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Family Support as a Factor Influencing the Provision of Exclusive Breastfeeding among Adolescent Mothers in Bantul, Yogyakarta Lailatussu’da, Maulida; Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

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Kehamilan remaja di Indonesia cukup tinggi. Kecamatan Sewon memiliki angka persalinan remaja tertinggi di Kabupaten Bantul pada tahun 2015-2016. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja di Kecamatan Sewon, Kabupaten Bantul. Penelitian ini menggunakan desain potong lintang dan sampel penelitian berjumlah 45 orang ibu usia remaja yang mempunyai bayi usia 6-24 bulan. Pengumpulan data menggunakan kuesioner terstruktur. Analisis bivariat menggunakan kai kuadrat dan fisher’s exact test, sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa 53.3% ibu usia remaja tidak memberikan ASI eksklusif. Analisis bivariat menunjukkan faktor status kehamilan (nilai p = 0.029), persepsi pengalaman melahirkan (nilai p= 0.045), persepsi menyusui (nilai p= 0.005), dukungan suami (nilai p= 0.009), dukungan keluarga (nilai p = 0,000) berhubungan dengan pemberian ASI eksklusif. Hasil analisis multivariat menunjukkan persepsi menyusui (nilai p = 0.015; RP = 9.746) dan faktor dukungan keluarga (nilai p = 0,014; RP = 7,637) sebagai faktor yang paling berpengaruh terhadap pemberian ASI eksklusif dengan probabilitas sebesar 72.7%. Masih rendahnya pemberian ASI ekslusif pada ibu remaja di Bantul, Yogyakarta, dan dukungan keluarga merupakan faktor paling dominan yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja. The number of adolescent pregnancies in Indonesia is still very high. Sewon Subdistrict had the highest number of adolescent deliveries in Bantul District in 2015-2016. This study aimed to determine factors influencing exclusive breastfeeding among adolescent mothers in Sewon Subdistrict, Bantul District. This study used cross-sectional study design and a sample size of 45 that were adolescent mothers of 6-24-month-old infants. Data was collected using a structured questionnaire. Data analysis involved bivariate analysis using chi-square test and fisher’s exact test, while multivariate analysis used logistic regression. Results showed that 53.3% of adolescent mothers did not practice exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p value = 0.029), perception of childbirth experience (p value = 0.045), perception of breastfeeding (p value = 0.005), husband support (p value = 0.009) and family support (p value = 0.000) were correlated to exclusive breasfeeding. Multivariate analysis showed that perception of breastfeeding (p value = 0.015; OR = 9.746) and family support (p value = 0.014; OR = 7.637) as the most influential factors to exclusive breastfeeding among adolescent mothers with a probability of 72.7%. There is low practice of exclusive breastfeeding among adolescent mothers in Bantul, Yogyakarta and family support is the most dominant factors influencing exclusive breastfeeding.

Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 14, No. 2
Publisher : UI Scholars Hub

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Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.

Adolescents' Attitude toward HIV/AIDS Prevention in Yogyakarta Tiranda, Meysa; Setiyawati, Nanik; Rahmawati, Anita
Kesmas Vol. 13, No. 2
Publisher : UI Scholars Hub

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Acquired immunodeficiency syndrome (AIDS) is the second leading cause of death in adolescent groups in the world. In Indonesia, the rate of human immunodeficiency virus (HIV)-infected adolescents increases annually. Yogyakarta, well-known as the education city, has the highest number of HIV/AIDS cases in the productive age group of 20–29 years old, which means that they have been already infected with HIV since teen age. This study aimed to determine influential factors that affect adolescents' attitude toward HIV/AIDS prevention. The study was an analytic survey research with a cross-sectional design. Stratified random sampling was applied to select a sample size of 128 respondents of class XI at Muhammadiyah 3 Yogyakarta Senior High School in 2017. Data were taken by using questionnaires that had been tested for validity and reliability. Data were analyzed by chi-square test and logistic regression. The results revealed that most of the respondents received information on HIV/AIDS from media (47.7%), have a good knowledge level (82%), and support the prevention of HIV/AIDS (96.9%). The source of information and knowledge level had a statistically significant relation with adolescents' attitude toward HIV/AIDS prevention. Knowledge level is the most influential factor to adolescents' attitude toward HIV/AIDS prevention (p value = 0.006, PR = 1.199; 95% confidence interval = 1052–1367).

Family Support as a Factor Influencing the Provision of Exclusive Breastfeeding among Adolescent Mothers in Bantul, Yogyakarta Lailatussu’da, Maulida; Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

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

Kehamilan remaja di Indonesia cukup tinggi. Kecamatan Sewon memiliki angka persalinan remaja tertinggi di Kabupaten Bantul pada tahun 2015-2016. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja di Kecamatan Sewon, Kabupaten Bantul. Penelitian ini menggunakan desain potong lintang dan sampel penelitian berjumlah 45 orang ibu usia remaja yang mempunyai bayi usia 6-24 bulan. Pengumpulan data menggunakan kuesioner terstruktur. Analisis bivariat menggunakan kai kuadrat dan fisher’s exact test, sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa 53.3% ibu usia remaja tidak memberikan ASI eksklusif. Analisis bivariat menunjukkan faktor status kehamilan (nilai p = 0.029), persepsi pengalaman melahirkan (nilai p= 0.045), persepsi menyusui (nilai p= 0.005), dukungan suami (nilai p= 0.009), dukungan keluarga (nilai p = 0,000) berhubungan dengan pemberian ASI eksklusif. Hasil analisis multivariat menunjukkan persepsi menyusui (nilai p = 0.015; RP = 9.746) dan faktor dukungan keluarga (nilai p = 0,014; RP = 7,637) sebagai faktor yang paling berpengaruh terhadap pemberian ASI eksklusif dengan probabilitas sebesar 72.7%. Masih rendahnya pemberian ASI ekslusif pada ibu remaja di Bantul, Yogyakarta, dan dukungan keluarga merupakan faktor paling dominan yang memengaruhi pemberian ASI eksklusif pada ibu usia remaja. The number of adolescent pregnancies in Indonesia is still very high. Sewon Subdistrict had the highest number of adolescent deliveries in Bantul District in 2015-2016. This study aimed to determine factors influencing exclusive breastfeeding among adolescent mothers in Sewon Subdistrict, Bantul District. This study used cross-sectional study design and a sample size of 45 that were adolescent mothers of 6-24-month-old infants. Data was collected using a structured questionnaire. Data analysis involved bivariate analysis using chi-square test and fisher’s exact test, while multivariate analysis used logistic regression. Results showed that 53.3% of adolescent mothers did not practice exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p value = 0.029), perception of childbirth experience (p value = 0.045), perception of breastfeeding (p value = 0.005), husband support (p value = 0.009) and family support (p value = 0.000) were correlated to exclusive breasfeeding. Multivariate analysis showed that perception of breastfeeding (p value = 0.015; OR = 9.746) and family support (p value = 0.014; OR = 7.637) as the most influential factors to exclusive breastfeeding among adolescent mothers with a probability of 72.7%. There is low practice of exclusive breastfeeding among adolescent mothers in Bantul, Yogyakarta and family support is the most dominant factors influencing exclusive breastfeeding.

Determinan Perilaku Tes HIV pada Ibu Hamil Setiyawati, Nanik; Meilani, Niken
Kesmas Vol. 9, No. 3
Publisher : UI Scholars Hub

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Human immunodeficiency virus (HIV) dan Acquired immune deficiency syndrome (AIDS) merupakan salah satu sorotan dalam pencapaian target Millenium Development Goals (MDGs). Ibu hamil dengan HIV akan berisiko menularkan kepada bayinya. Tes HIV merupakan gerbang pembuka status HIV yang sangat penting dilakukan pada ibu hamil. Penelitian ini bertujuan untuk menentukan determinan perilaku tes HIV pada ibu hamil yaitu tingkat pendidikan, tingkat pengetahuan, persepsi kerentanan diri tertular HIV, sikap, Provider-Initiated Testing and Counselling (PITC) dan ketersediaan sumber informasi (keluarga dan kader kesehatan). Jenis penelitian adalah potong lintang dengan metode survei. Penelitian ini dilakukan di Puskesmas Mantrijeron dan Puskesmas Sleman yang telah memiliki sarana pemeriksaan tes HIV dan telah menjalankan program Pencegahan Penularan dari Ibu ke Anak (PPIA). Subjek penelitian adalah ibu hamil yang berkunjung ke puskesmas tersebut pada bulan Agustus sampai dengan Oktober 2014 yang berjumlah 54 orang. Pengumpulan data menggunakan kuesioner. Analisis yang digunakan univariat, bivariat, dan multivariat. Hasil penelitian menunjukkan tidak ada hubungan tingkat pendidikan, tingkat pengetahuan tentang HIV dan AIDS, persepsi kerentanan diri dan sikap ibu. Ada hubungan antara PITC, ketersediaan sumber informasi tentang HIV dan AIDS dari keluarga dan kader kesehatan dengan perilaku tes HIV pada ibu hamil. PITC merupakan variabel yang paling berpengaruh terhadap perilaku tes HIV pada ibu hamil. Human immunodeficiency virus (HIV) and Acquired immune deficiency syndrome (AIDS) is one of highlighted issues in accomplishing Millenium Development Goals (MDGs) target. Pregnant women with HIV will transmit the virus to their babies. HIV testing is such an opening gate of HIV status that is very important to be conducted on pregnant women. This study aimed to determine the determinant of HIV testing behaviour among pregnant women including education level, knowledge level, perception of selfvulnerability to be HIV-infected, attitudes, Provider-Initiated Testing and Counseling (PITC) and availability of information (family and health workers). This study was cross sectional using a survey method. This study was conducted in Mantrijeron and Sleman Primary Health Care that had HIV testing facilities and executed prevention of mother to child transmission program. The subjects of this study were pregnant women visiting such primary health care on August up to October 2014, as much as 54 people. Data collecting used questionnaire. Analysed used were univariate, biviariate, and multivariate. The results showed no relation between educational level, knowledge level about HIV and AIDS, perception of self-vulnerability and attitudes of women.There was a relation between PITC, information source availability about HIV and AIDS from the family and health workers with HIV testing behaviour among pregnant women. PITC is the most influencing variable toward HIV testing behaviour among pregnant women.

Pemberdayaan masyarakat dalam pencegahan penyakit tidak menular dan kekurangan energi kronis pada ibu melalui Posbindu Setiyawati, Nanik; Meilani, Niken; Santi, Mina Yumei; Sulistyani, Ika Agustina
INDRA: Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 2 (2025): September
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/indra.v6i2.493

Non-communicable diseases (NCDs) can hinder the achievement of Sustainable Development Goals (SDGs). Posbindu involves the community's participation in conducting early detection activities and monitoring of NCD risk factors, carried out in an integrated, routine, and periodic manner. Integrated NCD risk factors (heart and vascular disease, diabetes, acute obstructive pulmonary disease, and cancer) as well as disorders due to accidents and acts of domestic violence are managed by the community through integrated guidance. These activities combine Posbindu activities to prevent NCDs, anemia, and Chronic Energy Deficiency (CHD) in women in accordance with the direction of Indonesia's Health Transformation. CHD is a condition in which a person's nutritional status is poor and they experience chronic malnutrition that causes health problems. Pregnant women with CHD are at risk of stunting babies. The aim is to empower the community through Posbindu and prevent NCDs, anemia, and CHD. Capillary blood tests using strips revealed that 16.7% of the participants suffered from anemia, 20% had high blood sugar, 23.3% had high cholesterol, and 36.6% had high uric acid levels. At the same time, upper arm circumference measurements revealed that 6.7% had CHD, and blood pressure measurements showed that 40% had hypertension, as a recommendation to integrate anemia and CHD screening into Posbindu activities.

Strategies and Determinants Influencing Cervical Cancer Screening Participation: A Narrative Review of Global Evidence Setiyawati, Nanik; Sulistyowati, Sri; Priyanto, Heru
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Cervical cancer remains a leading cause of morbidity and mortality among women worldwide, particularly in low- and middle-income countries. Despite the availability of effective screening methods such as Pap smear and HPV testing, participation rates remain suboptimal due to various social, cultural, and systemic barriers. Objective : This study aims to identify effective strategies and key determinants influencing women’s participation in cervical cancer screening across diverse cultural and geographical contexts. Research Methods/ Implementation Methods : A narrative synthesis of 12 peer-reviewed articles published between 2018 and 2025 was conducted. Articles were selected based on relevance to cervical cancer screening, including randomized controlled trials, cross-sectional surveys, systematic reviews, and meta-analyses. Key themes were extracted and analyzed for trends, effectiveness of interventions, and associated factors Results : Educational interventions, including empowerment programs and narrative media approaches, significantly increased screening knowledge and participation (p < 0.05). Opt-out invitation systems and community-based outreach campaigns demonstrated higher uptake compared with routine invitations. However, substantial gaps persist, particularly among rural and low-income women, due to limited awareness, fear, and cultural stigma. Factors such as education, income, age, parity, and contraceptive use were consistently associated with screening participation. Conclusion/Lesson Learned : Integrated strategies combining education, community empowerment, and opt-out systems effectively enhance cervical cancer screening uptake. Addressing sociocultural and economic barriers through context-specific public health interventions is essential. Further longitudinal studies are needed to evaluate the sustainability of these approaches in improving screening behavior.

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