BACKGROUND፡ The study aimed to identify the achievement of stunting prevention based on the contribution of the Village Apparatus, Integrated Health Services Post and Early Childhood Education. Moreover, it determined the effect of the personnel factors of each agency on the achievement of stunting prevention.METHODS: A cross-sectional study was conducted on 175 respondents in Surakarta residences covering Klaten, Boyolali, Karanganyar, Surakarta, Sukoharjo, and Sragen districts from August to October 2021. The researcher conducted a line plot to describe the score of stunting prevention efforts through SINAR APD in planning, funding, implementation, and monitoring. Linear regression and One Way Anova were analyzed using SPSS to determine the effect of the personnel factors.RESULTS: Personnel factors had a significant role in the achievement of funding for Stunting Prevention. The data of stunting showed knowledge (F=3.3; P<0.05), attitudes towards authoritative parenting (F=5.6; P<0.05), and attitudes towards permissive parenting (F=6.1; P<0.05).Conclusions: The main problem was the lack of achievement in the funding aspect. The researcher recommended further research to increase knowledge on stunting for village apparatus, Integrated Health Services Post and Early Childhood Education. Understanding good parenting patterns can change mindsets and attitudes to avoid applying parenting methods that are too authoritarian or permissive.
Background Sexual intercourse is a risky behavior among many earlier adolescents (10–14 years), some of whom might ultimately experience unsafe abortion. However, the prevalence of sexual intercourse among earlier adolescents in Indonesia is not known. Methods A cross-sectional behavioral survey was conducted from July to October 2019 among early adolescents who are prone to sexual intercourse (EAWAPTSI) in Semarang, Indonesia. A total of 180 EAWAPTSI aged 10–14 years old (115 boys and 65 girls) were recruited using respondent-driven sampling (RDS) in urban areas. A survey with the Open Data Kit (ODK) application was administered to the study participants. Results A total of 180 EAWAPTSI were enrolled, including original seeds. The majority of respondents were male and 14 years old. The RDS-adjusted sexual intercourse prevalence was 38.4% (95% CI: 27.8–49.1). The prevalence was higher among adolescents who were of older age, boys, enrolled in school, and under the care of their mother, had low parental education, discussed sexuality with their parents less frequently and agreed with this behavior at their age. Conclusions The conclusion of this study is that early adolescents have already been exposed to sexual activity. This finding suggests that education on healthy sexual behavior should be started before the age of early adolescence (10–14 years). Education should be comprehensive and address individual risk behaviors, not only to delay sexual debut but also to emphasize the importance of preventing sexually transmitted infections and adolescent pregnancy. In addition, parental involvement is needed. Therefore, it is necessary to increase communication about sexuality between children and parents.
Introduction: In Indonesia, one of the efforts to prevent risky sexual behavior is to provide reproductive health education among adolescents. One of the programs that collaborate with schools in providing reproductive health education is the pelayanan kesehatan ramah remaja (PKRR) organized by the Dinas Kesehatan. However, studies on the evaluation of the PKRR program among early adolescents in Indonesia have not been widely studied. Methods: A qualitative study was conducted on 14 early adolescents, 1 provider and 1 practitioner PKRR in November 2019-February 2020. Data were collected by Focused Group Discussion (FGD) and semi-structured interviews using the RE-AIM framework. Data was analyzed using Stevick-Colaizzi-Keen method in Nvivo 12 software. Result: The advantage of this program is that it can reach the target of early adolescents in the school. One of the weaknesses of this program is the limited time when socialization was carried out in schools. In addition, another weakness is the implementation at the community level, in the form of Posyandu remaja and counseling. It is difficult to reach early adolescents in the community level, because there is a feeling of shame to come to the place of services. Conclusion: This evaluation succeeded in revealing the needs of adolescents for reproductive health information, including the desire of adolescents to better understand reproductive health. The implication of this study is that there is a need for improvement in the implementation of the PKRR program. Improvements include the addition of comprehensive sexual education, cross-sectoral collaboration and the regeneration of young implementers for better implementation. Keywords: Evaluation, Early Adolescents, PKRR, Reproductive Health Education, RE-AIM.
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