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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat E-Dimas: Jurnal Pengabdian kepada Masyarakat Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Al-sihah: The Public Health Science Journal Jurnal Kesehatan Kumawula: Jurnal Pengabdian Kepada Masyarakat Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Insights in Public Health Journal Berita Kedokteran Masyarakat Jurnal Ilmu Kesehatan Masyarakat
Rizqi, Yuditha Nindya Kartika
Department Of Public Health, Faculty Of Health Sciences, Universitas Jenderal Soedirman
Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Nursing Public Health Social Sciences

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Implementasi Program Puskesmas Pelayanan Obstetri dan Neonatal, Emergensi Dasar (PONED) di Kabupaten Banyumas Aisyah Apriliciciliana Aryani; lu'lu Nafisah; Yuditha Nindya Kartika Rizqi
Kesmas Indonesia Vol 15 No 2 (2023): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2023.15.2.8144

Abstract

Setiap kehamilan dan persalinan merupakan kejadian berisiko, oleh karena itu setiap ibu hamil dan bersalin harus berada sedekat mungkin dengan pelayanan obstetri emergensi dasar. Unit pelayanan kesehatan yang dekat dan mampu terjangkau oleh masyarakat puskesmas diharapkan mampu memberikan pelayanan obstetri neonatal emergensi dasar. Di Kabupaten Banyumas ada 13 puskesmas mampu PONED. Puskesmas dalam pelaksanaannya perlu adanya satu langkah evaluasi guna meningkatkan ataupun mempertahankan satu mekanisme yang sudah baik atau kurang baik. Tujuannya adalah untuk melihat implementasi pelayanan puskesmas mampu PONED di Kabupaten Banyumas. Penelitian ini adalah penelitian deskriptif kualitatif dengan unit analisis adalah dokter, bidan, kepala puskesmas, pasien, dan kepala seksi gizi dan kesehatan keluarga Dinas Kesehatan Kabupaten Banyumas. Instrumen penelitian adalah peneliti sendiri, alat yang digunakan adalah tape recorder dan pedoman wawancara. Sistem pendukung pelayanan PONED tersedia, namun ketersediaan pelayanan belum seluruhnya tersedia yakni, alat, obat, dan infrastruktur. Pengelolaan rujukan kasus kegawatdaruratan obstetri dan neonatal belum berjalan dengan baik sesuai dengan kasus, cenderung melakukan rujukan dini. Dukungan pemerintah dan support insentif sangat berpengaruh pada motivasi kerja petugas pelayanan.
Identification of School’s Roles, Adolescent Access, and Exposure to Information on Adolescent Reproductive Health Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika; Aryani, Aisyah Apriliciciliana
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3819

Abstract

The problems experienced by adolescents have an impact on their growth and development and their future. One of the main factors behind this problem is the exposure to information about adolescent reproductive health. This study aims to describe adolescent exposure to information on reproductive health. This type of research is observational with a cross-sectional study design. The sample in this study was 169 unmarried high school students aged 15–20 years who live in Banyumas Regency, totaling 169 people. Most adolescents are female (78.7%), 17 years old (40.8%), and 16 years old (37.9%), live with their parents (95.9%), use social media to find information about adolescent reproductive health (67.5%), considered parents as a more trusted source of information (27.8%) and social media as a less trusted source of information (50.9%). Most adolescents have received counseling about adolescent reproductive health at school (84.6%), provided Youth Information Center and Counseling Program in their schools (36.1%), and never received information about Generation Planner (68%) and Youth Information Center and Counseling Program (58.6%). Adolescents have sufficient access to information on adolescent reproductive health. Still, not a few adolescents have not received information about programs related to Generation Planner and Youth Information Center and Counseling Program. Schools already provide information on adolescent reproductive health and sexuality. However, only a few adolescents receive information about family planning and contraception and are aware of a school's youth counseling and information center.
Sexual Violence on Campus: Student Experiences and Perceptions of Institutional Responses Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika
Al-Sihah : The Public Health Science Journal Volume 16, Nomor 2, July-December 2024
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v16i2.53356

Abstract

Sexual violence in higher education is a global issue with severe impacts on victims' health and academic performance. In Indonesia, its high prevalence is driven by peer norms, patriarchal culture, and inadequate institutional responses. However, critical gaps persist in understanding student perceptions, contributing factors, reporting barriers, and expectations for effective prevention and intervention. This study addresses these gaps by examining perceptions of sexual violence, associated risk factors and impacts, reporting barriers, and preventive expectations among university stakeholders. The research was conducted at Jenderal Soedirman University, employing a qualitative descriptive design that involved 18 informants, including students, counselors, and task force representatives. Data were collected through in-depth interviews and analyzed using content analysis. The findings highlight various forms of violence, including sexual harassment, physical, psychological, and gender-based violence, committed by peers, faculty, or staff. Impacts include psychological trauma and academic disruptions. Barriers to reporting, such as stigma, fear of retaliation, and ineffective mechanisms, were commonly reported. Cultural norms, power imbalances, and insufficient supervision in non-academic activities were found to exacerbate the issue. Informants stressed the need for a shift in cultural attitudes, accessible reporting systems, and victim support services through the implementation of comprehensive prevention and intervention programs.
PELATIHAN MANAJEMEN POS KESEHATAN PESANTREN PADA SANTRI HUSADA SEBAGAI UPAYA PENINGKATAN LAYANAN KESEHATAN DI PESANTREN Nafisah, Lu'lu; Aryani, Aisyah Apriliciciliana; Parmasari, Damairia Hayu; Rizqi, Yuditha Nindya Kartika
Kumawula: Jurnal Pengabdian Kepada Masyarakat Vol 8, No 1 (2025): Kumawula: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/kumawula.v8i1.54530

Abstract

The rapid development of Islamic boarding schools (pesantren) in Indonesia necessitates the enhancement of health services at Poskestren (Islamic boarding school health posts). Poskestren Darussalam in Banyumas Regency has significant potential to improve the health of its students, however, its program implementation remains suboptimal. Health cadres, referred to as Santri Husada, play a critical role in Poskestren management. Therefore, this management training was designed to enhance the capacity of Santri Husada cadres in managing Poskestren, enabling them to deliver better health services for students and contribute to a healthier pesantren environment. This training aimed to improve the knowledge, attitudes, and skills of Poskestren cadres in health post management. The methods used included lectures, discussions, and brainstorming, supported by instructional media such as PowerPoint presentations, modules, flipcharts, and posters. The training involved 33 Santri Husada cadres. Evaluation was conducted by comparing knowledge scores before and after the training. The results showed a statistically significant improvement in participants' knowledge (p-value = 0.001). This training effectively increased the cadres' understanding of health service management in pesantren. However, ongoing support and guidance from local health centers (Puskesmas) need to be strengthened to ensure program sustainability. Pesatnya perkembangan pesantren di Indonesia mendorong peningkatan kualitas layanan kesehatan di Poskestren. Poskestren Darussalam di Kabupaten Banyumas memiliki potensi besar untuk meningkatkan kesehatan santri, namun pelaksanaan programnya masih belum optimal. Kader kesehatan, Santri Husada, memegang peranan penting dalam pengelolaan Poskestren. Oleh karena itu, pelatihan manajemen ini dirancang untuk meningkatkan kapasitas kader Santri Husada dalam mengelola Poskestren, sehingga mampu memberikan layanan kesehatan yang lebih baik bagi santri dan mendukung terwujudnya lingkungan pesantren yang sehat. Pelatihan ini bertujuan meningkatkan pengetahuan, sikap, dan keterampilan kader Poskestren terkait manajemen Poskestren. Metode yang digunakan meliputi ceramah, diskusi, dan brainstorming dengan media seperti powerpoint, modul, lembar balik, dan poster. Kegiatan diikuti oleh 33 kader Santri Husada. Evaluasi dilakukan dengan membandingkan skor pengetahuan sebelum dan sesudah pelatihan. Hasil menunjukkan peningkatan signifikan pada pengetahuan peserta (p value = 0,001). Pelatihan ini efektif dalam meningkatkan pemahaman kader mengenai manajemen pelayanan kesehatan di pesantren. Namun, pembinaan dari Puskesmas setempat masih perlu ditingkatkan untuk mendukung keberlanjutan program.
Determinants of Exclusive Breastfeeding Practices Among Informal Sector Working Mothers Nafisah, Lu'lu; Rizqi, Yuditha Nindya Kartika; Maryati, Leni
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 2 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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

Abstract

Exclusive Breastfeeding (EBF) is essential for optimal infant growth, development, and disease protection.  Despite its well-documented benefits, global EBF rates remain suboptimal, and the rate in Indonesia (52%) remains below the WHO's 2030 target. This study investigates factors affecting EBF among working mothers in the informal sector in Banyumas Regency, Indonesia, a particularly vulnerable group facing challenges like inadequate maternity leave and limited workplace support. A cross-sectional study was conducted with 350 informal sector working mothers. Data on sociodemographic, maternal, work-related, and social factors were collected using a validated and reliable questionnaire and analyzed using univariate, bivariate (chi-square), and multivariate (logistic regression) methods.  The results showed that 68.2% of mothers successfully practiced EBF, a slightly higher rate than reported in previous studies. Multivariate analysis revealed that strong family support (AOR=18.098, 95% CI: 7.396 – 44.285, p<0.001), mother's good knowledge, and positive attitudes were powerful enablers of EBF. Conversely, several counter-intuitive associations were found: lower maternal education (AOR=16.008, 95% CI: 3.422 – 74.894, p<0.001), longer work duration (>8 hours/day; AOR=7.434, 95% CI: 3.364 – 16.426, p<0.001), primiparous status (AOR=3.998, 95% CI: 1.830 – 8.734, p=0.001), non-performance of immediate breastfeeding (AOR=8.535, 95% CI: 3.523 – 20.675, p<0.001), and non-consumption of breast milk boosters (AOR=5.229, 95% CI: 1.284 – 21.291, p=0.021) were all independently associated with a higher likelihood of EBF. Maternal age was not found to be a significant determinant. This study revealed highly complex, context-specific determinants of exclusive breastfeeding (EBF) among informal sector working mothers, often diverging from patterns observed in formally employed populations. Key findings underscore the need for tailored, context-sensitive interventions focusing on strengthening informal social support, advocating for adaptive work accommodations, and providing targeted education.
Co-Authors Aisyah Apriliciciliana Aryani ARIF KURNIAWAN Arih Diyaning Intiasari Arrum Firda Ayu Maqfiroch, Arrum Firda Ayu Bonisa Nursari Dwi Handono Sulistyo Laksono Trisnantoro Lu'lu Nafisah Maryati, Leni Nafisah, Lu'lu Nafisah, Lu'lu nafisah, lulu Parmasari, Damairia Hayu Riesa Daeyani Rubai, Windri Lesmana