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Malaria is an infectious disease caused by a malaria parasite spread by female Anopheles mosquitoes, and is currently a public health problem. Besides causing death, it also affects work productivity and income. Puskesmas Hanura, wich is included ah High Incidence Area with AMI of l59,8 per 1000 persons, has done many efforts to deal with malaria, one of those is encouraging the use of bednets by distributing them to the community. The community there uses bednets while sleeping to help prevent malaria incidence. This study used case control design, to elicit whether there is any significant relationship between exposure to mosquitoes and malaria by comparing case group and control group. Data were collected from Puskesmas I-Ianura, whit case group being patients who have been diagnosed with malaria (based on clinical symptoms and laboratory result) and control group are those who are not diagnosed with malaria, Primary data were also collected using stmctured questionnaires. The result of bivariate analysis with a confidence of 95% showed that variabels correlating with malaria incidence the use of badnets with p value = 0,000 and OR = 4,177 (95%: 2,537-6,879), the use of mosquito coil with p value = 0,038 and OR = 1,962 (95% Cl: 1,078-3,57l) and being outside the housing during night time with p value = 0,016 and OR = 1,926 (95% CI: 1,159-3,20l). The result of multivariate analiysis showed that using bednets when sleeping has a correlation with malaria incidence. Those who do not use bednets have 4,177 times begger risk to catch malaria than those who do. g. It is suggested that the community be given thorough infomation on the importance of preventing the spread of malaria. The distribution of badnets should be continued and information should be given also regarding how to use bednets properly and their benefits. It is also suggested that people should stay inside the house night.
Remaja putri yang tinggal di panti sosial merupakan kelompok rentan yang berisiko tinggi terlibat dalam perilaku seksual berisiko, seperti kehamilan di luar nikah, infeksi menular seksual (IMS), dan kekerasan seksual. Kerentanan ini dipengaruhi oleh kurangnya dukungan keluarga, pengalaman trauma, keterbatasan akses informasi kesehatan reproduksi, serta pola asuh institusional yang kurang memberikan bimbingan emosional. Kehidupan setelah keluar dari panti yang tidak dipersiapkan dengan baik juga memperbesar risiko mereka mengalami masalah reproduksi. Berdasarkan kondisi tersebut, diperlukan intervensi kesehatan seksual dan reproduksi yang dirancang khusus untuk remaja putri di panti sosial. Penelitian ini bertujuan untuk mengetahui pengaruh Comprehensive Sexuality Education (CSE) terhadap peningkatan pengetahuan, persepsi risiko (keparahan, kerentanan, efikasi diri), dan niat pencegahan perilaku seksual berisiko. Penelitian menggunakan desain kuasi-eksperimental dengan kelompok intervensi (n=55), kontrol (n=62), dan peer educator (n=14). Hasil uji Wilcoxon menunjukkan peningkatan yang signifikan pada seluruh variabel dalam kelompok intervensi dan peer educator (p < 0,05), sedangkan kelompok kontrol menunjukkan perubahan yang tidak bermakna secara statistik (p > 0,05). Intervensi CSE terbukti efektif dalam meningkatkan kesiapan remaja putri menghadapi risiko perilaku seksual. Penelitian ini merekomendasikan pelaksanaan CSE berbasis peer education secara berkelanjutan di panti sosial.
Adolescent girls living in child welfare institutions are a vulnerable group at high risk of engaging in risky sexual behavior, such as unintended pregnancy, sexually transmitted infections (STIs), and sexual violence. This vulnerability is influenced by a lack of family support, past trauma, limited access to reproductive health information, and institutional care that often lacks emotional guidance. Poor preparation for life after leaving the institution further increases their risk of reproductive health issues. Based on this situation, sexual and reproductive health interventions tailored specifically for adolescent girls in child welfare institutions are needed. This study aimed to assess the effect of Comprehensive Sexuality Education (CSE) on improving knowledge, risk perception (severity, vulnerability, self-efficacy), and the intention to prevent risky sexual behavior. A quasi-experimental design was used involving an intervention group (n=55), control group (n=62), and peer educator group (n=14). Wilcoxon tests showed significant improvements in all variables for the intervention and peer educator groups (p < 0.05), while the control group showed no statistically significant changes (p > 0.05). The CSE intervention proved effective in increasing adolescents’ preparedness to face risky sexual behavior. This study recommends the sustainable implementation of peer-based CSE in child welfare institutions.
