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Beyond the Stigma: Leveraging Education and Empathy for Effective Tuberculosis Care Wahyuningsih, Aries; Probandari, Ari; Sumardiyono; I Wayan Gede Artawan Putra; Firmanda, Giovanni Iga
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63485

Abstract

Introduction: Tuberculosis (TB) remains a major global health issue, with stigma continuing to hinder effective prevention, diagnosis, and treatment. Stigma can discourage patients from seeking care, adhering to treatment, and engaging with healthcare providers. This systematic review aims to identify stigma-related issues in TB and explore practical strategies to reduce stigma.Methods: A scoping literature search was conducted for studies published between 2012 and 2024  using ProQuest, PubMed, and ScienceDirect databases. Articles were selected based on predefined inclusion and exclusion criteria, and the review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) methodology was used for critical appraisal and synthesis.Results: A total of 15 articles were included in the final analysis. The findings indicate that key strategies to reduce TB stigma include health education to correct misconceptions, promoting empathy, and non-discriminatory attitudes among healthcare providers. Educational interventions raise awareness and dispel myths, while empathetic care fosters trust and reduces negative perceptions. Cultural understanding enhances communication and patient engagement. Despite these efforts, TB-related stigma remains pervasive and continues to be a barrier to effective care.Conclusion: The review concludes that current interventions are insufficient and that sustained, targeted strategies focusing on education, empathy, and cultural competence are essential to reduce stigma and improve TB outcomes. A long-term commitment to these approaches is critical to advancing TB control efforts globally.
PERUBAHAN BERAT BADAN TIKUS AKIBAT INJEKSI HOMOSISTEIN SEBAGAI MODEL HEWAN PENYAKIT ALZHEIMER Rizma, Amalina; Wasita, Brian; Probandari, Ari
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol 5, No 1 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (979.149 KB) | DOI: 10.21927/inpharnmed.v5i1.1630

Abstract

Homosistein merupakan salah satu senyawa yang digunakan untuk menginduksi penyakit alzheimer pada tikus. Kadar homosistein yang tinggi memicu stress oksidatif, peradangan saraf dan pembentukan amiloid-beta pada otak. Hal ini dapat mempengaruhi fungsi otak yang terlibat dalam pengaturan nafsu makan sehingga dapat mengakibatkan penurunan berat badan. Penelitian ini bertujuan untuk menganalisis perubahan berat badan tikus yang diinjeksi homosistein selama 7 hari, 14 hari dan 21 hari. Sebanyak 9 ekor tikus galur Sprague dawley usia 8-12 minggu dengan berat 150-200gram dibagi menjadi 3 kelompok. Kelompok I, II dan III diinjeksi homosistein masing-masing selama 7, 14 dan 21 hari. Berat badan tikus ditimbang sebelum perlakuan, hari ke-7, hari ke-14 dan hari ke-21 setelah pemberian homosistein. Analisis data menggunakan uji paired t-test dan one-way Anova. Rata-rata berat badan tikus kelompok I, II dan III mengalami peningkatan masing-masing sebesar 3,33±1,15 gram; 5,00±2,00 gram; dan 2,33±3,51 gram. Hasil analisis statistik menunjukkan bahwa terdapat perbedaan berat badan yang signifikan antara sebelum dan sesudah injeksi homosistein selama 7 hari pada kelompok I (p=0,038) dan 14 hari pada kelompok II (p=0,049), sedangkan berat badan tikus pada kelompok III tidak mengalami perubahan yang signifikan (p=0,369). Tidak ada perbedaan berat badan yang signifikan antara kelompok I, II dan III setelah injeksi homosistein (p=0,182). Berat badan tikus model alzheimer setelah injeksi homosistein selama 7, 14, dan 21 hari mengalami perlambatan kenaikan berat badan. Kondisi ini mirip dengan pasien alzheimer yang pada umumnya mengalami penurunan berat badan sehingga perlu pemantauan asupan makan untuk mencegah penurunan berat badan lebih lanjut.
Religious Leader’s Support toward Individual at Risk ofHIV/AIDS to Attend Voluntary Counselling and Testing Service Manurung, Imelda Februati Ester; Wahyuni, Chatarina Umbul; Probandari, Ari
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

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

Abstract

Religious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang City. The sample size was 70 people selected through random sampling technique. The data were collected using questionnaire and analyzed using chi-square and multiple logistic regression test. Factors significantly related to the religious leaders supports’ for individuals atrisk of HIV and AIDS to get VCT were knowledge (OR = 9.01; 95% CI = 1.73 - 47.07), servant leadership (OR = 11.67; 95% CI = 2.44 - 55.84, trust (OR =11.55; 95% CI = 2.35 - 56.70) and perception (OR = 6.12; 95% CI = 1.26 - 29.71). Social capital had no significant effect on the religious leader support’s (OR= 1.06; 95% CI = 0.22 - 5.12). It is necessary to improve religious leader’s knowledge of HIV and AIDS.
Fidelity of implementation of healthcare provider-oriented care and support to people with leprosy for disability prevention and management in Rupandehi district, Nepal Nepal, Sudip; Probandari, Ari; Timilsina, Amit; Joshi, Prakash Chandra; Ahmad, Riris Andono
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.13910

Abstract

Purpose: Leprosy, or Hansen’s disease, is a chronic infectious disease likely transmitted by prolonged, close contact with untreated leprosy patients through nasal and oral droplets. Left untreated can lead to irreversible nerve, skin, face, hand, and foot impairments. Healthcare providers should assess and monitor the disease's progress and treat complications. This study aimed to explore the fidelity of implementation of healthcare provider-oriented care and support to people with leprosy for disability prevention and management in the Rupandehi district of Nepal. Methods: This implementation study used a qualitative approach and a multi-source, multi-method case study design to accomplish study objectives. Purposive and selective sampling techniques were used in this study. Focused Group Discussion (FGD), Key Informant Interview (KII) and Observation checklist were used for data collection. Thematic analysis was carried out for the data analysis. Results: The study highlights that healthcare providers adhere to protocols for accurate diagnosis and comprehensive treatment, while challenges include the lack of skin smear test facilities. Patient satisfaction is influenced by timely services, counseling, and access to assistive devices. Various barriers to leprosy services such as financial hardships during referrals, high transportation costs, inconsistent drug supply, inadequate infrastructure, and lack of trained personnel, hinder effective treatment. However, facilitators such as adequate staffing, family involvement, effective communication, external partner support, trained staff, and transportation incentives enhance leprosy services. Conclusion: The study identified major barriers to leprosy services and facilitators enhancing the leprosy services. Addressing these barriers while leveraging facilitators is crucial to the care and support of people with leprosy for disability prevention and management.
PENGARUH MEDIA CERAMAH POWERPOINT PRESENTATION, BOOKLET DAN AUDIOVISUAL ANIMASI INSTAGRAM TERHADAP PENGETAHUAN DAN SIKAP PENCEGAHAN STUNTING PADA CALON PENGANTIN PEREMPUAN Quraisy, Cut Cahaya Rani Saifa Alhajd; Probandari, Ari; Widyaningsih, Vitri
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 1 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i1.2192

Abstract

Stunting remains a significant issue within society, often worsen by public lack of awareness and misconceptions about children’s growth norms. Many people mistakenly view shorter body proportions as normal, not recognizing the symptoms or impact of stunting preventation, so that overcomes this problem, it is crucial educated to improve knowladge and attitudes of prospective women about stunting prevention through effective educational media. This study employed a quantitative with quasi experimental approachto assess impact of educational media on knowladge and attitudes of prospetive women. This study conducted at Religious Affairs Office of West Aceh Regency. The study included 108 respondents, divided equally into a control group and experimental group. Data were analyzed using the Diffirence in Diffirences (DID) test. Result indicated that experimental group which received stunting preventation education through PPT, booklets, and instagram animated audiovisual media showed a significant in average knowladge (8,46) compared to control group (6,09). Additionaly, experimental group exhibited higher average increase attitudes (20,84) compared to control group (16,85). The DID analysis revealed that while educational media significantly improved knowladge (p=0,018), it did not significantly affect attitudes (p=0,121). This suggest while educational media effectively enhances knowladge,further efforts are needed to foster postive attitudes towards stunting preventation.Therefore, it is recommended that authorities organize targeted educational activities to more effectively shape attitudes and improve stunting preventation among prospective women.
PERUBAHAN BERAT BADAN TIKUS AKIBAT INJEKSI HOMOSISTEIN SEBAGAI MODEL HEWAN PENYAKIT ALZHEIMER Rizma, Amalina; Wasita, Brian; Probandari, Ari
INPHARNMED Journal (Indonesian Pharmacy and Natural Medicine Journal) Vol. 5 No. 1 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/inpharnmed.v5i1.1630

Abstract

Homosistein merupakan salah satu senyawa yang digunakan untuk menginduksi penyakit alzheimer pada tikus. Kadar homosistein yang tinggi memicu stress oksidatif, peradangan saraf dan pembentukan amiloid-beta pada otak. Hal ini dapat mempengaruhi fungsi otak yang terlibat dalam pengaturan nafsu makan sehingga dapat mengakibatkan penurunan berat badan. Penelitian ini bertujuan untuk menganalisis perubahan berat badan tikus yang diinjeksi homosistein selama 7 hari, 14 hari dan 21 hari. Sebanyak 9 ekor tikus galur Sprague dawley usia 8-12 minggu dengan berat 150-200gram dibagi menjadi 3 kelompok. Kelompok I, II dan III diinjeksi homosistein masing-masing selama 7, 14 dan 21 hari. Berat badan tikus ditimbang sebelum perlakuan, hari ke-7, hari ke-14 dan hari ke-21 setelah pemberian homosistein. Analisis data menggunakan uji paired t-test dan one-way Anova. Rata-rata berat badan tikus kelompok I, II dan III mengalami peningkatan masing-masing sebesar 3,33±1,15 gram; 5,00±2,00 gram; dan 2,33±3,51 gram. Hasil analisis statistik menunjukkan bahwa terdapat perbedaan berat badan yang signifikan antara sebelum dan sesudah injeksi homosistein selama 7 hari pada kelompok I (p=0,038) dan 14 hari pada kelompok II (p=0,049), sedangkan berat badan tikus pada kelompok III tidak mengalami perubahan yang signifikan (p=0,369). Tidak ada perbedaan berat badan yang signifikan antara kelompok I, II dan III setelah injeksi homosistein (p=0,182). Berat badan tikus model alzheimer setelah injeksi homosistein selama 7, 14, dan 21 hari mengalami perlambatan kenaikan berat badan. Kondisi ini mirip dengan pasien alzheimer yang pada umumnya mengalami penurunan berat badan sehingga perlu pemantauan asupan makan untuk mencegah penurunan berat badan lebih lanjut.
Growth monitoring is a determinant of stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency, Jambi province, Indonesia Sari, Nurtika; Probandari, Ari; Suminah, Suminah
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 6, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(6).397-406

Abstract

ABSTRAK Latar Belakang: Kabupaten Tanjung Jabung Timur merupakan salah satu kabupaten di Provinsi Jambi dengan angka prevalensi stunting yang masih tinggi berdasarkan hasil SSGI 2022 yaitu sebesar 22,5%. Penyebab stunting menjadi beberapa faktor baik dari faktor anak sendiri, maupun faktor orang tua dan faktor lingkungan rumah tangga. Tujuan: Penelitian ini bertujuan untuk mengkaji determinan stunting pada balita usia 6-23 bulan di Kabupaten Tanjung Jabung Timur. Metode: Penelitian ini menggunakan desain cross sectional dengan memanfaatkan data sekunder bersumber dari hasil Survei Status Gizi Indonesia tahun 2022 di Kabupaten Tanjung Jabung Timur Provinsi Jambi. Penelitian ini melibatkan 148 balita berusia 6 hingga 23 bulan sebagai sampel. Analisis menggunakan aplikasi SPSS dengan melakukan analisis distribusi frekuensi dan tabulasi silang menggunakan chi square. Variabel terikat pada penelitian ini adalah stunting dan variabel bebas yaitu pemantauan pertumbuhan, Inisiasi Menyusu Dini (IMD), Air Susu Ibu (ASI) eksklusif, berat badan lahir, dan imunisasi. Hasil: Hasil penelitian menunjukkan pemantauan pertumbuhan sebagai variabel bebas yang berhubungan dengan kejadian stunting di Kabupaten Tanjung Jabung Timur usia 6-23 bulan (0R 2,34; p = 0,048; 95%CI 1,08 – 5,11), sedangkan IMD, ASI eksklusif, berat badan lahir,dan imunisasi tidak berhubungan dengan stunting. Kesimpulan: Pemantauan pertumbuhan merupakan determinan stunting pada balita usia 6-23 bulan di Kabupaten Tanjung Jabung Timur. Penting untuk meningkatkan kunjungan masyarakat dalam melakukan pemantauan pertumbuhan secara rutin ke pelayanan kesehatan, karena pemantauan berperan dalam mendeteksi dini gangguan gizi, memastikan intervensi yang tepat, dan mendukung tumbuh kembang anak yang optimal. KATA KUNCI: BBLR; IMD; pemantauan pertumbuhan; stunting  ABSTRACTBackground: Tanjung Jabung Timur Regency is one of the regencies in Jambi Province that has a high prevalence of stunting, recorded at 22,5% based on the 2022 SSGI results. Stunting has several causes, including the child's, parental, and household environmental factors. Objectives: This study examined the risk factors for stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency. Methods: This study used a cross-sectional design by utilizing secondary data sourced from the results of the 2022 Indonesian Nutritional Status Survey (SSGI) in Tanjung Jabung Timur Regency, Jambi Province. This study included 148 toddlers between 6 and 23 months as its sample. The analysis used the SPPS application by conducting frequency distribution analysis and cross-tabulation using chi-square. The dependent variable in this study was stunting, and the independent variables were growth monitoring, early initiation of breastfeeding, exclusive breastfeeding, birth weight, and immunization.Results: The results showed that growth monitoring was the independent variable related to stunting in Tanjung Jabung Timur Regency aged 6-23 months (0R 2.34; p = 0.048; 95% CI 1.08 – 5.11), while early initiation of breastfeeding, exclusive breastfeeding, birth weight, and immunization were not related to stunting.Conclusions: Growth monitoring determines stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency. Improving community participation in routine growth monitoring at health services is essential, as it contributes to the early detection of nutritional problems, ensures appropriate interventions, and promotes optimal child growth and development. KEYWORD: early initiation of breastfeeding; growth monitoring; low birth weight; stunting Article submitted on November 13, 2024; Articles revised on January 08, 2024; Articles received on May 07, 2025; Available online on November 29, 2025