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Analysis of determinants of adherence to anti-tuberculosis drugs in tb patients during covid-19 at the public health center of Aceh Besar Regency Amiruddin, Amiruddin; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Maidar, Maidar; Abdullah, Asnawi
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1432

Abstract

The Covid-19 pandemic has had a significant impact on TB patients, particularly in terms of treatment and drug monitoring. During the pandemic in 2020, there were 350 cases of TB in Aceh Besar District. This study aimed to assess the compliance of TB patients during the Covid-19 period at the Aceh Besar District Health Center. A cross-sectional study design was employed, and data were collected from 118 TB patients from April to October 2020. The research was conducted in April 2022. Questionnaires were used for data collection, and bivariate and multivariate analyses were performed using the STATA 12 application program. The results of the multivariate analysis revealed that several risk factors, including Covid-19, history of illness, sources of information, age, knowledge, and trips to the health center, were associated with non-compliance in taking OAT medications. Efforts to increase awareness and educate the public about the risk factors of TB should continue, even during the Covid-19 pandemic. Building partnerships with former TB patients who have completed treatment and recovered can also help in promoting adherence to OAT medications among current TB patients.
Analysis of factors related to stress levels in outpatients with diabetes mellitus and hypertension during the Covid-19 pandemic in Aceh Besar Regency Yanti, Cut Aini Fauzi; Ichwansyah, Fahmi; Hermansyah, Hermansyah; Marthoenis, Marthoenis; Abdullah, Asnawi
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1630

Abstract

The prognosis of COVID-19 is influenced by age and comorbidities such as hypertension, diabetes mellitus (DM), pulmonary diseases, and obesity. Observations have found that patients who test positive for the coronavirus often experience anxiety and have high stress levels, particularly among outpatients at health centers. This study aims to analyze the factors related to stress levels in outpatients with DM and hypertension during the COVID-19 pandemic at Krueng Barona Jaya Health Center, Aceh Besar Regency. This quantitative research employs a cross-sectional study approach. The sample consists of 111 individuals out of a total of 154 outpatients with DM and hypertension in the working area of Krueng Barona Jaya Health Center, Aceh Besar Regency, selected through stratified proportional random sampling. Data collection was conducted in the working area of Krueng Barona Jaya Health Center from August 4 to August 10, 2022, using questionnaires distributed to the respondents. The statistical test used was logistic regression with STATA software. The study results showed that 45 individuals (45.04%) experienced moderate stress levels. Bivariate analysis revealed a partial relationship between knowledge, family support, and income with the stress levels of outpatients with DM and hypertension during the COVID-19 pandemic at Krueng Barona Jaya Health Center, Aceh Besar Regency (p<0.05).
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

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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

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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
Faktor Faktor Yang Berhubungan Dengan Tingkat Kecemasan Ibu Pada Masa Menopause Di Desa Krueng Meuriam Kecamatan Tangse Kabupaten Pidie Mukarramah, Ayu; Ichwansyah, Fahmi; Amin, Ghazali
Journal of Health and Medical Science Volume 1 Nomor 3 Juli 2022
Publisher : CV. Pusdikra Mitra Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51178/jhms.v1i3.866

Abstract

In 2020, Indonesia only reached 14 million menopausal women or 7.4% of the total population. When a woman has entered the menopause stage, the levels of estrogen and progesterone gradually drop so that they also affect other hormones. This condition is closely related to women's anxiety during menopause. The purpose of this study was to determine the factors associated with maternal anxiety levels during menopause in Krueng Meuriam Village, Tangse District, Pidie Regency in 2021. Methods: This research is an analytic with a cross sectional approach. The population in this study were 145 postmenopausal women in Krueng Meuriam Village, Tangse District, Pidie Regency in 2021. Sampling in this study was carried out by proportional sampling by determining the number of samples using the Slovin formula so that a sample of 60 samples was obtained. Data collection was carried out from December 02 - 08 by using a questionnaire through interviews. Data analysis using Chi-Square test with SPSS 21 . program. Results: The results showed that 40% of respondents who experienced normal anxiety during menopause, 56.7% of respondents with good knowledge, 55% of respondents with positive attitudes, 56.7% of respondents who had family support, and 56.7% of respondents who experienced mild physical changes by 45%.. Conclusion: Based on the results of the study, it was concluded that the results of bivariate research with chi-square test showed that there was a relationship between knowledge p = 0.021, there was a relationship betwee attitudes p = 0.032, there was a relationship between family support p = 0.004, and there was a relationship between physical changes p = 0.040 with maternal anxiety during menopause.
Faktor-Faktor Yang Berhubungan Dengan Kualitas Pelayanan Kesehatan Pada Masa Pandemi Covid-19 Di PUSKESMAS Samadua Kecamatan Samadua Kabupaten Aceh Selatan Tahun 2021 Rafiqa, Urwatur; Ichwansyah, Fahmi; Arbi, Anwar
Journal of Health and Medical Science Volume 1 Nomor 4 Oktober 2022
Publisher : CV. Pusdikra Mitra Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51178/jhms.v1i4.924

Abstract

Kualitas pelayanan kesehatan merupakan tingkat layanan terkait pemenuhan harapan dan kebutuhan konsumen. Artinya, layanan bisa disebut berkualitas jika memenuhi sebagian besar harapan para konsumen. Tujuan penelitian ini untuk mengetahui hubungan protocol kesehatan nakes, jadwal pelayanan kesehatan, pemberlakuan WFH dan WFO, dan membatasi kegiatan dengan kualitas pelayanan kesehatan. Penelitian ini dilakukan dengan metode kualitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah masyarakat yang berkunjung ke Puskesmas Samadua di Kabupaten Aceh Selatan. Sampel dalam penelitian ini adalah 97 orang dengan menggunakan teknik random sampling. Penelitian ini dilakukan pada tanggal 13 Juni sampai dengan 18 Juni 2022. Hasil penelitian univariat kualitas pelayanan saat Covid-19 93.81%, protokol kesehatan saat Covid-19 62.89%, jadwal pelayanan kesehatan saat Covid-19 63.92%, pemberlakuan WFH dan WFO saat Covid-19 60.82%, dan membatasi kegiatan saat Covid-19 60.82%. Sedangkan kualitas pelayanan sebelum Covid-19 57.73%, protokol kesehatan sebelum Covid-19 54.64%, jadwal pelayanan kesehatan sebelum Covid-19 57.73%, pemberlakuan WFH dan WFO sebelum Covid-19 58.76%, dan membatasi kegiatan sebelum Covid-19 58.76%. Bivariat menunjukkan tidak ada hubungan sebelum dan saat Covid-19 antara protokol kesehatan dengan p value 0.026 dan 0.084, jadwal pelayanan nakes dengan p value 0.605 dan 0.885, pemberlakuan WFH dan WFO dengan p value 0.382 dan 0.224, dan membatasi kegiatan dengan p value 0.940 dan 0.762. Hasil uji T menunjukkan ada perbedaan kualitas pelayanan kesehatan sebelum dan saat Covid-19 dengan p value 0.001.
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.
Co-Authors . Zulfan Abidah Nur Abidah Nur Ahmad Fauzan Ahmad Fauzan Ali Abubakar Ali Muktadin, Rahmat Amin, Fauzi Ali Amin, Ghazali Amiruddin Amiruddin Ananda, Nurul ar, aiyup Arbi, Anwar Aripin Ahmad Aripin Ahmad, Aripin Ariscari, Putri Ariscasari, Putri Ariska, Tasya Aryandi Darwis Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Asri Jumadewi Aulina Adamy Azkia, Nisa Ulfa Azwar, Eddy Baharuddin, Dharina Basri Aramico Basri Aramico, Basri Cholila, Cholila Citra, Mulia Cut Badriya Cut Nasrulsyah Dasrin Dasrin Debri Rizki Faisal Dedi Andria Desiana, Cut Rahmah Dewi Ariani Dorista, Eva Eka Fitria Eka Fitria Eka Fitria Erlinawati Erlinawati, Erlinawati Fahdhiene, Farrah Faisal Abdurahman Faisal Faisal Faisal, Debri Rizki Farrah Fahdhienie Finisa Balkis Fitriasih, Desi Hafnidar Hafnidar Hafnidar, Hafnidar Hajjah, Hajjah Halimatussakdiah Halimatussakdiah Harbiyah, Harbiyah Hasnur, Hanifah Hermansyah Hermansyah Hermansyah Hermansyah Ida Ayu Putu Sri Widnyani Iin Fitraniar Indra Gunawan Irhamna, Dian Ayu Irwan Saputra Irwana Wahab, Irwana Jontari Jontari Khaira, Niswatul M. Marthoenis Maidar Maidar Maidar Maidar Maidar Maidar Maidar, Maidar Maidar, Maidar Maifrizal Maifrizal Mainita, Mainita Mairani, Tiara Maulida, Suci Maulidya, Rizki Melania Hidayat Melania Hidayat Meutia Zahara Mira Gusweni Muhammad Syam Siddiq AR Mukarramah, Ayu Munawir Munawir Murniati Murniati Naimah Naimah Naimah Naimah Nazlia Nazlia Nelly Marissa Nelly Marissa Nelly Marissa Nira Una Nisak, Khairun Novianti, Hernia Nur Ramadhan, Nur Nurjannah Nurjannah Nurjannah Nurma Nurma Onetusfifsi Putra Rachmatilllah.YS, Rafif Radhiah Zakaria Radhiah Zakaria Rafiqa, Urwatur Rahmadiana, Rahmadiana Rahmat, Said Muhakikin Raisuli Ramadhan Ramadhan, Raisuli Rasmi, Rika Irma Raudhatul Jannah Razali Razali Sahayati Windy Afreli Said Usman Saputra, Irwan SARI, CINDY CINTA Saripah Nur Septiani, Riza Serly Riski Amanda Shella Novia Silviana, Rina 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