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SEXUALITY KNOWLEDGE AND INFORMATION EXPOSURE AMONG ADOLESCENTS AT MAN 22 JAKARTA IN 2024
The results of the 2020 Global Early Adolescent Study-Indonesia (GEAS-ID) survey found that adolescents have poor knowledge of sexuality, only 44.7% know that women can get pregnant after having sex for the first time and 33% of adolescents know that someone can get HIV from just one sexual intercourse. Based on a preliminary study, it was found that 2.8% of adolescents had good knowledge, 48.5% of adolescents had sufficient knowledge, and 48.5% of adolescents had low knowledge related to sexuality. The purpose of this study was to describe the level of sexuality knowledge and patterns of information exposure among adolescents at MAN 22 Jakarta in 2024. This study uses primary data, with the research design used being cross-sectional analytic, sampling using simple random sampling and hypothesis testing using the chi-square test. The distribution of questionnaires was carried out directly via google form. The results of the study showed that 77.3% of adolescents had less sexual knowledge and 87.9% of adolescents were exposed to sexuality information. Descriptively, most adolescents had received information related to gender (77.8%), reproductive health and HIV (79.5%), and interpersonal relationships (81.2%). More than half had discussed sexuality (57.6%), primarily with peers (81.6%) rather than parents or teachers. In terms of perceptions, the majority viewed sexuality discussions as not taboo (58.3%), although the surrounding environment remained divided. The hypothesis testing indicated no significant association between information exposure and adolescents’ sexuality knowledge. These findings suggest that high exposure does not necessarily translate into adequate understanding. Therefore, it is recommended that schools and parents strengthen the accuracy and quality of sexuality information, optimize structured educational activities, and promote open and supportive communication with adolescents.
EFFLEURAGE MASSAGE TO OVERCOME FATIGUE AND EDUCATION TO MEET THE NUTRITIONAL NEEDS OF CKD PATIENTS AFTER HEMODIALYSIS AT DR. M. YUNUS BENGKULU
This study aims to identify and address major nursing problems in CKD patients undergoing hemodialysis, focusing on fatigue and nutritional deficit problems, and evaluating the effectiveness of interventions in the form of effleurage massage and nutrition education using pocket book media. Three CKD patients undergoing hemodialysis therapy at the Hemodialysis Unit of Dr. M. Yunus Hospital, Bengkulu, became the subjects of this case study, which uses a descriptive approach. The findings showed that before the intervention, all three patients experienced moderate levels of fatigue. After being given effleurage massage twice a week and nutrition education, there was a decrease in fatigue levels in all patients and an increase in knowledge about nutritional fulfillment. Nursing diagnoses found include fatigue, nutritional deficits, and hypervolemia. The conclusion of this study is that massage effleurage-based nursing interventions and nutrition education are effective in reducing fatigue levels and improving nutritional understanding of CKD patients undergoing hemodialysis. This approach can be used as one of the nonpharmacological strategies in nursing practice.
EFFECTIVENESS OF NURSING INTERVENTIONS FOR END-STAGE KIDNEY DISEASE (ESKD) IN INDONESIA: SYSTEMATIC REVIEW 2020-2025
The escalating burden of End-Stage Kidney Disease (ESKD) in Indonesia necessitates
evidence-based strategies to improve patient outcomes. Nurses play a pivotal role through
structured interventions, yet a comprehensive synthesis of their effectiveness within the unique
Indonesian context is lacking. This systematic review aimed to synthesize evidence on the
effectiveness of nursing interventions for ESKD patients in Indonesia from 2020 to
2025. Following PRISMA guidelines, a systematic search was conducted across PubMed,
CINAHL, Scopus, Web of Science, and SINTA databases. Experimental and quasi
experimental studies evaluating nursing interventions for Indonesian ESKD adults were
included. Study selection, data extraction, and quality assessment using standardized tools were
performed independently by two reviewers. Fifteen studies (n=987 participants) were included.
Interventions were categorized into educational/self-management (n=9), psychoeducational
(n=4), and technology-based (n=2). Educational interventions consistently demonstrated
significant reductions in interdialytic weight gain and improved adherence behaviors.
Psychoeducational support effectively reduced symptoms of depression and anxiety and
enhanced quality of life domains. Technology-based interventions showed promise for self
efficacy but had limited evidence. Major contextual barriers included time constraints in
hemodialysis units. A significant gap was identified in community-based and peritoneal dialysis
studies. Nursing interventions, particularly structured education and psychosocial support, are
effective in improving key clinical and patient-reported outcomes for ESKD patients in
Indonesia. Future research should address implementation barriers, explore cost-effectiveness,
and expand to underserved settings and non-hemodialysis populations to strengthen equitable,
evidence-based nephrology nursing practice nationwide.
FACTORS ASSOCIATED WITH MOSQUITO BREEDING SITE ERADICATION (PSN)) IN THE WORKING AREA OF SAWAH LEBAR HEALTH CENTER BENGKULU CITY
Dengue Hemorhagic Fever (DHF) is a disease caused by the Arbovirus group. In some regions of Indonesia, DHF remains a health issue and a serious threat. Mosquito Breeding Site Eradication (PSN) activities are one of the efforts to prevent DHF. However, its implementation has not been optimal. This study aimed to determine the factors associated with Mosquito Breeding Site Eradication behavior in the prevention of DHF in the working area of Sawah Lebar Public Health Center, Bengkulu City. This research employed a quantitative method with a cross-sectional design and involved a total 95 respondents.The results showed that 65.3% of respondents had good knowledge, 86.3% had a positive attitude, 40% reported community leader support, and 23.2% had access to information.statistical analysis revealed significant associations between knowledge (p value = 0.000) and attitude (p value = 0.025) with PSN behavior, wheres no significant associations were found between community leader support (p value = 0.475) and information availability (p value = 0.258) with PSN behavior. The study concludes that knowledge and attitude are significantly associated with PSN behavior, while community leader support and information availability are not. It is recommended that the community use mosquito nets and apply abate powder as preventive measures against DHF.
RESPIRATORY PATTERN DETERIORATION IN ISPA PATIENTS IN THE SUKAMERINDU COMMUNITY HEALTH CENTER WORK AREA, BENGKULU CITY
WHO data shows that there are around 7-13% including the severe category that require treatment, in Health facilities (Agustina & Subharmiati, 2017). Based on a 2022 Health Service report, the Sukamerindu Community Health Center reported that Acute Respiratory Infection (ARI) ranked third as the disease with the highest prevalence in Bengkulu. In 2020, there were 1,477 cases of ARI, with 228 cases, and 28 cases in those aged 70 and over. The highest number of cases was found in the 20-44 age group, with 329 cases. To determine whether there is a decrease in breathing patterns in patients with ISPA after being given Jerani Inbalasi Vap Peppermint Essential Oil. The study employed a quasi-experimental design, with two groups using a pre-test and a post-test. The subjects were 30 ISPA patients aged 20-44 years, selected using a purposive sampling technique.
The results of this study show that the intervention is effective in reducing respiratory frequency in ISPA patients significantly with a p-value of 0.000 in each group. Based on the research findings, it can be concluded that both therapies are equally effective in reducing respiratory rate in patients with acute respiratory infections. However, no significant differences were
found between the two methods in terms of effectiveness
DIFFERENCE IN REDUCTION OF BREAST SWELLING BEFORE AND AFTER APPLYING GREEN BETEL LEAF COMPRESSES ONIBUNIFAS IN THE WORKING AREA OF THE TUNAS HARAPAN HEALTH CENTER REJANG LEBONG REGENCY IN 2025
Vol. 1 (2026)
One of the factors hindering exclusive breastfeeding is breast engorgement in postpartum
mothers. The rate of exclusive breastfeeding in Rejang Lebong Regency has decreased from
2023 to 2025. In 2023 the percentage was 23.9%, and it decreased to 22.9% in 2024. This study
aims to determine the difference in breast engorgement reduction before and after applying
warm green betel leaf compresses in postpartum mothers. This research used a quantitative
approach. The population consisted of postpartum mothers experiencing breast engorgement in
the working area of Tunas Harapan Public Health Center, Rejang Lebong Regency. A total of
27 postpartum mothers were selected using total sampling. Breast engorgement was measured
using the Six Point Self-Rate Engorgement Scale (SPES). Data analysis began with a normality
test using Shapiro–Wilk. Since the data were not normally distributed, the Wilcoxon test was
used, showing a significant result (p-value = 0.000; p < 0.05). There is a significant difference
in breast engorgement reduction before and after applying green betel leaf compresses in
postpartum mothers. Midwives are expected to enhance the quality of health promotion
provided to postpartum mothers to support smooth breast milk production, including the use of
green betel leaf compresses.
THE RELATIONSHIP BETWEEN WORKLOAD AND JOB STRESS AMONG NURSES IN THE INPATIENT ROOM OF UMMI HOSPITAL IN BENGKULU CITY
Workload represents a fundamental challenge in the nursing profession, arising from the complex interaction between high task demands, the fast-paced work environment, and the limitations in nurses' skills, behavior, and perception. In the inpatient room, factors such as high patient-to-nurse ratios, case complexity, and extensive documentation requirements exponentially increase job pressure. Job stress, defined as the psychological and physiological response to excessive demands, is one of the main factors that systematically reduces productivity, efficiency, and quality of service within healthcare organizations. Unmanaged chronic stress poses a threat to patient safety and professional well-being, potentially leading to severe physical complications (such as chronic fatigue) and psychological complications (such as burnout and depression) among the staff. This study was specifically designed to examine and validate the empirical relationship between the perceived level of workload and the experienced level of job stress among nurses in the Inpatient Room of UMMI Hospital in Bengkulu City. This quantitative research adopted a descriptive observational design with a cross-sectional approach to measure the variables simultaneously at one point in time. The target population included all 66 nurses working in the inpatient room of UMMI Hospital, and the total sampling technique was employed to include all nurses as the sample. The collected data were analyzed using Univariate (for frequency distribution) and Bivariate analysis. The Chi-square ($\chi^2$) test was applied to determine the significance of the relationship, while the Contingency Coefficient (C) test was used to measure the strength and closeness of the association between the variables. The findings revealed a concerning situation among the 66 respondents: the majority of nurses (66.7%) were categorized as having a heavy workload, and
57.6% of the total respondents experienced job stress at a severe level. The bivariate analysis
validated this correlation, yielding a highly significant p-value of 0.000. Based on these results, it is concluded that there is a strong and statistically significant relationship between workload
and job stress among nurses in the Inpatient Room of UMMI Hospital in Bengkulu City. This strongly implies the necessity for structured management interventions to balance workload for the sake of staff welfare and improved service quality in the hospital.
THE ASSOCIATION BETWEEN THE WORK ENVIRONMENT AND THE MENSTRUAL CYCLE AMONG INFORMAL SECTOR WORKERS
Menstruation is a fundamental reproductive cycle in women and serves as an indicator of reproductive health status. Female workers in the informal sector are subject to different working hour arrangements compared to those in the formal sector, potentially influencing their reproductive health. This research aims to examine the association between the work environment and the menstrual cycle among female workers in the informal sector. This research employed a cross-sectional design, with the population consisting of all female workers at the Segiri traditional market in Samarinda City. A total sampling technique was applied, resulting in 80 respondents.” The findings revealed significant associations between workload, sleep quality, working hours, and work shifts with the menstrual cycle (p < 0.05). The menstrual cycle is closely related to hormonal balance in women, and unfavorable working conditions may increase stress, disrupt menstrual regularity, and ultimately reduce productivity, particularly among informal sector workers who depend on daily income.” The work environment in traditional markets may significantly affect the menstrual cycle. Improving female workers’ awareness and understanding of stress management is essential to minimize health problems that may negatively impact productivity.
THE EFFECT OF POWER POINT MEDIA ON STUDENTS KNOWLEDGE ABOUT ANEMIA AT SMAN 01 SIKAP DALAM
Adolescent girls are a group that is ten times more at risk of experiencing iron deficiency, commonly known as anemia, compared to adolescent boys. Globally, the number of anemia sufferers reaches around 1.92 billion people, and in Indonesia the prevalence in adolescent girls is still quite high, namely 18%. This study aims to determine the effect of anemia prevention education using PowerPoint media on the knowledge of female students at SMAN 1 Ilmu In . This study used a pre-experimental design with a one-group pre-test and post-test approach. The study population was all 72 female students of grades XI and XII of SMAN 1 Attitude In and a total sampling technique. The intervention media used was PowerPoint. A data normality test was first performed using the Kolmogorov-Smirnov test. The statistical test used was the Wilcoxson test because the results of the normality test indicated that the free test data were normally distributed, while the post-test data were not normally distributed. This study showed an increase in the average knowledge score from 6.64 before being given education using PowerPoint media to 19.39 after being given education. The results of statistical tests showed a significant difference between knowledge before and after being given education with PowerPoint media with a p-value = 0.00 (<0.05). The use of PowerPoint media has an impact on increasing the knowledge of SMA 01 Attitude In students regarding anemia prevention. Suggestions are made for the school and the local community health center to collaborate using Power Point media to share health information with students at the school.
MATERNAL RISK FACTORS ASSOCIATED WITH PRETERM BIRTH: EVIDENCE FROM A HOSPITAL SURYA INSANI - BASED STUDY IN DISTRICT ROKAN HULU, INDONESIA
Preterm birth is a leading cause of neonatal morbidity and mortality, yet maternal determinants in local settings remain insufficiently documented. This study aimed to identify maternal risk factors associated with preterm birth at Surya Insani Hospital, Rokan Hulu District. A medical record–based case–control design was applied to evaluate maternal clinical and reproductive factors. Multivariate analysis identified five significant maternal predictors of preterm birth. A history of abortion showed the strongest association (OR 7.31; 95% CI: 2.12–25.16), followed by anemia (OR 5.43; 95% CI: 1.84–15.98), low educational level (OR 4.18; 95% CI: 1.4312.24), high-risk parity (OR 3.96; 95% CI: 1.33–11.77), and high-risk maternal age (OR 3.03; 95% CI: 0.99–9.24). History of abortion and anemia emerged as the strongest predictors of preterm birth, supported by additional contributions from education, parity, and maternal age. These findings underscore the dominant role of maternal clinical and reproductive factors and indicate that local risk patterns differ from widely reported global evidence. The study provides a scientific basis for developing
LITERATURE REVIEW: SOCIAL STIGMA TOWARD PEOPLE LIVING WITH HIV/AIDS (PLWHA)
Social stigma toward People Living with HIV/AIDS (PLWHA) remains a persistent and critical public health challenge despite significant advances in HIV treatment and prevention. Stigma not only affects the psychological and social well-being of PLWHA but also hinders access to healthcare services, reduces adherence to antiretroviral therapy, and reinforces structural inequalities. The urgency of this study lies in the continued prevalence of multidimensional stigma internalized, social, and structural along with the limited integration of recent empirical evidence into context-sensitive policies and interventions. This study aims to systematically review the scope, determinants, impacts, and mitigation strategies of social stigma toward PLWHA based on contemporary scientific literature. A systematic literature review was conducted following the PRISMA guidelines. Articles were retrieved from PubMed and Google Scholar databases, focusing on reputable peer-reviewed publications from the last ten years. Data were analyzed using a narrative-thematic approach. The findings indicate that HIV-related stigma is strongly influenced by low levels of HIV knowledge, moral and cultural norms, gender inequality, and insufficient social support. The impacts of stigma include increased depression, social isolation, reduced quality of life, and lower engagement in healthcare services. The review also highlights that social support, psychological resilience, communitybased education, and the involvement of faith-based institutions and human rights–based policies play a crucial role in reducing stigma. In conclusion, this study emphasizes the need for comprehensive and sustainable multidimensional strategies that integrate psychosocial, cultural, and public policy approaches to effectively reduce stigma and improve the overall well-being of PLWHA.
THE RELATIONSHIP BETWEEN SOCIAL MEDIA USAGE INTENSITY AND EXPOSURE TO INFORMATION ON SEXUALLY TRANSMITTED DISEASES AMONG STUDENTS OF MUHAMMADIYAH VOCATIONAL HIGH SCHOOL CILEGON, 2025
Vol. 1 (2026)
Sexually transmitted diseases (STDs) remain a significant health concern among adolescents,
while much of the health information circulating on social media lacks adequate scientific
credibility. In response to this issue, the present study aims to examine the relationship between
the intensity of social media use and exposure to STD-related information among students of
Muhammadiyah Vocational High School in Cilegon. This study employed a quantitative
approach with a correlational analytic method and a cross-sectional design. The study
population consisted of 247 students from grades X to XII, from which a sample of 152
respondents was selected using a random sampling technique. Data were collected using a
standardized questionnaire that had been validated and confirmed reliable, with a Cronbach’s
Alpha value exceeding 0.8. The findings indicated that 44.1% of respondents accessed social
media more than five times per day, and 75% had been exposed to information related to STDs.
TikTok (36.2%) and Instagram (31.6%) were identified as the primary platforms through which
such information was obtained. Chi-square analysis revealed a significant association between
the intensity of social media use and exposure to STD-related information (p = 0.001). In
conclusion, the study demonstrates that higher social media use is associated with a greater
likelihood of adolescents being exposed to STD-related information. Based on these findings,
the study recommends optimizing social media as a credible and engaging platform for
reproductive health education tailored to the characteristics and needs of adolescents.
LITERATURE REVIEW: THE RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND CENTRAL OBESITY IN ADULTS
Central obesity occurs due to the accumulation of excess fat in the abdominal area. If this
happens to individuals, it can increase the risk of chronic disease. One of the factors that can
prevent central obesity is physical activity. Therefore, we aimed to examine scientifically
related to the role of physical activity as a risk factor for central obesity in adult This study is a
literature review study using the PICO (population, intervention, comparators, and outcome)
method. The databases used in this research are Embase, Pubmed, and Scopus. Literature that
is eligible to be selected until the end is literature that has met the inclusion criteria based on
the results of a full-text review. There were ten articles after going through the exclusion based
on criteria. The results of five in ten articles show that physical activity has a statistically
significant association with central obesity. High sedentary activity among men can increase
the risk of central obesity. Low physical activity indicates that energy expenditure is also low
so excess fat accumulates in the abdominal area can increase the risk of central obesity.
FACTORS ASSOCIATED WITH PRURITUS VULVAE DURING MENSTRUATION IN ADOLESCENT GIRLS AT SMPN 25 BENGKULU
Pruritus vulvae is a disorder characterized by severe itching sensations of the external female genitalia. Approximately ten percent of women worldwide suffer from severe pruritus vulvae. Data from the Indonesian Ministry of Health indicate that approximately 5.2 million female adolescents in Indonesia frequently experience complaints after menstruation due to poor personal hygiene practices, particularly pruritus vulvae. To examine the association between knowledge, information sources, and teacher support and the incidence of pruritus vulvae during menstruation among female adolescents at SMPN 25 Bengkulu City. This study used a quantitative research design with a cross-sectional approach. The respondents were 30 female adolescents from SMPN 25 Bengkulu City who had already menstruated, determined by simple random sampling. The results of univariate analysis showed that more than half of the respondents experienced moderate pruritus vulvae, namely 15 adolescents (50%), 20 adolescents (66.7%) had adequate knowledge of vulva hygiene, 25 adolescents (83.3%) had parental support during menstruation, and 29 adolescents (96.7%) used underwear in the good category. Bivariate analysis results showed a relationship between knowledge of vulva hygiene and the occurrence of pruritus vulvae during menstruation with p-value is 0.002 (p < 0.05), no relationship between parental involvement during menstruation with p-value is 0.11 (p>0.05), and a relationship between wearing underwear and the occurrence of pruritus vulvae with p value is 0.018 (p < 0.05). There is association between knowledge of vulvar hygiene and wearing underwear with the occurrence of pruritus vulvae during menstruation, and no association between the role of parents and the occurrence of pruritus vulvae.
ANALYSIS OF CAUSAL FACTORS ASSOCIATED WITH HYPERTENSION PATIENTS AT THE KEDUNGMUNDU COMMUNITY HEALTH CENTER, SEMARANG CITY
Hypertension is defined as an increase in systolic blood pressure above 140 mmHg or diastolic
pressure above 90 mmHg. The objective of this study is to analyze the relationship between
independent variables, namely age, obesity, smoking habits, exercise habits, stress conditions,
and the dependent variable, namely hypertension in patients at the Kedungmundu Community
Health Center in Semarang City. This use method quantitative with cross-sectional approach ,
sample study totaling 394 patients with technique taking sample Convenience sampling. Data
collection technique using questionnaire and recording medical . Data analysis was carried out
with using chi-square and regression tests logistics. Research results show that There is The
relationship between the age variable p value = 0.041 and PR = 1.627, obesity condition p value
= 0.027 and PR = 1.696, smoking habit p value = 0.014 and PR = 3.795 , exercise habit p value
= 0.015 and PR = 1.787, stress condition p value = 0.044 and PR = 1.652, meaning that all
variables namely age variable, obesity condition, smoking habit, exercise habit and stress
condition have a relationship with hypertension in patients undergoing treatment at the
Kedungmundu Health Center, Semarang City, and based on the results of multivariate analysis,
it was found that the obesity variable is the most dominant variable in the risk of hypertension
in patients undergoing treatment at the Kedungmundu Health Center, Semarang City with a p
value = 0.001 and a wald value of 6.426. All variables in this study, namely age, obesity,
smoking habits, exercise habits and stress have a relationship with hypertension , and the
obesity variable is the most dominant variable related to hypertension in patients undergoing
treatment at the Kedungmundu Community Health Center, Semarang City.
THE RELATIONSHIP BETWEEN DIET, PHYSICAL ACTIVITY, KNOWLEDGE, GENETIC HISTORY, AND STRESS WITH THE INCIDENCE OF DIABETES MELLITUS IN THE WORKING AREA OF KAMPUNG BALI HEALTH CENTER, BENGKULU CITY.
Background: Diabetes Mellitus (DM) is a chronic metabolic disease marked by hyperglycemia that leads to various complications and remains a major public health issue. Several behavioral, genetic, and psychological factors influence its occurrence. Objective: To determine the relationship between diet, physical activity, knowledge, genetic history, and stress with DM incidence in the working area of Kampung Bali Public Health Center Bengkulu City. Method: This research used a quantitative approach with a cross-sectional design. A total of 60 respondents were selected using purposive sampling. Data were collected using validated questionnaires and analyzed using Chi-Square test. Results: Most respondents had poor diet (70%), low physical activity (51.7%), and 53.3% experienced mild stress. Chi-square analysis showed no significant relationship between diet (p=0.315), physical activity (p=0.315), knowledge (p=1.000), and genetic history (p=1.000) with DM incidence. However, stress had a significant relationship with DM (p=0.001). Conclusion: Among the five variables examined, only stress was significantly associated with DM incidence. Stress management interventions are crucial to reduce the risk of DM in the community.
Analysis Of Environmental Factors With The Incidence Of Pulmonary Tb In The Working Area Of Sawah Lebar Puskesmas Bengkulu City
Indonesia accounted for 1,060,000 cases in 2022. Bengkulu province recorded 54 cases of BTA+ throughout 2021-2023. Zuraidah's research showed that ventilation area, humidity, lighting, and floor type were related to the incidence of pulmonary TB in Nusa Indah Puskesmas Bengkulu City. This study aims to analyze einvironmeintal factors on the incidence of pulmonary TB in the working area of Sawah Lebar Health Center. Using descriptive analytic design with observational analytic approach of case control type. The results of unvarate analysis showed the number of respondents 56 people, consisting of 28 cases and 28 controls. A total of 35 respondents had qualified occupancy density, 41
respondents had qualified ventilation, 31 respondents had unqualified lighting, temperature variableis showed 37 respondents did not qualify, humidity variables had 47 qualified respondents, and floor type variables 55 qualified respondents. Ch-square test showed density of occupancy valuep = 0.001 < 0.05 with OR 9.2; room ventilation p = 1.000
> 0.05 with OR 2.037; lighting p = 0.000 < 0.05 with OR 59.8; room teimpeiratuirei p = 0.023
< 0.05 with OR 4.600; huimidity p = 1.000 > 0.05 with OR 1.304; and floor typei p = 1.000 >
0.05 with or 2,037. This, three variablis were related to the incidence of pulmonary
tuberculosis, namely occupancy density, lighting, and temperature, while veintilation,
humidity, and floor type showed no relationship.
ANALYSIS OF FACTORS CAUSING THE EVENTWASTING IN TODDLERS AGED 0-59 MONTHS IN FIFTY CITY DISTRICT AND PAYAKUMBUH CITY
Wasting is a condition of acute malnutrition that is common in low socio-economic areas that can be caused by inadequate nutritional intake and the presence of disease Wasting is part of malnutrition, one of the classifications of nutritional status indicators BB/TB. Children who are said to be thin are those who have low body weight that is not appropriate for their height The general objective of this study is to obtain a description, analysis and interpretation of the incidence of wasting in toddlers (0-59 months) in Lima Puluh Kota Regency and Payakumbuh City in 2024. This study is an analytical survey study with a case control design with a mixed/combined approach (Mixed Methods). The study was conducted at the Lima Puluh Kota Regency and Payakumbuh City health centers, in May-June 2024. Quantitative samples of 216 people were taken. Data analysis was carried out through three stages, namely univariate and bivariate analysis of the chi-square test. The results of statistical tests show that there is a significant relationship between the incidence of wasting with MP-ASI (0.000, OR 5.786), age of hygiene and sanitation (0.000, OR 4.244), infectious diseases (0.009, OR 2.665) in Lima Puluh Kota Regency and there is a significant relationship between the incidence of wasting with MP-ASI (0.006, OR 4.117), Hygiene and sanitation (0.000, OR 7.589), infectious diseases (0.000, OR 11.022) in Payakumbuh City. The constraint of the lack of human resources in this case nutritionists causes a lack of information about the importance of nutrition, especially wasting, obtained by mothers of toddlers. The results of the study can be concluded that there is a need to increase promotive and preventive programs about the importance of clean and healthy living in dealing with wasting incidents and the addition of health workers, especially nutritionists, so that the nutrition program can be optimally implemented.
THE EFFECT OF EDUCATION WITH LEAFLET MEDIA ON FIRE DISASTER PREPAREDNESS ATTITUDES OF SENIOR HIGH SCHOOL STUDENTS IN BENGKULU
Fire disaster preparedness is a crucial component in developing emergency response attitudes among vocational school students. Education using leaflets is considered effective in developing and enhancing responsive attitudes related to students' knowledge of fire risks, including concern for the safety of themselves and their colleagues. To determine the effect of leaflet-based education on fire disaster preparedness attitudes among vocational school students in Bengkulu. Used in this study was a quasi-experimental design with a non-equivalent control group pretest-posttest. The sample consisted of two classes selected purposively: one class as the intervention group receiving counseling with leaflets, and one class as the control group receiving conventional learning without leaflets. Preparedness attitudes were measured using an attitude scale that had been tested for validity and reliability before (pretest) and after (posttest) the intervention. Data analysis used a paired t-test for changes in each group and an independent t-test or Mann-Whitney U-test to compare increases in attitude scores between groups. showed an increase in the average knowledge score from 6.13 (SD=2.68) in the pretest to 12.87 (SD=1.542) in the posttest. The attitude category increased from 54.3% to 86.7%. There was a more significant increase in fire disaster preparedness attitudes in the intervention group compared to the control group (p <0.05) and the size showed moderate to large changes in attitudes, indicating the effectiveness of leaflets in shaping preparedness attitudes. Therefore, it can be concluded in this study that counseling with leaflet media has the potential to be an effective strategy to improve fire disaster preparedness attitudes among vocational students. The results of this study can support the integration of leaflets as part of disaster literacy programs and safety training in vocational schools.
AIR QUALITY IN BENGKULU CITY AMID PM2.5 POLLUTION: AN ANALYSIS OF DATA AND PUBLIC HEALTH RISKS
PM2.5 air pollution is a major global public health concern. Bengkulu city faces serious air quality challenges from coal-fired power plant (PLTU) operations at Teluk Sepang and Port Logistics at Pulau Baai, which may deteriorate local air quality. Continuous assessment of ambient PM2.5 levels is therefore essential to understand the potential health risks to the surrounding population. To analyse PM2.5 concentrations in Bengkulu City (September 2021 – July 2024), compare against national and WHO air quality standards, and evaluate potential health impacts on vulnerable populations. Descriptive qualitative study using a nonexperimental observational approach. Secondary PM2.5 data from the BMKG Pulau Baai monitoring station (35-month observation period) were converted to Air Pollutant Standard Index (ISPU/AQI) and compared against the Indonesian Ministry of Environment and Forestry Regulation No. P14/MENLHK/SETJEN/KUM.2/2020 and WHO annual guideline 2021. Seasonal patterns were assessed by comparing dry and rainy season averages. All 35 observation months exceeded the WHO annual standard (5 μg/m³); 91.4% of months exceeded the national "Good" category threshold (15 μg/m³). Annual mean concentration increased from 17.83 μg/m³ in 2021 to 25.53 μg/m³ in 2024, with a peak of 32.87 μg/m³ in July 2024. Mean PM2.5 concentration in the dry season (24.5 ± 6.8 μg/m³) was significantly higher than rainy season (20.5 ± 4.2 μg/m³, p = 0.002), indicating a substantial influence of meteorological conditions. Ambient PM2.5 levels in Bengkulu City consistently exceed international healthbased guidelines, suggesting significant potential health risk, especially for the vulnerable population living near the Teluk Sepang coal power plant, Pulai Baai port, and surrounding coal stockpiles. These findings underscore the need for strengthened air quality monitoring and evidence-based pollution control policies to support sustainable urban planning.
SOCIAL MEDIA UTILIZATION FOR HEALTH SERVICE AWARENESS AT PUNTI KAYU PRIMARY HEALTH CARE
Social media usage is growing rapidly, making it easier for people to communicate and share content. Platforms such as Instagram, TikTok, and WhatsApp are increasingly being used, including for marketing activities. In July 2024, the number of global social media users reached 5.17 billion, or 63.7% of the global population. In Indonesia, internet users reached 185.3 million in January 2024, an increase of 1.5 million social media users compared to the previous year. The average Indonesian uses social media for 3 hours and 14 minutes per day, and 81% access it daily. In South Sumatra, social media users reached 70.54% of the total population in 2024, while in Palembang the figure was higher at 83.73%. To determine the relationship between age, gender, education, knowledge, and attitudes with the use of social media in increasing public awareness of health services. The study used a quantitative design with an
analytical survey method and a cross-sectional approach. A total of 98 respondents were
selected as a sample, with data collected through observation, interviews, and secondary data
from community health center documents. Data were analyzed using a bivariate test with an
Odds Ratio (OR) calculation. The results showed a significant relationship between age
(p=0.000; OR=47.308), gender (p=0.037; OR=0.366), knowledge (p=0.000; OR=6.364), and
attitude (p=0.000; OR=33.065) with social media use. Respondents who were young, female,
well-informed, and had a positive attitude were more likely to use social media to access health
information. Meanwhile, education did not have a significant relationship with social media use
(p=0.728). The use of social media has been shown to be closely related to individual
characteristics, especially age, knowledge, and attitudes.
THE EFFECT OF REMINDER APPLICATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA
Anemia during pregnancy remains a major public health problem contributing to maternal and neonatal morbidity and mortality, particularly an increased risk of hemorrhage. Low adherence to iron tablet consumption and maternal knowledge are among the main contributing factors. Digital health interventions, such as reminder apps, offer a promising strategy to improve maternal health outcomes. This study aimed to analyze The Effect of Reminder Application on Hemoglobin Levels in Pregnant Women with Anemia. This study used a pre-experimental design with a single-group pretest–posttest approach. The sample consisted of 40 pregnant women with anemia, purposively sampled from three community health centers (Puskesmas) in Bengkulu City. The intervention involved the use of the Reminder App to encourage regular iron tablet consumption. Hemoglobin levels and knowledge were measured before and after the intervention. The results showed that most respondents were of non-risk reproductive age (80%), had secondary to higher education (77.5%), and were multiparous (67.5%). Statistical analysis showed a significant increase in hemoglobin levels and knowledge after the intervention (p = 0.000). The Reminder app effectively supported adherence to iron tablet consumption and improved mothers' understanding of anemia prevention. The Reminder app significantly improved hemoglobin levels and knowledge among pregnant women with anemia. This digital intervention has the potential to be integrated into antenatal care services as an innovative and sustainable strategy to prevent anemia during pregnancy.