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All Journal Jurnal Kesmas Jambi Journal of Mandalika Literature
Afif, Malik
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Humanities Environmental Science Health Professions Medicine & Pharmacology Public Health Social Sciences

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Implementasi Posyandu pada Era Transformasi Layanan Primer di Kabupaten Kediri Yoto, Mohamad; Afif, Malik; Antika, Cicik Swi; Ridwanah, Azizah Andzar; Firdausi, Nurul Jannatul; Qoyyimah, Mazroatul; Rahmah, Fathiyah
Journal of Mandalika Literature Vol. 6 No. 1 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jml.v6i1.3975

Abstract

Transformasi kesehatan merupakan salah satu strategi yang dilakukan untuk mendorong implementasi layanan Posyandu secara terintegrasi, berkesinambungan dan komprehensif. Penulisan artikel ini dilakukan bertujuan untuk mengidentifikasi faktor pendukung, dan kendala yang dihadapi dalam mengimplementasikan integrasi layanan primer pada Posyandu. Penelitian ini merupakan suatu participatory action research yang dilakukan secara kualitatif di Puskesmas Pagu, Kabupaten Kediri. Pengambilan data dilakukan melalui Focus Group Discussion (FGD) pada Tenaga Kesehatan Puskesmas. Hasil wawancara dan FGD antar pihak terkait kemudian dilakukan triangulasi dan disusun secara sistematis. Hasil penelitian menunjukkan bahwa implementasi integrasi layanan Posyandu di Kabupaten Kediri berjalan dengan baik. Dalam tahap persiapan, koordinasi antar kader dan respons cepat Perangkat Desa sangat penting untuk menerapkan integrasi layanan primer. Pada Tahap Pelaksanaan, implementasi integrasi dilakukan upaya pemberian layanan kesehatan untuk seluruh sasaran siklus hidup, dimulai dengan menggabungkan layanan. Peran kader dan dukungan Desa menjadi faktor penting untuk keberhasilan implementasi integrasi pelayanan primer pada Posyandu, meskipun upaya adaptasi secara bertahap perlu dilakukan secara terus menerus
Covered but Not Reached: Unraveling Healthcare Access Barriers Among Students in Islamic Boarding Schools in East Java, Indonesia Laksono, Agung Dwi; Sulistiani, Elok Dwi; Alayyannur, Putri Ayuni; Megatsari, Hario; Afif, Malik; Yoto, Mohamad; Pranata, Setia
Jurnal Kesmas Jambi Vol. 10 No. 3 (2026): VOLUME 10 - NUMBER 3 (AUGUST - NOVEMBER 2026)
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/p8kh4v27

Abstract

Islamic boarding schools (pesantren) accommodate millions of adolescents in Indonesia, yet evidence on barriers to healthcare access among students (santri) remains limited. This study explored barriers to healthcare access experienced by santri in Islamic boarding schools in East Java to inform more responsive health policies. An exploratory qualitative study was conducted at six Islamic boarding schools in East Java. Data were collected through in-depth, semi-structured interviews with 42 participants, including santri, boarding school administrators, and healthcare personnel, selected through purposive sampling. We transcribed interviews verbatim and analyzed them using Braun and Clarke's thematic analysis. Credibility was enhanced through source triangulation, member checking, and investigator discussions. Healthcare access barriers were multidimensional, involving financial, geographical, administrative, institutional, and sociocultural factors. Six major themes emerged: financial constraints, transportation and distance barriers, administrative obstacles to National Health Insurance (JKN), restrictive boarding school regulations, limited health literacy, and inadequate health facilities within boarding schools. Institutional rules, dependence on administrators for permission and transportation, and suboptimal implementation of Pos Kesehatan Pesantren (Poskestren) frequently delayed healthcare utilization. Improving healthcare access for santri requires integrated policies that strengthen Poskestren, enhance collaboration between pesantren and Puskesmas, simplify JKN and referral procedures for students living away from their registered facilities, and improve health literacy among santri and boarding school administrators. These coordinated efforts are essential to reduce financial, administrative, institutional, and sociocultural barriers and promote more timely and equitable healthcare utilization among students in Islamic boarding schools.
Co-Authors Agung Dwi Laksono Alayyannur, Putri Ayuni Antika, Cicik Swi Hario Megatsari Nurul Jannatul Firdausi Qoyyimah, Mazroatul Rahmah, Fathiyah Ridwanah, Azizah Andzar Setia Pranata Sulistiani, Elok Dwi Yoto, Mohamad