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All Journal Jurnal Biologi Tropis Indonesian Journal of Global Health Research
Retno Indrawati
Universitas Airlangga
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Immunology & microbiology

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The Effect of Empowering Health Cadres Through Whatsapp on the Knowledge and Skills of Health Cadres in Hypertension Management Maitha Annthonette Wulan Keloay; Ferry Efendi; Makhfudli Makhfudli; Retno Indrawati; Andri Setiya Wahyudi; Elida Ulfiana
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1397

Abstract

Hypertension remains one of the leading causes of global mortality, affecting approximately 1.28 billion adults worldwide, yet only 21% successfully manage to control their blood pressure. This highlights the urgent need for community-based strategies, particularly through the empowerment of health cadres. Digital health education interventions—such as those utilizing WhatsApp—are considered promising for enhancing cadres’ competencies in hypertension management. The aim of this study was to determine the effect of empowering health cadres through Whatsapp on the knowledge and skills of cadres in hypertension management. This study employed a quasi-experimental design with a pretest-posttest control group approach. The first phase involved the development of a training module informed by a literature review, field study, and expert consultation. Data collection was done using purposive sampling with inclusion and exclusion criteria, a total of 60 respondents, 30 intervention and control groups each. In the second phase, an intervention was conducted involving 60 health cadres (30 in the intervention group and 30 in the control group) within the jurisdiction of Tateli public health care, delivered via WhatsApp. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U Test, with a significance level set at p < 0.05. The findings revealed a statistically significant improvement in both knowledge and skills among cadres in the intervention group. Knowledge increased from moderate (90%) to good (73.3%), and skills from moderate (90%) to good (93.3%), with p < 0.001. No significant changes were observed in the control group. WhatsApp-based educational interventions are effective in improving health cadres' knowledge and skills in hypertension management. Given its accessibility, affordability, and practicality, WhatsApp serves as a strategic and sustainable tool for ongoing cadre training in the prevention and control of non-communicable diseases at the community level.
Effect of Snakehead Fish Albumin Extract Supplementation on SGOT and SGPT Levels in Tuberculosis Patients Alfia Andriyani; Jusak Nugraha; Retno Indrawati; Theresia Budhy S; Nurul Hidayah; Mariana Asmaningdiah; Inas Hasna Azizah; Ahmad Hidayat
Jurnal Biologi Tropis Vol. 26 No. 2 (2026): April - Juni
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v26i2.11851

Abstract

Long-term use of OAT in tuberculosis patients carries a high risk of triggering drug-induced liver damage characterized by a spike in serum transaminase enzyme levels SGOT and SGPT. This study aims to determine the effect of snakehead fish extract therapy on SGOT and SGPT levels in TB patients undergoing intensive phase treatment. This study is quasi-experimental study with a randomized controlled trial design post-test only control group design.  The research population was TB patients at the Sidotopo Community Health Center, Surabaya, who were selected using a random sampling technique purposive sampling until 20 respondents were obtained. Respondents were systematically divided into two groups, control group (OAT therapy) and treatment group (OAT therapy accompanied by supplementation of 500 mg albumin extract capsules). Comparative data analysis between groups was conducted using Independent Sample T-test. The results of the statistical analysis showed that the average SGOT level in intensive phase patients was 21.95 U/L and the average SGPT level was 19.65 U/L, where both valuesremained within normal clinical limits. The inter-group comparison hypothesis test produced a value p-value for SGOT levels of 0.907 and the value p-value for SGPT levels of 0.346. These data indicate no significant difference in the fluctuation of SGOT or SGPT levels between control and treatment groups. Supplementation with snakehead fish albumin extract did not show a significant difference in effect on SGOT and SGPT levels, but was proven to be able to maintain a stable and normal liver transaminase enzyme profile during intensive phase of OAT treatment.
Co-Authors Ahmad Hidayat Alfia Andriyani Andri Setiya Wahyudi Elida Ulfiana Ferry Efendi Inas Hasna Azizah Jusak Nugraha Maitha Annthonette Wulan Keloay Makhfudli Makhfudli Mariana Asmaningdiah Nurul Hidayah Theresia Budhy S