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The Utilization of Lactation Rooms by Health Workers in Medan City
Full text linkExclusive breastfeeding for infants with working mothers still becomes a significant problem. The provision of on-site lactation rooms has not substantially impacted the utilization of lactation rooms. This study analyzes the factors that influence the utilization of breastfeeding rooms by health workers in all public health centers in Medan City. This study is a quantitative study using a cross-sectional design. The study involved 78 health workers who breastfed children under two years old. The determination of the sample used the total sampling technique. The results show knowledge (0.000), attitudes (0.002), practice (0.008), support from health workers (0.000), the availability of lactation rooms (0.000), and formula feeding (0.000) affect the utilization of breastfeeding rooms. The regression test results show that knowledge is the most influential factor in the utilization of the lactation room. Respondents with good knowledge have 9.477 times more opportunities to use the lactation room than respondents with poor knowledge. It can be concluded that the use of lactation rooms is influenced by factors such as knowledge, attitudes, practice, support from health workers, availability of lactation rooms, and formula feeding. It is recommended for local governments to provide adequate and comfortable facilities at each institution\u27s offices to increase the utilization of breastfeeding rooms. The provision of a comfortable lactation room has implications for the mother\u27s willingness to use the lactation room. However, it becomes difficult to realize without the support of colleagues
What are the Obstacles in Achieving Ideal Family Size in Reproductive Age Couples?
Full text linkThe world situation with full of demands and limitations during the current pandemic can bring negative impacts on family. Family face burdens of daily needs for family life’s. Regarding to this condition, the ideal family size which is couple who has no more than two children, is an entity that needs to be considered to ensure the survivability of family. This study aimed to determine factors that related and predict the ideal family size for reproductive age couples in East Java. This study was quantitative study with cross-sectional approach. Data used in this study was secondary data from the Family Data Collection in 2021. Sampling technique was saturation sampling on reproductive age couples in 38 cities and regencies of East Java. Dependent variable was ideal family size. Independent variable was ideal age of marriage, participation in modern contraception, preferences for the ideal number of children, exposure to electronic media information, exposure to social media information, exposure to printed media information, and exposure to mass media information. Data analysis used multiple linear regression test. The study result stated variables that were related and had contribution in predicting ideal family size in reproductive age couples were ideal marriage age (p=0.001), participation in modern contraception (p=0.001), preference for ideal number of children (p=0.001), exposure to electronic media information (p=0.018), and exposure to mass media information (p=0.009). Based on these results, it is hoped that several intervention programs can be arranged by related institutions, targeted in the field that are in accordance with the study results
Homemade Cloth Face Masks Identification in Indonesia
Full text linkThe World Health Organization (WHO) and the Indonesian government have advised the use of cloth face masks by medical and non-medical personnel to prevent Covid-19 transmission. However, many people find it difficult to wear these masks when doing various activities outside their home. The cloth face masks used in Indonesian communities vary significantly in models, materials, and number of layers with a significant number providing discomfort to people. Therefore, this research aims to identify the factors that influence the comfort of cloth face mask model circulating in the public. Phenomenological research design through completed participant observation and open-ended interview with seven lecturers and three education personnel were used to obtain more in-depth data. The results showed that despite the availability of various models in circulation, none were comfortable to use while talking and breathing. On the other hand, their straps use a lot of materials causing pain in the earlobe. Therefore, people prefer irrespective disposable masks of their ability to pollute the environment when not properly disposed. In conclusion, it is necessary to have a homemade cloth face mask that provides comfort to people
BPJS Patients Satisfaction Analysis Towards Service Quality of Public Health Center in Surabaya
Full text linkSurabaya is a growing city and actively develope basic service innovations through Public Health Center (PHC) such as implementing E-Health services, BPJS p-care, including various quality health services and oriented in increasing patient, family, or public satisfaction in Surabaya. The purpose of the study was to identify the level of satisfaction of Badan Penyelenggara Jaminan Sosial (BPJS) and non-BPJS patients with the quality of health services at Manukan Kulon PHC. This research method was a cross-sectional study. The measuring satisfaction instrument used the patient satisfaction index (Customer Satisfaction Index (CSI)). Meanwhile, the satisfaction dimension used the SERVQUAL Principle by looking at the value of gap between expectation and reality from the aspects of responsiveness, tangibles, assurance, empathy, and reliability. The research sample was determined by simple random sampling and the total samples collected were 110 respondents (67 BPJS patients and 43 non-BPJS patients). The results showed that BPJS patients were more satisfied (CSI 83.9%) than non-BPJS patients (CSI 83.4%). Specifically, BPJS patients’ satisfaction dimension gap related to responsiveness is (0.3), tangibles (-0.3), assurance (0.9), empathy (0.6), and reliability (-1.0.) While non BPJS patients have a satisfaction gap value for responsiveness (- 0.1), tangibles (0.1), assurance (0.1), empathy (0.2), and reliability (0.1). This means that in general, BPJS and Non-BPJS patients are very satisfied with the health services of Manukan Kulon PHC. However, it is necessary to prioritize service improvement on the aspects of responsiveness, tangibles and reliability as expected by patients
Ergonomic Risk, Muscle Tension, Lactic Acid, and Work Performance on Transport Workers at Fish Auction
Full text linkOne of the main occupations in fish auction facilities was transport worker. Manual handling activities are a leading cause of workplace injuries such as strains and back injuries. This study aims to analyze the association between ergonomic posture with muscle tension, lactic acid buildup, and work performance. This study was carried out in November 2020. The instruments in this study were portable electromyography, lactate analyzer, REBA Assessment sheet, and questionnaire. The analysis was performed with statistical test using Fisher Exact Test. This study is analytical survey research with cross-sectional study design with 51 respondents selected using convenience sampling method. Based on the data obtained, it was found that 36 respondents (70.59%) did not work ergonomically. The result of the analysis is that there is an association between ergonomic posture and muscle tension (p=0.000) and lactic acid buildup (p=0.002), but there is no association between ergonomic posture and work performance (p=0.761). It is necessary to improve the quality of fish auction facilities services by providing ergonomic transportation aids such as lifting trolleys and training related to the dangers of ergonomic risk factors at fish auction facilities
Clinical Features of COVID-19 Patients at Udayana University Hospital During First Three Months of the COVID-19 Pandemic
Full text linkCOVID-19 exhibits a wide variety of symptoms, ranging from mild, moderate, severe, and critical respiratory dysfunctions up to death. Therefore, this study aimed to examine the demographic, clinical, and laboratory profile of COVID-19 patients admitted to Udayana University Hospital, Bali, during the first three months of the pandemic. Data were collected from the electronic medical records of 236 patients hospitalized from April to June 2020. The samples had a mean age of 40 years old, and they consisted of 58.50% male. Based on the records, the common clinical characteristics included fever (52.5%) and cough (47.5%), followed by less common traits, such as sore throat (18.2%), dyspnea (10.2%), flu (8.9%), and headache (3.8%). Laboratory results during admission showed an average lymphocyte count of 2.16 ± 2.19 × 109 cells/L and a neutrophil- lymphocyte ratio of 3.02 ± 3.41. The majority of patients were private corporation employees (30.51%), followed by migrant workers (21.19%). Furthermore, a fatality rate of 1.69% was recorded in the study hospital. These results were expected to provide epidemiological knowledge of COVID-19 patients, which can help clinicians to anticipate possible outcomes during treatment
Environmental Health Risk Analysis of Dust Exposure on Employees in PT. Cassia Co-op Indonesia in Jambi
Full text linkThe dust has a negative impact that can affect workers’ health. This study aimed to analyze the environmental health risks of dust exposure on workers at PT. Cassia Co-op Indonesia in Jambi. Descriptive quantitative research was conducted using an Analisis Risiko Kesehatan Lingkungan (ARKL) approach, including analysis of hazard identification, dose-response, exposure assessment, and risk characteristics. 61 respondents from the production division were selected as samples with a disproportionate stratified random technique. Data was collected using a questionnaire and Total Suspended Particulate (TSP) concentration from company’s secondary data. The results of measuring dust levels at 2 (two) points obtained a concentration value that was still below the threshold, but 77% of respondents experienced health problems related to TSP dust. The real-time intake value of TSP exposure of workers was not at risk of health problems (RQ<1) at both measurement points, and the intake lifespan value of TSP exposure was at risk of health problems (RQ>1) for all workers in the 15th year at point 1. It is recommended for companies to conduct regular health checks on workers, provide PPE and apply the standard use of PPE, make rules that prohibit smoking while working, and increase the location and frequency of testing for TSP dust levels in the company
Anemia in Pregnancy and Low Birth Weight Before and During the COVID-19 Pandemic in Kalijambe
Full text linkPregnant women and infants were a vulnerable group during the COVID-19 pandemic. This research aimed to determine anemia in pregnancy and Low Birth Weight (LBW) before and during the COVID-19 pandemic and analyze their associated factors. This was a cross-sectional study used secondary data from maternal and child health records in Kalijambe Public health center, Sragen. A total of 1169 birth records from the period of 2019-2020 were collected. The chi-square and logistic regression were used to analyze the differences and significant associated factors. The prevalence of anemia in pregnancy increased from 38.33% in 2019 to 49.21% in 2020 (p=0.013). However, the LBW proportion decreased from 7.26% in 2019 to 6.02% in 2020 (p=0.415). Mother who suffered from chronic energy deficiency marked by Mid-Upper Arm Circumference (MUAC) < 23.5 cm was higher risk of anemia (aOR 1.86;95%CI 1.13-3.08). Considering the gestational age when the hemoglobin (Hb) test, anemia was more likely to be found at the second (aOR 2.59;95%CI 1.37-4.86) and third trimester (aOR 6.97;95%CI 3.98-12.20). High-risk pregnancy had higher odds of LBW (aOR 8.57;95%CI 1.65-44.37), while anemia showed no effect on LBW (aOR 1.80;95% CI 0.34-9.45). These results were adjusted for mothers’ age, parity, abortus, infection during pregnancy, high-risk pregnancy, MUAC, preterm birth, and gestational age. COVID-19 pandemic increased the prevalence of anemia in pregnancy but had no impact on LBW. Several factors for anemia and LBW were significantly associated. This finding suggests the need for early risk detection and routine, standardized, and comprehensive antenatal care
Effect of Dreall Healthy about Sedentary Life Style for Increasing Motivation to Children with Obesity
Full text linkThe Increasing prevalence of children with obesity was showed in all around the world include in Indonesia. The dominant factor was a sedentary life style and lack of activity. Those habits would be made the energy being unused so the fat will be accumulation become obesity. This Study aimed to know the effect of dreall healthy sedentary lifestyle on obese school-age children. This research was used pre-experimental with one group pre posttest design to analyze the data about motivation. The number of was 60 school-age children with obesity in Palembang city the data collected by using questioner after arranging the puzzle that was a development based on the collected data. The statistic result with Wilcoxon test showed improving motivation with the result p=0,001. Fun education might become one method for increasing motivation on children to raise their physics activity
Rapid Assessment of Personnel and Equipment Availability in Sports Medicine Services
Full text linkHospitals that already have sports medicine services need to constantly make improvements and innovations to ensure the implementation of complete services. This study aims to explain the description of the availability of personnel and equipment at a hospital in Jakarta and the extent of their suitability based on literature studies in order to support sports medicine services. This research method is descriptive qualitative with triangulation methods, namely observation, indepth interviews with 4 key informants, review of hospital documents, and is equipped with a literature study to match the personnel and equipment available with those found in the literature study. This research is located at a hospital in Jakarta, which runs from November 3, 2020 to December 1, 2020. The results show that the hospital has sufficiently complete personnel and only needs to complete the availability of sports psychologists. Meanwhile, nutritionists and dentists can ask for the willingness of the staff in the hospital to join as a sports medicine team. For podiatrists and health education providers, their role can be carried out by other personnel in the field of sports medicine who have similar competencies. The equipment owned by that hospital is also quite complete, but it should be equipped with MRI, as well as tools that have become gold standards, including CPET and DXA Scan. The fulfillment of these personnel and equipment should be a development plan for sports medicine services in stages in the future