Berita Kedokteran Masyarakat
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Edukasi kesehatan imunisasi Measles Rubella menggunakan video animasi dan pesan teks melalui WhatsApp
No full textPurpose: This study aimed to compare the effect of health education using animated video and text messages through WhatsApp on parental knowledge and attitude. Method: This study used a quasi-experimental design on two groups that consisted of 36 respondents in each group. The first group received animation videos about MR immunization, and the second group received text messages through WhatsApp. The instruments of this study consisted of a knowledge questionnaire and an attitude questionnaire. The study was conducted on parents who had an infant less than nine months old, had a smartphone and WhatsApp account. Results: The pretest-posttest scores show increased knowledge and attitude about MR immunization after educational animation video and text message intervention. Video animation had a higher mean of knowledge and attitude than text messages. Conclusion: Health education using animation videos through WhatsApp can improve parental knowledge and attitude higher than a text message.Tujuan: Tujuan penelitian ini adalah untuk membandingkan pengaruh pendidikan kesehatan menggunakan video animasi dan pesan teks melalui whatsapp pada pengetahuan dan sikap orang tua. Metode: Penelitian ini menggunakan desain quasi-eksperimental pada 2 kelompok yang terdiri dari 36 responden setiap kelompok. Grup pertama menerima video animasi tentang imunisasi MR dan grup kedua menerima pesan teks melalui whatsapp. Instrumen penelitian ini terdiri dari angket pengetahuan dan angket sikap. Penelitian ini dilakukan pada orang tua yang memiliki bayi kurang dari 9 bulan, memiliki smarthphone dan akun WhatsApp. Hasil: Skor pretest-postest menunjukkan peningkatan pengetahuan dan sikap tentang imunisasi MR setelah intervensi video animasi dan pesan teks. Video animasi memiliki rerata pengetahuan dan sikap yang lebih tinggi daripada pesan teks. Kesimpulan: Pendidikan kesehatan menggunakan video animasi melalui WhatsApp dapat meningkatkan pengetahuan dan sikap orang tua lebih tinggi dari pesan teks
Safety climate as a risk factor of occupational accidents in a textile industry
Full text linkPurpose: This study aimed to analyze several risk factors of safety climate e.g. management safety priority and commitment, management safety empowerment, management safety justice, workers’ safety commitment, workers’ safety priority, safety in learning, communication, and innovation, and worker’s trust in the efficacy of safety system with occupational accidents in a spinning.Methods: This case-control study involved 120 workers divided into two groups, the control group (80 subjects) and the case group (40 subjects). The case group consisted of spinning workers who had experienced occupational accidents in the last two years in the textile industry in Bandung. The bivariate analysis uses a chi-squared, while multivariable analysis with multiple logistic regression.Results: The results show that PPE use and management safety empowerment influenced occupational safety, becoming a risk factor for occupational accidents. Management safety empowerment was considered the primary factor of occupational accidents with an adjusted odds ratio of 5.52 (CI 95% 2.26–13.44).Conclusions: Management safety empowerment that influenced occupational safety programs can improve social exchanges and support workplace safety to encourage occupational safety behavior
Hubungan Kualitas Pelayanan Kunjungan Neonatal Pertama (KN1) dengan Kematian Neonatal: Analisis Data SDKI 2017
No full textPurpose: To assess the association between the quality of first neonatal visit with neonatal death in Indonesia. Methods: We conducted secondary analysis of the 2017 Indonesian Demographic and Health Survey (IDHS) which was analyzed with retrospective cohort design. We analyzed 6,561 last born children to women aged 15-49 in the 2 years before the survey. The association between the quality of first neonatal visit and other independent variables with neonatal death were analyzed by chi square test and poisson regression.Results: Newborns who did not recieve first neonatal visit services (aRR= 63.64; 95% CI=8.57-472.7) and newborns who received poor-quality of first neonatal visit services (aRR=21.01; 95%CI=2.82-156.4) had higher risk of neonatal death compared with newborns who received good-quality of first neonatal visit services by controlling for frequency of antenatal care, delivery characteristics, birth weight and infant sex. The majority (71%) of newborns who received good-quality first neonatal services were newborns in Java, Bali and NTB region. Low birth weight (LBW) infants (aRR=0.05; 95%CI=8.57-472.7) and male infants (aRR=15.93; 95%CI=8.24-30.80) had higher risk of neonatal death. Conclusion:Quality of first neonatal visit services, birth weight and infants sex were associated with neonatal death in Indonesia. Efforts to prevent neonatal deaths should be focused on quality and equality of first neonatal visit improvement and prevention and care for LBW infants.AbstrakTujuan: Mengkaji hubungan kualitas pelayanan KN1 dengan kematian neonatal di Indonesia. Metode: Penelitian menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 dengan desain kohort retrospektif. Sampel penelitian adalah kelahiran hidup 2 tahun sebelum survei dari wanita 15-49 tahun yang memenuhi kriteria inklusi dan eksklusi sebanyak 6.561 bayi lahir hidup. Hubungan karakteristik pelayanan KIA, neonatal dan ibu dengan kematian neonatal dianalisis dengan uji chi square dan regresi logistik berganda. Hasil: Bayi yang mendapatkan KN1 berkualitas berisiko 98% lebih rendah untuk mengalami kematian neonatal (aOR=0,02; 95%CI=0,00-0,44) sedangkan bayi yang mendapatkan pelayanan KN1 tidak berkualitas berisiko 52% lebih rendah untuk mengalami kematian neonatal (aOR=0,48; 95%CI=0,26-0,9) dibandingkan dengan bayi yang tidak mendapatkan pelayanan KN1 setelah mengontrol variabel berat badan lahir dan jenis kelamin bayi. Kesimpulan: Bayi yang menerima pelayanan KN1 yang berkualitas, bayi dengan berat badan lahir ≥2500 gram dan bayi perempuan berisiko lebih rendah untuk mengalami kematian neonatal. Upaya pencegahan kematian neonatal hendaknya difokuskan pada upaya peningkatan kualitas pelayanan KN1 serta pencegahan dan perawatan bayi berat badan lahir rendah (BBLR).
Evaluasi Program Pemberian Makanan Tambahan Telur Fungsional Pada Ibu Hamil Kekurangan Energi Kronis (KEK) di Wilayah Kabupaten Sleman
No full textObjective: To determine the effect of functional egg administration on changes in nutritional status, protein intake, and babies born. Methods: A study analytical with cross sectional design that was seen retrospectively. To support research data, in-depth interviews were conducted with key informants and research supporters. Results: Analysis found that consumption of functional eggs was not statistically related to nutritional status, weight and length of the child's body but was related descriptively. Functional egg consumption is associated with an increase in energy and protein intake with p values 0.005 and 0, 011 (p <0.05).Conclusion: There was an increase in body weight, MUAC and nutritional status of CED pregnant women became NON CED, thereby reducing the birth of LBW and LBL. Functional eggs have not been used as additional food, but instead become the main protein intake of the mother. There is a need to increase commitment among organizers, implementers and targets in implementing programs to break the stunting chain.Keywords: CED, Functional Egg Supplementary Feeding Program, Stuntin
Hubungan Kualitas Pelayanan ASI saat Kunjungan Neonatal Pertama (KN1) dengan Pemberian ASI Eksklusif (Analisis Data SDKI Tahun 2017)
No full textTujuan: Penelitian ini bertujuan untuk melihat hubungan kualitas pelayanan ASI eksklusif saat kunjungan neonatal pertama dengan pemberian ASI eksklusif di Indonesia.Metode: Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 dengan pendekatan kohort retrospektif. Sampel yang digunakan adalah bayi berusia 0-5 bulan yang disesuaikan dengan kriteria inklusi dan eksklusi. Hubungan kualitas pelayanan ASI eksklusif saat kunjungan neonatal pertama dengan pemberian ASI eksklusif akan dianalisis dengan uji statistik chi-square dan menghitung nilai risk ratio (RR) dengan interval kepercayaan 95%.Hasil: Persentase bayi 0-5 bulan yang mendapatkan ASI eksklusif adalah 54,6% dan ibu yang mendapatkan pelayanan ASI yang berkualitas sebesar 75,7%. Pada penelitian ini tidak terdapat hubungan antara kualitas pelayanan ASI saat KN1 dengan pemberian ASI eksklusif (p>0,05). Ada hubungan antara pendidikan ibu, status ekonomi, status bekerja ibu, serta jenis persalinan terhadap pemberian ASI eksklusif.Kesimpulan: Cakupan ibu yang mendapatkan pelayanan ASI berkualitas saat KN1 sudah cukup tinggi, namun tidak ditemukan adanya hubungan antara kualitas pelayanan ASI saat KN1 dengan pemberian ASI eksklusif. Sehingga diperlukan evaluasi terkait pelaksanaan pelayanan ASI saat KN1
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No full textPurpose: The increasing use of gadgets among preschool children, especially in inappropriate ways, will decrease visual acuity. Decreased visual acuity makes it difficult to carry out daily activities and will be fatal in their adulthood. The purpose of this study was to examine the visual acuity of preschool children among children gadget users. Method: This study took 144 preschool children in Palembang. Sharp eye measurements used a Snellen chart. Parents or guardians were interviewed regarding their children's gadget behavior. Results: 68.0% (95% CI 56.3% - 81.3%) were identified children with visual impairments with vision <6/6 with the most group distribution on the sex of boys; age five years; the ownership status of the self gadget; spending ≥ 3 hours/day playing gadgets and watching television ≥ 3 hours/day. Conclusion To reduce the morbidity of visual disturbances, parents should have counseling and guidance programs on gadget use among preschool children. Also, preschool gadget users should take periodic eye examinations for early diagnosis and better child development. Keywords:
Ergonomic risk factor of musculoskeletal disorders complaints in woven fabric workers
No full textABSTRAKBackground: Occupational safety and health (K3) in medium-sized businesses (UKM) is needed because almost 70% of SMEs in Indonesia do not know occupational safety and health (K3). Occupational diseases (PAK) in weaving workers, namely complaints of musculoskeletal disorders (MSDs) caused by unnatural work postures (clumsy) can result in disruption of skeletal muscles and high workload can affect the occurrence of loading on the muscles so that it can result in fatigue in workers because of the accumulation of lactic acid in the muscles and blood circulation resulting from the contraction process of an ergonomic work that takes place over a long period of time and repeatedly. In the lurik fabric manufacturing industry in the Bantul Special Region of Yogyakarta (DIY), namely Kurnia Lurik through the lurik fabric manufacturing process that takes place in 1.5 to 2 months that still uses non-machine looms (ATBM).Research Objectives: The purpose of this study was to analyze the risk factors for ergonomics of workers in the Kurnia Lurik Sewon Bantul Industry Special Region of Yogyakarta (DIY) against complaints of Musculoskeletal Disorders (MSDs).Research Methods: The method used in this study is a quantitative method. This type of research is a type of observational analytic study using a cross-sectional design. Assessment of work posture using the Rapid Entire Body Assessment (REBA) method, assessment of work fatigue (subjective) using the Nordic Body Map (NBM) method, measurement of lactic acid in the blood is used to measure work fatigue (objective), then reinforced by the presence of controlled variables including variables work period and duration of work in measuring Musculoskeletal Disorders (MSDs) complaints in 30 Kurnia Lurik industrial workers. The research data were analyzed and interpreted using Stata 12 statistics. Bivariate data analysis used the Chi-Square test and multivariate data analysis using the Logistic Regression test.Research Results and Discussion: The results of the study show the work posture of Kurnia Lurik workers is a risk of ergonomic danger that is the working conditions and work equipment used by workers not in accordance with the work posture of workers. Work fatigue (subjective) and work fatigue (objective) of Kurnia Lurik workers constitute risk of work environment hazards, namely the risk of hazards in the form of physical, chemical, biological, psychosocial, and ergonomic factors. Workload of Kurnia Lurik workers is a risk of danger to the worker's body that is derived from the worker's body, such as work capacity and health status of workers. Work period and duration of work of Kurnia Lurik workers constitute a risk of harm to the organization of workers and a work culture that is work risk associated with excessive workload of workers and excessive work time for workers.Conclusion: There is a risk of ergonomic hazards due to mismatch between equipment used by workers as well as working conditions with workers' body measurements. Keywords: Musculoskeletal Disorders (MSDs), Work Posture, Work Fatigue, Workload, Work Length, Work DurationBackground: Musculoskeletal disorders (MSD) caused by unnatural (awkward) work postures can cause damage to skeletal muscles and workload which can increase loading on muscles which can increase work on workers accumulating lactic acid in muscles and blood circulation resulting from the contraction process. Purpose: Analyze the risk factors for ergonomics of workers in the Kurnia Lurik against complaints of MSDs. Methods: A quantitative method. Assessment of work posture using the Rapid Entire Body Assessment method, assessment of work fatigue (subjective) using the Nordic Body Map method, measurement of lactic acid in the blood is used to measure work fatigue (objective), then reinforced by controlled variables including variables work period and duration of work in measuring MSDs complaints in 30 Kurnia Lurik industrial workers. Results: The results of the study show the work posture of Kurnia Lurik workers is a risk of ergonomic danger that is the working conditions and work equipment used by workers not in accordance with the workers posture. Work fatigue (subjective) and work fatigue (objective) of Kurnia Lurik workers constitute a risk of work environment hazards. Workload of Kurnia Lurik workers is a risk of danger to the worker's body that is derived from the worker's body, such as work capacity and health status of workers. Work period and duration of work of Kurnia Lurik workers constitute a risk of harm to the organization of workers and a work culture that is work risk associated with excessive workload of workers and excessive work time for workers.Conclusion: There is a risk of ergonomic hazards due to mismatch between equipment used by workers as well as working conditions with workers' body measurements. Keywords: Musculoskeletal Disorders (MSDs), Work Posture, Work Fatigue, Workload, Work Lengt
PENGINGAT LAYANAN PESAN SINGKAT SEBAGAI EDUKASI BAGI PELAJAR SMP YANG MEROKOK DI KOTA PEMATANGSIANTAR
No full textPurpose: This study aims to analyze the influence of short message service reminders on knowledge of junior high school students who smoked.Method: The study used a quasi-experimental design with a pretest and posttest. The population was all junior high school students who smoked, and 85 of them were used as the samples. The data were analyzed by using the Wilcoxon statistics test.Results: Short message service reminders increased the knowledge scores of junior high school students who smoked from 1.48 to 2.36 and it was statistically significant (p-value=0.0001).Conclusion: Headmasters should provide continuous and sustained short message service reminders in their health promotion programs in their school institutions.Purpose: this study aims to analyze the influence of short message service reminder on knowledge of junior high school students who smoked in Pematangsiantar City. Method: the type of study is quasi experiment with a pretest-posttest design. The population was all junior high school students who smoked, and 85 of them were used as the samples. The data were analyzed by using Wilcoxon statistic test. Result: The result of this study showed that the mean value of knowledge from 1.48 to 2.36 at p-value=0.0001 which indicated that there was the influence of short message service reminder on knowledge of the junior high school students who smoked in Pematangsiantar City. Conclution: it is necessary to educated for health information exposure with continuously and sustainably as the promotive and preventive effort such as short message service reminder
Model Aktivitas Fisik pada Kampus Berfasilitas Minimal
No full textPurpose: The purpose of this model is to discover an idea of physical activity on campus having less than adequate facilities, especially in Poltekkes Karya Husada Yogyakarta. Method: This is a review of physical activity on campus, that does not require a lot of facilities. References are taken through articles that are open access from Google Scholar. Keywords used in this review are “physical activity on campus” that were published from 2009-2019. After finding a suitable one, a model was developed with specific references based on the types of physical activity. Results: Physical activity that is suitable in minimal campus facilities include walking or cycling to campus, using stairs, and stretching between work and college. Conclusion: Stretching in study hours, going up and down the stairs, and cycling to campus are activities that can be performed anywhere without requiring expensive additional facilities. It can result in 43 minutes of physical activity without having scheduled time. This review can be applied for physical activity on Poltekkes Karya Husada and another campus with minimal facilities.Introduction: A high activity and lack of adequate health facilities make colleges abandon healthy lifestyle patterns. All of most colleges in Yogyakarta don't have adequate facilities to perform physical activities on campus. A model of physical activity on a college having minimal facilities is essential. It shows that a healthy lifestyle can be performed by anyone and anywhere. Goal: The purpose of this model discover an idea of physical activity on campus having less adequate facilities, especially in Poltekkes Karya Husada Yogyakarta. Method: This method uses literature study of physical activity on campus not requiring a lot of facilities. After obtaining specific samples, model is selected matching with Poltekkes Karya Husada Yogyakarta. Some models for performing healthy living on campuses with minimal facilities are walking or cycling to campus, up and down the stairs and stretching between work and college. The model becomes a recommendation of physical activities at Poltekkes Karya Husada Yogyakarta particularly and other institutions. Conclutions: Stretching between study times, going up and down the stairs and cycling to campus are activities that can be performed anywhere without requiring adequate facilities. It can result in 43 minutes of physical activity without having scheduled time. A saying “man jadda wa jada”, those who are sincere will get results. Minimum facilities in campus will not restrict us to any physical activity, if we have a strong will. Keywords: phisical activty, healthy campus, minimum facilit
Kajian Program Pembinaan Pedagang Makanan Jajanan Anak Sekolah Keliling di Wilayah Kerja Puskesmas Godean I Terhadap Higiene Sanitasi dan Cemaran Escherichia coli
No full textPurpose: To find out the implementation and influence of the Puskesmas Godean I training program on sanitation and Escherichia coli contamination on school-based street food vendors in the Godean sub-district.Method: The type of research conducted is observational research. The study design was cross-sectional. The research sample was school-based street food vendors in the Puskesmas Godean I working area. The sampling technique used was total sampling.Result: This study found that there were significant differences between vendors who took part in the training and those who did not take part in the training in terms of personal hygiene (p = 0.002; p <0.05) and sanitation of food equipment (p = 0.028; p <0.05). While there was no significant difference in terms of food serving sanitation (p = 0.285; p <0.05), sanitation facilities of vendors (p = 0.154; p <0.05), and Escherichia coli contamination (p = 0, 126 ; p <0.05).Conclusion: The training program on the hygiene of sanitation and Escherichia coli contamination for school-based food vendors in the work area of Puskesmas Godean I has been implemented, even though it has not been effective. There is an influence of training programs for school-based food vendors on personal hygiene and food equipment sanitation. Objective: To find out the implementation and influence of Puskesmas Godean I training program on sanitation and Escherichia coli contamination on school-based street food vendors in Godean sub-district.Method: The type of research conducted is observational research. The study design was cross sectional. The research sample was school-based street food vendors in the Puskesmas Godean I working area. The sampling technique used was total sampling.Result: This study found that there were significant differences between vendors who took part in the training and those who did not take part in the training in term of personal hygiene (p = 0.002; p <0.05) and sanitation of food equipment (p = 0.028; p <0.05). While there was no significant difference in terms of food serving sanitation (p = 0.285; p <0.05), sanitation facilities of vendor (p = 0.154; p <0.05), and Escherichia coli contamination (p = 0, 126 ; p <0.05).Conclusion: Training program on hygiene of sanitation and Escherichia coli contamination for school-based food vendors in the work area of Puskesmas Godean I has been implemented even though it has not been effective. There is an influence of training programs for school-based food vendors on personal hygiene and sanitation of food equipment.