Pieter David Adriaan Ferdinandus
Universitas Ciputra

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Contraceptive-use Behavior Among Women of Reproductive Age in Rural Indonesia: Rethinking Contraceptive-use Promotion Hanna Silitonga; Nimas Pristiwanto Dwi Safitri; Bachtiar Rizki Nadiansyah; Tan Emanuella Veilen Madelline Willy; Novia Yolanda; Azyvati Karesna Putera; Minarni Wartiningsih; Ni Njoman Juliasih; Etha Rambung; Pieter David Adriaan Ferdinandus
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 3 (2026): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v6i3.318

Abstract

The use of contraception not only contributes to the reduction of maternal and child mortality rates but also serves as a strategic effort to control population growth. Long-term contraceptive methods (LCMs) are recognized as more effective and efficient when compared to non-LCMs. Nevertheless, data from the 2020 Indonesian Health Profile indicate that the majority of contraceptive acceptors continue to favor non-LCMs. Peniwen Village, characterized by a high population density of 462 individuals per square kilometer, represents a pertinent setting for examining contraceptive behavior. This study aimed to analyze the contraceptive behavior of women of reproductive age in Peniwen Village, along with their sociodemographic characteristics, and to determine the association between contraceptive method and variables such as age, education level, occupation, parity, knowledge of family planning, and family life cycle. This research employed an analytical observational design with a cross-sectional approach. The study involved 37 women of reproductive age who were family planning acceptors selected through total sampling. Data were collected using structured questionnaires encompassing demographic information, family planning knowledge, family stage, and contraceptive use. Descriptive statistics were applied to summarize the data, while the Chi-square test was used to assess associations between independent variables and contraceptive method. The findings revealed that 48.65% of respondents utilized LCMs, while 51.35% used non-LCMs. Bivariate analysis showed no statistically significant association between contraceptive method and age (p=0.249), education (p=0.695), occupation (p=0.392), parity (p=0.340), family planning knowledge (p=0.122), or family stage (p=0.500). These results underscore the necessity of adopting a more holistic approach that incorporates socio-cultural and religious dimensions to enhance family planning education among women of reproductive age in Peniwen village.
Enterocutaneous fistula et cause abdominal tuberculosis in community: An emergency diagnosis challenge Siusanto Hadi; Pieter David Adriaan Ferdinandus; Minarni Wartiningsih; Billy Daniel Messakh; Purwakaning Purnomo Agung; Cempaka Harsa Sekarputri; Vincent Aurelius Gonaldy
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.627

Abstract

Background: A fistula is defined as an abnormal connection that connects two hollow spaces of the body. Fistula are divided into two categories, internal and external. Abdominal TB can mimicks other diseases including Enterocutaneous fistula that occur due to chron’s disease, malignancy, typhoid or radiation exposure. Tuberculosis is a rare cause of enterocutaneous fistula increasing the needs of clinicians to diagnose TB in an emergency manner. Purpose: To assess clinical manifestation of enterocutaneous fistula in patient with abdominal tuberculosis, and to determine the best emergency diagnosis tools in the progress of diagnosing abdominal tuberculosis. Method: This literature review is guided by the PICOS framework, encompassing materials published from 2000 to 2024. Data were obtained from diverse sources such as PubMed Central, Google Scholar, Science Direct, Elsevier (SCOPUS), scientific journals, articles, and books. The analysis proceeded through three stages: data reduction, presentation, and formulation of conclusions. Studies fulfilling the inclusions criteria were selected. Results: Patient with TB could have enterocutaenous fistula as one of its clinical manifestations, therefore. This study concludes that multiplex PCR shows an outstanding result for its specificity making it highly effective in ruling out non-tubercular diseases with minimum false positive. Conclusion: Enterocutaneous fistula in intestinal tuberculosis often presents without clear thoracic imaging of pulmonary TB, complicating diagnosis. Abdominal TB's non-specific symptoms can mimic other diseases, making CT scans and ultrasonography useful, though not definitive. Laparoscopy, combined with histological examination, remains the most reliable diagnostic tool. Laboratory tests like ADA levels, PCR, and culture are essential in confirming the diagnosis. A diagnostic algorithm and early anti-tubercular therapy can help when test results are inconclusive.