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All Journal JMM (Jurnal Masyarakat Mandiri) Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health
Arfandi, Muh. Amri
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Comparative Patterns of Non-Communicable Disease Risk Factors Across Age Groups in Samarinda, Indonesia Arfandi, Muh. Amri; Saefurrohim, Muhamad Zakki; Azka, Arlina; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Risva, Risva; Azmiardi, Akhmad; Asrianti, Tanti
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Non-communicable diseases (NCDs) have become a major public health concern, with risk factors increasingly observed among younger populations. Examining how these risks differ between age groups may provide insight into early prevention priorities. Objective : To describe and compare behavioral and biological NCD risk factors among older adolescents (15–19 years), young adults (20–24 years), and adults (25–59 years) in Samarinda, Indonesia. Research Methods/ Implementation Methods : A descriptive cross-sectional study was conducted among 242 respondents selected through household interviews in Samarinda. Data were collected using the WHO STEPwise approach to NCD risk factor surveillance (STEPS) questionnaire, covering behavioral factors (tobacco, alcohol, physical activity, diet) and biological factors (BMI, blood pressure, blood glucose, cholesterol). Data were analyzed descriptively using STATA 17. Results : Variations were observed across age groups. Smoking was more frequent among young adults (22.2%) compared to adolescents (9.3%) and adults (17.7%). Alcohol use was generally low but relatively higher among adolescents (12.4%). Physical activity levels and sedentary time showed comparable patterns, with young adults reporting slightly more sedentary behavior (40%). Most respondents consumed fruits less than four days per week. The proportion of overweight and obesity was greater among adults (54.4%) than in young adults (24.4%) and adolescents (19.4%). Differences were also seen in clinical indicators, with adults showing a higher proportion of hypertension (44.1%) and high cholesterol (35.3%) compared to younger groups. Conclusion/Lesson Learned : The study highlights varying patterns of NCD risk factors among age groups, with several behavioral risks already present during adolescence. These findings emphasize the importance of early preventive actions focused on healthy lifestyles, especially among youth, supported by community-based education and health monitoring initiatives.
Optimization of the Role of Health Cadres in Educating About the Integration of Primary Services for the Prevention and Control of Non-Communicable Diseases in Tropical Regions Sumarni, Sumarni; Saefurrohim, Muhamad Zakki; Arfandi, Muh. Amri
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Pasundan Public Health Center ranks among the top three areas with the highest prevalence of Non- Communicable Diseases (NCDs) in Samarinda City, with 23.2% hypertension and 2.95% diabetes mellitus cases. The main challenge lies in the suboptimal role of health cadres in implementing the Integrated Primary Care (ILP) program and their limited digital health literacy. This issue highlights a practical and scientific gap in the effective utilization of health cadres for NCD prevention and control through technology-based health education. To optimize the role of health cadres in the implementation of ILP by improving their knowledge, communication, and digital literacy skills for NCD prevention and control in tropical regions. The program was implemented through community service activities, including socialization, health education, and practical demonstrations involving 37 health cadres from 35 integrated health posts. Evaluation of outcomes was conducted using interactive pre–post tests and participant feedback to measure improvements in knowledge and skills. The evaluation showed a significant increase in cadres’ knowledge from 68% to 89%, along with an improvement in communication and digital literacy skills by 35–40%. The training enhanced cadres’ confidence and ability to utilize digital platforms in disseminating health information related to NCD prevention and control. The program successfully strengthened the capacity of health cadres in technology-based health promotion, supporting the sustainability and effectiveness of Integrated Primary Care at the primary healthcare level. Enhancing digital literacy among cadres is crucial for improving NCD prevention and control efforts in tropical regions.
Hypertension in the Kutai Community in Penyinggahan Village, West Kutai Regency. Is There a Relationship with Physical Activity? A Cross-Sectional Study Wahyudi, Wahyudi; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Arfandi, Muh. Amri
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/7gn2xy19

Abstract

Hypertension is a major health problem in Indonesia, with a prevalence rate of 39.3% in East Kalimantan, including in West Kutai Regency. This study aims to analyze the relationship between consumption of high-risk foods and beverages and physical activity with the incidence of hypertension among the Kutai people in the working area of the Penyinggahan Health Center. A cross-sectional study was conducted in 2023 with a sample of 140 respondents aged 30–64 years selected by purposive sampling. Data were collected using FFQ and IPAQ questionnaires and analyzed using univariate, bivariate (Chi-Square and Fisher's Exact Test), and multivariate (Logistic Regression) methods. The results showed that 51.4% of respondents suffered from hypertension, with significant associations found with high-risk BMI (p=0.000; OR=3.699), moderate-to-vigorous physical activity (p<0.05), and consumption of fat, oil, salt, and sugar (p<0.05). No significant relationships were found with protein, fiber, potassium, fruits, vegetables, age, gender, or ethnicity. In conclusion, high-risk BMI, inadequate physical activity, and dietary patterns low in protein, fiber, and potassium are dominant risk factors for hypertension among the Kutai people.
Factors Influencing Compliance with Iron Supplementation Among Female Adolescents in Senior High Schools, Samarinda City, 2025 Indriani, Dilla C; Ramadhani, Reza W; Nurlela, Siti; Irirwanas, Intannia D; Zakki Saefurrohim, Muhamad; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Arfandi, Muh. Amri; Risva, Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/kzn7n063

Abstract

Anemia in adolescent girls is a significant health problem due to increased iron requirements during puberty. Iron supplements are an important intervention, but previous studies have shown that 58.4% of adolescent girls have low compliance rates. This study aims to analyze the relationship between knowledge and attitudes toward iron supplement consumption among high school students in Samarinda City. This study used a cross-sectional design involving 466 respondents from three secondary schools. Data were collected through an online questionnaire covering knowledge, attitude, and TTD consumption variables. Results showed that 47.2% of respondents had very good knowledge and 90.3% had a positive attitude. Bivariate analysis showed no significant relationship between knowledge and TTD consumption (OR = 1.039; 95% CI: 0.680–1.587; p = 0.860). Conversely, attitude showed a significant relationship, where students with negative attitudes were less likely to consume TTD (OR = 1.613; 95% CI: 1.052–2.471; p = 0.028). These findings indicate that attitude has a greater influence than knowledge in promoting TTD consumption behavior. Interventions to improve TTD consumption compliance should focus on fostering positive attitudes among adolescent girls.
Understanding Toxoplasmosis in Reproductive-Age Women: Determinants of Infection and Evidence-Based Mitigation Approaches Azka, Arlina; Soviadi, Nabila Vebiana; Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto; Arfandi, Muh. Amri; Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/e53f1q84

Abstract

Toxoplasmosis remains a persistent public health concern among women of reproductive age due to the risk of congenital transmission and severe fetal outcomes. This narrative review aimed to synthesize recent evidence on infection determinants and evaluate evidence-based strategies to mitigate risks, addressing persistent gaps in awareness and intervention efficacy. A comprehensive literature search of PubMed and Google Scholar was conducted for studies published between 2016 and 2025. The findings reveal substantial geographic variation in seroprevalence, influenced by environmental conditions, cultural practices, and socioeconomic disparities. Higher infection rates were consistently reported among older, multiparous, rural, and less-educated women. Key risk factors included consumption of contaminated water, undercooked meat, and poor hygiene practices, while associations with cat ownership were inconsistent. Overall, knowledge and awareness of toxoplasmosis were low among women and healthcare providers. Although educational interventions and antenatal screening demonstrated potential benefits, their effectiveness remains insufficiently evaluated. Integrated, context-specific prevention strategies are urgently needed to reduce infection risk and prevent congenital toxoplasmosis.
OPTIMALISASI PERAN KADER KESEHATAN DALAM EDUKASI INTEGRASI LAYANAN PRIMER UNTUK PENCEGAHAN DAN PENGENDALIAN PENYAKIT TIDAK MENULAR DI WILAYAH TROPIS Sumarni, Sumarni; Saefurrohim, Muhamad Zakki; Arfandi, Muh. Amri
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.v9i6.35498

Abstract

Abstrak: Puskesmas Pasundan merupakan salah satu puskesmas dengan prevalensi Penyakit Tidak Menular (PTM) tertinggi di Kota Samarinda, dengan 23,2% penderita hipertensi dan 2,95% penderita diabetes melitus. Permasalahan yang dihadapi mitra adalah belum optimalnya peran kader dalam pelaksanaan Integrasi Layanan Primer (ILP) serta rendahnya literasi kesehatan digital. Kegiatan pengabdian ini bertujuan meningkatkan pemahaman dan keterampilan kader kesehatan melalui pelatihan literasi digital berbasis ILP. Metode kegiatan meliputi sosialisasi, penyuluhan, dan demonstrasi yang diikuti oleh 37 kader dari 35 posyandu wilayah kerja Puskesmas Pasundan. Evaluasi dilakukan melalui pre–post test interaktif dan umpan balik peserta. Hasil kegiatan menunjukkan peningkatan pengetahuan kader dari 68% menjadi 89% dan peningkatan keterampilan komunikasi serta literasi digital sebesar 35–40%. Kegiatan ini memperkuat kapasitas kader dalam promosi kesehatan berbasis teknologi dan mendukung keberlanjutan ILP di tingkat pelayanan primer.Abstract: Pasundan Public Health Center is among the top three with the highest prevalence of Non-Communicable Diseases (NCDs) in Samarinda City, with 23.2% hypertension and 2.95% diabetes mellitus cases. The main issue faced by the partner is the suboptimal role of health cadres in implementing the Integrated Primary Care (ILP) and limited digital health literacy. This community service aimed to enhance cadres’ understanding and skills through digital literacy training based on the ILP approach. Activities included socialization, health education, and demonstrations involving 37 cadres from 35 integrated health posts. Evaluation was conducted using interactive pre–post tests and participant feedback. Results showed an increase in cadre knowledge from 68% to 89% and improvement in communication and digital literacy skills by 35–40%. The program strengthened cadres’ capacity in technology-based health promotion and supported the sustainability of ILP at the primary healthcare level.
Co-Authors Akhmad Azmiardi Arlina Azka Asrianti, Tanti Indriani, Dilla C Irfansyah Baharuddin Pakki Irirwanas, Intannia D Nabila Vebiana Soviadi Ramadhani, Reza W Risva Risva Risva S Siswanto Saefurrohim, Muhamad Zakki Siswanto siti nurlela Sumarni Sumarni Wahyudi Wahyudi Zakki Saefurrohim, Muhamad