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All Journal JURNAL KESEHATAN PERINTIS Indonesian Journal of Health Sciences Research and Development (IJHSRD) Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Frontiers on Healthcare Research
Ratno Widoyo, Ratno
Program Studi Ilmu Kesehatan Masyarakat FK Unand
Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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UTILIZATION OF TELEMEDICINE AMONG UNDERGRADUATE STUDENTS AT THE FACULTY OF PUBLIC HEALTH, ANDALAS UNIVERSITY IN PADANG : UTILIZATION OF TELEMEDICINE Setiawati, Santi; Fadhillah, M. Fadhillah; Aljutri, Aljutri; Sari, Melsi Pita; Dewi, Novi Putriana; Widoyo, Ratno
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 1 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss1/305

Abstract

Background: Telemedicine is one of the health technology innovations that has rapidly developed during the COVID-19 pandemic. Due to physical limitations imposed by health protocols, telemedicine has become an essential alternative to maintain the continuity of healthcare services. This study aims to identify the factors influencing the use of telemedicine services and to examine the relationship between student characteristics and the utilization of telemedicine. Methods: A cross-sectional survey method was used, targeting students who use teleconsultation applications, with a total of 105 respondents in 2025. The sampling technique used was proportionate random sampling to obtain a representative sample from each department based on population size. Variables examined in this study included respondent characteristics such as gender, academic program, menstrual status, telemedicine usage, and types of services used. Results: The results showed that 15.2% of students actively used telemedicine services, while 84.4% had never used them. Of those who used telemedicine, 81.25% used it for registration services and 75% for counseling. Active users were mostly female public health students who had experienced menstruation. Statistical tests showed no significant relationship between gender and telemedicine use (p-value = 0.163), nor between study program and service use (p-value = 0.195). However, there was a significant relationship between menstrual status and telemedicine use (p-value = 0.001). Conclusion: This study provides important input for the development of sustainable digital health services in Indonesia, especially among university students.
Measles Immunization and Vitamin A for Prevention of Pneumonia in Indonesia Widoyo, Ratno
Kesmas Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Pneumonia merupakan penyebab kematian tertinggi pada anak di Indonesia setelah diare. Pengendalian pneumonia dapat dilakukan dengan peningkatan cakupan imunisasi campak, pertusis, Streptococcus pneumoniae (Spn), dan Haemophilus influenzae b (Hib). Vaksin Spn dan Hib belum masuk ke dalam kategori imunisasi wajib di Indonesia. Vaksin campak lebih memiliki pengaruh langsung terhadap pneumonia dibandingkan dengan vaksin pertusis. Pemberian imunisasi yang disertai pemberian vitamin A akan meningkatkan titer antibodi pada anak. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian imunisasi campak dan vitamin A terhadap kejadian pneumonia. Metode penelitian adalah potong lintang dengan menggunakan 13.062 data anak yang terdapat pada data Survei Demografi dan Kesehatan Indonesia tahun 2012. Data dianalisis dengan menggunakan uji regresi poisson. Hasil analisis menunjukkan prevalensi pneumonia pada anak di Indonesia adalah 5.4%, cakupan imunisasi campak sebesar 82.6%, dan cakupan pemberian vitamin A sebesar 74.9%. Pemberian imunisasi campak disertai dengan pemberian vitamin A dapat mencegah terjadinya kejadian pneumonia pada anak usia 12 – 59 bulan sebesar 26,5%. Pemberian imunisasi campak yang disertai dengan pemberian vitamin A dapat digunakan sebagai tindakan pencegahan dalam upaya penurunan kejadian pneumonia. Pneumonia is the major cause of child death in Indonesia after diarrhea. Increasing coverage of measles, pertusis, Streptococcus pneumoniae (Spn) and Haemophilus influenzae b (Hib) immunization substantially can control pneumonia. Spn and Hib vaccines have not been included in category of mandatory immunization in Indonesia. Measles vaccine has more direct effect on prevention of pneumonia than pertusis vaccine. Providing immunization followed by providing vitamin A will increase the specific antibody titer among children. This study aimed to determine effects of measles vaccine and vitamin A to pneumonia incidence among toddlers. Method of study was cross sectional using 13,062 data of children drawn from 2012 Indonesia Demographic and Health Survey. Data were analyzed using poisson regression test. Analysis results showed that prevalence of pneumonia among Indonesian children was 5.4%, measles immunization coverage was 82.57%, and vitamin A supplementation coverage was 74.9%. Furthermore, providing measles immunization and vitamin A could prevent pneumonia incidence among toddlers (12 – 59 months old) up to 26.5%. Providing measles immunization then followed by providing vitamin A can be used as a preventive action in attempt to decrease pneumonia incidence.
Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Yani, Finny Fitry; Izzah, Amirah Zatil; Alkamdani, Riki; Widoyo, Ratno
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p8-16.2024

Abstract

Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.
Faktor Perilaku Mengikuti Skrining Tuberkulosis pada Kontak Serumah Habibah, Annisa Nurul; Putri, Ade Suzana Eka; Widoyo, Ratno; Syafrawati, Syafrawati
JURNAL KESEHATAN PERINTIS Vol. 12 No. 2 (2025): Jurnal Kesehatan Perintis
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33653/16fkc456

Abstract

Pencapaian angka penemuan kasus tuberkulosis di Kota Padang masih rendah, yaitu pada tahun 2022 sebesar 66,4% dari target 90%. Dalam pelaksanaan penemuan kasus secara aktif, ditemukan kontak serumah yang belum mengikuti skrining tuberkulosis. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi perilaku mengikuti skrining tuberkulosis pada kontak serumah di Kota Padang. Jenis penelitian adalah kuantitatif dengan desain studi cross sectional, dilakukan di Kota Padang pada bulan Mei-Juni 2024. Populasi adalah kontak serumah dari penderita tuberkulosis paru tahun 2024 dengan sampel sebanyak 82 orang. Pengambilan sampel dilakukan dengan teknik multistage random sampling. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioenr sebagai instrumen penelitian. Analisis data menggunakan uji Chi-square untuk analisis bivariat dan uji regresi logistik untuk analisis multivariat. Hasil penelitian menunjukkan bahwa variabel yang memiliki hubungan dengan perilaku mengikuti skrining tuberkulosis pada kontak serumah dengan p-value<0,05, yaitu perceived susceptibility, perceived severity, perceived benefits, perceived barriers, jarak ke Fasyankes, dan mendapatkan informasi. Hasil analisis multivariat menunjukkan bahwa faktor yang paling dominan dengan perilaku mengikuti skrining tuberkulosis pada kontak serumah adalah perceived benefits (p-value<0,0001, POR = 132, CI 95%= 11-1582). Diharapkan Dinas Kesehatan Kota Padang dan Puskesmas untuk melakukan upaya penyebaran informasi, edukasi, dan pembentukan persepsi akan pentingnya skrining tuberkulosis bagi kontak serumah penderita tuberkulosis untuk mendeteksi dini dan memutus mata rantai penularan.
Pemberdayaan Kader Sebaya Remaja untuk Pencegahan Tuberkulosis: Inisiatif "PEKA TB" di SMPN 31 Padang Masrizal; Widoyo, Ratno; Perwati, Ane Dayu; Fauzi, Falah
Warta Pengabdian Andalas Vol 32 No 4 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.04.480-488.2025

Abstract

Tuberculosis (TB) remains a major public health issue, particularly among adolescents in densely populated school environments with poor ventilation. This community service aimed to strengthen TB prevention and control efforts through the establishment and empowerment of “PEKA TB” (Pencegahan dan Penanggulangan Tuberkulosis) cadres at SMPN 31 Padang. The activity employed a pre–post test design with an educational and participatory approach, involving 34 students from grades VIII and IX as peer health cadres. The intervention consisted of interactive lectures, discussions, and simulations on TB transmission, prevention, and the PEKA TB framework (Examine–Educate–Coordinate–Act). Evaluation using structured questionnaires measured knowledge, attitude, and practice before and after the intervention. The results showed significant improvements across all variables, indicating that peer-based education effectively enhanced students’ awareness, attitudes, and preventive behaviors toward TB. The empowerment of adolescent cadres successfully fostered active participation in school health promotion and strengthened collaboration between schools and local health authorities. This initiative demonstrates that student-centered, peer-led education is a sustainable strategy to create a healthy, TB-free school environment.
THE RISK FACTORS FOR WASTING IN CHILDREN AGED 24–59 MONTHS IN RURAL AREAS OF WEST SUMATRA PROVINCE: ANALYSIS OF SKI 2023 DATA : WASTING IN CHILDREN AGED 24–59 MONTHS Ul-Humami, Auliya; Nursal, Dien Gusta Anggraini; Widoyo, Ratno
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/325

Abstract

Background: Wasting is still a major health problem in toddlers, especially in rural areas. This study aims to analyze the risk factors of wasting in children under five years of age 24-59 months in rural areas of West Sumatra Province. Methods: This study used a quantitative approach with a cross-sectional design. The study used secondary data from the Indonesian Health Survey in 2023 with a sample size of 541 toddlers. Data analysis was conducted bivariate using the chi-square test. Results: The results of the analysis showed that of the five variables studied, the history of infectious diseases (p=0.001) and vitamin A supplementation (p=0.003) had a significant association with the incidence of wasting in children aged 24-59 months in rural areas of West Sumatra Province. Meanwhile, economic status (p=0.414), environmental sanitation (p=0.104), and drinking water source (p=0.094) had no significant association. Conclusion: In rural areas, infectious diseases and lack of vitamin A supplementation were the causes of wasting. Health promotion and prevention of infectious diseases need to be evaluated and improved including efforts to increase the immune system of children under five.
THE FACTORS ASSOCIATE WITH THE INCIDENCE OF TYPE 2 DIABETES MELLITUS IN WOMEN IN THE WORKING AREA OF THE BIARO COMMUNITY HEALTH CENTER : TYPE 2 DIABETES MELLITUS Azeny, Claudya Putri; Putri, Ade Suzana Eka; Widoyo, Ratno; Masrizal, Masrizal
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/331

Abstract

Background: The global prevalence of type 2 diabetes mellitus is steadily increasing, with a particularly notable rise among women. This study aims to identify factors associated with type 2 diabetes mellitus among women in the working area of Biaro Public Health Center. Methods: A case-control study design was employed, involving 50 women diagnosed with type 2 diabetes mellitus (cases) and 50 women without type 2 diabetes mellitus (controls), selected randomly from the same population. Data were analyzed using both bivariate and multivariate statistical methods to determine significant predictors of type 2 diabetes mellitus. Results: Bivariate analysis revealed significant associations between type 2 diabetes mellitus with age, family history of diabetes, level of education, physical activity, and stress (p < 0.05). Multivariate analysis identified that low physical activity as the most influential risk factor. Conclusion: These findings highlight the urgent need for targeted health promotion strategies—particularly in the Biaro Public Health Center area— behavioral interventions such as physical activity on high-risk groups to effectively reduce the incidence of type 2 diabetes mellitus among women.
SOCIOECONOMIC ANALYSIS AND PARENTING PATTERNS ON THE INCIDENCE OF STUNTING IN TODDLERS IN AKABILURU DISTRICT, LIMA PULUH KOTA REGENCY: PARENTING PATTERNS ON THE INCIDENCE OF STUNTING Umri, Zahriatil; Nursal, Dien Gusta Anggraini; Widoyo, Ratno
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/346

Abstract

Background: Akabiluru Subdistrict was chosen as the research location because of the high prevalence of stunting among toddlers and its correlation with various socioeconomic factors and parenting patterns at the household level. This study aims to analyze the influence of socioeconomic factors and parenting patterns on the incidence of stunting among toddlers. Methods: This study used a mixed-method design with quantitative and qualitative approaches. The quantitative stage used a case-control study with a sample of 94 cases and 94 controls. The qualitative phase used a sequential explanatory model through FGDs with selected informants to explore mothers' perceptions, cultural factors, family roles, and access to information, which were thematically analyzed to support the quantitative findings. Results: The results of this study found that maternal education, exclusive breastfeeding, and basic immunization status were significantly associated with stunting, with exclusive breastfeeding being the dominant factor. Qualitative findings showed that exclusive breastfeeding practices were influenced by maternal perceptions, cultural factors, family roles, and access to information. Conclusion: This study shows that exclusive breastfeeding is a dominant factor associated with stunting in toddlers in Akabiluru District.
Co-Authors Ade Suzana Eka Putri Aljutri, Aljutri Alkamdani, Riki Amirah Zatil Izzah Azeny, Claudya Putri Dewi, Novi Putriana Fadhillah, M. Fadhillah Fauzi, Falah Finny Fitry Yani Habibah, Annisa Nurul Masrizal Masrizal Perwati, Ane Dayu Sari, Melsi Pita Setiawati, Santi Syafrawati Ul-Humami, Auliya Umri, Zahriatil