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Implementasi Clinical Risk Management pada Instalasi Gawat Darurat di RSUD Banyumas Intiasari, Arih Diyaning; cahyawaning, putri titis; Aji, Budi
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 (90.702 KB) | DOI: 10.20884/1.ki.2018.10.2.1234

Abstract

Background: Patient safety is a system in hospital to make patient care safer. The system includes risk assessment, identification and management of patient risk, incident analysis and report, capability of learning from an incident and its follow-up, and solution implementation to minimize risk. Risk management is reducing mistakes and accidents as low as possible, and minimizing possible worst outcome for patient. Methodology: This research is an evaluative descriptive qualitative research. Informants in this research are 4 health workers, 2 stakeholders, and 2 Hospital committee chosen using purposive sampling method. The techniques used for data collection are in-depth interview, observation, and documentation. Data analysis used is content analysis. Result: Four global themes obtained are: input implementation is still not good; implementation process is good enough but there are some obstacles; output implementation has some drawback; implementation of programs has some obstacles; role of policy makers for strategy in implementation. Conclusion: CRM implementation in Emergency Room of RSUD Banyumas is passable and could provide some benefits to its human resources, however some drawbacks still exist in the implementation.  
E MUSCULOSKELETAL DISORDERS (MS PENGARUH WORKPLACE STRETCHING EXERCISE TERHADAP PENURUNAN KELUHAN MUSCULOSKELETAL DISORDERS(MSDs) PADA PEKERJA BATIK TULIS DI KECAMATAN SOKARAJA harwanti, siti; Ulfah, Nur; Aji, Budi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Batik maked process especially ?mbironi?, is done in sit position. If this position maintained for a long period, that could be cause muscle strain which may lead into musculoskeletal disorders. The research was aim to know the effect of Workplace Stretching Exercise (WSE) to reduced MSDs in hand-made batik workers. The research was quasy experimental by non-equivalent control group design. Subjects were 37 female handmade batik workers used purposive sampling. Data analysis used Friedman test and Wilcoxon test, then for two independent sample used Independent t Test and Mann Whitney test with significancy level at 5% or ? = 0,05. Analysis result show that there is no difference in MSDs on experiment and control group after pre-test which had p-value = 0,371 (>0,05). The result of middle-test and post-test p value = 0,000 (<0,05) that there is significant mean difference of MSDs between experiment and control group. Based on the middle-test and post-test analysis result, it could be conclude that there is an effect of WSE to reduce MSDs of handmade batik workers.
EFFECT OF BACK EXERCISE TO DECREASE LOW BACK PAIN OF BATIK ARTISANTS IN KAUMAN VILLAGE, SOKARAJA harwanti, siti; Aji, Budi; Ulfah, Nur
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 11 No 1 (2019): 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 (97.479 KB) | DOI: 10.20884/1.ki.2019.11.1.1434

Abstract

ABSTRACT Low back pain ( LBP ) is a musculoskeletal disorder that occurs in the lower back which can be caused by various diseases and  activity of the body being less good. One effort to overcome the LBP is back exercise. The research purpose is to find out the effect of back exercise therapy which concern to lowering painful complaint of batik artisants in Kauman village Sokaraja subsdistrict. This research is using Quasi Experiment technique phenomenological non equivalen control group design (pre -post test). Sample taking is using purposive sampling technique. Data analysis use Friedman experiment for treatment group and Repeated Annova experiment for control group. Experiment analysis is different between treatment group and control group with using Mann Whitney experiment. The result of Friedman experiment in treatment group shows that p-value=0,000(p<0,05), it means the therapy those given is effective to lowering painful complaint. The result of Repeated Annova experiment in control group shows that p-value=0,234(p>0,05), it means the painful complaint seems not different in control group. The result of Mann Whitney experiment shows that p-value=0,000(p<0,05) it means there are differences between painful complaint in treatment group and control group after doing back exercise. There is the effect by giving back exercise therapy which concern to lowering the complaint of low back pain for batik artisants in Kauman village Sokaraja subdistrict.   Key words: Handmade Batik, Low back pain, back exercise
PENGARUH POSISI KERJA ERGONOMI TERHADAP LOW BACK PAIN (LBP) PADA PEKERJA BATIK DI KAUMAN SOKARAJA Harwanti, Siti; Aji, Budi; Ulfah, Nur
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 8 No 1 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Sitting position on the batik worker in the long term and do repeatedly with high accuracy, the position of having the risk of LBP. Based on survey 52 workers (86.7%) experienced LBP. This research used Quasi Esperimental with working position ergonomic. Sample used in this study were 15 workers. The analysis data used non-parametric Wilcoxon test. Results showed no effect of working position ergonomics to LBP before and after using the model position ergonomic work on the first day with a value of p = 0.001, no effect of working position ergonomics of the complaint LBP before and after using the working position ergonomics good day 2 with a value p = 0.000, no effect of ergonomic working position against LBP complaints before and after using the ergonomic working position either day 3 with p = 0.000.
HUBUNGAN POSISI KERJA, POSISI KEPALA DAN JARAK JANGKAUAN DENGAN KELELAHAN FISIK PEKERJA BATIK DI DESA KAUMAN SOKARAJA Harwanti, Siti; Aji, Budi; Ulfah, Nur
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 8 No 2 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Handmade batik worker is a job used sit position. Indecent sit position will cause workers feel fatigue faster. The objective of this research is to know correlation work sit position with physical fatigue at handmade batik workers. This research used analytic observational with crossectional approachment. Sample are 41 female handmade batik workers with total sampling as sample election technique. The data analyze used chi square test with 5% level error or ? = 0,05. Bivariate analyze at back position variable obtain p-value = 0,001 (< 0,05). Head and neck position variable obtain p-value = 0,108 (> 0,05). Hand range variable obtain p-value = 0,000 (< 0,05). Work sit position obtain p-value = 0,001 (< 0,05). Back position variable, hand range variable and work sit position have correlation with physical fatigue.
HUBUNGAN KELELAHAN KERJA, MASA KERJA, INTENSITAS PENCAHAYAAN, DENGAN KETAJAMAN PENGLIHATAN TENAGA KERJA OUT SOURCING PT. HYUP SUNG PURBALINGGA Ngadiman, Ngadiman; Harwanti, Siti; Aji, Budi; Ulfah, Nur
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Decreasing of global economy affected the whole industrial sector, specially exporting industries. Employers (corporation) with those condition, will make efficiency and focusing to the efforts to handle capital, management and marketing. Occupational Health and Safety is a high cost effort for corporations with capital problem. Out sourcing workers employees is on alternative choosen by a corporation for more flexible, well know working environment and cheaper less cost. PT. Hyup Sung is corporation working on eye lash. The aim of this research was to find the relationship between work fatigue, working duration, light intensity with sight-sharpness among the out sourcing workers. The research was using cross sectional survey with 65 respondent. Bivareat analysis shown that the work fatigue significantly related with right sight-sharpness (p= 0,007; r= 0,332), but doesn?t related with the left (p= 0,825; r= 0,628). Working duration doesn?t related with the right sight-sharpness (p= 0,614; r= 0,064) nor the left (p= 0,186; r= 0,136). The light intensity doesn?t related with sight-sharpness (p= 0,972; r= 0,004) nor the left (p= 0,833; r= 0,027). Based on the results, work fatigue significantly related with right sight-sharpness for that, suggested to do the continous preventif and promotif effort in order a prevent decreasing of sight-sharpness, it could be done by providing the standard working facilities, education about the importance of health for workers , also periodic health monitoring.
PEMODELAN KUANTITATIF DETERMINAN-DETERMINAN YANG MEMPENGARUHI KEMATIAN PERINATAL Sri rejeki, Dwi Sarwani; Aji, Budi
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 1 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Martenal Mortality Rate (MMR) and Perinatal Death Rate (PFR) were indicators to measure performance of antenatal carte for all countries.  Every year about eight million perinatal death rates or die in the first month of delifery. Perinatal Death Rate (PFR) in Banyumas Regency was 2,96/100 or 62 cases in 2005. High Perinatal Death Rate in Banyumas Regebcy caused researched interested to identify causal factors related PDR. Quantitative modeling to analyze causal factors of perinatal Death Rate. The study observational research with case control design approach, there were 58cases and 58 sampling. As case group was all PDR in BAnyumas Regency and control groupwas all survive baby borne in the same block (1RT) and the same brith day with case group. There are some significantly effect toward perinatal death rate, asphyxia (OR=93,13 95% CI=12,06 ? 917,31); Low income (OR = 76,70 95% CI=4,56 ? 1289,08 ; Infection ((OR=46,06 95% C1=3,64 ? 582,68) ; and lowbirth weight (OR 7,55 95% C1 =1,71 ? 33, 25). Quantitative model  as following Y             = 1 1+ e ?(constans + B asphyxia + B infection+B low birth  weight Continuum antenatal care and seeking for health treatment if there are any co morbiduity with the baby such as asphyxia , infectuoinn an low birth weight.
Utilization of Preventive Health Check-Ups Among Older People in Rural Indonesia Aji, Budi; Anandari, Dian; Masfiah, Siti; Wijayanti, Siwi Pramatama Mars; Chamchan, Chalermpol
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.275 KB) | DOI: 10.30604/jika.v6i1.464

Abstract

The use of preventive health check-ups among older people was driven by health status and socioeconomic factors. This present study identified the determinants of preventive health check-up utilization among older people in rural Indonesia. This study had been conducted in rural areas in the district of Banyumas, Central Java, Indonesia. A cross-sectional survey had been carried out and a total of 412 older people were selected by using multistage sampling. Logistic regression determined the predictors of preventive health check-up utilization. The majority of the older people were female (75.5%) with low levels of educational attainments (56.3%). Factors including chronic illnesses and uneducated were associated with preventive health check-ups among older people. Older people with chronic illnesses (p less than 0.05, OR = 6.276) were more likely to use preventive health check-ups. Further, uneducated older people (p less than 0.05, OR = 12.562) were less likely to use preventive health check-ups in rural areas. Health status becomes a prominent factor that influences health care utilization among older people. Health interventions targeting identified at-risk subgroups are potential for fulfilling the demand for health care among older people who live in the community, particularly in rural areas. Health promotion for enhancing health literacy among older people would improve the utilization of preventive health check-ups among older adults. Abstrak: Pemanfaatan layanan pemeriksaan kesehatan untuk lansia ditentukan oleh kondisi kesehatan dan faktor sosialekonominya. Kajian ini bertujuan untuk mengidentifikasi faktor-faktor determinan pemanfaatan pemeriksaan kesehatan pada lansia di wilayah pedesaan. Kajian ini dilaksanakan di Kabupaten Banyumas, Jawa Tengah, Indonesia. Survei dilakukan dengan menggunakan pendekatan belah lintang dan multistage random sampling terhadap 412 lansia. Data selanjutnya dianalisis dengan menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa sebagian besar (75,5%) lansia adalah perempuan dengan tingkat pendidikan yang rendah (56,3). Status penyakit kronis dan tidak berpendidikan pada lansia berpengaruh signifikan secara statistik dengan pemanfaatan pemeriksaan kesehatan. Lansia yang memiliki penyakit kronis (p kurang dari 0,05, OR = 6,276) cenderung lebih memanfaatkan layanan pemeriksaan kesehatan, sedangkan lansia yang tidak berpendidikan (p kurang dari 0,05, OR = 12,562) cenderung kurang memanfaatkan layanan pemeriksaan kesehatan tersebut. KOndisi status kesehatan menjadi faktor utama yang mempengaruhi lansia untuk memanfaatkan layanan pemeriksaan kesehatan. Oleh karena itu intervensi kesehatan yang sesuai untuk kelompok usia berisiko tersebut pontensial untuk dapat memenuhi harapan bagi lansia yang tinggal di daerah pedesaan. Promosi kesehatan untuk meningkatan tingkat literasi terhadap pentingnya layanan kesehatan bagi lansia akan dapat meningkatkan pemanfaatan layanan kesehatan tersebut.
Does Covid-19 pandemic influence the sustainability of health insurance membership among informal workers in Indonesia? Aji, Budi; Rachmatika, Hasna Tri; Maharani, Afrina; Intiasari, Arih Diyaning; Anandari, Dian; Malik, Ahmad Azam
Insights in Public Health Journal Vol 4 No 2 (2023): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2023.4.2.8909

Abstract

Background This study aims to find out the impact felt by informal sector workers due to the Covid-19 pandemic and their efforts to maintain the membership of the NHI program. Methods This was qualitative research with a case study approach. Eight study participants had been selected for this study. All interviews then transcribing verbatim for further data analysis. The analysis was conducted by using thematic networks approach. Results There were four themes emerged from the analysis. The themes covering issue about: i) the influence of the Covid-19 pandemic on the informal sector; ii) coping strategies for maintaining NHI premium payment; iii) the role of social capital for supporting informal workers during Covid-19 pandemic; and iv) policy recommendation for protecting the informal sector for maintaining NHI membership. Conclusions This study highlights the strategic position of cooperatives in supporting their members from the burden of NHI premium payment. Government is needed to support the informal workers product so can improve the economic condition these such population.
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