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Rural-Based Health Promotion Model for Pregnant Women in Banyumas District Gamelia, Elviera; Anandari, Dian; Purnamasari, Dyah Umiyarni
Kesmas Vol. 11, No. 1
Publisher : UI Scholars Hub

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

Abstract

Penelitian sebelumnya menunjukkan bahwa pengetahuan pelayanan prenatal di wilayah pedesaan masih rendah yang berdampak pada perilaku buruk sehingga mengembangkan model promosi kesehatan dibutuhkan untuk meningkatkan pengetahuan prenatal, sikap dan perilaku. Penelitian ini bertujuan untuk mengembangkan model promosi kesehatan pelayanan prenatal di wilayah pedesaan berdasarkan penilaian kebutuhan. Penelitian dilakukan pada Juni 2015 dengan pendekatan kualitatif melibatkan 16 ibu hamil pertama di trimester ketiga dengan kehamilan berisiko sebagai informan kunci dan 16 anggota keluarga yang tinggal bersama ibu hamil dan mengetahui kehidupan sehari-harinya, 27 bidan dan 3 tokoh agama sebagai informan tambahan. Teknik pengumpulan data adalah wawancara mendalam dan observasi untuk ibu hamil dan keluarga, kemudian focus group discussion untuk bidan dan tokoh agama. Analisis yang digunakan adalah model Miles dan Huberman dengan melakukan pengurangan data, tampilan data dan kesimpulan. Berdasarkan penilaian kebutuhan, media promosi kesehatan dibutuhkan melalui buku untuk ibu hamil dengan desain menarik berfitur gambar, warna dan penjelasan lengkap. Buku dipilih karena kecenderungan dan kebutuhan ibu hamil, karakteristik wilayah pedesaan dan ketersediaan infrastruktur. Bahan pelayanan prenatal perlu ditambahkan dari buku yang memuat kesehatan ibu dan anak meliputi pemeriksaan prenatal oleh bidan, tanda kehamilan berbahaya, penyebab, konsekuensi, pencegahan, makanan rekomendasi dan tidak, cara menjaga payudara dan latihan kehamilan serta perkembangan janin. Metode promosi kesehatan adalah penyampaian dan diskusi di kelas ibu hamil. Previous studies show that knowledge of prenatal care in rural areas remains low that affects to bad behavior, so developing health promotion models is needed to improve prenatal care knowledge, attitude and behavior. This study aimed to develop health promotion model of prenatal care in rural area based on needs assessment. Study was conducted on June 2015 by qualitative approach involving first 16 pregnant women in third trimester with risky pregnancy as key informants and 16 family members living with them and know their daily life, 27 midwives and 3 religious leaders as additional informants. Data collection techniques were in-depth interviews and observation for pregnant women and family, then focus group discussion for midwives and religious leaders. Analysis used was Miles and Huberman model by data reduction, data display and conclusion. Based on needs assessment, health promotion media is needed by book for pregnant women with attractive design that features images, colors and complete explanation. Book is selected because of pregnant women’s preference and needs, characteristics of rural areas and infrastructure availability. Prenatal care materials need to be added from book containing child and maternal health including prenatal checkup by midwives, danger pregnancy signs, causes, consequences, prevention, recommended and unrecommended food, breast care ways, pregnancy exercise and fetal development. Health promotion methods are lectures and discussions in pregnant women’s class.
Usability Metric Framework in Mobile-Based Waste Management Applications Nurhayati, Siti; Yuniarno, Saudin; Anandari, Dian
International Journal of Science and Society Vol 5 No 5 (2023): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v5i5.953

Abstract

Measuring usability is an essential task to ensure that an application is accurate, has adequate speed, and also to ensure compliance with user needs. The usability of software plays a primary role in the quality perceived by its users. However, various definitions and related attributes indicate that there is still no standard in this regard. The main objective of this paper is to present the results of a literature review, aiming to showcase all relevant definitions of usability and related attributes introduced to date. This comprehensive view, depicted through a knowledge map based on time, provides an understanding of the observed evolution on one hand, and also serves as a guide for usability measurement attributes on the other hand, to address some non-functional requirements.
The Role of the Social Marketing Mix in Voluntary Counseling and Testing (VCT) Utilization among Pregnant Women in Banyumas Regency: A Qualitative Study Kurniawan, Arif; Maqfiroch, Arrum Firda Ayu; Anandari, Dian; Gamelia, Elviera
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 4 (2025): JIKM Vol 17, Issue 4, November 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v17i4.851

Abstract

Background: The utilization of Voluntary Counseling and Testing (VCT) services by pregnant women, particularly antenatal checkups with HIV/AIDS testing, remains low in community health centers (in Indonesian: Puskesmas) in Banyumas Regency. Community health centers in Banyumas Regency have implemented a marketing mix for VCT services, but it is not yet optimal. This study aimed to examine the marketing mix, consisting of promotion, product, price, and location, regarding the utilization of VCT services in Banyumas Regency. Method: This qualitative research employed a phenomenological approach and was conducted in 2018. Data were collected through in-depth interviews and documentation studies. Participants included VCT counselor midwives, pregnant women who used VCT, and heads of community health centers with VCT clinics. Informants were selected based on predefined inclusion criteria to capture diverse perspectives. Six pregnant women served as supporting informants. The validity of the research was checked using source triangulation including core informants and supporting informants. Data were analyzed using manual content analysis, including data preparation, repeated reading, initial coding, code categorization, theme development, interpretation, and presentation of findings. Results: Community health centers in Banyumas Regency had implemented all four elements of the social marketing mix in promoting VCT services. However, VCT utilization, particularly among pregnant women, remained below expected levels. Among the four elements, promotion, specifically marketing communication activities aimed at informing and persuading the target population, was identified as the least effective component. Conclusion: This study highlights promotion as the key social marketing element requiring further development to improve the utilization of VCT among pregnant women. Strengthening promotional strategies through the use of audio-visual media may enhance awareness and encourage greater uptake of VCT services in antenatal care settings.
Analysis of Factors Affecting Non-Adherence to Treatment in Type 2 Diabetes Mellitus Patients at Jatilawang Community Health Center Irawati, Dhela Puja; Anandari, Dian; Rahardjo, Setiyowati
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.6948

Abstract

Diabetes mellitus is a chronic metabolic disorder marked by elevated blood sugar. Non-adherence to type 2 DM treatment increases risks of complications and failure of blood sugar control. This quantitative cross-sectional study used spatial and network analysis to examine factors affecting non-adherence among 114 type 2 DM patients registered as prolanis participants at the Jatilawang Community Health Center. Data collection involved questionnaires, interviews, and geospatial mapping via Google Maps. Statistical analyses included univariate, bivariate, multivariate analysis with SPSS, and network mapping with QGIS. The study found that access to health information significantly influenced non-adherence (p-value=0.006, OR=5.170), while transportation availability (p-value=0.427, OR=0.609) and family support (p-value=0.076, OR=2.622) were confounding factors. Other variables, such as knowledge, attitude, motivation, distance to the community health center, and the role of health workers, were not significant. Most respondents lived within 3 km of the community health center based on network mapping. The findings suggest that patients should actively seek health information from healthcare providers to enhance treatment adherence.