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Prima Dewi Kusumawati
Universitas STRADA Indonesia
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Analysis of Midwife Performance, Family Support, and Health Facilities on Antenatal Care Visits Sulistina Dewiyanti; Yenny Puspitasari; Prima Dewi Kusumawati
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.671

Abstract

Antenatal care (ANC) utilization is a key indicator of maternal health outcomes; however, coverage remains suboptimal, with many pregnant women failing to meet recommended visit standards. This study aimed to examine the influence of midwives' performance, family support, and the availability of health facilities on compliance with ANC visits among pregnant women. A quantitative, observational, cross-sectional study was conducted involving 147 pregnant women selected by simple random sampling. Data were obtained from medical records and structured questionnaires and analyzed using univariate, bivariate (chi-square test), and multivariate (logistic regression) techniques. The results demonstrated that midwives' performance was significantly associated with ANC visit completeness (χ² = 228.766; p < 0.001). Similarly, family support (χ²=208.597; p<0.001) and the availability of health facilities (χ²=164.881; p<0.001) were significantly associated with ANC compliance. Multivariate analysis confirmed that these factors were significant predictors of ANC utilization. midwives' performance, family support, and the availability of health facilities all play critical roles in improving compliance with ANC visits. Strengthening healthcare provider performance, enhancing family involvement, and ensuring adequate health service infrastructure are essential strategies to increase ANC coverage and improve maternal health outcomes.
Community-Based Digital Support for Adolescent Violence Prevention and Emotional Well-Being Prima Dewi Kusumawati; Reni Nurhidayah; Dhita Kurnia Sari; Koesnadi
Journal for Quality in Public Health Vol. 9 No. 2 (2026): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v9i2.615

Abstract

Adolescent violence and emotional problems have become important public health concerns, while existing support services remain limited, fragmented, and often inaccessible for adolescents. This study aimed to evaluate the effectiveness of community-based digital support through the SPEAKUP! platform in improving violence prevention awareness and emotional well-being among adolescents. A randomized controlled trial was conducted among 416 adolescents from senior high schools and vocational schools in Pare District, Kediri Regency, Indonesia. Participants were randomly assigned into intervention and control groups. The intervention group received access to the SPEAKUP! platform for four weeks, including educational videos, self-screening, positive discussion forums, emotion journaling, and relaxation guidance, while the control group received conventional health education. Data were collected using validated questionnaires measuring violence prevention knowledge, attitudes, and emotional well-being before and after the intervention. The findings showed significant improvements in violence prevention knowledge and attitudes among adolescents in the intervention group compared with the control group. Emotional well-being also improved significantly, indicated by reduced emotional and behavioral difficulty scores after the intervention. The results suggest that community-based digital support provides adolescents with accessible, private, and engaging psychosocial support while strengthening preventive behaviors related to violence. Integrating digital support platforms into adolescent community health programs may enhance violence prevention and emotional support services in schools and community settings.
Flashcard sebagai Media Edukasi Efek Samping Obat Anti-Tuberculosis pada Pasien dan Pendamping di Puskesmas Palaran Prima Dewi Kusumawati; Yuliati Yuliati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 8 (2026): Volume 9 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i8.27047

Abstract

ABSTRAK Tuberkulosis (TB) masih menjadi masalah kesehatan global dengan beban kejadian dan kematian yang tinggi, di mana keberhasilan terapi Obat Anti-Tuberkulosis (OAT) sangat ditentukan oleh kepatuhan pasien selama minimal enam bulan. Munculnya efek samping OAT yang tidak dikenali dan ditangani secara tepat oleh pasien maupun Pendamping Minum Obat (PMO) sering menjadi penyebab utama putus obat. Pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan pasien TB dan PMO mengenai efek samping OAT melalui media edukasi flashcard yang dilengkapi QR-Code, dengan pendekatan Theory of Planned Behavior dan Social Support Theory. Metode kegiatan ini menggunakan pendekatan edukasi partisipatif dengan desain pre-test dan post-test pada 32 responden (pasien TB dan PMO) di Puskesmas Palaran. Kegiatan dimulai dengan penyampaian materi menggunakan flashcard bergambar serta video edukasi yang dapat diakses mandiri melalui pemindaian QR-Code. Hasil kegiatan menunjukkan peningkatan pengetahuan setelah di edukasi tentang efek samping obat anti-tuberculosis. Hasil statistik dengan Uji Wilcoxon Signed Ranks menunjukkan perbedaan yang bermakna secara statistik (p 0,001). Temuan ini menegaskan bahwa edukasi menggunakan flashcard dengan QR-Code efektif meningkatkan pengetahuan pasien dan PMO tentang efek samping OAT, sehingga berpotensi menjadi landasan penting dalam mendukung kepatuhan pengobatan dan pencegahan putus obat. Namun penelitian ini belum secara langsung mengukur outcome kepatuhan pengobatan pasien Tuberculosis di Puskesmas Palaran Kota Samarinda. Kata Kunci: Tuberkulosis, Efek Samping OAT, Flashcard, QR-Code, Edukasi Kesehatan.  ABSTRACT Tuberculosis (TB) remains a major global health problem with a high burden of morbidity and mortality, and the success of Anti-Tuberculosis Drug (ATD) therapy largely depends on patient adherence for at least six months. Unrecognized and poorly managed ATD side effects among patients and their treatment supporters (PMO) are a leading cause of treatment discontinuation. This community service activity aimed to improve the knowledge of TB patients and PMO regarding ATD side effects through an educational flashcard equipped with a QR-Code, developed based on the Theory of Planned Behavior and Social Support Theory. A participatory educational approach with a pre-test and post-test design was applied to 32 respondents (TB patients and PMO) at Palaran Health Center, involving the delivery of illustrated flashcards and self-accessible educational videos through QR-Code scanning. The results of the study showed an increase in knowledge following education on the side effects of anti-tuberculosis drugs. Statistical results from The Wilcoxon Signed Ranks Test revealed a statistically significant difference (sig 0.0010.05). These findings indicate that flashcard-based education integrated with QR-Code is effective in improving the knowledge of patients and PMO regarding ATD side effects, and may serve as an important foundation for supporting treatment adherence and preventing treatment dropout. However, this study did not directly measure treatment adherence outcomes among tuberculosis patients at the Palaran Health Center in Samarinda City. Keywords: Tuberculosis, Anti-Tuberculosis Drug Side eEfects, Flashcard, QR-Code, health Education.
The Influence of Work Environment Factors, Employee Motivation and Safety Culture on Patient Safety Performance Esterlina Mitakda; Prima Dewi Kusumawati; Indasah Indasah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5853

Abstract

Ensuring patient safety is a critical aspect of healthcare services, influenced by various factors, including the work environment, employee motivation, and safety culture. A well-structured work environment, high motivation levels, and a strong safety culture are expected to enhance healthcare workers' performance in maintaining patient safety. However, the extent of these influences needs further investigation. This study aims to analyze the relationship between work environment, work motivation, and safety culture with patient safety performance in a healthcare setting. A quantitative approach was applied using a cross-sectional study design. Data were collected from 165 healthcare workers through a structured questionnaire. The questionnaire did not undergo validity and reliability testing because it was adopted from previously validated and widely used instruments in prior research. Since the questionnaire has already been tested for accuracy and consistency in measuring the intended variables, further validity and reliability assessments were deemed unnecessary. The Spearman correlation test was used to examine the relationship between variables, while ANOVA was conducted to assess the combined influence of the independent variables on patient safety performance. The findings revealed a significant positive correlation between patient satisfaction and healthcare service quality (p = 0.000). Similarly, work motivation was significantly correlated with patient safety performance (p = 0.0), with respondents consistently rating motivation as good. Safety culture also showed a significant positive correlation with patient safety performance (p = 0.041), with a correlation coefficient of 0.065, indicating a moderate relationship. The study concludes that a supportive work environment, high work motivation, and a strong safety culture contribute significantly to patient safety performance.
Exploratory Descriptive Study on the Management og Hospital Facilities and Infrastructure Muhammad Saleh; Prima Dewi Kusumawati; Nurwijayanti; Ning Arti Wulandari; Andi Hayyun Abiddin
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p161-169

Abstract

Management of facilities and infrastructure has a very important role in the effectiveness of health services, especially in Medical Rehabilitation Installations. Hospitals face challenges related to increasing patient volumes, leading to patient overcrowding and extended waiting times. The aim of this research was to analyze the management of hospital service facilities and infrastructure. The design of this research was exploratory descriptive with a qualitative approach. The subjects of this research were 11 subjects from units related to hospital services at the West Sidoarjo General Hospital. The data collection process was carried out using interviews, observation and documentation. This study showed that improving coordination between management and medical staff as well as improving medical equipment maintenance systems will make a significant contribution to hospitals' ability to meet healthcare needs efficiently. Hospitals need to carry out routine training on the use of medical equipment, form equipment maintenance teams and carry out regular audits.
Husband’s Role in Caring for Stunted Children: Patriarchal Culture Perspective in Kupang Joli Riyana Nubatonis; Prima Dewi Kusumawati; Byba Melda Suhita
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): 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.v7i6.433

Abstract

Patriarchal culture shapes gender roles in childcare, often restricting fathers’ involvement and placing the main caregiving responsibility on mothers. Such conditions may contribute to child health problems, particularly stunting, which remains a significant public health challenge in Indonesia, especially in East Nusa Tenggara. This study aimed to explore husbands’ behaviour in caring for children with stunting from the perspective of patriarchal culture in Tarus Village, Kupang Regency. A qualitative exploratory research with an ethnographic approach was conducted through in-depth semi-structured interviews involving eight participants (four husbands and four wives) who met the inclusion criteria. Data were analysed using Interpretative Phenomenological Analysis (IPA). The analysis generated five major themes: (1) dominance of patriarchal culture, (2) limited involvement of husbands, (3) gender-based affection and stimulation, (4) emotional challenges in managing stunting, and (5) hope and resilience. These findings demonstrate how patriarchal norms restrict the father’s role and reinforce the mother’s primary responsibility in childcare. Patriarchal values significantly influence childcare practices, resulting in minimal paternal involvement in preventing stunting. To address this, gender-sensitive interventions are required, including father-focused training, public awareness campaigns, and family-supportive policies to strengthen paternal roles and reduce stunting prevalence.
Developing an Integrative Community-Based Social Health Model to Improve Quality of Life in Indonesian Primary Care: A Scoping Review Kusumawati, Prima Dewi; Koesnadi, Koesnadi
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.686

Abstract

Background: Quality of life (QoL) is influenced by health services and social determinants of health. However, evidence integrating community empowerment, social support, community health workers (CHWs), and primary health care (PHC) into a comprehensive QoL model remains limited, particularly in Indonesian PHC settings. This scoping review aimed to map current evidence and develop an integrative conceptual framework for a community-based social health model to improve QoL. Methods: The review followed PRISMA-ScR, the Arksey and O'Malley framework, Levac et al.'s enhancement, and Joanna Briggs Institute guidance. Using the Population-Concept-Context (PCC) framework, searches were conducted across five databases and relevant grey literature. Studies published between 2021 and 2026 were synthesized through systematic extraction, thematic coding, theoretical alignment, and evidence-to-framework development to generate an integrative community-based social health model for QoL improvement. Results: From 164 identified records, 50 sources were included. Five interconnected themes informed the proposed model: local needs assessment, community empowerment, social capital and social support, CHW-PHC integration, and quality-of-life-oriented evaluation. The framework's novelty lies in specifying how local assessment creates contextual fit, empowerment builds agency, social capital provides relational resources, CHW-PHC integration links social needs with services, and QoL-oriented evaluation functions as both endpoint and feedback loop. Evidence also indicated gaps in context-specific implementation studies from Indonesia, rural communities, and low-resource PHC settings, as well as limited validation using standardized QoL indicators. Conclusion: The proposed model integrates social and health-system determinants of QoL into a community-oriented PHC framework. However, empirical validation, pilot implementation, and effectiveness evaluation are needed before widespread adoption across diverse Indonesian community settings.
From Text to Context: The Social Impact of Contemporary Literary Themes in Multicultural Communities Prima Dewi Kusumawati; Lucy Lidiawati Santioso; Noorhani Dyani Laksmi
Journal of Humanities Research Sustainability Vol. 3 No. 1 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/jhrs.v3i1.3222

Abstract

Background. Contemporary literature increasingly functions as a social medium through which multicultural communities negotiate identity, belonging, and coexistence. In plural societies shaped by migration, cultural hybridity, and social inequality, literary themes extend beyond aesthetic concerns to engage with lived social realities and communal interactions. Purpose. This study aims to examine how contemporary literary themes influence social awareness, intercultural understanding, and community dynamics within multicultural contexts. Method. The study employs a qualitative interpretative approach using textual analysis and sociocultural criticism. Selected contemporary literary works representing diverse cultural backgrounds are analyzed to identify dominant themes and their social implications within multicultural communities. Results. This study concludes that contemporary literature contributes meaningfully to social cohesion and intercultural engagement by translating textual narratives into broader social contexts. Literary works not only reflect multicultural realities but actively participate in shaping inclusive social imaginaries and communal understanding. Conclusion. This study has significant implications for instructional practices in TFL settings and for L2 lecturers in the classroom. By understanding learners’ preferences for OCF, educators can tailor their instructional approaches to meet the specific needs of their students.
Tactile Stimulation and Active-Assisted Exercise on Motor Function and Functional Ability of Upper Extremity in Post-Stroke Patients Fahma Yulinda Ekasari; Prima Dewi Kusumawati; Agustin Widyowati; Siti Farida Noor Layla; Novita Ana Anggraini
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5315

Abstract

Post-stroke sensorimotor disorders are the leading cause of long-term disability in adults. The purpose of this research was to analyze the combined effect of tactile stimulation and active-assisted exercise on upper-extremity motor function and functional activity in post-stroke patients at Physio Dahsyat Home Care. A Quasi-Experimental Design was used with purposive sampling. Thirty participants were divided into two groups: Group A, a combination of tactile stimulation and active assisted exercise; and Group B, electrical stimulation and PNF. The average scores of FMA-UE and CAHAI-8 in Group A were 16.33 to 60.13 and 14.80 to 52.73. In Group B, the average score was 13.40 to 48.07 and 13.40 to 44.87. Paired t-tests showed p-values<0.001 for both Group A and Group B, indicating a significant effect in both groups. An independent test showed a significant. <0.001, indicating a comparison of the impact on motor function and functional activity of the upper extremity. The highest average scores for motor function and functional activity in Group A were 60.13 and 52.73. A combination of tactile stimulation and active-assisted exercise was more effective, leading to increased muscle strength through motor unit activation; the more motor units involved, the greater the increase in muscle strength.
Peningkatan Pengetahuan dan Kepatuhan Pasien Hipertensi melalui Edukasi Self-Management di Puskesmas Aifat, Kabupaten Maybrat Sinar Aisyah; Prima Dewi Kusumawati
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 4 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i4.985

Abstract

Introduction: Hypertension remains one of the leading non-communicable diseases requiring lifelong treatment. However, low medication adherence and limited patient understanding of hypertension management continue to hinder successful blood pressure control, particularly in primary healthcare settings. Community-based health education emphasizing self-management is considered an effective strategy to improve patients' knowledge and adherence to treatment. Objective: The purpose of this service was to improve the knowledge and medication adherence of patients with hypertension through a self-management education program implemented at the Aifat Primary Health Center, Maybrat Regency. Method: This public service was conducted using a participatory educational approach based on a structured health education plan. Thirty patients with hypertension participated in the program, which included blood pressure screening, pre-test assessment, interactive health education, group discussion, demonstration of the PAGAR-AIFAT Standard Operating Procedure, distribution of educational leaflets, family involvement, and post-test evaluation to assess changes in participants' knowledge and treatment adherence. Result: The evaluation showed an improvement in participants’ knowledge and medication adherence after the intervention. The proportion of participants with good knowledge increased to 60.0%, while high medication adherence reached 56.7% after the education program. The implementation of the PAGAR-AIFAT approach and educational leaflets provided practical tools to support continuous medication management and hypertension self-care. Conclusion: Self-management education combined with family involvement and the implementation of the PAGAR-AIFAT approach effectively enhanced patients' knowledge and medication adherence. This community service program can serve as a practical and sustainable educational model to strengthen hypertension management in primary healthcare services.
Co-Authors A, Chevy Herli Sumerli Aat Agustini Abiddin, Andi Hayyun Abigael Laritmas Adani Dinanhashfi Hersariti Adetya Wahyu Dwi Jaya Afelina Krissinta Rahayu Putri Agus Sucipto Agusta Dian Ellina Agustin Widyowati Ajeng Rahardyani Hersariti Alfi Yudisianto Alfian Fawzi Ambarsari, Fifin Amelia Indah Mawarni Aning Laorani Anshoriyah, Sofiyatul Aprin Rusmawati Ardi Bastian Ardilla Oktaviana Arlia Arlia Asbath Asih Pusparin Asih Puspitasari Asmaul Khusna Asnuddin, Asnuddin Atik Setiawan Wahyuningsih Baiq Hikma Rahmatin Betharia Mardiyani Billy Anoraga, Aditya Binti Ratna Khomsiyatin Byba Melda Byba Melda Suhita Byba Melda Suhita Byba Melda Suhita Candra Wahyuni Choirul Amri Chusnul Justati David Rhesy Saputrodewo Dedi Saifulah Deivita, Yan Delvy Mardvin Siokain Dewi Zuniawati Dhita Kurnia Sari Dhita Kurnia Sari Eli Sabrifha Elok Aqila Febriani Elok Aqila Febriani Endang Dwiwati Eny Susilowati Esterlina Mitakda Fadli Fadli Fahma Yulinda Ekasari Fendi, Yuskinau Ferdiana Azhar Fernandez, Fransisca Debby Christine Fitra Okta Damayanti Fitriani Abdal Fonnie Kuhu Hariyono, Hariyono Haswita, Haswita Hengky Irawan Heri Saputro Idana, Rindang Farihah Idawati, Candra Ikhlasiah, Marthia Ikko Ambar Noviana Indasah Indasah Indrawati, Iing Yuli Jamilatus Sholeha Joel Rey Ugsang Acob Johansyah Johansyah Joko Prasetyo Joko Prasetyo Joko Sutrisno Joko Sutrisno Joko Sutrisno Joli Riyana Nubatonis Kamesyworo, Kamesyworo Katmini Khasanah, Mutiara Koesnadi Koesnadi Koesnadi, Koesnadi Kurnia Sari, Dhita Kurniati, Ana La Joni Laorani, Aning Larasati, Nindya Cahya Lucy Lidiawati Santioso Maidelwita, Yani Maria, Iva Jaya Mendieta, Gaiska Muhammad Saleh Mutmaina, Andi Nadya Risky Aini Nasution Nafa Zunaidah Fahma Natalia Lisma Br Sembiring Nindya Cahya Larasati Ning Arti Wulandari Ningsih, Eka Sarofah Noelio Auxilio Pedro Martins Noorhani Dyani Laksmi Novita Ana Anggraini Novita Ana Anggraini Nugroho, Budi Sulistiyo Nur Widya Trisnawati Nur Widya Trisnawati Nur ‘Azah Nurhidayati, Wa Ode Nurwijayanti Ode Muhammad Ady Ardyawan, La Pande Ayu Naya Kasih Permatananda Priska Delima Saputri Pudyastuti, Rita Rena Puspitasari, Asih Putri, Elvina Triana Ragilia, Sepda Rahayuningsih, Umi Rahmania Ambarika Ratna Wardani Reni Nurhidayah Reni Nurhidayah Sabrifha, Eli Sahat Tua Naiboha, Beres Sepda Ragilia Sergio Rodrigues Soares Sinar Aisyah Siti Farida Noor Layla Siti Komariyah Slamet Djoko Sunarko Soares, Sergio Rodrigues Sri Wahyu Ekowati Sulasiyah, Siti Sulistina Dewiyanti Sulkifli Nurdin Sunanto Sunanto Suprapto, Sentot Imam Surahman Sukron Rosyadi Susi Susanah Susi Wirawati Triyono Sutrisno Sutrisno Sutrisno Sutrisno Sutrisno, Vivi Koernia Waty Trisnawati, Nur Widya Trisnawati, Nur Widya Venty Suryanti Wahyuni, Retno Dwi Wardani, Ratna Wawan Kurniawan Weraman, Pius Wiji Astuti Winarningsih, Rahayu Arum Wing Wiryanto Waang Wing Wiryanto Waang Wiwit Azmi Lestari Yadnya, I Dewa Gede Sayang Adi Yammar Yan Deivita Yenny Puspitasari Yohanes Deo Fau Yuli Peristiowati, Yuli Yuliati Yuliati Yuly Peristiowati Yuly Peristiowati Zil Fauzi, Ahmad Zulkifli