Muthmainnah Muthmainnah
Departemen Epidemiologi, Biostatistika, Kependudukan Dan Promosi Kesehatan Perilaku, Fakultas Kesehatan Masyarakat, Universitas Airlangga

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Ecological Analysis Of Complete Basic Immunization Coverage For Infants In Indonesia (2017-2019) Yuli Puspita Devi; Sabarinah Prasetyo; Muthmainnah Muthmainnah
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 9 No. 2 (2021): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V9.I2.2021.177-185

Abstract

Background: Complete basic immunization for infants in Indonesia is an obligation in an effort to protect infant health. It is one of the important indicators in determining the quality of health services in a certain area. However, the coverage of complete basic immunization in Indonesia in 2017 and 2018 has not been achieved nationally with National Strategic Planning and it has not been achieved the targets of 80% of districts/cities in 2019. Objective: This study aims to analyze the factors correlated to the complete basic immunization coverage of infants in Indonesia in 2017-2019. Methods: Ecological analysis was carried out using secondary data from the report of the Ministry of Health of the Republic of Indonesia in 2017-2019. Univariate analysis was conducted using descriptive statistics and one sample Kolmogorov Smirnov. Bivariate analysis was conducted by correlation test (Pearson and Spearman) and scatter plot. Results: Complete basic immunization for infants had a significant correlation with the adequacy of midwives at the primary health care in 2017 (r = -0.337). There was significant correlation between poverty and complete basic immunization in 2017 and 2018 (r = -0.362 and r = -0.535). In 2019, active Integrated Service Post (Posyandu) was correlated to the complete basic immunization (r = 0.444). The first neonatal visit was correlated to the complete basic immunization of infants for three consecutive years (2017-2019). Conclusion: Efforts that can be made to increase the coverage of complete basic immunization in Indonesia are increasing the distribution of midwives in Indonesia, increasing the coverage of the first neonatal visit by paying attention to Posyandu cadres, especially in provinces with high poverty rates.
Remaja Sebagai Penggerak Utama dalam Implementasi Program Kesehatan Remaja Pulung Siswantara; Oedojo Soedirham; Muthmainnah Muthmainnah
Jurnal Manajemen Kesehatan Indonesia Vol 7, No 1 (2019): April 2019
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.988 KB) | DOI: 10.14710/jmki.7.1.2019.55-66

Abstract

Proporsi populasi remaja di Indonesia mencapai seperempat dari total penduduk. Menurut Riset Kesehatan Dasar Tahun 2010, angka ini cukup besar dan perlu ada upaya yang spesifik dalam meningkatkan derajat kesehatan remaja. Beberapa penelitian menunjukkan bahwa remaja saat ini sedang menghadapi globalisasi dan berpotensi melakukan perilaku berisiko. Penanganan permasalahan kesehatan remaja di Indonesia diupayakan oleh pemerintah melalui kerja sama lintas sektoral, pelayanan kesehatan dasar, dan pola intervensi. Harapannya strategi yang diterapkan telah disesuaikan dengan kebutuhan tahapan proses tumbuh kembang remaja.Penelitian ini merupakan penelitian deskriptif kualitatif. Tujuan dari penelitian ini adalah mengidentifikan persepsi remaja dalam keterlibatannya dalam pelaksanaan program kesehatan remaja dan mengidentifikasi kebutuhan dan harapan remaja terhadap pelaksanaan program kesehatan remaja. Subjek penelitian ini terdiri dari 2 kelompok, yaitu kelompok peer educator dan kelompok user (sasaran program). Remaja dalam penelitian berasal dari berbagai setting promosi kesehatan, yaitu remaja sekolah dan remaja di luar sekolah. Remaja di luar sekolah berasal dari remaja komunitas dan remaja jalanan. Pengumpulan data diperoleh dengan menggunakan teknik wawancara mendalam dan focus group discussion (FGD).Hasil penelitian menunjukkan keterlibatan kelompok peer educator masih cenderung pasif karena wewenangnya hanya sebatas pada tahap pelaksanaan program, harapannya peer educator dilibatkan mulai dari perencanaan program. Sedangkan keterlibatan kelompok remaja di luar sekolah cenderung lebih sangat pasif bahkan ada yang belum terpapar program. Program kesehatan remaja seharusnya melibatkan remaja dari berbagai setting dan disesuaikan dengan kebutuhan kapasitas remaja. Remaja berharap dapat dilibatkan mulai dari tahap perencanaan hingga evaluasi program karena remaja sebagai prime mover dalam keberhasilan program kesehatan remaja.
Gender and norms related to an intention for participating in counseling sessions by peer educator Ira Nurmala; Muthmainnah Muthmainnah; Riris Diana R; Elisa Dwi P
Masyarakat, Kebudayaan dan Politik Vol. 32 No. 1 (2019): Masyarakat, Kebudayaan dan Politik
Publisher : Faculty of Social and Political Science, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.557 KB) | DOI: 10.20473/mkp.V32I12019.105-113

Abstract

Nowadays, drugs (narcotics, psychotropic, and addictive substances) abuse gradually increases in the adolescent group, especially High School students. Environmental impact, especially social interaction, gives a high effect on building the character in adolescents. The existence of peer-education activity is one of the promotive and preventive strategies in mitigating drug abuse. This research was done in 10 high schools in Surabaya spread over five regions (Central, North, South, West, and East). This research was quantitative with the cross-sectional design while the data analysis used was a Chi-Square test with a p-value of <0.05 that was based on the significance level. The research finding showed that the intention of student participation was quite high, i.e. 83.1%; from the statistical test, it had been taught that gender had a significant relationship with intention by a p-value of 0.00. Additionally, it had also a relationship with subjective norm by a p-value of 0.00.  Conclusion: the student’s norm has supported their intention to participate in the program. Meanwhile, the research finding that is based on the gender in this research showed that females had a higher intention to participate in the activity than the males had.  Therefore, a conducive environment should be maintained continuously so that the positive norm can motivate the students to participate in the activity held by the peer-educator.
Mapping and Determining of Priority Areas Interventions for Toddler Diarrhea in Surabaya Yuli Puspita Devi; Sofwatun Nida; Muthmainnah Muthmainnah; Martya Rahmaniati Makful
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 6, No 2 (2022): Journal Qanun Medika Vol 6 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v6i2.12337

Abstract

Diarrhea is still the second leading cause of death in toddlers besides pneumonia. The highest number of cases of diarrhea in toddlers in East Java is Surabaya. This study aimed to describe the distribution of toddler diarrhea based on risk factors using a regional mapping approach in Surabaya. This study was an ecological study with a regional mapping approach. The independent variables used as risk factors for toddler diarrhea were healthy latrines, drinking water facilities, open defecation free (ODF), and complete basic immunizations. The unit of analysis used was the districts that were processed from the Surabaya Health Profile data in 2019. Results showed most cases of diarrhea under five occurred in Wonokromo, Sawahan, Tambak Sari, and Kenjeran District. There was a significant relationship between toddler diarrhea with complete basic immunization (p = 0.008), while the relationship with healthy latrines, ODF, and drinking water sanitation was not significant. This study concluded that 8 of 31 districts were prioritized for handling toddler diarrhea in Surabaya. In addition, there is a need for dissemination to the community through optimizing the role of health workers at the Puskesmas regarding complete basic relationships and the incidence of diarrhea in toddlers.
Hubungan Pengetahuan, Sikap, dan Peran Orang Tua Terhadap Perilaku Pencegahan Kehamilan Remaja di SMA PGRI 1 Sidoarjo : The Relationship of Knowledge, Attitudes, and the Role of Parents to Adolescent Pregnancy Prevention Behavior at SMA PGRI 1 Sidoarjo Adyana, Corrinna Vivia; Trisea Nindy Aprilea; Muthmainnah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 4 (2023): April 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i4.3214

Abstract

Latar belakang: Remaja merupakan individu yang perlu mendapatkan perhatian sebab rasa keingintahuan yang cukup besar dan ingin mencoba sesuatu yang baru, termasuk ketika remaja sudah mulai mengenal seksual maupun kesehatan reproduksi Tujuan: Untuk mengetahui hubungan antara pengetahuan, sikap, dan peran orang tua dalam mencegah terjadinya kehamilan pada remaja di SMA PGRI 1 Sidoarjo. Metode: Penelitian ini penelitian kuantitatif dengan desain penelitian cross sectional. Besar sampel dalam penelitian ini menggunakan metode random sampling. Sampel berjumlah 65 siswa yang terdiri dari siswa kelas X dan XI. Hasil: Setelah data diuji menggunakan uji statistic Chi-Square menujukkan bahwa responden memiliki pengetahuan baik, sikap yang mendukung terhadap perilaku pencegahan kehamilan di usia remaja, serta terdapat peran orang tua dalam berperilaku pencegahan kehamilan di usia remaja. Kesimpulan: Terdapat hubungan antara pengetahuan, sikap, dan peran orang tua terhadap perilaku pencegahan kehamilan pada remaja.
Integrating Primary Health Care and WASH Indicators for Spatial Prioritization of Diarrhoeal Disease Risk in Rural Eastern Indonesia Muthmainnah; Galuh Mega Kurnia; Yuliana Purnama Sari Min; Dede Nasrullah; Nurul Indah Qariati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.8605

Abstract

Introduction: The objective of this study is to map the distribution of diarrhoeal disease and identify priority sub-districts for targeted prevention in Manggarai District through integration of diarrhoea incidence rate and WASH indicators. The integration of these indicators into a spatial risk framework provides a practical basis for strengthening diarrhoea prevention at the primary care level. Methods: This study employed a descriptive quantitative approach with spatial mapping using Quantum Geographic Information System (QGIS) application. Data of diarrhoea incidence rate and poor WASH indicators (access to improved sanitation, clean water coverage, and handwashing with clean water behavior) from 12 sub-districts from Manggarai Health Profile 2023 and Manggarai Health Office Report 2023 were used. The sub-districts were classified into low, moderate, and high-risk priority level using scoring system and equal interval classification method. Results: West Cibal, North Rahong, and Cibal were classified into high-priority sub-districts characterized by high diarrhoea incidence rate (?4.12 cases per classification range) and poor WASH indicators. Conversely, Langke Rembong, North Satar Mese, and Wae Ri’i exhibited low diarrhoea incidence rate with optimal WASH coverage. Anomalies were found in Lelak, where high diarrhoea incidence persisted despite good WASH access, indicating possible hidden risk factors. Conclusion: The observed spatial patterns showed that inadequate water and sanitation infrastructure, combined with poor hygiene practices, are key drivers of diarrhoeal transmission. The coexistence of high disease burden and weak WASH conditions highlights inequalities in primary health care and environmental service provisioin. By integrating epidemiological, environmental, and behavioral data, this study provides a spatial framework to support targeted diarrhoea prevention and strengthen primary health care planning in resource-limited areas.
Diffusion of Educational Digital Innovation: Implementing The OKY App for Menstrual Education in Junior High Schools Pulung Siswantara; Muthmainnah Muthmainnah; Mutmainnah Khaerati; Aisyah Amalia; Dini Yulia Restuti; Nurul Indah Qariati; Kurnia Ramadhani
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.1-8

Abstract

Background: Menstruation is a natural phenomenon that occurs in all women. However, it can result in various physical and psychological issues, including elevated stress levels. Inadequate management of menstrual hygiene has been demonstrated to result in reproductive health complications. Recently, the popularity of menstrual tracking applications such as the OKY App has increased, with these applications assisting women in the monitoring of their menstrual cycles. However, it is evident that a significant proportion of adolescents, including those enrolled at State Junior High School (SMPN) 30 Surabaya, have not yet adopted this application. The objective of this study was to analyze the relationship between relative advantage, compatibility, complexity, trialability, observability, and knowledge with the decision and implementation of using the OKY App at SMPN 30 Surabaya.Method: The present research employed a quantitative methodology, adopting a cross-sectional approach and an explanatory research design. The population under study comprised students in 7th and 8th grade at SMPN 30 Surabaya. A simple random sampling technique was used to select 70 respondents. The data was collected via a questionnaire that encompassed a range of variables, including relative advantage, compatibility, complexity, trialability, observability, knowledge, decision, and implementation.Result: The findings indicated that relative advantage exhibited no correlation with the decision-making process concerning the utilization of the OKY App. Complexity was related to the decision to use the app but not to its implementation. Therefore, this variable needs to be considered to ensure the app is more easily accepted by potential users. In conclusion, compatibility, trialability, observability, and knowledge are significantly related to both the decision and implementation of using the OKY App. Relative advantage has no impact on either decision or implementation, while complexity only influences the decision-making process but not the actual use of the app. The findings emphasize the significance of addressing user perceptions and understanding in order to enhance the adoption and sustained utilization of menstrual health technology. 
Efektifitas Program Edukasi SERASI dalam Meningkatkan Pengetahuan Lansia Mengenai Hipertensi di Kelurahan Kadipaten, Ponorogo Hanindita Radya Azzahra; Muthmainnah Muthmainnah
Jurnal Pengabdian Masyarakat Indonesia Vol 5 No 3 (2025): JPMI - Juni 2025
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.3489

Abstract

Hipertensi merupakan salah satu penyakit yang tidak menunjukkan adanya gejala bahkan selama bertahun-tahun sehingga disebut dengan julukan ‘silent killer’. Hipertensi ditandai dengan tekanan darah sistolik mencapai atau melebihi 140 mmHg dan tekanan darah diastolik mencapai atau melebihi 90 mmHg ketika diukur. Oleh karena itu, masyarakat seringkali tidak menyadari bahwa dirinya mempunyai riwayat hipertensi. Masalah kesehatan dengan jumlah tertinggi di Kelurahan Kadipaten adalah Hipertensi dengan  total 217 kasus pada tahun 2023. Program SERASI (Serangkaian Aksi Cegah Hipertensi) bertujuan untuk kesadaran deteksi dini hipertensi melalui peningkatan pengetahuan masyarakat terkait faktor resiko hipertensi dan komplikasi yang ditimbulkan. Program SERASI (Serangkaian Aksi Cegah Hipertensi) terdiri dari kegiatan edukasi berupa sosialisasi paradigma sehat dan pemberian buku PENSI (Peduli Hipertensi) yang berisi catatan monitoring hipertensi dan berbagai materi mengenai hipertensi. Kegiatan ini dilaksanakan pada 1 Februari 2024 di Kelurahan Kadipaten, Kecamatan Babadan, Ponorogo, Jawa Timur. Sasaran dari kegiatan ini adalah 75 masyarakat lansia di Kelurahan Kadipaten. Hasilnya, kegiatan SERASI terbukti efektif meningkatkan pengetahuan masyarakat sebesar 28,57% dilihat dari hasil pre-test dan post-test yang diberikan sebelum dan sesudah kegiatan (p-value  0.000 < 0.05).
Translating Child Marriage Prevention Policy into Practice: A Qualitative Study of Village-Level Implementation in Indonesia Annisa Clara Salsabila; Muthmainnah Muthmainnah; Rery Afianto; Dede Nasrullah; Dini Yulia Restuti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026): June 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10002

Abstract

Introduction: Child marriage remains a persistent public health and soicial issue in Indoinesia, despite natioinal legal refoirms and preventive strategies. The effectiveness oif these poilicies largely depends oin hoiw they are implemented at the loical level, where soicial noirms, resoiurce availability, and goivernance capacity vary. The Sadel Cepak proigram in Lamoingan Regency represents a village-based initiative develoiped toi translate natioinal child marriage preventioin poilicies intoi cointext-specific actioins throiugh multisectoiral coillaboiratioin and coimmunity engagement. Methods: This study emploiyed a qualitative descriptive design using a single instrumental case study approiach. Data were coillected throiugh in-depth interviews, doicument review, and limited field oibservatioins invoilving 21 purpoisively selected infoirmants froim district and village levels acroiss 10 villages in Kabupaten Lamoingan. Infoirmants included goivernment oifficials, village leaders, proigram implementers, and coimmunity representatives. Data were analyzed using a theoiretically infoirmed thematic analysis based oin Edward III’s implementatioin framewoirk, with triangulatioin acroiss data soiurces toi enhance credibility. Results: Implementatioin oif the Sadel Cepak proigram varied acroiss goivernance levels, revealing three village-level typoiloigies: adaptive-integrative (villages embedding the proigram intoi loical planning and alloicating resoiurces), administrative-coimpliant (villages implementing roiutine activities such as soicializatioin withoiut structural suppoirt), and symboilic ad hoic (villages relying oin infoirmal and spoiradic practices). While district-level implementatioin demoinstrated relatively stroing coimmunicatioin, coioirdinatioin, and institutioinal coimmitment, these capacities were noit coinsistently translated at the village level. The absence oif loical regulatioins, limited budget alloicatioin, and unclear technical guidance cointributed toi uneven proigram institutioinalizatioin and oiutcoimes acroiss villages. Conclusion: The findings indicate that the effectiveness oif child marriage preventioin at the village level is shaped by the interactioin between poilicy design and loical goivernance dynamics, including leadership, institutioinal capacity, and coimmunity engagement. These results are coinsistent with cointext-sensitive and multisectoiral approiaches in poilicy implementatioin, highlighting the impoirtance oif aligning natioinal strategies with loical realities. Strengthening coioirdinatioin, technical guidance, and resoiurce suppoirt is essential toi improive the coinsistency and sustainability oif village-based interventioins.
Hubungan Antara Kelas Hamil Dan Persepsi Dukungan Keluarga Terhadap Perilaku Kesehatan Reproduksi Perempuan Pascasalin Dengan Pernikahan Dini Di Kabupaten Probolinggo Galuh Pramesti Cintani Aisha; Muthmainnah Muthmainnah
Science and Education Journal (SICEDU) Vol 5 No 2 (2026): Science and Education Journal 2026
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/sicedu.v5i2.457

Abstract

Indonesia menempati urutan ke-10 negara dengan angka absolut pernikahan dini tertinggi di dunia. Pernikahan dini dapat juga menimbulkan berbagai permasalahan yang berkaitan dengan kesehatan ibu termasuk kesehatan reproduksi. Untuk mengetahui hubungan antara partisipasi kelas hamil dan persepsi dukungan keluarga terhadap perilaku kesehatan reproduksi pada perempuan pascasalin dengan pernikahan dini di Kabupaten Probolinggo. Desain penelitian menggunakan observasional analitik secara cross sectional. Pengujian dengan metode Chi Square. Sampel yang digunakan sebanyak 44 responden disesuaikan dengan kriteria inklusi serta eksklusi di Kabupaten Probolinggo. Hasil penelitian yaitu terdapat hubungan bermakna antara partisipasi kelas hamil terhadap perilaku kesehatan reproduksi perempuan pascasalin dengan pernikahan dini yang ditunjukkan dengan nilai p value 0.002 < 0.05 dengan besaran korelasi 0.426 dan masuk pada kategori korelasi sedang dan juga terdapat hubungan bermakna antara persepsi dukungan keluarga terhadap perilaku kesehatan reproduksi perempuan pascasalin riwayat pernikahan dini yang ditunjukkan dengan nilai p value 0.007 < 0.05 dengan besaran korelasi 0.362 yang masuk pada kategori korelasi lemah. Terdapat hubungan partisipasi kelas hamil dan persepsi dukungan keluarga terhadap perilaku kesehatan reproduksi pada perempuan pascasalin dengan pernikahan dini.