Thysa Thysmelia Affandi
Fakultas Kedokteran, Universitas Swadaya Gunung Jati

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The Influence of Internal Factors on the Success of Leprosy Treatment at Cibuaya Health Center, Indonesia Sari, Anggi Novita; Risman, Muhammad; Affandi, Thysa Thysmelia
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1238

Abstract

Background: Indonesia still has a significant number of leprosy cases; there was an increase in cases to 12,441 compared to the previous year, which was 10,976 (WHO, 2023). At the national level, the target percentage of leprosy treatment has not been reached; 87% achievement was obtained, while the national indicator target is 90%. Age, gender, marital status, education level, occupation, and leprosy type are among the internal characteristics that contribute to the effectiveness of leprosy therapy. The most leprosy cases in Karawang Regency are found in Cibuaya Health Center, Indonesia. Aims: This study aims to determine the influence of internal factors (age, gender, marital status, education, occupation, and leprosy type) on the success of leprosy treatment at the Cibuaya Health Center. Methods: Observational analysis with cross-sectional design was used in this study with a sample size of 110 respondents at the Cibuaya Health Center. Medical records from patients receiving leprosy treatment at the Cibuaya Health Center served as the sample. Total sampling, a non-probability sampling technique, has been used. The study was conducted in June 2024. Results: Leprosy treatment success was found to be influenced by age (p=0.09), gender (p=0.001), marital status (p=0.012), education level (p=0.001), and leprosy type (p=0.001) in the bivariate analysis using the Chi-square test. However, the occupation factor did not show a significant effect on treatment success (p=0.275). Based on multivariate logistic regression analysis, Leprosy type was the most dominant factor influencing treatment success (Exp(B) = 38.863). The limitation of this study is that it did not investigate internal factors in the success of leprosy treatment by using laboratory results (such as BTA testing) after treatment. Conclusion: The success of leprosy treatment at the Cibuaya Health Center is influenced by age, gender, marital status, education level, and leprosy type. The most influential factor on the success of leprosy treatment is the type of leprosy. However, the occupation factor did not show a significant effect on treatment success. These findings can inform targeted strategies to improve treatment outcomes, especially among high-risk groups such as Multibacillary (MB) patients and the elderly.
Hubungan Status Gizi dan Anemia dengan Kejadian Bayi Berat Badan Lahir Rendah (BBLR) pada Ibu Hamil Aterm di UPT. Puskesmas Majasem Kota Cirebon Utami, Diana Mega; Ahmad, Zulkifli; Affandi, Thysa Thysmelia
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49881

Abstract

Low birth weight (LBW) is an important indicator in assessing the health status of mothers and babies. LBW is closely related to nutritional status and anemia during pregnancy, both of which are public health problems in Indonesia. Pregnant women with chronic energy deficiency (CED) and anemia have a higher risk of giving birth to babies with LBW. Aim: To determine the correlation between nutritional status and anemia with the incidence of low birth weight (LBW) in term pregnant women at the Majasem Health Center, Cirebon City. Methods: This study was conducted in May 2025 at the Majasem Health Center, Cirebon City, used an analytical observational design with a cross-sectional approach. A sample of 90 term pregnant women was selected using a purposive sampling technique based on medical record data from November 2023 to October 2024. The analysis was carried out using the Fisher's Exact Test and Prevalence Ratio (PR). Results: Showed that 22.2% of pregnant women experienced CED and 20.0% experienced anemia. As many as 14.4% of babies were born with low birth weight. There is a significant correlation between nutritional status and the incidence of low birth weight babies (p=0.007; PR=5.744), and anemia with the incidence of low birth weight babies (p=0.020; PR=4.643). Conclusion: There is a correlation between nutritional status and anemia with the incidence of low birth weight infant in term pragnency. Pregnant women with CED and anemia have a higher risk of giving birth to low birth weight babies (LBW).