Muhammadiyah International Public Health and Medicine Proceeding

PROGRESS IN HEALTH COVERAGE AMONG INDONESIAN OLDER PEOPLE TOWARD THE WORLD HEALTH ORGANIZATION’S DECADE OF HEALTHY AGING 2021-2030

Mardiana Dwi Puspitasari, Mugia Bayu Rahardja, Indra Murty Surbakti — Thu, 30 Nov 2023 00:00:00 +0700

Introduction. Older people are associated with health decline and age-related disability. Person-centered integrated care is an action plan for the 'Decade of Healthy Aging 2021-2030' to ensure older people enjoy healthier lives. Purpose. To participate in the Decade movement, evidence of the progress in health coverage among Indonesians elderly from 2015 to 2022 should be presented. Methods. This study uses the 2015, 2020, and 2022 National Socio-Economic Survey (SUSENAS) datasets with a sample of 94,326, 121,961, and 122,344 elderly aged 60 and over, respectively. Univariate analysis is used to determine the percentage of elderly utilizing outpatient treatment between 2015 and 2022. Results. The proportion of elderly without health insurance fell from approximately 45.4 percent in 2015 to 26.4 percent in 2015, and 26 percent in 2022. However, the proportion of older people with health insurance and a health problem but not seeking outpatient treatment rose from around 35.8 percent in 2015 to 45.2 percent in 2020, and 48.2 percent in 2022. Self-medication has been the highest prevalent reason for not utilizing outpatient treatment over time. Self-medication increased from about 57.5 percent in 2015 to 62.1 percent in 2020 and 73.9 percent in 2022. Only about 2.8 percent of the elderly did not utilize outpatient treatment in 2022 due to the COVID-19 pandemic. Conclusion. As self-medication was the most common reason, community awareness and collaboration with health care providers should be encouraged to carry out person-centered integrated treatment.

POTENTIAL RISK FACTORS TO PREVENT THE RISE IN ELECTRIC CIGARETTE CONSUMPTION AMONG INDONESIAN ADOLESCENTS AGED 13 TO 15 YEARS OLD

Asep Kusnali, Vebby Amelia Edwin, Endang Indriasih, Tati Suryati — Thu, 30 Nov 2023 00:00:00 +0700

Data showing a significant increase trend in sales of electronic cigarettes in Indonesia and users aged ≥ 15 years have increased tenfold to 6.6 million in 2021, and there has been no e-cigarette regulation. The purpose of the study is to provide evidence to support policies intended for increasing the number of electric smokers. Using data from the 2019 Global Youth Tobacco Survey with national representation. Simple and multiple logistic regression analyses (p < 0.05) were performed. The analysis states: 15% of youth 13-15 years old use e-cigarettes and most users are boys 13 years old, with a weekly disposable income below IDR 50,000. Multivariate analysis shows; friends or shop workers who provide e-cigarettes or attend events promoting tobacco products have a 15-fold greater influence on adolescents than the reference group. When compared to not seeing the advertisements, e-cigarette advertisements on the streets/stores/TV/ internet have the potential to increase adolescent motivation by 8 times. Nonsmokers who have tried tobacco products are potentially three times more likely to be interested in e-cigarettes than those who have never tried them. Adolescent smokers are twice as likely as nonsmokers to use e-cigarettes, and close friends who smoke are twice as likely as nonsmokers to influence e-cigarette use. Information shows that the previous Tobacco Advertising Promotion and Sponsorship Policy was ineffective, it needed to be strengthened with a total ban. It is critical to strengthen smoking cessation efforts, as well as raise parental and community awareness of the dangers of consuming tobacco products.

A STUDY OF MATERNAL HEALTH SERVICES BY PRIVATE MIDWIVES IN SURABAYA CITY, INDONESIA

Betty Roosihermiatie, Arief Priyo Nugroho, Felly Philipus Senewe — Thu, 30 Nov 2023 00:00:00 +0700

Maternal mortality in Indonesia increased but the coverage of antenatal care and birth attendants by health workers is high. The majority of antenatal care was by private midwives and the majority of birth attendants was by midwives. The study aims to determine the maternal health services by private midwives in maternal health services. It was a mixed study, carried out in Surabaya City because of the highest maternal deaths in East Java Province in 2016. The secondary data of maternal health services were collected from Surabaya City Health Office and Indonesian Midwives Association of Branch Surabaya City. The qualitative data were domain on internal and external problems of private practice midwives. There were 10 informants whom selected purposively. The data were collected by round table discussion. The secondary data were analyzed univariately and the qualitative data were analyzed descriptively. From about 250 private midwives in Surabaya City, 133 were ‘Delima’ midwives in which a program of the Indonesia Midwives Association. Maternal health services by private midwives enhance access. The ‘Delima’ midwives have requirements of knowledge, enhancing skill, reporting, infrastructure standards, and development. So, the quality of maternal health services by ‘Delima’ midwives was relatively better. However, private midwives’ services, including the ‘Delima’ midwives in Surabaya city had not analyzed ANC results, pregnant women visiting private midwives should visit health centers for integrated ANC, midwives’ duties beyond educational competencies, and lack of mentoring for apprentice midwives because of many midwives’ duties. It suggests improving the knowledge and skill of private midwives.

BARRIERS TO STUNTING PRIMORDIAL PREVENTION THROUGH PROSPECTIVE BRIDE’S ADVISORY SERVICE: A QUALITATIVE STUDY USING SOCIAL ECOLOGICAL MODEL

Thu, 30 Nov 2023 00:00:00 +0700

Since the Faculty of Medicine and Health Sciences, University of Warmadewa, launched community-oriented medical education (COME), the stunting prevalence in Gianyar Residence decreased from 12.1% (2018) to 11.1% (2019). In 2021, it decreased to 5.1% which was lower than Bali province (10.9% in 2021) and much less than the Republic of Indonesia (24.4%). The PentaCOME (Pentahelix Community-Based Medical Education) project, the modification of COME, was the collaboration of the Indonesian Ministry of Education, Culture, Research, and Higher Education, the Warmadewa University, as well as PT. Sido Muncul is implemented to further lower stunting prevalence via the “Stunting Primordial Prevention Through Prospective Brides Advisory Service” initiative in Payangan District. The present study was intended to figure out barriers to implementing such initiatives. This is a qualitative study using in-depth interviews and focus group discussions (FGDs) in obtaining data. Purposive sampling was used to select informants who represented academicians (3), businessmen (2), community (9), government (3), and media (3) (i.e., Penta helix components). Twenty in-depth interviews and two FGDs involving academician, community, government, and media were conducted during the 1 September 2022 – 15 October 2022 period. Two coders transcribed and coded independently. The social-ecological model was used to categorize the codes. Informants described that they never heard about the ELSIMIL application (ELSIMIL stands for Electronic Siap Nikah dan Hamil which means ‘prepared to get married and pregnant application’) at the personal level. The “No pregnancy, no marriage” motto (i.e., social pressure to get pregnant before marriage among Balinese) was found a barrier at the interpersonal level. At the institutional level, key informants stated the prospective bride’s advisory service and ELSIMIL application campaign were not adequate. At the community level, the family support team community has been established, however, they could not fulfill their function properly due to the “no pregnancy, no marriage” motto. At the policy level, the traditional village assembly (i.e., “Majelis Desa Adat”) has not issued regulations regarding the prospective bride’s advisory service. A lack of cross-sector collaboration was also reported as a barrier to this initiative. A well-planned promotion could socialize ELSIMIL application among prospective brides. Advocacy to the traditional village assembly might diminish the “no pregnancy, no marriage” motto. Pentahelix collaboration needs to be established to achieve the “zero stunting for golden generation” goal.

ANALYSIS OF FACTORS INFLUENCING THE SELECTION OF BIRTH ATTENDANTS IN THE TALANG MAMAK TRIBE COMMUNITY OF INDRAGIRI HULU DISTRICT

Dona Martilova, Nurmaini, Fikarwin Zuska, Sri Rahayu Sanusi — Thu, 30 Nov 2023 00:00:00 +0700

There was a decrease in the maternal mortality rate (MMR) at 390 to 305 out of 100,000 live births but still failed to reach the MDGs target to become SDGs, namely 70 deaths per 100,000 per live birth in 2023. Indonesian data for 2018 based on birth attendants by health workers was 93.1% and non-Nakes 6.7%, there were still 16% who gave birth at home, while in 2022 there were still 3 .65% assisted deliveries by non-health workers. The purpose of the study was to analyze the factors that influence the selection of birth attendants in the Talang Mamak community of Indragiri Hulu regency. This type of research is quantitative with cross sectional design. The population in this study amounted to 45 respondents with the criteria for respondents, namely pregnant women and mothers who have infants. Data analysis using Chi Square and Logistic Regression. The results showed that of the 45 respondents, 60% of deliveries were assisted by health workers and 40% were assisted by traditional birth attendants. There was a relationship between knowledge (p-value = 0.000), attitude (p-value = 0.014), beliefs/practices (p-value = 0.005), cost of labor (p-value = 0.028), distance (p-value = 0.028), family support (p-value = 0.011). The factor that plays the most role in the selection of birth attendants is knowledge with a significant value of 0.025, maternal attitude 0.031 and trust / custom 0.043 and family support 0.054. It is recommended to increase the knowledge of the mother by continuing health promotion with cultural and social approaches, as well as instilling a positive attitude towards health workers as birth attendants, so that childbirth is free of complications.

ISLAMIC RELIGIOSITY GUIDANCE APPROACHES ON MENTAL HEALTH DISORDER

Awang Saputra, Adi Fahrudin, Munaya Fauziah, Saiful Bahri, Muhammad Fachri — Thu, 30 Nov 2023 00:00:00 +0700

The productive age population in Indonesia in 2022 will reach 69%, with great potential for increasing economic growth. However, there is an increasing threat of mental disorders, which results in low productivity and hinders economic growth. Mental health disorders have psychologically weak conditions that need strengthening through religious guidance. Muslims believe that a religious guidance approach can help solve problems of mental health disorders. Unfortunately, they do not understand practical Islamic guidance as an effort to prevent and promote mental health disorders. This study aims to analyse the Islamic religious guidance approach for mental health disorders. This research uses qualitative methods with a literature study approach. The data collection strategy was sourced from seven published Scopus-indexed journal literature in 2018-2023 using the keywords "Islamic religion and mental health". The study found practical variations of Islamic religious guidance for mental health disorders, including religious lectures, Al-Quran therapy, prayer therapy, psycho-spiritual therapy, therapy for majelis taklim activities, zikir and shalawat therapy, tawba and istighfar therapy. The practical implications of research with Islamic religious guidance can help treat mental health disorders gradually and sustainably.

THE EFFECT OF NUTRITION EDUCATION TO PROSPECTIVE BRIDE IN PREGNANCY NUTRITION PREPARATION TO PREVENT THE RISK OF STUNTING: STUDY LITERATURE REVIEW

Ratna Wulandari, Ahmad Syafiq — Thu, 30 Nov 2023 00:00:00 +0700

The National Strategy Program in Indonesia for the Acceleration of Stunting Prevention targets specific nutrition interventions for Women of Reproductive Age. The government implemented a health examination program for prospective brides to prevent the risk of stunting. This study aims to describe the implementation of nutrition education for brides in Indonesia, and its effect on knowledge, attitudes, and consumption behavior of nutritious food as a preparation for a healthy pregnancy. The method of this research is Systematic Literature Review by screening articles using the PRISMA chart. The article sources used were Google Scholar and Garuda with article years 2020 to 2022, 333 articles were found, and 16 articles were required to be reviewed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Description of research results is the locations used to provide education include the Office of Religious Affairs (Kantor Urusan Agama), Puskesmas, and local area halls. The educational media used are booklets, leaflets, digital applications, social media, and PowerPoint presentations. The nutrition materials given were 1000 HPK, preconception nutrition, and anemia prevention. The results of the study provided nutrition education had a significant impact on knowledge and attitudes, but education would have an impact on behavior if it was given at least 3 times. This study concludes that the nutrition education strategy needs to include factors that affect education acceptance such as educational background and social economy, and the impact assessment of education must also include the behavior of consuming nutritious food and changes in the body's nutritional status.

THE EFFECT OF PERCEPTION ON OBESITY AND ALCOHOL DRINKING PREDIABETES CAUSES TYPE 2 DIABETES MELLITUS IN TORAJA ETHNIC IN SOUTH SULAWESI PROVINCE

Shermina Oruh, Nurgadima Achmad Djalaluddin, Lukman Waris — Thu, 30 Nov 2023 00:00:00 +0700

The prevalence of Diabetes Mellitus (DM) has been increasing in the world for several decades. The International Diabetes Federation predicts the global prevalence of DM to be 382 million in 2013 and 529 million in 2035 and will continue to increase until 22 next year. Indonesia ranks fourth after India, China, and America. Before becoming T2DM, most sufferers experienced prediabetes. Prediabetes to T2DM is influenced by socio-cultural factors including perceptions about obesity and consuming alcohol. This study aims to determine the effect of perceptions of obesity and prediabetes alcohol drinking as a cause of T2DM in the Toraja ethnic in South Sulawesi Province. Qualitative research design with the Rapid Assessment Procedure method. The population is prediabetic from biomedical samples in Tana Toraja and North Toraja Regencies, South Sulawesi Province Riskesdas 2013. The samples are residents with prediabetes and T2DM of the Toraja ethnic group who live in Tana Toraja and North Toraja regency. Information gathering was carried out in 2018 through focus group discussions on two groups (prediabetes and T2DM). In-depth interviews with health service program managers, health center staff, health cadres, and community leaders. Research explains that there is an influence on perceptions of obesity and alcohol drinking in pre-diabetic Toraja people who cause T2DM. Obesity is perceived as a sign that a person has prospered in life, while an alcoholic drink called tuak is the drink consumed daily by the Toraja people.

FACTOR INFLUENCING COMMUNITY PARTICIPATION IN WASTE BANKS DURING COVID-19 IN CILEGON CITY, BANTEN INDONESIA

Fauzul Hayat, Nurce Arifiati — Thu, 30 Nov 2023 00:00:00 +0700

In Indonesia, achieving community participation in waste management continues to be quite difficult. In Cilegon City, Banten, the management of solid waste at the local level requires the use of a waste bank. In Cilegon City, Banten, during COVID-19, this study sought to identify the contributing elements to community engagement in waste banks. Cross-sectional research is the method used in this study. The findings indicated that 60% of respondents struggled to participate in garbage banks. Female respondents made up 54% of the sample, and 64% of them were over 30 years old. Gender had a very strong impact on community involvement in waste banks (OR = 4.500; 95% CI: 1.862-10.877). Additionally, other variables such as attitude level (OR = 3.444; 95% CI: 1.403-8.457) and family influence this community participation. Female gender, attitude, and family support were the primary factors that significantly influenced community engagement in waste banks in Cilegon City. Therefore, a policy change that emphasizes female empowerment is required to enhance the current method of managing solid waste at the community level.

EFFECT OF RED BEANS AND BLACK BEANS WITH A DIABETES MELLITUS: A SYSTEMATIC REVIEW

Pratiwi, Adi Magna Patriadi Nuhriawangsa, Tri Nugraha Susilawati — Thu, 30 Nov 2023 00:00:00 +0700

Diabetes mellitus is a chronic metabolic disease that requires dietary management. One of the diet strategies is a high consumption of antioxidants and fiber contained in red beans and black beans. The purpose of this article is to prove that red beans and black beans can treat diabetes mellitus. The method is a systematic review using the PRISMA protocol and JBI's Critical Appraisal Tools. The source of the article is experimental studies published in the last 10 years (2013-2023) in Google Scholar, Pubmed, and Science Direct databases. The results showed that red beans and black beans are rich in antioxidants and fiber. Antioxidants and fiber are known to reduce blood glucose levels and increase insulin levels. The conclusion of this article is red beans and black beans can treat diabetes mellitus. The suggestion of this review is that better to increase the daily dose of red beans and black beans consumption to treat diabetes.

EFFECT OF THIAMINE, BMI, SLEEP DURATION, AND ANXIETY IN NEUROTIC, STRESS, AND SOMATOFORM DISORDER

Lintang Mega Pertiwi, Mohammad Fanani, Nur Hafidha Hikmayani — Thu, 30 Nov 2023 00:00:00 +0700

Neurotic, stress, and somatoform disorders are one of the diagnosis group characterized by anxiety symptoms. Thiamine or vitamin B1 levels, Body Mass Index (BMI), and sleep duration have been associated partially with anxiety disorders in the health population. The aim of this study is to examined the relationship between thiamine levels, BMI, and sleep duration with anxiety symptoms among people with neurotic, stress, and somatoform disorders. This study is observational with cross-sectional design and engage patients with neurotic, stress, and somatoform disorders as participant. The data gathered comprised thimine levels measured using the liquid chromatography-mass spectrometry (LC-MS/MS), BMI measured based on data of the patient's weight and height, and sleep duration obtained through a questionnaire. Anxiety levels were evaluated using the Zung Self-Rating Questionnaire (SAS). Linear regression was performed for data analysis. The findings indicated that there was no significant relationship between vitamin B1 levels and anxiety levels. However, this study suggested that an increase of 1 hour in sleep duration (coefficient = -2.784, p = 0.007) and an increase of 1 unit in BMI (coefficient = -0.824, p = 0.022) were associated with a statistically significant decrease in anxiety index. This study demonstrated significant relationship between BMI and sleep duration with anxiety symptoms in patients with neurotic, stress, and somatoform disorders. Further study is required to understand the mechanisms of this relationship and its implications for the treatment of patients with neurotic, stress, and somatoform disorders.

FACTORS ASSOCIATED WITH THE OCCURENCE OF STUNTING IN CHILDREN AGED 12-35 MONTH IN THE DIY PROVINCE

Thu, 30 Nov 2023 00:00:00 +0700

Stunting is a condition of failed growth in children characterized by significantly short stature relative to their age. Stunting occurs due to inadequate and unbalanced nutrient intake, and it can be influenced by other factors such as illness, poor sanitation, limited access to clean water, and an environment that does not support optimal child growth. The purpose of this study was to know the factors associated with the occurrence of stunting for children aged 12-35 months in the DIY Province. This study is a further analysis of the 2021 Indonesian Nutritional Status Study data for the Province of DIY. The design of the research was stratified two-stage sampling. Stunting data collection was carried out through interviews with parents of children using a questionnaire and measuring the height of the children by local enumerators. Bivariate analysis to know the relationship between the independent variable and the dependent variable. Meanwhile, to know the factors associated with the occurrence of stunting in children, a multivariate analysis was carried out. The result showed that there wasa significant relationship between stunting with the age of mothers, difficulty transportation to healthcare, monitoring and development of children, and the mother receiving nutritional counseling, p-value≤ 0.05. Age of children, gender of children, place of residence, education of mothers, and occupation of mothers, had no significant association with the occurrence of stunting, p-value> 0.05. The factors associated with the occurrence of stunting for the children were the age of mothers, difficulty transportation to healthcare, monitoring, and development of children, and the mother receiving nutritional counseling. It is necessary to increase the role of posyandu as a forum that helps the government to improve public health, in this case reducing stunting rates in toddler.

DIFFERENCES IN FOOD INTAKE (ENERGY, PROTEIN, FAT AND CARBOHYDRATES) IN CHILD WASTING BY GIVING COOKIES OF PURPLE SWEET POTATO AND TEMPEH FLOUR

Fitria Mushollini, Harsono Salimo, Lilik Retna Kartika Sari — Thu, 30 Nov 2023 00:00:00 +0700

Wasting is a malnutrition condition attributable to insufficient food intake and/or disease. Poor quality and quantity nutrition in food intake is particular concern, especially for child wasting. One of the efforts to deal of child wasting is by providing nutrient-rich supplementary foods such as cookies. Cookies of purple sweet potato and tempeh flour have nutritional value of protein (8.06-22.31%) and carbohydrates (63.85-82.42%). The aim of study was to analyze differences in food intake (energy, protein, fat and carbohydrates) in child wasting by giving cookies of purple sweet potato and tempeh flour. The design of this study was quasi-experiment used a pre-posttest design with a controlled group. The study consisted of a control group (100% purple sweet potato cookies), K1 (90% purple sweet potato: 10% tempeh flour) and K2 (80% purple sweet potato: 20% tempeh flour). The intervention for 30 days. The analyze of data used were paired t-test and One-Way Anova. The results found that there was an increase in food intake (energy, protein, fat and carbohydrates) before and after giving cookies of purple sweet potato and tempeh flour and it was statistically significant. There was a significant difference food intake in each group after intervention by cookies (p<0.05). Intervention with cookies of purple sweet potato and tempeh flour could be the alternative to increase food intake in child wasting.

CLIMATIC RELATIONSHIP (TEMPERATURE, HUMIDITY, AND RAINFALL) WITH DENGUE HEMORRHAGIC FEVER (DHF) INCIDENCE IN SOUTH TANGERANG CITY 2016-2020

Vivinda Trisnowati Putri — Thu, 30 Nov 2023 00:00:00 +0700

Climate change is one of the hot issues discussed recently, given its serious impact on various aspects of life, especially health. Climate change can increase the risk of disease occurrence due to increases in air temperature, air humidity, and extreme rainfall incidence. Climate change is one of the factors contributing to the increase in dengue cases. The purpose of this study is to determine the relationship between climate and DHF in South Tangerang City in 2016-2020. This research is a descriptive research using time series analysis of ecological study design. This research is included in the observational study that uses secondary data by looking at climatic factors, such as air temperature, humidity, and rainfall as independent variables and the incidence of DHF as a dependent variable. revealed that there was no very weak significant relationship in a negative direction (p = 0.346 / r = -0.124) between temperature and the incidence of DHF, there was a moderate relationship in a positive direction (p = 0.0005 / r = 0.470) between humidity and the incidence of DHF, and there is a moderately significant relationship in a positive direction (p = 0.016 / r = 0.309) between rainfall and the incidence of DHF. Humidity and rainfall have a significant relationship with the incidence of DHF in South Tangerang City in 2016-2020.

THE RELATIONSHIP OF KNOWLEDGE, ATTITUDES, AND COMPLIANCE WITH THE USE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) WITH SAFETY BEHAVIOR AMONG SPBE EMPLOYEES IN PANDEGLANG DISTRICT

Siti Nur Ramdaniati, E. Egriana Handayani, Dedeh Jubaedah — Thu, 30 Nov 2023 00:00:00 +0700

Safety Behavior is a way of behaving that is carried out by individual interest to minimize or prevent potential disasters. Safety behavior in this research focuses on the human behavior aspect in workplace accidents. The purpose of this study is to determine the relationship between knowledge, attitudes, and compliance with the use of Personal Protective Equipment (PPE) with safety behavior among SPBE Pertamina employees in Pandeglang District. This research uses quantitative methods by cross-sectional and observation approach to the study. The sample of this research is all of the 40 employees in SPBE working in charge of Liquefied Petroleum Gas (LPG) filling. Total sampling is used as a sample retrieval technique, and the data retrieval technique used is a questionnaire. The data analysis method used is univariate and bivariate analysis with Chi-Square test analysis. The result of this study shows a significant relationship between knowledge of the safety behavior of SPBE employees (p-value 0.034) and there is a significant relationship between attitude with SPBE employees' safety behavior (p-value 0.011). This study concludes that there is a relationship between knowledge and attitude toward safety behavior among SPBE Pertamina employees in the Pandeglang District. Therefore, it is suggested that SPBE leadership conduct education for employees so that employee knowledge and attitudes increase so that they can increase good safety behavior for employees.

THE RELATIONSHIP BETWEEN WORK STRESS AND NURSE PERFORMANCE IN THE NURSING CARE PROCESS IN THE INPATIENT UNIT OF KHIDMAT SEHAT AFIAT HOSPITAL DEPOK CITY IN 2022

Maulida Khalizahy, Azizah Zen, Fini Fajrini — Thu, 30 Nov 2023 00:00:00 +0700

Work Stress is a condition in which a person feels obstacles or demands related to what is expected and considered to be successful but not as expected. Increased work stress causes nurse must role in a manner maximum in serves patients, some symptom consequence stress includes laziness, experiencing change lust eating, and often sick head. So that could affect the performance of nurses. This research uses a cross-sectional research design. The sample used the total sampling method with a total sample of 69 respondents. The analysis was performed using the chi-square test. From 69 respondents work stress with the performance of nurses in the inpatient unit of Khidmat Sehat Afiat Hospital, Depok City, in the moderate stress level category there were 44 nurses with a percentage of 63.8% with poor nurse performance as many as 25 nurses with a percentage of 56.8% and nurses with good performance as many as 19 nurses with a percentage of 43.2%. The results of the Chi-square statistical test with Crostabulation using α = 0.05 found a p-value of 0.026, so it can be concluded that the p-value <α = 0.05, which means that there is a significant relationship between work stress and nurse performance. There is a Connection Between stress Work with Nurse Performance, listening indicator psychology, physical, and behavior as indicator measurement of work stress. Home it hurts more to notice condition stress nurse with given a chance to develop a career and education, as well as analyze the burden work nurse.

THE RELATIONSHIP BETWEEN MATERNAL KNOWLEDGE AND FOOD INTAKE ON THE NUTRITIONAL STATUS OF CHILDREN PARTICIPATING IN THE NUTRITION POST AT PUSKESMAS BAJA TANGERANG CITY

Diah Auliany, Dewi Purnamawati — Thu, 30 Nov 2023 00:00:00 +0700

The toddler period is commonly known as the golden age or the golden age because the success of growth and progress in the future is determined at this time. The nutritional status of toddlers is an important thing that every parent should know. The purpose of this study was to determine the relationship between a mother's knowledge and a toddler's food intake with a toddler's nutritional status (weight/age, height/age, and weight/height). This research is an analytic observational study with a cross-sectional design. This research was conducted in June 2023 in the working area of the Jalan Baja Health Center, Tangerang City. The sample in this study used Saturated Sampling with as many as 63 respondents. The statistical analysis used was univariate analysis and bivariate analysis with chi-square. The results showed that 23.8% of respondents had wasting nutritional status, 71.4% of respondents had good knowledge and 50.8% had frequent food intake. There is a significant relationship between knowledge (p=0.031) and food intake (p=0.021) with the nutritional status of toddlers. From this study it can be concluded that there is a relationship between the mother's knowledge of nutritional status, and food intake and nutritional status with 3 indices, namely (BB/A), (TB/A), and (BB/TB). Suggestion: To improve the nutritional status of toddlers, it is best to increase mothers' knowledge about nutrition by counseling mothers of toddlers about selecting and processing food that is diverse, nutritionally balanced, and high in animal protein.

LITERATURE REVIEW: OVERVIEW OF PARENTING IN STUNTING PREVENTION IN TODDLERS IN KUPANG CITY, EAST NUSA TENGGARA PROVINCE

Rr Evy Andarini, Dewi Purnamawati — Thu, 30 Nov 2023 00:00:00 +0700

Stunting is one of the serious public health problems in Indonesia, including in Kupang City, East Nusa Tenggara Province. Stunting prevention requires an active role from parents or caregivers in providing proper parenting. This study aims to provide an overview of parenting styles that play an important role in stunting prevention in Kupang City, based on a literature review of the latest studies that have been conducted in the Kupang City area. This research uses the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) method through four stages, namely identification, screening, feasibility, and results received. The literature search is done by accessing an online electronic database from Google Scholar. Literature searches have been carried out online in Indonesian-language journals on the Google Scholar database in the last three years (2020-2023). The results showed that the incidence of stunting toddlers in Kupang City was influenced by improper feeding practices due to the low level of knowledge and economy. In addition, various community empowerment activities influence reducing stunting. It is hoped that community empowerment activities will continue to reduce the incidence of stunting in Kupang City.

LITERATURE REVIEW: HUSBAND'S ROLE IN REDUCE THE INCIDENCE OF POSTPARTUM DEPRESSION IN WORKING WOMEN IN INDONESIA

Linda Wahyuni Putri — Thu, 30 Nov 2023 00:00:00 +0700

Postpartum stress conditions are experienced by most women. Mothers who are actively working tend to have a greater risk of Postpartum Depression than mothers who do not work. This is due to the dual roles of raising children, managing the household, and completing work matters. This study aimed to determine husbands' support for the incidence of Postpartum Depression in working women in Indonesia. This study used a literature review strategy that was reviewed from several sources such as PubMed, ScienceDirect, and Google Scholar with a selection of articles published from 2017 to 2023. Searches in the database were carried out using keywords such as “Postpartum Depression”, “Working Women and Postpartum Depression”, and “Husband’s Role and Postpartum Depression”. The literature review results show that the main factor influencing the incidence of Postpartum Depression in Working Women is the lack of a husband's role. Based on the literature review, it can be concluded that family support, especially husbands, is needed to minimize Postpartum Depression in Working Women. It is hoped that husbands will support and help working women in taking care of their children so that Postpartum Depression does not occur.

FOOD CONSUMPTION BEHAVIOR AND HOME SANITATION AS PREDICTORS IN THE INITIAL APPLICATION OF STUNTING DETECTION

Thu, 30 Nov 2023 00:00:00 +0700

Food consumption behavior and home sanitation can be important predictors in the early implementation of stunting detection in toddlers. Stunting is a condition in which a child's physical growth and development are chronically stunted due to malnutrition and inadequate care. This study aims to determine food consumption behavior and home sanitation as predictors in the initial application of stunting detection. This study used a cross-sectional study on 245 children aged 0-59 months who lived in Bogor Regency who were selected using a proportional random sampling technique. Stunting is measured using an anthropometric index (length/height for age). Measuring food consumption using quantitative food intake (food frequency questionnaire) and home sanitation includes indicators of a healthy home, namely cleanliness of floors, walls, ceilings, roof height, function of living rooms, and kitchen space. Sociodemographic characteristics were measured using a structured questionnaire. The prevalence of stunting children under five is 20.4% and the dominant factor for stunting is age (p-value <0.001; AOR=0.254; 95% CI=0.120-0.541). Food consumption and home sanitation are not related to stunting (p-value >0.05). Through a comprehensive approach to food consumption behavior and home sanitation, it is hoped that early prevention and effective interventions for stunting in toddlers can be carried out. Children aged <24 months are more prevented from experiencing stunting 0.254 times than those aged ≥ 24 months.

QUALITATIVE STUDY OF HUSBAND SUPPORT IN THE UTILIZATION OF ANTENATAL CARE (ANC) SERVICES AT THE TANARA HEALTH CENTER, SERANG DISTRICT

Shiva Nabilah, Dewi Purnamawati Yuniasih, Tria Astika, Toha Muhaimin, Fatimah — Thu, 30 Nov 2023 00:00:00 +0700

Background: This study aims to obtain in-depth information about deep-husband support Utilization of Antenatal Care (ANC) services at the Tanara Health Center District. Method: This study uses a qualitative method with a phenomenological approach. This research was conducted in the working area of the Tanara Public Health Center, Serang Regency, involving 11 informants which were divided into 5 key informants and 6 supporting informants. The sampling technique used to determine the informants for this study was purposive sampling. This research was conducted for one month from January 2023 to February 2023. The research data was obtained through observation, interviews, and documentation studies. Then, the data obtained were analyzed using reduction techniques, data presentation, and drawing conclusions which were then validated using source and technique triangulation methods.

ANEMIA IN YOUNG WOMEN IN THE CITY OF SOUTH TANGERANG IN 2023

Ari Retno Setiyawaty, Dewi Purnamawati — Thu, 30 Nov 2023 00:00:00 +0700

Background: A health problem in adolescents that is still happening today is anemia. The problem of anemia in young women needs further treatment because young women are prospective mothers who will give birth to children as the successor to the nation. Purposes: The study aimed to describe the incidence of anemia and the recipients of blood-added tablets for young women in the city of South Tangerang. Methods: This research was conducted using descriptive research. The population of this study was young women who had been screened for Hemoglobin (Hb). From January to May 2023 in all junior high schools/equivalent grades 7,8,9 and high school/equivalent grades 10,11,12 in the city of South Tangerang there were 46,624 people. The data were obtained from the Hb screening report from the South Tangerang City Health Office and were analyzed univariately in the form of a frequency distribution. Results: The results showed that 15,015 girls (32.20%) experienced anemia with mild anemia at 54.41%, moderate anemia at 40.39%, and severe anemia at 5.20%. The highest percentage of anemia was in grade 9 reaching 37.56% and the highest prevalence of anemia for young women was in the Setu sub-district of 40.27%. For blood-added tablet recipients for young women in South Tangerang City, the rate has reached 67.63% of the target of 68%. Conclusions: This study concludes that the incidence of anemia in female adolescents is still high, exceeding the national target and the proportion of female adolescents receiving iron tablets is good. Collaboration between various parties is needed to reduce the prevalence of anemia among school girls' parents, regional officials from the health office, the education and culture office, and the Ministry of Religion of the city of South Tangerang regarding nutritional action activities and monitoring and evaluation of consumption of blood-added tablets in young women.

FAMILY PLANNING PROGRAM PARTICIPATION AND CONTRACEPTIVE USAGE IN LEUWISADENG SUBDISTRICT, 2022: A DESCRIPTIVE OBSERVATIONAL STUDY

Febriyanti, Dewi Purnamawati — Thu, 30 Nov 2023 00:00:00 +0700

The primary indicator of the success of Family Planning (FP) will be evident from the number of contraceptive users among women of reproductive age (WRA). This study aims to evaluate the participation rate in FP and the utilization of contraceptives in Leuwisadeng District in the year 2022. Method: A descriptive research design with a quantitative approach was employed. The study population consisted of WRA in the Leuwisadeng District, with the research sample drawn from the population of FP participants. Data were collected from family registration reports through the New SIGA application and analyzed through univariate analysis by calculating percentages, which were then presented in tabular form. Results: FP participation rate: The total number of WRA in 2022 was 13,375 individuals. Out of these, 9,785 individuals (73%) were FP participants, while 3,593 individuals (27%) were non-participants. The most commonly used contraceptive method was injectable contraceptives, with a total of 6,158 individuals (62% of the total FP participants). Oral contraceptive pills were used by 2,281 individuals (23%), intrauterine devices (IUDs) by 130 individuals (1.3%), the Woman Operation Methode/Tubectomy by 96 individuals (1%), implants by 976 individuals (10%), condoms by 110 individuals (1.1%), and Vasectomy by 24 individuals (0.2%). Conclusion: The FP program in Leuwisadeng District in 2022 has achieved a reasonably good level of participation, with 73% of the total WRA being FP participants. However, there are still a significant number of WRA who have not yet participated in FP, and injectable contraceptives are the most commonly used method. Recommendation: Cross-sectoral collaboration is needed to promote family planning and enhance participation in the FP program.

EVALUATION OF THE SUSTAINABILITY OF THE ESSENTIAL PUBLIC HEALTH EFFORT PROGRAM AT THE TEAM-BASED NUSANTARA SEHAT ASSIGNMENT HEALTH CENTER, MINISTRY OF HEALTH, REPUBLIC OF INDONESIA

lukman waris, Nurce Arifiati, Harimat Hendarwan, Tri Siswati — Thu, 30 Nov 2023 00:00:00 +0700

Background: The Nusantara Sehat Team-based Program (NST) is a program that places health workers with 9 categories of health professionals in remote border areas and islands (DTPK) for 2 years every batch. NST aims to fill the shortage of health workers at the DTPK puskesmas so that the main tasks of the puskesmas can continue. This study aims to evaluate the sustainability of the essential public health program at the NST placement center between 2016 and 2018. Method: Quantitative research method with cross-sectional design. The population is the NST batch 1-2 community health center (2016) as post-placement and NST batch 6-8 health center (2018) as placed in 28 provinces, 43 districts, and 39 health centers. The sample is the community at the placement and post-placement health centers. Data collection was carried out by interviewing the people who were selected as samples using a questionnaire by trained enumerators. A statistical test was conducted to assess the average coverage index of the essential public health program at the puskesmas by comparing the average coverage index of the program during placement and after placement with an independent t-test. The result: The results of the study showed that the NST essential public health program experienced sustainability, as seen from the results of statistical analysis, it was found that p = 0.26 95% CI (0.11-0.41) at the NST placement health center and p = 0.76 95% CI (0.36-0.49) at post-placement health centers. Sustainable programs are health promotion, empowerment, environmental health, MCH, and Nutrition. Programs that are not sustainable are disease prevention

ACHIEVEMENT OF NATIONAL INDICATORS OF HOSPITAL QUALITY IN INDONESIA

Ruri Purwandani, Dewi Purnamawati — Thu, 30 Nov 2023 00:00:00 +0700

Background: The National Quality Indicator Measurement (INM) of hospitals is mandatory to be conducted as a basis for planning, monitoring, evaluation, and decision-making for the improvement of healthcare services in hospitals, following Minister of Health Regulation Number 30 of 2022. Objective: This study aims to determine the overview of the achievement of hospitals in Indonesia in reporting and meeting the National Quality Indicators (INM). Method: The method used in this study is descriptive with secondary data analysis. Quality indicator data was obtained from the achievement data of national quality indicators reported in the mutu fasyankes.kemenkes.go.id/simar/ application. Results: All provinces have implemented the reporting of INM measurements, and the number of hospitals reporting INM in the first quarter of 2023 has increased compared to the reporting of hospital INM in the fourth quarter of 2022. There are still 18 provinces with INM reporting compliance below 50%. There is no difference in reporting compliance between government/TNI/POLRI-owned hospitals, state-owned enterprises, and private hospitals. The average achievement of INM targets in 2023 has improved compared to 2022. Compliance with the use of Personal Protective Equipment (PPE) is an indicator of low achievement. Conclusion and Suggestions: Compliance in reporting INM by hospitals has increased after the implementation of the obligation to measure and report INM according to Minister of Health Regulation Number 30 of 2022. However, the achievement of the compliance indicator for the use of PPE is still low. It is necessary to strengthen healthcare workers' adherence to the use of PPE.

EFFECTIVENESS OF EARLY MOBILIZATION ON MUSCLE STRENGTH AND PAIN SCALE IN POST-ORIF TIBIA FIBULA FRACTURE PATIENTS AT HOSPITAL IN JAKARTA CENTRAL

Erwan Setiyono, Yani Sofiani, Ninik Yunitri, Nurma Dewi — Thu, 30 Nov 2023 00:00:00 +0700

Fracture is a condition where there is a break in bone tissue. ORIF is a surgical procedure that aims to restore the condition of the fracture as before. The problems that arise after ORIF is the occurrence of pain and limited activity. To reduce the problems that arise is to implement ROM (Range Of Motion) early mobilization. ObjectiveROM is to increase muscle strength and reduce the pain scale experienced by patients with tibia and fibula fractures. The method in this study was quasi-experimental with the total sampling technique. The analysis in this study used the Jamovi application with the Paired Samples T-Test and Repeated Measurement ANOVA. After ROM training there was a significant increase (P-value = <0.001) during the 4 days of hospitalization with a mean difference ranging from 2.00. In early mobilization exercises carried out independently at home for 10 days there was a significant increase in muscle strength (P-value = <0.001) with a mean difference ranging from 3.40. In measuring the pain scale after the ROM intervention was carried out for 4 days in the hospital, the results showed a significant decrease (P-Value = <0.001) with a mean difference of around -2.00. Meanwhile, in measuring the pain scale on days 7 and 14 of independent ROM exercises at home, the results were not significant where the P-value = 0.363 with a difference in mean values ranging from +0.100. The application of EBNP, namely the provision of early mobilization exercises (ROM) has proven effective in increasing muscle strength and gradually reducing the pain scale in patients with tibia and fibula fractures.

UTILIZATION OF MANGROVE ENDOPHYTIC FUNGI AS A SUSTAINABLE AND ENVIRONMENTALLY FRIENDLY SOURCE OF CHITOSAN

Siti Aisah, Rosyidatul Lutfiah, Ni Luh Gede Ratna Juliasih, Andi Setiawan — Thu, 30 Nov 2023 00:00:00 +0700

Chitosan is an important biopolymer that is used as a raw material in several industries, but the manufacturing process has the potential to harm the environment. This study aimed to exploit chitosan in mangrove endophytic fungi and to characterize it. The four fungi isolates used were 20BB0501, 20CB07, 20BA04, and 20BA0502. Fungi were obtained from mangrove plants and identified macroscopically and microscopically using the coverslip method. After performing fungal maintenance on MEA media, fungi cultivation was done on rice media for 14 days. A chitosan extract was made by isolating and extracting the chitosan from the fungal biomass. FTIR was used to characterize the isolated chitosan extract. Macroscopic examinations revealed that each of the four strains had a delicate structure and was white. According to the extraction results, the yield of chitosan from the fungal biomass was 7.5%, 16.7%, 1.6%, and 11%, respectively. According to the FTIR data, showed the degree of deacetylation reached 85.02%, 97.78%, 88.7%, and 85.02%. It can be concluded that mangrove endophytic fungi can be used in the manufacture of chitosan, which produces a high degree of deacetylation using a more environmentally friendly process. The results of this study indicate that marine fungal strains can be used as a source of chitosan. This basis can be developed for the production of bio surfactants, enzymes, and the discovery of new bioactive compounds has pharmacological and biotechnological potential.

EPIDEMIOLOGY OF PITYRIASIS VERSICOLOR IN ELEMENTARY SCHOOL CHILDREN IN THE BANTAR GEBANG, BEKASI

Thu, 30 Nov 2023 00:00:00 +0700

Pityriasis versicolor (PV) is a disease caused by a superficial fungus, namely Malassezia furfur. This disease is chronic with skin appearance that has characteristics in the form of well-defined skin lesions and white (hypopigmentation) and pink to brownish (hyperpigmentation). PV disease causes itching and a psychological impact in the form of a decrease in self-confidence. The purpose of this study was to determine the percentage of PV incidence in elementary school children at the Garbage Disposal Site, Bantar gebang, Bekasi, West Java. This type of research is quantitative and descriptive with a cross-sectional design. The research sample consisted of 87 elementary school students in grades 1 and 2 who were selected based on inclusion criteria, namely the presence of hypopigmented and hyperpigmented lesions. The examination was carried out microscopically with the solatip method using 10% KOH. Data analysis was performed by using descriptive statistical tests. The results of this study showed that there were 35 (40%) students who were positively infected with PV, which was confirmed by the presence of spores and hyphae of the fungus M. furfur. The age most affected by PV is 7 years old, with a percentage of 17 (49%) students, while the percentage of the sex most affected by PV is male, with as many as 23 (53%) students. The study concludes that the prevalence of children in grades 1 and 2 at Yayasan Dinamika Indonesia Elementary School around the Bantargebang landfill, Bekasi, West Java, is in the middle category. The factors that influence the incidence of PV in this study are outdoor activities, which cause the facial area to sweat easily, and lack of personal hygiene.

PREVENTION OF SEXUAL VIOLENCE THROUGH PUBERTY EDUCATION AT SDIT MUTIARA INSAN BEKASI REGENCY

Erry Utomo, Nurfadhilah, Dewi Purnamawati, Dewi Andayani — Thu, 30 Nov 2023 00:00:00 +0700

Compared to a few decades ago, puberty now happens earlier, and the frequency of sexual assault is rising wildly. The purpose of this study is to examine how puberty education affects high-grade elementary school students' awareness of sexual assault prevention. With a facilitator in each class, the research design employs a quasi-experimental format of concurrent lectures and conversations lasting 60 minutes. 22 fourth-graders, 31 fifth-graders, and 31 sixth-graders make up the participants. Ten true-false questions from a pre-and post-test were used to gauge knowledge. The T-test was utilized in data analysis. The understanding of high school students significantly increased (P value 0.0001). All class discussions showed an exceptionally lively exchange of thoughts, and several students were particularly aggressive and engaged in raising issues of psychological (the recognition and control of emotions) and social (interpersonal connections and communication) interest. Continuous education is important, along with teaching strategies that are not the same as pedagogy or andragogy but rather suitable for the typical characteristics of adolescents.

FACTORS ASSOCIATED WITH THE BEHAVIOR OF PERSONAL PROTECTIVE EQUIPMENT (PPE) IN WORKERS AT HEIGHT AT THE SAVYAVASA LUXURY RESIDENCE PROJECT IN 2023

Haliqatul Zadidah, Rusman Effendi, Dihartawan — Thu, 30 Nov 2023 00:00:00 +0700

Working at height is an activity or activity carried out by workers at a workplace on the surface of land or water where there is a height difference and has the potential to fall which could cause the worker or other people in the workplace to experience injury or death. Work accidents involving heights resulted in the deaths of 2.78 million workers per year in 2018. This research aims to look at the relationship between the independent variables (age, education, knowledge, attitudes, availability of PPE) and the dependent variable (the behavior of using PPE among workers in height). PT TAISEI-CSC JO Savyavasa Luxury Apartment Project. Samples were taken using a purposive sampling technique with a total of 120 respondents. Analysis was carried out bivariate using the chi-square test. A total of 77 (64.2) workers behaved badly. The results showed that there was a relationship between education (p=0.000), knowledge (0.000), and age (0.016). Suggestions for workers to further increase discipline in complying with applicable regulations. For the company to further improve K3 socialization.

DETERMINANTS OF COVID-19 PREVENTION BEHAVIOR IN WOMEN OF REPRODUCTIVE AGE IN SOUTH TANGERANG CITY YEAR 2020

Violita Agnoviardi, Mizna Sabilla, Luqman Efendi, Istianah Surury — Thu, 30 Nov 2023 00:00:00 +0700

Coronaviruses, which are responsible for diseases in humans and animals, including Middle East Respiratory Syndrome (MERS), Severe Acute Respiratory Syndrome (SARS), and COVID-19, are a group of viruses known to cause respiratory infections in humans. Monitoring data for COVID-19 in South Tangerang City until February 2 2023 states that South Tangerang City is in the first level with the highest cases in Banten Province with 117,671 positive confirmed cases. This study aims to determine the determinants associated with COVID-19 prevention behavior in Women of Reproductive Age. This research was conducted in January 2023 using a cross-sectional design. The research sample was taken using the One-Stage Cluster and found as many as 190 women aged between 15-49 years. The results showed that most of the behaviors for preventing COVID-19 were good, most were aged <25 years (63.7%), had secondary education (58.9%), working status (60%), good knowledge (95, 3%) and good attitude (52.1%). In the variables of age, education, work, and knowledge, the results obtained were p value > 0.05. Meanwhile, the attitude variable obtained a p-value <0.05. Age, education, occupation, and knowledge are not related to COVID-19 prevention and only attitude factors are related to COVID-19 prevention behavior. It is recommended for the community to improve good attitudes to produce good COVID-19 prevention behavior.

FACTORS ASSOCIATED WITH THE LEVEL OF YOUTH ATTENDANCE AT THE YOUTH POSYANDU IN THE CIPONDOH HEALTH CENTER IN 2022

Suherman, Zuyyina Adhal Tasyiawurin — Thu, 30 Nov 2023 00:00:00 +0700

Based on the Indonesian Health Profile (2021), Banten Province is one of the provinces whose health service coverage for school-age children is still limited. Apart from that, the attendance rate of teenagers at the youth Posyandu in the Cipondoh Community Health Center working area was still below the target in the last year, namely only 15% of the target set at 70%. This research design used a cross-sectional design with a sample of 50 teenagers. The sampling technique uses total sampling. Data analysis using the Chi-Square test (α 0.005). There is a significant relationship between knowledge (p=0.000), distance (p=0.020), peer support (p=0.008), and the level of attendance of teenagers at the youth Posyandu. There is no significant relationship between family support and adolescent attendance at the youth Posyandu. Factors related to the level of attendance of teenagers at the youth Posyandu in the Cipondoh Community Health Center working area in 2022 are knowledge, distance, and peer support. Suggestions that can be given are to empower youth Posyandu cadres in each RW to be able to coordinate teenagers to come to youth Posyandu and carry out activities that can attract teenagers to come to Posyandu.