Diabetes mellitus is a chronic metabolic disorder marked by elevated blood sugar. Non-adherence to type 2 DM treatment increases risks of complications and failure of blood sugar control. This quantitative cross-sectional study used spatial and network analysis to examine factors affecting non-adherence among 114 type 2 DM patients registered as prolanis participants at the Jatilawang Community Health Center. Data collection involved questionnaires, interviews, and geospatial mapping via Google Maps. Statistical analyses included univariate, bivariate, multivariate analysis with SPSS, and network mapping with QGIS. The study found that access to health information significantly influenced non-adherence (p-value=0.006, OR=5.170), while transportation availability (p-value=0.427, OR=0.609) and family support (p-value=0.076, OR=2.622) were confounding factors. Other variables, such as knowledge, attitude, motivation, distance to the community health center, and the role of health workers, were not significant. Most respondents lived within 3 km of the community health center based on network mapping. The findings suggest that patients should actively seek health information from healthcare providers to enhance treatment adherence.
Ridwan Ridwan, Umar Al Faruq, Teguh Setyobudi
et al.
AbstractStunting is a serious global health challenge, especially in developing countries like Indonesia, where the prevalence is still high, around 30-40%. This condition not only affects children's physical growth, but also impacts cognitive development, academic achievement, and economic capabilities in adulthood, thereby contributing to a continuous cycle of poverty. Despite the implementation of various medical and nutritional interventions, stunting rates remain high, indicating the need for a more holistic and integrated approach. This research aims to examine the relevance and priority of Surah An-Nisa' Verse 9 in the context of stunting prevention in Indonesia with a focus on the integration of Islamic religious values in public health interventions. The method used was qualitative with a thematic interpretation approach, where data was obtained through a study of Al-Qur'an interpretation literature as well as interviews with health and religious experts in TK Darun Najah Kedemungan Village, Pasuruan City. The research results show that internalizing the values of Surah An-Nisa' Verse 9 can increase parents' awareness and responsibility for children's health and nutrition, which has significant potential in reducing the prevalence of stunting. In conclusion, integrating religious values in public health programs has great potential to strengthen the effectiveness of stunting prevention interventions, making them more culturally and spiritually relevant to Indonesian society. Keywords: Stunting, Surah An-Nisa' Verse 9, Internalization of Values, Public HealthAbstrakStunting merupakan tantangan kesehatan global yang serius, terutama di negara berkembang seperti Indonesia, di mana prevalensinya masih tinggi, yaitu sekitar 30-40%. Kondisi ini tidak hanya mempengaruhi pertumbuhan fisik anak, tetapi juga berdampak pada perkembangan kognitif, prestasi akademik, dan kemampuan ekonomi di masa dewasa, sehingga berkontribusi terhadap siklus kemiskinan yang berkelanjutan. Meskipun berbagai intervensi medis dan nutrisi telah diterapkan, angka stunting tetap tinggi, menunjukkan perlunya pendekatan yang lebih holistik dan terintegrasi. Penelitian ini bertujuan untuk mengkaji relevansi dan keutamaan Surah An-Nisa' Ayat 9 dalam konteks pencegahan stunting di Indonesia dengan fokus pada integrasi nilai-nilai agama Islam dalam intervensi kesehatan masyarakat. Metode yang digunakan adalah kualitatif dengan pendekatan tafsir tematik, di mana data diperoleh melalui studi literatur tafsir Al-Qur'an serta wawancara dengan pakar kesehatan dan agama di TK Darun Najah Kedemungan kota Pasuruan. Hasil penelitian menunjukkan bahwa internalisasi nilai-nilai dari Surah An-Nisa' Ayat 9 dapat meningkatkan kesadaran dan tanggung jawab orang tua terhadap kesehatan dan gizi anak, yang berpotensi signifikan dalam mengurangi prevalensi stunting. Kesimpulannya, integrasi nilai-nilai agama dalam program kesehatan masyarakat memiliki potensi besar untuk memperkuat efektivitas intervensi pencegahan stunting, menjadikannya lebih relevan secara kultural dan spiritual bagi masyarakat Indonesia.Kata kunci: Stunting, Surah An-Nisa' Ayat 9, Internalisasi Nilai, Kesehatan Masyarakat
Kesehatan gigi dan mulut merupakan bagian penting dari kesehatan umum yang perlu diperhatikan sejak usia dini, termasuk pada anak-anak dengan disabilitas intelektual ringan. Anak dengan kondisi ini memiliki keterbatasan dalam memahami informasi, merespon instruksi dan mengontrol motorik halus, yang menyebabkan kurangnya kemampuan dalam menjaga kebersihan diri, khususnya dalam menyikat gigi secara mandiri dan benar. Salah satu upaya untuk meningkatkan keterampilan menyikat gigi pada kelompok ini adalah melalui edukasi kesehatan gigi yang disesuaikan secara individual sesuai dengan tingkat pemahaman dan kemampuan anak. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi kesehatan gigi berbasis individual terhadap keterampilan menyikat gigi pada anak dengan disabilitas intelektual ringan. Desain penelitian yang digunakan adalah quasi eksperimen dengan pendekatan pretest-posttest dengan kelompok kontrol. Responden dipilih menggunakan teknik pengambilan sampel acak sederhana pada anak dengan disabilitas intelektual ringan yang bersekolah di Sekolah Luar Biasa dengan jumlah 20 anak pada masing-masing kelompok. Penelitian melibatkan dua kelompok, yaitu kelompok intervensi yang diberikan edukasi individual dan kelompok kontrol yang tidak diberikan perlakuan serupa. Instrumen pengukuran menggunakan lembar ceklis keterampilan menyikat gigi sebelum dan sesudah intervensi selama 21 hari. Hasil analisis menunjukkan bahwa terdapat peningkatan signifikan pada keterampilan menyikat gigi di kelompok intervensi dari nilai rerata sebelum (7,34 ± 1,440) menjadi sesudah intervensi (15,81 ± 1,421) dengan nilai signifikansi p < 0,001. Sementara itu, pada kelompok kontrol tidak ditemukan perbedaan bermakna (p = 0,505). Selisih peningkatan antara kedua kelompok juga signifikan secara statistik (p < 0,001). Dengan demikian, dapat disimpulkan bahwa edukasi kesehatan gigi berbasis individual terbukti efektif dalam meningkatkan keterampilan menyikat gigi pada anak dengan disabilitas intelektual ringan.
Access to pornography among adolescents can inflict various threats such as pornography addiction, risky sexual behaviour, Sexually Transmitted Diseases (STDs), unplanned pregnancies, and illegal abortions. Thus, this study aimed to identify exposure to pornographic media and the role of parents in adolescent sexual behaviour. This study used a qualitative approach with a purposive sampling technique to select informants, including 12 adolescents as key informants, 12 parents and 4 teachers as expert key informants. Data were collected using 2 methods: in-depth interviews with expert key informants and Focus Group Discussions (FGD) with adolescents as key informants. The data were analyzed using thematic analysis technique. The data validity, were assessed using a triangulation method, mainly the source, method, and data itself. This study found that low self-control in adolescents drives them to engage in risky sexual behaviour, such as holding hands, kissing, and touching their partner's sensitive areas. Exposure to pornography encouraged them to imitate the acts in such videos, ranging from masturbation to sexual stimulation of a partner. Lack of reproductive health information and parental supervision often makes adolescents make sexual decisions without careful consideration. Providing comprehensive sex education accompanied by parental supervision can be a preventive effort against deviant sexual behaviour among adolescents.
Meilla Dwi Andrestian, Naning Kisworo Utami, Aima Insana
et al.
Snakehead fish (Channa striata) bones exhibited antibacterial activity against cariogenic bacteria, while Banjar Siam orange (Citrus reticulata) provided complementary antibacterial effects. The combination of these ingredients has the potential to be formulated into a functional saliva-stimulating jelly gum to support oral health in stunted children. This study aimed to obtain an optimal formulation of “Harukam” jelly gum as a saliva stimulant for caries prevention. The research was conducted at the Health Polytechnic of the Ministry of Health Banjarmasin and the Industrial Service Standardization Center Banjarbaru, Indonesia, from June to October 2025. A completely randomized design was applied using four concentrations of snakehead fish bone flour: P0 (0%), P1 (1%), P2 (2%), and P3 (3%). Sensory evaluation was performed using the Hedonic Scale, while the chemical composition was determined through proximate analysis. Optimization was determined using the DeGarmo method, and statistical analysis was performed using the Friedman test. The addition of snakehead fish bone flour significantly affected sensory acceptance (p < 0.001) and increased most proximate values, except for carbohydrates. The P1 formulation received the highest preference score. In conclusion, P1 “Harukam” jelly gum showed potential as a functional food to stimulate saliva secretion and support caries prevention in stunted children.
Nutrition. Foods and food supply, Food processing and manufacture
Pelayanan prima merupakan elemen utama di unit pelayanan kesehatan yang dituntut memberikan pelayanan kesehatan memenuhi standar pelayanan yang optimal. Kualitas pelayanan prima tenaga administrasi kesehatan mempunyai peran penting menjaga mutu puskesmas. Diperlukan upaya peningkatan kualitas pelayanan prima tenaga administrasi kesehatan agar pelayanan puskesmas lebih optimal, efektif dan efisien. Tujuan penelitian untuk mengetahui gambaran pelayanan prima tenaga administrasi kesehatan dalam pelayanan administrasi kesehatan di Puskesmas Talang Jambe. Desain penelitian ini menggunakan penelitian deskriptif eksploratif (exploratory study). Pelaksanaan penelitian bulan September 2024 di Puskesmas Talang Jambe. Sampel penelitian ini adalah tenaga/pimpinan tenaga administrasi kesehatan di Puskesmas Talang Jambe. Variabel dalam penelitian ini adalah deskripsi pelayanan prima tenaga administrasi kesehatan dalam memberikan pelayanan administrasi kesehatan di puskesmas Talang Jambe. Hasil penelitian yang diperoleh kualitas pelayanan prima tenaga administrasi kesehatan dalam memberikan pelayanan administrasi kesehatan baik, namun puskesmas Talang Jambe merupakan puskesmas baru sehingga masyarakat yang terdaftar sebagai pasien masih sedikit dan double job, sehingga berdampak pada pelayanan yang diberikan sudah memenuhi standar naman masih kurang optimal. Rekomendasi Penelitian perlu adanya upaya meningkatkan kualitas pelayanan yang baik pada tenaga administrasi kesehatan sehingga puskemas dapat meningkatkan mutu pelayanan prima dan melakukan sosialisasai untuk meningkatkan pengetahuan masyarakat tentang puskesmas Talang Jambe.
Latar belakang : Karies gigi adalah penyakit yang relatif umum dan cukup tinggi di kalangan siswa sekolah dasar dari usia 6 sampai 11 tahun. Data tingkat kerusakan gigi pada siswa sekolah dasar diperoleh dari beberapa ulasan menunjukkan bahwa angka rata-rata DMF-T tetap ada lebih besar dari 5 atau lebih besar dari 60% jika targetnya adalah layanan RAN kesehatan gigi dan mulut 2020-2025 anak 12 tahun DMF-T kurang dari atau sama dengan 1,14. Masalah dalam penelitian ini khususnya, tingginya tingkat kerusakan gigi di kalangan siswa sekolah dasar Indonesia dari tahun 2015 hingga 2020 Tujuan : Penelitian ini bertujuan untuk membahas one way methode dalam peningkatan pengetahuan kesehatan gigi dan mulut pada anak sekolah dasar. Metode : Penelitian ini bersifat kualitatif dengan analisis secara deskriptif yang mencoba ingin mendapatkan penjelasan tentang one way methode dalam peningkatan pengetahuan kesehatan gigi dan mulut pada siswa sekolah dasar. Hasil : Hasil dari review jurnal dan artikel menunjukkan bahwa beberapa dari media yang digunakan efektif untuk peningkatan pengetahuan kesehatan gigi dan mulut untuk anak sekolah dasar tergantung dari hambatan yang terjadi saat penelitian berlangsung. Kesimpulan : Berdasarkan hasil review jurnal dan artikel penelitian yang ditelaah dapat diambil kesimpulan bahwa beberapa media yang digunakan efektif untuk peningkatan pengetahuan kesehatan gigi dan mulut untuk anak sekolah dasar.
Safrizal Safrizal, Herlina Dimiati, Eka Yunita Amna
et al.
Latar belakang. Penyakit jantung bawaan asianotik merupakan kelainan struktur dan fungsi jantung sejak lahir yang tidak ditandai dengan sianosis. Morbiditas PJB asianotik signifikan, dengan prevalensi 69,3-78,5%. Pada PJB dapat terjadi gangguan fungsi ginjal yang dapat meningkatkan mortalitas pada anak. Neutrophil Gelatinase-Associated Lipocalin (NGAL) plasma merupakan penanda prediktor gangguan fungsi ginjal pada anak.
Tujuan. Mengetahui kadar NGAL plasma sebagai prediktor gangguan fungsi ginjal pada anak dengan penyakit jantung bawaan asianotik.
Metode. Penelitian ini merupakan studi observasional analitik dengan pendekatan prospektif pada anak usia 1 tahun sampai 10 tahun dengan diagnosis PJB asianotik yang melakukan rawat jalan maupun rawat inap di Rumah Sakit Umum Daerah dr Zainoel Abidin Banda Aceh pada bulan Februari hingga Juni 2024 yang memenuhi kriteria penelitian.
Hasil. Dari 35 anak dengan PJB asianotik, terbanyak berusia usia 1 tahun sampai dengan kurang dari 5 tahun (41,7%). Sebanyak 31,2% anak dengan diagnosis defek septum atrium terdapat gangguan fungsi ginjal. Kadar NGAL plasma sebesar 100,18 ng/ml menjadi cut-off point gangguan fungsi ginjal pada anak dengan PJB asianotik. Pada nilai AUC sebesar 0,95 didapat nilai sensitivitas, spesifisitas, PPV dan NPV masing-masing sebesar 100%; 94,73%; 94,1%; dan 100%. Kadar NGAL plasma pada anak dengan PJB asianotik memiliki hubungan signifikan (p=0,001) dengan gangguan fungsi ginjal.
Kesimpulan. Neutrophil Gelatinase-Associated Lipocalin plasma dapat digunakan sebagai prediktor gangguan fungsi ginjal pada anak dengan PJB asianotik.
Ardiyanti Hidayah, Rista Dian Anggraini, Siti Nur Farida
Background: Dysmenorrhea is pain during menstruation. There are 2 types of dysmenorrhea, namely primary dysmenorrhoea and secondary dysmenorrhoea. Primary dysmenorrhea is dysmenorrhea without any abnormalities in the genital organs. Secondary dysmenorrhea is dysmenorrhea in the presence of abnormalities in the genital organs, such as tumors, inflammation, etc. Acupressure is a development of massage therapy pressing on acupuncture points which increases oxygen saturation and causes muscle relaxation effects.
Objectives: This study aims to determine the effectiveness of acupressure therapy for dysmenorrhea pain that occurs in adolescent girls.
Design: This research used a one group pretest-posttest design.
Methods: This research was conducted in June-October 2020 using primary and secondary data at Patriot Peterongan High School, Jombang Regency. The population of this study was all 60 young women attending Patriot Peterongan High School, Jombang Regency. The sampling technique used in this research was purposive sampling, so that the total research sample was 42 respondents. Data was collected using a pain intensity questionnaire in the form of a numerical VAS (Visual Analog Scale) with an intensity scale (0-10). Acupressure therapy is carried out at the bilateral LI 4 (hegu) and ST 36 pressure points 30 times for 3 consecutive days during menstruation. Data analysis used the Wilcoxon test.
Results: The results of the study showed a decrease in the quality of dysmenorrhea pain, namely before therapy, it was 2.67 and SD 0.687. Meanwhile, after acupressure therapy for 3 consecutive days, the average result of dysmenorrhea pain intensity was 1.19 and SD 0.552. The results of the Wilcoxon test showed a decrease in the average intensity of dysmenorrhea pain on day 1, namely 0.22, day 2, namely 0.43 and day 3, namely 0.83 with a P value = 0.00, which means acupressure therapy at point LI 4 ( Hegu) and bilateral ST 36 are effective in reducing dysmenorrhea in adolescent girls.
Conclusion: Acupressure therapy at points LI4 and ST 36 is effective in reducing dysmenorrhea in adolescents. As for suggestions for future researchers, this research can be combined with other therapies so that it can be more effective in reducing pain.
Aulia Putri Handriyani, Tanjung Anitasari Indah Kusumaningrum
Salah satu masalah kesehatan reproduksi bagi remaja yakni masalah seks pranikah yang mengakibatkan remaja rentan terkena infeksi menular seksual (IMS) serta kehamilan tidak diinginkan, maupun aborsi. Salah satu sumber yang tepat bagi remaja untuk berbicara seputar kehidupan remaja termasuk tentang seksualitasnya adalah orang tua karena dianggap kredibel oleh remaja sehingga dapat memengaruhi niat remaja untuk berkomunikasi dengan orang tua. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan niat remaja untuk berdiskusi kesehatan reproduksi dengan orang tua. Jenis penelitian observasional analitik menggunakan metode cross sectional. Penelitian ini dilakukan pada pertengahan tahun 2022 di Kecamatan Grogol, Sukoharjo dengan populasi remaja usia 15-19 tahun sebanyak 9.167 jiwa. Sampel penelitian berjumlah 377 remaja berusia 15-19 tahun dengan teknik pengambilan sampel yaitu convenience sampling. Teknik pengumpulan data yang digunakan dalam penelitian ini menggunakan kuesioner yang diisi secara offline oleh responden dengan mematuhi protokol kesehatan. Hasil penelitian menunjukkan tidak adanya hubungan antara variabel pengetahuan (p 0,05 0,138), sikap (p 0,05 0,831), norma subyektif (p 0,05 0,947), perceived behavioral control (p 0,05 0,057) dan kedekatan remaja dengan orang tua (p 0,05 1,0) dengan niat remaja untuk berdiskusi kesehatan reproduksi dengan orang tua. Pada penelitian ini disimpulkan bahwa tidak ada hubungan antara variabel pengetahuan, sikap, norma subyektif, perceived behavioral control dan kedekatan remaja dengan orang tua dengan niat remaja untuk berdiskusi kesehatan reproduksi dengan orang tua. Disarankan remaja perlu aktif membuka diri kepada orang tua untuk berkomunikasi terkait kesehatan reproduksi dan orang tua juga perlu memiliki waktu dan terbuka untuk diajak berdiskusi oleh remaja sehingga orang tua bisa lebih memahami pendapat remaja mengenai kesehatan reproduksinya.
This study is a literature review study that aims to examine the strategic role of Human Resource Management (HR) and Health Communication Management in improving the effectiveness of organizational performance, especially in the health sector. Based on a review of various sources, it was found that the success of an organization is highly dependent on the suitability of workforce placement with their field of expertise, as well as the effectiveness of internal communication in supporting program coordination and implementation. This study highlights a number of field findings that indicate a mismatch between the educational background of health workers and the job positions they occupy, which has the potential to reduce organizational performance and efficiency. In addition, weak communication management contributes to a lack of understanding of tasks and duplication of work. Therefore, the integration of proper HR management and effective communication management is key to creating an organization's competitive advantage. This study recommends the need for competency-based HR planning, supported by a structured and participatory communication system, to encourage employee performance and the quality of health services.
Didi Suryadi, Y Touvan Juni Samodra, Uray Gistian
et al.
This study aims to prove the improvement of learning outcomes from long service techniques in badminton games through problem-based learning models. The type of study used is the classroom action research design. The subjects of this study were students of Senior High School 2 Sukadana in the 2021–2022 school year, especially class X IPA students, totaling 25 students. The results showed an increase in cycle I, namely 28% completion, but there were still many students who were not complete, with a percentage of 72%. Based on the results in cycle II, it shows that there is a difference in the percentage achieved, namely, in cycle I, 28% of students are complete, and the last in cycle II shows a percentage of 92% of students are complete on the learning outcomes of the badminton long serve. The conclusion proves that the problem-based learning model can improve long-term service skills in badminton games. This research has provided new references related to physical education learning, where these results recommend that the problem-based learning model can be applied to solve badminton long serve problems.
Peminatan akseptor KB terhadap penggunaan KB IUDmasih terhitung rendah di bandingkan dengan alat kontrasepsi jenis pil dan suntik. Bidan menjadi salah satu konselor KB yang terdepanuntuk menjelaskan, serta membantu dalam pemilihan alat kontrasepsi yang tepatuntukakseptorKB. Tujuan : Untuk menganalisis pengaruh Konseling Bidan Terhadap Tingkat Pengetahuan dan Minat Menjadi Akseptor KB IUD di Praktik Mandiri Bidan Jakarta Timur. Jenis penelitian ini menggunakan penelitian kuantitatif dengan rancangan penelitian pre-experimental one group pretest-posttest design. Bertempat di PMB Bidan B pada bulan Agustus-Oktober 2021. Sampel dihitung menggunakan teknik Accidental Sampling sebanyak 84 orang. Analisis yang digunakan analisa univariat dan analisa bivariat menggunakan T-Test Indpendent. Jumlah responden berdasarkan pengetahuan sebelum diberikan konseling sebesar 88.1% memiliki pengetahuan kurang, sebesar 11.9% memiliki pengetahuan cukup. Responden berdasarkan pengatahuan setelah diberikan konseling sebesar 64.3% berpengetahuan baik, sebesar 35.7% berpengetahuan cukup. Jumlah responden berdasarkan minat sebelum diberikan konseling sebesar 61.9% tidak berminat dan 38.1% responden berminat. Responden berdasarkan minat setelah diberikan konseling sebesar 95.2% minat menjadi akseptor KB IUD, dan 4.8% tidak berminat. Rata-rata pengetahuan responden berdasarkan hasil pre dan post test dengan P Value 0.000 maka disimpulkan adanya perbedaan yang signifikan antara pengetahuan responden pada pre test dan post test. Berdasar atas hasil penelitian dapat disimpulkan bahwa konseling bidan memiliki pengaruh secara signifikan terhadap pengetahuan dan minat menjadi akseptor KB IUD. Pada penelitian selanjutnya diharapkan dapat mengembangkan penelitian dengan mengukur efektifitas pemakaian KB IUD.
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Kata Kunci : Konseling,Pengetahuan,minat,IUD,danakseptor.
The tofu industrial production process has not implemented Occupational Health and Safety (OHS) properly and there is an OHS risk. Insufficient air circulation, noise from boiler engines, non-ergonomic posture of workers, and not using PPE while working can potentially cause work accidents. The purpose of this study was to assess the OHS risk using the HIRARC method in the tofu production process. This type of research is descriptive of occupational safety and health risks using the HIRARC method through 3 stages including identification of OHS hazards, OHS risk assessment and OHS risk control. Collecting data by observation and interviews. The sample used by all employees in the production process was 21 people. Data were analyzed descriptively by describing OHS risk using the HIRARC method through 3 stages, namely identification of OHS hazards, OHS risk assessment, and OHS risk control. The results of the physical hazard research are 50% (moderate) in the form of noise, heat/temperature, vibration. The chemical hazard is 33.33% (moderate) in the form of flammable and oxidizing chemicals. Ergonomics hazard is 83.33% (height) in the form of non-neutral sitting and standing positions, excessive workload, working hours exceeding 8 hours a day. The risk assessment obtained a moderate level of risk category (Medium). Administrative control is in the form of job rotation and job training, while PPE control is in the form of foot protectors. OHS risk analysis using the HIRARC method obtained an assessment that the most dominant OHS hazard is ergonomic hazard. OHS risk assessment obtained a moderate risk level (Medium). Administrative control and PPE control can be said to have not been implemented. Suggestions given to the company are measuring external environmental factors, monitoring and evaluating risks, making SOPs for controlling OHS risks and providing PPE for workers.
COVID-19 is a new disease that causes infection in the human respiratory tract and has a fairly high transmission rate. The problem related to this disease is the lack of public awareness in implementing a healthy lifestyle for the prevention and transmission of COVID-19. One way to gain knowledge and insight regarding the application of a healthy lifestyle is to organize health promotion through visual media and print media that are distributed to patients in the Cibogo Community Health Center, Subang Regency. Health promotion that is intensified through visual media and print media is expected to encourage people to capture, understand and remember the messages conveyed in the media, so that lifestyles can change according to science. This study uses a quantitative approach in which the calculation results will be described descriptively. There were 94 questionnaires distributed, each of which consisted of 13 statements. Based on research findings, health promotion through digital media attracts more public attention through print media. In addition, quality of life, in this study, is public awareness in implementing health protocols and implementing them in daily life.
The adolescent age group as a population at risk of experiencing reproductive health problems requires support and attention from the family. Information support and emotional support for adolescents are the main focus of families in overcoming adolescent reproductive health problems. This study aims to determine the relationship of family informational and emotional support to the behavior of using reproductive health services by adolescents. This study uses a descriptive correlational research design with a cross sectional approach with a sample size of 370 with random sampling method. The results showed that there was a significant relationship between informational and emotional support from the family and the behavior of using reproductive health services (p-value 0.000). Behavior improvement in the use of health services needs to be improved with the support of knowledge and attention from parents of adolescents, as well as the active role of health workers in efforts to introduce adolescent reproductive health services.
Background: Neonatal mortality is a death that occurs during the first twenty-eight days of life after a baby is born. Based on Indonesia Demographic and Health Survey (IDHS data) in 2017, there was a decrease in neonatal mortality between 2012 – 2017, but this has not yet reached the SDG's target of 12 deaths per 1,000 live births. Complications during childbirth are one of maternal factors that directly cause pain and death to a mother and her or newborn due to some disorders resulting from childbirth. One of the factors that can influence neonatal mortality is complications during delivery.
Objective: This study aims to observe correlation between complications during childbirth and neonatal mortality. Also, this is to reveal the neonatal mortality rate in children born from 2012-2017 in Indonesia after controlling for all confounding.
Methods: This was a cross-sectional study with an analytical observational approach using secondary data from the IDHS 2017. Its samples were women of childbearing age (15-49 years) who have been married and gave birth, with the last birth data of 5 years prior to the survey. Its inclusion criteria were children who were born in 2012-2017 and were not twin-birth as big as 15.357. The sample selection used total sampling, and the obtained data were analysed by univariate, bivariate, and multivariate analysis using multiple logistic regression.
Results: The final model indicated that there was a significant relationship between the complications during delivery and neonatal mortality after controlling by variables of age, ANC visits, baby's birth weight, and baby's gender on neonatal mortality. PR 3,90 (95% C.I; 2.467 – 6.187).
Conclusion: The results revealed that there was an influence of childbirth complications, maternal age, ANC visits, baby's birth weight, and baby's gender on neonatal mortality.
Abstract
Adolescence is a vital stage of human development because it is characterized by physical, mental, emotional, and psychological changes and sexual experimentation as an individual transitions from childhood to adulthood. This study investigated adolescent reproductive health issues and sexual behaviors in Biriwa, Ghana. The study draws on the health belief model and social learning theory components to analyze the motivations and responses toward reproductive health issues. The study employed a descriptive survey design, and a questionnaire was used to gather data from 200 adolescents. The study discovered the prevalence of unhealthy premarital sexual intercourse and consequent abortion of pregnancies. Peer pressure and lack of financial support from parents or guardians were the main factors that motivated adolescents to engage in unhealthy premarital sex. Therefore, it is recommended that the health center provide regular reproductive health education for adolescents in the community.
Keywords: Adolescent, Sexual Behaviour, Sex, Reproductive Health
Abstrak
Masa remaja merupakan tahap vital perkembangan manusia karena ditandai dengan perubahan fisik, mental, emosional, dan psikologis serta eksperimentasi seksual sebagai transisi individu dari masa kanak-kanak menuju dewasa. Penelitian ini menyelidiki masalah kesehatan reproduksi remaja dan perilaku seksual di Biriwa, Ghana. Studi ini mengacu pada komponen model keyakinan kesehatan dan teori pembelajaran sosial untuk menganalisis motivasi dan tanggapan terhadap masalah kesehatan reproduksi. Penelitian ini menggunakan desain survei deskriptif, dan kuesioner digunakan untuk mengumpulkan data dari 200 remaja. Studi ini menemukan prevalensi hubungan seksual pranikah yang tidak sehat dan aborsi kehamilan. Tekanan teman sebaya dan kurangnya dukungan finansial dari orang tua atau wali menjadi faktor utama yang memotivasi remaja untuk melakukan hubungan seks pranikah yang tidak sehat. Oleh karena itu, disarankan agar Puskesmas memberikan pendidikan kesehatan reproduksi secara berkala kepada remaja di masyarakat.
Kata Kunci: Remaja, Perilaku Seksual, Jenis Kelamin, Kesehatan Reproduksi
Lunardi Bintanjoyo, Afif Nurul Hidayati, Dwi Murtiastutik
et al.
Background: In 2007, skin cancers were third most common malignancies in Indonesia. However, profile of cutaneous tumors in our institution has not been studied. Purpose: To evaluate profile of cutaneous tumors in Dermatology and Venerology Outpatient Clinic, Dr. Soetomo General Hospital, Surabaya, Indonesia. Methods: This is a descriptive retrospective study. Inclusion criteria was new cutaneous tumor patients. Exclusion criteria was incomplete data. Medical record and photograph database from 2019-2020 were assessed for demography, clinical features, histopathological examination and final diagnosis. Results: There were 379 (5,5%) cutaneous tumors among 6896 new patients at Dermatology and Venereology Outpatient Clinic. Overall, there were more female patients (53.7%) and age group of 0-45 years old (70.4%). Cutaneous tumors more commonly presented as papular (50.4%), multiple (56.5%), nonpigmented (58.3%), asymptomatic lesions (62.5%), with time from onset 0-24 months (66.2%) and location on head and face (61.2%). Benign cutaneous tumors showed similar findings. Malignant cutaneous tumors showed differences including predominantly male sex, age above 45 years old, nodular, solitary, pigmented and easily bleeding lesions. Malignant tumors were less common (6.9%). Most common malignant tumor was BCC. Most common benign and overall cutaneous tumor was seborrheic keratosis. Conclusion: Cutaneous tumors presented across gender and ages, showing heterogenous clinical manifestations. Malignant and benign cutaneous tumors showed similarity on time from onset and location of lesions. However, differences were seen in demographic profiles and majority of clinical features. BCC was the most common malignant cutaneous tumors, while seborrheic keratosis was the most common benign and overall cutaneous tumors.
Background:
 The role of health students in providing information about reproductive health is very important, especially regarding reproductive health rights for women with disabilities. This is crucial to do because women with disabilities are very vulnerable to violence and discrimination, especially in terms of reproductive health. 
 Objectives:
 This study aimed to analyze the influence of knowledge and intention toward behavior of female health students in accessing information on reproductive health rights for women with disabilities. 
 Research Methods:
 This was a quantitative study with a cross-sectional design. This study was conducted at the Midwifery Study Program at Tribhuwana Tunggadewi University Malang in October 2020. The sample size was 50 subjects, selected by simple random sampling technique. The dependent variable is the behavior of health female students in accessing information. The independent variables were knowledge and intention in access to information. Data collection using an online questionnaire. The data analysis technique used multiple linear regression. 
 Results:
 The behavior of health female students in access to information was influenced by knowledge (b= 0.36, CI 95% = 0.12 to 0.60, p= 0.005), and intention in access to information (b= 0.45, CI 95% = 0.10 to 0.80, p= 0.014). 
 Conclusion:
 Participants with good knowledge and high intention in access to information affect behavior in accessing information