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Evi Martha

Departemen Promosi Kesehatan Dan Ilmu Perilaku, Fakultas Kesehatan Masyarakat, Universitas Indonesia

Author-ID : 737535

Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Self-Care Management of Diabetes Patients in the Community Health Center Area Diani, Noor; Nurachmah, Elly; Dahlia, Debie; Martha, Evi; Noor, M. Fakhruddin; Nafi'ah, Rizka Hayyu
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 13 No 1 (2025): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v13i1.848

The success of diabetes prevention is influenced by several factors, including access to information, family support, diet, activity patterns, nutritional status, and self-efficacy. These factors play a significant role in the self-care practices of individuals with diabetes. Self-care refers to actions taken by patients to improve their ability to meet their daily needs independently, enabling them to prevent and manage their illness and adhere to treatment and recommendations provided by healthcare services. This study aims to identify the self-care practices of individuals with diabetes. The research involved 40 respondents diagnosed with diabetes. The average self-care score among diabetic patients in the working area of Banjar Baru Selatan Community Health Center was 68.53, with the lowest score being 39 and the highest score 92. Establishing self-care behaviors as part of a cultural norm requires consistent repetition and routine, to the extent that these behaviors may eventually become secondary needs. One approach to cultivating such habits in individuals with diabetes is to focus on addressing their weaknesses through methods that align with their routines and learning patterns. This strategy can help foster motivation and enthusiasm in managing their condition.

ANALYSIS OF ADOLESCENT REPRODUCTIVE HEALTH EDUCATION PROGRAMS AT SENIOR HIGH SCHOOLS LEVEL IN OGAN ILIR REGENCY Oktaria, Risma; Martha, Evi
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21238

All adolescents are entitled to access reproductive health services that are appropriate to their developmental stage, both through formal and non-formal education. Preliminary findings indicate that students generally lack adequate knowledge of reproductive health, with limited information provided both at school and within the family. Teachers report that students tend to feel embarrassed or consider discussions on marriage and reproductive health to be taboo. This study aims to analyze the implementation of adolescent reproductive health education programs at the senior high school level in Ogan Ilir Regency, Indonesia. This qualitative study employed in-depth interviews with teachers, community health center personnel, and family planning counselors, along with two key informants, four student focus group discussions (FGDs) and document analysis. The findings reveal that all schools have made efforts to implement adolescent reproductive health education through teacher-led instruction, the Youth Care Health Services (Pelayanan Kesehatan Peduli Remaja/PKPR) program, and the Youth Information and Counseling Center (Pusat Informasi dan Konseling Remaja/PIK-R) initiative. However, personnel involved in these programs require further training to enhance their knowledge and competencies. While implementation guidelines are available, several adjustments are often made during practice. Key challenges identified include limited budget allocations, insufficient facilities and resources, and restricted accessibility for some adolescents. Although reproductive health education through teacher instruction, PKPR, and PIK-R programs provides significant benefits for adolescents, further efforts are needed to optimize their implementation and outreach.

Availability and Distribution of Stoma Bags for Colorectal Cancer Patients: A Case Study at National Referral and Private Hospitals Aryani, Ratna; Lalisang, Toar JM; Dahlia, Debie; Martha, Evi; Hamid, Achir Yani S; Wicaturatmashudi, Sukma; Helen, Helen
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Stoma bags are essential for colorectal cancer (CRC) patients with stomas. However, access and affordability in Indonesia remain challenging as the National Health Insurance (NHI) does not fully cover these devices. This study aimed to describe the availability and distribution of stoma bags for patients with CRC in national referral and private hospitals, focusing on outpatient access. A qualitative case study was conducted through observations and in-depth interviews with four enterostomal therapy nurses and six patients across three national referral hospitals and one private hospital in the Jakarta Metropolitan Area, Indonesia. Notably, the availability of stoma bags was limited in both hospital types, especially for outpatients. Most patients faced financial barriers, as they had to purchase stoma bags independently at high prices because of limited hospital supply and lack of NHI coverage. Moreover, hospital policies restricted the number of bags distributed, worsening access issues. These challenges increase stoma-related complication risk and negatively affect patients’ quality of life. Integrating stoma bags into NHI coverage, regulating prices, and improving distribution are recommended to reduce healthcare disparities and improve outcomes for CRC patients, aligning with Sustainable Development Goal 3.

Social Media Use Behavior and Social Media Disorder Among Faculty of Public Health Students During the COVID-19 Pandemic Amelia, Tiara; Zainita, Ulfi Hida; Martha, Evi
Kesmas Vol. 18, No. 4
Publisher : UI Scholars Hub

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Excessive use of social media can lead to vulnerability to social media disorder, which is significantly related to the trend of mental health problems among college students. This study aimed to assess the prevalence of social media disorder among college students and to determine the relationship between the number of social media accounts, the total duration of social media use, and social media disorder. This cross-sectional study collected data through an online survey of 201 college students from the class of 2021 in the Faculty of Public Health, Universitas Indonesia. This study used the Social Media Disorder scaleand univariate and bivariate analysis to analyze the data. The prevalence of social media disorder was 23.9%; 93% of students were classified as high-duration social media users, and 58.2% had more than 10 accounts. Statistically, there was a significant relationship between the number of accounts (p-value= 0.045) and social media disorder. However, there was no significant relationship between the duration of social media use and social media disorder (p-value = 0.560). As a suggestion, the self-regulation factor must be considered an independent variable in predicting social media disorder among college students.

Exclusive Breastfeeding Intention among Pregnant Women Permatasari, Tria Astika Endah; Sartika, Ratu Ayu Dewi; Achadi, Endang Laksminingsih; Purwono, Urip; Irawati, Anies; Ocviyanti, Dwiana; Martha, Evi
Kesmas Vol. 12, No. 3
Publisher : UI Scholars Hub

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Intensi pemberian ASI eksklusif adalah intensi ibu untuk memberikan hanya ASI pada bayinya sejak dilahirkan hingga berusia enam bulan. Intensi pada periode prenatal merupakan penentu langsung pemberian ASI eksklusif. Penelitian ini bertujuan mengetahui faktor paling dominan berhubungan dengan intensi pemberian ASI eksklusif pada ibu hamil di sebuah rumah sakit ibu dan anak di Kota Tangerang Selatan. Penelitian dengan desain studi potong lintang dilakukan secara primer. Sampel berjumlah 143 ibu hamil trimester ketiga dipilih secara purposive sampling. Intensi pemberian ASI eksklusif diukur menggunakan kuesioner the Infant Feeding Intentions scale. Sedangkan sikap, norma subjektif dan persepsi kontrol perilaku dinilai menggunakan modifikasi kuesioner Breastfeeding Attrition Prediction Tool. Data dianalisis menggunakan analisis regresi logistik ganda. Sebanyak 61,5% ibu memiliki intensi kuat memberikan ASI eksklusif. Persepsi kontrol perilaku paling dominan berhubungan dengan intensi pemberian ASI eksklusif, (p=0,007; Odds Ratio 3,030; 95% CI 1,361-6,746). Faktor lainnya yang berhubungan dengan intensi adalah sikap, keterpaparan ibu terhadap ASI eksklusif dari media sosial, dukungan tenaga kesehatan, pengalaman menyusui sebelumnya, dan pekerjaan ibu dengan persepsi kontrol perilaku tinggi berpeluang tiga kali lebih besar memiliki ‘intensi tinggi’ untuk memberikan ASI eksklusif dibandingkan ibu berpersepsi kontrol perilaku rendah. Exclusive breastfeeding intention is a mother’s intention to provide her baby only breast milk since the infant was born until at the age of 6 months. Intention in prenatal period is the direct affirmation of exclusive breastfeeding. This study aimed to find out the most dominant factor related to exclusive breastfeeding intention among pregnant women at a mother and child hospital in South Tangerang. A cross-sectional study design was conducted primarily. The samples were 143 pregnant women on their third trimester pregnancy selected by purposive sampling. Intention was measured by the Infant Feeding Intention scale questionnaire. Meanwhile, attitude, subjective norms, and perceived behavioral control were measured by the modified Breastfeeding Attrition Prediction Tool questionnaire. Data were analyzed using the multivariate logistic regression analysis. It was 61.5% mother had strong exclusive breastfeeding intention. Perceived behavioral control dominantly influenced the exclusive breastfeeding intention (p value = 0.007; Odds Ratio 3.030; 95% CI = 1.361 6.746). The other factors influencing intention were attitude, exposure to exclusive breastfeeding from social media, health workers’ support, previous breastfeeding experience and mothers’ occupation. A mother with high perceived behavioral control has three times more likely to have ‘high exclusive breastfeeding intention’ than those having the low ones.

Analysis of Measles Vaccination Refusal on Social Media (Facebook) among Anti-Vaccine Communities in Indonesia Meilani, Dwi; Martha, Evi; Pratomo, Hadi; Hasanah, Indah Jamiatun; Rungreangkulkij, Somporn
Kesmas Vol. 16, No. 1
Publisher : UI Scholars Hub

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Measles is one of the main causes of global mortality in the under-fives. The existence of groups that reject immunization caused a decrease in immunization coverage. Anti-vaccine messages are widely delivered on social media. Identification of vaccine rejection behavior can be used as the basis to formulate effective program strategies. The design of this study used rapid assessment procedures (RAP). The informants were from two anti-vaccine communities in the Facebook group. In-depth interviews and observations were done for data collection, and data analysis was performed using the Framework Method. The results found that determinants, such as knowledge, beliefs in health behavior and disease prevention, religion, culture, and government policies play a role in shaping informants’ perceptions of vaccines and disease risks. The design factors of vaccination programs and the reliability of vaccine producing sources were found to be inhibiting factors for informants to receive vaccines. Also, experience with vaccines, health workers' role, and lobbying by anti vaccine groups strengthened informants' attitude who initially doubted vaccines, causing them to reject vaccines ultimately. It is suggested to the Ministry of Health to improve vaccination campaigns through social media, conduct vaccine development study, and increase health workers' knowledge related to vaccines and make their communication techniques more effective.

National Health Insurance Scheme: Internal and External Barriers in the Use of Reproductive Health Services among Women Martha, Evi; Lestari, Herna; Zulfa, Resvi Siti; Sopamena, Yoslien
Kesmas Vol. 16, No. 2
Publisher : UI Scholars Hub

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Lack of familiarity among the community, medical workers, and administrative staff regarding reproductive health services covered by Badan Penyelenggara Jaminan Sosial (BPJS) or the National Health Insurance (NHI) in Indonesia remained a problem. Therefore, this resulted in sub-optimal use of the medical services, as shown by surveys from the Women's Health Foundation for three consecutive years (2015-2017). This qualitative study was conducted with a Rapid Assessment Procedure design in three cities within Indonesia: Padang Pariaman, Manado, and Kupang. Data were collected through IDIs (n = 47informants) and 6 FGDs (7 persons/group). Participants also consisted of NHI RHS users (mothers and young women), administrative officers at health facilities, medical services providers, and officials related to the NHI assistance. Data were managed using NVivo version 2.0 software, accompanied by thematic analysis. The internal barriers in NHI use included inadequate knowledge of RHS covered by NHI, and a culture of shame in informants. External barriers included additional costs for medicines not covered by NHI, the dissatisfaction of health services provided by medical workers, busy work and household activities, and lack of women's role in decision-making within families, which related to reproductive wellness.

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Psychosocial Determinants of Risky Sexual Behavior among Senior High School Students in Merauke District Etrawati, Fenny; Martha, Evi; Damayanti, Rita
Kesmas Vol. 11, No. 3
Publisher : UI Scholars Hub

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Remaja usia 10-24 tahun merupakan kelompok yang rentan terhadap perilaku seksual pranikah, penyalahgunaan narkoba dan infeksi HIV/AIDS. Papua merupakan penyumbang angka HIV/AIDS terbesar di Indonesia. Untuk menanggulangi permasalahan tersebut Rutgers WPF membentuk suatu program intervensi kesehatan reproduksi remaja di tingkat sekolah menengah atas (SMA) yakni program Dunia Remajaku Seru! (DAKU!). Penelitian ini bertujuan untuk mengetahui determinan psikososial perilaku seksual berisiko pada siswa SMA di Kabupaten Merauke dengan menggunakan pendekatan potong lintang. Sampel berjumlah 1.364 siswa SMA kelas dua yang mendapatkan program DAKU!dan dilakukan proses pencocokan pada sekolah yang tidak mendapat program DAKU!. Analisis data meliputi analisis univariat, bivariat (uji kai kuadrat) dan multivariat (uji regresi logistik). Hasil analisis menunjukkan bahwa variabel yang signifikan berhubungan dengan perilaku seksual berisiko remaja adalah kelompok teman sebaya dengan perilaku negatif, efikasi diri, kontrol orangtua, keterpaparan dengan program DAKU!dan jenis kelamin. Sedangkan berdasarkan hasil analisis multivariat, kelompok teman sebaya dengan perilaku negatif merupakan faktor yang paling dominan memengaruhi perilaku seksual berisiko. Adolescents aged 10-24 years old are susceptible group to premarital sex, drugs abuse, and HIV/AIDS infection. Papua is the largest contributor to AIDS/HIV number in Indonesia. To overcome such problem, Rutgers WPF formed Dunia Remajaku Seru!(DAKU!), an intervention program towards adolescent reproductive health at senior high school level. This study aimed to determine psychosocial determinants of risky sexual behavior among senior high school students in Merauke District through cross-sectional approach. Samples were 1,364 second grade students that got DAKU!Program and matching process was conducted on schools that did not get DAKU!Program. Data analysis included univariate analysis, bivariate (chi square test) and multivariate (logistic regression test). Results showed that variables significantly related to adolescent risky sexual behavior were peer group with negative behavior, self-efficacy, parents’control, exposure to DAKU!Program and sex. Meanwhile, based on multivariate analysis, peer group with negative behavior (RP = 4.7 CI = 2.8 - 7.7) was the most dominant factor influencing risky sexual behavior.

Residential Density, Parents’ Sexual Activity and Teenage Sexual Behavior in Yogyakarta Rosida, Luluk; Martha, Evi; Besral, Besral
Kesmas Vol. 10, No. 3
Publisher : UI Scholars Hub

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Pada daerah kumuh dan padat, orangtua sering terpaksa harus berbagi ruang tidur dengan anak-anaknya sehingga anak-anaknya sudah terpapar dengan aktivitas seksual sejak dini. Penelitian ini bertujuan mengetahui kepadatan hunian, aktivitas seksual orangtua, dan efeknya terhadap perilaku seksual remaja di Yogyakarta. Penelitian ini menggunakan desain potong lintang dengan mewawancarai 268 keluarga yang memiliki anak remaja yang dipilih secara acak di daerah kumuh perkotaan dan daerah pedesaan pada bulan Maret – Mei 2015. Analisis data dilakukan menggunakan uji kai kuadrat dan regresi-cox multivariat. Hasil penelitian ini menunjukkan bahwa orangtua yang tinggal di hunian padat memiliki risiko dua kali lebih besar untuk melakukan aktivitas seksual yang berdampak negatif bagi anaknya. Aktivitas seksual orangtua tidak berpengaruh terhadap perilaku seksual berisiko pada remaja. Faktor yang berhubungan bermakna dengan perilaku seksual berisiko pada remaja adalah jenis kelamin laki-laki, sikap negatif, dan pengaruh teman sebaya. Dinas kesehatan dan puskesmas agar terus meningkatkan program penyuluhan remaja dan melatih konselor teman sebaya. Kegiatan yang selama ini telah dilakukan di sekolah sebaiknya diperluas pada daerah berisiko seperti daerah kumuh perkotaan dengan kepadatan hunian yang tinggi. In dense and slum areas, parents often have to share bedroom with their children, so the children have been exposed to sexual activity since early. This study aimed to determine residential density, parents’ sexual activity and its effects to teenage sexual behavior in Yogyakarta. This study used cross-sectional design by interviewing 268 families that had teenagers as selected randomly in urban slum areas and rural areas on March – May 2015. Data was analyzed using chi-square test and multivariate cox-regression. Results showed that parents living in dense residence had risk two times higher to commit sexual activity which had negative effect on their children. Parents’ sexual activity did not have any influence to risky sexual behavior among teenagers. Factors significantly related to risky sexual behavior among teenagers are male sex, negative attitude and influence of peers. Health agency and primary health care should improve counseling programs for teenagers and train peer counselors. Activities which have been conducted at schools should be expanded to risky areas, such as urban slum area with high density of residence.

Co-Authors Abellya Zuleika Jusuf Achir Yani S. Hamid Ade Iva Murty Afifah Shafa Ulya AHDIAH IMROATUL MUFLIHAH Aisyah Putri Mayangsari Alifta, Fenindra Anggi Amelia, Tiara Amirah, Nada Anggraeni, Legina Anggy Febiarthy Anggy Febiarthy Anies Irawati Anies Irawati Anshari, Dien Apriany Apriza, Cici Ardi Findyartini, Ardi Arsyina, Lia Artini, Ni Nyoman Astri Athena Anwar Ayu Amalia Rahmi Ayudhia Rachmawati Bambang Wispriyono Bashabih, Masyitoh Besral . Cokro, Fonny Dadan Erwandi Dadan Erwandi Erwandi Dahlia, Debi Dahlia, Debie - Danang Wahansa Sugiarto Danang Wahansa Sugiarto Dedi Sandra Deslina, Deslina Destrikasari, Charisma Dewa Ayu Putu Mariana Kencanawati, Dewa Ayu Dewi Safitri Dewi, Ni Kadek Puspita Dian Ayubi Diantha Soemantri Dina Evariyana Bangun Ditya Fahlevi Safitri Dortua Lince Sidabalok Dwi Meilani Dwiana Ocviyanti Edison, Aan Eka Habina Eka Putri, Vahlufi Elfiyani, Nur Khotimah Elly Nurachmah Embun Ferdina Enjaini Emi Marfuqoh Endang Laksminingsih Achadi Endang Laksminingsih Achadi Erwandi, Dadan Erwandi Essi Guspaneza Essi Guspaneza Essi Guspaneza Essi Guspaneza Essi Guspaneza Fajar Nugraha Fathimah Sulistyowati Sigit Febrie Wulandari Fenindra Anggi Alifta Fenny Etrawati Fitriana, Delta Francisca S Tanoerahardjo Fransiska Meyanti Friska, Erlin Guspaneza, Essi Gustanela, Oktrina Hadi Pratomo Hadi Pratomo Hadi Pratomo Hanny Handiyani Harsheena Gobind Hartaty, Diana Hasanah, Indah Jamiatun Hazrina Fadiah Insani Helen, Helen Henny Fatmawati Herlena Hayati Hermadi, Hermadi Herna Lestari Heryanto Heryanto Heryanto Sumbung Ice Yulia Wardani Indah Jamiatun Hasanah Indriyawati, Dwi Titus Isnawati Isnawati Izmi Arisa Putri Lubis Jhon Sugiharto Jusuf Kristianto Kartika Setyaningsih Sunardi Kartini Ruswandi KUSUMA, INDAH DARA Lestari, Herna Lisa Puspa Karmila Lubis, Sri Novita Luh Putu Ari Dewiyanti Luluk Rosida M. Fakhruddin Noor Marfuqoh, Emi Meilani, Dwi Miranda Adriani MIRONG, IGNASENSIA DUA Muh Nur Akhsin Ridho Muhamad David Setiadi Mustikasari Mustikasari Mustikawati, Intan Silviana Muthmainah Sartika Myranti Myranti Nadhira Silmi Alifa Nafi'ah, Rizka Hayyu Nafi’ah, Rizka Hayyu Natalia Desiani Ndapa, Conchita Emiliana Nenda Wulandari Ni Kadek Puspita Dewi Nindy Audia Nadira Noor Diani Noor Diani Noor, M. Fakhruddin Normala, Shinta Novia Indriani Sudharma Novy Helena Chatarina Daulima Nurdini, Lia Nurwijayanti Okfriani, Coraima Oktaria, Risma Paradillah, Indri Prihastuti, Retno Prima Sesari Saraswati Putra, I Gusti Ngurah Edi Raiya, Faradina Ramadhan, Farandi Agesti Rani Sauriasari, Rani Ratna Aryani Ratna Aryani Ratna Djuwita Ratu Ayu Dewi Sartika Ratu Ayu Dewi Sartika Redi Yudha Irianto Resvi Siti Zulfa Ririn Citra Aprilianti Risma Oktaria Risnawati Valentina Rita Damayanti Rita Damayanti Rizka Hayyu Nafi’ah Rohman Daka Rohman Daka Rungreangkulkij, Somporn Rusman, Kharisma Nurul Fazrianti Sabarinah Prasetyo Safitri, Ditya Fahlevi Safitri, Intan Ayu Sandra, Dedi Santi Purna Sari Sari, Yona Wia Sartika Sejati, Irwiena Tahar Setyaningsih, Tyas Setyowati Setyowati Shinta Restyana Widya Siboro, Ria Tahoma Siregar, Riski Agussalim Sofyan, Lukman Perdana Somporn Rungreangkulkij Sopamena, Yoslien Stephanie, Natasha Griselda Suci Maudy Aulia Sudarto Ronoatmodjo Sudijanto Kamso Sudijanto Kamso Sugiarto, Danang Wahansa Susila, Lia Rahmawati Syahbana, Lutfi Rinaldi Syahrizal Syarif Tahapary, Dicky L. Tenriana, Irene Tiara Amelia Tika Puspa Ryanthi Tika Puspa Ryanthi Toar J.M. Lalisang Tri Yunis Miko Wahyono Tria Astika Endah Permatasari Trini Sudiarti Urip Purwono Urip Purwono Veronica Crassnaya Angel Wahyu Sulistiadi Wicaturatmashudi, Sukma Widya, Shinta Restyana Woro Riyadina Yasyfa Mutiara Yati Afiyanti Yeremia Prawiro Mozart Runtu Yona Wia Sartika Sari Yuni Syahfitri Yuniar Mansye Soeli Yunita Arihandayani Yunita Wulandari Yurnila Yurnila Yurnila, Yurnila Zainita, Ulfi Hida Zakianis Zakianis Zulfa Kevaladandra Zulfa, Resvi Siti

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