Melania Hidayat
Universitas Muhammadiyah Aceh

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The Effectiveness of Clinical Practicum in Psychiatric Hospitals in Enhancing Mental Health Literacy and Reducing Mental Illness Stigma among Students Nana Wildana; Melania Hidayat; Marthoenis Marthoenis
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.1791

Abstract

Clinical practice in psychiatric hospitals is a crucial learning method for preparing competent healthcare professionals; however, low mental health literacy and persistent stigma among students often trigger anxiety and stress during training. This study aimed to evaluate the effectiveness of clinical practicum in improving mental health literacy and reducing stigma, as well as to analyze determinants of changes in students’ mental health status based on practice duration, age, and gender. This study employed a quantitative analytical design with a quasi-experimental one-group pretest–posttest approach involving 569 health profession students using total sampling. Data were collected through validated instruments, including the Mental Health Literacy Scale (MHLS) (0.876), the Opening Minds Scale for Health Care Providers (OMS-HC) (0.870), and the Depression Anxiety Stress Scale (DASS-21) (0.918), and analyzed using multiple linear regression. The results showed that clinical practicum significantly improved mental health literacy (p = 0.0007) and reduced anxiety (p = 0.0204) and stress (p = 0.0287), while stigma did not change significantly (p = 0.3913). Multivariate analysis revealed that a one-month practice duration was the most effective period, with greater reductions in anxiety (B = −3.714; p = 0.000) and stress (B = −3.549; p = 0.000) compared to a two-week duration. Increased literacy significantly contributed to reductions in anxiety (p = 0.010) and depression (p = 0.045), whereas stigma reduction was not significant, and older students showed slower decreases in anxiety (p = 0.029). Overall, clinical practicum improves cognitive aspects (literacy) but has limited impact on perceptual aspects (stigma).
Meninjau Angka Kasus Hipertensi di Puskesmas Lampisang Kecamatan Peukan Bada Kabupaten Aceh Besar Defi Cintia Dewi; Muhammad Fikri; Eni Erlina; Farrah Fadhienie; Melania Hidayat; Dharina Baharuddin
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7922

Abstract

The working area of the Lampisang Community Health Center, Peukan Bada District, Aceh Besar Regency, has shown an increasing trend in hypertension cases over the past three years, making this disease the most common case treated. Hypertension is one of the main causes of morbidity and mortality due to non-communicable diseases, and is a significant burden both clinically and economically in various countries, including Indonesia. This study aims to conduct the implementation of the hypertension program at the Lampisang Community Health Center in 2022–2024 with a comprehensive evaluation approach that includes input, process, output, outcome, and impact. The evaluation was conducted using quantitative and qualitative descriptive approaches. Data were collected from Posbindu PTM forms, Community Health Center activity reports, and interviews with cadres and health workers. The analysis focused on service achievements, education effectiveness, therapy fulfillment, and long-term impacts on patients and the health care system. During 2022–2024, the number of hypertension patients increased from 320 to 404 cases. Blood pressure screening coverage reached 63.4% in 2024. The percentage of educated patients increased from 56.3% to 73.0%, and therapy adherence reached 62.6% in 2024. Outcomes showed that 64.0% of patients experienced a decrease in blood pressure and 59.0% made positive lifestyle changes. Long-term impacts showed improved early detection, but complications were still found in 36 cases over three years. Key challenges included limited facilities, low service coverage, and minimal village fund allocation for Posbindu (Community Health Post). The hypertension program at the Lampisang Community Health Center (Puskesmas) showed increasing achievements and outcomes year after year. However, program effectiveness still needs to be improved through strengthening facilities, ongoing education, and cross-sector collaboration to significantly reduce the prevalence and complications of hypertension.