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Faktor - Faktor yang Berhubungan dengan Kepatuhan Kunjungan Program Rujuk Balik (PRB) pada Pasien Hipertensi di Puskesmas Halmahera Zahwa Varentina Nafisa; Fitri Indrawati; Widya Hary Cahyati
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57778

Abstract

Hipertensi tergolong dalam penyakit menahun dengan sebaran kasus yang luas, yang pada prosesnya memerlukan pengelolaan berkelanjutan, salah satunya melalui Program Rujuk Balik (PRB). Namun, tingkat kepatuhan kunjungan PRB pada pasien hipertensi masih rendah, sehingga berpotensi menghambat pengendalian tekanan darah dan meningkatkan risiko komplikasi. Tujuan dari penelitian ini adalah untuk menganalisis faktor risiko yang memengaruhi kepatuhan kunjungan PRB bagi penderita hipertensi di Puskesmas Halmahera, Semarang. Melalui metode kuantitatif dengan rancangan cross-sectional, sampel sebanyak 84 orang diambil secara purposive. Analisis data mencakup uji statistik Chi-Square dan regresi logistik untuk menguji hubungan antar variabel dengan nilai signifikansi p<0,05. Hasil penelitian menunjukkan bahwa sebagian besar responden tidak patuh (61,9%). Variabel yang berhubungan signifikan dengan kepatuhan adalah tingkat pengetahuan (p=0,014; PR=4,283), kepuasan pasien (p=0,011; PR=3,606), keterjangkauan akses (p=0,025; PR=3,222), dan dukungan keluarga (p=0,021; PR=3,960). Analisis multivariat menunjukkan bahwa kepuasan pasien (p=0,016; Exp(B)=3,433) dan keterjangkauan akses (p=0,035; Exp(B)=3,031) merupakan faktor dominan, dengan kepuasan pasien sebagai faktor paling berpengaruh terhadap kepatuhan kunjungan PRB.
Strengthening Community Readiness for a Possible Avian Influenza Resurgence Nurrohman, Agus; Handayani, Oktia Woro Kasmini; Cahyati, Widya Hary; Rahayu, Sri Ratna
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i4.36967

Abstract

Avian influenza (AI) continues to pose a significant zoonotic threat in communities where close contact between humans and poultry is common. In 2024–2025, several areas, including Semarang City, Klaten, Temanggung, and Purworejo, reported simultaneous poultry deaths that were subsequently confirmed as AI through laboratory testing. This study aimed to develop and evaluate a community-based educational model to enhance readiness for a potential AI resurgence in Semarang City. A research and development (R&D) approach was employed using the ADDIE framework, encompassing needs analysis, model development, expert validation, pilot testing, and refinement. A mixed methods approach assessed knowledge, attitudes, practices, self-efficacy, and health commitment, complemented by qualitative feedback from community cadres and local leaders. Independent t-tests compared pre- and post-intervention results between intervention and control groups. The intervention included a validated educational module, cadre capacity strengthening, and community-based surveillance components. The intervention group demonstrated statistically significant improvements across all assessed variables (p = 0.000), whereas the control group exhibited no significant changes (p > 0.05). The community-based educational model, known as KONMABUR (Komunitas Masyarakat Anti Flu Burung), proved effective in enhancing community preparedness for AI and shows potential for broader application in the prevention of other zoonotic diseases.
Dental Caries Incidence Among Children at the Dental and Oral Hospital of Universitas Muhammadiyah Semarang Innes Dewi Noviany Bambela; Widya Hary Cahyati; Eko Farida
Public Health Perspective Journal Vol. 10 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v10i1.25226

Abstract

Early childhood dental caries constitutes a major public health problem in Indonesia, with an exceptionally high disease burden. Data from the 2018 National Basic Health Research (Riskesdas) reported a caries prevalence of 81.5% among children aged 3–4 years, increasing to 92.6% among those aged 5–9 years, placing Indonesia among countries with the highest prevalence globally. This study aimed to analyze risk factors associated with dental caries in children, including sex, dietary habits, toothbrushing practices, parental education level, and history of preterm birth. A case–control study design was employed at the Dental and Oral Hospital of Universitas Muhammadiyah Semarang, involving 88 children aged 3 10 years selected through purposive sampling. The case group consisted of 44 children diagnosed with dental caries based on medical records (ICD-10: K02), while the control group comprised 44 children without dental caries (ICD-10: Z01.2). Data were collected using validated questionnaires and medical records. Respondent characteristics indicated that the case group was predominantly male, aged 6–10 years, and exhibited poor dietary and toothbrushing habits. Statistical analyses were conducted using the Chi-square test and logistic regression. The results demonstrated that poor dietary habits were the most dominant risk factor for dental caries (OR = 98.967; p < 0.001), followed by toothbrushing practices, which remained statistically significant in the final model. The predictive model showed that children with poor dietary habits and inadequate toothbrushing practices had a 99.37% probability of developing dental caries. These findings underscore the importance of early screening and behavioral interventions targeting dietary practices and oral hygiene among children, supported by collaborative efforts involving parents, schools, and healthcare services to reduce the prevalence of childhood dental caries.
Improving Clean and Healthy Living Behaviors Among Indonesian Migrant Workers in Malaysia Widya Hary Cahyati; Ratna Dewi Kusumaningtyas; Wandah Wibawanto; Annisa Putri Salsabila; Regina Marsha Nathaniela; Sultan Aulia Rahmat
Jurnal Abdimas Vol. 28 No. 1 (2024): June 2024
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/3zwq9z73

Abstract

The Clean and Healthy Living Behavior Program (PHBS) is an effort to prevent disease by getting used to clean living and healthy behavior. PHBS is very important to be applied to the entire community, including Indonesian Migrant Workers (PMI). PMI live overseas, so health is very important. If they get sick, it will create new problems because access to health services is limited, and there is no family who can look after them. The solution offered to partners' problems is socialization regarding clean and healthy living habits, as well as how to get used to clean and healthy behavior. The development of a video about how to get used to living a clean and healthy life aims to increase the capacity of Indonesian migrant workers in Malaysia to get used to living a clean and healthy life, so that they can prevent disease attacks. The use of videos is intended to make socialization activities more effective. The Indonesian Embassy in Johor Bahru is a service partner, which will assist in bridging the service program that UNNES will carry out for PMI in the Johor Bahru Region. After conducting outreach to PMIs, the next step is to form several groups consisting of several PMIs to ensure the sustainability of the implementation of the PHBS program. The result of this activity is the availability of the PMI group as a forum for sharing and doing joint activities , as well as increasing knowledge and understanding about PHBS.
The Phenomenon of Dengue Fever in Climate Change Widya Hary Cahyati; Dina Nur Anggraini Ningrum; Andi Irwan Benardi; Hanif Pandu Suhito; Izha Fajar Al Isynaini; Ratna Sri Indrawati
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.34137

Abstract

Dengue fever is a health challenge in tropical and subtropical countries. The increase in dengue cases in Indonesia is influented by urbanization, climate change, higher population mobility, and community behavior. This study aims to describe the climate factors, temperature, humidity, rainfall, and wind speed, as well as dengue fever cases. This study uses a descriptive observational design with an ecological study approach. The data collection technique used in this study was secondary data in the form of documentation studies by analyzing records of dengue fever case numbers and climate data. The average monthly temperature ranges from 26.8 to 31.3°C, the average monthly humidity ranges from 65.1 to 85.7%, and rainfall fluctuates significantly, with the highest intensity reaching 28.7 mm. Dengue fever cases show a fluctuating trend, with the highest number in 2023 at 541 cases. Climate factors play a role in the dynamics of dengue cases in Semarang City. Temperature and humidity are within the optimal range that supports mosquito breeding and dengue virus transmission. High rainfall allows for puddles of water to form, which serve as breeding grounds for mosquitoes. Low wind speeds also facilitate mosquito flight activity.
Enhancing Occupational Health Capacity for Indonesian Migrant Workers in the Domestic Sector in Hong Kong Widya Hary Cahyati; Evi Widowati; Della Fitriana
Jurnal Abdimas Vol. 30 No. 2 (2026): December 2026
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/abdimas.v30i2.62072

Abstract

Indonesian migrant workers (PMI) in Hong Kong's domestic sector face various occupational health and safety risks, as well as limited understanding regarding social protection. This community service initiative aims to enhance the health-related capacity of these workers through education on occupational health and employment-related social protection programs. A participatory approach was employed, comprising preparation, implementation, and evaluation phases. The activities included educational presentations, discussions, and Q&A sessions covering occupational health, the prevention of diseases and workplace accidents, stress management, healthy lifestyle practices, and an understanding of employment social security programs in both Indonesia and the host country. The results indicate that participants engaged actively and enthusiastically throughout the program, gaining increased knowledge regarding the importance of occupational health protection, workplace safety, and employment-related social protection. This initiative is expected to improve occupational health literacy and encourage the utilization of social protection programs, thereby enhancing the health, safety, and productivity of Indonesian migrant workers while employed abroad.
Co-Authors Abdul Hakam Abroery Abroery Agustin, Fatehah Rahma Agustin, Fatehah Rahma Ainun Nisa, Alfiana Akbariandi, Robby Akhsanu Amala Al Isynaini, Izha Fajar Al Kautsar, Nikmatul Ilma Aldias Bahatmaka Alvy Fajri Amala, Akhsanu Ambar Atikah Zain Amir Mahmud Anakita, Cantika Salya Manikawening Andi Irwan Benardi, Andi Irwan Andreas Wilson Setiawan Anggara, Raka Angger Luhung Nur Fadilah Anggit Kartikasari Anggraini, Tri Septa Anggraini, Tri Septa Anggun Dessita Wandastuti Angraini, Ulfi Ani Nur Fauziah, Ani Nur Anies Setiowati, Anies Anik Setyo Wahyuningsih Anisa Viola Pitaloka Annisa Pramitasari Annisa Putri Fatmasari Annisa Putri Salsabila Apriani, Annisa Sifa Ardika, Noviana Ayu Ari Yuniastuti Arum Lusiana Arum Lusiana Arum Siwiendrayanti Asturiningtyas, Ika Puspita Atika Aulia Aufiena Nur Ayu Merzistya Aviana, Rhanindra Ayu, Dhea Istiva Bambang Budi Raharjo Bambang Budi Raharjo Bambang Budi Raharjo Basiroh, Umi Malikhatul Budi Laksono Budi Mulyaningsih Budi Widyaningsih BUDIONO SKM, M.Kes(Epid), IRWAN Cahya Wulandari Casmuti, Casmuti Chatila Maharani Daryati Daryati Deby Aulia Fandani Della Fitriana Devi Ayu Susilowati Dina Nur Anggraini Ningrum Dina Nur Anggraini Ningrum Dwiastuti, Sagung Agung Putri Dyah Mahendrasari Sukendra Dyah Rini Indriyanti Efa Nugroho Eko Farida Elvie F Dungga Emaliana Saomi, Eva Eram Tunggul Pawenang Erika Wijayanti Erli Widiastuti Ernawati Ernawati Eunike R Rustiana Eunike R. Rustian Evi Widowati Fahrurozi, M. Fajriyah, Anidaul Farida, Eko Faza Khilwan Amna, Faza Khilwan Febriantika, Febriantika Fennyta Fika Fiyanza Feriyanti Lestari Fitri Indrawati Fitria Ardyanti Ramadhani Fitria Ningsih Galuh Nita Prameswari Galuh Nita Prameswari Golo, Zefan Adiputra Hadi Ashar Hanan, Latifa Haniek Try Umayana, Haniek Try Hanif Pandu Suhito Hari Rudijanto Indro Wardono Hari Rudijanto Indro Wardono Heni Maulidah Hermania, Chindy Hermawati, Bertakalswa Hikmah, Mamluatul Husodo, Martanto Setyo I Made Sudana Ika Utami, Ika Imam Subhi, Imam Ina Kusrini Inayah Anggraini Nanda Pramesti Indah Putrianti Indah Sulistyowati, Indah Innes Dewi Noviany Bambela Intan Zainafree, Intan Irmawati Irmawati Irsam, Muhamad Irwan Budiono Isbandi Isbandi Iskandar, Wawan Istiada, Ayu Ita Yulita, Ita Izha Fajar Al Isynaini Jasmine, Agvely Aulia Jayawarsa, A.A. Ketut Jumirah, Yasinta Jusran, Alek Jusuf Kristianto Juwita, Fitra Karnowo - Kartika Nugraheni Khairunnisa, Marizka Kusuma, Refani Alycia Laila Fitriani Latifah Rachmawati Lestari, Yanesti Nur Avianda Lia Diah Kumalasari Liftiah Liftiah Lilis Hartati Linda Riski Sefrina Lukman Fauzi Lukman Fauzi Made Sudana, I Maelani, Tika Magai, Nandito Mapian Magai, Nandito Mapian Mahalul Azam Maharani, Adelia Wahyuningtyas Mahrunnisa, Desy Rizky Mardiana Mardiana Margareta Rahayuningsih Nugroho Edi K Mariezko, Arnayla Nezza Marpid, Adrin Daila Martien Herna Susanti Maulidah, Heni Meviana, Dliya Laela Eka Michael Yong Hwa Chia Minhajul Mubarok Mona Subagja Muhamad Anbiya Nur Islam Muhammad Azinar Muhammad, Fathurrahman Mukharomah, Kunthi Isti Muna, Ni'mal Muna, Ni'mal Muniroh Muniroh Muniroh, Muniroh Nadhiroh, Siti Ainun Nadhiroh, Siti Ainun Najib Najib Nanik Wijayati Natalia Desy Putriningtyas, Natalia Desy Niken Lestari, Niken Ningtyas, Dyka Arya Ratna Nisa, Alfiana Ainun Nugroho, Kaori Risma Fauzia Nur Dina Amalina Nur Siyam Nur Wahidah Nurdian Susilowati Nurfajriah, Nurfajriah Nurfitriani Nurfitriani, Nurfitriani Nurrochmah, Siwi Amru Nurrohman, Agus Nuryanti, Susi Nuryanto Nuryanto Oktabella, Zulvaida Haditya Oktavia, Eka Radiyani Oktavia, Eka Radiyani Oktaviani Cahyaningsih Oktia Woro Kasmini Handayani Paripurna, Yoga Parno Parno Pramitasari, Annisa Pranindita, Salsabila Kinaya Prasetya, Henky Yoga Priadi Eling Waskito PS, Yunita Dyah Purwoko, Sidiq Puspitasari, Candra R. Susanti R. Susanti Rachmawati, Latifah Raffy Rustiana, Eunike Raffy Rustiana Rahayu, Dinta Alfiyanti Rahmadani, Anisya Raina Khairana Denando Raina Khairana Denando Ratna Dewi Kusumaningtyas Ratna Rahayu, RR Sri Ratna Rahayu, Sri Ratna Sri Indrawati Regina Marsha Nathaniela Ririn Wulansari Riski Margareta Rizki Amalia Rohmawati, wahidah Apri Rosadah, Shalma Rosha, Putri Tiara Rr. Sri Ratna Rahayu Rudatin Windraswara Russiska, Russiska S Rahmah Umniyati, S Rahmah Saefurrohim, Muhamad Zakki Safitri, Isnaeni Anggi Salviana, Eka Asvista Sanjani, Jauharotusf Syifa Kusrah Sari, Emi Yela Utami Sari, Merlinda Permata Sari, Merlinda Permata Satriani Satriani Savitri, Annisa Aulia Setya Rahayu Shakin Ervita Oktaviyani Shinta Kaozar Wiratman Sholehawati, Ardhita Sholikun, Sholikun Sidiq Purwoko Sidiq Purwoko Sigit Ambar Widyawati Simanjuntak, Sugianto Parulian sinta septiyawati, Gabrial Siska Yunita Arsula Siti Harnina Bintari Siti Istiana Siti, Putri Rafika Sofwan Indarjo Sri Ratna Rahayu Sri Ratna Rahayu Sri Sulastri Sri Sumartiningsih Suazini, Esa Risi Suharyo - Suharyo Suharyo Suhito, Hanif Pandu Sulastien, Herni Sulastri Sulastri Sultan Aulia Rahmat Sulur Joyo Sukendro Susilowati, Ita Sutini Sutini, Sutini Syahroni, Arfan Syarifah Nurhayati Tandiyo Rahayu Tatik Atmini tri wahyuni Tur Endah Sukowinarsih Ulfah Husna Labibah Ummul Mahmudah Wahyudi Wahyudi Wandah Wibawanto Wara Dyah Pita Rengga Wardono, Hari Rudijanto Indro widowati widowati Widya Asmara Widya Dwi Qinahyu Widyaningsih, Budi Wijayanti , Yuni Wikky Fawwaz Al Maki Wiratama, Rifki Woro Kasmini, Oktia yoga agung prabowo Yuli Kurniawati Sugiyo Pranoto, Yuli Kurniawati Sugiyo Yuliaji Siswanto Yuni Wijayanti Zahwa Varentina Nafisa Zaimatuddunia, Irma Zainafree , Intan Zainuddin Zainuddin Zulfiarini, Febriana Maya Zulfiarini, Febriana Maya