Journal of Global Research in Public Health
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Factors Affecting the Implementation of SISRUTE Version 2 as Referral System by Public Health Center in Kediri City
Get PDFThe referral system is a crucial component of healthcare services to ensure patients receive optimal care. The Sisrute version 2 application is expected to improve the efficiency of referrals from Puskesmas to higher-level health facilities. This study aims to analyze the factors influencing the implementation of Sisrute version 2 by Puskesmas in Kediri City using a quantitative approach with Pearson correlation analysis. A total of 65 healthcare workers participated as respondents. The results showed that leadership support (r = 0.578, p < 0.01), communication networks (r = 0.368, p < 0.01), staff motivation (r = 0.284, p < 0.05), and training (r = 0.368, p< 0.01) had significant relationships with Sisrute implementation. Meanwhile, gender, education, and age were not significantly related. In conclusion, the successful implementation of Sisrute version 2 is influenced by leadership support, networks, motivation, and training. Strengthening these factors through supportive policies and competency development can enhance referral system effectiveness
Acceptability of Toddlers to Preparations Made From Toddler Supplementary Feeding Biscuits and Pumpkin as an Supplementary Feeding Extension
Get PDFPumpkin or Cucurbita moschata is one of the plants food sources that have high nutritional and fine fiber so that it is easily digested. The use of pumpkin mixture with supplementary feeding toddler biscuits will increase the nutritional value of supplementary feeding toddlers because pumpkin meat has a rich content of vitamins A, B and C, minerals, and carbohydrates. In this study, pumpkin and supplementary feeding biscuits were processed into steamed cake, cookies, and pudding with the aim of knowing the acceptability and food waste of steamed cake, cookies, and pudding. This research was conducted at the Taman Posyandu Melati Dawuhan Kidul Village, Papar District, Kediri Regency. The data collection technique of this study used the residual food acceptance test (Comstok) with descriptive analysis method and with quasi-experimental method conducted on 23 randomly selected respondents with the criteria of toddlers aged 3-5 years and are members of taman posyandu Melati who are not allergic to food ingredients. Based on the acceptability test of the remaining steamed cake food with 0% residue as much as 60%, cookies remaining 0% as much as 43.40%, pudding remaining 0% as much as 13%. Acceptability test of food waste with 0% food waste is steamed cake as much as 60%. It is recommended that for cookies products, the texture is less dry, the addition of pumpkin is reduced. The pudding is too mushy, so the ratio of agar flour is still lacking. The purpose of this study was to determine the acceptability of the remaining steamed cake, cookies, and pudding. Using of local and affordable food is necessary for the health of toddler
Application of Oxytocin Massage in Continuity of Care
Get PDFExclusive breastfeeding plays an important role in the growth and development of the baby. Milk production can be increased through oxytocin massage. Oxytocin massage is a massage along the spine, which functions to increase oxytocin. The study aimed to determine the results of the application of oxytocin massage on the smooth production of breast milk. This type of research is qualitative with a case study research method using the Continuity Of Care midwifery care approach which is carried out continuously from pregnancy to the postpartum period. This oxytocin massage is done during the first 5 days postpartum, where in 1 day 1 massage is done in the afternoon for 10-15 minutes. Oxytocin massage evaluation was carried out on the 6th day. The result of the study showed that after the oxytocin massage, the mother felt calmer and more relaxed, and the milk production increased as evidenced by the increase in the baby's weight for 6 days. Oxytocin massage has been proven to facilitate breast milkproduction as seen from the baby's weight gain of 300 grams
The Impact of Lead (Pb) on Health
Get PDFThis systematic literature review aims to evaluate the neurodevelopmental, behavioral, and physiological impacts of lead (Pb) exposure in both children and occupationally exposed populations. Using the PRISMA framework, we reviewed 13 peer-reviewed studies published between 2013 and 2023. The studies include a range of methodologies- longitudinal, cross-sectional, experimental, and systematic reviews assessing lead exposure’s health effects. Databases were screened based on inclusion criteria focused on cognitive, behavioral, or physiological outcomes linked to lead levels in blood or tissues. Across studies, childhood lead exposure was consistently associated with lower intelligence scores, behavioral disorders (e.g., aggression, hyperactivity, depression), and increased risks for mental health conditions. Occupational exposure, particularly among gas station workers and forecourt attendants, was linked to chronic fatigue, sleep disturbances, and potential neurodegenerative conditions like ALS. The neurotoxic mechanisms included oxidative stress, neurotransmitter disruption, and long-term accumulation in bones. Notably, even low-level lead exposure resulted in significant adverse effects, with no safe threshold identified. These findings underline the critical need for public health interventions including environmental regulation, routine blood lead screening, protective workplace protocols, and early childhood monitoring. Prevention and awareness programs are essential to reduce lifelong harm from lead exposure, particularly in vulnerable populations
Ergonomics Demonstration as an Effort to Low Back Pain Preventive Behavior in Apple Chip Making Workers at Bumiaji Village, Batu City
No full textLow Back Pain is pain that is felt in the lower back area starting from below the ribs or waist radicular pain is localized and both are often accompanied by pain from the legs to the legs. Actions to improve low back pain prevention behavior by providing ergonomics demonstration. The purpose of the study was to determine the effect of ergonomics demonstration on low back pain prevention behavior in apple chip making workers in Bumiaji Village, Batu City. The research design uses a Pre-Experiment design with a One-Group Pre-Post Test Design. The research population was 240 apple chip making workers and the research sample was 71 respondents with determination using simple random sampling. The data collection technique uses an instrument in the form of an observation sheet for low back pain prevention behavior. The data analysis method used is the Paired T Test. The results of the study showed that before being given the ergonomics demonstration, almost all 57 (80.3%) respondents had low back pain prevention behaviors in the poor category and after being given the ergonomics demonstration, almost all 58 (81.7%) respondents had low back pain prevention behaviors in the good category. The results of the Paired T Test proved that there was an effect of ergonomics demonstration on low back pain prevention behavior in apple chip makers in Bumiaji Village, Batu City, with a value of p = (0.000). The conclusion Ha is accepted, meaning that there is an effect of ergonomics demonstration on low back pain prevention behavior in apple chip making workers in Bumiaji Village, Batu City, meaning that ergonomics demonstration given for 20-30 minutes for 1 treatment is able to improve low back pain prevention behavior from less to good
Acceptability of Catfish Nugget in Toddler Integrated Health Service Post (Posyandu) of Dermo Subdistrict, Mojoroto District, Kediri City
Get PDFA situational analysis was conducted in the working area of the Mrican Community Health Center, Kediri City, through surveys and SQ-FFQ interviews with mothers of toddlers. The data showed energy and protein intake deficits in toddlers. This study aims to develop catfish nuggets as a functional food for toddlers, providing an alternative nutritious snack for those who are undernourished. The product was developed from local ingredients such as catfish, carrots, eggs, cornstarch, and white bread. Organoleptic test results showed the best acceptability of catfish nuggets. The average organoleptic value of a color parameter of catfish nuggets was 4.1, and chicken nuggets was 4.27. The aroma parameter of the catfish nugget was 4.27, and the chicken nugget was 3.63. The texture parameter of the catfish nugget was 4.2, and the chicken nugget was 3.13. The flavor parameter of the catfish nugget was 4.53, and the chicken nugget was 3.53. Catfish nuggets have more potential than chicken nuggets. The highest percentage of acceptance in color, aroma, texture, and taste parameters is found in catfish nuggets. In color parameters, many say that catfish nuggets are lacking because the color is darker. The taste parameter is more savory in catfish nuggets
The Role of Global Health Partnerships in Infectious Disease Control: Lessons from Indonesia’s Response to Tuberculosis and COVID-19
Get PDFIndonesia's dual burden of tuberculosis and COVID-19 has highlighted the critical role of global health partnerships in strengthening infectious disease control. This study examines how collaborations with organizations such as WHO, the Global Fund, and USAID have supported Indonesia's response, particularly in TB detection, case management, and pandemic adaptation. A qualitative literature review was conducted, analyzing ten peer-reviewed studies published between 2020 and 2025. The findings reveal that while global partnerships facilitated knowledge transfer, financial assistance, and digital innovation, challenges persist in coordination, private sector integration, and policy alignment. The study concludes that sustained commitment, institutional capacity, and harmonized
governance are essential to maximize the impact of international cooperation on national disease control strategies
Enhancing Adolescent Mental Health Literacy through a Community-Based Educational Approach in Islamic Boarding Schools
Get PDFAdolescents in Islamic boarding schools (pesantren) often face mental health challenges while having limited access to relevant education and services. Mental Health Literacy (MHL) plays a crucial role in early recognition, stigma reduction, and appropriate help-seeking behavior. This study aimed to assess the effectiveness of a community-based mental health education intervention in improving mental health literacy among adolescents in an Islamic boarding school setting. A quasi-experimental one-group pretest-posttest design was conducted involving 80 students aged 13–18 years in Nganjuk, East Java. The intervention included video-based modules, peer discussions, and counseling facilitated by school health units (UKS) and mental health cadres. The Adolescent Mental Health Literacy Questionnaire (AMHLQ) was used to measure knowledge, attitudes, and mental health awareness before and after the intervention. Data were analyzed using paired t-tests. There was a significant improvement in mental health literacy scores from pretest (M = 64.75, SD = 7.42) to posttest (M = 78.63, SD = 6.98), with a t- count of 11.42 (p < 0.001). The intervention was effective in enhancing students’ understanding of mental health concepts, reducing stigma, and encouraging help- seeking behaviors. Factors such as age, gender, and length of stay in the pesantren may have influenced outcomes. Community-based, culturally tailored mental health education using multimedia and peer support significantly improves adolescent mental health literacy in Islamic boarding schools. Strengthening the role of school-based health units and digital tools is recommended for future mental health promotion in similar settings
Patient Safety Implementation among Nurse in Inpatient Department at Daha Husada Hospital Kediri
Get PDFPatient safety is a hospital system aimed at minimizing risks and preventing injury caused by errors in action or inaction. This study aims to explore the implementation of patient safety by nurses at RSUD Daha Husada Kediri using a qualitative case study approach. Data were collected through in-depth semi-structured interviews with inpatient nurses selected by purposive sampling. Source triangulation was used for credibility, focusing on six patient safety goals: patient identification, effective communication, medication safety, correct procedure and site, fall prevention, and infection risk reduction. The findings showed that five of the six safety goals were fully implemented (100%), while others had not achieved maximum outcomes due to nurses' habits, awareness, and lack of routine training. Supporting infrastructure and SOPs were already in place. The study suggests improving orientation for new staff, empowering unit heads as role models, and strengthening routine monitoring and evaluation to ensure consistent and optimal patient safety practices across all units
The Impact of Social Media on Reproductive Health Knowledge Among Gen Z
Get PDFSocial media plays a significant role in the lives of Generation Z, especially in influencing knowledge and behavior related to reproductive health. This study aims to describe the impact of social media on reproductive health among generation Z, including the issue of early marriage, risky sexual behavior, and pregnancy outside of marriage. The results showed that free access to pornographic content and lack of reproductive health education are the main factors that encourage these negative behaviors. Early marriage risks causing health complications such as LBW, anemia, and hypertension, while risky sexual behavior increases the rate of sexually transmitted infections (STIs). In addition, pregnancy outside of marriage often occurs due to low knowledge of reproductive health and weak parental supervision. Prevention efforts involve the active role of the government, parents, and proper education to build a good understanding of reproductive health. Thus, controlling the use of social media and increasing reproductive health literacy are important solutions to overcome this problem among Generation Z