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All Journal JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN) Jurnal Ilmu Kedokteran dan Kesehatan AVICENNA Jurnal 'Aisyiyah Medika Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja Jurnal Kesehatan Tambusai Lentera Perawat Indonesian Research Journal on Education Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS
Harokan, Ali
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Analysis of factors influencing adherence to iron tablet consumption among pregnant women at Muara Enim Community Health Center: A cross-sectional study Sari, Ferra Puspa; Harokan, Ali; Zaman, Chairil
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.490

Abstract

Background Anemia in pregnancy remains a major global health concern, significantly affecting maternal and fetal outcomes. In Indonesia, particularly in Muara Enim, the prevalence of anemia among pregnant women has been increasing annually. Iron tablets are a key intervention for anemia prevention, yet adherence remains low. Objective This study aimed to analyze the factors influencing adherence to iron tablet consumption among pregnant women at Muara Enim Community Health Center. Methods This study employed a quantitative approach with an analytical survey design using a cross-sectional method. The research was conducted from April 24 to May 14, 2025, at Muara Enim Community Health Center. A total of 93 pregnant women were selected as respondents using purposive sampling from a population. Data were collected through structured interviews using a validated questionnaire comprising demographic characteristics and variables such as knowledge, attitude, economic status, husband support, and adherence to iron tablet consumption. Data were analyzed for descriptive statistics, bivariate analysis using Chi-square tests, and multivariate analysis through binary logistic regression to identify the most dominant influencing factor. Results The results showed that only 40.9% of respondents adhered to iron tablet consumption. Bivariate analysis revealed significant associations between adherence and knowledge (p=0.00), economic status (p=0.02), and husband support (p=0.04). Multivariate logistic regression identified husband support as the most dominant factor (OR=0.34; 95% CI: 0.13–0.88), indicating that women without husband support were 0.34 times less likely to adhere to iron tablet consumption. Conclusion Knowledge, economic status, and husband support significantly affect adherence to iron tablet consumption among pregnant women. However, husband support emerged as the most influential factor. It is recommended that antenatal education programs actively involve husbands to enhance support systems and improve adherence. Community-based interventions and cross-sector collaborations should be strengthened, especially for pregnant women with low socioeconomic status or limited family support
Analysis of factors associated with the incidence of anemia in adolescent girls at the Muara Enim Health Center: A cross-sectional study Destiana, Cici; Harokan, Ali; Zaman, Chairil
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.491

Abstract

Background Anemia among adolescent girls is a significant public health issue in Indonesia, including in Muara Enim District, with a steadily increasing prevalence. The causes of anemia are multifactorial, including knowledge, nutritional status, adherence to iron (Fe) tablet consumption, and economic status. Objective This study aims to identify the factors associated with the incidence of anemia among adolescent girls in the working area of Muara Enim Health Center, Muara Enim District, in 2025. Methods This research employed a quantitative cross-sectional design. A total of 95 respondents were purposively selected from the population of adolescent girls in the Muara Enim Public Health Center area in 2024. Data were collected using a structured questionnaire and medical records, and analyzed using univariate, bivariate (chi-square test), and multivariate (multiple logistic regression) methods. Results Most respondents experienced anemia (53.7%), had good knowledge (57.9%), normal nutritional status (97.0%), were non-adherent to Fe tablet consumption (53.7%), and came from families with income below the regional minimum wage (72.6%). Bivariate analysis showed that adherence to Fe tablet consumption (p = 0.00) and economic status (p = 0.00) were significantly associated with anemia incidence, while knowledge (p = 0.99) and nutritional status (p = 0.21) were not. Multivariate analysis identified economic status as the most dominant factor (p = 0.002; OR = 0.20), indicating that adolescent girls from families earning ≥ regional minimum wage had an 80% lower risk of anemia. Conclusion Adherence to Fe tablet consumption and economic status are key factors in preventing anemia among adolescent girls, with economic status being the most influential. Integrated interventions should focus on strengthening Fe supplementation adherence and empowering families economically to reduce anemia prevalence in this population
Analysis of factors affecting the incidence of hypertension in the productive age group at the Muara Beliti community health center: A cross-sectional study Indrasari, Mislia; Harokan, Ali; Suryani, Lilis
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.494

Abstract

Background Hypertension is one of the leading non-communicable diseases with increasing prevalence, including among the productive age group. Several risk factors such as age, occupation, body weight, family history, smoking habits, physical activity, and fruit and vegetable consumption are suspected to influence the incidence of hypertension. Objective This study aimed to analyze the factors affecting the incidence of hypertension among productive age individuals in the working area of Muara Beliti Public Health Center in 2025. Methods This was a quantitative study using a cross-sectional approach. A total of 93 respondents aged 16–64 years were selected using purposive sampling. Data were collected through questionnaires and medical records, then analyzed using Chi-Square and multivariate logistic regression tests. Results The results showed significant relationships between age (p=0.031), body weight (p=0.001), smoking habits (p=0.030), physical activity (p=0.016), and fruit and vegetable consumption (p=0.011) with the incidence of hypertension. No significant relationship was found between occupation and family history with hypertension. Multivariate analysis revealed that physical activity was the most dominant factor (p=0.002; OR=4.80; 95% CI=1.80–12.80). Conclusion Physical activity is the most dominant factor influencing the incidence of hypertension among the productive age population.Health interventions should prioritize increasing physical activity, promoting healthy eating habits, and controlling other risk factors to reduce the incidence of hypertension among productive age individuals.
Analysis of factors affecting the use of implantable contraceptives in couples of fertile age: A cross-sectional study Hilaliah; Harokan, Ali; Gustina, Erna; Suryanti, Dewi
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.496

Abstract

Background The use of contraceptive implants as a long-acting contraceptive method remains low in Indonesia, including in the working area of the Muara Enim District Extension Center. Despite its high effectiveness in preventing pregnancy, several factors may influence implant adoption among women of reproductive age, such as age, knowledge, attitude, socioeconomic status, parity, and husband’s support. Objective This study aimed to identify the factors associated with the use of contraceptive implants among reproductive-age couples in the Muara Enim District Extension Center in 2025. Methods This study applied a quantitative cross-sectional design involving 93 respondents selected through purposive sampling. Inclusion criteria were women of reproductive age residing in the study area and willing to participate, while exclusion criteria included serious illness and illiteracy. Data collection was conducted from May 2 to 17, 2025, using a validated structured questionnaire supported by medical record checks. Variables measured included age, knowledge, attitude, socioeconomic status, parity, and husband’s support, with implant use as the dependent variable. Data analysis was performed in three stages: univariate to describe frequencies, bivariate using Chi-square tests to assess associations (p < 0.05), and multivariate using logistic regression to determine dominant factors. Ethical clearance was obtained, and informed consent, anonymity, and confidentiality were ensured.. Results ge (p=0.02), attitude (p=0.005), and socioeconomic status (p=0.02) were significantly associated with implant use, while knowledge (p=1.00), parity (p=0.90), and husband’s support (p=0.18) were not. Logistic regression confirmed attitude as the most dominant predictor (p=0.003; OR=0.26). Conclusion Age, attitude, and socioeconomic status significantly influence implant use, with attitude being the strongest determinant. Health promotion should focus on shaping positive attitudes through couple-based counseling and interpersonal education, especially for younger women and low-income groups.
Analysis of service satisfaction factors in the internal medicine polyclinic of a general hospital: A cross-sectional study Wiladatika; Harokan, Ali; Suryani, Lilis
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.522

Abstract

Background: Patient satisfaction is a key indicator for evaluating the quality of health care services. Various factors can influence patient satisfaction, ranging from demographic characteristics to attributes of public service delivery. However, studies on patient satisfaction in the Internal Medicine Outpatient Clinic at Kepahiang District General Hospital remain limited. Objective: This study aimed to analyze the factors associated with the level of patient satisfaction with services in the Internal Medicine Outpatient Clinic at Kepahiang District General Hospital in 2025. Methods: This research employed a quantitative analytic design with a cross-sectional approach. A total of 98 respondents were selected through purposive sampling. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data analysis included chi-square tests for bivariate associations and multiple logistic regression for multivariate analysis with a significance level of α = 0.05. Results: The findings revealed that all service-related variables—requirements, procedures, service completion time, costs/fees, service product specifications, staff competence, staff behavior, complaint handling, and facilities and infrastructure—were significantly associated with patient satisfaction (p < 0.05). The dominant factors influencing patient satisfaction were staff competence and staff behavior, both of which were strongly related to patients’ experiences in receiving care. Conclusion: Patient satisfaction is influenced by the synergy of all service aspects; therefore, quality improvement efforts must be comprehensive, integrative, and sustainable. This study recommends that hospitals strengthen the competence of health care providers, improve facilities and infrastructure, and simplify administrative processes to enhance patient satisfaction.
FACTOR ANALYSIS OF THE IMPLEMENTATION OF VISUAL INSPECTION OF ACETIC ACID (VIA) EXAMINATION IN WOMEN OF FERTILE AGE AT UJAN MAS HEALTH CENTER Ikeliya, Aldesten; Harokan, Ali; Gustina, Erma
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.503

Abstract

Visual Inspection with Acetic Acid (VIA) is a low-cost and easy method for early detection of cervical cancer, but its implementation coverage remains low. This study aimed to analyze factors influencing VIA examination among women of reproductive age at Ujan Mas Health Center. A quantitative cross-sectional study was conducted involving 367 respondents selected through purposive sampling. Data were collected using validated questionnaires and analyzed through univariate, bivariate (chi-square), and multivariate (logistic regression) tests. Multivariate analysis revealed that age (p=0.018; OR=0.542), husband support (p=0.013; OR=1.933), and health cadre support (p=0.000; OR=10.393) were significantly associated with VIA examination. Cadre support emerged as the most dominant factor with a 53,9% probability contribution. Health cadre and husband support are crucial to enhancing VIA screening uptake. Knowledge, education, and access to information were not significantly associated in the final model. Strengthening the role of health cadres and involving husbands in health promotion interventions is recommended for improving early cervical cancer detection
ANALYSIS OF HYPERTENSION INCIDENCE IN PRODUCTIVE AGE GROUP AT PLAJU HEALTH CENTER PALEMBANG CITY Prathama, Grease; Harokan, Ali; Ekawati, Dianita; Yusnilasari
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.507

Abstract

Hypertension is a non-communicable disease with increasing prevalence, particularly among the productive age group. Lifestyle factors and family history are suspected to significantly contribute to the incidence of hypertension. This study aimed to analyze the association between various risk factors and the incidence of hypertension in individuals of productive age. This was a cross-sectional study involving 375 respondents aged 15–59 years registered at Plaju Public Health Center. Samples were selected using accidental sampling. Data were collected using questionnaires, blood pressure measurements, and metabolic status assessments. Data analysis included univariate, bivariate (Chi-Square test), and multivariate (logistic regression). Bivariate analysis revealed significant associations between several factors—including education, family history of hypertension, sodium intake, physical activity, BMI, smoking, cholesterol, and stress—with hypertension. Logistic regression identified sodium intake as the most dominant factor influencing hypertension. The regression model demonstrated strong predictive ability. Hypertension among the productive age population is influenced by a combination of lifestyle and genetic predisposition. Controlling sodium intake, promoting healthy lifestyles, and conducting routine screening are essential for hypertension prevention in this age group.
ANALYSIS OF PATIENT SATISFACTION WITH EMERGENCY SERVICES AT PRABUMULIH CITY HOSPITAL Yuliani, Dwi; Harokan, Ali; Asiani, Gema; Sutrisari Nainggolan
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 2 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i2.512

Abstract

Patient satisfaction is a key metric for evaluating service quality in Emergency Departments (EDs). Service quality is assessed across five dimensions: reliability, responsiveness, assurance, empathy, and tangibility. Objective to analyze the relationship between service quality dimensions and patient satisfaction in the ED of Prabumulih General Hospital in 2025. A cross-sectional quantitative study was conducted with 99 respondents selected via purposive sampling. Data were collected using a structured questionnaire and analyzed using chi-square and logistic regression tests. Significant associations were found between each service quality dimension and patient satisfaction: reliability (p=0.001), responsiveness (p=0.002), assurance (p=0.001), empathy (p=0.001), and tangibility (p=0.001). Logistic regression identified assurance as the most dominant predictor (p=0.000; OR=6.422). The assurance dimension is the strongest predictor of patient satisfaction. Quality improvement efforts in the ED should prioritize enhancing healthcare professionals’ competence and professionalism
Analisis Determinan Kejadian Diare pada Balita di Puskesmas Celikah Kota Kayuagung Kabupaten Oki susilawati; Sari Murni, Nani; Harokan, Ali
Avicenna: Jurnal Ilmiah Vol. 20 No. 1 (2025): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v20i1.6956

Abstract

Background: The occurence of diarrhea in children at 2021 is around 1.22 billion in the world and approximately 3,350 children die every day. Out of the 15 Southeast Asian countries, Indonesia is ranked 12th in terms of diarrhea mortality in toddlers, with 8,600 deaths each year. This study aims to analyze the determinants of diarrhea incidence in the Celikah Health Center work area, Kayuagung City, Ogan Komering Ilir Regency from April to May 2024. Method: This study is quantitative with a cross-sectional design, the study population was 2533 toddlers, a sample of 96 respondents. The sampling technique is purposive sampling. Data analysis is univariate, bivariate, and multivariate tests. Results : The results of the statistical test analysis using the Chi-Square statistical test and multiple logistic regression. From the results of the multivariate statistical test, the dominant factor in the incidence of diarrhea was education (p = 0.000; OR = 6.568). Conclusion : The results of the study showed a significant relationship between the age of respondents, nutritional status of children, occupation, education, attitude, and clean water sources with the incidence of diarrhea. Keywords : Diarrhea, Determinants, Public Health Centers
Analisis Faktor Sanitasi Lingkungan yang Berhubungan dengan Kejadian Diare Sumadi, Alan; Sari Murni, Nani; Wahyudi, Arie; Harokan, Ali
Avicenna: Jurnal Ilmiah Vol. 20 No. 1 (2025): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v20i1.6963

Abstract

Background: Data from the South Sumatra Provincial Health Office in 2022 showed that the incidence of diarrhea per 1,000 population of all ages was 270 cases. The impact of low sanitation coverage is a decrease in the quality of the living environment, contamination of drinking water sources, and an increase in the transmission of environmental-based diseases such as diarrhea. Metodh:This study aims to analyze environmental sanitation factors related to diarrhea in Pulau Geronggang Village, Pedamaran Timur District, Ogan Komering Ilir Regency in 2024. This study is quantitative with a cross-sectional design, the population of this study is all families living in Pulau Geronggang Village, Pedamaran Timur District, namely 309 families, a sample of 174 respondents. The sampling technique is purposive sampling. Data analysis is univariate, bivariate, and multivariate tests. Result:the statistical test analysis using the Chi-Square statistical test and multiple logistic regression where the results showed a significant relationship between age (0.001), socio-economic (0.010), knowledge (0.000), availability of clean water (0.010), behavior (0.000), and type of toilet (0.010). There is no relationship between gender (0.167), quality of clean water (0.167), availability of toilets (0.167), waste management (0.410), and availability of SPAL (0.605). From the results of the multivariate statistical test, the dominant factor in the incidence of diarrhea is behavior (p = 0.000; OR = 13.086).Conclussion: It is expected that the relevant government can add programs and develop regional progress, especially in the Pedamaran Timur sub-district, both to improve health and economic and socio-cultural standards and the availability of clean water for the community in the area Keywords : diarrhea, determinants, environmental sanitation
Co-Authors Akhmad Dwi Priyatno Akli, Nur Asti, Yulia Daniel Saputra Destiana, Cici Dewi Suryani Dewi, Shinta Dianita Ekawati Dwi Sartika, Dwi Dwi yuliani Ekawati, Dianita Ekawati Gema Asiani Gustina, Erma Gustina, Erna Handayani, Silvia Hilaliah Husin Husin, Husin Ikeliya, Aldesten Indrasari, Mislia Kamaluddin, Totong Lenarki, Yogi Permana Putra Lestari, Anggun Dwi Jaya Lilis Suryani Linda Novianti Muntaha, Amar Nani Sari Murni Nirwani Nirwani Nur ‘Azah Nurhayati Damiri Prathama, Grease Putri, Nadya Andriani Putri, Trie Vany Rawalilah, Hamyatri Rini Fitriani Rosani, Elisa Sari, Ferra Puspa Sari, Puspita Kurnia Sumadi, Alan SUPLI EFFENDI RAHIM Suryanti, Dewi Susilawati Sutrisari Nainggolan Taponi, Irsa Wahyudi, Arie Wiladatika Wulandari, Fitri Wahyuni Yulestri, Yulestri Yulia Asti Yulitha, Tryas Yusnilasari Zaman, Chairil