. The study supports the use of “MEDITASI” as a recommended tool for health education, particularly in maternal health.</p> Nita Nurvita, Sri Gustini, Qanita Wulandara Copyright (c) 2025 Nita Nurvita, Sri Gustini, Qanita Wulandara https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/715 Fri, 27 Jun 2025 00:00:00 +0700 Challenges and Strategies of Waste Management by Makassar Government https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/874 <p>This study aims to analyze the challenges and strategies of waste management by the Makassar City Government. The method used is a qualitative approach with data collection techniques through observation, in-depth interviews with cleaners, Environmental Service staff, waste bank managers, and residents, and documentation of related policies. This study was conducted in several sub-districts in Makassar City that are the focus of waste management, such as Panakkukang, Tamalate, and Manggala. The results of the study indicate that waste management in Makassar City still faces various challenges, including low public awareness in sorting waste, limited transportation fleets and personnel, and the capacity of the Antang Final Disposal Site (TPA) which is almost full. In addition, community participation in programs such as waste banks and TPS 3R is still low. In terms of policy, although Regional Regulations have been issued, weak supervision and law enforcement are the main obstacles. However, the Makassar City Government has implemented various strategies such as involving technology through the "Makassar Recover" application, education programs in schools, and partnerships with the private sector through CSR. This study explains the need to increase institutional capacity, continuous education, and strengthen synergy between the government, community, and private sector to create an effective and sustainable waste management system in Makassar City.</p> Rukiah Nggilu Copyright (c) 2025 Rukiah Nggilu https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/874 Fri, 27 Jun 2025 00:00:00 +0700 Breastfeeding Self-Efficacy as a Predictor of Exclusive Breastfeeding Success in Mothers of 6–24-Month-Old Toddlers in Rural Indonesia https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/861 <p>Exclusive breastfeeding coverage in Indonesia is still low (29.5%). The failure of exclusive breastfeeding is influenced by several factors, one of which is self efficacy. Mothers who have a high level of breastfeeding self-efficacy tend to breastfeed until the age of 6-12 months. This study aims to determine the relationship between the level of breastfeeding self-efficacy with the success of exclusive breastfeeding in mothers breastfeeding toddlers aged 6-24 months in Bunijaya Village, Cianjur. This research design is analytic correlation with cross sectional design. Data were collected from 70 respondents who were determined based on total sampling technique. The results showed the majority of mothers had high BSE (92.9%), and most mothers breastfed exclusively (97.1%). There is a relationship between the level of breastfeeding self-efficacy with the success of exclusive breastfeeding (p = 0.004., CI 95%). Based on the results of this study, it is concluded that there is a relationship between the level of breastfeeding self-efficacy with the success of exclusive breastfeeding in breastfeeding mothers of toddlers 6-24 months in Bunijaya Village, Cianjur. It is hoped that this research can be developed by raising other variables besides breastfeeding self-efficacy with the success of exclusive breastfeeding</p> Marjani Khoirunnisa, Norma Nurrohmah, Euis Nurendah Copyright (c) 2025 marjani khoirunnisa, Norma Nurrohmah, Euis Nurendah https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/861 Fri, 27 Jun 2025 00:00:00 +0700 The Effect of Expressive Writing Therapy Combined with Self Efficacy on Quarter life crisis Score of Undergraduate Applied Nursing Program Students Poltekkes Kemenkes Tasikmalaya https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/868 <p>Based on Riskesdas 2018, the prevalence of depression in Indonesia among individuals aged 15 and above reached 6.1%, with 2% originating from the Gen Z group (ages 15–24). This indicates the potential for psychological crises such as the Quarter life crisis (QLC). QLC commonly occurs between the ages of 18–30, especially among university students. Anxiety about the future, academic pressure, career uncertainty, and high social expectations contribute to the stress that leads to QLC. One intervention that can be provided is expressive writing therapy combined with self efficacy or self belief. This study aims to determine the effect of expressive writing therapy combined with self efficacy on QLC scores. The theoretical concepts underpinning this research include QLC, expressive writing therapy, and self efficacy. The method used is quantitative pre-experimental with a one-group pretest–posttest design involving 48 university students selected through simple random sampling. The intervention was conducted over four days within one week. Data were analyzed using a dependent t-test. The quarter life crisis instrument used in this study. The results showed a significant decrease in QLC scores from 4.4385 to 3.4427, with a reduction difference of 0.99583. The p-value was 0.000 (ρ &lt; 0.05), indicating that the alternative hypothesis (Ha) is accepted and the null hypothesis (Ho) is rejected. This research demonstrates that expressive writing therapy combined with self-efficacy is effective in reducing Quarter life crisis scores among university students.</p> Fefy Adhriani, peni cahyati, Asep Riyana , Iwan Somantri Copyright (c) 2025 Fefy Adhriani, peni cahyati, Asep Riyana , Iwan Somantri https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/868 Fri, 27 Jun 2025 00:00:00 +0700 THE EFFECT OF PCV-13 (Pneumococcus Conjugation Vaccine-13) IMMUNIZATION ON THE INCIDENCE OF ARI IN TODDLERS IN URBAN AND RURAL AREAS OF BANDUNG DISTRICT https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/833 <p><strong>Background:</strong> Acute Respiratory Tract Infection (ARI) is an acute infectious disease that affects one or more parts of the respiratory tract, from the nose to the alveoli, including the adnexal tissue such as the sinuses, middle ear cavity, and pleura. According to the WHO, pneumonia contributed to 14% of deaths in toddlers in the world in 2019. The WHO recommends that all countries use the Pneumococcal Conjugate Vaccine (PCV) in routine infant immunization. <strong>Objective:</strong> This study aims to analyze the effect of Pneumococcus Conjugation Vaccine-13 (PCV-13) Immunization on the incidence of ARI in toddlers in urban and rural areas of Bandung Regency. <strong>Method:</strong> The study employed a cohort study design. The sample in this study consisted of toddlers aged 1-3 years who were registered at the health center posyandu, with both urban and rural characteristics in Bandung Regency, totaling 240 samples. The dependent variable is the incidence of ARI in toddlers. In contrast, the independent variables are the administration of Pneumococcus Conjugation Vaccine-13 (PCV-13) immunization, gender, age of toddlers, nutritional status, immunization history, parental occupation, maternal knowledge, and maternal education. Univariate data analysis to determine the frequency distribution of variables, bivariate analysis using the Chi-Square test, and multivariate analysis using logistic regression. <strong>Results of the study:</strong> The results showed a significant relationship between the administration of Pneumococcus Conjugation Vaccine-13 (PCV-13) immunization and the incidence of ARI with a p-value of 0.0001 &lt;0.05 and an RR value of 0.000 &lt;1 in urban areas and a p-value in rural areas is 0.0001 &lt;0.05 with an RR value of 0.167 &lt;1 meaning that the administration of Pneumococcus Conjugation Vaccine-13 (PCV-13) immunization can reduce the incidence of ARI in toddlers in both urban and rural areas. <strong>Conclusion:</strong> Toddlers who receive complete doses of Pneumococcus Conjugation Vaccine-13 (PCV-13) immunization will be protected from ARI</p> Wini Anggraeni, Dyan Kunthi Nugrahaeni, Novie E Mauliku Copyright (c) 2025 Wini Anggraeni, Dyan Kunthi Nugrahaeni, Novie E Mauliku https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/833 Fri, 27 Jun 2025 00:00:00 +0700 THE EFFECT OF ENDORPHIN MASSAGE AND WARM COMPRESSES ON THE INTENSITY OF LOW BACK PAIN IN THIRD TRIMESTER PREGNANT WOMEN https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/807 <p><strong>Background</strong>: <em>Lower back pain is joint among pregnant women, especially in the third trimester, affecting around 70% in Indonesia. This discomfort significantly impacts daily activities and quality of life. Endorphin massage, a light touch technique that stimulates the release of the body's natural pain-relief hormones, and warm compresses, which use heat to reduce pain, are two methods to address this issue. This study aimed to evaluate the effect of these methods on lower back pain intensity in third-trimester pregnant women. Using a quasi-experimental design with a one-group pre-test post-test approach, 15 pregnant women were selected from a population of 51 through purposive sampling. Pain intensity was measured on the first and third days using the Numeric Rating Scale (NRS). Results showed a significant reduction in pain intensity, from an average of 5.40 before the intervention to 1.60 after. A paired sample T-test yielded a p-value of 0.000, indicating a significant effect of endorphin massage and warm compresses on reducing lower back pain in third-trimester pregnant women at the Karikil Community Health Center </em>Work Area</p> Rani Nuraeni, Sofia Februanti, Syaukia Adini Copyright (c) 2025 Rani Nuraeni, Sofia Februanti, Syaukia Adini https://creativecommons.org/licenses/by-sa/4.0 https://ejurnal2.poltekkestasikmalaya.ac.id/index.php/bmi/article/view/807 Fri, 27 Jun 2025 00:00:00 +0700