Achmad Rifai
Institut Kesehatan Helvetia Medan

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Analisis Faktor Yang Menyebabkan Rendahnya Cakupan Imunisasi Hepatitis B di Wilayah Kerja Puskesmas Hutaimbaru Kabupaten Padang Lawas Utara Nursia Harahap; Mappeaty Nyorong; Achmad Rifai
Jurnal Kesmas Prima Indonesia Vol. 5 No. 2 (2021): Edisi Juli
Publisher : Fakultas Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v3i2.2023

Abstract

Hepatitis B vaccine is mandatory for every child. The purpose of this study was to determine what factors caused the low coverage of hepatitis B immunization in the working area of ​​the Hutaimbaru Public Health, North Padang Lawas Regency. The design of this study used an analytic survey with a cross sectional study design. The sample in this study were mothers who had children under five in the working area of ​​the Hutaimbaru Public Health, North Padang Lawas Regency, namely 50 mothers who had toddlers who were obtained using purposive sampling technique. Data collection was carried out using a questionnaire. Data were analyzed using chi-square statistics and logistic regression. The results showed that there were influences of knowledge, culture, ease of access, husband's support, equipment and health promotion, religious leaders, health workers and the low coverage of Hepatitis B immunization in the Hutaimbaru Health Center, Padang Lawas Utara Regency. The variable that is most associated with the low coverage of Hepatitis B immunization in the Hutaimbaru Public Health, North Padang Lawas Regency is the support variable of religious leaders. The suggestion in this research is that it needs research on local people's perceptions about certain immunizations or vaccines. Identification of local issues and key influencers is important to increase confidence in the immunization program.
Faktor Yang Memengaruhi Perilaku Perawat Terhadap Penerapan Sistem Manajemen Kesehatan Dan Keselamatan Kerja Di RSUD Langsa Rosmawar -; Asriwati -; Achmad Rifai
Jurnal Kesmas Prima Indonesia Vol. 5 No. 2 (2021): Edisi Juli
Publisher : Fakultas Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v3i2.2024

Abstract

The amount of risk from various potential hazards in the hospital so that efforts are needed to control and minimize the occurrence of work accidents, one of which is by implementing SMK3. This study aims to analyze the factors that influence nurses on the implementation of the occupational health and safety management system at Langsa City Hospital. The research design used an analytic survey with a cross sectional design. The sample of this study was 82 people used was simple random sampling. Data collection methods are primary data, secondary data and tertiary data. The research data were analyzed by univariate, bivariate and multivariate using logistic regression tests. The results showed that there was an effect of knowledge on the application of SMK3 (p = 0.002), there was an effect of attitude on the application of SMK3 (p = 0.010), there was an effect of action on the application of SMK3 (p = 0.005), there was an effect of perception on the application of SMK3 (p = 0.028) ), there is an effect of infrastructure on the implementation of SMK3 (p = 0.000), there is an effect of leadership support on the implementation of SMK3 (p = 0.021) and the most dominant variable is the action variable. Based on the research results, it can be concluded that there is an influence of knowledge, attitudes, actions, perceptions, infrastructure and leadership support on the implementation of SMK3 at Langsa Hospital. The suggestion in this research is that the hospital can adopt rifaskes innovation that can help the best health services for nurses.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI PADA KARYAWAN PT. WIJAYA KARYA BETON, TBK SUMATERA UTARA Dwi Enrica Sukatno; Eka Daryanto; Achmad Rifai
Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo Vol 2, No 2 (2021): Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo (JK3UHO)
Publisher : FKM Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/jk3-uho.v2i2.19612

Abstract

Personal protective equipment (PPE) is a tool that must be used when working according to work hazards and risks to maintain the safety of the workers themselves and those around them. PPE plays an important role in occupational safety and health. The purpose of this study was to determine the relationship between knowledge, attitudes, availability, regulations, and worker’s supervision of the compliance with the use of PPE on workers at PT.Wijaya Karya Beton. The design of this study used an analytic survey with a cross sectional approach. The sample in this study were 100 employees of PT Wijaya Karya Beton. The statistical test used was the chi square test and logistic regression. The results shows that of the total respondents, 51.0% were aged 23-38 years, 32.0% had high school education, 76.0% had worked for 11-30 years. The results of bivariate analysis using chi-square showed that knowledge (p = .000), attitude (p = .000), availability of PPE (p = .000), regulation (p = .000) and supervision (p = .000). From the multivariate analysis, the most influential factor in this study is the availability of PPE with an OR value of 47,300, which means that respondents whose availability of PPE is less likely to cause 47 times the non-compliance of respondents in using PPE. From the results of this study, it is hoped that the management of PT.Wijaya Karya, Tbk of North Sumatra will be able to better maintain their promotional efforts towards the use of personal protective equipment so that it can influence the knowledge and attitudes of workers to wear complete personal protective equipment and keep the condition of personal protective equipment in good condition before the replacement period is by adding a demonstration method for the use and care of personal protective equipment during the safety talk
ANALISIS PELAKSANAAN PROGRAM KESEHATAN KERJA POS UPAYA KESEHATAN KERJA NELAYAN DI WILAYAH KERJA PUSKESMAS SUKAKARYA KOTA SABANG Andrian Andrian; Tri Niswati Utami; Achmad Rifai
Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo Vol 2, No 2 (2021): Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo (JK3UHO)
Publisher : FKM Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/jk3-uho.v2i2.19611

Abstract

The fishing community in the working area of Sukakarya Health Center often experiences various types of diseases due to occupational accidents while fishing. To solve the problem of fishermen's work accidents, the government provides a UKK Post. However, the implementation of the fishermen's UKK Pos work health program has not run optimally. The purpose of this study was to analyze the implementation of the occupational health program in the occupational health efforts of fishermen. The type of this study was a qualitative study with a descriptive approach which is carried out in the working area of Puskesmas Sukakarya, Kota Sabang. Informants of this study were 7 people. Determination of informants in this study using purposive sampling technique. Data analysis was carried out descriptively using the data analysis technique model of Miles and Huberman. The results showed that the implementation of promotional, preventive, curative and rehabilitative activities for the occupational health program at Pos UKK was not optimal because the activities were only carried out 4 times a year, limited funds/budget for organizing Pos UKK activities, there was no training for program managers and cadres. Supporting factors for the implementation of the Pos UKK occupational health program are the demographic location of Sabang City, the support of the village head, the low health of fishermen. The inhibiting factors for activities are the location of Pos UKK which was not permanent (often moved), the lack of budget, the absence of training on occupational health for program officials and cadres. The conclusion of this study is that the implementation of the occupational health program at the fishermen's UKK post is not optimal because of inhibiting factors. It is recommended that the Health Office of Sabang City collaborates across sectors (Marine Service) to make training and seminars on occupational health for the person in charge of the Puskesmas occupational health program and the cadres of Pos UKK in the Sabang City area
Psychological Impact of COVID-19 on Healthcare Workers: A Systematic Review Victor Trismanjaya Hulu; Suharni Pintamas Sinaga; Achmad Rifai; Frans Judea Samosir; Putranto Manalu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.625 KB) | DOI: 10.30604/jika.v6i1.469

Abstract

During the COVID-19 pandemic, many health workers working in hospitals experienced psychological problems and stress while serving patients because of their high risk of contracting COVID-19. This study explores the main findings from the literature examining the psychological impact of COVID-19 on healthcare workers. This study uses a systematic review method using the PRISMA statement. A systematic search was carried out to obtain relevant articles from three databases, namely Scopus, PubMed, and Google Scholar, published in the English version. The investigation of articles started from identifying, sorting, checking the feasibility and eligibility of the studies and including qualitative synthesis. This article's inclusion criteria were English-language articles and full text on studies assessing the psychological impact of COVID-19 on healthcare workers. There were 1429 articles found and eleven studies of which were analyzed, namely ten studies using a cross-sectional design, one study using a retrospective cohort design. The psychological impact experienced by health workers included fear of being infected with COVID-19; fear of contracting oneself, friends, and relatives; fear of being alienated by others; fear of being stigmatized by others; worrying about personal and family health; worrying about being quarantined or isolated; fear of close contact with patients at high risk of infection; fear of experiencing high insomnia; fear of experiencing acute stress disorders and psychological stress. The study concluded that health workers serving patients in hospitals face tasks full of pressure, worry, anxiety, and high fear of being infected with COVID-19. Health workers are in dire need of health protection as well as special recovery programs that aim to improve psychological well-being during the COVID-19 pandemic.  Abstrak: Selama masa pandemi COVID-19, banyak tenaga kesehatan yang bekerja di rumah sakit mengalami gangguan psikologis dan stres saat melayani pasien karena besar risiko mereka terinfeksi COVID-19. Penelitian ini bertujuan untuk mengeksplorasi temuan utama dari literatur yang meneliti tentang dampak psikologis COVID-19 pada petugas kesehatan. Penelitian ini menggunakan metode systematic review dengan menggunakan pernyataan PRISMA. Untuk memperoleh artikel yang relevan maka dilakukan pencarian secara sistematis dari tiga database yaitu Scopus, PubMed dan Google Scholar yang diterbitkan dalam versi bahasa Inggris. Penyelidikan artikel dimulai dari tahap identifikasi, pemilahan, kelayakan dan studi yang memenuhi syarat dan termasuk sintesis kualitatif. Kriteria inklusi adalah artikel berbahasa Inggris dan full text tentang studi yang menilai dampak psikologis COVID-19 pada petugas kesehatan. Dari tiga database diperoleh 1429 artikel dan sebanyak 11 (sebelas) studi diantaranya dianalisis dimana sepuluh studi yang menggunakan desain cross-sectional dan satu studi yang menggunakan desain kohort retrospektif. Dampak psikologis yang dialami oleh tenaga kesehatan meliputi takut terinfeksi COVID-19, takut tertular terhadap diri sendiri, teman dan kerabat, takut dijauhkan oleh orang lain, takut distigmatisasi oleh orang lain, khawatir tentang kesehatan pribadi dan keluarga, khawatir akan dikarantina atau diisolasi, takut kontak dekat dengan pasien berisiko tinggi terinfeksi, takut mengalami insomnia yang tinggi, takut mengalami gangguan stres akut dan tekanan psikologis. Penelitian menyimpulkan petugas kesehatan yang melayani pasien di rumah sakit selalu diperhadapkan dengan pekerjaan yang penuh dengan tekanan, khawatir, cemas dan rasa takut yang tinggi terinfeksi COVID-19. Petugas kesehatan sangat membutuhkan perlindungan kesehatan serta program khusus pemulihan yang bertujuan untuk meningkatkan kesejahteraan psikologis selama pandemi COVID-19.