Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Impact of Safety Leadership on Safety Climate in Process Industry Workers: Literature Review

Titus Halomoan Mg — 2024-12-09

Background: Safety climate concerns individual perceptions of safety policies, procedures, practices and behavior in the work environment. The low safety climate increases the risk of work accidents. Improvement safety climate, one of which can be done by increasing safety leadership, which is safety leadership bring policy direction and commitment regarding the importance of occupational safety and health. This research aims to determine the effect safety leadership to safety climate in process industry workers.

Method: This research uses the "PRISMA” or preferred reporting items for systematic reviews and meta-analyses. In searching for relevant research using database google scholar and Sciendirect, with keywords “safety leadership”, “safety climate" And “process industry worker”.The total number of journals that meet the inclusion and exclusion criteria is 4 journals indexed Q1.

Results: The results of this study show that there is a direct influence between safety leadership to safety climate in a positive direction. The influence is in a positive direction indicating that there is an increase safety leadership influence on safety climate which is better. There is an indirect influence between safety leadership to safety perfomance with through safety climate.

Conclusion: Safety leadership influences improving the safety climate for process industry workers. These findings can be used as reference material for improving the safety climate as well as safety performance in process industry, to reducing the possibility of work accidents.

Influence Shift Work on Work Fatigue in Oil and Gas Industry Workers: Literature Review

Rezki Dwinda — 2024-12-09

Background: Petroleum and gas industry carries out business in exploration and exploitation activities as well as in the processing of crude oil, an industry that is faced with working conditions and a high level of risk of danger. The work system for workers in the oil and gas sector applies the system shift like shift 4 time rotation, or two week days shift tends to make workers experience higher levels of fatigue and fatigue-related work accidents. For know the influence shift work on work fatigue in oil and gas industry workers.

Method: This research uses the method literature review with the PRISMA approach (preferred reporting items for systematic reviews and meta-analyses). In the journal search carried out on database google scholar dan ScienceDirect with the keyword "Shift work”, “Work Fatigue”, “Oil and Gas Industry”. A total of 962 journals were identified, but 5 journals met the inclusion and exclusion criteria.

Results: Based on 962 journals identified, 5 journals were selected according to inclusion criteria and exclusion criteria. Work shifts, whether 12-hour rotational work shifts or 2-week rotational shifts for offshore workers, can influence work fatigue in oil and gas workers. Lack of hours of sleep and poor sleep quality and circadian rhythm are often found to be factors causing work fatigue in oil and gas workers. Work fatigue experienced by oil and gas workers has an impact on reducing work performance and work productivity.

Conclusion: Shift work has an effect on work fatigue in petroleum and gas industry workers.

Antimicrobial Policy in Indonesia within the One Health Context: Literature Analysis and Implementation Challenges

Puji Lestari — 2024-12-09

Background: Antimicrobials such as antibiotics, antivirals, antifungals, and antiparasitics are vital for treating infections in humans, animals, and plants. Antimicrobial Resistance (AMR) occurs when microorganisms become resistant to these drugs, posing a serious global threat. In Indonesia, high rates of infectious diseases increase the risks associated with AMR, highlighting the need for effective control measures. This study reviews research on efforts to control antimicrobial resistance in Indonesia within the One Health context, analyze related policies, and identifies key implementation challenges to provide recommendations for improvement.

Method: A literature review was conducted, identifying 1,029 articles from databases including EBSCOHost, ProQuest, PubMed, and Google Scholar. After screening and applying inclusion criteria, 14 relevant articles were selected for analysis to evaluate policies related to AMR in Indonesia and their alignment with the One Health approach.

Result: The findings showed that the increase in antimicrobial resistance (AMR) in Indonesia is mainly due to the misuse of antimicrobial drugs in different areas. While there are policies in place, putting them into practice has proven difficult, especially in the health sector, which faces more challenges than the livestock and environmental sectors. These results highlight the need for better coordination and alignment of policies across all sectors.

Conclusion: Although current AMR policies in Indonesia incorporate the One Health approach, significant challenges remain, including limited resources, insufficient guidelines, and weak coordination among sectors. Strengthening collaboration between health, agriculture, and environmental sectors and improving monitoring systems is essential for effective AMR control in Indonesia.

Home Environmental factors with the Incidence of ISPA in Toddlers Indonesia: Literature Review

Inggita Raiesa Rahmi — 2024-12-09

Background: ARI or acute respiratory infections can occur in the upper and lower respiratory tract. Toddlers are at risk of ARI due to indoor air pollution. Indonesia has the highest mortality rate of children under 5 years old due to ARI caused by several unqualified environmental factors such as ventilation area, occupancy density, air humidity, and lighting of toddlers' homes that do not meet the requirements of healthy homes. This literature review aims to analyse the association between home environmental factors and the incidence of ARI in children under five years of age in Indonesia.

Method: Using the literature review method by reviewing scientific articles published in the Google Scholar, Researchgate, Sciencedirect and PubMed databases using the search keywords OR factors using boolean operators AND ARI in toddlers OR Accute Respisitory Infections under five years. The study was conducted from June to August 2024 in Indonesia.

Result: 12 articles were found that met the inclusion criteria of the study. of the 12 articles reviewed showed that air temperature, air humidity, lighting intensity, ventilation area, residential density in the house, use of fuel for cooking, the presence of family members who smoke in the house are associated with the incidence of ARI in Indonesia.

Conclusion: The most dominant factor associated is the presence of family members who smoke. Some other factors that are interconnected are the availability of adequate ventilation with air humidity in the house. Many of the toddlers affected by ARI live in homes that do not have adequate ventilation so that the humidity in the house becomes high and creates an environment that supports the growth of pathogenic germs that can increase the risk of ARI in toddlers.

The Relationship between Personal Hygiene, Maternal Health Status, and History of Diarrhea to Stunting Cases in Indonesia: Systematic Review

Serly Santiyah Serly Santiyah — 2024-12-09

Background: The government established a goal of a prevalence rate of 14% by the end of 2024 because the number of stunting cases in Indonesia is still high, at 21.6%. This review aims to provide the factors such as personal hygiene, maternal health status, and diarrhea that cause stunting and recommendations for more effective health policies to prevent stunting in Indonesia. The purpose of this study is to examine the connection between personal hygiene, maternal health status, and a history of diarrhea with the occurrence of stunting in Indonesia..

Method: This study uses a systematic review method on observational studies with a case control and cross-sectional research design conducted in Indonesia published between 2019 and 2024. Databases such as PubMed, ScienceDirect, and Google Scholar are used to search for eligible articles. The quality of the publication was then assessed using The JBI (Joanna Briggs Institute) Critical Appraisal Tools.

Result: A total of 210 articles were taken from the database, and 17 research articles were included in this study. In the article studied, the factors that are most often associated with stunting are personal hygiene practices (behavior of washing hands with soap), maternal weight, maternal height, and infectious diseases such as diarrhea related to stunting.

Conclusion: A study of 17 articles showed that personal hygiene, maternal health status during pregnancy, and history of diarrhea contributed significantly to the incidence of stunting in Indonesia. Poor personal hygiene and diarrheal infections can worsen children's nutritional status, increase the risk of infection, and inhibit optimal growth and development. These factors are an important component in efforts to prevent stunting through improving hygiene, maternal health, and infection management.

User Perception of Hydrated Website Prototype for Dehydration Prevention: Quantitative Descriptive Study

Diana Hardiyanti — 2024-12-09

Background: Body fluid balance or hydration status is often considered unimportant, but scientific facts show that a lack of fluids, even just one per cent, impacts cognitive decline. So, technology-based efforts are needed, such as an easily accessible website to monitor hydration status and maintain good hydration for the community. This research has described the public's perception of a hydrated website prototype for dehydration prevention

Method: This research design is quantitatively descriptive, with a population of 114 respondents, using a purposive random sampling technique. The research variables, namely User perceptions of the Hydrated Website Prototype, include user skills, ease of access, appearance design, completeness of content, and application benefits. The instrument uses a questionnaire that refers to variables/sub-variables, and data analysis is done using a frequency distribution table.

Result: Public perception in the good category is 99.1%, including the perception of website prototype users being hydrated to prevent dehydration based on the level of user proficiency in using a smartphone or laptop with the advanced or able-to-use category of 77.2%, ease of access in use with the easy category of 59, 6%, the appearance of the design and completeness of the contents of the website prototype in the exciting category each amounted to 64%. Meanwhile, regarding usability, the hydrated website prototype was very useful at 59.6%.

Conclusion: This research concludes that user perceptions of the hydrated website prototype for dehydration prevention are good and accepted by the public.

The Relationship between Family Support and Smoking Behavior in Adolescents in the Donggala Health Center Work Area, Donggala Regency, Central Sulawesi

Ratna Devi — 2024-11-13

Introduction: Adolescence is a time to determine choices about what to do, including smoking behavior. Smoking is an action that is considered normal by today's society, even though it has high health risks.

Purpose: This study aims to determine the relationship between emotional support and assessment/appreciation support on smoking behavior in adolescents in the Donggala Health Center work area. Smoking behavior in adolescents is a serious health problem that can have long-term impacts on their well-being.

Method: This study is a quantitative study with a cross-sectional approach. The sample consisted of 73 adolescents who actively smoke in the area. Data were collected through a questionnaire that measured the level of emotional support and assessment support and adolescent smoking behavior.

Results: This study shows a significant relationship between emotional support and smoking behavior, (p <0.05), as well as assessment support and smoking behavior in adolescents (p <0.05). This study highlights the important role of family support in preventing smoking behavior in adolescents. Emotional support and positive assessment from the family can help adolescents make healthier decisions about smoking.

Conclusion: This study concludes that the existence of other factors that influence smoking behavior indicates the importance of a comprehensive prevention approach, involving various parties such as educational institutions, communities, and further research, to develop effective prevention strategies for adolescents.

Characteristics of Lipid Profile Levels in Ischemic Stroke Patients at Ibnu Sina Hospital 2023

Sri Wahyu — 2024-12-09

Background: Stroke is a clinical sign that develops suddenly due to focal (or global) brain function disorders with symptoms that last for 24 hours or more, and can cause death. This study aims to determine the characteristics of lipid profile levels in ischemic stroke patients at Ibnu Sina Hospital, Makassar, January - June 2023.

Method: The research used is a quantitative research type with a descriptive research design, using medical record data from Makassar Hospital which aims to determine the description of lipid profile levels in ischemic stroke patients at Ibnu Sina Hospital Makassar.

Result: This study showed that 70 people (58%) of the total sample experienced an increase in total cholesterol levels and 50 people (42%) were within normal limits. 65 people (50%) of the total sample experienced an increase in LDL levels and 65 people (50%) were within normal limits. 82 people (63%) of the total sample experienced a decrease in HDL levels and 48 people (37%) were within normal limits. And 105 people (81%) of the total sample experienced an increase in triglyceride levels and 25 people (19%) were within normal limits.

Conclusion: This study concluded that 70 people (58%) of the total sample experienced an increase in total cholesterol levels and 50 people (42%) were within normal limits. 65 people (50%) of the total sample experienced an increase in LDL levels and 65 people (50%) were within normal limits. 82 people (63%) of the total sample experienced a decrease in HDL levels and 48 people (37%) were within normal limits. And 105 people (81%) of the total sample experienced an increase in triglyceride levels and 25 people (19%) were within normal limits.

Acceptance of Skipjack Tuna Fish Nuggets with Moringa Leaves to Prevent Stunting in Toddlers

Rasidah Wahyuni Sari — 2024-12-09

Background: The problem of stunting in toddlers is a priority for handling because it threatens human quality. Providing nutritious local food rich in animal protein is the key to handling toddler nutrition because it provides essential amino acids. One of the local foods that is rich in protein and easy to obtain in South Sulawesi is Skipjack Tuna (Katsuwonus pelamis) which contains complete protein and is rich in omega-3 fatty acids. Another local food is Moringa leaves (Moringa oleifera) which contain protein, vitamin A, and iron. This study aims to formulate and test the acceptability of skipjack tuna nuggets with the addition of moringa leaves..

Method: This research was conducted in August-September 2024. The formulation process of Skipjack Tuna and Moringa Leaf Nuggets was carried out at the Nutrition Laboratory of the Muhammadiyah University of Parepare, followed by testing the nutritional content at the Makassar Health Center and then organoleptic testing was carried out in Parepare City. The research sample consisted of 15 parents who had toddlers aged 24 months to 59 months by purposive sampling.

Result: This research was conducted in August-September 2024. The formulation process of Skipjack Tuna and Moringa Leaf Nuggets was carried out at the Nutrition Laboratory of Muhammadiyah University of Parepare, nutritional content testing at BBLK Makassar and then organoleptic testing on a research sample of 15 parents who have toddlers aged 24 months to 59 months using purposive sampling.

Conclusion: Formulation F1 has the highest protein and carbohydrate content, while Formulation F2 has the highest fat content. The results of the organoleptic test showed that Formulation F2 was considered the most preferred by respondents, with the highest values for color, aroma, and taste, while Formulation F1 had the highest value for texture.

The Effectiveness of the Citizen Waste Bank (BASWARA) in Managing Household Waste in the Village Gulang, Mejobo, Kudus

Adiella Farizqiani — 2024-12-09

Background: Waste is a complex problem in Indonesia, with national production reaching 67.8 million tons in 2020 and 38.33% unmanaged. The negative impacts include environmental, health, and economic damage. The waste bank program increases public awareness about recycling and the economic value of waste, as well as encourages active participation. Although much research has been conducted, further exploration is still needed to understand the challenges of waste bank management. The purpose of this study is to analyze the effectiveness of the Citizen Waste Bank (BASWARA) management in increasing its impact on the environment, community, and local economy. The results of the analysis are expected to provide more comprehensive benefits for the environment and society in waste management.

Method: This study uses a qualitative descriptive approach. Data was collected through observations, interviews with the Secretary of BUMDes, and waste management documentation. Data sources include primary data from interviews and observations and secondary data from documentation and annual reports of BUMDes. This method provides an understanding of waste sorting and management by the community.

Result: The BASWARA program educates the people of Gulang Village about waste management, increasing awareness and active participation in sorting waste. The community gets a reward from the proceeds of the sale of garbage, which strengthens solidarity between residents. With good management, BASWARA contributes to environmental cleanliness and community welfare.

Conclusion: Based on the analysis of the effectiveness of the BASWARA program in Gulang Village, it can be concluded that there is an increase in public awareness about waste management and providing economic incentives through the savings system. The active participation of residents reduces the volume of waste in the landfill and strengthens solidarity between residents. Cooperation between local governments and communities is essential for the program's sustainability. It is hoped that BASWARA will continue positively impacting the environment and society. This study explores the effectiveness of BASWARA in managing household waste in Gulang Village, Mejobo, Kudus. Against the background of complex waste problems in Indonesia, this study aims to analyze the impact of BASWARA on community solidarity and environmental welfare. Qualitative descriptive methods are used to collect data through observation and interviews. The results show that BASWARA has succeeded in increasing public awareness and active participation in waste management and providing economic incentives through the savings system. This program contributes to environmental cleanliness and strengthens solidarity between residents.

Design of Digital-Based SBAR Communication Application in Handover Implementation at Undata Hospital, Central Sulawesi Province

Viere Allanled Siauta — 2024-12-09

Background: Effective communication could be done by SBAR method, by SBAR communication could be used by health team members while doing handover to other teams. The main communication failure toward nurse is the lack of communication among providers that supports that the handover process is very important in health care. Currently, not all staff nurses know what kind of data should be reported during handover. In answering the problems found, it is necessary to perform digital-based SBAR so as to ensure the completeness of documentation, as well as improve nursing services and patient safety. The purpose of this study was to design a digital-based SBAR communication application in handover implementation at Undata Hospital, Central Sulawesi Province.

Methods: The type of research is qualitative research with the research and development method, which is a method used to produce a particular product.

Results: Qualitative research to explore the SBAR form as the initial part of designing a web-based management information system in order to increase the effectiveness of communication during the handover process, through data with input, process and output activities in the handover process at Undata General Hospital, Central Sulawesi Province.

Conclusion: Nursing services at Undata General Hospital of Central Sulawesi Province require applications in conducting nursing documentation so that handovers between nurses and other health teams could be done effectively. This SBAR communication design is expected to be further developed into an application development that implemented in hospitals.

The Relationship of Local Wisdom-Based Character Education on Young Females' Reproductive Health in Parigi Moutong

Indra Afrianto — 2024-12-09

Background: This study evaluates the relationship between local wisdom-based character education and the reproductive health of young females in Parigi Moutong Regency. Character education strengthens adolescents' understanding and behavior regarding reproductive health, emphasizing values of integrity and responsibility. To assess how character education grounded in local wisdom influences reproductive health knowledge, attitudes, and behaviors among young females.

Method: A quantitative cross-sectional design was employed, involving 150 respondents selected through purposive sampling. Data analysis utilized the Spearman correlation test.

Result: The study found a significant positive relationship between character education based on local wisdom and reproductive health, with a correlation coefficient (r?) of 0.68 and a p-value of 0.001. This indicates that higher quality character education correlates with improved reproductive health knowledge, attitudes, and behaviors.

Conclusion: Character education rooted in local wisdom significantly enhances reproductive health outcomes among adolescents. Integrating cultural values into education programs is vital for promoting healthier behaviors in rural communities.

The Incivility in Nursing Education Revised (INE-R) Instrument: Translation and Validation in Indonesian

Christie Lidya Rumerung — 2024-12-09

Background: Professionalism is one important thing in the educational process as in the learning objectives of nursing. Nurses are required to form a professional behavior and achieve it starting from the educational stage. Thus, the process in nursing education needs to be able to identify patterns of students and teacher’s behavior that are not professional or against the norms of decency. The Incivility in Nursing Education – Revised (INE-R) instrument, was first developed by Clark et al. in 2015. It is designed to assess incivility within nursing education, and there has been no Indonesian translated version recently. Inadequate translation quality can hinder researchers’ capacity to gather and interpret data accurately, resulting in errorneous measurement. The broader impact can also result in failing to recognize or identify disrespectful behavior that may potentially lead to incivility behavior in nursing education. The purpose of this study is to produce an accurate research instrument of Incivility in Nursing Education Revised (INE-R) which is translated from English into Indonesian considering the cultural background and relevant issues in Indonesian context.

Method: The method used in the translation process refers to the World Health Organization (WHO) instrument protocol, consist of forward translation, expert panel discussion, back translation, pre-testing, and cognitive interviewing until the final version.

Result: This study found that the Incivility in Nursing Education Revised (INE-R) instrument is valid and reliable with Cronbach’s alpha value of 0.745 and S-CVI 0.993. The result of the I-CVI score for each part of the questionnaire of student and teacher behavior assessment mostly have a score of 1 (one).

Conclusion: This study translated the INE-R instrument formulated and developed by Clark. From the result of the I-CVI categorized, the translated instrument indicates a high content of validity.

Flip Chart-based Nutrition Education to Improve Knowledge and Attitude towards Stunting among Adolescent Girls in Sleman Regency

Lina Handayani — 2024-12-09

Background: Adolescence is a critical stage requiring adequate nutrition for long-term health. Adolescent girls are particularly vulnerable to iron deficiency, which increases the risk of anemia and stunting. Enhancing adolescent girls' knowledge of nutrition through health education, which can be delivered using tools such as flipcharts, can prevent and address stunting.

Method: This quasi-experimental study involved 541 adolescent girls aged 12–18 years, with a purposive sample of 91 participants divided into an intervention group and a control group. The intervention group received flip chart-based education, while the control group did not. The study was conducted in Kalurahan Triharjo and Pandowoharjo, Sleman, DI Yogyakarta. Data were collected using validated pre- and post-intervention questionnaires and analyzed with Wilcoxon and paired t-tests.

Result: The intervention group showed significant improvements in knowledge and attitudes about nutrition. Knowledge scores increased from 14.42 ± 2.388 at pretest to 19.36 ± 0.883 at posttest (mean difference: 4.94, p = 0.001). Attitude scores rose from 59.04 ± 8.512 to 75.31 ± 2.410 (mean difference: 16.27, p = 0.001). In the control group, smaller increases were observed for both knowledge (mean difference: 0.73, p = 0.001) and attitudes (mean difference: 4.13, p = 0.036).

Conclusion: Flip chart-based education effectively improves adolescents’ knowledge and attitudes about nutrition for stunting prevention. However, external exposure to nutrition information in the control group was a limitation. Future research should minimize such exposure by limiting information to basic content for control groups.

Preventing Stunting in Dryland Areas with Cultural Communication Strategies

Marni Marni — 2024-12-09

Introduction: Malnutrition, especially child stunting in Indonesia, including Kupang Regency, NTT Province, is a serious problem. Stunting affects 149.2 million children under 5 years old worldwide. In Kupang District in 2023, the prevalence of stunting is 13.0%. Factors such as climatic conditions, food insufficiency, and culture contribute to this problem. Stunting stunts child growth, reduces intelligence, and affects the economy. Prevention efforts involve national strategies including behavior change communication campaigns, including the important role of posyandu cadres. Posyandu cadres have credibility with receptive audiences. Communication skills with status, power of persuasion, and the ability to sensitize on the virtues of individual health and nutrition with personal proximity (Anshel and Smith, 2013). Posyandu cadres can be effective agents promoting behavior change. The delivery of health messages is one of the factors that can influence behavior change. As a culturally embedded society, cultural communication is the most frequently used language and communication that is most easily absorbed as a source of community information.

Methods: The type of research used is Sequential Exploratory Mixed Methods. A combination research method where two phases of research, namely the first phase using qualitative methods and the next phase using quantitative methods, are based on the results of phase one. The combination of data from both methods is connecting the results of the first phase of research (qualitative research results) and the next phase (quantitative research results). The study was conducted in Semau sub-district for six months involving 30 mothers in the intervention group and 30 mothers in the control group. intervention group and 30 mothers in the control group. The East Nusa Tenggara Provincial Government and the Kupang Regency Government have granted permission and recommendations for this study, which also proposes ethical considerations from the Research Ethics Commission of the Faculty of Public Health, Nusa Cendana University, with ethical approval recommendation letter number No. 2024143 – KEPK.

Results: The results showed a difference in the pre-test and post-test results in the intervention group and control group. The intervention group with a cultural communication approach showed a greater change than the control group. The post test results showed that knowledge in the intervention group increased dramatically to (63.6%) while the control group also experienced changes in knowledge (21.2%). Changes in perception in the intervention group also increased (72.7%) while perception in the control group (75.8%). Attitude changes in the intervention group (81.8%) and attitude changes in the control group (78.8%). As well as changes in the practice of the intervention group (90.9%) and in the control group (57.6%).

Conclusion: Health promotion with a cultural communication strategy in Semau Sub-district shows maximum changes in knowledge, perceptions, attitudes and practices because people are more accustomed to local communication styles so that they are easier to understand, trust and apply. Based on these results, future researchers can examine other variables such as the effect of family support with cultural communication on accelerating stunting reduction in dryland areas.

The Physical Condition of Household Environment and History of Acute Respiratory Infection (ARI) to the Stunting Cases in Ogan Ilir Regency

Nita Amelia Putri — 2024-12-09

Background: The case of stunting in toddlers can be caused by infectious diseases such as acute respiratory infection as the direct factor and the physical conditions of the household environment as the indirect factor. This study aims to determine the relationship between the physical condition of the household environment and history of Acute Respiratory Infection (ARI) to the stunting cases in toddlers in 13 stunting locus villages in Ogan Ilir Regency 2024.

Method: This study used a case-control study focusing on stunted toddlers aged 24-59 months in 13 locus villages in Ogan Ilir Regency. A total of 129 samples of under-fives were obtained using the Lameshow formula, with a ratio of 1:2 found (43 cases and 86 controls). Inclusion criteria were stunted toddlers for cases and non-stunted toddlers in the neighborhood for controls. This study examined various factors including wall type, floor type, ceiling type, residential density, temperature, humidity, lighting, ventilation, and history of acute respiratory infections (ARI). Data analysis included univariate, bivariate (using chi-square test), and multivariate (using multiple logistic regression) methods.

Result: The bivariate analysis showed a significant association between residential density (p-value = 0,010), ventilation (p-value = 0,002), history of acute respiratory infection (ARI) (p-value = 0,000), moderate ARI severity (p-value = 0,000), and one-time ARI frequency (p-value = 0,001) with the stunting cases in Ogan Ilir Regency. Multivariate analysis identified history of ARI as the dominant factor influencing stunting in toddlers (OR = 13,458 95% CI 3,618 – 50,063).

Conclusion: This study conducted in 13 villages of Ogan Ilir regency found that factors such as residential density, ventilation, and a history of acute respiratory infections (ARI) were significantly linked to stunting in children aged 24 to 59 months with the history of ARI was the dominant factor against stunting in toddlers.