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                  <text>VOL. 18 NO.2 2025</text>
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                  <text>Sri Wahyuni</text>
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            <name>Title</name>
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                <text>The Correlation of Postpartum Depression, Breastfeeding Prevalence, and Milk Production in Neonatal Intensive Care Unit (NICU)</text>
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                <text>breast milk feeding, breast milk production, Neonatal Intensive Care Unit (NICU), Neonates</text>
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                <text>Breastfeeding is essential, particularly for newborns with severe health issues in the neonatal intensive &#13;
care unit (NICU), where they frequently have to be separated from their mothers. Breastfeeding in the NICU &#13;
requires a sufficient supply of breast milk from the mother, and this can be influenced by the mother's &#13;
psychological condition. This study aimed to examine the correlation of postpartum depression with breast milk &#13;
feeding prevalence and production in mothers with neonates in the NICU. This cross-sectional quantitative study &#13;
included 42 mothers and infant dyads in the NICU in Malang, East Java, and was conducted between September &#13;
and November 2024. The questionnaire of mothers and infants characteristics, the Edinburgh Postpartum &#13;
Depression Scale, and the breast milk feeding prevalence observational sheet were used for the investigation. The &#13;
correlation of postpartum depression with breast milk prevalence and breast milk production was measured by the &#13;
Rank Spearman Test. Breast milk feeding prevalence was 64.3%, partial breast milk feeding was 31%, and &#13;
formula milk was 4.8%. The proportion of mild and severe postpartum depression was 35.7%, and the rest of &#13;
them were without depression (28.5%). Postpartum depression was not associated with the prevalence of breast &#13;
milk feeding (p=0.140), but there was a significant correlation with breast milk production (p=0.04; r= -0.319). &#13;
We found that greater postpartum depression was associated with lower breast milk production, but there was no &#13;
correlation with the prevalence of breast milk feeding in the NICU. These findings highlight the importance of sufficient support for mothers with neonates in the NICU to produce enough breast milk supply.</text>
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                <text>Mazaya Ilmi Sabrina, Sholihatul Amaliya, Rinik Eko Kapti</text>
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                <text>https://doi.org/10.23917/bik.v18i2.10530</text>
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            <name>Publisher</name>
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              <elementText elementTextId="115570">
                <text>Universitas Muhammadiyah Surakarta</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2025</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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                <text>Sri Wahyuni</text>
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            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="115573">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
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            <description>A language of the resource</description>
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                <text>English</text>
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        <name>breast milk feeding</name>
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        <name>breast milk production</name>
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        <name>Neonatal Intensive Care Unit (NICU)</name>
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        <name>Neonates</name>
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                  <text>VOL. 18 NO.2 2025</text>
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              <name>Contributor</name>
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                  <text>Sri Wahyuni</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Barriers To Healthcare Access: Examining Travel Time, Waiting Times, And Service Costs in Indonesia Primary Health Care</text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="115554">
                <text>costs, healthcare access, primary care, travel time, waiting time</text>
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            <description>An account of the resource</description>
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                <text>Access to primary health care in Indonesia faces significant challenges, including long travel times, high &#13;
transportation costs, and poor quality of care due to a lack of health workers. These factors contribute to delays in &#13;
treatment and increase the risk of severe health outcomes. Additionally, out-of-pocket expenses not covered by the &#13;
national insurance program are major barriers, particularly for low-income families. To analyze the relationship &#13;
between travel time, waiting time, transportation costs, service fees and access to health services. A cross-sectional &#13;
study conducted in Banyumas district during May–June 2022 with 100 randomly selected adult respondents. &#13;
Data were collected using a validated structured questionnaire consisting of six sections covering demographics, &#13;
travel time, waiting time, transportation cost, service cost, and accessibility. Chi-Square test was used to examine &#13;
relationships between the independent variables (travel time, transportation cost, service cost, and waiting time) &#13;
and the dependent variable (healthcare accessibility). Travel time was significantly associated with access to health &#13;
services (p = 0.041), as was waiting time (p = 0.035). However, transportation costs (p = 0.405) and service fees &#13;
(p = 0.096) did not show a significant relationship. Improving transportation infrastructure and reducing waiting &#13;
times through more staff and better service processes are key to enhancing healthcare access. Although transport and service costs were not statistically significant, they are still important for inclusive policy planning</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="115556">
                <text>Dedy Purwito , Kris Linggardini, Arunnee Jaitieng</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="115557">
                <text>https://doi.org/10.23917/bik.v18i2.9068</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115558">
                <text>Universitas Muhammadiyah Surakarta</text>
              </elementText>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="115559">
                <text>2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="115560">
                <text>Sri Wahyuni</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="115561">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="115563">
                <text>English</text>
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        <name>costs</name>
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      <tag tagId="2038">
        <name>Healthcare access</name>
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      <tag tagId="13590">
        <name>primary care</name>
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        <name>travel time</name>
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      <tag tagId="13592">
        <name>waiting time</name>
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