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INDONESIA
Indonesian Journal of Public Health and Community Medicine
Published by Universitas Sam Ratulangi
ISSN : -     EISSN : 27219941     DOI : https://doi.org/10.35801/ijphcm.v5i4
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Indonesian Journal of Public Health and Community Medicine (IJPHCM) is on public health as discipline and practices related to preventive and promotive measures to enhance health of the public through scientific approach applying variety of technique. This focus includes area and scope such as biostatistics, epidemiology, health education and promotion, health policy and administration, environmental health, public health nutrition, sexual and reproductive health, and occupational health and safety.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 65 Documents
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Pengaruh Edukasi Melalui Literasi Hukum Terhadap Tindakan Pencegahan Medical Error Pada Perawat Di Rumah Sakit Sumarsono Sumarsono; Grace Ester Caroline Korompis; Diana V.D. Doda
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.31205

Abstract

Latar Belakang: Kejadian akibat medical error merupakan ancaman terhadap keselamatan pasien. Salah satu pencegahannya adalah dengan membuka wawasan perawat mengenai kewajiban hukum yang dimilikinya dengan cara meningkatkan kesadaran melalui peningkatan literasi hukum. Tujuan penelitian ini adalah untuk menganalisis pengaruh edukasi melalui literasi hukum terhadap pengetahuan, sikap dan tindakan pencegahan medical error pada perawat. Metode Penelitian: Subjek atau partisipan dalam penelitian ini adalah seluruh perawat yang secara langsung berinteraksi dengan pasien dan memenuhi kriteria penelitian yang telah ditetapkan. Metode pengumpulan data dilakukan menggunakan kuesioner terstruktur yang dibagikan secara daring kepada partisipan, sebelum dan sesudah pemberian pelatihan atau edukasi secara daring tentang literasi hukum. Jumlah terakhir partisipan dalam penelitian ini yang memenuhi kriteria dan menyelesaikan semua proses penelitian adalah 47 perawat. Analisis data menggunakan bantuan program SPSS dengan metode pengujian paired sample t-test pada pengetahuan, sikap dan tindakan pencegahan medical error, sebelum dan sesudah pemberian pelatihan edukasi literasi hukum. Hasil Penelitian: Hasil penelitian menunjukkan bahwa responden terdistribusi paling banyak perawat wanita (89,4%), berusia rata-rata 35,21 tahun dengan latar belakang pendidikan D3 keperawatan (ahli madya keperawatan) (83%) dan memiliki masa kerja rata-rata 11,56 tahun. Analisis data menunjukkan bahwa 1 bulan setelah diberikan pelatihan edukasi literasi hukum terjadi peningkatan pengetahuan, sikap dan tindakan pencegahan medical error secara signifikan (p=0,00). Kesimpulan: Kesimpulan dari penelitian ini yaitu ada pengaruh edukasi melalui literasi hukum terhadap tingkat pengetahuan, sikap dan tindakan pencegahan medical error pada perawat. Perlu dilakukan penelitian edukasi literasi hukum kepada tenaga kesehatan lain dan pada kelompok kontrol.
Analisis Implementasi Aktivitas Fisik Berdasarkan Health Belief Model oleh Tenaga Kesehatan di Puskesmas Marsela Juliawati Alfa Berhimpong; Angelheart Joy Maynard Rattu; Junita Maja Pertiwi
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.31453

Abstract

Background: Physical activity is bodily movement produced by skeletal muscles and requires energy expenditure and is the fourth leading risk factor for global death. The Health Belief Model is a health behavior change theory and psychological model that is used to predict health behavior by focusing on individual perceptions and beliefs about an illness. The purpose of this research is to analyze how the implementation of physical activity based on the health belief model by health workers at Puskesmas Bahu Manado. Methods: This research was conducted using qualitative methods at Puskesmas Bahu Manado from July to August 2020, using a purposive sampling technique. The target population is all employees at Puskesmas Bahu Manado and the reachable population is representatives of the staff at Puskesmas Bahu who are informants. There were 6 informants in this study who were based on the principles of appropriateness (approppiateness) and adequacy (adequacy). The research instruments used were interview guides, notebooks, voice recorders, and cameras. Data collection was carried out by in-depth interviews and direct observation. Data analysis using content analysis. Results: The results of in-depth interviews and document observations based on the health belief model show that health workers believe that people will be motivated to take actions that will improve their health because they know the risk of diseases that negatively affect their health. Conclusion: The implementation of physical activity based on Perceived Suspectibility, Perceived Severity, Perceived Benefits, Perceived Barriers, Cues To Action and Self Efficacy by health personnel at Puskesmas Bahu has been implemented.
Faktor-Faktor Yang Berhubungan Dengan Aktivitas Enzim Cholinesterase Darah Pada Petani Penyemprot Pestisida Christien Gloria Tutu; Aaltje Ellen Manapiring; Adrian Umboh
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.31545

Abstract

Background: One of the parameters for pesticide poisoning is the decrease in the activity of the cholinesterase enzyme. A decrease in cholinesterase activity of 30% from normal was considered poisonous. Rurukan Village is a center for horticultural production, farmers in Rurukan Village tend to be exposed to pesticides frequently so that they have a large enough chance of experiencing pesticide poisoning. This study aims to analyze what factors are related to the activity of the cholinesterase enzyme in pesticide spraying farmers in Rurukan Village, East Tomohon District, Tomohon City.Method: This type of research is a laboratory-based observational analytic study with a cross sectional study approach. Samples were taken from 30 pesticide spraying farmers in Rurukan Village. The sampling technique used purposive sampling. The data was collected by examining the farmers' blood cholinesterase levels by health workers from the Prodia Manado laboratory and interviewing using a questionnaire. Data were analyzed bivariate and multivariate.Result: The result showedit known that there is no relationship between age and cholinesterase enzyme activity (p = 0.440; OR = 0.455); there is no relationship between knowledge and cholinesterase enzyme activity (p = 0.400; OR = 1,000); there is a relationship between working period and cholinesterase enzyme activity (p = 0.032; OR = 7.500); there is a relationship between spray duration and cholinesterase enzyme activity (p = 0.004; OR = 14.875); there is a relationship between spray frequency and cholinesterase enzyme activity (p = 0.013; OR = 11,200); there is a relationship between the use of PPE with cholinesterase enzyme activity (p = 0.002; OR = 21,000); there was no relationship between the direction of spraying and the cholinesterase enzyme activity (p = 0.637; OR = 2.500).Conclusion:In this study, it can be concluded that the relationship between the factors causing the decrease in cholinesterase enzyme activity in pesticide spraying farmers in Rurukan Village obtained a significant relationship between working tenure, spray duration, spray frequency and use of PPE with cholinesterase enzyme activity. The use of PPE is a factor that is most closely related to the activity of the cholinesterase enzyme in pesticide spraying farmers in Rurukan Village.
Faktor-faktor yang Berhubungan dengan Inisiasi Menyusu Dini di Wilayah Kepulauan Wiendra Nicodemus Manongga; Jeannette Irene Christiene Manoppo; Wulan Pingkan Julia Kaunang
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.31845

Abstract

Background: Early Initiation of breastfeeding (EI) is very important in efforts to reduce infant mortality particullarly in islands. The purpose of this study was to analyze the factors associated with EI in the working area of the health center Dapalan kecamatan Tampan’amma kabupaten Kepulauan Talaud. Methode: This study used a quantitative approach to the analytical observational method with a cross sectional study design. This research was conducted in the working area of the Dapalan Public Health Center, Tampan'amma District. This research was conducted in March-May 2020. The population in this study were all mothers who gave birth spontaneously from January to December 2019 as many as 56 mothers. The instrument used in this study was a questionnaire. The data analysis used was bivariate and multivariate analysis. Result: The results showed that the knowledge of mothers with EI has a value of p = 0.001 <from the value of α = 0.05, the motivation of mothers with EI has a value of p = 0.040 <from the value of α = 0.05, family support with EI has p value = 0.938> from the value α = 0.05, the support of health workers with EI has a value of p = 0.000 <from the value of α = 0.05. Of all the variables, support for health workers was the most dominant. Conclusion: That was concluded that the knowledge, motivation and support of health workers are related factors EI.
Hubungan antara Beban Kerja, Konflik Peran, dan Dukungan Sosial dengan Stres Kerja Pada Guru di Sekolah Menengah Atas Negeri 1 Manado Pada Masa Pandemi Covid-19 Merdekawati Evangli Weken; Arthur Elia Mongan; John Socrates Kekenusa
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.32139

Abstract

Background: A survey conducted by the Yale Center for Emotional Intelligence and Collaborative for Social Emotional and Academic Learning in 2020 among more than 5000 teachers in the United States showed that teachers experienced work stress in carrying out learning activities and working from home during this pandemic. Various countries in the world, including Indonesia, have taken policies by presenting alternative education processes online and it is very influential not only for students but also for teachers. UNESCO (2020) states that around 63 million teachers around the world must be faced with an educational process that is very different from before this can be done by school closures in around 165 countries and this can trigger work stress on teachers. This study aims to analyze the relationship between workload, role conflict, and social support with work stress among teachers at SMA N 1 Manado during the Covid-19 pandemic. Method: This research was a quantitative analytic survey research using a cross sectional design. The research sample was 76 teachers who were willing to be respondents. The instrument used was the NIOSH Job Stress Questionnaire (1999) in the form of googleform. Univariate analysis was conducted to see the response of each variable under study, the bivariate analysis used the chi-square test to see the relationship between 2 variables and multivariate analysis used logistic regression to see which variables had the most influence on work stress. Results: The results showed that there was a relationship between workload and work stress (p = 0,000), there was a relationship between role conflict and social support (p = 0,000), there was a relationship between social support and workload (p = 0,002). The results of the multivariate test showed that social support (p = 0,007; OR = 25,402) was the most influential variable with work stress on teachers at SMA N 1 Manado. Conclusion: It can be concluded that there is a significant relationship between workload, role conflict, and social support with work stress among teachers at SMA N 1 Manado. The variable that most influences work stress is social support.
Faktor-Faktor Yang Berhubungan Dengan Loyalitas Pelanggan Di Instalasi Rawat Jalan UPTD Rumah Sakit Tipe C Manembo-Nembo Bitung Fista Fella Kipu; Windy M.V. Wariki; Alexander S.L. Bolang
Indonesian Journal of Public Health and Community Medicine Vol. 2 No. 1 (2021): Januari 2021
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.2.1.2021.32342

Abstract

Background: Attitudes and actions of doctors, nurses, administration as well as inaction in services, drug supplies, inadequate infrastructure and medical equipment are still problems that become complaints by service users. Hospitals must have the ability to attract and retain customers who do not only come from the product or service itself. The purpose of this study was to analyze the factors related to customer loyalty in the outpatient installation of the UPTD Hospital Type C Manembo-nembo Bitung. Methods: This research is an observational study with a cross sectional study design. A total of 100 outpatients who have received health services at the UPTD Outpatient Installation of Type C Hospital, Manembo-nembo Bitung participated in this study. Data were analyzed using univariate, bivariate and multivariate and logistic regression statistical calculations. Presentation of data is made in table and narrative form. Results: The results showed that a significant relationship between products and customer loyalty with a value of p = 0.024, between processes and customer loyalty with a value of p = 0.000, between location and customer loyalty with a value of p = 0.061, between promotion and loyalty with a value of p = 0.435 , between employees with loyalty with a value of p = 0.000, between physical evidence and loyalty with a value of p = 0.005. However, there is no promotion relationship with loyalty. The results of the mutivariate analysis showed that the product factor was the most dominant factor influencing the loyalty of outpatients at Manembo-nembo Hospital Type C Bitung.Conclusion: This research can be conclude that the process factors are the most dominant factors related to customer loyalty in the Outpatient Polyclinic of the UPTD Type C Hospital, Manembo-nembo, Bitung.
Implementasi Kebijakan Pemberian Air Susu Ibu Ekslusif di Puskesmas Magda Marieke Munaiseche; Freddy Wagey; Nelly Mayulu
Indonesian Journal of Public Health and Community Medicine Vol. 2 No. 1 (2021): Januari 2021
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.2.1.2021.32374

Abstract

Background: The low understanding of mothers, families and the community about the importance of breastfeeding for babies and the absence of support or regulations at the district / city level has resulted in the exclusive breastfeeding program not running well. The purpose of this study was to analyze the implementation of Government Regulation No. 33/2012 concerning the Giving of Exclusive Asi in Bitung City. Method: This research uses qualitative research methods, using primary data and secondary data. The informants in this study were 13 people. The method of research is through in-depth interviews and document observation, then recorded in the form of a transcript and then the data is presented in a matrix. The data were analyzed using source triangulation, method triangulation, and data triangulation techniques. Results: The results show that there are no regulations that support the implementation of PP 33 of 2012 on exclusive breastfeeding in Bitung City, there are no trained counselors, information about exclusive breastfeeding is still lacking, Posyandu cadres have not been involved in providing outreach on exclusive breastfeeding, lack of supervision as well as guidance for midwives so that there is still the sale of formula milk to breastfeeding mothers, the availability of nursing room facilities / facilities is not evenly distributed because it is only at the puskesmas level. Conclusion: The conclusion of this research is that the implementation of the policy on exclusive breastfeeding in the city of Bitung has not yet been implemented in accordance with Government Regulation number 33 of 2012.
Usia, Masa Kerja Dan Keluhan Nyeri Punggung Bawah Pada Buruh Pabrik Tahu Firsty Jovial Noli; Oksfriani Jufri Sumampouw; Budi Tamardy Ratag
Indonesian Journal of Public Health and Community Medicine Vol. 2 No. 1 (2021): Januari 2021
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.2.1.2021.33578

Abstract

Background: Complaints of low back pain were one of the problems in occupational health. A complaint of low back pain indicates that something is wrong at work. Complaints of low back pain were influenced by many factors such as age and length of work. The purpose of this study is to describe the age, lenght of work and complaints of low back pain in tofu factory workers in the Batukota village, Malalayang district, Manado city. Method: This research is a descriptive study which was conducted in the Batukota sub-district, Malalayang district, Manado city from November 2020 to January 2021. Respondents of this study were 32 tofu factory workers. The variables in this study were age, length of work and complaints of low back pain. The instruments used were questionnaires, cameras, and writing instruments. Data analysis was carried out by univariate. Results: The results was showed that the majority of respondents were in the 21-30 year age group as many as 13 respondents (40.6%) and the least number in the> 40 years group was 3 respondents (9.4%). Furthermore, based on the length of service of the respondents, most of them worked 1-5 years as many as 26 respondents (81.3%). Most respondents were categorized as poor NPB complaints as many as 17 respondents (53.1%). The less good NPB category means that the respondents feel more pain frequently and always in the lower back while working. Conclusion: This research was conclude that most tofu factory workers are aged 21-30 years, working period 1-5 years and complaints of poor NPB. Therefore, it is necessary to carry out further health checks regarding low back pain in tofu factory workers.
Keluhan Nyeri Punggung Bawah Pada Nelayan Novisca Prisicillya Kumbea; Oksfriani Jufri Sumampouw; Afnal Asrifuddin
Indonesian Journal of Public Health and Community Medicine Vol. 2 No. 1 (2021): Januari 2021
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.2.1.2021.33580

Abstract

Background: Fishermen are one of the coastal community groups who have public health problems, especially occupational health and safety, such as complaints of low back pain. Factors related to complaints of low back pain consist of several factors such as age, years of service, work attitude and others. The purpose of this study was to describe complaints of low back pain in fishermen in the Malalayang 1 Timur village, Manado city. Method: This is a descriptive study which was conducted in the Malalayang 1 Timur village, Manado city in January 2021 with 44 respondents. The variables in this study were complaints of low back pain, age, years of work and work attitude. The instruments used were questionnaires, cameras, and writing instruments. Data analysis was carried out by univariate. Results: The results of this study showed that the fishermen in the Malalayang Timur 1 Village are mostly in the age group of 20-44 years and 45-54 years, the working period is 16-25 years, the risk category for work attitude is very high and often experiences complaints of low back pain. The results of this study also indicate that the older the age, the longer the work period and the riskier work attitude, the more likely the respondent is to experience complaints of low back pain. Conclusion: This is can concluded the fishermen in the village of Malalayang 1 Timur, Manado city often experience complaints of low back pain. Therefore, it is necessary to make efforts to prevent and control it.
Perilaku Masyarakat Pesisir Tentang Pencegahan Penyebaran Corona Virus Disease 2019 Oksfriani Jufri Sumampouw; Van Grayen Lowing; Odi Roni Pinontoan
Indonesian Journal of Public Health and Community Medicine Vol. 2 No. 1 (2021): Januari 2021
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.2.1.2021.33581

Abstract

Background: The Corona virus is a group of viruses that can cause disease in animals and humans known as Corona Virus Desease 2019 (Covid-19). In humans, this virus can cause respiratory infections ranging from mild flu, coughs, colds to more serious ones such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). The purpose of this study was to describe the behavior of coastal community about prevention of the spread of Covid-19. Method: This is a descriptive study which was conducted in Desa Atep Oki Kecamatan Lembean Timur in August-December 2020 with 80 respondents. The variables in this study were knowledge, attitude, and action. The instruments used were questionnaires, cameras, and writing instruments. Data analysis was carried out by univariate. Results: The results of this study showed that the coastal community in the Atep Oki Village are mostly in the 61.3% of respondents have a good level of knowledge, 57.5% of respondents have a good attitude and 65.0% of respondents have good actions. Conclusion: This is can concluded the coastal communities in Atep Oki Village have good knowledge, attitudes, and actions in preventing the spread of Covid-19. Therefore, it is necessary to maintain and improve people's behavior through health promotion efforts.

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