Sehat Rakyat: Jurnal Kesehatan Masyarakat

Implementasi Strategi Promosi Kesehatan dalam Upaya Pencegahan Penyakit Hipertensi di Puskesmas Katobengke

2026-06-26T08:58:21+00:00

The number of hypertension sufferers in the Katobengke Community Health Center's work area has increased annually. In 2025, it ranked first among the 10 highest prevalence diseases, at 9.53% (1,116 cases), compared to 5.53% (479 cases) the previous year. The purpose of this study was to determine how health promotion strategies are implemented to prevent hypertension at the Katobengke Community Health Center. The research method was qualitative with a phenomenological approach. Nine informants were selected using purposive sampling. Data collection techniques included in-depth interviews, observation, and documentation. Data validity was validated using triangulation. The results showed that the implementation of health promotion strategies to prevent hypertension at the Katobengke Community Health Center has been implemented through advocacy, climate development, and community empowerment. In terms of advocacy, activities have been carried out through cross-sector coordination, but they have not been optimal due to a lack of continuity, resulting in inconsistent support and ongoing follow-up. In terms of climate building, it was found that outreach activities, integrated health posts (Posbindu), and the involvement of cadres and community leaders have been carried out consistently every month, fostering an environment conducive to healthy lifestyles. In terms of community empowerment, cadres have played an active role, but community participation in hypertension prevention programs remains lax, resulting in inconsistent behavior change. The conclusion of this study indicates that health promotion strategies for hypertension prevention at the Katobengke Community Health Center have been implemented through advocacy, climate building, and community empowerment. However, community attendance at routine hypertension prevention checkups remains inconsistent.

Pengaruh Peran Perawat Komunitas terhadap Peningkatan Pengetahuan dan Pola Makan pada Penderita Hipertensi

2026-06-23T04:52:32+00:00

In Indonesia, hypertension is a prevalent non-communicable condition that can cause major side effects such as renal failure, heart disease, and stroke. High blood pressure prevention can be achieved through improving knowledge and adopting healthy dietary habits. Community nurses play a crucial part in educating people about health enhance the general public knowledge regarding hypertension. This investigation sought to ascertain the influence of community nurses’ roles in improving knowledge about the potential increase in blood pressure related to dietary patterns among patients with hypertension in Buntu Babang Village, Bajo District, Luwu Regency. This study used a cross-sectional, quantitative methodology. 32 respondents that were chosen via accidental sampling made up the sample. The Chi-square test was used to examine the data. The findings demonstrated this community nurses’ roles influenced the improvement of knowledge among patients with hypertension (p = 0.052), while There was no discernible impact on the dietary patterns of hypertensive patients (p = 0.317). In conclusion, community nurses contribute to improving the knowledge of patients with hypertension; however, their role has not significantly influenced dietary trends among patients with hypertension in Buntu Babang Village, Bajo District, Luwu Regency.

Efektivitas Video Edukasi terhadap Pengetahuan dan Keterampilan Kader Posyandu di Wilayah Kerja Puskesmas Mojolaban

2026-06-11T05:24:40+00:00

Community-Based Health Efforts (UKBM) such as Integrated Service Post (Posyandu) improve public health through promotive and preventive measures. The Posyandu cadre evaluation in Plumbon Village, under the Mojolaban Community Health Center, found that all cadres were still Purwa, with poor knowledge and competence in 25 fundamental cadre competencies. The constraints of traditional learning approaches contribute to inadequate cadre competency enhancement. This research examines how instructional video media improves Posyandu cadres' 25 fundamental cadre competencies. A quantitative pre-experimental one-group pretest-posttest design was adopted in this investigation. The research sample included 46 Plumbon Village Posyandu cadres chosen using total sampling. Health education was provided via videos and talks. Knowledge and skills questionnaires were used before and after the session. The Wilcoxon Signed Rank Test was used for univariate and bivariate data analysis. Posttest scores increased for all cadres compared to pretest. The Wilcoxon test showed a significant difference between pretest and posttest scores (p < 0.05). This shows that instructional video media improves Posyandu cadres' knowledge and abilities. Video helps people grasp and retain knowledge by presenting it visually and audibly.

Analisis Tingkat Kontaminasi Bakteri Escherichia Coli pada Air Sumur Gali pada Tahap Sebelum dan Sesudah Perebusan

2026-06-25T08:13:40+00:00

Water was from a native natural fountain that is became vital for human life, particularly as source of drinking water also for things household needs. However, the use of dug well water is highly susceptible to bacteriological contamination. Contamination of drinking water with Escherichia coli is a leading cause of gastrointestinal infections and diarrhea. This reseach was purposelly to identifying the exsist of E. coli in dug well water also established the impact as well range from septic tank and the effectiveness of the boiling process. The method was using a quantitative approach using an experimental design. The samples including of 14 dug wells gap less than 10 meters also more than 10 meters from a septic tank, with treatments before and after boiling. Laboratory analysis were including use the MPN (Most Probable Number) method thru a presumptive test (Lactose Broth), a confirmatory test (Brilliant Green Lactose Bile Broth), and an identification test (Eosin Methylene Blue Agar). Data were statistically analyzing use technique of Shapiro-Wilk normality test also the non-parametric Wilcoxon signed-rank test. The yields demonstrated that physical distance was not significantly correlated with bacterial contamination levels. The Wilcoxon test revealed a significant and notable difference in bacterial contamination levels before and after boiling, indicating that the boiling process effectively reduced biological contamination in the water. After boiling, 7 samples met drinking water standards (0 MPN/100 ml), while the other 7 samples were still found to contain bacteria due to issues with equipment sterilization or procedure.

Identifikasi Bakteri Staphylococcus Aureus pada Spons Make-Up di Kalangan Mahasiswa

2026-06-25T08:12:52+00:00

Makeup sponges are porous cosmetic application tools that are reused and can potentially become a breeding ground for microorganisms if not cleaned regularly. One bacterium that can contaminate makeup sponges is Staphylococcus aureus, which are knew to do play with a role in various skin also soft tissue infections. This reseach was purposelly to identifying the presence of S. aureus towards makeup sponges used by college students. The study employed a quantitative experimental method using purposive sampling on 30 samples of makeup sponges that had been used for at least 1–2 months. Samples were grouped based on washing frequency: frequently washed, rarely washed, and never washed. Bacterial identification was performed via inoculation on Mannitol Salt Agar (MSA) medium, followed by subculturing, Gram staining, catalase testing, and coagulase testing. The results of the study showed colony growth on MSA medium, indicated by a yellow discoloration of the medium. Gram staining revealed coccus-shaped cells arranged in clusters and stained purple, indicating the characteristics of Gram-positive bacteria. The catalase and coagulase tests yielded positive results, confirming the presence of Staphylococcus aureus. Of the 30 samples examined, 7 positive samples were found in the group of sponges that were rarely washed, 6 positive samples in the group that were never washed, and 3 positive samples in the group that were frequently washed. These findings indicate that S. aureus contamination is more common in sponges that are rarely or never washed compared to those cleaned regularly.

Kejadian Luar Biasa (KLB) Difteri di Provinsi Jawa Timur Tahun 2013-2015: Tinjauan Histori Epidemiologi

2026-06-17T07:56:19+00:00

Diphtheria remains a public health concern and has the potential to cause outbreaks. East Java Province is one of the regions in Indonesia with a high burden of diphtheria cases and a history of recurrent outbreaks. This study aimed to describe the epidemiology of diphtheria outbreaks in East Java Province during 2013-2015 based on person, place, and time distribution and to identify factors associated with their occurrence. This study employed a descriptive design using a secondary data analysis and literature review approach. Data were obtained from official reports of the East Java Provincial Health Office, publications of the Ministry of Health of the Republic of Indonesia, and relevant scientific articles. The results showed that diphtheria outbreaks predominantly occurred among individuals aged ≤15 years (43 cases) and those without a history of immunization (13 cases). Blitar Regency recorded the highest number of cases (38 cases), while the peak incidence occurred in April (13 cases). Factors associated with the outbreaks included incomplete immunization, low public knowledge, unhealthy environmental conditions, and suboptimal surveillance systems. Post-outbreak trends indicated that diphtheria remains a significant public health problem, with the case fatality rate (CFR) reaching 56.25% in 2024. Therefore, strengthening immunization coverage, epidemiological surveillance, early case detection, and clinical case management is essential to reduce diphtheria-related morbidity and mortality in East Java Province.

Determinan Hasil Pemeriksaan HPV DNA pada Wanita Usia Subur di Puskesmas Kasihan II

2026-06-08T09:26:56+00:00

Cervical cancer ranks among the most common cancers and is a primary contributor to female mortality worldwide, especially in countries with lower and middle-income economies, such as Indonesia. A lasting infection with human papillomavirus (HPV), especially the cancer-causing types HPV-16 and HPV-18, significantly increases the risk of developing cervical cancer. A positive HPV DNA test result indicates a high risk of cervical cell transformation into precancerous lesions and invasive cancer, making HPV DNA testing an important indicator for assessing cervical cancer risk. Therefore, HPV DNA detection serves as a key indicator for identifying the risk of developing cervical cancer. This study aims to describe the determinants of HPV DNA test results among women of reproductive age at Puskesmas (Community Health Center) Kasihan II, Bantul Regency. This study employed a descriptive quantitative design with a cross-sectional approach. The sample consisted of 48 women of reproductive age who underwent HPV DNA testing and were selected using a purposive sampling technique. Secondary data were obtained from medical records and included age at first marriage, smoking habits, number of sexual partners, family history of cervical cancer, parity, and use of hormonal contraception. Data were analyzed using frequency distributions. The results showed that the majority of respondents were HPV-negative across variables such as age at first marriage, smoking habits, number of sexual partners, family history, parity, and hormonal contraception use. However, both negative and positive results require careful attention through strengthened routine screening and reproductive health education as preventive measures against cervical cancer in primary healthcare settings.

Implementasi K3 dalam Pencegahan Kecelakaan Kerja di Stasiun Pengisian dan Pengangkutan Bulk Elpiji PT X

2026-06-23T04:53:24+00:00

Occupational safety and health are important components in high-risk industrial operations. The LPG industry has complex hazard characteristics because LPG is composed of a mixture of hydrocarbons, especially propane and butane, which are flammable and high pressure. This study aims to analyze the implementation of OHS in preventing work accidents at SPPBE PT X. The research method used is a qualitative case study approach, with data collection techniques through observation, interviews, and document review. The results of the study indicate that the implementation of OHS at PT X has been running well, indicated by the existence of OHS policies, work SOPs, safety briefings, OHS training, and the provision of safety facilities and equipment. However, there are still discrepancies in the type of PPE with potential hazards in the LPG industrial environment, non-compliance with the use of PPE, unsafe behavior in the form of work implementation that does not comply with procedures, and unsafe conditions such as rubber carpets on worn and uneven floors, hot working temperatures due to zinc roofs, and rusty or corroded equipment. These findings indicate that the implementation of OHS at SPPBE PT X has been running, but has not been optimal in preventing work accidents. Companies need to improve the suitability of PPE based on hazard identification, strengthen worker compliance monitoring, and carry out work environment control based on the hierarchy of control principle.

Pengaruh Penyuluhan terhadap Pengetahuan tentang Kehamilan Remaja di SMA Negeri 1 Banguntapan Bantul Yogyakarta

2026-06-17T07:36:50+00:00

Teenage pregnancy remains a reproductive health problem that increases the risk of complications during pregnancy, childbirth, and psychosocial problems. The low level of adolescent knowledge about teenage pregnancy is one of the factors contributing to the high incidence, so promotive and preventive efforts are needed through health education. This study aims to determine the effect of education on the knowledge of female adolescent about teenage pregnancy at SMAN (State Senior High School) 1 Banguntapan, Bantul, Yogyakarta. The study employed a pre-experimental design with a one-group pretest–posttest approach. The sample was 10^th grade of female students selected using a proportionate stratified random sampling technique. The instruments used was a questionnaire on knowledge about teenage pregnancy and leaflets. Data analysis was performed using the Wilcoxon Signed Rank Test. The results showed a difference in average knowledge before and after education of 0.9841. The normality test obtained a p-value of 0.000, indicating that the data were not normally distributed, and was continued with the Wilcoxon test. The Wilcoxon test results showed a Z value of -5.522 with Asymp. Sig. (2-tailed) = 0.000, indicating a significant difference between the pretest and post- test scores. This indicates that health education has an impact on increasing female adolescent's knowledge about teenage pregnancy. Schools are expected to integrate reproductive health education on an ongoing basis with the support of health workers.

Hubungan Kadar Bilirubin Indirek dengan Kadar Hemoglobin pada Bayi Ikterus Neonatus di Rumah Sakit X Yogyakarta

2026-06-23T04:57:01+00:00

Neonatal jaundice were frequently encountered condition in newborn infants, with an incidence rate of approximately 25% to 50% since first week in they life. Jaundice occurs due to excessive production of bilirubin in an infant’s body. This escalate in bilirubin grades is caused by the infant’s immature liver function, which is not yet able to process bilirubin optimally in the bloodstream. Theoretically, elevated bilirubin levels are associated with the breakdown of hemoglobin . This reseach was purposelly to established the relatiobship among indirect bilirubin grades also hemoglobin grades in infants with neonatal jaundice at Hospital X in Yogyakarta. This reseach was using a quantitative research design with a cross-sectional approach also employed secondary data included from medical records. A total of 31 samples of infants with neonatal jaundice from the 2024–2025 period shown the inclusion and exclusion criteria were analyzing to established the realtionship among the two variables. The correlation test results showed a coefficient of r = 0.249 with a significance level of p = 0.177 > 0.05, indicating a weak and statistically insignificant relationship between indirect bilirubin levels and hemoglobin levels. Based on these yields, it can be inferred don’t have statistically significant association exists among the two variables among infants with neonatal jaundice.

Efektivitas Media Edukasi Interaktif Berbasis Smartphone terhadap Pencegahan Anemia pada Remaja

2026-06-29T06:51:52+00:00

Anemiaⁱremainsⁱaⁱcriticalⁱpublicⁱhealthⁱissueⁱamongⁱadolescents,ⁱnecessitatingⁱeducationalⁱmethodsⁱthatⁱareⁱengaging,ⁱtechnologicallyⁱrelevant,ⁱandⁱeasilyⁱaccessible.ⁱThisⁱstudyⁱaimsⁱtoⁱexamineⁱtheⁱeffectivenessⁱofⁱusingⁱsmartphone-basedⁱinteractiveⁱlearningⁱmediaⁱinⁱimprovingⁱknowledgeⁱandⁱanemiaⁱpreventionⁱbehaviorⁱamongⁱadolescents.ⁱUsingⁱaⁱpre-experimentalⁱdesignⁱwithⁱaⁱone-groupⁱpretest-posttestⁱapproach,ⁱthisⁱstudyⁱwasⁱconductedⁱatⁱSMAⁱNegeriⁱ12ⁱMakassarⁱfromⁱMarchⁱtoⁱAprilⁱ2026.ⁱAⁱtotalⁱofⁱ60ⁱstudentsⁱagedⁱ15–18ⁱyearsⁱwereⁱselectedⁱusingⁱpurposiveⁱsamplingⁱandⁱreceivedⁱanⁱinterventionⁱinⁱtheⁱformⁱofⁱsmartphone-basedⁱinteractiveⁱeducationⁱforⁱfourⁱweeks.ⁱDataⁱregardingⁱknowledgeⁱandⁱbehaviorⁱwereⁱobtainedⁱthroughⁱvalidatedⁱandⁱreliableⁱquestionnairesⁱandⁱwereⁱsubsequentlyⁱanalyzedⁱusingⁱtheⁱPairedⁱSampleⁱt-Test.ⁱTheⁱresultsⁱshowedⁱaⁱsignificantⁱincreaseⁱinⁱtheⁱmeanⁱknowledgeⁱscoreⁱfromⁱ62.40ⁱtoⁱ84.70ⁱ(p=0.000),ⁱandⁱinⁱtheⁱbehaviorⁱscoreⁱfromⁱ58.60ⁱtoⁱ79.20ⁱ(p=0.000).ⁱInⁱconclusion,ⁱsmartphone-basedⁱinteractiveⁱeducationalⁱmediaⁱisⁱprovenⁱeffectiveⁱinⁱenhancingⁱknowledgeⁱandⁱanemiaⁱpreventionⁱactions;ⁱtherefore,ⁱitⁱisⁱrecommendedⁱtoⁱbeⁱintegratedⁱintoⁱschoolⁱhealthⁱpromotionⁱprogramsⁱasⁱaⁱsustainableⁱstrategy

Analisis Kebutuhan SDM Rekam Medis Sebelum dan Sesudah Implementasi RME dengan Metode ABK-Kes

2026-06-18T04:36:57+00:00

Healthcare human resource planning is crucial for determining current and future staffing needs and availability. Therefore, healthcare workload analysis is essential in the healthcare sector for evaluating healthcare human resources. The objective of this study is to determine the staffing needs for medical record technicians and health information officers at a hospital in East Jakarta. This study is a quantitative descriptive study conducted through direct field research to determine the required number of medical records staff based on data from interviews and observations. The results of this study indicate that the Available Work Time (AWT) is 1,200 hours/year or 72,000 minutes/year. The Support Task Factor (STF) is 14% and the Support Task Standard (STS) is 1.16, resulting in a requirement for 15 medical records staff. There are currently 10 medical records staff members, so an additional 5 staff members are needed to meet staffing requirements. However, if a hospital in East Jakarta were to fully implement Electronic Medical Records (EMR), the staffing requirement would be reduced to 6 staff members, resulting in a surplus of 4 staff members since some tasks would be performed electronically via the system. The recommendation for the hospital is to accelerate the full implementation of Electronic Medical Records (EMR) to improve work efficiency and reduce the workload in certain departments. Staff who do not yet meet the qualifications are advised to pursue education in medical records and receive training to enhance their knowledge and skills in line with advancements in technology and modern healthcare systems.

Hubungan Kadar Kolesterol Total dengan Tekanan Darah pada Penderita Diabetes Mellitus Tipe 2 Layanan Kesehatan Primer

2026-06-29T07:33:50+00:00

Type 2 Diabetes Mellitus (T2DM) was a chronic metabolic disease characterized by hyperglycemia caused by insulin resistance and impaired insulin secretion. This condition is often accompanied by dyslipidemia, which may increase the risk of atherosclerosis and changes in blood pressure. This reseach was purposelly to established the relation among total cholesterol grades also blood pressure in patients with T2DM at Mantrijeron Community Health Center. This reseach was analyzing observational design with a cross-sectional approach use secondary data included from the medical records of T2DM patients from June to December 2025. The reseach population total of 105 patients, also amount 67 patients who met the inclusion and exclusion criteria were selecting using purposive sampling. The respondents were predominantly aged 45–54 years (53.73%) and female (82.09%). Data were analyzing use the Kolmogorov–Smirnov normality test and Spearman correlation test. The yields shown that most respondents has normal total cholesterol grades (<200 mg/dL), accounting for 45 patients (67.16%), systolic blood pressure in the prehypertension category, accounting for 45 patients (67.16%), and normal diastolic blood pressure (≤80 mmHg), accounting for 29 patients (43.38%). The correlation analysis shown that dont has significant relation among total cholesterol grades also systolic blood pressure (p = 0.645) or diastolic blood pressure (p = 0.658). the yields was including total cholesterol grades dont has significantly associated with either systolic or diastolic blood pressure in patients with T2DM at Mantrijeron Community Health Center.

Keuntungan dan Kerugian Diet Vegetarian pada Remaja : Kajian Literatur

2026-06-29T07:38:00+00:00

Adolescence is a critical period characterized by increased nutritional requirements. Vegetarian diets are increasingly adopted by adolescents for health, ethical, and environmental reasons. However, this dietary pattern presents both potential benefits and risks that require comprehensive evaluation. This study employed a narrative review method by conducting a literature search through the PubMed and Google Scholar databases. Article selection was carried out using the PRISMA flow diagram based on predetermined inclusion and exclusion criteria. The quality of the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Eligible articles were then synthesized narratively according to major themes. The findings indicated that vegetarian diets among adolescents were associated with lower body mass index (BMI), improved lipid profiles, higher diet quality, and greater intakes of fiber, folate, vitamin C, and magnesium. Furthermore, vegetarian diets may promote nutritional awareness and healthier eating behaviors. However, poorly planned vegetarian diets may increase the risk of deficiencies in vitamin B12, iron, calcium, zinc, vitamin D, and omega-3 fatty acids, as well as potentially increase the risk of anemia and restrictive eating behaviors. Vegetarian diets can provide significant health benefits for adolescents when appropriately planned. Nutrition education, regular nutritional status monitoring, the consumption of fortified foods, and appropriate supplementation are essential to ensure adequate nutrient intake and support optimal adolescent growth and development.

Efektivitas Stimulasi Deteksi Dini Tumbuh Kembang SDIDTK Oleh Kader Posyandu Lavenda terhadap Perkembangan Motorik Anak Usia 0-5 Tahun

2026-07-14T10:47:09+00:00

Thei first 1000 days of lifei (1000 HPK), from conceiption until a child’s seicond birthday, arei a critical peiriod for growth, organ deiveilopmeint, and long-teirm heialth. During eiarly childhood, rapid physical and deiveilopmeintal changeis occur, reiquiring adeiquatei heialth carei and supportivei einvironmeints. Posyandu cadreis, as frontlinei community heialth workeirs, play an important rolei in improving toddleir heialth seirviceis, particularly in Stimulation, Deiteiction, and EIarly Inteirveintion for Growth and Deiveilopmeint (SDIDTK). Theireiforei, eimpoweiring cadreis through training is eisseintial to improvei theiir knowleidgei and skills in conducting deiveilopmeintal asseissmeints using thei Prei-Screieining Deiveilopmeintal Queistionnairei (KPSP). This study useid a prei-eixpeirimeintal deisign with a Onei Group Preiteist–Postteist Deisign approach. Thei samplei consisteid of 20 posyandu cadreis seileicteid using total sampling teichniqueis. Cadreis participateid in a threiei-day eimpoweirmeint program using inteiractivei leicturei and discussion meithods. Afteir thei training, cadreis conducteid SDIDTK asseissmeints using KPSP. Data weirei analyzeid using thei Wilcoxon signeid-rank teist. Thei reisults showeid a Z valuei of -4.832 with an asymp.sig (2-taileid) valuei of 0.000, which was loweir than thei significancei leiveil of 0.05. Theisei findings indicatei a significant diffeireincei in cadreis’ abilitieis beiforei and afteir thei inteirveintion. Thei study concludeis that leictureis and discussions eiffeictiveily improveid thei skills of posyandu cadreis in jambi Reigeincy. Reigular cadrei eimpoweirmeint programs arei reicommeindeid to maintain and einhancei SDIDTK impleimeintation in toddleir posyandu seirviceis.

Kecemasan Preoperasi pada Pasien Operasi Elektif di Rumah Sakit Al–Fatah dan Rumah Sakit Bhayangkara TK.III Ambon

2025-12-08T08:20:20+00:00

Mental health is an important aspect of human life that often does not receive as much attention as physical health. One of the mental health problems found in society is anxiety disorders. One of its causes is surgery. Preoperative anxiety is caused by fear of surgical procedures and anesthesia. The purpose of this study was to describe of preoperative anxiety in elective surgery patients at AL-FATAH Hospital and Bhayangkara Hospital TK.III Ambon. This study was a quantitative descriptive study and used a cross-sectional approach, conducted from May to June 2025 with 96 respondents, and used a consecutive sampling technique. The research instrument used the APAIS (Amsterdam Preoperative Anxiety and Information Scale) questionnaire. The showed indicate that most elective surgery patients based on the age group 46-55 years experienced mild anxiety 46.7% (7 people), in the gender group women experienced mild anxiety 40.3% (25 people), in the education level group college education level experienced mild anxiety 50.0% (11 people), in the civil servant occupation group experienced mild anxiety 66.7% (10 people), in the elective surgery type group in general the highest percentage of respondents experienced mild anxiety 34.4% (33 people), in the anesthesia type group regional anesthesia type respondents who experienced mild anxiety were more 35.6% (26 people). Suggestions for hospitals are input for efforts to prevent and reduce the level of anxiety in preoperative patients about anesthesia procedures and surgical procedures. Future researchers is recommended to involve a larger sample size and provide more specific classification of elective surgery types.

Efektivitas Pelatihan Corporate Life Saving Rules (CLSR) terhadap Tingkat Pengetahuan pada Pekerja di Perusahaan Migas, Bojonegoro, Jawa Timur

2026-04-18T15:12:56+00:00

The oil and gas industry is characterized by capital intensity, advanced technology, and a high level of occupational risk. This study aimed to evaluate the effectiveness of Corporate Life Saving Rules (CLSR) training in improving workers’ knowledge at an oil and gas company located in Bojonegoro, East Java. A quasi-experimental design employing a non-equivalent pretest–posttest control group approach was utilized, involving 78 participants divided into an intervention group (39 individuals) and a control group (39 individuals). Statistical analyses were conducted using paired samples t-tests, independent samples t-tests, N-Gain analysis, and multiple linear regression. The findings revealed a significant increase in knowledge within the intervention group, with mean scores rising from 12.41 to 17.28 (p<0.05), while the control group exhibited no statistically meaningful change. Post-intervention comparisons demonstrated a significant difference between groups (p<0.05). The N-Gain value of 65.05% indicates that CLSR training achieved a moderately effective level of knowledge improvement. Categorically, all participants in the intervention group attained a “good” level of knowledge following the training. Regression analysis identified CLSR training as the primary determinant of knowledge enhancement, whereas age, educational background, and length of employment were not statistically significant predictors (p>0.05). In conclusion, CLSR training is empirically proven to be effective in significantly and consistently improving workers’ knowledge in high-risk industrial environments.

Pure Decompression versus Decompression with Fusion in Degenerative Lumbar Spondylolisthesis: A Meta-Analysis of Long-Term Outcomes

2026-06-18T04:34:43+00:00

Degenerative lumbar spondylolisthesis is a common spinal problem seen in everyday practice, especially in older adults, and it often presents with ongoing low back pain, neurogenic claudication, and radicular symptoms. Although decompression surgery is generally considered effective for relieving neural compression, whether fusion should be added at the same time is still controversial, particularly when long-term results and resource use are taken into account. This meta-analysis followed PRISMA guidelines. We systematically searched PubMed, the Cochrane Library, and Google Scholar for randomized controlled trials involving adults with degenerative lumbar spondylolisthesis. The main outcomes were functional disability measured by the Oswestry Disability Index (ODI), along with separate assessments of low back pain and leg pain. Data were pooled in Review Manager 5.4 using fixed- or random-effects models as appropriate, and results were reported with 95% confidence intervals. Across the three included trials, the two surgical strategies performed similarly overall. There were no meaningful differences in ODI scores or in reported back and leg pain. Decompression alone was linked to a slightly higher reoperation rate, but the difference was not statistically significant. In contrast, adding fusion led to longer operative times and longer hospital stays, without providing a clear clinical benefit. Taken together, these findings suggest that decompression without fusion may be a simpler, more resource-efficient choice for carefully selected patients with degenerative lumbar spondylolisthesis who do not have instability or major deformity. That said, the evidence is still limited by the small number of trials and relatively short follow-up. Larger, well-designed studies with longer observation are needed to better determine how durable the outcomes are and what the true reoperation risk is.

Dual Periodicity and Molecular Evidence of Brugia Malayi Transmission Dynamics in Banyuasin District, South Sumatra, Indonesia

2026-06-11T05:19:00+00:00

Lymphatic filariasis remains one of the most neglected tropical diseases, characterized by complex transmission dynamics involving parasites, vectors, hosts, and environmental determinants. Understanding the periodicity of Brugia malayi and the molecular confirmation of potential vectors are crucial for optimizing control and elimination strategies in endemic regions. Objective: This study aimed to characterize the transmission dynamics of Brugia malayi by analyzing its microfilarial periodicity and confirming vector species through molecular identification. Methods: A cross-sectional field study was conducted from April 2017 to May 2018 in Banyuasin District, South Sumatra. Peripheral blood samples from humans and domestic cats, as well as adult mosquitoes, were collected and examined microscopically for microfilariae. Polymerase chain reaction (PCR) targeting the yACA gene of Brugia spp. was used for molecular confirmation. Microfilarial periodicity was assessed through hourly finger-prick sampling over 24 hours and analyzed using the Aikat and Das formula. Results: Two of six human subjects in Sedang Village were positive for Brugia malayi microfilariae with an average density of 150.3 mf/mL, while one cat from Muara Sugih was positive for Dirofilaria repens. PCR detected Brugia malayi DNA in two Mansonia spp. samples (I4 and I8) with 93–95% identity to reference strain MG030487.1. The periodicity exhibited a dual pattern diurnal (peak at 15:00) and subperiodic nocturnal distinct from the typical nocturnal rhythm reported elsewhere in Indonesia. Conclusion: The detection of dual periodicity and molecular confirmation of Brugia malayi in Mansonia spp. highlight potential adaptive transmission patterns influenced by local ecological conditions in Banyuasin’s wetland ecosystems.

Hubungan Pengetahuan dengan Sikap Masyarakat pada Penggunaan Antibiotik di Kelurahan Bumi Ayu Kota Bengkulu

2026-05-11T07:02:16+00:00

Irrational use of antibiotics in the community remains a health problem that can increase the risk of antimicrobial resistance, Low levels of public knowledge are suspected to influence the formation of inappropriate attitudes toward antibiotic use. This study aimed to analyze the relationship between the level of knowledge and community attitudes toward antibiotic use in Bumi Ayu Village, Bengkulu City. This study used a quantitative method with an observational analytic design through a cross-sectional approach. The sample consisted of 110 respondents selected using a proportional cluster random sampling technique. Data were collected using questionnaires that had been tested for validity and reliability, with Cronbach’s Alpha values of 0.702 for the knowledge variable and 0.786 for the attitude variable. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. The results showed that most respondents had low knowledge levels, with 50 respondents (45.5%), and poor attitudes, with 50 respondents (45.5%). The bivariate analysis showed a significant relationship between the level of knowledge and community attitudes toward antibiotic use, with a p-value of 0.000 (p < 0.05). Respondents with better knowledge tended to have better attitudes toward antibiotic use. Therefore, continuous health education through health workers and information media is needed to improve public understanding of rational antibiotic use in order to prevent antimicrobial resistance.

Literasi Kesehatan Digital dan Kapasitas Sumber Daya Manusia dalam Layanan Kesehatan Primer Indonesia: Scoping Review

2026-05-06T11:33:56+00:00

The rapid advancement of digital health technologies has transformed the delivery of primary health care (PHC) globally. Digital Health Literacy (DHL) has become a critical competency for PHC workers, particularly in Indonesia, alongside the implementation of SATUSEHAT and the Six Pillars of Health Transformation, which depend on the digital capacity of the health workforce. This scoping review aims to synthesize evidence on: (1) the role of DHL in strengthening PHC workforce capacity; (2) system-level benefits of investing in DHL; (3) barriers to its development; and (4) evidence-based policy recommendations for Indonesia and comparable LMICs. The review followed the Arksey & O’Malley (2005) framework, with searches conducted in PubMed/MEDLINE, Scopus, Frontiers, and WHO repositories. Keywords included digital health/eHealth literacy, primary health care, health workers, and capacity building, while grey literature from the Indonesian Ministry of Health and ASEAN health authorities was also included. Screening and data extraction were conducted independently by two reviewers. DHL improves clinical decision-making, health information management, patient engagement, interprofessional collaboration, and continuous professional development. At the system level, it enhances service quality, efficiency, equity, and health surveillance. Key barriers include limited infrastructure, low baseline DHL, unequal access to training, data privacy concerns, and fragmented training approaches. Five policy recommendations were proposed. Strengthening DHL requires a multi-level strategy integrating training, digital infrastructure support, ethical regulatory frameworks, and a national action plan. Investment in DHL is a fundamental requirement for achieving universal health coverage in Indonesia.

Faktor-Faktor yang Berhubungan dengan Kepatuhan Lansia dalam Mengonsumsi Obat Hipertensi

2026-05-08T06:25:21+00:00

Hypertension is a chronic disease commonly found among the elderly and requires long-term treatment with a high level of medication adherence. This study aimed to determine the relationship between family support, knowledge, and sociodemographic factors with medication adherence among elderly patients with hypertension at Idi Rayeuk Health Center. This study used a cross-sectional design. The population consisted of 694 elderly individuals, with a sample of 87 respondents selected using accidental sampling technique. Data were collected through interviews using a questionnaire administered via Google Forms. Data analysis was performed using SPSS version 25, with chi-square test for bivariate analysis and ordinal logistic regression for multivariate analysis (α = 0.05). The results showed that only 52.9% of respondents were adherent to antihypertensive medication. Bivariate analysis indicated that all variables were significantly associated with medication adherence. Multivariate analysis revealed that age, education level, family support, knowledge, and self-efficacy were significantly associated with medication adherence, while gender and marital status were not. In conclusion, family support, knowledge, and self-efficacy play an important role in improving medication adherence among elderly patients with hypertension.

Evaluasi Gerakan Orang Tua Asuh Cegah Stunting dengan Model CIPP di Kelurahan Tamarunang Gowa

2026-05-11T08:01:24+00:00

Stunting remains a public health problem in Indonesia, including in Gowa Regency. The Genting Program is a collaborative innovation involving Foster Parents (OTA) to assist families at risk of stunting. However, the effectiveness of this program has never been comprehensively evaluated. This study aims to evaluate the implementation of the Genting Program using the CIPP Model (Context, Input, Process, and Product). This study used qualitative research with a case study approach. 15 informants consisted of program managers, local government officials at the village level, cadres, OTAs, and target families. Data were collected through in-depth interviews, observation, and documentation, then analyzed thematically. The results of the study on the context aspect indicate that the program is in accordance with national policies and local needs, supported across sectors with 37 target families. The input aspect shows that there is support from cadres, OTAs, and the government with voluntary funding and adequate infrastructure. The process aspect shows that mentoring activities, nutrition education, and child growth monitoring are running, but are hampered by low community interest in becoming OTAs and limited funds. The product aspect shows that the program improves nutritional knowledge, parenting patterns, awareness of growth monitoring, and children's nutritional status, although sustainability is not yet optimal. This study concludes that the Gentinf Program makes a positive contribution to stunting prevention, but still faces obstacles in terms of community participation and funding.

Pengaruh Penambahan Nilon Thermoplastik Daur Ulang pada Nilon Thermoplastik Murni terhadap Modulus Elastisitas Basis Gigi Tiruan

2026-05-15T05:35:56+00:00

The use of thermoplastic nylon denture bases produces waste that causes environmental pollution. To overcome this environmental pollution, the remaining nylon can be recycled into denture bases. The purpose of this study was to determine the effect of adding recycled thermoplastic nylon to pure thermoplastic nylon on the modulus of elasticity of denture bases. The laboratory experiment research method was carried out in the laboratory of the Dental Engineering Study Program D III, Universitas Megarezky, Makassar and the Mechanical Laboratory of the Ujung Pandang State Polytechnic. This study used Thermoplastic Nylon material, in this case using Thermoset material which was divided into 4 sample groups, namely: pure Thermoplastic Nylon (Sample A), a combination of 75% pure Thermoplastic Nylon with 25% recycled Thermoplastic Nylon (Sample B), a combination of 50% pure Thermoplastic Nylon with 50% recycled Thermoplastic Nylon (Sample C), 100% recycled Thermoplastic Nylon (Sample D). The results of the study showed that the modulus of elasticity with an average value for the pure Thermoplastic Nylon group was 832.97 MPa, the 75% pure Thermoplastic Nylon 25% Recycled Thermoplastic Nylon group was 831.29 MPa, the 50% pure Thermoplastic Nylon 50% Recycled Thermoplastic Nylon group was 830.11 Mpa and the highest was the 100% Recycled Thermoplastic Nylon group, which was 851.44 MPa. In conclusion, the addition of recycled thermoplastic nylon to pure thermoplastic nylon can cause changes in the modulus of elasticity in the form of a lack of flexibility of the denture base.

Excessive Alcohol Intake Induce Ketoacidosis Diabeticum

2026-06-11T05:14:11+00:00

Diabetic ketoacidosis (DKA) is one of the most serious and life-threatening complications of diabetes mellitus (DM). DKA is characterized by the presence of hyperglycemia, metabolic acidosis, and ketosis. One of the precipitating factors of DKA is excessive alcohol consumption. Alcohol intake can adversely affect glycemic control by increasing the production of reactive oxygen species (ROS). Elevated ROS levels may lead to dysfunction and apoptosis of pancreatic beta cells, resulting in glucose intolerance and insulin resistance. This case report describes a 19-year-old female who presented to the emergency department with decreased consciousness, Kussmaul respiration, and shock. Random blood glucose level was 725 mg/dL. Arterial blood gas analysis revealed metabolic acidosis (HCO₃ 1.4 mmol/L, PCO₂ 13.4 mmHg, PO₂ 214.6 mmHg, tCO₂ 1.8 mmol/L, pH 6.64, and SaO₂ 97.8%). Additional laboratory findings included urea of 35.0 mg/dL and creatinine of 1.10 mg/dL. Urinalysis showed urine ketones +2, glucose +3, and leukocytes 5–10 per high-power field. The patient was diagnosed with diabetic ketoacidosis, acute kidney injury, and complicated urinary tract infection. Recommended management of DKA includes correction of dehydration, insulin therapy, correction of electrolyte imbalances, and identification of precipitating factors. Appropriate management can lead to a favorable prognosis in patients with DKA.

Mekanisme Adaptasi Manusia dalam Lingkungan Ekstrem pada Matra Darat, Laut, dan Udara: Literature Review

2026-05-21T04:24:02+00:00

Extreme environments across land, sea, and air domains expose individuals to challenges such as hypoxia, extreme temperatures, pressure changes, isolation, and physical and psychological stress that may affect health and performance. Human adaptation to these conditions involves complex interactions among biological, psychological, social, and spiritual dimensions. However, adaptation mechanisms are often examined separately, requiring a more comprehensive understanding. This study aimed to review human adaptation mechanisms in extreme environments and their implications for military medicine, preventive medicine, occupational health, and operational settings. This study employed a literature review approach to identify, analyze, and synthesize scientific evidence regarding human adaptation mechanisms in extreme environments. The review included original research articles and relevant scientific reports discussing biological, psychological, social, and spiritual aspects among human populations. Only full-text articles in English or Indonesian were included. Biological adaptation includes ventilation regulation, erythropoiesis, thermoregulation, and cardiovascular-respiratory adjustments. Psychological adaptation through coping strategies and emotional regulation reduces stress, while communication, team cohesion, and leadership support social adaptation. Spirituality enhances meaning, hope, and resilience. Human adaptation in extreme environments is a multidimensional process requiring a holistic biopsychosocial-spiritual approach to improve preparedness, health, and resilience among individuals and groups.

Analisis Prediktor Perilaku Seksual: Studi Kasus Kesehatan Mental dan Dinamika Sosial Remaja di Kota Samarinda

2026-05-21T04:11:19+00:00

Premarital sexual behaviour among adolescents has become a serious public health challenge, particularly with the rising cases of sexually transmitted infections and unintended pregnancies in Samarinda. The objective of this study is to analyse the factors associated with premarital sexual behavioural intentions among students at State Senior High School X Samarinda, considering both demographic aspects and current psychological conditions. The present study employed a quantitative approach with a cross-sectional design, and involved 125 respondents who were selected through a multistage random sampling technique. The data were collected through face-to-face interviews using the DASS-21 instrument, the Self-Harm Inventory, as well as scales for intention and peer pressure. The subsequent analysis employed multiple linear regression. The findings of the study indicated that intentions regarding sexual behaviour in the premarital context were found to be significantly influenced by grade level (p = 0.029) and peer pressure (p = 0.011). In the eleventh grade, students demonstrated a decline in intentions, whilst high levels of peer pressure resulted in an escalation in sexual intentions. It is noteworthy that psychological variables, including depression, self-control, and self-esteem, did not demonstrate a substantial impact in this model. The findings of this study indicate that sexual intention among adolescents in Samarinda is more situational-social in nature, rather than being merely an internal individual issue. It is recommended that educational institutions consider the implementation of enhanced peer education programmes and assertiveness skills training as a means of mitigating the potentially detrimental influences of the social environment.

Analisis Kadar Zat Besi (Fe) Serum dan Jumlah Eritrosit Remaja Putri Anemia yang Mendapatkan Program Makan Bergizi Gratis

2026-06-11T05:20:41+00:00

Anemia is a condition when the hemoglobin (Hb) level in the blood is lower than the normal limit. Adolescent girls are at high risk of experiencing anemia due to regular blood loss during menstruation, and iron (Fe) deficiency is the main factor causing iron deficiency anemia, which is a condition resulting from insufficient iron for hemoglobin synthesis in erythrocytes that function to transport oxygen. The aim of this study is to determine the serum iron (Fe) levels and the number of erythrocytes in anemic adolescent girls who receive a free nutritious meal program. The research method used is an analytical observational approach with a cross-sectional design. The population in this study consisted of 80 anemic femal students, with a sample size of 40 anemic female students. The research results show that the iron levels in anemic adolescent girls who received the MBG program averaged 97.14 ± 91.67, and the average erythrocyte count was 4.87 ± 0.54. The results indicate that the average of both variables is still within the normal range. Meanwhile, the results in the group that has not received free nutrition show an average erythrocyte count of 4.73 ± 0.31, while the average iron level is at 47.50 ± 19.39.

Systematic Review: Faktor-Faktor yang Mempengaruhi Kesehatan Mental Remaja di Indonesia

2026-06-02T08:14:02+00:00

Due to the growing prevalence of psychiatric conditions over the past few years, the mental well-being of adolescents has emerged as a significant public health challenge. Findings from the I-NAMHS 2023 reveal that over 33% of the adolescent population encountered mental health difficulties during the past 12 months. This condition is influenced by various interrelated determinants, both at the individual and environmental levels. The objective of this research was to examine the various factors influencing adolescent mental well-being in Indonesia through a systematic literature review. A comprehensive search was carried out across Google Scholar, ScienceDirect, and PubMed to identify academic papers written between 2020 and 2025, focusing on quantitative cross-sectional studies involving adolescents aged 10–19 years. Guided by PRISMA protocols, the methodological rigor of the selected literature was assessed via the JBI Critical Appraisal Checklist. Ultimately, from a pool of 1,825 retrieved articles, 21 met the inclusion standards and were subsequently analyzed. The findings indicate that adolescent mental health is influenced by internal factors such as sex, history of chronic illness, genetic predisposition, personality type, and lifestyle, as well as external factors including parenting style, social support, academic stress, experiences of bullying, socioeconomic status, digital media use, and educational environment. This study underscores that teenager mental well-being is determined by multi-level interactions, necessitating multifaceted interventions at personal, family, and community levels.

Pengaruh Edukasi Menggunakan Media Buku Cerita terhadap Pengetahuan tentang Pemilahan Sampah pada Anak – Anak di SDN Merjosari 4 Kota Malang

2026-06-30T04:18:25+00:00

Waste segregation is crucial because each type of waste has a different decomposition time. Sorting waste from the very beginning makes the subsequent management process much easier. However, many people have not implemented it due to a lack of knowledge on how to sort waste properly. One way to improve this knowledge is through education using storybook media. Therefore, this study aims to determine the effect of education using storybook media on knowledge about waste segregation. The research employed a pre-experimental one-group pretest–posttest design to assess changes in knowledge before and after the educational intervention. The study population consisted of all fourth- to sixth-grade students totaling 84 students, with 46 respondents selected as samples using proportional random sampling. The research instrument was a questionnaire that had been tested for validity and reliability. Data analysis using the Wilcoxon test with α = 0.05 indicated an increase in knowledge before and after the intervention, with an average knowledge score increasing by 28.54 from 58.55 in the pre-test to 87.09 in the post-test. The analysis results showed a p-value of 0.00, which was less than 0.05. This increase in knowledge indicates that storybook media are effective in delivering waste segregation information because they combine storytelling and illustrations that are appropriate for the cognitive developmental characteristics of elementary school students. Therefore, this study rejected H₀ and concluded that educational interventions using storybook media have a significant effect on improving elementary school students’ knowledge of waste segregation.

Peningkatan Literasi Kesehatan Reproduksi pada Anak Prasekolah melalui Intervensi Pendidikan Kesehatan

2026-06-29T07:39:58+00:00

Reproductive health is an aspect of health that should be introduced from childhood as part of efforts to improve and protect health. Introducing reproductive health to preschool children is an important step in promotion and prevention activities through teaching gender recognition, body parts, personal hygiene, physical privacy, and avoiding unsafe physical contact. This study aims to analyze the increase in reproductive health literacy in preschool children after a health education intervention. This type of research is quantitative with an experimental (pre-experimental) approach. The research design used is a pretest/posttest with one group (a single-group pretest/posttest design). The sampling technique used is total sampling with a sample size of 86 respondents. The data collection method is primary with a questionnaire measurement instrument. Data were collected using the non-parametric Wilcoxon test to assess the effect before and after the health education intervention. The results showed a significant increase in knowledge with a p-value of 0.000 (p < 0.05) after the intervention. Therefore, there was an increase in reproductive health literacy among preschool children after the intervention. Providing adequate reproductive health education from an early age helps increase children's protection from the risk of sexual violence, exploitation, and misunderstandings regarding bodily functions and sexuality. These findings suggest that reproductive health education can be a preventative and promotional measure starting from preschool age. It is recommended that reproductive health education be implemented sustainably, involving teachers, health workers, and parents.

Pengaruh Literasi Digital Pasien terhadap Aksesibilitas Pendaftaran Online Berbasis Mobile JKN di RSU Bahagia Makassar

2026-06-29T08:06:13+00:00

Advances in digital technology have driven the transformation of healthcare services, including the implementation of online registration via the Mobile JKN app. However, the app has not yet been utilized effectively because many patients still face limitations in using and operating digital devices, meaning that the potential for digital efficiency has not been fully realized. This study aims to determine the influence of patients’ digital literacy on the accessibility of online registration via the Mobile JKN app at RSU Bahagia Makassar. This study employs a quantitative design of the explanatory research type with a cross-sectional approach. A sample of 77 respondents was selected using purposive sampling, specifically BPJS patients who use the Mobile JKN app for online registration. Data collection was conducted using a 1–5 Likert scale questionnaire. The results of the simple linear regression test indicate that patients’ digital literacy significantly influences the level of accessibility of online registration via the Mobile JKN app, with p = 0.000 and a p-value ≤ 0.05. Based on these findings, it can be concluded that patients’ digital literacy influences the accessibility of online registration via the Mobile JKN app at RSU Bahagia Makassar.

Hubungan Indeks Massa Tubuh (IMT) dengan Kadar Glukosa Darah Puasa pada Dewasa di Wilayah Kerja Puskesmas Mantrijeron

2026-07-10T09:22:33+00:00

Fasting blood glucose (FBS) is an important indicator using acces the grades of glucose metabolism inside body. Body Mass Index (BMI) was currently used as an indicator of nutritional grades has correlation of risk metabolic disorders, including elevated fasting blood glucose grades. This reseach was purposelly to established the relationship among BMI also fasting blood glucose grades towards adults aged 30-60 years in the Mantrijeron Community Health Center (Puskesmas) working area. The reseach using observational analyzing design with a cross-sectional approach towards amount 49 respondents selectiong use tecnique purposive sampling. Data was including thru BMI measurements and fasting blood glucose examinations using a glucometer, then analyzing use the Spearman Rank Correlation test. The yields shown that respondent has a normal BMI category (44%), with a mean BMI of 25.5 kg/m² and a mean fasting blood glucose level of 94 mg/dL. The correlation exam test yields shown an r value of 0.167 with a p-value of 0.248 (p>0.05), its means there don’t has significant relationship among BMI also fasting blood glucose grades. This study concluded that BMI was not significantly associated with fasting blood glucose grades in adults range aged 30-60 years. Regular blood glucose testing and a healthy lifestyle are still necessary to prevent metabolic disorders and diabetes.

Efektivitas Media Video Animasi dalam Meningkatkan Pengetahuan dan Keterampilan Menggosok Gigi pada Siswa TK Keledang Samarinda

2026-07-12T11:44:43+00:00

Dental caries remains a common oral health problem among preschool children due to inadequate knowledge and improper tooth-brushing skills. This study aimed to determine the effectiveness of animated video media in improving tooth-brushing knowledge and skills among students at Keledang Kindergarten, Samarinda. A pre-experimental study with a one-group pretest–posttest design was conducted involving 66 respondents. The variables examined were tooth-brushing knowledge and skills. Knowledge was assessed using a questionnaire, while tooth-brushing skills were evaluated through an observation checklist. Data were analyzed using the Wilcoxon test. The results showed an improvement in the proportion of respondents with good knowledge from 59.1% at pretest to 100% at posttest, while the proportion of respondents categorized as highly skilled increased from 3% to 95.5%. Statistical analysis revealed significant differences in both knowledge and tooth-brushing skills (p = 0.000). Animated video media is effective in improving tooth-brushing knowledge and skills among preschool children and can serve as an alternative strategy for oral health promotion.

Eksplorasi Faktor Risiko Penyakit Kardiovaskular dan Hubungannya dengan Kejadian Hipertensi pada Guru Biologi di Gorontalo

2026-07-08T04:58:48+00:00

Background: Cardiovascular disease (CVD) remains the foremost cause of mortality worldwide, with hypertension being the most important modifiable risk factor. Although teachers play an important role in health education, evidence on CVD risk factors among teachers, particularly biology teachers, remains limited. This study aimed to describe CVD risk factors and explore their association with hypertension among biology teachers in Gorontalo. Methods: A cross-sectional study was conducted among 39 members of the Musyawarah Guru Mata Pelajaran (MGMP) biology teacher in Gorontalo City. Data were collected through questionnaires and physical examinations. Association between categorical variables were analyzed using the Chi-square / Fisher's exact test, along with odds ratios (OR) and 95% confidence intervals (CI). Results: Most participants were female (87.2%) and aged ≥40 years (66.7%). The prevalence of hypertension, overweight/obesity, and central obesity was 59.0%, 61.5%, and 71.8%, respectively. Insufficient physical activity was identified in 43.6% of participants, while daily consumption of sweet foods, sugar-sweetened beverages, and monosodium glutamate (MSG) seasonings remained common. Bivariate analyses showed no significant association between investigated risk factors and hypertension. However, a higher risk of hypertension was observed among those aged ≥40 years (OR = 3.60; 95% CI: 0.73–18.41) and those with mental health problems, although the associations were not statistically significant. Conclusion: Biology teachers in Gorontalo had a high burden of CVD risk factors, particularly hypertension, overweight/obesity, central obesity, and unhealthy dietary habits. These findings support strengthening health promotion, routine screening, and implementing the GERMAS and CERDIK programs in schools to prevent CVD.

Analisis Faktor Internal dan Eksternal yang Mempengaruhi Pending Klaim BPJS Kesehatan di Rumah Sakit Patria IKKT

2026-07-05T13:06:07+00:00

Pending claims are a chronic problem with a direct impact on the cash flow and operational efficiency of hospitals partnering with BPJS Kesehatan. Previous studies generally mapped internal and external factors separately and rarely linked them to BPJS Kesehatan's automated verification mechanisms, namely ALGORITMA and Over Utilization Review (OTOVER), leaving the proportional contribution of each mechanism unexplored. This study aims to analyze the internal and external factors influencing pending BPJS Kesehatan claims at Patria IKKT Hospital and to identify the most dominant type of pending claim. A descriptive qualitative method with a case study approach was used, involving in-depth interviews with three Casemix unit informants, observation of the claim process, and documentation study of 76 pending claim files from August to October 2025, analyzed using the Miles and Huberman interactive model. Results show that the most influential internal factor is incomplete supporting documents and medical resumes (Material) and the absence of a written SOP (Method), while external factors are dominated by coding interpretation differences between BPJS verifiers and hospital staff and rapid BPJS policy changes. The most dominant type of pending claim is ALGORITMA, accounting for 66 cases (86.8%) of 76 cases, far exceeding OTOVER (13.2%). These findings confirm that pending claims at Patria IKKT Hospital are technical-medical in nature and require strengthened clinical documentation governance and standardized SOPs

Literature Review : Kesiapsiagaan Fasilitas Kesehatan Primer Menangani Penyakit Wisatawan

2026-07-12T12:51:33+00:00

The surge in global human mobility has positioned travel medicine as a crucial component, making primary healthcare facilities the frontline in mitigating travelers' diseases. Despite this strategic role, gaps in operational and clinical preparedness remain a major challenge. This Systematic Literature Review aims to analyze empirical evidence regarding the preparedness of primary healthcare facilities in handling travelers' diseases, focusing on human resource cognitive evaluation, structural challenges, and clinical pathway formulation. The study was conducted following the PRISMA protocol through a comprehensive search of PubMed, Scopus, and ScienceDirect databases. A total of 28 articles published in the last 10 years met the inclusion criteria and were analyzed using qualitative narrative synthesis. The synthesized results indicate that global preparedness levels are sub-optimal due to multidimensional barriers. The lack of formal travel medicine training and specific certification is the primary gap, dominantly reported by over 75% of the literature, followed by limited medical consultation time (approximately 65%). Furthermore, there is a polarization of barriers based on regional economic status; developing countries mostly struggle with basic infrastructure disparities, while facilities in developed countries paradoxically face electronic health record interoperability issues for surveillance. In conclusion, optimizing interprofessional collaboration involving nurses in travel triage and integrating travel medicine into the mandatory Continuing Medical Education (CME) curriculum are urgently needed to strengthen the resilience of the tourism health system.

Pengaruh Media Menempel Gambar terhadap Pengetahuan dan Keterampilan Cuci Tangan Pakai Sabun pada Anak Usia Dini

2026-07-20T11:14:24+00:00

Young children can be said to be a group at risk to disease-causing germs, such as those that cause diarrhea. Most cases of diarrhea may be avoided by doing hand washing with soap (HWWS). The results of a preliminary study at Keledang Kindergarten showed that seven children had experienced diarrhea in the past month and had not been practicing proper handwashing with soap. This study is intended to analyze the impact of health education using sticker media on the knowledge along with capabilities of handwashing with soap among young children at Keledang Kindergarten in Samarinda. This study implemented a pre-experimental design with a one-group pretest-posttest design. The study sample included children in Kindergarten Class B at Keledang Kindergarten in Samarinda, totaling 66 respondents selected using purposive sampling. The variables included knowledge and skills related to hand washing with soap. Data were collected using picture cards and checklists. Data analysis was completed using the Wilcoxon test. Before the intervention, 100% of the respondents had insufficient knowledge and were unskilled. After the intervention, knowledge improved to the good category (77,3%) and skills improved to highly skilled (87,9%). The Wilcoxon test yielded a p-value of 0,000 (p < 0,05). Health education using sticker media materials had a significant effect on knowledge and skills related to HWWS among early childhood students at Keledang Kindergarten in Samarinda; finally, this method is highly suggested as a solution for health education tool for young children.

Persepsi Ibu Menyusui terhadap Pemberian Asi Eksklusif di Wilayah Kerja Puskesmas Loa Duri

2026-07-12T11:38:32+00:00

Exclusive breastfeeding is a proven strategy for reducing infant morbidity and preventing stunting, yet national and local coverage in Indonesia remains below the government target. In the working area of Puskesmas Loa Duri, Kutai Kartanegara, coverage declined sharply from 82% in 2022 to only 21% in 2024, despite the well-documented benefits of breast milk. This qualitative phenomenological study aimed to explore breastfeeding mothers' perceptions of exclusive breastfeeding using the Health Belief Model, focusing on perceived susceptibility and perceived severity. Data were collected through in-depth interviews, non-participatory observation, and documentation involving eight informants: one key informant (a paediatrician), six main informants (breastfeeding mothers), and one supporting informant (a family member), selected through purposive sampling. Data were analysed thematically until saturation was reached. The results showed that most mothers perceived infants who were not exclusively breastfed as more vulnerable to illness, particularly infections and digestive disorders, although awareness of long-term consequences such as stunting was still limited among several informants. Mothers generally held strong intentions to breastfeed exclusively, reinforced by support from husbands, family, and health workers, and most reported no significant barriers to sustaining exclusive breastfeeding. These findings indicate that perception, family support, and health-worker counselling are key determinants of exclusive breastfeeding practice, and highlight the need for continuous, community-based health promotion to improve coverage in the study area.

Serum C-Reactive Protein Levels in Hypertensive Patients in Aceh: An Ethnic-Based Study

2026-07-14T10:48:02+00:00

Inflammation is a key factor in the pathophysiology of hypertension. One of the inflammatory biomarkers that can be used to gauge the level of systemic inflammation in hypertensive patients is C-reactive protein (CRP). This study investigated the role of CRP among hypertensive patients in Aceh according to ethnic background. This study adopted an observational analytical design. A total of 120 participants were enrolled in the study, comprising 90 hypertensive patients from three ethnic groups (Gayo, Aneuk Jamee, and Acehnese), with 30 participants in each ethnic group, and 30 normotensive individuals who served as the control group. The Kruskal-Wallis test was used to assess intergroup variations in CRP concentrations, while the Spearman’s rho correlation was used to examine the association of CRP levels among hypertensive subjects across ethnic groups in Aceh, as well as comparisons with normotensive controls. Among participants, 54% had normal CRP levels, whereas 46% had elevated levels. Mean CRP concentrations were higher in female than in males; however, this difference did not reach statistical significance (p = 0.061). Stratification by ethnic group revealed a statistically significant variation in mean CRP levels (p = 0.001), with the highest values observed among the Aneuk Jamee group. Nevertheless, no significant correlation was identified between CRP levels and the occurrence of hypertension across ethnic groups in Aceh (p > 0.05). C-reactive protein (CRP) levels varied among Aceh's ethnic groups, but there was no discernible correlation with the prevalence of hypertension. These results imply that the regulation of inflammatory processes in people with hypertension may be influenced by non-ethnic factors.