Eksplorasi Manfaat Kesehatan dan Tantangan Formulasi Sirop Daun Kelor (Moringa Oleifera L.) dengan Pendekatan Metoda Dekokta

Masih sangat sedikit sediaan cair dari pemanfaatan daun kelor yang beredar di masyarakat. Oleh karena itu, diformulasikan daun kelor dalam bentuk sirop. Sirop merupakan salah satu sediaan farmasi yang mudah dalam proses pembuatannya dan digemari oleh semua kalangan, anak-anak hingga lansia. Tujuan dari penelitian ini adalah untuk mengembangkan inovasi dalam pemanfaatan daun kelor (Moringa oleifera L.) sebagai suplemen kesehatan dengan metode dekokta. Penelitian ini bersifat eksperimental dengan merancang, membuat formulasi, dan mengevaluasi sediaan sirop dekokta daun kelor (Moringa oleifera L.) dengan variasi konsentrasi dekokta daun kelor (Moringa oleifera L.). Hasil penelitian yang diperoleh bahwa sirop daun kelor berwarna hijau tua, beraroma khas melon dengan tingkat rasa manis F1>F2>F3>F4. Seluruh formula memenuhi syarat uji kejernihan, volume terpindahkan dan pH. Keempat Formula sirop daun kelor tidak memenuhi persyaratan viskositas, bobot jenis dan stabilitas. Formula yang paling disukai adalah formula F1

The Influence of Institutional and Regulatory Aspects and Information on Waste Management on Community Intention to Support Waste Management in the Kahayan River Basin, Central Kalimantan

Disposing of domestic waste into the river remains a common practice among the majority of residents along the Kahayan River in Palangka Raya City impacting pollution, flooding, and public health. This study aims to analyze variables influencing people's intention to support domestic waste management activities. The study was conducted in Mendawai and Flamboyan Bawah, densely populated settlements on the banks of the Kahayan River in Palangka Raya City. One hundred respondents were selected with a non-probability technique and interviewed to obtain information on infrastructure (X1), economy (X2), location (X3), institutions and regulations (X4), and waste management information (X5) aspects. Descriptive statistics was utilized to understand respondent characteristics and Structural Equation Model-Partial Least Square (SEM-PLS) was applied to determine the effect of each variable. This study found that the majority of respondents were women (n = 44), housewives (n = 40), and over 35 years old (n = 46). The analysis results show that increasing the information aspect of waste management will increase the community's intention to support domestic waste management activities by 40.1% (P = 0.001). Meanwhile, increasing the institutional and regulatory aspects has an effect of 29.2% (P = 0.002). The other three variables did not show significant results (P > 0.05). The results of this study reveal that the community's intention to support domestic waste management activities is influenced by the informational, institutional and regulatory aspects. Establishing community-based institutions that able to provide ongoing support presents a viable strategy for promoting sustainable behavioral change

KEY TO IMPROVING POSTPARTUM CONTRACEPTION SERVICES

Postpartum contraceptive services plays an important role in reducing the rate of unplanned pregnancies and improving maternal and child health. However, its coverage in Indonesia is still low. This study aims to evaluate the quality of postpartum contraception services through three aspects: technical, functional, and accessibility. The study design is quantitative descriptive-analytical, with respondents being reproductive-age women who have given birth and accessed contraception services in 2024. Data were collected through a questionnaire survey and analyzed using chi-square tests and logistic regression. The results indicate that the quality of services is a dominant factor in the use of modern contraceptives, particularly among millennial women (OR = 18.6). Technical aspects such as method availability and staff competence, as well as functional aspects such as attitude, clarity of information, and privacy significantly influence patient decisions. Although accessibility was not statistically significant, economic factors and distance remain practical barriers. This study recommends improving service quality, training healthcare workers, and developing community-based service models to expand access to quality contraception in Indonesia

Determining Stunting Risk Areas Using a Combined AHP-GIS approach: A Case Study of Pesawaran Regency, Lampung, Indonesia

Considering the highly detrimental future impacts of stunting, a risk map is needed. It will serve as a basis to design stunting control strategies. This study aims to determine stunting risk areas by combining the Analytical Hierarchy Process (AHP) and Geographic Information System (GIS). This study used ecological design, with a case being studied was Pesawaran Regency, Lampung Province. All secondary data were aggregate, and used sub-districts as spatial boundaries. Study variables comprised access to safe drinking water, healthy sanitation, exclusive breastfeeding, complete immunization, diarrhea, number of health facilities, fourth visit during pregnancy (ANC-K4), and child growth and development monitoring. The map was developed by employing Weighted Sum Overlay (WSO) technique. Determining weights involving multiple criteria was conducted by using AHP. The AHP yielded weighted values for each variable, namely exclusive breastfeeding (22.9%), ANC-K4 (14.4%), monitoring of child growth and development (11.7%), access to safe drinking water (11.0%), diarrhea (10.8%), number of health facilities (10.1%), complete basic immunization (10.1%), and healthy sanitation (9.0%). WSO technique revealed that three out of eleven sub-districts were included in the high-risk category for stunting (Tegineneng, Kedondong, and Padang Cermin). Meanwhile, the remaining areas were included in the medium category (Way Khilau, Marga Punduh, and Punduh Pedada) and low category (Negara Katon, Gedong Tataan, Way Lima, Way Ratai, and Teluk Pandan). GIS and AHP methods were applied to determine stunting risk areas. Areas with a high risk of stunting category are Tegineneng, Kedondong, and Padang Cermin. Suggested fundamental programs to control stunting are improvement in exclusive breastfeeding, ANC-K4 visit, monitoring of children growth and development, access to drinking water, and prevention of diarrhea

Analisis Faktor Pengetahuan, Gaya Hidup dan Kebersihan Lingkungan Terhadap Risiko Penularan Penyakit Demam Berdarah Dengue (DBD)

Peningkatan kasus Demam Berdarah Dengue (DBD) di Indonesia, termasuk di Kelurahan Bungursari, Tasikmalaya menjadi perhatian serius dalam upaya pencegahan penyakit menular. Penelitian ini bertujuan untuk menganalisis pengaruh kebersihan lingkungan dan kebiasaan hidup masyarakat terhadap risiko penyebaran DBD. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan survei melalui kuesioner tertutup yang diisi oleh 49 responden. Hasil penelitian menunjukkan bahwa 87,8% responden memiliki pengetahuan baik tentang gejala DBD, sebanyak 81,6% menerapkan gaya hidup sehat, dan 85,7% menjaga kebersihan lingkungan. Hasil pengolahan data statistik menggunakan SPSS menunjukan bahwa hasil analisis Inferensial regresi logistik menunjukan variabel Pengetahuan DBD Odds Ratio: 0,30 dan p=0,045, Gaya Hidup sehat Odds Ratio 0,45 dan p=0,021 sedangkan Kebersihan Lingkungan Odds Ratio 0,22 dan p=0,003 artinya bahwa ketiga variabel (pengetahuan, gaya hidup sehat, kebersihan lingkungan) secara signifikan memengaruhi risiko penyebaran penyakit DBD. Penyuluhan yang dilakukan dalam penelitian ini terbukti efektif meningkatkan pemahaman masyarakat, sebagaimana ditunjukkan oleh tingginya antusiasme peserta selama kegiatan. Hasil penelitian disimpulkan bahwa pentingnya strategi pencegahan DBD berbasis edukasi mengenai kebersihan lingkungan dan penerapan pola hidup sehat dalam masyarakat

Spatial Temporal Analysis of Groundwater Fluoride Concentration and Its Implication to Human Health in Jakarta, Indonesia

Groundwater serves as the primary source of potable water globally, including in Indonesia. Unfortunately, the presence of fluoride concentrations in groundwater, whether in ideal, insufficient, or excessive quantities, can have either beneficial or detrimental effects. Presently, the inhabitants of Jakarta persist in relying on groundwater as their primary source of clean water, which presents an escalating peril to public well-being as a result of increased domestic activities. Regarding the situation, this research aims to analyze the temporal trends and spatial distribution of fluoride concentration in groundwater and its potential consequences for public health risks in Jakarta. A total of 1,418 fluoride and temperature data from the Jakarta Environmental Agency was used for spatial-temporal analysis of 2016–2019 trends. We applied Microsoft Excel 2021 and ArcGIS Pro 3.2 for statistical and spatial data analysis. The result indicated that the fluoride concentration in groundwater was 72.14% below the minimum recommended value of 0.5 mg/L, mostly in the southern part of Jakarta. However, the average fluoride concentration for all seasons per year is consistently increasing, specifically in the northern part of Jakarta. Based on this research's findings, we concluded that the deficiency of fluoride concentration in groundwater is the majority problem in Southern Jakarta and could potentially cause dental caries if the groundwater is used as the daily source of clean water. This information is very useful for the government and public health authorities to further mitigate and protect people in Jakarta who still rely on groundwater as the source of clean water

Hubungan Hubungan Vulva Hygiene dengan Keberadaan Candida albicans Penyebab Kejadian Keputihan

Infeksi Candida albicans adalah penyebab paling umum dari keputihan, yang merupakan masalah bagi banyak wanita, terutama remaja. Keputihan adalah sesuatu yang hingga 75% wanita akan alami di beberapa titik dalam hidup mereka. Vulva hygiene yang tidak tepat dapat menyebabkan keputihan abnormal yang disebabkan oleh jamur oportunistik Candida albicans, yang tumbuh subur di daerah genital yang lembap. Tujuan dari penelitian ini adalah untuk mengidentifikasi frekuensi keputihan dalam urin mahasiswa tahun ketiga di Universitas Kudus Muhammadiyah dan untuk menetapkan korelasi antara Vulva hygiene dan Candida albicans. Peneliti dalam penelitian ini menggunakan desain cross-sectional berdasarkan observasi. Untuk penelitian ini, 41 mahasiswi yang memenuhi syarat memberikan data melalui kuesioner Vulva hygiene dan pengujian urin untuk Candida albicans. Analisis mikroskopis dan makroskopis mengikuti inokulasi sampel urin ke dalam media SDA. Sementara 10 (62,5%) dari 16 responden dengan Vulva hygiene  rata-rata positif dan 6 (37,5%) negatif, 5 (20%) dari 25 responden dengan Vulva hygiene  baik negatif. Ada hubungan yang signifikan antara Vulva hygiene dan keberadaan Candida albicans dalam urin, seperti yang ditunjukkan oleh analisis menggunakan uji Chi-square (p = 0,015 <α 0,05). Untuk menghindari infeksi jamur, yang dapat membahayakan kesehatan reproduksi wanita, temuan penelitian ini menekankan pentingnya menjaga kebersihan organ kewanitaan

Gambaran Karakteristik dan Pengetahuan Kader Posyandu dalam Pengukuran Antropometri Di Wilayah Puskesmas Gedung Meneng, Kabupaten Tulang Bawang 2024

Integrated Health Service Posts (Posyandu) are community-based health efforts managed by cadres to provide easy access to basic health services, including anthropometric measurements of toddlers. The characteristics and roles of cadres influence the monitoring of toddler growth and development. This study aims to assess the characteristics, knowledge, and skills of Posyandu cadres in performing anthropometric measurements of toddlers at the Gedung Meneng Community Health Center, Tulang Bawang Regency. This research uses a quantitative descriptive approach with a sample of 46 cadres from the Gedung Meneng Community Health Center area. The results showed that the average age of the cadres is 41 years, with most having completed elementary school (45.7%), junior high school (28.3%), and high school (26.1%). All cadres have more than one year of work experience. The knowledge of cadres regarding anthropometric measurements is predominantly good (80.4%), while 19.6% have moderate knowledge. In terms of skills, 52.1% of cadres are skilled in measuring infant weight, 60.9% in digital weighing, and 63% in height measurement. However, 65.2% were not skilled in measuring body length, 71.8% in measuring arm circumference, and 58.7% in measuring head circumference. Despite good knowledge, skills were not fully optimized. Therefore, it is recommended that the Gedung Meneng Community Health Center involve nutritionists to provide re-training and continuous support to improve the skills of cadres

Path Analysis on Determinants Affecting Adherence to Pharmacological Treatment of Type 2 Diabetes Mellitus in Farmers

Type 2 diabetes mellitus is a non-communicable disease and is a major chronic and long-term health problem in society. If uncontrolled, it tends to worsen due to complications. Diabetes mellitus requires long-term treatment. This study aims to determine the factors that affect adherence to pharmacological treatment of type 2 diabetes mellitus in farmers. This study used a quantitative method with a cross-sectional approach. The sample size was 165 farmers who were selected by purposive sampling. This study was conducted from May to June 2024 in the working area of Sukadamai Community Health Center, Natar, South Lampung, Indonesia. Data were collected based on questionnaires. The results showed that adherence to pharmacological treatment of type 2 diabetes mellitus is directly related to age (b=-1.601; 95%CI=-3.260-0.583; p=0.059), self-motivation (b=2.500; 95%CI=0.856-4.144; p=0.003), duration of illness (b=1.587; 95%CI=0.209-0.964; p=0.024), and family support (b=2.840; 95%CI=1.311-4.369; p=0.000). There is an indirect relationship between education and adherence through the knowledge variable (b=0.962; 95%CI=0.307-1.617; p=0.004). Indirectly, education is related to adherence through income (b=2.363; 95%CI=1.618-3.107; p=0.000), self-efficacy to adherence through self-motivation (b=0.261; 95%CI=-0.657-1.180; p=0.577), and family support through self-motivation (b=2.287; 95%CI=1.361-3.214; p= 0.000). Healthcare workers should repeatedly provide counseling on primary education materials, such as the importance of continuous control, pharmacological and non-pharmacological interventions, and other secondary prevention measures to prevent complications in patients diagnosed with type 2 diabetes mellitus

Warm Foot Soak Intervention for Hyperthermia in DHF (Dengue Hemorrhagic Fever) Patients: A Case Study at Bhayangkara Hospital, Lampung

Warm water foot soak therapy presents a viable alternative for managing fever in patients who experience discomfort with conventional compress methods. This scientific paper aims to provide nursing care for patients with Dengue Hemorrhagic Fever (DHF) experiencing hyperthermia, utilizing warm water foot soak interventions in the inpatient ward of Bhayangkara Hospital, Lampung. The nursing care approach follows the nursing process framework, focusing on direct nursing interventions. The subject of care consisted of DHF patients in the inpatient unit, with the primary intervention being warm water foot soaking. Data collection tools included physical examinations and standardized nursing assessment formats (KMB), with data gathered through interviews, observation, and physical examination. During the assessment phase, the patient exhibited classic signs of DHF, including high-grade fever. A nursing diagnosis of hyperthermia was established. The primary intervention implemented was a warm water foot soak. After three days of therapy, the patient's body temperature decreased to 37.2°C, and the patient reported improved comfort and no further complications. These findings suggest that warm water foot soaking is an effective supportive intervention for managing hyperthermia in DHF patients. It is recommended that patients and their families be encouraged to understand and apply simple, non-pharmacological interventions such as warm foot soaks alongside adherence to prescribed medical treatment