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Adhar Arifuddin
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Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Published by Universitas Tadulako
ISSN : 24078441     EISSN : 25020749     DOI : https://doi.org/10.22487
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) merupakan media komunikasi dan publikasi ilmiah di bidang ilmu kesehatan yang diterbitkan oleh Unit Penjaminan Mutu Fakultas Kedokteran Universitas Tadulako yang. Jurnal ini terbit secara berkala 4 kali dalam setahun (Januari, April, Juli dan Oktober). Jurnal Tadulako Sehat diterbitkan pertama kali pada tahun 2015. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) menerima dan menerbitkan artikel penelitian, tinjauan pustaka dan laporan kasus di bidang kedokteran dan kesehatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 20 Documents
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Search results for , issue "Vol. 11 No. 1 (2025)" : 20 Documents clear
Analysis of Determinants of Puskesmas Drug Availability in South Sorong District Year 2024 Tonglo, Ruhama Utami; Uly, Nilawati; Iskandar, Ishaq; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1516

Abstract

Background: Drug availability at Puskesmas (Community Health Centers) is essential for delivering quality public health services. Multiple factors such as the roles of doctors, pharmaceutical personnel, patients, and drug distributors are thought to influence this availability. Objectives: This study aimed to analyze the determinants affecting drug availability at Puskesmas in South Sorong Regency in 2024. Methods: A quantitative approach was used, with data analyzed through statistical tests including the T-test, F-test, and coefficient of determination to assess both partial and simultaneous effects of the independent variables. Results: The analysis revealed that there were no significant partial or simultaneous effects of the roles of doctors, pharmaceutical personnel, patients, and drug distributors on drug availability (p > 0.05). The coefficient of determination (R²) was 0.153, indicating that only 15.3% of the variation in drug availability could be explained by these factors. Conclusions: The study concludes that the roles of doctors, pharmaceutical personnel, patients, and drug distributors have no significant influence on drug availability at Puskesmas in South Sorong Regency. The low coefficient of determination suggests that other unexamined factors may play a more dominant role in determining drug availability in these health facilities.
Evaluation of Logistics Management for Basic Immunization Vaccines at the Pharmaceutical Installation, South Sorong District Health Office, Southwest Papua Pasaribu, Handara Graha; Uly, Nilawati; Al-Maidin, Achmad R. Muttaqien; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1518

Abstract

Background: Pharmaceutical services are direct and responsible healthcare services aimed at ensuring optimal therapeutic outcomes and improving patients’ quality of life. Pharmaceutical personnel play a crucial role not only in vaccine production but also in the management of vaccine logistics, including storage, distribution, and administration. Vaccination is estimated to prevent two to three million deaths annually from vaccine-preventable diseases such as diphtheria, tetanus, pertussis, and measles across all age groups. Objective: This study aims to evaluate the management of vaccine logistics at the Pharmaceutical Installation of the South Sorong District Health Office in Southwest Papua, Indonesia. Methods: This research employed a qualitative approach using in-depth interviews with key informants and applied inductive thematic analysis to interpret the data. Results: The findings reveal that although vaccine management practices have been implemented adequately, several challenges remain. These include limited internet connectivity, poor road infrastructure, and logistical delays, all of which hinder the efficiency and effectiveness of vaccine distribution. Conclusion: Strengthening infrastructure and improving digital systems are essential to enhancing the effectiveness of vaccine logistics management. Strategic efforts are needed to overcome these operational barriers to ensure consistent and equitable vaccine availability in remote regions
Evaluation of the Leprosy Program Implementation at Teminabuan Health Center, South Sorong District, Using the CIPP Evaluation Model Onim, Florence; Uly, Nilawati; Al-Maidin, Achmad R. Muttaqien; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1527

Abstract

Background: Leprosy is a chronic infectious disease that poses significant challenges and impacts family well-being. In 2023, 75 cases were recorded and treated in South Sorong. Objective: This study aimed to evaluate the implementation of the leprosy program at Teminabuan Health Center using the CIPP (Context, Input, Process, Product) evaluation model. Methods: A descriptive qualitative approach was applied, using observation and in-depth interviews with three key informants. Data validation was conducted through triangulation. Results: Context evaluation showed collaboration between health workers and community cadres in raising awareness and promoting early examination. Input evaluation revealed program management by a designated officer with support from several units but highlighted issues such as limited staff, lack of integrated data systems, and insufficient drug supply. Process evaluation indicated that outreach was done through leaflets and discussions, field screening, and referrals, though stigma and behavior change remained challenges. Product evaluation found that activities included contact tracing, medication monitoring, and referrals, but training for health workers was inadequate. Conclusion: While context and process aspects were satisfactory, input and product components need improvement, particularly in human resources, logistics, and system integration to enhance program effectiveness
The DMF-T Index and Its Association with Preeclampsia in Pregnant Women at the Wonoayu Health Center Dayanti, Marisa Elvi; Cholifah, Siti; Ashari, Tontowi
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1530

Abstract

Background: Preeclampsia is a pregnancy-specific condition marked by hypertension and proteinuria after 20 weeks of gestation, posing risks to both mother and fetus. Poor oral health, indicated by a high DMF-T (Decayed, Missing, and Filled Teeth) index, may contribute to adverse pregnancy outcomes. Objective: To analyze the relationship between the DMF-T index and preeclampsia incidence in pregnant women. Methods: A cross-sectional study was conducted on 81 pregnant women selected through simple random sampling from a population of 417 who received antenatal care at Wonoayu Health Center in 2023. Data from dental and maternity records were analyzed using chi-square tests (a < 0.05). Results: Among respondents, 4 preeclampsia cases were found in the good DMF-T category and 13 in the poor DMF-T category. Statistical analysis showed a significant relationship between DMF-T index and preeclampsia (p = 0.000). Conclusion: Poor dental health, as reflected by a high DMF-T index, is significantly associated with preeclampsia in pregnant women. Strengthening oral health care and further research on its role in pregnancy outcomes are recommended.
The Alignment Between Nursing Students' Field Practices and the Needs of the 2030 HIV/AIDS-Free Era Halitopo, Yoel; Felle, Zeth Roberth; Auparai, Nuriati Sarlota
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1538

Abstract

Background: The involvement of nursing students in field practice needs to be questioned in the era approaching HIV/AIDS-free 20230. Objective: This research aims to determine the correlation between student practices and the field needs of the 2030 HIV/AIDS free program.  Methods: This research used quantitative methods with a correlational design. The population was students from the Jayapura Ministry of Health Polytechnic in Wamena, Papua Mountains province. The sample was 180 nursing students. The dependent variable was the needs of the field in an HIV/AIDS-free era. The independent variable was Student field practice. The research instrument was a questionnaire distributed online using Google Forms. The data was processed using univariate, bivariate, and analyzed using Pearson'n Product Moment with the help of SPSS version 25. Results: The analysis of Pearson's Product Moment show a p-value of 0.000, which means p-value <0.05, which means H0 is rejected. There is an influence between Student field practice and the field needs of the HIV/AIDS 2030-free Era. The Pearson correlation coefficient (r) value is positive 0.830. Conclusion: The study recommended that the association between student field practice and the field needs of the HIV/AIDS 2030-free era is in the 'low/weak' category
Analysis of the Determinants Influencing Treatment Adherence Among Hypertension Patients in South Sorong Regency Salkamal, Salkamal; Adam, Arlin; Iskandar, Muhammad Ishaq; ledia, Ida; Zamli, Zamli
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1555

Abstract

Background: Hypertension is a major risk factor for cardiovascular diseases, driven by lifestyle modernization and its high prevalence. Addressing treatment adherence is crucial for effective management. Objective: This study aimed to analyze the determinants influencing treatment adherence among hypertension patients in South Sorong Regency, with a specific focus on family support. Methods: A quantitative research approach was conducted in South Sorong Regency from May to June 2024. Data were collected through structured questionnaires and analyzed to assess the influence of various factors on treatment adherence. Results: The findings revealed that family support significantly influenced treatment adherence in hypertension patients. In contrast, knowledge, perception, service delivery quality, and patient satisfaction did not show a significant effect on adherence. Conclusion: Family support plays a critical role in enhancing treatment adherence among hypertension patients in South Sorong Regency. To improve adherence, it is recommended to implement family education through counseling at community health centers (puskesmas) and social media, conduct behavior change campaigns, provide family counseling, train health workers to improve service delivery, and strengthen monitoring and evaluation mechanisms for treatment adherence.
Knowledge of HIV/AIDS Among Adolescents in Indonesia: A Systematic Review Alwi, M Akbar; Hamzah, Hadzmawaty; Syarifuddin, Surya; Karlina, Lilis
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1556

Abstract

Background: HIV/AIDS remains a significant public health issue globally, with adolescents being one of the most at-risk groups due to various risky behaviors. Limited access to comprehensive information contributes to the continued transmission of HIV within this age group. Objectives: This study aims to describe the level of knowledge about HIV/AIDS among adolescents in Indonesia. Methods: A systematic review was conducted by examining articles published between 2010 and 2024 that align with the study objectives. Ten relevant studies were identified and analyzed. Results: Among the studies reviewed, four reported that adolescent knowledge of HIV/AIDS was categorized as "good." Three studies indicated a "moderate" level of knowledge, and another three revealed a "poor" level. Conclusions: These findings highlight the ongoing need to enhance comprehensive HIV/AIDS education among Indonesian adolescents. Strategies should include school-based education programs, community outreach utilizing various accessible media, and integration of reproductive health education into the school curriculum.
A Retrospective Comparative Study of Clinicopathological Features in High-Grade and Low-Grade Serous Ovarian Carcinoma Ham, Jonathan; Nasser, Andi S.H.D.; Masadah, Rina; Rauf, Syahrul; Nelwan, Berti J.; Miskad, Upik A; Cangara, Muhammad H; Tawali, Suryani
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1558

Abstract

Backgroud: Ovarian carcinoma is the third most common malignancy in Indonesian women after breast and cervical cancer. Serous ovarian carcinoma is the most frequent subtype, divided into low-grade and high-grade types, each with distinct genetic and biological characteristics. Objective:This study aims to compare the clinicopathological features of high-grade and low-grade serous ovarian carcinoma. Methods: A retrospective cross-sectional study was conducted using 77 paraffin-embedded samples of serous ovarian carcinoma. Clinical and pathological data including age, body mass index (BMI), age at menarche, and parity were collected and analyzed using the chi-square test. Results: Patients aged >50 years accounted for most cases, with 64.3% presenting high-grade serous carcinoma (HGSC). Overweight/obesity was observed in 40.3% of cases. Early menarche (<13 years) was reported in 78%, and 42.7% were multiparous. No significant differences were found in clinical variables between HGSC and low-grade serous carcinoma (LGSC). Histopathologically, HGSC showed more pronounced cytologic atypia, necrosis, and metastasis. Conclusion: High-grade serous carcinoma demonstrates greater aggressiveness compared to its low-grade counterpart. Histopathological assessment plays a critical role in diagnosis, treatment decisions, and prognosis evaluation.
The Role of Tumor Budding as a Prognostic Factor in Colorectal Adenocarcinoma Rianti, Andi Marcha; Miskad, Upik Anderiani; Cangara, Muhammad Husni; Wahid, Syarifuddin; Achmad, Djumadi; Tawali, Suryani
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1586

Abstract

Background: Colorectal cancer is one of the most prevalent malignancies worldwide. Tumor budding has emerged as a potential prognostic indicator in colorectal adenocarcinoma. Objective: This study aimed to analyze the relationship between tumor budding and histopathological grade, lymphovascular invasion, and lymph node metastasis in colorectal adenocarcinoma, and to assess the potential of tumor budding as a prognostic factor. Methods: A cross-sectional study was conducted using 93 colorectal adenocarcinoma samples. The association between tumor budding and histopathological grade, lymphovascular invasion, and lymph node metastasis was evaluated using the Chi-square and Mann-Whitney tests. Results: Among the 93 samples, a significant difference in tumor budding scores was found between cases with and without lymphovascular invasion (p = 0.003). However, no significant association was observed between tumor budding scores and histopathological grade (p = 0.685) or lymph node metastasis (p = 0.092). Additionally, a significant correlation was found between lymphovascular invasion and lymph node metastasis (p < 0.001). Conclusion: Tumor budding may serve as an important prognostic factor in colorectal adenocarcinoma, particularly in its association with lymphovascular invasion
Characteristics of ER, PR, HER2 and Ki67 Expression in Invasive Breast Cancer Patients at RSUP Dr. Wahidin Sudirohusodo, Makassar 2021-2023 Rahmawani, Surya; Nelwan, Berti J; Miskad, Upik Anderiani; Cangara, Muhammad Husni; Sungowati, Ni Ketut; Yamin, Amalia; Aslam, Muhammad; Mardiati, Mardiati
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 1 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i1.1589

Abstract

Background: Invasive breast carcinoma is the most common type of breast cancer among women globally, with high mortality. In Indonesia, it ranks first based on Globocan 2020 data. Objective: To determine the expression of prognostic and predictive markers—Estrogen Receptor (ER), Progesterone Receptor (PR), HER2, and Ki67—in breast cancer cases at RSUP Wahidin Sudirohusodo. Methods: A descriptive study was conducted on 71 samples from 2021–2023. Data on age, histopathologic grade, and marker expression (HER2, ER, PR, Ki67) were analyzed. Samples were stained and examined microscopically. Chi-square tests were performed using SPSS version 27. Results: Among the 71 samples, 47.89% were from patients aged < 50 years and 52.11% from those >/ 50. Grade 2 was most common (59.15%). HER2 expression was negative in 59.15% of samples, ER positive in 83.10%, PR positive in 67.61%, and Ki67 expression was low in 52.11%. Conclusion: Most cases showed negative HER2 and positive ER/PR expression with low Ki67, indicating the relevance of hormonal receptors and proliferation rate as prognostic indicators. These markers are crucial for prognosis and treatment planning in breast carcinoma.

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