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Developing Reproductive Health Communication in Early Marriage Najib, Najib; Nisa, Alfiana Ainun; Nugroho, Efa; Widowati, Evi; Yang, Chia En
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 3 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i3.23880

Adolescent fertility is an important health and social problem because it is related to the level of morbidity and mortality of mothers and children. The results of the 2017 IDHS show that 7% of women aged 15-19 are already mothers, 5% have given birth, and 2% are pregnant with their first child. The data shows that adolescents are already sexually active, but still have an understanding of low reproductive health. The purpose of this study was to determine the effectiveness of community-based health communication models that developed to improve access to information and public knowledge related to contraceptive methods in young married couples in Rembang Regency in 2019. This researchÃ‚Â used Research and Development design with a quasi-experimental data collection method. The population in this study were adolescents who married at a young age in Rembang District, while the sample was adolescents who married young in Sedan and Kragan villages (intervention group), Menoro and Ngasinan (control group). Quantitative data analysis uses univariate, bivariate, and multivariate, while for qualitative data use grounded theory. The effectiveness test showed significant data for knowledge (p = 0,000), attitudes (p = 0.003), access to information (0.012), preferences (p = 0.001), and access to contraception (p = 0,000). It can be concluded that the community-based health communication model can improve knowledge, attitudes, access to information, preferences, and access related to contraception in early married couples

Proximate Determinant of Adolescents Fertility in Central Java Raharjo, Bambang Budi; Nugroho, Efa; Cahyati, Widya Hary; Najib, Najib; Nisa, Alfiana Ainun
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.21364

Adolescent fertility is an important issue in terms of health and social care due to its relation to morbidity and mortality of mothers and children. The 2017 IDHS provided data regarding the percentage of women aged 15-19 who already became mothers or pregnant with their first child according to background characteristics. The 2017 IDHS results showed 7 percent of women aged 15-19 were mothers: 5 percent had given birth and 2 percent were pregnant with their first child. This study used a quantitative secondary data analysis approach. The secondary data used were the results of the Central Java IDHS 2017. The population of this study was all adolescent girls aged 15-19 years in Central Java. The unit analysis in the study were women of childbearing age which were 15-19 years from the analysis unit of Central Java IDHS in 2017 with a total sample of 4,560 respondents. From the results of the study, we noted that factors related to adolescent fertility in Central Java were age, education, use of contraception, marital status, status of living with a partner, and practice of sexual relations. Factors which were not related to adolescent fertility in Central Java were occupation, wealth, type of residential area, insurance ownership, duration of abstinence, partner's age, partner's level of education, and partner's occupation.

Care Support Education: Optimization Model of Communication Change Behavior in Female Sex Workers Azinar, Muhammad; Fibriana, Arulita Ika; Matahari, Ratu; Nisa, Alfiana Ainun
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v16i1.24993

Female Sex Workers (FSW) are a group of populations at high risk of transmitting HIV/AIDS. In Indonesia, it is predicted that more than 50% of FSW suffer from sexually transmitted diseases (STDs), as well as in the district of Batang, Central Java, the most cases of HIV/AIDS in FSW. The main causes are weak sexual negotiation skills and economic reasons. The model of behavior change is the main key in decreasing cases of HIV/AIDS transmission. The Care Support Education (CSE) model is an innovative community-based behavior change communication. This research is pre experimental research with one group pretest posttest design. The population is FSW in Batang district localization totaling 123 people. Samples were taken by purposive sampling of 57 people. Test the effect of applying the CSE model on behavior change was analyzed using the Mc Nemar test. Condom use in risky sexual behavior among FSWs was still low (15.8%). Factors that influence it are knowledge, attitudes, perceptions of vulnerability, seriousness, benefits, negotiation capabilities and customer support. The application of the CSE model can significantly increase knowledge (p value 0.00006), attitude (0.0001), condom negotiation skills (0.000001) and practise of using condoms (0.000005).

Strategi dalam Tindakan Pencegahan COVID19 Melalui Surveilans dan Promosi Kesehatan Nisa, Alfiana Ainun; Rahayu, Tandiyo; Azam, Mahalul; Wijayanti, Yuni; Budiono, Irwan; Fauzi, Lukman
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 2 (2021): HIGEIA: April 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i2.46725

Indonesia is in danger because of the low awareness of the community to carry out social and physical distancing so that it can cause the spread of the virus to become increasingly difficult to control. Escalation of COVID-19 cases as of May 12 2020 in Central Java was 66 deaths, 980 confirmed and 229 recovered. One of the recommendations of the Ministry of Health in dealing with the COVID-19 epidemic is to carry out surveillance and response to COVID-19 extraordinary events. Universitas Negeri Semarang (UNNES) implemented the recommendation by conducted periodic surveillance which was used to detect COVID-19 earlier during outbreak period. Students and employees filled out the COVID-19 vigilance surveillance form online. Then data analysis, contact tracing / follow-up, and dissemination of COVID-19 vigilance surveillance results were carried out. A total of 8360 respondents in two period have filled out the vigilance surveillance form. A total of 75.41% had no symptoms, 10.28% had a cough, and 1.21% had a history of fever > 38Ã‚Â°C. Based on surveys of comorbidities as many as 1.32% have a history of hypertension and as much as 1.32% have asthma. Based on risk factors as much as 7.78% had visited health facilities as patients or visitors, as many as 1.38% of respondents had a history of close contact with People Under Monitoring (in first period). As many as 0.90% had visited other countries and 38.44% had visited other cities / regencies. We conclude that the majority of respondents have no symptoms, do not have concomitant conditions and have no risk factors for exposure to COVID-19. This survey can be used to measure prevention and early detection of COVID-19. It is necessary to deepen epidemiological and clinical characteristics as a more comprehensive step for screening respondents. Keywords: COVID19, Surveillance, Preventive Measures

Strategi dalam Tindakan Pencegahan COVID19 Melalui Surveilans dan Promosi Kesehatan Nisa, Alfiana Ainun; Rahayu, Tandiyo; Azam, Mahalul; Wijayanti, Yuni; Budiono, Irwan; Fauzi, Lukman
HIGEIA (Journal of Public Health Research and Development) Vol 5 No 2 (2021): HIGEIA: April 2021
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v5i2.46725

Indonesia is in danger because of the low awareness of the community to carry out social and physical distancing so that it can cause the spread of the virus to become increasingly difficult to control. Escalation of COVID-19 cases as of May 12 2020 in Central Java was 66 deaths, 980 confirmed and 229 recovered. One of the recommendations of the Ministry of Health in dealing with the COVID-19 epidemic is to carry out surveillance and response to COVID-19 extraordinary events. Universitas Negeri Semarang (UNNES) implemented the recommendation by conducted periodic surveillance which was used to detect COVID-19 earlier during outbreak period. Students and employees filled out the COVID-19 vigilance surveillance form online. Then data analysis, contact tracing / follow-up, and dissemination of COVID-19 vigilance surveillance results were carried out. A total of 8360 respondents in two period have filled out the vigilance surveillance form. A total of 75.41% had no symptoms, 10.28% had a cough, and 1.21% had a history of fever > 38Â°C. Based on surveys of comorbidities as many as 1.32% have a history of hypertension and as much as 1.32% have asthma. Based on risk factors as much as 7.78% had visited health facilities as patients or visitors, as many as 1.38% of respondents had a history of close contact with People Under Monitoring (in first period). As many as 0.90% had visited other countries and 38.44% had visited other cities / regencies. We conclude that the majority of respondents have no symptoms, do not have concomitant conditions and have no risk factors for exposure to COVID-19. This survey can be used to measure prevention and early detection of COVID-19. It is necessary to deepen epidemiological and clinical characteristics as a more comprehensive step for screening respondents. Keywords: COVID19, Surveillance, Preventive Measures

Validity of Pulmonary Tuberculosis Control Success Index (TBCSI) Instrument Anwar, M. Choiroel; Budiono, Irwan; Nisa, Alfiana Ainun
Unnes Journal of Public Health Vol 11 No 1 (2022): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v11i1.48090

The target for reducing the incidence of TB in 2019 was 245/100,000 population. However, the national TB incidence is at 321/100,000 population, implying that mapping the performance of PHC is inevitable to help accelerate control efforts. This study aims to develop an instrument, the “TB control success index” (TBCSI), and measure the TBCSI achievement of all PHC in Semarang City. Quantitative research was conducted to construct the TBCSI instrument, and a validated TBCSI instrument was used to measure the TBCSI of all PHC individuals in Semarang City. The validity test showed Aiken’s V coefficient for each TBCSI instrument question item > 0.92. Furthermore, the TBCSI results at the Semarang City showed an average of 0.9332. The average index of the 6 TBCSI dimensions were 0.8959 (program leadership dimension); 0.8495 (TB service access dimension); 0.9667 (risk factor control dimension); 0.9797 (increase in partnership dimension); 0.9240 (increasing community independence dimension); and 0.9874 (management strengthening dimension). The TBCSI instrument was proven valid to measure the success rate of PHC in implementing TB control programs. Therefore, the TBCSI of all PHCs in Semarang City was included in the good category.

Early Marriage in Women and the Risk of Low Birth Weight Azinar, Muhammad; Fibriana, Arulita Ika; Nisa, Alfiana Ainun; Rahfiludin, Mohammad Zen; Indrianto, Gunawan Sapto; Sholahuddin, Irfan; Tamalla, Putri Nur; Permatasari, Claudia
Unnes Journal of Public Health Vol 11 No 1 (2022): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v11i1.51231

Neonatal mortality, largely caused by Low Birth Weight (LBW), is a big challenge in Grobogan district, Central Java. For instance, the year 2020 recorded 111 infant mortality cases due to LBW. The following year, an additional 63 cases were reported from January- July bringing the total to 174 instances recorded in less than two years. Early marriage in women has been touted as the cause of the high LBW witnessed. Notably, Law Number 16 of 2019 set the base age at 19 years for marriage for both men and women. Statistics show that a total of 380 women got married at 19 years in 2020. However, the cases have significantly heightened to 453 in the year 2021. The research sample for this study was drawn from babies born to women aged 30 and below. The data was analyzed using the Chi-square test, whose results confirmed that residence, level of education, and employment status were related to the incidence of early marriage in women. Furthermore, it was found that women who married at 20 years and below had a greater risk (1,728 times) compared to those who gave birth between 20-30 years.

Penerapan Strategi Pelaksanaan: Teknik Menghardik pada Ny.T dengan Masalah Halusinasi Pendengaran Is Susilaningsih; Alfiana Ainun Nisa; Nurul Khamaril Astia
Jurnal Keperawatan Karya Bhakti Vol. 5 No. 2 (2019)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.25 KB)

Latar belakang: Halusinasi merupakan suatu bentuk persepsi atau pengalaman indera yang tidak terdapat stimulasi terhadap reseptornya. Dimana hilangnya suatu kemampuan individu dalam membedakan rangsangan internal (pikiran) dan rangsangan eksternal (dunia luar). Sekitar 70% halusinasi yang dialami adalah halusinasi pendengaran, 20% halusinasi penglihatan, dan 10% adalah halusinasi penghidu, pengecapan dan perabaan. Tujuan: Menggambarkan tentang penerapan strategi pelaksanaan teknik menghardik untuk meningkatkan kemampuan Ny.T untuk mengendalikan halusinasi. Metode: Penelitian ini adalah penelitian studi kasus tentang penerapan strategi pelaksanaan: teknik menghardik pada Ny.T dengan masalah gangguan persepsi sensori. Hasil: Ny.T melakukan teknik menghardik dengan meminta Ny.T untuk mendemonstrasikannya. Ny.T mampu mendemonstrasikan dengan benar. Kemudian penulis memberi reinforcement dengan mengacungkan jempol dan mengatakan “bagus sekali Bu, Bu.T sudah bisa melakukan teknik menghardik dengan benar”. Simpulan: Keberhasilan pencapaian hasil yang maksimal ini didukung oleh beberapa faktor, seperti faktor internal yaitu pendidikan, umur dan motivasi memudahkan Ny.T menyerap pengetahuan mengenai cara mengontrol halusinasi dengan teknik menghardik.

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