Maluku Province is one among provinces in Indonesia with a contraceptive prevalence rate (CPR) lower than the national average. This study aimed toexamine factors associated with the utilization of family planning contraceptives among women of reproductive age living in the coastal area of South BuruDistrict, Maluku, Indonesia. Data were derived from a household health survey conducted in five subdistricts in South Buru, e.g., Namrole, Leksula, Waesama,Kapala Madan and Ambalau Subdistricts on November 2017 by the Faculty of Medicine, Pattimura University in Ambon. Information on contraceptive usewere collected from 390 married women aged 20 - 49 years. Bivariate and multivariate logistic regression analysis were employed to examine the factorsassociated with utilization of family planning contraceptives. This study found a low rate of utilization of family planning contraceptives (38.5%). The odds ofutilization modern contraceptive significantly reduced among women living in Ambalau and Leksula Subdistricts, aged 41 - 49 years, those who intend to havemore number of children, and with a low level of knowledge about family planning contraceptive methods.
ABSTRAKKetahanan pangan merupakan salah satu isu global terutama di negara berkembang, termasuk Indonesia. Studi ini bertujuan untuk menganalisis status ketahanan pangan serta faktor-faktor yang berhubungan, pada masyarakat di wilayah pesisir Kabupaten Buru Selatan, Provinsi Maluku. Studi ini menggunakan data yang berasal dari survei kesehatan masyarakat di wilayah pesisir Buru Selatan, Maluku. Survei dilakukan oleh Fakultas Kedokteran, Universitas Pattimura pada bulan November 2017, melalui wawancara dengan 899 responden usia 20−60 tahun. Status ketahanan pangan dinilai dengan menggunakan kuesioner US Household Food Security/ Hunger Survey Module (USFSSM). Berbagai faktor mulai dari tingkat lingkungan, rumah tangga, dan individu disertakan dalam analisis ini. Metode regresi logistik multivariat digunakan untuk mengetahui faktor-faktor yang berhubungan dengan status ketahanan pangan masyarakat. Hasil penelitian didapatkan, dari 899 responden yang diwawancarai, hanya 30% yang tahan pangan dan 70% mengalami rawan pangan. Sebanyak 33,7% responden mengalami rawan pangan dengan kondisi lapar. Responden di Kecamatan Waesama lebih tahan pangan dibandingkan Kecamatan Kepala Madan (aOR=2,16, 95%CI: 1,33-3,52, p=0,002). Responden dari rumah tangga "sangat kaya" lebih dari tiga kali lebih tahan pangan dari rumah tangga "sangat miskin" (aOR=3,49, 95%CI: 2,13-5,73, p<0,001). Responden yang harus membayar kepesertaan iuran kesehatan juga lebih tahan pangan dibandingkan yang mendapatkan pembebasan pembayaran iuran dari pemerintah (aOR=1,49, 95%CI: 1,07-2,08, p=0,018). Hasil penelitian juga diperoleh bahwa responden yang tinggal di rumah dengan kepadatan anggota rumah tangga ideal (≥ 8 m 2 per orang) lebih tahan pangan dibandingkan mereka dari rumah dengan kepadatan anggota rumah tangga kurang ideal (aOR=1,55, 95%CI: 1,01-2,39, p=0,047). Penelitian ini menunjukkan bahwa kerjasama lintas sektor sangat diperlukan dalam upaya meningkatkan ketahanan pangan masyarakat. Intervensi yang bertujuan untuk menurunkan angka kemiskinan serta penyediaan pangan bersubsidi, termasuk pangan terfortifikasi, bagi masyarakat yang membutuhkan dengan didukung program edukasi bagi masyarakat sangat penting untuk dilakukan di wilayah pesisir Kabupaten Buru Selatan. ABSTRACTFood security was one of the global issues, especially in developing countries, including Indonesia. This study aimed to examine the status of food security and its related factors in the coastal communities in the area of Buru Selatan District, Maluku Province. This study used secondary data collected from a household health survey conducted by
Early detection through screening programs is one of the cervical cancer prevention strategies that can help reduce cervical cancer morbidity and mortality. One method of early detection is through Pap smear examination. This study aimed to determine the profile of pap smear results at the Nusaniwe Sub-District Health Center, Ambon City. This descriptive observational study with a cross-sectional design was conducted at Amahusu Health Center, Benteng Health Center, Waihaong Health Center, and Urimessing Health Center. Pap smear examination was performed on women of childbearing age who came for treatment at the Health Center. They had no contraindications for pap smear examination and the results of the nonreactive IgM and IgG Sars-CoV2 antibody tests. From the examination results, on a total of 38 samples, the average age of the sample was 36.89, with the youngest age being 24 years old and the oldest being 46 years old. The highest age group was >35 years (55.3%), and the most age at first sexual intercourse was in the > 20-year age group (68.4%). Then, the most parity status was the multiparous group (68.4%). Generally, the sample had never undergone cervical cancer screening, both VIA examination and previous pap smear examination (60% and 92.1%, respectively). The most pap smear results were inflammation with infectious organisms as much as 42.1%, followed by inflammation (39.5%), Negative for Intraepithelial Lesion or Malignancy (10.5%), Atypical Squamous Cells of Undetermined Significance (5.3%) and Low-Grade Squamous Intraepithelial Lesion (2.6%). The most infecting organisms were bacteria (21.1%).
Pendahuluan. Nyeri Punggung Bawah (NPB) merupakan suatu permasalahan yang paling sering ditemukan di masyarakat. Etiologinya tergolong kompleks dan dapat disebabkan oleh berbagai hal. Salah satu pilihan penatalaksanaan NPB adalah dengan terapi TENS. Tujuan. Tujuan penelitian ini adalah untuk mengetahui efektifitas terapi TENS pada pasien NPB di RSUD dr. M Haulussy Ambon. Metode. Desain penelitian yang digunakan adalah pretest–posttest design, dengan mengukur skala Visual Analogue Scale (VAS) sebelum dan setelah 5 kali terapi TENS. Jumlah subjek yang memenuhi kriteria sebanyak 71 dengan perbandingan laki-laki dan perempuan adalah 1:2. Hasil. Hasil uji Marginal Homogenity memperlihatkan perbedaan signifikansi sebelum dan setelah 5 kali terapi TENS (p = 0,000). Kesimpulan. TENS efektif dalam meredakan nyeri pada pasien NPB.
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