PARTICIPATIVE LEARNING TO IMPROVE FEMALE ADOLESCENTS’ KNOWLEDGE ON THE RISKS OF EARLY-AGE MARRIAGE

Early-age marriage is still one of the most prominent issues in female health in Indonesia. Scarce information on the risks and dangers of early-age marriage has caused many adolescents to make a rash decision to get married. This study aims to discover the effectiveness of participative learning on the risks of early-age marriage in improving female adolescents’ knowledge about the matter. This is a quantitative study in quasi-experimental design, using pretest-posttest design method, conducted at Kalijaya and Kalisari Villages, Karawang Regency, on May 2018. The sample of 80 girls from Kalijaya Village and 101 girls from Kalisari Village was selected through purposive sampling from the population of all female adolescents at those villages. Data is obtained from two sources, questionnaire (for primary data) and annual report register in local Religious Affairs Office (for secondary data). Data is analyzed using paired T-test and effect-size (ES) measurement. The results show that in Kalijaya Village, the pretest score of R=69.10, s.b=16.45 increase to a posttest score of M = 77.58, SD = 15.88, [t(80) = 6.75, p = 0.000], and the pretest score of M = 66.14, SD = 15.38 in Kalisari Village increase to a posttest score of M = 76.36, SD = 16.10 [t(101) = 7.65, p = 0.000]. The intervention of participative learning has high effectiveness (ES ≥ 0.14) in improving female adolescents’ knowledge on the dangers and risks of early-age marriage (ES = 0.37). Health education using participative method is effective to improve female adolescents’ knowledge on the risks of early marriage

The Relationship Between Electronic Media And Sex Behavior Among Early Adolescents In Junior High School In Tasikmalaya

Based on the 2018 Survey on Adolescent Reproductive Health (SKKR) conducted by the Population and Family Planning Agency (BKKBN) as many as 29.5% of young men and 6.2% of young women have touched or stimulated their partners. As many as 48.1% of teenage boys and 29.3% of teenage girls have kissed their lips. It is during this period that a person can easily fall into social deviations, especially deviations of free sex. The purpose of this study was to determine the impact of electronic media on sexual behavior in early teens in Junior High School in Tasikmalaya. The research was correlation study with a cross-sectional approach. The population in this study were the 180 students in a Junior High School in Tasikmalaya. A total sampling technique was used, together with a questionnaire about electronic media usage and sexual behavior. The Chi Square test was used to analyze the relationship between independent and dependent variables. The results showed that there is a moderate correlation between electronic media and sexual behavior among adolescents Tasikmalaya in 2019 with a p-value of 0,000 with r= 0.425. Schools should increase supervision of their students, especially in the use of electronic media   Keywords: electronic media, sexual behavior, teenager

UPAYA PENINGKATAN PENGETAHUAN KADER POSYANDU TENTANG KESEHATAN IBU HAMIL, BAYI DAN BALITA DI WILAYAH PUSKESMAS JATINANGOR KECAMATAN JATINANGOR SUMEDANG

Peran kader dalam penyelenggaraan posyandu sangat besar karena selain pemberi informasi kesehatan pada masyarakat. Salah satu peran kader posyandu pada saat pelayanan kegiatan posyandu adalah melakukan penyuluhan kepada ibu hamil dan ibu yang memiliki bayi dan balita. Permasalahan yang dihadapi kader masih kurangnya  pengetahuan tentang kesehatan ibu hamil, bayi dan balita. Tujuan kegiatan PKM ini adalah untuk meningkatkan pengetahuan kader posyandu tentang kesehatan ibu hamil, bayi dan balita, agar ibu hamil dan ibu yang mempunyai bayi dan balita mengetahui tentang kesehatannya. Metode kegiatan bertahap dengan : 1) meningkatkan pengetahuan kader dengan ceramah bervariasi, 2) Demonstrasi, 3) Latihan (Role Play) dan 4) Monitoring & Evaluasi. Hasil kegiatan ini adalah terdapat peningkatan pengetahuan kader posyandu tentang kesehatan ibu hamil yaitu sebesar 7,7% dan kesehatan bayi dan balita juga meningkat sebesar 20,3%. Pemberian pelatihan tentang kesehatan ibu hamil, bayi dan balita diwilayah puskesmas Jatinangor pada kader dapat menigkatkan pengetahuan yang dapat digunakan sebagai langkah awal dalam memberikan penyuluhan dan membentuk keterampilan kader untuk di salurkan kembali kepada ibu hamil dan ibu yang mempunyai bayi dan balita. Kata Kunci: Kader posyandu, Kesehatan ibu hamil, Bayi dan balita, Pengetahuan.  ABSTRACT The role of cadres in organizing posyandu (Integrated Service Post In Indonesia)was very large because in addition to provide health information to the community. One of the roles of cadres was educated pregnant women and mothers who have babies and children under five years old when posyandu activity was held. The problem faced by cadres was still a lack of knowledge about the health of pregnant women, infant and children under five years old. The purpose of this community services was to increasethe knowledge of cadres in posyandu about health the health of pregnant women, infant and children under five years old, so they would know about their health. Gradual activity method with : 1) increaning cadre knowledge with varied lectures, 2) demonstration, 3) exercises (Role play) and 4) Monitoring & Evaluation. The result of this activity was the increasing of cadres knowledge about the health of pregnant women, which amounted to 7.7% and the health of infant and children under five years old also increased by 20.3%. providing cadres’ training on the health of pregnant women, infant and children under five years old in Jatinagor Community health center (or, “Puskesmas Jatinagor” in Indonesia) could increase knowledge which could be used as an initial step in providing counseling and forming cadres’ skill to be distributed back to pregnant women and mothet who have babies and children under five years old. Keywords : Posyandu, cadres, health of pregnant women, infant and children under five years old, Knowledge.

Correlation Between Consumption of Protein and Vitamin C Among Children Aged 12-24 Months with Anemia in the South Sumedang District

Anemia commonly occurs in infants aged 12-24 months. One of the causes of anemia in infants is a lack of vitamin C and protein. This study aimed to determine the correlation between protein intake and vitamin C on the incidence of anemia in children under 12-24 months. This research uses an analytic study design with a cross-sectional design. Randomization was conducted to obtain a study sample consisting of 96 toddlers aged 12-24 months. The instrument uses FFQ (Food Frequency Questionnaire) with bivariate (chi-square) and multivariate (multiple logistic regression) analysis. The univariate study results showed that out of 96 toddlers, 42 had anemia 42 (43.8%) and 54 did not (56.3%). Based on the bivariate test results, it was found that protein intake of the fulfilled hemoglobin levels had anemia 14.8% and those that were fulfilled did not experience anemia 85.2% with the result p = 0.000. Based on the fulfilled vitamin C intake, 18.9% anemia was fulfilled but 81.1% did not experience anemia with the result p = 0.001. Based on the multivariate test, protein intake was not fulfilled and had anemia p = 0.001, OR = 15.01. This study concludes that there is a relationship between protein and vitamin C intake on the incidence of anemia in infants, and protein intake that is not met will experience a 15x more significant influence on the incidence of anemia in infants   Keywords: Children under five, Anemia, Protein intake, Vitamin C intak

PENGETAHUAN REMAJA PUTRI TENTANG BAHAYA PERILAKU SEKSUAL PRANIKAH DI DESA KALISARI DAN DESA KALIJAYA KABUPATEN KARAWANG

ABSTRAKPengetahuan remaja tentang seks pranikah masih kurang karena sumber informasi yang didapatkan tidak benar, tepat, dan terpercaya sehingga akan mempengaruhi pemahaman menjadi menyimpang. Pengetahuan remaja yang minim akan berpegaruh terhadap perilaku seksual pranikah. Perilaku seksual pranikah berisiko terjadi kehamilan di luar nikah, aborsi, dan dapat meningkatkan kasus kekerasan dan perceraian. Penelitian ini bertujuan untuk mengetahui pengetahuan remaja putri tentang bahaya perilaku seksual pranikah di Desa Kalisari dan Desa Kalijaya Kabupaten Karawang. Metode penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik purposive sampling. Penelitian ini dilakukan pada bulan juli 2018 dengan populasi dua desa sebayak 403 orang. Besar sampel dalam penelitian ini sebanyak 80 remaja putri di Desa Kalisari dan Desa Kalijaya. Instrument penelitian ini menggunakan kuesioner. Cara pengolahan dan analisis data menggunakan spss versi 15. Hasil penelitian pada kuesioner pengetahuan menunjukkan 47,8% berpengetahuan cukup. Simpulan penelitian ini adalah masih terdapat remaja yang berpengetahuan cukup tentang bahaya perilaku seksual pranikah.Kata Kunci: Pengetahuan, Perilaku Seksual Pranikah, Remaja PutriABSTRACTAdolescent girls' knowledge about premarital sex is still lacking due to the incorrect, inaccurate, and untrustworthy source of information obtained, which affects their understanding to be distorted. Lack of adolescent girls' knowledge will affect the premarital sexual behavior. Premarital sexual behavior presents risks of an extramarital pregnancy, abortion, and can increase cases of violence and divorce. This study aimed to determine the adolescent girls' knowledge about the dangers of premarital sexual behavior in Kalisari and Kalijaya Villages, Karawang District. The research method used was descriptive research with cross-sectional approach and the sampling used purposive sampling technique. This study was conducted in July 2018 with a population of two villages consisting of 403 people. The sample size in this study was 80 adolescent girls in Kalisari and Kalijaya Villages. Instrument of this study used a questionnaire. Furthermore, data processing and analyzing used SPSS version 15. The results of the study from questionnaire on knowledge showed that 47.8% were knowledgeable enough. The conclusion of this study is that there are still adolescent girls who have sufficient knowledge about the dangers of premarital sexual behavior.Keywords: knowledge, premarital sexual behavior, adolescent girl

Relationship between Nutrition Intake and Hemoglobin Levels in Toddlers Aged 12-24 Months

Background: The toddler period is a crucial life period and needs special attention. Toddlers need to have a proper amount and good quality of nutrition from daily food to prevent anemia. This study aimed to explore the relationship between nutritional intake and Hb level in toddlers aged 12-24 months in Sumedang District, West Java, IndonesiaMethods: This was a cross-sectional quantitative conducted in August-November 2019 on 96 toddlers aged 12-24 months. Toddlers were recruited using proportioned simple random sampling method. The mothers of these toddlers were asked to complete a food record for three consecutive days for their toddlers. Data were then processed using the Nutrisurvey application while the hemoglobin (Hb) level was measured using a Digital Hb tool. All data were analyzed using a Pearson Correlation Test.Results: Most mothers of these toddlers graduated from senior high school (45.8%) and were housewives (78.1%). The iron requirement was met 61 toddlers (63.5%). Most toddlers were not anemic (56.3%) with a mean Hb of 10.99 gr/dl. A relationship was established between iron intake and Hb level (p=0.000).Conclusion: Low iron intake is associated with Hb level in toddlers aged 12-24 months in Sumedang District, West Java Province, Indonesia. A nutrition program needs to be well set-up for toddlers in this area

Head Circumference Profile of Infants Aged 9–15 Months Related to Intelligence in Sukabumi and Cirebon

Golden period is any child's period needing attention for their growth, and it would cause permanent damages if not utilized well. Early detection of an infant’s growth needs to be implemented with anthropometric measurements, Head Circumference (HC) as one of the nutritional status references. HC correlates with brain volume, and it indicates an infant's intelligence. This study aims to discover the HC measure of infants aged 9-15 months related to their intelligence in the Sukabumi City and Cirebon Regency. The design of this study was a non-experimental quantitative design with a descriptive study approach and cross- sectional method. The data were taken by measuring the infants’ HC directly and interviewing infants’ mothers. The results of the examination were confirmed and classified based on WHO charts, namely the z-score chart. The results showed that the HC status of most of the infants (86.36%) in Sukabumi City and Cirebon Regency could be categorized in the normal category. The results of the study were mostly in good HC status, but so me infants had growth problems, such as 13.64% of infants were included in microcephaly based on head circumference according to age that could have been caused by various factors such as nutrition, and this may be able to affect the intelligence of these children in the future

The Relationship Between Electronic Media and Sex Behavior Among Early Adolescents in Junior High School in Tasikmalaya

Based on the 2018 Survey on Adolescent Reproductive Health (SKKR) conducted by the Population and Family Planning Agency (BKKBN) as many as 29.5% of young men and 6.2% of young women have touched or stimulated their partners. As many as 48.1% of teenage boys and 29.3% of teenage girls have kissed their lips. It is during this period that a person can easily fall into social deviations, especially deviations of free sex. The purpose of this study was to determine the impact of electronic media on sexual behavior in early teens in Junior High School in Tasikmalaya. The research was correlation study with a cross-sectional approach. The population in this study were the 180 students in a Junior High School in Tasikmalaya. A total sampling technique was used, together with a questionnaire about electronic media usage and sexual behavior. The Chi Square test was used to analyze the relationship between independent and dependent variables. The results showed that there is a moderate correlation between electronic media and sexual behavior among adolescents Tasikmalaya in 2019 with a p-value of 0,000 with r= 0.425. Schools should increase supervision of their students, especially in the use of electronic media   Keywords: electronic media, sexual behavior, teenager

Effectiveness Of Education Regarding Stunting Prevention to Cadres: Systematic Literature Review

Stunting, a disease characterized by prolonged nutritional deficiency during the initial 1,000 days of a newborn's life, continues to be a significant health concern in Indonesia, holding the second highest global prevalence. Ineffective parenting practices, insufficient prenatal care, challenges getting to nutrients and clean water, and infectious illnesses are some of the factors that contribute to childhood stunting. The provision of education to cadres on the prevention of stunting is one of the aspects of stunting prevention that plays a significant role in the process of overcoming the variables which lead to stunting from their underlying causes. Through the transmission of health information, the training that is offered to cadres has the potential to promote public health. This research wants to see how effective stunting education is in increasing cadres' knowledge about stunting prevention. In this study, a systematic literature review was combined with a search for systematic studies using the PRISMA technique, and the search was conducted on two national journal portals. The primary discussion of the study was based on six papers, all of which were investigated with a cross-sectional design that included stunting prevention instruction for cadres. These studies were chosen for the research project. Education with audiovisual media and lecture and discussion techniques has a 70% efficacy rate in expanding cadre knowledge. This is the way with the highest effectiveness rate. &nbsp