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
Work-Related Musculoskeletal Symptoms in Ground Handling Crewsat Mutiara Sis Al-Jufri Airport
Musculoskeletal disorders are conditions characterized by symptoms ranging from mild discomfort to severe pain in the musculoskeletal area caused by improper work practices. Musculoskeletal complaints affect approximately 1.71 billion people globally and are the leading cause of disability worldwide. Improper manual material handling, such as incorrect lifting and carrying techniques, can exacerbate musculoskeletal symptoms such as pain, discomfort, and sleep disturbances, ultimately reducing productivity—particularly among airport ground handling personnel. Several factors, including age, working posture, body mass index (BMI), and length of employment, may contribute to these complaints. This study aimed to examine the association between age, working posture, BMI, and years of service with musculoskeletal complaints among ground handling workers at the apron area of Mutiara SIS Al-Jufri Airport, Palu, in 2025. A quantitative approach with a cross-sectional study design was employed, involving 41 ground handling personnel selected using a total sampling technique. Data analysis using chi-square and Fisher’s exact tests revealed significant relationships between working posture (p = 0.015) and years of service (p = 0.021) with musculoskeletal complaints, while age (p = 0.130) and BMI (p = 1.000) showed no significant association. It is recommended that workers communicate effectively with their team to distribute workloads, maintain an ideal body weight, implement job rotation, and maintain proper posture when handling materials.
Copyright (c) 2025 Preventif : Jurnal Kesehatan Masyarakat https://creativecommons.org/licenses/by-nc-sa/4.0
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
Systematic Review : Effectiveness Health Behavior Intervention For Hypertension Prevention
Hypertension is non communicable disease that a very common and serious condition that can lead to or complicate many health problems, People with hypertensions must controlled the symptoms of high pressure, when they forget to take a medicine it will increased risks of coronary and cerebrovascular events.This systematic review aim to describe the effectiveness health behavior intervention for hypertentions preventions behavior among patients. A systematic literature search was carried out on PubMed , PloS, Sagepub, Sciencedirect and Google Scholar to identify studies reported in English which were published in the last five years. Based on 19 studies that have been analyzed , Health Belief Model is a reliable and widely applicable framework for guiding behavioral change in hypertension prevention and control in hypertension prevention. This review present the effectiveness of health belief model in changing the hypertensions patients behavior, and improve their knowledge about hypertensions and its consequences.
Determinant Factors of Baby Blues Syndrome among PostpartumMothers: A Literature Review
Baby blues is a common psychological condition experienced by postpartum mothers, with a prevalence of 33% shows that there is still a lack of attention to maternal mental health as an important part of the recovery process and early parenting. This study aims to identify the factors that cause baby blues in postpartum mothers. This study used the literature review method, searching for scientific articles through the Google Scholar, Garuda, and PubMed databases. Using inclusion criteria that focused on qualitative and quantitative research on baby blues published in the last 5 years and the PRISMA approach. Articles selected were relevant to the topic and aligned with the research objectives. The results of the review showed that baby blues syndrome is influenced by various determinant factors which are divided into two main categories, namely internal and external factors. Internal factors include hormonal changes that cause emotional instability and types of childbirth, such as Sectio Caesarea, which can potentially trigger post-traumatic stress. External factors include lack of emotional and social support from husband, family, and health workers; the mother's demographic and socioeconomic conditions; and the role of health workers in providing responsive and supportive delivery services. In conclusion, various factors such as hormonal instability, traumatic childbirth, limited social support, and the less than optimal role of health workers have been shown to contribute to the occurrence of baby blues syndrome.
Association of Environmental Factors with Stunting in Biromaru Health Center, Sigi Regency
Stunting is a major concern in public health. The prevalence of stunting according to 2021 data for each community health center work area in Sigi Regency, the Bureaumaru Community Health Center is at the highest, namely 377 cases (20.9%). This study aims to analyze the relationship between environmental risk factors and the incidence of stunting in the work area of ​​the Bureaumaru Health Center, Sigi Regency. This research was conducted using quantitative methods, cross-sectional study design. The population in this study was 308 people, the sample was 174 respondents. Sampling used the cluster random sampling method in 18 villages. Data were analyzed using univariate and bivariate. The results of analysis using the chi square test with a confidence level of 95%, showed that the ρ value for the variables of hand washing habits, availability of clean water sources and availability of toilets was less than 0.05. Based on findings from research results regarding the relationship between environmental factors and the incidence of stunting in the work area of ​​the Bureaumaru Health Center, Sigi Regency, it can be stated that there is a correlation between the habit of washing hands (ρ = 0.000), the availability of clean water sources (ρ = 0.000), and the condition of latrines (ρ = 0.001) with the prevalence of stunting in children under two years of age in the area.
Stunting; Environmental Factors; Sanitation
Environmental Health Implementation Strategies in GEDSI-Friendly Health Facilities: Towards Inclusive and Equitable Services
Inclusive health services are vital for ensuring equitable access, especially for vulnerable groups such as women, persons with disabilities, the elderly, and children. However, environmental health (Kesling) strategies in many health facilities still emphasize technical aspects, often neglecting gender, disability, and social inclusion (GEDSI). This qualitative study aimed to explore GEDSI-responsive Kesling strategies through Focus Group Discussions (FGDs) involving 33 environmental health officers from various institutions. Data were collected from group discussions, observational notes, and documentation of strategy proposals. Using thematic analysis, researchers identified key ideas and categorized them into three main themes: (1) gender responsive; (2) disability inclusive; and (3) socially inclusion. Proposed interventions included gender-neutral toilets, menstrual hygiene facilities, wheelchair access, child-friendly waiting rooms, and inclusive health education. The study demonstrates that FGD is an effective method to elicit grounded insights and collaborative strategies. It concludes that integrating GEDSI principles into environmental health planning requires not only technical adjustments but also inclusive dialogue with stakeholders.
Binomial Logistic Regression of Contraceptive Use among Indonesian Multiparous Women: Indonesia Health Survey 2023
Family planning (KB) is an important strategy to reduce maternal mortality by reducing the number of pregnancies and the proportion of high-risk pregnancies, while enabling family planning and improving quality of life. Although data from the Central Statistics Agency (BPS) shows fluctuations, the prevalence of active KB participation in Indonesia is not enough to significantly increase contraceptive use, especially in multiparous women. The purpose of this study was to examine the factors that influence contraceptive use in multiparous women in Indonesia. The study design was cross-sectional using secondary data obtained from the 2023 Indonesian Health Survey (SKI). The analysis focused on data from 14,975 multiparous mothers who had filled out the questionnaire. The dependent variable in this study was contraceptive use. Independent variables included age, education level, occupation, insurance ownership, delivery method, pregnancy risk, and history of labor and postpartum complications. Data were analyzed using binomial logistic regression. The results of the study showed that determinant factors such as education level, occupation, delivery method, and history of delivery complications affected the use of contraceptives in multiparous women in general by only 3.1%, while 96.9% were influenced by other factors not included in this model test. Therefore, targeted interventions are very important, including expanding contraceptive education for highly educated women and increasing flexible access to services for informal sector workers, as well as conducting counseling programs especially for women with a history of surgery or delivery with complications, to ensure optimal use of contraceptives
Analysis of Formalin Content and Storage Sanitation of Tofu at Inpres Manonda Market, Palu
In 2023, food poisoning cases in Central Sulawesi were recorded at 205 cases, including 30 cases in Palu City, making food safety supervision crucial. One commonly consumed food in Palu City is tofu, with an average consumption of 0.1917 kg per capita per week. However, tofu is easily spoiled and has the potential to contain hazardous food additives such as formaldehyde. Additionally, the sanitation of storage places English: serves to maintain marketed quality safety. The research aims to examine sanitation and formalin levels in tofu storage areas at Manonda Inpres Market, Palu City. Using descriptive methods, the population is permanent tofu sellers at Manonda Inpres Market, with a total of 8 samples. The samples were placed in coded plastic bags and tested at the Chemistry Laboratory, Faculty of Mathematics and Natural Sciences, Tadulako University, for formalin levels relevant to BPOM policy Number 22 of 2023. Sanitation was analyzed through questions and answers and direct observation based on Minister of Health Regulation 2 of 2023. 4 out of 8 samples (50%) tested positive for formalin, which is dangerous if consumed, and 81.25% of sellers have good sanitation. It is hoped that this study can be used as a reference for BPOM, the Health Office, and market managers in organizing vendor locations, conducting routine inspections, and implementing food storage using food-grade and covered containers, thereby continuously improving food safety standards.
The Relationship Between Diet Quality and Nutritional Status of Pregnant Women in Bandung Regency
Diet quality in pregnant women is a crucial factor in supporting maternal health and optimal fetal development. A diverse and balanced diet helps fulfill the increased macronutrient needs during pregnancy. However, many pregnant women in Indonesia, including those in Cangkuang District, Bandung Regency, still fail to meet the recommended dietary diversity. This study aimed to analyze the relationship between diet quality and the nutritional status of pregnant women in Cangkuang District, Bandung Regency. This quantitative study used a cross-sectional design and involved 60 pregnant women selected by convenience sampling. Data were collected using subject characteristic questionnaires, 24-hour food recall forms, and food frequency questionnaires. Diet quality was assessed using the Minimum Dietary Diversity for Women (MDD-W) score. Univariate analysis was used to describe participant characteristics, and the Spearman correlation test was used to analyze the relationship between diet quality and nutritional status. The results showed a significant relationship between diet quality and nutritional status (p ≤ 0.05). A total of 63.3% of the pregnant women had an MDD-W score ≥5, indicating adequate dietary diversity. A diverse diet was significantly associated with better nutritional status among pregnant women. Focused interventions, such as nutrition education and food supplementation, are recommended to improve dietary diversity in this group. Keywords : Pregnant women; diet quality; nutritional status
diet quality; nutritional; pregnant women
Development Nutritional Evaluation and Acceptability of Moringa Moringa oleifera and Eel Monopterus albus Meatballs as a Functional Food for Stunted Toddlers
ABSTRACT Stunting remains a major nutritional problem in Indonesia with a relatively high prevalence, particularly in South Sulawesi. One cause is low nutritional intake in toddlers. Moringa leaves (Moringa oleifera) and eel (Monopterus albus) are local foods rich in protein, iron, and vitamins, but their utilization remains low. This study aims to determine the nutritional content and acceptability of a combination of moringa leaf and eel meatballs as a functional food for stunted toddlers. The study used an experimental design with two formulations: F1 (300 g eel: 30 g moringa leaves) and F2 (150 g eel: 15 g moringa leaves). Nutritional analysis was conducted in the laboratory, while acceptability testing was conducted on 6 mothers and 6 toddlers using a hedonic test. Laboratory test results showed that F1 had a higher protein content (5.68%) than F2 (4.02%), while F2 had higher carbohydrate (26.35%) and energy (125.17 kcal) than F1 (97.48 kcal). Organoleptic tests showed that respondents liked the color and texture of the meatballs (liked), while the aroma and flavor were quite liked. Thus, the combination of moringa leaf and eel meatballs has the potential to be a locally based functional food alternative to support toddler nutrition and can be used as an innovative strategy to reduce stunting rates in Indonesia. Keywords: stunting, toddlers, moringa leaf meatballs, eel, functional food
Keywords: stunting, toddlers, moringa leaf meatballs, eel, functional food
Spatial Analysis Of Hypertension Incidence In The Area Tuntungan Community Health Center In 2023
Hypertension is a non-communicable disease (NCD) known as a silent killer because it often shows no symptoms but can cause serious complications and even death. In Indonesia, the prevalence of hypertension continues to increase, even exceeding the global average. This study aims to analyze the spatial distribution of hypertension cases and their characteristics based on gender in the working area of the Tuntungan Community Health Center (UPT Puskesmas Tuntungan) in 2023. The research design used was an ecological study with a spatial analysis approach. Secondary data were obtained from records of hypertension cases based on villages in the working area of the Tuntungan Community Health Center. The analysis was performed descriptively using QGIS and GeoDa software to produce spatial distribution maps and incidence rates (IR). The data were also analyzed based on the characteristics of the patients' gender. The results showed that the total number of hypertension cases in 2023 was 14,452, with a slightly higher proportion of women (51.15%) than men (48.85%). Spatial distribution showed the highest concentration of cases in several villages, such as Salam Tani, Namorih, Tiang Layar, Namo Simpur, and Tengah. The village of Salam Tani recorded the highest percentage of cases at 8.3%. Based on incidence analysis, the villages with the highest IR were Salam Tani, Durin Simbelang, Namo Riam, Durin Tonggal, and Lama, with an IR of 99.2 per 1,000 population. Unhealthy lifestyles, low physical activity, and low socioeconomic status were the main determinants of the high prevalence of hypertension. In addition, there are differences in the distribution of cases based on gender, which indicates the need for an intervention approach that considers gender aspects. These findings indicate that spatial analysis can be an important tool in identifying priority areas for promotional and preventive interventions. Effective hypertension control strategies need to be tailored to the demographic, geographic, and social characteristics of the local community.
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.
Copyright (c) 2025 Preventif : Jurnal Kesehatan Masyarakat
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.
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.
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.
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.
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
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.
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
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.
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).
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
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.
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
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.
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
Relationship Between Soda-Free Diet and Nutritional Status in Teenagers: A Cross Sectional Study
Excessive consumption of sugary beverages such as soda has become a significant public health concern worldwide, particularly due to its association with poor nutritional status and a heightened risk of overweight and obesity in adolescents. This study aimed to investigate the relationship between adherence to a soda-free diet and nutritional status among teenagers using Chi-square and Spearman correlation analyses. A cross-sectional design was employed involving 200 adolescents aged 15 to 18 years, who were categorized into two groups based on their soda consumption habits: soda consumers and those following a soda-free diet. Nutritional status was assessed by calculating Body Mass Index (BMI) and classifying participants into underweight, normal weight, and overweight/obese categories. The results indicated that teenagers who abstained from soda consumption had a significantly higher prevalence of normal weight (70.6%) compared to soda consumers (45.2%). Conversely, the rate of overweight and obesity was markedly higher among soda consumers (30.4%) than those on a soda-free diet (14.1%). Spearman’s correlation analysis revealed a strong positive relationship between the frequency of soda consumption and BMI (rho = 0.68, p < 0.001), suggesting that higher soda intake is closely associated with increased body weight. These findings emphasize the critical role that reducing soda consumption plays in improving nutritional health among adolescents. From a public health perspective, promoting soda-free diets and encouraging healthier beverage choices should be prioritized in nutrition education and obesity prevention programs targeting youth populations to reduce the risk of diet-related chronic diseases. Keywords: Soda-free diet, Nutritional status, Teenagers, BMI, Obesity prevention, Public health
Implementation Challenges of Performance-Based Capitation in Indonesia
Performance-Based Capitation (KBK) is a payment system implemented in Indonesia’s primary health care (PHC) to improve service quality through performance-based financing. Despite its potential, various challenges have limited its effectiveness. This study aimed to identify and synthesize evidence on the barriers to KBK implementation in Indonesia. A scoping review was conducted using studies published from 2019 to 2025 that meet the inclusion and exclusion criteria. Data from 14 included studies were extracted, charted, and thematically analyzed into five categories: human resources, systems and infrastructure, program management and governance, technical capacity, and patient participation and engagement. The study found that face interrelated challenges in implementing KBK, including shortages and unequal distribution of human resources, inadequate systems and infrastructure, weak governance, limited technical capacity, and low community participation. These factors collectively hinder the achievement of key performance indicators encompassing contact rate, the non-specialist referral ratio (RRNS), and the controlled condition of the Chronic Disease Management Program (RPPT), underscoring the need for comprehensive strategies that strengthen workforce capacity, infrastructure, governance, and community engagement.
Readiness of Health Centers in Southwest Sumba Regency in Implementing Electronic Medical Records
In Indonesia, every health service facility, including community health centers, is required to implement electronic medical records with a deadline of December 31, 2023. However, there are still 49 percent of national community health centers that still use manual medical records. One of the districts that plans to immediately implement electronic medical records is Southwest Sumba. This study conducted an analysis DOQ-IT method. There are 12 items that are combined into 2 categories, namely alignment and capacity of community health centers. This study is a quantitative descriptive study. The population was all health workers in 16 community health centers in Southwest Sumba. Data collection used questionnaires by random sampling. There were 79 questionnaires that were returned and were worthy of further analysis using descriptive analysis. The total readiness score of 16 health centers in Southwest Sumba in implementing electronic medical records is 76, which is included in quite ready. There are 9 items out of 12 readiness items that are included in the category of quite ready. The items in question are cultural readiness, leadership, strategy, clinical and administrative staff, training, workflow processes, finance and budget, patient involvement, IT support and management. However, there are still 3 items are not ready, namely information management, accountability, and IT infrastructure. Study found that all health centers showed a quite ready category through the DOQ-IT analysis. These results explain that the readiness of management information, IT infrastructure, and accountability need to be improved.