Preventif : Jurnal Kesehatan Masyarakat

The Effectiveness of the Supplementary Feeding Program (PMT) in Improving the Nutritional Status of Toddlers in Bulo Village

Herick - - — 2025-08-25

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

The Management of Mask Waste and Its Problems at the Faculty of Public Health, Nusa Cendana University

Anderias Umbu Roga — 2025-08-26

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.

Social and Environmental Factors Associated with Physical Activity among Elderly in Yogyakarta City

Indriani - - — 2025-08-26

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

Measles Surveillance Evaluation (Post Outbreak); Systems Approach at The Palu City Health Department In 2024

Stefiani Bengan Laba — 2025-08-27

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

Nurul Mawaddah Syafitri — 2025-08-27

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.

DIFFERENCES IN THE EFFECT OF HEALTH EDUCATION WITH VISUAL AND AUDIOVISUAL MEDIA ON COMMUNITY KNOWLEDGE ABOUT TOGA

Eka Putri Rahayu — 2025-08-27

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

Monica Dara Delia Suja — 2025-08-27

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 Influence of The Physical Environment on The Quality of Life of Patients With Type 2 Diabetes Mellitus in The Belawan Health Center Area

Hartono Hartono — 2025-08-27

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).

Relationship Quality Of Health Services With Patient Satisfaction At Lancirang Health Center

Mesyia Alfinia — 2025-08-28

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.

TRP, The Magister student Analysis of Factors Related to Job Satisfaction and Its Relationship with Community Satisfaction

Tri Ratna Paramita — 2025-08-28

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.

Gambaran Karakteristik Perilaku Seksual dan Faktor-Faktor Terkait Pada Remaja di Kecamatan Kota Tengah

Siti Maryam Ngabito — 2025-08-28

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.

Unhealthy Lifestyle Habits and Implications of Adolescent Obesity Southeast Asia: Literature Review

Putri Annisa — 2025-08-28

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.

FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI PADA ANAK SEKOLAH SD NEGERI 8 BATU

hasniar niar — 2025-08-28

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

Miftahul Haerati Sulaiman — 2025-08-28

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.

Factors Related to Occupational Stress Among Nurses in the Inpatient Unit of Madani Mamboro Regional General Hospital, Palu City

Sadli Syam — 2025-08-28

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.

Retrospektif case control analisis pada anemia ibu hamil dengan luaran kelahiran bayi di Tuban, Indonesia

Dwi Kurnia Purnama Sari — 2025-08-28

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.