https://www.jurnal.unismuhpalu.ac.id/index.php/PJKM Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu en-US Promotif : Jurnal Kesehatan Masyarakat 2089-0346 <h2><span style="font-size: 14px;">Authors who publish with this journal agree to the following terms:</span></h2> <div class="page"> <div class="page"> <ol type="a"> <li class="show">Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a&nbsp;Creative Commons Attribution-Non Commercial License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.</li> <li class="show">Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.</li> <li class="show">Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.</li> </ol> <p>The content of this website is licensed under a&nbsp;<a title="CC BY SA" href="https://creativecommons.org/licenses/by-sa/4.0/" target="_blank" rel="noopener">Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)</a>&nbsp;license.&nbsp;<a class="img_cc" href="http://creativecommons.org/licenses/by-sa/4.0/" rel="license"><img src="https://licensebuttons.net/l/by-sa/3.0/80x15.png" alt="Creative Commons License"></a></p> </div> </div> https://www.jurnal.unismuhpalu.ac.id/index.php/PJKM/article/view/6570 <p><strong>Introduction</strong>: The delay in burns healing is a serious complication that can lead to disability and death. TGF-?1 contributes significantly to the wound healing process. Chronic wounds that do not heal often indicate a loss of TGF-?1 signaling. Propolis and coconut shell liquid smoke (CS-LS) are natural ingredients that contain antioxidant, anti-inflammatory, and analgesic compounds to accelerate wound healing. This study aimed to prove the effectiveness of using a topical combination of propolis and CS-LS in accelerating the healing process of degree II burns and their relationship with the expression of TGF-?1 in serum. <strong>Method</strong>: A 14-day <em>in vivo</em> experimental investigation using Wistar rats was carried out with a total sample of 25 rats divided into 4 groups.; Group 1, treated with sulfadiazine ointment; Group 2, treated with propolis ointment; Group 3, treated with CS-LS ointment; Group 4, treated with the combination of propolis and CS-LS ointment, and 1 control group without treatment. Serum TGF-?1 levels were determined by ELISA.</p> <p><strong>Result:</strong> Measurements of wound size were on days 0,3,7 and 14. This study obtained results the combination ointment &nbsp;group alone had significantly different TGF-?1 levels from day 7 to day 14 and experienced a decrease in TGF-?1 levels of 52.28 ?/mg. Based on wound size, there was a significant difference in all groups (p&lt;0.05), this was supported by the mean value of wound size which was smaller in the sulfadiazine ointment group and the combination (propolis and&nbsp; liquid smoke) ointment group.</p> <p><strong>Conclusion:</strong> The combination of propolis and coconut shell liquid smoke can be considered as an alternative in the treatment of second degree burns because of its ability to reduce TGF-?1 and accelerate burn wound healing.</p> <p><strong>Keywords</strong>: wound healing, propolis, coconut shell liquid smoke, TGF-?1</p> Aida ayu chandrawati Marhaen Hardjo Syahrijuita Kadir Copyright (c) 2025 Aida ayu chandrawati, Marhaen Hardjo, Syahrijuita Kadir https://creativecommons.org/licenses/by-sa/4.0 2025-02-07 2025-02-07 15 1 1 9 10.56338/promotif.v15i1.6570 https://www.jurnal.unismuhpalu.ac.id/index.php/PJKM/article/view/7853 <p><strong>Introduction</strong>: Early breastfeeding initiation is a critical intervention to reduce neonatal mortality and increase exclusive breastfeeding However, its implementation in RSIA Tinatapura Palu is still not optimal. This study aimed to assess the provision of early initiation of breastfeeding in newborns and identify the factors that inhibit it at Tinatapura Mother and Child Hospital,</p> <p><strong>Methods</strong>: This study uses a qualitative method with a descriptive approach, which aims to conduct in-depth interviews through data collection from various sources of information.</p> <p><strong>Results</strong>: This study found that implementation of early breastfeeding initiation at RSIA Tinatapura Palu was not optimal, with the majority of mothers reporting no IMD Key barriers included low maternal knowledge about IMD, postpartum maternal and infant health conditions, inconsistent hospital policies such as mother-infant separation after delivery (especially for sectio caesarean/premature cases) and flexibility in formula feeding without medical indication, and inadequate support from health workers, including lack of education and a tendency to recommend While hospitals claim to provide training and education, there is a gap between policy and practice on the</p> <p><strong>Conclusion</strong>: The implementation of early breastfeeding initiation in RSIA Tinatapura Palu is still not running. Structured interventions are needed in the form of clear IMD protocols, increased education for mothers and families, and ongoing training for health workers to ensure consistent and standardized IMD.</p> Ayu Lestari Shindi Karmila Adam Jamaludin M Sakung Copyright (c) 2025-07-15 2025-07-15 15 1 10 25 10.56338/promotif.v15i1.7853