Miracle Journal of Public Health (MJPH)
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Effectiveness of Health Education Methods on Awareness and Compliance of Iron Tablet Consumption in Adolescent Girls
Full text linkAnemia in adolescent girls is a global health problem with a prevalence of 30%, while in Indonesia, the figure reaches 48.9%, which is mostly caused by iron deficiency. One of the efforts to prevent and manage anemia in adolescent girls is through health education on consuming Blood Additive Tablets (TTD). This study aims to evaluate the effectiveness of health education methods in increasing awareness and adherence of adolescent girls to the consumption of TTD. The study used a systematic review method with PRISMA guidelines. Literature was obtained from online databases such as ScienceDirect, Google Scholar, and ResearchGate, which were selected based on inclusion and exclusion criteria. Of the ten articles analyzed, it was found that health education methods significantly improved adolescent girls' awareness and adherence to TTD consumption. An approach that combines lectures with media, such as PowerPoint presentations, videos, and demonstrations (mixed media education intervention program), effectively improved adolescents' knowledge and behavior regarding TTD
Analysis of Medical Waste Management Compliance in Health Facilities in Indonesia
Full text linkMedical waste management in healthcare facilities is a critical issue in Indonesia due to its significant impact on public health and the environment. This study evaluates medical waste management practices and compliance levels by analyzing secondary data, including government reports, academic studies, and policy documents. The research method used was qualitative, utilizing secondary data, including peer-reviewed articles from databases such as ScienceDirect, PubMed, and Scopus, as well as relevant government and non-governmental organization (NGO) reports. The analysis resulted in three main findings: (1) Medical Waste Management Practices: mapping the actual condition of medical waste management in healthcare facilities; (2) Policy and Implementation Gaps, indicating a lack of regulatory oversight and enforcement; and (3) Diverse Operational Challenges: covering limited institutional capacity, staff training, resources, and awareness of the importance of medical waste management. Multifaceted strategies, including strengthening the regulatory framework, improving staff education and training, and allocating adequate resources, are recommended to address these challenges. This study offers concrete recommendations to improve the effectiveness of medical waste management in health facilities in Indonesia
Profile of Male Smoking in Rural: Descriptive Study of Timbuseng, Gowa Regency
Full text linkRural areas have different characteristics compared to urban areas, such as lower education levels, limited access to health information and services, and strong social and cultural influences on smoking behavior. These factors may influence smoking behavior patterns among villagers, where smoking is often more socially and culturally acceptable. This study aimed to describe community smoking behavior in Timbuseng Village. This study used a quantitative descriptive design. The population of this study was the entire Timbuseng Village population of 2,054 men, with a sample of 226 people who engage in smoking activities selected using an accidental sampling technique. The description of the smoking behavior of the male community of Timbuseng Village is primarily farmers, education level, low economic status, and choose filter cigarettes in their smoking activities; most families in Timbuseng Village have fathers and children who have the status of smokers at the same time. Smokers in Timbuseng Village have carried out their daily activities as farmers, with an open environment or outside the building motivating farmers to smoke. Hopefully, this research will be developed to improve the analysis of factors influencing male smoking behavior in Timbuseng Village.  
The First Phase of the Filariasis Transmission Assessment Survey (TAS) in Ambon City
Full text linkLymphatic Filariasis is a chronic infectious disease that remains a public health problem in Indonesia as it can cause permanent disability and is prevalent in most parts of the country. In 2023, 7,995 chronic cases were recorded. This survey aimed to assess filariasis transmission in Ambon City, specifically to determine the microfilariae rate (Mf rate). This research is a quantitative study with a cross-sectional design. This activity also evaluates the Mass Filariasis Disease Eradication Program (POPM) implemented in Ambon City in five years, from 2015 to 2019. The population in this survey was Ambon City, which was over 18 years old, with a total of 249,608 people. The sample consisted of 1,230 respondents from 30 clusters representing five sub-districts in Ambon City. Sample selection was randomized using the Survey Sampler Builder (SSB) application. The survey results showed that the Mf rate of Ambon City at stage 1 of the Transmission Assessment Survey (TAS) was 0.08%, with only one positive slide out of 1,230 samples, which was below the threshold. In conclusion, filariasis transmission in Ambon City has been successfully reduced. It is recommended that the Ambon City Health Office provide treatment to respondents identified as positive and continue to control infectious vectors in the area
Evaluation of Health Promotion Implementation at General Ahmad Yani Hospital, Metro City
Full text link The implementation of health promotion in hospitals faces various obstacles, one of which is the passive attitude of hospitals that only wait for patients to come without paying attention to health aspects in the surrounding environment. This study evaluates the suitability of implementing standards I, II, III, and IV of Hospital Health Promotion (PKRS) at RSUD Jenderal Ahmad Yani Metro City. The study used a qualitative approach with descriptive methods and involved eight informants. Data were collected through in-depth interviews, observation, and documentation. The results showed that the implementation of PKRS regulations at RSUD Jenderal Ahmad Yani has yet to reach the optimal level. Standard I has yet to be met due to the lack of regulation related to CHAP in the Hospital Strategic Plan (Renstra). In standard II, no health promotion needs assessment has been conducted for various related parties. Meanwhile, in standard III, health promotion interventions have been carried out well for patients and families, although there are still areas for improvement in interventions for hospital human resources. Standard IV shows that monitoring and evaluation have yet to be implemented consistently. Implementing the PKRS regulation at RSUD Jenderal Ahmad Yani still requires improvement to reach the optimal level
Factors Associated with Musculoskeletal Disorders Complaints of Medan Selayang Laundry Workers
Full text linkMusculoskeletal Disorders (MSDs) complaints are often experienced by informal sector workers, including laundry workers, due to non-ergonomic work activities. This study evaluates the factors associated with MSD complaints among the Medan Selayang Sub-district laundry workers. The research design used a cross-sectional approach with 68 laundry workers as samples selected by purposive sampling. Data were collected using the Nordic Body Map questionnaire and analyzed using the Chi-Square test and multiple logistic regression to identify significant risk factors. The results showed that age (p=0.000), gender (p=0.045), tenure (p=0.002), and length of service (p=0.000) had a significant association with MSD complaints, while body mass index (BMI) showed no significant association (p=0.822). Multivariate analysis identified length of work as the most influential factor in MSD complaints with an Exp(B) value of 198.113. Recommendations include implementing occupational health and safety programs focused on high-risk workers, counseling on ergonomics, and setting policies related to work duration. These efforts are expected to reduce MSD complaints and improve the welfare of laundry workers
Trends in the Epidemiological Distribution of ARI Cases in Toddlers in Kendari City in 2021-2023
Full text linkAcute Respiratory Infections (ARI) cause an estimated 4 million deaths each year, with infants, children and the elderly being the groups most at risk. Every year, more than 2 million children under five years of age die from ARI. This study aims to describe trends in the incidence of ARI in children under five years of age in Kendari City from 2021-2023. This type of research is descriptive, with an observational research design. The population and sample of this study were all toddlers who suffered from ARI in Kendari City in 2021-2023, totalling 23,508 toddlers (total sampling). The results showed that the number of ARI cases in toddlers in Kendari City increased yearly. In 2021, the prevalence was 24%; in 2022, it increased to 36.2%; in 2023, it reached 39.7%. During 2021-2023, the number of ARI cases among male toddlers (52.7%) was higher than among female toddlers (47.2%). Based on age group, 25.2% of cases occurred in toddlers aged <1 year, while 74.7% occurred in toddlers aged 1-<5. The health centre with the highest number of ARI patients is Puskesmas Puwatu, with a case contribution of 15.5%, while Puskesmas Jatiraya has the lowest number of cases, which is 0.9%. This study concludes an increasing trend in children under five with ARI in Kendari City from 2021-2023. Therefore, it is recommended that the health centres educate through posyandu activities about the dangers of ARI in toddlers and effective prevention and control efforts
The Effect of Health Literacy Using Snakes and Ladders on HIV/AIDS Against Adolescent Risk Behavior
Full text linkIn 2022, Waimital Village recorded 4 HIV cases among adolescents, two of whom died. Preliminary research indicated that these cases were influenced by low health literacy among adolescents. This study aims to analyze the relationship between health literacy using Snakes and ladders media about HIV/AIDS and risky behavior among adolescents. This study used a quantitative design with a Quasi-Experimental approach. The study population was 123 adolescents, and the sample was calculated using the Lameshow formula to obtain 56 respondents. Data were analyzed using the Wilcoxon test because the data distribution was unexpected. The results showed a significant relationship between health literacy and adolescent behavior after the intervention (p-value=0.048). Two interventions using Snakes and Ladders media effectively improved health literacy and influenced adolescents' actions toward risky behaviors. It is expected that health centers, village officials, and schools can implement health literacy programs directly and consistently to reduce risky behaviors in adolescents
Description of Nutritional Status and Diet of Mothers in Families at Risk of Stunting
Full text linkThe stunting prevalence in Southeast Sulawesi reached 27.7% in 2022, and 21.5% of children were stunted in 2023, based on the Indonesian health survey. Reducing stunting requires targeted assistance to families at risk, including pregnant women, nursing mothers, and children aged 0-59 months. This study aimed to assess mothers' nutritional status and dietary patterns in families at risk of stunting in Punggaloba and Dapu-Dapura Villages, West Kendari District, Kendari City, in 2024. Using an observational descriptive survey, 110 mothers were selected through random sampling. The results revealed that 2.7% of participants were undernourished, 69.1% had normal nutritional status, and 28.2% were obese. While 71.8% demonstrated good meal frequency, dietary quality was generally poor, marked by insufficient macro- and micronutrient intake, and 65.5% lacked dietary diversity. Nutritional status was categorized as usual, but dietary patterns remained suboptimal. Improved dietary practices are recommended to meet nutritional needs effectively
Analysis Of Daily Physical Activities On Mentrual Disorders In Students Of The Faculty Of Public Health Halu Oleo University
Full text linkMenstrual disorders mainly occur in late adolescence. This condition occurs in the first two years after menarche. This study aims to analyze daily physical activity and irregular menstrual disorders in students at the Faculty of Public Health, Halu Oleo University. The research design used was a cross-sectional study. The subjects in this research were students from the Faculty of Public Health, Halu Oleo University, class 2020-2022, who met the inclusion and exclusion criteria of 90 respondents. The results of this study showed that 50% of respondents were in the moderate physical activity category, and the majority (62.2%) experienced irregular menstrual disorders. The results of statistical analysis of physical activity on menstrual disorders obtained p-value=0.000 (p<0.05). This research concludes a significant relationship between physical activity and menstrual disorders in students at the Faculty of Public Health, Halu Oleo University. Female students need to control their physical activity to overcome menstrual disorders