Objectives: This study was conducted to document the development and usability testing of SIKRIBO, a tuberculosis screening application.Methods: The SIKRIBO application was developed using design science research methodology, which has six steps: problem identification and motivation, definition of objectives for a solution, product design and development, demonstration, evaluation, and communication. A system usability scale (SUS) questionnaire was used to assess application usability. A total of 20 health cadres (trained community members) and health workers participated in the usability tests.Results: Two versions of the application were developed: Android-based for users and web-based for administrators. The Android-based version has four main menus: Find Tuberculosis, Tuberculosis Education, Latest Info, and Profile. The web version is accessible to health workers, as well as the research team and application developers who monitor and manage the user-conducted screenings. The average SUS score was 76 (standard deviation, 8.00).Conclusions: This application was developed to help detect active tuberculosis cases in the community. The SUS results indicate that the application is highly usable. Thus, SIKRIBO is expected to be broadly implemented to increase tuberculosis case detection through active community participation.

Purpose: To detect the mental health conditions of students and identify factors influencing their reluctance to seek psychological help in order to prevent progression of more serious mental health issues.Methods: This study had a quantitative descriptive survey design. Participants were adolescent active undergraduate students aged 18-24 years. Data were collected through an online questionnaire comprising Indonesian versions of the Mental Health Inventory (MHI-38) and Health Seeking Behavior assessments. Statistical analyses were conducted using IBM SPSS 25 to evaluate respondent characteristics and mental health conditions.Results: We found that psychological wellbeing declined with age, with older people being more susceptible to depression and emotional loss than younger people. Men had higher levels of anxiety, depression, and emotional loss than women. Migrant individuals had lower wellbeing than non-migrants. Close friends were the most common source for seeking mental health support, reflecting a preference for informal help rather than professional help.Conclusion: Transition from adolescence to adulthood is associated with heightened mental health vulnerabilities, especially among first-year male students. Thus, innovative mental health education and peer counseling are needed to better support their psychological well-being.

Objectives COVID-19 reinfection cases are evidence of antibody waning in recovered individuals. Previous studies had reported cases of COVID-19 reinfection both in hospital-based and community-based data. However, limited studies reported COVID-19 reinfection in large community-based data. The present study aimed to provide the incidence of COVID-19 reinfection based on secondary data in the U.S. Study design Cross-sectional study Methods A cross-sectional study was conducted using secondary data provided by COVID-19 Research Database, i.e., Healthjump. Reinfection were defined as diagnosed COVID-19 (U07.1= confirmed virus identified) twice with ≥90 days interval between diagnosis. Age, gender, and region data were also explored. A Chi-square test continued by a binary logistic regression was conducted to determine the association between parameters. Data collecting and processing were done in the Amazon workspace. Results The study revealed 3,778 reinfection cases of 116,932 COVID-19 infected cases (3.23%). Reinfection cases were more common in females (3.35%) than males (3.23%). Elderly subjects were the highest incidence (5.13%), followed by adult (4.14%), young adults (2.35%), and children (1.09%). Proportion in the region of living northeast was the highest (3.68%), compared to the south (3.49%), west (2.59%), and midwest (2.48%). Conclusion The incidence of COVID-19 reinfection was 3.23%, suggesting our concern with COVID-19 management and future research to understand COVID-19 reinfection better. The incident is more likely to occur in female and elderly patients.

Introduction: Hypertension has been known to be a decisive factor for stroke in the elderly; however, limited studies reported stroke risk factors in subjects with isolated systolic hypertension (ISH). Methods: This cross-sectional survey was conducted using Riskesdas 2018 secondary data. Subjects aged 55 years who had a systolic blood pressure ≥140 mmHg and diastolic < 90 mmHg were included as the study sample. According to the National Institute of Health Research and Development, the Ministry of Health, Republic of Indonesia, all study variables were measured using household and individual questionnaires. The data were analyzed using the chi-square test and Fisher’s test. Results: Of 3159 subjects with ISH 8.3% had a stroke, the risk factors that had a significant relationship with the prevalence of stroke (p<0.005) were gender (1,790; 1,420-2,256), smoking habits (1,645; 1,291-2,096), physical and mental stress (2,080; 1,618-2,673), area of residence (1,720; 1,331-2222), and education level (0.656; 0.515-0.835). Conclusion: Prevalence of stroke among ISH in Indonesia was 8.3%. Female with smoking habits, had mental and physical stress, liviing in urban area, and had low level eduatcion were associated with the status of stroke in ISH subjects in Indonesia.

MDR-TB treatment regimens of 9 -12 months provide effectiveness and shorter duration of therapy. However, it was found that 9.22% of patients died during short-term treatment for MDR-TB from 2021-2023 in Central Java, Indonesia. This study aims to analyze the probability of survival and risk factors for mortality in patients undergoing short-term treatment for MDR-TB. A retrospective cohort study involving 236 MDR-TB patients who received a short-term regimen during 2022-2023 and had either a cure or death outcome. Kaplan-Meier analysis was used to describe incidence rates and median time to death. Cox-Proportional Hazard model was used to identify predictors such as age category, gender, employment status, treatment history, DM status, HIV, Linezolid use, and treatment initiation. Statistical analysis was performed using Rstudio with significance <0.005. Kaplan-Meier results showed a significant difference in survival probability across the three age groups. The young age group (19-35 years) had a higher survival probability than the middle age (36-55 years), and old age (≥56 years) (Chi-Square = 17, p < 0.001). Cox regression results showed that patients aged ≥56 years had a 3.705 times higher risk of death than younger patients (CI95% = 1.4896-3.646, HR = 3.705, p = 0.001). The results of this study emphasize the importance of special interventions for older patients (≥56 years) in the form of intensive monitoring and management of comorbidities of DM and HIV to reduce the risk of higher mortality. These findings support an age-based approach to MDR-TB therapy as an optimal measure to improve patient survival

Abstrak: Puskesmas Pasundan merupakan salah satu puskesmas dengan prevalensi Penyakit Tidak Menular (PTM) tertinggi di Kota Samarinda, dengan 23,2% penderita hipertensi dan 2,95% penderita diabetes melitus. Permasalahan yang dihadapi mitra adalah belum optimalnya peran kader dalam pelaksanaan Integrasi Layanan Primer (ILP) serta rendahnya literasi kesehatan digital. Kegiatan pengabdian ini bertujuan meningkatkan pemahaman dan keterampilan kader kesehatan melalui pelatihan literasi digital berbasis ILP. Metode kegiatan meliputi sosialisasi, penyuluhan, dan demonstrasi yang diikuti oleh 37 kader dari 35 posyandu wilayah kerja Puskesmas Pasundan. Evaluasi dilakukan melalui pre–post test interaktif dan umpan balik peserta. Hasil kegiatan menunjukkan peningkatan pengetahuan kader dari 68% menjadi 89% dan peningkatan keterampilan komunikasi serta literasi digital sebesar 35–40%. Kegiatan ini memperkuat kapasitas kader dalam promosi kesehatan berbasis teknologi dan mendukung keberlanjutan ILP di tingkat pelayanan primer. Pasundan Public Health Center is among the top three with the highest prevalence of Non-Communicable Diseases (NCDs) in Samarinda City, with 23.2% hypertension and 2.95% diabetes mellitus cases. The main issue faced by the partner is the suboptimal role of health cadres in implementing the Integrated Primary Care (ILP) and limited digital health literacy. This community service aimed to enhance cadres’ understanding and skills through digital literacy training based on the ILP approach. Activities included socialization, health education, and demonstrations involving 37 cadres from 35 integrated health posts. Evaluation was conducted using interactive pre–post tests and participant feedback. Results showed an increase in cadre knowledge from 68% to 89% and improvement in communication and digital literacy skills by 35–40%. The program strengthened cadres’ capacity in technology-based health promotion and supported the sustainability of ILP at the primary healthcare level.