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Analisis Pemeriksaan IVA Test Pada Wanita Usia Subur Di Wilayah Kerja Puskesmas Muara Novalia Eka Sari; Arie Wahyudi; Gema Asiani; Deby Utami Siska Ariani
Madu Jurnal Ilmu Kebidanan Vol 15, No 1: Juni 2026
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.15.1.114-123.2026

Abstract

Cervical cancer is one of the leading causes of female mortality that can be prevented through early detection using the Visual Inspection with Acetic Acid (VIA) method. This study aims to analyze the factors associated with VIA screening among women of reproductive age in the working area of the Muara Rupit Community Health Center in 2026. This study employed a cross-sectional design with a sample size of 371 women of reproductive age, aged between 30 and 50 years. Data were collected using questionnaires and analyzed univariately, bivariately using the Chi-Square test, and multivariately using multiple logistic regression. The bivariate analysis results indicated that knowledge (p-value = 0.033), attitude (p-value < 0.001), healthcare access (p-value < 0.001), husband's support (p-value < 0.001), and the role of healthcare workers (p-value < 0.001) were significantly associated with VIA screening among women of reproductive age. Healthcare access was the most dominant factor associated with VIA screening, with an Adjusted Odds Ratio (AOR) of 2.855 (95% CI: 1.683–4.844; p < 0.001). Knowledge, attitude, healthcare access, husband's support, and the role of healthcare workers were associated with VIA screening, with healthcare access being the most dominant factor. Therefore, efforts are required to improve healthcare access by ensuring ease of reach, facility availability, cost affordability, and transportation convenience to increase VIA screening coverage among women of reproductive age.
Pengembangan Model Pendidikan Kesehatan Reproduksi Komplementer untuk Remaja SMP Ikhlasiyah Palembang Deby Utami Siska Ariani; Rama Agustina
ANTHOR: Education and Learning Journal Vol 5 No 4 (2026): Anthor 2026
Publisher : Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/anthor.v5i4.1164

Abstract

Masa remaja merupakan periode penting dalam perkembangan kesehatan reproduksi, namun pelaksanaan pendidikan kesehatan reproduksi di sekolah masih menghadapi kendala berupa metode pembelajaran yang konvensional dan kurang menarik bagi siswa. Penelitian ini bertujuan mengembangkan model pendidikan kesehatan reproduksi komplementer bagi remaja SMP Ikhlasiyah Palembang, yang mengintegrasikan edukasi interaktif, peer education, media digital, permainan edukatif, dan konseling. Penelitian menggunakan pendekatan Research and Development (R&D) dengan model ADDIE (Analysis, Design, Development, Implementation, Evaluation). Sampel penelitian berjumlah 60 siswa kelas VII dan VIII yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner pengetahuan dan sikap, wawancara mendalam, observasi, serta lembar validasi ahli, kemudian dianalisis menggunakan uji paired t-test dan Content Validity Index (CVI). Hasil validasi ahli menunjukkan model dinyatakan layak digunakan dengan nilai rata-rata S-CVI/Ave sebesar 0,94. Hasil uji efektivitas menunjukkan peningkatan skor pengetahuan yang signifikan dari rata-rata 17,40 menjadi 24,60 (p-value<0,001; Cohen's d=4,78) dan skor sikap dari 68,20 menjadi 96,50 (p-value<0,001; Cohen's d=7,06), dengan proporsi responden bersikap positif meningkat dari 80% menjadi 100% setelah intervensi. Model pendidikan kesehatan reproduksi komplementer yang dikembangkan (KOMPAK-Repro) terbukti valid dan efektif meningkatkan pengetahuan serta sikap remaja SMP Ikhlasiyah Palembang, sehingga dapat direkomendasikan sebagai alternatif pendekatan pendidikan kesehatan reproduksi di sekolah.
The Impact of Physical Environmental Quality in Playgroups on the Health of Young Children Marlini Marlini; Deby Utami Siska Ariani
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 3 (2025): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i3.5408

Abstract

Background: The health of early childhood is significantly influenced by the environment in which they grow and learn, including the physical environment of playgroups. An unhealthy environment can increase the risk of health problems such as respiratory infections, diarrhea, and skin disorders. This study aims to analyze the influence of the physical environment quality in playgroups on the health status of young children. Methods: This research employed a quantitative design with a descriptive correlational approach. A total of 32 children and their learning environments were selected using total sampling from KB Ar Rosyada, Lawang Wetan District, Banyuasin Regency. Data were collected through observations and interviews using physical environment assessment instruments and health status records of the children. Bivariate analysis was performed using the Spearman correlation test. Results: Most components of the physical environment were categorized as good, particularly ventilation (62.5%), cleanliness (65.6%), and sanitation (59.4%). A total of 62.5% of the children were found to be in good health without complaints. The analysis revealed a significant relationship between ventilation quality (p = 0.003), cleanliness (p = 0.002), and sanitation (p = 0.005) with the children’s health status. Lighting (p = 0.021) and temperature-humidity (p = 0.034) also showed significant associations, although with weaker correlations. Conclusion: Good physical environment quality has a significant influence on the health of early childhood. Improving and maintaining the physical environment of playgroups is crucial as a promotive and preventive strategy to enhance child health outcomes.