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Faktor yang Memengaruhi Kejadian Tuberkulosis Paru pada Penderita Diabetes Mellitus di Rumah Sakit X Yosephine, Michel Kezia; Hardy, Fathinah Ranggauni; Wenny, Dwi Mutia; Nurrizka, Rahmah Hida; Pulungan, Rafiah Maharani
Jurnal Kesehatan Vol 12 No 3 (2021): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i3.2542

Abstract

People with diabetes mellitus are at higher risk for developing active tuberculosis. The diabetes mellitus epidemic has increased the incidence of lung tuberculosis. The purpose of this study is to determine factors that affect the incidence of lung tuberculosis in diabetic patients at “X” hospital in 2020. The method used analytic with case-control research design. The sampling technique is purposive sampling and involved 110 respondents using a sample ratio of 1:1 for the case and control groups. The data source in this study is secondary data from the patient’s medical record. The analysis used is chi-square and logistic regression. The variables studied are age, sex, employment, nutritional status, HbA1C levels, and duration of having diabetes mellitus. The result show factors associated with tuberculosis patients are age (p-value=0,038; OR=3,068), sex (p-value=0,022; OR=2,625), nutritional status (p-value=0,013; OR=0,352), and HbA1c level (p-value=0,046; OR= 2,440). Based on the results of the multivariate analyses factor that has more effects is the HbA1C level (Adjusted OR= 3,141; 95%CI= 1,299-7,594). Recommended for diabetic patients to do a healthy diet, regular exercise, comply with diabetes mellitus treatment, and regularly check blood glucose to maintain normal blood glucose levels. 
HUBUNGAN ANTARA KARAKTERISTIK REMAJA PEREMPUAN DENGAN KONSUMSI TTD BERDASARKAN DATA PBL MAHASISWA DI KECAMATAN KELEKAR, GELUMBANG DAN LEMBAK Jasmine, Annisah Biancika; Lisa, Mona; Ambarwati, Dyah; Novitasari, Prihatini Dini; Muharramah, Disa Hijratul; Pulungan, Rafiah Maharani; Aulia, Fitri; Harwanto, Fatria; Yusri, Yusri; Erman, Ery
Mitra Raflesia (Journal of Health Science) Vol 16, No 2 (2024)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v16i2.463

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ABSTRAKPendahuluan: Angka konsumsi Tablet Tambah Darah (TTD) di Indonesia menunjukkan tingkat yang sangat rendah, terutama di kalangan remaja putri. Berdasarkan data Riskesdas 2018, meskipun 76,2% remaja putri mendapatkan akses TTD, hanya 1,4% yang mengonsumsi lebih dari 52 butir selama periode yang dianjurkan. Secara keseluruhan, rendahnya konsumsi TTD di kalangan remaja putri mencerminkan perlunya penelitian lebih lanjut mengenai konsumsi TTD pada remaja putri dan edukasi kesehatan serta dukungan sosial untuk meningkatkan kesadaran dan kepatuhan terhadap program suplementasi ini.Metode: Penelitian ini menggunakan sumber data sekunder berupa data PBL mahasiswa fakultas Kesehatan Masyarakat Universitas Sriwijaya tahun 2024 di Kecamatan Kelekar, Gelumbang dan Lembak terhadap 96 remaja Perempuan dengan pendekatan potong lintang yang dipilih menggunakan teknik Total Sampling. Data kemudian dianalisis meng­gunakan analisi univariat dan analisis bivariat menggunakan SPSS versi 27. Analisis univariat bertujuan untuk menganalisis karakteristik variabel. Analisis bivariat dilakukan untuk mengetahui hubungan antara dua variabel yakni variabel karakteristik remaja dengan variabel konsumsi TTD.Hasil: Berdasarkan hasil uji bivariat mengenai korelasi karakteristik responden dan status konsumsi TTD didapatkan bahwa analisis Chi-Square menunjukkan bahwa umur (p=0,344), Pendidikan (p=0,334), status haid (p=0.051) dan usia MENARS (p=0.382) pada remaja Perempuan tidak memiliki hubungan yang bermakna dengan konsumsi TTD. Mayoritas total remaja yang tidak mengkonsumsi TTD dengan frekuensi sebesar 78 orang (81.2%).Pembahasan: Meskipun ada rekomendasi untuk meningkatkan konsumsi TTD pada saat menstruasi, banyak remaja putri yang tidak teratur dalam mengonsumsinya. Hal ini dapat disebabkan oleh kurangnya pengetahuan, efek samping yang dirasakan, atau ketidaknyamanan saat mengonsumsi tablet. Selain itu, Banyak faktor lain yang mempengaruhi keputusan remaja putri untuk mengonsumsi TTD, termasuk pengetahuan tentang manfaatnya, dukungan dari keluarga dan teman, serta persepsi pribadi terhadap kesehatan mereka.Kesimpulan: Sebagian besar remaja Perempuan (81.2%) tidak mengkonsumsi TTD. Tidak terdapat hubungan antara umur, penddikan, status haid, dan usia MENARS dengan konsumsi TTD. Edukasi yang efektif dan dukungan kontinu dari berbagai pihak sangat diperlukan untuk meningkatkan kesadaran dan kepatuhan konsumsi TTD di kalangan remaja putri.Kata Kunci: Karateristik remaja, remaja Perempuan, konsumsi TTD.  ABSTRACTIntroduction: The consumption rate of Iron Supplement Tablets (ITP) in Indonesia shows a very low level, especially among adolescent girls. Based on the 2018 Riskesdas data, although 76.2% of adolescent girls have access to ITP, only 1.4% consume more than 52 tablets during the recommended period. Overall, the low consumption of  ITP among adolescent girls reflects the need for further research on ITP consumption in adolescent girls, reproductive health education, and social support to increase awareness and compliance with this supplementation program.Method: This study used secondary data sources in the form of PBL data from students of the Faculty of Public Health, Sriwijaya University in 2024 in Kelekar, Gelumbang and Lembak Districts of 96 adolescent girls with a cross-sectional approach selected using the Total Sampling technique. The data were then analyzed using univariate analysis and bivariate analysis using SPSS version 27. Univariate analysis aims to analyze the characteristics of the variables. Bivariate analysis was conducted to determine the relationship between two variables, which were the adolescent characteristic variable and the ITP consumption variable.Results: Based on the results of the bivariate test on the correlation of respondent characteristics and ITP consumption status, it was found that the Chi-Square analysis showed that age (p = 0.344), education (p = 0.334), menstrual status (p = 0.051) and MENARS age (p = 0.382) in female adolescents did not have a significant relationship with ITP consumption. The majority of adolescents did not consume ITP with a frequency of 78 people (81.2%).Discussion: Although there are recommendations to increase ITP consumption during menstruation, a lot of adolescents girls are not consuming ITP regularly. This can be caused by lack of knowledge, perceived side effects, or discomfort when taking the tablets. However, there are many other factors that can influence the decision of adolescent girls to consume ITP, including knowledge of its benefits, support from family and friends, and personal perceptions of their health.Conclusion: Most adolescent girls (81.2%) did not consume ITP regularly. There was no relationship between age, education, menstrual status, and MENARS age with TTD consumption. Effective education and continuous support from various parties are needed to increase awareness and compliance of ITP consumption among adolescent girls.Keywords: Characteristics of adolescents, adolescent girls, ITP consumption.
The Association of Low Birth Weight and the Incidence of Stunting among Under-Fives in Indonesia: A Systematic Review Safhira, Bella; Anggraini, Junisa; Tarina, Lian; Apriani, Sasmita; Budiastuti, Anggun; Pulungan, Rafiah Maharani; Muharramah, Disa Hijratul
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 1 (2025): JIKM Vol. 17, Issue 1, February 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v17i1.744

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Abstract Background: Stunting or failure to thrive in children is characterized by lower height compared to the child's age standard. Stunting in children under five not only affects their physical and cognitive development, but also impacts their future quality of life. LBW is one of the factors that increase the risk of stunting. This study aimed to examine the association between low birth weight (LBW) and the prevalence of stunting in children under five through a systematic review. Method: The search for scientific articles of case-control analytic observational studies with research locations in Indonesia from 2020 to 2024 was conducted through two databases, namely Semantic Scholar and Google Scholar using Harzing's Publish or Perish application. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines with study quality assessment using The JBI Critical Appraisal Checklist for Case-Control Study. Result: From a total of 63 articles obtained, 13 articles were extracted after going through a screening process based on inclusion criteria, exclusion criteria and article quality assessment. Of the 13 studies, 10 studies or 77%, concluded that LBW had an association with stunting. Conclusion: Based on a systematic review, LBW is one of the important risk factors contributing to stunting among children under five in Indonesia. Therefore, interventions that focus on improving maternal nutrition and education on maternal health before, during, and after pregnancy are very important to be maximized to reduce and minimize the incidence of LBW and prevent stunting.
SEKOLAH SEHAT TANPA NARKOBA: EDUKASI BAHAYA PENYALAHGUNAAN NARKOBA DI SMA PGRI INDRALAYA Tari, Putri Inrian; Pulungan, Rafiah Maharani; Aulia, Fitri; Ambarwati, Dyah; Novitasari, Prihatini Dini
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29698

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Abstrak: Peredaran gelap narkoba dan penyalahgunaan narkoba marak terjadi di lingkungan pelajar. Masalah ini menjadi ancaman global yang tidak mengenal batas negara dan usia. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pemahaman dan pengetahuan siswa mengenai bahaya penyalahgunaan narkoba. Metode yang digunakan yaitu penyuluhan/edukasi kesehatan kepada siswa kelas XII SMA PGRI Indralaya yang berjumlah 16 orang. Media yang digunakan yaitu poster, power point (PPT), dan video serta memberikan pretest dan posttest untuk mengetahui pengetahuan dan pandangan siswa terhadap narkoba. Kegiatan ini menunjukkan hasil bahwa terjadinya peningkatan pengetahuan siswa mengenai bahaya penyalahgunaan narkoba yang dibuktikan dengan semakin banyak siswa yang memiliki pengetahuan yang baik setelah diberikan edukasi kesehatan, dari 50% siswa menjadi 87.5% siswa.Abstract: Illegal drug trafficking and drug abuse are prevalent among students. This issue has become a global threat that transcends national and age boundaries. The purpose of this activity is to increase students' understanding and knowledge of the dangers of drug abuse. The method used is health counselling or education for 16 students in the 12th grade of SMA PGRI Indralaya. The media used include posters, PowerPoint (PPT), and videos, along with pretests and posttests to assess the students' knowledge and perspectives on drugs. The activity showed results that indicated an increase in students' knowledge about the dangers of drug abuse, as evidenced by the rise in the number of students with good knowledge after the health education, from 50% to 87.5%.
Pengaruh Iklan Makanan dan Minuman di Berbagai Media Terhadap Preferensi dan Konsumsi Makanan Anak-Anak: Tinjauan Sistematis Rahma, Aurellia; Yarna, Nafisah Shakira Putri; Rahma, Nurul; Maulaya, Najmah; J, Dea Fadhillah Ramanda; Yunaningsih, Septia; Pulungan, Rafiah Maharani
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 3: Agustus 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i3.26881

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Background: Advertising exposure that directly or indirectly targets children as consumers can influence children's food preferences, especially for unhealthy foods and beverages. This systematic review was conducted to determine the effect of exposure to food and beverage advertisements on children's consumption preferences.Methods: A systematic review was conducted to determine the effect of exposure to food and beverage advertisements on children's consumption preferences. Article extraction was conducted on three databases (PubMed, Science Direct, Wiley), resulting in 11 articles for analysis.Result: As a result, children who watch TV >1.5 hours/day tend to choose cariogenic foods (OR=2.38). Food and beverage advertisements influence children's preferences in consuming unhealthy food and beverages, through the images and labels in the advertisement.Conclusion: Therefore, there is a need for regulations governing content standards in advertisements. Further research on the relationship of advertising airtime with children can be conducted to find out more about the aspects of advertising influence on children's food preferences.
Determinants of exacerbations in patients with chronic obstructive pulmonary disease: retrospective cohort study Sihombing, Intan Ully Athalia; Pulungan, Rafiah Maharani; Karima, Ulya Qoulan; Pristya, Terry Y.R; Soetrisno, Arief Budi; Montain, Maya Marinda
BKM Public Health and Community Medicine Vol 38 No 02 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i02.3788

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Purpose: Exacerbations in patients with COPD are a significant cause of morbidity and mortality because of the increased progression of COPD, which is getting worse due to frequent recurrences. This study aimed to determine the factors associated with the incidence of exacerbations in patients with chronic obstructive pulmonary disease (COPD) at the Bandung Community Lung Health Center (BCLHC). Methods: This study is a secondary data analysis of patient medical records for 2015-2020 with a retrospective cohort study design. The sample in this study amounted to 122 COPD patients who were taken using a purposive sampling technique. The variables studied were age, sex, employment status, marital status, and smoking history. The bivariate data analysis used the chi-square test, and the multivariate data analysis used the multiple Cox regression test with α = 0.05. Results: The results of the multivariate analysis showed an increased risk of exacerbations in the group with a history of smoking (RR = 7.6, 95% CI = 2.9-19.6) compared to the group with no history of tobacco and non-married status (RR = 1.9, 95% CI = 1.1-3.4) compared with the currently married group. Conclusion: It is hoped that COPD sufferers can stop smoking to reduce the risk of exacerbations and the need for support from families for COPD sufferers who are not married.
FAKTOR RISIKO GEJALA SICK BUILDING SYNDROME PADA PEGAWAI BPPSDM KESEHATAN RI Siti, Saffanah; Pulungan, Rafiah Maharani
JIK-JURNAL ILMU KESEHATAN Vol 3, No 1 (2019): JIK- April Volume 3 Nomor 1 Tahun 2019
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.194 KB) | DOI: 10.33757/jik.v3i1.161

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Sick Building Syndrome merupakan salah satu fenomena masalah kesehatan yang diakibatkan oleh lingkungan kerja yang buruk. Penelitian ini bertujuan untuk menganalisis faktor risiko gejala sick building syndrome pada pegawai BPPSDMK RI. Desain penelitian dengan pendekatan cross sectional. Teknik pemilihan sampel dengan sampling purposive dan besar sampel 53 responden. Metode analisis data menggunakan analisis univariat dan analisis bivariat dengan uji Chi-square. Hasil penelitian menunjukkan bahwa terdapat hubungan antara faktor demografi yaitu faktor umur (p-value 0,014) dan faktor-faktor terkait dengan pekerjaan yaitu faktor sistem ventilasi (kecepatan aliran udara) (p-value 0,036) dengan gejala sick building syndrome pada pekerja. Saran yang dapat diberikan yaitu menyempatkan membuka jendela atau pintu sebelum menggunakan AC, melakukan pemeriksaan kualitas fisik udara secara berkala, mempertimbangkan pergantian penggunaan AC sentral dengan AC lokal ditiap ruang, serta meningkatkan pemeliharaan sistem ventilasi dalam ruangan.
The Correlation of Knowledge and Attitudes to Passive Smoking Behavior among Public Health Students of Sriwijaya University Ambarwati, Dyah; Novitasari, Prihatini Dini; Jasmine, Annisah Biancika; Pulungan, Rafiah Maharani; Aulia, Fitri; Tari, Putri Inrian
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.07

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Background: There is no safe level of cigarette smoke, but not everyone can avoid the exposure. Public health students are expected to bring changes to healthy behaviors in the community, including getting the right to have air free from cigarette smoke through various preventive efforts. Therefore, this study aims to identify the behavior of public health students at Universitas Sriwijaya as passive smokers, and its correlation with knowledge and attitudes. Subjects and Method: This was a cross-sectional study conducted at Universitas Sriwijaya, South Sumatera, Indonesia, from February to March 2025. A sample of undergraduate students of Public Health was selected using purposive sampling. The dependent variable was smoking behavior. The independent variables were knowledge and attitude. Data were analyzed using a multiple logistic regression. Results: Passive smoking behavior among college students was influenced by knowledge (b = 0.17; 95% CI = –0.14 to 0.47; p = 0.103) and attitude (b = 0.61; 95% CI = 0.26 to 0.96; p = 0.001). While knowledge showed a positive but not statistically significant association with passive smoking behavior, attitude showed a statistically significant positive association. Conclusion: Passive smoking behavior among college students is influenced by knowledge and attitude. Knowledge and attitude have positive association with passive smoking behavior.
Hubungan Penggunaan Alat Pelindung Pernapasan Dengan Gangguan Pernapasan Pada Pekerja Konstruksi Di Proyek Apartemen Kota Bekasi Pulungan, Rafiah Maharani; Kartikaningsih, Dian
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 11 No 3 (2019): JIKM Vol. 11, Edisi 3, Agustus 2019
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (597.058 KB) | DOI: 10.52022/jikm.v11i3.1

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AbstrakLatar belakang: Gangguan pernapasan pada sektor konstruksi salah satunya disebabkan oleh penggunaan alat pelindung pernapasan. Penelitian ini bertujuan untuk menganalisis hubungan penggunaan alat pelindung pernapasan dengan gangguan pernapasan pada pekerja konstruksi.Metode: Penelitian ini menggunakan pendekatan cross sectional, variabel independen yaitu penggunaan alat pelindung pernapasan dan variabel dependen yaitu gangguan pernapasan. Populasi penelitian adalah 160 pekerja dengan sampel sebanyak 75 pekerja di Proyek Apartemen Grand Dhika City. Instrumen penelitian yaitu berupa kuesioner. Analisis stastistik univariat dan bivariat dengan uji chi square (α = 0,05).Hasil: Penelitian didapatkan bahwa ada hubungan antara frekuensi penggunaan alat pelindung pernapasan dengan p value 0,000 (OR=21,64, 95% CI = 5,460-85,77) dan cara penggunaan alat pelindung pernapasan p value 0,000 (OR=30,00, 95% CI = 3,755-239,69) dengan gangguan pernapasan.Kesimpulan: Disarankan memberikan penyuluhan dan melakukan Training of Trainer (TOT) bagi pihak proyek kepada pekerja tentang alat pelindung pernapasan, meningkatkan pengetahuan dan intensitas pemakaian alat pelindung pernapasan bagi pekerja konstruksi. Relationship Use of Respiratory Protective Equipment And Respiratory Disorders In Bekasi City Apartment Construction Project Workers AbstractBackground: Respiratory disorders in construction workers are caused by the use of respiratory protective equipment. This research aims to analyze the use of respiratory equipment relationship with respiratory disorders in construction workers.Methods: This research uses cross sectional approach. The independent variable is the use of respiratory protective equipment and the dependent variable is respiratory disorders. The population of the research was 160 workers with samples as many as 75 workers at Grand Dhika City Apartment Project. The research instrument is a questionnaire. Univariate and bivariate stastistic analysis with chi square test (α = 0.05).Result: The results showed that there is a relationship between the frequency of use of respiratory protective with p value 0.000 (OR = 21,64, 95% CI = 5,460-85,77) and how the use of respiratory protective with p value 0.000 (OR = 30.00, 95% CI = 3,755-239,69) with respiratory disorders.Conclusion: Recommended to provide counseling and conduct Training of Trainers (TOT) for project parties to workers on respiratory protective equipment, increase knowledge and intensity of use of respiratory protective equipment for construction workers.
Faktor Risiko Kejadian Hipertensi pada Pekerja Konstruksi di Proyek Pembangunan Tol Tahun 2018 Heryanti, Ajeng Ade; Pulungan, Rafiah Maharani
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 11 No 1 (2019): JIKM Vol. 11, Edisi 1, Februari 2019
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (444.585 KB) | DOI: 10.52022/jikm.v11i1.19

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Latar belakang : WHO memperkirakan akan terdapat 1,56 miliyar dewasa yang menderita hipertensi pada tahun 2025. Penelitian ini bertujuan untuk mengetahui hubungan antara umur, riwayat keluarga, kebiasaan olahraga, kebiasaan konsumsi kopi dan kebiasaan merokok dengan kejadian hipertensi pada pekerja konstruksi zona 3 di proyek pembangunan tol Depok-Antasari PT. Girder Indonesia Tahun 2018.Metode : Penelitian ini merupakan penelitian kuantitatif dengan pendekatan studi cross sectional dengan jumlah sampel sebanyak 80 orang menggunakan teknik simple random sampling dari seluruh pekerja konstruksi zona 3 yaitu dimulai dari jalan Andara-jalan Brigif. Pengumpulan data hipertensi menggunakan tensimeter dan stetoskop dan instrumen pengumpulan data riwayat keluarga, kebiasaan olahraga, kebiasaan konsumsi kopi dan kebiasaan merokok. Uji chi square digunakan untuk menganalisis hubungan antar variabel dengan CI= 95% dan α=0,05.Hasil : Penelitianini menunjukan ada hubungan antara kebiasaan konsumsi kopi (p=0,000) dan kebiasaan merokok (p=0,000). Tidak ada hubungan pada umur (0,336), riwayat keluarga (0,688), kebiasaan olahraga (0,538).Kesimpulan : Saran bagi pekerja sebaiknya lebih memperhatikan pola hidup sehingga dapat terhindar dari risiko hipertensi. Saran bagi PT. Girder Indonesia dapat memfasilitasi pelayanan kesehatan agar para pekerja dapat melakukan pengecekan kesehatan secara berkala. Background : WHO estimates there will be 1.56 billion adults with hypertension in 2025.This study aims to investigate the correlation between age, family history, exercise habits, coffee consumption habits and smoking habits with hypertension in three zones of construction workers in the construction project of the Depok-Antasari toll road PT. Girder Indonesia 2018.Methods :This research method is quantitative research with cross-sectional desain study with a sample size of 80 people using simple random sampling technique of all construction workers zone 3 which starts from the Andara-road brigade. Collected of hypertension data used a sphygmomanometer and stethoscope and family history data collection instrument, exercise habits, coffee consumption habits and smoking habits.Results : Analyze statically used chi-square test to see the correlation between variables with CI = 95% and α = 0.05.0.336),family history (0.688), regular exercise (0.538). research suggestion for workers should pay more attention to their lifestyle to avoid the risk of hypertension.Conclusion : Suggestions for the company PT. Girder Indonesia can facilitate health services for their workers so that workers can perform health checks on a regular basis