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All Journal Jurnal Sistem Kesehatan Jurnal Preventia Journal of Health (JoH) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) Bunda Edu-Midwifery Journal (BEMJ) Jurnal Kesehatan: Jurnal Ilmu- Ilmu Keperawatan, Kebidanan, Farmasi dan Analis Kesehatan Sehat Masada Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Makara Journal of Health Research Jurnal Keperawatan Prosiding Simposium Nasional Multidisiplin (SinaMu) Jurnal Kesehatan Reproduksi Jurnal Hasil Penelitian dan Pengembangan (JHPP) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Yeni Mahwati
Sekolah Tinggi Ilmu Kesehatan Dharma Husada, Bandung, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Determinants of Gynecological Ultrasound Utilization Among Pregnant Women: Evidence from Indonesia’s National Health Insurance Claims Mahwati , Yeni; Hasibuan, Syarif Rahman; Nurrika, Dieta
JURNAL KESEHATAN REPRODUKSI Vol 16 No 1 (2025): JURNAL KESEHATAN REPRODUKSI VOLUME 16 NOMOR 1 TAHUN 2025
Publisher : IAKMI South Tangerang Branch

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Abstract

Background: Equitable access to prenatal ultrasound (USG) is critical for improving maternal health outcomes in Indonesia. Although hospital-based USG is covered under the national health insurance scheme (JKN), utilization may vary across demographic and socioeconomic groups. Objective: To examine how maternal age, place of residence, geographic region, and insurance membership segment are associated with hospital-based USG use among pregnant women covered by JKN. Methods: This cross-sectional study analyzed the 2023 maternal health dataset from BPJS Kesehatan (Healthcare). Of 468,922 pregnant women, 13,787 with at least one hospital-based ultrasound visit (INA-CBG code Z-3-25-0) were included. Descriptive statistics and negative binomial regression assessed associations with age, domicile, region, insurance segment, and ward class. Results: Among 13,787 women with hospital-based ultrasound visits, the average utilization was two scans per year. In Model 1, regency residents had lower utilization than city residents (IRR = 0.90, 95% CI: −0.11 to −0.10), while women in Java–Bali showed slightly higher use (IRR = 1.06, 95% CI: 0.04–0.07). Utilization was lower in Sumatra (IRR = 0.89), Sulawesi (IRR = 0.84), and Kalimantan (IRR = 0.97). Compared with formal workers, lower rates were observed among subsidized groups such as PBI-APBN (IRR = 0.89), PBI-APBD (IRR = 0.90), and non-workers (IRR = 0.84). Age was positively associated with higher use (IRR = 1.01 per year). In Model 2, interaction terms revealed regional variations: for instance, disparities by insurance segment were most pronounced in Java, Sulawesi, and Kalimantan, with IRRs ranging from 0.60 to 1.09. Overall, while statistically significant, the effect sizes remained modest. Conclusion: Although in-hospital USG services under JKN are guided by clinical indications, geographic and insurance-related disparities persist. These patterns suggest the influence of structural and access-related factors, highlighting the need to strengthen equitable referral and service delivery across regions.
Study of the Validity of Student Academic Achievement Instruments (CLEI) Hartiningsih, Siti Sugih; Mahwati, Yeni; Ruhyat, Ejeb; Pamungkas , Gugum; Tamara, Meta Dwi; Indriati, Maya; Risyanti , Berty
Jurnal Penelitian Pendidikan IPA Vol 11 No 9 (2025): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i9.11441

Abstract

This study aims to study of the validity of student academic achievement instruments (CLEI). This research is quantitative descriptive. The population in the study is a subject who meets the criteria that have been set, namely all students of the class of 2021 semester 2 at STIKes Dharma Husada who have joined the whatsapp group, namely 129 students. Data analysis in this study uses univariate analysis, namely by calculating the frequency distribution of each characteristic measured, then conducting bivariate analysis in the form of a grain validity test using the Pearson product moment correlation formula and multivariate analysis in the form of a construct validity test using a factor analysis test. As many as 93% of the questions were declared valid with a reliability value of 0.917, factors formed from the component of academic potential as many as 5 factors, time management 2 factors, academic stress management 1 factor and the component of involvement in campus activities 2 factors
Pemanfaatan Pelayanan Kesehatan Ibu di Jawa Barat Mahwati, Yeni
Kesmas Vol. 7, No. 6
Publisher : UI Scholars Hub

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Abstract

Pemanfaatan pelayanan kesehatan ibu dapat menyelamatkan perempuan dari komplikasi berat dan kematian selama kehamilan, persalinan, dan pasca persalinan. Faktor sosial, manfaat/kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik berkontribusi langsung terhadap pemanfaatan pelayanan kesehatan ibu. Tujuan penelitian ini adalah mengetahui faktor sosial, kebutuhan, serta aksesibilitas ekonomi dan fisik yang memengaruhi pemanfaatan pelayanan kesehatan ibu di Jawa Barat. Data yang digunakan untuk penelitian adalah data sekunder hasil Riset Kesehatan Dasar 2010 pada perempuan usia 15 – 59 tahun yang pernah menikah. Penelitian ini menggunakan analisis bivariat dan multivariat. Kedua hasil analisis menegaskan bahwa faktor sosial, kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik memiliki hubungan yang signifikan dengan pemanfaatan pelayanan antenatal dan persalinan. Model akhir analisis multivariat regresi logistik menunjukkan bahwa tempat tinggal merupakan variabel yang paling memengaruhi pemanfaatan kedua bentuk pelayanan kesehatan ibu. Determinan penting yang lain adalah riwayat komplikasi, pendapatan keluarga, umur, dan pendidikan ibu. Dalam analisis multivariat, status perempuan bekerja dan pekerjaan suami tidak memiliki dampak yang signifikan terhadap kemungkinan perempuan mendapatkan perawatan antenatal dan pemberian perawatan modern meskipun variabel suami adalah positif dan sangat terkait dengan variabel dependen. Utilization of maternal health care services could save severe complications and death among women during pregnancy, delivery, and after delivery. Numerous factors such as social, perceived needs, and economic and physical accessibility are contributed directly with the use of maternal health care. The purpose of this study is to investigate the social, perceived needs, and economic and physical accecibility factors that affect women’s use of maternal health care in West Java. The data used come from the 2010 Basic Health Research of ever married women 15 – 59 years old. This study used two levels of analysis, bivariate and multivariate analysis. Both analyses confirmed that social, perceived needs, and economic and physical accessibility factors had a significant relationship with the utilization of antenatal and modern delivery care. The final model logistics regression multivariate analysis indicate that the residence’s place remain the most independent variable affecting both of antenatal and delivery care usage. Other important determinants are complications history, family income, mother’s age, and education. In the multivariate analysis, the complications history have a significant impact on the probability of women obtaining delivery care although these variable not associated with the dependent variables in the bivariate analysis.
Obesity Indicators and C-Reactive Protein in Indonesian Adults (More than Equal to 40 Years Old): The Indonesian Family Life Survey 5 Mahwati, Yeni; Nurrika, Dieta
Kesmas Vol. 15, No. 4
Publisher : UI Scholars Hub

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Abstract

C-reactive protein (CRP) is the best clinical marker for systemic inflammation. Obesity is associated with increased CRP levels. Systemic inflammation is present before morbidity occurs. Research reveals that the identification of obesity indicators and CRP levels is limited among Indonesians. The present study investigated the associations between obesity indicators (body mass index [BMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]) and CRP levels among Indonesian adults. This cross-sectional study based on Indonesian Family Life Survey-5 2014–2015 was conducted among 3,386 adults (≥ 40 years) living in 13 provinces in Indonesia during the study period. All data were collected in 2014. Multiple logistic regression was used to estimate the odds ratio (ORs) and 95% confidence interval (95% CIs) for hs-CRP levels on obesity indicators by using underweight (BMI) and normal (WC, WHR, and WHtR) as references. Our multivariable logistic regression analysis indicated that respondents with increased WHR (OR: 1.278, 95% CI: 1.005–1.625, p-value < 0.001) were more likely to have high-risk hs-CRP levels than those with normal WHR. Compared with respondents with normal WHtR, those with increased WHtR were found associated with high-risk hs-CRP levels (OR: 1.980, 95% CI: 1.544–2.541, p-value < 0.001). Therefore, WHR and WHtR can predict central obesity, which is associated with hs-CRP levels.
Determinants of Multimorbidity among The Elderly Population in Indonesia Mahwati, Yeni
Kesmas Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Multimorbiditas adalah kehadiran dua atau lebih penyakit kronis pada satu orang. Prevalensi multimorbiditas meningkat dengan usia, terutama pada lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan multimorbiditas pada lansia di Indonesia. Data diambil dari survei keempat Indonesian Family Life Survey (IFLS) yang diadakan pada tahun 2007. IFLS adalah survei sosial ekonomi dan kesehatan longitudinal di Indonesia. Sampel yang digunakan dalam analisis adalah 2.960 lansia (³ 60 tahun). Regresi logistik dilakukan untuk menentukan prevalensi dan determinan multimorbiditas pada lansia. Hasil penelitian menunjukkan prevalensi multimorbiditas sebesar 15,8%, dengan prevalensi lebih tinggi pada lansia yang overweight/obesitas, tingkat pendidikan rendah, tidak bekerja, perokok saat ini, aktivitas fisik ringan, overweight/obesitas, dan kurangnya konsumsi sayur dan buah. Analisis multivariat menunjukkan bahwa tingkat pendidikan yang rendah, tidak bekerja, perokok saat ini dan pernah merokok, overweight/obesitas, aktivitas fisik ringan, serta kurangnya konsumsi sayuran dan buah berhubungan dengan multimorbiditas. Hasil penelitian menunjukkan bahwa prevalensi multimorbiditas pada lansia Indonesia cukup tinggi terutama mereka dengan perilaku kesehatan yang buruk dan kondisi sosial ekonomi yang rendah. Strategi untuk meningkatkan perilaku sehat dan meningkatkan kondisi sosial-ekonomi dapat menurunkan prevalensi multimorbiditas pada lansia. Multimorbidity is the presence of two or more chronic diseases in one person. Multimorbidity prevalence increases with age, especially in the elderly. This study aimed to determine the prevalence of multimorbidity in elderly population in Indonesia and its determinant. Data were taken from the fourth survey of the Indonesian Family Life Survey (IFLS) which held in 2007. IFLS is a continuing longitudinal socio-economic and health survey. The sample used in the analysis were 2,960 elderly (³ 60 years). Logistic regression was performed to determine the prevalence and determinants of multimorbidity in the elderly. The prevalence of multimorbidity were 15.8 % and was higher among low educational level, unemployed, current smokers, mild physical activity, overweight/obese and lower consumption of vegetables and fruit. Multivariate analysis showed that low educational level, unemployed, current smoker and ex smoker, overweight/obese, mild physical activity and lower consumption of vegetables and fruit were associated with multimorbidity. The results showed that the prevalence of multimorbidity in Indonesian elderly is quite high especially those with poor health behaviors and low socioeconomic conditions. Strategies to increase healthy behaviors and improve socio-economic conditions may decrease the prevalence of multimorbidity.
Evaluasi Pasca Pelatihan: Keterampilan Bidan dalam Pelayanan Kontrasepsi: Post-Training Evaluation: Midwives' Skills in Contraception Services Tuti_Surtimanah; Dean Rosmawati; Gina Zulfah; Nuraini; Yeni Mahwati; Irfan Nafis Sjamsuddin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 5: MAY 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i5.5017

Abstract

Latar belakang: Pelayanan kontrasepsi di fasilitas kesehatan mesti dilakukan secara terstandar dan berkualitas. Telah dilakukan pelatihan pelayanan kontrasepsi bagi bidan dengan indikator hasil belajar 16 ranah keterampilan dan empat ranah pengetahuan. Tujuan: Mengetahui tingkat keterampilan bidan pasca pelatihan pelayanan kontrasepsi. Metode: Disain mixed methods, rancangan sekuensial eksplanatif. Populasi alumni pelatihan tahun 2023 dengan sampel total sebanyak 40 orang untuk penelitian kuantitatif, dan 13 informan penelitian kualitatif dipilih purposif. Pengumpulan data kuantitatif melalui penyebaran kuesioner skala penilaian diri dan pertanyaan aplikasi keterampilan pelayanan kontrasepsi berbentuk google form, kemudian dianalisis deskriptif dan uji beda skor keterampilan menurut karakteristik responden. Pengumpulan data kualitatif melalui wawancara mendalam, dianalisis menggunakan framework analysis. Hasil: Rata-rata skor keterampilan hasil skala penilaian diri sebesar 80,20 lebih tinggi dari rata-rata skor hasil pertanyaan aplikasi pelayanan kontrasepsi sebesar 49,75. Tidak ada korelasi signifikan antara skor hasil skala penilaian diri dengan skor hasil pertanyaan aplikasi pelayanan kontrasepsi (p 0,689). Tidak ada beda signifikan (p > 0,05) skor keterampilan pelayanan kontrasepsi menurut umur, instansi kerja, pendidikan, jenis tugas, asal kabupaten – kota, lama kerja. Ada 8 dari 16 keterampilan yang dijawab benar ? 50% responden pada pertanyaan aplikasi keterampilan yaitu konseling dengan ABPK, pelayanan kontrasepsi darurat dan pasca keguguran, pelayanan kontrasepsi metode suntik – pil dan kondom, melakukan kewaspadaan pencegahan pengendalian infeksi, pencatatan pelaporan pelayanan. Terjadi perubahan keyakinan diri serta motivasi melaksanakan tugas pasca pelatihan, termasuk dalam melaksanakan konseling. Kesimpulan: Sebanyak 97,5% responden memiliki keterampilan pelayanan kontrasepsi kategori baik menurut skala penilaian diri, namun hanya 45% memiliki kategori baik menurut jawaban pertanyaan aplikasi pelayanan kontrasepsi. Dukungan pimpinan, kebijakan serta penyediaan sarana prasarana kerja dibutuhkan alumni dalam mengaplikasikan keterampilan yang dipelajari selama pelatihan.
Co-Authors Adjat Sedjati Rasyad Adjat Sedjati Rasyad Aprilia Sari Azhari, Claudia Claudia Azhari Dean Rosmawati Devita Madiuw Dieta Nurrika Gina Zulfah Hadiyati, Lilis Hartiningsih, Siti Sugih Herawati, Yanti Herri S. Sastramihardja Hidayat Wijayanegara Indriati Indriati Indriati Indriati Indriati, Maya Irfan Nafis Sjamsuddin Karimah, Karimah Karmelia, Mela Komalaningsih, Sri Laelasari Laelasari, Laelasari Lestari, Mia Dwi Ma&#039;mun Sutisna Mamun Sutisna Napisah, Pipih Nike Arta Puspitasari Nuraini Nurlatifah, Teni Pamungkas , Gugum Pamungkas, Motris Patmawati, Dewi Ramdan, Arfian Hikmat Resna Litasari Risyanti , Berty Rowawi, Roni Ruhyat, Ejeb Sari, Aprilia Suparni Suparni Suryamah, Yeni Suryani Soepadan Suryani Suryani Sutisna, Ma’mun Syafrullah, Haidir Syarif Rahman Hasibuan Tamara, Meta Dwi Tusrini, Weni Tuti_Surtimanah WaOde Nur Syuhada