Window of Health (WOH) : Jurnal Kesehatan
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Early Identification of HIV Infection Among Adolescents in Primary Care Center: A Case Study
Full text linkAdolescents are at high risk for HIV transmission due to exploratory behaviors and risky activities. Early identification of HIV infection is crucial to prevent transmission, as it interrupts the transmission chain through awareness of one's HIV status. This study aimed to explore the implementation of adolescent-centered HIV early detection services in primary care. A qualitative case study design was employed, involving in-depth interviews and document analysis at a public health center in Central Bandung. A purposively selected nurse, with 15 years of experience managing the HIV program, served as the key informant. Data were collected through semi-structured interviews and analyzed using content analysis techniques to identify key themes, categories, and codes. Six themes emerged: (1) VCT service procedures; (2) community health initiatives; (3) collaboration with external institutions; (4) adolescent engagement strategies; (5) barriers to adolescent testing; and (6) factors facilitating testing. Although the VCT protocol was comprehensive and included pre- and post-counseling, fear of a positive diagnosis. While the VCT model at the primary care level is aligned with national HIV prevention strategies, its effectiveness for adolescents is limited by low participation and social resistance. Integrating case-based learning in nursing education, enhancing peer-based outreach, and strengthening adolescent-friendly health services are recommended to improve early HIV detection and care linkage for youth
Data-Based Evidence on the Causality Model of Social Stigma on Medication Compliance in Leprosy Patients in Bone District, Indonesia
Full text linkLeprosy is an infectious disease and can cause stigma from society. One thing that is important to do to reduce the stigma felt by leprosy sufferers is to obediently take medication. This study aims to determine the relationship between stigma and adherence to taking medication on covariate variables in leprosy patients in Bone Regency. This quantitative study uses an observational analytical approach and a cross-sectional study. The analysis used was multivariate analysis with a causality model. The number of samples in this study was 92 respondents, taken using simple random sampling. The results of this study show that stigma in leprosy patients in Bone Regency is significantly related (ORa = 1.022, 95% CI = 0.306-3.416) to adherence to taking medication, which means 1.022 times more likely to experience non-adherence in taking medication, controlling for gender and side effects of medication. There needs to be preventive efforts through early detection and health education related to leprosy given to patients, the patient's family, and the community, so that it can reduce the stigma experienced by patients and increase compliance with taking medication.
 
Behavior and Home Environment effect on the Air Germs Number in the Tuberculosis Patients Houses
Full text linkThe presence of germs, including Tuberculosis germs, in the house is greatly influenced by home environmental factors and TB sufferers behavior. This research aim is to determine the influence of home environmental factors and behavior on the number of air germs in the tuberculosis patients house in Kupang City. This observational research was conducted with purposive sampling in 21 homes with 21 TB patients from 86 patients from 2 Community Health Centers in Kupang City, NTT, Indonesia. The number of air germs with MPN coliform examination is measured based on laboratory examination. The independent variables are the number of people sleeping in the same room, type of walls, type of floor, ventilation conditions, wearing masks in the house, drying mattresses/pillows, place to expel phlegm, type of cooking fuel, smokers, sunlight entering the bedroom, sunlight entering the room. Going out and passive smoking. The data collected was then analyzed using multiple regression, and result in the equation: Number of Air germs = -203,614 + 59,538Ventilation Conditions + 86,333Drying MattressPillows + 63,841Smoking + 83,515Mthr Light to Room. The model shows that 61% of the number of air germs in the Tuberculosis patient's house is influenced by ventilation conditions, the habit of drying cases and pillows, the ability to smoke, and sunlight entering the rooms of Tuberculosis sufferers. This regression model is suitable for predicting the number of room air germs, where the fewer ventilation conditions, the germ number will increase, so the less frequently drying mattresses and pillows can also impact increasing the number of air germs in the homes of Tuberculosis sufferers. The number of room germs will also increase with smoking behavior and lack of direct sunlight in the bedroom
Sustainability Analysis of the Stunting Reduction Acceleration Program in Kubu Raya Regency
Full text linkPresidential Regulation Number 72 of 2021 on the Acceleration of Stunting Reduction sets a national target of reducing stunting prevalence to 14% by 2024 through integrated programs across government levels, from ministries to villages. In line with this policy, Kubu Raya Regency has shown a decline in stunting rates from 7.9% to 6.8% based on e-PPGBM data, indicating improved implementation of stunting reduction programs. This study aims to analyze the sustainability status of the stunting reduction program in Kubu Raya Regency using the Rapfish (Rapid Appraisal for Fisheries) multidimensional scaling approach. Data were collected from ten Regional Apparatus Organizations (OPDs) through surveys and interviews. The analysis involved six stages: identifying dimension characteristics, scoring on an ordinal scale, determining sustainability status, conducting sustainability checks, performing a sensitivity analysis, and applying a Monte Carlo simulation to account for uncertainty. The results show that the social and economic dimensions are categorized as "quite sustainable" with scores of 60.04 and 51.86, respectively, while the environmental dimension is "less sustainable" with a score of 38.02. Key attributes influencing sustainability include increasing the number of Open Defecation Free (ODF) villages, improving the accuracy of beneficiary data for food assistance, monitoring fortified food products, enhancing nutritional knowledge among pregnant women at risk of chronic energy deficiency, and strengthening village budget planning and cadre development. These findings highlight the need for targeted interventions to improve program sustainability, particularly in the environmental dimension, to ensure long-term success in reducing stunting prevalence
The Impact of Medication Adherence and Depression on Stroke Recurrence in Post-Stroke Patients at Taman Husada Regional General Hospital
Full text linkPatient compliance in adhering to stroke treatment recommendations becomes one of the factors influencing the occurrence of recurrent strokes. Depression in post-stroke patients inhibits functional brain recovery, increases the potential for recurrent strokes, lowers the quality of life, and raises the risk of death compared to patients without depression. The aim of this study is to analyze the relationship between drug therapy compliance and the level of depression on the occurrence of recurrent strokes in post-stroke patients. This cross-sectional study involved 60 patients aged between 30 and 85 years, all undergoing outpatient stroke treatment at a hospital in Indonesia. Recurrent stroke incidents were defined as experiencing a secondary stroke within 30 days after the initial stroke occurrence. Out of the total participants, 12 individuals had experienced recurrent strokes after their initial episode, while 48 patients had not experienced recurrent strokes up to the point of data collection. Medication adherence data were evaluated using the MMAS-8 (Morisky Medication Adherence Scale), and depression levels were measured using the PHQ-9 (Patient Health Questionnaire-9). The research results show that in the post-stroke patient group, the level of patient adherence is high at 41.7%, and in the recurrent stroke group, the level of patient adherence is moderate at 41.7%. Meanwhile, in the post-stroke patient group, the dominant depression level is low (50%), while in the recurrent stroke group, the dominant depression level is mild, followed by severe depression. The analysis indicates that medication adherence is not associated with stroke recurrence, while depression is related to stroke recurrence with an OR value of 2.060, p <0.05. Further research on more efficient monitoring methods and proper depression management is recommended to reduce the risk of stroke recurrence
Anthocyanin and Organoleptic Analysis of Red Bean Flour Steamed Sponge Cake with the Addition of Butterfly Pea Flower Extract (Clitoria ternatea Linn.)
Full text linkButterfly pea flower is a plant that is commonly found by the public in abundant quantities, which contains anthocyanins, so it is useful for improving human health, acting as an antioxidant, anti-diabetic, anti-obesity, anti-inflammatory, anti-cancer, anti-allergic, anti-arthritis, and anti-hyperglycemic, and treats various diseases, one of which is diabetes mellitus. Type 2 diabetes mellitus predominantly occurs due to lifestyle, so it is susceptible to the whole community and is predicted to increase by 2030. This research aims to determine the anthocyanin and organoleptic levels of steamed red bean flour cake with the addition of butterfly pea flower extract. Measurement of anthocyanin levels uses the AOAC Official method 2002.02 analysis method, and for organoleptic testing uses the hedonic scale test form. Anthocyanin levels increased with the addition of butterfly pea flower extract. Anthocyanin levels experienced a significant increase. The results of organoleptic tests on steamed red bean flour sponge cake with the addition of butterfly pea flower extract showed that the aroma, taste, and texture were not different, while the color was different. The best formulation based on the MPE method is X3 with a recommended consumption of 1 piece or 50 grams
Models of the Effects of Ultraviolet Exposure, Temperature, and Humidity on the Quantity of Microplastics in Indoor Air
Full text linkMicroplastics are a new pollutant in the air, but the determination of the maximum limit of their existence has not been set in regulations. Microplastics found in the air of building spaces are made from plastic waste. The presence of microplastics in the air is influenced by physical environmental factors. Inhaling microplastics can have a detrimental impact on lung tissue. The research aims to create a mathematical model of the effect of ultraviolet exposure, temperature, and humidity on the quantity of microplastics in indoor air. Mathematical models can be used to predict the quantity of microplastics in the air. The type of research is a true experiment with a posttest-only control group design. Air samples are taken daily for 60 days by the passive method by taking dustfall. The parameters measured include the quantity of microplastics, ultraviolet intensity, temperature, and air humidity. Microplastic examination by visual method using a 40-fold magnification binocular microscope. Analysis of the mathematical model of the effect of ultraviolet exposure, temperature, and humidity on the quantity of microplastics in the form of time series data using linear regression. The results of data analysis show that the effect of the panel regression estimation model, in accordance with the empirical data, is the Fixed Effect Model (FEM). The conclusion based on the results of the study shows that physical environmental factors have an influence on the quantity of microplastics in the air, whose existence can be predicted using FEM modeling that has been made
Support Groups Based on the Health Promotion Model Approach to Improving the Health of the Elderly with Gout
No full textThe elderly are a vulnerable group to the problem of gout. The 2018 Riskesdas data in Indonesia showed a 45% increase in age prevalence. The prevalence of gouty arthritis in Indonesia is high at 65-74 years (51.9%) and ≥ 75 years (54.8%). Maluku Province has a prevalence of 18.6-47.6 %. Diseased joints (pain consequence) are highest in the Aru Islands (9.63%), and Ambon is in the top position (2nd, 7.15%). Recorded data from Air Salobar Health Center, a health center in Ambon City, indicates that the number of elderly individuals with Gout in 2023 was 83 people. There are efforts made to improve the health of the elderly, including promotional efforts such as Support Groups, which employ an approach based on the Health Promotion Model (HPM) as a first step to promote healthy behaviors and desires among the elderly. Research objectives. This is a see-influence support group-based approach to a health promotion model for addressing problems in elderly health behavior related to gout. Design Study: This is a one-group pre-test and post-test design. The total sample in the study consisted of 83 elderly individuals suffering from Gout, selected using a purposive sampling technique. Data analysis employed the Wilcoxon test because the data were not normally distributed. Research results demonstrate a difference before and after the given support group intervention, based on the Health Promotion model, for improving elderly health behaviors. The pre-test results of the intervention are 9.33, while the post-test results are 11.27, with an average difference of 1.94 and a P-value of 0.000. Therefore, we can conclude that a support group has an influence on the approach of the Health Promotion Model towards improving behavioral health in the elderly with gout. Research on topics considered important and relevant to the problem of elderly individuals with gout recommends examining the factors and appropriate interventions to improve the quality of life for elderly people experiencing gout
The Effect of Giving Ginger, Lemongrass, Clove Capsules (JaSeKeh) in Helping Reduce Blood Glucose Levels
No full textDiabetes mellitus is a disease characterized by increased blood glucose levels (hyperglycemia) which occurs due to the body lacking the hormone insulin. According to data from the International Diabetes Federation (IDF), it shows that until 2021 worldwide there are 10.5% (537 million) adults aged 20-79 years suffering from diabetes mellitus and will continue to increase every year. This study aims to determine the effect of giving ginger, lemongrass, clove capsules (JaSeKeh) in helping to reduce blood glucose levels . The type of research is true experiment research Pretest-Posttest Group design . The population of this study was the entire community in the working area of Kassi Kassi Health Center and the research sample was 100 respondents using the purposive sampling method. The results of the study were obtained from data taken by conducting an examination and then conducting a data normality test and analyzing the data using the Wilcoxon test showing the effect of giving ginger, lemongrass, clove capsules (JaSeKeh) in helping to reduce blood glucose levels with p0.000 <0.05. The conclusion in this study is that there is an effect of giving ginger, lemongrass, clove capsules (JaSeKeh) in helping to reduce blood glucose levels in the work area of the Kassi Kassi Health Center, Makassar City, South Sulawesi
Keywords: JaSeKeh; Blood Glucose Level; Diabetes Mellitus
 
Adolescents' Coping Strategies To Adapt To High-Risk Sexual Behavior Urges In Boarding Houses
Full text linkThe current adolescent environment increasingly offers many choices. Dating styles that open up opportunities for risky sexual behavior seem to be an attractive offer, especially for adolescents who live in boarding houses. Living in boarding houses without direct supervision from parents and boarding house owners makes adolescents free to do anything, including risky sexual behavior with their boyfriends. This makes boarding houses a dangerous environment for adolescents who live there. This study uses a Descriptive Phenomenology Design, which aims to study in depth how adolescents use coping strategies to adapt to the urge to have risky sexual behavior in boarding houses. Six participants were selected using a purposive sampling technique for this study. The analysis in this study used the Colaizzi method. The results of this study yielded four themes, namely: 1) setting boundaries for dating, 2) rejecting pressure, 3) not wanting to fail, and 4) doing activities in their spare time. This study concludes that adolescents who have good coping strategies will be able to adapt to the urge to engage in risky sexual behavior in boarding houses. This study recommends increasing parental and community control and increasing the role of community nurses through adolescent health programs in the community, such as teenage health posts and Adolescent Health Care programs in schools