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ANALISIS IMPLEMENTASI KEBIJAKAN PENCEGAHAN DAN PENGENDALIAN HIV/AIDS: MENUJU PENCAPAIAN TARGET ”THREE ZERO” DI WILAYAH KABUPATEN CIREBON Melati, Puji; Awaludin
Journal of Health Service Management Vol 29 No 00 (2026): Vol 29/Edisi Khusus/Februari/2026
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v29i00.27095

Abstract

Background: HIV/AIDS remains a major public health challenge in Indonesia, particularly in regions where new cases continue to increase. Cirebon Regency is one of the high-vulnerability areas, reporting 464 new HIV cases in 2024, predominantly among men who have sex with men (MSM). Local government efforts to achieve the global Three Zero targets zero new HIV infections, zero AIDS-related deaths, and zero stigma and discrimination require critical examination to assess policy effectiveness and alignment. Objective: This study aimed to analyze the implementation of HIV/AIDS prevention and control policies in Cirebon Regency, identify supporting and inhibiting factors in policy implementation, and assess the relevance of local policies to achieving the Three Zero targets. Methods: This study employed a qualitative descriptive policy analysis approach. Primary data were collected through in-depth interviews and limited observation involving four key informants: the Head of the Disease Prevention and Control Section of the Cirebon District Health Office, the HIV Program Coordinator at the District Health Office, the HIV Program Officer at Kalimaro Community Health Center, and a representative of a non-governmental organization supporting people living with HIV (PLHIV). Secondary data were obtained from policy documents and official program reports, including the HIV/AIDS Information System (SIHA), and were used solely to provide contextual information on program coverage and service gaps. The study did not apply a mixed-methods design. Data were analyzed using the Miles and Huberman interactive model, comprising data reduction, data display, and conclusion drawing, with validity ensured through source and method triangulation Results: The findings indicate that HIV/AIDS policy implementation in Cirebon Regency has not yet fully aligned with the Three Zero targets. Major challenges include the absence of a specific regional regulation on HIV/AIDS, limited intersectoral coordination, and persistent social stigma toward PLHIV. Antiretroviral therapy (ARV) coverage reached 80.7%, remaining below the global target of 95%. Conclusions: Strengthening regional regulations, expanding community-based education, and enhancing cross-sector collaboration are essential to accelerate progress toward achieving the Three Zero targets in Cirebon Regency.
IMPLEMENTASI DAN TATA KELOLA SINERGI PROGRAM HIV–TBC DI KABUPATEN CIREBON: ANALISIS CAPAIAN, HAMBATAN, DAN ARAH PENGUATAN LAYANAN TERPADU Awaludin; Putri Isriyatil Jannah; Puji Melati
Journal of Health Service Management Vol 29 No 00 (2026): Vol 29/Edisi Khusus/Februari/2026
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v29i00.27438

Abstract

Background: The integration of HIV and tuberculosis (TB) services is a key strategy to achieve communicable disease elimination targets. At the subnational level, the effectiveness of integration is strongly influenced by governance capacity, continuity of care, and interoperability of health information systems. Cirebon District has established a local regulatory framework for HIV–TB collaboration; however, its implementation and performance remain suboptimal. Objective: This study aimed to analyze the performance, barriers, and governance of HIV–TB program synergy in Cirebon District during 2024–August 2025 and to identify directions for strengthening integrated services. Methods: This study employed a convergent parallel mixed-methods design, integrating descriptive quantitative analysis of routine program data with qualitative thematic content analysis. Program performance data were obtained from the HIV/AIDS Information System (SIHA), the Tuberculosis Information System (SITB), and the Public–Private Mix for TB Control (PHTC) dashboard. Policy implementation was examined through a review of Regent Regulation No. 33/2016 and semi-structured interviews with key program managers and service providers. Quantitative and qualitative findings were analyzed concurrently and integrated at the interpretation stage. Results: HIV testing coverage exceeded 100% of the target among groups integrated into routine health services, such as pregnant women (103.2%), but was lower among tuberculosis (TB) patients (84.7%) and markedly low among stigmatized populations, including transgender individuals (52.0%) and people who inject drugs (33.3%). The cumulative number of people living with HIV/AIDS continued to rise, reaching 3,960 cases by 2025, with 492 new cases reported in 2024. The HIV–TB cascade analysis revealed that only 46.8% of TB patients were recorded as having undergone HIV testing. A total of 28 HIV–TB patients (approximately 0.6% of all TB patients) were identified, and all initiated antiretroviral therapy; however, no patients received tuberculosis preventive therapy (TPT). Fragmentation between the SIHA and SITB information systems, along with weak cross-program coordination, undermined continuity of care. Conclusions: HIV–TB program synergy in Cirebon District is constrained primarily by weaknesses in governance and health system integration rather than by a lack of clinical services. Strengthening operational integration, data interoperability, and performance-based supervision is essential to ensure that expanded HIV testing and treatment translate into measurable reductions in HIV–TB transmission and mortality.
Penguatan Kompetensi Literasi Numerasi Materi Sistem Saraf dengan Menggunakan LKPD Berbasis Model Pembelajaran ASICC Anggi Junita Sari Anggi Junita Sari; Wiwik Widayati; Awaludin; Cicilia Novi Primiani; Sulistiono; Poppy Rahmatika Primandiri
BIOLOVA Vol. 7 No. 1 (2026): Volume 7 Nomor 1 Maret Tahun 2026
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/biolova.v7i1.9549

Abstract

Tujuan penelitian ini adalah untuk menguatkan kompetensi literasi numerasi peserta didik dengan menggunakan Lembar Kerja Peserta Didik (LKPD) berbasis model pembelajaran ASICC pada materi sistem saraf jenjang SMA. Pengembangan LKPD dilakukan dengan Design Research tipe Development Study yang meliputi tahapan preliminary dan formative evaluation mengacu pada formative evaluation Tessmer yang terdiri dari 5 tahap yaitu self evaluation, expert review, one-to-one, small group, dan field test. Penelitian dilaksanakan di SMA Negeri 1 Prambon, Kabupaten Nganjuk selama 6 bulan. Desain LKPD di vaildasi oleh validator ahli dan validator praktisi melalui Forum Group Discussion (FGD). Hasil validasi oleh validator ahli diperoleh 87% dan 93% dengan kategori sangat valid, selanjutnya hasil dari validator praktisi diperoleh 80% dengan kategori valid. Kemudian, hasil uji kepraktisan oleh guru dan peserta didik menggunakan instrumen kepraktisan diperoleh 80% dari guru dengan kategori praktis, 81% peserta didik dengan kategori sangat praktis, dan 19% peserta didik dengan kategori praktis. Data yang diperoleh dari penelitian ini skor pre-test 43,96% dan skor post-test 83,36% yang menunjukkan adanya peningkatan. Hasil penelitian menunjukkan bahwa penggunaan LKPD berbasis model pembelajaran ASICC pada materi sistem saraf valid dan layak digunakan untuk menguatkan kompetensi literasi numerasi peserta didik, karena dinyatakan sangat valid oleh vaildator ahli dan valid oleh validator praktisi, dan dinyatakan praktis oleh guru dan peserta didik, serta dapat meningkatkan kompetensi literasi numerasi peserta didik.
Analisis Kinerja Deep Learning dalam Deteksi Dini Penyakit Menggunakan Citra Medis Awaludin; An Nahari , Rafiq; Pehan Goran, Anthomy; M Fauzi, Rafly
Journal of Computer Science and Information Technology Vol. 2 No. 1 (2026): Journal of Computer Science and Information Technology, March 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/jocsit.v2i1.393

Abstract

Advances in artificial intelligence technology, particularly deep learning, have been widely utilized in medical image processing to support early disease detection. Previous studies have shown that Convolutional Neural Networks (CNN) are capable of achieving high levels of accuracy in medical image classification, but differences in architecture and training methods result in varying performance. This study aims to analyze and compare the performance of deep learning algorithms in early disease detection using medical images, using previous research as a benchmark. Transfer learning-based CNN models, namely VGG16 and ResNet50, were used and evaluated using a labeled medical image dataset. Performance evaluation was conducted using accuracy, precision, recall, and F1-score metrics, and the results were compared with accuracy achieved in previous studies using similar approaches. The analysis showed that the ResNet50 model achieved an accuracy of up to 95.3%, comparable to or better than several previous studies. These findings confirm that the choice of CNN architecture and training strategy significantly influences the performance of medical image-based early disease detection systems.
Analisis Kesesuaian Perairan Pesisir untuk Budidaya Rumput Laut Kappaphycus alvarezii Berdasarkan Parameter Fisika dan Kimia di Desa Tanah Kuning, Kalimantan Utara Gusman, Ery; Awaludin; Firdaus, Muhammad; Ardiansyah
Samakia : Jurnal Ilmu Perikanan Vol 17 No 1 (2026): Samakia: Jurnal Ilmu Perikanan
Publisher : Faculty of Science and Technology University Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/jsapi.v17i1.8955

Abstract

This study aims to analyze the suitability of coastal waters in Tanah Kuning Village, Bulungan Regency, for Kappaphycus alvarezii seaweed cultivation amidst the industrialization dynamics of the Indonesian Green Industrial Estate (KIHI). An exploratory descriptive method was employed, with four observation stations selected through purposive sampling. The analyzed parameters included physical aspects (current speed, depth, temperature, transparency) and chemical properties (salinity, pH, dissolved oxygen, nitrate, phosphate). Suitability levels were determined using a weighted scoring method. The results indicated that the water quality conditions in Tanah Kuning Village exhibit varying suitability levels across parameters, ranging from highly suitable (S1) to unsuitable (N). Accumulatively, the total suitability score was 58, classifying the area into the Suitable (S2) category. The primary limiting factors identified were the relatively deep waters (10–19 m) and strong current speeds (0.41–0.53 cm/s). To optimize this potential, innovation in cultivation technology, such as the use of more robust long-line methods and precise micro-siting in sheltered areas, is required to mitigate the risk of physical damage to the seaweed thallus.
Pemberdayaan Masyarakat Melalui Pengembangan Usaha Kuliner Dalam Meningkatkan Pendapatan Asli Daerah Di Kecamatan Parigi Tengah Awaludin; Supriadi, Ali; Guasmin; yusuf, Dikcy; Rukhayati
Sambulu Gana : Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Lembaga Penelitian dan Pengabdian Pada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/sambulu_gana.v5i2.10943

Abstract

The development of culinary businesses based on Micro, Small, and Medium Enterprises (MSMEs) plays a strategic role in improving community welfare and contributing to Regional Original Income (PAD). This community service activity was conducted in the Sail Tomini area, Parigi Tengah District, Parigi Moutong Regency, Central Sulawesi Province, involving 30 participants from six villages. The objective of this activity was to identify culinary product types, packaging styles, and sales revenues, as well as to encourage the empowerment of entrepreneurs through the use of local raw materials. The methods used included site surveys, outreach, outreach, training, and mentoring. The results of the activity indicated that the community had developed various culinary businesses, such as yellow rice (nasi kuning), food stalls, various fried foods, meatballs, gado-gado (traditional Indonesian salad), beverages, and processed products such as chips and traditional cakes, reflecting the local economic potential. However, entrepreneurs still face challenges in business management, packaging innovation, and marketing strategies. Through training and mentoring, participants' knowledge and skills in business management, including financial record keeping, pricing, and social media utilization, improved. This activity has a positive impact on community empowerment and has the potential to increase income and contribute to local revenue (PAD) in Parigi Tengah District.