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Hearty : Jurnal Kesehatan Masyarakat
Published by Universitas Ibn Khaldun Bogor
ISSN : 23387475     EISSN : 26207869     DOI : 10.32832/hearty
Core Subject : Education,
Other
Hearty: Jurnal Kesehatan Masyarakat (ISSN:2338-7475 & e-ISSN:2620-7869) is published semiannual by Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor.
Arjuna Subject : -
Articles 421 Documents
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DELAYS IN HEALTH INSURANCE CLAIMS AT A THIRD-PARTY ADMINISTRATOR (TPA) PT. XYZ IN 2024 Wulandari, Reny Yulita; Purnamawati, Dewi
HEARTY Vol 13 No 4 (2025): AGUSTUS
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i4.20409

Abstract

Third-Party Administrators (TPA) play a crucial role in managing health insurance claims. However, delays in claim processing remain a major issue that negatively affects customer satisfaction. This study aims to describe the occurrence of delayed health insurance claims at one TPA in Indonesia in 2024. A descriptive quantitative approach was used, analyzing 442,279 secondary claim records to determine the frequency, type, and underlying causes of delayed claims. The findings revealed that 34% of all claims were classified as pending. Most pending claims involved outpatient and cashless services. The leading cause of the delay was incomplete documentation (55%), followed by invoice revisions and further claim investigations. These delays were largely attributed to unresolved administrative issues. Improving claim service quality in TPA requires the implementation of digital processing systems, enhanced staff competencies, and real-time document monitoring mechanisms.
BREAKFAST HABITS, ALLOWANCE, AND NUTRITIONAL STATUS IN RELATION TO MENSTRUAL IRREGULARITIES AMONG HIGH SCHOOL STUDENTS AT SMAN 1 NGAMPRAH Putri, Intan Rahmadina; Prameswari, Fajria Saliha Puspita; Fitrianingsih, Asti Dewi Rahayu; Astuti, Widya
HEARTY Vol 13 No 4 (2025): AGUSTUS
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i4.20916

Abstract

Menstrual cycle disorders are a prevalent health issue among adolescent girls and may be influenced by lifestyle factors and nutritional status. This study aimed to examine the association between allowance, breakfast habits, energy adequacy, protein adequacy, fat adequacy, and nutritional status with menstrual cycle disorders among female students at SMAN 1 Ngamprah. A cross-sectional analytical survey was conducted involving 90 students selected through proportional random sampling. Data were collected using questionnaires, 2×24-hour dietary recalls, and anthropometric measurements. The study found a higher prevalence of menstrual cycle disorders among students with above-average allowances, regular breakfast habits, and insufficient intake of energy, protein, and fat. These disorders were also more common in students experiencing both undernutrition and overnutrition. The study concludes that economic factors and nutritional intake are significantly associated with menstrual cycle regularity. Educational interventions promoting balanced diets and effective financial management are recommended as prevention strategies for menstrual cycle disorders among adolescents.
THE RISK FACTOR ANALYSIS OF UPPER ACUTE RESPIRATORY INFECTION IN TODDLERS Rafifah, Firyal Najla; Fauziah, Henny; Tihardimanto, Andi
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20071

Abstract

According to 2016 data from the World Health Organization (WHO), 5.6 million children perished, with acute respiratory infections (ARI) accounting for 16% of these fatalities. As of now, the incidence of Acute Respiratory Infections (ARI) in Indonesia is at 93,260 cases, whereas the global mortality rate attributable to ARI in 2018 was 896,000 children under five years old. The study aimed to identify the risk factors for upper acute respiratory infections in toddlers at Ananda Makassar Hospital and to ascertain the most predominant risk variables for such infections. This research employs an observational analytic methodology utilizing a case-control approach. The purposive sampling technique involved 292 samples, comprising 146 case samples and 146 control samples, derived from medical record data. The results indicated that the Chi-Square derived p-value for age was 0.034 (p<0.05), for gender was 0.16 (p>0.05), for nutritional status was 0.01 (p<0.05), for exclusive breastfeeding history was 0.000 (p<0.05), and for birth weight was 0.094 (p>0.05). Additionally, the multiple regression analysis yielded an odds ratio of 0.641 for the nutritional status variable. This study concludes that a strong link exists between age, nutritional status, and exclusive breastfeeding history with the prevalence of ARI at Ananda Hospital Makassar, where the predominant risk factor for ARI is the nutritional state of toddlers.
SYSTEMATIC JOURNAL REVIEW (SJR): CURRENT MANAGEMENT OF PREURICULAR FISTULA WITH AND WITHOUT ABSCESS Christanto, Antonius
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20440

Abstract

Preauricular fistula is a congenital anomaly that may lead to recurrent infections and abscess formation. Its management typically involves a combination of antibiotic therapy and surgical interventions, such as tract excision or a supra-auricular approach, which have been shown to reduce recurrence rates. However, a standardized clinical consensus regarding the optimal treatment method remains lacking. This systematic review aims to identify the most effective diagnostic and therapeutic strategies based on the latest scientific evidence to assist clinicians in managing these cases optimally. This study employed the Systematic Journal Review (SJR) method to critically appraise the scientific literature concerning the management of preauricular fistulas, both with and without abscess formation. A structured approach following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was used, with data sourced from reputable databases including PubMed, Scopus, ScienceDirect, and Google Scholar. Articles were selected based on stringent inclusion and exclusion criteria through a stepwise process, from keyword search to full-text appraisal, yielding 27 eligible studies for comprehensive analysis. Findings from this review emphasize the importance of complete fistula tract excision to prevent recurrence, highlighting various surgical techniques such as hidden incisions and local skin flaps that enhance both aesthetic and clinical outcomes. Standardized procedures, including the use of magnification and methylene blue dye, are also considered essential to ensure complete excision. Nevertheless, limitations such as study heterogeneity, small sample sizes, and lack of controlled trials restrict the strength of conclusions and meta-analytic synthesis. Therefore, further research with robust design, larger sample sizes, standardized protocols, and the inclusion of negative findings is necessary to strengthen the evidence base for preauricular fistula management.
ANESTHETIC MANAGEMENT OF A PREGNANT PATIENT WITH WOLFF PARKINSON WHITE SYNDROME UNDERGOING CAESARIAN SECTION Wirahadi, Dhanu Enggar; EM, Tjahya Aryasa; Labobar, Otniel Adrians
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20442

Abstract

Abnormal electrical conduction via an auxiliary channel (Kent's Bundle) causes Wolff-Parkinson-White (WPW) syndrome, a congenital cardiac preexcitation disease that can result in symptomatic and sometimes fatal arrhythmias. It occurs in 0.9-3% of the general population. Because of changes in hemodynamics, hormones, the autonomic nervous system, and emotions, pregnancy raises the risk of supraventricular tachycardia (SVT). A 29-year-old woman with G2P1001 gestational age 39 weeks, history of Caesarean Section (C-Section) 1 time with WPW Syndrome and history of SVT underwent C-Section and tubectomy with low dose spinal anesthesia. The patient has a history of palpitations and the EKG shows WPW pattern. Vital signs, physical examinations and laboratorium findings within normal limits. Echocardiography with the results of normal cardiac chamber dimensions, global normokinetic, Ejection Fraction 68%, normal diastolic function, normal right ventricle contractility TAPSE 2.0 Cm, valves within normal limits, ERAP 8 mmHg, Interatrial and interventricle septum impression intact, no PDA seen. This patient, diagnosed with WPW syndrome at moderate risk due to a history of SVT, could not undergo ablation due to limited facilities and pregnancy contraindications. Bisoprolol was used for treatment of transient palpitations. Preoperative fluids achieved a diuresis target of 1.1 cc/kg/hour to avoid hypovolemia and tachycardia. Regional anesthesia was chosen for cesarean section to reduce sympathetic activity, with careful attention to preventing high-level blocks. A subarachnoid block with low-dose bupivacaine (7.5 mg) and fentanyl (25 mcg) provided stable hemodynamics and effective anesthesia. A healthy baby was delivered with an APGAR score 8/9, and postoperative analgesia was optimized. Regional anesthesia is the choice for c-section with WPW syndrome, the use of low doses of bupivacaine heavy combined with adjuvant fentanyl produces good quality block with rapid onset and without hemodynamic instability.
IMPACT OF ULTRA-PROCESSED FOOD CONSUMPTION ON THE RISK OF OBESITY IN THE PRODUCTIVE AGE GROUP - LITERATURE REVIEW Azzahra, Salsabila; Rachman, Helwa; Krismawanti, Agisna Rafa; Nurul Azizah, Nazhifa; Pasaribu, Christiani; Ariyanto, Januar
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20459

Abstract

Consumption of UPFs continues to increase with the development of the food industry and urbanization. UPFs are high in calories, fat, sugar, additives, and low in nutrients. Excessive intake of these foods leads to an energy surplus in the body, which can trigger fat accumulation and increase the risk of obesity. This study aims to examine the relationship between UPF consumption and the risk of obesity in productive-age Indonesians. This study employed a qualitative method through a literature review, analyzing scientific articles related to UPF and obesity in productive age groups from 2020 to 2025. The literature was searched online, selected based on inclusion criteria, and analyzed descriptively and qualitatively using a thematic approach. The study results show that most studies found a significant association between UPF consumption and an increased risk of obesity. Factors contributing to high consumption of ultra-processed foods among those of productive age include easy access, attractive packaging, delicious taste, low price, and convenient preparation. Psychological factors such as the reward system and dopamine play a role in regulating eating behavior and may encourage UPF consumption. High consumption of UPF is a major risk factor for obesity in the productive age group. Nutrition education, regulation of UPF product promotion, strengthening of labeling policies, and increased access to healthy foods are needed to reduce UPF consumption and reduce the prevalence of obesity in the productive age group.
RISK FACTORS ASSOCIATED WITH THE OCCURRENCE OF TB IN HOUSEHOLD CONTACTS BASED ON SCREENING TESTS IN THE WORKING AREA OF THE KENARILANG PUBLIC HEALTH CENTER, TELUK MUTIARA DISTRICT, ALOR REGENCY Djahari, Yohanes; Weraman, Pius; Syamruth, Yendris K.; Roga, Anderias Umbu
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21107

Abstract

Tuberculosis (TB) is one of the diseases with a high mortality rate in the world. Based on the Global Tuberculosis Report 2022, TB ranked 13th as the highest cause of death worldwide in 2019. TB transmission occurs through the air (airborne disease) increasing the possibility of infection to people who are physically close to TB patients, including those living in the same house. The infection rate can increase with the length of contact/exposure to TB patients. The possibility of TB bacteria to infect will increase when the immune system decreases, making humans susceptible to TB bacterial infection. This study aims to analyze the risk factors associated with the occurrence of TB in household contacts based on screening tests in the working area of the Kenarilang Community Health Center, Teluk Mutiara District, Alor Regency in 2023. The type of research is observational analytic using a cross-sectional design. Technique simple random sampling and sample as much as 157 respondents. Instrument study use questionnaire and use test Chi Square And regression multiple logistic (p=0.05).. The results of the study showed that factors related to the incidence of TB in household contacts were knowledge (p=0.001), attitude (p=0.001), availability of information (p=0.001), and residential density (p=0.001). Meanwhile, those that were not related were phlegm removal behavior (p=0.575) and cough etiquette (p=0.330). The factor most related to the incidence of TB was the level of knowledge (PR 98.4). The community, in this case, household contacts of TB, need to improve their knowledge and understanding of the dangers, prevention, and control of TB by accessing health information through health workers, print, and electronic media. The government needs to increase public knowledge by intensively promoting health about TB prevention through direct counseling and health promotion media.
ASSOCIATION BETWEEN INFANT SEX AND BIRTH WEIGHT WITH STUNTING Suhaid, Dewi Novitasari; Kadarsih, Mitra; Dini, Kusuma; Anggraeni, Lina Dewi; Wardani, Dyah Woro Kartiko Kusumo
HEARTY Vol 13 No 3 (2025): JUNI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i3.21180

Abstract

Stunting remains a pressing global health issue, particularly in low- and middle-income countries, where early-life risk factors significantly influence growth trajectories. Among these, infant sex and birth weight are frequently examined as predictors of impaired linear growth. This study aimed to analyze the association between infant sex and birth weight with the incidence of stunting among children aged 6–59 months. A cross-sectional study was conducted involving 127 children aged 6–59 months from “x” village at north sumatera. Stunting was defined according to the World Health Organization growth standards (height-for-age z-score < -2 SD). Independent variables included infant sex (male or female) and birth weight categorized as low birth weight (LBW < 2,500 g) or normal (2,500 – 4,000 g). Chi-square tests were used to assess associations, with statistical significance set at p < 0,05. The prevalence of stunting in the study population was 34,6%. Birth weight demonstrated a statistically significant association with stunting (p = 0,048). Among children with low birth weight, 66,7% were stunted compared to 22,3% among those with normal birth weight. In contrast, infant sex was not significantly associated with stunting (p = 0,094), although a higher proportion of male children (43,6%) were stunted compared to females (27,8%). Low birth weight is significantly associated with an increased risk of stunting in early childhood. Infant sex was not a statistically significant factor in this study. These findings highlight the critical need for antenatal interventions targeting maternal nutrition to prevent low birth weight and reduce the risk of stunting.
THE RELATIONSHIP BETWEEN STRESS LEVELS AND SMOKING BEHAVIOR IN UIN NORTH SUMATERA MEDAN TUNTUNGAN STUDENTS Rambe, Siska Rahmadani; Sa’adah, Naila; Hidayah, Nurul; Amanda, Dea; Wahyudi, Wahyudi
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20417

Abstract

Smoking is one of the most serious public health problems in Indonesia, which affects people of all ages, especially among university students. Various psychological factors are often associated with college students smoking habits, one of which is stress. Stress can come from various sources, such as academic pressure, financial problems, or worries about the future. This study aims to analyze the relationship between stress levels and smoking behavior in UIN North Sumatra Medan Tuntungan students. This type of research uses a quantitative approach with a case control design, with sampling techniques using accidental sampling involving 80 respondents consisting of 40 student smokers and 40 student non-smokers. Data were collected using a standardized questionnaire that had been tested for validity and reliability to measure stress levels and smoking behavior. Bivariate data analysis was conducted using chi square test. The results showed that 23 respondents (57%) from the case group were 21 to 24 years old, and 25 respondents (62.5%) from the control group were 17-20 years old. It was found that most respondents were at a moderate level of stress in the case group and control group. Where as many as 30 respondents (75%) in the case group, and 32 respondents (80%) in the control group. The conclusion of this study is that statistically there is no significant relationship between stress levels and smoking behavior in UIN North Sumatra Medan Tuntungan students, with the results of the chi square test showing a p value of 1.0 (p>0.05).
EARLY DETECTION OF CHILD DEVELOPMENT AND GROWTH AGES 3-72 MONTHS IN CIHIDEUNG, TASIKMALAYA CITY Irawan, Gusthine Almeera; Nabila, Alfika; Anis, Nur; Annisa, Maulida Nur; Saputri, Ririn Oktaviani; Qonita, Qonita
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.20464

Abstract

Early childhood is a critical period of rapid development encompassing physical, cognitive, emotional, social, and sensory functions. This study aims to provide an overview of the growth and development of children aged 3 to 72 months in the Cihideung District, Tasikmalaya City. A descriptive qualitative approach with an observational design was employed. The study involved 30 children selected based on age criteria and parental consent. Data collection techniques included direct observation, anthropometric measurements, completion of the Pre-Screening Developmental Questionnaire (KPSP), and visual and auditory function assessments for children aged 4 to 6 years. The results indicate that most children were developing in accordance with their expected developmental milestones. A small proportion of children required further attention to ensure optimal development. In terms of growth, the majority of children demonstrated good nutritional status, although a few cases of height or weight not aligning with standard references were observed. Sensory assessments revealed that some children experienced difficulties with vision or hearing. These findings highlight the importance of regular early detection efforts and the active involvement of both families and professionals.

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