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Complete Basic Immunization Coverage Among Infants in Temanggung Regency Sriatmi, Ayun; Martini, Martini; Agushybana, Farid; Jati, Sutopo Patria; Dewanti, Nikie Astorina Yunita; Handayani, Novia; Nandini, Nurhasmadiar
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.189 KB) | DOI: 10.30604/jika.v6i4.815

Abstract

Immunization is a process of forming immunity in individuals against infectious diseases. The government has required infants to be fully immunized, but in practice, it turned out that there were still many people refusing immunization. This study aimed to analyze the coverage and the punctuality of immunization and the factors that influenced it. The research was descriptive observational with qualitative and quantitative approaches. The population of the study was mothers who had less than 2 years old infants living in Temanggung Regency. 498 and 199 respondents were obtained in 2018 and 2019 by using a random sampling technique. The research instrument used was Rapid Card Check and MCH Handbook. The results showed that infants were not immunized (2-6,5%), and the punctuality of immunization was 32-89%. There was a relationship between knowledge (p=0,039) and the mother's perception (p=0,005) towards infants' essential immunization completeness.Imunisasi adalah proses pemberian kekebalan bagi individu dari suatu penyakit tertentu. Pemerintah telah mewajibkan balita untuk melakukan imunisasi dasar lengkap, namun pada praktiknya ternyata masih terdapat masuarakat yang enggan untuk imunisasi. Tujuan penelitian ini adalah untuk menganalisis cakupan dan ketepatan imunisasi, serta faktor-faktor yang mempengaruhinya. Metode yang digunakan dalam penelitian ini adalah deskriptif observasional dengan pendekatan kualitatif dan kuantitatif. Populasi penelitian adalah ibu yang memiliki balita dengan usia kurang dari 2 tahun yang tinggal di Kabupaten Temanggung. Dengan menggunakan teknik random sampling, diperoleh sebanyak 498 dan 199 responden pada tahun 2018 dan 2019. Instrumen penelitian yang digunakan adalah Rapid Card Check dan Buku KIA. Hasil menunjukkan bahwa terdapat balita yang tidak diimunisasi (2-6,5%) dan ketepatan imunisasi sebesar 32-89%. Terdapat hubungan antara pengetahuan (p=0,039) dan persepsi ibu (p=0,005) terhadap kelengkapan imunisasi dasar balita.
Pelaksanaan Program Triple Elimination pada Ibu Hamil di Puskesmas Karanganyar Kota Semarang Menggunakan Model CIPP Nadia Dela Ayunda; Septo Pawelas Arso; Nurhasmadiar Nandini
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 22, No 3 (2023): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.22.3.209-216

Abstract

Latar belakang: Program triple elimination bertujuan untuk mencegah penularan HIV, sifilis, dan hepatitis B dari ibu kepada janin. Dalam studi pendahuluan yang dilakukan oleh Dinas Kesehatan Kota Semarang, ditemukan bahwa capaian deteksi dini triple elimination di Puskesmas Karanganyar saat ini masih sebesar 63%. Tujuan dari penelitian ini adalah memberikan gambaran tentang pelaksanaan program triple elimination berdasarkan teori CIPP.Metode: Penelitian menggunakan metode kualitatif deskriptif, Teknik pengambilan sampel yaitu dengan purposive sampling. Variabel dalam penelitian ini meliputi context, input, process dan product.  Hasil: Dalam aspek konteks, penting untuk meningkatkan kesadaran ibu hamil sebagai tindak lanjut terhadap kebutuhan dan masalah yang ada. Pada aspek input, terdapat peluang yang dapat dimanfaatkan, seperti pedoman, sumber daya manusia yang memadai, dan sarana prasarana yang memadai. Dalam aspek proses, langkah-langkah seperti deteksi dini, tindak lanjut, dan pencatatan pelaporan telah dilakukan dengan baik. Namun, terdapat kekurangan dalam kemampuan petugas kesehatan dalam memberikan edukasi dan konseling kepada ibu hamil. Dalam aspek produk, capaian program dapat dinilai berdasarkan tujuan yang telah ditetapkan. Hasil wawancara menunjukkan bahwa capaian deteksi dini dan tindak lanjut program telah tercapai.Simpulan: Program triple elimination di Puskesmas Karanganyar sudah dilaksanakan dengan baik. Diperlukan adanya pelatihan bidan mengenai triple eliminasi secara khusus agar lebih terampil. Selain itu, diperlukan adanya media KIE yang dapat dimanfaatkan sebagai sarana edukasi maupun konseling.Kata kunci: triple elimination; ibu hamil; CIPP Title: Implementation Triple Elimination of Pregnant Women in Puskesmas Karanganyar Semarang City Using The CIPP ModelBackground: The triple elimination program aims to prevent transmission of HIV, syphilis, and hepatitis B from mother to child. In a preliminary study conducted by the Semarang City Health Office, it was found that the achievement of triple elimination early detection at the Puskesmas Karanganyar is currently still at 63%. The purpose of this study is to provide an overview of the implementation of the triple elimination program based on CIPP theory.Method: This research used the descriptive qualitative method, and the sampling technique is purposive sampling. The variables in this study include context, input, process, and product.Result: In terms of context, it is important to increase awareness of pregnant women as a follow-up to existing needs and problems. In the input aspect, there are opportunities that can be exploited, such as guidelines, adequate human resources, and adequate infrastructure. In the process aspect, steps such as early detection, follow-up, and recording of reports have been carried out properly. However, there are deficiencies in the ability of health workers to provide education and counseling to pregnant women. In the product aspect, program achievements can be assessed based on the objectives that have been set. The results of the interviews show that early detection and follow-up programs have been achieved.Conclusion: The triple elimination program at the Puskesmas Karanganyar has been implemented well. There is a need for training for midwives regarding triple elimination, specifically so that they are more skilled. In addition, it is necessary to have IEC media that can be used as a means of education and counseling.Keywords: triple elimination; pregnant women; CIPP
Evaluasi Prolanis Hipertensi Berbasis Teori Chain of Events di Puskesmas Playen II Nufika Fatasyadhuha; Sutopo Patria Jati; Nurhasmadiar Nandini
Jurnal Manajemen Kesehatan Indonesia Vol 11, No 2 (2023): Agustus 2023
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.11.2.2023.119-131

Abstract

According to the 2018 Riskesdas data, hypertension is a non-communicable disease with a significant increase in trend. Considering this case, hypertension has an urgency to be treated because it is a risk factor for the highest cause of death and disability according to the Institute for Health Metrics and Evaluation 2019. In this case Prolanis can be used as an alternative treatment for hypertension because it meets the criteria for the benefits of non-pharmacological therapy. We chose Puskesmas Playen II in Gunungkidul Regency as our research site because the coverage of providing hypertension services through Prolanis is still low, considering from the secondary data from the Gunungkidul Regency Health Office in 2020 where the percentage of hypertension services at the Puskesmas Playen II was only 0.3%, far below the 29 other puskesmas in Gunungkidul Regency. Hence, the study aimed to evaluate Prolanis' achievements in hypertension in Puskesmas Playen II using the Chain of Events evaluation theory. This research is qualitative with an evaluation study design. There were 15 informants as research subjects selected by purposive sampling. Prolanis' achievements in hypertension at Puskesmas Playen II have not reached the minimum target of 5% based on BPJS Kesehatan Regulation Number 7 of 2019, because the number of Prolanis-registered hypertensive patients is increasing but not matched with the increasing number of controlled hypertension sufferers. The Prolanis component also influences its unattainable achievement in follow-up treatment, so it is necessary to conduct routine monitoring of Prolanis participants’ lifestyles. 
DETERMINAN UTILISASI LAYANAN ANTENATAL CARE 6 KALI DI KOTA SAMARINDA Paramita, Nadinda Maretta Diah; Sriatmi, Ayun; Nandini, Nurhasmadiar
Jurnal Ilmu Kesehatan Masyarakat Vol 19 No 2 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v19i2.35448

Abstract

Rendahnya pemanfaatan pelayanan ANC 6 kali akan berdampak pada tidak terpantaunya kondisi kehamilan yang dapat menyebabkan tanda bahaya kehamilan tidak terdeteksi dan dapat berujung pada kematian ibu. Tujuan penelitian adalah menganalisis determinan utilisasi layanan ANC 6 kali oleh ibu hamil di Kota Samarinda. Penelitian ini merupakan penelitian kuantitatif dengan rancangan cross-sectional. Populasi penelitian adalah seluruh ibu hamil di Kota Samarinda tahun 2021 berjumlah 14.803 orang. Variabel bebas adalah pengetahuan, aksesibilitas, fasilitas pelayanan, waktu pelayanan, sikap petugas kesehatan, dan persepsi ibu tentang kondisi kehamilan. Sedangkan variabel terikat adalah utilisasi layanan ANC 6 kali. Analisis data menggunakan uji statistik chi-square. Hasil menunjukkan bahwa responden berpengetahuan tinggi sebesar 69,6%, memiliki aksesibilitas yang mudah ke fasilitas kesehatan sebesar 61,5%, menilai fasilitas pelayanan sudah baik sebesar 77,0%, menilai waktu pelayanan sesuai standar sebesar 68,3%, menilai sikap petugas kesehatan baik sebesar 91,9%, persepsi ibu tentang kondisi kehamilan yang mengalami kehamilan normal sebesar 83,9%, dan melakukan utilisasi layanan ANC 6 kali sesuai standar sebesar 54,7%. Ada hubungan antara pengetahuan (p = 0,000), aksesibilitas (p = 0,000), waktu pelayanan (p = 0,046), dan persepsi ibu tentang kondisi kehamilan (p = 0,039) dengan utilisasi layanan ANC. Tidak ada hubungan antara fasilitas pelayanan (p = 0,225) serta sikap petugas kesehatan (p = 0,521) dengan utilisasi layanan . Perlunya peningkatan pengetahuan ibu hamil terkait kehamilan, melengkapi fasilitas pelayanan yang ada, dan peningkatan pelayanan oleh petugas sesuai standar.
Tobacco-Free Areas Implementation at University X Fitri, Tari Adelia; Suryoputro, Antono; Nandini, Nurhasmadiar
Journal of Public Health for Tropical and Coastal Region Vol 6, No 1 (2023): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v6i1.16877

Abstract

Introduction: University X is one of the institutions where tobacco-free areas are required in a university setting where teaching and learning activities are highly regulated. However, the implementation of tobacco-free was only implemented in a few faculties, and, the whole academic community of University X has not entirely complied with the regulation. This study aimed to analyze the implementation of Tobacco-Free Areas at University X.Methods: This study used a qualitative research method to examine the implementation of smoke-free areas at University X. Data were gathered through in-depth interviews, observations, and other supporting documentation. There were 13 research informants, including Deans/Vice Deans from four faculties, the Academic Director of Student Affairs, alumni, lecturers, and students of University X. This study examined communication, resources, disposition, and bureaucratic organization policies.Results: This study found that university administrators never communicated directly or indirectly regarding Tobacco-Free Areas regulation. It is still neither excellent nor adequate, based on the resources available for human resource compliance and infrastructure availability. In terms of disposition, numerous parties fully support the execution of the smoke-free policy. However, the implementing officers/supervisors of the smoke-free areas at University X were less steadfast. This is demonstrated by the absence of a bureaucratic framework at University X in implementing and supervising Tobacco-Free compliances.Conclusion: Tobacco-free areas had been implemented at University X although they were not yet complete and optimal. It is possible to infer that this was not a priority at University X because conflicts of interest might hamper this regulation, resulting in lacking clarity, and sustainability.
Relationship Between Knowledge Level and Family Rules with Adolescent Risk Behavior Kusariana, Nissa; Dewanti, Nikie Astorina Yunita; Nandini, Nurhasmadiar
Global Medical & Health Communication (GMHC) Vol 11, No 2 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i2.10747

Abstract

Health risk behavior emerges due to risk factors within adolescents, family factors, and external factors outside the family. Poor knowledge about risk behavior and parental control may cause adolescents to develop risky behaviors that affect their health. This study aimed to identify the relationship between family factors and knowledge of adolescent risk behavior. It is a cross-sectional study conducted on 271 adolescents aged 17–25 years in Central Java from April to November 2021, taken by random sampling. Data analysis was performed using the chi-square test with a meaning level of 95%. Results show no relationship between knowledge level and adolescent risk behavior (p=0.665), and there was a relationship between family rules and adolescent risk behavior (p=0.001). Family rules significantly prevent adolescent risk behavior; hence, parents must apply family rules to limit teenage behavior, especially in opposite-sex relationships, to avoid sexual risk behavior.
IMPLEMENTASI PROGRAM INTERVENSI GIZI SPESIFIK PADA REMAJA PUTRI DAN BALITA DI PUSKESMAS PATEAN KABUPATEN KENDAL Puriana, Pila; Wigati, Putri Asmita; Nandini, Nurhasmadiar
Jurnal Kesehatan Masyarakat Vol 11, No 6 (2023): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkm.v11i6.40474

Abstract

The scope of implementing specific nutrition intervention programs at the Patean Health Center for young women and toddlers in 2021 and 2022 was still not in line with the national target. This study aimed to analyze the implementation of a specific nutrition intervention program for girls and toddlers at the Patean Health Center. This research was a qualitative research with a descriptive approach through in-depth interviews conducted from January to July 2023. The data processing method used content analysis.The results showed that the implementation of the specific nutrition intervention program for young women and toddlers are not optimal. Obstacles in the activities of young women are caused by unclear communication, limited and inadequate support facilities and fragmentation that is not in accordance with policy. Obstacles in toddler activities are caused by limited quality of posyandu cadres, limited budget and inadequate supporting facilities. It can be concluded that the implementation of specific nutrition intervention programs for girls and toddlers at the Patean Public Health Center is not optimal because it is influenced by communication factors, resources, attitudes and bureaucratic structures
ANALISIS PEMANFAATAN PELAYANAN KELUARGA BERENCANA PASCA PERSALINAN DI WILAYAH KERJA PUSKESMAS PADANGSARI Manullang, Jessika Putri Natasya; Nandini, Nurhasmadiar; Budiyanti, Rani Tiyas
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 2 (2024): Agustus 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.2.2024.158-171

Abstract

Postpartum family planning is a contraceptive service targeting mothers who have just given birth 0-42 days with the aim of preventing unwanted pregnancies. The high maternal mortality rate is caused by complications during pregnancy, so it is very important to use postpartum contraception. However, in Puskesmas Padangsari working area, the utilization of postpartum family planning services was very low,namely 28,47%. Therefore, this research was conducted with the aim of analyzed the utilization of postpartum family planning services in the Puskesmas Padangsari working area.This research was a quantitative research with a cross sectional approach using the accidental sampling technique where from a population of 198 mothers giving birth from January to December 2023, the sample was calculated using the slovin formula and with an error degree of 7%, a minimum sample size of 101 respondents was obtained. The research was carried out form January to March 2024.Bivariate data analysis using logistic regression test. Based on the research results, 44,7% of respondents had poor utilization of postpartum family planning services. Factors that did not influence the use of postpartum family planning services are mistrust, perception,and communication between service providers and patients. Meanwhile, the factors that influence the utilization of postpartum family planning services are cultural competency (p=0,069), perceived need (p=0.001), and customer satisfaction (p=0.005).
PERBEDAAN PELAKSANAAN PROGRAM SICENTIK (SISWA CARI JENTIK) DI SDN PEDALANGAN 1 DAN SDN PEDALANGAN 2 KECAMATAN BANYUMANIK Rahmasari, Annisya Aulia; Jati, Sutopo Patria; Nandini, Nurhasmadiar
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 2 (2024): Agustus 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.2.2024.172-184

Abstract

Padangsari Community Health Center is one of the community health centers in Banyumanik sub-district with a low percentage of SICENTIK's participation. This research aimed to conduct implementation observation research at SDN Pedalangan 1 and SDN Pedalangan 2. This research was a qualitative descriptive research that uses purposive techniques in selecting informants. It was held on November 2023 - April 2024. Data collection using in-depth interviews and literature study. The results of this research show that there are several differences in implementation between SDN Pedalangan 1 and SDN Pedalangan 2 shown by the place of this program was implemented, principal's role, division of labour, form letter, knowledge and experience of implementer, shared commitments, implementer's preparations, and evaluations of the program.  The study's findings demonstrate that the lack of Standard Operating Procedures (SOP), success indicators, and health center controls is the primary cause of the disparities between the two schools. Thus, in addition to creating disparities between the two institutions, it also results in wasteful and poor program execution. Then, during the program's implementation, it was found that the community health center and SDN Pedalangan 2's supervisor had acted in an unprofessional manner, which had led to a lackluster implementation of SICENTIK in schools and community health centers.
ANALISIS PEMANFAATAN LAYANAN TELEMEDICINE PASCA PANDEMI COVID-19 DI JAWA TENGAH Santoso, Bagus Satrio; Budiyanti, Rani Tiyas; Nandini, Nurhasmadiar
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 2 (2024): Agustus 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.2.2024.119-129

Abstract

Utilization of telemedicine services decreased after the pandemic conditions improved. Telemedicine utilization is closely related to the internet network. Central Java is the province with the lowest internet penetration rate in Java. The purpose of this study was to determine the factors related to the utilization of telemedicine services after the COVID-19 pandemic in Central Java. This type of research was quantitative research with a cross-sectional study design. This research was conducted in December 2023-March 2024. The sample in this study was 300 people in Central Java. The sampling technique used accidental sampling method. The analysis used was univariate analysis and bivariate analysis using the Chi Square test. This study showed that 50.3% of respondents utilized telemedicine services after the pandemic. Utilized telemedicine services after the pandemic related to education (p-value <0.001), knowledge (p-value <0.001), trust (p-value <0.001), family support (p-value <0.001), accessibility (p-value <0.001), and need (p-value <0.001). All independent variables in this study (education, knowledge, trust, family support, accessibility, needs) are associated with the utilization of telemedicine services after the COVID-19 pandemic.
Co-Authors Adhitama, Pramudya Fahry Adilah, Annida Nur Aesyah, Anis Agung Dwi Laksono Agung, Nadiva Putri Agus Aan Adriansyah Amalia Shabrina Fitri Anggraini, Rika Kusuma Anindya, Prakasita Artha Antono Suryoputro Aryudi, Dwinda Rahmawati Ayu Dyah Pramesti Ayun Sriatmi Azarine, Dinda Aziza, Nafra Azzahra, Atha Firza Berlian Arswendo Adietya Besar Tirto Husodo Budiyono Budiyono Damayanti, Athalia Dea Devita Dea Devita Dewi, Fitriana Tungga Dina Septiyanita Pratiwi Djazuly Chalidyanto Eka Yunila Fatmasari Etik Nindiya Setiya Ningrum Farid Agushybana Farid Farid Agushybana Fathahidin, Ghaniya Afiifa Fitri, Tari Adelia Fuadah, Irvina Wahyu Gamasiano Alfiansyah Handayani, Novia Handayani, Novia Hanifah, Zaqi Afif Hario Megatsari Hela Ayu Ramadhan Hermawati, Dinda Widya Iken Nafikadini Inggita Raiesa Rahmi Insyira, Insyira Juwita Pratiwi Kawidian Putri Bayu Alam Kusyogo Cahyo Lelly Prakusya Manullang, Jessika Putri Natasya Martini Martini Maya Weka Santi maya weka santi, maya weka Moh Syarofil Anam Mufliha, Azza Nadia Dela Ayunda Nadzifah, Zalfa Naily Rahma Sari Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikken Prima Puspita Nissa Kusariana Novia Luthviatin Nufika Fatasyadhuha Nurahmada, Dewi Nuzulul Kusuma Putri Pahsya, M Naufal Zidane Pakpahan, Vina Estetika Paramita, Nadinda Maretta Diah Paramitha, Nadhila Penggalih Mahardika Herlambang Pratiwi, Rachma Widya Puriana, Pila Putri Asmita Wigati Rahmaningrum, Faikha Dhista Rahmasari, Annisya Aulia Rani Tiyas Budiyanti Ratna Dwi Wulandari Ratna Nur Pujiastuti Ristantya, Alfandira Rossa Rizqi Annisa Nur Fananni Salsabila, Nanda Aulia Salsabilla Rushda Amrina Santoso, Bagus Satrio Saraswati, Siwi Kurnia Sartika Silalahi, Jennifer Evelyn Septo Pawelas Arso Shabah, Shava Shavia Sholichat, Baqiatus Shrimarti Rukmini Devy Sinabutar, Beatrix Magdalena Sintia Mashitoh Sistikawati, Hestu Ismah Sofie Astri Risanty Sutopo Patria Jati Syamsulhuda BM Tito Yustiawan Ulya, Siti Afuzal Vinda Dwi Eriyanti Widodo Jatim Pudjirahardjo Widyaningtyas, Nur Hafizhah Wulan Kusumastuti Wulan Kusumastuti Wulansari, Arum Yoga Dwi Ardianto Yoto, Mohamad Yuliani, Kasih Zadrak Romeo Kermite