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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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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.
DETERMINAN KEJADIAN KESAKITAN DAN KEMATIAN JEMAAH HAJI TAHUN 2023/1444 H (ANALISIS DATA SISKOHATKES SHAR’I) Sakanti, Anggiasih; Helda, Helda
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.26662

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Ibadah haji merupakan salah satu bentuk mass gathering yang berpotensi memberikan beban kesehatan masyarakat yakni morbiditas dan mortalitas. Pada tahun 2023 jemaah haji Indonesia merupakan jumlah jemaah haji terbesar sejak tahun 2004, terbanyak setelah pandemi COVID-19 dan 30% diantaranya adalah lansia (> 60 tahun). Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kejadian kesakitan dan kematian pada populasi jemaah haji asal DKI Jakarta selama musim haji tahun 2023. Penelitian dengan metode cross sectional ini melibatkan 7.755 responden dari sumber data Sistem Informasi Kesehatan Jemaah Haji Indonesia (SISKOHATKES SHAR’I) yang memenuhi kriteria inklusi dan ekslusi. Responden pada penelitian ini mayoritas adalah perempuan (56,5%), kelompok usia 41 – 59 tahun (48,5%), IMT >25,1 (56,2%), dan riwayat penyakit hipertensi terbanyak sebelum keberangkatan haji (23,8%). Prevalensi kejadian kesakitan dan kematian pada jemaah haji adalah sebesar 4,6%. Determinan kejadian kesakitan dan kematian pada jemaah haji adalah kelompok usia > 60 tahun (aOR:1,52; 95% CI:1,21 – 1, 91), riwayat anemia (aOR:1,88; 95% CI:1,12 – 3,17), dan riwayat dislipidemia (aOR:0,73; 95% CI: 0,58 – 0,92). Dengan mengidentifikasi determinan kesakitan dan kematian pada kelompok risiko tinggi maka penting untuk melakukan optimalisasi pembinaan kesehatan sebelum keberangkatan haji. Hal ini menjadi sangat penting guna mengendalikan faktor risiko kesehatan sehingga jemaah haji berada dalam kondisi sehat selama beribadah haji.
Perdarahan Intrakranial Pasca Terapi Trombolisis Stroke Iskemik Akut pada Populasi Asia Rilianto, Beny; Helda, Helda
Jurnal Ilmiah Kesehatan Vol 14 No 1 (2022): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v14i1.860

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Terapi trombolisis dengan tPA (tissue Plasminogen Activator) merupakan terapi yang direkomendasikan pada stroke iskemik akut dengan onset kurang dari 4,5 jam. Namun terapi trombolisis memiliki komplikasi perdarahan intrakranial yang bervariasi di antara populasi diberbagai negara dan masih sedikitnya informasi perdarahan intrakranial pada populasi Asia. Penelitian dilakukan dengan metode kajian literature. Penelitian literature didapatkan dari data base online Google Scholar dan PubMed sesuai kriteria inklusi dan eksklusi ditemukan 11 artikel. Dari 11 artikel tersebut didapatkan pada populasi Asia perdarahan lebih tinggi jika menggunakan tPA dengan dosis standar dibanding dosis rendah. Beberapa faktor yang meningkatkan risiko perdarahan adalah derajat stroke, waktu pemberian tPA sejak onset gejala dan riwayat diabetes melitus. Perdarahan intrakanial merupakan salah satu komplikasi fatal yang penting pasca terapi trombolisis yang dapat meningkat seiring dengan faktor risiko tertentu, dan bervariasi antar studi di beberapa negara.
Faktor Risiko Kekambuhan Lesi Prakanker Serviks Pasca Pengobatan: Tinjauan Literatur Fujiasti, Yovella Medhira; Helda, Helda
Jurnal Sehat Indonesia (JUSINDO) Vol. 6 No. 02 (2024): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v6i02.125

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Kanker serviks merupakan jenis kanker yang terjadi pada seviks yaitu saluran masuk menuju uterus dari vagina, World Health Organization (WHO) menyusun strategi untuk mengeliminasi penyakit ini melalui upaya pencegahan primer, sekunder dan tersier dengan target yang ingin dicapai yaitu 90 – 70 – 90 pada tahun 2030. Tujuan penelitian ini untuk memberikan gambaran umum serta mengetahui faktor-faktor yang berhubungan dengan kekambuhan lesi prakanker serviks pasca pengobatan pada perempuan. Metode tinjauan Literatur ini menggunakan metode PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Sumber rujukan merupakan artikel tahun 2019 – 2024 yang ditelusuri melalui database Science Direct, ProQuest dan Scopus dengan kata kunci risk factors, recurrence, precancer lesion, cervical cancer. Berdasarkan kata kunci, terdapat 357 artikel yang teridentifikasi dan hanya 17 artikel yang ditelaah sebagai rujukan. Hasil: Dari 17 artikel yang ditelaah diketahui bahwa recurrence rate dari lesi prakanker serviks pasca pengobatan berkisar antara 6,1% hingga 21,69%. Perempuan dengan infeksi HPV tipe high risk (hr-HPV) genotype 16,18,33 dan 52 pasca pengobatan, usia >35 tahun, hasil margin positif pada pemeriksaan sel yang diambil saat pengobatan, status HIV positif, riwayat persalinan kurang bulan, adanya komorbid, paritas <4 dan perilaku merokok berisiko lebih dari dua kali terhadap kekambuhan lesi prakanker serviks. Kesimpulan dari penelitian ini menunjukan tingginya recurrence rate dari lesi prakanker serviks menunjukkan bahwa perlunya kepatuhan dalam melakukan pemeriksaan berkala pasca pengobatan. Selain itu menghindari perilaku seks berisiko merupakan salah satu upaya pencegahn terhadap faktor risiko kekambuhan.
LITERATUR REVIEW: HUBUNGAN PAPARAN ASAP ROKOK DENGAN KANKER SERVIKS Armenda, Yulia; Helda, Helda
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 2 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i2.1273

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Kanker serviks utamanya disebabkan oleh infeksi HPV (Human Papilloma Virus) yang sebagian besar ditularkan melalui kontak seksual. Sebagian besar infeksi virus HPV akan sembuh dengan sendirinya dalam jangka waktu 2 tahun, namun HPV tipe high risk (onkogenik) dapat menyebabkan infeksi persisten dan mengakibatkan lesi pada sel epitel serviks. Proses alamiah perkembangan infeksi HPV menjadi kanker serviks dipengaruhi oleh beberapa faktor yang salah satunya adalah paparan asap rokok. Penelitian ini merupakan literature review yang dilakukan dengan metode PICO (Population, Intervention, Comparators and Outcome), dengan melakukan penelusuran database elektronik yaitu Pubmed, Proquest dan Science Direct. Dari hasil penelusuran database tersebut didapat 803 artikel. Setelah dilakukan review terhadap kesesuaian judul dan abstract sebanyak 75 artikel yang eligible. Dari artikel yang eligible dilakukan penyaringan sesuai kriteria inklusi dan eksklusi sehingga didapat 9 artikel yang terdiri dari 3 penelitian dengan disain cohort dan 6 penelitian dengan disain case control. Hasil telaah dari 9 artikel tersebut menunjukan bahwa paparan rokok baik dengan merokok aktif maupun pasif dapat meningkatkan risiko perkembangan lesi prakanker baik lesi ringan (CIN 1/LSIL) maupun lesi berat (CIN2/CIN3/HSIL) dan berlanjut menjadi kanker serviks. Mekanisme biologis berupa penurunan sistem imun oleh senyawa kandungan di dalam rokok sehingga meningkatkan risiko infeksi HPV menjadi persisten memengaruhi perkembangan infeksi HPV menjadi lesi prakanker. Selain itu, kandungan karsinogenik di dalam rokok dapat menyebabkan kerusakan DNA pada sel epitel serviks yang kemudian berisiko mengakibatkan kanker serviks invasive.
Determinants of Contraceptive Use at The First Sexual Intercourse among Unmarried Adolescents in Indonesia: 2017 IDHS Analysis Sugiarti, Restya Sri; Helda, Helda; Hikmah, Kholisotul
JURNAL INFO KESEHATAN Vol 20 No 1 (2022): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol20.Iss1.684

Abstract

Adolescents confront boundaries in obtaining contraception counting prohibitive policies and adolescents possess failure to obtain contraceptives since of information, transportation, and monetary limitations. The objective of this study is to assign the variables which impact on the use of contraception for the first sexual intercourse among unmarried adolescents. Quantitative research employing cross sectional analysis was implemented in this study, by processing 2017 Indonesian Health Demographic Survey (IDHS) data. Cox regression was utilized to examine the association between sociodemographic, peer and social influences, contraceptive knowledge and contraceptive use. The study populace encompassed 705 single young people; 15 to 24 years old. The study resulted that contraceptive use at the primary sexual intercourse by single young people in Indonesia was approximately 50.35%. After bivariate analysis was applied, it was revealed that there is a significant relationship between education with the contraceptive use at the first sexual intercourse among unmarried adolescents in Indonesia (p-value = 0.049). In the final model, we discovered that the level of education and contraceptive use was statistically significant, and the contraceptive use was higher in adolescents with high education than adolescents with middle and primary education (PR 1.51, 95% CI 1.09 – 2.07, p = 0.012). Therefore, this finding provides information that education is a prominent variable for understanding contraceptive use in adolescents.
The Impact of Hormonal Changes in Elderly Women: A Literature Review Helda, Helda; Latifah, Mira Maryani; Komalasari, Dini P.; Utami, Fenia; Rajab, Nurfadilah M.; Utami, Risa P.; Rahmadani, Sekar A.; Ramadhania, Shabrina A.; Stefani, Sheila
JURNAL INFO KESEHATAN Vol 22 No 1 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss1.1411

Abstract

As women age, hormonal changes become increasingly common and can significantly impact their overall health and well-being. In elderly women, these changes can lead to a range of physical and emotional symptoms that can greatly affect their quality of life. To further understand the health problems that arise from these hormonal changes, this study focused on menopause and andropause. The research methodology used in this study was a literature review. A total of 14 articles from PubMed, ScienceDirect, and PLOS One were reviewed, while established inclusion and exclusion criteria were taken into consideration. The findings suggest that a majority of postmenopausal women experience side effects from hormonal changes, including both physical and mental ailments. Menopause can also lead to sexual dysfunction, as well as an increased risk of osteoporosis, cardiovascular diseases, cancer, mental disorders, and chronic kidney disease. These changes can significantly impact an elderly individual's quality of life. 
Co-Authors Abda Abda Afrizal Tanjung Agustianingsih, Ika Ajeng Tias Endarti Ansariadi Ansariadi Apriani, Fitri Arcita Hanjani, Arcita Ariyanti, Firna Armenda, Yulia Asari, Hazella Rissa Valda asrul, asrul asrul Astuti Yuni Nursari Audila, Hanna Audita, Fatira R. Aulia Rizka, Aulia Azzumar, Farchan Badewi, Bachtarudin Beny Rilianto Budhi Antariksa Caroline Killeen Catootjie L. Nalle, Catootjie L. Cumayunaro, Ayuro Dahlan, Asmita Dwinata, Indra Eka Budi Satria Ella Hendalia Elviza Rahmadona Faadhillah, Astrisa Fahmia, Rizka Fahmida Manin Falah, Sadiah Nurul Fariani Syahrul Febriyanti, Syeri Fetty Ismandari Fetty Ismandari Findy Prasetyawaty, Findy Fitri Aulia Fitriani, Wulan Fujiasti, Yovella Medhira Handari, Rahma Dewi Hardiyanti, Anggie Hasyim, Irva Zulviya Helwiah Umniyati Hendraswari, Desyana Endarti Hidajah, Atik C. Hikmah, Kholishotul Hikmah, Kholisotul Husnul Hatimah, Husnul Ibna, Reihana Ramadlani Ida Ayu Kshanti Kawi, Nurhayati Kholisotul Hikmah Komalasari, Dini P. Komalasari, Wuri Latifah, Mira Maryani Lengkana, Dewi Lestari, Andini Putri M Ibraar Ayatullah M. Bakhrul Widianto M. Irzal, Mufti As Siddiq Magdalena S, Purnama Magfira, Nadya Mahdatul Ardawiah Manurung, Pebrina Marlia, Sri Marzuki, M. Maulita Wulandari Melinda, Gea Mira Maryani Latifa Mokoagow, Md Ikhsan Monica, Mareska Muchlisa, Nurul Nadia Nadia Nani Nani Nisa Raisa Shaleha Novarisa, Nessa Nurcandra, Fajaria Nurrofiq, M. Fajar Pagihuddin, Mukjizat Pratiwi, Endah Dwi Prihartono, Nurhayati Adnan Prisandy, Lucky Purbasari, Utami Putri Alfina Riwayatin Rachmawan, Yogi Puji Raf Raf, Khansa Rahmad Mulyadi Rahmadani, Sekar A. Rajab, Nurfadilah M. Ramadhani Ramadhani Ramadhania, Shabrina A. Raudatul Aslamiah Renti Mahkota Revis Asra Rezavitawanti, Rezavitawanti Ridhanti, Devi Rilianto, Beny Rizka Fahmia Rizka Ramadhanti Robbani, Syifa Rufaidah, Melia Fatrani Rustam, Musfardi Sakanti, Anggiasih Salamah, Qonita Nur Sartika, Desy Shomita Fitrotun Nisa 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 Tri Yunis Miko Wahyono Utami, Fenia Utami, Risa P. Wahyono, Tri YM. winna, winna Witri Pratiwi Woro Riyadina Yanti Herawati Yulianto, Muhammad Farhan Dwi Zainab Addhahra