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All Journal Preventif : Jurnal Kesehatan Masyarakat
Nike Apriani
Universitas Sari Mutiara Indonesia
Public Health

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Implementation of Area-Based Medical Waste Management at Dr. Komang Makes Naval Hospital Nike Apriani; Ivan Elisabeth Purba; Mido Ester J. Sitorus; Kesaktian Manurung; Frida Lina Tarigan
Preventif : Jurnal Kesehatan Masyarakat Vol. 17 No. 2 (2026): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/p0v0h832

Abstract

Medical waste management is an essential component of hospital healthcare services. This study analyzed the implementation of area-based medical waste management in accordance with Regulation of the Minister of Health of the Republic of Indonesia Number 18 of 2020 at Dr. Komang Makes Indonesian Navy Hospital, Belawan. A qualitative descriptive approach was employed. Data were collected through in-depth interviews, observations, and documentation involving eight purposively selected informants comprising key, main, and supporting informants. The management process included waste segregation, transportation, temporary storage, and final treatment in collaboration with third parties. Overall, implementation was consistent with applicable regulations and supported by internal policies, management commitment, infrastructure, budget allocation, and integration with quality improvement, Infection Prevention and Control, and Occupational Health and Safety programs. However, several challenges remained, including inadequate waste containers during periods of high patient volume, limited capacity of the hazardous waste Temporary Storage Facility, and delays in third-party transportation caused by logistical and geographical constraints. The hospital should strengthen source-based segregation, optimize hazardous waste storage capacity, and improve operational supervision, particularly in high-workload units. The study concludes that medical waste management was generally aligned with Regulation of the Minister of Health Number 18 of 2020. Continuous improvement is required to address increasing waste volumes and regional coordination challenges
Factors Associated With Stunting in Children Aged 24–59 Months in Gariuai Village, Timor-Leste, 2026 Nike Apriani; Noelia Maria Jose Guterres; Kesaktian Manurung; Janno Sinaga; Frida Lina Tarigan; Rinawati Sembiring5
Preventif : Jurnal Kesehatan Masyarakat Vol. 17 No. 2 (2026): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/5dds3n75

Abstract

Stunting remains a major public health problem in developing countries. It is a condition of chronic malnutrition characterized by a child’s height being below the standard for his or her age and may lead to impaired physical growth, cognitive development, and increased risks of health problems later in life. This study aimed to analyze the factors associated with stunting prevalence among children aged 24–59 months in Gariuai Village, Baucau Municipality, Timor-Leste. A quantitative study with a cross-sectional design was conducted among a population of 557 children. A sample of 253 children was selected using proportionate stratified random sampling. Data were analyzed using univariate analysis, the Chi-Square test for bivariate analysis, and multiple logistic regression for multivariate analysis. The results revealed that 11.1% of the children were stunted. Exclusive breastfeeding, family income, access to clean water, and toilet facilities were significantly associated with stunting prevalence, whereas maternal education and birth weight history were not significantly associated with stunting. Exclusive breastfeeding was identified as the most dominant factor associated with stunting. These findings indicate that local health interventions should prioritize strengthening exclusive breastfeeding support and counseling, particularly for vulnerable families, while continuing to improve household income, access to clean water, and sanitation facilities.
Factors Associated with Premarital Sex Prevention Behaviors among Grade XI Students in Maliana, Timor-Leste Nike Apriani; Jenivia Maria da Costa Man; Kesaktian Manurung; Mido Ester J. Sitorus; Donal Nababan; Agnes Purba
Preventif : Jurnal Kesehatan Masyarakat Vol. 17 No. 2 (2026): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/rp9tmf72

Abstract

Premarital sexual activity among adolescents is an important public health concern because it may contribute to HIV/AIDS, sexually transmitted infections (STIs), and unintended pregnancy. Maliana, Timor-Leste, has reported increasing HIV/AIDS cases and a high rate of early pregnancy. This study analyzed factors associated with premarital sex prevention behavior among Grade XI students at Dom Martinho da Costa Lopes Senior High School, Maliana, Timor-Leste. A quantitative cross-sectional study was conducted among 234 Grade XI students selected through simple random sampling. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate logistic regression. Bivariate analysis found significant associations between premarital sex prevention behavior and attitude (p<0.001), family role (p=0.002), peer influence (p<0.001), and social media/internet use (p<0.001). Knowledge (p=0.107), sociocultural factors (p=0.110), and socioeconomic factors (p=0.545) were not significantly associated with prevention behavior. Multivariate analysis identified social media use as the dominant factor associated with premarital sex prevention behavior (OR=4.372). Students with inappropriate social media use were 4.372 times more likely to demonstrate poor premarital sex prevention behavior. Premarital sex prevention behavior among Grade XI students was associated with attitudes, family roles, peer influence, and social media/internet use. Social media use was the strongest associated factor. School-based sexual health education, parental involvement, positive peer support, and digital-health literacy interventions are recommended to strengthen adolescents’ preventive behavior.
Co-Authors Agnes Purba Donal Nababan Frida Lina Tarigan Ivan Elisabeth Purba Janno Sinaga Jenivia Maria da Costa Man Kesaktian Manurung Mido Ester J. Sitorus Noelia Maria Jose Guterres Rinawati Sembiring5