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Factors related to menstrual cycle irregularity in adolescent females Nofriza Rahmayani; Herwansyah Herwansyah; Marta Butar Butar; Sri Astuti Siregar; Usi Lanita
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i8.1820

Abstract

Background: Adolescence is an important transitional phase marked by physiological and psychological changes, including the onset of menstruation. Menstrual cycle irregularities in adolescents are a common reproductive health problem, and are influenced by various factors such as physical activity, stress levels, sleep quality, and body mass index (BMI). Purpose: This study aims to analyze factors associated with menstrual cycle irregularities in female adolescents. Method: This study uses an analytical quantitative design with a cross-sectional approach. The study population was all female students of SMA Negeri 4 Jambi City. A total of 87 respondents were selected using a stratified random sampling technique. Data were collected using the International Physical Activity Questionnaire (IPAQ), Perceived Stress Scale-10 (PSS-10), Pittsburgh Sleep Quality Index (PSQI), and menstrual cycle observation sheets. Data analysis was performed univariately and bivariately using the Chi-Square test (α = 0.05). Result: The study showed a significant association between physical activity (p=0.035), stress levels (p=0.038), sleep quality (p=0.049), and BMI (p=0.028) and menstrual cycle irregularity. Conclusion: The conclusion of this study is that Physical activity, stress, sleep quality, and BMI were significantly associated with menstrual cycle irregularity. Promotive-preventive interventions through reproductive health education and strengthening the PIK-R or GENRE program in schools are needed to increase awareness and healthy lifestyle behaviors among adolescents.
Hubungan Faktor Individu dan Faktor Pekerjaan dengan Keluhan Carpal Tunnel Syndrome pada Pekerja Produksi di PT Hok Tong Jambi Tahun 2025 RTS.Gita Putri Enindra; Herwansyah Herwansyah; Hendra Dhermawan Sitanggang; Budi Aswin
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2026): Edisi April
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i4.1334

Abstract

Latar Belakang: Carpal Tunnel Syndrome (CTS) adalah rasa sakit seperti nyeri, kebas dan kesemutan pada pergelangan tangan akibat pekerjaan yang dilakukan secara monoton. Potensi bahaya ergonomis pada aktivitas pekerjaan di PT Hok Tong Jambi dapat berisiko terjadinya Carpal Tunnel Syndrome. Tujuan umum penelitian ini yaitu mengetahui hubungan faktor individu dan pekerjaan dengan keluhan Carpal Tunnel Syndrome pada pekerja produksi di PT Hok Tong Jambi. Metode: Metode penelitian kuantitatif dengan desain Cross Sectional. Teknik pengambilan sampel yang digunakan yaitu total sampling dengan jumlah sampel sebanyak 50 responden. Uji statistik dalam penelitian ini menggunakan uji chi-square. Hasil: Hasil penelitian menunjukan proporsi pekerja yang mengalami keluhan Carpal Tunnel Syndrome sebanyak 34 pekerja (68%). Didapatkan bahwa faktor individu dan pekerjaan berhubungan dengan kejadian Carpal Tunnel Syndrome yaitu Usia (p-value 0,026), Masa Kerja (p-value <0,001), Gerakan Berulang (p-value <0,001) dan Postur Kerja (p-value <0,001). Kesimpulan: Faktor individu (Usia) dan faktor pekerjaan (Masa Kerja, Gerakan Berulang dan Postur Kerja) dapat meningkatkan risiko pekerja mengalami Carpal Tunnel Syndrome. Disarankan melakukan peregangan singkat setiap 60 menit bekerja, peregangan dilakukan agar mengurangi ketegangan pada pergelangan tangan dan menurunkan gejala Carpal Tunnel Syndrome.
Analisis Kepuasan Pasien terhadap Mutu Pelayanan Kesehatan Gigi dan Mulut di Praktik Mandiri Nisa Health dan Dental Care Kota Jambi Nurutami Nasution; Suandi Suandi; Asparian Asparian; Muldiasman Muldiasman; Willia Novita Eka Rini; Herwansyah Herwansyah
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 5 No. 2 (2026): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - April 2026
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v5i2.27272

Abstract

Penelitian ini bertujuan untuk menganalisis hubungan mutu pelayanan dengan kepuasan pasien di Praktik Mandiri Nisa Health dan Dental Care Tahun 2026. Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif. Sampel penelitian berjumlah 90 responden yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner berbasis SERVQUAL yang meliputi dimensi tangibles, reliability, responsiveness, assurance, dan empathy. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa sebanyak 51,11% responden merasa puas terhadap pelayanan kesehatan gigi dan mulut yang diberikan. Analisis bivariat menunjukkan terdapat hubungan signifikan antara responsiveness (p=0,001), assurance (p=0,035), dan empathy (p=0,000) dengan kepuasan pasien. Sementara itu, tangibles (p=0,212) dan reliability (p=0,840) tidak menunjukkan hubungan yang signifikan dengan kepuasan pasien. Hasil analisis multivariat menunjukkan bahwa empathy merupakan faktor yang paling dominan memengaruhi kepuasan pasien dengan nilai POR sebesar 11,61 (95%CI=3,52–38,33). Penelitian ini menyimpulkan bahwa kepuasan pasien terhadap pelayanan kesehatan gigi dan mulut dipengaruhi oleh dimensi responsiveness dan empathy, dengan empathy sebagai faktor yang paling dominan, sehingga peningkatan mutu pelayanan perlu difokuskan pada peningkatan perhatian, kepedulian, komunikasi, dan ketanggapan tenaga kesehatan terhadap kebutuhan pasien secara menyeluruh.
PEMBERDAYAAN KELOMPOK DONOR DARAH UNTUK PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI PADA IBU HAMIL DI DESA TANGKIT BARU KECAMATAN SUNGAI GELAM Asparian, Asparian; Siregar, Sri Astuti; Azhari, Muhammad Rifky; Herwansyah, Herwansyah; Aswin, Budi
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 2 (2026): Vol. 7 No. 2 (2026): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i2.57574

Abstract

Community empowerment in the health sector is an effort to raise awareness, willingness, and ability to maintain and improve health. Tangkit Baru Village is a village with a low level of blood donor participation and has not yet optimally implemented P4K (Childbirth Planning and Complication Prevention Program). This community service aims to improve the knowledge and attitudes of pregnant women to prepare for childbirth and prevent complications and the formation of a Blood Donor group. The implementation method is through community empowerment (Posyandu Cadres, Village PKK TP and Pregnant Women) totaling 30 people. The P4K program socialization activity was continued with the formation of a blood donor group in Tangkit Baru Village. The results of the socialization based on pre- and post-tests showed an increase in participants' knowledge and attitudes from 63% to 82%. Through data collection and direct examination by the Community Health Center laboratory staff and students, 32 prospective donors were obtained (10 people with blood type O, 8 people with blood type AB, 6 people with blood type A and 6 people with blood type B). Continuous support and mentoring for blood donor groups is expected to ensure donors maintain their health and improve their preparedness whenever needed to support the P4K program.
The Effectiveness of collaborative learning in improving pregnant women's perceptions of antenatal care quality Osvinarti; Dwi Noerjoendianto; Willia Novita Eka Rini; Asparian; Herwansyah; Muldiasman
Riset Informasi Kesehatan Vol 15 No 2 (2026): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/5methq43

Abstract

Background: Pregnant women's perceptions of the quality of Antenatal Care (ANC) services are important indicators in improving the utilization and quality of maternal health services. Educational approaches that actively involve participants, such as collaborative learning, can improve understanding and shape more positive perceptions toward health services. Through interaction, discussion, and experience sharing among participants, collaborative learning may enhance pregnant women's awareness and evaluation of ANC services. Methods: This quasi-experimental study used a one-group pre-test and post-test design involving 97 pregnant women in the working area of Puskesmas Aur Duri, Jambi City, in 2025. Data were collected using a validated questionnaire and analyzed using univariate analysis and the Wilcoxon Signed Rank Test. Results: The mean perception score increased from 97.67 before the intervention to 108.55 after the collaborative learning intervention. The Wilcoxon test showed a statistically significant difference (Z = -6.013; p < 0.0001). Most respondents experienced an increase in perception scores, with an effect size of 0.61, indicating a large effect. Conclusion: Collaborative learning is effective in improving pregnant women's perceptions of the quality of ANC services and can be applied as an educational strategy to support improvements in maternal health services.
Determinants of vulva hygiene practices and their association with abnormal vaginal discharge among adolescent girls Riana Rosa; Asparian Asparian; Herwansyah Herwansyah; Sri Astuti Siregar
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 4 (2026): July Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i4.3542

Abstract

Background: Vaginal discharge is one of the common reproductive health problems experienced by adolescent girls and may be influenced by poor vulva hygiene practices. Several factors are presumed to be related to vulva hygiene practices and vaginal discharge, including knowledge, attitude, action, facilities, exposure to reproductive health information, family support, peer support, and teacher support. This study aimed to identify the determinants of vulva hygiene practices related to vaginal discharge among adolescent girls  at Madrasah Aliyah Negeri 2 Kota Jambi. Purpose: To identify the determinants of vulva hygiene practices and examine their association with the incidence of abnormal vaginal discharge  among adolescent girls. Method: A quantitative study using an analytical observational approach with a cross-sectional design was conducted in April 2026. The study population comprised all 253 eleventh-grade female students at MAN 2 Kota Jambi, with a sample size of 156 respondents selected via Proportional Random Sampling based on inclusion criteria. Primary data were gathered online via Google Form questionnaires and analyzed using univariate and bivariate statistical tests (Chi-Square, α = 0.05). Results: Univariate analysis showed that 58.3% of respondents experienced abnormal vaginal discharge. Most respondents possessed good knowledge (80.8%), positive attitudes (60.3%), good vulva hygiene practices (50.6%), adequate facilities (58.3%), high exposure to reproductive health information (63.5%), family support (56.4%), peer support (58.3%), and teacher support (64.7%). Bivariate analysis revealed that factors significantly associated with vulva hygiene practices were the availability of sanitation facilities  (p=0.021), family support (p=0.015), peer support (p=0.000), and teacher support (p=0.039), while knowledge (p=0.743), attitude (p=0.844), and exposure to reproductive health information (p=0.774) showed no significant association. Furthermore, a significant correlation was found between vulva hygiene practices and the incidence of vaginal discharge (p=0.004; PR=1.697; 95% CI=1.169-2.462), indicating that adolescents with poor vulva hygiene practices have a 1.697 times higher risk of experiencing abnormal vaginal discharge. Conclusion: Vulva hygiene practices among adolescent girls  are significantly influenced by enabling factors (facilities) and reinforcing factors (family, peer, and teacher support). Inadequate vulva hygiene practices are proven to significantly increase the risk of abnormal vaginal discharge. Reproductive health promotion programs in schools are recommended to optimize sanitation facilities and strengthen social support networks to encourage proper hygiene habits.
EDUKASI DAN PENYULUHAN SENAM HAMIL SEBAGAI UPAYA MENINGKATKAN KESIAPAN PERSALINAN PADA IBU HAMIL DI DESA PENYENGAT OLAK, MUARO JAMBI Oktoviani, Ayu; Nadya, Embun; Halim, Raden; Herwansyah, Herwansyah
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 2 (2026): Vol. 7 No. 2 (2026): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i2.57462

Abstract

Kehamilan merupakan periode penting yang memerlukan kesiapan fisik dan psikologis yang optimal untuk menghadapi persalinan yang aman. Salah satu intervensi yang dianjurkan selama kehamilan adalah senam hamil yang bermanfaat untuk meningkatkan kebugaran, mengurangi ketidaknyamanan, serta meningkatkan kesiapan ibu dalam menghadapi persalinan. Namun, masih banyak ibu hamil yang belum memiliki pengetahuan dan praktik yang memadai terkait senam hamil. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesiapan persalinan ibu hamil melalui edukasi dan praktik senam hamil di Desa Olak Kemang, Kota Jambi. Metode kegiatan menggunakan pendekatan edukatif dan partisipatif melalui penyuluhan kesehatan interaktif, pelatihan praktik senam hamil, serta diskusi kelompok. Evaluasi dilakukan melalui pertanyaan terbuka dan Focus Group Discussion untuk menggali pemahaman dan keterlibatan peserta. Hasil kegiatan menunjukkan antusiasme peserta yang tinggi serta peningkatan pemahaman mengenai manfaat senam hamil, seperti peningkatan kebugaran, pengurangan keluhan kehamilan, dan peningkatan rasa percaya diri dalam menghadapi persalinan. Peserta juga mampu mempraktikkan gerakan dasar senam hamil dengan baik melalui pendampingan. Kesimpulannya, kegiatan ini efektif dalam meningkatkan pengetahuan, keterampilan, dan kesiapan persalinan ibu hamil serta mendukung integrasi senam hamil dalam layanan kesehatan ibu di masyarakat.
HUBUNGAN TINGKAT STRES DAN STATUS GIZI IBU DENGAN ASUPAN ASI HARIAN ANAK BADUTA DI KELURAHAN TANJUNG PINANG KOTA JAMBI Picia Efranita; Silvia Mawarti Perdana; Herwansyah Herwansyah
Jurnal Multidisipliner Kapalamada Vol. 5 No. 01 (2026): JURNAL MULTIDISIPLINER KAPALAMADA
Publisher : Pusat Studi Ekonomi, Publikasi Ilmiah dan Pengembangan SDM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62668/kapalamada.v5i01.2274

Abstract

Suboptimal breast milk intake can increase the risk of underweight in toddlers. Breast milk production and provision are influenced by various factors, including stress levels and maternal nutritional status. In Tanjung Pinang Village, Jambi City, the prevalence of underweight toddlers has increased, so it is necessary to study factors related to daily breast milk intake. Objective: To determine the relationship between maternal stress levels and nutritional status with daily breast milk intake of toddlers in Tanjung Pinang Village, Jambi City. Method: Quantitative research with a cross-sectional analytical design. The sample consisted of 84 mothers of toddlers selected according to the research criteria. Data analysis used the Chi-Square test. Results: The majority of mothers had normal stress levels (94.0%), mild stress (3.6%), and moderate stress (2.4%). Maternal nutritional status was dominated by mild thinness (54.8%), normal (22.6%), mild obesity (17.9%), and severe obesity (4.8%). The majority of children's daily breast milk intake was classified as insufficient (63.1%), sufficient (15.5%), and excessive (21.4%). The analysis shows that there is a relationship between stress levels and maternal nutritional status with the daily breast milk intake of toddlers.
Definisi Integrasi Layanan Kesehatan Primer: Perspektif dari Pimpinan Puskesmas Andy Amimr; Puspita Sari; Herwansyah
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4721

Abstract

Integrating primary health services is crucial for improving the quality and accessibility of healthcare at the community level. This qualitative study investigates how leaders of Puskesmas define and implement integration within their services, as well as the challenges and factors that influence this process. Ten Puskesmas leaders in several Municipalities of the Province of Jambi and one key informant from the Municipal Department of Health were interviewed to obtain in-depth insights. Data collection was conducted through semi-structured interviews, and the information was analyzed using content analysis methods. The findings indicate that integration is viewed as a multi-dimensional strategy to enhance patient care coordination, maximize resource efficiency, and improve community health outcomes. Key factors affecting integration include leadership styles, inter-departmental collaboration, and the support provided by municipal health authorities. This study underscores the importance of robust leadership and strategic partnerships in facilitating service integration at the primary health center level, providing valuable insights for policymakers and healthcare administrators.
"Kesehatan Reproduksi untuk Semua": Perspektif Mahasiswa Kesehatan Masyarakat tentang Ketimpangan Gender dalam Akses terhadap Informasi dan Layanan Kesehatan Reproduksi Remaja di Indonesia Herwansyah; Ayu Oktoviani; Adinda Juwita Sari; Kunlanant Senkham
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5070

Abstract

Reproductive health is a critical aspect of adolescent development, yet gender disparities persist in access to information and services, particularly in Indonesia. This study explores how Public Health students at Universitas Jambi perceive gender-based inequalities in adolescent reproductive health, aiming to understand how future health professionals interpret and respond to these challenges. A qualitative descriptive approach was employed, involving three focus group discussions with 24 undergraduate students (14 female, 10 male) who had completed relevant coursework and participated in health promotion activities. Thematic analysis revealed three key themes: gendered access and assumptions, socio-cultural and structural barriers, and institutional roles and responsibilities. Participants described how reproductive health education and services disproportionately focus on girls, with boys often excluded due to cultural norms and institutional biases. Socio-cultural taboos, shame, and fear further limited access for both genders, though in distinct ways: boys faced invisibility and judgment, while girls experienced stigma and moral scrutiny. Institutions such as schools, families, and healthcare providers were seen as both barriers and potential agents of change, often reinforcing gendered norms through selective education and biased service provision. These findings underscore the need for more inclusive and gender-equitable reproductive health education that actively engages all adolescents. Addressing these disparities requires rethinking institutional practices and cultural narratives that marginalize male adolescents while overburdening females with sole responsibility for reproductive health. By incorporating gender equity into academic and community-based health initiatives, Public Health students can be better prepared to advocate for and implement inclusive reproductive health programs.
Co-Authors . Asparian, . Adila Solida Adinda Juwita Sari Akhbar, M Taheri Alvin Maha Syagar Anabela, Aisha Andika Sulistiawan Andy Amimr Andy Amir Arafat, Yasir Arnild Augina Mekarisce Ashar Nuzulul Putra Asparian Asparian Asparian Asparian Asparian Asparian Asparian Ayu Oktoviani Azhari, Muhammad Rifky Budi Aswin Daniel Happy Putra Darmawan, Tuhfah Fitria David Kusmawan Dilla Oktaviani Dwi Noerjoedianto Dwi Noerjoendianto Evy Wisudariani Fajar Lestari Fajrina Hidayati Guspianto Guspianto Halim, Raden Hendra Dhermawan Sitanggang Hendra Dhermawan Sitanggang Hubaybah, Hubaybah Indira Harti Ismi Nurwaqiah Ibnu Kasyani, Kasyani Kiki Ayu Apriani Kristina, Putri Cicilia Kulsum, Nyimas Umi Kunlanant Senkham La Ode Reskiaddin Lukman, Muhammad Nasril M. Ridwan Maliah, Maliah Mariska, Marshanda Rachma Marta Butar Butar Martawinarti, RTS Netisa Marwiyah, Syarifatul Meinarisa, Meinarisa Muhammad Rifqi Azhary Muldiasman, Muldiasman Nabilah Putri Nadya, Embun Nofriza Rahmayani Nurhusna Nurutami Nasution Oka Lesmana Oka Lesmana Oktoviani, Ayu Osvinarti Permatasari, Nadia Dwi Picia Efranita Puspita Sari Puspita Sari Puspita Sari Putra, Andika Aldi Putri Irwanti Sari Putri, Fitria Eka Riana Rosa Rini, Willia Novita Eka Riska Amalya Nasution RTS.Gita Putri Enindra Rusli, Ris'an Rusli, Risan Silvania Silvania Silvia Mawarti Perdana Sri Astuti Siregar Suandi Suandi Sukendro Sukendro Susy Mardianti Syahfira, Azzahra Syalfi Intan Riyani Toharuddin, Toharuddin Toharudin, Toharudin tsaabitah zakhirah Usi Lanita Usi Lanita Vinna Rahayu Ningsih, Vinna Rahayu Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Yosi Oktarina