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The Evaluation of The Achievements of Universal Health Coverage Program in Health Facilities in Gresik District Wiwik Widiyawati; Widiharti; Diah Ratnasari; Endah Mulyani; Kholifah, Anik Nur; Indarto, Tomi
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p130-138

Abstract

Quality and affordable health services are a government obligation that must be provided to every citizen. Universal Health Coverage (UHC) refers to a health care system that provides quality health care coverage and financial protection to all citizens. In implementing UHC there are various challenges that can hinder the achievement of UHC, especially in Gresik Regency. This research aimed to provide results on the achievement value of the UHC program in Gresik Regency. The type of the research was a mix method, namely a mixture of qualitative and quantitative types of research. The research was carried out at first-level government facilities, namely 32 Community Health Centers in Gresik Regency. The assessment of UHC data in this research was based on several indicators, namely membership, basic service coverage and UHC utilization. The research results showed (1) Total JKN membership meets the Great category (2) JKN membership was based on the membership segment of the majority of APBN Contribution Assistance Recipients (3) UHC basic service coverage was based on (a) Maternal & Child Health Dimensions, the majority was in the good category (b) The majority of Infectious Diseases Dimensions good category (c) The majority of Non-Communicable Diseases dimensions were in the poor category (d) The majority of the dimensions of Capacity & Access to Health Services were in the good category
ANSI (ANTI-HYPERTENSION) EXERCISE IS EFFECTIVE IN REDUCING BLOOD PRESSURE HYPERTENSION PATIENTS Dwi Lina Octavia; widiharti; Ervi Suminar; Diah Jerita Eka Sari
Indonesian Journal of Community Health Nursing Vol. 10 No. 2 (2025): AUGUST 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v10i2.68871

Abstract

Introduction: Hypertension is a condition in which blood pressure in the blood vessels chronically increases. Apart from pharmacological therapy, management of hypertension uses non-pharmacological therapy such as ANSI (Anti Hypertension) exercises. This study aims to analyze the effect of ANSI (Anti Hypertension) exercise on blood pressure in hypertensive patients. Method: This research has a pre-experimental one group pre-post test design. Population of 107 hypertensive patients aged 56 - 65 years at the Industrial Health Center, Gresik District, Gresik Regency, East Java. A total of 44 hypertensive patients were included as samples based on a purposive sampling technique. The independent variable in this study is ANSI (Anti Hypertension) exercise and the dependent variable in this study is the blood pressure of hypertensive patients. The instruments used in this research were the Standard Operational Procedure (SOP) for ANSI (Anti Hypertension) exercise, a digital sphygmomanometer and a blood pressure observation sheet. The data was then analyzed using the Wilcoxon Signed Rank Test statistical test with a significance level of 95%. Result: Statistical test results showed that the reduction in systolic blood pressure after doing ANSI (Anti Hypertension) exercises was 5.41 mmHg, and diastolic blood pressure was 1.59 mmHg. The Wilcoxon Signed Rank Test statistical test has a p value = 0.00 (p value <0.05). Conclusion: ANSI (Anti Hypertension) exercise reduces systolic and diastolic blood pressure in hypertensive patients. Community nurses need to carry out educational activities and provide information on the importance of physical activity such as ANSI (Anti Hypertension) exercises in managing blood pressure. Community Health Centers need to provide policies by providing services and facilities to improve health programs, especially making ANSI (Anti Hypertension) exercise a routine program at least once a week, because it has many benefits for the health of hypertensive patients.
THE EFFECT OF ISOMETRIC HANDGRIP EXERCISE ON THE REDUCTION OF HIGH BLOOD PRESSURE IN HYPERTENSIVE PATIENTS AT THE KEBOMAS HEALTH CENTER DICKY CHANDRA ARDIANSYAH; widiharti; Diah Jerita Eka Sari; Ernawati
Indonesian Journal of Community Health Nursing Vol. 10 No. 2 (2025): AUGUST 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v10i2.69217

Abstract

Introduction: Hypertension is a condition in which systolic blood pressure is more than 140 mmHg and diastolik blood pressure is more than 90 mmHg. The number of hypertension patients in Gresik Regency hospitals is 10,375 people. The intervention designed to reduce hypertension is Isometric Hangdrip Excercise, which functions to reduce cardiovascular reactivity to psychological factors, so that it can reduce systolic blood pressure by about 7 mmHg and diastolik by about 5 mmHg. Objectives of this study to analyze the effect of Isometric Handgrip Exercise on the reduction of blood pressure in hypertensive patients at the Kebomas Health Center. Method: The design of this study is Pre Experimental Design. This type of research is a quantitative research with the One Group Pretest – Posttest approach. The population in this study is 227 people with hypertension in the Kebomas Health Center area aged 46 – 65 years. Sampling was carried out using the Purposive Sampling method with a sample of 38 people. Result: The results of the Wilcoxon statistical test showed that the p-value of systolic blood pressure was 0.000 < the α value was 0.05 and the p-value of diastolik blood pressure was 0.008 < the α value was 0.05, meaning that there was an effect of Isometric Handgrip Exercise on the reduction of blood pressure in hypertensive patients at the Kebomas Health Center Conclusion: There is an effect of Isometric Handgrip Exercise on the reduction of blood pressure in hypertensive patients at the Kebomas Health Center
The Dangerous Consumption of Hazardous Snacks and Independent Smart AcupresureTraining as Intelligence Improvements Students in Mlajah Elementary Schools Bangkalan Madura Suminar, Ervi; Widiharti; Sari, Levi Tina; Renityas, Nevy Norma
Journal of Community Service for Health Vol. 2 No. 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v2i2.ART.p051-059

Abstract

School children were vulnerable to had unhealthy snacked behavior due to their low knowledge and awareness in clean and healthy lived behavior. Even though there was a lot of data that shows unhealthy snacks for school children are sold not in the school canteen. To stimulate children's intelligence so that children could had good food and should achievements, smart acupressure was carried out, so that children were healthy in nutrition and brain. The purposed of this serviced was to seek to improved the health status of elementary school children through comprehensive promotive, preventive efforts and to increase student knowledge primary school. There was certainly very important to increased the awareness of school children about the importance of been aware of dangerous food snacked. This health education and smart acupressure trained was held in February 2020 at SDN Mlajah 01, and as a result the students (Afni, 2018)knew about the dangers of consumed food carelessly and the consequences if consumed such food, and smart acupressure trained could be carried out correctly by students of SDN Mlajah Bangkalan