Long-term contraceptive method is contraception that is used to delay pregnancy, birth spacing, stop fertility for a long period of time and even it can last a lifetime and is very effective in preventing unwanted pregnancies and also more cost-effective, but it does not provide protection against Sexually Transmitted Infection (STI). The long-term contraceptive method consists of an IUD, Implants and sterilization. Study aims is to determine the relationship between economic status, the role of health officers, and partner support on the use of the long-term contraceptive method in the working area of Sangurara Community Health Center, Tatanga Subdistrict, Palu. The type of this research was quantitative with a cross-sectional study approach. The sample in this study were active Family Planning acceptors in the working area of Sangurara Community Health Center, Tatanga Subdistrict, Palu, as many as 100 people. The sampling technique used was a simple random sampling. Data analysis was performed using the chi-square test. The results showed that there was a relationship between economic status and the use of Long-term contraceptive method (ρ = 0,000), there was a relationship between the role of the health officers and the use of Longterm contraceptive method (ρ = 0,001), and there was a relationship between partner support and the use of Long-term contraceptive method (ρ = 0,001). Counseling or complete information on contraceptive methods was needed for family planning acceptors in order to be able to choose and use the qualified long-term contraceptive method in terms of their effectiveness.
BACKGROUND: Pregnant women are considered as a risk group for exposure to COVID-19. Changes in their hormones and immune systems possibly influence their rate of infection by several viruses, including the coronavirus. This stresses the need to observe necessary precautions, by maintaining social distancing, avoiding crowds, and staying at home. Furthermore, the condition also influences the scope of pregnant women’s antenatal visits. AIM: The study aims to determine the effect of COVID-19 on antenatal visits by pregnant women. Furthermore, it seeks to ascertain the effect of electronic technology antenatal care (e-ANC) on the enhanced participation of midwives and pregnant women in antenatal care (ANC) (i.e., counseling, high-risk early detection on pregnancy, and monitoring of Hb and Fe tablets). Therefore, the impact COVID-19 on women’s reproductive health during the pandemic is also evaluated. METHODS: This research involved pre- and post-test experiments on 30 pregnant women and 20 midwives at areas around the Public Health Centers in Tinggiede and Marawola. A purposive sampling technique was adopted, and the results were analyzed using a paired t-test. RESULTS: The study showed discrepancies in the ANC visits of pregnant women before and after the COVID-19 lockdown period, with p < 0.00. Furthermore, there were also differences in midwife participation in counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.001, Hb monitoring by p < 0.002, and provision of Fe tablets by p < 0.003 during the pandemic. Moreover, the pregnant women showed variations in the frequency of counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.00, Hb monitoring by p < 0.002, and the provision of Fe tablets by p < 0.003. The e-ANC instigated a decline in reproductive health problems before (73.4%) and after (10.0%) the intervention. CONCLUSION: The lockdown period influences the low antenatal visits of pregnant women. However, e-ANC for midwives and pregnant women is developed as an alternative solution to improve ANC (i.e., counseling, high-risk early detection, and monitoring Hb and Fe tablets). This consequently has an effect on the reduced reproductive health problems of pregnant women during the pandemic.
Breast cancer is the second largest death in women. One of the preventions of breast cancer by early detection is Breast Self-Examination (BSE). It aims at finding out abnormal lumps in the breast. There were 20 cases of breast cancer in Palu in 2017, 10 of them died, then increased in 2018 to 25 cases, and 14 died. Based on preliminary research at Senior High School of SMA 7 Negeri Palu, in 2021, there was 1 case of breast cancer. This research aimed to determine the correlation between knowledge, attitudes, information exposure, parental support, and Breast Self-Examination (BSE) behavior. This was quantitative research with a cross-sectional approach. The samples were taken through the Slovin method with the Proportional Stratified Random Sampling technique. The total population was 396 students, and the total samples were 80 students. The majority of respondents are 17 years old, namely 52.5% with good behavior, namely 52.5%, knowledge including lack, namely 55%, attitude including negative, namely 60%, and information exposure including high, namely 56.2%, and parental support including lack, namely 51.2%. The results show that there was no correlation between information exposure and BSE behavior (p = 0.128), while knowledge (p = 0.022), attitudes (p = 0.001), and parental support (p = 0.003) showed a correlation with BSE behavior. It is expected that the school will cooperate with the health sector by providing material on reproductive health and prevention of non-communicable diseases, and the students are also more proactive in seeking information related to BSE
Background:In the process pregnancy-postpartum, the role of the husband is very important and necessary. It is highly expected for the husbands to accompany their wives, so that their wives can have healthy pregnancy which is later able to give birth a healthy baby and the mothers can survive. Objectives: The purpose of this study is to find out the effect of husband's knowledge regarding Antenatal Care (ANC) and Early High-Risk Detection, husband behavior in the pregnancy-postpartum care with reproductive health problems experienced by wife and to determine which variable that has the greatest effect among the three variables. Metohdes: This research is an analytical observation, carried out in the working area of Tinggede Health Center which includes 3 villages namely Sunju, Tinggede and South Tinggede the research target is all husbands who have pregnant wife (second pregnancy) and have children under two years old with a total of 180 husbands. The survey was carried out on 180 husbands. Data collection is carried out through interviews, observations and FGDs. Data analysis technique with Chi Square value test (p <0.05) Results: The results showed that the level of husband's knowledge about Antenatal Care and early detection of high risk was low, 58.88% and 56.66%, respectively. Husband behavior in pregnancy care was also categorized as less healthy/bad, i.e., 55.55%, and the prevalence of wife's respondents who experienced reproductive health problems was 57.7%. Husband's knowledge about ANC, early detection of high-risk pregnancy, and husband behavior in pregnancy care had a significant relationship to reproductive health problems (p<0.05). The highest frequency of husband's participation in the pregnancy-postpartum care is making referrals to the healthcare facilities by 79%, Husband behavior in pregnancy care has the greatest effect on maternal reproductive health problems with a P value = 0.001. Conclusion: It can be concluded that the husband's knowledge regarding ANC and early detection of pregnancy and postpartum period has an effect on maternal reproductive health in Sigi Regency, Central Sulawesi. It's expected that the development of models for improving husband's Information, Advocacy and Communication (IAC) of reproductive health could be a preventive effort in improving women's reproductive health.
Background: Cervical cancer is the second leading cause of death after breast cancer in women in developing countries. In 2017, there were 2,8% cases of patients with cervical cancer in Indonesia and 0,8% cases in Central Sulawesi. The medical record data of Anutapura Hospital of Palu shows that the incidence of cervical cancer in 2016-2017 was still the biggest disease that occurred in the obstetrics and gynecology department with a total of 36 cases. Objectives: The objectives of this study were to determine the risk of first marriage age, parity, use of oral contraceptives, education level, smoking and use of sanitary napkins at childbearing age on the incidence of cervical cancer in Anutapura Hospital of Palu. Research Patient and Method: This research used quantitative method with case control approach. There were 62 people taken as the case sample and 62 people as the control with age matching. The sampling was conducted using total sampling method. The data used were secondary data in the form of yearly medical record and primary data in the form of interviews and questionnaires. Results: The data analysis conducted using the Odd Ratio test on the results of research showed the followings; the first marriage age (OR=4
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