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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Anak Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Indonesian Journal of Nursing Research (IJNR) Indonesian Journal of Global Health research Jurnal Pengabdian Kesehatan Journal of Holistics and Health Sciences (JHHS) Indonesian Journal of Nursing and Health Sciences (IJNHS) Jurnal Kesehatan Kusuma Husada Jurnal Ilmiah Ners Indonesia Jurnal Keperawatan Indonesian Journal of Midwifery (IJM) Indonesian Journal of Community Empowerment (IJCE) Pro Health Jurnal Ilmiah Kesehatan Komunita: Jurnal Pengabdian dan Pemberdayaan Masyarakat Health & Medical Sciences
Tina Mawardika
Universitas Ngudi Waluyo
Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Revitalisasi self-efficacy Remaja SMA melalui Program PRIMA dalam Pendidikan Kesehatan Reproduksi: Revitalizing Senior High School Students’ Self-Efficacy through the PRIMA Program in Reproductive Health Education Yuliyati, Tutik; Tina Mawardika
Indonesian Journal of Midwifery (IJM) Vol. 9 No. 1 (2026): Maret 2026
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v9i1.4834

Abstract

rapid physical, emotional, and social changes. Limited knowledge about reproductive health often leads to risky behaviors such as premarital sex and unintended pregnancy. This condition is further exacerbated by limited communication between parents and adolescents as well as the lack of comprehensive reproductive health education in schools. Consequently, many adolescents have low self-efficacy in making healthy and responsible decisions for themselves. The PRIMA (Independent and Safe Adolescent Reproductive Education) program was designed to improve adolescents’ knowledge, attitudes, and self-efficacy in maintaining reproductive health independently and responsibly. This study aimed to determine the effect of the PRIMA program on the self-efficacy of senior high school students in maintaining reproductive health. This study employed a quasi-experimental design with a pretest-posttest with control group approach. The research sample consisted of 34 respondents divided into intervention and control groups using a purposive sampling technique. The study was conducted at SMA PGRI 1 Temanggung. The intervention group received the PRIMA education through an 8-minute-21-second animated video. Data were analyzed using paired t-test and independent t-test. The paired t-test showed a significant increase in the mean self-efficacy score in the intervention group (p=0.000 < α=0.05), while no significant difference was found in the control group (p=0.237 > α=0.05). The independent t-test revealed a significant difference between the intervention and control groups after the PRIMA intervention (p=0.00 < α=0.05). The PRIMA program significantly improved adolescents’ self-efficacy in maintaining reproductive health.     Abstrak Masa remaja merupakan masa transisi yang ditandai dengan perubahan fisik, emosional, dan sosial yang cepat. Kurangnya pengetahuan mengenai kesehatan reproduksi sering kali memicu perilaku berisiko seperti seks pranikah, dan kehamilan tidak diinginkan. Kondisi ini semakin diperparah dengan keterbatasan komunikasi antara orang tua dan remaja serta kurangnya pendidikan kesehatan reproduksi yang komprehensif di sekolah. Akibatnya, banyak remaja yang memiliki self-efficacy rendah dalam mengambil keputusan sehat dan bertanggung jawab terhadap dirinya sendiri. Program PRIMA (Pendidikan Reproduksi Remaja Mandiri dan Aman) dirancang untuk meningkatkan pengetahuan, sikap, dan self-efficacy remaja dalam menjaga kesehatan reproduksi secara mandiri dan bertanggung jawab. Tujuan penelitian ini untuk mengetahui pengaruh PRIMA terhadap self-efficacy remaja SMA dalam menjaga kesehatan reproduksi. Penelitian ini menggunakan desain quasi experiment dengan pendekatan pretest-posttest with control group design. Sampel penelitian berjumlah 34 responden yang dibagi menjadi kelompok intervensi dan kontrol dengan teknik pengambilan sampel yang digunakan adalah purposive sampling. Penelitian ini dilaksanakan di SMA PGRI 1 Temanggung. Kelompok intervensi mendapatkan perlakuan berupa pendidikan PRIMA melalui video animasi yang berdurasi 8 menit 21 detik. Analisis data dilakukan menggunakan uji paired t-test dan independent t-test. Hasil uji paired t-test menunjukkan adanya peningkatan signifikan pada nilai rata-rata self-efficacy pada kelompok intervensi setelah diberi perlakuan dengan p-value (0,000) < α (0,05), sedangkan pada kelompok kontrol tidak terdapat perbedaan bermakna dengan p-value (0,237) > α (0,05). Uji independent t-test menunjukkan perbedaan signifikan antara kelompok intervensi dan kontrol setelah diberikan program PRIMA dengan p-value (0,00) < α (0,05). Ada pengaruh PRIMA: Pendidikan Reproduksi Remaja Mandiri dan Aman terhadap self-efficacy pada remaja SMA.
Empowering Adolescents to Make Healthy Choices: Effects of the Primero Module on Reproductive Health Literacy Malinda, Evagus; Mawardika, Tina
Indonesian Journal of Nursing and Health Sciences Vol 7 No 1 (2026): Indonesian Journal of Nursing and Health Sciences: April 2026
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v7i1.7516

Abstract

Adolescents are vulnerable to reproductive health problems due to rapid biological, psychological, and social changes, which may be exacerbated by low reproductive health literacy. This study aimed to examine the effect of the PRIMERO (Reproductive Education through Modules for Optimistic Youth Empowerment) module on adolescents’ reproductive health literacy. A quasi-experimental study with a pretest–posttest control group design was conducted among 34 adolescents aged 15 years, who were equally divided into an intervention group (n = 17) and a control group (n = 17). The intervention group received reproductive health education using the PRIMERO module, while the control group received conventional health education. Reproductive health literacy was measured before and after the intervention and analyzed using paired t-tests and independent t-tests. Data were collected using a reproductive health literacy questionnaire administered to adolescents twice, namely before and after the interventionThe results showed that the mean literacy score in the intervention group significantly increased from 194.59 to 215.06 (p = 0.032), whereas the control group showed no significant improvement, with mean scores increasing from 172.88 to 173.76 (p = 0.188). Furthermore, a significant difference in post-intervention literacy scores was found between the intervention and control groups (p = 0.001). These findings indicate that the PRIMERO module is effective in improving adolescents’ reproductive health literacy and can be used as an educational medium to support reproductive health promotion among adolescents.
Maternal-Fetal Attachment (MFA) in the Context of Pregnancy Adaptation: A Literature Review of Internal and External Factors Affecting Mothers Aniroh, Umi; Mawardika, Tina
Health & Medical Sciences Vol. 3 No. 3 (2026): May
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i3.629

Abstract

This study aims to analyze Maternal Fetal Attachment (MFA) within the context of pregnancy adaptation by examining the influence of internal and external maternal factors through a qualitative descriptive literature approach. The research employs a library study method using secondary data sources, including peer reviewed journal articles and relevant academic documents, collected through systematic literature search and analyzed using thematic analysis, data reduction, categorization, and inductive interpretation. The findings reveal that MFA is a multidimensional construct influenced by internal factors such as maternal mental health, particularly depression and anxiety, as well as positive psychological states, and external factors including social and family support. Pregnancy adaptation emerges as a key mediating process that connects these factors to the quality of maternal fetal bonding. The study also highlights that strong MFA contributes to positive infant developmental outcomes, especially in emotional regulation and adaptive behavior. These findings imply that maternal well being and supportive social environments are essential components in strengthening prenatal attachment. In conclusion, this study contributes to the theoretical understanding of MFA as a biopsychosocial process and provides practical insights for integrating mental health screening and family centered interventions in antenatal care to improve maternal and child health outcomes.
Strategi Digital Kreatif VIRGIN (Video Animasi Inovatif tentang Kesehatan Reproduksi) dalam Penguatan Edukasi Kesehatan Reproduksi Remaja Tina Mawardika; Umi Aniroh; Puji Purwaningsih; Fiktina Vifri Ismiriyam; Tutik Yuliyanti; Putra Aditya; Evagus Malinda
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 8 No. 1 (2026): Indonesian Journal of Community Empowerment Mei 2026
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v8i1.4910

Abstract

Adolescents are a vulnerable group in relation to reproductive health issues due to limited knowledge and exposure to unfiltered digital content. Innovative digital-based educational media are therefore needed to enhance reproductive health literacy while simultaneously promoting safe and creative digital literacy. The main objective is to enhance knowledge, promote healthy digital literacy skills, and strengthen the ability of teachers and students to use and critically evaluate digital information in a wise, safe, and responsible manner. This community service program was implemented at SMA Negeri 2 Ungaran and SMK Islam Sudirman 1 Ambarawa through reproductive health education using VIRGIN (Innovative Animated Video on Reproductive Health), healthy digital literacy workshops with hands-on content analysis, and teacher mentoring in the use of animated videos as learning media. Program evaluation was conducted by assessing students’ knowledge before and after the intervention, as well as measuring improvements in participants’ and teachers’ capacities. The results demonstrated a significant increase in students’ knowledge following the VIRGIN-based educational intervention, with a p-value < α (0.03 < 0.05). The healthy digital literacy workshops were effective, with more than 80% of participants showing improved understanding and 78–85% demonstrating the ability to analyze digital content safely. Teacher mentoring enhanced pedagogical and digital competencies in approximately 85% of teachers, while 80–88% became more creative and confident in utilizing animated videos.Animated video–based reproductive health education integrated with healthy digital literacy is recommended for sustainable implementation and expansion to other educational institutions as a preventive strategy to empower adolescents to become informed, healthy, and digitally responsible individuals.              ABSTRAK Remaja merupakan kelompok rentan terhadap permasalahan kesehatan reproduksi akibat keterbatasan pengetahuan dan paparan konten digital yang tidak terfilter. Inovasi media edukasi berbasis digital diperlukan untuk meningkatkan literasi kesehatan reproduksi sekaligus literasi digital secara aman dan kreatif. Tujuan utama darai kegiatan ini adalah meningkatkan pengetahuan, keterampilan literasi digital sehat, serta kemampuan guru dan siswa dalam menggunakan dan menyaring informasi digital secara bijak, aman, dan bertanggung jawab. Kegiatan pengabdian kepada masyarakat ini dilaksanakan di SMA Negeri 2 Ungaran dan SMK Islam Sudirman 1 Ambarawa melalui pemberian edukasi kesehatan reproduksi menggunakan VIRGIN (Video Animasi Inovatif tentang Kesehatan Reproduksi), workshop literasi digital sehat dengan praktik analisis konten, serta pendampingan guru dalam pemanfaatan video animasi sebagai media pembelajaran yang diikuti 70 siswa. Evaluasi dilakukan melalui pengukuran pengetahuan siswa sebelum dan sesudah intervensi serta penilaian peningkatan kapasitas peserta dan guru. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan siswa secara signifikan setelah edukasi VIRGIN dengan nilai p < α (0,03 < 0,05). Workshop literasi digital sehat terbukti efektif, dengan lebih dari 80% peserta mengalami peningkatan pemahaman dan 78–85% mampu menganalisis konten digital secara aman. Pendampingan guru meningkatkan kompetensi pedagogik dan digital pada sekitar 85% guru, serta mendorong 80–88% guru menjadi lebih kreatif dan percaya diri dalam menggunakan video animasi. Program edukasi kesehatan reproduksi berbasis video animasi dan literasi digital sehat direkomendasikan untuk diimplementasikan secara berkelanjutan dan diperluas ke satuan pendidikan lain sebagai strategi preventif dalam membentuk remaja yang cerdas, sehat, dan bijak dalam memanfaatkan media digital.
Penerapan Si PERI EMA Sebagai Strategi Edukasi Preventif Anemia Pada Remaja Putri di SMP An Nur Ungaran Umi Aniroh; Tina Mawardika
Indonesian Journal of Nursing Research (IJNR) Vol. 9 No. 1 (2026)
Publisher : Program Studi S1 Keperawatan Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijnr.v9i1.4738

Abstract

Anemia prevention is crucial because this condition of hemoglobin deficiency has serious impacts on health and productivity, such as chronic fatigue, decreased concentration and academic achievement, and weakened immune systems. In adolescent girls and pregnant women, anemia increases the risk of childbirth complications, premature births, low birth weight (LBW), and stunting. Anemia in adolescent girls remains a serious public health problem in Indonesia. Preventive efforts through health education are crucial, particularly with engaging media approaches such as animated videos. The aim is to determine the effectiveness of anemia risk prevention education (Si PERI EMA) on adolescent girls' knowledge of anemia risk prevention. This study used a quasi-experimental pretest–posttest with a control group design. The sample consisted of 30 respondents, divided into 15 respondents in the intervention group, who received a 10-minute animated video about Anemia Risk Prevention in Adolescent Girls, and 15 respondents in the control group. Data were analyzed descriptively (mean and SD), using paired sample t-tests to compare pretest and posttest results within each group, and independent sample t-tests to compare posttest results between groups. The average knowledge score increased significantly in the intervention group from 10.164 to 12.401, while in the control group the increase was insignificant from 9.283 to 9.342, with a p-value of 0.001 < α (0.05). Therefore, it can be concluded that education on anemia risk prevention using animated audiovisual media is effective in increasing knowledge among female students at An Nur Ungaran Middle School. Regular education about anemia using animated video media can be widely used in schools as part of adolescent health education programs.   Abstrak Pencegahan anemia sangat penting karena kondisi kekurangan hemoglobin ini berdampak serius pada kesehatan dan produktivitas, seperti kelelahan kronis, penurunan konsentrasi dan prestasi belajar, dan daya tahan tubuh lemah. Pada remaja putri dan ibu hamil, anemia meningkatkan risiko komplikasi persalinan, bayi prematur, berat badan lahir rendah (BBLR), serta stunting. Anemia pada remaja putri masih menjadi masalah kesehatan masyarakat yang serius di Indonesia.  Upaya pencegahan melalui pendidikan kesehatan sangat penting, terutama dengan pendekatan media yang menarik seperti video animasi dengan tujuan mengetahui efektifitas edukasi pencegahan risiko anemia  (Si PERI EMA) terhadap pengetahuan pencegahan risiko anemia pada remaja putri. Penelitian ini menggunakan quasi-experimental pretest–posttest with control group design. Sampel terdiri dari 30 responden, yang terbagi menjadi  15 responden  pada kelompok intervensi yang diberikan perlakuan berupa pemberian  edukasi melalui video animasi berdurasi ±10 menit tentang Pencegahan Risiko Anemia pada Remaja Puteri  dan 15 responden untuk kelompok kontrol. Data dianalisis secara deskriptif  (mean dan SD) dan Paired Sample T-Test untuk membandingkan pretest dan posttest dalam masing-masing kelompok, dan Independent Sample T-Test untuk membandingkan hasil posttest antar kelompok. Rata-rata skor pengetahuan meningkat signifikan pada kelompok intervensi dari 10,164 menjadi 12,401, sedangkan pada kelompok kontrol peningkatan tidak signifikan dari 9,283 menjadi 9,342 dan nilai p-value (0,001) < α (0,05), sehingga dapat disimpulkan bahwa edukasi   tentang pencegahan risiko anemia dengan media audiovisual  animasi efektif untuk meningkatkan pengetahuan pada siswi SMP An Nur Ungaran. Edukasi tentang anemia secara teratur menggunakan media video animasi dapat digunakan secara luas di sekolah-sekolah sebagai bagian dari program edukasi kesehatan remaja.
Co-Authors Abdul Wachid abdul wachid, abdul Agung Wibowo Ahmad Ali Rohman Alivia Desi Rahmawati Alvina Rossida Annisa Salsabila Ayuningtia Migunani Apriyatmoko, Raharjo Atsani Qoni&#039; Fitria Dian Indriani Dian Indriyani Dinda Hapsari Eko Mardiyaningsih Evagus Malinda Fiki Wijayanti Fiktina Vifri Ismiriyam Hasya Maylana Putri Imami Nur Rahmawati Indri Mulyasari Izza Arifiana, Hidayatunnisa Khilvy Salsabila Az-Zahra Liyanovitasari, Liyanovitasari Luluk Sri Nurhaliza Luqman Syarief Malinda, Evagus Mona Saparwati Muhammad Luthfi Mutohharoh, Wacidatum Mutohharoh, Wacidatum Natalia Devi Oktarina Novelia Rahmaningtyas Puji Afiatna PUJI LESTARI Pujiastuti, Anasthasia Purbowati Putra Aditya Retno Karminingtyas, Sikni Riski Wulan Guritno Siti Haryani Sugeng Maryanto Suwanti Suwanti Tutik Yuliyanti Ulvi Nabila Azzahra Umi Aniroh, Umi vifta, rissa laila Wahyu Handayani Widayanti, Arief Wijaya, Naning Tutik Wiwit Kurniawati Yogy Shofiana, Kharisma Yuliyati, Tutik Yunita Galih Yudanari