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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kesehatan Masyarakat VISIKES Rekayasa: Jurnal Penerapan Teknologi dan Pembelajaran Jurnal Kesehatan SOEPRA Jurnal Hukum Kesehatan Manuju : Malahayati Nursing Journal Unnes Journal of Public Health Public Health Perspective Journal J-Dinamika: Jurnal Pengabdian Kepada Masyarakat Health Information : Jurnal Penelitian PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Pengabdian Dharma Bakti HSG (Health Science Growth) Journal Jurnal Pengabdian kepada Masyarakat Nusantara Poltekita: Jurnal Pengabdian Masyarakat Nursing and Health Sciences Journal (NHSJ) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Public Health and Nutrition Bookchapter Kesehatan Masyarakat Universitas Negeri Semarang Physical Therapy Journal of Indonesia Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi Engagement: Jurnal Pengabdian Kepada Masyarakat Unnes Journal of Public Health Panakeia Journal of Epidemiology Jurnal Kesehatan Masyarakat Journal of Creativity Student Public Health Perspective Journal
Intan Zainafree, Intan
Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan Universitas Negeri Semarang Gedung F1, Lantai 2, Kampus Sekaran, Gunungpati, Semarang
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STUDI KOMPARATIF IMPLEMENTASI KEBIJAKAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS JEPANG DAN PUSKESMAS DAWE KABUPATEN KUDUS Oktabella, Zulvaida Haditya; Cahyati, Widya Hary; Zainafree, Intan
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.v9i2.48980

Abstract

Pada tahun 2023, cakupan pemberian ASI eksklusif untuk bayi usia 0–6 bulan di Kabupaten Kudus mencapai 46,8%, dengan capaian tertinggi di Puskesmas Dawe sebesar 90,9% dan terendah di Puskesmas Jepang sebesar 19,7%. Penelitian ini bertujuan untuk menganalisis perbedaan pelaksanaan kebijakan pemberian ASI eksklusif di wilayah kerja Puskesmas Jepang dan Puskesmas Dawe, Kabupaten Kudus. Pada Mei hingga Juni 2025 penelitian ini dilakukan di kedua puskesmas tersebut dengan menggunakan pendekatan kualitatif dan desain deskriptif. Sebanyak 12 informan ditetapkan menggunakan teknik purposive sampling. Pedoman wawancara, observasi, dan dokumentasi digunakan untuk pengumpulan data, sementara teknik triangulasi digunakan untuk keabsahan data. Hasil penelitian menunjukkan adanya perbedaan implementasi kebijakan pemberian ASI eksklusif di Puskesmas Jepang dan Puskesmas Dawe, di mana komunikasi telah berjalan efektif melalui kegiatan sosialisasi, namun cakupan serta kejelasan informasi yang disampaikan masih terbatas. SDM dan fasilitas seperti ruang laktasi tersedia, tetapi pemanfaatannya rendah dan petugas merangkap tugas lain. Kebijakan ASI eksklusif belum didukung SOP dan pembagian tugas belum terstruktur, perlu diikuti peningkatan kapasitas tenaga kesehatan dan koordinasi lintas sektor. Petugas menunjukkan komitmen tinggi dan ramah, meski pemahaman kebijakan belum merata. Dukungan dari keluarga dan tenaga kesehatan cukup baik, tetapi hambatan sosial budaya dan kesadaran masyarakat masih variatif. Simpulan dari penelitian ini adalah terdapat perbedaan implementasi kebijakan ASI Eksklusif di Puskesmas Jepang dan Puskesmas Dawe.
Perceptions and beliefs of adolescent girls regarding adherence to iron supplementation: An analysis using the health belief model Kamal Agus Efendi; Ari Yuniastuti; Intan Zainafree
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.570

Abstract

Iron deficiency anemia in adolescent girls is a significant public health issue with a high prevalence. Despite the government's launch of the Nutritious Action Program to tackle this problem, its effectiveness is still hindered by low adherence to Iron and Folic Acid (IFA) tablet consumption among adolescents. This qualitative study aims to analyze the factors influencing adherence to IFA tablet consumption in adolescent girls from the Health Belief Model (HBM) perspective. Using a case study design, this research collected data through in-depth interviews with four adolescent girls, one parent, and an expert from IAKMI Kudus. Data analysis was conducted interactively by identifying key themes relevant to the HBM components. The results show that adherence is influenced by the complex interaction of the six HBM components. Adolescents have a good perception of their susceptibility to and the severity of anemia, but this is not enough to overcome the perceived barriers. Physical barriers, such as side effects like nausea, dizziness, and unpleasant taste, are the strongest predictors of non-adherence. Adherence is highly dependent on external cues, such as supervision from teachers and parents, with behavioral differences observed between students living in boarding schools and those who are not. This study concludes that successful interventions must go beyond merely providing IFA tablets. A comprehensive strategy is needed to strengthen adolescents' self-efficacy to overcome barriers and ensure continuous social support from schools and families to achieve sustainable dietary behavior changes.
Service Quality Perception and Service Satisfaction of COVID-19 Vaccination in Indonesia: A Participants Vaccination Perspective Zainafree, Intan; Maharani, Chatila; Indrawati, Fitri; Wahyono, Bambang; Syukria, Nadia; Patriajat, Maria M. Rosaria; Hakam, Mohammad Abdul; Defi, Rahma; Suhito, Hanif Pandu
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.23600

Abstract

The COVID-19 vaccine is a crucial effort to break the chain of transmission of COVID-19. To achieve optimal, effective, and efficient results in community program implementation, monitoring and evaluation are essential. The purpose of this study was to evaluate the implementation of COVID-19 vaccination in Semarang. So, it was known that service quality perception, service satisfaction, and willingness to recommend vaccination to others. This study is an analytic observational study with a cross-sectional design in 2022. The total number of respondents was 512 people. Data collection was carried out directly by visiting respondents who had received COVID-19 vaccinations at public health centers and vaccination centers. The data obtained is then processed and analyzed with the final model using Binary Logistic Regression. Respondents with basic education (4.67 ± 0.449) and those using the collective registration mechanism (4.51 ± 0.495) showed a positive correlation with perceived service quality. Of the 9 procedural suitability items, 4 received higher satisfaction scores: staff asking about regular medication use (4.41 ± 0.612), confirmed COVID-19 history (4.42 ± 0.598), close contact history (4.42 ± 0.609), and post-vaccination observation for side effects (4.43 ± 0.608), all with p-value < 0.05. Overall, respondents were satisfied with the service quality, with 26.5% willing to recommend vaccination to others. This indicates that the COVID-19 vaccination service is running effectively and appropriately.
Causal Loop Diagram Analysis of Stunting Specific Intervention for Policy Recommendation: A Case from Pekalongan Regency Indonesia Yuniarti, Yuniarti; Bintari, Siti Harnina; Zainafree, Intan
Journal of Creativity Student Vol. 8 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i1.24652

Abstract

Stunting is still a global health issue, especially in lower-middle class countries, the problem of stunting reflects a multidimensional problem that has not been addressed effectively. In Indonesia, the prevalence of stunting has decreased significantly by 18.9% in 2023, but has not reached the target set at 14%. This study is a qualitative study with a causal loop diagram analysis approach, the causal loop diagram method was chosen because it is able to describe problems that interact dynamically as causality. Data collection by interviewing 23 informants and analyzing documents on the achievement of specific interventions in 2023 from the Pekalongan District Health Office. There are five key variables identified, namely the ability of officers, specific interventions, budget, community roles and access to health services. The results of the CLD analysis formed 26 causal links, strengthening one loop and balancing two loops. The findings highlight the disparity in access to health services and the role of the community that is not yet optimal. Policy recommendations, improve cross-sector coordination to improve the provision of health services and increase the role of the community, especially mothers of toddlers and cadres in specific nutrition interventions. The use of CLD analysis in holistic and strategic specific nutritional interventions in identifying stunting problems to determine the most appropriate interventions.
Service Strengthening Strategy Primary Through Engagement Health Cadres in The Community Subhi, Imam; Cahyati, Widya Hary; Zainafree, Intan
Journal of Creativity Student Vol. 8 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i2.25621

Abstract

Background: Strengthening primary and community health systems is crucial in improving population health, particularly in developing countries. Various studies have emphasized the importance of healthcare workers, such as physicians, physical therapists, and community health workers (CHWs), in promoting equitable and effective health service delivery. This study aims to analyze the roles, challenges, and innovations in developing primary and community health systems in resource-limited settings. Methods: This study employed a narrative literature review approach using peer-reviewed articles published between 2015 and 2023. Data sources included PubMed, Scopus, and ScienceDirect. Keywords used were “primary care,” “community health workers,” “health system strengthening,” and “developing countries.” Thematic analysis was conducted to identify patterns, innovations, and policy implications. Results: The review found that CHWs significantly contribute to cost-effective care and improved service coverage in underserved areas. Innovations such as insurance administration-free models and participatory research-based interventions in South Africa were effective in enhancing decision-making among CHWs. Additionally, interventions for non-communicable diseases (e.g., hypertension, diabetes) and pediatric oncology in Sub-Saharan Africa demonstrated the need for tailored health strategies. In the education sector, the integration of mental health and research ethics training for healthcare workers in South Africa and Uganda reinforced the importance of investing in human resources for health. Conclusion: The findings underscore the importance of empowering healthcare workers, implementing innovative service delivery models, and enhancing health education systems. Strengthening public health systems requires collaborative policy efforts and sustained investment to promote health equity and resilience, especially in low-resource settings.
The Health Promotion Models in Improving the Mental Health of Hemodialysis Patients: A Study on a Holistic Approach Fahrurozi, M.; Cahyati, Widya Hary; Zainafree, Intan
Journal of Creativity Student Vol. 8 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jcs.v8i2.25623

Abstract

Background: mental health is an important component in the treatment of hemodialysis patients, which is often overlooked. Patients face psychological distress due to lifestyle changes, physical limitations, and long-term therapeutic processes that have the potential to trigger depression and anxiety. Aim: This study aims to evaluate the effectiveness of the Health Promotion Model (HPM) approach in improving the mental health of hemodialysis patients through holistic interventions. Method The research used a mixed-methods approach with a pre-test and quasi-experimental post-test with a control group design. Interventions include health education, stress management, psychological counselling, and strengthening social support. The results of the quantitative analysis showed a significant improvement in patients' mental health scores in the intervention group compared to the control group. Qualitative data reveal changes in disease perception, improved adaptive coping strategies, and the important role of social support in maintaining emotional stability. Conclusion: The holistic application of HPM is effective in strengthening psychological resilience and improving the quality of life of hemodialysis patients. This intervention is recommended to be systematically integrated into hemodialysis services in health facilities.
The Effect of Health Promotion (With MCH Book) on Knowlegde, Attitude, Behavior of Utilizing MCH Books in Pregnant Women at UPTD Public Health Center of Pati Distric Retnoningsih, Heriani; Yuniastuti, Ari; Zainafree, Intan
Public Health Perspective Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.13248

Abstract

Health level is a measure of a country’ welfare. The purpose of this study was to determine the  impact  of health promotion with maternal and child health (MCH) books on knowledge, attitudes and health behavior of pregnant women at the UPTD Health Center of Pati Regency because high maternal mortality rate (MMR) indicates that maternal health is still poor.  The type of research is Quasy-Experiment (pre-experimental designs). The research design used Pretest-Posttest Control Group design. Sampling in this study was non-random sampling with purposive sampling type. Based on the population of pregnant women in 29 UPTD Health Centers in Pati regency, 2 Health Centers were determined to be objects of research, namely UPTD Kayen Health Center and UPTD Pati II Health Center. The results showed that frequency distribution of respondents’ answers in the control group or Pati II Health Center showed that the pretest and posttest values in responents did not increase in the value of the knowledge variable of pregnant women. Meanwhile, the frequency distribution of the respondents showed the pretest and posttest  in the experimental group or Kayen health Center respondents, where there was an increase in the value of the variable of knowledge of pregnant women which was getting better. The results of the Wilcolzon Signed Rank  Test in the control group showed that the sig pretest and posttest values of the behavioral variables in the control group were > 0.05 so it can be concluded that there was no change in the behavior or pregnant women in the control group. The results of the Wilcoxon signed rank test in the intervention group showed that the sig pretest and posttest values of the behavioral variables of pregnant women in the experimental group were <0,05 so it can be concluded that there was a change in the behavior of pregnant women in the intervention group.
Descriptive Analysis of Diabetic Retinopathy in Central Java Province (Case Study at RSUP Dr. Kariadi) Casmuti, Casmuti; Cahyati, Widya Hary; Zainafree, Intan; Parno, Parno
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.13741

Abstract

Diabetic retinopathy is a serious complication of diabetes that affects the blood vessels in the retina, leading to nutritional disorders. In Central Java Province, the prevalence of diabetes mellitus increased from 10% in 2022 to 12.52% in the third quarter of 2023; this phenomenon has not reached the SDG's target of zero increase. This study analyzes the frequency distribution of diabetic retinopathy cases at RSUP Dr. Kariadi Semarang in 2023. Using a cross-sectional design, this observational descriptive research utilized electronic medical record data from RSUP Dr. Kariadi Semarang in 2023. The study examined various variables, including gender, age, education level, employment status, marital status, BMI, DM diet, duration of DM, hypertension, other diseases, current blood glucose, and HbA1c. Univariate analysis was used to determine the frequency distribution and present graphical representations of each variable. The study's findings showed the largest percentage of diabetic retinopathy patients were female (54.2%), aged 50-59 years (48.8%), with low education (38.0%), working (66.3%), married (92.8%), and obese (18.7%). Most patients had a duration of DM ≥ 5 years (51.2%), hypertension (73.5%), and other diseases such as azotemia, CKD, cataracts, and cardiomegaly; patients had blood glucose at ≥ 200 mg/dL (53.0%) and HbA1c ≥ 6.5% (88.0%).
Correlation between The Level of Independence of Elderly and Dementia in West Java Faridho, Fikrifar Rizki; Yuniastuti, Ari; Zainafree, Intan
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.16626

Abstract

Dementia, which the sufferer is estimated to be 153 million people in 2050, is a public health problem, especially for the elderly, which will slowly make the sufferers more dependent on other people to do daily activities. The aim of this study is to analyze the correlation between the level of independence of the elderly and dementia in West Java. This study used a cross-sectional design using primary data from 68 elderly people in Sentra Terpadu Pangudi Luhur based on the inclusion and exclusion criteria. Univariate analysis showed that most respondents were young elderly (48.5%), males (55.9%), had no history of smoking (52.9%), no history of consuming alcohol (91.2%), had normal body mass index (58.8%), had hypertension (69.1%), did not have diabetes mellitus (92.6%), did not have depression (75%), had mild dependence (50%), and did not have dementia (50%). The results of the hypothesis test of the Rank Spearman correlation between the level of independence of the elderly and dementia showed a strong correlation in a significant positive direction with a correlation coefficient of 0.561. Daily physical activities with moderate intensity are required to prevent dementia.
Evaluation of the Implementation of Antenatal Care Services at the Grobogan Regency Health Center Muhamad Syaiful Bachri Al Yunus; Raharjo, Bambang Budi; Zainafree, Intan
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.19765

Abstract

The Maternal Mortality Rate (MMR) in Grobogan Regency remains high, with Antenatal Care (ANC) coverage falling short of national targets. The Wirosari II Health Center reports particularly low K6 coverage at 37.92%. This study evaluates ANC service implementation at Purwodadi I and Wirosari II Health Centers to provide improvement recommendations. Using a descriptive qualitative approach with a phenomenological design, data were collected through in-depth interviews, observations, and documentation with midwives, maternal and child health workers, and pregnant women. Data validation was conducted via triangulation, and analysis followed the Miles and Huberman model. Findings reveal adequate human resources, but uneven health worker training. Infrastructure is sufficient, though equipment damage hinders Wirosari II. Service procedures align with standards, but SOP violations and limited nutrition personnel were noted in Purwodadi I. While K1 and K4 targets are achieved in Purwodadi I, Wirosari II struggles with recording and networking issues. Overall, ANC implementation in Purwodadi I is effective, while Wirosari II requires improvements in data recording, health worker training, and resource management. These findings provide actionable recommendations to enhance maternal health services in Grobogan Regency.
Co-Authors Abdul Hakam Adi Nur Cahyono Afriyatin, Via Agnes Widanti Ahmad, Ari Praneza Alma Feriyanti Alsriansyah, Ella Alvy Fajri Andreas Wilson Setiawan Anggun Dessita Wandastuti Anisa Prabaningrum Ari Yuniastuti Atika Aulia Atika Aulia Aufiena Nur Ayu Merzistya Aufiena Nur Ayu Merzistya Azizah, Azzahra Nur Bambang Budi Raharjo Bambang Wahyono Bela, Maria Vila Bramasto, Tegar BUDIONO SKM, M.Kes(Epid), IRWAN Cahyati , Widya Hary Casmuti, Casmuti Chatila Maharani Defi, Rahma Dewanto, Earlene Nadhira Dimarti, Safira Chairani Dina Nur Anggraini Ningrum Endang Wahyati y. Fahrurozi, M. Faizin, Miftahul Farida, Eko Faridho, Fikrifar Rizki Fildza Huwaina Fathnin Fitri Indrawati Fitria Ningsih Gian Lisuari Adityasiwi Hakam, Mohammad Abdul Hany Putri Antari Imam Subhi, Imam Intan Henda Ardiani Irsam, Muhamad Irwan Irwan Isbandi Isbandi Julia Pertiwi Jusran, Alek Kamal Agus Efendi Kartika Pibrianti KH, Oktia Woro Kharazi, Akhmal Raziq Khasanah, Amelia Fitra Lili Amaliah Linda Riski Sefrina Lukman Fauzi Makhfudz, Rendy Adiyatmarijal Mardiana Mardiana Mernawati, Defi Minhajul Mubarok Mona Subagja Muhamad Anbiya Nur Islam Muhamad Syaiful Bachri Al Yunus Muhammad Aidil Fitrah Mustafa Daru Affandi Nabila Puspita Nissa, Fidia Nugraheni, Hana Putri Nur Wahidah Nur Wahidah Nurkhasanah, Maulia Wahyu Nurul Maulidiyah Oktabella, Zulvaida Haditya Oktia Woro Kasmini Handayani Oktia Woro KH Pangesti, Lely Tri Parno Parno Patriajat, Maria M. Rosaria Patriajati, Maria Margareta Rosaria Pibrianti, Kartika Prasetya, Henky Yoga Putra, Tyar Bhatara Putri, Deva Amanda Putri, Wulan Apriyani Gusti Rahmadhani, Alda Adiestya Ratna Wahyuningtias Retnoningsih, Heriani Rohayati, . Rr. Sri Ratna Rahayu Saefurrohim, Muhamad Zakki Setyowati, Florensia Indah Shinta Ayu Respati Simanjuntak, Sugianto Parulian Siti Harnina Bintari Soesmeyka Savitri Sri Ratna Rahayu Suhito, Hanif Pandu Sulistio, Revan Aji Syukria, Nadia Tatik Atmini Trikinasih, Rusda Lintang Tsuroyya, Sabrina Luthfi Usnawati, Uus Utomo , Dewi Natalista Dwi Van Den , Emilia Widodo, Priskila Naomi Widya Hary Cahyati Wigatie, Ragil Ayu Yuniarti Yuniarti Zaimatuddunia, Irma Zakiyyah, Naeli Robikhati Zuyyinatun Muflikhah