Soeharyo Hadisaputro
Bagian Ilmu Penyakit Dalam, Department Epidemiology, Universitas Diponegoro

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Model development of factors affecting the effectiveness of puskesmas services Sarifudin, Diding; Hadisaputro, Soeharyo; Suwandono, Agus
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Aim: The study uses all the puskesmas in Cirebon to develop a direct and indirect effect model on health center services' effectiveness.Methods. A mixed-methods design use questionnaire cross-sectional survey and an in-depth qualitative interview. The population is all puskesmas in Cirebon Regency. A sample of 212 respondents was drawn from all puskesmas with inclusion criteria (1) health effort implementer, (2) minimum 1-year working period, (3) continuous health officers at least one year, and a minimum education of D3 health. As the dependent variable, the effectiveness of health center services is measured by [...]. The independent variables include leadership commitment, intermediate variables: strengthening basic health programs and confounding: gender, age, education, years of service. Analysis using Structural Equation Modeling (SEM) and qualitatively based on relevant themes. Conclusion: Puskesmas service effectiveness is influenced by (1) direct effects of (a) leadership commitment, policy governance, and strengthening basic health programs; and (2) indirect effect of (b) commitment to leadership and policy governance through strengthening basic health programs and (c) commitment to leadership, policy governance and strengthening basic health efforts disrupted by gender and education.
The Effect of Emotional Freedom Technique (EFT) Training on Perceived Stress Among Communities at Risk of Leptospirosis Affected by Tidal Flooding Budiati, Risna Endah; Hadisaputro, Soeharyo; Adi, Mateus Sakundarno
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6271

Abstract

Tidal flooding (banjir rob) in the northern coastal areas of Java causes not only physical damage but also psychological distress, including heightened levels of perceived stress. High perceived stress can weaken psychological resilience in disaster-affected communities. This study aims to examine the effect of EFT training on perceived stress among residents of Sayung District, Demak Regency, who are affected by tidal flooding and at high risk for leptospirosis. One promising intervention to address this issue is the Emotional Freedom Technique (EFT), which combines acupoint tapping with verbal affirmations. This study is a quasi-experimental design with one-group pretest-posttest approach. A total of 82 participants from Bedono Village, Sayung Subdistrict, participated in a single-session EFT training. Perceived stress levels were measured using the Perceived Stress Scale (PSS) before and after the intervention. Data were analyzed using paired sample t-tests. There was a significant decrease in PSS scores after the EFT training, from a mean of 57.09 to 43.20 p 0.000 (p < 0.05). These results indicate that EFT was effective in reducing perceived stress among participants affected by tidal flooding. EFT training significantly reduced perceived stress levels in a community impacted by tidal flooding. This technique can be adopted as a community-based psychosocial intervention to help mitigate the psychological effects of natural disasters.