Article Per Year (5 Year)
p-Index From 2021 - 2026
0.562
P-Index
This Author published in this journals
All Journal Science Midwifery International Journal of Multidisciplinary Research of Higher Education (IJMURHICA)
Dwi Sarwani Sri Rejeki
Universitas Jenderal Soedirman, Indonesia
Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Social Sciences Veterinary

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Understanding barriers and enablers of tuberculosis prevention in high-risk boarding school settings Bella Wiranti; Arih Diyaning Intiasari; Dwi Sarwani Sri Rejeki
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2236

Abstract

Tuberculosis prevention remains a significant challenge in high-risk boarding school settings due to overcrowding, prolonged close contact, and limited institutional health governance. At the same time, existing Research has largely emphasised epidemiological and individual-level factors with limited attention to contextual and institutional dynamics, particularly among adolescents in congregate educational environments. This qualitative exploratory study aimed to examine barriers and enablers to tuberculosis prevention from the perspectives of adolescents, caregivers, school administrators, and health professionals, using in-depth interviews and focus group discussions with purposively selected participants involved in boarding school health management and tuberculosis prevention. Thematic analysis revealed that the availability of basic environmental facilities, caregiving support, and strong institutional cohesion served as key enablers of tuberculosis prevention; however, these were constrained by overcrowded living conditions, the absence of formal tuberculosis-specific procedures, tuberculosis-related stigma among adolescents, limited financial and health system support, informal governance practices, and fear of social consequences, which collectively hindered early reporting and preventive behaviors. Overall, tuberculosis prevention in boarding schools is shaped by a complex interplay of environmental, institutional, and sociocultural factors, underscoring the need for context-sensitive, institution-based prevention strategies that address stigma, strengthen governance, and enhance collaboration with health systems to reduce tuberculosis risk among adolescents in boarding schools.
Health and social burdens of TB-HIV co-infection in Indonesian risk populations Nur Indah Chairunnisa; Dwi Sarwani Sri Rejeki; Siwi Pramatama Mars Wijayanti
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2265

Abstract

This systematic literature review aims to examine the health and social burdens of TB-HIV co-infection among at-risk populations in Indonesia. The review analyzed four quantitative primary studies published between 2021 and 2024, including three from Indonesia and one from Ethiopia as a comparative reference. Literature was identified from electronic databases using defined inclusion criteria and screened through PRISMA guidelines. Data were extracted on sample characteristics, quantitative instruments, and statistical findings relevant to TB-HIV prevalence, risk factors, treatment challenges, and public health interventions. Results showed that TB-HIV co-infection poses significant burdens, especially among populations with low socio-economic status and limited access to healthcare. Key challenges include poor treatment adherence, stigma, psychological distress, and fragmented health services. Although some interventions have been implemented, they remain inconsistent and unequally distributed. This review highlights the need for integrated, community-based, and multi-sectoral approaches to address TB-HIV co-infection in Indonesia’s vulnerable populations effectively.
Optimizing Pesantren Management for Tuberculosis Prevention through BREATHE Program Bella Wiranti; Arih Diyaning Intiasari; Dwi Sarwani Sri Rejeki
International Journal of Multidisciplinary Research of Higher Education Vol 9 No 4 (2026): In progress (Theme Education, Religion Studies, Social Sciences, STEM and Economi
Publisher : Islamic Studies and Development Center in Collaboration With Students' Research Center Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/ijmurhica.v9i4.607

Abstract

Tuberculosis (TB) remains a significant public health problem in Indonesia, particularly in Islamic boarding schools (pesantren), where overcrowding, prolonged close contact, and limited institutional health governance increase transmission risks. This study aims to optimize pesantren management in TB prevention through the development of the BREATHE program (Building Resilient Environments Against Tuberculosis Hazards in Education). A mixed-methods embedded design was applied, with quantitative data collected from a cross-sectional survey of 223 students in two pesantren in Banyumas Regency to measure knowledge, attitudes, and preventive behaviors, complemented by environmental observations. Qualitative data were obtained through in-depth interviews and focus group discussions with key stakeholders, analyzed thematically using Open Code software and triangulation. Results showed that most students had low knowledge (54.3%), balanced attitudes (positive: 50.7%; negative: 49.3%), and relatively good preventive behaviors (56.5%). Environmental assessments revealed overcrowding, poor ventilation, and high humidity. Qualitative findings highlighted the absence of TB-specific Standard Operating Procedures (SOPs), limited health management capacity, stigma, and financial constraints as major barriers. Based on these insights, the BREATHE program prototype was developed, integrating governance strengthening, human resource capacity building, environmental risk control, and health service integration. This model provides a replicable framework for TB prevention in high-risk residential educational settings and contributes to global discourse on institutional health governance in Islamic education.
Co-Authors Arih Diyaning Intiasari Bella Wiranti Nur Indah Chairunnisa Siwi Pramatama Mars Wijayanti