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The Effect of Education on Visual Inspection With Acetic Acid (VIA) Through Interactive Video on The Behavior of Women of Reproductive Age in The Working Area of Talise Health Center Irmayanti; Nur, Rosmala; Rahman, Abd; Fauzan, Fauzan; Devi, Ratna
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.489

Abstract

Introduction: VIA screening coverage in Palu City, especially at Talise Health Center, remains low at 6.75%, far below the 90% national target. In 2023, 209 women were screened (3 positive), increasing to 238 in 2024 (14 positive). Objective: To assess the effect of interactive video based VIA education on the behavior of women of reproductive age. Method: A quantitative quasi-experimental study involving 99 respondents selected through proportionate stratified random sampling. Data were analyzed using univariate methods and One Way ANOVA. Results and Discussion: The knowledge variable showed significant differences between groups (F=103.638; p=0.000), with the highest improvement in the interactive video group. The attitude variable also showed significant differences (F=167.219; p=0.000), with interactive video producing the best results. The practice variable showed significant differences (F=206.243; p=0.000), with interactive video having the strongest effect on improving IVA screening practices. Conclusion:  Therefore, education using interactive videos proved to be more effective in increasing knowledge, shaping positive attitudes, and encouraging actual screening behavior among WRA.
Effectiveness of Employee Performance Output Through the Implementation of The Performance Architecture Method at Palu City Hospital Pratiwi, Nanda; Suarayasa, Ketut; Rahman, Abd
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.492

Abstract

Introduction: Performance gaps remain in Indonesian health services, as seen between Undata Regional General Hospital and Anutapura Regional General Hospital. Although Undata Regional General Hospital applies a Performance Architecture system, its effectiveness is uncertain. This study compares employee performance between the two hospitals. Objective: This study aims to compare employee performance between the two hospitals to evaluate whether the Performance Architecture system contributes to measurable improvements. Method: A quantitative comparative study was conducted with 95 purposively selected employees. Independent sample t-tests assessed differences in performance variables between both hospitals. Result and Discussion: Significant differences were found in Work Productivity (p = 0.018) and Service Quality (p = 0.024), with higher scores at Anutapura Regional General Hospital, indicating that Performance Architecture has not yet improved outcomes at Undata Regional General Hospital. No significant differences were observed in Procedural Compliance, Collaborative Ability, or Initiative and Adaptability. Conclusion: Performance Architecture at Undata Regional General Hospital has not produced optimal results. Stronger implementation and organizational support are needed to enhance performance
Analysis of the Influence of Internet Use on the Occurrence of Stress Among Female Adolescents at SHS 7 Palu Noviana, Riri; Rahman, Abd; Sridani, Ni Wayan; Nur, Rosmala; Fauzan, Fauzan
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.504

Abstract

Introduction: Around 68% of adolescents experience internet addiction linked to stress, anxiety, and depression. Initial observations of five students in Palu also showed that high internet use triggered symptoms such as anxiety and sleep disturbances. Objective: To analyze the influence of internet use on stress among female adolescents at SHS 7 Palu. Methods: This cross-sectional study involved all 275 female students selected through total sampling, with data analyzed using multiple linear regression. Results and Discussion: All variables significantly affected stress: internet use duration (t = 2.369; Sig = 0.019), social media use (t = 5.003; Sig = 0.000), cyberbullying (t = 4.060; Sig = 0.000), and online gaming (t = 4.978; Sig = 0.000). Conclusion: Longer internet use, higher social media activity, frequent cyberbullying, and increased online gaming all raise stress levels. Online gaming had the strongest influence, contributing 6.91% to stress.
The Factors Affecting The Occurrence of Neonatal Respiratory Distress (RDN) in The Neonatal Intensive Care Unit at RSUD Undata Iftitahurrohmah, Iftitahurrohmah; Abd. Rahman; Rosa Dwi Wahyuni; Rosmala Nur; Ratna Devi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.515

Abstract

Introduction: In 2022, about 15% of infants treated in the NICU of RSUD Undata experienced respiratory distress neonatal (RDN), mostly related to preterm birth and neonatal infection. Objective: To identify factors influencing RDN in the NICU of RSUD Undata. Methods: A quantitative cross-sectional study conducted from August to October 2025 involving 43 mothers selected through purposive sampling. Univariate analysis described variable distribution, while logistic regression identified factors associated with RDN. Results and Discussion: Logistic regression showed a Chi-Square of 42.396 (p = 0.000), indicating that low birth weight (LBW), neonatal infection, gestational diabetes, and maternal age simultaneously affected RDN. Partially, LBW (p = 0.016), neonatal infection (p = 0.028), and gestational diabetes (p = 0.041) significantly influenced RDN, while maternal age (p = 0.417) did not. Conclusion: LBW, neonatal infection, and gestational diabetes significantly contributed to RDN, with LBW as the most dominant factor.
Effect of Green Betel Leaf (Piper Betle) Decoction on Pathological Vaginal Discharge in Female Students of Cendrawasih Polytechnic Palu Lestari, Novita; Abd. Rahman; Fauzan, Fauzan; Nur, Rosmala; Ni Wayan Sridani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.525

Abstract

Introduction: Pathological leucorrhea that is not properly treated can cause vaginitis, spread to the urinary tract, and lead to urinary tract infections with serious complications. Objective: To examine the effect of green betel leaf (Piper betle leaf) decoction on reducing the intensity of pathological leucorrhea among female students at Politeknik Cendrawasih Palu. Methods: This quantitative study applied a quasi-experimental design with a control group and pre-test post-test approach, involving 60 participants at Politeknik Cendrawasih Palu. Results and Discussion: Pre-test results showed that 61.7% of respondents were in the mild category and 18.3% in the severe category. Post-test findings indicated an increase in the normal category in the intervention group (30.0%). Wilcoxon Signed Ranks test revealed no significant change in the control group (p-value 0.1 > 0.05), while a significant effect was observed in the intervention group (p-value < 0.001), confirming the effectiveness of green betel leaf decoction. Conclusion: Green betel leaf decoction effectively reduces the intensity of pathological leucorrhea among female students
The Influence Of Socio-Demographics, Literacy, And Self-Identity On Adolescent Attitudes Towards Early Marriage In Sigi Regency Nurhaviva, Nurhaviva; Abd. Rahman; Devi, Ratna; Rosmala Nur; Sridani, Ni Wayan
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.526

Abstract

Background: Child marriage in Sigi Regency has shown an increasing trend from year to year between 2020 and 2025. In 2020, a significant surge was recorded, which rose even more sharply in 2023. This increase is driven by various factors such as premarital pregnancy, economic pressure, and the influence of social media, especially in remote areas. Objective: To determine the influence of sociodemographic factors, literacy, and self-identity on adolescents’ attitudes toward early marriage in Sigi Regency. Method: This study employed a quantitative approach with a cross-sectional design. The research was conducted in three sub-districts in Sigi Regency: Dolo Barat, Dolo Selatan, and Marawola, with a total sample of 100 respondents. Results: The Wald Test results for the variables Last Education (p = 0.046), Income (p = 0.048), Culture (p = 0.002), Literacy (p = 0.035), and Self-Identity (p = 0.040) indicate that education, income, culture, literacy, and self-identity have a significant influence on adolescents’ attitudes toward early marriage in Sigi Regency. Culture emerged as the most dominant factor, followed by literacy, education, self-identity, and income. Adolescents with these favorable conditions are more likely to reject early marriage practices. Conclusion: The study shows that education, family income, culture, literacy, and self-identity significantly influence adolescents’ attitudes toward early marriage in Sigi Regency, with culture being the strongest factor influencing adolescents’ attitudes toward early marriage.
Comparison of Medical Device Calibration Compliance Between Paripurna and Utama Accredited Community Health Centers in Palu City Alhabsyi, Manal; Suarayasa, Ketut; Rahman, Abd
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.530

Abstract

Introduction: Compliance with medical equipment calibration is essential to ensure service quality and patient safety. However, not all medical devices in community health centers (Puskesmas) in Palu City have been calibrated according to standards. Objective: This study aimed to analyze differences in calibration compliance between Paripurna-accredited and Utama-accredited Puskesmas. Methods: A comparative quasi-experimental study with a posttest-only design was conducted at Kamonji and Lere Health Centers from August to September 2025. Total sampling was applied to all employees, yielding 127 respondents. Data were analyzed using the Independent Sample t-test. Results and Discussion: Kamonji Health Center showed higher instrumental compliance, while Lere Health Center demonstrated slightly higher normative compliance. Statistical analysis indicated a significant difference in calibration compliance between the two health centers (t = 2.726; p = 0.007). Conclusion: Calibration compliance was significantly higher at the Paripurna-accredited health center, suggesting that higher accreditation status is associated with better calibration practices. Strengthening supervision and documentation is recommended, particularly for Utama-accredited health centers.
Determinants of HIV/AIDS Prevention Behavior Among Men Who Have Sex with Men: A Mixed-Methods Study in Palu, Indonesia Fadjriah, Rasyika Nurul; Khairunnisaa; Mu’minsyah; Arifuddin, Adhar; Rahman, Abd
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1141

Abstract

Background: Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) remain global health challenges, particularly among men who have sex with men (MSM), who face biological and social vulnerabilities. In Indonesia, MSM represent a key population with high HIV prevalence, and Palu City reports the highest number of HIV cases in Central Sulawesi, underscoring the need for targeted prevention. Objectives: This study examined the relationship between knowledge, attitudes, infrastructure availability, healthcare provider support, peer influence, stigma/discrimination, and family support with HIV/AIDS preventive behavior among MSM at Talise Health Center, Palu. Methods: An explanatory mixed-methods design was used. The quantitative phase applied a cross-sectional approach with total sampling of 30 MSM, analyzed using univariate and bivariate (Chi-Square) tests. The qualitative phase involved case studies with in-depth interviews of 10 informants. Results: Overall, 43.3% of MSM showed good preventive behavior. Significant associations were found between infrastructure availability, peer influence, family support, and stigma/discrimination with HIV/AIDS preventive behavior (p<0.05). No significant relationship was observed for knowledge or healthcare provider support (p>0.05). Qualitative findings revealed that although MSM possessed adequate knowledge, this did not consistently lead to preventive actions. Conclusions: HIV/AIDS preventive behavior among MSM in Talise remains suboptimal. Key influencing factors include attitudes, family support, infrastructure, peer influence, and stigma/discrimination. Strengthening empowerment programs to reduce stigma and enhance community support is essential to improve prevention efforts.