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Fandro Armando Tasijawa
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Karya Kesehatan Siwalima
Published by Universitas Kristen Indonesia Maluku
ISSN : 28288408     EISSN : 28288181     DOI : https://doi.org/10.54639/kks.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Karya Kesehatan Siwalima (KKS) is a peer-reviewed scientific journal committed to the dissemination of knowledge, research findings, and evidence-based practices in the field of health sciences. The journal aims to advance interdisciplinary perspectives and promote innovative approaches to improving health outcomes at the individual, family, and community levels, both nationally and globally. KKS serves as a scholarly platform for academics, researchers, practitioners, and policymakers to publish high-quality original research articles, systematic reviews, case studies, and theoretical analyses that contribute to the advancement of health sciences and the development of healthcare services. The journal places strong emphasis on research-based practice, community-oriented interventions, and the integration of science, technology, and humanistic care in addressing contemporary health challenges. In particular, Karya Kesehatan Siwalima highlights the importance of contextual and culturally sensitive approaches, especially within archipelagic and multicultural settings such as Indonesia, while maintaining relevance within the broader global health discourse. The journal also supports the achievement of the Sustainable Development Goals (SDGs), especially those related to health and well-being, through the publication of empirical studies, innovative models, and conceptual frameworks. Managed by the Faculty of Health, Universitas Kristen Indonesia Maluku, Karya Kesehatan Siwalima publishes articles derived from both research projects and community service activities. These works encompass a wide range of themes, including health education, counseling, community engagement and socialization programs, as well as evaluations of development initiatives, survey-based studies, and experimental research in the health sector.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 24 Documents
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Search results for , issue "Vol. 4 No. 2 (2025): September" : 24 Documents clear
Effect of Acupressure Therapy on Low Back Pain among Third-Trimester Pregnant Women Ningsih, Ermaya Sari Bayu; Erlina, Yuli; Hartini, Dina; Malinti, Grace Evelyn
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1843

Abstract

Low back pain during pregnancy is defined as pain occurring in the lumbar region, specifically above the sacrum, which may radiate to the legs and increase the risk of low back pain in subsequent pregnancies. This study aimed to determine the effect of acupressure therapy on low back pain among third-trimester pregnant women at Mitra Sehat Clinic, Pabuaran, in 2025. This study employed a quantitative analytical approach with a pre-experimental one-group pretest–posttest design without a control group. The sampling technique used was purposive sampling, involving 30 pregnant women. Data were collected from primary and secondary sources, and the instrument used was a pain scale measurement. Data were analyzed using a paired t-test. The results showed that before receiving acupressure therapy, 22 participants (73.4%) experienced severe low back pain. After the intervention, 19 participants (63.4%) demonstrated a reduction in pain intensity to a moderate level. In conclusion, acupressure therapy has a significant effect on reducing low back pain among third-trimester pregnant women. Pregnant women are encouraged to maintain their health during pregnancy, participate in maternal health classes, and undergo acupressure therapy twice a week to prevent low back pain.
An Overview of Electronic Medical Record Completeness in the Management of Fracture Patients Ginting, Arjuna; Boris, Jey; Pasaribu, Angelia
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1651

Abstract

Medical records are comprehensive documents that provide detailed information throughout a patient’s hospitalization. The quality of a medical record is determined by its accuracy, completeness, validity, and timeliness. This study aimed to evaluate the completeness of electronic medical records for fracture patients at Santa Elisabeth Hospital, Medan. Samples were selected using simple random sampling and Slovin’s formula. Data analysis focused on patient identity sheets, anamnesis, informed consent forms, and medical resumes. The review of medical record completeness from January to December 2024 revealed 100% completeness for patient identity sheets, 90.8% for anamnesis, and 98.7% for medical resumes. In contrast, informed consent forms had a notably low completeness rate of only 19.7%, particularly in sections requiring patient or family signatures and administrative authorization. These findings highlight the need for targeted improvements, especially in completing informed consent forms, to meet the standards for optimal medical record quality.
The Improvement of Elderly Health through the Utilization of Posyandu at Rumberu Public Health Center Paunno, Magdalena; Djurumana, Yohana; Titarsole, Clara
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1652

Abstract

Elderly individuals are characterized by a decline in biological functions, which can manifest through physical symptoms, including reduced cognitive abilities. Therefore, accessible healthcare facilities are essential to provide routine health examinations for older adults. The utilization of the Elderly Posyandu (Integrated Health Post) at Rumberu Public Health Center remains notably low, influenced by various factors. The aim of this community service activity was to provide education and guidance on the importance of the Elderly Posyandu and its utilization at Rumberu Public Health Center. The findings indicate that many elderly individuals have not yet accessed the Elderly Posyandu, and available facilities remain limited. Strengthened collaboration among health cadres and the provision of adequate facilities are expected to enhance the utilization of Elderly Posyandu services at Rumberu Public Health Center.
Cerdik: Screening for Non-Communicable Disease at The Amaory Landfill, Passo Benteng Karang Village Wuritimur, Pollan Versilia; Soakakone, Minnalia
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1653

Abstract

Non-communicable diseases (NCDs) pose a significant global health challenge. Diabetes mellitus (DM) and hyperuricemia are among the most prevalent non-communicable diseases in Indonesia. Screening is a process to identify both pre- and post-diseases. The purpose of this community service is to detect non-communicable diseases early through blood glucose and hyperuricemia tests. The results of this screening activity indicate that some individuals still have abnormal blood glucose and uric acid levels. This screening is expected to facilitate the early detection of diabetes mellitus (DM) and hyperuricemia, enabling timely treatment and contributing to a healthier and more productive society.
The Relationship Between Sedentary Lifestyle and the Risk of Type 2 Diabetes Mellitus in Generation Z Nurdina, Nurdina; Harli, Kurnia; Wabula, Irfan
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1655

Abstract

Approximately 90% of diabetes cases in Indonesia are classified as type 2 diabetes mellitus (T2DM). In Indonesia, particularly among Generation Z, sedentary lifestyles are becoming increasingly prevalent. The primary aim of this study was to examine the association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z. A cross-sectional design was employed, with 135 respondents selected through purposive sampling. The study participants were undergraduate students from the 2023 cohort of the Accounting Study Program, Faculty of Economics, University of West Sulawesi. Data were collected using the Adolescent Sedentary Activity Questionnaire (ASAQ) and the Finnish Diabetes Risk Score (FINDRISC). The findings revealed that 101 respondents (74.8%) demonstrated a high sedentary lifestyle, while 5 respondents (3.7%) exhibited a high risk of developing type 2 diabetes mellitus. Results from the Chi-square test indicated a p-value of 0.861, which is greater than ? = 0.05, suggesting that there is no significant relationship between sedentary lifestyle and the risk of type 2 diabetes mellitus in Generation Z. In conclusion, this study found no significant association between sedentary lifestyle and the risk of type 2 diabetes mellitus among Generation Z.
Analysis of Traders’ Knowledge Level on Formalin Detection in Fresh Fish at Tavip Market Binjai City Sibarani, Adinda Azima Riskiya; Ashar, Yulia Khairina
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1665

Abstract

Formalin is a prohibited food additive due to its harmful effects on human health. An inspection conducted by the Indonesian Food and Drug Authority (BPOM) in North Sumatra at Tavip Market, Binjai City, found the presence of formalin in several types of fresh fish being sold. The low level of traders’ knowledge regarding the dangers of formalin is believed to be one of the main factors contributing to its use in fresh fish. This study aimed to analyze the association between traders’ knowledge levels and the presence of formalin in fresh fish at Tavip Market, Binjai City. A quantitative approach with a cross-sectional design was employed. The study population consisted of all 32 fresh fish traders at Tavip Market, selected using a total sampling technique. Data were collected through a validated questionnaire to measure traders’ knowledge levels and laboratory testing using the spot test method to detect formalin in fish. Data analysis was conducted using Fisher’s exact test. The results revealed a significant association between traders’ knowledge levels and the presence of formalin in fresh fish (p-value = 0.021). Low knowledge levels were found to increase the risk of formalin use in fresh fish. Continuous education and intensive supervision by relevant authorities are necessary to reduce the circulation of formalin-contaminated fish in traditional markets. 
The Relationship Between Climate Factors and Leptospirosis Incidence in Central Java in 2019-2023 Nasution, Amalia Rahmi; Ashar, Yulia Khairina
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1666

Abstract

Each year, more than 500,000 cases of Leptospirosis are reported worldwide. This disease is spread globally, especially in humid tropical countries like Indonesia. Based on the 2023 Indonesian Health Profile, there were 2,554 cases with a CFR of 8%, and Central Java ranked second (884 cases). This study aims to determine the relationship between climate factors and the incidence of Leptospirosis in Central Java in 2019–2023. The study used a quantitative approach with an ecological study design. The sample includes data on Leptospirosis incidence, air temperature, humidity, rainfall, and sunshine duration for 60 months. This study utilized secondary data sourced from the Central Java Provincial Health Office, accessed through the Central Java PPID website, for Leptospirosis case data and the BMKG website for Climate data. Data processing was carried out using the Spearman rho correlation test method. The results are the relationship between air temperature and leptospirosis incidence (p=0.053; r=-0.251), the relationship between humidity and leptospirosis incidence (p=0.000; r=0.546), the relationship between rainfall and leptospirosis incidence (p=0.022; r=0.295), and the relationship between the duration of sunlight and leptospirosis incidence (p=0.002; r=-0.383). It was concluded that humidity, rainfall, and duration of sunlight were significantly related to leptospirosis incidence, while temperature was not. It is recommended that the government strengthen vector control, especially during the rainy season, that the community maintain personal and environmental hygiene, and that further research use a wider time and area coverage with more complex methods.
Analysis of Antenatal Care Implementation in Reducing Maternal and Infant Mortality Rates at Community Health Center in Medan City Dany, Cut Nasywa Kesuma; Hasibuan, Rapotan
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1667

Abstract

One of the primary targets of the Sustainable Development Goals (SDGs) 2030 and a key indicator of national development success is the reduction of maternal mortality (MMR). Because maternal health significantly influences the health of the next generation, antenatal care services are utilized to reduce MMR. The purpose of this study was to explore the inputs, processes, and outputs of antenatal care services provided by Community Health Centers (Puskesmas) in Medan City. A qualitative descriptive phenomenological method was employed, generating descriptive data. The study involved two main informants, one key informant, and five triangulation informants. Data were collected through in-depth interviews. The findings revealed that a high level of community preference for specialist services contributed to many cases of maternal and infant mortality as well as a decline in antenatal care visits at Puskesmas. In addition, the study identified the limited effectiveness of ultrasound examinations, which were only conducted once a week. Complaints from patients also emerged regarding the health workers’ approach, particularly their responsiveness, focus, and attentiveness, which led many patients to prefer specialists over Puskesmas services. Based on these findings, it is recommended that Puskesmas in Medan City address the issue of overlapping workloads, improve the standardization of supporting facilities, and increase the frequency of ultrasound examinations to twice per week.
The Marmet Technique as an Effort to Improve Breast Milk Production in Postpartum Mothers Yuliandini, Astri; Ghita, Dwi; Azis, Reskiawati; Ani, Ani
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1678

Abstract

The Marmet technique, which combines breast expression and massage, is designed to stimulate the breast milk ejection reflex. This method is believed to enhance the smooth flow of breast milk in postpartum mothers, but requires scientific validation. This study aimed to examine the effect of the Marmet technique on breastfeeding smoothness among postpartum mothers in the working area of the Watunohu Health Center, North Kolaka Regency. A quasi-experimental design with a two-group post-test only approach was employed. The study involved 32 postpartum mothers, divided into an intervention group (n=16) and a control group (n=16) through purposive sampling. The intervention group received the Marmet technique according to standard operating procedures (SOP), while the control group did not receive any treatment. Breastfeeding smoothness was assessed using a questionnaire covering eight indicators. Data were analyzed with the Mann-Whitney test, with a significance level set at p < 0.05. On the fourth day postpartum, exclusive breastfeeding smoothness was achieved in 62.5% of mothers in the intervention group compared to only 18.8% in the control group. The Mann-Whitney test yielded a p-value of 0.017 (<0.05), indicating a statistically significant effect of the Marmet technique. These findings demonstrate that the Marmet technique results in a significant increase in exclusive breastfeeding rates among postpartum mothers. It is recommended that healthcare providers in maternal and child health services adopt this technique as part of routine interventions to promote successful breastfeeding.
Education on Healthy Household Practices in Efforts to Prevent Stunting : Case Study in Sidomulyo Village, Tanjungpinang Martias, Indra; Pitriyanti, Luh; Kurnia, Risman; Daswito, Rinaldi; Horiza, Hevi; Pratiwi, Suci Yuliana
Karya Kesehatan Siwalima Vol. 4 No. 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1685

Abstract

Clean and healthy living behaviours (PHBS) are habits practised by individuals or families that enable them to take independent action on health issues and play an active role in health initiatives both within the family and in the community. PHBS can start with oneself and one's family through clean and healthy habits in daily life. The implementation of PHBS is also an important step in preventing various diseases in children, especially diseases that are difficult to prevent, one of which is stunting. The target audience for this outreach programme was housewives in Kampung Sidomulyo RT 002/RW 13. The outreach programme was conducted through presentations and discussions. Before the outreach programme was implemented, a pre-test questionnaire was administered to determine the level of knowledge about PHBS related to stunting. Then, outreach material on household PHBS and clean water was provided. Following the presentation of the material, a discussion session and post-test were conducted to assess the level of understanding of the material provided. The results of the respondents' knowledge before the PHBS counselling (pre-test) were 5.12%, and the results of the respondents' knowledge after the PHBS counselling (post-test) were 5.94%. Socialisation of PHBS to housewives has been proven to increase their knowledge about the importance of implementing clean and healthy living behaviours in the household environment. This increased understanding plays an important role in encouraging the adoption of daily healthy habits, which not only maintain family hygiene and health, but also serve as a strategic step in preventing stunting in children. With better knowledge, housewives can play an active role as the main drivers of family and community health.

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