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All Journal Public Health of Indonesia NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Journal of Public Health Education Jurnal Pengabdian Masyarakat Indonesia Maju (JPMIM) Journal of Current Health Sciences Proceeding Muhammadiyah International Public Health and Medicine Conference Media Penelitian dan Pengembangan Kesehatan Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Harimat Hendarwan
Pusat Teknologi Intervensi Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Dukung Ibu Memberikan ASI untuk Meningkatkan Kesehatan Bayi Kusumastuti, Istiana; Hendarwan, Harimat
Jurnal Pengabdian Masyarakat Indonesia Maju Vol 1 No 02 (2020): Jurnal Pengabdian Masyarakat Indonesia Maju Volume 01 Nomer 02 Tahun 2020
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.13 KB) | DOI: 10.33221/jpmim.v1i02.655

Abstract

ASI eksklusif adalah bayi hanya diberi ASI saja selama 6 bulan tanpa tambahan cairan lain seperti susu formula, jeruk, madu, air teh, air putih, dan tanpa tambahan makanan padat seperti pisang, pepaya, bubur susu, biskuit, bubur nasi, dan tim. Bertujuan untuk meningkatkan pengetahuan ibu mengenai ASI Eksklusif dan pemberian MP-ASI tepat dan memberikan dukungan kepada ibu untuk meng-ASI-hi selama 6 bulan dengan menggunakan metode Focus Discussion Group (FGD) melalui fasilitasi serta pengenalan jingle ASI Eksklusif dan workshop pijat oksitosin (pijat pelancar ASI) di RW 003 Desa Jambuluwuk, wilayah kerja Puskesmas Banjarsari Kecamatan Ciawi yang dilakukan pada tanggal 20 Agustus dan 25 Agustus 2019. Sampel dari penelitian ini yakni ibu yang memiliki bayi usia 0-12 bulan di RW 003 Desa Jambuluwuk sebanyak 20 responden. Peneliti mengolah data menggunakan Microsoft Office. Penelitian dilakukan berdasarkan hasil observasi lapangan, peneliti menemukan bahwa perilaku ibu yang malas memberikan ASI kepada bayi menjadi salah satu diberikannya MP-ASI kepada bayi sebelum usia 6 bulan. Selain itu kurangnya pengetahuan ibu mengenai pentingnya ASI Eksklusif dan bahaya pemberian MP-ASI dini juga menjadi salah satu pemicu diberikannya MP-ASI kepada bayi sebelum usia 6 bulan. Diharapkan dari hasil penelitian ini, tenaga kesehatan dapat melakukan upaya perbaikan cakupan pemberian ASI Eksklusif kepada bayi dengan membentuk gerakan dukungan untuk ibu menyusui.
ANALISIS KOMPARATIF KEBIJAKAN OPERASIONAL RUANG DIAGNOSTIK INVASIF DAN INTERVENSI NONBEDAH RS. TK. II MOH. RIDWAN MEURAKSA JAKARTA TIMUR Rosita, Sarwi Astuti Prapto; Arini, Nining; Hendarwan, Harimat
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2101

Abstract

Cardiovascular technical service standards are guidelines followed by cardiovascular technicians in providing health services to clients in the form of examination techniques for cardiovascular abnormalities using vascular sonography techniques, echocardiographic sonographic techniques, electrocardiography and blood pressure techniques, and cardiac catheterization techniques. The purpose of this study was to analyze the suitability of operational policies for invasive diagnostic rooms and non-surgical interventions with Law no. 36 of 2009 and also explained in the Regulation of the Minister of Health of the Republic of Indonesia No. 91 of 2014 and No. 10 of 2015 Appendix VII as the development of cardiac installations in hospitals. kindergarten. II Moh. Ridwan Meuraksa. This research method uses a comparative descriptive method with a qualitative approach in which the researcher describes the operational policies of the invasive diagnostic room and non-surgical interventions with related policies. The results of the study were obtained based on the results of observations and interviews. . Tk II Moh. Ridwan Meuraksa, referring to what is also contained in the Regulation of the Minister of Health of the Republic of Indonesia Number 91 of 2014 and Permenkes Number 10 of 2015 attachment VIII, obtained conformity to the standard of cardiovascular technical services in invasive diagnostic rooms and non-surgical interventions based on SOPs in hospitals. Tk II Moh. Ridwan Meuraksa according to Permenkes No. 91 of 2014 it was found that 81.8% of the equipment was in accordance with applicable standards in cathlab action services. It can be suggested as input material in determining standards of conformity of cardiovascular engineering service standards in invasive diagnostic rooms and non-surgical interventions to improve the standard of equipment and completeness of cathlab services in improving better servicess
Tenaga Kesehatan, Dukungan Suami, Motivasi, Konsep Diri dan Kesehatan Fisik terhadap Mekanisme Koping Wanita Infertil : Health Workers, Husband's Support, Motivation, Self-Concept and Physical Health on Infertile Women's Coping Mechanisms Hendarwan, Harimat; Saputri, Dira
Journal of Public Health Education Vol. 1 No. 4 (2022): Journal of Public Health Education
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jphe.v1i4.129

Abstract

Introduction: A woman who can not give birth to a child, then her social status is considered inferior if there are no adjustments and good handling, which can put pressure resulting in their impaired psychology and even physical fitness. The right coping mechanism is necessary to overcome a problem caused by infertility Objectives: The purpose of this research is to know the influence of the direct and indirect role of health workers, support husbands, motivation, self-concept, and the welfare of the physical coping in women with infertility in hospital mother and child WEMPE Singkawang City in 2018. Method: This type of research is quantitative using the descriptive-analytic method with a cross-sectional approach. The population in this study were all infertile women who were examined from May to December at the WEMPE Mother and Child Hospital Singkawang City with a total of 114 people. The number of samples was taken following the number of samples in the PLS (Partial Least Squares) guidelines a multiple of the number of indicators to be studied. Data analysis using Partial Least Square (PLS) approach using smart PLS software. Result: The research results show that the coping mechanism in women with infertility is influenced by the role of a trained health professional (12,92%), support of husbands (13,14%), motivation (20,48%), self-concept (19.75%) and the welfare of physical (29,07%). The direct effect of women’s coping mechanism for infertility is 95.4 % and as much as 1,86 % is an indirect effect. Relevance predictive value ( Q Square ) is 99,9 % while 0,01 % is described by other variables that were not investigated. Conclusion: Thus it can be concluded that the health of physical mechanisms for fear of a massive coping. With the condition of good health, women infertile will find it easy to cope with overcoming the problem generated by infertility.
Evaluation of the Sustainability of the Essential Public Health Effort Program at the Team-based Nusantara Sehat Assignment Health Center, Ministry of Health, Republic of Indonesia waris, lukman; Arifiati, Nurce; Hendarwan, Harimat; Siswati , Tri
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.460

Abstract

Background: The Nusantara Sehat Team-based Program (NST) is a program that places health workers with 9 categories of health professionals in remote border areas and islands (DTPK) for 2 years every batch. NST aims to fill the shortage of health workers at the DTPK puskesmas so that the main tasks of the puskesmas can continue. This study aims to evaluate the sustainability of the essential public health program at the NST placement center between 2016 and 2018. Method: Quantitative research method with cross-sectional design. The population is the NST batch 1-2 community health center (2016) as post-placement and NST batch 6-8 health center (2018) as placed in 28 provinces, 43 districts, and 39 health centers. The sample is the community at the placement and post-placement health centers. Data collection was carried out by interviewing the people who were selected as samples using a questionnaire by trained enumerators. A statistical test was conducted to assess the average coverage index of the essential public health program at the puskesmas by comparing the average coverage index of the program during placement and after placement with an independent t-test. The result: The results of the study showed that the NST essential public health program experienced sustainability, as seen from the results of statistical analysis, it was found that p = 0.26 95% CI (0.11-0.41) at the NST placement health center and p = 0.76 95% CI (0.36-0.49) at post-placement health centers. Sustainable programs are health promotion, empowerment, environmental health, MCH, and Nutrition. Programs that are not sustainable are disease prevention
MENAKAR KESIAPAN PUSKESMAS DALAM PENUNTASAN PENANGANAN PENYAKIT: ANALISA DATA RISET FASILITAS KESEHATAN 2019 Hendarwan, Harimat; Suparmi, Suparmi
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

The completion of disease treatment at the health center was important for payment of Capitation Based on Fulfillment of Service Commitment (PCFSC/KBPKP) and the Non-Specialist Case Outpatient Referral (NSOR/RRNS) was one of the key indicators. This study aimed to assess public health center readiness in the completion of disease treatment for those stipulated in Ministerial Decree number 514 of the year 2015. This study used Health Facility Research (Rifaskes) data conducted in 2019 with a total of 9831 health centers as observations. Analysis was conducted by comparing the availability of equipment, laboratories, and medicines with existing regulations. Health center readiness in completion of disease treatment differs according to geographical aspects, accreditation status, and financial management. Health centers located in Java, accredited, and holding Regional Public Service Agency (BLUD) financial management had better readiness for disease treatment. Health center readiness for disease treatment still experiencing problems in terms of the availability and adequacy of equipment, supporting examinations, and medicines. Therefore, it is recommended to synchronize and strengthen regulations for determining the type of disease that must be completely treated at the health center; review the type of disease that can be treated; and complete the minimum requirements of equipment, laboratories, and medicines.
Anemia in Human Immunodeficiency Virus Infection: Exploring the Interplay Between Antiretroviral Therapy, Opportunistic Infections, Iron Status, and Anemia Murtiani, Farida; Tanjungsari, Dian Wahyu; Shidiq, Achmad; Herlina, Herlina; Dinar Widiantari, Aninda; Nurhayati, Nurhayati; Wirasmi, Sundari; Despitasari, Mieska; Yulianto, Aris; Hendarwan, Harimat
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.848

Abstract

Background:Anemia is a prevalent hematological complication among individuals with Human Immunodeficiency Virus (HIV), contributing significantly to increased morbidity and mortality. This study investigates the intricate relationships between antiretroviral therapy (ART), opportunistic infections (OIs), iron metabolism, and anemia in HIV-positive patients in Indonesia. Objective:To elucidate the multifactorial associations among ART regimens, opportunistic infections, iron biochemical parameters, and anemia development in individuals living with HIV. Method:A cross-sectional epidemiological study was conducted at Sulianti Saroso Infectious Disease Hospital, Indonesia, from July to November 2023. The study involved 300 adult HIV-positive patients undergoing ART, with exclusion criteria encompassing pregnant or postpartum individuals, those with recent blood transfusions, and patients with chronic kidney diseases. Data collection included anemia status, ART regimen details, history of opportunistic infections, and iron metabolic profiles (serum iron, total iron-binding capacity [TIBC], and ferritin levels). These were obtained through systematic medical record reviews and laboratory diagnostics. Descriptive statistics, bivariate, and multivariate analyses were employed to explore predictive factors for anemia. Results:The study identified an anemia prevalence of 24.3%, with significantly higher rates among female patients (p = 0.004) and older age groups (p = 0.031). Multivariate regression analysis highlighted critical predictors of anemia: second-line ART (adjusted odds ratio [AOR]: 2.536, p = 0.028), serum iron concentrations (AOR: 0.984, p < 0.001), ferritin levels (AOR: 1.002, p = 0.023), and absolute lymphocyte count (AOR: 0.516, p = 0.003). Conclusion:The findings emphasize the necessity of longitudinal monitoring of hematologic and biochemical parameters to enhance anemia management in HIV-infected populations. The complex interplay between ART regimens, immune status, and iron metabolism underscores the importance of tailored, patient-centered clinical interventions.  Keywords:anemia; HIV; antiretroviral therapy; opportunistic infections; iron metabolism
The Influence of Medication Non-Adherence on the Occurrence of Drug-Resistant Tuberculosis Handayani, Reni Stefhanie; Hendarwan, Harimat; Ratri, Teja
Journal of Current Health Sciences Vol. 4 No. 2: November 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.202474

Abstract

Drug-resistant tuberculosis (DR-TB) presents a significant challenge to global TB control efforts, with medication non-adherence identified as a major contributing factor. This study aimed to investigate the influence of medication non-adherence on the occurrence of DR-TB in Serang City, Indonesia. Utilizing an observational analytic study with a case-control design, the research included 76 TB patients, comprising 38 DR-TB cases and 38 drug-sensitive TB controls. Data were collected from secondary sources and validated questionnaires and analyzed using univariate and bivariate methods, including Chi-square tests and Odds Ratios (OR). The findings revealed a significant relationship between medication non-adherence and DR-TB, with an OR of 11.56, indicating that non-adherent patients are 11.5 times more likely to develop DR-TB compared to adherent patients. However, demographic factors such as age, occupation, and education did not significantly influence the incidence of DR-TB. The study concludes that medication non-adherence is a critical risk factor for the development of DR-TB, underscoring the need for targeted interventions to improve treatment adherence, particularly through educational campaigns and community-based support. Health authorities are encouraged to implement intensive educational programs focused on the risks of non-adherence and ensure that TB treatment is accessible and supported by community health workers. Policymakers should allocate sufficient resources to these initiatives to effectively reduce the incidence of DR-TB.
DETERMINANTS OF COMMUNITY HEALTH CENTRE BASIC IMMUNIZATION PROGRAM ACHIEVEMENT DURING THE COVID-19 PANDEMIC: A MIXED METHODS STUDY FROM TABANAN REGENCY Maryani, Ayu Miya; Rindu, Rindu; Hendarwan, Harimat; Nurhayati, Nurhayati
Media Penelitian dan Pengembangan Kesehatan Vol. 33 No. 3 (2023): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v33i3.1716

Abstract

Imunisasi adalah salah satu strategi pencegahan kesehatan masyarakat yang paling hemat biaya di semua tingkat sosioekonomi. Pada tahun 2020, pada saat pandemic COVID-19, capaian imunisasi di wilayah Kabupaten Tabanan, Bali, mengalami penurunan, bahkan pada tahun 2021 terdapat 3 puskesmas di wilayah Kabupaten Tabanan yang capaian imunisasinya di bawah 50 %. Tujuan penelitian ini untuk mengidentifikasi faktor-faktor yang mempengaruhi pencapaian program imunisasi dasar Puskesmas di Kabupaten Tabanan, Provinsi Bali selama pandemi COVID-19. Penelitian ini menggunakan rancangan metode campuran (mixed method), studi kuantitatif dan kualitatif, untuk mengidentifikasi faktor-faktor yang mempengaruhi Capaian Program Imunisasi Dasar Puskesmas pada Masa pandemi COVID-19 di Kabupaten Tabanan. Survei kuantitatif dan wawancara semi-terstruktur menilai perspektif 100 ibu yang memiliki anak di bawah 12 bulan dan 5 penyedia layanan kesehatan. Hasil penelitian menunjukkan bahwa sikap ibu dan dukungan keluarga merupakan faktor yang paling mempengaruhi status imunisasi dasar lengkap di Puskesmas Kabupaten Tabanan. Masih terdapat kesalahan informasi mengenai dampak negatif imunisasi terhadap masyarakat di salah satu Puskesmas di Kabupaten Tabanan. Pengawasan pada saat pemberian imunisasi perlu ditingkatkan sehingga dapat meminimalisir tindakan anti vaksin, dan juga memberikan edukasi kepada masyarakat mengenai pentingnya imunisasi. Perencanaan pelaksanaan imunisasi dasar dengan menggunakan sistem clustering dan sistem monitoring dan evaluasi dengan pendekatan teknologi informasi dapat diterapkan pada situasi pandemi COVID-19.
Job Satisfaction Model of Primary Health Care Midwives Based on Indonesian Workforce Research in the Health Sector Despitasari, Mieska; Bachtiar, Adang; Hendarwan, Harimat; Besral, Besral; Yuniar, Yuyun
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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Abstract

Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. A total of 87,341 midwives from all 9,669 primary health cares in Indonesia participated in this study. Data were collected by distributing the Minnesota Satisfaction Questionnaire, elaborating on the satisfaction level and relevant contributing factors. The prefilled Likert scale questionnaire was analyzed using logistic regression. The findings suggested a model indicating that motivation, work area (region), history of salary delay, and training received were important for their job satisfaction, whereas the motivation aspect contributed the most. Therefore, the local and central governments must consider these factors in the human resource policymaking process.
Co-Authors Achmad Shidiq, Achmad Adang Bachtiar Arifiati, Nurce Arini, Nining Besral . Dinar Widiantari, Aninda Handayani, Reni Stefhanie Herlina Herlina Kusumastuti, Istiana Lukman Waris Maryani, Ayu Miya Mieska Despitasari Murtiani, Farida Nurhayati Nurhayati Ratri, Teja Rindu, Rindu Rosita, Sarwi Astuti Prapto Saputri, Dira Siswati , Tri Suparmi Suparmi Tanjungsari, Dian Wahyu Wirasmi, Sundari Yulianto, Aris Yuyun Yuniar