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Characteristics of Hypertension Patients at Loa Bakung Community Health Center Noorhayaty, Noorhayaty; Iriyani, Iriyani; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin
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 : Hypertension is a non- communicable disease that is one of the main causes of premature death in the world. The World health Organization (WHO) estimates that in 2025 there will be an increase in hypertension cases by around 80%, in 2000 from 639 million cases to 1.5 billion cases. Hypertension is the third leading cause of death in Indonesia for all ages. In 2015, surveys showed that 1 in 4 women and 1 in 5 men suffer from hypertension. Less than 1 in 5 people have hypertension that is well controlled and more than 9 million deaths are related to hypertension Objective : This study aims to determine the characteristics of hypertensive patients in Loa Bakung Community Health Center. The characteristics referred to gender, age, BMI, hypertension degree, and sub district. Research Methods/ Implementation Methods : The method used is descriptive, with a total sampling technique of 251 people. Results : The study results showed that 80 (31.9%) were male patients with hypertension, while 171 (68.1%) were female. There were 146 adult patients aged 18-59 (58.2%), and 105 elderly patients (41.8%) aged over 60 years. There were 96 hypertensive patients with a normal BMI (38.2%), 98 overweight patients (39%), and 57 obese patients (22.7%). The number of patients with normal hypertension (after regular treatment) was 67 (26.7%), 53 pre-hypertension patients (21.1%), 94 grade I hypertension patients (37.5%), and 37 grade II hypertension patients (14.7%). Patients who live in Loa Bakung sub-district are 220 (87.6%), Loa Buah sub-district 21 (8.4%), other sub-districts 10 (4%). Conclusion/Lesson Learned : The conclusion is that based on gender, there are more female patients than male patients, more adult hypertension patients (aged 15-59 years) than elderly patients, and more overweight patients have a BMI than other nutritional statuses. The number of hypertension patients with grade 1 hypertension is higher. Most hypertension patients who seek treatment at the Loa Bakung Community Health Center live in the Loa Bakung sub-district.
Narrative Review: Factors Associated with the Sexually TransmittedInfections (STIs) Among Tugboat Crews in the Mahakam River Wardani, Nunuk Kusuma; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad
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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Background : Sexually transmitted infections (STIs) remain a persistent global health concern, particularly among maritime workers such as tugboat crews. Prolonged sailing periods, limited healthcare access, and high-risk sexual behavior increase their vulnerability to infection. This narrative review aims to summarize key determinants influencing STI risks and prevention behaviors among tugboat crews in the Mahakam River area. Objective : This review seeks to identify and analyze the main determinants related to STI occurrence among tugboat crews, focusing on individual, social, and environmental aspects. The objectives include describing individual factors such as knowledge, attitude, and sexual behavior; exploring social and environmental determinants like social support, access to health services, and working conditions; and synthesizing evidence-based recommendations for strengthening STI prevention programs among maritime workers. Research Methods/ Implementation Methods : Articles published between 2019 and 2025 were collected from PubMed and Google Scholar using keywords related to STIs, sailors, fishermen, and port workers. Thirty eligible studies in English were analyzed narratively to identify consistent determinants influencing STI prevention and risk. Results : The review revealed that low sexual health knowledge, negative attitudes toward STI prevention, and risky sexual behaviors are the dominant contributing factors. Additional barriers include stigma, cultural norms restricting sexual health discussion, and limited routine health screening among seafarers. These conditions increase vulnerability to STIs and hinder prevention efforts. Conclusion/Lesson Learned : Tugboat crews on the Mahakam River face elevated risks of STIs due to behavioral, social, and structural challenges. Integrated approaches involving education, access to health services, and supportive policies are essential for effective STI prevention. This review provides evidence to guide targeted interventions and policy development in maritime health programs.
The Relationship between Anxiety Symptoms and Smoking AmongAdolescents in Samarinda Insany, Vicca Yulia; Ningsih, Riyan; Azmiardi, Akhmad
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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Background : Adolescents are a vulnerable population for both anxiety disorders and health risk behaviors such as smoking, including the use of electronic cigarettes. Anxiety symptoms in adolescents are thought to contribute to earlier smoking initiation. Objective : This study aimed to examine the relationship between anxiety symptoms and smoking behavior among adolescents in Samarinda Research Methods/ Implementation Methods : This cross-sectional study was conducted in the working area of Baqa Primary Healthcare Center, Samarinda, in 2025. A total of 212 senior high school students were selected using a total sampling technique. Smoking behavior data were collected using a smoking behavior screening questionnaire. Anxiety symptoms were measured using the Mini MINDHEAR Youth Scale V.1 (anxiety subscore). Data were analyzed using univariate and bivariate analysis with the Chi-Square test Results : Most respondents were aged 15 to 17 years. Among the smokers, 40 participants were male (81%) and 9 were female (19%); 29 respondents (59%) reported smoking conventional tobacco cigarettes, while 20 respondents (40%) used electronic cigarettes. The proportion of smoking (tobacco/e-cigarettes) among respondents with anxiety symptoms was 33.9%, compared to 19.2% among those without anxiety symptoms. There was a statistically significant association between anxiety symptoms and smoking behavior (p = 0.025; PR = 2.157; 95 percent CI = 1.091–4.264). Conclusion/Lesson Learned : There is a significant relationship between anxiety symptoms and smoking behavior among students. These findings highlight the importance of mental health screening and intervention within School Health Programs (UKS), Adolescent Integrated Community Health (Posyandu Remaja), and Smoking Cessation Program (UBM
Analysis of Hypertension, Smoking, Family History, and Obesity as Risk Factors for Coronary Heart Disease at the Kesdim Military Hospital Samarinda Kurnia, Intan; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad
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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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 Syawalia, Zheditya Ayu; Adrianto, Ratno; Azmiardi, Akhmad
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
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 Ardiansyah, Andika Nicholas Iqbal Arfandi, Muh Amri Arfandi, Muh. Amri Arifah Chofsoh, Salma Arlina Azka Asrianti, Tanti Atmojo, Joko Tri Aulia, Hanifah Dina Auraldi Nansurya, Alga Ayu Anulus Aziz, Rusna Azizah Baiq Santi Rengganis Bakhtiar, Rahmat Baruni, Amandha 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 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 Herliani, Resda Hidayati, Anisa Husna, Gusti Nurul Ihdina Fityatal Hasanah, Yesi Iik Sartika Ika Yuli Ayuningrum Indah Wulandari, Dwi Indarto Indarto Insany, Vicca Yulia Intan Kurnia, Intan Irfansyah Baharuddin Pakki Iriyani, Iriyani Ismail, Aem Iswahyuni, Sri Joko Triwibowo, Joko Joko Yulianto, Dwi K., Iriyani Karmadi, Karmadi Khansa Azizah, Fara Kuntari, Saras Kurniasih, Hefi Lestari, Ida Ayu Indira Dwika M Taufik Maharani, Siti Malikha Zalzabila Maratul Munawar, Siti Miranda Juandrina, Shella Mirsanti, Faradilla Mirshanti, Farahdila Mochamad Makin, Mochamad Mubarok, Ahmad Syauqi Muh. Amri Arfandi Muhammad Zakki Saefurrohim Ningrum, Vallina Laurensia Indika Noerlita Ningrum, Andriani Noorhayaty, Noorhayaty Novitasari, Meliana Nozomi, Alwan Zakki Nuning Nuning Nur Fauziah, Ani Nur Rokhmatun, Puji Nurhayati, Isnani Nurrochim, Nurrochim Pakki, Irfan Baharuddin Pamowa, Agustina Simanangi Permata Fitrianisa, Salsayabila Pradana Putri, Anggie Pradana, Anggie Prasetya, Hanung Puji Lestari, Apriliani Puspitasary, Kiki Puspitasary, Kiky Rahayu, Anisa Rahma Widyaningrum, Nova Rasyid Ridha, Achmad Ratih Puspita Febrinasari Ratih Wirapuspita Wisnuwardani Rejo, Rejo Reza Kurnia, Febria Risva Risva Riyan Ningsih 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 Sigit, Ratih Fianni Silitonga, Hesty Erika Sindi Wardani, Galuh Siswanto Siti Lutfiyah Ulfa Siti Maesaroh SITI MARIA ULFA Solly Aryza Sri Suparti Suci Susilastuti , Mustika Suciyati Suciyati, Suciyati Sudiro Sudiro Sumardiyono Sumardiyono Suryono Suryono Syauqi Mubarok, Ahmad Syawalia, Zheditya Ayu Titik Haryanti Tri Atmojo, Joko Tri Darmayanti, Aquartuti Tri Handayani, Rina Tri Yuniarti, Tri Utami, Dian Margi Verasita, Prissy Verry Asfirizal Wardani, Nunuk Kusuma Widiyanto, Aris Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Zainafree , Intan Zakki Saefurrohim, Muhamad