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FAKTOR-FAKTOR KEBERHASILAN PENGOBATAN PASIEN TUBERKULOSIS RESISTEN RIFAMPISIN (TB-RR) DI PROVINSI JAMBI Helmi Suryani Nasution; Ria Rizky; Ashar Nuzulul Putra; Marta Butar Butar
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.3016

Abstract

The success rate of drug-resistant tuberculosis (DR-TB) treatment in Jambi Province has not yet reached the target. This study aims to determine factors contributing to treatment success in patients with rifampicin-resistant tuberculosis (RR-TB) in Jambi Province. The study was conducted in Jambi Province using a retrospective cohort design. Data were obtained from the Tuberculosis Information System (SITB) for the period 2020–2023. A total of 122 patients were included using a total sampling technique. The inclusion criteria comprised patients who received treatment between 2020 and 2023 with complete data. Exclusion criteria included patients who had not completed treatment, had incomplete or duplicate data, or whose treatment outcomes had not been evaluated. The instrument used was the TB RO.03 report. Data were analyzed using the Chi-square test and log-linear Poisson regression. The treatment success rate for RR-TB was 61.5%. Age was significantly associated with treatment success, with an adjusted relative risk (aRR) of 1.65 (95% CI: 1.03–2.66). In contrast, no significant associations were found between treatment success and gender, history of previous treatment, anti-tuberculosis drug regimen, diabetes mellitus status, or HIV status. Age was identified as the most dominant factor influencing treatment success. Therefore, special attention should be given to patients aged over 50 years to improve TB treatment outcomes.
Hubungan Sanitasi Lingkungan dan Personal Hygiene dengan Kejadian Kecacingan pada Anak di Wilayah Kerja Puskesmas Kenali Besar Angel Sitorus; Oka Lesmana; Ashar Nuzulul Putra; Marta Butar Butar
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2606

Abstract

Worm infestation remains a public health problem among elementary school children, closely related to environmental conditions and clean and healthy living behaviors. This study aims to analyze the relationship between environmental and behavioral factors and the incidence of worm infestation in elementary school children. This study used a case-control design with an observational analytical approach. The study subjects consisted of a case group (children with worm infestation) and a control group (children without worm infestation). Independent variables included the availability of trash cans, clean water availability, handwashing with soap, nail hygiene, and footwear use, while the dependent variable was the incidence of worm infestation. Data were collected through interviews and observations and then analyzed using the Chi-Square test. The analysis showed that several environmental and behavioral factors were significantly associated with the incidence of worm infestation (p < 0.05). This study concluded that environmental sanitation conditions and personal hygiene behaviors play a significant role in the incidence of worm infestation in elementary school children. Therefore, efforts are needed to improve environmental sanitation and educate people about clean and healthy behaviors as a step to prevent worm infections.
Faktor-Faktor yang Berhubungan dengan Perilaku Keluarga dalam Pencegahan Penularan Tuberkulosis di Puskesmas Kenali Besar Kota Jambi Tahun 2025 Ainun Nazmi Hasibuan; Helmi Suryani Nasution; Ashar Nuzulul Putra; Muhammad Syukri
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 2 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss2.2607

Abstract

Tuberculosis remains a major public health problem in Indonesia, including in Jambi City. The risk of tuberculosis transmission is highest among household contacts; therefore, the behavior of family members of TB patients plays an important role in preventing transmission. This study aimed to analyze the factors associated with family behavior in preventing tuberculosis transmission in the working area of the Kenali Besar Public Health Center, Alam Barajo District, Jambi City, in 2025. The study population consisted of all family members living in the same household as tuberculosis patients, with a total sample of 88 respondents selected using a total sampling technique. The independent variables included age, sex, education level, occupation, income, knowledge, and attitude, while the dependent variable was tuberculosis transmission prevention behavior. Data were collected using a structured questionnaire and analyzed using univariate and bivariate analyses with a 95% level of significance. The results showed that education level, income, knowledge, and attitude were significantly associated with family behavior in preventing tuberculosis transmission.
Exploring Adolescent Ideas for Designing Reproductive Health Interventions to Prevent Early Marriage and Adolescent Pregnancy Adelina Fitri; Vinna Rahayu Ningsih; Marta Butar Butar; Erny Kusdiah; Ashar Nuzulul Putra; La Ode Reskiaddin
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28699

Abstract

Adolescence is a transitional phase filled with challenges, characterized by social development, attraction to the opposite sex, and vulnerability to risky behaviors. Adolescent pregnancy and early marriage remain global issues, including in Indonesia. Contributing factors include poverty, low levels of education, and inherited cultural practices. These lead to serious consequences such as school dropout, limited educational opportunities, and reduced quality of life, hindering the achievement of Indonesia Emas 2045. This study aims to explore adolescents’ ideas and perspectives regarding existing policies and to design potential interventions. This research employed a qualitative, interpretative approach. The study involved 24 undergraduate students from the Public Health Study Program, Universitas Jambi. Data were collected through Focus Group Discussions (FGDs) and in-depth interviews, analyzed using data reduction, and conclusion drawing. The research findings identified a significant knowledge gap regarding the availability of adolescent-specific reproductive health services (RHS) at universities and health facilities. Although most informants had adequate knowledge about adolescent pregnancy, many were not sufficiently aware of reproductive health services or counseling specifically targeting them. Informants also reported relatively good communication with their parents, particularly with mothers, while community figures were identified as playing important roles. Young people expect the availability of adolescent-focused health services, more effective communication with parents, especially greater involvement of fathers, and forums bringing together community leaders and adolescents to strengthen preventive efforts.
Calon Ayah Berdaya dan Bahagia: Cegah Depresi, Kecemasan, dan Stres Dalam Kehidupan Berkeluarga Adelina Fitri; Ashar Nuzulul Putra; Marta Butar Butar; Beny Rahim; Luri Mekeama
BINAKES: Jurnal Pengabdian Kesehatan Masyarakat Vol 6 No 1 (2025): Jurnal Binakes
Publisher : Poltekkes Kemenkes Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35910/binakes.v6i1.1204

Abstract

Kesehatan mental ayah sering dianggap sebelah mata meskipun peran ayah sangat penting dalam keluarga dan tentunya juga memiliki risiko mengalami depresi, kecemasan, dan stres, terutama setelah kelahiran anak. Peran ayah lebih dari sekadar pencari nafkah. Kehadiran ayah dalam kehidupan keluarga mempengaruhi perkembangan anak dan keharmonisan keluarga. Pengabdian masyarakat ini berfokus pada mengedukasi mahasiswa laki-laki sebagai calon ayah untuk mempersiapkan menghadapi peran masa depan mereka. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesiapan calon ayah untuk mencegah depresi, kecemasan, dan stres dalam kehidupan keluarga. Kegiatan ini dilaksanakan dalam bentuk intervensi pendidikan yang diberikan kepada 21 mahasiswa laki-laki dari Program Studi Kesehatan Masyarakat Universitas Jambi. Kegiatan ini menggunakan metode ceramah dan diskusi, dengan desain pre-test dan post-test untuk mengukur perubahan pengetahuan peserta. Hasil penelitian menunjukkan peningkatan skor pengetahuan rata-rata peserta yang signifikan, yaitu dari 88,25 pada pre-test menjadi 94,29 pada post-test. Tes Wilcoxon mengkonfirmasi bahwa peningkatan ini signifikan secara statistik (p = 0,001), menunjukkan bahwa intervensi edukasi meningkatkan pengetahuan siswa laki-laki tentang peran ayah dalam keluarga. Pendidikan Calon Ayah Berdaya dan Bahagia secara signifikan meningkatkan pengetahuan dan kesiapan calon ayah dalam menghadapi peran sebagai seorang ayah di kemudian hari.
Analisis Faktor Risiko Diabetes Melitus Tipe 2 pada Remaja Menggunakan Finnish Diabetes Risk Score (FINDRISC Rizka Aprilliana Sari; Rd. Halim; Ashar Nuzulul Putra; Marta Butar Butar
Jurnal Penelitian Sains dan Kesehatan Avicenna Vol 5 No 2 (2026): Jurnal Penelitian Sains dan Kesehatan Avicenna
Publisher : Lembaga Penelitian Dan Pengabdian Kepada Masyarakat (LPPM), Institut Teknologi Dan Kesehatan (ITK) Avicenna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69677/avicenna.v5i2.380

Abstract

Latar Belakang: Diabetes Melitus (DM) merupakan penyakit tidak menular dengan angka kematian tinggi di dunia. Remaja sebagai penentu kualitas hidup di masa depan rentan terhadap gaya hidup tidak sehat yang meningkatkan risiko kejadian DM tipe 2. Tujuan: Penelitian ini bertujuan menganalisis faktor risiko dari risiko kejadian DM tipe 2 pada remaja SMA di wilayah kerja Puskesmas Pakuan Baru tahun 2026. Metode: Penelitian ini menggunakan metode oservasional analitik dengan pendekatan potong lintang (Cross-sectional). Sebanyak 183 siswa dilakukan skrining awal, dan 139 responden memenuhi kriteria analisis setelah proses data cleaning. Responden diwawancarai dengan kuesioner utama yaitu Finnih Diabetes Risk Factors (FINDRISC). Hasil: Hasil menunjukkan sebanyak 75,5% responden memiliki risiko DM tipe 2 yang sangat rendah dan sebanyak (24,5%) responden memiliki risiko DM tipe 2 yang sedikit meningkat-sangat tinggi. Dari hasil uji statistik bivariat Chi-Square didapat bahwa ada hubungan Jenis Kelamin (p-value 0,016 dan PR 2,21 (95% CI 1,19-4,10)), Pendapatan Orang Tua (p-value 0003 dan PR 3,01 (95% CI 1,41-6,45)), IMT (p-value 0,000 dan PR=5,45 (95% CI 3,02-9,83)), Lingkar Pinggang (p-value 0,000 PR= 16,25 (95% CI 7,40-35,7)), riwayat gula darah tinggi (p-value 0,045 dan PR= 3,27 (95% CI 1,71-6,22)), dan riwayat keluarga (p-value 0,000 dan PR= 2,98 (95% CI 1,67-5,35)). Sedangkan faktor yang tidak memiliki hubungan dengan risiko DM tipe 2 adalah Aktivitas Fisik (p-value 0,812 dan PR=0,878 (95% CI 0,49-1,57)) dan Konsumsi Sayur dan Buah (p-value 0,389 dan PR=1,45 (95% CI 0,71-2,94)). Kesimpulan: Faktor yang berhubungan dengan risiko kejadian DM tipe 2 adalah jenis kelamin, pendapatan orang tua, IMT, lingkar pinggang, riwayat gula darah tinggi dan riwayat keluarga. Sementara itu, aktivitas fisik dan konsumsi sayur dan buah tidak menunjukkan hubungan.
Determinan Kejadian Obesitas Sentral pada Remaja di SMAN 4 Kota Jambi Imelda Agustin; Marta Butar Butar; Ashar Nuzulul Putra; Adelina Fitri
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.9335

Abstract

Central obesity is a condition of excess fat accumulation in the intra-abdominal area, particularly in visceral tissue. This study aims to analyze the determinants of central obesity in adolescents at SMAN 4 Jambi City. This study was an observational analytical study with a cross-sectional design. The population was all active students. The study sample consisted of 172 respondents with sample selection carried out using purposive sampling. Data analysis was performed using the chi square test. The results showed that socioeconomic status [p-value=0.007; PR=2.08 (95% CI: 1.13-3.82)], physical activity [p-value=0.000; PR=1.98 (95% CI: 1.41-2.78)], consumption of risky foods [p-value=0.000; PR=3.75 (95% CI: 1.62-8.67)], vegetable/fruit consumption [p-value=0.020; PR=2.02 (95% CI: 1.02-3.99)], emotional mental disorders [p-value=0.000; PR=3.02 (95% CI: 1.97-4.62) and emotional eating [p-value=0.001; PR=1.93 (95% CI: 1.30-2.85). Factors that were not related to the incidence of central obesity in adolescents were gender [p-value=0.921; PR=0.98 (95% CI: 0.67-1.41)] and smoking status [p-value=0.195; PR=1.30 (95% CI: 0.88-1.91)]. There is a significant relationship between socioeconomic status, physical activity, consumption of risky foods, consumption of vegetables/fruits, emotional mental disorders and emotional eating with the incidence of central obesity.
Factors Associated with JKN Premium Payment Compliance Among PBPU Participants in Jambi City Leni Novita Sari; Dwi Noerjoedianto; M Ridwan M Ridwan; Budi Aswin; Ashar Nuzulul Putra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i10.685

Abstract

Introduction: Compliance with National Health Insurance premium payments is essential for ensuring the sustainability of Indonesia's health insurance system. However, many independent participants fail to pay premiums on time. Objective: This study aimed to identify factors associated with premium payment compliance among Non-Wage Recipient Participants in Jambi City. Method: A quantitative cross-sectional study was conducted among 106 participants selected through random sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05. Results and Discussion: Employment, knowledge, income, payment method, history of catastrophic disease, perceptions of healthcare services, and family support were significantly associated with premium payment compliance. Participants with stable employment, better knowledge, higher income, convenient payment methods, positive healthcare service perceptions, a history of catastrophic disease, and stronger family support were more likely to comply with premium payments. These findings indicate that compliance is influenced by multiple socioeconomic, behavioral, and healthcare-related factors. Conclusion: Strengthening health education, improving healthcare service quality, expanding accessible payment channels, and increasing family support may enhance premium payment compliance and contribute to the sustainability of the National Health Insurance program
Factors Associated With Work Fatigue Among Fire Department Officers In Jambi City Ramadhani Hidayatullah; David Kusmawan; Silvia Mawarti Perdana; Budi Aswin; Ashar Nuzulul Putra
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): Vol 5. No. 2 JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.1041

Abstract

Work fatigue is an occupational health issue that can reduce productivity, elevate the risk of workplace accidents, and threaten worker safety, particularly in high-risk occupations such as firefighting. This study examined the factors associated with work fatigue among officers of the Jambi City Fire Department, covering age, length of service, body mass index, smoking habits, workload, sleep quality, and heat exposure. A cross-sectional quantitative design was applied, involving all officers who met the inclusion criteria through a total sampling technique, yielding 192 respondents. Data were collected using standardized questionnaires and analyzed through univariate and bivariate chi-Square tests at a significance level of 0.05. The findings showed that 86.5% of respondents experienced a high level of work fatigue. No significant association was found between age (p=0.145), length of service (p=0.099), or body mass index (p=0.509) and work fatigue, whereas smoking behavior (p=0.018; PR=1.163), workload (p=0.025; PR=1.154), sleep quality (p=0.001; PR=1.218), and heat exposure (p=0.019; PR=1.195) were significantly associated with it. These four factors are therefore the main determinants of work fatigue among firefighters, and the institution is expected to design interventions addressing sleep management, workload distribution, smoking-cessation support, and heat-exposure control in the workplace.
Analisis Potensi Bahaya Menggunakan Metode Job Safety Analysis pada Bagian Produksi Tahu di Pabrik Tahu Agung Kuningan Kecamatan Muara Bulian Vioni Kinaya; Willia Novita Eka Rini; Ashar Nuzulul Putra; Budi Aswin
PubHealth Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Edisi Juli
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v5i1.1732

Abstract

  Industri tahu merupakan usaha pangan skala kecil yang memiiki berbagai potensi bahaya setiap tahapan produksinya. Aktivitas yang melibatkan panas, alat kerja, lantai licin, dan pekerjaan manual berulang dapat meningkatkan risiko kecelakaan kerja  apabila tidak disertai penerapan keselamatan dan kesehatan kerja yang baik. Oleh karena itu, tujuan dari penelitian ini untuk mengidentifikasi serta mencegah berbagai potensi bahaya yang mungkin timbul dengan menerapkan metode JSA pada bagian produksi tahu di Pabrik Tahu Agung Kuningan. Penelitian ini menggunakan pendekatan kualitatif dengan menggunakan metode Job Safety Analysis (JSA). Pengumpulan data dilakukan melalui observasi, wawancara mendalam serta dokumentasi pada pekerja di Pabrik Tahu Agung Kuningan. Analisis dilakukan dengan mengidentifikasi tahapan pekerjaan, potensi bahaya, risiko yang dapat terjadi, serta upaya pengendalian yang dapat diterapkan. Potensi bahaya ditemukan pada setiap tahapan produksi tahu, dimulai dari persiapan bahan baku kedelai, perendaman, pencucian, penggilingan, perebusan, penyaringan dan pembiangan, pencetakan hingga pemotongan. Potensi bahaya yang ditemukan meliputi risiko terpleset, luka bakar, cedera akibat alat kerja, dan postur kerja yang tidak ergonomis. Upaya pengendalian melalui rekayasa teknis, pengendalian administratif, dan penggunaan APD diidentifikasi sebagai langkah utama untuk menurunkan risiko tersebut, namun penerapannya masih belum optimal. Penelitian ini menunjukkan bahwa diperlukan peningkatan penerapan keselamatan kerja yang lebih sistematis dan terstruktur untuk mengurangi kecelakaan. Dengan demikian, penerapan analisis bahaya secara menyeluruh dapat menjadi dasar perbaikan sistem kerja yang lebih aman pada industri skala mikro.
Co-Authors . Asparian, . Abi Harianto Adelina Fitri Adilla Desta Ainun Nazmi Hasibuan Ajeng Tri Yani Safitri Al Qohiyulan Tiar Alvin Maha Syagar Amelia, Deva Andi Husna Andi Yusman Andree Aulia Rahmat Andy Amir Angel Graceta Sitepu Angel Sitorus Anggita Basauli Arnati Wulansari Arnild Augina Mekarisce Astrid Mei Heza ATTIYA ISTARINI Azzuhdi, Fadhel Alim Beny Rahim Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Sanrus Butar Butar, Marta Butar, Marta Butar Butar, Marta Butar Chendy Yugu Tanca David Kusmawan David Kusmawan Delta Intan Putri DinaMarthaFitri1 ErnyElviany2 Dwi Noerjoedianto Emilia Septina Enzelina Rosiana Tampubolon Erny Kusdiah Fajrina Hidayati Fajrina Hidayati Fajrina Hidayati Farah Luthfiyah Putri Susanto Fharin Asroyan Gaol, Miranda Lumban Halim, Rd. Hasya Fariha Hendra Dhermawan Sitanggang Hendra Dhermawan Sitanggang Herwansyah Herwansyah Herwansyah Hoirunnisa Sabilah Hubaybah, Hubaybah Imelda Agustin Ismi Nurwaqiah Ibnu Jayatri, Alya Artika Keke Susilowati Sholehah La Ode Reskiaddin Leni Novita Sari Lessmana , Oka Lisa Trina Arlym Luri Mekeama M Ridwan M Ridwan M. Dicky Dermawan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M.Ridwan Maijon Jumpatua Purba Marta Butar Butar Muhammad Rifqi Azhari Muhammad Syukri Mutia Fadilla Asyifa Mutiara Asrie Dravika Najmi Qalami Hadist Nasution, Helmi Suryani Ningsih , Vinna Rahayu Ningsih, Vina Rahayu Nora Jenniririn Nainggolan novita, willia Nugroho, Purwo Setiyo Oka Lesmana Oka Lesmana Oka Lesmana S Oka Lesmana, Oka Pratiwi, Dessy Puspita Sari Puspita Sari Puspita Sari Putri, Fitria Eka Rahim, Beni Rahim, Beny Rahmat, Andree Auiia Ramadhani Hidayatullah Ramadhani, Muhammad Ridho Rd. Halim Rd. Halim Regina, Agave Resti Evita Sari Ria Rizky Rini, Willia Novita Eka Rizka Aprilliana Sari Rodhiyah, Zuli Roma Yuliana Romanti Simbolon S, Oka Lesmana Sadila, Andi Samsidar Samsidar Sasra Juwita Satifa Dayanti Putri Shandy Tri Winata Silfa Amalia Silvia Mawarti Perdana Silvia Mawarti Perdana Tari Indah Lestari Tiara Zudiannisa Usi Lanita Vebby Markorolina Vinna Rahayu Ningsih Vinna Rahayu Ningsih, Vinna Rahayu Vioni Kinaya Wilia Novita Eka Rini Witri Zuama Qomarania Wiwin Astry Pasaribu Yoiko Suci Pyar Restu Zilzikridini Wijayanti