E-Journal Unismuh Palu - Universitas Muhammadiyah Palu
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Socioeconomic Disparities in Infant Mortality: Evidence from the 2017 Indonesia Demographic and Health Survey
No full textIntroduction: Indonesia did not meet the MDGs and SDGs targets. Factors contributing to the reduction of infant mortality in Indonesia in the last decade need to be understood.
Methods: This cross-sectional study uses a dataset from the 2017 Indonesia Demographic and Health Survey (IDHS). The sample size is 3413 infants. Multiple logistic regression results are performed by odds ratio (OR).
Results: Infants living in the middle wealth index were at higher risk of infant death compared to infants with the poorest and poor counterparts (AOR=1.73; 95% CI=1.14~2.61). The risk of infant death was almost two times higher among infants who were born in Sumatera (AOR=1.83; 95% CI=1.02~3.27), Java and Bali (AOR=2.14; 95% CI=1.21~3.76), and Sulawesi (AOR=2.39; 95% CI=1.15~4.96) than infants who were born in Papua and Maluku.
Conclusion: Infants living in the middle wealth index, Sumatera, Java and Bali, and Sulawesi had a higher mortality risk than others
Identification of Urine Specific Gravity in Female Workers Exposed to Hot Environments in Indonesia: A Cross-Sectional Study
No full textntroduction: Dehydration can affect body functions related to temperature regulation and blood circulation. Persistent dehydration can lead to fatigue, impaired concentration, and kidney dysfunction. Workers in labor-intensive environments, such as the brickmaking industry, are at a higher risk due to strenuous physical activity and prolonged exposure to high temperatures. Direct sunlight and the brick-firing process further increase the risk of fluid loss, highlighting the need to assess hydration status among brickmaking workers.
Methods: This study employed a cross-sectional design involving 105 brickmaking workers. Individual characteristic factors, worker habit factors, work factors and work environment factors as independent variables, while the dependent variable was hydration status. Hydration status was measured using reagent strips for urinalysis, and other variables were collected through structured interviews using a questionnaire. Data collection was conducted over a period of 14 days. Data were analyzed using the Spearman rank correlation test and multiple linear regression to identify the most influential factors.
Results: The majority of study subjects were severely dehydrated, as indicated by Urine Specific Gravity (USG) measurements ranging from 1021 to 1030. The highest distribution was found in the USG range of 1026–1030, with a percentage of 36.2%. Significant factors associated with hydration status included water consumption (p = 0.000), physical workload (p = 0.000), and clothing use (p = 0.005). Other factors, such as age, nutritional status, work duration, years of experience, and heat stress, did not show a significant relationship with hydration status. Multiple linear regression analysis revealed that water consumption had the most significant influence on hydration status (p=0,000).
Conclusion: Water consumption significantly impacts hydration status. These findings highlight the need for hydration education and workplace interventions, such as accessible drinking water and awareness programs, to enhance worker safety and health in brickmaking environments
Evaluating EMR Adoption and Its Effect on Organizational Performance: A Quantitative Study Using SEM-PLS in Type-C Hospitals in Kupang City
No full textIntroduction: This study aims to identify key determinants influencing EMR adoption and measure their subsequent impact on organizational performance in Type-C hospitals, emphasizing internal organizational factors, user acceptance, and adaptability to healthcare policy dynamics. With persistent implementation gaps in low-resource settings despite national mandates our objective was to explore user-centered determinants of EMR success and address the shortcomings of top-down health digitalization strategies in developing countries.
Methods: This cross-sectional explanatory study involved a survey-based quantitative design conducted across three Type-C hospitals in Kupang City, Indonesia, between January and March 2024. A total of 282 healthcare professionals, selected using stratified random sampling, participated in the study. Data were collected using a validated Likert-scale questionnaire measuring variables such as human capital, task-technology fit, and system acceptance. Given the non-interventional nature of this study, adherence to ethical research standards including voluntary informed consent, and obtained administrative approvals from relevant local government authorities, formal ethical approval was waived as per prevailing national guidelines.
Results: The primary outcome of the study was the identification of key drivers of EMR acceptance, with human capital (? = 0.205; p < 0.001), task-technology fit (? = 0.203; p = 0.001), and effort expectancy (? = 0.176; p < 0.001) showing significant influence. Additionally, user satisfaction was found to mediate the relationship between acceptance and organizational performance (? = 0.728; p < 0.001). External variables such as perceived cost and government policy showed no significant effect (p > 0.05). The strongest indirect effect on performance was recorded via the pathway: Acceptance ? Satisfaction ? Performance (? = 0.394; p < 0.001).
Conclusion: In conclusion, our study contributes to the understanding of EMR adoption in resource-constrained health systems by highlighting the dominant role of internal capabilities over external mandates. This research provides insights into the importance of user satisfaction and system alignment in shaping digital health success. Future studies should explore longitudinal impacts and the role of organizational culture, ultimately advancing knowledge in the field of international health informatics
Strengthening Food Security of Jember District Throug Commodity-Added Value Analysis Soybean in Agroindustry “Saudara Jaya”
No full textOne of the development successes is in the agricultural sector related to food commodities. Food crops are one of the farming subsectors that have an important role in the Indonesian economy, such as providing added value for commodities that get treatment (agro-industry). An example of added value is making agricultural products as new products that are long-lived and ready for consumption. The added value generated can increase revenue. One of the farming subsectors that gets a lot of treatment (processing) is food commodities such as soybeans. Soybeans can be consumed directly or in processed form. Soybeans in processed form can be used as, tempeh, soy sauce, milk, sauce, and so on. is a snack made from soybeans and consumed as a companion to rice. Gebang Village is one of the villages in Patrang District, Jember Regency which has many agro-industries, one of which is "Saudara Jaya”. This study aims is to determine the added value of soybean processing in the "Saudara Jaya” agroindustry. The research methods used are descriptive and analytical. The data collection method uses primary and secondary data. Data analysis tools use value-added analysis using biological methods. The results showed that: The added value of "Saudara Jaya" agroindustry provides a positive value of Rp.7,970/kg, a value-added ratio of 32%, and a profit of Rp. 6,620/kg with a profit rate of 27% for large . Meanwhile, small-sized has a value-added result of Rp. 20,792/kg with a value added ratio of 60%, a profit of Rp. 20,214/kg with a profit rate of 59%
Control of Raw Material Inventory to Fulfill Consumer Demand for Refil Perfume at Fadil Perfume in Ogotua Village Toli-Toli Regency
No full textThis study aimed to analyse the control of raw materials inventory to meet consumers' demands for refill perfume at Fadil Parfum, using a quantitative research approach. The analysis method applied in this research was the Economic Order Quantity (EOQ) method. Based on the analysis conducted, the EOQ method provided more optimal and economical inventory control results for refill perfume raw materials at Fadil Parfum in Ogotua Village, North Dampal District, Tolitoli Regency, compared to the inventory policy previously implemented by the store. The EOQ method resulted in ordering larger quantities of raw materials with lower ordering frequency, which helped minimise the total ordering costs.
 
Uji Efektivitas Perasan Daun Sirsak dan Biji Sirsak (Annona Muricata Linn) sebagai Larvasida Nabati Terhadap Mortalitas Larva Nyamuk Anopheles sp. : Effectiveness Test of Soursop Leaf and Soursop Seeds Juice (Annona Muricata Linn) as Vegetable Larvacides Against Mortality of Mosquito Larvae of Anopheles sp
No full textAnopheles sp merupakan vektor penyakit malaria yang sampai kini masih menjadi ancaman kesehatan global. Pengendalian populasi nyamuk Anopheles sp secara kimiawi menggunakan larvasida nabati dinilai lebih ramah lingkungan. Tujuan penelitian untuk mengetahui efektivitas perasaan daun sirsak dan biji sirsak (Annona muricata Linn) sebagai larvasida nabati terhadap mortalitas larva nyamuk Anopheles sp. Jenis penelitian adalah Quasi Eksperimen dengan rancangan acak kelompok (RAK). Populasi penelitian adalah larva Anopheles sp. Jumlah sampel sebanyak 600 ekor larva yang ditempatkan pada konsentrasi 10%, 15%, dan 20%, dengan pengulangan sebanyak 3 kali dan diamati mortalitas larva setelah 24 jam. Data dianalisis menggunakan uji One-Way ANOVA dan Uji Kruskal-Wallis. Hasil penelitian menunjukkan bahwa hasil tertinggi berada pada perasan biji sirsak dengan konsentrasi 20% dengan mortalitas sebesar 100%, sedangkan hasil terendah berada pada perasan daun sirsak dengan konsentrasi 10% dengan mortalitas sebesar 70%. Penelitian ini diharapkan dapat menjadi pengendalian vektor penyakit malaria yang ramah lingkungan
Pengaruh Penyuluhan Kesehatan Terhadap Pengetahuan, Sikap, dan Tindakan Masyarakat di Desa Sibowi Wilayah Kerja Puskesmas Kamaipura Kabupaten Sigi: The Influence of Health Counseling on Community Knowledge, Attitudes, and Actions in Sibowi Village, Kamaipura Health Center Working Area, Sigi Regency
No full textPerilaku Hidup Bersih dan Sehat (PHBS) merupakan salah satu upaya strategis dalam meningkatkan derajat kesehatan masyarakat yang dilakukan melalui program pembinaan dan penyuluhan oleh berbagai pihak. Berdasarkan data yang diambil oleh peneliti dari Puskesmas Kamaipura Tahun 2024 menunjukkan bahwa jumlah Rumah Tangga di Desa Sibowi 1.160, jumlah rumah tangga yang disurvey dan dibina untuk perilaku hidup bersih dan sehat 95 rumah tangga. Dari hasil pembinaan terdapat 66 rumah tangga yang berPHBS baik dan 26 rumah tangga yang tidak berPHBS baik. Metode penelitian ini adalah kuantitatif, desain penelitian yang digunakan adalah pre-experimental design dengan pendekatan one group pretest-posttest design. Populasi dalam penelitian ini berjumlah 30 masyarakat Desa Sibowi, sampel yang berjumlah 30 orang. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling. Analisis yang digunakan dalam penelitian ini adalah analisis univariat dan bivariat dengan uji wilcoxon (uji-t berpasangan). Hasil penelitian menunjukkan pengetahuan pre dan post test, nilai P 0,008 < 0,05. Hasil sikap pre dan post test, nilai P 0,212 > 0,05. Hasil tindakan pre dan post test nilai P 0,002 < 0,05. Kesimpulan ada pengaruh penyuluhan terhadap pengetahuan dan tindakan masyarakat sebelum dan sesudah diberikan penyuluhan, namun tidak ada pengaruh pada sikap masyarakat sebelum dan sesudah diberikan penyuluhan di desa Sibowi Wilayah Kerja Puskesmas Kamaipura. Saran Diharapkan bagi pihak Puskesmas Kamaipura, khususnya bagian promosi kesehatan Puskesmas Kamaipura untuk selalu mensosialisasikan program PHBS kepada kader dan masyarakat sehingga masyarakat mendapatkan informasi tentang penting dan manfaat PHBS
Hubungan Pajanan Debu Kayu dengan Kapasitas Fungsi Paru pada Pekerja di Bagian Pengamplasan Industri Meubel Kota Gorontalo: Relationship between Wood Dust Exposure and Lung Function Capacity in Workers in the Sanding Section of the Furniture Industry in Gorontalo City
No full textPekerja di industri meubel, khususnya di bagian pengamplasan, memiliki risiko tinggi terhadap gangguan kesehatan akibat paparan debu kayu. Proses pengamplasan menghasilkan partikel debu halus yang mudah terhirup dan dapat menyebabkan gangguan pada sistem pernapasan. Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan potong lintang (cross-sectional). Sampel penelitian adalah seluruh pekerja pengamplasan dari 44 industri meubel di Kota Gorontalo, berjumlah 44 orang yang diambil menggunakan teknik total sampling. Data dikumpulkan melalui pengukuran fungsi paru menggunakan spirometer, pengukuran konsentrasi debu dengan alat Aerosol Mass Monitor, serta wawancara terstruktur. Hasil menunjukkan 48,9% responden memiliki gangguan fungsi paru sedang, sementara sisanya menunjukkan kapasitas paru normal. Analisis statistik mengungkapkan hubungan signifikan antara usia (p=0,035), lama kerja (p=0,001), masa kerja (p=0,002), penggunaan APD (p=0,010), dan konsentrasi debu (p=0,005) dengan gangguan fungsi paru. Namun, perilaku merokok tidak menunjukkan hubungan signifikan (p>0,05). Simpulan penelitian ini menekankan pentingnya pengendalian pajanan debu kayu melalui peningkatan ventilasi dan penggunaan APD yang konsisten. Edukasi kesehatan bagi pekerja dan pengawasan oleh pihak manajemen industri juga diperlukan untuk menurunkan risiko gangguan fungsi paru. Penelitian ini diharapkan dapat menjadi acuan dalam pengelolaan risiko kesehatan kerja di industri meubel
Hubungan Pengetahuan dan Kecemasan dengan Kesiapan Menghadapi Menarche pada Siswi MTS Negeri 1 Kota Gorontalo: The Relationship between Knowledge and Anxiety with Readiness to Face Menarche in Students of State Islamic Junior High School 1, Gorontalo City
No full textMenarche merupakan menstruasi pertama yang biasa terjadi pada masa awal remaja ditengah masa pubertas sebelum memasuki masa reproduksi. Menarche pada remaja putri biasanya terjadi dalam rentan usia 10-16 tahun. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan kecemasan dengan kesiapan menghadapi menarche pada siswi di MTS Negeri 1 Kota Gorontalo.Metode penelitian survei analitik dengan pendekatan cross sectional. Populasi penitian ini merupakan siswi kelas 7 yang telah mengalami menstruasi. Jumlah sampel pada penelitian ini berjumlah 147 responden dengan menggunakan teknik purposive sampling. Data di analisis menggunakan regresi logistik biner. Hasil penelitian menunjukkan terdapat hubungan ada pengetahuan dengan kesiapan menghadapi menarche pada siswi (p-value=0,006 < ? = 0,05) serta ada hubungan antara kecemasan dengan kesiapan menghadapi menarche pada siswi (p-value=0,000 < ? = 0,05). Nilai R Square 0,495 dimana pengetahuan dan kecemasan memberikan kontribusi sebesar 49,5% terhadap kesiapan siswi dalam menghadapi menarche. Dan sisanya 50,5% dipengaruhi oleh variable lain yang tidak teliti. Kesimpulan, variabel pengetahuan dan kecemasan ada hubungan dengan variabel kesiapan menghadapi menarche pada siswi MTS Negeri 1 Kota Gorontalo. Diharapkan penelitian ini dapat menjadi acuan bagi pihak sekolah dalam meningkatkan edukasi tentang menarche pada remaja putri untuk mengurangi kecemasan dan meningkatkan kesiapan siswi menghadapi menarche
ANALISIS HUKUM TERHADAP KLAUSUL EKSONERASI DALAM PERJANJIAN KERJA SAMA
No full textKlausul eksonerasi, yaitu klausul yang membebaskan salah satu pihak dari tanggung jawab tertentu, merupakan elemen yang kerap ditemukan dalam kontrak kerja sama bisnis. Tujuan utamanya adalah untuk membatasi tanggung jawab hukum dalam menghadapi risiko usaha. Meskipun dapat memberikan kepastian hukum bagi pelaku usaha, penerapan klausul ini seringkali menimbulkan polemik, terutama ketika dipandang tidak adil, bertentangan dengan norma hukum, atau dirumuskan secara sepihak. Penelitian ini bertujuan untuk mengkaji legalitas serta batas pemberlakuan klausul eksonerasi dalam konteks perjanjian kerja sama menurut hukum Indonesia. Hasil kajian menunjukkan bahwa walaupun klausul ini secara umum diperbolehkan, keberlakuannya sangat tergantung pada isi, konteks perjanjian, serta apakah penyusunannya dilakukan secara adil dan dengan kesepakatan sukarela antara para pihak