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All Journal SEHATI: Jurnal Kesehatan Indonesian Journal of Global Health Research
Marhamah Marhamah
Universitas Muhammadiyah Aceh
Health Professions Medicine & Pharmacology Nursing Public Health

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Evaluasi Program Hipertensi di Pelayanan Kesehatan Puskesmas Blang Bintang Kabupaten Aceh Besar Nana Wildana; Muhammad Ghifari Karsa; Marhamah Marhamah; Farrah Fahdhienie; Faisal Abdurahman
SEHATI: Jurnal Kesehatan Vol 5, No 2 (2025)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v5i2.100

Abstract

Hypertension is one of the global health problems that contributes to high morbidity and mortality. A hypertension evaluation program in health services is needed to assess the effectiveness of interventions that have been carried out and to improve the quality of health services. The purpose of this study was to evaluate the implementation of the Chronic Disease Management Program (Prolanis), especially for hypertension patients at the Blang Bintang Community Health Center, Aceh Besar Regency, during the period 2022–2024. Evaluation of the hypertension control program at the Blang Bintang Community Health Center through observation of annual report data and direct interviews with the person in charge of PTM at the Blang Bintang Community Health Center regarding aspects of planning, implementation, involvement of health workers and program achievement results, data collection techniques using secondary data, namely the performance report of the Blang Bintang Community Health Center for the period 2022–2024. The Hypertension Prolanis Program at the Blang Bintang Community Health Center for the period 2022–2024 has shown progress in the implementation of community-based services. The increase in the number of human resources, budget, and logistics has provided a strong foundation in carrying out educational and preventive activities for hypertension patients. Routine exercise, regular medication distribution, and group education are key pillars of this program's success. The study concluded that the program has been effective in the short term, but its long-term success depends heavily on the system's ability to measure, monitor, and continuously improve its implementation
Evaluasi Program Pengelolaan Hipertensi di Puskesmas Ujong Rimba Kabupaten Pidie Provinsi Aceh Marhamah Marhamah; Farrah Fahdienie; Dharina Baharuddin
SEHATI: Jurnal Kesehatan Vol 5, No 2 (2025)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v5i2.112

Abstract

Hypertension is one of the non-communicable diseases that is the main cause of cardiovascular complications in Indonesia. The prevalence of hypertension in Pidie Regency, especially the working area of the Ujong Rimba Health Center, reached 30% in 2023. Evaluation of the effectiveness of the hypertension management program is important to optimize the interventions that have been implemented. The purpose of this paper is to evaluate the implementation of the hypertension management program from the aspects of input, process, output, outcome, and impact at the Ujong Rimba Health Center, Pidie Regency, Aceh Province. The method used in the study used an evaluative method with a mixed approach (mix method). Subjects consisted of hypertensive patients registered in 2022–2024. Data were collected through questionnaires, in-depth interviews, observations, and document reviews, then analyzed descriptively and qualitatively. The results of this program showed positive achievements in increasing service coverage (87% in 2024), therapy compliance (up from 35% to 87%), and decreasing blood pressure (75% of patients showed improvement). However, there are obstacles in terms of human resources, budget, drug availability, and implementation of SOPs. The hypertension management program is running quite effectively, but needs improvement in terms of resources and program governance.
Long Term Effects of Ketogenic Low Carbohydrate and Low Fat Diets On Weight Loss, Risk of Dyslipidemia Risk, and Cardiometabolic Outcomes Nana Wildana; Marhamah Marhamah; Nurul Rahmi; Rasmawati Rasmawati
SEHATI: Jurnal Kesehatan Vol 6, No 1 (2026)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v6i1.155

Abstract

Weight loss and improvement in cardiometabolic risk are the primary goals of dietary interventions in populations at risk for obesity and dyslipidemia. Low-carbohydrate ketogenic diets (including VLCDs) and low-fat diets are two popular approaches, but their long-term effects are controversial. This systematic review aims to compare the long-term effects of low- carbohydrate ketogenic diets and low-fat diets on weight loss, dyslipidemia risk, and cardiometabolic outcomes in an adult population. A literature search of the PubMed, WOS, scilit Total records identified 4.179. After screening, 15 studies with a duration of at least 12 months were analyzed qualitatively and quantitatively. The ketogenic diet resulted in greater weight loss in the first 6–12 months, but 58% of subjects experienced an increase in LDL-C, despite improvements in triglycerides and HDL-C. The low-fat diet more consistently reduced LDL-C and triglycerides and increased HDL-C, although weight loss was slower. In the period 24 months, the difference in weight loss narrowed, but the risk of dyslipidemia in the ketogenic diet still needs to be watched out for. In conclusion, the ketogenic diet is effective for short-term weight loss and improvements in several lipid parameters, but can increase the risk of LDL-C. A low-fat diet is safer for long-term lipid profiles. Diet selection should be adjusted to the individual's risk profile and regular cardiometabolic monitoring.
Analysis of Factors Including Pulmonary Tuberculosis in Diabetes Mellitus Patients Marhamah Marhamah; Basri Aramico Ib; Meutia Zahara
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.1783

Abstract

The syndemic between Pulmonary Tuberculosis (TB) and Diabetes Mellitus (DM) is a public health challenge because DM can weaken the immune system and poor glycemic control facilitates infection by Mycobacterium tuberculosis. As the prevalence of DM in Indonesia increases, identifying risk factors that contribute to the incidence of TB in DM patients becomes important. This study aims to analyze the relationship between nutritional status, glycemic control, income level, education level, and access to health services with the incidence of pulmonary TB in DM patients. The study used an observational analytical design with a cross-sectional approach conducted at Tgk. Chik Ditiro Sigli Regional Hospital from June–September 2025 with a sample of 277 DM patients selected through purposive sampling. Data were collected using mixed methods, namely secondary data from medical records for TB status, nutritional status, and glycemic control and primary data through questionnaires for income and access to health services using the Cronbach’s Alpha method with a value of ≥0.70.The results showed that the majority of respondents did not have pulmonary TB (75.09%), but the majority had poor nutritional status (68.95%) and most had controlled glycemic control (71.12%). In addition, more than half of respondents had incomes below the Provincial Minimum Wage (56.68%) and about half had poor access to health services (50.54%). The analysis showed a significant association between poor nutritional status (AOR=2.5; 95% CI=1.17–5.39), uncontrolled glycemic control (AOR=4.5; 95% CI=2.43–8.68), income <UMP (AOR=1.9; 95% CI=1.02–3.85), and poor access to health services (AOR=3.2; 95% CI=1.65–6.30) with the incidence of pulmonary TB in DM patients,
Co-Authors Basri Aramico Ib Dharina Baharuddin Faisal Abdurahman Farrah Fahdhienie Farrah Fahdienie Meutia Zahara Muhammad Ghifari Karsa Nana Wildana Nurul Rahmi Rasmawati Rasmawati