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PRENATAL YOGA AND IMPROVING MATERNAL HEALTH OUTCOMES: A LITERATURE REVIEW
Pregnancy involves physical and psychological changes that may affect maternal health. Prenatal yoga, as a non-pharmacological intervention, has potential benefits in addressing these conditions. This study aimed to analyze the role of prenatal yoga in optimizing maternal health through a literature review. Articles were obtained from Google Scholar, PubMed, and ScienceDirect and analyzed descriptively. The results show that prenatal yoga effectively reduces anxiety, stress, and fear of childbirth, alleviates physical discomfort, and improves physiological conditions. It also has potential to improve pregnancy outcomes. In conclusion, prenatal yoga supports maternal health holistically and can be integrated into antenatal care.
Copyright (c) 2026 Ni Nyoman Ayu Ningsih, Ni Wayan Armini, Ni Wayan Suarniti https://creativecommons.org/licenses/by/4.0
ANALYSIS OF FACTORS ASSOCIATED WITH THE INCIDENT OF CENTRAL OBESITY IN ADOLESCENTS IN JAMBI CITY
Obesity is a condition where a person has a body weight that exceeds the normal limit, causing excessive or abnormal fat accumulation in the body. Obesity can be classified based on measurements of Body Mass Index (BMI) and abdominal circumference. The aim of this study was to determine the factors associated with the incidence of central obesity in adolescents in Jambi City. This quantitative descriptive research uses a cross-sectional study. In this research, the Solvin formula was used to calculate the sample size, which consisted of 96 teenagers living in the working area of the Putri Ayu Community Health Center in 2024.Data collection uses a questionnaire. Data processing takes the form of univariate and bivariate analysis. The analysis used is chi-square. with Confident Interval (CI <95%) with a significance limit (α <0.05). The research was carried out from April to May 2024. The results of the univariate analysis showed that from 96 respondents, 42 people (43.8%) of respondents will be male and 54 people (56.2%) will be female. As many as 59 people (61.5%) of respondents had a poor level of knowledge and 37 people (38.5%) of respondents had a good level of knowledge. A total of 46 people (47.9%) had a light physical activity level, 35 people (36.5%) had a moderate physical activity level and 15 people (15.6%) had a heavy physical activity level. Those with central obesity were 33 people (34.4%) and those with central obesity were 63 people (65.6%). Bivariate analysis showed a significant relationship between gender (p=0.028), knowledge (p= 0.006), physical activity (p= 0.028) andincidence of central obesity in adolescents in Jambi City. Factors that can cause obesity in teenagers include unhealthy eating habits, so it is important to maintain a balanced diet, rich in fiber, and consume fruit and vegetables frequently
Copyright (c) 2023 Solihin Sayuti, Ary Irfan https://creativecommons.org/licenses/by/4.0
MINDFULNESS-BASED INTERVENTIONS FOR PERINATAL MATERNAL MENTAL HEALTH: A SYSTEMATIC REVIEW
Maternal mental health problems during the perinatal period remain a significant global health concern due to their impact on maternal well-being, pregnancy outcomes, and infant development. Mindfulness-based interventions have increasingly been used as non-pharmacological approaches to improve psychological well-being among pregnant and postpartum women. This systematic review aimed to analyze the effectiveness of mindfulness-based interventions for perinatal maternal mental health. The review used a systematic literature review design with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. Literature searches were conducted through Google Scholar, ScienceDirect, PubMed, and SpringerLink for articles published from 2021 to April 2026. A total of 13 studies met the inclusion criteria. The reviewed studies mainly consisted of randomized controlled trials evaluating mindfulness counseling, mindfulness-based childbirth and parenting programs, meditation, relaxation techniques, and digital mindfulness interventions. Overall, mindfulness-based interventions demonstrated positive effects in reducing anxiety, depression, stress, pregnancy-related distress, and fear of childbirth. Several studies also reported improvements in emotional well-being, childbirth satisfaction, mindfulness awareness, maternal–fetal attachment, and breastfeeding self-efficacy. Mindfulness-based interventions represent effective complementary approaches for improving perinatal maternal mental health, particularly in reducing psychological distress and enhancing maternal emotional well-being during pregnancy and postpartum.
Copyright (c) 2026 Ni Nyoman Widiasih, Ni Wayan Armini, Ni Made Dwi Purnamayanti https://creativecommons.org/licenses/by/4.0
ANALYSIS OF HUMAN RESOURCE READINESS FOR THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS AT DR. H. ABDUL MOELOEK REGIONAL GENERAL HOSPITAL IN 2025
The implementation of Electronic Health Records (EHR) is part of the digital transformation of the healthcare system, which requires comprehensive human resource (HR) readiness. This study aims to critically analyze HR readiness for the implementation of EHR at Dr. H. Abdul Moeloek General Hospital by 2025. The method used is qualitative with a descriptive-interpretive approach through in-depth interviews with healthcare workers, medical records staff, and the IT team. Analysis was conducted using thematic techniques based on a critical analysis approach. The results of the study indicate that HR readiness is in a transitional and asymmetrical phase, characterized by disparities in digital competencies, resistance to change, and weak internalization of digital culture. Compared to previous studies, these findings suggest that HR readiness issues are not merely a matter of training but are also related to organizational structure, work culture, and change management. This study concludes that the failure of EMR implementation is likely to occur if digital transformation is not accompanied by human transformation
Copyright (c) 2026 Olivia Anjani, Galuh Ismayanti https://creativecommons.org/licenses/by/4.0
ESCHERICHIA COLI CONTAMINATION IN HOUSEHOLD DRINKING WATER AND STUNTING IN CHILDREN UNDER FIVE : A CORRELATIONAL STUDY IN PADANG PANJANG
Background: Stunting is a significant nutritional issue currently faced by many toddlers. The source, quality, and management of water consumed by children can be factors that influence stunting. Objective: This study aims to analyze the relationship between the source, physical quality, bacteriological quality, management behavior, and Escherichia coli contamination in household drinking water with stunting in children under 5 years old. Methods: This research uses a quantitative design with a cross-sectional approach. The sample consists of 69 households with toddlers, selected using proportional random sampling technique. Data were analyzed bivariately using the chi-square test. Results: There are three independent variables that have a significant correlation with the dependent variable, namely the bacteriological quality of household drinking water, household drinking water management behavior, and Escherichia coli contamination in household drinking water. Escherichia coli contamination is the most dominant factor (OR 86.667, CI: 9.389-800.005). Conclusion: This study concludes that there is a significant correlation between Escherichia coli contamination in drinking water and stunting in toddlers. It is hoped that through this research, the public can understand and apply the principles of handling and managing safe drinking water at the household level.
Copyright (c) 2026 Neila Sulung, Ronny Afdinal https://creativecommons.org/licenses/by/4.0
ENHANCING EXPRESSIVE COMMUNICATION IN CHILDREN WITH AUTISM SPECTRUM DISORDER THROUGH THE USE OF THE PICTURE EXCHANGE COMMUNICATION SYSTEM (PECS) COMBINED WITH ANIMATED VIDEO
Children with autism generally experience barriers in communication skills so they need appropriate interventions to support the development of these abilities. One of the approaches that is considered effective in improving communication skills is the Picture Exchange Communication System (PECS) assisted by animated videos. This study aims to analyze the effect of the application of PECS assisted by animated videos on the communication ability of children with autism at SLB Autisma YPPA Bukittinggi. This study uses a quasi-experimental design with a pretest-posttest design. The research was carried out in September 2024 with a sample of 28 children selected using purposive sampling techniques. The research instrument was in the form of a communication ability questionnaire. Data analysis is carried out using appropriate statistical tests. The results showed that the average communication ability score of children with autism before the intervention was 27.36 and increased to 47.29 after the intervention. The results of the statistical test showed a value of p = 0.001 (p < 0.05), which indicates a significant influence of the application of PECS assisted by animated videos on the communication ability of children with autism. It can be concluded that PECS assisted by animated videos is effective in improving the communication skills of children with autism. This method is expected to be used as an alternative learning model in an effort to improve the communication skills of children with autism.
Copyright (c) 2026 Rina Mariyana, Neila Sulung, Evi Hasnita, Endang Dian Pratiwi https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN ENERGY AND NUTRIENT INTAKE WITH TRIGLYCERIDES/HIGH-DENSITY LIPOPROTEIN (TG/HDL) RATIO IN ADULT WOMEN
The ratio of triglycerides to high-density lipoprotein (TG/HDL) is an important indicator in assessing the risk of cardiovascular disease. The intake of nutrients such as fats, carbohydrates, proteins, and PUFAs influences triglyceride and HDL levels in the blood. This study aims to see the relationship between energy intake and nutrients and the TG/HDL ratio in adult women. This cross-sectional study involved 158 adult women aged 25-44 years who were randomly selected, exclusion criteria were pregnant, taking drugs to lower blood cholesterol, and smoking. Energy intake data was collected using the interview method with SQ-FFQ by trained nutritionists and lipid profile data was obtained from blood tests using the spectrophotometer method with results in mg/dl. Blood sampling was carried out in the morning after the respondent fasted for about 10 hours, carried out by experts in the field of medical laboratories. Results of the lipid profile measurement were continued by calculating the TG/HDL ratio and statistical analysis with Spearman correlation. The results showed that 14% (22 people) had a high Triglycerides/HDL ratio value. The average Triglyceride level was 90.84 + 41.83 mg/dl, this value was still within the normal limit, while the average TG level in the group that had a high TG/HDL ratio was obtained with an average TG level of 163.27 + 50.99 mg/dl. Average HDL cholesterol levels were 52.93 + 12.86 mg/dl, and lower HDL levels were obtained in the group with a high TG/HDL ratio. The average energy intake was 124.7%, protein intake was 151.17%, carbohydrate intake was 103.63%, and fat intake was 158.82%. There was no significant correlation between energy intake, protein, carbohydrates, fat, fiber, and PUFA with TG/HDL ratio (p>0.05), but there was a tendency to negatively correlate between intake and TG/HDL ratio. Keywords : TG/HDL ratio; energy intake; protein; Carbohydrates; fat; PUFA
Copyright (c) 2025 Arlen Defitri Nazar, Nur Indrawaty Lipoeto, Umi Fahmida, Rauza Sukma Rita https://creativecommons.org/licenses/by/4.0
DETERMINANTS OF HIV INCIDENCE IN CHILDREN YEAR 2019 -2024
Human Immunodeficiency Virus (HIV) is a virus that attacks white blood cells, resulting in a weakened immune system. This makes individuals more susceptible to various infections. HIV remains a significant global public health issue, with an estimated 42.3 million deaths to date. Organizations such as WHO, Global Fund, and UNAIDS have aligned strategies aimed at eliminating the HIV epidemic by 2030, as part of SDG 3.3. This study employs a literature review methodology, using PRISMA and Quality Assessment techniques, focusing on research from 2019 to 2024. The findings highlight several key factors contributing to HIV in children, including vertical transmission, early diagnosis, socio-economic factors, the PMTCT program (Prevention of Mother-to-Child Transmission), and access to healthcare services. Barriers such as distance from healthcare facilities, limited resources, and logistical challenges affect HIV prevention and management in children. Vertical transmission from mother to child, which can occur during pregnancy, childbirth, or breastfeeding, remains the leading cause of HIV in children. A comprehensive approach, including medical interventions, increased awareness, and social support, is essential for significantly reducing HIV incidence in children. Keywords: determinant children, and HIV
Copyright (c) 2025 Neila Sulung https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP OF FAMILY SUPPORT WITH THE LEVEL OF ANXIETY OF PREGNANT WOMEN BEFORE DELIVERY
Anxiety during the 1st stage of labor is caused by fear of giving birth, fear of increasing pain, fear of damage or deformity to the body such as episiotomy, suture rupture or caesarean section, and the mother is afraid of injuring her baby. The aim of this research is to determine the relationship between family support and the level of anxiety of pregnant women before giving birth in BPM Padang Panjang City. This type of research is descriptive analytic with a cross-sectional study design. The research sample was 40 respondents. Analysis with chis-quare test. with a confidence level of 95%. The results of the study showed that more than half of the respondents received family support during childbirth, namely 22 (55.0%), more than half of the respondents were not worried about giving birth, namely 17 (42.5%). There is a significant relationship between family support and maternal anxiety facing childbirth with a p value of 0.002 and an OR value of 11.700. It was concluded that there was a relationship between family support and the level of anxiety facing childbirth. To midwives to reduce the anxiety of pregnant women in the third trimester in facing childbirth by providing health education before taking action and improving the quality of midwifery services and increasing effectiveness in providing midwifery care to birthing patients
Copyright (c) 2025 Debby Yolanda, Kricillia Molly Morita https://creativecommons.org/licenses/by/4.0
EFFICACY OF HEALTH EDUCATION ON ENHANCING IMMUNITY TO REDUCE INFECTION INCIDENCE IN INFANT AND TODDLER POPULATIONS
Infections in infants and toddlers are significant health issues in developing countries, including Indonesia, particularly in rural areas with limited access to healthcare services. This study aims to evaluate the effectiveness of a health education program on immunity in reducing the incidence of infections among infants and toddlers in Sumber Kokap Village, Bondowoso Regency. The research design used is a quasi-experimental approach with a pretest-posttest design involving 56 mothers as respondents. The study results show a significant increase in maternal knowledge about immunity after participating in the health education program, with the average knowledge score rising from 62.3 before the intervention to 78.9 after the intervention. Statistical tests indicate a statistically significant difference (p-value < 0.001) between pre- and post-intervention knowledge, suggesting that the health education provided was effective in enhancing maternal knowledge and awareness regarding the importance of immunity and infection prevention in infants and toddlers. These findings underscore the importance of health education programs in improving child health in rural areas and provide a scientific basis for broader health policy development in Indonesia.
Copyright (c) 2026 Harwin Holilah Desyanti, Nandalita Sahro Nikmatul Maula, Ulfa Tri Putri Amelia, Risky Amelia https://creativecommons.org/licenses/by/4.0
DETERMINANTS OF PATIENT SATISFACTION LEVELS IN HOSPITALS KINDERGARTEN II PUTRI HIJAU MEDAN IN 2023
The purpose of this study was to determine the quality of service and the level of patient satisfaction at Putri Hijau TK II Medan Hospital in 2023. This research method was a cross-sectional study with a quantitative approach. The research sample was obtained by 110, obtained by systematic random sampling. The independent variables in this study were waiting time, admission process, physical environment, and information obtained, while the dependent variable was the level of patient satisfaction. Data eanalysis was performed using univariate, bivariate (Chi-Square), and multivariate (logistic regression Enter method). The results of the bivariate study showed that there was a significant relationship between waiting time (p value = 0.004), the reception process (p value = 0.000), the physical environment (p value = 0.001), and the information obtained (p value = 0.000) with the level of satisfaction patient. Meanwhile, on a multivariate basis, it was found that there was a significant relationship between waiting time (p value= 0.008; OR= 4.362), the receiving process (p value= 0.001; OR= 9.154), the physical environment (p value= 0.023; OR= 3.275) , and the information obtained (p value= 0.000; OR= 7.011). Thus, the dominant factor affecting the level of patient satisfaction is the acceptance process, where the level patient satisfaction is 9 times greater
Copyright (c) 2024 Roby Vransisko Manurung, Wisnu Hidayat, Mido Ester J. Sitorus, Toni Wandra, Frida Lina Tarigan https://creativecommons.org/licenses/by/4.0
THE INFLUENCE OF HEALTH EDUCATION ON THE INTERACTIVE KNEE TO KNEE TECHNIQUE BY HEALTH CADRES ON MOTHERS' KNOWLEDGE ABOUT INFANT AND TODDLER DENTAL AND ORAL HEALTH
Background: Health cadres, as the forefront of improving the health of mothers, infants, and toddlers, still face challenges with the high prevalence of dental caries in children in Indonesia. One of the causes is the improper and inadequate behavior of mothers in maintaining their children's dental and oral health.Objective: To determine the effect of health education using the Interactive Knee to Knee Technique by health cadres on mothers' knowledge about dental and oral health in infants and toddlers. ethod: Trained cadres conducted health education sessions for mothers with infants and toddlers using the Interactive Knee to Knee Technique to improve their knowledge about dental and oral health care for infants and toddlers.Research Results: This study is a cross-sectional design with a "one group before-and-after-test" approach. Measurements were taken before and after the intervention. The sample was selected using purposive sampling. Data were collected through a questionnaire to assess knowledge and analyzed using the t-test statistical method. The results of the comparative test showed significant improvement in the mothers' knowledge about infant and toddler dental and oral health before and after the intervention. With a p-value < 0.05, it can be concluded that there is a significant difference in knowledge between the pre-test and post-test results.Conclusion: The interactive Knee to Knee method training is highly effective in improving mothers' knowledge about dental and oral health care for infants and toddlers. Keywords: Knee to Knee Technique, Health Education, Dental and Oral Health, Mothers' Knowledge
Copyright (c) 2025 Zulfikri, M. Faisal, Ayu Mardian https://creativecommons.org/licenses/by/4.0
A REVIEW OF THE USE OF RESTRICTIVE ANTIBIOTICS IN ONE OF THE TEACHING HOSPITALS IN INDONESIA
The irrational use of antibiotics in hospitals can increase bacterial resistance, necessitating monitoring of their usage patterns. This study aims to describe the clinical characteristics of patients and the usage patterns of meropenem and vancomycin antibiotics at Universitas Hasanuddin Hospital. The study employed a retrospective analytical method using secondary data from electronic medical records and antibiotic request forms. The results showed that the majority of meropenem users were adults (61.25%) and the elderly (28.75%), while vancomycin was predominantly used by adult patients. Among meropenem patients, the primary diagnoses were CKD (13.75%) and sepsis (7.5%), whereas vancomycin was mainly prescribed for phlebitis and thrombophlebitis (20%). Therapeutic outcomes indicated that 50% of meropenem patients improved, but 41.25% died, while 60% of vancomycin patients showed improvement. Meropenem was primarily used for empirical therapy (53.75%) for 1–14 days, while vancomycin was mostly used for definitive therapy (80%) with more varied durations, including >14 days (20%). Adverse effects were minimal, with 1 case reported for meropenem (1.25%) and none for vancomycin. This study highlights the importance of rational antibiotic use monitoring to prevent resistance and improve therapeutic effectiveness in hospitals. Keywords: antibiotics, meropenem, vancomycin, bacterial resistance, teaching hospital.
Copyright (c) 2025 Mukhtasyam Zuchrullah https://creativecommons.org/licenses/by/4.0
THE INFLUENCE OF BODY SHAMING ON ANXIETY LEVELS IN ADOLESCENTS
Technological advancement and globalization have shaped a narrowing standard that society considers good. This creates social pressure on women, as not meeting beauty standards often leads to issues such as body shaming. The five Asian countries with the highest prevalence of bullying are Cambodia, Vietnam, Nepal, Pakistan, and Indonesia. Indonesia ranks first with 84% of bullying cases in schools. Forty-one percent of students in Indonesia are victims of harassment, and 22% experience teasing from peers. Body shaming impacts physical, psychological, and social aspects. It is essential to avoid factors such as anxiety because extreme conditions caused by body shaming can lead victims to engage in dangerous behaviors like running away, self-harm, or suicide. Objective: to determine the impact of body shaming on anxiety levels in adolescents. Method: quantitative research with a cross-sectional design, using a total sampling technique with 50 samples. Analysis using Chi-Square. Results: The Chi-Square test for anxiety with body shaming showed a p-value of 0.001 and an alpha of 13.461. Therefore, it can be concluded that H0 is rejected and Ha is accepted. So, there is a relationship between anxiety and body shaming.
Copyright (c) 2025 Silviatul Amalia, Nita Indah Lestari https://creativecommons.org/licenses/by/4.0
THE EFFECT OF GIVING KEDUDUK LEAF EXTRACT (Melastoma malabathricum L.) ON REDUCING BLOOD SUGAR LEVELS IN MALE WHITE RATS (Rattus norvegicus) WITH KIDNEY DYSFUNCTION COMPLICATIONS
Diabetes mellitus is a multifactorial chronic metabolic disorder characterized by increased blood glucose levels due to insufficient insulin production. One of the plants that can be used to reduce blood sugar levels is keduduk leaves (Melastoma malabathricum L.). This study aims to determine the potential of keduduk leaf extract in reducing blood sugar levels in male white rats (Rattus norvegicus) with complications of kidney dysfunction. Methods This study is an experimental study in which rats were induced diabetes using alloxan dose 150 mg/kgBB for 3 days and kidney dysfunction with gentamicin dose 80 mg/kgBB for 7 days. Data were analyzed using Two Way Anova followed by Duncan test. The results showed that the administration of keduduk leaf extract at a dose of 400 mg/kgBB most significantly reduced blood sugar levels in male white rats with complications of kidney dysfunction. The results of creatinine examination after being given the extract showed that there was an effect of kidney complications on the decrease in blood sugar levels in rats, where the decrease in blood sugar levels in the diabetes group with kidney dysfunction complications was smaller than the diabetes group without complications. Keduduk leaf extract can potentially affect kidney function and has adverse side effects, especially on damaged kidney function. Keywords : Alloxan; keduduk leaf extract (Melastoma malabathricum L.); gentamicin; maceration; blood sugar level reduction
Copyright (c) 2025 Aisa Dinda Mitra, Deny Sutrisno, Oktarani Nadila https://creativecommons.org/licenses/by/4.0
QUALITATIVE STUDY EXPERIENCE EXTENDED FAMILY IN CHILD CARE IN TEENAGE COUPLES IN GUNUNGKIDUL REGENCY
Background : The unpreparedness of teenage couples to become parents often results in deviant child rearing in the form of physical violence, psychological violence, and sexual violence. Most teenage couples live with extended families who are involved in parenting. Aim : Obtaining an in-depth picture of the extended family's experience in supporting childcare for teenage couples. Method: Qualitative research with a phenomenological approach. Informants in the study were selected using purposive sampling techniques. Triangulation of research data using three sources, namely from extended families, teenage couples and midwives. Data collection techniques using in-depth interviews and FGDs. Method Qualitative research with a phenomenological approach. Informants in the study were selected using purposive sampling techniques. Triangulation of research data using three sources, namely from extended families, adolescent couples and midwives. Data collection techniques with in-depth interviews and FGDs. Results : This study obtained 5 themes, namely the knowledge of extended families about parenting children of adolescent couples is already comprehensive, perceptions and expectations of extended families towards parenting children in adolescent couples, extended families are significant others for adolescent couples in the perinatal period, involvement of extended families in health services is to help in childcare, provide education related to childcare patterns although there are also differences with adolescent couples regarding childcare patterns that influence decision making. The fifth theme, extended families are a simple way to detect child growth and development, modern parenting patterns and early treatment of sick infants and toddlers. Conclusion: Differences in parenting patterns of extended families and teenage couples require support from health workers in providing appropriate education on child care according to the child's age. Teenage couples are expected to be more mature and responsible in raising children Keywords: extended family; parenting ; adolescent couples; sexual violence
Copyright (c) 2025 Asti Ratnaningrum, Warsiti Warsiti, Endang Koni Suryaningsih https://creativecommons.org/licenses/by/4.0
THE EFFECT OF A LOW-CALORIE BALANCED NUTRITION DIET BASED ON MINANG CUISINE IN OBESE PEOPLE
Obesity is a significant health issue worldwide and leads to various metabolic disorders. The primary method for addressing obesity is through dietary therapy. A commonly adopted diet for this purpose is a low-calorie, well-balanced eating plan. Minang cuisine offers traditional dishes that can provide healthy, balanced nutrition. This research assessed the eating habits of individuals with obesity. It explored the impact of a low-calorie, nutritionally balanced diet rooted in Minang cuisine on metabolic indicators (such as body weight, body mass index (BMI), body fat percentage, blood pressure, fasting blood sugar levels, and lipid profile levels) among obese individuals. The study utilized an experimental design with a pre-post clinical trial format. The dietary intervention lasted for 8 weeks, featuring a calorie deficit of 500–600 kcal from typical daily intake while maintaining balanced nutrition. Data from the research were analyzed using SPSS statistical software version 26. Interventions involving low-calorie and balanced nutrition derived from traditional Indonesian meals proved effective in decreasing weight, BMI, waist circumference, and body fat percentage in participants with obesity. However, the interventions did not show a significant impact on blood pressure, fasting blood glucose, or lipid profiles. This study demonstrates that Minang cuisine can be a nutritious and healthy option for combating obesity. Keywords: Obesity; dietary interventions; Minang cuisine; metabolic biomarkers; obesity.
Copyright (c) 2025 Mirnawati Mirnawati, Nur Indrawati Lipoeto, Aisyah Elliyanti, Dewi Susanti Febri https://creativecommons.org/licenses/by/4.0
STRATEGIES TO STRENGTHEN DECISION MAKERS AND STAKEHOLDERS IN TUBERCULOSIS ELIMINATION BY 2030
Tuberculosis (TB) remains a significant health challenge, especially in areas such as Solok District. In 2021, the number of TB suspects was 3,322 people, increasing to 7,417 people in 2022. The TB Case Notification Rate (CNR) reached 23.6%, with a Treatment Coverage (TC) achievement of 40%. The proportion of TB cases in children is 8.3%. This study aimed to identify possible strategies to strengthen local government commitment to TB control. Using a qualitative approach, the study reviewed previous literature for comparison and presented the results in a narrative manner. Primary data was obtained by conducting in-depth interviews with 8 (eight) informants by purposive sampling. The results showed the need for greater commitment from local governments and relevant stakeholders in TB control. This is evidenced by the absence of policies governing TB control, inadequate budget allocation, lack of human resources, and lack of readiness and strategies to achieve TB elimination by 2030. Strategies that need to be implemented for TB control include strengthening the commitment and leadership of local governments and cross-sectoral cooperation such as the legislature, professional organisations, and the community. These measures are expected to have a significant impact on achieving the national target of TB elimination by 2030.
Copyright (c) 2024 Tuty Ernawati, Sri Siswati, Luthfil Hadi Anshari https://creativecommons.org/licenses/by/4.0
PAIN SELF MANAGEMENT OF CANCER PATIENTS: A DESCRIPTIVE STUDY ON CHILDREN WITH CANCER
Pain is a common symptom that reported as a moderate to severe among children with cancer. The aim of this study was to describe about the pain knowledge related to pain self-management and adherence to pain treatment among children with cancer. By using quantitative research design and description analytically, this research was conducted on 36 children and adolescent in a Community Foundation for the Children and Adolescent with Cancer in Padang City, West Sumatra. Children were given a questionnaire adopted from the NOC (Nursing Outcome Classification) regarding knowledge of pain self-management. Data analysis uses descriptive analysis to capture a perception of each statement points in the questionnaire. The results of this study showed that there are still 33.3% and 25% of children and adolescent who have lack of knowledge in pain self-management. Lack of knowledge in children with cancer will influence the way of handling pain. It was determined that they have to be given better education on handling pain in order to improve their quality of life. Continued prospective data collection in children and adolescents with more advanced stages of cancer can be carried out regarding the frequency of symptoms, severity and level of distress due to excessive pain.
Copyright (c) 2024 Imelda Rahmayunia Kartika, Fitrianola Rezkiki, Cory Febrina https://creativecommons.org/licenses/by/4.0
FACTORS OF DELAY IN MANAGING STROKE PATIENTS
Abstract The golden window for stroke treatment is ± 3 hours. Patients should obtain full therapy within this time frame to avoid chronic conditions or death. The purpose of this study is to identify the factors that contribute to stroke patient treatment delays. This cross-sectional study was conducted using multivariate regression analysis at the H Hanafie Muaro Bungo Regional Hospital Indonesia. Purposive sampling was used to choose an 80-person sample from 399 monthly visitors. This research was conducted in 2023. Among other p-values, seven major factors were discovered to cause delays in stroke treatment: low knowledge (p-value: 0.000, OR 7.827), delays in the referral system (p-value: 0.000, OR 7.667), lack of family support (p-value: 0.001, OR 6.769), the role of health workers (p-value: 0.001, OR 5.371), companion in referral (p-value: 0.006, OR 4.121), and low education (p-value: 0.024, OR 3.273). Distance time (p-value 0.001, exp β = 0.125) and referral system delays (p-value 0.003, exp B = 0.139) are the multivariate outcomes of stroke patients arriving late at H Hanafi Muaro Bungo Regional Hospital. It was determined that distance time and referral system delays were the most significant contributors to stroke patient treatment delays. It is advised that the health service and hospitals improve information in establishing Planning of actions for handling stroke patients, necessitating more facilities such as ambulances, to avoid stroke patient deaths due to service delays. . Keywords: Delay, Stroke, Referral system, Distance time
Copyright (c) 2024 Adriani Mahdarlis, oktavianis, Nurhayati, etrizulita https://creativecommons.org/licenses/by/4.0
THE EFFECT OF IN-HOUSE TRAINING ON IMPROVING THE KNOWLEDGE OF HEALTH WORKERS IN NURSING CARE SERVICES FOR CHILDREN WITH STUNTING AT THE BEKASI REGENCY GENERAL HOSPITAL
The service of the national priority program accelerating the reduction of stunting is hospital quality indicators. The study aims to find out the effect of the in-house training to improve the competency and knowledge of health workers in providing the service to children with stunting. The quasi-experiment conducted to 31 health workers in charge of taking care of children with stunting in Bekasi Regency Regional General Hospital. The data collection is conducted using an online questionnaire. The result shows the respondent characteristics are women (90,3%), mostly in the range age 30-30 years old (41,9%) and the most education background as a Ners professional program (38,7%) and diploma nurse (29,7%). Paired T test shows the mean difference of the score between pre-test and post-test (P < 0,001) with mean difference of 34,5%. It is expected Bekasi Regency Regional General Hospital to provide the training or technical guidance regularly to improve the competencies of health workers especially nurse and midwife as their roles to provide the health care service to the children with stunting. Thus, the implementation of the program for handling children with stunting can run more optimally and with quality. Keywords: stunting, knowledge, in-house training, nursing care, hospital
Copyright (c) 2024 Arda Yunita Subardi, Anna Maria Nurhajati Widjaja, Alfi Syahri Yuliawati, Ana Rizana, Puji Lestari, Yuli Puspita Devi, Roma Yuliana, Tri Amelia Rahmitha https://creativecommons.org/licenses/by/4.0
DETERMINANTS OF HYGIENE PROCESSED FOOD HANDLERS IN THE FOOD HOUSEHOLD INDUSTRY IN MUKOMUKO DISTRICT
It is a well-documented fact that 420,000 deaths occur annually worldwide as a result of the consumption of contaminated food (WHO, 2022). In Indonesia, the majority of food poisoning cases (34.72%) originate from processed household food. It is imperative to prioritize food handler hygiene to effectively prevent foodborne illness. Based on the inspection findings, it is evident that the majority of IRTPs in Mukomuko District do not apply hygiene properly. This study aims to identify the determinants of hygiene practices among food handlers in IRTPs in Mukomuko Regency. This study employed a quantitative methodology utilizing an observational analytic method with a cross-sectional approach. The study was conducted between September 2023 and June 2024. The population consisted of all IRTPs who had obtained a license (45 samples). Quantitative data were obtained through interviews conducted using questionnaires. The results demonstrated that processed food handlers exhibited suboptimal hygiene practices (42.2%), were under the age of 46 years (64.4%), had limited education (46.7%), had low income (51.1%), demonstrated inadequate knowledge (35.6%), exhibited poor attitudes (44.4%), had never attended training (4.4%), and received inadequate supervision from officers (42.2%). The attitude of the processed food handlers was identified as the primary factor influencing their hygiene practices (p value=0,008 and OR= 19.5). It is essential to implement policies that are clearly defined and regulated, to foster collaboration among relevant stakeholders, to enhance community-based IRTPs' awareness of hygiene practices through the integration of local wisdom, to promote health initiatives, and to enhance the competencies of supervisory officers. Key Word : Hygiene, IRTP, attitude
Copyright (c) 2024 Hesti Hadish, Desmawati, Yuniar Lestari https://creativecommons.org/licenses/by/4.0
TOUCH THERAPY IN COMPACT APPLICATION TO REDUCE ANXIETY LEVELS AMONG PARENTS OF CHILDREN WITH CANCER
Every year an estimated 400,000 children are diagnosed with cancer with the most common type of cancer suffered by children being leukemia at 58%. This condition can affect parent’s health both the physical and psychological, especially mothers as a caregivers of their children. The psychological disorder that is often experienced by mothers of children with cancer is anxiety. At the same time, a mother is also required to provide emotional support to her child who is sick. Touch Therapy contained in the COMPACT application (Communication On Palliative care Treatment) is one form of digital health that can be done by parents with cancer children to help reduce the level of anxiety. This study aims to investigate Touch therapy in the COMPACT Application on anxiety in children with cancer. The research method used is quantitative Quasi-Experimental with a one-group pre-test, post-test design. The population consists of mother of cancer children at Cahaya Community Foundation, with a sample size of 26 participants using purposive sampling. Data collection was computerized, and analysis was performed using dependent t-test. The results of data analysis show that the average anxiety level of respondents before receiving Touch therapy was 40.31 (mild anxiety), which decreased to 38.08 (mild anxiety) after therapy. It can be concluded that interventions effectively reduce anxiety levels in mothers with cancer children, with a p-value of 0.001. Therefore, it is recommended those parents of cancer children using the COMPACT touch application as an intervention to manage anxiety.
Copyright (c) 2024 Fitrianola Rezkiki, Imelda Rahmayunia Kartika, Cory Febrina https://creativecommons.org/licenses/by/4.0
PROTOTYPE DEVELOPMENT OF MENTAL DISEASE AND BEHAVIOR CODEFICATION APPLICATION FOR EFFECTIVENESS OF MEDICAL RECORDING STUDENT LEARNING
The policy regarding the implementation of RME in health services requires developments in the world of education, especially medical records and health information study programs. Developments are carried out in the learning process using technology such as the use of prototypes in the implementation of coding practicums. Manual coding using ICD-10 CM is considered less effective and efficient. Inaccuracies in diagnostic codes often occur, leading to pending claims. The aim of this research is to determine the evaluation of the effectiveness and efficiency of the prototype application for coding mental illness and behavior for the effectiveness of medical records student learning. The research was conducted using the Research and Development method with a population of 15 medical records students. The research results showed that there was development of a coding application prototype using Unified Modeling Language (UML) visual modeling, namely use case diagrams, class diagrams and activity diagrams. The research results showed a significant difference in the average coding time for 10 diagnoses, where using ICD-10 CM took 12 minutes 30 seconds with 80% accuracy and using the coding application prototype took 3 minutes 20 seconds with a code accuracy percentage of 100%. The results of the research concluded that by coding mental illness and behavior using the coding application prototype, it was very effective and efficient in improving student learning of medical records and supporting the implementation of RME in health services.
Copyright (c) 2024 Maisharoh Maisharoh, Dian Sari https://creativecommons.org/licenses/by/4.0
DESIGN OF SCREENING FOR CONGENITAL HYPOTHYROID REGISTRATION AND REPORTING APPLICATION CASE STUDY: M. DJAMIL HOSPITAL
The Congenital Hypothyroid Screening Laboratory of M. Djamil Hospital has problems in recording and reporting SHK manually which causes the risk of delays in the administrative process, specimen damage, errors in specimen recording and unintentional data changes. A mixed method study has been conducted with the Analysis, Design, Development, Implementation and Evaluation (ADDIE) model approach on the SHK registration and reporting system that is currently running with a computerized system. The study began with a qualitative study that formulated a software needs analysis and continued with quantitative research to determine the impact of computerization on the speed of registration and reporting. The average registration and reporting process using the application is 1 minute 40 seconds, which is 6.9 times faster than the manual process, which is 11 minutes 35 seconds. SHK data monitoring can be carried out directly by the City/District and Provincial Health Offices; and reduces the risk of data changes. The use of the SHK registration and reporting application has restored the role of health facilities in preparing SHK specimen data and at the same time freed the SHK laboratory from the task of recording specimen data and returning to its role as a SHK examiner.
Copyright (c) 2024 Catur Suharinto, Rima Semiarty, Ardhian Agung Yulianto, Rizanda Machmud, Asrawati Nurdin, Dwi Yulia https://creativecommons.org/licenses/by/4.0
FULFILLMENT OF HEALTH RIGHTS FOR PATIENTS PATIENTS' SOCIAL SECURITY ADMINISTRATION AGENCY CANCER IN CHEMOTHERAPY SERVICES
Chemotherapy treatment for Health Social Security Administering Agency (BPJS) patients carried out by hospitals must follow the rules of the national formulary. Sometimes differences are found between the national formulary and the chemotherapy regimen issued by the Indonesian Association of Surgical Oncologists (PERABOI). Problem Formulation: 1) How do BPJS patients with cancer fulfill their rights to health in chemotherapy services? 2) What are the obstacles in fulfilling their health rights for BPJS patients with cancer in chemotherapy services? 3) What efforts have been made to overcome obstacles in fulfilling the right to health for BPJS patients with cancer in chemotherapy services? This research is sociological legal research, primary and secondary data sources, analyzed qualitatively. Data collection by interviews. Research results: 1) Fulfillment of health rights for BPJS patients with cancer in chemotherapy services must follow BPJS regulations which are based on the national formulary. 2) Obstacles in fulfilling the right to health for BPJS patients with cancer in chemotherapy services when there are restrictions or obstacles from BPJS regulations to obtain medicines that comply with certain disease drug protocols issued by the relevant association 3) efforts made to overcome obstacles in fulfilling the right to health for BPJS patients with cancer in chemotherapy services, if there are restrictions from BPJS, doctors and hospitals must comply with the rules for administering chemotherapy drugs from BPJS
Copyright (c) 2024 Rahmat Taufik, Uning Pratimaratri, Sanidjar Pebrihariati R https://creativecommons.org/licenses/by/4.0
KNOWLEDGE AND ATTITUDE ABOUT NON-SMOKING AREA AND THE DANGER OF CIGARETTE ADVERTISING IN BUKITTINGGI CITY
Global data indicates that 20% of the population over the age of 15 smokes as much as 16 cigarettes a day. The dangerous ban on smoking has been achieved by society as a whole in various media. The study aims to find out the knowledge and attitude about non-smoking area and the dangers of tobacco advertising in Bukittinggi City. This research method is descriptive with a quantitative approach. The research was carried out in the city of Bukittinggi, which is spread over three districts. (Kec. Mandiangin Koto Selayan, Kec. Guguak Panjang and Kec. Aur Birugo Tigo Baleh). Based on researchers considerations using purposive sampling techniques, the researchers took a sample of 400 people in each of the smoke-free areas. Implications of this study are raising youth awareness about the dangers of smoking, strengthening the ban on promoting, advertising, selling, and buying cigarettes in the workplace, and banning smokes in public places. The results of the study showed that more than half of the respondents (330 respondents) (82.5%) had a high knowledge of KTR. Then more than the half of respondents (293 (73.3%) had a good knowledge of tobacco advertising. On the attitude variable it was found that over half of those responding (250 respondents (625.5) had a positive attitude to KTR and then more than a half of 215 respondents (53.8%) had positive attitudes to to cigarette advertisement. It is expected that there will be efforts to restrict cigarette advertising, especially advertising presented through the media or electronics, and also to monitor the advertising of cigarettes in the Non-Smoking Areas so that people reduce their smoking consumption and maintain their own health
Copyright (c) 2024 Abdi Iswahyudi Yasril, Febrian Rahmat Suwandi SN, Andree Aulia Rahmat, Abdillah Ahsan https://creativecommons.org/licenses/by/4.0
Obesity is a condition where the body has excess body weight which is measured based on several measurements. The accumulation of fat in the body's subcutaneous tissue, or under the skin, around organs, and sometimes even in the tissues of these organs, is a sign of obesity. In the last five years, the prevalence of adolescent obesity in Indonesia has almost doubled. The aim of this study was to determine the factors associated with the incidence of central obesity in adolescents in Jambi City. This quantitative descriptive research uses a cross-sectional study. In this research, the Solvin formula was used to calculate the sample size, which consisted of 96 teenagers living in the working area of ​​the Putri Ayu Community Health Center in 2024.Data collection uses a questionnaire. Data processing takes the form of univariate and bivariate analysis. The analysis used is chi-square. The research was carried out from April to May 2024. The research results show that there is a relationship between gender (p=0.028), knowledge (p= 0.006), physical activity (p= 0.028) andincidence of central obesity in adolescents in Jambi City. Factors that can cause obesity in teenagers include unhealthy eating habits, so it is important to maintain a balanced diet, rich in fiber, and consume fruit and vegetables frequently
Copyright (c) 2024 Solihin Sayuti, Ary Irfan https://creativecommons.org/licenses/by/4.0
INFLUENCE OF MANJUJAI PATTERNS ON THE COGNITIVE DEVELOPMENT OF BALITA AT RISK STUNTING WORKING AREAS PUSKESMAS LASI
Stunting adalah postur tubuh pendek yang terjadi karena kekurangan gizi kronis. Balita yang stunting akan berdampak pada pertumbuhan fisik, perkembangan anak. Salah satu perkembangannya adalah perkembangan kognitif. Perkembangan kognitif adalah perkembangan yang sangat komprehensif. Metode yang digunakan dalam penelitian ini adalah Quasy-Experimental dengan pre-test dan post-test pada kelompok yang diberikan intervensi manjujai. Hasil penelitian menunjukkan bahwa terdapat perbedaan perkembangan kognitif sebelum dan sesudah pemberian pengobatan manjujai pada anak dengan nilai p 0,014 <0,05. Berat badan sebelum dan sesudah diberikan manjujai menunjukkan nilai p.0,001 <0,05. Tinggi sebelum dan sesudah diberikan manjujai menunjukkan nilai p.0,010 <0,05. Dapat disimpulkan bahwa kearifan lokal Minangkabau yaitu manjujai parenting memiliki pengaruh terhadap pertumbuhan dan perkembangan kognitif balita yang berisiko stunting di wilayah kerja Puskesmas Lasi.
Copyright (c) 2024 Shantrya Dhellly Susanty, Tri Wulandari, Harry Ade Saputra, Syukra Alhamda https://creativecommons.org/licenses/by/4.0
EXTRAPYRAMIDAL SYMPTOMS AND ADHERENCE OF SCHIZOPHRENIA PATIENTS IN TAMPAN MENTAL HOSPITAL RIAU PROVINCE: A CROSS-SECTIONAL STUDY
Schizophrenia is a condition in the form of a collection of clinical symptoms that are varied, highly disturbing, psychopathology involving cognitive, emotional perception and other aspects of behavior. The management of schizophrenia therapy uses antipsychotics. The use of antipsychotics has extrapyramidal side effects that can affect patient medication compliance. This study aims to analyze the effect of extrapyramidal side effects on adherence to taking medication for patients with schizophrenia by comparing the incidence of extrapyramidal side effects and types of extrapyramidal side effects on adherence to taking patient medicines. This study is an analytic descriptive observational study with a cross-sectional approach. The study sample was schizophrenia patients who were hospitalized at Tampan Mental Hospital as many as 55 people who were taken by cluster sampling method. The results of data analysis showed that 48% of patients experienced extrapyramidal side effects with the types of extrapyramidal symptoms were pseudoparkinson 41.38%, akathisia 31.03%, acute dystonia 27.59% and dyskinesia tardif 0%. Meanwhile, patients with a high level of compliance amounted to 58.33% and low compliance amounted to 41.67%. Based on the incidence of extrapyramidal side effects on the compliance score, the value of p=0.105 (p>0.05) and the type of extrapyramidal side effects on the compliance score, the value of p=0.326 (p>0.05). Based on the results of the study, it is known that the incidence of extrapyramidal side effects and the type of extrapyramidal side effects do not affect the medication adherence score of schizophrenia patients at Tampan Mental Hospital, Riau Province.
Copyright (c) 2024 Fina Aryani, Tiara Sri Sudarsih, Septi Muharni, Meiriza Djohari https://creativecommons.org/licenses/by/4.0