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Herwansyah
Faculty of Medicine and Health Sciences, Universitas Jambi, Jambi, Indonesia

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Definisi Integrasi Layanan Kesehatan Primer: Perspektif dari Pimpinan Puskesmas Andy Amimr; Puspita Sari; Herwansyah
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4721

Abstract

Integrating primary health services is crucial for improving the quality and accessibility of healthcare at the community level. This qualitative study investigates how leaders of Puskesmas define and implement integration within their services, as well as the challenges and factors that influence this process. Ten Puskesmas leaders in several Municipalities of the Province of Jambi and one key informant from the Municipal Department of Health were interviewed to obtain in-depth insights. Data collection was conducted through semi-structured interviews, and the information was analyzed using content analysis methods. The findings indicate that integration is viewed as a multi-dimensional strategy to enhance patient care coordination, maximize resource efficiency, and improve community health outcomes. Key factors affecting integration include leadership styles, inter-departmental collaboration, and the support provided by municipal health authorities. This study underscores the importance of robust leadership and strategic partnerships in facilitating service integration at the primary health center level, providing valuable insights for policymakers and healthcare administrators.
"Kesehatan Reproduksi untuk Semua": Perspektif Mahasiswa Kesehatan Masyarakat tentang Ketimpangan Gender dalam Akses terhadap Informasi dan Layanan Kesehatan Reproduksi Remaja di Indonesia Herwansyah; Ayu Oktoviani; Adinda Juwita Sari; Kunlanant Senkham
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5070

Abstract

Reproductive health is a critical aspect of adolescent development, yet gender disparities persist in access to information and services, particularly in Indonesia. This study explores how Public Health students at Universitas Jambi perceive gender-based inequalities in adolescent reproductive health, aiming to understand how future health professionals interpret and respond to these challenges. A qualitative descriptive approach was employed, involving three focus group discussions with 24 undergraduate students (14 female, 10 male) who had completed relevant coursework and participated in health promotion activities. Thematic analysis revealed three key themes: gendered access and assumptions, socio-cultural and structural barriers, and institutional roles and responsibilities. Participants described how reproductive health education and services disproportionately focus on girls, with boys often excluded due to cultural norms and institutional biases. Socio-cultural taboos, shame, and fear further limited access for both genders, though in distinct ways: boys faced invisibility and judgment, while girls experienced stigma and moral scrutiny. Institutions such as schools, families, and healthcare providers were seen as both barriers and potential agents of change, often reinforcing gendered norms through selective education and biased service provision. These findings underscore the need for more inclusive and gender-equitable reproductive health education that actively engages all adolescents. Addressing these disparities requires rethinking institutional practices and cultural narratives that marginalize male adolescents while overburdening females with sole responsibility for reproductive health. By incorporating gender equity into academic and community-based health initiatives, Public Health students can be better prepared to advocate for and implement inclusive reproductive health programs.