David Christian
Faculty of Medicine, Tarumanagara University, Jakarta, Indonesia

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TOO YOUNG TO CARRY: UNDERSTANDING THE DOUBLE BURDEN OF ANEMIA AND EARLY PREGNANCY AMONG ADOLESCENTS IN RURAL TANGERANG Trisna Amerdista; David Christian; Indri; Muhammad Ikmal Syafii
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/760

Abstract

Background: Anemia during pregnancy continues to be a significant public health concern, especially among adolescents in low-resource settings. This study examines the prevalence of anemia among pregnant adolescents (<20 years) in Cisoka Puskesmas, Indonesia. Methods: Employing a cross-sectional design with total sampling, we examined medical records from January to December 2024. Hemoglobin levels were measured using Onemed HbCheck Hemoglobin Test Meter, with anemia defined as Hb <11.0 g/dL. Descriptive statistics were analyzed using SPSS 26. Results: Among 76 participants, the prevalence of anemia was 46.1%, peaking in the third trimester (54.3%). Mean hemoglobin levels showed a notable decline across trimesters (11.48 g/dL in the first trimester to 10.43 g/dL in the third trimester). Most participants (67.1%) had inadequate antenatal care (<4 visits). Moderate anemia predominated (51.4%), particularly in the second trimester (62.5%). Conclusion: This study reveals high anemia prevalence among pregnant adolescents in rural Tangerang, closely linked to advanced gestation and inadequate antenatal care. These results highlight the necessity for adolescent-specific iron supplementation and enhanced antenatal services for this vulnerable population.
EPIDEMIOLOGY AND CLINICAL CHARACTERISTICS OF MUMPS AMONG CHILDREN AND ADOLESCENTS: A CROSS-SECTIONAL STUDY IN CISOKA PUSKESMAS, INDONESIA Muhammad Ikmal Syafi&#039;i; David Christian; Indri; Trisna Amerdista
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/761

Abstract

Background: Mumps remains a vaccine-preventable illness with periodicoutbreaks in areas with low immunization coverage. Rural settings oftenshow higher susceptibility due to limited healthcare access.Aims: To determine the prevalence and clinical characteristics of mumpsamong children and adolescents at Cisoka Puskesmas, Indonesia.Methods: A cross-sectional study was conducted on all pediatric patientsclinically diagnosed with mumps from January to March 2025 based onWHO criteria. Demographic data, MR vaccination status, clinical features,and household exposures were obtained through interviews and clinicalevaluation. Descriptive analysis was performed using SPSS 26.0.Result: Seventy-six mumps cases were identified, yielding a prevalence of4.38%. The highest age-specific prevalence occurred in children aged 6–11years (6.45%). Unilateral parotitis accounted for 71.1% of cases. Commonsymptoms included fever (96.1%), chewing pain (61.8%), and painfulswallowing (51.3%). Only 59.2% had received MR vaccination, and 65.8%lived in close contact with at least one active smoker.Conclusion: Mumps continues to circulate among the pediatric population inrural Tangerang, driven by inadequate MR vaccination coverage andmodifiable household-level exposures such as close contact with smokers.Strengthening immunization uptake and reducing preventable exposures arecritical to mitigate future outbreaks.