Claim Missing Document
Check
Articles

Determinan Ketidakpatuhan Kunjungan Pengambilan Obat Antiretroviral Pasien HIV/AIDS di Kabupaten Bekasi Tahun 2023-2024 Sihombing, Intan Ully Athalia; Sudaryo, Mondastri Korib; Helda, Helda; Umniyati, Helwiah; Hasyim, Irva Zulviya
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Non-adherence to scheduled antiretroviral (ARV) medication pickup can reduce treatment effectiveness, increase the risk of drug resistance, and contribute to poor HIV infection control. This study aimed to identify factors associated with missed ARV pickup appointments among people living with HIV/AIDS in Bekasi District. An analytical cross-sectional study was conducted using secondary data from HIV/AIDS patients undergoing ARV therapy in 2023–2024. Data were analyzed descriptively (univariate), using Chi-square tests (bivariate), and log-binomial regression (multivariate). Among 811 patients, 341 (42%) were recorded as non-adherent to their medication pickup schedule. The results showed that having an unsuppressed viral load (>50 copies/ml) significantly increased the risk of non-adherence (PR: 2.23; 95% CI: 1.74–2.86; p<0.001). Additionally, patients who had been on treatment for more than five years showed a higher tendency for non-adherence, although this was not statistically significant (PR: 1.17; 95% CI: 0.91–1.49; p=0.214). These findings highlight the importance of regular viral load monitoring and sustained support for long-term ARV patients to improve adherence. Keywords : HIV/AIDS, Adherence of Appointment, Viral Load, Antiretroviral Therapy, Treatment Duration
Determinants of Stunting Among Under-Five Children (0–59 Months) in Central Sulawesi Province Bamba, Marchell; Sudaryo, Mondastri Korib; Djuwita, Ratna; Umniyati, Helwiah
Jurnal Epidemiologi Kesehatan Indonesia Vol. 10, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting is caused by chronic malnutrition which can be caused by various factors including poverty, poor nutritional intake and maternal health, and inappropriate infant feeding. This study was conducted to determine what factors cause stunting in Central Sulawesi Province. This study was conducted using a cross-sectional observational analysis method using secondary data from the Survei Kesehatan Indonesia (SKI) 2023. The analysis was carried out using logistic regression. The sample used was 2179 respondents. The dependent variable is stunting while the independent variables are age, gender, area of residence, gestational age, provision of PMT, exclusive breastfeeding, maternal occupation, maternal education, and the number of family members in the household. Based on the data obtained, the prevalence of stunting in Central Sulawesi Province is 24.42%. In the multivariate analysis, the factors that had a significant relationship were: age variable (P value Keywords: Stunting, Risk factor, Central Sulawesi
Cross Cultural Adaptation and Psychometric Validation of the Assessment of Recovery Capital for Indonesian Rehabilitation Fitri Isnaini; Mondastri Korib Sudaryo; Bagus Takwin; Besral Besral
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.10888

Abstract

ntroduction: A comprehensive understanding of recovery capital, the personal and social resources supporting sustained recovery, is essential in addiction rehabilitation. Indonesia lacks a culturally appropriate, psychometrically validated instrument to assess this construct. This study aimed to cross culturally adapt and validate the Assessment of Recovery Capital (ARC) for the Indonesian rehabilitation context. Methods: A sequential exploratory mixed-method design was employed across an 11- adaptation stage The qualitative phase (steps 1–5) included forward translation, synthesis, expert review, back translation, and harmonization. The quantitative phase (steps 6–10) encompasses content validity (CVI), face validity (FVI) construct validity using exploratory factor analysis (EFA), internal consistency, and test retest reliability, followed by final instrument drafting. Results: The ARC instrument was successfully adapted into Bahasa Indonesia. Content validity was excellent (S-CVI/Ave = 0.98 for relevance; 0.95 for clarity), Face validity demonstrated high comprehensibility (S-FVI/Ave = 0.94 for comprehension;0.96 for clarity). Construct validity among 250 rehabilitation clients supported a 10-factor structure explaining 70.64% of total variance. EFA identified 31 items meeting the dominant factor loading criterion (?0.40), presented in the factor table for reporting clarity, all 50 items were retained in the final instrument based on content validity and conceptual equivalence. internal consistency was acceptable to strong (Cronbach’s alpha = 0.655–0.860) and test–retest stability was good (ICC = 0.719–0.803). The final instrument comprises demographic data, 50 ARC items across 10 domains, and one open-ended question on recovery support needs. Confirmatory factor Analysis (CFA) is recommended inFuther studies. Conclusion: The Indonesian ARC demonstrates preliminary validity, reliability, and cultural relevance for assessing recovery capital among individuals in rehabilitation. It has potential utility for monitoring recovery outcomes and informing evidence based addiction recovery practices in Indonesia, although further validation in border setting is warranted.
Determinants of Antiretroviral Therapy Success in HIV/AIDS Patients Intan Ully Athalia Sihombing; Mondastri Korib Sudaryo; Irva Zulviya Hasyim; Helda Helda; Helwiah Umniyati
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 2 (2025): JIKM Vol. 17, Issue 2, May 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v17i2.805

Abstract

Background: HIV/AIDS is still an important public health issue globally and Antiretroviral therapy (ART), considered as a foundation for the disease care. Succeeding in viral load suppression is very important for successful ART treatment although other factors get involved in this. Objectives The present study is to determine the factors of negative outcome for ART (non- success) based on patient viral suppression in HIV/AIDS, Bekasi district Indonesia. Method: Secondary data from HIV/AIDS Information System (SIHA) at Bekasi District Health Office were extracted with cross-sectional study that involved from January 2023 to September 2024. Patients on ART (n=811). We analyzed data with STATA version 17, performed univariable and bivariable analyses to identify factors associated with viral load suppression Results: Viral load suppression (≤50 copies/ml) was achieved by most patients (87.3%). High adherence (PR Adjusted: 5.27; p=0.000), clinical severity stage (PRA:2.52; p=0.000) and use of TLD regimen (PR Adjusted: ); p= 0.001) were significant predictors of unsuppressed viral load. Suppression rates were better in patients with HIV-negative or unreported status partners (PR Adjusted: 0.78; p=0.004). Conclusion: ART success in Bekasi District is dependent on appointment adherence, clinical stage, ARV regimens and partner is on HIV post- treatment, particularly relevant for national and global HIV/AIDS control strategies in terms of increasing the adherence at same time early initiation of ART as well individualized ARV regimens.