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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan JURNAL GIZI INDONESIA Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Penelitian Pendidikan IPA (JPPIPA) MEDIC MEdical Dedication International Journal of Public Health Excellence (IJPHE) Makara Journal of Science Electronic Journal Scientific of Environmental Health And Diseases Gema Lingkungan Kesehatan Journal of Medical Studies Jurnal Penelitian Pendidikan Indonesia Jurnal Medika: Medika
Wahyu Indah Dewi Aurora
Fakultas Kedokteran Dan Ilmu Kesehatan Universitas Jambi
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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The Analysis of Factors Influencing Medication Adherence Behavior Among Pulmonary Tuberculosis Patients Afifa Rakfi, Nur; Indah Dewi Aurora, Wahyu; Marhami Iskandar, Mirna
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.51756

Abstract

Background: Pulmonary tuberculosis (TB) remains a major public health problem because poor medication adherence can lead to treatment failure, continued transmission, and drug-resistant TB. Therefore, this study aims to analyze the factors influencing medication adherence behavior among pulmonary tuberculosis patients Methods: This study employed an analytic observational design with a cross-sectional approach involving pulmonary tuberculosis patients undergoing treatment at public health centers in Jambi City, with 105 respondents selected through consecutive sampling. Knowledge, attitudes, and family support were measured using structured questionnaires to assess their association with medication adherence, and data were analyzed using the chi-square test at a significance level of p < 0.05.Results: The findings revealed that more than half of the respondents were not compliant with TB treatment (56.2%). Most participants demonstrated limited knowledge (65.7%) and unfavorable attitudes toward treatment (61%), although a majority reported receiving family support (68.6%). Statistical analysis identified significant associations between medication adherence and knowledge (PR = 4.609; p = 0.000), attitude (PR = 1.722; p = 0.008), and family support (PR = 1.175; p = 0.012). Conclusion: Knowledge, attitude, and family support were significantly related to treatment adherence among pulmonary TB patients in Jambi City in 2024. These results underscore the need for comprehensive TB education initiatives, enhanced communication skills among health workers, and stronger implementation of the DOTS strategy, including digital reminder tools, to improve patient adherence.
Pemberdayaan Kader PKK dan Keluarga melalui Program Gerakan Masyarakat Peduli Kesehatan Mental Ibu (GEMAPI) untuk Pencegahan Depresi Postpartum Dwi Rahmawati; Wahyu Indah Dewi Aurora; Andika Sulistiawan
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/yv6js232

Abstract

Depresi pascapersalinan masih menjadi masalah kesehatan mental dengan prevalensi global 10–20%. Kondisi ini berdampak pada kesejahteraan ibu, tumbuh kembang anak, serta keharmonisan keluarga. Rendahnya literasi kesehatan mental dan minimnya deteksi dini di tingkat komunitas menyebabkan banyak kasus tidak teridentifikasi. Program Gerakan Masyarakat Peduli Kesehatan Mental Ibu (GEMAPI) dikembangkan sebagai upaya meningkatkan peran keluarga dan kader PKK dalam pencegahan PPD melalui literasi, deteksi dini, serta akses rujukan. Kegiatan dilaksanakan di Kelurahan Aurkenali, Kota Jambi pada Juli–Agustus 2025, melibatkan 30 ibu hamil/nifas dan 15 kader PKK. Intervensi meliputi penyuluhan literasi kesehatan mental, pelatihan skrining menggunakan Edinburgh Postnatal Depression Scale dan Whooley Questions, simulasi jejaring rujukan, serta pembentukan komunitas dukungan. Evaluasi dilakukan melalui pre-test dan post-test literasi serta observasi praktik kader dalam melakukan skrining. Terdapat peningkatan signifikan literasi kesehatan mental ibu, dengan kategori “baik” naik dari 20% menjadi 70%, serta penurunan kategori “kurang” dari 33,3% menjadi 0%. Keterampilan kader juga meningkat, ditunjukkan dengan 93,3% kader mampu menggunakan EPDS, 100% menggunakan Whooley, dan 86,7% mampu melakukan rujukan sesuai SOP. Selain itu, ibu yang sebelumnya cenderung menolak membicarakan masalah emosional menjadi lebih terbuka, memahami gejala, serta bersedia mencari bantuan profesional. Terbentuk pula Komunitas Peduli Kesehatan Mental Ibu (KPMI) sebagai wadah dukungan sebaya.Program GEMAPI terbukti efektif dalam meningkatkan literasi, keterampilan kader, dan jejaring rujukan berbasis komunitas. Keterlibatan keluarga dan kader sebagai ujung tombak terbukti memperkuat pencegahan depresi pascapersalinan.
Development of an Integrated Helminthiasis Prevention Education Model in Elementary Schools: Utilizing Picture Storybooks and Storytelling as Learning Media Armaidi Darmawan; Ahmad Syauqy; Andika Sulistiawan; Wahyu Indah Dewi Aurora; Erny Kusdiyah
Jurnal Penelitian Pendidikan IPA Vol 11 No 4 (2025): April
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i4.10883

Abstract

Helminthiasis remains a significant health issue, especially in developing countries like Indonesia, where the prevalence among elementary school children ranges from 31.8% to 80%, particularly in areas with poor sanitation. This condition can cause anemia, malnutrition, cognitive impairment, and reduced academic performance. Therefore, an effective school-based prevention model is necessary. This study aimed to develop and evaluate an educational model for helminthiasis prevention using picture storybooks and storytelling. A mixed-methods approach was used, involving qualitative validation by experts and quantitative analysis through pre- and post-tests. A total of 100 respondents, including teachers, parents, and health officers, participated in a survey assessing their knowledge of helminthiasis prevention and school sanitation conditions. The effectiveness of the educational intervention was analyzed using paired t-tests. Results showed that majority of 70% of respondents are aware of helminthiasis. Regarding school sanitation, 55% of respondents disagree that the sanitation in elementary schools is adequate. Statistical analysis indicated a significant improvement in students' understanding post-intervention (t = 16.65, p = 0.002). This study confirms that picture storybooks and storytelling effectively enhance students’ awareness and understanding of helminthiasis prevention. Further research is recommended to evaluate the long-term impact of this intervention.
Relationship Between the Use of Boots and the Incidence of Tinea Pedis in Motor Vehicle Wash Employees in Jambi City Hasibuan, Fitra Husni Mubarak; Hanina; Aurora, Wahyu Indah Dewi; Lipinwati; Maharani, Citra
Journal of Medical Studies Vol. 5 No. 2 (2025): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v5i2.40683

Abstract

Background: Tinea pedis is a fungal infection of the skin of feet characterized by peeling skin, itching and watery skin. Risk factors for this disease are working in wet places and wearing closed shoes for a long time such as motor vehicle wash service workers. The purpose of this study was to determine the relationship between the use of boots and the incidence of tinea pedis in motor vehicle wash employees in Jambi City. Objective: This study aims to determine the relationship between the use of boots with the incidence of tinea pedis in motorbike wash employees in Jambi City Methods: This quantitative analytical research type with a crosssectional method The research sample was motor vehicle wash employees in Jambi City. The sampling technique used the cluster sampling method, researchers selected groups in each sub-district in Jambi City according to the research criteria as many as 96 samples. Data were obtained using questionnaires, physical examinations and KOH examinations. The data that had been obtained were then processed by computerization using the SPSS application. Results: In this study, it was found that there was a significant relationship between length of work and the incidence of tinea pedis, length of use of boots with the incidence of tinea pedis and foot hygiene with the incidence of tinea pedis. Representatively p-value less than 0.005 (p=0.016) (p=0.000) (p=0.000). Conclusion: The longer working in a humid place, the longer using boots, and the worse foot hygiene a person has increases the risk of getting tinea pedis
Community-Based Sanitation Risk Model to Reduce Childhood Diarrhea in Flood-Prone Urban Settlements Kusdiyah, Erny; Syauqy, Ahmad; Iskandar, Mirna Marhami; Darmawan, Armaidi; Aurora, Wahyu Indah Dewi; Sugiarti, Ratna
Gema Lingkungan Kesehatan Vol. 24 No. 1 (2026): Gema Lingkungan Kesehatan (on progress)
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i1.443

Abstract

Childhood diarrhea remains a major public health concern in flood-prone urban settlements, where inadequate sanitation and environmental contamination are common. This study aimed to develop and validate a community-based sanitation risk model to identify key environmental and behavioral factors associated with childhood diarrhea. An analytical cross-sectional design was conducted among 240 households with children under five years of age. Data were collected through structured interviews, household sanitation observations, and environmental assessments, covering variables such as water source, latrine condition, waste disposal, drainage, handwashing practices, and flood exposure. Bivariate analysis was used to assess associations between sanitation variables and diarrhea, followed by multivariable logistic regression to determine independent predictors and construct the risk model. The results showed that The two-week prevalence of childhood diarrhea was 27.5%. Multivariable analysis identified contaminated water sources (AOR = 3.42; 95% CI: 1.95–5.99), clogged or non-functional drainage (AOR = 3.85; 95% CI: 2.12–6.97), improper solid waste disposal (AOR = 2.67; 95% CI: 1.56–4.61), unimproved latrines (AOR = 2.11; 95% CI: 1.25–3.58), and inadequate handwashing behavior (AOR = 2.48; 95% CI: 1.40–4.38) as significant predictors of diarrhea. The model demonstrated good discrimination in identifying high-risk households. In conclusion, the The developed community-based sanitation risk model provides a simple, evidence-based tool for identifying households at high risk of childhood diarrhea in flood-prone urban settlements. This model can support targeted sanitation interventions and strengthen community-level disease prevention programs.
HPV DNA Testing in Cervical Cancer Screening: Challenges, Opportunities, and Future Directions Aurora, Wahyu Indah Dewi; Dwiza, Mutiara
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.41351

Abstract

Background: HPV DNA testing is increasingly recommended as a primary method for cervical cancer screening due to its high sensitivity and strong ability to detect high-risk HPV infections associated with cervical cancer. However, implementation remains challenging in many settings, particularly in low- and middle-income countries, due to health system, economic, and sociocultural barriers. This narrative review highlights key challenges, opportunities, and future directions for HPV DNA testing in cervical cancer screening programs. Methods: A narrative review was conducted by searching PubMed, Scopus, and Google Scholar, complemented by relevant guidelines and reports from international organizations such as the World Health Organization (WHO). Keywords included HPV DNA testing, cervical cancer screening, primary HPV screening, self-sampling, and implementation barriers. The evidence was synthesized thematically to summarize major barriers, innovative strategies, and future perspectives. Results: HPV DNA testing offers superior sensitivity compared with cytology and VIA, enabling earlier detection of precancerous lesions and allowing longer screening intervals. Major challenges include limited laboratory capacity, high costs, supply chain constraints, insufficient workforce training, weak referral and follow-up systems, and sociocultural factors such as stigma and low screening acceptance. Key opportunities include HPV self-sampling to expand screening coverage, risk-based triage using HPV genotyping to reduce unnecessary referrals, and digital health integration to improve tracking, monitoring, and continuity of care. Conclusion: HPV DNA testing has strong potential to strengthen cervical cancer screening and support elimination efforts, but successful scale-up requires addressing system-level barriers, ensuring sustainable financing, improving follow-up pathways, and expanding equitable access through innovations such as self-sampling and risk-based strategies.
The Relationship between Household Environmental Health and the Incidence of Pulmonary Tuberculosis Community Health Center in Jambi City Nada Zahra, Risa; Aurora, Wahyu Indah Dewi; Harahap, Huntari
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i1.52474

Abstract

Background: Pulmonary tuberculosis is a preventable infectious disease, but according to 2022 data, pulmonary TB ranks second in causing deaths worldwide after the coronavirus (COVID-19). Household environmental conditions are thought to play a role in its transmission. This study aims to determine the relationship between lighting, humidity, and ventilation in homes and the incidence of pulmonary TB at the Pakuan Baru Community Health Center, Simpang Kawat Community Health Center, and Paal X Community Health Center in 2024. Method: This research uses a case-control design with a sample of 104 respondents (26 cases, 78 controls) in three community health center areas. Lighting and humidity measurements were taken using a lux meter and hygrometer, while windows were measured using observation sheets. Data were analyzed univariately and bivariately using the Chi-Square test with Odds Ratio (OR). Results: Most homes of TB patients have inadequate environmental conditions. Analysis shows a significant relationship between inadequate humidity (OR=54.86; 95% CI:11.60-259.52; p<0.001), inadequate lighting (OR=13.83; 95% CI: 4.61-41.52; p<0.001), and lack of windows (OR=4.29; 95% CI: 1.62-11.35; p=0.002) with TB incidence. Conclusion: Poor household environmental conditions, such as humidity, lighting, and window conditions, are risk factors for TB. It is recommended that TB prevention programs integrate the promotion of household environmental improvements.
Co-Authors Adriaswara, Muhammad Rivansyah Afifa Rakfi, Nur ahmad syauqi, ahmad Ahmad Syauqy Ahmad Syauqy Ahmad Syauqy Akbidita, Putri Ameli Dwi Fitri Amelia Dwi Fitri, Amelia Dwi Analita, Maulina Andika Sulistiawan Anggelia Puspasari Arief Romadhan Armaidi Darmawan Asty, Zahra Frizki Ave Olivia Rahman Cicilia Nopita Citra Maharani David Kusmawan Delfira, Annisa Dwi Rahmawati Dwiza, Mutiara Ekaputri, Tia Wida Elvi Roza Erina Shinta Anggraini Erny Kusdiyah Esa Indah Ayu, Esa Indah Fadillah, Tanty Fadli Fadli Gading, Patrick William Gracella, Michelle Guspianto Guspianto Hanina Hanina, Hanina Hanina, Hanina Harahap, Asro Hayani Harissa, Nuri Putri Hasibuan, Fitra Husni Mubarak Hasmita, Debby Hasna Dewi Herlambang Herlambang Hubaybah, Hubaybah Humaryanto, Humaryanto Humaryanto, Humaryanto Huntari Harahap Ikalius Ikalius Ima Maria indah ayu dia, Esa Iskandar, Mirna Marhami Juhaina, Ena Kusdiah, Erny Lipinwati ., Lipinwati Maharani, Amrina Marhami Iskandar, Mirna Maria Estela Karolina Maria, Ima Mayasari Mayasari Meinarisa, Meinarisa Miftahurrahmah Miftahurrahmah, Miftahurrahmah Moniga, Agra Farellio Mulyadi, Deri Mutmainnah, Muthia Nada Zahra, Risa NURIYAH Nuriyah Nuriyah Nuriyah, Nuriyah Nyimas Natasha Ayu Shafira Okta Arizki Paramitha Ekadeva Sari Patrick William Gading Putri Sari Wulandari Rahmatilah, Imat Rahmatillah, Imat Rina Nofri Enis Rini, Willia Novita Eka Rita Halim Sabar Hutabarat Shabrina Nadilah Zahra Siti Raudhah Sotianingsih Sri Mulyani Sri Wahyuni Sugiarti, Ratna Suzan, Raihanah Tarawifa, Susan Tia Wida Ekaputri Virginsia, Sonya Vivekanantharasa, Raveenthiran Wida, Tia Wijayanto, Rhendy