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UPAYA PENINGKATAN KEDISIPLINAN DAN PENERAPAN PROTOKOL KESEHATAN PADA PELAKU WISATA DI SEKITAR WISATA PANTAI PADANG Shelvy Haria Roza; Ayulia Fardila Sari; Syafrawati Syafrawati
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 6 No. 3 (2023)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v6i3.527

Abstract

Tourist destinations are one of the vulnerable places for the spread of Covid-19, as they allow interactions with visitors and food business operators around the tourism locations. Based on data from 2021, it was found that the public's compliance with health protocols in tourist areas in Kota Padang is still low, which poses a risk of increasing Covid-19 cases. Implementing health protocols by following the 5M Movement (maintaining distance, wearing masks, handwashing, avoiding crowds, and reducing travel) at tourist spots such as Pantai Padang is a necessary step for both visitors and business operators in the vicinity of tourist areas to protect themselves and minimize the spread of the Covid-19 pandemic. The purpose of this activity is to educate tourism stakeholders about the importance of implementing health protocols at tourist locations. The implementation method to improve discipline and compliance in the application of health protocols at tourist sites includes conducting location surveys and coordination with partners, educating visitors and tourism stakeholders on health protocol implementation, and conducting evaluations. This activity also provides health promotion materials and distributes masks to visitors and provides handwashing facilities for food business operators. The results of the activity include an increase in participants' knowledge of health protocol implementation in tourist areas, from 13.28 to 13.89, with an average increase of 2.11 points. It is hoped that the Tourism Department will continue to monitor and enhance awareness among tourism stakeholders about the importance of implementing health protocols at tourist destinations.
Relationship Between Knowledge and Utilization of Adolescent Care Health Services in Padang City Melisa Yenti; Arinil Haq; Shelvy Haria Roza; Mivtahurrahimah Mivtahurrahimah
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.1043

Abstract

The transition of children to adulthood through adolescence tends to be more daring to take risks so that it has an impact on reproductive health problems such as promiscuity leading to premarital sex, abortion, and the emergence of HIV-AIDS. So far, the government has carried out prevention through the Youth Care Health Service (PKPR) and has been implemented throughout Indonesia, including the city of Padang. However, the scope of services provided is still low. This study was conducted to examine the knowledge of high school students in the use of PKPR in Padang City in 2020. It was carried out through a cross-sectional approach at Padang City High School in March – October 2020. 145 students were analyzed using the Mann-Whitney test. The results showed that there was a significant average difference between knowledge on the use of PKPR. For the use of PKPR to be increased and maximized, and educational promotion program is needed about the use of PKPR for adolescents by stakeholders and the government considering that knowledge and utilization of PKPR by adolescents is still low.
Navigating access to Indonesia’s National Health Insurance: determinants and barriers among informal sector workers in West Sumatra Roza, Shelvy Haria; Sari, Ayulia Fardila
BKM Public Health and Community Medicine Vol 41 No 07 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i07.18765

Abstract

Purpose: This study aimed to identify the factors that influence and barriers to the utilization of JKN for informal sector workers in West Sumatra Province. Methods: The study employed a quantitative cross-sectional design. The data used are secondary data from the 2022 Susenas. The population of this study consisted of informal workers aged 15-64 years, comprising approximately 10,909 people. The sample consisted of informal workers with health complaints and a history of outpatient care, specifically 4,606 individuals. This study uses JKN utilization as the dependent variable. Meanwhile, there are several independent variables: JKN ownership, age, gender, economic status, region of residence, education, and employment. Data were analyzed using the STATA application in univariate, bivariate analyses with the Chi-Squared test, and multivariate analyses with binary logistic regression. Results: The results showed that most respondents (59.12%) did not use JKN due to various barriers, including a preference for self-medication (76%), lack of knowledge on how to use JKN (10%), and difficulties with procedures (5%). The productive age group was significantly more likely to use JKN (OR 4.653; 95% CI 1.837 - 11.784). The poor are more likely to use JKN than those in the lower-middle income groups (OR 6.955; 95% CI 1.444-33.497). Conclusion: The wealth status and age had a significant influence on the use of JKN. Expand access to affordable health services for low-income individuals and older adults. Barriers to using JKN are practical and require policy interventions. Insurance subsidies, development of mobile-based services, and strategies for the dissemination of information and benefits of JKN.
Perspektif Masyarakat Terhadap Kebijakan Kenaikan Iuran Jaminan Kesehatan Nasional Roza, Shelvy Haria; Sari, Ayulia Fardila; Syafrawati, Syafrawati
Jurnal Kebijakan Kesehatan Indonesia Vol 13, No 3 (2024): September
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.86607

Abstract

Adanya perubahan kebijakan pemerintah mengenai kenaikan iuran jaminan kesehatan nasional dalam beberapa kali mengakibatkan terjadinya perspektif positif dan negatif dari masyarakat. Tujuan penelitian ini adalah mengetahui perspektif masyarakat terhadap kenaikan iuran JKN bagi peserta mandiri. Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Lokasi penelitian di fasilitas kesehatan tingkat pertama di Kota Padang, yaitu Puskesmas, Klinik, Praktek Bidan, Populasi adalah peserta mandiri JKN di Kota Padang dengan jumlah sampel 100 orang yang dipilih secara simple random sampling. Data diperoleh dengan wawancara menggunakan kuesioner.Variabel independen meliputi penghasilan, kelas JKN, dan pengetahuan sedangkan variabel dependen adalah perspektif kenaikan iuran. Analisis data secara univariat, dan bivariat dengan uji Chi-Square. Hasil penelitian adalah sebagian besar responden menyatakan  perspektif negatif dengan kenaikan besaran iuran JKN, dimana perspektif negatif terbesar pada responden kelompok dewasa dan berpendidikan tinggi. serta responden yang berada pada kelas III. Adanya kebijakan iuran JKN ini menimbulkan perspektif negatif dari masyarakat pada JKN. Ada hubungan yang bermakna antara penghasilan, pekerjaan terhadap perspektif kenaikan iuran JKN. Perlunya kajian ulang dalam mengidentifikasi pendapatan keluarga terhadap kelas pembayaran JKN.
Determinan Kepemilikan Jaminan Kesehatan Nasional Bagi Pekerja Sektor Informal di Sumatera Barat: Analisis Data Susenas Tahun 2022 Roza, Shelvy Haria; Syahirah, Nada Tri Hazka; Syafrawati, Syafrawati
Jurnal Kebijakan Kesehatan Indonesia Vol 13, No 3 (2024): September
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.88240

Abstract

Cakupan kepemilikan JKN di Indonesia belum sesuai target tahun 2021 (87%). Kepemilikan JKN di Provinsi Sumatera Barat lebih rendah dari cakupan nasional (83,9%). Tantangan perluasan kepemilikan JKN adalah mencakup pekerja sektor informal. Penelitian ini bertujuan untuk mengetahui determinan kepemilikan JKN pekerja sektor informal di Sumatera Barat. Penelitian kuantitatif cross-sectional dengan analisis data sekunder Survei Sosial Ekonomi Nasional (Susenas) Tahun 2022 ini memiliki sampel pekerja informal usia 15-64 tahun yang tercakup dalam Susenas 2022. Data dianalisis dengan aplikasi STATA Ver.14 secara univariat, bivariat menggunakan chi-square, dan multivariat menggunakan regresi logistik. Lebih dari separuh pekerja informal di Sumatera Barat memiliki JKN (71,26), lebih banyak pada kelompok usia pra pensiun (27,61%), berjenis kelamin laki-laki (58,7%), pendidikan rendah (94,12%), tinggal di perdesaan (66,67%), lapangan usaha non pertanian (51,9%), pengeluaran 40 persen terbawah (59,82%), menggunakan internet (53,81%), tidak ada keluhan kesehatan (62,97%). Analisis bivariat kepemilikan JKN berhubungan signifikan dengan usia, jenis kelamin, tingkat pendidikan, daerah tempat tinggal, lapangan usaha, penggunaan internet, dan keluhan kesehatan. Faktor yang paling dominan berhubungan adalah daerah tempat tinggal (OR = 1,941). Faktor daerah tempat tinggal berhubungan paling dominan dengan kepemilikan JKN. Daerah tempat tinggal yang sulit diintervensi maka perlu adanya pendekatan kultural seperti melibatkan tokoh masyarakat atau pemimpin adat untuk ikut serta dalam program JKN.
Edukasi Program Skrining Hipotiroid Kongenital Pada Kelompok Masyarakat Di Kelurahan Lambung Bukit Kota Padang Wardiah, Rizalia; Roza, Shelvy Haria; Yosalli, Yosalli
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i1.50067

Abstract

Congenital Hypothyroidism is a health disorder caused by a deficiency of thyroid hormones starting from the womb, which can lead to growth issues, mental retardation, and disabilities. The prevention of such complications is carried out through Congenital Hypothyroidism Screening (SHK). The SHK program is a preventive initiative aimed at preventing developmental disorders in children. Although it has not yet reached its full potential, the SHK program has been implemented in various regions across Indonesia. Padang City, West Sumatra, has implemented the SHK program in several hospitals as a strategic effort for the early detection of thyroid disorders. Based on the results of thyroid function screening at RSI Siti Rahmah Padang in 2023, it was found that 99.3% of 150 newborns had euthyroid TSH levels, while 0.7% experienced hypothyroidism. The objective of this community service project is to increase public knowledge regarding the Congenital Hypothyroidism Screening (SHK) program. The method used in this activity involved educational sessions followed by a pre-test and post-test. The pre-test results showed a mean score of 4.13, with a range of 2 to 7. Meanwhile, the mean score increased in the post-test to 8.37, with a range of 6 to 9. This indicates a significant increase in public knowledge regarding the SHK program among the community in Lambung Bukit Village, Pauh District, Padang City.
PENGUATAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) MELALUI EDUKASI, GOTONG ROYONG, DAN DIGITALISASI DI MASYARAKAT Afriyanti, Esi; Fatmadona, Rika; ZA, Ayulia Fardila Sari; Roza, Shelvy Haria; Rahmadoni, Jefril
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 6 (2025): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i6.34949

Abstract

Abstrak: Perilaku Hidup Bersih dan Sehat (PHBS) masih menjadi tantangan di masyarakat pedesaan karena rendahnya konsistensi dalam praktik sehari-hari. Tujuan pengabdian ini adalah meningkatkan pengetahuan dan keterampilan PHBS melalui kegiatan penyuluhan, sosialisasi, gotong royong, pembagian abate, serta pendampingan digital di Kenagarian Tanjung Bingkung dengan melibatkan sekitar 70 peserta dari berbagai kelompok masyarakat. Evaluasi dilakukan melalui observasi, pretest tentang PHS yang berisi 20 pertanyaan, dan wawancara. Hasil kegiatan menunjukkan peningkatan signifikan pada keterampilan mencuci tangan enam langkah, dari 42% sebelum intervensi menjadi 95% setelah penyuluhan. Selain itu, indikator penggunaan jamban sehat, ASI eksklusif, dan pengelolaan sampah mencapai lebih dari 80%. Program ini juga meningkatkan softskill berupa partisipasi aktif dan gotong royong warga sekitar 40–50%. Temuan ini membuktikan bahwa intervensi berbasis edukasi dan pemberdayaan mampu meningkatkan praktik PHBS secara nyata di masyarakat. Abstract: Clean and Healthy Living Behavior (CHLB) remains a challenge in rural communities due to the lack of consistency in daily practices. This community service aimed to improve knowledge and skills related to CHLB through counseling, socialization, community clean-up, abate distribution, and digital assistance in Tanjung Bingkung Village, involving around 70 participants from various community groups. Evaluation was carried out using observation, a 20-question pre-test on PHBS, and interviews. The results showed a significant increase in handwashing skills, from 42% before the intervention to 95% afterward. Other indicators such as healthy latrine use, exclusive breastfeeding, and waste management reached more than 80%. The program also enhanced soft skills, including active participation and community cooperation, by around 40–50%. These findings demonstrate that education and empowerment-based interventions can effectively improve CHLB practices in rural communities.
EDUKASI KESEHATAN DALAM OPTIMALISASI SKRINING KESEHATAN PENYAKIT TIDAK MENULAR PADA SISWA SMAN 8 PADANG Ayulia Fardila Sari ZA; Shelvy Haria Roza
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.663

Abstract

Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus, and cancer are the leading causes of death in Indonesia. Preventive efforts through health screening remain low, especially among adolescents who are increasingly exposed to unhealthy lifestyles. This community service activity aimed to optimize self-screening practices among high school students through health education on NCDs and a simulation of the Mobile JKN application. The program was conducted at SMAN 8 Padang from September 6 to 20, 2024, involving 40 tenth-grade students. The intervention included planning, implementation, and evaluation phases. Activities consisted of health education sessions, distribution of educational materials (leaflets and screening guidebooks), and a simulation of digital self-screening. Evaluation was carried out through oral surveys of five randomly selected students. All students demonstrated an understanding of the material and were able to perform the screening simulation correctly. They also expressed commitment to becoming health ambassadors in their families and communities. This initiative aligns with the Health Belief Model and school-based health promotion approaches, while also supporting Indonesia's national digital health transformation through the SATU SEHAT policy. The activity proved effective in increasing students’ awareness of early detection and prevention of NCDs. It is recommended that this program be replicated in other schools and further developed by involving teachers and providing digital learning media for sustainable impact.
EDUKASI PENCEGAHAN KANKER SERVIKS SEDARI DINI DENGAN VAKSINASI HPV BAGI SISWA SDN 44 PADANG Shelvy Haria Roza; Suci Maisyaroh Nasution; Nindi Oktaviani; Afifah Khairunnisa Puteri Effendi; Zerly Affi Walti
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 1 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i1.761

Abstract

The main risk factor for cervical cancer is Human Pappiloma Virus (HPV) infection. One of the primary prevention efforts that can be done is HPV vaccination, which has been proven effective in reducing the risk of women being exposed to HPV infection. In Indonesia, cervical cancer is the second most common cancer in women after breast cancer. West Sumatra Province has the highest prevalence of cervical cancer, which is ranked second in Indonesia at 2.47 per 1000 population. The government has made it mandatory to provide free HPV vaccination for school children to prevent cervical cancer in the future, but the vaccination coverage is still low due to various anti-vaccine stigmas, many refusals from parents for vaccines. The existence of this rejection and stigma is a lack of information to the public about the effectiveness of the HPV vaccine. Therefore, it is necessary to socialize and educate the target of HPV vaccination to elementary school children in grades 5 and 6. The purpose of this activity is to increase the knowledge of school students about cervical cancer and its prevention with health education. The activity was held at SDN 44 Kalumbuk, Padang. The method in service begins with situation analysis, preparation and planning of activities, implementation, and evaluation. The results of the activity were an increase in the average knowledge of participants from 62.5 to 76.3 with an average increase of 13.8 points. This educational activity can increase participants' knowledge about cancer.