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
Drug Logistics Management at the Pharmacy Installation of the Sigi District Health Office
Drug logistics management is essential in the health service system to ensure the availability of medicines in the appropriate type, quantity, time, and quality. Ineffective drug logistics management can lead to medicine stockouts and reduced service quality. Sigi Regency in Central Sulawesi Province still faces challenges in the availability of essential medicines, which remains below 80% of the strategic plan target. This study aims to analyze drug logistics management at the Pharmaceutical Installation of the Sigi Regency Health Office, covering planning, procurement, storage, distribution, disposal, and control of medicines. This study used a qualitative case study design. Data was collected through in-depth interviews, observations, and document observations, with 6 informants.. Data analysis was conducted descriptively through data reduction, data presentation, and conclusion drawing. The results indicate that drug logistics management at the Pharmaceutical Installation of the Sigi Regency Health Office has not been optimally implemented. Problems were identified in planning due to discrepancies in needs data and budget limitations, delays in procurement, substandard storage conditions, and distribution constraints related to geographical conditions. In addition, the disposal and control of medicines have not been optimally carried out. Therefore, improvements are required in drug planning based on consumption data and remaining stock, strengthening procurement coordination, meeting storage standards, adjusting distribution to geographical conditions, and implementing proper disposal and control through routine recording and reporting to ensure effective and efficient medicine availability in Sigi Regency.
Copyright (c) 2026 Preventif : Jurnal Kesehatan Masyarakat https://creativecommons.org/licenses/by-nc-sa/4.0
Characteristics of Brick Workers and C- Reactive Protein (CRP) Levels Using the Agglutination Method
Chronic exposure to dust in the brick industry work environment has the potential to increase the risk of systemic inflammation and respiratory disorders, which can be identified through C-Reactive Protein (CRP) levels as an inflammation biomarker. This study aims to describe CRP levels in brick industry workers as an early detection step for inflammatory processes and a basis for preventing work-related health risks. In this descriptive study, 40 brick workers in Banyumas Regency were selected based on inclusion and exclusion criteria, with examinations conducted at the Medical Laboratory Technology Laboratory of UMP. CRP levels were measured using the latex agglutination method on blood samples, and data analysis considered respondent characteristics such as use of personal protective equipment (PPE), smoking habits, age, and duration of work. The results showed that most workers did not use PPE (38 people) and had smoking habits (33 people), but the majority showed negative CRP results (39 people), with only 1 worker experiencing elevated CRP at titer 1:2 with a level of 12 IU/mL. This study concludes that most brick industry workers have not experienced acute systemic inflammation, while factors such as age and lifestyle are suspected to play a role in elevated CRP levels in certain individuals.
"It is Difficult to Get Permission During Working Hours": Qualitative Analysis Of Treatment Compliance Of Hypertension Patients With Worker Status At The Elderly Posyandu
Hypertension is a major non-communicable disease that is often undiagnosed and can lead to serious complications. Pucangan Village has the highest number of hypertension cases in the Kartasura Community Health Center area, highlighting the need to improve management, especially among working patients. This study aimed to explore factors influencing medication adherence in working hypertensive patients using a descriptive qualitative approach. A total of 22 informants were involved, including 10 primary informants (5 adherent and 5 non-adherent patients) and 12 triangulation informants (10 family members and 2 Posyandu cadres/officers). Data were collected through in-depth interviews and analyzed qualitatively through transcription, reduction, coding, categorization, and theme development, with validity ensured by source triangulation. The results show that Posyandu serves as an initial screening point, with referrals to health centers for further care. Medication adherence is influenced by workload, time constraints, patient perceptions, and irregular medication use, while family support and the role of Posyandu cadres are important in improving adherence.
Hypertension ; Medication Adherence; Factors influencing Compliance
Digital Media-Based Health Promotion at RSIA Aisyiyah Samarinda: Implementation of the Precede-Proceed Model
Health promotion in hospitals is an important component of health services that emphasizes not only curative and rehabilitative efforts, but also promotive and preventive approaches. At RSIA 'Aisyiyah Samarinda, the implementation of health promotion still faces several challenges, including the suboptimal use of digital media as a tool for health education, gaps in health information among patients and their families, and the frequent occurrence of minor illnesses such as common cold and Acute Respiratory Infections (ARI). In addition, the utilization of digital health services, such as the Mobile JKN application, remains limited due to a lack of public understanding regarding its functions and benefits. This study aims to design, implement, and evaluate a digital media-based health promotion program at RSIA 'Aisyiyah Samarinda using the Precede–Proceed framework with a qualitative descriptive approach through a field study. The research stages included field orientation, identification of common health problems, program planning using the SMART principle within a Plan of Action (POA), implementation through Instagram, and evaluation covering process, impact, and outcomes. The program is scheduled to be implemented in September 2025, focusing on health education related to common cold, ARI, and the use of the Mobile JKN application. The results indicate that Instagram effectively reaches a broader audience and increases engagement. Evaluations show improved health knowledge, short-term behavior changes, and better understanding of digital health services, highlighting its effectiveness in hospital-based health promotion.
Occupational Noise Exposure and Blood Pressure among Turbine Boiler Cleaning Workers at PLN Paiton
Occupational noise exposure in industrial environments serves as a physical stressor contributing to non-auditory health disorders, including elevated blood pressure. This study aims to analyze the association between noise intensity and the use of Hearing Protection Devices (HPD) with blood pressure among cleaning workers in the turbine and boiler areas of PT PLN Nusantara Power UP Paiton. The research employed an analytical observational method with a cross-sectional design. The sample consisted of 52 cleaning workers selected through simple random sampling. Data were collected by measuring noise intensity using a Sound Level Meter, assessing blood pressure before and after work shifts using a digital sphygmomanometer, and administering questionnaires regarding HPD usage. The results indicated that most noise intensity measurements in the work area exceeded the Threshold Limit Value (85 d.). Bivariate analysis using the Chi-square test showed a statistically significant association between noise intensity and systolic blood pressure (p = 0.008) and diastolic blood pressure (p = 0.016). In addition, HPD usage was also significantly associated with blood pressure (p = 0.015). This study concludes that high noise exposure and inconsistent HPD use are associated with increased blood pressure among workers. It is recommended that the company strengthen HPD compliance supervision and implement regular cardiovascular health monitoring.
Keywords : Occupational noise 1 ; Blood pressure 2 ; Cleaning workers 3.
Relationship Between Worker Age And Work Shifts With Work Fatigue Among Security Guards At Pt. Pertamina Geothermal Energy Area Lahendong
Work fatigue is a major occupational health and safety concern because it increases the risk of work-related accidents and decreases overall performance. Fatigue is a complex condition that includes not only physical and psychological exhaustion but also reduced physical performance, feelings of tiredness, decreased motivation, and lower work productivity. Many factors can influence work fatigue, such as individual characteristics including age, gender, length of service, and nutritional status, as well as job-related factors like workload, work environment, and working time arrangements, particularly shift work. This study aimed to determine the relationship between worker age and work shifts with work fatigue among security personnel at PT Pertamina Geothermal Energy Lahendong Area. The research used a quantitative approach with an analytic observational design and applied a cross-sectional study method. Data collection was carried out in June 2023 involving 71 security workers as respondents.Statistical analysis was conducted to examine the correlation between age and work fatigue and between work shifts and work fatigue. The results showed that there was no significant relationship between age and work fatigue, indicated by a p-value of 0,640. Similarly, the analysis of work shifts and fatigue showed no statistically significant relationship, with a p-value of 0,082. Although the correlation coefficient for work shifts and fatigue was 0.496, no significant association, the result did not reach statistical significance.In conclusion, this study found that worker age and work shift were not significantly associated with work fatigue among security workers at PT Pertamina Geothermal Energy Lahendong Area overall.
Management of Personal Protective Equipment (PPE) for Laundry Workers in the Linen and Housekeeping Unit at the Jember Plantation Hospital Jember Regency Clinic
The laundry process involves various complex hazards, including biological, ergonomic, physical, and chemical hazards, this can result in health problem. The Jember Plantation Hospital Clinic is the referral hospital with the highest number of patients in Jember Regency, based on the participant eligibility letter (SEP) of the Jember Regency Health Insurance (BPJS Kesehatan) in 2022. There have been cases of Covid-19 infection spreading among workers in the linen unit. Therefore, the implementation of effective personal protective equipment (PPE) management is an important component in OHS protection efforts. The purpose of this research is to examine the implementation of PPE management among laundry workers in the Linen and Housekeeping Units of the Jember Plantation Hospital Clinic Jember Regency using the legal basis of the Minister of Manpower Regulation No. 8 of 2010 concerning PPE. This study used a qualitative descriptive design. Data collection through observations, interview and literature studies. The research results show that the implementation of PPE management has not been optimal. Inconsistencies were found in determining PPE standards and quality, and the availability of adequate storage facilities. Furthermore, PPE training has not been comprehensively implemented, and worker compliance with PPE use remains low. PPE supervision and inspections tend to focus on compliance, without fully addressing the condition and suitability of the PPE. Systematic and continuous strengthening of PPE management is needed to improve the safety and health of hospital laundry workers.
Development of Pop-Up Book Media on Preventing The Initiation Of Smoking Behaviour Among Primary School Students in Samarinda City
One of the main problems related to smoking is the increasingly young age at which people start smoking and the increasing prevalence of novice smokers. Preliminary results of this study show that students at SDN 002 Loa Janan Ilir still have low knowledge about cigarettes. Preliminary observations also indicate that there is no health education media on smoking prevention in the school area. This study aims to analyze the effect of pop-up books on the behavioral domain of smoking initiation prevention among primary school students in Samarinda. This study was a research and development (R&D) study. The development approach was applied to the development of educational monopoly media. The development of this media used the waterfall development model. A qualitative approach was applied at the research and information collecting stage until the main product revision stage. The type of quantitative research used was a pre-experiment with a one group pretest-posttest design. The results showed that there was an effect of the intervention with pop-up book media on the respondents' knowledge about the dangers of smoking. Statistical analysis using the Wilcoxon test produced a p-value of 0.000 (<0.05). Educational and health institutions are expected to collaborate in the development of health promotion media in the form of pop-up books as an innovative effort to prevent the initiation of smoking behavior among children.
Risk Factors For Musculoskeletal Complaints AmongFlower Board Craftsmen in Jember City
The musculoskeletal system plays an important role in carrying out daily activities to increase work productivity. However, musculoskeletal complaints are still common, especially in the informal sector, which have an impact on work accidents and decreased work productivity. This study aims to assess the risk of work posture and factors related to both individuals and work on musculoskeletal complaints. This type of research is a analytic cross-sectional study with descriptive and correlational analysis. It was conducted on 8 florists producing flower boards with a sample of 31 flower board craftsmen. Data collection methods were carried out through interviews and observations, using a questionnaire on respondent characteristics, Rapid Entire Body Assessment (REBA) to measure work posture, and Nordic Body Map (NBM) to assess MSDs complaints. The results showed that almost all flower board craftsmen experienced MSDs complaints with the most common level of complaints being moderate at 45.2%. There is a relationship between individual factors (age, smoking habits, years of service, and BMI) and work factors (work posture) with MSDs complaints. However, there is no relationship between individual factors (gender, exercise habits, and length of working) and work factors (work stage) with MSDs complaints. It was concluded that the risk factors for MSDs complaints in flower board craftsmen in Jember city were age, smoking habits, years of service, BMI, and work posture
Evaluating OSH Work Environment Implementation at PLN Offices: Impact of Safety Climate and Behavior
This study evaluates the implementation of Occupational Safety and Health (OSH) practices at PT. PLN (Persero) UP3 Padang. The electricity sector faces significant OSH challenges, and while research has explored OSH in various settings, a gap remains in the evaluation of OSH practices within Indonesian office environments. This study aims to address this gap by evaluating OSH work environment implementation at PT. PLN (Persero) UP3 Padang based on the Indonesian Ministry of Manpower Regulation/ Pemenaker No. 5 of 2018. The research employs a primarily quantitative approach, utilizing a descriptive survey design. Data, gathered through questionnaires, assessed OSH implementation (based on Permenaker No. 5 of 2018), safety climate, and employee safety behavior. The results indicate that PT. PLN (Persero) UP3 Padang has demonstrated a strong commitment to OSH, achieving a generally high level of compliance with Permenaker No. 5 of 2018. Employees reported a positive safety climate, with high average scores for management commitment (approximately 3.55). Employee adherence to safe work practices was also high, although hazard reporting behavior received a lower average score of 3.56. Furthermore, the reporting and communication culture dimension within the safety climate was the lowest at 3.28. A strong positive correlation was found between safety climate and OSH implementation (ρ = 0.7218; p < 0.001). The study concludes that while OSH implementation is generally effective, there are areas for improvement, including controls for specific hazards and hazard reporting. Continuous improvement and targeted interventions are crucial for enhancing OSH performance within the organization and similar office settings.
OSH; Work Environment; Safety Climate; Safety Behavior; PLN
Path Analysis of Factors Affecting the Quality of Life of Hypertensive Patients At the Mandai Health Center
Hypertension is one of the diseases that is considered the main cause of death and disability. The incidence rate of hypertension increases rapidly every year. This study aims to determine the influence of long-term suffering from hypertension, family support and medication adherence to the quality of life of patients through smoking behavior at the Mandai Health Center, Maros Regency. The type of research used is quantitative research with a cross sectional study design, which is a research design that studies the relationship between independent and dependent variables. The population in this study is all hypertension patients in the working area of the Mandai Health Center as many as 100 people. The sample in this study was 100 people using the sampling technique, namely total sampling. Statistical analysis used univariate and bivariate, with the chi square test followed by the path analyst. The results of the study using pathway analysis showed that family support (p=0.004, β=0.279), medication adherence (p=0.011, β=-0.0274) had a significant effect on the quality of life of hypertensive patients while suffering for a long time (p=0.0.357, β=0.098), and smoking behavior (p=0.960, β=-0.005) did not have a significant effect on the quality of life of hypertensive patients at the Mandai Health Center, Maros Regency. The suggestion in this study is that it is expected that the patient's family will always support the treatment of hypertension patients so that the level of adherence to taking medication is better.
A Cross-Sectional Study on Pregnant Women's Knowledge and Chronic Energy Deficiency (CED) in Bandar Lampung City
Pregnant women who suffer from chronic energy deficiency (CED) tend to give birth to low birth weight babies. Based on data from the 2022 Lampung Province Health Profile, there were 5,142 pregnant women with CED. This study aims to examine the relationship between maternal knowledge and the incidence Chronic Energy Deficiency (CED) in pregnant women in Bandar Lampung City. This cross sectional study conducted on August 2025 in 5 community health centers with the highest number of pregnant women with CED in Bandar Lampung, namely Panjang, Kedaton, Kemiling, Kupang Kota, and Rajabasa Community Health Centers. Population in this study consisted of all pregnant women in the five health center areas where the study was conducted. Sample size was calculated using the Slovin formula with a population of 384 people in the five areas, resulting in a sample size of 200 pregnant women, which will be divided into five areas with a minimum sample of 40 respondents in each health center area. Data collection was carried out by filling out questionnaires distributed directly to mothers when they came to the health center or Posyandu. Variables was mothers' knowledge about the causes of CED and the incidence of CED in pregnant women. Analysis was performed using the chi-square statistical test and logistic regression. The results show that there is a relationship between mother’s knowledge dan CED (p-value <0,05). Educational programs on the causes of chronic energy deficiency and counseling on ANC are required to increase mothers' knowledge and prevent CED.
pregnant women; chronic energy deficiency; education
Food Accessibility as a Determinant of Street Food Purchase Decisions in Lengkong Kecil, Bandung: A Cross-Sectional Study
Street food plays a significant role in urban food systems, particularly in developing countries where it provides affordable and accessible meal options for diverse populations. This study examines the determinants of street food purchasing decisions among consumers in Lengkong Kecil, Bandung, a major urban culinary hub that attracts students and low- to middle-income groups. As ready-to-eat food becomes increasingly preferred for its convenience and affordability, understanding the role of food accessibility is critical. While previous studies have primarily focused on hygiene and price, this study highlights the combined influence of physical and economic access as a key determinant of consumer behavior. This study employed a cross-sectional analytical design involving 148 respondents selected through accidental sampling. Participants were consumers aged 18 years and older who purchased street food in the Lengkong Kecil area. Data were collected using structured questionnaires and analyzed using logistic regression.The results showed that perceived food accessibility was the only variable significantly associated with purchasing decisions (p = 0.002; OR = 4.6; 95% CI: 1.7–12.3). Consumers who perceived street food as geographically accessible and economically affordable were significantly more likely to make purchases. Interestingly, although 58.1% of respondents perceived vendor hygiene as poor and 69.6% perceived sanitation as inadequate, these factors did not significantly influence purchasing decisions, highlighting a behavioral paradox in this urban context. In conclusion, food accessibility—defined by both proximity and affordability—plays a dominant role in shaping street food purchasing behavior. Policy and intervention strategies should focus on optimizing vendor placement in high-traffic areas, particularly near student populations, and maintaining affordable price points to better support urban consumers, especially those from low-income groups.
Consumer behavior; food accessiblity; street food; young adults
Traditional Processing of Sikapa (Dioscorea Hispida) as an Alternative Food Source in the Dry Season
The traditional processing of Sikapa (Dioscorea hispida) is a form of adaptation by rural communities to meet the need for alternative food during the dry season. This study aims to document the stages of traditional Sikapa processing carried out by the community of Tapuan Hamlet, Tungka Village, Enrekang Regency. The study used a qualitative descriptive approach through direct observation and visual documentation without conducting laboratory tests. The results showed that the processing process includes nine main stages, starting from raw material selection, peeling, slicing, soaking in salt water, further soaking in running water, steaming, drying, to the final processing into Sikapa Chips and Sokko Sikapa. All stages are carried out consistently based on local knowledge passed down from generation to generation. This management produces food products that are shelf-stable, thus potentially supporting food security during the dry season. This documentation provides a factual description of community practices and serves as a basis for further research that assesses chemical aspects and food safety in more depth.
traditional processing; Dioscorea hispida; local knowledge; alternative food.
Gadget Use and Language Development in Children Aged 4–6 Years: A Multinomial Logistic Regression Study
The rapid development of technology supported by various attractive gadget features is believed to have a relationship with the golden age period in children. The multinomial logistic regression analysis revealed significant associations between gadget use intensity and language development categories. Specifically, higher gadget use was associated with increased odds of children falling into the 'appropriate' and 'questionable' language categories relative to the 'deviation' category, highlighting a complex, non-linear dynamic in digital exposure. This study aims to determine the effect of gadget use on children's language development aged 4-6 years in children. This type of research uses quantitative with descriptive analysis techniques, univariate, and multinomial logistic regression analysis. The study population was children aged 4-6 years in one kindergarten totaling 71 people and selected based on total sampling technique. The research instruments used, namely the Developmental Pre-Screening Questionnaire (KPSP) and the Gadget Use Intensity Scale. The results of this study indicate that the use of gadgets has a significant impact on children's language abilities, with a positive correlation in appropriate and questionable language skills, and a negative correlation in language abilities that show deviations. This research shows that the use of gadgets has a significant impact on the language development of children aged 4-6 years. Therefore, schools are expected to continue providing activities that stimulate children's language development, while parents are expected to monitor gadget usage at home.
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.
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.
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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.
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.