Media Kesehatan Masyarakat Indonesia
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Hand Hygiene Practices among Nurses in South Sulawesi Hospitals
Full text linkHealthcare professionals’ adherence to hand hygiene protocols is paramount to prevent Healthcare-Associated Infections (HAIs) and ensure patient safety. This study evaluates compliance with the World Health Organization\u27s (WHO) "Five-Moment Hand Hygiene" protocol among nurses in two Indonesian hospitals: Regional General Hospital X in Makassar City and Provincial General Hospital Y in South Sulawesi Province. A total of 60 nurses participated, with demographic analysis revealing significant differences between the hospitals. Utilizing a comprehensive observation tool provided by the WHO, data analysis indicated variations in hand hygiene practices, particularly after touching patient surroundings. Despite these differences, the data followed a normal distribution, enhancing the reliability of statistical analyses. Significant disparities in hand hygiene practices were found after touching patient surroundings (p-value = 0.008; α < 0.05), underscoring the urgent need for targeted interventions among nurses to improve their compliance and enhance patient safety. This study recommends comprehensive training, resource provision, regular audits, fostering a supportive organizational culture, and integrating robust hand hygiene modules into nursing education. The study also suggests further research to identify barriers and improvement strategies. Addressing these recommendations collectively will bolster patient safety and reduce healthcare-associated infection burdens in Indonesian healthcare settings. The study\u27s identification of specific deficiencies in hand hygiene practices provides actionable insights for healthcare administrators, infection control practitioners, and frontline healthcare workers, emphasizing the urgency of sustained efforts to promote proper hand hygiene practices
Dietary Habit and Physical Activity as Risk Factors of Metabolic Syndrome among Civil Servants in Jambi City
Full text linkThe prevalence of Metabolic Syndrome (MetS) is an important health problem due to the association with increased cardiovascular disease as the main cause of death. Approximately 20-25% of the global adult population including Indonesia suffers from MetS. The high prevalence is attributed to several factors namely lifestyle changes such as dietary habit and physical activity. Therefore, this study aimed to investigate the relationship between dietary habit and physical activity with MetS incidence among civil servant employees in Jambi City, Indonesia. A cross-sectional design was used to assess the proportion of MetS, dietary habit, and physical activity. A total of 108 civil servant employees were selected as respondents from six agencies using a multistage random sampling technique. Data collection was carried out through physical examination and interviews using a questionnaire. The results showed that the prevalence of MetS was 60.2%, with three risk indicators, namely central obesity (74.1%), blood pressure (66.7%), and HDL (63%). Based on the chi-square test, dietary habit (OR=2.571, 95%CI=1.151-5.744) and physical activity (OR=3.692, 95%CI=1.625-8.388) were significantly related to MetS. The persistently high prevalence of MetS was significantly related to dietary habit and physical activity among civil servant employees in Jambi City-Indonesia. These results underscored the need to improve understanding of healthy diets by adopting a balanced nutritional intake, increasing the intensity of physical activity according to age, and engaging in regular exercise
Nurse Managers\u27 Experiences in Managing Inpatient Wards During a Crisis: Lessons from the COVID-19 Pandemic
Full text linkThe COVID-19 pandemic has provided valuable lessons for all parties, including nursing services in hospitals. To date, literature has been lacking on the role of nurse managers in managing inpatient wards for COVID-19 patients, especially in Indonesia. This study aims to explore the experiences of, and the challenges encountered by nurse managers in managing inpatient wards during the crisis. This is a qualitative study with a phenomenology design. The study used a purposive sampling technique involving four nurse managers from several hospitals in South Sulawesi Province, Indonesia. Data were obtained through semi-structured interviews and were analyzed using thematic analysis. This study yielded three themes and nine sub-themes. Nurse managers experienced panic and fear but carried out inpatient management immediately. There was also a solid commitment to protect the fellow nurses from infection. Valuable lessons include the availability of human resources, strong commitment from all lines, management support, and teamwork. Meanwhile, nurse managers encountered challenges such as the lack of personal protective equipment, frequently changing service procedures and the psychological needs of nurses. Nurse managers obtained numerous lessons from the COVID-19 pandemic related to their capabilities in managing inpatient wards. The findings suggest the adaptability of nurse managers to similar challenging crisis encounters in the future by analysing the effects of frequent workflow changes on care quality and staff adaptation, examining the long-term psychological impact of pandemic work on nurses developing strategies to enhance organizational support for nurses including coping mechanisms and well-being related trainings and services, and to build dynamics of effective teamwork during crisis
Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients
Full text linkDiabetes Mellitus (DM) is a disease with progressively increasing prevalence every year and often leads to complications when not properly managed. Control or success of treatment is influenced by adherence of patients to the treatment process. This study aimed to analyze relationship between medication adherence and fasting glucose levels among DM outpatients. A correlation study was conducted using a cross-sectional approach on a sample of 300 respondents selected by probability sampling technique from the entire population. The instrument used was the MMAS-8 Test (Morisky Scale Medication Adherence Scales-8) and examination of fasting sugar levels. Meanwhile, data analysis was conducted with the Spearman Rho test. The results showed that the highest treatment adherence was in the moderate category by 130 (43.3%) and a decrease in fasting sugar levels was observed among 230 (76.7%) respondents. A significant relationship was found between medication adherence and fasting glucose levels with a p-value = <0.001 and r: -0.597. Based on the results, there was a negative relationship between medication adherence and fasting blood sugar. The higher medication adherence, the better the fasting sugar levels in DM outpatients
Foodborne Outbreak Investigation in Elementary School Students in Bantul, Yogyakarta, 2023
Full text linkBantul District Health Office received notification that 75 students in elementary school were sick with symptoms of nausea, vomiting, and dizziness after they consumed snacks from the school canteen. An epidemiological investigation was conducted to confirm the outbreak, identify additional cases, determine risk factors and causes, and recommend preventive measures. This investigation conducted active case finding followed by a retrospective cohort study. Individuals who experience one or more symptoms, such as nausea, vomiting, diarrhea, stomach pain, dizziness, fever, and malaise after consuming snacks were defined as cases. Data was collected through direct interviews with students, teachers, staff, and food sellers. Samples of food and vomit were collected and sent to the health laboratory. Data were analyzed using chi-square and multiple binomial regression. There were 150 cases. Most cases were found in the female group (53.22%), 9-year-old group (55.32%), and third-grade students (65%). Dizziness (66.67%), vomiting (56.67%), and nausea (46%) were the most common symptoms. The epidemic curve was a common source, with incubation periods ranging from one to 26 hours. Meatballs were associated with the increased risk of becoming a case in this outbreak (aRR = 1.49; 95% CI = 1.22-1.81). The causative agent was suspected to be Salmonella spp, but the laboratory analysis results were inconclusive due to contamination. Potential risk factors were large storage in the refrigerator, insufficient reheating, and cross-contamination. Improvements in food safety monitoring for schools and food handlers, along with appropriate sampling by healthcare facilities, are required to control outbreaks
Improving Work Motivation of Nutrition Implementers in Health Centers: Analysis of the Influence of Work Experience, Competence, and Rewards
Full text linkSuccess in addressing nutritional problems can be achieved when nutrition implementers possess strong abilities and skills in executing nutritional service program activities at community health centers. High work motivation among nutrition implementers significantly contributes to the successful implementation of these programs. This study aims to analyze the influence of work experience, competence, and reward provision on the work motivation of nutrition implementers. This research employs a quantitative approach with a cross-sectional design. The population consists of all nutrition implementers in South Kalimantan Community Health Centers\u27 work area in Indonesia. A sample of 253 respondents was selected using purposive sampling. The research instrument utilized was a questionnaire, and data analysis involved simple linear regression analysis. The findings indicate a significant effect of work experience on work motivation, with a significance value of .00 < .05. However, competence does not have a significant impact on work motivation, as its significance value is .098 > .05. Similarly, reward provision does not significantly influence work motivation, with a significance value of .439 > .05. In conclusion, work experience significantly affects the work motivation of nutrition implementers. Therefore, efforts to enhance the motivation of nutrition implementers are essential, as they will ultimately improve the effectiveness of nutrition service programs in health centers, contributing to the prevention of stunting and the overall enhancement of public health
Differentials in Reproductive Health Knowledge among Adolescents in Indonesia
Full text linkDue to societal taboos, traditional and religious norms, Indonesia’s Z-generation, who account for a large population, is frequently underinformed about reproductive health. The objectives of this study are to determine whether there are any differences in the knowledge of Indonesian young adults on reproductive health issues, modern contraceptive methods, and sources of information for reproductive health by selected sociodemographic characteristics. From the 2019 Performance and Accountability Survey, 41.582 never-married adolescents between the ages of 10 to 24 years were selected for the analysis. In this study, descriptive and bivariate analyses were performed. The means of the two groups were compared using t-tests. The results show that adolescents still lack information about reproductive health. The overall means for knowledge of reproductive health, modern methods of contraception, and sources of information about reproductive health were 1.97, 2.54, and 3.07, respectively. Adolescents were highly exposed to message about reproductive health on television and the internet. Adolescents that are older, reside in urban areas, are more educated, and are wealthier are reported to have significantly higher knowledge than their counterparts. With enough concern and increased attention being provided to younger adolescents, who reside in rural areas, who have lesser education, and are from the lowest wealth index, emphasis should be placed on increasing information to promote reproductive health literacy among adolescents. Television and digital media are crucial communication channels for educating with young people about reproductive health. Policies and programs should be designed to involve peers, relatives, and teachers in providing information about reproductive health
Predictors of Indonesian National Health Insurance Knowledge: A Cross-Sectional Study Among Public Health Students in Palembang
Full text linkStudents, as agents of change, are expected to assist in reaching the success of the Indonesian National Health Insurance/Jaminan Kesehatan Nasional (JKN) program. Therefore, this study aimed to analyze the JKN knowledge among public health students and the associated factors in Palembang City, Indonesia. A cross-sectional online survey was conducted to collect data from 279 students at Universitas Sriwijaya in Palembang City, Indonesia. The analyzed variables included gender, age, marital status, residence, family size, income, study level and period, as well as source of JKN information. Additionally, statistical analysis using binary logistic regression, presenting odds ratio and 95% CI, was conducted to identify the determinants of JKN knowledge with significance set at a p-value <0.05. The results showed that 92.47% of respondents had low JKN knowledge with the following characteristics; female (93.83%), aged >20 years (92.93%), not married (93.75%), living in urban areas (90.24%), having family members >4 people (91.39%), income ≤UMR (93.38%), undergraduate level (93.70%), study period ≤2 years (93.89%), and receiving information from the Social Security Administration Agency for Health/Badan Penyelenggara Jaminan Sosial Kesehatan (BPJSK) (94.32%). The most associated variable with JKN knowledge was residence after being controlled by gender, study period, and information source variables. Specifically, respondents residing in urban areas (aOR = 10.73; 95% CI: 1.32–86.89) showed a higher likelihood of having good JKN knowledge than those in rural areas
Identification of Psychological Conditions and Feelings of Fatigue Among Employees at Makassar Air Traffic Service Center
Full text linkAir Traffic Control (ATC) remains an active field of work during the pandemic due to the demand from domestic and international travelers. It is crucial for controllers to prioritize both their mental health while on duty and their body\u27s immunity against conditions that make them vulnerable to Covid-19. Therefore, this study aims to review psychological conditions, feelings of fatigue, and quality of life among ATC during the pandemic. A cross-sectional descriptive design was used and the participants were 89 ATC in Makassar Air Traffic Service Center. The data collected included the general characteristics of ATC, DASS-21, KAUPK2, and (WHOQOL)-BREF. Data were collected from February to March 2022, then analysis was carried out using SPSS and Excel software. The results indicated the presence of negative emotional conditions among ATC even outside of their normal traffic control duties. Approximately 24% of ATC reported feelings of fatigue, while the quality of life exhibited a wide distribution of data, ranging from moderate to low. Therefore, it was concluded that the health status of ATC, even with regulations limiting the amount of traffic related to the pandemic period, still needs special attention to maintain performance
Specific vs Unspecific Smoke-Free Regulation: Which One is More Effective?
Full text linkTobacco kills up to half of its users, and smoking prevalence and tobacco exposure among Indonesian youth are increasing. A comprehensive ban on Tobacco Advertising, Promotion, and Sponsorship (TAPS) is a recommended tobacco control measure. Thus, this study aimed to analyze and compare political economy factors that contribute to the effectiveness of the TAPS ban implementation in Surabaya and Kulon Progo. In-depth interviews and a focus group discussion were conducted, recorded, transcribed, then analyzed using thematic analysis. We find that the role of local government was pivotal in creating and implementing regulations for tobacco control, while the leaders’ will and capability were also essential. However, the COVID-19 pandemic had limited all tobacco control measures in both studied districts. Furthermore, the lack of political will and low support from the political parties are the several factors hindering tobacco control measures at the district level, including TAPS ban enforcement. We also find that there is a need to strengthen the understanding of local government, society, and other related stakeholders toward the urgency of the TAPS ban. Further studies calculating the impact of the total TAPS ban on local revenue and the potential benefit of a total TAPS ban are urgently needed for advocating total TAPS ban implementation in a broader scope of the country