RIWAYAT KELUARGA BERHUBUNGAN DENGAN DISMENORE PRIMER PADA MAHASISWI S1 REGULER FKM UI TAHUN 2022

Primary dysmenorrhea is menstrual disorder experienced by young adult women with poor level of diagnosis and treatment. The aim of this study is to determine the proportion of primary dysmenorrhea and the relationship between risk factors and the primary dysmenorrhea among Undergraduate students of Public Health Faculty, University of Indonesia (PHF UI) in 2022. The dependent variable in this study is primary dysmenorrhea. The independent variable in this study includes intake of calcium, magnesium, zinc, vitamin E, breakfast habits, physical activity, stress level, age at menarche, menstrual duration, menstrual cycle, and family history of dysmenorrhea. The research method used is quantitative with cross-sectional design. Respondents in this study are 135 undergraduate students of PHF UI class of 2018-2021 that were selected through simple random sampling technique. Data was obtained through filling out online questionnaires via google-form. Data were analyzed by univariate and bivariate (Chi-Square test). The results showed that the proportion of primary dysmenorrhea was 86.7%. Family history of primary dysmenorrhea was significantly related to the primary dysmenorrhea, p-value = 0,038; OR = 3,318, 95%CI = (1,162-9,472). Therefore, it is important to educate on the management and prevention of primary dysmenorrhea, especially for students who have a family history of dysmenorrhea

Riwayat Hipertensi Keluarga Sebagai Faktor Dominan Hipertensi pada Remaja Kelas XI SMA Sejahtera 1 Depok Tahun 2017

Abstract Nutritional status changes, diet, and lifestyle are risk factors adolescent’s hypertension. This study is a cross sectional research to determine the most dominant factor of hypertension among adolescents at SMA Sejahtera 1 Depok 2017. Collected data include blood pressure, nutritional status (BMI for age), intake nutrients (sodium, potassium, calcium, fat, fruits and vegetables consumption), lifestyle (sleep duration, stress, and physical activity), and adolescent characteristics (sex and family history of hypertension). Blood pressure was measured using mercury sphygmomanometer, nutritional status with anthropometry, nutrient intake with Semi Quantitative FFQ, lifestyle and characteristics with questionnaire. The study showed that 42.4% of adolescents had hypertension (≥95 percentile). Factors associated with hypertension were BMI for age and family history of hypertension. The most dominant factor associated with hypertension was family history of hypertension. Education on genetic related risk factors of hypertension such as genetic counseling through Health School Program was needed for prevent adolescent’s hypertension, so that students with a family history of hypertension may be more concerned about other risk factors such as nutritional status. Keywords : adolescent, family history of hypertension, hypertension Abstrak Perubahan status gizi, pola makan dan gaya hidup pada remaja merupakan faktor risiko hipertensi remaja. Penelitian ini merupakan penelitian cross sectional untuk mengetahui faktor dominan hipertensi pada remaja di SMA Sejahtera 1 Depok tahun 2017. Data yang dikumpulkan meliputi tekanan darah, status gizi (IMT/U), asupan zat gizi (natrium, kalium, kalsium, lemak, konsumsi buah dan sayur), pola hidup (durasi tidur, stres, aktivitas fisik), dan karakteristik remaja (jenis kelamin dan riwayat hipertensi keluarga). Tekanan darah diukur menggunakan sfigmomanometer air raksa, status gizi dengan antropometri, asupan zat gizidengan Semi Quantitative FFQ, pola hidup dan karakteristik dengan kuesioner. Hasil penelitian menunjukkan bahwa sebanyak 42,4% remaja SMA Sejahtera 1 Depok mengalami hipertensi (≥95 persentil). Terdapat hubungan IMT/U dan riwayat hipertensi keluarga pada hipertensi remajanya. Faktor dominan yang paling berhubungan dengan hipertensi pada remaja di SMA Sejahtera 1 Depok tahun 2017 adalah riwayat hipertensi keluarga. Diperlukan edukasi seperti kegiatan konseling genetik melalui UKS (Usaha Kesehatan Sekolah) tentang faktor risiko riwayat hipertensi keluarga sebagai pencegahan hipertensi remaja, sehingga bagi siswa yang memiliki riwayat hipertensi keluarga dapat lebih memperhatikan faktor risiko lainnya seperti status gizi. Kata kunci: hipertensi, remaja, riwayat hipertensi keluarg

A survey of governance approaches to ecosystem-based disaster risk reduction:current gaps and future directions

Climate change will increase the unpredictability, magnitude, and frequency of both slow and rapid onset disaster events. Although large-scale engineered interventions have been common for the purposes of risk reduction and adaptation in the past, emerging ecosystem-based approaches are gaining attention. In contrast to ‘hard’ infrastructure, ecosystem-based solutions that integrate risk management priorities with natural processes are touted as being more cost effective, socially equitable, and environmentally sustainable. Current developments in ecosystem-based approaches to climate adaptation (EbA) and ecosystem-based disaster risk reduction (Eco-DRR) tend to focus on scientific projections, engineering techniques, and their respective roles in shaping economic benefits. However, recent studies show that effective implementation of such solutions is dependent on the governance practices and interactions between relevant actors, interests, and institutional structures. In response, this paper reviews the current status of governance studies in the context of EbA and Eco-DRR. The analysis is grounded in the interdisciplinary theories of governance, socio-ecological systems, infrastructure studies, and multilevel politics, with sources derived from scientific databases including Scopus and Science Direct advanced query. Based on the review, we evaluate existing governance theories, assessment methods, and implementation through illustrating emblematic examples from around the world. The paper concludes with a synthesis of governance gaps and opportunities, and notes that while emerging ecological engineering approaches provide distinct opportunities, there is a lack of comprehensive assessment beyond diagnosing potential financial, institutional, and political shortfalls. We therefore highlight the need for future research on the socio-ecological, spatial/scalar, and political dimensions of EbA and Eco-DRR

Dealing with Greater Jakarta Floods in Times of Climate Change: Policy briefs

he metropolitan area of Greater Jakarta, Indonesia, has a long history of flooding, which persists in today’s megacity. Triggered by the severe flooding in early 2020, members of the Indonesian diaspora community in The Netherlands held the Focus Group Discussion (FGD) ‘Dealing with Greater Jakarta Floods in Times of Climate Change’ on 27 February 2020 at the Indonesian Embassy in The Hague,- The Netherlands. One of the outcomes of this FGD is a general policy brief with recommendations to address the flooding problem. This Policy Brief Series continues the content of the initial policy brief but aims to provide more in-depth insights into the recommendations. The Policy Brief Series is the work of a multidisciplinary group of Indonesian and Dutch researchers and professionals to provide policy- relevant, timely, and knowledge-based insights and knowledge related to Jakarta’s flooding in the context of climate change. The aims of the Policy Briefs are threefold: 1. To provide meaningful insights to policymakers and decision-makers in relevant public and private sectors, as well as civil society; 2. To encourage the development of an Indonesian-Netherlands bilateral cooperation platform; and 3. To trigger a public debate on this important topic in Indonesia, The Netherlands and beyond

Earth System Governance in Indonesia: An Initial Investigation

Despite a growing scholarly interest internationally in the notion of earth system governance (ESG), the state-of-the-art of how the notion interacts in and with Indonesian academia has not been reviewed. The ESG notion is a paradigm that warrants the broader context of the Anthropocene and human-induced transformations of the entire earth system. Considering that Indonesia is one of the most important scholarly and empirical sites of investigation in Asia-Pacific, understanding the existing development of environmental governance with ESG can inform the corpus theory of sustainable futures. What does the notion mean in Indonesian academia? Which fields, disciplines, and networks have engaged with the notion? What are the alternative practices and directions of ESG emerging from and within the Indonesian academia? The chapter aims to offer an initial investigation by conducting a literature review with the following objectives: (1) to trace and evaluate the intellectual progression of the field of ESG from and within Indonesian academia, (2) to contextualize the theory and framework of ESG in the context of Indonesian academia, and (3) to identify gaps and offer reflections for future research. The chapter will review academic literature from the international database of Scopus and the Indonesian recognized national database of Garuda of the conceptual debates and discussion of ESG in the context of Indonesia. The chapter ultimately provides a summary, synthesis, and critical evaluation of the current body of knowledge about the ESG, within the broader context of environmental governance, in Indonesian academia and suggests future research

A harmonized country-level dataset to support the global stocktake regarding loss and damage from climate change

Under the Paris Agreement, parties should undertake a global stocktake of progress toward meeting the goals of the agreement and tackling climate change. The first global stocktake will be undertaken in 2023, and an assessment of loss and damage from climate change is an important part of the process. Loss and damage refer to the impacts of climate change felt when mitigation and adaptation efforts are inadequate or absent. Much data, including metrics and indicators relevant for loss and damage, are held in existing global databases, but these are disparate and cannot easily be combined and compared to support the global stocktake. We combine relevant primary data sources to provide a harmonized country-level global dataset containing relevant indicators of recorded losses and damages from climate-related events; exposure to climate-related events; country vulnerability and adaptation readiness; scientific studies of climate change attribution; financial support for climate adaptation; and contextual governance conditions. The indicators are standardized against country population and GDP where relevant. We describe original data sources, processing steps, and an overview of key indicators in the dataset. We also compare the assembled data to existing global risk databases; namely, the INFORM risk index and the World Risk Index. This comparison, provided in the Supporting Information, shows a large amount of redundancy among vulnerability and governance indicators, and we suggest that creators of new databases and risk indices be clear about data limitations and the gaps that specific indices attempt to fill in the global data landscape. We recommend the standard use of ISO codes in future databases of this nature, as well as clear metadata regarding how overseas territories are treated relative to their sovereign state, and information on dissolution and creation of states over time

Environmental Governance in Indonesia

Indonesia is one of the countries with the fastest-growing economies in Asia and one of the most biologically diverse countries in the world. With ecosystems ranging from terrestrial to marine and teemed with unique life forms, Indonesia is rich in natural resources. Unfortunately, Indonesia also suffers from overexploitation and environmental threats exacerbated by climate and human pressures. Along with the growing global ambitions for achieving sustainable development and increasing its capacity to adapt to climate change and extreme events, Indonesia is also increasing its commitments to balance development while safeguarding environmental and social sustainability. However, challenges remain, especially on how to effectively govern the responses to environmental issues. Against this background, this book will present state-of-the-art environmental governance research and practices in Indonesia. It offers a wide scope, covering different themes and sectors (e.g., climate change, disaster risk, forestry, mining, etc.), diverse physical and societal landscapes (e.g., urban, rural, deltas, coastal areas, etc.), and multiscalar perspectives (from national to local level). This book has the ambition to incorporate more knowledge to indicate research gaps and future directions for environmental governance research. Our intention is also to reflect a vision to make the national and global environmental governance research agenda to be more diverse, inclusive, interdisciplinary, and transdisciplinary. We hope that this book will be useful for researchers, students, practitioners, and policymakers who are interested in the field of environmental governance, especially in Indonesia as a megadiversity country that encompasses the world’s largest archipelago

Adaptive Governance of River Deltas Under Accelerating Environmental Change

Many deltas are increasingly threatened by environmental change, including climate change-induced sea-level rise, land subsidence and reduced sediment delivery. Dealing with these challenges is a pressing necessity because deltas are home to many people and are important centres for economic and agricultural development. Successfully adapting to climate change requires a social-ecological system (SES) perspective, emphasising that social and ecological components of deltas are intertwined. Various modes of governance have been suggested to deal with uncertainty associated with environmental change in SESs, such as adaptive governance. Adaptive governance underlines the need for governance systems to be flexible enough to adapt to variable degrees of uncertainty in SESs. In this paper, we analyse the Dutch Delta Programme (DDP) and the Mekong Delta Plan (MDP) to explore their strengths and limitations relating to nine principles for adaptive governance proposed by DeCaro and others. We evaluate the suitability of this framework for the Rhine and Mekong deltas and contribute to the current understanding of delta governance in light of climate change. Most of the principles outlined by DeCaro and others are present in the DDP and MDP. However, adaptive governance is context dependent. The Rhine and Mekong deltas display different obstacles to adaptive governance, some of which are not sufficiently emphasised in this academic adaptive governance framework. Instead of relying on one framework as a blueprint for adaptive governance, using principles from different frameworks depending on the case may be the best approach for addressing environmental challenges in deltas

Science and technology networks: a helping hand to boost implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030?

The Sendai Framework for Disaster Risk Reduction 2015–2030 underlines the importance of Science and Technology (S&T) and S&T networks for effective disaster risk reduction (DRR). The knowledge of existing S&T networks and their exact role in DRR, however, is limited. This opinion piece initiates a discussion on the role of S&T networks in the implementation of the Sendai Framework. The article highlights that current practice is oriented towards a narrative that emphasizes the potential of S&T for DRR and stresses a collaborative approach delivered through networks. But a true understanding of whether and how S&T networks can mobilize and enable S&T for DRR is missing. We call for a review of existing S&T networks for DRR and the development of good practice guidelines on S&T networks for DRR. This review should include knowledge on how to overcome common challenges and maximize the benefits, along with a framework for successful evaluation of such networks. This knowledge would provide much needed guidance for existing and emerging networks

Sustainable floods: Exploring stakeholder perceptions of sedimentation strategies for the sinking Mekong delta

The Mekong delta in Vietnam, home to over 17 million people, is rapidly losing elevation due to groundwater-extraction-induced subsidence, natural compaction and global sea-level rise. These combined processes result in salinity intrusion, erosion and land loss. The delta has been extensively poldered for agri- and aquaculture, largely cutting off the land from the dwindling supplies of fluvial sediment which would otherwise accumulate on the delta during seasonal floods and increase land elevation. Considering the current state of the Mekong delta and sediment delivery from upstream, the future sustainability of the delta cannot rely on natural delta-building processes and instead must be planned and managed to prevent major degradation of the system. Sedimentation strategies are methods of ensuring that the limited sediment available is retained to increase elevation where it is desirable for the population and sustainability of the delta. Considering the potential disruption to land uses and livelihoods caused by sedimentation strategies, it is vital to discuss the possibilities for sedimentation strategies with stakeholders to ensure that people, particularly vulnerable groups, are not disadvantaged, and ensure that delta management is sustainable from all perspectives. In this research we engage with stakeholders to start an explorative dialogue on the potential of sedimentation strategies in the Mekong delta considering physical, socio-institutional, governance and legal aspects. We resent an analysis of interviews and workshop discussions with farmers, officials, and regional experts in the provinces of Soc Trang (coastal, the most downstream part of the delta) and An Giang (inland, the most upstream part of the delta) to gain insights into local perspectives in different areas of the delta, with different physical environments, land use histories and constraints. Preliminary findings suggest that the perceived role of sediment varies across different stakeholders e.g. farmers focus more on the role of sediment for their agricultural activities while experts also express their concerns on the elevation of the delta. Interestingly, while sediment is perceived to be important in the upstream area, it is considered an inconvenience in the downstream part of the delta due to, among other factors, different types of livelihoods. It is therefore recommended that the sedimentation strategies need to be designed based on the typical livelihoods of locals and communication strategies need to be enhanced to raise the awareness of local actors on the role of sediment