scholarly journals PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Vella Dwi Yani ◽  
Ova Emilia ◽  
Hari Kusnanto

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan

2021 ◽  
Author(s):  
Dessalegn Nigatu Rundasa ◽  
Zerihun Bayabil ZB ◽  
tarekegn fekede TF

Abstract Background: Decision making power of women is one of the essential factors which have influence on maternal health service utilizations. Women’s lack of decision over reproductive health service utilization affects their protection from unwanted child bearing, unsafe sex and their consequences. Objective፡ Assess decision-making power on RH-service utilization and its associated factors among married women in Illubabor zone, South West Ethiopia, 2018.Methods: Community based comparative cross-sectional study was conducted from May to July, 2018 among 584(urban 292 and rural 292) married women of reproductive age group. The data were entered into EPI data version 3.1 and exported to SPSS version 20 computer software for analysis. Both Bivariate and multivariable logistic regression analysis was used. Level of significance was declared at a p value of <0.05Results: A total of 288 in urban and 288 in rural married women were interviewed and yields a response rate of 98.6% both in urban and rural. Decision-making power in urban and rural was 55.2% [95% CI (52.7-64.6)] and 40.3% [95% CI (39.9-52.5)] respectively. In urban, being wives of government employed spouses [AOR 2.102 95% CI (1.16, 3.81)], knowledge on RH [AOR 3.33, 95% CI (1.20, 12.49)], above five years in marriage [AOR 1.91, 95% CI (1.19, 7.70)], were found to be predictors of women’s decision-making power.Conclusion and recommendation: Urban women had better power to make decisions than rural on reproductive health service utilization. The study revealed that in urban settings those women who had marriage duration five and more than five years, being wives of government employed spouses had more likely decision making power on reproductive health utilization but not in rural settings. Reproductive health interventions in the area should be promoted by considering empowering of married women on reproductive health service utilization.Article summary:Strength: the study was representative for urban and rural women on reproductive health service utilization.Limitation: the study is not without limitation.it has all limitation of cross-sectional studyIntroduction


2018 ◽  
Vol 9 (2) ◽  
pp. 63-73
Author(s):  
Yunita Kristina

This research aimed to study the factors that affect of the adolescent reproductive health service in Jayapura Municipality. This research applied an explanatory research method with a cross-sectional approach. Data were collected by questionnaire, which were involving 393 adolescents aged 15 - 19 years-old at five senior high schools across Jayapura Municipality area. Results according to chi-square statistical test provided correlated variables to age (p value = 0.047), religion (p value = 0.048), pocket money (p value = 0.000), socio-culture (p value = 0.001), tariff (p value = 0.047), staff (p value = 0.043), facility (p value = 0.046), knowledge (p value = 0.002), attitude (p value = 0.006). Furthermore, the logistic regression test resulted in staff, need, and domicile status as the most affecting variables on the use of the adolescent reproductive health. This research recommended that service staff had to be friendly and take account for confidentiality, to understand the development of the adolescence, either physically, psychologically, or socially, to provide adolescent reproductive health service at schools, and to have an open communication between adolescents and their parents in order to monitor their development. Key words: health services, PKPR, Student High Schools, Jayapura


2020 ◽  
Vol 5 (3) ◽  
Author(s):  
John Bosco Alumai

 AbstractBackgroundA key part of treating and preventing malnutrition is the provision of effective nutrition education to the clients and caretakers so that they can self-manage their nutrition needs even after discharge from the hospital. For effective nutrition education, three factors are paramount; The successful transfer of knowledge and skills, client motivation to act on the acquired skills and knowledge and ensuring that the patient is able to understand and put to practice the educational messages given.MethodsThe study used cross sectional design with mixed method of data collection that involved 83 caretakers of admitted SAM children at Al-Sabah children hospital ITC, Sample size was determined using Cochran 1975, interviewer administered questionnaires and focus group discussion guide were the tools used in collecting data.Data set was generated using EPI info and analyzed using SPSS version 21, the analyzed descriptive data was triangulated with the qualitative data collected using FGD.Results The majority of the caretakers were female 78 (94%) of which 68 (81.9%) were mothers to the children that were admitted. Only 8 (9.6%) of the respondents were found to have attained effective nutrition education and majority of the respondents were found not to be recalling the information they were given during the education session.ConclusionAs per the guidelines adapted by the ministry of health republic of South Sudan, the nutrition education sessions conducted was found not be effective as most of the clients could not even recall the information given. 


Author(s):  
Abenet Menene Gurara ◽  
Admasu Belay Gizaw ◽  
Awoke Koyachew Ayalew ◽  
Aliye Kediro Adem

Background & Aim: Reproductive health services utilization is an important component of health services in preventing adolescents’ sexual and reproductive hedgies & take corrective measures. The main purpose of this study is to determine reproductive health services utilization status and associated factors among adolescents at public schools in Adama town Ethiopia. Methods & Materials: Institution based cross-sectional study design was used with a total sample size of 367 adolescents in the schools. The sample size was proportionally allocated to grade nine, ten, eleven, and twelfth. The study subjects were selected by simple random sampling. A Standard pre-tested self-administered questionnaire was used to collect data after getting informed consent from the study participants. Data were entered and analysed using SPSS version 20 software. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance. Results: The magnitude of reproductive health service utilization in this was 122(34%). Discussion with a sexual partner and peer, student’s educational status, sex, knowledge about the availability of reproductive health service were among the factors associated with the use and non-use of RH service. Conclusion: Utilization of Reproductive Health services among adolescents in the study area was low. Therefore, interventions such as advancing adolescents’ knowledge, encouraging open discussion forum, strengthening of youth centers, and school reproductive health clubs are important.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tewachew Muche Liyeh ◽  
Yitayal Ayalew Goshu ◽  
Habtamu Gebrehana Belay ◽  
Habtamu Abie Tasew ◽  
Gedefaye Nibret Mihiretie ◽  
...  

Introduction. Youth is a decisive age to shape the direction of their life and that of their family. However, due to the host of biological, social, and economic factors, adolescent females can be at high risk of adverse sexual and reproductive health outcomes. Therefore, assessing youth reproductive service utilization and associated factors among female night students is very crucial for timely intervention to their gaps. Method. An institutional-based cross-sectional study design was conducted in Amhara region among 2,050 female night students from September 15 to November 15, 2018. A self-administered pretested questionnaire was used to collect the data. Bivariate and multivariable logistic regression models were used. Odds ratio with 95% confidence interval was computed to determine the strength of association between predictor and outcome variables. P value less than or equal to 0.05 is considered as the level of significance. Results. Out of the total respondents, about 54.6%(CI: 52.5%-56.8%) of them utilized reproductive health services. Respondents who were attending secondary education ( AOR = 2.55 , 95 % CI = 1.97 ‐ 5.62 ), attitude towards youth reproductive health services ( AOR = 2.74 , 95 % CI = 2.07 ‐ 5.30 ), those who had a habit of communicating on sexual and reproductive health issues with their family ( AOR = 3.66 , 95 % CI = 3.59 ‐ 7.41 ), discussion on sexual and reproductive health issue with peers/friends ( AOR = 1.43 , 95 % CI = 1.01 ‐ 2.02 ), respondents with good knowledge on youth reproductive health services ( AOR = 2.03 , 95 % CI = 1.49 ‐ 2.75 ), and those who had faced reproductive health problems ( AOR = 2.03 , 95 % CI = 1.49 ‐ 2.75 ) were significantly associated with youth reproductive health service utilization. Conclusion. Youth reproductive health service utilization among female night students was not satisfactory. Therefore, special focus should be given to female night students by providing accessible, acceptable, confidential, flexible, and friendly reproductive health service utilization. Finally, community health promotion and education are mandatory to promote the practice of discussing youth reproductive health issues with their children.


2020 ◽  
Vol 3 (2) ◽  
pp. 128-138
Author(s):  
Patricie Mujawimana ◽  
Fauste Uwingabire ◽  
Felicite Kankindi ◽  
Ruth Dusabe ◽  
Pamela Meharry

Background Globally, nearly half of all under-five deaths occur during the neonatal period. About two million dies within the first week, of which 75% come from low-resource countries, such as Rwanda. Many neonatal deaths are preventable or avoidable if parents are knowledgeable of Neonatal Danger Signs (NDS), and do not delay seeking care at a health facility. Objective To assess the parents’ knowledge of NDS and associated factors within the neonatal period at four health centers in Kigali. Method This study was a descriptive cross-sectional design. A proportionate stratified probability sampling strategy was used to select 209 parents who attended selected health centers in Kigali. Data analysis used descriptive and inferential statistics. Results The findings showed that 67% of participants had some information on NDS. Logistic regression showed that educational level, parity, number of antenatal visits, and information from healthcare providers was significantly associated with parents' knowledge of NDS. Conclusion Our findings indicate the need to enhance education of parents’ knowledge of NDS in the study population. Educational efforts also should target NDS in health centers where most Rwandan women attend antenatal care. Rwanda J Med Health Sci 2020;3(2):128-138


Jurnal NERS ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 171
Author(s):  
Kusnanto Kusnanto ◽  
Retno Dwi Susanti ◽  
Lailatun Ni'mah ◽  
Hakim Zulkarnain

Introduction: Controlling blood sugar can be done by dietary adherence of DM. To control glycemic, it is necessary to have motivation and health locus of control to face boredom in dietary adherence of DM. The aim was to analyse the correlation between motivation and health locus of control with dietary adherence of DM.Methods: Cross-sectional design was conducted and involved 106 respondents from five public health centers in Surabaya selected by random sampling. Data were collected by questionnaire Treatment Self-Regulation Questionnaire (TSRQ), Multidimensional Health Locus of Control Scales” (MHLC), and Diet Adherence. The analysis data was using statistical Spearman rho (α ≤ 0.05).Results: There was no correlation between motivation and dietary adherence (p=0.178), and there was a correlation between health locus of control with dietary adherence (p = 0.002).Conclusion: According to analysis, it can be concluded that motivation is influenced by many things to the role the forming of patient behavior in dietary adherence of DM while health locus of control has an influence to dietary adherence of DM. Because of that, it is necessary to increase the factor that influences the behavior of DM control. One of it is health locus of control. So that the glycemic control with dietary adherence of DM can increase and be better.


2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Rose Nurhudariani

Latar Belakang: Kebersihan perseorangan atau Personal Hygiene merupakan suatu tindakan untuk memelihara kebersihan seseorang untuk menjaga kesejahteraan fisik dan psikis. Salah satu dampak dari kurangnya menjaga Personal Hygiene adalah terjadinya keputihan. Sebanyak 75% wanita di Indonesia pernah mengalami keputihan minimal satu kali dalam hidupnya dan 45% diantaranya mengalami keputihan sebanyak dua kali atau lebih. Di mana ditunjukkan jumlah yang dilayani dalam program kesehatan reproduksi terdapat 29,8% mengalami kejadian keputihan pada remaja putri. Tujuan: Mengetahui Hubungan Pengetahuan Tentang Personal Hygiene Dengan Perilaku Pencegahan Keputihan Pada Remaja Putri Di SMAN 15 Semarang. Metode: Jenis penelitian ini adalah kuantitatif dengan desain cross sectional. Popalasi dalam penelitian ini adalah remaja putri sebanyak 180 orang. Sampel dalam penelitian ini sebanyak 124 orang, dengan tehnik pengambilan sampel yanng digunakan adalah metode proportionate random sampling. Hasil: Remaja putri di SMAN 15 Semarang sebagian besar memiliki pengetahuan kurang sebanyak 100 responsen (80,6%) dan pengetahuan cukup sebanyak 24 responden (19,4%). Sementara perilaku remaja putri sebagian besar memiliki perilaku kurang baik sebanyak 97 responden (72,8%) dan perilaku baik sebanyak 27 responden (21,8%). Sehingga ada hubungan antara pengetahuan tentang Personal Hygiene dengan perilaku pencegahan keputihan. Saran: Pihak sekolah hendaknya memasukkan personal hygiene yang tepat ke dalam kurikulum pelajaran muatan lokal pendidikan kesehatan reproduksi atau sebagai materi pelajaran ekstra sehingga semua siswi mendapatkan pengetahuan yang sama sehingga diharapkan dapat menurunkan angka resiko terjadinya masalah kesehatan bagi remaja putri / para siswi. Kata Kunci       : Pengetahuan Personal Hygiene; Perilaku Pencegahan; KeputihanDaftar Pustaka  : 7 (2009-2014)  RELATIONS WITH THE KNOWLEDGE OF PERSONAL HYGIENE BEHAVIOR PREVENTION WHITISH SMAN 15 SEMARANG Abstract  Background: Individual or Personal Hygiene Cleanliness is an act to maintain the cleanliness of a person to maintain physical and psychological wellbeing. One of the effects of lack of guard Personal Hygiene is the discharge. As many as 75% of women in Indonesia have experienced vaginal discharge at least once in their lives and 45% of them experienced vaginal discharge two times or more. Where indicated amount served in reproductive health programs are 29.8% experienced vaginal discharge events in adolescent girls. Objective: To identify Relations Knowledge About Personal Hygiene With Discharge Prevention Behavior In Young Women In SMAN 15 Semarang. Metode Research: This type of research is quantitative with cross sectional design. Populasi in this study were young women of 180 people. The sample in this study as many as 124 people, with sampling technique used is proportionate random method sampling. Research Results: Results: Girls at SMAN 15 Semarang most have less knowledge as much as 100 responsen (80.6%) and insufficient knowledge as much as 24 respondents (19.4%). While the behavior of young women mostly had less good behavior as much as 97 respondents (72.8%) and good behavior as much as 27 respondents (21.8%). So that there is a relationship between knowledge about prevention behaviors Personal Hygiene with whitish. Suggestion: The school should include proper personal hygiene into the curriculum of local content or reproductive health education as an extra subject matter so that all students get the same knowledge which is expected to decrease the risk of health problems for girls / the girls. Keywords      : Knowledge Personal Hygiene, Preventive Behavior WhitishBibliography : 7 (2009-2014)


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