Search

Health Promoter is one of the health professionals in all health institutions. Different educational backgrounds, educational levels, competencies and functional positions can affect performance in the field. This study aims to analyze competence and its effect on the performance of health promoters. This type of research is an exploratory survey with a quantitative approach. The research population is health promoters in Central Java. The research sample was 114 people and selected by simple random sampling technique. Data analysis used simple linear regression. The results showed that there was a strong positive correlation between competence and performance (r = 0.712), the coefficient of determination (R square) was 0.507. This explains that 46.3% of performance is influenced by competence.

Early marriage is marriage in adolescent under the age of 19 who should not be ready to carry out marriage. Problems with early marriages also occur in Sukadana District. During the period of 2020, there were 283 early marriages. Early marriage can pose risks for both teenagers who marry early, children to be born, and have a risk of divorce. This study aims to determine the factors that influence early marriage in Sukadana District, East Lampung Regency in 2020. This type of research is analytic observational with a cross sectional design. The sample set is 166 respondents with simple random sampling technique. The instruments used are structured questionnaires and observation sheets. Data were analyzed using chi-square test and logistic regression test using SPSS version 20.0. Variables related to early marriage in this study were education level (p=0.004, RP=0.796), parents' occupation (p=0.000, RP=0.237), family income (p=0.001, RP=3.957), and level of knowledge (p=0.000, RP=9.913). While the factors that are not related to early marriage are culture (p=0.710, RP=1.373) and the role of peers (p=0.163, RP=0.604). Early marriage is one of the threats to the achievement of the 2030 Sustainable Development Goals (SDGs) target. To overcome this, it is necessary to have cooperation from various parties to seek to prevent an increase in the incidence of early marriage as a preventive effort to reduce the disturbances and risks that can occur. due to early marriage.

In suppressing the rate of population growth, the government seeks to optimize the Family Planning (KB) program. Miroto Public Health Center is a health center in the Central Semarang District which experienced a decrease of 13.4% of new family planning memberships. The decline was caused by the increase in the number of births, the delay in contraceptive services and the soaring unmet need during the pandemic. To support the role of cadres in providing socialization easily without having to meet during this pandemic, a Family Planning Education and Consultation System (SIDUTA KB) was created. Methods: This study uses Research and Development (RnD) which refers to the Sugiyono model with limited trials. The research data analysis technique is descriptive analysis and the data collected consists of qualitative and quantitative. Results: In this study, design validation was carried out through media expert tests with a percentage score of 83.55% (5 experts), material experts at 81.11% (3 experts), and users by 86.72% (73 users). Conclusion: SIDUTA KB makes it easy for users to find educational content about family planning programs, conduct consultations, and choose Miroto Health Center facilities or services related to the family planning program.

Female Sex Workers (FSW) are a group of populations at high risk of transmitting HIV/AIDS. In Indonesia, it is predicted that more than 50% of FSW suffer from sexually transmitted diseases (STDs), as well as in the district of Batang, Central Java, the most cases of HIV/AIDS in FSW. The main causes are weak sexual negotiation skills and economic reasons. The model of behavior change is the main key in decreasing cases of HIV/AIDS transmission. The Care Support Education (CSE) model is an innovative community-based behavior change communication. This research is pre experimental research with one group pretest posttest design. The population is FSW in Batang district localization totaling 123 people. Samples were taken by purposive sampling of 57 people. Test the effect of applying the CSE model on behavior change was analyzed using the Mc Nemar test. Condom use in risky sexual behavior among FSWs was still low (15.8%). Factors that influence it are knowledge, attitudes, perceptions of vulnerability, seriousness, benefits, negotiation capabilities and customer support. The application of the CSE model can significantly increase knowledge (p value 0.00006), attitude (0.0001), condom negotiation skills (0.000001) and practise of using condoms (0.000005).

Latar Belakang : Perkawinan usia dini adalah perkawinan pada remaja di bawah usia 19 tahun yang seharusnya belum siap untuk melaksanakan pernikahan. Masalah perkawinan dini juga terjadi di Kecamatan Sukadana. Selama kurun waktu 2020, terjadi sebanyak 283 perkawinan usia dini. Perkawinan usia dini dapat menimbulkan resiko baik bagi remaja yang menikah dini, anak yang akan dilahirkan, dan memiliki risiko perceraian. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berpengaruh terhadap perkawinan usia dini di Kecamatan Sukadana Kabupaten Lampung Timur tahun 2020. Metode : jenis penelitian ini adalah observasional analitik dengan rancangan Cross Sectional. Sampel yang ditetapkan sebanyak 166 responden dengan teknik simple random sampling. Instrumen yang digunakan adalah kuesioner terstruktur dan lembar observasi. Data dianalisis menggunakan uji chi-square serta uji regresi logistic menggunakan SPSS versi 20.0. Hasil : variabel yang berhubungan dengan perkawinan usia dini dalam penelitian ini yaitu tingkat pendidikan (p=0,004, RP=0,796), pekerjaan orang tua (p=0,000, RP=0,237), pendapatan keluarga (p=0,001, RP=3,957), dan tingkat pengetahuan (p=0,000, RP=9,913). Sedangkan faktor yang tidak berhubungan dengan perkawinan usia dini adalah budaya (p=0,710, RP=1,373) dan peran teman sebaya (p=0,163, RP=0,604). Kesimpulan : perkawinan usia dini merupakan salah satu ancaman bagi pencapaian target Sustainable Development Goals (SDGs) 2030. Untuk mengatasi hal ini perlu adanya kejasama dari berbagai pihak untuk mengupayakan pencegahan peningkatan angka kejadian perkawinan usia dini sebagai upaya preventif untuk menurunkan gangguan dan risiko yang dapat terjadi akibat perkawinan usia dini.

Latar belakang: Kecamatan Kedu merupakan salah satu kecamatan di Kabupaten Temanggung dengan kasus perkawinan pada remaja wanita tertinggi selama tiga tahun berturut-turut sejak tahun 2018-2020. Terdapat 227 wanita berusia 15-24 tahun yang melakukan perkawinan pertamanya pada tahun 2020. Tujuan penelitian ini yaitu untuk mengetahui hubungan peran gender dan sikap seksualitas pranikah dengan pengambilan keputusan perkawinan pada wanita usia 15-24 tahun. Metode: Jenis penelitian analitik observasional dengan rancangan cross sectional. Subjek penelitian yaitu wanita yang melakukan perkawinan pada usia 15-24 tahun. Variabel terikat adalah pengambilan keputusan perkawinan pada wanita usia 15-24 tahun, variabel bebas adalah persepsi peran gender dan sikap terhadap seksualitas. Penelitian ini menggunakan instrumen penelitian berupa kuesioner. Teknik sampling menggunakan purposive sampling. Teknik analisis data menggunakan chi square. Hasil: nilai p-value pada variable peran gender adalah 0,003 (p0,05) artinya tidak terdapat hubungan. Kesimpulan: peran gender berhubungan dengan pengambilan keputusan perkawinan pada remaja wanita, sedangkan sikap seksualitas tidak berhubungan dengan pengambilan keputusan perkawinan pada remaja wanita.

Background: Based on Basic Health Research (Riset Kesehatan Dasar) 2013 data, the prevalence of hypertension in Indonesia was high (26.5%). It means that 1 in 4 people suffer from hypertension. Based on a preliminary study conducted by researchers in November 2017 at the Primary Healthcare Center (PHC) of Kalongan, it was found that 67% of hypertensive patients did not recognize risk factors, signs and symptoms of hypertension. Results of examinations and report at the PHC and Non-communicable Disease (NCD) Surveillance (Posbindu) in the working area of ​​ PHC of Kalongan in 2017, that Kawengen village was a village with the highest number of hypertension cases from 6 villages in their working area. Peer Support Group is a form of empowerment innovation that can be applied to. Methods: This study was pre-experimental with one group pretest-posttest design. The study population was all hypertensive patients in Kawengen village. Sample was determined purposively, obtained by 61 people. The research instrument was the pretest and posttest questionnaire. Data analysis was performed by McNemar test. Results: Peer Support Group model can improve knowledge (p value 0.031), behavior (p value 0.008), risk and complication control practices (p value 0.012). Risk and complication control behavior is an effort that can be implemented to reduce hypertension cases in the community. Conclusion: Peer Support Group is one of community empowerment models, especially for patients which can increase knowledge, change behavior, and improve risk and complication control practices among hypertensive patients as participant of Peer Support Group.

Pollution caused by cigarette smoke causes health problems and even death in humans. Active smokers contribute to this. The number of smokers increases every year, including among the students. This study aimed to develop a Non-Smoking Area model in campus area. This study used quantitative approach supported by qualitative data. The population was every campus members in the Faculty of Sports Sciences, Semarang State University (UNNES). In the quantitative approach, a sample of 170 respondents was determined by accidental sampling technique. We used questionnaire as the instrument and the data obtained were analyzed by correlation test. We involved 10 respondents in Focused Group Discussion (FGD) to obtain the qualitative data. The results showed that 1) 25.88% smoked actively; 2) 91.2% knew about cigarette and its health risks; 3) 68.2% supported smoking ban regulations on campus; 4) respondents’ knowledge and attitude influenced smoking behavior; 5) promotional messages about the dangers of cigarettes on health must be campaigned in a communicative and effective language at a strategic location; 6) Written regulation from campus officials is critical to strengthen the implementation of No Smoking Area policy on campus.

Target penurunan angka kematian ibu (AKI) menjadi 102/100.000 kelahiran hidup belum tercapai belum tercapai sampai berakhirnya MDGs tahun 2015. Dalam dua tahun terakhir, kasus kematian ibu di kabupaten Kendal meningkat. Pada tahun 2015 terjadi 23 kasus, naik dari tahun sebelumnya yaitu 19 kasus. Wilayah Singorojo merupakan wilayah yang belum bisa menekan kasus kematian ibu secara signifikan. Dua tahun terakhir terjadi 2 kasus kematian ibu. Penyebab utamanya adalah perdarahan, hipertensi dan anemia. Faktor yang memperberat terjadinya kematian ibu. Kondisi geografis, sosiokultural, letak serta wilayah yang masih pedesaan dan jauh dari pusat layanan kesehatan rujukan turut berpengaruh terhadap kejadian kematian ibu. Pemetaan awal oleh Tim Pengabdi diketahui bahwa faktor risiko gangguan kehamilan dan komplikasi persalinan banyak terjadi di desa Singorojo kecamatan Singorojo kabupaten Kendal. Deteksi dini terhadap faktor risiko gangguan kehamilan menjadi informasi yang wajib diketahui oleh setiap ibu hamil dan masyarakat sejak sedini mungkin untuk menurunkan jumlah kasus kematian ibu khususnya di wilayah pedesaan.Pemerintah telah melakukan upaya menurunkan kematian ibu melalui peran Bidan Desa. Namun, keterbatasan jumlah Bidan dan cakupan wilayah yang cukup luas menjadi kendala dalam memberikan informasi secara komprehensif kepada ibu hamil. Pos Keluarga Siaga menjadi alternatif solusi permasalahan tersebut. Melalui peningkatan peran serta masyarakat khususnya Kader Posyandu, Pos Keluarga Siaga ini dapat menjadi wadah edukasi, pemetaan kehamilan berisiko (risk mapping) sekaligus menjadi media untuk melakukan konseling (micro counseling) terhadap ibu hamil berisiko. Melalui kegiatan Pos Keluarga Siaga di wilayah pedesaan ini, Kader telah mampu melakukan kegiatan pemetaan kehamilan berisiko, terampil menggunakan instrumen surveilans factor risiko kehamilan, serta memahami seluruh isian yang ada dalam instrumen tersebut. Kader juga telah mampu melakukan interpretasi hasil pemetaan menurut skor risiko kehamilan. Berdasarkan hasil pemetaan yang dilakukan oleh Kader di masing-masing wilayah di desa Singorojo, diketahui hasil bahwa dari 69 ibu hamil yang telah diidentifikasi melalui kegiatan surveilans kehamilan berisiko diketahui 31,88% (22 orang) di antaranya masuk dalam kategori kehamilan risiko tinggi (KRT), dan terdapat 6 ibu hamil (8,69%) dalam kategori risiko sangat tinggi.

Jumlah kasus kematian ibu di kabupaten Kendal pada tahun 2015 sebanyak 23 kasus, tahun 2016 19 kasus, dan tahun 2017 naik menjadi 25 kasus. Desa Singorojo adalah desa yang dalam 3 tahun terakhir memiliki trend kenaikan kasus kehamilan risiko tinggi yang signifikan. Penelitian ini bertujuan untuk mengetahui efektivitas Youth Centre Model dalam meningkatkan pengetahuan sikap remaja di daerah kehamilan berisiko tinggi. Penelitian ini dirancang dengan desain pre-eksperimental research dengan one group pretest-posttest design yang dianalisis secara kuantitatif. Populasi penelitian adalah remaja di desa Singorojo kabupaten Kendal. Sampel ditentukan secara purposive sampling. Analisis data dilakukan dengan menggunakan uji beda dan uji Wilcoxon. Hasil penelitian menujukkan edukasi sebaya yang dilakukan oleh Kader Youth Centre yang telah diberi pelatihan telah mampu meningkatkan pengetahuan kesehatan reproduksi remaja khususnya terkait seksualitas dan kehamilan berisiko tinggi (p value 0,001). Selain itu juga dapat meningkatkan kesadaran remaja akan pentingnya pendewasaan usia perkawinan melalui perubahan sikap remaja (p value 0,002). Simpulan menunjukkan Youth Centre dapat meningkatkan pengetahuan dan kesadaran pada siswa remaja. Abstract The number of maternal mortality cases in Kendal district in 2015 reached 23 cases, in 2016 were 19 cases, and in 2017 were 25 cases. Singorojo village was a village that in the last 3 years had a significant upward trend in cases. This study aimed to determine the effectiveness of the Youth Center Model in increasing the knowledge of the attitudes of adolescents in high risk pregnancy areas. This study was designed with a pre-experimental research design with one pretest-posttest design group analyzed quantitatively. The study population was adolescents in Singorojo village, Kendal district. Sampling technique used purposive sampling. Data analysis was used a different test and Wilcoxon test. The results of a complete peer education study conducted by Youth Center Cadres who had been given training had been able to improve adolescent health knowledge with high sexuality and pregnancy (p value 0.001). In addition, it could also increase teenagers' awareness of the importance of marriage awareness for adolescent girls (p value 0.002). Conclusion showed that Youth Center can increase knowledge and awareness of adolescent students.

The mosquito of Aedes aegypti is the vector of the dengue virus can transmit the disease through bites DBD. The popular control in a society is by using chemical insecticides. The use of chemical insecticides can lead to continuous resistance of mosquitoes. The efforts to reduce the negative impact of chemical insecticides can be controlled with an insecticides plant. This control can be done by using materials that came from plant, one of them namely bitter melon (Momordica charantia L). The purpose of this research is to analyze the kill power of bitter melon extracts against the mosquito of Aedes aegypti. This type of research is pure experiment with the design of the post test only control group design with five variants of extract concentration of 13%, 19%, 27%, 40%, and 59% with five repetitions. A kruskal wallis test result showed a difference in thye average number of deaths the mosquito of Aedes agypti in various concentration of bitter melon extract, indicated by the value of significance p=0,001 (p

Pneumonia merupakan pembunuh utama balita di dunia yang kurang mendapat perhatian bahkan terlupakan (“the forgotten killer”). Cakupan angka penemuan pneumonia balita di Indonesia tahun 2014 masih belum mencapai target yaitu 29,74% (target 80%). Rendahnya cakupan penemuan pneumonia balita disebabkan antara lain karena deteksi kasus oleh bidan sebagai pemberi pelayanan balita sakit di puskesmas masih rendah. Penelitian ini bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan praktik penemuan pneumonia balita oleh bidan di puskesmas wilayah Kabupaten Pemalang. Metode penelitian ini berjenis explanatory research, menggunakan pendekatan cross sectional, dengan populasi penelitian adalah bidan yang bertugas di ruang rawat jalan KIA puskesmas di Kabupaten Pemalang berjumlah 242 orang. Teknik sampling secara purposive didapat 44 responden. Analisis data secara univariat dan bivariat dengan uji chi square. Hasil penelitian didapatkan faktor yang berhubungan dengan praktik penemuan pneumonia oleh bidan adalah pengetahuan (p=0,000), tugas rangkap (p=0,019), lama memegang program (p=0,007) dan dukungan kepala puskemas (p=0,000). Faktor yang tidak berhubungan adalah umur (p=1,000), sikap (p=0,773), ketersediaan fasilitas (p=0,117) dan dukungan mitra kerja (p=1,000). ABSTRACT Pneumonia is the main killer of children under five in the world who received less attention even forgotten ("the forgotten killer"). Coverage under five pneumonia detection rate in Indonesia in 2014 has yet to reach the target of 29.74% (target 80%). The low coverage of infant pneumonia is caused partly because the detection of cases by midwives as the service provider sick children in health centers is still low. This study aimed to identify factors related to the practice of the invention toddler pneumonia by midwives in health centers Pemalang district. This research method was explanatory research using cross sectional approach, the study population are midwife who served in the room KIA clinics in Pemalang amounted to 242 people. Purposive sampling technique obtained 44 respondents. Data analysis of univariate and bivariate with chi square test. The result showed that factors associated with the practice of the invention of pneumonia by midwives are knowledge (p = 0.000), double duty (p = 0.019), long held the program (p = 0.007) and the head support health centers (p = 0.000). Factors unrelated are age (p = 1.000), attitude (p = 0.773), the availability of facilities (p = 0.117) and the support of partners (p = 1.000).

This study investigated whether mixture extract of Pterocarpus indicus, Momordica charantia, Phaseolus vulgaris and Andrographis paniculata could lower plasma glucose in Type 2 Diabetes Mellitus (T2DM) patients. 43 T2DM patients, consist of 10 male and 33 female patients participated in this possitive-controlled, double-blind, and crossover clinical study with administration of either mixture extract (22 mg/kg BW) or glibenclamide 5 mg daily in breakfast time. Treatment of extract or glibenclamide was administered for a month, then medication was changed after a week of washout period and finally combination therapy was administered after wash out period as well. The efficacy of mixture extracts was measured by using Fasting Plasma Glucose (FPG) and two-hour Postprandial Plasma Glucose (PPG). Forty-one subjects completed the study. Data was analyzed using SPSS 19 with Student's t test, and p

Abstrak Demam Berdarah Dengue (DBD) sering menimbulkan wabah dan kematian. Kasus DBD di Kabupaten Demak selalu meningkat dan 75% wilayah di Demak endemis DBD. Demak Kota adalah salah satu kecamatan endemis DBD dengan CFR tertinggi. Pemerintah telah melakukan berbagai upaya, namun belum optimal. Pemberdayaan masyarakat dengan mengaktifkan kembali potensi dan kearifan lokal masyarakat “Ronda Jentik” adalah bentuk inovasi pemberdayaan masyarakat dalam penanggulangan DBD. Jenis penelitian ini adalah penelitian pengembangan dengan pendekatan kuantitatif dan kualitatif. Populasi seluruh rumah di RW 04 Kelurahan Mangunjiwan Kecamatan Demak sejumlah 126 rumah. Responden penelitian adalah ibu rumah tangga yang ditentukan dengan teknik cluster sampling. Hasil menunjukkan model “Ronda Jentik” relevan dengan permasalahan DBD, dapat menumbuhkan kebersamaan dalam pemberantasan sarang nyamuk, mudah, sesuai dengan budaya lokal, tidak membutuhkan banyak biaya, serta semua anggota masyarakat terlibat sebagai subjek pemantauan dan pemberantasan jentik. Hasil uji coba, model “Ronda Jentik” dapat meningkatkan praktik PSN dan meningkatkan jumlah rumah bebas jentik. Abstract Dengue Hemorrhagic Fever (DHF) is a diseasethat often causes epidemic and death. Dengue cases in the Demak Regency always increases and 75% of Demak areas are endemic. Demak Kota is one of endemic sub-districts with the highest CFR. The government has made various efforts, but did not work well. Empowerment by reactivating potential and local wisdom, “Ronda Jentik” is a form of innovation community empowerment in dengue prevention. This is a development research with quantitative and qualitative approach. The population was all houses (146 houses) in RW 04 in Mangunjiwan Village. The respondents were housewives which were taken by cluster sampling. The study states that the "Ronda Jentik" model was relevant to dengue problem, able to foster togetherness in mosquito eradication, easy, similiar to the local cultural, and does not require a lot of costs, and all community members could involve as the subject of larvae monitoring and eradication. "Ronda Jentik" model could improve practices of mosquito eradication and increase the amount of no-larvae houses.

Transvestite is one of the high risk groups in HIV/AIDS. Integrated Biological and Behavioral Surveillance (IBBS) states that in 2011, the HIV prevalence among waria in Indonesia has reached 22%, increasing from 2009 (18.96%). Such occurrence is because transvestite usually has multiple partners in intercourse both oral and anal sex, and rarely use condoms. Similarly, the male regular partners of transvestite also have sex with multiple sexual partners. Therefore, they also have a high risk of spread of HIV/AIDS. The objective of this study is to analyze sexual behavior of male regular partner of transvestite in Efforts to prevent the spread of HIV/AIDS. The study was carried out in 2014 using qualitative approach. Data was collected by in-depth interview on 6 male regular partner of transvestite through purposive sampling and triangulation informants of peer educators. The result shows that the use of condom on male regular partners of transvestite is still low and they inconsistently use when having sex with transvestite, female sex workers and female girlfriend. Their knowledge about HIV/AIDS is not good, and some regular partner of transvestite also felt susceptibility to contracting HIV. However, the perceived severity and perceived of benefits male regular partner of transvestite is good about HIV /AIDS despite the barrier of perceived and perceived self-efficacy is low related access to condoms.

Exclusive breastfeeding is important thing to do from the mother to the baby since it could decrease infant mortality rate. Exclusive breastfeeding on work place has been arranged in Indonesian Government Regulation No. 33/2012. Though the company has provided dedicated room for lactation as supporting factor to the achievement of exclusive breastfeeding, yet it only reach 14.25%. This research has objective to find out factors related with exclusive breast feeding practice by Health Belief Model theory. The research is conducted with cross sectional design. Sample size is 78 working women having baby ages 6–12 months. The sample is obtained by simple random sampling technique. The analysis of data correlation is processed by chi square test (α=0, 05) and logistic regression. Research result showed that perception (p=0, 036), parity (p=0, 018), knowledge (p=0, 017), socio culture (p=0, 016), family support (p=0, 006), direct superior support (p=0, 013), and nanny role (p=0, 045) in the relation of exclusive breastfeeding practice on working mother at Garment Company “X”. Result of logistic regression indicate direct superior support is the most influenced variable. Low practice of exclusive breast feeding on working mother at Garment Company “X” is influenced by direct superior support factor. Also the factor of perception, parity, knowledge, socio culture, family support and nanny role.

This study investigated whether mixture extract of Pterocarpus indicus, Momordica charantia, Phaseolus vulgaris and Andrographis paniculata could lower plasma glucose in Type 2 Diabetes Mellitus (T2DM) patients. 43 T2DM patients, consist of 10 male and 33 female patients participated in this possitive-controlled, double-blind, and crossover clinical study with administration of either mixture extract (22 mg/kg BW) or glibenclamide 5 mg daily in breakfast time. Treatment of extract or glibenclamide was administered for a month, then medication was changed after a week of washout period and finally combination therapy was administered after wash out period as well. The efficacy of mixture extracts was measured by using Fasting Plasma Glucose (FPG) and two-hour Postprandial Plasma Glucose (PPG). Forty-one subjects completed the study. Data was analyzed using SPSS 19 with Student's t test, and p