Berek, Pius Almindu Leki
Unknown Affiliation

Published : 4 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 4 Documents
Search

PENGARUH EDUKASI KESEHATAN TENTANG PENCEGAHAN ANEMIA TERHADAP PENGETAHUAN IBU HAMIL DI PUSKESMAS HALIWEN Amferis, Meliana Neni; Nahak, Maria Paula Marla; Berek, Pius Almindu Leki
Jurnal Sahabat Keperawatan Vol. 7 No. 02 (2025): Jurnal Sahabat Keperawatan, Agustus 2025
Publisher : Program Studi Keperawatan, Universitas Timor Jln. Mgr. Sugyopranoto-Haliwen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/jsk.v7i02.10044

Abstract

Anemia pada masa kehamilan dapat mengakibatkan komplikasi kehamilan dan dapat memberikan efek negatif pada proses pertumbuhan dan perkembangan janin dalam kandungan hingga berpotensi menyebabkan kematian pada ibu dan anak. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi kesehatan tentang pencegahan anemia dalam kehamilan terhadap pengetahuan ibu hamil di wilayah kerja Puskesmas Haliwen. Penelitian ini merupakan penelitian kuantitatif dengan desain Quasi Eksperiment One Group dengan Pre-test-post-test design yang dilakukan di Puskesmas Haliwen pada tanggal 3 Maret – 28 Maret 2025. Sampel diambil menggunakan consecutive sampling sejumlah 30 orang di Puskesmas Haliwen. Data dianalisis menggunakan uji Wilcoxon sign rank test. Hasil penelitian menunjukkan ada perbedaan nilai mean sebelum dan sesudah pemberian edukasi kesehatan sebesar 70,50 meningkat menjadi 91,33. Hasil uji Wilcoxon sign rank test menunjukkan nilai p value= 0,000 (<0,05), artinya ada pengaruh edukasi kesehatan menggunakan media lembar balik terhadap pengetahuan tentang pencegahan anemia pada ibu hamil di Puskesmas Haliwen. Ada pengaruh pemberian edukasi kesehatan menggunakan media lembar balik tentang pencegaha anemia dalam kehamilan di wilaya kerja Puskesmas Haliwen (P value = 0,000). Diharapkan agar Puskesmas Haliwen tetap mempertahankan apa yang sudah dilakukan, yaitu mempertahankan pemeriksaan ANC, kunjungan posyandu dan kunjungan rumah untuk ibu-ibu hamil yang tidak melakukan pemeriksaan ANC, agar meningkatkan status kesehatan ibu hamil dan janin.
Determinant factors of anemia prevention behavior among female adolescents in border area: a path analysis on the health belief model Nahak, Maria Paula Marla; Berek, Pius Almindu Leki
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.25937

Abstract

Combating anemia in female adolescents may prevent long term effects of low birth weight, malnutrition, and growth failure (stunting) in their progeny. This study aimed to path-analyze the determinants of anemia prevention behavior in female adolescents with health belief model approach. This was an observational analytical study, conducted at SMAN 3 Atambua, East Nusa Tenggara, Indonesia, from May 7, 2024 to August 2, 2024. A total of 103 participants were selected by total sampling. The data collected by a set of questionnaires. This study revealed a direct and positive correlation between perceived threat (b = 2.43; 95% CI = 0.67 to 4.18; p = 0.007), perceived benefits (b = 1.99; 95% CI = 0.20 to 3.78; p = 0.029), perceived barrier (b = 2.74; 95% CI = 0.34 to 5.14; p = 0.025), self-efficacy (b = 1.76; 95% CI = 0.06 to 3.46; p = 0.042), cues to action (b = 1.96; 95% CI = 0.27 to 3.65; p = 0.022) and anemia prevention behavior. Knowledge is indirectly correlated to anemia prevention behavior through self-efficacy (b =2.25; 95% CI = 0.95 to 3.54; p = 0.001); perceived susceptibility is indirectly correlated to anemia prevention behavior through perceived threat (b = 2.01; 95% CI = 0.78 to 3.24; p = 0.001); perceived severity is indirectly correlated to anemia prevention behavior through perceived threat (b = 0.91; 95% CI = 0.01 to 1.81; p = 0.045). The implications of this study suggest that multifaceted interventions should be put in place that combine education, empowerment, overcoming barriers, and increasing the perceived threat and severity of anemia, all of which can improve anemia prevention behavior among female adolescents.
Variability of blood pressure, pulse pressure, and mean arterial pressure in hypertensive individuals Berek, Pius Almindu Leki; Amaral, Fransiska; Akoit, Handrianus; Nahak, Maria Paula Marla; Mau, Djulianus Tes; Fouk, Maria Fatimah Wilhelmina Abuk; Made, Yovita
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1258

Abstract

Background: Hypertension is a major risk factor for cardiovascular disease and remains a public health issue, particularly in areas with limited access to healthcare services, such as the Indonesia–Timor Leste border region. Blood pressure variability, pulse pressure (PP), and mean arterial pressure (MAP) are important indicators for assessing the risks of long-term complications. Purpose: To determine the profile and variability of blood pressure, PP, and MAP among hypertensive individuals, as well as the relationship between sociodemographic characteristics and these parameters. Method: A quantitative descriptive design with a cross-sectional approach was employed. Data were collected from 124 respondents through blood pressure measurements taken at three different time points. Mean systolic and diastolic blood pressure (SBP and DBP), PP, and MAP were analyzed, along with comparisons between measurement times and respondent characteristics. Result: The mean systolic blood pressure (SBP) was 151.27 mmHg, and the mean diastolic blood pressure (DBP) was 89.86 mmHg, indicating that most participants fell into hypertension grade 1–2 categories. The mean PP was 61.43 mmHg and MAP was 110.32 mmHg, both exceeding normal thresholds, suggesting potential vascular complications. Significant fluctuations were found in SBP and PP between the second and third measurements (p=0.014 and p=0.032, respectively), while DBP and MAP remained relatively stable. No significant associations were found between sex, education level, or occupation with the blood pressure parameters. Conclusion: Blood pressure was relatively high and tended to be stable between measurements, with significant variability in systolic and pulse pressures (p<0.05). Meanwhile, sociodemographic characteristics such as age, gender, education, and occupation did not show a significant association with blood pressure, PP, or MAP. Suggestion: Hypertension control programs need to focus on an individualized approach with routine blood pressure monitoring using HBPM, stabilizing blood pressure variability, and improving patient education. Programs must also be tailored to sociocultural conditions and supported by simple digital technology for early detection in border communities.
Analisis peluang dan tantangan penanggulangan TB paru Berek, Pius Almindu Leki; Seu, Imelda; Anugrahini, Christina
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2234

Abstract

Background: Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, particularly in regions with complex geographic and social characteristics. Disparities in case detection, stigma against patients, and limited access to health services remain significant challenges. This situation demands a mapping of local evidence-based opportunities and challenges as a basis for strengthening TB control strategies, including through increased cross-sectoral collaboration. Purpose: To analyze the opportunities and challenges in pulmonary TB control as a basis for formulating strategic recommendations and developing a regional action plan. Method: This quantitative descriptive study was conducted in 2025 in Belu Regency, East Nusa Tenggara. The sampling technique used non-probability sampling with a sample size of 218 respondents. The independent variables in this study were the opportunities and challenges of the TB program, while the dependent variable was the effectiveness of TB control. Data analysis used univariate analysis in the form of frequency distributions. Results: A total of 218 respondents participated in this study. The majority of respondents considered government policies, the competence of health workers, the involvement of community leaders, and technological support as significant to very significant opportunities for TB control. Conversely, stigma against TB patients, budget constraints, low community participation, geographic barriers, and suboptimal cross-sector collaboration were identified as key challenges. Conclusion: Border regions have strong structural and social opportunities for accelerating TB elimination, but still face various multidimensional challenges. Efforts to strengthen community-based risk communication, optimize regional financing, and increase access to health services are crucial. Integration of cross-sector collaboration is key to supporting the success of a sustainable TB control program.   Keywords: Control; Challenges; Opportunities; Pulmonary Tuberculosis (TB).   Pendahuluan: Tuberkulosis (TB) paru masih menjadi masalah kesehatan masyarakat utama di Indonesia, terutama di wilayah dengan karakteristik geografis dan sosial yang kompleks. Kesenjangan dalam penemuan kasus, stigma terhadap penderita, serta keterbatasan akses terhadap layanan kesehatan masih menjadi tantangan yang signifikan. Kondisi ini menuntut adanya pemetaan peluang dan tantangan berbasis bukti lokal sebagai dasar penguatan strategi penanggulangan TB, termasuk melalui peningkatan kolaborasi lintas sektor. Tujuan: Untuk menganalisis peluang dan tantangan penanggulangan TB paru sebagai dasar perumusan rekomendasi strategis dan penyusunan Rencana Aksi Daerah (RAD). Metode: Penelitian deskriptif kuantitatif, dilaksanakan tahun 2025 di Kabupaten Belu, Nusa Tenggara Timur. Teknik pengambilan sampel menggunakan non-probability sampling dengan jumlah sampel yang digunakan sebanyak 218 responden. Variabel independent dalam penelitian ini adalah faktor peluang dan tantangan program TB, sedangkan variabel dependen adalah efektivitas penanggulangan TB. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi. Hasil: Sebanyak 218 responden berpartisipasi dalam penelitian ini, mayoritas responden menilai kebijakan pemerintah, kompetensi tenaga kesehatan, keterlibatan tokoh masyarakat, dan dukungan teknologi sebagai peluang besar hingga sangat besar dalam penanggulangan TB. Sebaliknya, stigma terhadap penderita TB, keterbatasan anggaran, rendahnya partisipasi masyarakat, hambatan geografis, serta kolaborasi lintas sektor yang belum optimal diidentifikasi sebagai tantangan utama. Simpulan: Wilayah perbatasan memiliki peluang struktural dan sosial yang kuat untuk percepatan eliminasi TB, namun masih dihadapkan pada berbagai tantangan multidimensional. Upaya penguatan komunikasi risiko berbasis komunitas, optimalisasi pembiayaan daerah, serta peningkatan akses terhadap layanan kesehatan. Integrasi kolaborasi lintas sektor menjadi kunci penting dalam mendukung keberhasilan program penanggulangan TB secara berkelanjutan.   Kata Kunci: Peluang; Penanggulangan; Tantangan; Tuberkulosis (TB) Paru.