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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education HIGEIA (Journal of Public Health Research and Development) JMM (Jurnal Masyarakat Mandiri) Media Ilmu Kesehatan Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Faletehan Health Journal Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) JUMANTIK: Jurnal Mahasiswa dan Peneliti Kesehatan Indonesian Journal of Global Health research Avicenna : Journal of Health Research Jurnal Ilmu Kesehatan Masyarakat Berkala Ruang Cendekia : Jurnal Pengabdian Kepada Masyarakat Quality : Jurnal Kesehatan Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health
Akhmad Azmiardi
Program Studi Kesehatan Masyarakat, Universitas Veteran Bangun Nusantara
Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PROGRAM PERLINDUNGAN SUMBER AIR BERSIH DARI PENCEMARAN LIMBAH DOMESTIK DI KOTA SAMARINDA Sedionoto, Blego; Azmiardi, Akhmad; Fitrah, Muhammad Aidil
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 1 (2026): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i1.36366

Abstract

Abstrak: Kualitas air merupakan faktor penting dalam peningkatan derajat kesehatan masyarakat khususnya di wilayah yang masih bergantung pada sumur gali. Kegiatan pengabdian masyarakat ini bertujuan untuk memberdayakan masyarakat dalam melindungi sumber air bersih dari cemaran limbah domestik melalui integrasi rekonstruksi fisik sumur dan penerapan teknologi sederhana berbasis tanah liat aktif Kutai. Kegiatan melibatkan 3 kepala keluarga dengan total 17 orang peserta sebagai mitra yang masih menggunakan sumur gali dan sumur bor dangkal sebagai sumber air bersih. Metode pelaksanaan meliputi tahap pra pelaksanaan, pelaksanaan perlindungan sumur, serta monitoring dan evaluasi kualitas air. Hasil pemeriksaan menunjukkan bahwa perlindungan fisik sumur dengan lantai dan dinding kedap air serta pengolahan air menggunakan tanah liat aktif Kutai mampu menurunkan kadar MPN Coliform sebesar 99,93% dan E. coli sebesar 99,94%. Penerapan tanah liat aktif Kutai juga terbukti efektif dalam menurunkan kandungan mikroba patogen. Kegiatan ini meningkatkan kesadaran dan partisipasi masyarakat dalam menjaga kualitas air bersih serta menjadi contoh penerapan teknologi tepat guna berbasis bahan lokal yang mendukung tercapainya tujuan pembangunan berkelanjutan (SDGs) poin 6 tentang akses air bersih dan sanitasi layak bagi semua.Abstract: Water quality is an important factor in improving public health, especially in areas that still depend on dug wells. This community service activity Empower the community to protect clean water sources from domestic waste contamination through the integration of physical reconstruction of wells and the application of simple technology based on Kutai active clay. The activity involved 3 heads of families with a total of 17 participants as partners, who still use dug wells and shallow bore wells as their source of clean water . The implementation method includes pre-implementation stage, well protection implementation, and water quality monitoring and evaluation. The results of the examination show that physical protection of wells with waterproof floors and walls and water treatment using Kutai active clay can reduce MPN Coliform levels by 99.93% and E. coli by 99.94%. The application of Kutai active clay has also been proven effective in reducing pathogenic microbe content. This activity increases community awareness and participation in maintaining clean water quality and serves as an example of the application of appropriate technology based on local materials that supports the achievement of Sustainable Development Goals (SDGs) point 6 on access to clean water and proper sanitation for all. 
Factors Influencing Mortality Among HIV Patients Dian Margi Utami; Irfansyah Baharuddin Pakki; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The World Health Organization reported that global coverage of antiretroviral therapy (ART) reached 77% in 2024; however, mortality among people living with HIV remains relatively high. Various clinical, immunological, and social factors influence treatment success and patient survival outcomes. Objective : This study aims to narratively analyze the factors associated with mortality among HIV patients receiving ART. Research Methods/ Implementation Methods : This narrative review identified relevant literature published between January 2020 and June 2025 through four electronic databases: PubMed, Scopus, Google Scholar, and ScienceDirect. The search used combinations of keywords and Boolean operators (“AND,” “OR”): “HIV” OR “Human Immunodeficiency Virus” AND “mortality” OR “death” AND “antiretroviral therapy” OR “ART” AND “survival analysis” OR “Cox regression” OR “Kaplan–Meier” AND “cohort study.” Only peer-reviewed, full-text articles in English were included. Eligible studies employed prospective or retrospective cohort designs, involved adult HIV patients receiving ART, and reported mortality outcomes analyzed using Kaplan–Meier or Cox proportional hazards models. Review articles, case reports, and studies without relevant survival or mortality data were excluded. A total of 12 studies met the inclusion criteria, primarily conducted in Sub-Saharan Africa, the Caribbean, and Latin America. Results : Mortality rates ranged from 4.2 to 11.7 per 100 person-years, with a 5-year survival rate of 81.7–88.5%. Approximately 60–70% of deaths occurred within the first year of therapy. The most consistent mortality risk factors included CD4 count <200 cells/μL (AHR 2.3–6.6), severe anemia or hemoglobin <10 g/dL (AHR 2.2–5.2), WHO clinical stage III/IV (AHR 4.3–15.0), poor functional status (bedridden/ambulatory) (AHR 3.0–9.5), tuberculosis co-infection (AHR 1.9–4.1), and poor ART adherence (AHR 3.3–9.6). Sociodemographic factors such as being unmarried, low education, and poverty also increased mortality risk (AHR 1.6–3.7). Conversely, good ART adherence, cotrimoxazole prophylaxis (CPT) use, adequate nutritional status (BMI ≥18.5 kg/m²), and CD4 ≥200 cells/μL were significant protective factors. Conclusion/Lesson Learned : Mortality among adult HIV patients in developing countries remains high, particularly within the first year of ART and among individuals with low immunity, anemia, or tuberculosis co-infection. Strengthening anemia and TB screening, optimizing ART adherence, and early identification of patients with low CD4 counts should be prioritized to reduce mortality rates.
Narrative Review: Periodontitis Risk Factors in Prolanis Participants With Systemic Comorbid Diseases Ratih Fianni Sigit; Irfansyah Baharuddin Pakki; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background: Periodontitis is a chronic inflammatory disease affecting the supporting tissues of the teeth and is increasingly recognized for its systemic implications. Chronic periodontal inflammation contributes to persistent immune activation, endothelial dysfunction, insulin resistance, and dyslipidemic profiles, thereby elevating the risk of cardiovascular and metabolic disorders. Objective : This narrative review aims to summarize current evidence regarding risk factors of periodontitis among patients with systemic comorbidities, particularly those enrolled in chronic disease management programs. Research Methods/ Implementation Methods : A literature search was conducted across PubMed, Science Direct, and BMC Oral Health databases for articles published between 2020 and 2025 using keywords such as “periodontitis,” “systemic inflammation,” “diabetes mellitus,” “hypertension,” and “cardiovascular disease.” Inclusion criteria consisted of full-text research articles in Indonesian or English focusing on associations between periodontitis and systemic diseases. A total of 33 relevant articles were identified and narratively synthesized. The review consistently demonstrates that systemic comorbidities significantly influence periodontal status. Results : Patients with diabetes, hypertension, and dyslipidemia experience more severe periodontitis due to poor metabolic control and inflammation. Inadequate oral hygiene worsens this condition, while non-surgical periodontal therapy can improve HbA1c, lipid levels, and blood pressure. Conclusion/Lesson Learned : Systemic factors synergistically worsen periodontitis through chronic inflammation and endothelial impairment. Integrating oral health services into chronic disease management may improve metabolic outcomes and prevent systemic complications.
The Effect of Screen Time on Dental Caries in Adolescents: A Narrative Review Hesty Erika Silitonga; Irfansyah Baharuddin Pakki; Verry Asfirizal; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Dental caries is a chronic disease with a high prevalence among adolescents. With the advancement of technology, screen time has become a a daily activity. Excessive screen time can lead to encourage a sedentary lifestyle, which may impact oral health. Objective : This review aims to synthesize scientific evidence from various studies to explain how prolonged screen time contributes to caries risk in adolescents. Research Methods/ Implementation Methods : This narrative review synthesizes relevant research articles to gain a comprehensive understanding of the relationship between screen time and dental caries. Articles were searched through major electronic databases, including PubMed, Google Scholar, and ScienceDirect, focusing on publications from 2016 to 2025. Articles included in the review discussed screen time habits among adolescents, the impact of screen time on dental caries or oral health, were written in Indonesian or English. Results : A literature review of 30 articles reported a positive association between high screen time and increased caries risk in adolescents. Behavioral changes were the main mediators of this association. Many studies described two primary mechanisms: prolonged screen time significantly increased cariogenic dietary habits while using devices and excessive screen time reduces oral hygiene practices. Conclusion/Lesson Learned : Excessive screen time acts as a significant behavioral risk factor for dental caries in adolescents because it can trigger unhealthy dietary patterns and reduce oral hygiene practices. Counseling, reducing screen time, education on tooth brushing, healthy eating, and fluoride using can reduce the risk of dental caries.
Analysis of Hypertension, Smoking, Family History, and Obesity as Risk Factors for Coronary Heart Disease at the Kesdim Military Hospital Samarinda Intan Kurnia; Irfansyah Baharuddin Pakki; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Stunting remains a significant chronic nutritional problem in Indonesia, particularly among children born to adolescent mothers. These young mothers often face limitations in nutritional knowledge, lower health literacy, and suboptimal reproductive preparedness, which collectively increase the risk of stunting in their children. Objective : This study aimed to conduct a review to determine the association between adolescent mothers’ nutritional knowledge and the incidence of stunting in toddlers, and to identify the contributing factors. Research Methods/ Implementation Methods : This was a systematic review conducting following the PRISMA guidelines and utilizing the Population, Concept, and Context (PCC) framework. Articles were collected through searching the Scopus, PubMed, Google Scholar, and Crossref databases for studies up to October 2025. Two reviewers independently screened and included full- text article that examined Mothers Knowledge and stunting, focusing on the concept of knowledge, adolescent mother, and stunting. Results : A review included five articles. Adolescent mothers’ knowledge had a significant association with the incidence of stunting. This association was often strengthened by confounding factors such as socio-economic status, low education levels, limited access to healthcare services, and inadequate childcare practices. Several studies found that improving maternal nutritional literacy and initiating early prenatal care can effectively reduce the risk of stunting in children. Conclusion/Lesson Learned : Low nutritional knowledge among adolescent mothers is confirmed as an important determinant of stunting in toddlers. Intervention efforts need to be focused on enhancing the education and nutritional literacy of adolescent girls through structured programs, including school-based education, adolescent mother classes in community health centers (Puskesmas), and targeted community campaigns. The integrated approach is crucial to break the intergenerational cycle of stunting and foster the development of quality human resources.
Gambaran Realisasi Belanja Dana BOK Puskesmas Air Putih Kota Samarinda: Tinjauan Efektivitas dan Pemanfaatan Anggaran-- (Analysis of the Health Operational Assistance (BOK) Fund Realization at Puskesmas Air Putih, Samarinda : An Evaluation of Effectivene Zheditya Ayu Syawalia; Ratno Adrianto; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background :Health is a fundamental right guaranteed by the 1945 Constitution of the Republic of Indonesia and has become a national development priority under the 2020–2024 (RPJMN). One of the government’s key health financing policies to strengthen primary health services is the Health Operational Assistance Fund (BOK) Objective :To provide a quantitative overview of the expenditure realization of the BOK Fund at Puskesmas Air Putih Samarinda in 2024 and to evaluate the effectiveness and utilization of the budget based on the principles of effectiveness, efficiency, transparency, and accountability as stipulated in the Ministry of Health Regulation No. 18/2024. The study employed a descriptive method with secondary data analysis sourced from BOK financial realization reports for 2022–2024 Research Methods/ Implementation Methods :The study employed a descriptive method with secondary data analysis sourced from BOK financial realization reports for 2022–2024 Results :The findings show the average realization rate of the BOK budget over the past three years reached 88.9%, with a decline in 2024 to 82%, despite a significant increase in the total allocation. The pattern of fund absorption was uneven, with most expenditures occurring in the fourth quarter. Analysis based on George R. Terry’s (1972) POAC theory (Planning, Organizing, Actuating, Controlling) identified issues in data-based planning, suboptimal intersectoral organization, inconsistent implementation, and reactive supervision Conclusion :The effectiveness of BOK management is influenced by misalignment among managerial functions; therefore, strengthening performance-based planning and monitoring is required to support the transformation of primary health services at the Puskesmas
Influence of Diabetes Mellitus on the Incident of Stroke: Meta-Analysis Mubarok, Ahmad Syauqi; Kurniawan, Hendra Dwi; Verasita, Prissy; Azmiardi, Akhmad; Puspitasary, Kiky
Indonesian Journal of Global Health Research Vol 5 No 4 (2023): 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.v5i4.2461

Abstract

Blood vessel disorders can occur due to the narrowing and hardening of the artery walls, which is called atherosclerotic plaque. Stroke is a serious health problem because of the high mortality and morbidity rates and its impact can cause chronic disability and occurs not only in elderly people but also in young people. This study aims to estimate and analyze the effect of diabetes mellitus on the incidence of stroke. This research is a systematic review and meta-analysis research using the PRISMA diagram. Article searches were carried out based on the PICO Model eligibility criteria. P= DM patient; I= Diabetes mellitus; C= Normal blood sugar; O= Stroke. The articles used come from Google Scholar. With keywords including "Diabetes mellitus" AND "Normal blood sugar" AND "Stroke" AND "adjusted Odds Ratio". Articles were analyzed using the PRISMA diagram and the Review Manager 5.3 application. 5 articles (2016-2022) with a randomized controlled trial study design will be used as a source for meta-analysis of the effect of diabetes mellitus on the incidence of stroke. Shows that people with diabetes mellitus increase the likelihood of stroke. Patients suffering from diabetes mellitus increase the likelihood of stroke by 2.41 times compared to those with normal blood sugar. (aOR= 2.41; 95% CI= 1.71 to 3.39; p=0.0001), and statistically significant. The forest plot also shows high heterogeneity of effect estimates between studies (I2 = 73%). The funnel plot shows that there is publication bias which tends to exaggerate the true effect (overestimate). Meta-analysis of 5 studies cross-sectional concluded that people with diabetes mellitus increase the likelihood of stroke.
Co-Authors -, Ardyasih - Abrori, Abrori Adi Saputro, Endri Aditya, Mifta Adrianto, Ratno Agustina, Elvi Ahmad Zamani, Ahmad Al-Ayubi, Moch Thoriq Assegaf Anamnart, Witthaya Anasulfalah, Hakim Anjani, Aiko Nurrahma Anom Dwi Prakoso Aqsyari, Rizki Ardia Pramesti, Risa Arfandi, Muh. Amri Arifah Chofsoh, Salma Arlina Azka Atmojo, Joko Tri Aulia, Hanifah Dina Auraldi Nansurya, Alga Ayu Anulus Baehaqi Baiq Santi Rengganis Basrowi, Ray Wagiu Bekti Sayekti , Muna Bhisma Murti Blego Sedionoto, Blego Budi Rahardjo Budi Rahardjo Budi Utomo Cahyana, Yudi Jaya Dara Fitri Andrian Daryanto Daryanto Dewi Lieskusumastuti, Anita Dewi Puspito Sari Dewi Puspito Sari Dewi Puspito Sari, Dewi Puspito Dian Margi Utami Dian setyaningsih Didik Tamtomo, Didik Dina Irawati Dodiet Aditya Setyawan Dwi Lestari Eri Pramuja, Wanda Ernawati, Heni Ester Kristian Pamurti Febri Susanti, Rinandita Gabriela Advitri Febriani Hanif, Ihsan Hanifah Dina Aulia Hanifah, Lilik Haryanti, Titik - Henda Ardiani, Intan Hendra Dwi Kurniawan, Hendra Dwi Hesty Erika Silitonga Hidayati, Anisa Ihdina Fityatal Hasanah, Yesi Iik Sartika Ika Yuli Ayuningrum Indah Wulandari, Dwi Indarto Indarto Indriani, Dilla C Intan Kurnia Irfansyah Baharuddin Pakki Irirwanas, Intannia D Ismail, Aem Iswahyuni, Sri Joko Triwibowo, Joko Joko Yulianto, Dwi K., Iriyani Karmadi, Karmadi Khansa Azizah, Fara Kuntari, Saras Lestari, Ida Ayu Indira Dwika M Taufik Maratul Munawar, Siti Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Miranda Juandrina, Shella Mirsanti, Faradilla Mirshanti, Farahdila Mochamad Makin, Mochamad Mubarok, Ahmad Syauqi Muh. Amri Arfandi Muhammad Aidil Fitrah Muhammad Zakki Saefurrohim Nabila Vebiana Soviadi Noerlita Ningrum, Andriani Novitasari, Meliana Nur Fauziah, Ani Nur Rokhmatun, Puji Nurhayati, Isnani Nurrochim, Nurrochim Permata Fitrianisa, Salsayabila Pradana Putri, Anggie Pradana, Anggie Prasetya, Hanung Puji Lestari, Apriliani Puspitasary, Kiki Puspitasary, Kiky Rahma Widyaningrum, Nova Ramadhani, Reza W Rasyid Ridha, Achmad Ratih Fianni Sigit Ratih Puspita Febrinasari Ratih Wirapuspita Wisnuwardani Rejo, Rejo Reza Kurnia, Febria Risva Risva Risva Rohmi, Rohmi Roma Yuliana Ruqayyah, Siti S Siswanto Sabngatun, Sabngatun Saefurrohim, Muhamad Zakki Sayekti Heni Sunaryanti, Sri Sekar Wijayanti , Nia Septiana, Lisa Setiawan Manurung, Budi Setyorini, Catur Shinta, Amara Wahyu Febrianshinta Sindi Wardani, Galuh Siswanto Siti Lutfiyah Ulfa Siti Maesaroh SITI MARIA ULFA siti nurlela Solly Aryza Suci Susilastuti , Mustika Suciyati Suciyati, Suciyati Sudiro Sudiro Sumardiyono Sumardiyono Suryono Suryono Syauqi Mubarok, Ahmad Sylvia Gusrina Titik Haryanti Tri Atmojo, Joko Tri Darmayanti, Aquartuti Tri Handayani, Rina Tri Yuniarti, Tri Verasita, Prissy Verry Asfirizal Widiyanto, Aris Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Zainafree , Intan Zakki Saefurrohim, Muhamad Zheditya Ayu Syawalia