Media Kesehatan Masyarakat Indonesia
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Relationship Between Cadres Knowledge and Ability to Document Arumdalu Integrated Service Posts (Posyandu) Information System Reports
Full text linkThe high demands of administration and activities report at Integrated Service Posts (Posyandu) requiring cadres skills in documenting data accurately. In this field, the reality shows that many cadres lack adequate knowledge regarding. The Posyandu information system, especially the Arumdalu Posyandu. Therefore, this study aimed to determine the relationship between cadres\u27 knowledge and ability to document reports on the Arumdalu Posyandu information system. The quantitative analytical research design used a cross-sectional, longitudinal (pre-post digital training), and mixed methods approach, complemented by Social Network Analysis (SNA). The research sample consisted of 60 Posyandu cadres at the Arumdalu Posyandu in the Sanggrahan Health Center working area, Sukoharjo Regency. Analysis was conducted univariately, bivariately using the Spearman Rank correlation test, multivariate with logistic regression, pre-post training test with Wilcoxon, qualitatively through FGDs, and SNA to map interactions between cadres. The results showed a significant relationship between cadres\u27 knowledge and their ability to document reports (p = 0.003; r = 0.421). Multivariate analysis showed a significant effect of knowledge (OR = 3.42; 95% CI: 1.45–8.06), and education was also significant (OR = 2.87; 95% CI: 1.12–7.39). Longitudinal testing showed an average 22% increase in documentation skills after digital training (p < 0.001). Qualitative analysis identified motivation, workload, and institutional support as important factors, while SNA found the presence of key cadres as centers for information dissemination. In conclusion, increasing cadre capacity through digital training, supervision, institutional support, and utilizing cadres social networks is crucial for improving the quality of Posyandu cadres reporting
Social Determinants of Covid-19 Morbidity in Indonesia: Observational District Level Analysis
Full text linkSince the COVID-19 pandemic globally struggled in late 2019, the global community has become aware that outbreaks of infectious diseases are associated with conditions beyond health factors, such as social, economic, demographic, geographic, and lifestyle. This paper aims to identify the influence of Social Determinants of Health (SDOH) on COVID-19 morbidity rates in Indonesia. The study analyzed morbidity cases during the second wave of the COVID-19 pandemic, namely the Delta variant wave. Multivariate analysis with linear regression was used to determine the predictors that affect COVID-19 morbidity in 128 districts/cities of the Java and Bali isles, which were controlled by the pandemic stages including pre, resurgence, decline, and post. Morbidity data was collected cross-sectionally from the National COVID-19 Task Force dataset and the social determinant of the 2021 Central Statistics Agency report. The number of health facilities is the most influential characteristic of the regency/city to COVID-19 morbidity at the pre-and resurgence-pandemic stages. The ratio of the immune population is the most influential characteristic when the pandemic experiences a decline stage; meanwhile, during the post-pandemic, the second dose of vaccination is the most influential characteristic. We recommended that testing, tracing, quarantine, and isolation intervention should be prioritized in the districts/cities with higher health facilities (pre- and resurgence-stage), higher herd immunity (decline-stage), and booster vaccination (post-stage). Social determinants of health are suggested to be used as a basis for predicting the risk factors for an outbreak of infectious diseases in a region and contributing to different SDOH factors in different outbreak stages
Rethinking School Nutrition via Community Engagement: A Review with Implications for Indonesia’s MBG Program
Full text linkCommunity engagement has become a growing concern in the implementation of school nutrition programs, particularly in addressing issues of child malnutrition, food insecurity, and educational outcomes. However, definitions and levels of participation remain conceptually fragmented across various studies. This study aims to systematically review the scope, forms, and implications of community engagement in school-based nutrition programs. A Systematic Literature Review (SLR) was conducted on 89 Scopus-indexed publications from 1984 to 2025 using the PRISMA 2020 protocol. Thematic analysis was employed to identify the conceptual, methodological, and contextual variations of community involvement. Data were collected through document analysis of peer-reviewed journal articles focusing instead on qualitative synthesis. The study examined forms of engagement based on eight participation levels and five thematic domains. Results show that the relevance of the topic has increased significantly, especially in the last decade, with a marked rise in academic interest from diverse institutions. While collaborative practices such as cross-sector coordination, parental involvement, and grassroots food initiatives are often promoted, most programs operate at symbolic or consultative levels, rarely advancing to full empowerment. Contextual cases, such as Indonesia’s Free Nutritious Meals Program (MBG), illustrate both the promise and challenge of operationalizing community engagement at scale. This review concludes that future research must adopt a more theory-informed and practice-oriented approach to community participation, supported by clearer frameworks, inclusive governance models, and culturally adaptive implementation strategies
Understanding the Barriers to Exclusive Breastfeeding Among Urban Indonesian Mothers
Full text linkDespite WHO recommendations advocating for Exclusive Breastfeeding (EBF) for the initial six months, EBF rates remain low in many countries, including Indonesia. This study identifies psychosocial, socioeconomic, and demographic factors influencing EBF practices in Semarang City. Methods: A quasi-experimental design involved 157 participants (98 mother-infant pairs and 49 peers) recruited from various public health centres from December 2023 to June 2024. The Kaplan-Meier survival curve, in conjunction with the log-rank test, was employed to assess the disparities in survival and the observed practices of EBF. The determinants of EBF duration were found using the cox proportional hazard ratio. Results: The mean duration of EBF was 18 weeks, a number of 33.7% of mothers did not complete full six months. Key findings reveal that peer support, maternal knowledge, attitudes, skills, education level, and employment status significantly influence EBF duration. Mothers who received peer support had greater EBF resilience compared to those who did not received peer support (HR 0,32, CI:0.197,0.528). Practical skill, favourable attitudes, and high knowledge were also important indicators of sustained EBF. Conversely, being a working mother and having lower education level increased the risk of early EBF cessation. Conclusions: The results emphasize the necessity of focused, context-specific interventions to promote EBF in urban areas. These insights carry implications for policy and program development aimed to enhance health consequences for mother and children. Further research in diverse socio-demographic contexts is recommended to better understand and support effective EBF practices
Mapping Trends and Patterns in Tuberculosis and Tobacco Use: Insights from a Bibliometric Analysis of 25 Years of Research
Full text linkTuberculosis (TB) and tobacco use represent two of the most pervasive global health challenges, with a particularly profound impact in Low and Middle-Income Countries (LMICs). Although numerous reviews have explored the clinical and epidemiological associations between TB and smoking. A systematic analysis of publication trends is lacking. This study aims to address this gap by providing a comprehensive bibliometric analysis of the intersection between TB and tobacco use, mapping its evolution, key research themes, collaboration networks, and underexplored areas. This study utilized a bibliometric method. Data from 13,876 articles indexed in Scopus were analyzed using RStudio, VOSViewer, and OpenRefine. PLOS ONE emerged as the most prolific journal, with Wang Y being the leading author, having published 178 articles. The University of California was identified as the leading institution with 707 publications. Emerging research topics include mathematical modeling and numerical simulation, reflecting increasing attention to computational approaches in respiratory disease research. Country collaboration networks revealed the United States as the dominant contributor, with significant partnerships with African countries. These findings emphasize the importance of smoking prevention in TB control strategies, offering insights to inform public health policies and guide future research on TB and smoking’s health impacts
Analysis of Successful Implementation of Hospital Information System in Bhayangkara Polda DIY Hospital with MMUST Method
Full text linkSince 2010, Bhayangkara Polda DIY Hospital has been using Hospital Information System (HIS), but the system still needs to be optimized. In the context of optimizing HIS implementation, it is necessary to analyze the success of HIS implementation. This study examines the factors that influence the successful implementation of Hospital Information System (HIS) in Bhayangkara Polda DIY Hospital based on the Model for Mandatory Use of Software Technologies (MMUST) method. This research is a descriptive study with a cross-sectional quantitative approach. The study sample used purposive sampling, which amounted to 98 respondents. Data analysis using the Structural Equation Modeling Partial Least Squares (SEM-PLS) technique using SmartPLS software version 4.1.0.3. The results stated that information satisfaction is influenced by information quality, performance expectations are influenced by information satisfaction and social influence, performance expectations and facility conditions influence attitudes, attitudes influence usage and overall satisfaction, and net benefits are influenced by usage and overall satisfaction. This study proves empirically that all hypotheses are accepted. HIS has proven to be a successful implementation because it can produce accurate, fast, and complete information, accelerate user performance, and provide benefits in its implementation
Validating the Malay Version of Adolescent Sexual and Reproductive Health Knowledge and Attitudes Questionnaires
Full text linkAdolescent Sexual and Reproductive Health (SRH) knowledge is crucial for informed decision-making, yet cultural barriers in Malaysia limit open discussions, creating significant knowledge gaps. This study validated the Malay version of the Adolescent SRH Knowledge and Attitudes Questionnaire to address this need. The validation process included expert content review (6 panelists), face validity testing (30 respondents), and psychometric analysis among 100 adolescents in Sarawak. The questionnaire demonstrated excellent content validity as rated by the experts and strong face validity among adolescents. The knowledge domain showed high internal consistency (α = 0.935), while the attitude domain had moderate reliability (α = 0.682), with refinements improving item alignment. The validated questionnaire provides a culturally adapted tool for assessing SRH among Malaysian adolescents, supporting targeted interventions. Future studies should expand validation to diverse populations and the assess longitudinal stability
Risk of Vitamin D Deficiency in Smokers: Mix-Method
Full text linkCigarettes are one of the leading causes of death in the world and Indonesia. Cigarettes emit cigarette smoke, which contains toxins and has pro-inflammatory properties that interfere the metabolism of vitamin D in the lungs. The study aimed to determine the risk of vitamin D deficiency in active smokers in Rungkut Village, Surabaya City. This research method is a mix-method with a Convergent Parallel Design type strategy, which is a way of collecting quantitative (cross-sectional) and qualitative data (interpretative phenomenological analysis) simultaneously, with purposive sampling technique. The variable was the risk of vitamin D deficiency and vitamin D level. Subjects were active smokers aged ≥19 years in the Rungkut Subdistrict. The number of samples involved in this research was 125 samples in the quantitative phase, and 15 people in the qualitative phase. The highest level of smoking severity was light smokers (45.60%). Most of respondents had normal vitamin D levels (≥20 mg/mL) of 73.33%, averaging of 37.66 ± 5.89 mg/mL. Most active smokers are at risk of vitamin D deficiency. Risk factors for deficiency in heavy smokers are not consuming foods containing vitamin D (such as fish, eggs, and milk), not consuming fish oil supplements and vitamins, and not sunbathing. However, the level of physical activity tended to be moderate-heavy. The conclusion is that smokers must pay attention to their intake of foods containing vitamin D and exposure to sunlight to achieve sufficient vitamin D levels
COVID-19 Cases and Factors Associated with 11 Indonesian Provinces, 2021
Full text linkIn collaboration with other stakeholders, National Task Force of COVID-19 Control conducted massive detection of the cases, followed by contact tracing. The study aimed to overview COVID-19 cases from 58 districts of 11 provinces in Indonesia and its associated factors. A cross-sectional study design used secondary data from The National Task Force of COVID-19 Control. COVID-19 cases and other variables were collected in 58 districts in 11 provinces of Indonesia year 2021. The study incorporated descriptive, correlation, and multiple linear regression analysis with the district as an analysis unit. The median of COVID-19 cases was 804 per district, traced cases were 70.6% of cases, cases had contact was 2.6% of cases, close contact was 2,188, the ratio of close contact: cases were 2.75, isolation drop out was 8, quarantine drop out was 9, test for close contact was 962, COVID-19 vaccine dose 1 was 147, dose 2 was 205, and no vaccine was 354. Factors significantly correlated with COVID-19 cases were cases traced, cases have epicontact, close contact, and ratio close contact. In multivariate analysis, the percentage of traced cases, cases had epicontact, isolation drop out, COVID-19 vaccine dose-1, and no COVID-19 vaccine associated with COVID-19 cases. Identifying factors related to the incidence of COVID-19 can be used to increase efforts to prevent and control COVID-19 cases in the community as a response to alertness to the emergence of new cases due to new variation mutations
Potential of Noni Leaf Extract (Morinda citrifolia L.) As Aedes aegypti Mosquito Repellent
Full text linkDengue fever is transmitted every year by the Aedes aegypti mosquitoes in Indonesia. One way to prevent this is by using repellents, such as the noni leaf extract (Morinda citrifolia L.). The objective of this study was to analyze the potential of the noni fruit (Morinda citrifolia L.) leaf extract as a repellent against Aedes aegypti. The study employed a post-test research design with only a control group, using concentrations of 12.5%, 25%, and 37.5%, and 25 mosquitoes with 6 repetitions. The technique for data collection involved counting mosquitoes that perched on hands. The study was conducted from November 2022 to May 2023. Data analysis was performed using SPSS Anova One Away Post Hoc and the power protection formula. The research on Aedes aegypti mosquitoes that perched for 6 hours showed that the noni leaf extract concentration of 37.5% had an average of 2.5 tails perched. The concentration of the noni leaf extract is 37.5%, according to the Pesticide Committee standard (1995). The average protection power for 6 hours is 90.86%. The study also suggests investigating the side effects of use and the addition of an HPMC gelling agent. However, for concentrations of 12.5% and 25%, the protective power is less than 90%. This study shows that concentrations of 37.5% are effective for repelling Aedes aegypti mosquitoes. Further research can be conducted using old or yellowed leaves, as well as for repelling culex and Anopheles mosquitoes