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PENTINGNYA PENINGKATAN KETRAMPILAN TENAGA KESEHATAN DALAM PREVENTION MOTHER TO CHILD TRANSMITION HIV, SIFILIS, HEP. B PADA IBU HAMIL DI PUSKESMAS KOTA ENDE owa, khrispina; Wawomeo, Aris; Woge, Yoseph; Sekunda, Maria S.
Kelimutu Nursing Journal Vol 2 No 1 (2023): Volume 2 Nomor 1 Juni 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i1.1226

Abstract

HIV, Syphilis and Hepatitis B infections are infectious diseases that are still a health problem in the world, including in Indonesia. The incidence of mother-to-child transmission ranks 5th highest in Asia. HIV transmission from mother to child is 20-45%, Syphilis transmission from mother to child is 69-80% and Hepatitis B transmission from pregnant women to children is 90-95% (Kemenkes RI, 2014). Only 50% of pregnant women are willing to do an examination or test at the initial Antenatal visit while more pregnant women are known to be positive for viral infections in the final trimester which affects the implementation of treatment (Kesga Division of the Ende District Health Office, 2019). The Objectives to analyse the perception of pregnant women about the role of midwives in the success of the PMTCT-HIV, Syphilis, Hepatitis B program for pregnant women at the Ende Regency Health Center. Methods: using a quantitative design method with a correlational analytic approach. The technique for determining respondents used purposive sampling method. The research sample was first trimester pregnant women who checked themselves at the Ende City Health Center from June to August 2021. The sampling technique used the Slovin formula which amounted to 50 respondents. Data were collected from pregnant women's examination cards, MCH books and interviews with respondents. Data processing used the Spearman Rank correlation test with the help of the SPSS for windows 19.00 program. The results of the Spearman Rank variable test of the role of midwives as communicators, motivators, facilitators and counsellors do not have a significant relationship to the success of the PMTCT-HIV, Syphilis, Hepatitis B Program with a value (p-value <0.05), namely 0.656 for the p-value of the role variable as a counsellor, 0.629 for the p-value of the role variable as a motivator, 0.580 p-value for the role variable as a communicator and 0.445 for the p-value of the midwife's role variable as a facilitator. As for the direction of the relationship between the four variables, it has a unidirectional nature according to the positive value of the Corelation Coefficient, and for the level of relationship between the four variables, namely the variable role of midwives as counsellors and motivators has a strong level of relationship (0.656) and (0629), the variable role of midwives as communicators and facilitators has a moderate level of relationship (0.580) and (0.445). Conclusion is necessary to maximize the success of the PMTCT program, including counsellor training for all health workers, especially midwives, the availability of facilities and infrastructure to support activities and counselling efforts in a sustainable, integrated and integrated manner supported by the ability of midwives to manage health programs to improve knowledge and health behaviour in pregnant women.
PEMBERDAYAAN KADER DALAM PENANGANAN HENTI JANTUNG DI DESA GHEO GHOMA KECAMATAN ENDE UTARA KABUPATEN ENDE Sekunda, Maria Salestina; Rifatunnisa; owa, khrispina
Kelimutu Nursing Journal Vol 3 No 2 (2024): Volume 3 Nomor 2 Juni 2024
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v3i2.1820

Abstract

The role of cadres is very important in efforts to anticipate and handle hypertension complications such as cardiac arrest. One of the roles of cadres when the elderly experience cardiac arrest is that cadres are able to prevent and treat cardiac arrest by providing basic life support and are able to give advice to the elderly to avoid things that can be at risk of causing sudden death. The Community Service activity was held on May 1-2, 2024 in the Gheoghoma Village office hall and was attended by 11 village cadres and the Head of Gheo Ghoma Village. The method used is education and skills to do basic life support. At the beginning of the activity, a test of cadre knowledge about basic life support was carried out and then simulations and demonstrations were carried out and then closed with a post test. From the results of the activity, data was obtained that most of the cadres had understood and were able to provide basic life support, as evidenced by the results of the answers to the questions given where the respondents had less knowledge than 75% and in the post stage after being given material and demonstrations on the treatment of cardiac arrest, the results of the increase in respondents' knowledge about basic life support were obtained, which was as much as 83%. In addition, in training activities, cadres are able to carry out basic life support using BHD phamptom aids and obtain a score from 0% to 75%. Therefore, it is highly expected that the village management will continue to cooperate with the government, especially the cadres in improving knowledge and other skills in preventing sudden death in the community by conducting continuous training so as to increase knowledge and skills that will have an impact on the prevention and handling of sudden death due to cardiac arrest
Penerapan Terapi Air Putih dan Kompres Hangat untuk Mengatasi Masalah Nyeri dan Gangguan Eliminasi Urin pada Pasien ISK di RSUD Ende : Sekunda, Maria S.; Owa, Khrispina; Bai, Marieta K. S.
Kelimutu Nursing Journal Vol 4 No 1 (2025): Volume 4 Nomor 1 Juni 2025
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v4i1.2011

Abstract

Urinary tract infection (UTI) is an infection caused by the growth of microorganisms in the urinary tract, which in normal conditions urine does not contain bacteria, viruses or other microorganisms. Urinary tract infections can occur in men and women of all ages. The purpose of this special study is that the author is able to apply the provision of drinking water therapy and warm compresses to overcome pain problems and changes in urine elimination patterns in patients with Mrs. SM with a medical diagnosis of UTI through a nursing process approach. The method used in the case study on Mrs. SM with UTI is a case study with a nursing process approach which was carried out on March 29-April 1, 2025 in the Internal Medicine Room of Ende Hospital. The results of the case study showed that the assessment data found in Mrs. S.M with UTI were weakness, pain in the waist, lower abdominal pain, pain that comes and goes and feels like being stabbed, painful urination, abdominal distension, bloating, grimacing face, BP: 110/80 mmHg, S: 38 0C, N: 94x/min, RR: 20x/min, urination comes out a little at a time. The nursing diagnosis raised in Mrs. S.M's case was pain and impaired urinary elimination. After implementation, the results obtained were that the problems of pain and impaired urinary elimination were resolved thanks to the cooperation of the patient, family and nurse. Nursing care carried out on Mrs. S.M's patient can run well thanks to the cooperation and support of the family. Therefore, it is expected that the patient will behave healthily by not holding back urine and consuming lots of water 8-10 glasses a day.
Edukasi Pemberdayaan Oran Tua Untuk Pencegahan Stunting Pada Balita Di Posyandu Desa Gheoghoma Kabupaten Ende Bedho, Martina; Owa, Khrispina; Patmawati, Try Ayu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.19794

Abstract

ABSTRAK Nusa Tenggara Timur adalah salah satu provinsi di Indonesia yang memiliki masalah prevalensi Stunting yang tinggi dibandingkan dengan prevalensi stunting di provinsi lainnya selama dua peride bertutut-turut yaitu yaitu 51,7 persen pada tahun 2013 dan 42,6 persen pada tahun 2018. Desa Gheoghoma, merupakan desa binaan Program Studi DIII Keperawatan Ende yang berlokasi di Kecamatan Ende Utara, Kabupaten Ende. Desa ini berada diluar kota Ende yang memungkinkan informasi edukasi tentang anak dengan stunting kurang diterima oleh masyarakat. Untuk meningkatkan pengetahuan Orangtua dalam Upaya Pencegahan Stunting Pada Balita. Pada kegiatan ini tim pengabdian masyarakat memberikan edukasi bagi orangtua, pelatihan dan pendampingan. Hasil pengukuran pre dan post test didapatkan bahwa pada tahap pre rerata pengetahuan responden adalah 54,25 sedangkan pada tahap post didapatkan rerata pengetahuan siswa meningkat yakni 78,46 setelah diberikan materi dan pelatihan. Edukasi yang diberikan mampu meningkatkan pengetahuan ibu. Orang tua memberikan respon dan sangat antusias terhadap materi. Oleh karena itu perlu ditingkatkan kegiatan sosialisasi dan pelatihan kepada orang tua maka rekomendasi rencana tindak lanjut yangdiajukan oleh tim adalah kegiatan serupa harus  dilaksanakan secara kontinu dan adanya peningkatan kemandirian masyarakat tentang pencegahan, deteksi dini dan manfaat Program Stategi Penurunan dan Pencegahan Stunting di Desa Gheogoma Kabupaten Ende Kata Kunci: Stunting,Edukasi, Pengetahuan Orang Tua  ABSTRACT East Nusa Tenggara is one of the provinces in Indonesia that has a high prevalence of Stunting compared to the prevalence of stunting in other provinces for two consecutive periods, namely 51.7 percent in 2013 and 42.6 percent in 2018. Gheoghoma Village is a fostered village of the Ende Nursing DIII Study Program located in North Ende District, Ende Regency. This village is located outside the city of Ende, which means that educational information about children with stunting is less well received by the community. To increase parental knowledge in efforts to prevent stunting in toddlers. In this activity, the community service team provided education for parents, training and assistance. The results of the pre and post test measurements showed that at the pre stage the average respondent's knowledge was 54.25 while at the post stage the average student knowledge increased to 78.46 after being given material and training. The education provided was able to increase the mother's knowledge. Parents responded and were very enthusiastic about the material. Therefore, it is necessary to increase socialization and training activities for parents, so the recommendation for the follow-up plan proposed by the team is that similar activities must be carried out continuously and there is an increase in community independence regarding prevention, early detection and the benefits of the Stunting Reduction and Prevention Strategy Program in Gheogoma Village, Ende Regency Keywords: Stunting, Education, Parental Knowledge
Factor Analysis Of The Use Of Vct Services In Pregnant Women At Puskesmas Rukun Lima, Ende District Owa, Khrispina; Bai , Marieta K.S.
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.084 KB)

Abstract

Background Human Immunodeficiency Virus (HIV) is a contagious infectious disease which is grouped as a factor that can affect maternal and child mortality (Ministry of Health, 2014). In 2015-2017 several cases of HIV were found in pregnant women and were transmitted to infants which resulted in infant death due to HIV infection in the working area of the Rukun Lima Health Center. The VCT program has been implemented since 2017 but of the total pregnant women who perform ANC only 50% accept to carry out examinations through VCT services. The aim of the study was to analyze the factors that influence the use of Voluntary Counseling and Testing (VCT) in pregnant women at the Rukun Health Center Five. Observational Analytical Design Method. The approach is carried out by cross sectional. Research data was collected from June to August 2020 using a questionnaire. There are 2 data analyzes carried out in this study, namely descriptive analysis used to determine the frequency distribution of each respondent. Meanwhile, to find out the relationship between the independent variable and the dependent variable, bivariate and multivariate analysis is used. The results of the univariate analysis revealed that pregnant women with less knowledge of HIV were 53.48%, supported by facilities, 58.14%, supported by service providers 65.12% and pregnant women who did not have VCT examinations were 62.79%. The results of the bivariate analysis found that there was a relationship between the knowledge and support of service providers and the participation of pregnant women in VCT examinations. Knowledge (Asymp.sig.(2-sided)= 0.000) and OR= 4.2), support for health service providers (Asymp.sig.(2-sided)= 0.000) and OR= 5.2) while facility support VCT services have a relationship with the use of VCT services in pregnant women with (Asymp.sig.(2-sided) = 0.000) and OR = 0.2), The conclusion is that the factors of mother's knowledge about HIV, staff support and support for service facilities influence the use of VCT services in pregnant women at the Rukun Lima Health Center.
Pemberdayaan Keluarga dalam Upaya Pencegahan Penyakit Kecacingan dan Stunting Pada Balita di Desa Gheoghoma Kabupaten Ende Owa, Khrispina; Sekunda, Maria Salestina; Tokan, Pius Kopong; Ibrahim, Muhamad Chairul
SENTRA DEDIKASI: Jurnal Pengabdian Masyarakat Vol. 3 No. 3 (2025): September 2025
Publisher : Arlisaka Madani Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59823/dedikasi.v3i3.107

Abstract

Penyakit kecacingan (soil-transmitted helminth/ STH) dan stunting pada balita tetap menjadi masalah kesehatan masyarakat khususnya di wilayah pedesaan karena faktor lingkungan, sanitasi, serta praktik pemberian makan dan perilaku higienis keluarga. Pemberdayaan keluarga melalui edukasi kesehatan, penguatan praktik Perilaku Hidup Bersih dan Sehat (PHBS), akses dan pemeliharaan sanitasi layak, serta peningkatan ketahanan pangan keluarga merupakan strategi kunci untuk pencegahan terpadu kecacingan dan stunting di tingkat desa. Pemberdayaan keluarga juga memiliki peran strategis dalam pencegahan kedua masalah tersebut, mengingat keluarga merupakan unit terkecil yang berperan langsung dalam pola asuh, perilaku hidup bersih dan sehat (PHBS), serta pemenuhan gizi anak. Tujuan Pengabdian Masyarakat ini meningkatkan kemampuan dan kemandirian keluarga dalam upaya pencegahan penyakit kecacingan dan stunting. Metode Partisipatory Learning and Action (PLA) dengan metode learning by doing. Tahap persiapan dengan mengidentifikasi permasalahan mitra, tahap elaksanaan dengan memberikan sosialisasi, edukasi dan pelatihan serta pendampingan kepada keluarga tentang CTPS, penerapan PHBS di rumah tangga, pengawas minum obat cacing, dan tahap evaluasi penerapan PHBS di keluarga, pengawasan minum obat cacing balita, serta pemantauan pertumbuhan anak secara rutin setiap bulan melalui KMS balita. Hasil kegiatan pengabdian masyarakat ini menemukan bahwa pemberdayaan keluarga melalui peningkatan pengetahuan, keterampilan, dan perubahan perilaku dapat menjadi intervensi efektif dan berkelanjutan untuk mencegah kecacingan sekaligus menurunkan prevalensi stunting pada balita, apabila dilaksanakan dengan dukungan program kesehatan masyarakat dan multisektor secara berkesinambungan. Intervensi berbasisi keluarga dapat meningkatkan kemampuan dan kemandirian keluarga dalam upaya pencegahan penyakit kecacingan dan stunting pada balita.
Faktor-faktor yang berhubungan dengan kejadian stunting pada anak prasekolah di Kabupaten Ende Owa, Khrispina; Tokan, Pius Kopong; Bedho, Martina
Holistik Jurnal Kesehatan Vol 17, No 9 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i9.12810

Abstract

Background: Indonesia is one of the endemic countries for soil transmitted helminths (STH) with the third highest number of children aged 1-14 years in the world after India and Nigeria, namely around 7% in 2012 and is estimated to be more than 1.5 billion people or 24% of the world's population. Infected with soil-borne worms it is estimated that more than two billion people with STH infections worldwide experience severe morbidity. These infections cause 9-135 thousand deaths per year. The prevalence of worm infections in Indonesia, especially in low socio-economic populations, is still relatively high, namely 45-65%. This group has a high risk of contracting worms because they do not maintain the cleanliness and sanitation of the environment where they live.Purpose: To determine the factors associated with the incidence of stunting in preschool children in Ende Regency.Method: This type of research is a mixed method design that uses non-experiment, namely analytical descriptive research with a cross sectional approach. The population in this study were children aged 12-72 months in Gheoghoma village, Ende Regency, with simple random sampling carried out randomly. The number of respondents with consideration of a representative sample was carried out within 3 months according to the inclusion criteria so that a sample of 82 respondents was obtained.Results: Showed that the majority of mothers' knowledge of worms was in the good category, with no stunting occurring as many as 55 (69.6%) and none experienced stunting, while mothers with a poor level of knowledge as many as 24 (30.4%) did not experience stunting but also experienced stunting as many as 3 (100%). The results of the Chi-Square test showed that poor maternal knowledge regarding the causes, prevention and management of worms has an influence on stunting in children with OR 1.125 (95% CI: 0.985-1.285 p-value = 0.01 (p<0.05).Conclusion: Factors that influence stunting are parents' low knowledge about the benefits of giving worm medicine to children. Although the worm infection in this study had little effect on the nutritional status of children, it could have an impact in the future if there is no immediate prevention and treatment.Suggestion: For health workers to always provide support for the implementation of worm and stunting prevention programs by increasing the role of the community in implementing clean and healthy living behavior. For future researchers, they should add risk factors for stunting with different variables and a larger number of samples. Keywords: Pre-School Children; Worms; Stunting. Pendahuluan: Indonesia merupakan salah satu negara endemik soil transmitted helminths (STH) dengan jumlah anak usia 1-14 tahun terbanyak ketiga di dunia setelah India dan Nigeria yaitu sekitar 7% di tahun 2012 dan diperkirakan lebih dari 1.5 miliar orang atau 24% dari populasi dunia terinfeksi cacing  yang ditularkan melalui tanah. Diperkirakan lebih dari dua miliar orang dengan infeksi STH di dunia mengalami morbiditas berat. Infeksi tersebut menyebabkan 9-135 ribu kematian per tahun.  Prevalensi infeksi cacingan di Indonesia terutama pada penduduk dengan sosio-ekonomi rendah, masih relatif tinggi yaitu sebesar 45-65%. Kelompok ini mempunyai risiko tinggi terjangkit penyakit kecacingan karena kurang menjaga kebersihan dan sanitasi lingkungan tempat tinggalnya.  Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan kejadian stunting pada anak prasekolah di Kabupaten Ende.Metode: Jenis penelitian dengan rancangan mixed metode yang menggunakan non experiment yaitu penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah anak-anak berusia 12-72 bulan yang berada di desa Gheoghoma Kabupaten Ende dengan pengambilan simple random sampling dilakukan secara acak. Jumlah responden dengan pertimbangan sampel yang representatif dilakukan dalam waktu 3 bulan sesuai kriteria inklusi sehingga didapatkan sampel sebanyak 82 responden.Hasil: menunjukkan bahwa pengetahuan ibu terhadap kecacingan mayoritas berada pada kategori baik tidak terjadi stunting sebanyak 55 (69.6%) dan tidak ada yang mengalami stunting, sedangkan ibu dengan tingkat pengetahuan buruk sebanyak 24 (30.4%) tidak mengalami stunting namun juga mengalami stunting sebanyak 3 (100%). Hasil uji Chi-Square diketahui bahwa pengetahuan ibu yang buruk mengenai penyebab, pencegahan dan penanggulangan kecacingan mempunyai pengaruh terhadap stunting pada anak dengan OR 1.125 (95% CI: 0.985-1.285 p-value = 0.01 (p<0.05).Simpulan: Faktor yang berpengaruh terhadap stunting yakni rendahnya pengetahuan orangtua tentang manfaat pemberian obat cacing pada anak. Meskipun Infeksi cacing dalam penelitian ini kurang berpengaruh terhadap status gizi pada anak, tetapi kemungkinan bisa memberi dampak di masa depan jika tidak ada pencegahan dan penanganan segera.Saran: Bagi tenaga kesehatan agar senantiasa memberikan dukungan pelaksanaan program pencegahan kecacingan dan stunting dengan meningkatkan peran masyarakat dalam menerapkan perilaku hidup bersih dan sehat. Bagi peneliti selanjutnya agar menambahkan faktor risiko terjadinya stunting dengan variabel berbeda dan jumlah sampel yang lebih banyak. Kata kunci: Anak Pra Sekolah; Kecacingan; Stunting.
Chronic Energy Deficiency, Anemia as a Risk Factor for Low Birth Weight Babies in East Nusa Tenggara Owa, Khrispina
JURNAL KESEHATAN PRIMER Vol 4 No 1 (2019): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v4i1.264

Abstract

Background: Low birth weight (LBW) among infants is one cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey (SDKI, 2012) indicated that the neonatal mortality rate in Nusa Tenggara Timur was as high as 26/1000 KH, 15% of which were caused by low birth weight. This study seeks tounderstand the relationship between risks to CED, anemia on the incidence of LBW in the district of Ende. Method: This study design was a case control with a total of 156 respondents in the district of Ende, 2015.Case studies were mothers giving birth to infant weighing < 2500 gram and case control was 78 mothers having infants of normal weight ≥ 2500 gram. Data was obtained from mother’s clinic examination cards, ANC records and indepth interviews. Data was analysed using bivariate (chi square) analysis and multivariate using logistic regression. Result: Study indicates that the risk factors for LBW in infants include age of mother<20 or ≥35 years with adjusted OR (AOR)=6.8 (95% CI: 1.87 to 25.0), birth spacing <2 years OR 6.5 (95% CI: 1, 78 to 24.2), CED with AOR=5,3(95%CI:1,38-21,0),maternal occupation OR of 4.6 (95% CI: 1, 44 to 14.9), anemia with AOR=4,2(95%CI:1,37-13,1),presence of concomitant diseases such as malaria OR 3.9 (95% CI: 1.21 to 12.7) and low quality of antenatal care OR 3.5 (95% CI: 1.11 to 11.3). Conclusion: Age of mother<20 or ≥35 years,birth spacing <2 years, CED,maternal occupation, anemia, presence of concomitant diseases such as malaria and low quality of antenatal care are risk factors for LBW in the District of Ende.
Efektifitas Pendidikan Kesehatan Metode Peer Group terhadap Peningkatan Pengetahuan dan Perilaku SADARI Remaja Putri Owa, Khrispina; Sekunda, Maria Salestina; Budiana, Irwan
JURNAL KESEHATAN PRIMER Vol 6 No 1 (2021): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v6i1.529

Abstract

Abstract: Introduction: Independent breast examination is an effort to detect breast cancer early which is often recommended to every woman. The problem that is happening now is that people's knowledge about SADARI is still lacking. The aim of the study was to determine the effectiveness of the Peer Group Method Health Education towards breast cancer prevention in young women at SMAK St. Thomas Morus, Ende District. Methods: This study used a true experimental study with a pretest-posttest control group design. Respondents were determined by simple random sampling divided into two groups consisting of 30 people as the treatment group and 30 people as the control group. Results: There is a significant difference between the knowledge and behavior of young women before and after being given health education using the Peer Group method (T test: 0.000). Negative t value -3.548 means that the average knowledge and behavior before being given health education is lower than that after being given health education. Conclusion: the peer group method (peer educators) is considered very effective in providing health education to young women about BSE. So that peer educators are expected to be an alternative in health promotion that is more effective in delivering health messages, especially to adolescents. Abstrak: Pendahuluan: Pemeriksaan payudara secara mandiri merupakan upaya mendeteksi dini kanker payudara yang sering dianjurkan kepada setiap wanita. Permasalahan yang terjadi saat ini adalah pengetahuan masyarakat mengenai SaDaRi masih kurang. Tujuan penelitian untuk mengetahui Efektifitas Pendidikan Kesehatan Metode Peer Group terhadap pencegahan kanker payudara pada Remaja Putri di SMAK St. Thomas Morus Kabupaten Ende. Metode: Penelitian ini menggunakan True eksperimental dengan Pretest-Posttest Control Group Design. Responden ditentukan dengan Simple Random Sampling dibagi menjadi dua kelompok yang terdiri dari 30 orang sebagai kelompok perlakuan dan 30 orang sebagai kelompok kontrol. Hasil: Terdapat perbedaan signifikan antara pengetahuan dan perilaku remaja putri sebelum dan sesudah diberikan pendidikan kesehatan dengan metode Peer Group (T-test:0,000). Nilai t-hitung negatif - 13,548 artinya rata rata pengetahuan dan perilaku sebelum diberikan pendidikan kesehatan lebih rendah dibandingkan dengan sesudah diberikan pendidikan kesehatan. Kesimpulan: metode peer group (pendidik sebaya) dinilai sangat efektif untuk memberikan pendidikan kesehatan kepada remaja putri tentang SADARI. Sehingga pendidik sebaya diharapkan menjadi salah satu alternatif dalam promosi kesehatan yang lebih efektif dalam penyampaian pesan kesehatan khususnya pada remaja.