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THE EFFECT OF EXPLOSION BOX ON KNOWLEDGE AND COMPLIANCE TEENAGE GIRLS IN CONSUMING IRON TABLET SUPPLEMENT Firdawati, Firdawati; Hazanah, Sri; Tonapa, Emelia
Jurnal Ayurveda Medistra Vol 6 No 2 (2025): Jurnal Ayurveda Medistra
Publisher : STIKes Medistra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51690/medistra-jurnal123.v6i2.120

Abstract

Female adolescents are at increased risk for anemia since their iron needs peak between the ages of 14 and 15. Youth iron deficiency can lead to serious health problems, including anemia. One student in a group of nine reported having a hemoglobin (Hb) level of 12, and the other four reported experiencing fatigue, weakness, difficulty focusing in class, and other symptoms of anemia. The purpose of this study is to learn how exposure to the media shown in Exploding Box affects young women's self-control and decision-making when consuming dietary supplements. Method: This study has a pre-experimental design with a single-group pre- and post-test. In this study, we used a completely random sample of participants. Students from grades 10, 12, and 15 at MTs Al- Muhajirin Loa Janan make up the study's sample population. Female students fill kuesioners, and male researchers use lembar observatories to compile the data. SPSS is used for both univariate and bivariate data analysis. Research shows that both before and after receiving the intervention, the media explosion box had a significant impact on knowledge (p0,000) and respondent accuracy (p0,003). What this means is that young women at MTs Al- Muhajirin Loa Janan are more knowledgeable about and more likely to follow guidelines for taking tablet supplements of blood. Conclusions Based on research and analysis, it can be concluded that the media's influence on young women's knowledge of and behavior surrounding tablet consumption of added blood sugar is real. The hope is that this media explosion box will serve as a resource for raising awareness and encouraging action among young women to prevent anemia.
Correlation of Leukopenia with Vitamin D Levels in Ovarian Cancer Patients Undergoing Platinum-Taxane-Based Chemotherapy Antonius, Puja Agung; Firdawati, Firdawati; Syamel Muhammad; Yusrawati, Yusrawati; Karmia, Hudila Rifa; Wijaya, Caesar Muhammad
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.251-258.2025

Abstract

Introduction: Ovarian cancer is a significant cause of death in women. One of the management of advanced ovarian cancer patients is chemotherapy. The effects of administering Platinum-Taxane-Based chemotherapy to ovarian cancer patients show side effects of myelosuppression, one of which is leukopenia. Methods: This type of study is a correlation analytical study with a cross-sectional design from October 2023 to May 2024 at Dr. M. Djamil Central General Hospital Padang. The patients included were ovarian cancer patients who underwent Platinum-Taxane-Based chemotherapy with laboratory results of leukopenia. Results: From 70 patients, it was found that 37 patients (52.9%) had grade I leukopenia, 27 patients (38.6%) had grade II, and 6 patients (8.6%) had grade III. Based on the results obtained, in grade I leukopenia, the average vitamin D value is 13.162 ng/mL, grade II has an average vitamin D value of 11.851 ng/mL, grade III has an average vitamin D value of 14.333 ng/mL. The study results showed a relationship between leukopenia and vitamin D levels p = 0.034 (p < 0.05). Conclusion: There was a relationship between leukopenia and vitamin D levels in ovarian cancer patients undergoing Platinum-Taxane-Based Chemotherapy at Dr. M. Djamil Central General Hospital Padang.
Analysis of Determinants of Laboratory Equipment Operational Cooperation System Based on Cost Benefit Analysis in Hospital Management Perspective in X Kemalayanti, Nursep; Firdawati, Firdawati; Semiarty, Rima
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2319

Abstract

Procurement of laboratory equipment through operational cooperation is increasingly adopted by hospitals as a cost-effective and efficient strategy to support health services. This study examines the success of operational cooperation in procuring hematology analyzer equipment to replace damaged units, using a cost-benefit analysis (CBA) from the perspective of hospital management. Employing a sequential explanatory mixed-method approach, the study combined qualitative data from in-depth interviews with 12 purposively selected informants and observations, with quantitative analysis of secondary data using the CBA method. The analysis revealed a positive Net Present Value (NPV) of IDR 99,422,367.47 and a Benefit-Cost (B/C) ratio of 1.59, both exceeding the benchmarks of independent procurement. This indicates that operational cooperation is financially feasible and preferable. Non-financial benefits also strengthen this conclusion, including vendor-provided maintenance technicians, guaranteed supply of reagents and spare parts, and ongoing equipment upgrades aligned with technological advancements. These advantages minimize hospital disruptions and ensure service continuity. The study identifies key success determinants in the operational cooperation system: cost efficiency, human resources, regulatory compliance, vendor partnerships, equipment quality, historical laboratory data, and alignment with technological developments. In conclusion, operational cooperation for hematology analyzers is successful, sustainable, and offers significant benefits, both financial and operational, for hospitals.
Analysis of Workload and Needs for Nursing Staff at the Inpatient Installation of M.Zein Painan Regional Hospital Hamrita, Dona; Firdawati, Firdawati; Arif, Yulastri
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2248

Abstract

The nursing staff at M. Zein Painan Regional Hospital is experiencing an excess number of nurses which has a major impact on the hospital. Causing an increase in the burden of expenses and not having a function and maximum in improving the quality of service at the Hospital. The purpose of this study was to calculate the workload with the work sampling formula and calculate the need for nursing staff with the Ilyas method. This study was conducted starting in August 2024 using the mixed-methods method. The results of qualitative research showed that the nursing workload method system in the inpatient installation of M.Zein Painan Regional Hospital was not structured and the workload given to nurses did not match the number of nurses available. This is reinforced by the results of quantitative research on each inpatient installation at M.Zein Painan Regional Hospital with the Work Sampling method, the nurse's workload was relatively light. The number of nurses with the Ilyas Method found an excess of 43 nurses. The Hospital can carry out employee efficiency and effectiveness at M.Zein Painan Regional Hospital. It is hoped that this research can be the basis for a method for calculating the need for nursing staff at Class C Regional Hospitals.
Evaluasi Pelaksanaan Program Antenatal Care (ANC) Terpadu di Kabupaten Kerinci Rizola, Clodeya; Firdawati, Firdawati; Aladin, Aladin; Sriyanti, Roza; Ramadani, Mery; Meinapuri, Malinda
MAHESA : Malahayati Health Student Journal Vol 5, No 9 (2025): Volume 5 Nomor 9 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i9.22208

Abstract

ABSTRACT The Sustainable Development Goals (SDGs) emphasize the reduction of the maternal mortality rate (MMR) to 70 per 100,000 live births by 2030. Despite various efforts, the MMR in Indonesia, including in Kerinci Regency, remains high. Integrated Antenatal Care (ANC) has become a key strategy in reducing maternal mortality. This study aims to evaluate the implementation of integrated ANC services in Kerinci Regency and to explore the influencing factors, including aspects of policy, input, process, and output. This research employed a qualitative approach. Informants included the Regent, Head of the District Health Office, and health workers from community health centers (Puskesmas) with the highest and lowest ANC coverage, those contributing to maternal mortality cases, and those with no reported cases. Data were collected through interviews, observations, and document review. The findings revealed that there is no specific policy regarding integrated ANC services. Implementation is hindered by a shortage of trained medical personnel and the absence of dedicated funding. The service delivery process does not fully adhere to established Standard Operating Procedures (SOPs) and remains largely top-down in planning, although coordination among health workers is relatively strong. While pregnant women reported high levels of satisfaction, the coverage of key ANC indicators (K1 and K5) remains suboptimal. In conclusion, the implementation of integrated ANC services in Kerinci Regency remains suboptimal due to various constraints in policy, input, process, and output components. This study highlights the need for short- to long-term interventions and provides in-depth insights into the challenges of implementing integrated ANC in resource-limited settings.  Keywords: Antenatal Care, Health Policy, Maternal Mortality, Program Evaluation  ABSTRAK Tujuan Pembangunan Berkelanjutan (SDGs) menekankan penurunan angka kematian ibu (AKI) 70/100.000 kelahiran hidup pada tahun 2030. Berbagai upaya telah dilakukan, AKI di Indonesia, termasuk di Kabupaten Kerinci, masih tinggi. Antenatal Care (ANC) terpadu menjadi salah satu strategi penting dalam penurunan AKI. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan pelayanan ANC terpadu di Kabupaten Kerinci serta mengeksplorasi faktor-faktor yang memengaruhinya, termasuk kebijakan, input, proses, dan output. Penelitian ini menggunakan pendekatan kualitatif. Informan terdiri dari Bupati, Kepala Dinas Kesehatan, serta petugas dari Puskesmas dengan cakupan ANC tertinggi, terendah, penyumbang AKI, dan tanpa kasus AKI. Data dikumpulkan melalui wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa belum terdapat kebijakan khusus mengenai ANC terpadu, dan implementasi masih terkendala keterbatasan tenaga medis terlatih serta ketiadaan pendanaan khusus. Proses pelaksanaan belum sepenuhnya sesuai SOP dan masih didominasi perencanaan top-down, meskipun koordinasi antar petugas sudah berjalan cukup baik. Capaian indikator K1 dan K5 belum optimal, meskipun kepuasan ibu hamil tergolong tinggi. Kesimpulan penelitian ini bahwa pelaksanaan pelayanan ANC terpadu di Kabupaten Kerinci belum optimal dan masih menghadapi berbagai hambatan pada aspek kebijakan, input, proses, maupun output. Implikasi dari penelitian ini menunjukkan perlunya intervensi jangka pendek seperti rekrutmen, redistribusi dokter dan sosialisasi SOP, intervensi jangka menengah berupa pelatihan berjenjang dan penguatan pendanaan, serta intervensi jangka panjang melalui penguatan kebijakan daerah yang mendukung penurunan AKI Kata kunci: Antenatal Care Terpadu, Kebijakan Kesehatan, Angka Kematian Ibu, Evaluasi Program
Gambaran Kadar Hemoglobin pada Remaja Putri; Studi Kasus di SMP Negeri 27 Padang Burhan, Ida Rahmah; Firdawati, Firdawati; Asy Syukri, Muhammad Hasbi; Fauziah Nur; Fikri Rahman; Putri, Rizqy Nurfathonah; Asyifa Delfilaura; Rahadi, Didan Ariadapa; Dharma, Fitri Yeni
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.105-114.2025

Abstract

Introduction: The prevalence of anemia in adolescent girls worldwide is reported to be around 40-88%. Adolescent girls with anemia can affect work productivity or academic ability at school due to a lack of enthusiasm for learning and focus. Anemia in adolescent girls can continue throughout their lives and put them at risk of becoming anemic pregnant women who can give birth to premature babies and leading to stunting. This study aims to determine the description of hemoglobin levels in female adolescents at SMP Negeri 27 Padang. Method: The research was descriptive, using a sample of 116 adolescent girls selected by proportionate stratified random sampling. Hemoglobin levels were examined using the Point of Care Testing (POCT) method using capillary blood. Results: The results show that most hemoglobin levels are normal, namely 60 respondents (51,7%), low hemoglobin levels are 55 respondents (47,4%), and high hemoglobin levels are 1 respondents (0,9%). Conclusion: It can be concluded that hemoglobin levels among adolescent girls at SMP Negeri 27 Padang generally have normal hemoglobin levels. Keywords: Adolescent girls, anemia, hemoglobin
Hubungan Status Imunisasi dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Andalas Kota Padang Riona, Vira Harisa; Masnadi, Nice Rachmawati; Firdawati, Firdawati; Harmen, Anggia Perdana; Elmatris, Elmatris; Fadila, Zurayya
Jurnal Kesehatan Andalas Vol. 14 No. 1 (2025): March 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting is a linear growth failure caused by chronic malnutrition and recurrent infections that mainly occur in the first 1000 days of life. Infectious diseases can be prevented by providing immunizations. Immunization is one way to increase one's immunity against disease exposure actively. Objective: To determined the relation of immunization status with the incidence of stunting in children. Methods: Analytical research with a case-control design on 98 under-five children in the working area of Andalas Health Center was conducted from June to November 2024. Sampling was done by simple random sampling. Anthropometry was measured using body length or height measurements according to standards and data were collected by questionnaire. The data analysis used was Chi-square. Results: The incidence of stunting in the working area of Andalas Health Center was mainly (89.8%) experienced by children aged 24 - 59 months and more than half (59.2%) were female and most (81.6%) had an incomplete basic immunization status. The study also found that more than half (59.2%) of mothers' education in stunted children was high school and most (81.6%) occurred in mothers who did not work. There is a statistically significant relation between immunization status and the incidence of stunting in children, with p = 0.027 (p value <0.05) and OR value = 3.065. Conclusion: This means that under-five children who do not have complete basic immunization status have a 3.065 times higher chance of stunting than under-five children with complete basic immunization status. Keywords:  immunization status, under-five children, stunting
Cooperative Learning with a Game Model: Exploring Students' Speaking Ability About Asking and Giving Suggestions Firdawati, Firdawati; Fatmasari, Elli
ETDC: Indonesian Journal of Research and Educational Review Vol. 3 No. 4 (2024): September
Publisher : Education and Talent Development Center Indonesia (ETDC Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51574/ijrer.v3i4.367

Abstract

The purpose of this study was to improve speaking competence through the COLEGA (Cooperative Learning with Game) model for public middle school students. This study was classroom action research. The subjects of the study were 40 students in grade VIII of the public middle school 46 Bekasi. We conducted the study in two cycles, cycle I and cycle II. In the meantime, we collected data by following the steps of classroom action research, which include planning, implementing actions, observing, and reflecting. We used quantitative descriptive analysis to analyze the data. The study's results demonstrated that most students struggled to comprehend and react to the speaker's words. We can conclude that the level of teacher and student activity in the learning process during the two cycles was very high. In cycle 1, the student's learning completeness was 44.18%, and in cycle 2, it increased to 86.04%, with an average score of 69.5 in cycle 1 and 79.13 in cycle 2. Therefore, we conclude that the COLEGA method in grade VIII of public middle school 46 Bekasi has enhanced students' speaking skills in asking and making suggestions.
Analisis Pelaksanaan Siklus Manajemen Puskesmas pada Masa Adaptasi Kebiasaan Baru di Puskesmas Kota Padang Darsun, Celsia Krisanti; Firdawati, Firdawati; Astiena, Adila Kasni
JIK-JURNAL ILMU KESEHATAN Vol 6, No 2 (2022): JIK-Oktober Volume 6 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v6i2.579

Abstract

Sejak pandemi Covid-19, puskesmas menghadapi banyak tantangan dalam melaksanakan siklus manajemen puskesmas dengan baik, terutama di masa Adaptasi Kebiasaan Baru (AKB). Pada tahun 2020, dari 23 puskesmas di Kota Padang, hanya 8 puskesmas berkinerja manajemen baik, sedangkan 22 puskesmas lainnya berkinerja cukup. Hal ini jauh menurun dibandingkan pada tahun 2019 dimana terdapat 18 Puskesmas yang berkinerja baik dan 5 Puskesmas sisanya berkinerja cukup. Tujuan penelitian ini adalah untuk mendapatkan informasi mendalam mengenai pelaksanaan siklus manajemen puskesmas berdasarkan metode P1-P2-P3 pada masa AKB. Desain penelitian ini adalah kualitatif dengan jumlah informan 15 orang terdiri dari kepala puskesmas dan kepala tata usaha dari 6 puskesmas terpilih dan 2 informan dari Dinas Kesehatan Kota Padang, dilakukan pada rentang waktu Desember 2021 dan April 2022. Hasil penelitian diketahui bahwa proses P1 dilakukan dengan melibatkan lebih sedikit orang, dilakukan bertahap melalui penanggungjawab upaya kemudian ke tim PTP, dan tidak semua rangkaian kegiatan dapat terlaksana, proses P2 dilakukan dalam bentuk apel pagi, briefing/meeting staf serta lokmin yang frekuensinya berkurang, bertahap melalui pralokmin perupaya dengan metode online/offline kemudian dilanjutkan ke forum lokmin. Proses P3 dilakukan oleh Pj upaya, berjenjang ke kepala puskesmas, sedangkan pengawasan eksternal dari dinas kesehatan jarang dilakukan, sebagian besar melalui WA grup. Siklus manajemen puskesmas di Kota Padang pada masa AKB tidak terlaksana dengan baik, namun penyesuaian untuk pelaksanaan pralokmin per upaya sebelum pelaksanaan lokmin dianggap lebih efektif dan efisien di masa AKB dan masih digunakan beberapa puskesmas sampai saat sekarang ini.
The Difference in Average of Maternal Serum Hypoxia-Inducible Factors-1α Levels between Early Onset and Late-Onset Severe Preeclampsia Perdana, David; Defrin, Defrin; Firdawati, Firdawati
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 1 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.1.82-89.2021

Abstract

The purpose of this study is to know the difference average of maternal serum levels of HIF-1α between early-onset and late-onset severe preeclampsia. This study used a cross sectional comparative study design that conducted in Februari 2020 - Agustus 2020 in the SMF / Obstetrics and Gynecology department of RSUP dr. M. Djamil Padang, RSUD Achmad Mochtar, RSUD Pariaman, RSUD M Zein Painan. We used consecutive sampling method which consists of 60 pregnant women who fulfill the inclusion and exclusion criteria. They were divided into two groups early-onset severe preeclampsia and late-onset severe preeclampsia. HIF-1α tests were done using ELISA method. The average of maternal serum levels of HIF-1α in late-onset severe preeclampsia is found to be the highest when compared to the early-onset severe preeclampsia, 1,37 ± 1,08 ng/ml vs 0,69 ± 0,11 ng/ml. This difference is significant with the Mann-whitney non parametrical statistical test (p <0.05). There is a significant difference average of maternal serum levels of HIF-1α between early-onset and late-onset severe preeclampsiaKeywords: early onset severe preeclampsia, late onset preeclampsia late onset, maternal serum levels of  HIF-1α
Co-Authors - Afrizal Abdiana Abdiana, Abdiana Adang Bachtiar Ade Asyari Afdal Afdal, Afdal Aini, Iradatul Aisyah Elliyanti ALADIN ALADIN Albadrie, Syah Amin Amel Yanis Andani Eka Putra Anggraini, Zepa Annisa Fitri, Annisa Antonius, Puja Agung Ariadi, Ariadi Arif, Yulastri Astiena, Adila Kasni Asy Syukri, Muhammad Hasbi Asyifa Delfilaura Bantar, Kevin Basyir, Vaulline Daan Khambri Darsun, Celsia Krisanti David Perdana Deddy Saputra Defrin, Defrin Delmi Sulastri Dharma, Fitri Yeni Dian Isti Angraini Dini, Naura Hafiizha Effy Huriyati Elmatris Sy Emelia Tonapa Erlina Burhan Ernawati, Tuti Eti Yerizel Etriyel, Etriyel F, Fauzan Fadila, Zurayya Fadrian, Fadrian Fatmasari, Elli Fauziah Nur Fikri Rahman Fitriani Fitriani Gusti Revilla Halida, Erda Mutiara Hamrita, Dona Hanum, Fathiya Juwita Hardisman Harmen, Anggia Perdana Hazanah, Sri Hazmira Yozza Hidayat, Arde Husna Yetti Ida Rahmah Burhan Ilmiawati, Ilmiawati Izzati Rahmi HG Javandi, Muhammad Rayhan Abiyyu Jendrius Jendrius Joeharnani Tresnati Julizar Julizar Karmia, Hudila Rifa Kemalayanti, Nursep Khairy, Faldi Arkan Liana Verdini Lisfi, Indah Malinda Meinapuri Masnadi, Nice Rachmawati Maulana, Afdal Muhammad Idrus Muhammad Nur Nandini, Kiran Nasikah, Durotun Nathasa Khalida Dalimunthe Neherta, Meri Ningsih, Dewi Ayu Oktarina, Mika Prima Yori, Landura Puspasari, Kiki Putri, Rizqy Nurfathonah Rahadi, Didan Ariadapa Rahmad Gurusinga Rahmadini, Ade Ramadani, Mery Rasyid Putra, Muhammad Zaldy Ridwan, Laila Hijradesy Rima Semiarty Rini Gusya Liza, Rini Gusya Riona, Vira Harisa Rizanda Machmud Rizola, Clodeya Rosfita Rasyid Saputra, Candra Dwi Sastra Purna, Rozi Satria, Pom Harry Siswoyo, Slamet Tedy Soehartati Gondhowiardjo Sriyanti, Roza Sugeng Sugeng Suherlis, Septia Sukri Rahman Suwarni Suwarni Syamel Muhammad Utama, Bobby Indra Utami, Refi Amalia Vidyarini, Andra Wijaya, Caesar Muhammad Wirsma Arif Harahap Yaktiworo Indriani Yanuar, Ferra Yusrawati Yusrawati Zetra, Aidinil zukryandry, zukryandry Zulkifli Zulkifli