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Adolescent Pregnancy and Child Marriage: Current Situation in Indonesia Aladin Aladin
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.353-362.2023

Abstract

Adolescent pregnancy and child marriage is a common public health problem worldwide.  It is one of the key issues concerning reproductive health of women not only in developing countries but also in developed countries, including Indonesia.  The international community is also aware that the problem of Adolescent pregnancy and child marriage is a very serious problem. The general implication is that women and children will be at risk in various aspects, related to unwanted marriages, forced sexual intercourse, pregnancy at a very young age, as well as an increased risk of transmission of HIV infection, other sexually transmitted diseases, and cervical cancer. The purpose of the article is to review current situation and issues on adolescent pregnancy and child marriage in Indonesia. 
Description of Post Anesthetic Shivering (PAS) in Post Spinal Anesthesia Caesarean Section Tuffahati Naura Rafifa; Rinal Effendi; Aladin
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.763-774.2024

Abstract

Background: Post anaesthetic shivering (PAS) is a fasciculation of the face, jaw, or head or the occurrence of muscle hyperactivity so that the body can produce heat after anesthesia. Multiple factors can influence the incidence of PAS including age, sex, ASA physical status, body mass index, type of anesthesia, duration of surgery, room temperature, preoperative body temperature (<36,5⁰C), and type of surgery.  Objective : The purpose of this study was to describe the incidence of PAS in post-spinal anesthesia caesarean section patients at RSIA Siti Hawa Padang Method: This research is a descriptive observational study using accidental sampling technique and obtained a total sample of 52 patients Result: The result showed that 25 of 52 patients (48,1%) experienced PAS. Most PAS events were experienced by moderate grade (25%), the age group >35 years (60%), underweight body mass index (62,5%), ASA II status (52,2%), preoperative temperature in the hypothermia group (51,4%), postoperative temperature in the normothermia group (66,7%), and operation duration >30 minutes (57,1%) Conclusion: Most of the patients did not experience PAS and most of PAS experience was moderate grade.
Original Research The Effect of Yoga or Nonpharmacotherapy on Dysmenorrhore in Medical Students of Andalas University, Indonesia Rifqah Wardah Astarini; Muhammad Zulfadli Syahrul; Mustafa Nour; Beni Indra; Aladin Aladin; Miftah Irramah
Jurnal sosial dan sains Vol. 4 No. 9 (2024): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v4i9.1522

Abstract

Background: Dysmenorrhea is a menstrual pain that is often experienced by young women, with a global prevalence of 16.8-81%. In Indonesia, the prevalence reaches 54.89%, with adolescent girls being the largest group. Treatment generally uses analgesics, but it has side effects. Yoga as a non-pharmacological therapy can reduce pain through muscle relaxation. Purpose: Analyzing the effect of yoga therapy on the intensity of the degree of dysmenorrhea in female students of the Class of 2018 Undergraduate Medical Education Study Program, Faculty of Medicine, Andalas University. Methods: This research uses a pure experimental design with a pre-test, post-test, and only group design, with a sample size of 32 people. The research instrument used in the study was a pre-test and post-test questionnaire, which contained VAS scores and guidelines regarding yoga movements. The questionnaire contains a Visual Analog Scale (VAS), which consists of a vertical scale from 0 to 10 cm. Results:  The results showed there were no differences related to age. As many as 18% of respondents usually took analgesics, while 81.3% did not take analgesics to treat dysmenorrhea before yoga therapy. Meanwhile, after yoga therapy, 5 out of 6 respondents who usually consumed analgesics in previous menstrual cycles no longer consumed analgesics, and one respondent still consumed analgesics. Bivariate analysis showed a value of p=0.00 (p<0.05), which means there is a relationship between the provision of yoga therapy and the degree of dysmenorrhea. Where providing yoga therapy can reduce the intensity of pain in respondents who experience dysmenorrhea. Conclusion: This research concludes that there is a significant relationship between the provision of yoga therapy and the degree of dysmenorrhea.
CAESAREAN SECTION INCIDENTS AND COST IN WEST SUMATRA: A COMPARATIVE STUDY BETWEEN PRIVATE AND PUBLIC HOSPITALS UNDER INA CBGS SYSTEM Aladin Aladin; Martga Bella Rahimi
Jurnal Kesehatan Masyarakat Andalas Vol 15 No 2 (2021): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i2.659

Abstract

Since its first launched in 2014, many hospitals claimed to have financial loss due to inequality between hospital real tariff and BPJS payment. It is important to identify the characteristics and trends of caesarean deliveries in hospitals prior to measuring the efficiency level under INA-CBGs system. However, until now there is yet to be a descriptive study to understand this issue comprehensively. To fill this research gap, this study aimed to compare caesarean section incidents and costs between private and public hospitals in West Sumatra, Indonesia. This study is expected to describe real situation related to caesarean cases and explore the preference of patients in the province for caesarean deliveries. This study was retrospective and cross-sectional design of caesarean section in all West Sumatran hospitals under INA-CBGs system. The data used was taken from BPJS region West Sumatra-Riau-Jambi for period 2016 to 2018. During that period, almost 59 thousand caesarean section were performed, of which 64% in private hospitals and 36% in public hospitals. Within three years, caesarean cases in private hospitals were almost doubled while public hospitals showed a decreasing trend. In 2018, three quarter of caesarean costs was paid by BPJS to private hospitals while public hospitals only received a quarter of total costs.
Analisis Faktor Determinan Kehamilan Remaja di Kota Padang Tahun 2025 Hadisty Aisyah Putri; Aladin Aladin; Husna Yetti
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52365

Abstract

Kehamilan remaja merupakan fenomena kesehatan masyarakat yang berdampak pada berbagai aspek, baik secara fisik, psikologis, dan aspek sosial ekonomi. Penelitian ini bertujuan menganalisis faktor determinan kehamilan remaja di Kota Padang dengan desain mixed methods, menggunakan pendekatan kuantitatif kasus-kontrol dan studi kasus kualitatif. Sampel terdiri dari 92 ibu dengan kehamilan pertama usia <20 tahun (kasus) dan 92 ibu dengan usia ≥20 tahun (kontrol). Analisis kuantitatif dilakukan dengan uji chi-square, dan regresi logistik. Hasil menunjukkan faktor signifikan adalah rendahnya dukungan keluarga (OR=6,5; p<0,001), rendanya dukungan teman sebaya (OR=2,3; p=0,010), rendahnya pengetahuan (OR=5,6; p=0,001), dan rendahnya dukungan tenaga kesehatan (OR=1,9; p=0,039), sementara pendidikan, pendapatan, dan media informasi tidak bermakna. Analisis multivariat menegaskan rendahnya dukungan keluarga sebagai faktor paling dominan (OR=6,9; p<0,001). Penelitian Kualitatif berfokus pada faktor yang paling dominan yaitu dukungan keluarga yang dilihat dalam konteks budaya minangkabau sebagai ciri khas Kota Padang. Temuan kualitatif menyoroti lemahnya komunikasi dan pola asuh orang tua, pengetahuan yang rendah, berkurangnya peran mamak dan ninik mamak. Disimpulkan bahwa pencegahan kehamilan remaja perlu melibatkan berbagai sektor terkait seperti dinas kesehatan, dinas pendidikan, pemerintahan kota padang, kementerian agama dan lembaga adat di Kota Padang.
Pendekatan Kuantitatif dan Kualitatif: Pengaruh Peer Educator Berbasis Health Belief Model terhadap Persepsi Pendewasaan Usia Perkawinan Shinta Sari; Aladin Aladin; Arni Amir
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58528

Abstract

Abstrak Pendewasaan usia perkawinan (PUP) merupakan strategi penting mencegah perkawinan anak dan kehamilan remaja yang berdampak pada kesehatan, sosial, dan ekonomi. Persepsi remaja berperan dalam pengambilan keputusan terkait perkawinan. Penelitian ini bertujuan menganalisis pengaruh peer educator berbasis Health Belief Model (HBM) terhadap persepsi remaja tentang PUP serta mengeksplorasi makna perubahan persepsi secara kualitatif. Desain mixed method sequential explanatory digunakan, dengan kuantitatif quasi-experiment one group pretest-posttest pada 58 remaja putri kelas XI SMAN 5 Padang yang dipilih secara simple random sampling, dan kualitatif melalui wawancara mendalam serta triangulasi pakar. Data kuantitatif dianalisis dengan uji dependent t-test, data kualitatif dianalisis secara tematik. Hasil univariat menunjukkan peningkatan rerata skor total persepsi dari 87,38 (SD=9,65) menjadi 113,66 (SD=5,77). Hasil bivariat menunjukkan perbedaan bermakna pada seluruh komponen HBM: perceived susceptibility (p=0,000), perceived severity (p=0,000), perceived benefits (p=0,000), perceived barriers (p=0,000), cues to action (p=0,000), dan self-efficacy (p=0,000). Analisis tematik kualitatif menghasilkan enam tema utama yang memperkuat temuan kuantitatif. Edukasi teman sebaya dirasakan lebih nyaman, relevan, dan tidak menghakimi. Pakar memvalidasi efektivitas pendekatan sebaya namun merekomendasikan evaluasi jangka panjang 1–3 bulan. Disimpulkan bahwa peer educator berbasis HBM efektif membentuk persepsi protektif terhadap PUP sebagai tahap awal perubahan perilaku. Kata Kunci: pendewasaan usia perkawinan, peer educator, Health Belief Model, persepsi remaja, pendidikan sebaya Abstract Maturation of marriage age (PUP) is a crucial strategy to prevent child marriage and adolescent pregnancy, impacting health, social, and economic aspects. Adolescent perceptions play an important role in marriage-related decision-making. This study aimed to analyze the effect of Health Belief Model (HBM)-based peer education on adolescents' perceptions of PUP and to qualitatively explore the meaning of these perceptual changes. A sequential explanatory mixed methods design was employed. The quantitative component used a quasi-experimental one-group pretest-posttest design with 58 eleventh-grade female students selected through simple random sampling at SMAN 5 Padang. The qualitative component involved in-depth interviews and expert triangulation. Quantitative data were analyzed using dependent t-test, and qualitative data were analyzed thematically. Univariate results showed an increase in the total mean perception score from 87.38 (SD=9.65) to 113.66 (SD=5.77). Bivariate analysis revealed significant differences in all HBM constructs: perceived susceptibility (p=0.000), perceived severity (p=0.000), perceived benefits (p=0.000), perceived barriers (p=0.000), cues to action (p=0.000), and self-efficacy (p=0.000). Thematic analysis produced six main themes reinforcing the quantitative findings. Peer education was perceived as more comfortable, relevant, and non-judgmental. The expert validated the effectiveness of the peer approach but recommended a 1–3 month long-term evaluation. It was concluded that HBM-based peer education effectively fosters protective perceptions of PUP as an initial stage of behavior change. Keywords: maturation of marriage age, peer educator, Health Belief Model, adolescent perception, peer education