Window of Health (WOH) : Jurnal Kesehatan
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Spatial Analysis of Microplastics Using the FT-IR (Fourier Transform Infrared) Method in Green Mussel Farmers' Feces
Get PDFMismanagement and waste recycling are still being carried out by many countries, especially Asian countries. Indonesia's plastic waste management is the second highest globally, amounting to 3.22 million metric plastic waste/year. The same data source also estimates that every year Indonesia dumps as much as 0.48 - 1.29 million metric plastic waste into the sea, which is also the second highest in the world. This type of research is an observational research design with a descriptive approach. The sample in this study was ten people. The location of this research is the coast of Barombong, Makassar City. Data were obtained by identifying MPs in feces in the laboratory and identifying the type of polymer using FTIR (Fourier Transform Infrared). The results of the study showed that all positive samples contained microplastics. The types of MPs found were line and fragment forms, with different size and color variations. The types of polymers found in this study are Polypropylene(PP), Ethylene/Propylene Copolymer, Polyethylene(PE), Ethylene/Propylene Copolymer, High-Density Polyethylene(HDPE), Polyester Film, Polypropylene, Isotactic DuraSamplIR-II, High-Density Polyethylene(HDPE) ), Polyester Film(TOYOBO), and Tencel(LENZING Corporation). The conclusion is that the abundance of microplastics found in feces is 0.61 items/gram in the form of Fragments and Line/Fiber. The identified colors are red, transparent, blue, and black. The sizes of the microplastics found were >1 mm and 1.00-4.75 m. From the results of this study, it is recommended to reduce the use of microplastics for various activities and replace them with non-plastic or organic material
Social Support and Anxiety Levels of Pregnant Women During The COVID-19 Pandemic
Get PDFThe COVID-19 pandemic was a global health emergency that caused anxiety, including for pregnant women. In Ireland, clinical anxiety for pregnant women during the Covid-19 pandemic reached 63.4-66.7%. Anxiety in pregnant women increases the hormone cortisol, which suppresses the immune system and increases blood sugar levels, resulting in low birth weight (LBW) babies and delayed fetal growth. Social support influences anxiety in pregnant women. The research aims to determine the relationship between social support and anxiety among pregnant women during the COVID-19 pandemic. The research method is a quantitative survey with a cross-sectional approach. Using a purposive sampling technique, the sample was 397 pregnant women in the Special Region of Yogyakarta Province. Data were collected using the Corona Anxiety Scale questionnaire and social support questionnaire. Data analysis used the Somer's d Gamma test. The results show that the majority of respondents live in Kulonprogo Regency (35.5%), graduated from high school/vocational school (53.7%), do not work (51.9%), family income is the Provincial Minimum Wage and above (70 .3%) and primigravida (63%). Mothers with low social support experienced more anxiety (66.7%). Variables related to anxiety in pregnant women are employment (p-value= 0.024), family income (p-value= 0.023), parity (p-value= 0.024), and social support (p-value= 0.023). The unrelated variable is education (p-value= 0.693). There is a relationship between social support and anxiety among pregnant women during the COVID-19 pandemic. Anxiety is more experienced in pregnant women with low social support. Community health centers as primary healthcare facilities should facilitate access to mental health services by developing clinical teleconsultation and increasing public knowledge about the importance of social support to prevent anxiety
Correlation Between Health Belief Model on Early Mobilization Behavior during the Postpartum Period in Jember Regency
Get PDFMaternal mortality is still a major public health problem. Every day, about 810 women around the world die cause of related to pregnancy, childbirth, and puerperium. Jember Regency has the highest number of maternal deaths in East Java in 2021, namely 115 deaths, of which 61 (53%) occurred during the puerperium. This study aims to determine the relationship between the health belief model and early mobilization behavior during the postpartum period in the Jember District. The health belief model consists of perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. Research with a cross-sectional design was conducted on 123 postpartum mothers in the Jember Regency. A multistage random sampling technique was used to sample the population. Data were collected through questionnaires and observation checklists of mobilization behavior, then analyzed using descriptive data analysis and the Spearman correlation test. The results of the descriptive data analysis showed that 86.2% of postpartum mothers were aged 20-35 years, and 40.7% had a high school level of education. In comparison, the results of the Spearman correlation test showed perceived susceptibility (p=0.000, ρ = 0.346), perceived severity (p=0.001, ρ = 0.309), perceived benefits (p=0.000, ρ = 0.450) and perceived barriers (p=0.000, ρ = -0.428). It can be concluded that perceptions of susceptibility, severity, and benefits have a positive relationship with early mobilization behavior, while perceived barriers have a negative relationship. It is necessary to strengthen community and family empowerment efforts by increasing the role of cadres and families in providing motivation and support to postpartum mothers to carry out early mobilization to prevent complications during the postpartum period and to accelerate recovery in postpartum mothers after giving birth.
 
Patient Satisfaction with Public Health Nursing Services
Get PDFDevelopment efforts in public health are the availability of excellent health services. Public health nurses must have competence, knowledge, skills, and attitudes to realize excellent service. This study aims to determine patient satisfaction with public health nurse services. This type of research uses quantitative research with a cross-sectional study approach, which seeks to analyze variables in accordance with the research objectives, namely patient satisfaction with public health nurse services. The population in this study was all nurses, and it was contained in a structure of 35 people. The sampling technique in this study used the total sampling technique with a sample of 35 respondents. The data analysis method uses bivariate with the chi-square test. The results of the statistical tests showed competence with a p-value of 0.491, work ethics: 0.000, and work discipline 0.046. The conclusion is that patient satisfaction is influenced by ethics and work discipline in providing health services, and patient satisfaction is not influenced by competency certificates. It is recommended that nurses have the ability to implement their skills and knowledge to create excellent health services for patients
Performance Analysis of Posyandu Cadres in the Wonorejo Health Center Work Area, Samarinda City
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The general goal of posyandu is to support the reduction of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia through community empowerment efforts. Cadres are the implementers and main drivers of posyandu activities. Therefore, this research was conducted to determine the relationship between providing transport money, posyandu facilities, and cadre training and the performance of posyandu cadres. This type of research is analytical descriptive research with a cross-sectional approach. The respondents in this study were all posyandu cadres in the Wonorejo Community Health Center working area, namely 167 people from a population of 200 cadres from 2 sub-districts, namely Karang Anyar Subdistrict and Teluk Lerong Subdistrict. The research instrument used was a questionnaire tested for validity and reliability—data processing using SPSS by looking at the Chi-Square test results. The results of the research show that there is no relationship between the provision of transportation money (P value = 1.000), Posyandu facilities (P value = 0.051), and there is a relationship between cadre training (P value = 0.038) and the performance of Posyandu cadres in the Wonorejo Community Health Center working area. Suggestions for the posyandu development team (PKK, Puskesmas, Kelurahan) at regional and city levels are expected to increase the frequency of training. The Samarinda City Health Service, as well as the Teluk Lerong Village and Karang Anyar Village, will provide support and motivation so as to increase the work enthusiasm of cadres, and other researchers will continue research by adding other variables and using other research methods.
 
Husband Participation in Pregnant Women's Classes on Decision Making in P4K (Delivery Planning and Complication Prevention Program)
Get PDFThe maternal mortality rate reaches 305 per 100.000 live births, where 76% of maternal deaths occur in the labor and postpartum phases. The high mortality of maternity mothers is caused by delays in family decisions in handling complications. Delays in getting help are caused by the patient's condition, which is already very severe until the place of referral due to the postponement of the family in making a decision to be referred immediately. The Childbirth Planning and Complication Prevention (P4K) program in the pregnant women's class is an activity facilitated by midwives in the village to increase the active role of husbands, families, and communities in planning safe childbirth and preparing for complications for pregnant women. The study aims to determine the effect of the husband's participation in the pregnant women's class on P4K clinical decision-making. This type of research is observational analytics. The study was carried out in the Working Area of the Soropia Health Center. The total sample was 46 husbands who had pregnant wives, consisting of 23 husbands who participated in the pregnant women's class and 23 husbands who did not participate in the pregnant women's class. The data were analyzed using a chi-square test with the SPSS application. This study shows that, on average, husbands who participate in the course of pregnant women making decisions are in the excellent category. The decision-making in question is preparing for childbirth and preventing complications. The chi-square test results show a value of p=0.000 <α. The husband's participation in the pregnant women's class influences P4K decision-making. Based on this, health workers need to socialize continuously with their husbands about the importance of attending classes for pregnant women so that they can provide knowledge about childbirth preparation and the prevention of complications
Maternal Mortality During the Corona Virus Disease-19 (COVID-19) Pandemic
No full textThe COVID-19 pandemic poses a risk of increasing morbidity and mortality in pregnant women. Pregnant women have a higher case fatality rate and more complications than non-pregnant women due to COVID-19 infection. This study aims to look in depth at maternal deaths during the COVID-19 pandemic at the Karawang District Hospital. This study used a qualitative approach with a case study design. Cases were defined as the deaths of pregnant women during the COVID-19 pandemic period recorded at the Karawang District Hospital as many as 5 cases. involving 13 informants consisting of 5 case family information and eight midwife informants. Data were collected using in-depth interviews, which were carried out by applying health protocols. Data were analyzed descriptively using thematic analysis. This study resulted in four themes: case characteristics, antenatal examination, referral process, and causes of maternal mortality. The results showed that all cases had risk factors in pregnancy. Almost all cases do not undergo regular antenatal checks due to fear and posyandu services that were not available during the COVID-19 pandemic. All cases have delayed conditions in the referral process, such as early detection, decision-making, and delayed arrival at health facilities due to road access and transportation. Another thing that causes delays is waiting for the results of the rapid test to come out of the primary healthcare facility. The cause of maternal death during the COVID-19 pandemic at the Karawang District Hospital does not seem different from before the COVID-19 pandemic, which is complications in pregnancy. It is necessary to increase efforts for early detection of complications by increasing public knowledge and capacity of midwives and improving the referral flow system, especially during the COVID-19 pandemic
E.Coli Bacterial Contamination and Sanitation Hygiene in Refill Drinking Water (AMIU) During the Covid-19 Pandemic
Get PDFRefill Drinking Water Depot (DAMIU) is one of the business activities that is increasing yearly, including in the Makassar City Layang Health Center Work Area. Affordable prices, which are more practical and easy to obtain, make many people consume them. This study aimed to determine the relationship between depot hygiene and sanitation implementation and the bacteriological content of drinking water in the work area of the Layang Health Center Makassar City. This research is descriptive and uses the cross-sectional approach. The sampling technique is total sampling, which takes the entire population to be sampled, so the sample in this study was 32 drinking water depots. Data was collected by observing, interviewing, and taking samples of drinking water examined at the Makassar City Health Service Laboratory. The results showed that there was a relationship between the treatment site and the bacteriological content of drinking water (p = 0.039 < = 0.05), and there was a relationship between the processing equipment and the bacteriological content of drinking water (p = 0.011 < = 0.05). There was no relationship between the handler and the bacteriological content of drinking water (p = 0.423 > = 0.05). It is suggested that the owner of the drinking water depot in the working area of the Layang Health Center pay attention to the condition of the place, equipment, and health of the handlers/managers of the drinking water depot.to produce quality drinking water that meets the requirements
Artikel e-Health Method “Malaria and Pregnancy” Early Detection and Prevention of Malaria in Pregnancy
No full textMalaria is a tropical disease and a health problem in East Nusa Tenggara (NTT) Province. Malaria cases have decreased in the last ten years (2006-2015), namely 71 percent, but there are still cases of malaria that tend to increase in four districts on Sumba Island. Highly endemic districts are in Southwest Sumba, West Sumba, and East Sumba, with a total of 4.119 cases, 1443 and 4273 in November 2022. Most cases of malaria are in the age group of children, toddlers, and pregnant women. This group is very risky and harms the condition of pregnant women and their fetuses. The health promotion intervention the researchers provided was an e-health application, “Malaria and Pregnancy,” for early detection and prevention of malaria during pregnancy. This study aims to determine the effect of the e-health model in the prevention and early detection of malaria in pregnancy. This research method is quantitative with a quasi-experimental pre-post test design in two groups. The respondents in this study were determined using a systematic sampling approach with a sample of 100 pregnant women. The research location is in Southwest Sumba. This research went through the stages of ethical testing, instrument trials, data normality tests, descriptive tests, and different tests. The results of this study used the chi-square statistical test to show that respondents' knowledge and behavior about malaria detection and prevention using the eHealth Malaria and Pregnancy method differed from respondents who did not receive the intervention (p=0.001) and (p=0.00). The instruments of this study are useful as educational tools for pregnant women to avoid malaria. To optimize the application, further research, such as telemedicine and telehealth, is necessar
Utilization of Telemedicine Services for National Health Insurance Participants at Primary Health Facilities
Get PDFHealth service through undirect contact/telemedicine can be a solution for national health assurance (JKN) participants to get health service in the primary health care facilities (FKTP) during the COVID-19 pandemic. However, telemedicine utilization in FKTP is still low compared to physical contact. This study aims to analyze the utilization of telemedicine services by JKN participants in accessing health services in FKTP Musi Rawas Regency. Quantitative research with a cross-sectional design was used. Data was obtained from July 2021 to October 2021 from JKN participants registered at the FKTP in Musi Rawas Regency using questionnaires online (Google Form) and offline. The sample was selected using a consecutive sampling technique. Data was analyzed using univariate, bivariate, chi-square, and multivariate methods, with logistic regression tests and p-values of 0.05 and 95% CI, respectively. Most respondents (73.9%) did not use telemedicine services at the FKTP Musi Rawas Regency. The utilization of telemedicine services of JKN participants FKTP was affected by trust, education, length of travel time to health services, JKN membership category, behavior of health workers, socialization, use of cellular phones, and internet access (p<0.05). The confidence (p-value < 0.000 (OR 53.3; 95% CI: 23.55-120.64)) and socialization (p-value < 0.000 (OR: 7.167; 95%CI: 3.339-15.384)) were the most influence of the utilization of telemedicine services by JKN participants at the FKTP Musi Rawas Regency. The utilization of telemedicine services at the FKTP of Musi Rawas Regency has not been optimal. Massive socialization is needed by FKTP, BPJS Health, and local government regarding the use of health services through telemedicine at FKTP, which will be accompanied by the development of telemedicine applications