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INDONESIA
MEDICA (International Medical Scientific Journal)
Published by Borneo Scientific Publishing
ISSN : 26226596     EISSN : 2622660X     DOI : https://doi.org/10.53770/medica
Core Subject : Health, Science,
Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary
MEDICA (International Medical Scientific Journal), with registered number ISSN 2622-6596 (Print), 2622-660X (Online) is an Open Access and peer-reviewed journal presenting timely research on all aspects of health that other media have not published. Managed by the Borneo Scientific Publishing, published by Borneo Scientific Publishing. MEDICA (International Medical Scientific Journal) will publish journals three times yearly: January, May, and October. Manuscripts are published as original articles, review articles, and case reports. The Journal invites public health concerned with any of these areas to submit research on topics including, but not limited to Health promotion & disease prevention in all stages of human life, Medical laboratory, Nursing, Environmental Health, Epidemiology and biostatistics. Health policy and administration, Public health nutrition, Occupational health and safety, Health Promotion, Reproductive health, maternal and child health, and other related articles in public health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 124 Documents
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Demographic Profile, Medical History, Comorbidities, and Factors Associated with Treatment Success among Drug-Sensitive (SO) Tuberculosis Patients Katarina Lodia Tuturop; Dolfinus Yufu Bouway; Agustina Regina Yufuai; Inriyanti Assa; Anton Wambrauw; Lenny Pangkali
MEDICA (International Medical Scientific Journal) Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i9.1383

Abstract

Drug-sensitive (SO) tuberculosis (TB) remains a public health burden in Papua, yet the profile of SO-TB patients at primary care level remains poorly documented. This study aimed to describe the demographic, medical history, and comorbidity profile of SO-TB patients and examine their association with treatment outcomes. A retrospective observational study used secondary data from the Puskesmas Waibhu catchment area, Papua, from January 2023 to December 2025. It included 768 treatment episodes from 729 patients selected through total sampling. Data came from the TBC.03 SO Health Facility Register and were analyzed using chi-square, Fisher’s exact tests, and binary logistic regression. Outcome analysis was restricted to 499 episodes from 2023–2024 with fully evaluated outcomes, including 498 in the multivariate model, because most 2025 episodes had no final outcome at extraction. Most were new cases (84.2%) and adults (66.5%; mean age 25.5 years), while comorbidity screening completeness was low. In the multivariate analysis, bacteriologically confirmed diagnosis was associated with lower odds of treatment success (adjusted OR=0.43; 95% CI 0.25–0.76; p=0.003), whereas referred/accompanied referral was associated with higher odds of success (adjusted OR=2.22; 95% CI 1.24–3.99; p=0.008). Unknown diabetes mellitus history status was also associated with treatment success (adjusted OR=0.53; 95% CI 0.30–0.93; p=0.026), likely reflecting incomplete screening or documentation. Strengthening referral pathways and comorbidity screening may support TB program performance in primary care. Given the retrospective design, these associations should not be interpreted as causal. Prospective studies with larger samples and broader coverage are needed.
Demographic and Clinical Factors Associated with Unsuccessful Treatment Outcomes among Tuberculosis Patients in Mimika Regency, Central Papua Dolfinus Yufu Bouway; Sherli Novita Mamoribo; Paula Nancy Lefaan; Erich Christian Wayangkau; Anton Wambrauw
MEDICA (International Medical Scientific Journal) Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i9.1391

Abstract

Tuberculosis (TB) remains a public health issue in Indonesia, which had the world’s second-highest TB burden in 2024, accounting for 10% of global cases. Mimika Regency, Central Papua, is among districts with a high TB burden in Indonesia. This study aimed to describe demographic and clinical characteristics of TB patients and identify factors associated with unsuccessful treatment outcomes in Mimika Regency in 2025. A retrospective analysis of secondary program data was conducted using the Mimika Regency SITB TB.03 patient register from January to December 2025. Of 2,407 registered patients, 857 (35.6%) had a final treatment outcome at extraction; analyses were restricted to this subset, and incomplete outcome recording may introduce selection bias. Univariate, bivariate (chi-square/Fisher’s exact test), and multivariate logistic regression analyses used Python. Most patients were male (57.5%), with median age 31 years; 88.7% had pulmonary TB and 73.7% were new cases. Among patients with outcomes, 72.7% achieved treatment success, while 27.3% had unsuccessful outcomes. Bivariate analysis showed associations with age group, TB site, previous treatment, HIV status, and occupational status. Multivariate analysis identified HIV-positive status (aOR=2.19; 95%CI: 1.24–3.87; p=0.007), extrapulmonary TB (aOR=1.78; 95%CI: 1.12–2.82; p=0.015), and unknown occupational status (aOR=1.64; 95%CI: 1.09–2.45; p=0.017) as factors associated with unsuccessful outcomes, while age <15 years was associated with lower odds (aOR=0.56; 95%CI: 0.36–0.88; p=0.012). Given limited outcome data, findings should be interpreted cautiously. Strengthening TB-HIV services, comorbidity screening, and completeness of TB recording may improve treatment outcomes and program monitoring.
Adolescent Reproductive Health and Sexually Transmitted Infection Occurrence Based on Social Cognitive Theory in Pati Regency Nur Cahyani Ari Lestari; Luluk Yuliati; Zulhijriani Zulhijriani; Baharika Suci Dwi Aningsih; Nurul Fatimah; Rizky Fitri
MEDICA (International Medical Scientific Journal) Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i9.1421

Abstract

Sexually transmitted infections (STIs) among adolescents remain a serious yet frequently undetected reproductive health threat, compounded by social stigma and limited knowledge; confirmed STI cases among adolescents aged 15-24 years in Pati Regency rose by 18.3% in 2024, with the true burden presumed far higher (iceberg phenomenon), while the pathway linking Social Cognitive Theory (SCT) constructs to preventive knowledge remains poorly understood. This study aimed to analyze the adolescent reproductive health profile and STI occurrence in Pati Regency using SCT as an analytical framework. An explanatory sequential mixed-methods design was conducted across three sub-districts of Pati Regency from January to March 2026, involving 150 adolescents aged 15-24 years selected through stratified random sampling. Data were collected using validated structured questionnaires and clinical/laboratory STI examinations, then analyzed using chi-square, correlation, logistic regression, and SEM-PLS. Results showed an STI prevalence of 24.7%, with chlamydia as the most common type (43.2%); SEM-PLS revealed that attention strongly influenced retention (β=0.612; p<0.001), and motivation significantly predicted preventive-knowledge improvement (β=0.769; R²=0.591). Low STI knowledge (OR = 4.12; 95% CI: 2.18-7.79) and risky sexual behavior (OR = 4.89; 95% CI: 2.47-9.68) were significantly associated with STI occurrence (p < 0.000). These findings suggest that the sequential SCT constructs are associated with adolescents' STI preventive knowledge, consistent with the hypothesized SCT-based pathway, and point to the potential value of SCT-informed education in strengthening adolescent reproductive health practice and policy. Further research with longitudinal designs and larger, more diverse samples is needed to confirm and extend these findings.
Compensation, Workload, and Job Satisfaction as Determinants of Outsourced Nurses' Performance: A Cross-Sectional Study Wanda Marentek; Tri Ismu Pujiyanto; Sutrisno Sutrisno
MEDICA (International Medical Scientific Journal) Vol. 8 No. 9 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i9.1498

Abstract

Outsourced nurses constitute an increasing proportion of the inpatient nursing workforce in Indonesian hospitals, yet evidence regarding factors influencing their performance remains limited, particularly in police hospitals. This study aimed to examine the simultaneous and partial associations of compensation, workload, and job satisfaction with the performance of outsourced nurses in the inpatient wards of RS Bhayangkara Tk III Manado. A quantitative explanatory study with a cross-sectional design was conducted involving 87 outsourced nurses selected through purposive sampling from a population of 110 nurses. Data were collected using validated questionnaires measuring compensation, workload, and job satisfaction, while nursing performance was assessed by ward supervisors using a 27-item instrument adapted from the Six-Dimension Scale of Nursing Performance. Data were analyzed using multiple linear regression. Compensation, workload, and job satisfaction were simultaneously and significantly associated with nursing performance (F(3,83) = 11.79, p < .001), explaining 29.9% of its variance (R² = .299). Workload showed the strongest negative association (β = −.336, p = .001), whereas compensation (β = .225, p = .024) and job satisfaction (β = .213, p = .040) showed positive, significant associations. These findings indicate that workload had the strongest standardized association with performance, while compensation and job satisfaction were also independently associated with performance. The findings highlight the importance of workload redistribution, equitable compensation, and job-satisfaction programs to support nursing performance. Larger longitudinal studies are recommended to confirm these associations.

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