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All Journal Jurnal Manajemen Kesehatan Indonesia Jurnal Epidemiologi Kesehatan Komunitas Indonesian Journal of Global Health research Jurnal Pengabdian Kepada Masyarakat Itekes Bali
Robby, Krish Naufal Anugrah
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Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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MODEL MANAJEMEN EPIDEMIOLOGI HIPERTENSI BERBASIS KOMUNITAS PESISIR Robby, Krish Naufal Anugrah; Ma’rufi, Isa
Jurnal Manajemen Kesehatan Indonesia Vol 13, No 2 (2025): Agustus 2025
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.13.2.2025.145-160

Abstract

Hypertension remains a major public health challenge globally, with coastal communities facing unique vulnerabilities due to limited health infrastructure, low health literacy, and socio-economic constraints. This study aims to develop a community-based epidemiological management model for hypertension in coastal areas by analyzing the structural relationships among sociodemographic factors, risk behaviors, hypertension history, and healthcare access. Using a cross-sectional design, data were collected from 128 coastal residents in Puger Subdistrict, Jember, Indonesia. The study applied Partial Least Squares–Structural Equation Modeling (PLS-SEM) to explore causal pathways. The findings reveal that gender and education significantly influence risk behaviors, which in turn affect blood pressure grades and hypertension management. Despite a high prevalence of uncontrolled blood pressure, awareness and health-seeking behavior remain low. The structural model highlights the importance of behaviorally focused interventions targeting high-risk groups, particularly males and individuals with low education levels. The study underscores the need for community-based strategies that integrate risk-based management, health education, and culturally sensitive follow-up systems. This model offers a practical and contextual approach to strengthening hypertension control in underserved coastal populations
Inovasi Pendidikan Remaja Speack SPEAK UP, BE SAFE: Pemberdayaan Peer Group Untuk Pencegahan Kekerasan Seksual Pada Remaja Di SMP Negeri 3 Kubutambahan Cindy Meilinda Sari; Dwijayanti, Lina Anggraeni; Purnami, Luh Ayu; Suarmini, Kadek Ayu; Wulandari, Ni Ketut Ayu; Robby, Krish Naufal Anugrah
Jurnal Abdimas ITEKES Vol 5 No 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v5i1.692

Abstract

ABSTRAK Kasus kekerasan seksual pada remaja terus meningkat, namun masih banyak yang tidak terlaporkan karena faktor tabu, ketakutan, dan kurangnya pengetahuan serta keterampilan melapor. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan, sikap, dan keterampilan siswa dalam mencegah serta melaporkan kekerasan seksual melalui pendekatan edukasi interaktif berbasis peer group empowerment. Kegiatan dilaksanakan di SMP Negeri 3 Kubutambahan, Kabupaten Buleleng, Bali, melibatkan 60 siswa kelas VIII dan IX yang dipilih secara purposive. Edukasi dilakukan setiap hari Jumat selama satu bulan melalui ceramah interaktif, diskusi kelompok, roleplay berbasis kasus nyata, dan simulasi pelaporan. Hasil pre-test menunjukkan hanya 22% siswa mengetahui cara melapor, dengan skor rata-rata pengetahuan 56,2; sikap 48,7; dan keterampilan melapor 42,0. Setelah intervensi, ketiga aspek meningkat signifikan menjadi 85,1; 82,5; dan 80,3 (p < 0,001). Data kualitatif dari wawancara dan observasi mendukung temuan tersebut, menunjukkan peningkatan keberanian siswa untuk berbicara dan mengenali bentuk kekerasan seksual. Program ini terbukti efektif dan dapat direplikasi sebagai upaya pencegahan kekerasan seksual di sekolah. Kata kunci: kekerasan seksual, remaja, edukasi interaktif, peer group,pencegahan
The Dynamics of Mental Health Among Female Sex Workers in Buleleng Bali Sari, Cindy Meilinda; Purnami, Luh Ayu; Anggaraeni, Lina; Robby, Krish Naufal Anugrah
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4536

Abstract

Mental health in female sex workers (FSWs) are influenced by a complex array of factors. Significant challenges impacting mental health include social pressure and unstable working conditions. This study aims to understand the influence of social stigma, working conditions, and social support on the mental health of FSWs. Method: This research utilizes a quantitative approach with a cross-sectional design. The independent variables are social stigma, working conditions, and social support, while the dependent variable is mental health. The study population consists of FSWs in Buleleng Regency, with a sample size of 120 participants selected through purposive sampling. The research instruments include the Generalized Anxiety Disorder 7 (GAD-7) scale for measuring anxiety and the Perceived Stress Scale (PSS) for measuring stress. Data analysis was conducted using Structural Equation Modeling (SEM). Social stigma has a direct and significant impact on the mental health of FSWs (β = 0,294, t-statistic=2,868, p < 0,01). Additionally, working conditions also have a significant direct effect on mental health (β = -0,343, t-statistic=4,569, p < 0,01). Social support acts as a mediator, mitigating the negative impact of social stigma and working conditions on mental health (β = -0,247, t-statistik=2,253, p < 0,01), Overall indicating that social stigma, working conditions, and social support are key factors influencing the mental health of FSWs.
An Epidemiological Management Approach to Stroke Disease in Coastal Communities: A Structural Model for Tertiary Prevention Robby, Krish Naufal Anugrah; Ma'rufi, Isa; Ouassou, El Houssin; Izzah, Latifatul
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i4.28422

Abstract

Background: Stroke survivors in coastal areas face major challenges, such as limited access to health services, minimal post-stroke education, and inadequate monitoring. Without a targeted tertiary prevention strategy, the risk of recurrence and disability remains high. This study aimed to develop a stroke management model to enhance self-control and support community-based health policy planning.Methods: A cross-sectional study was conducted among 45 stroke survivors in the Puger Subdistrict, Jember Regency, using a total sampling approach. Data were collected through questionnaires and measurements of blood pressure, cholesterol, and random blood glucose using touch-based devices and digital sphygmomanometers. Path analysis was performed using Partial Least Squares structural equation modeling.Results: Clinical needs, such as elevated blood pressure and cholesterol levels, encouraged survivors to be more active in managing their conditions and increased their interactions with health services. However, paradoxically, poor self-management, such as infrequent blood pressure monitoring and unhealthy diets, places a greater burden on the health system. This indicates that an increased system response alone is insufficient without strengthening the individual roles. Family history and blood glucose levels also contribute to indirect pathways. Conclusion: Preventing stroke recurrence requires a comprehensive epidemiological management approach, including clinical control, dietary education, and sustainable, community-based interventions. This model can serve as a basis for designing health programs and policies that are more responsive to the needs of coastal communities in the future.
Co-Authors Anggaraeni, Lina Cindy Meilinda Sari Dwijayanti, Lina Anggraeni Izzah, Latifatul Ma'rufi, Isa Ma’rufi, Isa Ouassou, El Houssin Purnami, Luh Ayu Suarmini, Kadek Ayu wulandari, ni ketut ayu