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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesmas dan Gizi (JKG) JURNAL PENELITIAN KESMASY Journal Medical Informatics Technology Jurnal Kesehatan Masyarakat Perkotaan Unnes Journal of Public Health
Syafrina Ulfah
Universitas Sumatera Utara
Humanities Computer Science & IT Dentistry Engineering Environmental Science Health Professions Medicine & Pharmacology Public Health

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STUDI LITERATUR: DETERMINAN CAKUPAN IMUNISASI DASAR LENGKAP DI PROVINSI ACEH Hengki Frengki Manullang; Syafrina Ulfah; Fithri Handayani Lubis
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2954

Abstract

Immunization is a highly cost-effective public health intervention that plays a crucial role in boosting individual immunity and building herd immunity. Through immunization, the incidence of illness, disability, and death caused by vaccine-preventable diseases can be reduced. However, the coverage of complete basic immunization in Indonesia remains relatively low. According to the 2024 Indonesia Nutrition Status Survey (SSGI), complete basic immunization coverage among children aged 12–23 months reached only 56.1%, with Aceh Province having the lowest coverage at 5.4%. This literature review aims to explore the determinants of complete basic immunization coverage in Aceh Province through a search of the Google Scholar database. A total of 17 selected articles were analyzed in this study. The findings indicate that the determinants of immunization coverage include maternal individual factors (knowledge, education, attitudes, and occupation), family support, health service factors (the role of health workers and access to services), sociocultural factors (community perceptions and beliefs), as well as health policy and system factors, such as financial support through health operational assistance (BOK). Given the complexity of the influencing factors, increasing the coverage of complete basic immunization in Aceh requires a comprehensive, integrated, and sustainable approach involving various stakeholders, including health workers, families, community leaders, and the government.
The Sociodemographic Factors and Accessibility in Utilizing the Maternal and Child Health Handbook for Monitoring Under-Five Children in North Sumatera Syafrina Ulfah; Fithri Handayani Lubis; Kiki Rismadi; Diza Fathamira Hamzah
Journal Medical Informatics Technology Volume 4 No. 2, June 2026
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v4i2.149

Abstract

Utilization of the Maternal and Child Health (MCH) Handbook plays a crucial role in monitoring the health and development of children under five years of age; however, its uptake remains suboptimal. According to the 2023 Indonesian Health Survey (SKI), MCH Handbook utilization for under-five growth monitoring in North Sumatra Province was only 67.9%, below the national average of 74.4%. This study aimed to analyze the influence of sociodemographic factors and healthcare accessibility on MCH Handbook utilization for under-five child monitoring in North Sumatra Province. A cross-sectional design was employed using secondary data from the 2023 SKI. The study sample comprised 4,164 under-five children who owned or had previously owned an MCH Handbook in North Sumatra. Data were analyzed through univariate frequency distribution, bivariate chi-square testing, and multivariate multiple logistic regression using the backward stepwise (likelihood ratio) method. The multivariate analysis demonstrated that health insurance ownership (AOR = 1.389; 95% CI = 1.215–1.587), maternal education (AOR = 1.326; 95% CI = 1.107–1.588), maternal age (AOR = 1.163; 95% CI = 1.009–1.339), and maternal employment (AOR = 1.161; 95% CI = 1.007–1.338) were significant positive predictors of MCH Handbook utilization, while longer travel time to health facilities (AOR = 0.690; 95% CI = 0.503–0.946) was inversely associated. Area classification was not statistically significant. These findings underscore the need for sustained health education targeting mothers, maintenance of universal health insurance coverage, and strengthening of community-based health services particularly posyandu to optimize MCH Handbook utilization in North Sumatra.
Prevention and Detection of Phantom Billing in Health Insurance: A Literature Review Syafrina Ulfah
Jurnal Kebijakan Kesehatan Indonesia Vol 15, No 1 (2026): March
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.117854

Abstract

Fraud, particularly phantom billing in health insurance programs, still occurs in Indonesia despite the existence of regulations related to its prevention and handling. Therefore, new methods are needed to overcome phantom billing. This study aims to analyze methods for preventing and detecting phantom billing in health insurance through a literature review. Articles were searched for in the Scopus, PubMed, ScienceDirect, ProQuest, and Google Scholar databases, using the keywords “fraud prevention” AND “fraud detection” AND “phantom billing” AND “health insurance”. The inclusion criteria for this study included all articles available in open access full text, published between 2020 and 2025, and discussing the prevention and detection of phantom billing in health insurance. Articles in the form of reviews, not in English or Indonesian, and irrelevant articles were excluded from this study. The screening results yielded 19 articles for review in this study. There are various methods of preventing and detecting phantom billing that can be used, but no single method is effective; rather, a combination of technology-based and governance strategies is needed. The results of the study recommend a hybrid approach that combines technological innovation, strong regulation, and strict supervision so that the practice and losses caused by phantom billing do not occur again.
Transforming Coastal Household Sanitation: A Family-Centered PHAST Adaptation for Malnutrition and Environmentally Related Diseases-Vulnerable Communities Evi Naria; Indra Chahaya; Rusmalawaty Rusmalawaty; Diza Hamzah; Syafrina Ulfah
Unnes Journal of Public Health Vol. 15 No. 2 (2026)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v15i2.36067

Abstract

Poor environmental sanitation in coastal areas is closely associated with environmentally related diseases and malnutrition among under-five children, but participatory interventions are rarely evaluated at the household level. Therefore, this study aimed to implement and evaluate a family-centered adaptation of the Participatory Hygiene and Sanitation Transformation (PHAST) method in Medan Belawan District, Indonesia. A Participatory Action Research (PAR) design engaged 30 households with children under five years of age. Qualitative interview and observation data were triangulated with descriptive pre- and post-intervention sanitation indicators and anthropometric data to validate the thematic evidence. The results from the baseline assessment showed inadequate sanitation conditions, including unsafe toilets, open wastewater channels, as well as poor hygiene and waste management. Following the intervention, all families stored water and food in covered containers, 83.3% disposed of waste daily, and 50% performed actions such as closing toilet holes and cleaning up scattered waste. The intervention increased household environmental awareness, strengthened shared family responsibility for sanitation, and produced measurable improvements in sanitation practices. This reduced the risk of environmentally related diseases, and malnutrition remains a plausible, unmeasured downstream benefit. In conclusion, the adaptation appears feasible and acceptable for strengthening household sanitation ownership in low-resource coastal communities, warranting further evaluation of its longer-term health impact.
The Effect of Balanced Nutrition Education on Increasing the Knowledge of Students at SMP Negeri 40 Medan Fitri Handayani; Diza Fathamira Hamzah; Fithri Handayani Lubis; Syafrina Ulfah
Jurnal Kesehatan Masyarakat Perkotaan Vol. 6 No. 1 (2026): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v6i1.3579

Abstract

Adolescence is a period of rapid growth that demands optimal nutritional intake; however, limited nutritional knowledge often contributes to unbalanced dietary choices and the emergence of the double burden of malnutrition, including micronutrient deficiencies and obesity. This study aimed to analyse the effect of balanced-nutrition education on the improvement of nutritional knowledge among students at SMP Negeri 40 Medan. A quasi-experimental one-group pretest–posttest design was employed at SMP Negeri 40 Medan. A total of 122 students (68 female and 54 male) were recruited through total sampling. A single session of balanced-nutrition education was delivered through lectures and interactive discussions supported by presentation media. Nutritional knowledge was measured before and after the intervention using a structured questionnaire and analysed with a paired t-test in SPSS. The mean knowledge score increased significantly from 62.4 ± 10.8 to 82.1 ± 9.6 (p < 0.001). The proportion of students with good knowledge rose from 24.6% to 70.5%, while no student remained in the poor-knowledge category after the intervention. School-based balanced-nutrition education is effective in improving adolescents’ nutritional knowledge and holds strong potential as a promotive strategy to prevent adolescent nutritional problems. Nutrition education should be integrated continuously into School Health programmes to achieve long-term changes in adolescent eating behaviour.
Program Management Functions and Complete Basic Immunization Coverage: A Literature Review Hengki Frengki Manullang; Syafrina Ulfah; Fitri Handayani
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v9i1.3999

Abstract

Complete basic immunization coverage among children is influenced not only by individual and family factors but also by the quality of immunization program management. This literature review aims to analyze the role of program management functions in achieving complete basic immunization coverage. A search was conducted for articles published between 2015 and 2025 using PubMed, Scopus, ScienceDirect, and Google Scholar. A total of 11 articles that met the criteria were analyzed narratively and thematically. The findings were grouped into four main functions: planning; organizing and coordinating; implementation or mobilization of resources; and supervision, monitoring, and evaluation. The review results indicate that data-driven planning, microplanning, cross-actor coordination, capacity building for health workers, logistical support, supportive supervision, data utilization, and tracking of children who have dropped out are associated with improved program performance and increases in various immunization coverage indicators. However, the magnitude of these changes varies across regions, and not all studies allow for causal conclusions. Strengthening management functions as an integrated and adaptive cycle tailored to the local context is necessary to support the improvement and equitable distribution of complete basic immunization coverage.
Co-Authors Diza Fathamira Hamzah Diza Hamzah Evi Naria Fithri Handayani Lubis Fithri Handayani Lubis Fitri Handayani Hengki Frengki Manullang Indra Chahaya Kiki Rismadi Rusmalawaty Rusmalawaty