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Prevalence and Risk of Nutritional Problems among Toddlers in Balikpapan, Indonesia: A Cross-sectional Study Asrianti, Tanti; Siswanto, Siswanto; Pakki, Irfansyah Baharuddin; Al Ahmadi, Khumairotul Zahroh; Dzikri, Akhmad
Pancasakti Journal Of Public Health Science And Research Vol 5 No 3 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i3.2030

Abstract

Nutritional challenges during early childhood remain a pressing global concern that significantly influence a country’s Human Development Index. This study aimed to assess the prevalence and risk of undernutrition-related health problems among toddlers in Balikpapan City, East Kalimantan Province. Using a descriptive-analytic design with a cross-sectional approach, data were collected from four integrated community health post (Posyandu) located across three sub-districts. The study population comprised toddlers attending Posyandu in West Balikpapan, Central Balikpapan, and South Balikpapan. A purposive sampling technique was applied based on predefined criteria, yielding a sample size of 78 toddlers. Findings revealed that from 78 toddlers, 11,5% toddlers were at risk of malnutrition, 20,5% toddlers were at risk of undernutrition, and 2,6% toddlers were at risk of stunting. These findings highlight the urgent need for targeted preventive interventions to address undernutrition risks in early childhood and offer valuable evidence to support regional health policy development. Prenatal interventions, including maternal supplementation and antenatal care are crucial. Exclusive breastfeeding remains essential but should be supported by broader strategies addressing complementary feeding and maternal conditions. Longitudinal studies are recommended to establish causal pathways.
Analisis Faktor Risiko Kejadian Hipertensi pada Lanjut Usia (Lansia) di Panti Sosial Tresna Werdha Nirwana Puri Samarinda Tahun 2024 Sungkono, Indari Yayuk; Pakki, Irfansyah Baharuddin
Jurnal Kedokteran Mulawarman Vol 12, No 1 (2025): Jurnal Kedokteran Mulawarman
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkm.v12i1.18499

Abstract

Salah satu masalah kesehatan yang paling sering dijumpai pada lanjut usia adalah hipertensi, dimana rasio prevalensi lanjut usia yang terkena hipertensi lebih dari 50% dan menjadikannya sebagai penyakit terbanyak pada lanjut usia.Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian hipertensi pada lanjut usia (lansia) di Panti Sosial Tresna Werdha Nirwana Puri Kota Samarinda tahun 2024. Metode penelitian yang digunakan dalam penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Data yang diperoleh dari kuesioner, data puskesmas dan pengamatan lapangan dengan jumlah sampel 111 (total responden). Uji statistik yang digunakan adalah uji chi-square (tingkat kemaknaan 95%, α 0,05), analisis multivariat menggunakan regresi logistic. Variabel yang dianalisis meliputi IMT, aktivitas fisik, riwayat merokok, kebiasaan minum kopi, konsumsi buah dan sayur serta depresi. Hasil analisis menunjukkan bahwa terdapat hubungan yang bermakna antara riwayat merokok (p = 0,006) dengan kejadian hipertensi pada lanjut usia, tidak terdapat hubungan antara IMT (p = 0,626), aktivitas fisik (p = 0,848), kebiasaan konsumsi kopi (p = 0,828), konsumsi buah dan sayur (p = 1,000) dan depresi (p = 0,335) dengan kejadian hipertensi pada lanjut usia. Disimpulkan bahwa terdapat hubungan yang bermakna antara riwayat merokok dengan kejadian hipertensi pada lanjut usia di Panti Sosial Tresna Werdha wilayah kerja Kota Samarinda tahun 2024. Disarankan dilakukan edukasi penyakit tidak menular kepada para lanjut usia Kata kunci : faktor risiko, hipertensi, lanjut usia
Young children nutritional status in Samarinda: does exclusive breastfeeding play a role in stunting prevention? Safika, Erri Larene; Rachmawati, Ayudhia; Pakki, Irfansyah Baharuddin
BKM Public Health and Community Medicine Vol 39 No 01 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i01.6070

Abstract

Purpose: This study investigated the relationship between exclusive breastfeeding and stunting incidence in young children aged 0-59 months. Method: This is an observational study with a cross-sectional approach. There were 100 mothers with young children aged 0-59 months as respondents from Palaran, Samarinda. The dependent variable was children's height-for-age nutritional status, as in normal or stunting, and the independent variable was exclusive breastfeeding. Young children's height was collected by checking their Maternal and Child Health (KIA) book. Parity, family income, mother's education, mother's knowledge, and family support information were also collected by interview. Bivariate analysis was measured with the Chi-square test. Results: There is no association between exclusive breastfeeding and stunting (p-value>0.05). We also found no association between stunting and parity, family income, mother's knowledge, and family support (p-value<0.05). However, we found a significant relationship between stunting and mother education. Conclusion: Exclusive breastfeeding is not associated with stunting in Palaran, Samarinda. Further research is needed to determine the factors associated with stunting in Samarinda.
Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Septiana, Lisa; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad; Adrianto, Ratno; K., Iriyani; Lestari, Ida Ayu Indira Dwika
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.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
Analysis of the Relationship Between Knowledge, Perception, and Workload of Nurses on Patient Safety Culture Norsehan, Norsehan; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6442

Abstract

Patient safety culture refers to a pattern of behavior of both individuals and organizations that consistently seek to reduce the risk of harm or injury to patients due to the services provided, based on shared beliefs and values. This study aims to analyze the relationship between knowledge, perceptions, and workload of nurses on patient safety culture at Beriman Hospital, Balikpapan City. The method used in this study is a quantitative approach with a cross-sectional design, involving all nurses working in the service unit of Beriman Hospital, Balikpapan City, totaling 129 respondents (total sampling). This study was conducted from February to March 2025, with data collection using a questionnaire that had been tested for validity and reliability. Univariate data analysis, chi-square test, and logistic regression. The results showed good knowledge 81.4%, good perception 51.2%, high workload 50.4% and patient safety culture value 58.9%. The results of the chi-square test sig value of knowledge: 0.600 and perception: 0.302, both (p> 0.05) indicating no relationship between knowledge and perception of nurses towards patient safety culture. However, the sig value for workload is 0.006 (p <0.05) indicating a relationship between workload and patient safety culture. The results of the logistic regression test show that nurses' workload has a significant effect on patient safety culture with a significance value (Sig) of 0.009. The Odds Ratio (OR) value of 2.712 indicates that nurses with a higher workload are 2.7 times more likely to influence patient safety culture compared to those with a low workload. The conclusion is that workload is the factor most related to patient safety culture.
An Analysis of Relationship Between Organization Climate, Work Culture, and Work Environment on Employee Job Satisfaction Nursakti, Nursakti; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6575

Abstract

The background of this research was based on the importance of job satisfaction in improving the quality of services in the health sector, especially in community health centers. This study aimed to analyze the relationship between organizational climate, work culture, and work environment on job satisfaction of employees at Klandasan Ilir Public Health Center and Manggar Baru Public Health Center in Balikpapan City. The research method used a quantitative approach with a survey technique conducted on employees at both public health centers using a cross-sectional approach. The sampling technique was total sampling with a total of 111 respondents. Data were collected through a questionnaire that included indicators of organizational climate, work culture, work environment, and job satisfaction. Data analysis was conducted using univariate analysis with frequency distribution, bivariate analysis with the chi-square test, and multivariate analysis with logistic regression. The study found that 80.2% of respondents were female, with the majority working in the General Services Unit. Most had a diploma-level education and more than three years of work experience. Bivariate analysis showed significant relationships between job satisfaction and all three independent variables. Multivariate analysis indicated that work culture was the most significant factor influencing job satisfaction (p = 0.001; OR = 0.147). Work culture had the strongest relationship with job satisfaction among Puskesmas employees. Efforts to improve work culture can lead to higher satisfaction and better service quality.
The Relationship Between Lipid Profile and HBA1C Levels in Type 2 Diabetes Melitus Patients Pasinggi, Miako; Pakki, Irfansyah Baharuddin; Yadi, Yadi
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6629

Abstract

Diabetes Mellitus is a chronic disease with high morbidity and mortality rates, requiring comprehensive and integrated management. Dyslipidemia is an important risk factor contributing to the occurrence of both microvascular and macrovascular complications in individuals with Diabetes Mellitus. Optimal control of HbA1c levels and lipid profiles is considered essential in reducing the risk of complications and improving patient outcomes. Therefore, monitoring and managing these parameters is a critical component of diabetes care to prevent further complications. This study aims to analyze relationship between lipid profile with HbA1c levels in Type 2 Diabetes Mellitus (T2DM) patients at Puskesmas in Samarinda. A cross-sectional study was conducted involving 1,482 patients with T2DM, selected through a total sampling technique. Data were obtained from secondary sources, specifically medical records. Bivariat analysis using the Chi-Square test was performed to evaluate the relationship between lipid profile and HbA1c levels. The analysis identified significant relationship between TG (p = <0,001 ; OR = 3,350; 95% CI:2,701-4,157), TC (p = <0,001; OR = 1,862; 95% CI: 1,486-2,334), HDL-C (p = 0,003; OR = 1,567; 95% CI: 1,169-2,100), and LDL-C (p = 0,013; OR = 1,310; 95% CI: 1,063-1,614). This study found a significant association between all components of the lipid profile and HbA1c levels among patients with type 2 diabetes mellitus (T2DM) in Samarinda. Levels of triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were all significantly related to poor glycemic control. .
Evaluasi Program Provider Initiated Testing And Counseling (PITC) Pada Ibu Hamil Pada Masa Pandemi Covid-19 Di Puskesmas Muara Badak Sari, Anita; Pakki, Irfansyah Baharuddin; Asrianti, Tanti
Wal'afiat Hospital Journal Vol 3 No 1 (2022): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v0i0.66

Abstract

Provider Initiated Testing and Counseling (PITC) is an important strategy to increase coverage of HIV testing for pregnant women as well as efforts to control HIV/AIDS in Indonesia and is part of the Maternal and Child Health (KIA) program. During the COVID-19 pandemic, new HIV/AIDS infections tended to increase, especially among housewives. During the COVID-19 pandemic, the Muara Badak Health Center found new HIV cases and tended to increase, while HIV screening for pregnant women decreased. This study aims to determine the implementation of the Provider Initiated Testing and Counseling (PITC) program for pregnant women during the COVID-19 pandemic at the Muara Badak Health Center in terms of process (assessment of the mechanism for implementing the PITC program for pregnant women) and output (factors related to pregnancy). with program success). This type of research is cross sectional and the sampling technique used is accidental sampling. Collecting data using questionnaires and observation sheets with a sample of 86 pregnant women, Bivariate analysis using the Fisher's Exact Test and the Kolmogorov-Smirnov Test with a 95% confidence level (α = 0.05). The results showed that the implementation of the Provider Initiated Testing and Counseling (PITC) program evaluation activities for pregnant women during the COVID-19 pandemic at the Muara Badak Health Center in terms of process, was declared to have gone quite well with a score of 32 (63%), while the implementation of evaluation activities the PITC program for pregnant women during the COVID-19 pandemic at the Muara Badak Health Center in terms of output stated, the results of statistical tests between the success of the PITC program and the basic principles of PITC (p=1,000), knowledge (p=1,000), attitudes (p=0.000) using the Kolmogorov-Smirnov Test, and resistance (p=1,000). In conclusion, there is no relationship between the success of the PITC program and the basic principles of PITC, knowledge, and barriers. There is a relationship between the success of the PITC program and attitude. Muara Badak Health Center is expected to be able to monitor and evaluate the implementation of PITC.
Analisis Faktor Risiko Kejadian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Rapak Mahang Kecamatan Tenggarong Kabupaten Kutai Kartanegara Afifah, Wiwin Vidiyastana; Pakki, Irfansyah Baharuddin; Asrianti, Tanti
Wal'afiat Hospital Journal Vol 3 No 1 (2022): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v0i0.67

Abstract

Hypertension is one of the non-communicable diseases that mostly affects people of productive age and the elderly today. Hypertension is called the silent killer because it is often without complaints, so the patient does not know he has hypertension, and prevention efforts cannot be carried out as early as possible with the causative factors of hypertension caused by several risk factors, one of which is based on the host/human. This study aims to determine the relationship of family history of hypertension, physical activity, obesity, and smoking to the incidence of hypertension in the Work Area of the Rapak Mahang Health Center. This type of research is analytic with a cross-sectional approach and the sampling technique is purposive sampling. Collecting data using a questionnaire with a number of respondents as many as 128 people. Data were analyzed using the chi-square test. The results of data analysis showed the frequency of hypertension sufferers among as many as 99 people (77.3%). The bivariate test showed statistically significant results between the variables of family history of hypertension (p-value = 0.003), obesity (p-value = 0.000), and physical activity (p-value = 0.019) with the incidence of hypertension. The smoking variable (p-value = 0.361) statistically showed no relationship with the incidence of hypertension. There is a relationship between a family history of hypertension, obesity, and physical activity with the incidence of hypertension and there is no relationship between smoking and the incidence of hypertension.
Risk Detection and Prevention of Degenerative Disease of The Elderly After COVID-19 Pandemic in Kutai Kartanegara Regency Siswanto, Siswanto; Pakki, Irfansyah Baharuddin; Naim, Tanti Asrianti; Al Ahmadi, Khumairotul Zahroh; Dzikri, Akhmad
Journal of Mestika Nusantara Satu Community Services Vol. 1 No. 1 (2024): JULY
Publisher : Yayasan Mestika Nusantara Satu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69716/badfl657

Abstract

Aging or more commonly known as elderly is a natural process that cannot be avoided where in this condition, physiological and psychological function begin to decline and become vulnerable to diseases. Based on aggregate population data in 2020, it was estimated that the number of elderly will be around 28.8 million or 11.34% of the population in Indonesia, of which 236,844 elderly are in East Kalimantan Province. Based on Central Bureau of Statistics of East Kalimantan Province, the proportion of elderly in Kutai Kartanegara District in 2023 were 6.83%. Degenerative disease in the elderly can weaken the body’s immune system, making them susceptible to other diseases. The main causes of degenerative diseases are unhealthy lifestyle such as smoking habit, irregular eating pattern, lack of physical activity, exposure to environmental pollution and so on. In 2022, around 6.7% or 2.980 of elderly will have impairment of independence. The aim of this activity was to provide education to the elderly about healthy lifestyles so that can reduce morbidity and mortality rates in elderly. This activity was carried out in Sanga-Sanga District, Kutai Kartanegara Regency, East Kalimantan Province. With 60 elderly participants. Activities in the form of health screening for the elderly include blood pressure check, cholesterol level, uric acid level check and Personal Prevention Check Up (PPCU) followed by counseling how to prevent and control the risk of degenerative diseases that can be implemented by the elderly. The results showed that the highest risk of the health problems was the risk of nerve function, and the blood circulation disorders (60.7%). Therefore, knowledge regarding efforts to prevent and control the risk of degenerative disease is very important, especially in elderly.
Co-Authors Abdullah, Ahmad Fadhlil Azhim Adrianto, Ratno Afifah, Wiwin Vidiyastana Akhmad Azmiardi Al Ahmadi, Khumairotul Zahroh Andriani, Rima Andrianto, Ratno Anggreini, Putri Anita Sari Arfandi, Muh. Amri Arlina Azka Asari, Sendila Ernesy Asrianti, Tanti Astuti - Astuti, Ashri Budi Ayudhia Rachmawati Azmiardi, Akmad Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Budi, Eko Prasetya Cahyana, Yudi Jaya Dzikri, Akhmad Erlina Erlina Erwina, Brigita Win Fahmi, Muhammad Maulana Fahrul Rozi Fitriani, Dian Ayu Hapsari, Palupi Setyo Hariyani, Noor Herliani, Resda Hilda Hilda Husna Husna Ike Anggraeni Indriani, Dilla C Insany, Vicca Yulia Intan Kurnia, Intan Irirwanas, Intannia D Iriyani Kamaruddin, Iriyani Iriyani, Iriyani Ismail AB, Ismail Iwan Muhamad Ramdan Jami'an, Jami'an Jenissa, Abel Junaidin, Junaidin K., Iriyani Kasih, Ketut Pilih Kurniasih, Hefi Lestari, Ida Ayu Indira Dwika Listiani, Dwi Listiyani, Dwi Maharani, Siti Malikha Zalzabila Majiding, Chaidir Masyhuri Manik, Frisca Anggraeni Mochamad Makin, Mochamad Muh. Amri Arfandi Muhammad Noor Muhammad Nuzul Azhim Ash Siddiq Nabila Vebiana Soviadi Naim, Tanti Asrianti Nisaa, Nur Rezky Khairun Noor, Zulhijrian Noorhayaty, Noorhayaty Norsehan, Norsehan Nozomi, Alwan Zakki Nugraha, Purwa Nur Rohmah Nurlianti Nurlianti, Nurlianti Nursakti Nursakti Pasiakan, Meli Pasinggi, Miako Permani, Relung Adiniah Pradita, Adelia Putri Purnama, Tasha Citra Rachmawati, Ira Puspa Rahmadani, Aulia Tia Rahmadina, Andi Nur Nayla Rahmi Susanti Ramadhani, Irma Ramadhani, Reza W Ramdam, Iwan Muhammad Ramdan, Iwan M Ratih Wirapuspita Wisnuwardani Risdayanti, Rikha Nur Risva Risva Risva Riyanto, Rudy Agus S Siswanto Sabena, Mela Saefurrohim, Muhamad Zakki Safika, Erri Larene Saputri, Amelia Indah Saputri, Deby Indah Sari, Mila Warma Septiana, Lisa Setianingtyas, Endah Dwi Sigit, Ratih Fianni Silitonga, Hesty Erika Sinthary, Venna Siswanto siti nurlela Sitorus, Rame Sudarmiyati, Nunuk Suleman, Angellia Sumarianto, Arif Sungkono, Indari Yayuk Ummi Khuzaimah Utami, Dian Margi Vanessa Vanessa Verry Asfirizal Vionita, Wanda Dila Wahyudi Wahyudi Wahyuni, Leny Eka Tyas Wardani, Nunuk Kusuma Widiyaningsih, Heny Surya Wijayanti, Dwi Astuti Noor Wirawanti, Ika Wirya Yadi, Yadi Yuniasih, Arista Dian Zakki Saefurrohim, Muhamad