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Evaluasi Program Pelayanan Kesehatan Ramah Remaja (PKRR) Dalam Pendidikan Kesehatan Reproduksi Remaja Awal Grhasta Dian Perestroika; Dewi Andang Prastika; Nawang Swastika Raras; Rosiana Alfa Risqi; Riadini Wahyu Utami; Sinta Rosita Sari
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 10 No. 2 (2022): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/trjrbv37

Abstract

Introduction: In Indonesia, one of the efforts to prevent risky sexual behavior is to providereproductive health education among adolescents. One of the programs that collaborate withschools in providing reproductive health education is the pelayanan kesehatan ramah remaja(PKRR) organized by the Dinas Kesehatan. However, studies on the evaluation of the PKRRprogram among early adolescents in Indonesia have not been widely studied. Methods: A qualitative study was conducted on 14 early adolescents, 1 provider and 1practitioner PKRR in November 2019-February 2020. Data were collected by Focused GroupDiscussion (FGD) and semi-structured interviews using the RE-AIM framework. Data wasanalyzed using Stevick-Colaizzi-Keen method in Nvivo 12 software.Result: The advantage of this program is that it can reach the target of early adolescents inthe school. One of the weaknesses of this program is the limited time when socialization wascarried out in schools. In addition, another weakness is the implementation at the communitylevel, in the form of Posyandu remaja and counseling. It is difficult to reach early adolescentsin the community level, because there is a feeling of shame to come to the place of services.Conclusion: This evaluation succeeded in revealing the needs of adolescents forreproductive health information, including the desire of adolescents to better understandreproductive health. The implication of this study is that there is a need for improvement in theimplementation of the PKRR program. Improvements include the addition of comprehensivesexual education, cross-sectoral collaboration and the regeneration of young implementersfor better implementation.Keywords: Evaluation, Early Adolescents, PKRR, Reproductive Health Education, RE-AIM.
Work-Related Musculoskeletal Disorders among Indonesian Midwives: Organizational and Individual Determinants Herawati, Dian; Perestroika, Grhasta Dian; Hidayah, Nurulia; Mahendratta, Aida Musumi; Putri, Parama Septi Kharisma
Jurnal Kesehatan Vokasional Vol 11, No 1 (2026): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.118402

Abstract

Background: Musculoskeletal disorders (MSDs) are a significant occupational health problem among Indonesian midwives. Existing literature often neglects the intersection of individual, workplace, and domestic factors that may further influence MSDs.Objective: To determine whether MSDs affect the work performance of midwives and identified contributing individual and organizational risk factors.Methods: A cross-sectional online survey of 90 midwives in Yogyakarta public health centres around March-June 2025. Participant recruitment was conducted through purposive sampling.Results: Over half  (57%) reported MSDs affecting work performance. Chi-square analysis showed significant associations between BMI (χ² = 6.42, p = 0.04) and shift work (χ² = 5.83, p = 0.02) with MSDs prevalence. Mid-career midwives aged 31–44 years and those in the Obesity I BMI category (25–29.9) were the most affected. Organizational support was limited 83.3% lacked ergonomic guidelines, 87.8% had no ergonomic training, and 66.7% received no household assistance indicating the combined effect of occupational and domestic burdens.Conclusion: These results highlight the need for integrated ergonomic and psychosocial interventions to reduce MSD risks to support midwives’ health and well-being. Further research is needed to examine the most dominant factors causing musculoskelatal disorders. 
Forensic Medicine in Domestic Violence: Global Research Trends and Case-Processing Timelines in Surakarta, Indonesia Suwandono, Adji; Azaria, Graseldis Diandra; Wiyono, Nanang; Argaheni, Niken Bayu; Perestroika, Grhasta Dian
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 2 (2026): August 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i2.755

Abstract

Domestic violence is a criminal offense with important medico-legal implications. Forensic medical documentation supports the evidentiary process, and in Indonesia, Visum et Repertum (VeR) is recognized as documentary evidence under criminal procedure law. However, evidence on case-processing duration in domestic violence cases involving VeR remains limited. This study aimed to map global research trends in forensic medicine related to domestic violence and describe case-processing duration from VeR issuance to the first court hearing at the Surakarta District Court. A multimethod design was employed, comprising bibliometric analysis of Scopus-indexed publications from 1975 to 2025 and descriptive cross-sectional analysis of 21 domestic violence court decisions issued between 2015 and 2025. The bibliometric analysis identified 416 publications, with a historical peak in 1985 and relatively stable output over the last decade. The United States, India, and the United Kingdom were the leading contributors. Keyword co-occurrence analysis identified four thematic clusters: domestic violence, forensic medicine, child and infant injuries, and sexual violence. Case-processing duration ranged from 56 to 354 days, with a mean of 205.81 days (SD = 90.49). Nineteen cases (90.5%) exceeded 90 days, while two cases (9.5%) were processed within 60 days. Prolonged pre-trial case processing was common. Further research should examine procedural and institutional factors and the role of medico-legal evidence in criminal justice processes.