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PENGARUH MP-ASI DINI DI WILAYAH KERJA PUSKESMAS BUKIT KAYU KAPUR TAHUN 2017 Mustika Mustika; Heru Santosa; Umi Salmah
MMJ (Mahakam Midwifery Journal) Vol 2 No 2 (2017): Volume 2 No. 2 November 2017
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

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Abstract

Abstract Additional feeding before children from six months is not recommended, because it can increase the risk of illness, particularly diarrhea. This research aims to factors that influence on the awarding of the MP-ASI's early work in the area of Bukit Kapur Clinics Dumai Year 2017. This type of research is observational analytic with cross sectional design. The population in this study are all the mothers who have toddlers totaled 122 respondents, where all the population in the sample in this research. The variable in this study is the knowledge, culture, economic status and family support. Data analysis univariate analysis is used with variable frequency distribution research, bivariat chisquare test with, and multivariate logistic regression test with. The results showed that there is the influence of the mother's knowledge of a toddler (p = 0.001 <), culture (p = 0.001 <), family support (p = 0.001 <) against granting MP ASI early and no influence of economic status (p = 0.364), against granting of MP Early BREAST MILK. The most dominant variable influenced the awarding of MP Early BREAST MILK is a cultural variable (p = 0.001; OR < = 8.2 95% CI 2,066-62,598) meaning that the mother of a toddler who believes in culture have risky opportunities 8.2 times larger giving MP Early compared to mother's breast milk toddlers who do not believe in the culture. The conclusion is the absence of any economic status influence against the granting of an early MP-ASI and the influence of the knowledge, culture and family support against the awarding of the MP-ASI early. Expected to health workers in order to deliver health promotion of Exclusive breast milk so that the mother of a toddler can know the exact time in awarding MP Early breast milk. Keywords : knowledge, culture, economic status, family support, early complementary feeding (MP-ASI) ABSTRAK Pemberian makanan tambahan sebelum anak berumur enam bulan tidak dianjurkan, karena dapat meningkatkan resiko terkena penyakit, khususnya diare. Penelitian ini bertujuan untuk Faktor-faktor yang berpengaruh terhadap pemberian MP-ASI dini di wilayah kerja Puskesmas Bukit Kayu Kapur Kota Dumai Tahun 2017. Jenis penelitian adalah analitik observasional dengan menggunakan desain cross sectional. Populasi dalam penelitian ini adalah seluruh ibu yang mempunyai balita berjumlah 122 responden, di mana semua populasi tersebut di jadikan sampel dalam penelitian ini. Variabel dalam penelitian ini adalah pengetahuan, budaya, status ekonomi dan dukungan keluarga. Analisis data yang digunakan adalah analisis univariat degan distribusi frekuensi variabel penelitian, bivariat dengan uji chisquare, dan multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan bahwa terdapat pengaruh pengetahuan ibu balita (p = <0,001), budaya (p = <0,001),dukungan keluarga (p = <0,001) terhadap pemberian MP ASI Dini dan tidak ada pengaruh status ekonomi (p = 0,364), terhadap pemberian MP ASI Dini. Variabel yang paling dominan mempengaruhi pemberian MP ASI Dini adalah variabel budaya (p= <0,001;OR=8,2 95%CI 2,066-62,598) artinya ibu balita yang percaya pada budaya memiliki peluang berisiko 8,2 kali lebih besar memberi MP ASI Dini dibanding dengan ibu balita yang tidak percaya pada budaya. Kesimpulannya adalah tidak adanya pengaruh status ekonomi terhadap pemberian MP-ASI dini dan adanya pengaruh pengetahuan, budaya dan dukungan keluarga terhadap pemberian MP-ASI dini. Diharapkan kepada tenaga kesehatan agar dapat memberikan promosi kesehatan tentang ASI Eksklusif sehingga ibu balita dapat mengetahui waktu yang tepat dalam pemberian MP ASI Dini. Kata kunci : pengetahuan, budaya, status ekonomu, dukungan keluarga, pemberian MP ASI
IDENTIFIKASI BAHAYA DAN PETA BAHAYA KERJA PADA PENYAPU JALAN DI KOTA MEDAN Umi Salmah; Sri Novita Lubis
Media Kesehatan Masyarakat Indonesia Vol. 13 No. 3: SEPTEMBER 2017
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v13i3.1104

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Setiap perusahaan yang didalamnya terdapat pekerja dan risiko terjadinya bahaya wajib untuk memberikan perlindungan keselamatan. Sebelum melakukan perlindungan keselamatan maka langkah awal yang perlu dilakukan adalah menganalisa potensi bahaya disetiap sesi pekerjaan kemudian melakukan pemetaan agar memudahkan melakukan perlindungan. Penelitian bertujuan mengetahui potensi bahaya dan pembuatan peta bahaya kerja pada penyapu jalan di Kota Medan. Penelitian kualitatif  bersifat snowball sampling pada tenaga kerja penyapu jalan di Kota Medan. Data diperoleh dengan pengamatan langsung dan wawancara bebas kemudian penyajian data secara teks yang bersifat naratif. Hasil penelitian diperoleh: untuk bahaya faktor fisik yaitu panas, dingin dan bising. Faktor biologi yaitu kecacingan dan vektor penyebab penyakit seperti lalat, nyamuk, kecoa, semut dan tikus. Faktor kimia yaitu debu, bau sampah dan asap kendaraan. Faktor fisiologis adalah baju kerja yang tidak nyaman digunakan. Faktor psikologis yaitu dimarahi, beban kerja dan dilecehkan. Faktor keselamatan yaitu disenggol dan ditabrak kendaraan bermotor baik maju maupun mundur, dipukul dan ditendang orang gila serta tertusuk benda tajam. Kesimpulan dari penelitian bahwa teridentifikasi 15 sumber potensi bahaya, yaitu 3 (tiga) bahaya faktor fisik, 2 (dua) bahaya faktor biologi, 3 (tiga) bahaya faktor kimia, 1 (satu) bahaya faktor fisologi, 3 (tiga) bahaya faktor psikologis dan 3 (tiga) bahaya faktor keselamatan.
VALIDITAS PENILAIAN KINERJA BERBASIS KOMPETENSI PERAWAT GAWAT DARURAT Gerry Silaban; Arfah Mardiana Lubis; Umi Salmah
Media Kesehatan Masyarakat Indonesia Vol. 13 No. 2: JUNI 2017
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.843 KB) | DOI: 10.30597/mkmi.v13i2.1983

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Saat ini, kompetensi dijadikan sebagai dasar untuk penilaian kinerja perawat di seluruh dunia, sehingga pada tahun 2015 telah dirancang sistem penilaian kinerja yang disusun berdasarkan kompetensi perawat gawat darurat. Namun, perlu dilakukan peninjauan kembali mengenai kevaliditasan sistem penilaian kinerja tersebut. Penelitian kuantitatif ini menggunakan rancangan pre and post-experimental, yang bertujuan memvalidasi rancangan penilaian kinerja berdasarkan kompetensi perawat gawat darurat yang telah dibuat pada tahun pertama. Populasidari RSU Bina Kasih, RSU Malahayati, RSU Martha Friska, RSU Permata Bunda, RSU Sari Mutiara, RSU Deli Medan, dan RSU Imelda ada 63 orang berdasarkan purposive sampling. Penelitian dilakukan dari bulan Januarisampai Oktober 2016. Hasil uji Kolmogorov-Smirnov, sebaran data tidak normal (sig. Sebelum=0,003 <α=0,05 dan Sig. Sesudah = 0,002<α = 0,05). Hasil uji wilcoxon, tidak ada perbedaan antara nilai rangking sebelum dan sesudah diaplikasikannya sistem penilaian kinerja (p=0,959). Oleh karena itu, sistem penilaian kinerja berdasarkan kompetensi perawat gawat darurat di RSU swasta se-Kota Medan dinyatakan valid.
PERANCANGAN SISTEM PENILAIAN KINERJA BERBASIS KOMPETENSI PERAWAT GAWAT DARURAT DI RSU HERNA MEDAN Gerry Silaban; Arfah Mardiana Lubis; Umi Salmah
Jurnal Kesehatan Masyarakat Andalas Vol 10, No 1 (2015): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v10i1.164

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Beberapa Rumah Sakit Umum (RSU) di Medan masih ada yang belum memenuhi standar Key Performance Indicator (KPI) IGD, salah satunya adalah RSU Herna Medan. Dibutuhkan sistem penilaian kinerja perawat gawat darurat yang disusun berdasarkan kompetensi, agar mampu memberikan kinerja yang baik. Penelitian deskriptif kualitatif menggunakan studi dokumen dan Focus Group Discussion (FGD). Bertujuan merancang sistem penilaian kinerja berbasis kompetensi perawat gawat darurat di RSU Herna Medan. 8 orang partisipan terpilih untuk mengikuti FGD tanggal 11 Mei 2015.  Analisis isi digunakan untuk data dokumen dan analisis tematik untuk data FGD. Hasil analisa data dokumen, tidak tercantum tujuan penilaian kinerja, penilaian kinerja disusun berdasarkan Task-focused Performance Dimension, cara penilaian dan hasilnya tidak diberitahukan pada perawat yang dinilai. Hasil analisa data FGD, kompetensi perawat gawat darurat di RSU Herna Medan adalah dampak dan pengaruh, mengembangkan orang lain, empati, percaya diri, pengendalian diri, komitmen terhadap organisasi, keahlian teknikal, berorientasi kepada pelanggan, kerja sama kelompok, berfikir analitis, berfikir konseptual, inisiatif, fleksibilitas, kemampuan mengarahkan perintah dan semangat untuk berprestasi. Disarankan pihak manajemen agar menggunakan lembar penilaian kinerja yang telah disusun minimal satu kali dalam 6 bulan.Kata Kunci: Penilaian Kinerja, Kompetensi, Perawat Gawat Darurat
Perancangan Sistem Penilaian Kinerja 360º Berdasarkan Metode Kompetensi Spencer Bagian Medis di Rasyidamedan Arfah Mardiana Lubis; Umi Salmah; Isyatun Mardhiyah Syahri
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 4 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.793 KB) | DOI: 10.22146/jkki.v5i4.30536

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ABSTRACTBackground: The main product of Rasyida Medan is haemodialysis treatment that is being responsible of Medical Department, which are Medical Manager, HD room head, HD vice room head, Doctor, Nurse, CAPD, CIMINO, Rontgen and USG, so it must be carried out supervision and performance appraisal well. But there are concern over non-objective supervisor assessments and the performance appraisal document is not based competency. While the competencies necessary to describe the knowledge, abilities, skills and other characteristics needed to do the job. Therefore, we need Spencer competency-based 360º Performance Appraisal System design on Medical Department Rasyida Medan.Objective: To identify competencies of Medical department, so that it has accurate competency mapping, increasing the effectiveness and efficiency of recruitment, education, training and promotion.Methods: This qualitative research is done on March - September 2013. The 21 person participants are chosen based on theory, employee that have Superior and Average performance (2:1.5) and their supervisor. The data collecting by group interview with thematic analysis.Results: Each of Medical Department parts has a level of medical competence and weights vary according to the level of interest in the job. The resulting competence poured into Behavioral codebook and the competency- based 360º Performance Appraisal Sheets.Conclusion: Core competencies are the impact and influence, interpersonal understanding, self-confidence, self-control, organizational commitment, expertise, customer service orientation, teamwork, analytical thinking, conceptual thinking, initiative, flexibility, and directive. Keywords: 360º Performance appraisal, doctor, nurse, haemodialysis, Spencer competency ABSTRAKLatar Belakang: Produk utama klinik Rasyida Medan adalah pelayanan Hemodialisa yang ditanggung jawabi bagian Medis, yaitu Manager Medis, Kepala Ruang HD, Wakil Kepala Ruang HD, Dokter, Perawat, CAPD, CIMINO, Rontgen dan USG, se- hingga harus dilakukan pengawasan dan penilaian kinerja dengan baik. Tetapi muncul kekhawatiran ketidak-objektifan penilaian atasan dan dokumen penilaian tidak berdasarkan kom- petensi. Sedangkan kompetensi perlu untuk menggambarkan pengetahuan, kemampuan, keahlian dan karakteristik lain yang diperlukan untuk mengerjakan pekerjaan. Oleh karena itu perlu dirancang Sistem Penilaian Kinerja 360º Bagian Medis Ber-dasarkan Metode Kompetensi Spencer.Tujuan: Mengidentifikasi kompetensi bagian Medis, sehingga memiliki pemetaan akurat kompetensi bagian Medis, peningkatan keefektifan dan keefisienan rekrutmen, pendidikan, pelatihan dan promosi.Metode: Penelitian kualitatif dengan studi kasus intrinsik ini dilakukan pada bulan Maret - September 2013. Partisipan 21 orang dipilih berdasarkan teori, karyawan superior dan average performance (2 : 1,5) dan atasannya. Pengumpulan data wawancara berkelompok dengan analisis tematik.Hasil : Masing-masing bagian medis memiliki tingkat kompetensi dan bobot yang berbeda-beda sesuai tingkat kepentingan dalam jabatan. Kompetensi yang dihasilkan dituangkan ke dalam Behavioral Codebook dan Lembar Penilaian Kinerja 360º Berdasarkan Metode Kompetensi Spencer.Kesimpulan: Kompetensi inti Bagian Medis adalah Dampak dan pengaruh, Empati, Percaya diri, Pengendalian diri, Komitmen terhadap organisasi, Keahlian teknikal, Berorientasi kepada pelanggan, Kerja sama kelompok, Berfikir analitis, Berfikir konseptual, Inisiatif, Fleksibilitas, dan Kemampuan mengarahkan/ memberikan perintah. Kata Kunci: Penilaian Kinerja 360º, dokter, perawat, hemodialisa, kompetensi Spencer
HUBUNGAN KARAKTERISTIK PEKERJA DAN CARA KERJA DENGAN KELELAHAN KERJA PADA PEMANEN KELAPA SAWIT DI PT. PERKEBUNAN NUSANTARA IV (PERSERO) UNIT USAHA ADOLINA TAHUN 2012 Annisa Mentari; Kalsum .; Umi Salmah
Lingkungan dan Kesehatan Kerja Vol 1, No 2 (2012): Lingkungan dan Keselamatan Kerja
Publisher : Lingkungan dan Kesehatan Kerja

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Relationship between worker characteristics and how to work with fatigue conducted by oil palm harvester in PT. Perkebunan Nusantara IV (Persero) Unit Usaha Adolina 2012.. Physical activity of the oil palm harvester work in PT. Perkebunan Nusantara IV (Persero) Unit Usaha Adolina as a whole was still done manually is risk to experienInterval Kepercayaanng fatigue. This research was an analytic researching with cross sectional design toanalyze the relationship between worker characteristics and how to work with fatigue caused by harvesting conducted by oil palm harvester in PT. Perkebunan Nusantara IV (Persero) Unit Usaha Adolina 2012. This research was carried out in PT Perkebunan Nusantara IV Unit Usaha Adolina Kab. Serdang Berdagai,which the number of sample were 81 harvesters.The result of this research showed that there are relationship between age with fatigue (p=0.002), there is relationship between history of disease with fatigue (p=0.001), there is relationship between the period of work with fatigue (p=0.009), there is relationship between nutritional status with fatigue (p=0.016), there is a significant relationship between the how of working to cut stem and TBS according to the different age of the plant with fatigue (p=0.001). there was no significant relationship between the how of working to lift, entering, and carrying TBS with use rickshaw to TPH according to the different age of the plant with fatigue (p=0.238).From the result of the study suggested to the management, to adjust the number of harvesters to harvest a different way of working according to the age plant, due to the distinct level of difficulty and also the expense. Key words: fatigue, harvester, Adolina.
GAMBARAN PAPARAN DEBU DAN FUNGSI PARU PADA PEKERJA PEMBUATAN PERABOT RUMAH TANGGA DI CV KOCHI SOHOR TERJUN MEDAN MARELAN TAHUN 2013 Eva Yolanda Purba; Halinda Sari Lubis; Umi Salmah
Lingkungan dan Kesehatan Kerja Vol 2, No 3 (2013): JURNAL LINGKUNGAN DAN KESELAMATAN KERJA
Publisher : Lingkungan dan Kesehatan Kerja

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Description of dust exposure and lung function in workers home furnishings maker on CV Kochi Sohor Terjun North Sumatera in 2013. The dust exposure in the working environment indirectly may result in variously disorder on health, one of them is a respiratory disorder that since then it is going to impact one’s productivity. Noted that respiratory disorder might be influenced by amount the dust level around working environment and the worker’s attitude over wood’s dust exposure perhaps by using one’s self protecting tool (APD), working service, previously illness history, smoking history of the worker. This study aims to know whether the influence of the wood’s dust exposure against the function of wood of those workers in furniture  with informal sector on CV Kochi Sohor Terjun Medan Marelan. The research adopted an description with sectional across approaching. It is involved 6 samples taken out population presented while conducting the field research. In collecting the data, the writer provided questionnaire, with tester of dust level in a High volume sampler, and the tool to measure the function of lungs there used Spirometer Sibelmed Datospir Mod 120B. The result of this research seen by a 2 working area measured that not exceeding  the total dust level above quality standard of the Area of wood folding 4.53 mg/m3, and the refinery site 2.38 mg/m3 (< 10 mg/m3 NAB). The respondent got lowering function of lungs in a light restrictive 4 people and another 1 got reducing function of lungs in moderate restrictive. The result of bi-variant indicated no found any relation between the uses APD, working service, previous illness history, age, smoking history with reduced function of lungs. It is expected having a health check over all workers whose got reducing function of lungs or not and for not getting deteriorated function of lungs. Keywords : wood’s dust level, reducing function of lungs
TINJAUAN PELAKSANAAN PROGRAM TANGGAP DARURAT KEBAKARAN DI KANTOR SEKTOR DAN PUSAT LISTRIK PAYA PASIR PT PLN (PERSERO) SEKTOR PEMBANGKITAN MEDAN TAHUN 2013 Novtalin Hutasoit; Kalsum Kalsum; Umi Salmah
Lingkungan dan Kesehatan Kerja Vol 3, No 1 (2014): Jurnal Kesehatan Lingkungan & Keselamatan Kerja
Publisher : Lingkungan dan Kesehatan Kerja

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Fires can occur anywhere and anytime without being noticed so can cause much harm either material or fatalities. Fires can occur in a place that has the potential dangers, one of which in Sector Office and Central Electricity Paya Pasir PT PLN (Persero) Sektor Pembangkitan Medan. Losses caused by fire can be minimized by implementing emergency response programs in place that has the fire risk of fire. The purpose of this study is to investigate the implementation of fire emergency response program in Sector Office and Central Electricity Paya Pasir PT PLN (Persero) Sektor Pembangkitan Medan. This study used a inductive approach with interviews of five repondents from emergency response teams in the company to collect information on the implementation of fire emergency response program in the company then will be analyzed with inductive approach. The results showed that the implementation of fire emergency response program include active fire protection equipment, life  saving tool, and fire emergency response management in Sector Office and Central Electricity Paya Pasir PT PLN (Persero) Sektor Pembangkitan Medan is in conformity with the references used in the company in implement the fire emergency response program. The case is expected to be maintained and even enhanced by the company in order to create a safe and comfortable working environment for workers.
GAMBARAN PENGETAHUAN, SIKAP, DAN TINDAKAN PETANI PENYEMPROT PADA PENGGUNAAN PESTISIDA DI DESA SUGIHEN KECAMATAN DOLAT RAYAT TAHUN 2013 Florentina Flisia Brahmana; Lina Tarigan; Umi Salmah
Lingkungan dan Kesehatan Kerja Vol 3, No 1 (2014): Jurnal Kesehatan Lingkungan & Keselamatan Kerja
Publisher : Lingkungan dan Kesehatan Kerja

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Pesticide is chemical compound , which is used to eradicate plant’s pest. The use of pesticides that are not as recommended may cause negative impact on health. Karo Regency is one of agricultural centre where the farmers used pesticides This study was a descriptive research which is aimed to find the description of farmers knowledge, attitude, and practice in the use of pesticides in Sugihen Viilage, Dolat Rayat Sub District, Karo Regency in 2013. Result showed respondent’s knowledge : pesticides must be used according to the target (100%), insecticide is different with fungicide (86,7%), the right storage of pesticides (96,75%), pesticide must be mixed in outdoor (60%), the right time of spraying pesticide (100%), the use of APD (100%), dose of pesticide (96,7%), how to manage pesticides container (43,3%), pesticide gave negative effect to human health (100%). Respondent’s attitude : pesticides must be registered (63,3%), pesticides must be stored in their original containers (90%), using a tool to mix the pesticide (100%), follow the wind direction when spraying pesticide (93,3%), using APD is important (100%), eating, drinking, and smoking aren’t allowed when spraying pesticide (96,7%), the waste of mixed pesticide must be disposed (90%), farmers should take a bath after spraying pesticides (100%). Respondent’s practice : Buying pesticides in a legal shop (100%), keeping the pesticide in a werehouse (90%), time interval for spraying aren’t being adjusted, kept spraying pesticide though there is a high wind (96,7%), spraying pesticide without considering wind ward (86,7%), the use of hat and overalls clothes (96,7%), the most activity after spraying pesticides are washing their hand (86,7%) and smoking (80%), the waste of pesticide’s container is sold to shelter secondhand goods (66,7%). Generally, there were many poorly action of using pesticide by farmers so it is important to give them counseling and checking the level of enzyme cholinesterase regularly.
HUBUNGAN FAKTOR RESIKO DENGAN TERJADINYA NYERI PUNGGUNG BAWAH (LOW BACK PAIN) PADA TENAGA KERJA BONGKAR MUAT (TKBM) DI PELABUHAN BELAWAN MEDAN TAHUN 2015 Nurzannah -; makmur sinaga; umi salmah
Lingkungan dan Kesehatan Kerja Vol 4, No 1 (2015): Lingkungan & Kesehatan Kerja
Publisher : Lingkungan dan Kesehatan Kerja

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ABSTRACT More than 70% humans had ever experience Low Back Pain (LBP) at the age of 35 – 55 years old. Some risk factors with LBP incidents is at the age over 35 years old, smoker, 5- 10 years work time, work position, overweight ans musculoskeletal disorder sufferer family history, Body Mass Index (BMI), height, exercise routine, and work time. The purpose of this research is to defind personal factors (age, IMT, work time, work periode, smoking habit, exercise routine) and work factors (work load, work posture) with the incidents of Low Back Pain with loading and unloading worker (TKBM) at Belawan harbor. This research type is case control design with retrospektif characteristic. Population in this research was 460 people with sample taken  systematically random sampling that was 64 people. the data analysis in univariat and bivariat manner. The research result showing at the age distributing (p=0.021 ; OR = 0.29), IMT (p = 0.613 ; OR = 0.312), work time (p = 0.019 ; OR = 0.247), Work periode (p = 1.000 ; OR = 1.552), smoking (p = 1.000 ; OR = 0.724), exercise (p = 0.021; OR = 0.259), work load (p = 0.042 ; OR = 0.304) , work posture (p = 0.039 ; OR = 0.294). It is suggested to TKBM to exercising or warming up before doing physical activity/work. To the TKBM Belawan harnor  primer cooperative suggested to give promotion about LBP prevention by paying attention to the rest time, workplace, liftload, assist used, also protector tools for TKBM Belawan harbor.