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Assessment of Rural Community Knowledge and Attitudes Toward Rational Antibiotic Use in Kampung Baru Hamlet, Seko District Indah Purnamasari P; Rahmiaty Gisman; Aswandi Aswandi; Adi Arianto; Riska Yuli Nurvianthi; Deris Hervinto
Medical : Jurnal Kesehatan dan Kedokteran Vol 3 No 1 (2026): Januari-Juni 2026
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v3i1.550

Rational antibiotic use is essential for effective infection treatment and the prevention of antimicrobial resistance (AMR), adverse drug reactions, and unnecessary healthcare expenditures. However, inappropriate antibiotic use remains a significant public health concern, particularly in geographically isolated rural communities with limited access to professional healthcare services. This study aimed to assess the knowledge and attitudes of residents of Kampung Baru Hamlet, Seko District, North Luwu Regency, Indonesia, toward rational antibiotic use and to examine the relationship between these two variables. A quantitative descriptive observational study with a cross-sectional design was conducted among 100 respondents selected from a population of 400 residents using the Slovin formula with a 10% margin of error. Data were collected using a structured questionnaire comprising sociodemographic characteristics, antibiotic knowledge, and attitudes toward antibiotic use. Instrument validity and reliability were assessed using Pearson Product-Moment correlation and Cronbach’s Alpha, respectively. Data were analyzed using descriptive statistics and the Chi-square test with SPSS version 21. The findings revealed that 73% of respondents had poor knowledge of rational antibiotic use, 20% had moderate knowledge, and only 7% had good knowledge. Similarly, 83% demonstrated poor attitudes toward appropriate antibiotic use, while 10% had moderate attitudes and 7% had good attitudes. Amoxicillin was the most frequently reported antibiotic, used by 51% of respondents, followed by ampicillin at 30%. The study also identified non-prescription antibiotic purchases from local kiosks, limited access to licensed pharmacies, misconceptions about antibiotics as pain relievers, and the premature discontinuation of treatment as factors associated with irrational antibiotic practices. Statistical analysis demonstrated a significant association between knowledge and attitudes toward antibiotic use (p = 0.001), with a positive correlation coefficient of 0.237. These findings highlight the urgent need for community-based health education, improved access to qualified healthcare professionals, and stronger regulation of antibiotic distribution to promote rational antibiotic use and reduce the risk of antimicrobial resistance in remote rural communities.

Analisis Faktor Kepatuhan Tenaga Kesehatan terhadap Vaksinasi Influenza A di Asia: Tinjauan Naratif Suryoadji, Kemal Akbar; Wardani, Arimbi Kusuma; Setyawan, Dhanis Adrianto; Faruqi , Muhammad; Susilo , Adityo; Pohan , Herdiman T.
Medical : Jurnal Kesehatan dan Kedokteran Vol 2 No 2 (2025): Juli-Desember 2025
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v3i1.565

Influenza A is a contagious respiratory disease with a high global burden, causing 3–5 million severe cases and up to 650,000 deaths annually. Healthcare workers have a higher risk of infection, especially if unvaccinated, which increases the likelihood of transmitting the virus to vulnerable patients. Although the WHO recommends annual vaccination, global coverage remains low (41.7%) and is even lower in Asia (28.5%). This narrative review synthesizes demographic, psychosocial, and institutional factors influencing influenza A vaccination compliance among healthcare workers in Asia. Literature searches were conducted in PubMed, Scopus, and Google Scholar for English- or Indonesian-language articles published from 2020 to 2025. Four primary studies met the inclusion criteria, all originating from China. Vaccination coverage among healthcare workers varied widely (1.36%–67.5%), while willingness to vaccinate was generally higher. Facilitating factors included increased risk perception, confidence in vaccine safety and effectiveness, and easy access to vaccines. Barriers included vaccine cost, safety concerns, low personal risk perception, insufficient information or training, and limited institutional support. Influenza A vaccination compliance among healthcare workers in Asia remains low and is influenced by a combination of individual and institutional factors. Multidimensional interventions, such as providing free vaccines, offering vaccination facilities in the workplace, enhancing education, and implementing strong institutional policies, are needed to improve vaccination coverage.

The Role Of Eye Health Education In Improving Awareness Of Children's Vision Impairment Prevention Sri Wahyu Budoyo Kusumo; Arraywed Yudita Wibowo; Ardhitya Furqon Wicaksono
Medical : Jurnal Kesehatan dan Kedokteran Vol 3 No 1 (2026): Januari-Juni 2026
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v3i1.778

Visual impairment among elementary school-aged children remains a significant public health concern because it can affect learning performance, cognitive development, and overall quality of life. Limited knowledge of eye health, inadequate preventive practices, and insufficient awareness of early detection contribute to the risk of undiagnosed visual problems. This study aimed to analyze the role of eye health education in improving awareness of visual impairment prevention among elementary school students and to identify factors supporting the effectiveness of school-based educational interventions. A descriptive qualitative design with a case study approach was employed in elementary schools participating in an eye health education program in Piyungan District, Bantul Regency, Yogyakarta Special Region, Indonesia. The study was conducted from September to December 2025 and involved students in grades IV–VI, classroom teachers, school health teachers, optometrists, and health educators. Data were collected through semi-structured interviews, direct observation, program documentation, and vision screening reports. Informants were selected using purposive sampling, and the data were analyzed thematically. Data validity was strengthened through source, method, and time triangulation. The findings indicated that structured, contextual, and participatory eye health education improved students’ understanding of eye function, risk factors for visual impairment, and appropriate preventive measures. Following the educational activities, students demonstrated greater awareness of vision screening, increased willingness to report visual complaints, improved understanding of proper reading distances and screen-time management, and better compliance with prescribed corrective eyewear. The use of interactive discussions, visual media, demonstrations, and practical simulations supported students’ engagement and understanding, while teachers played an important role in reinforcing healthy eye care practices. The study concludes that school-based eye health education is an important promotive and preventive strategy for improving children’s awareness and encouraging behaviors that may reduce the risk of visual impairment. Integrating sustainable eye health education and regular vision screening into school health programs, supported by collaboration among schools, parents, optometrists, and healthcare professionals, is recommended to strengthen early detection and promote long-term visual health among children.

Men’s Misconceptions as Barriers and Key Influencing Factors in Spousal Cervical Cancer Screening Uptake in a Sub-Urban Area of Nigeria, West Africa Awele Chukwuedo Oyemike-Ossai; Emmanuel Oyediran Oyewole
Medical : Jurnal Kesehatan dan Kedokteran Vol 3 No 1 (2026): Januari-Juni 2026
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v3i1.791

Cervical cancer remains a major public health concern in Nigeria, where limited screening uptake, cultural misconceptions, and inadequate awareness continue to hinder early detection and prevention. Men play an important role in influencing their spouses’ healthcare decisions, particularly in communities where husbands are major household decision-makers. This study examined men’s misconceptions about cervical cancer and identified factors influencing their support for spousal cervical cancer screening in a sub-urban area of Ibadan, Nigeria. A descriptive cross-sectional study was conducted involving 312 men aged 20–69 years, selected through a multistage sampling procedure across the study area. Data were collected through face-to-face interviews using a structured, semi-structured questionnaire covering sociodemographic characteristics, perceptions and misconceptions regarding cervical cancer, and factors that could enhance support for screening. The instrument’s reliability was confirmed with a Cronbach’s alpha coefficient of 0.78. Data were analyzed using descriptive statistics, the Chi-square test, analysis of variance, and logistic regression at a 5% significance level. The findings revealed that 35.5% of respondents perceived cervical cancer as a curse associated with promiscuity, while 40.5% believed their spouses were not at risk and therefore did not require screening. Despite these misconceptions, 81.2% perceived cervical cancer screening as beneficial. Educational attainment was significantly associated with misconceptions, with better-educated respondents demonstrating more accurate perceptions. Furthermore, respondents with good knowledge were more likely to demonstrate positive perceptions of screening (OR = 8.0; 95% CI: 3.5–18.4), while positive perceptions were associated with greater support for spousal screening (OR = 2.0; 95% CI: 1.4–4.0). Awareness creation was identified as a key strategy for improving support, reported by 89.6% of respondents, followed by community-based screening services (29.4%) and subsidized screening costs. The study concludes that addressing misconceptions through targeted health education, improving service accessibility, and reducing financial barriers are essential strategies for strengthening male involvement and increasing women’s participation in cervical cancer screening programs in sub-urban Nigeria.

Faktor Faktor Yang Berhubungan Dengan Kepuasan Peserta Pelatihan Perawat K3 Di Yayasan Appoki Satiman Satiman; Suhat Suhat; Budiman Budiman; Arif Susanto; Novie E Mauliku; Devanda Faiqh Albyn
Medical : Jurnal Kesehatan dan Kedokteran Vol 3 No 1 (2026): Januari-Juni 2026
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v3i1.782

Background: Training is a crucial investment in human resource development. Participant satisfaction serves as an indicator of training success and influences motivation to apply training outcomes. Objective: This study aimed to analyze factors influencing training participant satisfaction, including material quality, facilitator competence, training methods, training benefits, and behavioral changes at APPOKI Foundation. Methods: This cross-sectional study employed accidental sampling from available training participants (n=33 respondents; response rate 66%). A structured questionnaire using a 4-point Likert scale (1=Very Dissatisfied to 4=Very Satisfied) measured four main variables, demonstrating validity and reliability (Cronbach's Alpha 0.886–0.974). Analysis included univariate (frequency, mean), bivariate (Chi-Square nonparametric), multivariate (multiple logistic regression), and pre-post test comparison (Wilcoxon nonparametric). Results: Majority were female (69,7%), bachelor's degree holders (66,7%), and had <5 years work experience (51,5%). Satisfaction rate was 33,3% with quality assessments on materials (42,4%), facilitator (39,4%), methods (33,3%), benefits (36,4%), and behavioral changes (36.4%). Wilcoxon test showed significant post-test increase (mean 79,39 to 89,70; p=0,002). Bivariate analysis showed five variables significantly related to satisfaction: material quality (p=0,001; PR=3.3), facilitator competence (p=0,001; PR=4.1), training methods (p=0,001; PR=10,5), and benefits (p=0,001; PR=3,6). Multivariate analysis showed training material quality as the only dominant factor significantly influencing satisfaction. Participants rating materials as quality had 71,4% probability of satisfaction. Conclusion: Occupational Health and Safety Nurse training effectively improved learning outcomes. Training material quality is the dominant factor determining satisfaction, with participants rating materials as quality showing high satisfaction (71,4%). Focused improvements on material quality are needed through comprehensive needs assessment, content alignment with participant needs, practical case studies, and regular material updates.

Nutritional and Anemia Status of Adolescent Girls in Kintamani, Bangli Based on School Screening Program Cintya Riska Prathiwi; Ni Ketut; I Wayan Gede
Medical : Jurnal Kesehatan dan Kedokteran Vol 3 No 2 (2026): Juli-Desember 2026
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v3i2.846

Background. Adolescent girl is the key population for creating a healthy generation. However, stunting is still being a crucial problem in the community, especially in Bangli, Bali. Studies that focused on stunting in school-aged population is still lacking compared to others age-related population. This study was aimed to describe nutritional status and anemia among adolescent girls in Kintamani, Bangli. Method. This cross-sectional study was held alongside school screening program at two high schools in work area of Kintamani 6 Primary Health Care Centre. All girls aged 12-17 years on the first grade participated in this study. Analysis of nutritional status were done using WHO Anthro-plus software based on WHO Reference 2007. Hemoglobin level was measured by point-of-care testing using strip method with a calibrated device. Result. Total sample of 223 adolescent girls were participated. All numerical data were found in normal limits (Kolmogorov Smirnov test p>0.05). Nutritional status with severe thinness 1 (0.4%), thinness 3 (1.3%), normal 187 (80.6%), overweight 26 (11.2%) and obesity 15 (6.5%). Anemia found in 64 adolescents with 32 (13.8%) equal numbers for both mild and moderate anemia (Hb level: 11.0-11.9, 8.0-10.9, respectively). In adolescent girls affected by anemia, 18.7% were facing nutritional problems either under or overnutrition. Conclusion. Double burden of malnutrition and anemia still being health problems among adolescent girls in Indonesia, especially Kintamani. Evidence-based interventions were needed for raising the awareness among adolescent girls who once will be future mother regarding a healthy diet and the importance of taking iron supplementation routinely.

Screening Medication Interactions in Elderly Patients with Ischaemic Heart Disease Nanda Ardhia Putri; Ria Anggraeni; Maria Sheila Setya Ningtyas; Farisa Luthfiana
Medical : Jurnal Kesehatan dan Kedokteran 2026: Special Issue
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

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Drug interactions are an important medication safety concern among elderly patients with ischaemic heart disease (IHD), particularly because age-related physiological changes and comorbidities may increase vulnerability to adverse drug effects. This study aimed to identify potential drug interactions and describe the sociodemographic and clinical characteristics of elderly patients with IHD. A quantitative, descriptive study with a retrospective cross-sectional design was conducted using medical records of elderly patients treated between January and December 2025. The study included 100 patients aged 60 years or older who had an IHD diagnosis and documented concurrent use of more than one medication. Data were collected through medical record observations and analyzed using descriptive statistics, including frequency distributions and percentages. Potential drug interactions were screened using the Medscape Drug Interaction Checker and classified according to their mechanisms and severity. The results showed that 58% of patients were male, while 83% were aged 60–74 years. Bisoprolol was the most frequently prescribed medication, accounting for 92% of patients. Furthermore, 96% of patients had comorbidities, and 62% received fewer than five medications. Potential drug interactions were identified in 90% of patients, with a total of 185 interaction events. Pharmacodynamic interactions predominated, accounting for 94.6% of all identified interactions, while pharmacokinetic interactions represented 5.4%. Regarding severity, moderate interactions were the most common (82.7%), followed by major interactions (16.2%) and minor interactions (1.1%). The aspirin–bisoprolol combination was the most frequently identified interacting drug pair, accounting for 31.4% of interaction events. These findings demonstrate the high prevalence of potential drug interactions among elderly patients with IHD, even when most patients receive fewer than five medications. Routine medication review, systematic interaction screening, and continuous clinical monitoring are therefore essential. Pharmacists should collaborate with physicians and other healthcare professionals to assess interaction significance, optimize pharmacotherapy, and improve medication safety.

Assessment of Antihypertensive Drug Use in Central Jakarta's Cempaka Putih Islamic Hospital Outpatients Rachel Ayu Nastiti; Satya Candra Indra Yanih
Medical : Jurnal Kesehatan dan Kedokteran Vol 3 No 1 (2026): Januari-Juni 2026
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

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Hypertension is a major public health concern that requires appropriate pharmacological management to prevent cardiovascular complications and improve patients’ quality of life. Rational use of antihypertensive medications is essential to ensure treatment safety, effectiveness, and adherence to clinical practice guidelines. This study aimed to describe patient characteristics, identify antihypertensive prescribing patterns, and evaluate the appropriateness of antihypertensive drug use among outpatients at Cempaka Putih Islamic Hospital, Central Jakarta, Indonesia. A descriptive retrospective observational design was employed using medical records of hypertensive outpatients treated between January and March 2026. A total of 221 patients were selected through purposive sampling based on predetermined inclusion and exclusion criteria. Data on patient characteristics, prescribed medications, indications, drug selection, and dosages were collected and analyzed descriptively. The appropriateness of medication use was evaluated according to four indicators based on the 2019 Consensus Guidelines of the Indonesian Hypertension Society (PERHI), namely patient appropriateness, indication appropriateness, drug selection appropriateness, and dosage appropriateness. The results showed that female patients predominated, accounting for 149 patients (67.42%), while patients aged 65 years and older represented the largest age group, with 71 patients (32.13%). Amlodipine was the most frequently prescribed antihypertensive medication, with 142 prescriptions, followed by candesartan with 115 prescriptions and bisoprolol with 59 prescriptions. Regarding treatment appropriateness, 216 patients (97.74%) met the patient-appropriateness criteria, 209 (94.57%) met the indication criteria, 218 (98.64%) received appropriate drug selection, and 216 (97.74%) received appropriate dosages. These findings indicate that antihypertensive prescribing at Cempaka Putih Islamic Hospital generally complied with the 2019 PERHI guidelines. Nevertheless, discrepancies in indications, patient selection, drug combinations, and dosages highlight the importance of continuous prescription evaluation and monitoring. Regular medication reviews and improved clinical documentation are recommended to maintain patient safety, optimize therapeutic outcomes, and strengthen the quality of pharmaceutical services for individuals with hypertension.

Repurposing Albendazole and Ivermectin in Cancer Patient Therapy Raihan Fadhil Muhammad; Diana Laila Ramatillah; Kashif Ullah Khan
Medical : Jurnal Kesehatan dan Kedokteran 2026: Special Issue
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

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Cancer remains a leading cause of mortality worldwide, and conventional treatments continue to face challenges related to drug resistance, adverse effects, and limited therapeutic efficacy. Drug repurposing has emerged as a promising strategy for identifying alternative anticancer agents using existing medications. This review aimed to evaluate the potential anticancer effects and mechanisms of action of albendazole and ivermectin, two anthelmintic drugs traditionally used to treat parasitic infections. A narrative literature review was conducted using PubMed, Google Scholar, and Elsevier databases to identify relevant studies published between 2020 and 2025. Studies investigating the anticancer effects of anthelmintic agents in clinical or preclinical settings were considered, and 15 studies were included in the synthesis. The extracted data covered cancer types, experimental models, treatment concentrations, exposure durations, half-maximal inhibitory concentration (IC₅₀), anticancer outcomes, and proposed mechanisms. The findings indicated that albendazole demonstrated antiproliferative activity against colorectal, gastric, breast, prostate, melanoma, and cervical cancer models. Its proposed mechanisms included G2/M cell cycle arrest, apoptosis induction, increased reactive oxygen species, and inhibition of angiogenesis and metastasis. Ivermectin exhibited anticancer effects across several cancer models, including colorectal, osteosarcoma, urothelial, breast, esophageal, and prostate cancers. Its mechanisms involved oxidative stress, mitochondrial dysfunction, DNA damage, apoptosis, and modulation of the tumor microenvironment through increased T-cell infiltration and reduced immunosuppressive activity. Both agents also demonstrated potential synergistic effects when combined with selected chemotherapeutic drugs or immune checkpoint inhibitors. However, IC₅₀ values varied according to cancer cell type, drug concentration, and treatment duration. In conclusion, albendazole and ivermectin represent promising candidates for further investigation through drug repurposing. Nevertheless, the available evidence remains predominantly preclinical, and well-designed clinical trials are necessary to establish their safety, optimal dosage, pharmacokinetics, drug interactions, and therapeutic efficacy in cancer patients.

Correlation Between Autoimmune Disease Recurrence with Vitamin D Viesta Olivia Thahuurun Gani; Diana Laila Ramatillah
Medical : Jurnal Kesehatan dan Kedokteran 2026: Special Issue
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

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Vitamin D plays an important role in immune regulation and may influence the clinical course of autoimmune diseases. However, evidence regarding vitamin D status and its relationship with demographic characteristics, clinical factors, and disease recurrence remains limited in Indonesian clinical settings. This study aimed to evaluate vitamin D status and analyze its associations with demographic and clinical characteristics and patient outcomes among autoimmune patients at Fatmawati General Hospital, Jakarta. An analytical observational study with a retrospective cross-sectional design was conducted using medical records from 2022 to 2025. A total of 135 eligible patients were included through total sampling. Data on sex, age, autoimmune disease type, treatment duration, serum vitamin D status, and clinical outcomes were analyzed using descriptive statistics and the Chi-square test or Fisher’s Exact Test, as appropriate, with statistical significance set at p < 0.05. Most patients were female (87.4%), aged over 55 years (28.1%), and diagnosed with rheumatoid arthritis (39.3%), followed by systemic lupus erythematosus (37.8%). Normal vitamin D status was identified in 31.9% of patients, while 31.1% had vitamin D insufficiency, 18.5% had deficiency, and 18.5% had excess levels. Age (p = 0.012) and type of autoimmune disease (p < 0.001) were significantly associated with vitamin D status, whereas sex (p = 0.105) and treatment duration (p = 0.881) were not. Treatment duration was significantly associated with clinical outcomes (p < 0.001), while autoimmune disease type showed no significant association with outcomes (p = 0.227). These findings highlight the importance of monitoring vitamin D status, particularly among older patients and individuals with specific autoimmune conditions. However, the relationship between vitamin D status and autoimmune disease recurrence could not be established because it was not directly analyzed. Further prospective studies are needed to investigate this relationship and identify additional factors influencing vitamin D status and clinical outcomes.

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Contact Name
Ahmad Rayhan

Contact Email
ahmadrayhan30@gmail.com

Phone
+6285695133714

Journal Mail Official
medicaljhm@gmail.com

Editorial Address
Puri Cempaka, Azalea A9, Number 22, Panancangan, Cipocok Jaya, Serang, Banten

Location
Kota serang,

Banten

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ahmad Rayhan

Contact Email ahmadrayhan30@gmail.com

Phone +6285695133714

Journal Mail Official medicaljhm@gmail.com

Editorial Address Puri Cempaka, Azalea A9, Number 22, Panancangan, Cipocok Jaya, Serang, Banten

Location Kota serang, Banten INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ahmad Rayhan

Contact Email
ahmadrayhan30@gmail.com

Phone
+6285695133714

Journal Mail Official
medicaljhm@gmail.com

Editorial Address
Puri Cempaka, Azalea A9, Number 22, Panancangan, Cipocok Jaya, Serang, Banten

Location
Kota serang,

Banten

INDONESIA