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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) Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences MAHESA : Malahayati Health Student Journal Narra J Journal Of World Science Jurnal Farmanesia International Journal of Public Health Excellence (IJPHE) Asian Journal of Public Health and Nursing Media Penelitian dan Pengembangan Kesehatan Holistik Jurnal Kesehatan Jurnal Ragam Pengabdian Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Usman, Said
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Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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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.
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.
Determinants of Compliance of Pregnant Women in Participating in the Class Program for Pregnant Women in Aceh Besar District Alfiana, Alfiana; Z, Nasrul; Usman, Said; Maulana, T.; Saputra, Irwan
Journal of World Science Vol. 2 No. 3 (2023): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v2i3.250

Abstract

The implementation of the pregnant women class in Aceh Besar Regency has been carried out since 2020 with a target of 11,492 pregnant women. From observations, it is known that most pregnant women are less obedient in attending maternity classes. So, the purpose of this study is to analyze the compliance of pregnant women in participating in the class program for pregnant women in Aceh Besar district. This type of research uses observational cross-sectional design. The population of this study included classes of pregnant women at Indrapuri Health Center, Kuta Baro Health Center, and Darul Imarah Health Center, the sample in this study amounted to 180 pregnant women. The study found that the R-square value for service satisfaction was 0.694 and that internal and external factors could affect the compliance variables of pregnant women by 69.4%, with the remaining 30.6% influenced by other factors. Additionally, the implementation of the pregnant women class program was found to have an R-square value of 0.667, indicating that internal and external factors could affect it by 66.7%, with the remaining 33.3% influenced by other factors. The study also identified external factors, specifically knowledge, as the primary influencing factor on the implementation of the pregnant women class program, with a calculated value of 35,768 > table 1,624. Internal factors (age, income, motivation, and parity) and external factors (knowledge, attitudes, family support, and mileage) influence the compliance of pregnant women and the implementation of classes for pregnant women in Aceh Besar District.
The Influence of Social Support on the Success of Exclusive Breastfeeding in Working Mothers as an Effort to Prevent Stunting Sasmita, Yenni; Yasni, Hilma; Devi, Desriati; Usrina, Nora; Nurhasanah, Cut; Usman, Said; Raisah, Putri
Jurnal Ragam Pengabdian Vol. 3 No. 3 (2026): September-Desember In Progress
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/5t4hxw74

Abstract

Stunting remains a health issue requiring preventive efforts, one of which is exclusive breastfeeding. For working mothers, the success of exclusive breastfeeding can be influenced by social support, yet it is also linked to various internal and external factors. This study aimed to analyze the relationship between the level of social support and the success of exclusive breastfeeding among working mothers as a stunting prevention strategy. A descriptive-analytic design with a quantitative approach and a cross-sectional study was employed in the working area of ​​the Samadua Community Health Center (Puskesmas), South Aceh Regency. The sample consisted of 92 working mothers who were breastfeeding, selected via purposive sampling. Data were collected through questionnaires and interviews, then analyzed using univariate and bivariate methods (Chi-Square test). The results showed that 69 respondents (75.0%) received positive social support, and 72 respondents (78.3%) successfully practiced exclusive breastfeeding. Among mothers receiving positive social support, 57 (62.0%) succeeded in exclusive breastfeeding, whereas in the group receiving negative social support, 15 (16.3%) succeeded. However, the Chi-Square test results indicated no significant relationship between social support and the success of exclusive breastfeeding (p=0.075). Thus, the success of exclusive breastfeeding among working mothers is determined not only by social support but also by factors such as knowledge, motivation, workplace conditions, institutional policies, and the health status of both mother and infant
Co-Authors Abdat, Munifah Agus Hendra Al Rahmad Agustina, Rini Fitri Ahmad Fauzan Alfiana Alfiana Amir-Behghadami, Mehrdad Bakhtiar Bakhtiar Binti Firdaus, Shausan Bouchra, Assarag Darmawi . Dedy Syahrizal Devi, Desriati Fahmi Ichwansyah Ferdi Riansyah Fitri, Aina Fitria Fitria Fredinan Yulianda Frisca Fazira Hafnidar A. Rani Hanifah Yusuf Hanum, Misra Haslinur, Sari Heni Pujiastuti Hilwa Salsabila 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 Mega Fatimah Rosana Mudatsir Mudatsir Nora Usrina Novita, Nia Hairu Nurhasanah, Cut Nurjannah Nurjannah Nurjannah Nurwijayanti Parperis, Konstantinos Rademaker, Marius Rahmahdani, Yuni Rahmatillah, Irhamni Raisah, Putri Rayhan, Muhammad A. Reka Julia Utama Ristiani Ristiani Sah, Ranjit Sallam, Dina E. Saputra, Irwan Sari, Etika Sasmita, Yenni Siswahyudianto Sofia Sofia, Sofia Suliawati, Gidul T. Maulana T. Maulana, T. Vento, Sandro Viveiros-Rosa, Sandro G. Wollina, Uwe Yasni, Hilma Yulia, Mirna Yusni Yusni Z, Nasrul Zakaria, Radhiah Zaman, Nasrul Zinatul Hayati