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Journal : Science Midwifery

Utilization of voluntary counseling and testing (VCT) services among transexual in Banda Aceh Yusuf, Nazira; Marthoenis, Marthoenis; Saputra, Irwan; Hermansyah, Hermansyah; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1429

Abstract

Indonesia ranks fifth in Asia in terms of high risk of HIV/AIDS. Men who have sex with men (MSM) are 22 times more likely to contract HIV among at-risk populations worldwide. MSM ranks third in the percentage of HIV-positive individuals undergoing HIV testing in Indonesia, at 8.75%. Previous research estimated that there were 30 active transgender sex workers in Banda Aceh and 311 MSM. Voluntary Counseling and Testing (VCT) is one way to detect HIV. However, several factors prevent transgender individuals from utilizing VCT services. The research design used is descriptive quantitative, analyzing VCT utilization among transgender individuals in Banda Aceh in 2021. The sample size in this study is 77 individuals using total sampling technique. Data collection was conducted using a questionnaire. Data analysis involves univariate analysis. t was found that 83.12% of surveyed transgender women are under the age of 35, with 80.52% having a secondary education. 71.43% of them work in salons, and 83.13% identify themselves as Acehnese. Only 50.65% have partners, although 58.44% exhibit a positive attitude towards VCT services. However, 55.84% face stigma and discrimination. Approximately 53.25% of respondents rate VCT facilities positively, but only 54.55% utilize the service. 33.33% have used VCT for 3 years, primarily at health centers, with partner rejection being the main obstacle (34.29%). While 84.42% correctly identify VCT, there are still misunderstandings, such as simultaneous testing and counseling (79.22%). Additionally, only 62.34% are aware of the voluntary nature of HIV testing, and only 50.65% understand the affordability and lifelong treatment of HIV.
Determinants of factors influencing the utilization of Covid-19 vaccination services at sigli public health center, Pidie Regency, Aceh, Indonesia Fauza, Riska; Hidayat, Melania; Zahara, Meutia; Radhiah, Radhiah; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1430

Abstract

This study aims to identify the factors influencing people's utilization of vaccination services at the Sigli City Health Center. This research employed an analytical observational design with a cross-sectional approach. Independent variables included age, occupation, education, knowledge, accessibility, family support, perception, and immunization history, while the dependent variable was the utilization of the Covid-19 vaccine service. The study was conducted in November, with a sample size of 371 respondents selected using random sampling techniques based on the Slovin formula. Data were collected through questionnaires distributed to the respondents. The research findings revealed that approximately 78.71% of the population utilized the vaccine service, while 21.29% did not. Bivariate analysis indicated that out of the eight variables examined, five variables had a significant relationship with the utilization of the Covid-19 vaccine service, namely occupation, knowledge, accessibility, family support, and perception, each with a p-value of 0.000. Multivariate analysis further confirmed that knowledge was the most dominant factor, with a p-value of 0.000 and an Odds Ratio of 23.3 (95% CI = 63.5-85.9). Thus, a lack of knowledge was found to be a significant factor influencing the utilization of the Covid-19 vaccine service.
Determinants influencing healthcare workers' anxiety levels during the COVID-19 pandemic at Cut Nyak Dhien Regional General Hospital, West Aceh Tari, Nadalia Indah; Hidayat, Melania; Zakaria, Radhiah; Maidar, Maidar; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1431

Abstract

The COVID-19 pandemic has had a significant impact on society, particularly on healthcare professionals who have been at the forefront of the pandemic response. They have faced a high risk of virus exposure and have been burdened with extraordinary responsibilities in saving lives. Since the onset of the pandemic until February 2022, thousands of healthcare workers have been exposed to the virus, and some have even lost their lives. Therefore, this study was conducted to understand the factors influencing the level of anxiety among healthcare workers during the COVID-19 pandemic. The research employed a cross-sectional survey approach and was conducted at Cut Nyak Dhien Regional General Hospital, West Aceh Regency, in November 2021. The study population consisted of 396 healthcare workers, with a sample of 304 healthcare workers selected using purposive sampling. Data collected were analyzed using logistic regression. The findings revealed that the majority of healthcare workers at Cut Nyak Dhien Hospital experienced high levels of anxiety during the COVID-19 pandemic, with 72.37% experiencing panic anxiety, while 27.63% experienced non-panic anxiety. Significant factors influencing anxiety levels included family support, with an odds ratio (OR) of 2.1 and a p-value of 0.017, sufficient knowledge with an OR of 0.5 and a p-value of 0.084, and adequate provision of Personal Protective Equipment (PPE) with an OR of 2.1 and a p-value of 0.026. However, there was no significant relationship between anxiety levels and variables such as age, profession, marital status, highest education level, and comorbid conditions.
Analysis of determinants of adherence to anti-tuberculosis drugs in tb patients during covid-19 at the public health center of Aceh Besar Regency Amiruddin, Amiruddin; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Maidar, Maidar; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1432

Abstract

The Covid-19 pandemic has had a significant impact on TB patients, particularly in terms of treatment and drug monitoring. During the pandemic in 2020, there were 350 cases of TB in Aceh Besar District. This study aimed to assess the compliance of TB patients during the Covid-19 period at the Aceh Besar District Health Center. A cross-sectional study design was employed, and data were collected from 118 TB patients from April to October 2020. The research was conducted in April 2022. Questionnaires were used for data collection, and bivariate and multivariate analyses were performed using the STATA 12 application program. The results of the multivariate analysis revealed that several risk factors, including Covid-19, history of illness, sources of information, age, knowledge, and trips to the health center, were associated with non-compliance in taking OAT medications. Efforts to increase awareness and educate the public about the risk factors of TB should continue, even during the Covid-19 pandemic. Building partnerships with former TB patients who have completed treatment and recovered can also help in promoting adherence to OAT medications among current TB patients.
The relationship between health literacy and quality of life among diabetes mellitus patients in the working area of Darul Imarah Subdistrict Health Center Isnani, Ayu; Hermansyah, Hermansyah; Maidar, Maidar; Saputra, Irwan; Abdullah, Asnawi; Rani, Hafnidar Ar
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1433

Abstract

The study aimed to examine the relationship between health literacy and the quality of life of Diabetes Mellitus (DM) patients in the Darul Imarah Sub-District Health Center, Aceh Besar District. Using an analytical observational design with a cross-sectional approach, the study included 1,125 DM patients, with 100 individuals selected as research samples. Data analysis involved univariate, bivariate, and multivariate analysis using logistic regression. The findings revealed that a majority of DM patients in the working area of the health center experienced poor quality of life (82%). Additionally, there was a significant relationship between health literacy and the quality of life of DM patients (OR=8.34; 95% CI=1.05-66.05; p=0.044). Confounding assessment identified socioeconomic status, family history of DM, access to information, and low physical activity as factors influencing the quality of life of DM patients. The multivariate analysis highlighted socioeconomic status as the most dominant factor (OR=25.43; 95% CI=2.24-288.44; p=0.009). In conclusion, DM patients in the Darul Imarah Sub-District, Aceh Besar Regency, generally have poor quality of life, with health literacy, socioeconomic factors, descent, information access, and physical activity playing significant roles in influencing it.
Knowledge and skills in combating stunting in toddlers in Aceh Besar regency (a comparative study of BKKBN cadres with Integrated Service Post cadres) Majid, Abdul; Hermansyah, Hermansyah; Zahara, Meutia; Abdullah, Asnawi; Hafnidar, Hafnidar
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1436

Abstract

Stunting is a critical issue with irreversible consequences on children's growth and development. In Ingin Jaya and Indrapuri districts, stunting is a significant concern. This research examined the knowledge and skills of TPK and Posyandu cadres in tackling stunting in Aceh Besar Regency. The study included 50 TPK cadres and 50 Integrated Service Post cadres actively engaged in Want Jaya and Indrapuri districts in 2022. Analysis revealed no significant differences in knowledge (P=0.562) and skills (P=0.445) between the cadres. Cadres' motivation level emerged as the most influential factor impacting stunting prevalence, with lower motivation associated with a 4.67% increase in stunting village score (P=0.030). These findings offer valuable insights for addressing stunting and inform effective management strategies in rural areas. While no significant differences were found in knowledge, skills, education, and occupation between TPK and Integrated Service Post cadres in Aceh Besar District, variations were observed in the distance from the village to the district capital. Inadequate knowledge and motivation in both cadre groups significantly affect efforts to combat toddler stunting.
Changes in stress levels and determinants of stress levels in University students during the covid-19 pandemic period in Aceh Pamaila, Sri Reski; Adamy, Aulina; Maidar, Maidar; Hidayat, Melania; Abdullah, Asnawi
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1629

Abstract

The Case of Covid-19 in Indonesia from 2020 - 2021 has not shown any changes yet. The Covid-19 pandemic has crippled all areas of activity, especially in the field of education. The learning system that was previously carried out face-to-face has suddenly changed to online, where there are obstacles that trigger the emergence of stress. This study aims to determine changes in stress levels during the PSBB (Large-Scale Social Restrictions) and PPKM (Enforcement of Restrictions on Community Activities) periods and the determinants that cause changes in stress levels in students during the Covid-19 pandemic period in Aceh. This research uses a quantitative method with a cross-sectional design. The population in this study were all students in Aceh who were studying in Aceh with a sample of 122 students who had met the inclusion criteria using the random sampling method with two data collection times. The statistical tests used were the T-test and logistic regression test using STATA 14. The results of this study show that the stress levels experienced by students are in the moderate (63.11%) and severe (34.33%) categories. Of the 13 variables studied, there are 2 variables related to stress levels during the PSBB period, namely learning motivation and college assignments, and 3 variables related to stress levels during the PPKM period, namely college assignments, learning styles, and limited quotas with a p-value <0.05.
Analysis of factors related to stress levels in outpatients with diabetes mellitus and hypertension during the Covid-19 pandemic in Aceh Besar Regency Yanti, Cut Aini Fauzi; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Marthoenis, Marthoenis; Abdullah, Asnawi
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1630

Abstract

The prognosis of COVID-19 is influenced by age and comorbidities such as hypertension, diabetes mellitus (DM), pulmonary diseases, and obesity. Observations have found that patients who test positive for the coronavirus often experience anxiety and have high stress levels, particularly among outpatients at health centers. This study aims to analyze the factors related to stress levels in outpatients with DM and hypertension during the COVID-19 pandemic at Krueng Barona Jaya Health Center, Aceh Besar Regency. This quantitative research employs a cross-sectional study approach. The sample consists of 111 individuals out of a total of 154 outpatients with DM and hypertension in the working area of Krueng Barona Jaya Health Center, Aceh Besar Regency, selected through stratified proportional random sampling. Data collection was conducted in the working area of Krueng Barona Jaya Health Center from August 4 to August 10, 2022, using questionnaires distributed to the respondents. The statistical test used was logistic regression with STATA software. The study results showed that 45 individuals (45.04%) experienced moderate stress levels. Bivariate analysis revealed a partial relationship between knowledge, family support, and income with the stress levels of outpatients with DM and hypertension during the COVID-19 pandemic at Krueng Barona Jaya Health Center, Aceh Besar Regency (p<0.05).
Co-Authors A.A. Ketut Agung Cahyawan W Abdi, Naufal Abdul Majid Abdullah Lawang, Karimuddin Adamy, Aulina Adilla, Zahara Afrida, Maina Agustina Aletta, Alma Alfian Alfian Ali, Marlizar Amin Haris, Amin Amin Harris Amiruddin Amiruddin Ananda, Nurul Arifin, Vera Nazhira Aripin Ahmad, Aripin Ariscasari, Putri Ariska, Tasya Arizin, Vera Nazira Arlianti, Nopa Aryandi Darwis Aslam Nur Asrar, Qatratul Aulia, Nia Aulina Adami Aulina Adamy Azqia, Azqia Baharuddin, Dharina Bakhtiar Bakhtiar Basri Aramico, Basri Cahyani, Amelia Regita Cholila, Cholila Desi Desi, Desi Dharina, Dharina Dian Rahayu Dorista, Eva Ede Surya Darmawan Ellyani Ellyani, Ellyani Emiliani, Emiliani Erwiyanti, Serly Nurfajri Fadhlullah, Fadhlullah Fadlina, Amelia Fahmi Ichwansyah Faisal Abdurahman Faisal Faisal Fajriana, Eulisa Farrah Fahdhienie Fauza, Riska Fitri, Rahmi Ayu Fitrini, Tria Anggita Fonna, Zahara Hafnidar A. Rani Hafnidar, Hafnidar Hanis, Nonong Haryati, Wiwin Hasnur, Hanifah Hayatun Nufus Henni Fitriani Heramuliati, Heramuliati Hermansyah Hermansyah Hermansyah Hermansyah Hermasnyah, Hermasnyah Hidayat, Melania Ichwansyah, Fachmi Iin Fitraniar Ira Puspita Sari Irwan Saputra Ismail, Nizam Ismardiani, Yossi Isnaini Isnaini Isnani, Ayu Jauhari, Julianti Kacandra, Wahyu Kamila, Saufa Tasyaul Khairunnisa Khairunnisa Kusma, Nila Lahmudinur, Lahmudinur Liana, Leni Lisnayana, Lisnayana M. Erfin Febrian M. Marthoenis Maghfirah Maghfirah Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Maifrizal, Maifrizal Marlina Maulidayani, Maulidayani Maulidya, Rizki Maulinasari, Maulinasari Mawaddah, Husnul Melfira, Roza Meutia Zahara Miftahul Jannah Milana, Shintya Mudar, Andi Nadir Muhammad Fadhil Muhammad Nasir Muhammad Saleh Muhammad Yasir Munandar Munandar Munandar, Arief Murida, Eva Mursalin . Mushaddiq, Muhammad Mustafa Kamal N. Nurjanah Naimah Naimah Nauval, M. Dharma Nelli Harisah Nisa, Nurul Hafizatun Novianti, Hernia Novita Novita Novita, Riska Noviyanti, Rini Nur Kholis Nurhayati Nurhayati Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah Pamaila, Sri Reski Putri Pulungan, Indah Rizky Putri, Anggre Paramitha Putri, Anisha Sahfira Radhiah, Radhiah Rahma, Viyola Rahmadiana, Rahmadiana Raihan, Siti Luluk Ramadhani, Gadis Amaniar Ramadhaniah, Ramadhaniah Rani, Hafnidar Ar Rasmi, Rika Irma Ridwan Amiruddin Rita Mutia Rony, Zahara Tussoleha Rostina Rostina Safriadi Safriadi, Safriadi Saputra, Irwan Sari, Shinta Maya Siti Fatimah Sugisni, Susi Suhermawan, Suhermawan Sulfira Mulia, Syarifah Syaharasyi, Rayyan Syahputri, Evy Syahrul, Fatahillah Syelvita, Cut Yayang Tahara Dilla Santi Tari, Nadalia Indah Toguan, Zulfikri Tri Tarwiyani Usalma, Usfiandinata Usman, Said Utama, Imam Utari, Widya Nada Wardiati, Wardiati Wulandari, Gusti Yanti, Cut Aini Fauzi Yulia, Cut Yusuf, Nazira Zahara, Amelia Zakaria, Radhiah Zakaria, Radiah