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All Journal Jurnal Kesehatan Masyarakat The Indonesian Journal of Occupational Safety and Health Berita Kedokteran Masyarakat Eduvest - Journal of Universal Studies
Vena Jaladara
Department Of Health Behavior, Environment And Social Medicine, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada
Aerospace Engineering Computer Science & IT Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Journal : Berita Kedokteran Masyarakat

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Need for stricter control of waste disposal in small scale industry: a case from community based batik production in Indonesia Rofiatun Rofiatun; Vena Jaladara; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 36, No 4 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26284

Abstract

Safety and health in informal sector: a case study occupational fatigue of porters at Legi Market, Surakarta Hidayati, Ria Nuril; Surono, Agus; Jaladara, Vena
BKM Public Health and Community Medicine Vol 37 No 02 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i02.1689

Abstract

Purpose: Understanding the application of OSH Management System in the informal sector, especially the occupational fatigue management system for the porters working in Legi traditional market, Surakarta. Methods: The type of research was qualitative based research to describe the implementation of OHS Management System in the informal sector, especially the occupational fatigue management system for porters working in Legi traditional market, Surakarta. Results: OHS Management System’s promotive and preventive efforts, in this case, have not yet reached and involved the porters and have not focused on minimizing the risk of occupational fatigue. The weight of the load carried by porters exceeds the recommended weight threshold and their work posture had a risk of injury and occupational diseases. The occupational fatigue commonly experienced by the porters was such as muscle pain in the knees, lower back pain, and some even getting whole body pain. The problems in implementing OHS Management System at Legi traditional market were due to there was no lifting and transportation equipment available, Station of Occupational Health Effort (Pos UKK) administrators not been trained of implementing OHS in the workplace, and the lack of enthusiasm from the market management and the porters themselves in OHS. Conclusions: The implementation of the OHS Management System did not include efforts for minimizing occupational fatigue for the porters. The Pos UKK needs to involve the porter organization (SPTI) in the implementation of promotive and minimize efforts to manage occupational fatigue. It is necessary to form an OSH policy and committee with support and cooperation from all related parties such as the Trade Department (“Dinas Perdagangan”) which has the workplace area and the Health Department (“Dinas Kesehatan”) which supervise for OHS efforts in term of implementation of OHS Management System in the informal sector is highly expected.
Analysis of the implementation of the safety and health management system (SMK3) at The Sentani Community Health Center, Jayapura Regency Korwa, Henderjetac Carolina; Surono, Agus; Jaladara, Vena
BKM Public Health and Community Medicine Vol 39 No 10 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i10.10367

Abstract

Purpose: This research aims to analyze the implementation of the occupational safety and health management system at community health centers to determine the achievements of the implementation of occupational safety and health by looking at the indicator system from K3 policy, K3 planning, K3 implementation as well as K3 monitoring and evaluation at the Sentani Community Health Center, Jayapura Regency. Methods: This type of research uses qualitative case study methods. The subjects of this research were health workers at the Sentani Community Health Center, Jayapura Regency, with a sample size of 10 respondents. The data collection technique is a triangulation technique involving observations, in-depth interviews, and documentation studies. The tool used is a questionnaire. Results: The research shows that community health centers must fully implement an occupational safety and health management system. Based on the results of observations and interviews, it was found that the health center still needs to have a written K3 commitment and policy based on the SK—head of Pukesmas. There has been no significant risk research in determining K3 planning. The implementation of K3 at health centers has been implemented through health services, fire control and prevention, and the provision of K3 facilities and infrastructure. Monitoring and evaluation in implementing K3 still need to record and report on planning, implementation, or recording cases of work-related accidents (KAK) and work-related diseases (PAK) at health centers. Conclusion: The safety and health management system must still be fully implemented. The need to review and analyze work risks for workers and the environment and become a benchmark in making K3 policy commitments at health centers in implementing occupational safety and health management systems.
When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

Abstract

Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.
The Critical Hazard Factors for Animal Health Workers: a Call for Action Dewi, Kharisma; Santi, Garini Purwara; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Background: Humans, animals, and the environment are always intertwined in an inseparable interaction cycle, as explained through the One Health approach. One entity's health affects the others. Animal health workers are one profession at high risk of zoonotic disease transmission, which leads to public health problems. Unfortunately, occupational safety and health practices in this industry still fall short of expectations. Purpose: To increase awareness about the importance of workplace safety for animal health workers, including veterinarians, paramedics, and field officers. To recommend strategies for preventing zoonotic infection transmission among veterinary workers by implementing hygiene procedure then followed by regular health screenings, mandatory vaccinations, and enhanced training programs. Discussion: Occupational safety and health (OSH) in veterinary practice is crucial, yet there lacks specific clarity in protecting workers directly involved with animals, including veterinarians, despite existing foundational guidelines for policy development. The National Indonesian Work Competency Standards (SKKNI) outlined in the Minister of Manpower Regulation No. 394 of 2014 regarding the Determination of National Indonesian Work Competency Standards in the Professional, Scientific, and Technical Services Categories, Main Group of Animal Health Services, in the Field of Animal Health Management, provide a framework, but gaps remain. Current OSH practices for these professionals are inadequate especially the immediate risk posed by zoonotic diseases from direct contamination, as well as a range of other workplace dangers including handling animals with potential bites and scratches, ergonomic issues, slips, trips, falls, hazards related to motor vehicles, noise exposure, ionizing radiation, and radiation safety concerns, risks linked to needlestick injuries, and physiological stress factors. This shortfall is exacerbated by the lack of courses on zoonotic infection safety in animal health practitioners for veterinary students' curricula which include protective measures for their profession, such as advance hygiene procedure, screening, and vaccination protocols. To address these challenges, we advocate for the implementation of comprehensive measures such as the implementation of hygiene procedure then followed by regular health screenings, mandatory vaccinations in the future, and enhanced training programs. These initiatives will not only safeguard the health of animal health workers but also align with broader public health objectives by curbing the transmission of zoonotic infections. Conclusion: In conclusion, urgent action is needed to address the lack of awareness among veterinarians regarding occupational safety and health practices. The risks of zoonotic disease transmission to animal health workers are significant, requiring immediate implementation of preventive measures such as regular health screenings, mandatory vaccinations, and enhanced training programs. Delaying action could have serious consequences, emphasizing the need to prioritize the safety of these professionals without delay. Additionally, it is important to develop clear policies and procedures regarding workplace safety in the animal health sector, as well as to promote a culture of safety in the workplace. Open communication between the government, relevant institutions, and the animal health worker community is also key to finding effective solutions to enhance their safety.
Multi-Criteria Decision Analysis in Transportation Safety Management: Prioritizing Solutions for Mitigating Tourist Bus Accidents in Indonesia Kristina, Hana; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This abstract aims to provide an overview of transportation safety issues in Indonesia, particularly focusing on tourist bus accidents, and propose solutions for preventing similar incidents. Content: Tourist transportation plays a crucial role in the growth of the tourism industry. However, the high incidence of tourist bus accidents in Indonesia poses a significant safety concern that requires urgent attention. Data from national news platforms recorded 43 bus accidents, 14 involving tourist buses between 2022 and 2024. Non-compliance with safety standards is a recurring issue identified as a major cause of accidents, encompassing aspects such as vehicle maintenance, driver competence, and enforcement of transportation safety regulations. A comprehensive approach is essential to address this issue. Implementing Multi-Criteria Decision Analysis (MCDA) can help identify crucial steps. Strict regulations with severe penalties for violators, comprehensive periodic vehicle inspections, standardized training for drivers and mechanics, and robust transportation safety oversight should be prioritized. Additionally, establishing bus checkpoints, maintaining bus incident records, and establishing specialized bus driver schools would significantly enhance transportation safety. Limiting driver working hours, providing incentives for compliant operators, and investing in research and development of safety technologies should not be overlooked. Intensive collaboration between the government, businesses, and the public is key to success. Only through concrete and integrated actions can we create a safe, reliable, and sustainable tourist bus transportation ecosystem, ensuring the safety and comfort of all users.
Merdeka Curriculum for Preventing Low Back Pain in School-aged Children Nababan, Nelly Herawaty; Puspitasari, Putri; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: Adolescence is a crucial phase marked by swift growth and progress, where adolescents might encounter musculoskeletal problems like LBP. Several factors, such as bad posture, heavy backpacks, inactive routines, and sports involvement, play a role in the development of LBP. These can affect future health and quality of life, given that school-aged children are crucial periods for physical development and puberty. This abstract highlights the factors contributing to LBP in adolescents and provides recommendations for prevention and management, including integrating occupational health and safety (OHS) topics into the Merdeka Curriculum, to address LBP prevention in schools. Content: This initiative focuses on integrating health topics into the Merdeka Curriculum to educate students on preventing LBP. The current Merdeka Curriculum includes health teaching materials such as nutrition, sanitation, mental health, and physical activity. However, OHS materials for schools have not been developed. The availability of OHS topics related to proper posture and preventing sedentary lifestyles through comics, posters, and videos will attract students' interest. Given that the Merdeka curriculum emphasises student-centred learning, practices such as safety talk, classroom stretching exercises, outdoor activity, and screen-free periods at school could potentially be effective in introducing OHS. The main challenge of this solution is the incomplete adoption of the curriculum across all schools. Other possible solutions include providing lockers and health promotion by health professionals. Preventing and controlling LBP in school-aged children necessitates a comprehensive strategy that tackles their lifestyle choices, surroundings, and availability of medical services. Through the introduction of educational, advocacy for ergonomic practices, promotion of regular physical exercise, regulation of screen usage, and guaranteeing healthcare accessibility, we can alleviate the impact of LBP on adolescents and enhance their general well-being.
Optimizing Environmental Policy: Bioremediation as an Eco-friendly Solution for Wastewater Treatment in the Yogyakarta Batik Industry Dewi, Gayatri Rahma; Lestari, Ani Dwi; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: This abstract aims to describe the non-optimal management practices of batik industry liquid waste in the Yogyakarta area and present eco-friendly solutions for managing batik wastewater. Content: Daerah Istimewa Yogyakarta is one of the leading batik industries in Indonesia, and it has a high-level dyeing production process. Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and the heavy metal Cr(VI) have the potential to threaten public health and environmental sustainability. There needs to be more commitment by batik industry businesses to comply with Perda D.I Yogyakarta No. 7 Tahun 2016 concerning Waste Water Quality Standards. Additionally, insufficient regulatory enforcement by the local government presents a significant obstacle. Limited funds and the high costs of building and operating Wastewater Treatment Plants (IPAL) hamper the management of liquid waste in the batik industry so that it exceeds the standard limits for wastewater quality. A combination of natural filtration (charcoal, gravel, and sand) and bioremediation uses Saccharomyces cerevisiae, which is eco-friendly, affordable, and efficient in reducing BOD, COD, and Cr(VI) levels, effectively separating hazardous substances from batik wastewater. Implementing this solution helps sustain environmental conservation and protect workers from hazards, creating a safe and healthy work environment that enhances the productivity of batik industry workers. There is a cross-sector collaboration between Regional Governments as regulators, rewards, and subsidies for those who implement eco-friendly liquid waste management. DLHK and Disperindagkop play a role in regular monitoring, technical guidance, and providing access to funds for waste management operations, the Association of Indonesian Batik Craftsmen and Entrepreneurs (APPBI) as a mediator between the government and the batik industry, and NGOs as controllers and reporting if violations occur.
Elevating Safety and Self-Value: Enhancing Professional Development to Reduce Heavy Vehicle Incidents in the Mining Industry Vena Jaladara; Sukmawan, Rezkiyantra Fajar; Hadi, Muhammad Septian; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: The mining industry continues to face a significant challenge with the high incidence of accidents involving heavy vehicle operators. Despite advancements in safety technologies and regulations, the frequency of these incidents remains alarmingly high. This perspective aims to explore the underlying reasons for this persistent issue, particularly focusing on the demanding nature of the mining environment and proposes possible solutions to overcome this issue. Content: Professional development is pivotal for enhancing morale and self-value among employees, crucial not only for reducing accidents but also for fostering a culture of safety and operational excellence in mining. Investing in growth enhances individual capabilities and cultivates a supportive work environment. Leadership development is key in nurturing safety champions, equipping supervisors and managers to promote safety, foster accountability, and inspire teams effectively. Mentorship initiatives facilitate knowledge transfer, fostering a supportive environment that enhances morale, job satisfaction, and safety commitment. Integrating workers' self-value into professional development through targeted training, competency assessments, and recognition programs empowers workers to own their safety and contribute positively to the culture. Access to professional development allows employees to shape their careers, enhancing job satisfaction and safety commitment. By prioritizing leadership and self-value alongside technical training, organizations can create a safer, more resilient workforce.
The Role of Organizational Support in Health Program Implementation Hasanbasri, Mubasysyir; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: Delays in improving public health are closely related to the population's social and economic issues. These delays are also linked to various obstacles in implementing programs that have been proven effective in other countries. Some improvements in overcoming these barriers have occurred related to the support for field activities. This research characterizes the five organizational elements used to implement essential health programs in Indonesia. Methods: We used the five organizational elements framework, which emphasizes the roles of service delivery, frontline workers, support systems, and program managers. Findings: The clarity in contracts for program managers is often seen as a clarity in administrative functions rather than a focus on problem-solving functions within the community. This understanding is crucial for devising effective strategies for program implementation. Moreover, there is an urgent need to strengthen the support system functions that assist frontline workers, a critical step in ensuring the smooth execution of health programs. Conclusion: The success of health programs is intricately tied to the effectiveness of program managers. It is not just a role but a crucial responsibility for community health centers (Puskesmas) to adopt an internal worker contract approach for program managers. Furthermore, program managers should operate under a contract as leaders for frontline workers and support systems, underscoring their pivotal role in the process.
Co-Authors Agus Surono Andreasta Meliala Ari Prayogo Pribadi Astri Ferdiana Basri, Mubasysyir Hasan Dewi, Gayatri Rahma Dewi, Kharisma Ekawati Ekawati Ghosyasi, Arfiny Hidayati, Ria Nuril Korwa, Henderjetac Carolina Kristina, Hana Lestari, Ani Dwi Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Mubasysyir Hasanbasri Muhammad Septian Hadi, Muhammad Septian Nababan, Nelly Herawaty Nilasari Putri Puspitasari Qaimamunazzala, Hayu Rahman, Yusuf Mukasyafah Rizqi Ramadona, Aditya Lia Rofiatun Rofiatun Santi, Garini Purwara Sarto Silalahi, Chris Dwina Anggiana Br Siswi Jayanti Sukmawan, Rezkiyantra Fajar Sutena, Marthinus Wiranto