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Faktor yang Berhubungan dengan Niat Penggunaan MKJP Pascapersalinan Berdasarkan Theory of Planned Behavior pada Ibu Hamil di Puskesmas Gayamsari Chintya Dwi Yuni Anindya Putri; Alfiana Ainun Nisa; Muhammad Azinar
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2649

Abstract

Cakupan penggunaan KB pascapersalinan (KBPP) di Kecamatan Gayamsari pada ibu hamil yang menerima informasi kontrasepsi cukup tinggi (82,5%), namun 32,5% tetap tidak berniat menggunakan KB pascapersalinan. Selain itu, cakupan MKJP pascapersalinan pada 2025 hanya mencapai 23,41%, menjadikan Gayamsari salah satu kecamatan dengan capaian terendah. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan niat penggunaan MKJP pascapersalinan pada ibu hamil di Puskesmas Gayamsari. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Populasi mencakup semua ibu hamil di Puskesmas Gayamsari sebanyak 200 ibu hamil dengan sampel 146 responden yang ditentukan melalui purposive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan antara pengetahuan (p = 0,005; PR = 2,274), sikap (p = 0,015; PR = 1,758), norma subjektif (p = 0,021; PR = 1,710), dan persepsi kontrol perilaku (p = 0,039; PR = 1,610) dengan niat penggunaan MKJP pascapersalinan. Pengetahuan sebagai faktor paling dominan yang ditunjukkan oleh nilai PR tertinggi, yaitu 2,274. Kesimpulan dalam penelitian ini adalah niat penggunaan MKJP pascapersalinan dipengaruhi oleh pengetahuan, sikap, norma subjektif, dan persepsi kontrol perilaku. Oleh karena itu, diperlukan penguatan kebijakan program kesehatan ibu dan anak, khususnya melalui peningkatan edukasi dan konseling mengenai MKJP kepada ibu hamil dengan melibatkan suami atau keluarga guna meningkatkan niat penggunaan MKJP pascapersalinan.
Faktor yang Memengaruhi Niat Vasektomi di Negara Berkembang: Systematic Literature Review Berbasis Theory of Planned Behavior Elvira Junia Aliffa; Alfiana Ainun Nisa; Muhammad Azinar
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2702

Abstract

Bukti mengenai faktor yang memengaruhi niat vasektomi pada pria di negara berkembang masih terpecah, terbatas pada wilayah tertentu, dan belum secara konsisten mengintegrasikan komponen utama Theory of Planned Behavior (TPB). Penelitian ini bertujuan untuk mengidentifikasi faktor yang memengaruhi niat vasektomi di negara berkembang berbasis Theory of Planned Behavior. Desain studi ini menggunakan systematic literature review berdasarkan pedoman PRISMA. Artikel dikumpulkan dari database PubMed, Scopus, dan ScienceDirect menggunakan kata kunci dalam Bahasa Inggris. Dari 793 artikel ditemukan 11 artikel yang terdiri dari 9 penelitian kuantitatif dan 2 penelitian kualitatif yang sesuai dengan kriteria inklusi dan eksklusi. Artikel kemudian dianalisis dengan metode analisis naratif. Hasil kajian menunjukkan sikap, norma subjektif, dan persepsi kontrol perilaku merupakan faktor yang memengaruhi niat vasektomi di negara berkembang. Ketiga faktor tersebut bekerja saling berhubungan bukan hanya dari salah satu faktor saja dengan norma subjektif merupakan faktor paling dominan pada penelitian ini. Namun, tantangan berupa hambatan sosial, budaya, agama, sikap negatif, dan keterbatasan layanan vasektomi menyebabkan rendahnya niat melakukan vasektomi. Implikasi kebijakan menyoroti pentingnya strategi keluarga berencana yang lebih komprehensif, berpusat pada pria dan berbasis pasangan melalui kolaborasi lintas sektor, kampanye informasi yang relevan secara budaya, dan konseling yang berpusat pada pasangan.
PEMBERDAYAAN KOMUNITAS LOKAL BERBASIS PEER EDUCATOR MELALUI PENDEKATAN PARTICIPATORY EMPOWERMENT Alfiana Ainun Nisa; Efa Nugroho; Ayu Istiada; Rafidha Nur Alifah; Nikmatul Ilma Alkautsar
Journal of Community Empowerment Vol 4, No 1 (2025): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jce.v4i1.31994

Abstract

                                                                          ABSTRAK       Masalah kesehatan pada kelompok remaja di komunitas lokal merupakan isu strategis yang perlu mendapatkan perhatian khusus, terutama karena adanya kecenderungan perilaku berisiko yang dapat berdampak negatif terhadap kualitas hidup dan masa depan mereka. Hasil asesmen menunjukkan masih rendahnya penerapan perilaku hidup bersih dan sehat, serta kecenderungan melakukan perilaku berisiko seperti merokok, konsumsi minuman beralkohol, dan hubungan seksual pranikah. Kegiatan pengabdian ini bertujuan untuk memberdayakan komunitas lokal melalui peningkatan kapasitas pendidik sebaya (peer educator) sebagai agen perubahan dalam komunitas, dengan menggunakan pendekatan Participatory Empowerment. Program ini dilaksanakan melalui beberapa tahapan, yaitu analisis situasi, advokasi, pelatihan pendidik sebaya, serta implementasi posyandu remaja. Selain itu, dilaksanakan kegiatan posyandu remaja sebagai wadah berkelanjutan dalam penyebaran informasi kesehatan. Hasil kegiatan menunjukkan adanya peningkatan pemahaman remaja terhadap isu-isu kesehatan, terbentuknya forum komunikasi yang aktif, serta meningkatnya akses terhadap informasi dan layanan kesehatan. Dengan demikian, pendekatan pemberdayaan partisipatif melalui penguatan kapasitas peer educator terbukti menjadi strategi efektif dalam mendukung upaya promotif dan preventif kesehatan di komunitas lokal.ABSTRACTAdolescent health issues in local communities represent a strategic concern that requires special attention, particularly due to the tendency toward risky behaviors that can negatively affect their quality of life and future. Assessment results revealed a low level of implementation of clean and healthy living behaviors, as well as a tendency to engage in risky behaviors such as smoking, alcohol consumption, and premarital sexual activity. This community engagement program aims to empower local communities by strengthening the capacity of peer educators as agents of change through a Participatory Empowerment approach. The program was implemented in several stages, including situation analysis, advocacy, peer educator training, and the establishment of adolescent health posts (posyandu remaja). In addition, a youth communication forum was formed as a sustainable platform for disseminating health information. The results showed an increase in adolescents’ understanding of health issues, the formation of an active communication forum, and improved access to health information and services. Thus, the participatory empowerment approach through strengthening peer educator capacity has proven to be an effective strategy in supporting health promotion and prevention efforts in local communities.
Non-Pharmacological Interventions for Pregnancy-Specific Anxiety Among Pregnant Women: A Systematic Literature Review Kania Isha Maharani; Sofwan Indarjo; Alfiana Ainun Nisa
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 7 (2026): July 2026
Publisher : FORIKES

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

Abstract

Pregnancy specific anxiety is one of the most common mental health problems experienced by pregnant women and may negatively affect maternal and fetal outcomes. Various non-pharmacological interventions have been developed to reduce anxiety during pregnancy; however, evidence regarding the comparative effectiveness of these interventions remains heterogeneous. This study aimed to compare the effectiveness on non-pharmacological health promotion interventions in reducing pregnancy-specific anxiety among pregnant women. This study used a Systematic Literature Review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. Literature searches were conducted through PubMed, Scopus, and ScienceDirect databases for articles published between 2021-2025. A total of 16 articles met the inclusion criteria and were analyzed narratively using the JBI Critical Appraisal Tool. The findings showed that mindfulness-based interventions were the most consistently effective intervention in reducing pregnancy specific anxiety, stress, emotional distress, and fear of childbirth. Other interventions such as prenatal yoga, relaxation techniques, music therapy, antenatal education, psycological, digital interventions, and structured social support also demonstrated positive effects on maternal psycological wellbeing during pregnancy. Non-pharmacological health promotion interventions have the potential to support maternal mental health and can be integrated into antenatal care services.Keywords: pregnancy specific anxiety; pregnant women; health promotion; non-pharmacological intervention; systematic literature review
Adolescents and the Prostitution Industry: Changing Patterns of Prostitution, Motivations, Assessments, and Risks Faced Efa Nugroho; Alfiana Ainun Nisa; Bertakalswa Hermawati; Bambang Budi Raharjo; Erry H Kamka; Erina Slamet Saputri; Dwi Yunanto Hermawan; Heny Widyaningrum
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.16651

Abstract

The phenomenon of adolescents involved in the prostitution industry was widespread globally, including in Indonesia. This study focused on the changing patterns of prostitution, motivations, perceptions, and risks faced by adolescent sex workers. The research used a mixed-method approach, employing both quantitative and qualitative designs. Data were collected through surveys involving adolescent sex workers and general adolescents, as well as in-depth interviews with adolescent sex workers. The quantitative study included 360 respondents, comprising 180 general adolescents and 180 adolescent sex workers, while the qualitative study involved 30 adolescent sex workers as informants. The research was conducted in Bali, South Kalimantan, West Java, North Sulawesi, North Sumatra, and Central Java provinces. The findings revealed a shift in prostitution patterns among adolescents from conventional (street-based) prostitution to online prostitution via digital platforms. Adolescents had greater opportunities to become online sex workers due to the diversity of social media platforms and service types available. Economic factors accounted for 81.7% of adolescents' reasons for becoming sex workers. There was a disparity in perceptions between general adolescents and the actual challenges faced by adolescent sex workers. Among adolescent sex workers, 80% had low reproductive health knowledge, 23% had experienced sexually transmitted infections (STIs), 16% had faced unwanted pregnancies, and 7% had undergone abortions. It was concluded that there were significant changes in the patterns, motivations, perceptions, and risks associated with adolescent sex work.
Minimum Initial Service Package Readiness Assessment (MRA) for Reproductive Health in the Disaster Situation of Mount Merapi Eruption in Magelang Regency Rafidha Nur Alifah; Alfiana Ainun Nisa; Efa Nugroho; Sofwan Indarjo; Evi Widowati
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.29491

Abstract

The Minimum Initial Service Package Readiness Assessment (MRA) was a comprehensive tool used to evaluate a region’s preparedness in delivering priority reproductive health services during emergencies, as outlined in the MISP. In Indonesia, the MRA had only been implemented in four provinces, including Central Java. This study was the first research conducted in Magelang Regency. It aimed to describe the implementation of the Minimum Initial Service Package (MISP) for reproductive health during the Mount Merapi eruption disaster in Magelang Regency. A qualitative approach with a case study design was employed, involving 10 informants from government agencies, non-governmental organizations, and evacuation site managers. Data were collected through observation, in-depth interviews, and document review, with data validity ensured through triangulation of techniques and data sources. The data analysis included data reduction, data display, and conclusion drawing. The findings indicated that MISP implementation in Magelang Regency during the Mount Merapi eruption disaster remained suboptimal, particularly due to the absence of a dedicated reproductive health sub-cluster. Despite good coordination among government agencies, awareness and understanding of MISP among policymakers remained limited. Village midwives played a crucial role in health service provision at evacuation sites. However, socio-cultural constructs that perceived reproductive health issues during disasters as sensitive posed significant challenges.