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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

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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
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

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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.
A HOLISTIC APPROACH TO UNDERSTANDING HIV ADHERENCE PSYCHOSOCIAL DETERMINANTS AND QUALITY OF LIFE Kusdiyah, Erny; Syauqy, Ahmad; Miftahurrahma, Miftahurrahma; Wulandari, Putri Sari; Maria, Ima; Darmawan, Armaidi; Aurora, Wahyu Indah Dewi
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 1 (2026): Volume 10, Nomor 1, February 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i1.38861

Abstract

HIV remains a pressing public health issue in Indonesia, with Jambi City showing a steady increase in cases, especially among high-risk groups. This study aims to estimate the prevalence of HIV in Jambi City and examine various factors related to HIV infection, including socio-economic conditions, individual behaviors, and family history. It also explores public knowledge about HIV prevention, along with treatment adherence and quality of life among people living with HIV/AIDS (PLWHA). A cross-sectional study was conducted between August and September 2024 at four community health centers, involving 101 HIV-positive respondents who were undergoing antiretroviral therapy (ART). Data were collected through face-to-face interviews using validated questionnaires. The estimated HIV prevalence in Jambi City was 0.19%, based on average rates from the selected health centers. Among participants, 35.6% had low ART adherence, while 29.7% had high adherence. Better HIV prevention knowledge and fewer side effects were significantly associated with improved adherence. Additionally, having strong social support and being part of a peer-sharing community were linked to higher physical health-related quality of life. These findings highlight the need for more comprehensive HIV programs that not only focus on treatment but also strengthen education, manage treatment side effects, and build supportive community environments. This study offers a locally grounded perspective by combining prevalence estimates with psychosocial factors, providing useful input for targeted and sustainable intervention strategies in Jambi. The results may serve as a reference for health policymakers to design more integrated and context-appropriate HIV responses at the community level.
Socioeconomic, Behavioral, and Environmental Predictors of Tuberculosis Treatment Duration: A Multivariate Analysis in Urban Indonesia Wahyu Indah Dewi Aurora; Maharani; Tia Wida Ekaputri; Armaidi Darmawan; Erny Kusdiyah; Andika Sulistiawan
JURNAL KESEHATAN LINGKUNGAN Vol. 18 No. 2 (2026): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v18i2.2026.93-100

Abstract

Introduction: Tuberculosis (TB) in Indonesia currently ranks second globally in TB incidence. The disease causes an estimated 125,000 deaths annually. Prolonged treatment duration increases the risk of treatment interruption, drug resistance, and financial burden on patients. This study aimed to analyze the socioeconomic, behavioral, and environmental predictors associated with TB treatment duration. Methods: A cross-sectional design was applied across primary health centers in Jambi City, Indonesia. The study population included individuals at risk of TB, and 297 pulmonary TB patients were recruited using purposive sampling. Independent variables included socioeconomic status, smoking behavior, TB-related knowledge, patient attitude toward treatment, and housing density. Chi-square tests were used for bivariate analysis, and multivariate logistic regression was performed to identify dominant predictors of prolonged treatment duration. Results and Discussion: A total of 40.1% of patients experienced prolonged treatment (> 6 months). Bivariate analysis showed significant associations between treatment duration and socioeconomic status (p < 0.001), smoking behavior (p = 0.018), TB knowledge (p = 0.004), treatment attitude (p = 0.001), and housing density (p = 0.009). Multivariate analysis identified low socioeconomic status (AOR = 2.15, 95% CI: 1.34–3.47) and negative treatment attitude (AOR = 1.82, 95% CI: 1.19–2.79) as the strongest predictors of prolonged treatment duration. Conclusion: Patients with limited financial resources may face structural barriers to treatment completion, including transportation costs, unstable income, and competing daily priorities. These findings have important implications for Indonesia’s TB program and align with the WHO End TB Strategy, which emphasizes addressing social determinants of health.
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 Iskandar, Mirna Marhami Juhaina, Ena Kusdiah, Erny Lipinwati ., Lipinwati Maharani Maharani, Amrina Marhami Iskandar, Mirna Maria Estela Karolina Maria, Ima Mayasari Mayasari Meinarisa, Meinarisa Miftahurrahma, Miftahurrahma 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 Suzan, Raihanah Tarawifa, Susan Tia Wida Ekaputri Virginsia, Sonya Vivekanantharasa, Raveenthiran Wida, Tia Wijayanto, Rhendy