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Maternal Anemia in the Third Trimester and Related Maternal and Fetal Outcomes: Results from a Study in Jember Regency Kusumawardani, Devi Arine; Purnama, Farhan Dwi; Ramani, Andrei
Window of Health : Jurnal Kesehatan Vol 9 No 1 (January 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.1606

Abstract

Anemia in pregnant women is at risk of becoming one of the causes of poor maternal and fetal outcomes. Specific interventions to increase hemoglobin levels in anemic pregnant women may significantly influence maternal and fetal outcomes. Jember Regency is one area in East Java Province that is prioritized for reducing cases of poor maternal and fetal outcomes. This quantitative, analytical, and observational study used a cross-sectional design. The study population comprised third-trimester pregnant women from January to December 2022 in the Arjasa Health Center's working area, totaling 550 women. The sample size calculation yielded a sample of 115 third-trimester pregnant women by simple random sampling. The analysis test used in this study was the contingency coefficient test. Data collection used secondary data from the maternal and child health clinic register book, the pregnant women's cohort book, and the Arjasa Health Center laboratory examination book for 2022. The study results showed that the majority of respondents did not have a history of anemia, and those who did mostly had mild anemia (42.6%). The study revealed a correlation between anemia history in third-trimester pregnant women and maternal outcomes (p-value = 0.005, C = 0.291), categorized as a weak correlation, and low birth weight (p-value = 0.015, C = 0.220), also categorized as a weak correlation. The analysis of the history of anemia incidents in third-trimester pregnant women with the age of delivery and infant mortality did not show a significant correlation. Maternal anemia in third-trimester pregnant women is associated with a higher risk of poor maternal outcomes and low birth weight. Strengthening early anemia screening and adherence to iron–folic acid supplementation, integrated into maternal nutrition programs with robust referral systems, is essential to reduce adverse maternal outcomes and low birth weight in Jember Regency.
Risk factors of neonatal mortality in Jember Regency, Indonesia: A case-control study Alvianto, Muhammad Azirul Afif; Kusumawardani, Devi Arine; Baroya, Ni'mal
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).126-146

Abstract

Background: Neonatal mortality constitutes most infant deaths in Indonesia, influenced by maternal and infant factors, smoking exposure levels during pregnancy, and the seeking of health services. Objectives: The study aimed to determine risk factors associated with neonatal mortality in Jember Regency. Methods: This observational analytical study employed a case-control design, with 42 cases and 42 controls selected by simple random sampling. Data collection used a documentation study to obtain maternal and infant characteristics, and maternal cigarette smoke exposure level was assessed using a direct interview SHSES questionnaire. Results: Mostly the age of mothers from case and control 20-35 years, gestational age 37-42 weeks, upper arm circumference ≥23.5 cm, not anemic, parity 2-4, experiencing complications, heavy exposure to cigarette smoke, birth spacing 24-60 months, birth weight <2500 & >4000 grams, inappropriate ANC, delivery assisted by health workers in health care facilities, and using the abdominal delivery method. Preterm and postterm delivery increased neonatal death risk 3.5 times (OR =3.511; 95% CI = 1.316-9.364), maternal or infant complications increased risk 4.2 times (OR = 4.200; 95% CI = 2.445-7.214), extreme birth weight increased risk 4.4 times (OR = 4.462; 95% CI = 1.785-11.154), and the vaginal delivery method is 0.194 times (OR = 0.194; 95% CI = 0.073-0.518) more protective than the abdominal delivery method. Conclusions: Preterm and post-term birth, maternal and neonatal complications, extreme birth weight, and abdominal delivery were associated with neonatal mortality. Strengthening early risk detection and antenatal care quality to prevent complications, optimize birth outcomes, and improve referral coordination to support targeted neonatal mortality reduction strategies.
PORNOGRAPHY EXPOSURE AND SEXUAL BEHAVIOR AMONG COLLEGE STUDENTS AT UNIVERSITAS JEMBER Argadini, N. Dyandra Agnefa; Baroya, Ni mal; Kusumawardani, Devi Arine
The Indonesian Journal of Public Health Vol. 21 No. 1 (2026): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v21i1.2026.183-194

Abstract

Introduction: Continuous exposure to pornography can lead to addiction. Pornography addiction is one of the leading causes of risky sexual behavior. The 2017 IDHS reported that 7.6% of male and 1.5% of female adolescents in Indonesia had sexual intercourse before marriage. A study conducted among college students at Universitas Jember showed that 6.3% had kissed, 5.4% had groped sensitive areas, and 3.6% had sexual intercourse. These results indicate a permissive attitude towards sexual behavior. Aims: To investigate the relationship between exposure to pornography and sexual behavior among college students at Universitas Jember. Methods: We conducted a cross-sectional study involving 154 students at Universitas Jember, from March to June 2024. Data were collected using structured interviews with questionnaires and analyzed using the chi-square test and Spearman's rank correlation with α = 0.05 (5%). Results: The results revealed that all respondents had been exposed to pornography, and most were classified as having high-risk sexual behavior. Bivariate analysis revealed a positive relationship between exposure to pornography and risky sexual behavior (p-value: <0.001; rs = 0.388). Conclusion: Riskier sexual behavior increases with higher levels of pornography addiction. It is recommended that Universitas Jember organize comprehensive education on reproductive health for its students.
BERAT LAHIR, STIMULASI DAN PERKEMBANGAN ANAK USIA 12-24 BULAN Mufarrahah, Intan Nur Laylatul; Baroya, Ni'mal; Kusumawardani, Devi Arine
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.50818

Abstract

Masa perkembangan anak merupakan proses perubahan fungsi tubuh secara bertahap dengan meningkatnya kemampuan dalam melakukan gerakan kasar, gerakan halus, berbicara, dan berinteraksi dengan lingkungan sekitar. Pada perkembangannya, anak dengan usia kurang dari 2 tahun masih sering mengalami gangguan perkembangan jika tidak diberikan perhatian secara khusus. Penelitian ini  bertujuan menganalisis hubungan Berat Badan Lahir Rendah (BBLR) dan pemberian stimulasi dengan perkembangan anak usia 12-24 bulan di Puskesmas Tlanakan, Kabupaten Pamekasan. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Sampel pada penelitian ini 112 anak berusia 12-24 bulan. Data diperoleh melalui wawancara dan observasi. Analisis data menggunakan uji chi square. Diketahui sebagian besar balita berusia 21-24 bulan (35,7%) dan berjenis kelamin perempuan (57,1%). Sebagian besar ibu balita berusia 26-35 tahun (63,4%), berpendidikan menengah (58%), tidak bekerja (65,2%), pendapatan dibawah UMR (63,4%). Sebagian besar balita berusia 12-24 bulan memiliki riwayat Berat Badan Lahir Rendah (70%), Sebagian besar orang tua sudah memberikan stimulasi dengan baik (77%), dan perkembangan anak usia 12-24 sudah sesuai. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan antara karakteristik keluarga yang terdiri dari usia ibu, pendidikan ibu, pekerjaan ibu dan pendapatan keluarga. Riwayat BBLR tidak terdapat hubungan yang signifikan dengan perkembangan anak usia 12-24 bulan, namun pemberian stimulasi menunjukkan bahwa terdapat hubungan dengan perkembangan anak (nilai p=0,011). Saran yang dapat diberikan yaitu orang tua aktif membawa anak dalam kegiatan posyandu, membiasakan sedari dini memberikan stimulasi pada anak, dan rutin cek perkembangan anak ke fasilitas kesehatan.
Edukasi Kesehatan Seksual Berbasis Permainan Puzzle pada Anak Berkebutuhan Khusus di SLBN Branjangan Kabupaten Jember Pravitasari, Ines Ratni; Permatasari, Elok; Kusumawardani, Devi Arine; Baroya, Nimal; Yusviani, Yusviani
SEMAR (Jurnal Ilmu Pengetahuan, Teknologi, dan Seni bagi Masyarakat) Vol 15, No 1 (2026): Mei
Publisher : LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/semar.v15i1.107016

Abstract

Kekerasan seksual seringkali dialami oleh setiap orang termasuk anak berkebutuhan khusus. Pada tahun 2020 dan 2021, jumlah anak berkebutuhan khusus   yang dilaporkan sebagai korban kekerasan seksual dua kali lebih banyak dibandingkan korban kekerasan fisik dan tiga kali lebih banyak dibandingkan dengan korban kekerasan emosional Kegiatan pengabdian ini bertujuan untuk memberikan edukasi tentang kesehatan seksual, meningkatkan pengetahuan dan membuat program keberlanjutan tentang edukasi seputar kesehatan reproduksi dan kesehatan seksual pada anak berkebutuhan khusus. Metode yang digunakan dalam kegiatan ini adalah edukasi berupa penyuluhan dan disertai dengan pre test dan post test. Sasaran dalam pengabdian ini adalah anak tunarungu di SLBN Branjangan Jember. Hasil analisis statistik yang dilakukan dengan menggunakan uji wilcoxon signed rank test menunjukkan adanya perbedaan tingkat pengetahuan siswa antara sebelum dan sesudah pemberian edukasi dan penyuluhan tentang kesehatan seksual p-value=0,004 (p<0,05). Peningkatan pengetahuan siswa tentang kesehatan seksual sebesar 13,76. Selain itu telah diberikan media edukasi tentang kesehatan seksual berupa poster untuk disematkan di area sekolah untuk memudahkan akses informasi dan pembentukan jadwal edukasi untuk keberlanjutan kegiatan edukasi selanjutnya. Kebutuhan edukasi tentang kesehatan reproduksi dan kesehatan seksual dianggap perlu karena anak dengan kebutuhan khusus rentan terhadap kejahatan seksual. Kata kunci: anak disabilitas; tunarungu; kesehatan seksual; puzzle