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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.
Gender Empowerment Model in Environmental Management to Control Climate Change Widiyanto, Agnes; Suratman; Oktavana, Gita; Amelia, Selri
Public Health of Indonesia Vol. 11 No. 3 (2025): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i3.1083

Abstract

Background: Climate change is an inevitable consequence of inadequate environmental protection. Strengthening gender roles and functions offers a strategic approach to mitigating its impacts. Objective: This study aims to explore environmental management practices at the micro level through a gender-based perspective. Enhancing the role of gender in addressing climate change can be achieved by improving knowledge and awareness of environmental issues and their associated impacts. The consequences of climate change on public health are frequently observed, particularly through drought, reduced food availability, and limited access to clean water. Methods: This study employs a qualitative research design to gain a holistic understanding of the phenomena experienced by the research subjects. The participants in this study, referred to as informants, were selected to represent diverse perspectives within the community. Results: The primary informants in this study consisted of women and community leaders, while supporting informants included members of the Banyumas Regency community. The community's actions extend beyond environmental protection, encompassing both individual and collective efforts in environmental management. Strengthening gender roles within families demonstrates the shared responsibilities of parents, children, and other community members in fostering environmental stewardship. Effective climate change mitigation is supported by the availability of adequate facilities and infrastructure, as well as systematic models and processes for environmental management and control. Addressing public and environmental health issues remains a critical priority to prevent the widespread impacts of climate-related challenges. Conclusion: Family engagement plays a pivotal role in enhancing knowledge, attitudes, and practices that contribute to climate change mitigation, emphasizing the importance of collaborative efforts at the household and community levels. Keywords: climate; environment; health; community; management
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.
Regulation of Blood-Boosting Supplements for Anemia in Pregnant Women: Literature Review Eni Widhiyaastuti; Arih Diyaning Intiasari; Suratman
Poltanesa Vol 26 No 2 (2025): December 2025
Publisher : P3KM Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v26i2.3460

Abstract

Introduction: The number of pregnant women who suffer from anemia is 57.1% in Africa, 48.2% in Asia, 25.% in Europe, and 24.1 % in the US respectively. The 2021 Riskesdas shows that 78% of pregnant women experience anemia, up from 48.9% in 2019. Method: This research is a literature study using the PRISMA diagram approach, with article searches using the research databases Pubmed, Science Direct, Google Scholar, Sage Journal and Scopus from 2018-2024. The author formulated PICO to direct clinical searches, with the keywords "anemia", fe tablets" "pregnant women. The results of the search yielded 10 relevant articles related to the incidence of anemia in adolescents. Based on the results of a review of the article, it shows that anemia in pregnant women is caused by several factors, including socio-demographics, malnutrition and lack of intake of blood-boosting supplements. Conclusion: Providing blood-boosting supplements can prevent anemia in pregnant women which has an impact on the continuity of pregnancy and affects the fetus.
Determinants of barriers to the implementation of the chronic disease management program (PROLANIS) among patients with diabetes mellitus in Indonesia: A systematic literature review Indah Koryah Indah; Elviera Gamelia; Suratman Suratman
Science Midwifery Vol 14 No 2 (2026): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i2.2367

Abstract

The Chronic Disease Management Program (PROLANIS) is a proactive healthcare service system developed by BPJS Kesehatan to manage chronic diseases, including diabetes mellitus (DM). Although the program has been implemented since 2014, its achievement remains far below optimal, with various barriers reported across different regions of Indonesia. This Systematic Literature Review aims to identify and synthesize the determinants of barriers to PROLANIS implementation among patients with diabetes mellitus in Indonesia. A literature search was conducted across PubMed, Scopus, and Google Scholar databases, covering the period 2021–2026. A total of 78 articles were identified, and following the PRISMA 2020 screening process, 22 studies met the inclusion criteria. Quality assessment was performed using the JBI Critical Appraisal Checklist. The results is barriers were identified across four principal dimensions: (a) the patient dimension, encompassing low knowledge levels, insufficient motivation, economic constraints, and distance to healthcare facilities; (b) the healthcare provider and primary care facility (FKTP) dimension, comprising limited human resources and inadequate infrastructure; (c) the BPJS system dimension, including frequently changing regulations and financing limitations; and (d) the environmental dimension, involving social support and cultural factors. The conclusion is barriers to PROLANIS DM implementation are multidimensional in nature. Comprehensive interventions targeting patient, provider, system, and environmental factors are required to improve program outcomes.
Behavioral health promotion interventions to increase cervical cancer screening uptake: A systematic review Mei Rosyidah; Elviera Gamelia; Suratman Suratman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3279

Abstract

Background: Cervical cancer is the fourth most common cancer in women worldwide, disproportionately affecting those in low- and middle-income countries (LMICs). Despite the availability of effective screening tools such as  Pap test and HPV testing, participation rates remain suboptimal due to complex behavioral barriers including low awareness, cultural stigma, and limited access to healthcare services. Purpose: To synthesize evidence on behavioral-based health promotion interventions designed to increase cervical cancer screening uptake, examining their theoretical frameworks, delivery modalities, and effectiveness. Method: A systematic search was conducted in three electronic databases—PubMed/MEDLINE, Scopus, and ScienceDirect—for studies published between January 2015 and March 2026. The PRISMA 2020 framework guided the review process. Studies evaluating behavioral interventions targeting cervical cancer screening in women eligible for or targeted by cervical screening were included. Results: A total of 760 records were identified from three databases (PubMed: n=32; Scopus: n=463; ScienceDirect: n=265). After removing 38 duplicates, 722 records were screened; 159 proceeded to full-text assessment, and 54 studies from 25 countries were ultimately included. Interventions were categorized as: face-to-face health education (n=18), digital/mHealth (n=11), reminder-based systems (n=7), motivational interviewing (n=4), peer-led education (n=4), culturally tailored programs (n=7), and multicomponent strategies (n=3). Theoretical frameworks used included the Health Belief Model, Protection Motivation Theory, and Social Cognitive Theory. Of 54 studies, 47 (87.0%) reported statistically significant improvement in at least one outcome in screening uptake or related behavioral outcomes. Conclusion: Behavioral-based health promotion interventions effectively increase cervical cancer screening uptake. Theory-driven, culturally tailored, and multicomponent approaches demonstrate the most consistently favorable findings and should be prioritized in public health programs.
The Influence of Web-Based Hospital Nurse Caring Information System Applications as An Effort to Increase Knowledge and Caring Attitudes of Nurses Any Yuliani; Iwan Purnawan; Suratman Suratman
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3416

Abstract

Caring is a dynamic approach, where nurses work to increase their care for clients. Nurses' knowledge and caring attitude are the things that underlie nurses in applying caring behaviour. Objective: to determine the effect of SI CAPERS application as an effort to increase nurses' knowledge and caring attitude in the ICU Room of RSI PKU Muhammadiyah Tegal. Method: Research study and the effect of application and quasy experiment with non equivalent control group design. The application was tested by questionnaire for usability and Aiken V test for material and media. Paired Sample T Test was used to analyse data on nurses' knowledge and caring attitude. The population of this study was all ICU/HCU nurses at RSI PKU Muhammadiyah Tegal. The sample taken was 34 people consisting of 17 ICU nurses as the intervention group and 17 nurses as the control group. Results: The results of the SI CAPERS application questionnaire are very feasible at 92.5% and 0.841 according to the objectives, material, methods, sources and learning activities with an easy, attractive and simple design. Data analysis resulted after the intervention there was an effect of the SI CAPERS application as an effort to increase knowledge and caring attitudes of nurses p - value <0.006. Conclusion: SI CAPRES application is able to improve the knowledge and caring attitude of nurses in the ICU Room of RSI PKU Muhammadiyah Tegal.
Faktor determinan dan disparitas kesehatan gigi dan mulut anak di wilayah perkotaan dan perdesaan: A systematic review Razin Alifahrezy Setyaliani; Dwi Sarwani Sri Rejeki; Suratman Suratman
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3167

Abstract

Background: Oral health problems during childhood can have long-term impacts on oral health in adulthood, negatively impacting children's general health and academic achievement. Furthermore, children's oral health is influenced by various determinants and shows differences between urban and rural areas. Purpose: To analyze the determinants and disparities in oral health among children in urban and rural areas. Method: This systematic review used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to analyze and evaluate research findings identified through a literature search in PubMed and Google Scholar using the keywords "oral health" AND "children" AND "rural" AND "urban" AND "differences." Results: There were differences in the burden of untreated oral disease and lower access to health information among children in rural areas compared to urban areas. Conclusion: Disparities in oral health among children exist between rural and urban areas, influenced by various social, economic, behavioral, and access to health services factors. Children in rural areas tend to be at higher risk of oral health problems due to limited access to services, low health literacy, and uneven distribution of dental health professionals. Suggestion: Promotive and preventive interventions are needed to improve parental knowledge and behavior and ensure equitable access to dental health services, especially in rural areas. Furthermore, research should encompass a wider range of regions and variables, including research in Indonesia, to obtain a more comprehensive and contextualized picture of the determinants and disparities in children's oral health.   Keywords: Determinants; Health Disparities; Oral Health; Rural Areas; Urban Areas.