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All Journal International Journal of Public Health Science (IJPHS) The Indonesian Journal of Public Health Jurnal Layanan Masyarakat (Journal of Public Service) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH International Journal of Public Health Excellence (IJPHE) Jurnal Keperawatan Health Community Engagement Community Empowerment in Health Frontiers in Community Service and Empowerment Jurnal Keperawatan (e-Journal)
Baiq Dewi Harnani R
Poltekkes Kemenkes Surabaya
Humanities Decision Sciences, Operations Research & Management Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Contributory Factors to the Inability of the Poor to Access National Health Protection: A Case Study in Waingapu, Sumba Timur District, Indonesia Windi, Yohanes Kambaru; Harnani, Baiq Dewi; Asnani
Journal of Community Medicine and Public Health Research Vol. 5 No. 2 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i2.57065

Abstract

Millions of poor Indonesians still need access to Indonesia's National Health Protection (NHP). The study investigated barriers making NHP inaccessible for the poor in Waingapu, Sumba Timur, Indonesia.  We used a qualitative approach to identify the contributing factors to why NHP was inaccessible for some populations. A total of 30 residents of Waingapu who attended healthcare in two hospitals and five Community Health Centers were recruited using convenience technic. Twenty residents participated in the semi-structured interview, while ten engaged in casual conversations. We also interviewed three heads of community groups and three health cadres for comparative information. Questions have been developed to guide the interviews and casual conversation. The interviews were audio-taped and transcribed while intensive note-taking was performed during the informal discussion or the conversation was narrated immediately after the talks ended. The information was inductive, analyzed, and coded to produce common information among the participants. The data analysis revealed the factors that contributed to the failure of the resident to enroll in the NHP, such as lack of information about the registration, poor socialization of the program, the ignorance of village officers, unaffordability, and confusion about the parties responsible for the registration. The study concluded that poor people were still vulnerable to access free coverage and healthcare from the NHP. The stakeholders of the NHP, especially the local management of NHP and local government, need to urgently and effectively educate the commoners about the mechanism, benefits, and contribution to the NHP to ensure equity and equality in accessing quality healthcare.
PRODUKSI ASI PADA IBU NIFAS YANG MELAKUKAN PERAWATAN PAYUDARA DI WILAYAH PESAPEN SURABAYA Baiq Dewi Harnani R; Yohanes K Windi; Runtiyani Runtiyani
JURNAL KEPERAWATAN Vol. 15 No. 2 (2021)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v15i2.74

Abstract

ABSTRAK Perawatan payudara yang baik sangat mempengaruhi kelancaran produksi ASI. Tujuan penelitian ini adalah perawatan payudara dan produksi ASI di antara ibu nifas di wilayah Pesapen Surabaya. Desain penelitian yang digunakan adalah deskriptif. Populasi Ibu Nifas adalah 15 responden. Variabel pada penelitian ini yaitu produksi ASI pada Ibu Nifas dan seberapa sering Ibu Nifas melakukan perawatan payudara. Instrumen pengumpulan data menggunakan formulir kuesioner Hasil penelitian ini didapati bahwa ibu dengan produksi ASI lancar sebanyak 12 Ibu Nifas (80%) sedangkan produksi ASI tidak lancar sebanyak (20%). Dalam seberapa sering Ibu Nifas yang melakukan perawatan payudara dengan baik sebanyak 9 Ibu Nifas (60%) dan 6 Ibu Nifas yang melakukan perawatan payudara cukup (40%). Oleh karena itu diharapkan kepada tenaga kesehatan untuk lebih banyak memberikan informasi tentang pentingnya perawatan payudara dan tetap meningkatkan dan mempertahankan tentang cara perawatan payudara untuk meningkatkan produksi ASI. . Kata Kunci : Produksi ASI, Ibu Nifas, Perawatan Payudara ABSTRACT Adequate breast care improves the breast milk production. The study aims to identify the breast care activity and the breast milk production among post partum mothers at Pesapen Surabaya. The study is descriptive. The study population includes 15 post partum mothers and all of them are appointed as the study participants. Breast care activity and breast milk production are the variables of the study. The data were collected using questionnaires. The study shows that 12 (80%) post partum mothers have adequate breast milk production, and respectively 3 (20%) have inadequate production of milk. Also, 9 (60%) mothers perform adequate breastcare while 6 (40%) have moderate breastcare activity. The study recommends that health staff need to provide health education and promotion about the importance of breastcare to boost the breastmilk production. Keywords: Breast milk production, post partum, breastcare
PENGETAHUAN TENTANG GASTRITIS PADA PRAJURIT DI BALAI PENGOBATAN SATLINLAMIL SURABAYA Baiq Dewi Harnani Harnani; Dyah Wijayanti Wijayanti; Joko Punomo Punomo
JURNAL KEPERAWATAN Vol. 15 No. 3 (2021)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v15i3.81

Abstract

ABSTRAK Gastritis banyak terjadi dikalangan masyarakat, demikian juga di lingkungan prajurit. Peneliti melakukan survey dalam 1 minggu ada 1-2 prajurit yang bekunjung ke Balai Pengobatan Satlinlamil Surabaya dengan keluhan gangguan pencernaan seperti nyeri ulu hati, mual, perut kembung, dan rasa tidak enak diperut. Gastritis dapat menggangu kesiapan prajurit dalam melaksanakan tugas, dan prajurit di Balai Pengobatan Satlinlamil Surabaya memiliki tugas yang berat sehingga mereka harus senantiasa menjaga kesehatannya. Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan prajurit tentang gastritis di Balai Pengobatan Satlinlamil Surabaya. Desain penelitian ini adalah penelitian Deskriptif yaitu suatu penelitian untuk mendeskriptifkan atau menggambarkan fenomena yang terjadi pada populasi tertentu. Populasi penelitian ini adalah prajurit di Balai Pengobatan Satlinlamil Surabaya, dengan cara Total sampling sebanyak 25 responden. Hasil penelitian ini menunjukan bahwa tingkat pengetahuan prajurit tentang penyakit Gastritis di Balai Pengobatan Satlinlamil Surabaya dikategorikan baik dengan jumlah16 responden (64%), namun masih ada beberapa prajurit dengan tingkat pengetahuan tentang gastritis cukup dan bahkan kurang. Program penyuluhan rutin dan edukasi yang baik tentang kesehatan kepada prajurit serta pemasangan poster, pamflet ditempat yang tepat adalah suatu usaha untuk meningkatkan tingkat pengetahuan prajurit. Kata kunci : Gastritis, Tingkat pengetahuan, Prajurit. ABSTRACT Gastritis occurs mostly among the people, as well as in the army environment. Researchers conducted a survey in one week there were 1-2 soldiers who visited the Surabaya Satlinlamil Medical Center with complaints of digestive disorders such as heartburn, nausea, flatulence, and stomach discomfort. Gastritis can interfere with the readiness of soldiers to carry out their duties, and soldiers at the Surabaya Satlinlamil Medical Center have a tough task so they must always maintain their health. The purpose of this study was to determine the level of knowledge of soldiers about gastritis in the Surabaya Satlinlamil Medical Center. The design of this research is descriptive research which is a study to describe or describe phenomena that occur in certain populations. The population of this study were soldiers at the Surabaya Satlinlamil Medical Center, with a total sampling of 25 respondents. The results of this study indicate that the level of knowledge of soldiers about gastritis at the Surabaya Satlinlamil Medical Center is categorized as good with 16 respondents (64%), but there are still some soldiers with sufficient and even less knowledge about gastritis. Routine outreach programs and good education about health to soldiers and the installation of posters, pamphlets in the right place is an effort to increase the level of knowledge of soldiers. Keywords : Gastritis, Level of knowledge, Soldier.
HEALTH CARE SATISFACTION OF PATIENTS COVERED BY NATIONAL HEALTH INSURANCE IN WAINGAPU, SUMBA TIMUR, INDONESIA Windi, Yohanes Kambaru; Asnani; Harnani, Baiq Dewi
The Indonesian Journal of Public Health Vol. 20 No. 2 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i2.2025.391-401

Abstract

Introduction: Membership in Indonesia's National Health Insurance (NHI) has dramatically increased, especially among the subsidized poor group, reaching 83.9% of the 229.9 million people enrolled in the scheme. However, patients’ satisfaction with care provided under this coverage remains uncertain. Aims: To measure the health care satisfaction of patients covered by the NHI in Waingapu, Sumba Timur District, East Nusa Tenggara Province, Indonesia. Method: An explanatory cross-sectional study was conducted with 500 patients recruited from three hospitals and 10 community health centers. The Patient-Perceived Indicators of Satisfaction (PPIS) tool was developed for data collection. Descriptive statistical analysis was used to evaluate satisfaction level, while confirmatory factor analysis (CFA) tested the strength of association between indicators and patient satisfaction. Results: Most patients were very satisfied with the health care received; reliability (62%), assurance (52.2%), empathy (56.4%), tangible (49.6%), and responsiveness (45.4%). The CFA confirmed key indicators, including the availability of medicines as central to reliability (0.771), effective medicine (0.788), availability of parking area (0.814) for tangibles, motivation provided by health staff (0.804) for empathy, and responsiveness of pharmaceutical services (0.782). Among all dimensions, patients reported the highest satisfaction in assurance of health care (0.950), while satisfaction on tangible aspects (0.874) received the lowest rating. Conclusion: The study concludes that patients covered by the NHI are satisfied with the expected quality of health care services. However, satisfaction levels vary across individual indicators and dimensions.
EMPOWERING ADOLESCENTS AS STUNTING PREVENTION AGENTS: SWABANTU PROGRAM THROUGH ANTHROPOMETRIC SCREENING TRAINING AND PRACTICE Yumni, Hilmi; Minarti, Minarti; Fadilah, Nikmatul; Harnani, Baiq Dewi
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 3 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i3.2025.462-475

Abstract

Stunting is a chronic nutritional problem that remains a public health challenge, including in Sidoarjo Regency. Adolescents play a strategic role as agents of change in stunting prevention through information dissemination and direct involvement in nutritional screening. This community service activity aims to empower adolescents through an educational and participatory approach integrated into the Swabantu Program. The activities include increasing knowledge, training on anthropometric measurement skills, and field practice with the guidance of healthcare personnel and cadres. The participants comprised 40 adolescents, health cadres, and 10 community leaders. The activities were conducted in four sessions, which included: providing material on stunting and adolescent reproductive health; training in the measurement skills of height, weight, and upper arm circumference; conducting measurements on eight toddlers; and presenting and interpreting the results. The implementation methods included interactive lectures, question and answer, group discussions, skill stations, field practice, and evaluation using pre-tests and post-tests. Learning media included educational modules, early detection identification sheets, and measuring tools such as microtoise, digital scales, and upper arm circumference tapes. The pre-test and post-test instruments were validated by experts and analyzed descriptively, with paired t-tests used to measure intervention effectiveness. The results showed an average knowledge score increase from 58.2 to 78.6 (p < 0.05), with 100% of participants performing anthropometric measurements correctly. Qualitative data were analyzed thematically through observation and discussions. Assessments of the eight toddlers showed that all had normal height, 62.5% were underweight, and 87.5% had normal upper arm circumference. Challenges during implementation included limited field practice time, variation in participant understanding, and coordination with toddler families. Nevertheless, this activity successfully enhanced adolescents' knowledge, skills, and potential as community agents in stunting prevention.
Misperception of the benefits and working mechanism of the National Health Protection in the District of Sumba Timur, Indonesia Asnani; Windi, Yohanes Kambaru; Harnani, Baiq Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.838

Abstract

The National Health Insurance (NHI) of Indonesia covers the health care of nearly the whole population of Indonesia. However, misunderstandings of the benefits and the healthcare access mechanism are still evident. The study aims to identify misperceptions regarding the benefits and working mechanisms of the NHI in Waingapu, Sumba Timur District, Indonesia. A qualitative inquiry identifies the misperception about NHI's benefits and working mechanism. Thirty residents were recruited using the consecutive procedure to participate in the study. The data collections are semi-structured interviews, casual conversations, and inductively analyzed. The qualitative analysis identifies that people perceive that the administrative procedure of health care under NHI is complicated, has unlimited drugs and health care coverage, and the premium contribution is claimable. People perceive the management of NHI to treat them as debtors when they delay paying their contributions. People feel they are being treated unfairly because NHI does not provide all health services, but they ask for a guarantee if NHI does not cover health services. It is concluded that the people are underinformed about NHI's benefits and working mechanism. The management of NHI and associated stakeholders should implement ongoing educational programs and promotional efforts to increase awareness and understanding of the NHI system.
Co-Authors ., Asnani Asnani Asnani As’ari Hasyim Bambang Heriyanto Cahyono, Intim Dinarwiyata Dinarwiyata Dinarwiyata Dinarwiyata Dyah Wijayanti DYAH WIJAYANTI Eko Rustamaji Eko Rustamaji W Fendy Suhariadi Hasyim As'ari Hasyim Asari Hasyim As’ari Hasyim As’ari Heru Sulistijono Heru Sulistijono Hilmi Yumni Intim Cahyono Joko Punomo Punomo Kumala, Ferry Minarti Minarti Minarti Minarti Nikmatul Fadilah Nikmatul Fadilah Nikmatul Fadilah Noer Saudah Nurkholifah Siti Oedojo Sudirham Runtiyani Runtiyani Siti Nur Kholifah Siti Nurkholifah Suriana Suriana Suriana Suriana Tumini Tumini Windi Yohanes Kambaru Windi, Yohanes Kambaru Y.K Windi Yohanes K Windi Yohanes Kambaru Windi