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The Association between Workload of Frontline Health Workers and The Risk of Perceived Stress During COVID-19 Mass Vaccination: A Cross-Sectional Survey Hikmah, Kholishotul; Helda, Helda; Melinda, Gea; Ayatullah, M. Ibraar; Prisandy, Lucky
Ahmar Metastasis Health Journal Vol. 4 No. 4 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i4.468

Abstract

The COVID-19 pandemic has had an unprecedented impact on mental heath, and in particular on health workers on the frontlines of pandemic response efforts, particularly in the context of COVID-19 vaccination. This study aimed to highlight the association of workload and adverse stress impact on healthcare workers during COVID-19 mass vaccination and its contributed factors. The method use a cross-sectional survey using a web-based questionnaire was conducted from the end of July to the beginning of August 2021. Participants were selected from all health facilities in Indonesia, with the minimal sample size 345 required. Logistic regression was performed using STATA 16.0 to assess the association between workload and perceived stress. This study revealed that prevalence of perceived stress was 36.2% among total of 447 eligible subjects. Health workers who had high-relatively levels of workloads (OR=1.76; 1.00-3.09) and without history of stress diagnosis (OR=5.23; 1.06-5.87) were more likely to develop perceived stress. The high level of workload was associated inversely with a decreased risk of stress according to age and stress diagnosis. The conclusions is a decreased risk of stress associated with workload among health professionals.
Comparison of Macrozoobenthos Community Structure in Reclaimed and Natural Beaches in Padang City, West Sumatra Helda, Helda; Tanjung, Afrizal; Thamrin, Thamrin
Jurnal Perikanan dan Kelautan Vol. 29 No. 3 (2024): October
Publisher : Fakultas Perikanan dan Kelautan Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jpk.29.3.334-342

Abstract

dang City is one of the cities with a long coastline. The Padang City government has made many reforms to manage the beach area as a tourist attraction. This research aimed to determine the comparison of macrozoobenthos community structure, including species composition, species abundance, relative abundance, diversity index, similarity index, dominance index, and distribution patterns in the reclaimed and natural beaches of Padang City, West Sumatra Province. The method used was purposive sampling with sample collection using the transect method. The results of this study indicate that the water quality in Padang City, West Sumatra, is sufficiently good to support macrozoobenthos life. The highest species abundance of macrozoobenthos was found at the Reclamation Beach Station. The macrozoobenthos species found belong to 2 classes: Gastropoda and Crustacea. The Gastropoda class consists of 4 species: Babylonia spirata, Pila ampullacea, Pila occidentalis, and Nerita fulgurans, while from the Crustacea class, three species were found: Ashtoret lunaris, Hemigrapsus takanoi, and Emerita sp. Meanwhile, the lowest abundance was found at the Natural Beach Station, where the species belonging to the Crustacea class, specifically H.takanoi, was found. The species diversity of macrozoobenthos at the Natural Beach Station is considered low but moderate at the Reclamation Beach Station. Similarity at the Natural Beach Station is low, while at the Reclamation Beach Station, it is high. Additionally, there is a dominant species at the Natural Beach Station, whereas no dominant species were found at the Reclamation Beach Station. The distribution pattern of macrozoobenthos in the coastal waters of Padang City is categorized as clustered distribution.
Determinants of Antiretroviral Therapy Success in HIV/AIDS Patients Sihombing, Intan Ully Athalia; Sudaryo, Mondastri Korib; Hasyim, Irva Zulviya; Helda, Helda; Umniyati, Helwiah
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 2 (2025): JIKM Vol. 17, Issue 2, May 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v17i2.805

Abstract

Background: HIV/AIDS is still an important public health issue globally and Antiretroviral therapy (ART), considered as a foundation for the disease care. Succeeding in viral load suppression is very important for successful ART treatment although other factors get involved in this. Objectives The present study is to determine the factors of negative outcome for ART (non- success) based on patient viral suppression in HIV/AIDS, Bekasi district Indonesia. Method: Secondary data from HIV/AIDS Information System (SIHA) at Bekasi District Health Office were extracted with cross-sectional study that involved from January 2023 to September 2024. Patients on ART (n=811). We analyzed data with STATA version 17, performed univariable and bivariable analyses to identify factors associated with viral load suppression Results: Viral load suppression (≤50 copies/ml) was achieved by most patients (87.3%). High adherence (PR Adjusted: 5.27; p=0.000), clinical severity stage (PRA:2.52; p=0.000) and use of TLD regimen (PR Adjusted: ); p= 0.001) were significant predictors of unsuppressed viral load. Suppression rates were better in patients with HIV-negative or unreported status partners (PR Adjusted: 0.78; p=0.004). Conclusion: ART success in Bekasi District is dependent on appointment adherence, clinical stage, ARV regimens and partner is on HIV post- treatment, particularly relevant for national and global HIV/AIDS control strategies in terms of increasing the adherence at same time early initiation of ART as well individualized ARV regimens.
HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN HIPERTENSI PADA WANITA USIA SUBUR DI INDONESIA Febriyanti, Syeri; Ronoatmodjo, Sudarto; Helda, Helda; Riyadina, Woro; Endarti, Ajeng Tias
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.46514

Abstract

Hipertensi masih menjadi salah satu penyakit tidak menular yang menyebabkan masalah kesehatan dunia. Prevalensi hipertensi diprediksi akan terus meningkat setiap tahun. Penderita hipertensi di Indonesia didominasi oleh penduduk berjenis kelamin wanita. Pada wanita diduga salah satu faktor risiko yang bisa menyebabkan kejadian hipertensi adalah penggunaan kontrasepsi hormonal. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan kontrasepsi hormonal dengan kejadian hipertensi pada wanita usia subur 15-49 tahun. Desain penelitian adalah cross sectional yang menggunakan data Riskesdas 2018. Kelompok terpajan adalah 45.178 responden yang menggunakan kontrasepsi hormonal dan kelompok tidak terpajan adalah 30.845 yang tidak menggunakan kontrasepsi hormonal. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara pengguna kontrasepsi hormonal dengan kejadian hipertensi dengan nilai PR=1,05 (CI 95% 1,02-1,07). Terdapat pula hubungan yang signifikan antara pengguna kontrasepsi hormonal dengan kejadian hipertensi setelah mengendalikan umur dan indeks masa tubuh dengan nilai PR=1,10 (1,06– 1,12). Selain itu, pada penelitian ini juga menilai hubungan antara berbagai jenis kontrasepsi hormonal diantaranya kontrasepsi suntikan 3 bulan dengan nilai PR=1,08 (CI 95% 1,05-1,12), kontrasepsi suntikan 1 bulan dengan nilai PR 0,99 (CI 95% 0,93-1,05), kontrasepsi implan PR 0,90 (CI 95% 0,84-0,96) dan kontrasepsi pil  PR 1,30 (CI 95% 1,23-1,35). Terdapat hubungan yang signifikan secara statistik antara penggunaan kontrasepsi hormonal dengan kejadian hipertensi pada wanita usia subur 15-49 tahun di Indonesia. Jenis kontrasepsi yang paling mempengaruhi kejadian hipertensi pada wanita usia subur adalah kontrasepsi pil.
Peningkatan Pemahaman Keluarga Dalam Upaya Pencegahan Stunting Melalui Edukasi Gizi Bayi dan Balita Dahlan, Asmita; Helda, Helda; Cumayunaro, Ayuro; Marlia, Sri; Komalasari, Wuri
Jurnal Pengabdian Sosial Vol. 2 No. 8 (2025): Juni
Publisher : PT. Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/qxf3sq91

Abstract

Masalah gizi yang paling sering ditemukan adalah stunting, underweight dan wasting. Untuk mencegah masalah gizi perlu disosialisasikan gizi seimbang. Edukasi gizi seimbang mengajarkan bagaimana pola makan yang sehat. agar tubuh tetap sehat dan terhindar dari berbagai penyakit dan masalah gizi, termasuk stunting. Tujuan kegiatan Pengabdian Kepada Masyarakat ini adalah peningkatan pemahaman keluarga dalam upaya pencegahan stunting melalui edukazi tentang gizi pada bayi dan balita. Pengabdian kepada masyarakat dalam bentuk pemberian edukasi gizi berupa penyuluhan dan demonstrasi. Sasaran kegiatan adalah Ibu hamil dan menyusui, Keluarga dengan dan kader posyandu serta tokoh masyarakat di RT 02 RW 05 Kelurahan Kubu Dalam Parakah Kecamatan Padang Timur. Hasil kegiatan didapatkan partisipas masyarakat yang hadir dalam seluruh rangkaian kegiatan meningkat dari 60% di pertemuan kedua menjadi 80% di pertemuan terakhir dan antusiasme masyarakat terhadap edukasi gizi.  Hasil Pre-test dan Post-test ditemukan rata-rata nilai pre-test: 45 dan rata-rata nilai post-test : 75 dan sebanyak 80% peserta mampu menjawab dengan benar pertanyaan kritis.. Hasil demonstrasi menu bergizi didapatkan peserta mampu memahami dan mempraktikkan pembuatan MPASI .Kegiatan ini berhasil meningkatkan pemahaman keluarga. Namun, perlu intervensi berkelanjutan  dan monitoring ketat oleh kader dan tenaga kesehatan untuk memastikan perubahan perilaku
Kebijakan Peningkatan Pemberian ASI Eksklusif Helda, Helda
Kesmas Vol. 3, No. 5
Publisher : UI Scholars Hub

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Abstract

Angka Kematian Bayi di Indonesia adalah 35/1000 kelahiran hidup berada di posisi keenam di negara Asean. Salah satu upaya yang efisien untuk menurunkan angka kematian tersebut adalah pemberian ASI eksklusif yang memperlihatkan tren yang menurun, pada tahun 1997, (40,2%), 2002 (39,5%) dan 2007 (32%). Artikel ini bertujuan mengkaji kebijakan pemerintah memenuhi hak anak terhadap ASI. Metode yang digunakan melakukan telaah berbagai studi tentang kebijakan dan perundangan ASI di dunia dan di Indonesia,pada periode 2000-2007. Angka ASI eksklusif di dunia sangat bervariasi dan tidak berbanding lurus dengan kemajuan suatu negara. Jepang dan Inggris adalah contoh negara maju dengan angka ASI eksklusif yang rendah. Susu formula, sosial budaya dan wanita bekerja menjadi alasan pemakaian susu formula yang rendah. Di Indonesia, kasus balita gizi buruk pada tahun 1989, (75/10.000) dan pada tahun 2002 (70,3/ 10.000) memperlihatkan tren penurunan yang rendah. Meskipun manfaat ASI dirasakan oleh semua pihak, tetapi angka pemberian ASI masih tergolong rendah, sementara pemasaran susu formula, sosial budaya, dan wanita bekerja tidak mendukung pemberian ASI. Di Indonesia hanya ada 2 keputusan menteri kesehatan (237/1997 dan 450/2004) yang mengatur pemberian ASI. Kebijakan yang ada belum mampu mengatasi angka pemberian ASI yang rendah. Disarankan untuk meningkatkan status hukum kebijakan yang ada dan mengupayakan peningkatan komitmen. Infant mortality rate in Indonesia (35/1000 life birth) is one of the poorest (ranked number six) among ASEAN countries. One known efficient measure for reducing the infant mortality rate is exclusive breast feeding (EBF) which in fact showing a decreasing trend (40.2% in 1997, 39.5% in 2002 and 32.0% in 2007). The objective of this article is to evaluate government policy regarding the fulfillment of child’s rights to get adequate breastfeeding. The method used is by literature review of studies about breast feeding policy and regulations in the world and in Indonesia, during the period of 2000-2007. The EBF rates in the word are varied and not related to the developmental level of the country. Japan and England are examples of developed countries with low EBF rate. Formula milk, sosio-cultural, and working women are the most reasons of the low rate of EBF. In Indonesia, the cases of malnutrition among children under five years in 1989 (75/10.000) and in 2002 (70, 3/ 10.000 showed a decreasing trend. Although the benefit of the breastfeeding is known by almost all people, but the BF rate is still low. Meanwhile, formula milk marketing, sosio-cultural aspects, and the phenomenon of increasing number of working women do not support EBF. In Indonesia, there are only two ministry regulations (237/1997 and 450/2004) that regulated EBF. The existing policies are not strong enough to solve the problem of low EBF rate. It is suggested to improve the legal aspects including policy and regulations as well as improvement in government commitment to support EBF.
Indonesia’s COVID-19 Trend After the End of a Public Health Emergency of International Concern: Preparation for an Endemic Novarisa, Nessa; Helda, Helda; Mulyadi, Rahmad
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

Three years into the pandemic, the World Health Organization revoked the COVID-19 public health emergency of international concern on May 5, 2023. This decision sparked debate, notably around the possibility of a surge in cases due to the SARS-CoV-2 mutations. To manage this transition, the Indonesian government enacted stringent controls on case numbers. This case series study provided an overview of COVID-19 case trends in Indonesia following the revocation of public health emergency of international concern status by the World Health Organization. Data were collected for 5 weeks after the statement (May 6–June 10, 2023) from the COVID-19 Task Force’s official online platform of the Indonesian Ministry of Health. The trends were monitored in daily confirmed, active, recovered, and death cases, and analyzed the data using Microsoft Excel and Stata 16. The findings indicated a positive trend for Indonesia, with decreased daily confirmed cases (89.42%) and active cases (44.16%). Recovered cases accounted for 97.47%, higher than the global average (96%). Unfortunately, the death rate (2.38%) exceeded the global statistic (1%). These results highlighted the need for sustained vigilance, enhancement of the 3T strategy (testing, tracing, and treatment), and wider vaccination coverage. It remains critical to uphold the 3M protocols—mask-wearing, physical distancing, and hand hygiene—to prevent a potential rebound in cases, even without the public health emergency of international concern status,as the situation transitions toward endemic COVID-19.
Kebutaan pada Pasien Glaukoma Primer di Rumah Sakit Umum Dr. Cipto Mangunkusumo Jakarta Ismandari, Fetty; Helda, Helda
Kesmas Vol. 5, No. 4
Publisher : UI Scholars Hub

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Abstract

Glaukoma adalah penyebab kebutaan permanen nomor dua di Indonesia yang sering tidak disadari oleh penderita. Proporsi pasien baru glaukoma yang datang ke RSUPN Dr Cipto Mangunkusumo (RSCM) dalam kondisi buta cukup tinggi. Tujuan penelitian ini mengetahui berbagai faktor yang berhubungan dengan kebutaan tersebut. Penelitian ini dilakukan terhadap 420 pasien glaukoma primer yang berkunjung di poliklinik penyakit mata RSCM pada Januari 2007-Oktober 2009 dan memenuhi kriteria inklusi dan eksklusi. Metode analisis yang digunakan adalah analisis Cox’s Proportional Hazard Model untuk mendapatkan nilai prevalence ratio (PR). Penelitian ini didapatkan hubungan bermakna antara kebutaan akibat glaukoma primer tekanan intraokular (PR = 1,01; 95% CI = 1,01-1,02), jenis glaukoma, pengobatan sebelumnya dan interaksi antara jenis glaukoma dan pengobatan sebelumnya (PR 2,09 95% CI 1,36-3,22 ). Untuk sudut terbuka yang pernah mendapat pengobatan sebelumnya (PR = 1,72; 95% CI = 1,20-2,46) untuk sudut tertutup yang belum mendapat pengobatan; PR = 1,79 untuk sudut tertutup yang pernah mendapat pengobatan; dibandingkan sudut terbuka yang belum mendapat pengobatan) serta pendidikan (PR = 1,49; 95% CI = 1,06-2,08 untuk pendidikan rendah dan PR = 1,37; 95% CI = 0,97-1,92 dibandingkan dengan pendidikan tinggi). Glaucoma is the second largest cause of blindness in Indonesia. Blindness caused by glaucoma is irreversible and most of the patients are unaware of the symptoms. The proportion of blindness in new glaucoma patients at Cipto Mangunkusumo General Hospital Jakarta was found high, resulting the need to explore factors related to it. The Study involved 420 samples consisted of new primary glaucoma patients visiting Eye Clinic of this hospital from January 2007 to October 2009, who fulfilled inclusion and exclusion criteria. To calculate the Prevalence Ratio (PR), Cox’s Proportional Hazard Model Analysis was used. As result, variables that is significantly associated with blindness among new patients with primary glaucoma at this hospital were intraocular pressure (PR = 1,01; 95% CI = 1,01-1,02), glaucoma type, treated patients, interaction between glaucoma type and treated patients (PR = 2,09; 95% CI = 1,36-3,22 for POAG-treated patients; PR = 1,72; 95% CI = 1,20-2,46 for PACG-untreated patients; PR = 1,79 for PACG-treated patiens; compared with POAG-untreated patients), and education level (PR = 1,49; 95% CI = 1,06-2,08 for low level education and PR = 1,37; 95% CI = 0,97-1,92 for no answer compared with high level education).
Attitudes Concerning Sexual Behavior towards Risky Sexual Behavior of Sexual Transmitted Infections among Male Adolescents in Indonesia Helda, Helda; Muchlisa, Nurul
Kesmas Vol. 16, No. 2
Publisher : UI Scholars Hub

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Abstract

There has been an increase of sexually transmitted infections (STIs) such as HIV/AIDS worldwide, especially in Indonesia. Several studies on adolescent behavior, especially the male as the main predictor, reported increased in STIs’ cases due to risky sexual behavior. This study aimed to show the relationship between attitudes, sexual behavior, and the risks of STIs among male adolescents in Indonesia based on the Indonesia Demographic and Health Survey (IDHS) data in 2017. This cross-sectional study involved 10,547 male adolescents using the total sampling method according to the inclusion and exclusion criteria. Data were analyzed using a complex sample logistic regression test. This study was found that the proportion of risky sexual behavior of STIs was10% of which 29.8% agreeable attitude male adolescents. Agreeable attitude male adolescents were found able to improve the risk of engaging in risky sexual behaviors of STIs (p-value = 0.018; prevalence odd ratio (POR) = 1.135). The male adolescents who had an agreeable attitude towards sexual behavior could improve the risk of having risky sexual behavior of STIs 1,135 times; however, the attitude variable was not necessarily a major risk factor for the risky sexual behavior of STIs. Knowledge and education were not related to the risky sexual behavior of STIs.
The Quality of Life in Heart Failure Reduced Ejection Fraction (HFrEF) Patients: A Phenomenon of Obesity Paradox Rachmawan, Yogi Puji; Pratiwi, Witri; Helda, Helda
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811151

Abstract

Background: Obesity place patients at risk of cardiovascular disease (CVD). There may be an inverse relationship between obesity and CVD prognosis-a phenomenon known as the “obesity paradox”. Obese HF patients might have a better prognosis, especially in terms of quality of life (QoL). Aims: The purpose of this study was to examine the QoL of HF patients based on obesity classification. Methods: This cross-sectional study was conducted at the HF clinic of Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia. Samples were HFrEF patients who had received medication at the HF clinic for at least 6 months and the patient must have received optimal guidelines directed medical therapy (GDMT) with at least 3 pillar drugs according to Indonesian heart failure guidelines. Inclusion criteria were HF patients with ejection fraction <40% on echocardiographic examination. Exclusion criteria were HF patients with motor impairments, such as post-stroke, severe osteoarthritis, paralysis, and patients who did not receive optimal GDMT. Results: A total of 40.3% sample were obese, 9.7% were underweight and 67.5% had central obesity. Coronary artery disease (89.6%), smoking (67.5%) and hypertension (49.4%) were the most common comorbidities and risk factors found. About 12.3% of sample experienced rehospitalization 3 times a year. Based on Kansas City Cardiomyopathy Questionnaire (KCCQ)-12, about 3.2% of the sample had poor QoL, 55.8% had good QoL and 9.7% had excellent QoL. HFrEF patients with excellent QoL had a proportion of 66.7% obese and 20% overweight. While there were no obese patients in HFrEF patients with poor QoL. The proportion of HFrEF patients with excellent QoL who had central obesity was 80%. Meanwhile, 65.1% of HFrEF patients with good QoL were obese. Conclusion: Obese HF patients have better QoL outcomes. This phenomenon is called obesity paradox. A good quality of life in HF patients is an important goal of HF management in addition to reducing mortality.   Received: 02 December 2024 | Reviewed: 17 December 2024 | Revised: 24 December 2024 | Accepted: 10 January 2025.
Co-Authors Adang Mulyana Afrizal Tanjung Ajeng Tias Endarti Ansariadi Ansariadi Arcita Hanjani, Arcita Ariyanti, Firna Armenda, Yulia Astuti Yuni Nursari Audita, Fatira R. Aulia Rizka, Aulia Azzumar, Farchan Beny Rilianto Budhi Antariksa Caroline Killeen Cumayunaro, Ayuro Dahlan, Asmita Dwinata, Indra Eka Budi Satria Elviza Rahmadona Falah, Sadiah Nurul Fariani Syahrul Febriyanti, Syeri Fetty Ismandari Fetty Ismandari Findy Prasetyawaty, Findy Fitri Aulia Fitriani, Wulan Fujiasti, Yovella Medhira Handari, Rahma Dewi Hasyim, Irva Zulviya Helwiah Umniyati Hendraswari, Desyana Endarti Herawati, Yanti Hidajah, Atik C. Hikmah, Kholishotul Hikmah, Kholisotul Ibna, Reihana Ramadlani Kawi, Nurhayati Kholisotul Hikmah Komalasari, Dini P. Komalasari, Wuri Latifah, Mira Maryani Lestari, Andini Putri M Ibraar Ayatullah Magdalena S, Purnama Marlia, Sri Marlya Niken Pradipta Melinda, Gea Mira Maryani Latifa Muchlisa, Nurul Novarisa, Nessa Nurcandra, Fajaria Nurrofiq, M. Fajar Pagihuddin, Mukjizat Pratiwi, Endah Dwi Prihartono, Nurhayati Adnan Prisandy, Lucky Purbasari, Utami Rachmawan, Yogi Puji Rahmad Mulyadi, Rahmad Rahmadani, Sekar A. Rajab, Nurfadilah M. Ramadhani Ramadhani Ramadhania, Shabrina A. Renti Mahkota Rezavitawanti, Rezavitawanti Rilianto, Beny Rizka Fahmia Rizka Ramadhanti Robbani, Syifa Rufaidah, Melia Fatrani Rustam, Musfardi Sakanti, Anggiasih Salamah, Qonita Nur Sihombing, Intan Ully Athalia Stefani, Sheila Sudarto Ronoatmodjo Sudaryo, Mondastri Korib Sugiarti, Restya Sri Sukarsi Rusti Talitha El Zhafira Hadi Tamaria Panggabean Tauhidah, Sarah At Thamrin Thamrin Tri Wurisastuti Utami, Fenia Utami, Risa P. Wahyono, Tri YM. winna, winna Witri Pratiwi Woro Riyadina