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All Journal Media Kesehatan Masyarakat Indonesia Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Abdimas Rekayasa: Jurnal Penerapan Teknologi dan Pembelajaran MEDISAINS Jurnal Manajemen Kesehatan Indonesia The Indonesian Biomedical Journal HIGEIA (Journal of Public Health Research and Development) Journal of Health Education Jurnal Kesehatan Masyarakat Journal of Public Health for Tropical and Coastal Region Journal of Epidemiology and Public Health Amerta Nutrition Jurnal Respirologi Indonesia Unnes Journal of Public Health Public Health Perspective Journal Jurnal Keperawatan dan Fisioterapi (JKF) Journal of Sport Coaching and Physical Education Indonesian Journal of Public Health and Nutrition Bookchapter Pendidikan Universitas Negeri Semarang Prosiding Seminar Nasional Pascasarjana Proceeding of International Conference on Science, Education, and Technology Jurnal Kesehatan Masyarakat Public Health Perspective Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mahalul Azam
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Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Analisis Faktor Wanita Usia Subur dalam Melakukan Pemeriksaan Inspeksi Visual Asam Asetat Saputri, Meilinda Ayu; Azam, Mahalul; Rahayu, Rr Sri Ratna
HIGEIA (Journal of Public Health Research and Development) Vol 8 No 3 (2024): July 2024
Publisher : Universitas Negeri Semarang

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Abstract

Kanker serviks adalah kanker yang 99,7% disebabkan oleh Human Papilloma Virus (HPV) yang menyerang serviks (leher rahim) yang banyak diderita oleh wanita yang telah menikah atau aktif dalam melakukan aktivitas seksual. Tujuan penelitian ini adalah menganalisis faktor yang berhubungan dengan wanita usia subur (WUS) dalam melakukan IVA Tes (Inveksi visual Asam Asetat) di wilayah Kabupaten Tanggamus, Provinsi Lampung. Penelitian ini menggunakan desain cross sectional study. Populasi penelitian ini adalah semua wanita usia subur usia 30-50 tahun yang berada di wilayah Kabupaten Tanggamus. Teknik penetapan sampel pada penelitian ini menggunakan proportionate Stratifed Random Sampling yaitu 396 wanita usia subur usia 30-50 tahun. Penelitian ini dilakukan pada bulan Januari-Febuari. Hasil penelitian menunjukan faktor yang berhubungan dengan wanita usia subur dalam melakukan pemeriksaan IVA adalah pengetahuan, sikap, akses ke pelayanan kesehatan, dukungan suami, dukungan tenaga kesehatan, sumber informasi,dan rasa khawatir, serta tidak terdapat hubungan yang signifikan dengan kemauan membayar terhadap kemauan WUS dalam melakukan pemeriksaan IVA. Cancer cervix is a cancer that is 99.7% caused the by human papilloma virus attacks the cervical which is often affected by married women or women who are active in sexual activity. The purpose of this research is to analyze factors related to women of fertile age in conducting visual inspection acetic acid in the area of Tanggamus , Lampung Province. This study uses cross-sectional design. The population of this study was all women of fertile age aged 30-50 who were in the district of Tanggamus. The sampling technique in this study used the proportionate Stratified Random Sampling of 396 women of fertile aged 30-50 years. This study was conducted in January-February. The results of the research showed the factors associated with women of feltire age in performing IVA examinations are knowledge, attitudes, access to health care, husband support, health support, sources of information, and concerns, as well as lack of significant relationship with the commitment to pay against WUS willingness to perform IVA.
Exhaustive Analysis of the Study of Antiretroviral Adherence Factor From HIV/AIDS Patients Alfitri, Alfitri; Neviyarni, Neviyarni; Firman, Firman; Netrawati, Netrawati; Rihaliza, Rihaliza; Azam, Mahalul; Yuniarti, Elsa
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.21228

Abstract

Adherence of HIV/AIDS patients in ARV therapy is an important factor in the success of HIV/AIDS treatment because continuous ARVs can suppress the development of the virus, reduce viral resistance, improve the HIV/AIDS patient's quality of life, and improve their health in general. This study aimed to review the literature that has researched factors related to the non-adherence of HIV/AIDS patients in taking ARV therapy. The research conducted an empirical analysis related to the aspects of adherence of HIV/AIDS patients to antiretroviral therapy (ART).  A total of 71 kinds of literature discusses the adherence of patients with HIV/AIDS to treatment with ARVs. Literature was obtained based on searches on the Scopus website for the year 2019-2023. The literature is dominant in 2019 and has decreased over time. The publication is predominantly in Q1-indexed journals, with the first author coming from the USA. General factors that become ART adherence based on the literature include finance, mental health, alcohol consumption, drug abuse, belief, self-efficacy, knowledge, homeless, support, and tobacco/smoking. The most commonly encountered factors are support and mental health. The further suggestions for medical personnel or patients with HIV/AIDS and their families to be more synergistic in carrying out medical therapy.
Analysis of The Relationship Between The Contact History of Patients Suspected for Covid-19 and Psychological Disorders in Nurses at Hospital X, Demak District Octarini, Dewi; Yuniastuti, Ari; Azam, Mahalul
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.2632

Abstract

The aim of this inquiry was to examine the relationship between contact history with suspected COVID-19 patients and the level of psychological distress among nurses at Hospital X, Demak Regency. A retrospective survey was conducted involving 60 nurses, representing the entire nursing population at the hospital. The analysis showed that contact history with suspected COVID-19 patients was associated with depression. The P-value is 0.008, the anxiety level shows a P-value of 0.004, the stress level shows a P-value of 0.0027, PTSD shows a P-value of 1.000. The results of the analysis show that there is a significant relationship, namely anxietyas many as 62.5% experienced moderate anxiety. Nurses in the Emergency Department showed a high rate of PTSD, at 41.7%. Furthermore, factors such as gender, age, and length of service were also statistically associated with contact history with suspected COVID-19 patients. A statistical analysis revealed a significant correlation between contact history with suspected COVID-19 patients and PTSD levels in nurses. These findings provide important insights into the potential psychological impact on nurses who have had contact with suspected COVID-19 patients. In the real world, this research can help develop plans to support nurses' mental well-being during the pandemic.
Factors Associated with the Incidence of Anemia among Pregnant Women in Indonesia (IFLS 5 Secondary Data Analysis) Nurfajriah, Nurfajriah; Azam, Mahalul; Indarjo, Sofwan
Public Health Perspective Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.9218

Abstract

Anemia is a severe public health problem with the incidence of anemia among pregnant women in Indonesia at 46.2% based on data from the Indonesia Family Life Survey (IFLS) 5. This study aimed to determine the factors associated with the incidence of anemia among pregnant women in Indonesia. The cross-sectional design of the study was using secondary data from IFLS 5 which was conducted from September 2014 to March 2015 on 292 pregnant women out of 53,160 respondents based on inclusion and exclusion criteria. Chi-square analysis showed that maternal age, maternal occupation, smoking habit, food frequency, green vegetable consumption, vitamin C consumption, socioeconomic status and health service distance were not associated with the incidence of anemia among pregnant women in Indonesia. Whereas maternal education (p=0.006), nutritional status (p=0.003), gestational age (p=0.001), iron consumption (p=0.001), ANC examination (p=0.006) and protein consumption (p=0.012) were associated with the incidence of anemia among pregnant women in Indonesia. Multivariate analysis with multiple logistic regression showed maternal education (p=0.014), nutritional status (p=<0.001), gestational age (p=0.002), iron consumption (p=0.008) and protein consumption (p=0.038) were associated with the incidence of anemia among pregnant women in Indonesia. Gestational age was the most dominant variable associated with the incidence of anemia among pregnant women after controlling for maternal education, nutritional status, iron consumption and protein consumption (OR=3.029; 95% CI=1.520-6.038).
Determinants of Anemia in Pregnant Women in Semarang City in 2023 Rahmawati, Siska; Azam, Mahalul; Rahayu, RR. Sri Ratna
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.16430

Abstract

Anemia during pregnancy can lead to serious complications, such as bleeding and premature birth. The prevalence of anemia in Semarang in 2022 reached 15.4%, exceeding the WHO target. This study aims to analyze factors influencing the occurrence of anemia among pregnant women in Semarang in 2023. The study was conducted at five public health centers in Semarang with 183 pregnant women, consisting of 61 with anemia and 122 without anemia. Data were collected from January to July 2024, with analysis using Chi-Square and logistic regression tests. Significant factors associated with anemia included age (p=0.006), employment status (p=0.005), gravidity (p=0.047), ANC history (p=0.036), compliance with iron supplementation (p=0.003), tea/coffee consumption habits (p=0.024), iron intake from food (p=0.033), nutritional status (KEK) (p=0.041), and knowledge about anemia (p=0.009). Multivariate analysis showed that age (OR=3.09), employment status (OR=0.395), and KEK status (OR=2.99) were higher risks for anemia. Age, employment status, and nutritional status (KEK) are significant factors affecting anemia in pregnant women in Semarang, highlighting the importance of nutritional interventions and health education for pregnant women.
Transformation of Stroke Rehabilitation through Occupational Game Consoles: A Quasi-Experimental Study at RSUD Dr. Adhyatma, MPH, Semarang Daniswari, Aruna; Azam, Mahalul; Rahayu, Sri Ratna
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.19981

Abstract

Stroke is a leading cause of long-term disability worldwide, often resulting in impaired motor function and reduced independence in daily activities. Innovative and engaging rehabilitation strategies are urgently needed to improve patient outcomes and adherence. This study aimed to evaluate the effectiveness of an occupational game console in improving functional abilities among stroke patients. A quasi-experimental study was conducted at RSUD Dr. Adhyatma, MPH, Semarang, between March and June 2024, involving 30 stroke patients aged 30–70 years. All participants completed in a 4-week rehabilitation program without a control group. They received structured therapy using an occupational game console designed to enhance motor coordination, muscle strength, and independence. Functional improvements were measured using the Barthel Index (BI), Manual Muscle Test (MMT), and Nine Hole Peg Test (NHPT). Data were analyzed using paired sample t-tests with a significance level set at p < 0.05. The participants included 18 males (60%) and 12 females (40%). Most were in the 51 60 years age group (40.0%), followed by 41–50 years (26.7%), and smaller proportions in 30–40 years (16.7%) and 61–70 years (16.7%). In term of stroke duration, 56.7% had experienced a stroke for 5–8 months, 23.3% for 0–4 months, and 20.0% for 9–12 months. The results showed significant improvements in functional outcomes, with BI scores increasing from 45 (moderate dependence) to 65 (mild dependence), MMT scores improving from 3/5 to 4/5, and NHPT times decreasing from 120 to 90 seconds (p < 0.01). Additionally, 85% of patients reported higher motivation and engagement due to the console’s interactive and gamified features. Occupational game consoles demonstrate promising potential as innovative and accessible tools to support stroke rehabilitation by enhancing motor function, independence, and patient engagement. Future studies should include randomized controlled trials with larger samples and longer durations to assess long-term effectiveness and broader clinical applications.
Sistem Informasi Admisi Pasien Membantu Ketepatan Pengambilan Keputusan Admisi Pasien Azam, Mahalul; Fibriana, Arulita Ika
Kesmas Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

Ketepatan admisi merupakan salah satu indikator kualitas pelayanan medis yang sesuai dengan standar. Appropriateness Evaluation Protocol (AEP) merupakan protokol yang digunakan untuk menilai ketepatan admisi pasien rawat inap. Tujuan penelitian ini adalah merancang sistem informasi admisi pasien rawat inap untuk membantu pengambilan keputusan klinis dan administrasi dalam admisi pasien rawat inap di Rumah Sakit Umum Daerah dr. H. Soewondo Kabupaten Kendal. Penelitian dilakukan dalam dua tahap. Tahap pertama, penelitian kualitatif untuk perancangan sistem informasi dengan menerapkan Framework for Application of System Technique (FAST). Tahap kedua, penelitian kuantitatif dengan rancangan one group pretest-posttest design yaitu uji coba sistem informasi admisi dengan membandingkan indikator-indikator akseptabilitas, aksesibilitas, sensitivitas, kerepresentativan, dan ketepatan waktu. Hasil penelitian ini berupa rancangan Sistem Informasi Admisi (SIA) pasien rawat inap meliputi masukan, keluaran, basis data, dan antarmuka yang dilanjutkan dengan membangun sistem sehingga dihasilkan SIA berbasis AEP. Hasil uji coba menunjukkan dukungan responden terhadap sistem lama dan sistem baru dari aspek akseptabilitas (RRT 2,20 dan 3,18), aksesibilitas (RRT 2,25 dan 3,19), sensitivitas (RRT 2,30 dan 3,10), kerepresentativan (RRT 2,40 dan 3,16), dan ketepatan waktu (RRT 2,13 dan 3,13) dengan perbedaan yang bermakna (p = 0,0001). Diperlukan komitmen manajemen untuk dapat menjalankan SIA, evaluasi setiap tahun terhadap kinerja sistem untuk mengantisipasi perubahan kebutuhan informasi, dan rancangan input data yang cepat dengan teknologi tinggi. Appropriateness in admission represent quality of medical services. Appropriateness Evaluation Protocol (AEP) is protocol that used to evaluate inpatient admission according to medical indications. The research was carried out to design admission information system of inpatient as administrative and clinical decision support system in Rumah Sakit Umum Daerah dr. H. Soewondo Kabupaten Kendal. The research was done in two step. First step was qualitative study applied Framework for Application of System Technique (FAST) to design information system. Second step used one group pretest-posttest design, trying information system that built comparing acceptability, accessibility, sensitivity, representativeness and punctuality. The result of this research was admission information system design consist of input design, output design, data base design and interface design continuing to build AEP based admission information system. Trial result shows that respondents give their agreement in old and new system for acceptability (2,20 and 3,18), accessibility (2,25 and 3,19), sensitivity (2,30 and 3,10), representativeness (2,40 and 3,13), and punctuality (2,13 and 3,13), and it was statistically significant (p = 0,0001). The management commitment is required to carry on admission information system, annual evaluation of system performance required to anticipate changes of information requirement, and it is required to design input faster using high technology instrument.
Co-Authors A.A. Ketut Agung Cahyawan W Afifi, Sesaria Nisa Agus Kristyanto Kumbara Agus Raharjo Aldinda, Tharra Widadari Alfitri Alfitri Anik Setyo Wahyuningsih Arga Iman Malakani Ari Yuniastuti Artiyaningrum, Budi Arulita Ika Fibriana Ayu, Dhea Istiva Baharuddin Ali Bambang Budi Raharjo Bambang Priyono Bambang Widjanarko Bioladwiko, Bioladwiko Budhi Setianto Chandra Permana Daniswari, Aruna Dartini Dartini Dewi, Nila Prastiana Dina Nur Anggraini Ningrum Donny Kristanto Mulyantoro Donny Wira Yudha Elsa Yuniarti Endika, Okta Mega Gres Eri Barlian Eunike Raffy Rustiana Eunike Raffy Rustiana Evi Widowati Farida, Eko Fatihah, Ana Nur Fatimah Fatimah Fazriyah, La’elatul Ferdiani, Dhita Aulia Ferdiani, Dhita Aulia Fetty Nur Hidayati Firman Firman Fitri Indrawati Halibi, Maria Suzana Hardhono Susanto Hardhono Susanto heldi heldi Hendra Adinata Heny Setyawati Indah Septiani Indah Septiani Indang Dewata Innayah, Nurul Irawan Wibisono Irwan Irwan Isti Mulyawati Jeffri Ardiyanto Kamisih, Kamisih Kholifah, Siti Putri Nur Kristian, Samuel Kusuma, Donny Wira Yudha Lukman Fauzi M. Riski Adi Wijaya M.Jannah, Ajeng Ayu Maftukhah, Maftukhah Martha Irene Kartasurya Martha Irene Kartasurya Mohammad Arif Ali, Mohammad Arif Muhammad Azinar Navik Puryantini Netrawati, Netrawati Neviyarni, Neviyarni Ningrum, Trinanda Agustina Sapta Nisa, Alfiana Ainun Nugroho, Anan Nurfajriah, Nurfajriah Nurharsono, Tri Nurtanti, Ratna Nurul Dwi Astuti, Nurul Dwi Nyoman Suci Widyastiti Octarini, Dewi Oktia Woro Kasmini Handayani Qimamayah, Asih Satut Damul Rahayu, Rr. Sri Ratna Rahmawati, Siska Ricko Irawan Ricko Irawan Rihaliza, Rihaliza Rr. Sri Ratna Rahayu Rukmana, Dewi S. Sugiharto S.Pd. M Kes I Ketut Sudiana . Saefurrohim, Muhamad Zakki Salsabila, Alif Mazida Saniya Ilma Arifa Saputri, Indramala Yulmi Saputri, Meilinda Ayu Sari, Riska Permana Sekar, Anastasia Kinanti Sesaria Nisa Afifi Setya Rahayu Shofiyanah, Lina Shofiyanah, Lina Siti Fatimah Pradigdo Siti Minasari Soedjatmiko Soedjatmiko Soegiyanto Soegiyanto Soesanto . Sofwan Indarjo Sri Lestari Sri Sumarni Sri Sumartiningsih Sudiyono Sudiyono Suhartono, Suhartono Sungkowo Edy Mulyono Sungkowo Sungkowo Susanti Lestari Syed Mohamed Aljunid Tandiyo Rahayu Taufiq Arif Setyanto Thijs Eijsvogels TOMMY SUPIT, TOMMY Totok Triputrastyo Murwatono Tri Joko Raharjo Tri Tunggal Setiawan Udin Bahrudin Udin Bahrudin Udin Bahrudin, Udin Utami, Nur Lissa Utami, Nur Lissa Utomo, Ocbrivianita Mulyaningtyas Widya Hary Cahyati Yan Wisnu Prajoko Yani Istadi Yuni Astuti Yuni Wijayanti Zein, Ahmad