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All Journal VISIKES 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 Pengabdian Gizi dan Kesehatan Masyarakat
Nafisah, Lu'lu
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Determinants Of Family Behavior In Tuberculosis Prevention: A Cross-Sectional Study In Baturraden II Health Center, Indonesia Nafisah, Lu'lu; Lestari, Widya; Hariyadi, Bambang
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): 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.v8i1.25647

Abstract

Introduction: Tuberculosis (TB) remains a major global health challenge until now. Indonesia’s ranking is among the top three high-burden countries. Banyumas Regency reported 3,042 cases in 2021, the highest in Central Java. Families play a critical role in TB prevention, yet their involvement remains suboptimal. This study explores factors influencing family behavior in TB prevention within the Baturraden II Community Health Center area to strengthen prevention strategies.Method: This quantitative study employed a cross-sectional approach. A total sampling technique was used to include all 56 families with TB cases in the Baturraden II Community Health Center working area. Data collection was conducted through interviews using structured questionnaires. Data analysis was done through Chi-Square tests and logistic regressions.Results: The bivariate analysis revealed that knowledge (p=0.001), attitudes (p=0.022), and access to information (p=0.025) were significantly related to TB prevention behavior. The multivariate analysis further indicated that knowledge (p=0.003), attitudes (p=0.010), and access to information (p=0.021) significantly associated to family behavior in preventing tuberculosis. Knowledge emerged as the strongest factor, with an odds ratio (OR) of 10.2, indicating that respondents with low knowledge were 10.2 times more likely to fail in adopting preventive behavior.Conclusion: Family with low knowledge about TB were at a higher risk of not practicing TB prevention in Baturraden II primary healthcare center working area. Enhancing knowledge and promoting appropriate preventive practices are essential strategies for increasing preventive family behavior
Factors Influencing Men’s Willingness to Undergo Vasectomy in Indonesia Based on the Ecological Model: A Literature Review Ramadhan, Ja'far Fauzan; Nashita, Ghania; Poermeilani, Annisa Fidela; Sistiarani, Colti; Nafisah, Lu'lu
Jurnal Dunia Kesmas Vol 14, No 3 (2025): Volume 14 Nomor 3
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v14i3.20793

Abstract

The high population growth rate in Indonesia necessitates more inclusive birth control strategies, including enhanced male participation in Family Planning (FP) programs. Vasectomy represents a safe and effective long-term contraceptive method; however, its adoption rate remains low. This literature review aims to identify and analyze the factors influencing men's willingness to undergo vasectomy in Indonesia, using the Social Ecological Model of Public Health as a guiding framework. A systematic review was conducted on articles published in both Indonesian and English between 2019-2025. Articles were retrieved from Google Scholar. Based on the inclusion criteria, 12 publications employing quantitative, qualitative, and mixed-methods approaches were analyzed. The findings indicate that male participation in vasectomy is influenced by factors across multiple levels: individual (knowledge, attitudes, perceptions), interpersonal (spousal support), community (social stigma, cultural norms), and policy (access to information and healthcare services). Spousal support and perceptions of masculinity emerged as significant determinants. These findings underscore the importance of multilevel, gender-responsive intervention strategies in designing contextually relevant male FP programs.
Faktor Yang Berpengaruh Terhadap Pola Asuh Pada Balita Nafiah, Fitri Kholishatun; Nafisah, Lu'lu; Sistiarani, Colti
Jurnal Kebidanan Malakbi Vol 6 No 2 (2025): Agustus 2025
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v6i2.1457

Abstract

Health development in Indonesia continues to face significant challenges due to persistent nutritional issues, particularly among children within the first 1,000 days of life. This period is widely recognized as a critical window for meeting optimal nutritional needs to support comprehensive growth and development. A key determinant of a child’s nutritional status is parental caregiving. Proper parenting practices are essential for ensuring children receive a balanced and adequate intake of nutrients tailored to their specific needs. In Demak Regency, the prevalence of underweight, stunting, and wasting remains high. Among all regional health centers, Puskesmas Demak II has recorded the most substantial increase in toddler malnutrition cases, a trend a preliminary study attributed to inadequate parenting practices. This study was designed to systematically investigate the factors influencing parenting practices among caregivers of toddlers at Puskesmas Demak II. Employing a quantitative, cross-sectional design, the research examined a population of 2,233 toddlers. A representative sample of 92 caregivers was selected using a simple random sampling method. Data analysis was conducted through a series of statistical procedures, including univariate, bivariate, and multivariate analyses, to identify significant relationships and predictive factors. The multivariate analysis revealed that three variables independently influenced parenting practices: education (OR=4.394), knowledge (OR=2.953), and attitude (OR=3.282). Of these, education was identified as the most influential variable. These findings underscore the critical need for targeted educational interventions aimed at improving parenting practices. It is therefore recommended that comprehensive education on proper parenting be delivered to key demographic groups, including adolescents, prospective brides, and current parents. Utilizing diverse communication channels such as seminars, workshops, and mass media, these educational initiatives are expected to enhance caregivers' knowledge and skills, thereby facilitating the early prevention of nutritional problems in young children.
Systematic Literature Review: Consumption Of Sugary Foods And Beverages In Children And The Increased Risk Of Type 2 Diabetes Mellitus Priyatin, Lelaning; Sandria, Hafshayu; Amiliana, Aminah; Nurazizah, Dian; Nafisah, Lu'lu; Sistiarani, Colti
VISIKES Vol. 24 No. 2 (2025): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v24i2.13042

Abstract

Type 2 diabetes mellitus (T2DM) in children is becoming an increasing global concern due to its rising prevalence, primarily caused by unhealthy dietary patterns. This study aims to systematically review scientific evidence regarding the relationship between the consumption of sugary foods and beverages and the increased risk of T2DM in children. The method used is a Systematic Literature Review of publications from 2016 to 2025, obtained from databases such as PubMed, ScienceDirect, and Google Scholar. The article selection process followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and resulted in seven studies that met the inclusion and exclusion criteria. The review findings indicate that excessive consumption of sugar-sweetened beverages is strongly associated with an increased risk of T2DM. These findings highlight the importance of early intervention through nutrition education, family involvement, and stricter regulation of unhealthy food and beverage marketing to prevent the development of T2DM in children.
SEKOLAH INTERAKTIF GENDER DAN LIFE SKILLS DALAM PENINGKATAN KAPASITAS REMAJA UNTUK PENCEGAHAN KEKERASAN BERBASIS GENDER Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika; Maryati, Leni
Kumawula: Jurnal Pengabdian Kepada Masyarakat Vol 9, No 2 (2026): Kumawula: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/kumawula.v9i2.68288

Abstract

Gender-based violence (GBV) remains a significant public health issue, including in Banyumas Regency, where cases of violence against women and children continue to increase. Limited gender literacy and inadequate life skills among adolescents make them both a vulnerable group and a strategic target for GBV prevention efforts. This community service program aimed to strengthen adolescents' capacity as agents of gender-based violence prevention through the implementation of an Interactive Gender School integrated with Life Skills Training for members of the Karang Taruna in Teluk Village. The program was implemented over four months through gender education, assertive communication training, conflict resolution, digital literacy education, and the establishment of a youth forum as a platform for advocacy and collective action. Program effectiveness was evaluated using a one-group pretest–posttest approach involving 44 adolescents. Data were collected before and after the intervention using standardized instruments and analyzed using the Wilcoxon Signed-Rank Test due to the non-normal distribution of the data. The evaluation demonstrated significant improvements in gender literacy (Z = –4.668; p < 0.001) and life skills (Z = –2.819; p = 0.005). Participants also showed a better ability to recognize signs of violence, practice assertive communication, and understand GBV reporting mechanisms. These findings indicate that integrating an Interactive Gender School with Life Skills Training is an effective community empowerment approach for strengthening adolescents' capacity to prevent gender-based violence and has strong potential for replication in other communities.Kekerasan berbasis gender (KBG) masih menjadi permasalahan kesehatan masyarakat yang serius, termasuk di Kabupaten Banyumas yang terus menunjukkan peningkatan kasus kekerasan terhadap perempuan dan anak. Rendahnya literasi gender serta keterampilan hidup (life skills) pada remaja menjadikan mereka kelompok yang rentan sekaligus strategis dalam upaya pencegahan KBG. Program pengabdian kepada masyarakat ini bertujuan untuk memperkuat kapasitas remaja sebagai agen pencegahan kekerasan berbasis gender melalui pelaksanaan Sekolah Interaktif Gender yang terintegrasi dengan pelatihan Life Skills bagi anggota Karang Taruna Desa Teluk. Program dilaksanakan selama empat bulan melalui kegiatan edukasi gender, pelatihan komunikasi asertif, penyelesaian konflik, literasi digital, serta pembentukan forum remaja sebagai wadah advokasi dan aksi kolektif. Efektivitas program dievaluasi menggunakan pendekatan one-group pretest–posttest yang melibatkan 44 remaja. Data dikumpulkan sebelum dan sesudah intervensi menggunakan instrumen terstandar, kemudian dianalisis dengan uji Wilcoxon Signed Ranks Test karena data tidak berdistribusi normal. Hasil evaluasi menunjukkan adanya peningkatan yang signifikan pada literasi gender (Z = –4,668; p < 0,001) dan life skills (Z = –2,819; p = 0,005). Selain itu, peserta menunjukkan peningkatan kemampuan dalam mengenali tanda-tanda kekerasan, menerapkan komunikasi asertif, serta memahami mekanisme pelaporan kasus kekerasan berbasis gender. Temuan ini menunjukkan bahwa integrasi Sekolah Interaktif Gender dan pelatihan Life Skills merupakan pendekatan pemberdayaan masyarakat yang efektif dalam meningkatkan kapasitas remaja untuk mencegah kekerasan berbasis gender serta berpotensi direplikasi pada komunitas lain.
Co-Authors Afina Rachma Sulistyaning Aisyah Apriliciciliana Aryani Amiliana, Aminah 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 Nurazizah, Dian Parmasari, Damairia Hayu Poermeilani, Annisa Fidela Priyatin, Lelaning Ramadhan, Ja'far Fauzan Rizqi, Yuditha Nindya Kartika Sandria, Hafshayu Sari, Desi Nabila Teguh Jati Prasetyo Wicaksari, Sifa Aulia Yuliani, Armyla Eka Wahyu