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Predicting Tuberculosis Vulnerability Based on Environmental Factors Using Multi-Criteria Analysis in Bukittinggi
Full text linkTuberculosis is still an infectious disease problem and the main cause of death in Indonesia, where there was an increase in cases from 301 per 100,000 population (2020) to 354,000 per 100,000 population (2021), with the death rate increasing by 55%. This research aims to determine the TB vulnerability cluster influenced by the main risk factors, namely TB prevalence, cure rate, immunization, population density, and population arrivals in Bukittinggi, using the Weight Product (WP) analysis method, and then describe them by mapping tuberculosis vulnerability. The findings indicate that four sub-districts exhibit the highest levels of tuberculosis vulnerability: Tarok Dipo (0.0379), Campago Guguk Bulek (0.0399), Campago Ipuh (0.0399), and Aur Tajungkang Tangah Sawah (0.0389). A multi-sectoral TB control committee comprising public works, environmental, and health agencies should be formed to organize and carry out focused actions. Establish a strong TB surveillance system that includes contact tracing, active case finding, and routine monitoring of important indicators. Create and implement specialized intervention packages for high-vulnerability subdistricts, including social support programs, housing rehabilitation, and air quality control
Risk Factors of Chronic Kidney Disease in Indonesian Patients with Diabetes Mellitus
Full text linkChronic Kidney Disease (CKD) is a public health problem with increasing prevalence and incidence. About 1 in 3 adults with Diabetes Mellitus (DM) has CKD. This study aims to determine the risk factors for Chronic Kidney Disease in Diabetes Mellitus (CKD-DM) patients in Indonesia. A cross-sectional study was conducted with secondary data, Indonesia Basic Health Research 2018. Data analysis was carried out univariate, bivariate, and multivariate. Also, spatial analysis was carried out to map the prevalence of cases. Among 14.932 samples, the prevalence of CKD-DM in Indonesia was 1.8%. Multivariate analysis results found that gender (aPR=3.24; 95%CI 3.182-3.306), every day smoker (aPR: 2.47; 95%CI 2.415 – 2.535), someday smoker (aPR=1.93; 95%CI 1.875 – 1.987), hypertension (aPR=1.56; 95%CI 1.540 – 1.591), pre elderly (aPR=1.13 95%CI 1.098 – 1.158), elderly (aPR=0.81; 95%CI 0.790 – 0.834), exercise (aPR =1.07; 95%CI 1.055 – 1.090), and obesity (aPR=0.90; 95%CI 0.891 – 0.924) have a significant relationship with the incidence of CKD-DM in Indonesia. This study found that gender is the dominant variable in the incidence of CKD-DM in Indonesia. It is desired that healthcare providers and program makers should recognize gender differences in the progression of CKD and conduct screening program for risk factors of CKD-DM
Building Hope: Program for Handling Psychosocial Problems of People Living with HIV/AIDS in Denpasar
Full text linkThe research aims to describe the forms of Psychosocial Problems Experienced by People Living with HIV/AIDS (PLWHA) and the programs of the Spirit Paramacitta Foundation to overcome the psychosocial problems of PLWHA. The research location was the Spirit Paramacitta Foundation Denpasar, Bali Province. The research uses a qualitative descriptive. The data collection techniques are through observation, interviews, and documentation. Research subjects and informants were determined purposively. Data analysis techniques refer to the perspective of Miles, Huberman, and Saldana, which includes the processes: data collection, data condensation, data presentation, and conclusion and verification. The data validity techniques used are extended observations and source triangulation. The results of the research show that the psychosocial problems of PLWHA at the rejection response stage are in the form of hopelessness, suicidal ideation, and drug use, while at the self-acceptance stage, the psychosocial problems are in the form of social anxiety, feelings of inferiority, social withdrawal, social stigma, and discrimination. Meanwhile, the program for handling psychosocial problems carried out by the Spirit Paramacitta Foundation is a social support program and a social mentoring program. The social support program includes emotional, appreciation, and socialization support. In contrast, the social assistance program includes health service referrals, assistance in taking medication, and home visits. The social services provided by the Spirit Paramacitta Foundation positively impact providing life hope for PLWHA. The practical implications of this research are as a model for institutional social service practices and scientific studies in developing social support for marginalized groups
Problems Scanning Related to Stunting Using Iceberg Theory Model in Salakbrojo Village Central Java
Full text linkThe prevalence of stunting to date is 21,6%, which is far from target which is 14%. Research aimed to elaborate on problem of stunting using iceberg method model analysis. The research is a qualitative study with a phenomenological approach to obtain idea of stunting occurrence pattern as well as the root of problem. Data was collected by assigning focused group discussion. Correspondents were ten mothers of toddlers, five health cadres, a secretary of rural, and a rural midwife. Validity test was done by doing data source triangulation during focused group discussions. Mental model analysis was taken using directly elicited mental model technique by doing content analysis. Result of iceberg analysis found that occurrence of stunting was 3,42%. Patterns and trends include wasting 2,92%, normal nutrition 84,39%, risk of overnutrition 5,85%, overnutrition 1,95%, and obesity 1,46%. Systemic structure has shown there are relation between direct cause include lack of food intake, exclusive breastfeeding, complementary food, infectious diseases and incomplete basic immunization. Indirect causes for stunting include lack of knowledge of stunting, access of health services, house condition triggers infectious diseases and poor sanitation. The mothers’ analysis on mentality who are confident about their children being healthy and active despite nutritional problems. Mental model of health cadres, rural midwives, rural government and public health centers believe that collaboration in solving stunting problems is needed. It can be concluded that iceberg model can be applied in analyzing stunting problem and results of it can be considered in the implementation of stunting treatment
Effect of Citrus sinensis and Musa textilia Consumption on Lactic Acid Levels and Muscle Tension in Fish Auction Workers
Full text linkPotassium deficiency is known to induce muscle fatigue, necessitating the inclusion of potassium-rich foods, such as orange (Citrus sinensis) and banana (Musa textilia) in diet. Previous studies have shown that consuming 150 g and 300 g of banana is effective in preventing muscle fatigue, with orange containing 237.4 mg of potassium per 300 ml. Therefore, this study aims to examine the relationship between lactic acid concentration and muscle tension reduction in fish auction workers after the administration of orange and banana. The study procedures were carried out with a quasi-experimental pre-test and post-test group design, and the samples were divided into 4 groups. Group 1 received both orange and banana, 2 was given only orange, 3 received only banana, while 4 was not given any intervention. Supplemental observations were then conducted over 3 consecutive days, followed by data analysis using Two-Way Analysis of Variance (ANOVA) and Multivariate Analysis of Variance (MANOVA) to compare lactic acid levels (independent variable) with muscle tension and strength (dependent variables). The results showed that banana significantly affected lactic acid levels but did not influence muscle tension. The combination of orange and banana produced varying levels of lactic acid and muscle tension, indicating the ineffectiveness of only banana. The intake of both fruits was also reported to influence lactic acid levels but did not affect muscle strength, suggesting the ineffectiveness of orange. These results indicated that while orange and banana could reduce lactic acid levels, the fruits did not significantly affect muscle strength or tension
Nitric Oxide Levels in Primary Hypertension Patients Receiving Wet Cupping Therapy
Full text linkWet cupping has been shown in several studies to lower blood pressure in hypertensive patients. However, the mechanism of action remains unknown, limiting its use as a complementary non-pharmacological treatment. This study aims to examine the effect of wet cupping on systolic blood pressure, diastolic blood pressure, and nitric oxide levels in hypertensive patients. The study employed a quasi-experimental method with a pretest and post-test design, including a control group. The sample consisted of 40 individuals, they were diagnosed with primary grade I hypertension. The participants were divided into two groups (treatment and control). The intervention group received wet cupping therapy twice, at a 28-day interval, while continuing their antihypertensive medication. The control group only consumed antihypertensive medication. The study revealed a significant decrease in systolic and diastolic blood pressure but no significant increase in nitric oxide levels. After the intervention, the systolic blood pressure in the intervention group decreased by 17.69 mmHg (p=0.010), compared to a decrease of 5.87 mmHg (p=0,108) in the control group, with a difference of (p=0.010). The diastolic blood pressure in the treatment group decreased by 11.56 mmHg (p=0.000), compared to a decrease of 0.73 mmHg (p-0.570) in the control group, with a difference of (p=0.001). The nitric oxide levels in the intervention group increased by 2.5 µmol/L (p=0.530), compared to a decrease of 0.47 µmol/L (p=0.116), in the control group, with a difference of (p=0.539). It can be concluded that wet cupping therapy reduces systolic and diastolic blood pressure but does not significantly increase nitric oxide levels in the blood of hypertensive patients
Navigating the Storm: Unraveling the Factors Shaping Adolescent Anxiety Amid the COVID-19 Pandemic
Full text linkThe COVID-19 epidemic has significantly impacted adolescent mental health, particularly in cases of anxiety. The underlying causes, though, are yet unknown. The goal of this study is to identify any potential influences on adolescent anxiety during the COVID-19 epidemic. Cross-sectional time series analysis is the method used in this investigation. The 188 teenagers who made up the study\u27s samples ranged in age from 15 to 18 years old. The sampling method made use of the probability sampling. The Generalized Anxiety Disorder-7 (GAD-7) questionnaire was used as the instrument for gathering the data. Then, univariate, bivariate, and multivariate were used in the statistical test. Most of the respondents, namely 143 respondents (76.1%) experienced anxiety. The most influential factor in anxiety is the source of information (p value 0.020). The factors related to anxiety were sources of information, resilience, loneliness, social support, and having positive COVID-19 patients within the family or around the family environment. During the COVID-19, the source of information variable was found to be the most important variable related to the anxiety. Lack of clear information makes thingking worse and increases adolescent anxiety. It is recommended for healthcare services and community health centers to provide accurate information about COVID-19 in educational institutions to reduce adolescent anxiety
Determinants of Wasting Among Children Aged 6–23 Months in Indonesia
Full text linkWasting is a form of malnutrition that is a significant concern globally, including in Indonesia. It has a detrimental impact on children\u27s health, the quality of human resources, and a country\u27s overall development. This study aims to examine the prevalence and risk factors associated with wasting in children aged 6–23 months in Indonesia. The study design is cross-sectional, utilizing secondary data from the 2022 Indonesian Nutrition Status Survey. Data collection was conducted throughout Indonesia between March and December 2022. The sample size for this study was 70,414 children aged between 6 and 23 months. Bivariate analysis (χ2 test) was employed to determine the relationship between dependent and independent variables. Furthermore, multivariate analysis utilized logistic binary regression tests to ascertain the adjusted odd ratio (aOR) risk value. The results of this study indicate that the prevalence of children aged 6–23 months in Indonesia is 7.63%, with wasting. The following factors have been identified as being at high risk of wasting: boys, children aged 12-23 months, birth weight <2500 grams, birth length <48 cm, history of exclusive breastfeeding, consumption of empty calorie drinks, history of infectious diseases, inappropriate/complete immunizations, lack of use of health services, inappropriate drinking water sources and very poor family status. Wasting is associated with several factors. Consequently, identifying these factors is of significant importance in the context of intervention efforts to prevent and address malnutrition, including wasting, in Indonesia
Factors Affecting The Success of Exclusive Breastfeeding Among Mothers Recovered From Covid-19
Full text linkExclusive breastfeeding for the first 6 months and continued breastfeeding with complementary foods up to 2 years are emphasized by the World Health Organization. Amid the COVID-19 pandemic, maternal concerns about virus transmission through breastfeeding have surfaced. Despite these concerns, breastfeeding remains the primary recommendation due to its manifold health benefits. This research, conducted in Tegal City\u27s Margadana sub-district, investigates factors influencing exclusive breastfeeding success among mothers recovered from COVID-19. Using an analytical observational design with a cross-sectional approach, the study explores the link between COVID-19 symptoms in infants and exclusive breastfeeding success, revealing a significant correlation (p-value=0.042). Conversely, breast milk production shows no significant association with exclusive breastfeeding success (p-value=0.144). Notably, spousal and family support emerges as pivotal, exhibiting a significant association with exclusive breastfeeding success (p-value=0.003). However, there is no significant relationship between healthcare provider support during breastfeeding and adherence to 6-month exclusive breastfeeding (p-value=0.456). The findings underscore the importance of breastfeeding during post-COVID-19, balancing potential virus transmission risks against the established breastfeeding health benefits. The study concludes by advocating for further research to comprehensively understand and address complexities of exclusive breastfeeding in the post-COVID-19 context, offering insights for healthcare practitioners and policymakers
Supports and Barriers Regarding The Iron-Folic Acid Supplementation Adherence Level in Anemic Pregnant Women: Indonesian’s Perspective
Full text linkAnemia is a worldwide public health issue that affects various groups in low, middle, and high-income nations. Anemia is linked to pregnancy and is influencing poor cognitive and motor development outcomes in children. A recommended intervention to reduce anemia prevalence during pregnancy is the universal administration of Iron-Folic Acid (IFA) supplements. This study investigated supports and barriers regarding iron-folic acid supplementation adherence levels in pregnant women recorded in public health centers in Malang, Indonesia. This research was conducted using qualitative methods with in-depth interviews using semi-structured open-ended questions from July to September 2023. Twenty-five participants from four public health centers was included. The interview guide\u27s content was developed using World Health Organization’s framework as well as other pertinent themes. Data analysis was processed from verbal record transcription, generating the codes into the outcomes. Five main themes with a total of eleven subthemes were highlighted from interview process. These themes was further classified into barriers and supports. Side effect, forgetfulness, boredom, laziness, and insufficient understanding of disease recorded as barriers. In contrast, husband and family support, health care team motivation, affordability of access, knowledge and education background included in supports. These findings enlighten the barriers encountered by the pregnant women in IFA supplementation adherence. However, the effectiveness of treating anemia during pregnancy might be influenced by fundamental elements that support IFA supplementation adherence. Therefore, to tackle the this issue, the pregnant women requires a proper therapy and all key points mentioned in support group must be applied