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All Journal International Journal of Public Health Excellence (IJPHE) International Journal of Community Service (IJCS)
Maryam Latifah Harahap
Department of Midwifery, STIKes Darmais Padangsidimpuan, Indonesia
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Analysis of Household Air Pollution and Its Association with Acute Respiratory Infection Incidence in Women Living in Rural Agro-Industrial Areas Rahmah Juliani Siregar; Willhelmina Wahara; Nour Sriyanah; Maryam Latifah Harahap; Eko Mulyadi
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1559

Abstract

Introduction: Household air pollution (HAP) from solid fuel combustion remains a leading environmental health threat, yet its specific impact on women in rural agro-industrial areas, where agricultural residues are commonly used as cooking fuel, is poorly documented. This study aimed to measure HAP levels and determine their association with acute respiratory infection (ARI) incidence among women in these settings. Method: A cross-sectional study was conducted among 250 women from three rural villages in an agro-industrial region. Indoor PM2.5 and carbon monoxide (CO) concentrations were monitored over 24 hours using portable air samplers. Data on ARI symptoms (cough, fever, and difficulty breathing) and household fuel use were collected via validated questionnaires. Multivariate logistic regression was used to assess associations. Results: Mean 24-hour PM2.5 and CO levels were 285 µg/m³ and 7.2 ppm, respectively, both far exceeding WHO safety thresholds. Biomass fuel use dominated (78%), primarily agricultural waste. ARI prevalence reached 42%. After adjusting for confounders, elevated PM2.5 was significantly associated with ARI (AOR=2.8; 95% CI: 1.6–4.9), alongside biomass fuel use and prolonged cooking time. Discussion: The strong dose-response relationship suggests that chronic exposure to high particulate matter from agricultural residues directly compromises respiratory defenses. The synergistic effect of indoor smoke and poor ventilation likely exacerbates infection risk, highlighting a overlooked occupational-exposure pattern in agrarian communities. Conclusion: Urgent interventions particularly cleaner cookstove programs and kitchen design improvements are essential to reduce the substantial ARI burden among this vulnerable population.
Empowering Youth Posyandu Cadres to Enhance Reproductive Health Literacy in Purbatua PK Village Fatimah Fatimah; Rahmah Juliani Siregar; Maryam Latifah Harahap
International Journal of Community Service (IJCS) Vol. 5 No. 2 (2026): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i2.1142

Abstract

Adolescent reproductive health remains a critical public health concern in rural Indonesia, where limited access to accurate information and cultural taboos often hinder open discussion on the topic. In Purbatua PK Village, the prevalence of early marriage and low reproductive health literacy among teenagers have been identified as major challenges. This community service program aimed to empower Posyandu (Integrated Health Post) youth cadres as community-based agents of change to improve reproductive health literacy among adolescents in the village. The program employed a participatory approach consisting of three main stages: (1) needs assessment through focus group discussions with cadres and community leaders, (2) intensive training sessions for 20 youth cadres covering reproductive anatomy, puberty, sexually transmitted infections, contraception, and the legal and psychosocial consequences of early marriage, and (3) ongoing mentoring and peer-education facilitation to enable cadres to disseminate information effectively to their peer groups. Evaluation was conducted using pre-test and post-test questionnaires to measure changes in knowledge, as well as observations of cadres' communication skills during peer sessions. Results showed a significant increase in cadres' knowledge scores, from an average of 58.5% in the pre-test to 89.3% in the post-test (p < 0.05). Furthermore, cadres demonstrated improved confidence and communication abilities in delivering sensitive reproductive health topics to their peers. Within three months of the program, peer-education sessions reached over 120 adolescents in the village. This empowerment initiative successfully strengthened local capacity for sustainable reproductive health education, contributing to the prevention of early marriage and the promotion of healthier reproductive behaviors among youth in Purbatua PK Village.
Co-Authors Eko Mulyadi Fatimah Fatimah Nour Sriyanah Rahmah Juliani Siregar Willhelmina Wahara