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All Journal Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Jurnal Pengabdian Masyarakat Aufa (JPMA) Jurnal of Community Health Development (JCHD) Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Siti Harwanti
Jurusan Kesehatan Masyarakat Fakultas Kedokteran Dan Ilmu-ilmu Kesehatan Universitas Soedirman
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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DETERMINAN YANG BERHUBUNGAN DENGAN KELUHAN MUSCULOSKELETAL DISORDERS (MSDs) PADA PEKERJA INDUSTRI GENTENG DI KECAMATAN PETANAHAN KABUPATEN KEBUMEN Anas, Azhar; Ulfah, Nur; Harwanti, Siti
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 6 No 2 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRAK Musculoskeletal disorders (MSDs) are the complaints on the parts of skeletal muscle is felt by anyone ranging from very mild to very sick complaints. MSDs case data is still high, as many as 141,000 in United Kingdom in the year 2011/2012. The purpose of this study is to determine the determinant related to the complaint Musculoskeletal disorders (MSDs) in the tile industry workers in the District Petanahan Kebumen in 2013. Type and method of this study is observational with cross sectional approach. The total sample of 50 respondents the data obtained through interviews using questionnaires and direct observation. Data analysis is performed using univariate and bivariate (chi square). Results of this study showed that the variables significantly associated with MSDs complaints is workplace risk (p = 0.000), age (p = 0.000), gender (p = 0.000), years (p = 0.000). While the variables are not significantly associated smoking habits (p = 0.392). Suggested workers should do rest for 5 minutes when start to fatigue or stiffness in the muscles of the body.   Keywords: Complaints MSDs Kesmasindo, Volume 6, Nomor 2, Juli 2013, Hal 110-115  
IDENTIFIKASI SIKAP KERJA DAN KELUHAN GEJALA CUMULATIVE TRAUMA DISORDER (CTD) PADA PEKERJA PEMECAH BATU DI KECAMATAN PATIKRAJA KABUPATEN BANYUMAS Ngadiman, Ngadiman; Yuniarno, Saudin; Harwanti, Siti
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 2 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Works as stone breaker is more work worked in posture of body that is not experienced causing can generate un-comfort to work and the end generates fatigue and sigh of feeling pain. The sigh indicates that the workers to experince damage symptom cumulative trauma (Cumulative Trauma Disorder/CTD), as recuring trauma effect during old causing feeling pain. The symptoms usually emerges at kind of work which monotone, position of job that is not natural, usage or conscription of muscle exceeding is ability. Effort for best prevention must be based on result of identification of posture of work and symptoms incidence experienced. Therefore, research need to be done to identify posture of job and case of CTD at stone crusher worker in subdistrict of Patikraja Banyumas regency. This kind of research is descriptive research with approach of observasional and sampletaken 60 respondens. The result of research is known by posture of job, the stone crusher workers works by using pallet to sit which is not ergonomic (100%), position sits not natural (85%), knee dint bends (85%), without synchronized of self protective decive (95%), and work environment that is not balmy (90%). While specific symptom of  Cummulative Trauma Disorder (CTD) at stone crusher worker subdistrict of Patikraja Banyumas regency is feel back ache sigh (95%), ill at leg (91%), and sigh of symptomp Carpal Tunnel Sindrome/CTS (90%). Therefor required levying of supporting facilities for job which ergonomic to prevent incidence the symptom.
HUBUNGAN SIKAP ANGKAT DAN FREKUENSI ANGKUT DENGAN KELUHAN NYERI PINGGANG PADA TENAGA KERJA PENGANGKUT BERAS DI GUDANG BULOG 402 SOKARAJA KABUPATEN BANYUMAS Retnaningtyas, Dwi Bayu; Harwanti, Siti; Ulfah, Nur
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 6 No 2 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACTCarrier rice laborer is an informal sector worker who works to transfer the rice sacks from the truck load to the rice storehouse, they carried it with their waist or back. Transferring goods manually will build the lifting posture and hauling frequencies. Unnatural lifting postures will potentially be led to low back pain that marked by pain complaints. Low back pain is a pain on the lumbosacral and sacroiliac area that followed by the pain spreading from the leg to the foot. A mechanical factor is one of the main causes of low back pain from the heavy and repetitive activities. The pain characteristics were preceded by the hefty goods lifting history and the unnatural bending position while lifting the weighty goods. The purposed of this research was to understand the correlation of lifting postures and hauling frequencies that could cause low back pain. The type of this research was an observational analytic research with a crossectional technique. There were a total of 40 samples that had taken with the Total Population Technique from the Bulog 402 Storehouse Sokaraja. The data collected with the Skala Analogue scale (SAV) for low back pain. Data that had been collected were analyzed with the Rank Spearman correlation test. The Rank Spearman test results showed, that there was a correlation between lifting postures with low back pain, (p =0.016): (?=<0.05) and Correction Correlation (CC) = 0.380*. Meanwhile, there was no correlation between the hauling frequencies with low back pain. We recommended that the Bulog 402 storehouse management should conduct a regular supervision on their laborer work posture during their work time, and for the laborer it selves, a correct working posture and lifting goods with the suitable weight can reduce low back pain incidents. Keyword : Postures, Frequencies, Low Back Pain Kesmasindo Volume 6, (2)Juli 2013, Hal 143-149
FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP LOW BACK PAIN (LBP) PADA PEKERJA DI HOME INDUSTRI BATIK SOKARAJA KABUPATEN BANYUMAS harwanti, siti; Ulfah, Nur; Nurcahyo, Panuwun Joko
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 10 No 2 (2018): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.944 KB) | DOI: 10.20884/1.ki.2018.10.2.995

Abstract

INTISARI Low back pain (LBP) adalah nyeri yang dirasakan pada daerah punggung bawah, rasa nyeri ini terasa diantara sudut iga terbawah sampai di daerah lumbal. Low back pain berhubungan dengan posisi kerja duduk yang lama. LBP banyak terjadi pada tenaga kerja yang bekerja dalam posisi duduk dalam jangka waktu lama seperti home industri batik. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berpengaruh terhadap  low back pain (LBP) pada pekerja di home industri batik Sokaraja Kabupaten Banyumas. Metode penelitian yang digunakan adalah analitik observasi dengan pendekatan Cross sectional. Populasi dalam penelitian ini sebanyak 60 tenaga kerja, pengambilan sampel dengan mengunakan total sampling. Hasil Penelitian menunjukkan bahwa faktor yang terbukti berpengarug terhadap LBP adalah umur dengan p value 0,046, kebiasan olah raga dengan p value 0,000 dan masa kerja dengan  p value 0,000. Saran dalam penelitian ini adalah agar tenaga kerja melakukan olah raga minimal 3 kali dan maksinal 5 kali dalam satu minggu, dalam setiap latihan minimal 30 menit.   Kata kunci : Low Back Pain, Pekerja batik, Sokaraja
Pengaruh Pemberian Pelatihan Safety Behavior terhadap Perubahan Tingkat Pengetahuan dan Sikap Tenaga Kerja Sektor Informal ulfah, nur; aji, budi; harwanti, siti
Jurnal of Community Health Development Vol 5 No 1 (2024): Journal Of Community Health Development
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2024.5.1.9984

Abstract

ABSTRACT Background: Work accidents are an occupational safety and health problem. Safety behavior can increase safety, productivity, reduce work accidents and improve worker welfare. Training can help workers in the informal sector in implementing safety behavior. Methodology: Service is carried out using counseling methods to informal sector workers consisting of false eyelash workers, exhaust workers, sand miners, cracker industry home workers and street vendors. The number of participants who attended was 100% with a total of 50 people. The assessment instrument uses pre and post test sheets. Research Results: The results of the service showed that there was a difference in knowledge in the pre-test between the treatment group and the control group (p<0.05), there was no difference in attitudes in the pre-test between the treatment group and the control group (p>0.05), none differences in both knowledge and attitudes before and after in the treatment group (p>0.05), there were no differences in both knowledge and attitudes in the pre-test and post-test in the control group (p>0.05), there were differences in knowledge in the post-test between groups treatment and control groups (p>0.05), there was no difference in attitudes in the post test between the treatment group and the control group (p>0.05). Conclusion: Safety behavior training is effective in increasing the knowledge and attitudes of informal sector workers. Keywords: Knowledge, Attitude, Safety Behavior
Prediction Models for Descreasing Visual Acuity in Wig Makers Ulfah, Nur; Harwanti, Siti; Ngadiman, Ngadiman
Kesmas Vol. 13, No. 3
Publisher : UI Scholars Hub

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Abstract

One of the occupational diseases that can arise for workers with high accuracy is a decrease in their visual acuity. Therefore, it is necessary to study the risk factors of decreasing visual acuity in workers with high accuracy, such as in wig makers. This study aimed to examine the correlation between age, working period, lighting intensity, fatigue, and nutritional status with visual acuity, and to observe the main risk factors that can be used as a reference for predicting decreasing visual acuity. This study was an observational study that used a cross-sectional design. The population number for this study was 185 wig makers.A total of 85 samples were selected using simple random sampling. The study was carried out in January to March 2016 on wig makers in Purbalingga. The results showed that variables most closely associated with visual acuity were working period (p-value = 0.000 < 0.05), lighting intensity (p-value = 0.000 < 0.05), and fatigue (0.013 < 0.05). Variables that were not related to vision acuity were age (p-value = 0.846 > 0.05) and nutritional status (p-value = 0.562 > 0.05).
Sikap Kerja dan Risiko Musculoskeletal Disorders pada Pekerja Laundry Ulfah, Nur; Harwanti, Siti; Nurcahyo, Panuwun Joko
Kesmas Vol. 8, No. 7
Publisher : UI Scholars Hub

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Abstract

Kelainan otot rangka merupakan gangguan fungsi otot, tendon, saraf, pembuluh darah, tulang dan ligamen yang biasa diderita oleh pekerja dengan aktivitas kerja menggunakan kekuatan otot, seperti pekerja laundry. Penelitian ini bertujuan mengetahui sikap kerja pekerja laundry dan hubungan dengan risiko musculoskeletal disorders di Kecamatan Purwokerto Utara. Penelitian ini menggunakan desain studi potong lintang dengan teknik pengambilan sampel menggunakan quota sampling dengan kriteria inklusi responden bekerja hanya pada satu bagian kerja tertentu dari laundry, tidak memiliki keterbatasan komunikasi dan kriteria eksklusi responden keluar dari pekerjaan dan tidak bersedia dijadikan responden. Sampel sebanyak 150 orang dengan kuota masing-masing bagian diambil sebagai sampel sebanyak 30 orang, meliputi bagian penimbangan, pencucian, pengeringan, penyetrikaan dan pengemasan. Penelitian menemukan sikap kerja yang berhubungan dengan risiko kelainan otot rangka adalah pada bagian pencucian (nilai p = 0,014, nilai p < 0,05). Sedangkan sikap kerja bagian penimbangan (nilai p = 0,77), pengeringan (nilai p = 0,257), penyetrikaan (nilai p = 0,109) dan pengemasan (nilai p =0,370) tidak berhubungan dengan risiko MSDs (nilai p > 0,05). Hanya sikap kerja pada bagian pencucian yang berisiko menimbulkan MSDs, sehingga perlu dilakukan intervensi berupa pelatihan sikap kerja mencuci yang benar. Musculoskeletal disorders (MSDs) are disorders of muscle function, tendons, nerves, blood vessels, bones and ligaments that usually occur in workers with work activities using muscle power, such as laundry workers. The study aimed to determine the attitude of the working relationship with the risk of MSDs in the Nothren Purwokerto district. Type cross-sectional study with a quantitative approach. The sampling technique using quota sampling with inclusion criteria of the respondents worked only on one particular part of the laundry work, they do not have any communication limilimitations and exclusion criteria respondents out of work and not willing to be the respondent. Based on these criteria obtained a sample of 150 people with a quota of each section is taken as a sample of 30 people, which is part of the weighing, washing, drying, ironing and packing. The results showed that the attitude of work-related MSDs are at the risk of leaching (p value= 0.014, p< 0.05). While the attitude of the weighing part employment (p= 0.77), drying (p= 0.257), ironing (p= 0.109), and packaging (p= 0.370) was not associated with risk of MSDs, because the value of p> 0.05. So it is concluded that only work attitude on the part pose a risk of MSDs washing. Therefore, it is necessary to intervene in the form of job training wash right attitude.
Factors Affecting Willingness to Pay for National Health Insurance Program among Informal Workers in Indonesia Aji, Budi; Masfiah, Siti; Harwanti, Siti; Ulfah, Nur
JURNAL INFO KESEHATAN Vol 21 No 1 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss1.940

Abstract

The effort to achieve universal health coverage for all people under a single-payer national health insurance in Indonesia still experiences a substantial challenge particularly related to informal workers. This population faces a number of challenges, including income irregularity, a lack of educational variety, the fact that the majority of workers live in rural areas, and a lack of health insurance literacy. The objective of this study was to examine the factors that influence informal workers' willingness to pay for a national health insurance program in Indonesia. This cross-sectional study was conducted in the Banyumas district of Central Java, Indonesia. Employing a multistage random sampling technique, 316 workers in the informal sector were recruited as study participants. Logistic regression was employed to investigate the factors that influence willingness to pay for national health insurance premiums. According to the study findings, urban, national health insurance information, and uneducated factors were related to informal workers' willingness to pay for national health insurance. Workers who lived in urban area (p < 0.05, OR = 3.922) were more willing to pay for insurance premium. Workers who received better exposure of national health insurance information (p < 0.05, OR = 2.330) were more willing to pay for premium. Furthermore, workers who uneducated (p < 0.05, OR = 14.847) were more willing to pay for premium. The national health insurance campaign serves as a catalyst for increasing public awareness of this program. Adequate and widespread national health insurance program information dissemination would aid in the effectiveness of Indonesia's efforts to achieve the goal of universal health insurance coverage.
TUNTAS: Tumbuh Sehat Tanpa Stunting Melalui Pemberdayaan Masyarakat Desa Dawuhan, Kabupaten Purbalingga Suryanto, Suryanto; Hamidya, Syifa Ula; Harwanti, Siti; Susiawan, Lieza Dwiansari
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 7 No. 3 (2025): Vol. 7 No 3 Desember 2025
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/jpma.v7i3.2424

Abstract

Stunting masih menjadi permasalahan gizi yang cukup serius di Indonesia, termasuk di Desa Dawuhan, Kecamatan Padamara, Kabupaten Purbalingga, dimana tercatat 3 balita mengalami kondisi tersebut. Faktor-faktor seperti kurangnya pemahaman orang tua mengenai gizi yang seimbang, keterbatasan ekonomi, dan lingkungan yang kurang mendukung juga turut berkontribusi terhadap tingginya angka stunting. Untuk mengatasi hal ini, dilaksanakan program TUNTAS (Tumbuh Sehat Tanpa Stunting) yang bertujuan untuk memberdayakan masyarakat setempat melalui program peningkatan pengetahuan dan keterampilan masyarakat melalui kegiatan edukasi gizi, demonstrasi memasak dengan bahan lokal, serta kunjungan rumah kepada anak yang terdampak stunting. Program ini mencakup tiga tahap yaitu penyuluhan dan demo masak bagi kader dan ibu balita, demo masak dengan menggunakan bahan lokal, dan pemantauan langsung ke rumah anak yang stunting. Dari pelaksanaan kegiatan ini, terlihat adanya peningkatan antusiasme masyarakat terkait pemahaman terhadap pentingnya gizi seimbang dan kesadaran akan faktor risiko stunting di lingkungan keluarga yang diharapkan dapat mendorong pola pengasuhan dan pemberian makan yang lebih tepat.
Analysis of Individual Factors Influencing Musculoskeletal Disorder Complaints Among Grab-Bike Online Motorcycle Drivers in Purwokerto Wulandari, Putri; Harwanti, Siti; Suryanto, Suryanto
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 12, No 3 (2025): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v12i3.22420

Abstract

Musculoskeletal disorders (MSDs), characterized by pain, stiffness, numbness, and other physical discomforts in the muscles and supporting structures, are prevalent among online motorcycle drivers due to prolonged sitting, limited rest, and repetitive movements. This study aimed to analyze individual factors associated with MSDs complaints among Grab-Bike drivers in Purwokerto, Indonesia. A cross-sectional study was conducted using accidental sampling with 77 respondents from a population of 330 drivers. Data were collected using the Nordic Body Map (NBM) questionnaire and analyzed through univariate, bivariate (chi-square and Spearman correlation), and multivariate (multiple logistic regression) analyses. The findings showed that the factors influencing MSDs complaints were age (p value = 0.042), work tenure (p value = 0.026), body mass index (BMI) (p value =0.182), smoking habits (p value =0.895), exercise habits (p value =0.863), and history of MSDs (p value = 0.529). Age and work tenure were significantly associated with MSDs complaints, while, BMI, smoking habits, exercise habits, and history of MSDs showed no significant association. The most influential factor was work tenure (OR = 6.340). Daily working hours adjustments and regular health monitoring are recommended to reduce MSDs risks in this occupational group.
Co-Authors Azhar Anas Budi Aji, Budi Budiaji Budiaji, Budiaji Dwi Bayu Retnaningtyas, Dwi Bayu Gandung Kartika Tri Nugroho, Gandung Kartika Hamidya, Syifa Ula Ngadiman Ngadiman Nur Ulfah Nur Ulfah Panuwun Joko Nurcahyo PUTRI WULANDARI Saudin Yuniarno Siti Masfiah Suryanto Suryanto Susiawan, Lieza Dwiansari Wahyu Ekowati