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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Berkala Epidemiologi Jurnal Administrasi Kesehatan Indonesia Global Medical and Health Communication Mutiara Medika: Jurnal Kedokteran dan Kesehatan Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education The Indonesian Journal of Public Health Majalah Kesehatan FKUB Jurnal Kesehatan Vokasional Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Respirologi Indonesia Community Empowerment Indonesian Journal of Innovation Studies Jurnal Farmasi Sains dan Praktis JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Poltekita: Jurnal Ilmu Kesehatan Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics
Arini, Merita
Fakultas Kedokteran, Universitas Muhammadiyah Yogyakarta
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences

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Early detection of health problems in early childhood Arini, Merita; Primastuti, Harumi Iring
Community Empowerment Vol 10 No 2 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12148

Abstract

Preschool-aged children are at risk of various health problems. This community empowerment initiative aims to conduct early detection of health issues in young children while simultaneously educating teachers on simple anthropometric measurements. The activities included mentoring in child anthropometric measurements, health examinations, and discussions of health examination results. The findings from the examination of 58 young children revealed that the most common health problems were dental caries and tonsillitis. Additionally, teachers demonstrated competence in conducting anthropometric measurements, but their capacity for data interpretation needs further improvement. Parental involvement, teacher capacity enhancement, and regular health check-ups are crucial factors in monitoring children's health.
Empowering inmates in Surabaya penitentiary to prevent tuberculosis through education and screening programs Ramadhan, Roy Novri; Arini, Merita; Stephanie, Karyn; Saputra, Galang Nanda; Nugroho, Fajar Adi; Robbani, Ghulbuddin; Akram, Muh
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13165

Abstract

Tuberculosis (TB) remains a significant public health issue, particularly in high-risk settings such as penitentiaries. This community service aimed to enhance TB awareness and management among inmates at the Surabaya penitentiary, East Java, Indonesia. The educational method employed was an interactive talk show, allowing participants to actively engage through question-and-answer sessions, discussions, and relevant case studies. This approach sought to improve participants' understanding and involvement, making the information more comprehensible and applicable to daily life. The program also included TB screening for inmates. Results showed a significant increase in participants' TB awareness. The percentage of participants able to correctly identify TB symptoms significantly improved, demonstrated by their ability to recognize common signs like prolonged cough, fatigue, and night sweats. Understanding of TB transmission also drastically increased, with 70% of participants realizing that TB spreads through airborne droplets when an infected person coughs or sneezes. Furthermore, awareness regarding TB prevention measures such as maintaining hygiene, mask usage, seeking early medical care, and adherence to treatment rose to 70%. These findings highlight the effectiveness of the educational program in reducing TB transmission and improving health within correctional facilities. Therefore, continuous implementation of similar programs in various penitentiaries is crucial for tackling TB in vulnerable populations and preventing its spread to the wider community.
COST-EFFECTIVENESS ANALYSIS OF AMLODIPINE AND CANDESARTAN USE IN TYPE 2 DIABETES MELLITUS PATIENTS WITH COMORBID HYPERTENSION IN YOGYAKARTA, INDONESIA Hadning, Ingenida; Riswana, Nabila Uswah; Ardhani, Nariswari Cahya; Arini, Merita
Jurnal Farmasi Sains dan Praktis Vol 11 No 2 (May-August 2025)
Publisher : Universitas Muhammadiyah Magelang

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

Abstract

Type 2 diabetes mellitus, often accompanied by comorbid hypertension, necessitates expensive and prolonged treatment. Therefore, conducting a cost-effectiveness analysis is crucial to identify the most economically viable option by comparing the costs and therapeutic efficacy of amlodipine and candesartan in patients with type 2 diabetes mellitus and comorbid hypertension in Yogyakarta, Indonesia. This research aims to analyze therapy costs and effectiveness using pharmacoeconomic assessment, specifically calculating ACER (Average Cost-Effectiveness Ratio) and ICER (Incremental Cost-Effectiveness Ratio) values. The study uses a quantitative approach with retrospective data collection from patient medical records through total sampling. This research gathered data from 149 medical records. The cost-effectiveness analysis based on ACER values revealed the following: amlodipine 5 mg cost IDR 86; amlodipine 10 mg cost IDR 51; candesartan 8 mg cost IDR 571; candesartan 16 mg cost IDR 727. The ICER value of amlodipine 5 mg – candesartan 8 mg cost IDR 1,527; amlodipine 5 mg – candesartan 16 mg cost IDR 2,192; amlodipine 10 mg – candesartan 8 mg cost IDR –8454; amlodipin 10 mg – candesartan 16 mg cost IDR –5,979. The therapy is considered cost-effective when the ACER value is low, and the negative value of ICER indicates that the treatment has lower costs with greater effectiveness. So, using amlodipine 10 mg is the most cost-effective approach for reducing blood pressure in type 2 diabetes mellitus patients with comorbid hypertension in Yogyakarta, Indonesia.
Global Trends in Telemedicine Design Approaches Over the Past Decade: Tren Global dalam Pendekatan Desain Telemedisin Selama Sepuluh Tahun Terakhir Zulfikar, Aditya Rahmat; Arini, Merita
Indonesian Journal of Innovation Studies Vol. 26 No. 4 (2025): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v26i4.1410

Abstract

General Background: Telemedicine has rapidly evolved as a pivotal component of global healthcare, providing remote services that enhance clinical outcomes and patient access. Specific Background: Despite significant technological advancements, the design dimension of telemedicine systems remains crucial for ensuring usability, inclusivity, and sustainability. Knowledge Gap: Previous studies have primarily addressed isolated aspects of interface or AI integration, lacking a comprehensive, data-driven mapping of global design trends in telemedicine. Aims: This study employs a bibliometric analysis of 1,115 open-access Scopus-indexed publications (2014–2024) to map thematic clusters, identify evolving research focuses, and evaluate key design approaches in telemedicine. Results: Findings reveal a sharp rise in publications post-2020 driven by the COVID-19 pandemic, with six major clusters encompassing user-centered design, clinical effectiveness, access equity, research methodology, pandemic response, and integration of scientific databases. Novelty: By synthesizing technological, clinical, and socio-economic perspectives, this research provides the first decade-long, global bibliometric analysis of telemedicine design, highlighting adaptive user-centered and evidence-based approaches. Implications: The results underscore the necessity for inclusive, crisis-responsive, and evidence-informed design strategies to enhance telemedicine’s scalability and equity across diverse healthcare contexts Highlights: Highlights rapid growth of telemedicine design research, especially post-COVID-19. Identifies six global thematic clusters guiding inclusive and adaptive system design. Emphasizes user-centered, evidence-based approaches for sustainable telehealth solutions. Keywords: Telemedicine, Design, User Centered, Bibliometric, Healthcare
Improving Cadres Knowledge and Skills in Non-Communicable Disease Control and Care in Kulonprogo, Yogyakarta Arini, Merita; Prakoso, Denny Anggoro; Suratini; Primastuti, Harumi Iring
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I2.2025.147-155

Abstract

Non-communicable disease (NCD) necessitates prolonged continuous intervention that impacts enormous morbidity, mortality, and socioeconomic repercussions on a global scale. Community and private primary healthcare facilities need to be more interconnected, although they have significant roles in NCDs' prevention and care. Aims: To enhance the community's competencies regarding NCDs through the involvement of private primary care. Method: The method used was a quasi-experiment (non-control, nonrandomisation) with the 'Aisyiyah Clinic involvement as the mentor for participants. The study involved 41 faith-affiliated cadres from 'Aisyiyah and Nasyiatul Aisyiyah, Kulonprogo, Yogyakarta Special Region Province, Indonesia. Interventions include health education sessions on NCDs and essential health examinations for NCD screening practices. The study evaluation was conducted using a pre-test and post-test of knowledge and skill observation checklist, followed by the Wilcoxon signed-rank, Spearman, and Kruskal-Wallis tests. Results: Education and practices increased participants' knowledge of NCDs (p=0.000) with a large effect size (r=0.50). The cadres also observed that they could perform their competencies in these examinations (100%). Additionally, there was no significant difference in knowledge (pre-test and post-test) based on cadres’ demographic background (p>0.05). In contrast, there was a significant difference in initial knowledge (pre-test), according to both duration of time as a cadre (p = 0.011). Conclusion: Health education and practices effectively increase health cadres' knowledge and skills related to NCD control. Simultaneously with continuous community empowerment, the study findings highlight a need for better integration between public health initiatives and private sector resources to sustainably improve the community health workers' role.
Examining the Influence of e-Health Literacy on Healthcare Workers’ Acceptance of Electronic Medical Records: An Insight Into System Transition Noeryosan, Ilham; Arini, Merita; Binti Wan Mamat, Wan Hasliza
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 1 (2025): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/b160n685

Abstract

Following the aftermath of COVID-19, needs of digitalized medical data system has increased worldwide. As stated by Indonesia’s Ministry of Health, electronic medical records (EMRs) usage are being mandated initially by December 2023. However, in some healthcare facilities, this transition are being halted by inadequate digital literacy. This research aimed to understand the impact of e-Health Literacy of healthcare personnel on technology acceptance and their intention to use EMRs.  The cross-sectional study was conducted in March 2024 following six months of EMR implementation in Dr. Soetarto Army Hospital, using a valid and reliable questionnaire consisting of 51 items originating from the Unified Theory of Acceptance and Use of Technology (UTAUT) and e-Health Literacy Questionnaire (eHLQ) that was modified into 46 items. The data was collected from 114 healthcare personnel who act as both caregiver and medical data documenter (total sampling). The result was then analyzed using Smart-PLS. There is an increased intention of EMR usage when e-health literacy moderated user's technology acceptance (p=0.006), while by itself, technology acceptance doesn't have a meaningful impact towards intention to use EMR (p=0.391). Increased e-Health Literacy has also proven to be correlated with increased intention of EMR use (p<0.001). Increasing user’s e-health literacy is essential to become a pivotal factor in increasing EMR adoption in healthcare personnel workflow. This study suggests integrating targeted e-health literacy programs into professional development to improve EMR usage and healthcare efficiency, with future studies exploring long-term.
Development of Medical Record Technology and Information Systems on the Performance of RSU Pacitan Employees sutanto, warkim; Arini, Merita
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 1 (2025): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ta5qv525

Abstract

The development of Electronic Medical Record (RME) technology and information systems is an important need in the health sector to improve operational efficiency and service quality. This research analyzes the effect of implementing RME, technology user training, IT infrastructure, and data security and privacy on the performance of RSU Pacitan employees. Using quantitative methods with a cross-sectional design, data was collected from 30 respondents via a Google Form questionnaire and analyzed using SPSS. The results show that the four variables have a significant effect on employee performance (R² = 0.878), with the implementation of RME (coefficient 0.232) making administrative services easier, technology training (0.722) increasing employee self-confidence, and IT infrastructure (0.339) supporting productivity. Meanwhile, data security and privacy (-0.376) have a moderate influence because they play a more significant role in creating a safe work environment. This research confirms the importance of implementing EMR in supporting employee performance and recommends further research to analyze other aspects of EMR, as well as becoming the basis for hospital digital transformation policies.
IMPROVING KNOWLEDGE OF NON-COMMUNICABLE DISEASE PROGRAM MANAGERS IN TUBERCULOSIS-DIABETES MELLITUS CONTROL AND CARE Arini, Merita; Primastuti, Harumi Iring; Basha, Muzaitul Akma Binti Mustapa Kamal
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.15-27

Abstract

Introduction: Indonesia ranks second in the number of TB cases worldwide, accounting for 10% of the total TB cases. In addition, Indonesia ranks fifth in the number of DM cases worldwide. However, the integration of TB and DM disease management programs to ensure safe and quality care in health facilities is generally insufficient. Aims: This study aims to improve the knowledge of NCD program managers regarding TB-DM and their role in TB control and care. Methods: This study used a quasi-experimental design (non-randomized and non-control group) involving all healthcare workers (HCWs) managing NCD programs in Yogyakarta City. The participants were selected from 18 community health centers, 5 hospitals, the Health Office of Yogyakarta City. Prior to and following the training sessions, the knowledge of the participants was assessed. Results: According to the results of the Kruskal-Wallis test, no significant differences in TB-DM knowledge were observed among participants based on age group, length of employment, occupation, and highest level of education. However, following the training sessions, the participants showed a significant improvement in TB-DM knowledge according to the results of the Wilcoxon signed-rank test p = 0.000, with an effect size (r) of 0.57 (95% CI [0.000, 0.113]). Conclusion: Training for NCD program managers has been shown to improve their knowledge about TB-DM and their potential roles. Therefore, it is crucial to conduct continuous capacity-building programs for HCWs. These programs should be supported by policies, systems, and necessary infrastructures to ensure effective implementation of integrated care for TB and other diseases.
REVITALISASI POSYANDU REMAJA UNTUK MEMBANGUN GENERASI SEHAT DI PADUKUHAN PULUHAN LOR, TRIMURTI, SRANDAKAN, BANTUL Arini, Merita; Ranti, Imaniar; Primastuti, Harumi Iring
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 1 (2023): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i1.12-27

Abstract

Adolescents are a group of society that is prone to various health risks. Padukuhan Puluhan Lor has an inactive youth posyandu (integrated health post). Inadequate resources inhibit youth posyandu activities. This community service aimed to increase adolescents' knowledge and skills in health checks and posyandu management to reactivate youth posyandu. One action research cycle includes diagnosis, planning, action, and assessment. The assessment used in-depth interviews with the hamlet, community health workers, and the youth organization manager. In the action stage, educational intervention, and cadre training were conducted using a quasi-experiment (without control, non-randomization) on adolescent cadres (n=17). Cadres were coached and trained using educational media, including pocketbooks and role play. The assessment revealed that the community needs to revitalize youth posyandu, although no youth health program exists. The planning stage was to prepare education, cadre training, and posyandu equipment and materials funds. The role-play increased knowledge and skills in conducting health checks and managing posyandu based on the average score. However, there was no significant difference in teenage knowledge scores (p=0.564) before and after the education session. Youth empowerment potential can supports the implementation of youth posyandu. Cross-sectoral roles are needed to keep posyandu sustainable.
Duration of Hospitalization and Risk Factors of Readmission of Community-Acquired Pneumonia Incidence in Hospitalized Toddlers Lisa, Corina; Arini, Merita
Jurnal Respirologi Indonesia Vol 44 No 1 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i1.560

Abstract

Background: The Indonesia Health Profile Report 2020 stated that pneumonia is one of the causes of high infant and toddler mortality in Indonesia. Length of stay and readmission are crucial indicators of service quality for hospitalized pneumonia patients. This study aims to determine the duration of hospitalization and identify risk factors for readmission among toddlers hospitalized with CAP.Methods: This cross-sectional study was conducted with subjects of pneumonia toddlers hospitalized in Sarila Husada Hospital Sragen from November 2021 to Januari 2023Results: A total of 357 toddlers were hospitalized with CAP (median age = 17 months; IQR 7–24); the majority were under 36 months old (309 subjects; 86%); male (54%) predominated than female (46%). Median duration of hospitalization for CAP=2 days with IQR=3.0-5.0. Readmission events were only 5, higher among toddlers aged 2-36 months but not statistically significant. Factors associated with readmission in CAP toddlers were the history of previous hospitalizations during the past year due to infection (P=0.012; adjusted odds ratio [aOR]=13.6; confidence interval [CI]=1.49–12.34).Conclusion: The readmission rate was very low in our study. Toddlers 2–36 months of age and those with previous hospitalizations with infections are at higher risk of readmission in CAP.
Co-Authors Abda Abda Akram, Muh Ardhani, Nariswari Cahya Arlina Dewi Asmi, Sarah Ayu Budi Asmi, Sarah Ayu Budi Astuti, Yurni Dwi Bangkit Ina Ferawati Basha, Muzaitul Akma Binti Mustapa Kamal Binti Wan Mamat, Wan Hasliza Dedi Afandi Dewi, Arlina Ekorini Listiowati, Ekorini Emma Rachmawati Endang Sulistyawati Erwin Astha Triyono Fajar Adi Nugroho Husen, Abeng Anandri Ingenida Hadning Kartikadewi, Indriani Kartikawati, Tri Kusumayanti, A.A.Ayu Mas Lisa, Corina Masyfufah, Lilis Mochamad Iqbal Nurmansyah Noeryosan, Ilham Novanda, Aisyah Wahyu Nurhidayati Nurhidayati Prakoso, Denny Anggoro Prasetiyo, Bayu Arif Primastuti, Harumi Iring Puspita, Gina Rachmad, Eka Basuki Ramadhan, Roy Novri Ramadhani, Putri Nabilah Ranti, Imaniar Riswana, Nabila Uswah Robbani, Ghulbuddin Samdani, Annisa Fasichatul Laila Samsudin, Agus Saputra, Galang Nanda Stephanie, Karyn Sulistyawati, Endang Suryanto, Farid sutanto, warkim Tan, Feriawan Wan Mamat, Wan Hasliza Warih Andan Puspitosari, Warih Andan Zulfikar, Aditya Rahmat