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Sociodemographic and Cultural Aspects of the Gayo Community in Exclusive Breastfeeding in the Work Area of the Pegasing Health Center, Central Aceh Dewi, Nova Ratna; Hidayana; Irdayani
Open Access Indonesia Journal of Social Sciences Vol. 6 No. 1 (2023): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Exclusive breastfeeding is breastfeeding only, without additional fluids and other foods for the first 6 months. Economic, cultural, and sociodemographic factors are thought to influence mothers to keep working even though their babies still need exclusive breastfeeding. This study aimed to describe cultural and sociodemographic factors related to exclusive breastfeeding in the working area of the Pegasing Health Center, Central Aceh. This research is an observational study. A total of 73 mothers participated in this study. The inclusion criteria are mothers who have children aged 0-5 years, domicile in the Pegasing Health Center work area, and are willing to participate in this study. Sociodemographic data and the level of knowledge of mothers regarding exclusive breastfeeding were measured using a structured interview and questionnaire. Cultural aspects related to exclusive breastfeeding were explored through focus group discussions and in-depth interviews. The majority of participants had senior high school education (57.5%), family income was below the Central Aceh regional minimum wage (95.89%), and mothers' knowledge regarding exclusive breastfeeding was considered good (50.7%). Meanwhile, mothers considered that family support in breastfeeding was good (50.7%). However, support from health workers was considered to be lacking regarding exclusive breastfeeding (38.4%). Based on the results of the interviews, there are habits making up and myths about dena which inhibit exclusive breastfeeding in infants in the Gayo area. In conclusion, family income and cultural factors have a role in exclusive breastfeeding in the working area of the Pegasing Health Center, Central Aceh.

Sociodemographic and Cultural Aspects of the Gayo Community in Exclusive Breastfeeding in the Work Area of the Pegasing Health Center, Central Aceh Dewi, Nova Ratna; Hidayana; Irdayani
Open Access Indonesia Journal of Social Sciences Vol. 6 No. 1 (2023): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v6i1.149

Exclusive breastfeeding is breastfeeding only, without additional fluids and other foods for the first 6 months. Economic, cultural, and sociodemographic factors are thought to influence mothers to keep working even though their babies still need exclusive breastfeeding. This study aimed to describe cultural and sociodemographic factors related to exclusive breastfeeding in the working area of the Pegasing Health Center, Central Aceh. This research is an observational study. A total of 73 mothers participated in this study. The inclusion criteria are mothers who have children aged 0-5 years, domicile in the Pegasing Health Center work area, and are willing to participate in this study. Sociodemographic data and the level of knowledge of mothers regarding exclusive breastfeeding were measured using a structured interview and questionnaire. Cultural aspects related to exclusive breastfeeding were explored through focus group discussions and in-depth interviews. The majority of participants had senior high school education (57.5%), family income was below the Central Aceh regional minimum wage (95.89%), and mothers' knowledge regarding exclusive breastfeeding was considered good (50.7%). Meanwhile, mothers considered that family support in breastfeeding was good (50.7%). However, support from health workers was considered to be lacking regarding exclusive breastfeeding (38.4%). Based on the results of the interviews, there are habits making up and myths about dena which inhibit exclusive breastfeeding in infants in the Gayo area. In conclusion, family income and cultural factors have a role in exclusive breastfeeding in the working area of the Pegasing Health Center, Central Aceh.

Effectiveness of Midwifery Care for Family Planning (KB) Acceptors with IUD (Intrauterine Device): Study in Kayu Kul Village, Pegasing, Central Aceh, Indonesia Hidayana; Irdayani; MS, Sri Wahyuni
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.556

Family planning (KB) is one of the Indonesian government's priority programs to control the rate of population growth. IUD (Intrauterine Device) is an effective and popular family planning method in Indonesia. Quality midwifery care is important to ensure successful IUD use and increase acceptor satisfaction. This study aims to analyze the effectiveness of midwifery care for family planning acceptors with IUDs in Kayu Kul Village, Pegasing, Central Aceh, Indonesia. This study used a cross-sectional observational design involving family planning acceptors with IUDs in Kayu Kul Village, Pegasing, Central Aceh, Indonesia. Data was collected through structured interviews and observations of midwifery care provided to acceptors. Data were analyzed using univariate and bivariate analysis with the Chi-square test. The results showed that the majority of family planning acceptors with IUDs (80%) received effective midwifery care. Effective midwifery care includes: complete health screening, comprehensive education about IUD use, counseling about IUD side effects and complications, and regular monitoring of IUD use. Acceptors who received effective midwifery care had a higher level of satisfaction (90%) compared to acceptors who did not receive effective midwifery care (60%). Effective midwifery care has been proven to increase family planning acceptor satisfaction with the IUD. Therefore, it is important to improve the quality of midwifery care at Health Centers to ensure successful use of IUDs and increase acceptor satisfaction.

Analysis of the Effectiveness of Midwifery Care in Health Observations of 24-Month-Old Toddlers: Study in Kute Rayang Village, Central Aceh, Indonesia Irdayani; Widya Apriani; MS, Sri Wahyuni
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.559

Toddler health is an important indicator of public health and nation development. Midwifery care plays an important role in maintaining the health of toddlers, including observing the health of toddlers aged 24 months. This study aims to analyze the effectiveness of midwifery care in observing the health of 24-month-old toddlers in Kute Rayang Village, Central Aceh, Indonesia. This study used a cross-sectional observational design with a sample of 100 toddlers aged 24 months who were selected at simple random. Data was collected through interviews, observation, and physical examination. Data analysis was carried out using Chi-square and T-test. The results showed that midwifery care in observing the health of 24-month-old toddlers in Kute Rayang Village, Central Aceh, Indonesia was quite effective. As many as 80% of toddlers have undergone complete health observation by midwives. Observation of toddler health has increased complete immunization coverage (p<0.05), nutritional status of toddlers (p<0.05), and maternal knowledge about toddler health (p<0.05). Midwifery care in health observations for 24-month-old toddlers in Kute Rayang Village, Central Aceh, Indonesia is quite effective, but can still be improved. Increasing the effectiveness of midwifery care can be done through various efforts, including increasing the knowledge and skills of midwives, increasing community access to health services, and increasing community participation in maintaining the health of toddlers.

Intimate Partner Violence and Its Effects on Maternal and Child Health: A Longitudinal Study in Bener Meriah Regency, Aceh, Indonesia Widya Apriani; Irdayani; Hida Yana
Open Access Indonesia Journal of Social Sciences Vol. 7 No. 6 (2024): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v7i6.275

Intimate partner violence (IPV) is a significant public health issue with devastating consequences for maternal and child health. This study investigates the prevalence and impact of IPV on pregnant women and their children in Bener Meriah Regency, Aceh, Indonesia, a region with limited research on this topic. A longitudinal study was conducted with 250 pregnant women recruited from antenatal clinics in Bener Meriah Regency. Data were collected through questionnaires and interviews at three time points: during pregnancy, six months postpartum, and one year postpartum. The questionnaires assessed IPV experiences, maternal mental health (depression, anxiety, and stress), and child health outcomes (birth weight, growth, and development). The prevalence of IPV during pregnancy was 32%. Women who experienced IPV were significantly more likely to suffer from depression, anxiety, and stress during pregnancy and postpartum. IPV was also associated with lower birth weight and an increased risk of developmental delays in children. In conclusion, this study highlights the serious consequences of IPV for maternal and child health in Bener Meriah Regency. The findings underscore the urgent need for IPV screening and intervention programs in antenatal and postnatal care settings. Midwives play a critical role in identifying and supporting women experiencing IPV.

Intimate Partner Violence and Its Effects on Maternal and Child Health: A Longitudinal Study in Bener Meriah Regency, Aceh, Indonesia Widya Apriani; Irdayani; Hida Yana
Open Access Indonesia Journal of Social Sciences Vol. 7 No. 6 (2024): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v7i6.275

Intimate partner violence (IPV) is a significant public health issue with devastating consequences for maternal and child health. This study investigates the prevalence and impact of IPV on pregnant women and their children in Bener Meriah Regency, Aceh, Indonesia, a region with limited research on this topic. A longitudinal study was conducted with 250 pregnant women recruited from antenatal clinics in Bener Meriah Regency. Data were collected through questionnaires and interviews at three time points: during pregnancy, six months postpartum, and one year postpartum. The questionnaires assessed IPV experiences, maternal mental health (depression, anxiety, and stress), and child health outcomes (birth weight, growth, and development). The prevalence of IPV during pregnancy was 32%. Women who experienced IPV were significantly more likely to suffer from depression, anxiety, and stress during pregnancy and postpartum. IPV was also associated with lower birth weight and an increased risk of developmental delays in children. In conclusion, this study highlights the serious consequences of IPV for maternal and child health in Bener Meriah Regency. The findings underscore the urgent need for IPV screening and intervention programs in antenatal and postnatal care settings. Midwives play a critical role in identifying and supporting women experiencing IPV.

Early Initiation of Breastfeeding (EIBF) Practices in Bener Meriah Regency, Aceh, Indonesia: A Cross-Sectional Study on the Role of Midwives in Reducing Infant Mortality Irdayani; Widya Apriani; Hida Yana
Archives of The Medicine and Case Reports Vol. 5 No. 4 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i4.646

Early initiation of breastfeeding (EIBF) is critical for reducing infant mortality and improving child health outcomes. Midwives play a crucial role in promoting and supporting EIBF. This study investigated EIBF practices in Bener Meriah Regency, Aceh, Indonesia, focusing on the factors associated with midwives' knowledge, attitudes, and practices regarding EIBF. A cross-sectional study was conducted among 150 midwives in Bener Meriah Regency. Data were collected using a structured questionnaire that included items on sociodemographic characteristics, knowledge, attitudes, and practices related to EIBF. Descriptive statistics, chi-square tests, and logistic regression were used to analyze the data. The majority of midwives (87.3%) had good knowledge about EIBF. However, only 62.7% of midwives reported always assisting mothers with EIBF within one hour of birth. Factors significantly associated with midwives' EIBF practices included their age, years of experience, and place of work (urban vs. rural). While midwives in Bener Meriah Regency generally possess adequate knowledge about EIBF, there is a need to improve their practices in assisting mothers with EIBF, especially in rural areas. Targeted interventions, such as training programs and supportive supervision, are necessary to enhance midwives' skills and confidence in promoting and supporting EIBF.

Beyond Peer Influence: The Combined Effect of Self-Driven Motivation and Strong Family Bonds on Sexual Decision-Making Irdayani; Widya Apriani; Sri Wahyuni; Nova Ratna Dewi; Hidayana
Scientia Psychiatrica Vol. 6 No. 4 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i2.189

Introduction: Adolescent engagement in risky sexual behavior remains a significant public health concern. While peer influence is widely studied, understanding the protective roles of intrinsic factors like self-driven motivation and proximal systems such as strong family bonds is crucial for comprehensive intervention strategies. This study aimed to investigate the combined effect of self-driven motivation and family bonds on sexual decision-making among adolescents in Wih Pesam District, Bener Meriah Regency, Indonesia. Methods: A cross-sectional survey was conducted with 198 adolescents. Standardized questionnaires assessed self-driven motivation (including components of needs, drive, and goals), family bonds (overall family support and its dimensions: informational, appraisal, instrumental, emotional), and engagement in risky sexual behavior. Data analysis included descriptive statistics, bivariate chi-square tests, and multivariate logistic regression. Results: Findings indicated that 45.5% of adolescents engaged in risky sexual behavior. A majority reported high overall self-driven motivation (46.5%) and high overall family support (49.5%). Bivariate analyses revealed significant associations between components of self-driven motivation, family support, and risky sexual behavior (all p < 0.05). The multivariate logistic regression analysis demonstrated that, after controlling for other factors, higher overall self-driven motivation (High vs. Low: OR=0.40, 95% CI [0.20–0.78], p=0.007) and higher overall family support (High vs. Low: OR=0.25, 95% CI [0.12–0.51], p<0.001) were significantly associated with reduced odds of engaging in risky sexual behavior. Family support emerged as a particularly strong protective factor. The overall multivariate model was significant (p < 0.001) and explained approximately 38% of the variance (Nagelkerke R-squared = 0.38). Conclusion: Both self-driven motivation and strong family bonds are significant protective factors against risky sexual behavior among adolescents in this Indonesian context, with family support showing a more dominant influence. These findings underscore the importance of interventions aimed at fostering adolescents' internal resilience and strengthening positive family environments to promote healthier sexual decision-making, thereby looking beyond peer influence as the sole determinant.

Faktor yang Berhubungan dengan Kejadian Diabetes Melitus pada Masyarakat Usia >45 Tahun Yana, Hida; Usrina, Nora; Irdayani; Dewi, Nova Ratna; Norisa, Nanda; Hanum, Nisrina; Zakaria, Radhiah
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/95s8z244

Diabetes mellitus (DM) is a chronic metabolic disorder whose increasing prevalence poses a major public health challenge. Adults aged 45 years and older are particularly vulnerable because of age-related changes in glucose metabolism. This study aimed to identify factors associated with DM among adults aged ≥45 years in Bener Meriah Regency. This cross-sectional study included 235 residents of Mekar Ayu Village, Timang Gajah District, selected using total population sampling. Data on dietary patterns, lifestyle, and sleep patterns were collected using questionnaires, while diabetes status was determined through blood glucose measurement. Data were analyzed using univariate analysis, the chi-square test, and multiple logistic regression with a 95% confidence interval. Diabetes was identified in 64 participants, resulting in a prevalence of 27.2%. Dietary patterns, lifestyle, and sleep patterns were significantly associated with the condition. Poor dietary patterns were the strongest associated factor. Participants with poor dietary patterns had 6.54 times higher odds of having DM than those with healthy dietary patterns after adjustment for lifestyle and sleep patterns (AOR = 6.54; 95% CI: 3.22–13.27; p < 0.001). The findings indicate that diabetes is relatively prevalent among adults aged ≥45 years in the study area, with dietary patterns as the most dominant associated factor. Community health centers should strengthen nutrition education, practical dietary counseling, promotion of active lifestyles and healthy sleep habits, and regular screening of high-risk adults.

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