Ditemukan 5 dokumen yang sesuai dengan query :: Simpan CSV
Fatharani Azmi Nadhira; Pembimbing: Asri C. Adisasmita; Penguji: Putri Bungsu, Rizki Ekananda
Abstrak:
Based on 2012 IDHS, neonatal mortality rate in Indonesia reached 19/1000 live births. This figure is still far from the SDGs target by 2030, i.e 12/1000 live births. Several studies have shown that government health budget allocations that are influenced by regional income and social determinants of health have a role in reducing neonatal mortality. This study aims to look at the description of regional income, health financing in the APBD, adequacy of health personnel, and social determinants of health and its correlation with neonatal mortality at the regency/city level in Indonesia in 2016. The method used for this study is ecological study by analyzing secondary data. The statistical test used is correlation for numerical variables and chi-square for categorical variables with 4 strata of area analysis, i.e national, city, regency, and rural area. The results of this study indicate that there is no significant correlation between local income level and neonatal mortality rate, but it is found a correlation trend between health budget allocation percentage and neonatal mortality rate. In addition, social determinants of health variable also has a tendency to correlate with the neonatal mortality rate, except for the unemployment rate variable.
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S-9640
Depok : FKM UI, 2018
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Ika Fitri Alfiani; Pembimbing: Dien Anshari; Penguji: Ella Nurlaella Hadi, Sutanto Priyo Hastono, Vivi Voronika
Abstrak:
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Imunisasi dasar lengkap (IDL) merupakan intervensi krusial untuk melindungi anak usia bawah dua tahun (baduta) dari penyakit menular. Namun, cakupan IDL baduta di Indonesia pada tahun 2023 hanya mencapai 34%, jauh dari target nasional 2023 sebesar 75%. Temuan ini menandakan adanya kesenjangan besar dalam perlindungan imunisasi, yang erat kaitannya dengan kondisi sosial ekonomi dan akses layanan kesehatan ibu dan anak. Penelitian ini bertujuan menganalisis hubungan antara determinan sosial kesehatan (DSK) dan status IDL baduta di Indonesia, menggunakan desain potong lintang dan pendekatan model PRECEDE terhadap 12.955 anak usia 12–23 bulan. Hasil analisis multivariat menunjukkan tiga DSK yang berhubungan signifikan dengan status IDL: pendidikan ibu, pemeriksaan antenatal (ANC), dan tempat persalinan. Peluang baduta memperoleh IDL meningkat sebesar 1,43 kali pada ibu berpendidikan tinggi, 1,25 kali pada ibu berpendidikan menengah, 1,73 kali pada ibu dengan ANC lengkap, dan 2,17 kali pada ibu yang melahirkan di fasilitas kesehatan. Dari ketiga DSK tersebut, tempat persalinan merupakan faktor yang paling berkontribusi terhadap kesenjangan cakupan imunisasi. Ketimpangan ini mencerminkan ketidaksetaraan sistemik dalam akses awal terhadap layanan kesehatan esensial. Oleh karena itu, pemenuhan target cakupan IDL nasional tidak dapat dilepaskan dari upaya mengatasi disparitas sosial dan geografis. Intervensi peningkatan cakupan imunisasi harus dirancang berbasis DSK, dengan menempatkan akses layanan persalinan, kualitas ANC, dan pendidikan ibu sebagai fondasi utama dalam strategi promosi kesehatan yang berkeadilan.
Complete basic immunization (CBI) is a crucial intervention to protect children under two years old from vaccine-preventable infectious diseases. However, in 2023, the national coverage of CBI among children under two in Indonesia was only 34%, far below the 2023 national target of 75%. This gap reflects substantial disparities in immunization protection, which are closely linked to socioeconomic conditions and access to maternal and child health services. This study aimed to analyze the relationship between social determinants of health (SDH) and CBI status among children under two in Indonesia, using a cross-sectional design and the PRECEDE model approach. A total of 12,955 children aged 12–23 months were included in the analysis. Multivariate results revealed three SDH significantly associated with CBI status: maternal education, antenatal care (ANC), and place of delivery. The likelihood of receiving CBI was 1.43 times higher among children of mothers with higher education, 1.25 times higher for those with mothers of medium education, 1.73 times higher for those whose mothers completed ANC, and 2.17 times higher for those born in health facilities. Among these determinants, place of delivery was the most influential factor contributing to disparities in immunization coverage. This inequality indicates systemic gaps in early access to essential health services. Therefore, achieving national CBI coverage targets must be accompanied by efforts to reduce social and geographic disparities. Immunization improvement strategies should be designed based on SDH, with strengthened access to facility-based deliveries, high-quality ANC, and maternal education serving as key pillars for equitable health promotion.
T-7331
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Robbiyani ilma; Pembimbing: Dien Anshari; Penguji: Dian Ayubi, Tri Krianto, Melyana,Dadun
Abstrak:
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Survei Literasi Kesehatan Kementerian Kesehatan Tahun 2024–2025 menunjukkan bahwa pada penduduk dewasa di Pulau Jawa, wilayah yang dihuni 55,58% penduduk Indonesia, proporsi yang tidak pernah mencari konseling kesehatan mencapai 71%, tidak mengikuti edukasi kesehatan 52%, dan tidak melakukan pemeriksaan kesehatan mandiri 44%, mengindikasikan rendahnya tanggung jawab kesehatan. Kondisi ini terjadi meskipun literasi persepsi tergolong memadai (37,5%), sedangkan literasi fungsional masih terbatas (1,6% mencukupi), menunjukkan kesenjangan pemahaman dan penerapan informasi kesehatan. Belum adanya penelitian yang menganalisis keterkaitan determinan sosial,literasi kesehatan dan tanggung jawab kesehatan pada populasi dewasa di Pulau Jawa. Penelitian ini bertujuan menganalisis hubungan determinan sosial dan literasi kesehatan dengan tanggung jawab kesehatan pada penduduk dewasa di Pulau Jawa, menggunakan desain cross-sectional dengan data sekunder Survei Literasi Kesehatan Kemenkes 2024–2025. Sampel terdiri atas 1.419 penduduk dewasa usia 17–65 tahun atau telah menikah di enam provinsi Pulau Jawa. Variabel dependen adalah tanggung jawab kesehatan (subskala HPLP-II, skor 1–4); variabel independen meliputi literasi kesehatan (HLS-EU-Q16, skor 0–4) dan determinan sosial. Analisis menggunakan uji Independent Samples t-Test, korelasi Pearson, dan regresi linear berganda berbobot. Rerata skor tanggung jawab kesehatan 1,83 (SD = 0,53), kategori sedang-rendah; rerata literasi kesehatan 3,01 (SD = 0,44), kategori mencukupi. Literasi kesehatan memiliki hubungan positif terbesar dengan tanggung jawab kesehatan (B = 0,327; 95% CI: 0,264–0,390; p < 0,001). Usia ≥45 tahun (B = 0,140), pendidikan SMA–perguruan tinggi (B = 0,150), dan status menikah (B = 0,088) berhubungan positif; jenis kelamin laki-laki (B = −0,139) dan status bekerja (B = −0,088) berhubungan negatif (semua p < 0,05). Pendapatan tidak signifikan (B = −0,036; p = 0,220) dan bukan confounder. Penguatan literasi kesehatan perlu menjadi prioritas promosi kesehatan, terutama pada laki-laki, usia muda, dan pendidikan rendah di Pulau Jawa. Kata kunci: Determinan sosial, literasi kesehatan, tanggung jawab kesehatan, HPLP-II, HLS-EU-Q16, Pulau Jawa
The 2024–2025 Ministry of Health Health Literacy Survey showed that among adults in Java, home to 55.58% of Indonesia’s population, 71% had never sought health counselling, 52% had never participated in health education programmes, and 44% had never undertaken self-health examinations, indicating low levels of health responsibility. This occurred despite perception-based health literacy being relatively adequate (37.5%), while functional health literacy remained limited (only 1.6% achieved an adequate level), suggesting a gap between understanding and the application of health information. To date, no study has examined the relationship between social determinants, health literacy, and health responsibility among the adult population in Java. This study aimed to analyse the association between social determinants, health literacy, and health responsibility among adults in Java using a cross-sectional design and secondary data from the 2024–2025 Ministry of Health Health Literacy Survey. The sample comprised 1,419 adults aged 17–65 years or those who were married, drawn from six provinces in Java. The dependent variable was health responsibility (Health-Promoting Lifestyle Profile II [HPLP-II] subscale, score range 1–4), while the independent variables included health literacy (HLS-EU-Q16, score range 0–4) and social determinants. Data were analysed using independent-samples t-tests, Pearson’s correlation, and weighted multiple linear regression. The mean health responsibility score was 1.83 (SD = 0.53), indicating a moderate-to-low level, whereas the mean health literacy score was 3.01 (SD = 0.44), indicating an adequate level. Health literacy showed the strongest positive association with health responsibility (B = 0.327; 95% CI: 0.264–0.390; p < 0.001). Age ≥45 years (B = 0.140), upper secondary to tertiary education (B = 0.150), and being married (B = 0.088) were positively associated with health responsibility, whereas being male (B = −0.139) and being employed (B = −0.088) were negatively associated (all p < 0.05). Income was not significantly associated with health responsibility (B = −0.036; p = 0.220) and was not identified as a confounding variable. Strengthening health literacy should therefore be prioritised in health promotion initiatives, particularly among men, younger adults, and individuals with lower educational attainment in Java. Keywords: social determinants, health literacy, health responsibility, HPLP-II, HLS-EU-Q16, Java Island
T-7664
Depok : FKM-UI, 2026
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Gema Sadewa Ahimsa Pramudya; Pembimbing: Wahyu Septiono; Penguji: Caroline Endah Wuryaningsih, Suci Puspita Ratih
Abstrak:
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Latar Belakang: Masyarakat marjinal pemulung di permukiman informal perkotaan menghadapi berbagai determinan sosial kesehatan yang berpotensi meningkatkan risiko terjadinya luaran persalinan yang buruk (adverse birth outcome). Penelitian mengenai hubungan antara karakteristik masyarakat marjinal pemulung dengan luaran persalinan yang buruk di tingkat lokal masih terbatas. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik masyarakat marjinal pemulung dengan luaran persalinan yang buruk di Kampung Pemulung Pondok Labu, Kelurahan Pondok Labu, Kecamatan Cilandak, Kota Administrasi Jakarta Selatan. Metode: Penelitian ini menggunakan desain cross-sectional dengan teknik total sampling terhadap 46 ibu usia reproduksi yang pernah melahirkan pada periode 2024–2026. Data dikumpulkan melalui wawancara terstruktur dan dianalisis secara univariat serta bivariat menggunakan uji Chi-square. Hasil: Prevalensi luaran persalinan yang buruk mencapai 56,5%. Mayoritas responden memiliki skor komposit karakteristik masyarakat marjinal dalam kategori buruk. Terdapat hubungan yang signifikan antara tingkat marginalisasi dengan kejadian luaran persalinan yang buruk (OR = 4,5; 95% CI = 1,129–17,930; p = 0,027). Ibu dengan karakteristik masyarakat marjinal kategori buruk memiliki peluang lebih tinggi mengalami luaran persalinan yang buruk. Kesimpulan: Terdapat hubungan signifikan antara karakteristik masyarakat marjinal pemulung dengan luaran persalinan yang buruk. Temuan ini mendukung kerangka Commission on Social Determinants of Health (CSDH) WHO dan menegaskan pentingnya intervensi yang menyasar determinan struktural dan intermediat pada populasi marjinal pemulung di permukiman informal perkotaan.
Background: Marginalized waste picker communities in urban informal settlements face multiple social determinants of health that may increase the risk of adverse birth outcomes. Research examining the relationship between the characteristics of marginalized waste picker communities and adverse birth outcomes at the local level remains limited. This study aimed to analyze the association between the characteristics of marginalized waste picker communities and adverse birth outcomes in Kampung Pemulung Pondok Labu, Pondok Labu Village, Cilandak Sub-district, South Jakarta Administrative City. Methods: This cross-sectional study employed a total sampling of 46 reproductive-aged women who had given birth between 2024 and 2026. Data were collected through structured interviews and analyzed using univariate and bivariate analyses with the Chi-square test. Results: The prevalence of adverse birth outcomes was 56.5%. The majority of respondents had a composite marginalization score in the poor category. There was a significant association between the level of marginalization and the occurrence of adverse birth outcomes (OR = 4.5; 95% CI = 1.129–17.930; p = 0.027). Mothers with poor marginalized characteristics had higher odds of experiencing adverse birth outcomes. Conclusion: There is a significant relationship between the characteristics of marginalized waste picker communities and adverse birth outcomes. These findings support the WHO Commission on Social Determinants of Health (CSDH) framework and highlight the need for interventions targeting structural and intermediary determinants in marginalized waste picker populations living in urban informal settlements.
S-12461
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Faris Farabi; Pembimbing: Laila Fitria; Penguji: Nurusysyarifah Aliyyah, Tiara Amelia
Abstrak:
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Demam Berdarah Dengue (DBD) merupakan penyakit menular yang disebabkan oleh gigitan nyamuk Aedes aegypti yang membawa virus dengue (DENV). Kepadatan permukiman serta perilaku masyarakat yang belum optimal dalam pencegahan menjadi faktor yang berkontribusi terhadap meningkatnya risiko penularan. Penelitian ini bertujuan untuk menganalisis hubungan antara status sosial ekonomi, pengetahuan, dan individual beliefs berdasarkan teori Health Belief Model terhadap perilaku ibu rumah tangga dalam pencegahan penyakit DBD. Penelitian ini menggunakan desain studi cross-sectional dengan pendekatan kuantitatif. Sampel penelitian terdiri dari ibu rumah tangga di RW 01 Pasar Minggu yang dipilih menggunakan teknik simple random sampling. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner terstruktur. Analisis data menggunakan uji chi-square dengan tingkat signifikansi 95% (α = 0,05). Hasil penelitian menunjukkan bahwa pengetahuan memiliki hubungan yang signifikan dengan perilaku pencegahan DBD dengan p-value sebesar 0,007 dan nilai Odds Ratio (OR) 3,260 (1,439–7,386). Analisis hasil menunjukkan bahwa ibu rumah tangga dengan pengetahuan kategori kurang baik memiliki risiko dengan peluang sebesar 3,260 kali lebih besar untuk melakukan perilaku pencegahan penyakit DBD yang kurang baik. Kesimpulannya adalah pengetahuan berperan penting dalam mendorong perilaku pencegahan DBD pada ibu rumah tangga di RW 01 Pasar Minggu. Oleh karena itu, saran yang dapat diberikan kepada masyarakat yaitu meningkatkan implementasi program edukasi berbasis masyarakat serta memperkuat peran kader jumantik dalam penyuluhan dan pemantauan lingkungan, terutama jentik nyamuk di rumah.
Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the bite of Aedes aegypti mosquitoes carrying the dengue virus (DENV). High population density and suboptimal community preventive behaviors contribute to an increased risk of disease transmission. This study aimed to analyze the association between socioeconomic status, knowledge, and individual beliefs based on the Health Belief Model with housewives’ dengue prevention behaviors. This study employed a cross-sectional design with a quantitative approach. The sample consisted of housewives in RW 01 Pasar Minggu, selected using simple random sampling. Data were collected through structured interviews using a questionnaire. Data analysis was performed using the chi-square test with a 95% confidence level (α = 0.05). The results showed that knowledge was significantly associated with dengue prevention behavior, with a p-value of 0.007 (p < 0.05)and an Odds Ratio (OR) of 3.260 (95% CI: 1.439–7.386). The findings indicate that housewives with poor knowledge were 3.260 times more likely to have poor dengue prevention behavior compared to those with better knowledge. In conclusion, knowledge plays a crucial role in influencing dengue prevention behavior among housewives in RW 01 Pasar Minggu. Therefore, it is recommended to enhance community-based educational programs and strengthen the role of jumantik (larvae monitoring cadres) in health education and environmental monitoring, particularly in controlling mosquito larvae at the household level.
S-12221
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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