Preventif: Jurnal Kesehatan Masyarakat
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Retrospektif case control analisis pada anemia ibu hamil dengan luaran kelahiran bayi di Tuban, Indonesia
Latar Belakang: Anemia pada ibu hamil masih menjadi masalah kesehatan masyarakat yang serius di negara berkembang, termasuk Indonesia. Meskipun Indonesia kaya akan sumber daya pangan, tingginya angka anemia disebabkan oleh pola makan rendah zat besi dan kebiasaan yang menghambat penyerapan zat besi, seperti konsumsi teh setelah makan
Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara anemia pada ibu hamil dengan luaran kelahiran bayi di Kabupaten Tuban, Jawa Timur.
Metode: Penelitian ini merupakan studi kasus-kontrol retrospektif berdasarkan data rekam medis 96 ibu nifas yang melahirkan pada Januari hingga April 2025. Kelompok kasus terdiri dari ibu dengan kadar hemoglobin <11 g/dL, dan kelompok kontrol dengan Hb ≥11 g/dL. Luaran yang diamati meliputi berat badan lahir rendah (BBLR), asfiksia neonatal, dan panjang badan bayi. Analisis dilakukan menggunakan uji Pearson.
Hasil: Prevalensi anemia pada ibu hamil sebesar 50%. Terdapat hubungan yang signifikan antara anemia dengan kejadian BBLR (77,1%; p < 0,05) dan asfiksia neonatal (58,3%; p < 0,05). Namun, tidak ditemukan hubungan yang signifikan antara anemia dengan panjang badan bayi saat lahir (p = 0,813).
Kesimpulan: Anemia pada ibu hamil, terutama pada trimester kedua dan ketiga, secara signifikan meningkatkan risiko BBLR dan asfiksia neonatus akibat hipoksia janin kronik. Diperlukan intervensi gizi, edukasi konsumsi makanan kaya zat besi, dan pemantauan kehamilan yang ketat untuk mencegah dampak buruk anemia terhadap ibu dan bayi.
 
The Role of ANC, Posyandu, and Immunization Visits in Preventing Stunting in Toddlers: A Case Study in West Sumba District
Stunting in children under five is a serious global health problem, including in West Sumba Regency, Indonesia. Data from the West Sumba District Health Office shows that out of 100 toddlers, 12 are underweight, 30 are stunted, and 5 are obese. The stunting rate in West Sumba in 2018 also increased compared to 2016 and 2017, from 29.6% to 36.4% or 364 cases.Data from the West Sumba District Health Office shows that the second highest number of stunted infants is at the Puuweri Community Health Center . This study aims to identify the relationship between ANC visits, Posyandu, and immunization with the incidence of stunting in toddlers in West Sumba Regency. This study used an analytical observational research design with a cross- sectional study type. Data were obtained through interviews with pregnant women and parents of children under five who actively participated in ANC visits, Posyandu, and immunization in the region. The calculation results show that the required sample size is 88. Data analysis involved a chi-square test to identify the relationship between ANC, Posyandu, and immunization visit variables and stunting incidence. The results showed that there was a significant relationship between ANC visits (p = 0.000), Posyandu (p = 0.000), and immunization (p = 0.000) with the incidence of stunting in toddlers in West Sumba Regency. Participation in ANC, Posyandu, and immunization visits plays an important role in reducing the risk of stunting in toddlers in West Sumba Regency
Evaluation of the Effectiveness of the Village Food Safety Movement Programme in Improving the Knowledge, Attitudes and Behaviour of Family and Community Cadres in North Sumatra
This study examines the impact of the Village Food Safety Movement (GKPD) program initiated by BPOM in improving the knowledge, attitudes, and behaviors of food safety cadres in stunting and non-stunting villages in North Sumatra. The aim of the study was to evaluate the effectiveness of the GKPD intervention on food safety understanding and practices among cadres. The method used was a retrospective analysis with data from pre-test and post-test surveys on cadre groups in six villages during the period January to December 2022. The results showed that there was a significant increase in cadres\u27 knowledge on food safety, with an average increase in general knowledge from 26.5% to 57.4% after the intervention. In addition, attitudes and behavioral aspects also showed progress, although some areas such as food processor hygiene still require more attention. In conclusion, the GKPD program is effective in increasing cadres\u27 awareness and ability to manage food safety, which is expected to contribute to food security at the village level
Wood Dust Exposure as a Risk Factor for Respiratory Disorders in Furniture Workers: A Systematic Review
Wood dust is generated when machines are used to cut, shape, or smooth wood materials. One industry that has a high risk of exposure to wood is the furniture industry. Wood dust particles can enter the lungs and affect respiratory health when inhaled. The study aims to determine wood dust exposure and explain the risk factors for respiratory disorders in furniture workers. The method used was literature review. This review process includes several stages, starting from identification using keywords, screening titles and abstracts, determining article eligibility, selection based on inclusion criteria, to data extraction. The articles analyzed in this review came from the period 2019 to 2024, with a total of seven articles reviewed. The results of statistical analysis in each study showed that the p-value was <0.05, indicating that wood dust exposure is considered a significant risk factor for respiratory disorders of furniture workers. The results of this systematic review indicate the need for increased awareness and compliance with the use of PPE among workers
Validity and Reliability Test of COPSOQ III Questionnaire for Health Workers at RSUD X Year 2025
Job stress in healthcare workers can affect their mental and physical health. The causes of occupational stress in healthcare workers can vary, including high workload, high work pressure, long working hours and risk of exposure to disease. The COPSOQ III is an instrument that can be used to measure psychosocial factors in the workplace. This study aims to test the validity and reliability of the COPSOQ III (Copenhagen Psychosocial Questionnaire) questionnaire on health workers at X Hospital. The research design used was cross sectional. The research sampling was conducted using probability sampling method with simple random sampling technique on health workers at RSUD X. The validity test using Pearson correlation showed that all items were valid (r-count > 0.374), while the reliability test obtained a Cronbach\u27s Alpha value of 0.903, indicating high consistency
OVERVIEW OF KNOWLEDGE ABOUT FIRST AID FOR HYPOTHERMIA IN MOUNTAIN CLIMBERS IN MAKASSAR
Hypothermia is a medical condition that occurs when body temperature drops abnormally. This condition occurs because the body can no longer produce enough heat to compensate for the heat loss that occurs. According to data obtained from BASARNAS between 2015 and 2018, accidents during climbing are often caused by several factors, with hypothermia being the most dominant with a percentage of 47%. The purpose of this study was to determine the description of knowledge about first aid for hypothermia in mountain climbers in Makassar.This study is a descriptive study with a population and sample of 133 climbers, selected using purposive sampling techniques . The data collection instrument uses a questionnaire. The results of the study showed that the level of knowledge of climbers about First Aid for Hypothermia, the majority of whom had good knowledge, as many as 107 climbers (80.5%), and a small portion had sufficient knowledge, as many as 26 climbers (19.5%). The conclusion of this study is that the level of knowledge of mountain climbers in Makassar, especially in PKD South Sulawesi, about first aid for hypothermia is quite good. Several factors that can influence the results of the study include experience and information owned. It is expected that respondents can further improve their knowledge about first aid for hypothermia by seeking information from various sources, such as mass media and the internet, and attending training. Thus, it is expected to reduce the number of hypothermia cases that occur during climbing
Measles Surveillance Evaluation (Post Outbreak); Systems Approach at The Palu City Health Department In 2024
Measles is an airborne disease with a very high transmission rate. There has been a global increase in both morbidity and mortality due to measles. In 2023, outbreaks occurred in several regions, particularly in Central Sulawesi, with Palu City being notably affected. This study aimed to evaluate the surveillance activities following the measles outbreak in the jurisdiction of the Palu City District Health Office, employing a systems approach.
The research respondents included surveillance officers from the Palu City Health Office and those from the Puskesmas (community health centers) within its area. Data were collected through interviews and observations. The findings revealed several issues in the input aspect of surveillance, including overlapping roles for surveillance officers, a lack of knowledge transfer to new personnel, insufficient tactical funding for outbreak responses, and inadequate computer resources at some health centers to support surveillance activities.
In the process aspect, challenges included the absence of designated contact persons from hospitals for all public health centers (PHCs), delays in the timely collection of zero case data, and inconsistent data processing with sub-district stratification among PHCs. Regarding the output aspect, reports were often not delivered promptly, and the dissemination of information was limited to internal stakeholders
The Influence of The Physical Environment on The Quality of Life of Patients With Type 2 Diabetes Mellitus in The Belawan Health Center Area
Diabetes is one of the health problems, according to the International Diabetes Federation (IDF), Indonesia is the fifth country with the highest number of diabetes sufferers, namely 19.5 million people living with diabetes in 2021 and projected to increase to 28.6 million people in 2045 (IDF, 2024). In this study, researchers wanted to see the influence of the physical environment on the quality of life of Type 2 DM sufferers in the Belawan Health Center area. This study uses an analytical observational method with a cross-sectional design.
The data used are primary and secondary data, where the population is 226 people. The sampling technique used by researchers is by using the Slovin formula, so the number of samples is 70 respondents. In this study, researchers found that Bedroom and Family Room Ventilation (p = 0.000; 0.005), Bedroom Humidity (p = 0.015), Bedroom and Family Room Ceiling Height (p = 0.001; 0.028), Bedroom and Family Room Lighting (p = 0.000; 0.001) have a significant relationship to the influence of the physical environment on the quality of life of Type 2 DM sufferers in the Belawan Health Center area. While Family Room Humidity (p = 0.085) does not have a significant relationship to the influence of the physical environment on the quality of life of Type 2 DM sufferers in the Belawan Health Center area. The most influential factors in this study were Bedroom Ventilation and Bedroom Lighting (p-0.000; 0.001 OR = 9.582; 3.727)
Level of Community Participation in Efforts to Reduce the Incidence of Diarrhea in Toddlers in Palu City
Diarrheal disease remains a significant public health problem, especially in children under five in developing countries with limited access to clean water and proper sanitation. In Indonesia, especially in Palu City, the incidence of diarrhea among children under five is still high and is related to the low knowledge and practice of clean and healthy living in the community. This study aimed to describe the level of community participation in efforts to reduce the incidence of diarrhea in children under five in Palu City. The study used descriptive quantitative method and was conducted from September 2020 to May 2021 in eight health centers representing all areas of Palu City. The sample consisted of 138 mothers of children under five, selected using a multistage random sampling technique. Data were collected through a structured questionnaire and analyzed descriptively. The results showed that most mothers of children under five were rarely involved in diarrhea prevention activities, such as health counseling, giving time and energy, and disseminating education to the community. The level of participation in the eight health centers tends to be quite low, with variations between regions that show inequality. The low involvement of mothers of children under five is thought to be influenced by a lack of awareness, limited time due to multiple roles, and not optimal support and supervision from the Puskesmas. It is concluded that mothers\u27 participation in diarrhea prevention is still not optimal, so it is necessary to strengthen community-based health programs that are participatory and appropriate to the social context in order to increase active involvement in diarrhea prevention efforts in children under five
Factors Related to Occupational Stress Among Nurses in the Inpatient Unit of Madani Mamboro Regional General Hospital, Palu City
Work stress is a common issue faced by healthcare workers, particularly nurses. It arises when there is an imbalance between an individual’s capabilities and the demands of the work environment; the greater this mismatch, the higher the level of stress experienced. Various factors have been identified as contributors to work stress, including workload, work shifts, lighting conditions, and age. This study aimed to examine the relationship between workload, work shifts, lighting intensity, and age with work stress among psychiatric nurses at RSUD Madani in Central Sulawesi Province. A quantitative analytic method with a cross-sectional design was employed. The study involved total sampling, with 54 nurses participating as respondents. Data were collected using structured questionnaires based on Likert and Guttman scales. The results indicated significant associations between workload (p = 0.001) and work shifts (p = 0.019) with work stress. However, no significant relationships were found between lighting intensity (p = 0.791) or age (p = 0.181) and work stress. These findings suggest that workload and shift schedules are key factors influencing work stress among nurses in inpatient units. Therefore, it is recommended that RSUD Madani’s management adjust nurses’ workloads and improve shift scheduling in order to reduce work stress effectively