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Sutena, Marthinus
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Nursing Public Health

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Recapping actions, knowledge, and use of safety boxes with the incident of needle stick injuries in nurses at the inpatient installation of the Gadjah Mada University Academic Hospital, Yogyakarta Ramsi, Rahmat Muzakky; Surono, Agus; Sutena, Marthinus
BKM Public Health and Community Medicine Vol 40 No 08 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i08.14605

Abstract

Purpose: This study aims to determine the relationship between recapping actions, knowledge, and use of safety boxes with needle stick injuries (NSI) and controlling the risk of NSI among nurses at the UGM Academic Hospital inpatient installation. Methods: Mixed methods with a cross-sectional design and analyzed descriptively, then conducted interviews to control risk. Sampling was performed using the proportional random sampling technique, involving 80 nurses and five informants from hospital management. Results: Recapping (p=0.041) and knowledge (p=0.005) had a significant effect on the incidence of needle stick injuries among nurses at the RSA UGM inpatient installation (90% CI, 0.12-0.79). The act of recapping has a 0.35 times smaller chance of getting NSI. Furthermore, nurses who have high knowledge have a 0.2 times lower risk of getting NSI. Meanwhile, the use of a safety box did not affect NSI (p=0.246). Conclusion: Recapping actions and knowledge are factors that influence NSI among nurses at the RSA UGM inpatient installation. Risk control that is already running well needs to be improved, such as adding material variations, sharing, comprehensive and practical educational methods for nurses.
Challenges and facilitating factors in handling domestic medical waste during the COVID-19 pandemic Syafriani; Sutena, Marthinus; Padmawati, Retna Siwi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: To describe the challenges and facilitating factors in handling domestic medical waste during the COVID-19 pandemic based on our community empowerment program in Dusun Ngrombo I, Karangmojo Village, Gunungkidul District, DIY. Content: During the Covid-19 pandemic, medical waste increased in the community, especially for families who were self-isolating at home. In our preliminary study, the community processes waste by burning, burying and throwing it into the environment. Expired medicines are even used as a mixture of plant fertilizers and animal feed. Public literacy about medical waste management is still limited. The local government has not provided medical waste facilities in public spaces. Waste management is not optimal due to the lack of coordination between the relevant government agencies. Furthermore, there has been limited effort from the local primary health care service (puskesmas) to solve medical waste problems. Limited human resources, budgets and different perspectives on regulations cause the puskesmas to resist in responding to these problems. Medical Waste Bank Program is a community waste collection system that manages household medical waste through local waste bank activities. Generally, the Waste Banks (Bank Sampah) in Indonesia only process domestic waste, this program innovates by providing community medical waste services that are needed, especially during this pandemic. Waste bank staff will process the waste that has been collected in the waste bank, then handed over to a third party (private company) through the puskesmas. This can help the puskesmas to reach medical waste in their working areas and also to prevent the transmission of infectious diseases in the community. Conclusion: The waste bank can become a movement to manage community medical waste. Each sector needs to work together in promoting health, providing adequate waste facilities, increasing human resource capacity, as well as monitoring and assisting in managing domestic medical waste.
Barrier and facilitators in implementing household waste management program in West Kotawaringin Kurniawan, Muhammad Chamim Thohari; Sutena, Marthinus; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 38 No 06 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i06.3711

Abstract

Purpose: This study aims to evaluate the program at South Arut District to explore barriers and facilitators in the household waste management program. Methods: This qualitative case-explanatory study used a thematic analysis approach. Thirteen respondents were the environmental service chair, the health office, the sub-district of South Arut, the cleaning staff (2 people), the Yayorin manager (NGO), restaurant owners, farmers, fishers, Aisyiyah, Bawi Dayak, Culture and Tourism Association, student, head of RT 15, and household member with at least three years residence in Pangkalan Bun. Results: The parties forming regulations are the Environment Service, Public Works Service, South Arut Sub-district, kelurahan, and village heads. The budget is 21 billion rupiahs. Program coordinators in each unit are still not optimal in managing activities that can produce marketable outputs. The strategies are socialization, distributing pamphlets, and broadcasting broadcasts on regional television channels. The inhibiting factor is the perception of people who do not care about the environment and lack infrastructure. The driving factor is the self-awareness of people who care about environmental cleanliness. Conclusion: Local governments need to consider having an executive manager and operational management team in each unit who can add the necessary infrastructure and closely monitor implementation, which will maximize the production process with marketable products. Also, the management team must promote the utilization of the waste management system to the community.
Evaluation of the occupational safety and health implementation in the informal sector fishermen in South Sumatra Province Erista, Yola; Prabandari, Yayi Suryo; Sutena, Marthinus
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.5016

Abstract

Purpose: This study evaluates the implementation of occupational safety and health (K3) in the informal sector of fishermen in Tanjung Kurung Village, Penukal Abab Lematang Ilir (PALI) Regency, South Sumatra Province. Methods: This qualitative research employs a case study approach. The research was conducted in Tanjung Kurung Village, PALI Regency. Informants included 22 individuals: nine fishermen, nine fishermen's wives, the head of the PALI regency health office, the manager of the UKK post program at the Health Office, the manager of the UKK Post Program at the Abab District Health Center, and the head of Tanjung Kurung Village. Data collection involved in-depth interviews, observations, and document reviews. Results: Implementing K3 in the informal sector of fishermen in Tanjung Kurung Village has been inadequate. Factors influencing this include the persistence of unsafe K3 practices among fishermen, lack of support from relevant parties for K3 management, high K3 risks fishermen face, and the pre-prosperous welfare status of fishermen's families. Common accidents include boat collisions, injuries from fish spines and branches, threats from crocodiles and venomous snakes, machete injuries, and boat sinking due to overloading. Occupational diseases among fishermen include wounds on feet and hands, dermatitis, gastritis, fever, acute respiratory infections (ARI), skin fungi, allergies, and skin irritation. Conclusion: The proper implementation of K3 among fishermen is lacking, and occupational health programs in the informal sector are not prioritized. Consequently, related parties have made no special efforts to address occupational health issues for fishermen. Cooperation between fishermen and relevant parties is essential for improving occupational health efforts in the informal fishing sector.
When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

Abstract

Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.
Co-Authors Agus Surono Andreasta Meliala Astri Ferdiana Erista, Yola Kurniawan, Muhammad Chamim Thohari Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Mubasysyir Hasanbasri Nilasari Qaimamunazzala, Hayu Ramadona, Aditya Lia Ramsi, Rahmat Muzakky Sarto Syafriani Vena Jaladara Wiranto Yayi Suryo Prabandari