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The Effectiveness of Health Management-Assisted Technology on Glycated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus: Meta-Analysis Novianto, Fajar; Amalin, Atika Mima; Handayani, Anggun Fitri; Ambarsari, Anggraini; Ode, Diana; Azizah, Alfi Makrifatul; Pamilih, Ayu Trisni; Damalita, Annisa Fitriana; Firda, Fathiyyatu Assa'diy; Mubarok, Ahmad Syauqi
Journal of Health Policy and Management Vol 6, No 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.166 KB)

Abstract

Background: Given the number of patients failing to achieve control of Diabetes Mellitus (DM), it causes an increase in the incidence of DM complications. Along with the rapid deve­lopment of technology in this era, this study aimed to prove the effectiveness of technology-based health management compared to usual treatment for levels glycated hemoglobin (HbA1c) in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-ana­lysis using a randomized controlled trial. Arti­cles were obtained from PubMed, Google Scholar, and ResearchGate databases. The arti­cles used in this study were those published from 2012-2021. The search article was carried out by considering the eligibility of the criteria determined using the PICO model. Population: type 2 DM patients (HbA1c>7%), Intervention: health management-assisted technology, Com­parison: usual care Outcome: HbA1c levels. There were 10 articles used with a sample size of 1693 people who were divided into two groups (845 people in the health management-assisted technology group and 848 people in the group usual care). Articles were analyzed using Review Manager 5.3 Appli­cation to determine the Standard Mean Diffe­rence (SMD) and heterogeneity of the study sample.Results: From 10 articles that were processed using RevMan 5.3, significant results were obtained, this is indicated by the overall effect (diamond) which does not touch the vertical line H0 (d= 0) and can also be seen from the 95% CI range of -0.62 to -0.13 which shows significant because it does not pass the number 0 (SMD= -0.37; 95% CI= -0.62 to -0.13; p= 0.003). The heterogeneity of the research data shows I2 = 82% so that the distribution of the data is very heterogeneous (random effects model).Conclusion: Using technology to help health management of patients with type 2 diabetes mellitus can reduce HbA1c levels compared to usual care.Keywords: Health management, technology, diabetes mellitus, HbA1cCorrespondence: Fajar Novianto. Center for Research and Deve­lopment of Medicinal Plants and Traditional Medicine, National Institute of Health of Health, Jl. Raya Lawu No. 11 Karanganyar, Central Java. Email: dr.fajarnovianto@gmail.­com.Journal of Health Policy and Management (2021), 06(02): 81-93https://doi.org/10.26911/thejhpm.2021.06.02.01 
Meta-Analysis: Breastfeeding and Its Correlation with Stunting Azizah, Alfi Makrifatul; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.644 KB) | DOI: 10.26911/thejmch.2022.07.03.10

Abstract

Background: Stunting is a problem of chronic malnutrition in the first 100 days of life, which can be prevented by breastfeeding in children. This study aims to analyze the relationship between breastfeeding and the incidence of stunting based on the results of a number of similar primary studies previously. Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P= Children under five, I= Breastfeeding, C= Not Breastfeeding, O= Stunting. Article searches were conducted using electronic databases, namely PubMed, Goegle Scholar and Science Direct. Article searches were conducted using the keyword and Mesh methods as follows “Breast­feeding” AND “Stunting” AND “Children” “Breastfeeding and Malnutrition” OR “Breast­feeding Benefits”. sectional, the articles were analyzed using the Review Manager 5.3 application. Results: There were 8 articles from the continents of Africa, Asia and South America which included Ethiopia, Rwanda, Tanzania, Zambia, Pakistan, Indonesia, and Ecuador from 2001-2022 which were analyzed using PRISMA flow diagrams. Research studies show that children who are breastfed have a risk of experiencing stunting as much as 0.62 times compared to those who are not breastfed (aOR= 0.62; CI 95%= 0.41 to 0.94; p= 0.020). Conclusion: Breastfeeding can reduce the risk of children experiencing stunting.
MENGGERAKKAN MASYARAKAT MENUJU 5 PILAR SANITASI TOTAL BERBASIS MASYARAKAT (STBM) BERKELANJUTAN Wahyuni, Sri; Azizah, Alfi Makrifatul; Ridha, Muttaqin Al; Nabila, Salsa; Humaira, Khalifa; Rahmalia, Rahmalia; Mawarni, Sri
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2024): Volume 5 No 1 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i1.25040

Abstract

Sanitasi Total Berbasis Masyarakat (STBM) merupakan pendekatan untuk merubah perilaku higiene dan sanitasi melalui pemberdayaan masyarakat dengan metode pemicuan. Indikator outcome STBM yaitu menurunnya kejadian penyakit diare dan penyakit berbasis lingkungan lainnya yang berkaitan dengan sanitasi dan perilaku. Strategi Sanitasi Total Berbasis Masyarakat (STBM) adalah upaya dalam rangka percepatan peningkatan akses terhadap sanitasi dasar di Indonesia sebagaimana tercantum dalam RPJMN tahun 2015-2019 adalah tersedianya universal access atau cakupan akses sebesar 100% untuk air minum dan juga sanitasi sebagaimana diatur dalam Peraturan Menteri Kesehatan RI Nomor 3 Tahun 2014 Tentang Sanitasi Total Berbasis Masyarakat. Tujuan pengabdian masyarakat ini adalah menggerakkan masyarakat menuju 5 pilar sanitasi total berbasis masyarakat (STBM) berkelanjutan. Kegiatan ini berlangsung pada tanggal 27 Mei 2023 di Desa Gampong Baro dengan cara memberkan penyuluhan tentang 5 PILAR STBM dan pentingnya Perilaku Hidup Bersih dan Sehat (PHBS) serta melakukan demonstrasi cuci tangan pakai sabun (CTPS). Masyarakat Gampong Baro sangat antusias mengikuti kegiatan, hal ini dapat diketahui dari diskusi tanya jawab dengan narasumber dan mahasiswa. Dengan adanya kegiatan ini, diharapkan masyarakat dapat menerapkan 5 Pilar STBM secara berkelanjutan dan dapat melakukan kebiasaan hidup bersi dan sehat di masyarakat.