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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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Evaluasi Program Rumah Pelita Daycare Sekar Kasih sebagai Salah Satu Upaya Zero Stunting di Wilayah Kerja Puskesmas Sekaran Nabila Puspita; Intan Zainafree
Malahayati Nursing Journal Vol 7, No 10 (2025): Volume 7 Nomor 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i10.18316

Abstract

 ABSTRACT Stunting is one of the nutritional problems that still occurs in many developing countries, including Indonesia. Stunting is a condition where children grow smaller than their peers. Children are said to be stunted if they have a Z-Score value of less than -2 SD to -3 SD which means they are stunted, and less than -3 SD indicates severely stunted children. Stunting globally in 2022 has a prevalence of 22.3% or 148.1 million children under 5 years old experiencing stunting conditions. This study aims to evaluate the Rumah Pelita Daycare Sekar Kasih program as a special daycare for stunted children by improving parenting and child feeding patterns by the Semarang City Government. This research uses a qualitative approach with a case study design. The informants in this study consisted of 4 main informants and 8 triangulation informants. The instruments used in this research are interview guidelines and documentation. The results showed that the Input aspect in the implementation of this program was good. The Process aspect is still not maximally implemented, one of which is due to incomplete infrastructure. The Output aspect is declared good because Sekar Kasih Daycare has graduated 14 children from stunting. The conclusion of this study is that Daycare Sekar Kasih staff can increase their efforts in attracting parents with stunted children to register with Daycare Sekar Kasih. Another suggestion is that the Semarang City Government is expected to make a law or permanent regulation that can be used to regulate and supervise the implementation of the Rumah Pelita Daycare program as a whole. Keywords: Daycare, Stunting, Evaluation  ABSTRAK  Stunting merupakan salah satu permasalahan gizi yang masih banyak terjadi di berbagai negara berkembang, tak terkecuali Indonesia. Stunting adalah keadaan dimana anak tumbuh lebih kecil dibandingkan dengan anak seusianya. Anak dikatakan stunting apabila anak memiliki nilai Z-Score yang kurang dari -2 SD hingga -3 SD yang berarti menunjukkan anak pendek (stunted), dan kurang dari -3 SD menunjukkan anak sangat pendek (severely stunted). Stunting secara global pada tahun 2022 memiliki prevalensi sebanyak 22,3% atau 148,1 juta anak dibawah 5 tahun mengalami kondisi stunting. Penelitian ini bertujuan untuk mengevaluasi program Rumah Pelita Daycare Sekar Kasih sebagai tempat penitipan anak khusus untuk anak-anak stunting dengan memperbaiki pola asuh dan pola pemberian makan anak yang dilakukan oleh Pemerintah Kota Semarang. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Informan dalam penelitian ini terdiri dari 4 informan utama dan 8 informan triangulasi. Instrumen yang digunakan dalam penelitian ini yaitu pedoman wawancara dan dokumentasi. Hasil penelitian menunjukkan aspek Input (masukan) dalam pelaksanaan program ini sudah baik. Aspek Process (proses) masih belum terlaksana dengan maksimal yang salah satunya disebabkan karena sarana prasarana yang belum lengkap. Aspek Output (keluaran) dinyatakan baik karena telah Daycare Sekar Kasih meluluskan 14 anak dari stunting. Kesimpulan dari penelitian ini yaitu petugas Daycare Sekar Kasih dapat meningkatkan meningkatkan upaya mereka dalam menarik orangtua dengan anak-anak stunting untuk mendaftar ke Daycare Sekar Kasih. Saran lainnya yaitu Pemerintah Kota Semarang diharapkan membuat undang-undang atau peraturan tetap yang dapat digunakan untuk mengatur dan mengawasi pelaksanaan program Daycare Rumah Pelita secara menyeluruh. Kata Kunci: Daycare, Stunting Evaluasi
Pelaksanaan Posyandu Balita Door to Door di Kelurahan Pedalangan Kota Semarang Hany Putri Antari; Intan Zainafree
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 3 (2024): Agustus : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i3.323

Abstract

The COVID-19 pandemic caused posyandu activities for toddlers to be temporarily suspended and began to be carried out again in August 2020 with a door to door system. This study aims to determine the achievements of posyandu toddlers door to door in the Pedalangan Village area with program evaluation. This study used descriptive qualitative. Determination of informants using purposive sampling technique. The main informants are the head of the puskesmas, the person in charge of the program, nutritionists, cadres and mothers of toddlers. data collection by means of observation, documentation and in-depth interviews to 8 people. Data validity using triangulation techniques to 4 people. The resukts are in the evaluation of input points, there are differences in facilities during the pandemic and before the pandemic. In the process, posyandu for toddlers during the pandemic was carried out door to door, while before the pandemic it was carried out directly. At the output point, there was an increase in D/S in 2021 of 86.4% compared to 2020, which was 57.4%. the conclusion is toddler posyandu activities before the pandemic are different from after the pandemic. D/S coverage in 2021 of 86.4% is in accordance with the target of Indonesia Sehat.
Dampak Pandemi COVID-19 Terhadap Pembiayaan Penyakit Katastropik Pada BPJS Kesehatan Kantor Cabang Ungaran Tahun 2021 dan 2024 Ulya Chusnia Ilzami; Intan Zainafree; Bambang Budi Raharjo
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60433

Abstract

Pandemi COVID-19 memberikan dampak yang signifikan terhadap sistem pelayanan kesehatan dan pembiayaan kesehatan, termasuk pembiayaan penyakit katastropik dalam Program Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan menganalisis dampak pandemi COVID-19 terhadap pembiayaan penyakit katastropik di BPJS Kesehatan Kantor Cabang Ungaran dengan membandingkan data klaim tahun 2021 sebagai periode pandemi dan tahun 2024 sebagai periode pascapandemi. Penelitian menggunakan pendekatan kuantitatif dengan desain studi komparatif retrospektif. Data yang digunakan merupakan data sekunder klaim pembiayaan delapan jenis penyakit katastropik, yaitu penyakit jantung, stroke, kanker, gagal ginjal kronik, sirosis hepatis, talasemia, leukemia, dan hemofilia. Analisis data dilakukan secara deskriptif dan inferensial menggunakan uji Wilcoxon Signed-Rank Test dan Paired Samples t-Test pada tingkat signifikansi 5%. Hasil penelitian menunjukkan bahwa total pembiayaan penyakit katastropik meningkat dari Rp138,23 miliar pada tahun 2021 menjadi Rp291,49 miliar pada tahun 2024 atau meningkat sebesar 110,87%. Penyakit jantung tetap menjadi kontributor pembiayaan terbesar pada kedua periode penelitian. Seluruh penyakit katastropik mengalami peningkatan total biaya klaim, dengan hemofilia menunjukkan peningkatan tertinggi sebesar 314%. Jumlah kasus sebagian besar penyakit juga mengalami peningkatan, meskipun hasil uji statistik menunjukkan bahwa perbedaan jumlah kasus antara tahun 2021 dan tahun 2024 tidak signifikan (p=0,177). Sebaliknya, total biaya klaim (p=0,012) dan rata-rata biaya per kasus (p=0,018) menunjukkan perbedaan yang signifikan. Temuan ini mengindikasikan bahwa peningkatan pembiayaan penyakit katastropik pada periode pascapandemi lebih dipengaruhi oleh meningkatnya biaya pelayanan per kasus dibandingkan pertumbuhan jumlah kasus. Oleh karena itu, diperlukan penguatan upaya promotif dan preventif, pengendalian faktor risiko penyakit tidak menular, serta peningkatan efisiensi pelayanan kesehatan untuk menjaga keberlanjutan pembiayaan JKN.
Analysis of Factors Associated with Stunting Incidence in Kudus Regency Mustiko Wibowo; Bambang Budi Raharjo; Intan Zainafree
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.425

Abstract

Stunting remains a public health problem in Indonesia, including in Kudus Regency, which recorded a prevalence of 4.56 % in 2024. This condition is influenced by various factors, both maternal and family environment. This study aims to analyze factors related to the incidence of stunting in toddlers in Kudus Regency, including a history of Chronic Energy Deficiency (CED) in pregnant women, a history of anemia, family socio-economic conditions, and feeding patterns. The study design used a case-control with a retrospective approach. The sample consisted of 200 respondents, consisting of 100 stunted toddlers (cases) and 100 non-stunted toddlers (controls) selected using consecutive sampling method in 19 community health centers in Kudus Regency. Data were collected through interviews with a structured questionnaire from the results of previous research on the history of Chronic Energy Deficiency (CED), Anemia, family socio-economics and feeding patterns and analyzed using the Chi-Square test. Bivariate analysis showed that history of CED (OR = 5.05 ; p < 0.001), history of anemia (OR = 2.12; p = 0.028), family socioeconomic status (OR = 0.14; p = 0.001), and feeding patterns (OR = 0.18; p < 0.001) were significantly associated with the incidence of stunting. The incidence of stunting in toddlers in Kudus Regency is influenced by maternal factors (CED and anemia), family socioeconomic factors, and feeding patterns, with feeding patterns being the dominant factor. Stunting prevention efforts need to focus on improving maternal nutrition, preventing anemia, empowering families economically, and educating toddlers on feeding practices.
Validation of Observation Sheets to Measure the Accuracy of Partograph Documentation Erna Kusumawati; Intan Zainafree; Irwan Budiono
Jurnal Kebidanan Vol 14, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jk.14.2.2025.119-129

Abstract

Background: Partographs are essential for monitoring labor progress, yet documentation is often incomplete or inaccurate, leading to delayed interventions and increased risks for mothers and newborns. However, there is currently no valid and reliable audit tool to evaluate the accuracy of partograph documentation. Objective: To develop and validate an audit tool for assessing the completeness and accuracy of partograph documentation. Methods: This study employed a Research and Development (R&D) design in four stages: (1) instrument development based on the 1994 WHO partograph template; (2) content validation by a panel of experts (obstetricians, senior midwives, and midwifery lecturers); (3) validity testing with 30 practicing midwives; and (4) reliability testing using Cronbach’s alpha. The instrument consisted of a 20-item checklist assessing documentation quality. Results: Expert review confirmed all items as valid. The validity test showed r-count values greater than the r-table (>0.361), and the reliability test yielded a high Cronbach’s alpha of 0.976, indicating excellent internal consistency. Conclusion: The developed audit tool is valid and reliable for evaluating the accuracy of partograph documentation. It can be applied in routine audits, quality control, and as an educational resource to strengthen healthcare workers’ competence in standardized, timely labor documentation.
Path Analysis of Knowledge, Education Level, Income and Behavior to Hypertension Incidence in Semarang City Novia Ika Pratiwi; Oktia Woro Kasmini Handayani; Intan Zainafree
Public Health Perspective Journal Vol. 10 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v10i1.26497

Abstract

Globally 33% of the population aged 30-70 years will suffer from hypertension in 202. This study uses a quantitative approach with a cross-sectional study design. The research sample of 400 respondents used the consecutive sampling technique. Data collection was conducted using questionnaire instruments and medical record data. The samples taken were respondents aged >15 years who took blood pressure measurements at the Telogosari Kulon, Telogosari Wetan and Kedungmundu Health Centers. Data analysis using chi-square test and logistic regression with SPSS and path analysis using JASP. Most of the respondents in this study were female, elderly, and had high education levels, low knowledge, and bad behavior. The results of the study stated that statistically there was a direct influence of education level (p-value =<0.001), income (p-value =<0.001) and lifestyle behavior (p-value =<0.001) on the incidence of hypertension. Statistically, there is an indirect influence of knowledge (p-value=<0.001), education level (p-value=0.001), income (p value =<0.001) through lifestyle behaviors on the incidence of hypertension in Semarang City. Variables of knowledge about hypertension (p-value=0.772) has no direct effect on the incidence of hypertension. Lifestyle behavior has the greatest effect (25%) in influencing the incidence of hypertension in Semarang City. The conclusion of this study is that there is a direct influence of education, income and lifestyle on the incidence of hypertension, and there is an indirect influence between knowledge, education level, and income through behavior on the incidence of hypertension in Semarang City.Suggestions for agencies and the community to increase preventive efforts, especially lifestyle behavior.
Faktor yang Berhubungan Dengan Kepatuhan Pengobatan Tuberkulosis pada Peserta JKN di FKTP Provinsi Jawa Tengah Tahun 2024 (Berdasarkan Data Sampel BPJS Kesehatan Tahun 2025) Syela Ayunda Natasya; Fitri Indrawati; Intan Zainafree
KOLONI Vol. 5 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i2.939

Abstract

The tuberculosis treatment success rate in Central Java reached 85.9% in 2024. This figure represents a decrease from the 2023 rate of 87.8% and has not yet met the 2025–2029 strategic plan target of 90%. TB patients can achieve a full recovery if they undergo regular treatment for 6 months. Adherence to TB treatment is crucial to achieving treatment success, controlling transmission, and preventing drug resistance. This study aims to analyze and describe the determinants of TB treatment adherence at FKTP among JKN participants in Jawa Tengah in 2024 based on 2025 BPJS Kesehatan sample data. This study employed an analytical observational design with a quantitative approach and a cross-sectional design utilizing secondary data from the 2025 tuberculosis contextual BPJS Kesehatan sample data. The sample was selected using total sampling adjusted according to predefined inclusion and exclusion criteria, resulting in a sample size of 240 participants with outpatient treatment outcomes. The result of study found that 64.6% of participants adhered to TB treatment. The proportion of TB treatment utilization FKTP in Jawa Tengah with outpatient treatment outcomes was dominated by adult participants, males, the PBI segment, active participants, Class III patients, participants residing in regency areas, and participants diagnosed with pulmonary TB. The results of the chi-square test showed that participant segmentation is a variable associated with TB treatment adherence, with a p-value of 0.015. These findings underscore the importance of further policies and interventions to improve TB treatment adherence among non-PBI participants.
Service Quality Perception and Service Satisfaction of COVID-19 Vaccination in Indonesia: A Participants Vaccination Perspective Intan Zainafree; Chatila Maharani; Fitri Indrawati; Bambang Wahyono; Nadia Syukria; Maria M. Rosaria Patriajat; Mohammad Abdul Hakam; Rahma Defi; Hanif Pandu Suhito
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.
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