Journal title : Preventif: Jurnal Kesehatan Masyarakat Initials : preventif Grade : Terakreditasi Sinta 4 Frequency : 3x (April, August, December) DOI : prefix by `10.22487/preventif Print ISSN : <a style="box-sizing: border-box; background-color: #ffffff; color: #006798; font-family: 'Noto Sans', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal;" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&1302359331&1&&">2088-3536 Online ISSN : <a style="box-sizing: border-box; background-color: #ffffff; color: #006798; font-family: 'Noto Sans', -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal;" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&1465529768&1&&">2528-3375 Editor-in-chief : Pitriani Man. Editor : Elvaria Mantao Publisher : Universitas Tadulako Citation Analysis : Google Scholar Indexing by : GARUDA |DIMENSION
The Role of ANC, Posyandu, and Immunization Visits in Preventing Stunting in Toddlers: A Case Study in West Sumba District
Stunting in children under five is a serious global health problem, including in West Sumba Regency, Indonesia. Data from the West Sumba District Health Office shows that out of 100 toddlers, 12 are underweight, 30 are stunted, and 5 are obese. The stunting rate in West Sumba in 2018 also increased compared to 2016 and 2017, from 29.6% to 36.4% or 364 cases.Data from the West Sumba District Health Office shows that the second highest number of stunted infants is at the Puuweri Community Health Center . This study aims to identify the relationship between ANC visits, Posyandu, and immunization with the incidence of stunting in toddlers in West Sumba Regency. This study used an analytical observational research design with a cross- sectional study type. Data were obtained through interviews with pregnant women and parents of children under five who actively participated in ANC visits, Posyandu, and immunization in the region. The calculation results show that the required sample size is 88. Data analysis involved a chi-square test to identify the relationship between ANC, Posyandu, and immunization visit variables and stunting incidence. The results showed that there was a significant relationship between ANC visits (p = 0.000), Posyandu (p = 0.000), and immunization (p = 0.000) with the incidence of stunting in toddlers in West Sumba Regency. Participation in ANC, Posyandu, and immunization visits plays an important role in reducing the risk of stunting in toddlers in West Sumba Regency.
Stunting, ANC Visit, Posyandu, Immunization
Copyright (c) 2025 Preventif : Jurnal Kesehatan Masyarakat https://creativecommons.org/licenses/by-nc-sa/4.0
Retrospektif case control analisis pada anemia ibu hamil dengan luaran kelahiran bayi di Tuban, Indonesia
Latar Belakang: Anemia pada ibu hamil masih menjadi masalah kesehatan masyarakat yang serius di negara berkembang, termasuk Indonesia. Meskipun Indonesia kaya akan sumber daya pangan, tingginya angka anemia disebabkan oleh pola makan rendah zat besi dan kebiasaan yang menghambat penyerapan zat besi, seperti konsumsi teh setelah makan Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara anemia pada ibu hamil dengan luaran kelahiran bayi di Kabupaten Tuban, Jawa Timur. Metode: Penelitian ini merupakan studi kasus-kontrol retrospektif berdasarkan data rekam medis 96 ibu nifas yang melahirkan pada Januari hingga April 2025. Kelompok kasus terdiri dari ibu dengan kadar hemoglobin <11 g/dL, dan kelompok kontrol dengan Hb ≥11 g/dL. Luaran yang diamati meliputi berat badan lahir rendah (BBLR), asfiksia neonatal, dan panjang badan bayi. Analisis dilakukan menggunakan uji Pearson. Hasil: Prevalensi anemia pada ibu hamil sebesar 50%. Terdapat hubungan yang signifikan antara anemia dengan kejadian BBLR (77,1%; p < 0,05) dan asfiksia neonatal (58,3%; p < 0,05). Namun, tidak ditemukan hubungan yang signifikan antara anemia dengan panjang badan bayi saat lahir (p = 0,813). Kesimpulan: Anemia pada ibu hamil, terutama pada trimester kedua dan ketiga, secara signifikan meningkatkan risiko BBLR dan asfiksia neonatus akibat hipoksia janin kronik. Diperlukan intervensi gizi, edukasi konsumsi makanan kaya zat besi, dan pemantauan kehamilan yang ketat untuk mencegah dampak buruk anemia terhadap ibu dan bayi.
Copyright (c) 2025 Preventif : Jurnal Kesehatan Masyarakat
FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI PADA ANAK SEKOLAH SD NEGERI 8 BATU
Nutritional problems in primary school-aged children are influenced by various factors, including diet, economic level, parental education and school environment. Children who do not receive balanced nutrition are more prone to stunting, wasting and obesity, which can impact the quality of human resources in the future. The 2022 SSGI results show a decrease in national stunting from 24.4% (2021) to 21.6% (2022). Meanwhile, wasting increased from 7.1% to 7.7%. This study uses a quantitative approach with a cross-sectional study method that analyzes data at one specific time. The research location was SDN 8 Batu, Leppangeng Village, Pitu Riase District, Sidendreng Rappang Regency. The population of this study were all 53 students of SDN 8 Batu and the entire population was sampled using the total sampling method. The results showed a relationship between diet and nutritional status, while physical activity, economy and school environment did not have a significant relationship with nutritional status.
Factors Related to Occupational Stress Among Nurses in the Inpatient Unit of Madani Mamboro Regional General Hospital, Palu City
Work stress is a common issue faced by healthcare workers, particularly nurses. It arises when there is an imbalance between an individual’s capabilities and the demands of the work environment; the greater this mismatch, the higher the level of stress experienced. Various factors have been identified as contributors to work stress, including workload, work shifts, lighting conditions, and age. This study aimed to examine the relationship between workload, work shifts, lighting intensity, and age with work stress among psychiatric nurses at RSUD Madani in Central Sulawesi Province. A quantitative analytic method with a cross-sectional design was employed. The study involved total sampling, with 54 nurses participating as respondents. Data were collected using structured questionnaires based on Likert and Guttman scales. The results indicated significant associations between workload (p = 0.001) and work shifts (p = 0.019) with work stress. However, no significant relationships were found between lighting intensity (p = 0.791) or age (p = 0.181) and work stress. These findings suggest that workload and shift schedules are key factors influencing work stress among nurses in inpatient units. Therefore, it is recommended that RSUD Madani’s management adjust nurses’ workloads and improve shift scheduling in order to reduce work stress effectively.
Workload, Lighting Intensity, Work Shift, Work Stress, Age.
Level of Community Participation in Efforts to Reduce the Incidence of Diarrhea in Toddlers in Palu City
Diarrheal disease remains a significant public health problem, especially in children under five in developing countries with limited access to clean water and proper sanitation. In Indonesia, especially in Palu City, the incidence of diarrhea among children under five is still high and is related to the low knowledge and practice of clean and healthy living in the community. This study aimed to describe the level of community participation in efforts to reduce the incidence of diarrhea in children under five in Palu City. The study used descriptive quantitative method and was conducted from September 2020 to May 2021 in eight health centers representing all areas of Palu City. The sample consisted of 138 mothers of children under five, selected using a multistage random sampling technique. Data were collected through a structured questionnaire and analyzed descriptively. The results showed that most mothers of children under five were rarely involved in diarrhea prevention activities, such as health counseling, giving time and energy, and disseminating education to the community. The level of participation in the eight health centers tends to be quite low, with variations between regions that show inequality. The low involvement of mothers of children under five is thought to be influenced by a lack of awareness, limited time due to multiple roles, and not optimal support and supervision from the Puskesmas. It is concluded that mothers' participation in diarrhea prevention is still not optimal, so it is necessary to strengthen community-based health programs that are participatory and appropriate to the social context in order to increase active involvement in diarrhea prevention efforts in children under five.
Gambaran Karakteristik Perilaku Seksual dan Faktor-Faktor Terkait Pada Remaja di Kecamatan Kota Tengah
Forms of sexual behavior such as premarital sex are one of the causes of adolescents vulnerable to HIV/AIDS. HIV/AIDS cases in 2020 in Gorontalo Province in adolescents 15-24 years old amounted to 30%. The purpose of the study was to obtain an overview of the determinants of sexual behavior in adolescents in Gorontalo Central City District. Descriptive survey research with a population of 1,977 adolescents (15-18 years old) and a sample of 333 people using purposive sampling technique and univariate data analysis. The results showed that out of 333 respondents, 111 respondents (33.3%) had severe sexual behavior and 222 respondents (66.7%) had mild sexual behavior. The forms of sexual behavior that have been carried out by respondents are dating 62.8%, fantasizing sex 31.8%, holding hands 65.2%, kissing cheeks and foreheads 28.5%, hugging 31.5%, kissing lips 12.9%, fingering sensitive areas 10.5%, petting 4.2% and having sexual intercourse 2.1%. The results of the two-variable analysis showed that the majority of severe sexual behavior was found in adolescents with a lack of knowledge 60.0%, in adolescents with access to a lot of positive information media 38.1%, in adolescents who had high-risk leisure activities 92.9% and in adolescents who were exposed to pornography 52.0%. It is expected that adolescents fill their spare time for more useful things, and this research can be a reference for the Central City District government and parents in fostering adolescents.
TRP, The Magister student Analysis of Factors Related to Job Satisfaction and Its Relationship with Community Satisfaction
The quality of services at RSUD Taman Husada has not met the expected standards, partly due to disparities in employment status affecting compensation and career development. Assessing employee job satisfaction is crucial, as it directly influences service effectiveness and patient satisfaction. This study aimed to describe job satisfaction and community satisfaction at RSUD Taman Husada and to analyze the factors associated with job satisfaction and its relationship to community satisfaction. This study employed a cross-sectional design involving 250 employees at Taman Husada Regional Hospital. Data were collected using a structured questionnaire to assess job satisfaction and community satisfaction. Statistical analyses, including Spearman's rank correlation and logistic regression, were conducted to identify significant factors associated with job satisfaction and its relationship to public satisfaction. The results showed that job satisfaction was categorized as high (78.42), while the community satisfaction index was very good (89.59). Significant factors influencing job satisfaction included achievement, recognition, responsibility, advancement, work itself, compensation, job security, working conditions, organizational policies, technical supervision, and interpersonal relationships (p < 0.005). The most dominant factor was work itself (OR = 16.89). No significant relationship was found between job satisfaction and community satisfaction in the aspect of employee behavior (p = 0.715). It was concluded that intrinsic and extrinsic factors significantly affect job satisfaction. However, a direct relationship with community satisfaction has not been established.
Job satisfaction; community satisfaction; Motivation
The Influence of The Physical Environment on The Quality of Life of Patients With Type 2 Diabetes Mellitus in The Belawan Health Center Area
Diabetes is one of the health problems, according to the International Diabetes Federation (IDF), Indonesia is the fifth country with the highest number of diabetes sufferers, namely 19.5 million people living with diabetes in 2021 and projected to increase to 28.6 million people in 2045 (IDF, 2024). In this study, researchers wanted to see the influence of the physical environment on the quality of life of Type 2 DM sufferers in the Belawan Health Center area. This study uses an analytical observational method with a cross-sectional design. The data used are primary and secondary data, where the population is 226 people. The sampling technique used by researchers is by using the Slovin formula, so the number of samples is 70 respondents. In this study, researchers found that Bedroom and Family Room Ventilation (p = 0.000; 0.005), Bedroom Humidity (p = 0.015), Bedroom and Family Room Ceiling Height (p = 0.001; 0.028), Bedroom and Family Room Lighting (p = 0.000; 0.001) have a significant relationship to the influence of the physical environment on the quality of life of Type 2 DM sufferers in the Belawan Health Center area. While Family Room Humidity (p = 0.085) does not have a significant relationship to the influence of the physical environment on the quality of life of Type 2 DM sufferers in the Belawan Health Center area. The most influential factors in this study were Bedroom Ventilation and Bedroom Lighting (p-0.000; 0.001 OR = 9.582; 3.727).
Unhealthy Lifestyle Habits and Implications of Adolescent Obesity Southeast Asia: Literature Review
Obesity among children and adolescents has become a serious global health problem. This is demonstrated by WHO data with child and adolescent obesity rates in Southeast Asia increasing with the prevalence of obesity ranging from 31% in Southeast Asia. This study aims to explore current scientific evidence that can inform the formulation of more effective adolescent obesity prevention and intervention strategies in the region. Between 2020-2024, searches were sourced from Google Scholar and Pubmed, using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) with exclusion criteria, and 8 relevant articles were obtained for analysis. The results showed that the increasing prevalence of adolescent obesity in Southeast Asia is evidenced by several contributing factors including, lack of physical activity due to gadgets, parental roles, poor diet, and family and socioeconomic environments that limit access to health. It was concluded that the lack of physical activity due to gadgets, the role of parents, poor diet, family’s role and socio-economic environment that limits access to health are factors that cause adolescent obesity. Integrated efforts need to be made through nutrition and physical activity education since school age, empowering the role of parents in shaping healthy eating patterns at home, and providing facilities that encourage active lifestyles.
Relationship Quality Of Health Services With Patient Satisfaction At Lancirang Health Center
ABSTRACT Patient satisfaction is an important indicator in assessing the success of health services, which is not always in line with the quality of services provided. In Lancirang Health Center itself, although the quality of service is relatively good, patient satisfaction in 2023 only reached 63.3%, still below the national target of 95%. This study aims to determine the relationship between the quality of health services consisting of five dimensions (reliability, assurance, tangible evidence, empathy, and responsiveness) with patient satisfaction. This study uses the quantitative method with a cross-sectional design. The random sampling technique was used with a total of 218 respondents. Data were collected through observation, questionnaires, interviews, and documentation, then analyzed using the chi-square test. The results showed that each dimension of service quality had a significant relationship with patient satisfaction, with a p value <0.05. The reliability dimension showed that 96.2% of patients who considered the service reliable were satisfied. Likewise, in the dimensions of assurance, tangible evidence, empathy, and responsiveness, the majority of respondents who rated the service as good in each of these aspects were satisfied. These findings suggest that the service received by patients has a direct effect on their satisfaction. The authors found that there was a statistically significant correlation between health service quality and patient satisfaction at Lancirang Health Center.
Quality of health services; patient satisfaction; health centers
DIFFERENCES IN THE EFFECT OF HEALTH EDUCATION WITH VISUAL AND AUDIOVISUAL MEDIA ON COMMUNITY KNOWLEDGE ABOUT TOGA
Background: Family medicinal plants (TOGA) are one of the people’s choices for planting in their yards, considering that they can be used for health. Apart from that, TOGA is also safe from chemicals, cheap and easy to obtain. Results Riskesdas 2018 stated that the highest percentage of medicinal plant use was ginger 50,36%, galangal 48,77% and meniran 13,93%. In order to improve the level of public health, we can do health education. Health education is always related to the use of health promotion media. The vital function of media is to facilitate the process of conveying and receiving information. Therefore, efforts to improve the level of public health need to utilize various health service efforts, including traditional health. Purpose: This research aims to measure the differences health education media on public knowledge about family medicinal plant. Methods: This research was quantitave with non-equivalent control group design. There were 1 control group and 2 intervention group. This research held in June-August 2021 in Independent Care Group Bumi Rindang Luhur, Samarinda city. The population was 36 respondents who live in Bumi Rindang Luhur Residence. This research used total population as technique sampling. Bivariate statistic used One-Way Annova. Results: Statistical analytic stated that there is difference in the average knowledge score between the three groups with ρ value 0,000 (ρ <α, α=0,05). Conclusion: The importance of outreach activities about family medicinal plant with visual and audiovisual media to the community
Antenatal Care (ANC) History Related To Chronic Energy Deficiency (CED) In Pregnant Women
Introduction: Low body weight, decreased energy stores, and possibly impaired physical performance are all symptoms of chronic energy deficit (CED), a condition brought on by an prolonged absence of energy and protein intake. This kind of malnutrition can have serious health effects, particularly for teenagers and pregnant women. According to government regulations, pregnant women must have their pregnancy checked according to standards and routinely consume iron tablets. Aims: The purpose of this study was to identify the relationship between ANC history and iron tablet consumption level with the incidence of CED in pregnant women in the Way Kandis Public Health Center area in Bandar Lampung City. Methods: This study was conducted using a cross-sectional approach, with a total respondent of 48 pregnant women. Purposive sampling was used to choose participants, and in-person interviews were used to gather data. The statistical analysis used in this study was bivariate analysis using chi-square. Results: Antenatal care history and the incidence of CED was significantly related to the incidence of CED in pregnant women with p-value <0.05 and for the iron consumption was significantly related to the incidence of CED in pregnant women consumption and the incidence of CED with p-value <0.05 Conclusion: Adequate antenatal check-ups and regular consumption of iron tablets can prevent CED in pregnant women.
The Effectiveness of the Supplementary Feeding Program (PMT) in Improving the Nutritional Status of Toddlers in Bulo Village
Nutritional problems among toddlers remain a significant public health concern in Indonesia, including in Bulo Village, which has shown a fluctuating trend of undernutrition and overnutrition over a three-month period. This study aims to evaluate the effectiveness of the Supplementary Feeding Program (PMT) in improving the nutritional status of toddlers in Bulo Village. This research employed a quantitative method with a quasi-experimental design using a pre-test and post-test approach without a control group. The sample consisted of 116 toddlers aged 12–59 months who received supplementary feeding for four months. Data were collected through anthropometric measurements (weight and height) and a questionnaire assessing mothers' nutritional knowledge, both before and after the intervention. Data analysis was conducted using paired t-tests for normally distributed variables and the Wilcoxon signed-rank test for non-normally distributed variables. The results indicated a significant improvement in toddlers' height (p = 0.000) and weight (p = 0.000) after the PMT intervention. Additionally, there was a significant increase in maternal nutritional knowledge (p = 0.000). These findings suggest that the Supplementary Feeding Program is effective in enhancing both the nutritional status of toddlers and the awareness of mothers in Bulo Village. This intervention should be considered for long-term implementation to address nutritional issues among children. Keywords : Toddler ; Supplementary Feeding ; Nutritional Status
Measles Surveillance Evaluation (Post Outbreak); Systems Approach at The Palu City Health Department In 2024
Measles is an airborne disease with a very high transmission rate. There has been a global increase in both morbidity and mortality due to measles. In 2023, outbreaks occurred in several regions, particularly in Central Sulawesi, with Palu City being notably affected. This study aimed to evaluate the surveillance activities following the measles outbreak in the jurisdiction of the Palu City District Health Office, employing a systems approach. The research respondents included surveillance officers from the Palu City Health Office and those from the Puskesmas (community health centers) within its area. Data were collected through interviews and observations. The findings revealed several issues in the input aspect of surveillance, including overlapping roles for surveillance officers, a lack of knowledge transfer to new personnel, insufficient tactical funding for outbreak responses, and inadequate computer resources at some health centers to support surveillance activities. In the process aspect, challenges included the absence of designated contact persons from hospitals for all public health centers (PHCs), delays in the timely collection of zero case data, and inconsistent data processing with sub-district stratification among PHCs. Regarding the output aspect, reports were often not delivered promptly, and the dissemination of information was limited to internal stakeholders.
Analisis Penerapan Keselamatan dan Kesehatan Kerja pada Penjamah Makanan di Foodcourt Politeknik Kesehatan Megarezky
Keselamatan dan Kesehatan Kerja (K3) merupakan aspek penting dalam setiap lingkungan kerja, terutama di sektor makanan dan minuman. Penerapan K3 yang baik tidak hanya melindungi pekerja dari risiko kecelakaan dan penyakit, tetapi juga menjamin kualitas dan keamanan produk yang disajikan kepada konsumen. Penelitian ini bertujuan untuk menganalisis penerapan Keselamatan dan Kesehatan Kerja pada penjamah makanan di Foodcourt Politeknik Kesehatan Megarezky. Penelitian ini merupakan jenis penelitian kualitatif dengan metode deskriptif. Penelitian ini menggunakan pendekatan HIRARC (Hazard Identification, Risk Assessment, and Risk Control) untuk mengidentifikasi, menilai, dan mengendalikan risiko yang dihadapi oleh penjamah makanan di kantin, kemudian penelitian ini juga menggunakan metode analisis tematik untuk mengeksplorasi penerapan keselamatan dan kesehatan kerja (K3) di lingkungan kantin Politeknik Kesehatan Megarezky. Sampel pada pengumpulan data ini merupakan total populasi dari penjamah makanan di Foodcourt yaitu sebanyak 10 orang. Data dikumpulkan melalui kuesioner yang terdiri dari sembilan pertanyaan yang dirancang untuk menggali pengalaman dan persepsi pekerja terkait keselamatan kerja. Hasil dari penelitian ini menunjukkan bahwa hasil identifikasi dan penilaian risiko terhadap bahaya atau Manajemen risiko K3 di Foodcourt Politeknik Kesehatan Megarezky terdapat 13 bahaya ditemukan dengan tingkat risiko tinggi sebanyak 6 (enam) dan yang memiliki risiko sedang sebanyak 7 (tujuh). Adapun hasil analisis tematik ditemukan tema-tema yang diidentifikasi dalam proses wawancara dengan kuesioner yaknik Kecelakaan Kerja, Kesehatan Pekerja, Kesadaran K3, Pengelolaan Sampah, Penanggulangan Kebakaran, Kelelahan dan Stres Kerja. Berdasarkan penelitian diatas, maka dapat disimpulkan bahwa terdapat 13 bahaya ditemukan dengan tingkat risiko tinggi sebanyak 6 (enam) dan yang memiliki risiko sedang sebanyak 7 (tujuh). Saran untuk penelitian ini bahwa perlunya peningkatan kesadaran, kepatuhan terhadap regulasi, serta implementasi strategi mitigasi risiko pada penjamah di Foodcourt Politeknik Kesehatan Megarezky. Dengan memperkuat edukasi, pelatihan, dan infrastruktur K3, lingkungan kerja yang lebih aman dan sehat dapat diwujudkan, yang pada akhirnya akan meningkatkan kesejahteraan pekerja serta kualitas layanan yang diberikan.
Social and Environmental Factors Associated with Physical Activity among Elderly in Yogyakarta City
The global and national increase in the elderly population has brought about various economic, psychological, and health-related challenges, as evidenced by the rising prevalence of chronic diseases such as hypertension, diabetes mellitus, cardiovascular disease, and obesity—many of which are linked to insufficient physical activity. Physical inactivity among the elderly can be attributed to several factors, including limited social support and restricted access to safe and age-friendly environments. Given the limited research in this area, it is essential to examine the relationship between social and environmental factors and physical activity among older adults in Yogyakarta City. This study aims to explore in greater depth how social and environmental factors contribute to the level of physical activity among the elderly. A cross-sectional study was conducted among individuals aged over 60 years, with a total sample of 297 elderly participants selected using purposive sampling based on defined inclusion and exclusion criteria. The research took place in Yogyakarta City between August 2024 and February 2025. Data were collected using a structured questionnaire that included demographic characteristics and social factors. Statistical analysis was performed using chi-square tests with SPSS version 22.0. Result: It showed that 57.9% of the elderly participants were physically active. Bivariate analysis revealed a significant association between social and environmental factors and physical activity (p < 0.005). Conclusion: The high prevalence of physical inactivity among the elderly highlights the need for local government strategies to promote physical activity through community-based approaches. These should involve enhancing social support and creating supportive environments that encourage active lifestyles among older adults. These findings are highly relevant for the development of community-based geriatric health policies
Elderly; Chronic Diseases; Physical Activity; Social Factors; Active Lifestyle
The Management of Mask Waste and Its Problems at the Faculty of Public Health, Nusa Cendana University
The increased use of masks has led to a new problem, namely the rise in the amount of mask waste, which has the potential to become a medium for virus transmission if not properly managed. Therefore, proper management of mask waste is necessary to reduce the amount of waste and minimize the spread of COVID-19 through used masks. The purpose of this study is to describe the mask waste management practices among students of the Faculty of Public Health at Nusa Cendana University. This is a quantitative descriptive study conducted using a survey method. The population in this study consists of active students of the Faculty of Public Health at Nusa Cendana University, with a total sample of 322 respondents selected using the proportionate stratified random sampling technique. Data were collected using a questionnaire. The data analysis used was univariate analysis, which only looks at the frequency distribution of each variable studied. The results showed that 51.9% of respondents demonstrated good mask waste management practices, as indicated by proper actions in collecting, sorting, disinfecting, altering the form, disposing of the waste, and washing hands after handling used masks. Students with good knowledge and positive attitudes were more likely to practice proper mask waste management. A total of 91.9% of students had good knowledge, and 86.3% had positive attitudes. It is recommended that the Faculty of Public Health at Nusa Cendana University provide special waste bins specifically for mask waste.
Knowledge; attitude; and mask waste management
Market Proximity, Income, and Home Gardening: Investigating Determinants of Household Food Security for Young Children in Samarinda City
Food insecurity remains a significant public health issue, especially among infants and young children. This study aimed to identify the determinants of food security among 6-23-month-old infants in Mangkupalas, Samarinda, Indonesia. A cross-sectional study was conducted among 137 households with infants aged 6-23 months in Puskesmas Mangkupalas area. The study used consecutive sampling in 3 villages namely tenun, mesjid and mangkupalas. Quantitative data were collected using a structured questionnaire and analyzed using spearman rank correlation test.A total of 73.7% of households locatednear markets were food secure compared to 52.5% of those far from markets, and this distance was statistically associated with household food security(p = 0.019, r = -0.201). Household income showed a significant positive association with food security (p = 0.008, r = 0.226), where 76.7% of households earning ≥3,500,000 IDR/month were food secure compared to only 52.2% among those earning ≤1,500,000 IDR/month. Interestingly, home gardening, which theoretically influences food security, was not found to have a significant association(p = 0.884, r = 0.017).The findings indicate that in urban areas, where food access heavily depends on purchasing power and proximity to food sources, household food security is shaped more by economic stability and market access than by subsistence practices like home gardening. Limited land availability and a narrow variety of cultivated crops may constrain the effectiveness of home gardening in contributing to nutritional adequacy.
ANALISIS SURVIVAL KEJADIAN LOSS TO FOLLOW-UP TERAPI ANTI- RETROVIRAL (ARV) PADA PASIEN HIV DI KOTA SAMARINDA
Loss to follow (LTFU) -up among HIV patients, defined as failure to continue therapy as schduled, increases the risk of drug resistance, deteriorating health conditions, and death due to HIV-related complications. This study aimed to analyze the survival of HIV patients againts LTFU events among those undergoing antiretroviral therapy (ARV) in Samarinda City. Secondary data from the SIHA database (2023-2024) were utilized. Kaplan-Meier analysis was applied to evaluate the factors of gender, residence, population group, and timing of ARV initiation associated with the risk of LTFU. The results showed that gender and residance were not significantly associated with the risk of LTFU. However, specific population groups, such as children of PLHIV and pregnant women, exhibited higher vulnerability and lower survival rates (log rank = 0.015). ART initiation within ≤ 1 month significantly improved survival probability compared to initiation after &gt; 1 month. These finding highlight that while gender and residance do not significantly influence LTFU, the vulnerability of spesific populations and the critical importance of early ART initiation are key factors. It is recommende to develop targeted interventions focusing on vulnerable groups, such as children of PLHIV and pregnant women, to enhance their survival rate. Additionally, strategies promoting ART initiation within ≤ 1 month are esential to improve treatment sustainability.
OVERVIEW OF KNOWLEDGE ABOUT FIRST AID FOR HYPOTHERMIA IN MOUNTAIN CLIMBERS IN MAKASSAR
Hypothermia is a medical condition that occurs when body temperature drops abnormally. This condition occurs because the body can no longer produce enough heat to compensate for the heat loss that occurs. According to data obtained from BASARNAS between 2015 and 2018, accidents during climbing are often caused by several factors, with hypothermia being the most dominant with a percentage of 47%. The purpose of this study was to determine the description of knowledge about first aid for hypothermia in mountain climbers in Makassar. This study is a descriptive study with a population and sample of 133 climbers, selected using purposive sampling techniques . The data collection instrument uses a questionnaire. The results of the study showed that the level of knowledge of climbers about First Aid for Hypothermia, the majority of whom had good knowledge, as many as 107 climbers (80.5%), and a small portion had sufficient knowledge, as many as 26 climbers (19.5%). The conclusion of this study is that the level of knowledge of mountain climbers in Makassar, especially in PKD South Sulawesi, about first aid for hypothermia is quite good. Several factors that can influence the results of the study include experience and information owned. It is expected that respondents can further improve their knowledge about first aid for hypothermia by seeking information from various sources, such as mass media and the internet, and attending training. Thus, it is expected to reduce the number of hypothermia cases that occur during climbing.
Effectiveness of Health Services through the JKN Mobile Application at the BPJS Kesehatan Palu Branch in Palu City
Mobile JKN is an application launched or issued by BPJS Health which aims to make it easier for the BPJS Health participant community to obtain services and all JKN-KIS membership information. The city of Palu itself still has minimal JKN mobile application users. This research aims to determine the effectiveness of health services based on the JKN mobile application at BPJS Health Palu Branch in Palu City. The method used in this research is qualitative with a case study approach. Data collection techniques were carried out using in-depth interviews, observation, source triangulation and technical triangulation. The results obtained are that the effectiveness of health services based on the JKN mobile application is very good, human resources are adequate, the concept of paying contributions is practical, the number and quality of services produced is increasing, accessing the application without time limits but at certain times there are still problems with slow login, and Practical and easy service procedures. It is hoped that BPJS Health Palu Branch can pay attention to the work performance of the Mobile JKN application, especially when accessing the application.
Effectiveness; BPJS Health Services; JKN Mobile
The Effect of Education Using Audio Visual Media on Maternal Knowledge About Diarrhea in Toddlers in Dusun Lima In Village Pelauw in 2024
Diarrhea is a condition of defecation with a different frequency than usual, namely more often or more than 3 times in one day, with a soft or liquid consistency or even just water. Diarrhea is caused by viral or bacterial agents that infect the digestive tract. Diarrhea can cause dehydration and even death if not treated properly. This research is to determine the effect of education through audio-visual media on mothers' knowledge about diarrhea in toddlers in Lima in Megaria Hamlet Pelauw Village 2024. This research uses quantitative research with a pre-experimental method with a one group pre-test and post-test design approach. The population in this study was 45 mothers who had toddlers, while the sample in this study was 45 mothers who had toddlers. The sampling technique uses total sampling. The research instrument uses a questionnaire in the form of statements. The analysis used is the Wilcoxon test. Results: analysis of the influence of education using audio visual media on mothers' knowledge about diarrhea in toddlers in Lima Megaria hamlet in Pelauw village in 2024 from the results of the Wilcoxon Test. Respondents' knowledge increased to 45 respondents. The research results showed that there was a significant influence after respondents were given education or Ha received it, meaning that there was an influence of education using audio-visual media on mothers' knowledge about diarrhea in toddlers in Lima in Megaria hamlet Pelauw village in 2024. Keywords: Education, Audio Visual, Diarrhea, Maternal
Education, Audio Visual, Diarrhea, Maternal
The Controlling Aedes Aegepty Mosquitoes as Dengue Fever Vectors Using 3M Poster Media for Junior High School Students of the Mutiara Aulia Education Foundation
Dengue Hemorrhagic Fever (DHF) is still a serious health problem in Indonesia, with 210,644 cases and 1,239 deaths reported until the 43rd week of 2024. One of the causes is the activity of disease vectors that bite in the morning and afternoon which can occur when children are at school. This study aims to determine the effect of counseling on increasing students' knowledge about prevention and control of DHF disease vectors at Mutiara Aulia Middle School. This study used an experimental method with a Pre- Experimental (non-designs) design of the One-Group Pretest-Posttest Design . The study population was all students of Mutiara Aulia Middle School with a sample of 63 people. Based on the research that has been carried out, the results found that the average pre-test was 52.42 and the average post-test was 80.06, which means that there was an increase in knowledge. The results also show that the significance value is 0.000 (<0.05), this means that knowledge before and after counseling is not the same. then there is a significant difference. So it can also be concluded that there is an increase in knowledge and insight of students at MIS Mutiara Aulia school about Controlling Aedes Aegepty Mosquitoes as Vectors of Dengue Fever . It is expected that MIS Mutiara Aulia students can apply the knowledge gained in everyday life.
Dengue Hemorrhagic Fever (DHF ), School, Health Education
Risk Factor Malariae in Indonesia (Faktor RisikoTerjadinya Malaria di Indonesia)
The tropical disease malaria is still a special concern in the world and Indonesia. This evidence is contained in point 3.3. SDGs (Sustainable Development Goals) and the strategic plans of the Ministry of Health of the Republic of Indonesia are targeted 2030 the country will fulfill the elimination of this tropical disease (RI Ministry of Health, 2019). The design model used is a narrative review. The articles referred to are national and international journals related to risk factors for malaria. The inclusion criteria in this search are articles from Google Scholar and PubMed. Using search keywords, “risk factor”, “malaria”, and “Indonesia”. Based on the results of previous studies, it was found that several risk factors were most often encountered, namely the influence of the presence of livestock on the transmission of malaria, and the use of mosquito nets. After knowing the risk factors for malaria that occur in Indonesia, it can be used as a reference to improve the quality of the environment and livestock, and the government's program of distributing bed nets continues. After knowing the risk factors for malaria that occur in Indonesia, it can be used as a reference to improve the quality of the environment and livestock, and the government's program of distributing bed nets continues. Keywords : Risk factor; malariae; Indonesia.
Wood Dust Exposure as a Risk Factor for Respiratory Disorders in Furniture Workers: A Systematic Review
Wood dust is generated when machines are used to cut, shape, or smooth wood materials. One industry that has a high risk of exposure to wood is the furniture industry. Wood dust particles can enter the lungs and affect respiratory health when inhaled. The study aims to determine wood dust exposure and explain the risk factors for respiratory disorders in furniture workers. The method used was literature review. This review process includes several stages, starting from identification using keywords, screening titles and abstracts, determining article eligibility, selection based on inclusion criteria, to data extraction. The articles analyzed in this review came from the period 2019 to 2024, with a total of seven articles reviewed. The results of statistical analysis in each study showed that the p-value was <0.05, indicating that wood dust exposure is considered a significant risk factor for respiratory disorders of furniture workers. The results of this systematic review indicate the need for increased awareness and compliance with the use of PPE among workers.
Mapping the Vulnerability of DHF Cases as a Basis for Health Intervention Strategy in Batam City
Kota Batam merupakan salah satu daerah dengan kasus Demam Berdarah Dengue (DBD) tertinggi di Provinsi Kepulauan Riau pada tahun 2022. Dengan jumlah kasus DBD sebanyak 902 kasus dan angka kematian sebesar 45% diantara kabupaten/kota lainnya di Provinsi Kepulauan Riau. Faktor yang mempengaruhi sebaran kasus dapat dipengaruhi oleh faktor lingkungan seperti ketinggian daerah dan sebaran kepadatan penduduk. Penelitian ini bertujuan untuk menganalisis tingkat kerentanan kasus DBD di Kota Batam menggunakan Sistem Informasi Geografis dengan menggunakan Data Sekunder dari Dinas Kesehatan Kota Batam tahun 2022 dan data dari Badan Pusat Statistik tahun 2022. Penelitian ini menggunakan jenis penelitian deskriptif kuantitatif dengan desain ekologi menggunakan metode clustering dan mapping data dengan memanfaatkan aplikasi QGIS. Dari hasil pemetaan diketahui bahwa daerah dengan kepadatan sedang mengalami kasus tinggi dan daerah dengan ketinggian rendah mengalami kasus lebih banyak. Dengan adanya pemetaan ini, tenaga kesehatan dapat membuat strategi intervensi kesehatan dengan menggunakan tingkat prioritas kerentanan mulai dari penyiapan sumber daya, tenaga hingga pencegahan tambahan seperti kampanye kewaspadaan dan gerakan pemberantasan sarang nyamuk sesuai tingkat kerentanan daerah tersebut.
DHF ; Population Density ; Area Altitude; Geographic Information System
Preparation of Standard Operating Procedure (SOP) Documents on Limited Space Work at PT. X
Ruang terbatas pada industri perbaikan kapal memiliki risiko yang tinggi, seperti kekurangan oksigen, gas beracun, kebakaran, dan ledakan. Berdasarkan hasil kajian awal, telah terjadi beberapa kali kejadian kebakaran pada ruang terbatas, salah satunya pada tanggal 15 Oktober 2024. Perusahaan telah memiliki beberapa SOP terkait K3, namun belum memiliki dokumen yang secara khusus menyasar pekerja pada ruang terbatas. Saat ini di Indonesia telah terdapat peraturan yang mengatur tentang K3 pada ruang terbatas yaitu Permenaker No. 11 Tahun 2023. Tujuan dari penelitian ini adalah untuk menyusun dokumen Standard Operating Procedure (SOP) pada pekerjaan ruang terbatas di PT. X. Metode penelitian yang digunakan adalah kualitatif deskriptif dengan pendekatan observasi, wawancara dengan tim HSE perusahaan, serta studi pustaka, dan melaksanakan Group Discussion Forum (FGD). Hasil pekerjaan pada ruang terbatas PT. X seperti pengelasan, pembersihan tangki, dan inspeksi merupakan pekerjaan yang berisiko tinggi dan memerlukan perhatian ekstra, khususnya pengelasan yang memerlukan pengawasan ketat, serta izin kerja untuk menjamin keselamatan dan kepatuhan terhadap standar. Penilaian Risiko Tinggi (NPP = 9) Pengelasan dan pemotongan, Risiko Sedang (NPP = 4) Pembuangan lumpur/minyak, Risiko Rendah (NPP = 2) Persiapan kerja. Untuk keselamatan, diperlukan pengendalian yang efektif, pelatihan berkala, perawatan peralatan, dan peningkatan prosedur keselamatan. SOP untuk ruang terbatas meliputi persiapan, pelaksanaan, penyelesaian pekerjaan, dan tindakan tanggap darurat. Evaluasi dokumen K3 perusahaan menunjukkan perlunya perbaikan agar lebih efektif dan sesuai dengan standar keselamatan.
Validity and Reliability Test of COPSOQ III Questionnaire for Health Workers at RSUD X Year 2025
Job stress in healthcare workers can affect their mental and physical health. The causes of occupational stress in healthcare workers can vary, including high workload, high work pressure, long working hours and risk of exposure to disease. The COPSOQ III is an instrument that can be used to measure psychosocial factors in the workplace. This study aims to test the validity and reliability of the COPSOQ III (Copenhagen Psychosocial Questionnaire) questionnaire on health workers at X Hospital. The research design used was cross sectional. The research sampling was conducted using probability sampling method with simple random sampling technique on health workers at RSUD X. The validity test using Pearson correlation showed that all items were valid (r-count > 0.374), while the reliability test obtained a Cronbach's Alpha value of 0.903, indicating high consistency.
Spatial Analysis of Dengue Hemorrhagic Fever Case Distribution in West Java Province 2023
Introduction: Dengue Hemorrhagic Fever (DHF) is a communicable disease that poses a significant public health challenge in Indonesia. Research Objectives: This study aims to spatially analyze Dengue Hemorrhagic Fever (DHF) case distribution in West Java Province in 2023 using Incidence Rate (IR) and Case Fatality Rate (CFR) variables. Materials and Method: Data were obtained from the West Java Health Profile and the Central Bureau of Statistics, processed using Quantum GIS software. Research Results: The analysis results indicate that areas with high vulnerability to Dengue Hemorrhagic Fever (DHF) are predominantly urban regions, such as Bogor City, Sukabumi City, and Bandung City. Conclusions: This spatial visualization is expected to serve as a reference for policymakers in designing more effective Dengue Hemorrhagic Fever (DHF) control and prevention strategies. GIS-based information also facilitates a better understanding of health phenomena for readers.
Dengue Hemorrhagic Fever, Incidence Rate, Case Fatality Rate, Geographic Information System, Spatial Analysis
Evaluation of the Effectiveness of the Village Food Safety Movement Programme in Improving the Knowledge, Attitudes and Behaviour of Family and Community Cadres in North Sumatra
This study examines the impact of the Village Food Safety Movement (GKPD) program initiated by BPOM in improving the knowledge, attitudes, and behaviors of food safety cadres in stunting and non-stunting villages in North Sumatra. The aim of the study was to evaluate the effectiveness of the GKPD intervention on food safety understanding and practices among cadres. The method used was a retrospective analysis with data from pre-test and post-test surveys on cadre groups in six villages during the period January to December 2022. The results showed that there was a significant increase in cadres' knowledge on food safety, with an average increase in general knowledge from 26.5% to 57.4% after the intervention. In addition, attitudes and behavioral aspects also showed progress, although some areas such as food processor hygiene still require more attention. In conclusion, the GKPD program is effective in increasing cadres' awareness and ability to manage food safety, which is expected to contribute to food security at the village level.
Village food safety; GKPD; intervention; BBPOM Medan