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RISK FACTORS FOR MALARIA IN THE WORKING AREA OF THE KALIORANG HEALTH CENTER IN EAST KUTAI REGENCY IN 2023 Kasih, Ketut Pilih; Pakki, Irfansyah Baharuddin; Ramdan, Iwan M
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 3 (2024): JULI
Publisher : CV. ADIBA ADISHA AMIRA

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This observational study with a case-control design aims to analyze risk factors for the incidence of Malaria in the Kaliorang Health Center Working Area, East Kutai Regency in 2023. The population in this study is all malaria patients recorded at the Kaliorang Health Center, East Kutai Regency for the period from January to November 2023 as many as 85 people as a group of cases. The population of the control group is also 85 people. The results showed that work and the existence of resting places had a significant relationship with the incidence of malaria. The chi-square analysis showed a p-< value of 0.001 for both variables. The odds ratio for employment is 0.150, which means respondents with at-risk jobs have a 0.150 times greater risk of developing malaria. Meanwhile, the Odds Ratio for resting places was 6,295, indicating that respondents whose environments had resting places such as shrubs and shrubs were 6,295 times more likely to develop malaria than those who did not.

Faktor Faktor yang Berhubungan dengan Manajemen Pengendalian Bahaya Kimia Sebagai Upaya Pencegahan Bahaya di Laboratorium PT. X Kota Balikpapan Azzahra, Fahriza Nur; Sultan, Muhammad; Lestari, Ida Ayu Indira Dwika; Ramdan, Iwan M; Hardianti, Dewi Novita
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 6 No. 1 (2025): Januari - Juni 2025
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.6.1.33-41.2025

Bahan kimia memiliki berbagai risiko, baik ke manusia maupun ke lingkungan kerja. Oleh karena itu penting dilakukannya pengendalian bahaya kimia. Menurut Kepmenaker RI No. 187 Tahun 1999, Pengendalian bahan kimia berbahaya adalah upaya untuk mengurangi risiko akibat penggunaan bahan kimia berbahaya di tempat kerja kepada tenaga kerja, peralatan maupun lingkungan. Tujuan dari penelitian ini untuk mengetahui hubungan antara pengetahuan, hazard communication¸ standar operasional prosedur, dan pengawasan dengan manajemen pengendalian bahaya kimia di Laboratorium PT. X Kota Balikpapan. Desain penelitian ini ialah penelitian kuantitatif dengan studi cross sectional yang memiliki sampel sebanyak 35 orang dan menggunakan uji Rank Spearman. Hasil penelitian didapatkan bahwa manajemen pengendalian bahaya kimia di Laboratorium PT. X Kota Balikpapan 100% dalam kategori baik. Berdasarkan analisis data, terdapat hubungan antara manajemen pengendalian bahaya kimia dengan pengetahuan (p = 0.033), hazard communication (p = 0.001), standar operasional prosedur (p = 0.049), dan pengawasan (p = 0.001). Dari hasil tersebut, disimpulkan terdapat hubungan antara pengetahuan, hazard communication¸ standar operasional prosedur, dan pengawasan dengan manajemen pengendalian bahaya kimia. value = 0.049), dan pengawasan (p-value = 0.001). Dari hasil tersebut, disimpulkan terdapat hubungan antara pengetahuan, hazard communication¸ standar operasional prosedur, dan pengawasan dengan manajemen pengendalian bahaya kimia.

Enhancing Safety Culture in the Aviation Sector at East Kalimantan: A Study on Organizational, Group, and Individual Safety Lestari, Ida Ayu Indira Dwika; Hardianti, Dewi Novita; Ramdan, Iwan M; Sultan, Muhammad; Sari, Ika Wulan
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6141

The aviation industry operates in a high-risk environment where safety is paramount. Despite the implementation of Safety Management Systems (SMS), aviation incidents often highlight gaps not in compliance, but in safety culture—how individuals and organizations perceive and prioritize safety. A mature and robust safety culture can significantly reduce accidents and improve operational reliability. This study aims to explore and describe the safety culture profile in the aviation sector, particularly focusing on the maturity of safety practices at the individual, group, and organizational levels. A cross-sectional study was conducted using the Nordic Occupational Safety Climate Questionnaire (NOSACQ-50), a validated instrument to assess safety culture. A total of 183 aviation workers from various operational units participated in the survey. In addition to quantitative analysis, focus group discussions (FGDs) were held with selected management and operational staff to provide contextual insights into survey findings. The results showed that the overall safety culture maturity level among respondents was categorized as proactive, with the highest scores in management commitment (85.0) and safety procedures (85.0). However, relatively lower scores were observed in risk perception (70.5) and work environment (70.0), indicating areas for targeted improvement. These findings suggest that while aviation organizations have made considerable progress in building a strong safety culture, further efforts are needed to enhance risk awareness at the individual level and improve environmental factors influencing safety behaviour. Interventions should emphasize participatory safety practices, continuous communication, and reinforcement of risk-based thinking

Analisis Pengaruh Motivasi, Work-Life Balance, dan Burnout terhadap Perilaku Keselamatan Kerja pada Pekerja Klinik Rissa Medika Kota Bangun Harahap, Karlina Sofyana; Sultan, Muhammad; Ramdan, Iwan M; Lestari, Ida Ayu Indira Dwika
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.21237

ABSTRACT Occupational safety in the healthcare sector, particularly in clinical settings, is a critical aspect influenced by various psychosocial factors. This study aims to analyze the influence of work motivation, work-life balance, and burnout on safety behavior among employees at Rissa Medika Clinic, Kota Bangun. A descriptive quantitative method with a cross-sectional design was employed. The sample consisted of the entire clinic workforce (16 individuals), including both medical and non-medical staff. Data were collected using validated questionnaires and analyzed using Fisher’s Exact Test with a significance level of 0.05. The results indicated that all three independent variables were significantly related to safety behavior. Work motivation (p = 0.041) and work-life balance (p = 0.041) had a positive correlation with safety behavior, while burnout (p = 0.036) showed a negative correlation. Employees with high motivation and good work-life balance tended to exhibit better safety behavior, whereas those experiencing high levels of burnout demonstrated poorer safety practices. In conclusion, work motivation, work-life balance, and burnout significantly influence safety behavior. Strengthening these psychosocial factors is essential in fostering a robust safety culture within healthcare facilities. Keywords: Work Motivation, Work-Life Balance, Burnout, Safety Behavior, Clinic. ABSTRAK Keselamatan kerja di sektor layanan Kesehatan, khususnya di lingkungan klinik merupakan aspek krusial yang dipengaruhi oleh berbagai factor psikososial. Penelitian ini bertujuan untuk menganalisis pengaruh motivasi kerja, work-life balance dan burnout terhadap perilaku keselamatan kerja pada pekerja di Klinik Rissa Medika Kota Bangun. Penelitian ini menggunakan pendekatan deskriptif kuantitatif dengan desain cross-sectional. Sample dalam penelitian ini adalah total populasi pekerja klinik sebanyak 16 orang, yang terdiri dari medis dan non medis. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan uji Fisher’s Exact Test dengan Tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa ketiga variabel independent memiliki hubungan yang signifikan terhadap perilaku keselamatan kerja. Motivasi kerja (p=0,0041) dan work-life balance (p=0,041) menunjukkan hubungna positif terhadap perilaku keselamatan, sedangkan burnout (p=0,036) menunjukkan hubungan negatif. Pekerja dengan motivasi tinggi dan keseimbangan kehidupan kerja yang baik cenderung menunjukkan perilaku keselamatan yang lebih baik, sementara pekerja dengan Tingkat burnout tinggi cenderung menunjukkan perilaku keselamatan yang lebih rendah. Kesimpulan hasil penelitian, motivasi kerja, work-life balance, dan burnout secara signifikan memengaruhi perilaku keselamatan kerja. Penguatan factor-faktor psikososial tersebut penting dilakukan untuk meningkatkan budaya keselamatan kerja di fasilitas pelayanan kesehata. Kata Kunci: Motivasi Kerja, Work-Life Balance, Burnout, Perilaku Keselamatan, Klinik.

Hubungan Beban Kerja Mental terhadap Depresi, Kecemasan, dan Stres di Klinik XX: Studi Kasus di Samarinda Simanjuntak, Evi Paulina; Ramdan, Iwan M; Sultan, Muhammad; Lestari, Ida Ayu Indira Dwika
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.21625

ABSTRACT Pratama XX Clinic in Samarinda serves up to 100 patients per day with limited manpower resources, thus potentially causing mental workload and stress. Mental workload occurs because work demands exceed the individual’s mental capacity which can trigger fatigue and emotional reactions. Psychological disorder such as depression, anxiety, and stress often arise as a result of high work pressure. Understand the correlation between mental workload and psychological dimensions such as depression, anxiety and stress. Also understand therelationship between psychological dimensions (depression, anxiety and stress). This study used a quantitative descriptive correlational design with a cross-sectional approach. The sample consisted of 10 XX clinic employees in Samarinda who were selected through total sampling. The instruments used were DASS-21 to measure depression, anxienty, and stress, and simple NASA-TLX to measure mental workload. Data were analyzed descriptively and using the Spearman correlation test because the sample size was small and the data was non-parametric. The correlation between mental workload and anxiety is significant( = 0.642 ; p-value = 0.045), while the correlation with depression (= 0.263 ; p-value = 0.462) and the relationship with stress ( = 0.351 ; p-value = 0.320) are not significant. While the correlation between Depresion and Anxiety is significant ( = 0.664 ; p-value = 0.036), and the correlation between Depression and Stress is also very significant ( = 0.777 ; p-value = 0.008), as well as the correlation between anxiety and stress which is also significant ( = 0.746 p-value = 0.013). From the research results, it was found that mental workload and anxiety have a close relationship, and the three psychological dimensions, namely depresions, anxiety and stress, are interrelated and can strengthen and each other. Keywords: Mental workload, Depression, Anxiety, Stress. ABSTRAK Klinik Pratama XX di Samarinda melayani hinga 100 pasien per hari dengan sumber daya tenaga kerja yang terbatas, sehingga berpotensi menimbulkan beban kerja mental dan strs yang terbatas, sehingga berpotensi menimbulkan beban kerja mental dan stres pada tenaga kesehatan. Beban kerja mental terjadi karena tuntutan pekerjaan melebihi kapasitas mental individu yang dapat memicu kelelahan dan reaksi emosional. Gangguan psikologis seperti depresi, kecemasan, dan stres sering muncul sebagai dampak dari tekanan kerja yang tinggi. Memahami adanya korelasi antara beban kerja mental dengan dimensi psikologis berupa depresi, kecemasan dan stres. Juga memahami hubungan antara diemensi psikologis (depresi, kecemasan dan stres). Penelitian ini menggunakan desain kuantitatif deskriptif korelasional dengan pendekatan cross-sectional. Sampel terdiri dari 10 karyawan klinik XX di Samarinda yang dipilih melalui total sampling. Instrumen yang digunakan adalah NASA-TLX sederhana untuk mengukur beban kerja mental serta DASS-21 untuk mengukur depresi, kecemasan dan stres. Data dianalisis secara deshriptif dan menggunakan uji korelasi Spearman karena jumlah sampel kecil dan data berskala non-parametik. Korelasi antara beban kerja mental dan kecemasan bersifat signifikan ( = 0.642 ; p-value = 0.045), sementara korelasi dengan depresi (= 0.263 ; p-value = 0.462) dan hubungan dengan stres ( = 0.351 ; p-value = 0.320) tidak signifikan. Sementara korelasi antara Depresi dan Kecemasan bersifat signifikan ( = 0.664 ; p-value = 0.036),dan korelasi Depresi dengan Stres juga sangat signifikan ( = 0.777 ; p-value = 0.008), begitu juga dengan korelasi kecemasan dengan stres yang juga signifikan ( = 0.746 p-value = 0.013). Dari hasil penelitian didapatkan beban kerja mental dengan kecemasan memiliki hubungan yang erat, dan ketiga dimensi psikologis yaitu depresi, kecemasan dan stres saling berhubungan dan dapat saling memperkuat. Kata Kunci: Beban Kerja Mental, Depresi, Kecemasan, Stres

Comprehensive literature review : Determinant Factors of Organophosphate pesticide Exposure and Its Impact on Farmers Cholinesterase Level Simanjuntak, Evi Paulina; Ramdan, Iwan M; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Organophosphate (OP) pesticide exposure remains a significant occupational health issue in agricultural sectors, particularly in developing countries like Indonesia. OP compounds inhibit acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE), enzymes responsible for breaking down acetylcholine at neural synapses. Their inhibition leads to acetylcholine accumulation, causing acute symptoms such as dizziness, tremor, nausea, and fatigue, as well as long-term effects including peripheral neuropathy and cognitive impairment. Blood cholinesterase activity serves as a key biomarker for pesticide exposure but can be influenced by various biological and occupational factors Objective : This scoping review aims to identify and map determinant factors affecting cholinesterase levels among farmers and pesticide sprayers exposed to OP pesticides, providing an evidence base for developing occupational health and safety (OHS) strategies. Research Methods/ Implementation Methods : Following PRISMA-ScR guidelines, eight relevant studies were selected from PubMed, ScienceDirect, SpringerLink, and Garuda databases. The included studies involved agricultural workers exposed to OP or carbamate pesticides, with cholinesterase activity as the main outcome Results : Findings show that reduced cholinesterase activity results from multifactorial interactions. Individual factors such as age, gender, nutrition, and smoking influence detoxification capacity. Behavioral factors especially PPE use and hygiene significantly affect exposure, with compliant workers showing 18–25% higher enzyme activity. Occupational factors like long work duration and high spraying frequency decreased AChE by 28–30%. Organizational efforts, including biomonitoring and safety training, maintained enzyme activity within normal limits, while hot climates increased dermal absorption Conclusion/Lesson Learned : In conclusion, comprehensive OHS measures integrating education, monitoring, and safe work practices are essential to prevent pesticide-related subclinical poisoning

Exploring Ergonomic Risks Behind Waste: A Qualitative Study of BankSampah Workers in Samarinda City Paramita, Nadinda Maretta Diah; Ramdan, Iwan M; Sultan, Muhammad; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Musculoskeletal disorders are one of the most common occupational diseases occurring in workplaces such as waste banks. Repetitive manual activities performed by workers pose ergonomic risks if not supported by adequate understanding and workplace facilities. Objective : This study aims to analyze ergonomic practices among waste bank workers, explore their perceptions of MSDs risks, and identify the needs for ergonomics-based health promotion that suits the conditions of the waste bank. Research Methods/ Implementation Methods : This study used a qualitative case study design. Data were obtained through interviews with five Bank Sampah Nusantara workers and work observations. Thematic analysis with manual coding was applied, starting from data reduction, assigning codes (labeling relevant data), and grouping codes into themes, and results were presented descriptively. Data validity was ensured through the Member Check technique. Results : The findings showed that workers at Bank Sampah Nusantara did not use assistive tools and only used basic personal protective equipment (PPE). Several workers complained of body pain and fatigue (especially in the hands and feet). Risk perception was generally low. No training related to ergonomics or safe work practices had been conducted in the waste bank. Conclusion/Lesson Learned : Workers expressed the need for training, improved work facilities, and collaboration with external institutions to support occupational health and safety. This highlights the importance of ergonomics-based health promotion interventions in the informal sector to prevent MSDs and raise workers’ awareness of occupational risks.

“The Association Between Noise Exposure and Quality of Life AmongIndustrial Workers and Nearby Communities: A Literature Review” Harahap, Karlina Sofyana; Ramdan, Iwan M; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Noise is an invisible environmental hazard that significantly affects human health and well-being. Chronic exposure to high-intensity noise can lead to auditory disorders such as Noise- Induced Hearing Loss (NIHL) and various non-auditory effects including stress, fatigue, hypertension, sleep disturbance, and psychological distress. These physiological and psychosocial impacts contribute to a decline in Quality of Life (QoL) among both industrial workers and nearby communities. Despite growing evidence on the adverse effects of noise, comprehensive synthesis of the relationship between noise exposure and QoL across occupational and community settings remains limited. Objective : to identify and analyze scientific studies examining the relationship between noise exposure and Quality of Life (QoL) Research Methods/ Implementation Methods : A systematic literature review was conducted to identify and analyze scientific studies examining the relationship between noise exposure and QoL. The literature search used the databases Scopus, PubMed, ScienceDirect, ResearchGate, and Google Scholar for publications from 2015 to 2024. The keywords included “noise exposure,” “noise pollution,” “quality of life,” “occupational,” and “community.” Ten studies that met the inclusion criteria were selected for descriptive synthesis. Data were extracted on study objectives, population, exposure levels, instruments used (such as WHOQoL-BREF and HRQoL), and main findings. Results : The review indicates a consistent negative association between noise exposure above 85 dB(A) and QoL. Across the selected studies, dominant reported effects included sleep disturbance, fatigue, stress, irritability, and decreased environmental satisfaction. Noise annoyance and noise sensitivity emerged as significant psychological mediators influencing the strength of this relationship. Occupational settings such as mining, manufacturing, and healthcare showed the highest exposure levels and greatest impact on workers’ physical and psychological well-being. Community- based studies also revealed lower QoL scores among residents living near industrial or transportation noise sources. Conclusion/Lesson Learned : Noise is a critical environmental and occupational determinant of health that affects multiple domains of QoL—physical, psychological, social, and environmental. The findings emphasize the need for comprehensive noise control measures, including engineering and administrative interventions, community awareness, and psychosocial coping strategies. Future research should employ longitudinal and mixed-method designs to capture the long-term and multifactorial impacts of noise exposure on human well-being.

Analysis of Work Stress Diagnosis in Health Workers at Remaja HealthCenter in Samarinda City Uga, Mirani Arizkha; Ramdan, Iwan M; Sultan, Muhammad
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Community health centers are responsible for improving the quality of services and health development in their respective work areas. In this regard, healthcare professionals play a vital role in optimizing the quality of health services. Objective: This study aims to analyze the diagnosis of work stress among healthcare workers at Puskesmas Remaja, Samarinda City . Research Methods/ Implementation Methods : This quantitative study employed a cross-sectional design with a sample size of 32 individuals. Data was collected using the DASS 21 (Depression Anxiety Stress Scales-21) questionnaire. Univariate analysis was performed to describe the characteristics of respondents and the distribution of work stress in the form of frequency tables and percentages. Subsequently, bivariate analysis using the Chi-square test with a significance level of 5% (p<0.05) was conducted to examine the relationship between age, gender, marital status, and years of service with work stress among healthcare workers at Puskesmas Remaja, Samarinda City. Results : The results showed that 8 individuals (25%) fell into the category of work stress. Specifically, 4 individuals (12.5%) experienced mild stress, 3 (9.4%) moderate stress, and 1 person (3.1%) severe stress. Based on the analysis, marital status was the only variable found to have a significant relationship with the incidence of work stress among respondents (p=0.01). Conclusion/Lesson Learned : For future research, it is recommended to conduct similar studies with different designs, larger sample sizes, and include other variables to gain a more comprehensive understanding of the relationship between various factors and work stress among healthcare professionals.

Membangun Kesiapsiagaan Masyarakat melalui Simulasi Mitigasi Kebakaran di Sekitar Terminal Bahan Bakar Minyak, Teluk Lerong Samarinda Lestari, Ida Ayu Indira Dwika; Hardianti, Dewi Novita; Ramdan, Iwan M; Sultan, Muhammad; Putri, Anindya Monika; Wardani, Rifdah
Jurnal SOLMA Vol. 14 No. 3 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i3.20842

Background: Wilayah sekitar Terminal Bahan Bakar Minyak (TBBM) PT X, Teluk Lerong Samarinda, merupakan kawasan berisiko tinggi terhadap kebakaran karena keberadaan fasilitas penyimpanan dan distribusi bahan bakar yang mudah terbakar. Rendahnya pemahaman masyarakat serta minimnya latihan tanggap darurat meningkatkan potensi kerugian jiwa dan material. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kapasitas warga dalam mitigasi kebakaran melalui edukasi dan simulasi. Metode: Metode pelaksanaan meliputi penyuluhan tentang bahaya kebakaran, prinsip pencegahan, pelatihan penggunaan Alat Pemadam Api Ringan (APAR), dan simulasi evakuasi darurat. Kegiatan melibatkan peserta dari perwakilan ibu-ibu PKK, anak sekolah dasar, perwakilan RT sekitar TBBM dan berlangsung selama satu hari. Hasil: Hasil kegiatan menunjukkan peningkatan pengetahuan rata-rata sebesar 40% (berdasarkan pre-test dan post-test), terbentuknya peta risiko partisipatif yang mengidentifikasi jalur evakuasi dan titik kumpul aman, serta peningkatan keterampilan warga dalam menggunakan APAR dengan tingkat keberhasilan pemadaman awal mencapai 85%. Pada simulasi evakuasi, 90% peserta berhasil mengikuti prosedur dengan benar, meskipun masih ditemukan hambatan pada koordinasi antar RT dan kurangnya alat peringatan dini. Kesimpulan: Edukasi, pemetaan risiko, dan simulasi terbukti efektif meningkatkan kesiapsiagaan warga menghadapi kebakaran. Diperlukan penguatan koordinasi antar-RT, pembentukan relawan kebakaran, dan penyediaan fasilitas darurat berkelanjutan dari pemangku kepentingan untuk memperkuat ketahanan komunitas.

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