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Sam Ratulangi Journal of Public Health
Published by Universitas Sam Ratulangi
ISSN : -     EISSN : 27472914     DOI : https://doi.org/10.35801/srjoph
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Public Health
Sam Ratulangi Journal of Public Health merupakan sarana publikasi bagi akademisi, praktisi dan peneliti untuk menerbitkan artikel hasil penelitian (research article) dan/ atau artikel telaah konseptual (review article) terkait isu-isu kesehatan masyarakat dan kedokteran komunitas. Ruang lingkup Sam Ratulangi Journal of Public Health meliputi bidang: Kesehatan Lingkungan; Epidemiologi Kesehatan; Kesehatan dan Keselamatan Kerja; Gizi Kesehatan Masyarakat Administrasi Kebijakan Kesehatan Biostatistika Promosi Kesehatan Kesehatan Ibu dan Anak Kesehatan Reproduksi Kedokteran Komunitas Ekonomi Kesehatan
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 30 Documents
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Analisis Hambatan Praktik Aktivitas Fisik Pada Mahasiswa Kedokteran Dalam Mendukung Gerakan Masyarakat Hidup Sehat (GERMAS) Heryudi Julianus Jovly Soelama; Angelheart Joy Maynard Rattu; Joudy Djouvy Abelin Robert Gessal
Sam Ratulangi Journal of Public Health Vol. 3 No. 2 (2022): September 2022
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v3i2.41568

Abstract

Background: Physical activity is any form of body movement produced by skeletal muscles that releases energy. Lack of physical activity has been identified as the fourth leading cause of death globally (6% of global deaths). The purpose of this study is to analyze what are the barriers to the practice of physical activity in medical students in supporting GERMAS. Methods:This research was conducted using a qualitative method on medical students of the Faculty of Medicine, Unsrat Manado in 2020-2021, using a purposive sampling technique. The target population is all students at the Faculty of Medicine, Unsrat Manado and the affordable population in this study are representatives of students and leaders of the Faculty of Medicine, Unsrat Manado, who are informants. Informants in this study were based on the principles of appropriateness and adequacy. The informants in this study were 7 people consisting of the Dean of the Faculty of Medicine UNSRAT, Deputy Dean III of the Faculty of Medicine UNSRAT, Koas students and regular students. The instruments used are interview guide, note book, cellphone voice recorder, and cellphone camera. Data collected in this study through in-depth interviews and direct observation. Data analysis using content analysis. Results: The results showed that based on the results of in-depth interviews and document observations, the results that 1) The perception of medical students towards the practice of physical activity is not an obstacle, 2) The availability of time for medical students to practice physical activity to support GERMAS is an obstacle, 3) Institutional support in implementing programs that encourage medical students to do physical activity in support of GERMAS has only been carried out informally and has not been implemented formally.Conclusion: This research can be concluded that medical students encounter obstacles in practicing physical activity.
Implementasi Balanced Scorecard dalam Penyusunan Rencana Strategis di Rumah Sakit Cantia Tompasobaru James Komaling; Jeini Ester Nelwan; Diana Vanda Daturada Doda
Sam Ratulangi Journal of Public Health Vol. 3 No. 2 (2022): September 2022
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v3i2.48418

Abstract

Background: The vision and mission of the hospital must be achieved by every hospital. This requires planning as outlined in a document called a strategic plan. There are many approaches to strategy formulation, one of which is the Balanced Scorecard (BSC). BSC is an approach that is widely used today, including in hospitals. The purpose of this research was to formulate a strategic plan for Cantia Tompasobaru Hospital using the Balanced Scorecard method. Methode: This is a qualitative research with a case study design. This research was conducted in April-July 2022 at Cantia Tompasobaru Hospital. The number of informants, namely 10 informants consisting of key informants, namely level 2 of the hospital, consisted of 3 deputy directors, while the other informants, namely level 3 of the hospital, were the heads of each room and installation, totaling 7 people. The variables studied are the BSC perspective, namely the perspective of finance, customers, internal business processes, as well as learning and innovation. Data were obtained through interviews, focus group discussions, document review and field observations. The data obtained were analyzed by content analysis method. Result: The results showed that the customer perspective BSC strategy, there are 2 strategic goals, namely retaining old customers and attracting new customers. The strategic goals to retain existing customers have 4 strategies, namely meeting medical service expectations, meeting tariff and service quality expectations, meeting consumer service expectations and providing incentives or bonuses. The target strategy to attract new customers consists of 4 strategies, namely adding service products, providing price certainty, building relationships with doctors and increasing brand awareness. The internal business perspective BSC strategy has 2 strategic objectives, namely increasing key capabilities and improving business processes. The target strategy to increase the main capabilities has 3 strategies, namely improving clinical results, increasing value propositions, and improving customer service. The target strategy for improving business processes consists of 4 strategies, namely improving organizational structure, improving management systems, optimizing and improving processes and reducing loss/waste costs. The BSC strategy from a growth and development perspective has 2 strategic goals, namely increasing employee professionalism and improving the work environment. The target strategy for increasing employee professionalism has 2 strategies, namely increasing work direction and increasing knowledge and skills. The target strategy to improve the work environment consists of 2 strategies, namely maximizing the placement of staff/number of human resources and increasing work morale. The BSC hospital strategy from a financial perspective has 3 strategic objectives, namely increasing profit, increasing revenue and reducing costs. The target of the strategy to increase profits aims to enable hospitals to increase profits in order to support hospital development. The target strategy to increase revenue aims to increase the number of customers. The target strategy is to reduce costs with 4 strategies, namely increasing efficiency, main capabilities, business processes and productivity Conclusion: It can be concluded that the customer perspective BSC strategy, there are 2 strategic goals, namely retaining old customers and attracting new customers. The internal business perspective BSC strategy has 2 strategic objectives, namely increasing key capabilities and improving business processes. The BSC strategy from a growth and development perspective has 2 strategic goals, namely increasing employee professionalism and improving the work environment. The BSC hospital strategy from a financial perspective has 3 strategic objectives, namely increasing profit, increasing revenue and reducing costs.
Gambaran Kejadian Diare Balita di Kabupaten Minahasa Utara tahun 2021-2023 Julio Martin Pasimanyeku; Jeini Ester Nelwan; Fima Langi
Sam Ratulangi Journal of Public Health Vol. 5 No. 1 (2024): March 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v5i1.51622

Abstract

Diarrhea in underfive children is a disease with a fairly short pathogenesis, but can be fatal if not given good management, especially in pediatric patients. The purpose of this study is to describe the incidence of diarrhea underfive children in North Minahasa in 2021-2023. This is a quantitative research will be carried out in North Minahasa Regency in April-May 2023. The variables studied are the incidence of toddler diarrhea in North Minahasa based on time and place in 2021-2023. This study used secondary data from the North Minahasa District Health Office. The data obtained are then analyzed descriptively. The results showed that the prevalence of underfive children diarrhea in 2021 was 473 cases, of which the most cases were found at the Kauditan Health Center, which was 80 cases and the most occurred in May as many as 231 cases. The prevalence of diarrhea underfive children in 2022 is 474 cases, of which the most cases are found at the Kauditan Health Center, which is 60 cases and the most occur in January, August and November, each with 60 cases. The prevalence of diarrhea underfive children in 2023 (January-February) is 86 cases, of which the most cases are found at the Kolongan Health Center, which is 28 cases, in January 2023 as many as 51 cases. It can be concluded that the most cases of underfive children diarrhea were found in Kolongan and Kauditan Health Centers in January. Therefore, it is necessary to make efforts to prevent toddler diarrhea such as health promotion, risk factor screening and others.
Umur dan Kecelakaan Kerja pada Anak Buah Kapal: Penelitian Cross-sectional Ferika Sumerah; Oksfriani Jufri Sumampouw; Nova Hellen Kapantow
Sam Ratulangi Journal of Public Health Vol. 5 No. 1 (2024): March 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v5i1.51650

Abstract

Background: The Coastal Fisheries Port and Fish Auction Place, located in Tumumpa Dua are one of the main factors supporting fisheries businesses, especially capture fisheries and fishing boat bases, unloading fish, conducting fish auctions and fish marketing. The crew ship member is one of the workers who works at the Tumumpa Coastal Fisheries Port. The purpose of this study is to measure the correlation between age and the incidence of work accidents in crew ship members at Tumumpa Beach Fisheries Port, Manado City. Methode: This is an observational research with a cross sectional approach. This research is located at the Tumumpa Beach Fisheries Port, Manado City in June-July 2023. The respondents of this study were 242 crew members. The variables for this study are age and work accidents. The instrument used was a questionnaire. Data analysis carried out bivariately. Results: The results showed that among the 232 respondents who experienced the most work accidents distributed at the age of ≥ 30 years old, as many as 186 respondents (80%), while of the 10 respondents who had never experienced a work accident, the most were also found at the age of ≥ 30 years as many as 7 respondents (70%). The results of the Chi Squared test showed a significance value of 0.428 (> 0.05) which means that there was no correlation between age and the incidence of work accidents in crew ship members. Conclusion: It can be concluded that there is no correlation between age and the incidence of work accidents in crew ship members at Tumumpa Beach Fisheries Port, Manado City.
Penerimaan Vaksinasi Corona Virus Disease-19 Pada Masyarakat di Kota Manado: Studi Deskriptif Shania Nonutu; Jeini Ester Nelwan; Grace Debbie Kandou
Sam Ratulangi Journal of Public Health Vol. 5 No. 1 (2024): March 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v6i1.56416

Abstract

Background: The Coronavirus Disease-19 (COVID-19) pandemic situation has had an impact on various aspects. One of them is health services which are proven by a decrease in the number of patients, modification of services by health workers, changes in the use of hospital facilities and infrastructure and psychological impacts and other aspects in the community. The purpose of this study is to describe the factors of receiving the Coronavirus Disease 2019 vaccination in the community in Manado City. Methode: This is descriptive quantitative research. The sample in this study is all people aged 18 years and above who are domiciled in Ranotana, Sario District. The number of samples in this study is 278 samples, Proportional Sampling technique with criteria of ≥18 years old and willing to be a respondent. The data obtained was then analyzed descriptively. Results: The results showed that the most respondents were distributed at the age of 26-45 years as much as 49.6%, the equivalent of university education as much as 57.6%, the knowledge of answering correctly on the statement about COVID-19 vaccination has been clinically tested so that it is safe and halal to use as much as 18.5%, the attitude of the most respondents who answered strongly agrees with continuing to implement health protocols even though they have received the vaccine as much as 15.8% and the most Christian beliefs Protestants as many as 85.2%. Conclusion: It can be concluded that the people in Manado city are at most 26-45 years old, university education and equivalent, knowledge about COVID-19 vaccination has been clinically tested so that it is safe and halal to use, attitude about continuing to implement health protocols even though they have received the vaccine and are Protestant Christians.
Kualitas Udara Ambien Karbon Monoksida (CO) di Terminal Paal Dua Kota Manado Oksfriani Jufri Sumampouw; Trivena Mantow
Sam Ratulangi Journal of Public Health Vol. 5 No. 1 (2024): March 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v5i1.57059

Abstract

Background: Carbon monoxide (CO) is a gas produced from the combustion of imperfect fuels that is harmful because it can have serious health effects. Most of the CO gas is produced in the combustion of fossil fuels in the form of exhaust gases. Therefore, CO gas will be high on highways and terminals. The purpose of the study is to measure and find out what the air CO level is at the Paal Dua Terminal in Manado City. Methods: This is a laboratory-based descriptive observation research. The location of the research was carried out at 2 points, namely point 1 of the vehicle parking lot and point 2 of the vehicle entrance. The measurement of CO levels uses the CO Analyser tool with the NDIR method which refers to SNI 7119.10_2011 concerning carbon monoxide (CO) content tests. Measurements were carried out for 3 days for 1 hour at each point and 2 times each. Research Results: The results showed that the CO level of air at the Paal Dua Terminal still meets the quality standard requirements of PERMENKES RI No. 02 of 2023 concerning the Implementation Regulation of Regulation Number 66 of 2014 concerning Environmental Health, which is 10,000 μg/Nm3 with measurement results ranging from 469-4,489 μg/Nm3. Conclusion: It can be concluded that the CO level at the Paal Dua Terminal in Manado City still meets the requirements of the quality standards, so it is recommended that the Government should conduct emission tests from vehicle smoke at the Paal Dua Terminal in Manado City periodically.
Rumah Sehat pada Masyarakat Pesisir Kabupaten Minahasa Utara Oksfriani Jufri Sumampouw; Arlin Debora Tongkotou
Sam Ratulangi Journal of Public Health Vol. 5 No. 1 (2024): March 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v6i1.57060

Abstract

Background: One of the environmental health problems in Indonesia is a healthy house, especially in the components of the house, sanitation facilities, and the behavior of residents in a state that does not meet health requirements. An unhealthy house can be at risk of diseases in the residents of the house such as tuberculosis, diarrhea, and others. This study aims to find out the description of healthy houses from the community in the coastal communities of North Minahasa Regency. Methods: This is a descriptive research. A total of 50 houses were sampled in this study. Sample selection uses accidental sampling technique. The research was conducted in the Kema Health Center Working Area in June-August 2023. Data was obtained through a healthy house assessment questionnaire from the Indonesian Ministry of Health based on home components, sanitation facilities, and resident behavior. Data analysis was carried out univariately. Results: The results showed that based on the components of a healthy house, the majority of respondents found the state of the kitchen smoke pit which has kitchen ventilation <10% of the floor area. Based on the sanitation component, it was shown that the majority of respondents who had clean water facilities were included in the category of not meeting health requirements with a total of 19 respondents, the condition of latrines that were included in the category of not meeting the requirements amounted to 4 respondents and those who did not have latrines amounted to 2 respondents. Furthermore, if studied based on the components of health behavior, it was found that most respondents threw garbage and feces of children carelessly, such as into rivers or gardens. Conclusion: It can be concluded that around 70% of households from people who have toddlers in the Working Area of the Kema Health Center, North Minahasa Regency have not met the health requirements according to the indicators of the components of home, sanitation, and health behavior.
Annual Parasite Incidence Malaria di Kota Bitung tahun 2021-2023 Cahya Kamila Sugiarta; Oksfriani Jufri Sumampouw; Odi Roni Pinontoan
Sam Ratulangi Journal of Public Health Vol. 5 No. 2 (2024): September 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v5i2.57140

Abstract

Background: Malaria is a life-threatening disease and is mainly found in tropical countries including Indonesia. Malaria is greatly influenced by climate factors such as temperature, humidity, and rainfall. Malaria is spread in subtropical and tropical areas, because in these areas it is very suitable for living and breeding mosquitoes Anopheles and Plasmodium sp. in completing the life cycle in the mosquito's body. Bitung is one of the areas that is suitable for the development of malaria. One of the measures of malaria cases is the annual parasite index (API). The purpose of this study is to calculate the Malaria API in Bitung City in 2021-2023. Methods: This is descriptive quantitative research. This research was carried out in March-July 2024 which took place in Bitung City. The population in this study is all malaria cases in Bitung City in 2021-2023. The research sample is the total population. Malaria case indicator based on API where the number of positive malaria cases divided by the number of at-risk residents in a sub-district in the same time period multiplied by 1,000 residents. The data obtained were then analyzed descriptively. Research Results: The results showed that the 5 sub-districts are found to be in the high-density category (> 500 people/km2), namely Aertembaga, Girian, Madidir, Maesa and Matuari sub-districts. There are 2 sub-districts in medium density (250-500 people/km2), namely North Lembeh and South Lembeh sub-districts. Ranowulu District is in the low-density category (1-249 people/km2). The results of this study show that there are 2 sub-districts included in the medium API, namely North Lembeh (2.42 ‰) and Maesa (3.74 ‰) sub-districts. Only 1 sub-district was found, namely South Lembeh sub-district (15.4 ‰) which was classified as high. Conclusion: The conclusion of this study is that South Lembeh sub-district is in the high category with an API of 15.4 ‰.
Kualitas Udara Ambien Sulfur Dioksida (SO2) Terminal Bus di Kota Manado: Studi Ekologi Syalom Mikha Tiwa; Oksfriani Jufri Sumampouw; Budi Tamardy Ratag
Sam Ratulangi Journal of Public Health Vol. 5 No. 2 (2024): September 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v5i2.57142

Abstract

Background: The Karombasan Terminal is a terminal located in Manado City and has dense transportation activities and has the potential to contribute a lot of air pollution from the burning of fuel oil. There are human activities, both passengers, bus/public transportation crews, and traders around the terminal who are at risk of exposure to SO2. The existence of traders who have stalls/canteens in the terminal area makes traders an object at risk of being affected by air pollution. The purpose of this study is to measure SO2 levels in ambient air at the Karombasan terminal in Manado city in 2024. Methods: This study is a descriptive research conducted at the Karombasan terminal, Manado City in September 2023 – July 2024. The subject of this study is ambient air with SO2 parameters. The primary data of this study is data obtained from the measurement of ambient air SO2 concentration at the research site with the help of SGS WLN Manado City. Univariate data analysis. Research Results: The results of this study showed that the ambient SO2 levels of air obtained ranged from <20-33 μg/Nm3. The highest SO2 level of 33 μg/Nm3 was found at point 1 day II and the lowest level of <20 μg/Nm3 was found at several points, namely point 2 (morning and afternoon) day I and II. Conclusion: The conclusion of this study is that the ambient SO2 level of air at the Karombasan Terminal ranges from <20-33 μg/Nm3 where this value is still below the NAV, which is 150 μg/Nm3. Therefore, it is necessary to regularly and comprehensively monitor the air quality at the Karombasan terminal so that efforts can be made to prevent environmental and public health impacts.
The Gargling Lime Juice (Citrus aurantifolia) and Plaque Index in Adolescent Girls Aged 18-20 Years: A Pseudo-Experimental Study Anneke Tahulending; Jeanne d’arc Zafera Adam; Jeineke Ellen Ratuela; Rabia Ani Ohoirat; Oksfriani Jufri Sumampouw
Sam Ratulangi Journal of Public Health Vol. 5 No. 2 (2024): September 2024
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v5i2.59721

Abstract

Background: Plaque is a soft deposit that sticks tightly to the surface of the teeth. Plaque can be controlled by regular brushing and the use of mouthwash. Plaque control by gargling can use traditional plant materials, one of which is lime (Citrus aurantifolia). Lime contains compounds that are antibacterial, namely essential oils that can inhibit the growth of bacteria plaque formation. One of the populations with dental and oral health problems is adolescents. The purpose of this study is to measure the effect of gargling lime juice (Citrus aurantifolia) on plaque index in adolescent girls aged 18-20 years. Methods: This is a pseudo-experimental research. The pre-experimental design used is one group pre testpost test design. This research was carried out in May 2024 in Manado City. A total of 42 female remakami aged 18-20 years were sampled in this study. The variable measured was the plaque index. The treatment given is gargling with lime juice. The instruments of this research are a set diagnostic tool, and a plaque index examination format. The research material is lime juice. The data obtained, tabulated and then analyzed using the paired sample t-test. Research Results: The results showed that the average plaque index before gargling with lime juice is 2.1809 and after gargling is 0.3357. There was a difference in the decrease in plaque index before and after gargling lime juice, which was 1.8452. The results of the paired t-test sample obtained a significance value of 0.000. This value shows that there is a significant difference in plaque index between subjects who gargle with orange leaf decoction and those who do not. Conclusion: It can be concluded that the habit of gargling with lime juice can reduce plaque index in adolescent girls aged 18-20 years in Manado city.

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