Window of Health : Jurnal Kesehatan

Field Dynamics Faced by Community Health Workers During a Public Health Crisis: A Qualitative Study of Motivations and Challenges

Syamikar Baridwan Syamsir — 2025-04-19

The global shortage of healthcare professionals has intensified efforts to train more Community Health Workers (CHWs) to meet health and developmental needs. Amidst a global health crisis, such as the COVID-19 pandemic tragedy that occurred several years ago, CHWs have played a crucial role in controlling community-based outbreaks, thereby strengthening the public health emergency response while facing numerous challenges. This study explores the motivations and challenges CHWs face in managing health crises. Employing a descriptive phenomenological approach, this study conducted semi-structured in-depth interviews with 13 CHWs in Makassar City, selected through purposive sampling. Data were analyzed using thematic analysis via the Colaizzi method. Thematic analysis revealed three main themes and seven sub-themes, encapsulating factors of social needs and expanded health perspectives as motivational elements alongside challenges such as the prevailing negative paradigm regarding the health crisis. CHWs are instrumental in spearheading community-based activities to manage health crises. CHW training programs, facilitated by community nurses, can significantly improve their performance and impact within the community.

Data-Based Evidence on the Causality Model of Social Stigma on Medication Compliance in Leprosy Patients in Bone District, Indonesia

Bs. Titi Haerana — 2025-04-24

Leprosy is an infectious disease and can cause stigma from society. One thing that is important to do to reduce the stigma felt by leprosy sufferers is to obediently take medication. This study aims to determine the relationship between stigma and adherence to taking medication on covariate variables in leprosy patients in Bone Regency. This quantitative study uses an observational analytical approach and a cross-sectional study. The analysis used was multivariate analysis with a causality model. The number of samples in this study was 92 respondents, taken using simple random sampling. The results of this study show that stigma in leprosy patients in Bone Regency is significantly related (ORa = 1.022, 95% CI = 0.306-3.416) to adherence to taking medication, which means 1.022 times more likely to experience non-adherence in taking medication, controlling for gender and side effects of medication. There needs to be preventive efforts through early detection and health education related to leprosy given to patients, the patient's family, and the community, so that it can reduce the stigma experienced by patients and increase compliance with taking medication.

Effectiveness of Herbal Compress Ball on Reducing Back Pain in Postpartum Women

Deni Maryani — 2025-04-24

Postpartum women tend to experience low back pain disorders due to the labor process and muscle tension, especially when breastfeeding their babies. Efforts to overcome back pain in postpartum women include the use of compresses. One of the non-pharmacological interventions employed is using herbal compress balls, which have aromatherapeutic properties and facilitate heat conduction. This intervention aims to enhance local blood circulation in pain-affected regions. The study was to determine the effectiveness of herbal compress balls in reducing back pain in postpartum women. The measuring tool for assessing the pain scale is the NRS. The method of research is an experimental “one-group pre-post test design”. 96 respondents were selected via non-probability sampling in the form of an accidental sampling technique. Data analysis using the “Wilcoxon signed rank test”. The study showed a reduction in the back pain scale of postpartum women after the use of the herbal compress ball "p-value = 0.000 (p <0.05)". The herbal compress ball has been proven effective in overcoming back pain in postpartum women. It is hoped that further research can use methods comparing herbal compress balls with other intervention methods.

The The Impact of Mental Health Training Interventions on Cadres' Ability to Detect Depression Among Rural Elderly

Anna Kurnia — 2025-04-25

Depression is a prevalent concern among the elderly population, potentially leading to suicidal ideation and behavior. Consequently, proactive measures are imperative to mitigate depression's impact. Community cadres, who offer voluntary assistance to healthcare professionals, play a crucial role in the early detection of depression. This study aims to evaluate the efficacy of a training program designed for cadres in identifying depression among elderly individuals residing in rural areas. This study utilized purposive random sampling to employ a pre-experimental design with a single-group pre-post intervention. 89 participants meeting the inclusion criteria—being mental health cadres and having completed comprehensive training—were randomly assigned. The intervention involved training participants in recognizing depression symptoms in the elderly. Data was collected using a personal information form and a questionnaire assessing the ability to detect early signs of depression in the elderly, administered before and after the intervention. Statistical analyses were conducted using SPSS-22, employing paired t-tests and Chi-square tests. The findings indicate a significant improvement in the cadres' ability to identify depression among rural elderly individuals following the intervention (p = 0.005). This study underscores the effectiveness of training programs in enhancing cadres' proficiency in recognizing depression among elderly rural residents. Consequently, we advocate for integrating regular mental health training sessions for community cadres within public health initiatives.

Early Identification of HIV Infection Among Adolescents in Primary Care Center: A Case Study

Linlin Lindayani — 2025-04-26

Adolescents are at high risk for HIV transmission due to exploratory behaviors and risky activities. Early identification of HIV infection is crucial to prevent transmission, as it interrupts the transmission chain through awareness of one's HIV status. This study aimed to explore the implementation of adolescent-centered HIV early detection services in primary care. A qualitative case study design was employed, involving in-depth interviews and document analysis at a public health center in Central Bandung. A purposively selected nurse, with 15 years of experience managing the HIV program, served as the key informant. Data were collected through semi-structured interviews and analyzed using content analysis techniques to identify key themes, categories, and codes. Six themes emerged: (1) VCT service procedures; (2) community health initiatives; (3) collaboration with external institutions; (4) adolescent engagement strategies; (5) barriers to adolescent testing; and (6) factors facilitating testing. Although the VCT protocol was comprehensive and included pre- and post-counseling, fear of a positive diagnosis. While the VCT model at the primary care level is aligned with national HIV prevention strategies, its effectiveness for adolescents is limited by low participation and social resistance. Integrating case-based learning in nursing education, enhancing peer-based outreach, and strengthening adolescent-friendly health services are recommended to improve early HIV detection and care linkage for youth.

The Effect Of Consumption Of Soy Milk And Tempeh In Women Aged 20-30 Years With Premenstrual Syndrome

Fillah fithra dieny — 2025-04-26

There are 73.3% of women in Bekasi experiencing symptoms of premenstrual syndrome (PMS). Isoflavone can help with PMS symptoms. The aglycone form of isoflavones has high bioavailability. Analyze the consumption of tempeh and soy milk in reducing SPAF (Shortened Premenstrual Assessment Form) scores. The study used a quasi-experimental method with a pretest and posttest control group design. The intervention was giving soy milk and tempeh for 14 days before menstruation. The sampling technique was used purposive sampling as many as 30 women and divided into 3 groups. PMS symptom assessment using the SPAF questionnaire. The dependent variable in this study is PMS. The independent variables in this study were the consumption of soy milk and tempeh. And the cofounded variables in the study are physical activity, food intake, and stress factors. Data analysis will be carried out using paired t-tests, One-Way ANOVA, and ANCOVA. Consuming soy milk in the treatment group can reduce the SPAF score (p = 0.003). Meanwhile, there was no significant decrease in the group that consumed tempeh (p = 0.105). There was no significant difference in symptom reduction between tempeh and soy milk groups (p = 0.818). The influence of confounding variables (R = 0.560), namely physical activity (p = 0.042). Consumption of soy milk can significantly reduce SPAF scores, while the decrease in SPAF score on tempeh consumption is not significant. It is noted that there is another strong influence, namely high physical activity.

Development of Midwifery Documentation System In Web-Based Pregnancy Care

Dewi Susilawati — 2025-04-28

Documentation of pregnancy care is very important to monitor the health of the mother and the fetus she is carrying; often, this documentation is still done manually and sometimes irregularly. There is a need for a midwifery documentation system that can assist students in recording data regularly and accurately. SOAP of Midwifery Documentation (MD-SOAP) is a web-based documentation system designed based on the needs in documenting pregnancy care, starting from a thorough assessment of the patient's basic data, diagnosis, care planning, implementation, and evaluation based on the Varney mindset with SOAP documentation that is written in narrative. The purpose of this study was to identify the need for midwifery documentation in pregnancy care and design a prototype of SOAP of Midwifery Documentation (MD-SOAP). This research method is Research and Development (R&D) to design a prototype of SOAP of Midwifery Documentation (MD-SOAP). The sample of this study was part of the Midwifery Study Program students of STIKes MERCUBAKTIJAYA Padang, as many as 88 students. Data collection techniques by filling out questionnaires. Analysis of this research is descriptive, quantitative, and qualitative. The results of this study are the need for web-based midwifery documentation, obtained 100% of students stated the need for web-based documentation. So far, they have used documentation by handwriting methods, 83% understand the use of computers, and 72.4% understand the use of the web. The features available in MD-SOAP cover all aspects needed in pregnancy care. MD-SOAP has also been validated by media experts and midwifery experts specializing in pregnancy care, all of whom stated that this web is suitable for use. The results of this study conclude that the MD-SOAP web is suitable for use by students in documenting pregnant women.

Development of an Education Model for Increasing Husbands' Knowledge about Exclusive Breastfeeding in Makassar City

Muliana muliana — 2025-04-28

Husbands' knowledge about exclusive breastfeeding (EB) is still low; this causes a lack of support for breastfeeding mothers, which results in low coverage of exclusive breastfeeding. Purpose: to analyze the effect of developing an exclusive breastfeeding education model on increasing husbands' knowledge. The Method of study is a combination of research and development (R&D), Borg and Gall, quasi-experimental, non-equivalent control group design. Population of husbands of pregnant women: sample, husbands of pregnant women who check their pregnancies at the Community Health Center in the third trimester. Purposive sampling of 60 people was divided into two groups; the intervention group received an exclusive breastfeeding education module plus the MCH book, and the control group received the MCH book, with knowledge measurement (pre-test) in the two control groups. Intervention and post-test were carried out once a week for 4 weeks. Data analysis used the Wilcoxon signed-rank test and the Mann-Whitney test. The Results of the study show that there is an effect of giving exclusive breastfeeding education modules on husbands' knowledge, with an overall post-test p-value of 0.000 < 0.05. There was no effect of giving the MCH handbook to the husband's knowledge, p-value 0.391> 0.05. There were differences in knowledge in the two groups, with the mean ranks greater in the intervention group, namely pre-test 32.67 > 28.33, post-test 1 37.35 > 23.65, post-test 2 41.15 > 19.85, and post-test 3 43.78 > 17.22. There is a difference in knowledge between the intervention and control groups. The exclusive breastfeeding education module increases husbands' knowledge about the importance of breastfeeding, especially exclusive breastfeeding. Conclusion: The exclusive breastfeeding education module increases husbands' knowledge about the importance of breastfeeding, especially exclusive breastfeeding, to be used as a health promotion medium in healthcare facilities.

The Effect of Edu-IFA on Knowledge and Compliance with Fe Tablet Consumption in Pregnant Women in Makassar City

Tira Zhagira — 2025-04-28

Anemia in pregnancy is still a serious problem in Indonesia, with a prevalence of 48.9%. Iron supplementation is widely considered an important strategy to reduce the incidence. The aim of the study is to analyze the effect of educational videos on the knowledge and compliance of pregnant women with Fe tablet consumption and to compare the impact of knowledge and compliance with the consumption of Fe tablets on pregnant women between the intervention group and the control group. The methods used in this study were quasi-experimental with a nonequivalent control group design. Sampling by the exhaustive sampling technique consisted of 64 respondents, with the intervention group of 32 people and the control group of 32 people. This study was carried out at the Dahlia Health Center and the Pertiwi Health Center in Makassar City for 5 months, with an intervention of 90 tablets or 3 months. Data were analyzed using the Chi-Square, Wilcoxon, McNemar, and Mann-Whitney tests. The result shows the intervention group showed a 100.0% increase in knowledge and 59.4% in compliance, while the control group experienced a 90.6% increase in knowledge and 56.2% in compliance. The educational video on the importance of blood supplement tablets during pregnancy effectively increases knowledge and compliance with Fe tablet consumption in pregnant women, so it is hoped that health workers can use educational video media as an alternative method in counseling.

Analysis of the Factors Influencing the Coding Quality in East Java Hospital of Indonesia: Diabetes Mellitus as A Case Study

Hosizah Markam — 2025-04-29

Code precision has received significant attention due to the increased utilization of encoded procedural data. Coding errors have been documented in multiple research investigations. This study aims to assess the variables that affect coding quality. The prevalence of diabetes has increased substantially in the past two decades and is a significant cause of morbidity and mortality. Method: This study was conducted in 2 hospitals in East Java, Indonesia, that were selected through simple random sampling from a population of hospitals meeting the predefined inclusion criteria. The bed capacities of these hospitals are 211, with details of 62 and 149, respectively, for the specialised ones. The sample in this study was 60 medical record files taken randomly in 2022 in the case of diabetes mellitus. The result showed coding quality testing uses six elements: reliability, accuracy, relevancy, timeliness, completeness, and legibility. Data analysis was carried out analytically using the Fisher Exact test. The results of the study from 60 samples showed that four elements were significant out of a total of 6 aspects of coding quality elements. The four essential elements consisted of Accuracy (p=0.001), Reliability (p=0.001), Completeness (p=0.046), and Legibility (p=0.046). Reliability elements also impact coding accuracy or vice versa (p=0.001); Completeness also affects Legibility and vice versa (p=0.046). The odds ratio value of each component shows that Reliability and Accuracy are 8.782, which means that Reliability can increase Accuracy 8 times and vice versa. Meanwhile, completeness and legibility are at 3.818, which means completeness also increases legibility by three times and vice versa. The Hospitals should consider four significant coding quality elements, including completeness, accuracy, reliability, and legibility, for use in coding audits. Timeliness and Relevance were insignificant.

Utilization Of Corn Starch Amylopectin (Zea mays L.) For Coating Acetylsalicylic Acid Tablets

Gabena Indrayani Dalimunthe — 2025-04-29

Aspirin or acetylsalicylic acid is a class of NSAIDs stable in dry air, in humid air aspirin will over time hydrolyze or decompose into salicylic acid and acetic acid, with the decomposition of aspirin levels that contained in the preparation will experience degradation. Acetylsalicylic acid needs to be made in the form of thin-coated or film-coated tablets. In this research, the method used was tablet coating, followed by evaluation tests of core tablets and coated tablets. The results of this study indicate that amiloCorn starch pectin can be used as a thin layer and enteric coating. The coated tablet formulation from corn starch amylopectin has evaluation test results, namely the formula 1 tablet hardness test is 4.28 kg, formula 2 is 4.94 kg, formula 3 is 4.63 kg, size uniformity test is the diameter and thickness of formula 1 is 10.93 and 3.67 mm, formula 2 is 11.33 and 3.98 mm, formula 3 was 10.95 and 3.70 mm, average weight uniformity test for formula 1 was 389.5 mg, formula 2 was 399.5 mg, formula 3 was 393 mg, disintegration time test for formula 1 in stomach medium was 13, 31 minutes, formula 2 in the stomach medium 20.25 minutes, formula 3 in the intestinal medium 2.44 minutes, dissolution test for formula 1 in 120 minutes the solubility of the active substance reached 84%, formula 2 was 82%, formula 3 was 3% and intestinal dimedium within 210 minutes. The best formula, namely formula 3, meets the requirements for coated film.