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Journal : Science Midwifery

Analyzing the relationship between dietary factors and anemia to improve preventive behavior in adolescent girls in Denpasar Wibawa, Anak Agung Ngurah Alit Dwi Nanda; Weta, I Wayan; Ani, Luh Seri; Awan, Syuma Adhy
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1799

Abstract

Adolescents are at risk of developing anemia related to an unbalanced diet, habits of consuming low-iron foods, and substances that inhibit iron absorption, such as tea or coffee. Based on this, this study is aimed at finding out the relationship between diet and anemia status in adolescent girls. A cross-sectional study was conducted on 91 female students who were selected by the proportional random sample method. The research was conducted at SMAN 4 Denpasar-Bali, Indonesia. Hemoglobin level data was measured using a hemoglobinometer. Anemia is defined by a hemoglobin level of less than 12 g/dL. Diet and nutrient intake data were collected by questionnaire method using a quantitative food frequency questionnaire. The data were analyzed univariate and bivariate. The Mann-Whitney U test was carried out to determine factors related to anemia in adolescent girls. The results of the study found that the proportion of anemia in adolescent girls was 38.5%. Vitamin C intake was found to be related to anemia (p value <0.05). Meanwhile, protein intake, iron, fiber, frequency of meals and menstrual blood loss score (KDM) were found not to be related to anemia status (p>0.05). It can be concluded that a diet high in vitamin C is associated with anemia in adolescent girls. The results of this study contribute to the prevention of anemia through dietary improvements in adolescent girls, so it is recommended for adolescent girls to maintain a balanced diet to meet nutritional needs, including the need for iron.
Uncovering the determinants of low involvement of the elderly in chronic disease management: A qualitative approach at Ratih Clinic, Badung Budiartami , Putu Paramitha; Ani, Luh Seri
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2101

Abstract

The Chronic Disease Management Program (CDMP) aims to improve the quality of life of the elderly through the control of non-communicable diseases such as hypertension and diabetes. However, the participation of the elderly at the Tabanan Ratih Clinic is still low, hampering the effectiveness of the program. This study aims to identify the factors that play a role in the low involvement of the elderly in CDMP. Qualitative research with a descriptive phenomenological approach was conducted at the Ratih Clinic in Badung in March-June 2024. Data was collected through in-depth interviews with 10 elderly people (aged 60-70 years) who had low participation and 6 health workers. Thematic analysis is used to identify determinants. Four main themes were found, namely (1) accessibility and mobility barriers, (2) lack of knowledge and negative perception of CDMP, (3) lack of family and social support, and (4) economic factors and time priorities. The low participation of the elderly is influenced by interrelated multidimensional factors. Recommendations include the provision of free transportation, local culture-based education, family involvement, and the integration of CDMP with community activities such as the elderly Posyandu. These findings support the development of inclusive strategies to increase the involvement of the elderly in chronic disease management, in line with CDMP' goals.
Identify factors related to the unmet need for family planning in women of childbearing age Poul, Andrew; Seri Ani, Luh; Lubis, Dinar Saurmari
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1461

Abstract

Unmet family planning needs in women of childbearing age (WCA) are known to increase fertility and mortality rates in mothers and children. Prepositioning, enabling, and reinforcing factors related to unmet needs have been widely studied, but have not found consistent results. This study aims to determine the relationship between predisposing, enabling, and reinforcing factors with the incidence of unmet needs in WCA. The cross-sectional study was conducted at WCA in West Denpasar District. A total of 120 participating WCA were selected using the multistage method. Data was collected by structured interviews. Women of childbearing age who met the inclusion and exclusion criteria were interviewed at their respective homes. Univariate analyses were performed to obtain the proportion of unmet need incidence in women of childbearing age. Logistic regression tests are performed to determine factors related to unmet need events. The results of the study found the incidence of unmet need FP in WCA at 59.2%. Unmet need events in WCA are associated with predisposing factors consisting of age, ability in decision making, enabling factors, namely the distance of family planning service places to home and reinforcing factors, namely officer support and history of family planning use. This study suggests increasing access to family planning services and dissemination of information about the use of family planning in WCA to reduce the incidence of unmet need FP in WCA.
Co-Authors Adrian Putradinata Chandra Agastiya, I Made Cahyadi Agha Bhargah Alit Naya Alit Naya, Alit Anak Agung Gede Suputra Ani Agustini Gaspersz Ari Mogi, I Komang Aswin Panji Awan, Syuma Adhy Ayu Indah Hapsari Bangkitaryani, Luh Ayu Budiartami , Putu Paramitha Budiartami, Putu Paramitha Chika Christianne Moreen Nababan Christiana Hertiningdyah Sulistiani Christophoroes Jonathan Tansil Citra Mutiarahati, Ni Luh Cok Gde Prema Kurnia Baswara Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Daondy Friarsa Desak Nyoman Purniati Devi Juliyantini, Ni Komang Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi, Ni Made Desi Suzika Dharsheinee K Vijayan Dinar Lubis Dinar Saurmauli Lubis Duarsa, Dyah Paramita Dwija, Ida Bagus Nyoman Putra Dwijayanti, Widya Dyah Ekowati Dyah Pradnyaparamitha D Dyah Pradnyaparmita Duarsa Dylan Dharmalaksana Eka Faizaturrahmi Ekowati, Dyah Ernawati Ernawati Ernawati Faiz Afano Faizaturrahmi, Eka Firdy Liwang Gandari, NK. Matalia Gde Arisetyawan Dharmaputra Gde Ngurah Idraguna Pinatih Gede Agus Indra Pramana Gede Giri Prathiwindya Gusti Ngurah Prana Jagannatha Hery Aryanti Hery Aryanti, Hery I Gede Gita Sastrawan I Gede Herry Purnama, I Gede Herry I Gst Indaya Surya Putra I Gusti Agung Ayu Sriningrat I Gusti Agung Trisna Windiani I Gusti Ayu Komang Widiastuti I Gusti Ayu Sri Darmayani I Gusti Ngurah Bagus Rai Mulya Hartawan I Gusti Ngurah Juniartha I Kadek Meidi Antika I Ketut Suastika I Ketut Suwiyoga I Komang Ari Mogi I Komang Heri Sukrastawan I Made Bakta I Made Jaya Widyartha I Made Merdana I Made Restu Widiana I N Agus Bagiada I Nyoman Anggha Shaputra Irawan I Nyoman Dharma Wiasa I Nyoman Gede Budiana I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Sutarsa, I Nyoman I Putu Ganda Wijaya I Wayan Gede Artawan Eka Putra I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Weta I.B. Hendra Kusuma Ida Ayu Pradnya Paramita Ida Ayu Ratna Trisna Ida Bagus Ekaputra Ida Bagus Ekaputra, Ida Bagus Illham Setiawan IN Agus Bagiada IN Bagiada INT Suryadhi INT Suryadhi Kadek Anggie Wisandewi Mayun Karismayani, Gusti Ayu Mutiara Ketut Gde Rai Wijaya Ketut Pramana Adiputra Ketut Suarjana Ketut Sudinda Komang Ayu Kartika Sari Kusuma, Anak Agung Ngurah Jaya Laksmi, Ida Ayu Agung Lubis, Dinar Saurmari Luh Ayu Bangkitaryani LUH MERTASARI . Luh Nyoman Sumiati Luh Wayan Ayu Rahaswanti Made Agus Hendrayana Made Arya Wiryanatha Made Dharmadi Made Yogi Oktavian Prasetya Manuaba, I.B.G. Fajar Mas Manik Astawastini, I Dewa Ayu Mathew Giyan Mayun, Kadek Anggie Wisandewi Md. Candra Simbha Megayanti, I Gusti Putu Lian Mirah Sucita Dewi Muliawati, Ni Kadek Nabila Zuhdy Nabila Zuhdy, Nabila Nandini Parahita Supraba Ni Kadek Ayu Dwi Utami Ds Ni Kadek Muliawati Ni Ketut Sutiari Ni Komang Arni Tria Erlani Ni Luh Putu Ariastuti Ni Luh Putu Suariyani Ni Luh Suciati Ni Made Dian Pradnyani Putri Ni Made Suartiningsih Ni Putu Ditadiliyana Putri Ni Putu Lisa Eka Pratiwi Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Ni Wayan Kertiasih Nila Pebriyan Suharto Nyoman Sumiati Nyoman Tigeh Suryadhi Olivia, Frisilia Pande Putu Januraga Pande Putu Yoga Kamayana Phebe Indriani Poul, Andrew Pradnyawati, Luh Gede Purniati, Desak Nyoman Putu Aryani Putu Ayu Indrayathi Putu Cintya Denny Yuliatni Putu Cintya Denny Yuliyatni Putu Lestari Sudirman Putu Sindy Reiska Jayanti Putu Sri Utami Putu Yuniadi Antari Raden Supini Raka Mery Hardiani Ratnata, Gede Agung Rebecca Mutia Agustina Silaen Rovie Hikari Parastan Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Sri Darmayani, I Gusti Ayu Sri Darmayani, IGA Sri Yuniari Sri Yuniari, Sri Sumiati, Luh Nyoman Sumiati, Ni Luh Nyoman Supraba, Nandini Parahita Suputra, Anak Agung Gede Suryadhi, Nyoman Tigeh Swetawijaya, Putu Arya Utami, Kadek Cahya Utami, Putu Sri Vimalavarati Sekaaram Vittala, Govinda Wahyu Setyaningsih Wahyu Setyaningsih Wayan Citra Wulan Sucipta Putri Wibawa, Anak Agung Ngurah Alit Dwi Nanda Widy Markosia Wabula Widy Markosia Wabula, Widy Markosia Widya Dwijayanti Widyartha, I Made Jaya Wijaya, I Putu Ganda Windhu Saputra Yesvi Zulfiana Yesvi Zulfiana