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Comparing cost-effectiveness of implant and IUD contraception in women: a systematic review Amalia, Silviatul; Nafisah, Khilda Durrotun; Muliyani, Navantri; Jusrawati; Dary, Sry Wulan; Sulistyaningsih; Hafidz, Firdaus
BKM Public Health and Community Medicine Vol 39 No 09 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i09.9594

Abstract

Purpose: The use of long-acting reversible contraception (LARC) methods, implants, and IUDs, are assessed for cost-effectiveness, which compares cost-effectiveness in technology, environment, and health. The aim is to critically evaluate the economic evaluation of IUDs and implants based on previous scientific evidence, with a review to discuss cost-effectiveness. Methods: The literature review used was a systematic review, and PRISMA-SR 2020 was chosen as a reference for preparing the literature study. The authors used three databases, PubMed, Science Direct, and Wiley, to find scientific evidence of the cost-effectiveness of IUDs and implants. Results: The search in Pubmed (n=119), ScienceDirect (n=1,228), and Wiley (n=83) databases included (n=1,510) articles. Eighty-two articles were assessed for eligibility, and only seven were eligible according to the inclusion criteria for further review. Conclusion: IUDs and implants are two highly effective long-term contraceptive methods for preventing pregnancy, so using IUDs is more cost-effective than implant contraception based on scientific articles that meet the inclusion criteria.
Scoping Review: Pengaruh Riwayat Asfiksia Neonatorum Terhadap Perkembangan Anak Aslina, Wiwit Indriyani; Amalia, Silviatul; Aningsih, Sri
JIK-JURNAL ILMU KESEHATAN Vol 9, No 1 (2025): JIK-April Volume 9 Nomor 1 Tahun 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i1.1323

Abstract

Ketidakmampuan untuk bernapas secara spontan dan teratur saat lahir atau beberapa saat setelah lahir dikenal sebagai asfiksia neonatorum. Pada tahun 2023 penyebab utama kematian bayi di Banyuwangi yaitu asfiksia sebanyak 105 kasus. Asfiksia neonatorum dapat menyebabkan hipoksia iskemik ensefalopati (HIE), edema serebri, cerebral palsy, dan kecacatan, pada jantung dan paru mengalami hipertensi pulmonalis persisten, perdarahan paru, dan edema paru, pada saraf mengalami gangguan neurologis dan keterlamabatan perkembangan. Penelitian ini bertujuan untuk mengetahui pengaruh riwayat asfiksia neonatorum terhadap perkembangan anak. Penelitian ini menggunakan metode Scoping Review, Prefereed Reporting Items for Systematic (PRISMA) digunakan untuk menampilkan alur dalam pencarian evidence. Artikel dikumpulkan dari database Pubmed, Wiley, ScienceDirect, terdapat 10 artikel yang didapatkan peneliti untuk selanjutnya di review. Hasil scoping review menunjukkan bahwa asfiksia merupakan salah satu faktor risiko terjadinya gangguan perkembangan pada anak. Gangguan perkembangan dapat terjadi pada multi organ termasuk pendengaran, penglihatan, otak, dan neurologis. Asfiksia neonatorum menyebabkan terjadinya ensefalopati hipoksik iskemik (HIE) yang disebabkan oleh kurangnya oksigen dan aliran darah ke otak setelah melahirkan. Lamanya waktu otak tidak mendapatkan oksigen akan mempengaruhi keparahan kerusakan otak sehingga terjadi cedera multi organ. Skrining gangguan multi organ harus dilakukan segera agar bayi mendapatkan intervensi yang tepat.
Meningkatkan Derajat Kesehatan Masyarakat Menjing Wetan dengan Pemberdayaan Posbindu Sulistyaningsih; Christiana, Indah; Desi Ratnasari; Khilda Durrotun N; Silviatul Amalia
Jurnal Pengabdian Masyarakat (JUDIMAS) Vol. 3 No. 2 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/judimas.v3i2.544

Abstract

Program Posbindu PTM Waras di Menjing Wetan merupakan upaya pemberdayaan masyarakat dalam pencegahan penyakit tidak menular (PTM) melalui deteksi dini faktor risiko PTM. Kegiatan ini dilaksanakan rutin setiap bulan dengan tujuan meningkatkan pengetahuan masyarakat mengenai pentingnya kebiasaan hidup yang sehat dan pemeriksaan kesehatan rutin. Pada kegiatan yang diadakan pada bulan Agustus 2024, sebanyak 51 orang masyarakat mengikuti pemeriksaan medis yang mencakup Pengukuran antropometri (berat badan, lingkar perut), pemeriksaan fisiologis (tekanan darah, kadar gula darah, kolesterol, asam urat), serta pemeriksaan lainnya. Hasil pemeriksaan menunjukkan sebagian besar peserta, yaitu 51% penderita diabetes mellitus, disusul oleh hipertensi, kolesterol, dan asam urat. Program ini diharapkan dapat mengurangi prevalensi PTM melalui deteksi dini dan pemberdayaan kader kesehatan yang mampu memberikan edukasi dan mendampingi masyarakat. Dengan demikian, Posbindu PTM berperan penting bagi peningkatan kesehatan masyarakat, terutama dalam pencegahan dan pengelolaan faktor risiko PTM yang disebabkan oleh pola hidup tidak sehat, kurang aktivitas fisik, dan stres
PENINGKATAN KESEHATAN IBU HAMIL MELALUI CONTINUITY OF CARE (COC) BERBASIS PROGRAM YOGITA DI PUSKESMAS KEDUNGWUNGU Amalia, Silviatul; Kurniawati, Septi; Wati, Emita Dewi Lilis Angkasa; Sari, Rina Yunita Dewi; Matriyani, Ririn; Rafflesiani, Fista
Mafaza : Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2025): Mafaza : Jurnal Pengabdian Masyarakat
Publisher : Mafaza : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32665/mafaza.v5i2.5724

Abstract

Maternal mortality in Indonesia remains at 140 per 100,000 live births in 2023, indicating the ongoing need to strengthen promotive and preventive efforts for pregnant women. Limited implementation of Continuity of Care (CoC), inadequate physical activity, and suboptimal nutritional intake contribute to increased maternal health risks. This community service activity aimed to improve maternal health through the YOGITA Program (Yoga Ibu Tangguh & Asupan Gizi Tepat), which is based on a Continuity of Care approach. The program methods included CoC-based mentoring, prenatal yoga classes, and nutritional education delivered to 25 pregnant women in their second and third trimesters within the working area of Kedungwungu Primary Health Center. Data were collected using knowledge questionnaires, mid-upper arm circumference (MUAC) measurements, hemoglobin level assessments, as well as observations and brief interviews conducted before and after the intervention. The results demonstrated an improvement in maternal knowledge, with the proportion of participants in the “good” category increasing from 76% to 92% following the intervention. Maternal nutritional status was predominantly classified as good, as indicated by normal MUAC in 88% of participants and non-anemic status in 92%. In addition, participants reported improved physical fitness, relaxation, and readiness for childbirth. Program outputs included enhanced maternal capacity, the development of nutritional education posters, and a community-based prenatal yoga class model. This activity contributes to strengthening promotive maternal health efforts through a holistic and sustainable approach and has the potential to be replicated in other primary health care settings.
Analysis of Factors Affecting the Menstrual Cycle Among Adolescent Girls: A Scoping Review Aningsih, Sri; Amalia, Silviatul; Safitri, Yulia Retno; Rahayu, Widya
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.286

Abstract

Menstruation is an important indicator of women’s reproductive health and is frequently disrupted during adolescence due to physiological adaptation and multiple external factors. This study aims to identify and synthesize the determinants influencing menstrual cycle regularity among adolescent girls based on recent research evidence. A Scoping Review was conducted according to PRISMA guidelines, using articles published between 2021–2025 from PubMed, Scopus, Science Direct, and Wiley databases. Eight eligible studies were analyzed narratively under three main categories: psychological, physiological, and lifestyle factors. Findings indicate that stress is the most dominant factor associated with menstrual cycle disturbances through hypothalamic–pituitary–ovarian (HPO) axis dysfunction. Physiological factors such as high body mass index (BMI), obesity, and hormonal imbalance were significantly correlated with irregular cycles and increased risk of polycystic ovary syndrome (PCOS). Unhealthy lifestyle behaviors, including sleep duration of <6 hours, high-fat intake, and excessive physical activity, further contributed to irregularities. Poor sleep quality and unbalanced diet disrupted the circadian rhythm and hormonal regulation of the reproductive system. Overall, menstrual irregularities result from an interaction of biological, psychological, and behavioral factors, most of which are modifiable. Comprehensive reproductive health education and healthy lifestyle interventions are crucial to prevent and manage menstrual disorders. Further longitudinal studies are recommended to strengthen causal evidence among variables
Relationship Between Academic Stress Levels And Menstrual Cycle Regularity Among Female Students At Vocational High School Al Azhar Amalia, Silviatul; Aningsih, Sri
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.326

Abstract

Adolescent girls’ reproductive health can be reflected through the regularity of their menstrual cycles, which are influenced by biological and psychological factors such as academic stress. Stress can disrupt the regulation of reproductive hormones through the activation of the hypothalamic pituitary adrenal (HPA) axis, potentially leading to menstrual irregularities. This study aimed to determine the relationship between academic stress levels and menstrual cycle regularity among adolescent girls at Vocational High School Al Azhar. This study used a cross-sectional methodology and a quantitative analytic observational design.  200 female students in grades X–XII who were chosen using complete sampling made up the study population.  A validated menstrual cycle questionnaire and the Perceived Stress Scale (PSS) were used to gather data.  The Chi-Square (χ²) test was used to analyze the data. The results showed that most respondents were 17 years old (64.5%) and had normal nutritional status (68.5%). The majority experienced mild stress (59%) and had normal menstrual cycles (85.5%). However, statistical analysis revealed a significant relationship between academic stress levels and menstrual cycle regularity (p = 0.005). The higher the academic stress level, the greater the likelihood of experiencing menstrual irregularities. Therefore, school-based promotive and preventive interventions such as stress management education, healthy sleep patterns, and balanced lifestyle programs are recommended to support adolescent reproductive health
The Association Between Gestational Hypertension and the Incidence of Neonatal Asphyxia in Kalibaru ASLINA, WIWIT INDRIYANI; Lestari, Nita Indah; Amalia, Silviatul
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.298

Abstract

Maternal hypertension, including gestational hypertension, is recognized as a significant risk factor for adverse neonatal outcomes. However, empirical evidence regarding this relationship within the Indonesian healthcare setting remains limited. This study aimed to determine the association between gestational hypertension and the incidence of neonatal asphyxia in Kalibaru. A retrospective cross-sectional study was conducted involving 216 respondents selected through simple random sampling from a population of 469 parturient women. Inclusion criteria encompassed: (1) parturient women with complete medical records at Kalibarukulon Primary Health Center; (2) parturient women with gestational hypertension; and (3) gestational age ≤38 weeks. Data analysis was performed using Chi-Square test with SPSS version 25. The study demonstrated a highly significant association between gestational hypertension and neonatal asphyxia (p-value = 0.000; χ² = 210.699). All respondents with gestational hypertension (100%; n=53) delivered infants with neonatal asphyxia, whereas only 0.6% (n=1) of mothers without gestational hypertension delivered asphyxiated infants. The prevalence of gestational hypertension was 24.5% (n=53) among the study population. Gestational hypertension constitutes a major risk factor significantly associated with neonatal asphyxia. These findings underscore the critical importance of intensive antenatal monitoring, early detection, and optimal management of gestational hypertension to prevent neonatal asphyxia and reduce neonatal morbidity and mortality.