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Determinants of Health Data Utilization by Posyandu Cadres for Toddlers as a Stunting Prevention Effort in Geneng Subdistrict, Ngawi Regency Kurniawan Erman Wicaksono; Sena Wahyu Purwanza; Ida Nurmawati; Salihati Hanifa; Ika Arum Dewi Satiti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.272

Stunting remains one of the major public health issues at the national level in Indonesia. As an archipelagic country, Indonesia faces unique challenges in tackling stunting, particularly in regions with limited access to healthcare services. Advances in information technology offer new opportunities to support stunting prevention efforts, including through the utilization of health data. Such data can be used to detect stunting risks early and to monitor children's nutritional status more effectively. The use of health data applications or systems by Posyandu cadres is influenced by various factors, including availability of time, cost, level of trust, and perceptions of ease of use and usefulness. This study aims to identify the determinants of health data utilization by Posyandu cadres for toddlers as a stunting prevention effort in Geneng Subdistrict, Ngawi Regency. This research is an analytical quantitative study with a cross-sectional approach. A sample of 80 Posyandu cadres for toddlers in Geneng Subdistrict was selected using purposive sampling. Data were collected through questionnaires and analyzed using univariate, bivariate, and multivariate logistic regression tests to identify the factors influencing the use of health data in stunting prevention. The results show that the significant determinants include the age of the Posyandu cadre, their education level, and the amount of time they dedicate to Posyandu activities. The determinants of age, education level, and time significantly influence the utilization of health data and thereby affect the optimization of stunting prevention. Strengthening cadre capacity in these aspects is necessary to support more effective stunting prevention.

ANALISIS FAKTOR JENIS KELAMIN DAN PERILAKU HIDUP BERSIH SEHAT (PHBS) TERHADAP KEJADIAN ISPA PADA KALANGAN SANTRI DI KLINIK JPKM Wicaksono, Kurniawan Erman; Nur Rahmat, Nafolion; Purwanza, Sena Wahyu
Journal of Nursing and Midwifery Sciences Vol. 4 No. 1 (2025): April 2025
Publisher : Faculty of Nursing and Midwifery, Binawan University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/80aert13

ISPA merupakan kelompok penyakit dengan angka absensi tertinggi dibandingkan kelompok penyakit lainnya dan banyak juga diderita oleh masyarakat. Keadaan lingkungan pondok pesantren yang padat dapat memicu terjadinya ISPA. Penelitian ini bertujuan untuk menganalisis pengaruh faktor jenis kelamin dan perilaku hidup bersih sehat terhadap kejadian ISPA pada kalangan santri di Klinik JPKM. Penelitian ini merupakan penelitian analitik korelasional dengan pendekatan cross sectional dengan jumlah responden 65. Penentuan sampel menggunakan teknik purposive sampling. Pengambilan data menggunakan kuesioner yang berisikan pernyataan tentang perilaku dan jenis kelamin serta peneliti juga melakukan observasi langsung ke setiap pondok yang ditempati responden. Analisis data menggunakan uji statistik analisis bivariat dengan uji spearman’s rank dan regresi logistic untuk mencari faktor dominan. Hasil penelitian menunjukkan faktor yang paling dominan mempengaruhi penyebab terjadinya ISPA pada santri di Klinik JPKM adalah faktor perilaku hidup bersih sehat dengan nilai exponen sebesar 7,715. Pemberian edukasi dan promosi Kesehatan sangat penting, terutama dalam meningkatkan kesadaran akan perilaku hidup bersih dan sehat (PHBS).

Upaya PSDKU MIK Ngawi Dalam Pendirian Pusat Layanan Kesehatan Kampus 5 Polije Sebagai Rintisan Teaching Factory (Tefa) Nurmawati, Ida; Wicaksono, Kurniawan Erman; Supriyanto, Budi Fajar; Hanifa, Salihati; Nurjihan, Ikha
Journal of Community Development Vol. 6 No. 1 (2025): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v6i1.1480

PSDKU MIK Ngawi Regency was established since the enactment of Decree of the Minister of Education, Culture, Research and Technology of the Republic of Indonesia No. 161/D/OT/2023 dated 10 July 2023. Industry-based vocational education. Competency-based vocational education must be equipped with a teaching factory. Efforts are being made to support the achievement of PSDKU competency. MIK Ngawi plans to establish a teaching factory in the form of a health service facility/health clinic which is expected to become a practicum facility for MIK students. Community service activities will be carried out in 4 stages, namely identification of needs, preparation stage, implementation of activities, monitoring and evaluation stages. Problem solutions offered to partners include socializing the requirements for establishing a clinic, preparing a management structure for clinical services, fulfilling basic clinical health service facilities, and preparing SOPs for using equipment. Socialization of the requirements for establishing a clinic was carried out through FGD with the Head of Health Services, Ngawi Health Office. The results of the FGD include legal health services for an agency, at least in the form of a clinic, provided that the person in charge is a doctor who has a practice license and is supported by other health workers (nurses and midwives). The availability of health human resources at PSDKU MIK Ngawi includes nursing, midwifery and public health personnel, so there is a need for doctors to meet the requirements for establishing a clinic. After the clinic's organizational structure is formed, the next step is to register with DPMPTSP (Department of Investment and One-Stop Integrated Services) via online single submission (OSS). Suggestions for the need for medical personnel (doctors) to fulfill the requirements for establishing a clinic and fulfilling the clinic requirements documents refer to Minister of Health Regulation No. 14 of 2021 concerning Standards for Business Activities and Products in the Implementation of Risk-Based Business Licensing in the Health Sector.

Digital Transformation of Health Services in Indonesia through the Utilization of Artificial Intelligence, Big Data, and Telemedicine: Systematic Literature Review-VOSviewer Salihati Hanifa; Kurniawan Erman Wicaksono
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.280

Indonesia's healthcare system continues to face significant challenges in delivering equitable services across diverse and remote regions. The digital transformation of healthcare—through the integration of Artificial Intelligence (AI), big data, and telemedicine—offers promising solutions to overcome disparities in access, infrastructure, and service delivery. This study aims to comprehensively analyze global and national research trends related to the digital transformation of healthcare using a Systematic Literature Review (SLR) approach, supported by bibliometric analysis through the VOSviewer software. Following the PRISMA protocol, a total of 30 relevant articles published between 2020 and 2025 were identified and analyzed. The network and overlay visualizations generated reveal four major thematic clusters: digital transformation and service quality, big data and pandemic response, AI and data privacy, and community engagement in digital health services. Overlay visualization also shows a clear shift in research focus—from early pandemic responses toward system optimization, ethical governance, and technological inclusivity in recent years. The findings highlight that digital healthcare transformation has increasingly evolved from emergency responses to COVID-19 into a strategic framework for long-term system improvement. Moreover, AI and big data have played pivotal roles in enhancing diagnostics, predicting outbreaks, and improving resource allocation. However, concerns related to privacy, digital literacy, and unequal technological access remain prominent. The study concludes that the integration of AI, big data, and telemedicine not only enhances healthcare efficiency but also requires strong regulatory frameworks, infrastructure readiness, and public engagement. Future research should incorporate co-citation and cross-country comparative analyses to enrich the understanding of digital health transformation in a global context, especially in low- and middle-income countries like Indonesia.

Digital Transformation of Health Services in Indonesia through the Utilization of Artificial Intelligence, Big Data, and Telemedicine: Systematic Literature Review-VOSviewer Salihati Hanifa; Kurniawan Erman Wicaksono
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.280

Indonesia's healthcare system continues to face significant challenges in delivering equitable services across diverse and remote regions. The digital transformation of healthcare—through the integration of Artificial Intelligence (AI), big data, and telemedicine—offers promising solutions to overcome disparities in access, infrastructure, and service delivery. This study aims to comprehensively analyze global and national research trends related to the digital transformation of healthcare using a Systematic Literature Review (SLR) approach, supported by bibliometric analysis through the VOSviewer software. Following the PRISMA protocol, a total of 30 relevant articles published between 2020 and 2025 were identified and analyzed. The network and overlay visualizations generated reveal four major thematic clusters: digital transformation and service quality, big data and pandemic response, AI and data privacy, and community engagement in digital health services. Overlay visualization also shows a clear shift in research focus—from early pandemic responses toward system optimization, ethical governance, and technological inclusivity in recent years. The findings highlight that digital healthcare transformation has increasingly evolved from emergency responses to COVID-19 into a strategic framework for long-term system improvement. Moreover, AI and big data have played pivotal roles in enhancing diagnostics, predicting outbreaks, and improving resource allocation. However, concerns related to privacy, digital literacy, and unequal technological access remain prominent. The study concludes that the integration of AI, big data, and telemedicine not only enhances healthcare efficiency but also requires strong regulatory frameworks, infrastructure readiness, and public engagement. Future research should incorporate co-citation and cross-country comparative analyses to enrich the understanding of digital health transformation in a global context, especially in low- and middle-income countries like Indonesia.

THE EFFECT OF DASH DIET EDUCATION USING THE PEER GROUP METHOD ON THE EATING PATTERNS OF DIABETES MELLITUS PATIENTS IN KALIBUNTU VILLAGE Wicaksono, Kurniawan Erman; Rahmat, Nafolion Nur; Purwanza, Sena Wahyu; Nurmawati, Ida; Hanifa, Salihati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 2 (2025): VOLUME 9 ISSUE 2 AUGUST 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss2/692

The management of diabetes mellitus (DM) includes diet management as an important component in maintaining blood sugar stability. The DASH diet helps maintain electrolyte balance and cardiovascular health through calcium, potassium, and magnesium intake. Dietary education using the peer group method is useful for sharing experiences, exchanging information, and providing and receiving emotional support.. This study aimed to determine the effect of DASH diet education using the peer group method on the eating patterns of Diabetes Mellitus (DM) patients. The research design was pre- experimental with a one-group pretest-posttest approach. The study population consisted of 40 respondents, with a total sampling technique, and the data were analyzed using the Wilcoxon Sign Rank Test. After receiving DASH diet education, most patients had good eating patterns. The study results showed that DASH diet education using the peer group method had an effect on the eating patterns of Diabetes Mellitus patients. Based on the study findings, it was expected that community nurses could use DASH diet education interventions to improve blood sugar levels, lipid profiles, and blood pressure in diabetes mellitus patients.

Pengaruh Intervensi Probiotik terhadap Indeks Antropometri pada Anak dengan Stunting Dewi Satiti, Ika Arum; Wicaksono, Kurniawan Erman
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.46833

Stunting merupakan indikator kekurangan gizi kronis yang masih menjadi masalah kesehatan masyarakat dengan dampak jangka panjang pada tumbuh kembang anak. Intervensi nutrisi komplementer, seperti probiotik yang menargetkan kesehatan usus, kini semakin diminati sebagai strategi untuk mengatasi stunting. Penelitian ini bertujuan untuk mengevaluasi pengaruh suplementasi probiotik terhadap indeks antropometri balita stunting. Desain penelitian menggunakan quasi-eksperimental dengan pendekatan pre-test post-test with control group. Sebanyak 70 balita stunting usia 6–23 bulan di Desa Bululawang, Kabupaten Malang, dibagi menjadi dua kelompok (masing-masing n=35). Kelompok intervensi mendapat probiotik (campuran Lactobacillus plantarum dan Bifidobacterium animalis subsp. lactis sebanyak 5×10⁹ CFU/hari dalam bentuk sachet bubuk), sedangkan kelompok kontrol menerima terapi standar. Intervensi berlangsung selama 12 minggu. Hasil menunjukkan bahwa karakteristik dasar kedua kelompok homogen. Setelah 12 minggu, kelompok intervensi mengalami peningkatan signifikan pada Z-score BB/U (dari -2.51 ± 0.78 menjadi -2.15 ± 0.72; p<0.001) dan Z-score TB/U (dari -2.65 ± 0.67 menjadi -2.31 ± 0.59; p<0.001). Kelompok kontrol hanya menunjukkan peningkatan marginal pada Z-score TB/U (p=0.042) dan tidak signifikan untuk Z-score BB/U (p=0.112). Peningkatan rerata Z-score BB/U dan TB/U antar kelompok juga menunjukkan perbedaan signifikan (p<0.001). Kesimpulannya, suplementasi probiotik secara signifikan meningkatkan status antropometri balita stunting dan berpotensi menjadi intervensi komplementer yang efektif dalam memperbaiki gizi dan pertumbuhan anak.

Inaccuracy Analysis of Diagnosis Code of Disease in Medical Records with SIMPUS at Purwoharjo Public Health Center Ida Nurmawati; Sulandari Sulandari; Ervina Rachmawati; Dony Setiawan; Kurniawan Erman Wicaksono; Ikha Nurjihan
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 1 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i1.73

The inaccuracy of the disease diagnosis code is one of the problem affecting the quality of health services. Based on the preliminary result, 89 outpatient diagnosis codes in a medical record found 30 inaccuracies data from SIMPUS result of general poly at Purwoharjo Health Center. The impact of this inaccuracy has been influenced by the accuracy of disease data that resulted from making report data. The purpose of this study was to analyze the inaccuracy of disease diagnosis codes for outpatient medical records with SIMPUS at Purwoharjo Public Health Center. It was a descriptive study with observation, interviews, and documentation data collection. The object of this study was 95 outpatient medical records with simple random sampling. The result of this research was found 42% inaccuracy code of outpatient medical records with SIMPUS. The cause of these problems was the coder less careful in enforcing the disease diagnosis code because of the high workload of the coder and there’s no job description in SOP, so the advice that can be given to Purwoharo Health Center is to hold a division of tasks evenly and can be written in the SOP job description.

The Use of Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application as an Educational Media on Maternal Knowledge and Attitudes in Preventing Stunting in Geneng District Ngawi Regency Kurniawan Erman Wicaksono; Sena Wahyu Purwanza; Ika Arum Dewi Satiti; Ida Nurmawati; Ikha Nurjihan
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 4 No. 1 (2024): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v4i1.87

Stunting indicates a high prevalence of nutritional deficiencies that have not yet reached reduction targets, as seen in Geneng District, Ngawi Regency. Maternal knowledge and attitudes are crucial factors in preventing stunting and can influence mothers' behaviors in ensuring nutrition for toddlers. Manajemen Nutrisi Balita Stunting (MNBS) is an innovative intervention designed to address specific nutritional needs. It was developed into a smartphone application that serves as an educational tool to prevent stunting issues. This study aims to analyze the impact of MNBS on maternal knowledge and attitudes towards stunting prevention. This study used a one-group pretest-post-test design approach. Sampling was conducted using simple random sampling involving 30 respondents. Inclusion criteria for this research included mothers with toddlers experiencing malnutrition, owning a smartphone, and being willing to participate in the study until completion. The research results indicate that maternal knowledge and attitudes towards preventing stunting improved after receiving education through Manajemen Nutrisi Balita Stunting (MNBS) smartphone application. Manajemen Nutrisi Balita Stunting (MNBS) Smartphone Application has an impact as an educational medium on maternal knowledge and attitudes toward preventing stunting.

The Relationship of Work Stress And Self-Control With Nurses' Performance In Providing Services At UOBF Nguling Health Center Siti Muthmainnah; Nafolion Nur rahmat; Kurniawan Erman Wicaksono
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 2 No. 4 (2023): Vol. 2 No.4 2023
Publisher : Kirana Publisher (KNPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/jsret.v2i4.307

Introduction: Nurses are the most dominant health workers who provide 24-hour services, so they are vulnerable to work stress and require good self-control. This study aims to analyze the relationship between work stress and self-control with the performance of nurses in providing services at the UOBF Nguling Health Center. Method: The research study was a correlational analytical approach cross-sectional. The research sample was all nurses at the UOBF Nguling Health Center, with 31 nurses using the Total Sampling technique. The instruments used were work stress questionnaires and self-control with nurse performance. The research data were analyzed using the Spearman Rank Test. Results: The results of the research show that the p-value = 0.000 with a significance level of α = 0.05 (p <α = 0.05), so it can be concluded that there is a relationship between self-control with the performance of nurses in providing services at the UOBF Health Nguling Community Health Center. Work stress causes a decrease in performance or workability and poor work results or a decrease in nurse productivity. Conclusion: Self self-control in nurses, they can develop good behavior, be more responsible, be useful for themselves, patients, and others, and establish good relationships with patients and other people. Nurses must be able to improve their self-control abilities through modifying the environment to be responsive to support the provision of good nursing care.

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