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The research was aimed to study on selecting and utilizing the non prescription drug by cadres in Pandeglang Disrict, 2009. It also examined both supporting and inhibiting factors of the self-medication behavior. It was a qualitative research which employed in depth interview and group discussion methods to obtain data. The results concluded that among CBIA's cadres were likely to use the medicine properly. On the contrary, the non CBIA's cadre tended to select the wrong medicine and utilize inappropriate length of therapy. Furthermore, the results showed that knowledge on drug use might increase the awareness in the medicine utilization. Electronic advertisement could influence the informant's preference in selecting certain medicine brand. Therefore, the selection and utilization of non prescription medicine tended to be influenced by the following factors : individual characteristics, exposure to drug information and accessibility to electronic media. It was also influenced by both health professional and family support.
Abstrak
Stunting di Kabupaten Bantaeng masih menjadi tantangan dengan prevalensi 15,8%. Keberhasilan dalam menekan angka ini menjadi dasar untuk menelaah peran strategis KPM sebagai garda terdepan dalam program konvergensi. Tujuan penelitian ini adalah untuk menelaah implementasi peran KPM dalam upaya pencegahan stunting serta mengidentifikasi faktor pendukung dan penghambat efektivitasnya di Kabupaten Bantaeng. Penelitian ini menggunakan desain kualitatif fenomenologi dengan total 24 informan yang terdiri dari 7 KPM, 3 kepala desa, 5 tenaga kesehatan, 3 kader posyandu, dan 6 perwakilan masyarakat sasaran. Pengumpulan data dilakukan melalui wawancara mendalam dan telaah dokumen , yang kemudian dianalisis secara tematik. Hasil penelitian menunjukkan peran KPM sangat efektif dalam memfasilitasi akses terhadap layanan KIA, sanitasi, dan jaminan kesehatan, berkat kolaborasi lintas sektor dan dukungan penuh pemerintah desa. Namun, masih kurang optimal dalam intervensi yang bersifat edukatif untuk mengubah perilaku, seperti pada aspek konseling gizi dan partisipasi PAUD. Faktor penghambat utamanya adalah norma sosial yang kuat di masyarakat dan keterbatasan sumber daya untuk program edukasi yang terstruktur. Penelitian ini menyimpulkan implementasi peran KPM efektif pada intervensi yang didukung program pemerintah yang konkret dan terukur, namun lemah dalam mengubah pengetahuan dan norma sosial. Lebih lanjut, ditemukan pula kesenjangan antara kualifikasi pendidikan formal KPM dengan kompleksitas tugas edukasi dan konseling gizi yang harus diemban secara efektif. Disarankan agar Pemerintah Daerah mengembangkan kampanye sosialisasi untuk mengubah norma sosial dan mengalokasikan dana untuk program edukasi terstruktur. Selain itu, Dinas Pemberdayaan Masyarakat dan Desa (DPMD) perlu mengevaluasi kembali standar rekrutmen KPM dan merancang pelatihan terstandar dan berkelanjutan untuk meningkatkan kapasitas KPM.
Reproductive health literacy refers to the ability to access, understand, evaluate, and apply reproductive health information appropriately to support healthy and responsible decision-making. In the digital era, social media has become a major source of information, including on reproductive health issues. Instagram @taulebih.id is an educational initiative designed to improve reproductive health literacy among adolescents. This study aimed to analyze the role of Instagram use activity and self-efficacy on adolescents’ reproductive health literacy. A cross-sectional design was employed with a sample of 255 female adolescents aged 18–24 years who were followers of @taulebih.id. Data were collected through an online questionnaire adapting the Social Media Activity Questionnaire (SMAQ), the Generalized Self-Efficacy Scale (GSES), and a validated reproductive health literacy questionnaire. The results showed that Instagram use activity was significantly associated with reproductive health literacy (p = 0.001). Self-efficacy was also significantly associated with reproductive health literacy (p = 0.001). Respondents with higher Instagram use activity and greater self-efficacy tended to have higher reproductive health literacy scores. Self-efficacy was found to have a stronger influence compared to Instagram use activity. These findings indicate that interventions to improve reproductive health literacy need to integrate the strengthening of adolescents’ self-efficacy and the optimization of social media use through active participation, relevant content, and interactive approaches. Cross-sectoral collaborative strategies are required to develop an effective, safe, and sustainable digital reproductive health education ecosystem that supports adolescents in making appropriate and responsible reproductive health decisions.
