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Environmental risk factors for diarrhea Children under five years of age: A Cross-Sectional study in Indonesia Santri, Ichtiarini Nurullita; Wardani, Yuniar
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p01

Abstract

Background and purpose: Diarrhea is an environmental-based disease that causes mortality and morbidity in children under five around the world. This study investigated the association between environmental factors with diarrhea in children under five in Indonesia. Methods: A cross-sectional study was conducted with data derived from the 2017 Indonesia Demographic Health Survey (IDHS). Families with children under five who had complete data were included in this study. The diarrhea variable in children was self-reported by their mothers. The relationship of each predictor with diarrhea was analyzed using a logistic regression modeling and odds ratios (ORs) with 95% confidence intervals (CI). Results: A total of 17,155 households with children under five were included. The prevalence of reported diarrhea among children under five was 14.22%. Families living in rural areas (OR: 0.87; 95%CI: 0.78-0.97) and mothers of 25-34 years of age (OR: 1.42; 95%CI: 1.24-1.64) and >35 years of age (OR: 1.56; 95%CI: 1.29-1.89) had significant associations with diarrhea. Conclusion: The discerned outcomes underscore the amplified likelihood of diarrhea incidents among children under five originating from rural residential settings in contrast to their urban counterparts. Additionally, the investigation underscored a correlative link between maternal age and occurrences of diarrhea in the children of this specific age group mothers.
Pemberdayaan Perempuan Dalam Upaya Deteksi Dini Kanker Serviks: Empowering Women in Early Detection of Cervical Cancer Leky, Ardian S.; Sry Yunita; Zhafarina Nastiti Jundillah; Nurul Baiti Jannati; Ruwanto; Linda Laila; Ni Luh Dewi Yuliani; Nurramadhani; Yuniar Wardani; Ichtiarini Nurullita Santri
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 4 No. 2 (2024): Juli
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta

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

Abstract

Abstrak: Kanker serviks merupakan salah satu penyakit yang memiliki dampak serius terhadap kesehatan perempuan di seluruh dunia. Meskipun demikian, kanker serviks dapat dideteksi secara dini melalui berbagai metode pemeriksaan seperti tes Pap smear dan tes HPV. Namun, pengetahuan dan kesadaran masyarakat tentang pentingnya deteksi dini kanker serviks masih rendah, terutama di daerah-daerah pedesaan dan perkotaan dengan akses terbatas terhadap layanan kesehatan. Oleh karena itu, pemberdayaan perempuan dalam hal peningkatan pengetahuan dan kesadaran mengenai kanker serviks serta pentingnya deteksi dini menjadi sangat penting. Kegiatan ini bertujuan untuk mengevaluasi efektivitas pemberdayaan perempuan dalam upaya deteksi dini kanker serviks melalui kegiatan penyuluhan. Kegiatan penyuluhan dilakukan terhadap Kelompok PKK Melati 3 dan Melati 4 Kelurahan Timbulharjo, dengan melibatkan 35 peserta. Hasil pelaksanaan kegiatan menunjukkan bahwa terjadi peningkatan signifikan dalam pengetahuan dan sikap peserta setelah mengikuti kegiatan penyuluhan. Pengetahuan yang baik meningkat dari 45,7% menjadi 85,7% sedangkan sikap yang positif mengingkat dari 68,6% menjadi 88,6%. Dengan demikian, dapat disimpulkan bahwa pemberdayaan perempuan dalam upaya deteksi dini kanker serviks melalui kegiatan penyuluhan memiliki dampak positif dalam meningkatkan kesadaran masyarakat akan risiko kanker serviks, edukasi tentang tindakan pencegahan, serta mendorong perilaku sehat dan akses yang lebih baik terhadap layanan kesehatan reproduksi.   Abstract: Cervical cancer is a disease that has a serious impact on women's health throughout the world. However, cervical cancer can be detected early through various examination methods such as the Pap smear test and HPV test. However, public knowledge and awareness about the importance of early detection of cervical cancer is still low, especially in rural and urban areas with limited access to health services. Therefore, empowering women in terms of increasing knowledge and awareness about cervical cancer and the importance of early detection is very important. This activity aims to evaluate the effectiveness of women's empowerment in efforts to detect cervical cancer early through outreach activities. Extension activities were carried out for the Melati 3 and Melati 4 PKK Groups, Timbulharjo District, involving 35 participants. The results of the implementation of the activities showed that there was a significant increase in participants' knowledge and attitudes after participating in the extension activities. Good knowledge increased from 45.7% to 85.7% while positive attitudes increased from 68.6% to 88.6%. Thus, it can be concluded that empowering women in early detection of cervical cancer through outreach activities has a positive impact in increasing public awareness of the risk of cervical cancer, education about preventive measures, as well as encouraging healthy behavior and better access to reproductive health services.
Gender disparities and risk factors in infant mortality in Indonesia Wardani, Yuniar; Djannah, Sitti Nur; Santri, Ichtiarini Nurullita
Jurnal Cakrawala Promkes Vol. 6 No. 2 (2024): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v6i2.10353

Abstract

The Infant Mortality Rate (IMR) is closely related to the Human Development Index (HDI), which measures a country's social and economic development. The decline in IMR based on gender is thought to be related to discrimination in the treatment of female babies, unequal nutritional needs of female babies, and utilization of health service facilities. This study aims to investigate the relationship between risk factors and infant mortality with gender stratification. Using a cross-sectional approach based on secondary data from the 2012 and 2017 Indonesian Demographic and Health Survey (IDHS), the research sample consisted of women of childbearing age (15-49 years) who had given birth, totaling 3694 and 3413 women in 2012 and 2017, respectively. Data analysis was conducted using logistic regression and the sampling technique employed was two-stage stratified random sampling. From the 2012 and 2017 IDHS, variables influencing infant mortality based on gender included maternal age (0.23 95% CI 0.14-0.37; 3.17 95% CI 1.94-5.17), parity (0.49 95% CI 0.33-0.72; 2.53 95% CI 1.75-3.68), place of birth (0.47 95% CI 0.33-0.67; 0.61 95% CI 0.41-0.89), and body weight (2.67 95%CI 1.75-4.08; 3.31 95% CI 2.12-5.17). Baby girls with small birth weights were at higher risk of dying compared to baby boys, while male babies born to older mothers were at greater risk of death compared to female babies. Antenatal care is an essential key in reducing various risks of infant death based on gender, playing a crucial role in ensuring healthier outcomes for both male and female infants through early detection and targeted interventions.
How Can Adolescents Get Mental Health Services Without the Availability of Professionals? A Lesson Learned from Rural Primary Health Care Isni, Khoiriyah; Lugiana, Namira Aisyah; Trisnowati, Heni; Santri, Ichtiarini Nurullita; Qomariyah, Nurul
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.133-145

Abstract

Background: The existence of a 'treatment gap' is indicated by the high frequency of individuals with mental health disorders and the low number of individuals obtaining formal treatment. It refers to the prevalence of mental problems and the proportion of people who are treated or the percentage of people who need but do not receive treatment. Aims: The study is aimed to determine the utilisation of mental health services (MHS). Methods: This study is qualitative, using a case study approach. The primary informants were six mental health workers and youth health program holders from three Primary Health Care (PHC) with the most significant number of mental health cases. Meanwhile, five youths receiving or actively undergoing treatment at the PHC served as supporting or triangulation informants. An in-depth interview guide is used in the instrument. Results: Health insurance, waiting time and duration of services, and accessibility to services play a supportive role in MHS utilization, while family and health worker support, facilities, and infrastructure do not. Adolescent and family ignorance, the presence of community stigma, the availability of human and financial resources, and health promotion media are all barriers to the utilization of MHS. Conclusion: The PHC in the Kulon Progo area is responsible for acquiring human resources, fostering collaboration across sectors, and creating health promotion media to fulfil its obligations.
Innovation to Control Cigarette Consumption and Stunting Through the Kabar Besti Program (Smoke and Stunting Free Families) Heni Trisnowati; Isni, Khoiriyah; Ichtiarini Nurullita Santri; Zahra, Aini; Kurniasih, Esti; Nasir, Ardiansyah Jumaedi; Saputri, Melly Eka; Fajeria
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.100-112

Abstract

Background: Cigarette consumption causes economic and health losses to smokers and their families. The main determinant of stunting in toddlers in Sleman Regency is cigarette consumption by family members. Aims: The research aims to develop innovations to control cigarette consumption and toddler stunting through the Kabar Besti (Keluarga Bebas Asap Rokok dan Bebas Stunting) or the Smoke and Stunting Free Families Program. Method: This research uses an action research approach which includes: 1) innovation development, 2) innovation dissemination, 3) program adoption, and 4) program evaluation. The research was conducted in Sumberan Hamlet, Candibinangun Village, Pakem District, Yogyakarta for 6 months, from August 2023 to January 2024. Result: The development of the Kabar Besti program was successfully initiated with the following phases: 1) needs assessment, namely gathering support, exposing the program, and looking for opportunities and challenges in implementing the program; 2) dissemination of innovation in the community, namely socialization of the program to hamlet heads, toddler Posyandu, youth groups, and youth and youth communities; measuring lung capacity and collecting data on cigarette consumption patterns in the community of fathers and teenagers; 3) program adoption is proven by a declaration of joint commitment to implementing the Kabar Besti program; 4) program evaluation: there was a decrease in the number of fathers who smoked from 70.1% before the intervention to 68.6% after the intervention. Conclusion: The Kabar Besti program has been successfully developed and proven to increase community and stakeholder commitment to controlling cigarette consumption and stunting.
Peningkatan pengetahuan, sikap, dan psikomotorik melalui pembekalan duta Usaha Kesehatan Sekolah (UKS) SMK Kesehatan Binatama Yogyakarta Kristina, Santy Dwi; Suprapto, Kartina Catur Agung; Astuti, Silvia; Natapraja, Dwi; Indriani , Meyke Herlin; Mirza, Mira Maria; Wijayanto, Taufik; Rahim, Mohammad Afiff Bin; Subagja, Bayu; Santri, Ichtiarini Nurullita; Kodriati, Nurul
INDRA: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 1 (2024): April
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/indra.v5i1.239

Abstract

Healthy behavior must be accustomed to from an early age and become a habit. At the school age, healthy living habits can be carried out by integrating health programs with school activities through School Health Business activities commonly known as School Health Units (UKS). The purpose of this community service is to provide training for class X students of SMK Kesehatan Binatama Yogyakarta as UKS Ambassador candidates and will carry out the UKS mentoring program at the junior high school level. The debriefing is carried out through an interactive method of delivering material using counseling media/tools, discussion, and simulations/direct practice. The themes given are introduction of UKS, communication, counseling methods, Three Basic Threats  Adolescent Reproductive Health (TRIAD KRR), basic health and hand washing practices, drug management guidelines and self-medication. From the pre and post test the results are the percentage of participants' knowledge and attitudes increased by 90.5%. Participants also showed an increase in psychomotor abilities through simulations/practices that were directly observed. In order to become a sustainable program, the UKS Ambassador debriefing activities can be attended by students of class XI and XII, with a longer duration of time, and presenting the UKS Advisory Team as one of the presenters.
Socioeconomic Disparities in Infant Mortality: Evidence from the 2017 Indonesia Demographic and Health Survey Yuniar Wardani; Ichtiarini Nurullita Santri; Suci Musvita Ayu; Liena Sofiana; Asa Ismia Bunga Aisyahrani; Mochamad Iqbal Nurmansyah; Moh. Irma Sukarelawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 4 (2025): April 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i4.6859

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Introduction: Indonesia did not meet the MDGs and SDGs targets. Factors contributing to the reduction of infant mortality in Indonesia in the last decade need to be understood. Methods: This cross-sectional study uses a dataset from the 2017 Indonesia Demographic and Health Survey (IDHS). The sample size is 3413 infants. Multiple logistic regression results are performed by odds ratio (OR). Results: Infants living in the middle wealth index were at higher risk of infant death compared to infants with the poorest and poor counterparts (AOR=1.73; 95% CI=1.14~2.61). The risk of infant death was almost two times higher among infants who were born in Sumatera (AOR=1.83; 95% CI=1.02~3.27), Java and Bali (AOR=2.14; 95% CI=1.21~3.76), and Sulawesi (AOR=2.39; 95% CI=1.15~4.96) than infants who were born in Papua and Maluku. Conclusion: Infants living in the middle wealth index, Sumatera, Java and Bali, and Sulawesi had a higher mortality risk than others.
INVESTIGATING PARENTS’ RECOGNITION OF THE NEED FOR ADOLESCENT MENTAL HEALTH SERVICES IN REMOTE AREAS Isni, Khoiriyah; Pratiwi, Firdha Yovianti; Santri, Ichtiarini Nurullita; Tukiyo, Intan Wahyuni
The Indonesian Journal of Public Health Vol. 20 No. 2 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i2.2025.302-315

Abstract

Introduction: The prevalence of depression among children under 15 in Kulon Progo Regency reaches 6%, while emotional and mental disorders affect 8%, with only 9% of affected individuals receiving adequate treatment. Parental behaviour influences the utilisation of mental health services for adolescents, shaping how service needs are assessed. Limited mental health resources and negative parental attitudes further exacerbate adolescent mental health conditions. Aims: This study aims to evaluate parental attitudes toward access to mental health services for adolescents. Method: Using a cross-sectional design, a total of 107 biological parents of adolescents aged 10 to 24 years were selected using purposive sampling. Result: This study finds that perceived severity, perceived threat, and cues to action significantly influence parental behaviour in seeking mental health services (p < 0.05). While 57% of parents reported inappropriate use of services and perceived no benefits from them, 51.4% acknowledged no access barriers. However, only 49.5% demonstrated strong self-efficacy, and 53.3% failed to take timely action. Conclusion: The findings underscore the need for interventions that equip parents with practical knowledge and skills to obtain appropriate mental health services for their adolescent.
Faktor-Faktor Risiko yang Berhubungan dengan Cedera Tertusuk Jarum pada Perawat: Tinjauan Literatur Novianti, Tria Nisa; Hariyono, Widodo; Santri, Ichtiarini Nurullita
Jurnal Dunia Kesmas Vol 14, No 3 (2025): Volume 14 Nomor 3
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v14i3.19655

Abstract

Cedera tertusuk jarum (Needle Stick Injury/NSI) adalah cedera yang berisiko menularkan patogen darah seperti hepatitis B, hepatitis C, dan HIV, serta menjadi ancaman bagi tenaga kesehatan, khususnya perawat di fasilitas kesehatan. Penelitian ini bertujuan mengidentifikasi faktor risiko NSI pada perawat melalui tinjauan literatur sistematis. Metode yang diterapkan merujuk pada pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), dengan pencarian artikel melalui PubMed, Google Scholar, dan DOAJ. Seleksi artikel dilakukan berdasarkan kriteria inklusi untuk memastikan relevansi, sementara kualitas artikel dievaluasi menggunakan alat penilaian dari Joanna Briggs Institute (JBI). Dari 8 artikel yang dianalisis, ditemukan bahwa faktor risiko NSI pada perawat dipengaruhi oleh manajemen yang kurang optimal, seperti minimnya pedoman pencegahan, pelatihan, dan alat pelindung diri (APD), serta rendahnya kepemimpinan dan partisipasi manajerial. Faktor individu seperti stres kerja, pengetahuan terbatas, dan sikap yang tidak mendukung keselamatan juga berperan. Beban kerja tinggi dan lingkungan kerja berisiko, seperti ruang gawat darurat, meningkatkan peluang cedera. Tindakan tidak aman dan kondisi kerja buruk, seperti mencabut jarum setelah injeksi dan kebersihan yang rendah, menjadi penyebab langsung cedera. Risiko cedera tertusuk jarum pada perawat dipengaruhi oleh manajemen yang lemah, kurangnya pelatihan dan APD, stres kerja, rendahnya pengetahuan, sikap yang tidak mendukung keselamatan, beban kerja tinggi, serta tindakan tidak aman dan kondisi kerja yang buruk.
Environmental Health Risk Analysis of Sulfur Dioxide (SO2) Inhalation Exposure in Ambient Air Among the Tirtonirmolo Community, Bantul. Musfirah, Musfirah; Ahmad Faizal Rangkuti; Isana Arum Primasari; Ichtiarini Nurullita Santri; Babucarr Jassey; Abril Tafa'ul Lana
JURNAL KESEHATAN LINGKUNGAN Vol. 16 No. 1 (2024): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v16i1.2024.32-40

Abstract

Introduction: Sulfur dioxide (SO2) is one of the gases that can pollute the ambient air and cause respiratory irritation. This study aims to determine the characterization of health risk and risk management of sulfur dioxide (SO2) exposure to prevent health impact in the Tirtonirmolo community, Bantul. Methods: This study was a quantitative descriptive research with an Environmental Health Risk Analysis (EHRA) approach. The study subjects were the Tirtonirmolo community in Bantul, with a sample of 110 respondents. The sampling method uses purposive sampling. Results and Discussion: Most respondents are female (74%) with ages over 54 years (52%), and the majority work as housewives (44%). The description of EHRA variables consists of an inhalation rate of 0.83 m3/hour, exposure time of 22 hours/day, exposure frequency of 354 days/year, and exposure duration for real-time projections of 35 years and 30 years for lifetime projections. The SO2 measurement results did not exceed the national quality standard, with the highest concentration being on Madukismo Road, with a concentration of 11.72 μg/m3. The dose-response analysis uses data from the US-EPA, which is 0.026 mg/kg/day. The real-time average intake value is 0.0039 mg/kg/day, and the 30-year lifetime average intake value is 0.0033 mg/kg/day. Conclusion: All respondents from this study had an RQ value<1, both in the RQ for real-time and lifetime. Risk management needs to reduce health risk by using masks when doing outdoor activities and installing Flue Gas Desulfurization (FGD) in factories that emit SO2 emissions.