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All Journal Jurnal Kesehatan Masyarakat (IKESMA) Manuju : Malahayati Nursing Journal Afiasi : Jurnal Kesehatan Masyarakat Budimas : Jurnal Pengabdian Masyarakat KOLONI Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Jurnal Communio: Jurnal Jurusan Ilmu Komunikasi Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Jurnal Kesehatan
Sintha Lisa Purimahua
Universitas Nusa Cendana
Religion Humanities Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Faktor yang Mempengaruhi Perilaku Ibu dalam Deteksi Dini Pneumonia Pada Balita di Wilayah Kerja Puskesmas Nulle Jennie Luisa Boboy; Pius Weraman; Sintha Purimahua; Marni Marni; Anderias Umbu Roga
Malahayati Nursing Journal Vol 8, No 9 (2026): Volume 8 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i9.25925

Abstract

ABSTRACT Pneumonia is a leading cause of morbidity and mortality in children under five, and early detection plays a crucial role in preventing severe complications. Maternal behavior is an important factor in recognizing early symptoms of pneumonia. This study aims to analyze factors influencing maternal behavior in early detection of pneumonia among under-five children in the working area of Nulle Public Health Center. This research used a quantitative analytic survey with a cross-sectional design. A total of 94 mothers with children aged 0–59 months were selected using systematic random sampling. Data were collected using structured questionnaires based on the Health Belief Model (HBM) and analyzed using chi-square and multiple logistic regression tests. The results showed that most mothers did not perform early detection of pneumonia (60.6%). Bivariate analysis indicated that perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy were significantly associated with maternal behavior (p 0.05). Multivariate analysis revealed that self-efficacy was the most dominant factor influencing maternal behavior (OR = 2.594; 95% CI: 1.500–4.486). Self-efficacy is the most influential factor in maternal behavior regarding early detection of pneumonia. Strengthening maternal confidence through health education is essential to improve early detection practices. Keywords: Pneumonia, Early Detection, Maternal Behavior, Health Belief Model, Self-Efficacy.  ABSTRAK Pneumonia merupakan salah satu penyebab utama kesakitan dan kematian pada balita, sehingga deteksi dini sangat penting untuk mencegah komplikasi yang lebih berat. Perilaku ibu berperan penting dalam mengenali gejala awal pneumonia. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi perilaku ibu dalam deteksi dini pneumonia pada balita di wilayah kerja Puskesmas Nulle. Penelitian ini menggunakan desain survei analitik dengan pendekatan cross-sectional. Sampel berjumlah 94 ibu yang memiliki balita, dipilih menggunakan teknik systematic random sampling. Data dikumpulkan menggunakan kuesioner berbasis Health Belief Model (HBM) dan dianalisis dengan uji chi-square serta regresi logistik berganda. Hasil penelitian menunjukkan bahwa sebagian besar ibu tidak melakukan deteksi dini pneumonia (60,6%). Analisis bivariat menunjukkan adanya hubungan signifikan antara perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, dan self-efficacy dengan perilaku ibu (p 0,05). Analisis multivariat menunjukkan bahwa self-efficacy merupakan faktor paling dominan (OR = 2,594; 95% CI: 1,500–4,486). Self-efficacy merupakan faktor paling berpengaruh terhadap perilaku ibu dalam deteksi dini pneumonia. Peningkatan keyakinan diri ibu melalui edukasi kesehatan sangat diperlukan untuk meningkatkan praktik deteksi dini. Kata Kunci: Pneumonia, Deteksi Dini, Perilaku Ibu, Health Belief Model, Efikasi Diri.
Analisis Faktor-Faktor yang Mempengaruhi Kinerja Pengelola Aplikasi Sarana Prasarana dan Alat Kesehatan (Aspak) di Kabupaten Timor Tengah Selatan Jeanned Welhelmina Baria; Yendris K. Syamruth; Fransiskus Geroda Mado; Pius Weraman; Sintha Lisa Purimahua
Malahayati Nursing Journal Vol 8, No 10 (2026): Volume 8 Nomor 10 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i10.26404

Abstract

ABSTRACT The quality of data management in the Health Facilities, Infrastructure, and Medical Equipment Application (ASPAK) is an important component of the health information system. The performance of ASPAK managers is influenced by various individual and organizational factors that support the success of health facility data management. To analyze the relationship and influence of technical competence, work discipline, work motivation, rewards, leadership supervision, and work environment on the performance of ASPAK managers in South Central Timor Regency based on the HOT-Fit Model approach. This study employed a quantitative method with a cross-sectional design. The sample consisted of 48 ASPAK managers from healthcare facilities in South Central Timor Regency selected using total sampling. Data were analyzed using the Spearman correlation test for bivariate analysis and ordinal regression for multivariate analysis. Bivariate analysis showed that work discipline (p=0.000; r=0.669), work motivation (p=0.000; r=0.703), rewards (p=0.000; r=0.628), leadership supervision (p=0.002; r=0.427), and work environment (p=0.001; r=0.481) had significant positive relationships with ASPAK managers’ performance. Technical competence had no significant relationship with performance (p=0.089; r=0.248). Multivariate analysis revealed that work discipline was the only variable significantly affecting ASPAK managers’ performance (β=0.215; OR=1.240; p=0.020). Work discipline is the most dominant factor affecting the performance of ASPAK managers. Strengthening compliance with reporting schedules, consistency in data entry, and responsibility in task implementation is necessary to improve ASPAK management performance. Keywords: ASPAK, Performance, Work Discipline, Work Motivation, Rewards, Leadership Supervision, Work Environment.  ABSTRAK Kualitas pengelolaan data pada Aplikasi Sarana, Prasarana, dan Alat Kesehatan (ASPAK) merupakan komponen penting dalam sistem informasi kesehatan. Kinerja pengelola ASPAK dipengaruhi oleh berbagai faktor individu dan organisasi yang mendukung keberhasilan pengelolaan data fasilitas kesehatan. Menganalisis hubungan dan pengaruh kompetensi teknis, disiplin kerja, motivasi kerja, penghargaan, supervisi pimpinan, dan lingkungan kerja terhadap kinerja pengelola ASPAK di Kabupaten Timor Tengah Selatan berdasarkan pendekatan HOT-Fit Model. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Sampel penelitian berjumlah 48 pengelola ASPAK pada fasilitas pelayanan kesehatan di Kabupaten Timor Tengah Selatan yang dipilih menggunakan teknik total sampling. Analisis data dilakukan menggunakan uji korelasi Spearman untuk analisis bivariat dan regresi ordinal untuk analisis multivariat. Hasil analisis bivariat menunjukkan bahwa disiplin kerja (p=0,000; r=0,669), motivasi kerja (p=0,000; r=0,703), penghargaan (p=0,000; r=0,628), supervisi pimpinan (p=0,002; r=0,427), dan lingkungan kerja (p=0,001; r=0,481) memiliki hubungan positif dan signifikan dengan kinerja pengelola ASPAK. Kompetensi teknis tidak memiliki hubungan yang signifikan dengan kinerja (p=0,089; r=0,248). Hasil analisis multivariat menunjukkan bahwa disiplin kerja merupakan satu-satunya variabel yang berpengaruh signifikan terhadap kinerja pengelola ASPAK (β=0,215; OR=1,240; p=0,020). Disiplin kerja merupakan faktor yang paling dominan memengaruhi kinerja pengelola ASPAK. Oleh karena itu, diperlukan penguatan kepatuhan terhadap jadwal pelaporan, konsistensi penginputan data, dan tanggung jawab dalam pelaksanaan tugas guna meningkatkan kualitas pengelolaan ASPAK. Kata Kunci: ASPAK, Kinerja, Disiplin Kerja, Motivasi Kerja, Penghargaan, Supervisi Pimpinan, Lingkungan Kerja.
Analisis Faktor Risiko Loss To Follow Up Terapi Antiretroviral Pada Orang dengan HIV di Kabupaten Timor Tengah Selatan Ade Shianti Sabneno; Imelda F.E Manurung; Yendris K. Syamruth; Pius Weraman; Sintha Lisa Purimahua
Malahayati Nursing Journal Vol 8, No 10 (2026): Volume 8 Nomor 10 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i10.26370

Abstract

ABSTRACT Loss to Follow Up (LTFU) of antiretroviral (ARV) therapy among people living with HIV (PLHIV) remains a major challenge because it can lead to treatment failure, increased viral load, drug resistance, and a higher risk of HIV transmission. South Central Timor Regency is one of the regions experiencing an increasing number of HIV cases accompanied by a high rate of LTFU. To analyze the risk factors associated with Loss to Follow Up (LTFU) of antiretroviral therapy among people living with HIV in South Central Timor Regency. This study employed a quantitative approach with a cross-sectional design. A total of 83 respondents were selected using purposive sampling. Data were collected through interviews using structured questionnaires and analyzed using Chi-square tests and multiple logistic regression. The results showed that 63.9% of respondents experienced LTFU of ARV therapy. Bivariate analysis revealed significant associations between knowledge (p=0.000), drug side effects (p=0.037), socio-cultural factors/naketi (p=0.024), access to health services (p=0.000), family income (p=0.000), and family support (p=0.000) with LTFU. Multivariate analysis showed that socio-cultural factors/naketi (p=0.021; OR=3.727) and access to health services (p=0.000; OR=10.423) significantly influenced LTFU. Access to health services was identified as the most dominant factor. Difficult access to health services and socio-cultural influences increase the risk of LTFU among PLHIV. Improving health service accessibility, strengthening health education, and integrating local cultural approaches into HIV/AIDS programs are necessary to reduce the incidence of LTFU. Keywords: HIV/AIDS, Antiretroviral, Loss To Follow Up, PLHIV, Access To Health Services.  ABSTRAK Loss to Follow Up (LTFU) terapi antiretroviral (ARV) pada Orang dengan HIV (ODHIV) masih menjadi masalah serius karena dapat menyebabkan kegagalan terapi, peningkatan viral load, resistensi obat, serta meningkatkan risiko penularan HIV. Kabupaten Timor Tengah Selatan merupakan salah satu wilayah dengan peningkatan kasus HIV dan tingginya angka LTFU terapi ARV. Menganalisis faktor risiko yang berhubungan dengan kejadian Loss to Follow Up (LTFU) terapi antiretroviral pada Orang dengan HIV di Kabupaten Timor Tengah Selatan. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Sampel berjumlah 83 responden yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui wawancara menggunakan kuesioner dan dianalisis menggunakan uji Chi-square serta regresi logistik berganda. Sebanyak 63,9% responden mengalami LTFU terapi ARV. Analisis bivariat menunjukkan bahwa pengetahuan (p=0,000), efek samping obat (p=0,037), sosial budaya/naketi (p=0,024), akses layanan kesehatan (p=0,000), pendapatan keluarga (p=0,000), dan dukungan keluarga (p=0,000) berhubungan dengan kejadian LTFU. Hasil analisis multivariat menunjukkan bahwa sosial budaya/naketi (p=0,021; OR=3,727) dan akses layanan kesehatan (p=0,000; OR=10,423) berpengaruh signifikan terhadap kejadian LTFU, dengan akses layanan kesehatan sebagai faktor yang paling dominan. Akses layanan kesehatan yang sulit dan pengaruh sosial budaya/naketi meningkatkan risiko terjadinya LTFU terapi ARV pada ODHIV di Kabupaten Timor Tengah Selatan. Peningkatan keterjangkauan layanan kesehatan, penguatan edukasi, dan pendekatan budaya lokal dalam pelayanan HIV/AIDS diperlukan untuk menurunkan angka LTFU terapi ARV. Kata Kunci: HIV/AIDS, Antiretroviral, Loss To Follow Up, ODHIV, Akses Layanan Kesehatan.
Peran Diabetes Distress Terhadap Self-Management, Kepatuhan Terapi, Dan Outcome Klinis Pada Pasien Diabetes Mellitus: Literatur Review Analizza Lea; Arini Novita Ati; Maurits R.L. Sjioen; Yulianti A Syarif Hadi; Sintha Lisa Purimahua
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.999

Abstract

Diabetes mellitus (DM) is a chronic disease requiring long-term management and may impose a psychological burden known as diabetes distress. This condition is associated with self-management, treatment adherence, and clinical outcomes. This literature review aimed to synthesize evidence regarding the association of diabetes distress with three primary outcomes: self-management, treatment adherence, and clinical outcomes among people with DM. An integrative review was conducted using 12 research articles published between 2022 and 2024 and retrieved from Google Scholar, PubMed, and ScienceDirect. Articles were screened using predefined inclusion and exclusion criteria and narratively synthesized according to study design, measured constructs, outcomes, and major findings. The synthesis indicated that higher diabetes distress was generally associated with poorer self-management and lower treatment adherence. Several studies also reported associations with glycemic control and, in specific studies, clinical complications. Interventions such as Diabetes Self-Management Education (DSME) and cognitive behavior therapy were reported to reduce diabetes distress; evidence for improved treatment adherence and HbA1c should be distinguished from evidence for distress reduction. Overall, diabetes distress should be considered in diabetes management, while interpretation should account for study design and limitations of causal evidence.
Studi Kasus Komparatif Tata Kelola Dan Pengelolaan Sistem Penyediaan Air Minum Pada Perumda Air Minum Kota Kupang Dan PDAM Kabupaten Rote Ndao, Nusa Tenggara Timur Analizza Lea; Arini Novita Ati; Maurits R.L. Sjioen; Yulianti A. Syarif Hadi; Sintha Lisa Purimahua; Marylin Susanti Junias
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1004

Abstract

The provision of safe, sustainable, and accessible drinking water remains a major development challenge in archipelagic and semi-arid regions such as East Nusa Tenggara Province, Indonesia. Geographical constraints, limited water resources, and dispersed population distribution require adaptive governance approaches in the implementation of Drinking Water Supply Systems (SPAM). This study aimed to compare water governance and drinking water management practices implemented by the Regional Drinking Water Company of Kupang City and the Regional Water Utility of Rote Ndao Regency, representing two different geographical contexts within East Nusa Tenggara. A comparative case study approach was employed through field observations, interviews, and document reviews conducted at water sources, treatment facilities, reservoirs, and distribution systems. Data were analyzed descriptively to identify similarities, differences, operational challenges, and development opportunities in drinking water service provision. The findings indicate that the Regional Drinking Water Company of Kupang City operates a more complex system utilizing both surface water and groundwater sources, supported by comprehensive treatment processes including coagulation, flocculation, sedimentation, filtration, and disinfection before distribution. In contrast, the Regional Water Utility of Rote Ndao mainly relies on spring water and boreholes, with relatively simple distribution systems and limited treatment processes. Nevertheless, the traditional conservation area locally known as "Mamar" surrounding the Oemau Spring contributes significantly to source water sustainability in Rote Ndao.Both utilities face similar challenges related to seasonal water scarcity, increasing water demand, and infrastructure limitations. However, management strategies differ according to local environmental conditions, institutional capacities, and source water characteristics. Strengthening water governance, infrastructure investment, and watershed protection are essential for improving drinking water security in East Nusa Tenggara.
Optimalisasi Pengetahuan Pencegahan Karies Gigi melalui Edukasi Kebersihan Gigi dan Mulut Berbasis Video pada Anak Sekolah Dasar Di SD Inpres Namosain Kota Kupang Analizza Lea; Arini Novita Ati; Marsanda Nubatonis; Marylin Susanti Junas; Marni Marni; Sintha Lisa Purimahua; Noorce Christiani Berek; Petrus Kanisius Siga Tage
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1073

Abstract

Dental caries remains one of the most prevalent oral health problems among school-aged children. Limited knowledge regarding oral and dental hygiene is one of the factors contributing to an increased risk of dental caries. Health education using video-based media offers an alternative and engaging approach to health promotion, as it combines visual and auditory elements that can facilitate children’s understanding of the educational material. This community service activity aimed to improve students’ knowledge of dental caries prevention through video-based oral and dental hygiene education at SD Inpres Namosain, Kupang City. The activity was conducted in several stages, including coordination with the school, administration of a pretest, delivery of educational materials using video media, interactive discussions, and evaluation through a posttest. A total of 58 students participated in the activity. Participants’ knowledge levels were assessed using a questionnaire administered before and after the educational intervention. The results demonstrated an improvement in participants’ knowledge following the intervention. Prior to the intervention, the majority of students had a low level of knowledge, comprising 42 students (72.4%). Following the educational intervention, most students demonstrated a moderate level of knowledge, accounting for 34 students (58.6%), while the proportion of students with a good level of knowledge increased to 20 students (34.5%). The mean knowledge score increased from 9.76 before the intervention to 13.71 after the intervention. The evaluation results indicated that this improvement was statistically significant (p = 0.000), suggesting that video-based media can be effectively utilized as an educational tool for promoting oral and dental health. This activity demonstrates that video-based education can enhance students’ understanding of proper oral and dental hygiene practices and dental caries prevention. Video media may therefore serve as an innovative and practical health education method that can be implemented sustainably through the School Health Unit (Usaha Kesehatan Sekolah/UKS) and health promotion programs conducted by community health centers (puskesmas).
Mitigasi dan Kesiapsiagaan Bencana di Indonesia: Telaah Literatur dan Implikasinya bagi Nusa Tenggara Timur Evy Linda Tata; Ines Genoveva Hane; Natalia Imelda Seran; Sintha Lisa Purimahua; Luh Putu Ruliati
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 4 No. 4 (2026): November: Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v4i4.1269

Abstract

Indonesia and East Nusa Tenggara (NTT) face recurrent threats from earthquakes, tsunamis, volcanic eruptions, floods, and landslides, while the effectiveness of mitigation depends heavily on community preparedness and the reliability of early warning systems. This review aims to synthesize evidence on disaster risk reduction, community preparedness, and early warning systems, and to derive implications for NTT. A narrative-thematic literature review was conducted on 18 sources published between 2011 and 2026, selected using inclusion and exclusion criteria and supplemented with secondary disaster data for NTT from the regional disaster management agency and national media. The sources were analyzed using the LIPI-UNESCO/ISDR preparedness parameters. Three main patterns emerged. First, preparedness varies widely, from the not-ready category in a school near Mount Sinabung to the very-ready category in Pacitan Bay, with resource mobilization and drill frequency as the weakest components. Second, technology-based warning systems are often constrained by maintenance, budget, and communication chains, so they need to be combined with local wisdom such as smong. Third, discussions combined with drills, disaster literacy, and community institutions improve readiness. In NTT, 136 disaster events were recorded between January and April 2026, and the November 2024 eruption of Lewotobi Laki-laki killed 10 people. The implications are that mitigation in NTT should integrate contingency planning, regular drills, maintained early warning, and local knowledge, supported by preparedness surveys that remain scarce in this province.
Co-Authors Ade Shianti Sabneno Agus Setyobudi Agus Setyobudi Analizza Lea Anderias Umbu Roga Arini Novita Ati Carlitos Correia Freitas Emirensiana Wain Evy Linda Tata Fransiskus Geroda Mado Indriati Andolita Tedju Hinga Ines Genoveva Hane Jeanned Welhelmina Baria Jennie Luisa Boboy Juliana, Maria Erma Wati Junias, Marylin Susanti Kristina Dede Odi Limbu, Ribka Manurung, Imelda Februati Ester Maria M. Dwi Wahyuni Marni Marni Marni Marni Marsanda Nubatonis Marylin S. Juniad Marylin S. Junias Marylin Susanti Junas Maurits R.L. Sjioen Moi, Magdalena Gemagalgani Mustakim Sahdan Mustakim Sahdan Mustakim Sahdan Nae Rani, Theresia Agnesta Natalia Imelda Seran Petrus Kanisius Siga Tage Sarinah Basri K Serlie K.A Littik Tiwuk Widiastuti Weraman, Pius YENDRIS K SYAMRUTH Yulianti A Syarif Hadi Yulianti A. Syarif Hadi