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Journal : Jurnal Kesehatan Reproduksi

SELF-PROTECTION BEHAVIORS TOWARDS COVID-19 AMONG WOMEN RELIGIOUS GROUP IN INDONESIA: A QUALITATIVE STUDY Raihana Nadra Alkaff; Lisfa Sentosa Aisyah; Dieta Nurrika; Ratri Ciptaningtyas
JURNAL KESEHATAN REPRODUKSI Vol 13 No 1 (2022): JURNAL KESEHATAN REPRODUKSI VOLUME 13 NOMOR 1 TAHUN 2022
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v13i1.31

Abstract

Abstract Background: Optimizing the role of religious-based communities in preventing the transmission of COVID-19 through the application of self-protection to its facilitators and members is an important part of efforts to stop the pandemic. Objective: The purpose of this study was to determine the perceptions of facilitators and members of religious group in implementing self-protection behaviour. Method: A qualitative study was conducted from August to December 2021 using a purposive sampling approach to collect the data. In total, 6 individual interviews were conducted with facilitators of religious group and one focus group discussion (FGD) with 12 members of religious-based communities. Data analysis was performed using a conventional content analysis approach. Results: The results of this study indicate that both facilitators and members of religious-based communities have a favourable perception of self-protection in religious group. However, this perception is not enough to support readiness in implementing self-protection behaviour. Self-efficacy is still weak, this is indicated by weaknesses in mastery experiences, vicarious experiences, verbal persuasion, and emotional and physiological states variables. Conclusion: Increasing int ernal and external roles in religious-based communities and strengthening collaboration in the application of self-protection through increasing self-efficacy forming variables in religious group are urgent needs to be carried out in COVID-19 prevention programs.
COVID-19 VACCINATION DECISION MAKING IN BREASTFEEDING MOTHERS IN THE TANGERANG AREA BANTEN PROVINCE IN 2021 Dieta Nurrika; Dian Puspitasari Effendi; Indania Indania; Dwi Pantja Wibowo; Ela Susilawati
JURNAL KESEHATAN REPRODUKSI Vol 13 No 2 (2022): JURNAL KESEHATAN REPRODUKSI VOLUME 13 NOMOR 2 TAHUN 2022
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v13i2.40

Abstract

Abstract Background: Breastfeeding mothers have the opportunity to vaccinate, to protect against Covid-19 infection. Sociodemographic factors, health status, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and health motivation are important in making decisions to vaccinate for breastfeeding mothers. Objective: This study aims to determine the association between sociodemographic characteristics, health status, perceptions of Health Belief Model (HBM) on vaccination decisions for breastfeeding mothers in the Tangerang area.  Methods: An analytical design with a cross sectional approach and a total sample of 123 respondents were used in this study in the Tangerang area.  Results: Except for the level of education of breastfeeding mothers, sociodemographic and health status factors are not associated with the decision making of Covid-19 vaccination. Based on the analysis of HBM perceptions on the perceived severity, perceived benefits, perceived barriers, cues to action and health motivation have a relationship with decision-making about Covid-19 vaccination in breastfeeding mothers. Conclusions: In the HBM perception assessment there is a relationship between perceived severity, perceived benefits, cues to act, and health motivation with Covid-19 vaccination decision making. Likewise with negative perceptions have nothing to do with vaccine decision making, which is a strong predictor of getting the Covid-19 vaccine. Keywords: Covid-19, decision making, health belief model, vaccination
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

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.