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All Journal Jurnal Kesehatan Masyarakat WMJ (Warmadewa Medical Journal)
Kowara, Mellysa
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Health Professions Medicine & Pharmacology Public Health

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The Roles of Parents, Health Workers, and Peer in Preventing Youth Premarital Sex Behaviour in Indonesia Kowara, Mellysa; Anastasia Titisari; Luh Kadek Ratih Swandewi
WMJ (Warmadewa Medical Journal) Vol 9 No 1 (2024): May 2024
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.9.1.9432.18-28

Abstract

Adolescents are a vital component in the nation's development for the future, comprising 10% of the total population aged 15-24 years old. However, many adolescents are engaging in premarital sex, which contributes to various adverse effects including an increased risk of contracting STIs, HIV/AIDS, unintended pregnancies, and more. This study aims to analyze the roles of parents, peers, and healthcare providers in providing sexual education to prevent premarital sex among adolescents. Using a cross-sectional approach, the study analyzed the role of parents, healthcare workers, and peers in sexual education and its influence on premarital sexual behavior. The research was conducted in nine districts in Bali Province, with a total sample size of 455 individuals. The results revealed that the majority of adolescents consider sexual and reproductive health education important but feel uncomfortable discussing it, particularly with their parents. The absence of parental involvement was indicated by other findings, as only the roles of healthcare workers and peers were significantly associated with a history of receiving sexual education. The role of parents as the primary source of sexual education and guidance can be enhanced through training and education to improve their understanding of adolescent reproductive counseling. This would foster a sense of comfort and openness in discussing the sexual and reproductive issues experienced by adolescents.
Leveraging Delphi Technique to Develop Breastfeeding Support Modules in East Java, Indonesia Kowara, Mellysa; Lubis, Dinar Saurmauli; Crosita, Yessi; Octaviana, Betty; Kurnianingsih, I Desak Ketut Dewi Satiawati; Januraga, Pande Putu
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.42775

Abstract

Improving knowledge and skills are crucial factors in increasing the commitment of health facility staff to support exclusive breastfeeding. This study presents the steps to formulate the modules using Delphi technique and implemented those modules in the training. This study used a mix-methods method consisting of four stages, namely literature review, qualitative study, module validity and module implementation. The modules were validated by 14 lactation experts to assess reliability, feasibility, and linguistics.  The study was conducted from 2020-2021 in 5 regions in East Java Province. A pre-post-test measurement with 493 health works and non-health workers was conducted to assess the effectiveness of the modules. The first round of Delphi showed agreement proportion between 80-100% on the three aspects. In the second round of Delphi, the strong consensus stated that the modules can be implemented in training was achieved with percentage of feasibility (79.4%), reliability (44.4%) and linguistics (44.4%). The results of the training using the modules showed a significant improvement in knowledge between 6-26 points in 5 areas (p-value0.000). In conclusion, three modules have been developed and validated successfully. The modules were effectively used to improve the breastfeeding knowledge and practice among health and non-health workers.
Nutritional Status and Food Preference Differences Among Primary School Students in Karangasem, Bali Kowara, Mellysa; Suiraoka, I Putu; Octaria, Yessi Crosita; Sari, Eny Kurnia; Malipu, Agnes A
WMJ (Warmadewa Medical Journal) 88-100
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.10.2.13770.88-100

Abstract

Nutritional status during primary school age is essential for optimal physical growth and cognitive development. Dietary transitions driven by modernization—including increased consumption of fast foods and sweetened beverages—may reduce the intake of nutrient-dense foods. This study aimed to describe the nutritional status and food preferences of students at SDN 2 Besakih, Karangasem, Bali. A cross-sectional study was conducted. Anthropometric measurements were obtained from all students present (n = 211) and assessed using BMI-for-age and height-for-age indicators based on WHO AnthroPlus standards. Food preference data were collected from 72 students selected through stratified sampling using a pictorial Likert-scale questionnaire. Data were analysed using univariate, bivariate, and multifactorial tests. Most students exhibited normal nutritional status, although both undernutrition and overnutrition were present. The leftward shift in BMI-for-age and height-for-age z-score curves indicated vulnerability to undernutrition and stunting. Female students demonstrated significantly higher preference scores for chicken dishes (p = 0.003) and milk-based or sweetened beverages (p = 0.009). Grade level influenced preferences for chicken dishes and beverages, with no significant interaction between gender and grade. Vegetable preference was relatively low across all groups. Primary school children in rural Karangasem face a double burden of malnutrition accompanied by shifting dietary preferences toward less balanced food choices. Strengthening school-based nutrition interventions, including nutrition education, healthy canteen programs, and routine growth monitoring, is critical to fostering healthy dietary habits early in life.
Co-Authors Anastasia Titisari Crosita, Yessi Dinar Lubis I Desak Ketut Dewi Satiawati I Putu Suiraoka Luh Kadek Ratih Swandewi Malipu, Agnes A Octaria, Yessi Crosita Octaviana, Betty Pande Putu Januraga Sari, Eny Kurnia