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Sehat Rakyat: Jurnal Kesehatan Masyarakat
Published by Yayasan Pendidikan Penelitian Pengabdian Algero
ISSN : 28299299     EISSN : 08521239     DOI : https://doi.org/10.54259/sehatrakyat
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Sehat Rakyat adalah Jurnal Kesehatan Masyarakat yang diterbitkan 4 (empat) kali dalam setahun, yaitu pada bulan Februari, Mei, Agustus dan November oleh Yayasan Pendidikan Penelitian Pengabdian Algero. Jurnal ini merupakan jurnal yang dapat akses secara terbuka bagi para Peneliti, Mahasiswa dan Dosen yang ingin mempublikasikan hasil penelitiannya pada bidang kesehatan. Jurnal Sehat Rakyat mempublikasikan artikel-artikel kajian empiris dan teoritis dalam bidang kesehatan lingkungan, kesehatan reproduksi, nutrisi kesehatan masyarakat, epidemiologi terapan, kesehatan ibu dan anak, hukum dan etika kesehatan masyarakat, penilaian kebutuhan atau dampak, kesehatan dan keselamatan kerja dan bidang penelitian lain yang berkaitan dalam kesehatan masyarakat.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 292 Documents
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Edukasi Berbasis Audio Visual Meningkatkan Tingkat Pengetahuan Remaja Tentang Pencegahan HIV/AIDS Soffinda Nur Solikhah; Etty Eriyanti; Fajar Alam Putra
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.6995

Abstract

Adolescents are a group that is vulnerable to HIV/AIDS transmission due to limited knowledge and high exposure to risky behaviors. Efforts to improve knowledge through engaging media are needed so that health messages can be optimally received. This study aimed to determine the effect of audiovisual-based education on adolescents’ level of knowledge regarding the prevention of HIV/AIDS transmission. This study employed a quasi-experimental design with a pretest–posttest control group approach. The research sample consisted of 76 respondents, divided into an intervention group and a control group, with 38 respondents in each group. The sampling technique used was proportionate stratified random sampling based on class or grade level. The research instrument was an HIV/AIDS knowledge questionnaire that had been tested for validity and reliability. The intervention was delivered in the form of an educational video with a duration of approximately 10–15 minutes. Data analysis was conducted using the marginal homogeneity test and the Kolmogorov–Smirnov test because the data were measured on an ordinal scale. The results showed an increase in the level of knowledge in the intervention group after receiving audiovisual education, with a p-value of 0.000 (p < 0.05). In contrast, no significant difference was found in the control group, with a p-value of 1.000 (p > 0.05). It can be concluded that audiovisual-based education has a significant effect on increasing adolescents’ knowledge regarding the prevention of HIV/AIDS transmission. Audiovisual media can be used as an alternative health education method for adolescents.
Hubungan Karakteristik dengan Pengetahuan Kesehatan Reproduksi pada Calon Pengantin di Kecamatan Banjarsari Kota Surakarta Bilqis Rahma Yantika; Kusuma Estu Werdani
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.7027

Abstract

Adequate reproductive health knowledge among prospective brides serves as a crucial foundation in preventing various maternal and neonatal health problems, such as anemia, stunting, and pregnancy complications. This study aims to examine the relationship between sociodemographic characteristics (education, age, occupation) and the level of reproductive health knowledge among prospective brides. The research method a cross-sectional design with a sample of 102 registered prospective brides at the Banjarsari Religious Affairs Office (KUA) in Surakarta during the April-May 2025 period. Data collection utilized a questionnaire that had been tested for validity and reliabilty, at the data were statistically analyzed using the chi-square test. The results indicate that the majority of respondents had reproductive health knowledge in the high category (62%). However, bivariate analysis revealed no statistically significant relationship between reproductive health knowledge and the variables of education (p-value=0,935), age (p-value=0,447), or occupational (p-value=0,507). These findings suggest that sociodemographic factors are not the primary determinants of reproductive knowledge among prospective brides. Further research is recommended to explore other potential factors influencing reproductive health knowledge levels, such as exposure to media information, the quality of premarital counseling implementation, family support, and individual motivation in preparing for marriage.  
Pengaruh Kepesertaan PBI BPJS Kesehatan terhadap Risiko Catastrophic Health Expenditure di Desa Sumpang Mango Ardi Syanjaya; Sandi Lubis; Irwan, Irwan
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.7076

Abstract

Catastrophic Health Expenditure (CHE) is an important indicator for assessing the effectiveness of financial health protection, particularly in safeguarding households from excessive health-related expenditures. In Indonesia, the Contribution Assistance Program (PBI) of BPJS Kesehatan is designed as a social protection instrument for poor and vulnerable populations, especially those living in rural areas. This study aims to analyze the effect of PBI membership on the risk of experiencing CHE among households in Sumpang Mango Village. The study employs a quantitative explanatory approach with a cross-sectional design, in which households participating in the PBI program serve as the unit of analysis. Data were collected through a household survey and analyzed using binary logistic regression with the assistance of SmartPLS 3. The analysis also incorporates household income, household size, and health service utilization as control variables. The findings indicate that PBI membership has not been fully effective in significantly reducing the risk of CHE. In contrast, household size and the utilization of health services have a positive and significant effect on the likelihood of experiencing CHE. Meanwhile, household income does not show a significant association with CHE risk. These findings suggest that financial health protection at the village level is not determined solely by health insurance coverage but is also influenced by household structural characteristics and patterns of health service utilization. Therefore, strengthening social protection policies that are more responsive to local conditions and needs is essential to reducing the risk of CHE in rural communities.
Hubungan Penerapan Water, Sanitation And Higiene (WASH) dengan Kejadian Stunting di Wilayah Pesisir: Systematic Review Syifa Mauliddina; Hartono, Budi
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.7081

Abstract

Stunting remains a significant public health problem in developing countries and is closely associated with inadequate environmental conditions, particularly those related to water, sanitation, and hygiene (WASH). This systematic review aims to examine the relationship between WASH practices and the prevalence of stunting among children under five years of age in coastal areas. A total of 11 studies published between 2016 and 2025 were selected from databases such as PubMed, Scopus, ScienceDirect, ProQuest, and other external sources using the PRISMA approach and the PEOS framework. Findings from countries including Pakistan, Bangladesh, India, and Indonesia consistently indicate that poor WASH conditions significantly increase the risk of stunting. Inadequate sanitation facilities, lack of access to safe drinking water, and poor hygiene practices were identified as major contributing factors. Several studies from Indonesia reported high odds ratios for stunting among children exposed to unsafe water and inadequate sanitation, with increased risks ranging from 2.66 to 6.37 times. Some studies suggest that improved sanitation has a stronger association with reduced stunting than improved access to drinking water. Most included studies employed cross-sectional designs, highlighting significant correlations, although causal inferences remain limited. Therefore, long-term integrated interventions that ensure access to clean water, adequate sanitation, and hygiene education should be prioritized in public health strategies, particularly in vulnerable coastal communities.
Epidemiological Analysis of Environmental and Behavioral Risk Factors for Typhoid Fever Occurrence: A Case-Control Study at RSU PKU Muhammadiyah Delanggu, Klaten Galih Muchlis Hermawan; Vita Susianawati; Firman Adhitya
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.7098

Abstract

This study aimed to analyze risk factors associated with the occurrence of typhoid fever at RSU PKU Muhammadiyah Delanggu, Klaten. The study employed a quantitative design with a case-control approach, involving 48 respondents consisting of 24 typhoid fever cases and 24 non-typhoid fever controls with a 1:1 ratio. The research instrument was a questionnaire covering respondent characteristics, personal hygiene, eating habits outside the home, and level of knowledge. Data analysis was conducted using univariate and bivariate analyses with the Odds Ratio (OR) test and a 95% Confidence Interval (CI). The results showed that gender was not significantly associated with the occurrence of typhoid fever (OR = 1.18; 95% CI: 0.38-3.66). Poor personal hygiene (OR = 11.40; 95% CI: 2.96-43.80), frequent eating outside the home (OR = 15.00; 95% CI: 3.64-61.90), and low level of knowledge (OR = 7.29; 95% CI: 2.04-26.10) were proven to be significant risk factors for typhoid fever. Therefore, promotive and preventive interventions focusing on hygienic behavior, food safety, and improvement of public knowledge are necessary to reduce the incidence of typhoid fever.
Epidemiological Determinants of Hypertension Among Menopausal Women: A Case-Control Study on Age and Obesity at Yosomulyo Primary Health Care Center Eka Refirahmadani; M Ridwan; Gangsar Indah Lestari
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.7116

Abstract

Hypertension is a major public health problem that contributes significantly to increased morbidity and mortality, with a higher risk observed among menopausal women due to decreased estrogen levels. In 2023, the prevalence of hypertension in Indonesia reached 30.8%, while in Lampung Province it was reported at 28.45%. In the working area of Yosomulyo Primary Health Center, Metro City, the number of hypertension cases among menopausal women increased from 182 to 244 cases. This study aimed to examine the association of age and obesity with the occurrence of hypertension among menopausal women. A quantitative approach with a case–control design was applied, involving 78 respondents consisting of 39 cases and 39 controls selected through accidental sampling. Age and obesity were defined as independent variables, while hypertension status was the dependent variable. Data were collected through interviews, blood pressure measurements, and anthropometric assessments, and analyzed using the Chi-square test and Odds Ratio. The results indicated a significant association between age and hypertension (p-value = 0.001; OR = 5.570) as well as between obesity and hypertension (p-value = 0.008; OR = 3.918). In conclusion, age and obesity are significantly associated with the incidence of hypertension among menopausal women, highlighting the need for strengthened health education, early hypertension screening, and promotion of healthy lifestyle behaviors as preventive measures.
Hubungan Motivasi dan Beban Kerja terhadap Kinerja Perawat Rawat Inap di RSUD Barru Ichsan Trisutrisno
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.7141

Abstract

Nurse performance is an important indicator of service quality and is influenced by internal factors such as work motivation and external factors such as workload. An imbalance between job demands and available resources can reduce the quality of nursing care in inpatient wards. This study aimed to analyze the relationship between work motivation and workload with nurse performance in the inpatient wards of Barru Regional General Hospital. This study employed a quantitative method with a descriptive-analytic design and a cross-sectional approach. The sample consisted of 66 nurses selected through simple random sampling. Data were collected using questionnaires on work motivation, workload, and nurse performance, and were analyzed using the chi-square test. The results showed that most nurses had high work motivation (56.1%), heavy workload (69.7%), and good performance (62.1%). There was a significant relationship between work motivation and nurse performance (p = 0.032), as well as between workload and nurse performance (p = 0.045). Multivariate analysis showed that work motivation and workload were simultaneously and significantly associated with nurse performance, with work motivation as the most dominant factor. These findings emphasize that integrated management of work motivation and workload is an important strategy to improve nurse performance, service quality, and patient safety in inpatient wards.
Dynamic Fluid Responsiveness Assessment Using Pulse Pressure Variation in Intraoperative Spine Surgery Settings: A Case Report Agus Aryanda Putra; Adinda Putra Pradhana
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5908

Abstract

Vertebral metastases are a frequent complication in advanced malignancies, often presenting with severe pain and neurological impairment. This case report describes the perioperative anesthetic management of a 52yearold woman with breast cancer metastasis to the thoracic spine, scheduled for spinal decompression in the prone position. The patient presented with significant pleural effusion, thoracic vertebral compression, and decreased cardiorespiratory reserve. General anesthesia was induced and maintained using targetcontrolled infusions of propofol and remifentanil, with invasive monitoring through an arterial line and a central venous catheter. Intraoperative fluid responsiveness was evaluated using pulse pressure variation (PPV). Monitoring with PPV provides dynamic, realtime indicators that are highly reliable for predicting fluid responsiveness and help maintain hemodynamic stability without worsening pulmonary congestion or edema. PPV serves as a dynamic paramete influenced by the respiratory cycle and is particularly beneficial in mechanically ventilated patients. However, its accuracy may be affected by low tidalvolume ventilation, prone positioning, and pleural effusion. In this case, vigilant monitoring and prone positioning with a freehanging abdomen helped minimize confounding factors. The combination of PPV with clinical assessment and central venous pressure monitoring offered effective guidance for fluid therapy, enhancing intraoperative hemodynamic stability. Despite its limitations, PPV remains a valuable tool in perioperative fluid management, especially when integrated with other dynamic indices and a minifluid challenge. This case emphasizes the utility of PPV in complex oncologic spine surgery, where assessing fluid responsiveness is critical due to major bleeding, prone positioning, and mechanical ventilation.
Kepatuhan Pengobatan Multi-Drug Therapy (MDT) dan Faktor yang Mempengaruhinya pada Pasien Morbus Hansen di RSUD RAA Soewondo Pati Elly Mazida; Erna Kristiyani; Shirly Gunawan
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5938

Abstract

Hansen’s disease (leprosy) remains a public health problem in Indonesia. Although national elimination was declared in the year 2000, the number of new cases has remained stagnant at around 17,000–20,000 cases per year, and the proportion of Grade 2 Disability (G2D) remains high. Social stigma, delayed diagnosis, and poor adherence to Multi-Drug Therapy (MDT) continue to be major challenges in achieving elimination. This study aims to evaluate MDT adherence based on three Hansen’s disease patients and to analyze the factors influencing it. This research uses a descriptive design with a three-case report approach analyzed from a public health perspective. The variables assessed include MDT adherence, family support, stigma, patient knowledge, and drug adverse effects. Two of the three patients demonstrated high adherence to MDT, while one patient exhibited non-adherence due to a severe drug reaction (dapsone hypersensitivity syndrome). Factors influencing adherence include patient knowledge, drug side effects, family support, and special conditions such as pregnancy. MDT adherence remains a challenge in leprosy elimination efforts. A multidisciplinary approach involving education, intensive monitoring, and stigma prevention is needed to improve treatment success.
Faktor Faktor yang Berhubungan dengan Insomnia pada Lansia yang di Rawat di RS Efarina Etaham Pematang Siantar Sri Wahyuni Tarigan; Dasri Cahyana Lumbantungkup
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.6081

Abstract

The initial survey found 248 elderly people aged over 60-74 years in the last 3 months, elderly said they had difficulty sleeping, elderly said they slept less than 4 hours 30 minutes a day and night, easily woke up at night so that the time needed to fall back asleep after waking up at night was very short. The purpose of the study was to determine the factors associated with insomnia in elderly people at Efarina Etaham Hospital. The type of research used was analytical with a cross-sectional design. The population of all elderly people who were in Efarina Etaham Pematangsiantar Hospital during the last 3 months of 2024 was 248, with a sample size of 71 respondents. The data were analyzed using univariate and bivariate analysis using the Chi-square test with a p value of ≤ 0.05. The results of the study showed (84.5%) with elderly people, (53.5%) male gender, (32.4%) with severe stress, (87.3%) with the category of frequent caffeine consumption, (46.5%) with mild insomnia. There is a significant relationship between age and insomnia, gender with insomnia, lifestyle with insomnia, anxiety with insomnia. Based on the above phenomenon, it can be concluded that stress, age, caffeine consumption are related to insomnia. It is recommended for the elderly to reduce stress by getting closer to Allah SWT, and changing their lifestyle by reducing caffeine consumption so that they avoid insomnia and get peace of life.

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