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Faktor sosial, ekonomi, dan pemanfaatan posyandu dengan kejadian stunting balita keluarga miskin penerima PKH di Palembang Nur Farida Rahmawati; Nur Alam Fajar; Haerawati Idris
Jurnal Gizi Klinik Indonesia Vol 17, No 1 (2020): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.49696

Abstract

Social, economic factors, and utilization of posyandu towards stunting among toddlers of poor families of PKH recipients in PalembangBackground: Stunting is a nutritional problem caused by chronic malnutrition. Stunting can result in decreased concentration, memory damage, decreased learning, and school performance, decreased cognitive function, impaired motor development, and has a long-term impact on reducing productivity, thus inhibiting economic growth and causing intergenerational poverty. Stunting can be influenced by social, economic, and access to health services factors. Objective: To analyze the correlation of social, economic, and utilization of integrated services post (pos pelayanan terpadu/posyandu) with the incidence of stunting of under-fives in poor families in Palembang. Methods: This study used a quantitative method with a cross-sectional design in March-April 2019. The population was toddlers aged 24-59 months from poor families in Palembang, with the criteria receiving the cash transfer program from the Indonesian Government, called Program Keluarga Harapan (PKH). Samples were 100 people were chosen by proportional sampling. Data were analyzed by using the Chi-Square test and regression logistic test. Results: The proportion of stunting among toddlers in poor families of PKH recipients in Palembang was 29%. Multiple logistic regression test shows 4 (four) independent variables have a significant correlation to the incidence of stunting simultaneously. Those variable are maternal education (p=0.003, OR=7.278, 95% CI: 1.928-27.474), birth order (p=0.013, OR=0.144, 95% CI: 0.031-0.664), number of family members (p=0.013, OR=10.809, 95% CI:  1.639-71.278),irregular utilization of Posyandu (p=0.041, OR=3.524, 95% CI:1.055-11.768), and never using Posyandu (p=0.019, OR=5.282, 95% CI: 1.313-21.239). Low maternal education, huge family members (more than 4), irregularly and never use Posyandu increase risk of stunting 7.2 times, 10.8 times, 3.5, and 5.2 times, otherwise first or second birth order was a protective factor of stunting. Conclusions: Maternal education and utilization of Posyandu are protective factors, meanwhile huge family members (more than 4) and third or more birth order can increase stunting incidence among toddlers of poor families of PKH recipients.
Analysis of the Electronic Implementation of A Malaria Surveillance Information System (E-SISMAL) in the Lahat District Eni Nuraini; Hamzah Hasyim; Haerawati Idris; Ahmad Ghiffari; Chairil Anwar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 11 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i11.419

Abstract

Background: The requirement for malaria elimination to be recognized is to prove API lower than 1 per 1000 in the population, together with no indigenous case. Lahat Regency is an area of low-endemicity for malaria, where the target for elimination is projected for 2024. Since 2019, Lahat Regency has received socialization about E-SISMAL, which was developed as a web-based basis to speed up the reporting process. However, there are still delays in reporting malaria on E-SISMAL. Methods: Descriptive research with a qualitative approach was designed. The study subjects were the malaria person in charge, the head of seven selected community health centers (Puskesmas) and the Lahat District Health Office. Primary data came from observation, focus group discussion (FGD) and in-depth interviews with eighteen informants selected by the purposive sampling method. Results: The available inputs are inadequate, such as the human resource education was not up to standard, the internet network was not smooth, and there were no guidelines on E-SISMAL in the health centers. Malaria person in charge does not understand how to use E-SISMAL. In the process, there was the involvement of cross-sectoral and networked establishments. The output shows that the report indicators on E-SISMAL are not up to standard with less than 80%. Conclusions: The use of E-SISMAL in the Lahat district has not been maximized. It has an impact on delays in reporting. It is recommended that training and practice of E-SISMAL occur to improve officers' ability through socialization and that the Lahat Health Office establishes partnerships with telecommunications companies to ensure the smooth running of the network. Developing specific guidelines on E-SISMAL and a mobile phone-based malaria surveillance information system to speed up the malaria reporting process in the Lahat district is also advisable.
IMPLEMENTATION OF STUNTING PROGRAM IN INDONESIA: A NARRATIVE REVIEW Siti Zaleha; Haerawati Idris
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.143-151

Abstract

Background: Stunting is one of the nutritional problems in the world, especially in Indonesia. Aims: This study aimed to describe the implementation of stunting programs in Indonesia, Related to specific and sensitive nutrition interventions in particular. Methods: This narrative review was conducted with a meta-synthetic approach. The literature search was done on Google Scholar, PubMed, Garuda Portal, and DOAJ. The critical appraisal checklist from the Joanna Briggs Institute (JBI) was used to assess the research quality. Results: Thirteen research articles were analyzed, and some intervention programs most commonly carried out were the provision of iron supplement tablets for pregnant women, supplementary feeding for underweight toddlers, complementary foods for breastfeeding, vitamin A provision, provision of facilities, access to drinking water, and proper sanitation. Conclusion: The stunting program has not been implemented optimally either inside or outside the health sector. Sufficient numbers of human resources, especially nutritionists, are required to realize stunting programs.
Highest economic status increases risk of cesarean section in women of childbearing age Haerawati Idris; Rini Anggraini
Universa Medicina Vol. 41 No. 2 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.129-138

Abstract

BACKGROUNDCesarean section (CS) rates that are higher than the WHO recommendation may pose morbidity and mortality risks for both mother and child. In recent years, the number of CS deliveries has been increasing in developed and developing countries. The aim of the present study was to determine the rate of CS delivery and socioeconomic and demographic factors as risk factors of cesarean delivery in women of childbearing age. METHODSThis cross-sectional study used data from the 2017 Indonesian Health Demographic Survey (IDHS). The research subjects were 14,724 women of childbearing age aged 15-49 years who had given birth and met the inclusion criteria. The rate of CS was determined and the associations between independent and dependent variables were explored using logistic regression. RESULTSThe CS rate was 17.9%. Variables that had a significant relationship with cesarean delivery were geographic region, economic status, occupation, education, birth attendant, insurance ownership and antenatal care visits. The most dominant influencing variable was the highest economic status (OR 3.566; 95% CI: 2.857-4.452). Respondents with the highest economic status had a 3.5 times greater risk of having a cesarean delivery than subjects with the lowest economic status after controlling for the other variables. CONCLUSIONThis study demonstrated that the highest economic status increased the risk of CS delivery in women of childbearing age. The current epidemiological findings and evidence suggest adopting and implementing some strict guidelines in the health system to avoid unnecessary delivery by CS.
DETERMINAN PEMANFAATAN JAMINAN KESEHATAN NASIONAL (JKN) PADA FASILITAS KESEHATAN DIMASA PANDEMI COVID-19 Yeti Sukeni; Najmah Najmah; Haerawati Idris
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 4 No 4 (2021): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.937 KB)

Abstract

Pada masa pandemi Corona Virus Disease-19 (COVID-19) terjadi penurunan kunjungan ke pelayanan kesehatan hampir di setiap fasilitas kesehatan, tidak saja pada pasien umum termasuk juga pada pasien Jaminan Kesehatan Nasional (JKN). Jika dibandingkan pada tahun 2019 dan 2020 kunjungan pasien JKN mengalami penurunan sebesar 84% pada fasilitas pelayanan tingkat pertama dan 71% pada fasilitas pelayanan kesehatan lanjutan. Diharapkan dari hasil kajian literatur ini dapat digunakan sebagai bahan acuhan dalam membuat kebijakan pelayanan kesehatan di masa pandemi COVID-19. Dalam membuat kajian literatur jurnal yang digunakan merupakan hasil dari mesin pencarian google dan google scholar, PubMed dan Researchgate periode tahun terbit 2020 dan 2021 dengan kata kunci yang digunakan “pemanfaatan pelayanan kesehatan”, “JKN/BPJS” , “pandemi COVID-19”, “telemedicine”, “Sistem pelayanan kesehatan” dan “kepuasan pelayanan kesehatan”. Setelah proses penapisan melalui judul dan abstrak dari jurnal yang sesuai dengan tujuan penelitian, maka diperoleh 10 jurnal sebagai referensi utama. Pemanfaatan JKN pada masa pandemi COVID-19 pada fasilitas kesehatan dengan melihat faktor pemanfaatan pelayanan kesehatan yaitu faktor lingkungan, faktor karakteristik populasi, faktor perilaku kesehatan dan faktor keluaran. Maka pada masa pandemi COVID-19 pelayanan kesehatan terdapat perubahan yaitu perubahan alur pelayanan, jam pelayanan, menggunakan protokol kesehatan, bahkan ada juga yang menggunakan telemedicine untuk mengurangi paparan COVID-19. DOI : 10.35990/mk.v4n4.p433-446
Determinants of Postnatal Care Service Utilization in Indonesia: A Secondary Analysis Using the Indonesian Health and Demographics Survey Idris, Haerawati; Syafriyanti, Willyana
Makara Journal of Health Research
Publisher : UI Scholars Hub

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Abstract

Background: The postnatal complication that occurs in the first week after childbirth is one of the causes of maternal death in Indonesia. However, it can be prevented with postnatal care (PNC). This study aims to analyze the determinants of PNC service utilization in Indonesia. Methods: This quantitative study employed a cross-sectional study design and used secondary data from the Indonesian Health and Demographics Survey of 2017. The sample consisted of 14,724 women aged 15–49 years. We assessed the predictors of PNC service utilization using multivariate logistic regression models. Results: About 78.4% of the respondents utilized PNC services. The factors that have a significant association with PNC service utilization include the following: college and secondary of level education, working status, high economic status, residence in the Java–Bali region, delivery assistance by a health worker, delivery by cesarean section, and complete antenatal care during pregnancy. Among these, residence in the Java–Bali region is the most dominant factor associated with PNC service utilization in Indonesia. Conclusions: The difference area is a key factor in PNC service utilization. Government efforts to improve PNC service utilization must consider the equitable distribution of health facilities and health workers throughout the country.
Trends and Determinants of Family Planning Utilization Among Men in Indonesia Idris, Haerawati; Syafriyanti, Willyana
Makara Journal of Health Research Vol. 25, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: Population growth rate in the world is still increasing. To control population growth, governments issue family planning programs for married women and men. However, contraception use is still dominated by women. This study aims to analyze the trends and determinants of family planning utilization among men in Indonesia. Methods: This study is quantitative in nature with a cross-sectional design, using secondary data from the Indonesian Health Demographic Survey (2007–2017). The sample comprised married men with a total of 27,859 respondents. For the final analysis, we conducted logistic regression statistical tests to determine family planning utilization among men. Results: Family planning utilization trends among married men in Indonesia increased. The proportion utilization of family planning among men was 3.7% (2007), 4.2% (2012), and 5.6% (2017). Higher and secondary education, media exposure, age, type of residence, and economic status significantly correlated with family planning utilization among married men. Higher education was the most dominant factor associated with family planning utilization among males in Indonesia (p < 0.001; Prevalence Ratio (PR) 4.636 Confidence Interval 95% (3.645–5.897). Conclusions: Male education is the most crucial factor of family planning utilization. Increasing knowledge regarding family planning is expected to increase information and awareness about family planning utilization.
Factors Associated with Independent National Health Insurance Ownership among Reproductive Aged Women in Indonesia Widiarti, Ika Putri; Idris, Haerawati
Makara Journal of Health Research Vol. 26, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Indonesia has been aiming toward universal health coverage since 2019, but it has yet to be achieved. The National Health Insurance (NHI) program provides individual services for women of reproductive age who require health care before pregnancy, during pregnancy, and at the time of labor. This study aims to analyze factors associated with independent NHI ownership among women of reproductive age in Indonesia. Methods: Secondary data from the Wave 5 Indonesia Family Life Survey (IFLS) involving 2,084 women of reproductive age were used. The chi-square test and logistic regression test were used for data analysis. Results: The percentage of women of reproductive age who have independent NHI was 48.4%. Age, region, residence, education, marital status, employment status, chronic disease history, health perception, and economic status were associated with the independent NHI ownership. Urban was found to be a predictor for insurance ownership. Conclusions: Women of reproductive age who live in urban areas are more likely to have NHI than those in rural areas. The Indonesian government should improve NHI ownership equality by expanding health insurance coverage in rural areas.
Trends and Determinants of Using Delivery Assistance by Health Workers: A Secondary Analysis Using the 2007–2017 Indonesian Health and Demographics Survey Idris, Haerawati; Syafriyanti, Willyana
Makara Journal of Health Research Vol. 26, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: The World Health Organization reports that approximately 295,000 women died during or after their pregnancy and delivery in 2017. However, such deaths can be prevented by using delivery assistance from health workers. This study aims to analyze the trends and determinants of using delivery assistance by health workers in Indonesia. Methods: A quantitative cross-sectional design is adopted to analyze secondary data from the Indonesian Health Demographic Surveys in 2007, 2012, and 2017. The sample includes married women that are selected according to inclusion and exclusion criteria: 15.011 respondents in 2007, 14.989 in 2012, and 15.179 in 2017. Data are analyzed using logistic regression statistical tests. Results: This study shows the significant increase of using delivery assistance by health workers in Indonesia, from 53.8% in 2007, 68.8% in 2012, to 77.9% in 2017. Age, residence in the Java/Bali region, residence in urban areas, high and secondary education, high economic status, complete antenatal care visits, and knowing the signs of danger during pregnancy have significant relationships with delivery assistance by health workers among women. After being controlled by another factor, higher education is the most dominant factor associated with using delivery assistance by health workers among women in Indonesia (p < 0.001; Prevalence Ratio (PR) of 3.727 (3.123–4.447). Conclusions: Women’s education is the most important factor in delivery assistance by health workers utilization. Increasing knowledge regarding utilization of health worker assistance during delivery can be carried out through educational information, counseling or seminars, the Internet, and other media that are expected to increase information and awareness to take advantage of such service.
Ekuitas Terhadap Akses Pelayanan Kesehatan: Teori & Aplikasi dalam Penelitian Haerawati Idris
Jurnal Ilmu Kesehatan Masyarakat Vol. 7 No. 2 (2016): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.985 KB)

Abstract

Latar Belakang: Ekuitas terhadap akses pelayanan kesehatan merupakan tantangan besar yang dihadapi oleh berbagai negara di dunia. Kesenjangan status kesehatan antara negara maju dan berkembang sering terjadi. Termasuk kesenjangan kesehatan antar kelompok dalam suatu negara. Studi ini bertujuan untuk mendeskripsikan konsep dan aplikasi ekuitas terhadap akses pelayanan kesehatan dalam penelitianMetode: Literatur review ini merupakan studi pemetaan sistematis terkait ekuitas terhadap akses pelayanan kesehatan di beberapa negara. Dilakukan dengan satu set lima pertanyaan penelitian, terdapat 30 studi, mulai 1999-2014, dievaluasi.Hasil Penelitian: Ekuitas dalam akses pelayanan kesehatan terjadi jika pelayanan kesehatan telah terdistribusi menurut geografi, sosial ekonomi dan kebutuhan masyarakat. Demikian pula sebaliknya. Studi empiris umumnya melaporkan kejadian inekuitas terhadap akses pelayanan kesehatan dipengaruhi oleh berbagai faktor. Umumnya peneliti menggunakan data sekunder dalam mengeksplorasi ekuitas terhadap akses pelayanan kesehatan.Kesimpulan: Ekuitas terhadap akses pelayanan kesehatan merupakan isu penting yang perlu mendapatkan perhatian dalam mencapai tujuan sistem kesehatan. Hal ini dapat tercapai jika pelayanan kesehatan terdistribusi menurut geografi, sosial ekonomi dan kebutuhan masyarakat. Upaya perbaikan dari sisi supply side dan demand side serta eksplorasi studi-studi ekuitas akses pelayanan kesehatan perlu dikembangkan.
Co-Authors : Samwilson Slamet, : Samwilson A Yosef Wempie Abubakar Lutfi Ahmad Ghiffari Alvera Noviyan Alvera Noviyani Amrina Rosyada Asmaripa Ainy Asri Maharani Assaini Carinta Padang Bambang B. Soebyakto Chairil Anwar Dea Pradisa Desheila Andarini Devy Yuliantari Dewi Milandiah Dian Hayati Dian Safriantini Dian Safriantini Dian Safriantini Dian Safriantini, Dian Elan Satriawan Eni Nuraini Erika Pebriyanti Erna Erna Erna Erna Faiznur Ridho Fatma Juwita Lubis Gian Septhayudi Gusti Tri Wahyuni Gustri Olivianti Hamzah Hasyim Henny Febriyanti Henny Henny Icon Harizon Ikhsan Ikhsan Imelda Gernauli Purba, Imelda Gernauli Indah Fasha Palingga Indah Yuliana Inoy Trisnaini Iwan Stia Budi Jangga Junisa Anggraini Khairunnisa Khairunnisa Kirana Kirana Kurnia Aini Laksono Trisnantoro Leni Utami Linda Zuliana Lindia Herawati Lusia Weni M Zulkarnain M Zulkarnain Maya Apriani Misnaniarti Misnaniarti Misnaniarti Mohammad Zulkarnaian Muhammad Yuwono Mulia Fadhilatul Azizah Musmarlinda Musmarlinda Najmah Najmah Najmah, Najmah Natalia Natalia Nila Kusumah Ningsih, Nining Ade Novrika Sari Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Alam Fajar Nur Farida Rahmawati Nurafni Nurafni Nurafni Nurlaili Nurlaili Pierre Ramadha K Rahmawati Rahayu Rahmawati, Nur Farida Riana Agny Betry Rico Januar Sitorus Rico Januar Sitorus Rini Anggraini Rini Anggraini Ririn Noviyanti Putri Risa Nur Amalia Riska Arista Rizky Putri Pratiwi Rizma Adlia Syakurah Rosdiana Rosdiana Rostika Flora Rostika Flora Rostika Flora Rostika Flora Rudy Chendra Saleh Saleh Saparuddin Latu Selvi Fitriah Shania Nursiah Hasri Siti Halimatul Munawarah Siti Zaleha Siti Zaleha Sri Aisyah Nabila Sutari Sutari Syafriyanti, Willyana Tia Sabrina Titien Kesuma Uttami A Suca Virgina Putri Sabila Widiarti, Ika Putri Yeti Sukeni Yuanita Windusari Yuanita Windusari Yuli Zulaikha Yuni Lasmita Yuni Lasmita Zulkandi Zulkandi Zulkarnain Zulkarnain Zulkarnain, Mohammad