Journal for Quality in Women's Health(JQWH ) THE INFLUENCE OF THE ROLE OF MIDWIVES ON YOUTH ACTIVENESS IN PARTICIPATING IN YOUTH POSYANDU Eri Puji Kumalasari1. Devy Putri Nursanti2 1,2,Institute of Health Sciences Strada Indonesia. Kediri. Indonesia E-mail : ery21021989@gmail. ABSTRACT Background:Adolescents experience many challenges both from themselves . iopsychosocial factor. or the environment . nvironmental factor. this is a period of storm or stress in adolescents. The purpose of this study was to determine the effect of the role of midwives on youth activity in participating in youth posyandu. Methods: Literature review is done by searching for journals from databases, namely PubMed. Google Scholar. The keywords used are midwives, youth, youth posyandu. Literature that meets the inclusion criteria of 8 journals. Results: almost half of which 37. 5% were published in 2019 with most of them 75% using a cross sectional design. This literature review research half 50% using the total sampling technique with most of the 62. 5% using a questionnaire sheet, the research analysis is very small using the chi square test of 25%. Conclusion: With the role of midwives on adolescent activity increasing, it was found that there was an influence of the role of midwives on adolescent activity. Keywords: the role of midwives, youth, youth posyandu BACKGROUND Adolescents experience many challenges both from themselves . iopsychosocial factor. or the environment . nvironmental factor. this is a period of storm or stress in If adolescents do not have the ability to face these challenges, they can end up with complex health problems as a result of their risky behavior (Kemenkes RI, 2. Various adolescents include smoking, promiscuity, to drug abuse. These problems arise due to teenagers who are still difficult to control themselves so they are easily influenced by the environment. The results of the 2015 School-Based Health Survey showed that smoking behavior among students aged 1218 years was 41. 8% male and 4. 1% female. The same data also shows that 14. 4% of men 6% of women have ever consumed alcohol, and 2. 6% of men have consumed Another description of health risk factors is sexual behavior where 8. 26% of male students and 4. 17% of female students aged 12-18 years have had sexual intercourse (Kemenkes RI, 2. Related to the transmission of infectious diseases and unwanted pregnancies and abortion is premarital sexual behavior that has a wide impact on adolescents. Pregnancy in adolescents not only affects the physical, mental and social conditions of adolescents, but can also increase the risk of infant/toddler mortality, as shown by the 2017 Indonesian Demographic and Health Survey (IDHS) where mothers aged < 20 years at delivery have The contribution to the Neonatal Mortality Rate is 24 deaths/1,000 live births, the Perinatal Mortality Rate 9 deaths/1,000 pregnancies, the Infant Mortality Rate 34 deaths/1,000 live births, and the Toddler Mortality Rate 40 deaths/1,000 live births (Kemenkes RI, 181 | J o u r n a l F o r Q u a l i t y i n W o m e n Ao s H e a l t h Journal for Quality in Women's Health(JQWH ) The complexity of the problems in comprehensive and integrated treatment that involves all elements from across adolescent health includes IEC, counseling, peer counselor coaching, clinical/medical services and referrals including Community empowerment is the development of Adolescent Care Health Services (PKPR) in puskesmas from the Ministry of Health. addition to the Puskesmas, comprehensive services for adolescent health can also be accessed through UKS in schools, health clinics, and most recently the Youth Posyandu program. The Youth Posyandu is expected to be a adolescents in understanding their health problems, expanding the reach of the PKPR Health Center in providing promotive and preventive services to targeted youth (Kemenkes RI, 2. Community participation through the implementation of the Youth Posyandu activities is to improve the health status of adolescents by maximizing the posyandu and aims to increase access and increase the coverage of health services for adolescents, in particular also increasing the role of adolescents in planning the implementation and evaluation of youth posyandu, improving Healthy Life Skills Education (PKHS). ), increase knowledge and skills of adolescents about reproductive health for adolescents, increase knowledge related to mental health and prevention of drug abuse, accelerate efforts to improve adolescent nutrition, encourage adolescents to carry out physical activities, conduct early detection and prevention of non-communicable diseases (NCD), and increase awareness youth in violence prevention (Euis Bianca. The Puskesmas established the Youth Posyandu, to reduce the problems faced by adolescents in Oekmurak village. However, almost one year after the establishment, the average attendance of youth at the Youth Posyandu in Oemurak village. Malaka Regency. NTT Province only reached 30% of the set target, which was 70% with the highest attendance of only 50%. The low level of attendance of adolescents in youth posyandu in youth activity is influenced by predisposing factors, namely knowledge, attitudes, values, and beliefs. Enabling factors are factors of availability of facilities, distance, and ease of accessing facilities. And reinforcing factors are factors of family support, peer support, and the role of health workers (Notoadmodjo, 2. The result of knowing and this happens after someone has sensed a certain object is Wawan . suggests that one of the factors that can influence attitudes is This statement is supported by research by Intan Lestari. Elis Hartati, and Mutia Galuh . on the factors that influence adolescent interest in posbindu showing that the level of knowledge of the respondents in this study belonged to the good category, namely 69. Respondents get information from in everyday life and also from the internet. The facts on the ground show that the knowledge of youth about youth posyandu is still low, so that the behavior of visiting the posyandu is also In fact, if we consider more that the problems faced by adolescents are very complicated, one of which is health problems, ranging from problems of achievement in school, relationships, appearance, liking the opposite sex and so on are health problems experienced by From the various problems that arise that can have an influence on the behavior and health status of adolescents themselves, cross-programme, cross-sectoral Teenagers themselves are easy to be influenced by peers and social media networks so that they can be influenced by unhealthy behavior or get incorrect health and nutrition information aka hoaxes, for example, teenagers follow celebrity-style diet patterns by consuming snacks that are hits but do not have adequate nutrition or lack of physical activity due to playing 182 | J o u r n a l F o r Q u a l i t y i n W o m e n Ao s H e a l t h Journal for Quality in Women's Health(JQWH ) games too often so lazy to move . , this cannot be separated from the role of The role of parents and the government must take part in this problem, where the government must have an involvement in maintaining Indonesian youth who will become a good young generation in the future, through village midwives or related health parties need to access health care services for the elderly. youth, because society does not understand. The role of midwives is also needed to provide health education to adolescents to be more active in participating in the Youth Posyandu. The problems described above have never been studied before, this is what makes researchers interested in researching "The Influence of the Role of Midwives on Adolescent Activeness in Participating in Youth Posyandu". METHODS The method used is a literature review. Sources of data used in the literature review are secondary data, obtained from previous articles or journals or data from internet sites that are in accordance with topics that have been or have not been published (Zed, 2008. Embun, 2. Literature study is another term for literature review, literature review, theoretical study, theoretical basis, literature review, and theoretical review (Embun. Searching this literature review using Google Scholar and pubmed. Read the abstract of each research first to provide an assessment of whether the problems discussed are in accordance with what is to be solved in the study. To prevent being trapped in the element of plagiarism, researchers should also record sources of information and include a bibliography. indeed the information comes from the ideas or results of other people's research. Make notes, quotes, or information that is systematically arranged so that research can easily be found again if needed. After conducting a literature review, the researcher does not stop until he just reads the literature, but also summarizes, analyzes and synthesizes critically and deeply from the articles reviewed or reviewed. Results The entire literature was selected using inclusion and exclusion criteria. The literature search and selection process in this study is described in the form of a Flow diagram of Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). RESULTS Almost half of the research conducted by a literature review was 37. 5% published in 2019 with most of it 75% using designcross sectional. Studyliterature reviewit's half 50% using techniquetotal sampling with most of the 62. 5% using a questionnaire sheet, the research analysis is very small using the chi square test of 25%. AnalysisThe Influence of the Role of Midwives on Youth Activeness in Participating in Youth Posyandu Table 4. Effectivenessthe influence of the role of the midwife on the activeness of adolescents in participating in the Youth Posyandu The role of midwives towards adolescents Literature Analysis Empirical Source 1 The Role of Health The results of the study show55. 9% of Mery Workers and Families respondents became pregnant in their teens. Ramadani, in Teenage Pregnancy 52. 9% of respondents did not feel the role of Dien Gusta 183 | J o u r n a l F o r Q u a l i t y i n W o m e n Ao s H e a l t h Journal for Quality in Women's Health(JQWH ) health workers with . value = 0. , 66. 2% Anggraini lacked family support . value = 0. , and Nursal. Livia 8% had low knowledge . value = 0. Ramli . 2 The Relationship The results showed that the role of the family Yulia between Family Roles for the prevention of non-communicable Ambarsari, and Youth Activeness diseases in adolescents was mostly in the Susi Posbindu quite optimal category . 1%) and the Wahyuning. Sri EffortsPrevention of activeness of adolescents in posbindu was Wahyuni . Non-Communicable mostly in the less active category . 3%). Diseases in Adolescents The results of statistical analysis revealed that the role of the family is related to the activity of adolescents in posbindu for the prevention of non-communicable diseases in adolescents . value = 0. 045 < 0. 3 Correlation Study of The results showed that there was a Siswati. Midwife Peer relationship between the scope of midwives Agustina Counselor Scope of and adolescent behavior in SMA N 03 Slawi. Natiqotul Adolescent Behavior Tegal Regency ( = 0. 05, p-value was 0. Fatkhiyah Tri 4 Addiction. Childhood Analysis of the data revealed six categories: Jila Mirlashari. Experiences And traumatic childhood. Jahanfar Nurse's Role In inappropriate parenting approaches. Lack of Jahanbani. Prevention: A knowledge and tolerance towards drug use. Jamalodin Qualitative Study turning a blind eye to the threat of drug use. Begjani . nurses' bad experiences in drug use prevention, and lack of a clear definition of drug use. the role of nurses in the prevention of drug use. 5 The Role of Health The role of the midwife as an educator is to Diana Sundari. Center's Midwives in provide education and counseling to students Tjahjono School Health regarding adolescent health. The role of Kuntjoro. Resti Programs for midwives in school programs related to breast Nurhayati. V Awareness of Breast self-examination awareness has not been Hadiyono Self-Examination of carried out optimally because counseling is . High School Students more focused on adolescent reproductive at Semarang District The supporting factors are the availability of health facilities at the Puskesmas such as counseling rooms and collaboration between the Puskesmas and schools in relation to the implementation of the school health program through the coordination of teachers who handle UKS (School Health Unit. and with technical guidance and community health center staff. While the inhibiting factor is the lack of 184 | J o u r n a l F o r Q u a l i t y i n W o m e n Ao s H e a l t h Journal for Quality in Women's Health(JQWH ) availability of health resources such as health workers, funds, and health service facilities 6 Hubungan Menunjukkan bahwa 44,7% remaja memiliki Dwi Lestari. Pengetahuan Remaja pengetahuan kesehatan Siti Saadah. Uli Tentang Kesehatan reproduksi dan 52,4% remaja tidak memiliki Artha Silalahi Reproduksi Dengan minat terhadap pembentukkan Posyandu . Peminatan remaja,serta terdapat hubungan pengetahuan Pembentukan remaja tentang reproduksi dengan minat Posyandu Remaja pembentukan posyandu remaja dengan kemaknaan p-value= 0,000 < 0,05. 7 Faktor-Faktor Yang - Hasil penelitian menunjukan bahwa Ada Ni Made Berhubungan Dengan Muliati. Minat Remaja remaja berkunjung ke posyandu . ilai p- Sudirman. Berkunjung Ke Value 0,000 < 0,. Herlina Yusuf Tidak Posyandu dengan minat remaja berkunjung ke posyandu . ilai p-Value 0,333 > 0,. - Tidak ada hubungan dukungan tokoh berkunjung ke posyandu . ilai p-Value 0,177 > 0,. - Tidak ada hubungan dukungan kader dengan minat remaja berkunjung ke posyandu . ilai p-Value 0,469> 0,. 8 Influence Of Hasil penelitian menunjukkan variabel yang Ani Triana, signifikan berhubungan dengan sikap . - Herlina Adolescent Masturbation Behavior value 0,. 95% CI . ,585-11,. dan peran Susmaneli orang tua . -value 0,. 95% CI . ,521- . Based on the results of the literature review analysis, there were 8 journals that stated Ha or the alternative hypothesis was With the increasing role of midwives on adolescent activity, the results showed that there was an effect of the DISCUSSION Identifying the Role of the Midwife delinquency in general. Mery Ramadani's research . shows that there is a significant relationship between the role of midwife's role on adolescent activity. Adolescent activities also vary, from juvenile delinquency, adolescent knowledge, but it does not differentiate much from adolescent activity because there are still elements of indicators from adolescents. Based on the results of the literature shows the role of health workers is very influential on adolescents. Where teenagers have health problems and health workers and teenage pregnancy with . value = 0. Judging from the role of health workers, the incidence of teenage pregnancy is more in 185 | J o u r n a l F o r Q u a l i t y i n W o m e n Ao s H e a l t h Journal for Quality in Women's Health(JQWH ) adolescents who assess the role of health workers as less . 4%). The relationship between the officer's role and teenage pregnancy was found. Information obtained from health workers can reduce the incidence of early marriage and prevent pregnancy at a young age. The role of midwives as professionals is as managers, implementers, educators and The midwifery profession as a health worker in Indonesia certainly has an obligation to provide health services to the community that are promotive, preventive, and curative. This research is in line with Siswati's research . which states that there is a relationship between the scope of midwives and adolescent behavior with a correlation coefficient of <0. = 0. The role of health workers is needed to reduce the risks that occur in teenage Health workers as educators play a role in carrying out guidance or counseling, educating clients, families, communities, and health workers including midwives/nursing students on overcoming health problems, especially those related to reproductive health including teenage ACKNOWLEDGMENTS We would like to thank the Indonesian Ministry of Education and Culture and the Institute for Research and Community Service the ,Institute of Health Sciences Strada Indonesia. Kediri. Indonesia REFERENCES