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Determinants of visual inspection with acetic acid (VIA) coverage among women of reproductive age for early cervical cancer detection Rani Kusuma; Ismarina Ismarina; Prihayati Prihayati; Rahayu Sri; Widiastuti Rika
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.611

Abstract

Cervical cancer remains a significant public health problem and a leading cause of death among women in low- and middle-income countries, including Indonesia. Visual Inspection with Acetic Acid (VIA) is a cost-effective screening method, yet its effectiveness varies depending on individual, social, and institutional factors. This study aimed to analyze the relationship between demographic, psychosocial, and support-related factors and the effectiveness of VIA examination among women of reproductive age (WRA) at a private midwife practice in Tangerang Regency, Indonesia. A cross-sectional design was used involving 91 respondents selected through purposive sampling. Data were collected using a validated questionnaire and clinical VIA records. Bivariate analysis was conducted using the Chi-square test, followed by multivariate logistic regression to identify dominant predictors of ineffective VIA examination. The bivariate analysis showed significant associations between VIA examination effectiveness and age (p = 0.001), education level (p = 0.009), knowledge (p = 0.015), family support (p = 0.028), and health worker support (p = 0.042). Multivariate analysis identified age as the most dominant predictor, with women aged over 35 years being 6.2 times more likely to experience ineffective VIA examination (OR = 6.21; 95% CI = 2.15–17.89). Age and psychosocial factors significantly influence the effectiveness of VIA screening. Targeted health education and enhanced support from families and midwives are crucial to improving VIA performance and participation rates among women of reproductive age. Strengthening midwife-led community interventions may improve early detection outcomes of cervical cancer in Indonesia.
Determinants of personal protective equipment utilization among healthcare workers Ismarina; Dini Rachmaniah; Rita Ramayulis
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.634

Abstract

Despite established guidelines, non-compliance with personal protective equipment (PPE) protocols remains a persistent challenge in healthcare settings, posing risks to occupational safety and infection prevention. This study examined factors associated with PPE use behavior among healthcare workers in inpatient units. An analytical cross-sectional study was conducted involving 260 healthcare workers. Data were collected via structured questionnaires and observational checklists. Associations between independent variables and PPE use behavior were assessed using chi-square tests. Inappropriate PPE use was observed in 60.8% of respondents. Bivariate analysis identified supervisory support (p = 0.011; OR = 2.315) and peer support (p < 0.001; OR = 4.470) as significant predictors of compliance. Conversely, age, education, knowledge, length of service, attitudes, comfort, and facility availability showed no significant association. Workplace social support, particularly from supervisors and colleagues, is a critical determinant of PPE compliance. Strategies to improve PPE adherence should prioritize strengthening organizational support systems rather than focusing solely on individual knowledge or resource availability.
The Effect of Back Massage on Labor Pain in Phase I Active in Maternity Mothers at PMB Intan In Tangerang District 2022 Ismarina; Prihayati; Marthia Ikhlasiah; Kurniahawa Arta
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 3 (2023): September 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v3i3.278

Abstract

Background:The most important midwifery care in the delivery process is to apply the principle of "Dear Mother" namely respecting each other's culture, beliefs and desires of the mother and involving the husband and family. Non-pharmacological pain management can be carried out by most health care providers (doctors, nurses and midwives) who may also involve the mother's family, including back massage. Objective: Knowing the effect of back massage on labor pain during the first active phase in labor mothers Method: This research is a type of descriptive research with a quasy experimental research design with pretest posttest one group with the sample of this study namely mothers in the active phase of the first stage of labor who experience labor pain as many as 30 respondents. This sample was taken using a purposive sampling method with a measuring instrument, namely a numerical pain scale, an observation sheet with an ANOVA analysis test. Results: The results of this study show that there are differences in labor pain after back massage. There is a coercive effect between back massage and labor pain with a P value = 0.00 (<0.05), husband's assistance with labor pain with a P value = 0.03 while there is no significant effect between parity and labor pain with a P value = 0.07. Conclusion: There is an effect of back massage on labor pain in the first active phase of the birthing mother. Suggestion: it is hoped that more/frequent back massage techniques are performed to reduce labor pain during the first active phase according to SOP.
Determinants Analysis of Increasing Incidents of Stunting among Toddlers Aged 6-59 Months Dewi Ariskawati; Prihayati; Ismarina
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.406

Abstract

Stunting is a condition of failure to thrive in children under five (under five years) resulting from chronic malnutrition so that the child is too short for his age. High numbers stunting in Banten Province associated with many factors, including socioeconomic status, food intake, infections, maternal nutritional status, infectious diseases, micronutrient deficiencies and the environment. Suffering child stunting will be more susceptible to disease and as adults are at risk of developing degenerative diseases. This research aims to find out analysis determinants of the increase in the incidence of stunting in children aged 6-59 months in the working area of ​​the Cibeber Community Health Center, Cilegon City in 2024. This type of research is quantitative with a cross-sectional design. Independent variables are income, history of exclusive breastfeeding, immunization history, history of pregnancy checks, knowledge and attitudes. Meanwhile the dependent variable is stunting in toddlers aged 6-59 months. The population of all mothers who have stunted toddlers in the working area of ​​the Cibeber Health Center, Cilegon City in 2024. The total sample of 61 people was selected by simple random sampling—statistical test using test Chi square with 95% CI and logistic regression test. The results of statistical tests show that the variables history of exclusive breastfeeding, history of immunizations, and history of pregnancy checks do not have a significant relationship with an increase in the incidence of stunting (p>0.05). In contrast, the variables income (p=0.000; OR=8.584), knowledge (p=0.000; OR=6.685) and attitude (p=0.001; OR=4.254) have a significant relationship with an increase in the incidence of stunting.
Overview of Dengue Hemorrhagic Fever (DHF) Prevention in The Community Health Center Asishe; Ismarina; Martha Ikhlasiah; Prihayati
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.407

Abstract

Dengue hemorrhagic fever is an infectious disease caused by the dengue virus and transmitted through the mosquito vector of the Aedes aegypti species. Dengue fever is an endemic disease in more than 100 countries. World Health Organization (WHO) data shows that the number of reported cases of dengue fever has increased more than 8-fold over the last 4 years, from 505,000 cases to 4.2 million in 2019. Based on the Indonesian Health Profile, dengue cases were reported in 2020, and 108,303 cases were recorded in Indonesia. In line with the number of cases, deaths due to dengue fever in 2020 were 747 deaths. In Banten Province, in the last 3 years, there have been dengue fever cases: in 2020, there were 3,132 cases, in 2021, there were 3,125 cases, and in 2022 it fell to 2,798 cases. In January 2024, it reached 1,619 cases; in February 2024, it increased again to 1,933 cases. The method of preventing dengue fever is considered very effective and relatively cheaper compared to previous methods. This method is recommended to the public, namely by carrying out 3M plus activities, namely closing water reservoirs, draining water reservoirs, and burying used items that can collect rainwater. Another way to repel or avoid mosquito bites is by using anti-mosquito medication or spraying with insecticide. This research aims to analyze the effect of health interventions on dengue prevention. The design of this research is cross-sectional. The population in this study was the community in the working area of ​​the Waringinkurung Community Health Center, Serang Regency. The sampling method used in the research is the total sampling technique. The Chi-Square test results show a relationship between knowledge, attitudes, perceptions, availability of health infrastructure, cadre support, and 3M behavior toward preventing dengue fever
The Relationship Between Complementary Feeding with Breastmilk (MP-ASI) and the Incidence of Stunting in Under-Five Children Ismarina; Lili Mutiara Maheka; Annisa Nurhayati Hidayat
Health and Technology Journal (HTechJ) Vol. 2 No. 1 (2024): February 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i1.136

Abstract

Complementary feeding is required from 6 months of age to fulfill children's nutritional needs. Inadequate complementary foods both in quantity and quality will have an impact on child growth, one of which is the incidence of stunting. This study aims to determine the relationship between complementary feeding (MP-ASI) and the incidence of stunting in under-fives in Cilowong Village, UPTD Puskesmas Taktakan Working Area in 2023. This type of research uses a quantitative approach where researchers observe subjects without intervening using the questionnaire method. The design used was cross-sectional and all types of measurements were taken at once, the sample used was mothers who had under-five children totaling 100 samples. The results of this study indicate that there is a relationship between the timing of complementary food, type of complementary food, texture of complementary food, frequency of complementary food, and portion of complementary food with the incidence of stunting (p=0.000). There is a significant relationship between the provision of complementary foods and the incidence of stunting.
Determinants of Antiretroviral (ARV) Treatment Initiation Behavior among People with HIV at Dr. Drajat Prawiranegara Hospital Neneng Nurhayati; Rita Ramayulis; Ismarina
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.184

Abstract

Indonesia is committed to accelerating increased access to treatment in hospitals with quality services. ARV treatment still faces several challenges, such as the level of knowledge of people living with HIV, problems with counseling, assistance, family support, community support, and the number of services available. This study aims to determine the factors associated with the behavior of initiating ARV treatment in people with HIV at RSUD Dr. Drajat Prawiranegara. This type of research is quantitative and has a cross-sectional design. Independent variables are education level, attitude, distance to health services, and family support. Meanwhile, the dependent variable is ARV treatment initiation behavior—the entire population of HIV patients at RSUD Dr. Drajat Prawiranegara in 2023. The total sample was 56 people selected by total sampling. Statistical tests used the Chi-square test with 95% CI and logistic regression tests. The results of statistical tests showed that the variable distance to availability of health services did not have a significant relationship with ARV treatment initiation behavior (p> 0.05), while the variable level of knowledge with p= 0.000, the attitude variable with p=0.009, and the family support variable with p=0.002, which means it has a significant relationship with ARV treatment initiation behavior. The largest OR value is in the knowledge variable OR=12.129.
Motivation of Officers towards the Results of Vessel Sanitation Hygiene Inspections at Class I Quarantine Center (BKK) Banten Budiman; Lukman Waris; Ismarina
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.187

Abstract

The spread of infectious diseases through sea transportation has become a global threat to public health. In this context, the role of the Banten Class I Health Quarantine Center (BKK) is crucial to ensure that ships entering the port area meet cleanliness and sanitation standards. This study explores the motivation of Class I Banten Health Quarantine Center (BKK) officers and the performance of Ship Sanitation Hygiene (HSK) inspection results in the Banten port area. The method used is qualitative. With 12 participants working in BKK Class I. In qualitative research using the "Rapid Assessment Procedure" (RAP) research design, motivational variables such as hope, orientation, enthusiasm, optimism, and valence were explored in their relationship to the quality of HSK examination results. These findings provide important insights for the management of BKK Class I Banten to increase the motivation and performance of officers in carrying out HSK inspection duties. Recommendations from this study can help improve the effectiveness of managing ship cleanliness and sanitation at the port of Banten and reduce the risk of spreading disease through sea transportation.
Relationship between Knowledge, Attitudes, and Actions in Waste Management with Community Participation in the Waste Bank Program in Serang Regency Sita Oktafiani Eka Putri; Linda Lestari; Ismarina; Rita Ramayulis
Health and Technology Journal (HTechJ) Vol. 2 No. 5 (2024): October 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i5.248

Abstract

A waste bank is a place for sorting and collecting waste that can be recycled or reused, which has economic value. The waste bank mechanism consists of sorting household waste banks, depositing waste to banks, weighing waste, recording, and transporting collected waste. This study aimed to determine the relationship between knowledge, attitudes, and actions regarding waste management in Lebakwana Village, Kramatwatu District, during research time in 2022, with a sample of 57 respondents. Data collection techniques used primary and secondary data; the data analyses were univariate and bivariate analyses. Based on the results of knowledge research with community participation in the waste bank program through Chi-square, the p-value is (1,000) > (0.05). Therefore, the proposed hypothesis (Ha) is not accepted. There is no significant relationship between knowledge and community participation in the waste bank program in Serang City.
The Relationship Between Age, Gender, Workload, and Complaints of Low Back Pain (LBP) among Emergency Room Nurses Ahmad Dimas Dimyati; Marthia Ikhlasiah; Ismarina
Health and Technology Journal (HTechJ) Vol. 2 No. 5 (2024): October 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i5.251

Abstract

Low Back Pain (LBP) is Pain felt in the lower back area, can be local pain or radicular pain or both. Risk factors for low back pain (LBP) include age, gender and workload. This study aims to determine the relationship between age, gender and workload with complaints of Low Back Pain (LBP) in nurses in the emergency department of RSUD Banten in 2022. This type of correlation research uses a cross-sectional study approach. The population in this study were all ER nurses at Banten Regional Hospital as many as 65 nurses. The number of samples was determined by a total sampling technique of 65 respondents. The results showed 33 (50.8%) nurses had mild LBP complaints, 35 (53.8%) nurses aged < 30 years, 40 (61.5%) female nurses and 38 (58.5%) nurses had a light workload. The results of the analysis showed that there was a relationship between age and complaints of LBP (P value 0.004), gender with complaints of LBP (P value 0.002) and workload with complaints of LBP (P value 0.000). It is expected that the Banten Regional Hospital will observe and treat nurses who have LBP complaints.