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FACTORS RELATED TO THE INCIDENCE OF MEASLES IN CHILDREN AGED 12 – 59 MONTHS IN THE WORKING AREA OF THE TIRTAYASA HEALTH CENTER, SERANG REGENCY IN 2023 Ratnasati; Lukman Waris; Rita Ramayulis
International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC) Vol. 2 No. 2 (2024): April
Publisher : ZILLZELL MEDIA PRIMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61990/ijamesc.v2i2.222

This thesis aims to determine the factors related to the incidence of measles in the working area of the Tirtayasa Health Center, Serang Regency in 2023. The variables used consisted of independent variables consisting of: child factors (gender, measles immunization status, nutritional status, complete basic immunization status, status of high-dose vitamin A supplements), maternal factors (education level, level of knowledge, employment status, attitude), father factors (education level, employment status), environmental factors (occupancy density, house ventilation) and economic socialization factors (family income). The sample was mothers who had children aged 12 months to 59 months as many as 100 people and data was collected by distributing questionnaires. The results showed factors that were not associated with the incidence of measles: the sex of the child with a Pvalue of 0.427, the status of high-dose vitamin A supplementation with a Pvalue of 0.982, the employment status of the mother with a Pvalue of 0.950, and the employment status of the father with a Pvalue of 0.878. While the factors that are significantly related to the1 incidence of measles include: measles immunization status with Pvalue 0.000, nutritional status with Pvalue 0.026, maternal education level with Pvalue 0.000, maternal knowledge level with Pvalue 0.017, maternal attitude with Pvalue 0.006, father's education level towards with a Pvalue of 0.044, a density of a house with a Pvalue of 0.02, home ventilation with a Pvalue of 0.035 and family income against the incidence of measles Pvalue of 0.001. In accordance with the results of the study, the researchers' suggestions are: puskesmas officers to increase counseling, puskesmas to collaborate with other parties to improve the living environment and explore other variables for further researchers.

Gross domestic product and geographic area as social determinants of child stunting and severe stunting in Indonesia: A multilevel analysis Siswati, Tri; Waris, Lukman; Paramashanti, Bunga Astria; Kusnanto, Hari; Susilo, Joko
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 10 ISSUE 3, 2022
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2022.10(3).87-99

Background: In Indonesia, socioeconomic disparities in childhood stunting is vast.Objectives: This study aimed to analyze the social determinants of stunting and severe stunting children in Indonesia.Methods: We analyzed data from cross-sectional surveys of Indonesia’s National Basic Health Research in 2013, the Central Bureau of Statistics, and the Ministry of Finance. Our samples were 3953 children aged 6-23 months and 10215 children aged 24-59 months. Dependent variables were the prevalence of child stunting and severe stunting. Independent variables covered factors at the social level while controlling structural and biological level-factors. Data were analyzed using multilevel analysis using generalized linear mixed models (GLMM).Results: Gross domestic product was associated with the reduced risk of stunting among children aged 6-23 months (ARRR= 0.99; 95%CI: 0.98-1.00) and 24-59 months (ARRR= 0.99; 95%CI: 0.97-0.99) as well as with the decreased risk of severe stunting among 6-23 months (ARRR= 0.99; 95%CI: 0.98-1.00) and 24-59 months (ARRR= 0.99; 95%CI: 0.97-0.99) old children. Tax ratio was a significant factor only for the severe stunting among 24-59 months old children (ARRR= 0.98; 95%CI: 0.96-0.99). There was also a geographical difference related to stunting and severe stunting.Conclusions: Equitable economic growth is an essential factor to improve the health and welfare of stunting and severe stunting children across the geographical setting in Indonesia.

Staff Expectancies in Conducting Ship Hygiene and Sanitation Inspections: A Qualitative Study at Banten Class I Port Health Quarantine Office Waris, Lukman; Budiman, Budiman; Aryani, Hany Puspita
Journal of Indonesian Health Policy and Administration Vol. 10, No. 2
Publisher : UI Scholars Hub

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

Sea transport plays a vital role in the movement of goods and passengers, yet it simultaneously poses a potential risk for the transmission of infectious diseases, both nationally and internationally. Ship hygiene and sanitation inspection (HSI) is a strategic measure to control such risks, and the outcomes of these inspections are influenced by the expectations of the implementing officers. This study explores how staff expectancy at the Banten Class I Port Health Quarantine Office affects the quality of HSI. A qualitative study using the Rapid Assessment Procedure (RAP) was conducted with 80 staff members across five work units. Data were collected through in-depth interviews, focus group discussions, and field observations, and analyzed using triangulation of sources and methods. Findings indicate that expectancy is shaped by perceived ability, work experience, and technical skills, all of which affect motivation and inspection quality of HSI. Officers with high expectancy demonstrated stronger motivation and performance, while limited experience and competency hindered those with lower expectancy. This study recommends strengthening staff capacity through continuous training, establishing multidisciplinary inspection teams, and enhancing institutional support through performance-based incentives. The findings highlight staff expectancy as a critical factor in improving the quality of HIS.

Determinants of Factors Associated with Community Latrine Ownership in The Working Area of Serang City Public Health Center Ratu Fitrianingrat Istiqomah; Lukman Waris; Prihayati
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.185

Open defecation behavior is a serious threat to public health and the environment, making it an important problem in Indonesia. This figure makes Indonesia one of the three countries with the highest level of open defecation behavior in the world, namely India 12.9%, Indonesia 4.5% and China 1.3%. In Banten Province, access to sanitation is 86.45% as of August 2023, where there are still 458,717 heads of families out of a total of 3,274,172 heads of families who have not been able to access proper sanitation. Serang City occupies the 4th lowest position in terms of its people's ability to access proper sanitation with a percentage of 92.54%. This research aims to determine the relationship between determinants that influence latrine ownership in the community in the Serang City Health Center Work Area in 2023. The research uses a cross-sectional research design. This research aims to study the dynamics of the correlation between the independent variables, namely public perception about open defecation, socio-economic status and availability of facilities with the dependent variable, namely latrine ownership. This research uses an approach, observation and data collection taken at the same time at a certain time. The research was carried out in December 2023-January 2024 in the working area of the Serang City Health Center, namely Sukawana Village, Serang City, Banten Province.

Motivation of Officers towards the Results of Vessel Sanitation Hygiene Inspections at Class I Quarantine Center (BKK) Banten Budiman; Lukman Waris; Ismarina
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.187

The spread of infectious diseases through sea transportation has become a global threat to public health. In this context, the role of the Banten Class I Health Quarantine Center (BKK) is crucial to ensure that ships entering the port area meet cleanliness and sanitation standards. This study explores the motivation of Class I Banten Health Quarantine Center (BKK) officers and the performance of Ship Sanitation Hygiene (HSK) inspection results in the Banten port area. The method used is qualitative. With 12 participants working in BKK Class I. In qualitative research using the "Rapid Assessment Procedure" (RAP) research design, motivational variables such as hope, orientation, enthusiasm, optimism, and valence were explored in their relationship to the quality of HSK examination results. These findings provide important insights for the management of BKK Class I Banten to increase the motivation and performance of officers in carrying out HSK inspection duties. Recommendations from this study can help improve the effectiveness of managing ship cleanliness and sanitation at the port of Banten and reduce the risk of spreading disease through sea transportation.

Pengaruh Stres terhadap Kadar Glukosa Darah pada Penderita Hiperglikemia Ida Yohana; Lukman Waris; Marthia Ikhlasiah
Faletehan Health Journal Vol 11 No 01 (2024): Faletehan Health Journal, Maret 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i01.651

DM sufferers must change their lifestyle to remain blood glucose in their body balanced. The changes can make them vulnerable to stress. The purpose of this study was to determine the effects of stress on blood glucose levels of hyperglycemic patients at Kunciran Baru Health Center area, Tangerang City in 2023. The research method used was quantitative with a nested case control research design. The samples used were 89 respondents who were selected by simple random sampling technique. Stress was measured using the Stress Self-Rating Questionnaire-20. The data were analyzed by T-test. The results showed an increase in the average of blood glucose levels from 2022 (mean 197.97; SD 87.96) to 2023 (mean 232.55; SD 93.04). Most respondents were not stressed (57.3%), the average blood glucose level of the stress group respondents was 274.26 (SD: 97.02), while the average blood glucose level of the non-stressed group was 201.47 (SD: 77.22). The results of the analysis showed a significant difference in blood glucose levels of the two groups of respondents (p value<0.001). The results of this study corroborated previous studies that showed stress as a factor that can affect blood glucose levels of DM sufferers and the stress management ability is important to have in order to maintain normal blood glucose levels.

Determinants of Factors Associated with Community Latrine Ownership in The Working Area of Serang City Public Health Center Ratu Fitrianingrat Istiqomah; Lukman Waris; Prihayati
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.185

Open defecation behavior is a serious threat to public health and the environment, making it an important problem in Indonesia. This figure makes Indonesia one of the three countries with the highest level of open defecation behavior in the world, namely India 12.9%, Indonesia 4.5% and China 1.3%. In Banten Province, access to sanitation is 86.45% as of August 2023, where there are still 458,717 heads of families out of a total of 3,274,172 heads of families who have not been able to access proper sanitation. Serang City occupies the 4th lowest position in terms of its people's ability to access proper sanitation with a percentage of 92.54%. This research aims to determine the relationship between determinants that influence latrine ownership in the community in the Serang City Health Center Work Area in 2023. The research uses a cross-sectional research design. This research aims to study the dynamics of the correlation between the independent variables, namely public perception about open defecation, socio-economic status and availability of facilities with the dependent variable, namely latrine ownership. This research uses an approach, observation and data collection taken at the same time at a certain time. The research was carried out in December 2023-January 2024 in the working area of the Serang City Health Center, namely Sukawana Village, Serang City, Banten Province.

Motivation of Officers towards the Results of Vessel Sanitation Hygiene Inspections at Class I Quarantine Center (BKK) Banten Budiman; Lukman Waris; Ismarina
Health and Technology Journal (HTechJ) Vol. 2 No. 2 (2024): April 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i2.187

The spread of infectious diseases through sea transportation has become a global threat to public health. In this context, the role of the Banten Class I Health Quarantine Center (BKK) is crucial to ensure that ships entering the port area meet cleanliness and sanitation standards. This study explores the motivation of Class I Banten Health Quarantine Center (BKK) officers and the performance of Ship Sanitation Hygiene (HSK) inspection results in the Banten port area. The method used is qualitative. With 12 participants working in BKK Class I. In qualitative research using the "Rapid Assessment Procedure" (RAP) research design, motivational variables such as hope, orientation, enthusiasm, optimism, and valence were explored in their relationship to the quality of HSK examination results. These findings provide important insights for the management of BKK Class I Banten to increase the motivation and performance of officers in carrying out HSK inspection duties. Recommendations from this study can help improve the effectiveness of managing ship cleanliness and sanitation at the port of Banten and reduce the risk of spreading disease through sea transportation.

BEBERAPA FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN DIET PENDERITA DIABETES MELLITUS Nilam Noorma; Lia Kurniawati; Ismanilda Ismanilda; Lukman Waris
Ensiklopedia Research and Community Service Review Vol 5, No 3 (2026): Vol. 5 No. 3 Juni 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i3.3924

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by elevated blood glucose levels due to impaired insulin production, impaired insulin action, or a combination of both. The objective of this study was to identify factors associated with dietary adherence among patients with diabetes mellitus. A cross-sectional study design was used. The study was conducted in the service area of the Medan Sunggal Community Health Center. The study was carried out in April 2025. The study population consisted of all patients with type 2 DM registered at the Medan Sunggal Community Health Center. The study sample comprised 55 respondents. Purposive sampling was used. The research instrument was a questionnaire. Data analysis was performed using univariate and bivariate methods. The results showed a significant association between attitude (p-value: 0.027) and family support (p-value: 0.000) and dietary compliance among patients with type 2 diabetes. It is recommended that patients with type 2 diabetes continue to improve their health by regularly monitoring their blood sugar levels, following a blood sugar-controlled diet, and exercising regularly so that their quality of life will improve.Keywords: Type 2 DM, Family Support, Attitude.

The role of calcium-fortified milk in preventing osteoporosis in the elderly: A Literature Review Lukman Waris
Nutrition and Health Insights Vol. 2 No. 2 (2025): October
Publisher : DAPU Aceh Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63197/nahi.v2i2.38

Osteoporosis is a common degenerative disease among the elderly that increases fracture risk and ranks among the top 10 global degenerative conditions according to WHO. This study reviews evidence on the effectiveness of calcium-rich milk and dairy products in preventing osteoporosis in older adults. This is a review was conducted using purposive sampling of journal articles from 2008 to 2022 from Google Scholar. Studies were evaluated based on Elwood’s framework, focusing on evidence description, internal and external validity, and biological plausibility. As a result, all articles confirmed calcium’s role in bone formation and maintenance. Two review articles highlighted the importance of calcium and vitamin D for bone health, particularly in specific groups like long-term corticosteroid users and older adults with mineral imbalances; however, they lacked empirical data and statistical analysis. Two cross-sectional studies showed associations between calcium intake and improved bone mineral density or reduced osteoporosis risk, but limitations such as uncontrolled confounders and incomplete statistics reduce confidence in these findings. No longitudinal or randomized controlled trials were identified to establish causality or dose-response relationships. Although calcium is essential for bone health, current evidence is insufficient to conclusively support calcium-fortified milk as an effective intervention to prevent osteoporosis in the elderly. Further longitudinal and randomized controlled studies are necessary to provide robust data to inform public health policies. As an immediate step, health practitioners should promote a balanced diet rich in calcium and vitamin D alongside lifestyle modifications such as regular weight-bearing exercise to support bone health in older adults.

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