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"The Indian reproductive and child health programme is to support couples to avoid unwanted pregnancies and to have the number of children they want, when they want them. In this paper an attempt was made to investigate the concordance between chilbearing intention and fertility behavior and to explore the factors affecting chilbearing intention by comparing the data from the National Family Health Survey-2 (1998-1999) with the John Hopkins University follow-up survey (2002-2003) in two states of rural North India. From The prospective assessment during the inter-survey period it was found that 44.3 percent pregnancies were unintended, comprising of 32.2 percent unwanted and 12.1 percent mistimed. Life course experiences, such as, educational-level, exposure to mass media, working-status, healthcare utilization were found to negate the desire to have additional child. During the inter-survey period, younger womwn faced higher risk of incidence of mistimed pregnancy, while older womwn had more unwanted pregnancy."

"ABSTRAKTesis ini membahas Implementasi Kebijakan Kartu Indonesia Sehat (Studi Pada Proses Distribusi, Sosialisasi dan Edukasi Kelurahan Kali Baru Jakarta Utara). Penelitian ini adalah penelitian kualitatif menggunakan teori kebijakan kesejahteraan sosial Gilbert dengan jenis deskriptif. Hasil penelitian menyimpulkan bahwa dalam implementasi kebijakan Kartu Indonesia Sehat terdapat proses distribusi, sosialisasi dan edukasi Kartu Indonesia Sehat. Indikator kesuksesan implementasi Kartu Indonesia Sehat adalah tingkat keberhasilan distribusi KIS kepada peserta Penerima Bantuan Iuran (PBI). Dalam proses implementasi terdapat faktor penghambat yaitu penyiapan, verifikasi, validasi data yang membutuhkan waktu lama, dan koordinasi berbagai pemangku kepentingan. Penelitian ini menyarankan BPJS Kesehatan mengevaluasi agar distribusi Kartu Indonesia Sehat berjalan optimal.

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ABSTRACT

This thesis discusses the Healthy Indonesia Card Policy Implementation (Studies of Distribution, Processes and Socialization and Education of North Jakarta Sub Kali Baru). This study is a qualitative study using the theory of social welfare policy with a descriptive Gilbert. The study concluded that the implementations of the policy of Indonesian Health Cards are the distribution process, socialization and education. The Indicators of the success of Healthy Indonesia Card implementation is the success rate of KIS distribution to the participants of beneficiary contribution (PBI). There are also inhibiting factors in the process of implementation including preparation, verification, data validation time, and the coordination of the various stakeholders. The research suggests that BPJS Health has to evaluate the distribution of Indonesia Health Cards running optimally."

"ABSTRAKPenelitian ini membahas tentang pengaruh nilai kesehatan terhadap niat perilaku pada makanan sehat di restoran dengan dimediasi oleh sikap terhadap rasa dan sikap terhadap kesehatan. Responden penelitian ini berjumlah 280 orang yang pernah mengonsumsi menu makanan sehat di restoran dalam kurun waktu tiga bulan terakhir dengan wilayah cakupan Jakarta, Bogor, Depok, Tangerang, dan Bekasi. Pengolahan data menggunakan Structural Equation Modeling SEM dengan menggunakan program LISREL 8.8. Hasil penelitian menunjukkan bahwa nilai kesehatan memiliki pengaruh positif dan signifikan terhadap sikap baik sikap terhadap rasa dan kesehatan dan pada niat perilaku. Begitu juga dengan sikap terhadap rasa dan kesehatan berpengaruh positif dan signifikan terhadap niat perilaku pada menu makanan sehat di restoran.

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ABSTRACTStudy examines the effect of health value on behavioral intentions of healthful foods in restaurant with mediated by attitude toward taste and attitude toward healthfulness. Respondent of this research amounted to 280 people who had consumed healthful foods menu in restaurant within the last three months in area of Jakarta, Bogor, Depok, Tangerang, and Bekasi. Data were analyzed using Structural Equation Modeling SEM with LISREL 8.8 software. The result of this research revealed that health value had a positive and significant effect on attitudes both attitude toward taste and healthfulness and on behavioral intentions. In addition, attitude toward taste and healthfulness positively and significantly influence behavioral intentions of healthful foods menu in restaurant."

"Program Germas telah disosialisasikan sejak tahun 2017, namun pelaksanaannya belum optimal. Penelitian ini bertujuan untuk menganalisis mutu program Germas di tinjau dari peranan komponen input, proses, output di Kabupaten Soppeng dan Kabupaten Luwu Utara Tahun 2019. Penelitian ini menggunakan metode kualitatif dengan disain RAP. Pengumpulan data dilakukan dengan wawancara mendalam kepada pengambil kebijakan kemudian FGD dengan pelaksana program dan masyarakat, observasi terhadap sarana dan prasarana serta telaah dokumen. Informan dalam penelitian ini berjumlah 38 orang. Analisis data yang digunakan adalah analisis tematik. Hasil penelitian menunjukkan bahwa mutu program Germas di Kabupaten Soppeng belum baik sedangkan di Kabupaten Luwu Utara sebagian besar komponen sudah baik. Namun demikian untuk kedua kabupaten, sumber daya manusia belum mamadai, ketersediaan sarana dan prasarana belum mencukupi, ketersediaan dana sudah cukup, dan sudah ada Surat Edaran tentang Germas di Kabupaten Soppeng dan Kabupaten Luwu Utara. Perencanaan dan pengorganisasian dalam pelaksanaan Germas belum berjalan dengan optimal di Kabupaten Soppeng. Pelaksanaan Germas berupa aktivitas fisik senam telah dilaksanakan baik, namun kegiatan peregangan di tempat kerja pelaksanaannya belum konsisten dan konsumsi buah sayur belum maksimal pada kedua kabupaten. Khusus untuk cek kesehatan belum dilaksanakan secara rutin di Kabupaten Soppeng sementara di Kabupaten Luwu Utara sudah ada jadwal pemeriksaan kesehatan untuk seluruh SKPD. Pemantauan dan evaluasi program Germas belum efektif di Kabupaten Soppeng maupun di Kabupaten Luwu Utara. Kabupaten Soppeng perlu melakukan pertemuan untuk membentuk forum koordinasi pelaksanaan program Germas. Diharapkan kedua kabupaten mengalokasikan sumber daya manusia sesuai kebutuhan. Melakukan sosialisasi kebijakan Germas kepada lintas program dan lintas sektor. Menyusun perencanaan kegiatan Germas yang disesuaikan dengan sasaran dan target pelaksanaan serta mengkoordinasikan dengan lintas program dan lintas sektor terkait. Memantau pelaksanaan kegiatan Germas secara rutin dan berkala setiap enam bulan. Mengevaluasi kegiatan Germas secara rutin dan berkala setiap tahunnya untuk menjamin peningkatan mutu penyelenggaraan program Germas.

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The Germas program has been socialized since 2017, but the implementation has not been optimal. This study aims to analyze the quality of the Germas program in terms of the role of input, process, output components in Soppeng and North Luwu Districts in 2019. This study uses a qualitative method with the RAP design. Data collection is done by in-depth interviews with policy makers then FGD with program implementers and the community, observing the facilities and infrastructure and document review. The informants in this study were 38 people. Analysis of the data used is thematic analysis. The results showed that the quality of the Germas program in Soppeng District was not good, while in North Luwu District most of the components were good. However, for both districts, human resources have not been adequate, the availability of facilities and infrastructure is insufficient, the availability of funds is sufficient, and there have been Circular Letters about Germas in Soppeng and North Luwu Districts. Planning and organizing in the implementation of Germas has not run optimally in Soppeng District. The implementation of Germas in the form of physical activity in gymnastics has been carried out well, but the stretching activities in the workplace have not been consistent and vegetable fruit consumption has not been maximized in the two districts. Especially for health checks it has not been routinely implemented in Soppeng District while in North Luwu Regency there is already a schedule of health checks for all SKPD. Monitoring and evaluation of the Germas program has not been effective in Soppeng or in North Luwu Districts. Soppeng District needs to hold a meeting to form a forum for coordinating the implementation of the Germas program. It is expected that the two districts will allocate human resources as needed. Disseminating Germas policy to cross programs and across sectors. Arrange planning of Germas activities that are tailored to the targets and targets of implementation as well as coordinate with cross-program and across related sectors. Monitor the implementation of Germas activities regularly and periodically every six months. Evaluate regular and periodic Germas activities every year to ensure the quality improvement of the Germas program."

"ABSTRAKGaya hidup sehat merupakan salah satu upaya memperbaiki dan meningkatkan kualitas hidup. Gaya hidup sehat dapat meningkat apabila kemampuan memperoleh, dan mengolah informasi baik. Kemampuan tersebut dapat diketahui melalui tingkat literasi kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan antara literasi kesehatan dan gaya hidup sehat. Desain penelitian ini adalah cross sectional dengan sampel 235 mahasiswa keperawatan, dengan teknik pengambilan sampel stratified random sampling. Gaya hidup sehat diukur menggunakan modifikasi instrumen Health Promoting Lifestyle Profile HPLP-II dan buku panduan GERMAS tahun 2015. Literasi kesehatan diukur menggunakan instrumen Health Literacy Questioner HLQ . Hasil penelitian menunjukkan 48,1 mahasiswa memiliki gaya hidup sehat sedangkan 51,9 memiliki gaya hidup tidak sehat. Rata-rata skor tingkat literasi kesehatan mahasiswa keperawatan 150,07 dari 197. Peneletian ini juga menunjukkan ada hubungan yang signifikan antara literasi kesehatan dengan gaya hidup sehat X2=35,696.

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ABSTRACT

Healthy lifestyle is one attempted to improve and enhance the quality of life. Healthy lifestyles can increased if the ability to obtain, and processed the information was good. This ability can be known through the health literacy level. This study aimed to identify the relationship between health literacy and healthy lifestyle. This study used cross sectional design with 235 samples of nursing students, with stratified random sampling as a sampling technique. Healthy lifestyle was measured by using modification Health Promoting Lifestyle Profile HPLP II instrument and GERMAS guided book 2015. Health literacy was measured by using the Health Literacy Questioner HLQ instrument. The results shows that 48.1 of students had a healthy lifestyle, while 51.9 had an unhealthy lifestyle. The average health literacy score of nursing students was 150.07 from 197. This study also shows that there is a significant relationship between health literacy and healthy lifestyle X2 35,696."

"Penerapan PHBS siswa sekolah masih belum diterapkan secara optimal. Pengetahuan, sikap, dan tindakan PHBS sangat perlu untuk dimaksimalkan melalui berbagai sarana. Salah satunya melalui media informasi untuk membentuk perilaku kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan antara keterpaparan media informasi dengan PHBS siswa sekolah. Desain penelitian menggunakan cross-sectional dengan teknik consecutive sampling dan Uji Chi Square dengan sampel 304 siswa. Hasil penelitian menunjukan terdapat hubungan bermakna antara paparan media informasi dengan PHBS siswa (p =0,01, α=0,05, OR=1,863). Hasil penelitian dapat dijadikan evaluasi pelaksanaan PHBS di sekolah, masukan untuk meningkatkan promosi kesehatan melalui media informasi, dan menjadi acuan untuk penelitian berikutnya.

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The implementation of CHLB for school students is still not optimal. CHLB knowledge, attitudes, and actions need to be maximized through various means. One of them is through information media to shape health behavior. This study aims to determine the relationship between exposure to information media and CHLB of school students. The study design used cross-sectional with consecutive sampling technique and Chi Square test with a sample of 304 students. The results showed that there was a significant relationship between exposure to information media and students' CHLB (p = 0.01, α = 0.05, OR = 1.863). The results of the research can be used as an evaluation of the implementation of CHLB in schools, input to improve health promotion through information media and become a reference for further research."

"Sekolah merupakan salah satu sarana pendidikan yang berperan serta dalam membentuk kebiasaan hidup sehat bagi anak usia sekolah. Kebiasaan tersebut dapat dibentuk melalui program pendidikan kesehatan perilaku hidup bersih dan sehat. Penelitian ini bertujuan untuk melihat perbedaan penerapan perilaku hidup bersih dan sehat pada sekolah dasar negeri dan sekolah dasar swasta di kecamatan Pasar Rebo. Desain penelitian ini menggunakan desain deskriptif perbandingan dengan menggunakan sampel anak sekolah dasar kelas 4 dan 5 di dua jenis sekolah dengan total sampel sebanyak 108 responden yang dipilih melalui teknik cluster sampling. Instrumen yang digunakan dalam penelitian ini bersumber dari kuesioner PHBS milik Ayu Widya Lestari, dkk dengan modifikasi. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan penerapan perilaku hidup bersih dan sehat pada anak yang bersekolah di sekolah dasar negeri dengan sekolah dasar swasta p = 0,001, p = 0,05 . Dari total 66 siswa sekolah dasar negeri didapatkan sebanyak 44 67 siswa ber-PHBS dan 22 33 siswa tidak ber-PHBS, sedangkan untuk siswa sekolah dasar swasta didapatkan sebanyak 9 21 siswa ber-PHBS dan 33 79 siswa tidak ber-PHBS. Peneliti selanjutnya disarankan untuk mengidentifikasi hubungan antara karakteristik siswa sekolah dasar dengan penerapan perilaku hidup bersih dan sehat.

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School is one of educational tools that participate in establishing healthy living habits for school aged children. These habits can be established through health education programs of clean and healthy life behaviour. The aim of this study to see difference of implementation clean and healthy living behavior between public primary school and private elementary school. This is a descriptive comparison design, using sample of 4 and 5 grade in two types of schools with 108 respondent selected through cluster sampling technique. The instrument used in this study sourced by PHBS questionnaire from Ayu Widya Lestari, et al with modification. The results of this study indicate that there are differences in the implementation of clean and healthy life behavior in children who attend public primary school and private elementary school p 0,001, 0,05. There are 44 67 students who implemented PHBS and 22 33 students who didn't implemented PHBS in public primary school. There are 9 21 students who implemented PHBS and 33 79 students who didn rsquo t implemented PHBS in private primary school. Further researcher suggested to relate the characteristics of public primary school and private elementary school student to the application of clean and healthy living behaviors."

"Dalam rangka menurunkan Angka Kematian Ibu (AKI) yang masih tinggi di Indonesia, pemerintah telah melakukan berbagai upaya dalam menurunkan AKI. Salah satu upayanya adalah menerapkan pelaporan berbasis digital yang lebih murah, cepat, dan global daripada pelaporan terdahulu yang berbasis kertas sehingga para pembuat kebijakan bisa lebih cepat dan akurat dalam merespons permasalahan kesehatan yang terjadi di wilayahnya. Salah satu teknologi yang telah mulai diimplementasikan dan dikembangkan adalah teknologi Maternal Perinatal Death Notification (MPDN). Namun dalam implementasinya, masih banyak rumah sakit dan puskesmas di Sumatera Utara yang belum mengimplementasikan teknologi MPDN dengan maksimal. Mengingat Sumatera Utara merupakan salah satu provinsi dengan AKI tertinggi di Indonesia maka pemanfaatan MPDN di Sumatera Utara perlu untuk ditingkatkan. Di dalam penelitian-penelitian sebelumnya disebutkan bahwa kesiapan dan penerimaan suatu teknologi akan mempengaruhi keberhasilan implementasi teknologi tersebut. Oleh karena itu, penelitian ini bertujuan untuk mengukur dan melihat pengaruh setiap variabel terhadap penerimaan teknologi MPDN yang mengacu pada Unified Theory of Acceptance and Use of Technology (UTAUT). Variabel yang ditemukan memiliki pengaruh terhadap penerimaan teknologi MPDN pada rumah sakit dan puskesmas di Sumatera Utara adalah performance expectancy, effort expectancy, social influence, self-efficacy dan technology anxiety. Moderator gender ditemukan memiliki pengaruh moderasi yang signifikan pada hubungan antara performance expectancy dengan behavioural intention pengguna. Moderator usia memiliki pengaruh moderasi yang signifikan pada hubungan antara effort expectancy, self-efficacy dan technology anxiety terhadap penggunaan MPDN. Variabel dan moderator yang berpengaruh ini kemudian dijadikan dasar untuk membangun strategi dengan menggunakan Importance-Performance Analysis (IPA) sehingga didapatkan atribut yang dijadikan prioritas untuk dilakukan strategi peningkatan atau perbaikan.

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In order to reduce the Maternal Mortality Rate (MMR) which is still high in Indonesia, the government has made various efforts to reduce the MMR. One of the efforts is to implement digital-based reporting that is cheaper, faster, and globally than the previous paper-based reporting so the policy makers can respond more quickly and accurately to the problems. One of the technologies that has begun to be implemented and developed is Maternal Perinatal Death Notification (MPDN) technology. But in the implementation of the MPDN technology, there are still many hospitals and health centers in North Sumatra that have not implemented MPDN technology optimally. Considering that North Sumatra is one of the provinces with the highest MMR in Indonesia, the utilization of MPDN needs to be increased in North Sumatera. In previous studies, it was stated that the readiness and acceptance of a technology will affect the successful implementation of the technology. Therefore, this study aims to measure and see the effect of each variable on the acceptance of MPDN technology based on the Unified Theory of Acceptance and Use of Technology (UTAUT). The variables found to have an influence on the acceptance of MPDN technology in hospitals and health centers in North Sumatra are performance expectancy, effort expectancy, social influence, self-efficacy and technology anxiety. Gender has significant moderating effect in the impact of performance expectancy on the behavioural intentions of users. Age has significant moderating effect in the impact of effort expectancy, self-efficacy and technology anxiety on the behavioural intentions of MPDN users. These five influential variables are then used as the basis for building a strategy using Importance-Performance Analysis (IPA) so that the attributes that are prioritized for an improvement strategy are obtained."

"Studi terdahulu menunjukkan remaja cenderung memiliki intensi yang rendah untuk mencari bantuan profesional sekalipun berisiko mengalami masalah kesehatan mental. Karakteristik unik perkembangan remaja dan konteks budaya juga menjadikan penelitian tentang faktor yang mendukung intensi mencari bantuan pada remaja di Indonesia penting untuk dieksplorasi. Penelitian ini bertujuan untuk mengetahui peran sikap terkait mencari bantuan sebagai mediator dalam hubungan antara distress disclosure dan intensi remaja untuk mencari bantuan kepada tenaga kesehatan mental profesional setelah mengontrol usia, jenis kelamin, dan pengalaman konseling sebelumnya. Sebanyak 254 remaja di Indonesia (M = 15.31 tahun) mengisi kuesioner secara daring, yakni Intention to Seek Counseling Questionnaire (ISCI), Distress Disclosure Index (DDI), dan Mental Help Seeking Attitude Scale (MHSAS). Hasil studi menemukan bahwa sikap memediasi secara penuh hubungan antara distress disclosure dan intensi remaja mencari bantuan sekalipun usia, jenis kelamin, dan pengalaman konseling sudah dikontrol (ab = .0783, 95%, BCa CI [0.0030, 0.1666]). Semakin tinggi distress disclosure, maka sikap remaja terkait mencari bantuan semakin positif. Sikap positif ini yang akan meningkatkan intensi remaja mencari bantuan kepada tenaga kesehatan mental profesional. Temuan ini mengindikasikan pentingnya mempertimbangkan distress disclosure dan sikap terkait mencari bantuan dalam upaya meningkatkan intensi remaja di Indonesia untuk mencari bantuan kepada tenaga kesehatan mental profesional.

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Previous studies have shown that adolescents' intention to seek professional help tends to be low though they are at risk of having mental health problems. The uniqueness of adolescent development and the cultural context also make research about facilitating factors in Indonesian adolescents’ help seeking intention important to be explored. The current study aimed to investigate the role of mental help seeking attitude as a mediator between distress disclosure and adolescents’ intention to seek mental health professional help after controlling ages, gender, and previous counseling experiences. A total of 254 Indonesian adolescents (M = 15.31 years) filled out online questionnaires consisting of the Intention to Seek Counseling Questionnaire (ISCI), Distress Disclosure Index (DDI), and Mental Help Seeking Attitude Scale (MHSAS). The result found that attitude fully mediated the relationship between distress disclosure and adolescents' help seeking intention even after controlling the ages, gender, and counseling experiences (ab = .0783, 95%, BCa CI [0.0030, 0.1666]). The higher the distress disclosure, the more positive the help seeking attitude. The more positive attitude, the higher adolescents’ intention to seek help. The results indicate that to increase Indonesian adolescent’s intention to seek professional help, distress disclosure and mental help seeking attitude have to be considered."