Kesmas: National Public Health Journal
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BEHAVIOR PROBLEM IMPACT TO DECREASING KIDNEY FUNCTION AMONG MIGRANT WORKERS
Get PDFIndonesian Workers were undergoing 18% of hemodyalysis from the number of hemodyalysis patients. They did not know about CRF. The study aimed to analyze the behavior of migrant workers who were suffering hemodyalysis. The study used a qualitative design with a phenomenological approach, that is carried out on former migrant workers who suffer from chronic kidney failure. Indepth interview used as data collection. While data validation used triangulation and confirmability. Data analysis techniques was done by reducing and interpreting the data. The study show migrant workers behavior before becoming migrant workers were very pathetic. They often drunk kind of energy drinks. Further, following the lifestyles of migrant countries such as drinking alcohol, soft drinks, fast food becoming their routine activities as lack of drinking water, vegetables, fruit, and also rarely did exercises. Migran workers activities influenced by the work system and individual interests to get excess income, then they chose to work overtime as their priority. In conclusion, the problem of migrant workers' behavior and hypertensive hereditary disease has an impact on decreasing kidney function. Migrant workers have no knowledge of healthy lifestyles and CRF. Wrong perceptions and attitudes of migrant workers to support culture in migrant countries
Knowledge and Practice in Household Waste Management
Get PDFDeclining environmental quality is one of population caused by household consumption behavior. Some of the highest contaminant contributions are domestic waste, waste, and company waste. Waste contamination will lead to dead fish, decreased water quality and disease transmission. Community approach can be done to solve the waste problem, especially at the household level. This study uses quantitative methods to analyze the effect of intervention and waste management training on changes in household waste management knowledge and practices. This type of research uses quasi experiment with one group of pre and post test design. The results showed that there was an increase of knowledge about waste management after being given intervention by the researcher because the p value ≤ 0,05. The results also show that there is an increasing practice on waste management after being given intervention by researchers because the p value ≤ 0.05. Based on the research results, it can be concluded that the provision of intervention is effective for improving knowledge and practice in the household waste management.Keyword: Knowledge, Practice, Waste managemen
The Consumption of Fresh Vegetables from Street Food and Sanitation of Street Stalls at Four Locations in Bogor City
No full textThe consumption of fresh vegetables at the stalls needs serious attention. This research aimed to estimate the exposure probability due to fresh vegetables consumption of street food consumers, to measure sanitation level of street stalls that serving fresh vegetables, and to recommend a mentoring program for the stalls at four locations in Bogor City. This research was conducted at 16 stalls located at four locations in Bogor City. The number of respondents surveyed was 293 people and determined by stratified sampling method. Food frequency questionnaire was used as a tool in the survey. The survey showed that men consumed more fresh vegetables than women with the average of 47.12 g/person/consumption and frequency 3.37 times/week (p<0.05). Adults consumed fresh vegetables at the stalls most often with 3.05 times/week and the average consumption of 44.59 g/person/consumption (p<0.05). All street stalls were at level IV of sanitary practices. Thus, there is a risk of food safety in consuming fresh vegetables at the stalls at four locations in Bogor City. Men and adults had high exposure probability to microbiological hazards due to fresh vegetables consumption at the stalls. Mentoring program for all locations involving socialization and implementation of street stall management and sanitation practices regulations by government, full awareness of street vendors in complying with the prevailing regulations, and firm action for the vendors who violate the rules
Factors Related to Adolescent Behavior towards HIV/AIDS Prevention
No full textIn 2016 Special Region of Yogyakarta was ranked 9th as the province with the highest number of people suffered from HIV/AIDS especially at Sleman regency. Globally, AIDS was the second leading cause of adolescents’s death aged of 10-19 years. The purpose of this study was to find out factors affecting the behaviour of the adolescents towards HIV/AIDS prevention. This research using with cross sectional study design. The sampling technique which used was stratified random sampling resulted in 59 respondents from 11th grade students at SMA Negeri 2 Sleman were selected as sample. Data were collected using questionnaire and analyzed using Chi-Square test and Multiple Logistic Regression. The result showed that most respondents 66,1% had sufficient knowledge. Students who showed supportive attitude was 54,2%. Information obtained were mostly from electronic media. Thirty one students (52,5%) showed a positive behaviour toward HIV/AIDS prevention. Chi-Square test’s result showed that factors significantly related to adolescent’s behaviour toward HIV/AIDS prevention were knowledge and attitude. Variables most affecting was attitude (p-value=0,008; PR=4,4; 95% CI=1,4-13,1)
Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta
Get PDFCuring and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals
Sexual Dysfunction among Women with Diabetes in a Primary Health Care at Semarang, Central Java Province, Indonesia
Get PDFSexual dysfunction is associated with pain during sexual intercourse. Diabetes mellitus (DM) has been reported to be one of the causal factors for sexual dysfunction in women. This cross-sectional study was conducted to describe the status of sexual dysfunction in women with DM in the Tlogosari Kulon Primary Health Care, Semarang, Indonesia, in March 2017. A total of 103 women with DM attending the health center participated in this study. Data were collected using a questionnaire-guided interview and through measurements (blood pressure and random blood glucose test). Results showed that 74.8% of women with DM had sexual dysfunction. The proportion of sexual dysfunction was higher among women in the clinical phase, with uncontrolled blood glucose levels, hypertension grade II, prolonged duration of DM of ≥ 5 years, undergoing insulin treatment, in menopause, grand multiparity, having used the tubectomy contraception method, low physical activity, depression, and consumption of antihypertensive drugs. The aging process, menopausal status, and consumption of antihypertensive drugs will increase the risk for sexual dysfunction in women with DM. It is recommended that women with DM maintain their physical activity, blood sugar levels, blood pressure, and their depression status
Effect of Self-Regulated Learning for Improving Dietary Management and Quality of Life in Patients with Type-2 Diabetes Mellitus at Dr. Ramelan Naval Hospital, Surabaya, Indonesia
Get PDFSelf-regulated learning is a process of learning how to manage and regulate oneself to obtain skills and knowledge without depending on others. It is expected that diabetes patients can manage their diabetes by themselves. This study aimed to analyze the effect of self-regulated learning-based educational intervention on quality of life for patients with type-2 diabetes mellitus (DM) at Dr. Ramelan Naval Hospital, Surabaya. This was a quasi-experimental study in the form of pretest and posttest with a control group design. A total of 20 patients with DM were randomly divided into intervention and control groups to undergo a 4-week intervention. The intervention group received dietary education with self-regulated learning, while the control group received standard education. The results revealed differences in variables such as dietary obedience, food intake at home, fasting blood sugar, diastolic blood pressure, and quality of life. The intervention group experienced a positive impact on the quality of life and resulted in better dietary obedience than that of the control group. In conclusion, the implementation of self-regulated learning-based dietary education can improve dietary obedience, knowledge, intention, family support, social support, physical activity, and quality of life for patients with type 2 diabetes
Overweight and Obesity Status with Dental Caries among Children Aged 7–12 Years Old in Badung District, Bali 2018
Get PDFDental caries is an infectious disease that Dental is characterized by the dental damage resulting from microorganism products in carbohydrate fermentation. Dental caries and obesity in children are multifactorial diseases associated with eating habits and certain lifestyle factors. This study aimed to assess the association between overweightness, obesity, and dental caries among children aged 7–12 years in Badung district, Bali province in 2018. The total sample of 426 children and their mothers were recruited from all first to fifth elementary grade students in three schools selected by simple random sampling. The logistic regression analysis has demonstrated a significant association between obesity and dental caries (OR: 1.830; 95% CI: 1.230–2.722) and showed that after controlling for the confounding variables, obese children have a twice higher chance of experiencing dental caries than non-obese children. Therefore, strengthening the existing health education programs in schools, including those on healthy food or snack components, and improving the efficiency of physical activities for preventing obesity could be a short-term strategy to protect school children from childhood obesity and dental caries
ANALYSIS OF TRADITIONAL HEALTH CARE IN THREE COMMUNITY HEALTH CENTERS IN WEST JAVA PROVINCE, INDONESIA, 2018
Get PDFThe National Traditional Health Care set up three objectives for its implementation at the health centers, whereby health staff to be trained on traditional health and provide accupressure care, able to collect data, register and provide technical guidance to traditional healers and guide individuals in the use of traditional medicine and herbs. This qualitative research aimed to analyze the implementation of traditional health care at 3 subdistrict health centers Ciomas, Ciawi and Caringin in district Bogor. Data was collected through document analysis, observation and indepth inteview. Each health center has trained staff in accupressure but care is hindered by lack of room and community prefers to go to traditional masseur. Data collection, registration and technical guidance to traditional healers exist due to support from local funding. Individual guidance on the use of traditional medicine and herbs do not happen due to no fund for home visits. Traditional health care at health centers to focus on the activity that is working which is data collection, registration and technical guidance to traditional healers. District Health Office Bogor should develop local policy and Standard Operating Procedure for traditional health care at health centers
Users’ Perception of the Hospital Information System in a Maternity Hospital in Lampung, Indonesia
Get PDFHospital information systems (HIS) have been applied on a massive scale; however, user evaluation of their effectiveness, efficiency, and service quality improvements remain rare. This study aimed to describe the utility of information systems from the users’ point of view by using the Technology Acceptance Model (TAM) in a maternity hospital in Lampung, Indonesia. The study provided an overview of the features of the information system and the workflow of the user through this information system. Screenshots were taken by using Camtasia Studio 2.0 Trial Version application software for one day (two shifts) in the outpatient service. The HIS generally supported the workflow, but not all application modules were fully applied. The obstacles appear to be at the registration unit/outpatient registration and queue dashboard, cashier unit, pharmacy unit, medicine storage/room, and poly unit/checking room. A TAM framework, which included perceived ease of use and perceived usefulness of the information system, revealed that the currently implemented HIS was not perceived as optimal. However, users are still optimistic and aware of the usefulness of the information system in supporting their jobs. Thus, leaders have committed to initiate the potential development of this information system in the inpatient polyclinic