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Adolescence is a critical phase in individual development, especially for adolescent girls who begin to experience menstruation as a sign of reproductive maturity. However, not all adolescents experience menstruation normally; some experience disorders such as menstrual pain, irregular cycles, and prolonged bleeding. This study aims to explore in depth the subjective experiences of adolescent girls with menstrual disorders at SMP Negeri 2 Bunta, Banggai Regency, focusing on the nature of the disorders experienced, their interpretation of these experiences, coping strategies, and the social support received. This study employs a qualitative approach with a phenomenological design. The primary informants were female adolescents in grades VII–IX who had experienced menstrual disorders in the past six months, selected purposively until data saturation was achieved. Data collection techniques included in-depth interviews, non-participatory observation, and document analysis. Data were analyzed using the Miles and Huberman model through data reduction, data presentation, and drawing conclusions. The results of the study indicate that menstrual disorders are viewed as normal by most informants, despite causing physical discomfort and psychological anxiety. Adolescents' responses to these disorders vary, ranging from the use of warm compresses and medication to no intervention at all. The primary sources of information are mothers and social media, while the roles of teachers and schools remain limited. Social support is most commonly provided by family, although some adolescents also feel supported by peers and teachers. This study emphasizes the importance of systematic reproductive health education, school involvement in supporting adolescents, and the creation of safe and stigma-free discussion spaces regarding menstruation-related issues.

Child marriage in Indonesia is still a serious problem despite regulations that limit the minimum age of marriage. The revision of Law No. 16/2019 sets the minimum age at 19 years, but the practice of marriage dispensation has actually increased. This phenomenon reflects the gap between formal legality and social reality which is influenced by factors such as low education, patriarchal culture, conservative religious interpretations, social pressure, and poverty. Dispensation for marriage is often granted without an in-depth assessment of the child's readiness, ignoring the principle of the best interests of the child. Law enforcement has not been effective due to the lack of legal literacy, weak supervision, and the dominance of local values. Prevention efforts require an interdisciplinary approach through reproductive health education, strengthening social protection, community participation, and synergy between institutions. Therefore, the elimination of child marriage must be a strategic policy based on the transformation of social norms and the protection of children's rights in a holistic and sustainable manner within the framework of gender perspective development and social justice.

Menstrual hygiene is an important component of personal hygiene that plays a significant role in an individual's health behavior, helping to prevent disorders in reproductive organ function. This study aims to determine the effect of health promotion on the level of menstrual hygiene knowledge among children aged 13–15 years. The study design used a pre-experimental approach with a one-group pre-posttest design. The population consisted of 110 respondents, and using simple random sampling, 83 respondents were selected. Data for this study were collected using a knowledge level questionnaire. After tabulation, the data were analyzed using the Wilcoxon test with p < 0.05. The results showed that nearly all female students (108, or 98.2%) had insufficient knowledge of menstrual hygiene before receiving health promotion. Almost all female students after receiving health promotion had adequate knowledge of menstrual hygiene, totaling 88 (80.0%). Based on the above results, the effect of health promotion on the level of knowledge of menstrual hygiene among children aged 13-15 years was found to be p = 0.000 (p < 0.05). This indicates that health promotion has an effect on the level of knowledge about menstrual hygiene among girls aged 13–15 years. Therefore, it is hoped that female students will always maintain their genital hygiene by practicing proper personal hygiene in accordance with the guidelines provided by healthcare professionals, especially during menstruation.

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.

Tuberculosis (TB) is the ninth leading cause of death worldwide, surpassing HIV/AIDS. In 2016, TB-related deaths among HIV-negative individuals reached 1.3 million, while deaths among those with HIV-TB co-infection totaled 374,000. Indonesia ranks among the top five countries with the highest TB burden, accounting for approximately 5.8% of global TB cases. The TB prevalence rate in Indonesia in 2016 was 391 per 100,000 population, with nearly half of the cases occurring among women of reproductive age. It is estimated that 1–3% of pregnant women have TB, and some are also co-infected with HIV. The national target for TB elimination by 2030 is to reduce incidence to 65 per 10,000 population and mortality to 6 per 100,000 population. However, in Mimika District, the TB incidence remains high at 707 per 10,000 population, with a mortality rate of 27 per 100,000 population.This community service program aimed to improve knowledge regarding the prevention of pulmonary TB transmission from adults to toddlers living in the same household, in order to break the chain of transmission. The activity was conducted from July to September 2024 in Kamoro Jaya Subdistrict, under the jurisdiction of Wania Health Center, with 90 participants consisting of mothers with toddlers and community health volunteers (Posyandu cadres).Methods used included lectures, group discussions, and demonstrations. The educational material focused on the prevention of TB transmission in children. Participants completed a questionnaire before the activity. The results showed an increase in knowledge regarding the prevention of pulmonary TB in children.

Unwanted pregnancy (UP) among adolescents is a reproductive health problem that affects physical, psychological, social, and economic aspects. Adolescents often lack knowledge about pregnancy and reproductive health. Therefore, effective educational methods, such as video media, are needed to increase adolescent girls’ understanding of UP. This study used a quantitative pretest-posttest design without a control group. Forty-eight ninth-grade students at SMPN 1 Sliyeg were the respondents. Data was collected using a questionnaire before and after intervention using educational video. Data were analyzed using Wilcoxon test to see the difference in knowledge levels. The pretest results showed that 66.7% of respondents had poor knowledge, and none had good knowledge. After the intervention, all respondents (100%) had good knowledge. The Wilcoxon test showed a p-value of 0.000 (<0.05), indicating a significant difference. Therefore, educational video is effective in increasing knowledge of adolescent girls regarding unwanted pregnancy.

Early marriage in Indonesia is a significant reproductive health issue, particularly for adolescent girls. This study aims to explore the impact of early marriage on reproductive health and the contributing factors. Early marriage, defined as marriage before the age of 19, can lead to various health problems, including a high risk of pregnancy complications and mental health issues. Data indicates that Indonesia has a high rate of early marriage, with the highest prevalence in several provinces. The method used is a literature review analyzing 30 relevant scientific journals from 2015 to 2025. The findings indicate that early marriage is associated with an increased risk of pregnancy complications, disturbed mental health, and low knowledge about reproductive health among adolescent girls. Further efforts are needed in reproductive health education and policies to prevent early marriage.

Central obesity in women of reproductive age can have a negative impact on their health and is associated with the occurrence of metabolic diseases. This study aims to determine the factors associated with central obesity in women aged 15-49 years in Indonesia in 2023 using 2023 SKI data with a cross-sectional study design. The study sample was 213,309 women of reproductive age obtained using the linear systematic sampling technique. Data analysis was carried out up to multivariate analysis using the Cox Regression test. The results showed that the prevalence of central obesity in women of reproductive age was 49.11%. Age [PR = 1.96 (95% CI: 1.93 - 2.00)], occupation [PR = 1.20 (95% CI: 1.19 - 1.22)], and place of residence [PR = 1.08 (95% CI: 1.07 - 1.10)] were found to be associated with an increased risk of central obesity. Meanwhile, education level [PR = 0.97 (95% CI: 0.95 – 0.98)], physical activity [PR = 0.93 (95% CI: 0.91 – 0.94)], and emotional mental disorders [PR = 0.75 (95% CI: 0.70 – 0.80)] were found to be protective factors against central obesity. The most dominant factor with the occurrence of central obesity is age. Therefore, it is important for WUS to be aware of the risk of central obesity and implement appropriate preventive measures. Preventive efforts can be done by maintaining hormonal balance and body metabolism through a healthy lifestyle, as well as undergoing regular health checks.

Child marriage remains a serious issue in many regions of Indonesia, including Sampang Regency, Madura. Despite the implementation of laws that set the minimum legal age for marriage, early marriages are still widespread and bring various negative impacts, including educational dropout, reproductive health risks, and socio-economic problems. This study aims to analyze the impact of child marriage using the Street-Level Bureaucracy approach developed by Michael Lipsky (2010). This approach focuses on how front-line policy implementers-such as officials from the Office of Religious Affairs (KUA), Religious Court judges, social service officers, and community leaders-interpret and enforce child marriage prevention policies at the local level. This research employs a qualitative method with data collected through in-depth interviews with policy implementers and affected community members. The findings indicate that policy implementation is heavily influenced by the discretion of street-level bureaucrats and is shaped by local cultural values and social pressures. Variations in how policies are applied lead to inconsistent outcomes in child marriage prevention. The study also highlights that child marriage often results in school dropout, emotional and financial unpreparedness, and reproductive health risks.

This research analyzes the legalization of abortion for rape victims in Indonesia from a human rights perspective, based on Law Number 36 of 2009 concerning Health and Government Regulation Number 61 of 2014 concerning Reproductive Health. The study aims to identify the forms of legal protection for rape victims who undergo abortion and to evaluate the extent to which its implementation aligns with human rights principles, particularly the rights to health, security, and dignity. Using a normative legal research method with a literature review, this study found that existing regulations have provided a legal basis for abortion in rape cases as a form of protection. However, its implementation still faces significant obstacles such as social stigma and limited access, which potentially hinder the fulfillment of victims' human rights.

Abortion is a contentious legal and moral issue, as it involves two equally important rights: the right to life of the fetus and a woman's right to bodily autonomy and reproductive health. Under Indonesian criminal law, abortion is generally classified as a criminal offense, as stipulated in the Criminal Code (KUHP). However, exceptions are recognized under specific conditions such as medical emergencies and pregnancies resulting from rape, in accordance with Law Number 17 of 2023 on Health. This study aims to examine the legal boundaries between prohibited and permitted abortions and to analyze the challenges of implementing these provisions in practice. The findings indicate that despite the existence of legal exceptions, implementation remains difficult due to complex procedures, limited facilities, and inadequate understanding among law enforcement and health workers. Therefore, clear technical regulations and cross-sectoral education are essential to ensure fair legal protection for both women and medical professionals.

The menstrual hygiene behavior of adolescents, especially those in the menarche phase, still needs more attention. This study aims to evaluate menstrual hygiene practices among adolescent girls experiencing menarche at SMPN 4 Pare in Kediri. The study used a correlational research design with a cross-sectional approach. The population consisted of 40 female students, and a total sampling technique was used to select 40 respondents. The independent variable is health literacy and the dependent variable is menstrual hygiene ability. The E-Health questionnaire was used to assess health literacy, and the Menstrual Hygiene questionnaire was used to assess menstrual hygiene skills. Spearman rank statistical tests were used, and the results showed that 72.5% had poor health literacy and 67.5% had poor menstrual hygiene skills. The p-value was 0.001, which is less than the alpha level of 0.05 (r = 0.879). Health literacy greatly affects adolescents' ability to implement menstrual hygiene. Efforts are needed to increase interest in health literacy, especially among adolescents in the field of reproductive health.

Cervical cancer remains one of the leading causes of mortality among women, particularly in developing countries such as Indonesia, where prevalence is high and early detection is often delayed. This study aims to identify and synthesize the major risk factors for cervical cancer through a systematic review of both national and international literature. The core problem addressed is the lack of a comprehensive and context-relevant risk framework for Indonesian women, resulting in suboptimal preventive interventions. The proposed method is a qualitative descriptive literature review, analyzing 15 selected scientific articles based on defined inclusion criteria. Key findings indicate that age ≥35 years, high parity, early sexual activity, smoking habits, prolonged use of hormonal contraceptives, low educational attainment, and physically demanding occupations are significant determinants of increased cervical cancer risk. The synthesis of ideas shows that biological, behavioral, social, and environmental factors interact in complex ways to influence vulnerability to cervical cancer. This study concludes that cervical cancer prevention requires a multidimensional approach that integrates education, routine screening, and increased public awareness of modifiable risk factors. The findings are expected to inform more effective and context-sensitive health policy development in Indonesia.

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

The incidence of hypertension at the Tadoy Community Health Center was 29.4%. Based on the Tadoy Community Health Center Report in 2023, there were 78 cases of hypertension in pregnant women, dominated by pregnant women with HDK (50%). The short-term impact of hypertension during pregnancy can affect both the mother and the fetus. In addition to medication, therapy for pregnant women with hypertension can be given by soaking the feet in warm water and regularly consuming Ambon bananas. The purpose of this study was to determine the effect of warm water therapy and Ambon banana consumption on reducing blood pressure in pregnant women with hypertension. This type of research used a qualitative research method with a case study approach. This activity was carried out on two pregnant women with hypertension at the Tadoy Community Health Center. Providing warm water therapy was effective in reducing blood pressure in pregnant women from 150/90 mmHg at the first visit to 130/85 mmHg at the second visit and to 120/75 mmHg. Consuming bananas was also effective in reducing blood pressure from 150/90 mmHg at the first visit to 140/90 mmHg at the second visit and to 120/80 mmHg. There was a difference in effectiveness between warm water therapy and consuming Ambon bananas in reducing blood pressure in hypertensive pregnant women, where warm water therapy was more effective than Ambon bananas in lowering blood pressure. It is hoped that the results of this study can help lower blood pressure by soaking feet in warm water, so that pregnant women can do it independently and can reduce risks in pregnancy.

Background: Adolescence is a transitional period characterised by significant physical, psychological, and social changes, including reproductive maturation. Limited knowledge and negative attitudes toward reproductive health can increase adolescents’ risk of engaging in unhealthy behaviours. Understanding their knowledge, attitudes, and behaviours is crucial for developing effective educational interventions. Objective: This study examined the relationships among knowledge, attitudes, and reproductive health behaviours among adolescents. Method: A quantitative, cross-sectional study was conducted at a junior high school in Batam City from March to June 2024. Of 250 students, 72 were selected using the Slovin formula and simple random sampling. Data were collected through a structured questionnaire and analysed using univariate and bivariate methods, including the Chi-square test. Results: Most respondents had moderate knowledge of reproductive health (41.7%), positive attitudes (63.9%), and good reproductive health behaviour (55.6%). Bivariate analysis showed significant correlations between knowledge and behaviour (p = 0.021) and between attitudes and behaviour (p = 0.015). Conclusion: Knowledge and attitudes are significantly associated with adolescents’ reproductive health behaviour. Strengthening reproductive health education in schools is recommended to improve adolescents’ knowledge, attitudes, and practices.

Background: Gender-based violence (GBV) remains a major public health issue that negatively affects women’s psychological well-being and reproductive health. Trauma-informed care (TIC) is an approach to health services that recognizes the long-term effects of trauma and incorporates this understanding into all aspects of patient care. This study aimed to evaluate the effectiveness of TIC implementation in midwifery services on the psychological recovery of pregnant and postpartum women with a history of GBV in Medan City. Methods: This study applied a quasi-experimental pre-test and post-test control group design involving 86 pregnant and postpartum women identified through GBV screening at six primary health centers in Medan. Participants were divided into a TIC intervention group (n=43) and a control group (n=43). Psychological outcomes assessed included post-traumatic stress disorder symptoms using the PCL-5, depression with the EPDS, anxiety with the GAD-7, self-efficacy with the GSE, and mother–infant bonding using the PBQ. Data collection was conducted at baseline, week 8, and week 16. Statistical analysis employed repeated measures ANOVA and multiple linear regression.Results: Women receiving TIC showed significantly better psychological outcomes at week 16 compared with the control group. PTSD, depression, and anxiety scores decreased significantly, while self-efficacy and mother–infant bonding improved markedly (p<0.001). TIC also emerged as an independent predictor of psychological recovery after adjustment for confounding variables (β=-0.48; p<0.001). Conclusion: Trauma-informed care in midwifery services effectively enhances psychological recovery among women with GBV histories and should be integrated into maternal healthcare standards for vulnerable populations in Indonesia. 

Early marriage is a reproductive health issue that remains a challenge in various regions of Indonesia, requiring effective educational interventions for adolescents. This study aims to analyze the role of midwives in reproductive health education as an effort to delay early marriage among adolescents at the Dambalo Community Health Center (UPTD Puskesmas Dambalo). The study used an analytical observational design with a cross-sectional approach and involved 30 adolescents selected through total sampling. The variables examined included the role of midwives, knowledge, attitudes, and intentions to delay marriage. Data were collected through a standardized questionnaire and analyzed using Spearman's and Chi-square tests. The results showed that the role of midwives was significantly associated with an increase in adolescents' knowledge (r = 0.579; p = 0.0008). However, no relationship was found between the role of midwives and adolescent attitudes (r = 0.264; p = 0.158). Regarding the variable of intention, all respondents (100%) expressed a desire to delay marriage until the age of ≥ 20 years, so statistical analysis could not be performed. These findings confirm that midwife education is effective in increasing adolescent knowledge, but changes in attitudes and intentions are influenced by other social factors that have been established previously. A collaborative approach between midwives, families, and schools is needed to strengthen comprehensive prevention of early marriage.

This report aims to identify and address the problem of stunting in prospective brides and grooms in the Piyeung Health Center area, Aceh Besar. Stunting is a serious health problem that can affect the growth and development of children. Through the counseling activities carried out, the author seeks to increase the knowledge and awareness of prospective brides and grooms regarding the importance of good nutrition before and during pregnancy to prevent stunting. The methodology used in this report is Quasy Experiment. The results of this activity indicate an increase in understanding of nutrition and reproductive health among prospective brides and grooms. The conclusion of this report emphasizes the importance of appropriate and sustainable nutritional interventions to prevent stunting, as well as the need for support from various parties to improve the quality of public health. It is hoped that this report can be a reference for related parties in efforts to prevent stunting in the future.

Personal hygiene during menstruation is important to determine the health of reproductive organs in adolescent girls to avoid infection. According to the Central Bureau of Statistics, 2023, the number of adolescent girls in Indonesia in the early adolescent stage is more than 21 million. Errors in maintaining personal hygiene during menstruation can increase the risk of reproductive health disorders in adolescent girls. The purpose of this service is to increase the knowledge and awareness of adolescent girls about the importance of maintaining personal hygiene behavior during menstruation. The method used was an interactive lecture using an educational and participatory approach. The evaluation results showed a significant increase in knowledge scores from an average of 2.65 in the pre-test to 9.30 in the post-test (p<0.001). These results reflect that the lecture method with an educational and participatory approach used, as well as the leaflet media, is effective in increasing the understanding of adolescent female students about the importance of maintaining personal hygiene during menstruation., without any reference or formula.