At the global level, it is estimated that 35 million people suffer from drug use disorders and require treatment services. 1 Research shows adolescence (12-17 years old) is a critical risk period for the initiation of substance use and that substance use peaks among young adults aged 18-25 years. 2 In Indonesia, drug use is now emerging as a problem among adolescents. The prevalence of drug users among students (15-22 years old) in Indonesia has increased from 2.8% in 2017 to be 3.2% in 2018. 3,4

Background: Student groups are prone to drug abuse. The prevalence of drugs in the past year among high school students in Surabaya, Indonesia occupies the highest provincial capital (9.4%). The purpose of this study analyzed the relationship between knowledge about drugs, attitudes about peer education, gender, class, and students' intention to participate in peer education programs in HEY (Health Educator for Youth) activities.Design and Methods: A cross-sectional study was conducted with student participants (12-18 years) in six high schools in Surabaya, Indonesia (n=167). This study used an online survey to assess knowledge of drugs and students' attitudes about HEY peer education activities.Results: More than half of the students have insufficient knowledge about drugs and have negative attitudes about peer education in HEY activities. This study also showed that students' intention to participate in peer education was not influenced by the level of knowledge, student attitudes, and gender. The results of statistical tests showed that there was a relationship between class and student participation in peer education activities. This showed that the student's factor regarding participation in peer education was a class category where the lower class is more motivated to participate.Conclusion: Most students have less knowledge about drugs and a negative attitude about peer education. However, the intention to participate in peer education activities is more thus it is necessary to improve the quality of peer educators through activities that are performed regularly by various relevant stakeholders.

Background: Complete basic immunization for infants in Indonesia is an obligation in an effort to protect infant health. It is one of the important indicators in determining the quality of health services in a certain area. However, the coverage of complete basic immunization in Indonesia in 2017 and 2018 has not been achieved nationally with National Strategic Planning and it has not been achieved the targets of 80% of districts/cities in 2019. Objective: This study aims to analyze the factors correlated to the complete basic immunization coverage of infants in Indonesia in 2017-2019. Methods: Ecological analysis was carried out using secondary data from the report of the Ministry of Health of the Republic of Indonesia in 2017-2019. Univariate analysis was conducted using descriptive statistics and one sample Kolmogorov Smirnov. Bivariate analysis was conducted by correlation test (Pearson and Spearman) and scatter plot. Results: Complete basic immunization for infants had a significant correlation with the adequacy of midwives at the primary health care in 2017 (r = -0.337). There was significant correlation between poverty and complete basic immunization in 2017 and 2018 (r = -0.362 and r = -0.535). In 2019, active Integrated Service Post (Posyandu) was correlated to the complete basic immunization (r = 0.444). The first neonatal visit was correlated to the complete basic immunization of infants for three consecutive years (2017-2019). Conclusion: Efforts that can be made to increase the coverage of complete basic immunization in Indonesia are increasing the distribution of midwives in Indonesia, increasing the coverage of the first neonatal visit by paying attention to Posyandu cadres, especially in provinces with high poverty rates.

Banyuwangi Children Center (BCC) is one of city mayor’s effort to prevent children’s sexual abuse. However, the community felt the role of BCC in preventing children’s sexual abuse was not optimal since 2016. Stakeholder’s engagement may play an important aspect to support BCC in preventing children’s sexual abuse. The objective of this study was to analyze the role of stakeholders in supporting BCC in the prevention of children sexual abuse. This study used a qualitative design with in-depth interview to all related to the prevention of children sexual abuse (Police department, women and children protection bureau, women empowerment and family planning bureau, and BCC. The results showed the role of the BCC was supported by the existence of policies on child-friendly areas from the local government, positive responses from active community involvement in reporting incidents of sexual violence against children, and good coordination by cross-sector in the socialization and handling of cases of sexual violence against children in Banyuwangi. Therefore, it can be concluded that stakeholders provide positive support in the role of the BCC but still need attention from local governments to provide facilities for cross-sectoral so that all cases of sexual violence against children in Banyuwangi can be handled properly. Keywords: stakeholder, Banyuwangi Children Center, child protection, sexual assault Abstrak Banyuwangi Children Center (BCC) merupakan salah satu upaya walikota Banyuwangi untuk meminimalisir kekerasan seksual pada anak. BCC terbentuk sejak 2016 namun perannya masih kurang dirasakan oleh masyarakat di Banyuwangi. Stakeholder merupakan pihak yang berperan penting untuk mendukung peran BCC di Banyuwangi. Tujuan penelitian adalah menganalisis peran stakeholder untuk mendukung peran BCC dalam upaya menurunkan kekerasan seksual pada anak di Banyuwangi. Penelitian ini adalah penelitian kualitatif dengan desain cross-sectional. Data penelitian ini diperoleh dengan wawancara mendalam pada tujuh informan yang memiliki kapasitas dalam memberikan informasi tentang perannya dalam mendukung BCC yaitu Kepolisian Resort Banyuwangi, Pusat Pelayanan Terpadu Perlindungan Perempuan dan Anak (P2TP2A) Kabupaten Banyuwangi, Badan Pemberdayaan Perempuan dan Keluarga Berencana (BPPKB) dan Banyuwangi Children Center. Hasil penelitian menunjukkan peran BCC mendapat dukungan dengan adanya kebijakan tentang kawasan ramah anak dari pemerintah daerah, respon positif keterlibatan aktif masyarakat dalam melaporkan kejadian kekerasan seksual pada anak, dan koordinasi yang baik oleh lintas sektor dalam sosialisasi dan penanganan kasus kekerasan seksual pada anak di Banyuwangi. Oleh karena itu, dapat disimpulkan bahwa stakeholder memberikan dukungan yang positif dalam peran BCC namun masih perlu perhatian dari pemerintah daerah untuk menyediakan fasilitas bagi lintas sektor dan meningkatkan sosialisasi bagi masyarakat Banyuwangi agar seluruh kasus kekerasan seksual pada anak di Banyuwangi dapat tertangani dengan baik. Kata kunci: stakeholder, Banyuwangi Children Center, perlindungan anak, kekerasan seksual, good health and wellbeing

Diarrhea is still the second leading cause of death in toddlers besides pneumonia. The highest number of cases of diarrhea in toddlers in East Java is Surabaya. This study aimed to describe the distribution of toddler diarrhea based on risk factors using a regional mapping approach in Surabaya. This study was an ecological study with a regional mapping approach. The independent variables used as risk factors for toddler diarrhea were healthy latrines, drinking water facilities, open defecation free (ODF), and complete basic immunizations. The unit of analysis used was the districts that were processed from the Surabaya Health Profile data in 2019. Results showed most cases of diarrhea under five occurred in Wonokromo, Sawahan, Tambak Sari, and Kenjeran District. There was a significant relationship between toddler diarrhea with complete basic immunization (p = 0.008), while the relationship with healthy latrines, ODF, and drinking water sanitation was not significant. This study concluded that 8 of 31 districts were prioritized for handling toddler diarrhea in Surabaya. In addition, there is a need for dissemination to the community through optimizing the role of health workers at the Puskesmas regarding complete basic relationships and the incidence of diarrhea in toddlers.

Background: The results of the 2020 population census in Indonesia showed that the population has reached 270.020.000 million. This number shows that the population in Indonesia during the last 10 years has increased by around 32,56 million people.  One of the BKKBN's efforts to reduce the birth rate in Indonesia is to urge people to marry at the ideal age, 21 years for women and 25 years for men.    Methods: This study used GPAS/ SKAP data for the period 2017, 2018, and 2019 using the module for women aged (15-49) and the sample used was all women aged 40-49. This analysis used secondary data from the 2017, 2018, and 2019 government performance and accountability surveys.  Results: The age at first marriage for women should be encouraged to be 25 years old, not 21 years old, which has always been echoed and socialized.  Age at first marriage is the most dominant factor in women aged (40-49) to have more than two children (2017 SOR: 4.17 95% CI [1.85-17.31], (2018 SOR: 57.14 99% [4.12-793.67]) (2019 SOR 21.22 99%  CI [2.28-197.45]), while only in 2019 the AFM variable after controlling for it remained significant in influencing having children more than 2 (AOR 27.64 99% [2.88-265.20]).   Conclusion: Women aged (40-49) who have a younger age at first marriage (10-24) have a longer reproductive age range, so they have relatively more children than women who married at the age of 25 and over.  After controlling for other factors, the characteristics of women who have a tendency to have more than two children. Therefore, it is necessary to design a health strategy that is more suitable to the needs, characteristics, and capacity of women to reduce the birth rate in Indonesia is to urge people to marry at the ideal age.

The article's abstract is not available.  

Latar belakang: Program peer educator yang berada di berbagai sekolah Kota Surabaya menjadi suatu program inovasi untuk meningkatkan penerimaan dan keterlibatan remaja dalam menghadapi permasalahan teman sebaya, khususnya pada pemasalahan penyalahgunaan narkoba. Tujuan: Untuk mengetahui faktor apa saja yang menjadi pendukung serta penghambat peer educator dalam pelaksanaan program peer educator. Metode: Penelitian ini merupakan penelitian kualitatif. Lokasi penelitian berada di Sekolah Menengah Atas wilayah Surabaya yang terdiri dari 8 Sekolah Negeri dan 2 Sekolah Swasta. Jumlah informan dalam penelitian ini yaitu sebanyak 48 peer educator. Pemilihan lokasi tersebut didasarkan karena beberapa sekolah tersebut sudah terdapat peer educator. Penggalian data dilakukan melalui In-depth Interview, Focus Group Discussion (FGD) serta observasi. Analisis data menggunakan studi deskriptif dengan prosedur reduksi data, penyajian data dan penarikan kesimpulan. Hasil: Hasil dari wawancara, FGD, maupun observasi yang dilakukan oleh peneliti kepada pihak sekolah menyatakan bahwa peer educator dalam menjalankan perannya masih minim terhadap dukungan, baik sekolah maupun pemerintah yang pada akhirnya hal tersebut menjadi penghambat bagi peer educator. Kesimpulan: Faktor penghambat yang dirasakan oleh siswa sebagai peer educator karena dukungan berupa fasilitas dari sekolah belum berjalan efektif, dan juga pemerintah yang dulu membawahi program ini sudah tidak lagi memberikan umpan balik sehingga hal tersebut menjadi faktor utama dalam menghambat peran siswa sebagai peer educator.