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All Journal JTAM (Jurnal Teori dan Aplikasi Matematika) Jurnal Respirasi (JR) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Pengabdian Masyarakat Indonesia Maju (JPMIM) Jurnal Semesta Sehat Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Nanda Safira
Faculty Of Public Health, Universitas Muhammadiyah Jakarta, Banten, Indonesia.
Education Health Professions Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Pemberian Edukasi pada Ibu Mengenai Pencegahan Gizi Kurang pada Anak di Posyandu Kemuning Angraeni, Fitri; Febrianti, Thresya; Wulandari, Tri; Safira, Nanda; Efendi, Rusman
Jurnal Pengabdian Masyarakat Indonesia Maju Vol 5 No 01 (2024): Jurnal Pengabdian Masyarakat Indonesia Maju Volume 05 Nomer 01 Tahun 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jpmim.v5i01.3004

Abstract

Food and Agriculture Organization (FAO) memperkirakan bahwa 767 juta orang di seluruh dunia akan mengalami kekurangan gizi pada tahun 2021. Masalah kekurangan gizi mempengaruhi pertumbuhan dan perkembangan anak dan bayi dan bahkan dapat bertahan dalam jangka panjang. Tujuan pelaksanaan pengabdian masyarakat ini adalah untuk melihat efektivitas pendidikan kesehatan mengenai gizi kurang dalam upaya meningkatkan pengetahuan ibu-ibu yang bertempat tinggal di area kerja Posyandu Kemuning, Perumahan Lembah Griya Indah Citayam. Dalam kegiatan ini menggunakan desain pra-eksperimental dengan desain One Group Pretest – Posttest. Total responden yang diikutsertakan dalam kegiatan ini adalah 40 peserta. Hasil nilai rata-rata pretest dan posttest serta yang mengalami peningkatan serta uji statistik, menjadi tolak ukur adanya peningkatan pengetahuan ibu mengenai gizi kurang. Dilihat dari nilai rata-rata pretest yang hanya 6,13, mengalami peningkatan rata-rata posttest yang menghasilkan nilai 8,08. Uji statistik paired sample test diperoleh nilai p-value sebesar 0,000 yang berarti bahwa penyuluhan dengan menggunakan media leaflet efektif dalam meningkatkan pengetahuan ibu mengenai gizi kurang.
Pengetahuan dan Sikap tentang Penyakit Infeksi Menular Seksual (PIMS) di Kalangan Mahasiswa Safira, Nanda; Mohammad Fahdhy
J-Mestahat Vol 3 No 2 (2023): Jurnal Semesta Sehat (J-Mestahat)
Publisher : Ikatan Ahli Kesehatan Masyarakat Indonesia Kota Tangerang Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/j-mestahat.v3i2.110

Abstract

Sexually transmitted infections such as HIV/AIDS have increased globally, particularly in Indonesia. Young people between the ages of 16 and 24, revealed an increase in STI incidence as a result of unsafe sexual conduct. The purpose of this study was to assess the knowledge and attitudes about STIs among college students. We conducted a descriptive cross-sectional study from various semesters and faculties from June to July 2023. A questionnaire on their knowledge and attitude toward sexually transmitted infections (STIs) was done by face-to-face interview with prior consent during data collection. We assessed association between low knowledge (vs. high) and being health courses university students (vs. non-health courses) using multivariate logistic regression with adjustment for potential confounders. The study included 29 men and 83 women. Less knowledge about STIs was observed among non-health courses university students. Participants made the most mistakes when asked about Chlamydia. Most participants got their information about STIs from teachers, the internet, or friends. The students' attitudes on sexual health and STI prevention were also different. Our study's findings indicate that it is critical to educate students on sexual health and safe sexual behaviors, as this will aid in the prevention and control of STIs. Keywords: knowledge, attitudes, sexually transmitted infections, college students, Indonesia
A Stochastic Projection for Tuberculosis Elimination in Indonesia by 2030 Sasmita, Novi Reandy; Ramadani, Maya; Ikhwan, Muhammad; Munawwarah, Munawwarah; Rahayu, Latifah; Mardalena, Selvi; Ischaq Nabil Asshiddiqi, M.; Suyanto, Suyanto; Safira, Nanda
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 11 (2025): November 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i11.8548

Abstract

Introduction: Indonesia, with the world's second-highest tuberculosis (TB) burden, has targeted TB elimination (65 cases per 100,000) by 2030. This study aimed to evaluate the feasibility of achieving this goal by projecting TB incidence trends using a stochastic epidemic model that accounts for the uncertainties inherent in TB transmission dynamics in latent TB infections. Methods: The initial values for state variables and parameters were derived from a comprehensive literature review and calibrated against publicly available epidemiological data from the Indonesian Ministry of Health reports from 2018-2022. A Susceptible, Vaccinated, Three Exposed, Three Infectious, Recovered (SVE3I3R) model was developed, incorporating Gaussian noise into the exposed compartments to simulate real-world unpredictability in latent infection dynamics. The model was solved numerically using the fourth-order Runge-Kutta (RK4) method in R software. Key outcomes measured were the projected incidence of drug-susceptible TB (DS-TB), multidrug-resistant TB (MDR-TB), and extensively drug-resistant TB (XDR-TB). Results: Model projections suggest that the overall TB incidence rate will fall from 387 cases per 100,000 people in 2023 to a projected 320 cases per 100,000 by 2030. However, this remains far above the national target. While DS-TB cases decreased to 730,283, MDR-TB and XDR-TB cases were projected to surge dramatically to 120,939 cases and 104,651 individuals, respectively. The estimation signals a critical shift in the epidemic's profile. Conclusions: Indonesia is not on track to achieve its 2030 TB elimination target under current interventions. The alarming rise of drug-resistant TB necessitates an urgent, aggressive, and multifaceted policy response. This study underscores the critical value of incorporating stochasticity into epidemiological models for more realistic forecasting and public health planning in high-burden settings.
The Dynamic of Smoking Behavior through the Course of Tuberculosis Illness: A Hospital-Based Study in Medan, Indonesia Safira, Nanda; Wichaidit, Wit; Chongsuvivatwong, Virasakdi
Jurnal Respirasi Vol. 10 No. 2 (2024): May 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.2.2024.114-119

Abstract

Introduction: Smoking is associated with the prognosis of tuberculosis (TB). The diagnosis of TB in patients who smoke or recently quit smoking can be a pivotal moment that motivates them to continue quitting smoking. However, there is a paucity of information on changes in smoking status among TB patients through the course of the disease. This study presented self-report smoking status during the pre-symptomatic, post-symptomatic, intensive treatment, and continuation treatment phases among TB patients receiving treatment. Methods: This was a cross-sectional study conducted at four hospitals in Medan, Indonesia, from December 2019 to February 2020. For at least one month, healthcare workers invited TB patients who had received treatment at the hospitals' TB-Directly Observed Treatment Shortcourse (DOTS) clinics to participate in this study. Trained enumerators collected the data through face-to-face interviews, in which the patients self-reported information on their smoking status at various phases. Results: Of 285 patients who met the inclusion criteria, 277 gave their consent (97% participation), of whom 146 never smoked in their lifetime. Among 131 ever smokers, 88 (67%) had quit smoking before or during the pre-diagnosis phase, 65 (51.6%) of whom remained quitters throughout the course of the disease. Thirty-eight patients continued to smoke after symptom onset, and more than half of them had stopped smoking by the continuation phase of treatment. Conclusion: Smoking cessation was relatively common after the appearance of TB symptoms and after diagnosis. However, some patients subsequently relapsed, while others were unable to quit smoking. Social desirability could have influenced the responses and should be considered in interpreting the study findings.
Can Indonesia Eliminate Tuberculosis by 2030? A Deterministic Epidemic Model Approach Sasmita, Novi Reandy; Ramadani, Maya; Ikhwan, Muhammad; Rahayu, Latifah; Mardalena, Selvi; Suyanto, Suyanto; Safira, Nanda; Huy, Le Ngoc; Myint, Ohnmar
JTAM (Jurnal Teori dan Aplikasi Matematika) Vol 10, No 1 (2026): January
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jtam.v10i1.35252

Abstract

Indonesia, bearing the world’s second-highest tuberculosis (TB) burden, has mandated a national target to eliminate TB by 2030, aiming for an incidence rate of 65 per 100,000 population. This study aims not only to project future transmission dynamics but also to systematically explore the specific epidemiological barriers, namely, drug resistance and relapse mechanisms, that hinder achieving this goal. To address the heterogeneity of TB transmission, we developed a novel deterministic SVE3I3R model. This framework stratifies the population into vaccinated, latent Tuberculosis Infection (LTBI), and infectious compartments, explicitly distinguishing among Drug-Susceptible (DS-TB), Multidrug-Resistant (MDR-TB), and Extensively Drug-Resistant (XDR-TB) strains. The resulting system of ordinary differential equations was solved numerically using the fourth-order Runge-Kutta (RK4) method to ensure stability and accuracy in simulating long-term epidemiological trends from 2023 to 2030. Parameters were calibrated using national reports and literature specific to the Indonesian context. Projections indicate that Indonesia will miss the 2030 elimination target by a significant margin. The model forecasts a TB incidence rate of 321 per 100,000 population by 2030, nearly five times the national benchmark. The analysis reveals that failure to reach the target is mechanistically driven by a "relapse trap" among recovered individuals and an alarming exponential surge in resistant strains (MDR-TB and XDR-TB). These findings suggest that current control strategies are insufficient not merely in scale but in structure. Evidence-based policy must urgently shift from standard intervention to aggressive interruption of resistance pathways and enhanced management of the latent reservoir to prevent the projected demographic resurgence.
High Prevalence of Low Muscle Strength and Poor Physical Performance in Pre-Elderly and Elderly Communities in Rural Cirebon, Indonesia: A Public Health Measurement Initiative Safira, Nanda; Nasution, Lailan Safina
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 9 No. - (2025): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v9i-.323

Abstract

Introduction: Sarcopenia, characterized by progressive muscle decline, threatens functional independence and global health sustainability. Early identification of low muscle strength is critical in community settings that lack advanced diagnostic tools. This cross-sectional study aimed to measure the prevalence of low muscle strength and identify key physical factors in a combined pre-elderly (45-59 years) and elderly (≥ 60 years) cohort, aligning with the concept of community-based physical fitness measurement. Methods: We conducted a cross-sectional study among 62 participants (67.7% female; 61.3% elderly) in Cirebon, Indonesia. Probable sarcopenia was screened using the Asian Working Group for Sarcopenia (AWGS 2019) criteria: Low Muscle Strength (handgrip < 28 kg for men, < 18 kg for women) and Low Physical Performance (≥ 12.0 sec chair stand). Analysis included non-parametric tests and a multivariate logistic regression adjusting for age and calf circumference. Results: Low muscle strength prevalence was high at 66.1% (n = 41). Strength was significantly higher in males (20.30 kg) than females (15.66 kg, p-value = 0.004). Physical performance was poor, with 80.6% of the population meeting the criteria for slowness (median = 13.98 sec). Multivariate analysis identified calf circumference as a significant independent protective factor for both low strength (AOR: 0.77; 95% CI: 0.62–0.92; p-value = 0.008) and poor performance (AOR: 0.77; 95% CI: 0.57–0.96; p-value = 0.043). Advanced age was a significant predictor specifically for low muscle strength (AOR: 4.41; 95% CI: 1.23–17.6; p-value = 0.026). No significant associations were found with body mass index (BMI), blood sugar, cholesterol, smoking, or job status (p-value > 0.05). Conclusion: The high prevalence of low muscle strength in this pre-elderly and elderly cohort, independently predicted by smaller calf circumference, signals a critical public health threat. This functional decline is primarily driven by physical and age-related factors, not socioeconomic status. Our findings demand urgent, community-based strength training programs to empower healthy aging and preserve functional independence.
Co-Authors Angraeni, Fitri Chongsuvivatwong, Virasakdi Febrianti, Thresya Huy, Le Ngoc Ischaq Nabil Asshiddiqi, M. Lailan Safina Nasution Mardalena, Selvi Mohammad Fahdhy Muhammad Ikhwan Muhammad Ikhwan Myint, Ohnmar Raden Mohamad Herdian Bhakti RAHAYU, LATIFAH Ramadani, Maya Rusman Efendi Sasmita, Novi Reandy Suyanto Suyanto Tri Wulandari Wichaidit, Wit