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All Journal Journal Research Midwifery Politeknik Tegal Journal of Health Sciences and Public Health
Riska Arsita Harnawati
Universitas Harkat Negeri
Medicine & Pharmacology Nursing Public Health

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THE ROLE OF COMMUNITY HEALTH CADRES IN PREVENTIVE AND PROMOTIVE MEASURES FOR MATERNAL AND NEONATAL EMERGENCIES Seventina Nurul Hidayah; Reny Eka Saputri; Riska Arsita Harnawati
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10338

Abstract

The maternal and neonatal periods are highly vulnerable stages that require proper monitoring and timely health interventions to prevent serious complications, such as postpartum hemorrhage, infections, or emergency conditions in newborns. Data from the Tegal Regency Health Office in 2024 indicate that preventive and promotive services at posyandu are suboptimal, with postpartum maternal visit coverage at 58%, below the 80% national target. This highlights the importance of the active role of posyandu cadres in providing education, conducting monitoring, and assisting mothers and infants. This study aims to identify the role of posyandu cadres in preventive and promotive efforts related to maternal and neonatal emergencies in Slawi Wetan Village. This descriptive qualitative study involved five cadres and four postpartum mothers. Data from interviews and observations were analyzed thematically. Results show cadres educate on danger signs of pregnancy, conduct home visits, and remind mothers of schedules via communication media. Supporting factors include health center support and community enthusiasm, while obstacles include limited time availability of cadres and uneven awareness among mothers. In conclusion, posyandu cadres play an important role in improving preparedness and promotive maternal and neonatal health. However, cross-sectoral support and capacity building for cadres are still needed to achieve optimal health services.
Development of a Theoretical Model of Readiness for Independent Aging Based on Nutrition, Physical Activity, and Social Support among Pre-Elderly Adults: Pengembangan Model Teoretis Kesiapan Menua secara Mandiri Berdasarkan Gizi, Aktivitas Fisik, dan Dukungan Sosial pada Orang Dewasa Pra-Lansia Istiqomah Dwi Andari; Riska Arsita Harnawati; Adevia Maulidya Chikmah
Journal of Health Sciences and Public Health Vol. 1 No. 1 (2026): JHSPH
Publisher : PT. Sentra Ilmiah Teknologi Mandiri

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Abstract

The increasing proportion of the aging population has become a major public health challenge due to the growing prevalence of degenerative diseases and the decline in functional independence among older adults. Preparing individuals during the pre-elderly period is considered a strategic approach to promote healthy aging and prevent functional decline in later life. This study aimed to develop a theoretical model of readiness for independent aging based on the interaction of nutritional factors, physical activity, and social support among pre-elderly adults. A quantitative explanatory study with a cross-sectional design was conducted involving 50 pre-elderly respondents in Pagongan Village, Tegal Regency. Data were collected using standardized questionnaires and anthropometric measurements, and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The simulation results demonstrated that all constructs met the requirements of validity and reliability, with Average Variance Extracted (AVE) values above 0.50 and Composite Reliability values above 0.70. The structural model showed good predictive ability (R² = 0.684; SRMR = 0.064), indicating that nutritional factors, physical activity, and social support explained 68.4% of the variance in readiness for independent aging. Physical activity was identified as the strongest determinant (β = 0.447; p < 0.001), followed by nutritional factors (β = 0.321; p = 0.001) and social support (β = 0.289; p = 0.003). The proposed theoretical model highlights that readiness for independent aging is a multidimensional construct influenced by biological, behavioral, and psychosocial determinants. This model provides a conceptual foundation for developing preventive strategies, health promotion programs, and future intervention studies aimed at supporting healthy aging and reducing the risk of degenerative diseases among pre-elderly populations.
Co-Authors Adevia Maulidya Chikmah Istiqomah Dwi Andari Reny Eka Saputri Seventina Nurul Hidayah