Claim Missing Document
Check
Articles

LITERATURE REVIEW : IMPLEMENTASI PROGRAM IMUNISASI DASAR LENGKAP DI INDONESIA TAHUN 2020-2025 Putri, Rizqi Salsabila; Wulandari, Ratna Dwi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48996

Abstract

Imunisasi Dasar Lengkap (IDL) merupakan program prioritas bagi anak usia 0–12 bulan untuk memberikan perlindungan terhadap tujuh penyakit utama: tuberkulosis (BCG), hepatitis B, polio, difteri, pertusis, tetanus, pneumonia, serta campak atau rubella. Data WHO 2023–2024 menunjukkan cakupan IDL Indonesia baru mencapai 85% sehingga belum mencapai target WHO yaitu 95%. Tujuan penelitian untuk menganalisis faktor pemerintah, organisasi, dan Sumber Daya Manusia (SDM) dalam implementasi program Imunisasi Dasar Lengkap (IDL) di Indonesia. Penelitian ini merupakan Literature Review yang menggunakan pengumpulan data berupa artikel ilmiah melalui Pubmed, ScienceDirect, Portal Garuda dan Google Scholar. Hasil pengumpulan data ditemukan 19 artikel ilmiah yang memenuhi kriteria inklusi. Hasil analisis menunjukkan bahwa faktor pemerintah berperan melalui regulasi yang jelas, koordinasi yang efektif, monitoring rutin, dan dukungan dana operasional, meskipun masih terdapat kendala seperti perencanaan yang kurang sistematis dan evaluasi yang tidak konsisten. Faktor organisasi ditandai dengan perencanaan berbasis data, fasilitas yang memadai, serta sosialisasi melalui kader, namun terhambat oleh kurangnya kolaborasi lintas sektor, keterbatasan sarana di daerah terpencil, dan pendekatan edukasi yang konvensional. Faktor sumber daya manusia menunjukkan ketersediaan tenaga kesehatan yang memadai dan pelatihan teknis yang relevan, tetapi jumlah petugas yang terbatas, sikap yang kurang komunikatif, serta ketidakseimbangan pelatihan masih menjadi tantangan utama. Keberhasilan imunisasi dasar di Indonesia sangat bergantung pada integrasi regulasi pemerintah, dukungan organisasi yang solid, dan kualitas sumber daya manusia yang profesional. Sinergi ketiga faktor ini diperlukan untuk mencapai cakupan imunisasi dasar yang optimal dan berkelanjutan.
Socioeconomic Roles in Cesarean Section Delivery in the Philippines: A Secondary Analysis of the 2022 National Demographic and Health Survey Yunitawati, Diah; Laksono, Agung Dwi; Wulandari, Ratna Dwi; Latifah, Leny; Effendi, Diyan Ermawan; Hidayat, Taufiq; Nugraheni, Wahyu Pudji; Batangan, Dennis B.
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.70559

Abstract

Background: Cesarean section (CS) delivery should only be performed with medical indications. It is important to analyze the socioeconomic role in CS and determine how to address socioeconomic-related factors in optimizing CS coverage in the Philippines using the latest national data.Purpose: This study analyzed the socioeconomic roles in CS delivery in the Philippines.Methods: This study used secondary data from the 2022 Philippines National Demographic and Health Survey (NDHS). The cross-sectional study included 4,452 women aged 15–49 who had given birth within the previous three years. Seven control factors were examined: employment, antenatal care (ANC), age, education, marital status, residence, and parity. The mode of delivery was considered the outcome variable, while socioeconomic status was the exposure variable. Binary logistic regression was used for the final data analysis.Results: Cesarean section was performed in 18.45% of deliveries in the Philippines. Analysis of socioeconomic status showed that women in the “poorer” group were 1.758 times more likely than the poorest to undergo CS (AOR 1.758; 95% CI 1.757–1.758). Women in the middle-income group were 2.164 times more likely than the poorest to have a CS (AOR 2.164; 95% CI 2.163–2.165). Those in the richer group were 2.718 times more likely (AOR 2.718; 95% CI 2.717–2.719), and the richest were 4.787 times more likely to deliver by CS compared to the poorest (AOR 4.787; 95% CI 4.785–4.789).Conclusion: Socioeconomic disparities are strongly associated with CS delivery in the Philippines. The wealthier the mother, the more likely she is to have a CS. Efforts should focus on reducing unnecessary CS in the rich and richest groups. Optimizing ANC education should include addressing psychological needs, promoting positive values, and providing a sense of security and comfort in normal childbirth. At the same time, equitable access to CS should be ensured for the poorest groups through education and insurance coverage.
Integrated Antenatal Care At Public Health Care Mitha Permata Dini; Sesotiyaningsih Madiyaning Utami; Ratna Dwi Wulandari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (696.677 KB) | DOI: 10.30604/jika.v8i2.1747

Abstract

Integrated antenatal services are comprehensive and quality antenatal services provided to all pregnant women; in which they are integrated with other programs that require intervention during pregnancy. This study aimed to analyze the integrated antenatal care team of Public Health Care (Puskesmas) in the Sidoarjo Regency using the Input-Process-Output approach. This study was observational and descriptive with a cross-sectional research design. Data collection was done using a questionnaire and checklist. This study used a total population of 26 Public Health Care Integrated Antenatal Care Teams. The data collected were analyzed using descriptive analysis. The results show that there is a tendency in the team input which do not affect the process, and there are tendencies in the process which affect the output. Suggestions that can be done to improve cohesion are by placing the service rooms closely, conducting training on leadership/interprofessional practice/conflict management, giving rewards to team members who perform well, and reviewing the existing policies. Abstrak: Pelayanan antenatal terpadu adalah pelayanan antenatal komprehensif dan berkualitas yang diberikan kepada semua ibu hamil, terpadu dengan program lain yang memerlukan intervensi selama kehamilan. Tujuan penelitian ini adalah menganalisis tim pelayanan antenatal terpadu Puskesmas di Kabupaten Sidoarjo dengan pendekatan Input-Process-Output. Jenis penelitian ini merupakan penelitian deskriptif observasional dengan design penelitian cross sectional. Pengumpulan data menggunakan kuesioner dan checklist. Penelitian ini menggunakan total populasi sejumlah 26 tim pelayanan antenatal terpadu Puskesmas. Data penelitian dengan menggunakan analisis deskriptif. Hasil penelitian menunjukkan pada input, tim terdapat kecenderungan tidak mempengaruhi proses dan pada proses terdapat kecenderungan mempengaruhi output. Untuk meningkatkan cohesion dengan mendekatkan ruang pelayanan, pelatihan, leadership/interprofesional practice/manajemen conflict, reward bagi anggota tim yang berkinerja baik serta policy review kebijakan yang ada.
Socioeconomic Disparities in Completed Antenatal Care: Evidence from Nigeria Rohmah, Nikmatur; Laksono, Agung Dwi; Abbani, Abubakar Yakubu; Matahari, Ratu; Astuti, Yuli; Wulandari, Ratna Dwi
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1759

Abstract

The Maternal Mortality Rate is still high in Nigeria. Complete antenatal care (ANC) of eight visits during pregnancy is an important strategy to control this condition. This research analyzed the socioeconomic disparities in completed ANC in Nigeria. The study examined secondary data from the 2018 Nigerian Demographic and Health Survey. The study included 21,792 women aged 15 to 49 who had given birth in the previous five years. We looked at eight control factors in addition to completed ANC as an outcome variable and socioeconomic as an exposure variable: domicile, age, religion, marital status, education, occupation, and parity. Data were analyzed using binary logistic regression. The result showed the completed ANC proportion in Nigeria is 21.6%. Meanwhile, the poorer were 1.316 times more likely than the poorest to perform completed ANC (AOR 1.316; 95% CI 1.316-1.317). The middle was 1.994 times more likely to achieve completed ANC than the poorest (AOR 1.994; 95% CI 1.993-1.994). Meanwhile, the richer were 2.808 times more likely than the poorest to achieve completed ANC (AOR 2.808; 95% CI 2.807-2.808). Moreover, the richest were 4.112 times more likely to perform completed ANC than the poorest in Nigeria (AOR 4.112; 95% CI 4.112-4.113). The study revealed significant socioeconomic disparities in the completion of ANC in Nigeria, with wealthier women being more likely to achieve completed ANC compared to their less-wealthy counterparts.
Rekomendasi Perbaikan Berkarir di Daerah Tertinggal Perbatasan dan Kepulauan (DTPK) Pada Program Penempatan Sarjana Kesehatan Masyarakat Berdasarkan Social Cognitive Career Theory (SCCT) Wahyuningsih, Tri; Wulandari, Ratna Dwi
Malahayati Nursing Journal Vol 6, No 3 (2024): Volume 6 Nomor 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i3.11995

Abstract

ABSTRACT The maldistribution of health workers leads to the need for more numbers and types of health personnel in various regions of Indonesia. It is seen from the number of health centers that still need public health personnel, especially primary care clinics located in Underdeveloped Border Areas and Islands (DTPK). Develop recommendations for public health graduate placement programs for careers in DTPK from the perspective of SCCT (Social Cognitive Career Theory). Observational with a cross-sectional study design. Data was obtained from a Google form questionnaire and distributed via WhatsApp to public health students at Airlangga University, Lambung Mangkurat University, Banjarmasin, and Hasanuddin University, Makassar. The results indicate that most of the input persons are the Islamic religion (90.3%); female sex (74.9%); Javanese (78.3%); environmental background, namely father's education (42.6%); mother's education (54.3%); father's occupation (42.6%); mother's occupation (43.1%); parents income >3,000,000 (70%); high learning experiences (85.4%); high self-efficacy (54.9%); high outcome expectation (51.7%); not interested (64.6%). The environmental background of the father's job strongly influences self-efficacy. There is no significant effect between learning experiences, self-efficacy, and outcome expectations on public health students' interest in pursuing a career in DTPK. The placement program is Nusantara Sehat and Pencerah Nusantara. The recommendations are providing education to public health students during lectures and rewards through significant wages and appointments as civil servants. It can increase the confidence and experience of public health students and tips so that in carrying out their duties while in the area, they can maximize themselves. Keywords: Bachelor Public Health, DTPK, SCCT  ABSTRAK Maldistribusi tenaga tenaga kesehatan menyebabkan permasalahan pada pemerataan jumlah dan jenis tenaga kesehatan di berbagai wilayah Indonesia yang tidak seimbang. Hal ini dilihat dari jumlah Puskesmas yang masih belum memiliki tenaga kesehatan masyarakat khususnya puskesmas yang berada di Daerah Tertinggal Perbatasan dan Kepulauan (DTPK). Menyusun rekomendasi program penempatan sarjana kesehatan masyarakat untuk berkarir di DTPK dalam perspektif SCCT (Social Cognitive Career Theory). Penelitian observasional dengan desain studi penelitian cross sectional. Data diperoleh dari kuesioner berupa google form dan disebar melalui whatsapp kepada mahasiswa kesehatan masyarakat yang berada di Universitas Airlangga, Universitas Lambung Mangkurat Banjarmasin, dan Universitas Hasanuddin Makassar. Hasil penelitian ini menunjukkan bahwa sebagian besar person input yaitu agama islam (90,3%); jenis kelamin perempuan (74,9%); suku Jawa (78,3%); background environmental yaitu pendidikan ayah (42,6%); pendidikan ibu (54,3%); pekerjaan ayah (42,6%); pekerjaan ibu (43,1%); pendapatan orang tua >3.000.000 (70%); learning experiences tinggi (85,4%); self efficacy tinggi (54,9%); outcome expectation tinggi (51,7%); tidak interest (64,6%). Berdasarkan hasil penelitian, background environmental pada pekerjaan ayah memiliki kekuatan pengaruh terhadap self efficacy. Tidak ada pengaruh signifikan antara learning experiences, self efficacy, dan outcome expectation terhadap interest mahasiswa kesehatan masyarakat berkarir di DTPK. Program penempatan tenaga kesehatan yaitu Nusantara Sehat dan Pencerah Nusantara. Rekomendasi yang diberikan adalah pemberian edukasi kepada mahasiswa kesehatan masyarakat semasa perkuliahan dan reward berupa upah yang besar dan diangkatnya menjadi PNS. Hal ini dapat memberikan pengalaman serta meningkatkan keyakinan mahasiswa kesehatan masyarakat dan reward agar dalam menjalankan tugas selama berada didaerah tersebut, mereka dapat memaksimalkan diri. Kata Kunci: Sarjana Kesehatan Masyarakat, DTPK, SCCT
THE CORRELATION OF QUALITY OF ANTENATAL CARE, MATERNAL COVID, AND MATERNAL MORTALITY DURING THE PANDEMIC PERIOD IN EAST JAVA, INDONESIA Satyawan, Dandy Candra; Setyaningsih, Wahyu; Supangat, Ririn Widyowati; Ernawaty; Wulandari, Ratna Dwi
The Indonesian Journal of Public Health Vol. 18 No. 3 (2023): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v18i3.2023.432-444

Abstract

Introduction: Indonesia's maternal mortality rate is still above the target of the Sustainable Development Goals (SDGs). Meanwhile, the trend of maternal mortality in Indonesia during the COVID- 19 pandemic in 2021 increased sharply from 4,627 to 6,865 cases in 2021. Aims: This study was conducted to analyze the relationship between the quality of maternal health services on the incidence of maternal COVID and maternal mortality during the COVID pandemic in East Java, Indonesia. Methods: The research was conducted in East Java Province in 2021. The sample was randomly selected as many as 35 samples from a total of 38 samples of Regencies / Cities. The data used secondary data sourced from data from the East Java Health Office. Data analysis used Person Correlation analysis with Chi-Square analysis method. Results: The first hypothesis did not find a relationship between quality of Antenatal Care services and Maternal COVID cases (p- value: 0.195, r: -0.087). The second hypothesis has a significant relationship between the Maternal COVID and the Maternal Mortality (p- value: 0.040, r: 0.548). Also, the third hypothesis showed a substantial correlation between Maternal Mortality and quality of Antenatal Care (p- value: 0.001, r: -0.555). Conclusion: There is a strong relationship between the high Maternal COVID cases and the quality of access to antenatal care services to the high Maternal COVID cases during the pandemic. There needs to be a strategy to improve the quality and access of antenatal care services in reducing the high maternal mortality rate.
Mal Orang Sehat Sebagai Penerapan Paradigma Sehat Dan Respon Masyarakat Berdasarkan Precaution Adoption Process Model Di Puskesmas Sobo, Kabupaten Banyuwangi Muhammad, Khansa Fatihah; Wulandari, Ratna Dwi
Preventif : Jurnal Kesehatan Masyarakat Vol. 12 No. 2 (2021): Volume 12 No.2 (2021)
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v12i2.199

Abstract

Kabupaten Banyuwangi pada awal tahun 2019 meresmikan program pelayanan ‘Mal Orang Sehat (MOS)’ dan diimplementasikan pada seluruh 45 Puskesmas di Banyuwangi. MOS bertujuan untuk mewujudkan paradigma sehat yang juga merupakan salah satu prinsip penyelenggaraan Puskesmas. Kunjungan masyarakat untuk mendapatkan pelayanan MOS disebut juga dengan, “Kunjungan sehat”. Target capaian MOS adalah persentase kunjungan sehat yang lebih tinggi dari kunjungan sakit. Berdasarkan data dari Dinas Kabupaten Kesehatan Banyuwangi, diketahui bahwa pada bulan Januari sampai Desember 2019, persentase kunjungan sehat terendah di Kabupaten Banyuwangi berada di Puskesmas Sobo dengan persentase sebesar 7,47%. Penelitian yang menggunakan metode deskriptif kuantitatif ini ini dilakukan untuk mengetahui respon masyarakat terhadap pelayanan MOS di Puskesmas berdasarkan Precaution Adoption Process Model (PAPM). Teknik sampling yang digunakan adalah proportional sampling dengan sejumlah 100 orang sampel yang merupakan masyarakat di wilayah kerja Puskesmas Sobo. Hasil penelitian menunjukkan bahwa mayoritas responden masyarakat (51%) berada pada stage 1 berdasarkan PAPM, yang berarti mayoritas masyarakat wilayah kerja Puskesmas Sobo sama sekali belum mengetahui adanya pelayanan MOS di Puskesmas. Oleh karena itu, rekomendasi yang dapat diberikan adalah dengan meningkatkan dan memperkuat promosi kesehatan MOS, agar lebih banyak masyarakat yang mengetahui pelayanan MOS dan demi terwujudnya target capaian MOS di Puskesmas.
Pengaruh Faktor Individu dan Interpersonal terhadap Pemanfaatan Pelayanan Pengobatan Hipertensi di Puskesmas Dupak Surabaya Yogi Adiputro; Farah Yasmine Ainun Nisa; Ratna Dwi Wulandari
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.40345

Abstract

Penelitian ini menganalisis pengaruh faktor individu (pengetahuan tentang hipertensi, usia, jenis kelamin, pendidikan, status pekerjaan, kepercayaan terhadap pengobatan tradisional) dan faktor interpersonal (dukungan keluarga dan sosial) terhadap pemanfaatan pelayanan pengobatan hipertensi. Studi observasional analitik dengan desain cross-sectional dilakukan di Puskesmas Dupak, Surabaya, pada Februari–Mei 2023, melibatkan 146 responden yang dipilih melalui simple random sampling. Data dikumpulkan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya, lalu dianalisis dengan regresi logistik ganda metode backward wald. Hasil bivariabel menunjukkan bahwa pengetahuan tinggi, usia di atas 60 tahun, status bekerja, dan dukungan keluarga serta sosial yang baik meningkatkan kecenderungan memanfaatkan pelayanan pengobatan hipertensi. Analisis multivariabel menunjukkan kepercayaan terhadap pengobatan tradisional secara signifikan memengaruhi pemanfaatan pelayanan kesehatan (OR 1,73; 95% CI [1,148–2,606]; p=0,009), sementara variabel lain tidak signifikan. Kesimpulannya, kepercayaan terhadap pengobatan tradisional berpengaruh signifikan, sedangkan faktor lain tidak.
Co-Authors Abbani, Abubakar Yakubu Abu Khoiri Aghnes Khen Phuspo Anindyo Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Agung Dwi Laksono Ainur Rofiq Alida Nella Fedelina Rassa Anak Agung Gede Sugianthara Anasiya Nurwitasari Andreas Nugroho Susanto Angin, Septa Ria Agina Perangin Arief Hargono Arizka, Ulfa Dwi Armunanto Armunanto Asrining Pangastuti Batangan, Dennis B. Bintang Gumilang Bunga Maharani Choirun Nisa' Dani Nasirul Haqi Diah Yunitawati Dian Febrina Anggraini Dimara, Fransiska Natalia Diyan Ermawan Effendi, Diyan Ermawan Djazuli Chalidyanto Djazuli Chalidyanto Dwi Rani Indra Swari Ernawaty Farah Yasmine Ainun Nisa Farah Yasmine Ainun Nisa Fariani Syahrul Fathiyah Rahmah Feni Choirun Nisa Hadi Ashar Hana Krismawati Hanifiya Samha Wardhani Hario Megatsari Hesty Mustika Dewi Ilham Akhsanu Ridho Ilham Akhsanu Ridlo Ina Kusrini Intan Ayu Ningkiswari Intan Permata Sari intan permata sari Kristiawan, Ayik Sudiat Kusumawardani, Hastin Dyah Lama’ah Azzahra Leny Latifah Leny Latifah M. Bagus Qomaruddin Maghfiroh, Sufi Aulia Maria Holly Herawati maya weka santi, maya weka Mitha Permata Dini Moh Yusuf Mona Safitri Fatiah Muhammad, Khansa Fatihah Muis, Early Wulandari Nadhif Alfia Charista Kusniar Nadia Rifqi Cahyani Natasya Salsabilla Nathasya, Jessie Angeline Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Nikmatur Rohmah Noer Endah Pracoyo Novita Aulia Effendy Nur Anisah Rahmawati Nuraini Wulandiana Nurhasmadiar Nandini Nurhidayati, Restu Nurul Hidayatul Mukaromah Nurul Hidayatul Mukaromah, Nurul Hidayatul Nyoman Anita Damayanti Oskar Renagalih Amarta Paramitha Kusuma Wardhani Popy Puspitasari Popy Puspitasari Popy Puspitasari Putri, Rizqi Salsabila Rachma Noor Kafila Raisa Manika Purwaningtias Ratu Alit Szasha Faulata Ratu Matahari Ratu Matahari Ratu Matahari Ratu Matahari Restu Widyayu Reza Fajrinmuha Rika Aprilia Rohmah, Nikmatur S. Supriyanto Sahrir Sillehu Sarni Rante Allo Bela Satyawan, Dandy Candra Sesotiyaningsih Madiyaning Utami Stefanus Supriyanto Stefanus Supriyanto Stevie Yonara Stevie Yonara, Stevie Sukesti, Tatiek Margi Supangat, Ririn Widyowati Tamara, Tashya Angelie Tatin Wahyanto Taufiq Hidayat Tri Wahyuningsih Tumaji Tumaji Tusy Novita Dwi Wardani Wahdah Dhiyaul Akrimah Wahyu Pudji Nugraheni Wahyu Setyaningsih Wahyu Setyaningsih Wahyul Anis Wasis Budiarto Widodo J. Pudjirahardjo Wijaya, Andriana Putri Yane Tambing Yashwant Vishnupant Pathak Yeni Rahmah Husniyawati Yogi Adiputro Yuli Astuti Zainul Khaqiqi Nantabah Zuardin, Zuardin