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Proximate Determinant of Adolescents Fertility in Central Java Raharjo, Bambang Budi; Nugroho, Efa; Cahyati, Widya Hary; Najib, Najib; Nisa, Alfiana Ainun
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.21364

Adolescent fertility is an important issue in terms of health and social care due to its relation to morbidity and mortality of mothers and children. The 2017 IDHS provided data regarding the percentage of women aged 15-19 who already became mothers or pregnant with their first child according to background characteristics. The 2017 IDHS results showed 7 percent of women aged 15-19 were mothers: 5 percent had given birth and 2 percent were pregnant with their first child. This study used a quantitative secondary data analysis approach. The secondary data used were the results of the Central Java IDHS 2017. The population of this study was all adolescent girls aged 15-19 years in Central Java. The unit analysis in the study were women of childbearing age which were 15-19 years from the analysis unit of Central Java IDHS in 2017 with a total sample of 4,560 respondents. From the results of the study, we noted that factors related to adolescent fertility in Central Java were age, education, use of contraception, marital status, status of living with a partner, and practice of sexual relations. Factors which were not related to adolescent fertility in Central Java were occupation, wealth, type of residential area, insurance ownership, duration of abstinence, partner's age, partner's level of education, and partner's occupation.

Study of Contraceptive Management in National Health Insurance Era at Central Java Winarni, Sri; Najib, Najib; Martini, Martini; Wijayanti, Urip Tri
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.15820

Healthcare facilities partners of BPJS have not been synchronized with registered healthcare facilities. Empty stock of contraceptives, excessive storage of contraceptives, and disruption in distribution chain are still seen in the last three years. The purpose of this study was to identify issues related to the management of contraceptives (planning, acceptance and storage). The research used mixed method (quantitative and qualitative approach). The samples were 30 first-level healthcare facilities in Jepara and Wonosobo regencies. There was no planning at provincial level because contraceptive planning activities was regulated by the central health office. Planning of contraceptive requirement at regency/city level was conducted by provincial health office. The acceptance mechanism in the Province involved inventory officer while at health facilities it was performed by Family Planning program manager. Observation of storage rooms for contraceptive in Jepara found that there was no temperature recording device, excess stock of contraceptive injections and pills, absence of thermometer in the storage room, non-functional air conditioning, no separation between storage of hormonal and non-hormonal contraceptive, and there was no distance between pallet and the wall. Meanwhile, contraceptive storage space in Wonosobo has met the Standard Operating Procedure (SOP).

Pola Asuh dan Peer Group terhadap Konsep Diri Remaja tentang Perilaku Seksual Najib, Najib
HIGEIA (Journal of Public Health Research and Development) Vol 2 No 4 (2018): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v2i4.26931

Abstrak Masa remaja merupakan masa dimana seorang individu mengalami peralihan yang penuh dengan permasalahan. Salah satu permasalahan pada remaja yang berisiko adalah masalah perilaku seksual remaja. Faktor yang memengaruhi perilaku reproduksi remaja diantaranya adalah faktor keluarga dan pergaulan remaja. Penelitian ini bertujuan untuk mengetahui pengaruh pola asuh orangtua dan peer group terhadap konsep diri remaja tentang perilaku seksual pada siswa SMK. Jenis penelitian ini survei analitik dengan desain penelitian cross sectional. Responden penelitian ini adalah siswa/siswi dan orangtua SMK Negeri di Kota Semarang sebanyak 387 orang dan diambil dengan purposive sampling. Analisis bivariat menggunakan uji Chi Square. Hasil menunjukkan Peer group Buruk (73,8), Pola Asuh orangtua Otoriter (57,9%), dan Konsep Diri Baik (68,3). Uji statistik menunjukkan adanya hubungan Peer group dengan konsep diri remaja tentang perilaku seksual di SMK Negeri di Kota Semarang (P= 0,009;C=0,134), 35,5% konsep diri Buruk dengan peer group yang buruk. Ada hubungan Pola Asuh Orang Tua dengan konsep diri remaja tentang perilaku seksual di SMK Negeri di Kota Semarang (P=0,003;C=0,153), 37,9% pola asuh otoriter mengakibatkan konsep diri yang buruk. Penelitian ini menyimpulkan bahwa pola asuh orang tua dan peer group berhubungan dengan konsep diri remaja terkait perilaku seksual.  Abstract The period for the future of individual transition is full of problems. One of the problems in adolescents who are at issue is the problem of adolescent governance. Factors that influence adolescents are family factors and teenage relationships. This study aimed to determine the effect of parenting and peer grouping on adolescent self-concept about sexual behavior in vocational students. This type of research was analytic survey with cross sectional research design. Respondents of this study were 387 public vocational high school students in Semarang City and taken by purposive sampling. Bivariate analysis used Chi Square test. The results showed the Poor Group (73.8), the Authoritarian Asuhahulu Pattern (57.9%), and the Good Self Concept (68.3). Statistical test shows that there is a relationship between Peer group and adolescent self-concept in Semarang City State Vocational High School (P = 0.009; C = 0.134), 35.5% Bad self concept with poor peer group. There is a relationship between parenting and self-concept in state vocational schools in the city of Semarang (P = 0.003; C = 0.153), 37.9% authoritarian parenting that is bad. This study concluded that parenting and peer group were related to sexual concepts.  Keyword : Parenting, Youth Development, Adolescent Sexual Behavior

Developing Reproductive Health Communication in Early Marriage Najib, Najib; Nisa, Alfiana Ainun; Nugroho, Efa; Widowati, Evi; Yang, Chia En
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 3 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i3.23880

Adolescent fertility is an important health and social problem because it is related to the level of morbidity and mortality of mothers and children. The results of the 2017 IDHS show that 7% of women aged 15-19 are already mothers, 5% have given birth, and 2% are pregnant with their first child. The data shows that adolescents are already sexually active, but still have an understanding of low reproductive health. The purpose of this study was to determine the effectiveness of community-based health communication models that developed to improve access to information and public knowledge related to contraceptive methods in young married couples in Rembang Regency in 2019. This researchÃ‚Â used Research and Development design with a quasi-experimental data collection method. The population in this study were adolescents who married at a young age in Rembang District, while the sample was adolescents who married young in Sedan and Kragan villages (intervention group), Menoro and Ngasinan (control group). Quantitative data analysis uses univariate, bivariate, and multivariate, while for qualitative data use grounded theory. The effectiveness test showed significant data for knowledge (p = 0,000), attitudes (p = 0.003), access to information (0.012), preferences (p = 0.001), and access to contraception (p = 0,000). It can be concluded that the community-based health communication model can improve knowledge, attitudes, access to information, preferences, and access related to contraception in early married couples

DETERMINAN KEJADIAN BERHENTI PAKAI (DROP OUT) ALAT KONTRASEPSI Widyawati, Sigit Ambar; Siswanto, Yuliaji; Najib, Najib
HIGEIA (Journal of Public Health Research and Development) Vol 4 No 1 (2020): HIGEIA: January 2020
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v4i1.32124

Abstrak Latar Belakang: Keluarga Berencana adalah upaya mengatur kelahiran anak, jarak dan usia ideal melahirkan, mengatur kehamilan. Salah satu indikator penting untuk mengukur kualitas pemakaian alat/cara KB adalah berhenti pakai (drop out) yaitu kejadian berhentinya menjadi akseptor pada PUS yang sebelumnya sudah menjadi akseptor KB. Tujuan Penelitian: Umengetahui faktor determinan kejadian berhenti pakai alat kontrasepsi pada PUS 10?49 tahun pada tahun 2017. Metode Penelitian: Penelitian deskriptif menggunakan data sekunder daari SDKI Jateng Tahun 2017. Populasi adalah Pasangan Usia Subur (PUS) dengan status kawin yang berusia 10?49 tahun. Sampel adalah 3.414 PUS yaitu pasangan usia subur usia 10?49 tahun dengan status kawin, pernah menggunakan dan masih menggunakan kontrasepsi di Jawa Tengah.. Analisa menggunakan analisa deskriptif dengan uji korelasi Chi Square menggunakan program SPSS versi 17. Hasil: Ada hubungan yang signifikan antara kejadian drop out dengan tingkat pendidikan, tidak ada hubungan yang signifikan antara kejadian drop out dengan tingkat kesejahteraan pada PUS di Jawa Tengah. Simpulan: Tingkat pendidikan merupakan determinan kejadian berhenti pakai (drop out) alat kontrasepsi di Jawa Tengah.   Keywords : contraception,couples of childbearing, drop out     Abstract Background: Family Planning is an effort to regulate child birth, distance and ideal age for childbirth, regulate pregnancy. One of the important indicators for measuring the quality of use of methods is to stop using, namely the occurrence of cessation of being an acceptor in an Fertilage Age (EFA) who has previously been a family planning acceptor. Research Objectives: To find out the determinant factors of the incidence of stopping contraception at EFA 10?49 years in 2017. Research Method: Descriptive study using secondary data from the Central Java Year 2017. Population this research are couples of childbearing age 10?49 years who are married as much 3,414. Sample in this research are all couples of childbearing age of 10?49 years with marital status, have used and still use contraception in Central Java. The analysis uses descriptive analysis with Chi Square correlation test using SPSS version 17. Results: There was a significant relationship between the incidence of drop out and the level of education, there was no significant relationship between the incidence of drop out and the level of welfare at EFA in Central Java. Conclusion: Educational level is a determinant of the incidence of drop out in contraception in Central Java.   Keywords : contraception, couples of childbearing, drop out

Demographic Characteristics Related to First Married Age in Indonesia Najib, Najib; Triwijayanti, Urip; Utomo, Wahyu
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v17i1.26144

Quantitative population growth but does not compensates with the quality will be a problem. One of the efforts to reduce the population growth rate is the age of first marriage. Based on BPS data in 2017, early marriage in Indonesia is 25.71 percent, meaning that in every 100 marriages, there are 25 couples less than 18 years. This study aims to study the factors affecting the age of first marriage (UKP) in Indonesia. The data used were the results of the 2017 RPJMN Survey with a sample of 51,493 people. The data was taken by systematic random sampling, then the unit of analysis was taken FAW (15-49 years) married as many as 40,268 respondents. The variables studied included residence, wealth quintile, education level, employment status, and age at first marriage. The analysis was performed using descriptive and inferential methods using binary logistic regression models. The results showed 21,405 (53.2%) women at first marriage were more than 20 years old. Meanwhile, those under 20 years of age totaled 18,863 people (46.8%). Statistically, there is a significant relationship between the variables of age at first marriage and residence, wealth quintile, education level, and employment status. Women aged 15-49 years tend to marry or have a high risk of experiencing the age of first marriage over 20 years are those who live in urban areas, high economic status, highly educated, and working.

Dampak Pandemi Covid-19 terhadap Pelayanan KB di Jawa Tengah Wijayanti, Urip Tri; Nindiyastuti, Nadia Ayu Irma; Najib, Najib
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 3 (2021): HIGEIA: Juli 2021 (Article in Press)
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i3.49552

COVID-19 telah dinyatakan sebagai pandemi dunia oleh WHO. Untuk menghadapi wabah tersebut dilakukan kebijakan pembatasan sosial berskala besar (PSBB) sebagai pencegahan penularan COVID-19. Kondisi ini menyebabkan pembatasan dalam pelayanan KB. Tujuan penelitian ini menganalisis perbedaan layanan KB sebelum dan sesudah era pandemi COVID-19. Pengumpulan data dilakukan dengan menggunakan pendekatan deskriptif kuantitatif. Responden penelitian adalah semua pasangan usia subur (PUS) di Jawa Tengah tahun 2019 dan 2020. Penelitian berdasarkan data sekunder dari laporan statistik rutin perwakilan BKKBN Provinsi Jawa Tengah tahun 2020 dan 2021. Hasil penelitian menyatakan bahwa era pandemi COVID-19 berdampak terhadap pelayanan KB di Jawa Tengah, yaitu terjadinya penurunan pelayanan KB. Jumlah kepesertaan KB aktif mengalami penurunan dan kenaikan selama era pandemi COVID-19. Hal tersebut terlihat dari penurunan jumlah kepesertaan KB aktif pada metode kontrasepsi suntikan, pil, MOW, dan MOP serta kenaikan jumlah kepesertaan KB aktif pada metode kontrasepsi IUD, implan, dan kondom. Rekomendasi pemerintah khususnya BKKBN terus berupaya mengadakan terobosan-terobosan untuk kegiatan pelayanan KB serentak dalam berbagai program. Masyarakat dapat mematuhi kebijakan dan mengikuti berbagai layanan KB yang ada sehingga dapat mengantisipasi kasus baby boom pasca pandemi COVID-19.

Pola Asuh dan Peer Group terhadap Konsep Diri Remaja tentang Perilaku Seksual Najib, Najib
HIGEIA (Journal of Public Health Research and Development) Vol 2 No 4 (2018): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v2i4.26931

Abstrak Masa remaja merupakan masa dimana seorang individu mengalami peralihan yang penuh dengan permasalahan. Salah satu permasalahan pada remaja yang berisiko adalah masalah perilaku seksual remaja. Faktor yang memengaruhi perilaku reproduksi remaja diantaranya adalah faktor keluarga dan pergaulan remaja. Penelitian ini bertujuan untuk mengetahui pengaruh pola asuh orangtua dan peer group terhadap konsep diri remaja tentang perilaku seksual pada siswa SMK. Jenis penelitian ini survei analitik dengan desain penelitian cross sectional. Responden penelitian ini adalah siswa/siswi dan orangtua SMK Negeri di Kota Semarang sebanyak 387 orang dan diambil dengan purposive sampling. Analisis bivariat menggunakan uji Chi Square. Hasil menunjukkan Peer group Buruk (73,8), Pola Asuh orangtua Otoriter (57,9%), dan Konsep Diri Baik (68,3). Uji statistik menunjukkan adanya hubungan Peer group dengan konsep diri remaja tentang perilaku seksual di SMK Negeri di Kota Semarang (P= 0,009;C=0,134), 35,5% konsep diri Buruk dengan peer group yang buruk. Ada hubungan Pola Asuh Orang Tua dengan konsep diri remaja tentang perilaku seksual di SMK Negeri di Kota Semarang (P=0,003;C=0,153), 37,9% pola asuh otoriter mengakibatkan konsep diri yang buruk. Penelitian ini menyimpulkan bahwa pola asuh orang tua dan peer group berhubungan dengan konsep diri remaja terkait perilaku seksual. Abstract The period for the future of individual transition is full of problems. One of the problems in adolescents who are at issue is the problem of adolescent governance. Factors that influence adolescents are family factors and teenage relationships. This study aimed to determine the effect of parenting and peer grouping on adolescent self-concept about sexual behavior in vocational students. This type of research was analytic survey with cross sectional research design. Respondents of this study were 387 public vocational high school students in Semarang City and taken by purposive sampling. Bivariate analysis used Chi Square test. The results showed the Poor Group (73.8), the Authoritarian Asuhahulu Pattern (57.9%), and the Good Self Concept (68.3). Statistical test shows that there is a relationship between Peer group and adolescent self-concept in Semarang City State Vocational High School (P = 0.009; C = 0.134), 35.5% Bad self concept with poor peer group. There is a relationship between parenting and self-concept in state vocational schools in the city of Semarang (P = 0.003; C = 0.153), 37.9% authoritarian parenting that is bad. This study concluded that parenting and peer group were related to sexual concepts. Keyword : Parenting, Youth Development, Adolescent Sexual Behavior

Determinan Kejadian Berhenti Pakai (Drop Out) Alat Kontrasepsi Widyawati, Sigit Ambar; Siswanto, Yuliaji; Najib, Najib
HIGEIA (Journal of Public Health Research and Development) Vol 4 No 1 (2020): HIGEIA: January 2020
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v4i1.32124

Abstrak Latar Belakang: Keluarga Berencana adalah upaya mengatur kelahiran anak, jarak dan usia ideal melahirkan, mengatur kehamilan. Salah satu indikator penting untuk mengukur kualitas pemakaian alat/cara KB adalah berhenti pakai (drop out) yaitu kejadian berhentinya menjadi akseptor pada PUS yang sebelumnya sudah menjadi akseptor KB. Tujuan Penelitian: Umengetahui faktor determinan kejadian berhenti pakai alat kontrasepsi pada PUS 10â€“49 tahun pada tahun 2017. Metode Penelitian: Penelitian deskriptif menggunakan data sekunder daari SDKI Jateng Tahun 2017. Populasi adalah Pasangan Usia Subur (PUS) dengan status kawin yang berusia 10â€“49 tahun. Sampel adalah 3.414 PUS yaitu pasangan usia subur usia 10â€“49 tahun dengan status kawin, pernah menggunakan dan masih menggunakan kontrasepsi di Jawa Tengah.. Analisa menggunakan analisa deskriptif dengan uji korelasi Chi Square menggunakan program SPSS versi 17. Hasil: Ada hubungan yang signifikan antara kejadian drop out dengan tingkat pendidikan, tidak ada hubungan yang signifikan antara kejadian drop out dengan tingkat kesejahteraan pada PUS di Jawa Tengah. Simpulan: Tingkat pendidikan merupakan determinan kejadian berhenti pakai (drop out) alat kontrasepsi di Jawa Tengah. Keywords : contraception,couples of childbearing, drop out Abstract Background: Family Planning is an effort to regulate child birth, distance and ideal age for childbirth, regulate pregnancy. One of the important indicators for measuring the quality of use of methods is to stop using, namely the occurrence of cessation of being an acceptor in an Fertilage Age (EFA) who has previously been a family planning acceptor. Research Objectives: To find out the determinant factors of the incidence of stopping contraception at EFA 10â€“49 years in 2017. Research Method: Descriptive study using secondary data from the Central Java Year 2017. Population this research are couples of childbearing age 10â€“49 years who are married as much 3,414. Sample in this research are all couples of childbearing age of 10â€“49 years with marital status, have used and still use contraception in Central Java. The analysis uses descriptive analysis with Chi Square correlation test using SPSS version 17. Results: There was a significant relationship between the incidence of drop out and the level of education, there was no significant relationship between the incidence of drop out and the level of welfare at EFA in Central Java. Conclusion: Educational level is a determinant of the incidence of drop out in contraception in Central Java. Keywords : contraception, couples of childbearing, drop out

Dampak Pandemi Covid-19 terhadap Pelayanan KB di Jawa Tengah Wijayanti, Urip Tri; Nindiyastuti, Nadia Ayu Irma; Najib, Najib
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 3 (2021): HIGEIA: Juli 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i3.49552

COVID-19 telah dinyatakan sebagai pandemi dunia oleh WHO. Untuk menghadapi wabah tersebut dilakukan kebijakan pembatasan sosial berskala besar (PSBB) sebagai pencegahan penularan COVID-19. Kondisi ini menyebabkan pembatasan dalam pelayanan KB. Tujuan penelitian ini menganalisis perbedaan layanan KB sebelum dan sesudah era pandemi COVID-19. Pengumpulan data dilakukan dengan menggunakan pendekatan deskriptif kuantitatif. Responden penelitian adalah semua pasangan usia subur (PUS) di Jawa Tengah tahun 2019 dan 2020. Penelitian berdasarkan data sekunder dari laporan statistik rutin perwakilan BKKBN Provinsi Jawa Tengah tahun 2020 dan 2021. Hasil penelitian menyatakan bahwa era pandemi COVID-19 berdampak terhadap pelayanan KB di Jawa Tengah, yaitu terjadinya penurunan pelayanan KB. Jumlah kepesertaan KB aktif mengalami penurunan dan kenaikan selama era pandemi COVID-19. Hal tersebut terlihat dari penurunan jumlah kepesertaan KB aktif pada metode kontrasepsi suntikan, pil, MOW, dan MOP serta kenaikan jumlah kepesertaan KB aktif pada metode kontrasepsi IUD, implan, dan kondom. Rekomendasi pemerintah khususnya BKKBN terus berupaya mengadakan terobosan-terobosan untuk kegiatan pelayanan KB serentak dalam berbagai program. Masyarakat dapat mematuhi kebijakan dan mengikuti berbagai layanan KB yang ada sehingga dapat mengantisipasi kasus baby boom pasca pandemi COVID-19.

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