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INDONESIA
Jurnal Kesehatan
Published by Poltekkes Kemenkes Tanjung Karang
ISSN : 20867751     EISSN : 25485695     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Kesehatan published by Politeknik Kesehatan Tanjungkarang with professional organizations (PTGI, PATELKI, PERSAGI, PPNI, IBI, HAKLI, PAFI, PPGI). It contains writings drawn from research and non-research, critical analytical studies in health areas. This journal was first published in April 2010 in print. Since 2015, Jurnal Kesehatan has been published in print and online.
Arjuna Subject : -
Articles 784 Documents
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The Effect of Implementing the Digital Hazard Reporting Website Laporkan.id on the Safety Climate at PT X Surakarta Noviani, Annisa; Setyawan, Haris; Nurriwanti, Nabylla Sharfina Sekar
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5235

Abstract

Manual reporting in construction projects is often underutilized due to time constraints, complex procedures, and lack of feedback from management, resulting in many potential hazards going unreported, increasing the risk of workplace accidents and weakening the overall safety climate. Therefore, implementing a digital reporting platform such as Laporkan.id is expected to make the reporting process easier, faster, and more responsive, thereby encouraging workers to be more actively involved in safety practices and contributing to a stronger safety climate in the organization. This research aims to analyze the impact of implementing the Laporkan.id website on the safety climate at PT X Surakarta. This study employed a quasi-experimental, non-equivalent control-group design, with population was 95 field workers at PT X Surakarta. A sample of 78 workers was selected using proportional stratified random sampling. The data were collected using the Nordic Safety Climate Questionnaire (NOSACQ-50) and analyzed using the Wilcoxon Signed-Rank Test, the Mann-Whitney U Test, and Spearman's Rank Correlation. The Wilcoxon test indicated a significant increase in safety climate scores in the experimental group (p=<0.001). In contrast, the Wilcoxon test for the control group showed no significant change (p=0.285). The Mann-Whitney test revealed a significant difference between the two groups (p=<0.001). Furthermore, Spearman's correlation showed no significant relationship between safety climate and demographic variables, including age, education, length of service, or job section. The researcher advises PT X Surakarta to further implement the Laporkan.id website, a digital platform for hazard reporting, as part of the company's Occupational Health and Safety (OHS) program.
Qualitative Analysis of Policies and Social, Economic, and Cultural Factors on HIV/AIDS Incidence Rates Mansur, Muliana; Almari, Fauzi; Zefan Adiputra Golo; Kristijono, Anton
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5328

Abstract

Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) remains a major public health problem in Indonesia, with marked disparities in prevention and treatment across regions. This study aims to examine government policies and the social, economic, and cultural factors influencing HIV/AIDS incidence through comparative case studies in North Maluku, Yogyakarta, and Central Java. This research used a qualitative multiple-case study design. Data were collected through in-depth interviews, focus group discussions, and a review of secondary documents and program data. The study population comprised key stakeholders involved in HIV prevention and care, including provincial and district health authorities, facility-based providers, non-governmental organizations, peer educators, and representatives of key populations receiving services. Participants were selected using purposive sampling, complemented by snowball sampling to reach hard-to-access community actors. Data were analyzed using thematic analysis through data reduction, data display, and conclusion drawing. Findings indicate that the implementation of the Healthy Indonesia with a Family Approach Program has been uneven. In North Maluku, HIV testing coverage among transgender women and their partners remains below 60%, while reported incidence continues to increase. In Yogyakarta, spatial and social dynamics shape transmission patterns, with geographic information system analysis identifying persistent hotspots associated with sex work areas. Central Java demonstrates comparatively stronger outcomes through collaborative governance, where egalitarian partnerships among health authorities, Non-Governmental Organizations, and peer groups expand access to services despite resource constraints. The study concludes that national policies are comprehensive, but effective control requires locally tailored adaptation, stronger intersectoral collaboration, and meaningful community participation to reduce disparities and enhance program sustainability.
Validity and Reliability Test of the Menstrual Cycle Questionnaire for Adolescent Girls Puriastuti, Alifia Candra; Saputra, Surya Adi; Hasanah, Zumroh; Amelia, Dessy
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5397

Abstract

Reproductive health is defined as complete physical, mental, and social well-being in all aspects of the reproductive system, functions, and processes, not just a condition free from disease or disability. So far, there has been no standard instrument to collect data on adolescent menstrual cycle conditions. This study aims to test the validity and reliability of the questionnaire used to collect data on the menstrual cycle of female adolescents. The design of this study is cross-sectional; the questionnaire was developed through a comprehensive literature review. The questionnaire was tested for construct validity through a statistical analysis. The population in this study was adolescent girls, aged 12-15 years, who had experienced menarche. The number of respondents in this study is 40. The results of the construction validity test in this study showed that the r table value (0.358-0.540) was greater than the r count (0.3044), indicating validity. Meanwhile, the reliability test in this study was determined using Cronbach's Alpha, which was 0.706. The validity and reliability tests of the menstrual cycle questionnaire for adolescent girls yielded strong results, indicating that the questionnaire can be used as a reliable data-collection tool.
Analysis of the Relationship between Neutrophil-Lymphocyte Ratio (NLR) Values and Body Mass Index in Tuberculosis Patients Nurfiyana, Wahyu; Amien, A. Zakaria
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5529

Abstract

Tuberculosis (TB) is a communicable infectious disease that remains a major public health problem, particularly in Indonesia. Low nutritional status can impair immune function and worsen the clinical course of TB. Body Mass Index (BMI) is commonly used to measure nutritional status. In contrast, the neutrophil–lymphocyte ratio (NLR) is a simple inflammatory biomarker reflecting the balance between innate and adaptive immune responses. This study aimed to analyze the relationship between NLR and BMI among TB patients undergoing treatment. This cross-sectional study involved 32 tuberculosis patients receiving treatment at Puskesmas Sukabumi, Bandar Lampung. NLR values were obtained from blood tests using a hematology analyzer and calculated as the neutrophil count divided by the lymphocyte count. BMI was determined from body weight and height measurements. Statistical analysis included Spearman's correlation test to examine the relationship between NLR and BMI, and a One-Way ANOVA to assess differences in NLR across BMI classifications. The results showed that the mean BMI was 20.4±3.0 kg/m², and the median NLR was 2.7. A significant negative correlation was found between BMI and NLR (r = -0.379; p = 0.03), indicating that lower BMI was associated with higher NLR. Significant differences in NLR were also observed among BMI categories (p = 0.003), with underweight subjects demonstrating the highest NLR values. These findings suggest a relationship between nutritional status and systemic inflammatory responses in TB patients. BMI and NLR may serve as simple indicators for assessing inflammatory status and monitoring treatment progress in tuberculosis patients. 
Potential of Transdermal Hormonal Contraception in Indonesia: A Systematic Literature Review Firdaus, Ulfa Nadia Nurul; Wahidah, Nurul; Hayati, Yulianti; Iqbal , Aryl Alfath Muhammad; Isma, Dhiny
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5570

Abstract

Indonesia is one of the most populous countries in the world. Projections indicate that Indonesia's population will reach 321 million by 2045. One effort to curb population growth is through the Family Planning (FP) program. Transdermal hormonal contraceptive methods have been developed, offering advantages such as more efficient, painless administration, reduced biohazardous waste, and innovative and practicality. This study analyzes the potential of transdermal hormonal contraceptive methods to support efforts to curb growth in Indonesia. This study, using a systematic review, was conducted with the PICO framework. A systematic review was conducted by searching the literature from 2020 to 2025 in two academic databases: ScienceDirect and PubMed. Of the 384 initial articles identified, 4 met the criteria and were analyzed to extract relevant findings on transdermal hormonal contraceptives. The review revealed that transdermal contraceptives have significant potential to reduce birth rates and unplanned pregnancies due to their effectiveness and convenience. However, their adoption is heavily influenced by education, counseling quality, family planning service policies, and equitable access. In Indonesia, the use of transdermal/patch contraceptives remains low due to their relatively high price, exclusion from free family planning services, and the need for a doctor's prescription. Furthermore, many healthcare professionals are unfamiliar with its effectiveness and benefits and therefore rarely recommend it. These findings provide a valuable roadmap for policymakers and healthcare professionals in Indonesia to receive adequate training and keep up to date with the latest knowledge to become more confident in recommending this method.
Factors Influencing Stunting Incidence in Toddlers in Kendari City, Indonesia: A Spatial Regression Analysis in 2024 Pertiwi, Tria Saras; Nurmalasari, Mieke; Qomarania, Witri Zuama; Juliani, Kurnia Dwi; Supryatno, Adi
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5571

Abstract

Stunting is a serious global health issue, including in Indonesia. This study aimed to analyze factors influencing stunting incidence among toddlers in Kendari City, Indonesia, using a spatial regression approach. This study employed a descriptive ecological design using secondary data from the Kendari City Health Office in 2024 across 11 sub-districts. Spatial analysis was conducted using a Queen contiguity weighting matrix. The results showed that Moran's I value was not statistically significant (p>0.05), indicating weak global spatial autocorrelation. However, Lagrange Multiplier tests revealed that the LM-Lag and Robust LM-Lag were significant (p<0.05), suggesting the presence of spatial dependence. Therefore, the Spatial Autoregressive (SAR) model was selected. The SAR model demonstrated better performance compared to the OLS model (AIC=83.20; R²=97.91%). Significant factors influencing stunting incidence included the number of toddlers, low birth weight (LBW), unmonitored child growth, lack of complementary feeding (MP-ASI), incomplete basic immunization, and lack of additional nutritional intake. These findings highlight the importance of spatial-based interventions in addressing stunting at the sub-district level.
Association of Carcinoembryonic Antigen, Hemoglobin, and Neutrophil to Lymphocyte Ratio with Colorectal Cancer Histopathological Grade in West Sumatra, Indonesia Innanda, Muhammad Zidane; Yulia, Dwi; Suchitra, Avit; Harahap, Wirsma Arif; Rikarni, Rikarni; Nofita, Eka
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5584

Abstract

Colorectal cancer is a global health issue with a significant incidence and mortality rate. Identifying clinical characteristics using tumor biomarkers and hematological parameters is a crucial aspect in evaluating tumor cell differentiation grade. This study aims to determine the characteristics of Carcinoembryonic Antigen (CEA) levels, hemoglobin, and Neutrophil to Lymphocyte Ratio (NLR) values as indicators of histopathological differentiation grade in colorectal cancer patients. This was an observational, analytic study with a retrospective design, using medical record data from patients at Dr. M. Djamil General Hospital in Padang, from January 2023 to December 2024. A total of 154 patients meeting the inclusion and exclusion criteria were selected using a total sampling technique. Data were analyzed using statistical tests to assess the significance of the relationship between variables. The patient distribution showed a higher prevalence of females (55.8%), and more than half (62.3%) were aged 50 years or older. The histopathological profile was predominantly low grade (81.2%). Statistical test results showed a significant association between CEA levels and histopathological differentiation grade (p=0.017). However, no statistically significant association was found between hemoglobin levels (p=0.822) or NLR values (p=0.303) and histopathological differentiation grade. There is a potential association between CEA levels and histopathological differentiation grade, whereas hemoglobin levels and NLR values did not show a significant association. CEA levels can serve as a potential indicator in predicting tumor differentiation grade in colorectal cancer patients.
Government Policy Strategies in Developing Healthy Coffee Shops for Community Nutrition-Based Non-Communicable Disease Prevention Halimatussakdiah, Halimatussakdiah; Abdurrahman, Abdurrahman; Ismail, Ismail; Sufri, Sofyan; Wahab, Irwana
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5585

Abstract

The increasing prevalence of non-communicable diseases (NCDs), such as diabetes mellitus, hypertension, and stroke, in Indonesia is closely linked to unhealthy dietary habits, particularly excessive sugar intake. High sugar consumption contributes to metabolic disorders and cardiovascular risk. The purpose of this study is to support province and district/city policymakers in their efforts to prevent non-communicable diseases. With samples of representatives from the Health Office, Tourism Office, Islamic Sharia Office, coffee shop owners, and coffee drinkers in Banda Aceh City. A qualitative approach was used, involving focus group discussions (FGDs) and in-depth interviews conducted between August 29 and September 20, 2023. A total of 17 participants, including government officials, coffee shop owners, and coffee drinkers, were selected through convenience sampling. Data were collected using semi-structured guides and analyzed using thematic analysis. The findings indicate that coffee consumption is a common social practice, characterized by frequent daily intake and easy access to coffee shops. However, awareness of the health risks associated with excessive sugar consumption remains limited, and healthier menu options are not widely available. Social and cultural factors strongly influence consumption behavior, while participants also emphasized the need for improved health education. These findings suggest the need for practical strategies, including reducing sugar content in coffee, providing low-sugar alternatives, and strengthening community-based nutrition education through cross-sector collaboration. Such efforts are important to promote healthier consumption patterns and reduce NCD risk in Aceh.
Psychological, Economic, and Structural Barriers to PrEP Uptake Among Female Sex Workers: An Interpretative Phenomenological Analysis in Pangkalpinang, Indonesia Yulinda, Yulinda; Sitorus, Rico Januar; Novrikasari, Novrikasari; Riswani, Riswani; Nurhayati, Nurhayati; Yunindyawati, Yunindyawati; Damanik, Brema; Maretalinia, Maretalinia
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5587

Abstract

PrEP infrastructure in Pangkalpinang City has been available since March 2024, but uptake among female sex workers (FSW) remains critically low. This study employed Interpretative Phenomenological Analysis (IPA) to examine the lived experiences and systemic barriers affecting implementation. Seventeen participants, consisting of FSW, healthcare workers, and cross-sectoral stakeholders, were involved in individual interviews and focus group discussions. Analysis identified seven key themes: psychological barriers, economic survival tradeoffs, body-based perceptions, structural hurdles, the role of peer educators, provider-patient disparities, and incoherent policies. Despite technical readiness, only one FSW initiated PrEP, reflecting a profound gap between service supply and community demand. Access is hindered by economic vulnerability, anticipated stigma, and policies that prioritize criminalization over health considerations. The study concludes that technical preparedness is inadequate without interventions that target psychological and economic barriers. Success requires peer-delivery strategies and coherent policies that genuinely address the social realities faced by marginalized groups in HIV control programs.
Educational Media and Maternal Behavioral Change in Fetal Brain Health Stimulation Winarsih, Wiwin; Elmeida, Ika Fitria
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5601

Abstract

Health behaviors of pregnant women, such as stimulating fetal brain development, are efforts to improve long-term child development. This study aims to analyze the effectiveness of Education and Communication educational media (educational videos and leaflets) on the knowledge, attitudes, and behavior of pregnant women in conducting stimulation to improve fetal brain health. This study is a quasi-experimental pretest–posttest design conducted at the Kalianda Community Health Center, South Lampung Regency, from October to December 2025. The study included 30 pregnant women in the second and third trimesters, selected purposively and divided into two groups: the educational video intervention group (n = 15) and the brochure intervention group (n = 15). Data were collected using a validated and reliable questionnaire. Data analysis used descriptive statistics, the Shapiro-Wilk normality test, and the paired t-test. The results showed a significant increase in knowledge, attitudes, and behavior of pregnant women in both groups after the intervention (p < 0.05). The educational video group showed a greater increase in all variables than the leaflet group, with p-values of 0.000 for knowledge, 0.001 for attitude, and 0.000 for behavior. Conclusion: Educational videos are more effective than leaflets in improving pregnant women's knowledge, attitudes, and behavior regarding fetal brain stimulation.

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