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All Journal International Journal of Public Health Science (IJPHS) Jurnal Ners Indonesia Jurnal Kesehatan Masyarakat Jurnal Kesehatan Lingkungan Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Antropologi: Isu-Isu Sosial budaya Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Universitas Batanghari Jambi Jukema (Jurnal Kesehatan Masyarakat Aceh) Jurnal Kesehatan Medika Saintika Jurnal Hilirisasi IPTEKS (JHI) JIK- JURNAL ILMU KESEHATAN Jurnal Sehat Mandiri Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Indonesian Journal of Health Sciences Research and Development (IJHSRD) Journal SAGO Gizi dan Kesehatan Jurnal Kesmas Jambi Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Andalas Dental Journal Sehat Rakyat: Jurnal Kesehatan Masyarakat Berita Kedokteran Masyarakat Cakradonya Dental Journal SOSIO KONSEPSIA: JURNAL PENELITIAN DAN PENGEMBANGAN KESEJAHTERAAN SOSIAL Malahayati International Journal of Nursing and Health Science NERS Jurnal Keperawatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan
Defriman Djafri
Fakultas Kesehatan Masyarakat, Universitas Andalas
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Dukungan Sosial terhadap Pengasuhan Balita Stunting: Perspektif Pengasuh di Nagari Tanjung Sumatera Barat Siswati, Hermaini; Afrizal; Djafri, Defriman; Symon, Denas
Sosio Konsepsia: Jurnal Penelitian dan Pengembangan Kesejahteraan Sosial Vol. 14 No. 2 (2025): Sosio Konsepsia: Jurnal Penelitian dan Pengembangan Kesejahteraan Sosial
Publisher : Pusat Pendidikan, Pelatihan, dan Pengembangan Profesi Kesejahteraan Sosial (Pusdiklatbangprof Kesos), Kementerian Sosial RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33007/ska.v14i2.3525

Abstract

Stunting merupakan masalah kesehatan masyarakat yang kompleks di Indonesia, tidak hanya disebabkan oleh kekurangan gizi, tetapi juga dipengaruhi oleh pola pengasuhan yang belum optimal. Penelitian ini bertujuan untuk menganalisis peran dukungan sosial dalam pengasuhan balita stunting di Nagari Tanjung, Sumatera Barat. Pendekatan yang digunakan adalah mixed methods dengan desain explanatory sequential. Tahap kuantitatif melibatkan 47 pengasuh balita stunting melalui survei terstruktur, kemudian dilanjutkan dengan wawancara mendalam untuk mengeksplorasi pengalaman subjektif pengasuh dalam menerima dan memanfaatkan dukungan sosial. Analisis data dilakukan dengan uji Chi-Square untuk menguji hubungan antarvariabel dan thematic analysis untuk menggali tema-tema kualitatif.Hasil penelitian menunjukkan bahwa tenaga kesehatan dan kader Posyandu menjadi aktor utama pemberi dukungan sosial, sementara keterlibatan ayah dalam pengasuhan masih terbatas akibat tekanan ekonomi dan kuatnya norma budaya patriarki. Pengasuh menghadapi beragam hambatan, seperti akses terbatas terhadap pangan bergizi, kurangnya stimulasi perkembangan anak, serta rendahnya pemanfaatan layanan kesehatan. Dukungan sosial dari komunitas juga masih bersifat sporadis dan belum terstruktur secara berkelanjutan.Pemerintah memiliki peran strategis dalam membangun ekosistem intervensi berbasis komunitas, termasuk melalui program pendampingan dan pemberdayaan kader. Meskipun bantuan sosial seperti PKH dan BPNT telah disalurkan, upaya edukasi pola asuh masih belum mencapai efektivitas yang diharapkan. Oleh karena itu, diperlukan program yang lebih intensif untuk mendorong keterlibatan ayah, meningkatkan keterampilan ekonomi keluarga, serta memperkuat peran komunitas sebagai jaringan dukungan sosial dalam pengasuhan anak stunting.
Effects of Mercury Exposure, Community Behavior, and Activities on Contact Dermatitis in a Watershed Area, 2024 Rahmi, Sintha Defiza; Djafri, Defriman; Ramadani, Mery
Jurnal Kesmas Jambi Vol. 9 No. 2 (2025): VOLUME 9 - NUMBER 2 - July 2025
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v9i2.45789

Abstract

Contact dermatitis is a skin disease with the highest prevalence compared to other types of skin disorders.This study examines the influence of mercury (Hg) exposure levels, community behavior, and activity patterns on the incidence of contact dermatitis in the Batang Tebo River flow, Bungo District, in 2024. The study employed a matched case-control design. The minimum sample size was 49 pairs, with an additional 10% added to account for potential non-response, resulting in a target of 54 matched pairs. After data collection, the final sample consisted of 51 matched pairs with a case-to-control ratio of 1:1. Samples were selected using simple random sampling with matching based on sex. Primary data were collected through interviews with respondents. Case data were obtained from the medical records at Air Gemuruh Primary Health Center. Bivariate analysis identified variables significantly associated with contact dermatitis: mercury (Hg) exposure level (OR = 5.8; 95% CI: 2.24–14.98), bathing activity (OR = 8.5; 95% CI: 3.01–23.95), and contact frequency (OR = 5; 95% CI: 1.91–13.06). Multivariate modeling showed that bathing activity was the most dominant factor influencing the incidence of contact dermatitis.
The Moderating Role of Social Determinants in the Association between Malnutrition and Dental Caries Among Elementary School Children Auliya, Suci; Djafri, Defriman; Ramadani, Mery
Cakradonya Dental Journal Vol 17, No 2 (2025): Agustus 2025
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v17i2.45701

Abstract

Dental caries represents a significant health issue, being the most prevalent disease worldwide. Despite being easily preventable, its prevalence has not significantly decreased over the past thirty years and remains concentrated within groups of low socioeconomic status. Chronic malnutrition (stunting) in children can cause atrophy and reduced saliva secretion, which affects masticatory performance and the OHIS (Oral Hygiene Index Simplified). This study aims to determine the influence of social determinants on the correlation between stunting and dental caries in elementary school children. A cross-sectional study design was implemented, and data were analyzed using bivariate and multivariate methods. The findings of this investigation demonstrate a statistically significant association between malnutrition and dental caries (p-value = 0.010). The interaction analysis identified toothbrushing habits as a significant covariate exhibiting an interactive effect between nutritional status and the prevalence of dental caries. Following adjustment for interaction and confounding variables in the final multivariate regression model, the Prevalence Odds Ratio (POR) for nutritional status was determined to be 6.739, with a corresponding significance level of 0.007. Furthermore, the regression coefficient (B) was calculated as 1.908, indicating a positive correlation between nutritional status and the occurrence of dental caries. Based on the results of the study, it was concluded that there is a significant relationship between malnutrition and dental caries that was identified as being influenced by social determinants of toothbrushing habits.
Promoting social transformation through basic social work training for the Nagari apparatus: a case study in West Sumatra Siswati, Hermaini; Afrizal; Djafri, Defriman; Symon, Denas
BKM Public Health and Community Medicine Vol 41 No 08 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i08.21002

Abstract

Purpose: This study aims to analyze why social support has not yet successfully transformed parenting behavior among caregivers of stunted toddlers in Nagari Tanjung, West Sumatra, and to identify internal and external barriers that prevent caregivers from accessing and utilizing the available support. Methods: We used an exploratory qualitative approach with a case study design, involving 47 caregivers of stunted toddlers. The findings highlight parenting barriers and provide a compelling argument for promoting Basic Social Work Training (PDPS) among nagari officials, thereby enabling them to integrate various social components within their communities effectively. We collected data through in-depth interviews, participatory observation, and documentation, then thematically analyzed it based on internal and external factor categories. Data collection was conducted in Nagari Tanjung, West Sumatra, in 2024. Results: The main barriers include low nutritional literacy, stigma, shame, minimal father involvement, and beliefs in myths such as palasik. Social support from family, community, health workers, and the government has not been effective due to a lack of integration, inadequate cultural contextualization, and insufficient attention to psychosocial aspects. Moreover, the role of community social workers (PSM) at the village level has not been fully optimized, further exacerbating the situation. Conclusion: Community- and culture-based interventions are necessary, along with capacity-building for Nagari government officials through PDPS, to enable them to function similarly to social workers. The Ministry of Social Affairs should extend this training to the village or nagari level, not just at the provincial or district level. Strengthening the roles of nagari officials, village midwives, and community cadres (PKK, Posyandu, Family Planning, PPKBD, Human Development Cadres, PSM, and PKH facilitators) can help coordinate a sustainable and culturally contextual parenting support system.
Variation and Predictors of COVID-19 Mortality in Hospitalized Cases in West Sumatra Province, Indonesia: A Retrospective Observational Study Djafri, Defriman; Putri, Ade Suzana Eka; Pradipta, Yudi
Kesmas Vol. 19, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

During 2020, the year of the COVID-19 pandemic, different Indonesian provinces had different numbers of COVID-19 infections and fatalities, particularly in West Sumatra Province. This study aimed to investigate the variation of confirmed COVID-19 cases and determine predictors of mortality in hospitalized patients across districts in West Sumatra Province. A retrospective observational study was conducted during the COVID-19 pandemic. From March 2020 to June 2021, 46,005 confirmed cases were collected in the province, of which 42,308 were hospitalized and analyzed. Confirmed cases and deaths were compared by geographic location using spatial analysis. The risk predictors of death were estimated using logistic regression. COVID-19 incidence and mortality varied across cities/districts, with less than 1,000 confirmed cases appearing to be the lowest number. A distinct pattern was visible nonetheless when the incidence density of confirmed cases and deaths was higher. Acute respiratory distress syndrome during the COVID-19 treatment had a higher risk of death (OR = 75.2, 95% CI: 25.6–250). The most significant predictors of death in terms of comorbidity were pneumonia, followed by cancer, chronic obstructive pulmonary disease, diabetes, cardiac disease, and hypertension.
Implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang city during the COVID-19 pandemic Fadhil, Muhammad; Djafri, Defriman; Masnarivan, Yeffi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

​​Objectives: Covid-19 pandemic affected all sectors, including health. Stunting prevalence in Indonesia by 2019 is 26.67%, above 20% of Indonesia’s target. This study aims to review the implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang City during Covid-19 Pandemic. Method: The design in this study uses mixed methods. This study took place in August 2020 – February 2021 at two health centers (Belimbing and Seberang Padang). A systemic approach was made for a qualitative method, and there were 11 informants required in this study determined by purposive sampling. Data collection uses in-depth interviews, observations, and document review, with data source and method triangulation. The quantitative method was analyzed using univariate analysis to observe the differences in 2019 and 2020 specific interventions for stunting. Result: This pandemic affected two study health centers. Most interventions did not reach their targets, such as exclusive breastfeeding, complete basic immunization, health promotion activities, vitamin A and folic acid intake, and pregnancy visits to healthcare facilities. Puskesmas Seberang Padang distinguished Covid-19 task force and stunting interventions team, and in Puskesmas Belimbing add more days for immunization. Diarrheas increased from 92 to 101 cases in 2018 and 2019 at Seberang Padang, while decreased from 101 to 56 cases at the Belimbing. Conclusion: Both health centers have different strategies and priorities for tackling stunting during the Covid-19 pandemic. In short, many interventions did not reach the target. The trend of diarrheal in 2018 and 2019 at Puskesmas Seberang Padang decreased and increased at Puskesmas Belimbing. Both health centers need to maximize the intervention for stunting during the Covid-19 pandemic by sticking to health protocols.
Determinan Kesehatan dan Faktor Risiko Komorbiditas Terhadap Penderita Tuberkulosis (TB) COVID-19 Fachrizal, Indra; Djafri, Defriman; Syafrawati, Syafrawati
JIK-JURNAL ILMU KESEHATAN Vol 7, No 2 (2023): JIK-Oktober Volume 7 Nomor 2 Tahun 2023
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v7i2.954

Abstract

Tuberkulosis masih menjadi masalah global dengan estimasi 10,6 juta kasus pada tahun 2021. Indonesia menempati urutan ketiga dengan jumlah kasus TB sebamyak 969 ribu kasus. Pandemi COVID-19 berdampak pada terjadinya koinfeksi TB COVID-19 yang dapat memperparah status klinis penderita TB. Penelitian ini bertujuan untuk mengetahui pengaruh determinan kesehatan dan faktor risiko komorbiditas terhadap penderita TB COVID-19 di Kota Tebing Tinggi Sumatera Utara tahun 2020-2022. Jenis peneltian adalah studi case control match. Penelitian menggunakan data sekunder dari sistem informasi TB (SiTB) dan All Record COVID-19 Provinsi Sumatera Utara. Sampel sebanyak 36 orang dengan perbandingan kasus dan kontrol adalah 1:1. Analisis data multivariat menggunakan uji regresi logistik. Hasil penelitian memperoleh 36 kasus TB COVID-19 dan 36 kasus TB. Hasil analisis bivariat menunjukkan akses pengobatan, status gizi, pendapatan, lingkungan, hipertensi dan HIV tidak berhubungan dengan dengan kejadian TB COVID-19 (p>0,05). Ada hubungan komorbid DM dengan kejadian TB COVID-19 (p-value=0,038). Faktor risiko paling dominan terhadap kejadian TB COVID-19 adalah komorbid DM dengan p-value=0,023 dengan nilai OR=0,06 (95% CI 0,00053-0,676). Komorbid DM sebagai prediktor menurunkan risiko kejadian TB COVID-19. Penting bagi penderita  TB yang mempunyai komorbid DM untuk menjaga kadar gula darah dalam batas normal dengan melakukan cek gula darah secara rutin.
Keterkaitan Faktor Risiko dengan Kejadian Kusta di Indonesia: A Systematic Review Mindasari, Reza; Markolinda, Yessy; Djafri, Defriman
JIK-JURNAL ILMU KESEHATAN Vol 9, No 1 (2025): JIK-April Volume 9 Nomor 1 Tahun 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i1.1255

Abstract

Kusta atau lepra adalah penyakit menular kronis yang disebabkan oleh Mycobacterium leprae dan dapat menyebabkan cacat permanen jika tidak diobati. Penyakit ini masih menjadi masalah kesehatan di Indonesia, dengan prevalensi 2,5 per 100.000 penduduk pada 2021, terutama di daerah dengan prevalensi tinggi seperti Nusa Tenggara Timur, Jawa Timur, dan Sulawesi Selatan. Penelitian bertujuan untuk mengintegrasikan temuan dari berbagai studi yang tersedia guna memberikan pemahaman yang lebih komprehensif tentang faktor risiko yang memengaruhi kejadian kusta di Indonesia. Penelitian menggunakan metode systematic review dengan mengacu pada pedoman PRISMA. Pencarian literatur dilakukan melalui tiga database utama, yaitu Science Direct, PubMed, dan Google Scholar, dengan kata kunci yang relevan. Artikel yang dipilih adalah yang diterbitkan antara tahun 2016 hingga 2024, menggunakan desain penelitian observasional yang membahas hubungan faktor risiko dengan kejadian kusta di Indonesia. Sebanyak 8 artikel yang memenuhi kriteria inklusi dianalisis. Hasil analisis menunjukkan bahwa riwayat kontak dengan penderita kusta merupakan faktor risiko utama, diikuti oleh personal hygiene, kepadatan hunian, dan pengetahuan. Riwayat kontak dengan penderita kusta menunjukkan hubungan signifikan dalam sebagian besar studi. Edukasi masyarakat tentang pencegahan kusta dan perbaikan kondisi lingkungan sangat penting untuk mengurangi penyebaran penyakit ini. Upaya pengendalian kusta harus memprioritaskan pemutusan rantai penularan melalui deteksi dini dan pengobatan, serta ditunjang dengan peningkatan pengetahuan, sanitasi, dan pengurangan kepadatan hunian untuk secara efektif menurunkan angka kejadian kusta di Indonesia.
Cultural Perspective: Effective Implementation of Stunting Management Policy in West Pasaman Regency Meiyenti, Sri; Effendi, Nursyirwan; Djafri, Defriman; Devianto, Dodi
Jurnal Antropologi: Isu-Isu Sosial Budaya Vol 25 No 2 (2023): December
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jantro.v25.n2.p283-292.2023

Abstract

Whether or not a policy is effective can be caused by implementing factors. The implementation implementer referred to as the street bureaucracy is the link between the bureaucracy and the community. In such relationships are influenced by the culture of each. This article discusses the implementation of stunting handling in West Pasaman District, West Sumatra Province. The objectives of this article are: describe the implementation of stunting handling policies by implementers and explain the acceptance of targets to the policy implementation program. This article is based on research using qualitative methods with an ethnographic approach. The research data were collected by observation techniques and in-depth interviews. The results showed that the implementation of stunting prevention in West Pasaman has been formally carried out well. The Regional Apparatus Organization involved and the implementation officer at the spearhead are working seriously with each of their duties. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective.
MULTILEVEL ANALYSIS OF DETERMINANT OF DEATH OF INDONESIAN HAJJ PILGRIMS 2022-2024: DETERMINANT OF DEATH OF INDONESIAN HAJJ PILGRIMS Pramita, Wiwid; Djafri, Defriman; Putri , Ade Suzana Eka
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/334

Abstract

Background: The Hajj pilgrimage is an annual religious activity carried out at specific times, locations, and activities, attended by millions of Muslims from around the world (mass gathering). Indonesia, as the country with the largest number of Hajj pilgrims, faces serious challenges in terms of relatively high pilgrim mortality rates each year. Data indicates that the mortality rate of Indonesian Hajj pilgrims peaking at 3.38‰ in 2023. Pilgrim deaths are influenced by various factors, including individual factors, factors related to the the Hajj, and environmental factors. This study aims to identify the factors influencing mortality among Indonesian hajj pilgrims during the Hajj pilgrimage period from 2022 to 2024. Methods: This cross-sectional study consisted of 1,686 samples from the Hajj Health Center data source, Indonesian Ministry of Health (SISKOHATKES SHAR'I) and environmental data from NASA POWER. Results: The determinants of death with p<0.05 were age, gender, history of anemia, history of hypertension, high-risk health status, and history of chronic respiratory disease. The individual level was the most significant contributor to the outcome, accounting for 75,29%. Conclusion: Knowing the determinants of pilgrim mortality enables health education to be implemented from the first health examination and can also be carried out in collaboration with the Hajj Organizing Agency through the existing KBIH.
Co-Authors Ade Suzana Eka Putri Afrizal AFRIZAL AFRIZAL Agus Sri Banowo Anggela Pradiva Putri Aprisia, Ega Ari Susanti Aria Gusti Astiena, Adila Kasni Aulia Putri Aulia Rahman Aulia Rahman Aulia Rahman Auliya, Suci Aumas Pabuti Azyyati Ridha Alfian Azyyati Ridha Alfian Berlian Kurniawati Dally Rahman Dedi Sumantri Dedi Sumantri Sumantri Devianto, Dodi Dici Putri Utari Eprilla Maharani Devisa Fachrizal, Indra Fadilah Yuma Zahara Fauziah Elytha Fea Firdani Fitri Dwi Syahti Hardisman Hasanah, Pujatul Hastuti Syahnita Herlin Silvana Herlin Silvana Hidayati Hidayati Ilmaskal, Radian Imam Wahyudi Imron Rosyadi Indra Fachrizal Kamal Kasra Karina Nabilla Khairul Andri M.Ilham Basgoro Markolinda, Yessy Mega Utami Basra Mery Ramadhani Minarni Minarni Mindasari, Reza Mitha Safutri Monalisa Monalisa Muhammad Fadhil Murniwati - Nadia Sri Devi Namira Yusuf Nelianis Nelianis Nindi Elfiza Novita Sari Novita Sari Nur Intan Rahmi Andafia Nursal, Dien Anggraini Nursyirwan Effendi, Nursyirwan Pramita, Wiwid Putri , Ade Suzana Eka Rahmi, Sintha Defiza Ramadani, Mery Ramadanti, Aztika Ramadhani, Mery Ratno Widoyo, Ratno Reni Dayati Reni Zulfitri Renidayati Resa Triani Rizanda Machmud Rizanda Machmud Rozada Alemania Sabtria Winda Sari Salsabila, Anisa Saputra, Yoerdy Agusmal Shabiyya, Hukma Siswati, Hermaini Sri Meiyenti Sri Mici Indah Permata Sari Sri Rahayu Sri Rahayu Sanusi Sri Ridha Hasanah Susi - Susi Susi Syafrawati Symon, Denas Vivi Triana Warman Alamsyah Yeffi Yeffi Masnarivan Yudi Pradipta Zieta Sakinah Emdi Zurayya Fadila