Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Peran Kepala Ruang dalam Meningkatkan Budaya Keselamatan Pasien di Rumah Sakit: Literature Review

2024-06-16T12:21:31+07:00

Latar Belakang: Seorang pemimpin memiliki peran dan tanggung jawab terhadap upaya meningkatkan budaya keselamatan pasien di Rumah Sakit. Pada penerapan budaya keselamatan pasien kepala ruangan perlu untuk mengevaluasi proses asuhan yang diberikan oleh staf perawat kepada pasien guna meresponi tuntutan dan harapan masyarakat terhadap kualitas tim keperawatan yang dibawah supervisinya sehingga setiap perawat yang bekerja harus terampil sesuai dengan kiat dan ilmu keperawatan.

Tujuan: Untuk mengetahui peran seorang manajer keperawatan dalam meningkatkan budaya keselamatan pasien di Rumah Sakit.

Metode: Kajian literatur merupakan metode yang dilakukan dalam penelitian ini dengan cara menganalisis beberapa jurnal yang berkaitan dengan topik yang diambil. Jurnal yang ditelusuri melalui ProQuest, Pubmed, Google Scholar, dan EBSCO kemudian akan diseleksi. Pencarian literatur dilakukan dalam kurun waktu penerbitan jurnal dari tahun 2018 – 2023.

Hasil: Hasil kajian literatur menunjukkan bahwa adanya hubungan yang signifikan antara kepemimpinan kepala ruang dengan penerapan budaya keselamatan pasien di Rumah Sakit. Dukungan dan keterlibatan dari seorang kepala ruangan memiliki peran yang penting untuk memastikan implementasi budaya keselamatan dan kinerja staf. Supervisi kepala ruang perawatan juga dapat meningkatkan kualitas asuhan dalam memberikan pelayanan yang aman bagi pasien.

Kesimpulan: Semakin baik pelaksanaan peran dan fungsi manajemen kepala ruangan maka semakin baik juga penerapan budaya keselamatan pasien oleh staf perawat. Kepala perawat diharapkan memahami mengenai fungsi manajemen terhadap pengelolaan keselamatan pasien dan meningkatkan monitoring dalam implementasinya

Polyrethane Foams Combined with Vaseline Prevents 1st Degree Pressure Injuries in Neurosurgical Surgery Patients: Literature Review

2024-06-16T12:20:01+07:00

Introduction: In the world of healthcare, the prevention of pressure injuries in neurosurgical patients in the operating room is an important aspect to prevent serious complications, such as infection and impaired circulation. Grade 1 pressure injuries, although often considered minor, can have a serious impact on patients' recovery and quality of life. Therefore, effective prevention strategies are urgently needed.

Objective: This literature review aims to evaluate the use of Polyurethane Foams combined with Vaseline as a method of preventing 1st degree pressure injuries in neurosurgical patients in the operating room.

Methods: The method of writing this literature review article uses a narrative review approach. The data used is secondary data obtained from several databases such as Google Schoolar, PubMed, Science Direct, and Research Gate. The literature search in the preparation of the article uses a period of publication years ranging from 2016 to 2024.

Results: Preliminary results show that this combination can significantly reduce the risk of 1st degree pressure injuries.

Conclusion: Polyurethane Foams and Vaseline were selected based on their specific properties which were considered to support healing and provide protection. The Munro Scale measurement tool was used as a reference for interventions carried out in moderate and high-risk patients.

Factors that Affect Demand Creation for Health Services: Literature Review

2024-06-16T12:20:50+07:00

Introduction: The prosperity of the country is represented by a healthy society. The existence of a demand for public health services is greatly influenced by quality and fair health providers, so that based on the aspect of being a health provider they are able to provide health services when there is an increase in demand from the community.

Objective: The aim of this literature review is to determine the variables that influence demand for health services. The findings of this literature study are expected to be a starting point for future studies and to provide insight into health service quality management in various health service providers.

Method: . This article was written using a literature review, namely an international literature search carried out using databases such as ScienceDirect and Proquest. Inclusion criteria include articles that discuss community demand for health services.

Result: Article search results show that there are 7 (seven) related studies. Gender, place of residence, level of education, employment before retirement, age, health financing, technology, norms, values, and accessibility are several factors that influence people's demand for health services. This study reveals these factors. Additionally, this study emphasizes accessibility factors, which significantly influence the demand and allocation of health promotion services. This is because health services are considered emergency and require improvement in the available health centers.

Conclusion: Based on the results of the review, it can be concluded that there are several factors that influence the creation of demand or demand for health services at the Community Health Center. Factors such as gender, place of residence, education level, employment before retirement, age, health financing, heat waves, technology, values and norms, and accessibility significantly influence the demand for and allocation of health promotion services.

Promotion Strategy for OHS Management of Chemical Hazard Factors in Hospitals: Literature Review

2024-06-16T12:20:46+07:00

Introduction: OHS or Occupational Safety and Health in hospitals is one of the activities carried out to maintain and protect human resources so that they can protect themselves and patients. Apart from that, human resources in the hospital sector are not only aimed at doctors, but also at patient companions, patients, employees, staff and all components involved in the hospital.

Objective: Analyze OHS promotion management strategies regarding chemical hazard factors in hospitals.

Method: The method used in the research uses a qualitative type. The approach used is a descriptive literature review.

Result: There are various types of chemical hazards found in hospitals, for example found in laundry services where the ingredients contain quite high risks and dangers. For example, clax allegro has been proven to have corrosive and carcinogenic properties. Harmfull has the property of causing eye damage and burns. Anios has flammable vapor properties, sensitizer, and so on.

Conclusion: One of the factors that needs to be considered in the management strategy is related to the management of medical waste which is related to chemical factors. The remaining chemicals used in hospitals or what is called waste must first go through several processes, for example sorting, storing, transporting and managing according to the characteristics of the chemicals found in the hospital. The management carried out has the aim of minimizing the dangers posed by the chemicals used in the hospital

Environmental Risk Factors that Influence Malaria Incidence: Literature Review

2024-06-16T12:19:56+07:00

Background: Malaria is an infectious disease that continues to pose a global health threat. Malaria cases will reach 247 million in 2021, with malaria accounting for an estimated 619,000 fatalities worldwide. Indonesia is the second largest provider of malaria cases in the WHO South-East Asia Region, trailing only India. In 2020, Indonesia contributed 254,050 positive cases of malaria. In 2021, the number of cases has risen to 304,607.

Objective: The goal of this research is to determine the factors of the physical condition of the house (including the use of wire mesh for ventilation, the presence of ceilings, and the density of walls) and the environment around the house (including the presence of bushes, puddles of water, and livestock pens) that influence the incidence of malaria.

Method: This research is a literature review that use the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) technique. The literature search was carried out on the internet using Google Scholar. Out of the search results, 11 articles were chosen for review.

Results: The results of this study indicate that the use of wire mesh for ventilation, the presence of ceilings, the density of walls, the presence of bushes, the presence of standing water, and the presence of livestock pens in the environment surrounding the house are risk factors that influence the incidence of malaria.

Conclusion: The physical condition of the house and the quality of the surrounding environment are both important factors to consider in malaria prevention measures.

Nursing Intervention to Reduce Anxiety of Acute Coronary Syndrome Patients Undergoing Cardiac Catheterization: Literature Review

2024-06-16T12:19:51+07:00

Background : Cardiac catheterization is the procedure of inserting a catheter into the heart through an artery or vein. Before undergoing a cardiac catheterization procedure, patients may experience anxiety, which can impact the heart's physiological response and heart health, as well as increase the risk of cardiovascular disease.

Objective: Determine how effective Benson's relaxation techniques and educational videos are in reducing anxiety in patients undergoing cardiac catheterization.

Method: The PICO structure was used as a guide to search the literature on anxiety reduction. The population under considered is individuals who experience anxiety. The interventions studied were Benson's use of video education and relaxation techniques. The searches were conducted between 2019 and 2023, through databases such as ProQuest, PubMed, Scholar, and Sciencedirect.

Results: Of the 5,045 articles found, only 12 met the criteria and were assessed. The results of the study showed that the use of educational videos was successful in reducing anxiety levels in patients before undergoing cardiac catheterization procedures. In addition, Benson's relaxation technique has also been shown to help reduce anxiety in patients undergoing the same procedure.

Conclusion: The Benson relaxation method was successful in increasing patient comfort and reducing anxiety, but educational videos can be a useful alternative.

Shift Work and Metabolic Syndrome: Systematic Review

2024-06-16T12:21:42+07:00

Introduction: Compared to standard working hours, shift work is one of the most popular options. The disruption of circadian rhythms caused by shift work and the loss of circadian rhythms caused by sleep disturbances are considered to be major risk factors for the development of metabolic diseases.

Objective: This systematic review analyzed the relationship of shift work to the risk of metabolic syndrome

Method: Systematic searches using pubmed, scopus, proquest, science direct and google scholar were published within 2014 - 2024 using English and Indonesian. Reviews are displayed in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 and article quality assessment using the PICO framework (Patient/Population, Intervention, Comparator/Control, and Outcome).

Result: 9 out of 10 articles show that shift workers have a higher incidence of metabolic syndrome and most studies show the effect of shift work on several indicators of metabolic syndrome.

Conclusion: There is an association between shift work (night work or rotating shifts) and various metabolic syndrome disorders. Circadian misalignment due to night work activities can cause systemic metabolic dysfunction

Effectiveness of NEPIL (Pain, Elimination, Position, Infusion and Environment) Nursing Rounding Implementation on Patient Satisfaction Level: Literature Review

2024-06-16T12:21:47+07:00

Introduction: This study is conducted to determine the effectiveness of Nursing Rounding Implementation on the level of patient satisfaction. Nursing Rounding can also reduce the incidence of falls, plebitis rates and bell ringing if done correctly.

Objective: Nursing Rounding has an impact on patient satisfaction. Nursing Rounding can also reduce the incidence of falls, plebhitis rates and bell ringing if done properly.

Method: literature review uses journals identified from Pubmed, EBSCO, crossref, Pro Quest and Google Scholar.

Result: The results of the 17 journals taken from 2018-2023 state that Nursing Rounding can increase patient satisfaction rates, improve patient safety quality, reduce the incidence of plebhitis, reduce the number of bell calls and reduce the incidence of falls.

Conclusion: Nursing Rounding is a systematic process used by professional health care providers to anticipate and address the fundamental needs of patients, especially in the treatment room. Nursing Rounding uses NEPIL systematics, namely pain, elimination, position, infusion, Possesion, and patient environment to improve patient satisfaction.

Policy Brief Effectiveness of Specific Nutrition Intervention Programs as Efforts to Prevent Stunting in Indonesia: Literature Review

2024-06-16T12:21:38+07:00

Background: Stunting can hinder children's cognitive and physical development, cause decreased productivity, and it is feared that it can increase the risk of non-communicable diseases in adulthood such as diabetes, heart disease and other diseases. Therefore, early screening of children under five and immediate stunting intervention is very important.

Objective: The purpose of this research analyze how the stunting prevention program is implemented in terms of Specific Nutrition Interventions.

Method: This research looked for journals used in the literature review, journals used in the literature review were obtained through international journal provider databases such as Google Scholar and PubMed. Researchers wrote appropriate keywords, namely specific nutritional interventions, stunting, and Policy Brief.

Results: Specific nutritional interventions are efforts to prevent and reduce nutritional problems directly. Specific nutritional interventions focus on adolescent women, pregnant women, breastfeeding mothers, and children under 2 years of age. Some of the literature examined shows that there are significant results from specific nutritional intervention programs.

Conclusion: The implementation of this specific nutrition intervention program is very good, but there is still a need to improve the issue of good coordination and collaboration so that this specific nutrition intervention effort will have a good and sustainable impact in accordance with the world target regarding stunting prevention.

Health Operational Assistance Funds : Literature Review

2024-06-16T12:18:08+07:00

Introduction: BOK funds are primarily intended for services at Puskesmas, reducing maternal mortality, reducing infant mortality and addressing malnutrition. The existence of BOK funds at Puskesmas is expected to have an impact on improving service coverage and programme effectiveness. However, the absorption of BOK funds is considered not optimal.

Objective: This study aims to determine the factors that influence the implementation and absorption of BOK funds.

Method: The research method is literature review by using the search engines Google Scholar, Crossref and Garuda Portal from 2014 to 2023. The papers to be reviewed were selected based on inclusion and exclusion criteria. 13 studies were found that fulfilled the criteria.

Result: Delays in the disbursement of funds are an obstacle in the management of BOK which results in inefficiency and non-achievement of set targets. Limited human resources at Puskesmas and high workload or overlapping tasks are also an obstacle at Puskesmas including in the management of BOK. Competent human resources are needed in the management of BOK funds.

Conclusion: Delays in fund disbursement and limited human resources hamper BOK management.

Factors Contributing to the Successful Implementation of an OHS Management System in the Informal/SME Sector

2024-06-29T08:46:08+07:00

The informal sector/SMEs (Small and Medium Enterprises) play a significant role in Indonesia's economy. However, this sector often faces various occupational safety and health (OSH) risks. An OSH management system can help SMEs manage OSH risks and improve their business performance. This study aims to examine the factors that contribute to the successful implementation of occupational safety and health (OSH) management systems in the informal sector/SMEs (Small and Medium Enterprises). The study employs a systematic literature review methodology following PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis). The study was conducted in April 2024, searching for relevant articles from reputable sources such as Google Scholar, ProQuest, and ScienceDirect. The review encompassed 16 relevant articles and revealed that the factors contributing to the successful implementation of OSH programs can be categorized into two main factors: external and internal factors. External factors play a crucial role in enabling the successful implementation of OSH management systems in the informal sector/SMEs. These factors encompass the supportive roles of government, the private sector, and various organizations. This study on successful OSH management system implementation in the informal sector/SMEs highlights key factors for policymakers, practitioners, and researchers. Policymakers can support implementation through financial aid and clear regulations. Practitioners should consider these factors when assisting SMEs, tailoring strategies for each business. Researchers can contribute by developing more.

Upaya dan Komitmen Pemerintah dalam Program Percepatan Penurunan Kasus Stunting di Kelurahan Pejagan, Bangkalan

2024-06-16T12:21:02+07:00

Latar belakang: Tingginya kasus stunting pada anak balita di kabupaten Bangkalan masih menjadi angka yang cukup tinggi diseluruh Jawa Timur. Tingginya angka kasus stunting di Kabupaten ini tentunya memerlukan perhatian dari banyak pihak, seperti pemerintah dan tenaga kesehatan yang bertugas di wilayah tersebut.

Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk menganalisis situasi dan keadaan masyarakat di Kelurahan Pejagan, meningkatkan dan mencari tahu faktor-faktor yang mendukung dan menghambat dalam penurunan kasus stunting di Kelurahan Pejagan serta sebagai bahan perencaaan kebijakan kesehatan bagi pemerintah Kelurahan Pejagan.

Metode: Metode dalam pengabdian masyarakat ini adalah dengan melakukan wawancara dan diskusi bersama pemerintah yang berwenang serta masyarakat, lalu melakukan edukasi kesehatan kepada kader-kader di desa.

Hasil: Berdasarkan hasil dari pengabdian masyarakat yang telah dilakukan, diketahui bahwa pemerintah sudah melakukan komitmen dan pergerakan dalam menangani hal ini melalui pelaksanaan kebijakan kesehatan, namun masih kurang banyaknya ketertarikan dari masyarakat untuk terlibat dan mengikuti kebijakan tersebut serta programnya tersedia masih belum cukup untuk menunjangan kebutuhan masyarakat

Kesimpulan: Berdasarkan hasil penelitian yang telah dilakukan, pemerintah sudah menetapkan tim audit kasus stunting, lalu sudah membentuk kader-kader kesehatan, tim pendamping keluarga, dan aktif melaksanakan Posyandu. Pemerintah juga telah bergerak aktif memberikan PMT, pemberian vitamin, penimbangan berat badan bagi anak melalui Posyandu dan kunjungan rutin ke TK/PAUD. Namun, diketahui masih kurangnya bantuan pemerintah dalam pelaksanaan kegiatan Posyandu tersebut, kurangnya program yang mendukung penurunan stunting, sehingga minimnya partisipasi masyarakat untuk mengikuti kegiatan.

Analisis Faktor Psikososial Terhadap Kejadian Stres Kerja pada Karyawan Perusahaan Jasa Pertambangan di PT X Tahun 2024

2024-06-16T12:20:41+07:00

Latar Belakang: Survei yang dilakukan dengan melibatkan 4.170 karyawan dari berbagai perusahaan di seluruh dunia melaporkan peningkatan persentase karyawan yang mengalami tingkat stres menengah dan tinggi pada tahun 2023, yaitu sebesar 73%. Kesenjangan antara tuntutan pekerjaan saat ini dan keterbatasan keterampilan karyawan dapat menyebabkan stres di tempat kerja. Faktor di tempat kerja yang dapat menyebabkan stres kerja dikenal dengan istilah faktor atau bahaya psikososial. Selama 5 tahun terakhir, terdapat 16 kejadian kecelakaan kerja yang terjadi pada Perusahaan Jasa Pertambangan (PJP) di PT X. Berdasarkan hasil investigasi, penyebab dasar dari kecelakaan kerja tersebut berhubungan dengan kondisi personal karyawan yang berkaitan dengan faktor psikososial di tempat kerja.

Tujuan: Tujuan dari penelitian ini adalah untuk mengidentifikasi faktor psikososial pada karyawan Perusahaan Jasa Pertambangan di PT X, serta menganalisis hubungannya terhadap kejadian stres kerja.

Metode: Penelitian ini adalah penelitian kuantitatif yang menggunakan desain studi potong lintang, dengan responden penelitian sebanyak 105 karyawan. Pengukuran variabel independen berupa faktor psikososial menggunakan kuesioner Copenhagen Psychosocial Questionnaire III (COPSOQ III) dan pengukuran varibel dependen berupa stres kerja mengunakan kuesioner Depression, Anxiety and Stress Scale-21 (DASS-21). Pengolahan data dalam penelitian ini menggunakan software SPSS versi 29.0.

Hasil: Hasil penelitian menunjukan bahwa persentase responden yang mengalami stres kerja adalah sebesar 20.95%. Adapun hasil uji chi square menunjukan adanya hubungan yang signifikan antara faktor psikososial dengan kejadian stres kerja pada responden, yang meliputi faktor tuntutan kuantitatif, kecepatan kerja, dukungan sosial dari rekan kerja, pengakuan, kualitas dari pekerjaan, kepuasan kerja, kepercayaan dengan atasan, keadilan organisasi, dan interaksi individu dengan orang lain (p value ? 0.05).

Kesimpulan: Pengetahuan terhadap faktor psikososial yang memengaruhi stres kerja pada karyawan Perusahaan Jasa Pertambangan di PT X tersebut dapat memberikan tambahan wawasan bagi industri pertambangan mengenai penyusunan kebijakan, prosedur, maupun program intervensi yang tepat untuk mengendalikan stres yang terjadi pada karyawan, khususnya di industri pertambangan.

Pendidikan Seksual Dasar Menggunakan Video Animasi Terhadap Pengetahuan dan Sikap Siswa di SD Ketib Sumedang

2024-06-16T12:21:34+07:00

Latar belakang: Kasus kekerasan seksual pada anak di Sumedang meningkat dari 10.328 kasus pada tahun 2021 menjadi 11.686 pada tahun 2022, sehingga diperlukan upaya pencegahan salah satunya melalui pendidikan seksual pada anak untuk mencegah terjadinya kekerasan seksual.

Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan seksual menggunakan media video animasi terhadap pengetahuan dan sikap anak.

Metode: Penelitian ini menggunakan metode kuantitatif (experimental pre-post test with control group design) dengan sampel 44 siswa yang dibagi 2 kelompok yang diberikan edukasi menggunakan video animasi dan kelompok ceramah di SDN Ketib Sumedang. Sampel dipilih secara purposive sampling sesuai dengan kriteria inklusi dan eksklusi.

Hasil: Pengaruh pendidikan seksual menggunakan video animasi lebih besar terhadap pengetahuan (P=0,019; CI: 95%) dan sikap (P=0,000; CI: 95%).

Kesimpulan: Pengaruh penggunaan media video animasi lebih besar terhadap pengetahuan dan sikap anak dibandingkan dengan ceramah.

Gambaran Epidemiologi Penyakit Kusta di Provinsi Jawa Timur Tahun 2022

2024-06-16T12:21:22+07:00

Latar belakang: Kusta adalah penyakit infeksi kronis yang disebabkan oleh Mycobacterium leprae dan menyerang saraf tepi dan kulit. Pada tahun 2021 tercatat terdapat 10.976 kasus baru kusta di Indonesia. Provinsi Jawa Timur masuk ke dalam 10 besar provinsi dengan angka penemuan kasus baru kusta tertinggi per 100.000 penduduk. Penyakit kusta masih menjadi masalah kesehatan masyarakat di Provinsi Jawa Timur. Prevalensi kusta di Jawa Timur pada tahun 2021 sebesar 0,4 per 10.000 penduduk dengan angka penemuan kasus baru atau new case detection rate (NCDR) sebesar 4,2 per 100.000 penduduk.

Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran epidemiologi penyakit kusta di 38 kabupaten/kota Provinsi Jawa Timur pada tahun 2022.

Metode: Penelitian ini menggunakan jenis penelitian deskriptif kuantitatif dengan data sekunder yang bertujuan untuk membuat gambaran mengenai epidemiologi pola penyakit kusta berdasarkan orang, tempat, dan waktu.

Hasil: Hasil penelitian ini menunjukkan bahwa penyakit kusta di Jawa Timur banyak diderita oleh orang dewasa (usia >14 tahun) sebanyak 2.097 kasus (94%), tipe kusta multi basiler sebanyak 2.107 kasus (95%) serta dengan kecacatan tingkat 0 sebanyak 1.686 kasus (76%). Prevalensi kusta sebesar 0,5 per 10.000 penduduk dan angka kasus baru sebesar 5,3 per 100.000 penduduk.

Kesimpulan: Karakteristik penderita kusta tertinggi di Jawa Timur pada tahun 2022 berada pada dewasa (usia >14 tahun) dan didominasi oleh kusta tipe MB dengan kecacatan tingkat 0 atau tanpa kecacatan. Masih terdapat 5 kabupaten/kota di Jawa Timur yang belum mencapai status eliminasi kusta yaitu Kabupaten Sumenep, Kabupaten Sampang, Kabupaten Pamekasan, Kabupaten Tuban, dan Kabupaten Bangkalan.

Hubungan Anemia dalam Kehamilan dengan Kejadian Perdarahan Postpartum

2024-06-16T12:21:19+07:00

Latar belakang: Di Indonesia Angka Kematian Ibu (AKI) masih menjadi masalah. Perdarahan postpartum, yang menyumbang 19,3% dari semua kematian ibu di Indonesia, adalah penyebab utama kematian bagi wanita hamil. Salah satu faktor risiko perdarahan postpartum adalah anemia.

Tujuan: Bertujuan menganalisis hubungan antara anemia dalam kehamilan dengan frekuensi perdarahan postpartum di Rumah Sakit Umum Daerah Batara Siang di Kabupaten Pangkep..

Metode: Desain penelitian menggunakan metodologi case control dan merupakan studi observasional analitik. Dengan total 150 sampel, sampel ini menggunakan rasio 1:1 antara kelompok kontrol dan kasus. Teknik analisis univariat dan bivariat digunakan untuk menganalisis data. Dengan uji chi-square dan perhitungan OR.

Hasil: hasil uji bivariat pada variabel kadar hemoglobin trimester 1, 2 dan 3 dengan kejadian perdarahan post-partum masing-masing didapatkan hasil yang signifikan secara statistic dengan p sama dengan 0,000 (p<0,05), 0,000 (p<0,05) dan 0,000 (p<0,05), yang menunjukkan bahwa terdapat hubungan antara ibu yang mengalami anemia pada kehamilan dengan kejadian perdarahan post-partum di RSUD Batara Siang. dan hasil OR masing-masing 25,351x, 10,804x dan 35,821x merupakan tingkat risiko untuk mengalami perdarahan post-partum. Dan penyebab perdarahan postpartum diperoleh retensio plasenta (44%), atonia uteri (28%), rupture uteri (18,6%), dan inversio uteri (9,4%).

Kesimpulan: Terdapat hubungan antara anemia dalam kehamilan dengan kejadian perdarahan postpartum, tingkat risiko perdarahan postpartum lebih tinggi pada anemia ditrimester 3 dan penyebab utamanya yaitu retensio plasenta.

Faktor-Faktor yang Berhubungan dengan Perilaku Personal Hygiene Santri di Pondok Pesantren Ar-Rofi’I Jakarta Selatan Tahun 2023

2024-06-16T12:21:14+07:00

Pendahuluan: Perilaku personal hygiene merupakan salah satu faktor yang dapat mempengaruhi penyebaran skabies. Personal hygiene yang buruk dapat memperburuk infeksi skabies dan meningkatkan risiko penyebaran ke orang lain.

Tujuan: Mengetahui faktor-faktor apa saja yang berhubungan dengan personal hygiene pada santri di Pondok Pesantren Ar-Rofi’i Jakarta.

Metode: Jenis penelitian adalah penelitian kuantitatif dengan desain studi cross sectional. Populasi dalam penelitian ini adalah seluruh santri di Pondok Pesantren Ar-Rofi’i Jakarta tahun 2023 berjumlah 173 orang. Teknik pengambilan sampel menggunakan proportionate stratified random sampling dengan sampel 77 santri. Pengumpulan data yang digunakan adalah angket. Data dianalisis secara univariat dan bivariat menggunakan Uji Chi Square.

Hasil: Hasil univariat menunjukkan responden memiliki personal hygiene yang baik (53,2%), pengetahuan tinggi (58,4%), sikap kurang (57,1%), sarana personal hygiene tidak mendukung (55,8%), tidak dapat dukungan teman sebaya (54,5%), dan dapat dukungan pesantren (62,3%). Hasil bivariat menunjukkan variabel yang berhubungan dengan perilaku personal hygiene yaitu pengetahuan (Pvalue 0,010), Sikap (Pvalue 0,026), dan sarana personal hygiene (Pvalue 0,033).

Saran: Berdasarkan hasil penelitian disarankan dapat menyediakan informasi mengenai personal hygiene berupa memberikan penyuluhan rutin ataupun menggunakan media promosi kesehatan untuk meningkatkan pengetahuan serta peningkatan sikap santri terhadap personal hygiene.

Spatial Analysis of Risk Factors for Tuberculosis Incidence in South Jakarta City in 2022

2024-06-16T12:20:53+07:00

Introduction: South Jakarta City, within DKI Jakarta, bears a substantial burden of TB cases, yet case detection rates and treatment success remain low. Factors such as population density, gender disparity, socio-economic conditions, and healthcare accessibility influence TB transmission. The city's high population density presents challenges in controlling TB spread. Additionally, males and low-income families face higher TB risks.

Objective: This study aims to analyze TB case distribution across 10 districts in South Jakarta, assess TB case clustering, and understand the spatial regression model of TB risk factors.

Method: The methodology of this research utilizes a quantitative approach with an ecological study design and spatial methodology, secondary data from various sources, including the national TB control reporting application. Data processing involves GeoDa v1.22, QGIS v.3.32.3, SPSS v.22, and GWR v4.0 applications for spatial analysis.

Result: Findings reveal that spatial autocorrelation tests using Moran's Index on TB cases in South Jakarta City are not statistically significant, indicating no spatial autocorrelation. The LISA test identifies Mampang Prapatan District as a cold spot in Quadrant III (Low-Low). GWR regression analysis highlights three spatially influential risk factor variables affecting TB cases: gender ratio, number of health centers, and population density. The first two variables affect all districts in South Jakarta City, whereas population density only impacts the Setiabudi District.

Conclusion: In conclusion, Mampang Prapatan district in South Jakarta City exhibits low TB transmission risk, considering population density and other factors. Notably, three spatial risk factors affect TB transmission in South Jakarta City, warranting attention from the health department in TB elimination efforts.

Persepsi Mentor dan Mentee Fakultas Keperawatan Universitas Pelita Harapan Tentang Program Mentoring Online

2024-06-16T12:20:58+07:00

Pendahuluan: Mahasiswa selama proses pembelajaran sering menghadapi masalah berkaitan dengan kepribadian, keadaan fisik, lingkungan sosial dan ekonomi. Mentoring bertujuan membangun pengetahuan, keterampilan, informasi dengan lebih fokus terhadap pengembangan yang profesional dan cenderung lebih bersifat pribadi. Mentoring dapat meningkatkan persepsi seseorang terhadap bidangnya dan dalam penyelesaian konflik.

Tujuan: Tujuan dari penelitian untuk mengidentifikasi persepsi mahasiswa Fakultas Keperawatan Universitas Pelita Harapan tentang program mentoring online.

Metode: Penelitian ini menggunakan metode kuantitatif deskriptif. Populasi adalah mahasiswa Keperawatan Universitas Pelita Harapa. Sampel penelitian berjumlah 229 mahasiswa dengan menggunakan tehnik simple random sampling. Instrumen penelitian menggunakan kuesioner yang terdiri dari 21 item pernyataan untuk Mentor serta 17 item pernyataan Mentee. Data dianalisa dengan univariat.

Hasil: penelitian ini menunjukkan bahwa persepsi Mentor tentang program mentoring online pada masa pandemic covid-19 mayoritas pada kategori sangat baik (65%) dan persepsi Mentee menunjukkan mayoritas pada kategori persepsi baik (58%). Mentor dan Mentee terlibat dalam program mentoring online mayoritas tidak akan meninggalkan universitas

Kesimpulan: Program mentoring yang dijalankan secara online terbukti dipersepsikan baik dan sangat baik sehingga bisa dijadikan sebagai alternatif jika tidak dilaksanakan secara onsite.

The Association Between Family Knowledge and Support with the Readiness of Madrasah Ibtidaiyah Students in Facing Menarche

2024-06-16T12:19:37+07:00

Introduction: Menarche is a sign of a change in social status from child to adult. The importance of knowledge and family support influences female students' readiness to face menarche. Knowledge is related to the physiology and psychology of young women regarding menstruation, while family support is related to the role of parents. The unpreparedness of young women in facing menarche has an impact on their implementation in daily life and young women are more susceptible to reproductive tract infections.

Objective: This study aims to analyze the relationship between knowledge and family support and female students' readiness to face menarche at Al-Fitrah Private Madrasah Ibtidaiyah, Kupang City.

Method: This research was conducted in February 2024. The research design was analytical observational with a quantitative approach with a cross-sectional design. The population in this study were female students in grades IV, V, and VI at Al-Fitrah Private Madrasah Ibtidaiyah Kupang City, namely 52 respondents. The technique used in this research is proportional sampling. The instrument used was a questionnaire consisting of a readiness-to-face menarche questionnaire, a knowledge questionnaire, and a family support questionnaire. Data analysis used univariate analysis and bivariate analysis using the chi-square test.

Result: Data analysis used univariate analysis and bivariate analysis using the chi-square test. The results of the research show that there is a relationship between knowledge and family support and the readiness of female students to face menarche at Al-Fitrah Private Madrasah Ibtidaiyah with a p-value of 0.015 and 0.025 (< 0.05). It is known that 33 out of 52 female students with poor or good knowledge and poor or good family support are ready to face menarche (63.5%). Meanwhile, 19 out of 52 were not ready to face menarche (36.5%).

Conclusion: There is a relationship between knowledge and family support and female students' readiness to face menarche at Al-Fitrah Private Madrasah Ibtidaiyah, Kupang City

The Efforts of Toddler Integrated Healthcare Center Cadres in Increasing Mother Visits to Integrated Healthcare Center Kartini Bandungrejosari

2024-06-16T12:19:24+07:00

Introduction: One of the factors causing stunting is that the utilization rate of healthcare by mothers of toddlers in Indonesia is low, while in healthcare there is a lot of education about maintaining the health of toddlers and providing additional food for toddlers. This is proven by the average percentage of toddlers who are weighed at the healthcare is still below the target, where the target for toddlers who are weighed is 85%. There are still many healthcare that do not meet coverage shows that the role of toddler healthcare cadres in increasing mother’s visit to the healthcare less than optimal or not in accordance with their duties.

Objective: The purpose of this study was to determine the efforts of healthcare toddler cadres in increasing maternal visits to the healthcare.

Method: This study used qualitative methods and took 13 responden, consisting of 7 healthcare cadres, 5 mothers who have toddlers, and 1 health worker. Data collection techniques using interviews, observation, documentation. Data validity used is data triangulation and method triangulation.

Result: The results show that the implementation of healthcare service activities is still not optimal, this is evidenced by the non-implementation of one of the healthcare service activities.

Conclusion: The conclusion is that the efforts of cadres in increasing the visit of mothers of toddlers to Healthcare Kartini in Bandungrejosari Village, Sukun Subdistrict. still not implemented optimally. It is recommended for cadres to improve health service activities, namely counseling to mothers of toddlers, and making new innovations to increase the interest of mothers to bring their toddlers to the healthcare.

Pemberian Media Leaflet Mengenai Higiene Sanitasi Lingkungan Terhadap Kejadian Wasting dalam Meningkatkan Pengetahuan (Studi Kasus pada Ibu Balita di Desa Mulyasejati Kabupaten Karawang)

2024-06-16T12:19:41+07:00

Latar belakang: Salah satu faktor yang mempengaruhi terjadinya wasting adalah higiene sanitasi lingkungan. Higiene adalah upaya kesehatan dengan cara memelihara dan melindungi kebersihan individu. Sanitasi adalah upaya kesehatan dengan cara memelihara dan melindungi kebersihan lingkungan. Higiene sanitasi adalah upaya untuk mengendalikan faktor risiko terjadinya kontaminasi terhadap makanan, baik yang berasal dari bahan makanan, orang, tempat, dan peralatan agar aman dikonsumsi.

Tujuan: Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian media leaflet mengenai higiene sanitasi lingkungan terhadap kejadian wasting dalam meningkatkan pengetahuan ibu balita.

Metode: Metode yang digunakan adalah Quasi Experimental Design dengan model one group pretest-posttest design. Pelaksaan penyuluhan dilakukan pada tanggal 20 dan 22 September 2023 di Posyandu Cempaka II dan IX. Teknik pengambilan sampel yang digunakan adalah accidental sampling. Skor hasil pretest dan posttest dihitung menggunakan skala Gutman dengan jawaban benar bernilai 1 dan salah bernilai 0. Uji normalitas menggunakan uji Saphiro-Wilk dilanjut dengan uji Wilcoxon dikarenakan data tidak terdistribusi normal.

Hasil: Hasil uji statistik diperoleh p-value sebesar 0,285 (p > 0,05) yang menunjukkan bahwa media leaflet yang digunakan tidak berpengaruh signifikan terhadap peningkatan pengetahuan responden.

Kesimpulan: Penelitian ini menyimpulkan bahwa tidak ada pengaruh pemberian media leaflet mengenai higiene sanitasi lingkungan terhadap kejadian wasting dalam meningkatkan pengetahuan ibu balita di Posyandu Cempaka II dan IX.

Determinants of Long-Term Contraceptive Method among Reproductive-Aged Women in Sulawesi Island (Data Analysis of IDHS 2017)

2024-06-16T12:19:14+07:00

Introduction: Long-Term Contraceptive Methods are contraceptive methods that, once used, last for a long period, ranging from 3 years to a lifetime. LTCMs are considered highly effective compared to non-LTCMs, with a success rate above 95%. Overall, the coverage of LTCM usage in Indonesia remains low despite a noticeable increasing trend of 10.6% in 2012 and 13.2% in 2017. This coverage is far below the global average in SDGs in 2030, which was 35%, and the targets outlined in the BKKBN Strategic Plan for 2020 (25.11%) and 2024 (28.39%).

Objective: The aim of this research is to identify the determinants of LTCM usage among women of reproductive age and to determine predominant the factors most associated with LTCM usage on the island of Sulawesi.

Method: This cross-sectional study aims to identify the determinants of LTCM usage among reproductive-aged women in Sulawesi Island based on secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS). The population in this study consists of all reproductive-aged women (15-49 years old) who are married and using contraception in the provinces of Southeast Sulawesi, South Sulawesi, West Sulawesi, Central Sulawesi, and North Sulawesi. The data utilized a survey with a complex sample design, and this taken into account during the analysis using weighting. The data analysis employed cox regression to estimate the prevalence ratio.

Result: Out of 2,703 respondents, 519 (22.5%) were using LTCMs. Statistical tests indicated associations between predisposing factors such as age, education, occupation, knowledge about family planning (FP), number of children, and economic status, reinforcing factors like decision-making autonomy regarding FP, and supportive factors such as access to FP services and FP information media with LTCM usage among reproductive-aged women in Sulawesi Island. The most influential supportive factor was access to FP services in the government sector, with a 30.1% influence, having a 2.2 times higher likelihood of LTCM usage with a p-value of 0.001 and 95% CI 1.79 - 2.88.

Conclusion: There is a relationship between predisposing factors such as age, education, occupation, knowledge about family planning (FP), number of children, and economic status, reinforcing factors influencing decision-making regarding family planning, and supportive factors of family planning service sources and media information on family planning, with the use of long-term contraceptive methods (LTCM) among women of reproductive age in Sulawesi Island. The most dominant factor associated is the supportive factor of family planning service sources in the government sector.

The Process of Triple Elimination Program Implementation in Antenatal Care Batang Regency: Qualitative Study

2024-06-16T12:19:10+07:00

Introduction: The Maternal Mortality Rate (MMR) of Batang Regency in 2023 is still high. Many efforts have been made to reduce the mortality of pregnant women and babies born with integrated ANC services, but have not received optimal results.

Objective: The purpose of this study is to analyze aspects of the process including planning, organizing, implementing and assessing in the triple elimination program.

Methods: The study used qualitative methods with process variables consisting of planning, organizing, implementing and assessing in a triple elimination program. Data collection through in-depth interviews with 8 main informants and 10 triangulation informants. The main informants are Midwives, Coordinators, and Analysts of the triple elimination program in 4 selected Puskesmas. Triangulated informants are selected based on management level. District level to the Head of Kesga and P2P Dinkes Batang, Puskesmas level to 4 selected Puskesmas Heads and grass-root level to 4 mothers who receive integrated ANC service benefits at Puskesmas. The instrument uses an interview guide. Analysis using qualitative descriptive methods.

Results: Planning is carried out in stages from the implementation of activities, namely the integrated ANC team of the Puskesmas by calculating needs. Furthermore, it was discussed with the team and submitted to the Head of the Puskesmas which was then submitted to the District through the Batang Health Office. Organizing is done from the Coordinator Midwife who manages his team. Team management is discussed together and approved by the Head of Puskesmas. Implementation is carried out in accordance with applicable SOPs. The triple elimination assessment is good but there needs to be improvement. Especially in the refusal of triple elimination examination from pregnant women during the implementation of the program.

Conclusion: The triple elimination program process in Batang Regency has been good. There needs to be a strategy to invite all pregnant women so that there is no rejection of the triple elimination program.

The Relationship Between Family Support and Clean and Healthy Living Behavior in the Household Order

2024-06-16T12:19:20+07:00

Background:Clean and healthy living behavior (PHBS) is used as a parameter for achieving increased health coverage in the 2015 - 2030 Sustainable Development Goals (SDGs) program, but until now it is still the center of government attention. If PHBS is not implemented properly, several diseases will emerge, including diarrhea, ARI, TB and malaria. For the implementation of PHBS to be good, there must be family support.

Objective:To determine the relationship between family support and clean and healthy living behavior in the household structure of productive age in Kajar 2 Hamlet, Karangtengah, Wonosari, Gunungkidul.

Method:This research is correlational research with a cross sectional approach. The sampling technique uses a simple random sampling method. The sample in this study was early adulthood (18 – 40 years) as many as 67 people who lived in Kajar 2 Hamlet, Karangtengah, Wonosari, Gunungkidul. The data analysis technique uses the Kendall Tau test.

Results:The results of the Kendall Tau test show that there is a relationship between family support and clean and healthy living behavior, household order in productive age in Kajar 2 Hamlet, Karangtengah, Wonosari, Gunungkidul with a p value = 0.000 (p<0.05) and a closeness value of 0.724. indicates a strong relationship.

Conclusion:There is a relationship between family support and clean and healthy living behavior in the household structure at productive age in Kajar 2 Hamlet, Karangtengah, Wonosari, Gunungkidul.

The Effect of Parenting Styles Based on Teeneger Approaches to Prevention of Free Association in Teeneger in Padangsidimpuan

2024-06-16T12:19:28+07:00

Introduction: Free association is a form of association that isn’t bound by social rules and norms caused by a person's inability to sort out information that must be applied in everyday life. Promiscuity is synonymous with teenagers

Objective: This research aims to analyze the influence of parenting styles based on adolescent approaches to preventing promiscuity

Method: This research is quantitative type with the method used retrospective research, because the researcher will explore teenagers' experiences related to parenting patterns carried out by parents in everyday life, and without any treatment. The sample size was 120 respondents.

Result: The results found that the majority of respondents had an authoritative parenting style, 107 people (89.2%). Based on preventing promiscuity, the majority were able to prevent 112 people (93.3%). The bivariate results for both variables show that the p-value is 0.011, which can be interpreted as having an influence on parental parenting on preventing juvenile delinquency (0.011 < 0.05)

Conclusion: Actions to prevent promiscuity according to teenagers are closely related to the parenting patterns used by parents. Authoritative parenting is the best parenting style compared to other parenting styles in caring for teenagers. This is because this parenting style provides teaching in the form of a sense of responsibility and explanation in every action, so that teenagers will understand the reasons for what actions they can and cannot take.

The Relationship Between Implementation of the Healthy Living Community Movement (Germas) Program Regarding the Health of the Elderly in the Rappang Health Center Working Area

2024-06-16T12:19:33+07:00

Introduction: One of the main problems facing public health services is the global trend of an increasingly aging society which continues to pose major challenges for policy makers and health service providers as well as socio-economic challenges in the health sector. A number of challenges were encountered during the introduction of the GERMAS program, including a lack of awareness regarding physical exercise for the elderly and the importance of physical fitness. Health services rarely provide social education, thus contributing to the ignorance of the elderly.

Objective: To find out the relationship between the implementation of the healthy living community movement (GERMAS) program on the health of the elderly in the Rappang Community Health Center Working Area, Panca Rijang District..

Method: A cross-sectional technique is employed in the descriptive-analytic study design. The sample in this study was 68 reapondents taken using purposive sampling. This study was carried out at the Rappang Community Health Center's operational space, Panca Rijang District, Sidenreng Rappang Regency.

Result: From this research, the statistical results of the Chi-Square Test for the physical activity variable were obtained with a significance of 0.000 (p < 0.05), the fruit and vegetable consumption variable had a significance value of 0.025 (p < 0.05), the smoking behavior variable had a significance value of 0.000 (p < 0.05), the alcohol consumption variable has a significance value of 0.590 (p > 0.05), the periodic health check variable has a significance value of 0.000 (p < 0.05), the variable maintaining environmental cleanliness has a significance value of 0.007 (p < 0.05), and the variable m uses standard toilets with a significance value of 1.000 (p > 0.05).

Conclusion: The conclusion that can be drawn is that the GERMAS indicators have a significant relationship with the health of the elderly, namely physical activity, consuming fruit and vegetables, smoking behavior, regular health checks and maintaining environmental cleanliness.

Moran’s Index Spatial Analysis On The New Case Detection Rate of Leprosy in West Java 2022

2024-06-16T12:18:57+07:00

Introduction: Leprosy is a chronic infectious disease, neglected tropical disease caused by Mycobacterium leprae. Leprosy is divided into two types based on the number of lesions on the skin. If there are less than 5 lesions, leprosy is classified as paucibacillary (PB) and if there are more than 5 lesions, leprosy is classified as multibacillary (MB). Indonesia is ranked third in the world after Brazil with 762 new cases of grade 2 disability leprosy by 2022. Therefore, spatial analysis of the new case detection rate of leprosy in West Java 2022 is needed.

Objective: To determine wheter there are spatial dependency with the new case detection rate of leprosy in West Java 2022

Method: Quantitative research that utilises secondary data by conducting spatial analysis on the new case detection rate of leprosy in West Java 2022 using Moran's Index and LISA tests.

Result: There are 5 areas namely Bekasi, Karawang, Subang, Indramayu, and Cirebon that have not yet reached the national target in eliminating leprosy. The value of Moran's I = 0.241 and p-value 0.0090 < ? (0.05) which means that there is a weak positive spatial dependence on the number of new leprosy cases in West Java Province 2022. There is 1 region that is in the high-high quadrant, namely Cirebon and there are 4 regions in the low-low quadrant, namely Cimahi City, Bandung City, Garut, and Tasikmalaya.

Conclusion: A small number of areas in West Java Province still have not reached the national target of eliminating leprosy, which is a CDR of <5 per 100.000 population, namely Bekasi, Karawang, Subang, Indramayu, and Cirebon. There are 5 areas that have spatial linkages in the new case detection rate of leprosy in West Java Province in 2022 based on the significance value. The region in the high-high quadrant is Cirebon and there are 4 regions in the low-low quadrant, namely Cimahi City, Bandung City, Garut District, and Tasikmalaya District.

Relationship Between Sociodemographic Characteristics and the Incidence of Stunting in Toddlers Based on Family Income Stratification

2024-06-16T12:18:42+07:00

Introduction: The nutritional problem of stunting in Indonesia is known to occur in poor and non-poor families (those above 40% of social and economic welfare levels).

Objective: This research was conducted to see the relationship between sociodemographic characteristics and the incidence of stunting in children under five based on family income stratification in Palembang City.

Method: This research was a quantitative study with research data from 2020. The population in this study were toddlers 24-59 months in Palembang City with a sample of 97 toddlers. The sample in this research was taken by purposive sampling. The analytical method used to see the relationship was using the chi-square test.

Result: The results of the study showed that the proportion of stunting was 20.6% with the incidence of stunting in the family income stratification group < IDR 10,000,000 was 26.4% and in the family income stratification group ? IDR 10,000,000 is 13.6%. The results of the analysis show that each independent variable has a p value > ? (0.05), except for the parenting method variable in the income stratification group < IDR 10,000,000 which has a p value < 0.05.

Conclusion: Further research needs to be carried out to investigate other factors that were thought to be risk factors for stunting, one of which is environmental factors, infectious diseases and nutritional patterns in children under five.

Case-Control Study: Evaluation of the Correlation between Obesity and Hypertension in South Jakarta Adolescents

2024-06-16T12:18:47+07:00

Introduction: The prevalence of hypertension in adolescents has increased in recent years. Initially, hypertension was rare in adolescents, but now hypertension is showing a trend of prevalence at a younger. Hypertension in adolescents is multifactorial, and there is no single cause. However, some studies suggest that high blood pressure or hypertension is more common in overweight or obese adolescents.

Objective: To determine the correlation between obesity and hypertension in adolescents in South Jakarta in 2023.

Method: This research is an analytical study with a case-control design, using secondary data from the Non-Communicable Disease Information System (SIPTM) of DKI Jakarta Provincial Health Office in 2023. The sample size used the Lemeshow formula, hypothesis tests for two proportions (two-sided test), with 1124 respondents divided by 562 cases and 562 controls, by purposive sampling technique. Statistical tests included univariate, stratification, and multivariate analysis (logistic regression causal model)..

Result: The obesity proportion was 29.8%, primarily female, at 58.45%, with the highest being 16 years (25.8%). After evaluating confounding, found a significant correlation between obesity and hypertension in adolescents, namely aOR 3,6 (95% CI 2.72 - 4.73), which means that obese adolescents are statistically proven to have a 3,6 times greater risk of developing hypertension than non-obese adolescents.

Conclusion: This finding indicates a prevalence increase of hypertension in the future if there is no obesity control in adolescents. Need screening or early detection in adolescents, especially in obese adolescents. Hypertension screening in adolescents to involve parents so that they get enough attention in the screening routine. In addition, there will be collaborative efforts between schools and healthcare providers to provide education and health promotion for school children, especially adolescents, to control hypertension and other non-communicable diseases.

Descriptive Epidemiological Tuberculosis in Purwakarta District, 2020-2023

2024-06-16T12:19:06+07:00

Introduction: Based on the results of the Indonesian Health Survey (SKI) in 2023, prevalence of Tuberculosis based on a history of doctor diagnosis is highest in Jawa Barat Province, at 0.47%, while the national Tuberculosis prevalence is 0.30%.

Objective: This study aims to illustrate the Tuberculosis cases overview in Purwakarta District, 2020-2023.

Method: This research uses a quantitative research design with a univariate descriptive analysis approach. This study utilizes secondary data from the Tuberculosis Information System (SITB).

Result: Tuberculosis cases in Purwakarta District were highest in year 2022 (4703 cases). Based on gender, the highest cases occurred in males, with the peak in 2022 (2590 cases). The age group with the highest was the elderly age group, with the peak in 2022 (1253 cases). Tuberculosis Diabetes cases in 2022 reached 134 cases. The most accessed healthcare facility was hospitals (3317 cases) accessing healthcare services at hospitals.

Conclusion: Tuberculosis cases in Purwakarta District peaked in 2022, with the highest distribution among males and elderly. The most common comorbidity of Tuberculosis cases is diabetes, and the highest number of visits is at hospitals, indicating potential Tuberculosis issues in Purwakarta District, thus further studies regarding the Tuberculosis status in Purwakarta District are needed.

Faktor yang Berhubungan dengan Kejadian Demam Berdarah Dengue di Wilayah Kerja Puskesmas Waipare Kecaamatan Kangae Kabupaten Sikka

2024-06-16T12:19:45+07:00

Latar belakang: Demam Berdarah Dengue (DBD) merupakan suatu jenis penyakit arbovirus yang ditularkan melalui gigitan artropoda seperti nyamuk. Demam Berdarah Dengue (DBD) disebabkan oleh virus dengue yang ditularkan dari orang ke orang melalui gigitan nyamuk Aedes aegypti. kasus DBD di Nusa Tenggara Timur bervariasi dari tahun 2018 hingga 2021. Pada tahun 2018, terdapat 1.603 kasus, yang meningkat menjadi 4.832 kasus pada tahun 2019. Puncaknya terjadi pada tahun 2020, dengan 6.178 kasus dan 63 kematian, namun turun menjadi 2.807 kasus pada tahun 2021. Kasus DBD di Puskesmas Waipare mencapai 113 kasus pada tahun 2020, turun menjadi 21 kasus pada tahun 2021 dan meningkat menjadi 36 kasus pada tahun 2022. Ada 52 kasus antara Januari dan Maret 2023.

Tujuan: Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kejadian DBD di wilyah kerja Puskesmas Waipare Kecamatan Kangae Kabupaten Sikka.

Metode: Penelitian ini menggunakan observasional analitik dan desain penelitian Case control untuk mengkaji variabel-variabel yang berhubungan dengan kasus DBD di wilayah Puskesmas Waipare, Kangae, Sikka.

Hasil: Uji chi-square digunakan untuk analisis data. Hasil penelitian menunjukkan bahwa pengetahuan tidak berhubungan dengan kejadian DBD (p-value= 0,006). Sementara itu, sikap mencegah, tindakan PSN (p-value = 0,001) dan ventilasi berkasa (p-value = 0,004), serta keberadaan jentik (p-value = 0,002) memiliki hubungan signifikan dengan kejadian DBD, sedangkan pencahayaan tidak berhubungan dengan kejadian DBD (p-value = 0,255).

Kesimpulan: Kesimpulan dari penelitian ini adalah tidak ada hubungan yang signifikan antara pengetahuan dan pencahayaan terhadap kejadian DBD dan terdapat hubungan yang signifikan antara sikap mencegah, tindakan PSN, ventilasi berkasa dan keberadaan jentik nyamuk terhadap kejadian DBD

Coronary Heart Disease Risk and Associated Risk Factor Among Workers at PT.X in 2023

2024-06-16T12:18:52+07:00

Introduction: Coronary heart disease is also a major cause of death and permanent disability among workers. In Indonesia, the estimated loss due to decreased productivity and treatment costs for CHD is 6.8% of GDP per year. The risk of CHD in industry is increased due to stress from long working hours, shift work affecting work, eating, and sleeping patterns.

Objective: To evaluate the risk of CHD among workers at PT. X, an oil and gas company, and to describe the frequency distribution of CHD risk factors

Method: The research design is descriptive analytics with a cross-sectional design. Sample data was collected from annual health examination data at PT. X in 2023. Framingham risk score (FRS) used to predict the incidence rate of CHD in the next 10 years.

Result: The data of PT. X indicates that man employees comprise 76.2%, age <40 years old 44.9%, 8.8% of employees have hypertension, 2.6% diabetes, and 62.1% obese. The results of CHD prediction risk calculations using Framingham are 0.4% of workers at high risk, 15.9% at intermediate risk. Risk factor of CHD found gender (pvalue = 0,000 ; OR 18,6), age (pvalue = 0,000; OR 54,3), SBP (pvalue = 0,002; OR 3,2), TC (pvalue = 0,032; OR 2,1), HDL (pvalue = 0,017; OR 0,4), fasting blood sugar (pvalue = 0,000; OR 6,5), smoking habits (pvalue = 0,000; OR 4,8), and BMI (pvalue = 0,013; OR 4,2).

Conclusion: The results of predicting the risk of coronary heart disease over the next 10 years using Framingham among PT.X workers indicate that 0.4% of workers have a high risk and 15.9% have a intermediate risk. Gender, age, systolic blood pressure, total cholesterol, HDL, fasting blood sugar, smoking habits, and body mass index (BMI) are significantly associated with the risk of coronary heart disease.

Spatial Analysis Using Exploratory Spatial Data Analysis (ESDA) of Child Marriage Among Women 15-24 Years old in Indonesia

2024-06-16T12:18:31+07:00

Introduction: Child marriage, which has existed for centuries, is a complex issue, deeply rooted in gender inequality, tradition, and poverty. Child marriage is increasingly recognized as a violation of girls' rights because it effectively ends education, deprives any opportunity to acquire vocational and life skills, exposes children to the risk of early pregnancy, bearing children, and motherhood before being physically and psychologically ready, increasing the risk of sexual violence and HIV infection

Objective: This study aims to conduct spatial analysis to determine the spatial autocorrelation between provinces in Indonesia based on the number of child marriages influenced by reproductive system knowledge in women aged 15-24 years who marry children (<=18 years) in Indonesia.

Method: This study used a cross-sectional approach covering all provinces of Indonesia using raw data from the 2017 Indonesian Demographic and Health Survey organized by BPS in collaboration with BKKBN and the Ministry of Health. Data on the distribution of child marriage events will be analyzed using Exploratory Spatial Data Analysis (ESDA) with GeoDa application version 16.

Result: Indonesia with 34 provinces has a minimum value of zero (0) child marriage maximum of 9, a median of 1, an average of 1.67, and a standard deviation of 2.11374. In addition, there is a positive autocorrelation between the number of child marriages and knowledge of the reproductive system. For bivariate spatial analysis that associates the number of child marriages in Indonesia with knowledge of the reproductive system, a coefficient correlation of 0.679 is known so that it can be interpreted that the number of child marriages has a moderate positive correlation.

Conclusion: It was concluded that the results of global autocorrelation for child marriage cases using Moran's I with a queen contiguity weighting matrix are known to have positive spatial autocorrelation or form a grouping pattern so that it can be interpreted spatially the number of child marriages in one province with other provinces is interconnected, especially neighboring ones.

Disaster Preparedness Among University of Indonesia’s Public Health Student: A Campus Study

2024-06-16T12:18:37+07:00

Introduction: This study examines the disaster resilience of students from the Faculty of Public Health at the University of Indonesia. It employs a quantitative descriptive cross-sectional design with a sample size of 417 individuals.
Objective: The objective of this study is to assess the level of disaster resilience among students of the Faculty of Public Health at the University of Indonesia and identify areas for improvement.
Method: A quantitative descriptive cross-sectional study was conducted among 417 students from the Faculty of Public Health at the University of Indonesia. Data were collected using a structured questionnaire focusing on various aspects of disaster resilience, including awareness of disaster potential, preparedness, education sources, insurance ownership, disaster response, and knowledge of nearby clinics/hospitals.
Result: The findings indicate that overall, the level of disaster resilience among students of the Faculty of Public Health at the University of Indonesia is satisfactory. However, there is room for improvement in certain areas such as disaster preparedness, knowledge of early warning systems, training or simulation, and readiness for disasters.
Conclusion: In conclusion, while students demonstrate a commendable level of disaster resilience, there is a need for enhancement in specific areas. This could include improving disaster preparedness, increasing knowledge of early warning systems, providing training or simulation exercises, and enhancing overall disaster readiness.

Attitudes and Family Support of the Barrang Caddi Island Community Related to the Utilization of Hypertension Services in Achieving Minimum Service Standards (SPM)

2024-06-16T12:19:03+07:00

Introduction: Based on Makassar City health profile data in 2021, several aspects of health services and health management still have not achieved the SPM targets for Health and SDG's. At the Barrang Lompoa Community Health Center, only 46.2% of patients suffering from hypertension received health services in 2021, far from the target set at 100%.

Objective: To understand the correlation between individual attitudes and family support towards the use of hypertension services at Pustu Barrang Caddi in 2024.

Method: The type of research used is Cross Sectional Study. This research was conducted on Barrang Caddi Island, Makassar City in March - April 2024. The population in this study was 351 households. The sample in this study was part of the population on Barrang Caddi Island, that is 188 households.

Result: The results of data analysis include univariate analysis with frequency distribution and bivariate chi-square test. Data analysis was carried out bivariate using the Chi-Square test with a significance level of 5% (?=0.05). influence between attitude (p=0.000), family support (p=0.000). From the results of the Chi-Square test, a relationship was found between attitudes and family support on the use of hypertension services at Pustu Barrang Caddi in 2024.

Conclusion: There is a relationship between attitudes and family support on the use of hypertension services at Pustu Barrang Caddi in 2024.

The Impact of Hydration Level on Groundhandling Officer at Bandara Soekarno Hatta

2024-06-16T12:18:27+07:00

Background: Groundhandling workers are workers who are exposed to heat for quite a long time. A work environment that exceeds tolerance limits can cause health problems such as dehydration and fatigue. Lestari (2016) in his research stated that a hot work environment that exceeds the Threshold Limit Value (TLV) can increase the risk of dehydration.

Purpose: This research focuses on fatigue and the risk factors of fatigue, especially those caused by dehydration, without disregarding other risk factors among ground handling workers at Soekarno-Hatta Airport.

Method: The method used in this research is an observational analytic approach with a cross-sectional design. The sampling technique employed random sampling with a sample size of 219 respondents consisting of ground handling workers working both inside buildings and on the apron. The measuring instruments used were specific gravity urine tests to determine hydration status and IFRC questionnaires to assess workers' physical fatigue status.

Result: From the existing data it was found that the majority of respondenst experienced mild fatigue, namely 36,5% of the 219 respondents and others experienced severe fatigue 63,5%. With hydration status, most workers have good hydration status (euhydration), namely 70,3% and and some others experienced dehydration, namely 29,7%. The result of the analysis between hydration status and level fatigue showed 35,4% of respondents who werw dehydrated experienced severe fatigue, while 37% of respondents who were euhydrated/normohydrated experirienced severe fatgue. The results of the analysis test obtained was no relationship between hydratin status and fatigue level. The OR (Odd Ratio) shows a result or 0,932 meaning that respondents withs dehyration are protective factor of 0,93 times agains severe fatigue.

Conclusion: The conclusion of this research is that good hydraton status can prevent fatigue in workers, especially those who work with direct heat exposure.

Stress Coping Strategies Among Nurses at Hasanuddin University Hospital Indonesia

2024-06-16T12:18:23+07:00

Introduction: Nurses have a major contribution in determining the quality of hospital services, but the heavy workload carried by nurses makes them vulnerable to work stress. Work stress that is if not handled properly can result in a decrease in the quality of services provided to the effect on hospital productivity, therefore it is necessary to do a coping strategy so that nurses can deal with and neutralize or overcomereduce the work stress experienced.

Objective: This study aims to describe stress coping strategies for nurses in the Inpatient Installation of the Hasanuddin University Hospital Makassar.

Method: This research was using quantitative approach. It was conducted at the Hasanuddin University Hospital in July 2022. The population in this study were all nurses who served in the Inpatient Room of Hasanuddin University Hospital with a total sample of 54 nurses. Collecting research data using The Brief COPE Questionnaire. The data were analyzed by using univariate analysis test.

Result: The results describe nurses' stress coping strategies based on problem focused coping, that all indicators included in the high category, there are active coping (6.42), followed by planning (6.29) and use of instrumental support (6.02). Then the Nnurse's stress coping strategy based on emotional focused coping, there are 3 indicators that are included in the high category, there are religion (7.39), positive reframing (6.31), and acceptance (6.07), use of emotional support (4 .83) is an indicator that included in the medium category and denial (3.14) is an indicator that included in the low category. While Nnurses' stress coping strategies based on dysfunctional coping, self-distraction (6,16) is the only indicators that included in the high category, then there are 4 indicators that were included in the moderate category, there were namely venting (4,87), humor (4,50), self blame (4.50), and behavioral disengagement (3.24), as well as substance use (2.66) are indicators that are included in the low category.

Conclusion: Majority of nurses at Hasanuddin University Hospital applied high problem focused coping and emotional focused coping. Therefore, the management of the Hasanuddin University Hospital may consider opening or holding a communication forum between nurses in each treatment room to discuss problems at work and provide psychological guidance and support in order to overcome the work stress that nurses experienced.

Analysis of Fire Emergency Response Readiness at Oil and Gas Company

2024-06-16T12:18:17+07:00

Introduction: Fire is one of the dangers that is often found in the oil and gas industry. A fire preparedness system is needed by companies to avoid dangers and risks that have the potential to cause damage, injury or death.

Objective: This research aims to see the readiness of Fire Emergency Response system. The results of this research can be used as a basis for developing policies and programs Fire Emergency Response work.

Method: This research uses the FERRAT Form as the basis for the research. The instrument used in this research is the FERRAT Form. Field observations were carried out to see directly the field conditions and the form filling process.

Result: The results of this research show that the company's readiness in implementing the Fire Emergency Response system as a whole has reached an average of <90% with an overall value of 40.33%.

Conclusion: It is hoped that with this research, companies can carry out independent evaluations and immediately initiate improvements related to risk-based system design, adequacy levels according to potential fire risks and ensuring emergency response equipment is always in a ready-to-operate and alert condition

Analysis of Factors Influencing BPJS Membership Status in the Independent (PBPU) and Non-Worker Segments

2024-06-16T12:18:12+07:00

Introduction: Universal Health Coverage (UHC) is a significant agenda outlined in the SDG 2030. In order to achieve UHC, Indonesia established the Social Security Management Agency (BPJS) in 2014. Nearly a decade after its establishment, BPJS experienced a financial deficit in its first six years, followed by a surplus during the COVID-19 pandemic. This has impacted the sustainability of BPJS Health. One of the factors contributing to the financial deficit is the non-compliance of participants in paying BPJS contributions, particularly in the Non-Wage Earner/Self-Employed/Independent (PBPU) and Non-Worker segments who are required to pay contributions individually. When participants fail to pay contributions for six consecutive months, their membership status is converted to inactive. From the 2022 BPJS Sample Data, it was found that 799,384 out of 2,305,435 (34.67%) participants had inactive membership status.

Objective: This study aims to analyze the factors influencing BPJS membership status in the Independent and Non-Worker segments.

Method: The method that used in this study is quantitative analysis of secondary data from the 2022 BPJS Sampel Data with the Linear Probability Model (LPM), Logit and Probit Models. The analysis is conducted using STATA to obtain univariate, bivariate and multivariate analyses.

Result: From a sample of 545,507 participants, if was found that 54.20% had inactive membership status. Factors such as age, gender, marital status, treatment class, healthcare facility type, and participant segmentation affect membership status. The LPM regression results indicate that the factors leading to inactive membership status are being of productive age, male, belonging to class 1 and 2, utilizing primary healthcare facilities, and being in the Independent segment.

Conclusion: Therefore, stateholders such as the central government and BPJS need to collaborate in efforts to reduce the number of inactive membership statuses.

Faktor Risiko Lingkungan Fisik Rumah Terhadap Kejadian ISPA pada Balita di Darul Imarah Aceh Besar

2024-06-29T08:51:15+07:00

Latar belakang: Infeksi Saluran Pernapasan Akut (ISPA) pada balita merupakan permasalahan kesehatan yang belum teratasi di Aceh, terutama di wilayah Puskesmas Darul Imarah, Aceh Besar.

Tujuan: Penelitian ini bertujuan untuk mengetahui apakah ada faktor risiko lingkungan fisik rumah terhadap kejadian ISPA pada balita di wilayah Kerja Puskesmas Darul Imarah, Aceh Besar.

Metode: Penelitian ini adalah penelitian kuantitatif menggunakan metode analitik observasional dengan desain case-control study. Populasi adalah seluruh balita yang terdaftar di Puskesmas Darul Imarah selama Januari–September 2023. Pengambilan sampel dilakukan dengan total sampling, dengan 60 responden terbagi menjadi 30 kelompok kasus dan 30 kelompok kontrol (perbandingan 1:1). Data dianalisis menggunakan uji chi-square dan aplikasi SPSS.

Hasil: Hasil analisis bivariat menunjukkan ventilasi ruangan (p-value = 0,405, OR = 1,592, CI95% 0,531-4,775), kelembaban rumah (pvalue

= 0,795, OR = 1,144, CI95% 0,414 – 3,166) dan kepadatan hunian (p-value = 0,559, OR = 1,408, CI95% 0,445 – 4,53) memiliki hubungan signifikan dengan kejadian ISPA pada balita dan merupakan faktor risiko. Sedangkan suhu rumah (p-value = 0,301, OR = 0,583, CI95% 0,210 – 1,624), dan jenis lantai tidak merupakan faktor risiko ISPA.

Kesimpulan: Hasil penelitian menyimpulkan bahwa faktor lingkungan seperti ventilasi, kelembaban, dan kepadatan hunian ruangan dapat meningkatkan risiko ISPA pada balita. Rekomendasi termasuk edukasi masyarakat tentang kebersihan lingkungan dan pengawasan kualitas udara.

Implementasi Program Pencegahan Penyakit Kardiovaskular REHAT MALAM di SD Hidayatul Ummah Mulyorejo Surabaya

2024-06-29T08:53:05+07:00

Latar belakang: Di Indonesia, penyakit kardiovaskular menempati urutan pertama sebagai penyebab kematian terbanyak pada tahun 2009 hingga 2019 dan tekanan darah tinggi atau hipertensi diketahui menjadi faktor risiko utamanya. Kebijakan untuk mengurangi asupan garam menjadi strategi utama untuk mencegah penyakit kardiovaskular karena terindentifikasi bahwa konsumsi natrium harian yang tinggi merupakan faktor risiko utama dari meningkatnya kasus tekanan darah tinggi dan penyakit kardiovaskular lainnya.

Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh dari sebelum dan sesudah diberikannya program REHAT MALAM (Remaja Sehat Kendalikan Asupan Garam) terhadap peningkatan pengetahuan responden terkait asupan natrium untuk pencegahan penyakit kardiovaskular.

Metode: Penelitian ini menggunakan penelitian kuantitatif dengan rancangan One Group Pretest Posttest. Sasaran dalam penelitian ini adalah siswa kelas 6 SD Hidayatul Ummah Mulyorejo Surabaya yang berjumlah 31 siswa. Data dianalisis secara univariat dan bivariat menggunakan uji statistik Paired Sample T-Test dengan mean atau rata-rata dan p-value.

Hasil: Didapatkan hasil bahwa sebanyak 29 siswa (93,5%) mengalami peningkatan pengetahuan mengenai asupan garam untuk mencegah penyakit kardiovaskular. Terdapat peningkatan nilai rata-rata pengetahuan sebesar 31,61 dan ditemukan adanya perbedaan yang signifikan pada tingkat pengetahuan siswa sebelum dan setelah diberikan program (p=0,000).

Kesimpulan: Hasil menunjukkan bahwa upaya pencegahan penyakit kardiovaskular melalui program REHAT MALAM berpengaruh terhadap peningkatan pengetahuan siswa mengenai pengendalian asupan garam.