OBJECTIVESComplex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents.METHODSA cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses.RESULTSThe prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran [courtship] and nikah siri [non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior.CONCLUSIONSSex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls.

PurposeThis study aimed to evaluate a pilot project of the Nursing Feeding Center “Posyandu Plus” (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6–36 months at community health centers in Indonesia.MethodsA quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3.ResultsLFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ (0.96±0.97) and WAZ (0.45±0.72) increased; BAZ increased (1.12±0.93) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by 0.53±0.52, which indicated 57.8% had short stature.ConclusionThe NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.

Immaturity and factors that influence negative attitudes toward RH should be explored during puberty. Improving knowledge about RH may help to prevent negative attitudes toward RH, especially for girls in urban areas and boys with smoking habits.

Tetanus merupakan penyakit yang dapat dicegah melalui vaksinasasi, dimana menyebabkan kematian 309.000 orang per tahunnya. Dilaporkan lebih dari satu juta kasus tiap tahunnya di negara berkembang. Tetanus adalah suatu toksemia akut yang disebabkan oleh neurotoksin yang dihasilkan oleh Clostridium tetani ditandai dengan rigiditas dan spasme otot yang periodik dan berat. Seorang lelaki umur 46 tahun, datang dengan kekakuan seluruh tubuh sejak 7 hari sebelum masuk rumah sakit. Awalnya pasien merasakan kekakuan pada rahangnya sehingga sulit untuk membuka mulut dan sulit menelan, kemudian pasien merasakan tubuhnya seperti robot yang sulit untuk digerakan, sulit berjalan, sulit berbicara dan mengalami hambatan dalam segala aktivitas. Kejang rangsang dialami oleh pasien. Pasien memiliki riwayat demam sejak 1 minggu ini, pasien juga memiliki gigi yang berlubang sejak 2 tahun ini. Pada pemeriksaan vital sign didapatkan tekanan darah 110/70 mmhg, nadi 117 x per menit, frekuensi napas 24 kali permenit, temperatur 38 0 C. Hasil pemeriksaan fisik didapatkan trismus, rhisus sardonicus dan spastik seluruh tubuh. Tatalaksana awal berupa primary survey, atasi kejang dan spastik, netralisir toksin dan pemberian antibiotik. Pasien diisolasi untuk mencegah kejang rangsang. Pasien dirawat bersama bagian Gigi Mulut dan dilakukan tindakan yang berhubungan dengan faktor resiko karies gigi pasien. Kata kunci: Tetanus, karies gigi, trismus