Ratu Matahari
Master of Arts Programme in Population and Reproductive Health Research, Institute Population and Social Research, Mahidol University, Thailand

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THE ROLE OF EDUCATION LEVEL IN INTIMATE PARTNER VIOLENCE AMONG PREGNANT WOMEN IN RURAL INDONESIA Laksono, Agung Dwi; Wulandari, Ratna Dwi; Matahari, Ratu
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 3 No 2 (2023): Juli - Desember 2023
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v3i2.504

Abstract

Background: Pregnancy is a physically and psychologically vulnerable period, and women with lower education tend to be more psychologically vulnerable. Objective: The study analyzes the role of education in intimate partner violence among pregnant women in rural Indonesia. Methods: The cross-sectional study uses secondary data from the 2017 Indonesian Demographic and Health Survey. The study employed 1,337 pregnant women who had partners in rural Indonesia. Apart from intimate partner violence as the dependent variable, this study involves education, age, marital, employment, wealth, parity, owning a house, and recent sexual activity as the independent variable. In the final stage, the author calculated the role using multivariable binary logistic regression. Results: The results show pregnant women with the education level in the no education category had 2.479 times the possibility of pregnant women with a higher education level experiencing intimate partner violence (AOR 2.479; 95% CI 1.158-5.305). Pregnant women with a primary education level have 1.650 times greater odds than those with a higher education level of experiencing intimate partner violence (AOR 1.650; 95% CI 1.059-2.571). On the other hand, pregnant women with a secondary education level have 1.682 times greater odds of experiencing intimate partner violence than those with a higher education level (AOR 1.682; 95% CI 1.094-2.585). Apart from education level, wealth status and the variable of owning a house are related to intimate partner violence among pregnant women in rural Indonesia. Conclusion: The study concluded that education level has a role in intimate partner violence in rural Indonesia.
Environmental Risk Factors of Leptospirosis: Systematic Review Maulana, Muchsin; Stefani, Devi; Matahari, Ratu; Wulandari, Wan Karmida
Epidemiology and Society Health Review (ESHR) Vol. 6 No. 1 (2024)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v6i1.9031

Abstract

Background: Leptospirosis is a zoonotic disease caused by the bacteria Leptospira sp. The incidence of Leptospirosis ranges from 0.1 to 10 per 100,000 per year globally. GIS is a tool to visualize data that considers effectiveness and efficiency when determining the priority areas of particular disease control. Method: This systematic review was based on some databases, Google Scholar, PubMed, and the BASE, for articles published from 2010 to 2020. PRISMA guideline was used during data screening. Results: Eight articles were reviewed that showed a pattern of distribution of cases of Leptospirosis: clustered, evenly, and randomly. We also found 15 environmental factors that influence Leptospirosis distribution:  the existence of the river, precipitation, sunshine, a history of the flood, the existence of the gutter, the condition of the garbage disposal, the existence of rice fields, the presence of vegetation, trap success, the existence of the road, the ownership of the pet, the presence of rats, altitudes, and land-use. Conclusion: 15 identified environmental risk factors influence the incidence of Leptospirosis, namely the existence of rivers, history of flooding, the existence of gutters, waste disposal conditions, rainfall, the existence of rice fields, population density, the existence of vegetation, the success of traps, the existence of ponds, the existence of roads, livestock ownership, presence of rats, altitude, and land use.
Teenage Pregnancy in Rural Indonesia: Does Education Level Have a Role? Wulandari, Ratna Dwi; Laksono, Agung Dwi; Matahari, Ratu
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1.2023.101-108

Abstract

Background: Teenage pregnancy is a high-risk pregnancy. Teenage pregnancy often gets social sanctions in the form of stigma from the community, and the loss of school rights. Objective: The research aims to analyze the role of education in teenage pregnancy in rural Indonesia. Methods: This study analyzed the data from the Indonesian Demographic and Health Survey 2017 using a cross-sectional approach. The unit of analysis was women aged 19-24 years old. The study pooled 1,982 women as samples. Besides the education level, other independent variables analyzed were marital, employment, and wealth. In the final stage of the study, a multivariate test with binary logistic regression was carried out. Results: The results showed that women with secondary education were 0.451 times less likely to experience teenage pregnancy than women with primary education (95% CI 0.354-0.574). Higher education was 0.110 times less likely to experience teenage pregnancy than primary education (95% CI 0.070-0.171). The study found two other variables related to teenage pregnancy in rural Indonesia besides educational factors. The two variables are employment status and wealth status. Conclusion: The study concluded that education level is associated with teenage pregnancy in Indonesia's rural areas. The lower the education level, the higher the chances of experiencing teenage pregnancy.
Knowledge of Sexually Transmitted Infections (STI’s) and HIV/AIDS among Health Cadres of ‘Aisyiyah Matahari, Ratu
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p421-425

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HIV / AIDS education needs to be done to active reproductive women such as housewives who are vulnerable populations. This research aimed to analyze differences in knowledge related to STIs and HIV / AIDS among Aisyiyah health cadres in North Banguntapan, Bantul Regency. This research is a pre-experimental research design method. The design of this research was one group pretest-posttest. The research sample was selected purposively as many as 31 respondents. This research produced information that there was a mean difference between prior and after knowledge about health education about STDs and HIV / AIDS with a significance value of 0.001 (p-value <0.05) and 95% CI of 0.466 - 1.728. Based on the results of the research it could be concluded that there was an increase of knowledge about STI and HIV / AIDS in Aisyiyah health cadres after getting health education.
STRESS AND INADEQUATE FRUIT-VEGETABLE INTAKE AS MODIFIABLE RISK FACTORS FOR TYPE 2 DIABETES IN YOGYAKARTA: Stres dan Konsumsi Buah-Sayur Kurang sebagai Faktor Risiko Modifiable Diabetes Tipe 2 di Yogyakarta Solikhah, Solikhah; Sulistiawan, Dedik; Matahari, Ratu; Rahmawati, Widya; Sarwani Sri Rejeki, Dwi
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.184-192

Abstract

Background: Type 2 diabetes mellitus (T2DM) remains a significant global public health issue, with rising prevalence, including in Indonesia. At the same time, numerous studies have investigated modifiable risk factors of T2DM. To date, stress, fruit, and green-leafy vegetable consumption as risk factors of T2DM remain limited. Purpose: This study investigated the association between stress, fruit, and green-leafy vegetable consumption with T2DM occurrence among individuals under the supervision of Kalasan Public Health Center, Sleman, Yogyakarta. Methods: A cross-sectional study was conducted among 356 registered outpatients selected through purposive sampling. Stress levels were measured using the WHO Self-Reporting Questionnaire, while fruit and vegetable consumption was assessed using the Indonesia Basic Health Research 2018 questionnaire. T2DM status was determined based on fasting blood sugar levels recorded in medical records and confirmed by a physician's diagnosis. Results: Stress was linked to a higher probability of T2DM (Adjusted Odds Ratio (AOR)=2.61; 95% CI=1.25–5.44). Consuming fruit and green-leafy vegetables 2–3 times per week was associated with a lower likelihood of having T2DM (AOR=0.27; 95%  CI=0.13–0.56 and AOR=0.07; 95%CI=0.03–0.20, respectively). Conclusion: Stress increases the probability of T2DM. Fruit and green-leafy vegetable consumption 2-3 times per week was associated with a reduced likelihood of T2DM. These findings emphasize the need for targeted public health interventions promoting stress management and healthy dietary patterns strategies to mitigate T2DM risk in primary healthcare settings.
Individual and community factors of early sexual debut among adolescents in Indonesia: Evidence from demographic and health survey Sulistiawan, Dedik; Arifa, Riza Fatma; Matahari, Ratu; Chakranon, Pairote
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 2, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss2.art5

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Background: Early sexual debut by adolescents is a major public health issue with long-term consequences for sexual and reproductive health. Research has highlighted the role of social skills, peer influence, and social norms in shaping the risk of early sexual initiation among adolescents. However, there is still insufficient evidenceto contextualize the contributing factors in socio-ecological framework, especially in the era of disruptive technologies in Indonesia.Objective: This study was to examine the individual and community-level factors associated with early sexual debut in adolescents socio-ecological framework.Methods: This cross-sectional study utilizing data from the 2017 Indonesia Demographic and Health Survey (IDHS). Individual-level factors included gender, age, work and school participation, dating experience, perceived peer pressure and access to sexual and reproductive health (SRH) information. Factors at community level include the area of residence and community internet access. Multilevel logistic regression was used, with effect sizes reported as odds ratios (OR) and 95% confidence intervals (CI).Results: Adolescents with dating experience (OR: 18.41; 95% CI: 8.14–41.62), those with friends who had an early sexual debut (OR: 6.24; 95% CI: 4.81–8.09), and those who had a good understanding of pregnancy prevention (OR: 1.73; 95% CI: 1.41–2.11) were more likely to experience early sexual debut. Protective factors included discussing SRH with teachers (OR: 0.76; 95% CI: 0.64–0.90) and first exposure to SRH education at the junior (OR: 0.60; 95% CI: 0.47–0.77) or senior high school level (OR: 0.41; 95% CI: 0.23–0.74). An analysis at Community-level has shown that adolescents in areas with high internet accessare 59% less likely to engage in early sexual debut than their counterparts.Conclusion: Individual and community-level factors, including internet access, influence adolescent early sexual debut. Reinforcing sexual and reproductive health education in formal education systems is essential, especially in areas with limited acces to internet.
COMMUNITY DIAGNOSIS PERMASALAHAN KESEHATAN DI NYUTRAN RT 64 RW 20, KELURAHAN WIROGUNAN, KOTA YOGYAKARTA Utami, Putri Retno; Matahari, Ratu
APMa Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2022): Juli 2022
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v2i2.311

Abstract

In 2021 there were 3956 cases of hypertension from 11218 people in Wirogunan Sub-district. The prevalence rate of hypertension in Wirogunan Sub-district reached 35.26%. This Field Learning Experience activity aims to provide education to the public on how to avoid the hypertension. The technique used in this activity to obtain data is the In-Depth Interview which is the technique through door-to-door interviews using questionnaires, while the data analysis method used is descriptive statistical analysis method, which is to present statistical data to describe the state of disease and health distribution in Nyutran Village. This activity was carried out in Nyutran Village, Wirogunan Sub-district, Yogyakarta City. The results of community diagnosis from 30 samples (Family Cards) in Nyutran Village showed cases of non-communicable diseases, namely hypertension as a priority health problem as many as 14 cases (46%), while the most cases of communicable diseases were diarrheal diseases as many as 12 cases (40%). The results of the Occupational Safety and Health (K3) assessment showed that there were 21 samples (70%) who did not use heavy objects moving aids, 11 samples (37%) did not use LPG safety, 14 samples (46%) used dug wells. USG method for hypertension obtained an Urgency value of 4 (Urgent / Large), Seriousness of 5 (Very Serious / Very Large) and Growth of 4 (Fast / Large). Solutions or Interventions in this Field Learning Experience activity were chosen with counseling activities about Hypertension using posters and pamphlets as intervention media. This intervention activity was carried out on July 7, 2022 in one of the residents' houses through a meeting of mothers for family welfare development.
Diagnosis Komunitas Permasalahan Kesehatan di RT 38, RW 09, Kelurahan Warungboto, Kecamatan Umbulharjo, DIY Tahun 2022 Kulo, Regita; Matahari, Ratu
APMa Jurnal Pengabdian Masyarakat Vol. 3 No. 2: Juli 2023
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v3i2.314

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Diagnosis komunitas merupakan suatu kegiatan yang digunakan untuk menentukan apakah terdapat masalah kesehatan pada sekelompok masyarakat dengan cara pemgumpulan data di lapangan. Tujuan dari community diagnosis adalah untuk mengidentifikasi dan menganalisis permasalahan kesehatan yang mendasar, menemukan prioritas masalah dan menyusun solusi hingga alternatif pemecahan masalah. Metode yang digunakan yaitu deskriptif yang bertujuan untuk mengetahui permasalahan kesehatan di RT 38, RW 09, Kelurahan Warungboto, Kecamatan Umbulharjo.  Identifikasi masalah menggunakan kuesioner wawancara mendalam dengan prioritas masalah menggunakan Metode USG. Penetapan prioritas masalah dengan MMD (Musyawarah Mufakat Desa). Intervensi dilakukan melalui penyuluhan. Proses evaluasi kegiatan dinilai berdasarkan formulir feedback yang dibagikan kepada masyarakat terkait media edukasi yang telah disampaikan. Masyarakat diharapkan lebih peduli terhadap Kesehatan khsususnya permasalahan kesehatan prioritas yang terjadi di RT 38, RW 09 yaitu COVID-19.