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The Relationship Between Self Empowerment and Quality of Life In People with Type 2 Diabetes Mellitus at Dr. Ir. Iwan Bokings Salwia Hunowu; Nurdiana Djamaluddin; Nirwanto K. Rahim
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) January 2
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.10063

Abstract

Type 2 Diabetes Mellitus is a chronic disease with a significant increase in prevalence and has the potential to reduce quality of life due to complications and long-term management demands. Self-empowerment is an important component in disease management because it plays a role in improving patients' adaptability, confidence, and skills, which can further affect quality of life. This research aims to determine the relationship between self-empowerment and quality of life in patients with type 2 diabetes mellitus. This study is a quantitative study using a correlational analytical design and a cross sectional approach, involving 67 people who were taken using purposive sampling techniques. Respondents The results of the study showed that the majority of respondents had Self empowerment which was included in the sufficient category as many as 44 people (65.7%) and had quality of life in the moderate category as many as 46 people (68.7%). It shows that the better the level of self-empowerment that the respondents have, the better the quality of life they feel. Based on the results of the Chi-Square test, the p value was 0.009 (p < 0.05). This shows that there is a significant relationship between self-empowerment and quality of life in patients with Type 2 Diabetes Mellitus where the better the level of self-empowerment that the respondent has, the better the quality of life felt.
The Relationship of Hba1c Levels with Sexual Function Disorders in Patients with Diabetes Mellitus in the Internment Room of Prof. Dr. H. Aloei Saboe Hospital Gorontalo City Yugita Achmad; Ita Sulistiani; Nirwanto K. Rahim
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) January 2
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i1.10249

Abstract

HbA1c is the result of glycemic control of DM patients over the last 2–3 months, so it is more accurate than just using a momentary blood glucose test. Poor HbA1c control has a significant impact on a variety of complications, including impaired sexual function. Sexual dysfunction in diabetic patients is not only influenced by physiological factors, but also by psychosocial factors such as depression, anxiety, and sexual self-perception disorders (sexual self-concept. The purpose of this study is to analyze the relationship between HbA1c levels and sexual function disorders in patients with diabetes mellitus in the internal room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. The design of this study uses quantitative research with a cross sectional approach. The study population amounted to 74 DM patients with a sample of 42 respondents selected using purposive sampling techniques. The instruments in this study are questionnaires (IIEF) for men and (FSFI) for women. The statistical test used was the chi square test with the result of a p-value = 0.006 (< 0.05) where there was a relationship between HbA1c levels and impaired sexual function in patients with diabetes mellitus. Therefore, it is hoped that health care facilities need to integrate screening for sexual dysfunction disorders in the education program for DM patients
EVALUATION OF USER SATISFACTION WITH THE HIVISITSCREEN WEBSITE AS AN EDUCATIONAL MEDIUM TO IMPROVE HIV LITERACY AND REDUCE STUDENT STIGMA TOWARD PEOPLE LIVING WITH HIV (PLHIV) Nirwanto K. Rahim; Ayu Rofia Nurfadhilah; Erwin Purwanto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1745

Abstract

HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immunodeficiency Syndrome) remain a global public health crisis, with the increasing number of cases in Indonesia, including Gorontalo, indicating a lack of public knowledge and high social stigma as major obstacles. Advances in information technology offer significant opportunities for health promotion. HiVisitScreen is a modern, website-based digital platform developed as an educational medium to provide up-to-date information on HIV/AIDS, facilitate safe and confidential health access, and reduce the spread of HIV. This descriptive quantitative study, using a cross-sectional design, aimed to describe user satisfaction with the HiVisitScreen website among 150 active students at Gorontalo State University (UNG). User satisfaction was measured using the 13-item End User Computing Satisfaction (EUCS) questionnaire. The results show that overall, users were satisfied with the HiVisitScreen website, with a total mean score of 3.45 (Satisfied category). Among the five EUCS dimensions, Ease of Use had the highest mean score of 3.51 (Highly Satisfied category), emphasizing the application's user-friendliness and accessibility. Meanwhile, the Content dimension received the lowest mean score of 3.40 (Satisfied category), indicating that while the information is relevant and clear, improvements are needed in the completeness and suitability of the content to specific user needs, supporting the plan to add prevention features for serodiscordant couples. The HiVisitScreen website has successfully met user expectations and has the potential to function as an effective website-based intervention in HIV case management within the campus environment.
A PLISSIT-BASED COMPREHENSIVE SEXUAL EDUCATION INTERVENTION ON ATTITUDES TOWARDS HIV TRANSMISSION PREVENTION IN ADOLESCENTS: A GENDER EQUALITY PERSPECTIVE Nirwanto K. Rahim; Erwin Purwanto
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1746

Abstract

Adolescents are a vulnerable group to the risks of sexual violence and HIV transmission due to limited sexual literacy, insufficient access to accurate reproductive health information, and strong socio-cultural taboos surrounding sexuality. Comprehensive interventions are needed to equip adolescents with adequate knowledge, attitudes, and gender-sensitive decision-making skills. This study aimed to analyze the effectiveness of a PLISSIT-based Comprehensive Sexual Education intervention in improving adolescents’ attitudes toward HIV transmission prevention from a gender equality perspective. This quasi-experimental study involved 100 students selected through simple random sampling and divided into experimental and control groups. The experimental group received four PLISSIT-based educational sessions integrating gender equality principles, while the control group received conventional sexual education. Data were collected using pre- and post-test questionnaires and analyzed using the Wilcoxon signed-rank test. The results showed a substantial improvement in adolescents’ attitudes after the intervention. Prior to the intervention, only 18% of students demonstrated good attitudes toward HIV prevention, while 82% were categorized as poor. After the intervention, 90% of students in the experimental group showed good attitudes, and only 10% remained in the poor category, with a statistically significant difference (p = 0.001). These findings indicate that the PLISSIT-based comprehensive sexual education model is effective in shaping positive attitudes by providing a safe space for discussion, relevant information, and gender-responsive guidance. In conclusion, the PLISSIT-based intervention significantly enhances adolescents’ attitudes toward HIV prevention and can serve as a strategic approach in school-based reproductive health education.
OVERVIEW OF COMMUNITY STIGMA TOWARD PEOPLE LIVING WITH HIV/AIDS IN GORONTALO CITY Nirwanto K. Rahim; Ita Sulistiani; Ayu Rofia Nurfadhilah
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1747

Abstract

HIV/AIDS remains a major public health concern worldwide, and stigma toward People Living with HIV/AIDS (PLWHA) continues to hinder prevention and treatment efforts, particularly in regions with limited health literacy. In Gorontalo City, community stigma persists due to misconceptions about HIV transmission, exaggerated fears, and culturally embedded moral judgments that associate HIV with deviant behavior. This study aims to describe the level of community stigma toward PLWHA in Liluwo Village and identify factors contributing to these attitudes. Using an analytical survey with a cross-sectional design, the study involved 185 respondents selected through stratified random sampling. A structured questionnaire assessed respondents’ HIV/AIDS knowledge, religiosity, and stigmatizing attitudes. The findings reveal that 102 respondents (55.1%) demonstrated stigmatizing behaviors, characterized by avoidance of physical contact, reluctance to live near PLWHA, fear of sharing public spaces, and inaccurate beliefs about how HIV is transmitted. Meanwhile, 83 respondents (44.9%) exhibited no stigma, showing higher levels of HIV-related knowledge, a better understanding of scientific facts about transmission, and a more empathetic and inclusive approach toward PLWHA. The variation between these groups highlights the crucial role of health literacy, cultural norms, and access to accurate information in shaping community attitudes. The study concludes that reducing stigma requires comprehensive and continuous educational interventions, targeted health promotion, and active involvement of community and religious leaders to build a more supportive environment for PLWHA. Strengthening public understanding is essential to ensure equitable treatment and improve the well-being of those affected by HIV.
Safeheaven: Kolaborasi Teknologi Dan Masyarakat Dalam Mewujudkan Desa Zero Sex Harm Rahim, Nirwanto K.; Djamaluddin , Nurdiana; Nurfadhillah, Ayu Rofia
Jurnal Mandala Pengabdian Masyarakat Vol. 6 No. 2 (2025): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v6i2.914

Abstract

kekerasan seksual merupakan masalah sosial serius yang masih sering terjadi di tingkat desa dan kerap tidak terlaporkan akibat stigma sosial, rasa takut, serta belum tersedianya sistem pelaporan yang aman dan terintegrasi. Kondisi ini juga ditemukan di Desa Padengo, Kecamatan Duhiadaa, Kabupaten Pohuwato, di mana tingkat pelaporan kasus kekerasan seksual masih sangat rendah meskipun prevalensinya meningkat setiap tahun. Menjawab permasalahan tersebut, Program Pengabdian kepada Masyarakat (PKM) SafeHeaven dikembangkan sebagai inovasi teknologi berbasis sistem informasi yang berfungsi untuk memfasilitasi pelaporan kekerasan seksual secara aman, rahasia, dan cepat, sekaligus memberdayakan masyarakat dalam pencegahan dan pendampingan korban. Metode pelaksanaan program meliputi lima tahapan utama, yaitu koordinasi awal dan identifikasi masalah, sosialisasi dan edukasi masyarakat, pelatihan kader kesehatan dan perangkat desa, pengembangan serta uji coba aplikasi SafeHeaven, dan pendampingan serta evaluasi program. Data dikumpulkan melalui observasi, wawancara, serta pre-test dan post-test terhadap 30 peserta untuk menilai peningkatan pengetahuan dan keterampilan. Hasil kegiatan menunjukkan adanya peningkatan rata-rata pengetahuan masyarakat dari 68,00 pada pre-test menjadi 80,38 pada post-test, menandakan peningkatan signifikan sebesar 12,38 poin setelah pelatihan. Aplikasi SafeHeaven versi prototype juga telah berhasil dikembangkan dengan fitur pelaporan kasus, tombol darurat (SOS), dan pusat informasi edukatif. Hasil uji coba menunjukkan 90% responden merasa lebih nyaman melapor melalui aplikasi dibandingkan secara langsung, dan 85% kader mampu mengedukasi warga dalam penggunaannya. Selain itu, telah disusun Standar Operasional Prosedur (SOP) Desa Aman dari Kekerasan Seksual serta pembentukan Tim Perlindungan Perempuan dan Anak (TPPA) Desa Padengo sebagai upaya keberlanjutan program. Secara keseluruhan, SafeHeaven menjadi model kolaborasi antara teknologi dan masyarakat dalam membangun sistem pelaporan kekerasan seksual berbasis komunitas yang efektif dan berkelanjutan. Program ini berpotensi direplikasi ke desa-desa lain untuk mendukung terwujudnya Desa Zero Sex Harm, yaitu desa yang aman, inklusif, dan tanggap terhadap kekerasan seksual.
STUDI FENOMENOLOGI: PENGALAMAN KELUARGA MERAWAT ANGGOTA KELUARGA DENGAN PENGOBATAN TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS DUMBAYABULAN Nur Ayun R. Yusuf; Wirda Y. Dulahu; Nirwanto K. Rahim; Parlan Mohamad
An Idea Health Journal Vol 4 No 02 (2024)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v4i02.343

Abstract

Tuberculosis is one of the top 10 infectious diseases that cause death worldwide and causes more deaths than HIV/AIDS annually. Several things support the success of treatment, considering that the duration of tuberculosis treatment is at least six months, one of which is family support. Therefore, is is necessary to determine the family’s experience treating tuberculosis patients. This research aims to determine the experience of family members in treating tuberculosis patients in the Puskesmas Dumbaya Bulan Working Area. This research employs qualitative research with a phenomenological approach. This approach is used to understand individual life experiences toward life goals with data focused on the experience of being involved with family members in treating tuberculosis patients. There are six participants involved and are determined trought data saturation. The results indicate five themes: family knowledge about tuberculosis, family experience in treating tuberculosis patients in the early stages, history of previous experience in treating tuberculosis patients, support while the patients is on tuberculosis treatment, and the risk of treatment failure, and family expectations. The results are expected to provide information about the family’s experience in treating patients to be developed for further research.
Hubungan Peran Pengawas Minum Obat dengan Kepatuhan Antiretrovital Pasien HIV di Rumah Singgah Dukungan Sebaya Nirwanto Rahim; Elvie F. Dungga; Nur Ayun R. Yusuf; Mirsa Setyawan Ino
An Idea Health Journal Vol 4 No 02 (2024)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v4i02.353

Abstract

Non-adherence to ARV (Antiretroviral) treatment results in patients not recovering and potentially worsening. One effort undertaken by various parties is to HIV in peer support shelters in Gorontalo City. The research method employed quantitative research with a Cross-Sectional design. The population of this study consisted of PLHIV (People Living with HIV/AIDS) in peer support shelters, totaling 50 respondents determined through. Total Sampling technique. Furthermore, the data analysis was conducted using the Chi- Square test. The findings denoted that there was a significant correlation between medication supervisors and antiretroviral adherence among patients with HIV in peer support shelters in Gorontalo City (p=0.006). It is hoped that the findings of this study can be utilized to increase public knowledg that society will better understand aspects related to HIV transmission and treatment.
Easy Service Emergency Call Center Application for Emergency First Aid Knowledge in Modelomo Village Community Zulkifli B Pomalango; Nirwanto K Rahim
An Idea Health Journal Vol 5 No 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i01.399

Abstract

A total of 36 cases of traffic accidents occurred in January 2024, while in February there were 25 cases of accidents in Gorontalo Regency. Initial data indicates that many people are still unaware of how to provide first aid in the event of an accident. To address this, the development of an Android-based first aid education application has been implemented, offering significant benefitsto Android smartphone clients in getting data on to begin with help measures during accidents.The objective of this research is to analyze the impact of the Easy Service Emergency call center application on the knowledge of emergency first aid among the residents of Modelomo Village. This study uses a pre-experimental research design with a one-group pretest-posttest design. This study was conducted in Modelomo Village, Tiamuta District, Gorontalo Regency. The research was conducted from February to March 2024. The targeted outcome of this research is to demonstrate the utilization of the Easy Service Emergency call center application in improving the community's knowledge of emergency first aid in Modelomo Village, thereby potentially reducing the incidence and impact of traffic accidents at an early stage.
Correlation between Marital Status and Consistent Use of Condoms in People with HIV (ODHIV) at Rumah Singgah Dukungan Sebaya Kota Gorontalo Rosmin Ilham; Nirwanto Rahim; Ita Sulistiani; Yuniar M. Soeli; Filsa Husain
An Idea Health Journal Vol 3 No 01 (2023): FEBRUARY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i01.145

Abstract

HIV is still a major health problem, due to its increasing prevalence. To prevent it, many things can be done, one of which is the use of condoms. However, often the use of condoms is something that is often neglected so condoms are often inconsistent. The results of the study show that there is a significant relationship between marital status and the consistency of condom use. Married respondents tend to consistently use condoms. This is because married couples with status as PLWHA will pay more attention to safety in intercourse. After all, they realize that having intercourse without using a condom will worsen the partner's health condition. the significant relationship between marital status and consistency condoms
Co-Authors Abdul Wahab Pakaya Adjie, Mohammad Agung Agung Waluyo Akase, Kurniawan A. Ali, Nabila Salsabila H. Alyaa Aladawiyah Lalapa Anindya Prananda Ishak Antu, Mihrawaty S Arifin Suking Astrit Lamadi Aswad, Ahmad Ayu Rofia Nurfadhilah Ayu Rofia Nurfadillah Basir, Ita Sulistiani Clara Alvioni Puteri I Mohamad Dea Aprilya A. Mano Desy Sulistiawati Alimudin Dewi Apriani Dunggio Dewi Suraynigsih Hiola Djamaluddin , Nurdiana Dumar, Bergita Dungga, Elvie F. Eko Santoso Elvie F. Dungga Erwin Purwanto Filsa Husain Firmawaty, Firmawaty Gani, Febriansyah M. Herlina Jusuf Hunawa, Rachmawaty Dirham Hunta, Fairuz Adilisty Husain, Filsa Ika Wulansari Indra, Indra Ino, Mirsa Setyawan Ita Sulistiani Ita Sulistiani Ita Sulistiani Ita Sulistiani Basir Jamal Bahua Johan Arya Harun Kaluku, Nur Sasya Aulia Kasiem, Vivien Novarina A. Kasim, Mohamad Wahyu Katili, Ansar Kevin Efrain Tololiu Khairunnisa Otolomo M Soeli, Yuniar M. Yusril Ihza Djakaria Mano, Dea Aprilya A. Maryadi Maryam Rauf Maudy Balqish Pataria Mirsa Setyawan Ino Moh Amin Mosi Mohamad Wahyu Kasim Mohamad, Parlan Mosi, Moh Amin Nasrun Pakaya Nikma Suryana Harun Nis Fenti Tongkonoo Nur Afdillah Husa Nur Alifta Manopo Nur Ayun R Yusuf Nur Ayun R. Yusuf Nur Fitriah Jumatrin Nurdiana Djamaluddin Nurdiana Djamaluddin Nurdin, Zulkifli T. Nurfadhillah, Ayu Rofia Nurlin Nurlin, Nurlin Nurlinda Shafitri R. Paris Nurmelisa R. Djaini Paris, Nurlinda Shafitri R. Parlan Mohamad Poloalo, Amanda Rizki Popalo, Siti Rahma Febri Prisilia Nur Fadila Masionu Rachmawaty Hunawa Rahmat Anugerah Manto Reasioanto, Candra Rhein Djunaid Rhein Djunaid Djunaid Ridha Hafid Ronaldi Rosmin Ilham Rosmin Ilham Saleh, Rahmatia Sabrun Salwia Hunowu Sartika Siti Rahma Sitti Fatimah M. Arsad Sitti Fatimah Meylandri Arsad Sitti Roskina Mas Soeli, Yuniar M. Sri A. Ibrahim Sri Mauliddina Adolo Sri Rahayu A. Aswadi Sri Wahyuni Kasim Sri Yona Sri Yulian Hunowu Suleman Ibrahim Sulistiani, Ita Suwardha Yunus Suwarly Mobiliu Suwarly Mobiliu Syahrul Rahman Vivien Novarina A. Kasim Widyawati Bawu Wirda Y Dulahu Wulansari, Ika Yugita Achmad Yuniar M Soeli Yuniar M. Soeli Yuniar M. Soeli Yuniar M. Soeli Yuniar M. Soeli Yuniar Mansye Soeli Yunisa Bakari Yunus, Suwardha Yusuf, Nur Ayun R. Zuhriana K. Yusuf Zuhriana K. Yusuf Zuhriana K.Yusuf Zulkifli B Pomalango Zulkifli B. Pomalango