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All Journal Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Window of Community Dedication Journal Jurnal Kesehatan Tambusai Pancasakti Journal Of Public Health Science And Research Idea Pengabdian Masyarakat An Idea Health Journal Window of Midwifery Journal
Karuniawati, Nia
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Agriculture, Biological Sciences & Forestry Arts Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Side Effects as Determinants of Contraceptive Non-Compliance and Failure among Fertile Age Couples in Makassar, Indonesia Masnilawati, Andi; Jama, Fatma; Karuniawati, Nia; Ramadani, Nurul
Pancasakti Journal Of Public Health Science And Research Vol 6 No 1 (2026): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v6i1.2444

Abstract

Contraceptive side effects are a key determinant of contraceptive choice and continuation and often lead to discontinuation or method switching. This poses a public health concern as it reduces contraceptive adherence and effectiveness, thereby increasing the risk of unintended pregnancy, unintended birth, and abortion. This study aimed to examine the association between contraceptive side effects, non-compliance, and contraceptive failure among fertile-age couples in the working area of the Kassi Community Health Center, Makassar City. An observational analytical study with a cross-sectional design was conducted among 76 active family planning acceptors, selected using purposive sampling. Data were collected through structured interviews using questionnaires. The results showed that menstrual disorders (p = 0.004), vaginal discharge (p = 0.002), weight changes (p = 0.041), mood changes (p = 0.012), and decreased libido (p = 0.002) were significantly associated with non-compliance. Menstrual disorders (p = 0.006), vaginal discharge (p = 0.003), and decreased libido (p = 0.015) were also significantly associated with contraceptive failure. In addition, non-compliance was strongly associated with contraceptive failure (p = 0.000). Contraceptive side effects contribute both directly and indirectly to contraceptive failure, primarily through non-compliance, particularly among users of hormonal contraception. Strengthening family planning counseling and providing comprehensive information on contraceptive effectiveness and side effects are essential to reduce non-compliance and failure rates.
Effectiveness of Reproductive Health Education on Knowledge, Attitudes, and Intention to Use Hormonal Contraception among Women of Reproductive Age in Makassar City Karuniawati, Nia; Suhermi, Suhermi; Masnilawati, Andi
Pancasakti Journal Of Public Health Science And Research Vol 6 No 1 (2026): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v6i1.2456

Abstract

This study analyzed the effectiveness of reproductive health education on knowledge, attitudes, and intentions to use hormonal contraception. The research was conducted in the service area of the Kassi-Kassi Community Health Center, Makassar City, from September to December 2025 and involved 54 respondents. A quasi-experimental method with a one-group pretest–posttest design was employed. Participants were selected using a purposive sampling technique based on predefined inclusion criteria. Data were analyzed using SPSS software, and statistical significance was assessed using the chi-square test. The results demonstrated a statistically significant effect of reproductive health education on respondents’ knowledge (p = 0.001), attitudes (p = 0.001), and intentions to use hormonal contraception (p = 0.001) after the intervention. Overall, the findings indicate that reproductive health education is effective in increasing knowledge, fostering positive attitudes, and strengthening the intention to use hormonal contraception among women of childbearing age in the Kassi-Kassi Community Health Center service area, Makassar City.
Determining Factors for Discontinuing Hormonal Contraceptive Use in Acceptors at The Kassi Kassi Community Health Center Karuniawati, Nia; Ramli, Rahmawati
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2300

Abstract

Introduction : During the COVID-19 pandemic, several experts have reported the effects of pregnancy accompanied by COVID-19 on both the mother and infant, influenced by the symptoms and signs presented. This study aims to analyze the correlation between blood markers; C-Reactive Protein (CRP), D-Dimer, Neutrophil-to-Lymphocyte Ratio (NLR) and the severity of COVID-19 in pregnant women during the 2020 pandemic at Persahabatan Hospital, Jakarta. Method : This cross-sectional study was conducted at Persahabatan Hospital, a National Respiratory Referral Center in Jakarta. A total of 525 pregnant women who met the inclusion criteria were evaluated. Laboratory markers, including CRP, D-Dimer, and NLR, were analyzed and categorized as normal or elevated. Data were analyzed using Chi-Square tests, and correlations were evaluated using Spearman’s rank correlation coefficient. Result : The result of this study found that elevated biomarkers were significantly correlated with increased severity of disease. CRP (>10 mg/L), D-Dimer (>3333 mg/L), and NLR (>5.8) were all associated with moderate to severe disease. Statistical analysis showed significant correlations with p-values <0.005 and a 95% confidence interval. Conclusion : Elevated CRP, D-Dimer, and NLR levels are associated with increased disease severity in pregnant women with COVID-19. These biomarkers can serve as useful predictors for the severity of the disease. Keywords : Covid 19, CRP, D-Dimer, NLR , Pregnant
Co-Authors A. Fachrin, Suharni Abeng, Andi Tenri Alfina Baharuddin Hadriyanti Hamang, Sitti Hamang, Sitti Hadriyanti Husnah, Nurul Jama, Fatma Karamaha, Pinki M, Azrida Masnilawati, Andi Masnilawati, Andi Masnilawati Muntia, Wa Ode Nahdiyat Abdullah, Andi Nur Khadijah Nurhayati Nurhayati Nurlina Akbar Ramadani, Nurul Ramli, Rahmawati S, Suryanti saputri, Linda Hardianti Septiyanti, Septiyanti Suchi Avnalurini Sharief Suhermi, Suhermi Sundari Sundari Taqiah, Yusra Thamrin, Halida Yuliati -