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Prevention of Iron Deficiency Anemia Through Blood Immunochemical Detection in Improving the Quality of Life of Elderly Wiwis Wijayanti, Christina Destri; Herawati, Dheasy; Mandasari, Andita Ayu; Mawarti, Herin
Eduvest - Journal of Universal Studies Vol. 5 No. 11 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i11.52272

Abstract

The increase in the elderly population poses challenges to health services in Indonesia, particularly regarding degenerative diseases and malnutrition due to reduced physical activity and dietary changes. Supporting the Asta Cita program for elderly assistance, it is essential to monitor elderly health to maintain wellness and functionality in old age. This study used descriptive analytical observation on 25 women aged 55 to 75 years. Results showed that hemoglobin levels declined below the normal range of 12–15 g/dL. Serum iron levels and lactate dehydrogenase (LDH) enzyme activity were measured using a spectrophotometer to assess anemia potential, while immune status was evaluated through vitamin D levels by immunofluorescence. Statistical analysis with SPSS software using Spearman’s correlation test revealed no significant relationships between hemoglobin and serum iron (p = 0.520), hemoglobin and LDH (p = 0.615), or serum iron with LDH (p = 0.543) and vitamin D (p = 0.138). Pearson correlation showed no association between hemoglobin and vitamin D (p = 0.885). These findings indicate weak or no correlation among these parameters in this sample. Factors such as small sample size and measurement limitations suggest that using more precise biomarkers, like Ferritin levels, could improve future research. This study contributes to understanding Prevention of Iron Deficiency Anemia Through Blood Immunochemical Detection in Improving the Quality of Life of Elderly—a valuable approach to elderly health monitoring.
Implementation of Bloom's Theory in Quality Improvement Collaborative Strategies to Reduce Preeclampsia Cases Syabrullah, Andreas; Mawarti, Herin; Masruroh, Masruroh; Zulfikar Asumta, Muhammad
Jurnal Indonesia Sosial Sains Vol. 6 No. 11 (2025): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v6i11.2076

Abstract

The main target of the third goal of the Sustainable Development Goals (SDGs) regarding health and well-being is to reduce the Maternal Mortality Rate to below 70 per 100,000 live births by 2030. Preeclampsia is the leading cause of maternal death in 2023. Reducing the Maternal Mortality Rate will not be effective if it relies solely on government programs without support and participation from all parties. The Quality Improvement Collaborative is a form of cooperation among staff, professions, and work units focused on maximizing the use of resources to achieve the shared goal of improving patient care quality. This activity aims to deepen the understanding of the Quality Improvement Collaborative in reducing preeclampsia cases, using a socialization method involving several work units. The community service on Quality Improvement Collaborative to reduce preeclampsia cases was held on January 17, 2025, in two sessions. It used the Participatory Learning and Action (PLA) approach and included three stages: preparation, implementation, and evaluation. The evaluation results of the pre-test and post-test using the Wilcoxon test showed a significant increase in knowledge, with a p-value of 0.000. This service effectively increased knowledge, which serves as the main foundation for taking action. Similar activities can be continued by utilizing more innovative media to enhance their effectiveness.
Optimizing Collaborative Quality Improvement Strategies to Decrease Neonatal Asphyxia Incidence: A Scoping Review Syabrullah, Andreas; Mawarti, Herin; Hasyim, Masruroh
Journal Research of Social Science, Economics, and Management Vol. 5 No. 4 (2025): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jrssem.v5i4.1168

Abstract

Neonatal asphyxia remains a leading cause of neonatal mortality, particularly in low- and middle-income countries (LMICs). Quality Improvement Collaboratives (QICs) have emerged as a structured approach to bridge the gap between evidence-based interventions and clinical practice in neonatal care. This scoping review aimed to systematically map the characteristics, core components, and reported outcomes of QIC frameworks implemented to reduce the incidence of neonatal asphyxia. The review was conducted following the Arksey and O’Malley framework and PRISMA-ScR guidelines. A systematic search of seven electronic databases (2016–2025) identified seven eligible studies. Data on QIC components, implementation strategies, and outcomes were extracted and synthesized. The findings indicate that QICs, often incorporating Plan-Do-Study-Act cycles, mentorship, and audit-feedback, were implemented across various LMICs. Core components included interprofessional collaboration, protocol standardization, and real-time data monitoring. Enabling factors such as leadership engagement and effective communication enhanced adherence to care protocols, while workforce shortages and inadequate infrastructure posed barriers. The reviewed studies consistently reported improvements in clinical practices and reductions in neonatal asphyxia or related mortality. QICs are effective in improving neonatal outcomes through structured, team-oriented approaches. For long-term sustainability, they must be integrated into broader health system strengthening initiatives, addressing systemic barriers and securing institutional support.
PENGALAMAN DAN PERSEPSI TENAGA KESEHATAN DALAM PENERAPAN QUADRANT OF DIFFICULTY–USEFULNESS (QODU) PADA PERENCANAAN PROGRAM TUBERKULOSIS: STUDI KUALITATIF DI KABUPATEN JOMBANG Sukartini, Binti; Mawarti, Herin; Zakaria, Achmad
coba Vol 14 No 1 (2025): November 2025
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v14i1.921

Abstract

Latar Belakang: Tuberkulosis (TBC) masih menjadi masalah kesehatan utama di Indonesia dengan beban kasus yang tinggi. Upaya perencanaan program yang lebih efektif diperlukan untuk mendukung pencapaian target eliminasi TBC. Salah satu pendekatan alternatif yang dapat digunakan adalah Quadrant of Difficulty–Usefulness (QoDU), yang memetakan prioritas program berdasarkan tingkat kesulitan dan kebermanfaatan. Tujuan: Penelitian ini bertujuan untuk menggali pengalaman dan persepsi tenaga kesehatan mengenai penerapan metode QoDU dalam perencanaan program TBC di Puskesmas wilayah Kabupaten Jombang. Metode: Penelitian menggunakan desain kualitatif deskriptif. Informan adalah enam penanggung jawab program TBC yang dipilih secara purposif dari Puskesmas dengan capaian program berbeda. Data dikumpulkan melalui wawancara mendalam menggunakan panduan semi-terstruktur. Analisis dilakukan dengan pendekatan tematik melalui proses transkripsi, pengkodean, identifikasi tema, dan penyusunan subtema. Validitas temuan diperkuat dengan triangulasi data menggunakan dokumen perencanaan dan hasil kuantitatif sebelumnya. Hasil: Informan menyatakan QoDU membantu memvisualisasikan prioritas program secara sederhana dan praktis. Metode ini mempermudah diskusi lintas program, mengurangi subjektivitas, serta mempercepat pengambilan keputusan. Keterlibatan multipihak juga meningkatkan rasa memiliki terhadap hasil perencanaan. Kesimpulan: QoDU dinilai bermanfaat sebagai alat inovatif dalam perencanaan program TBC di Puskesmas dan berpotensi untuk diintegrasikan ke dalam sistem perencanaan kesehatan di layanan primer. Kata kunci: Tuberkulosis, Perencanaan Program, Quadrant of Difficulty–Usefulness (QoDU), Persepsi Tenaga Kesehatan, Studi Kualitatif
PSIKOEDUKASI UNTUK PENINGKATAN LITERASI KESEHATAN MENTAL SISWA KELAS IX MTS MAMBAUL MURUKAN JOMBANG Anggraini, Risma Puji; Husnina, Luthfida; Sutedja, Ade Armada; Mawarti, Herin
SEPAKAT Sesi Pengabdian pada Masyarakat Vol. 5 No. 2 (2025): SEPAKAT DESEMBER 2025
Publisher : INTERNATIONAL PENELITI EKONOMI, SOSIAL, DAN TEKNOLOGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56371/sepakat.v5i2.495

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Masalah kesehatan mental pada remaja saat ini menjadi isu penting yang memerlukan perhatian serius. Berdasarkan hasil skrining SDQ terhadap 56 siswa kelas 9 MTs Mambaul Ulum Murukan Jombang, ditemukan bahwa 50% siswa menunjukkan gejala abnormal yang mengindikasikan adanya gangguan kesehatan mental. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan literasi kesehatan mental melalui intervensi psikoedukasi berbasis Community Based Research (CBR). Kegiatan dilakukan dalam beberapa tahapan, mulai dari identifikasi masalah, perencanaan bersama, pelaksanaan, evaluasi, hingga penyusunan rekomendasi. Psikoedukasi diberikan dalam bentuk presentasi, video, leaflet, poster, serta sesi tanya jawab. Efektivitas program diukur melalui pre-test dan post-test, di mana terjadi peningkatan nilai rata-rata dari 51,2 menjadi 85,3. Hasil ini menunjukkan bahwa psikoedukasi efektif dalam meningkatkan literasi kesehatan mental siswa, serta menjadi langkah awal dalam upaya promotif dan preventif untuk menanggulangi gangguan kesehatan mental remaja.
Screening Mental, Social, and Health Readiness Among Prospective Brides and Grooms Zauhani Kusnul; Nugroho, Christianto; Yuly Peristiowati; Herin Mawarti; Wiwik Afridah
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.958

Abstract

Background: Entering marriage is a crucial developmental phase, requiring thorough preparation to achieve the goals of marriage. The mental, social, and health readiness of prospective brides and grooms is crucial for the well-being of future generations. Purpose: The purpose of this study was to screen prospective brides and grooms for their mental, social, and health readiness. Methods: This observational study was conducted on 30 prospective brides and grooms in the Pare District Office of Religious Affairs (KUA) area, the samples take by with accidental sampling without inclusion and exclusion criteria. The variables included mental and social readiness, healthy lifestyle habits, blood pressure, and upper arm circumference for prospective brides and grooms. Results: The results showed that the prospective brides and grooms' mental and social readiness was relatively good. Regarding health readiness, two prospective brides had a low upper arm circumference (MUAC) and three prospective grooms had high blood pressure. Regarding smoking habits, the majority of the 15 prospective grooms, except for two, were smokers. Conclusion: The conclusion of this study are expected to provide important information in identifying issues in the health readiness of prospective brides and grooms that require strengthening.
PENINGKATAN LITERASI KESEHATAN REPRODUKSI REMAJA PUTRI MELALUI EDUKASI TERSTRUKTUR DI SMKN 1 JABON SIDOARJO Siwi, Yunita Anindito Purwo Erdi; Mawarti, Herin; Zakaria, Achmad; Sutedja, Ade Armada
Jurnal Difusi Ipteks Legowo Vol. 3 No. 1 (2025): Jurnal Difusi Ipteks Legowo
Publisher : Perkumpulan Legowo Cerdas Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62242/jdil.v3i1.49

Abstract

Masa remaja merupakan fase perkembangan yang ditandai dengan perubahan fisik, emosional, dan sosial, termasuk meningkatnya ketertarikan terhadap seksualitas. Kurangnya pengetahuan mengenai kesehatan reproduksi dapat mendorong remaja melakukan perilaku seksual berisiko yang berdampak pada kehamilan tidak diinginkan dan penyakit menular seksual. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja putri tentang kesehatan reproduksi. Kegiatan dilaksanakan dalam bentuk seminar edukasi dan sesi tanya jawab di Aula SMKN 1 Jabon, Sidoarjo, pada 12 Desember 2025, dengan melibatkan 61 siswa putri. Materi disampaikan menggunakan media presentasi dan video edukatif. Evaluasi dilakukan melalui pretest dan posttest yang terdiri dari 10 pertanyaan terkait kesehatan reproduksi remaja. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan yang signifikan setelah pemberian edukasi, ditandai dengan meningkatnya jumlah peserta yang memperoleh nilai tinggi pada posttest dibandingkan pretest. Edukasi kesehatan reproduksi terbukti efektif dalam meningkatkan pemahaman remaja putri serta berperan penting dalam upaya pencegahan perilaku seksual berisiko. Oleh karena itu, pendidikan kesehatan reproduksi perlu dilaksanakan secara berkelanjutan dan diperluas di lingkungan sekolah maupun masyarakat.
EFFECTIVENESS OF THE QODU METHOD IN ENHANCING TUBERCULOSIS PROGRAM PLANNING AT PRIMARY HEALTH CENTERS Mawarti, Herin; Sukartini, Binti; Zakaria, Achmad
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 11, No 1 (2026): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v11i1.3320

Abstract

The success of tuberculosis (TB) control is strongly determined by effective program planning at the primary healthcare level. The 2020–2024 National TB Control Strategy applies a People-Centered Framework (PCF), however, planning methods such as USG, FGD, CARL, and SWOT are often considered complex. This study evaluated the Quadrant of Difficulty–Usefulness (QoDU) method as a simpler and more practical alternative for prioritizing TB programs. A quasi-experimental quantitative design with a pre–post test approach was applied to 34 TB program officers at primary health centers in Jombang Regency, with data analyzed using the Wilcoxon Signed Rank Test.Findings indicated significant improvements across nearly all QoDU variables (p0.005). Median scores for reliability rose from 6 to 8, response time from 6 to 7, usability from 6 to 8, and ease of understanding from 6 to 8. Other aspects such as completeness, relevance, personalization, and security also improved significantly (p=0.000–0.002). Service elements, including assurance, empathy, and responsiveness, showed notable progress. From the user perspective, satisfaction, willingness to reuse, and overall experience increased. Efficiency gains included cost savings, wider coverage, and time efficiency.In conclusion, QoDU proved easier, faster, more efficient, and generated better-quality data than conventional methods. It shows strong potential for broader application in health programs and, with digitalization, may enhance planning effectiveness and accelerate TB elimination efforts.
Interaksi Disfungsi Imun dan Determinan Sosial-Lingkungan dalam Aktivasi dan Persistensi Tuberkulosis Resisten Obat: Scoping Review Yayuk Endah Ernani; Herin Mawarti; Khotimah; Achmad Zakaria
Indonesian Health Science Journal Vol. 6 No. 1 (2026): Maret
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v6i1.176

Abstract

Latar belakang: Tuberkulosis resisten obat (TB-RO), termasuk MDR-TB dan XDR-TB, merupakan masalah kesehatan masyarakat yang dipengaruhi oleh interaksi faktor biologis dan sosial. Selain faktor regimen terapi dan karakteristik Mycobacterium tuberculosis (Mtb), disfungsi imun host serta determinan sosial-lingkungan berperan penting dalam aktivasi, persistensi infeksi, dan transmisi strain Mtb resisten.Tujuan: Scoping review ini bertujuan memetakan bukti ilmiah mengenai bentuk disfungsi imun dan faktor sosial-lingkungan yang berkontribusi terhadap mekanisme aktivasi dan persistensi TB-RO, serta menjelaskan hubungan interaktif keduanya terhadap risiko penularan. Metode: Penelitian ini menggunakan scoping review dengan kerangka Arksey dan O’Malley. Pencarian literatur dilakukan pada proquest, Pubmed dan science direct (2017–2026) menggunakan kata kunci terkait TB resisten, disfungsi imun, dan determinan sosial dengan Boolean operators. Dari 26.273 artikel yang teridentifikasi, seleksi PRISMA melalui deduplikasi, skrining, dan penilaian full-text berdasarkan kriteria inklusi ketat menghasilkan 8 artikel yang relevan dan berkualitas. Studi yang dianalisis meliputi observasional (cross-sectional, kohort, case-control) dan terbatas klinis/eksperimental. Data diekstraksi dan disintesis secara deskriptif tematik serta dipetakan berdasarkan tema utama. Hasil: Hasil: Disfungsi imun meliputi penurunan imunitas seluler, peningkatan inflamasi, serta imunosupresi akibat HIV dan komorbid. Faktor sosial mencakup kemiskinan, malnutrisi, kepadatan hunian, stigma, perilaku berisiko, dan keterbatasan akses layanan. Interaksi keduanya meningkatkan kerentanan, keterlambatan diagnosis, rendahnya kepatuhan, dan kegagalan terapi yang memperpanjang penularan. Kesimpulan: TB-RO dipengaruhi interaksi erat faktor imunologis dan sosial. Pengendalian memerlukan integrasi intervensi klinis dan sosial untuk menekan aktivasi, persistensi, dan transmisi Mtb resisten.
Multimedia-Based Education to Improve Breast Self-Examination Knowledge among Women of Reproductive Age Norna Amalia Sholeha; Herin Mawarti; Masruroh; Nasrudin; Suyati
Indonesian Health Science Journal Vol. 6 No. 1 (2026): Maret
Publisher : Universitas Nazhatut Thullab Al- Muafa Sampang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52298/ihsj.v6i1.186

Abstract

Latar Belakang:  kanker payudara merupakan kanker yang paling banyak terdeteksi pada wanita usia produktif dan menduduki peringkat kedua penyebab kematian akibat kanker pada wanita. Tujuan: menganalisis Pengaruh Edukasi Pemeriksaan Payudara Sendiri Melalui Multimedia Terhadap Pengetahuan Sadari Pada Ibu Usia Produktif. Metode:   Penelitian ini menggunakan desain eksperimen semu (quasi-experimental design) dengan model pretest-posttest control group. Populasi dalam penelitian ini sebanyak 66 ibu usia produktif, Besar sampel 32 ibu, dibagi 2 kelompok perlakuan dan kontrol dengan teknik simple random sampling. Analisis menggunakan Uji t 2 sampel bebas α = 0,05. Hasil: Hasil uji paired t test nilai P = 0.000 berarti ada perbedaan pengetahuan pada kelompok intervensi sebelum dan setelah dilakukan edukasi SADARI, pada kelompok kontrol nilai P=0,103 yang artinya tidak ada perbedaan. Nilai selisih pengetahuan kelompok intervensi yaitu ∆ ± (SD) = 2,5 ± (1,2)) dan kelompok kontrol yaitu ∆±(SD) = 0,8 ± (1,9). Hasil uji t 2 sampel bebas, P= 0.000, artinya ada perbedaan yang signifikan nilai selisih pengetahuan pada kelompok intervensi dengan kelompok kontrol. Kesimpulan:  Pemberian Edukasi SADARI Melalui Multimedia dapat meningkatkan pengetahuan SADARI.
Co-Authors Abdul Ghofar Abdul Ghofar Achmad Zakaria Achmad Zakaria Ade Armada Sutedja Adistya Nugraha F Afridah, Wiwik Ainun Najib Andi Yudianto Andi Yudianto, Andi Andita Ayu Mandasari, Andita Ayu Anggraini, Risma Puji Annisa, Fatma Arifa Retnowuni Aris Priyanto Athi Linda Yani Athi Linda Yani Athi Linda Yani Athi’ Linda Yani Chandra Sukma A christianto nugroho Citra Tri Widyastuti David Setiawan, David Diah Ayu Fatmawati Diah Ayu Fatmawati Dian Tri Febriana Diana Lyrawati Dina Eka Shofiana Djoko Agus Purwanto Faradian Fajri Farid - Farid - Fitariani, Selvia Handayani, Ferry Hasyim, Masruroh Herawati, Dheasy Husnina, Luthfida Imam Shalihin Amin Joewono Soeroso Jusak Nugraha KHOTIMAH Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Khotimah Kusrini, Novi Lailaturriza, Nur Lilik Maftuhah Masita, Dyah Ayu Masruroh Masruroh - Masruroh Masruroh Masruroh MASRUROH Muhammad Zulfikar Asumta Muhammad Zulfikar Asumta mukhamad rajin Mukhoirotin Mukhoirotin NASRUDIN Nasrudin Nasrudin Nasrudin Nasrudin Nasrudin Norna Amalia Sholeha Novi Kusrini Nur Ayu Rahmawati Nurul Khoirun Nisa Nurul Khoirun Nisa Renny Padma Prihatini Retty Ratnawati Siti Urifah Siti Urifah Siwi, Yunita Anindito Purwo Erdi Sri Banun Titi Istiqomah Subani Subani, Subani Sufendi Hariyanto Sukartini , Binti Sukartini, Binti Sutedja, Ade Armada SUYATI Suyati Suyati Syabrullah, Andreas Syarifah Aini Vivi Firizqy Amalia Wiwis Wijayanti, Christina Destri Yahya Ashari Yayuk Endah Ernani Yuli Astutik, Ellys Yuly Peristiowati Yuni Ernawati Zahrul Azhar Zainiyah, Hamimatus Zauhani Kusnul Zulfa Khusniyah Zulfikar Asumta, Muhammad