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All Journal Jurnal Kesmas dan Gizi (JKG)
Ika Nursaputri
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Public Health

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Implementation of the Loving Mother Movement (GSI) Program in an Effort to Reduce Maternal Mortality Rates Parhusip, Nenny Aurelia; Ika Nursaputri; Luci Riani Br. Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2700

Abstract

Background: The Gerakan Sayang Ibu (GSI) is a movement implemented by the community in collaboration with the government to improve the quality of life for women, particularly by accelerating the reduction of maternal mortality during pregnancy, childbirth, and postpartum (Manuaba, 2019).Objectives: The study aims to explore the implementation of the Community-Based Sanitation Program’s first pillar in Sipahutar Subdistrict, North Tapanuli Regency. Research method: This research is a qualitative study with a descriptive approach. Results The results of this study indicate that the communication and dissemination of policy information from policymakers to policy implementers are carried out in a structured manner.  Conclusion: Based on the research conducted in Sipahutar Subdistrict, it can be concluded that the implementation of the Gerakan Sayang Ibu program is structured, supported by adequate facilities, village funds, and clear Standard Operating Procedures (SOPs). However, the main challenges include a lack of human resources, low participation of pregnant women due to difficult access, limited family education, and insufficient health budgets. Despite these challenges, cross-sectoral coordination demonstrates a strong commitment to reducing maternal and newborn mortality risks.
Analysis of Factors Influencing the Choice of Non-Hormonal Long-Acting Contraceptive Methods Emi Juniarita Br. Barus; Karnirius Harefa; Ika Nursaputri
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4ygfp560

Abstract

Background: The Maternal Mortality Ratio (MMR) in Indonesia is still relatively high, with one of the causes being unintended pregnancies. One way to reduce MMR is by increasing the use of long-acting non-hormonal contraceptives (LA/NGCs), such as IUDs and MOWs. Factors influencing the selection of non-hormonal LA/NGCs include attitude, trust, location/distance, spousal support, and healthcare facilities. Objective: This study aims to analyze the factors influencing the selection of non-hormonal long-acting contraceptives (LA/NGCs) in Tanjung Balai District, Asahan Regency, focusing on attitude, trust, location/distance, and the role of healthcare workers. Methods: This study used a quantitative design with a cross-sectional approach. Data were collected through questionnaires distributed to 92 respondents, who were couples of reproductive age (PUS). The variables analyzed include attitude, trust, location/distance, spousal support, and healthcare facility services. The statistical test used was chi-square to examine the relationship between independent and dependent variables (the selection of non-hormonal LA/NGCs). Results: The results showed a significant relationship between attitude, trust, location/distance, and the role of healthcare workers with the selection of non-hormonal LA/NGCs (p < 0.05). Respondents with a positive attitude, trust in healthcare providers, easy access to healthcare facilities, and quality services were more likely to choose non-hormonal LA/NGCs. Conclusion: This study concludes that factors such as attitude, trust, location/distance, and the role of healthcare workers significantly influence the selection of non-hormonal long-acting contraceptives. Therefore, increasing knowledge and improving access to healthcare services is crucial to encourage the selection of these contraceptive methods
Analysis of the Effectiveness of Physiotherapy Services in Homecare Services Panggabean, Martua Jaya Panggabean; Felix Kasim; Ika Nursaputri
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/cdheeg07

Abstract

Background: National health development in Indonesia aims to improve public health through the active participation of various national components. Despite progress, challenges such as health disparities between regions and epidemiological transitions remain. Homecare physiotherapy, which provides care at the patient's home, has become an important solution, especially during the COVID-19 pandemic, which restricted social mobility. Research Objective: This study aims to analyze the effectiveness of homecare physiotherapy services in the Jakarta, Bogor, Tangerang, and Bekasi areas, as well as to explore the factors influencing productivity, quality, efficiency, flexibility, and patient satisfaction with these services. Research Method: This research uses a qualitative approach with a phenomenological design. Data was collected through in-depth interviews, direct observation, and documentation from physiotherapists, patients, and service managers. Data analysis was conducted using Grounded Theory and Analytical Hierarchy Process methods to identify priority policies. Research Findings: Homecare physiotherapy services have been proven effective in improving patients' physical conditions. Patients reported improvements after therapy, although challenges related to punctuality and patient readiness remain. Physiotherapists' productivity is high, despite external obstacles such as traffic congestion. Conclusion: Homecare physiotherapy services are effective in improving patients' conditions, but improvements are needed in time management, punctuality of visits, and schedule flexibility to enhance patient satisfaction.
Co-Authors Emi Juniarita Br. Barus Felix Kasim Karnirius Harefa Luci Riani Br. Ginting Panggabean, Martua Jaya Panggabean Parhusip, Nenny Aurelia