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Background. Bogor regency is one of the regions in West Java with the highest reported TB burden in 2022, totaling 15,433 cases with a prevalence of 413 per 100,000 population. Indicating that TB prevalence reduction efforts in West Java remain suboptimal. Methods. This study employed Spearman correlation test and spatial overlay analysis on secondary data from 2022, covering 40 sub-districts in Bogor Regency. The analyzed variables included the proportion of healthcare workers, ratio of health facilities, BCG immunization coverage, proportion of poor population, low education levels, PHBS, malnourished children, population density, hygienic management of water and food, household waste management, and indoor air quality. Conclusion. The variable significantly associated with TB cases was the proportion of poor population (R = 0.492; P = 0.001) The spatial overlay analysis revealed that TB distribution tended to be higher in areas with a combination of high social and environmental vulnerability, such as Jonggol, Sukaraja, and Parung.
Latar Belakang: Distorsi citra tubuh adalah persepsi negatif terhadap bentuk dan ukuran tubuh sendiri, yang sering dialami oleh remaja putri dan dapat berdampak pada kesehatan mental dan perilaku makan. Masa remaja merupakan periode rentan terhadap pengaruh sosial dan media yang dapat memperkuat ketidakpuasan terhadap tubuh.
Tujuan: Penelitian ini bertujuan untuk mengidentifikasi determinan yang memengaruhi distorsi citra tubuh pada remaja putri di SMA Negeri 3 dan SMA Negeri 14 Kota Padang tahun. 2025. Metode: Penelitian ini menggunakan desain studi analitik dengan pendekatan cross-sectional. Sampel diambil secara purposif sebanyak 457 responden dari dua sekolah tersebut. Data dikumpulkan melalui kuesioner yang telah divalidasi, meliputi variabel body image, status gizi, pengetahuan gizi, perilaku makan, percaya diri, sosial ekonomi, pengaruh media sosial, orang tua, teman sebaya dan peranan sosial. Analisis data dilakukan menggunakan uji chi-square dan regresi logistik. Hasil: Hasil menunjukkan bahwa sebagian besar responden tidak memiliki distorsi citra tubuh (68,7%), terdapat hubungan antrara status gizi, percaya diri dan teman sebaya dengan distorsi citra tubuh. Kesimpulan: Berdasarkan p-value dan nilai OR, status gizi menjadi variabel yang paling signifikan berhubungan dalam memengaruhi distorsi citra tubuh. Artinya, remaja putri yang memiliki status gizi kurang berpeluang 3.40 kali lebih tinggi untuk mengalami distorsi citra tubuh dibandingkan dengan remaja dengan status gizi baik, begitu juga remaja putri yang memiliki status gizi lebih berpeluang 39,19 kali lebih tinggi untuk mengalami distorsi citra tubuh dibandingkan dengan remaja putri yang memiliki status gizi baik. Nilai R-Square (41,6%) menunjukkan bahwa variasi dalam variabel distorsi citra tubuh dapat dijelaskan oleh variabel status gizi dan kepercayaan diri.
Background: Body image distortion is a negative perception of one's own body shape and size, which is often experienced by adolescent girls and can have an impact on mental health and eating behavior. Adolescence is a period of vulnerability to social and media influences that can reinforce body dissatisfaction. Objective: This study aims to identify the determinants influencing body image distortion among adolescent girls at State High School 3 and State High School 14 in Padang City in 2025. Method: This study used an analytical design with a cross-sectional approach. A purposive sample of 457 respondents was selected from the two schools. Data were collected through a validated questionnaire, including variables such as body image, nutritional status, nutritional knowledge, eating behavior, self-confidence, socioeconomic status, social media influence, parental influence, peer influence, and social role. Data analysis was performed using chi-square tests and logistic regression. Results: The results showed that the majority of respondents did not have body image distortion (68.7%), and there was a relationship between nutritional status, self-confidence, and peers with body image distortion. Conclusion: Based on p-values and odds ratios (OR), nutritional status was the most significant variable associated with body image distortion. This means that adolescent girls with poor nutritional status are 3.40 times more likely to experience body image distortion than those with good nutritional status, and adolescent girls with overweight nutritional status are 39.19 times more likely to experience body image distortion than those with good nutritional status. The R-Square value (41.6%) indicates that variations in the body image distortion variable can be explained by the nutritional status and self-confidence variables.
WHO and UNICEF recommend exclusive breastfeeding for the first six months of life, as breast milk contains complete nutriens and adapts to the baby’s needs. However, the coverage of exclusive breastfeeding at Jombang Health Center declined in 2024 to 67,97%, below the national target. This study aimed to identify determinants of exclusive breastfeeding behavior in the working area of Jombang Health Center, Cilegon City, in 2025. This research used a quantitative method with a cross-sectional study design. A total of 88 mothers were selected as samples using purposive sampling based on inclusion and exclusion criteria. Data collection was conducted primarily through interviews using a questionnaire instrument. Statistical analysis was performed using SPSS version 25 with bivariate analysis through the Chi-Square test. The results showed that 70,5% of mothers exclusively breastfed. Based on statistical tests, education (p= 0,002), attitude (p< 0,001), early initation of breastfeeding (p= 0,014), and husband support (p= 0,034) were found to have a relationship with exclusive breastfeeding behavior. However, age (p= 0,337), occupation (p= 0,875), parity (p= 1,000), knowledge (p= 0,573), formula milk promotion (p= 0,709), and health worker support (p= 0,516) had no significant relationship with exclusive breastfeeding behavior. To improve exclusive breastfeeding coverage in the working area of Jombang Health Center, efforts such as strengthening education tailored to the needs of mothers using methods aligned with current trends, involving husbands in maternal health programs, increasing the capacity of health workers, and optimizing coordination and monitoring of exclusive breastfeeding programs are recommended.
Tuberkulosis masih menjadi masalah kesehatan di dunia, Negara Indonesia menempati peringkat kedua kasus TB terbanyak di dunia. Provinsi Jawa Barat menempati peringkat satu kasus TB terbanyak di Indonesia dan Kota Depok menempati peringkat 10 besar kasus TB di Provinsi Jawa Barat. Pemerintah Kota Depok telah membentuk inovasi Kampung Peduli Tuberkulosis (KAPITU) sebagai wadah komunikasi antara masyarakat, lintas program dan lintas sektor dalam melakukan penanggulangan tuberkulosis melalui kegiatan penemuan, pendampingan pengobatan, dan sosialisasi tuberkulosis. Penelitian ini bertujuan menganalisis bagaimana implementasi kebijakan Kampung Peduli Tuberkulosis yang sudah dijalankan. Penelitian ini menggunakan metode kualitatif dan pengumpulan data dilakukan dengan wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa aspek input (sumber daya manusia, anggaran, fasilitas, kebijakan), aspek proses (komunikasi, disposisi, struktur birokrasi), serta aspek output (hasil implementasi KAPITU) sudah berjalan baik di Kelurahan Mampang dan Suka Maju Baru. Implementasi KAPITU sempat tidak berjalan pada Kelurahan Sawangan Baru dan Sawangan Lama karena adanya pergantian petugas dan petugas yang pindah kerja. Pada Kelurahan Cilodong dan Pasir Putih masih kurangnya sumber daya manusia, tidak tersedianya anggaran, belum optimalnya komunikasi dan disposisi sehingga menyebabkan implementasi KAPITU belum berjalan optimal. Selanjutnya faktor lingkungan sosial, ekonomi, dan politik juga mempengaruhi implementasi KAPITU. Kesimpulan implementasi KAPITU yang berjalan dengan baik berbanding lurus dengan capaian indikator program TB yang juga baik. Kelurahan yang menunjukkan implementasi program KAPITU yang baik, seperti Mampang dan Suka Maju Baru, memiliki capaian yang lebih baik, Selanjutnya Kelurahan Sawangan Baru dan Sawangan Lama juga menunjukkan adanya peningkatan capaian program setelah satgas KAPITU mulai berjalan kembali. Kelurahan yang belum mengimplementasikan KAPITU dengan baik, seperti Cilodong dan Pasir Putih, juga menunjukkan capaian program TB yang belum baik.
Tuberculosis is still a health problem in the world, Indonesia ranks second in the world for the most TB cases. West Java Province ranks first in the number of TB cases in Indonesia and Depok City ranks in the top 10 for TB cases in West Java Province. The Depok City Government has formed the Kampung Peduli Tuberkulosis (KAPITU) innovation as a means of communication between the community, across programs and across sectors in preventing and controlling tuberculosis through discovery activities, treatment assistance, and tuberculosis socialization. This study aims to analyze how the implementation of the Kampung Peduli Tuberkulosis policy has been carried out. This study uses qualitative methods and data collection is carried out through in-depth interviews and document reviews. The results of the study indicate that the input aspects (human resources, budget, facilities, policies), process aspects (communication, disposition, bureaucratic structure), and output aspects (results of KAPITU implementation) have been running well in Mampang and Suka Maju Baru Sub-districts. The implementation of KAPITU was not running in Sawangan Baru and Sawangan Lama Sub-districts due to changes in officers and officers who moved jobs. In Cilodong and Pasir Putih Sub-districts, there was still a lack of human resources, unavailability of budget, suboptimal communication and disposition, which caused the implementation of KAPITU to not run optimally. Furthermore, social, economic, and political environmental factors also influenced the implementation of KAPITU. The conclusion is that the implementation of KAPITU that is running well is directly proportional to the achievement of TB program indicators which are also good. Sub-districts that show good implementation of the KAPITU program, such as Mampang and Suka Maju Baru, have better achievements. Furthermore, Sawangan Baru and Sawangan Lama Sub-districts also show an increase in program achievements after the KAPITU task force started operating again. Sub-districts that have not implemented KAPITU properly, such as Cilodong and Pasir Putih, also show poor achievement of TB program indicators.
Analisis penerapan Penganggaran berbasis Kinerja untuk Standar Pelayanan Minimal (SPM) Orang dengan Gangguan Jiwa (ODGJ) Berat di Dinas Kesehatan Kota Depok Tahun 2025, Penelitian ini menganalisis pelaksanaan penganggaran berbasis kinerja (PBK) terhadap Standar Pelayanan Minimal (SPM) ODGJ Berat di Dinas Kesehatan Kota Depok telah mencerminkan kebutuhan riil di lapangan. Meskipun capaian SPM tercatat mencapai 100% pada tahun 2023 dan 2024, alokasi anggaran justru mengalami penurunan signifikan: dari (0,06%) pada 2023 menjadi hanya (0,02%) pada 2024 dari total anggaran Dinas Kesehatan. Kontradiksi ini mencolok, terutama ketika prevalensi gangguan jiwa di Kota Depok masih sangat tinggi 9,1% di kalangan pegawai pemerintah dan 15,3% di masyarakat umum, angka provinsi (4,4%) dan nasional (2%). Kondisi ini menunjukkan adanya tantangan serius dalam penerapan PBK yang seharusnya mengedepankan prinsip efektivitas, efisiensi, dan evidence-based. Penelitian ini menggunakan pendekatan komprehensif terhadap komponen struktur, proses, dan komitmen daerah, untuk menilai apakah kebijakan penganggaran yang diterapkan sudah mendukung keberlanjutan layanan kesehatan jiwa secara substantif, bukan sekadar administratif.
Analysis of the Implementation of Performance-Based Budgeting for Minimum Service Standards (SPM) for People with Severe Mental Disorders (ODGJ) at the Depok City Health Office in 2025,This study analyzes whether the implementation of performance-based budgeting (PBB) for the Minimum Service Standards (SPM) for People with Severe Mental Disorders (ODGJ) at the Depok City Health Office reflects the actual needs in the field. Although SPM achievements reached 100% in 2023 and 2024, the allocated budget experienced a significant decline—from 0.06% in 2023 to only 0.02% in 2024 of the total Health Office budget. This contradiction is striking, especially considering the high prevalence of mental disorders in Depok: 9.1% among government employees and 15.3% in the general population, far exceeding the provincial average (4.4%) and the national rate (2%). This situation highlights serious challenges in the application of PBB, which should prioritize effectiveness, efficiency, and evidence-based principles. This study adopts a comprehensive approach by examining structural components, processes, and regional commitment to assess whether the current budgeting policy supports the sustainability of mental health services in a substantive, rather than merely administrative, manner.
This study aims to determine the factors associated with early detection behavior of cervical cancer using the IVA method in women of childbearing age in Kebon Melati Village in 2025. This research method uses quantitative research with a cross-sectional study design. Primary data in this study were obtained through distributing questionnaires to 100 women of childbearing age. The behavior of early detection of cervical cancer using the IVA method is the dependent variable. While, the independent variables include education, knowledge, attitude, exposure to information, and husband's support. The questionnaire was filled out directly by the researcher according to the respondents' answers and the results were analyzed using the Chi-square test with the SPSS 22 application. The results of the analysis showed that 16 respondents (16%) had carried out early detection of cervical cancer using the IVA method. Statistically, there is a significant relationship between knowledge, exposure to information, and husband's support with the behavior of early detection of cervical cancer using the IVA method in women of childbearing age in Kebon Melati sub-district in 2025. The results of this study suggest that the Community Health Centers increase health promotion activities through counseling or distribution of pamphlets regarding cervical cancer and early detection of IVA, as well as conducting early detection of cervical cancer in places that are easily accessible to women of childbearing age.
