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Analysis of Behavioral Change in Banda Aceh City Community Two Years After the Covid-19 Pandemic Dasrin Dasrin; Radhiah Zakaria; Maidar Maidar; Asnawi Abdullah; Fahmi Ichwansyah
International Journal of Public Health Vol. 2 No. 3 (2025): September : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v2i3.523

Abstract

COVID-19 is a respiratory disease that poses a current threat. Public non-compliance with health protocols can negatively impact COVID-19 transmission. A person's behavior significantly impacts their health. The design of this research is quantitative descriptive with Cross Sectional design, the population in the study is all productive-age Banda Aceh residents totaling 252,899 people and the sample in this study totaling 399 people who have met the inclusion criteria with Accidental Sampling technique using statistical analysis of the t-test (paired-samples t test) and One Way Anova Repeated Measure Test using the Stata 14 program. The results of the study show that there are significant changes in community behavior after 2 years of the Covid-19 pandemic for 3 time periods (the beginning of the Covid-19 pandemic (2020), 1 year ago (2021) and currently (2022)) related to the 5M Health Protocol (p-value 0.0000), Barriers to Mask Use (p-value 0.0000), Information Related to Handling Covid-19 (p-value 0.0001), Perception (p-value 0.0000), Attitude (p-value 0.0000, and Behavior Towards Covid-19 (p-value 0.0000). However, the t-test results showed no significant change in community behavior in the Attitude variable between 1 year ago (2021) and now (2022) (p-value 0.8997) and in the Information Regarding Handling of Covid-19 variable between the beginning of the pandemic (2020) and now (2022) (p-value 0.3048). The most dominant change in community behavior after 2 years of the Covid-19 pandemic was in the 5M Health Protocol variable, in the period 1 year ago (2021) and now (2022), with a p-value of 0.0000 and a difference of 3.24. It is hoped that the community will continue to strive to improve their health behavior, so that the level of public health is maintained, and hopefully we are truly free from the Covid-19 pandemic
DETERMINAN KEJADIAN STUNTING PADA BALITA DI PUSKESMAS KEUMALA KAPUBATEN PIDIE Azkia, Nisa Ulfa; Aramico, Basri; Ichwansyah, Fahmi
Jambura Journal of Health Sciences and Research Vol 6, No 3 (2024): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v6i3.24202

Abstract

Stunting merupakan permasalahan gizi pada balita di dunia saat ini khususnya di negara berkembang yang ditandai dengan tinggi badan tidak sesuai dengan umurnya dan tinggi badan kurang jika dibandingkan anak lain seusianya. Kebaruan penelitian menganalisis data tiga tahun berturut-turut menggunakan data Elektronik Pencatatan dan Pelaporan Gizi Berbasis Masyarakat (EPPGBM). Penelitian bertujuan untuk mengetahui determinana kerjadian stunting pada balita. Penelitian merupakan penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu yang mempunyai balita sebanyak 1.293 ibu balita. Sampel dalam penelitian ini adalah ibu balita yang berjumlah 1.270. Penelitian ini dilakukan di wilayah kerja puskesmas Keumala Kabupaten Pidie pada bulan Desember-Mei 2023. Pengumpulan data di lakukan dengan data Elektronik Pencatatan dan Pelaporan Gizi Berbasis Masyarakat (EPPGBM) dan di uji menggunakan analisis univariat dan bivariat menggunakan analisis chi square. Hasil uji chi square diketahui ada hubungan status gizi balita dengan kejadian stunting pada tahun 2020, 2021, dan 2022 dengan P-value secara berturut turut (0,001), (0,002), (0,004). Ada hubungan usia balita dengan kejadian stunting pada tahun 2020, 2021, dan 2022 dengan P-value secara berturut turut (0,001), (0,002), (0,002). Tidak terdapat hubungan jenis kelamin dengan kejadian stunting pada tahun 2020 dan 2021 dengan P-value berturut (0,673), (0,603). Ada hubungan jenis kelamin dengan kejadian stunting pada tahun 2021 dengan Pvalue (0,006). Kesimpulan terdapat hubungan antara status gizi balita, dan usia balita dengan kejadian stunting selama pada tahun 2020-2022, tidak hubungan jenis kelamin dengan kejadian stunting pada tahun 2020-2021, namun ada hubungan jenis kelamin dengan kejadian stunting pada tahun 2022.
SOCIODEMOGRAPHIC RELATIONSHIP AND HISTORY OF CONCOMITANT DISEASES WITH CORONARY HEART DISEASE IN ACEH PROVINCE (SECONDARY DATA RISKESDAS 2018) Naimah, Naimah; Abdullah, Asnawi; Ichwansyah, Fahmi
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 7, No 1 (2021): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v7i1.1070

Abstract

Background: Coronary Heart Disease (CHD) in Indonesia, especially Aceh Province, is the number one contributor to death at this time. The prevalence of CHD by province at the age ? 15 years was reported that Aceh ranks in the top two with the highest CHD provinces (D 0.7% and D/G 2.3%). This research needs to be analyzed further aimed to determine the determinants of CHD in Aceh Province because CHD in Indonesia is one of the main problems most noticed by the government. Various programs to anticipate and find solutions of health problems, especially CHD has beeen made for the good of the people of Indonesia. Methods: Further analysis of this secondary data is descriptive analytic using cross-sectional design. The research location in Aceh Province was conducted in May-June 2013. The secondary data was reprocessed by researchers in 2019. The population and samples in this study were 11.617 households and 40,951 household members. Data analysis was performed using univariate and bivariate analysis. Result: The results showed that there is a relationship between age and coronary heart disease (p value 0.001), gender (p value 0.001), low education level (p value 0.002), employment status (p value 0.008), Diabetes mellitus (p value 0.001), hypertension (p value 0.001), and smoking (p value 0.0001). Recommendation: It is hoped that the provincial government implements the No Smoking Area (KTR) policy in every public area such as schools, terminals, hospitals and create qanuns that truly public health precision.
Analisis Perubahan Iklim dengan Kejadian Demam Berdarah Dengue di Kota Banda Aceh Tahun 2022-2024 Sahayati Windy Afreli; Fahmi Ichwansyah; Putri Ariscasari
SEHATI: Jurnal Kesehatan Vol 5, No 2 (2025)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v5i2.106

Abstract

Dengue Hemorrhagic Fever is an infectious disease caused by the dengue virus and transmitted through the bite of the Aedes aegypti mosquito. Climate change has had a significant impact on the increase in cases of Dengue Hemorrhagic Fever, where there is a tendency for an increase in DHF cases during the transition season. This study aims to analyze the relationship between climate change (climate factors) and DHF incidence in Banda Aceh City in 2022-2024. This study uses a descriptive study design with secondary data related to climate change and the incidence of Dengue Fever in Banda Aceh City in 2022-2024. This study uses multiple linear regression tests. The sample in this study is all monthly observations of DHF incidence, Temperature, Humidity, Wind Speed, and Rainfall in the period 2022-2024. The results of the study explain that there is no influence between temperature and the incidence of dengue fever in Banda Aceh City in 2022-2024 with a p value = 0.936 0.05, there is no influence between humidity and the incidence of dengue fever in Banda Aceh City in 2022-2024, there is no significant influence between wind speed and the incidence of dengue fever in 2022-2024 with a p value = 0.096 0.05, There is a relationship between rainfall and the incidence of dengue fever in Banda Aceh City in 2022-2024 with a p value = 0.022 0.05. It is recommended for the public to always be alert to dengue fever, especially if rainfall increases. The relevant agencies can develop a weather-based early warning system to notify the public about the increased risk of dengue fever during high rainfall
Determinan Pemanfaatan Integrasi Pelayanan Kesehatan Primer pada Ibu di Aceh, Indonesia Jannah, Raudhatul; Ichwansyah, Fahmi; Baharuddin, Dharina; Saputra, Irwan; Maidar, Maidar
Jurnal Promotif Preventif Vol 8 No 6 (2025): Desember 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i6.2149

Abstract

Transformasi pelayanan kesehatan melalui Integrasi Layanan Primer (ILP) merupakan kebijakan strategis untuk meningkatkan akses dan kualitas pelayanan, khususnya bagi ibu hamil, bersalin, dan nifas. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan pemanfaatan ILP Klaster II. Desain penelitian adalah kuantitatif dengan pendekatan cross-sectional, melibatkan seluruh populasi sebanyak 130 ibu yang memiliki anak berusia 0–11 bulan sebagai sampel. Data dikumpulkan melalui wawancara menggunakan kuesioner dan observasi, kemudian dianalisis secara univariat, bivariat, dan multivariat dengan regresi logistik. Hasil penelitian menunjukkan adanya hubungan signifikan antara pemanfaatan ILP dengan pengetahuan (p=0,002), sikap (p=0,012), persepsi terhadap petugas (p=0,040), peran keluarga (p=0,011), dan akses layanan (p=0,024). Pengetahuan merupakan faktor dominan (OR=3,36). Penelitian ini dapat menjadi referensi pengembangan ilmu kesehatan masyarakat dan bahan ajar tentang kebijakan layanan primer. Peneliti selanjutnya disarankan menambah variabel seperti dukungan tenaga kesehatan dan faktor sosioekonomi agar hasil lebih komprehensif
Analysis of the Relationship Between Environmental Health Factors and Stunting Incidence in Indonesia Yossi Ismardiani; Fahmi Ichwansyah; Aripin Ahmad; Asnawi Abdullah; Radhiah Zakaria
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48960

Abstract

Indonesia ranks fifth globally in stunting prevalence, with approximately 30.8% or 23 million children affected. Stunting can impair physical growth, brain development, metabolism, and intelligence, thereby reducing the quality of Indonesia’s human resources. One of the key contributing factors is poor nutrition, which is closely linked to inadequate access to safe drinking water and poor sanitation. This study aimed to analyze the relationship between environmental health factors and stunting in Indonesia using secondary data from the Indonesian Health Profile (2015–2020), covering all 34 provinces. The research applied a descriptive-analytic approach with a cross-sectional design and quantitative analysis using linear regression. The analysis included three models: (1) unadjusted, (2) adjusted for year and province, and (3) adjusted for year, province, poverty, and HDI. The findings showed that the national stunting rate declined from 22.76% in 2015 to 12.70% in 2020, with East Nusa Tenggara (NTT) consistently reporting the highest rates. Bivariate analysis revealed that access to safe drinking water, proper sanitation, community-based sanitation (STBM), TPM compliance, poverty, adequate housing, and HDI were significantly associated with stunting (p < 0.05). After adjusting for confounders, the most influential variables were access to safe drinking water, TPM compliance, and adequate housing. Among these, access to safe drinking water explained the highest variation in stunting rates (21.08%). These results suggest that environmental health—particularly clean water access, food hygiene, and proper housing—plays a crucial role in addressing stunting. Therefore, strengthening basic infrastructure and promoting clean and healthy living behavior (PHBS) are essential for stunting prevention in Indonesia.Keywords: Stunting, Safe Drinking Water, Sanitation, Environmental Health, Linear Regression.
Analisis Faktor Self Care Management Hipertensi pada Pra Lansia Sampai Lansia di Wilayah Terpencil Kepulauan Nias Sumatera Utara Rina Silviana; Fahmi Ichwansyah; Asnawi Abdullah; Hermansyah Hermansyah; Hafnidar Hafnidar; Amelia Zahara
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24333

Abstract

ABSTRACT Hypertension is a chronic disease that has characteristics in unsTabel bloodpressure, so it needs a long treatment that can even be up to a lifetime and requiresconsiderable medical expenses. Hypertension is a condition in which systolic bloodpressure is equal to or higher than 140 mmHg and diastolic blood pressure is higher than 90 mmHg. This study aimed to analyze the factors associated with hypertension self-care management among pre-elderly and elderly individuals living in remote areas of Nias Regency, North Sumatra. This quantitative study employed a cross-sectional design. Data were collected over one month, from May 30 to June 30, 2024, through face-to-face interviews using a structured questionnaire. The study population comprised all hypertensive patients aged 45–74 years, categorized as pre-elderly and elderly, within the working area of Ehosakhozi Public Health Center. A total of 80 respondents were selected using random sampling. Data were analyzed using cross-sectional analysis with STATA version 14.0. The results showed that 50% of pre-elderly and elderly respondents had poor self-care management. Poor self-care management was predominantly found among the elderly group (75%) compared to the pre-elderly group (25%) (OR = 15.55; 95% CI = 3.29–73.41; p = 0.001). Insufficient family support increased the risk of poor self-care management by nearly four times (OR = 3.74; 95% CI = 1.12–12.51; p = 0.032). Gender, educational level, marital status, smoking history, alcohol consumption, and self-efficacy were also significantly associated with hypertension self-care management. Educational level was identified as the most dominant factor associated with hypertension self-care management among pre-elderly individuals. It is expected that healthcare providers will encourage and assist family members in supporting the care of pre-elderly and elderly individuals with hypertension. Keywords: Hypertension, Pre-elderly, Elderly, Self Care Management   ABSTRAK Hipertensi merupakan penyakit kronis yang memiliki karakteristik pada tekanan darah yang tidak stabil, sehingga perlu dilakukan pengobatan yang lama bahkan bisa sampai seumur hidup dan membutuhkan biaya pengobatan yang cukup besar. Untuk menganalisis faktor Self Care management hipertensi pada pra lansia sampai lansia di wilayah terpencil, Kabupaten Nias Sumatera Utara. Penelitian ini bersifat kuantitatif dengan rancangan Cross-Sectional. Pengumpulan data dilakukan selama sebulan sejak 30 Mei sampai dengan 30 Juni 2024 dengan wawancara langsung menggunakan kuesioner. Populasi dalam penelitian ini ada seluruh pasien yang mengalami hipertensi dari rentan usia 45-74 tahun dengan kategori pra lansia sampai lansia yang berada di wilayah kerja Puskesmas Ehosakhozi. Sampel yang diambil sebanyak 80 orang dengan teknik random sampling dan dianalisis dengan uji Cross-Sectional menggunakan aplikasi STATA 14.0. Hasil penelitian menunjukkan bahwa sebanyak 50% pra lansia dan lansia memiliki Self Care management kurang baik. Pra lansia dan lansia yang memiliki Self Care management kurang baik mayoritas pada kelompok lansia 75% dibandingkan dengan kelompok pra lansia 25% (OR=15,55; 95%CI=3,29-73,41; p=0,001). Dukungan keluarga yang kurang berisiko hampir 4 kali mengalami Self Care management kurang baik (OR=3,74; 95%CI=1,12-12,51; p=0,032). Jenis kelamin, pendidikan, status perkawinan, riwayat merokok, konsumsi alkohol dan Self Efficacy juga berhubungan dengan Self Care management hipertensi. Pendidikan menjadi faktor yang paling dominan berhubungan dengan Self Care management hipertensi pada pra lansia. Diharapkan petugas kesehatan dapat menghimbau dan membantu anggota keluarga untuk dapat merawat pra lansia sampai lansia dengan hipertensi. Kata Kunci: Hipertensi, Pra Lansia, Lansia, Self Care Management.
Coping Strategies and the Burden of Caring for Family Members on the Quality of Life of Families of Leukemia Patients Niswatul Khaira; Fahmi Ichwansyah; Zulfan Zulfan
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6236

Abstract

The life of families caring for members with leukemia can be disrupted due to the high burden of care, thus risking a decrease in quality of life. This study aims to analyze the relationship between coping strategies and burden of care with the quality of life of families with leukemia at the Banda Aceh City Shelter. The study used a cross-sectional design with a total of 55 respondents taken through a total sampling technique from five shelters. Data collection was carried out through interviews using questionnaires from August 10 to September 10, 2023. Data analysis was carried out bivariately and multivariately using ordinal logistic regression. The results showed that 56.36% of respondents had a poor quality of life. Coping strategies, burden of care, social support, self-efficacy, education, employment, income, gender, and age were related to quality of life, while marital status was not. Respondents with low quality of life used more emotional focused coping strategies (65.85%) than problem focused coping (28.57%) (OR=4.82; p=0.020). In addition, heavy caregiving burden increases the risk of poor quality of life up to 11 times (OR=11; p=0.007). Multivariate analysis showed that the most dominant factor was family income. Therefore, the use of halfway houses is highly recommended to reduce the economic burden of cancer patients' families.
Coastal Community Behavior Patterns Related to Hypertension Treatment: A Case Study Dian Ayu Irhamna; Fahmi Ichwansyah; Meutia Zahara
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6244

Abstract

Hypertension is a high-risk non-communicable disease and is known as a "silent killer" because it often does not show clear symptoms. Coastal communities in Pidie Jaya Regency face various challenges in accessing health services, including economic, cultural, and geographical limitations, which affect their behavioral patterns in seeking treatment. This study aims to understand the behavioral patterns of coastal communities in accessing health services for hypertension treatment and the factors that influence it. This study uses a qualitative approach with descriptive analysis based on case studies. Data were obtained through in-depth interviews with 27 informants, consisting of hypertension sufferers, families, health workers, and village heads in five coastal sub-districts of Pidie Jaya Regency. The majority of people are more familiar with the term "high blood pressure" than "hypertension" and tend to choose traditional medicine over medical treatment. Awareness of routine check-ups is still low, and access to health facilities is influenced by economic factors and transportation limitations. Culture-based health education, increasing access to health services, and improving drug distribution systems are needed to increase awareness and compliance of coastal communities in managing hypertension.
The Influence of Infographic Media on Prospective Brides' Knowledge about Reproductive Health Nurul Ananda; Basri Aramico; Fahmi Ichwansyah; Said Usman; Asnawi Abdullah
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6582

Abstract

Reproductive health is an important aspect that every prospective bride and groom must understand to prepare for a healthy and quality family life. However, the low level of knowledge of prospective brides and grooms is a challenge in efforts to prevent reproductive health risks. This study aims to determine the effect of infographic media on prospective brides and grooms' knowledge of reproductive health. The research design used a quasi-experimental approach with a one-group pretest-posttest. A total of 88 respondents were selected purposively from four Religious Affairs Offices in Banda Aceh City. The instrument in the form of a questionnaire tested for validity and reliability was given before and after the intervention using infographic media. The analysis showed a significant increase in knowledge scores from an average of 9.02 in the pretest to 18.86 in the posttest (p = 0.000). However, multivariate analysis showed that the variables of age, gender, education, occupation, and income did not significantly affect changes in knowledge (p > 0.05). Infographic media has been proven to effectively convey information visually and increase the understanding of prospective brides and grooms regarding basic concepts of reproductive health more easily and attractively.
Co-Authors Abidah Nur Abidah Nur Ahmad Fauzan Ahmad Fauzan Ali Abubakar Amelia Zahara Amin, Fauzi Ali Amiruddin Amiruddin ar, aiyup Aripin Ahmad Ariscari, Putri Ariscasari, Putri Aryandi Darwis Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asri Jumadewi Aulina Adamy Ayu Mukarramah Azkia, Nisa Ulfa Azwar, Eddy Baharuddin, Dharina Basri Aramico Basri Aramico Basri Aramico, Basri CINDY CINTA SARI Citra, Mulia Cut Badriya Cut Nasrulsyah Dasrin Dasrin Debri Rizki Faisal Dedi Andria Desiana, Cut Rahmah Dewi Ariani Dian Ayu Irhamna Eka Fitria Eka Fitria Eka Fitria Ena Eppirta Erlinawati Erlinawati, Erlinawati Fahdhiene, Farrah Faisal Abdurahman Faisal, Debri Rizki Farrah Fahdhienie Finisa Balkis Fitriasih, Desi Ghazali Amin Hafnidar Hafnidar Hafnidar Hafnidar Halimatussakdiah Halimatussakdiah Harbiyah, Harbiyah Hasnur, Hanifah Hermansyah Hermansyah Hermansyah Hermansyah Ida Ayu Putu Sri Widnyani Iin Fitraniar Indra Gunawan Irwan Saputra Irwana Wahab, Irwana Jontari Jontari M. Marthoenis Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Maifrizal Maifrizal Mainita, Mainita Maulida, Suci Maulidya, Rizki Mega Fatimah Rosana Melania Hidayat Melania Hidayat Meutia Zahara Mira Gusweni Muhammad Syam Siddiq AR Munawir Munawir Murniati Murniati Naimah Naimah Nazlia Nazlia Nelly Marissa Nelly Marissa Nelly Marissa Nira Una Nisak, Khairun Niswatul Khaira Novianti, Hernia Nur Ramadhan, Nur Nurjannah Nurjannah Nurjannah Nurma Nurma Nurul Ananda Onetusfifsi Putra Rachmatilllah.YS, Rafif Radhiah Zakaria Radhiah Zakaria Rahmat, Said Muhakikin Raisuli Ramadhan Ramadhan, Raisuli Raudhatul Jannah Razali Razali Rika Irma Rasmi Rina Silviana Riza Septiani Sahayati Windy Afreli Said Usman Said Usman Saputra, Irwan Saripah Nur Septiani, Riza Serly Riski Amanda Shella Novia Siska Riani syarifuddin anwar Tahara Dilla Santi Tati Suryati Teuku Reza Ferasyi Tiarasari, Intan Tisha Lazuana Ulfa, Lisa Mutia Ulfina Usman, Said Yanti, Cut Aini Fauzi Yossi Ismardiani Yusnidar Yusnidar Zahara, Amelia Zakaria, Radhiah Zakaria, Radiah Zulfan Zulfan