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Peran ASI Eksklusif Dalam Mendukung Status Gizi Bayi Usia 6 -12 Bulan Mulyani, Ani; Mulyani, Nunung; Patimah, Siti
JURNAL RISET GIZI Vol. 12 No. 1 (2024): Mei 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrg.v12i1.11000

Abstract

Salah satu permasalahan kesehatan di Indonesia adalah kematian anak usia bawah lima tahun (balita). Status gizi pada balita dapat menimbulkan pengaruh yang sangat dapat menghambat pertumbuhan fisik, mental maupun kemampuan berpikir. Balita hidup penderita gizi buruk dapat mengalami penurunan kecerdasan (IQ) hingga 10%. Keadaan ini menunjukkan bahwa pada hakikatnya gizi yang buruk atau kurang dapat berdampak pada penurunan kualitas sumber daya manusia. Dampak paling buruk yang diterima adalah kematian pada umur yang sangat dini.1
The Effect of Peer Educator on Adolescent Girl’s Perception About Early Marriage In 21 Tasikmalaya Junior High School Rahmawati, Jein; Mulyani, Nunung; Suptiani, Laila Putri
JURNAL KEBIDANAN Vol. 15 No. 2 (2025): October 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i2.11702

Abstract

Early marriage negatively impacts the physical and psychological well-being of children worldwide. Adolescents marry for various reasons influenced by peers, perceptions (cognitive, affective, conative), education, and reproductive health information. Teenagers often depend on peers to understand and foster important relationships. Therefore, peer educator initiatives are carried out to tackle early marriage. This investigation aimed to assess the impact of peer educators on the perceptions of female adolescents regarding early marriage at SMP Negeri 21 Tasikmalaya. This research employed a quantitative methodology, specifically the pre-experimental design characterized by a one-group pre-test post-test framework. The population encompassed all female students enrolled at SMP Negeri 21 Tasikmalaya, amounting to a total of 181 individuals. The purposive sampling technique was employed, yielding a sample size of 40 female students alongside 4 peer educators who had undergone training. The research instrument utilized was a questionnaire addressing adolescent perceptions of early marriage, evaluated through cognitive, affective, and conative aspects. The data collected for the research were analyzed using the Wilcoxon Test. The findings of this study reveal that following educational interventions by peer educators, all female adolescents demonstrate understanding, do not support, and possess positive conative aspects towards early marriage. The results of the statistical analysis indicated a p-value of 0.000. The conclusions drawn from this study indicate that peer educators significantly influence the perceptions of adolescent women regarding early marriage at SMP Negeri 21 Tasikmalaya.
TANTANGAN INTEGRASI NILAI KEBINEKAAN GLOBAL DALAM PEMBELAJARAN PKN DI SEKOLAH BERBASIS HOMOGENITAS: SEBUAH ANALISIS PROBLEMATIKA PEDAGOGIS Mulyani, Nunung; Sulton, Sulton
EDUPEDIA Vol. 10 No. SpecialIssue(1) (2026): Pedagogy
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ed.v10iSpecialIssue(1).3612

Abstract

This study aims to analyze the pedagogical challenges in integrating the "Global Diversity" (Kebinekaan Global) dimension of the Pancasila Student Profile into Civics Education (PKN) learning within schools characterized by homogeneous student demographics (based on religion or ethnicity). The research employs a qualitative descriptive method with a case study approach. Data were collected through in-depth interviews with Civics teachers, classroom observations, and curriculum document analysis at a homogenous private school. The results indicate that the primary challenge lies in the "experience gap"; students possess cognitive knowledge of diversity but lack the affective and psychomotor skills to interact with different groups due to the exclusive school environment. Teachers face difficulties in contextualizing learning materials because of the absence of direct examples of diversity in the school ecosystem. Furthermore, there is a tendency for "in-group bias" which hinders the internalization of inclusive values. The study concludes that Civics learning in homogeneous schools requires intervention through digital-based learning media and inter-school collaboration programs to present a virtual experience of diversity, ensuring that Global Diversity is not merely a theoretical concept but a lived value.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI TINGGINYA ANGKA KEJADIAN PERNIKAHAN DINI PADA REMAJA DI WILAYAH KECAMATAN WANAREJAKABUPATEN CILACAP Suryati, Lilis; Mulyani, Nunung; Suptiani, Laila Putri
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 11, No 1 (2026): Januari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v11i1.36986

Abstract

Abstract: Early marriage is still a health and social problem in Indonesia because it has an impact on education, the economy, and family welfare. In Wanareja District, Cilacap Regency, the rate of early marriage is still quite high , namely for women at 89.7% and men at 10.3%. Factors of knowledge, economy, and association of adolescents are suspected to play an important role in influencing the occurrence of early marriage. The purpose of this study aims to determine the influence of knowledge, economic factors, and promiscuity on the incidence of early marriage in adolescents in Wanareja District, Cilacap Regency. Methods: The study used an analytical design with a cross sectional approach. The research sample was adolescents in Wanareja District who were selected using the total sampling technique. Data was collected through a structured questionnaire. Data analysis used the Chi-Square test with a significance level of 0.05. The results of the study showed that adolescents' knowledge of early marriage was in the good category by 54.3%. Socioeconomic factors are in the low category at 94.3%, while promiscuity in the low category is 94.3%. The results of the statistical test showed that there was a significant influence of the knowledge factor on the incidence of early marriage (p = 0.020), there was a significant influence of economic factors on the incidence of early marriage (p = 0.000), and there was no significant influence of the promiscuity factor on the incidence of early marriage (p = 0.174). Conclusion: Knowledge and economic conditions have a significant influence on the incidence of early marriage, while promiscuity has no significant effect. Efforts to prevent early marriage need to be focused on increasing adolescent knowledge and improving family economic conditions through education and community empowerment.Abstrak: Pernikahan dini masih menjadi masalah kesehatan dan sosial di Indonesia karena berdampak pada pendidikan, ekonomi, dan kesejahteraan keluarga. Di Kecamatan Wanareja Kabupaten Cilacap, angka pernikahan dini masih cukup tinggi yaitu pada perempuan sebesar 89.7% dan laki-laki sebesar 10.3%. Faktor pengetahuan, ekonomi, dan pergaulan remaja diduga berperan penting dalam memengaruhi terjadinya pernikahan dini. Tujuan penelitian ini bertujuan untuk mengetahui pengaruh pengetahuan, faktor ekonomi, dan pergaulan bebas terhadap kejadian pernikahan dini pada remaja di Kecamatan Wanareja Kabupaten Cilacap. Metode: Penelitian menggunakan desain analitik dengan pendekatan cross sectional. Sampel penelitian adalah remaja di Kecamatan Wanareja yang dipilih dengan teknik total sampling. Data dikumpulkan melalui kuesioner terstruktur. Analisis data menggunakan uji Chi-Square dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa pengetahuan remaja tentang pernikahan dini dalam kategori baik sebesar 54,3%. Faktor sosial ekonomi dalam kategori rendah sebesar 94,3%, sedangkan pergaulan bebas dalam kategori rendah sebesar 94,3%. Hasil uji statistik menunjukkan terdapat pengaruh signifikan faktor pengetahuan terhadap kejadian pernikahan dini (p = 0,020), terdapat pengaruh signifikan faktor ekonomi terhadap kejadian pernikahan dini (p = 0,000), dan tidak terdapat pengaruh signifikan faktor pergaulan bebas terhadap kejadian pernikahan dini (p = 0,174). Kesimpulan: Pengetahuan dan kondisi ekonomi memiliki pengaruh signifikan terhadap kejadian pernikahan dini, sedangkan pergaulan bebas tidak berpengaruh signifikan. Upaya pencegahan pernikahan dini perlu difokuskan pada peningkatan pengetahuan remaja dan perbaikan kondisi ekonomi keluarga melalui pendidikan dan pemberdayaan masyarakat.
Design of an IVA test mannequin model as a learning media for midwifery students at the Tasikmalaya Health Polytechnic, ministry of health Mulyani, Nunung; Kurnia, Herni; Suptiani, Laila Putri
Science Midwifery Vol 14 No 1 (2026): April: 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.v14i1.2193

Abstract

Introduction: Cervical cancer remains one of the leading causes of cancer-related deaths among women in Indonesia, particularly in developing countries. The Visual Inspection with Acetic Acid (IVA Test) is a simple, affordable, and sensitive method recommended by the World Health Organization (WHO) for early detection. However, many healthcare workers, including midwives, still lack sufficient skills in performing the test. This study aims to develop a prototype of an IVA Test manikin as an innovative learning medium to enhance midwifery students’ competencies. Methods: This research employed the Research and Development (R&D) approach through stages including anatomical graphic design of the cervix, prototype fabrication using medical-grade silicone, and simulation of acetic acid application using hypochlorite acid. The cervical part was designed modularly with litmus paper that turns white when applied with hypochlorite, mimicking a positive IVA reaction. Validation and consultation were conducted with material and media experts to assess design accuracy and functionality. A small-scale trial was carried out involving 10 midwifery students from Poltekkes Kemenkes Tasikmalaya. Results: The prototype successfully resembled the realistic shape, color, and texture of the cervix. Expert validation indicated that the manikin met anatomical and functional criteria, while student trials demonstrated that the model was easy to use, improved understanding of procedural steps, and increased confidence in performing the IVA Test. Conclusion: The developed IVA Test manikin serves as an effective, practical, and sustainable learning innovation to enhance midwifery students’ clinical skills in cervical cancer early detection. Further studies with larger samples and expert validation are recommended to optimize its educational model/video.
SHORTENING THE DURATION OF THE SECOND STAGE OF LABOR AND INCREASING COMFORT WITH ESA CHAIR Mardiani, Dita Eka; Sapia, Noni; Lestari, Meti Widiya; Rismawati, Sariestya; Purnamasari, Wiwin Mintarsih; Mulyani, Nunung; Nurcahyani, Lia; Tajmiati, Atit; Badriah, Siti; Sofie, Muhamad
JURNAL KESEHATAN REPRODUKSI Vol 16 No 2 (2025): JURNAL KESEHATAN REPRODUKSI VOLUME 16 NOMOR 2 TAHUN 2025
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v16i2.374

Abstract

Background: The duration of labor is an important indicator of maternal and infant safety. The success and length of labor is influenced by birthing position. The ESA chair is designed to facilitate an upright position during labor, which, in theory, speeds up the birth process and increases maternal comfort. Objective: to analyze the comparison of the duration of  mothers using ESA chairs and delivery beds at independent midwives in Tasikmalaya city. Method: This study used a quasi-experimental approach with a two-group-posttest-only design, namely interventions in the group of mothers giving birth using ESA chairs and the group of mothers giving birth using delivery beds. The sampling technique used a total of 24 respondents. Data analysis used the Mann-Whitney test. Results: The results of the analysis showed that the duration of labor between the two groups showed that the average duration of labor in the ESA Chair group (34.23) was significantly faster than the average duration of labor in the “Delivery Bed” group (51.45). The results of statistical analysis using the Mann-Whitney test showed a p-value of 0.000. Conclusion: ESA chairs are more effective than delivery beds in shortening the duration of labor in mothers.