Baharuddin, Mohd Rafee B
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Penilaian Kesiapsiagaan Bencana Pusat Kesehatan Masyarakat (Puskesmas) di Indonesia Menggunakan Indeks Keamanan Rumah Sakit J EL Matury, Herlina; Lestari, Fatma; Baharuddin, Mohd Rafee B; Syahlan, Nabila
Journal of Health Science and Prevention Vol. 10 No. 1 (2026): JHSP Vol 10 No 1 – 2026
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v10i1.1691

Abstract

This study evaluated the disaster preparedness of Public Health Centres (PHCs) in terms of structural safety, non-structural safety, and emergency and disaster management capacity. Ensuring that healthcare facilities remain functional during emergencies is essential for maintaining service continuity, particularly in disaster-prone regions such as Indonesia. This cross-sectional descriptive study was conducted in 2024 across 14 PHCs located in disaster-prone areas of North Sumatra Province, Indonesia. A total of 70 participants were involved, with five staff members selected from each PHC based on their roles in facility management and disaster preparedness. Data were collected using structured observations, interviews, checklists, and document reviews based on the Hospital Safety Index (HSI) framework. Ethical approval was obtained from the Faculty of Public Health, Universitas Indonesia, and informed consent was secured from all participants. The safety index scores ranged from 0.2394 (23.94%) to 0.7234 (72.34%), with PHC C achieving the highest score and PHC I the lowest. Functional preparedness consistently emerged as the weakest component across most PHCs, indicating significant challenges in maintaining essential health services during emergencies. PHCs located in Medan City and North Padang Lawas Regency demonstrated higher preparedness levels compared to those in Toba and Padang Lawas Regencies. Disaster preparedness among PHCs varied considerably across regions, with functional capacity identified as the most critical area requiring improvement. Strengthening operational readiness and integrating disaster preparedness into routine health system management are essential to enhance resilience. Future research should evaluate the effectiveness of long-term interventions and explore the role of community engagement in disaster preparedness.
Determinants of Musculoskeletal Disorder in Formal and Informal Workers in Indonesia EL-Matury, Herlina J; Syahlan, Nabila; Baharuddin, Mohd Rafee B
Kesmas Vol. 21, No. 2
Publisher : UI Scholars Hub

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Abstract

Musculoskeletal disorders (MSDs) are a leading cause of disability globally and are strongly influenced by occupational conditions. Evidence comparing MSD risk between formal and informal workers remains limited, particularly in developing countries. This study examined the association between individual and job-related factors with MSD symptoms among formal and informal workers in Indonesia. A cross-sectional study was conducted among 1,089 workers in North Sumatra Province, Indonesia, from August 2024 to December 2025. Participants were recruited using stratified convenience sampling from both the formal (office and health workers) and informal (drivers, traders, and farmers) sectors. MSD symptoms were assessed using the Nordic Body Map questionnaire and categorized into low, moderate, and high-risk levels. Independent variables included age, sex, work experience, and job type. Data were analyzed using Chi-square tests and multivariate logistic regression. Overall, 31.6% of workers reported moderate-to-high MSD symptoms. Informal workers had significantly higher odds of MSD symptoms (OR = 1.607; 95% CI: 1.20–2.10; p-value <0.001). Male workers were more likely to report MSD symptoms (OR = 3.65; 95% CI: 2.7–4.9; p-value <0.001). Longer work experience (>5 years) was associated with lower MSD risk (OR = 0.46; 95% CI: 0.34–0.63; p-value <0.001), while age was not a significant predictor. MSDs remain a substantial occupational health problem among Indonesian workers, particularly in the informal sector. Targeted ergonomic interventions and occupational health programs are needed to reduce disparities and improve workers’ health in developing-country settings.