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All Journal International Journal of Integrated Health Sciences Jurnal Penelitian Kesehatan Suara Forikes PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Health Sciences Research and Development (IJHSRD) International Journal of Health, Economics, and Social Sciences (IJHESS) ADMA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Ilmiah Kesehatan Masyarakat Journal of Health and Nutrition Research Indonesian Research Journal on Education Innovative: Journal Of Social Science Research Jurnal Kesehatan Metro Sai Wawai
Nur Azizah Azzahra
Departemen Epidemiologi, Program Studi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Tadulako, Palu
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Increasing Incidence and Risk Factors for Transmission of Covid-19 in Brebes Community Health Center, Indonesia Sutaip, Sutaip; Sutiningsih, Dwi; Adi, Mateus Sakundarno; Diyana, Sutra; Azzahra, Nur Azizah; Bailai, Puti Andalusia Sarigando; Giyantolin, Giyantolin
Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 1 (2023): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v16i1.3861

Abstract

Introduction: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Now, COVID-19 is still a problem in Central Java. COVID-19 cases in Central Java rank third highest in Indonesia, one of which is Brebes Regency, where there have been confirmed cases leading to death, with the highest cases at the Brebes Community Health Center. Purpose: The purpose of the study was to determine the risk factors for the occurrence of COVID-19 in the work area of the Brebes CHC, Central Java. Method: This quantitative study uses an analytical observational design and a cross-sectional approach. The data is carried out using exclusion and inclusion criteria so that it is based on the desired research focus. The sample in this study amounted to 78 respondents using purposive sampling. Univariate, bivariate (Chi-square test), and multivariate data analysis were performed. Results: The results of this study were that gender, occupation, contact history, and habit of wearing masks had a significant relationship with COVID-19 cases, with a p-value of 0.046, 0.035, 0.019l, and 0.026, respectively. Meanwhile, education has no relationship with the incidence of COVID-19 (p-value = 0.379). Conclusion: Risk factors that increase the incidence of COVID-19 in the Brebes district Public Health Centre area are consistent with other studies, namely gender, occupation, contact history, and habit of wearing masks. Prevention and control of COVID-19 cases by paying attention to these risk factors and other health protocols, washing hands using soap, maintaining distance and implementing a One-Health approach through cross-sector collaboration. Latar Belakang: Penyakit Coronavirus 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Sindrom Pernafasan Akut Parah Coronavirus 2 (SARS-CoV-2). Hingga saat ini, COVID-19 masih menjadi masalah di Jawa Tengah. Kasus COVID-19 di Jawa Tengah menduduki peringkat ketiga tertinggi di Indonesia salah satunya Kabupaten Brebes yang telah terkonfirmasi kasus meninggal dunia dengan kasus tertinggi di Puskesmas Brebes. Tujuan: Mengetahui faktor risiko terjadinya COVID-19 di wilayah kerja Puskesmas Brebes Jawa Tengah. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik dengan pendekatan Cross-Sectional. Sampel dalam penelitian ini berjumlah 78 responden dengan menggunakan random sampling. Analisis data dilakukan secara univariat, bivariat (uji Chi-square), dan multivariat. Hasil: Hasil penelitian ini adalah jenis kelamin, pekerjaan, riwayat kontak, dan kebiasaan memakai masker memiliki hubungan yang bermakna dengan kasus COVID-19, dengan p-value 0,046; 0,035; 0,019l; dan 0,026, masing-masing. Sedangkan pendidikan tidak ada hubungan dengan kejadian COVID-19 (p-value = 0,379). Simpulan: Faktor risiko yang meningkatkan insiden COVID-19 di wilayah Pusat Kesehatan Masyarakat kabupaten Brebes konsisten dengan studi lain, yaitu jenis kelamin, pekerjaan, riwayat kontak, dan kebiasaan memakai masker. Pencegahan dan pengendalian kasus COVID-19 dengan memperhatikan factor risiko tersebut, selain protocol Kesehatan lain, cuci tangan menggunakan sabun, jaga jarak dan menerapkan pendekatan One-Health melalui kolaborasi lintas sektor.
Attitudes and Practices of Pulmonary Tuberculosis Prevention among Family with Tuberculosis in Children Specialist Polyclinic, Center of Lung Health Makassar Community Nur Azizah Azzahra; Giyantolin Giyantolin; Khairunisa; Nur Mila Sari; Rifka Haristantia; Alchamdani; Adhe Sofyan Anas
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16633

Abstract

The trend in the proportion of children with tuberculosis or TB cases in Indonesia has increased from 2014 to 2016. Family attitudes and practices include factors related to the incidence of TB in children. This study aims to describe the attitudes and practices of TB families regarding the prevention of pulmonary TB in the Children's Specialist Polyclinic of the Makassar Center for Lung Health. The type of research used is quantitative with a descriptive approach. The sample was determined using a purposive sampling method so that 31 families of TB patients of children who were respondents to this study were obtained—data analysis using univariate analysis. The results showed that the attitude of respondents was more positive, with several 16 people (51.6%). In contrast, respondents who had a negative attitude were 15 people (48.4%). Respondent's practice is more in the good category, with 19 people (61.3%), and bad practices in as many as 12 people (38.7%). This study concludes that most respondents have good attitudes and practices regarding pulmonary tuberculosis. It is recommended that the relevant agencies put up posters, provide leaflets in the pediatrician's polyclinic waiting room, provide educational advertisements about pulmonary tuberculosis in the main waiting room, and provide routine counseling to the families of tuberculosis patients.
Family’s Support and Exclusive Breastfeeding Experience During the Covid-19 Pandemic, in Palu: A Cross Sectional Study Khairunnisaa; Nur Mila Sari; Rifka Haristantia; Nur Azizah Azzahra
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 11 (2024): November 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i11.6190

Abstract

Introduction: Exclusive breastfeeding coverage in Bulili Health Center is only around 37,7%, very far from the target of SPM 80%. During the COVID-19 pandemic, quarantine situations, activity restrictions and other worst conditions were very difficult experiences and required family support. Objective: The aim of this research is to determine the relationship between family support and exclusive breastfeeding behavior based on the experiences of breastfeeding mothers during the COVID-19 pandemic. Method: Cross sectional design, and self-administered online questionnaire on 111 mothers who have babies aged 6-24 months in working area of Bulili Health Center Palu City. The Research used univariate and bivariate analyzez. Result: The results showed that exclusive breastfeeding mothers was 40,5%. Family support is related to exclusive breastfeeding. Emotional, assessment and informational support from family are supports related to exclusive breastfeeding Conclusion: During the COVID-19 pandemic, family support cannot be ignored for the success of exclusive breastfeeding. Therefore, there is a need for cross-sector cooperation in implementing digital-based communication, information and education to collect informationsupport and movement in public education efforts regarding exclusive breastfeeding during the COVID-19 pandemic.
Tariff of Indonesia Case Based Groups (INA-CBG’s) and Real Tariff on Acute Gastroenteritis Patient National Health Insurance in Inpatient Unit Class I District General Hospital Undata Palu Nur Mila Sari; Miftahul Haerati Sulaiman; Khairunisaa; Nur Azizah Azzahra; Muh. Ryman Napirah; Indra Eka Wardana Toii
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 6 No. 4: October 2024
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v6i4.6003

Abstract

Hospitals are required to provide tariffs that can be reached by the general public. This cost of service problem becomes very important so as to encourage all elements concerned, to calculate in real how much the cost of hospital services. Undata Palu Public Hospital has never done real tariff calculation analysis by hospital, where the difference or comparison result will show how exactly impact of INA-CBG's tariff payment system on finance or hospital income. The purpose of this study is to see and know the difference between INA-CBG's tariff and real hospital tariff in GEA patients of JKN participants in the first class hospital unit of Undata Palu Public Hospital. This research type is quantitative with descriptive method. Data were retrospectively taken from BPJS claim files and medical records of patients. The research object was medical record of inpatient with diagnose of Acute Gastroenteritis (GEA) at Undata Hospital with code of INA-CBG's K-4-17-I and K-4-17-II period January - September 2017. The difference between the INA-CBG's tariff and the real tariff of the hospital by the total difference between the INA-CBG's tariff and the real tariff of the hospital is Rp. 38,515,292, for total INA-CBG's tariff of Rp. 127,432,300 and the real rate of hospital is Rp. 88,917,008. So overall it shows that INA-CBG's tariff is higher than the real rate in hospital. It is recommended to calculate the difference between INA-CBG's tariff and the real tariff of hospitals with different cases, so as to know the applicable cross subsidies between diseases that are beneficial and detrimental to the hospital.
Family Knowledge on Pulmonary Tuberculosis in Pediatric Polyclinic, Makassar Community Lung Health Center Azzahra, Nur Azizah; Widyanti, Trisna; Kamilah, Ummu; Hilintang, Rendhar Putri; Putri, Amilah Eka; Bonita, A. Ferina Herbourina
Innovative: Journal Of Social Science Research Vol. 5 No. 2 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i2.18147

Abstract

The highest number of pediatric tuberculosis (TB) cases in South Sulawesi in 2016 was in Makassar. Many pediatric tuberculosis cases in Makassar were treated at the Makassar Community Lung Health Center. This study aims to describe the knowledge of families of TB patients about the prevention of pulmonary TB at the Pediatric Polyclinic, Makassar Community Lung Health Center. This study is quantitative with a descriptive approach. The sample consisted of 31 respondents selected through a purposive sampling method. The respondents were families of pediatric TB patients. Data analysis was conducted using univariate analysis with SPSS. The results of the study showed that the majority of respondents knew that pulmonary tuberculosis is a contagious disease (45.2%), the source of respondents’ information came from doctors (96.8%), the cause of pulmonary tuberculosis was due to transmission from pulmonary TB patients (29.0%), pulmonary tuberculosis transmission occurs through the air (35.5%), transmission prevention by patients is done by using masks (48.4%), the symptom of pulmonary tuberculosis in children is prolonged cough (74.2%), the prevention of pulmonary TB in children is by avoiding cigarette smoke (32.3%), good home environment conditions for preventing transmission are cleanliness (77.4%), the place for sputum disposal is in the toilet (38.7%), and the cough etiquette for pulmonary TB patients is using a mask (58.1%). The study concludes that most respondents have good knowledge about pulmonary tuberculosis, mainly because almost all of them reported that their source of information was from doctors.
THE RELATIONSHIP BETWEEN MATERNAL PARENTING PATTERNS AND THE NUTRITIONAL STATUS IN TODDLERS OF FAMILIES WITH A HISTORY OF EARLY MARRIAGE IN PALU CITY: MATERNAL PARENTING PATTERNS AND THE NUTRITIONAL STATUS Haristantia, Rifka; Khairunnisa, Khairunnisa; Azzahra, Nur Azizah; Putri, Amilah Eka
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.Iss1/299

Abstract

Background: Parenting in the family plays an important role in the growth and development of toddlers, including their nutritional status. The age of the mother at the time of marriage also affects the parenting pattern provided, including the possibility of malnutrition. This study aims to determine the relationship between maternal parenting and the nutritional status of children under five in families who marry early in Palu City. Methods: The approach in this study is quantitative. Type is an observational study, using a cross-sectional design with the free variable being the mother's parenting style, and the bound variable is the nutritional status of toddlers. This study was conducted over 2 months, from March to April 2019 with a sample consisting of 75 mothers who married early (<18 years) and had toddlers in Palu City. Data were collected through questionnaires as well as weight and height measurements with chi-square analysis and logistic regression with p<0.05. Results: The results showed that 57.3% of mothers who married early implemented good parenting, and among them, 81.4% had children with normal nutritional status. There was a significant relationship (p<0.05) between the parenting style of mothers who married early and the nutritional status of children under five in Palu City (PR=2.5; CI95% 1.21-5.20). In the multivariate analysis, there was a significant relationship between maternal education, family income, and husband support (p<0.05), while maternal work and family size with nutritional status of toddlers were not significantly linked. Mothers who marry early with good parenting are more likely to have normal nutritious toddlers than those who are not good. Conclusion: This study concludes that there is a relationship between maternal parenting and the quality of nutritional status of children under five in families who marry early.
Association between Comorbidities and COVID-19 Mortality: a Cross-Sectional Study in a Community Health Center in Indonesia Sutaip, Sutaip; Sutiningsih, Dwi; Adi, Mateus Sakundarno; Diyana, Sutra; Rahayu, Siti; Azizah Azzahra, Nur; Andalusia Sarigando Banilai, Puti; Giyantolin, Giyantolin
International Journal of Integrated Health Sciences Vol 11, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v11n2.3216

Abstract

Objective: To analyze the risk factors for mortality and comorbidity of COVID-19 patients in a public health center work area in Indonesia.Methods: This was a cross-sectional observational analytic quantitative study using secondary data of 820 confirmed COVID-19 cases in Brebes Public Health Center work area during the period of June 2020–December 2021. Univariate and bivariate analyses were used to analyze the obtained data statistically with a p-value of <0.005 considered significant.Results: Of the 820 confirmed COVID-19 patients, 85.1% recovered and 15.0% died. Analysis on the characteristics of these cases showed that 51.2% females and 48.8 %  males were included in this study, with 77.6% of them were <60 years old. No history of comorbidities was identified in 92.1% of the cases. In remaining cases with comorbidities, Diabetes Mellitus was recognized as the most prevalent (n=39, 4.8%).  Results of the Chi-Square test demonstrated that comorbidity status (p-value = 0.001), place of quarantine (p p=0.000 p>0.05), and diabetes (p=0.000, OR=2.87,  95% CI 19 1.24-0280) were significantly associated with mortality.Conclusion: Comorbidity status, diabetes, and the place quarantine are risk factors for mortality among COVID-19 confirmed cases, especially in Brebes Public Health Center work area. Thus, it is important to increase knowledge about COVID-19 prevention and risks to prevent transmission among those with higher risks for mortality. Further studies on factors related to sustainable supports for COVID-19 patients are also necessary.
FAKTOR PERILAKU ASI EKSKLUSIF IBU PRIMIPARA BERDASARKAN PLANNED BEHAVIOR THEORY, PALU, INDONESIA KAMILAH, UMMU; Khairunnisaa, Khairunnisaa; Haristantia, Rifka; Azzahra, Nur Azizah; Ekaputri, Amilah; Hilintang, Rendhar Putri; Sahrul, Sahrul
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48307

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan antara sikap, norma subjektif dari suami, mertua, tenaga kesehatan, kader kesehatan, dan kontrol perilaku ibu dengan perilaku ASI Eksklusif. Selain itu, penelitian ini juga bertujuan untuk menggali secara mendalam terkait kendala dan harapan ibu dalam keberhasilan menyusui ASI Eksklusif ditinjau dari teori Planned Behavior. Penelitian ini menggunakan metode mixed method dengan pendekatan eksplanatori. Data dikumpulkan melalui kuesioner yang diberikan kepada 73 ibu primipara yang memiliki bayi berusia 6–24 bulan di Wilayah Kerja Puskesmas Bulili. Wawancara mendalam juga dilakukan pada 9 orang informan yang terdiri ibu menyusui dan tenaga kesehatan. Data kuantitatif dianalisis menggunakan analisis univariat dan bivariat Uji Chi Square dengan desain cross sectional. Data kualitatif dianalisis menggunakan content analysis. Berdasarkan hasil penelitian, ditemukan bahwa 41,7% ibu memberikan ASI eksklusif kepada bayinya. Sikap, norma subjektif yang berasal dari suami, mertua, dan kader kesehatan serta kontrol perilaku ibu primipara berhubungan dengan pemberian ASI eksklusif. Ibu mengalami berbagai kendala dalam menyusui, seperti keterbatasan waktu akibat kembali bekerja, kelelahan, dan kesulitan mengatur jadwal menyusui. Masalah produksi ASI, bayi yang belum mampu menyusu dengan baik, serta kondisi fisik ibu seperti pembengkakan payudara dan nyeri turut memperburuk situasi. Selain itu, ketidaksiapan mental, kurangnya pengalaman, dan kurangnya dukungan menyebabkan beberapa ibu merasa bingung dan ragu. Tekanan dari keluarga, terutama orang tua dan mertua yang menyarankan susu formula, juga memengaruhi keputusan ibu dalam menyusui. Kendala internal dan eksternal, termasuk hambatan fisik, psikologis, serta tekanan sosial, menjadi tantangan utama yang dihadapi ibu dalam proses menyusui. Temuan ini menunjukkan pentingnya dukungan yang komprehensif dari lingkungan keluarga dan tenaga kesehatan guna meningkatkan keberhasilan pemberian ASI eksklusif pada ibu primipara.
Pengaruh Pekerjaan Ibu dan Dukungan Suami terhadap Status Gizi pada Balita di Kota Palu Haristantia, Rifka; Azzahra, Nur Azizah; Putri, Amilah Eka; Kamilah, Ummu; Khairunnisaa, Khairunnisaa
Indonesian Research Journal on Education Vol. 5 No. 5 (2025): Irje 2025
Publisher : Fakultas Keguruan dan Ilmu Pendidikan, Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/irje.v5i5.3411

Abstract

Tingkat malnutrisi balita secara global masih menjadi masalah serius. WHO melaporkan jutaan anak balita mengalami severe wasting pada tahun 2024. Di Sulawesi Tengah, termasuk Kota Palu, masalah gizi balita tetap menjadi tantangan dan cenderung meningkat. Penelitian ini bertujuan mengkaji pengaruh status pekerjaan ibu dan dukungan suami terhadap status gizi balita di Kota Palu. Desain penelitian kuantitatif cross-sectional dengan sampel 78 ibu yang memiliki anak balita dipilih melalui consecutive sampling. Data dikumpulkan melalui wawancara terstruktur dan pengukuran antropometri anak sesuai standar WHO, kemudian dianalisis secara deskriptif dan bivariat menggunakan uji Chi-square (α=0,05). Hasil menunjukkan bahwa dukungan suami berpengaruh signifikan terhadap status gizi balita, anak dari ibu tanpa dukungan suami lebih banyak mengalami gizi kurang (56,7%) dibanding yang mendapat dukungan (16,7%) (p<0,001; PR=3,40). Status pekerjaan ibu tidak menunjukkan pengaruh yang signifikan (p=0,550). Temuan ini menekankan pentingnya keterlibatan suami dalam upaya pemenuhan gizi anak. Diperlukan kebijakan ramah keluarga dan strategi peningkatan peran aktif suami dalam mendukung kesehatan gizi balita.
A Cross-Sectoral Coordination in One Health: A Case Study of Anthrax Prevention and Control in Maros, Indonesia Azzahra, Nur Azizah; Sutiningsih, Dwi; Adi, Mateus Sakundarno; Yusuf, Nurul Fuadi; Khairunnisaa; Haristantia, Rifka; Sari, Nur Mila; Putri, Amilah Eka; Widyanti, Trisna
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.7880

Abstract

Introduction: This study aimed to explore how the One Health (OH) approach was applied in the prevention and control of anthrax in Maros Regency, an anthrax-endemic area of Indonesia with recurrent human and animal cases. With the continued public health threat posed by anthrax as a zoonotic disease, especially in endemic regions, our objective was to assess intersectoral coordination and collaboration efforts to address gaps in disease prevention identified in existing literature. Methods: This qualitative study involved a case study design conducted across the Maros Regency from February 2022 to June 2022. A total of 29 informants were enrolled, including 17 from the human health sector, five from the animal health sector, and seven from local government, through purposive sampling method. Ethical approval was obtained from the Health Research Ethics Committee of Public Health Faculty, Diponegoro University (Approval Number: 74/EA/KEPK-FKM/2022), and all participants provided informed consent. Results: The primary outcome of the study was the One Health approach has been applied in the Maros Regency, including sharing information; cross-sectoral meetings; coordination and collaboration. Conclusion: In conclusion, our study contributes to the understanding of anthrax prevention and control by highlighting the role and implementation of the One Health approach in an anthrax-endemic setting. This research provides insights into the practical benefits of cross-sectoral coordination and shared responsibilities. Future studies should explore strategies to institutionalize One Health mechanisms and evaluate their impact.
Co-Authors Adhe Sofyan Anas Agustianingsih, Rizka Alchamdani Amilah Eka Putri Andalusia Sarigando Banilai, Puti Andi ferina Herbourina Bonita Ardayani, Adinda Bailai, Puti Andalusia Sarigando Diyana, Sutra Dwi Sutiningsih Ekaputri, Amilah Giyantolin, Giyantolin Kamilah, Ummu Khairunisaa Khairunnisa Khairunnisa Khairunnisa’, Rifdah Yuri Laba, Stefiani Bengan Marselina Marselina Mateus Sakundarno Adi, Mateus Sakundarno Miftahul Haerati Sulaiman Muh Jusman Rau Muhammad Ryman Napirah Nur Hikmah Buchair Nur Mila Sari Nurul Pratiwi Army Nurwijayanti Palinggi, Marselina Palinggi, Marselina Rendhar Putri Hilintang Rifka Haristantia Sahrul, Sahrul Sari, Nur Fadhilah Sari, Nur Fadhilah Siti Rahayu Stefiani Bengan Laba Sutaip Sutaip Syahadat, Dilla Srikandi Syahadat, Dilla Srikandi Toii, Indra Eka Wardana Widyanti, Trisna Yusuf, Nurul Fuadi