The Roles of Parents and Peer Friends on Adolescent Premarital Sex Behavior in High School Students of Buol District

Background: Most adolescents or teens consider premarital sex behavior is a common and normal activity to do. Parents less able to communicate with their children will provoke conflicts in parents-children relationship and this may lead to impacts on premarital sex behavior in adolescents. Peer friends are also a source of information about sex that is quite significant in the shaping of adolescent knowledge, attitude and sexual behavior. However, information from peers may lead to negative impacts in adolescents such as premarital sex. This activity can lead to unwanted pregnancy, STIs, abortion and school dropouts.Objective: To determine the relationship between the roles of parents and peers in adolescent premarital sexual behavior in SMAN 1, SMA 2, SMK 1 and MAN in Buol.Methods: This study was observational with a cross-sectional design using quantitative and qualitative approaches. The study was held in SMAN 1, SMAN 2, SMK 1 and MAN of Buol District in Central Sulawesi with 192 adolescent as the research subjects. In-depth interviews were done to four selected informants.Result and Discussion: The results of bivariate analysis showed a significant relationship between the roles of parents and peers in adolescent premarital sexual behavior. Adolescents with low reproductive health information than that of parents have 2 times higher chance to perform high-risk sexual behaviors than adolescents with high reproductive health information than their parents. Adolescents with peers who give bad influence have a 5 times higher risk sexual behavior than teens with peers whose negative influence is lower. The results of this study also showed that there is a relationship between the influence of religiosity and pornographic media associated with high risk sexual behaviorConclusion: High-risk sexual behavior in adolescents is influenced by the parents’ role, poor informations on reproductive health high bad influence from peers is, low religiosity and exposure to pornographic media.Keywords: role of parents, peers, premarital sexual behavio

Husban Behavior in Pregnancy-Postpartum Care and Wife’s Reproductive Health

Background: In the process pregnancy-postpartum, the role of the husband is very important and necessary. It is highly expected for the husbands to accompany their wives, so that their wives can have healthy pregnancy which is later able to give birth a healthy baby and the mothers can survive. Objectives: The purpose of this study is to find out the effect of husband’s knowledge regarding Antenatal Care (ANC) and Early High-Risk Detection, husband behavior in the pregnancy-postpartum care with reproductive health problems experienced by wife and to determine which variable that has the greatest effect among the three variables. Metohdes: This research is an analytical observation, carried out in the working area of Tinggede Health Center which includes 3 villages namely Sunju, Tinggede and South Tinggede the research target is all husbands who have pregnant wife (second pregnancy) and have children under two years old with a total of 180 husbands. The survey was carried out on 180 husbands. Data collection is carried out through interviews, observations and FGDs. Data analysis technique with Chi Square value test (p <0.05). Results: The results showed that the level of husband’s knowledge about Antenatal Care and early detection of high risk was low, 58.88% and 56.66%, respectively. Husband behavior in pregnancy care was also categorized as less healthy/bad, i.e., 55.55%, and the prevalence of wife’s respondents who experienced reproductive health problems was 57.7%. Husband’s knowledge about ANC, early detection of high-risk pregnancy, and husband behavior in pregnancy care had a significant relationship to reproductive health problems (p<0.05). The highest frequency of husband’s participation in the pregnancy-postpartum care is making referrals to the healthcare facilities by 79%, Husband behavior in pregnancy care has the greatest effect on maternal reproductive health problems with a P value = 0.001. Conclusion: It can be concluded that the husband’sknowledgeregardingANCandearlydetectionofpregnancyandpostpartum periodhasaneffectonmaternalreproductivehealthinSigiRegency, CentralSulawesi. It’s expected that the development of models for improving husband’s Information, AdvocacyandCommunication(IAC)of reproductive health could be a preventive effort in improving women’s reproductive health

Determinants of Early - Age Marriage in Adolescent Women

Kinovaro Sub-District has a high percentage early-age marriage with a percentage of Couples of Reproductive Age (CRA) under 20 years as many as 4.39%. In Doda Village, Kinovaro Sub-District is the highest number of early-age marriage of 22 people in 2015. This study aimed determine the relationship parental education level, economic status of parents, adolescent education level, adolescent knowledge, social interaction, and religion toward early-age marriage event. The study used a mixed method that combined quantitative and qualitative research. A total population of 32 respondents and sampling used total sampling technique. Statistical analysis used Chi-Square test and descriptive. The results showed that the variables had significant relationship with the early-age marriage were the economic status of parents (p = 0.001), adolescent education level (p = 0.000), and adolescent knowledge (p = 0.026), while the parental education level was not has a significant relationship with early-age marriage (p = 1.000). In ancient times, early-age marriage occurred because of matchmaking culture. But there has been a shift in early-age marriage culture, occurred the desire of adolescent women marriage (already loved each other) and avoid adultery. Based the results, it can concluded that the economic status of parents, the level education and level knowledge, already loved each other and avoid adultery becomes the determinant of early-age marriage in adolescent women in Doda Village

Factors Associated with Exclusive Breastfeeding at the Bulili Health Center, South Bureaubuli Village, Palu City

Exclusive breastfeeding is the best nutrient for babies. The impacts of not receiving exclusive breastfeeding are infection, high risk of infectious diseases such as diarrhea and pneumonia, low immune system, and decreased brain development. breastfeeding reduces baby and toddler morbidity and mortality. Human milk glycans, which contain oligosaccharides in both their free and conjugated forms, are demonstrated in studies to be a component of a natural immune process that explains how human milk protects breastfed children from diarrheal illness. This study aims to analyze factors associated with exclusive breastfeeding in the work area of Bulili Public Health Center South Birobuli Subdistrict Palu. This quantitative research was conducted through a cross-sectional approach. This study involved 90 mothers with babies aged 7-12 months, which was carried out from March 2023. The sample was selected using simple random sampling based on inclusion criteria. Direct interviews were used to collect primary data, and secondary data were obtained from Indonesia's health profile, data from the Palu City Health Office 2021, and data on exclusive breastfeeding. The data were processed using the chi-square statistical test with a significance degree of α = 0.05. The results of the study were knowledge (p=0.018), attitude (p=0.001), interest in formula milk promotion (p=0.018), and family support (p=0,002). In Conclusion, there is a significant association between knowledge, attitude, interest in formula milk promotion, and family support with exclusive breastfeeding practice. It is suggested for mothers to increase knowledge, attitude, and family support by gaining information and using social media appropriately.

Effects of Electronic Technology Antenatal Care (E-ANC) on Midwives and Pregnant Women during the COVID-19 Period

BACKGROUND: Pregnant women are considered as a risk group for exposure to COVID-19. Changes in their hormones and immune systems possibly influence their rate of infection by several viruses, including the coronavirus. This stresses the need to observe necessary precautions, by maintaining social distancing, avoiding crowds, and staying at home. Furthermore, the condition also influences the scope of pregnant women’s antenatal visits. AIM: The study aims to determine the effect of COVID-19 on antenatal visits by pregnant women. Furthermore, it seeks to ascertain the effect of electronic technology antenatal care (e-ANC) on the enhanced participation of midwives and pregnant women in antenatal care (ANC) (i.e., counseling, high-risk early detection on pregnancy, and monitoring of Hb and Fe tablets). Therefore, the impact COVID-19 on women’s reproductive health during the pandemic is also evaluated. METHODS: This research involved pre- and post-test experiments on 30 pregnant women and 20 midwives at areas around the Public Health Centers in Tinggiede and Marawola. A purposive sampling technique was adopted, and the results were analyzed using a paired t-test. RESULTS: The study showed discrepancies in the ANC visits of pregnant women before and after the COVID-19 lockdown period, with p < 0.00. Furthermore, there were also differences in midwife participation in counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.001, Hb monitoring by p < 0.002, and provision of Fe tablets by p < 0.003 during the pandemic. Moreover, the pregnant women showed variations in the frequency of counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.00, Hb monitoring by p < 0.002, and the provision of Fe tablets by p < 0.003. The e-ANC instigated a decline in reproductive health problems before (73.4%) and after (10.0%) the intervention. CONCLUSION: The lockdown period influences the low antenatal visits of pregnant women. However, e-ANC for midwives and pregnant women is developed as an alternative solution to improve ANC (i.e., counseling, high-risk early detection, and monitoring Hb and Fe tablets). This consequently has an effect on the reduced reproductive health problems of pregnant women during the pandemic