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Endang Sutisna Sulaeman

Universitas Sebelas Maret

Author-ID : 390710

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Effect of Leadership Style of the Head of the Community Health Center and Other Determinants on the Health Personnel Performance in Boyolali, Central Java Marwandi, David; Sulaeman, Endang Sutisna; Pawito, Pawito
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Leadership in health services is needed to utilize resources efficiently, design management processes, and encourage health workers to work towards achieving common goals. The purpose of this study was to analyze the effect of leadership style of the head of community health center and other determinants on the performance of health personnel.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in Boyolali, Central Java, from June to July 2019. A sample of 206 health personnel from 22 community health centers was selected for this study. The dependent variable was the performance of health personnel. The independent variables were perceived transformational leadership, perceived income, type of community health center, accreditation status, education level, tenure, training, community health center, and employee status. The data were collected by questionnaire and analyzed by a multilevel multiple linear regression run on Stata 13.Results: Health personnel performance increased with transformational leadership style (b= 2.23; 95% CI= 0.94 to 3.52; p <0.001), type of health workers (b= 1.80; 95% CI= 0.10 to 3.49; p = 0.037), and accreditation status (b= 3.01; 95% CI= 0.58 to 5.44; p= 0.015). Health personnel performance increased with education ≥Diploma III (b= 0.55; 95% CI= -1.46 to 2.56; p= 0.592), tenure ≥3 years (b= 0.05; 95% CI= -1.49 to 1.59; p = 0.947), adequate income (b= 1.16; 95% CI= -0.10 to 2.42; p= 0.072), and had attended training (b= 0.67; 95% CI= -0.68 to 2.03; p= 0.329), but they were statistically non-significant. Health personnel performance decreased with the status of civil servant (b= -1.32; 95% CI= -3.82 to 1.16; p= 0.298) and treatment status of community health center with hospitalization (b= -2.97; 95% CI = -5.03 to -0.91; p = 0.005).Conclusion: Health personnel performance increases with transformational leadership style, type of health workers, accreditation status, education ≥Diploma III, tenure ≥3 years, adequate income, and had attended training. Health personnel performance decreases with the status of civil servant and treatment status of community health center with hospitalization.Keywords: transformational leadership style, health personnel, performance.Correspondence:David Marwandi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: david.marwandi88@gmail.com. Mobile: +6281348789393Journal of Health Policy and Management (2020), 5(1): 74-84https://doi.org/10.26911/thejhpm.2020.05.01.07

CONTEXTUAL EFFECT OF SCHOOL AND OTHER DETERMINANTS OF NON SMOKING BEHAVIOR AMONG HIGH SCHOOL STUDENTS IN BANTUL, YOGYAKARTA: A MULTILEVEL ANALYSIS Agustin, Roviana Nurda; Sulaeman, Endang Sutisna; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Adolescence is a period of initiation of smoking and not smoking behavior. Non-smoking behavior in adolescents is influenced by factors of knowledge, attitudes, subjective norms, perceptions of behavioral control, intention, parental support, teacher support, peer support, and information media exposure. The purpose of this study was to analyze the contextual influence of schools on non-smoking behavior in adolescents in Bantul Regency, Yogyakarta.Subjects and Method: This was a cross sectional study conducted on 13 high schools and 12 vocational high schools in Bantul Regency, Yogyakarta, from September to October 2019. A sample of 200 male adolescents aged 15-18 years was selected by stratified random sampling. The dependent variable was non-smoking behavior in adolescents. The independent variables were knowledge, attitudes, subjective norms, behavioral control perceptions, intentions, parental support, teacher support, peer support, and information media exposure. The data collections were performed using a questionnaire and analyzed using multilevel multiple logistic regression with Stata 13.Results: Non-smoking behavior in adolescents increases with high adolescent knowledge (b= 3.09; 95% CI= 0.86 to 5.33; p= 0.007), positive attitude (b= 2.92; 95% CI= 0.79 to 5.06; p= 0.007), norm subjective supportive (b= 2.81; 95% CI= 0.72 to 4.92; p= 0.009), perception of strong behavioral control (b= 3.60; 95% CI= 1.22 to 5.99; p = 0.003), non-smoking intention is strong (b= 3.09; 95% CI= 0.92 to 5.27; p= 0.005), strong family support (b= 2.80; 95% CI= 0.76 to 4.85; p= 0.007), strong teacher support (b= 2.98; 95% CI= 0.75 to 5.21; p= 0.009), strong peer support (b= 2.58; 95% CI= 0.04 to 5.13; p= 0.046), and exposed to information media (b= 2.27; 95% CI= 0.45 to 4.09; p= 0.014). There was contextual effect of schools non-smoking behavior (ICC = 20.92%).Conclusion: Non-smoking behavior in adolescents is influenced by knowledge, attitude, subjective norm, perceived behavioral control, intention, parental support, teacher support, peer support, and information media exposure. School has a contextual influence on non-smoking behavior in adolescents.Keywords: smoking, teenage behavior, schoolCorrespondence: Roviana Nurda Agustin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: roviananurda@gmail.com. Mobile: 085747082310Journal of Health Promotion and Behavior (2019), 4(4): 274-286https://doi.org/10.26911/thejhpb.2019.04.04.04

APPLICATION THEORY OF PLANNED BEHAVIOR: DETERMINANTS OF BEHAVIOR TO USE PERSONAL PROTECTIVE EQUIPMENT AMONG TOBACCO FARMERS IN TEMANGGUNG, CENTRAL JAVA: A MULTILEVEL ANALYSIS Kumala, Yovita Eka Ratna; Rahardjo, Setyo Sri; Sulaeman, Endang Sutisna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tobacco farmers has the risk of being exposed by wet nicotine during harvesting tobacco leaves or is often called as Green Tobacco Sickness (GTS). GTS prevention can be conducted by using Personal Protective Equipment (PPE) before farmers harvesting tobacco leaves. Behavior in using PPE among farmers is affected by sex types, education, attitude, subjective norm, intention, and perceived behavioral control. The study aims to analyze the determinant of behavior to use PPE among tobacco farmers in Temanggung Regency, Central Java.Subjects and Method: It was a cross sectional study, conducted in 25 villages in Temanggung Regency, August ? October 2019. The sample was a total of 200 tobacco farmers. The sampling technique used was simple random sampling. Dependent variable of the study was behavior to use PPE among tobacco farmers. Independent variables of the study were sex types, education, attitude, subjective norm, intention, and perceived behavioral control. The data collection used was questionnaires and processed by using multilevel multiple logistic regression with Stata 13.Results: The use of PPE among tobacco farmers during harvesting tobacco leaves was increased by male (b= 2.52; 95% CI= 1.39 up to 3.66; p<0.001), education ? High School (b= 2.15; 95% CI= 1.10 up to 3.19; p<0.001), strong famers? intention (b= 1.82; 95% CI= 0.13 up to 2.22; p= 0.027), positive farmers? attitude (b= 1.63; 95% CI= 0.58 up to 2.68; p= 0.002), supporting subjective norm (b= 1.74; 95% CI= 0.67 up to 2.81; p= 0.001), and strong perceived behavioral control (b= 1.53; 95% CI= 0.52 up to 2.54; p= 0.003).Conclusion: Behavior to use PPE among tobacco farmers is affected by sex types, education, attitude, subjective norm, and perceived behavioral control.Keywords: behavior to use PPE, farmers, theory of planned behaviorCorrespondence: Yovita Eka Ratna Kumala. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia, 57126. Email: yovitakumala19@gmail.com. Mobile: 083867630850Journal of Health Promotion and Behavior (2020), 5(1): 50-58https://doi.org/10.26911/thejhpb.2020.05.01.07

CONTEXTUAL FACTORS OF POSYANDU ON CADRE PERFORMANCE IN PROVIDING MATERNAL AND CHILD HEALTH SERVICE IN SURAKARTA, CENTRAL JAVA Pangestuti, Restu; Dewi, Yulia Lanti Retno; Sulaeman, Endang Sutisna
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Cadre performance is an indicator of the success of the Posyandu program in maternal and child health services. Individual and social factors can influence the performance of cadres in providing health services. The purpose of this study was to determine factors affecting cadre performance in Surakarta, Central Java.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted on 25 integrated health services (posyandu) in Surakarta, Central Java, from June to July 2019. A sample of 200 cadres was selected by simple random sampling. The dependent variable was cadre performance. The independent variables were age, marital status, education, work, tenure, training, knowledge, and information. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: Good cadre performance increased with age ?39 years (b = 1.70; 95% CI= 0.67 to 2.74; p= 0.035), education ?senior high school (b= 2.69; 95% CI= 1.10 to 4.28; p= 0.030), working at home (b= 1.87; 95% CI= 0.81 to 2.93; p= 0.024), tenure >3 years (b= 2.39; 95% CI= 1.21 to 3.56; p= 0.009), had trained (b= 1.94; 95% CI= 0.86 to 3.01; p= 0.021), married (b= 1.68; 95% CI= 0.75 to 2.60; p= 0.021), good knowledge (b= 2.17; 95% CI= 0.95 to 3.40; p= 0.023), and good information (b= 1.50; 95% CI= 0.36 to 2.63; p= 0.091). Posyandu had strong contextual effect on cadre performance with intraclass correlation (ICC)= 53.22%.Conclusion: Good cadre performance increases with age ?39 years, education ?senior high school, working at home, tenure >3 years, had trained, married, good knowledge, and good information. Posyandu has strong contextual effect on cadre performance.Keywords: work performance, maternal and child health, health services, cadreCorrespondence: Restu Pangestuti. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: restupanges@gmail.com. Mobile: 085741405163 Journal of Maternal and Child Health (2020), 5(1): 28-36https://doi.org/10.26911/thejmch.2020.05.01.04

Contextual Effect of the Integrated Health Post and Other Determinants on Completeness of Basic Child Immunization: A Multilevel Analysis Evidence from Jember, East Java Erynda, Revina Fiandany; Sulaeman, Endang Sutisna; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Every year, more than 1.4 million children worldwide die from diseases that can be prevented by immunization. Immunization is still one of the most cost-effective preventive meaÂsuÂres to reduce mortality and morbidity among childÂren. This study aimed to analyze the influÂence of posyandu contextual and maternal chaÂracÂteristics on the provision of complete basic imÂmuÂniÂzaÂtion in children aged 12-23 months.Subjects and Method: This was an observaÂtional analytic study with a cross sectional design. The study was conductÂed at 25 integrated health posts (posyandu) in Jember, East Java, Indonesia from SepÂtemÂber to October 2019. A sample of 200 mothers who had children aged 12-23 months was selected by simple random sampling. The dependent variable was complete basic immunization. The independent variables were maternal education, maternal knowledge, parity, maternal emÂployÂment status, family income, maternal attitude, family support, and contextual effect of posÂyandu. The data were collected by questionnaire and analyzed by a multilevel logistic regression analysis run on Stata 13.Results: Provision of complete basic immunizaÂtion increased with maternal education â‰¥Senior high school (b= 2.99; 95% CI= 1.26 to 4.73; p= 0.001), good maternal knowledge (b= 1.93; 95% CI= 0.38 to 3.53; p= 0.018), family income â‰¥Rp 2,170,000 (b= 1.18; 95% CI= -0.15 to 2.50; p= 0.081), positive maternal attitude (b= 1.92; 95% CI= 0.45 to 3.39; p= 0.011), and strong family supÂport (b= 2.29; 95% CI= 0.62 to 3.96; p= 0.007). Complete basic immunization decreased with maÂternal parity â‰¥3 (b= -1.35; 95% CI= -2.68 to -0.01; p= 0.048) and mother working outside the hoÂme (b= -2.67; 95% CI= -4.49 to - 0.85; p= 0.004). Posyandu had contextual effect on the proÂviÂsiÂon of complete basic immunization in children aged 12-23 months with ICC= 23.65%.Conclusion: Provision of complete basic imÂmuÂnization increases with maternal education â‰¥SeÂnior high school, good maternal knowledge, faÂmiÂly income â‰¥Rp 2,170,000, positive maternal atÂtitude, and strong family support. Complete basic immunization decreases with maternal parity â‰¥3 and mother working outside the home. Posyandu has contextual effect on the proÂvision of comÂpleÂte basic immunization in children.Keywords: basic immunization, children aged 12-23 months, integrated health post, multilevel analysisCorrespondence:Â Revina Fiandany Erynda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: revinaerynda@gmail.com.Â Mobile: 085Â36Â18Â0003.Journal of Maternal and Child Health (2020), 5(2): 154-166https://doi.org/10.26911/thejmch.2020.05.02.05

PATH ANALYSIS ON THE EQUITY OF HEMODIALYSIS UTILIZATION IN THE NATIONAL HEALTH INSURANCE PROGRAM IN JEMBER, EAST JAVA Salamah, Siti Nafi'atus; Tamtomo, Didik Gunawan; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Since 2014, Indonesia has implemented a National Health Insurance to cover public health costs. The existence of health insurance managed by the government is expected to help all levels of society to obtain health services. This is very helpful for the community, especially for patients with chronic diseases who need continuous treatment. This study aims to analyze the fairness and determinants of the use of hemodialysis patients with chronic kidney failure in National Health Insurance participants in Jember Regency.Subject and Method: This was observational analytic study with cross sectional approach, conducted at Dr. Soebandi Hospital and Kaliwates General Hospital, Jember, East Java. A total Study subjects of 200 patients with chronic kidney failure undergoing hemodialysis with JKN membership were selected for this study by purposive sampling. The dependent variable was the use of hemodialysis. The independent variables were JKN membership status, length of time since diagnosis, disease severity, age, education, family income, access to health facilities and residence. Data collection used questionnaires and medical record documents and then analyzed using path analysis.Results: The possibility of using hemodialysis was increased by the Non PBI status (b= 0.81; 95% CI= 0.16 to 1.47; p= 0.015), high disease severity (b=2.48; 95% CI=0.36 to 4.59; p= 0.022), age ? 50 years old (b=0.65; 95% CI = 0.33 to 1.26; p= 0.039), family income ? MW (b= 0.59; 95% CI= -0.07 to 1.24; p= 0.080) and good access to health facility (b= 0.92; 95% CI= -0.19 to 1.66; p= 0.013). The possibility of using hemodialysis was indirectly affected by the length of time since diagnosis, education and residence.Conclusions: The possibility of using hemodialysis was increased by Non PBI status, disease severity, age, family income, and access to health facilities. The possibility of using hemodialysis was indirectly affected by the length of time since diagnosis, education, and residence.Keywords: National Health Insurance, justice, hemodialysis, path analysisCorrespondence: Siti Nafi?atus Salamah. Public Health Sciences Study Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sitinafiatus27@gmail.com. Mobile: 081289434401Journal of Health Policy and Management (2020), 5(2): 108-120https://doi.org/10.26911/thejhpm.2020.05.02.03

Contextual Effect of the Integrated Non-Communicable Disease Health Post on the Performance of Community Health Workers: A Multilevel Analysis Evidence from Karanganyar, Central Java Chasanah, Eka Siti; Sulaeman, Endang Sutisna; Rahardjo, Setyo Sri
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Epidemiological transition is causing a shift from Communicable to NonCommunicable Diseases (NCD). NCD is a serious threat because it impacts decreasing productivity and increasing economic and social burdens for the community. The control of NCD risk factors in Indonesia is carried out by empowering the community through the Integrated Non-Communicable Diseases Health Post (Posbindu NCD). One of the important factors determining the success of implementing Posbindu is the role of cadres. This study aims to analyze the factors that affect the performance of Posbindu cadres.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in 25 posbindus in Karanganyar, Central Java, from February to April 2020. A sample of 200 cadres from 25 cadres was selected by stratified random sampling. The dependent variable was the performance of the Posbindu cadres. The independent variables were training, ability, length of employment, motivation, the leadership of the Posbindu chairman, social network support and appreciation. Data were analyzed using multilevel logistic regression with Stata 13.Results: Job performance increased with training (b= 1.75; 95% CI= 0.28 to 3.22; p= 0.019), good ability (b= 2.50; 95% CI= 0.95 to 4.04; p= 0.002), tenure ≥1 year (b= 1.99; 95% CI= 0.05 to 3.92; p= 0.044), strong motivation (b= 2.57; 95% CI= 1.25 to 3.89; p <0.001), good leadership of Posbindu chairman (b= 1.73; 95% CI= 0.44 to 3.03; p= 0.009), and strong social network support (b= 1.24; 95% CI= 0.14 to 2.34; p= 0.028). Incentive increased job performance, but it was statistically non-significant (b= 1.19; 95% CI= -0.35 to 2.73; p= 0.132). Posbindu had a strong contextual effect on job performance with an ICC of 62.73%.Conclusion: Job performance increases with training, good abilities, tenure ≥1 year, strong motivation, good leadership of Posbindu chairman, strong social network support, and appropriate incentives. Posbindu has a strong contextual effect on job performance.Keywords: performance, cadre, non-communicable diseaseCorrespondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekasc12@gmail.com. Mobile: +6281329017587.Journal of Health Policy and Management (2020), 05(03): 204-214https://doi.org/10.26911/thejhpm.2020.05.03.06

The Effect of Family Development Session through Family Hope Program on Visit to Integrated Healthcare Center and Child Nutritional Status: A Multilevel Evidence Zakiyah, Nisaus; Sulaeman, Endang Sutisna; Pamungkasari, Eti Poncorini
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The Family Development Session through the Family Hope Program (FHP) uses the nutritional status of toddlers as an indicator of the quality of life that reflects the welfare of the community. This study aimed to analyze the effect of the Family Development Session (FDS) through the Family Hope Program on the child nutritional status.Subjects and Method: This was an analytic observational study with a retrospective cohort design. This study was conducted in Ponorogo, East Java, from December to February 2020. A sample of 200 children was selected by simple random sampling. The dependent variable was child nutritional status. The independent variables were FDS (FHP), maternal education, family income, social support, maternal knowledge, self-efficacy, complementary food, integrated community health center. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression.Results: Child nutritional status was positively associated with FDS (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.014), high maternal education (b= 1.18; 95% CI= 0.16 to 2.19; p= 0.023), family income (b= 1.11; 95% CI= 0.11 to 2.11; p= 0.030), social support (b= 1.57; 95% CI= 0.46 to 2.67; p= 0.006), maternal knowledge (b= 1.24; 95% CI= 0.26 to 2.23; p=0.013), self efficacy (b= 1.38; 95% CI= 0.32 to 2.44; p= 0.011), complementary feeding (b= 1.35; 95% CI= 0.33 to 2.37; p= 0.010), and regular visit to integrated community health center (b=1.42; 95% CI= 0.28 to 2.56; p=0.015). Integrated health center had strong contextual effects on the child nutritional status with intra-class correlation (ICC) = 33.97%.Conclusion: Child nutritional status is positively associated with FDS, high maternal education, family income, social support, maternal knowledge, self efficacy, complementary feeding, and regular visit to integrated community health center. Integrated health center has strong contextual effects on the child nutritional status.Keywords: child nutritional status, integrated healthcare centerCorrespondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:nizakiyaah@gmail.com. Mobile: +6285235948995.Journal of Health Policy and Management (2020), 05(03): 224-234https://doi.org/10.26911/thejhpm.2020.05.03.08

Multilevel Analysis on the Ecological Effect of School on the Risk of Anemia among Female High School Students in Klaten Central Java Dewayanti, Nurmala; Sulaeman, Endang Sutisna; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Anemia is a major nutritional problem worldwide. In 2018, at least 1.62 billion people were affected by anemia, and 33% were school children. Anemia in female ado

Implementation of Context Input Process Product Model on Healthy Indonesia Program Policy with a Family Approach Ninawati, Ninawati; Sulaeman, Endang Sutisna; Tamtomo, Didik
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The Healthy Indonesia Program with a Family Approach started in 2017, has now reached the first visit coverage rate of 26.80% as of October 3, 2018, with a Healthy Family Index (IKS) value of 0.165. This figure is still far below the expected target, namely in 2019 it is expected that the visit coverage rate has reached >90% so that in 2019 an intervention plan at the community health center (puskesmas) level can be carried out in accordance with the roadmap of the Ministry of Health. This study aimed to investigate the implementation of the context input process product (CIPP) model in the healthy Indonesia program policy with a family approach.Subjects and Method: This research is a qualitative descriptive study using a sample of policy makers and implementers of the Healthy Indonesia program with a Family Approach (PIS – PK), namely: Head of Public Health Center, Head of Health Service Division of Karanganyar District Health Office, Person in Charge of Healthy Indonesia Program, implementer of PIS – PK visits, and the surrounding community. The research was conducted in August 2021. Data were collected by means of document review, in-depth interviews, focus group discussions (FGD), and participatory observations. Data is presented in analytical descriptive form.Results: Data were collected from 16 research respondents. In the input aspect, the implementation of PIS PK is supported by sufficient human resources, although there are still gaps in the fulfillment of types of positions. Financial support, infrastructure, methods, implementation time and cross-sectoral support look very good and in accordance with the mandate of the Minister of Health 39 of 2019 concerning PIS PK. There are still problems in the application of healthy families, making the PIS PK output results not in accordance with manual calculations, so that family interventions both individually and in groups cannot be carried out optimally. Not all puskesmas have also implemented total coverage in the implementation of PIS PK, nor have all puskesmas used IKS value data as one of the inputs in planning puskesmas in the form of RUK and RPK.Conclusion: The Healthy Indonesia Program (PIS PK) in Karanganyar Regency can be implemented well in terms of context, input and process, but it is still not optimal in the aspect of output because of obstacles in the application of healthy families and the output of PIS PK has not been fully used as a basis for planning at the puskesmas level.Keywords: : context, input, process, product, Healthy Indonesia ProgramCorrespondence: Ninawati. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dimniasna@yahoo.com. Mobile: 08112632356.Journal of Health Policy and Management (2022), 07(01): 34-45https://doi.org/10.26911/thejhpm.2022.07.01.04.

Co-Authors . Ardiningsih . Hudiyono Agatha Widiyawati, Agatha Agustin, Roviana Nurda Andarwati, Dwi Astuti Dian Angga Ferdianto Anom Dwi Prakoso Aprilia, Nafi?ah Aprilyaningsih, Wahyu Ardian, Kukuh Argyo Demartoto, Argyo Arief Suryono Ariwati, Valentina Dili Ariwati, Valentina Dili Bhisma Murti Chasanah, Eka Siti Dewayanti, Nurmala Dezca Nindita Diah Kurnia Mirawati Didik Gunawan Tamtomo Didik Tamtomo, Didik Diffah Hanim Doloh, Nureesa Dono Indarto Drajat Tri Kartono Dwi Handayani Dwi Hidayah Ernawati Ernawati Erynda, Revina Fiandany Eti Poncorini Pamungkasari Fillisita Chandramalina Dewayani Fuad, Lu’luatul Harinto Nur Seha Hariza Adnani Harsono Salimo Hastuti, Heni Heni Rusmitasari Hery Widijanto Hidayah, Siti Shafridha I. G. B Indro N Imtichan, Septian Najib Indita, Wiwen Indriastuti, Latty Inggar Ratna Kusuma Ismiana, Baiq Holisatul Jayanti, Nicky Danur Jayanti, Nur JB Prasodjo Karina Cibro, Adeyle Datna Kumala, Yovita Eka Ratna Lestary, Dewy Indah Lucia Pancani Anggraeni Marwandi, David Mohammad Idzham Reeza Monica, Windhy Novika, Revi Gamma Hatta Nunuk Suryani Nurul Wahidah Oepomo, Tedjo Danudjo Pamungkasari, Ety Poncorini Pangestuti, Restu Pawito Pawito Pradana, Riska Chandra Prasetya, Hanung Pratama, Tegar Wahyu Yudha Prihantina Utami, Okbrinta Wulandari Purwati - Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rahmasari, Putri Ravik Karsidi Reviono Reviono Rifai Hartanto Robbihi, Hilmiy Ila Rosadi, Wahyuni Rosalina, Sintya RUBEN DHARMAWAN Salamah, Siti Nafi'atus Sari, Ambar Sri Hartini Sringatin, Sringatin Subiyanto, AA. Sulistyo, Siwi Anggraini Sumardiyono Sumardiyono Sunarta, Elfania Arumma Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Vidi Aditya Pamori Wibowo Putra Vitri Widyaningsih Waryana Waryana Yeni Tri Utami yulia lanti retno dewi Yuliani, Istri Yuni Fitriani, Yuni Zakiyah, Nisaus Zulaikah, Rahayu

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