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Electronic Journal Scientific of Environmental Health And Diseases
Published by Universitas Jambi
ISSN : -     EISSN : 27744337     DOI : https://doi.org/10.22437/esehad.v2i1.13733
Core Subject : Health, Education, Social,
Education Environmental Science Health Professions Medicine & Pharmacology Public Health
Eletronic Journal e-SEHAD “Scientific of Environmental Health And Diseases” diterbitkan sejak bulan Desember Tahun 2020 oleh Pusat Unggulan Ipteks (PUI) Perguruan Tinggi FKIK Universitas Jambi. Terbit dua kali setahun bulan Desember dan Juni. Focus And Scope: 1. Kesehatan Lingkungan 2. Penyakit-Penyakit Berbasis Lingkungan 3. Kesehatan Masyarakat 4. Pendidikan Kedokteran
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 74 Documents
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HPV DNA Testing in Cervical Cancer Screening: Challenges, Opportunities, and Future Directions Aurora, Wahyu Indah Dewi; Dwiza, Mutiara
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.41351

Abstract

Background: HPV DNA testing is increasingly recommended as a primary method for cervical cancer screening due to its high sensitivity and strong ability to detect high-risk HPV infections associated with cervical cancer. However, implementation remains challenging in many settings, particularly in low- and middle-income countries, due to health system, economic, and sociocultural barriers. This narrative review highlights key challenges, opportunities, and future directions for HPV DNA testing in cervical cancer screening programs. Methods: A narrative review was conducted by searching PubMed, Scopus, and Google Scholar, complemented by relevant guidelines and reports from international organizations such as the World Health Organization (WHO). Keywords included HPV DNA testing, cervical cancer screening, primary HPV screening, self-sampling, and implementation barriers. The evidence was synthesized thematically to summarize major barriers, innovative strategies, and future perspectives. Results: HPV DNA testing offers superior sensitivity compared with cytology and VIA, enabling earlier detection of precancerous lesions and allowing longer screening intervals. Major challenges include limited laboratory capacity, high costs, supply chain constraints, insufficient workforce training, weak referral and follow-up systems, and sociocultural factors such as stigma and low screening acceptance. Key opportunities include HPV self-sampling to expand screening coverage, risk-based triage using HPV genotyping to reduce unnecessary referrals, and digital health integration to improve tracking, monitoring, and continuity of care. Conclusion: HPV DNA testing has strong potential to strengthen cervical cancer screening and support elimination efforts, but successful scale-up requires addressing system-level barriers, ensuring sustainable financing, improving follow-up pathways, and expanding equitable access through innovations such as self-sampling and risk-based strategies.
Effectiveness of Local Supplementary Feeding on Improving Nutritional Status in Malnourished Children Ega Benita; Sugianti, Ratna; Kusdiyah, Erny
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.41355

Abstract

Background: Malnutrition is a deficiency, excess or imbalance in a person's energy and/or nutritional intake. Based on the 2022 Indonesian Nutrition Status Survey (SSGI), the prevalence of wasting in toddlers is 7.7% and stunting in toddlers is 21.6%. Providing Supplementary Food (PMT) made from local food is one of the strategies for handling nutritional problems in toddlers and pregnant women. Objective: To determine the impact of providing local supplementary feeding (PMT) on cases of undernutrition and severe malnutrition in the working area of Olak Kemang Public Health Center from October 2024 to January 20. Method: This study is descriptive method and uses a mixed-method approach, consisting of interviews and questionnaires. Interviews were conducted with the head of the Olak Kemang Public Health Center, nutrition officers and mothers of toddlers. The questionnaire was given to mothers of toddlers whose children experienced weight stagnation and malnutrition. Result: From 25 respondents and interviews with the head of Olak Kemang public health center and nutrition officers, several factor were identified as contributing to impact of providing local supplementary feeding on malnutrition in the working area of Olak Kemang Public Health Center. These include the increase in weight-for-age (W/A) in toddlers receiving supplementary feeding (PMT) was not significant compared to the increase in weight-for-height (W/H) based on Olak Kemang Health center reporting and recording data. Conclusion: The study found that the prioritized issue was the increase in weight-for-age (W/A) in toddlers receiving supplementary feeding (PMT) was not significant compared to the increase in weightfor-height (W/H).
Optimizing Health Service Efficiency Through Public Satisfaction and Waiting Time Analysis at Public Health Center Sri Syaida Ariska; Jammin, Maria Inge; Fertitura, Yulinda
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.41387

Abstract

Background: Public health centers are integral to providing accessible healthcare services, particularly in local communities. Ensuring public satisfaction with these services is critical to building trust and improving service delivery. This study aims to assess public satisfaction with registration counter services at the Public Health Center, identify key challenges, and propose solutions to enhance service quality. Method: This study aims to utilize a quantitative approach by collecting primary data through structured questionnaires administered to patients visiting the General Clinic and registration counter in December 2024. Secondary data were obtained from previous satisfaction reports and integrated health center records. The data were analyzed using a Likert scale to measure satisfaction levels and identify key problem areas. Result: The overall public satisfaction index was calculated at 80.46%, categorized as good. However, several challenges were identified, particularly regarding long waiting times at the registration counter and difficulties in using the newly implemented online registration system. The lowest satisfaction scores were recorded for “Access to Online Services” (76.33%) and “Service Time” (76.06%). Contributing factors included limited staff availability during peak hours, insufficient training for both staff and patients on the online system, and inadequate physical infrastructure, such as overcrowded waiting areas and insufficient seating. Conclusion: Addressing operational inefficiencies and optimizing online registration systems can significantly improve public satisfaction. Recommendations include increasing staff availability, providing training on the online system, and enhancing physical infrastructure. Regular evaluations and continuous improvements are necessary to maintain high-quality service delivery.
Issues and Challenges in the Detection of Suspected Tuberculosis Cases in Rawasari Public Health Center, Jambi City Aglen, Siti Setya Sari; Nuriyah; Haqquefitria, Rati Nurul
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.41401

Abstract

Background: Based on WHO data, Indonesia occupies the second highest position in the world  for TB burden. Finding TB cases is the first step in TB control activities. Finding and curing infectious  TB patients can significantly reduce morbidity and mortality due to TB. The high rate of TB case  discovery is related to the achievement of TB suspect discovery. The higher the  achievement of finding TB suspects, it is hoped that the greater number of positive TB cases found will be. Method: This study uses a descriptive method with primary and secondary data collection at the  Rawasari Health Center, Jambi City. The data was processed manually and analyzed the content  with the selected problem solving brainstorming method, then an activity pro posal plan and monitoring and evaluation were carried out. Result: The discovery of TB suspect cases by Rawasari Health Center from Januari to December  2024, with a target of 1.015 people, reached only 255 people (25.1%) and the discovery TB cases with target of 209 people reached only 42 people (20.09%). Of the 40 patient respondents who  visited the Rawasari Community Health Center, Jambi City in December 2024, 27 people (67.5%)  had a good level of knowledge and 31 people (77.5%) had a good level of attitude. Conclusion: In this study, it was found that the priority problem was the lack of discovery of TB cases with the most dominant cause being TB screening is still lacking by officers from various clusters.
Efforts to Detect Suspected Pulmonary Tuberculosis Cases Challenges and Strategies Oxalis, Siti Chalista Zaisha; Sugianti, Ratna; Kusdiyah, Erny
Scientific Of Environmental Health and Diseases Vol. 5 No. 1 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.43135

Abstract

Background: Early detection of suspected pulmonary tuberculosis (TB) cases is essential to reduce transmission and improve treatment outcomes. However, case detection efforts at the community level may be limited by various individual and service-related factors. Objective: This study aimed to analyze factors associated with efforts to detect suspected pulmonary TB cases in the working area of Olak Kemang Public Health Center in 2024. Methods: An analytical observational study with a cross-sectional design was conducted among 120 respondents living in the health center coverage area. Data were collected using a structured questionnaire covering sociodemographic characteristics and factors related to TB suspected-case detection efforts. Univariate analysis was used to describe respondent characteristics, and bivariate analysis using the Chi-square test was applied to assess the association between independent variables and detection efforts, with a significance level of p < 0.05. Results: The majority of respondents were female (62.5%) and aged 25–44 years (48.3%). Bivariate analysis showed that education level (p=0.006), exposure to TB-related information (p=0.001), knowledge about TB (p<0.001), attitude toward TB screening (p<0.001), access to health services (p=0.002), and perceived stigma (p<0.001) were significantly associated with efforts to detect suspected pulmonary TB cases. Meanwhile, sex (p=0.458) and age (p=0.291) were not significantly associated with detection efforts. Conclusion: Efforts to detect suspected pulmonary TB cases were strongly influenced by modifiable factors including education, information exposure, knowledge, attitude, service accessibility, and stigma. Strengthening TB health education, expanding community outreach, improving access to services, and reducing stigma are recommended to enhance early detection and support TB control programs.
Health Awareness And Youth Empowerment Program In The Digital Era Fitriyanti; Harahap, Huntari; Humaryanto, Humaryanto; Amalya Nasution, Riska; Nofrianda, Rion; Dwi Puspita, Puspa; Eka Putra, Nofrans; Maharini, Indri; Kalsum, Ummi; Aswin, Budi
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.50935

Abstract

Background: The fast-paced digital era presents unique challenges to youth health, including gadget addiction, a lack of clean and healthy living behaviors (PHBS), and the risk of bullying. This community service aimed to enhance health awareness and empower children of Indonesian migrant workers (PMI), parents, and teachers at the PPWNI Klang, Selangor, Malaysia, to foster a healthy and smart generation in the digital age. Method: The research employed a community-based approach, involving initial coordination with the partner and using interactive lectures and direct practice for the training. The core activities included psychoeducation sessions on mitigating gadget addiction, PHBS, and bullying, alongside basic health checks. Evaluation and monitoring were conducted using pre- and post-training questionnaires and behavioral observation. The target participants included PMI children, parents, and teachers. Result: From 48 participants attended the basic health checks, which revealed an average cholesterol level of 205.85, a blood glucose average of 107.23, and a uric acid average of 7.05. The findings indicate a prevalence of hypercholesterolemia among the participants. Conclusion: The program is relevant to the research objectives and is expected to reduce bullying rates, increase PHBS awareness, and promote more controlled use of gadgets. This collaboration with PPWNI Klang demonstrates a commitment to forging a healthy, strong, and smart younger generation capable of navigating the digital era.
The Relationship Between Knowledge Level and Attitudes Towards HIV/AIDS Prevention Among Public High School Students Mahendra, Mhd Habib Dwi; Nuriyah; Erny Kusdiyah; Rina Nofri Enis
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.51122

Abstract

Background: Human immunodeficiency virus (HIV) is an infection that attacks the immune system, specifically white blood cells called CD4 cells. Acquired Immunodeficiency Syndrome (AIDS) is the final stage of HIV infection, which occurs when the immune system is severely damaged by the virus. The purpose of this study was to determine the relationship between knowledge levels and attitudes toward HIV/AIDS prevention behavior. Method: This study employed a descriptive design with a cross-sectional approach. The sample was obtained through random sampling, with a total of 502 respondents from grade 11 of public high schools in Jambi City. Data were analyzed using univariate and bivariate methods using the chi-square test. The research instrument used a structured questionnaire. Results: Of the 502 respondents, 119 students (51.1%) had a moderate to poor level of knowledge, while 170 students (33.9%) had a good level of knowledge. Regarding attitudes, 107 students (21.3%) showed fair to poor attitudes, and 177 students (35.3%) had good attitudes. There was a significant relationship between the level of knowledge and attitudes and HIV/AIDS prevention behavior among public high school students in Jambi City in 2024 (p < 0.001). Conclusion: The majority of students have less-moderate knowledge, mostly positive attitudes, but good behavior is still low, so educational intervention is needed to improve students' knowledge, attitudes and behavior.
Empowering Posyandu Cadres For Pneumonia Prevention: Smoking Exposure And Oximeter Training Harahap, Huntari; Hanina; Enis, Rina Nofri; aurora, Wahyu Indah Dewi; Asty, Zahra Frizki
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.51438

Abstract

Background: Pneumonia remains a major cause of morbidity among toddlers in Indonesia, with household exposure to cigarette smoke acting as a significant and preventable risk factor. Posyandu cadres play a crucial role in community-based child health services; however, their capacity to screen environmental risks and perform early detection of respiratory compromise is often limited. Center, Simpang Kawat Community Health Center, and Paal X Community Health Center in 2024. This community service program aimed to strengthen the knowledge and practical skills of Posyandu cadres in pneumonia prevention through smoking exposure screening and pulse oximeter training Method: A community-based intervention with a pre-test and post-test design was conducted among 20 Posyandu cadres in the working area of the Olak Kemang Community Health Centre, Jambi City. The intervention consisted of interactive health education on secondhand and thirdhand smoke, a humanistic approach using case-based discussions, hands-on training in pulse oximeter use, and the introduction of a household smoking exposure screening tool. Changes in cadres’ knowledge were evaluated using structured questionnaires administered before and after the intervention. Results: The average knowledge score increased from 65% at baseline to 86% after the intervention, representing an absolute increase of 21 percentage points and a relative improvement of 32.31%, exceeding the predefined success criterion of a ≥20% increase. Conclusion: The program was effective in enhancing Posyandu cadres’ understanding of smoking-related health risks and their ability to perform early hypoxia detection using pulse oximetry. Strengthening cadre capacity through integrated and practical training may support community-based pneumonia prevention and promote healthier, smoke-free environments for toddlers
The Analysis of Factors Influencing Medication Adherence Behavior Among Pulmonary Tuberculosis Patients Afifa Rakfi, Nur; Indah Dewi Aurora, Wahyu; Marhami Iskandar, Mirna
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.51756

Abstract

Background: Pulmonary tuberculosis (TB) remains a major public health problem because poor medication adherence can lead to treatment failure, continued transmission, and drug-resistant TB. Therefore, this study aims to analyze the factors influencing medication adherence behavior among pulmonary tuberculosis patients Methods: This study employed an analytic observational design with a cross-sectional approach involving pulmonary tuberculosis patients undergoing treatment at public health centers in Jambi City, with 105 respondents selected through consecutive sampling. Knowledge, attitudes, and family support were measured using structured questionnaires to assess their association with medication adherence, and data were analyzed using the chi-square test at a significance level of p < 0.05.Results: The findings revealed that more than half of the respondents were not compliant with TB treatment (56.2%). Most participants demonstrated limited knowledge (65.7%) and unfavorable attitudes toward treatment (61%), although a majority reported receiving family support (68.6%). Statistical analysis identified significant associations between medication adherence and knowledge (PR = 4.609; p = 0.000), attitude (PR = 1.722; p = 0.008), and family support (PR = 1.175; p = 0.012). Conclusion: Knowledge, attitude, and family support were significantly related to treatment adherence among pulmonary TB patients in Jambi City in 2024. These results underscore the need for comprehensive TB education initiatives, enhanced communication skills among health workers, and stronger implementation of the DOTS strategy, including digital reminder tools, to improve patient adherence.
The Relationship Between Physical Activity and the Incidence of Diabetes Melitus Nabila Putri, Zahra; Kusdiyah, Erny; William Gading, Patrick
Scientific Of Environmental Health and Diseases Vol. 5 No. 2 (2025): Scientific of Environmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/e-sehad.v5i2.52567

Abstract

Background: The highest prevalence of DM is at the Putri Ayu Community Health Center, Jambi City, with the highest number of DM sufferers who receive standard health services, namely 441 cases in 2022. The aim of this study is to determine the relationship between physical activity and the incidence of Diabetes Mellitus. Method: This study employed a quantitative research method with an analytical case–control study design. Population and Control Population in this study were all DM sufferers in the working area of ​​the Putri Ayu Community Health Center, Jambi City. the of samples in the case group was 90 respondents and the samples in the control group was 90 respondents. The total sample in this study was 180 respondents. Data collection techniques use questionnaires. Data analysis in this research is Univariate Analysis, and Bivariate Analysis uses Chi Square. Result: The largest proportion of gender in the case and control groups was found to be women at 31,1%, the majority of ages in the case and control groups were in the early elderly age group (46-55 years) at 20%, the type of work in the case group was found the type of work was 48 housewives (26,7%) and 40 controls (22,2%). The statistical test used was the Chi Square test, resulting in a p-value of 0.000 (p < 0.05) (OR 6.417). Conclusion: This study demonstrates that physical activity is an important factor associated with the incidence of diabetes mellitus in the working area of Putri Ayu Public Health Center, Jambi City, in 2024. Individuals with lower levels of physical activity were found to have a substantially higher risk of developing diabetes mellitus compared to those who engage in higher levels of physical activity. These findings highlight the importance of promoting regular physical activity as part of diabetes prevention and control efforts at the community level. Therefore, increasing regular physical activity in accordance with the recommendations of the American Diabetes Association should be emphasized as an effort to control and prevent diabetes mellitus.

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