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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.
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.
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 Abdul Majid Abdullah, Asnawi Abdullah, Asnawi Agus Mukholid Agussabti . Agussabti Agussabti Agustina Agustina Ainal Mardhiah Ainal Mardhiah Ainal Mardiah Alma, Siti Ambarwati, Rini Amelia Zahara Amiruddin Amiruddin Anisrina Anisrina Anwar Ahmad Aramico, Basri Ariska, Tasya Arnes Yuli Vandika Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asniah Syamsuddin Aulina Adamy Aulina Adamy Baharuddin, Dharina Basri Aramico, Basri Belinda Arbitya Dewi Cholila, Cholila Cut Nasrulsyah Daiyana, Intan Depy Ismarita Dewi Susanna Dito Anurogo, Dito Ede Surya Darmawan Elmiadi Elmiadi Erlangga Galih Zulva Nugroho Ernani Wijaya Fahmi Ichwansyah Fahmi Ichwansyah Fahmi Ichwansyah Farrah Fahdhienie Febi Dwirahmadi Fida’ Husain Fitria, Ida Fitriani Fadillah Fitriani Fitriani Hafnidar Hafnidar Hafnidar, Hafnidar Halimatussakdiah Halimatussakdiah Helly Susanti Hermansyah, Hermansyah Hilman Syarif Ichwansyah, Fahmi Ichwansyah Iklima Iklima Irma Suryani Irwan Saputra Irwan Saputra Ismail Ismail Ismail, Nizam Isnani, Ayu Isneini Isneini Isneini Judijanto, Loso Jufrizal Jufrizal Kartini Kartini Kholis Ernawati Lathifah Hanum, Lathifah Lisnayana, Lisnayana Liza Safrina M. Marthoenis Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Masyudi Masyudi Mayang Indah Arinimi Mega Fatimah Rosana Meutia Zahara Misbahul Jannah Mohamad Firdaus Mudatsir Mudatsir Muhammad Ikhsan Muhammad Muhammad Mulyadi Mulyadi Munandar, Arief Munawarah, Zakiya Munazar Munazar Mursal, Mursal Nabela, Danvil Nisa, Nurul Hafizatun Nita Adlina Nizam Ismail Nizam Ismail Nova Perdana Nurhasanah, Nurhasanah Nurhayati Nurhayati Nurhayati Nurhayati Nurjannah Nurjannah Nurjannah Nurjannah Nurjannah, Nurjannah Nurleli Nurleli Nurleli, Nurleli Nuswatul Khaira Puspita, Kori Radhiah Zakaria Raharjo, Setio Budi Rahmil Azzati Rani, Hafnidar Ar Rauzatul Jannah, Syarifah Rina Silviana Riska Novita Ritawati Ritawati Rusli Yusuf Safitri, Vira Saiful Bakri Salmayati Salmayati Saputra, Irwan Shannon Rutherford Sofyan Sufri Sri Alna Mutia Suryane Sulistiana Susanti Susanti, Helly Syarifah Rauzatul Jannah Syarifuddin Syarifuddin T. Budi Aulia Tahara Dilla Santi Tahlil, Teuku Taufik Umar Fahmi Ahmadi Wirda Hayati Wirda Hayati Yanti, Cut Aini Fauzi Yusuf, Nazira Zakaria, Radhiah Zakaria, Radhiah