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SIREGAR, RAHMAH JULIANI
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Determinants of First-Trimester Antenatal Care Delay in Indonesia's Disadvantaged Regions: A Cross-Sectional Study of Socioeconomic Barriers in South Tapanuli Suryani, Elvi; Fatimah, Fatimah; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1100

Abstract

Background: Delayed access to first-trimester Antenatal Care (ANC) among pregnant women in underdeveloped, frontier, and outermost (3T) regions is a significant public health issue, as it increases the risk of pregnancy complications. This study aims to analyze the socio-economic determinants associated with delayed ANC access in South Tapanuli, a 3T region in Indonesia. Methods: This cross-sectional study involved 250 pregnant women selected through purposive sampling in South Tapanuli. Data were collected through structured interviews using a questionnaire covering socio-demographic variables (education, income, occupation, distance to health facilities) and ANC practices. Statistical analysis employed chi-square tests and logistic regression to identify dominant factors influencing ANC delay. Results: A total of 62.4% of respondents delayed accessing ANC in the first trimester. Significant socio-economic factors associated with delayed ANC included low income (OR=3.21; 95% CI: 1.87-5.49), low education (OR=2.45; 95% CI: 1.42-4.22), distance to health facilities >10 km (OR=4.12; 95% CI: 2.34-7.25), and lack of knowledge about ANC importance (OR=2.89; 95% CI: 1.65-5.07). Conclusion: Socio-economic factors such as income, education, geographic access, and maternal knowledge significantly influence delayed ANC access in 3T regions. Community-based interventions and equitable health service policies are needed to improve first-trimester ANC coverage.
The Relationship between Physical Conditions of the House and the Incidence of Tuberculosis Siregar, Rahmah Juliani; Yusuf, Susi Febriani; Fernaldy, Devrich
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.2

Abstract

Tuberculosis is an infectious disease caused by the bacteria cobacterium tuberculosis which mostly attacks the lungs. To find out the relationship between the physical condition of the house and the incidence of Tuberculosis in the community in Sorimanaon Village, Angkola Muaratais District. This type of research is a quantitative analytic observational study. Positive people with a total sample of 51 people. The sampling technique is by observation, direct measurement of the physical condition of the house, interviews, and other supporting data such as recording situation reports. The results of bivariate analysis on clean water facilities have a relationship with the incidence of tuberculosis, p value = 0.017, ventilation with p value = 0.016, house floor with p value = 0.002, residential density p = 0.001. There is a significant relationship between the variables of the physical condition of the house with the incidence of Tuberculosis Chi-Square test below 0.5%. Suggestions for this research is the need for counseling about the requirements of a healthy home and clean and healthy living behavior in tuberculosis patients, especially Pintu Padang Health Center, the patient's family to conduct an early examination of Tuberculosis so that the incidence of Tuberculosis can be minimized.
The Relationship of Learning of ASKEB II Course Practicum Laboratory With the Achievement of Level II Students' Competence Suryani, Elvi; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Ihram Kurnia Agusta
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i2.41

Abstract

Practical learning is a process to improve the skills of participants by using various methods according to the skills provided and the equipment used. This type of research is descriptive analytic with a cross sectional approach. Data analysis was performed using the chi square formula. The results showed that from the results of the cross table between laboratory practicum learning and competency achievement, the majority of both categories were good, namely as many as 22 people (39.3 %), the majority category was sufficient, namely 15 people (26.8%). And the less majority category is sufficient, namely 2 students ( 3.6 %). The results of statistical tests with the Chi-Square test showed that the value of X 2 count (22.485) > (9.488) and the value of p = 0.000 < 0.05 . It means that Ho is rejected and Ha is accepted, so that there is a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students. The conclusion of this study is that bivariate analysis with the Chi-Square test is known to have a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students.
Factors Which Influence Incident Hypertension on Pre-Elderly Siregar, Rahmah Juliani; Rya Anastasya Siregar
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i2.66

Abstract

The type of research used is an analytic study with cross sectional design. The population in this study were all pre- hypertension suffering as many as 55 people. The sample is the entire population number used as the sample that is as much as 55 people. Data were obtained from Angkola Muaratais Health Center and through interview results using a questionnaire. The results showed statistical test results of independent variables eating habits obtained means there is a significant influence of independent variables with the dependent variable. Physical activity obtained Sig value means there is a significant influence independent variables with dependent. Smoking habits obtained means there is a significant influence independent variables with dependent. Gender obtained indigo means there is no significant influence of independent variable with dependent. Variables that affect the incidence of hypertension. Based on the results of the study concluded there is a lifestyle influence on the incidence of hypertension in the elderly and expected the patient is able to maintain a healthy lifestyle so US to further improve the health status.
Factors Affecting Couples of Reproductive Age (CRA) Without Using Contraception Siregar, Rahmah Juliani; Maryam Latifah Harahap; Elvi Suryani; Dewi Aminasty Siregar; Fatimah
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 1 (2022): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i1.286

Abstract

Acceptor Family Planning (KB) is Couple Age Fertile (EFA) who use wrong one tools / drugs contraception . Although the family planning program has been declared quite successful in Indonesia, in its implementation so far there are still obstacles that are felt, among others, that there are still many couples of childbearing age (PUS) who are still not participants in family planning. Population in study this is couple age fertile who are not use tool contraception in Village Sigulang District Southeast Padangsidimpuan Year 2022 as many 25 PUS. It is hoped that health workers will held more counselling enterprising again so motivating respondents who have knowledgeable good for want to use tool contraception.
Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey Siregar, Rahmah Juliani; Harahap, Maryam Latifah; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.794

Abstract

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.
The Influence of Postpartum Exercise on Uterine Involution Speed in Postpartum Mothers Fatimah; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.950

Abstract

The postpartum period begins a few hours after the birth of the placenta and continues until approximately 6 weeks after childbirth. According to the World Health Organization (WHO), an estimated 830 women die every day due to complications from pregnancy and childbirth. In 2015, approximately 303,000 women died during pregnancy, childbirth, or in the postpartum period. The theme of this study is to investigate the influence of postpartum exercise on the speed of uterine involution among postpartum mothers at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. This study utilized a quasi-experimental design with a pretest-posttest only design. The research was conducted at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. The population consisted of 10 postpartum mothers, with a sample size of 10. Data analysis included univariate and bivariate analyses. The results of the study showed a significant decrease in uterine fundus height among the 10 respondents, with a percentage of 2.70%. None of the respondents experienced subinvolution after the postpartum exercise intervention. However, 10 respondents faced challenges in decreasing uterine fundus height both before and after the intervention. The Wilcoxon ρ-value test of 0.004 indicates that postpartum exercise influences the speed of uterine involution among postpartum mothers. The implications of this study suggest that implementing postpartum exercise therapy can accelerate uterine involution among postpartum mothers. It is recommended that these findings be used to develop counseling programs related to postpartum exercise at BPM Mona Durryah Siregar, SKM.
The Relationship Between Knowledge Of Young Women And The Benefits Of Sp8 Point Acupressure To Reduce Dysmenorrhea Pain In Sigulang Village, Padangsidimpuan Tenggara District, 2022 Dewi Aminasty Siregar; Rahmah Juliani Siregar; Elvi Suryani; Maryam Latifah Harahap
Jurnal EduHealth Vol. 14 No. 01 (2023): Jurnal eduHealth, Periode Januari-Maret, 2023
Publisher : Sean Institute

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

Abstract

Dysmenorrhea pain causes 50% of all women in the world to suffer. In 2008, there were around 54.89% cases of primary dysmenorrhea in Indonesia. Meanwhile, the rest are sufferers in the secondary category. This pain makes women unable and unable to carry out activities and activities so that it can reduce the individual's quality of life. Dysmenorrhea is caused by the production of prostaglandin F2 alpha originating from endometrial cells in excessive amounts. One way that can be done to treat dysmenorrhea is with acupressure. This research was conducted in Sigulang Village, Padangsidempuan Tenggara District, with the aim of increasing knowledge and insight towards school-age adolescent girls. In order to reduce dysmenorrhea or menstrual pain non-pharmacologically by massaging using acupressure techniques. This research uses the Pre Experimental Design method in the research process. Counseling on acupressure techniques and assistance were carried out during this research process. After being given training and knowledge about dysmenorrhoea, young women can understand the benefits of acupressure massage to reduce menstrual pain or dysmenorrhoea. There was an increase in knowledge with a score of 81.81% of teenagers with good knowledge and 18.18% in the sufficient category.
Penyuluhan tentang Bahaya Merokok pada Pria di Desa Sorimaon Kec. Batang Angkola Muaratais Kab. Tapanuli Selatan Tahun 2020 Siregar, Rahmah Juliani; Rambe, Norma Yanti
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 2 No. 3 (2020): Vol. 2 No. 3 Desember 2020
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (480.811 KB)

Abstract

Smoking is a habit of smoking cigarettes that is carried out in everyday life, is a necessity that cannot be avoided for people who experience a tendency towards smoking. Cigarettes are an addictive substance, meaning that they can cause dependence on the wearer. The addictive nature of cigarettes comes from the nicotine they contain. After a person inhales cigarette smoke, within 7 seconds the nicotine will reach the brain (Soetjiningsih, 2010)All health experts including the World Health Organization (WHO) have long concluded that in terms of health, smoking has many negative impacts, especially for children and their future. Cigarettes contain 4000 chemical substances with 200 types of which are carcinogenic (can cause cancer), where this toxic material is found in the main smoke, namely cigarette smoke which is inhaled directly into the smoker's lungs and side smoke, namely cigarette smoke produced by the tip of the cigarette burns, for example carbon monoxide, benzopirene, and ammonia (KPAI, 2013). This PKM activity aims to increase the knowledge of the Sorimanaon Village community about the dangers of smoking by providing education related to efforts to increase knowledge about MKJP. The methods used in the implementation of this activity are through lectures and discussions. The results of this PKM activity aim to increase knowledge by providing good Communication, Information and Education (IEC) with IEC, a communication process will occur with the dissemination of information that accelerates the behavior change of the community.
Assessment of Microplastic Contamination in Coastal Waters of Southeast Asia: Implications for Marine Ecosystems and Human Health Siregar, Rahmah Juliani; Mohamed , Rasidah Binti; Bagaskorowati, Riana
International Journal of Natural Science Studies and Development (IJOSS) Vol. 1 No. 1 (2024): IJOSS
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijoss.v1i1.3

Abstract

This study aims to assess the level of microplastic contamination in the coastal waters of Southeast Asia and evaluate its impact on marine ecosystems and human health. Data were collected from various coastal locations in Southeast Asia, including Indonesia, Malaysia, Thailand, and the Philippines, using standard water and sediment sampling methods. Laboratory analysis was conducted to identify and measure microplastic concentrations. The results indicate that all surveyed locations were contaminated with microplastics at varying concentrations. Microplastics were found in significant amounts in surface water, sediments, and marine organisms such as fish and shellfish. The study also explores the potential impacts of microplastics on marine ecosystems, including disruptions to the food chain and the potential for bioaccumulation of harmful substances in marine organisms. Additionally, the potential health risks for humans consuming seafood contaminated with microplastics were evaluated. These findings highlight a serious threat to both marine ecosystems and human health in Southeast Asia. The study underscores the urgent need for actions to reduce the use of single-use plastics and improve plastic waste management to protect marine ecosystems and public health. Furthermore, it recommends increasing public awareness and implementing stricter policies related to plastic waste management to reduce microplastic contamination in coastal environments.
Co-Authors Aisyah Siregar Ayu Ariana Bagaskorowati, Riana Batubara, Novita Sari Cut Khairunnisah Harahap Dewi Aminasty Siregar Elvi Suryani Endang, Tapi Fatimah fatimah Fatimah Fernaldy, Devrich Heriansyah, Rizka Ihram Kurnia Agusta Lisna Khairani Nasution Maryam Latifah Harahap Maryam Latifah Harahap Mohamed , Rasidah Binti Norma Yanti Rambe Normayanti Rambe Rambe, Norma Yanti Rya Anastasya Siregar Said, Arisa Harfa Siregar, Rya Anastasya Suryani, Elvi Susi Febriani Yusuf