Griya Widya: Journal of Sexual and Reproductive Health

Gizi Hormonal dan Kesehatan Reproduksi Remaja: Evaluasi Program Makan Gratis Berbasis Pemanfaatan

Sat, 21 Jun 2025 00:00:00 +0700

Background: The free meal program (Makan Bergizi Gratis) in senior high schools aims to enhance student well-being by providing adequate nutritional intake. However, its implementation requires comprehensive evaluation, particularly regarding coordination mechanisms and the fulfillment of hormonal nutritional needs critical for adolescent development. This study analyzes the free meal program through the lens of the Utilization-Focused Evaluation (UFE) approach, with a specific focus on students' hormonal nutrition.

Method: This research employed a mixed-methods design, combining qualitative descriptive analysis with a case study approach and quantitative anthropometric data. Qualitative data were collected through interviews and observations involving eight informants, including teachers and students. Data analysis involved data reduction, data display, and conclusion drawing, using both methodological and source triangulation to ensure data validity.

Results: The findings indicate that: (1) Program coordination is suboptimal, with food delivery not consistently punctual. (2) The meals provided lack sufficient variety, particularly in delivering essential proteins and healthy fats necessary for hormonal balance during adolescence. (3) Student and parental involvement in menu selection and program evaluation remains limited. (4) Feedback to students is provided periodically.

Implications: This study recommends strengthening inter-stakeholder coordination, diversifying the nutritional content of menus, and involving both students and parents in program evaluation. Sustainable funding is also identified as a critical factor for ensuring the program's long-term effectiveness.

Novelty: This study offers novel insights into the application of Utilization-Focused Evaluation (UFE) in assessing free meal programs and highlights the importance of hormonal nutrition in supporting adolescent development.

Fluor Albus dan Remaja: Efektivitas Edukasi Personal Hygiene di Komunitas Pedesaan

Yaumil Fauziah, Yulia Fatma Nasution, Yulia Safitri — Thu, 03 Jul 2025 00:00:00 +0700

Background: Personal hygiene plays a critical role in maintaining the cleanliness of the reproductive organs, particularly among adolescent girls. Lack of awareness and improper hygiene practices can increase the risk of fluor albus (vaginal discharge).

Objective: This study aims to assess the effect of health education regarding personal hygiene on the behavioral changes of adolescent girls in preventing fluor albus in Garoga Village, Batangtoru District.

Methods: A quasi-experimental design with a one-group pretest-posttest approach was employed. The sample consisted of 30 adolescent girls selected through simple random sampling who met the inclusion criteria. The intervention involved a 4-minute educational video covering the causes, symptoms, and prevention of fluor albus, delivered over a two-week period. Data were analyzed using the Wilcoxon and Mann-Whitney tests.

Results: A significant improvement in personal hygiene behavior was observed in the experimental group (p=0.001), while no significant change was noted in the control group (p=0.655). Posttest scores showed a significant difference between the experimental and control groups (p=0.000).

Conclusion: Health education using video media is effective in improving personal hygiene behavior among adolescent girls and contributes to the prevention of fluor albus.

Visualisasi Pemetaan Co-Occurance Term dan Temporal Mapping dalam Tren Riset Sexual Education

Aqmal Maulana Saputra, Intan Mutiara Hawa — Mon, 28 Jul 2025 00:00:00 +0700

Background: Previous bibliometric analyses tend to mix SE with reproductive health issues or are geographically limited. This study aims to fill this gap through exclusive bibliometric mapping of the topic of SE.

Method: Bibliometric approach with quantitative network analysis design. Data were obtained from Google Scholar via Publish or Perish with a title-based search strategy using the phrase “Sexual Education”, resulting in 810 scientific articles in the range of 2000-2025. The analysis was conducted using VOSviewer through co-occurrence term mapping and overlay visualization for temporal analysis.

Result: This study identified six gaps in SE research: (1) disparities in SE research in the policy domain and inclusion of vulnerable groups such as people with intellectual disabilities; (2) segmentation between protectionist (e.g., child sexual abuse) and pedagogical (CSE, curriculum) approaches; (3) marginalization of qualitative methods and systematic reviews; (4) narrow gender focus, limited to women's issues; (5) lack of studies of barriers and access in CSE implementation; and (6) lack of exploration of the effectiveness of SE programs in adolescent populations.

Implication: The study results have practical implications for policy, education, and research, with key recommendations being the inclusive integration of CSE into the curriculum, cross-sector collaboration for evidence-based SE programs, and the use of bibliometric findings to fill identified research gaps.

Novelty: Contributing to mapping SE research trends through bibliometrics, focusing on the analysis of key terms and their development, different from previous studies that expanded to other topics such as reproductive health and had certain population segmentations.

Efektifitas Pelatihan Kader terhadap Peningkatan Kompetensi Kader dalam Pemberian Pelayanan Kesehatan Ibu dan Anak

Mariana Isir, Fitra Duhita — Mon, 28 Jul 2025 00:00:00 +0700

Background: Acceleration of the Health System Transformation achievement program in the first pillar, namely Primary Service Transformation, reconstruction of primary health services was carried out by making Cadres one of the human resources implementing it. The purpose of this study was to determine the effectiveness of cadre training on improving cadre competence in providing counseling to pregnant women.

Method: This study is a quantitative descriptive pre-experimental study with a pretest-posttest design. The sample in this study were 29 Posyandu Cadres responsible for examining pregnant women in all Posyandus in the Malawili Health Center working area. The intervention given was cadre training to provide counseling to pregnant women. Pretest-posttest data are the results of observations of cadre competence in conducting counseling using an instrument in the form of a checklist.

Result: The results of the analysis showed that there was a significant difference between the pretest and posttest values in all aspects (p-value <0.05). Further calculation results on the effectiveness of providing training on improving cadre competence showed that the training provided was low (N-Gain score 0.23 <0.3).

Implication: This study is expected to provide an overview of the readiness and preparation for cadres, especially in the work area of the Malawili Health Center, Sorong Regency, to implement several parts of the 25 cadre competencies.

Novelty: This study focuses on assessing cadre competency based on the performance of knowledge, attitude and skills in providing counseling to pregnant women.