Jurnal Kesehatan

PENGARUH POLA ASUH ORANG TUA TERHADAP PERKEMBANGAN SOSIAL ANAK BERDASARKAN SDIDTK DI TK PKK 1 YOSODADI

Hikmatul Khoiriyah, Esti Rahayu — Thu, 30 Apr 2026 00:00:00 +0200

Permasalahan yang melatarbelakangi penelitian adalah masih ditemukannya anak usia dini dengan hambatan
perkembangan sosial, seperti kesulitan berinteraksi, berbagi, dan mengikuti aturan, yang diduga dipengaruhi oleh
pola asuh orang tua. Penelitian ini bertujuan untuk menganalisis pengaruh pola asuh orang tua terhadap
perkembangan sosial anak usia 4–6 tahun di TK PKK berdasarkan standar Stimulasi, Deteksi, dan Intervensi
Dini Tumbuh Kembang (SDIDTK). Latar belakang penelitian ini adalah adanya hambatan sosial pada anak,
seperti kesulitan berinteraksi dan berbagi, yang diduga berkaitan dengan cara pengasuhan. Metode Penelitian
menggunakan desain analitik korelasional dengan rancangan cross-sectional, penelitian ini melibatkan 60
pasangan orang tua dan anak yang dipilih melalui teknik total sampling. Instrumen yang digunakan meliputi
kuesioner pola asuh (teori Baumrind) dan lembar observasi SDIDTK. Data dianalisis secara univariat dan
bivariat menggunakan uji Chi-Square. Hasil dan Kesimpulan Hasil penelitian menunjukkan distribusi yaitu Pola
Asuh: Mayoritas orang tua menerapkan pola asuh demokratis (51,7%). Perke|mbangan Sosial: Sebagian besar
anak memiliki perkembangan yang sesuai (58,3%). Korelasi: Anak dengan pola asuh demokratis menunjukkan
tingkat perkembangan sosial sesuai yang lebih tinggi (83,9%) dibandingkan pola asuh otoriter atau permisif. Uji
statistik menghasilkan nilai p = 0,001, yang membuktikan adanya pengaruh signifikan antara pola asuh orang tua
terhadap perkembangan sosial anak. Disimpulkan bahwa pola asuh demokratis berkontribusi positif secara
signifikan, sehingga disarankan menjadi basis edukasi bagi orang tua dan pendidik dalam mengoptimalkan
tumbuh kembang anak.

ANALISIS KESENJANGAN KEBIJAKAN DAN STRATEGI IMPLEMENTASI PROGRAM PENANGGULANGAN TUBERKULOSIS PADA IBU HAMIL DALAM KERANGKA RENCANA STRATEGIS NASIONAL TB 2025–2029: TINJAUAN KEBIJAKAN DAN REKOMENDASI BERBASIS MANAJEMEN STRATEGIS

Haidir, Nurris Septa Pratama, Meri Liandani — Thu, 30 Apr 2026 00:00:00 +0200

Tuberculosis (TB) in pregnant women represents a complex public health challenge in Indonesia, with an
estimated 1.09 million incident cases in 2023 and a national Case Detection Rate (CDR) of only 52%. Pregnant
women as a key population group are strategically overlooked in national TB program design, despite well
documented immunological vulnerability and poor perinatal outcomes. The National Strategic Plan for TB 2025
2029 sets ambitious 90-90-90 targets, yet implementation faces unresolved structural gaps. This article analyzes
policy gaps and implementation strategies of TB control programs for pregnant women through a strategic
management-based policy review approach. Methods employed include policy document analysis and systematic
literature synthesis using the McKinsey 7S Framework, Mazmanian & Sabatier’s (1983) Policy Implementation
Theory, and Lipsky’s (1980) Street-Level Bureaucracy Theory. Analysis identifies four main strategic gap
dimensions: (1) fragmented institutional governance between TB and MCH/ANC programs; (2) unsustainable
health financing gaps; (3) fragmented information and reporting systems; and (4) absence of systematic
community engagement in active case-finding among pregnant women. The novelty of this study lies in the
development of the Pregnant Women Policy Gap Analysis Model based on Strategic Management (AKK-IH/MS),
integrating strategic management perspectives, health policy analysis, and TB-pregnancy epidemiology into a
unified analytical framework—an original contribution not previously available in current Indonesian literature.
Evidence-based strategic management recommendations are formulated across three implementation time
horizons to support acceleration toward TB elimination 2030

ANALISIS KERENTANAN KEAMANAN SIBER PADA APLIKASI MOBILE HEALTH (mHEALTH) MELALUI PENDEKATAN TATA KELOLA TEKNOLOGI INFORMASI

Thu, 30 Apr 2026 00:00:00 +0200

ABSTRACT

The rapid digitization of health services through mobile health (mHealth) applications presents new challenges in protecting sensitive patient data. This study aims to map cybersecurity vulnerabilities and evaluate information technology governance within the mHealth ecosystem through a literature review approach. The analysis was conducted on various scientific journals and global cyber threat reports published over the last ten years. The review results indicate that primary vulnerabilities lie in unencrypted local data storage and weak data communication protocols. This research concludes that strengthening risk-based IT governance and compliance with personal data protection regulations serves as the fundamental basis for mitigating cyber threats in digital health services.

HUBUNGAN SOSIAL BUDAYA DAN EKONOMI DENGAN PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) PADA PUS DI DESA ARGOSARI KECAMATAN SENDURO KABUPATEN LUMAJANG

Nur Ari Ani Rohmawati, Nova Hikmawati, Yessy Nur Endah Sary — Thu, 30 Apr 2026 00:00:00 +0200

KB MKJP sangat efisien guna menekan angka kematian ibu serta mengatur laju perkembangan penduduk sebab tingkatan efektifitas pemakaian hingga hampir 99%. Meskipun MKJP memiliki lebih banyak keunggulan, tetapi metode kontrasepsi yang lebih banyak dipilih adalah metode kontrasepsi jangka pendek. Riset tersebut bertujuan didalam memahami kaitan sosial budaya serta ekonomi dengan pemilihan metode kontrasepsi jangka panjang (MKJP) pada PUS di desa Argosari Kecamatan Senduro Kabupaten Lumajang. Rancangan riset tersebut adalah cross sectional. Populasi didalam riset tersebut ialah seluruh PUS di Desa Argosari sejumlah 625 individu dengan jumlah sampel berkisar 86 PUS yang diambil menerapkan teknik simple random sampling. Capaian riset berdasarkan uji fisher exact pada variabel sosial budaya nilai sig-p (0,01) dan variabel ekonomi nilai sig-p (0,01). Karena nilai sig-p < 0,05 maka bisa tersimpulkan ada hubungan sosial budaya dan ekonomi dengan pemilihan metode kontrasepsi jangka panjang (MKJP) pada PUS di desa Argosari. Diharapkan Responden perlu lebih aktif dalam mencari informasi terkait kelebihan dan kekurangan dari tiap metode kontrasepsi yang tersedia sehingga bisa memilih metode kontrasepsi yang sesuai dengan kondisi diri.

MODEL MANAJEMEN STRATEGIS INTEGRATIF KEBIDANAN DIGITAL DAN PEMBERDAYAAN KELUARGA DI FASILITAS KESEHATAN PRIMER PERKOTAAN MENENGAH: SYSTEMATIC LITERATURE REVIEW DENGAN VALIDASI KONTEKSTUAL

Nurris Septa Pratama, Wahyudi Jaya Kusuma, Ria Muji Rahayu — Thu, 30 Apr 2026 00:00:00 +0200

The fragmentation of midwifery research—where strategic management, digitalization, and family empowerment
are studied in disciplinary isolation—constitutes a structural evidence gap that directly undermines maternal
health policy effectiveness in mid-sized urban Indonesian primary healthcare facilities (PHC). Metro City's
epidemiological paradox (MMR of 0/100,000 live births alongside 60% midwife digital literacy) illustrates the
urgency of an integrative model absent from the literature. This study aims to develop and validate an Integrative
Strategic Management Model (MMSI) for digital-based midwifery and family empowerment, operationally
applicable to mid-sized urban LMIC primary healthcare facilities. Systematic Literature Review (SLR) guided by
PRISMA 2020. Of 1,247 identified articles (PubMed, Scopus, Google Scholar, Garuda, SINTA; 2018–2025), 42
met rigorous inclusion criteria (minimum two of three dimensions; MMAT >80%; Cohen's Kappa = 0.82).
Thematic synthesis using NVivo 14 was augmented with contextual validation using Metro City Health Profile
2024 data. Cross-study analysis identified three systemic gaps: (1) dominant silo approaches (100% of studies
failed to integrate all three dimensions simultaneously); (2) high-income country or mega-city context bias (62%
of studies); and (3) scarcity of longitudinal designs (only 28%). MMSI comprises three interactive layers: Strategic
Core (PDCA-SWOT), Digital Enabler (EHR-SatuSehat, telemedicine, AI predictive analytics), and Family
Empowerment Layer (family certification, gamification, digital peer support). Contextual validation across 15
puskesmas in Metro City confirmed model relevance. MMSI represents the first conceptual contribution
integrating strategic management, digital health, and family empowerment into a unified double-loop feedback
architecture for mid-sized urban LMIC PHCs, offering a measurable and replicable digital midwifery
transformation roadmap toward SDGs 2030.

The Effect of Betel Leaf Decoction on Reducing Vaginal Discharge in Pregnant Women at the Metro Pusat Community Health Center

Sarinah, April Lia Rahmawati, Mery Liandani — Thu, 30 Apr 2026 00:00:00 +0200

ABSTRACTVaginal discharge is one of the reproductive health problems commonly experienced by pregnant women. During pregnancy, hormonal changes cause increased vaginal secretions that can trigger the growth of pathogenic fungi and bacteria, increasing the risk of pathological vaginal discharge. Betel leaves have long been empirically used by Indonesian society as a natural antiseptic for treating vaginal discharge. This study aims to determine the effect of betel leaf decoction on reducing vaginal discharge in pregnant women at the Metro Pusat Primary Health Center. This study used a quasi-experimental design with pre-test and post-test with control group. The sample consisted of 40 pregnant women in the second and third trimesters who experienced vaginal discharge, divided into intervention group (n=20) and control group (n=20) using purposive sampling. The intervention group was given betel leaf decoction (10 leaves in 1 liter of water) for perineal hygiene for 7 days. Data analysis used Wilcoxon and Mann-Whitney tests. The Wilcoxon test showed p = 0.000 (p < 0.05) in the intervention group, and the Mann-Whitney test showed a significant difference between intervention and control groups (p = 0.000). After 7 days of intervention, 70% of respondents experienced mild vaginal discharge and 30% had no vaginal discharge.There is a significant effect of betel leaf decoction administration on reducing vaginal discharge in pregnant women. Betel leaves can be a safe and affordable complementary therapy alternative in managing vaginal discharge in pregnant women.Keywords:

HUBUNGAN ANTARA DUKUNGAN SUAMI DENGAN KEIKUTSERTAAN KB PASCA PERSALINAN DI UPT PUSKESMAS PADANG KABUPATEN LUMAJANG

Siti Aisyah Nurul Hikmah, Tri Iriyani, Iit Ermawati — Thu, 30 Apr 2026 00:00:00 +0200

Postpartum participation in the Family Planning (FP) program is strongly influenced by various factors, one of which is husband’s support. Spousal support can significantly increase a woman's motivation to use contraceptives in order to maintain maternal and child health and to space pregnancies appropriately. This study aimed to determine the relationship between husband’s support and postpartum family planning participation at UPT Puskesmas Padang, Lumajang Regency. This research employed a quantitative method with a descriptive-correlational design and a cross-sectional approach. Data collection was conducted using a questionnaire, with as the population all of postpartum mothers at the health center. A total of 32 respondents were selected using total sampling. Data analysis was performed using the Chi-Square test. The results showed that the majority of respondents received supportive responses from their husbands (23 respondents or 71.9%), and most participated in postpartum family planning (24 respondents or 75%). The Chi-Square test yielded a significance value of 0.003 (p < 0.05), indicating a relationship between husband’s support and postpartum FP participation. Puskesmas Padang is advised to hold routine counseling activities on postpartum family planning to increase husbands' support and participation in postpartum family planning

THE EFFECTIVENESS OF HEALTH INFORMATION SYSTEMS IN ACCELERATING THE DETECTION AND REPORTING OF TUBERCULOSIS CASES: A SYSTEMATIC LITERATURE REVIEW

Rizky Sugeng Riadi Rizky, Alli Nurdin, Nurma Hidayati — Thu, 30 Apr 2026 00:00:00 +0200

Background: Tuberculosis (TB) remains a major global health problem, with Indonesia ranking second highest in the world. Health Information Systems (HIS) have a strategic role in accelerating TB case detection and reporting, yet their effectiveness has not been systematically synthesized. Objective: To synthesize evidence on the effectiveness of HIS — as measured by system quality, data quality, and user competence—on the speed of TB case detection and reporting. Methods: Based on the PRISMA 2020 guidelines, a systematic literature review was conducted. Searches were conducted using PubMed, Google Scholar, GARUDA, Scopus, and the WHO Institutional Repository covering 2014–2025. Twenty-two articles fulfilled the inclusion requirements and were narratively synthesized. Results: System quality was found to be significant in 87% of included studies, information quality showed lower consistency (54%), while user competence was significant in 91% of studies. Contextual factors such as infrastructure, policy support, and financing moderated HIS effectiveness. Conclusion: System quality and user competence are consistent predictors of HIS effectiveness in TB surveillance. Strengthening staff capacity and upgrading digital infrastructure are recommended policy priorities to support TB elimination by 2030.

CASE STUDY : ASUHAN KEBIDANAN PADA IBU HAMIL DENGAN IMT OBESITAS

Tri Susanti, Tusi Eka Redowati — Thu, 30 Apr 2026 00:00:00 +0200

Obesity in pregnant women as measured by Body Mass Index (BMI) is one of the high risk factors that can cause

various complications during pregnancy, childbirth, and the postpartum period. Obstetric care for pregnant

women with obese BMI is carried out comprehensively including assessment of nutritional status, monitoring

weight and BMI, nutrition education and physical activity, as well as early detection of complications such as

gestational diabetes and preeclampsia. Nutritional management with a healthy diet and appropriate weight gain

monitoring is highly recommended to prevent complications. The purpose of this care is to help monitor the

condition of the mother and fetus, provide education about a healthy diet, appropriate physical activity, and

monitor weight gain and signs of complications such as preeclampsia and gestational diabetes. The method used

was a case study, carried out at TPMB S in April - May 2025. Data collection techniques include interviews and

observations and secondary data including documentation and literature studies. The results after midwifery

care on Mrs. T aged 36 years G3P2A0 with IMT Obesity. Midwifery care management is carried out by

conducting nutritional counseling, monitoring the condition of the mother and fetus. Suggestions are expected to

maintain a healthy diet and routine physical activity according to ability.

ASUHAN KEBIDANAN PADA IBU HAMIL DENGAN KEKURANGAN ENERGI KRONIS DAN ANEMIA

Ria Muji Rahayu, Mega Rahmawati, Atik Nafiatul Bidayah — Thu, 30 Apr 2026 00:00:00 +0200

Chronic Energy Deficiency and anemia are two conditions that receive serious attention from both the global and
national health sectors. The purpose of this study was to determine the midwifery care provided to pregnant women
with chronic energy deficiency and anemia. The design used was a case study with Mrs. D, a subject experiencing
Chronic Energy Deficiency (CED) and anemia at the Sri Mursiyati TPMB. The sampling technique used was
purposive sampling. Data collection methods included observation, interviews, and documentation in the form of
a SOAP format. At Mrs. D's first prenatal visit, based on anamnesis, she had consumed 50 blood tablets. An arm
circumference examination revealed a pale conjunctiva, and laboratory results revealed an Hb level of 10.7 g/dl.
Management for Mrs. D included counseling on nutritional enhancement, administering two iron tablets, and
recommending a repeat Hb test. Throughout the prenatal care, all care provided to Mrs. D was carried out
effectively, ensuring a smooth and uneventful pregnancy.

ANALISIS EFEKTIVITAS MODEL KOLABORASI PUBLIC-PRIVATE MIX DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS OLEH INISIATIF LAMPUNG SEHAT

Ali Nurdin, Mega Rahmawati, Rohmad Hardiyanto — Thu, 30 Apr 2026 00:00:00 +0200

ABSTRACT

This study aims to evaluate the effectiveness of the Public-Private Mix (PPM) collaboration model implemented by Inisiatif Lampung Sehat in tackling Tuberculosis (TB) in Metro City, Lampung Province, Indonesia. Using a descriptive qualitative approach, data were collected through in-depth interviews with program coordinators and private health facility partners, as well as document review of annual TB case notification reports. The results indicated that the involvement of the private sector through the PPM model significantly increased the Case Notification Rate (CNR) following the intervention. The Treatment Success Rate (TSR) in private sector facilities reached the minimum standard of 90%. However, major challenges remain, including a high administrative burden on private practitioners and high staff turnover in private clinics, which necessitates repeated training. The PPM model by Inisiatif Lampung Sehat proved effective in expanding the reach of TB case detection in Metro City; nevertheless, simpler and more integrated reporting systems are required to ensure the sustainability of private sector participation.

Keywords: Public-Private Mix, Tuberculosis, Inisiatif Lampung Sehat, Program Effectiveness

PENGARUH DALAM PEMBERIAN PIJAT LAKTASIDENGAN KELANCARAN PRODUKSI ASI PADA IBU NIFASDI PRAKTIK MANDIRI BIDAN ERNA WAY JEPARA LAMPUNG TIMURTAHUN 2025

Nurul Habibah Nurul, Mareza Yolanda Umar, Nur Alfi Fauziah, Sukarni — Thu, 30 Apr 2026 00:00:00 +0200

The smoothness of breast milk production is an important factor in the success of breastfeeding during thepostpartum period. However, in the early postpartum phase, some mothers still experience inadequate breast milk production. Based on preliminary study data at Erna Way Jepara Independent Midwifery Practice, East Lampung, in April 2025, there were 10 postpartum mothers who reported problems with insufficient breast milk production. This condition may be caused by suboptimal let-down reflexes, anxiety, fatigue, and insufficient breast stimulation, indicating the need for appropriate interventions to improve breast milk production.One non-pharmacological intervention that can be applied is lactation massage. Lactation massage is a massage technique applied to the breast and back areas aimed at stimulating the release of oxytocin and prolactin hormones, promoting maternal relaxation, and facilitating breast milk flow. This study aimed to determine the effect of lactation massage on the smoothness of breast milk production among postpartum mothers at Erna Way Jepara Independent Midwifery Practice, East Lampung, in 2025.This study employed a quantitative method with a one-group pretest–posttest design. The sample consisted of 10 postpartum mothers selected using a total sampling technique. The research instrument was an observation sheet assessing breast milk production smoothness, categorized as poor, adequate, and smooth. Data analysis was performed using the Wilcoxon Signed-Rank Test.The results showed an improvement in breast milk production smoothness after the implementation of lactation massage. Before the intervention, 5 postpartum mothers (50%) were categorized as having poor breast milk production and 5 mothers (50%) as adequate. After the intervention, 5 mothers (50%) were categorized as adequate and 5 mothers (50%) as smooth, with no participants remaining in the poor category. The Wilcoxon test result showed a p-value of 0.005 (p < 0.05), indicating that lactation massage had a significant effect on improving breast milk production among postpartum mothers.

Asuhan Kebidanan pada Bayi Baru Lahir Dengan Ikterus Fisiologis

Ike Hesti, Nurma Hidayati, veni Melinda — Thu, 30 Apr 2026 00:00:00 +0200

Physiological jaundice occurs at >24 hours of life and disappears <14 hours of life with bilirubin levels on the second to fourth day of life of 5-6 mg/dl and decreases to <24 hours, or more than 14 days of life with bilirubin levels reaching 5-10 mg/dl. The purpose of writing this Final Assignment Report is to provide midwifery care to Mrs. F's baby with Physiological Jaundice at the Raden Seto Clinic, Central Lampung. The method used in compiling this Final Assignment Report is a case report with SOAP documentation. Data collection techniques used were interviews, physical examination, observation, and documentation study. The results of the subjective data assessment obtained were a baby born at 39 weeks of gestation. The mother came for a follow-up visit 3 with complaints of jaundice on the baby's face, sclera, and neck. The baby rarely breastfeeds due to the mother's low milk production and rarely exposed to the sun due to cloudy morning weather for 3 days. Objective data obtained were a general examination of the baby in good condition, weight: 3000 grams, height: 49 cm. The results of the physical examination showed that the skin of the face, sclera, and neck appeared yellow. Therefore, the analysis was confirmed that Mrs. D's baby was 3 days old, a full-term neonate according to gestational age with physiological jaundice. The management provided included providing education to the mother on providing breast milk on demand, proper breastfeeding techniques, as well as nutritional needs for breast milk production and sun therapy. Based on the results of the care that had been carried out, the baby was in a healthy condition, with reddish skin and no complications. The mother was also able to breastfeed her baby well. Suggestions for the client are expected to continue to provide breast milk as often as possible exclusively to her baby.

Keywords: Jaundice, Newborn

indonesia

Thu, 30 Apr 2026 00:00:00 +0200

Early childhood development is a critical stage that determines a child’s readiness for learning and subsequent development. A preliminary study conducted at PAUD Abimanyu showed that of 30 children aged 3–5 years, 10 children (33.3%) were categorized as having questionable development based on the Pre-Screening Developmental Questionnaire (Kuesioner Pra Skrining Perkembangan/KPSP). Some children were unable to perform age-appropriate developmental tasks, such as putting on shoes independently, copying simple shapes, and correctly recognizing colors. In addition, initial observations indicated that some parents still applied inappropriate parenting styles, resulting in suboptimal developmental stimulation for children. Therefore, this study aimed to determine the relationship between parenting styles and the development of children aged 3–5 years at PAUD Abimanyu in 2025.This study employed a quantitative approach with analytic cross-sectional design. The research sample consisted of 30 respondents selected using a total sampling technique. Research instruments included a parenting style questionnaire and a child development assessment sheet based on the KPSP. Data analysis was conducted using univariate analysis to determine the frequency distribution of variables and bivariate analysis using the Chi-Square test to examine the relationship parenting styles and child development.The results showed that the majority of parents had a positive democratic parenting style, with 19 respondents (63.3%), while authoritarian and permissive parenting styles were predominantly categorized as negative, each involving 19 respondents (63.3%). Based on KPSP results, 20 children (66.7%) were classified as having development appropriate for their age, while 10 children (33.3%) were categorized as having questionable development. The Chi-Square test indicated a statistically significant relationship between parenting styles and the development of children aged 3–5 years (p < 0.05). Thus, the findings of this study are expected to serve as a basis for parents in implementing appropriate parenting styles in accordance with the child’s developmental stage.

FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT PARTISIPASI MASYARAKAT DALAM KEGIATAN POSYANDU BALITA DI KAMPUNG SURABAYA KABUPATEN LAMPUNG TENGAH

Thu, 30 Apr 2026 00:00:00 +0200

Abstrak

Posyandu (pos pelayanan terpadu) adalah lembaga kemasyarakatan yang mewadahi pemberdayaan masyarakat dalam pelayanan sosial dasar dan pelaksanaannya dapat disinergikan dengan layanan lainnya sesuai potensi daerah. Rendahnya partispasi masyarakat terhadap posyandu menjadi permasalahan yang dapat menghambat pelaksanaan pelayanan kesehatan posyandu. Tujuan penelitian ini adalah mengetahui faktor-faktor yang memengaruhi partisipasi masyarakat dalam kegiatan posyandu balita di Kampung Surabaya Kabupaten Lampung Tengah.

Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan desain cross-sectional. Populasi berjumlah 112 dan sampel sebanyak 53 responden menggunakan teknik simple random sampling. Penelitian ini telah dilaksanakan pada bulan Agustus tahun 2025 di Kampung Surabaya Kabupaten Lampung Tengah. Pengumpulan data dengan lembar kuesioner, analisis data secara univariat dan bivariat (Uji Chi-square).

Hasil penelitian menggunakan uji Chi-square didapatkan hasil bahwa ada hubungan pendidikan (p-value = 0,010), pekerjaan (p-value = 0,000), pengetahuan (p-value = 0,000), sikap kader (p-value = 0,000) dengan tingkat partisipasi masyarakat dalam kegiatan posyandu balita di Kampung Surabaya Kabupaten Lampung Tengah. Diharapkan masyarakat mampu untuk mengikuti kegiatan posyandu balita dan ikut serta dalam pelaksanaan program puskesmas yang berkaitan dengan kesehatan anak.

Kata Kunci : Posyandu, Pendidikan, Pengetahuan, Sikap Kader, Partisipasi Masyarakat

Kepustakaan : 38 (2018-2024)

Description Of The Level Of Knowledge Of Female Adolescents About Breast Self-Examination (BSE) As An Early Detection Effort For Breast Cancer at SMA N 1 Semarapura

Ni Artaningsih, Ni Ketut Citrawati, Ni Kadek Yuni Lestari — Thu, 30 Apr 2026 00:00:00 +0200

Latar Belakang : Kanker payudara merupakan salah satu masalah kesehatan utama pada perempuan yang memerlukan deteksi dini sejak usia remaja. Pemeriksaan Payudara Sendiri (SADARI) merupakan metode sederhana dan efektif yang dapat dilakukan secara mandiri. Tujuan : Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan remaja putri tentang SADARI sebagai upaya deteksi dini kanker payudara di SMA Negeri 1 Semarapura. Metode : Penelitian menggunakan desain kuantitatif deskriptif. Populasi penelitian adalah seluruh siswi kelas X sampai XII sebanyak 564 siswi, dengan sampel 235 responden yang dipilih menggunakan teknik proportionate stratified random sampling. Pengumpulan data dilakukan pada tanggal 14–15 November 2025 menggunakan kuesioner pengetahuan SADARI berbasis Google Form. Analisis data dilakukan secara deskriptif. Hasil : Hasil penelitian menunjukkan bahwa sebagian besar responden berusia 16 tahun (41,3%), berasal dari kelas XII (34,9%), dan memperoleh informasi tentang SADARI melalui internet atau media sosial (65,1%). Mayoritas responden memiliki tingkat pengetahuan baik mengenai SADARI (88,5%). Kesimpulan : Penelitian menunjukkan bahwa tingkat pengetahuan remaja putri tentang SADARI di SMA Negeri 1 Semarapura berada pada kategori baik, Hasil penelitian ini menegaskan bahwa peningkatan pengetahuan harus diikuti dengan penguatan edukasi berkelanjutan, pembinaan praktik SADARI, serta integrasi program kesehatan reproduksi melalui kegiatan Unit Kesehatan Sekolah (UKS).

PENERAPAN MANAJEMEN KESEHATAN BERBASIS PRINSIP MANAJEMEN BISNIS UNTUK MENINGKATKAN KINERJA LAYANAN KESEHATAN: STUDI KASUS DI KOTA METRO DAN SEKITARNYA

Rohmad Hardiyanto, RIZKY SUGENG RIADI, HIKMATUL KHOIRIYAH — Thu, 30 Apr 2026 00:00:00 +0200

ABSTRACT
Health management is the backbone of quality, efficient, and equitable health service delivery. In the era of global
competition and digital transformation, health service facilities are required to adopt modern business
management principles to improve operational efficiency, patient satisfaction, and organizational sustainability.
Metro City, as an educational city in Lampung, has great potential as a center for developing innovation-based
health service management. The purpose of this study is to examine how business management concepts are
applied to health management at healthcare facilities in Metro City and the surrounding areas, pinpoint
implementation obstacles, and develop managerially based methods for maximizing service performance. This
study using structured questionnaires, 180 healthcare professionals and managers from 12 Metro City healthcare
facilities participated in the first quantitative study (Cronbach Alpha = 0.89). The second and FGDs 20 to enhance
quantitative results. The period of data collection was February through June of 2026.Health facilities that
comprehensively applied business management principles showed significant improvements: patient satisfaction
index increased 36.8% (from 61.4 to 84.0 on a 100-point scale), operational cost efficiency increased 28.3%,
health worker productivity increased 39.7%, and patient complaint rates decreased 54.2%. Three dominant
success factors were transformational leadership (OR=4.67), integrated health management information system
implementation (OR=3.89), and competency-based HR development (OR=3.21). The integration of business
management principles in health management has been proven to significantly improve health service
performance in Metro City. Strengthening managerial capacity of health workers through collaboration between
health facilities and universities such as Universitas Wira Buana is key to accelerating health service management
transformation in the region.

KEADILAN SUBSTANTIF DALAM PELAYANAN KESEHATAN: INTEGRASI HUKUM DAN NILAI KEAGAMAAN

anggi fitriani, wikafitriana purwaningtyas, esti rahayu, Vivi Hapsari HAPSARI — Thu, 30 Apr 2026 00:00:00 +0200

Healthcare is a fundamental right of every citizen, guaranteed by the constitution and laws and regulations.
However, practice still demonstrates a gap between legal norms and implementation, such as cases of repeated
referrals of BPJS patients and deactivation of membership, which hinder access to healthcare services. This
research uses a normative juridical method with a legislative, conceptual, and case study approach, integrating
religious values to examine the principles of justice, humanity, and moral responsibility in healthcare services.
The results show that despite strong legal guarantees, healthcare implementation still tends to be oriented
toward administrative procedures rather than the actual needs of patients. This condition reflects the failure to
achieve substantive justice, namely justice oriented toward tangible benefits and the protection of patient rights.
From a religious perspective, healthcare practices that neglect patient safety demonstrate a lack of
internalization of the values of justice, mercy, and moral responsibility. Therefore, integration of law and
religious values in healthcare delivery is necessary to create a more just, humane, and community-oriented
system.

RECOMMENDATION SYSTEM USING NEURAL NETWORK ALGORITHM FOR EARLY SYMPTOM TREATMENT OF ISCHEMIC STROKE

Thu, 30 Apr 2026 00:00:00 +0200

Ischemic stroke is a critical medical condition requiring rapid intervention to prevent permanent neurological damage and reduce global mortality rates. This study develops a recommendation system for early symptom treatment using the Artificial Neural Network (ANN) algorithm to accelerate clinical decision-making. Utilizing a dataset of 500 patients, the model analyzes primary symptoms such as face drooping, arm weakness, and speech difficulty through a Multi-Layer Perceptron architecture. The data is processed using Min-Max Scaling normalization and Adam optimization to ensure high accuracy and rapid model convergence during the training phase. Research results demonstrate outstanding performance with an accuracy rate of 94.5% and a sensitivity (recall) reaching 95.8% in accurately detecting stroke cases. The system provides an average prediction value of 0.89 in critical conditions, triggering automatic recommendations for immediate thrombolysis treatment within the golden period.

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Thu, 30 Apr 2026 00:00:00 +0200

The advancement of information technology has driven the transformation of healthcare services through the utilization of telemedicine, including in midwifery services. Telemedicine enables midwives to provide consultation services, monitor the health of pregnant women, and deliver health education remotely. However, the implementation of telemedicine-based midwifery services raises various legal issues, particularly concerning legal certainty regarding the authority of midwives, legal liability, and legal protection for patients and healthcare professionals. The lack of comprehensive regulatory frameworks has the potential to create legal risks in the practice of technology-based midwifery services. This study aims to analyze the legal certainty of telemedicine-based midwifery services within the healthcare system in Indonesia and to examine the legal regulations governing such practices. The research method employed is normative legal research using a statutory approach and a conceptual approach. The legal materials utilized include laws and regulations in the healthcare sector, legal literature, and relevant documents related to telemedicine. The results of the study indicate that telemedicine-based midwifery services have obtained a legal basis within the Indonesian healthcare legal system. However, there remain normative gaps and regulatory ambiguities regarding the scope of midwives’ authority, service standards, and legal liability in cases of service errors. Therefore, more comprehensive regulations are required to ensure legal certainty and provide legal protection for both midwives and patients in the implementation of telemedicine-based midwifery services.

Keywords: Legal Certainty, Midwifery, Telemedicine, Healthcare Services, Health Law

Description of the Level of Knowledge and Attitudes of Adolescents in the Prevention of Sexually Transmitted Infections

Ni Putu Githa Vera Astari, Ni Ketut Citrawati, Ni Luh Gede Intan Saraswati — Thu, 30 Apr 2026 00:00:00 +0200

Sexually Transmitted Infections (STIs) are a type of infectious disease transmitted through sexual intercourse, including vaginal, oral, and anal contact. The incidence of STIs among the productive age group, especially adolescents, has continued to increase over time and remains a significant health issue due to its substantial impact on future health. This study aimed to describe the level of knowledge and attitudes of adolescents toward the prevention of Sexually Transmitted Infections at SMA Negeri 1 Abiansemal. This study employed a quantitative descriptive design with a sample of 248 students from grades X–XI selected using the Proportionate Stratified Random Sampling technique. Data were collected using questionnaires and analyzed descriptively through frequency distribution. The results showed that most respondents were 16 years old, totaling 123 respondents (49.6%), and 154 respondents (62.1%) were female. The majority of respondents had a good level of knowledge, totaling 198 respondents (79.8%), and most respondents demonstrated positive attitudes toward the prevention of Sexually Transmitted Infections, totaling 197 respondents (79.4%). Positive attitudes toward STI prevention among adolescents are influenced by the level of knowledge, exposure to health information, and the school environment, which plays a role in providing reproductive health education. Therefore, continuous health education is needed to strengthen knowledge and foster more optimal attitudes among adolescents in the prevention of Sexually Transmitted Infections.