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Harokan, Ali
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Analysis of risk factors for the incidence of pulmonary tuberculosis in Tebing Tinggi Community Health Center: A cross-sectional study Sartika, Dwi; 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.v6i3.488

Abstract

Background Pulmonary tuberculosis (TB) remains a persistent public health concern in Indonesia, driven by a complex interplay of individual and environmental risk factors. Understanding these determinants is crucial to enhance disease control strategies at the community level. Objective This study aimed to analyze the risk factors associated with the incidence of pulmonary tuberculosis in the working area of Tebing Tinggi Public Health Center, Empat Lawang. Methods A quantitative cross-sectional study was conducted involving 76 respondents selected from 321 suspected TB patients using purposive sampling. Data were collected using structured questionnaires. Bivariate analysis was performed using the Chi-Square test, and multivariate analysis was conducted using logistic regression to determine the dominant risk factors. Results Bivariate analysis showed that age (p = 0.04) and household contact (p = 0.00) were significantly associated with the incidence of pulmonary TB, while gender, knowledge, housing density, and ventilation were not (p > 0.05). Multivariate analysis revealed that household contact was the most dominant factor influencing TB incidence. Conclusion Household contact and older age were significantly associated with pulmonary tuberculosis incidence. Targeted interventions such as household contact tracing and focused health education for older populations are essential to reduce transmission and improve TB control at the community level.
Analysis of community perceptions of families of patients with mental disorders at Lesung Batu Community Health Center: A cross-sectional study Lenarki, Yogi Permana Putra; 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.v6i3.492

Abstract

Background Individuals with mental illness often face social stigma that not only affects them personally but also extends to their families. Public perception of families caring for persons with mental illness plays a crucial role in supporting rehabilitation efforts and social reintegration. Objective This study aimed to examine the factors associated with community perceptions toward the families of individuals with mental illness in the working area of Lesung Batu Health Center, South Sumatra, Indonesia. Methods A cross-sectional quantitative study was conducted involving 100 respondents selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using chi-square tests and multivariate logistic regression. Results The results showed that 60% of respondents had a positive perception of the families of persons with mental illness. No significant association was found with age (p = 0.83), gender (p = 1.00), or educational level (p = 0.13). However, knowledge (p = 0.00; OR = 14.14) and attitude (p = 0.00; OR = 9.3) were significantly associated with community perception. Knowledge was identified as the most dominant factor influencing public perception. Conclusion Knowledge and attitude are key determinants of community perception toward families of individuals with mental illness, while demographic factors such as age, gender, and education showed no significant impact. Community-based mental health education programs are strongly recommended to enhance knowledge, foster positive attitudes, reduce stigma, and build stronger community support for families caring for individuals with mental illness.
Analysis of factors affecting tuberculosis treatment adherence at Lesung Batu Community Health Center: A cross-sectional study Sari, Puspita Kurnia; 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.v6i3.487

Abstract

Background Tuberculosis (TB) remains a major global health problem with high rates of morbidity and mortality, particularly in developing countries like Indonesia. One of the main challenges in TB control is the low treatment adherence among patients undergoing long-term therapy. Objective This study aimed to analyze the factors influencing tuberculosis medication adherence among patients at Lesung Batu Community Health Center.. Methods A quantitative cross-sectional study was conducted from May 8 to 27, 2025, involving 56 TB patients registered at the Lesung Batu Health Center. Total sampling was used. Data were collected using a structured questionnaire based on the Morisky Medication Adherence Scale (MMAS-8) and analyzed using Chi-square and multivariate logistic regression. Results Only 51.8% of respondents were adherent to TB medication. Bivariate analysis showed that gender (p=0.01), distance to health facilities (p=0.01), and family support (p=0.00) had significant associations with adherence. Multivariate analysis revealed family support as the most dominant factor (OR=0.16, 95% CI=0.05–0.51), indicating that patients without family support were 6.25 times more likely to be non-adherent. Conclusion Family support, proximity to health services, and male gender significantly influenced TB medication adherence. Interventions should focus on increasing family involvement and improving access to care for patients in remote areas. Primary healthcare providers are advised to implement community-based strategies that include home visits, family counseling, and cross-sectoral collaboration to enhance adherence and improve treatment outcomes.
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.
Co-Authors Akli, Nur Andri Irawan Asti, Yulia Daniel Saputra Deby Utami Siska Ariani Destiana, Cici Dewi Suryani Dewi, Shinta Dianita Ekawati Dwi Sartika, Dwi Dwi yuliani Ekawati, Dianita Ekawati Erlianah, Siska Frasista, Ruri Gema Asiani Gustina, Enty Gustina, Erma Gustina, Erna Handayani, Silvia Henny Henny, Henny Hilaliah Husin Husin, Husin Ikeliya, Aldesten Indrasari, Mislia Kamaluddin, Totong Lenarki, Yogi Permana Putra Lestari, Anggun Dwi Jaya Lilis Suryani Linda Novianti Mardiana, Poppy Muntaha, Amar Nani Sari Murni Nirwani Nirwani Nurhayati Damiri Oktira, Twenty Perdanawati, Dian Pirliandi, Pirliandi Prathama, Grease Priyatno, Akhmad Dwi Puspitasari, Ema Putri, Nadya Andriani Putri, Trie Vany Rawalilah, Hamyatri Riani, Lia Rini Fitriani Rosani, Elisa Sari, Ferra Puspa Sari, Nova Williya Sari, Puspita Kurnia Sumadi, Alan SUPLI EFFENDI RAHIM Suryanti, Dewi Susilawati Sutrisari Nainggolan Taponi, Irsa Triana, Triana Usman, Tutik Wahyudi, Arie Wiladatika Wulandari, Fitri Wahyuni Yulestri, Yulestri Yulitha, Tryas Yusnilasari Zaman, Chairil