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Dewi Purnamawati
Politeknik Kesehatan Mataram, NTB
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Arv Adherence as the Main Predictor of Viral Load Levels: A Case Study at Pasar Minggu Health Center Ulina Sitepu, Yunita Sri; Purnamawati, Dewi; Nurfadhilah, Nurfadhilah
Advances In Social Humanities Research Vol. 4 No. 2 (2026): Advances In Social Humanities Research
Publisher : Sahabat Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/adv.v4i2.539

Abstract

This study aims to analyze the effectiveness of adherence to antiretroviral (ARV) therapy on viral load levels among People Living with HIV (PLHIV) in the working area of the Pasar Minggu Health Center. The study employed a cross-sectional design with a total sample of 80 PLHIV. Data were obtained from medical records and a validated adherence questionnaire. Analysis was performed using Chi-square tests and multivariate logistic regression. The results showed that ARV adherence had a significant effect on viral load levels (p = 0.001; Exp(B) = 0.045), where non-adherent individuals had a 22-times higher risk of having a detectable viral load. The duration of HIV diagnosis was also significant (p = 0.006; Exp(B) = 0.086), while comorbidities were not statistically significant (p = 0.078) but clinically relevant (Exp(B) = 8.696). Both variables acted as confounders in the relationship between adherence and viral load. The study concludes that ARV adherence plays a crucial role in reducing viral load. Comorbidities and the duration of HIV diagnosis influence adherence and should be considered in therapeutic interventions. Education-based, counseling, and family-support interventions need to be strengthened to improve long-term adherence.
Risk of Musculoskeletal Disorders (MSDs) in Insurance Company Workers Laksana Putri, Nur Afifah Dwi; Purnamawati, Dewi
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.24571

Abstract

Musculoskeletal Disorders (MSDs) are a common occupational health problem experienced by office workers, particularly due to prolonged static work postures and high-intensity computer use. This study aims to identify MSD complaints among workers at Insurance Company  using the Nordic Musculoskeletal Questionnaire (NMQ). The study was conducted using a descriptive quantitative approach with 35 respondents selected based on inclusion criteria. The results showed that 94.3% of respondents experienced MSD complaints, while 5.7% of respondents did not report any complaints. MSD complaints were most commonly found in body parts vulnerable to exposure to ergonomic risks, namely the neck, shoulders, upper and lower back, and wrists. The high proportion of these complaints indicates that the risk of MSDs in the Insurance Company work environment is at a level that requires serious attention. These findings demonstrate the need for ergonomic interventions as part of efforts to prevent occupational diseases in the office sector through rearranging workstations, implementing microbreaks, providing ergonomic education, and regular monitoring of working conditions to reduce the risk of MSDs and improve work comfort.
PENGUATAN PROGRAM KLIK GITA SEBAGAI STRATEGI PROMOSI KESEHATAN DALAM PENCEGAHAN KARIES DINI PADA BALITA DI PUSKESMAS PULOAMPEL Dewi, Erlitha Azhari; Purnamawati, Dewi
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.54874

Abstract

Karies dini masih menjadi masalah kesehatan gigi yang dominan pada balita dan merupakan tantangan kesehatan masyarakat di Indonesia. Kondisi ini berkaitan erat dengan rendahnya pengetahuan, sikap, dan perilaku orangtua dalam pemeliharaan kesehatan gigi dan mulut anak. Di wilayah kerja UPT Puskesmas Puloampel, capaian program edukasi kesehatan gigi balita belum optimal sehingga diperlukan penguatan intervensi promotive - preventif berbasis keluarga melalui Program KLIK GITA. Penelitian ini bertujuan untuk menggambarkan kondisi awal pemeliharaan kesehatan gigi balita, tingkat pengetahuan, sikap, dan perilaku orangtua, serta mengidentifikasi hambatan pelaksanaan Program KLIK GITA sebagai dasar perumusan strategi penguatan promosi kesehatan gigi balita di tingkat puskesmas. Penelitian menggunakan desain deskriptif dengan pendekatan campuran (mixed methods) melalui pengumpulan data kuantitatif dan kualitatif. Data diperoleh melalui kuesioner, wawancara mendalam, observasi kegiatan, dan telaah dokumen program. Hasil penelitian menunjukkan bahwa 97% responden melaporkan masih tingginya keluhan gigi pada balita, disertai rendahnya praktik menyikat gigi sesuai anjuran dan keterlibatan orangtua dalam kegiatan edukasi kesehatan gigi. Pelaksanaan Program KLIK GITA belum berjalan secara sistematis akibat keterbatasan sumber daya manusia, media edukasi, dan frekuensi kegiatan. Temuan ini menegaskan perlunya optimalisasi Program KLIK GITA melalui edukasi terstruktur, peningkatan kapasitas kader, serta penguatan strategi komunikasi dengan orangtua sebagai dasar pengembangan intervensi promosi kesehatan gigi balita yang berkelanjutan.
Co-Authors - Zulkifli A'Sentana, A'an Dwi AA Sudharmawan, AA Agus Triyono Agustianti, Erika Akaputra, Risky Almaududi, Abul A’la Amalia, Karina Amin, Ahmad Farid Andriyani Andriyani Aning Subiyatin Anom, Ngurah Antasyia, Nur Lailia Aragar Putri Ardiani, Kristi Ariani, I Gusti Ayu Devi Arip, Moh Arip, Moh. Ashar Prima Aswani, Yan Hadi Kustomo Atlantic, Mia Auliany, Diah Awaliah, Awaliah Baktiansyah, Abdul Budi Susanto Burmanajaya, Bram Cembun, Cembun Damailita, Keumala Kusuma Dessylindra, Herningrum Dewi, Erlitha Azhari Djauharoh, Siti Nur Aisyah Endah, Tria Astika Ernawati, Any Ernyasih, Ernyasih Erwin Erwin Fadhilah Fadhilah Fajrini, Fini Fauziyah, Munaya Fitrijaningsih, Fitrijaningsih Hamdah, Hamdah Hamid, Irfany Nurul Hamidah . I Putu Suiraoka Iwan Ariawan Jansen Parlaungan Januar Ariyanto Jumaiah, Wati Jumaiyah, Wati Laksana Putri, Nur Afifah Dwi Mardian, Okbi Mas'adah, Mas'adah Masithoh, Dewi Masykur Khair MAWADDAH, ELY Mayangsari, Denny Novita Meidora, Alfiani Hana Moh. Heri Kurniawan Mufida, Nur Aini Mufidah, Nur Aini MUHAMMAD HASBI Muhasidah, - Muhtar Muhtar Munaya Fauziah Ningrum, Amelia Pebria Nurfadhilah , Nurfadhilah Nurfadhilah, Nurfadhilah Nursanah, Nursanah Nursardjan, Nursardjan Oktavina, Risa Olyvia, Novy Pratama, I Nyoman Wirya Pujawarnis W, Gusti Ayu Sri Purwana, Eka Rudy Purwandani, Ruri Putri, Linda Wahyuni Qolbah, Hayuning Ramadhan, Muhammad Rafli Ramadhan, Sahrir Ritonga, Yusniar Robalais, Ailla Nur Rowi, Armein Sjuhary RUSMINI Salman, Nani Ewi Sari, RD Yunina Endang Sembiring, Rinawati Sentana, Aan Dwi Sepriyanti, Yuke Siti Nurfadhilah, Siti Sitti Rusdianah Jafar Sofyani, Yani Soraya, Apriliana Kartini Srisantyorini, Triana Sugiatmi, Sugiatmi Suhartono Sulaeman, Ridawati Sulistiyowati, Heppy Sumartini, Ni Putu Sumedi Sumedi Tambunan, Sulastri GP. Thaha, Ahmad Razak Toha Muhaimin Tria Astika Endah Permatasari Ulfah, Rona Ulina Sitepu, Yunita Sri Utomo, Muhammad Wiji Viga, Renjistian Wati, Aprillia Erni Wijayanti, G. A Sri Puja Warnis Wijayanti, Gusti Ayu Sri Pudja Warnis Wulandari Wulandari Wulandari, Reny Yulita Yani Sofiani Yuliarti Yuliarti Yuliawati, Suci Yunus, Muhammad Iqbal Zahrani, Azura Zuliatika, Pratiwi Zulkifli Zulkifli