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INDONESIA
Jurnal Kesehatan Reproduksi
ISSN : 2087703X     EISSN : 23548762     DOI : https://doi.org/10.22435
Core Subject : Health,
Jurnal Kesehatan Reproduksi (Journal of Reproductive Health) offers a specific forum for advancing scientific and professional knowledge of the reproductive health field among practitioners as well as academics in public health and researchers. Coverage includes a vast range of reproductive health issues, such as: 1.Woman and child’s health 2.Male reproductive health 3.Youth and elderly health 4.Family planning 5.Sexually transmitted infections and HIV-AIDS 6.Prevention and control of abortion 7.Gender issues 8.Infertility 9.Other reproductive health issues in terms of clinical and public health.
Articles 57 Documents
HUBUNGAN KELAHIRAN KEMBAR DENGAN KEMATIAN NEONATAL DI INDONESIA: ANALISIS DATA SDKI 2012 Sarinah Bintang; Syahrizal Syarif; Helda Helda; Nikson Sitorus
Jurnal Kesehatan Reproduksi Vol 9 No 2 (2018): JURNAL KESEHATAN REPRODUKSI VOLUME 9 NO. 2 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.111 KB) | DOI: 10.22435/kespro.v9i2.906.87 - 97

Abstract

Background: Neonatal Mortality Rate (NMR) is one indicator of the Sustainable Development Goals (SDGs) and contributes to the infant mortality rate. Twin birth is one of the risk factors for neonatal death, 6 times compared to single birth. The possibility of an increase in twin birth rates, and the high risk posed, could contribute negatively to efforts to reduce neonatal deaths in Indonesia.Objective: This study aims to determine the proportion of twin births, also analyzing association of twin birth with neonatal mortalityMethod: This study used the 2012 Indonesian Health Demographic Survey (IDHS), a cross-sectional designs that covers all provinces. The population was all children born alive in 2007-2012 from women of childbearing age who met the inclusion and exclusion criteria. The study sample was 15,083 live births. Result: The twin births rate in Indonesia by 14 per 1,000 births, increased from previous study 7,2 per 1.000 births in 1997-2007. There was significant association between twin births with neonatal mortality (POR 2,39; 95% CI 1,43-4,01; p-value 0,00), after controlled parity and birth weight. Conclusion: The proportion of twin births in Indonesia has increased almost doubled. Twins is high risk of neonatal death because they are born with low birth weight.
“Anak adalah Aset”: Meta Sintesis Nilai Anak pada Suku Lani dan Suku Aceh Agung Dwi Laksono; Ratna Dwi Wulandari
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.242 KB) | DOI: 10.22435/kespro.v10i1.933

Abstract

Abstract Background: If a child gives values that were considered positive or beneficial to parents, then parents will place high expectations on the child. The study was conducted to synthesize the value of children in the Aceh Tribe and the Lani Tribe. Objective: The research aim was to explore the value of children in the Lani and the Acehnese. Methods: Using the meta-synthesis method in two manuscripts resulting from health ethnographic research, namely "The Dilemma of the Family Planning Program" (Acehnese Tribe in East Aceh, Aceh) and "Portrait of Noken Child Care Patterns in Lani Culture" (Lani Tribe in Tolikara, Papua). Results: Economically the people of Aceh and Lani consider children to be investments. This applies to girls. Socially, the two tribes consider children to be a complement to a family's life and a source of happiness. In religion, the Acehnese consider the child to be the successor to the religion, multiplying children was an effort to multiply the people. While Lani people believe in Christian teachings that encourage them to spread on the surface of the earth, this was done by multiplying offspring. For Acehnese children were important. They consider that the Acehnese boy could be the pride of the family and also the successor to the offspring. While Lani people value girls more than boys. Conclusions: Both tribes still want a large number of children, between 4-7 children. Both tribes also still hold strong the value of children economically, children were assets. Key words: the value of children, meta-synthesis, meta-aggregation, ethnography research, Aceh tribe, Lani tribe Abstrak Latar Belakang: Apabila seorang anak memberikan nilai yang dianggap positif atau menguntungkan bagi orang tua, maka orang tua akan menaruh harapan yang tinggi terhadap anak. Suku Aceh dan Suku Lani merupakan kelompok rentan yang perlu mendapat perhatian. Tujuan: Tujuan penelitian untuk mengeksplorasi nilai anak pada Suku Lani dan Suku Aceh. Metode: Meta sintesis pada dua manuskrip hasil riset etnografi kesehatan, yaitu “Dilema Program Keluarga Berencana” (Suku Aceh di Aceh Timur, Aceh) dan “Potret Pola Asuh Anak Noken dalam Budaya Lani” (Suku Lani di Tolikara, Papua). Studi difokuskan pada nilai anak secara: ekonomi; sosial; agama; preferensi gender; dan preferensi jumlah anak. Hasil: Secara ekonomi masyarakat Aceh dan Lani menilai anak adalah investasi. Hal ini berlaku bagi anak perempuan. Secara sosial kedua suku menilai anak adalah pelengkap hidup sebuah keluarga dan sumber kebahagiaan. Secara agama orang Aceh menilai anak itu penerus agama, memperbanyak anak adalah upaya untuk memperbanyak umat. Sedang orang Lani meyakini ajaran kristiani yang menganjurkan mereka untuk menyebar di permukaan bumi yang dilakukan dengan cara memperbanyak keturunan. Bagi orang Aceh anak laki itu penting. Mereka menganggap bahwa anak laki Aceh dapat menjadi kebanggaan keluarga dan sekaligus penerus keturunan. Sedang orang Lani menilai lebih tinggi anak perempuan dibanding laki-laki. Kesimpulan: Kedua suku masih menginginkan jumlah anak yang banyak, antara 4-7 anak. Kedua suku juga masih memegang kuat nilai anak secara ekonomi, anak adalah aset. Kata kunci: nilai anak, meta sintesis, meta agregasi, riset etnografi, suku Aceh, suku Lani
PERSEPSI IBU TERKAIT PEMANFAATAN PELAYANAN ANTENATAL CARE DI KOTA KUPANG Maria Lupita Nena Meo
Jurnal Kesehatan Reproduksi Vol 9 No 2 (2018): JURNAL KESEHATAN REPRODUKSI VOLUME 9 NO. 2 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.883 KB) | DOI: 10.22435/kespro.v9i2.935.79 - 86

Abstract

Background: A minimum standard of antenatal care visit is four times with the first visit (K1) as early as possible since the delayed menstrual period. Delayed access to antenatal care could influence the outcome of childbirth. Objective: This study was aimed to explore mothers’ perceptions regarding utilization of Antenatal care services in order to identify the reasons why mothers are late to access antenatal care and what are the barriers in accessing antenatal care. Method: A qualitative study with a phenomenological approach was conducted in this research. Data were collected using an in-depth interview in Oepoi primary health care center which had the lowest K1 and K4 coverage. Six main informants and two supporting informants were obtained using a purposive sampling technique and we also handle triangulation of source. Results: The cause of delay in accessing ANC services begins with the mothers' lack of understanding regarding the pregnancy which leads to the failure to recognize, plan, and accept the pregnancy. Another cause is socio-cultural factor related to the status of women in family and society. The family's economic status and inadequate ANC services experience are also considered to influence accessibility to ANC services. Conclusion: The three main problems that caused the delay in accessing antenatal care services are mothers' perception of pregnancy, mothers' perception of ANC services, and mothers' perception of accessibility to ANC services. Therefore, this study suggests health care providers to continuously provide information regarding the benefits and standards of ANC services in order to change the perception of the mother, family and society.
HUBUNGAN KEPEMILIKAN BUKU KIA TERHADAP PENINGKATAN PEMANFAATAN PELAYANAN KESEHATAN MATERNAL DI INDONESIA Suparmi Suparmi; Anissa Rizkianti; Iram Barida Maisya; Ika Saptarini
Jurnal Kesehatan Reproduksi Vol 9 No 2 (2018): JURNAL KESEHATAN REPRODUKSI VOLUME 9 NO. 2 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.416 KB) | DOI: 10.22435/kespro.v9i2.1014.159 - 166

Abstract

Background: One effort to reduce maternal mortality (MMR) is to increase the use of maternal and child health books (MCH books) as a source of information and maternal health record. However, there are still limited research findings related to the ownership of MCH books. Objective: This study aimed to measure the relationship of MCH book ownership to the increased utilization of maternal health services in Indonesia. Method: Secondary data analysis of the 2016 National Health Indicator Survey (Sirkesnas) was used with a cross-sectional design. The population is all women 10-54 years who gave birth to the last child in the last three years. The number of samples was 7149 respondents. The dependent variable includes antenatal visits, delivery assisted by health professionals and delivery in a health facility. The independent variable is the ownership of the MCH book and the characteristics of the mother (age, occupation, education and residence). Multivariate analysis used multiple logistic regression with 95 percent confidence interval. Results: More than half (57.5%) of mothers have MCH books. After being controlled by maternal characteristics (age, education, place of residence and occupation), MCH book ownership is related to the use of antenatal care services (OR = 2.31, 95% CI: 0,000), delivery by health professionals (OR = 4.49, 95% CI: 0,000), and delivery in a health facility (OR = 2.71, 95% CI: 0,000). Conclusion: The ownership of the MCH handbook is related to the increased utilization of antenatal (K4) services, delivery assisted by health professionals and delivery in a health facility. Latar belakang: Salah satu upaya menurunkan angka kematian ibu (AKI) adalah meningkatkan pemanfaatan buku kesehatan ibu dan anak (buku KIA) sebagai sumber informasi dan pencatatan kesehatan ibu. Namun, masih terbatas hasil penelitian yang berhubungan dengan kepemilikan buku KIA. Tujuan: Studi ini bertujuan mengukur hubungan kepemilikan buku KIA terhadap peningkatan pemanfaatan pelayanan kesehatan maternal di Indonesia. Metode: Analisis data sekunder Survei Indikator Kesehatan Nasional (Sirkesnas) 2016 digunakan dengan desain potong lintang. Populasi adalah semua wanita 10-54 tahun yang melahirkan anak terakhir dalam kurun waktu tiga tahun terakhir. Jumlah sampel adalah 7149 responden. Variabel dependen meliputi kunjungan antenatal, persalinan ditolong oleh tenaga kesehatan dan persalinan di fasilitas kesehatan. Variabel independen adalah kepemilikan buku KIA dan karakteristik ibu (umur, pekerjaan, pendidikan dan tempat tinggal). Analisis multivariat menggunakan regresi logistik ganda dengan derajat kepercayaan 95 persen. Hasil: Lebih dari separuh (57,5%) ibu memiliki buku KIA. Setelah dikontrol oleh karakteristik ibu (umur, pendidikan, tempat tinggal dan pekerjaan), kepemilikan buku KIA berhubungan dengan pemanfaatan pelayanan pemeriksaan kehamilan (OR = 2,31, 95% CI: 0,000), persalinan oleh tenaga kesehatan (OR = 4,49, 95% CI: 0,000), dan persalinan di fasilitas kesehatan (OR = 2,71, 95% CI: 0,000). Kesimpulan: Kepemilikan buku KIA berhubungan dengan peningkatan pemanfaatan layanan antenatal (K4), persalinan ditolong oleh tenaga kesehatan dan persalinan di fasilitas kesehatan.
PERAN JAMINAN KESEHATAN TERHADAP PEMANFAATAN TENAGA KESEHATAN SEBAGAI PENOLONG PERSALINAN DI INDONESIA (ANALISIS DATA SUSENAS 2017) Farida Kusumaningrum; Prastuti Soewondo
Jurnal Kesehatan Reproduksi Vol 9 No 2 (2018): JURNAL KESEHATAN REPRODUKSI VOLUME 9 NO. 2 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.93 KB) | DOI: 10.22435/kespro.v9i2.1092.109-124

Abstract

Background: The global maternal mortality ratio in 2015 was 216 deaths per 100,000 live births due to complications during pregnancy and delivery. The utilization of birth attendants is one of the important indicators that play a role for increasing safe delivery so that it can prevent maternal and child mortality. Objective: Knowing the role of health insurance and other related factors towards the utilization of skilled birth attendants in Indonesia. Method: This study uses Susenas data in 2017 with the sample size of 38,485 reproductive age women. The analysis uses logistic regression with the Logit model. Result: The logit test results show that the model is able to explain the data of 9.93 percent. Prob> Chi2 significance value of 0,000 means that all independent variables have a significant effect on the dependent variable. Women who had health insurance were 1,351 times higher to use skilled birth attendant at delivery. Conclusion: The Ownership of health insurance has a significant role towards the utilization of skilled birth attendants in Indonesia in 2017. Likewise with other related factors including increasing age, education ≥ SLTA, urban living areas, parity ≤ 3 people, and economic status in quintiles 2, 3, 4 and 5.
RELATIONSHIP BETWEEN VULVA HYGIENE AND VULVOVAGINALIS CANDIDIASIS OF REPRODUCTION AGE WOMAN IN PUBLIC HEALTH CENTER CIPAYUNG Marni Br Karo; Nurfauziah Cahyanti; Farida Simanjuntak; R. Haryo Bimo Setiarto
Jurnal Kesehatan Reproduksi Vol 10 No 2 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 2 TAHUN 2019
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (151.246 KB) | DOI: 10.22435/kespro.v10i2.1364

Abstract

Abstrak Latar belakang: Kandidiasis vulvovaginalis adalah infeksi mukosa pada vagina maupun vulva yang disebabkan oleh jamur Candida. Infeksi terjadi secara akut, subakut, dan kronis, baik endogen maupun eksogen yang menimbulkan keluhan pada vagina. Umumnya infeksi pertama di vagina disebut vulvitis. Tujuan: Penelitian ini bertujuan menganalisis hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada usia subur di Puskesmas Kecamatan Cipayung. Metode: Penelitian dilakukan dengan menggunakan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari sampai Juli 2018 di Unit Infeksi Menular Seksual Puskesmas Kecamatan Cipayung. Populasinya adalah sejumlah orang yang datang ke Puskesmas Kecamatan Cipayung. Sampel adalah sebanyak 33 orang, metode pengambilan sampel adalah secara accidental sampling kemudian data dikumpulkan dengan menyebarkan kuesioner dan pemeriksaan laboratorium. Analisis statistik yang digunakan adalah Chi-Square. Hasil: Hasil penelitian menunjukkan bahwa kebersihan vulva tidak baik (75,8%) dan berpengaruh positif terhadap kandidiasis vulvovaginalis di Puskesmas Cipayung (87,9%). Hasil uji statistik diperoleh nilai p = 0,036 (p<0,05), atau ada hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada wanita usia subur di Puskesmas Cipayung. Kesimpulan: Kebersihan vulva ada hubungannya dengan kejadian kandidiasis vulvovaginalis di Puskesmas Kecamatan Cipayung. Hal ini disebabkan oleh kurangnya kebersihan vagina pada wanita usia subur yang menyebabkan meningkatnya kejadian kandidiasis. Kata kunci: Kebersihan vulva, kandidiasis vulvovaginalis, wanita usia subur, puskesmas cipayung Abstract Background: Vulvovaginalis candidiasis is infection in the mucosal of vagina or vulva caused by Candida fungus. Infection can occur acutely, subacute, and chronic, both endogenously and exogenously which often cause symptoms in the vagina. Generally, first infection in the vagina called vulvitis. Objective: This study aims to determine the association of the vulva higiene with vulvovaginal candidiasis on fertile age in Cipayung sub-district Public Health Center (PHC). Method: The study used cross sectional design approach. The study was conducted from February to July 2018 in sexually transmitted infection unit. Total sample was 33 patients at Cipayung sub-district PHC. The sampling method is purposive sampling and data were collected by questionnaire and laboratory results. Statistical analysis used is Chi-Square. Results: The results showed that the vulva hygiene was poor (75.8%) and there was positive association with vulvovaginal candidiasis in Cipayung PHC (87.9%). The result of statistical tests obtained p-value = 0.036 (p <0.05), or there is a relationship of vulva hygiene with vulvovaginal candidiasis in women of childbearing age at Cipayung PHC. Conclusion: There is a relationship between vulva hygiene and vulvovaginal candidiasis at Cipayung sub-district PHC due to lack of vaginal hygiene on woman of childbearing age, which increased the incidence of candidiasis. Keywords: Vulva hygiene, vulvovaginal candidiasis, woman age reproductive, public health center cipayung
HUBUNGAN HARGA DIRI DENGAN PERILAKU PEMELIHARAAN KESEHATAN REPRODUKSI REMAJA SANTRI PUTRI DI PONDOK PESANTREN KABUPATEN JEMBER Nahdah Khoirotul Ummah; Tantut Susanto; Latifa Aini Susumaningrum
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.884 KB) | DOI: 10.22435/kespro.v10i1.1397

Abstract

Abstract Background: Girl’s adolescent who live in Islamic boarding schools need behavioral maintenance facilities regarding reproductive health. Girl’s adolescent development during reproductive growth will be associated with the acceptance of self-esteem. Objective: The study purpose was to understand about the relationship of self-esteem and adolescent reproductive health maintenance behaviors of students in Darussholah Boarding Schools Jember. Method: This study used cross-sectional with 281 adolescent aged 12-18 with convenience sampling. Rosenberg Self-esteem Scale (RSES) was used to measure self-esteem, and reproductive health care questionnaire was to measure reproductive health maintenance behaviors. Chi-square was performed to analyze the objective of study. Results: The results showed that among 281 adolescents were identify have a low self esteem (85%) and (74%) of less maintenance reproductive health behaviors. There is a significant relationship between the self-esteem and adolescent reproductive health maintenance behaviors among girl’s adolescent in Darussholah Boarding Schools Jember (χ2 = 96.34; p-value = 0.001). Girl’s adolescent with low self-esteem are more likely 35.414 time to have less reproductive health care (OR = 35.414; 95% CI = 90,145-13,913). Conclusion: Acceptance of proportional self-esteem should be improved to maintenance. Therefore, facilities in Islamic boarding schools need to be provided to realize a clean and healthy should the maintenance of reproductive. Keywords: Self esteem, maintainance of reproductive behavior, female adolscent, boarding schools Abstrak Latar belakang: Remaja putri yang tinggal di pondok pesantren selama proses hygiene perseorangan memerlukan fasilitas pemeliharaan perilaku kesehatan reproduksinya. Perkembangan remaja selama tumbuh kembang kesehatan reproduksi akan berkaitan dengan penerimaan harga dirinya. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara harga diri dengan perilaku pemeliharaan kesehatan reproduksi remaja santri putri di Pondok Pesantren Darussholah Jember. Metode: Desain penelitian cross-sectional dilakukan pada 281 remaja berusia 12-18 tahun dengan convenience sampling. Kuesioner digunakan untuk mengukur karakteristik remaja. Kuisioner Rosenberg Self-esteem Scale (RSES) digunakan untuk mengukur harga diri, dan kuesioner pemeliharaan kesehatan reproduksi digunakan untuk mengukur perilaku pemeliharaan kesehatan reproduksi. Hasil: Hasil menunjukkan bahwa remaja memiliki harga diri rendah (85%) dan perilaku pemeliharaan kesehatan reproduksi yang kurang (74%). Ada hubungan yang signifikan antara harga diri dengan perilaku pemeliharaan kesehatan reproduksi remaja santri putri di Pondok Pesantren Darussholah Jember (χ2= 96,34; p-value= 0,001). Remaja santri putri dengan harga diri rendah berpeluang 35,414 kali memiliki pemeliharaan kesehatan reproduksi kurang (OR= 35,414; 95% CI= 13,913-90,145). Kesimpulan: Terdapat hubungan antara peran keluarga dengan pengetahuan dan SADARI pada remaja putri di Kecamatan Jelbuk. Oleh karena itu, diperlukan peningkatan pendidikan dan promosi kesehatan pada keluarga supaya dapat menjalankan peran keluarga dengan lebih baik dan menjadi sumber informasi tentang SADARI bagi remaja putri. Kata kunci: harga diri, pemeliharaan kesehatan reproduksi, remaja putri, pondok pesantren
POLA KOMUNIKASI KELUARGA DENGAN PERILAKU SEKSUAL BERISIKO PADA REMAJA TUNARUNGU DI SEKOLAH LUAR BIASA KECAMATAN PATRANG KABUPATEN JEMBER Livia Dwi Ramadhani; Tantut Susanto; Latifa Aini Susumaningrum
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.782 KB) | DOI: 10.22435/kespro.v10i1.1404

Abstract

Abstract Background: Deaf adolescent during their development needs special attention particularly parents, to prevent risk for sexual behavior. Risk for sexual behavior among deaf adolescent related to the role of parents can be facilitated by families on how families communicate issues regarding reproductive health of deaf adolescents. Objective: The purpose of this study was to analyze the relationship between the family communication patterns and risky sexual behavior in Disabled Children School, Patrang regency of Jember district Method: A cross-sectional study was conducted among 53 deaf adolescent aged 11-20 with convenience sampling. A questionnaire was used to identify the sociodemography of participants while the data family communication patterns of was obtained by using the Family Communication Patterns Questionnaire and Adolescents Reproductive Health (ARH) Questionnaire to measure risky sexual behavior. Spearman test was performed to analyze the objective of the study. Results: There is a correlation between family communication patterns and risky sexual behavior in Disabled Children School, Patrang regency of Jember district (r = -0,301; p-value= 0,029). Conclussion: Family communication patterns received by deaf adolescents determine their sexual behavior. Deaf adolescents with dysfunctional family communication patterns tend to show risky sexual behavior. Keywords: family communication pattern, risk for sexual behavior, deaf adolescents Abstrak Latar belakang: Remaja tunarungu selama tumbuh kembangnya membutuhkan perhatian khusus terutama orang tua, untuk mencegah perilaku seksual berisiko. Perilaku seksual berisiko di kalangan remaja tunarungu berkaitan dengan peran orang tua dan dapat difasilitasi oleh keluarga terkait bagaimana keluarga mengkomunikasikan masalah kesehatan reproduksi remaja tunarungu. Tujuan: Mengetahui hubungan antara pola komunikasi keluarga dengan perilaku seksual berisiko pada remaja tunarungu di Sekolah Luar Biasa Kecamatan Patrang Kabupaten Jember. Metode: Desain penelitian yang digunakan adalah cross-sectional dilakukan pada 53 remaja tunarungu berusia 11-20 tahun dengan convenience sampling. Instrumen menggunakan kuesioner Pola Komunikasi Keluarga dan Kuesioner Adolescents Reproductive Health (ARH) untuk mengukur perilaku seksual berisiko. Hasil: Ada hubungan antara pola komunikasi keluarga dengan perilaku seksual berisiko pada remaja tunarungu di Sekolah Luar Biasa Kecamatan Patrang Kabupaten Jember (r = -0,301; p-value= 0,029). Kesimpulan: Pola komunikasi keluarga yang diterima oleh remaja tunarungu menentukan perilaku seksualnya. Remaja tunarungu dengan pola komunikasi keluarga disfungsional cenderung menunjukan perilaku seksual yang berisiko. Kata kunci: pola komunikasi keluarga, perilaku seksual berisiko, remaja tunarungu
HUBUNGAN PERAN KELUARGA DENGAN PENGETAHUAN, SIKAP DAN PRAKTIK PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA REMAJA PUTRI DI KECAMATAN JELBUK JEMBER, JAWA TIMUR Yunidar Dwi Puspitasari; Tantut Susanto; Kholid Rosyidi Muhammad Nur
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.907 KB) | DOI: 10.22435/kespro.v10i1.1533

Abstract

Abstract Background: Breast Cancer is commonly diagnosed in fertile women over the age of 35, but recently there is also possibility for adolescent to develop this disease. Prevention that can be done to detect breast cancer early is by doing Breast Self-Examination (BSE). Objective: The purpose of research was to analyze the correlation between the role of family with the knowledge and the attitude of BSE among adolescent girls in Jelbuk sub-district, Jember. Method: This research was a correlational analysis that applied cross-sectional approach conducted on 360 participants using cluster random sampling technique in Jelbuk sub-district, Jember. The data were collected by using questionnaires to measure the characteristic of the participants including sociodemographic, the role of family, and knowledge, attitude, and practice of BSE. Data analysis was done by using Spearman Rank test. Results: Of 360 participants, it was identified that the family role was good (Md=146), knowledge and attitude was also good (Md=23). The role of family was correlated with knowledge and attitude of BSE (r=0,261; p-value=<0,001). Conclusion: There are any relationships between the role of family with knowledge and BSE. Therefore, there is a need for improving of health education and promotion in the family so that, families can carry out their role better and become source of information about BSE for adolescent girls. Keywords: BSE, the role of family, reproductive health Abstrak Latar belakang: Kanker payudara yang biasa dialami perempuan usia subur di atas 35 tahun saat ini mengalami pergeseran dan mulai dialami oleh remaja. Pencegahan yang dapat dilakukan untuk menemukan kanker payudara secara dini adalah deteksi dini pemeriksaan payudara sendiri (SADARI). Tujuan: Tujuan penelitian adalah untuk mengetahui hubungan antara peran keluarga dengan pengetahuan dan sikap SADARI pada remaja putri di Kecamatan Jelbuk Jember. Metode: Penelitian ini merupakan analitik korelasional dengan pendekatan cross-sectional dan menggunakan sampel sebanyak 360 responden yang dipilih melalui teknik cluster random sampling di Kecamatan Jelbuk Jember. Data dikumpulkan menggunakan kuesioner untuk mengukur karakteristik responden yaitu sosiodemografi, peran keluarga, serta pengetahuan, sikap dan praktik SADARI. Analisis data dilakukan dengan uji Spearman Rank. Hasil: Dari 360 responden sebagai sampel, teridentifikasi peran keluarga yang baik (Md=146) dan perilaku (keyakinan) SADARI baik (Md=23). Peran keluarga berhubungan dengan perilaku (keyakinan) SADARI (r=0,261; p-value=<0,001). Kesimpulan: Terdapat hubungan antara peran keluarga dengan pengetahuan dan SADARI pada remaja putri di Kecamatan Jelbuk. Oleh karena itu, diperlukan peningkatan pendidikan dan promosi kesehatan pada keluarga supaya dapat menjalankan peran keluarga dengan lebih baik dan menjadi sumber informasi tentang SADARI bagi remaja putri. Kata kunci: SADARI, peran keluarga, kesehatan reproduksi
SITUASI HUMAN IMMUNODEFICIENCY VIRUS-TUBERKULOSIS DI KABUPATEN MERAUKE 2018: ANCAMAN PADA UMUR PRODUKTIF Dina Bisara; Oster Suriani Simarmata; Novianti Novianti; Felly Philipus Senewe
Jurnal Kesehatan Reproduksi Vol 10 No 1 (2019): JURNAL KESEHATAN REPRODUKSI VOLUME 10 NO. 1 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.524 KB) | DOI: 10.22435/kespro.v10i1.1711

Abstract

Abstract Background: Pulmonary tuberculosis is the most serious opportunistic infection in HIV/AIDS subjects and is a major cause of mortality and morbidity in developing countries. Objective: To describe the results of HIV / TB examination in Merauke District Hospital Method: Study design is cross-sectional using data from “Studi evaluasi deteksi kasus TBC dengan alat tes cepat molekuler di Indonesia tahun 2018”. Descriptive data analysis is applied based on secondary data of PLWHA patients who visited Merauke District Hospital to examine Mycobacterium tuberculosis (MTB). Results: The proportion of PLWHA was almost three times higher (8.5%) compared to other 43 health facilities (3,0%). The highest proportion of PLWHA is productive age of 15-54 years (94.9%) and male (54.5%). The proportion of children (aged <15 years) with HIV is six times higher (3%) compared to other 43 health facilities (0,5%). The results of MTB with molecular rapid tests in 43 health facilities is higher in PLWHA compared to non-PLWHA (34.4%:32.0%), and the opposite is true for Merauke District Hospital (22.2%:29.4%). Conclussion: HIV epidemic in Merauke has been on the general population particularly in productive and children category. This high level of HIV has an impact on increasing transmission to children and HIV-TB co-infection. Keywords: HIV, HIV-TB co-infection, reproductive age, children, RSUD Merauke Abstrak Latar belakang: Tuberkulosis paru adalah salah satu infeksi oportunistik yang paling serius pada HIV/AIDS dan merupakan penyebab utama kematian dan morbiditas di negara-negara berkembang. Tujuan: Diperoleh gambaran hasil pemeriksaan HIV-TB di RSUD Merauke. Metode: Disain studi adalah potong lintang menggunakan data “Studi evaluasi deteksi kasus TB dengan alat tes cepat molekuler (TCM) di Indonesia tahun 2018”. Analisis deskriptif data sekunder pasien HIV yang berkunjung ke RSUD Merauke yang diperiksa MTB. Hasil: Proporsi ODHA di RSUD Merauke hampir tiga kali lebih tinggi (8,5%) dibandingkan dengan 43 fasilitas kesehatan lainnya (3,0%). Persentase tertinggi adalah pada umur produktif 15-54 tahun (94,9%) dan laki-laki (54,5%). Proporsi anak (<15 tahun) dengan HIV enam kali lebih tinggi (3,0%) dibandingkan dengan 43 fasilitas kesehatan lainnya (0,5%). Hasil pemeriksaan konfirmasi bakteriologi MTB dengan TCM pada 43 fasilitas kesehatan tinggi pada ODHA dibanding non ODHA (34,4%:32,0%), dan situasi sebaliknya pada RSUD Merauke (22,2%:29,4%). Kesimpulan: Epidemi HIV di Merauke sudah mencapai tingkat populasi umum, terutama pada kelompok produktif dan anak. Tingginya angka HIV akan berdampak pada tingginya penularan pada anak dan koinfeksi HIV-TB. Kata kunci: HIV, HIV koinfeksi TB, umur produktif, anak, RSUD Merauke