Page 4 (data 91 to 120 of 140) | Displayed ini 30 data/page
<< PREV 1 2 3 4 5 NEXT >>

91	Pharmaceutical Sciences and Clinical Pharmacy	ABS-80
Network pharmacology study in arthritic disease and cytotoxicity profile of Zingiber ottensii in Raw 264,7 Macrophages Hanif Nasiatul Baroroh, Khairina Rahmania Prayoga Putri, Syelma Aurania Nerie, Sofia Isni Siantia Lestari, Nur Amalia Choiriani, Heny Ekowati, Esti Dyah Utami, Nahrul Hasan, Eka Prasasti Nur Rachmani Department of Pharmacology and Clinical Pharmacy, Pharmacy, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia Department of Pharmaceutical Biology, Pharmacy, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia Graduate School, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia Abstract Background: Arthritis is an inflammatory disease of the joints that requires alternative therapies from natural ingredients. The rhizome of the Zingiber ottensii is an underutilized herbal plant, but its essential oil has been shown to have anti-inflammatory activity. Purpose: The study aims to analyse protein targets in arthritic disease and profile the cytotoxicity of Zingiber ottensi in Raw cells 264,7. Methods: The study was conducted in silico through bioinformatics studies and in vitro using Raw 264.7 cells. The in silico study utilized NCBI, PubChem, Admetlab 2.0, Swiss Target Prediction, Web Gestalt, STRING, and Cytoscape. Meanwhile, cytotoxicity study was conducted using Zingiber ottensii rhizome extract in vitro using Raw 264.7 cells using the MTT assay at concentrations of 500 &#956-g/mL, 250 &#956-g/mL, 125 &#956-g/mL, 62.5 &#956-g/mL, and 31.25 &#956-g/mL. Cell viability was compared between the treatment and control cells. Results: The results of in silico study showed that there are 6 compounds in the Zingiber ottensii that have potential in developing arthritis therapy through the main proteins, namely TP53, TNF, EGFR, and CTNNB1. The cytotoxicity study showed that Zingiber ottensii extract at a concentration of 500&#956-g/mL caused cell viability below 50% indicating that the concentration was toxic, but at concentrations of 250&#956-g/mL, 125&#956-g/mL, 62.5&#956-g/mL, and 31.25 &#956-g/mL showed cell viability above 100% indicating that the extract had no toxic effect on Raw cells 264,7. Conclusions: The active compounds of the Zingiber ottensii extract have the potential as alternative therapy candidates for arthritis through interactions with the main target proteins and there were no toxicity in Raw cell 264,7 at concentration of 250&#956-g/mL,125&#956-g/mL, 62.5&#956-g/mL, and 31.25 &#956-g/mL. Keywords: Arthritis, bioinformatics studies, cytotoxicity, Zingiber ottensii, TNF Share Link | Plain Format | Corresponding Author (Hanif Nasiatul Baroroh)

92	Pharmaceutical Sciences and Clinical Pharmacy	ABS-104
THE EVALUATION OF AZITHROMYCIN CLINICAL OUTCOME OF INPATIENT COVID-19 IN AJIBARANG REGIONAL HOSPITAL Heny Ekowati, Andra Nurjaya Maulana, Nialiana Endah Endriastuti Pharmacy Department, Faculty of Health Sciences, Jenderal Soedirman University Abstract Corona Virus Disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. Antibiotics can be used to treat COVID-19, such as azithromycin. Azithromycin is a macrolide antibiotic with a broad spectrum. This study aims to see whether there is an effect of using azithromycin in COVID-19 patients. This research is descriptive observational with a retrospective data collection method. This research data is medical record data from inpatient COVID-19 patients at Ajibarang Regional Hospital for the period March 2020-June 2021. Data analysis was carried out regarding the effect of azithromycin use on patients^ clinical symptoms statistically using the Wilcoxon Test and the Sign Test. A total of 76 patients met the inclusion criteria because they used azithromycin monotherapy. The results of statistical tests show that there is an influence of the use of azithromycin on the clinical symptoms of cough parameters (p=0.0001) and asphyxia (p=0.0001) in patients with mild severity. In the group of patients with moderate severity, the results showed that there was an influence of the use of azithromycin on the clinical symptoms of SpO2 parameters (p=0.019), cough (p=0.016), and asphyxia (p=0.016). In the group of patients with severe severity, the results showed that there was an influence of the use of azithromycin on clinical symptoms in the parameters of temperature (p=0.014), cough (p=0.031), SpO2 (p=0.004), and asphyxia (p=0.004). There is an influence of the use of azithromycin on the clinical symptoms of COVID-19 patients for the period March 2020-June 2021 at Ajibarang Regional Hospital. Keywords: COVID-19, Azithromycin, Clinical Symptoms, Ajibarang Hospital Share Link | Plain Format | Corresponding Author (Heny Ekowati)

93	Pharmaceutical Sciences and Clinical Pharmacy	ABS-133
FORMULATION OF CREAM BODY SCRUB ETHANOL EXTRACT OF MORINGA LEAF (Moringa oleifera Lam.) - WHITE RICE (Oryza sativa L.): VARIATION OF CONCENTRATIONS TWEEN 80 - SPAN 80 Mareta Venti Kusuma Setyorini, Triyadi Hendra Wijaya, Beti Pudyastuti Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University Abstract Premature aging is one of the most common skin problems caused by free radicals. The ethanol extract of Moringa leaves (Moringa oleifera Lam) contains flavonoid compounds which function as natural antioxidants to counteract free radicals. Body scrub cream is a skin care cosmetic product that is widely used. White rice (Oryza sativa L.) as a abrasive material which functions to remove dead skin cells and open pores so that the skin becomes brighter and whiter. This study aims to determine the effect of different concentrations of Tween 80 and Span 80 on the physical properties of body scrub cream, to obtain the optimum formula and to find out which formula is most preferred based on the hedonic test. Moringa leaves were extracted by maceration method, then made into a body scrub cream with a combination of Tween 80 and Span 80. Formula optimization was carried out by the simplex lattice design method. Body scrubs were made of 8 formulas with variations of Tween 80 and Span 80 F1 (1:10), F2 (10:1), F3 (3,25:7,75), F4 (7,75:3,25), F5 (10:1), F6 (5,5:5,5), F7 (1:10), F8 (5,5:5,5) using the emulsification method. Test responses include pH, viscosity, spreadability, and adhesion. Determination of the optimum formula is carried out by analyzing equations and contour plots for each response to obtain the highest desirability value. The results of the evaluation of body scrub cream on organoleptic tests on all homogeneous formulations with the M/A emulsion type, have a light brown color, smell of roses, and the consistency is from slightly thick to thick. Variation of Tween 80 and Span 80 of each formula significantly affects pH, viscosity, spreadability, and adhesion. The optimum formula results obtained are Tween 80 of 7.75% and Span 80 of 3.25%, with a desirability value of 1,000. The formula has a pH prediction point of 6.06, a viscosity of 16727.25 cps, a spreadability of 5.18 cm, and an adhesion of 40.24 seconds. The results of the hedonic test showed that F3 body scrub cream was the most preferred by respondents in terms of color, aroma, texture and scrubbing power. The composition of Tween 80 and Span 80 in the formula has an influence on the physical properties of body scrub cream. The optimum formula for body scrub cream is a formula with the composition of Tween 80 7.75% and Span 80 3.25% with physical properties that meet the requirements. The results of the hedonic test showed that the F3 body scrub cream was most preferred with a composition of Tween 80 of 3.25% and Span 80 of 7.75%. Keywords: Moringa oleifera Lam., body scrub, Tween 80, Span 80, simplex lattice design. Share Link | Plain Format | Corresponding Author (Triyadi Hendra Wijaya)

94	Pharmaceutical Sciences and Clinical Pharmacy	ABS-135
Biological Potential of Fungal Endophyte K5A Associated with Nudibranch Harwoko Harwoko(1*), Nuri Rahmadani(1), Hapsari Dinda Meutiara(1), Putri Khaerani Cahyaningrum(1), Ira Handayani(2), Hasyrul Hamzah(3) (1) Department of Pharmacy, Universitas Jenderal Soedirman, Purwokerto, Central Java 53123, Indonesia (2) Research Center for Applied Microbiology, National Research and Innovation Agency (BRIN), Cibinong Bogor, West Java 16911, Indonesia (3) Faculty of Pharmacy, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Kalimantan Timur 75124, Indonesia Abstract Background: Antimicrobial resistance is a global health challenge, with biofilm formation playing a key role in bacterial persistence. Purpose: This study investigated a nudibranch-associated fungus K5A, for its antibacterial and antibiofilm properties. Methods: A single pure K5A isolate was identified through morphological and molecular (Sanger sequencing) analyses. The fungus was cultured on solid rice medium and then extracted using ethyl acetate to test its antibacterial activity against both Gram-positive and Gram-negative bacteria. Moreover, antibiofilm activity was assessed against Staphylococcus aureus and Pseudomonas aeruginosa in the mid-phase of biofilm formation (24 h) using the microdilution method. Results: A fungus K5A was closely identified as Aspergillus sp. However, the 1% crude extract exhibited no pronounced antibacterial activity. In contrast, this extract revealed potential antibiofilm activity against S. aureus and P. aeruginosa in the mid-phase of biofilm formation. Antibiofilm activity towards both bacteria was comparable to that of the positive control. Conclusion: This finding highlights Aspergillus sp. K5A as a promising source of antibiofilm candidates, although it does not align with its antibacterial effects. Further study is needed, including investigation using scanning electron microscopy and evaluation in the longer phases. Keywords: Antibacterial, antibiofilm, antimicrobial resistance, Aspergillus, endophytic fungus Share Link | Plain Format | Corresponding Author (Harwoko Harwoko)

95	Pharmaceutical Sciences and Clinical Pharmacy	ABS-141
OPTIMASI FORMULA GRANUL EKSTRAK BUAH MENGKUDU (Morinda citrifolia L) DENGAN VARIASI LAKTOSA DAN AMILUM MANIHOT Eka Prasasti Nur Rachmani (a*), Sabila Hoirun Nisak (a), Beti Pudyastuti (a) Department of Pharmacy, Jenderal Soedirman University, Komplek Kampus Karangwangkal Purwokerto, 58123, Indonesia *eka.rachmani2901[at]unsoed.ac.id Abstract Buah mengkudu memiliki manfaat dan kandungan nutrisi yang banyak, namun kurang disukai karena baunya yang tidak sedap dan teksturnya yang lembek ketika mencapai titik kematangan. Untuk itu perlu dilakukan usaha untuk menutupi bau dan memudahkan dikonsumsi dengan tidak mempengaruhi khasiat mengkudu itu sendiri. Penelitian ini bertujuan untuk mengetahui formula yang optimum pada formula granul ekstrak etanol buah mengkudu dengan variasi laktosa dan amilum manihot menggunakan metode Simplex Lattice Design. Penelitian ini dilakukan dengan memvariasikan jumlah laktosa dan amilum manihot dengan metode simplex lattice design . Respon yang dilihat adalah kadar air, waktu alir, kecepatan alir,dan sudut diam. Penentuan formula optimum dilakukan dengan Design Expert. Hasil uji organoleptik granul menunjukkan bahwa semua formula berbentuk granul yang memiliki aroma khas mengkudu dan berwarna coklat muda, serta memiliki rasa manis. Formula optimum diperoleh pada jumlah laktosa 4375 mg dan amilum manihot 0 mg dengan bobot granul 5000 mg. Hasil formula optimum yang didapatkan yaitu laktosa sebanyak 4375 mg dan amilum manihot 0 mg, dengan nilai desirability 1,000. Formula tersebut mempunyai poin prediksi kadar air sebesar 3,98%, kecepatan alir 13,34 g/s, Sudut diam 28,38o, dan waktu larut 4,16 menit. Formula optimum diperoleh pada jumlah laktosa 4375 mg dan amilum manihot 0 mg dengan bobot granul 5000 mg. dengan sifat fisik yang memenuhi persyaratan dan dapat menjadi alternatif sediaan yang praktis untuk konsumsi buah mengkudu. Keywords: Morinda citrifolia L.- granul, laktosa- amilum manihot- simplex lattice design Share Link | Plain Format | Corresponding Author (Eka Prasasti Nur Rachmani)

96	Public Health Sciences	ABS-3
THE INTERACTIVE E-BOOKLET ^ADA MAMA (ATURAN DASAR PEMBERIAN MAKAN)^ INCREASED THE KNOWLEDGE OF BASIC FEEDING RULES AND PARENTAL FEEDING STYLES Nofita Sari, Meivita Dewi Purnamasari, Eni Rahmawati Universitas Jenderal Soedirman Abstract Background: Failure to practice feeding during the complementary feeding period can lead to nutritional problems in the later stages of the baby^s development. Education is needed to prevent this. One of the educational media is the interactive e-booklet. The research aims to find out the influence of the interactive e -booklet ^ADA MAMA (Aturan Dasar Pemberian Makan)^ on the knowledge of basic feeding rules, parental feeding styles, and baby eating behavior. Methods: This research used quasi experimental with control group pretest and posttest design. The total sample consisted 64 respondents, 32 respondents as the intervention group and 32 respondents as the control group, mothers who had babies aged 6-12 months. Data analysis using paired t test dan Wilcoxon test. Result: The results showed that there were differences in knowledge of basic feeding rules and parental feeding styles before and after being given the Interactive E-booklet ^ADA MAMA (Aturan Dasar Pemberian Makan)^ with a significance value of p<0,001 on the knowledge of basic feeding rules variable and p=0,003 on the parental feeding styles variable Conclusion: Media interactive e-booklet ^ADA MAMA (Aturan Dasar Pemberian Makan)^ influenced to improve knowledge of basic feeding rules and parental feeding styles Keywords: booklet, behavior, feeding rules, feeding styles, interactive, knowledge Share Link | Plain Format | Corresponding Author (Meivita Dewi Purnamasari)

97	Public Health Sciences	ABS-5
Tuberculosis Health Financing Research in Low Middle Income Countries: Are Global Priorities Truly Reflected? Arih Diyaning Intiasari Universitas Jenderal Soedirman Abstract Background: Tuberculosis (TB) remains a critical global health threat, disproportionately affecting low- and middle-income countries (LMICs). While international declarations continue to position financing as a linchpin for TB elimination, scholarly contributions that critically examine the scope, equity, and effectiveness of such financing remain uneven. This study investigates whether recent global research on TB health financing meaningfully aligns with the stated priorities of sustainability, innovation, and social justice-or whether it reproduces donor-centered paradigms without systemic recalibration. Objectives: This study systematically maps the global research landscape on TB health financing from 2020 to 2025. It analyzes temporal trends, publishing platforms, key actors, thematic orientations, and the extent to which current scholarship reflects transformative versus status quo approaches in financing research. Methods: A bibliometric analysis was conducted using 434 Scopus-indexed publications identified through a structured search protocol. Data were analyzed using Biblioshiny and VOSviewer, focusing on publication trends, journal visibility, keyword co-occurrences, collaboration networks, and acknowledged funding sources. The analysis employed frequency mapping and network visualization to identify dominant structures and gaps in the literature. Results: The overall research output increased modestly during the post-pandemic period but remained dominated by high-income countries, elite academic institutions, and philanthropic funders such as the Bill & Melinda Gates Foundation and The Global Fund. The most frequent themes centered on cost-effectiveness, budget impact, and donor transition assessments-indicating a continued emphasis on value-for-money frameworks. Conversely, critical themes such as equity-focused financing, political economy, domestic resource mobilization, and community-based approaches were markedly underrepresented. Keyword clustering and funding acknowledgment analysis further revealed a mismatch between the normative rhetoric of equity and innovation and the actual structure of research investment and authorship networks. Conclusion: Despite rhetorical shifts toward equity and sustainability in TB control, the bibliometric evidence suggests that global TB health financing research remains anchored in donor priorities and technocratic paradigms. The field exhibits limited thematic diversification and underrepresents voices from TB-affected communities and LMIC scholars. Without intentional redirection-toward inclusive funding structures, alternative financing models, and political-economic inquiry-research efforts risk reinforcing the very inequities they aim to solve. The findings raise a critical question for the global health community: Are we truly putting our money where our mouth is, or merely publishing promises without structural transformation? Keywords: : Tuberculosis, health financing, bibliometric analysis, global health equity, donor dominance, sustainability, LMICs Share Link | Plain Format | Corresponding Author (Arih Diyaning Intiasari)

98	Public Health Sciences	ABS-7
Privacy Control With The Potential For Kgbo (Online Gender-Based Violence) Among Adolescents In The Use Of Social Media Dian Eka Januriwasti, Hana Qothrun Nada Universitas Noor Huda Mustofa Abstract Social media has become an integral part of adolescent daily lives, offering both benefits and potential risks, including Online-Gender Based Violence (GBV). One of preventive measure against Online-GBV is the implementation of adequate privacy controls. Based on previous studies reported that among 214 female high school and university students who experienced Online-GBV in the form of cyberflashing, 18.2% were affected, 16.8% doxing, and 0.9% encountered sextortion. This study aims to analyze the relationship between privacy controls and the potential for Online-GBV among adolescents in the use of social media. The study was quantitative in nature and employed a cross-sectional study design with correlational analysis. Privacy controls were the independent variable, and Online-GBV was the dependent variable. Simple random selection was used to get 157 respondents as a sample. Among the study tools were validated surveys on Online-GBV and privacy restrictions. Pearson^s correlation and Chi-Square tests were used for the statistical analysis. The study was conducted using the Ethical Clearance Test ID (No. 2628/KEPK/UNIV-UNHM/EC/IV/2025). The findings showed that most adolescents (99,4%) reported having good privacy controls when using social media, yet 94,9% were still at risk of Online-GBV. Statistical analysis revealed a significant relationship between privacy controls and the occurrence of Online-GBV (p < 0.001, &#945- = 0.005). These results indicate that although adolescents demonstrate awareness of privacy measures on social media, their exposure to various forms of Online-GBV remains high. This highlights the need for comprehensive educational interventions to strengthen adolescents^ understanding of online privacy, responsible social media practices to reduce the risks of Online-GBV. Keywords: Privacy Control, Online Gender-Based Violence (KGBO), Adolescent Girls Share Link | Plain Format | Corresponding Author (Dian Eka Januriwasti)

99	Public Health Sciences	ABS-12
Effect of Structured Health Education on Teachers Knowledge of Hemophilia in Indonesia: A One-Group Pretest-Posttest Study Riefqiani Zahratul Izza PAB1*, Dewi Karita2, Prima Maharani Putri3, Yusuf Adi Gunawan4 1*Faculty of Medicine, Universitas Muhammadiyah Purwokerto, Indonesia 2Department of Biochemistry and Genetics, Faculty of Medicine, Universitas Muhammadiyah Purwokerto, Indonesia 3Department of Bioethics and Medicolegal, Faculty of Medicine, Universitas Muhammadiyah Purwokerto, Indonesia 4Department of Internal Medicine, Faculty of Medicine, Universitas Muhammadiyah Purwokerto, Indonesia Corresponding author email address : zahratulriefqiani[at]gmail.com Abstract Background: Hemophilia is a rare hereditary bleeding disorder that may lead to serious complications, especially in school settings. Teachers lack of awareness about hemophilia can endanger affected children during injuries. Structured educational interventions are considered effective in improving knowledge and emergency preparedness. Objective: To assess the effectiveness of a structured educational intervention in increasing teachers knowledge about hemophilia. Methods: A quasi-experimental one-group pretest-posttest design involved 42 teachers from kindergarten and elementary schools affiliated with Universitas Muhammadiyah Purwokerto. Participants were selected through purposive sampling based on specific inclusion criteria. The intervention was delivered through a 20-minute PowerPoint presentation. Teachers knowledge was measured using a 15-item questionnaire before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test in JASP version 0.18.3.0. Results: A significant improvement in knowledge scores was observed after the intervention, with the median increasing from 8.0 (pretest) to 14.5 (posttest) (p < 0.001). Conclusion: Structured educational intervention significantly improved teachers knowledge of hemophilia. Similar initiatives are recommended to enhance school preparedness in handling hemophilia-related emergencies. Keywords: Hemophilia, Health Education, Teachers, Knowledge, Pretest-Posttest Share Link | Plain Format | Corresponding Author (Riefqiani Zahratul Izza PAB)

100	Public Health Sciences	ABS-14
Improving Adolescent Knowledge on Mental Health and Balanced Nutrition through Meaningful Youth Participation: RAN PIJAR Health Heroes Experience in Bogor City Nur Intan Kartika Sari(a*,b), Afifathu Rahmah Fajriyah(b), Jazzy Dwi Arimurti(b), Muhammad Fajar Ramadhan(b), Muhammad Trisna Kusuma Wardana(b) a) Department of Public Health. Faculty of Health Science, Universitas Jenderal Soedirman*nur.intan[at]unsoed.ac.id b) Yayasan Remaja Indonesia Sehat (RISE Foundation), Yogyakarta, DIY Abstract Background: Adolescents aged 10-19 experience rapid development, making them vulnerable to nutrition and mental health issues- to address this, the RAN PIJAR program was implemented in Bogor using the Meaningful Youth Participation (MYP) approach through Health Heroes Facilitators to enhance their health knowledge. Methods: This quasi-experimental study used a one-group pre-test and post-test design involving 335 adolescents aged 15-18 years from nine senior high schools and one city-level scout organization in Bogor City. Health education sessions applied participatory methods such as Focus Group Discussions (FGDs), Human-Centered Design (HCD), and audiovisual materials. Wilcoxon signed-rank test was used due to non-normal data distribution. Results: After the intervention, the proportion of respondents with good knowledge on mental health and nutrition increased significantly from 50.1% with poor knowledge to 80.9% with good knowledge. A statistically significant improvement was observed (p = 0.000), with median rising from 50 (pre-test) to 90 (post-test). Conclusions: The intervention using the MYP approach effectively improved adolescent knowledge on mental health and balanced nutrition. The participatory and peer-led design created a relatable and engaging environment for adolescents. Future health education programs should adopt a sustainable, gender-equitable, and media-diverse approach and be integrated with school-based health initiatives such as School Health Units (UKS) and healthy canteens. Keywords: Adolescent health- Health education- Meaningful youth participation- Nutrition- Mental health- School-based intervention Share Link | Plain Format | Corresponding Author (Nur Intan Kartika Sari)

101	Public Health Sciences	ABS-15
Effectiveness of Cadre Training in Strengthening Posyandu Institutional Capacity: A Study in Kutai Kartanegara Regency Rokhayati1, Nabela Putri Yanuari2, Danang Septiyanto3, Este Latifahanun4, Putri Nurul Rahma5 1*,4,5Faculty of Science, Technology and Health, Mulia Islamic University of Yogyakarta, Yogyakarta, Indonesia 2Faculty of Health Science, Jendral Soedirman University, Central Java, Indonesia 3Balai Pemerintahan Desa Kementerian Dalam Negeri, Yogyakarta, Indonesia Abstract Background: The Posyandu (Integrated Health Post) serves as the frontline of community health services, playing a strategic role in achieving the Sustainable Development Goals (SDGs) by reducing maternal and infant mortality rates, preventing stunting, and improving community health and well-being. However, Posyandu institutions continue to face challenges, particularly regarding cadres^ understanding of legality, functions, and classification levels. Strengthening cadres^ institutional knowledge is essential for improving the quality and sustainability of services. Purpose: This study aimed to evaluate the effectiveness of training in improving Posyandu cadres^ understanding of institutional aspects, including legality, functions, and classification. Methods: A quasi-experimental study was conducted using a one-group pre-test and post-test design, involving 207 Posyandu cadres in Kutai Kartanegara Regency. Knowledge scores were assessed before and after the training, and statistical analyses were performed to evaluate changes in knowledge levels. Results: The average knowledge score increased from 59.27 before the training to 67.54 afterward. Statistical analysis revealed a significant improvement (p = 0.018), indicating that the training effectively enhanced cadres^ understanding of Posyandu institutional aspects. Conclusion: Training plays a vital role in strengthening the capacity of Posyandu cadres to understand and manage institutional aspects. Continuous institutional strengthening is recommended as a key strategy to support the transformation of the national health system, the achievement of the SDGs, and the development of human resources toward the vision of a Golden Indonesia 2045. Keywords: Training, Posyandu Cadre, Institutional Capacity, Posyandu Classification Share Link | Plain Format | Corresponding Author (Rokhayati Rokhayati)

102	Public Health Sciences	ABS-25
Development of an Interactive Smart Chatbot Application as a Local Language Based Educational Media for HIV/AIDS Prevention Nabela Putri Yanuari (a*), Muhamad Rosidin (b), Iik Sartika (a), Yuditha Nindya Kartika Rizqi (a), Arih Diyaning Intiasari (a), Eky Susilowati (a), Nasya Adelia Putri (a), Rokhayati (c), Agniya Thahira (b) a) Faculty of Health Sciences, Jenderal Soedirman University Jl.. Dr. Soeparno, Karangwangkal, Karang Bawang, Grendeng, Kec. Purwokerto Utara, Purwokerto, Jawa Tengah, Indonesia b) Faculty of Technology and Health Sciences, Siber Muhammadiyah University Pakuncen, Wirobrajan, Kota Yogyakarta, Daerah Istimewa Yogyakarta c) Faculty of Science Technology and Health, Islam Mulia University Jl. Wates No.Km 9, RW.5, Plawonan, Argomulyo, Kec. Sedayu, Kabupaten Bantul, Daerah Istimewa Yogyakarta, Indonesia Abstract Background: HIV/AIDS prevention education is essential to reduce infection rates and stigma, supporting the achievement of the SDGs goal to end the HIV/AIDS epidemic. However, in Indonesia, gaps in access, social stigma, and language barriers still hinder communities from obtaining accurate information about HIV/AIDS. The advancement of digital technology opens new opportunities through the use of chatbots, which can provide personalized, anonymous, and responsive information while overcoming linguistic challenges. Purpose: This study aims to design and develop an interactive chatbot application based on Telegram that can provide education about HIV/AIDS using local language. Methods: This research uses a software development approach with a prototyping method. The research stages include system requirements analysis, prototype design, implementation, testing, and evaluation. The smart chatbot application is developed using the Python programming language, integrating two main services: Google Generative AI via API Key from Google AI Studio and the Telegram Bot API with a token obtained from the @BotFather service. Results: The interactive smart chatbot application was successfully developed and integrated with the Telegram platform. Initial testing revealed high user engagement and accurate information delivery in local languages such as Javanese and Sundanese. The chatbot effectively handled queries by utilizing Google Generative AI, providing personalized and responsive responses to HIV/AIDS prevention education needs. Conclusion: The research findings indicate that a local language-based interactive smart chatbot can serve as an educational medium for HIV/AIDS prevention, thereby contributing to the achievement of the SDGs target to end the HIV/AIDS epidemic through innovative digital health education. Keywords: HIV/AIDS Prevention, Interactive Chatbot, Telegram Bot, Local Language, Digital Health Education Share Link | Plain Format | Corresponding Author (NABELA PUTRI YANUARI, S.K.M., M.K.M)

103	Public Health Sciences	ABS-32
A LOYALTY MODEL FOR PRIVATE HOSPITAL NON-BPJS HEALTHCARE USERS USING HOSPITAL BRAND AWARENESS, SELF-BELIEF, AND EMOTIONAL ATTACHMENT Mustofa Haris1, Fitriah2, Ulva Noviana3 UNIVERSITAS NOOR HUDA MUSTOFA Abstract Signs of loyalty can be recognized by patients^ desire to reuse services, resistance to offers from alternative providers, and willingness to recommend the institution to others. Not all patients who have used private hospital services with non-BPJS financing are loyal. This study aims to analyze the Loyalty Model of Non-BPJS Private Hospital Service Users using Hospital Brand Awareness, Self-Belief, and Emotional Attachment. The research design was observational and analytical, using a cross-sectional approach. The independent variables were hospital brand awareness, self-belief, and self-attachment, with the dependent variable being patient loyalty. Patients using non-BPJS services in all private hospitals in Bangkalan Regency, totaling five hospitals, with a sample size of 300 people. The inclusion criteria were patients aged 20 years and above who had used hospital services using either BPJS or public facilities. Self-belief data collection used a questionnaire modified from the GSE (General Self-Efficacy Scale). The self-attachment questionnaire was modified from the Attachment Style Questionnaire (ASQ): partial Least Squares (PLS) inferential analysis data, a form of component-based SEM. The results indicate that Hospital Brand Awareness (HBA) significantly and positively influences patient loyalty directly, amounting to 0.269. The total indirect effect of HBA on loyalty is 0.181, and the overall influence of HBA on patient loyalty reaches 0.450. Therefore, the indirect effect of HBA on individual loyalty through the variables of Emotional Attachment (EA) and Self-Belief (SB) is also very significant. Non-BPJS patients^ loyalty to private hospitals is influenced by brand awareness (HBA) and depends heavily on the patient^s emotional attachment and self-confidence, directly and indirectly. Keywords: PleasLoyalty, Non-BPJS, Brand Awareness, Self-Belief, Attachmente Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (Ulva Noviana)

104	Public Health Sciences	ABS-36
Culturally Relevant Health Promotion: Effectiveness of Sambas-Language Audiovisual Media in Enhancing Knowledge on Sexual Violence Prevention Linda Suwarni, Dyva Mutiara, Ufi Ruhama Health Science and Psychology Faculty, Universitas Muhammadiyah Pontianak, Indonesia Abstract Background: The increasing prevalence of sexual violence against children poses serious physical, psychological, and social consequences. Limited knowledge about prevention remains a major contributing factor. However, promotional media in local languages addressing sexual violence prevention remain scarce. Utilizing audiovisual media in local languages offers a culturally relevant approach to effectively enhance children^s understanding and awareness. Purpose: This study aimed to determine the effectiveness of audiovisual education in the Sambas language on knowledge of sexual violence prevention among seventh-grade students at SMPN 1 Jawai. Methods: A pre-experimental design with a one-group pretest-posttest approach was employed. The sample consisted of 30 seventh-grade students selected through proportional random sampling. Data were analyzed using a paired t-test with a 95% confidence level. Results: The paired sample t-test results showed that the mean pre-test score of 61.00 increased significantly to 90.77 in the post-test. The p-value of 0.000 (< 0.05) indicated a significant effect of Sambas-language audiovisual media in improving respondents^ knowledge before and after the intervention, which involved screening an educational video on sexual violence prevention. Conclusion: Local-language (Sambas) audiovisual media can serve as an effective health promotion tool to enhance knowledge on sexual violence prevention. Keywords: sexual violence, health promotion, local-language, audiovisual media Share Link | Plain Format | Corresponding Author (Linda Suwarni)

105	Public Health Sciences	ABS-46
Emotional Freedom Technique as an Intervention for Anxiety Management in Third Trimester Pregnancy Linda Suwarni1*, Rasmida1, Selviana1, Mardjan1 1Health Science and Psychology Faculty, Universitas Muhammadiyah Pontianak, Indonesia Abstract Background: Pregnancy, particularly in the third trimester, can be a time of significant anxiety and worry for expectant mothers. Concerns about the birthing process, financial costs, caring for the newborn, and fear of complications can contribute to high anxiety levels. Emotional Freedom Technique (EFT) has emerged as a promising intervention for managing anxiety in various populations. Purpose: This study aimed to evaluate the effectiveness of Emotional Freedom Technique in reducing anxiety levels among pregnant women during the third trimester of pregnancy. Methods: The study employed a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of 38 pregnant women in their third trimester, with 19 in the experimental group and 19 in the control group, selected using purposive sampling. The research instrument used was a questionnaire adopted from the Hamilton Rating Scale for Anxiety (HRS-A). The bivariate analysis employed paired t-tests with a 95% confidence interval. This statistical test was used to compare the mean differences in anxiety levels between the pre-intervention and post-intervention measurements within each group (experimental and control). Results: The results showed a statistically significant difference in anxiety levels before and after the provision of Emotional Freedom Technique (EFT) therapy (p-value = 0.000). This indicates that EFT was effective in reducing anxiety levels among the pregnant women in the third trimester. These findings suggest that EFT can be applied in midwifery practice, particularly in the care of pregnant women experiencing anxiety or trauma during pregnancy. Pregnant women experiencing anxiety could be encouraged to practice EFT independently at home or during their free time, as it has been shown to have a significant impact in reducing anxiety levels. Conclusion: The study demonstrates the potential for Emotional Freedom Technique to be a valuable complementary intervention for managing anxiety in the critical third trimester of pregnancy. Incorporating EFT into standard prenatal care may help alleviate the psychological distress often faced by expectant mothers during this important stage of pregnancy. Keywords: Please Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (Linda Suwarni)

106	Public Health Sciences	ABS-47
Failure Mode and Effect Analysis (FMEA) Analysis in the Production Department of PT Ciomas Adisatwa Pemalang as an Effort in the Process of Identification and Control of Hazards and Risks Jaya Maulana , M Luhur Pangestu, Wahyuningsih, Imam Purnomo Universitas Pekalongan Abstract ABSTRACT Introduction: Occupational Safety and Health (OHS) is a fundamental aspect in sustainable national development, which is regulated in Law of the Republic of Indonesia Number 1 of 1970 concerning Occupational Safety and Law Number 13 of 2003 concerning Manpower. Methods: This study aims to identify potential hazards and analyze the level of risk of work accidents in the Production Department of PT Ciomas Adisatwa Pemalang through the Failure Mode and Effect Analysis (FMEA) method, in accordance with the provisions of Government Regulation Number 50 of 2012 concerning the Implementation of the OHS Management System. A descriptive observational approach with data collection through observation, interviews, and documentation was carried out at 27 steps of the production process, involving 15 informants from various related sections. Results: The results of the study identified 52 failure modes with eight priority failure modes that had a Risk Priority Number (RPN) above 41, covering mechanical and physical risks such as injuries from machine blades and the danger of being hit by material. Risk control recommendations are compiled based on the hierarchy of OHS risk control (elimination, substitution, engineering, administrative control, and use of personal protective equipment), as regulated in Permenaker Number 5 of 2018. Conclusion: The implementation of FMEA has proven effective in prioritizing risks and formulating systematic and preventive control strategies. This study provides an important contribution to strengthening sustainable OHS management to improve occupational safety and productivity in the food processing industry sector. Keywords: FMEA analysis, hazard control, risk control Share Link | Plain Format | Corresponding Author (jaya maulana)

107	Public Health Sciences	ABS-48
ANALYSIS OF INFORMATIONAL SUPPORT IN TYPE II DIABETES MELLITUS PATIENTS Arrum Firda Ayu Maqfiroch*1, Elviera Gamelia 1, Windri Lesmana Rubai 1, Ifa Najiyati1 1Department of Health Promotion, Jenderal Soedirman University, Indonesia Abstract Abstract Background: The ability of patients with Type 2 Diabetes Mellitus (T2DM) to manage their condition independently such as through diet regulation, physical activity, and blood glucose monitoring is key to control T2DM in preventing long-term complications like heart disease, stroke, kidney failure, and diabetic retinopathy. Informational support, which provides relevant, accurate, and comprehensible information, plays a vital role in facilitating effective self-management among T2DM patients. Patients with a good understanding of their condition tend to be more motivated and adherent to treatment plans. Purpose: This study aims to explore the perceptions and experiences of T2DM patients regarding the informational support they receive. Methods: This is a qualitative descriptive study. Data were collected in rural area Banyumas through purposive sampling involving 10 patiens and 3 family and 1 Prolanis Health Worker. Data were analyzed using thematic analysis. Results: Informational support was received in considerable amounts from healthcare professionals and family members. Healthcare providers delivered support in the form of Prolanis program schedules, examination results, dietary guidance, disease prevention, physical activity/exercise recommendations, and medication usage. Informants expressed that they felt adequately informed. Conclusion: Informational support for T2DM patients is generally well-provided. The findings suggest the need for a more personalized and holistic approach to patient education by empowering family, cadre and public figure to optimize health outcomes. Keywords: Keywords- Informational Support- T2DM Patients- Health Behaviour Share Link | Plain Format | Corresponding Author (Arrum Firda Ayu Maqfiroch)

108	Public Health Sciences	ABS-51
Strategies for Patient Safety Implementation in Independent Midwifery Practices: A Systematic Literature Review Mozha Desri Puji Astuti1*,Yudhy Dharmawan1*,Daru Lestantyo1*,Nurjazuli1* 1 Faculty of Public Health Diponegoro University, Indonesia Abstract Background: Patient safety remains a critical concern in maternal health, particularly within independent midwifery practices that often operate with varied degrees of integration into national health systems. While numerous strategies have been proposed to enhance safety, their effectiveness is shaped by the conditions of implementation. Objective: This systematic literature review aims to (1) identify and analyze strategies proposed to enhance patient safety in independent midwifery practices and (2) explore the barriers and facilitators commonly reported during implementation. Methods: Guided by the PRISMA 2020 framework, a structured search was conducted in Scopus and PubMed for open-access articles published between 2015 and 2025. From an initial pool of 606 records, 35 studies met the inclusion criteria. Thematic analysis was employed to synthesize findings across varied global settings and care models. Results: Seven thematic categories of patient safety strategies were identified: clinical guidelines and governance, simulation-based training, psychological safety and fatigue management, continuity of midwifery-led care, culturally inclusive practice, interdisciplinary collaboration, and community engagement. Five major themes of barriers and facilitators emerged: systemic policy limitations, organizational and infrastructural constraints, knowledge and skill gaps, socio-cultural challenges, and psychological safety dynamics. Effective implementation was consistently supported by stakeholder engagement, flexible care models, mentorship programs, and leadership support. Conclusion: Improving patient safety in independent midwifery requires not only evidence-based interventions but also enabling environments that support their sustainability. A holistic, context-sensitive approach-addressing both clinical and cultural dimensions-is essential to advancing midwifery care quality and maternal outcomes globally. Keywords: patient safety, midwifery, implementation, strategy, barriers, facilitators, independent practice, systematic review. Share Link | Plain Format | Corresponding Author (Mozha Desri Puji Astuti)

109	Public Health Sciences	ABS-57
GLOBAL POLICIES AND ETHICAL PERSPECTIVES ON EUTHANASIA: A SYSTEMATIC REVIEW Bella Wiranti (a*), Arih Diyaning Intiasari (b), Dwi Sarwani Sri Rejeki (c) (a,b)Department of Public Health, Postgraduate Program, Faculty of Health Sciences, Jenderal Soedirman University, Jalan Dr. Soeparno Karangwangkal, Banyumas 53123, Indonesia (c)Research Centre of Rural Health, Institute for Research and Community Service, Jenderal Soedirman University, Indonesia Abstract Background: Euthanasia and assisted dying have become subjects of global debate, reflecting tensions between individual autonomy, legal safeguards, and cultural values. Although several countries have legalized euthanasia or medical assistance in dying (MAiD), diverse ethical and policy perspectives persist. Aims: This study aimed to systematically review global policies and ethical perspectives on euthanasia and assisted dying between 2020 and 2025, identifying dominant principles, controversies, and emerging gaps. Methods: A systematic review was conducted using major databases with keywords such as ^euthanasia,^ ^assisted dying,^ ^global policy,^ and ^ethical perspectives.^ The screening followed SPIDER and PICOS frameworks, yielding 9 eligible studies. Data were analyzed narratively with thematic synthesis. Results: Findings reveal that most jurisdictions adopt conservative legal frameworks with strict safeguards, including eligibility restrictions and multiple independent assessments. Patient autonomy and relief of suffering remain the most frequently cited ethical justifications, while sanctity of life, justice, and conscientious objection represent central counterarguments. Empirical studies highlight ethical tensions, including restrictive eligibility criteria undermining autonomy, unequal access due to sociocultural factors, and professional stigma among practitioners. Conclusion: Euthanasia policies are evolving within complex intersections of law, ethics, and culture. Recommendations include refining safeguards to better respect autonomy, improving cultural equity, and formalizing conscientious objection mechanisms. Future research should address complex cases, particularly psychiatric and non-terminal conditions, to strengthen ethical and policy frameworks. Keywords: Assisted Dying- Autonomy- Euthanasia- Ethics- Global Policy. Share Link | Plain Format | Corresponding Author (Bella Wiranti)

110	Public Health Sciences	ABS-63
Determinants of Risky HIV/AIDS Behavior among Early Adolescents in Sidoarjo District Iryani Yuni Yastutik*(1), Ani Margawarti(1), Zahroh Shaluhiyah(1), Ayun Sriatmi(1) *Corresponden Author 1. Faculty of Public Health Sciences, Diponegoro University Abstract Background: Adolescents remain one of the most vulnerable groups to HIV/AIDS due to a combination of developmental, social, and environmental factors. Risky behaviors such as early sexual initiation, inconsistent condom use, multiple partnerships, and drug use are strongly linked to HIV transmission. Understanding the predictors of such behaviors is essential to design effective interventions. Methods: This study employed a quantitative survey design involving 150 adolescent respondents. Standardized questionnaires were used to measure risky HIV/AIDS behavior, self-efficacy, peer influence, parental communication, and access to drugs. Data were analyzed using multiple regression analysis to assess the relationships between predictor variables and risky HIV/AIDS behavior. Theoretical underpinnings were drawn from Social Cognitive Theory and the Health Belief Model. Results: The findings revealed that self-efficacy had a significant negative effect on risky HIV/AIDS behavior, indicating that adolescents with stronger confidence in their ability to refuse risk were less likely to engage in unsafe practices. Conversely, peer influence showed a significant positive effect, highlighting the role of social networks in encouraging or discouraging risk behaviors. Parental communication and access to drugs were not statistically significant, though their theoretical importance suggests potential indirect effects. Discussion: The results support both Social Cognitive Theory and the Health Belief Model by demonstrating that individual cognitive factors and social contextual influences jointly shape adolescent risk-taking behavior. The nonsignificant findings on parental communication and drug access may reflect cultural dynamics or require more nuanced measurement. Conclusion: This study concludes that enhancing adolescent self-efficacy and reshaping peer norms are central strategies for reducing HIV/AIDS vulnerability. Preventive programs should integrate peer-led interventions and self-efficacy training while also exploring innovative approaches to strengthen family dialogue and limit environmental risk factors. Keywords: HIV/AIDS, risky behavior, self-efficacy, peer influence, parental communication, adolescents Share Link | Plain Format | Corresponding Author (Iryani Yuni Yastutik)

111	Public Health Sciences	ABS-65
Sociodemographic factors associated with anemia among pregnant women in Indonesia: an analysis of data from the Health Social Security Administering Agency (HSSA) Husnul Khotimah (a,b)*, Tris Eryando (a) a) Doctoral Program of Public Health Sciences, Faculty of Public Health, Universitas Indonesia, Jl. Prof Dr. Sujudi Pondok Cina, Depok 16424, Indonesia b) Faculty of Health Sciences, Universitas Faletehan, Jl. Pelamunan Kramatwatu, Serang 42182, Indonesia *husnul.khotimah31[at]ui.ac.id Abstract Background: Anemia in pregnant women remains a serious health concern, potentially increasing the risk of morbidity and mortality. The prevalence of anemia in Indonesia stood at 27.7% in 2023, underscoring its persistent nature. Purpose: The objective of this study is to investigate the incidence of anemia in pregnant women and its correlation with residential location, financial factors, and the year of visit. Methods: The present study employed a cross-sectional design and a quantitative-analytical methodology, analyzing data from the the Health Social Security Administering Agency (HSSA) dataset from ICD-10 codes D50-53, which pertain to nutritional anemia. The study^s sample size was 3,513, and the Spearman Rank data analysis technique was employed. Results: The number of anemia cases exhibited fluctuations between 2015 and 2022, with the lowest number of cases recorded in 2016 and the largest number recorded in 2019. Iron deficiency was identified as the predominant cause of anemia among pregnant women. High prevalence anemia is in Java Island and a comparatively lower prevalence in the eastern regions of the country, Cirebon Regency had the highest number of pregnant women with anemia. A statistically significant correlation was identified between the incidence of anemia among pregnant women, including place of residence (p-value <0.001), economic status (p-value <0.001), and year of visit (p-value <0.001). Conclusion: The preponderance of anemia among pregnant women is largely attributable to iron deficiency. Addressing this issue necessitates the implementation of effective strategies and the equitable distribution of health facilities, in addition to further research using comprehensive nationwide data. Keywords: anemia, economic factor, iron deficiency, pregnant women Share Link | Plain Format | Corresponding Author (Husnul Khotimah)

112	Public Health Sciences	ABS-70
THE RISK AND OBSTETRIC OUTCOMES OF PREECLAMPSIA IN PREGNANCIES WITH NON-IDEAL MATERNAL AGE: A SYSTEMATIC REVIEW Azizah 1, Siwi Pramatama Mars Wijayanti 2 , Dwi Sarwani Sri Rejeki 2 Jendral Soedirman University Abstract Preeclampsia is a major pregnancy complication linked to increased risks in both adolescent (<20 years) and advanced maternal age (>35 years) pregnancies. This systematic literature review examines the risk patterns and obstetric outcomes of preeclampsia in these non-ideal maternal age groups. A total of seven studies published between 2015 and 2025 were analyzed. Results show that adolescents are vulnerable due to physiological immaturity and psychosocial factors, leading to higher rates of cesarean delivery and pregnancy complications such as anemia. In contrast, advanced maternal age pregnancies face risks from vascular aging, chronic diseases, and use of assisted reproductive technologies, resulting in more severe preeclampsia and adverse neonatal outcomes like low birth weight and prematurity. Both groups demonstrate increased need for medical interventions and complex management. The findings emphasize the importance of age-specific antenatal care, early detection, and tailored clinical approaches to improve maternal and neonatal outcomes. This review supports health policy development focusing on targeted prevention and management of preeclampsia in pregnancies with non-ideal maternal age. Keywords: preeclampsia, maternal age, adolescent pregnancy, advanced maternal age, obstetric outcomes Share Link | Plain Format | Corresponding Author (AZIZAH AZIZAH)

113	Public Health Sciences	ABS-81
Analysis of Pending Claim Factors through a Total Quality Management Approach at Hospital X Iik Sartika (a*), Nabela Putri Yanuari (a), Syefira Ayudia Johar (b), Julia Pertiwi (b) (a)Faculty of Health Sciences Jenderal Soedirman University Jalan dr. Soeparno Grendeng Purwokerto Utara Banyumas (b)Faculty of Public Health and Health Science Veteran Bangun Nusantara University Jalan Letjend HUmardani No 1 Sukoharjo Abstract Hospitals collaborate with BPJS Kesehatan in providing healthcare services through claims submission and reimbursement processes. One of the persistent challenges for hospitals is pending claims. As of October 2024, the rate of delayed inpatient claims at Hospital X reached 22%. This study aims to identify the factors contributing to pending claims and to formulate policy improvement recommendations using a Total Quality Management (TQM) approach. The research employs a qualitative case study method. Data were collected through in-depth interviews, observations, and document reviews. The findings reveal that the dominant cause of pending claims is inaccurate medical records (75%), followed by incomplete documentation (13%), insufficient supporting examinations (8%), and inadequate therapy evidence (4%). The hospital continues to face challenges in adapting to the digitalization of administrative systems. Policy recommendations are formulated based on implementation stages (audit, human resource training, digitalization, and SOP monitoring) as well as success indicators (reduction of pending claims by &#8805-70%, claim disbursement within &#8804-14 days, and coding accuracy of &#8805-90%). Keywords: Pending claims, Hospital,Inpatient, TQM Share Link | Plain Format | Corresponding Author (IIK SARTIKA)

114	Public Health Sciences	ABS-85
Understanding the Challenges of Cadres in Supporting Integrated Primary Healthcare Policy Yuditha Nindya Kartika Rizqi, Lu^lu Nafisah, Leni Maryati, Eri Wahyuningsih, Agnes Fitria Widiyanto, Iik Sartika, Nabela Putri Yanuari, Nur Intan Kartika Sari Public Health Department, Faculty of Health Sciences, Universitas Jenderal Soedirman Abstract Introduction: Integrated Primary Healthcare (IPHC) policy aims to strengthen community-based health services through a life-cycle approach. Community health cadres serve as frontline implementers, particularly in organizing Integrated Service Posts (ISP) under the supervision of public health centers. Despite their pivotal role, cadres face challenges that may hinder policy implementation. This study aims to identify and explore the challenges faced by community health cadres in implementing IPHC policy. Method: A qualitative study with a phenomenological design was conducted. Data were collected through focus group discussions (FGDs) with active cadres across several ISPs Panembangan Village, Cilongok, Banyumas. Thematic analysis was applied to identify recurring issues and challenges. Result: Cadres were generally experienced and trained by the District Health Office, functioning as the first gatekeepers in monthly ISP activities. While they acknowledged the benefits of IPHC, several challenges emerged. Reporting was burdensome as cadres were required to submit both online reports using personal gadgets and internet, as well as written hard-file reports. ISP facilities were inadequate, with many activities conducted at cadres^ houses due to the absence of designated buildings. This limited space often led to long queues and discomfort for community members. Although cadres received incentives, financial support from village funds remained insufficient to provide essential infrastructure such as tables, chairs, and digital tools for reporting. Conclusion: Cadres play a crucial role in IPHC, but their work is constrained by reporting burdens, limited infrastructure, and insufficient funding. Recommendations include simplifying reporting systems, strengthening financial and facility support through village and local government budgets, and enhancing cadres^ capacity to sustain effective IPHC implementation. Keywords: Integrated Primary Healthcare, Community Health Cadres, Integrated Service Post Share Link | Plain Format | Corresponding Author (Yuditha Nindya Kartika Rizqi)

115	Public Health Sciences	ABS-86
Lifestyle and Environmental Stress as Determinants of Hypertension Development in Rural Indonesia: A Multinomial Logistic Regression Analysis Lia Mulyati, Linda Rosalia Universitas Bhakti Husada Indonesia Abstract Global evidence links lifestyle and environmental stress to hypertension, but studies on their combined effect in rural Indonesia remain scarce. This study aimed to examine the independent and interactive effects of lifestyle and environmental stress on hypertension severity using multinomial logistic regression. We conducted a cross-sectional study of 373 hypertensive patients (>45 years old) in three rural villages of Kuningan Regency. Lifestyle and environmental stress were measured using validated questionnaires (Cronbach^s > 0.70). Blood pressure was classified into Stage 1, 2, or 3 based on the 2020 International Society of Hypertension guidelines. Multinomial logistic regression, adjusted for age, gender, BMI, and hypertension duration, examined main and interaction effects. The model showed strong predictive power (Chi-square = 158.84, p < 0.001- Pearson Chi-square = 24.76, p = 0.001). A healthy lifestyle increased the odds of Stage 1 (OR = 30.04) and Stage 2 (OR = 11.45) over Stage 3. Mild stress raised the odds of Stage 1 (OR = 7.03) and Stage 2 (OR = 8.07), while moderate stress remained protective (p < 0.01). Notably, a healthy lifestyle moderated the negative impact of severe stress, preserving a high probability of Stage 1 hypertension. Both lifestyle and environmental stress independently and interactively predict hypertension severity in rural Indonesia. Findings reinforce Roy^s Adaptation Model and Pender^s Health Promotion Model, highlighting the need for integrating lifestyle improvement and stress management into community health programs to support Sustainable Development Goal 3. Keywords: Hypertension, lifestyle, environmental stress, multinomial logistic regression, probability prediction Share Link | Plain Format | Corresponding Author (Lia Mulyati Mulyati)

116	Public Health Sciences	ABS-91
Health Belief Model Predictors of Self-Efficacy in Hypertensive Patients Lia Mulyati (a*), Devi Yuliani (a), Rastipiati (a) a) Universitas Bhakti Husada Indonesia JL. Lingkar Kadugede No. 2. Kadugede. Kuningan. Jawa Barat *liamulyati[at]pintarword.com Abstract Hypertension remains a critical global health problem, with low self-efficacy hampering treatment adherence and blood pressure control. However, evidence on how Health Belief Model (HBM) constructs predict self-efficacy in hypertensive patients is limited, particularly in low and middle-income countries. This study aims to examine the predictive role of HBM constructs in determining self-efficacy among hypertensive patients, providing insights to inform tailored interventions for improved hypertension management. A cross-sectional SEM-PLS analysis (with bootstrapping, 5,000 resamples) was conducted on 91 hypertensive patients in Kuningan Regency to examine the relationships among the HBM constructs: perceived benefits, barriers, threats, family support, knowledge, disease duration, self-efficacy, and cues to action. Self-efficacy was significantly influenced by perceived benefits (B=0.298, p=0.009) and family support (B=0.257, p=0.036), while perceived barriers (B=-0.142, p=0.268) and perceived threat (B=0.082, p=0.485) were not significant. Family support also positively influenced threat (B=0.416, p<0.001) and knowledge (B=0.283, p<0.001). Knowledge negatively affected threat (B=-0.292, p=0.001), and longer illness duration was associated with reduced perceived benefits (B=-0.315, p=0.003). Notably, self-efficacy strongly predicted cues to action (B=0.422, p<0.001). Perceived benefit and family support emerged as important determinants of self-efficacy in patients with hypertension. These findings underscore the value of interventions that strengthen health education and family based support to improve hypertension self-management. Keywords: Hypertension, Self Efficacy, Health Belief Model, SEM PLS Share Link | Plain Format | Corresponding Author (Lia Mulyati Mulyati)

117	Public Health Sciences	ABS-94
ANALYSIS OF THE IMPACT OF COMMUNITY HEALTH CENTER ACCREDITATION ON IMPROVING THE QUALITY OF HEALTH SERVICES Hesti Prawita Widayati, SKM- Dr. Arih Diyaning Intiasari, SKM, MPH- Prof. Dr. Dwi Sarwani S.R, SKM, MKes (Epid) UNSOED Abstract ANALYSIS OF THE IMPACT OF COMMUNITY HEALTH CENTER ACCREDITATION ON IMPROVING THE QUALITY OF HEALTH SERVICES ABSTRACT Background: Community health center accreditation is an assessment process used to improve the quality of health services. Improving the quality of health services increases the quality of health services and patient satisfaction. This study aims to analyze the impact of community health center accreditation on improving the quality of health services. Methods: This study used a qualitative method by conducting interviews with the Head of the Kalimanah Community Health Center in Purbalingga Regency. The instruments used were an interview guide and observation sheets. Results: The impact of the Kalimanah Community Health Center accreditation on the dimensions of Reliability, Responsiveness, Assurance, Empathy, and Tangibility significantly impacts the quality of health services. Conclusion: The Kalimanah Community Health Center, when viewed from the service quality dimensions consisting of reliability, responsiveness, assurance, empathy, and measurability, all performed well, resulting in good quality health services and increased patient satisfaction. Keywords: Accreditation, Community Health Centers, Quality of Health Services. Pembimbing 1 : Dr. Arih Diyaning Intiasari, SKM, MPH Pembimbing II : Prof. Dr. Dwi Sarwani S.R, SKM, MKes (Epid) Keywords: Accreditation, Community Health Centers, Quality of Health Services. Share Link | Plain Format | Corresponding Author (Hesti Prawita Widayati)

118	Public Health Sciences	ABS-95
Community-Based Interventions To Strengthen Resilience In Informal Caregivers Of Older Adults Laeli Febriyaningsih, Arih Diyaning Intiasari, Elviera Gamelia Intiasari Faculty of Health Sciences, Jenderal Soedirman University Abstract The resilience of informal caregivers of older adults has emerged as a critical issue in the context of long-term care, particularly amid the rising elderly population and the increasing complexity of age-related health conditions. One promising approach to address this challenge is community-based interventions aimed at strengthening the capacity of informal caregivers-typically family members-in providing physical, emotional, and social support to older adults. This study aims to examine the effectiveness of community-based interventions in enhancing caregiver resilience through a systematic literature review. The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, drawing data from Scopus, PubMed, Google Scholar, and ResearchGate. After screening and methodological appraisal, a total of 9 articles met the inclusion criteria. The findings indicate that community-based programs such as caregiver training, peer support groups, health education, and eldercare services through community health posts are effective in improving resilience, reducing psychological burden, and strengthening social engagement among informal caregivers. These results underscore the crucial role of community support in building a sustainable care ecosystem that enhances the well-being of both older adults and their caregivers. Nevertheless, further research with stronger experimental designs is needed to ensure the long-term impact and scalability of such interventions. Keywords: Community-based interventions, caregiver resilience, informal caregivers, older adults, family support, mental health. Share Link | Plain Format | Corresponding Author (Laeli Febriyaningsih)

119	Public Health Sciences	ABS-100
ENVIRONMENTAL PHYSICAL CONDITIONS OF ISLAMIC BOARDING SCHOOL DORMITORIES AND THEIR ASSOCIATION WITH TUBERCULOSIS RISK IN BANYUMAS REGENCYPlease Just Try to Submit This Sample Abstract Dwi Sarwani Sri Rejeki a,b, Siwi Pramatama Mars Wijayanti a,b, Rafi Ashza Sejati a (a) Department of Public Health, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia (b) Research Centre of Rural Health, Institute for Research and Community Service, Universitas Jenderal Soedirman, Purwokerto, 53122, Central Java, Indonesia Abstract Background: Tuberculosis (TB) remains a major public health burden in Indonesia, contributing significantly to morbidity and mortality rates. Beyond biological factors, the spread of TB is strongly influenced by environmental and social determinants. Populations living in marginal communities, such as traditional Islamic boarding schools (pondok pesantren), face heightened risks due to overcrowded dormitories, poor ventilation, limited sanitation, and shared sleeping arrangements. Methods: Use a cross-sectional observational descriptive study using environmental checklist instruments. The data included room size, number of occupants, ventilation, lighting, sanitation, waste management, and the availability of isolation facilities. Ventilation-to-floor ratios and occupancy density were calculated and compared against national healthy housing standards. Results: Room size ranged between 6.84-63.95 m^2 with 3-20 occupants (mean 7). The average occupancy density was 2.32 m^2 per person, which is below the minimum of 4.5 m^2 per person. Ventilation ranged from 0.23 to 6.36 m^2, but only twenty percent of rooms met the >= ten percent ventilation-to-floor area ratio. The lighting was uneven, with some rooms lacking sufficient natural light. Sanitation problems included waste accumulation, the absence of handwashing facilities with soap, and inadequate sputum disposal management. No isolation room was available for prolonged cough cases, and several students were unable to access health services during their illness. Conclusion: These findings indicate most dormitory a high risk of TB transmission, underscoring the need for environmental improvements and preventive health education in boarding schools. Keywords: Tuberculosis- Descriptive- Environment- Boarding School- Sanitation Share Link | Plain Format | Corresponding Author (Dwi Sarwani Sri Rejeki)

120	Public Health Sciences	ABS-101
Spatial Analysis of the Incidence of Dengue Hemorrhagic Fever (DHF) in Indonesia: Systematic Review Veronika Angellina Hiberto Ho1, Siwi Pramatama Mars Wijayanti1, Dwi Sarwani Sri Rejeki1 1Jenderal Soedirman University Abstract Background: Dengue Hemorrhagic Fever (DHF) is a major public health problem in Indonesia, with significant regional variations in incidence. Despite the government^s implementation of various control programs, DHF cases continue to exhibit specific spatial clustering patterns influenced by environmental and demographic factors. Purpose: To analyze the spatial distribution of dengue fever cases in Indonesia and identify environmental and climatic factors associated with dengue fever incidence through a spatial analysis approach. Method: This study followed the PRISMA guidelines and included articles published between January 2020 and December 2024. A literature search was conducted through the PubMed and SINTA databases using the keywords ^spatial analysis,^ ^dengue hemorrhagic fever,^ ^DHF,^ and ^Indonesia.^ Articles meeting the inclusion criteria were analyzed narratively and grouped based on similar findings. Results: Six articles met the inclusion criteria. Most studies used spatial analysis tools such as ArcGIS, Moran^s I, and LISA to map clustering and autocorrelation patterns of dengue cases. The results showed that dengue cases tended to be concentrated in areas with high population density. Environmental factors such as temperature (25^C-30^C) and humidity were strongly associated with mosquito behavior and dengue transmission risk, while rainfall showed a weaker relationship. One study demonstrated a dispersed pattern of cases. Conclusion: Spatial analysis methods have proven effective in identifying high-risk dengue clusters and understanding the influence of environmental variables on transmission dynamics. The results of this review emphasize the importance of geographically focused public health interventions and the need for continuous monitoring and mapping of dengue cases in endemic areas. Keywords: Air Humidity- Dengue Hemorrhagic Fever- Spatial Analysis Share Link | Plain Format | Corresponding Author (Veronika Angellina Hiberto Ho)

Page 4 (data 91 to 120 of 140) | Displayed ini 30 data/page
<< PREV 1 2 3 4 5 NEXT >>

Powered By Konfrenzi Ultimate 1.832M-Build8 © 2007-2026 All Rights Reserved