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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Archive of Community Health Buletin Udayana Mengabdi Prosiding Seminar Nasional MIPA Jurnal Kesehatan Masyarakat Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Gizi Klinik Indonesia Indonesian Journal for Health Sciences (IJHS) Gorontalo Journal of Public Health PREPOTIF : Jurnal Kesehatan Masyarakat PUBLIKASI PENELITIAN TERAPAN DAN KEBIJAKAN Science Midwifery MAHESA : Malahayati Health Student Journal Public Health and Preventive Medicine Archive Berita Kedokteran Masyarakat Medika Respati : Jurnal Ilmiah Kesehatan Jurnal Kesehatan Reproduksi Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Ilmu Kesehatan Masyarakat

Ni Putu Widarini

Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana

Author-ID : 415061

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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KEJADIAN STUNTING MASA PANDEMI COVID-19 Feni Sulistyawati; Ni Putu Widarini
Medika Respati : Jurnal Ilmiah Kesehatan Vol 17, No 1 (2022)
Publisher : Universitas Respati Yogyakarta

Stunting merupakan salah satu masalah kependudukan. Hampir seperempat balita di seluruh dunia mengalami kejadian stunting dan diprediksi akan mengalami peningkatan kasus pada masa pandemi covid-19. Dalam perkembangannya stunting seringkali terjadi pada negara berkembang salah satunya Indonesia. Tujuan studi literatur ini untuk mengetahui dampak pandemi covid-19 terhadap kejadian stunting. Hasil yang diperoleh yakni pandemi covid mempengaruhi peningkatan terhadap kejadian stunting sehingga menghambat pencapaian bonus demografi. Data statistik menunjukkan kejadian stunting mengalami penurunan kasus dari tahun 2000 sampai tahun 2019 dan sedikit terjadi peningkatan pada tahun 2020 serta diprediksi akan terus melonjak akibat dampak dari pandemi. Diperlukan upaya penanggulangan baik secara langsung maupun tidak langsung berbasis teknologi, penguatan kebijakan dan berbagai sektor pendukung yang sesuai dengan kondisi pandemi covid-19 sehingga bonus demografi bisa tecapai pada tahun 2035.

Factors Associated to Implant Use among Married Women of Reproductive Age in Banyuwangi Firdawsyi Nuzula; Ni Putu Widarini; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p16

Background and purpose: The proportion of implant use at Tegalsari District of Banyuwangi has increased year by year until it reached 17% in 2013. This proportion was much higher than the national and provincial rates. This study aims to determine factors related to implant use among married women of reproductive age at Tegalsari District of Banyuwangi. Methods: This was a cross-sectional survey involving 198 married women of reproductive age who were using contraception at Tegalsari district. Data was collected by conducting interview in each respondent’s house using a structured questionnaire. Univariate analysis was conducted to determine frequency distribution of each variable, bivariate analysis using the chi-square test, and multivariate analysis was performed to determine factors that independently associated to the use of implant using logistic regression. Results: The proportion of implant use in women of reproductive age at Tegalsari District was 21.21%. Multivariate analysis indicated that the statistically significant factors associated with implant use were cultural value with adjusted OR=3.59 (95%CI: 1.44-8.94), knowledge on implant with adjusted OR=15.10 (95%CI: 3.44-74.40), role model with adjusted OR=3.43 (95%CI: 1.47-8.06) and information from health workers with adjusted OR=3.13 (95%CI: 1.16-8.44). Conclusion: Factors related to implant use among married women of reproductive age were supported cultural values, role model, good knowledge about implant and information from health workers.

Barriers to the implementation of plan initiative (P4K) in Badung District Putri Mariani; Putu Widarini; Alex Pangkahila
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p07

The family-centered safe birthing initiative (P4K) is aimed to reduce maternal and newborn mortality rates. The P4K program involves the distribution of promotional stickers by community health care workers. In 2011, the coverage of the P4K had reached 100% of villages, and 98.9% of expectant mothers had attached the promotional sticker on a visible section of their homes. However, the process is reported not implemented using standard procedures before placing the sticker on their homes. This study is aimed to explore the barriers to the implementation of P4K in Badung. This study was descriptive qualitative using phenomenology approach. Data were collected using focus group discussion (FGD) with 20 midwives and 10 cadres, in-depth interviews (with 6 expectant mothers and 3 husbands/family members) and participant observation of P4K implementation in public health centers. Secondary data was obtained through relevant P4K document analysis. Informants were purposively selected using the criteria of 1) midwives already trained in P4K, 2) cadres already trained in P4K and 3) P4K participating expectant mothers. Research findings indicate that knowledge, attitude and mother’s and husband’s behaviour impact negatively upon program implementation. There is also an evidence of lack of logistical support including: P4K administrational forms, IEC pamphlets and transportation costs. Midwives and participating healthcare providers have a very good knowledge; however, their behaviour does not demonstrate this. The poor governance of centres and high mobility of expectant mothers also impacted upon program implementation. Future recommendations include program widening of scope and upscale, increased logistical support, continual monitoring and evaluation, research into program funding governance as well as upscale involvement of stakeholders.

The Partnership between Traditional Birth Attendance (TBA) and Midwives in Childbirth Assistance: A Qualitative Study in East Manggarai Regency Fransiska Nova Nanur; Ni Putu Widarini; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p05

Background and purpose: Partnership between traditional birth attendance (TBA) and midwives is one of the strategies to increase the coverage of childbirth assistance by the health personnel. This partnership seems to be ineffective as there were still TBA performed childbirth assistance. The study aims to find out about the overview and obstacles in the implementation of the partnership between TBA and midwives in the East Manggarai Regency. Methods: The qualitative research with in-depth interviews using open interview guide was conducted among 15 participants who were selected purposively, consisted of two village midwives, five TBAs who partnered with midwives, three TBAs who are not partnered with a midwife, and two participants of community leaders, the religious leaders, the two puerperal women and one policy maker. Data were analyzed by using thematic analysis approach. Results: The results showed that the facilities and supporting infrastructure of partnership were inadequate, funds provided were not enough to finance the implementation of the partnership, there were no regular meetings between the midwives and the traditional healers, coordination was done merely incidental. The division of roles in the treatment of childbirth was clear, but many obstacles were found, namely transportation barriers, economic problems and there were traditional healers who did not want to partner. Conclusion: The overview of partnership between the traditional healers and midwives in childbirth assistance has not gone well and there were still many obstacles found both internally and externally. To optimize this program, sufficient funds should be allocated, transportation should be improved and counseling should be provided to the community to raise awareness of the importance of childbirth assistance by the health personnel.

The Association between Social Functions and Quality of Life among Elderly in Denpasar Nandini Parahita Supraba; Ni Putu Widarini; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p07

Background and purpose: Good quality of life among elderly will reduce social and economic burden among the productive age people. This study aims to determine association between social function and quality of life among elderly in Denpasar. Methods: A cross-sectional survey was conducted among 144 elderly in Denpasar who were selected by cluster sampling and data were collected by a structured interview. Data were analyzed using logistic regression to determine the relationship between quality of life of the elderly with social activities, social interactions and family functions. Results: The study showed that the proportion of lower quality of life of the elderly in Denpasar was 64.58%. Proportion of elderly with lower quality of life was found among elderly of older age, female, low education, not working, low-income and widow/widower. Multivariate analysed showed that there was an association between quality of life of elderly with gender (AOR=6.42; 95%CI: 1.79-23.0), employment (AOR=9.81; 95%CI: 2.45-39.1), health status (AOR=8.65; 95%CI: 2.57-29.02), social activities (AOR=3.85; 95%CI: 1.22-12.1), social interactions (AOR=5.59; 95%CI: 2.01-15.5) and family functions (AOR=21.7; 95%CI: 6.09-77.7) Conclusion: Good quality of life of elderly was found associated with gender, employment, health status, social activities, social interactions and family functions.

HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PERILAKU PERSONAL HYGIENE MENSTRUASI PADA REMAJA PUTRI DI DENPASAR TAHUN 2022 Ni Putu Widarini; Nyoman Tri Maryanthi; Ni Nyoman Deni Witari
JURNAL KESEHATAN REPRODUKSI Vol 14 No 1 (2023): JURNAL KESEHATAN REPRODUKSI VOLUME 14 NOMOR 1 TAHUN 2023
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v14i1.76

Abstract Background: Menstrual Hygiene Management (MHM) is the management of hygiene and health in women during menstruation. Based on IDHS data, there are still many young women who behave poorly in maintaining cleanliness during menstruation, so it can have negative impacts such as the emergence of diseases in reproductive organs. Objective: Seeing the relationship between knowledge and attitudes with personal menstrual hygiene behaviors in young women in Denpasar. Method: This observational analytic study used a cross-sectional approach and was conducted at public and private high schools in Denpasar from March to June 2022. A total of 140 female adolescents were selected using a two-stage cluster random sampling technique. Data was collected using an online questionnaire via Google Form and analyzed using logistic regression analysis. Result: Knowledge and attitudes have a significant relationship with personal menstrual hygiene behaviors in young women in Denpasar. Compared to those who have good knowledge, young women with less knowledge are 2.72 times more likely to behave badly in relation to menstrual personal hygiene (OR = 2.72; 95% CI: 1.33-5.56). Compared to those with a positive attitude, young women who have a negative attitude are 2.63 times more likely to behave badly in relation to menstrual personal hygiene (OR = 2.63; 95% CI: 1.30–5.34). Conclusion: Knowledge and attitudes have a significant relationship with personal menstrual hygiene behaviors in young women in Denpasar. Researchers recommend holding health education and in-depth material about personal hygiene management during menstruation as an effective effort to improve health status. Keywords: Personal Hygiene, Knowledge, Behavior, Adolescent Women, Attitude Abstrak Latar belakang: Manajemen Kebersihan Menstruasi (MKM) merupakan pengelolaan kebersihan dan kesehatan pada perempuan saat menstruasi. Berdasarkan data SDKI, masih banyak remaja putri berperilaku kurang baik dalam menjaga kebersihan saat menstruasi, sehingga dapat berdampak buruk seperti timbulnya penyakit pada organ reproduksi. Tujuan: Melihat hubungan antara pengetahuan dan sikap dengan perilaku personal hygiene menstruasi pada remaja putri di Denpasar. Metode: Penelitian observasional analitik dengan pendekatan cross sectional dan dilakukan di SMA negeri dan swasta di Denpasar pada bulan Maret-Juni 2022. Sebanyak 140 remaja putri yang dipilih dengan teknik two stages cluster random sampling. Data dikumpulkan menggunakan kuesioner online melalui google formulir dan dianalisis menggunakan analisis regresi logistik. Hasil: Pengetahuan dan sikap memiliki hubungan signifikan dengan perilaku personal hygiene menstruasi pada remaja putri di Denpasar. Dibandingkan dengan yang memiliki pengetahuan baik, remaja putri berpengetahuan kurang berpeluang 2,72 kali berperilaku buruk terkait personal hygiene menstruasi (OR= 2,72; 95% CI: 1,33-5,56). Dibandingkan dengan yang memiliki sikap positif, remaja putri yang memiliki sikap negatif berpeluang 2,63 kali berperilaku buruk terkait personal hygiene menstruasi (OR= 2,63; 95% CI: 1,30-5,34). Kesimpulan: Pengetahuan dan sikap memiliki hubungan signifikan dengan perilaku personal hygiene menstruasi pada remaja putri di Denpasar. Peneliti merekomendasikan untuk mengadakan pendidikan kesehatan serta pendalaman materi tentang manajemen kebersihan diri saat menstruasi sebagai upaya efektif dalam meningkatkan derajat kesehatan. Kata kunci: Kebersihan Diri, Pengetahuan, Perilaku, Remaja Putri, Sikap

Overweight is associated with low fitness level among regional government employees in Denpasar City Puspitasari, Kadek Dina; Widarini, Ni Putu
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: Time spent on sedentary work is a potential risk factor of nutritional problems among employees, which could lead to a low level of fitness. This study aims to determine the correlation between nutritional status with fitness level among government employees of Denpasar City. Methods: This is an analytic observational study with a cross-sectional design. The samples of this study are 285 government employees in Denpasar City who had taken a physical fitness measurement test using the Rockport method and complete demographic data. Data on fitness level, nutritional status, age, gender, and pulse rate were included in the analysis using a multinomial logistic regression test. Results:The median age of employees are 47 years old and slightly more females (51.6%) than males. More than half of the employees had a low level of fitness (50.9%) and most were overweight (47%). The overweight group was 4.11 times more likely to have a low fitness level than the healthy weight group (RRR=4.11; 95%CI: 1.03-16.32). Conclusion: There is a significant relationship between nutritional status and fitness level after gender, age, and pulse rate were controlled. Therefore, it is necessary to maintain a normal nutritional status to maintain or enhance individual fitness level by routinely following regular sports activities that have been programmed and do stretching in between working hours.

Factors related to adherence to stay at the isolation house and health protocols for COVID-19 confirmed positive people in Denpasar, Bali, Indonesia Ni Nyoman Sudarti; Widarini, Ni Putu; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p07

Background and purpose: Quarantine in the isolation house for people who are confirmed having COVID-19 is essential to reduce transmission in the community. This research aimed at determining factors associated with compliance to isolation for 14 days and the implementation of health protocols for people who are confirmed positive for COVID-19. Methods: This study applied analytic cross-sectional design, which was conducted in the working area of the Public Health Centre (PHC) II North Denpasar. The samples were 279 people whom selected by simple random sampling. The collected data included sociodemographic characteristics, adherence to stay in the isolation houses and to apply health protocols, perceptions to compliance, cues to action, self-efficacy, knowledge, and social support. The data were analysed by Stata including descriptive analysis, followed by Chi-square Test and Multiple Logistic Regression. Results: As high as 60.6% of respondents complied to stay for 14 days in the isolation house and implemented health protocols. From multivariable analysis, the higher likelihood to comply with staying at the isolation houses for 14 days and applying health protocols were among female (AOR=3.02; 95%CI: 1.54-5.90, having higher education (AOR=6.03; 95%CI: 3.09-11,77), those having high self-efficacy (AOR=3.43; 95%CI: 1.81-6.50), and those having good knowledge (AOR=2.18; 95%CI: 1.19-3.98). Conclusion: About a third of the respondents did not comply with isolation for 14 days in the isolation house nor apply etiquette according to the health protocols, thus indicating a high risk of transmitting COVID-19 to others. It is necessary to promote health targeting people with low knowledge level and to provide social support from family, surrounding community and government.

Supports from place of delivery and mother in-law were associated with successful exclusive breastfeeding Ni Wayan Budi Astiti; Ni Putu Widarini; Kadek Tresna Adhi
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p06

Background and purpose: The 2019 Health Profile of Klungkung District in Bali Province shows that the area of Dawan I Public Health Center has the coverage of exclusive breastfeeding below 80% (72.6%). This study aimed at determining factors associated with the success of exclusive breastfeeding. Methods: This cross-sectional study involved all breastfeeding mothers with children aged 6-11 months old at the time of the data collection who resided in the area of Dawan I Public Health Center. The total number of samples was 105 mothers. Data was obtained from an online survey, using a structured questionnaire. The variables include maternal age, education and working status, parity, birth spacing, mother's attitude and knowledge on breastfeeding, supports from place of delivery and family, including husband and mother-in-law. Data were analyzed using Chi Square Test and Logistic Regression. Results: We found 81.90% of mothers were 20-35 years old, had high education (76.19%) and were working (53.33%). The success rate of exclusive breastfeeding in the working area of Dawan I was only 40.95%. The strongest predictors were the supports from place of delivery and mother-in-law. Mothers who received good supports from the place of delivery had a 4.12 times higher chance (p=0.03; 95%CI: 1.10-15.35) to successful exclusive breastfeeding. Mothers who received good supports from their mother-in-law had a 2.68 times higher chance (p=0.02; 95%CI: 1.13-6.34) to successfully give exclusive breastfeeding to their baby. Conclusion: Supports from place of delivery and mother-in-law are important determinants to be considered in increasing the success rate of exclusive breastfeeding.

PERKAWINAN ANAK DI LOMBOK: ANALISIS GENDER DAN DAMPAKNYA TERHADAP HAK KESEHATAN REPRODUKSI REMAJA Mahayogi, Ni Putu Tirta Dewi; Widarini, Ni Putu; Dwipayanti, Ni Made Utami
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47692

Perkawinan anak masih menjadi permasalahan serius di Provinsi Nusa Tenggara Barat (NTB), terutama di wilayah Lombok yang mencatat angka tertinggi secara nasional. Praktik ini tidak hanya berdampak pada masa depan anak perempuan, tetapi juga merupakan bentuk pelanggaran terhadap hak asasi manusia, khususnya hak kesehatan reproduksi. Penelitian ini bertujuan untuk mengkaji fenomena perkawinan anak dari perspektif gender, dengan menelusuri determinan sosial budaya, norma adat, ketimpangan relasi gender, serta dampaknya terhadap remaja perempuan. Metode yang digunakan adalah kualitatif deskriptif melalui studi literatur terhadap artikel ilmiah, laporan program, dan dokumen kebijakan yang terbit antara tahun 2020 hingga 2025. Hasil kajian menunjukkan bahwa perkawinan anak di Lombok tidak hanya dipengaruhi oleh tradisi lokal seperti merariq kodek dan tekanan ekonomi, tetapi juga diperkuat oleh dominasi budaya patriarki dan lemahnya penegakan hukum. Dampaknya meliputi risiko kehamilan usia dini, gangguan kesehatan fisik dan mental, serta terbatasnya akses terhadap layanan kesehatan reproduksi yang ramah remaja. Penelitian ini merekomendasikan strategi intervensi yang bersifat lintas sektor, termasuk pemberdayaan remaja perempuan, pendidikan seksual komprehensif, serta pelibatan tokoh adat dan agama untuk mengubah norma sosial yang merugikan. Temuan ini diharapkan dapat menjadi dasar bagi perumusan kebijakan perlindungan anak dan kesetaraan gender di tingkat daerah maupun nasional.

Co-Authors A Swandewi Adi, Putu Dwi Alex Pangkahila Armini, Ni Luh Gde Dinar Lubis Evita Trisnarini, I Gusti Ayu Fatwa Sari Tetradewi Feni Sulistyawati Feni Sulistyawati Firdawsyi Nuzula Fransiska Nova Nanur Fransiska Nova Nanur I Gusti Ngurah Edi Putra I Nengah Sujaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I.M.S. Adnyana J. A. Pangkahila K Tangking Widarsa Kadek Tresna Adhi Ketut Suarjana KOMANG AYU NOCIANITRI Luh Putu Sinthya Ulandari Luh Seri Ani Luky Adrianto Mahayogi, Ni Putu Tirta Dewi Mashudi, Sugeng Nandini Parahita Supraba Ni Ketut Sutiari Ni Luh Putu Suariani Ni Luh Putu Suariyani Ni Luh Putu Suariyani Ni Made Utami Dwipayanti Ni Nyoman Deni Witari Ni Nyoman Sudarti Ni Putu Suariani Ni Wayan Budi Astiti Ni Wayan Nursini Nyoman Tri Maryanthi Ova Emilia Pande Putu Januraga Puspitasari, Kadek Dina Putra, I Gusti Ngurah Edi Putri Mariani Putri Mariani, Putri Putu Ayu swandewi astuti Rina Listyowati Rina Listyowati, Rina Sakti, KM. Bima Sawitri, Putu Sri Partini, I Gusti Ngurah Suandana, Iwan Abdi Sulistyawati, Feni Supraba, Nandini Parahita Widaryati, Ni Luh Rahayu Yan Ramona

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