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Perubahan Siklus Menstruasi Akseptor Kontrasepsi Suntik 1 Bulan Cyclofem dan Suntik 2 Bulan Gestin F2 Rajadiah, Ervina Yuni; Sunartono, Sunartono; Suryantara, Bima
Jurnal Ilmiah Kesehatan Rustida Vol 12 No 1 (2025): Januari
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v12i1.246

Abstract

Beberapa wanita mengalami masalah menstruasi akibat penggunaan metode kontrasepsi. Sebagian besar ibu mengeluhkan efek samping penggunaan kontrasepsi, termasuk ketidakteraturan menstruasi. Namun, masalah ini biasanya bersifat hormonal dan tidak dialami oleh semua orang dengan efek yang sama. Hal ini mungkin disebabkan oleh ketidaksesuaian dan ketidakseimbangan hormon. Tujuan penelitian yaitu untuk menganalisis perubahan siklus menstruasi pada akseptor kontrasepsi suntik 1 bulan Cyclofem dan akseptor kontrasepsi suntik 2 bulan Gestin F2. Metode Penelitian ini termasuk dalam penelitian Randomized Control Trial (RCT). Populasi penelitian adalah akseptor baru KB suntik 1 bulan dan 2 bulan di Prakter Mandiri Bidan Ervina Tangerang. Penelitian ini berlangsung selama 2 bulan atau 2 kali siklus menstruasi. Teknik random sampling yaitu pengambilan sampel secara acak. Jumlah sampel 36 responden terdiri dari 18 orang kelompok cyclofem dan 18 orang kelompok gestin f2. Analisis data univariat dan analisis bivariat dengan uji mann whitney. Hasil analisis uji Mann-Whitney tersebut diketahui bahwa nilai Asymp.Sig. (2-tailed) sebesar 0,678 > 0,05. Maka dapat disimpulkan bahwa hipotesis ditolak dengan demikian dapat dikatakan bahwa tidak ada perbedaan perubahan siklus menstruasi antara kelompok cyclofem dan kelompok gestin f2.
Optimalisasi Praktik Mandiri Bidan dalam Upaya Meningkatkan Pelayanan Metode Kontrasepsi Jangka Panjang melalui Pelatihan Bidan di Kabupaten Tangerang Wijayanti, Margaretha Yuni; Sunartono, Sunartono; Agustiani, Mia Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 1 (2025): Volume 8 No 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i1.17706

Abstract

ABSTRAK Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Indonesia, termasuk di Kabupaten Tangerang, masih tergolong rendah. Dalam pelaksanaannya bidan sebagai tenaga kesehatan di lini terdepan memiliki peran penting untuk meningkatkan cakupan penggunaan MKJP melalui Praktik Mandiri  Bidan (PMB)maupun kegiatan program Keluarga Berencana (KB). Kegiatan ini bertujuan untuk mengoptimalkan PMB dalam meningkatkan pelayanan MKJP berfokus pada Motivasi, edukasi dan praktik dalam pemasangan alat kontrasepsi jangka Panjang yaitu IUD/AKDR dan KB susuk/implant sehingga dapat diterapkan ditempat praktiknya masing-masing dan menekankan kepada bidan untuk dapat meningkatkan minat masyarakat dalam menggunakan alat kontrasepsi berencana MKJP. Kegiatan ini menggunakan metode ceramah, tanya jawab dan praktek pelayanan MKJP.  Target peserta adalah bidan yang memiliki praktik mandiri di Kabupaten Tangerang. Data dikumpulkan melalui kuesioner dan wawancara mendalam, kemudian dianalisis. Bidan dikabupaten Tangerang memiliki pengetahuan, keterampilan dan kemampuan yang lebih baik dalam pelayanan MKJP, sehingga mampu meningkatkan kualitas pelayanan MKJP yang diberikan kepada masyarakat, termasuk penurunan tingkat kegagalan dan efek samping serta kenaikan jumlah Akseptor Pasangan Usia Subur (PUS) yang menggunakan MKJP di Kabupaten Tangerang. Perlu adanya peningkatan akses pelatihan bagi bidan, penguatan dukungan fasilitas kesehatan, dan peningkatan sosialisasi kepada masyarakat. Optimalisasi praktik mandiri bidan melalui pendekatan ini diharapkan dapat meningkatkan kualitas dan cakupan pelayanan MKJP dikabupaten Tangerang. Kata Kunci: MKPJP, Bidan, Praktik Mandiri  ABSTRACT The use of Long-Term Contraceptive Methods (MKJP) in Indonesia, including in Tangerang Regency, is still relatively low. In its implementation, midwives as health workers on the front line have an important role in increasing the scope of use of MKJP through independent practice and Family Planning (KB) program activities. Objective: This activity aims to optimize PMB in improving MKJP services focusing on motivation, education and practice in the installation of long-term contraceptives, namely IUD/AKDR and IUD/implant so that they can be applied in their respective practice places and emphasizing to midwives to be able to increase public interest in using MKJP planned contraceptives. This activity uses the method of lectures, questions and answers and MKJP service practice.  The target participants are midwives who have independent practices in Tangerang Regency. Data were collected through questionnaires and in-depth interviews, then analyzed. Midwives in Tangerang district have better knowledge, skills and abilities in MKJP services, so that they are able to improve the quality of MKJP services provided to the community, including a decrease in the rate of failure and side effects and an increase in the number of Acceptors of Childbearing Age Couples (PUS) who use MKJP in Tangerang Regency.  There is a need to increase access to training for midwives, strengthen support for health facilities, and increase socialization to the community. Optimizing the independent practice of midwives through this approach is expected to improve the quality and coverage of MKJP services in Tangerang district. Keywords: MKJP, Midwife, Independent Practice
Pemberian Edukasi Kesehatan Reproduksi Untuk Meningkatkan Pengetahuan Remaja di Universitas Wiraraja Khalifah, Nurul; Sunartono, Sunartono; Dewi, Novita Puspita
Jurnal ABDIRAJA Vol 8 No 1 (2025): Jurnal Abdiraja
Publisher : LPPM Universitas Wiraraja Sumenep, Jalan Raya Sumenep Pamekasan KM. 5 Patean Sumenep 69451, Telp. (0328) 673399 Fax. (0328) 673088

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24929/adr.v8i1.4127

Abstract

This community service aims to improve reproductive health knowledge among adolescents at Wiraraja University, Sumenep through a community approach. The focus of reproductive health education counseling includes how to care for reproductive organs, the impact of pornography exposure on adolescents, puberty criteria, and personal hygiene during menstruation. The community approach involves the Dean of Health Sciences who plays an active role in supporting the smooth running of this community service activity. This community service activity involved 25 Wiraraja University students as respondents who participated in an education program on reproductive health. Before the education was carried out, a pre-test was conducted to measure the respondents' basic knowledge, and after providing education, a post-test was conducted to measure the progress of their knowledge. The results of this community service showed a significant increase in knowledge among respondents. The respondents' knowledge score before providing education (pre-test) was 52.8, while after providing education (post-test) it increased to 78.4. The increase in score shows that providing reproductive health education through a community approach is very effective in increasing adolescent knowledge about the importance of reproductive health care, the negative impacts of pornography exposure, understanding of puberty, and maintaining personal hygiene during menstruation. These results prove that this community service program has a positive impact and can be a model in efforts to increase awareness of reproductive health among adolescents at the university level.
Edukasi Isi Piringku untuk Meningkatkan Pengetahuan Gizi Seimbang pada Siswa Kelas II SDN 021 Sungai Kunjang Kota Samarinda Aulia, Shofa Nur; Sunartono, Sunartono; Monalisa, Dian
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 5 (2025): Juli
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i5.2604

Abstract

Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan tentang gizi seimbang pada siswa kelas II SDN 021 Sungai Kunjang, Kota Samarinda melalui edukasi "Isi Piringku". Edukasi dilakukan menggunakan metode penyuluhan, media poster dan leaflet, serta permainan interaktif yang disesuaikan dengan usia anak-anak. Kegiatan ini diikuti oleh 73 siswa dan menunjukkan hasil yang signifikan, di mana sebelum penyuluhan hanya 38,4% siswa yang memahami konsep "Isi Piringku", dan meningkat menjadi 100% setelah edukasi. Hasil ini menunjukkan bahwa pendekatan edukatif yang menyenangkan dan interaktif efektif dalam meningkatkan pemahaman anak terhadap pentingnya pola makan seimbang sejak dini.
Pengaruh Konsumsi Jus Buah Bit (Beta vulgaris L) Terhadap Kadar Hemoglobin Mahasiswa Putri di Condongcatur, Sleman Zain, Kumara Rahmawati; Widyaswara, Gravinda; Hae, Shinny Love Laga; Sepvianti, Wiwit; Tirtana, Arif; Sunartono, Sunartono; Arifah, Siti; Rahmawati Zain, Kumara
Journal of Health Vol. 12 No. 2 (2025): Journal of Health (JoH) - July
Publisher : LPPM STIKES Guna Bangsa Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.638 KB) | DOI: 10.30590/joh.v12n2.20

Abstract

Hemoglobin is the main element of red blood cells that functions as a conjugated protein to transport oxygen and carbon dioxide. Hemoglobin levels below normal limits can cause anemia. Indonesia is one of the countries with a fairly high rate of anemia. Anemia is a common health problem among adolescent girls, mainly caused by iron deficiency which is triggered by menstruation and high nutritional needs. Currently, a non-pharmacological approach is an alternative to increase hemoglobin levels in adolescent girls, one of which is by consuming beetroot juice. Indonesia is one of the countries with relatively high anemia rates. Beetroot is rich in iron, folate, and vitamin C which can increase hemoglobin levels in the blood. The type of research used was a quasi-experimental study with a two-group pretest and posttest design, namely providing intervention by giving beetroot juice for 7 days in the morning to students in the eastern region who live in Condongcatur, Depok, Sleman, Yogyakarta. The results of this study were explained using SPSS with a Paired sample t-test with a p value <0.05 and obtained H0 = 0.024 and H7 = 0.001. This means that the sig value <0.05 indicates an effect on hemoglobin levels after the intervention. Before the intervention, the average was 11.1 gr/dl and after the intervention, the average was 12.8 gr/dl. These results indicate that consumption of beetroot juice can significantly increase hemoglobin levels in adolescent girls with anemia.
Edukasi tentang Pemantauan Ibu Hamil Secara Mandiri Menggunakan Buku KIA dalam Upaya Peningkatan Pengetahuan Ibu Hamil Guna Deteksi Dini Resiko Tinggi di Desa Keongan, Kecamatan Nogosari Kabupaten Boyolali Winarsih, Winarsih; Sunartono, Sunartono; Agustin, Mia Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 11 (2025): Volume 8 No 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i11.21995

Abstract

ABSTRAK Kehamilan dan persalinan merupakan keadaan fisiologis, meskipun demikian pada beberapa kondisi memiliki risiko sehingga membutuhkan penanganan khusus oleh tenaga kesehatan profesional (Majella et al., 2018). Sekitar 15% dari seluruh wanita hamil memiliki potensial untuk komplikasi kehamilan yang mengancam jiwa. Deteksi dini atau skrining risiko tinggi pada kehamilan dapat memberikan informasi kepada ibu hamil mengenai berbagai risiko yang mungkin terjadi selama kehamilan. Pengenalan deteksi dini sebaiknya dilakukan pada trimester pertama oleh tenaga kesehatan dan non medis. Kehamilan risiko tinggi merupakan kehamilan yang perlu dideteksi sejak dini karena dapat menimbulkan risiko dan komplikasi baik bagi ibu maupun janinnya. Tujuan pengabdian ini adalah meningkatkan pengetahuan ibu hamil agar mampu melaksanakan pemantauan secara mandiri dengan menggunakan media Buku KIA dan poster dalam melakukan deteksi dini resiko tinggi selama hamil. Metode yang dilakukan dengan penyuluhan Bidan sebagai fasilitator kelas ibu hamil memfokuskan pembelajaran pada upaya peningkatan pengetahuan danketerampilan ibu hamil dalam deteksi dini resiko tinggi dengan menggunakan buku KIA dan Poster. Hasil kegiatan penyuluhan menggunakan media buku KIA dengan judul edukasi tentang pemantauan ibu hamil secara mandiri menggunakan buku KIA dalam Upaya peningkatan pengetahuan ibu hamil guna deteksi dini resiko tinggi di Desa Keongan, Kecamatan Nogosari Kabupaten Boyolali. Karakteristik ibu hamil meliputi umur mayoritas pada kategori umur beresiko sebanyak 80%, pendidikan mayoritas ibu adalah SMA sebanyak 100% dan paritas ibu mayoritas adalah primigravida sebanyak 60%. Pengetahuan ibu terjadi peningkatan 7 ibu hamil, kemudian yang hasil pre dan post testnya tetap nilainya ada 3 orang. Terdapat peningkatan pengetahuan setelah diberikan penyuluhan. Kata Kunci: Edukasi, Ibu Hamil, Deteksi Dini Resiko Tinggi  ABSTRACT Pregnancy and childbirth are physiological conditions, however, in some conditions there are risks that require special treatment by professional health workers (Majella et al., 2018). Approximately 15% of all pregnant women have the potential for life-threatening pregnancy complications. Early detection or high-risk screening in pregnancy can provide information to pregnant women about various risks that may occur during pregnancy. Introduction to early detection should be carried out in the first trimester by health and non-medical personnel. High-risk pregnancy is a pregnancy that needs to be detected early because it can cause risks and complications for both the mother and the fetus. The purpose of this community service is to increase the knowledge of pregnant women so that they are able to carry out independent monitoring by using the KIA Book media and posters in conducting early detection of high risks during pregnancy. The method used by midwives as facilitators of pregnant women's classes focuses on learning efforts to increase the knowledge and skills of pregnant women in early detection of high risks by using the KIA book and posters. The results of the counseling activity using the KIA book media with the title education on monitoring pregnant women independently using the KIA book in an effort to increase the knowledge of pregnant women for early detection of high risks in Keongan Village, Nogosari District, Boyolali Regency. The characteristics of pregnant women included a majority age group of 80% in the high-risk age category, a majority education level of 100% of mothers, and a majority parity of 60% of mothers being primigravida. Seven pregnant women experienced an increase in maternal knowledge, while three women had consistent pre- and post-test results. Knowledge increased after the counseling session. Keywords: Education, Pregnant Women, Early Detection of High Risk
Gerakan Bersama Pentingnya Antisipasi Gizi Buruk dan Stunting (Gema Pentas) Melalui Edukasi Pentingnya 1000 Hari Pertama Kehidupan di Desa Sukaraharja Kabupaten Ciamis Tira Seyudhianti; Sunartono, Sunartono; Monalisa, Dian
Journal of Health Innovation and Community Services Vol. 4 No. 2 (2025): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v4i2.696

Abstract

Background: The community service activity carried out was a joint movement emphasizing the importance of anticipating malnutrition and stunting. Objective: The community service activity aimed to increase the knowledge of parents of toddlers regarding the first 1000 days of life and good nutritional behavior changes so as to improve the health and nutritional status of children. Method: This activity is in the form of direct counseling using leaflets designed by the Community Service Team. Pre and post tests are carried out before and after the educational activities to determine the effectiveness of the education implemented. Furthermore, participatory monitoring and evaluation are carried out by inviting residents, cadres, and village officials to conduct periodic evaluations (3–6 months) to monitor the impact of education and nutritional improvements. Results: The community service activity received enthusiastic participation from pregnant women and mothers of infants, with improved knowledge evident from the pre-test results before the educational material was provided and the post-test results afterward. The community service activity lasted approximately 60 minutes and was accompanied by village midwives and community health workers. The activity agenda began with an opening, team introductions, explaining the activity objectives, presenting the material, and concluding with an evaluation. Conclusion: The increased proportion of participants demonstrating adequate knowledge following the educational intervention reflects its effectiveness. Statistical analysis confirmed that the observed change was statistically significant.
The Effect Of Reproductive Health Education Contextual Learning Methods In The Use Of Gadgets On Risky Sexual Behavior In Adolescent Girls In High School Medan Family Education Foundation In 2022 Handayani, Purnama; Sunartono, Sunartono; Mediastuti, Fitriani
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The increase in the use of gadgets causes various changes in behavior and attitudes among adolescents. Teenagers are highly susceptible to certain applications on gadgets that eventually lead to risky sexual behaviours. Gadget abuse can have a detrimental impact on the quality of adolescents' lives, so it needs to be addressed. Therefore, there is a need for education in the use of gadgets to prevent risky sexual behaviours in adolescents. The research objective is to determine the effect of contextual reproductive health education methods on the use of gadgets in reducing risky sexual behaviours among adolescent girls. This research follows a pre-experimental design with a one-group pre-post-test approach and was conducted at the Medan Family Education Foundation High School from April 10 to May 5, 2023. The population of this study consisted of 164 individuals, with a sample of 40 participants selected using purposive sampling. Data analysis was performed using univariate and bivariate paired t-tests. The results of this study show that contextual reproductive health education methods in the use of gadgets have an influence on risky sexual behaviours among adolescent girls, covering three domains: knowledge (pre-test with a mean of 4.2750 and post-test with a mean of 6.8750, resulting in an increase difference of 2.6 with a p-value of 0.000), attitude (pre-test with a mean of 22.4500 and post-test with a mean of 31.3500, resulting in an increase difference of 8.9 with a p-value of 0.000), and action (pre-test with a mean of 26.2250 and post-test with a mean of 22.2750, resulting in a difference of 3.95 with a p-value of 0.000) Reproductive health education provided to adolescents through contextual learning methods can improve risky sexual behavior from the impact of sexual content.
The Dominant Factor Causing Low Adherence of Pregnant Women Consuming Zinc Tablets in the Work Area of the Public Health Center Stem Quiz Deli Serdang Regency Year 2022 Suhartini, Suhartini; Sunartono, Sunartono; Pasaribu, Masdalifa
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The zinc supplementation program is an effort that has been made by the Indonesian government to prevent anemia in pregnancy which is given in pill form but the incidence of anemia and pregnancy complications is still high due to low adherence of pregnant women in consuming iron tablets.The purpose of this study was to determine the dominant factors causing low adherence of pregnant women to consuming zinc tablets in Batang Kuis Health Center work area in 2022. Research Methods: The research design uses a descriptive analytic method with a cross sectional research design. The study population was all pregnant women who came for a visits at Batang Kuis health center and classes for pregnant women carried out at the Pustu and Poskesdes in the working area of Batang Kuis health center. The number of samples involved 124 people using accidental sampling. Univariate data analysis using frequency distribution tables, bivariate analysis using Chi-Square, multivariate analysis using multiple logistic regression tests. Results: The significant predisposing factors were the knowledge variables p - value (0.000) and parity p - value (0.042), which were not significant for the educational variables p - value (0.193) and employment p - value (0.140). The significant enabling factors were place of residence variable p - value (0.001), socioeconomic p - value (0.003), quantity of visits anc p - value (0.007), quality anc p - value (0.011). The significant reinforcing factors were the variables of the role of health workers p - value (0.022) and motivation p - value (0.000), not significant to the family/community support variable p - value (0.227). multivariate analysis showed that the dominant factor was knowledge with p-value (0.001) and OR 179.5. Conclusion: pregnant women with more or less dominant knowledge cause low adherence of pregnant women in consuming zinc tablets.
Multimedia Quality About Risk Dating As A Youth Health Promotion Media Sunartono, Sunartono
Journal of Applied Nursing and Health Vol. 3 No. 2 (2021): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.108 KB) | DOI: 10.55018/janh.v3i2.4

Abstract

Background: feeling of liking or being attracted to the opposite sex is often expressed by the term dating. The impact of dating leads to deviant activities such as risky dating. It is important for teenagers to know about risky dating through health promotion activities. The purpose of this study was to determine the quality of multimedia about risky courtship as a medium for adolescent health promotion. Methods: This type of research uses experimental research using an approach R & D. This research method is the assessment of material experts, media experts and small group sample trials with a total of 15 respondents. The research instrument was an open questionnaire which was filled out by the respondents. The analysis used in this study used univariate analysis. Results: Multimedia about risky dating as a health promotion media is said to be feasible by material experts with an average score of 54.33; said to be feasible by media experts with an average score of 50.33 and said to be feasible by users with an average score of 31.13. Conclusion: Multimedia about risky courtship is said to be suitable for use as a media for adolescent health promotion.
Co-Authors Agustiani, Mia Dwi Agustin, Mia Dwi Arisandi, Desy Aulia, Shofa Nur Ba’diah, Atik Bima Suryantara Devi Aprianti, Devi Dewi, Novita Puspita djarwadi, djarwadi Fitriani Mediastuti Hae, Shinny Love Laga Hakim, Riska Ismawati Handayani, Purnama Herdini Widyaning Pertiwi Khalifah, Nurul Kirana, Tuti Kristiarini, Juda Julia Kumara Rahmawati Zain Merida, Yunri Monalisa, Dian Muaddah, Muaddah Novelia, Zesika Intan Pasaribu, Masdalifa Probo, Vika Irianti Erning Rajadiah, Ervina Yuni Sepvianti, Wiwit Sihombing, Renta Siti Arifah Siti Maimunah Soerjo Hadijono Subaris Kasjono, Heru Suhartini Suhartini Syamsuriyati, Syamsuriyati Tira Seyudhianti Tirtana, Arif Warisantika, Ika Widyaswara, Gravinda Wijayanti, Margaretha Yuni Winarsih Winarsih Yuni Kusmiyati Yustina Ananti, Yustina