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All Journal JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Indonesian Collaboration Journal of Community Services (ICJCS) Jurnal Pengmas Kestra (JPK) Haga Journal of Public Health (HJPH)
Rambey, Harris
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Humanities Environmental Science Health Professions Nursing Public Health Social Sciences Other

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Evaluation of the Implementation of Occupational Health and Safety Management System at Lima Puluh Public Health Center, Batu Bara Regency, in 2025 Purba, Lisdauli; Rambey, Harris; Ika Nur Saputri
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/c1ftq750

Abstract

The Occupational Health and Safety Management System (OHSMS) is a critical component in ensuring a safe and healthy work environment, especially in healthcare service facilities such as community health centers (Puskesmas). This study aims to evaluate the implementation of OHSMS at Lima Puluh Public Health Center in Batu Bara Regency, focusing on three key components: policy establishment, planning, and implementation of OHS plans. A qualitative method with a case study approach was used, and data were collected through in-depth interviews, focus group discussions, observations, and documentation involving 10 informants from the District Health Office and the Puskesmas staff. The results show that although OHS policies have been formally established through official decrees, their implementation remains weak. Most team members were unaware of the decree, had not received OHS training, and lacked written work plans. Risk identification was informal and undocumented, and there was no systematic OHS planning document. The implementation of OHS activities was reactive and relied heavily on staff habits or personal initiatives. Out of 11 OHS standards for healthcare facilities, six had not yet been implemented, including hazard identification and risk control, application of ergonomic principles, periodic health examinations, immunization, management of facilities and infrastructure from an OHS perspective, and emergency or disaster preparedness. The study recommends strengthening management commitment, improving human resource capacity through training, and allocating specific budgets for OHS programs to optimize OHSMS implementation. The Batu Bara District Health and Family Planning Office, as the supervisor of OHSMS implementation, is expected to conduct continuous monitoring and evaluation to ensure sustainable improvement in OHS performance.
The Influence of Betawi Cultural and Social Factors on Food Choices Among Breastfeeding Mothers at the Cilincing Subdistrict Public Health Center, North Jakarta Hutapea, Rismawati; Rambey, Harris; Nursaputri, Ika; Sirait, Reni Aprinawaty; Ginting, Desi Deria Yosepha
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/5h0zw939

Abstract

Background : Food choices among breastfeeding mothers are influenced by various factors, including the socio-cultural background of the surrounding community. Objective : This study aims to examine the socio-cultural factors of the Betawi ethnic group related to food selection among breastfeeding mothers in the working area of the Cilincing Subdistrict Public Health Center, North Jakarta. Research Methode : This research employed a mixed method design. The quantitative component used an observational analytic approach with a cross-sectional design, involving 66 breastfeeding mothers selected through purposive sampling. Data were collected using questionnaires and analyzed using chi-square and logistic regression tests. The qualitative data were obtained through in-depth interviews with three main informants and two key informants, then analyzed thematically and presented in narrative form. Result : The quantitative findings revealed significant associations between food choices and family support (p=0.002), knowledge (p=0.018), education (p=0.039), and socioeconomic status (p=0.001). Socioeconomic status emerged as the most dominant factor based on multivariate analysis (p<0.05). The qualitative findings identified several major themes: dietary restrictions imposed by family members, dependence on traditional information, belief in myths, and economic limitations affecting food and beverage choices during the breastfeeding period. It is recommended that future research further explore other local cultural factors influencing breastfeeding mothers' dietary behaviors and develop nutrition education strategies rooted in local wisdom.
Co-Authors ACHMAD RIFAI Bangun, Sri Melda Br Bangun, Sri Melda Br. Farhana, Jahirah Felix Kasim Ginting, Desi Deria Yosepha Hutapea, Rismawati Ika Nur Saputri Indriani, Restutri Manurung, Jelita Nursaputri, Ika Octavariny, Raisha Oktavariny, Raisha Purba, Lisdauli Raini Panjaitan Sari, Indry Purnama Sirait, Reni Aprinawaty Sofia Diaz, Aya Tarigan, Layari Wasliati, Balqis Widyaningsih, Fadlilah Widyaningsih, Fadlillah