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All Journal E-Jurnal Medika Udayana Majalah Kesehatan FKUB Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Medikes (Media Informasi Kesehatan) Majalah Kesehatan Masyarakat Aceh (MaKMA) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences MAHESA : Malahayati Health Student Journal Narra J Journal Of World Science Jurnal Farmanesia International Journal of Public Health Excellence (IJPHE) Nasuwakes : Jurnal Kesehatan Ilmiah Asian Journal of Public Health and Nursing Media Penelitian dan Pengembangan Kesehatan Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Usman, Said
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Journal : International Journal of Public Health Excellence (IJPHE)

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The Implementation of Female Circumcision by Midwives in Aceh Warahmah, Mawaddah; Nurjannah, Nurjannah; Hayati, Zinatul; Usman, Said; Saputra, Irwan
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1411

Abstract

The practice of Female Genital Mutilation (FGM), also known as female circumcision, is still maintained, especially in Aceh, despite being banned by the WHO and the government. This practice is not taught in the school, including the midwifery school, as midwives are among the healthcare providers who generally offer this service. The dynamics of policy changes and deeply rooted differences in religious and cultural views create confusion for midwives in the field, particularly given the still high demand and community encouragement. The purpose of this research was to analyse the factors influencing the implementation of female circumcision by midwives. This was a cross-sectional study with the population of midwives who were working in the Aceh Province region in 2024. The sample of this study consisted of midwives who provide female circumcision services in Aceh, with a sample size of 86 people. Statistical analysis used the Chi-Square test with the SPSS v.25 . The majority of midwives performed circumcision about 1-2 times a month, and midwives perceived circumcision as a social necessity. Midwives aged ≥ 43 years, with work experience ≥ 13 years, working for ≥ 20 years, possessing good knowledge, and having a positive attitude tended to perform risky circumcisions. The results of the statistical test indicated that there was no significant relationship between age, years of service, duration of providing female circumcision services, knowledge, attitude, and social needs regarding the implementation of female circumcision. The research results indicated that midwives in Aceh continue to practice female circumcision, with the majority performing it in a risky manner. Although midwives have positive knowledge and attitudes, social necessity factors are the main drivers in its implementation
The Influence of Snakes and Ladders Game Media on Handwashing with Soap (HWWS) Behavior among Elementary School Students in Central Aceh District Rahmahdani, Yuni; Saputra, Irwan; Nurjannah, Nurjannah; Usman, Said; T. Maulana
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1433

Abstract

Diarrhea remains a leading health issue among school-aged children in Indonesia. In central Aceh District, particularly in Bies Subdistrict, the incidence of diarrhea has increased, with one the primary contributing factors being poor handwashing with soap (HWWS) practices. Health education using engaging methods, such as the Snakes and Ladders game, may improve children’s behavior related to HWWS. This study aimed to determine the effect of the Snakes and Ladders educational game on HWWS behavior, including knowledge, attitude, and practice, among fourth- and fifth-grade students in the Central Aceh District. A quasi-experimental design with a nonequivalent control group was employed, involving 80 respondents divided into an intervention and a control group. The intervention group received HWWS education through the Snakes and Ladders game, while the control group received no special treatment. Data were collected using structured questionnaires and analyzed using the Mann-Whitney U Test and Wilcoxon Signed-Rank Test. Based on the results of the Mann Whitney test, it showed that there was no significant difference in knowledge between the intervention and control groups during the pretest (p = 0.649), but there was a significant difference in the posttest (p = 0.002). Attitudes showed differences both before (p = 0.000) and after the intervention (p = 0.000). Likewise, actions, there were significant differences in the pretest (p = 0.019) and posttest (p = 0.000). Meanwhile, the Wilcoxon test showed that there was a significant increase between the pretest and posttest in the intervention group, both in knowledge (p = 0.004), attitudes (p = 0.000), and actions (p = 0.000). The snakes and ladders educational game is effective in improving HWWS behavior among elementary school children. It is recommended as an enjoyable and innovative method for health education in school-bassed health programs.
Co-Authors Abdat, Munifah Abdurrahman, Faisal Bin Abubakar , Abubakar Agus Hendra Al Rahmad Agustina, Rini Fitri Ahmad Fauzan Alfiana Alfiana Amir-Behghadami, Mehrdad Ananda, Nurul Asnawi Abdullah Bakhtiar Bakhtiar Basri Aramico, Basri Binti Firdaus, Shausan Bouchra, Assarag Darmawi . Dedy Syahrizal Dewiyani, Evi Fahmi Ichwansyah Fazira, Frisca Fitri, Aina Fitria Fitria Fredinan Yulianda Hafnidar A. Rani Hanifah Yusuf Hanum, Misra Hanum, Nisrina Haslinur, Sari Hasnita, Nevi Heni Pujiastuti Hizir Sofyan Ichsan Ichsan Ichwansyah, Fachmi Ikram, Aamer Ima Maria Ismail Ismail Jamil, Kurnian Fitri Juliana, Cut Julissasman, Julissasman Khader, Yousef S. Koyanagi, Ai Lemu, Yohannes K. Linguissi, Laure SG. M. Marthoenis Mahruri Saputra Maimun Syukri, Maimun Mamun, Mohammed A. Masyudi Masyudi Maulana, Teuku Maulida, Mahya Mawaddah Warahmah Meutia Zahara Mudatsir Mudatsir Nilawati Nilawati Nora Usrina Novita, Nia Hairu Nurjannah Nurjannah Nurjannah Parperis, Konstantinos Putri, Trisna Isnanda Rademaker, Marius Rahmahdani, Yuni Rahmatillah, Irhamni Raisah, Putri Rayhan, Muhammad A. Reka Julia Utama Riansyah, Ferdi Rimadeni, Yeni Ristiani, Ristiani Sah, Ranjit Salfauqi Nurman, Salfauqi Sallam, Dina E. Salsabila, Hilwa Saputra, Irwan Sari Morian, Popy Citra Sari, Etika Sofia Sofia, Sofia Suliawati, Gidul T. Maulana T. Maulana, T. Vento, Sandro Viveiros-Rosa, Sandro G. Wollina, Uwe Yasni, Hilma Yulia, Mirna Yusni Yusni Z, Nasrul Zakaria, Radhiah Zaman, Nasrul Zinatul Hayati