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All Journal Jurnal Kesehatan Komunitas Poltekita : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kesehatan Jurnal Indonesia Sosial Sains Eduvest - Journal of Universal Studies Jurnal Kesehatan Masyarakat Perkotaan
Brian Sri Prahastuti
Peneliti di Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI
Aerospace Engineering Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Energy Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Factors Associated with Mortality at Harapan Kita Hospital (RSAB Harapan Kita) Secondary Data for 2024 Nurhasanah; Indriyati, Titi; Prahastuti, Brian Sri
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3092

Abstract

Neonatal mortality remains a key public health indicator in Indonesia and represents a serious challenge in achieving the Sustainable Development Goals (SDGs). Although Jakarta has the lowest infant mortality rate compared to other provinces, the number of neonatal deaths at national referral hospitals like Harapan Kita Hospital remains quite high. Based on 2024 data, 220 deaths were recorded out of 1,634 births, with the main causes including low birth weight (LBW), asphyxia, prematurity, and infection. This situation highlights the importance of examining risk factors for both mothers and infants in neonatal mortality, particularly at Harapan Kita Hospital, Jakarta.  The research method used a quantitative approach with a retrospective case-control study design. Secondary data were obtained from maternal and infant medical records from January to December 2024. The study sample consisted of 94 respondents, consisting of 47 cases (neonatal deaths) and 47 controls (infants living >28 days or dying after >28 days), selected using a purposive sampling technique. Data analysis used univariate analysis and bivariate analysis with chi-square tests. The study showed that maternal factors associated with neonatal mortality were maternal nutritional status (p=0.021), type of delivery (p=0.014), and parity (p=0.037). Infant factors associated with neonatal mortality included low birth weight (p=0.000), prematurity (p=0.012), birth asphyxia (p=0.000), neonatal infection (p=0.001), and congenital abnormalities (p=0.018). Harapan Kita Jakarta Hospital needs to strengthen the referral system and coordination between hospitals, optimize the quality of antenatal care services, and improve human resource competency through training and workshops specifically for handling high-risk infants.
Dietary Regulation As A Factor Predicting Quality of Life in Diabetic Peripheral Neuropathy Patients Ritonga, Sukhri Herianto; Decroli, Eva; Prahastuti, Brian Sri; Usman, Elly; Mudjiran, Mudjiran; Bachtiar, Adang; Afriwardi, Afriwardi; Yetti, Husna
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3376

Abstract

Diabetic peripheral neuropathy is a complication of diabetes mellitus with the number of sufferers continuing to increase from time to time. A decrease in quality of life occurs as this disease progresses, both in physical, mental, and social aspects. Controlling risk factors for declining quality of life needs to be done early, one of the risk factors for declining quality of life is diet. The aim of this research is to analyze dietary regulation as a predictive factor for quality of life in diabetic peripheral neuropathy sufferers. The type of research used is quantitative research with a cross-sectional approach. The respondents in the study were 210 diabetic peripheral neuropathy sufferers who were selected using consecutive sampling techniques. Data collection uses a questionnaire that meets the existing validity and reliability criteria. The data analysis used in this research is SEM PLS analysis. The results show that dietary regulation has a positive influence on quality of life (r=0.236, p=0.0001). Dietary regulation has an effect size on quality of life (f square = 0.095) and also has the ability to predict quality of life well (Q square = 0.232). Dietary regulation is also feasible and suitable in explaining interactions between variables (NFI = 0.540; SRMR = 0.99). The conclusion is dietary regulation can be a good predictive factor for quality of life, so that by improving the diet of diabetic peripheral neuropathy sufferers it will be possible to improve their quality of life.
Analisis Pencarian Layanan Kesehatan Reproduksi Pada Masa Pandemi Covid-19 Oleh Wanita PUS Di Kota Cilegon Prahastuti, Brian Sri; Djaali, Nur Asniati; Syarifati, Asri
Jurnal Ilmiah Kesehatan Vol 15 No 1 (2023): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v15i1.1431

Abstract

Pada masa pandemi Covid-19, masyarakat menunda pergi ke fasilitas kesehatan, begitu-pun terbatasnya akses dan layanan kesehatan reproduksi semua faskes seperti RS, Puskesmas, Klinik, dan Praktik Mandiri Bidan. Hal ini terjadi karena banyak layanan kesehatan yang tutup serta kekhawatiran masyarakat terhadap penularan penyakit, sehingga berdampak melonjaknya angka kehamilan yang tidak diinginkan dan berpengaruh pada angka kematian ibu dan bayi. Penelitian kuantitatif dengan desain penelitian cross- sectional,teknik pengambilan sampel Cluster random sampling  dengan jumlah sampel 168 wanita pasangan usia subur di Kota Cilegon.Bahwa wanita pus yang mencari layanan kesehatan reproduksi ke faskes di Kota Cilegon 77,4%.Terdapat 8 variabel yang memiliki hubungan bermakna terhadap pencarian layanan kesehatan reproduksi pada masa pandemic Covid-19  yaitu  pendapatan, pembiayaan, aksestabilitas, ketersediaan fasilitas layanan kesehatan, persepsi kebutuhan layanan kesehatan reproduksi, diagnosa klinis, ketakutan ibu terhadap resiko Covid 19, dan persepsi terhadap situasi pandemi Covid-19. Sedangkan variabel yang dominan berhubungan dengan pencarian layanan kesehatan reproduksi adalah ketersediaan fasilitas layanan kesehatan. Adanya hubungan antara usia, pendidikan, kepercayaan, pendapatan, pembiayaan,aksesibilitas, ketersediaan fasilitas layanan kesehatan, persepsi ibu terhadap kebutuhan layanan kesehatan reproduksi, diagnosa klinis, ketakutan ibu terhadap resiko Covid-19, dan persepsi ibu terhadap situasi pandemik Covid-19 dengan pencarian layanan kesehatan reproduksi pada masa pandemik Covid-19.
Studi Kombinasi: Perilaku Pekerja Pengguna Transportasi Massal Dalam Penanganan Masker Bekas Pakai di Jakarta Prahastuti, Brian Sri; Astuty, Febrina; Djaali, Nur Asniati; Setianingsih, Ajeng
Jurnal Ilmiah Kesehatan Vol 16 No 1 (2024): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v16i1.1900

Abstract

Latar belakang: Fenomena masker sudah berubah dari alat pelindung diri, kini menjadi gaya hidup. Pekerja pengguna transportasi massal di DKI Jakarta merupakan satu elemen masyarakat yang berperan terhadap terjadinya penanganan masker bekas yang tidak sesuai. Tujuan: Menganalisis perilaku pekerja pengguna transportasi massal dalam penanganan masker bekas pakai. Metode: Studi Mixed-Methods. Sampel adalah pengguna transportasi massal sebanyak 165 responden menggunakan metode Purposive Sampling. Instrument menggunakan Google Form. Hasil penelitian: Dari uji Chi Square, terdapat hubungan yang signifikan antara Sikap (p 0,000) dengan perilaku pekerja pengguna transportasi massal dalam penanganan masker bekas pakai. Hubungan tidak signifikan terlihat pada variabel pengetahuan dengan nilai (p 0,093). Uji regresi logistik berganda faktor risiko adalah Sikap setelah dikontrol pengetahuan, pendidikan dan ketersediaan tempat sampah (exp(B)=9,174). Hasil content analysis ditemukan dua hal yaitu perlunya regulasi yang mumpuni serta ketersediaan fasilitas yang sesuai.  Rekomendasi: Agar sikap menjadi perbuatan nyata diperlukan faktor pendukung fasilitas dan pihak lain. Pemerintah lebih intensif dan gencar dalam sosialisasi, edukasi melalui sosial media serta pengadaan fasilitas tempat sampah tertutup di area umum, penguatan peraturan pengelolaan masker bekas pakai dan sanksi serta penegakan hukum yang jelas dan efektif, promosikan program daur ulang dan pada pekerja mengimplementasikan budaya K3. Peran aktif pihak swasta melaksanakan budaya K3 ditempat kerja akan meminimalkan resiko terjadinya sakit pada pekerja.
Pengembangan Instrumen Pengukuran Pengetahuan Pola Makan dalam Upaya Pencegahan Anemia bagi Ibu Hamil Prahastuti, Brian Sri; Djaali, Nur Asniati; Indriyati, Titi; Meisara, Naura Delfi
Jurnal Ilmiah Kesehatan Vol 15 No 2 (2023): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v15i2.2760

Abstract

The first 1,000 days of life represent a critical window of opportunity to ensure optimal child growth and development. Maternal anemia is a major risk factor for low birth weight (LBW) and stunting at birth. Despite the nationwide iron supplementation program, the prevalence of anemia remains high, largely due to poor adherence to iron tablet (IFA) consumption among pregnant women. This study aims to develop a knowledge measurement instrument regarding dietary patterns for anemia prevention during pregnancy. A mixed-method approach was used, with a qualitative component as the dominant phase. Content analysis was conducted to identify key themes and generate items for the questionnaire, based on data from public discussions, in-depth interviews, and literature review. Instrument validity and reliability were tested quantitatively on 30 pregnant women participating in an online stunting prevention class. The qualitative analysis identified 9 variables, 21 dimensions, and 90 questionnaire items. Validity testing showed that 75 items were valid, and reliability testing yielded a Cronbach’s Alpha of 0.962, indicating high reliability. Knowledge scores showed that 62.5% of respondents had good knowledge of anemia-preventive dietary practices. A normality test confirmed that the data were normally distributed (p = 0.200). This study successfully produced a valid and reliable instrument to measure pregnant women’s knowledge of anemia-preventive dietary patterns. The instrument is suitable for evaluation through pre- and post-intervention assessments in health education programs delivered via social media and other online platforms.
Hubungan Aktivitas Fisik Dan Pola Makan Terhadap Status Obesitas Pada Pekerja Perusahaan Minyak Dan Gas Di Bojonegoro Djaali, Nur Asniati; Prahastuti, Brian Sri; Supriyanto
Jurnal Kesehatan Masyarakat Perkotaan Vol. 4 No. 2 (2024): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v4i2.2337

Abstract

Obesitas adalah suatu keadaan ketidakseimbangan antara energi yang masuk dengan energi yang keluar dalam jangka waktu yang lama. Banyaknya konsumsi energi dari makanan yang dicerna melebihi energi yang digunakan untuk metabolisme dan aktivitas kesehariannya. Kelebihan energi akan disimpan dalam bentuk lemak dan jaringan lemak sehingga dapat mengakibatkan kenaikan berat badan. Terdapat 80.4% pekerja perusahaan minyak dan gas di Bojonegoro yang mengalami over weight dan Obesitas dan kondisi ini kecenderungan meningkat dari waktu ke waktu bila tidak dilakukan tindakan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan aktivitas fisik dan pola makan terhadap status obesitas pada pekerja perusahaan minyak dan gas setelah mendapatkan program Wellness Our Way Plus. Metode penelitian dengan studi kuantitatif desain cross-sectional dan Sampel penelitian sebanyak 157 responden. Analisis data dengan menggunakan uji univariat dan bivariat. Terdapat hubungan signifikan antara aktifitas fisik dengan status obesitas pada pekerja perusahaan minyak dan gas setelah mendapatkan program Wellness Our Way Plus (p-value=0,005;OR=15,2) dan terdapat hubungan signifikan antara pola makan dengan status obesitas pada pekerja perusahaan minyak dan gas setelah mendapatkan program Wellness Our Way Plus (p-value=0,005;OR=7,2). Terdapat hubungan signifikan antara aktifitas fisik dan pola makan dengan status obesitas pada pekerja perusahaan minyak dan gas di Bojonegoro setelah program Wellness Our Way Plus.
Analisis Hubungan Sikap terhadap Perilaku Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 pada Perawat Pelaksana di Puskesmas Kabupaten Karawang Putri, Shinta Andika; Prahastuti, Brian Sri; Djaali , Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 4 No. 2 (2024): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v4i2.2491

Abstract

Latar Belakang : Pedoman sementara yang dikeluarkan oleh World Health Organization (WHO) terkait Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 adalah dengan menekan beberapa hal tindakan, diantaranya menerapkan kewaspadaan standar untuk semua pasien dan petugas kesehatan, memastikan triase awal, dan memakai masker untuk tindakan pencegahan tambahan. Perilaku penggunaan alat pelindung diri yang baik merupakan salah satu unsur dalam kewaspadaan standar Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 diharapkan dapat menurunkan risiko penularan virus melalui darah dan droplet. Adanya risiko penularan yang cukup tinggi inilah yang menjadi dasar diperlukannya ketersediaan Alat Pelindung Diri (APD) bagi tenaga kesehatan yang mencakup handscoon (sarung tangan), masker medis, kaca mata pelindung, dan pakaian pelindung diri. Perawat berperan sebagai pemberi asuhan keperawatan, kolaborator, pendidik, agent of change, dan peneliti di era pandemi. Hal ini dilakukan karena perawat sebagai garda terdepan dunia kesehatan dalam menghadapi pandemi. Tujuan : Hasil laporan penelitian ini bertujuan untuk menghasilkan model perilaku perawat pelaksana Puskesmas dan mengetahui hubungan sikap dan perilaku perawat pelaksana Puskesmas di Kabupaten Karawang dalam Perilaku Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 setelah dikontrol oleh variabel lain. Metode : Penelitian ini termasuk jenis penelitian kuantitatif dengan desain potong lintang, menggunakan teknik pengambilan sampel stratified random sampling dengan jumlah sampel sebanyak 208 perawat pelaksana Puskesmas di Kabupaten Karawang tahun 2022. Hasil : Berdasarkan hasil penelitian diketahui bahwa pada perawat pelaksana puskesmas di kabupaten karawang 62,3% responden berperilaku baik dan 37,7% responden berperilaku buruk. Hasil penelitian menunjukkan bahwa terdapat 3 vaiabel yang memiliki hubungan yang bermakna terhadap Perilaku Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 pada perawat pelaksana Puskesmas di Kabupaten Karawang meliputi sikap, masa kerja dan riwayat keterpaparan COVID-19.
Factors Influencing the Hygiene Behavior of Food Handlers in Cikarang Bekasi Catering Services Helmi; Endarti, Ajeng Tias; Prahastuti, Brian Sri
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 1 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i1.2595

Abstract

Law of the Republic of Indonesia Number 18 of 2012 concerning Food mandates the preparation of safe food consumption that can be done with hygiene. One party that can play a role in ensuring safe food consumption is the Catering Service provider. Unfortunately, most catering entrepreneurs in Indonesia do not understand the hygiene requirements that are closely related to health. Hygiene behavior in food handlers greatly affects the quality of catering food. From the researcher's initial survey, there were several catering services that had poor hygiene behavior. This study aims to determine the factors that influence the hygiene behavior of food handlers in the Cikarang catering service, Bekasi Regency in 2024. This study is a quantitative cross-sectional design study. The sample of this study was 100 food handlers in the Cikarang Bekasi catering service. Data collection was carried out by interview using a questionnaire. The analysis of this study was univariate, bivariate and multivariate. The univariate results showed that most respondents had poor food handler hygiene behavior (65.0%). Bivariate results showed a relationship between education, knowledge, attitude, PPE, facilities and infrastructure, superior support, friend support, counseling with food handler hygiene behavior (P <0.05). Multivariate results showed that the PPE variable was the dominant variable that influenced food handler hygiene behavior with OR 174 (95%CI 21-1432). Conduct routine socialization and counseling of food handler hygiene. Counseling can be carried out by the health center.
Feeding Behavior of Toddlers from HIV/AIDS Positive Women: A Case Study in Jayapura District Naa, Martince; Prahastuti, Brian Sri; Endarti, Ajeng Tias
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 1 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i1.2618

Abstract

Background: HIV infection in pregnant women is a significant problem in the global health world because it has a serious impact on the health of the mother and the baby she is carrying. Objective: To explore the impact of HIV infection on pregnant women, particularly in the context of transmission of the virus to the baby during pregnancy and childbirth. In addition, this study also focuses on preventive measures that can be taken during pregnancy to reduce the risk of transmission of HIV from mother to baby, practice caring for the baby and giving food, looking at the mother's knowledge of transmission, which can present an evidence-based picture that can be held accountable and become an advocacy material. Methods: This study is a case study with a Qualitative approach with a specific approach of in-depth interviews. Results: This study can provide in-depth insights into the behavior of HIV mothers feeding their babies and effective preventive measures. Recommendation: There needs to be cross-sectoral cooperation to increase HIV-AIDS Education to the community, especially mothers so that it can help in improving the health of mothers and babies and reduce HIV virus transmission to generations      
The Effectiveness of the Snakes and Ladders Game in Improving Knowledge, Attitudes, and Behavior in Preventing Anemia in Adolescent Girls Prahastuti, Brian Sri; Jumhati, Siti; Kurnia, Ai Lela
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3058

Abstract

Anemia among adolescent girls remains a significant public health concern, with a prevalence of 36% in Sukabumi District in 2024. The main contributing factors include iron deficiency, unbalanced dietary patterns, and limited nutritional knowledge. Engaging educational interventions are urgently needed to improve adherence to anemia prevention programs, particularly iron supplementation, free health screenings for adolescents, and the Free Nutritious Meal initiative. This study examined the effectiveness of a modified snakes-and-ladders–based educational game incorporating anemia-related content. A quasi-experimental quantitative design with a two-group pretest–posttest approach was employed, involving 80 adolescent girls in 2025. Data analysis utilized normality testing (skewness), paired t-tests, independent t-tests, and the N-Gain test. The mean knowledge score increased by 2.3 points, attitude score by 3.3 points, and behavior score by 2.4 points. Paired t-test results in the intervention group showed significant improvements in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001) before and after the intervention. Similarly, the control group demonstrated differences in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001) over time. Post-intervention independent t-tests indicated significant differences between the intervention and control groups in knowledge (p = 0.001), attitudes (p = 0.001), and behaviors (p = 0.001). The N-Gain analysis revealed an average score of 58,4% (moderately effective) in the intervention group and 23% (ineffective) in the control group. These findings indicate that the educational snakes-and-ladders game is moderately effective in enhancing knowledge, attitudes, and behaviors related to anemia prevention. It is recommended that the Health and Education Offices integrate this game into extracurricular programs and school-based health checks as a complementary strategy to the Free Nutritious Meal initiative.
Co-Authors Adang Bachtiar Afriwardi Afriwardi Ajeng Tias Endarti Astuty, Febrina Cimi Ilmiawati, Cimi Djaali , Nur Asniati Eva Decroli Helmi Husna Yetti Indriyati, Titi Iwan Jaya Azis Jayawarsa, A.A. Ketut Kurnia, Ai Lela Lilis Heri Mis Cicih Martalinda, Weny Megawati, Dede Sri Meilani, Reni Meisara, Naura Delfi Mudjiran Naa, Martince Nur Asniati Djaali Nurhasanah Nursyirwan Effendi, Nursyirwan Putri, Shinta Andika Ritonga, Sukhri Herianto Setianingsih, Ajeng Siti Jumhati Solikhin, M Halfani Supriyanto Susilawati, Neng Syarifati, Asri Vivi Triana