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All Journal Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Journal of Public Health for Tropical and Coastal Region Al-sihah: The Public Health Science Journal Jurnal Dunia Kesmas Jurnal Kesehatan Kumawula: Jurnal Pengabdian Kepada Masyarakat Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Jurnal Kebidanan Malakbi Insights in Public Health Journal Jurnal Ilmu Kesehatan Masyarakat Jurnal Pengabdian Gizi dan Kesehatan Masyarakat
Nafisah, Lu'lu
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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The Implementation of Exclusive Breastfeeding Policies: A Literature Review Nindya, Yuditha; Kurniawan, Arif; Nafisah, Lu'lu; Wahyuningsih, Eri
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.12163

Abstract

Background Providing optimal nutrition in the first 6 months of life is important because it can support the child's nutritional status before complementary feeding begins. Formulating health policies related to exclusive breastfeeding is one of the government's strategy to gain support from various parties. policies were prepared with the aim of ensuring that the community was able to provide exclusive breastfeeding until the child was two years old and accompanied by additional food according to nutritional needs. This research aims to describe the implementation of exclusive breastfeeding policies in worldwide Methods A systematic literature review was conducted of the published literature review the years 2019 – 2024. Published literature included journals, papers and issue briefs. Content analysis were conducted to explore more about the policy implementation. 7 articles were selected to be reviewed in this study. Results Mother's knowledge, working mother, husband's support and family support play an important role in the success of exclusive breastfeeding. The factors that influence the provision of exclusive breastfeeding to working mothers include lack of socialization, lack of supporting facilities, and the implementation of special policies regarding exclusive breastfeeding in the workplace. Conclusions Increasing administrative capacity, cross-sector support, adequate communication and coordination as well as increasing government commitment in implementing policies are the keys to successful implementation of exclusive breastfeeding policies
Risk Factors for Maternal Mortality in Banyumas Regency in 2022 Aryani, Aisyah Apriliciciliana; Nafisah, Lu'lu; Hapsari, Pramesthi Widya; Mulyani, Jajang Dede
Journal of Public Health for Tropical and Coastal Region Vol 7, No 1 (2024): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v7i1.22179

Abstract

Abstract Introduction: Maternal mortality Rate (MMR) in Banyumas Regency, Indonesia fluctuates. In 2022, it was the highest in Central Java Province with 24 cases spread across 14 Puskesmas. The purpose of this study was to determine the risk factors affecting maternal mortality consisting of maternal education level, anemia status, nutritional status, and history of infectious diseases.Methods: This type of research was a case control study with a sample size of 24 cases and 48 controls. The sampling method was total sampling. Education level, infectious disease, anemia, and nutritional status were investigated. This study was conducted on July to September 2023 in Banyumas Regency, Central Java, Indonesia. Data were collected through interviews using structured questionnaires. Data were analyzed with chi square tests and logistic regression.Results: The results showed that factors that increase the risk of maternal mortality were having a history of infectious diseases (OR = 5.84; 95% CI = 1.46 - 23.33, p = 0.012) and maternal Chronic Energy Deficiency (OR = 3.98; 95% CI = 1.32 - 12.01, p = 0.014).Conclusion: The risk factors for maternal mortality were infectious diseases and maternal Chronic Energy Deficiency. Early detection of risk factors such as history of infectious disease and Chronic Energy Deficiency are needed so prevention efforts can be planned. The improvement of antenatal and postnatal care through increasing the quality of health workers by providing technical and non-technical skills, especially village midwives is very important. 
Implementasi Kawasan Tanpa Rokok di Sekolah Menengah Atas Swasta Wilayah Perkotaan Sari, Desi Nabila; Nafisah, Lu'lu; Intiasari, Arih Diyaning
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3346

Abstract

The large number of smokers in Indonesia needs coordinated and integrated action to address, especially since the number of smokers among students continues to rise. One of the measures to address this issue is the no smoking area policy, including at school. However, no smoking area policy objectives must be supported by optimum policy execution. This study aims to determine the implementation of the Non-Smoking Area Policy at Pramita High School Tangerang City. This study uses qualitative research by conducting in-depth interviews. The principal, students, and counseling teachers are the three primary informants. Teachers and administrative personnel serve as the two supporting informants. The Content Analysis approach was used to analyze the data. Non-Smoking Areas Policy has yet to be implemented optimally at SMA Pramita Tangerang City. The school needs more resources and has yet to constitute a working group to enforce a smoke-free zone and consequences for breaches. There have also been no reporting systems for breaches of this policy, making it impossible to determine the number of violations and the level of compliance of school residents with this policy of no-smoking areas. A school must strengthen the implementation of No Smoking Areas by conducting socialization, developing a dedicated team, providing supporting facilities and infrastructure and imposing strict punishments on violators of the restrictions.
Identification of School’s Roles, Adolescent Access, and Exposure to Information on Adolescent Reproductive Health Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika; Aryani, Aisyah Apriliciciliana
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3819

Abstract

The problems experienced by adolescents have an impact on their growth and development and their future. One of the main factors behind this problem is the exposure to information about adolescent reproductive health. This study aims to describe adolescent exposure to information on reproductive health. This type of research is observational with a cross-sectional study design. The sample in this study was 169 unmarried high school students aged 15–20 years who live in Banyumas Regency, totaling 169 people. Most adolescents are female (78.7%), 17 years old (40.8%), and 16 years old (37.9%), live with their parents (95.9%), use social media to find information about adolescent reproductive health (67.5%), considered parents as a more trusted source of information (27.8%) and social media as a less trusted source of information (50.9%). Most adolescents have received counseling about adolescent reproductive health at school (84.6%), provided Youth Information Center and Counseling Program in their schools (36.1%), and never received information about Generation Planner (68%) and Youth Information Center and Counseling Program (58.6%). Adolescents have sufficient access to information on adolescent reproductive health. Still, not a few adolescents have not received information about programs related to Generation Planner and Youth Information Center and Counseling Program. Schools already provide information on adolescent reproductive health and sexuality. However, only a few adolescents receive information about family planning and contraception and are aware of a school's youth counseling and information center.
Influence Factors of Reproductive Organ Maintenance Among Adolescent Girls in Coastal Areas Yuliani, Armyla Eka Wahyu; Nafisah, Lu'lu; Hariyadi, Bambang
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4373

Abstract

Adolescent girls are vulnerable to reproductive health problems such as vaginal discharge and reproductive tract infections, which are triggered by poor maintenance of their reproductive organs. This may further impact adolescents' quality of life and productivity. Adolescents in coastal areas tend to have limited sources of information, parental support, and inadequate health facilities related to adolescent reproductive health. This study aims to determine the factors that influence the behavior of maintaining reproductive organs among adolescent girls in coastal areas in the Buluspesantren District. Method: This research uses quantitative methods with a cross-sectional approach. The research population was 859 adolescent girls in coastal regions of Buluspesantren District, and a total sample of 96 respondents were selected through purposive sampling. Data were analyzed univariate, bivariate, and multivariate. There is a relationship between the availability of facilities and infrastructure (p-value=0.049) and attitudes (p-value=0.012) with reproductive organ maintenance behavior among adolescent girls in coastal areas in Buluspesantren District. The most influential factor is attitude (p-value = 0.018) with Odds Ratio (OR)=3.004. Adolescent girls with a positive attitude are 3.004 times more likely to have good reproductive organ maintenance behavior than adolescent girls with a negative attitude. Adolescent girls need to get information on reproductive organ maintenance from various trusted sources so that they have a positive attitude toward reproductive organ maintenance behavior.
Correlation of Physical Activity, Fast Food Consumption, and Family History With Primary Dysmenorrhea Among Adolescent Girls Nafisah, Lu'lu
Kesmas Indonesia Vol 16 No 2 (2024): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2024.16.2.11472

Abstract

Primary dysmenorrhea is often experienced by adolescents with different levels of pain. Primary dysmenorrhea affects daily activities, especially in school-age adolescents, and has an impact on their academics and productivity at school. This study aimed to determine the factors associated with the incidence of primary dysmenorrhea in female students at SMP N 2 Karanglewas. This study used a quantitative approach with a cross-sectional research design, with a total sample of 87 respondents at SMP N 2 Karanglewas using a cluster random sampling technique. Data collection was carried out using a questionnaire. Data were analyzed using the chi-square test. There is a relationship between menarche age (p-value = 0.018); physical activity (p-value = 0.008); consumption of fast food (p-value = 0.009); and family history (p-value = 0.000); with primary dysmenorrhea. There is no relationship between the length of menstruation (p-value = 1,000); nutritional status (p-value = 0.556); and stress level (p-value = 0.798). There is a significant relationship between the age of menarche, physical activity, consumption of fast food, and family history with the incidence of primary dysmenorrhea in female students of SMP N 2 Karanglewas. Adolescents with a healthy lifestyle can reduce the risk factors for primary dysmenorrhea.
Edukasi Gizi Demo Porsi dan Jajanan Sehat kepada Pengelola, Wali Santri dan Santri TPQ Roudlotul Munnawwaroh Banyumas Khoiriani, Izzati Nur; Prasetyo, Teguh Jati; Sulistyaning, Afina Rachma; Wicaksari, Sifa Aulia; Nafisah, Lu'lu
Jurnal Pengabdian Gizi dan Kesehatan Masyarakat Vol 2 No 1 (2024): Agustus
Publisher : Ikatan Sarjana Gizi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jpgkm.v2i1.78

Abstract

Literasi gizi disebutkan sebagai faktor kunci dalam pemilihan makanan sehat yang diikuti dengan pola makan sehat oleh anak-anak. TPA atau Taman Pendidikan Al-Quran dapat menjadi posisi yang strategis untuk dapat menjadi tempat pendidikan kesehatan terutama terkait pola hidup sehat sejak dini. TPQ Roudlotul Munawwaroh merupakan Taman Pendidikan Al-Quran yang juga peduli terhadap Pendidikan gizi dan Kesehatan para santri dan juga wali santrinya. Kegiatan ini bertujuan untuk mengoptimalisasi peran TPQ untuk menjadi media edukasi gizi dan kesehatan bagi masyarakat pada umumnya dan santri beserta wali santri pada khususnya. Kegiatan ini dapat meningkatkan literasi gizi santri dan wali santri, serta meningkatkan efikasi diri pada pengajar TPQ untuk terus memberikan edukasi gizi dan kesehatan secara berkelanjutan kepada masyarakat melalui program Pendidikan di TPQ. Tahapan kegiatan yang dilakukan yaitu : 1. Penyusunan media dan topik edukasi, 2. FGD dengan Pengelola TPQ, 3. Edukasi Demo Porsi kepada Wali Santri, 4. Edukasi Demo Jajanan Sehat Buah kepada Santri. Kegiatan demo porsi dapat memberikan wawasan yang baru kepada para wali santri terkait besar porsi sesuai dengan gizi seimbang di keluarga. Kegiatan Demo Jajanan Sehat Buah dapat meningkatkan pengetahuan dan pengalaman para santri untuk mengonsumsi buah dan juga memberikan saran dan rekomendasi topik edukasi sehat bagi TPQ kepada pengelola, wali santri maupun para santri.
Sexual Violence on Campus: Student Experiences and Perceptions of Institutional Responses Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika
Al-Sihah : The Public Health Science Journal Volume 16, Nomor 2, July-December 2024
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v16i2.53356

Abstract

Sexual violence in higher education is a global issue with severe impacts on victims' health and academic performance. In Indonesia, its high prevalence is driven by peer norms, patriarchal culture, and inadequate institutional responses. However, critical gaps persist in understanding student perceptions, contributing factors, reporting barriers, and expectations for effective prevention and intervention. This study addresses these gaps by examining perceptions of sexual violence, associated risk factors and impacts, reporting barriers, and preventive expectations among university stakeholders. The research was conducted at Jenderal Soedirman University, employing a qualitative descriptive design that involved 18 informants, including students, counselors, and task force representatives. Data were collected through in-depth interviews and analyzed using content analysis. The findings highlight various forms of violence, including sexual harassment, physical, psychological, and gender-based violence, committed by peers, faculty, or staff. Impacts include psychological trauma and academic disruptions. Barriers to reporting, such as stigma, fear of retaliation, and ineffective mechanisms, were commonly reported. Cultural norms, power imbalances, and insufficient supervision in non-academic activities were found to exacerbate the issue. Informants stressed the need for a shift in cultural attitudes, accessible reporting systems, and victim support services through the implementation of comprehensive prevention and intervention programs.
PELATIHAN MANAJEMEN POS KESEHATAN PESANTREN PADA SANTRI HUSADA SEBAGAI UPAYA PENINGKATAN LAYANAN KESEHATAN DI PESANTREN Nafisah, Lu'lu; Aryani, Aisyah Apriliciciliana; Parmasari, Damairia Hayu; Rizqi, Yuditha Nindya Kartika
Kumawula: Jurnal Pengabdian Kepada Masyarakat Vol 8, No 1 (2025): Kumawula: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/kumawula.v8i1.54530

Abstract

The rapid development of Islamic boarding schools (pesantren) in Indonesia necessitates the enhancement of health services at Poskestren (Islamic boarding school health posts). Poskestren Darussalam in Banyumas Regency has significant potential to improve the health of its students, however, its program implementation remains suboptimal. Health cadres, referred to as Santri Husada, play a critical role in Poskestren management. Therefore, this management training was designed to enhance the capacity of Santri Husada cadres in managing Poskestren, enabling them to deliver better health services for students and contribute to a healthier pesantren environment. This training aimed to improve the knowledge, attitudes, and skills of Poskestren cadres in health post management. The methods used included lectures, discussions, and brainstorming, supported by instructional media such as PowerPoint presentations, modules, flipcharts, and posters. The training involved 33 Santri Husada cadres. Evaluation was conducted by comparing knowledge scores before and after the training. The results showed a statistically significant improvement in participants' knowledge (p-value = 0.001). This training effectively increased the cadres' understanding of health service management in pesantren. However, ongoing support and guidance from local health centers (Puskesmas) need to be strengthened to ensure program sustainability. Pesatnya perkembangan pesantren di Indonesia mendorong peningkatan kualitas layanan kesehatan di Poskestren. Poskestren Darussalam di Kabupaten Banyumas memiliki potensi besar untuk meningkatkan kesehatan santri, namun pelaksanaan programnya masih belum optimal. Kader kesehatan, Santri Husada, memegang peranan penting dalam pengelolaan Poskestren. Oleh karena itu, pelatihan manajemen ini dirancang untuk meningkatkan kapasitas kader Santri Husada dalam mengelola Poskestren, sehingga mampu memberikan layanan kesehatan yang lebih baik bagi santri dan mendukung terwujudnya lingkungan pesantren yang sehat. Pelatihan ini bertujuan meningkatkan pengetahuan, sikap, dan keterampilan kader Poskestren terkait manajemen Poskestren. Metode yang digunakan meliputi ceramah, diskusi, dan brainstorming dengan media seperti powerpoint, modul, lembar balik, dan poster. Kegiatan diikuti oleh 33 kader Santri Husada. Evaluasi dilakukan dengan membandingkan skor pengetahuan sebelum dan sesudah pelatihan. Hasil menunjukkan peningkatan signifikan pada pengetahuan peserta (p value = 0,001). Pelatihan ini efektif dalam meningkatkan pemahaman kader mengenai manajemen pelayanan kesehatan di pesantren. Namun, pembinaan dari Puskesmas setempat masih perlu ditingkatkan untuk mendukung keberlanjutan program.
Literature Review: Faktor Risiko yang Memengaruhi Kejadian Nyeri Menstruasi (Dysmenorrhea) pada Mahasiswi Ghaliyah, Yasmin; Nurasih, Diah Arum; Maharani, Desta Dwiana; Khanifah, Luthfi Nada; Sistiarani, Colti; Nafisah, Lu'lu
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 10 No 1 (2025): Vol. 10 No. 1 Juni 2025
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v10i1.2001

Abstract

Dismenore atau nyeri menstruasi merupakan keadaan nyeri saat menstruasi yang umum dialami oleh perempuan, termasuk mahasiswi. Kondisi ini dapat mengganggu aktivitas sehari-hari dan berpengaruh pada kinerja akademik mahasiswi. Tujuan dilakukan penelitian ini adalah untuk mengetahui faktor risiko yang mempengaruhi kejadian dismenore pada mahasiswi di berbagai negara. Penelitian ini menggunakan metode tinjauan literatur terhadap 11 artikel penelitian terpilih, baik nasional maupun internasional. Artikel diperoleh melalui pencarian di database elektronik seperti Google Scholar, Science Direct, Scopus, dan PubMed dengan kata kunci yang relevan. Pemilihan artikel dengan penilaian PICO. Hasil penelitian menunjukkan bahwa terdapat lima faktor utama yang secara konsisten mempengaruhi terjadinya dismenore. Riwayat keluarga, usia menarche <12 tahun, siklus menstruasi tidak teratur, tingkat stres yang tinggi, dan pola makan mempengaruhi dismenore pada mahasiswi. Faktor-faktor tersebut mempengaruhi keseimbangan hormonal, produksi prostaglandin, serta kontraksi rahim yang menyebabkan nyeri menstruasi. Identifikasi dini faktor risiko dismenore dan intervensi promotif-preventif sangat diperlukan untuk meningkatkan kesehatan reproduksi pada mahasiswi dan mengurangi risiko dismenore.
Co-Authors Afina Rachma Sulistyaning Aisyah Apriliciciliana Aryani ARIF KURNIAWAN Arih Diyaning Intiasari Bambang Hariyadi Colti Sistiarani Eri Wahyuningsih Ghaliyah, Yasmin HAPSARI, PRAMESTHI WIDYA Hery Widijanto Jajang Dede Mulyani Khanifah, Luthfi Nada Khoiriani, Izzati Nur Maharani, Desta Dwiana Maryati, Leni Nafiah, Fitri Kholishatun Nashita, Ghania Nindya, Yuditha Nurasih, Diah Arum Parmasari, Damairia Hayu Poermeilani, Annisa Fidela Ramadhan, Ja'far Fauzan Rizqi, Yuditha Nindya Kartika Sari, Desi Nabila Teguh Jati Prasetyo Wicaksari, Sifa Aulia Yuliani, Armyla Eka Wahyu