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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat Health Notions Nursing Current : Jurnal Keperawatan Journal of Health Promotion and Behavior Journal of Maternal and Child Health Faletehan Health Journal JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Ilmiah Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Jurnal Ilmu Kesehatan Masyarakat Al Makki Health Informatics Journal Jurnal Biostatistik, Kependudukan dan Informatika Kesehatan (BIKFOKES) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sutanto Priyo Hastono
Universitas Indonesia
Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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EVALUASI IMPLEMENTASI KUNJUNGAN RUMAH PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA DI KOTA TANGERANG SELATAN Prihatni, Rima; Hastono, Sutanto Priyo
Jurnal Mutiara Kesehatan Masyarakat Vol 9 No 1 (2024): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmkm.v9i1.4965

Abstract

Penyakit Tidak Menular (PTM) adalah penyebab kematian tertinggi di dunia, termasuk di Indonesia. Untuk mencegah peningkatan PTM, Kementerian Kesehatan mencanangkan Program Indonesia Sehat-Pendekatan Keluarga (PIS-PK) guna memastikan basis data kesehatan yang valid. Kota Tangerang Selatan, sebuah daerah urban di Banten, memiliki kunjungan PIS-PK yang rendah. Penelitian ini bertujuan mengkaji implementasi kunjungan rumah PIS-PK di Puskesmas wilayah Kota Tangerang Selatan untuk mengidentifikasi hambatan dan tantangan dalam pengembangan layanan Puskesmas. Puskesmas X dipilih karena capaian kunjungan PIS-PK yang rendah. Penelitian ini menggunakan pendekatan kualitatif dengan desain Rapid Assessment Procedure (RAP). Wawancara mendalam dilakukan terhadap koordinator PIS-PK Dinas Kesehatan Kota Tangerang Selatan, Kepala Puskesmas X, serta staf puskesmas termasuk penanggung jawab PIS-PK dan petugas lapangan. Implementasi kunjungan rumah PIS-PK di Puskesmas X belum optimal, sehingga target tidak tercapai. Beberapa kendala yang ditemukan meliputi: komunikasi berjenjang dari Dinas Kesehatan ke Puskesmas yang belum optimal, kurangnya waktu khusus untuk sosialisasi program, serta masyarakat yang tidak bersedia dikunjungi. Konsistensi data juga masih kurang karena informasi yang diterima dari berbagai sumber berbeda. Sumber daya manusia dengan keterampilan penginputan data dan pelatihan kunjungan rumah juga masih kurang. Meskipun pedoman PIS-PK ada, sosialisasinya belum rutin, sehingga pelaksanaan belum sesuai SOP. Namun, fasilitas untuk implementasi kunjungan rumah sudah mencukupi. Pelaksanaan PIS-PK di Kota Tangerang Selatan telah berjalan sesuai arahan Kementerian Kesehatan namun menghadapi berbagai kendala. Diperlukan perbaikan komunikasi, peningkatan sosialisasi dan pelatihan rutin, serta penambahan sumber daya manusia terampil untuk mengoptimalkan program ini.
Spatial Analysis of Pneumonia Distribution in Children Under Five in West Java: Relationships with Individual and Environmental Determinants Suchery, Puput Leni Yuliani; Hastono, Sutanto Priyo
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.118-134

Abstract

Pneumonia is a major cause of mortality among children under five, especially in developing countries like Indonesia. In 2023, West Java recorded over 18,000 cases, making it one of the provinces with the highest burden. This study analyzes the spatial distribution of pneumonia in children under five across 27 districts/cities in West Java and examines its association with individual and environmental determinants. Data were obtained from the 2023 Indonesia Health Survey (Survei Kesehatan Indonesia or SKI), Statistics Indonesia (Badan Pusat Statistik or BPS), and the West Java Health Office. Descriptive analysis (mean, median, standard deviation) was conducted using SPSS, and geospatial mapping was performed using QGIS. The results revealed notable spatial clusters of pneumonia incidence among children under five in several districts. High-High clusters, indicating areas with high pneumonia rates surrounded by similarly high-risk districts, were prominently observed in regions with elevated prevalence of household tobacco smoking and use of wood fuel for cooking, such as Bogor, Sukabumi, Cianjur, and Garut. Conversely, Low-Low clusters, representing low pneumonia incidence surrounded by similarly low-risk districts, were identified in areas with better population density management and lower tobacco exposure, such as Majalengka, Cirebon, and Kuningan. Significant gaps in basic immunization coverage and exclusive breastfeeding practices were also spatially evident. Districts like Karawang and Purwakarta demonstrated Low-Low clusters for basic immunization, highlighting regional disparities potentially due to limited healthcare accessibility. Likewise, Majalengka and Indramayu showed Low-Low clusters for exclusive breastfeeding practices, signaling inadequate maternal and community support. This spatial epidemiological analysis highlights critical hotspots and underscores the importance of geographically targeted health policies, including intensified immunization campaigns, promotion of exclusive breastfeeding, and tobacco control initiatives, to effectively reduce pneumonia risks among vulnerable children in West Java.
The Effect of The Application of Head Coaching on The Work Motivation and Job Satisfaction of The Implementing Nurse at The Bandar Lampung Advent Hospital Gulo, Magdalena; Hastono, Sutanto Priyo; Wijayanti, Catharina Dwiana
Al Makki Health Informatics Journal Vol. 3 No. 3 (2025): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v3i3.52

Abstract

Nursing human resources today are experiencing a change in the generation of workers. The need for the role of the head nurse in carrying out coaching to support, collaborate, and facilitate nursing human resources of different generations in order to build effective working relationships, increase motivation, self-potential, and staff job satisfaction. The purpose of the study was to assess the impact of coaching training on nurses' motivation and job satisfaction. Quasi-experimental research design with one group pre-posttest design. Respondents in the research were implementing nurses, using questionnaire measuring tools. The results were obtained by the majority of respondents aged 20-30 years (42.9%), PK 2 career path (37.5%), nurse education (50.0%), and length of work 1-5 years (44.6%). Before the coaching training, the average motivation was 25.13 and job satisfaction was 23.73, while after the coaching training, the average motivation increased to 43 and job satisfaction increased to 35.98. The Paired Samples Test showed a significant effect of coaching training on motivation and job satisfaction with a p-value of 0.000, as well as an R square result of 0.838.  The need for the implementation of coaching by the head of the room to increase the motivation and work of nurses which will have an impact on the quality and effectiveness of nursing services.
A Cross-Sectional Geospatial Study on Families at Risk of Stunting in West Java Cahyani, Restu Adya; Hastono, Sutanto Priyo
Health Notions Vol 9, No 5 (2025): May
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn90502

Abstract

Stunting affects the physical, cognitive, and overall health development of children under five, potentially hindering long-term economic growth. In West Java, stunting prevalence reached 21.7% in 2023, exceeding the WHO standard (<20%) and falling short of Indonesia’s target of 14%. This study aimed to develop a geospatial model to identify at-risk families and support targeted interventions, implemented by the Family Assistance Team (TPK). A cross-sectional research design using Quantum GIS with a scoring technique was employed. Data sources included the 2023 Indonesia Health Survey (SKI), the 2023 Ministry of Population and Family Development (BKKBN) data, and the BKKBN Family Information System. The study covered 27 districts/cities in West Java. Results showed high risk in 2 cities, with high stunting prevalence and low TPK assistance; moderate risk in 14 districts/cities with moderate stunting levels and varying TPK support; and low risk in 11 districts/cities with lower stunting prevalence and higher TPK coverage. The geospatial approach effectively mapped at-risk families and prioritized interventions, enhancing TPK effectiveness. This method supported evidence-based planning and cross-sector collaboration. The study concluded that geospatial analysis is a strategic tool for guiding targeted stunting interventions and optimizing resource allocation in West Java. 
Geographically Weighted Regression Model of Stunting Determinants in Indonesia Kurniawati, Dini; Hastono, Sutanto Priyo; Safika, Iko; Wahyuningsih, Wiji
Journal of Maternal and Child Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.03.02

Abstract

Background: Stunting is a chronic condition resulting from malnutrition during early growth, potentially affecting physical and cognitive development in children into adults. According to the 2023 Indonesian Health Survey (SKI), stunting in Indonesia remains at 21.5%. This figure is still far from the government's target for 2024, which was below 14%. This study aims to identify the determinants of stunting caused by spatial conditions in Indonesia in 2024. Subjects and Method: This study employed an ecological design with a spatial approach, utilizing aggregate data from the 2023 SKI and 2024 Central Bureau of Statistics (BPS) across 38 provinces in Indonesia. The dependent variable was stunting prevalence, and the analysis included eight independent variables using descriptive statistics, spatial analysis (Moran’s I and Local Moran’s I), multiple linear regression (OLS), and Geographically Weighted Regression (GWR). Data was processed between November 2024 and January 2025 using SPSS, Geoda, and R Studio. Results: Results show that the average stunting prevalence in Indonesia in 2024 was 23.56% (Standard Deviation: 6.80), which unmet the government’s target in the same year. The provinces with the lowest and highest stunting prevalence were Bali (7.2%) and Central Papua (39.3%). Meanwhile, Papua, West Papua, South Papua, Central Papua, and Highlands Papua were provinces with high stunting prevalence and surrounded by similarly high prevalence (high-high) provinces. In contrast, Banten and West Sumatra had high stunting prevalence but were surrounded by provinces with low prevalence (High-Low). Finally, factors influencing stunting across geographical areas included stunting knowledge, completion of immunization coverage, and poverty rates. Conclusion: Efforts to reduce stunting in Indonesia should focus on improving communication, information, and education, particularly in provinces with high prevalence. In addition, increasing coverage and access to complete basic immunization and enhanced family welfare should also be highlighted.
Implementation of Coaching of Room Head on Work Motivation in Improving Caring Behavior of Implementing Nurses Tarigan, Juliani; Tarigan, Emiliana; Hastono, Sutanto Priyo
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.v7i4.6865

Abstract

Public demand for health services to provide quality services. Good quality is usually supported by high work motivation. Good work motivation provides humane care for patients. Humanist behavior treats patients as human beings who must be cared for and served with a sincere heart which is called Caring behavior. Caring behavior is an attitude of Caring and concern for patients. One of the efforts to improve the Caring behavior of nurses is through the implementation of coaching training provided by the head of the room and the head of the room provides coaching conversation sessions to implementing nurses. The purpose of the study was to find out the implementation of ward head coaching on work motivation and characteristics of implementing nurses in increasing Caring behavior at M. Tangerang Hospital. This research method uses a quantitative method with a quasi-experimental design with a pretest-post-test control group design, namely a two-group design that was selected by consecutive sampling. The samples of this study by consecutive sampling, were 40 nurses 30 nurses in the intervention group and 10 nurses in the control group. The head coaching technique training with pre and post test scores got an increase of 24%. Univariate results showed an increase in Caring behavior in the intervention group by 10% after the implementation of coaching. The results of the independent sample t-test obtained a significance value (Sig.) of 0.029, smaller than 0.05, indicating that there was a difference in Caring behavior between the nurses in the intervention group and the nurses in the control group after the implementation of coaching by the head of the room. Suggestions for further research are to conduct research using qualitative methods.
Analisis Data Riskesdas 2007/2008: Kontribusi Karakteristik Ibu terhadap Status Imunisasi Anak di Indonesia Hastono, Sutanto Priyo
Kesmas Vol. 4, No. 2
Publisher : UI Scholars Hub

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

Abstract

Cakupan imunisasi terbukti dapat menurunkan secara signifikan kejadian kesakitan dan kematian yang diakibatkan penyakit tersebut, tetapi di Indonesia cakupan tersebut tergolong rendah. Tujuan penelitian adalah mengetahui hubungan karakteristik ibu dengan status imunisasi anak di Indonesia. Disain yang digunakan dalam penelitian adalah potong lintang dengan sampel anak yang berumur antara 1-2 tahun yang tinggal di wilayah Indonesia. Sumber data sekunder yang digunakan adalah Riskesdas Depkes tahun 2007/2008. Proporsi anak usia 12-24 bulan yang mendapat imunisasi lengkap adalah 56,2 % (95% CI :55,1-57,3). Pendidikan ibu dan pendidikan suami ditemukan berhubungan secara bermakna dengan status imunisasi dasar pada anak. Hasil analisis multilevel menemukan bahwa kontribusi variabel level kabupaten (92,5 %) jauh lebih besar daripada level individu (7,5 %). Disarankan pemerintah bersama masyarakat berupaya untuk meningkatkan pendidikan. Departemen Kesehatan dan sektor terkait disarankan menyusun pedoman upaya memobilisasi imunisasi dengan sasaran penyuluhan dan kampanye imunisasi secara tepat. The escalation on the immunization coverage has been proved to significantly reduce the morbidity and mortality of the immunized diseases. However, in Indonesia the coverage of immunization is still low. The research purpose is to understand the role of mother’s characteristics to child immunization status in Indonesia. This is an advance analysis of Riskesdas data 2007/2008. Sample of the research is children age 12-24 months. The results showed that only 56.2% children had had complete immunization. Multivariate analysis shows that characteristic factors, such as mother’s and husband’s education are significant to child immunization status. The result of Multilevel Analysis shows that the role of characteristic factors to child immunization status is 7.5% and the role of district level is 92.5%. Based on this result research, it is important for government to continuously improving education, immunization knowledge and encourage the utilization of health care especially immunization services. Ministry of Health and related sectors are supposed to arrange orientation program for immunization mobilization.
Sikap Remaja terhadap Keperawanan dan Perilaku Seksual dalam Berpacaran Rusmiati, Desi; Hastono, Sutanto Priyo
Kesmas Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Laporan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 dan 2012 menunjukkan terjadinya penurunan jumlah remaja yang memiliki sikap positif terhadap pentingnya mempertahankan keperawanan bagi seorang perempuan. Dari laporan yang sama juga diketahui adanya peningkatan perilaku seksual remaja dalam hal berpegangan tangan, berciuman bibir, petting, dan melakukan hubungan seksual. Penelitian ini bertujuan untuk membuktikan adanya hubungan antara sikap remaja terhadap keperawanan dengan perilaku seksual dalam berpacaran dengan melibatkan usia, jenis kelamin, pendidikan, tempat tinggal, usia pertama kali pacaran, pengetahuan, dan pengaruh teman sebaya sebagai variabel perancu. Penelitian ini merupakan penelitian kuantitatif dengan rancangan potong lintang menggunakan model faktor risiko dari data SDKI 2012 yang dianalisis secara univariat, bivariat, dan multivariat dengan complex samples. Populasi penelitian adalah remaja berusia 15 - 24 tahun, belum menikah, pernah atau sedang berpacaran saat survei dilakukan. Sampel berjumlah 13.013 yang terdiri dari 7.329 laki-laki dan 5.684 perempuan. Hasil menunjukkan 1,1% remaja tidak setuju terhadap pentingnya menjaga keperawanan dan 25,2% remaja memiliki perilaku seksual berisiko. Terdapat hubungan antara sikap, usia, jenis kelamin, pengetahuan, dan pengaruh teman sebaya dengan perilaku seksual. Tidak terdapat interaksi antara sikap dengan usia, jenis kelamin, pendidikan, pengetahuan, dan pengaruh teman sebaya. Variabel pengaruh teman sebaya merupakan variabel perancu yang memengaruhi hubungan antara sikap dengan perilaku seksual. Indonesia Demographic and Health Survey (IDHS) reports in 2007 and 2012 show a declining number of teenagers who had positive attitude to the importance of maintaining virginity for a woman. The same report also shows an increase of teenage sexual behavior in terms of holding hands, kissing, petting and intercourse. This study aimed to prove any relation of teenage attitudes toward virginity with sexual behavior in dating that involved age, sex, education, domicile, age of first dating, knowledge and peers’influence as confounding variables. This study was quantitative with cross-sectional design using risk factor model based on IDHS 2012 data as analyzed in univariate, bivariate and multivariate with complex samples. Population of study was 15 – 24 year-old teenagers, unmarried, ever or being in a relationship when the survey was conducted. The amount of sample was 13,013 consisting of 7,329 men and 5,684 women. Results showed 1.1% of teenagers disagreed of the importance of maintaining virginity and 25.2% had risky sexual behavior. There was a relation of attitude, age, sex, knowledge and peers’ influence with sexual behavior. Then no interaction found between attitudes with age, sex, education, knowledge and peers’influence. Peers’ influence variable is confounding variable affecting the relation between attitudes and sexual behavior.
Co-Authors Agus Setiawan Budi Anna Keliat Cahyani, Restu Adya Desi Rusmiati, Desi Diana, Tyra Septi Dini Kurniawati Gulo, Magdalena Kusharisupeni Kusharisupeni Lilis Heri Mis Cicih Martya Rahmaniati Mutaqin, Jilan Salshabilla Nabila Vebiana Soviadi ningsih, Sri Sunarti Nourmayansa Vidya Anggraini Novy Helena Chatarina Daulima Nurfika Asmaningrum Nurul Huriah Astuti Pasaribu, Jesika Prihatni, Rima Ratnawati, Diah Safika, Iko Sipahutar, Tiopan Siregar, Tatiana Suchery, Puput Leni Yuliani Tarigan, Emiliana Tarigan, Juliani Wahyuningsih, Wiji Widita, Itsna Widyatuti Wijayanti, Catharina Dwiana