Kanker serviks menjadi penyebab tingginya kematian ibu. Pencegahan kanker serviks dapat dilakukan dengan skrining Inspeksi Visual dengan Asam Asetat (IVA). Tujuan penelitian untuk menganalisis efektifitas pendidikan kesehatan dengan menerapkan Health Belief Model (HBM) menggunakan media audiovisual dan booklet terhadap perilaku wanita dalam melakukan pemeriksaan IVA di wilayah kerja Puskesmas Pacarkeling Surabaya. Metode penelitian menggunakan Quasi Experimental dengan desain Non Equivalent Control Group Design. Subjek penelitian wanita berusia 30-50 tahun yang belum pernah melakukan pemeriksaan IVA sebelumnya. Pemilihan sampel menggunakan teknik cluster sampling dengan jumlah sampel 79 responden untuk masing-masing kelompok intervensi dan kelompok kontrol. Pendidikan kesehatan menggunakan media audiovisual dan booklet. Data diolah menggunakan uji wilcoxon, chi-square, mann-whitney, dan regresi linier. Hasil penelitian menunjukkan pendidikan kesehatan menggunakan media audiovisual dan booklet efektif dalam meningkatkan perilaku responden dalam melakukan skrining IVA. Peningkatan pengetahuan, sikap, kepercayaan kesehatan kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol. Perilaku wanita dalam melakukan skrining IVA pada kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol setelah diberikan intervensi. Variabel luar seperti usia, pendidikan, pekerjaan, penghasilan, informasi sebelumnya memiliki pengaruh terhadap peningkatan perilaku. Pendidikan kesehatan efektif dalam meningkatkan perilaku wanita melakukan pemeriksaan IVA.

Background:The incidence of Human Papillomavirus (HPV) infection and cervical cancer in adulthood may be prevented by HPV vaccination in adolescence. Currently, the HPV vaccination coverage rate in developing countries is about 15%. The reason for this low vaccination coverage is most likely due to a lack of information among adolescents and adults. Purpose: To explore adolescents, parents and teachers' needs, obstacles, and expectations around the HPV vaccination. Methods: This research used a qualitative method with a focus group discussion. The research participants were divided into three groups: 21 female students, 17 parents, and 20 teachers. This research was conducted in junior high schools that have programs run by their adolescent reproductive health counseling information centers. The data were analyzed by employing content analysis. Results: HPV vaccination has not been made a priority for adolescents because: 1) There is a lack of available education about HPV and HPV vaccinations for adolescents, parents, and teachers. 2) The high cost for parents to vaccinate their children. 3) Adolescents, parents and teachers believe that the HPV vaccine needs to be administered to adolescents, but they feel that the vaccine is not affordable. Conclusion: It is important to consider a program which will provide accurate information about the HPV vaccination to the community, especially adolescents. Financial management, such as insurance or vaccination savings schemes, may be one way to overcome the problem of the HPV vaccination's cost.

Perkembangan organ reproduksi dan ketidaksetaraan peran gender dalam masyarakat meningkatkan kerentanan remaja putri untuk mengalami pemaksaan seksual. Pendidikan kesehatan reproduksi yang membahas kesetaraan gender diketahui dapat membantu remaja dalam mengontrol dorongan seksual dan menurunkan kejadian pemaksaan seksual. Sasaran kegiatan pengabdian ini adalah 64 siswi di salah satu Sekolah Menengah Kejuruan di Kabupaten Kulon Progo. Pendidikan kesehatan reproduksi berbasis kesetaraan gender disampaikan melalui metode diskusi kelompok kecil (focus group discussion) dengan modul, konsultasi pribadi dengan media elektronik, dan ceramah yang dilaksanakan pada September 2017. Skor pengetahuan, sikap, dan efikasi diri remaja yang diperoleh melalui pre-test dan post-test diuji normalitasnya dengan One-Sample Kolmogorov-Smirnov Test dan dianalisis dengan uji Wilcoxon dengan taraf kepercayaan 95%. Hasilnya menunjukkan bahwa terdapat perbedaan yang signifikan dalam hal pengetahuan, sikap, dan efikasi diri tentang seksual kesehatan reproduksi antara sebelum dan sesudah pelaksanaan pendidikan kesehatan reproduksi berbasis kesetaraan gender dengan p-value (p) <0,05. Skor pengetahuan, sikap, dan efikasi diri seksual setelah pelaksanaan pendidikan kesehatan lebih besar daripada sebelum pendidikan kesehatan dilaksanakan. Dengan demikian, pelaksanaan pendidikan kesehatan reproduksi berbasis kesetaraan gender dapat meningkatkan pengetahuan, sikap, dan efikasi diri remaja putri.

Objective: This study aimed to examine self-efficacy to obtain the HPV vaccination among adolescent girls in Indonesia. Furthermore, factors affecting HPV vaccination self-efficacy was investigated. Methods: A cross-sectional study was conducted 337 among adolescent girls in junior high school (aged 12-15 years). Participants were recruited from four junior high schools in Yogyakarta using consecutive sampling. A self-administered questionnaire requested demographic information, knowledge of HPV and HPV vaccine and self-efficacy to obtain HPV vaccine. School teachers facilitate the data collection adolescent girls using the listed questionnaires. Data analysis used Pearson correlation, chi-squared tests and logistic regression analysis. Results: As many as 50.1% of the adolescent girls reported high self-efficacy to obtain HPV vaccine and 57.9% reported high knowledge about HPV and HPV vaccine. There were significant correlations between self-efficacy and age, vaccination experience, recommendation from health care providers, parental support, social persuasion and anxiety. Parental support contributed to almost 18 times (95% CI:3.837 - 83.648; p<0.0001) while social persuasion was nearly 9 times (95% CI: 3.875-20.011; p<0.0001) more likely to predict the self-efficacy to obtain HPV vaccination. Conclusion: Parental support and social persuasion significantly predict self-efficacy to obtain HPV vaccination. Parental support is the main factor in the decision making of adolescent to obtain HPV vaccination.

Life experience of mother with preeclampsy pregnancy history in YogyakartaPurposeThe purpose of this paper was to determine the life experience of women with pre-eclampsia pregnancy history.MethodsThis research was a phenomenology study involving 7 postpartum mothers with history of pregnancy and delivery of preeclampsia in Dr. Sardjito Hospital conducted from June to September 2015.ResultsBased on this research, there were 4 themes which were found: 1) the symptoms that are felt to affect the psychological, spiritual, physical and behavior of the mother; 2) Awareness raising; 3) Source of power from family and community; and 4) Anxiety and fear have an impact on the mother's perception during the process of referral and childbirth.ConclusionThis study contributes to the knowledge that maternal conditions with preeclampsia pregnancy and childbirth in Yogyakarta still require the attention of health workers, especially from the aspects of alertness to perceived symptoms and the importance of information about pregnancy preeclampsia.