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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kebidanan 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 Jurnal Ners HSG (Health Science Growth) Journal Jurnal Pengabdian kepada Masyarakat Nusantara Poltekita: Jurnal Pengabdian Masyarakat Indonesian Journal of Public Health and Nutrition KOLONI Bookchapter Kesehatan Masyarakat Universitas Negeri Semarang 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 Indonesian Journal of Global Health Research
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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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.
WHO SRQ-20 Outcomes in Mothers of Children 6-23 Months By Fecal Disposal and Drinking Water Source Factors Saefurrohim, Muhamad Zakki; Zainafree, Intan; Aidil Fitrah, Muhammad; Utomo , Dewi Natalista Dwi
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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

Abstract

Most studies tended to focus on the association of health conditions or tantrum behavior in toddlers with maternal mental health. This study aimed to determine the differences in WHO SRQ-20 scores and the association of WHO SRQ-20 outcomes with fecal disposal factors and drinking water sources. This study used secondary data from RISKESDAS 2018, involving 670 mothers with children aged 6-23 months. The WHO SRQ-20 questionnaire was used to measure general mental health disorders. Mann-Whitney analysis was conducted to determine the difference in scores, while Chi-Square was used to examine the association of WHO SRQ-20 outcomes with toddler feces disposal factors and drinking water sources. All analyses were performed using SPSS 22.0, with a significance value of <0.05. The analysis showed that inappropriate fecal disposal and poor drinking water sources increased the total WHO SRQ-20 score (p=0.003, & p=0.041). Both factors were positively correlated with seven common mental health symptoms in mothers with children aged 6-23 months, including no appetite, difficulty thinking, difficulty making decisions, feelings of fear, trembling hands, and indigestion, with significant p-values (p<0.05) for each symptom. Environmental quality, especially inappropriate fecal disposal and poor drinking water sources, was significantly correlated with increased mental health symptoms among mothers with children aged 6-23 months.
Peningkatan Literasi Jaminan Kesehatan Nasional Sebagai Social Health Insurance pada Siswa SMA di Kota Semarang Maharani, Chatila; Zainafree, Intan; Cahyono, Adi Nur; Wahyono, Bambang; Pangesti, Lely Tri; Syukria, Nadia; Van Den , Emilia; Azizah, Azzahra Nur; Alsriansyah, Ella; Kharazi, Akhmal Raziq; Ahmad, Ari Praneza; Dewanto, Earlene Nadhira
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 10 No 3 (2025): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-dinamika.v10i3.6362

Abstract

Literasi tentang Jaminan Kesehatan Nasional (JKN) di kalangan remaja, khususnya siswa SMA, masih tergolong rendah. Pemahaman terhadap sistem jaminan kesehatan sejak dini penting untuk mendorong kesadaran dan kepesertaan aktif di masa mendatang. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan literasi siswa SMA mengenai JKN dan konsep asuransi kesehatan sosial melalui pendekatan edukatif dan partisipatif. Metode yang digunakan meliputi edukasi menggunakan booklet, simulasi role play dengan tiga skenario kepesertaan JKN, serta pembuatan video pendek oleh siswa terpilih sebagai JKN Student Ambassadors. Kegiatan ini dilaksanakan di SMA Negeri 1 dan SMA Negeri 7 Semarang dengan total peserta 104 siswa kelas X dan XI. Evaluasi dilakukan melalui pre-test dan post-test. Hasil menunjukkan adanya peningkatan skor pengetahuan yang signifikan setelah intervensi edukasi. pendekatan edukasi yang interaktif dan kontekstual dapat secara efektif meningkatkan pemahaman siswa terhadap sistem jaminan kesehatan sosial serta membentuk karakter sebagai agen literasi di lingkungan sekitarnya.
Go-First Aid: Pelatihan dan Peningkatan Kapasitas Kru dalam Penanganan Pertama Pada Kegawatdaruratan Di Saloka Theme Park Zainafree, Intan; Rahayu, Sri Ratna; Khasanah, Amelia Fitra; Dimarti, Safira Chairani; Widodo, Priskila Naomi; Syukria, Nadia; Faizin, Miftahul; Sulistio, Revan Aji; Makhfudz, Rendy Adiyatmarijal; Nugraheni, Hana Putri; Trikinasih, Rusda Lintang; Simanjuntak, Sugianto Parulian
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 4 (2025): Edisi Oktober - Desember
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i4.7393

Abstract

Keselamatan pengunjung merupakan faktor penting dalam penyelenggaraan destinasi wisata yang memiliki potensi risiko cedera dan kegawatdaruratan medis. Program pengabdian masyarakat Go-First Aid dilaksanakan oleh tim Fakultas Kedokteran Universitas Negeri Semarang di Saloka Theme Park, Kabupaten Semarang. Program ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kru keselamatan dalam melakukan penilaian cedera dan resusitasi jantung paru (CPR). Kegiatan melibatkan 30 kru keselamatan sebagai mitra pelatihan. Metode pelaksanaan menggunakan pendekatan edukatif-partisipatif melalui pelatihan berbasis simulasi, pendampingan penyusunan standar operasional prosedur (SOP) keselamatan pengunjung, serta penyediaan media edukatif berupa buku saku klasifikasi cedera, panduan penilaian tingkat keparahan cedera, dan video edukasi pertolongan pertama. Hasil pelaksanaan program menunjukkan adanya peningkatan signifikan dalam pengetahuan dan keterampilan peserta, ditunjukkan oleh kenaikan rata-rata nilai post-test sebesar 39,4% dibandingkan pre-test. Selain itu, lebih dari 90% peserta mampu melaksanakan prosedur CPR sesuai standar American Heart Association (AHA). Program Go-First Aid memberikan kontribusi nyata terhadap peningkatan kesiapsiagaan kru, penguatan sistem manajemen keselamatan pengunjung, dan pembentukan budaya kerja tanggap darurat di lingkungan taman wisata. Secara keseluruhan, pelaksanaan program ini terbukti efektif dalam meningkatkan kapasitas sumber daya manusia dan memperkuat tata kelola keselamatan destinasi wisata berbasis kolaborasi akademisi dan pengelola pariwisata.
Adverse effects of short-term regimens in multidrug-resistant tuberculosis patients with treatment failure in Central Java, Indonesia Muhamad Zakki Saefurrohim; Intan Henda Ardiani; Alma Feriyanti; Intan Zainafree; Fildza Huwaina Fathnin
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 17, No 1 (2026): June 2026
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v17i1.45038

Abstract

Recent evidence shows high rates of treatment failure among multidrug-resistant tuberculosis (MDR-TB) patients on short-course regimens. This clinic-based case–control study used Tuberculosis Information System (SITB) data from Central Java, Indonesia (2021–2023) to examine associations between employment status, HIV status, baseline sputum examination, and body mass index (BMI) with specific categories of treatment failure (treatment failure, diagnostic change, regimen modification, loss to follow-up, and death). Overall treatment failure was 70.59%, including 15.3% deaths. Employment status was significantly associated with failure category (p=0.022), with unemployed patients disproportionately experiencing loss to follow-up (82.5%) and death (59.6%). HIV-reactive patients were more likely to undergo regimen modification (p=0.009; 1.8%). Baseline sputum results showed the strongest association (p<0.001): negative sputum was linked to diagnostic change (49.1%) and unknown sputum status to loss to follow-up (66.7%). Low BMI (<18.5 kg/m2) was also associated with failure category (p=0.037), particularly loss to follow-up (75.4%) and death (33.3%). These findings implicate socioeconomic vulnerability, HIV co-infection, absent or negative baseline sputum results, and undernutrition as important determinants of distinct short-course MDR-TB treatment failures and support integrated, patient-centred interventions to improve outcomes.
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 Budi Raharjo Bambang Wahyono Bambang Wahyono Bela, Maria Vila Bramasto, Tegar BUDIONO SKM, M.Kes(Epid), IRWAN Casmuti, Casmuti Chatila Maharani Chatila Maharani Dewanto, Earlene Nadhira Dimarti, Safira Chairani Dina Nur Anggraini Ningrum Endang Wahyati y. Erna Kusumawati Fahrurozi, M. Faizin, Miftahul Farida, Eko Faridho, Fikrifar Rizki Fildza Huwaina Fathnin Fitri Indrawati Fitria Ningsih Hanif Pandu Suhito Hany Putri Antari Imam Subhi, Imam Intan Henda Ardiani Irsam, Muhamad Isbandi Isbandi Julia Pertiwi Jusran, Alek Kartika Pibrianti KH, Oktia Woro Kharazi, Akhmal Raziq Khasanah, Amelia Fitra Linda Riski Sefrina Lukman Fauzi Makhfudz, Rendy Adiyatmarijal Mardiana Mardiana Maria M. Rosaria Patriajat Mernawati, Defi Minhajul Mubarok Mohammad Abdul Hakam Mona Subagja Muhamad Anbiya Nur Islam Muhamad Syaiful Bachri Al Yunus Muhamad Zakki Saefurrohim Muhammad Aidil Fitrah Mustafa Daru Affandi Mustiko Wibowo Nabila Puspita Nadia Syukria Nissa, Fidia Novia Ika Pratiwi 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 Patriajati, Maria Margareta Rosaria Pibrianti, Kartika Prasetya, Henky Yoga Putra, Tyar Bhatara Putri, Deva Amanda Putri, Wulan Apriyani Gusti Rahma Defi 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 Sulistio, Revan Aji Syela Ayunda Natasya Syukria, Nadia Tatik Atmini Trikinasih, Rusda Lintang Tsuroyya, Sabrina Luthfi Ulya Chusnia Ilzami 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