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The Relationship Between Nutritional Intake and Behavioral Factors on the Incidence of Anemia in Female Adolescents in Senior High Schools in Jambi City Ibnu, Ismi Nurwaqiah; Sitanggang, Hendra Dhermawan; Enis, Rina Nofri
Jurnal Kesmas Jambi Vol. 9 No. 2 (2025): VOLUME 9 - NUMBER 2 - July 2025
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v9i2.48431

Abstract

Adolescents are one of the high-risk groups for anemia. Adolescent girls who experience anemia and chronic energy deficiency are at risk of becoming stunted mothers. This study aims to identify the prevalence and determinants of adolescent girls that increase the risk of anemia in Jambi City. This study is an analytical study using a cross-sectional research design. The study was conducted from July to November 2024. The population in this study were all female high school students in Jambi City in 2023, namely 6878 students.  The minimum sample in this study was 201 female adolescents, who were divided into 6 public secondary schools that were randomized in clusters, grade XI female students, did not experience chronic/acute diseases related to bleeding. The variable of hemoglobin levels was measured by direct examination, the consumption variable was interviewed using a semi-FFQ questionnaire. Knowledge and attitude variables about anemia were also collected using a validated questionnaire. Univariate and bivariate tests and to measure the magnitude of risk using the SPSS data analysis program application. The results of this study are the prevalence of anemia in adolescent girls, namely 131 adolescents (64.7%) and the prevalence of chronic energy deficiency of 89 adolescents (44.3%). The conclusion is that the factors that influence the incidence of anemia in adolescent girls in Jambi City are carbohydrate intake (p.value = 0.033), protein intake (p-value = 0.000), iron intake (p.value = 0.000), zinc intake (p.value = 0.021), knowledge about anemia (p.value = 0.000), and attitudes towards anemia. (p.value = 0.000).
ENHANCING IPE FACILITATOR CAPACITY: A TRAINING PROGRAM ON UTILIZING THE RESPECT QUESTIONNAIRE TO EVALUATE INTERPROFESSIONAL REFLECTION ABILITY Ameli Dwi Fitri; Anggelia Puspasari; Citra Maharani; Rina Nofri Enis; Erny Kusdiyah; Wahyu Indah Dewi Aurora; Nyimas Natasha Ayu Shafira; Herlambang
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

ABSTRACT Interprofessional Education (IPE) is a mandated learning process to prepare "collaborative practice-ready" healthcare professionals. This community service aimed to enhance the capacity of teaching staff at the Faculty of Medicine and Health Sciences (FKIK) Jambi University (UNJA) as competent IPE facilitators, especially in evaluating students' interprofessional reflection abilities using the validated RESPECT instrument]. The training method was applied through lectures, discussions, and role-playing on giving constructive feedback. The activity successfully delivered material on reflection instruments and facilitator competencies to the target of 30 teaching staff. Facilitators were trained to be role models who emphasize reflection at both the professional and interprofessional levels, which is crucial for building a strong collaborative mindset and overcoming prejudices between professions. The result of this community service is a targeted increase in faculty capacity to assess student reflection, ensuring IPE implementation supports the creation of comprehensive healthcare services. Keywords: Collaboration, Facilitator, Interprofessional Education, Reflection, RESPECT  
Pemberdayaan Santri Sebagai ‘Peer Educator’ Kesehatan Reproduksi Dan PHBS Melalui Buku Saku Digital Di Pondok Pesantren Batanghari: Empowering Islamic Students as Peer Educators of Reproductive Health and Clean and Healthy Living Through a Digital Pocketbook At Batanghari Islamic Boarding School Sari, Puspita; Siregar, Sri Astuti; Enis, Rina Nofri
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i1.48323

Abstract

Clean and Healthy Living Behavior (PHBS) and reproductive health remain major issues in Islamic boarding schools (pesantren), including Darul Ikhwan Islamic Boarding School in Batanghari Regency. This community service program aims to empower students as peer educators through intensive training based on a digital pocketbook, with support from the Maro Sebo Ilir Community Health Center and the Danau Embat Village Government. Twenty-five students were selected from a pool of 50 students based on their communication skills and recommendations from their boarding school supervisors. The program, conducted in August 2025, began with a pre-test, presentation of material on reproductive health and PHBS, peer communication skills practice, and a post-test evaluation. Analysis using the Wilcoxon test showed a significant increase in students' knowledge (p=0.000), with 96% of participants experiencing an increase in their post-test scores. In addition to increased knowledge, all participants demonstrated effective communication skills, conveying health messages in a relaxed, participatory manner that was easily understood by their peers. The program results demonstrate that peer educator training can increase the capacity of students as agents of healthy behavior change in Islamic boarding schools. In conclusion, peer educator training was effective in improving students' knowledge and communication skills regarding reproductive health and PHBS. It is recommended that this program be expanded to include more students and provide cross-sector support to strengthen the sustainability of health education within Islamic boarding schools.
The Relationship Between Knowledge Level and Attitudes Towards HIV/AIDS Prevention Among Public High School Students Mahendra, Mhd Habib Dwi; Nuriyah; Erny Kusdiyah; Rina Nofri Enis
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.51122

Abstract

Background: Human immunodeficiency virus (HIV) is an infection that attacks the immune system, specifically white blood cells called CD4 cells. Acquired Immunodeficiency Syndrome (AIDS) is the final stage of HIV infection, which occurs when the immune system is severely damaged by the virus. The purpose of this study was to determine the relationship between knowledge levels and attitudes toward HIV/AIDS prevention behavior. Method: This study employed a descriptive design with a cross-sectional approach. The sample was obtained through random sampling, with a total of 502 respondents from grade 11 of public high schools in Jambi City. Data were analyzed using univariate and bivariate methods using the chi-square test. The research instrument used a structured questionnaire. Results: Of the 502 respondents, 119 students (51.1%) had a moderate to poor level of knowledge, while 170 students (33.9%) had a good level of knowledge. Regarding attitudes, 107 students (21.3%) showed fair to poor attitudes, and 177 students (35.3%) had good attitudes. There was a significant relationship between the level of knowledge and attitudes and HIV/AIDS prevention behavior among public high school students in Jambi City in 2024 (p < 0.001). Conclusion: The majority of students have less-moderate knowledge, mostly positive attitudes, but good behavior is still low, so educational intervention is needed to improve students' knowledge, attitudes and behavior.
Empowering Posyandu Cadres For Pneumonia Prevention: Smoking Exposure And Oximeter Training Harahap, Huntari; Hanina; Enis, Rina Nofri; aurora, Wahyu Indah Dewi; Asty, Zahra Frizki
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.51438

Abstract

Background: Pneumonia remains a major cause of morbidity among toddlers in Indonesia, with household exposure to cigarette smoke acting as a significant and preventable risk factor. Posyandu cadres play a crucial role in community-based child health services; however, their capacity to screen environmental risks and perform early detection of respiratory compromise is often limited. Center, Simpang Kawat Community Health Center, and Paal X Community Health Center in 2024. This community service program aimed to strengthen the knowledge and practical skills of Posyandu cadres in pneumonia prevention through smoking exposure screening and pulse oximeter training Method: A community-based intervention with a pre-test and post-test design was conducted among 20 Posyandu cadres in the working area of the Olak Kemang Community Health Centre, Jambi City. The intervention consisted of interactive health education on secondhand and thirdhand smoke, a humanistic approach using case-based discussions, hands-on training in pulse oximeter use, and the introduction of a household smoking exposure screening tool. Changes in cadres’ knowledge were evaluated using structured questionnaires administered before and after the intervention. Results: The average knowledge score increased from 65% at baseline to 86% after the intervention, representing an absolute increase of 21 percentage points and a relative improvement of 32.31%, exceeding the predefined success criterion of a ≥20% increase. Conclusion: The program was effective in enhancing Posyandu cadres’ understanding of smoking-related health risks and their ability to perform early hypoxia detection using pulse oximetry. Strengthening cadre capacity through integrated and practical training may support community-based pneumonia prevention and promote healthier, smoke-free environments for toddlers
Personal Hygiene And Skin Complaints Among Students At As’ad Islamic Boarding School rizkiyani noor, amadea; Kusdiyah, Erny; Nofri Enis, Rina
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i1.48901

Abstract

Background: Skin disorders are an important component of childhood morbidity. Islamic boarding schools are among the environments with a high risk of developing skin problems such as itching, redness, white spots, or bumps. One preventive measure to reduce the risk of skin diseases is maintaining good personal hygiene. This study aimed to describe personal hygiene and skin complaints among students. Method: This descriptive observational study with a cross-sectional design was conducted at As’ad Islamic Boarding School, Jambi City, in November 2024. The sample consisted of 97 students who reported skin complaints. Results: Of the 97 participants, 61 students (62.9%) had good personal hygiene, while 36 students (37.1%) had poor personal hygiene. A total of 84 students (86.6%) reported itching, 53 students (54.6%) reported bumps, 36 students (37.1%) had red rashes, 20 students (20.6%) reported white/reddish spots, and the least frequently reported complaint was a hot or burning sensation (7 students; 7.2%). In addition, 38 students (39.2%) experienced recurrent complaints. Conclusion: Most students tended to have good personal hygiene, including maintaining cleanliness of the skin, hands, and nails, as well as clothing, towels, beds, and bed sheets. However, itching was the most common skin complaint among students at As’ad Islamic Boarding School.
Dose-Dependent Mild Kidney Injury Induced by Ethanol Extract of Rhodomyrtus tomentosa in Female Rats Ekaputri, Tia Wida; Andani, Firstasya; Enis, Rina Nofri; Tarawifa, Susan; Puspasari, Anggelia; Maharani, Citra; Utami, Erisca Ayu
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 14 No. 1 (2026): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v14i1.54229

Abstract

Background: Rhodomyrtus tomentosa is widely used in traditional medicine, but its subchronic renal safety profile remains insufficiently explored. This study aimed to assess mild kidney injury induced by R. tomentosa leaf ethanol extract through qualitative and quantitative histopathological evaluation in female Rattus norvegicus. Methods: Twenty-four female rats were divided into six groups: a control and five treatment groups receiving the extract at doses of 200, 400, 800, 1600, and 3200 mg/kgBW for 14 days. Kidney tissues were evaluated via hematoxylin-eosin staining and image-based digital quantification across five fields of view per specimen to determine glomerular and tubular damage. Results: Qualitative evaluation revealed dose-dependent alterations, transitioning from mild glomerular hypercellularity at lower doses to focal necrosis and hemorrhage at higher doses. Quantitative analysis clarified a distinct compartmental vulnerability. Glomerular damage showed a descriptive upward trend across doses (9.75% to 13.53%) but lacked statistical significance (Kruskal-Wallis, p = 0.05). Conversely, tubular damage increased sharply from 1.99% to 17.49%, demonstrating a highly significant dose-dependent escalation (p = 0.001). Post-hoc pairwise comparisons confirmed that significant tubular degeneration manifested critically at elevated exposures of 1600 mg/kgBW (p = 0.014) and 3200 mg/kgBW (p = 0.002) compared to the control group. Conclusion: The ethanol extract of R. tomentosa leaves induces dose-dependent renal alterations, with tubular structures exhibiting significantly higher susceptibility than glomeruli due to active metabolic clearance. However, the absolute tissue damage remains strictly within the mild, non-destructive category, establishing a reassuring safety margin for its pharmaceutical development.
Assessing The Impact of Color Vision Deficiency on Quality of Life in High School Students Tarawifa, Susan; Jeane, Jessica; Enis, Rina Nofri; Ekaputri, Tia Wida; Putriyudi, Mandy
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 2 (2025): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v13i2.48979

Abstract

Background: Color vision deficiency (CVD) is a hereditary visual disorder that limits color discrimination and may affect daily functioning, learning performance, and psychosocial well-being. Despite its prevalence, awareness and screening among students in Indonesia remain low. Methods: A cross-sectional analytical study was conducted among 672 high school students selected through a cluster random sampling method. Color vision was evaluated using the Ishihara 38 Plates test, and quality of life was assessed using the Color Blindness Quality of Life (CBQoL) questionnaire, covering health, emotional, and daily activity domains. Data were analyzed using independent t-tests. Results: Of 672 participants, 24 (3.6%) had CVD, predominantly males (91.7%). The deutan type was the most frequent (75%). Students with CVD showed significantly lower CBQoL scores than those with normal color vision in health (3.50 ± 1.11 vs. 5.49 ± 0.54), emotional (3.64 ± 1.13 vs. 5.78 ± 0.35), and daily activity domains (3.71 ± 1.27 vs. 5.72 ± 0.45; p < 0.001). Conclusion: CVD significantly reduces students' quality of life. Early detection, educational adaptation, and awareness programs are essential in supporting students affected by these issues and promoting inclusive learning environments.
COMMUNITY-BASED OBESITY EDUCATION USING AUDIOVISUAL MEDIA TO ENHANCE KNOWLEDGE Enis, Rina Nofri; Shafira, Nyimas Natasha Ayu; Herlambang, Herlambang; Syauqy, Ahmad; Fitri, Amelia Dwi; Puspasari, Anggelia; Maharani, Citra; Kusdiyah, Erny; Aurora, Wahyu Indah Dewi; Delfira, Annissa; Sulistiawan, Andika; Arisya, Qothrunnada
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 9 No. 1 (2026): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

Background: Obesity is a growing public health concern associated with an increased risk of non-communicable diseases. Improving public knowledge through health education is an important strategy for promoting healthy lifestyles and preventing obesity. Audiovisual media have been widely adopted to enhance educational effectiveness and participant engagement. Objective: This study evaluated the effectiveness of a community-based obesity education program using PowerPoint presentations and an educational video to improve participants' knowledge. Methods: A pre-experimental one-group pretest–posttest design was conducted among community participants in Jambi, Indonesia, in 2026. Participants completed a 10-item multiple-choice questionnaire before and after the educational session. The intervention covered the definition of obesity, body mass index classification, waist circumference, risk factors, complications, and lifestyle-based prevention strategies. Data were analyzed using the Shapiro–Wilk test and the Wilcoxon signed-rank test, with statistical significance set at p < 0.05. Results: Forty-five participants completed both assessments. The mean knowledge score increased from 86.67 ± 12.25 at baseline to 94.89 ± 6.95 after the intervention. The distribution of score differences was non-normal (Shapiro–Wilk: W = 0.749, p < 0.001). The Wilcoxon signed-rank test demonstrated a significant improvement in knowledge following the educational intervention (W = 0, p < 0.001). Participant evaluation also indicated high acceptance of the educational program across all assessed domains, including material quality, video presentation quality, perceived educational benefits, and overall participant satisfaction. Conclusion: The community-based obesity education program effectively improved participants' knowledge and was well accepted by the participants. Integrating presentations with audiovisual media represents a practical approach to strengthening health literacy and supporting community-based obesity prevention. Keywords: audiovisual education; obesity; community intervention; health promotion; knowledge.
Histopathological Profile of Hepatic Steatosis in High Fat Diet-Fed Rats Treated with Rhodomyrtus Tomentosa Leaf Ethanolic Extract Rahman, Ravi Aulia; Ekaputri, Tia Wida; Enis, Rina Nofri; Ahmad Syauqy; Raihanah Suzan; Hasna Dewi
Journal of Medical Studies Vol. 6 No. 1 (2026): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v6i1.52138

Abstract

Background: A high-fat diet can increase cholesterol levels and trigger fat accumulation in the liver, causing steatosis. Karamunting leaves (Rhodomyrtus tomentosa) contain flavonoids, saponins, and phenolic compounds that have antioxidant potential and can modulate lipid metabolism. However, the effects of its extract on liver histology in animals induced with a high-fat diet have not been widely studied. Objective: This study aimed to determine the effects of various doses of ethanol extract of Rhodomyrtus tomentosa leaves on liver steatosis in rats induced with a high-fat diet. Methods: An experimental study with a posttest-only control group design was conducted using 25 male Wistar rats divided into five groups: a negative control group (Na-CMC 0.5% 500 mg), a positive control group (simvastatin 0.9 mg/kg BW), and three treatment groups administered Karamunting leaf extract at doses of 200, 400, and 800 mg/kg body weight. After induction with a high-fat diet, the rats received treatment. The liver tissue was then processed into histological sections using hematoxylin and eosin (H&E) staining, examined microscopically, and analyzed using ImageJ software. The collected data were analyzed using ANOVA. Results: The highest percentage of steatosis was found in the negative control group (1.56%) and the lowest in the positive control group (0.44%). The treatment groups showed steatosis values of 1.02% (E200), 0.54% (E400), and 0.81% (E800). The ANOVA results (p-value 0.078) showed no significant differences between the groups. Conclusion: There was no significant effect of various doses of Rhodomyrtus tomentosa leaves ethanol extract on hepatic steatosis in rats induced with a high-fat diet.
Co-Authors Ahmad Syauqi Ahmad Syauqy Ahmad Syauqy Ahmad Syauqy Alya Dwiva Juhari Amatullah, Afifah Ameli Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri, Amelia Dwi Andani, Firstasya Andi Aliyah Nurul Munawwarah Andika Sulistiawan Anggelia Puspasari Anggraini, Bayu Anggun Putri Kasih Annissa Delfira Arief Romadhan Arisya, Qothrunnada Armaidi Darmawan Aryanti, Nindya Asro Hayani Harahap Asty, Zahra Frizki Attiya Istarini Budi Justitia Bulqis, Ratu Calista, Amanda Athiyyah Chelsa Tama Azzahra Citra Maharani D Sitanggang, Hendra dewi, hasna Dhea Assyifa Ekaputri, Tia Wida Elfiani Erny Kusdiyah Esa Indah Ayu, Esa Indah Essy Octavia Evy Wisudariani Firmansyah Firmansyah Fitri Asymida Gading, Patrick William Hafizah Hana Azkia Hanina Hanina, Hanina Harahap, Asro Hayani Harahap, Huntari Hasmita, Debby Hasna Dewi Hendra Dhermawan Sitanggang Herlambang Herlambang HERLAMBANG HERLAMBANG Howir Riyelma, Gina Hulwa Atika Adilita Indri Okta Sapitri Intan Karnina Putri Irlianissa, Mutiara Iskandar, Mirna Marhami Ismi Nurwaqiah Ibnu Jeane, Jessica Karina Nabila Yasmin Khallilah, Naurah Lailan Maharani, Amrina Mahendra, Mhd Habib Dwi Maura Meidiana Putri Miftahurrahmah Miftahurrahmah, Miftahurrahmah Mustarim Mutiara Ar'syi Naufal Adli Marvi NURIYAH Nuriyah, Nuriyah Nyimas Natasha Ayu Shafira Oktari, Intan Patrick Wiliam Gading Patrick William Gading Puspita Sari Putri Sari Wulandari Putri, Nadhilah Aulia Putriyudi, Mandy Rahman, Ravi Aulia Rayandra Asyhar Rita Halim Rita Halim rizkiyani noor, amadea Sholahuddin Tumanggor Stephen Iglesia Hutabarat Suzan, Raihanah Syatria Esa Putra Syukur, Astian Nathaniel Tarawifa, Susan Tengku Arief Buana Perkasa Tengku Arief Buana Perkasa Tia Wida Ekaputri Utami, Erisca Ayu Virginsia, Sonya Vivekanantharasa, Raveenthiran Wahyu Indah Dewi Aurora Yulinda Fetritura Zilzikrindini Wijayanti Zul Andriahta