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Tren dan Tantangan Partisipasi Ibu Hamil ke Posyandu di Indonesia: Tinjauan Literatur 2019–2025 Elfira Buamona; Nasrullah; Nini Sahrianti
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.3680

Abstract

Partisipasi ibu hamil ke posyandu merupakan indikator penting dalam upaya peningkatan kesehatan maternal dan neonatal di Indonesia. Namun, hingga kini, capaian kehadiran ibu hamil ke posyandu masih fluktuatif dan belum merata di seluruh wilayah. Penelitian ini merupakan tinjauan literatur terhadap 12 jurnal nasional dan internasional terbitan 2019–2025 yang membahas tren, pendorong, dan tantangan partisipasi ibu hamil ke posyandu. Hasil review menunjukkan bahwa faktor pengetahuan ibu, dukungan keluarga, peran aktif kader, serta kemudahan akses merupakan pendorong utama partisipasi. Di sisi lain, hambatan budaya, ekonomi, geografis, serta stigma sosial masih menjadi kendala besar, terutama di wilayah terpencil dan komunitas adat. Pandemi COVID-19 juga berdampak negatif terhadap angka kehadiran ibu hamil ke posyandu, meski mendorong beberapa inovasi layanan seperti edukasi daring dan home visit. Implikasi hasil review menggarisbawahi perlunya penguatan edukasi, pelatihan dan insentif kader, serta transformasi digital yang inklusif agar partisipasi ibu hamil dapat terus ditingkatkan. Kolaborasi lintas sektor dan pendekatan berbasis kearifan lokal direkomendasikan untuk memastikan intervensi berjalan efektif dan berkelanjutan. Penelitian lebih lanjut diperlukan untuk mengevaluasi dampak jangka panjang inovasi layanan serta pemetaan tren partisipasi di tingkat mikro sebagai dasar perumusan kebijakan kesehatan masyarakat.
From environment to lung: A literature review on exposure risk factors and prevention of Aspergilosis Asriyani Abdullah; Insani Fitrahulil Jannah; Elfira Buamona
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2144

Abstract

Aspergillosis comprises a spectrum of pulmonary diseases caused by inhalation of Aspergillus spores from the environment in individuals with immunological vulnerability or structural lung damage. This review summarizes major environmental sources of exposure (soil, compost, hospital ventilation and water systems, and construction activities), key host and environmental risk factors, and environmental and clinical prevention strategies. Multiple studies report increased airborne spore counts and higher incidence of invasive aspergillosis among haematology patients during hospital construction when protective ventilation and HEPA filtration are insufficient. Principal host risk factors include prolonged neutropenia, haematological malignancies, transplantation, immunosuppressive therapy, post‑tuberculosis cavities, severe COPD, and other chronic lung diseases. Climate change and natural disasters are thought to enhance the distribution of airborne fungal spores, although quantitative data specifically linking these events to aspergillosis remain limited. Effective prevention requires an integrated approach combining environmental control, targeted antifungal prophylaxis, screening in patients with structural lung disease, patient education, and stewardship to address azole resistance within a One Health framework.