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All Journal E-Jurnal Medika Udayana Majalah Kesehatan FKUB Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Medikes (Media Informasi Kesehatan) Majalah Kesehatan Masyarakat Aceh (MaKMA) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences MAHESA : Malahayati Health Student Journal Narra J Jurnal Farmanesia International Journal of Public Health Excellence (IJPHE) Asian Journal of Public Health and Nursing Media Penelitian dan Pengembangan Kesehatan Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Usman, Said
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Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Experiences and Roles of Community Health Cadres in the Implementation of Integrated Service Posts for Non-Communicable Diseases in Indonesia: A Qualitative Study Rahmatillah, Irhamni; Usman, Said; nurjannah; Maulana, Teuku; Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/d3ex5550

Abstract

Background: Non-Communicable Diseases (NCDs) remain the leading cause of mortality globally and in Indonesia. To address this, Indonesia introduced the Posbindu PTM (Integrated Service Posts for NCDs), a community-based program that relies heavily on volunteer health cadres. This study explores the lived experiences, roles, and challenges faced by these cadres in Banda Aceh. Methods: A qualitative phenomenological approach was used. Twelve female health cadres from Ulee Kareng Health Center were selected using purposive sampling. Semi-structured interviews were conducted in January 2025. Thematic analysis using the Miles and Huberman model revealed two overarching themes and five subthemes, including personal empowerment, logistical constraints, low public participation, and digital limitations. Results: Health cadres reported increased knowledge and confidence in health promotion, but faced critical barriers such as infrastructure limitations, insufficient financial incentives, and community reluctance. Differences in perspectives emerged based on years of service. Notably, cadres with longer tenure (more than five years) expressed greater confidence and skill in engaging the community compared to newer cadres. Conclusion: While cadres derive personal growth and community recognition, system-level changes are essential for program sustainability. Policy recommendations include better government support, consistent training, stakeholder engagement, and adequate resources.
The Influence of Infographic Media on Prospective Brides' Knowledge about Reproductive Health Ananda, Nurul; Aramico, Basri; Ichwansyah, Fahmi; Usman, Said; Abdullah, Asnawi
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6582

Abstract

Reproductive health is an important aspect that every prospective bride and groom must understand to prepare for a healthy and quality family life. However, the low level of knowledge of prospective brides and grooms is a challenge in efforts to prevent reproductive health risks. This study aims to determine the effect of infographic media on prospective brides and grooms' knowledge of reproductive health. The research design used a quasi-experimental approach with a one-group pretest-posttest. A total of 88 respondents were selected purposively from four Religious Affairs Offices in Banda Aceh City. The instrument in the form of a questionnaire tested for validity and reliability was given before and after the intervention using infographic media. The analysis showed a significant increase in knowledge scores from an average of 9.02 in the pretest to 18.86 in the posttest (p = 0.000). However, multivariate analysis showed that the variables of age, gender, education, occupation, and income did not significantly affect changes in knowledge (p > 0.05). Infographic media has been proven to effectively convey information visually and increase the understanding of prospective brides and grooms regarding basic concepts of reproductive health more easily and attractively.
Pengalaman ibu dalam merawat anak dengan thalassemia mayor di rumah singgah thalassemia Banda Aceh Novita, Nia Hairu; Usman, Said; Rani, Hafnidar A
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1206

Abstract

Background: Thalassemia major is a chronic disease that, when diagnosed in children, can have significant emotional, cognitive, and daily impacts, especially on parents, and can also cause stress. Purpose: To explore mothers' experiences caring for children with thalassemia major at a thalassemia shelter in Banda Aceh. Method: This study used a qualitative design with a grounded theory approach. Interviews were conducted between August and September 2021 with six mothers caring for children with thalassemia major. Five main focus areas were explored: mothers' knowledge of thalassemia, concerns about their children's future, financial difficulties, family/social support received, and family resilience. Results: Parents believed that thalassemia major was not a hereditary disease, but they expressed concerns about their children's future, including the possibility of marriage. Finances were a major concern for families with children with thalassemia major, given that their children require routine monthly medication. Support from the surrounding community, both physical and material, was perceived to have a significant positive impact on mothers and families with children with thalassemia major. Families generally accept their child's condition. Conclusion: Caring for a child with thalassemia major requires time, effort, and expense. Mothers with more experience caring for children are generally more accepting of their child's condition. Suggestion: Healthcare workers in hospitals must be able to fulfill their roles broadly, not only as nurses but also as advocates for children and families concerned about thalassemia.   Keywords: Caregiving; Child; Maternal Experience; Thalassemia Major.   Pendahuluan: Thalassemia mayor merupakan penyakit kronik yang apabila terjadi pada anak dapat memberi dampak, khususnya terhadap orang tua dalam hal emosional, kognitif, dan kesehariannya dan juga dapat menimbulkan stress pada anak. Tujuan: Untuk mengeksplor pengalaman ibu dalam merawat anak dengan thalassemia mayor di rumah singgah thalassemia Banda Aceh Metode: Penelitian ini menggunakan rancangan kualitatif dengan pendekatan grounded theory pada 6 orang ibu yang merawat anak dengan thalasemia mayor dan dilaksanakan pada Agustus–September 2021. Adapun yang digali dalam penelitian ini menyangkut 5 hal yaitu pengetahuan ibu tentang thalasemia, kekhawatiran terhadap masa depan anak, kesulitan finansial, dukungan keluarga /sosial yang diterima, dan ketahanan keluarga. Hasil: Orang tua menganggap bahwa thalassemia mayor bukanlah penyakit keturunan, terdapat kecemasan terhadap masa depan anak, salah satunya adalah kemungkinan untuk bisa berumah tangga. Keuangan menjadi permasalahan utama bagi keluarga dengan anak thalassemia mayor mengingat bahwa anaknya membutuhkan pengobatan setiap bulan secara rutin, dukungan lingkungan sekitar baik secara real maupun materil dirasa sangat berdampak positif kepada ibu dan keluarga yang memiliki anak dengan thalassemia mayor, keluarga umumnya menerima kondisi penyakit anak mereka. Simpulan: Dibutuhkan waktu, tenaga, dan biaya dalam merawat anak dengan thalassemia mayor, biasanya ibu yang telah memiliki pengalaman lebih lama dalam merawat anaknya dapat lebih menerima kondisi penyakit anaknya. Saran: Tenaga kesehatan di tatanan rumah sakit agar dapat menjalankan perannya secara luas selain caring, namun juga mencakup peran sebagai advokasi bagi anak dan keluarga tentang penyakit thalassemia.   Kata Kunci: Anak; Merawat; Pengalaman Ibu; Thalassemia Mayor.
The Implementation of Female Circumcision by Midwives in Aceh Warahmah, Mawaddah; Nurjannah, Nurjannah; Hayati, Zinatul; Usman, Said; Saputra, Irwan
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1411

Abstract

The practice of Female Genital Mutilation (FGM), also known as female circumcision, is still maintained, especially in Aceh, despite being banned by the WHO and the government. This practice is not taught in the school, including the midwifery school, as midwives are among the healthcare providers who generally offer this service. The dynamics of policy changes and deeply rooted differences in religious and cultural views create confusion for midwives in the field, particularly given the still high demand and community encouragement. The purpose of this research was to analyse the factors influencing the implementation of female circumcision by midwives. This was a cross-sectional study with the population of midwives who were working in the Aceh Province region in 2024. The sample of this study consisted of midwives who provide female circumcision services in Aceh, with a sample size of 86 people. Statistical analysis used the Chi-Square test with the SPSS v.25 . The majority of midwives performed circumcision about 1-2 times a month, and midwives perceived circumcision as a social necessity. Midwives aged ≥ 43 years, with work experience ≥ 13 years, working for ≥ 20 years, possessing good knowledge, and having a positive attitude tended to perform risky circumcisions. The results of the statistical test indicated that there was no significant relationship between age, years of service, duration of providing female circumcision services, knowledge, attitude, and social needs regarding the implementation of female circumcision. The research results indicated that midwives in Aceh continue to practice female circumcision, with the majority performing it in a risky manner. Although midwives have positive knowledge and attitudes, social necessity factors are the main drivers in its implementation
The Influence of Snakes and Ladders Game Media on Handwashing with Soap (HWWS) Behavior among Elementary School Students in Central Aceh District Rahmahdani, Yuni; Saputra, Irwan; Nurjannah, Nurjannah; Usman, Said; T. Maulana
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1433

Abstract

Diarrhea remains a leading health issue among school-aged children in Indonesia. In central Aceh District, particularly in Bies Subdistrict, the incidence of diarrhea has increased, with one the primary contributing factors being poor handwashing with soap (HWWS) practices. Health education using engaging methods, such as the Snakes and Ladders game, may improve children’s behavior related to HWWS. This study aimed to determine the effect of the Snakes and Ladders educational game on HWWS behavior, including knowledge, attitude, and practice, among fourth- and fifth-grade students in the Central Aceh District. A quasi-experimental design with a nonequivalent control group was employed, involving 80 respondents divided into an intervention and a control group. The intervention group received HWWS education through the Snakes and Ladders game, while the control group received no special treatment. Data were collected using structured questionnaires and analyzed using the Mann-Whitney U Test and Wilcoxon Signed-Rank Test. Based on the results of the Mann Whitney test, it showed that there was no significant difference in knowledge between the intervention and control groups during the pretest (p = 0.649), but there was a significant difference in the posttest (p = 0.002). Attitudes showed differences both before (p = 0.000) and after the intervention (p = 0.000). Likewise, actions, there were significant differences in the pretest (p = 0.019) and posttest (p = 0.000). Meanwhile, the Wilcoxon test showed that there was a significant increase between the pretest and posttest in the intervention group, both in knowledge (p = 0.004), attitudes (p = 0.000), and actions (p = 0.000). The snakes and ladders educational game is effective in improving HWWS behavior among elementary school children. It is recommended as an enjoyable and innovative method for health education in school-bassed health programs.
Oral Manifestations in COVID-19 Patients Associated with Oral Hygiene in Aceh, Indonesia: A Literature Review Hanum, Misra; Abdat, Munifah; Nurjannah, Nurjannah; Saputra, Irwan; Usman, Said
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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

Abstract

COVID-19 became a pandemic because of its high-speed transmission via salivary and airborne droplet routes. Viruses can enter host cells through ACE-2 receptors in various human organs, including the oral cavity. The oral manifestations that arise include white plaque, ulceration, burning sensation, oral mucositis, depapillation of the tongue, dry mouth, halitosis, and loss of the sense of taste. Poor oral hygiene, comorbidities, decreased immunity, and stress can exacerbate these manifestations. This review study aimed to report various oral manifestations of COVID-19 related to oral hygiene. Relevant articles were identified from PubMed, ScienceDirect, Elsevier, and Google Scholar. Out of the 60 articles selected, only 36 could be reviewed. The World Health Organization recommends early detection for individuals with suspected exposure to the COVID-19 virus to control its spread, including checking for oral manifestations. Oral hygiene is an important factor affecting the manifestations of the oral cavity of COVID-19 patients, so examination of the condition of oral hygiene is recommended in the medical management of COVID-19 patients. To conclude, oral hygiene is related to the emergence of oral manifestation in COVID-19-infected patients.
Co-Authors Abdat, Munifah Agus Hendra Al Rahmad Agustina, Rini Fitri Ahmad Fauzan Amir-Behghadami, Mehrdad Ananda, Nurul Asnawi Abdullah Bakhtiar Bakhtiar Basri Aramico, Basri Binti Firdaus, Shausan Bouchra, Assarag Darmawi . Dedy Syahrizal Fahmi Ichwansyah Fazira, Frisca Fitri, Aina Fitria Fitria Fredinan Yulianda Hafnidar A. Rani Hanifah Yusuf Hanum, Misra Haslinur, Sari Heni Pujiastuti Hizir Sofyan Ichsan Ichsan Ikram, Aamer Ima Maria Ismail Ismail Jamil, Kurnian Fitri Julissasman, Julissasman Khader, Yousef S. Koyanagi, Ai Lemu, Yohannes K. Linguissi, Laure SG. M. Marthoenis Mahruri Saputra Maimun Syukri, Maimun Mamun, Mohammed A. Maulana, Teuku Maulida, Mahya Mawaddah Warahmah Mudatsir Mudatsir Nilawati Nilawati Nora Usrina Novita, Nia Hairu Nurjannah Nurjannah Nurjannah Parperis, Konstantinos Rademaker, Marius Rahmahdani, Yuni Rahmatillah, Irhamni Raisah, Putri Rayhan, Muhammad A. Reka Julia Utama Riansyah, Ferdi Ristiani, Ristiani Sah, Ranjit Sallam, Dina E. Salsabila, Hilwa Saputra, Irwan Sari, Etika Sofia Sofia, Sofia Suliawati, Gidul T. Maulana Vento, Sandro Viveiros-Rosa, Sandro G. Wollina, Uwe Yasni, Hilma Yulia, Mirna Yusni Yusni Zakaria, Radhiah Zaman, Nasrul Zinatul Hayati