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All Journal Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Journal of Public Health for Tropical and Coastal Region Al-sihah: The Public Health Science Journal Jurnal Dunia Kesmas Jurnal Kesehatan Kumawula: Jurnal Pengabdian Kepada Masyarakat Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Jurnal Kebidanan Malakbi Insights in Public Health Journal Jurnal Ilmu Kesehatan Masyarakat Jurnal Pengabdian Gizi dan Kesehatan Masyarakat
Nafisah, Lu'lu
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Determinants Of Family Behavior In Tuberculosis Prevention: A Cross-Sectional Study In Baturraden II Health Center, Indonesia Nafisah, Lu'lu; Lestari, Widya; Hariyadi, Bambang
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.25647

Abstract

Introduction: Tuberculosis (TB) remains a major global health challenge until now. Indonesia’s ranking is among the top three high-burden countries. Banyumas Regency reported 3,042 cases in 2021, the highest in Central Java. Families play a critical role in TB prevention, yet their involvement remains suboptimal. This study explores factors influencing family behavior in TB prevention within the Baturraden II Community Health Center area to strengthen prevention strategies.Method: This quantitative study employed a cross-sectional approach. A total sampling technique was used to include all 56 families with TB cases in the Baturraden II Community Health Center working area. Data collection was conducted through interviews using structured questionnaires. Data analysis was done through Chi-Square tests and logistic regressions.Results: The bivariate analysis revealed that knowledge (p=0.001), attitudes (p=0.022), and access to information (p=0.025) were significantly related to TB prevention behavior. The multivariate analysis further indicated that knowledge (p=0.003), attitudes (p=0.010), and access to information (p=0.021) significantly associated to family behavior in preventing tuberculosis. Knowledge emerged as the strongest factor, with an odds ratio (OR) of 10.2, indicating that respondents with low knowledge were 10.2 times more likely to fail in adopting preventive behavior.Conclusion: Family with low knowledge about TB were at a higher risk of not practicing TB prevention in Baturraden II primary healthcare center working area. Enhancing knowledge and promoting appropriate preventive practices are essential strategies for increasing preventive family behavior
Determinants of Exclusive Breastfeeding Practices Among Informal Sector Working Mothers Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika; Maryati, Leni
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 2 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Exclusive Breastfeeding (EBF) is essential for optimal infant growth, development, and disease protection.  Despite its well-documented benefits, global EBF rates remain suboptimal, and the rate in Indonesia (52%) remains below the WHO's 2030 target. This study investigates factors affecting EBF among working mothers in the informal sector in Banyumas Regency, Indonesia, a particularly vulnerable group facing challenges like inadequate maternity leave and limited workplace support. A cross-sectional study was conducted with 350 informal sector working mothers. Data on sociodemographic, maternal, work-related, and social factors were collected using a validated and reliable questionnaire and analyzed using univariate, bivariate (chi-square), and multivariate (logistic regression) methods.  The results showed that 68.2% of mothers successfully practiced EBF, a slightly higher rate than reported in previous studies. Multivariate analysis revealed that strong family support (AOR=18.098, 95% CI: 7.396 – 44.285, p<0.001), mother's good knowledge, and positive attitudes were powerful enablers of EBF. Conversely, several counter-intuitive associations were found: lower maternal education (AOR=16.008, 95% CI: 3.422 – 74.894, p<0.001), longer work duration (>8 hours/day; AOR=7.434, 95% CI: 3.364 – 16.426, p<0.001), primiparous status (AOR=3.998, 95% CI: 1.830 – 8.734, p=0.001), non-performance of immediate breastfeeding (AOR=8.535, 95% CI: 3.523 – 20.675, p<0.001), and non-consumption of breast milk boosters (AOR=5.229, 95% CI: 1.284 – 21.291, p=0.021) were all independently associated with a higher likelihood of EBF. Maternal age was not found to be a significant determinant. This study revealed highly complex, context-specific determinants of exclusive breastfeeding (EBF) among informal sector working mothers, often diverging from patterns observed in formally employed populations. Key findings underscore the need for tailored, context-sensitive interventions focusing on strengthening informal social support, advocating for adaptive work accommodations, and providing targeted education.
Factors Influencing Men’s Willingness to Undergo Vasectomy in Indonesia Based on the Ecological Model: A Literature Review Ramadhan, Ja'far Fauzan; Nashita, Ghania; Poermeilani, Annisa Fidela; Sistiarani, Colti; Nafisah, Lu'lu
Jurnal Dunia Kesmas Vol 14, No 3 (2025): Volume 14 Nomor 3
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v14i3.20793

Abstract

The high population growth rate in Indonesia necessitates more inclusive birth control strategies, including enhanced male participation in Family Planning (FP) programs. Vasectomy represents a safe and effective long-term contraceptive method; however, its adoption rate remains low. This literature review aims to identify and analyze the factors influencing men's willingness to undergo vasectomy in Indonesia, using the Social Ecological Model of Public Health as a guiding framework. A systematic review was conducted on articles published in both Indonesian and English between 2019-2025. Articles were retrieved from Google Scholar. Based on the inclusion criteria, 12 publications employing quantitative, qualitative, and mixed-methods approaches were analyzed. The findings indicate that male participation in vasectomy is influenced by factors across multiple levels: individual (knowledge, attitudes, perceptions), interpersonal (spousal support), community (social stigma, cultural norms), and policy (access to information and healthcare services). Spousal support and perceptions of masculinity emerged as significant determinants. These findings underscore the importance of multilevel, gender-responsive intervention strategies in designing contextually relevant male FP programs.
Faktor Yang Berpengaruh Terhadap Pola Asuh Pada Balita Nafiah, Fitri Kholishatun; Nafisah, Lu'lu; Sistiarani, Colti
Jurnal Kebidanan Malakbi Vol 6 No 2 (2025): Agustus 2025
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v6i2.1457

Abstract

Health development in Indonesia continues to face significant challenges due to persistent nutritional issues, particularly among children within the first 1,000 days of life. This period is widely recognized as a critical window for meeting optimal nutritional needs to support comprehensive growth and development. A key determinant of a child’s nutritional status is parental caregiving. Proper parenting practices are essential for ensuring children receive a balanced and adequate intake of nutrients tailored to their specific needs. In Demak Regency, the prevalence of underweight, stunting, and wasting remains high. Among all regional health centers, Puskesmas Demak II has recorded the most substantial increase in toddler malnutrition cases, a trend a preliminary study attributed to inadequate parenting practices. This study was designed to systematically investigate the factors influencing parenting practices among caregivers of toddlers at Puskesmas Demak II. Employing a quantitative, cross-sectional design, the research examined a population of 2,233 toddlers. A representative sample of 92 caregivers was selected using a simple random sampling method. Data analysis was conducted through a series of statistical procedures, including univariate, bivariate, and multivariate analyses, to identify significant relationships and predictive factors. The multivariate analysis revealed that three variables independently influenced parenting practices: education (OR=4.394), knowledge (OR=2.953), and attitude (OR=3.282). Of these, education was identified as the most influential variable. These findings underscore the critical need for targeted educational interventions aimed at improving parenting practices. It is therefore recommended that comprehensive education on proper parenting be delivered to key demographic groups, including adolescents, prospective brides, and current parents. Utilizing diverse communication channels such as seminars, workshops, and mass media, these educational initiatives are expected to enhance caregivers' knowledge and skills, thereby facilitating the early prevention of nutritional problems in young children.
Co-Authors Afina Rachma Sulistyaning Aisyah Apriliciciliana Aryani ARIF KURNIAWAN Arih Diyaning Intiasari Bambang Hariyadi Colti Sistiarani Eri Wahyuningsih Ghaliyah, Yasmin HAPSARI, PRAMESTHI WIDYA Hery Widijanto Jajang Dede Mulyani Khanifah, Luthfi Nada Khoiriani, Izzati Nur Maharani, Desta Dwiana Maryati, Leni Nafiah, Fitri Kholishatun Nashita, Ghania Nindya, Yuditha Nurasih, Diah Arum Parmasari, Damairia Hayu Poermeilani, Annisa Fidela Ramadhan, Ja'far Fauzan Rizqi, Yuditha Nindya Kartika Sari, Desi Nabila Teguh Jati Prasetyo Wicaksari, Sifa Aulia Yuliani, Armyla Eka Wahyu