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Iklim Kerja Di PT Pelindo Terminal Petikemas TPK Bitung: Implikasi Terhadap Kesehatan Dan Keselamatan Kerja Chasy Mandalika; Oksfriani Jufri Sumampouw; Afnal Asrifuddin
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1309

Abstract

Iklim kerja, khususnya suhu tinggi, berpengaruh signifikan terhadap kesehatan dan produktivitas pekerja. Paparan panas yang ekstrem dapat meningkatkan risiko gangguan kesehatan, termasuk penyakit kardiovaskular. Penelitian ini bertujuan untuk menilai kondisi iklim kerja di PT Pelindo Terminal Petikemas TPK Bitung dan mengkaji potensi risikonya terhadap kesehatan pekerja. Penelitian ini menggunakan desain deskriptif dengan pendekatan kuantitatif. Variabel yang dikaji adalah iklim kerja, yang diukur menggunakan Heat Stress Monitor selama shift siang (08.20–19.40 WITA) dengan interval pengukuran setiap 40 menit. Analisis univariat dilakukan untuk menggambarkan distribusi parameter suhu. Suhu rata-rata iklim kerja tercatat sebesar 29°C, dengan suhu minimum dan maksimum masing-masing 26°C dan 35,5°C. Berdasarkan Peraturan Menteri Ketenagakerjaan No. 5 Tahun 2018, nilai Wet Bulb Globe Temperature (WBGT) sebesar 29°C masih berada dalam batas aman untuk beban kerja ringan hingga sedang, namun dapat melebihi batas ambang bila dikaitkan dengan aktivitas kerja berat di bawah paparan sinar matahari langsung. Iklim kerja di PT Pelindo Terminal Petikemas TPK Bitung tergolong dalam kategori yang dapat berdampak pada kesehatan kerja, tergantung pada intensitas dan jenis aktivitas yang dilakukan. Intervensi preventif diperlukan untuk meminimalkan risiko stres panas.
Analysis of Socio-Demographic and Access-Related Factors Associated With Condom Use Among Female Sex Workers Eklesia Putri Doda; Angela Fitriani Clementine Kalesaran; Afnal Asrifuddin
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 3 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.3.354-366

Abstract

Manado City recorded the highest number of HIV/AIDS cases in North Sulawesi in 2023, with 1,027 HIV cases and 1,128 AIDS cases. Female Sex Workers (FSWs) are considered a high-risk group for infection. One of the simplest ways to prevent HIV/AIDS transmission among FSWs is by using condoms during sexual intercourse. The objective of this study was to analyze factors associated with condom use in HIV/AIDS prevention among FSWs in Manado City. This was a quantitative research using an analytical survey method with a cross-sectional study approach. The sample consisted of 108 respondents selected using a purposive sampling technique, and the research instrument employed was a questionnaire. The result of bivariate analysis using the chi-square test shows that education (p = 0.027), age at becoming as female sex worker (p = 0.026), and condom availability (p = 0.000) are significantly associated with condom use among female sex workers. The result of multivariate analysis shows that the dominant factors influencing condom use were education (exp(B) = 4.249) which means that education has a 4.249 times greater influence on the likelihood of condom use, indicating that individuals with higher education tend to use condoms more often and condom availability (exp(B) = 51.582) which means that condom availability has a 51.582 times greater effect on the likelihood of condom use, indicating that better access to condoms significantly increases the likelihood of their use. The results of this study can be used by North Sulawesi Indonesia Family Planning Association and related institutions to design more effective intervention programmes, consistently increase condom availability and educate people about the benefits of condom use.
Description of the attitudes of female students toward human papillomavirus (HPV) vaccination Nadya Juliaty Kacaribu; Chreisye K. F. Mandagi; Afnal Asrifuddin
JOURNAL OF Mental Health Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i2.3136

Abstract

Background: Cervical cancer is a significant global health problem, with most cases caused by infection with oncogenic types of Human Papillomavirus (HPV). In Indonesia, HPV immunization coverage remains suboptimal. Female university students, as agents of change, are expected to play an active role in prevention through their knowledge, attitudes, and practices regarding HPV immunization. Purpose: To describe the behavior of female students toward HPV immunization, including knowledge, attitudes, and practices. Method: A quantitative descriptive design with a cross-sectional approach. The population consisted of all active female students from the 2021–2025 cohorts, totaling 990 individuals. A sample of 102 respondents was determined using the Lem show formula and selected through stratified random sampling. Data were collected using an online questionnaire (Google Form) that had been tested for validity and reliability. Data analysis was conducted univariately to describe the frequency distribution of each variable. Results: The results showed that most respondents had a moderate level of knowledge (38.2%), followed by low (32.4%) and good (29.4%) levels. Attitudes toward HPV immunization were overwhelmingly positive (98.0%), with only 2.0% showing negative attitudes. However, none of the respondents (0%) had received the HPV vaccine, although the majority (77.5%) expressed willingness to be vaccinated if it were available. Conclusion: The knowledge of female students is generally moderate, and their attitudes toward HPV immunization are highly positive; however, this is not reflected in actual vaccination behavior. There is a gap between intention and practice, indicating the need for more effective interventions to improve access and promote HPV vaccination uptake. Keywords: Attitude; Cervical Cancer; Female Students; HPV; Immunization; Knowledge; Practice.
Faktor-Faktor Yang Berhubungan Dengan Skrining Human Immunodeficiency Virus (HIV) Pada Ibu Hamil Di Puskesmas Kolongan Kabupaten Minahasa Utara Michaella Louisa Korah; Afnal Asrifuddin; Grace Debbie Kandou
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.878

Abstract

Background: Human Immunodeficiency Virus (HIV) remains a major public health problem affecting both mothers and children due to the risk of mother-to-child transmission during pregnancy, childbirth, and breastfeeding. HIV screening among pregnant women is an essential strategy to prevent vertical transmission. Objective: This study aimed to analyze the association between maternal knowledge, family support, and HIV screening among pregnant women at Kolongan Community Health Center, North Minahasa Regency. Methods: A quantitative study with a cross-sectional design was conducted from February to May 2026. Eighty pregnant women were selected through purposive sampling from a population of 473 pregnant women. Data were collected questionnaires and analyzed using univariate analysis and Spearman rho correlation test. Results: Most respondents had good knowledge (mean=3.69) and received good family support (mean=39.71). Bivariate analysis showed a significant association between maternal knowledge and HIV screening (p=0.030; r=0.242), as well as between family support and HIV screening (p<0.001; r=0.385). Conclusion: Maternal knowledge and family support were significantly associated with HIV screening among pregnant women. Suggestion: Strengthening health education and involving family members, particularly husbands, are recommended to improve HIV screening coverage among pregnant women.
Hubungan Antara Perilaku Pelaksanaan 4M Plus dengan Kejadian Penyakit Demam Berdarah Dengue di Puskesmas Tatelu Alfa Prisilia Maria Manua; Afnal Asrifuddin; Grace D. Kandou
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1145

Abstract

Dengue fever is a disease caused by the dengue virus transmitted by the Aedes aegypti and Aedes albopictu mosquitoes. The incidence of dengue fever in Indonesia as of week 22 of 2022 was 45,387 cases, while deaths due to dengue fever reached 432 cases. The Ministry of Health reported that in Indonesia, cases of dengue hemorrhagic fever (DHF) reached 71,633 as of July 2020. According to data from the Minut Health Office (Dinkes), a total of 364 dengue fever cases were detected throughout 2024. The Tatelu Community Health Center (Puskesmas) is an area with a high dengue fever prevalence. In 2022, 27 cases were detected, increasing to 67 in 2023. In 2024, the number increased dramatically, reaching 110 cases between January and May 2024. This study aimed to analyze the relationship between the implementation of 4M Plus and the incidence of dengue fever at the Tatelu Community Health Center. The study used a quantitative method with an analytical observational study design, a cross-sectional study, and was conducted from February to March 2026. A sample of 71 people was selected based on inclusion and exclusion criteria using a purposive sampling technique. The Chi-square test yielded a p-value for the relationship between 4M Plus implementation and dengue fever incidence of 0.000. Based on this study, it can be concluded that there is a meaningful relationship between the implementation of 4M Plus and the incidence of DHF at the Tatelu Community Health Center.
Edukasi STBM Pilar 1 dalam Meningkatkan Pengetahuan Masyarakat tentang Stop BABS di Desa Tanamon Sri Seprianto Maddusa; Afnal Asrifuddin; Eva Mariane Mantjoro
Mestaka: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 5 (2026): Oktober 2026
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/mestaka.v5i5.1122

Abstract

Open Defecation (OD) remains a sanitation issue in Tanamon Village, East Amurang District, South Minahasa Regency. This situation is driven by low community awareness regarding sanitation, long-standing generational habits, and limited access to sanitary latrines. This community service activity aimed to enhance community knowledge regarding Pillar 1 of Community-Led Total Sanitation (STBM) to support behavioral change towards eliminating open defecation. A participatory education method with a one-group pretest-posttest design was employed. The activity involved 30 participants selected through purposive sampling. Education was delivered via interactive lectures, discussions, and Q&A sessions, utilizing visual aids to cover topics such as the dangers of open defecation, environmental pollution, environmental-related diseases, the use of sanitary latrines, the F-Diagram concept, and the Open Defecation Free (ODF) status. Evaluation was conducted using knowledge questionnaires administered before and after the educational intervention. The results demonstrated an improvement in community knowledge levels following the intervention. The proportion of participants in the "good" knowledge category rose from 40.0% to 50.0%, and the "fair" category increased from 10.0% to 30.0%, while the "poor" knowledge category decreased from 50.0% to 20.0%. The most significant gains in understanding were observed regarding the definition of open defecation (50.0%), the impact of helminth infections (43.4%), pollution caused by feces (36.7%), and the F-Diagram concept (36.6%). These findings indicate that STBM Pillar1 education is effective in improving community knowledge regarding sanitation and the prevention of environmental-related diseases. Sustained educational activities involving village authorities, health volunteers, and community leaders are expected to reinforce behavioral changes, ultimately leading the village toward Open Defecation Free (ODF) status.
Hubungan Stres Kerja dengan Kualitas Tidur pada Perawat di Instalasi Rawat Inap Rumah Sakit Advent Manado Christanti Permataratri Baso; Paul Artur Tennov Kawatu; Afnal Asrifuddin
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.7375

Abstract

Sleep quality is a person's level of satisfaction and the extent to which a person gets enough sleep according to their needs. Poor sleep quality can trigger various problems at work, potentially leading to workplace accidents. Sleep disturbances and poor sleep quality are common among nurses, impacting their well-being and performance. High work stress and a challenging work environment are the main contributing factors to problems with sleep quality. Occupational stress has a significant role in affecting a person's sleep quality. High levels of stress can disrupt sleep patterns and decrease the quality of rest, thus impacting health. A YouGov survey in 2023, revealed that most adults in various countries, including Indonesia, still do not achieve ideal sleep hours. This study aims to analyze the relationship between work stress and sleep quality in nurses at the inpatient installation of Advent Hospital Manado. This study used analytic observational research with cross sectional study design. The population in this study were nurses working in the inpatient installation of Advent Hospital Manado with a total sample of 73 people with the sampling method used was total sampling. The results of the Spearman Rank test showed a significant relationship between work stress and sleep quality (p = 0.003 < α = 0.05), the correlation coefficient value (r) = 0.348 which is included in the weak category with a positive correlation direction (+). Based on the research conducted, it can be concluded that there is a significant relationship between work stress and sleep quality in nurses at the inpatient installation of Advent Hospital Manado.
Gambaran Faktor-Faktor Hipertensi di Wilayah Kerja Puskesmas Ratahan Timur Kabupaten Minahasa Tenggara Clarisa Claudia Rogahang; Jeini Ester Nelwan; Afnal Asrifuddin
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1455

Abstract

Hypertension is one of the major public health problems that may increase the risk of cardiovascular disease, stroke, and kidney disorders. This study aimed to describe the factors of hypertension in the working area of Ratahan Timur Community Health Center, Southeast Minahasa Regency. This study used a descriptive quantitative method with a cross-sectional design. The sample consisted of 93 respondents selected using total sampling. The variables examined included age, sex, family history, alcohol consumption, smoking habits, stress level, and physical activity. Data were collected through interviews using questionnaires, while hypertension status was determined based on the diagnosis recorded in the respondents’ medical records. Data were analyzed using univariate analysis presented as frequency distributions and percentages. The results showed that most respondents were aged ≥60 years (66.7%), female (64.5%), had a family history of hypertension (57.0%), did not consume alcohol (83.9%), did not smoke (73.1%), experienced moderate stress (76.3%), and had high physical activity (59.1%). Based on hypertension status, 76 respondents (81.7%) were classified as hypertensive. Among hypertensive respondents, most were aged ≥60 years, female, had a family history of hypertension, and experienced moderate stress. All current alcohol consumers were found in the hypertensive group, while high physical activity was the most common category in both hypertensive and non-hypertensive groups. This study provides an overview of the characteristics of factors found among respondents according to hypertension status in the working area of Ratahan Timur Community Health Center.