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ANALYSIS OF RISK FACTORS INFLUENCING THE INCIDENCE OF PNEUMONIA IN TODDLERS IN THE WORK AREA OF BATURRADEN II PUBLIC HEALTH CENTER Shohihah, Ayidah Indana; Suratman, Suratman; Widiyanto, Agnes Fitria; Sulistyorini, Dewi
Kesmas Indonesia Vol 17 No 2 (2025): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2025.17.2.16787

Abstract

Background: Pneumonia is the causes of death in children. Baturaden District is an area with a high incidence of pneumonia, with a prevalence rate of 4%. Pneumonia in under-five children can be caused by a variety of factors. The aim of this study was to identify factors influencing the incidence of pneumonia in under- five children in the work area of the Puskesmas Baturaden II. Methods: This study is a quantitative analysis observational study with a case- control design using a total of 108 samples consisting of 54 case samples and 54 control samples. Questionnaires, documents and stationery served as research tools. Data analysis was univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regression test. Results: Analysis showed that exclusive breastfeeding (p value = 0.003), the presence of smokers in the home (p value = 0.008), and the use of mosquito coils (p value = 0.045) influenced incidence pneumonia in under-five children. Nutritional status, DPT and measles vaccination status, vitamin A administration, floor type, wall type, ceiling condition, and the use of mosquito coils had no effect on the incidence of pneumonia (p value > 0.05). Conclusion: Exclusive breastfeeding is the most influential risk factor for the development of pneumonia in under-five children in the working area of Puskesmas Baturaden II. Therefore, a mother needs to increase understanding and awareness to provide exclusive breastfeeding to under-five children so that under-five children’s immunity is in good condition.
Analysis of Digital Maturity Aspects in Hospitals: A Systematic Literature Review Nurhayati, Siti; Suratman; Ngadiman
International Journal of Science and Society Vol 7 No 3 (2025): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v7i3.1496

Abstract

Hospitals must continuously evolve in response to dynamic environments and rapidly changing demands. Digital transformation plays a pivotal role in reducing costs, increasing speed and transparency, and enhancing productivity and efficiency; however, it simultaneously introduces substantial organizational risks. Frameworks and tools are therefore essential to support organizations in navigating such profound transitions. Digital maturity assessment constitutes a critical preliminary stage for any digital transformation initiative, enabling both public and private healthcare institutions to determine their level of digital maturity and establish a foundation for subsequent transformation efforts. This study aims to identify and describe the dimensions applied in digital maturity assessments within hospitals. The research employed a systematic literature review of peer-reviewed publications from 2020 to 2024, examining maturity models designed to evaluate hospital digital maturity. A total of 29 relevant articles were reviewed, synthesizing 27 distinct maturity models. The articles were subjected to inductive analysis, through which the dimensions of maturity models were extracted and synthesized into a comprehensive digital maturity framework. The findings revealed a digital maturity framework consisting of seven dimensions: strategy, information technology capabilities, interoperability, governance and management, patient-centered care, human resource skills and behaviors, and data analytics. Each of these seven dimensions can be assessed through 24 specific indicators. The study concludes that the proposed digital maturity framework can serve as an evaluative tool for assessing hospital digital maturity and identifying critical areas for improvement.
Studi Kasus Implementasi Kebijakan Penggunaan Dana Bantuan Operasional Kesehatan di Fasilitas Kesehatan di Kabupaten Cilacap Prastyo, Hutomo Eko; Rejeki, Dwi Sarwani Sri; Suratman, Suratman
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 9 (2025): : JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i9.4776

Abstract

Kebijakan pemberian bantuan dana bantuan operasional kesehatan ( BOK) dari pemerintah tujuannya untuk meningkatkan akses dan mutu pelayanan kesehatan masyarakat dalam menyelenggarakan upaya pelayanan kesehatan promotif dan preventif. Hanya saja dengan anggaran BOK yang sudah diberikan oleh Pemerintah untuk Puskesmas, realisasinya belum bisa terserap dengan optimal. Penelitian ini menggunakan jenis penelitian kualitatif dengan pendekatan studi kasus. Penelitian ini bertujuan untuk menggali lebih dalam terkait informasi implementasi kebijakan penggunaan dana BOK di Puskesmas Kabupaten Cilacap. Informan dalam penelitian ini didapatkan dengan menggunakan purposive sampling. Informan penelitian ini terdapat informan kunci dan pendukung. Sebagai informan kunci yaitu Kepala Puskesmas, Ka Sub Bag TU, Bendahara BOK, petugas pengelola perencanaan BOK di Dinas Kesehatan Kabupaten Cilacap. Implementasi kebijakan penggunaan dana BOK di Kabupaten Cilacap dari segi komunikasi dilakukan melalui koordinasi dengan pengelola BOK melalui Wa Grup, pertemuan offline dan onlain, dan supervisi langsung oleh Dinas Kesehatan. Hanya saja masih ditemukan adanya misskomunikasi terkait pemahaman penggunaan dana BOK. Terkait sumber daya di Kabupaten Cilacap, masih terjadi penumpukan tugas dikarenakan belum ada kebijakan khusus untuk tenaga pengelola BOK yang latar pendidikannya seperti ekonomi maupun akuntan. Disposisi terkait kebijakan BOK dirasa tepat hanya saja kurang fleksibel terkait petunjuk teknis penggunaan dana BOK itu sendiri. Dari struktur birokrasi di Kabupaten Cilacap tidak ada pembentukan birokrasi ataupun organisasi khusus terkait BOK. Namun, masih terdapat tata urutan dalam melaporkan hasil kegiatan terkait penggunaan dana BOK di Kabupaten Cilacap. Penggunaan dana bantuan operasional dalam pelaksanaannya tidak bisa fleksibel karena sudah ada petunjuk teknis yang ditetapkan.
Analisis interaksi antara paparan asap rokok dan gizi dalam kejadian stunting di Indonesia: A literature review Triswati, Triswati; Aji, Budi; Suratman, Suratman
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1038

Abstract

Background: Stunting is a global health problem rooted in various factors, including poor nutrition and unhealthy household environments, one of which is exposure to cigarette smoke. This condition affects child growth, reduces immunity, and impacts future productivity. Purpose: To analyze the interaction between cigarette smoke exposure and nutrition on the incidence of stunting. Method: Literature review research followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were retrieved from Scopus, PubMed, Google Scholar, ResearchGate, and the Directory of Open Access Journals (DOAJ). After screening and evaluation, eight articles met the inclusion criteria. Results: Results: Exposure to household cigarette smoke and poor nutrition synergistically increase the risk of stunting in children. Cigarette smoke impairs nutrient absorption and the immune system, while poor nutrition exacerbates these effects. Conclusion: Stunting prevention requires a combination of adequate nutritional interventions and smoking control in the family environment.   Keywords: Children; Cigarette Smoke; Nutrition; Family; Stunting.   Pendahuluan: Stunting merupakan masalah kesehatan global yang berakar pada berbagai faktor, termasuk gizi buruk dan lingkungan rumah tangga yang tidak sehat, salah satunya paparan asap rokok. Kondisi ini berdampak pada pertumbuhan anak, menurunkan daya tahan tubuh, serta memengaruhi produktivitas di masa depan.Tujuan: Untuk menganalisis interaksi antara paparan asap rokok dan gizi dalam kejadian stunting di Indonesia.Metode: Penelitian literature review ini mengikuti pedoman PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Artikel diperoleh dari Google Scholar, Science Direct, PubMed, dan Directory of Open Access Journals (DOAJ). Setelah melalui proses penyaringan dan evaluasi, delapan artikel memenuhi kriteria inklusi.Hasil: Paparan asap rokok dalam rumah tangga dan gizi buruk secara sinergis meningkatkan risiko stunting pada anak. Asap rokok mengganggu penyerapan nutrisi dan sistem imun, sedangkan gizi buruk memperparah dampaknya.Simpulan: Pencegahan stunting perlu dilakukan melalui kombinasi intervensi gizi yang memadai dan pengendalian perilaku merokok di lingkungan keluarga. Kata Kunci: Anak; Asap Rokok; Gizi; Keluarga; Stunting.