E-Journal Unismuh Palu - Universitas Muhammadiyah Palu
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Determinants of Long-Term Contraceptive Method among Reproductive-Aged Women in Sulawesi Island (Data Analysis of IDHS 2017)
No full textIntroduction: Long-Term Contraceptive Methods are contraceptive methods that, once used, last for a long period, ranging from 3 years to a lifetime. LTCMs are considered highly effective compared to non-LTCMs, with a success rate above 95%. Overall, the coverage of LTCM usage in Indonesia remains low despite a noticeable increasing trend of 10.6% in 2012 and 13.2% in 2017. This coverage is far below the global average in SDGs in 2030, which was 35%, and the targets outlined in the BKKBN Strategic Plan for 2020 (25.11%) and 2024 (28.39%).
Objective: The aim of this research is to identify the determinants of LTCM usage among women of reproductive age and to determine predominant the factors most associated with LTCM usage on the island of Sulawesi.
Method: This cross-sectional study aims to identify the determinants of LTCM usage among reproductive-aged women in Sulawesi Island based on secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS). The population in this study consists of all reproductive-aged women (15-49 years old) who are married and using contraception in the provinces of Southeast Sulawesi, South Sulawesi, West Sulawesi, Central Sulawesi, and North Sulawesi. The data utilized a survey with a complex sample design, and this taken into account during the analysis using weighting. The data analysis employed cox regression to estimate the prevalence ratio.
Result: Out of 2,703 respondents, 519 (22.5%) were using LTCMs. Statistical tests indicated associations between predisposing factors such as age, education, occupation, knowledge about family planning (FP), number of children, and economic status, reinforcing factors like decision-making autonomy regarding FP, and supportive factors such as access to FP services and FP information media with LTCM usage among reproductive-aged women in Sulawesi Island. The most influential supportive factor was access to FP services in the government sector, with a 30.1% influence, having a 2.2 times higher likelihood of LTCM usage with a p-value of 0.001 and 95% CI 1.79 - 2.88.
Conclusion: There is a relationship between predisposing factors such as age, education, occupation, knowledge about family planning (FP), number of children, and economic status, reinforcing factors influencing decision-making regarding family planning, and supportive factors of family planning service sources and media information on family planning, with the use of long-term contraceptive methods (LTCM) among women of reproductive age in Sulawesi Island. The most dominant factor associated is the supportive factor of family planning service sources in the government sector
Analysis of the Availability of Medical Laboratory Technology Experts (ATLM) Based on the Minimum Energy Standard of Permenkes No. 43 of 2019 in Indonesia Year 2023
No full textIntroduction: Medical Laboratory Technology Experts (ATLM) as one type of health worker, are authorized to organize or practice in the health sector according to their expertise. The ideal ratio of Community Health Centers (Puskesmas) to districts is at least 1 Puskesmas per sub-district, and the minimum staffing standard based on Minister of Health Regulation No. 43 of 2019 for ATLM personnel in Puskesmas is 1 (one), both in Urban, Rural, Remote, and Very Remote Puskesmas.
Method: The purpose of this study is to analyze the suitability of ATLM personnel with minimum staffing standards based on the Minister of Health Regulation No. 43 of 2019 in Indonesia. The qualitative research method describes the availability of ATLM personnel at the district/city/provincial level in Indonesia, using secondary data from the Ministry of Health's Health Human Resources Information System (SISDMK) for 2022.
Result: The results showed that there is still a shortage of medical laboratory technologists in Puskesmas at the district/city/provincial level in Indonesia, with 1,486 Puskesmas experiencing a shortage out of a total of 10,436 Puskesmas in Indonesia
Kualitas Pelayanan dan Kepuasaan Pasien pada Implementasi Program Kesehatan Gratis di Kabupaten Belu: Service Quality and Patient Satisfaction in the Implementation of Free Health Program in Belu Regency
No full textLatar belakang: Kebijakan program kesehatan gratis bagi masyarakat di Kabupaten Belu merupakan salah satu transformasi kesehatan oleh Pemerintah Daerah Kabupaten Belu. Implementasi kesehatan gratis perlu dikaji kebermanfaatan dan keberlanjutan programnya.
Tujuan: Penelitian ini bertujuan untuk mengkaji kualitas pelayanan kesehatan dan kepuasaan pasien penerima manfaat implementasi program kesehatan gratis di Kabupaten Belu guna memberi masukan bagi perbaikan program.
Metode: Penelitian ini menerapkan metode deskritif kualitatif dan yuridis empiris. Teknik pengumpulan data menggunakan studi kepustakaan dan studi lapangan. Studi lapangan menggunakan teknik wawancara, observasi dan focus group discussion yang melibatkan pemangku kebijakan, pelaksana pelayanan kesehatan dan masyarakat penerima manfaat program kesehatan gratis di Kabupaten Belu.
Hasil: Ketersediaan sarana prasarana kesehatan di Kabupaten Belu sudah memenuhi syarat, namun pada kondisi geografi dan topografi diwilayah tertentu aksesibilitasnya masih rendah. Sebagian besar tenaga kesehatan sudah memenuhi standar ideal, namun perlu ada kajian dan regulasi lanjutan tentang rasio sumber daya kesehatan dan rasio fasilitas kesehatan agar tercapai standar pelayanan minimum. Keberhasilan program dan layanan kesehatan setelah implementasi program kesehatan gratis meningkat secara signifikan. Sebagian besar masyarakat sangat puas dengan manfaat kesehatan gratis, namun masih terdapat masyarakat yang menyatakan tidak puas karena masih kurangnya empati petugas kesehatan dalam pelayanan. Status peraturan kesehatan gratis juga perlu ditingkatkan menjadi peraturan daerah agar legal standing dan kekuatan hukumnya dapat dipertanggungjawabkan.
Kesimpulan: Masyarakat sangat membutuhan keberlanjutan program kesehatan gratis, sehingga perlu dilakukan monitoring dan evaluasi serta sosialiasi program secara kontinue terutama tranformasi etika budaya dan empati tenaga kesehatan, dalam rangka meningkatkan mutu pelayanan kesehatan yang humanis dan profesional.
 
Relationship between Knowledge with Hypertension Control Behavior in Sumuragung Village, Sumberrejo, Bojonegoro
No full textIntroduction: Hypertension is a non-communicable disease whose case trend continues to increase from year to year. Although hypertension is a disease that is suffered by many people in Indonesia, in reality there are still many people who do not understand about hypertension and do not apply hypertension control behavior. The formation of health behavior can be influenced by individual knowledge in viewing a disease. Insufficient knowledge of hypertension can have an impact on hypertension that is difficult to cure and is fatal to the emergence of various complications.
Objective: To determine the relationship between knowledge with hypertension control behavior in hypertensive patients in Sumuragung Village, Sumberrejo District, Bojonegoro Regency.
Method: This study was conducted in Sumuragung Village, Sumberrejo District, Bojonegoro Regency in December 2022-January 2023. The research design used was quantitative with a cross sectional study approach and obtained a sample of 91 respondents with hypertension aged 45 years or more. The sampling technique used probability sampling with the simple random sampling method. Meanwhile, the data collection technique was carried out door to door and the instrument used was an interview using a questionnaire sheet that had been tested for validity and reliability. Data were analyzed univariately in the form of frequency distribution and bivariate using the Chi Square test.
Result: It was found that there were 45 respondents who had good knowledge about hypertension and good hypertension control behavior and there were 18 respondents who had poor knowledge and poor hypertension control behavior. From the results of the chi square test obtained a p value of 0.001.
Conclusion: There is a relationship between knowledge with hypertension control behavior in hypertensive patients in Sumuragung Village, Sumberrejo District, Bojonegoro Regency
Disaster Preparedness Among University of Indonesia’s Public Health Student: A Campus Study
No full textIntroduction: This study examines the disaster resilience of students from the Faculty of Public Health at the University of Indonesia. It employs a quantitative descriptive cross-sectional design with a sample size of 417 individuals.Objective: The objective of this study is to assess the level of disaster resilience among students of the Faculty of Public Health at the University of Indonesia and identify areas for improvement.Method: A quantitative descriptive cross-sectional study was conducted among 417 students from the Faculty of Public Health at the University of Indonesia. Data were collected using a structured questionnaire focusing on various aspects of disaster resilience, including awareness of disaster potential, preparedness, education sources, insurance ownership, disaster response, and knowledge of nearby clinics/hospitals.Result: The findings indicate that overall, the level of disaster resilience among students of the Faculty of Public Health at the University of Indonesia is satisfactory. However, there is room for improvement in certain areas such as disaster preparedness, knowledge of early warning systems, training or simulation, and readiness for disasters.Conclusion: In conclusion, while students demonstrate a commendable level of disaster resilience, there is a need for enhancement in specific areas. This could include improving disaster preparedness, increasing knowledge of early warning systems, providing training or simulation exercises, and enhancing overall disaster readiness
Neno Boha: Local Wisdom of the Dawan Community tn Postpartum Mothers in Binaus Village
No full textIntroduction: Health promlems in Indonesia include high maternal and infant mortality rates. The causes are varied, including economic factors, access to health facilities, and community beliefs and traditions. In Binaus Village, there is a Neno Boha tradition for caring for mothers after giving birth, which involves roasting, hot water compresses (tatobi), abstinence, and consuming potions. This research aims to understand the implementation of the Neno Boha tradition and its impact on maternal and infant health
Methods: This research uses a qualitative method with an ethnographic approach to postpartum mothers who follow the Neno Boha tradition. Data was collected through in-depth interviews and participant observation, then analyzed thematically by coding the interview transcripts to produce sub-themes and themes. The results are presented in descriptive text.
Results: Data analysis shows that the Dawan tribe women in Binaus Village still carry out the Neno Boha tradition because of this belief passed down from generation to generation. They believe that this tradition helps restore health and heal post-natal wounds. Mothers continue to observe Neno Boha even after giving birth in a health facility and taking medication, because they believe this tradition prevents various long-term illnesses. The practice of roasting and tatobi is thought to help expel dirty blood, making the mother feel healthier. However, for the sake of the baby's health, the practice of roasting is now done only with hot coals and in the main house
Conclusion: Traditional care for mothers after giving birth is still carried out by the Dawan tribe community in Binaus Village. The mother feels that the Neno Boha tradition needs to be carried out in addition to medical treatment, by avoiding things that could harm the mother and baby
Analysis of Occupational Safety and Health (OSH) Risks in Hospitals: Literature Review
No full textIntroduction: As one of the workplaces that poses significant risks to occupational safety and health, hospitals have the potential for the emergence of infectious diseases among staff, patients, and even visitors. Essentially, all healthcare workers, including healthcare professionals, are at risk of being exposed to hazards in the workplace.
Objective: To determine the extent and types of health and safety risks present in Indonesian hospitals, researchers conducted further assessment through a systematic literature review.
Method: Data collection was carried out using specified categories on the Google Scholar search page, while the data filtering method was conducted by applying the PRISMA analysis method, resulting in six research articles being reviewed in this study.
Result: From the various studies reviewed, it is known that occupational health and safety hazards have the potential to result in numerous risks, including bacteria; cough and cold; dizziness; sneezing; Covid-19; animal disturbances; musculoskeletal disorders; hepatitis A; hepatitis B; HIV; nosocomial infections; fungi; falls; fatigue; heat; medical waste fluid contamination; medical waste; bruises; sore eyes; muscle pain; low back pain; joint pain; panic; exposure to hazardous and toxic materials; poor lighting; incorrect posture; attacks from patients; shortness of breath; work stress; scratches; falls from stairs; slips; being hit; stumbling; paper cuts; electric shocks; viral infections; being hit by objects; needle pricks; typhus; tuberculosis; and other viruses. These risks are categorized as physical, chemical, biological, ergonomic, and psychological hazards. Additionally, each risk has different levels of severity (high, medium, low) in each case.
Conclusion: Occupational health and safety hazards in hospitals encompass a wide range of risks, categorized into physical, chemical, biological, ergonomic, and psychological hazards. These include infectious diseases like Covid-19, hepatitis, and tuberculosis; physical injuries from falls, slips, and needle pricks; exposure to hazardous chemicals; ergonomic issues; and psychological stress
The Effect of Education Using Media Modules on Non-Communicable Disease Control in Posbindu Cadres
No full textIntroduction: Non-communicable diseases are a major global health issue, being the leading cause of death around the world. Based on data obtained from the 2022 Malang City Office NCD pain surveillance report, 165,993 NCD cases were recorded. The incidence of NCDs arises from a combination of risk factors that cannot be combined and can be combined. The government has created a PTM Posbindu program to overcome NCDs.
Objective: The purpose of this study is to determine the importance of the influence of education using module media on non-communicable disease control in posbindu cadres.
Method: This study used quantitative methods with a cross sectional approach. The sampling technique in this study is total sampling, namely all posbindu cadres in the Janti Health Center work area.
Result: The results showed that the knowledge of posbindu cadres before education showed that most respondents had less knowledge. Meanwhile, the knowledge of posbindu cadres after being given education shows that some respondents have good knowledge. From the results of Wilcoxon's analysis, p = 0.000 means that the p value < the value of ? (0.05) means that Ha is accepted, indicating that there is an influence of education using module media on non-communicable disease control in cadres.
Conclusion: Conclusion, with this research media module proved effective as an effort to increase the knowledge of posbindu cadres
Differences in Mother's Knowledge, Energy Consumption, and Protein in Stunted Toddlers between Nutrition Education with Video Media and Without Video Media in Purwodadi Village, Blimbing District, Malang City
No full textntroduction: Mothers' lack of understanding regarding MP-ASI will affect toddlers' nutritional intake. Nutrition education using video media can increase mothers' knowledge of the importance of meeting toddlers' nutritional intake.
Objective: To analyze differences in maternal knowledge levels, levels of energy consumption, and protein in stunted toddlers between nutrition education with video media and without video media in Purwodadi Village, Kec. Blimbing, Malang City.
Method: The research method used is a quasi-experimental method with a two-group pre and post-test design, a purposive sampling technique. The total sample obtained was 18 mothers of toddlers who were divided into two groups. Education was carried out three times, and each time the education was carried out for 60-90 minutes. The knowledge of mothers of toddlers, energy, and protein consumption of toddlers before and after were tested using the Paired Sample T-Test because the data was normally distributed, while the knowledge of mothers of toddlers, energy, and protein consumption of toddlers between the treatment and control groups used the Independent Sample T-Test.
Result: The research results showed that the average knowledge before education was (62.2 ± 11.7) and after (92.8 ± 6.1) in the treatment group, while in the control group, the average knowledge of nutrition before education was (62.2 ± 11.7) and after (79.4 ± 6.8). The average energy consumption of toddlers in the treatment group before education was (66.3 ± 11.6) and after (98.5 ± 8.6), while in the control group, the average energy consumption of toddlers before education was (70.9 ± 26.3). and after (88.2 ± 26.3). Apart from that, the average protein consumption in the treatment group before education was (70.3 ± 13.1) and after (96.2 ± 11.0), while in the control group, the average protein consumption before education was (76.6 ± 23.5). and after (83.1 ± 21.9). Apart from that, there were differences in nutritional knowledge of mothers of toddlers, energy consumption, and protein for toddlers between education with video media and without video media (p<0.05). These results are presented in Tables 8, 10, and 12 to see any differences between the treatment and control groups.
Conclusion: This research concludes that there are differences in maternal knowledge, energy consumption, and toddler protein between nutrition education with video media and without video media
Relationship Between Satisfaction and Employee Performance at Scholoo Keyen Hospital in 2024
No full textIntroduction: Human resources (HRM), as the main organ of an organization, plays a critical role in achieving the organization's goals. The degree of patient satisfaction is influenced by how the hospital serves them.
Objective: The goal of this study is to determine the relationship between staff satisfaction and performance at the Scholoo Keyen District General Hospital in Sorong South District.
Method: Researchers gather data from a group of respondents using a type of survey research, a quantitative research method, to try to understand how a particular phenomenon can occur.
Result: The results of research based on performance variables show that the performance category is less than 0 people (0%), adequate is 11 people (8,3%), and the good category is 121 people (91,7%). The satisfaction variable shows the category of less than 0 people (0%), 34 people (25,8%) in the fair category, and 98 people (74,2%) in the good category. The Kruskall-Wallis test results show variable satisfaction with employee performance, with a p-value of 0,000.
Conclusion: According to the Kruskal-Wallis test, the p-value for satisfaction with employee performance was 0.000. p-valued 0,000 < 0,05 until Ho rejected If accepted, we can assert a relationship between employee satisfaction and performance in the RSUD Scholoo Keyen district of Sorong South