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Factors Associated With Adults’ Physical Activity In Bo-jongsoang District Bandung Regency Marfian, Kenvin; Ayubi, Dian; Hadi, Ella Nurlaella
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Noncommunicable diseases (NCDs) have caused high burden of mortality in Indonesia. One of the main risk factors of NCDs is physical inactivity, which has become a problem in Bandung Regency. Biological, psychological, sociodemographic, sociocultural, and built environment (BE) factors affect physical activity (PA) levels. This study seeks to understand the factors that are associated with adults’ PA in Bojongsoang District. This quantitative, observational, analytical study uses a cross-sectional design. The study population are adults aged 18-59 years old which are domiciled in Bojongsoang District, while the study sample is determined to be 250 people based on calculation of two proportion differences. Data is collected through questionnaire-based guided interview. Univariate analysis shows that the number of respondents that engage in PA at least 150 minutes/week is 69,2%. Multiple logistic regression results show that work (OR 0,555; CI 95% 0,313-0,983), private vehicle ownership (OR 4,351; CI 95% 1,188-15,940), and social support (OR 3,160; CI 95% 1,776-5,621) are associated with PA after controlling for other independent variables. Private vehicle ownership is the most dominant variable associated with adults’ PA in Bojongsoang District. Community-oriented interventions to improve PA in Bojongsoang District needs to target the workers and those who use private vehicles.
Determinan Pemilihan Implan Pada Pasangan Usia Subur Di Kecamatan Medan Petisah Rahmi, Ayu Amalia; Hadi, Ella Nurlaella
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Background. Indonesia's population has increased from 265,015.3 million in 2018 to 268,074.6 million in 2019. The government has created a program to intervene in the problem of uncontrolled population growth, namely the family planning (KB) program which is promoted and effective is the Long-Term Contraception Method (MKJP) with implants is one of the superior contraceptives of the BKKBN. Objective. This study aimed to to see the selection of implants and their determinations. Method. This study used a quantitative study with cross sectional analytic survey method. Sample of 85 acceptors from 560 were selected using simple random sampling. Data collection was carried out through interviews using a questionnaire. Data were analyzed by univariate and bivariate using chi-square test. Results. Study found 11.8% of respondents used the implant method. 71.8% respondents have less knowledge, 65.9% of respondents have a negative attitude, 83.5% of respondents think that the role of health workers is still lacking, and 67.1% of respondents did not get support from their husbands. The results of the bivariate analysis showed that there was a relationship between knowledge, the role of health workers, and husband's support with the choice of implant contraception, while attitudes showed no relationship with the choice of implant contraception. Conclusion. Knowledge variables, the role of health workers, and husband's support was related with the choice of implants in respondents.
Faktor sosial ekonomi terhadap kesenjangan akses layanan kesehatan gigi (keterjangkauan, ketersediaan dan asuransi kesehatan): A literature review Mawardani, Tiska Lozikania; Hadi, Ella Nurlaella
Holistik Jurnal Kesehatan Vol. 18 No. 12 (2025): Volume 18 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i12.595

Abstract

Background: Access to oral healthcare is a crucial component of overall health and well-being. However, significant disparities persist across socioeconomic groups. These disparities in oral healthcare access are not merely reflections of individual choices or preferences but are deeply rooted in socioeconomic factors, particularly affordability, availability, and health insurance coverage. Purpose: To determine the relationship between socioeconomic factors and disparities in oral healthcare access, with a focus on affordability, availability, and health insurance coverage. Method: A comprehensive search of the literature was conducted using the BMC Oral Health, PLOS One, and Medline databases. The review and synthesis process followed the PRISMA guidelines. An initial 332 articles were identified, and after a rigorous screening process, 10 articles were included in the final analysis. Results: Socioeconomic status plays a significant role in influencing access to dental and oral health services. Individuals from low socioeconomic backgrounds often face difficulties in obtaining these services. Therefore, it is essential for the government to initiate efforts to address this gap and ensure that access to healthcare services is more equitable. Conclusion: Socioeconomic status plays a significant role in oral healthcare disparities. Government interventions are needed to address these disparities, either by improving the overall socioeconomic conditions of disadvantaged populations or by ensuring equitable access to oral healthcare services.   Keywords: Affordability; Availability; Disparities; Insurance; Socioeconomic.   Pendahuluan: Akses ke layanan kesehatan gigi merupakan komponen penting dari kesehatan dan kesejahteraan secara keseluruhan, namun kesenjangan yang signifikan tetap nampak dan terjadi di berbagai kelompok sosioekonomi. Kesenjangan dalam akses terhadap layanan kesehatan gigi bukan hanya cerminan dari pilihan atau preferensi individu; namun berakar kuat pada faktor sosial-ekonomi serta berkaitan dengan keterjangkauan, ketersediaan, dan cakupan asuransi kesehatan. Tujuan: Untuk mengetahui hubungan antara faktor sosial ekonomi dengan kesenjangan akses perawatan gigi, dengan fokus pada keterjangkauan, ketersediaan, dan asuransi kesehatan. Metode: Pencarian artikel dilakukan database BMC Oral, PLOS One, dan PubMed, kemudian proses review dan sintesis dilakukan menggunakan PRISMA. Artikel awal yang ditemukan adalah 332, kemudian 10 artikel disertakan dalam penelitian. Hasil: Status sosioekonomi berperan penting dalam memengaruhi akses terhadap layanan kesehatan gigi dan mulut. Individu yang berasal dari latar belakang sosioekonomi yang rendah mengalami kesulitan dalam mendapatkan layanan tersebut, sehingga perlu adanya inisiatif dari pemerintah guna mengatasi kesenjangan ini dan memastikan bahwa akses terhadap layanan kesehatan menjadi lebih merata. Simpulan: Status sosioekonomi menjadi faktor yang berperan penting terhadap terjadinya kesenjangan akses layanan kesehatan gigi dan mulut. Upaya pemerintah diperlukan untuk menjembatani masalah ini, baik dengan melakukan peningkatan kualitas masyarakat ataupun dengan menyamaratakan akses terhadap layanan, khususnya layanan kesehatan gigi dan mulut.   Kata Kunci: Asuransi; Kesenjangan; Keterjangkauan; Ketersediaan; Sosioekonomi.
Measuring the Success Agency for Drug and Food Control Republic of Indonesia Facilitators as Food Safety Extension Workers in Simalungun, Karo, Serdang Bedagai and Samosir District In 2019 Rona Monika Sihaloho; Ella Nurlaela Hadi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18234

Abstract

The agency for drug and food control republic of Indonesia in synergy with the academic community of Health Polytechnic in Medan implemented a food safety extension facilitator programme to protect the public from unqualified food. The study aims to measure the success of the facilitators in educating food business operators in Simalungun, Karo, Serdang Bedagai and Samosir districts on food safety. The research data were taken from the report on the results of activities as a facilitator of the agency for drug and food control republic of Indonesia in 2019, on behalf of the health polytechnic students in Medan. Counseling was conducted through presentations and discussions in the village hall or in the facilities of the participants, depending on the availability of facilities in each village. Prior to the presentation, a pre-test questionnaire was completed to measure the knowledge of participants, after which the material was presented and discussed. A post-test questionnaire was then completed to measure the participants' level of knowledge. The total number of participants from 5 districts was 268 people. Using the SPSS method of the Wilcoxon Matched-Pairs statistical test, the significance value (p-value) of the pre-test and post-test data was found to be 0.005 (<0.05). The face-to-face counselling methods or presentations followed by discussions were shown to increase participants' knowledge as measured by the pre-test and post-test scores. Thus, the food safety extension facilitator programme can improve participants' knowledge, is an intervention that can be continued throughout Indonesia by involving related sectors to achieve safe, quality and efficacious or beneficial food products based on the Small and Medium Enterprises (MSMEs) food.Keyword: Agency for Drug and Food Control, facilitator, food safety, counseling, MSMEs
Analisis Konsep Self Care Pada Klien Hipertensi Martiningsih, Martiningsih; Novieastari, Enie; Rustina, Yeni; Nursasi, Astuti Yuni; Hadi, Ella Nurlaella
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.20258

Abstract

ABSTRACT Self-care is fundamental in the care of clients with chronic diseases such as hypertension. The purpose of this paper is to clarify the concept of self-care for hypertensive clients. Literature review with search strategies carried out through Scopus, Ebscohost, Embase, Sciencedirect, PubMed and Google Scholar web sources published from 2012 to 2022 which were then analyzed according to Walker & Avant, S. (1995) to clarify the concept of self-care. This concept analysis shows that self-care has definition attributes as a process of physical and psychological actions carried out by individuals to maintain health, reduce risk and manage disease in an effort to maintain health, avoid risk factors that cause disease and efforts to reduce the effects of disease. Case models, Borderline and Contrary cases, antecedents, consequences, and empirical references to explain the concept of self-care. The definition of the concept of self-care identifies a number of comprehensive attributes, namely actions that include ongoing processes that include physical and psychological activities carried out by individuals in disease management. Nurses are actively involved as educators-counselors who can maximize self-care agency of hypertensive clients in the self-care process. Topics related to self-care should be explored further to advance nursing interventions in managing hypertensive clients. Keywords: Risk Factors, Physical and Psychological, Disease Management, Hypertensive Clients, Self Care.  ABSTRAK Perawatan diri merupakan hal mendasar dalam perawatan klien dengan penyakit kronis seperti hipertensi. Tujuan penulisan ini adalah untuk memperjelas konsep perawatan diri klien hipertensi. Literatur review dengan strategi pencarian yang dilakukan melalui websources Scopus, Ebscohost, Embase, Sciencedirect, PubMed dan Google Schoolaryang diterbitkan dari tahun 2012 hingga 2022 yang selanjutnya dilkaukan analisis konsep menurut walker & Avant,S. (1995) untuk memperjelas konsep self care. Analisis konsep ini menunjukkan bahwa perawatan diri memiliki atribut definisi sebagai proses tindakan fisik dan psiklogis yang dilakukan individu untuk menjaga kesehatan, mengurangi risiko dan menajemen penyakit dalam upaya mempertahankan kesehatan, menghindarkan diri dari faktor risiko yang menyebabkan penyakit dan upaya mengurangi efek dari penyakit. Model kasus, kasus Borderline dan Contrary, anteseden, konsekuensi, dan referensi empiris untuk menjelaskan konsep self care. Definisi konsep self-care mengidentifikasi sejumlah atribut yang komprehensif yaitu tindakan yang mencangkup proses berkelanjutan yang meliputi aktivitas fisik dan psikologis yang dilakukan individu dalam manajemen penyakit. Perawat terlibat aktif sebagai edukator-konselor yang dapat memaksimalkan self-care agency klien  hipertensi dalam proses perawatan diri.Topik yang terkait dengan perawatan diri harus dieksplorasi lebih lanjut untuk memajukan intervensi keperawatan dalam mengelola klien hipertensi. Kata Kunci:  Faktor Risiko, Fisik dan Psikologis, Manajemen Penyakit, Klien Hipertensi, Self Care.
Dukungan Suami dalam Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Air Tawar Kota Padang, Sumatera Barat Ramadani, Mery; Hadi, Ella Nurlaella
Kesmas Vol. 4, No. 6
Publisher : UI Scholars Hub

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Abstract

Manfaat pemberian ASI yang sangat besar ternyata belum mampu meningkatkan angka cakupan ASI eksklusif. Hal tersebut terlihat pada tingkat pemberian ASI eksklusif di tanah air yang masih rendah berada pada kisaran 39%-40%. Tujuan penelitian ini mengetahui dukungan suami dalam pemberian ASI eksklusif di Wilayah Kerja Puskesmas Air Tawar, Kota Padang Tahun 2009. Rancangan penelitian potong lintang digunakan pada bulan Maret-April 2009 dengan responden ibu bayi usia 7-12 bulan. Hasil penelitian mendapatkan 55,4% ibu memberikan ASI eksklusif dan 57% ibu mendapat dukungan suami dalam pemberian ASI eksklusif. Ada hubungan antara dukungan suami dengan pemberian ASI eksklusif, ibu yang suaminya mendukung pemberian ASI eksklusif berpeluang memberikan ASI eksklusif 2 kali daripada ibu yang suaminya kurang mendukung pemberian ASI eksklusif setelah dikontrol oleh pekerjaan suami, dukungan petugas kesehatan, dan pekerjaan ibu. Oleh karena peran suami penting dalam pemberian ASI eksklusif, maka suami harus dijadikan sasaran penyuluhan ASI dan didorong untuk lebih aktif mencari informasi serta aktif belajar mengenai ASI, sehingga lebih paham dalam memberikan dukungan kepada ibu untuk menyusui secara eksklusif. The objective of this study was to know husband’s support in exclusive breastfeeding at working areas of Puskesmas Air Tawar, Padang in 2009. Cross sectional design was used in this study that was conducted from March to April 2009. The respondents were mothers with baby of 7 to 12 months. This study found out that 55.4% of mothers did exclusive breastfeeding, and 57% mothers gained husband’s support in exclusive breastfeeding. There was a relationship between husband’s support and exclusive breastfeeding whereas mothers who had husbands’ support likely do exclusive breastfeeding two times than mothers without husband’s support after adjusted by husband’s occupation, health provider’s support and mother’s occupation. As the role of husband is important in exclusive breastfeeding, therefore husbands should became the target of education on exclusive breastfeeding and encourage them to be more active in searching information about exclusive breastfeeding, so that they would support their wives in exclusive breastfeeding.
Praktek Ibu dalam Perawatan Neonatus di Kabupaten Garut, Jawa Barat Haryanto, Aji; Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 6
Publisher : UI Scholars Hub

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Abstract

Angka kematian bayi (AKB) di Kabupaten Garut pada tahun 2005 (54,8 per 1000 kelahiran hidup) merupakan yang tertinggi di provinsi Jawa Barat, akibat kematian neonatus dalam tiga tahun terakhir terus meningkat. Studi yang bertujuan mengetahui determinan praktek ibu dalam perawatan neonatus, dilakukan dengan analisis lanjut data Survei Dasar Kesehatan Neonatus Esensial di Kabupaten Garut tahun 2007. Analisis dilakukan dengan menggunakan metoda regresi logistik ganda. Hasil studi menunjukkan, dari 577 ibu bayi 1-11 bulan yang menjadi sampel penelitian, sekitar 51,5% ibu melakukan praktek perawatan neonatus kurang baik. Faktor yang paling dominan berhubungan dengan praktek perawatan neonatus adalah pengetahuan ibu setelah dikontrol oleh dukungan keluarga, pendidikan ibu, pekerjaan ibu dan penyuluhan oleh tenaga kesehatan. Ibu yang berpengetahuan baik melakukan praktek perawatan neonatus baik 2,2 kali lebih besar daripada ibu yang dengan pengetahuan kurang baik. Disarankan agar Bidan di Desa (BdD) mengubah cara pemberian informasi kepada ibu dan keluarganya dengan metode diskusi dan menggunakan gambar serta buku Kesehatan Ibu dan Anak (KIA), sehingga ibu lebih mudah memahami dan menerapkan kepada bayinya. Infant Mortality Rate (IMR) in 2005 at Garut District (54.8/1000 live births), is the highest in West Java Province, due to ever increasing neonatus mortality rates in the last three year. The purpose of this study was to investigate the determinant of mother’s practice in neonatus care at Garut District, conducted by advance analysis of Baseline Survey of Essential Neonatus Health Services at Garut District data in 2007. The data was analyzed using chi square test and multiple logistic regression. The result of this study showed that out of 577 baby mothers who had 1-11 months as the sample of this research, 51.5% had unfavorable practice in neonatus care. The most dominant factor related to practice in neonatus care was knowledge of mother after adjusting by family support, mother’s education, mother’s occupation and counseling by health provider. Mothers who have good knowledge in neonatus care practice had chance 2.2 times higher compared to mothers who had unfavorable knowledge to implement good practice. Based on the result of this study, it is suggested that the Village Midwives should change the way in giving of information to mothers and her families by using more discussion method and utilizing picture, and also utilizing Maternal and Child Health book, so that it would be easier for the mothers to understand and to apply good practices to their babies.
Studi Kualitatif : Pelayanan Rujukan Asfiksia Bayi Baru Lahir di Kabupaten Cirebon Jawa Barat Hadi, Ella Nurlaella
Kesmas Vol. 3, No. 3
Publisher : UI Scholars Hub

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Abstract

Pada tahun 2005, studi penatalaksanaan asfiksia bayi baru lahir (BBL) oleh bidan di desa Kabupaten Cirebon menemukan kematian asfiksia BBL yang dirujuk ke rumah sakit masih tinggi. Penelitian ini bertujuan untuk mendapatkan informasi yang mendalam tentang proses rujukan, alur penanganan rujukan kasus asfiksia BBL di RS dan kualitas pelayanan di RS rujukan Kabupaten Cirebon. Untuk itu, digunakan pendekatan kualitatif dengan metode studi kasus. Hasil penelitian menunjukkan BdD sudah menangani asfiksia BBL dengan benar, tetapi rujukan sering terlambat karena adanya faktor penghambat dari keluarga (ekonomi dan keputusan merujuk harus melibatkan keluarga besar) dan faktor lingkungan (transportasi di desa terpencil sulit terutama pada malam hari). Disamping, karena penanganan rujukan asfiksia BBL di RS belum optimal, karena masih kurangnya keterampilan petugas bagian UGD dalam manajemen asfiksia BBL dan tidak tersedianya alat resusitasi neonatus di bagian UGD, padahal prosedur penanganan kasus rujukan pertama kali di bagian UGD. In Cirebon district (2005) research on village midwives’s experience in managing birth asphyxia showed mortality of newborns with asphyxia who were referred to the hospitals were still high. This research was aimed to assess referral process, management procedure of referral birth asphyxia cases and quality of care given in the referral hospitals. This study was conducted using qualitative approach focusing on case study method. The result of this study showed that village midwives managed birth asphyxia correctly, but referral of newborn cases was often delayed, because of community factors (finance and delayed decision making by whole family to refer the newborn to the hospitals) and environmental factor (transportation in remote villages was difficult, especially at night. Besides that, referral hospitals were not yet providing adequate emergency care for referral cases of birth asphyxia. These were primarily due to lack of skills in management of birth asphyxia and unavailability of resuscitation device in emergency room.
Determinants of an integrated management of childhood illness program implementation in Indonesia Amalia, Dwi Octa; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 39 No 03 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i03.6974

Abstract

Purpose: This study aims to identify the factors related to health system support that influence the implementation of Integrated Management of Childhood Illness (IMCI) in primary health care facilities in Indonesia, specifically in relation to leadership. Methods: The research method used is a literature review. Database searches of Garuda, Google Scholar, Proquest, Science Direct, Biomed, and Pubmed were performed from 2012 to 2022 using the keywords “manajemen terpadu balita sakit”, “IMCI Indonesia”. Results: A total of 1,238 articles were screened for eligibility and five published articles met the inclusion criteria and objectives of this literature review. Based on five articles reviewed, nine variables associated with IMCI implementation were analyzed in this study, including leadership support, supervision, completeness of medicine and medical equipment, presence of consultation room, motivation, attitudes, knowledge, and completeness of filling out forms. Conclusion: The support of the health system is a key challenge in implementing IMCI. Therefore, strengthening health system support is needed to optimize the implementation of IMCI. In addition, there is a need to strengthen leadership and provide regular supervision and feedback to ensure that IMCI implementation is in accordance with standards and to increase health worker motivation to improve their performance in providing health services.
Visual inspection with acetic acid screening use determinants: a systematic literature review Ayu, Septi; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 40 No 04 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i04.12397

Abstract

Purpose: In Indonesia, in 2022, of 36,964 cervical cancer cases, 56% ended in death due to cervical cancer. Cervical cancer can be identified at an early stage through routine examinations, allowing for more effective treatment and increasing the chances of cure. The visual inspection of acetic acid (VIA) screening has emerged as a simple, effective, and affordable option. Methods: The research method uses a systematic literature review, carried out using primary studies from PubMed, Proquest, and Google Scholar using the keywords "woman; VIA; preventing cervical cancer" published between 2019 and 2024, full text and open access articles and according to the topic. Results: 25,999 research articles were screened for eligibility, and 10 met the inclusion criteria. The coverage of the VIA screening was due to age, social norms, opinions, behavior of other people, the availability of health facilities, support from husbands, support from health workers, and economic conditions. Conclusion: Educational interventions at the community and health facilities are needed to increase VIA examination coverage. Socialization and education involving women and men are expected to help increase public participation in VIA examinations and reduce morbidity and mortality due to cervical cancer.