Faculty of Public Health Journal Universitas Indonesia
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    Analisis Faktor Risiko Gangguan Otot Rangka Akibat Kerja Pada Pekerja Perkantoran di Instansi X Tahun 2023

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    Postur tubuh yang kurang nyaman saat melakukan pekerjaan dengan durasi yang lama dapat menyebabkan gangguan otot rangka akibat kerja. Tujuan penelitian ini adalah mengetahui faktor risiko yang hubungan dengan terjadinya gejala gangguan otot rangka akibat kerja pada pekerja perkantoran di Instansi X tahun 2023. Penelitian ini menggunakan desain cross-sectional dan metode penilaian postur tubuh pekerjan menggunakan metode Rapid Office Strain Assessment (ROSA). Kemudian untuk penilaian keluhan gangguan otot rangka secara subjektif menggunakan NBM (Nordic Body Map). Hasil penelitian menunjukkan tingkat risiko keluhan gangguan otot rangka akibat kerja pada tingkat menengah maka perlu investigasi lebih lanjut untuk melakukan perbaikan. Penilaian menggunakan Nordic Body Map menghasilkan nilai sebesar 91,40% pekerja yang mengalami keluhan gangguan otot rangka akibat kerja. Bagian tubuh yang sering mengalami keluhan gangguan otot rangka akibat kerja seperti: leher bagian atas, leher bagian bawah, punggung dan pinggang. Distribusi keluhan yang dirasakan pekerja umur <40 tahun, berdasarkan jenis kelamin perempuan, berdasarkan masa kerja paling banyak Sementara sebanyak 60 dari 65 kursi kerja rusak mode adjustable membuat pekerja merasa kurang nyaman saat melakukan kegiatan di area kerjanya

    Edukasi Pengetahuan Hipertensi dan Stroke Pada Warga di Desa Sumber Kecamatan Trucuk Kabupaten Klaten

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    Hypertension or high blood pressure is the most common problem found in society in both developed and developing countries, including Indonesia. The high incidence of hypertension is a trigger for stroke and will reduce the quality of human life. Lack of public knowledge regarding the signs and symptoms and treatment of hypertension and stroke is a factor in the increase in cases. Therefore, it is necessary to provide health education about stroke and hypertension, especially in rural areas where these conditions are still unknown. The aim of implementing this service is to provide health education about stroke and hypertension starting from signs of symptoms, initial treatment and evaluation. The method used in this service is socialization, blood pressure checks and evaluation. Service partners with a target of 30 respondents in RW 08 Sumber Village, Trucuk District, Klaten Regency. Evaluation is carried out by giving a post test questionnaire and evaluating how blood pressure is measured. The results obtained were that after the socialization was carried out, there was an increase in residents' understanding and knowledge regarding stroke and hypertension. This activity is important to carry out because residents, after increasing their knowledge, will improve their lifestyle thereby reducing the risk factors for this disease

    Healthy Lifestyle Behaviors and Sociodemographic Characteristics Among Medical Students in Indonesia During the New Normal Era: A Cross-Sectional Study

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    This study aimed to identify medical students’ healthy lifestyle behaviors during the new normal era and to determine its relationship with sociodemographic factors, bearing in mind that, as future physicians and health role models, medical students play an important role in adopting and promoting healthy lifestyle behaviors to reduce the risk of future health problems as well as optimize communities’ health status. This cross-sectional study was conducted at the School of Medicine and Health Sciences of Universitas Katolik Indonesia Atma Jaya, with 111 medical students selected through stratified random sampling. Data were collected using sociodemographic characteristics (sex, residence, year of study, and participation in health promotion training) and the Health-Promoting Lifestyle Profile-II (HPLP-II) questionnaire and analyzed using descriptive and bivariate analyses. The results showed a moderate total HPLP-II score (2.46± 0.37). Interpersonal relations had the highest mean score, and health responsibility had the lowest. A significant difference in the total HPLP-II scores was identified between students participating in health promotion training and those who did not (p-value = 0.049). Further study is needed to explore other factors influencing healthy lifestyle behaviors among medical students

    Analisis Faktor-Faktor Kerentanan K3 yang Berhubungan Terhadap Keselamatan di Tempat Kerja Pada PT X Semasa Pandemi COVID-19

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    PT X Unit Citeureup merupakan pabrik industri manufaktur semen terbesar di dunia. Proses industri di dalamnya melibatkan berbagai proses, bahan, serta pekerjaan berbahaya. Sehingga dengan demikian proses kerja di dalamnya banyak menyebabkan risiko keselamatan dan kesehatan kerja. Selain itu, pada saat ini PT X Unit Citeureup juga menghadapi tantangan pandemi COVID-19 sama seperti industri lainnya. Hal ini dapat berdampak negatif baik kepada pekerja ataupun manajemen PT X Unit Citeureup. Berdasarkan hal tersebut, terbentuknya keselamatan di tempat kerja merupakan hal yang harus diupayakan dan lebih dimaksimalkan. Penelitian ini mencoba untuk mengevaluasi faktor-faktor yang membentuk keselamatan di tempat kerja dengan upaya pencegahan COVID-19 dan dimensi-dimensi kerentanan K3. Dimensi-dimensi tersebut dapat digunakan sebagai dasar studi elemen psikologi organisasi dan iklim keselamatan yang mampu memprediksi keselamatan di tempat kerja. Penelitian dilakukan melalui pendekatan kuantitatif dengan desain studi cross-sectional. Pengumpulan data dilakukan secara daring melalui google form untuk mengetahui bagaimana persepsi pekerja terkait variabel-variabel yang diteliti. Pengumpulan data dilakukan pada bulan Mei dengan besar sampel yang terkumpul adalah 126 responden dari 19 divisi. Data berikutnya dianalisis dengan PLS-SEM (Partial Least Square Structural Equation Modeling). Hasil penelitian tersebut menunjukkan bahwa faktor-faktor kerentanan K3 seperti kesadaran K3 dan partisipasi K3, serta upaya pencegahan COVID-19 berhubungan secara signifikan terhadap keselamatan di tempat kerja. Hasil ini menunjukkan bahwa intervensi terhadap peningkatan kesadaran K3, partisipasi K3, dan upaya pencegahan COVID-19 di tempat kerja dapat meningkatkan keselamatan di tempat kerja pada masa pandemi COVID-19

    Feminization of Sri Lankan Doctors and Key Specialties: 2000 to 2020

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    The study focused on the feminization of Sri Lankan generalist doctors in all major and selected minor specialties between 2000 and 2020. The study analyzed all relevant documents by exploring Sri Lanka's male-to-female doctor and specialist ratio over 20 years. This was determined by analyzing state medical faculty records from 1990 to 2020. For better clarity, the researchers analyzed the gender ratio changes in every five-year block from 1990 to 2020. Focus groups filled PGIM's gender data fields. Five-year medical students surged from 43% to 63% between 1990 and 2020. Linear trend analysis predicts 68% of female medical students by 2025 and 72% by 2030. This study simulated generalist doctors with medical students. Until recently, men dominated medicine, surgery, obstetrics, and pediatrics. Female specialists have increased in all fields over the past 20 years. The feminization of medical doctors challenges national human resource policies and health sector reforms. They emphasize gender-sensitive health workforce planning that considers a country's economic development and healthcare system. Sri Lankan health policymakers should consider gender dynamics in national health HR planning for the next decade

    THE ASSESSMENT TOOLS FOR MEASURING HEALTHCARE WORKERS’ PREPAREDNESS FOR COVID-19

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    Most countries in the world have not been prepared for COVID - 19 pandemic, so there is a need to analyze the strategies to measure our healthcare workers’ preparedness for preventing healthcare workers (HCWs) from becoming victims of COVID-19. This systematic literature review is for reviewing the various assessment tools used to measure the preparedness of healthcare workers for COVID - 19 in the time of pandemic of COVID-19 (2019 November - June 2021). During this time, we analyzed how the researchers defined and constructed the assessment tool for measuring the preparedness of healthcare workers for COVID-19. We used Scopus, Proquest, Pubmed, and Willey online library databases with search themes healthcare workers, Preparedness, COVID-19, and assessment. Thirty-three studies measured HCWs’ preparedness for COVID-19 from November 2019 to 10 June 2021. Most studies were done in developing Nations (N=22). Almost all of the studies were Cross-sectional studies with questionnaires as their primary instrument. The definition of preparedness varied among these studies. However, all of them agreed that the tool for measuring the preparedness of HCWs for COVID-19 was constructed with more than one measurement aspect

    Determinants of Type 2 Diabetes Mellitus among Passive Smokers

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    Type 2 diabetes mellitus (T2DM) leads to complications of other diseases. The modifiable risk factors for T2DM are overweight, physical activity, hypertension, unhealthy diet, and smoking. This study aimed to analyze determinants of T2DM incidence in passive smokers among various factors. This study was conducted at Hospital X in Surabaya City, East Java Province, Indonesia, from September 2019 to April 2020. The variables were univariate, bivariate, and multivariate. Case samples were T2DM patients and passive smokers, while control samples were non-T2DM patients and passive smokers, with 52 respondents per group, of 104 total respondents. Variables statistically significant related to the incidence of T2DM in passive smokers were age >45 years, level of education (not attaining primary school), lack of physical activity, and hypertension. While, the variables having no relation were sex, occupation, sedentary lifestyles, income, and genetics. The multivariate analysis showed that age was a major factor contributing to the incidence of T2DM in passive smokers at Hospital X Surabaya. In brief, age is the most dominant risk factor for the incidence of T2DM in passive smokers

    Analysis of COVID-19 Prevention Behavior in Diabetes Mellitus Patients: A Literature Review

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    The Coronavirus Disease 2019 (COVID-19) is a new human-infected coronavirus causing respiratory problems. The COVID-19 can affect people of all ages, but those with a record of chronic disease (comorbidity) are at higher risk of poor outcomes with the COVID-19. This study aimed to review COVID-19 preventative behavior in diabetes patients. Diabetes Mellitus (DM) is one of the comorbidities that aggravates COVID-19 in patients. Such patients are at risk of deteriorating critical conditions in the intensive care units (ICUs) and even death. Prevention is the best measure to avoid COVID-19, although it is currently considered adequate. This article reviewed 22 papers focusing on COVID-19, DM, COVID-19 in DM patients, COVID-19 preventive behavior, and COVID-19 knowledge, attitude, and practice in patients with chronic disease, while primary focusing on DM. It is revealed that diabetes patients at high risk of COVID19 need to practice good preventive behaviors. Furthermore, it emphasizes that improving knowledge, encouraging positive attitudes, and implementing good COVID-19 preventive behaviors in DM patients requires education and access to the COVID-19 related health information

    Hubungan Antara Faktor Individu dan Terjadinya Kelelahan (Fatigue) pada Pekerja Kantor di Masa Transisi Pandemi ke Endemi Covid-19

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    Pandemi Covid-19 mengubah hampir di segala aspek kehidupan manusia, termasuk aspek tenaga kerja. Kebijakan Work from Home (WFH), Work Form Office (WFO), dan hybrid (WFH+WFO) menyebabkan jam kerja yang tidak teratur. Hal ini menyebabkan kelelahan (fatigue) pada pekerja di masa transisi pandemi ke endemi Covid-19. Banyak faktor yang menyebabkan kelelahan kerja terjadi, salah satunya faktor individu. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor individu (kehidupan sosial keluarga, kualitas tidur, kuantitas tidur, gangguan kesehatan, psikologis, dan perilaku tidak sehat) dengan terjadinya kelelahan pada pekerja kantor di masa transisi pandemi ke endemi Covid-19. Pengambilan data dilakukan menyebarkan kuesioner melalui google form kepada 202 responden pekerja di DKI Jakarta. Analisis statistik bivariat dengan Chi-Square dan analisis multivariat dengan regresi logistik ganda digunakan dengan bantuan perangkat lunak SPSS v 21. Hasil menunjukkan bahwa dari uji Chi-Square, kualitas tidur (p 0,001), gangguan kesehatan (p 0,016), kehidupan sosial keluarga (p 0,012) dan perilaku tidak sehat (p 0,033) memiliki hubungan yang signifikan terhadap kejadian fatigue. Sementara hasil dari uji regresi logistik model prediksi, variabel kualitias tidur (p 0,017; OR 2,729), gangguan kesehatan (p 0,014; OR 2,484) dan perilaku tidak baik (p 0,010; OR 2,579) memiliki pengaruh terhadap kejadian fatigue. Kesimpulannya dari penelitian ini adalah kualitas tidur yang tidak baik, adanya gangguan kesehatan dan keadaan psikologis yang kurang baik dapat mempengaruhi kejadian fatigue pada pekerja di DKI Jakarta selama masa transisi pandemi ke endemi Covid-19.

    OPTIMIZATION OF HEALTHCARE WORKERS AVAILABILITY : INCREASING PRIMARY HEALTH CARE EFFICIENCY IN INDONESIA

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    Policy has focused on the unequal distribution of health workers, while the potential for improvements in efficiency to address this problem has been neglected. This study aims to measure and compare the level of efficiency in the use of the available health workforce for the delivery of selected primary healthcare services among districts/cities in Indonesia, and to identify factors influencing that efficiency. The Data Envelopment Analysis method with output orientation to measure efficiency and Tobit regression analysis was performed to determine the effect of contextual factors. The average score for the technical efficiency of primary health care service delivery throughout Indonesia was 1.29, indicating the potential to achieve on average 29% higher coverage of the selected primary health services if all were as efficient as the most efficient. The average efficiency score in the Eastern Indonesia region was 1.62 and the average in the Java-Bali region was 1.05, indicating higher potential efficiency gains in the Eastern Indonesia region. Access to health care facilities was a consistently significant factor influencing the efficiency of primary health care in almost all regions. This study has demonstrated the potential for significant gains in coverage of key primary care services through improvements in the efficiency of use of the existing health workforce

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