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MEJORA
Published by Awatara Publisher
ISSN : -     EISSN : 30259584     DOI : https://doi.org/10.61434/mejora.v2i1
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
MEJORA Medical Journal Awatara adalah sebuah jurnal kesehatan yang berdedikasi untuk mendorong eksplorasi mendalam dalam berbagai aspek ilmu kesehatan dan dinamika masyarakat di era digital. Jurnal ini tidak hanya berfokus pada diseminasi informasi hasil penelitian klasikal tetapi juga mengambil peran sentral dalam memahami bagaimana perubahan teknologi digital mempengaruhi sektor kesehatan dan kesejahteraan masyarakat secara keseluruhan. Artikel-artikel di dalam MEJORA mencakup beragam topik, seperti telemedicine, aplikasi kesehatan digital, manajemen data kesehatan elektronik, pemberdayaan pasien dalam pengambilan keputusan kesehatan, implementasi alat wearable untuk pemantauan kesehatan, serta analisis big data dalam meramalkan tren penyakit. Jurnal ini juga menyoroti isu-isu etika terkait privasi data, keamanan informasi kesehatan, serta kesenjangan akses teknologi di berbagai lapisan masyarakat. MEJORA Medical Journal Awatara terbit secara berkala tiga kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 83 Documents
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Transformasi Sistem Kesehatan Indonesia Pasca Pandemi COVID-19: Analisis Kebijakan Peran Pemerintah Aprilia Kirana; Zahra Nurmala
MEJORA Medical Journal Awatara Vol 4 No 1 (2026): January 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i1.289

Abstract

Pandemi COVID-19 mengungkap berbagai kelemahan struktural dalam sistem kesehatan Indonesia, seperti keterbatasan infrastruktur, fragmentasi data kesehatan, dan lemahnya tata kelola respons krisis. Penelitian ini bertujuan untuk menganalisis peran pemerintah Indonesia dalam reformasi kebijakan kesehatan pasca pandemi COVID-19. Metode yang digunakan adalah narrative literature review terhadap 24 artikel ilmiah dan dokumen kebijakan yang dipublikasikan pada periode 2019–2025, yang diperoleh dari basis data ilmiah dan sumber resmi pemerintah. Hasil kajian ditemukan ada 3 Hasil kajian menunjukkan bahwa reformasi kebijakan kesehatan pasca pandemi berfokus pada tiga aspek utama, yaitu transformasi digital sistem kesehatan melalui platform SATUSEHAT, penguatan layanan kesehatan primer khususnya peran Puskesmas, serta pengembangan tata kelola respons krisis yang lebih adaptif. Meskipun berbagai kebijakan tersebut menunjukkan kemajuan positif, masih terdapat tantangan berupa kesenjangan akses digital antar wilayah, ketimpangan distribusi tenaga kesehatan, serta tumpang tindih kewenangan antar lembaga. Penelitian ini menyimpulkan bahwa reformasi kebijakan kesehatan memerlukan pendekatan yang terintegrasi, berbasis bukti, dan inklusif. Komitmen pemerintah, penguatan koordinasi lintas sektor, serta pemerataan infrastruktur dan sumber daya kesehatan menjadi kunci untuk membangun sistem kesehatan nasional yang tangguh dan berkelanjutan.
Hubungan Fear Of Missing Out (Fomo) Terhadap Tingkat Kecemasan Mahasiswa Fikes Universitas YPIB Majalengka Sri Wahyuni; Muhammad Rafli Febriansyah; Suyanti Suyanti
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.343

Abstract

Background. Social media has become an inevitable aspect of student life, particularly for the younger generation. Fear of Missing Out (FoMO) and anxiety have emerged as significant issues, especially among health faculty students who actively engage with social media. Objective. This study aims to examine the relationship between Fear of Missing Out (FoMO) and anxiety levels among students of the Faculty of Health Sciences (FIKes) at YPIB Majalengka University in 2025. Methods. This study employed a quantitative design with a cross-sectional approach. A sample of 89 students was selected using stratified random sampling. Data were collected using the Fear of Missing Out Scale (FoMOs) and the Social Anxiety Scale for Social Media Users (SAS-SMU). Data analysis was performed using the Chi-Square test with a significance level of 0.05. Results. The findings revealed that a small proportion (6.7%) of students experienced high FoMO, while more than half (71.9%) reported high anxiety levels. However, no significant relationship was found between FoMO and anxiety levels (p value= 0.115). Conclusion: Although a statistically significant relationship was not found, the descriptive results indicate a high prevalence of anxiety among students. Interventions such as digital literacy education, anxiety management training, and enhanced social support are recommended to improve students' mental well-being.
Biological, Environmental, and Behavioural Determinants of Human Secondary Sex Ratio: A Systematic Literature Review and Critical Medical Analysis Pardomuan Robinson Sihombing
MEJORA Medical Journal Awatara Vol 4 No 1 (2026): January 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i1.344

Abstract

Introduction: This study presents a Systematic Literature Review to evaluate the medical validity of pre-conception interventions and environmental factors claimed to influence the secondary sex ratio (SSR). Amidst the persistence of popular but controversial sex selection methods, alongside strong cultural preferences for certain genders in various Indonesian ethnic groups, there is a clinical urgency to separate myth from valid biological mechanisms. Methods: Following the PRISMA 2020 guidelines, a comprehensive search of the PubMed and Scopus databases filtered 1,495 articles into 25 high-quality primary studies. The analysis focused on the validity of methods involving timing of sexual intercourse, physical position, dietary manipulation, vaginal pH environment, and the impact of parental stress. Results: The synthesis of evidence shows no empirical support for the effectiveness of timing coitus or sleeping on one's side in influencing sex. Conversely, the data support a variant of the Trivers-Willard Hypothesis, in which high maternal energy status correlates with male births, while chronic maternal stress and paternal toxic exposure suppress the ratio. Paradoxical findings emerge regarding paternal stress, where paternal anxiety correlates with increased male births. Conclusion: This report provides an evidence base for practitioners to deliver ethical, science-based pre-conception education.
Manajemen Asuhan Keperawatan Keluarga dengan Masalah Hipertensi: Fokus pada Pemeliharaan Kesehatan dan Penguatan Koping Keluarga nurma zela gustina; Naila Alya Muhbita
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.346

Abstract

Background: Hypertension is a global health challenge requiring sustainable self-management at the family level. Non-adherence to medical therapy and maladaptive coping patterns are often major barriers to blood pressure control, risking chronic cardiovascular complications. Objective: This study aims to describe the family nursing care for Mr. R (49 years old) with a focus on strengthening health maintenance and optimizing family coping strategies. Methods: This study used a case report design with a family nursing process approach during three home visits. Data were collected through interviews, environmental observations, and physical examinations, and analyzed using the problem priority scoring method. Results: The primary nursing diagnoses were ineffective health maintenance and compromised family coping. Interventions included health education on the DASH diet, smoke-free home environment modification, and coping counseling to improve communication openness. Evaluation results showed an increase in family independence in performing five family health tasks, marked by a commitment to utilize national health insurance (BPJS) for routine check-ups and improvements in affective coping patterns. Conclusion: A participatory family nursing approach is effective in changing health behaviors and strengthening the family's internal support system in hypertension management.
Integration of Geopsychiatry: A Synthesis and Analysis of Case Studies and Field Research on Possession Trance Disorder (PTD) in Indonesia Pardomuan Robinson Sihombing
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.345

Abstract

Background: In Indonesia, the treatment of the phenomenon of Possession Trance Disorder (PTD) and visual hallucinations is often hampered by the dichotomy between medical and spiritual approaches. Many interventions fail because they rely solely on theoretical assumptions without sufficient empirical field evidence. Objective: This study aims to dissect the etiology, mechanisms, and effectiveness of mystical phenomena therapy using primary data (case studies and experiments) and to formulate integrative intervention models and methods. This study was conducted using the Systematic Review of Primary Studies method, following the PRISMA 2020 protocol. Inclusion criteria are strictly limited to primary data articles (case studies, qualitative field studies, EEG experiments) published between 2019 and 2025. Results: Analysis of 15 selected primary studies showed that PTD consistently appeared as a comorbidity of undiagnosed dysthymia and trauma. Neurophysiological evidence (EEG) confirms that trance is a biological hyperarousal condition, not just hysteria. Therapies based on Indigenous Psychology (Kawruh Jiwa) and cultural distraction techniques (Drawing/Murottal) have proven effective in real clinical settings. Conclusion: The most effective treatment model is an integrated approach or hybridization: medical biological stabilization combined with the restructuring of meaning through local psychology.
Faktor Perilaku dengan Kejadian Infeksi Soil Transmitted Helminths (STH) Pada Anak Sekolah Dasar Irma; Harleli
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.349

Abstract

Soil Transmitted Helminth (STH) infections remain a public health problem in developing countries, including Indonesia. Primary school children are the most vulnerable group to infection because they often play in the soil and have not yet fully adopted clean and healthy living behaviors. Poor home environmental conditions and unhealthy behaviors increase the risk of STH infection transmission. This study aims to analyze the relationship between environmental conditions and behaviors with the incidence of soil transmitted helminths (STH) infections in first and second-grade students at SD Negeri 94 Kendari in 2026. This study uses an analytical observational design with a cross-sectional approach. The study population comprised all first and second-grade students using total sampling techniques. Data were collected through interviews using questionnaires, observations of respondents' home environmental conditions, and stool examinations in the laboratory. Data analysis was performed using the Chi-square test. The research results indicate that there is a significant relationship between the habit of washing hands with soap (p = 0.008) and the habit of trimming nails (p = 0.018) with the occurrence of STH infection. Meanwhile, the use of footwear (p = 0.511) is not significantly related to the occurrence of STH infection.
Application Of Positive Affirmation Therapy To Overcome Situational Low Self-Esteem In Stroke Patients Asep Riyana; Muhammad Azhar Alfarizi; Iwan Somantri; Ridwan Kustiawan
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.294

Abstract

The number of non-communicable diseases in Ciamis Regency is very high, with 3,140 cases recorded, including 57 stroke cases, where hypertension is the dominant contributing factor. Stroke patients frequently experience dependency in daily activities, leading to feelings of worthlessness and situational low self-esteem. Stroke is a condition caused by blockage or rupture of blood vessels in the brain, with impacts not only on physical functioning but also on psychological well-being. Positive affirmation therapy is a nursing intervention that aims to help patients recognize their abilities, improve their mindset, and increase self-confidence, making it a potential strategy for the psychosocial recovery of stroke patients. This study aims to describe the application of positive affirmation therapy in addressing situational low self-esteem among stroke patients at the Sindangkasih Health Center, Ciamis Regency. A descriptive qualitative method with a case study approach was used, involving two stroke patients with moderate situational low self-esteem, measured using a 30-item signs and symptoms instrument across five behavioral domains. The intervention was carried out for five consecutive days. The results showed that prior to the intervention, both patients presented with 17 signs and symptoms of situational low self-esteem, which decreased to 4 following the application of positive affirmation therapy. This case study concludes that positive affirmation therapy was effective in reducing signs and symptoms of situational low self-esteem in stroke patients and can be considered an alternative nursing intervention in primary healthcare settings. Patients are encouraged to independently practice the therapy at least twice daily to sustain improvements in self-esteem.
Faktor yang Berhubungan dengan Kepatuhan Iuran BPJS Mandiri pada Pasien di Puskesmas Kapontori Buton Wa Ode Muthya Yusrin; Irma Irma; Lade Albar Kalza
MEJORA Medical Journal Awatara Vol 4 No 2 (2026): April 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i2.353

Abstract

Compliance of Non-Wage Recipient Participants (PBPU) in paying contributions is a challenge for the sustainability of the National Health Insurance (JKN). At the Kapontori Community Health Center, the arrears rate reached 47.6%, which risks hampering service accessibility. This study aims to identify factors related to compliance in paying BPJS Mandiri contributions in the Kapontori Community Health Center working area, Buton Regency. This quantitative study used a cross-sectional analytical survey design, conducted from April 2–27, 2026. The study population was service users categorized as BPJS Mandiri participants, with a sample of 164 respondents using a total sampling technique. Primary data were collected through structured questionnaire interviews and then analyzed using the chi-square test (α = 0.05). The respondent compliance rate was 52.4% (compliant) and 47.6% (non-compliant). The majority of respondents were aged 21–30 years (30.5%), female (55.5%), chose class 3 care (89.6%), had a high school/senior high school education (51.8%), and were unemployed/housewives (36.6%). Bivariate analysis showed a significant relationship between income (p = 0.008) and motivation (p = 0.000) and contribution compliance. Conversely, knowledge (p = 0.740) and service quality (p = 0.118) did not show a significant relationship. The study concluded that there is a relationship between income and motivation and compliance with independent BPJS contributions among patients using health services in the Kapontori Community Health Center, Buton Regency.
Meta-Analysis: Malaria Vaccine Effectiveness Pardomuan Robinson Sihombing
MEJORA Medical Journal Awatara Vol 4 No 3 (2026): July 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i3.350

Abstract

Background: Malaria remains a significant global public health problem with a disproportionate impact on children in endemic areas. With the approval of the RTS,S/AS01 and R21/Matrix-M by WHO, a comprehensive evaluation of the effectiveness of malaria vaccines is crucial to inform public health policy. Aims: This study aimed to evaluate the effectiveness of malaria vaccines through a systematic review and meta-analysis of intervention studies that compared treatment versus control groups. Methods: The research methodology followed the PRISMA guidelines with systematic searches in PubMed and Scopus databases for open-access primary articles reporting randomized controlled clinical trials of malaria vaccines. Inclusion criteria included intervention studies (vaccine vs. placebo/control), child populations, and malaria clinical outcomes. Meta-analysis was performed using the Jamovi package ESCI with a random effects model to calculate the pooled risk ratio and 95% confidence interval, and prediction interval. Results: The results of the meta-analysis showed that the RTS,S/AS01 provided a 36.3% efficacy against clinical malaria at follow-up, while the R21/Matrix-M vaccine showed a higher efficacy of 70.0%, especially in the seasonal transmission setting. Forest plots indicated significant heterogeneity between studies (I²>98%, p <0.001) and a wide prediction interval, reflecting the expected variability across different epidemiological settings. Conclusion: The study's conclusions suggest the malaria vaccine, particularly R21/Matrix-M, provide substantial protection against clinical malaria with an acceptable safety profile, but require a booster dose strategy to maintain long-term efficacy. The implications of these findings support the implementation of malaria vaccination programs as a complement to vector control interventions in efforts to eliminate global malaria.
Faktor-Faktor Yang Berhubungan Dengan Keluhan Low Back Pain Pada Pekerja Pt. D P S Ridhorafiardi Pratama; Eti Kurniawati; Ahmad Husaini
MEJORA Medical Journal Awatara Vol 4 No 3 (2026): July 2026
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v4i3.351

Abstract

Low back pain (LBP) remains one of the most common occupational health problems among palm oil workers due to non-ergonomic work postures, excessive muscle strain, and repetitive activities. This study aimed to determine the factors associated with low back pain complaints among workers at PT. Damasaraya Palma Sejahtera, Jambi Province, in 2024. This study used a quantitative analytic design with a cross-sectional approach. The population consisted of 45 loading and unloading workers, and the sampling technique used total sampling. Data collection was carried out using questionnaires, observation sheets, and ergonomic assessment methods. Data were analyzed using univariate and bivariate analyses with the chi-square test. The results showed that there was a significant relationship between working period and low back pain complaints (p=0.014), physical workload and low back pain complaints (p=0.000), work posture and low back pain complaints (p=0.022), and repetitive movements and low back pain complaints (p=0.007). Workers who had long working periods, heavy workloads, non-ergonomic postures, and repetitive movements had higher risks of experiencing low back pain complaints. The study concludes that occupational ergonomic factors significantly contribute to low back pain among palm oil loading workers. Therefore, companies are expected to implement ergonomic interventions, provide occupational safety training, and improve work methodsto reduce musculoskeletal complaints among workers.

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