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All Journal Journal of Health Policy and Management Journal of Maternal and Child Health
Bhisma Murti
Master’s Program in Public Health, Universitas Sebelas Maret, Surakarta, Indonesia
Medicine & Pharmacology Public Health

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Determinants of Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Erlangga Yusa Bachtiar; Revi Gama Hata Novika; Bhisma Murti; Eti Poncorini Pamungkasari; Setyo Sri Rahardjo
Journal of Maternal and Child Health Vol. 10 No. 6 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.06.05

Abstract

Background: Low birth weight (LBW) is a major cause of infant and neonatal mortality in Indonesia. Data from the 2022 Nutritional Status Survey and the 2023 Indonesia Health Survey reported an increase in the prevalence of LBW from 5.9% to 6.1%. Records from Dr. Moewardi General Hospital, Indonesia, also show a rise in the number of LBW cases, from 392 cases in 2023 to 412 cases in 2024. This study examines the effects of maternal education, household income, antenatal care (ANC), anemia during pregnancy, preeclampsia, and chronic energy deficiency (CED) on the incidence of LBW at Dr. Moewardi hospital. Subjects and Method: This quantitative study employed a case–control design. The research was conducted at Dr. Moewardi hospital and included 100 infants with low birth weight and 100 infants with normal birth weight, selected using fixed-disease and random sampling methods. The dependent variable was LBW. The independent variables were maternal education, household income, ANC, anemia during pregnancy, preeclampsia, and CED. Data were collected through questionnaires and medical records, and analyzed using simple logistic regression and path analysis.Results: LBW was directly associated with maternal CED (b= 0.79; 95% CI= 0.08 to 1.51; p= 0.028), maternal anemia (b= 0.91; 95% CI= 0.17 to 1.65; p= 0.015), and preeclampsia (b= 1.45; 95% CI= 0.77 to 2.13; p < 0.001). LBW was indirectly influenced by ANC visits, family income, and maternal education. The path model demonstrated good fit indices (AIC= 1221.24; BIC= 1283.91).Conclusion: LBW directly increases with maternal CED, maternal anemia, and preeclampsia. LBW indirectly affects by ANC visit, family income, and maternal education.
Socio-cultural Factors Influencing the Incidence of Stunting among Children Under Five in the Tengger Tribe, East Java, Indonesia Annessa Marknalia Sasqia Putri; Argyo Demartoto; Bhisma Murti; Revi Gama Hatta Novika; Erindra Budi Cahyanto
Journal of Maternal and Child Health Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.01.01

Abstract

Background: Indications of stunting incidence in toddlers of the Tengger Tribe in East Java, related to socio-cultural practices in daily life that have an impact on health conditions and nutritional fulfillment of toddlers. This study aims to analyze the socio-cultural factors that affect the incidence of stunting in Tengger Tribe toddlers in East Java.Subjects and Method: This study is a qualitative research with a phenomenological approach. The research was conducted at the Lumajang Regency Health, Population Control, and Family Planning Office (P2KB), Senduro District Office, Senduro Health Center, and Ranupani Village. A total of 9 key informants, including the head of nutrition and public health, the head of population and family planning, the head of the Senduro Health Center, nutritionists, village midwives, family planning field officers of Senduro District, the head of the Ranupani Village government, the traditional shaman of the Tengger Tribe, and the baby shaman. A total of 9 mothers of toddlers as the main informants and 9 supporting informants were purposively sampling, including family members, cadres, health care officers, and sanitarians. Data collection was carried out through interviews, observations, and documentation, then analyzed using the Miles and Huberman interactive model.Results: The study showed limited maternal knowledge about the health conditions and growth of toddlers. Traditional shamans play an important role in social decision-making, while gender equality affects the workload of mothers in economic activities. The parenting and care of toddlers is influenced by the cultural practices of the Tengger Tribe which are still strongly attached to daily life, as well as the environmental conditions of mountain communities who mostly depend on the agricultural sector for their livelihoods. Belief in ancestral spirits influences health decisions, through restrictions on maternal activity and mobility during pregnancy and after childbirth, as well as dietary restrictions that are believed to have adverse effects on pregnancy and toddlers.Conclusion: The incidence of stunting in toddlers of the Tengger Tribe is related to socio-cultural factors which include maternal knowledge, social interaction patterns, toddler parenting patterns, and belief in ancestral spirits in health decision-making.
Determinants of Patient Safety Practice Behavior Among Nurses at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Fitri Dwi Nurhayati; Endang Sutisna Sulaeman; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Patient safety is an event where the hospital builds patient care to be safer, including risk assessment, identifying, and managing matters related to patient risk, reporting and analyzing incidents, learning from incidents and their follow-up, as well as providing solutions to reduce the occurrence of risks and to avoid injuries caused by mistakes that occur due to doing an action or taking an action that should not have been taken. The purpose of this study is to identify the behavioral determinants of patient safety practices among nurses at Dr. Moewardi Hospital, Indonesia. Subjects and Method: This study was a cross-sectional study conducted at Dr. Moewardi Hospital in January 2025. The sample consisted of 200 inpatient nurses selected by a simple random sampling method. The independent variables in this study were work attitude, work stress, communication, teamwork, and work environment. The dependent variable was the patient safety practice behavior. Data collection was conducted using a questionnaire. Data analysis was conducted using path analysis. Results: The behavior of patient safety practice in inpatient nurses was directly influenced by positive work attitudes (b=0.22; 95% CI= 0.08 to 0.36; p= 0.002), low work stress (b= 0.16; 95% CI= 0.02 to 0.30; p= 0.022), and effective communication (b= 0.24; 95% CI= 0.11 to 0.36; p<0.001). The patient safety practice behavior among nurses through work attitudes was indirectly influenced by work stress and teamwork. The patient safety practice behavior among nurses through work stress is indirectly influenced by teamwork and the work environment. The patient safety practice behavior among nurses through communication was indirectly influenced by teamwork. Conclusion: The patient safety practice behavior among inpatient nurses is directly influenced by positive work attitudes, low work stress, and effective communication. The patient safety practice behavior among nurses through work attitudes is indirectly influenced by work stress and teamwork.
Effect of Social Capital on Job Satisfaction and Performance of Healthcare Workers at Hermina Sukabumi General Hospital Fitri Rahma Almira; Nur Hafidha Hikmayani; Bhisma Murti; Argyo Demartoto; Sumardiyono
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Social capital can serve as an important strategy for improving job satisfaction and performance. Satisfied employees will display a good personality in the work environment and improve performance positively in the health sector. This study aims to analyze the effect of social capital on job satisfaction and performance. Subject and Method: This study was conducted using a quantitative method with a cross-sectional approach and using a path analysis model. This study was conducted at Hermina General Hospital Sukabumi, West Java in December 2024. The sample of this study was 200 health workers. The exogenous variables were social capital, education, working period, age and gender. Endogenous variables were job satisfaction and performance. Results: Pathway analysis showed that the performance of health workers at Hermina Sukabumi Hospital was directly influenced by job satisfaction (b=0.33; 95% CI=0.22 to 0.45; p<0.001), age ≥ 29 years (b=0.17; 95% CI=0.03 to 0.31; p=0.016), education ≥bachelor’s degree (b=-0.14; 95% CI=-0.26 to -0.01; p=0.027), working period ≥4 years (b=-0.37; 95% CI=-0.50 to -0.24; p<0.001),  gender (female) (b=-0.19; 95% CI=-0.32 to 0.06; p=0.003). Job satisfaction was indirectly influenced by 4 years of ≥ working period (b=0.08; 95% CI=-0.01 to 0.16; p=0.077), gender (female) (b=-0.08; 95% CI=-0.17 to 0.01; p=0.075) and social capital (b=0.81; 95% CI=0.77 to 0.85; p<0.001). Social capital had an indirect effect through job satisfaction with the total effect size (b=0.26). The effect of the total working period of ≥4 years on performance (b=-0.34). Total effect of gender (female) on performance (b=-0.21). Conclusion: Strong social capital can increase job satisfaction, and satisfied employees will have higher performance and increased productivity.
Effect of Work-Life Balance on Work Stress, Sleep Disorders, and Work Performance Rifdah Hardaning Tyas; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika; Okid Parama Astirin
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.11.01.08

Abstract

Background: Work-life balance is a crucial factor influencing employee psychological well-being and performance. An imbalance between work and personal life can increase job stress, trigger sleep disturbances, and decrease productivity. This study aims to analyze the effect of work-life balance on job stress, sleep disturbances, and employee performance.                                                                Subjects and Methods: This cross-sectional study was conducted at the Mineral and Coal Testing Center in Bandung from March to April 2025. A total of 207 patients were selected using exhaustive sampling. The dependent variable was work-life balance. The independent variables were work stress, sleep disturbance, and employee performance. Data were analyzed using path analysis. Results: The results of this study show that Work-life balance negatively affected job stress (b = -1.04; 95% CI = -1.18 to -0.91; p < 0.001) and sleep disturbance (b = -1.45; 95% CI = -1.65 to -1.23; p < 0.001), and positively affected performance (b = 0.42; 95% CI = 0.31 to 0.53; p < 0.001). Job stress positively affected sleep disturbance (b = 0.57; 95% CI = 0.49 to 0.65; p < 0.001). Conclusion: Work-life balance has a direct impact on performance and an indirect impact through reduced work-life stress and sleep disturbances. Interventions to improve work-life balance should be a company priority. to support employee productivity and well-being.
Co-Authors Annessa Marknalia Sasqia Putri Argyo Demartoto Argyo Demartoto Endang Sutisna Sulaeman Erindra Budi Cahyanto Erlangga Yusa Bachtiar Eti Poncorini Pamungkasari Fitri Dwi Nurhayati Fitri Rahma Almira Nur Hafidha Hikmayani Okid Parama Astirin Revi Gama Hata Novika Revi Gama Hatta Novika Rifdah Hardaning Tyas Setyo Sri Rahardjo Sumardiyono