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All Journal Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja International Journal of Healthcare and Information Technology
Nesa Ayu Murthisari Putri
Politeknik Negeri Jember
Computer Science & IT Nursing Public Health

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GeoAI for Precision Public Health in Agrarian Economies: Multi-Disease Risk Profiling in Rice Belt in East Java Budi Fajar Supriyanto; Salihati Hanifa; Nesa Ayu Murthisari Putri; Titin Andriyani Atmojo; Waridad Umais Al Ayyubi
International Journal of Healthcare and Information Technology Vol. 3 No. 2 (2026): January
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v3i2.6646

Abstract

Public health and food security, particularly in the agribusiness sector, are interconnected. As one of the largest rice-producing provinces in Indonesia, East Java faces numerous infectious diseases. To develop a spatial typology of health-agribusiness risks, this study combines epidemiology, agribusiness, and computer science with a Geospatial Artificial Intelligence (GeoAI) approach.The data includes cases of ten infectious diseases (2015–2024), rice harvested area, number of farmers, and district/city population in East Java. Cases were normalized per 100,000 population, and agribusiness indicators were converted to harvested area per farmer ratios. The analysis used internal validation (silhouette score, Davies–Bouldin Index), K-Means clustering, and spatial validation (Moran's I). Results are displayed on OpenStreetMap.Agribusiness can be divided into three main typologies: (1) strong agribusiness with moderate risk; (2) multisector agribusiness with high risk and moderate agribusiness; and (3) moderate agribusiness with a prevalence of lung disease and diarrhea. Moran's I = -0.0263 (p=0.5678), indicating that spatial distribution is not significant. The results suggest that public health does not always correlate with food production intensity. By integrating epidemiology, agribusiness, and GeoAI to support appropriate public health in agricultural areas, this study adds to the international literature.
THE RELATIONSHIP BETWEEN KNOWLEDGE AND MATERNAL EDUCATION IN COMPLIANCE WITH PENTAVALENT IMMUNIZATION IN INFANTS AGED 0–11 MONTHS: A CROSS SECTIONAL STUDY Nesa Ayu Murthisari Putri; Elis Desmawati
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.785

Abstract

Pentavalent immunization is an important program in reducing infant morbidity and mortality, but immunization coverage is still not optimal, which is thought to be influenced by maternal knowledge and education factors. This study aims to determine the relationship between maternal knowledge and education levels and compliance with pentavalent immunization in infants aged 0–11 months. The research method used an analytical survey design with a cross-sectional approach conducted at the Tanjung Agung Community Health Center UPTD in April 2026 with a sample of 141 mothers selected through formula calculations and inclusion and exclusion criteria. Data were collected using questionnaires and analyzed univariately and bivariately using the Chi-Square test with a significance level of 5%. The results of the study showed that most mothers were non-compliant in providing immunizations (56%), had low knowledge (63.1%), and low education (52.5%). There was a significant relationship between knowledge and compliance (p = 0.002) and between education and compliance (p = 0.000) where mothers with higher knowledge and education tended to be more compliant in providing pentavalent immunization. In conclusion, there is a significant relationship between maternal knowledge and education levels and compliance with pentavalent immunization in infants. It is recommended that community health centers (Puskesmas) provide education to mothers about the importance of pentavalent immunization in infants aged 0-11 months.
THE INFLUENCE OF FORMULA MILK PROMOTION, THE ROLE OF HEALTH WORKERS, AND MOTHER'S ATTITUDES TOWARDS EXCLUSIVE BREASTFEEDING Diah Ayu Lestari; Turiyani; Nesa Ayu Murthisari Putri
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.806

Abstract

Exclusive breastfeeding is an essential intervention for improving infant health and development. However, exclusive breastfeeding coverage in Indonesia remains below national targets and Sustainable Development Goals (SDGs) standards. This quantitative descriptive-analytical study used a cross-sectional approach involving 80 breastfeeding mothers with infants aged 0–6 months at PMB Irma Iryani, in February 2025. Data were analyzed using Structural Equation Modeling – Partial Least Square (SEM-PLS). The coefficient of determination (R²) was 83.7%. Formula milk promotion had the most dominant direct influence (21.42%), followed by maternal attitudes (12.77%) and the role of health workers (7.05%). All hypotheses were accepted (T-statistic > 1.96; p < 0.05). Formula milk promotion, the role of health workers, and maternal attitudes significantly influence exclusive breastfeeding practices. Strengthening lactation education and stricter monitoring of formula milk promotion in health facilities are recommended.
Co-Authors Budi Fajar Supriyanto Diah Ayu Lestari Elis Desmawati Salihati Hanifa Titin Andriyani Atmojo Turiyani Waridad Umais Al Ayyubi