International Journal of Public Health Excellence (IJPHE)

Family Food Availability Income and Consumption Patterns Cause Wasting in Toddlers in Martapura Timur District

2024-11-15T14:46:29+00:00

Asting, a condition characterized by low body weight in toddlers, has a prevalence of 28.94% in Martapura Timur District. This study aimed to explore the relationship between income, food availability, and consumption patterns as factors contributing to wasting among toddlers aged 12-59 months. Using a Cross-Sectional design, data were collected from 45 purposively sampled toddlers through questionnaires, food availability forms, and food frequency forms. Spearman Rank correlation (α=0.05) was employed for data analysis. Findings revealed that most mothers were under 20 or over 35 years old, with junior high school education and predominantly unemployed. Male toddlers were slightly more prevalent, with 82.2% classified as wasting and 17.8% in severe wasting. Low family income (below the minimum wage) was common (71.1%), and food availability ranged from insufficient to barely sufficient. Consumption patterns were largely suboptimal (64.4%), with staple food intake (<150 g/day) limited to rice and corn, animal protein (50 g/day) from eggs only, plant protein (<40 g/day) primarily from tofu, and minimum vegetable consumption (30 g/week of pumpkin, 1-3 times weekly). Statistical analysis indicated significant relationships between family income (p=0.048, r=0.296), food availability (p=0.048, r=0.296), and consumption patterns (ρ=0.002, r=0.455) with wasting. The strongest relationship was found in food availability. Efforts are being made to increase awareness through health centers, encouraging mothers to utilize home yards for food production, enhancing food availability, and improving children's diets. Addressing these factors can help reduce the prevalence of wasting and promote better nutrition in toddlers.

The Effect of Smart Monitoring System on Attitudes and Adherences of Consuming Iron Supplement Tablets in Pregnant Women

2024-08-14T20:00:13+00:00

Anemia is a condition of hemoglobin or red blood cells below 7gr/dl. The government's efforts to encourage pregnant women to consume 90 Fe tablets during pregnancy have not achieved national coverage due to the absence of a monitoring and evaluation program that is direct to low attitudes and adherence. Therefore, it is necessary to design an effective strategy with a smart monitoring system to observe the attitudes and adherence of pregnant women in consuming Fe tablets. The study aimed to determine the effect of a smart monitoring system on attitudes and adherence to the consumption of iron supplement tablets in pregnant women in the work area of Puskesmas Klego 1.The type of research adopted quantitative with the pre-experimental method using the one-group pre-test and post-test design research design. The sampling used a total sampling technique with 50 respondents. Data analysis utilized paired T-test and Wilcoxon test to determine the effect of a smart monitoring system on attitudes and adherence.The analysis of the Paired T-Test presented p value = 2.61 (p = 2.61->0.05). It indicated no effect of the smart monitoring system on attitudes. The results of the Wilcoxon test analysis obtained a p-value = 0.000 (p = 0.00-<0.05. There are differences in the effect of using the smart monitoring system on the attitudes of pregnant women in the work area of Puskesmas Klego 1. Recommendations for further research are to enhance the application features.

Degree of Burn: A Digital Tool for Burn Area Assessment and Fluid Requirement Calculation Using Wound Image Analysis

2024-12-30T04:42:26+00:00

Burns are tissue damage due to contact with a heat source, such as fire, hot water, chemicals, electricity, or radiation. Burns are a type of trauma with high morbidity and mortality rates and require high treatment costs. In Indonesia, burns are still a serious problem that requires special care, high costs, and skilled personnel. Currently, burn assessments are carried out manually, which is time-consuming and the results are subjective. Treatment efforts include preventing infection and encouraging epithelial cell regeneration to close the wound. Therefore, innovation is needed in the form of a system that helps assess burns more effectively, including classifying wound tissue, measuring wound area, and monitoring wound development. The use of an Android-based system can provide more accurate measurements through a digital planimetry approach or image segmentation, which can identify wound boundaries and tissue types. Technology-based health applications, such as the "Degree of Burn" application, allow for more efficient calculation of burn area and fluid requirements. This study uses a literature review method from international journals, national journals, books, and conference results related to burn assessment to support the development of this system.

The Impact of Telemedicine on Patient Outcomes During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

2024-12-17T06:58:52+00:00

The ongoing global pandemic has precipitated the rapid adoption of telemedicine as an alternative means of delivering healthcare, particularly with a view to reducing direct contact between patients and medical personnel. The objective of this study is to examine the influence of telemedicine on patient health outcomes during the ongoing pandemic through a comprehensive review and meta-analysis of pertinent literature. A qualitative research methodology was employed to analyse 20 articles selected based on pre-established inclusion and exclusion criteria. The findings indicate that telemedicine has a favourable impact on enhancing healthcare accessibility, time efficiency and cost reduction, despite challenges pertaining to technological constraints and patient digital proficiency. This research offers valuable insights for policymakers in optimising the future implementation of telemedicine.

Assessing the Effectiveness of Mindfulness-Based Stress Reduction (MBSR) Programs in Reducing Anxiety and Depression in Chronic Illness Patients

2025-01-22T04:08:23+00:00

The objective of the present study was to evaluate the efficacy of a mindfulness-based stress reduction (MBSR) program in mitigating anxiety and depression levels in patients suffering from chronic illnesses. To this end, qualitative research techniques were employed, encompassing in-depth interviews and participant observation, in order to gather data from a cohort of twelve patients who had engaged in the MBSR program for a duration of 8 weeks at Sam Marie Clinic.Thematic analysis was subsequently implemented for the purpose of data analysis. Findings indicated that the MBSR program effectively reduced anxiety and depression levels by fostering heightened self-awareness, acceptance of emotions, and effective stress management.The study's findings offer crucial insights for the advancement of mindfulness-based psychosocial interventions in chronic disease patient care.

Factors Influencing Fertile Age Couples in the Use of Long-Term Contraceptive Methods (MKJP)

2025-01-22T08:23:54+00:00

The success of the National Family Planning (KB) Movement in encouraging increased community participation in building increasingly independent small families must be considered and even improved because this achievement is not evenly distributed. Likewise, what happened in the Patiluban Mudik Health Center work area where the number of Fertile Age Couples using KB was only a portion of the total number of Fertile Age Couples recorded up to May 2023, which was 514 PUS. The purpose of the study was to determine the factors that influence fertile age couples in terms of the use of Long-Term Contraceptive Methods (MKJP) in the Patiliuban Mudik Health Center Work Area, Natal District, Mandailing Natal Regency in 2023. The research method is quantitative research with a cross-sectional study design approach. The study was conducted in the working area of Patiluban Mudik Health Center with a sample size of 92 people. The analysis used was Chi Square. The results showed a significant relationship between knowledge and the use of MKJP (P value = 0.018 <0.05), there was a significant relationship between family support and the use of MKJP (P value = 0.0033 > 0.05). There was a relationship between parity and the use of MKJP (P value = 0.011 <0.05), The results of this study recommend that Patiluban Mudik Health Center be more intensive in providing counseling about MKJP so that the number of KB users, especially MKJP, can be increased and to find factors that influence PUS not to be willing to use the MKJP method.

Innovation of Smart Baby Care in Educating Postpartum Mothers on Newborn Care

2024-10-22T18:22:41+00:00

level of knowledge and skills she has. Prima para mothers or mothers who have just given birth for the first time often do not understand about newborn care. A mother's success in raising a baby is greatly influenced by the level of knowledge and skills she has. Prima para mothers or mothers who have just given birth for the first time often do not understand about newborn care. The results show that the ease of application achieved a score of 65.9%, suitability of content 69.4%, completeness reached a score of 58.8%, suitability of desired knowledge needs 52.9% and help make it easier to understand maintenance science reached 70%. Simpulan Aplikasi SBCMomBoby dapat dengan mudah The application is used, appropriate for baby care content, comprehensive, and facilitates understanding of baby care knowledge. However, it does not fully meet the desires of postpartum mothers regarding certain knowledge that has not been included in the SBC MomBaby application.

The Relationship Between Sex and Age with the Suspected Incidence of Malaria Based on Rapid Diagnostic Test (RDT) Results in the Working Area of the Tanjung Leidong Health Centre, North Labuhanbatu District in 2023

2024-11-12T02:14:29+00:00

Background: Malaria is a global problem and it’s incidence increasing every year. Malaria caused by several factors such as gender and age. Men are more at risk of malaria than woman and adults are more affected by malaria than children and the elderly. Methods: This study used observational analysis method with Cross-Sectional approach with total sampling technique, with 754 samples that fit the inclusion criteria. The data was analized with Chi-square test correlation analysis, and Risk metode to determine the Prevelence ratio value, and also the contingency coefficient test. Results: The most positive RDT results were found in men (62.4%) and (53.1%) were found in adult with the results of the chi-square test on the gender variable and RDT results obtained a value of p-value = 0.00 (p < 0.05) and OR = 14.9 (CI 95% 5,845-38,032) which means there is a relationship between gender and the incidence of malaria and men have a high risk of malaria 14.9 times greater than women. The results of the age variable test with the incidence of malaria using Coefficient Contingency with Spearman Correlation obtained a value of p = 0.000 (p <0.05) with an r-value = 0.194. These results indicate that there is a relationship between age and malaria incidence rates with a very weak correlation value. Discussion: man and adults are more affected by malaria due to outdoor physical activity, immune system influences, and hormonal system influences. Adults are more often affected by malaria due to lifestyle and daily activities.

The Effect of Temulawak and Ginger on Changes in Blood Pressure in Pregnant Women and Pain Reduction in Labouring Women in BPM Suryani North Padang Lawas Regency

2025-02-04T17:12:08+00:00

Hypertension in pregnancy has a significant impact on maternal and fetal health. It can lead to complications such as placental abruption, organ failure, intravenous coagulation, preeclampsia, preeclampsia to become eclampsia, risk of intrauterine development, premature birth and intrauterine death. The treatment of gestational hypertension may be either pharmacological or non-pharmacological in nature. Non-pharmacological therapy for the treatment of hypertension in pregnancy may employ the use of ginger and temulawak. This study was conducted at BPM Suryani. The population comprised all pregnant women at BPM Suryani, numbering 154. The sample consisted of pregnant women with gestational hypertension, numbering 34. The recommended dose of dried temulawak and ginger is 25 grams, boiled in 200 ml of water until 100 ml of boiled water is obtained. The boiling time is 2-5 minutes. The temulawak and ginger are administered once a day for one week. At the outset of the study, the blood pressure of pregnant women with gestational hypertension was ascertained. Following the administration of temulawak and ginger, the respondents were again subjected to monitoring of their blood pressure. The data were analysed using a statistical test, namely the t-test, which is a paired sample t-test. A significant relationship was observed between systolic and diastolic blood pressure values before and after the administration of temulawak and ginger (p-value <0.05). The average difference in systolic blood pressure before and after the intervention was 5.82 mmHg with a p-value on systolic blood pressure of The p-value was 0.000 (p-value <0.05) for systolic blood pressure and 0.026 (p-value <0.05) for diastolic blood pressure. These findings suggest that the content of temulawak and ginger can be used in reducing blood pressure in pregnant women with gestational hypertension.

Analysis of Mothers' Knowledge About Postpartum Visits in the Work Area of Gunung Tua Community Health Center

2025-02-04T18:24:31+00:00

The postpartum period is a fairly important period for health workers to always monitor because less than optimal implementation can cause the mother to experience various problems, and can even lead to postpartum complications. Among the causes of maternal death, infection is the second most common cause of death after bleeding. The type of research used was descriptive, namely, to determine the mother's knowledge about postpartum visits. The sampling technique used in this study was total sampling. The total population is a sampling technique in which the total number of samples is the same as the population (Sugiyono 2010). Thus, the sample in this study was the entire population of postpartum mothers-form January to August 2024 in the Gunung Tua Health Center work area, totaling 34 people. Based on the data analysis conducted, it is known that the majority of respondents' knowledge is in the lowers category, (38.2%). This is understandable, considering that the majority of respondents' education was in the basic education category, (44.1%). Education is a formal and non-formal activity in an effort to develop a person's mindset, personality, and abilities, both inside and outside of school, as well as life experiences that last a lifetime. The majority of the respondents' knowledge was in the sufficient category, (17.6%). This is understandable, considering the majority of respondents' ages in the 21-35 year category, namely (47.0%). Most respondents' knowledge was in the insufficient category, (20.6%). This is understandable, considering that the majority of respondents' jobs were in the unemployed/housewife category, (44.1%). Every health worker, especially midwives, should be able to provide counseling to mothers regarding the importance of visits during the postpartum period.

The Effect of Andaliman Oil on Low Back Pain in Trimester III Pregnant Women

2024-12-17T07:06:11+00:00

Nearly 70% of expectant mothers experience back pain, which makes it difficult for them to do daily tasks, including sleeping. This study sought to determine how Andaliman Oil affected third-trimester pregnant women's low back pain. Using a one-group pretest-postest design, which is a pre-experimental with a pre-test (taken before treatment) and post-test (taken after treatment) in one group, this research approach employs quasi-experiments. Third Trimester Pregnant Women with back and waist pain made up the study's sample. The Modified Oswestry Low Back (ODI) is the tool used to evaluate back discomfort. The application of andaliman oil is carried out by continually applying it to the mother's back and waist until the respondent has the sensation for fifteen minutes. After that, the mother is given a post-instrument to gauge the impact of andaliman oil on her pain levels. According to the findings of statistical testing, there was a decrease in back pain and a decrease in dysmenorrhea, with an average of 15.50. Additionally, a significant difference between the pre- and post-intervention periods is indicated by a p-value of less than 0.05. Additionally, the Z min value = -0.632 is found, indicating that longer and more frequent use of andaliman oil can lessen back discomfort in pregnant women in Third Trimester.

Risk Factors Causing Stunting in the Community at Sicanang Health Center

2025-02-12T03:44:05+00:00

Stunting is the inadequate intake of nutrients from the womb in children until the age of five, which is characterized by stunted height. As a result of these chronic malnutrition conditions, it can systemically inhibit the development of children in the first two years of life so that children become stunted. This study is a quantitative study with a cross-sectional design conducted at the Sicanang Medan Health Center. For respondent collection, the sampling procedure was carried out using the total sampling technique on stunting data from the Sicanang Medan Health Center. Analysis was carried out with descriptive, bivariate and multivariate analysis using multiple logistic regression analysis test. The analysis was carried out to find the most influential risk factors for the incidence of stunting cases at the Sicanang Health Center. The results of multivariate analysis by considering confounding factors showed that the most influential factors on the incidence of stunting were mothers who married too young (aOR = 0.64; 95% CI = 0.21-1.49; p-value = 0.046) and child spacing below 2 years young (aOR = 1.53; 95% CI = 0.22-2.83; p-value = 0.023).

Factors that Influence the Performance of Medical Record Technicians at Sibuhuan Hospital

2024-10-16T17:08:46+00:00

This research aimed to determine the factors that influence the performance of technicians at Sibuhuan Regional General Hospital in 2024. This research analysed factor that influences the performances of medical records based three factors: individual factors (skill, work experience, and abilities), psychological indicators (perception, motivation, job satisfaction and role), organizational (work design, leadership, and reward). The researcher used a descriptive approach by distributing questionnaires, obtained through distributing questionnaires by distributing medical record. The number of samples obtained 5 participants. This study indicated that factor that influences the performances of medical records technicians is individual factors, including Skill (40%), Work Experience (20%), and Abilities (20%). The second factor is psychological indicators namely perception (20%), Motivation (20%), Job Satisfaction (40%) and Role (20%). The third factor is organizational indicators including Work Design (20%), Leadership (20%), and Reward (60%). At long last, it can be concluded that the factor that influence the performance of medical record technicians are dominant in the skill, job satisfaction, and rewards.

Influence Massage Oxytocin to Smoothness Breast Milk in Primipara Mothers

2025-02-14T01:53:39+00:00

The inability of secretion of breastfeeding was a problem which was experienced by breastfeeding mothers. It was needed non pharmacology effort namely massage of oxytocyn. The purpose of this study was to analyze the effect of oxytocyn massage to the smoothness of breastfeeding in primiparous mother in the Village of Segodobancang Districts of Tarik, Sidoarjo regency. This research design was one group pre test post test design. The population in this study were all primiparous mothers who experienced insufficiency of breastfeeding expenditure in Puskesmas Cimanggis Depok a number of 27 mothers. The sample amounted to 25 mothers with simple random sampling technique. The independent variable was the oxytocyn massage and the dependent variable was the fluency of mother's milk in primiparous. The data collection used observation sheet and questionnaire. The technique of data processing used editing, coding, scoring, tabulating and its statistical test used the statistical test of wilcoxon rank test. The results of this study were obtained from 25 respondents, before Oxytocyn massage was conducted, most of the respondents of their fluidity breastfeeding expenditure of 0 (0%), smoothly enough were 8 mothers (32%), less fluent were 17 mothers (68%), after being conducted oxytocyn massage most of their fluidity breastfeeding expenditure were 25 mothers (100%). The wilcoxon statistical test showed that’s the value of p = 0,000 <a (0.05) so that H1 was accepted. The conclusion was that there’s an effect of oxytocyn massage to the smoothness of breastfeeding in Puskesmas Cimanggis Depok.

Early Stunting Prevention Through Providing Education to Pregnant Women

2025-02-18T16:34:57+00:00

One of the chronic nutritional problems in toddlers is stunting. Even though stunting is experienced by toddlers, it is caused by several important risk factors since pregnancy so that more attention is needed to prevent stunting since pregnancy. This study aims to analyze the effectiveness of various stunting prevention efforts since pregnancy. This research method begins by searching for articles on Google Scholar in the period 2017-2021 and using the keywords stunting prevention, stunting since pregnancy, prevention, stunting, and pregnant women. The results of the study found 4 articles on stunting prevention since pregnancy which stated that promotive and preventive efforts with various media and methods can affect the knowledge, attitudes, and practices of pregnant women regarding stunting prevention. Efforts to provide education through various methods and using various educational media can increase knowledge, attitudes, and behavior regarding stunting prevention since pregnancy.

Analysis Body Mass Index in COPD Patients at Pirngadi Regional General Hospital Medan

2025-02-18T17:25:54+00:00

Chronic obstructive pulmonary disease (COPD) is a non-communicable disease (NCD) that is a global problem with high incidence, especially in developing countries. COPD is described as a respiratory disease with restricted airflow due to alveolar obstruction or lameness. This study aims to analyze the relationship between body mass index and the degree of COPD. The design of this study was cross-sectional. A total of 67 respondents were taken using the sample size formula. COPD patients at Pirngadi Hospital Medan, totaling 67 people, were taken as respondents in this study. Data collection was carried out using secondary data, namely medical records. The results of the research data were analyzed using the Spearman Test. The results showed that the degree of severe COPD was 25 respondents (37.3%). All respondents had a body mass index classified as underweight, namely 28 respondents (41.8). The correlation test of body mass index with COPD found a significant correlation between BMI and COPD degree -0.789 (p<0.05). Suggestions for further researchers could include other variables that may affect COPD, such as the effect of pharmacological and non-pharmacological therapies on the degree of COPD

Relationship of the Knowledge Level with the Quality of Life of Diabetes Mellitus Patients at Pasar Merah Public Health Center Medan in 2023

2025-02-18T17:56:27+00:00

Diabetes mellitus can affect almost all groups of people around the world, the number of diabetes mellitus patients according to data from the International Diabetes Federation (IDF) in 2021, 1 in 10 adults aged 20 to 79 years worldwide will suffer from diabetes. In addition, diabetes causes the death of 6.7 million people or one every five seconds. In the world, China has the highest number of adults with diabetes. 140.87 million people in China had diabetes in 2021. This study aims to determine the relationship between the level of knowledge of people with diabetes mellitus and their quality of life. This study uses a quantitative or analytical research design with a cross-sectional approach. The data used is a questionnaire. Univariate and bivariate analysis using chi square statistical test. The chi square test obtained a P value of 0.021, which is (p<0.05), so that it can be stated, namely H0 is rejected while H1 is accepted, which indicates that there is a meaningful relationship between the level of knowledge and quality of life in patients with diabetes mellitus, and in the spearmen test, a correlation of sig (2 tailed) 0.006 is obtained, namely (p<0.05), which means that a significant correlation is obtained between the two variables tested.