JURNAL KESEHATAN REPRODUKSI

ANALISIS DETERMINAN KEJADIAN ANEMIA REMAJA PUTRI SEKOLAH MENENGAH ATAS WILAYAH KERJA PUSKESMAS SENTUL KABUPATEN BOGOR

Dika Maretika Sobari — 2023-12-30

ABSTRACT

Background: Anemia is a condition of red blood cells or commonly called hemoglobin is below normal. World Health Organization (WHO) is in the range of 40-80% and as many as 57% of them are suffered by adolescent girls. Southeast Asia is the region with the highest prevalence of anemia at 42%. The incidence of anemia in women of childbearing age in Indonesia in 2019 reached 30.6% and the prevalence of anemia in adolescent girls was 32%, the majority of adolescents who experienced anemia were in the age range of 10 - 18 years. In West Java the incidence of anemia reached 41.5%..

Objective: The purpose of this study was to analyze the factors associated with the incidence of anemia among adolescent girls of private high schools in the sentul puskesmas working area, Bogor district.

Method: Quantitative research with Cross Sectional design. 125 samples. The sampling technique used Purposive Sampling. research using the sample formula with hypothesis testing 2 population proportions.

Result: 45.6% of adolescent girls were anemic, 50 (56.8%) of adolescent girls were not compliant with taking Fe anemia tablets, 36 (59.0%) rarely consumed iron-source food intake, 30 (48.8%) rarely consumed iron-blocking food/drink intake, 38 (51.4%) were undernourished, 44 (46.3%) of adolescent girls had good knowledge of anemia, 10 (52.6%) had a history of infection, 29 (43.9%) had normal menstrual cycles, 45 (47.4%) had normal menstrual duration, 3 (60.0%) had abnormal menarche and anemia. There is a relationship between adherence to taking Fe tablets, dietary intake of iron sources and nutritional status.

Conclusion: The dominant factor causing anemia in adolescent girls is adherence to taking Fe tablets p=0.000; OR (95% CI) =5.869 (2.217 - 15.535).

Keywords: Anemia, adolescent girls, Fe tablets.

ABSTRAK

Latar belakang: Anemia remaja putri menyebabkan perkembangan fisik dan psikis yang terganggu, penurunan kerja fisik dan daya pendapatan, penurunan daya tahan terhadap kelelahan, peningkatan angka kesakitan dan kematian.

Tujuan: Untuk menganalisis determinan kejadian anemia remaja putri Sekolah Menengah Atas (SMA) swasta di wilayah kerja Puskesmas Sentul Kabupaten Bogor.

Metode: Penelitian dengan desain Cross Sectional, dilakukan pada 125 remaja putri di tiga SMA swasta wilayah kerja Puskesmas Sentul, Bogor pada Bulan Januari-Maret 2023. Sampel dihitung dengan rumus uji hipotesis 2 proporsi populasi dengan teknik Purposive Sampling. Anemia diukur dengan pemeriksaan hemoglobin menggunakan alat easy touch GCHB. Analisis data menggunakan uji regresi logistik berganda dengan SPSS Versi 20.

Hasil: Dari 125 remaja putri terdapat hampir separuh (45,6%) remaja putri mengalami anemia, 56,8% remaja putri tidak patuh mengkonsumsi tablet Fe. Faktor dominan yang berhubungan secara bermakna terhadap kejadian anemia adalah kepatuhan minum tablet Fe (P-value =0.000; OR=5.63 (2,23-14,21)). Faktor lainnya yaitu asupan makanan sumber zat besi (P-value=0,003; OR=2,94 (1,42-6,11)) Sedangkan faktor lainnya tidak berhubungan dengan anemia (P-value >0,05)

Kesimpulan: Remaja putri yang tidak patuh mengkonsumsi tablet Fe lebih berisiko 5,63 untuk mengalami anemia dibandingkan remaja putri yang patuh mengkonsumsi tablet Fe. Untuk meningkatkan kepatuhan konsumsi tablet Fe pada remaja putri diperlukan sosialisasi kembali aplikasi “Ceria” yang digunakan dalam pemantauan kepatuhan konsumsi tablet Fe.

Kata kunci: anemia, remaja putri, kepatuhan konsumsi tablet Fe, status gizi

RURAL-URBAN DISPARITY OF CONDOM USE AT THE LAST SEX AMONG INDONESIAN MALE ADOLESCENTS

Fadhaa Aditya Kautsar Murti — 2023-12-30

Introduction: Several studies has established the urgency to use condom, however in Indonesia, condom use remains low and the gap is more distinct in different living setting. Since condom at the last sex is a predictor for frequency due to its recency, this research aims to understand condom use at the last sex.

Methods: This study uses data from Indonesian Demographic Health Survey (IDHS) 2017, the latest survey to capture sexual behaviour. The population for this study is Indonesian male adolescents. The data is analysed using logistics regression using complex-sample approach. In addressing the disparity, this research will separate the result according to rural-urban areas.

Results: Internet use is associated with condom use at the last sex for adolescents in rural areas (p-value= 0.013, aOR= 3.851 (1.332—11.128)). Age (p-value= 0.005, aOR= 2.004 (1.232—3.257)), education (p-value= 0.001, aOR= 2.672 (1.493—4.784)), and read newspaper/magazine (p-value= 0.044, a0R= 0.449 (0.238—0.847) and 0.669 (0.405—1.106)) are associated with condom use at the last sex for adolescents in urban areas. Attitude towards condom use is found to be significant in both living setting (p-values= 0.03, a0R= 4.360 (1.661—11.446) for rural areas and p-values= 0.011, aOR= 2.058 (1.184—3.576) for urban areas) and acts as the strongest predictor in both rural-urban areas.

Conclusion: Further intervention should address the disparity of rural-urban areas and taking mass media consumption, age, and education into an account as well as shaping a better attitude towards condom.

FAKTOR SOSIODEMOGRAFI DAN PENGETAHUAN IBU HAMIL TERHADAP PRAKTIK KEAMANAN PANGAN PADA MASA PANDEMI COVID-19 DI WILAYAH PERKOTAAN DAN PERDESAAN

Tria Astika Endah Permatasari — 2023-12-30

ABSTRACT

Background: The COVID-19 pandemic increases the risk of maternal mortality. Food safety practices are one of the essential measures to prevent COVID-19 exposure in pregnant women.

Objective: To analyze sociodemographic factors and pregnant women's knowledge regarding food safety practices amid the COVID-19 pandemic in urban and rural areas.

Methods: A cross-sectional study was conducted from June to August 2021, involving 477 pregnant women selected through random sampling in urban (Kota Bekasi) and rural (Kabupaten Bekasi), West Java. Sociodemographic factors and knowledge related to food safety practices were assessed using a structured questionnaire, with data analyzed via independent t-test and ANOVA.

Results: The findings reveal that most pregnant women exhibited reasonably good food safety knowledge, with 94.2% in urban and 90.7% in rural areas. They also displayed good food safety practices, with urban areas averaging 83.81±10.46 SD and rural areas averaging 82.66±10.21 SD. Urban regions showed a positive correlation between maternal knowledge and food safety practices, while rural areas highlighted significant influences from maternal education, family income, and knowledge.

Conclusion: A strong grasp of food safety leads to improved food safety practices. We recommend enhancing knowledge and offering food safety training, alongside improving educational access and economic opportunities in rural areas.

Keywords: Knowledge, practices, food safety, pregnant women, COVID-19 pandemic.

ABSTRAK

Latar belakang: Pandemi COVID-19 meningkatkan risiko kematian pada ibu hamil. Praktik keamanan pangan merupakan salah satu upaya penting dalam mencegah paparan COVID-19 pada ibu hamil.

Tujuan: Tujuan penelitian ini adalah menganalisis faktor sosiodemografi dan pengetahuan ibu hamil terkait praktik keamanan pangan selama pandemi COVID-19 di wilayah perkotaan dan perdesaan.

Metode: Penelitian cross-sectional dilakukan pada Juni-Agustus 2021 dengan 477 ibu hamil yang dipilih menggunakan teknik random sampling serta memenuhi kriteria inklusi dan eksklusi di perkotaan (Kota Bekasi) dan perdesaan (Kabupaten Bekasi), Jawa Barat. Data karakteristik sosiodemografi, pengetahuan, dan praktik keamanan pangan dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan uji t independen dan ANOVA.

Hasil: Mayoritas ibu hamil memiliki pengetahuan keamanan pangan cukup baik mencapai 94,2% di perkotaan dan 90,7% di perdesaan. Penerapan praktik keamanan pangan yang baik, dengan nilai rata-rata mencapai 83,81±10,46 SD di perkotaan dan 82,66±10,21 SD di perdesaan. Di perkotaan, terdapat korelasi positif antarapengetahuan ibu hamil dan praktik keamanan pangan. Sementara di perdesaan, pendidikan ibu, pendapatan keluarga, dan pengetahuan ibu hamil mempengaruhi praktik keamanan pangan secara signifikan.

Kesimpulan: Pemahaman yang baik tentang keamanan pangan menghasilkan praktik keamanan pangan yang baik. Kami merekomendasikan peningkatan pengetahuan dan pelatihan praktik keamanan pangan, serta peningkatan akses pendidikan dan peluang ekonomi di perdesaan.

Kata kunci: Pengetahuan, praktik, keamanan pangan, ibu hamil, pandemi COVID-19.

THE EFFECTOF SPINNING WHEEL ON ADOLESCENT KNOWLEDGE AND ATTITUDES ABOUT PRE-MARITAL SEX IN BENGKULU CITY

Citra Syifa K.R — 2023-12-29

Background: Adolescence is a time when everyone is curious about everything, including one sexual problem. Adolescents require sexual education instruction at this time in their personal development.

Objective: The purpose of this study is to see how teaching using the Spinning Wheel affects adolescents' knowledge and attitudes toward premarital sex at SMA Negeri 10 in Bengkulu City.

Method: This study employs a pre-experimental design with single-group pretest and posttest techniques. Proportionate stratified random sampling was performed with 40 class X students from SMA Negeri 10 Bengkulu City, and pre and post-questionnaires were employed for data collection. The analytical method uses the Wilcoxon test.

Result: The results showed that there was an increase in the average knowledge of adolescents before (10.50) and after education (13,70) with a mean difference (3.2), an increase in the average attitude before (33.65) and after being given education (38.48) with a mean difference (4.83). There is an educational influence through the media Spinning Wheel On The increase in knowledge (P-Value=0,000) and attitudes (P-Value=0,000)of adolescents about premarital sex at SMA Negeri 10 Bengkulu City.

Conclusion: There is an educational influence using Spinning Wheel media on teenagers' knowledge and attitudes about premarital sex. It is hoped that academics, educational institutions, and other researchers will use the Spinning Wheel media and develop android-based learning methods and other games to increase the knowledge and attitudes of adolescents, especially about premarital sex.

Keyword: Teenagers, Premarital Sex, Spinning Wheel

EFEKTIFITAS KONSELING TERHADAP PENGETAHUAN IBU DALAM DETEKSI TANDA BAHAYA BAYI DAN BALITA DI INDONESIA

Anissa Rizkianti — 2023-12-29

Background: As part of the Integrated Management of Childhood Illnesses, the government conducted counselling on a daily monitoring, so families enable to recognize danger signs and seek medical help for sick infants and under-five children.

Objective: This study aims to measure changes in mothers' knowledge about danger signs on infants and under-five children after given counseling regarding monitoring.

Method: The study design used was a quasi-experiment in one group (one-group pretest-posttest) with a quantitative and qualitative approach. The quantitative sample was 320 under-five children in the selected public health centers in eight focused districts who met the inclusion criteria, consisting of mothers, caregivers, or the closest family members taking care of children, whereas the qualitative sample included four informants with classification based on monitoring practices. Counseling was conducted by local cadres who were formerly trained by the Ministry of Health team.

Results: Of the 320 respondents, only 48.4% experienced better knowledge after receiving counseling. Based on the McNemar test results, respondents' knowledge level before and after counseling was not significantly different (p > 0.05). Qualitative results show that inappropriate counseling techniques and a less conducive environment affected changes in respondents' knowledge.

Conclusion: To optimize the effectiveness of counseling in increasing mothers' knowledge to monitor danger signs for infants and under-five children at home, cadres are expected to design better counseling practices and create a conducive atmosphere.

Keywords: counseling, monitoring, danger signs, knowledge

PENGEMBANGAN DAN KELAYAKAN FILM SERI PSIKOEDUKASI BERBASIS KESEHATAN JIWA DAN REPRODUKSI DALAM MENCEGAH PERNIKAHAN MUDA

Ahmad Guntur Alfianto — 2023-12-30

Abstract

Background: Young marriage can have an impact on mental and reproductive health. Psychoeducation is a form of health promotion with a life skills approach and understanding knowledge. Film as a health promotion medium is one form of media that currently has a big influence on those who see it.

Objective: Develop and test the feasibility of the Psychoeducational film series “Nyiapno Tradisi Kembar Mayang” as a medium for promoting mental and reproductive health in preventing young marriages

Method: This type of research is development and feasibility testing by 6 experts. The stages consist of writing the film script and producing the film. The measuring tool used is a questionnaire that assesses the script and film media. The analysis technique uses the Aiken's V formula and the reliability test uses the ICC (Interclass Correlation Coefficent) formula.

Results: The development of this film was carried out using literature review, script writing, film production, feasibility testing of the script and film. Feasibility test with validation results with a minimum value of 0.80 for film scripts and 0.79 for film media. Meanwhile, the reliability value for film media is 0.982 and film media is 0.786.

Conclusion: The development of the film goes through the stage of writing a script with a service value and very good and a film production with a decent and good value. So that this media can become a health promotion media.

Keywords: Film, Young Marriage, Psychoeducation.

Abstrak

Latar belakang: Pernikahan muda dapat berdampak pada kesehatan jiwa dan reproduksi. Psikoedukasi merupakan bentuk promosi kesehatan dengan pendekatan keterampilan hidup dan pemahaman pengetahuan. Film sebagai media promosi kesehatan salah satu bentuk media yang saat ini memberikan pengaruh yang besar kepada yang melihatnya.

Tujuan: Mengembangkan dan menguji kelayakan dari media film seri Psikoedukasi “Nyiapno Tradisi Kembar Mayang” sebagai media promosi kesehatan berbasis kesehatan jiwa dan reproduksi dalam mencegah pernikahan muda

Metode: Jenis penelitian ini adalah pengembangan dan uji kelayakan oleh 6 ahli. Tahapan terdiri dari menulis naskah film dan memproduksi film tersebut. alat ukur yang digunakan adalah kuesioner dengan menilai naskah dan media film. Teknik analisis menggunakan formula Aiken’s V dan uji reliabilitas dengan menggunakan rumus ICC (Interclas Corelation Coefficent).

Hasil: Pengembangan film ini dilakukan dengan literatur review, penulisan naskah, produksi film, uji kelayakan naskah dan film. Uji kelayakan dengan hasil validasi nilai minimum 0,80 untuk naskah film dan 0,79 untuk media film. Sedangkan untuk nilai reliabilitas media film sebesar 0,982 dan media film 0,786.

Kesimpulan: Pengembangan film tersebut melalui tahap penulisan naskah dengan nilai layak dan sangat baik dan produksi film dengan nilai layak dan baik, sehingga media tersebut dapat menjadi media promosi kesehatan.

Kata kunci: Film, Pernikahan Muda, Psikoedukasi

FAKTOR RISIKO STUNTING PADA WILAYAH KRISIS AIR DI KECAMATAN PONTANG, KABUPATEN SERANG, BANTEN

Meliana Sari — 2023-12-30

Abstract

Background: Stunting is one of the problems of child development and growth. Clean water, hygiene, and sanitation are indirect factors that play a role in stunting. Pontang Sub-District, Serang Regency was included in the National Stunting Management Locus in 2021. Another challenge is Pontang Sub-District is predicted to have a clean water crisis in the low to high category.

Objective: To determine the relationship between risk factors and the incidence of stunting in Pontang Sub-District.

Method: This research was conducted in Domas Village and Pontang Village, Pontang Sub-District, Serang Regency. Data were collected in July 2022. This research used a case-control study design, with a sample size of 47 people from each case and control group. Data were collected using questionnaires and environmental observation sheets using a purposive sampling method. Data analysis used the Chi-Square Test and Odds ratio (OR).

Results: The results of the study found that there was a relationship between clean water (OR = 2.8; 95% CI 1.171-6.672), sanitation (OR = 2.84; 95% CI 1.232-6.563), exclusive breastfeeding (OR = 7.35; 95% CI 1.59-8.81) and giving MP-ASI (OR = 2.62; 95% CI 1.029-6.674) with the incidence of stunting. Hygiene, growth and development monitoring, and a history of infectious diseases are not related to the incidence of stunting.

Conclusion: Increasing access to clean water, improving sanitation, and education regarding breastfeeding and MP-ASI need to be improved to reduce the incidence of stunting in the Pontang District area.

Keywords: Stunting, Breastfeeding, WASH

Abstrak

Latar belakang: Salah satu masalah yang menjadi tantangan di fase pertumbuhan dan perkembangan anak adalah stunting. Diantara banyak faktor, ketersediaan air bersih, higiene dan sanitasi adalah faktor tidak langsung yang berperan dalam kejadian stunting. Kecamatan Pontang Kabupaten Serang masuk dalam lokus penanganan stunting Nasional tahun 2021. Tantangan lainnya, Kecamatan Pontang diprediksi mengalami krisis ketersediaan air bersih kategori rendah hingga tinggi.

Tujuan: Mengetahui hubungan faktor risiko dengan kejadian stunting di Kecamatan Pontang.

Metode: Penelitian ini dilakukan di Desa Domas dan Desa Pontang Kecamatan Pontang Kabupaten Serang. Data dikumpulkan pada bulan Juli 2022. Penelitian ini menggunakan desain studi case-control, dengan jumlah sampel sebanyak 47 orang pada masing-masing kelompok kasus dan kontrol. Pengumpulan data menggunakan lembar observasi lingkungan dan kuesioner melalui pendekatan metode purposive sampling. Analisis data menggunakan Uji Chi-Square dan Odds ratio (OR).

Hasil: Hasil penelitian ditemukan terdapat hubungan antara ketersediaan air bersih (OR = 2,8; 95% CI 1,171-6,672), sanitasi (OR = 2,84; 95% CI 1,232-6,563), ASI Eksklusif (OR = 7,35; 95% CI 1,59-8,81) dan Pemberian MP-ASI (OR = 2,62; 95% CI 1,029-6,674) dengan kejadian stunting. Adapun higiene, pemantauan tumbuh kembang dan riwayat penyakit infeksi tidak berhubungan dengan kejadian stunting.

Kesimpulan: Peningkatan akses ketersediaan air bersih, perbaikan sanitasi dan edukasi mengenai ASI dan MP-ASI perlu ditingkatkan untuk menurunkan kejadian stunting di wilayah Kecamatan Pontang.

Kata kunci: Stunting, ASI Eksklusif, Air, Sanitasi, Higiene

DETERMINAN PENGAMBILAN KEPUTUSAN UNTUK MENIKAH PADA REMAJA DI INDONESIA

Yane Tambing — 2023-12-30

Abstract

Background: Making decisions to marry among teenagers will lead to high rates of child marriage before the age of 18, which will later have long-term risks for the health, psychological, and social problems of teenagers.

Objective: Analyzing the determinants that influence the decision to marry among teenagers in Indonesia.

Method: This study was cross-sectional by analyzing IDHS data in 2018, where the study sample was 10,619 women aged between 20-24 years who had been married before turning 18 years old.

Results: about 72.2% of Indonesian adolescents participated in the decision to get married, another result of the study found that. The factors of sexual experience that were related to education (p-value: 0.001 and AOR:1.94 with 95% CI: 1.52-2.48), information exposure (p-value: 0.002 and AOR: 1.37 with 95% CI: 1.12-1.66) and sexual experiences (p-value=0.001 and AOR=0.64 with 95% CI=0.52-0.79). Education was The dominant variable that influenced the decision-making of marriage in adolescents was education.

Conclusion: The decision-making of marriage in adolescents is influenced by education variables, information exposure, and sexual experiences

Recommendation: enhancing adolescent participation in PIKRs: promoting healthy marriage and sexuality education through social media.

Keywords: determinants, marriage decision-making, Indonesian teenagers.

Abstrak

Latar belakang: Memutuskan untuk menikah pada usia remaja dapat berdampak jangka panjang pada pada masalah kesehatan, psikologis dan sosial remaja.

Tujuan: Mengetahui deteminan keputusan menikah pada remaja Indonesia.

Metode: Penelitian ini berdesain cross sectional dengan menganalisis data SDKI tahun 2018, dimana sampel penelitian sejumlah 10.619 orang wanita berusia antara 20–24 tahun yang pernah menikah sebelum menginjak 18 tahun.

Hasil: Sekitar 72,2% remaja Indonesia berpartisipasi dalam pengambilan keputusan untuk menikah, variabel pendidikan dengan nilai p-value=0,001 serta AOR=1,94 (95% CI=1,52-2,48), keterpaparan media dengan nilai p-value:=0,002 dan AOR=1,37 (95% CI=1,12-1,66) dan pengalaman seks dengan nilai p-value=0,01 dan AOR=0,64 (95% CI:0,52-0,79) berhubungan dengan pengambilan keputusan sendiri untuk menikah pada remaja, dan variabel yang dominan adalah variabel pendidikan.

Kesimpulan: Pendidikan, keterpaparan informasi serta pengalaman seks remaja memiliki peran dalam keputusan menikah.

Rekomendasi: Menggalakkan kampanye tentang pernikahan yang sehat serta edukasi seksualitas melalui media sosial serta meningkatkan peran remaja pada Pusat Konseling dan Informasi Remaja (PIKR) yang ada di sekolah.

Kata kunci: determinan, pengambilan keputusan menikah, remaja Indonesia.

DEVELOPMENT OF INTERACTIVE MEDIA AS FAMILY ASSISTANCE TO PREGNANT WOMEN IN IMPROVING QUALITY OF LIFE

Dina Putri Utami Lubis — 2024-03-24

Background: Pregnancy is a physiological or natural condition that can occur physical and emotional changes. One way to improve the quality of life (QOL) is with family assistance. Interactive learning media is a learning method based on information and communication technology.

Objective:To analyze the quality of life of pregnant women who are given interactive media as family assistance.

Method: Quasi Experimental research design with Non-equivalent pre-test and post-test control group design. The quality of life instrument used in this study uses WHOQOL-Bref which consists of 26 questions with a Likert scale. Samples were taken by purposive sampling as many as 108 pregnant women who were divided into 2 intervention and control groups spread across at works area of Sleman Primary Health Centre.

Results: The average increase in QOL for pregnant women in the intervention group was 1.74 and in the control group the average increase in QOL for pregnant women was 0.65. Mann-Whitney statistical test 0.025 (<0.05) which means there is a difference in the increase in QOL of pregnant women in the group of mothers who were given interactive media in the form of learning videos and those who were not given videos.

Conclusion: Theres a significant difference in increasing the Quality of Life for pregnant women before and after providing interactive media in the form of learning videos. Health workers are advised to make interactive media as a form of promotive and preventive efforts for maternal and child health services.

Keywords: Quality of Life, Interactive Media, Pregnant Women