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All Journal Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Kesehatan Insights in Public Health Journal Buletin Poltanesa Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia (JPPKMI) Eduvest - Journal of Universal Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Arih Diyaning Intiasari
Jurusan Kesehatan Masyarakat Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jenderal Soedirman
Aerospace Engineering Agriculture, Biological Sciences & Forestry Computer Science & IT Education Health Professions Neuroscience Public Health Social Sciences

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Does Covid-19 pandemic influence the sustainability of health insurance membership among informal workers in Indonesia? Aji, Budi; Rachmatika, Hasna Tri; Maharani, Afrina; Intiasari, Arih Diyaning; Anandari, Dian; Malik, Ahmad Azam
Insights in Public Health Journal Vol 4 No 2 (2023): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2023.4.2.8909

Abstract

Background This study aims to find out the impact felt by informal sector workers due to the Covid-19 pandemic and their efforts to maintain the membership of the NHI program. Methods This was qualitative research with a case study approach. Eight study participants had been selected for this study. All interviews then transcribing verbatim for further data analysis. The analysis was conducted by using thematic networks approach. Results There were four themes emerged from the analysis. The themes covering issue about: i) the influence of the Covid-19 pandemic on the informal sector; ii) coping strategies for maintaining NHI premium payment; iii) the role of social capital for supporting informal workers during Covid-19 pandemic; and iv) policy recommendation for protecting the informal sector for maintaining NHI membership. Conclusions This study highlights the strategic position of cooperatives in supporting their members from the burden of NHI premium payment. Government is needed to support the informal workers product so can improve the economic condition these such population.
Implementasi Kawasan Tanpa Rokok di Sekolah Menengah Atas Swasta Wilayah Perkotaan Sari, Desi Nabila; Nafisah, Lu'lu; Intiasari, Arih Diyaning
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3346

Abstract

The large number of smokers in Indonesia needs coordinated and integrated action to address, especially since the number of smokers among students continues to rise. One of the measures to address this issue is the no smoking area policy, including at school. However, no smoking area policy objectives must be supported by optimum policy execution. This study aims to determine the implementation of the Non-Smoking Area Policy at Pramita High School Tangerang City. This study uses qualitative research by conducting in-depth interviews. The principal, students, and counseling teachers are the three primary informants. Teachers and administrative personnel serve as the two supporting informants. The Content Analysis approach was used to analyze the data. Non-Smoking Areas Policy has yet to be implemented optimally at SMA Pramita Tangerang City. The school needs more resources and has yet to constitute a working group to enforce a smoke-free zone and consequences for breaches. There have also been no reporting systems for breaches of this policy, making it impossible to determine the number of violations and the level of compliance of school residents with this policy of no-smoking areas. A school must strengthen the implementation of No Smoking Areas by conducting socialization, developing a dedicated team, providing supporting facilities and infrastructure and imposing strict punishments on violators of the restrictions.
Faktor-faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan di Poli Lansia Puskesmas Pejagoan Kabupaten Kebumen Tahun 2022 Fajarwati, Dian; Intiasari, Arih Diyaning; Kurniawan, Arif
Jurnal Kesehatan Masyarakat Vol 11, No 5 (2023): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkm.v11i5.38530

Abstract

The increase in the elderly population needs attention. This is because the morbidity rate in the elderly is higher compared to other age groups. Health service coverage for the elderly is still low. The use of preventive and curative health services at the Pejagoan Health Center Elderly Polyclinic in 2022 is still not optimal and is experiencing a decline. This study aims to identify the factors that influence the utilization of health services in the elderly in the working area of the Pejagoan Health Center. This research is a quantitative analytic study with a cross-sectional research design. The research sample is 104 people. Sampling was carried out using proportional random sampling. The instrument used is a questionnaire. Data analysis was performed using univariate analysis, bivariate analysis through chi square test, and multivariate analysis through multiple logistic regression tests.The results showed that 45.2% of the elderly had used health services at the Elderly Poly. Factors related to the utilization of health services in the Elderly Poly are education, employment, income, health insurance, accessibility, family support, and perceptions of illness. The factor that has the most influence on the utilization of health services at the Pejagoan Health Center Elderly Poly is the ownership of health insurance.Ownership of health insurance is the factor that most influences the utilization of services at the Pejagoan Health Center Elderly Poly.
Evaluation of HRM Strategies to Enhance Nurse Performance at RSU Muhammadiyah Cirebon Wahdah, Vina Nurdiana; Intiasari, Arih Diyaning; Mulyanto, Joko
Poltanesa Vol 26 No 1 (2025): June 2025
Publisher : P3KM Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v26i1.3349

Abstract

This study aims to evaluate human resource (HR) management strategies in enhancing nurse performance at the Muhammadiyah University of Cirebon General Hospital (RSU UMC). A qualitative research approach was employed, utilizing case study and phenomenological methods through in-depth interviews, observations, documentation reviews, and questionnaires. The findings reveal that HR strategies such as selective recruitment, continuous training, and performance evaluation have been implemented and have shown a positive impact on nursing competence and service delivery. However, several challenges remain that hinder the full effectiveness of these strategies. These include high workload pressures, training content that is not entirely relevant to daily practice, performance evaluations that focus mainly on quantitative measures, and an incentive system perceived as inequitable. Furthermore, poor interprofessional communication and uneven distribution of tasks further reduce job satisfaction and motivation among nurses, ultimately affecting the quality of patient care. These limitations indicate that the current HR strategy needs to be improved and made more responsive to the real needs faced in the field. Based on the results, this study recommends the development of a more integrated HR strategy that emphasizes needs-based and adaptive training, a comprehensive and balanced performance evaluation framework, and a fair reward system that values service quality over quantity. Such improvements are essential to foster a supportive and motivating work environment, leading to increased nurse performance, higher job satisfaction, and improved patient satisfaction. This research contributes valuable insights for hospital management in designing effective HR strategies in healthcare settings.
The Importance of Nutritional Intake and Nutritional Status to the Adolescent Menstrual Cycle: A Systematic Literature Review Alifiya, Syahla Rizki; Utami, Nagita Vicilya; Intiasari, Arih Diyaning; Wahyuningsih, Eri
Eduvest - Journal of Universal Studies Vol. 5 No. 10 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i10.51271

Abstract

The menstrual cycle is the time between the beginning of menstruation in the previous period and the onset of the next period. One of the factors that affect the menstrual cycle is nutritional intake and nutritional status. This study aims to determine the importance of nutritional intake and nutritional status on the menstrual cycle in adolescents. This article uses a selection method based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) diagram, in accordance with the inclusion criteria and predetermined keywords, and identified 10 articles to be analyzed. Based on the 10 articles analyzed, it was found that most show the importance of nutritional intake and nutritional status in affecting the regularity of the menstrual cycle. Several articles also demonstrate a relationship between both micro and macro nutritional intake and nutritional status on the menstrual cycle in adolescent girls. Nutritional intake and nutritional status play an important role in the regularity of adolescent menstrual cycles. These findings have important implications for public health policy, suggesting the need for comprehensive nutritional education programs targeting adolescent girls, healthcare providers, and educators. The evidence supports the development of school-based nutrition interventions and clinical guidelines for managing menstrual irregularities through nutritional approaches. Moreover, there is a clear relationship between nutritional intake and nutritional status and the menstrual cycle.
Kebutuhan Jaminan Kesehatan Masyarakat di Wiliyah Perdesaan Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

Jaminan kesehatan adalah salah satu cara untuk mengurangi beban pembiayaan kesehatan yang dikeluarkan masyarakat. Sebagian besar masyarakat perdesaan di Kabupaten Banyumas yang mempunyai tingkat kemampuan membayar pelayanan kesehatan rendah belum mempunyai jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis kebutuhan jaminan dan faktor-faktor yang memengaruhi kesehatan masyarakat daerah. Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi penelitian adalah seluruh kepala keluarga diKabupaten Banyumas dengan jumlah sampel 130 orang. Metode analisis yang digunakan meliputi analisis univariat, bivariat, dan multivariat. Penelitian menemukan bahwa sebagian besar masyarakat Kabupaten Banyumas (72,3%) membutuhkan jaminan kesehatan daerah (Jamkesda). Terdapat hubungan antara pendidikan, pengetahuan, pendapatan, dan keyakinan terhadap mutu pelayanan kesehatan serta pola pembiayaan kesehatan dengan kebutuhan Jamkesda. Persepsi berpengaruh terhadap tarif pelayanan kesehatan dengan kebutuhan Jamkesda. Persepsi terhadap tarif pelayanan kesehatan merupakan variabel yang berpengaruh terhadap kebutuhan Jamkesda. Health insurance is one of the ways to reduce the burden of health financing issued by the society. Most communities in Banyumas district living in rural areas do not have health insurance. Rural communities in Banyumas district have low ability to pay health care services. The aim of this study isto analyze the health insurance needs of local communities and the factors that affect the public health insurance need of the area. This study is an observational study with survey research methods. This study used cross sectional approach. The study population was all households in Banyumas district.The research sample consisted of 130 people. Retrieval research data used a questionnaire instrument. Analysis of research data used univariate, bivariate, and multivariate. The research was conducted in Banyumas district. Most people in Banyumas district (72,3%) required regional health insurance. The result showed no relationship between education, knowledge, income, beliefs in health care quality and patterns of health financing in local communities needs of health insurance. The result showed the influence perceptions of health care rates with the health insurance needs of local communities. Perceptions of health care is a variable rate which affects the health insurance needs of local communities.
Kepuasan Bidan Desa dalam Pelayanan Persalinan Normal pada Implementasi Kebijakan Jaminan Persalinan Intiasari, Arih Diyaning; Kurniawan, Arif; Triyanto, Endang
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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Abstract

Klaim persalinan yang rendah mengindikasikan ketidakpuasan bidan pada implementasi kebijakan jaminan persalinan (Jampersal) di Kabupaten Purbalingga. Penelitian ini bertujuan mengeksplorasi menyebabkan ketidakpuasan bidan dan hambatan implementasi kebijakan Jampersal di tingkat pelaksana. Penelitian deskriptif dengan desain studi kasus ini melakukan pengumpulan data kualitatif pada periode Maret- Juli 2012 terhadap informan empat bidan pegawai negeri sipil (PNS) dan empat bidan pegawai tidak tetap (PTT). Ditemukan ketidakpuasan bidan dan hambatan pelaksanaan kebijakan Jampersal tahun 2012, meliputi; besaran, pemotongan, dan lama klaim persalinan, penghapusan klaim persalinan komplikasi yang dirujuk, persaingan tidak sehat, dan proses administrasi. Ketidakpuasan bidan dan hambatan implementasi kebijakan Jampersal memerlukan kerja sama kalangan stakeholder untuk berkoordinasi secara mendalam untuk implementasi kebijakan Jampersal yang lebih baik pada masa mendatang. The low service reimbursement indicates midwife unsatisfaction on policy implementation of delivery insurance in Purbalingga District. The objective of this study was to explore several cause factors of and to know the barrier problem on delivery insurance policy implementation at the ground level. This descriptive case study used qualitative data that collected in period March-July 2012. The Informants of this research include four civil servant midwives and four non civil servant midwives. This research found six factors causes midwives unsatisfaction at Jampersal policy implementation in 2012 include reimbursement payment reduction, amount of service reimbursement; delivery service complication referral payment; unfair competition practice; long time waiting for the reimbursement payment; delivery service reimbursement administration process. The midwife unsatisfaction and the delivery insurance policy implementation barrier need collaboration among stakeholders to deeply coordination for better delivery insurance policy implementation in the future.
Analisis Pembiayaan Kesehatan Keluarga Penderita Talasemia Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Vol. 7, No. 10
Publisher : UI Scholars Hub

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Abstract

Pembiayaan kesehatan sekitar 146 (60%) penderita talasemia di Banyumas, tahun 2011 ditanggung rumah tangga dalam bentuk pembayaran langsung (out of pocket payment). Penelitian ini bertujuan untuk menganalisis ability to pay, willingness to pay, dan need assessment pembiayaan kesehatan penderita talasemia di Kabupaten Banyumas. Jenis penelitian ini adalah observasional analitik dengan rancangan studi kasus. Penelitian ini menggunakan desain studi cross sectional dengan teknik pengambilan sampel simple random sampling. Jumlah sampel penelitian 30 responden yang mempunyai anggota keluarga penderita talasemia di Kabupaten Banyumas. Hasil penelitian menunjukkan keluarga penderita talasemia mempunyai ability to pay rata-rata adalah Rp34.448,8/bulan dan rata-rata willingness to pay pengobatan talasemia adalah Rp133.833,3/ bulan. Pola pembiayaan kesehatan talasemia di Kabupaten Banyumas menggunakan 93,3% Jaminan Kesehatan Masyarakat (Jamkesmas), 3,3% biaya sendiri, dan 3,3% asuransi kesehatan. Sebelum mendapatkan Jamkesmas, 90,0% responden membayar dengan out of pocket, berhutang, berhemat pada kebutuhan nonkesehatan, dan menjual perhiasan/sawah. Kebutuhan pelayanan kesehatan yang diharapkan keluarga penderita talasemia adalah konsultasi talasemia dan desain khusus ruang perawatan anak. Kebutuhan pembiayaan kesehatan keluarga penderita talasemia adalah uang transportasi ke rumah sakit sebagai bentuk biaya tidak langsung. Health financing of majority thalassemia patients, around 146 people (60%) in Banyumas year 2011 is assured by Households in direct payments to health care providers (out-of-pocket payment). This study aimed to analyze the ability to pay, willingness to pay, and need assessment of health financing thalassemia in Banyumas. This research an analytic observation- Analisis Pembiayaan Kesehatan Keluarga Penderita Talasemia Health Financing Analysis of Thalassemia Patient Family Arif Kurniawan, Arih Diyaning Intiasari al with case study design. This research used cross sectional approach. Sampling technique used simple random sampling. Total sample of 30 respondents who had had family members suffering from thalassemia in Banyumas. The results showed thalassemia families have an average ability to pay of Rp34,448.8/month and the average willingness to pay for the treatment on thalassemia Rp133,833.3/month. Health financing patterns of thalassemia in Banyumas district uses 93.3% health security, 3.3% personal costs, and 3.3% health insurance. Before getting health security, 90.0% of respondents performed out-of-pocket financing, get loan, skimped on nonmedical needs, and sold jewelry/rice fields to finance thalassemia’s health services. Health care needs that expected by thalassemia patient’s family is thalassemia consulting and special design of child-care room. Health financing needs of thalassemia’s patient family is transportation money to hospital as indirect costs.
Co-Authors Alifiya, Syahla Rizki Anandari, Dian ARIF KURNIAWAN Budi Aji, Budi cahyawaning, putri titis Dian Fajarwati, Dian Elviera Gamelia Endang Triyanto Eri Wahyuningsih Fortunandha, Dhea Keyle Heryanto Heryanto Joko Mulyanto, Joko Julita Hendrartini Laksono Trisnantoro Maharani, Afrina Malik, Ahmad Azam Nafisah, Lu'lu Rachmatika, Hasna Tri Sari, Desi Nabila Utami, Nagita Vicilya Wahdah, Vina Nurdiana