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How Married Couples Cope with Sexual Behavior Changes During Pregnancy Nafisah, Lu'lu; Pascariyanti, Tifa
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 13, No 2 (2019): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Sexual health plays an important role for the quality of life. Most partners are sexually active both before and during pregnancy but they are concerned about their sexual activities that affect the fetus or pregnancy. Method: This study was conducted to explore sexual behavior changes during pregnancy and to identify factors related its changes. This study used systematic review based on the PRISMA Protocol. The literature search was conducted from April 14th to April 17th, 2017 by electronic databases such as Proquest, Scopus, JSTOR and Google Scholar using relevant keywords. The initial screening was conducted by reading the titles and abstracts. The relevant studies were further selected using inclusion and exclusion criteria. Result: Ten studies included in this review. Two studies were conducted by a qualitative approach, eight studies by cross-sectional, and two studies by cohort. Sexual intercourse frequency, coitus positions, desire, and orgasm was changed during the gestational stage due to parents’ fear of adverse effects, socio-cultural factors and maternal conditions. Conclusions: Factors associated to sexual behavior changes were maternal age, knowledge, marital status, level of education, perception, socio-cultural factors, religious factor, access to information, and social support.

COMPLIANCE WITH ANTIRETROVIRAL THERAPY AMONG MSM AT CLINIC X, JAKARTA Lu'lu Nafisah
Jurnal Kesehatan Reproduksi Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v11i2.3728.137-149

Abstrak Latar belakang: Kepatuhan terapeutik di Indonesia masih di bawah 80 persen dan dapat mengakibatkan peningkatan insidensi infeksi usus protozoanal, perkembangan AIDS yang lebih cepat, resistensi obat, kegagalan pengobatan, dan penularan virus ke orang lain. Tujuan: Tujuan penelitian ini adalah untuk menggambarkan kepatuhan terhadap terapi antiretroviral pada LSL yang mencari pengobatan di klinik swasta dan menyelidiki faktor pendukung dan hambatan untuk retensi ART. Metode: Penelitian ini menggunakan metode penelitian kualitatif dan data yang dikumpulkan melalui wawancara mendalam. Subjek penelitian dipilih dengan menggunakan purposive sampling. Data dianalisis menggunakan analisis isi. Hasil: Informan berjumlah 7 orang, 4 ODHA, dan 3 petugas kesehatan. Hasilnya menunjukkan bahwa sebagian besar ODHA patuh dalam menggunakan terapi ARV dan mengikuti saran dokter. Faktor-faktor yang mendukung kepatuhan terhadap terapi ARV meliputi tingkat pendidikan, akses informasi, motivasi internal, hubungan pasien dengan dokter, dan dukungan sosial. Hoax, faktor yang terkait dengan pekerjaan, dan stigma adalah hambatan bagi orang yang hidup dengan HIV dalam mempertahankan kepatuhan terhadap terapi ARV. Kesimpulan: Kepatuhan optimal terhadap terapi ARV perlu dipertahankan dan ditingkatkan karena dinamis dan dipengaruhi oleh berbagai faktor. Intervensi berbasis teknologi direkomendasikan dalam memantau kepatuhan ODHA dalam terapi ARV. Kata Kunci: kepatuhan, terapi antiretroviral, hambatan, LSL, ODHA. Abstract Background: Therapeutic compliance in Indonesia was still below 80 percent and may resulted in increased incidence of protozoanal intestinal infection, faster AIDS progression, drug resistance, treatment failure, and transmission of the virus to others. Objective: The purpose of this study was to describe adherence to antiretroviral therapy among MSM who seek treatment at private clinics and investigate facilitators and barriers to ART retention. Method: This study used qualitative research methods and data collected through in-depth interview. The study subjects were selected using a purposive sampling. Data were analyzed using content analysis. Results: The informants were 7 people include 4 PLWHA and 3 health workers. The results showed that most ODHA were compliant in taking ARV therapy and following doctor's advice. Factors supported adherence to ARV therapy include levels of education, access to information, internal motivation, patient relationships with doctors, and social support. Hoaxes, work related factors, and stigma are barriers to people living with HIV in sustaining ARV therapy adherence. Conclusion: Optimal adherence to ARV therapy needs to be maintained and improved because it is dynamic and influenced by various factors. Technological interventions are recommended in monitoring PLWHA compliance in ARV therapy Keywords: adherence, antiretroviral therapy, barriers, MSM, PLWHA.

Pelatihan Keterampilan Hidup untuk Melindungi Remaja dari Kekerasan Lu'lu Nafisah; Aisyah Apriliciciliana Aryani; Yuditha Nindya Kartika Rizqi
E-Dimas: Jurnal Pengabdian kepada Masyarakat Vol 12, No 3 (2021): E-DIMAS
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/e-dimas.v12i3.6572

Kekerasan terhadap Anak dapat terjadi dimana saja baik di sekolah, rumah, ataupun di ruang publik. Bentuk tindak kekerasan dapat berupa kekerasan verbal ataupun non-verbal dan dapat dilakukan oleh siapa saja. Dampak kekerasan dialami baik oleh korban, pelaku, ataupun saksi dengan besaran dampak dari yang ringan sampai berat termasuk percobaan bunuh diri dan kehamilan remaja. Strategi yang dapat mencegah, menangani, dan menanggulangi kekerasan adalah pelatihan kecakapan hidup. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan, sikap, dan kecakapan hidup remaja berkaitan dengan upaya melindungi dari kekerasan. Metode pelaksanaan kegiatan terdiri dari brainstorming, penyuluhan, diskusi, dan simulasi. Media yang digunakan antara lain modul, lembar balik, dan lembar simulasi. Peserta kegiatan pengabdian terdiri dari 33 remaja yang aktif mengikuti kegiatan Pramuka dan PMR. Evaluasi hasil kegiatan dilakukan dengan menggunakan kuesioner pre-test dan post-test, kuis bergambar, dan praktik. Hasil kegiatan ini terdiri dari identifikasi paparan kekerasan yang dialami peserta, persepsi peserta mengenai peranan kecakapan hidup dalam melindungi diri dari kekerasan, dan peningkatan pengetahuan serta keterampilan peserta berkaitan dengan 12 macam kecakapan hidup. Terdapat peningkatan pengetahuan peserta sebelum dan sesudah mengikuti kegiatan ini. Diharapkan manfaat kegiatan dapat dirasakan oleh seluruh peserta dan membantu mencegah terjadinya kekerasan terhadap anak.

Increasing reproductive health literacy among adolescent females in Islamic boarding schools through peer education Lu'lu Nafisah; Yuditha Nindya Kartika Rizqi; Aisyah Apriliciciliana Aryani
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 8, No 1 (2023): February 2023
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v1i1.8060

The importance of reproductive health education in Islamic boarding schools is often overlooked. Whereas the prevalence of reproductive health issues among teenage females in Islamic boarding schools remains high, including anemia, vaginal discharge, dysmenorrhea, premenstrual syndrome, and personal hygiene. These difficulties have an impact such as absenteeism at school, wasting and infertility. Peer education is seen to be capable of addressing these issues since adolescents in Islamic boarding schools engage with their peers more frequently than with their families, instructors, or health workers. The purpose of this activity is to increase participants' knowledge, attitudes, and skills on peer education and adolescent reproductive health. Adolescent reproductive health education, peer education training, and assistance in extracurricular activities that have the potential to help establish healthy madrasas are among the activities carried out. Thirty students who wanted to become peer educators took part in this activity. The results of the activities were evaluated using pre-test and post-test questionnaires, as well as the practice of health education and counseling. The result of this activity is an increase in participants' knowledge about adolescent reproductive health by 8.28 and peer education by 5.17 after participating in the activity. Participants are also able to recognize reproductive health issues that commonly arise in teens and how to prevent them.

FAKTOR YANG MEMENGARUHI PERSEPSI REMAJA TERHADAP PERNIKAHAN DINI DI KECAMATAN BOGOR SELATAN KOTA BOGOR Lu'lu Nafisah; Salsabiilaa Krisnya Bunga Dwipayana; Bambang Hariyadi
Jurnal Keluarga Berencana Vol. 8 No. 1 (2023): Jurnal Keluarga Berencana
Publisher : Badan Kependudukan Dan Keluarga Berencana Nasional

Kecamatan Bogor Selatan merupakan kecamatan dengan angka tertinggi pernikahan dini di Kota Bogor sebanyak 46 perkara. Pernikahan dini rentan terjadi pada usia 16-19 tahun. Salah satu faktor penyebabnya adalah persepsi. Persepsi remaja mengenai pernikahan dini memengaruhi keputusan remaja untuk menikah dini. Penelitian ini bertujuan untuk mengetahui faktor yang berpengaruh terhadap persepsi remaja tentang pernikahan dini pada pelajar SMA di Kecamatan Bogor Selatan, Kota Bogor. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional.Teknik pengumpulan data menggunakan kuesioner. Populasi penelitian yaitu remaja SMA yang berdomisili di Kecamatan Bogor Selatan, Kota Bogor sebanyak 2.093 jiwa dan sampel penelitian sebanyak 96 remaja dengan menggunakan teknik cluster random sampling. Data dianalisis secara univariat, bivariat dan multivariat. Hasil analisis bivariat menunjukkan variabel yang berhubungan adalah pengetahuan (p=0,000) dan teman sebaya (p=0,000). Sedangkan dari hasil analisis multivariat menunjukkan variabel yang berpengaruh yaitu pengetahuan (OR=0,131) dan teman sebaya (OR=0,270). Usia, jenis kelamin, informasi kesehatan reproduksi, lingkungan keluarga, dan faktor budaya tidak berhubungan dengan persepsi remaja mengenai pernikahan dini. Teman sebaya merupakan faktor yang paling memengaruhi persepsi remaja tentang pernikahan dini dengan OR sebesar 0,270. Perlu adanya upaya untuk meningkatkan partisipasi aktif serta pengembangan kegiatan remaja dalam kelas maupun pendidikan sebaya, dan kegiatan edukasi mengenai pernikahan dini.

Analysis of the Efficiency of Maternal and Child Health Services (MCH) at Public Health Centers in the Banyumas District Yuditha Nindya Kartika Rizqi; Arif Kurniawan; Lu’lu Nafisah
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.162-173

Maternal and Child Health (MCH) service programs as an indicator of the status of community's health status are available at every Public Health Center (PHC) in Banyumas District. However, these services are still inadequate to improve the health status of mothers and children. The condition of the COVID-19 pandemic in early 2020 caused several MCH services not to run as previously planned. This study aimed to describe the implementation and efficiency of MCH services in PHC in Banyumas Regency. The method used in this study was a quantitative approach using secondary data on health workers and the output of MCH services at the PHC. Data were analyzed using the Data Envelopment Analysis (DEA) method, with the unit of analysis being aggregate data at 10 selected PHCs using a purposive sampling technique. The results showed that 60% of the PHCs were technically efficient (VRS value 1,0), and 40% of the PHCs were technically inefficient (VRS value < 1,0). The analysis's findings indicated there were differences between efficient and inefficient PHCs in terms of the input (health personnel) and output (service use). The inefficiency of the PHC is caused by the less optimal utilization of health workers and the low utilization of PHC health services by the community. Additionally, to meet the coverage of service criteria set by the government, MCH services at the PHC in the Banyumas Regency region have been provided following the current standard operating procedures. Public Health Centers must maximize the utilization of health personnel to improve technical efficiency and condition service activities during the pandemic by adjusting regional policies while still complying with health protocols.

Analysis of Hypertension-Related Factors in Rural Areas, Banyumas Regency Lu'lu Nafisah; Asti Nadia Anindita
Insights in Public Health Journal Vol 4 No 1 (2023): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2023.4.1.8690

Background: Hypertension is a public health concern since it has the potential to cause consequences such as stroke, coronary heart disease, renal failure, and eventually become one of the leading causes of premature death worldwide. In many parts of Indonesia, notably rural regions, the prevalence of hypertension is relatively high. Information on hypertension risk factors in rural regions is required to develop effective interventions for the prevention and treatment of hypertension among rural communities. The purpose of this study is to investigate the risk factors associated with the prevalence of hypertension in rural areas. Methods: This research is a quantitative study using a case control approach with a total sample of 76 respondents. The comparison of the case and control groups in this study was 1:1.Questionnaires are used as instruments in data collection. The chi square test was used to assess the data. Results: Most of the respondents were in the late elderly age (35.5%), female (84.2%), had a family history of hypertension (40.8%), had normal BMI (30.3%), and obesity (28.9%). Most of the respondents did not smoke (93.4%), consumed less vegetables and fruit (78.9%), were not stressed (93.4%) and had sufficient levels of physical activity (82.9%).The findings revealed there was a relationship between age and hypertension (p value = 0.000). Gender (p = 0.753), family history of hypertension (p = 1,000), obesity (p = 0.502), smoking habit (p = 1,000), fruit and vegetable consumption (p = 0.778), level of stress (p = 1000), and physical activity (p = 0.542) were not linked with hypertension. Conclusions: Community health activities in rural regions must be strengthened in order to monitor public health status (including blood pressure monitoring) and approach the community to increase their involvement in these activities.

COMPLIANCE WITH ANTIRETROVIRAL THERAPY AMONG MSM AT CLINIC X, JAKARTA Lu'lu Nafisah
JURNAL KESEHATAN REPRODUKSI Vol 11 No 2 (2020): JURNAL KESEHATAN REPRODUKSI VOLUME 11 NOMOR 2 TAHUN 2020
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v11i2.17

Abstract Background: Therapeutic compliance in Indonesia was still below 80 percent and may resulted in increased incidence of protozoanal intestinal infection, faster AIDS progression, drug resistance, treatment failure, and transmission of the virus to others. Objective: The purpose of this study was to describe adherence to antiretroviral therapy among MSM who seek treatment at private clinics and investigate facilitators and barriers to ART retention. Method: This study used qualitative research methods and data collected through in-depth interview. The study subjects were selected using a purposive sampling. Data were analyzed using content analysis. Results: The informants were 7 people include 4 PLWHA and 3 health workers. The results showed that most ODHA were compliant in taking ARV therapy and following doctor's advice. Factors supported adherence to ARV therapy include levels of education, access to information, internal motivation, patient relationships with doctors, and social support. Hoaxes, work related factors, and stigma are barriers to people living with HIV in sustaining ARV therapy adherence. Conclusion: Optimal adherence to ARV therapy needs to be maintained and improved because it is dynamic and influenced by various factors. Technological interventions are recommended in monitoring PLWHA compliance in ARV therapy Keywords: adherence, antiretroviral therapy, barriers, MSM, PLWHA. Abstrak Latar belakang: Kepatuhan terapeutik di Indonesia masih di bawah 80 persen dan dapat mengakibatkan peningkatan insidensi infeksi usus protozoanal, perkembangan AIDS yang lebih cepat, resistensi obat, kegagalan pengobatan, dan penularan virus ke orang lain. Tujuan: Tujuan penelitian ini adalah untuk menggambarkan kepatuhan terhadap terapi antiretroviral pada LSL yang mencari pengobatan di klinik swasta dan menyelidiki faktor pendukung dan hambatan untuk retensi ART. Metode: Penelitian ini menggunakan metode penelitian kualitatif dan data yang dikumpulkan melalui wawancara mendalam. Subjek penelitian dipilih dengan menggunakan purposive sampling. Data dianalisis menggunakan analisis isi. Hasil: Informan berjumlah 7 orang, 4 ODHA, dan 3 petugas kesehatan. Hasilnya menunjukkan bahwa sebagian besar ODHA patuh dalam menggunakan terapi ARV dan mengikuti saran dokter. Faktor-faktor yang mendukung kepatuhan terhadap terapi ARV meliputi tingkat pendidikan, akses informasi, motivasi internal, hubungan pasien dengan dokter, dan dukungan sosial. Hoax, faktor yang terkait dengan pekerjaan, dan stigma adalah hambatan bagi orang yang hidup dengan HIV dalam mempertahankan kepatuhan terhadap terapi ARV. Kesimpulan: Kepatuhan optimal terhadap terapi ARV perlu dipertahankan dan ditingkatkan karena dinamis dan dipengaruhi oleh berbagai faktor. Intervensi berbasis teknologi direkomendasikan dalam memantau kepatuhan ODHA dalam terapi ARV. Kata Kunci: kepatuhan, terapi antiretroviral, hambatan, LSL, ODHA.

Pelatihan manajemen UKS dan pendidikan keterampilan hidup sehat untuk mendukung terwujudnya madrasah sehat Lu'lu Nafisah; Yuditha Nindya Kartika Rizqi; Leni Maryati
PROMOTIF: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 2 (2024): PROMOTIF: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um075v4i22024p78-94

Kesehatan siswa berperan penting dalam mencapai keberhasilan akademik. Upaya Kesehatan Sekolah (UKS) dan Pendidikan Keterampilan Hidup Sehat (PKHS) merupakan program yang dirancang untuk meningkatkan kesehatan dan kesejahteraan siswa serta mendukung terwujudnya madrasah sehat. Namun, masih banyak sekolah dengan UKS berstrata minimal, salah satunya adalah UKS di MTs Al Masruriyah. Pengelolaan UKS yang tidak optimal berdampak terhadap status kesehatan warga sekolah juga outcome pendidikan para siswa. Salah satu komponen penting dalam manajemen UKS adalah keterampilan kader UKS yang dapat ditingkatkan melalui Pendidikan Keterampilan Hidup Sehat (PKHS). Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader kesehatan sekolah dalam mengelola UKS dan melakukan keterampilan hidup sehat di MTs Al Masruriyah. Kegiatan diikuti oleh 30 siswa dengan metode ceramah, diskusi, demonstrasi, kuis, dan media slide, modul/booklet, banner, dan poster. Evaluasi dilakukan dengan pre-test dan post-test dan dianalisis dengan uji Wilcoxon. Hasil menunjukkan peningkatan pengetahuan peserta yang signifikan setelah mengikuti kegiatan (p<0,05). Peningkatan pengetahuan peserta setelah mengikuti pelatihan menunjukkan bahwa pelatihan ini efektif dalam mencapai tujuannya. Kombinasi metode dan media intervensi yang digunakan terbukti mampu menarik minat peserta dan meningkatkan pemahaman mereka terhadap materi pelatihan. Pelatihan manajemen UKS dan PKHS efektif dalam meningkatkan pengetahuan dan keterampilan kader kesehatan sekolah di MTs Al Masruriyah dan diharapkan dapat berkontribusi dalam mewujudkan madrasah sehat. Pelatihan serupa perlu dilakukan secara berkelanjutan untuk meningkatkan pengetahuan dan keterampilan kader kesehatan sekolah di sekolah-sekolah lain.

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