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Midwives' readiness for handling postpartum Perinatal Mental Health (PMH) disorders: a mixed-methods study Harahap, Ana Pujianti; Amini, Aulia; Setyowati, Dina Lusiana; Basrowi, Ray Wagiu; Yuliana, Roma
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 21 No. 2 (2025): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.4086

Abstract

Perinatal mental health (PMH) disorders affect 15.6–37% of postpartum women, yet midwives report low confidence in detection and management due to inadequate training and protocols. This study evaluated midwives' readiness to handle postpartum PMH disorders in community health centers. A convergent parallel mixed-methods design was used in eight Mataram City health centers (December 2023–January 2024). Quantitatively, 102 purposively sampled midwives completed validated questionnaires on sociodemographics, screening practices, and PMH handling, analyzed via chi-square tests. Qualitatively, thematic analysis of in-depth interviews with six informants (managers, midwives, and mental health nurses) explored referral experiences using N-Vivo. Most midwives (86.27%) did not handle PMH appropriately. The implementation of PMH data assessment (37.25%), screening (37.26%), and classification (22.56%) was low. Handling PMH significance association with screening (p=0.001, OR 14.31), classification (p=0.001, OR 23.22), and data assessment (p=0.009, OR 9.43). Age, education, experience, and training were not associated. Themes emphasized referral collaboration with family consent, consultation with mental health nurses/doctors, and hospitalization for the most serious cases. Midwives are not yet sufficiently prepared to address the perinatal mental health (PMH) needs of postnatal women. Poor screening uptake is a consequence of the absence of protocols and time limitations, and this highlights requirements for training and standardized pathways. Referral dependence is compensatory but inconsistent, mirroring global appeals for inter-professional approaches. Targeted PMH training and referral protocols are crucial in order to assist the development of midwives' skills to provide prompt care and reduce maternal-infant risk. Interventions should be tested in longitudinal studies across a variety of Indonesian contexts.
IMPLEMENTASI MEDIA VISUAL INTERAKTIF UNTUK MENINGKATKAN PEMAHAMAN K3 PEKERJA WANITA SEKTOR PERTAMBANGAN Yuniar, Dewi; Fadilah, Rijal; Rahmatulah, Ilham; Setyowati, Dina Lusiana
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 6 (2025): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i6.35640

Abstract

Abstrak: Keselamatan dan Kesehatan Kerja (K3) menjadi aspek yang sangat penting dalam industri pertambangan yang penuh risiko, terutama bagi pekerja yang setiap hari berhadapan dengan potensi kecelakaan dan paparan bahaya. Hasil observasi awal pada kelompok pekerja wanita di salah satu perusahaan tambang batubara di Kutai Kartanegara menunjukkan bahwa sebagian besar dari mereka masih memiliki pemahaman terbatas mengenai prosedur keselamatan dasar. Banyak yang belum terbiasa menggunakan APD dengan benar, dan hampir tidak ada media pembelajaran yang menarik serta mudah dipahami yang dapat membantu mereka belajar secara mandiri. Kondisi ini menunjukkan perlunya pendekatan pembelajaran yang lebih dekat dengan kebutuhan mereka, khususnya media visual yang lebih komunikatif dan mudah diikuti. Melalui kegiatan pengabdian ini, tim berupaya meningkatkan pemahaman dan perilaku kerja aman pekerja wanita dengan memanfaatkan media visual interaktif. Program dirancang dalam tiga tahapan utama: penyuluhan K3 untuk membangun pemahaman dasar, workshop penggunaan APD dan identifikasi bahaya, serta pelatihan menggunakan video edukatif, infografis, dan simulasi VR/AR. Kegiatan berlangsung selama empat hari dan diikuti oleh 30 pekerja wanita berusia 24–45 tahun, melibatkan dosen K3, dosen DKV, mahasiswa KKN-T, dan mahasiswa PKL. Evaluasi dilakukan melalui pre-test dan post-test, observasi, serta kuesioner kepuasan. Hasilnya menunjukkan peningkatan signifikan, dari skor awal 54,3% menjadi 89,5% atau naik 37,8%. Peningkatan terbesar terlihat pada keterampilan penggunaan APD dan kepatuhan prosedur. Sebanyak 92% peserta juga mengakui bahwa media visual interaktif membuat materi keselamatan lebih mudah dipahami dan menarik. Secara keseluruhan, pendekatan ini terbukti efektif dalam memperkuat kompetensi K3 dan mendorong budaya keselamatan yang lebih inklusif di lingkungan kerja pertambangan.Abstract: Occupational Safety and Health (OSH) is a critical component in the mining industry, where workers are continuously exposed to high risks of accidents and hazardous conditions. Initial observations conducted among a group of female workers at a coal mining company in Kutai Kartanegara revealed that many of them still had limited understanding of basic safety procedures. Several workers were unfamiliar with the correct use of personal protective equipment (PPE), and they had minimal access to engaging and easy-to-understand learning materials that could support independent learning. These findings highlight the need for an educational approach that is more responsive to their learning characteristics, particularly through visual media that is more communicative and easier to follow. Through this community engagement program, the team aimed to enhance the safety knowledge and safe-working behaviors of female workers by utilizing interactive visual media. The program was structured into three key stages: an introductory OSH session to build foundational understanding, a workshop on PPE usage and hazard identification, and training sessions that incorporated educational videos, animated infographics, and VR/AR simulations. The activities were conducted over four days and involved 30 female workers aged 24–45 years, supported by OSH lecturers, Visual Communication Design lecturers, KKN-T students, and internship students. Evaluation was carried out through pre-tests, post-tests, field observations, and satisfaction questionnaires. The results demonstrated a substantial improvement, with average scores increasing from 54.3% to 89.5%, reflecting a gain of 37.8%. The most significant improvements were noted in PPE mastery and procedural compliance. Furthermore, 92% of participants agreed that interactive visual media made safety materials easier to understand and more engaging. Overall, this approach proved effective in strengthening OSH competencies and fostering a more inclusive safety culture within the mining work environment.
Implementasi Manajemen Risiko Berdasarkan ISO 31000:2009 pada Program Perawatan Mesin di Area Workshop PT. X Sari Delima Fitri; Dina Lusiana Setyowati; Krispinus Duma
Faletehan Health Journal Vol 6 No 1 (2019): Faletehan Health Journal, Maret 2019
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v6i1.40

Abstract

Machine maintenance programs in workshop area are high risk working units in terms of work accidents. This research purpose was to explore implementation of risk management based on ISO 31000:2009 of machine maintenance program in workshop area. This research was a qualitative research according to ISO 31000:2009. The informants in this research were head workshop as main informant, maintenance department head as key informant and worker in workshop as supporting informant. The engine maintenance program in the workshop area consists of 3 work stages namely fabrication, assembly and service (finishing). The results showed that from hazard identification results found physical hazard, chemical hazard, biological hazard, ergonomic hazard and psychological hazard. Risk analysis results were not found to be hazards with extreme risk, 3 dangers on the level of high risk, 13 dangers in the level of moderate risk hazards and 11 dangers in the level of low risk. Forms of risk treatment is in the initial treatment using risk mitigation methods for each of the risks faced, then the next treatment includes risk transfer, avoiding risk and accepting risks. Based on the result of a defined risk treatment, the recommendation or treatment of possible risks is an effective control measure and appropriate treatment in dealing with various possible risks.
Pengaruh Pemberian Metode 20-20-20 terhadap Penurunan Gejala Computer Vision Syndrome (CVS) Gita Nurhikma; Dina Lusiana Setyowati; Iwan Muhamad Ramdan
Faletehan Health Journal Vol 9 No 03 (2022): Faletehan Health Journal, November 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i3.437

Abstract

Computer Vision Syndrome (CVS) is a combination of problems or a set of symptoms in eyes due to activities of using digital devices such as computers, telephones, and tablets with near vision and lasts continuously for long periods. Employees who work on a computer for more than 2-4 hours a day is at risk of developing CVS which can affect their productivity at work. The purpose of this study was to determine the effects of giving 20-20-20 method on reducing CVS symptoms. The type of the research is true experiment with pretest-posttest control group design. The number of samples were 30 employees divided into the experimental group and the control group. The bivariate analysis used paired samples T-test for paired samples and independent samples T-test and Mann-Whitney test for non-paired samples with a significance level of 95% (α = 0.05). The results showed that there was a significant difference between CVS symptom score before and after the intervention with p value 0.001 (ρ<0.05). The researchers concluded that there was a significant effect of giving 20-20-20 method on reducing CVS symptoms of employees. Future researchers were expected to be able to innovate to reduce the symptoms of Computer Vision Syndrome (CVS).
Effect of Provideing Ergonomic Method Video to the Porters at Samarinda Pasar Pagi’s Dock Rifani Amar Al Khairi; Iwan Muhamad Ramdan; Dina Lusiana Setyowati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : According to the 2018 RISKESDAS data, the prevalence of musculoskeletal disorders in East Kalimantan was 8.12%, with the highest rates observed among farmers/laborers (9.9%), civil servants (7.5%), and fishermen (7.4%). Knowledge is one of the key factors influencing ergonomic posture. The use of interactive media, such as educational videos, can enhance the effectiveness of information delivery, thereby improving comprehension, knowledge, and attitudes toward ergonomic practices. Objective : Determine the effect of providing an ergonomic method video on the knowledge and work posture of porters at the Samarinda Pasar Pagi's Dock Research Methods/ Implementation Methods : This research is using quasi-experimental. Total of 30 respondents were involved as the research sample. Musculoskeletal complaints were measured using the Nordic Body Map instrument, while knowledgment & body posture was analyzed using questionnaire & Rapid Entire Body Assessment. Results : The experimental group showed a significant increase in knowledge (p = 0.003), indicating that the ergonomic lifting and carrying video effectively improved knowledge. However, there was no significant effect on reducing work posture risk on experimental group (p = 0.180). Conclusion/Lesson Learned : Based on the results and discussion, several conclusions can be drawn from the study : a. There was a significant increase in knowledge before and after the ergonomic lifting-and-carrying video intervention in the experimental group. b. There was no significant reduction in work posture risk in the experimental group after the intervention.
Faktor Penyebab Keracunan Akut Penggunaan Pestisida Pada Petani di Desa Ponoragan Kecamatan Loa Kulu Kabupaten Kutai Kartanegara Dina Lusiana; Fakhrur Rozi M
KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Vol 1 No 2 (2015): July-December
Publisher : Universitas Widya Gama Mahakam Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/kujkm.v1i2.849

Abstract

Keracunan  akut  penggunaan  pestisida  disebabkan  dari  pemakaian  pestisida  yang  masuk dalam tubuh. Desa Ponoragan, adalah daerah pertanian sehingga mayoritas penduduknya bekerja sebagai petani yang mempunyai risiko mengalami keracunan akut akibat penggunaan pestisida. Hasil pemeriksaan cholinesterase oleh Dinas Kesehatan Kabupaten Kutai Kartanegara didapatkan hasil dari 223 petani yang diperiksa terdapat 100 petani yang mengalami keracunan akut akibat paparan pestisida. Penggunaan pestisida yang tidak tepat akan menyebabkan terjadinya keracunan akut pada petani. Tujuan penelitian ini adalah untuk mengetahui hubungan penggunaan apd, masa kerja, dan lama paparan dengan keracunan akut penggunaan  pestisida  pada  petani  di  Desa  Ponoragan.  Jenis  penelitian  ini  adalah  survei analitik  dengan  pendekatan  cross  sectional.  Pengambilan  data  menggunakan  kuesioner dengan jumlah sampel 69 orang. Hasil penelitian menunjukan bahwa tidak ada hubungan antara lama paparan (p= 0.290) dengan keracunan akut penggunaan pestisida. Ada hubungan antara  penggunaan  APD  (p= 0.052),  masa  kerja  (p=  0.025)  dengan  keracunan  akut penggunaan pestisida.
Co-Authors A.A. Ketut Agung Cahyawan W Abhirama Swastyayana Dian Perdana Ade Rahmat Firdaus Afita Nur Hayati Agus Wiranto Agustini, Rina Tri Amalia Nur Aini Andi Anwar, Andi Andriyadi, Yakub Anggriani, Yeni Annisa Dwi Kartika Annissa, Annissa Antinah Latif, Antinah Asrianti, Tanti Aulia Amini Baju Widjasena Basrowi, Ray Wagiu Bina Kurniawan Bintang Agustina Pratiwi Choirunissa, Risza Daru Lestantyo Denny, Hanifa M Dewi Maulidinia Amar Dwijayanti, Dyah Dwijayanti, Dyah Efi Fitriani Ekawati Ekawati Fakhrur Rozi M Fathimahhayati, Lina Dianati Fauzan Dwi Syahputra Fauzi, Muhammad Ashraf Firdaus, Ade Rahmat Gita Nurhikma Gita Nurhikma Hanifa Maher Denny, Hanifa Maher Harahap, Ana Pujianti Herawati Herawati Ida Wahyuni Ifroh, Riza Hayati Ifroh, Riza Hayati Ismail AB Iwan M Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Kamba, Ismail Karmila Aulia Sahaja Krispinus Duma Laksono Trisnantoro Lauw Shereena Lawinata M. Khairul Nuryanto Marta Sovianti Hulu Noor Azizah Nur Rohmah Nurul Afiah Pratiwi, Adelina Rahman Gumilar Rahman, Wahnadita Rahmatulah, Ilham Ramadiva Muhammad Akhyar Ramdan, Iwan M Rasdi Awal Nur Reny Noviasty Ria Purnama Sari Rifani Amar Al Khairi Rijal Fadilah, Rijal Riskiyana Sukandhi Putra Risva Risva Riza Hayati Ifroh Robiana Modjo Rohmah, Nur Rohmah Roma Yuliana Sari Delima Fitri Siddiqui, Muhammad Ahsan Sultan, Muhamad Suryawati, Chiswardani Swandari Paramita Titin Nasiatin Wahnadita Rahman Wahnadita Rahman Wahnadita Rahman Widyarto Widyarto Wiranto, Agus Yatini, Yatini Yeni Anggriani Yuliani Setyaningsih Yuniar, Dewi Zahroh Shaluhiyah Zulfa Alisya