International Conference of Public Health
Fakultas Ilmu Kesehatan Universitas Teuku Umar
Determinants Associated with Personnel Motivation in Health Planning within North Sumatra Province
Health personnel play a vital role in ensuring the successful delivery of public health services. Consequently, the government continually strives to fulfill and distribute health workers equitably to meet public expectations for quality care. This study aims to examine the relationship between human resource planning, utilization, and professional development regarding the work motivation of health personnel in North Sumatra Province. This study utilized a quantitative method involving 116 randomly selected respondents from two regencies in North Sumatra Province, specifically Karo and South Labuhanbatu. The research findings were processed through three analytical stages, namely univariate, bivariate, and multivariate analysis. In terms of the planning variable, the chi-squared test yielded a p-value of 0.063, indicating a non-significant result. This suggests that no direct relationship exists between planning and work motivation. On the other hand, the utilization variable and the development variable both produced p-values of 0.000. These significant results imply that utilization and professional development are closely linked to the work motivation of health human resources. Furthermore, logistic regression analysis revealed that the personnel development variable maintained a p-value of 0.000 and an Exp(B) value of 0.551. This indicates that health resource development provides a 0.55-fold opportunity to influence work motivation. Notably, among the three factors studied, personnel development stands out as the most influential determinant of work motivation compared to utilization and planning. As a final point, local governments, community health centers, and health offices should demonstrate a high level of commitment to budget allocation. This funding is necessary for socializing performance indicators and conducting professional training focused on planning, implementation, monitoring, and evaluation.
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The Abundance and Distribution Patterns of Mud Crabs (Scylla Spp.) In The Ketapang Indah Mangrove Area, Singkil, Aceh
The mangrove crab lives in areas densely covered with mangrove vegetation with muddy or sandy mud substrates. The mangrove crab belongs to the class Crustacea and order Decapoda. Crustaceans are hard-shelled animals, so their growth is characterized by a process of molting. Mangroves are the natural habitat of mangrove crabs. The purpose of this study was to determine the species richness of mangrove crabs (Scylla spp) and the distribution patterns of mangrove crabs (Scylla spp). The research method used was a survey method. The technique for sampling mangrove crabs was random sampling using traps taken from three stations, with three repetitions at each station. The results of the study show that three species were found in the Ketapang Indah mangrove area, namely Scylla serrata, Scylla paramamosain, and Scylla olivacea. The overall distribution of mangrove crabs Scylla serrata and Scylla olivacea was uniform, while Scylla Paramamosain had a aggregate distribution pattern
The Influence Of Maternal Parenting Patterns During Pregnancy On The Incidence Of Stunting In West Aceh District
Stunting is a condition of growth failure in children under five caused by chronic malnutrition, particularly during the first 1,000 days of life. Stunting affects both physical growth and brain development. Various factors contribute to stunting, including inadequate parenting practices. Maternal parenting patterns during pregnancy play a crucial role in preventing stunting. This study aims to analyze the influence of maternal parenting patterns during pregnancy on the incidence of stunting in West Aceh District. The research employs an analytical survey method with a cross-sectional study design. The study was conducted in West Aceh District from September 2023 to March 2024. The population includes all mothers with children aged 0–24 months, totaling 3,785 individuals. A sample size of 320 mothers was determined using the Issac and Michael table. The sampling technique used multistage random sampling. Data analysis consisted of univariate and multivariate analyses, with the latter using multiple logistic regression tests at a 95% confidence level (α=0.05). The study results indicate that maternal parenting patterns significantly influencing stunting include maternal dietary intake (p=0.001; ExpB=43.601), environmental health (p=0.001; ExpB=41.250), healthcare services (p=0.001; ExpB=41.250), maternal knowledge (p=0.001; ExpB=29.561), maternal attitudes (p=0.001; ExpB=60.539), and maternal actions (p=0.001; ExpB=69.996). Recommendations include encouraging couples to pay more attention to maternal health during pregnancy. Health services, such as health departments and community health centers, are advised to implement programs emphasizing the importance of proper maternal parenting during pregnancy and to establish community groups that focus on maternal health.
Quality of Work Life of Health Workforce in North Aceh District
Quality of life is the most important factor in health status. According to WHO data from 2019, the average HALE of the Indonesian population is 62.8 years, which means that 8.5 years are lost due to poor quality of life caused by illness and disability. The purpose of this study is to develop a model of quality of work life for health workforce in the era of regional autonomy. This study is a quantitative study using purposive sampling techniques with data analysis in the form of SEM-PLS analysis techniques. The population in this study was health workforce in 32 community health centres in North Aceh District, total 4,427 health workforce, with a research sample of 330 health workforce. The results of the study indicate that the direct variables affecting work life quality are motivational climate (p=0.000; t-stat=13.392) and career development (p=0.000; t-stat=8.658), while other variables that do not influence the quality of work life for healthcare workforce are organizational commitment (p=0.417; t-stat=0.812) and a healthy work environment (p=0.176; t-stat=1.354). Additionally, the research results also indicate that there are indirect variables that influence performance through work life quality, namely a healthy work environment (p=0.000; t-stat=6.125), career development (p=0.000; t-stat=6.724), and work life quality (p=0.001; t-stat=3.318). Variables that do not influence performance through work life quality include organizational commitment (p=0.439; t-stat=0.774) and motivational climate (p=0.062; t-stat=1.867). Motivational climate and career development have a significant influence on the quality of work life of health workforce, while a healthy work environment, career development, and quality of work life have a significant influence on performance through the quality of work life of health workforce. Organizational commitment does not have a significant influence either directly on the quality of work life or indirectly on performance through the quality of work life of health workforce.
The Influence of Individual Characteristics, Knowledge and Attitude of Nurses Against the Safety Culture in Hospital
Safety culture is an important element which should be done by health officers in the line of duty. Nurse as one of the components of human resources in the hospital in carrying out their duties should be able to maintain the safety of themselves and the work environment of risk factors through the adoption of a culture of safety. This study aims to analyze the factors that influence the action of a culture of workplace safety for nurses in hospitals. This quantitative study using a sample of 174 nurses, the data were analyzed by descriptive and analytic with logistic regression test at the significance level α of 0.05, to determine the relationship between variables and determine the variables that influence the safety culture simultaneously. This study found that the variables that influence the safety culture, namely knowledge (ρ=0.001) and Attitude (ρ= 0.001), while the variable age (ρ=0.524), sex (ρ=0.807), education (ρ=0.723), work period (ρ=0.695) and employment status (ρ=0.685) does not affect the safety culture. Cultural safety of nurses is influenced by the knowledge of and attitudes, while the variables of age, sex, education, period of employment and employment status did not influence the safety culture of the nurse in the hospital.
Relationship Fammily Support Toward The Utilitation Of Posbindu Health Service in Kabupaten Labuhan Batu Utara, Sumatera Utara
Posbindu is an activity that aims to increase knowledge of community and public awareness of public health status, especially monitoring and control for non-communicable diseases. In reality, the utilization of Posbindu by the community was still low. The purpose of this study was to explore family support related to the utilization of Posbindu. This is a qualitative study. The samples were community groups, family representatives, and related stakeholders. Data was collected through in-depth interviews and Focus Group Discussion. Data was analyzed thematically by applying the stages of data reduction, data presentation, and drawing conclusions. The results showed a lack of family support in the utilization of Posbindu. Family members often did not encourage participation, accompany relatives to sessions, or reinforce the importance of regular health monitoring through Posbindu. Family support is necessary and directly related to the utilization of Posbindu. Therefore, health promotion should regularly target families to enhance their supportive role in encouraging relatives to attend Posbindu services, as family influence significantly impacts participation rates.
Characteristics of Pediatric Inpatients in Public Hospitals: A Study at Cut Nyak Dhien General Hospital in 2024
In Indonesia, the number of hospitalizations in pediatric patients reaches 2.3% of the total population. The high rate of hospitalization in children is because the immune system of children is still not perfect. There is still incomplete data on pediatric patients treated at Cut Nyak Dhien Hospital, West Aceh. The purpose of this study was to determine the characteristics of pediatric patients treated in the pediatric care unit of Cut Nyak Dhien Hospital, West Aceh in 2024. The research method used descriptive cros-sectional. Data was taken from the SIMRS application/Hospital Management Information System for children aged 0 to <18 years, from January to December 2024. The results of the study obtained 1,952 subjects who were admitted to the pediatric care unit. The majority of the subjects were female (55.8%) and aged over 3 years (63.5%) with the most common cause of illness due to viral infections (31.3%).
The Relationship Between Breakfast Habits And Learning Concentration Towards Students' Learning Achievements At Seumot State Elementary School, Nagan Raya District
Children's achievement in school can be obtained in various ways, one of which is by getting children used to eating breakfast. By getting children used to having breakfast, there are many positive things that will be obtained, one of which is increasing children's concentration and achievement in school. The learning achievement of a child who often has breakfast will tend to be better when compared to children who rarely have breakfast or do not have breakfast at all. The purpose of this study was to determine the relationship between breakfast habits and learning concentration on the learning achievement of students at Seumot Elementary School, Nagan Raya Regency. This study is a type of quantitative research that is included in observational research with a Cross Sectional design. The population used in this study were all 6th grade students at Seumot Elementary School, Nagan Raya Regency, totaling 39 students. While the number of samples used in this study was 39 students. The exact sample was students in class 6A: 20 students, class 6B: 19 students. The sampling technique used in this study was using a simple random sampling technique, namely a random sampling technique using a questionnaire and interview. The results of the study showed that there was no relationship between breakfast and learning concentration with a p-Value = 1.00, learning concentration with a p-Value = 1.00. The conclusion of this study is that there is no relationship between breakfast and learning achievement as well as learning concentration, there is no relationship between learning concentration and learning achievement. The suggestion in this study is that schools and teachers are expected to provide education to students about the importance of consuming nutritious breakfast before starting activities at school
Relationship Of Risk Factors To Events Toddler Wasting In Blang Beurandang Village
The factors of knowledge, parenting patterns, feeding patterns, personal hygiene and sanitation of the household environment are not good enough, so it is suspected that these factors contribute to the wasting problem in Blang Beurandang Village of 13 children under five. The aim of this research is to determine the relationship between knowledge factors, child care patterns, feeding patterns, maternal personal hygiene and household environmental sanitation with wasting incidents. The design and type of this research is quantitative with a cross-sectional approach. The population in this study were all toddlers aged 1-5 years in Blang Beurandang Village who met the criteria. Sampling was taken using a total sampling technique, namely 150 toddlers. Research results based on chi square test results show that there is a relationship between maternal knowledge and a p-value of 0.000; RP = 0.140 (021-0.31), Toddler Parenting Patterns with a p-value of 0.001; RP = 0.520 (0.048-5.629), Dietary Pattern p-value of 0.000; RP = 5,000 (0660-37,852), Personal Hygien with a p-value of 0.002; RP = 11,000 (0.220-35.662), Household environmental sanitation p-value is 0.000; RP = 5,000 (765-54,116). The conclusion of this study is that the results of the chi square test show that there is a relationship between Knowledge, Parenting Patterns, Eating Patterns, Personal Hygiene and Sanitation in the Household Environment with the incidence of wasting in children under five in Blang Beurandang Village. Suggestions for respondents (mothers) are to seek information about the latest factors that influence Wasting so that it will increase knowledge about the nutritional content of food and apply it to providing types of food to toddlers that can prevent wasting, knowledge related to nutritional content in feeding toddlers, maintaining personal hygiene mothers in raising children and keeping the household environment clean so as to prevent wasting
The Relationship Between Snacks Consumption Patterns And Nutritional Status In Paya Peunaga Elementary School Children In Meureubo Sub-District
One demographic at risk for dietary issues is elementary school-aged youngsters. Snacking is a common practice among youngsters of school age. When you grow up in a household, nibbling becomes second nature. Snacking on unhealthy foods poses risks to children's health, reduces their appetite, and, in the long run, impacts their nutritional condition. Consumption of nutrients in inadequate amounts is the root cause of nutritional disorders. The focus of this study is on the students of Paya Peunaga Elementary School in the Meureubo District, and specifically how their snacking habits relate to their nutritional condition. This study used a cross-sectional strategy to examine correlations. For this research, 75 participants were used as a sample. The statistical tests were applied to each of the variables that were examined. Out of the 75 respondents surveyed, the following conclusions were drawn from the study and subsequent discussion, 30 respondents (40%) were male and 45 were female. (604%). Most of the ages were 10-12 years old totaling 48 students (64%) and the remaining 8-9 years old totaling 27 students (36%). It is known that there is no significant relationship between snack consumption patterns and nutritional status among Paya Peunaga Elementary School children, Meureubo District with a value of 00.045 (p > 0.05) where Fcount is 0.321 > Ftable 0.05. Advice for the Principal of Paya Peunaga Elementary School is that the school should be more selective in choosing what snacks will be included in the school canteen
Analysis of Food Sanitation in the Kitchen (Installation) of the Subulussalam City Nutrition Hospital
Food is a basic need for human life. Food sanitation supports the prevention of food poisoning. Hygiene Food sanitation is an effort to control factors in food, people, places and equipment that can or may cause disease or health problems. Nutrition services in hospitals are appropriate services that take into account the patient's clinical condition, nutritional status and body metabolism. There are several sanitation requirements that are not met, namely the knives used are rusty, and some handlers do not wear mouth coverings, and do not wear gloves when processing food. The aim of this research is to analyze food sanitation in the Gizi kitchen (installation) of Subulussalam City Regional Hospital. The research method used is descriptive with a descriptive qualitative approach. The results of the research show that 90 percent of food handlers meet the hygiene requirements for snack food handlers in the Subulussalam City Hospital's Nutritional Kitchen (Installation), only 10 percent do not meet the food handler requirements, this is because there are still a few workers. who still have minimal knowledge about food hygiene. Food serving sanitation in the Subulussalam City Hospital's Nutritional Kitchen (Installation) shows that serving sanitation meets the requirements. Sanitation of facilities in the Subulussalam City Hospital's Nutritional Kitchen (Installation) shows that facility sanitation meets the requirements. The researcher explained that the sanitation service in the Subulussalam City Hospital's Nutritional Kitchen (Installation) meets the service sanitation hygiene requirements, this is because the workers have paid attention to serving containers such as covering food and maintaining cleanliness around it. The conclusion of this research is that the process of organizing food in the Subulussalam City Hospital's Nutritional Kitchen (Installation) shows that all food handling meets the requirements and equipment sanitation meets the requirements. Food serving sanitation meets the requirements and facility sanitation meets the requirements. This research suggests increasing the number of waste bins that can be sorted so that the environment in the nutrition installation room becomes better.
Socialisation of Stunting Prevention with Anemia Determinant Education In Adolescents at SMA Negeri Bunga Bangsa, Lamie Village Nagan Raya Regency in 2024
Anemia is a condition of the body where hemoglobin (Hb) levels in the blood are lower than normal. Adolescent girls are more prone to anemia than boys, due to the fact that they are entering puberty and their rapid growth requires more iron. In addition, adolescent girls often go on excessive diets to lose weight due to lack of knowledge, which reduces the intake of protein and animals needed for the formation of blood hemoglobin. The prevalence of anemia in Indonesia is 21.7%. The proportion of anemia in women (23.9%) is higher than that of men (18.4%). The purpose of this health counseling is to increase the knowledge and understanding of adolescents related to stunting and anemia. This type of research is qualitative research with lecture, discussion, question and answer methods, and pre-post test questionnaires related to stunting and anemia. Data from the pre-posttest results were tested using Excel and SPSS using the t-test. Research Results: increased knowledge of adolescents after socialization with an average post-test stunting value of 74 and anemia post-test average value of 81. With a p-value of 0.001 which means it has an influence before and after socialization. Conclusion: increasing knowledge and awareness about health in order to be able to prevent anemia in adolescents who are at risk of stunting in babies born in the future.
Associations between Occupational Factors and Community Leader Support with Latrine Ownership in Southwest Aceh
More than 800 million people defecate in the open rather than using latrines. Although the global mortality rate from diarrheal diseases is declining, poor water and sanitation is responsible for hundreds of thousands of child deaths, as well as high rates of diarrhea, diarrhea-induced malnutrition and stunting in children to date. This study aims to see how the differences in occupation, income and support from community leaders in community groups who have latrines and those who do not. The method used in this study was Observational Analytic with a Cross Sectional approach with a sample of 100 respondents. The statistical tests used were Chi Square and Mann-Whitney. This research was conducted in 2021 in Southwest Aceh Regency. The results showed that there was no relationship between occupation (p=0.604) and support from community leaders (p=0.615) with latrine ownership. Latrine ownership is driven by behavioral factors that change with the support of various parties, both support provided in the form of facilities and support in terms of education provided.
Relationship of Risk Factors for Anemia Incidence in Adolescent Girls
Anemia is a health problem that causes a person to become tired, appear tired and lethargic which has an impact on their productivity and creativity. Anemia is a condition when the Hemoglobin level in the body is lower than normal below 12 g/dl. In 2018 based on Riskesdas data, the proportion of anemia in adolescent girls in Indonesia was 32%, Data from the Simpang Kanan Health Center showed that the most anemia occurred from SMP Negeri 3 Simpang Kanan as many as 8 people. The purpose of this study was to determine the relationship between menstrual patterns, diet, compliance with consuming iron (Fe) tablets, and physical activity with the risk of anemia in adolescent girls. This study uses a quantitative method approach with a cross-sectional design. A total of 65 adolescent girls became the population of this study, samples were taken using the Total Sampling method. The analysis used univariate and bivariate using Chi Square. The results of the study showed that the total frequency distribution of respondents at risk of anemia was in anemia of 25 (38.5%) and not anemia of 40 (61.5%). The test results showed that there was no relationship between menstrual patterns P value = 0.859, diet P value = 0.699 and physical activity P value of 0.396. While there is a relationship between compliance with Fe tablet consumption P value of 0.004. So it is concluded that the factors of menstrual patterns, diet, and physical activity are not related to the risk of anemia while the compliance factor in consuming Fe tablets or iron is related to the risk of anemia. Suggestions are expected for young women who experience anemia to comply with consuming Fe tablets according to the recommendations of the health center by routinely consuming 4 tablets per month or 1 time a week.
Relationship Between Health Worker Support and Latrine Ownership in Aceh Barat Daya District by 2023
Aceh Barat Daya (Abdya) is one of the districts with a very low number of Gampong in terms of open defecation freedom. The number of sanitation facilities in each Abdya district to date has not met the access to proper sanitation for the people of Aceh Barat Daya, especially latrines. Out of 152 villages, only 11 villages are Open Defecation Free (ODF). This study aimed to assess the relationship between health worker support and latrine ownership. The method used in this study was analytical observational with a crosssectional approach. The population in this study was the entire community of Aceh Barat Daya District with a sample size of 125 respondents spread across all sub-districts in Aceh Barat Daya. Chi Square test results obtained health worker support (> p value 0.05) which means there is no significant relationship between health workers and latrine ownership. There is no significant relationship between health worker support and latrine ownership. This occurs because the role and support of health workers in educating and assisting people who do not have latrines is not optimal
Hg Intake by Pregnant Women Living Near Gold Mining
Living near gold mining areas poses a risk of mercury (Hg) exposure. Exposure to Hg in pregnant women is related to consumption patterns. Pregnant women residing near gold mining sites tend to consume vegetables grown around their homes. Commonly consumed vegetables include papaya leaves, cassava leaves, and katok leaves, all of which have Hg levels exceeding the threshold limit (0.03 g/kg). The Hg intake from these vegetables contributes to the Hg levels in the bodies of pregnant women. The aim of this study is to understand the Hg intake by pregnant women from consuming vegetables in the vicinity of gold mining. A longitudinal observational study was conducted to measure the Hg intake from vegetables by pregnant women living near gold mining areas, using semi-quantitative food frequency questionnaires (FFQ) during interviews to determine the consumption patterns and habits of pregnant women during pregnancy and postpartum. This was done to estimate the daily Hg levels ingested, which were then compared with the EPA (Environmental Protection Agency) guideline stating that the daily allowable intake (ADI) of Hg for pregnant and breastfeeding women is 0.1 μg/kg/day. The results show that the average Hg intake from vegetables collected around the home during pregnancy is 2.57 µg/kg/day, postpartum when the baby is 2-14 weeks old is 5.13 µg/kg/day, and when the baby is 14-26 weeks old is 4.47 µg/kg/day. Therefore, the Hg intake by pregnant women is above the ADI, and if not addressed promptly, it could lead to accumulation in the body and transfer to the baby through the placenta
The Influence Of Work Motivation On Waiting Time For Medical Record Services At Outpatient Registration In Hospitals
Consumer waiting time for services is a representation of the initial interaction between consumers and service providers. Based on the observations of researchers in the field, the results of interviews with 5 patients showed that the patient's waiting time was between 120-150 minutes or 1-1.5 hours to get medical services, namely starting from the patient's arrival to take the queue number to get an examination by the doctor. where the time to meet to be examined by a doctor is felt to be too short when compared to the time spent waiting for the call to be examined by a doctor. The purpose of this study was to determine the effect of work motivation on waiting time for medical record services at Outpatient Registration at Teuku Peukan Hospital, Southwest Aceh Regency. This research was conducted in April 2022 with a sample of 48 people, analysed using validity, reliability and multiple linear regression analysis. The results of the study showed a significant influence between motivation (regression coefficient 0.545) on patient waiting time in outpatient care. The conclusion is that there is a significant influence between motivation on patient waiting time in outpatient care at the hospital. It is hoped that outpatient officers will be more motivated to work so that patient service can be carried out properly and patients do not wait long
Chikungunya Outbreak in Boyolali District: A Case Study of February 2024
In February 2024, the Boyolali District Health Office received notification of a chikungunya outbreak in the Boyolali district. This study aims to provide an overview of the epidemiological analysis of chikungunya outbreaks in Boyolali District in 2024. This study uses a descriptive method based on the results of the Epidemiological Investigation to understand the dynamics of disease spread and control efforts. Chikungunya outbreak in Winong Village, Boyolali Subdistrict, from 1 February 2024 to 5 March 2024 recorded 43 cases, distributed in RT 2/RW 17 with 28 cases (65.1%) and RT 3/RW 16 with 15 cases (34.9%). Based on demographic data, it was found that females were more likely to be affected (53.5%), with an age group of 56-65 years (20.9%). Symptoms experienced were joint pain (100%) accompanied by muscle pain (95.4%), headache (95.4%), fever (93.0%), nausea (83.7%), vomiting (67.4%), enlarged lymph nodes (51.2%), rash (16.3%), chills (16.3%), itching in the rash (11.6%), and conjunctival redness (4.7%). A total of 9 cases (20.9%) that underwent Rapid Diagnostic Test showed positive results. Of the cases found, only 1 case (2.3%) had been treated at Primary Health Center. The larvae-free rate in Winong Village is still below 95%, and there are 28 houses (65.1%) among the sick found mosquito larvae. Therefore, it is necessary to strengthen the 3M Plus program (Menguras, Menutup, Mendaur ulang / Draining, Covering, and Recycling used goods that have the potential to become breeding grounds for mosquitoes), mosquito larvae-eating fish, larvicides in water reservoirs, and fogging. An integrated approach to chikungunya management is important, including increased public awareness and continued implementation of preventive measures to increase the larvae-free rate and reduce the risk of future outbreaks.
First Case Report of Japanese Encephalitis in Boyolali District, Central Java Province, 2023
Japanese encephalitis virus is the leading cause of immunization-preventable encephalitis in Asia and the Western Pacific. Most people infected with Japanese Encephalitis have no symptoms or only mild symptoms. However, a small percentage of infected people develop inflammation of the brain (encephalitis), with symptoms including headache, fever, disorientation, seizures, weakness, and coma. This bstract aims to provide an overview of the first case of Japanese Encephalitis in Boyolali District. Reports using descriptive methods based on reports of epidemiologic investigation results. The Case is a 5.5-month-old child with symptoms of fever, seizures, liquid diarrhea, decreased consciousness, and high leukocytes. Treatment was symptomatic. The case and the family had a history of traveling outside the area. From the results of environmental observations, mosquito larvae were found in the bathroom and mosquito breeding sites, such as unused fish ponds, used cans and buckets, piles of clothes, humid house temperatures, and piles of garbage behind the house. Positive results were obtained using the Antibody capture ELISA method based on the IgM Japanese Encephalitis examination. After three times of control in the hospital, on April 13, 2024, the case was declared in good condition. In Boyolali District, Culex mosquitoes at risk of transmitting Japanese encephalitis have been found. With this case, the Boyolali District Health Office conducted education related to Japanese Encephalitis, conducted vector surveys, eradicated mosquito nests, and coordinated with related cross-sectors; if similar cases occurred, they were immediately reported for immediate treatment.
Quality of Life of Menopausal Women in Padang City
According to the World Health Organization (WHO) normal menopause occurs between the ages of 45-55 years with the average age of onset of menopause in each country varying. There are 32.4 million menopausal women in Indonesia in 2021 based on data from the Central Bureau of Statistics where there is an increase every year. There are several physical and psychological changes during menopause. Measuring the quality of life of menopausal women is important to do, in order to improve their quality of life. Because quality of life can affect the survival of individuals. In measuring a person's quality of life, the World Health Organization (WHO) developed an instrument, the WHOQOL-BREF, which measures a person's quality of life with four domains, namely physical health, psychological health, social relationships, and the environment. This study aims to obtain an overview of the quality of life of menopausal women in Padang City. The research method used was descriptive study, with univariate analysis, with a population of 302 people, from 6 sub-districts in Padang city. The results of the study concluded that 20% of menopausal women felt their quality of life was poor, 195% felt their quality of life was normal, 79% were good, and 7% were very good. In conclusion, the quality of life of menopausal women in Padang city has been categorized as good, although there are a small number who have not been able to accept and enjoy their old age. Therefore, support is needed from the family, community, and various related sectors, so that menopausal women can accept their condition.
Outbreak Investigation of Scombroid Fish Poisoning in Pandak Sub-district, Bantul Regency, 2024
On May 29th, 2024, Bantul District Health Office received information about a suspected food poisoning in Pandak Sub-district after consuming mackerel fish. The report stated that the patients experienced headache, chest palpitations, vomiting, rash or skin redness, flushing, diarrhea and dizziness. This investigation aims to confirm the outbreak, evaluate the risk factors, and recommend preventive measures. We conducted an active case finding to find additional cases. Cases were defined as persons who consumed mackerel fish sourced from a distributor in Piring Hamlet on May 27-28th, 2024 and have one or more symptoms of headache, nausea, chest palpitations, vomiting, burning sensation around mouth or head, rash or skin redness, flushing, diarrhea and dizziness. Data was collected by interview using a structured questionnaire and environmental observation. We also carried out a laboratory test of raw and fried mackerel. Data were analyzed descriptively. There were 48 people who were interviewed and found 11 cases with 2 of them being hospitalized. The main symptoms were dizziness (81.8%), headache (72.2%) and chest palpitations (63.6%). Incubation period was 5-120 minutes with average at 47 minutes. The highest attack rate was found in males (26.09%), those aged 19-64 years (27.78%), and those living in Kauman and Triharjo Village (50%). According to the laboratory test result, histamine was the cause of this outbreak with results of 3633.87mg/kg found in fried mackerel and 163.27 mg/kg in raw mackerel. Improper food storage during the distribution from distributor to community level reseller was the risk factor that caused histamine poisoning. There was a scombroid poisoning outbreak in Pandak Sub-district on May 29th, 2024 caused by contaminated mackerel fish that produce histamine. Improper food storage during distribution of fish was the main risk factor. We recommend DHO to give health promotion to ensure proper handling, storage, distribution and processing the mackerel.
Analysis of pH, Temperature and Color in Coal Mine Acidic Water in West Aceh
Acid coal mine drainage from the coal mining industry contains a number of heavy metal ions and dissolved organic matter. An important step in wastewater treatment so that the waste treatment process runs effectively is to know the characteristics of coal mine acidic water. This study aims to determine the characteristics of coal mine acidic water originating from mine pond water by taking samples from a holding pond located in West Aceh. The method used in this research consists of field research and laboratory research. Measurement of acid coal mine water parameters including pH, temperature, and color. Data obtained from the measurement results were analyzed descriptively. The measurement results include pH, temperature, and color contained in coal mine acid water are also compared with the quality standards of liquid waste. The results showed that coal mine acid water in the former coal mine pond has the following pH, temperature, and color; water pH in void 1 is 4.0, void 2 is 4.50, and void 3 is 4.75. The water temperature in void 1 is 25 oC, in void 2 is 33.9 oC and in void 3 is 32 oC. The color in void 1, void 2 and void 3 is rather light and bright. All parameters of coal mine acid water measurement analysis results are still above the quality standards of coal mine acid water based on the Decree of the Minister of Environment No. 113 of 2003 concerning Quality Standards for Coal Mining Liquid Waste.
Dominance of Mangroves on The Coast of Samatiga West Aceh Regency
Mangroves are very important for life on the coast. This vegetation plays a role as biodiversity by protecting the coast and maintaining the habitat of association biota. Coastal waters have various ecosystems that produce a lot of organic substances, one of which is mangroves. The purpose of this study is to determine the level of dominance of mangrove vegetation on the coast of Samatiga, West Aceh. The method of the research is a survey by sampling mangroves by purposive sampling using the square linear transect method. Sampling was carried out at low tide at three stations, each station was divided into three plots with a size of 10 x 10 m2 for the tree level, a plot of 5 x 5 m2 for the sapling level, and a plot of 1x1 m2 for the seedling level. The dominant research results from the tree, sapling, and seedling levels were dominated by Rhizophora apiculata. The highest dominant tree rate was 0.18%, the highest dominant sapling rate was 0.88%, and the highest dominant seedling rate was 0.02%.
The Implementation of Occupational Health and Safety Concepts in Hospitals by Nurses: A Literature Review
Occupational Health and Safety (OHS) is an effort aimed at ensuring the physical and mental integrity and well-being of workers, along with their work and culture, to achieve a prosperous society. The implementation of OHS in hospitals is influenced by three factors: predisposing, enabling, reinforcing, and core-care. The predisposing factor, which includes knowledge, attitude, beliefs, and values, is the most significant in affecting OHS in hospitals, with beliefs being the most influential indicator. In contrast, reinforcing and core-care factors have a less dominant impact on the health and safety of nurses in providing patient care. The enabling factor has a relationship with OHS implementation in hospitals, with regulations being the most influential indicator. This study aims to analyze the application of the OHS concept in hospitals by nurses. A quantitative research method was employed, utilizing data from researchers in Indonesia. These sources include credible journals and articles obtained through electronic databases such as Google Scholar, with journals selected from the 2012-2020 volumes providing full-text access. This study concludes that the implementation of OSH in hospitals can increase nurses' awareness and compliance with OSH procedures in reducing the risk of occupational accidents and injuries to improve the quality of health services, reduce stress and fatigue and also increase nurses' job satisfaction. Conclusion The augmentation of nurses' awareness and adherence to OSH protocols yields significant reductions in occupational injuries, accidents, and stress, thereby enhancing healthcare quality and occupational satisfaction.
Factors Related to Compliance Use of Personal Protective Equipment (PPE) for Workers at The Indarung V Factory PT Semen Padang, West Sumatra
Workers can reduce the likelihood of workplace injury or illness through the use of PPE, or personal protective equipment. Workers' knowledge, attitudes, motivation, supervision, and level of comfort are some of the variables that are expected to be identified in this study as factors that influence their compliance with PPE usage requirements. Through the use of a cross-sectional design , this study approach combines quantitative research with analytical observational research. The research was conducted from November 2023 to December 2023 at PT Semen Padang. 139 workers from the Indarung V factory of PT Semen Padang became the research population. The number of individuals sampled was 58 people referring to the Lemeshow formula . Sampling was carried out by simple randomization. To obtain variable data, surveys and direct interviews were used. Secondary and primary data are used by data providers. Research indicates a correlation between knowledge, attitude, motivation, and supervision (p=0.000, p=0.000, and p=0.000 respectively). At the same time, there was no correlation between workers' comfort levels (p=0.164) and their compliance with PPE usage regulations. Knowledge, attitude, motivation, and supervision were determined to be four interrelated factors, whereas comfort was determined to be one irrelevant factor.
Factors Related To The Prevention Of Diabetes Mellitus In The Elderly In The Working Area Of Suak Ribee Health Center, West Aceh Regency
In diabetes mellitus, a macromolecular metabolic illness, the body's capacity to regulate blood glucose levels is compromised due to an imbalance between the production and response of endocrine hormones. Diabetic adults make up 537 million people globally, spanning the ages of 20 to 79. This research aims to better understand how to keep the elderly in the Suak Ribee Health Center's service area in West Aceh Regency from developing diabetes mellitus. Analytical survey research using a cross-sectional methodology is what this study is all about. A total of forty-eight participants were surveyed throughout the study period (March–April 2023). There was no significant link between knowledge and prevention of diabetes mellitus (p-value = 1.000) and attitude toward having a significant relationship (p = 0.003 < 0.05) according to the findings of the bivariate analysis using the Chi-Square test. Finding no statistically significant correlation between knowledge and diabetes mellitus prevention, this research draws no conclusions. At the same time, there is a strong correlation between attitude and avoiding diabetes mellitus.
Special Nutrition For Workers In Extreme Work Environments: Literature Review
Work productivity is influenced by various factors, one of which is work nutrition. Work nutrition is a nutrient found in food and is needed by workers to meet energy needs according to workload and work environment conditions. Extreme work environments, both hot and cold, can increase workers' energy needs to maintain body balance. This article aims to examine the relationship between nutritional status, workload, and work environment conditions on work fatigue. The method used is a literature review by selecting 20 relevant articles in the last 10 years through Google Scholar. The results of the study showed that inadequate nutritional status, low calorie intake, and extreme work environments, such as high or low temperatures, contribute to work fatigue. In addition, unbalanced nutritional intake, such as excess sodium or lack of fiber, also negatively affects worker health and productivity. Increasing nutritional intake according to individual needs, including adjusting diet patterns, is important to support endurance and reduce the risk of fatigue in extreme work environments. This article recommends managing diet patterns and monitoring workers' nutritional status to improve worker productivity and well-being.
Training for Rehabilitation Workers to Restore the Independence of Instrumental ADL in People With Mental Disorders
Many people with severe mental disorders (ODGJ) have lost both basic and instrumental activity daily living (ADL) functions even though they have completed the rehabilitation process at the hospital, this is due to the lack of optimal variation of skills in vocational social rehabilitation in hospitals that have a significant impact in restoring ODGJ instrumental ADL and being able to restore economic independence. The purpose of this study is to analyze the success of skills training for rehabilitation personnel in order to restore the independence of instrumental ADL of ODGJ. The research method was carried out with a quasi-experiment design. The research was conducted in the rehabilitation room of Menur Mental Hospital in July - August 2024. The study population was rehabilitation personnel in the vocational workshop. The measuring instrument used a questionnaire containing indicators of training success in accordance with the material provided, namely about hydroponics. The analysis was conducted using paired T test. The results of the analysis that has been carried out show that the training provided shows that the training provided succeeds in improving the ability of rehabilitation workers related to ecoprint batik and hydroponics where the results of the paired T test analysis show p (0.000) < α (0.05). The mean increase in scores before and after training was 26 points with a standard deviation of 20.7. It is important to periodically evaluate, monitor and refresh the skills of rehabilitation officers to ensure that the outcomes of vocational workshops at Menur Mental Hospital are always optimal from the results of the and hydroponic training so that it is hoped that the knowledge provided by rehabilitation officers is always maintained and has maximum outcomes, namely the creation of independence of instrumental ADL for ODGJ and the creation of economic independence which has an impact on reducing relapse rates.
Risk Factors For Acute Respiratory Infections (ARI) In Toddlers In The Working Area Of Durian Kawan Public Health Center, East Kluet Sub-District, South Aceh District
Acute Respiratory Infections (ARI) are a primary global cause of sickness and death, which can spread throughout the respiratory system and deprive the body of sufficient oxygen, leading to compaction. Nearly 4 million people die each year, of which Infections of the lower respiratory tract account for 98% of those deaths and often occur in infants and toddlers. This study set out to identify the variables that increase a toddler's chance of developing ARI in the Working Area of UPTD Public Health Center Durian Kawan. This study uses a cross-sectional approach and is quantitative in nature. This research was conducted in March - April 2024 with 85 respondents. Data were analyzed using the Chi-square test. The results showed an association between parental knowledge and risk of ARI in children (p-value = 0.020), relatives who smoke and risk of ARI in children (p-value = 0.013), exclusive breastfeeding and risk of ARI in children. in children (p-value = 0.005), vaccination status and the effect of ARI on children (p-value = 0.000). It is expected that the health center can increase preventive efforts through counseling about ARI disease and increase information about ARI through posters posted at the health center or in other places that are easily visible and read so as to increase public knowledge, especially mothers who have toddlers
Study On Hexsavalen Chromium Content (Cr6+) In Raw Water Source Of Krueng Meurebo River, West Aceh
Illegal industrial and mining activities in the upstream coastal area of West Aceh are at risk as a source of heavy metal pollution for raw water sources of local communities. One of them is chromium VI (Cr6+) heavy metal which is harmful because it cannot decompose in the body and become a poison that causes health effects on humans as well as aquatic organisms. The Krueng Meureubo River, as the main source of raw water that meets the clean water needs of the local community, is now threatened by this potential contamination. Objective: This study aims to analyze Cr6+ exposure in raw water source of the Krueng Meurebo River, West Aceh. Water sampling was carried out at 3 points along the Krueng Meurebo River, namely the waters of the Tuha Mosque, Ranto Panyang Barat and Runding. Each sample was analyzed using a tablet reagent, followed by further examination using the ZE-200 photometer to determine the content of heavy metal Cr6+ at each sampling points. The results of the analysis of Cr6+ heavy metal exposure in the waters of the Tuha Mosque were 0.10 mg/l, while the results in Ranto Panyang and Runding were 0.08 mg/l. This result is above the maximum limit of Cr6+ content allowed in water as many as 0.01 mg/l. The Krueng Meureubo River stream shows significant levels of exposure to heavy metals Cr6+, posing a serious threat to the health of communities who rely on the river's raw water source. With these conditions, immediate action is needed in the form of an Environmental Health Risk Analysis (ARKL) to further assess the impact of Cr6+ exposure on human health. Measures to prevent and handle industrial waste need to be optimized immediately to protect the environment and public health in the West Aceh region