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ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN CAKUPAN IMUNISASI DASAR LENGKAP DI BAITUSSALAM, ACEH BESAR Suliawati, Gidul; Usman, Said; Maulana, Teuku; Saputra, Irwan; Zaman, Nasrul
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P08

Abstract

The immunization program is included in efforts to reduce morbidity, disability and death in infants and toddlers. Complete Basic Immunization Coverage in Aceh Besar District has decreased every year, atleast is still below the national target of 85%. This study aims to determine the factors associated with complete basic immunization coverage at the Baitussalam Health Center in 2022. This research was conducted using a quantitative study with a cross-sectional approach with data collection using a questionnaire and analyzed univariately to describe the distribution and proportions, as well as bivariate using Chi Square and using multivariate analysis with linear regression. Result of the study showed more than half (57.4%) of mothers did not give complete immunization to their babies. This study found that there was a relationship between the provision of complete basic immunization and the mother's employment status (p value = 0.018), level of knowledge (p value = 0.484), family support (p value = 0.000), mother's trust (p value = 0.000). The most dominant factors affecting complete basic immunization coverage at the Baitussalam are factors of knowledge, trust, the role of health workers and health cadres.
KUALITAS PELAYANAN ANTENATAL CARE YANG DIBERIKAN OLEH NAKES DI KABUPATEN ACEH BESAR Hastuty, Henny; Nurjannah, .; Usman, aid; Saputra, Irwan; Maulana, Teuku
E-Jurnal Medika Udayana Vol 12 No 10 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i10.P12

Abstract

Kualitas pelayanan antenatal diharapkan sesuai dengan standar profesi yang baik dengan memberikan pengalaman hamil dan melahirkan yang positif bagi para ibu sehingga menurunkan angka mortalitas dan morbiditas ibu dan anak. Realitanya, angka Kematian Ibu (AKI) di Indonesia masih jauh dari target yang ditetapkan dalam RPJMN tahun 2024 dan SDGs 2030. Kasus AKI di provinsi Aceh masih tinggi, mencapai sebesar 223/100.000 KH pada tahun 2021. Kabupaten Aceh Besar berada diurutan ketiga dari 5 kabupaten/kota penyumbang kematian ibu tertinggi di Provinsi Aceh. Penelitian ini bertujuan untuk mengetahui kualitas layanan Antenatal Care yang diberikan oleh Nakes Kabupaten Aceh Besar, Provinsi Aceh. Sebuah studi survei analitik dengan pendekatan cross-sectional pada bulan Maret 2023 dengan jumlah populasi 199 ibu hamil. Hasil penelitian menunjukkan bahwa adanya hubungan prosedur pelayanan ANC dengan kualitas pelayanan ANC dengan nilai P value = 0,0001, terdapat hubungan kepemilikan buku KIA dengan kualitas pelayanan ANC dengan nilai P value =0,0001, adanya hubungan penyuluhan dengan kualitas pelayanan ANC dengan nilai P Value =0,002, adanya hubungan ketersediaan petugas kesehatan dengan kualitas pelayanan ANC dengan nilai P value = 0,001, dan terdapat hubungan pelaksanaan kelas Ibu Hamil dengan kualitas pelayanan ANC dengan nilai P value = 0,0001. Kesimpulannya bahwa terdapat hubungan yang bermakna antara prosedur pelayanan ANC dengan kualitas pelayanan ANC, prosedur pelayanan ANC 14,1 kali berisiko terhadap kualitas pelayanan ANC. Prosedur pelayanan ANC tersebut didukung oleh ketersediaan nakes, pemanfaatan buku KIA, penyuluhan rutin dan adanya kelas ibu hamil.
Hemostatic and liver function parameters as COVID-19 severity markers Iqbal, Qanita; Mudatsir, Mudatsir; Harapan, Harapan; Nurjannah, Nurjannah; Maulana, Teuku
Narra J Vol. 4 No. 1 (2024): April 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i1.178

Abstract

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a disease newly discovered in December 2019 which affects coagulation cascade and liver functions. The aim of this study was to investigate the potential of hemostatic and liver function parameters as severity markers in COVID-19 patients. This study was an observational analytic with cohort retrospective design using total sampling method. Data were retrieved from medical record of COVID-19 patients admitted to provincial hospital in Banda Aceh, Indonesia from March 2020 to March 2022. There were 1208 data eligible for the study after applying certain criteria. Mann–Whitney, logistic regression, and receiving operating characteristic (ROC) analyses were used to analysis the data. Thrombocyte count (p<0.001), prothrombin time (p<0.001), activated partial thromboplastin time (p<0.001), D-dimer (p<0.001), fibrinogen (p<0.001), aspartate aminotransferase (p<0.001), and alanine transaminase (p<0.001) significantly increased in severe compared to mild COVID-19 patients. After being adjusted, age (odds ratio (OR); 1.026 (95% confidence interval (CI): 1.016–1.037) was the most significant factor in predicting COVID-19 severity. Fibrinogen (cut-off 526.5 mg/L) was the best parameter associated with COVID-19 severity with 70% sensitivity and 66.4% specificity. Meanwhile, D-dimer (cut-off 805 ng/mL) had a sensitivity of 72.3% and specificity of 66.4%. Combining the parameters resulted in improved sensitivity to 82.0% with a slight decline of specificity to 65.5%. In conclusion, fibrinogen and D-dimer level on admission could be used as biomarkers in predicting COVID-19 prognosis. Routine monitoring and evaluation of laboratory testing especially D-dimer and fibrinogen could be implemented in order to reduce morbidity and mortality rate of COVID-19.
Peningkatan Status Kesehatan Masyarakat melalui Penyuluhan Dampak Negatif Merokok dan Kaitannya dengan Hipertensi pada penduduk di Desa Amiria Bahagia Kecamatan Simeulue Timur, Kabupaten Simeulu Sofia, Sofia -; Juwita, Juwita; Miftahuddin, Miftahuddin; Maulana, Teuku; Hafifatunnur, Hafifatunnur; Azhary, Dany; Jannah, Syarifah Raihannatul
PESARE: Jurnal Pengabdian Sains dan Rekayasa Vol 2, No 3 (2024): Oktober 2024
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/pesare.v2i3.41755

Abstract

Cigarette smoke is one of the causes of air pollution which can have adverse health effects. The number of smokers in Indonesia has increased in the last 10 years, thus the high prevalence of smoking harms people's health. One of the significant impacts on thehuman body is on thecardiovascular system, i.e, increasing blood pressure. Data from the East Simeulue Health Service 2023 recorded that the number of people experiencing hypertension reached 1,344 people. The high prevalence of hypertension in the East Simeulue sub-district is in line with the high prevalence of people who smoke in this area. Therefore, this community service activity aims to increase the understanding and knowledge of the inhabitants of Amiria Bahagia Village, East Simeulue District regarding the impact of smoking on health and incidences of hypertension. This activity was divided into two sessions: a health socialization and a blood pressure examination. The result from the health examinations found that for hypertension 31 (34,10%) respondents and non-hypertension 60 (65,90%) respondents out of the total 91 respondents. Of the smoking status, there are 52 (57,10%) respondents were smokers and 39 (42,90%) respondents were non-smokers. It is hoped that the results of this activity will increase public knowledge regarding the negative effects of smoking and risk factors for hypertension in the population of East Simeulue sub-district. The knowledge conveyed can contribute to improve the quality of public health and reduce the incidences of hypertension in the community.
DETERMINAN FAKTOR PERILAKU BUANG AIR BESAR SEMBARANGAN (BABS) DI ACEH UTARA Yulia, Mirna; Sofia, Sofia; Maulana, Teuku; Marthoenis, Marthoenis; Usman, Said
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2252

Abstract

Buang air besar sembarangan (BABS) sebagai bentuk perilaku yang tidak sehat dan masih ditemukan pada kehidupan sehari-hari. Perilaku tersebut dapat menimbulkan efek tidak sehat bagi individu, keluarga maupun masyarakat sekitar. Hingga kini Perilaku Buang Air Besar Sembarangan sering ditemukan Kabupaten Aceh Utara. Penelitian ini bertujuan untuk menganalisis determinan faktor perilaku BABS di kabupaten Aceh Utara Tahun 2023. Penelitian ini merupakan survei analitik dengan metode kuantitatif menggunakan pendekatan cross sectional. Subjek penelitian ini adalah seluruh Kepala Keluarga (KK) berjumlah 351 KK berasal dari 18 desa di kecamatan Tanah Pasir Kabupaten Aceh Utara dengan menggunakan teknik Cluster random sampling. Data dianalisis menggunakan uji chi-square dan regresi logistik. Hasil penelitian menunjukkan terdapat hubungan signifikan antara pengetahuan, sikap, kebiasaan, tingkat ekonomi dan kepemilikan jamban (p<0,005) terhadap Perilaku BABS pada masyarakat di Aceh Utara.  Subjek yang tidak memiliki jamban sendiri memiliki peluang 5.828 kali berperilaku buang air besar sembarangan. Dapat disimpulkan bahwa faktor yang paling dominan mempengaruhi perilaku buang air besar sembarangan yaitu kepemilikan jamban
Experiences and Roles of Community Health Cadres in the Implementation of Integrated Service Posts for Non-Communicable Diseases in Indonesia: A Qualitative Study Rahmatillah, Irhamni; Usman, Said; nurjannah; Maulana, Teuku; Marthoenis
Asian Journal of Public Health and Nursing Vol. 2 No. 1 (2025)
Publisher : Queeva Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62377/d3ex5550

Abstract

Background: Non-Communicable Diseases (NCDs) remain the leading cause of mortality globally and in Indonesia. To address this, Indonesia introduced the Posbindu PTM (Integrated Service Posts for NCDs), a community-based program that relies heavily on volunteer health cadres. This study explores the lived experiences, roles, and challenges faced by these cadres in Banda Aceh. Methods: A qualitative phenomenological approach was used. Twelve female health cadres from Ulee Kareng Health Center were selected using purposive sampling. Semi-structured interviews were conducted in January 2025. Thematic analysis using the Miles and Huberman model revealed two overarching themes and five subthemes, including personal empowerment, logistical constraints, low public participation, and digital limitations. Results: Health cadres reported increased knowledge and confidence in health promotion, but faced critical barriers such as infrastructure limitations, insufficient financial incentives, and community reluctance. Differences in perspectives emerged based on years of service. Notably, cadres with longer tenure (more than five years) expressed greater confidence and skill in engaging the community compared to newer cadres. Conclusion: While cadres derive personal growth and community recognition, system-level changes are essential for program sustainability. Policy recommendations include better government support, consistent training, stakeholder engagement, and adequate resources.