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The Unseen Threat: Evaluating the Efficacy of Immunochromatographic HIV Screening in a Low-Resource Setting Andirwana, Andirwana; Evi Hudriyah Hukom; Grecia Felicia Lopulalan
Archives of The Medicine and Case Reports Vol. 5 No. 4 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i4.615

Abstract

Human immunodeficiency virus (HIV) continues to pose a significant global health challenge, particularly in low-resource settings where access to sophisticated diagnostic tools is limited. Early detection and diagnosis of HIV are crucial for timely initiation of antiretroviral therapy (ART), prevention of mother-to-child transmission (MTCT), and improved health outcomes. Immunochromatographic assays (ICAs) offer a rapid, point-of-care solution for HIV screening, but their efficacy in resource-constrained environments needs rigorous evaluation. This cross-sectional study assessed the performance of an ICA for HIV screening among pregnant women attending antenatal clinics in a rural district of Papua, Indonesia. The study enrolled 38 pregnant women who underwent both ICA and the gold standard enzyme-linked immunosorbent assay (ELISA) testing. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ICA were calculated. Additionally, a questionnaire was administered to assess knowledge, attitudes, and practices related to HIV and its screening. All 38 participants tested negative for HIV by both ICA and ELISA. The ICA demonstrated 100% sensitivity and specificity in this sample. The PPV and NPV were not calculable due to the absence of true positive cases. The questionnaire revealed limited knowledge about HIV transmission and prevention among the participants, highlighting the need for enhanced health education. The ICA demonstrated excellent performance in this low-resource setting, suggesting its potential as a valuable tool for expanding HIV screening coverage. However, further studies with larger sample sizes and inclusion of HIV-positive individuals are needed to confirm these findings. The study also underscores the importance of integrating health education with screening programs to empower individuals and communities in the fight against HIV.
Optimalisasi Edukasi Bahaya Napza pada Remaja di Sekolah Menengah Pertama Negeri 2 Kota Sorong junaiddin, junaiddin; Andirwana, Andirwana; R, Astuti; Etnis, Baktianita Ratna; Taborat, Miranda
Idea Pengabdian Masyarakat Vol. 4 No. 01 (2024): January
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v4i01.241

Abstract

Adolescence is a period of change for a person both physically and psychologically because there is a transition from childhood to pre-adolescence to adulthood. Drugs or what is usually called narcotics is an abbreviation of narcotics, psychotropic subtances and other additives. Drug abuse among school teenagers reached 2.29 million according to research the total number including drugs in 2019, most of the first drugs users were between the ages of 17 – 19 years, which means they are still in the teenage category. Various efforts can be made to prevent drug abuse among Teenagers, including increasing activities with religious nuances, counseling and socializing the impacts and dangers that can be caused by drug abuse among students, communicating with students parents, and trying to be careful with serious about the problem of drug abuse. This service aims to increase students awareness and views about the dangers of drugs use and how to overcome them. This service was held on Wednesday, March 29 2023 at SMPN 2 Sorong City, Southwest Papua. The budget for this activity is capitalized by the activity implementers. Implementation was carried out in the form of counseling and question and answer discussion. Participants in this activity were students from class VII and VIII with a total of 30 people. This service activity was well organized and received a positive response, so that the expected goals could be achieved as evidenced by the enthusiasm of students asking questions in this activity
Penerapan Perilaku Hidup Bersih Dan Sehat (PHBS) Dalam Upaya Pencegahan Kecacingan Pada Anak-Anak di SD YPK Elim Malanu Kota Sorong junaiddin, junaiddin; R, Astuti; A, Andirwana; Etnis, Baktianita Ratna; Arianto, Muhamad Faizal; Lerebulan, Exaudian F; Marasabessy, Hadija
Idea Pengabdian Masyarakat Vol. 4 No. 02 (2024): May
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v2i02.242

Abstract

Sekolah adalah salah satu institusi pendidikan yang dijadikan sebagai sasaran PHBS. Anak sekolah yang merupakan salah satu sasaran Perilaku Hidup Bersih dan Sehat (PHBS) di Institusi Pendidikan perlu mendapatkan perhatian disamping populasi anak usia sekolah dalam suatu komunitas cukup besar yaitu 40-50%. Anak usia sekolah merupakan masa rawan terserang berbagai penyakit seperti: diare, cacingan, karies, dan anemia yang pada umumnya berkaitan dengan PHBS. Pengabdian ini bertujuan untuk meningkatkan pengetahuan dan pemahaman siswa tentang Perilaku Hidup Bersih dan Sehat. Pengabdian ini dilaksanakan pada hari Jumat, 16 Juni 2023 di SD YPK Elim Malanu Kota Sorong, Papua Barat Daya. Metode Pelaksanaan dalam bentuk penyuluhan dan diskusi tanya jawab. Dan Peserta dalam kegiatan ini adalah siswa kelas IV, V dan VI berjumlah 30 Orang. Pelaksanaan kegitan ini dibiayai sendiri oleh pelaksana. Kegiatan pengabdian ini terlaksana dengan baik dan mendapatkan respon positif, sehingga tujuan yang diharapkan tercapai terbukti dengan antusiasnya siswa bertanya dalam kegiatan ini.
Optimalisasi Pemeriksaan Malaria Untuk Mendeteksi Dini dalam Upaya Pencegahan Penyakit Malaria Pada Masyarakat Di Pulau Soop Junaiddin, Junaiddin; R, Astuti; Andirwana, Andirwana; Arianto, Muhammad Faizal; Etnis, Baktianti Ratna; Lerebulan, Exaudian F; Lihawa, Sakinah Sarnia Iriani
Idea Pengabdian Masyarakat Vol. 5 No. 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v5i01.302

Abstract

Malaria adalah peradangan yang diakibatkan masuknya parasite hidup berjenis plasmodium yang dapat berkembangbiak dalam eritrosit manusia. Infeksi plasmodium secara natural disebarkan melalui gigitan nyamuk dari Anopheles betina. Epidemiologi transmisi penyakit malaria disebabkan oleh interaksi dari tiga faktor, yaitu : agen, host dan alam. Usaha yang dilakukan bertujuan untuk mereduksi kasus malaria dengan mengadakan program pemeriksaan malaria untuk mendeteksi dini dalam upaya pencegahan malaria kepada penduduk yang berada di daerah endemik malaria. Program Pengabdian Masyarakat ini bertujuan meningkatkan pengetahuan penduduk di Pulau Soop akan fundamental dan pentingnya melakukan pemeriksaan malaria. Metode yang dipakai untuk Pengabdian Masyarakat ini dengan memberikan penyuluhan mengenai edukasi pemeriksaan malaria untuk mendeteksi secara dini dalam upaya pencegahan penyakit malaria pada Masyarakat di Pulau Soop, Sorong, Papua Barat Daya pada Minggu tanggal 21 Agustus 2022 pukul 13.00 – 17.00 WIT. Peserta Penyuluhan adalah penduduk Pulau Soop sebanyak 32 orang. Terjadinya program penyuluhan ini bersumber dari pelaksana sendiri. Program penyuluhan terlaksana dengan baik dan menghasilkan hasil yang positif, dibuktikan banyaknya tanya jawab yang masuk ke pemateri selama kegiatan penyuluhan berlangsung dan antusias Masyarakat ikut dalam pemeriksaan malaria.
GAMBARAN JUMLAH LIMFOSIT PADA PENDERITA HIV YANG MENJALANI TERAPI ARV DI WILAYAH PUSKESMAS MALAWEI KOTA SORONG Andirwana, Andirwana; Hukom, Evi Hudriyah; Tupanwael, Fenti A; Nurfatimah, Lia; Amir, Nurhidayah; Junaiddin, Junaiddin
Journal Healthcare Education Vol. 3 No. 1 (2025): Volume 3 No. 1 2025
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Human Immunodeficiency Virus (HIV) is a virus that attacks T lymphocyte cells and weakens the human immune system. The objective of this study was to describe the lymphocyte count in HIV patients undergoing Antiretroviral Therapy (ART). This research is a descriptive quantitative study with data collection techniques involving Thin Blood Smear examinations. The study was conducted at the Maklawei Health Center Laboratory and the TLM Laboratory of STIKES Papua using a cross-sectional design based on microscopic methods, involving 30 respondents out of a population of 78, selected using random sampling. The respondents were HIV patients actively undergoing ART at the Malawei Health Center in Sorong City. The results showed that among the 30 HIV respondents actively undergoing ART in the working area of the Malawei Health Center, Sorong City, 83.3% (25 respondents) had lymphocyte counts within the normal range (> 20%-40%), while 16.7% (5 respondents) had lymphocyte counts below the normal range (< 20%). In conclusion, this study illustrates that 9 males and 16 females had normal lymphocyte counts, while 1 male and 4 females had lymphocyte counts below normal. This indicates that ART successfully helps maintain the immune system. The government and related parties must ensure the availability of ART to improve health and reduce the risk of infections in HIV patients.
The Influence of Video Educational Media on Adolescents' Knowledge About the Dangers of Abusing Aibon Adhesive Among 8th Grade Students at SMP Negeri 3 Sorong City Fitriani, Fitriani; Emray, Joan; Tyas, Lusia Wahyunig; Andirwana, Andirwana
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 8, No 1 (2025): JKPBK Juni 2025
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v8i1.17726

Abstract

Background: According to the World Health Organization (2022), adolescence is a period that lies between childhood and adulthood in the age range of 10 to 19 years. Based on a survey conducted by the National Narcotics Agency (BNN), there was an increase in the number of addictive substance abuse in Indonesia among high school students from 18,000 to 73,523. In 2017, the number of cases of glue use in West Papua Province had reached around 900 cases (Rosalina, 2019). Data obtained from respondents of class VIII students at SMP Negeri 3 Sorong City, namely, higher respondents who have never smoked glue (97.3%), compared to respondents who have smoked glue (2.7%). . Objective: This study aims to determine whether there is an effect of video education media on adolescents' knowledge about the dangers of glue addictive substance abuse at SMP N 3 Sorong City. Methods: This type of research is a quantitative study using pre-experimental with a one group pre and post test design. The population of this study were all VIII grade students of SMP Negeri 3 Kota Sorong which amounted to 347 people and the research sample amounted to 185 respondents. The sampling technique in this study used stratified random technique. The research instrument used was a questionnaire. The statistical test used is the Wilcoxon sign rank test. Results: The results showed that there was an effect of video education media on adolescents' knowledge about the dangers of glue addictive substance abuse in class VIII students at SMP Negeri 3 Sorong City with a p-value = 0.000 (<0.05). The conclusion is that there is an effect of video education media on adolescents' knowledge about the dangers of glue addictive substance abuse. Conclusion: The conclusion of this study is that there is an effect of video education media on adolescents' knowledge about the dangers of glue addictive substance abuse in class VIII students at SMP Negeri 3 Kota Sorong. Suggestions for students of SMP Negeri 3 Kota Sorong are expected from the results of this study students have broad knowledge and insight into the dangers of addictive substance abuse of glue to not fall into the wrong association. Keywords: Adolescents, Video Media, Substance Abuse
Hemoglobin Levels in the First and Third Trimesters of Pregnancy: A Comparison between Indigenous Papuan and Non-Indigenous Papuan Women Junaiddin, Junaiddin; Etnis, Baktianita Ratna; Arianto, Muhamad Faizal; Lerebulan, Exaudian Flourens; Andirwana, Andirwana; Sulfikar, Andi; Agung, Angelich Windy R; Mulyati, Mulyati; R, Astuti
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.402

Abstract

Hemoglobin (Hb) is a component of red blood cells that functions to transport oxygen throughout the body. Decreased hemoglobin levels cause anemia. The World Health Organization (WHO) recommends that ideal Hb levels are ≥11 gr/dL. Various factors such as ethnicity, environmental conditions, age, culture, parity, nutritional value, and socioeconomic status can affect the occurrence of anemia during pregnancy. The purpose of this study was to determine the comparison of Hb levels in pregnant women in the first and third trimesters, both in indigenous Papuans (OAP) and non-OAP. This type of research is quantitative analytic with a comparative research design. The population in this study were 290 pregnant women who came and underwent examinations at the Malawili Health Center. The number of pregnant women in this study was 36 people. The sampling technique used was purposive sampling. The results showed no significant difference (p > 0.05) in hemoglobin levels in pregnant women in the first and third trimesters in the OAP and Non-OAP categories. The average hemoglobin level of pregnant women in the first trimester who were anemic and not anemic was 11,076 and in the third trimester it was 10,850. The results of the study showed that the incidence of anemia was more common in pregnant women in the third trimester who did not receive iron and folic acid supplementation (non-OAP) due to lack of knowledge about the preparations needed during pregnancy. It is recommended to increase the role of health workers in providing information to pregnant women in order to reduce the incidence of anemia in pregnant women.
Comparison Of Urine Leukocyte Examination In Patients With Urinary Tract Infections (Utis) Using The Dipstick And Microscopic Methods In The Working Area Of Klasaman Health Center Junaiddin, Junaiddin; Gunawan, Sahrul; Hukom, Evi Hudriyah; Arianto, Muhamad Faisal; Andirwana; Iriani Lihawa, Sakinah Sarnia; Sabila
Indonesian Journal of Nursing and Health Care Vol. 2 No. 1: February (2025)
Publisher : Ammar Dharma Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64914/g6tr4e86

Abstract

Background: Urinary tract infection (UTI) is a common type of infection caused by the growth of microorganisms in the human urinary tract. Leukocytes are a component of the immune system that fight infection and inflammation. The methods commonly used for urine leukocyte examination are the dipstick and microscopic methods.Objective: This study aims to compare the results of urine leukocyte examination between the dipstick and microscopic methods in UTI patients.Methods: This research is descriptive comparative with a cross-sectional design. The study was conducted at Puskesmas Klasaman and the TLM Laboratory of STIKES Papua from June 28 to August 21, 2024. The study population includes all UTI patients at Puskesmas Klasaman, Sorong City, totaling 16 patients, with a sample of 16 urine samples from patients confirmed positive for UTI, selected using a total sampling technique. The data collected were entered into a master table and analyzed statistically.Results: The results of the urine leukocyte examination using the dipstick method showed that the majority of respondents had results of approximately 70 leukocytes/µl (+1), while the results from the microscopic method indicated that the majority had 5-9 cells/HPF (+2). This study found a significant difference between the results of urine leukocyte examination using the dipstick and microscopic methods (p-value < 0.05) using the nonparametric Wilcoxon Signed Rank Test (WSRT).Conclusion: There is a significant difference in the results of urine leukocyte examination between the dipstick and microscopic methods, where the dipstick method is more practical but less accurate compared to the more detailed and accurate microscopic method. It is recommended to explore other urine examination methods and compare the results with a larger sample to understand the advantages and disadvantages of each method.
Deteksi Dini Kolesterol, Asam Urat, Dan Glukosa Darah Pada Orang Tua Siswa RA Avicenna Sebagai Upaya Pencegahan Penyakit Tidak Menular Andirwana; Fenti A Tupanwael; Untari; Evi Hudriyah Hukom; Fatimah
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 3 No. 3 (2025): Agustus : Sevaka : Hasil Kegiatan Layanan Masyarakat
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/sevaka.v3i3.580

Abstract

Non-communicable diseases (NCDs) such as hypercholesterolemia, hyperuricemia, and hyperglycemia are common health problems among adults and can develop into cardiovascular diseases and diabetes if not detected early. This community service activity was carried out to provide education on risk factors, prevention, and control of cholesterol, uric acid, and blood glucose levels among parents of students at RA Avicenna in Sorong City, as well as to conduct examinations of these three parameters as an early detection effort. The methods used included interactive counseling using presentation media, question-and-answer discussions, and health checks using point-of-care testing (POCT) devices. A total of 23 respondents participated, ranging in age from 22 to 55 years. The results showed that 22 individuals had normal blood glucose levels and 1 individual had high glucose levels. Nine people had normal cholesterol levels, eight were in the borderline category, and six had high cholesterol levels. Five participants had normal uric acid levels, while 18 had elevated uric acid levels, for which additional education and recommendations for further medical examination were provided. In conclusion, educational activities combined with health screening proved effective in increasing community awareness and motivation to prevent NCDs early.