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Analysis of the Study of the Impact of Reproductive Health on Young Women Who Perform Elopements (Menik) in the Gayo Community, Central Aceh Regency, Indonesia: A Phenomenological Study Apriani, Widya; Nova Ratna Dewi; Sri Wahyuni.MS
Open Access Indonesia Journal of Social Sciences Vol. 7 No. 4 (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.v7i4.254

Introduction: Elopement (menik) is a traditional wedding tradition in the Gayo community, Central Aceh. This tradition often involves young women who are not physically and mentally ready to marry and have children. This research aims to analyze the impact of reproductive health on young women who elope (menik) in the Gayo community, Central Aceh Regency, Indonesia, using a phenomenological approach. Methods: This research was conducted using qualitative phenomenological methods. Data was collected through in-depth interviews with 15 young women who eloped (menik) and 5 key informants. Data were analyzed using thematic analysis techniques. Results: Research findings show that elopement (menik) has a negative impact on the reproductive health of Gayo young women. These negative impacts include: Poor reproductive health: Young women who elope (menik) are at greater risk of experiencing pregnancy and childbirth complications, reproductive tract infections, and sexually transmitted diseases. Pregnancy and childbirth at a young age: Young women who elope (menik) generally become pregnant and give birth at a young age, which can endanger the health of the mother and baby. Lack of access to reproductive health services: Young women who elope (menik) are often prevented by stigma and social norms from accessing reproductive health services. Conclusion: Elopement (menik) has a significant negative impact on the reproductive health of Gayo young women. Preventive efforts must be made to reduce the number of elopements (menik) and increase adolescent girls' access to education and reproductive health services.

Analysis of the Study of the Impact of Reproductive Health on Young Women Who Perform Elopements (Menik) in the Gayo Community, Central Aceh Regency, Indonesia: A Phenomenological Study Apriani, Widya; Nova Ratna Dewi; Sri Wahyuni.MS
Open Access Indonesia Journal of Social Sciences Vol. 7 No. 4 (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.v7i4.254

Introduction: Elopement (menik) is a traditional wedding tradition in the Gayo community, Central Aceh. This tradition often involves young women who are not physically and mentally ready to marry and have children. This research aims to analyze the impact of reproductive health on young women who elope (menik) in the Gayo community, Central Aceh Regency, Indonesia, using a phenomenological approach. Methods: This research was conducted using qualitative phenomenological methods. Data was collected through in-depth interviews with 15 young women who eloped (menik) and 5 key informants. Data were analyzed using thematic analysis techniques. Results: Research findings show that elopement (menik) has a negative impact on the reproductive health of Gayo young women. These negative impacts include: Poor reproductive health: Young women who elope (menik) are at greater risk of experiencing pregnancy and childbirth complications, reproductive tract infections, and sexually transmitted diseases. Pregnancy and childbirth at a young age: Young women who elope (menik) generally become pregnant and give birth at a young age, which can endanger the health of the mother and baby. Lack of access to reproductive health services: Young women who elope (menik) are often prevented by stigma and social norms from accessing reproductive health services. Conclusion: Elopement (menik) has a significant negative impact on the reproductive health of Gayo young women. Preventive efforts must be made to reduce the number of elopements (menik) and increase adolescent girls' access to education and reproductive health services.

Assistance in Strengthening MPASI (Complementary Foods for Breast Milk) Education for Optimizing Toddler Growth: Community Service in Lot Kala Village, Kebayakan District, Central Aceh Regency, Indonesia Apriani, Widya; Irdayani; Hidayana; Nova Ratna Dewi; Lisni
Indonesian Community Empowerment Journal Vol. 4 No. 1 (2024): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v4i1.58

Providing appropriate complementary food for breast milk (MPASI) is a crucial factor in supporting optimal growth and development of babies and toddlers. However, lack of knowledge and correct practice of providing MPASI is still a problem in various communities, including in Lot Kala Village, Kebayakan District, Central Aceh Regency, Indonesia. This Community Service aims to provide assistance in strengthening MPASI education for the mother community in the village. This study uses a participatory community service approach. Mentoring activities include counseling regarding the principles of providing appropriate MPASI, demonstrations on making homemade MPASI, as well as regular monitoring and evaluation. Data was collected through interviews, observations and questionnaires. Data analysis was carried out descriptively qualitatively and quantitatively. The results of this community service show an increase in mothers' knowledge regarding MPASI, an increase in mothers' skills in making homemade MPASI, as well as a change in the mother's attitude to become more positive towards giving homemade MPASI. Apart from that, there was an increase in the nutritional status of infants and toddlers after the intervention. Assistance in strengthening MPASI education has proven to be effective in increasing mothers' knowledge, skills and attitudes towards providing MPASI. This program is recommended for replication in other communities that have similar problems.

Healthcare Workers’ Roles and Iron Tablet Adherence among Pregnant Women: A Prospective Cohort Study MS, Sri Wahyuni; Nova Ratna Dewi; Hida Yana
Community Medicine and Education Journal Vol. 5 No. 3 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i3.631

Iron deficiency anemia during pregnancy poses significant health risks to both mother and child. The role of healthcare workers in promoting iron tablet adherence is crucial. This study aimed to analyze the influence of healthcare workers' roles (as customer, communicator, motivator, facilitator, and counselor) on pregnant women's adherence to iron tablet consumption. A prospective cohort study was conducted involving pregnant women within the Puskesmas Lut Tawar work area in Aceh Tengah District. Data collection included questionnaires and interviews. The study assessed the relationship between healthcare workers' roles and adherence to iron tablet consumption using statistical analysis. The study found that the role of healthcare workers as counselors had a significant influence on adherence to iron tablet consumption (P = 0.041). Other roles, such as customer, communicator, motivator, and facilitator, did not show a statistically significant impact on adherence. The role of healthcare workers as counselors plays a crucial role in improving pregnant women's adherence to iron tablet consumption. The study recommends enhancing the counseling skills of healthcare workers and providing comprehensive support to pregnant women to address their concerns and challenges related to iron tablet intake.

The Impact of Health Behaviors on Iron Supplementation Adherence and Anemia Prevalence among Pregnant Women: Evidence from a Primary Care Setting in Aceh Tengah, Indonesia Nova Ratna Dewi; MS, Sri Wahyuni; Hidayana
Community Medicine and Education Journal Vol. 5 No. 3 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i3.641

Anemia during pregnancy remains a significant global health concern, particularly in developing countries like Indonesia. However, adherence to iron supplementation programs is often suboptimal, leading to persistent anemia and adverse maternal and neonatal outcomes. This study aimed to investigate the relationship between health behaviors (knowledge, attitudes, and practices) and adherence to iron supplementation among pregnant women in a primary care setting in Aceh Tengah, Indonesia. Additionally, we explored the impact of these factors on anemia prevalence. A cross-sectional study was conducted at the Pegasing Community Health Center in Aceh Tengah, Indonesia. Pregnant women diagnosed with anemia were recruited, and data were collected using questionnaires assessing their knowledge, attitudes, and practices regarding iron supplementation. Hemoglobin levels were measured to determine anemia status. Statistical analyses were performed to examine the relationships between health behaviors, adherence, and anemia prevalence. A total of 59 pregnant women with anemia participated in the study. Adherence to iron supplementation was suboptimal, with 59.3% reporting poor adherence. Knowledge about iron supplementation was generally good (76.3%), but attitudes and practices were less favorable (30.5% and 27.1%, respectively). Statistical analyses revealed a significant association between attitudes and practices related to iron supplementation and adherence. Furthermore, poor adherence was linked to a higher prevalence of anemia. In conclusion, healthy behaviors, particularly attitudes and practices, play a crucial role in iron supplementation adherence among pregnant women in Aceh Tengah, Indonesia. Interventions targeting these behaviors are essential to improve adherence and reduce the burden of anemia in this population.

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.

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