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HUBUNGAN PERILAKU HIDUP SEHAT DENGAN KEJADIAN DEMAM THYPOID PADA ANAK DI RUMAH SAKIT UMUM DAERAH LAMADDUKELLENG KABUPATEN WAJO Sitti Husna; Fitriani; Lisna
Jurnal Ilmiah Mappadising Vol 2 No 2 (2020): Jurnal Ilmiah Mappadising Volume 2 Nomor 2 September 2020
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Universitas Puangrimaggalatung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.721 KB)

Abstract

Typhoid fever is an acute infectious disease that usually affects the digestive tract with symptoms of fever that last more than one week. This study aims to determine the determinant factors associated with the incidence of typhoid fever in children. This type of research is an analytic observational research with a cross sectional approach. Data collection using a questionnaire. The population in this study were all children with typhoid fever and parents who had children with typhoid fever at the Lamaddukelleng Sengkang Hospital, Wajo Regency. at the Lamaddukelleng Sengkang Hospital, as many as 15 respondents. This study uses a sampling technique with a non-probability sampling technique, namely by accidental sampling. This analysis method uses the Chi square test in the SPSS version 16.0 program. Based on the results of the bivariate analysis, it was concluded that the relationship between hand washing habits and the incidence of typhoid in children at the Lamaddukelleng Sengkang Hospital, Wajo Regency, p value = 0.01, the influence of parental knowledge with the incidence of typhoid fever in children at the Lamaddukelleng Sengkang Hospital, Wajo Regency, p = 0.01, and the relationship between waste disposal and the incidence of typhoid fever in children at the Lamaddukelleng Sengkang Hospital, Wajo Regency, p value = 0.00. With the aim of applying the knowledge that has been obtained to be able to add scientific insight, especially regarding the relationship between healthy behavior and the incidence of typhoid fever in children at the Lamaddukelleng Sengkang Hospital, Wajo Regency. As a source of information for health care facilities and related institutions in providing health services, especially regarding the determinant factors associated with the incidence of typhoid fever in children. Abstrak Demam thypoid adalah penyakit infeksi akut yang biasa mengenai saluran pencernaan dengan gejala demam yang lebih dari satu minggu. Penelitian ini bertujuan untuk mengetahui faktor determinan yang berhubungan dengan kejadian demam thypoid pada anak. Jenis penelitian ini merupakan jenis penelitian Observasional analitik dengan pendekatan Cross sectional. Pengumpulan data menggunakan kusioner. Populasi dalam penelitian ini adalah semua anak penderita demam thypoid dan orang tua yang mempunyai anak yang menderita demam thypoid di RSUD Lamaddukelleng Sengkang Kabupaten Wajo, dari sampel penelitian ini adalah semua anak penderita demam thypoid dan orang tua yang mempunyai anak yang menderita demam thypoid dan di rawat di RSUD Lamaddukelleng Sengkang, sebanyak 15 responden. Penelitian ini menggunakan teknik pengambilan sampel dengan teknik Non probality sampling yaitu dengan cara Accidental sampling. Metode analisis ini menggunakan uji Chi square dalam program SPSS versi 16,0. Berdasarkan hasil analisis bivariat di simpulkan bahwa hubungan kebiasaan cuci tangan dengan kejadian thypoid pada anak di RSUD Lamaddukelleng Sengkang Kabupaten Wajo , nilai p=0,01, pengaruh pengetahuan orang tua dengan kejadian demam thypoid pada anak di RSUD Lamaddukelleng Sengkang Kabupaten Wajo, nilai p=0,01, dan hubungan pembuangan sampah dengan kejadian demam thypoid pada anak di RSUD Lamaddukelleng Sengkang Kabupaten Wajo,nilai p=0,00. Dengan sasaran sebagai aplikasi ilmu yang telah didapatkan untuk dapat menambah wawasan ilmiah khususnya mengenai hubungan perilaku sehat dengan kejadian demam thypoid pada anak di RSUD Lamaddukelleng Sengkang Kabupaten Wajo. Sebagai sumber informasi bagi sarana pelayanan kesehatan dan institusi terkait dalam memberikan pelayanan kesehatan khususnya tentang faktor detrminan yang berhubungan dengan kejadian demam thypoid pada anak.
Hubungan Faktor Demografi dan Motivasi dengan Kepatuhan Perawat Dalam Penggunaan SOP Terhadap Pencegahan Pasien Jatuh di UPT Puskesmas Sibulue Andi St Nurazizah Akbar; Nirmawati Darwis; Anugerah Yanuar Azis; Ruslang; Lisna
Jurnal Ilmiah Mappadising Vol 4 No 1 (2022): Jurnal Ilmiah Mappadising Volume 4 Nomor 1 Maret 2022
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Universitas Puangrimaggalatung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (717.971 KB) | DOI: 10.54339/mappadising.v4i1.319

Abstract

One of the goals of patient safety in puskesmas is to reduce the risk of falling patients. The root of the problem of falling incidents comes from the level of nurse compliance in the implementation of the SOP which can be one of the risk factors for falling incidents. Several factors that influence nurse compliance and the use of SOPs are demographic and motivational factors. The purpose of this study was to determine the relationship between demographic and motivational factors with nurse compliance in the use of SOPs for preventing patient falls. This type of research is quantitative research using descriptive analytic through a Cross Sectional Study approach. Based on the results of the Chi-Square analysis test on bivariate variables using the SPSS 22 computer program on the relationship variables of demographic factors with nurse compliance in the use of SOPs for patient fall prevention, the value =0.389> =0.05, =0.514> = 0.05, = 0.253> = 0.05, = 0.369> = 0.05, = 0.337> = 0.05, = 0.545> = 0.05, so it can be concluded that there is no relationship between demographic factors and nurses' compliance in the use of SOPs towards prevention of patient falls. Meanwhile, on the variable of the relationship between motivational factors and nurse compliance in the use of SOPs to prevent patient falls, the value of = 0.000 < = 0.05, = 0.001 < = 0.05, = 0.000 < = 0.05, so it can be concluded that there is a relationship between motivational factors and nurse compliance in the use of SOPs to prevent patient falls. Abstrak Salah satu sasaran keselamatan pasien puskesmas adalah mengurangi risiko pasien jatuh. Akar masalah dari insiden jatuh berasal dari tingkat kepatuhan perawat dalam pelaksanaan SOP tersebut dapat menjadi salah satu faktor risiko dari insiden jatuh. Beberapa faktor yang mempengaruhi kepatuhan perawat dan penggunaan SOP yaitu faktor demografi dan motivasi. Tujuan penelitian ini adalah untuk mengetahui hubungan faktor demografi dan motivasi dengan kepatuhan perawat dalam penggunaan SOP terhadap pencegahan pasien jatuh di UPT Puskesmas Sibulue. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan deskriptif analitik melalui pendekatan Cross Sectional Study. Berdasarkan hasil uji analisis Chi-Square pada variabel bivariat menggunakan program komputer SPSS 22 pada variabel hubungan faktor demografi dengan kepatuhan perawat dalam penggunaan SOP terhadap pencegahan pasien jatuh di UPT Puskesmas Sibulue diperoleh nilai ρ=0,389> ∝ =0.05, ρ=0,514> ∝ =0.05, ρ=0,253> ∝ =0.05, ρ=0,369> ∝ =0.05, ρ=0,337> ∝ =0.05, ρ=0,545> ∝ =0.05, sehingga dapat disimpulkan bahwa tidak terdapat hubungan faktor demografi dengan kepatuhan perawat dalam penggunaan SOP terhadap pencegahan pasien jatuh di UPT Puskesmas Sibulue. Sementara pada variabel hubungan faktor motivasi dengan kepatuhan perawat dalam penggunaan SOP terhadap pencegahan pasien jatuh di UPT Puskesmas Sibulue diperoleh nilai ρ=0,000< ∝ =0.05, ρ=0,001< ∝ =0.05, ρ=0,000< ∝ =0.05, sehingga dapat disimpulkan bahwa terdapat hubungan faktor motivasi dengan kepatuhan perawat dalam penggunaan SOP terhadap pencegahan pasien jatuh di UPT Puskesmas Sibulue.
PENGARUH SENAM LANSIA PADA ERA NEW NORMAL TERHADAP ERUBAHAN TEKANAN DARAH LANSIA HIPERTENSI Ruslang; Nirmawati Darwis; Lisna; Firda Sintia
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 14 No 2 (2022): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v14i2.821

Abstract

The elderly are one of the family and community members whose numbers are increasing along with life expectancy. The elderly will experience changes in the system where there is a decrease in organ function so that various health problems can arise such as degenerative diseases, better known as hypertension or also known as "the silent diseases". The importance of the problem to be investigated because the development of hypertension is slow, but it can be very dangerous. The purpose of this study was to analyze the effect of elderly exercise in the new normal era on changes in blood pressure in elderly patients with hypertension. The method used is a descriptive method with a quantitative approach with a sampling technique that is total sampling. Collecting data using observation sheets, sphygmomanometer and standard procedures for elderly gymnastics. The test used in this study is the Wilcoxon test. The results of this study indicate that from the first week to the eighth week with a p value <0.05 so it can be said that there is an influence of elderly exercise in the new normal era on changes in blood pressure of hypertensive elderly in Nepo Village.
Faktor-Faktor yang Mempengaruhi Keberhasilan Pelaksanaan Inisiasi Menyusu Dini di Wilayah Kerja Puskesmas Belawae Kabupaten Sidrap Fitriani; Masrah Hasan; Lisna; Barangkau
Jurnal Ilmiah Mappadising Vol 4 No 2 (2022): Jurnal Ilmiah Mappadising Volume 4 Nomor 2 September 2022
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Universitas Puangrimaggalatung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54339/mappadising.v4i1.452

Abstract

Early Inititation Of Breastfeedng (IMD) or early breastfeeding inititation is when the baby starts breastfeeding it self immediately after birth. Early inititation of breastfeeding and nipple sucking by the baby in the early puerperium streng then the stimulation of oxytosin release. The purpose of this study was to determine the faktor that influence the implementation of Early Breastfeeding Initation in work area of the Belawae Village Health Center,Sidrap Regency. The type of research used by the reseacher is quantitative research eith a Cross Sectional approach using a questionnaire. The sampling technique in this study is the Non Probiditu Sampling, namely the Accidental Sampling. The sampel in this study well all mothers who gave birth normally and immediately did IMD after birth as many as 40 samples using the Chi Square Test. The results of the Chi Square test obrained the knowledge variable p=0,951>a(0,05), variable of mother's breastfeeding experience p=0,002<a(0,05), and family/husband support variables p=0,046<a(0,05). Abstrak Inisiasi Menyusu Dini (IMD) atau permulaan menyusui dini adalah bayi mulai menyusui sendiri segera setelah lahir. Inisiasi menyusu dini dan pengisapan puting payudara oleh bayi pada awal masa nifas memperkuat stimulasi pengeluaran oksitosin. Tujuan dari penelitian ini untuk mengetahui faktor yang mempengaruhi pelaksanaan Inisiasi menyusu Dini di wilayah kerja Puskesmas Desa Belawae Kabupaten Sidrap. Jenis penelitian yang digunakan peneliti yaitu penelitian kuantitatif dengan pendekatan Cross Sectional menggunakan kuesioner. Teknik pengambilan sampel dalam penelitian ini yaitu dengan Non Probidity Sampling yaitu dengan Accidental Sampling. Sampel dalam penelitian ini yaitu semua ibu yang melahirkan normal dan segera melakukan IMD setelah kelahiran sebanyak 40 sampel menggunakan uji Chi Square. Hasil uji Chi Square didapatkan veriabel pengeahuan p=0,951>a(0,05), variabel pengalaman menyusi ibu p=0,002<a(0,05), dan variabel dukungan keluarga/suami p=0,046<a(0,05).
Hubungan Dukungan Suami Terhadap Kelancaran Pemberian Air Susu Ibu (ASI) pada Bayi Usia 0-2 Tahun di Wilayah Kerja UPTD Puskesmas Paccing Kecamatan Awangpone Kabupaten Bone Fitriani; Masrah Hasan; Fatmawati; Lisna; Unita Sari
Jurnal Ilmiah Mappadising Vol 5 No 1 (2023): Jurnal Ilmiah Mappadising Volume 5 Nomor 1 Maret 2023
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Universitas Puangrimaggalatung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54339/mappadising.v5i1.489

Abstract

One of the causes of the low achievement rate of breastfeeding is caused by factors such as maternal age, mother's knowledge, wrong habits, health workers, mother's work and family support. The support from the husband or the support from the closest people is a very important factor in increasing breastfeeding for the baby, especially the role as a husband. Husband's support to his wife in breastfeeding can improve the mind, improve the quality of breast milk by consuming balanced nutritious foods and living a healthy lifestyle. The purpose of this study was to determine the effect of husband's support and smooth breastfeeding. This type of research is quantitative research using a cross sectional approach. Data were collected through questionnaires. This research was carried out in the UPTD Paccing Health Center, Awangpone District, Bone Regency. Sampling was done by simple random sampling technique. Collecting data using a questionnaire sheet given to respondents. The data were analyzed using statistical analysis with the chi square.The results of the Chi square obtained a value (p) = 0.000 meaning < 0.05, based on this analysis it can be concluded that Ho is rejected and Ha is accepted or there is an influence of husband's support on the smooth breastfeeding of infants aged 0-2 years in the UPTD Work Area. Paccing Health Center, Awangpone District, Bone Regency. Abstrak Salah satu yang menjadi penyebab rendahnya angka pencapaian pemberian ASI disebabkan oleh faktor seperti umur ibu, pengetahuan ibu, kebiasaan yang keliru, petugas kesehatan, pekerjaan ibu dan dukungan keluarga. Dukungan dari suami atau dukungan dari orang terdekat merupakan faktor yang sangat penting dalam meningkatkan pemberian ASI terhadap bayi terutama peran sebagai seorang suami. Dukungan suami kepada istri dalam pemberian ASI dapat meningkatkan pikiran, meningkatkan kualitas ASI dengan mengkonsumsi makanan bergizi, seimbang dan melakukan pola hidup sehat. Tujuan penelitian ini untuk mengetahui hubungan dukungan suami dan kelancaran pemberian ASI. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan pendekatan cross sectional. Data dikumpulkan melalui kuesioner. Penelitian ini dilaksanakan di Wilayah Kerja UPTD Puskesmas Paccing Kecamatan Awangpone Kabupaten Bone. Pengambilan sampel dilakukan secara teknik simple random sampling. Pengumpulan data menggunakan lembar kuesioner yang diberikan kepada responden. Data dianalisis dengan menggunakan analisis statistic dengan Chi square. Hasil uji Chi square diperoleh nilai (p) = 0,000 berarti < 0,05, berdasarkan analisis tersebut maka dapat disimpulkan bahwa Ho ditolak dan Ha diterima atau ada Hubungan Dukungan Suami Terhadap Kelancaran Pemberian ASI Pada Bayi Usia 0-2 Tahun di Wilayah Kerja UPTD Puskesmas Paccing Kecamatan Awangpone Kabupaten Bone.
EFEKTIVITAS PENDIDIKAN KESEHATAN HIPERTENSI PASCA COVID-19 MELALUI PENDEKATAN BUDAYA BUGIS WAJO TERHADAP TEKANAN DARAH LANSIA Ruslang Ruslang; Ery Wardanengsih; Lisna Lisna; Nirmawati Darwis; Abdul Ba'iz Mus'ing
Jurnal Kesehatan Tambusai Vol. 4 No. 4 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i4.18894

Abstract

Gangguan kardiovaskuler merupakan pembunuh nomor satu di dunia. Gangguan kardiovaskuler yang sering terjadi adalah penyakit jantung koroner, penyakit jantung bawaan dan hipertensi. Lansia akan mengalami perubahan sistem dimana mengalami penurunan pada fungsi organ sehingga berbagai masalah kesehatan bisa muncul. Hipertensi telah menjadi masalah utama dalam kesehatan global. Indonesia termasuk dalam lima besar negara dengan jumlah lansia terbesar di dunia. Diperkirakan pada tahun 2025 jumlah lansia akan mencapai 36 juta jiwa dan hipertensi juga menjadi masalah kesehatan di Indonesia. Upaya yang dapat dilakukan untuk mengendalikan hipertensi adalah dengan meningkatkan pengetahuan dan pemahaman tentang penyakit hipertensi sehingga lansia dapat melakukan tindakan pencegahan sejak dini melalui kegiatan pendidikan kesehatan. Penelitian ini bertujuan untuk menganalisis efektivitas pendidikan kesehatan hipertensi pasca Covid-19 melalui pendekatan Budaya Bugis Wajo terhadap tekanan darah lansia. Penelitian ini menggunakan pendekatan kuantitatif dengan desain penelitian Pra-Experiment (One Group Pretest-Posttest). Penelitian ini dilakukan di Desa Nepo Kecamatan Tanasitolo Kabupaten Wajo Propinsi Sulawesi Selatan. Sampel penelitian ini diambil dengan teknik sampling yaitu purposive sampling yang menggunakan rumus slovin, sehingga jumlah responden yang berpatisipasi sebanyak 21 orang. Analisisi penelitian ini menujukkan bahwa ada efek Pendidikan Kesehatan Hipertensi Pasca Covid-19 Melalui Pendekatan Budaya Bugis Wajo Terhadap Tekanan Darah Lansia.
Studi Deskriptif Mengenai Pengetahuan Ibu tentang Efek Samping Penggunaan Kontrasepsi Suntik 3 Bulan di TPMB Mutiara Kasih Nur Nilam Sari; Tetti Surianti; Eka Wulansari; Lisna Lisna
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 1 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/xr0j3n65

Abstract

This progestin injectable contraceptive is a method used to prevent pregnancy in women through intramuscular injections that are effective for three months and do not require daily use. This contraceptive contains the hormone progesterone and does not interfere with breast milk production, making it safe for breastfeeding mothers. In addition to being practical, this method also has a high level of effectiveness in preventing pregnancy. However, like any contraceptive method, the 3-month injection also has side effects that need to be well understood by users to make informed decisions. This study was conducted to describe the level of maternal knowledge regarding the side effects of the 3-month injectable contraceptive at TPMB Mutiara Kasih. The research method used was a descriptive method with a qualitative approach through direct interviews with respondents. The results of the study showed that most mothers had limited knowledge about the side effects of the 3-month injectable contraceptive, such as menstrual irregularities, weight gain, mood changes, and reactions at the injection site. From the research findings, it can be concluded that knowledge is an important aspect that can increase awareness and readiness among mothers to deal with possible side effects of the 3-month injectable contraceptive. The lack of knowledge is likely due to the limited information provided by healthcare workers or the lack of access to other reliable sources. Therefore, regular education and counseling are urgently needed to improve mothers' understanding of the use and side effects of this contraceptive method.
Kajian Fenomenologi Pemantauan Tumbuh Kembang Bayi oleh Kader Posyandu di Puskesmas Tosora Tetti Surianti; Lisna Lisna
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 1 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/ggryb233

Abstract

Posyandu is an important health service unit that plays a crucial role in monitoring the growth and development of infants. The Posyandu cadres have a central role in providing education and health monitoring, yet the effectiveness of their role in this monitoring process has not been thoroughly analyzed. Therefore, it is important to further explore the roles and challenges faced by cadres in carrying out their duties. This study aims to examine the monitoring of infant growth and development by Posyandu cadres at Puskesmas Tosora, as well as the challenges they encounter in its implementation, to enhance understanding of the effectiveness of cadres' roles in this public health program. This research employs a qualitative approach with a phenomenological method, analyzed using the Colaizzi technique. Data were obtained through in-depth interviews with 8 informants directly involved in monitoring infant growth and development at Puskesmas Tosora. The results show that Posyandu cadres have a key role in monitoring infant growth and development, including weight measurement, height measurement, and immunization administration. However, they face challenges such as a lack of formal training, limited Posyandu facilities, and insufficient support from relevant stakeholders. Strategies to address these challenges include collaboration with healthcare workers and the use of local resources. Posyandu cadres play a vital role in monitoring infant growth and development. There is a need for enhanced training and facilities to support their role in optimizing child health services.
Gambaran Tingkat Pengetahuan Remaja Putri Tentang Risiko Kehamilan Pada Perkawinan Anak di SMP Negeri 2 Sengkang Kabupaten Wajo Mayansari Mayansari; Tetti Surianti; Lisna Lisna
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 2 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/9af04g59

Abstract

Adolescent pregnancy is one of the issues that can lead to high-risk conditions during pregnancy. Adolescent girls’ knowledge about teenage pregnancy is very important in preventing child marriage. This study aimed to describe the level of knowledge of adolescent girls regarding the risks of pregnancy in child marriage at State Junior High School 2 Sengkang, Wajo Regency. This study employed a descriptive research method with a cross-sectional approach. The sample consisted of 168 adolescent girls selected through accidental sampling. Data analysis was conducted by calculating percentages. The results showed that the majority of respondents had a good level of knowledge, with 119 respondents (70.8%), 47 respondents (28%) having sufficient knowledge, and 2 respondents (1.2%) having poor knowledge. Although most adolescent girls demonstrated good knowledge, they still need motivation and support from their surrounding environment. This can help prevent child marriage, which has significant impacts on reproductive health, particularly high-risk pregnancy at a young age. This study recommends the implementation of extracurricular activities focused on preventing child marriage among adolescent girls at State Junior High School 2 Sengkang, Wajo Regency.
Kesehatan Reproduksi pada Remaja Perempuan di Desa Tosora Kecamatan Majauleng Kabupaten Wajo Tetti Surianti; Lisna Lisna
Journal Research of Nursing & Midwifery (JRNM) Vol. 1 No. 2 (2025): Journal Research of Nursing & Midwifery (JRNM)
Publisher : Journal Research of Nursing & Midwifery (JRNM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/2qbhda41

Abstract

Adolescent girls are a highly vulnerable group to reproductive health problems, particularly those related to menstruation. In rural areas such as Tosora Village, Majauleng Subdistrict, discussions about reproductive health are still considered taboo, contributing to the low level of knowledge among adolescent girls. This study aimed to analyze the level of knowledge, attitudes, menstrual hygiene practices, and sources of reproductive health information among adolescent girls. The study employed a descriptive quantitative design with a cross-sectional approach involving 54 adolescent girls aged 13–19 years selected through purposive sampling. Data were collected using a structured questionnaire and analyzed descriptively. The results showed that the majority of respondents had low knowledge of reproductive health (61.1%) and poor menstrual hygiene practices (55.6%). As many as 48.1% of adolescents obtained information from peers and 37.0% from social media, while only 9.3% received information from parents. It is concluded that the knowledge and reproductive health practices of adolescent girls in Tosora Village remain low, influenced by limited family communication and inadequate formal education, indicating the need for school- and family-based educational interventions.