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Chyntia Haryana
STIKes Sentral, Indonesia
Dentistry Health Professions Nursing Public Health Veterinary

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Determinants of early marriage incidence in adolescents in Rural West Kupang District, East Nusa Tenggara Suci Aspriyanti Anwar; Mega Putri Amalanda Amalanda; Rani Kusumawardani; Qorinah Estiningtyas Sakilah Adnani; Chyntia Haryana
Science Midwifery Vol 14 No 3 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2410

Abstract

Early marriage remains a major public health problem in East Nusa Tenggara (NTT), particularly in rural areas where local cultural practices have received limited quantitative investigation despite their potential influence on marriage decisions. This study aimed to identify the determinants of early marriage among adolescents in rural West Kupang District. This quantitative study employed a cross-sectional design involving 98 adolescents aged 15–19 years from two villages (Oenaek and Sumlili) selected using the Slovin formula. Data were analyzed using univariate, bivariate (chi-square), and multivariate (multiple logistic regression) analyses. The prevalence of early marriage was 27.6%. Bivariate analysis identified six factors significantly associated with early marriage (p < 0.05), while multivariate analysis showed that local cultural/customary perceptions (AOR = 6.1; 95% CI: 1.9–19.6; p = 0.002), poor reproductive health knowledge (AOR = 3.2; p = 0.036), and poor family economic status (AOR = 2.9; p = 0.049) were the dominant determinants. The novelty of this study lies in quantitatively examining the role of local cultural perceptions, including the belis tradition, together with socioeconomic and behavioral factors in a rural NTT setting. These findings provide evidence to support culturally sensitive policies, strengthen adolescent reproductive health education, and guide community-based interventions to prevent early marriage in rural areas.
Effectiveness of nutritional counseling and fe tablet supplementation on hemoglobin levels of pregnant women in the working area of the Hajimena Health Center, Lampung Nur Wachiniah Mawadda; Harny Citra Purnama; Nurul Amalia; Qorinah Estiningtyas Sakilah Adnani; Chyntia Haryana
Science Midwifery Vol 14 No 3 (2026): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2411

Abstract

Pregnancy-related anemia remains a significant public health problem in the working area of Puskesmas Hajimena, Natar Subdistrict, South Lampung, increasing the risk of preterm birth and low birth weight. Although iron (Fe) supplementation is routinely provided through antenatal care (ANC), anemia remains prevalent, suggesting that supplementation alone may be insufficient to address nutritional and behavioral factors affecting maternal hemoglobin (Hb) levels. This study addressed limited evidence regarding the integration of Health Belief Model (HBM)-based nutrition counseling with Fe supplementation in primary healthcare settings. A quasi-experimental pretest-posttest study with a control group involved 98 second-trimester pregnant women equally allocated into intervention and control groups. The intervention group received three HBM-based nutrition counseling sessions over eight weeks alongside Fe tablets, while the control group received Fe tablets alone. The intervention significantly increased Hb levels and reduced anemia prevalence. The novelty lies in integrating behavioral-based nutrition counseling into anemia prevention. Scientifically, the findings provide evidence that behavioral interventions can enhance Fe supplementation effectiveness. Practically and clinically, the intervention offers a feasible strategy for midwives to improve maternal knowledge, adherence, dietary practices, and anemia management within ANC services. From a policy perspective, the findings support integrating structured nutrition counseling into routine maternal health programs to strengthen anemia prevention and improve maternal health outcomes.
Co-Authors Harny Citra Purnama Mega Putri Amalanda Amalanda Nur Wachiniah Mawadda Nurul Amalia Qorinah Estiningtyas Sakilah Adnani Rani Kusumawardani Suci Aspriyanti Anwar