Background The stigma experienced by cancer patients stems from the association of cancer with death, as cancer is the most feared disease worldwide, especially among cancer patients and their families. The stigma regarding breast cancer screening behaviour has not been critically evaluated and is poorly understood; therefore, we aimed to analyse the stigmatization of breast cancer patients in Indonesia to reduce the morbidity and mortality of breast cancer. Methods A qualitative study using a focus group discussion (FGD) and in-depth interviews with thematic analysis was conducted. Results One informant experienced breast pain and kept the referral letter, in which the medical doctor advised medical treatment, to herself for 3 months due to her embarrassment. A traditional healing practice known as ‘kerokan’, which involves scraping of the skin, and consumption of a traditional drink were used by most informants to decrease their breast pain. Finally, most informants were diagnosed with an advanced stage of cancer when they returned to the health care facility. In addition, financial difficulties were noted as barriers to breast cancer screening in Indonesia. Conclusions Feelings of fear and shame when diagnosed with breast cancer were reported by the informants in this study. Alternative treatment known as ‘kerokan’ was the first treatment sought for breast cancer symptoms due to financial difficulties among breast cancer patients. Informants were diagnosed with an advanced stage of cancer after they returned to the health care facility. A better understanding of early breast cancer symptoms could motivate women to seek out breast cancer treatment.
The lack of open communication between parents and children triggers adolescents to engage in deviant behavior, including premarital sex. This activity aims to improve the knowledge and communication skills of BKR members regarding adolescent reproductive health as an effort to reduce the incidence of unwanted pregnancy and early marriage in Padukuhan Mertosanan Kulon, Potorono Village. The interventions provided were in the form of counseling and roleplay as well as discussion of case studies related to adolescent reproductive health. Based on the results of the intervention, knowledge about reproductive health increased, participants were skilled in solving problems in case studies and were able to practice health communication to adolescents. It is very important to carry out regular adolescent reproductive health education activities for BKR members.
Background: Postpartum blues are known as postpartum sadness that could initiate a more serious mental disorder. It causes a decrease in the mother's interest in her baby, failure to breastfeed, to acts of hurting the baby and themself. Knowing the determinant factors of postpartum blues as a prevention effort is necessary. Therefore, this review aims to assess the factors contributing to postpartum blues, especially in Indonesian mothers. Methods: A review of all peer-reviewed journal-published studies on postpartum blues and its risk factors among Indonesian mothers from 2012 - 2022. The following databases were searched; Google scholars; SpringerLink; and science direct on September 2022 using the keywords "postpartum blues", "maternal blues", "baby blues", "risk factors”, and “Indonesia”. Results: Fifteen studies were included in this review. Risk factors that contribute to the occurrence of postpartum blues are age, salary, education, employment, breastfeeding process, health education after labor, type of labor, labor induction and labor complications, parity, pregnancy status, mother readiness, labor readiness, marriage satisfaction, husband support, and social support. Conclusion: Women with low socioeconomic Status (SES) and primiparous births have a greater risk of suffering from postpartum blues. Therefore, it is necessary to provide psychological assistance to health workers to the mother after giving birth.
Provinsi Daerah Istimewa Yogyakarta memiliki kerentanan terhadap ancaman bencana alam. Ancaman terbesar adalah gempa bumi dan letusan gunung berapi. Semua orang yang hidup dalam situasi darurat bencana berhak atas kesehatan termasuk kesehatan reproduksi. Pencegahan terjadinya risiko kerugian yang tinggi akibat bencana baik dalam sektor kesehatan maupun sektor lainnya dapat dilakukan dengan melakukan identifikasi risiko bencana. Identifikasi risiko bencana ini terdiri dari identifikasi ancaman bencana, kerentanan bencana, dan kapasitas bencana di tingkat desa. Kajian kesehatan reproduksi bencana disampaikan dengan metode penyuluhan disertai diskusi interaktif. Identifikasi ancaman, kapasitas, dan kerentanan bencana menggunakan metode partisipatory. Peserta dipilih secara purposive. Data dianalisis secara deskriptif. Peserta menyebutkan bahwa permasalahan kesehatan reproduksi yang dapat terjadi meliputi perasalahan kesehatan ibu dan anak, pelecehan seksual, dan penularan penyakit seksual yang diakibatkan oleh keadaan sarana prasarana pengungsian yang minim. Berdasarkan hasil identifikasi diketahui bahwa ancaman bencana gempa dapat menimbulkan kerentanan pada manusia khususnya bayi, anak-anak, lansia, dan penyandang cacat berupa luka sedang hingga kematian. Kerentanan pada infrastruktur berupa robohnya bangunan akibat struktur yang tidak kuat. Kapasitas bencana yang dimiliki desa berupa adanya forum kebencanaan dan pelatihan serta simulasi bencana yang mendukung adanya infrastruktur siaga bencana. Ancaman gempa bumi dapat menimbulkan kerugian pada asset berisiko desa yang berupa manusia dan infrastruktur, namun pihak desa telah memiliki kapasitas / kekuatan pada seluruh aspek berisiko tersebut untuk meminimalisir kerugian yang muncul. Diharapkan aparat desa dapat meningkatkan kesiapsiagaan bencana dengan melakukan pemetaan risiko bencana desa secara berkesinabungan.
Salah satu permasalahan remaja adalah kesehatan reproduksi. Namun hal tersebut masih dianggap tabu dibicarakan antara orang tua dengan remaja. Dengan adanya komunikasi antara orang tua dengan remaja diharapkan adanya ruang diskusi tentang dampak positif dan negatif terkait kesehatan reproduksi. Tujuan dari penelitian ini adalah mengetahui pengaruh pelatihan komunikasi terkait kesehatan reproduksi remaja terhadap pengetahuan dan sikap orang tua. Penelitian eksperimental dengan desain quasi experiment. Sedangkan bentuk rancangan pra-eksperimen yang digunakan dalam penelitian ini adalah rancangan One Group Pretest-Posttest. Sampel penelitian berjumlah 23 responden yang merupakan ibu pengurus Bina Keluarga Remaja yang memiliki anak usia remaja di Dusun Mertosanan Kulon, Desa Potorono, Kecamatan Banguntapan, Bantul, yang diambil menggunakan teknik total sampling. Instrument penelitian menggunakan kuesioner pre-post test. Data dianalisis dengan uji t berpasangan. Hampir sebagian besar responden termasuk dalam kategori usia dewasa akhir yaitu 36-45 tahun (65%). Hasil uji t berpasangan menyatakan terdapat pengaruh pelatihan komunikasi terkait kesehatan reproduksi remaja terhadap pengetahuan dan sikap orang tua (p-value=0,01). Terdapat perbedaan rerata skor responden sebelum dan setelah diberikan pelatihan komunikasi kesehatan reproduksi remaja. Terdapat peningkatan pengetahuan dan sikap orang tua setelah diberikan pelatihan komunikasi mengenai kesehatan reproduksi remaja. Seyogyanya orang tua harus mengikuti perkembangan zaman sehingga mampu menjadi tempat berdiskusi yang nyaman pada remaja. Menyaring informasi kesehatan berdasarkan kebenaran dan menyaring pergaulan sangat penting dilakukan oleh remaja, terlebih di era digital. Sementara itu, pemerintah dapat mengembangkan sistem layanan kesehatan remaja yang dapat diakses secara online oleh remaja.
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