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Efek Pencemaran Lingkungan Karena Zat Kimia Hanan, Abiyyu Arhab; Meilani, Niken; Dewi, Ayu Shinta; Kurniawati, Wahyu
Madani: Jurnal Ilmiah Multidisiplin Vol 1, No 12 (2024): Madani, Vol. 1 No. 12 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

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Perkembangan teknologi dan industri yang sangat pesat dewasa ini membawa dampak baik positif dan negatif bagi kehidupan manusia. Dampak positif diharapkan dapat menaikkan kesejahteraan manusia, namun dampak negatif dapat menurunkan kualitas hidup manusia dan menyebabkan ketidakserasian dan keseimbangan lingkungan. Perkembangan teknologi dan industri telah memberikan peran yang berarti bagi pelaksanaan pembangunan. Peningkatan populasi dalam banyak hal juga mendorong dilakukannya industrialisasi. Sebagai konsekuensi, jumlah bahan baku dan buangan industri semakin meningkat, baik dari segi kualitas maupun kuantitas. Hal ini berdampak pada meningkatnya pencemaran dan kerusakan lingkungan, baik yang terjadi di udara, daratan ataupun air. Salah satu upaya untuk meningkatkan kebersihan lingkungan adalah peningkatan pelayanan air bersih, dan itu perlu diupayakan perbaikan pada sistem pembuangan limbah atau pengolahan kotoran manusia (tinja), serta dengan memberikan arahan dan pengetahuan kepada masyarakat tentang pentingnya kebersihan lingkungan atau lebih luas lagi mengenai kebersihan dan/atau kesehatan lingkungan.

PENGUATAN KADER DALAM DETEKSI DINI KURANG ENERGI KRONIS (KEK) SEBAGAI UPAYA PENCEGAHAN STUNTING DI KECAMATAN SAWANGAN, KABUPATEN MAGELANG Meilani, Niken; Setiyawati, Nanik; Santi, Mina Yumei; Sulistyani, Ika Agustina
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 3 (2024): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v4i3.1805

Kekurangan energi kronis (KEK) merupakan suatu keadaan dimana status gizi seseorang berada pada kondisi yang kurang baik dan telah berlangsung menahun (kronis) sehingga menimbulkan gangguan kesehatan. KEK meningkatkan risiko terjadinya stunting. Prevalensi stunting di Kabupaten Magelang merupakan peringkat ke-3 tertinggi di Jawa Tengah berdasarkan hasil Survei Status Gizi Indonesia (SSGI) Tahun 2022. KEK dapat diskrining dengan melakukan pengukuran lingkar lengan atas (LILA). Salah satu upaya pencegahan stunting adalah melalui deteksi dini KEK pada remaja dan wanita usia subur terhadap risiko KEK. Pengabdian kepada masyarakat ini dikemas melalui kegiatan ceramah interaktif, tanya jawab, dan demonstrasi pengukuran LILA. Peserta kegiatan pengabdian kepada masyarakat ini adalah kader PKK dari 15 Desa di seluruh wilayah Kecamatan Sawangan yaitu berjumlah 25 orang. Kegiatan ini meliputi langkah persiapan, pelaksanaan dan evaluasi. Perencanaan dilakukan koordinasi bersama tim dan mitra, penyusunan materi dan soal pre dan post test. Dalam pelaksanaan dilaksanakan pre test, pemberian materi oleh narasumber, serta diskusi. Untuk evaluasi dilakukan post test dan tindak lanjut hasil pengabdian serta luaran kegiatan berupa berita kegiatan yang dimuat dalam belita online daerah. Pre dan posttes menunjukkan bahwa kegiatan ini dapat meningkatkan pengetahuan kader tentang deteksi dini KEK dan anemia melalui uji Wilcoxon dengan nilai p=0.000. Pemberdayaan masyarakat dalam upaya pencegahan stunting dapat dilakukan melalui peningkatan pengetahuan kader sebagai garda terdepan dalam upaya peningkatan derajat kesehatan di masyarakat. Sebagai tindak lanjut kegiatan ini adalah para kader diharapkan dapat mengimplementasikan pengukuran LILA kepada remaja di masing-masing desa sebagai upaya deteksi dini KEK dan pencegahan stunting.

Determinants of Anemia among Female Adolescents in Maubesi Health Center, North Central Timor District, East Nusa Tenggara Bani, Frederica Rosita; Meilani, Niken; Hernayanti, Munica Rita
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1447

Anemia in Indonesia remains a significant public health concern, especially among adolescents. Several diverse factors contribute to anemia in this age group, including suboptimal nutritional intake habits. This study aimed to determine the factors associated with anemia among female adolescents in Lanaus Village, Maubesi District. This was a cross-sectional study conducted in April 2023. The population consisted of all female adolescents in Lanaus Village, totaling 171 individuals. The sample size was calculated using Slovin’s formula, resulting in 63 respondents. Purposive random sampling was used as the sampling technique, and participants were selected based on predefined inclusion and exclusion criteria. The research instrument was a structured questionnaire. Data analysis included univariate analysis, chi-square tests, and logistic regression. The study found a significant association between anemia and the following factors: compliance with iron supplementation (p-value = 0.002), socioeconomic status (p-value = 0.008), and breakfast habits (p-value = 0.000). On the other hand, there was no significant relationship between BMI and anemia (p-value = 0.096). Among the significant factors, compliance with iron supplementation and breakfast habits was most strongly associated with anemia. Breakfast habits were identified as the dominant factor influencing anemia among female adolescents in Lanaus Village, with a p-value of 0.019 and an odds ratio (OR) of 15.427. Adolescents who did not regularly eat breakfast were found to be 15.42 times more likely to experience anemia. It is essential for adolescents to understand the importance of regular breakfast consumption and adherence to iron supplementation as key strategies in the prevention and control of anemia.

Pelatihan Kader Kesehatan untuk Meningkatkan Pengetahuan Tentang Deteksi Dini Kanker Leher Rahim di Kecamatan Sawangan Magelang, Jawa Tengah Meilani, Niken; Setiyawati, Nanik
Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Vol 9, No 3 (2025): Jurnal Pelayanan dan Pengabdian Masyarakat (PAMAS)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/pamas.v9i3.4203

One of the most common cancers among women is cervical cancer. Various sociodemographic factors such as age, socioeconomic status, and sexual activity, as well as smoking, history of sexually transmitted infections, chronic trauma, and a family history of cervical cancer, all contribute to its development. The government’s effort to prevent cervical cancer is carried out through early detection using the Visual Inspection with Acetic Acid (VIA) test, which is currently implemented in all community health centers across Indonesia. However, most women do not undergo early detection because they are unaware of the program. Health cadres are expected to serve as the frontline in communities, being responsive and attentive to local health issues, while also encouraging community participation to achieve optimal health. Training serves as a capacity-building strategy for PKK cadres. The community service program was conducted by providing information and guidance to health cadres through lectures, question-and-answer sessions, and video screenings on cervical cancer early detection. This activity took place on Friday, July 1, 2022, with 35 participants. Evaluation was conducted using pre- and post-tests. The results showed a significant increase in knowledge about cervical cancer early detection before and after the training, with a p-value of 0.001. Keywords: IVA, Papsmear, community empowerment.

Ludo Edutainment: A Media to Improving Knowledge and Attitude about HIV-AIDS Among Senior High School Students in Yogyakarta Meilani, Niken; Setiyawati, Nanik; Rofi'ah, Siti; Sukini, Tuti; Wibowo, Queenaisya Elfaiza
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I2.2025.205-213

Background: Indonesia had the third-highest number of new HIV/AIDS cases in the Asia-Pacific. Adolescents are more vulnerable, for almost half of all new cases worldwide. HIV/AIDS cases among 15–19-year-olds have increased in Indonesia for the last three years. Media is necessary to increase teenagers' awareness of and favorable attitudes about HIV/AIDS prevention. Objective: This study assessed the influence of the Ludo Healthy Smart Game on adolescents’ knowledge and positive attitudes toward HIV/AIDS prevention. Methods: The study was quasi-experimental with a non-equivalent control group design. Senior high school students in Yogyakarta were the study samples. There were 130 respondents divided into two groups. Questionnaires used for data collection have been subject to validity and reliability tests. Univariate and bivariate data analyses were used. Results: This study found that the Ludo Healthy Smart Game is effective in improving adolescents’ knowledge about HIV/AIDS (p=0.000). The Ludo Healthy Smart Game does not affect positive attitudes toward HIV/AIDS prevention (p<0.005). However, there was an improvement in adolescents’ attitudes following the treatment. Conclusion: The Ludo Healthy Smart Game can be used as health educational media to increase knowledge about HIV/AIDS among adolescents. The higher the adolescents’ knowledge about HIV/AIDS, the better their behavior toward HIV/AIDS prevention.

Adolescent Reproductive Health Promotion for Senior High School Students Meilani, Niken; Hariadi, Sunarru Samsi; Haryadi, Fransiskus Trisakti
Kesmas Vol. 20, No. 1
Publisher : UI Scholars Hub

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Adolescence is a vulnerable period to reproductive health problems, especially regarding issues of sexuality. Healthy adolescent behavior is needed to achieve the SDGs targets by 2030. This study aimed to analyze personal factors such as attitudes, perceptions, and self-efficacy, as well as environmental factors like family, school, friends, community, and social media's role in adolescent reproductive health behavior and health promotion models. This quantitative analysis was conducted using the survey method with 326 respondents at 32 senior high schools, involving 159 male and 167 female adolescents, as samples taken through a multistage random sampling technique. This study used a questionnaire that was pre-tested for validity and reliability. Data were analyzed using path analysis. The results showed that adolescent perceptions, attitudes, self-efficacy, and the role of parents and social media positively influenced reproductive health behavior. The role of parents is the most influential variable among female adolescents. Social media directly affects male adolescents' behavior and indirectly influences female adolescents. This study recommends integrating social media campaigns with parental involvement to enhance reproductive health literacy. Moreover, health interventions should be sex-specific and consider different ways through which social media influence adolescents.

Family Support as a Factor Influencing the Provision of Exclusive Breastfeeding among Adolescent Mothers in Bantul, Yogyakarta Lailatussu’da, Maulida; Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

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Kehamilan remaja di Indonesia cukup tinggi. Kecamatan Sewon memiliki angka persalinan remaja tertinggi di Kabupaten Bantul pada tahun 2015-2016. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja di Kecamatan Sewon, Kabupaten Bantul. Penelitian ini menggunakan desain potong lintang dan sampel penelitian berjumlah 45 orang ibu usia remaja yang mempunyai bayi usia 6-24 bulan. Pengumpulan data menggunakan kuesioner terstruktur. Analisis bivariat menggunakan kai kuadrat dan fisher’s exact test, sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa 53.3% ibu usia remaja tidak memberikan ASI eksklusif. Analisis bivariat menunjukkan faktor status kehamilan (nilai p = 0.029), persepsi pengalaman melahirkan (nilai p= 0.045), persepsi menyusui (nilai p= 0.005), dukungan suami (nilai p= 0.009), dukungan keluarga (nilai p = 0,000) berhubungan dengan pemberian ASI eksklusif. Hasil analisis multivariat menunjukkan persepsi menyusui (nilai p = 0.015; RP = 9.746) dan faktor dukungan keluarga (nilai p = 0,014; RP = 7,637) sebagai faktor yang paling berpengaruh terhadap pemberian ASI eksklusif dengan probabilitas sebesar 72.7%. Masih rendahnya pemberian ASI ekslusif pada ibu remaja di Bantul, Yogyakarta, dan dukungan keluarga merupakan faktor paling dominan yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja. The number of adolescent pregnancies in Indonesia is still very high. Sewon Subdistrict had the highest number of adolescent deliveries in Bantul District in 2015-2016. This study aimed to determine factors influencing exclusive breastfeeding among adolescent mothers in Sewon Subdistrict, Bantul District. This study used cross-sectional study design and a sample size of 45 that were adolescent mothers of 6-24-month-old infants. Data was collected using a structured questionnaire. Data analysis involved bivariate analysis using chi-square test and fisher’s exact test, while multivariate analysis used logistic regression. Results showed that 53.3% of adolescent mothers did not practice exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p value = 0.029), perception of childbirth experience (p value = 0.045), perception of breastfeeding (p value = 0.005), husband support (p value = 0.009) and family support (p value = 0.000) were correlated to exclusive breasfeeding. Multivariate analysis showed that perception of breastfeeding (p value = 0.015; OR = 9.746) and family support (p value = 0.014; OR = 7.637) as the most influential factors to exclusive breastfeeding among adolescent mothers with a probability of 72.7%. There is low practice of exclusive breastfeeding among adolescent mothers in Bantul, Yogyakarta and family support is the most dominant factors influencing exclusive breastfeeding.

Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 14, No. 2
Publisher : UI Scholars Hub

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Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.

Family Support as a Factor Influencing the Provision of Exclusive Breastfeeding among Adolescent Mothers in Bantul, Yogyakarta Lailatussu’da, Maulida; Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

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Kehamilan remaja di Indonesia cukup tinggi. Kecamatan Sewon memiliki angka persalinan remaja tertinggi di Kabupaten Bantul pada tahun 2015-2016. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja di Kecamatan Sewon, Kabupaten Bantul. Penelitian ini menggunakan desain potong lintang dan sampel penelitian berjumlah 45 orang ibu usia remaja yang mempunyai bayi usia 6-24 bulan. Pengumpulan data menggunakan kuesioner terstruktur. Analisis bivariat menggunakan kai kuadrat dan fisher’s exact test, sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa 53.3% ibu usia remaja tidak memberikan ASI eksklusif. Analisis bivariat menunjukkan faktor status kehamilan (nilai p = 0.029), persepsi pengalaman melahirkan (nilai p= 0.045), persepsi menyusui (nilai p= 0.005), dukungan suami (nilai p= 0.009), dukungan keluarga (nilai p = 0,000) berhubungan dengan pemberian ASI eksklusif. Hasil analisis multivariat menunjukkan persepsi menyusui (nilai p = 0.015; RP = 9.746) dan faktor dukungan keluarga (nilai p = 0,014; RP = 7,637) sebagai faktor yang paling berpengaruh terhadap pemberian ASI eksklusif dengan probabilitas sebesar 72.7%. Masih rendahnya pemberian ASI ekslusif pada ibu remaja di Bantul, Yogyakarta, dan dukungan keluarga merupakan faktor paling dominan yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja. The number of adolescent pregnancies in Indonesia is still very high. Sewon Subdistrict had the highest number of adolescent deliveries in Bantul District in 2015-2016. This study aimed to determine factors influencing exclusive breastfeeding among adolescent mothers in Sewon Subdistrict, Bantul District. This study used cross-sectional study design and a sample size of 45 that were adolescent mothers of 6-24-month-old infants. Data was collected using a structured questionnaire. Data analysis involved bivariate analysis using chi-square test and fisher’s exact test, while multivariate analysis used logistic regression. Results showed that 53.3% of adolescent mothers did not practice exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p value = 0.029), perception of childbirth experience (p value = 0.045), perception of breastfeeding (p value = 0.005), husband support (p value = 0.009) and family support (p value = 0.000) were correlated to exclusive breasfeeding. Multivariate analysis showed that perception of breastfeeding (p value = 0.015; OR = 9.746) and family support (p value = 0.014; OR = 7.637) as the most influential factors to exclusive breastfeeding among adolescent mothers with a probability of 72.7%. There is low practice of exclusive breastfeeding among adolescent mothers in Bantul, Yogyakarta and family support is the most dominant factors influencing exclusive breastfeeding.

Kadar Hemoglobin dan Kecerdasan Intelektual Anak Kusmiyati, Yuni; Meilani, Niken; Ismail, Sriyulan
Kesmas Vol. 8, No. 3
Publisher : UI Scholars Hub

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Kualitas sumber daya manusia dipengaruhi oleh inteligensi anak. Skor kecerdasan intelektual yang tidak menetap pada usia tertentu dapat berubah karena faktor genetik, gizi, dan lingkungan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin dengan kecerdasan intelektual anak. Penelitian observasional dengan desain potong lintang ini dilakukan pada populasi siswa kelas VI Sekolah Dasar Negeri Giwangan Yogyakarta, tahun 2013. Penarikan sampel dilakukan dengan metode simple random sampling terhadap 37 sampel siswa. Instrumen untuk mengukur kecerdasan intelektual dengan Cultural Fair Intelligence Quotient Test yang dirancang untuk meminimalkan pengaruh kultural dengan memperhatikan prosedur evaluasi, instruksi, konten isi, dan respons peserta. Tes dilakukan oleh Biro Psikologi Universitas Ahmad Dahlan Yogyakarta, kadar hemoglobin diukur menggunakan Portable Hemoglobin Digital Analyzer Easy Touch secara digital.Variabel luar indeks massa tubuh diukur langsung menggunakan parameter tinggi badan dan berat badan. Analisis menggunakan uji regresi linier. Hasil penelitian menunjukkan indeks massa tubuh tidak berhubungan dengan kecerdasan intelektual (nilai p = 0,052). Anemia berhubungan cukup dengan kecerdasan anak (r = 0,491) dan berpola positif, semakin tinggi kadar hemoglobin semakin tinggi kecerdasan intelektual anak. Nilai koefisien determinasi 0,241 menerangkan bahwa 24,1% variasi anemia cukup baik untuk menjelaskan variabel kecerdasan intelektual. Ada hubungan antara kadar hemoglobin dengan kecerdasan intelektual (nilai p = 0,002). Quality of human resources is influenced by the child’s intelligent. Intelligence Quotient (IQ) score will not settle at a certain age and can change due to genetic factors, nutrition, and the environment. The objective is known relationship of anemia with IQ to child. Method of observational study with cross sectional design. Population are students of class VI elementary school of Giwangan Yogyakarta in 2013. Sample was taken by simple random sampling, obtained 37 students. Measuring of instruments IQ with CFQT, hemoglobin was measured using a Portable Digital Analyzer Easy Touch is a digital gauge Hb, external variable body mass index was meas- ured directly using the parameters height and weight of children. Analysis using Linear Regression. This research showed BMI was not associated with IQ (p value = 0.052). Relationship with the child’s intelligence anemia showed enough relationship (r = 0.491) and a positive pattern, where the higher levels Haemoglobin as the higher IQ score of the child’s. The coefficient of 0.241 explained 24.1 % variation anemia that is good enough to explain the variable IQ. There is a relationship between hemoglobin levels with IQ (p value = 0.002).

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