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Analysis Of Marriage Readiness Factors In The Sesela Community Health Centre Setyawati, Irni; Utami, Kusniyati; Ariendha, Dian Soekmawaty Riezqy
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 12 (2025): Volume 11 No 12 Desember 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i12.23402

Abstract

Latar Belakang: Remaja merupakan generasi penerus yang menentukan kualitas suatu negara, sehingga harus menyiapkan diri dalam merencanakan kehidupannya. Dalam perkembangannya, remaja menemui banyak masalah seperti perilaku seks bebas dan kehamilan tidak diinginkan yang pada akhirnya menikah muda. Kesiapan menikah merupakan suatu keadaan siap atau bersedia berhubungan dengan pasangan, siap menerima tanggung jawab sebagai suami atau istri, siap melakukan hubungan seksual, siap mengurus keluarga, dan siap mengurus anak. Salah satu dampak dari ketidaksiapan menikah ditunjukkan dengan meningkatnya angka perceraian di Provinsi NTB dari tahun 2020 sebesar 1,66% menjadi 2% pada tahun 2021, meskipun sedikit menurun pada tahun 2022 sebesar 1,95%.Tujuan: Untuk menganalisis faktor kesiapan menikah di wilayah kerja Puskesmas Sesela kabupaten Lombok Barat.Metode:  Penelitian ini menggunakan rancangan penelitian kuantitatif dengan desain cross sectional. Populasi penelitian ini yaitu remaja laki-laki dan perempuan di SMA Negeri dan swasta di wilayah kerja Puskesmas Sesela kabupaten Lombok Barat pada bulan April-Juni 2025 sebanyak 20.000 orang. Sampel sebanyak 377 orang dihitung dengan aplikasi Raosoft. Tehnik sampling yang digunakan adalah purposive sampling dengan pemilihan sampel hanya remaja perempuan yang hadir saat pengambilan data. Variabel bebas (X) penelitian ini yaitu karakteristik responden (umur), karakteristik orangtua (pendidikan terakhir Bapak dan Ibu, pekerjaan Bapak dan Ibu, pendapatan keluarga), status pacar, umur ingin menikah. Variabel tergantung (Y) penelitian ini yaitu sikap remaja tentang kesiapan menikah. Penelitian ini dilakukan di SMA/SMK di wilayah kerja Puskesmas Sesela kabupaten Lombok Barat. Instrumen pengumpulan data penelitian ini menggunakan kuesioner dengan pertanyaan tertutup. Kuesioner kesiapan menikah diadopsi dari kuesioner siap nikah Elsimil BKKBN. Analisis data multivariat menggunakan regresi logistik dengan bantuan program SPSS 24 for windows.Hasil: Sebagian besar responden berumur 18 tahun sebesar 34,2%, 33,4% Ibu responden berpendidikan SMA sebanyak, 32,9% berpendidikan SD, 63,7% tidak bekerja atau sebagai ibu rumah tangga, 82,2% Bapak responden bekerja sebagai wiraswasta atau pegawai swasta, 66,8% pendapatan keluarga sebagian besar kurang dari Rp.2.444.067,-, 57,3% responden tidak mempunyai pacar, 85,9% responden tidak ingin cepat menikah dan 54,6% responden ingin menikah pada umur 26-30 tahun, dan 67,6% responden tidak siap menikah. Dari hasil analisis multivariat, variabel ingin cepat menikah mempunyai risiko 11,96 kali lipat dibandingkan dengan responden yang tidak ingin cepat menikah.Kesimpulan: Remaja yang ingin cepat menikah mempunyai risiko 11,96 kali lipat siap menikah dibandingkan dengan remaja yang tidak ingin cepat menikah.Saran: Bidan atau tenaga kesehatan di instansi pelayanan kesehatan dapat memberikan informasi terkait kesiapan menikah beserta konsekuensinya kepada remaja baik terintegrasi dengan program posyandu remaja ataupun di luar program. Kata Kunci : Kesiapan menikah, ingin cepat menikah ABSTRACT Background: Young people are the next generation who will determine the quality of a country, so they must prepare themselves in planning their lives. In their development, young people encounter many problems such as promiscuity and unwanted pregnancies, which ultimately lead to early marriage. Marriage readiness is a state of being ready or willing to be in a relationship with a partner, ready to accept the responsibilities of being a husband or wife, ready to have sexual relations, ready to take care of a family, and ready to take care of children. One of the impacts of not being ready for marriage is shown by the increase in the divorce rate in NTB Province from 1.66% in 2020 to 2% in 2021, although it decreased slightly in 2022 to 1.95%.Purpose:  To analyse the factors of readiness for marriage in the working area of the Sesela Community Health Centre in West Lombok Regency.Methods:  This study used a quantitative research design with a cross-sectional design. The study population consisted of male and female adolescents in public and private high schools in the working area of the Sesela Community Health Centre in West Lombok Regency from April to June 2025, totalling 20,000 people. A sample of 377 individuals was calculated using the Raosoft application. The sampling technique used was purposive sampling, with the selection of samples limited to female adolescents who were present during data collection. The independent variables (X) in this study were respondent characteristics (age), parental characteristics (father's and mother's highest level of education, father's and mother's occupation, family income), relationship status, and desired age for marriage. The dependent variable (Y) in this study was adolescents' attitudes towards readiness for marriage. This study was conducted in senior high schools/vocational high schools in the working area of the Sesela Community Health Centre in West Lombok Regency. The data collection instrument for this study was a questionnaire with closed questions. The questionnaire on readiness for marriage was adopted from the Elsimil BKKBN marriage readiness questionnaire. Multivariate data analysis was performed using logistic regression with the help of the SPSS 24 for Windows programme.Results: Most respondents were aged 18 years old (34.2%), 33.4% of respondents' mothers had a high school education, 32.9% had an elementary school education, 63.7% were unemployed or housewives, 82.2% of respondents' fathers were self-employed or private employees, 66.8% of families had an income of less than Rp.2,444,067, 57.3% of respondents did not have a boyfriend or girlfriend, 85.9% of respondents did not want to get married quickly, 54.6% of respondents wanted to get married between the ages of 26 and 30, and 67.6% of respondents were not ready to get married. From the results of multivariate analysis, the variable of wanting to marry quickly has a risk 11.96 times higher than respondents who do not want to marry quickly.Conclusion: Young people who want to marry early are 11.96 times more likely to be ready for marriage than those who do not want to marry early.Suggestions: Midwives or health workers in health care institutions can provide information related to marriage readiness and its consequences to adolescents, either integrated with the adolescent health centre programme or outside of the programme. Keywords: Marriage readiness, desire to marry quickly 
EFFECTIVENESS OF REPRODUCTIVE AND SEXUAL HEALTH PROGRAMS FOR PROSPECTIVE BRIDGES (CATIN) IN IMPROVING CATIN'S KNOWLEDGE AND ATTITUDES OF CATIN IN GUNUNGSARI PUBLIC HEALTH CENTER IN 2018 (Effectivity of Premarital Counseling on Health Reproduction Knowle Kusniyati Utami; Agus Supinganto; Irni Setyawati; Irwan Budiana
Dinasti International Journal of Education Management And Social Science Vol. 2 No. 4 (2021): Dinasti International Journal of Education Management and Social Science (April
Publisher : Dinasti Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31933/dijemss.v2i4.811

Abstract

Reproductive and sexual health program for prospective brides is one of programs implemented by government where these activities are aimed at women from adolescence before pregnancy prepare women to become healthy pregnant women and ensure health of mothers so that they can give birth to a healthy and quality generation. Purpose: This study aims to determine effectiveness of the implementation of IEC program on sexual and reproductive health of bride and groom at Gunungsari Public Health Center in 2018. Methods: This study was conducted with a cross-sectional design with a case-control approach, sampling technique used was proportional random sampling. Data collection was carried out on 38 primigravida pregnant women who visited the public health center with a history of participating in IEC catin program as observation group and 38 respondents from primigravida mothers with a history of not participating in KIE catin program as control group. Then data were analyzed by using chi-square. Results: Results showed that knowledge of sexual and reproductive health in two groups did not have a difference (p = 1,000), as did catin's attitudes towards sexual and reproductive health in two groups (p = 0.487). IEC and sexual health are less effective in increasing knowledge and attitudes. Discussion: The need for more specific program evaluation to increase outcomes by program objectives. Multiple workflows, standard procedures, and program performance should be reviewed by program objectives to increase success. Also, cooperation with several related parties is necessary as an effort to increase public awareness to actively participate in program.
The Effect Of Chronic Energy Deficiency Education Through Booklets On Knowledge In Pregnant Women In The Thirty-Trimester Ariendha, Dian Soekmawaty Riezqy; Hardaniyati, Hardaniyati; Setyawati, Irni; Utami, Kusniyati
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 1 (2026): Volume 12 No 1 Januari 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i1.23891

Abstract

Latar Belakang: Kekurangan Energi Kronik (KEK) pada ibu hamil merupakan keadaan dimana ibu menderita kurangan makanan yang berlangsung menahun (kronis) sehingga menimbulkan gangguan kesehatan pada ibu hamil. Kondisi ini ditandai dengan Lingkar Lengan Atas (LILA) 23,5 cm. Berdasarkan data jumlah ibu hamil yang mengalami KEK di provinsi Nusa Tenggara Barat (NTB) sebanyak 12,9%. KEK pada ibu hamil perlu mendapatkan perhatian khusus karena dapat menyebabkan kematian ibu dan bayi.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh edukasi anemia menggunakan booklet terhadap pengetahuan pada ibu hamil di Puskesmas Gunung Sari. Metode: Jenis penelitian yang digunakan adalah kuantitatif dengan desain penelitian quasi-eksperimen dengan rancangan pretest-posttest group design. Populasi dalam penelitian ini adalah semua ibu hamil yang mengalami anemia di Puskesmas Gunungsari Lombok Barat yang berjumlah 64 orang dan sebanyak 30 orang sebagai sampel yang ditarik menggunakan purposive sampling kemudian di uji statistik McNemar. Hasil: Hasil penelitian ini menggunakan uji McNemar yang menunjukkan bahwa terdapat pengaruh edukasi KEK melalui booklet terhadap pengetahuan pada ibu hamil trimester III di Puskesmas Gunungsari memiliki p value 0.05. Kesimpulan: Didapatkan sebelum diberikan penyuluhan sebagian ibu hamil memiliki tingkat pengetahuan yang baik 60% dan terdapat 40.0% ibu hamil memiliki tingkat pengetahuan yang buruk. Setelah diberikan penyuluhan pengetahuan ibu mengalami peningkatan menjadi 93.3% sedangkan presentase pengetahuan yang buruk sebanyak 6.7%. Didapatkan nilai p value = 0,002 atau p0,05 yang berarti terdapat pengaruh edukasi KEK melalui Booklet terhadap pengetahuan pada ibu hamil trimester III di Puskesmas Gunungsari Tahun 2024. Diperlukan edukasi intervensi terkait pola makan dan kepatuhan mengkonsumsi makanan bergizi, terutama bagi ibu hamil yang berusia 20 tahun dan 35 tahun dan ibu yang tidak bekerja. .Saran : Diharapkan dapat menambah pengetahuin dengan menambah literasi tentang keurangan energi kronik agar dapat mempersiapkan kehamilan dengan baik agar terhindar dari KEK. Kata kunci:  Booklet; ibu hamil; KEK; Pengetahuan; trimester III ABSTRACT Background: Chronic Energy Deficiency (CED) in pregnant women is a condition in which the mother suffers from chronic nutritional deficiencies, leading to health problems. This condition is characterized by a Mid-Upper Arm Circumference (MUAC) 23.5 cm. Data shows that 12.9% of pregnant women in West Nusa Tenggara (NTB) experience CED. CED in pregnant women requires special attention because it can lead to maternal and infant mortality.Objective: This study aimed to determine the effect of anemia education using booklets on the knowledge of pregnant women at the Gunung Sari Community Health Center. Method: This study used a quantitative quasi-experimental design with a pretest-posttest group design. The population in this study was all 64 pregnant women with anemia at the Gunung Sari Community Health Center, West Lombok, and a sample of 30 people was drawn using purposive sampling and then subjected to the McNemar statistical test. Results: The results of this study using the McNemar test showed that there was an effect of CED education through booklets on knowledge among pregnant women in the third trimester at the Gunungsari Community Health Center with a p-value 0.05. Conclusion: It was found that before the counseling was given, some pregnant women had a good level of knowledge (60%), and there were 40.0% of pregnant women with a poor level of knowledge. After the counseling was given, the mothers' knowledge increased to 93.3%, while the percentage of poor knowledge was 6.7%. The obtained p-value = 0.002 or p 0.05, which means there was an effect of CED education through booklets on knowledge among pregnant women in the third trimester at the Gunungsari Community Health Center in 2024. Educational interventions related to dietary patterns and adherence to consuming nutritious foods are needed, especially for pregnant women aged 20 years and 35 years and unemployed mothers. .Suggestion: It is hoped that this can increase knowledge by increasing literacy about chronic energy deficiency so that they can prepare for pregnancy properly and avoid KEK. Keywords: Booklet; pregnant mother; third trimester; CED; knowledge