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Yuni Asri
ITSK RS Dr Soepraoen Kesdam V Brawijaya Malang
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Determinants of National Health Insurance Coverage for Family Planning Services Among Women in Indonesia Nurmayunita, Heny; Asri, Yuni; Zakaria, Amin; Muhtar , Muhammad Solihuddin
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.381

Abstract

Access to family planning services remains unequal in Indonesia despite the establishment of the National Health Insurance (NHI) program (Jaminan Kesehatan Nasional, JKN) to promote universal coverage. Disparities persist, particularly in contraceptive services, among women of reproductive age. This study examined the determinants of NHI coverage for contraceptive methods among Indonesian women of reproductive age. A cross-sectional analysis was conducted using data from 6,256 married or partnered women aged 15–49 years from the 2017 Indonesia Demographic and Health Survey (IDHS). Survey-weighted descriptive, bivariate, and multivariable logistic regression analyses were performed using Stata to identify the factors associated with NHI-covered contraceptive use. The results showed that Women with insurance schemes specifically covering family planning were significantly more likely to report contraceptive coverage through NHI (AOR: 47.5; 95% CI: 37.2–60.7). Secondary education (AOR: 2.08; 95% CI: 1.01–4.07) was positively associated with coverage, while rural residence (AOR: 0.71; 95% CI: 0.56–0.91), middle wealth status (AOR: 0.64; 95% CI: 0.46–0.88), and current employment (AOR: 0.79; 95% CI: 0.65–0.97) were negatively associated. These findings highlight persistent socioeconomic and geographic inequities in access to insured family planning services. Addressing these disparities requires targeted policy efforts, including automatic enrollment strategies for women in the informal sector, mobile registration units in rural areas, and public education campaigns to improve insurance literacy. Strengthening equitable access to family planning under the national insurance scheme is essential to achieving Indonesia’s reproductive health and universal coverage goals.
hipertensi, diet DASH, edukasi keluarga, keperawatan keluarga: INTERVENSI EDUKASI KELUARGA BERBASIS DIET DASH PADA PASIEN HIPERTENSI DI DUSUN NONGKOSEWU KECAMATAN PONCOKUSUMO, MALANG novianto ardy, joko; Asri, Yuni; Budi Laksono, Bayu
Indonesian Journal Of Empirical Nursing Sciences Vol 3 No 1 (2026): Vol. 3 No. 1 (2026): IJENS Maret (2026)
Publisher : Program Studi Keperawatan, Fakultas Ilmu Kesehatan, ITSK RS dr Soepraoen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/ijens.v3i1.83

Abstract

Pendahuluan: hipertensi merupakan penyakit tidak menular dengan prevalensi yang terus meningkat dan berisiko menimbulkan komplikasi serius apabila tidak dikelola secara optimal. Pengendalian hipertensi secara nonfarmakologis dapat dilakukan melalui penerapan Dietary Approaches to Stop Hypertension (DASH). Keberhasilan diet DASH sangat dipengaruhi oleh tingkat pengetahuan dan keterlibatan keluarga dalam pengelolaan kesehatan pasien. Tujuan: penelitian ini bertujuan untuk mengetahui hasil intervensi edukasi keluarga berbasis diet DASH terhadap peningkatan pengetahuan keluarga pada pasien hipertensi di Dusun Nongkosewu, Kecamatan Poncokusumo, Kabupaten Malang. Metode: myang digunakan adalah pendekatan kualitatif dengan desain studi kasus pada lima keluarga yang memiliki anggota keluarga dengan riwayat hipertensi. Pengumpulan data dilakukan melalui wawancara, pengkajian keperawatan keluarga, serta pengukuran tingkat pengetahuan menggunakan kuesioner diet DASH sebelum dan sesudah edukasi, dengan keabsahan data dijaga melalui triangulasi. Hasil: hasil penelitian menunjukkan bahwa sebelum edukasi seluruh responden berada pada kategori pengetahuan kurang. Setelah diberikan edukasi keluarga berbasis diet DASH, seluruh responden mengalami peningkatan pengetahuan ke kategori cukup. Kesimpulan: disimpulkan bahwa edukasi keluarga berbasis diet DASH efektif meningkatkan pengetahuan keluarga dan dapat direkomendasikan sebagai intervensi keperawatan keluarga dalam pengendalian hipertensi dan pencegahan komplikasi.
Penguatan Peran Pengajian Sebagai Media Edukasi dan Skrining Dini PTM Bagi Masyarakat Desa Nongkosewu RW 03 Priasmoro, Dian Pitaloka; Asri, Yuni; Putri, Novia; Mekkah, Beauty
I-Com: Indonesian Community Journal Vol 5 No 4 (2025): I-Com: Indonesian Community Journal (Desember 2025)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70609/i-com.v5i4.8621

Abstract

Penyakit Tidak Menular (PTM) masih menjadi permasalahan kesehatan yang signifikan di masyarakat pedesaan, termasuk di RW 03 Desa Nongkosewu, yang ditandai dengan rendahnya literasi kesehatan, perilaku hidup tidak sehat, serta belum terbentuknya budaya deteksi dini kesehatan. Kegiatan ini bertujuan meningkatkan pengetahuan warga mengenai PTM dan melakukan skrining tekanan darah. Evaluasi dilakukan melalui pre-test dan post-test untuk mengukur perubahan pengetahuan peserta. Kegiatan diikuti oleh 154 peserta dan menunjukkan peningkatan pengetahuan setelah edukasi, di mana kategori pengetahuan baik meningkat dari 30,5% menjadi 44,8%, sementara kategori pengetahuan kurang menurun dari 40,3% menjadi 18,2%. Hasil pemeriksaan tekanan darah menunjukkan bahwa 47,4% peserta mengalami hipertensi dan 11,7% mengalami hipotensi, sehingga perlu pemantauan lanjutan. Pelaksanaan kegiatan ini efektif dalam meningkatkan literasi kesehatan masyarakat serta memperkuat kesadaran mengenai pentingnya pencegahan dan deteksi dini PTM. Pendekatan berbasis komunitas keagamaan terbukti menjadi strategi yang relevan dan dapat diterapkan secara berkelanjutan dalam upaya peningkatan derajat kesehatan masyarakat.
Symptoms of Shortness Breath With Cough and The Incidence of Tuberculosis in Indonesia: Analysis of The 2023 Indonesian Health Survey Priasmoro, Dian Pitaloka; Asri, Yuni; Jamil, Mokhtar; Maulina, Rifzul
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28392

Abstract

Background: Tuberculosis (TB) remains a major public health problem, particularly in high-burden countries, where delayed diagnosis contributes to continued transmission. Cough and respiratory symptoms are often the earliest clinical indicators, making them essential for screening and case detection. Objective: This study aimed to analyze the association between cough with shortness of breath and TB diagnosis in Indonesia. Methods: A cross-sectional analysis was conducted using data from 2,435 male and female respondents in the 2023 Indonesia Health Survey. The dependent variable was self-reported TB diagnosis within the past year. Independent variables included age, sex, and occupation. Linear regression was applied with 95% confidence intervals (CI). Results: Of respondents, 41.15% reported TB diagnosis within six months, while 58.85% were diagnosed earlier. Males (60.04%) were more affected. Regression analysis showed a significant association between cough with shortness of breath and TB (Coef. = 0.16; p < 0.001; 95% CI: 0.111–0.208). Conclusion: Cough and respiratory symptoms remain strong predictors of TB, highlighting their importance in early screening and treatment monitoring.
Urban and Rural Disparities in Women’s Reproductive Health Knowledge and Contraceptive use in Indonesia: A Cross-Sectional Study Yunita, Heny Nurma; Asri, Yuni; Zakaria, Amin; Muhtar, Muhammad Solihuddin; Senghore, Thomas
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.15817

Abstract

Reproductive health knowledge is essential for enabling women to make informed family planning decisions and prevent unintended pregnancies. In Indonesia, awareness of the possibility of pregnancy after childbirth before menstruation resumes remains insufficiently explored. This study examined sociodemographic, economic, and behavioral factors associated with women’s knowledge of postpartum pregnancy risk using data from 40,978 women aged 15–49 years in the 2017 Indonesian Demographic and Health Survey (IDHS). A cross-sectional analysis was conducted using multivariate logistic regression with sampling weights to ensure national representativeness. The results showed that higher education (AOR: 1.41; 95% CI: 1.13–1.75) and higher wealth status (AOR: 1.35; 95% CI: 1.21–1.50) were positively associated with knowledge. In contrast, rural residence (AOR: 0.91; 95% CI: 0.83–0.98) and lack of formal education were linked to lower awareness. Older age and being currently married were also associated with higher knowledge levels. Women using contraceptive methods, particularly calendar-based methods (AOR: 1.27; 95% CI: 1.15–1.40), were more likely to have adequate knowledge. These findings highlight urban–rural disparities in reproductive health knowledge and emphasize the need to strengthen education, expand healthcare access, and improve family planning counseling, particularly in underserved communities.
Determinants of Hypertension Stage Among Patients in a Primary Health Care Center: A Cross-Sectional Study Maslakhah, Indana; Nurmayunita, Heny; Asri, Yuni
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 3 No. 01 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension remains a major public health problem worldwide and is associated with increased risk of cardiovascular complications. Identifying factors associated with the stage of hypertension is important for improving disease management at the primary health care level. This study aimed to identify determinants associated with the stage of hypertension among patients in a primary health care center. A cross-sectional study was conducted at Libano Primary Health Care Center, Morotai Island, Indonesia, in December 2025. A total of 30 hypertensive patients were included in the study. Data on demographic characteristics, clinical factors, and lifestyle behaviors were collected from patient records. Descriptive statistics were used to summarize the data, and bivariate analysis was performed using the Chi-square test or Fisher’s exact test when appropriate. Statistical analysis was conducted using SPSS version 26, with a significance level set at p < 0.05. The distribution of hypertension stages was equal, with 50.0% classified as Stage 1 and 50.0% as Stage 2 hypertension. Medication adherence was significantly associated with the stage of hypertension (p = 0.017). Patients who adhered to antihypertensive medication were more likely to have Stage 1 hypertension, while non-adherent patients were more frequently classified as Stage 2. Other variables, including age, gender, educational level, employment status, family history of hypertension, smoking status, dietary pattern, and physical activity, were not significantly associated with hypertension stage. Medication adherence was the main determinant associated with the stage of hypertension. Strengthening adherence to antihypertensive therapy may help prevent the progression of hypertension.
Kolaborasi Kesehatan untuk Masyarakat: Pengobatan Gratis di Desa Tlogosari Donomulyo Kabupaten Malang Wihatno, Elvianto; Asri, Yuni; Nurmayunita, Heny; Maharani, Ananda Sagita
Alamtana: Jurnal Pengabdian Masyarakat UNW Mataram Vol 7 No 1 (2026): Edisi Mei 2026
Publisher : LPPM UNIVERSITAS NAHDLATUL WATHAN MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51673/jaltn.v7i1.2789

Abstract

Abstract: Akses terhadap layanan kesehatan yang memadai merupakan salah satu tantangan bagi masyarakat pedesaan di Indonesia, terutama di wilayah terpencil seperti Desa Tlogosari, Kecamatan Donomulyo, Kabupaten Malang. Kegiatan pengobatan gratis yang dilaksanakan pada 18 September 2024 bertujuan untuk meningkatkan akses layanan kesehatan bagi masyarakat desa yang menghadapi keterbatasan baik dari segi ekonomi maupun geografis. Kegiatan ini melibatkan kolaborasi antara Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen Malang, Klinik Kartika Husada Donomulyo, dan mobil layanan BPJS. Pengobatan ini melayani 212 warga dengan berbagai pemeriksaan kesehatan, termasuk cek tekanan darah, pemeriksaan gula darah, hingga pemberian obat. Hasil kegiatan menunjukkan tingginya prevalensi penyakit tidak menular, seperti hipertensi dan diabetes, serta penyakit menular seperti ISPA dan dugaan Tuberkulosis (TB). Selain memberikan layanan kesehatan, program ini juga meningkatkan kesadaran masyarakat akan pentingnya pemeriksaan kesehatan berkala dan kebersihan lingkungan. Meski kegiatan ini memberikan manfaat yang signifikan, edukasi kesehatan dan akses berkelanjutan ke layanan kesehatan tetap diperlukan untuk meningkatkan kesejahteraan masyarakat di masa depan.
Factors Associated with Physical Activity among Study Participants at Buho-Buho Primary Health Center, Pulau Morotai Regency Abas, Fahrudin M; Nurmayunita, Heny; Asri, Yuni
Jurnal Kesehatan Vol. 15 No. 01 (2026): Jurnal Kesehatan: Volume 15, Issue 01, April 2026
Publisher : STIKES Hesti Wira Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63323/jkes.v15i01.257

Abstract

Introduction: Physical activity plays an important role in maintaining health and preventing non-communicable diseases. However, levels of physical activity are influenced by various demographic and lifestyle factors, particularly in primary healthcare settings. Objective: This study aimed to analyze factors associated with physical activity among study participants at Buho-Buho Primary Health Center, Pulau Morotai Regency Method: This study employed an analytical observational design with a cross-sectional approach. A total of 69 participants were included using a total sampling technique. Physical activity was categorized as active and physically inactive. Independent variables included demographic characteristics (gender, age group, marital status, educational level, and employment status) and lifestyle factors (smoking habits). Data were analyzed using SPSS version 26. Descriptive analysis was presented as frequencies and percentages, while bivariate analysis was conducted using the Chi-square test or Fisher’s exact test, with a significance level of p < 0.05. Results: The results showed that gender (p = 0.013), age group (p < 0.001), employment status (p = 0.020), and smoking habits (p = 0.006) were significantly associated with physical activity. Marital status and educational level were not significantly associated with physical activity. Conclusion: Physical activity was significantly associated with gender, age group, employment status, and smoking habits among study participants. These findings highlight the importance of considering demographic and lifestyle factors in promoting physical activity at the primary healthcare level.
Survey Of Socio-Demographic, Behavioral, and Clinical Factors Associated with Stroke in The Elderly in Indonesia Pratiwi, Nadia Rahmi Amelia; Asri, Yuni; Fani, Rif'atul; Patria, Dion Kunto Adi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8054

Abstract

Stroke is the leading cause of death and disability throughout the world, with a higher burden in low- and middle-income countries, including Indonesia. As the elderly population grows, identifying factors linked to stroke is essential for prevention and policy-making. This study aims to examine the association between sociodemographic, behavioral, and clinical factors and stroke among Indonesians aged ? 60 years using data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia/SKI). This study employed a cross-sectional design using secondary data from a nationally representative survey. A total of 97,339 older adults were included in the analysis. Stroke status was based on self-reported physician-diagnosed status. Independent variables included age, sex, education, marital status, employment, residence, hypertension, heart disease, smoking, and alcohol consumption. Data were analyzed using complex survey analysis with sampling weights, utilizing descriptive statistics and Chi-square tests to examine associations between variables. Analyses were conducted using IBM SPSS Statistics version 27.0.1, adjusting stratification and clustering in the survey design. The prevalence of stroke was 3.2%. Significant associations were found between stroke and age, gender, education, occupation, place of residence, hypertension, heart disease, smoking habits, and alcohol use (all p0.05). Stroke was more common among individuals with hypertension, heart disease, lower educational attainment, those who were unemployed, and those living in urban areas. Stroke in older Indonesians is strongly influenced by modifiable factors, particularly hypertension and lifestyle behaviors. Targeted prevention, early detection, and lifestyle interventions are critical to mitigating the stroke burden in Indonesia’s aging population.
DETERMINANTS OF BLOOD PRESSURE CONTROL AMONG CARDIAC PATIENTS: A CROSS-SECTIONAL STUDY IN A PRIMARY CARE CLINIC Anggraini, Avita Dwi; Asri, Yuni; Maharani, Ananda Sagita
JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU Vol 14 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU
Publisher : Fakultas Ilmu Kesehatan Universitas Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/jkmb.v14i1.10271

Abstract

Optimal blood pressure control is essential to prevent complications and recurrent cardiovascular events among cardiac patients. Identifying factors associated with blood pressure control in primary care is crucial for improving clinical outcomes. This study aimed to examine demographic, clinical, and behavioral factors associated with blood pressure control among cardiac patients in a primary care clinic. A cross-sectional study was conducted in January 2026 at a primary care clinic. A total of 80 cardiac patients were included using a total sampling method. Data were collected from medical records and structured documentation. Blood pressure status was classified as controlled or uncontrolled. Descriptive statistics were used, and associations were analyzed using Chi-square or Fisher’s exact tests with a significance level of p < 0.05. Statistical analyses were performed using SPSS version 26. Most participants were older adults (75.0%), and 65.0% had controlled blood pressure. More than half had comorbid conditions, including hypertension and/or diabetes mellitus. Among all variables examined, only the presence of comorbid disease was significantly associated with blood pressure control (p = 0.030), while demographic and behavioral factors showed no significant associations. Comorbid conditions play a critical role in blood pressure control among cardiac patients. Strengthening comorbidity management in primary care settings may improve blood pressure control and cardiovascular outcomes.
Co-Authors Abas, Fahrudin M Ahsan, Tarmizi M Alfunnafi’ Fahrul Rizzal Alviana, Asharia Dwi Amin Zakaria Amin, Asdar Ananda Sagita Maharani Anggraini, Avita Dwi anky tri rini, anky tri AP, Dion Kunto Aprilin , Heti Aprilya, Chatriaty Apriyani Puji Hastuti Ardiyanti, Sahda Eka Ardy, Joko Novianto Aris Hartono Ariyani , Anita Dwi Atik Setiawan Wahyuningsih Auliya Hidayat Ayu Nastiti Aziziah, Puput Nida Nur B. Manga , Yankuba Bayu Budi Laksono Blair, Christopher Camelia Finda Arisanti Della, Nanda Dian Pitaloka Priasmoro, Dian Pitaloka Dion Kunto Adi Patria Dradjat, Respati S. Dwining Handayani EDI -, EDI Eka Ardiyanti, Sahda Ekawati Ekawati Elvianto Wihatno Erik Irham Lutfi Erik Kusuma Febriyantie, Yolla Yohanna Fernanti, Usfania Fibriana , Linda Presti FIDROTIN AZIZAH Gel Gel, Edwin Dana Yasa Hanim Mufarokhah Hari, Batara Widya Hengky Irawan Hengky Irawan, Hengky Ikhwan Yuda Kusuma Indah Setyowati Indah Setyowati Indari Julia Kristiarini , Juda Juliati Koesrini Kotika, Stevia Angelina Kushayati , Nuris Lilik Zuhriyah Maharani, Ananda Sagita Manga, Yankuba B Mashitah, Musthika Wida Maslakhah, Indana Maulina, Rifzul Mekkah, Beauty Melan Noer S Mokhtar Jamil Muhtar , Muhammad Solihuddin Muhtar, Muhammad Solihuddin Mulyana Murtiyani , Ninik MURURUL AISY, MURURUL Murwani , Arita Ningrum, Dwi Nur Setya Ninik Murtiyani novianto ardy, joko Nur Amalina, Ayu Nuris Kushayati Nurmayunita, Heny Parahita, Doxana Putri Pratiwi, Lovenia Linggar Eka Pratiwi, Nadia Rahmi Amelia Puput Nida Nur Aziziah PUTRI, NOVIA R.A. Helda Puspitasari Rahma Novita Asdary Rifatul Fani Sahda Eka Ardiyanti Sasmiyanto, Sasmiyanto Senghore, Thomas Siswantoro, Edy Siti Nurwinda Siti Nurwinda Soebagijono Soebagijono, Soebagijono Tien Aminah Trian Lutfianti Vendi Eko Kurniawan Viyata Chanifiah Utami Viyata Chanifiah Utami Wiwik Handayani Wiwik Widiyawati Yolla Yohanna Febriyantie Yunarsih Yunita, Heny N. yunita, heny nurma