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HUBUNGAN SELF EFFICACY DENGAN PENCEGAHAN DINI KANKER SERVIKS PADA WANITA USIA SUBUR DI WILAYAH KERJA PUSKESMAS KENCONG JEMBER: HUBUNGAN SELF EFFICACY DENGAN PENCEGAHAN DINI KANKER SERVIKS PADA WANITA USIA SUBUR DI WILAYAH KERJA PUSKESMAS KENCONG JEMBER Laksmana, Brylion Nando; Azza, Awatiful; Indriyani, Diyan
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 14 No. 1 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v14i1.11693

Abstract

Kanker serviks merupakan kanker ganas pada wanita yang mengancam kesehatan wanita dengan dampak kematian. Deteksi dini dipandang sebagai cara yang paling efisien untuk mencegah kasus kanker serviks. Penelitian ini bertujuan untuk mengetahui hubungan self efficacy dengan pencegahan dini kanker serviks pada wanita usia subur. Penelitian ini menggunakan design cross sectional. Populasi pada penelitian ini adalah Wanita Usia Subur di Wilayah Kerja Puskesmas Kencong Jember dengan melibatkan sebanyak 104 partisipan. Partisipan dipilih menggunakan teknik cluster random sampling yang memenuhi kriteria inklusi. Data diambil menggunakan kuesioner. Data dianalisis menggunakan uji Spearman Rho. Hasil penelitian menunjukan pada wanita usia subur paling banyak memiliki tingkat self efficacy yang rendah (39,4%), tingkat pencegahan kurang (52,9%). Analisis bivariate menunjukkan secara signifikan terdapat hubungan self efficacy dengan pencegahan dini kanker serviks pada wanita usia subur (p-value = <0,001; α= 0,05; r = 0,553). Temuan ini memberikan bukti bahwa semakin tinggi self efficacy pada wanita usia subur akan diikuti dengan semakin baik perilaku pencegahan dini kanker serviks. Pengalaman pribadi wanita usia subur dalam skrining kanker serviks berkontribusi pada efikasi diri mereka melalui dua proses: penyelesaian skrining itu sendiri dan internalisasi pengalaman skrining.
PKM Kader Posyandu dalam percepatan penurunan stunting melalui ketrampilan pengolahan snack bar Azza, Awatiful; Rohmah, Nikmatur; Nalawati, Ara Nugrahayu
SINAR SANG SURYA Vol 9, No 1 (2025): Februari 2025
Publisher : UM Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/sss.v9i1.3569

Abstract

 ABSTRAK Stunting merupakan bentuk kekurangan gizi yang mempengaruhi pertumbuhan dan perkembangan bayi sebelum lahir dan awal setelah lahir. Pemberian nutrisi yang baik pada ibu selama hamil maupun pada saat 1000 hari pertama setelah kelahiran dapat mencegah terjadinya stunting. Kegiatan pelatihan pada program kemitraan masyarakat ini bertujuan untuk meningkatkan kemampuan kader dalam ketrampilan pengolahan snack bar berbahan labu kuning untuk mencegah stunting.Metode pelaksanaan kegiatan adalah pelatihan pada 15 kader posyandu di Kecamatan Sukorambi yang dipilih secara purposive sampling, dengan kriteria kader aktif dalam kegiatan posyandu, menguasai teknik pengolahan makanan ringan, memiliki kemampuan komunikasi yang baik dan mampu bekerja sama secara tim. Tahapan kegiatan diawali dengan memberikan edukasi tentang manfaat labu kuning untuk mencegah stunting dan dilanjutkan dengan pelatihan proses pembuatan snack bar. Untuk menilai keberhasilan program pelatihan kader ini maka dilakukan pengukuran pengetahuan sebelum dan sesudah dilakukan pelatihan. Hasil pelaksanaan kegiatan diperoleh bahwa kegiatan pelatihan dapat mempengaruhi kemampuan kader tentang manfaat labu kuning, kandungan gizinya dan proses pengolahan snack bar pada CI 95% (-0,60450; -1,26207), dengan p value 0,00.Kader posyandu sebagai ujung tombak pelayanan kesehatan di tingkat dasar harus memiliki wawasan dan kompetensi yang luas untuk membantu masyarakat dalam percepatan penurunan stunting. Kata kunci: labu kuning, pelatihan kader, stunting.  ABSTRAKStunting merupakan salah satu bentuk kekurangan gizi yang mempengaruhi pertumbuhan dan perkembangan bayi sebelum lahir dan setelah lahir. Pemberian gizi yang baik kepada ibu selama masa kehamilan dan 1000 hari pertama setelah lahir dapat mencegah terjadinya stunting. Kegiatan pelatihan dalam program kemitraan masyarakat ini bertujuan untuk meningkatkan kemampuan kader dalam keterampilan mengolah camilan labu kuning untuk mencegah terjadinya stunting.Metode pelaksanaan kegiatan adalah pelatihan kepada 15 kader posyandu di Kecamatan Sukorambi yang dipilih secara purposive sampling, dengan kriteria kader aktif dalam kegiatan posyandu, menguasai teknik pengolahan makanan ringan, memiliki kemampuan komunikasi yang baik dan mampu bekerja sama dalam tim. Tahapan kegiatan diawali dengan pemberian edukasi tentang manfaat labu kuning untuk mencegah stunting dan dilanjutkan dengan pelatihan proses pembuatan snack bar. Untuk menilai keberhasilan program pelatihan kader ini, dilakukan pengukuran pengetahuan sebelum dan sesudah pelatihan.Hasil pelaksanaan kegiatan menunjukkan bahwa kegiatan pelatihan dapat mempengaruhi kemampuan kader tentang manfaat labu kuning, kandungan gizinya dan proses pengolahan snack bar pada 95% CI (-0.60450; -1.26207), dengan nilai p sebesar 0,00.Kader posyandu sebagai ujung tombak pelayanan kesehatan di tingkat dasar harus memiliki wawasan dan kompetensi yang luas untuk membantu masyarakat dalam mempercepat penurunan angka stunting. Kata kunci: labu, pelatihan kader, stunting
Hubungan Dukungan Orang Tua Berbasis “Caring” dengan Pola Asuh Anak Balita Rohmah, Nikmatur; Azza, Awatiful; Nugrahani, Ely Rahmatika
Jurnal Kesehatan Vol 13 No 1 (2025): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v13i1.554

Abstract

Parental support is an important asset in raising toddlers. However, there are very few studies on "caring"-based parental support. The research aims to analyze the relationship between "caring"-based parental support and parenting patterns for toddlers—cross-sectional research design. The population is parents who have children under five in Jelbuk District, Jember Regency, East Java, Indonesia. The sample numbered 331 which were chosen randomly. The input variable is "caring" support which consists of trustworthy, respectful, empathetic, caring, and communicative. The outcome variable is parenting patterns for toddlers. Data were collected using a questionnaire technique, with the instrument being a structured questionnaire form. Data analysis uses logistic regression. The results of the study show that there is a relationship between parental support based on "caring" and parenting patterns for toddlers. Parents who care enough have a 3.46 times higher potential to provide good parenting compared to parents who care less (AOR 3.46; CI 95% 1.160-10.314). Parents who care a lot have 11,368 times higher potential to provide good parenting compared to parents who care less (AOR 11.368; CI 95% 3.411-37.883). Highly communicative parents have a 39.580 times higher potential for providing good parenting compared to less communicative parents (AOR 39.580; CI 95% 4.680-34.717). Caring and communicativeness are caring elements in parental support most related to child parenting. This study recommends a collaborative parenting program to improve parents' ability to build healthy communication and meaningful care for children under five.
Effect of implementing childbirth preparation classes on women's self-efficacy and pregnancy outcomes Azza, Awatiful; Sasarari, Zusana A; Nurafriani, Nurafriani; S, Irmawati; Yunus, Muh
Jurnal Ilmiah Kesehatan Sandi Husada Vol 14 No 1 (2025): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v14i1.1245

Abstract

Introduction: Childbirth preparation classes play a crucial role in equipping pregnant women with the knowledge and skills necessary to face labor with confidence. Low maternal self-efficacy is often associated with increased anxiety, longer labor duration, and negative birth experiences. This study examines how implementing childbirth preparation classes affects women’s self-efficacy and pregnancy outcomes. Research Methodology: This quasi-experimental study used a pre-test and post-test control group design. 60 pregnant women in their third trimester were recruited and randomly assigned to either the intervention group (n=30), who received childbirth preparation classes, or the control group (n=30), who received standard antenatal care. The classes were conducted over four sessions, covering the labor process, pain management, relaxation techniques, and postpartum care. Self-efficacy was measured using the Childbirth Self-Efficacy Inventory (CBSEI), while pregnancy outcomes were assessed through medical records and post-delivery interviews. Result: The results showed a statistically significant increase in self-efficacy scores in the intervention group compared to the control group (p < 0.01). Additionally, women in the intervention group experienced shorter labor durations, lower cesarean section rates, and higher satisfaction with their birth experience. There were no significant differences in neonatal outcomes between the two groups. Conclusion: Implementing childbirth preparation classes positively influences maternal self-efficacy and improves several pregnancy outcomes. Integrating such programs into routine antenatal care can enhance maternal confidence and promote safer, more positive birth experiences
Behavioral risk factors and maternal nutrition as predictors of pre-eclampsia among pregnant women in rural areas: cross-sectional study Azza, Awatiful; Esti Yunitasari; Mira Triharini; Susilo, Cipto
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.47248

Abstract

Introduction: The behavior of pregnant women in caring for pregnancy is influenced by the environment, culture, and lifestyle of the community. This study aimed to analyze the behavior of pregnant women and their nutritional status during pregnancy contributes to the incidence of pre-eclampsia  in rural areas. Methods: This study used a cross-sectional approach to 210 pregnant women who visited a community health center in East Java, Indonesia, in the period June 2020-February 2022. Potential risk factors, including maternal behavior in care during pregnancy, and obesity were evaluated as determinants of pre-eclampsia and its subtypes. The assessment instrument uses a structured questionnaire and has been tested for validity and reliability. Logistic regression analysis was used to determine potential risk factors. Odds ratios with 95% confidence intervals (CI) were calculated to estimate the effects of individual factors. All statistical analyses were performed with SPSS version 22.0 with a p-value < 0.05 considered significant. Results: There were 65 (31%) pregnant women experiencing pre-eclampsia from 210 samples. Maternal behavior during pregnancy could predict the incidence of pre-eclampsia (p = 0.001; 95% CI 0.121-0.583; OR = 0.266) while obesity was able to predict pre-eclampsia (p = 0.00; 95% CI 1.705-5.209; OR = 3.00). the age of pregnant women p = 0.014; 95% CI 1.143-3,355; OR = 1.959), and history of hypertension p = 0.036; 95% CI 1.053 – 4.550; OR = 2.189). Conclusions: The behavior and nutritional status of pregnant women have been proven to influence the incidence of pre-eclampsia.
Impact of nursing interventions on the implementation of primary health care policies: A Systematic Review Azza, Awatiful; A. Sasarari, Zusana; Komariah Sambas, Etty; Muzfah, A. Wardah
Jurnal Edukasi Ilmiah Kesehatan Vol. 3 No. 3 (2025): Jurnal Edukasi Ilmiah Kesehatan
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/junedik.v3i3.144

Abstract

Introduction: Primary health care (PHC) is recognized as the foundation of equitable and sustainable health systems. Nursing interventions are essential in translating PHC principles into effective practice. However, limited synthesized evidence exists on the effectiveness of nursing-led initiatives within PHC policy frameworks. This review aimed to evaluate the impact of nursing interventions on the implementation of PHC policies, with the hypothesis that structured nursing interventions enhance health outcomes, policy adherence, and community engagement. Methods: Following the PRISMA guidelines, a systematic search was conducted across PubMed, CINAHL, Scopus, and Cochrane Library for studies published between 2010 and 2025. Eligible studies included randomized controlled trials, quasi-experimental, and observational designs assessing nursing-led interventions in PHC settings. Two reviewers independently performed data extraction and quality appraisal. Due to methodological heterogeneity, a narrative synthesis was employed. Results: A total of studies demonstrated that nursing interventions such as health education, chronic disease management, maternal-child health support, and community empowerment significantly improved service accessibility, patient satisfaction, and adherence to PHC policy objectives. Moreover, community-based nursing initiatives strengthened preventive care delivery and promoted equity in service utilization. Conclusion: The findings confirm that nurses are pivotal in operationalizing PHC policies. Strengthening nursing capacity through training, policy integration, and resource allocation can accelerate progress toward universal health coverage. Further research is needed to establish standardized evaluation frameworks and measure long-term policy impacts of nursing interventions in PHC systems.
a Purple Sweet Potato-based Entrepreneurship Training to Build a Creative Economy in Kemiri Panti Village: Purple Sweet Potato-based Entrepreneurship Training to Build a Creative Economy in Kemiri Panti Village Yuliarti, Norita; Azza, Awatiful; Putra Setiawan, Andika; Indra Wardhana, Danu
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 10 No 3 (2025): J-Dinamika
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-dinamika.v10i3.6386

Abstract

Penguatan ekonomi keluarga merupakan salah cara untuk mengatasi kemiskinan ekstrem ditengah kondisi ekonomi yang tidak menentu Desa Kemiri merupakan salah satu desa di kabupaten Jember yang memiliki potensi untuk dikembangkan menjadi desa mandiri secara ekonomi, terletak di Kecamatan Panti. Ubi ungu merupakan salah satu hasil pertanian yang banyak didapatkan di desa Kemiri dengan produksi mencapai 528,53 Ton. Zat gizi yang terkandung di dalam ubi ungu sendiri sangat baik untuk kesehatan terutama ibu hamil. Umumnya ubi ungu di Jember hanya dimanfaatkan sebagai makanan kudapan seperti kolak atau hanya direbus. Es krim berbahan ubi ungu dapat menjadi salah satu solusi bagaimana memanfaatkan produksi pertanian ini menjadi nutrisi yang bernilai gizi tinggi untuk kesehatan ibu hamil dan bernilai ekonomis sebagai usaha rumahan. Kondisi tersebut membutuhkan kerjasama dengan berbagai pihak, baik formal maupun informal serta masyarakat. Salah satu diantaranya adalah melalui pemberdayaan kader posyandu sebagai pemberi layanan kesehatan yang paling dasar dan dekat dengan masyarakat.Melalui kegiatan pengabdian kepada masyarakat ini diharapkan akan meningkatkan pemahaman dan pengetahuan mitra tentang kewirausahaan dan pengembangan ekonomi kreatif, serta pelatihan pembuatan ice ream ubi ungu dan di harapkan kader posyandu desa Kemiri dapat meningkatkan wirausaha pembuatan ice cream ubi ungu yang baik untuk ibu hamil
MODEL PEMBELAJARAN APLIKATIF DETEKSI DINI STUNTING TERHADAP PENINGKATAN KOMPETENSI KADER ‘AISYIYAH Azza, Awatiful; Susilo, Cipto
Ensiklopedia Research and Community Service Review Vol 5, No 2 (2026): Vol. 5 No. 2 Februari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i2.3797

Abstract

Abstract: Stunting is a significant public health problem in Jember Regency and has a long-term impact on the quality of human resources. Efforts to accelerate stunting reduction require active community involvement through strengthening the capacity of local organization-based health cadres. This study aims to analyze the application of an applied learning model for early stunting detection to improve the competence of 'Aisyiyah cadres in the community. The study used a quasi-experimental design with a one-group pretest–posttest design approach. The subjects were Aisyiyah cadres who participated in early stunting detection training. The intervention was an applied learning model that emphasized direct practice, anthropometric measurement simulations, the use of detection tools, and field mentoring. Cadre competency measurements included aspects of knowledge, attitudes, and skills before and after the intervention. Data analysis was conducted using statistical tests to determine differences in pretest and posttest scores. The results showed a significant increase in cadre competency after being given the applied learning model. There was a very significant difference between pre-test and post-test scores in 20 participants (Z = -3.195, p < 0.001, r = 0.89). Improvements were seen in understanding the concept of stunting, the accuracy of anthropometric measurements, and the ability of cadres to educate mothers of toddlers. The applied learning model has proven effective in increasing cadre readiness for early detection of stunting in the community. This learning model can be used as a community-based training strategy to support programs to accelerate stunting reduction.Keywords: Early Detection; Stunting; Cadre Competency; Applied Learning Model.
Pemberdayaan Kader Posyandu dalam Mencegah Preeklampsia Melalui Olahan Edamame Azza, Awatiful; Wardhana, Danu Indra; Lestari, Tini Dwi; Septiana, Tarissa Issa; Maulana, Muhammad Andrian
Journal of Community Development Vol. 6 No. 3 (2026): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v6i3.1600

Abstract

Preeclampsia is a pregnancy complication that contributes to maternal morbidity and mortality, while the knowledge of posyandu cadres and pregnant women regarding preeclampsia prevention remains limited, particularly in the utilization of local nutritious food. The main problem faced by the community partners was the low level of understanding among cadres and pregnant women about preeclampsia and the suboptimal use of edamame as an alternative nutritional source for its prevention. This community service program aimed to empower posyandu cadres through health education and training in processing edamame into an easy-to-consume beverage for pregnant women. The methods applied included socialization, education on preeclampsia and the nutritional benefits of edamame, as well as demonstrations and hands-on training in preparing edamame latte. The activity involved 6 posyandu cadres, 2 midwives, 4 pregnant women, and 17 mothers with toddlers at Posyandu Dahlia 35, Glagahwero Village, Jember Regency. The results showed an increase in knowledge regarding preeclampsia prevention among participants by 95% and an improvement in skills related to edamame processing by 95%. This program had a positive impact on strengthening the role of posyandu cadres as community health educators and promoting the utilization of local food resources as a supportive strategy for preventing preeclampsia at the community level.
Co-Authors Ara Nugrahayu Nalawati Aziza, Hilliya Adzillatun Cipto Susilo, Cipto Damayanti, Elfira Diyan Indriyani, Diyan Dwiningtyas, Wilujeng Ely Rahmatika Nugrahani, Ely Rahmatika Esti Yunitasari Jannah, Faiqotul Kholifa, Siti Kholifah , Siti Komariah Sambas, Etty Laksmana, Brylion Nando Lestari, Tini Dwi Magfiroh , Lailatul Mangkuluhur, Ando Marni Marni Maulana, Muhammad Andrian Mudhofar, Muhamad Nor Muzfah, A. Wardah Nurdin Nurdin Rifah, Muttimatur Rohmah, Nikmatur S, Irmawati Salsabila, Yasminta Septiana, Tarissa Issa Setiawan, Andika Putra SITI KHOLIFAH Triharini, Mira Wardhana, Danu Indra Yuliarti, Norita Yunus, Muh Zamli Zusana A Sasarari