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All Journal Unnes Science Education Journal Jurnal Medikes (Media Informasi Kesehatan) Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Jurnal Mandala Pengabdian Masyarakat Journal of Language and Health Getsempena Health Science journal ICONESTH Jurnal Ilmiah Kesehatan BPI Holistik Jurnal Kesehatan Jurnal Ragam Pengabdian Jurnal Kesehatan
Reka Julia Utama
Universitas Bina Bangsa Getsempena
Arts Humanities Computer Science & IT Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Dampak climate crisis terhadap pola penyakit ibu hamil dan maternal mortality Fajarina, Mira; Utama, Reka Julia; Malem, Rehmaita
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1571

Abstract

Background: Climate change directly impacts maternal health, increasing the risk of pregnancy complications, delayed antenatal care (ANC) visits, and maternal mortality. Purpose: To analyze the impact of the climate crisis on maternal disease patterns and maternal mortality. Method: An observational analytic study with a case-control design was conducted on 364 pregnant women at the Baitussalam and Blang Bintang Community Health Centers in Aceh Besar. The sample was selected purposive sampling, consisting of case groups (mothers with complications) and controls. Data were collected using a validated questionnaire (CVI by three experts, Cronbach's Alpha ≥0.7) and medical records. Analysis used Chi-square and multiple logistic regression. Results: Exposure to extreme temperatures (OR=2.27; p=0.010), air pollution (OR=1.91; p=0.036), and weather changes (OR=2.85; p=0.006) were significantly associated with pregnancy complications, while counseling played a protective role (OR=0.49; p=0.010). Cancelling antenatal care due to extreme weather increases the risk of complications (OR=3.16; p=0.001). Conclusion: Environmental factors related to the climate crisis impact maternal health, necessitating mitigation strategies such as education, increasing access to antenatal care, and strengthening health system capacity to reduce the risk of maternal complications.   Keywords: Climate Crisis; Maternal Diseases; Maternal Mortality.   Pendahuluan: Perubahan iklim berdampak langsung pada kesehatan maternal, meningkatkan risiko komplikasi kehamilan, keterlambatan kunjungan antenatal care (ANC), dan mortalitas ibu. Tujuan: Untuk menganalisis dampak climate crisis terhadap pola penyakit ibu hamil dan maternal mortality. Metode: Studi observasional analitik dengan desain kasus-kontrol dilakukan pada 364 ibu hamil di Puskesmas Baitussalam dan Blang Bintang, Aceh Besar. Sampel dipilih secara purposive sampling, terdiri dari kelompok kasus (ibu dengan komplikasi) dan kontrol. Data dikumpulkan menggunakan kuesioner tervalidasi (CVI oleh tiga ahli, Cronbach’s Alpha ≥0.7) dan rekam medis. Analisis menggunakan Chi-Square dan regresi logistik berganda. Hasil: Paparan suhu ekstrem (OR=2.27; p=0010), polusi udara (OR=1.91; p=0.036), dan perubahan cuaca (OR=2.85; p=0.006) berhubungan signifikan dengan komplikasi kehamilan, sedangkan penyuluhan berperan protektif (OR=0.49; p=0.010). Batal ANC karena cuaca ekstrem meningkatkan risiko komplikasi (OR=3.16; p=0.001). Simpulan: Faktor lingkungan terkait krisis iklim memengaruhi kesehatan ibu hamil, sehingga diperlukan strategi mitigasi seperti penyuluhan, peningkatan akses ANC, dan penguatan kapasitas sistem kesehatan untuk mengurangi risiko komplikasi maternal.   Kata Kunci: Climate Crisis; Maternal Mortality; Penyakit Ibu Hamil.
Inovasi Media Edukasi untuk Optimalisasi Investigasi Kontak TB Keluarga di Puskesmas Baiturrahman Banda Aceh Utama, Reka Julia; Fajarina, Mira; Morian, Popy Citra Sari; Halizasia, Gadis; Fitria, Fitria
Jurnal Mandala Pengabdian Masyarakat Vol. 6 No. 2 (2025): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v6i2.755

Abstract

Penurunan cakupan investigasi kontak tuberkulosis (TB) di masyarakat menjadi tantangan utama di wilayah kerja Puskesmas Baiturrahman. Rendahnya pengetahuan keluarga pasien, stigma sosial, dan keterbatasan media edukasi menjadi faktor penghambat optimalisasi penemuan kasus. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan, sikap, dan keterbukaan keluarga pasien TB melalui pengembangan media edukasi inovatif berupa buku panduan dan video edukasi, serta mendorong peningkatan cakupan investigasi kontak TB di sepuluh desa di Kecamatan Baiturrahman, Kota Banda Aceh. Pendekatan yang digunakan meliputi penyuluhan berbasis komunitas dengan desain pre-test dan post-test, observasi partisipatif, dan wawancara singkat. Media edukasi disampaikan oleh kader TB kepada keluarga pasien di Desa Lampaseh, Keudah, Lamgapang, Lamdingin, Lamteumen, Lamgugob, Lamteumen Barat, Lamteumen Timur, Lamteumen Tengah, dan Lamteumen Selatan. Hasil kegiatan menunjukkan adanya peningkatan skor pengetahuan keluarga, yaitu pengetahuan tentang TB meningkat sebesar 30%, pemahaman pentingnya investigasi kontak meningkat 32%, dan kesadaran pencegahan penularan di rumah meningkat 28%. Selain itu, cakupan investigasi kontak meningkat dari 35% menjadi 70% setelah intervensi. Media edukasi inovatif yang dikombinasikan dengan pendampingan kader TB menunjukkan efektivitas yang baik dalam meningkatkan pengetahuan, mendorong keterbukaan keluarga, dan memperluas cakupan investigasi kontak TB, sehingga berpotensi menjadi model intervensi berbasis komunitas yang dapat diterapkan di wilayah lain.
PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PADA IBU HAMIL DENGAN HIV-AIDS Utama, Reka Julia; Satriyandari, Yekti
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12 No 2 (2021): JURNAL KESEHATAN
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i2.452

Abstract

Latar Belakang: kasus anak dengan HIV di Indonesia 90% desebabkan karena penularan dari ibu pada saat hamil, dan bersalin. Penularan HIV ke bayi pada dasarnya dapat dicegah melalui program PMTCT (prevention of mother-to-child trasmision) yang merupakan salah satu program pemerintah. Namun karena siqma masyarakat, dukungan pasangan yang tidak optimal, serta pertolongan persalinan yang tidak semestinya dilakukan pada ibu yang HIV positif, sehingga kondisi ini dapat menyumbangkan angka HIV yang lebih banyak.Tujuan Review: untuk mereview evidence terkait PMTCT.Metode: Metode scoping review ini menggunakan framework Arksey & O'Malley yang yang mana terdiri dari lima tahapan yaitu mengidentifikasi pertanyaan scoping review dengan framework PEO, kemudian mengidentifikasi artikel yang relevan dengan menentukan kriteria inklusi dan eksklusi; selanjutnya melakukan mencari literatur melalui database yang relevan, yaitu Pubmed, Science Direct, Wiley,  mencari Grey Literatur melalui Search Engine yaitu  Google Scholar. seleksi artikel dengan prisma flow  chart  yang digunakan untuk  menggambarkan alur pencarian artikel; selanjutnya melakukan Critical Appraisal untuk menilai kualitas dari tiap-tiap artikel; melakukan data charting; menyusun, merinkas dan melaporkan hasil.Hasil: Berdasarkan hasil pencarian didapatkan 9 artikel. Yang terdiri 7 artikel dengan grade A dan 2 artikel dengan grade B. Terkait dengan metode 6 artikel menggunakan cross sectional, 1 artikel menggunkan MixMetho, 2 artikel retrospective study. Didapatkan 3 tema yang di antarannya: pelaksanaan PMTCT, tantangan dalam pelaksanaan program PMTCT, dukungan dalam melakukan PMTCT. Dari 9 artikel yang didapatkan rata-rata dilakukan dinegara berkembang dan sedikit penelitian yang dilakukan dinegara maju.Simpulan: Hasil penelitian yang dilakukan dinegara maju maupun dinegara berkembang masih mengalami banyak kesulitan untuk mengakses program PMTCT, budaya, pendidikan, serta dukungan pasangan juga mempengaruhi terhadap keberhasilan program PMTCT. Persalinanyan disarankan pada ibu yang HIV positif yaitu secra SC (section cesarean) . Gep yang didapatkan penelitian masih banyak dilakukan dinegara berkembang dan hanya sedikit dilakukan dinegara maju.
Sosialisasi Penggunaan Jamban Untuk Mencegah Penyakit Menular TBC di Desa Atong Aceh Besar Ferdi Riansyah; Mhd Hidayattullah; Taufiq Karma; Gadis Halizasia; Mahruri Saputra; Fitria Fitria; Ristiani Ristiani; Reka Julia Utama; Mira Fajira
Jurnal Ragam Pengabdian Vol. 2 No. 2 (2025): Mei-Agustus "The Role of Community Service in Increasing Children's Educational
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/3s9b0019

Abstract

Sanitasi yang buruk masih menjadi penyebab utama terjadinya berbagai penyakit menular di wilayah pedesaan. Banyak masyarakat belum memahami hubungan antara perilaku buang air besar sembarangan dengan penyebaran penyakit, terutama akibat rendahnya kesadaran akan pentingnya penggunaan jamban yang layak dan sehat. Untuk mengatasi hal ini, dilakukan kegiatan sosialisasi yang bertujuan meningkatkan pemahaman masyarakat tentang sanitasi dan pentingnya perilaku hidup bersih dan sehat. Kegiatan ini diikuti oleh 30 peserta yang terdiri dari kepala keluarga, ibu rumah tangga, remaja, dan tokoh masyarakat. Materi disampaikan melalui ceramah interaktif dan diskusi kelompok. Evaluasi dilakukan menggunakan pre-test dan post-test guna mengukur perubahan pengetahuan. Sebelum sosialisasi, hanya 33% peserta memiliki pemahaman yang cukup baik terkait sanitasi dan penularan penyakit. Setelah kegiatan, 87% peserta mampu menjawab dengan benar pertanyaan mengenai fungsi jamban dan bahaya buang air besar sembarangan. Selain itu, sebanyak 70% peserta menyatakan kesediaan untuk menggunakan atau membangun jamban sehat. Hasil ini menunjukkan bahwa edukasi komunitas efektif dalam meningkatkan kesadaran dan komitmen masyarakat terhadap perilaku hidup bersih. Pelatihan lanjutan tentang pembuatan jamban sederhana dari bahan lokal sangat dianjurkan untuk keberlanjutan perubahan perilaku.
The Effectiveness of Peer Education Methods in Increasing Tuberculosis Knowledge in High School Students Ferdi Riansyah; Nadia Sari; Seri Warzukni; Elvina Sari; Niswatul Khaira; Nuril Ria Alifa; Mhd. Hidayattullah; Nisrina Hanum; Reka Julia Utama; Muliana Muliana; Gadis Halizasia; Said Usman; Ristiani Ristiani; Abdul Ajiz
Jurnal Ragam Pengabdian Vol. 3 No. 1 (2026): Januari-April. Synergy of Research and Community Service for Community Empowerm
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/ynxmqn29

Abstract

This study aimed to determine the effectiveness of the peer education method in improving tuberculosis knowledge among high school students. The problem addressed in this research was the limited understanding of tuberculosis among adolescents, which may influence prevention behavior and awareness. The study used a quantitative approach with a quasi-experimental one group pretest–posttest design. The research was conducted in February 2025 at a senior high school, involving 112 students selected using a total sampling technique. Data were collected using a structured questionnaire that measured students’ knowledge before and after the educational intervention. The intervention was delivered through peer education, where trained students provided health education sessions, group discussions, and interactive learning activities to their classmates. Data analysis was conducted using descriptive analysis to describe respondent characteristics and comparative analysis to examine changes in knowledge levels before and after the intervention. The results showed that students’ knowledge improved after receiving peer education, indicating that this method helped students better understand information related to tuberculosis. The study concludes that peer education is an effective approach for increasing adolescents’ health knowledge because it encourages active participation, comfortable communication, and better information acceptance among students.
Comparison of Counter Pressure Massage and Hegu Point Cold Compress on Active Phase I Labor Pain Reka Julia Utama; Ummu Aiman; Mahruri Saputra; Ferdi Riansya
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4475

Abstract

Labor pain can cause it weakness of the uterine muscles, obstruction of the birth canal and increased maternal anxiety. Anxiety can produce catecholamine hormones that cause tension in the pelvic muscles and affects the mother's pushing force during childbirth so that the pain increases and lengthens the delivery time increases the risk of maternal and fetal death. The purpose of this research is to determine the comparison of counter pressure massage (CPM) and Hegu point cold compresses for labor pain during the 1st active phase. The research method uses a randomized control trial design with two group pretest-posttest plan. Population in this study namely mothers who will give birth in the active phase of the 1st stage with the number of samples A total of 126 people were divided into 2 groups each CPM treatment and cold compresses will be given to the Hegu point. The measuring instruments used are the numerical pain rating scale (PNRS) and pain level recording sheets which have been proven valid and reliable, and have been widely used to measure pain levels. The analysis that will be used is univariate and bivariate analysis paired t test and independent t test. The results of the study showed that there was a difference in the intensity of labor pain during the first active phase before and after counter pressure massage (p=0.000) and cold compress at the hegu point (p=0.000). And there was no difference in the intensity of pain during the first active phase of labor between the counter pressure massage and cold compress groups in the Hegu point group (p=0.546>0.05). Cold compress counter pressure massage on the Hegu point is effective in reducing pain in the first stage of labor and counter pressure massage and cold compresses on the Hegu point group are equally effective in reducing labor pain.
PREDICTORS OF LATE INITIATION OF ANTENATAL CARE AMONG MUSLIM WOMEN IN PIDIE DISTRICT, ACEH Mira Fajarina; Reka Julia Utama; Gadis Halizasia; Fitria Fitria
Getsempena Health Science Journal Vol. 3 No. 2 (2024)
Publisher : Universitas Bina Bangsa Getsempena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/ghsj.v3i2.1650

Abstract

Late initiation of antenatal care (ANC) remains a public health concern in Aceh, contributing to adverse maternal and neonatal outcomes. This study aimed to identify predictors of late ANC initiation and factors influencing ANC visit frequency among Muslim women in Pidie District. A predictive correlational study was conducted with 80 postpartum women selected using purposive sampling. Data were collected through structured questionnaires covering sociodemographic characteristics, obstetric history, knowledge, perceptions, beliefs, and social support. Analyses included descriptive statistics, Chi-square tests, Spearman correlation, and binary logistic regression. Results showed that 55% of participants initiated ANC after 12 weeks of gestation, with only 25% completing the recommended minimum of four visits. Key barriers included long distances to health facilities (62%), cultural or religious beliefs (35%), economic constraints (28%), and limited ANC knowledge (40%). Logistic regression identified significant predictors of late ANC initiation: distance from health facility (AOR = 1.08; p = 0.005), lower knowledge about ANC (AOR = 0.72; p = 0.03), and history of abortion (AOR = 6.12; p = 0.01). Family support, particularly from husbands, and guidance from community health volunteers were also influential in timely ANC attendance. In conclusion, both accessibility and maternal knowledge are key determinants of ANC utilization in Pidie. Interventions such as community-based education, telehealth support, and culturally sensitive counseling are recommended to improve timely ANC initiation and adherence, ultimately enhancing maternal and neonatal health outcomes.
MODEL OF IMPROVING COMPLIANCE IN TREATMENT OF PULMONARY TUBERCULOSIS PATIENTS THROUGH CADRES IN BAITUSSALAM DISTRICT Ferdi Riansyah; Aina Fitri; Ristiani Ristiani; Reka Julia Utama; Fitria Fitria; Kartini Kartini; Ibrahim Ibrahim; Niswatul Khaira
Getsempena Health Science Journal Vol. 4 No. 1 (2025): Januari
Publisher : Universitas Bina Bangsa Getsempena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/ghsj.v4i1.3140

Abstract

Various models and intervention strategies have been developed by various researchers to support the control and compliance of TB treatment and other infectious diseases. This study aims to produce a formulation of a model for increasing compliance of TB patient treatment as an important part of achieving TB cure and elimination in Baitussalam District, Aceh Besar. This study uses a qualitative research design with a phenomenological approach. The research informants numbered 16 people, consisting of one TB Puskesmas manager, five facilitator nurses, five TB patients (who are undergoing treatment, suspects, and former patients), and five families of patients. Data collection was carried out through in-depth interviews, focus group discussions (FGD), and document reviews. The results of the study found a phenomenon of minimal knowledge and ability of nurses in comprehensive peer group counseling services. The concept of the TB service model program that emphasizes all aspects of both physical and psychological TB patients is not yet strong. Formulation of a self-esteem model as an effort to increase the capacity of nurses to improve the quality of life of TB patients. This study produced a design of a self-esteem module to improve the ability of nurses in TB services through peer groups.
Dialectical Behaviour Therapy dan Psikoedukasi Berbasis Kearifan Lokal Menurunkan Self-Harm Behaviour Pada Remaja: Study Quasy Eksperimen Hayani, Mela; Rahmisyah, Rahmisyah; Saputra, Mahruri; Utama, Reka Julia; Riansyah, Ferdi; Putra, Eridha
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/zk3gqc21

Abstract

If adolescents are unable to cope with the changes that occur in themselves properly, then adolescents can take actions that are detrimental to themselves which are called self-harm behavior (SHB). SHB in adolescents can be treated by providing Dialectical Behavior Therapy (DBT) and psychoeducation based on local wisdom of Aceh. The purpose of this study was to determine the comparison of dialectical behavior therapy (DBT) and psychoeducation based on local wisdom on SHB in adolescents in Banda Aceh City. The study used a randomized control trial design method with a pretest-posttest two group design. The study will be conducted from February to August 2024. The population and sample were 68 adolescents divided into 2 groups, namely 34 people given DBT and 34 people given psychoeducation based on local wisdom. The measuring instrument used was the Self-harm Inventory (SHI) questionnaire. The analysis used univariate and bivariate with paired t-test and independent t-test. The results showed that there was a difference in SHB in adolescents before and after DBT (pvalue = 0.000; tcount 7.227). There was a difference in SHB in adolescents before and after local wisdom-based psychoeducation (pvalue = 0.000; tcount 10.240). The results of the study showed that there was no difference in SHB in adolescents between the DBT and local wisdom-based psychoeducation groups (p = 0.783> 0.05), meaning that both of these interventions were effective in reducing SHB in adolescents at SMA Kota Banda Aceh.
Co-Authors Abdul Ajiz Aina Fitri Anggi Susilawati Dea Rea Nanda Elvina Sari Eridha Putra Fadhlina, Fadhlina Fajarina, Mira Ferdi Riansya Ferdi Riansyah Fitri, Aina Fitria Fitria Fitria Fitria Frisca Fazira Gadis Halizasia Ibrahim Ibrahim Ismarwati Ismarwati Kartikasari, Komala Kartini Kartini Khalidah Khalidah, Khalidah Kusuma, Nur Intan Mahruri Mahruri Mahruri Saputra Mela Hayani Meriza Faradilla Mhd Hidayattullah Mira Fajarina Mira Fajira Mohd. Rizal Fahmi Adha Morian, Popy Citra Sari Muliana Muliana Nadia Sari Nelawati Radjamuda Nelva Riza Nisrina Hanum Niswatul Khaira Nuril Ria Alifa Rahmisyah, Rahmisyah Rehmaita Malem Riansyah, Ferdi Ristiani Ristiani Ristiani Ristiani Ristiani Ristiani Said Usman Saputra, Irwan Seri Warzukni Silvia Pratiwi Taufiq Karma Ummu Aiman Usman, Said Yekti Satriyandari