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Disease Prevention and Public Health Journal

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Published by Universitas Ahmad Dahlan

ISSN : 27209997 EISSN : 27209997 DOI : 10.12928

Core Subject : Health,

Medicine & Pharmacology Public Health

Disease Prevention and Public Health Journal e-ISSN : 2720-9997 is an open access and peer-reviewed journal that published empirical quantitative research and/or qualitative research on the epidemiology, biostatistic, nutrition, family health, climate change, infectious and non-infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, health promotion, public health policy and management, health economics, occupational health and environmental health and the understanding of all aspects of public health. Submitted papers must be written in Indonesian and/or English for initial review stage by editors and further process by minimum two reviewers.

Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)

Articles 612 Documents

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Hubungan Perilaku Pencarian Pengobatan dengan Tuberkulosis Paru di Sulawesi Utara Ernawati, Kholis; Kardiana, Aan; Duarsa, Artha Budi Susila; Muhammad, Faisal
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Health seeking behavior is one of the factors that influence the incidence of pulmonary tuberculosis. The purpose of this study to determine the relationship with the incidence of treatment-seeking behavior of Tuberculosis in North Sulawesi province based on basic health research in 2010. Method: The design of this study used a descriptive approach correlative. The research sample is total sampling of all basic health research respondent data in 2010 in the province of North Sulawesi aged ≥15 years amounts to 2319 respondents. The analytical method used univariate and bivariate. Results: The results showed the incidence of pulmonary TB in North Sulawesi province is 11 people (14.1%), and respondents who continued treatment of TB program eight (10.3%). Conclusion: There was a relationship between the incidence of treatment-seeking behavior of pulmonary TB (p=0.037).

Decentralisation in Indonesia: The Impact on Local Health Programs Hidayat, Muhammad Syamsu; Mahmood, Afzal; Moss, John
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: After more than a decade of implementation, the outcomes of decentralisation in Indonesia, particularly for the health sector are still obscure. Government health expenditure in a number of districts has increased considerably, but despite this health system performance to a large extent seems unaffected, calling into question how health stakeholders actually interpret local needs and how this interpretation can influence the consequent process for developing health programs. The main objective is to reveal the impact of decentralisation on health programs. Methods: In order to explore the complexity of the process, thirty-six stakeholders from eight different districts were interviewed, individually. These stakeholders consisted of representatives of the executive and legislative bodies, and the head of the district health office. Using purposive sampling, districts as the unit of analysis were selected on the basis of different degrees of fiscal strength and of urbanisation. The data were explored using framework approach. Results: One feature of decentralisation was the transfer of central government-that includes the discretion to develop and financing local initiative health programs to the local governments. However, the extent of health programs in each local government depends on factors such as local fiscal capacity, regulations, and the political process. In the case of Jamkesda, local fiscal capacity will determine the coverage and benefit of the health scheme that usually was supported by local regulations. However, the amount of local budget allocated for Jamkesda, relied greatly on the political process. The role of Jamkesda as a vote-getter for local politicians is significance, both in term of local commitment (budget allocation and regulation) and the sustainability of the program. Conclusion: Decentralisation has changed the development of local health program, nevertheless, the scope of local initiative health programs is determined by local fiscal capacity and the political process.

Pengetahuan, Sikap, dan Perilaku Pengelolaan Sampah pada Karyawan di Kampus N. A., Sangga Saputra; Mulasari, Surahma Asti
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 1 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The existence of garbage are still considered as the something that is not useful and even detrimental to the public. The resulting Bad smell will make people stay away and do not want to handle. Its existence will be a complicated issue and threaten human life, whereas humans also likely to produce even with the passage of time and in line with increasingly consumptive lifestyles that add a lot of garbage resulting. The amount of garbage ever increasing because of the human activities increasingly consumptive need no treatment to reducing piles of garbage. The purpose of research to know correlation between knowledge and attitudes with garbage management behavior on campus X Yogyakarta. Method: This research was observational analytic with cross sectional study design and using the chi-square test, sampling technique using the total sampling and amount of sample is 30 respondens. The instrument that was used, a questionnaire about knowledge and attitudes, behavior while using the checklist. The data analyzing was used univariate and bivariate with chi-square test. Results: Based on the results of research conducted on 30 respondents who had bad garbage management behavior as many as 13 people (43.3%) and good garbage management behavior amounted 17 (56.7%). Results of fisher test is obtained no correlation between knowledge and behavior garbage management (p=0.020, RP=0.367, CI; 0.173 to 0.786) and there is nocorrelation between attitude and behavior garbage management (p=0.347, RP=0.779, CI; 0.396 to 1.748). Conclusion: There is a correlation between knowledge and behavior garbage management andthere is no correlation between attitude and behavior garbage management in campus.

Faktor Risiko Kejadian Infeksi Daerah Operasi pada Bedah Digestif di Rumah Sakit Swasta Nirbita, Alam; Rosa, Elsye Maria; Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The incidence of IDOs in hospitals in Indonesia varies between 2-18% of all surgical procedures. No research has been done on the effects of IDO risk factors with IDO incidence in gastrophic surgery at this hospital. This study aims to determine the effect of IDO risk factors consisting of nutritional status, type of surgery, the nature of surgery, and durante surgery against the incidence of IDO in surgical patients digestif. Method: This research is an observational quantitative study. The data taken are primary (observasional) and secondary (medical record) using cross sectional method. The data were then analyzed by Chi-square bivariate and multivariate test. Result: Based on Chi-square bivariate test, the variables: operation type (p=0.000), durante surgery (p=0.000), and operational properties (p=0.029) have significant relationship while nutritional status (p=0.055) which is significant against IDO events. Conclusion: The result of multivariate test showed that the variables: nutritional status (p=0.032), type of operation (p=0.006), and durante (p=0.008) had significant influence with the type of operation is the most influential on IDO event.

Worker Posture and Fatigue Assessment of Manual Handling Reject Sample in Sample House of Nickel Extraction Process Imran, Rani Aulia; Bakri, Ilham; Mulyadi, Mulyadi; Yadri, Asmar
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 1 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: One of the important nickel extraction processes is mixing nickel ore into Dry Ore Storage (DOS) material as the main intake of Kiln Reduction. To ensure mixed material quality, DOS Sample House operators regularly takes sample and test the homogeneity of samples manually. Material handled by lifting some buckets moved to be mixed, then 1/8 of mixed sample tested and 7/8 disposed. This test activity takes 15 minutes each for 35 samples in one shift. The aim of this study was to evaluate posture, determine the prevalence of work-related musculoskeletal disorder and fatigue of DOS Sample House II workers. Method: A random sampling method according to mining work activity type was used to obtain the sample. Total of seven workers data was collected by using Nordic Body Map for symptoms and subjective workload using Rating of Perceived Exertion (RPE) questionnaire; after they finished all tasks of their shift. Four out of 25 tasks in one test were selected (reject sample removal tasks) and assessed using Rapid Entire Body Assessment (REBA). Results: The mean age of seven workers was 37,4 years, all men, and they worked for 4,2 years on average. In one sample test, material needed to be lift were average 28,81 kg which above the recommended weight. The highest prevalence of work-related musculoskeletal disorder symptoms were lower back, right forearm, buttock, right shoulder and hip. RPE scored range was 4 to 7 that their work makes them sweat a lot and REBA scored range 8 to 10, which the risk is high, need investigation and immediately implement changes. Conclusion: The overall finding indicated that the process of selected tasks, reject sample removal task, will contribute to musculoskeletal disorder either for a short or long time exposure. Future research regarding this section needed to prevent or reduce the occurrence of musculoskeletal disorder.

Analisis Penerapan Housekeeping sebagai Upaya Pencegahan Kecelakaan Kerja di Instalasi Rawat Inap Rumah Sakit Umum Daerah Hrp, Nurul Arisanty; Mudayana, Ahmad Ahid
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 13, No 1 (2019): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Installation of hospitalization had activities that required more attention in the implementation of occupational health and safety (K3) to reduce the variety of complaints from users of hospital services because of negligence that caused accidents. Accident prevention efforts to achieve the target K3 was done by the application of housekeeping. Region Public Hospital of Mandau, Bengkalis was a new class C hospital which functioned since 2008, so the application of housekeeping could help improve the quality of service. Method: This study used a qualitative descriptive method. Data collection techniques were in-depth interviews and observation. The sampling technique was by purposive sampling. Subjects were 13 and the validity of the data applied triangulation sources. Results: The analysis of the application with the principles of 5S housekeeping showed: 1) The application seiri (quick) has not done well since there were no separate bins; 2) The application of seiton (neat) has been performing well since neatness has been kept already; 3) The application of seiso (rehearsal) has not done well since the bathrooms were not cleaned regularly; 4) The application of seiketsu (care), and shiketsu (diligent) has not done well because it was based on 3S previously found that the application has not done well. Conclusion: Application of housekeeping as prevention of job accidents in the inpatient room of region public hospital has not done well because based on interviews and observations it was indicated that only application seiton (neat) was already performing well.

Pengaruh Penyuluhan terhadap Kepadatan Aedes aegypti dalam Pencegahan Demam Berdarah Zulaikhah, Siti Thomas; Yusuf, Iwang
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 1 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Dengue infection is a public health problem and until now, the dengue eradication efforts have not been successfuly. In Indonesia, the incidence is still high and widely transmitted there fore the more intensive vector control is required. The purpose of this study was to verify that the counseling program about mosquitonest eradication effect the density of Aedes. Method: The research was quasi experiment using one group pre and post test design, interventions about counseling of mosquito to eradication. Samples were gathered from health center around Ngaliyan area which consisted of 6 districts. Each district was taken 100 houses by simple random sampling, so the total samples are 600 and each samples were testedor the presence of Aedes aegypti’s larvaes. Pretest was conducted on May 2013 and postest on August 2013 by conducting entomological survey to determine the density of Aedes aegypti’s larvae. Respondents are received 3 times counseling. Results: Data about Larva Free Index (ABJ), Container Index (CI), House Index (HI) and Breteau Index (BI) were tested for normality using Shapiro Wilk, and all were normally distributed (p>0.05), the data were analyzed using t-paired test. The result of Larva Free Index variable analysis obtained were p=0.011, CI p=0.000, HI p=0.035 and BI p=0.004. Conclusion: Counseling about mosquito eradication effected on Aedes aegypti’s larvae so it can prevent the outbreak of dengue fever.

Implementasi Budaya Keselamatan Pasien oleh Perawat di Rumah Sakit Ibnu Sina Makassar Syam, Nur Syarianingsih
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The incidence of medication errors to patients on hospital have been reported in some cases. Indonesia was launched "Patient Safety Movement in Hospital" to reduce incidence of medication errors. This movement was launched on 2005 ago, but until now its implementation has not been comprehensive. Method: This research used quantitative descriptive design using questionnaire as a measuring tool. This research could provide an overview of the implementation of patient safety culture in Ibnu Sina Hospital Makassar. Service that is. The data were processed by using univariate analysis with SPSS program. Results: The results of this study showed a positive response on the position of supervisor/manager expectations and patient safety promotion actions (82.3%) and the negative response was non-punitive response dimension (51.8%). The highest positive response was the inpatient installation (43.26%). Conclusion: The conclusion of this research is the impelentation of patient safety culture at the hospital of Ibnu Sina Makassar showed a positive response.

Analisis Budaya K3 dengan Nordic Occupational Safety Climate Questionnaire dan Safety Culture Maturity Model Afifah, Alidina Nur; Hadi, Suseno
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Implementation and good practice of Occupational Health and Safety (OHS) based on state regulation should be sufficient for a company to promote safety culture. However, “Zero Accident” as its measurable goal has not been consistently achieved, thus we can deduce that OHS practice has not gained its optimum level. We need to know why this gap happens; which safety culture elements are considered as dominant obstacle and support factors at the same time. The research purpose is to measure safety culture maturity level as well as factors that influence safety culture in a company, as case study PT X. Method: As research designs, analytical descriptive and cross-sectional design using quantitative and qualitative approaches were mixed together. The research samples consisted of 96 individuals and 5 key informants. Data was gathered using NOSACQ-50 questionnaire, SCMM questionnaire, and in-depth interviews. Its independent variables were OHS priority management, commitment and competency, OHS empowering management, OHS equality management, worker commitment on OHS, priority and risk acceptance, communication in OHS practice, learning and trust between co-workers in OHS competency, confidence level on OHS system effectivity, work duration, education level, and job position, whilst the only dependent variable was safety culture maturity level. Result: The research result showed that there were correlations between all independent variables of NOSACQ-50 components and safety culture maturity level. It was also concluded that OHS priority management and commitment and competency were both considered as the most influential factors to safety culture (OR=6,29). Following up the research result, it is recommended to the company to officially state Safety Culture as OHS department vision, to improve training management especially for increasing training participation from each business unit, to educate employees to have better mindset on punishment and incident reporting activities, and to improve communication effectiveness within employees related to OHS practice. Keywords: Safety Culture, Safety Climate, Safety Culture Maturity Level, NOSACQ-50, SCMM.

Skrining dan Uji Diagnostik Abnormalitas Lemak pada Lansia di Kecamatan Pundong, Kabupaten Bantul Nurbeti, Maftuhah; Rahayujati, Theodola Baning; Santosa, Tarsisius Bintarta Heru
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 1 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Cardiovascular diseases occupied top ten disease in Bantul district. Dyslipidemia become a major risk factor. Screening for hypercholesterolemia in Indonesia were rarely carried out and usually took urban background. Validity test of the Body Fat Analyzer (BFA) for public health screening also have not been reported. Therefore, this study aims to determine the prevalence of lipid abnormalities and the validity of BFA as a screening tool. Method: Using crosssectional design, this study was located in Pundong that had rural characteristics. With convenience sampling method, subjects were 82 elderly in 4 hamlet. Lipid abnormalities were measured by BFA. Blood cholesterol became gold standard on the cut off point of 239 mg/dl. Diagnostic test is made using 2x2 table calculation and X2 test. Results: This study found the prevalence of overweight and obesity (19.5% and 2.4%), prevalence of abnormal body faat (75.6%); prevalence of abnormal abdominal fat (20.8%); and prevalence of hypercholesterolemia (15.9%). Best validity demonstrated by the examination of a single Body Mass Index (BMI) (sensitivity 61.54%, specificity 85.51% NDP 44.44%; nd 92.19%, p=0.001). Conclusion: This result most closely approximates the prevalence in rural China. Besides being more valid, a single BMI checks are also easier and cheaper than the BFA. Therefore, the use of normal scales can be maximized. BMI measurement and interpretation should be socialized.

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