Hesty, Hesty
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Kader Kesehatan Menggunakan Pendekatan PAR di Kelurahan Legok Sari, Mila Triana; Putri, Miko Eka; Efni, Nel; Hesty, Hesty; Hidayat, Muhammad; Kusuma, Ratu; Havendri, Adetia; Daryanto, Daryanto
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 1 (2026): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i1.1065

Abstract

Pulmonary tuberculosis is a chronic disease that spreads very easily and quickly, posing a national and global health threat. Indonesia ranks second in the world for the highest number of pulmonary TB cases, after India. Low public knowledge, stigma, access to healthcare services, and the long duration of treatment for pulmonary TB are contributing factors to the increase in pulmonary TB cases in Indonesia. The importance of empowering communities and health cadres to prevent transmission and supervise medication intake in pulmonary TB patients aligns with the National Pulmonary TB Elimination Program 2030. This community service aims to increase the knowledge and skills of communities and health cadres in recognizing risk factors, preventing transmission, and supervising treatment for pulmonary TB. The service activity was held on July 17, 2025, and was attended by 22 participants from the community and health cadres. Using a Participatory Action Research (PAR) approach with pre and post tests. Subsequently, education was conducted using interactive face-to-face lectures, discussions, practical demonstrations of effective coughing and cough etiquette, and the distribution of informative leaflets. The follow-up session for the patients' families will be held on July 20, 2025, to conduct direct monitoring at one of the homes of patients with pulmonary TB. The empowerment activities significantly improved the knowledge (p-value 0.004) and behavior (p-value 0.003) of the community and pulmonary TB cadres. The average knowledge score before the activity was 68 (66-74) and increased to 85 (79-91) after the activity. Similarly, the average behavior score increased from 63 (56-74) to 76 (67-87). Health empowerment through education, counseling, and training, as well as the direct use of brochures, proved highly effective in increasing awareness and competence in controlling pulmonary TB. The empowerment activities successfully increased the contribution of health cadres in preventing and early detecting transmission, as well as monitoring the treatment of pulmonary TB patients. There needs to be increased active participation from the community, health cadres, and community leaders so that pulmonary TB elimination can be achieved, especially in the Legok Village.  
Hubungan Tingkat Pengetahuan dan Sikap dengan Perilaku Remaja Putri tentang Kebersihan Organ Reproduksi saat Menstruasi di SMP Pertiwi 1 Kota Jambi Hesty, Hesty; Maimaznah, Maimaznah; Hidayat, Muhammad
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 1 (2026): Maret
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i1.992

Abstract

Adolescent girls who have experienced menstruation need to have a good understanding of reproductive health. Improper menstrual hygiene practices can increase the risk of reproductive tract infections (RTIs), which in the long term can impact fertility. Data shows that reproductive tract infections remain a health problem for adolescent girls, mainly due to a lack of knowledge and inappropriate personal hygiene practices. A preliminary study at SMP Pertiwi 1, Jambi City, showed that 3 out of 6 female students experienced genital itching accompanied by an unpleasant odor, and there were still inappropriate behaviors in maintaining hygiene during menstruation. This condition indicates the potential for reproductive health problems in the school environment. This study aims to determine the relationship between knowledge and attitudes with reproductive organ hygiene behavior during menstruation in adolescent girls at SMP Pertiwi 1, Jambi City. This study used an observational analytical design with a cross-sectional approach. The population in this study were all 36 eighth-grade female students of SMP Pertiwi 1, Jambi City. A sample of 36 respondents was taken using a total sampling technique. The independent variables in this study were knowledge and attitudes, while the dependent variable was reproductive organ hygiene behavior during menstruation. Data were collected using a structured questionnaire based on the theory of adolescent reproductive health and menstrual personal hygiene, then analyzed univariately and bivariately using the Chi-Square test. The study was conducted from September 2024 to August 2025. The results of the bivariate test showed no significant relationship between knowledge and behavior (p = 0.292) or between attitudes and behavior (p = 1.000). The conclusion of this study is that there is no significant relationship between the level of knowledge and attitudes with reproductive organ hygiene behavior during menstruation in adolescent girls at SMP Pertiwi 1, Jambi City. It is recommended that schools integrate reproductive health education into the curriculum or UKS activities to improve understanding and practice of menstrual hygiene more optimally