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Setiawati, Hani
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Environmental Science Health Professions Nursing Public Health

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Psychosocial Determinants Analysis of Husbands' Decisions in the Referral Process for High-Risk Pregnancies in Lumajang Regency Wahyu Ningtyias, Farida; Setiawati, Hani; Rahmawati, Iis
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 2 (2025): Medical Technology and Public Health Journal September 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i2.6940

Abstract

The Maternal Mortality Rate (MMR) due to delayed decision-making remain a major issue, primarily because women and their husbands often do not take an active role as decision-makers. This study aimed to examine the characteristics and influence of various factors including level of knowledge, choice of referral health facility, considerations in hospital selection, family influence, main factors in referral decisions, belief or trust factors, and husband's psychological factors on referral decisions for high-risk pregnancies in Lumajang Regency. The respondents were husbands of pregnant women with a high-risk pregnancy (KSPR ≥ 6) during the period January-June 2023. This quantitative research employed a case-control design using probability sampling.  Cluster sampling was conducted across 25 Community Health Canters, followed by proportionate stratified random sampling, yielding a total sample of 300 participants. The Chi-Square test showed a significant relationship (p<0.05) between psychological factors (p=0.035) and referral decisions for high-risk pregnancies. Meanwhile, other variables including level of knowledge (p=0.893), choice of hospital type (p=0.155), consideration in selecting referral health facilities (p=0.969), family influence (p=0.394), main consideration for referral approval (p=0.901), and belief or trust factors (p=0.702) did not show a significant relationship with husband's referral decision. Binary logistic regression analysis revealed that husband without psychological issues were 2.397 times more likely to agree to referral for high-risk pregnancies compared to those with psychological problems.   Keywords: Husband's decision, referral, delivery, high risk pregnancy
Operationalization of a District-Level Health Emergency Operation Center During the Mount Semeru Eruption: A Field Report Yogadhita, Gde Yulian; Atriana, Dinda; Sutono, Sutono; Pangaribuan, Happy R; Wibowo, Bayu; Setiawati, Hani; Lestari, Sri; Fitriana, Ririn; Ramadhanjaya, Rakhmad; Hermawan, Dody; Oktafianto, Sonny
ASEAN Journal of Disaster Health Management (AJDHM) Vol 2 No 1 (2026): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v2i1.25548

Abstract

Introduction: Indonesia is highly prone to natural disaster, including volcanic eruptions that often generate sudden public health emergencies requiring rapid coordination and effective management of health resources. The eruption of Mount Semeru in December 2021 caused mass displacement and increased demand for emergency health services in Lumajang District, East Java. Objective: This field report aims to describe the establishment and operationalization of a district-level Health Emergency Operations Center (HEOC) during the acute response to the Mount Semeru eruption. Methods: A descriptive field report design was applied using operational documents, real-time coordination records, and field observations collected during the first ten days of the emergency response. Data were analyzed descriptively to examine coordination mechanisms, information management, volunteer deployment, and logistics monitoring. Results: HEOC activation strengthened command and coordination through routine coordination meetings, centralized health information management, structured volunteer deployment, and integrated logistics monitoring. These mechanisms improved situational awareness, reduced duplication of efforts, and supported timely operational decision-making despite resource constraints. Conclusion: The operationalization of a district-level HEOC enhanced health sector coordination and operational efficiency during the acute response phase. This report provides practical insights into HEOC implementation and highlights its importance for strengthening district-level health emergency preparedness in disaster-prone settings.
Co-Authors Atriana, Dinda BAYU WIBOWO, BAYU Happy R Pangaribuan Hermawan, Dody Oktafianto, Sonny Rahmawati, Iis Ramadhanjaya, Rakhmad Ririn Fitriana Sri Lestari Sutono Sutono Wahyu Ningtyias, Farida Yogadhita, Gde Yulian