Matilda Martha Paseno
Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar, South Sulawesi

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Empowering Health Cadres in Reproductive Health Education through a Community Midwifery Approach Samsinar Samsinar; Indrawat Aris Tyarini; Gustini Gustini; A. Wardah Muzfah; Matilda Martha Paseno
Jurnal Pengabdian Masyarakat Edukasi Indonesia Vol. 3 No. 2 (2026): Volume 3 Number 2 June 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jpmei.v3i2.372

Abstract

Introduction: Reproductive health remains a significant public health concern, particularly in communities with limited access to accurate information and services. Health cadres play a strategic role in delivering community-based education; however, their capacity in reproductive health education is often inadequate. This program aimed to empower health cadres in reproductive health education through a community midwifery approach. Methods: A community service program was conducted using a participatory approach with a one-group pretest–posttest design. A total of 25 health cadres participated in structured training sessions facilitated by midwives. The intervention included lectures, group discussions, role-playing, and case-based learning covering adolescent reproductive health, family planning, and prevention of sexually transmitted infections. Data were collected using structured questionnaires and analyzed using descriptive statistics and paired t-tests. Results: The findings showed a significant improvement in knowledge scores, increasing from a pretest mean of 55% to a posttest mean of 82%, indicating a 27% increase. In addition, cadres demonstrated improved communication and counseling skills during simulation sessions. The involvement of midwives contributed to a deeper understanding and the practical application of reproductive health education. Conclusion: The community midwifery approach is effective in improving the knowledge and skills of health cadres in reproductive health education. This model has the potential to strengthen community-based health promotion and should be considered for broader implementation.
Mental stress and fast-food consumption as determinants of early hypertension among students: A Qualitative Study Cipto Susilo; Ari Setyawati; Indrawati Aris Tyarini; Matilda Martha Paseno
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.212

Abstract

Introduction: Hypertension is a major global public health problem affecting more than 1.2 billion people worldwide and contributing substantially to cardiovascular morbidity and premature mortality. Recent evidence indicates a rising trend of elevated blood pressure among young adults, particularly in low- and middle-income countries experiencing rapid lifestyle and dietary transitions. University students are increasingly exposed to chronic academic stress and easy access to high-sodium fast food, potentially accelerating early cardiovascular risk. However, limited qualitative evidence integrates psychosocial and dietary determinants of early hypertension within student populations. Research Methodology: This qualitative study employed a phenomenological approach to explore students lived experiences related to mental stress, fast food consumption, and perceived early hypertension risk. The study was conducted at a public university in Indonesia between March and June 2025. Twenty undergraduate students aged 18–25 years were recruited using purposive maximum variation sampling. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis following Braun and Clarke’s framework. Data saturation was achieved at the 18th interview and confirmed in subsequent interviews. Results: Four major themes emerged: (1) academic and psychosocial stress as persistent pressure; (2) fast food as a stress-driven coping mechanism; (3) limited awareness of early hypertension risk; and (4) the interconnection between stress, diet, and physical symptoms. Participants described chronic stress leading to frequent fast-food consumption, which was perceived to contribute to headaches, palpitations, and fatigue. A knowledge behavior gap was evident, as awareness did not translate into preventive action. Conclusion: Early hypertension risk among students is shaped by the interaction between psychosocial stress and maladaptive dietary coping behaviors. Integrated campus-based strategies incorporating stress management, healthier food environments, and routine blood pressure screening are essential to prevent long-term cardiovascular disease
Effectiveness of social media as a health promotion tool for reproductive health among adolescents: A cross-sectional study Matilda Martha Paseno; Rosmina Situngkir; Yunita Gabriela Madu
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.399

Abstract

Introduction: Adolescent reproductive health remains a significant public health concern, particularly in developing countries where access to accurate reproductive health information is often limited. Social media has emerged as a widely used communication platform among adolescents and may serve as an alternative medium for reproductive health promotion. This study aimed to analyze the effectiveness of social media as a health promotion tool for reproductive health among adolescents. Research Methodology: A quantitative cross-sectional analytical study was conducted among 250 adolescents from selected senior high schools in Makassar, South Sulawesi, Indonesia. Respondents were selected using stratified random sampling. Data were collected through a structured self-administered questionnaire assessing information accessibility, perceived credibility, user engagement, and frequency of exposure to reproductive health content on social media. Data analysis was performed using descriptive statistics, Chi-square tests, Pearson correlation tests, and multiple logistic regression, with a significance level of α = 0.05, in SPSS version 26. Results: Perceived credibility was the strongest predictor of social media effectiveness in reproductive health promotion (AOR = 3.06; 95% CI: 1.67–5.59; p < 0.001). Frequent exposure to reproductive health content was significantly associated with higher perceived effectiveness (AOR = 2.39; 95% CI: 1.28–4.46; p = 0.004). High user engagement (AOR = 2.10; 95% CI: 1.16–3.79; p = 0.011) and information accessibility (AOR = 2.54; 95% CI: 1.39–4.65; p = 0.002) were also significantly associated with positive educational outcomes. Conclusion: Social media is an effective platform for reproductive health promotion among adolescents when information is accessible, credible, and interactive. The findings highlight the importance of evidence-based digital health communication and support, integrating adolescent-centered social media strategies into reproductive health promotion programs