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All Journal AcTion: Aceh Nutrition Journal Sanitas: Journal of Health, Medical, and Psychological Studie
Iq Balurrochman
Universitas Widya Husada Semarang
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Mobile health-based digital intervention to improve ARV compliance and nutritional intake in PLHIV at Bandarharjo Health Center Rahayu Winarti; Rozaq Isnaini Nugraha; Iq Balurrochman; Nanang Bagus Setiawan; Niken Sukesi
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i2.2658

Abstract

Low adherence to antiretroviral (ARV) therapy and inadequate nutritional intake remain persistent challenges among People Living with HIV/AIDS (PLHIV) in Indonesia, contributing to suboptimal treatment outcomes and reduced quality of life. Mobile health (mHealth), which utilizes mobile devices for health interventions, offers a promising solution by facilitating personalized, accessible, and continuous patient support. This study aimed to assess the effectiveness of an Android-based mHealth application, SEHAT+, in improving ARV adherence and nutritional intake among PLHIV at the Bandarharjo Health Center, Semarang. A total of 41 active PLHIV undergoing ARV therapy were recruited from March to May 2025. Descriptive and paired t-test analyses were conducted to compare adherence and intake before and after the intervention. The mean ARV adherence score increased from 62,3 (SD = 10,5) to 84,9 (SD = 8,1), and the nutritional intake score improved from 58,7 (SD = 11,2) to 79,2 (SD = 9,6), both showing statistically significant changes (p < 0,001). SEHAT+ features included medication reminders, dietary logs, multimedia-based nutrition education, and online consultation forums. The findings indicate that mHealth interventions can significantly enhance both medication compliance and nutritional behavior in PLHIV. Community-driven digital tools such as SEHAT+ have the potential to strengthen primary healthcare responses to HIV/AIDS in resource-constrained settings.
Efektifitas Edukasi Berbasis Audiovisual Dan Tutorial Tentang Arv Terhadap Kepatuhan Pada Pasien Odha Di Puskesmas Bandarharjo Iq Balurrochman; Rahayu Winarti; Maulidta K.W
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/4j9tvw89

Abstract

Non-adherence to antiretroviral therapy (ART) among people living with HIV/AIDS (PLWHA) remains a critical challenge that exacerbates treatment failure and viral resistance. This study aimed to compare the effectiveness of audiovisual-based and instructional-structured tutorial education on medication adherence among PLWHA at the Bandarharjo Community Health Center. A quasi-experimental study with a two-group pretest-posttest design was conducted using a purposive sample of 26 active PLWHA undergoing ART. Data analyzed using the Wilcoxon signed-rank and Mann-Whitney U tests revealed significant post-intervention improvements in both groups ($p = 0.000$). However, the comparative analysis of posttest outcomes showed no statistically significant difference between the two modalities ($p = 0.650 > 0.05$), indicating clinical equivalence. Conclusion: Both interventions exhibit equivalent efficacy in optimizing ART adherence, providing public health practitioners at primary care levels with operational flexibility based on resource availability.
Co-Authors Maulidta K.W Nanang Bagus Setiawan Niken Sukesi Rahayu Winarti Rozaq Isnaini Nugraha