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Astri Yuliandini
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Factors Influencing Medication Adherence Among Children and Adolescents with Tuberculosis: Factors Affecting TB Medication Adherence in Youth Rindani Claurita Toban; M. Alfian Rajab; Astri Yuliandini
Innovative Approaches in Health Science Journal Vol. 3 No. 1 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/9xwet743

Abstract

Background: Tuberculosis (TB) remains a major global health challenge, particularly in low-resource and geographically isolated areas such as Papua, Indonesia. Medication adherence among children and adolescents is crucial to achieving successful treatment outcomes and preventing drug resistance. However, adherence rates remain suboptimal due to various individual, familial, and healthcare-related factors. This study aimed to identify factors associated with medication adherence among children and adolescents with TB undergoing treatment at the Agats Public Health Center, Asmat Regency, South Papua.. Methods: A quantitative analytical observational study with a cross-sectional design was conducted from November to December 2024. The study included all 35 pediatric and adolescent TB patients registered at the health center, using a total sampling technique. Data were collected through validated questionnaires measuring knowledge, attitude, family support, the role of healthcare workers, and medication adherence using the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using univariate and bivariate analyses with the Chi-square test at a 95% confidence level (p ≤ 0.05). Results: Most respondents had low knowledge (77.1%), negative attitudes (85.7%), and poor family support (77.1%), while the majority perceived the role of healthcare workers as good (82.9%). Significant associations were found between knowledge (p = 0.033), attitude (p = 0.000), and the role of healthcare workers (p = 0.000) with medication adherence. Family support was not significantly associated with adherence (p = 0.068). Conclusion: Knowledge, attitude, and the role of healthcare workers significantly influence medication adherence among children and adolescents with TB. Although family support was not statistically significant, it remains an important contextual factor. Strengthening community-based health education, enhancing healthcare worker engagement, and empowering families are recommended to improve treatment adherence and outcomes, particularly in remote settings such as South Papua.
The Relationship Between Papaya Consumption During Pregnancy and Smooth Breast Milk Production in Postpartum Mothers in the Work Area of UPT Puskesmas Bontonompo 1, Gowa Regency Yudiarsi Eppang; Evi Kusmayanti; Astri Yuliandini; Suhartini
Indonesian Journal of Nursing and Health Care Vol. 1 No. 2: August (2024)
Publisher : Ammar Dharma Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64914/39a0p128

Abstract

Background: Breastfeeding is the best feeding method for infants. The coverage of exclusive breastfeeding in the Upt Puskesmas Bontonompo 1 work area remains below target due to insufficient milk production. Lactagogum, a substance found in papaya, is known to enhance breast milk production.Objective: This study aims to investigate the relationship between papaya fruit consumption during pregnancy and smooth breastfeeding in postpartum mothers in the Upt Puskesmas Bontonompo 1 work area.Research Method: This study is an observational study with a cross-sectional approach. The sample consisted of 48 respondents selected using purposive sampling based on inclusion criteria in the work area of UPT Puskesmas Bontonompo 1, Gowa Regency. Data analysis was conducted using bivariate analysis with the Mann-Whitney test.Results: The Mann-Whitney test results showed a p value 0.000 < 0,05, indicating a significant relationship between papaya fruit consumption during pregnancy and smooth breastfeeding in postpartum mothers.Conclusion: There is a significant relationship between papaya fruit consumption during pregnancy and smooth breastfeeding in postpartum mothers in the Upt Puskesmas Bontonompo 1 work area.
Pengaruh Faktor Sosial Budaya Terhadap Keputusan Ibu Untuk Bersalin Dibantu Dukun Di Puskesmas Suntamon Dekai Yahukimo Delfiani B.P; Astri Yuliandini; Muliyana Muliyana; Suhartini Suhartini
Karya Kesehatan Siwalima Vol. 3 No. 2 (2024): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v3i2.1764

Abstract

Angka kematian ibu dan bayi di Indonesia masih cukup tinggi, salah satunya dipengaruhi oleh keputusan ibu yang lebih memilih bersalin dengan bantuan dukun dibandingkan tenaga kesehatan. Hal ini berkaitan erat dengan faktor sosial budaya yang masih kuat, khususnya di wilayah terpencil seperti Puskesmas Suntamon.Penelitian ini bertujuan untuk mengetahui pengaruh faktor sosial budaya terhadap keputusan ibu untuk bersalin dibantu dukun di wilayah kerja Puskesmas Suntamon Dekai, Kabupaten Yahukimo. Desain penelitian yang digunakan adalah analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 45 responden yang dipilih dengan teknik total sampling. Instrumen pengumpulan data berupa kuesioner, kemudian dianalisis menggunakan uji Chi-Square.Hasil penelitian menunjukkan bahwa dari 25 responden dengan faktor sosial budaya tinggi, sebanyak 19 responden (76,0%) memilih bersalin dengan bantuan dukun, sedangkan hanya 6 responden (24,0%) yang tidak. Sebaliknya, dari 20 responden dengan faktor sosial budaya rendah, hanya 1 responden (5,0%) yang bersalin dengan dukun, sementara 19 responden (95,0%) tidak. Uji statistik Chi-Square diperoleh nilai p = 0,000 (p < 0,05), yang berarti terdapat hubungan yang sangat signifikan antara faktor sosial budaya dengan keputusan ibu untuk bersalin dibantu dukun.Kesimpulan penelitian ini adalah faktor sosial budaya memiliki pengaruh yang kuat dalam menentukan keputusan ibu memilih penolong persalinan. Disarankan kepada tenaga kesehatan untuk meningkatkan edukasi, pendekatan berbasis budaya, serta membangun kerja sama dengan tokoh masyarakat dan dukun tradisional agar dapat menekan angka persalinan non-medis dan meningkatkan keselamatan ibu serta bayi.
Hubungan Pengetahuan dan Sikap Ibu Hamil Terhadap Kejadian Kekurangan Energi Kronik (KEK) di Puskesmas Tonrorita Kabupaten Gowa Suhartini Suhartini; Delfiani B.P; Astri Yuliandini; Reskiawati Asiz; Besse Aismaria
Karya Kesehatan Siwalima Vol. 4 No. 1 (2025): Maret
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i1.1768

Abstract

Kurang energi kronis (KEK) merupakan masalah gizi yang disebabkan karena kurangnya asupan makanan dalam waktu kronis atau jangka waktu yang cukup lama. Terlepas dari hal tersebut, faktor risiko terjadinya KEK pada kehamilan berhubungan dengan pengetahuan, perilaku, sikap, status pekerjaan, pendapatan dan usia kehamilan. Tujuan Penelitian Ini adalah mengetahui pengetahuan dan sikap ibu hamil terhadap kejadian kekurangan energi kronik Di Puskesmas Tonrorita Kabupaten Gowa tahun 2023. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan cross sectional study. Populasi dalam penelitian adalah ibu hamil di Wilayah kekrja Puskesmas Tonrorita dengan teknik pengambilan sampel Total sampling sebanyak 30 orang. Variabel penelitian yaitu pengetahuan, sikap ibu hamil, serta kejadian kekurangan energy kronik dengan teknik pengumpulan data primer menggunakan kuesioner dan adata sekunder rekam medic/buku KIA. Analisa data menggunakan Uji Chi Square. Hasil penelitian ini adalah dari hasil uji chi-square pengetahuan diperoleh nilai sig-p = 0,000< 0,05 dan untuk sikap ibu hamil diperoleh nilai sig-p = 0,020< 0,05. Kesimpulan dalam penelitian ini ada hubungan pengetahuan dan sikap ibu hamil terhadap kejadian kekurangan energy kronik Di Puskesmas Tonrorita Kabupaten Gowa tahun 2023. Saran dalam penelitian ini Responden diharapkan meningkatkan pola hidup sehat
Co-Authors Besse Aismaria Delfiani B.P Evi Kusmayanti M. Alfian Rajab Muliyana Muliyana Reskiawati Asiz Rindani Claurita Toban Suhartini Suhartini Suhartini Yudiarsi Eppang