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Analysis of Test Result Timeliness as a Laboratory Service Quality Indicator Sadaria, Sadaria; Wisnuwardani, Ratih Wirapuspita; Adrianto, Ratno; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Timeliness of laboratory result reporting is a key quality indicator that reflects efficiency, professionalism, and customer satisfaction in accordance with ISO 15189:2022 standards. Reporting delays remain a common issue in public laboratories due to limited resources and system inefficiencies. This study addresses practical, scientific, and theoretical gaps in understanding factors influencing turnaround time (TAT) in regional laboratories and how digital quality systems can improve service performance. Objective : This study aimed to analyze the level of reporting timeliness and identify factors contributing to delays at the Provincial Health Laboratory (UPTD Labkes) of East Kalimantan during January–June 2025. Research Methods/ Implementation Methods : A descriptive quantitative approach was applied using primary data from laboratory test logs, interviews, and field observations, along with secondary data from internal quality indicator reports. Results : he findings revealed an average reporting timeliness of 88.2%, still below the minimum internal quality target of 90%, with variations among divisions. The Biomolecular and Calibration units achieved 100%, while the Congenital Hypothyroid Screening (CHS) program recorded the lowest timeliness at 86.8%. Reporting delays were mainly due to high workloads, limited human resources, suboptimal LIS/SIL transition, technical constraints in MMPI scoring, and reagent supply delays. Conclusion/Lesson Learned : Improvement strategies include optimizing human resource planning, strengthening integrated digital systems, enhancing staff competence through the PDCA cycle, and real-time reagent monitoring. Digital transformation and continuous quality system implementation are strategic measures to achieve fast, accurate, and trustworthy laboratory services aligned with international standards.
Implementation of Hospital Occupational Health and Safety Programs in Indonesia: A Scoping Review Agustina, Putri; Ramdan, Iwan Muhamad; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Hospitals expose employees to various occupational hazards, including biological, chemical, ergonomic, and psychosocial risks. Although Indonesia has regulations such as Minister of Health Regulation No. 66/2016 on Hospital OHS (K3RS) and the 2024 Hospital Accreditation Standards (KMK No. 1596/2024), OHS program implementation remains inconsistent. Understanding their execution is crucial to enhancing worker and patient safety. Objective : This scoping review aims to map existing evidence on the implementation of hospital occupational health and safety programs (K3RS) in Indonesia, focusing on governance, risk management, program domains, monitoring indicators, enablers, and barriers. Research Methods/ Implementation Methods : The review followed the Joanna Briggs Institute (JBI) framework and PRISMA-ScR guidelines. Literature published between 2015 and 2025 was identified from PubMed, Google Scholar, GARUDA, and DOAJ using keywords related to “K3RS,” “hospital,” “implementation,” and “Indonesia.” Eligible studies included empirical research, reports, and policy analyses focusing on K3RS implementation. Data were charted and synthesized thematically. Results : Hospitals expose employees to various occupational hazards, including biological, chemical, ergonomic, and psychosocial risks. Although Indonesia has regulations such as Minister of Health Regulation No. 66/2016 on Hospital OHS (K3RS) and the 2024 Hospital Accreditation Standards (KMK No. 1596/2024), OHS program implementation remains inconsistent. Understanding their execution is crucial to enhancing worker and patient safety. Conclusion/Lesson Learned : Implementation of hospital OHS programs in Indonesia is progressing but uneven. Strengthening governance, standardizing indicators, and embedding risk-based monitoring are essential for achieving safer hospital work environments.
AI-Driven Occupational Health and Safety Innovation: The Sehat Kerjaku Application Supporting CHSE at Hospitality Sector Lestari, Ida Ayu Indira dwika; Nugraha, Ida Bagus Aditya; Dewi, Etick Pristyan; Wardana, I Putu Mahendra Adi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Stunting remains a significant chronic nutritional problem in Indonesia, particularly among children born to adolescent mothers. These young mothers often face limitations in nutritional knowledge, lower health literacy, and suboptimal reproductive preparedness, which collectively increase the risk of stunting in their children. Objective : This study aimed to conduct a review to determine the association between adolescent mothers’ nutritional knowledge and the incidence of stunting in toddlers, and to identify the contributing factors. Research Methods/ Implementation Methods : This was a systematic review conducting following the PRISMA guidelines and utilizing the Population, Concept, and Context (PCC) framework. Articles were collected through searching the Scopus, PubMed, Google Scholar, and Crossref databases for studies up to October 2025. Two reviewers independently screened and included full- text article that examined Mothers Knowledge and stunting, focusing on the concept of knowledge, adolescent mother, and stunting. Results : A review included five articles. Adolescent mothers’ knowledge had a significant association with the incidence of stunting. This association was often strengthened by confounding factors such as socio-economic status, low education levels, limited access to healthcare services, and inadequate childcare practices. Several studies found that improving maternal nutritional literacy and initiating early prenatal care can effectively reduce the risk of stunting in children. Conclusion/Lesson Learned : Low nutritional knowledge among adolescent mothers is confirmed as an important determinant of stunting in toddlers. Intervention efforts need to be focused on enhancing the education and nutritional literacy of adolescent girls through structured programs, including school-based education, adolescent mother classes in community health centers (Puskesmas), and targeted community campaigns. The integrated approach is crucial to break the intergenerational cycle of stunting and foster the development of quality human resources.
The Physical and Psychosocial Risk Factors of WRMSDs AmongNurses in Hospital: A Systematic Review Prayogi, Wahyu Tri; Ramdan, Iwan Muhamad; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Nurses are one of the professions most vulnerable to musculoskeletal pain due to their physically demanding clinical work, which involves prolonged standing, walking, heavy lifting (e.g., carrying patients, medical equipment), and repetitive movements. Objective : The aim of this study was to investigate the prevalence of musculoskeletal disorders at body region on nurses and its associated physical and psychosocial factors in the workplace. Research Methods/ Implementation Methods : This study is a systematic review of the prevalence of WRMSDs and their association with physical and psychosocial factors in nurses. The study was designed using reporting methods based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Results : A review shows that the prevalence of WRMSDs in nurses is very high, ranging from 77%– 97%, with the most frequently affected locations being the lower back, neck, and shoulders. The most frequently reported physical factors are significantly associated with: awkward postures, lifting or moving patients, lack of assistive devices, long work hours and inadequate rest, and understaffing. Psychosocial factors have a significant direct or indirect influence on WRMSDs in many studies: job stress and high psychological demands, lack of social support, work-family conflict, poor leadership, and anxiety or burnout. Conclusion/Lesson Learned : WRMSDs are the most common occupational health problem among nurses. Physical and psychosocial factors contribute significantly, both independently and mutually reinforcing. Effective prevention must include multidimensional interventions, including: Improved work ergonomics (assistive devices, work positions, task rotation), workload management and shift schedules, increased social support and positive leadership, and stress management and psychological well-being programs.
Determinants of Personal Protective Equipment (PPE) Compliance and Occupational Health and Safety (OHS) Risk Management Mustika, Mustika; Lestari, Ida Ayu Indira Dwika; Ramdan, Iwan muhammad; Sultan, Muhammad
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Occupational accidents remain a major global issue, particularly in developing countries such as Indonesia. Compliance with Personal Protective Equipment (PPE) and effective Occupational Health and Safety (OHS) risk management are key strategies to reduce workplace hazards. However, studies show that compliance levels vary widely, influenced by individual, organizational, and technical factors. Objective : This literature review aims to synthesize findings from five empirical and analytical studies related to PPE compliance and OHS risk management in multiple work contexts, including construction, laboratory, and emergency services. Research Methods/ Implementation Methods : A narrative synthesis was conducted based on five peer-reviewed studies published between 2021–2025. Articles were selected using inclusion criteria: (1) focus on PPE compliance or OHS risk management, (2) based on empirical data, (3) conducted in Indonesia. Extracted data included study design, population, key variables, and findings. Results : Knowledge, attitude, and availability of PPE consistently emerged as significant determinants of compliance across studies. Organizational factors such as policy, supervision, and training quality also affected compliance. However, inconsistencies were found regarding the impact of work tenure and training. Technical and administrative controls, as emphasized in laboratory-based studies, complemented behavioral aspects but were rarely integrated into behavioral research frameworks. Conclusion/Lesson Learned : PPE compliance is a multifactorial issue driven by behavioral, organizational, and technical determinants. Future research should adopt integrative and experimental designs to assess causal relationships, evaluate training effectiveness, and connect risk management practices with worker behavior.
Effectiveness of Occupational Health and Safety (OHS) Technical Guidance on Improving the Knowledge of OHS Personnel Sumarianto, Arif; Ramdan, Iwan Muhamad; Lestari, Ida Ayu Indira Dwika
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : One of the requirements for Occupational Health and Safety (OHS) in the workplace is the availability of competent personnel who possess authority in managing workplace environmental safety. Technical guidance is an important strategy to strengthen personnel competency, yet its effectiveness must be evaluated systematically. Objective : To analyze the effectiveness of OHS technical guidance using the Kirkpatrick Model level 2 evaluation. Research Methods / Implementation Methods : This descriptive-analytical study employed a one- group pre-test post-test design. Pre-test assessments were conducted before participants received the training materials, followed by post-test assessments afterward. A total sampling technique was used, involving 25 participants of the OHS Technical Guidance for the Workplace Environment organized by Balai K3 Samarinda on October 21–24, 2025. Results : Statistical analysis showed a significant difference between pre-test and post-test scores, indicating an improvement in participants’ knowledge following the training sessions. Conclusion / Lesson Learned : The OHS Technical Guidance for the Workplace Environment was effective in improving participant knowledge and was successfully implemented with a well- executed training process.
Membangun Kesiapsiagaan Masyarakat melalui Simulasi Mitigasi Kebakaran di Sekitar Terminal Bahan Bakar Minyak, Teluk Lerong Samarinda Lestari, Ida Ayu Indira Dwika; Hardianti, Dewi Novita; Ramdan, Iwan M; Sultan, Muhammad; Putri, Anindya Monika; Wardani, Rifdah
Jurnal SOLMA Vol. 14 No. 3 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i3.20842

Abstract

Background: Wilayah sekitar Terminal Bahan Bakar Minyak (TBBM) PT X, Teluk Lerong Samarinda, merupakan kawasan berisiko tinggi terhadap kebakaran karena keberadaan fasilitas penyimpanan dan distribusi bahan bakar yang mudah terbakar. Rendahnya pemahaman masyarakat serta minimnya latihan tanggap darurat meningkatkan potensi kerugian jiwa dan material. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kapasitas warga dalam mitigasi kebakaran melalui edukasi dan simulasi. Metode: Metode pelaksanaan meliputi penyuluhan tentang bahaya kebakaran, prinsip pencegahan, pelatihan penggunaan Alat Pemadam Api Ringan (APAR), dan simulasi evakuasi darurat. Kegiatan melibatkan peserta dari perwakilan ibu-ibu PKK, anak sekolah dasar, perwakilan RT sekitar TBBM dan berlangsung selama satu hari. Hasil: Hasil kegiatan menunjukkan peningkatan pengetahuan rata-rata sebesar 40% (berdasarkan pre-test dan post-test), terbentuknya peta risiko partisipatif yang mengidentifikasi jalur evakuasi dan titik kumpul aman, serta peningkatan keterampilan warga dalam menggunakan APAR dengan tingkat keberhasilan pemadaman awal mencapai 85%. Pada simulasi evakuasi, 90% peserta berhasil mengikuti prosedur dengan benar, meskipun masih ditemukan hambatan pada koordinasi antar RT dan kurangnya alat peringatan dini. Kesimpulan: Edukasi, pemetaan risiko, dan simulasi terbukti efektif meningkatkan kesiapsiagaan warga menghadapi kebakaran. Diperlukan penguatan koordinasi antar-RT, pembentukan relawan kebakaran, dan penyediaan fasilitas darurat berkelanjutan dari pemangku kepentingan untuk memperkuat ketahanan komunitas.
Co-Authors Adelita, Rafanda Adrianto, Ratno Akhmad Azmiardi Al Rasyid, Muhammad Fauzan Amirudin, Agus Andriana, Nita Aryatika, Karera Azzahra, Fahriza Nur Baharuddin P, Irfansyah Bakhtiar, Rahmat Belawing, Huriansyah Cahyana, Yudi Jaya Cahyani, Annisa Dwi Chilwindwi, Bratarini Hassya Denis, Rafael Fernando Dennis, Rafael Fernando Desak Putu Sukraniti Dewi Novita Hardianti Dewi, Etick Pristyan Duana , I Made Kerta Dzakira, Tsabita Radhiya Gunawan Gunawan Harahap, Karlina Sofyana Hasanah, Dewi Transmiatun Hawanda, Hawanda HERNANI - Hersoyo, M Charis Ario Ida Bagus Aditya Nugraha Irfansyah Baharuddin Pakki Iwan M Ramdan Iwan M. Ramdan Iwan Muhamad Ramdan Janhariyanti K., Iriyani Lolo, Chandra Pangli Lumingkewas, Meilanie Geofanni Maya, Maya Arisanti Mayada, Falah Mochamad Makin, Mochamad Muhamad Ramdan, Iwan Muhammad Rangga Danu Putra Muhammad Sultan Muhammad Sultan, Muhammad Mustika Mustika Ngau, Florentinus Raynaldi Nissa, Indah Khoirun Norhidayat Norhidayat, Norhidayat Pamowa, Agustina Simanangi Paramita, Nadinda Maretta Diah Prayogi, Wahyu Tri Putra, Dhimaz Pratama Putri Agustina Putri, Anindya Monika Rahmadani, Aulia Tia Ramdan, Iwan M Ramdan, Iwan Muhammad Ratih Wirapuspita Wisnuwardani Rifdah Wardani Sadaria, Sadaria Said, Andi Farhan Salsabil, Tarissa Zahrina Saptaputra, Syawal Kamiluddin Sari, Ika Wulan Sariyati, Mely Septiana, Lisa Shabrina, Irma Nur Simanjuntak, Evi Paulina Sudjana, Putra Eka Sumarianto, Arif Tri Prayogi, Wahyu Wahyudi, Ayu Huwaidah Wardana, I Putu Mahendra Adi Widiadnya, Ida Bagus Made Yadi, Yadi Zulkarnaen Zulkarnaen