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All Journal Jurnal Kesehatan Hesti Wira Sakti Jurnal Ilmu Kesehatan Jurnal Kreativitas PKM JURNAL KEBIDANAN Jurnal Keperawatan Priority Jurnal Keperawatan Malang (JKM) Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Nursing Information Journal Jurnal Jaminan Kesehatan Nasional JRKN Journal of Nursing Science Update Journal of Artificial Intelligence and Digital Business Protein: Jurnal Ilmu Keperawatan dan Kebidanan Alamtana Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Jurnal Penelitian Keperawatan Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health COVID-19 : Journal of Health, Medical Records and Pharmacy Jurnal Kesehatan
Nurmayunita, Heny
Institut Teknologi, Sains, Dan Kesehatan RS DR. Soepraoen Kesfam V / Brw Malang
Agriculture, Biological Sciences & Forestry Humanities Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Determinants of National Health Insurance Coverage for Family Planning Services Among Women in Indonesia Nurmayunita, Heny; Asri, Yuni; Zakaria, Amin; Muhtar , Muhammad Solihuddin
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.381

Abstract

Access to family planning services remains unequal in Indonesia despite the establishment of the National Health Insurance (NHI) program (Jaminan Kesehatan Nasional, JKN) to promote universal coverage. Disparities persist, particularly in contraceptive services, among women of reproductive age. This study examined the determinants of NHI coverage for contraceptive methods among Indonesian women of reproductive age. A cross-sectional analysis was conducted using data from 6,256 married or partnered women aged 15–49 years from the 2017 Indonesia Demographic and Health Survey (IDHS). Survey-weighted descriptive, bivariate, and multivariable logistic regression analyses were performed using Stata to identify the factors associated with NHI-covered contraceptive use. The results showed that Women with insurance schemes specifically covering family planning were significantly more likely to report contraceptive coverage through NHI (AOR: 47.5; 95% CI: 37.2–60.7). Secondary education (AOR: 2.08; 95% CI: 1.01–4.07) was positively associated with coverage, while rural residence (AOR: 0.71; 95% CI: 0.56–0.91), middle wealth status (AOR: 0.64; 95% CI: 0.46–0.88), and current employment (AOR: 0.79; 95% CI: 0.65–0.97) were negatively associated. These findings highlight persistent socioeconomic and geographic inequities in access to insured family planning services. Addressing these disparities requires targeted policy efforts, including automatic enrollment strategies for women in the informal sector, mobile registration units in rural areas, and public education campaigns to improve insurance literacy. Strengthening equitable access to family planning under the national insurance scheme is essential to achieving Indonesia’s reproductive health and universal coverage goals.
Analysis Of Inpatient Service Factors On Patient Satisfaction Level at Ngantang Community Health Center Azis, Leo Abdul; Nurmayunita, Heny; Arif, Maulana
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7877

Abstract

The quality of healthcare services, particularly inpatient care at Community Health Centers (Puskesmas), is a key determinant of patient satisfaction. Although the Minimum Service Standards (SPM) target satisfaction above 95%, surveys in Indonesia show that satisfaction rates at Puskesmas remain in the range of 76–82%. This gap indicates the need for an in-depth evaluation of service factors.This study aims to analyze the relationship between five dimensions of service quality (Tangible, Assurance, Reability, Responsiveness, and Empathy) based on the SERVQUAL model with the level of satisfaction of inpatients at the Ngantang Community Health Center, Malang Regency. This study used a quantitative design with a correlation approach. The sample consisted of 39 inpatient respondents. Data analysis used univariate tests and Spearman's Rho correlation bivariate tests. The overall level of patient satisfaction was in the high category, where 90% (35 respondents) stated Satisfied. The results of the bivariate correlation test showed that only the Assurance variable had a statistically significant relationship with the level of patient satisfaction, with a p value of 0.032. Meanwhile, the dimensions of Tangible (p = 0.626), Reability (p = 0.843), Responsiveness (p = 0.301), and Empathy (p = 0.874) did not have a significant relationship with patient satisfaction (p > 0.05). There is a significant positive relationship between service assurance and inpatient satisfaction. This dimension, which encompasses the competence, friendliness, and credibility of staff, is a key factor that needs to be prioritized in efforts to improve service quality.
Association between Dietary Pattern and Stress Level among Gastritis Patients at a Primary Health Care Center in West Halmahera Regency Kayely, Janeanti Afi; Nurmayunita, Heny
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 1 (2026): Januari: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i1.2092

Abstract

Gastritis is a common gastrointestinal disorder that is influenced by both behavioral and psychological factors, including dietary patterns and stress. This study aimed to examine the association between dietary patterns and stress levels among patients with gastritis at a primary healthcare center in West Halmahera Regency. A quantitative analytical study with a cross-sectional design was conducted in November 2025. A total of 60 gastritis patients were recruited using a total sampling technique. Data were collected using structured questionnaires to assess dietary patterns and stress levels. Statistical analysis was performed using SPSS version 26. Descriptive analysis was used to summarize respondents’ characteristics, while the Chi-square test or Fisher’s exact test was applied to analyze the association between variables. The results showed that most respondents had unhealthy dietary patterns and experienced high stress levels. Dietary pattern was significantly associated with stress level (p = 0.038), whereas demographic characteristics were not significantly related to stress level. Patients with unhealthy dietary patterns were more likely to experience high stress. In conclusion, dietary pattern is significantly associated with stress levels among gastritis patients. These findings highlight the importance of promoting healthy eating behaviors as part of stress management strategies in primary health care settings.
Determinants of Hypertension Stage Among Patients in a Primary Health Care Center: A Cross-Sectional Study Maslakhah, Indana; Nurmayunita, Heny; Asri, Yuni
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 3 No. 01 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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

Abstract

Hypertension remains a major public health problem worldwide and is associated with increased risk of cardiovascular complications. Identifying factors associated with the stage of hypertension is important for improving disease management at the primary health care level. This study aimed to identify determinants associated with the stage of hypertension among patients in a primary health care center. A cross-sectional study was conducted at Libano Primary Health Care Center, Morotai Island, Indonesia, in December 2025. A total of 30 hypertensive patients were included in the study. Data on demographic characteristics, clinical factors, and lifestyle behaviors were collected from patient records. Descriptive statistics were used to summarize the data, and bivariate analysis was performed using the Chi-square test or Fisher’s exact test when appropriate. Statistical analysis was conducted using SPSS version 26, with a significance level set at p < 0.05. The distribution of hypertension stages was equal, with 50.0% classified as Stage 1 and 50.0% as Stage 2 hypertension. Medication adherence was significantly associated with the stage of hypertension (p = 0.017). Patients who adhered to antihypertensive medication were more likely to have Stage 1 hypertension, while non-adherent patients were more frequently classified as Stage 2. Other variables, including age, gender, educational level, employment status, family history of hypertension, smoking status, dietary pattern, and physical activity, were not significantly associated with hypertension stage. Medication adherence was the main determinant associated with the stage of hypertension. Strengthening adherence to antihypertensive therapy may help prevent the progression of hypertension.
Kolaborasi Kesehatan untuk Masyarakat: Pengobatan Gratis di Desa Tlogosari Donomulyo Kabupaten Malang Wihatno, Elvianto; Asri, Yuni; Nurmayunita, Heny; Maharani, Ananda Sagita
Alamtana: Jurnal Pengabdian Masyarakat UNW Mataram Vol 7 No 1 (2026): Edisi Mei 2026
Publisher : LPPM UNIVERSITAS NAHDLATUL WATHAN MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51673/jaltn.v7i1.2789

Abstract

Abstract: Akses terhadap layanan kesehatan yang memadai merupakan salah satu tantangan bagi masyarakat pedesaan di Indonesia, terutama di wilayah terpencil seperti Desa Tlogosari, Kecamatan Donomulyo, Kabupaten Malang. Kegiatan pengobatan gratis yang dilaksanakan pada 18 September 2024 bertujuan untuk meningkatkan akses layanan kesehatan bagi masyarakat desa yang menghadapi keterbatasan baik dari segi ekonomi maupun geografis. Kegiatan ini melibatkan kolaborasi antara Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen Malang, Klinik Kartika Husada Donomulyo, dan mobil layanan BPJS. Pengobatan ini melayani 212 warga dengan berbagai pemeriksaan kesehatan, termasuk cek tekanan darah, pemeriksaan gula darah, hingga pemberian obat. Hasil kegiatan menunjukkan tingginya prevalensi penyakit tidak menular, seperti hipertensi dan diabetes, serta penyakit menular seperti ISPA dan dugaan Tuberkulosis (TB). Selain memberikan layanan kesehatan, program ini juga meningkatkan kesadaran masyarakat akan pentingnya pemeriksaan kesehatan berkala dan kebersihan lingkungan. Meski kegiatan ini memberikan manfaat yang signifikan, edukasi kesehatan dan akses berkelanjutan ke layanan kesehatan tetap diperlukan untuk meningkatkan kesejahteraan masyarakat di masa depan.
Factors Associated with Physical Activity among Study Participants at Buho-Buho Primary Health Center, Pulau Morotai Regency Abas, Fahrudin M; Nurmayunita, Heny; Asri, Yuni
Jurnal Kesehatan Vol. 15 No. 01 (2026): Jurnal Kesehatan: Volume 15, Issue 01, April 2026
Publisher : STIKES Hesti Wira Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63323/jkes.v15i01.257

Abstract

Introduction: Physical activity plays an important role in maintaining health and preventing non-communicable diseases. However, levels of physical activity are influenced by various demographic and lifestyle factors, particularly in primary healthcare settings. Objective: This study aimed to analyze factors associated with physical activity among study participants at Buho-Buho Primary Health Center, Pulau Morotai Regency Method: This study employed an analytical observational design with a cross-sectional approach. A total of 69 participants were included using a total sampling technique. Physical activity was categorized as active and physically inactive. Independent variables included demographic characteristics (gender, age group, marital status, educational level, and employment status) and lifestyle factors (smoking habits). Data were analyzed using SPSS version 26. Descriptive analysis was presented as frequencies and percentages, while bivariate analysis was conducted using the Chi-square test or Fisher’s exact test, with a significance level of p < 0.05. Results: The results showed that gender (p = 0.013), age group (p < 0.001), employment status (p = 0.020), and smoking habits (p = 0.006) were significantly associated with physical activity. Marital status and educational level were not significantly associated with physical activity. Conclusion: Physical activity was significantly associated with gender, age group, employment status, and smoking habits among study participants. These findings highlight the importance of considering demographic and lifestyle factors in promoting physical activity at the primary healthcare level.
Co-Authors Abas, Fahrudin M Amin Zakaria Ananda Sagita Maharani Apriyani Puji Hastuti Ardiyanti, Sahda Eka Arif, Maulana Atik Setiawan Wahyuningsih Azis, Leo Abdul Dian Pitaloka Priasmoro, Dian Pitaloka Dion Kunto Adi Patria Elvianto Wihatno Fajar Rinawati Hamidah, Nur Diana Hengky Irawan Hidayah, Fauziyatul Ispriantari, Aloysia Kayely, Janeanti Afi Kurniawan, Ardhiles Wahyu Maharani, Ananda Sagita Mashitah, Musthika Wida Maslakhah, Indana Muhtar , Muhammad Solihuddin Ninik Murtiyani Pratama, Chandra Diyan Satria Pratiwi, Lovenia Linggar Eka Riki Ristanto Risa Putri Rahmadani Wibowo, Yuda Aji Prasetyo Yuni Asri