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All Journal Journal Research of Health Administration and Public Health (JRHAPH)
Nurhikmah Wijaya
Mahasiswa Program Studi Administrasi Kesehatan, Fakultas Ilmu Kesehatan, Universitas Puangrimaggalatung, Wajo
Public Health

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Model Community-Based Health Management dalam Pengendalian Hipertensi di Wilayah Kerja Puskesmas Tanasitolo Ruslang Ruslang; Anugerah Yanuar Azis; Muhammad Amaliah S; Nirmawati Darwis; Nurhikmah Wijaya; A. Rizky Amaliah
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 2 No. 1 (2026): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/y272tw44

Abstract

Hypertension is a public health problem that requires continuous management through the involvement of patients, families, health cadres, and healthcare professionals. This study aimed to analyze the effectiveness of the Community-Based Health Management Model in improving knowledge, hypertension control behaviors, medication adherence, and blood pressure control among hypertensive patients in the working area of Tanasitolo Public Health Center. This quantitative study employed a pre-experimental one-group pretest–posttest design. A total of 40 hypertensive patients were selected using purposive sampling. The eight-week intervention included patient identification, four community-based education sessions, blood pressure monitoring, and hypertension management assistance. Data were collected using questionnaires assessing knowledge, hypertension control behaviors, and medication adherence, while blood pressure was measured using a digital device. The approach positioned the community as an active partner in monitoring risk factors, adopting a healthy diet, performing physical activity, managing stress, and maintaining regular therapy. The results showed that mean knowledge scores increased from 61.25 to 82.75, hypertension control behavior scores from 58.40 to 77.65, and medication adherence scores from 60.15 to 79.80. Mean systolic blood pressure decreased from 158.45 mmHg to 143.20 mmHg, while diastolic blood pressure decreased from 94.75 mmHg to 87.30 mmHg. All variables showed statistically significant differences (p<0.001). The Community-Based Health Management Model effectively improved hypertension self-management and supported blood pressure control. This model may be developed as a community-based hypertension management approach in primary healthcare by continuously involving health cadres and families.
Hubungan Kinerja Pertugas Posbindu PTM dengan Kepatuhan Kontrol Penderita Hipertensi Ruslang Ruslang; Anugerah Yanuar Azis; Khaeriah B; Islamia Islamia; Nurhikmah Wijaya
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 1 No. 1 (2025): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/2b3gnh71

Abstract

Hypertension is a non-communicable disease that poses a public health problem due to its contribution to high morbidity and mortality rates. In Indonesia, the prevalence of hypertension continues to rise, necessitating early detection efforts and effective management through programs such as Posbindu PTM. The performance of Posbindu PTM officers is considered an important factor that can influence the adherence of hypertension patients to routine check-ups. This study aims to determine the relationship between the performance of Posbindu PTM officers and the adherence to hypertension control among patients in Woronge Village. This research uses a cross-sectional approach with a purposive sample of 10 respondents. Data was collected through questionnaires and analyzed using Fisher's Exact Test. The results showed that 60% of the officers performed well, and 60% of the hypertension patients adhered to control. Bivariate analysis found a significant relationship between officer performance and control adherence, with a p-value of 0.048 (p < 0.05). Therefore, the performance of Posbindu PTM officers has a significant impact on the adherence of hypertension patients to health control. This highlights the importance of officers' roles in providing education and motivation to hypertension patients to ensure they follow health control routines. To achieve this, there is a need to improve the quality of officers' performance through training and strengthening monitoring systems at Posbindu PTM. Additionally, it is also important to engage the community more actively in this program, so they become more aware of the importance of sustainable hypertension management. Intensive training for officers and improvement of Posbindu PTM facilities can further support the success of this program.
Hubungan Nilai Budaya dengan Perilaku Pencegahan Stroke pada Penderita Hipertensi Ruslang Ruslang; Eka Wulansari; Nurhikmah Wijaya; Alvia Damayanda
Journal Research of Health Administration and Public Health (JRHAPH) Vol. 1 No. 2 (2025): Journal Research of Health Administration and Public Health (JRHAPH)
Publisher : Lentera Pena Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0425/b44w3819

Abstract

Stroke is a leading cause of death and disability globally, with hypertension being the most dominant risk factor. Beyond clinical factors, stroke prevention behavior is also influenced by socio-cultural factors. Bugis cultural values such as macca, warani, malempu, and malabo have the potential to shape health behavior; however, empirical evidence examining the relationship between cultural values and stroke prevention behavior among hypertensive patients remains limited. This study aimed to analyze the relationship between cultural values and stroke prevention behavior among patients with hypertension. A quantitative study with a cross-sectional design was conducted in August 2025 in Nepo Village, Tanasitolo District, Wajo Regency. The sample consisted of 30 hypertensive patients selected using purposive sampling. The independent variable was cultural values, while the dependent variable was stroke prevention behavior. Data were collected using a locally based cultural values questionnaire and a stroke prevention behavior questionnaire. Data analysis was performed using univariate and bivariate analysis with a significance level of 0.05. Most respondents had moderate cultural values (46.7%) and moderate stroke prevention behavior (43.3%). Cross-tabulation showed that respondents with high cultural values were predominantly characterized by good stroke prevention behavior (23.3%), while those with low cultural values tended to demonstrate poor prevention behavior (13.3%). Statistical analysis indicated a significant relationship between cultural values and stroke prevention behavior (p = 0.012). Cultural values were significantly associated with stroke prevention behavior among hypertensive patients. Higher cultural values were linked to better stroke prevention behavior. Integrating local cultural values into health promotion interventions has the potential to improve the effectiveness of stroke prevention in a contextual and sustainable manner.
Co-Authors A. Rizky Amaliah Alvia Damayanda Anugerah Yanuar Azis Eka Wulansari Islamia Islamia Khaeriah B Muhammad Amaliah S Nirmawati Darwis Ruslang Ruslang