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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,
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Hearty: Jurnal Kesehatan Masyarakat (ISSN:2338-7475 & e-ISSN:2620-7869) is published semiannual by Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor.
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Articles 486 Documents
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EVALUATION OF ANEMIA PREVENTION PROGRAMS AND MATERNAL KNOWLEDGE IN KARAWANG Maetuti, Maetuti; Hardiana, Hedy
HEARTY Vol 14 No 1 (2026): FEBARURI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i1.21322

Abstract

Brief background: Anemia in pregnancy is a significant public health issue in Indonesia, with a prevalence of 27.7% in 2023. In Karawang Regency, anemia contributes to the high maternal mortality rate due to hemorrhage. Research objectives: This study aimed to evaluate the implementation of the anemia prevention program and analyze the relationship between pregnant women's understanding and the incidence of anemia at community health centers in Karawang Regency. Methods used: This study used a mixed-method design conducted from April to July 2025 in two community health centers in Karawang Regency. A qualitative approach was used to evaluate the program's input, process, and output components through in-depth interviews with 8 key informants. Concurrently, a quantitative approach with a cross-sectional design was employed to analyze the level of understanding among 120 pregnant women and its association with their anemia status. Summary of results: The qualitative evaluation revealed that program implementation was constrained by the input component (human resources and dedicated budget availability), but the process (iron-folic acid supplementation, maternal classes, ANC) and output (targeting and timeliness) components met the standards. Quantitatively, 68.3% of pregnant women had a good understanding of anemia prevention. Statistical analysis showed a highly significant relationship between maternal understanding and the incidence of anemia (p-value < 0.001), where women with poor understanding had a 3.6 times higher risk of being anemic (PR 3.641; 95% CI 2.244-5.909). Conclusion: Although the technical implementation of the anemia prevention program is adequate, weaknesses in the input aspect and a non-uniform level of understanding remain major challenges. Maternal understanding is proven to be a crucial factor in anemia prevention. Therefore, this study recommends the development of the "SIHAT" (Integrated Anemia Prevention System for Pregnant Women) innovation to strengthen education and service integration.
EVALUATION OF THE IRON AND FOLIC ACID SUPPLEMENTATION PROGRAM AMONG ADOLESCENT GIRLS IN KARAWANG REGENCY, 2025 Sugiharti, Eti; Kusumastuti, Istiana
HEARTY Vol 14 No 1 (2026): FEBARURI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i1.21377

Abstract

Brief background: Anemia remains a major public health issue among adolescent girls in Indonesia, including in Karawang Regency. To address this, the government implemented the Iron Supplementation Program (Tablet Tambah Darah/IFA) in schools through cross-sector collaboration between the Health Office and the Education Office. However, the rate of IFA consumption and reduction in anemia cases remain suboptimal. Research objectives: This study aims to evaluate the implementation of the IFA program for adolescent girls in Karawang based on the components of input, process, and output using SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. Methods used: This is a qualitative study with a descriptive evaluative approach. Informants consisted of representatives from the Health and Education Offices, health center heads, nutrition officers, school principals, and school health teachers (UKS). Data were collected through in-depth interviews, observation, and documentation, and analyzed thematically with SWOT analysis. Summary of results: The findings show that the strengths of the program include policy support, availability of nutrition officers, and integration into the school health program (UKS). Weaknesses include low adherence among students, limited UKS facilities, and inconsistent reporting. Opportunities include national policy support, potential for cross-sector collaboration, and technological advances. Conclusion: Threats include negative stigma toward IFA, dependency on health personnel, and lack of support from some school principals. In conclusion, the IFA program in Karawang is supported structurally, but still faces challenges in implementation and adolescent participation. Strengthening cross-sector coordination and behavior change communication strategies is needed to improve program effectiveness.
CORRELATION BETWEEN HIGH-PURINE DIET PATTERNS AND URIC ACID LEVELS AMONG THE ELDERLY IN PASURUAN REGENCY Setyawan, Yuswanto
HEARTY Vol 14 No 1 (2026): FEBARURI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i1.21814

Abstract

Hyperuricemia is a common metabolic disorder among the elderly and is closely associated with gout, renal impairment, and cardiovascular disease. A high-purine diet is one of the major modifiable factors influencing serum uric acid levels, yet evidence among Indonesian older adults remains limited. This study aimed to examine the correlation between high-purine dietary patterns and serum uric acid levels among elderly individuals in Pasuruan Regency, East Java. A cross-sectional analytic observational design was applied to 120 respondents aged ≥60 years, selected using a simple random sampling technique. Data were obtained through structured interviews, a validated Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), and laboratory testing of serum uric acid levels. The results revealed a moderate positive correlation between the High-Purine Diet Score (HPDS) and serum uric acid concentration (r=0.42; p<0.001). The overall prevalence of hyperuricemia was 23.3%, with the highest proportion (37.5%) observed among participants with high HPDS. The study concludes that higher purine intake is significantly associated with elevated serum uric acid levels in the elderly, emphasizing the need for dietary counseling and public health interventions focused on balanced nutrition in older populations.
THE ROLE OF HBA1C IN CHRONIC KIDNEY DISEASE PROGRESSION IN TYPE 2 DIABETES MELLITUS PATIENTS: A LITERATURE REVIEW Prasetya, Dini Amelia Rahmawati; Prasetya, Fajar Ahmad
HEARTY Vol 14 No 1 (2026): FEBARURI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i1.22507

Abstract

Type 2 diabetes mellitus (T2DM) is a leading cause of chronic kidney disease (CKD), contributing significantly to global morbidity, mortality, and healthcare burden. Glycemic control, primarily assessed by hemoglobin A1c (HbA1c), has traditionally been considered essential for preventing microvascular complications, including diabetic kidney disease (DKD). However, the relationship between HbA1c and CKD progression in patients with established CKD remains complex and controversial, particularly in advanced stages. This literature review, conducted according to PRISMA 2020 guidelines, systematically examined evidence from 10 selected studies (published 2013–2025) exploring the role of HbA1c in CKD progression among patients with T2DM. Studies included observational cohorts, longitudinal analyses, and one review, encompassing diverse populations and CKD stages. Key findings indicate that in early-to-moderate CKD (stages 1–3/4), higher mean HbA1c levels consistently predict faster eGFR decline and increased risk of progression, supporting the benefit of stricter glycemic control in these stages. In advanced CKD (stages 4–5), intensive glycemic control shows limited renal protective effects, with stronger associations observed for reducing cardiovascular events and mortality rather than slowing renal progression. HbA1c variability emerged as an independent predictor of adverse renal outcomes, including microalbuminuria development, non-linear eGFR trajectories, and rapid progression to end-stage kidney disease, potentially mediated by oxidative stress. Additionally, HbA1c reliability decreases in severe CKD due to altered red blood cell turnover and anemia, suggesting the need for alternative markers such as fructosamine. Patient factors, including African-Caribbean ethnicity, further modify these relationships. HbA1c plays a stage-dependent role in CKD progression in T2DM. Clinical management should prioritize individualized, stage-specific targets, emphasize glycemic stability, incorporate alternative monitoring tools in advanced disease, and account for patient-specific risk factors to optimize outcomes while minimizing hypoglycemia risk.
FACTORS THAT AFFECT THE UTILIZATION OF SERVICES BY OUTPATIENTS AT HOSPITALS. TENGKU CHIK DITIRO Kartika, Kartika; Sitepu, Meriahta; Nasution, Ramadhani Syafitri
HEARTY Vol 14 No 1 (2026): FEBARURI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i1.22823

Abstract

The use of health services is the use of service facilities provided, both in the form of outpatient care, hospitalization, and home visits by health workers. This study aims to analyze the factors that affect the utilization of outpatient services at Tengku Chik Ditiro Hospital.This study uses an analytical survey design with a cross-sectional approach. The study population was all outpatients totaling 112 people, with sampling techniques using accidental sampling. Data analysis was carried out univariately, bivariate using chi-square test, and multivariate using logistic regression test with a significance level of α = 0.05.The results showed that of 93 respondents, the majority had a perception of disease in the bad category as many as 47 people (50.5%), a perception of health services in the bad category as many as 56 people (60.2%), and a perception of clinical diagnosis in the good category as many as 63 people (67.7%), The attitude of medical workers in the bad category was 53 people (57.0%), the availability of drugs and medical devices in the bad category was 54 people (58.1%), and the utilization of outpatient services by non-poor patients was 50.8%. The variable that affects the utilization of outpatient services at Tengku Chik Ditiro Hospital is the perception of clinical diagnosis.
THE RELATIONSHIP BETWEEN THE DIGITALIZATION OF THE RADIOLOGY SERVICE SYSTEM AND THE PATIENT SATISFACTION LEVELS AT PKU MUHAMMADIYAH YOGYAKARTA HOSPITAL Kuncara, Evrin Isna Nur; Sulistyawati, Sulistyawati; Rosyidah, Rosyidah
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.18747

Abstract

Digitalization in radiology services aims to enhance efficiency and facilitate easier access for patients. However, its implementation can elicit various responses from users. This study examines the relationship between the digitalization of radiology services and patient satisfaction levels. A quantitative analytic cross-sectional design was employed, involving 100 respondents selected incidentally from a population of 1,055 regular radiology patients. Data were analyzed using univariate and bivariate methods with the chi-square test at a 5% significance level. The results demonstrated a significant relationship between digitalization in terms of accessibility and patient satisfaction concerning product quality (p = 0.000) and service quality (p = 0.004). Meanwhile, digitalization related to efficiency showed no significant effect on satisfaction regarding product quality (p = 0.100), but was significantly associated with service quality (p = 0.040). These findings indicate that digitalization of radiology services has a significant impact on patient satisfaction, particularly through improved accessibility influencing both product and service quality, as well as efficiency affecting service quality. This underscores the importance of optimizing digital systems to improve the overall quality of healthcare services.
THE EFFECT OF SNAKES AND LADDERS GAME MEDIA COUNSELING IN IMPROVING STUDENTS' UNDERSTANDING OF THE VECTOR OF DANGUE HEMORRHAGIC FEVER IN SD NEGERI X KUTALIMBARU DELI SERDANG) Nanda, Meutia; Sibuea, Alya Az Zahra; Rahmadhani, An’nas Tasya; Gunawan, Muhammad Khair; Hasanah, Uswataul
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.20820

Abstract

Dengue fever is a global health problem that remains a serious threat, especially in tropical countries like Indonesia. Children are the most vulnerable group to DHF infection due to an imperfect immune system and limited knowledge in prevention efforts. This study was conducted to determine the effect of counseling using snakes and ladders game media in improving student understanding. This study used a quantitative approach with a one group pre-test post-test design that aims to determine the difference in values between before and after counseling. The sample in the study amounted to 60 respondents with total sampling formula. Based on the results of the study, there is an effect of counseling using snakes and ladders game media to improve students' understanding of dengue disease vectors, this can be seen from the P-value of 0.000 <0.05 which indicates a significant difference between before and after counseling. With this activity can be influenced to increase knowledge of dengue disease prevention.
SPATIAL ANALYSIS OF DENGUE HEMORRHAGIC FEVER CASES IN RELATION TO POPULATION DENSITY IN BANDAR LAMPUNG CITY Ramayudha, Kurnia; Perdana, Agung Aji; Sari, Nurhalina; Nuryani, Dina Dwi
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21446

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant public health burden in Indonesia, particularly in densely populated urban areas. Bandar Lampung City is classified as an endemic region, with fluctuating case numbers each year. This study aims to analyze the relationship between population density and the distribution of DHF cases using a spatial analysis approach. A cross-sectional ecological design was employed. Secondary data were obtained from the Lampung Provincial Health Office regarding DHF cases and from the Central Bureau of Statistics regarding population density. The analysis involved Pearson’s correlation test to examine the association between population density and case numbers, as well as spatial mapping using QGIS 3.4.11 to illustrate distribution patterns. The findings revealed that DHF cases occurred not only in highly populated areas but also in subdistricts with moderate population density, particularly where the larva-free index (LFI) was low. Correlation tests demonstrated a significant negative relationship in 2022 (r = –0.341; p = 0.049) and 2023 (r = –0.327; p = 0.043), while the result for 2021 was not statistically significant (r = –0.276; p = 0.061). This study concludes that population density is not the primary determinant of DHF incidence. Environmental conditions, sanitation, and community behavior appear to play a more substantial role in disease transmission within Bandar Lampung City.
RISK FACTOR ANALYSIS OF PREDIABETES COLLAGE STUDENTS AT THE UNIVERSITAS PENDIDIKAN INDONESIA Ramadhan, Muhamad Jehan; Astuti, Widya; Rosdiana, Delita Septia; Kumalasari, Isti
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21451

Abstract

Prediabetes is a condition in which blood plasma glucose levels are higher than normal, but still lower than diabetes mellitus levels. This study aimed to determine the factors influencing the occurrence of prediabetes among students at the Indonesia University of Education. The research used a case-control design with a quantitative approach, involving 82 participants selected through purposive sampling, consisting of 41 individuals in the case group and 41 in the control group. Data were obtained through interviews using a structured questionnaire for respondent characteristics and physical activity, SQ-FFQ to assess the consumption pattern of sweet foods and drinks, and measurements of blood glucose levels and nutritional status using a glucometer, weighing scale, and stadiometer. Data analysis was conducted using Chi-Square and logistic regression tests. The habit of consuming sweet foods and beverages showed a significant association with prediabetes (p-value = 0.014), with a six times higher risk of prediabetes. Peer influence had an effect on prediabetes (p-value = 0.021) with a five times higher risk. Physical activity was associated with prediabetes (p-value = 0.045) with a four times higher risk. Nutritional status was associated with prediabetes (p-value = 0.001) with a 26 times higher risk. These findings indicate that the causes of prediabetes among students at the Indonesia University of Education are the habit of consuming sweet foods and drinks, peer influence, physical activity, and nutritional status. Nutritional status is the greatest risk factor causing prediabetes.
SANITATION OVERVIEW OF SALT PROCESSING IN OEBELO VILLAGE, KUPANG REGENCY Klau, Maria Septyani; Sahdan, Mustakim; Geghi, Cathrin W. G.; Setyobudi, Agus
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21465

Abstract

Sanitation plays a crucial role in salt processing to ensure the quality and safety of salt for consumer consumption. Salt processing conducted under high sanitation standards has a positive impact on the quality of the salt produced. This study aims to investigate the sanitation condition of salt processing in Oebelo, Kupang Regency. The research design is descriptive observational with a survey approach. The sample size consists of 31 salt-processing household in Oebelo. The result of the study indicate that all 31 salt production facilities in Oebelo Village, Kupang Regency, meet the health standards for salt processing sanitation. The variables that fall under category of meeting health standards include location and enviroment; production equipment; water supply/facilities for water provision; employee health and hygiene; maintenance anda sanitation hygiene programs; and storage. The variables categorized as not meeting health standards are building and facilities; and hygiene and sanitation facilities and activities.

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