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AloHA International Journal of Health Advancement (AIJHA)
Published by Alliance of Health Activists
ISSN : -     EISSN : 26218224     DOI : https://doi.org/10.33846/aijha
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Aloha International Journal of Health Advancement (AIJHA) is a media for the publication of articles on research, book review, literature review, commentary, opinion, case report, tips, scientific news and letter to editor in the areas of health science and practice such as public health, medicine, dentistry, nursing, midwifery, nutrition, pharmaceutical, environmental health, health technology, medical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 219 Documents
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Book Review: A Guide in Conducting Basic Research Bahtiar Bahtiar; David Ackah; Pius Weraman
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 7 (2025): July 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60701

Abstract

Beginner researchers and health students need guidebooks to be able to carry out basic research well, so basic research guidebooks are very important. This study aims to review a basic research guidebook. The review is carried out using a systematic method including a summary of the book, advantages, disadvantages and suggestions for improvement. The results of the review show that in general this guidebook is good, but there are still shortcomings in terms of structure, information and lack of examples. It is concluded that this book is very important and needs to be updated immediately to eliminate existing deficiencies. Keywords: basic research; guide book; beginner researcher; health student
Chitosan from Gonggong Snail Shells to Reduce Iron (Fe) Levels in Dug Well Water in Andana Residence Housing, Batu IX Village, Riau Islands Hevi Horiza; Iwan Iskandar; Mutia Yuhesti
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 8 (2025): August 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60802

Abstract

Dug well water often contains organic and inorganic components, including various dangerous metals that are commonly found in it, such as iron (Fe). Therefore, this research aimed to determine the combination of aeration and filtration methods using chitosan from gonggong shells to reduce Fe levels in dug well water in the Andana Housing Complex, Tanjungpinang City. This research implemented a pre-experimental design. Water samples were obtained from 10 dug wells in the Andana Housing Complex, Tanjungpinang City. The samples were treated with a combination of aeration and filtration methods using chitosan from gonggong shells. Before and after treatment, physical conditions of the water were observed and laboratory tests were carried out to measure Fe levels. After treatment, it was discovered that the smell, color and taste disappeared. Meanwhile, there was also a decrease in Fe levels of 80.95% for gonggong snail shell chitosan with a thickness of 1 cm, 84.93% for a thickness of 3 cm, and 98.33% for a thickness of 5 cm. It was concluded that the combination of aeration and filtration methods using chitosan from gonggong shells was effective in improving the physical conditions of water and reducing Fe levels in water. Suggestions for further research include: improving this research by adding other media to reduce Fe levels or combining it with filtering media and other methods. Suggestions for the community to process chitosan from gonggong snail shells in water treatment containing Fe and offer the government to socialize the use of chitosan filtration from gonggong snail shells. Keywords: dug well; Fe; gonggong snail shell; chitosan
Testing the Effectiveness of Herbal Mouthwash Made from Betel Leaves and Kalamansi Orange Iwan Iskandar; Hevi Horiza; Mutia Yuhesti
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 8 (2025): August 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60803

Abstract

The oral cavity is the most complex and easily accessible site for microbial colonization in the human body. Teeth, gingiva, tongue, and buccal mucosa have different surfaces for microbial colonization. To reduce microbes in the oral cavity, medicinal plants can be used. Medicinal plants that can be utilized include Betel Leaves and Kalamansi orange. Betel leaves are well-known in Indonesian society not only for their traditional consumption but also for their widespread availability throughout Indonesia. The study aimed to develop a new mouthwash candidate using organic materials without the addition of alcohol compounds. This research was a laboratory experimental study, involving the preparation of betel leaf extract, the production of Betel Kalamansi Mouthwash (Sirkala), and testing the Betel Kalamansi Mouthwash (Sirkala) against two types of bacteria, Streptococcus mutans and Bacillus cereus, compared to the patented Listerine mouthwash. The stages include organoleptic testing and data processing. The expected outcome of this research is the development of an alcohol-free mouthwash made from organic materials. Microbiological effectiveness test results show that the herbal mouthwash formula Sirkala can effectively eliminate the target bacteria Streptococcus mutans, with a killing ability of up to 99.999% at contact times of 10, 15, and 20 seconds. This is comparable to the results of testing Listerine mouthwash widely available in the market. However, based on testing against Bacillus cereus, the herbal mouthwash formulation Sirkala is unable to eliminate the target bacteria like Listerine mouthwash. Keywords: efficacy testing; herbal mouthwash; betel leaf; calamansi orange
The Smart Spin Wheel Educational Game Tool (ROPTAR) is an Alternative Screening Media Child Development Rita Yulifah; Tri Johan Agus Yuswanto
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 8 (2025): August 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60804

Abstract

Children are human resource assets. To become a quality asset, it needs to be prepared from an early age for both growth and development. Stimulation, Detection, Early Growth and Development Intervention (SDIDTK) is one of the efforts to improve the quality of children by monitoring to optimize children's development regularly and periodically from an early age. Development monitoring is carried out using the standard Pre-Screening Development Questionnaire (KPSP). The use of KPSP during and as a result of the development of KPSP in the form of an Android application is one-way, so that children, parents and the user community are passive. This research is development research (research and development) which aims to develop a standardized child development assessment instrument, namely KPSP and determine the feasibility of development results. This research uses a prototype development model. Data collection used a questionnaire sheet, expert testing was carried out by two people, namely a growth and development specialist and a media expert, data analysis was descriptive. The development of a standardized instrument is based on the form, number of questions and algorithm. The results of development research are educational game products whose suitability has been tested by experts and by product users. Evaluation of development trial results: 1) the form of the 8 components has an overall average of 91% in the good category, 2) the content of the addition of 9-10 questions to 12 questions, 3) the algorithm of the 6 evaluation components with a minimum score of 87 and a maximum score of 92 is considered positive. The average development quality results according to users in terms of functionality, efficiency and usability were 93.33% in the good category. The effectiveness test results obtained were p=0.001 (p < 0.005). So it can be concluded that the development of the Pre-Developmental Screening Questionnaire (KPSP) in the form of an educational game tool is suitable for use as a tool to help monitor children's growth and development. Keywords: development; pre-screening questionnaire; smart spin wheel educational game tool (ROPTAR)
How to Interpret Categorical Data in Health Research? Heru Santoso Wahito Nugroho; Sanglar Polnok; Joel Rey Ugsang Acob; Abdullah Al Mamun; Rafif Naufi Waskitha Hapsari; Rozan Asyrofi Rakyan Risang Aji; Bahtiar Bahtiar; Arief Budiono; Handoyo Handoyo; Hery Koesmantoro; Sunarto Sunarto; Teta Puji Rahayu; Nimsi Melati; Retno Vivi Intening; Suparji Suparji; N. Surtinah; Tri Wahyuni Ismoyowati; Tanko Titus Auta
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 8 (2025): August 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60805

Abstract

In health research, many categorical variables are found that must be analyzed using descriptive statistical methods, then interpreted. Currently, there are still many health researchers who interpret categorical variable data in the health sector in the same way as social research in general, namely focusing on the categories with the largest proportions. In fact, for health research, researchers should focus on the expression of unexpected categories. Therefore, this should be a concern for the health research community, especially in the campus environment as the first place for students and health researchers to study and apply various types of health research. This is an urgency, so that the quality of health research can be immediately improved, especially in terms of data interpretation. It was concluded that there were many errors in interpreting categorical variable data in the health sector, so this had to be anticipated from the time of education on campus. Keywords: health research; categorical variables; data interpretation; unexpected category
The Advantages of Factor Analysis as a Method of Testing Questionnaires in Health Research Heru Santoso Wahito Nugroho; Abdullah Al Mamun; Tanko Titus Titus Auta; Bahtiar Bahtiar; Sanglar Polnok; Joel Rey Ugsang Acob; Hammad Hammad; I Putu Suiraoka; Ragu Harming Kristina
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 9 (2025): September 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60901

Abstract

Questionnaires are a data collection method that is widely used in health research. Nowadays, the validity test that is often used to assess the quality of questionnaires is the item-total correlation test. This study aims to introduce another method that is often said to be better by experts, namely factor analysis. When compared with item-total correlation analysis, factor analysis has the advantages of: 1) it can reveal the latent structure of the variables being measured; 2) can capture multivariate variations; 3) can test construct validity, namely whether the questionnaire is able to measure concepts or constructs theoretically; 4) can determine how many factors are needed to explain the variance in the data. It was concluded that taking into account its advantages, factor analysis is the best choice for testing the validity of questionnaires in health research. Keywords: health research; questionnaire; validity test; categorical variables; factor analysis
Case Report: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity Rheinanda Inez Syagita Cinantya; Triana Septianti Purwanto; Sulikah Sulikah; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Wound dehiscence is a complication of cesarean section that can delay wound healing and increase the risk of infection. Obesity is an important risk factor because impaired tissue perfusion may slow the healing process. This case report aimed to describe the provision of comprehensive midwifery care for a postpartum woman with obesity who experienced wound dehiscence following cesarean section. A descriptive case report design was used involving a 41-year-old postpartum woman, P20002, with grade II obesity and cesarean wound dehiscence on postpartum day 20. Care was provided at Taji Public Health Center, Magetan Regency, from January 31 to February 9, 2026, consisting of an initial assessment and three home visits. Midwifery care was provided using the Varney management approach and documented in the SOAP format. Interventions included aseptic wound care, education on self-care, adequate high-protein nutrition, gradual mobilization, proper body mechanics, non-pharmacological pain management, breastfeeding-position education, and regular wound monitoring using the REEDA scale and Numeric Rating Scale (NRS). The wound condition gradually improved, with the REEDA score decreasing from 4 to 0 and pain intensity decreasing from NRS 4 to 0. The wound healed completely without signs of infection, accompanied by improved adherence to wound care, nutritional recommendations, and other advised measures. Comprehensive midwifery care supported wound healing through appropriate wound management, continuous education, nutritional support, gradual mobilization, and regular monitoring.
Factors Associated with Satisfaction with the Implementation of the Free Nutritious Meal (MBG) Program in Public Senior/Vocational High Schools Sugeng Eko Irianto; Salwa Dara B; Dian Utama Pratiwi Putri
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

The Free Nutritious Meal (MBG) Program is one of the government's strategies to improve the nutritional status of school-age children. The success of the program is assessed not only from the technical aspects of its implementation but also from the level of satisfaction among students as beneficiaries. This study aimed to determine the factors associated with satisfaction regarding the implementation of the MBG Program in Public Senior/Vocational High Schools in Bandar Lampung City in 2026. This study employed a cross-sectional design with a quantitative approach. The study population consisted of all 10,730 public senior/vocational high school students receiving MBG in Bandar Lampung City, with a sample of 99 respondents selected through proportional random sampling from eight schools. Data were collected using a closed-ended questionnaire and analyzed univariately, bivariately (chi-square), and multivariately (multiple logistic regression). The results showed that 61 respondents (61.6%) expressed dissatisfaction with the program's implementation. The chi-square test results indicated significant associations between food doneness (p=0.004), cleanliness of eating utensils (p=0.037), menu variety (p=0.018), taste (p=0.049), and food appearance (p=0.000) with satisfaction regarding MBG program implementation. Multivariate analysis showed that food appearance was the most dominant factor associated with satisfaction, with a PR of 8.291 (95% CI 0.487–0.878; p=0.000). It was concluded that food appearance is the dominant factor influencing student satisfaction with the implementation of the MBG Program, so improving the aesthetic and presentation aspects of food should be prioritized in program evaluation.
Case Report: Midwifery Care for Second-Trimester Emesis Gravidarum with Evening-Predominant Symptoms Friska Diah Puspitasari; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70807

Abstract

Emesis gravidarum is common in early pregnancy, typically manifesting as morning sickness and subsiding by 12–16 weeks of gestation. However, persistent symptoms, particularly with evening predominance, may present clinical challenges. This case describes an atypical presentation of emesis gravidarum in the second trimester. This descriptive case report was conducted from January 29 to March 8, 2026, at the Independent Midwife Practice of Mrs. E, Bendo District, Magetan Regency, Indonesia. The subject was a second-trimester pregnant woman experiencing evening-predominant emesis gravidarum. Assessment and documentation used the SOAP approach, supported by structured assessment formats. Informed consent was obtained from the participant. At 20 weeks of gestation, the patient experienced nausea and vomiting 4–5 times daily, accompanied by reduced appetite and mild dehydration. Following four midwifery care visits, nausea decreased and occurred occasionally when exposed to strong odors, while vomiting ceased. Appetite was restored, maternal weight increased, vital signs remained stable, no signs of dehydration were observed, and fetal condition remained within normal limits. The case demonstrates an atypical evening-predominant pattern of emesis gravidarum in the second trimester. Hormonal changes, environmental triggers, and maternal fatigue may contribute to symptom patterns. Combined pharmacological and non-pharmacological interventions supported symptom improvement. Individualized and holistic midwifery care with continuous monitoring and tailored interventions can support maternal and fetal well-being in atypical emesis gravidarum.
Case Report: Type I Obesity Associated with Three-Month Injectable Contraceptive Use at Mrs. “P” Independent Midwifery Practice Refiola Priska Talia; Triana Septianti Purwanto; Agung Suharto; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Type I obesity is a condition of weight gain observed in a user of the 3-month injectable contraceptive, characterized by a Body Mass Index (BMI) of 25–29.9 kg/m². Long-term use (over 10 years) of this contraceptive was associated with a weight gain of 17 kg. This is attributed to the progesterone hormone in DMPA, which increases appetite and affects fat metabolism, thereby contributing to weight gain. The objective was to describe the implementation of midwifery care for a 3-month injectable contraceptive user with Type I obesity. This report employs a case study method focusing on Mrs. E, a user of the 3-month injectable contraceptive with Type I obesity, at the Independent Midwifery Practice (TPMB) of Mrs. "P" in Magetan Regency. Midwifery care was provided over four weeks, involving three nutritional guidance visits facilitated by a midwife; the process included comprehensive assessment, monitoring of weight and BMI, a low-calorie diet, increased physical activity, and counseling regarding hormonal contraceptive use. The comprehensive and continuous midwifery care provided proved successful, resulting in a weight loss of 3 kg. The client's weight gradually decreased from 67 kg to 64 kg over the one-month care period (comprising three sessions), accompanied by reductions in waist circumference and BMI. Periodic monitoring helped control weight gain and prevent obesity-related complications.Through a balanced, low-calorie diet, the client was able to maintain a healthy lifestyle by adhering to balanced nutrition, engaging in regular physical activity, and monitoring weight periodically; these measures prevent the worsening of obesity and the onset of complications.

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