Jurnal Sehat Masada

ANALISIS IMPLEMENTASI PENANGGULANGAN HIV AIDS DI DINAS KESEHATAN PROVINSI JAWA BARAT

Gugum Pamungkas — 2026-07-30

As of 2024, West Java Province recorded 80,060 HIV cases and 17,668 AIDS cases. To support the Ending AIDS 2030 target, the West Java Provincial Health Office has implemented various HIV control strategies in accordance with the policies of the Indonesian Ministry of Health through the Getting Three Zero approach. This study aimed to analyze the implementation of the HIV/AIDS control policy based on George C. Edwards III’s public policy implementation framework, which comprises communication, resources, disposition, and bureaucratic structure. A qualitative approach with a descriptive-evaluative design was employed. Data were collected through in-depth interviews, observations, and document analysis, and were analyzed using an inductive approach. The findings indicate that communication has been conducted through multiple channels; however, its clarity and consistency remain uneven, particularly across sectors. Human resources, budget allocation, and policy-related information were found to be insufficient relative to the program's geographic coverage and complexity. Although implementers demonstrated a positive disposition, the use of evidence-based data in decision-making has not yet been fully optimized. The bureaucratic structure is supported by clear standard operating procedures (SOPs), but cross-sectoral coordination has weakened since the Provincial AIDS Commission became inactive. Overall, the implementation of the HIV/AIDS control policy has progressed reasonably well; however, strengthening cross-sectoral collaboration, resource capacity, and communication is essential to improve policy effectiveness.

HUBUNGAN USIA DAN LAMA BEKERJA PERAWAT DENGAN GAYA MANAJEMEN KONFLIK DI PUSAT MATA NASIONAL RUMAH SAKIT MATA CICENDO BANDUNG

Yunita Fitri Rejeki — 2026-07-30

Background : Conflict within healthcare organizations, particularly in hospital settings, is an unavoidable phenomenon that significantly impacts performance and service quality. Differences in nurses' age and length of service are thought to influence the conflict management styles they employ.

Objective: To analyze the relationship between nurses' age and length of service and their conflict management styles at the Cicendo Eye Hospital National Eye Center in Bandung. Methods: This study employed a quantitative approach with a descriptive-correlational and cross-sectional design. A sample of 91 nurses was selected using purposive sampling. The instruments used were a demographic questionnaire and the Rahim Organizational Conflict Inventory-II (ROCI-II). Statistical analysis involved Chi-square and Fisher's Exact tests with a significance level of 0.05.

Results : The majority of respondents were aged 30–50 years (73.6%) and had 11–20 years of work experience (46.2%). The dominant conflict management styles used were integrating (78.0%) and compromising (18.7%). Statistical test results showed a significant relationship between age and conflict management style (p = 0.042), but no significant relationship between length of service and conflict management style (p = 0.321; p > 0.05).

Conclusion : Nurses' age is significantly associated with the conflict management style employed. These findings underscore the importance of considering age as a factor in training planning and nursing human resource management.

PERBANDINGAN EFEKTIVITAS AKUPRESUR PADA TITIK PERIKARDIUM 6 (PC6) DAN ZU SAN LI (ST36) DALAM MENGATASI INTENSITAS MUAL MUNTAH PADA IBU HAMIL TRIMESTER I DI KLINIK AMI MEDIKA KABUPATEN SUKABUMI

Yeti Hernawati — 2026-07-30

Nausea and vomiting during the first trimester of pregnancy are common complaints experienced by pregnant women, which can disrupt daily activities and maternal nutritional status. One intervention to overcome nausea and vomiting is acupressure. This study aimed to compare the effectiveness of acupressure at the PC6 and ST36 points in reducing the intensity of nausea and vomiting among first-trimester pregnant women at Ami Medika Clinic, Sukabumi Regency. The research method used was a Quasi-Experimental design with a Pretest–Posttest Two Group Design. The sample consisted of 30 respondents first-trimester pregnant women experiencing nausea and vomiting, divided into two treatment groups: 15 respondents the PC6 acupressure group and 15 respondents the ST36 acupressure group. The intensity of nausea and vomiting was measured using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) scale before and after the intervention. The results of the study comparing the effectiveness of PC6 and ST36 acupressure showed that both had a significant effect on reducing nausea and vomiting in pregnant women in the first trimester (P=0.000). However, in terms of the average reduction and range of Confidence Interval values, PC6 showed higher effectiveness (95% CI: 4.660-7.340) compared to ST36 (95% CI: 4.644-6.356). This indicates that acupressure intervention at the PC6 point is more effective in reducing nausea and vomiting in pregnant women in the first trimester compared to ST36. It is recommended that healthcare providers teach this acupressure technique as a non-pharmacological approach to managing nausea and vomiting during pregnancy.

PREVALENSI DAN FAKTOR RISIKO COMPUTER VISION SYNDROME PADA ANAK

Anggit Nugroho — 2026-07-30

Intensive use of digital devices among school-aged children has increased the risk of vision-related disorders. This study aimed to identify the signs and symptoms of Computer Vision Syndrome (CVS), estimate its prevalence according to demographic characteristics, analyze associated risk factors, and examine the relationship between CVS and myopic refractive errors in children. A literature review was conducted by synthesizing evidence from reputable electronic scientific databases focusing on children aged 8–18 years. The selected studies were analyzed using a descriptive-comparative approach. The findings indicate that the prevalence of CVS among school-aged children exceeds 60%, with the most commonly reported symptoms including eye strain, red eyes, blurred vision, and headaches. Significant risk factors include prolonged screen time, poor ergonomic posture, and inadequate lighting conditions. Individual characteristics contribute to symptom variation, with boys more frequently reporting acute visual complaints. The evidence further suggests that myopia is not a direct causal factor of CVS but rather a secondary condition that may be aggravated by prolonged and inappropriate screen-viewing habits. CVS has substantial physiological and psychological impacts on children. These findings highlight the importance of early eye health education and preventive interventions. Parents, educators, and eye care professionals should promote ergonomic practices, implement the 20-20-20 rule, limit screen exposure, and encourage regular eye examinations to reduce the burden of CVS in children.

ANALISIS HASIL DETEKSI DINI GANGGUAN PENGLIHATAN DAN PEMERIKSAAN KELAINAN REFRAKSI PADA MASYARAKAT PULAU TIDUNG, KEPULAUAN SERIBU

Arief Witjaksono — 2026-07-30

Limited access to eye care services in island communities contributes to a high prevalence of undiagnosed visual impairment. This study aimed to analyze the outcomes of early detection of visual impairment and refractive errors among residents of Pulau Tidung, Kepulauan Seribu, Indonesia, as a basis for developing sustainable eye health programs. A descriptive observational study with a quantitative approach was conducted involving 184 participants selected through purposive sampling. Eye examinations included visual acuity screening using a Snellen chart, objective refraction with an autorefractometer, and subjective refraction using a trial frame and corrective lenses. Data were analyzed descriptively using frequency distributions and percentages. The results showed that presbyopia was the most prevalent condition (53.6%), followed by astigmatism (33.8%), myopia and myopic astigmatism (14.7% each), and hyperopia (3.8%). Refractive errors were more common among participants aged 46–55 years and among females. Overall, 90.7% of participants required corrective spectacles, which were provided on-site during the screening program. The high prevalence of refractive errors highlights the need to strengthen eye care services through regular community-based screening, public education, and the sustainable provision of vision correction services in island communities.

EVALUASI TINGKAT PENGETAHUAN MAHASISWA TINGKAT TIGA DIPLOMA III OPTOMETRI STIKES DHARMA HUSADA TENTANG ANATOMI MATA

Desi Utami Helisarah — 2026-07-30

Understanding ocular anatomy is a fundamental competency that optometry students must master as the foundation for comprehensive eye examinations and eye care services. This study aimed to evaluate the level of knowledge of third-year students enrolled in the Diploma III Optometry Program at STIKes Dharma Husada Bandung regarding ocular anatomy. A quantitative descriptive study with a cross-sectional approach was conducted. The sample consisted of 34 students selected using a total sampling technique. Data were collected using a validated closed-ended questionnaire comprising 10 multiple-choice questions and analyzed descriptively using frequency distributions and percentages. The findings revealed that the students' overall level of knowledge was relatively low, with a mean score of 43%. A total of 73.5% of respondents demonstrated poor knowledge, 17.7% had moderate knowledge, and only 8.8% achieved a good level of knowledge. Based on anatomical domains, the lowest level of understanding was observed in the anterior segment of the eye (91% poor category), followed by the posterior segment (64.5%), whereas knowledge of the extraocular muscles was comparatively better. These findings indicate the need for curriculum evaluation and the implementation of more innovative and interactive teaching strategies, including the use of visual learning media, three-dimensional anatomical models, and digital simulation technologies, to improve ocular anatomy comprehension among optometry students.

HUBUNGAN PENGETAHUAN IBU HAMIL DENGAN MINAT PENGGUNAAN IUD POST PLACENTA DI WILAYAH KERJA DESA BUNIASIH KABUPATEN TASIKMALAYA TAHUN 2025

Lilis Siti Rukoyah — 2026-07-30

A post-placental intrauterine device (IUD) is a contraceptive method inserted immediately after placental delivery. In the Buniasih Village health service area, Tasikmalaya Regency, IUD utilization remained low in 2024 (7.99%) compared with other contraceptive methods, which may be attributed to limited maternal knowledge and concerns regarding post-placental IUD insertion. This study aimed to examine the relationship between pregnant women's knowledge and their interest in using a post-placental IUD. A quantitative descriptive study with a bivariate approach was conducted using purposive sampling, involving 34 respondents. Data were analyzed using univariate and bivariate statistical methods. The results showed that 61.8% of respondents had a good level of knowledge, while interest in post-placental IUD use was evenly distributed, with 50% reporting high interest and 50% reporting low interest. Bivariate analysis revealed a significant positive relationship between pregnant women's knowledge and their interest in using a post-placental IUD in the Buniasih Village health service area, Tasikmalaya Regency.