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All Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Luthfiah Mawar
UNIVERSITAS ISLAM NEGERI SUMATERA UTARA
Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Public Health

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GAMBARAN PROGRAM PENCEGAHAN DAN PENGENDALIAN PENYAKIT DIARE DI DINAS KESEHATAN KABUPATEN LANGKAT Wan Rizky Chairunnisa; Dinda Asa Ayukhaliza; Luthfiah Mawar
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol 4, No 1 (2021): JMIAK
Publisher : Program Studi Perekam Medis & Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v4i1.1285

Abstract

Penyakit diare masih menjadi perhatian pemerintah, salah satu upaya pemerintah dalam mengatasi permasalahan kejadian diare adalah dengan pengadaan program pencegahan dan pengendalian penyakit diare. Dinkes Kabupaten Langkat menunjukkan jumlah kasus diare mengalami kenaikan pada tahun 2016 sebanyak 12.821, dan pada tahun 2017 meningkat sebesar 17.897. Penelitian ini bertujuan untuk mengetahui gambaran program pencegahan dan pengendalian penyakit diare di Dinkes Kabupaten Langkat. Penelitian ini menggunakan metode pendekatan kualitatif. Subjek penelitian diambil berdasarkan purposive sampling berjumlah 1 orang yaitu Staff P2PM bidang/program diare Dinkes Kabupaten Langkat. Hasil penelitian menjunjukkan bahwa Dinkes Kabupaten Langkat terdapat satu petugas pelaksana program diare yang juga bertugas sebagai pemegang program HIV/AIDS, belum ada pelatihan yang dilakukan untuk meningkatkan keterampilan dan kemampuan petugas dalam melaksanakan program diare dikarenakan belum adanya dana yang dialokasikan untuk kegiatan ini, penyediaan logistik seperti obat-obatan telah tersedia, upaya penjaringan kasus dilakukan dengan melakukan home visit, promosi kesehatan terkait diare tidak dilakukan secara rutin, beberapa puskesmas yang letaknya jauh menyebabkan laporan yang tidak lengkap dan tidak tepat waktu serta kader kesehatan kurang aktif dalam menjalankan tugasnya. Berdasarkan hasil tersebut, diharapkan kepada Dinkes Kabupaten Langkat agar melaksanakan promosi kesehatan terkait diare secara rutin minimal 3 bulan sekali dan menindak tegas dengan memberikan sanki kepada puskesmas yang datanya tidak lengkap dan tidak tepat waktu sehingga ke depannya dapat diperbaiki kelengkapan dan ketepatan datanya.
Community Based Prevention Strategies for Collective Trauma in Conflict Zones of the Middle East M. Agung Rahmadi; Luthfiah Mawar; Liza Adilia Pury; Naura Aqilah Rizal; Wilda Simangunsong; Helsa Nasution; Nurzahara Sihombing; Annisa Ardianti Br Tarigan
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 3 No. 4 (2025): November: Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v3i4.926

Abstract

This meta-analysis provides an in-depth examination of the effectiveness of community-based interventions in alleviating collective trauma experienced by populations in conflict zones of the Middle East, compiling 47 empirical studies (N = 12,483) published between 2000 and 2023. The synthesis indicates a significant impact of community-based interventions on reducing PTSD symptoms, with a substantial effect size (d = 0.82, 95% CI [0.76, 0.88], p < .001) and moderate heterogeneity (I² = 68%), reflecting inter-study variation yet remaining within interpretable bounds. Among the strategies analysed, community psychosocial support programs demonstrated the most pronounced effectiveness (β = 0.74, p < .001), followed by collective narrative therapy (β = 0.68, p < .001) and family-based rehabilitation interventions (β = 0.59, p < .001), all underscoring the relevance of approaches rooted in social networks and interpersonal relations. Moderator analyses revealed that longer program duration, particularly interventions spanning at least 6 months (β = 0.71, p < .001), and active engagement of local leaders (β = 0.65, p < .001) were critical determinants of intervention success. Furthermore, meta-regression findings indicated a strong and consistent correlation between the intensity of community involvement and reductions in collective trauma symptoms (R² = 0.73, p < .001), highlighting that social participation is not merely complementary but constitutes the foundation of program efficacy. In the researchers' view, these findings extend the contributions of prior studies by Hassan et al. (2016) and Morrison & Marrison (2024) by affirming the central role of local wisdom in trauma recovery processes, while offering a conceptual contribution in the form of an integrative framework that merges psychosocial interventions with community cultural values. Consequently, these results provide not only an empirical basis for developing more effective trauma-healing programs in Middle Eastern conflict zones but also underscore the urgency of contextual adaptation to ensure that interventions meet the most essential needs of affected populations.
Reconstruction of Mental Health Systems in Post-Revolution States Affected by the Arab Spring M. Agung Rahmadi; Luthfiah Mawar; Risa Ramadhani Br Panjaitan; Saschia Amanda; Clarisha Al Chaira Achmad; Helsa Nasution; Nurzahara Sihombing; Aisyah Umaira
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5616

Abstract

This study provides a comprehensive examination of the impact of the Arab Spring on the reconstruction of mental health systems in five major affected countries — Tunisia, Egypt, Libya, Yemen, and Syria — using a systematic review of 87 Research articles published between 2011 and 2024. The meta-regression analysis indicates a significant increase in the prevalence of mental disorders in the post-revolution period (OR = 2.87, 95% CI: 2.31–3.43, p < .001), with PTSD representing the highest proportion at 38.4%, followed by major depression at 27.6% and anxiety disorders at 24.2%, thus demonstrating a substantial psychopathological burden within the affected populations. Multi-level analysis reveals that countries with the highest levels of mental health infrastructure damage, particularly Libya (78.3%) and Syria (72.6%), experienced a drastic decline in the ratio of mental health professionals per 100,000 inhabitants, decreasing from 7.8 to 2.1, marking a severe limitation in service capacity. These findings expand upon the Research of Spagnolo et al. (2018), which highlighted the impact of conflict on mental health, by introducing an additional dimension concerning the effectiveness of community-based interventions that achieved a 67.8% success rate (p < .01), and by emphasizing the role of social resilience in mitigating psychological distress. Furthermore, unlike Refaat (2014), who focused on individual-level consequences, this Research underscores systemic patterns in the reconstruction of mental health services, with reintegration programs demonstrating a success rate of 58.4% (95% CI: 51.2–65.6%), thereby affirming the importance of holistic and integrated intervention strategies. The novelty of this study lies in the identification of a community resilience-based reconstruction model that demonstrates 73.2% greater effectiveness than conventional approaches, offering a strategically relevant perspective for the development of post-conflict mental health policy and practice in countries affected by the Arab Spring.  
Post-Conflict Trauma Recovery Models in the Middle East: A Comparative Analysis Helsa Nasution; Luthfiah Mawar; M. Agung Rahmadi; Sarah Aisyah Agusti; Lathifa Nurrahmah; Andine Mei Hanny; Nurzahara Sihombing; Dwi Keisya Kurnia
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5617

Abstract

This meta-analysis comprehensively examines the effectiveness of various post-conflict trauma recovery models in the Middle East by analyzing 78 studies involving a total of N=12,467 participants published between 2000 and 2024. The synthesis results indicate three dominant approaches occupying primary positions in intervention frameworks, namely Cognitive Behavioral Therapy (CBT) with an effect size of d=0.82 (95% CI: 0.76–0.88), Eye Movement Desensitization and Reprocessing (EMDR) with d=0.77 (95% CI: 0.71–0.83), and Narrative Exposure Therapy (NET) with d=0.69 (95% CI: 0.63–0.75). Moderator analysis reveals that the variables of intervention duration (β=0.31, p<0.001) and therapist qualification (β=0.28, p<0.001) play significant roles in determining therapeutic success. CBT demonstrates the highest effectiveness in addressing PTSD (r=0.73, p<0.001), whereas NET proves superior in managing collective trauma (r=0.68, p<0.001). Compared to the findings of Knaevelsrud et al. (2015) and Alzaghoul et al. (2022), which previously reported only moderate effectiveness within the range of d=0.45–0.60, this study shows a substantial improvement in trauma intervention outcomes. Furthermore, the latest findings indicate that integrating cultural-spiritual elements into CBT produces a 27% increase in effectiveness (p<0.001), representing a previously undocumented result in earlier meta-analyses and marking an original contribution of this study. Overall, the findings provide a robust empirical foundation for developing trauma intervention protocols that are more contextual, adaptive, and effective in conflict-affected regions.
Co-Authors Aisyah Umaira Andine Mei Hanny Annisa Ardianti Br Tarigan Clarisha Al Chaira Achmad Dinda Asa Ayukhaliza Dwi Keisya Kurnia Helsa Nasution Helsa Nasution Lathifa Nurrahmah Liza Adilia Pury M. Agung Rahmadi Naura Aqilah Rizal Nurzahara Sihombing Risa Ramadhani Br Panjaitan Sarah Aisyah Agusti Saschia Amanda Wan Rizky Chairunnisa Wilda Simangunsong