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REPRODIS: An Innovative Cloud-Based Interactive Platform to Improve Reproductive Health Knowledge of Adolescents with Intellectual Disabilities Lusiana, Arum; Arfiana, Arfiana; Mundarti, Mundarti; Septiani, Ranny; Martini, Martini; Anggraini, Yetti
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5307

Abstract

Adolescents with intellectual disabilities are a vulnerable group who often face barriers in accessing comprehensive reproductive health education. Limited communication skills, difficulty understanding abstract concepts, and social stigma hinder their ability to gain adequate knowledge, increasing the risk of sexual exploitation, early pregnancy, and sexually transmitted infections. Digital innovations have shown promise, yet cloud-based platforms tailored to this population remain limited. This study evaluated the effectiveness of the Reproductive Health Interactive System (REPRODIS), a cloud-based, interactive web platform, in improving adolescents with intellectual disabilities' reproductive health knowledge. A quasi-experimental one-group pre-test–post-test design was conducted with 30 adolescents aged 13–18 years with mild to moderate intellectual disabilities in a special needs school in Central Java, Indonesia. Participants completed a validated reproductive health knowledge questionnaire before and after four REPRODIS sessions delivered twice weekly over two weeks. The platform included simplified text, audio-visual animation, voice guidance, interactive quizzes, and parental monitoring features. Data were analyzed using a paired t-test with a significance level of 0.05. The mean knowledge score increased significantly from 46.3±8.2 (pre-test) to 73.5±7.9 (post-test) (p=0.001). More than 83% of participants improved by ≥20 points. Observations indicated higher engagement during REPRODIS sessions compared to conventional lectures, while parents reported greater confidence in discussing reproductive health at home. REPRODIS significantly improved reproductive health knowledge among adolescents with intellectual disabilities. This innovation demonstrates the potential of cloud-based interactive platforms as inclusive educational tools.
Impact of Pregnancy Anemia and Low Birth Weight on Toddler Stunting Febyani, Nanda; Anggraini, Yetti; Yuliawati, Yuliawati
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan (In Progress)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5231

Abstract

Stunting is a long-term nutritional disorder among children under five that negatively affects physical growth, cognitive performance, and overall human resource quality in later life. Maternal health during pregnancy plays a critical role in the occurrence of stunting, with maternal anemia and low birth weight (LBW) identified as major contributing factors. This study aimed to examine the association between maternal anemia during pregnancy and LBW with stunting among children aged under five in the working area of Metro City. This study employed an observational-analytical design with a cross-sectional approach. The subjects consisted of mothers and children aged 24–59 months who met the specified inclusion criteria. A total of 60 respondents were selected using total sampling and purposive sampling techniques. Data were analysed using univariate and bivariate analyses, with the chi-square test to assess the relationships between variables. The findings demonstrated a statistically significant association between a history of maternal anemia during pregnancy and stunting (p = 0.012). Likewise, LBW was significantly associated with stunting (p = 0.004). Children born with LBW and those whose mothers experienced anemia during pregnancy were found to have a higher likelihood of developing stunting compared to children without such risk factors. In summary, maternal anemia during pregnancy and LBW are significantly associated with stunting among children under five. Therefore, stunting prevention strategies should prioritize strengthening antenatal care services, enhancing early detection and management of maternal anemia, and implementing adequate nutritional interventions for pregnant women to reduce the risk of LBW and subsequent stunting.