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Kadar Ramadhan
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Poltekita: Jurnal Ilmu Kesehatan
Published by Poltekkes Kemenkes Palu
ISSN : 1907459X     EISSN : 25277170     DOI : https://doi.org/10.33860/jik.v18i1.3700
Core Subject : Health, Science, Social,
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology
Poltekita : Jurnal Ilmu Kesehatan (e-ISSN: 2527-7170, p-ISSN: 1907-459X) is a peer-reviewed open access scientific journal published by Poltekkes Kemenkes Palu. The scope for Poltekita: Jurnal Ilmu Kesehatan includes nutrition, midwifery, nursing, public health, environmental health, food, and nutrition.Each volume of Poltekita: Jurnal Ilmu Kesehatan is counted in each calendar year that consists of 4 issues. Poltekita: Jurnal Ilmu Kesehatan is published two times per year every February, May, August, and November. Articles could be written in either Bahasa Indonesia or English
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 88 Documents
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Determinant of Depression in Multi - Drug Resistant Tuberculosis (MDR) at Waled Cirebon Regional General Hospital Purbaningsih, Endah Sari; Muadi, Muadi; Oktiany, Thia; Rahayu, Rosalia; Wahyuni, Lili; Nurhaeni, Ani; Marisa, Dewi Erna
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4225

Abstract

Depression is a common psychological complication among patients with multidrug-resistant tuberculosis (MDR-TB), affecting treatment adherence and recovery outcomes. Identifying the determinants of depression in this population is essential for developing comprehensive care strategies. This cross-sectional study was conducted among 28 MDR-TB patients at RSUD Waled. Data on demographic, clinical, and psychosocial variables were collected through structured questionnaires. Depression was assessed using a standardized screening tool. Bivariate analysis was performed using chi-square tests, followed by multivariate logistic regression to identify independent predictors of depression. The bivariate analysis showed no significant association between age (p=0.063), gender (p=0.07), income (p=0.065), or educational attainment (p=0.63) with depression, indicating that these demographic and socioeconomic factors did not influence depressive outcomes. In contrast, comorbidities (p<0.001), duration of illness (p=0.011), and community stigma (p<0.001) were significantly associated with depression. Respondents with comorbidities, longer illness duration, and negative community stigma were markedly more likely to experience depression, suggesting that clinical and psychosocial factors are stronger determinants than demographic variables. Comorbidities, longer illness duration, and community stigma were significantly related to depressive outcomes. Future research with larger and more diverse populations is needed to validate these findings and explore contextual factors influencing depression in MDR-TB patients.
The Effect of Therapeutic Group Therapy and Family Psychoeducation on Adolescent Self-Identity Pulungan, Zulhaini Sartika A.; Keliat, Budi Anna; Hamid, Achir Yani S.
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i1.4281

Abstract

Adolescence is a period in the span of human life that is most critical. The developmental task of adolescents in the age range of 11-20 years is to achieve self-identity. Adolescents can be given stimulation with therapeutic group therapy (TGT) and family psychoeducation (FPE) to improve their self-identity. The aim of the study was to determine the effect of giving therapeutic group therapy (TGT) and family psychoeducation (FPE) on increasing adolescent self-identity. Quasi-experimental research with pre-posttest with control group design. The sample is 32 people with purposive sampling technique which is divided into two groups. The intervention group 1 was given TGT and FPE while the intervention group 2 was only given TGT. Data analysis used paired t-test and independent sample t-test. The results showed that there were significant differences between the 1st and 2nd intervention groups in terms of cognitive and language (p value = 0.004), emotional and psychosocial (p value = 0.041), talent and creativity (p value = 0.011). There was a significant difference in self-identity between the 1st and 2nd intervention groups (p value = 0.004). Therapeutic group therapy (TGT) and family psychoeducation (FPE) improve the ability of adolescent self-identity. Adolescent therapeutic group therapy can be carried out in the setting of health services in the community as a form of mental health nursing service and can also be applied in community service activities.
Analysis of the Causes of Medical Records Document Misfiling at Makassar City Regional General Hospital Suhenda, Andi; Barsasella, Diana; Sukawan, Ari; Setiadi, Dedi; Sugiharto, Sugiharto; Akbar, Prima Soultoni
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4283

Abstract

The procedure for storing medical record documents (MRDs) involves sorting the records by their medical record numbers before returning them to the medical records department and placing them in storage. This process facilitates the retrieval of required records and streamlines storage operations, thereby preventing misfiling when the documents are needed for patient care. Delays in locating MRDs on the filing racks can result from storage or placement errors, commonly referred to as misfiling. Efficient storage of medical record documents (MRDs) requires proper sorting by medical record numbers before returning them to the filing system. This process ensures quick retrieval and minimizes errors. However, delays in locating MRDs often occur due to misfiling—typically caused by improper storage or placement. This study aims to identify factors contributing to misfiling, focusing on the storage system, alignment, numbering, and human resources. This study is quantitative research with a descriptive design. The analysis used is univariant analysis. The population comprises inpatient medical records returned from the care units after patient discharge during the period of January to December 2023. The sampling method employed is non-probability sampling, specifically using accidental sampling. Among 50 inpatient MRDs stored in the filing room at Makassar City Regional General Hospital, 15 (30%) were misfiled. The factors contributing to the misfiling of medical record documents in the filing room include incompetent medical record personnel, misalignment in the filing system, the absence of tracers, and the lack of an expedition logbook. Misfiling was associated with several factors, including untrained personnel, inconsistencies in the filing alignment, absence of tracers, and the lack of a delivery logbook (previously referred to as an “expedition logbook”) used to track the movement of documents. Addressing these issues may improve filing accuracy and support patient care efficiency.
Factors Affecting the Adherence of People Living with HIV/AIDS on Antiretroviral Treatment in Tasikmalaya City Suryani, Iis Sopiah; Marlina, Lina; Hidayatulloh, Ana Ikhsan; Rahmawati, Ai
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.3714

Abstract

The incidence of HIV/AIDS in Indonesia, including in West Java and Tasikmalaya City, continues to rise. In Tasikmalaya City alone, 345 cases have been recorded. Antiretroviral (ARV) therapy has revolutionized HIV treatment, but optimal adherence—ideally 100%—is essential to prevent drug resistance. However, adherence among people living with HIV/AIDS (PLWHA) in Tasikmalaya remains suboptimal, increasing the risk of treatment failure and resistance. This study employed a cross-sectional correlational design involving 62 PLWHA who actively participated in monthly meetings organized by the AIDS Countermeasures Commission (KPA) in Tasikmalaya. Participants were selected using purposive sampling. Data were collected using a validated questionnaire for treatment adherence and a researcher-developed instrument to assess additional variables. Factors found to influence ARV treatment adherence included age, gender, educational background, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-confidence. Among these, perceived barriers were identified as the most dominant factor affecting adherence (OR = 16.9). Although limited by a small sample size, this study highlights several psychosocial and demographic factors that influence ARV adherence among PLWHA. Addressing perceived barriers should be a priority in interventions aimed at improving adherence and preventing drug resistance.
Socio-Cultural Norms and Compliance with Cervical Cancer Screening: A Phenomenological Study among High-Risk Women Sumiaty, Sumiaty; Muhammad Nur Ali; Muhamad Hasan
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.3901

Abstract

Background: Cervical cancer can be prevented through HPV vaccination and screening. However, the screening rate among women in Indonesia is still below 10%. Screening coverage in Palu City in 2024 is still below the national target (90%), reaching only 19.9%. Low compliance with screening is not only due to a lack of knowledge but also to social and cultural norms. This study aims to analyze social and cultural norms in cervical cancer screening compliance among high-risk women in Palu City. Methods: This study uses a naturalistic paradigm approach with a phenomenological research type. The participants in this study were women aged 30-50 years who met the established criteria. Data analysis is carried out through the stages of data reduction, thematic categorization, sociological interpretation, and theoretical synthesis using Durkheim's Collective Conscience theory, Bicchieri's Social Norms Theory, and Health Belief Model Theory. Results: The results of the study suggest that taboo norms are most dominant in cervical cancer screening compliance, with women who undergo reproductive organ examinations being considered shameful and rude. Folkways norms reveal that women only get checked when symptoms appear and self-medicate with traditional remedies. Moral values such as shame or husband's permission weaken the decision to undergo screening. Preventive knowledge and barriers such as stigma, shame, and lack of support weaken screening awareness. Conclusion: In conclusion, cervical cancer screening compliance is a social phenomenon shaped by taboo social norms, morality, customs, and symbolic power roles. Therefore, Socio-Normative Health Awareness Theory is a new intervention concept that reorients social norms into more effective empowerment tools, such as spousal consent, the role of religious leaders, customs, and morality as forces to strengthen awareness and participation in screening.
Exclusive Breastfeeding and Its Implications for Infant and Maternal Health, Knowledge, and Socioeconomic Well-being Amir, Aswita; Hartono, Rudy; Horax, Ronny; Adam, Adriyani
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4183

Abstract

This systematic review synthesized recent evidence on the impact of exclusive breastfeeding (EBF) on infant and maternal health, maternal knowledge, and family socioeconomic conditions. Following PRISMA 2020 guidelines, we conducted systematic searches in PubMed, ScienceDirect, JSTOR, and Google Scholar. From 500 identified records, 10 studies published between 2020 and 2025 met the inclusion criteria. Meta-analysis showed that EBF reduced gastrointestinal infection risk in infants by 45% (OR = 0.55; 95% CI: 0.45–0.67), increased cognitive development scores by 0.35 SD compared to formula-fed infants, and reduced maternal breast cancer risk by 25%. Narrative synthesis indicated significant economic savings at the household level through reduced formula purchases and healthcare utilization. These findings underscored the importance of maternal knowledge, family support, and breastfeeding-friendly workplace policies in sustaining EBF. The review provided critical implications for global and national health policies to promote and protect EBF practices.
Health Communication Strategies for Wolbachia Mosquito Implementation in Dengue Prevention: A Case Study in Bontang City Prasetiyo, Suraji Heri; Pawito, Pawito; Anggreni, Likha Sari
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4204

Abstract

Dengue Hemorrhagic Fever (DHF) remains a serious public health issue in Indonesia. One of the innovations developed to reduce the number of DHF cases is the implementation of Wolbachia-infected Aedes aegypti mosquitoes. This study aims to describe and evaluate the health communication strategies used in the implementation of Wolbachia mosquitoes in Bontang City, East Kalimantan The study employs a qualitative case study design, using four Focus Group Discussions (FGDs) with 32 participants, including community health volunteers (cadres, i.e. community health volunteers), household foster parents, sub-district officials, and health center staff. Thematic analysis was conducted with source triangulation to ensure data validity based on community perceptions, the socialization process, implementation challenges, and stakeholder support.. The results indicate mixed outcomes: positive acceptance was initially supported by trust in health workers, clear explanations of Wolbachia’s biological role, and active involvement of community volunteers; however, several obstacles reduced support, including ongoing dengue cases, perceived increase in mosquito populations, misinformation and hoaxes on social media, weak cross-sector coordination, and cadre turnover without transition. Discontinuous communication strategies weakened the effectiveness of health message delivery to the community. Strengthening risk communication, broader public campaigns, and routine cross-sector evaluations are needed to ensure the program’s sustainability.
Health Ministry's Scholarship Policy: Fulfilling Staffing Needs for Doctors and Dentists Kharisma, Farid; Darmawan, Ede Surya
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4297

Abstract

Indonesia faces a critical shortage and maldistribution of medical professionals, particularly in Disadvantaged, Border, and Outermost (DTPK) regions. This study analyzes the effectiveness of the Ministry of Health's Educational Funding Assistance Program (Bandikdok) within the new regulatory framework of Law No. 17 of 2023. A qualitative Document and Policy Analysis was conducted. Data were collected from statutory regulations, Ministry of Health workforce reports (2022–2025), and a comparative review of successful retention models from Japan (Jichi Medical University) and Thailand (CPIRD). The analysis reveals that the program is supported by a robust legal foundation and has successfully lowered entry barriers, attracting over 2,278 participants through a centralized digital platform. However, the study identifies a critical structural weakness: the reliance on temporary Non-Civil Servant (Non-ASN) contracts and administrative sanctions creates a transactional "financial bond." This stands in contrast to the "social bond" models utilized in Japan and Thailand, which achieve higher retention through local recruitment and community integration. While the current policy effectively accelerates workforce production, long-term retention remains fragile due to the lack of career security. To ensure sustainability, the policy paradigm must shift from a punitive financial approach to a supportive ecosystem. Recommendations include decentralizing recruitment to create a "rural pipeline" and offering conditional Civil Service (ASN) tracks for graduates committed to long-term service in underserved areas.

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