Preparing new normal: the health literacy assessment on the Covid-19

Purpose: This study was aimed to assess the health literacy of the COVID-19 for both of the knowledge level on the Covid-19 and the health protocol compliance by the medical and the non-medical student. Method: This rapid action research was conducted from July-August 2020. Respondents were Indonesian students who voluntarily fulfilled the online questionnaire. A total 208 respondents participated in this study (104 students for each group). Data analysis was performed by using chi square. Furthermore, an animation video was developed and published through Instagram TV as the follow up assessment. Results: The result showed that the medical students had better knowledge (41.8% vs 33.2%, p-value=0.000) and health protocol compliance (6.3% vs 2.4%, p-value=0.049) than the non-medical students. The lowest compliance towards health protocol of the both groups was the physical distancing. Moreover, the health education regarding physical distancing by using animation video had reached audiences. According to the audiences’ comments, the video made them aware of the importance of physical distancing. Conclusion: It was important to improve health literacy for preparing new normal, and it should be developed based on the need assessment

Covid-19 risk factors and health protocol compliance among mall employees and officers in Yogyakarta

Purpose: This study aimed to analyze risk factors, compliance with health protocols, and the COVID-19 screening test among mall employees at Yogyakarta city, Indonesia.Methods: We analyzed secondary data from a cross-sectional study in Yogyakarta City from May-August 2020. The population was all employees at all malls in Yogyakarta City who participated in the screening rapid test zero survey conducted by the Yogyakarta City Government. Results: Bivariate analysis showed a significant relationship between ensuring proper mask install (OR = 6.33, p = 0.023, 95% CI = 1.03-38.81), applying a minimum distance of > 1 meter when outside home (OR = 27.34, p = 0.001, 95% CI = 3.01-248.32) and applying a minimum distance of > 1 meter when at work (OR = 22.25, p = 0.003, 95% CI = 2,45-201.65) with the reactive COVID-19 results. Multivariate analysis showed the most dominant variable associated with the reactive rapid test results is not keeping a minimum distance of > 1 meter when outside the house with a value of (OR=11.91, p=0.047, 95% CI = 1.03-137.37). Conclusion: The risk factor for Covid-19 for employees and mall staff is physical distancing > 1 meter when outside the house.  The city administration should keep working with mall managers to tighten health protocols in malls and other public areas to prevent Covid-19 transmission

Physical environments of water containers and Aedes sp larvae in dengue endemic areas of Tanjungpinang Timur District

Purpose: This study aimed to determine the relationship of the container environment's type and condition to the existence of Aedes sp larvae in Tanjungpinang Timur District. Methods: An observational study with a cross-sectional approach involved 401 houses with containers in Tanjungpinang Timur District, Tanjungpinang City. Data on the existence of larvae was performed using the single larvae method. Data on container type and container environmental conditions (water pH, water temperature, air temperature, air humidity) and larvae's presence were collected by observing and measuring. Results: 863 containers were observed, 138 of them (15.99%) were found larvae of Aedes sp, containers inside the house (65.57%), and not closed (88.53%). The types of containers were controllable sites (95.13%), disposable sites (3.36%), and under controllable sites (1.51%). The measurement of water pH (76.13%) and water temperature (82.73%) of the containers were categorized as good. Container temperature 98.38% showed results with a range of unfavorable conditions ( 300C) and air humidity of 99.07% with a range ( 89.5%). Type, location, condition of container closure, water pH, water temperature, and air temperature of containers were related to larvae in Tanjungpinang Timur District (p-value 300C) and air humidity of 99.07% with a range ( 89.5%). Type, location, condition of container closure, water pH, water temperature, and air temperature of containers were related to the presence of larvae in Tanjungpinang Timur District (p value <0.05), while the variable humidity was not related to the existence of larvae. Conclusion: Physical environmental factors strongly support the reproduction of DHF vectors in the East Tanjungpinang District. It is necessary to increase public knowledge and routine home eradication of mosquito nests (PSN), especially controllable site containers widely used as water reservoirs

Global trade and health: an Indonesian perspective on the asean medical device directive policy

Purpose: Health care equipment international trade could serve a new strategic revenue for Indonesia. Since its implementation in 2015, AFTA has been a very strategic issue in creating export opportunities for its member countries. One of the sectors that becomes a priority for ASEAN integration is in the field of medical devices which is regulated in the ASEAN Medical Device Directive (AMDD) policy. Indonesia itself has officially ratified AMDD policy since 2018, but Indonesia will have been facing the problem of quality, innovation and diversification of medical devices. This study examines the competitiveness opportunities for domestic medical devices in ASEAN Free Trade Area. Method: This study used a qualitative method where information was obtained from in-depth interviews and document review. The informants came from policy makers, implementing officers, and stakeholders. Results: Indonesia has harmonized 26 out of 31 standards mandated by AMDD. Conformity assessment bodies in Indonesia that have been certified by the National Accreditation Committee have received international recognition. Indonesia has many potential exporting innovative medical devices to ASEAN countries. Fulfillment of medical devices is carried out through compulsory licensing and parallel import mechanism

Mudik during the Covid-19 pandemic, anxiety, and depression among students in Indonesia

Purpose: This study explores the occurrence and different levels of anxiety and depression among male and female students who perform or do not perform mudik (homecoming). Investigate the primary source of COVID-19 related information among students. Methods: Online questionnaires consisting of the self-report level of anxiety and depression were delivered to study participants after completing the online informed consent. Quantitative analysis was conducted using the IBM SPSS version 20.0.Results: From a total of 2018 study participants, n=936 were students. Depression (M=8.68; SD= 5.45) was higher among students who did not perform mudik. Meanwhile, the prevalence rate of depression (M=7.18; SD=4.99) was also higher among students who performed mudik. A significant difference [sig (2-tailed) = 0.017; p 0.05] was reported for the level of depression between male and female students. Instagram was reported as the primary source of COVID-19 related information. Conclusion: This current study supports the notion regarding the occurrence of common mental disorders among students as an impact of the COVID-19 pandemic, regardless of whether homecoming was performed or not. Different levels of anxiety and depression were reported between the male and female student population

Determinan Perilaku Merokok Keluarga Penerima Manfaat PKH di Kecamatan Kembangan Jakarta Barat Tahun 2019

Purpose: Program Keluarga Harapan (PKH) is a strategic government program that wants to help the poor meet their health needs. However, there are still PKH beneficiaries who do not understand the health mission of this program. This study intends to explore smoking behavior among PKH families beneficiaries and whether program providers pay attention to promoting healthy living for their beneficiaries. Method: This study uses primary data with cross-sectional design and multiple logistic regression. The number of samples analyzed was 379 households in the Kembangan Region of West Jakarta. Results: Eighty-two percent of PKH recipients were smokers. The four variables related to smoking are low education, low income, smoking psychological dependence, and socially motivated smoking. The psychological and social factors of smoking were among strong predictors and deserve attention in the PKH program. Conclusion: The long-term goal of PKH is to improve the health quality. Smoking reduces the health quality of PKH beneficiaries. The Ministry of Social Affairs needs to coordinate with the Ministry of Health to make this program an entry point for the movement of healthy living in PKH recipient families.Tujuan: Mengetahui determinan perilaku merokok pada kepala keluarga penerima manfaat Prograam Keluarga Harapan (PKH) di Kecamatan Kembangan Jakarta Barat Tahun 2019. Metode: Studi ini menggunakan data primer dengan desain cross sectional dan regresi logistic ganda . Jumlah sampel yang dianalisa dalam penelitian ini sebesar 379 kepala keluarga. Hasil: Perlaku merokok memilki hubungan yang signifikan dengan Pendidikan, psikologis, pendapatan dan personal references (p value < 0,05) dan psikologi adalah variabel dominan yang menentukan perilaku merokok. Kesimpulan. Tujuan PKH untuk meningkatkan kualitas kesehatan penerima PKH tidak sejalan dengan perilaku merokok yang dapat menyebabkan menurunnya kualitas kesehatan bagi penerima manfaat. Intervensi pemerintah melalui Dinas Sosial diperlukan berupa koordinasi dengan Dinas kesehatan dalam upaya melakukan perubahan perilaku keluarga penerima manfaat PKH. Kata kunci : determinan perilaku , merokok , Program Keluarga Harapan 

Edukasi kesehatan imunisasi Measles Rubella menggunakan video animasi dan pesan teks melalui WhatsApp

Purpose: This study aimed to compare the effect of health education using animated video and text messages through WhatsApp on parental knowledge and attitude. Method: This study used a quasi-experimental design on two groups that consisted of 36 respondents in each group. The first group received animation videos about MR immunization, and the second group received text messages through WhatsApp. The instruments of this study consisted of a knowledge questionnaire and an attitude questionnaire. The study was conducted on parents who had an infant less than nine months old, had a smartphone and WhatsApp account. Results: The pretest-posttest scores show increased knowledge and attitude about MR immunization after educational animation video and text message intervention. Video animation had a higher mean of knowledge and attitude than text messages. Conclusion: Health education using animation videos through WhatsApp can improve parental knowledge and attitude higher than a text message.Tujuan: Tujuan penelitian ini adalah untuk membandingkan pengaruh pendidikan kesehatan menggunakan video animasi dan pesan teks melalui whatsapp pada pengetahuan dan sikap orang tua. Metode: Penelitian ini menggunakan desain quasi-eksperimental pada 2 kelompok yang terdiri dari 36 responden setiap kelompok. Grup pertama menerima video animasi tentang imunisasi MR dan grup kedua menerima pesan teks melalui whatsapp. Instrumen penelitian ini terdiri dari angket pengetahuan dan angket sikap. Penelitian ini dilakukan pada orang tua yang memiliki bayi kurang dari 9 bulan, memiliki smarthphone dan akun WhatsApp. Hasil: Skor pretest-postest menunjukkan peningkatan pengetahuan dan sikap tentang imunisasi MR setelah intervensi video animasi  dan pesan teks. Video animasi memiliki rerata pengetahuan dan sikap yang lebih tinggi daripada pesan teks. Kesimpulan: Pendidikan kesehatan menggunakan video animasi melalui WhatsApp dapat meningkatkan pengetahuan dan sikap orang tua lebih tinggi dari pesan teks

HUBUNGAN AKTIVITAS FISIK DENGAN KEJADIAN DISMENORE PRIMER PADA REMAJA PUTRI DI PONDOK PESANTREN AL-FALAH GORONTALO

Objective:Primary dysmenorrhoea is a common occurrence in women's reproductive age. However, there are still many efforts to reduce this incidence by taking medicines to relieve pain. This study aims to obtain evidence of reducing primary dysmenorrhoea in another way, namely increasing physical activity in female adolescents.Method:This research is an observational analytic study using a cross-sectional design. Inferential analysis uses Chi square test and is followed by logistic regression analysis. Result:Multivariable analysis showed a significant relationship between physical activity and primary dysmenorrhea as seen from the p-value of 0.023 and 0.0003 PR value = 3.48 and 3.6. External variables that have a significant relationship with primary dysmenorrhea are BMI/age with obese category with a p-value of 0.011 and PR 0.30, CED with p-value of 0.001, PR 3.20, menarche with a p-value of 0.005 and 0.025, the PR values are 2.92 and 10.6. Conclusion: High physical activity could reduce a primary dysmenorrhea incident. Program improvement of physical activities among female students in pondok pesantren is needed.AbstrakTujuan : Untuk membuktikan apakah terdapat hubungan antara aktivitas fisik dengan kejadian dismenore pada remaja putri. Metode : Penelitian ini merupakan penelitian observasional analitik dengan menggunakan studi desain cross-sectional. analisis inferensial menggunakan uji Chi square serta dilanjutkan dengan analisis regresi logistik. Hasil : analisis multivariabel menunjukkan adanya hubungan yang bermakna antara aktivitas fisik dengan dismenore primer dilihat dari nilai P-value 0,023 dan 0,0003 nilai PR = 3,48 dan 3,6. Variabel luar yang memiliki hubungan yang bermakna dengan dismenore primer adalah IMT/U dengan kategori gemuk nilai P-value 0,011 dan nilai PR 0,30, KEK dengan dengan nilai P-value 0,001 PR 3,20, menarche dengan nilai P-value  0,005 dan 0,025, nilai PR 2,92 dan 10,6. Kesimpulan : Aktivitas fisik rendah dan sedang berisiko lebih tinggi untuk mengalami dismenore primer dibandingkan dengan yang memiliki aktivitas fisik tinggi. Faktor yang berhubungan dengan kejadian dismenore primer adalah IMT/U dengan gemuk, Status KEK dengan LILA 13 tahunKata kunci : Aktivitas Fisik, Dismenore, Remaj

PERILAKU IBU DALAM POLA PEMBERIAN GULA, GARAM, LEMAK PADA MAKANAN BALITA DI KECAMATAN CIPAYUNG, JAKARTA TIMUR TAHUN 2019

According to the 2014 DKI Jakarta Provincial Individual Food Consumption Survey (SKMI), the proportion of children under five whose intake of sugar, sodium and fat exceeds the recommended limits (sugar intake is 1.9%, sodium intake is 15%, and fat intake is 22, 2%). Food preferences and eating behavior of children are influenced by the eating experience in childhood and are closely related to the eating choices and behavior of their parents. This preference for taste at an early age will lead to eating habits in the future and become a negative behavior, which results in non-communicable diseases, not only in adulthood but also at the age of children. This study examines the practice of mothers in feeding sugar, salt, and fat to toddlers aged 6-59 months.This cross sectional study was conducted in July-August 2019. Two hundred mothers who have children aged 6-59 months in the Cipayung District area. This study shows 53% of mothers have negative behavior in the pattern of giving sugar, salt, fat to toddler food. A total of 73.5% of mothers have low knowledge in the pattern of giving sugar, salt, fat to toddlers and 95.5% of respondents have a negative attitude in giving sugar, salt, fat to toddler food. Mother's behavior in giving sugar, salt, fat to toddlers' food has a significant relationship with knowledge of p-value = 0.005 (p <0.05), social media utilization p-value = 0.001 (p <0.05) and support of health workers. p-value = 0.005 (p <0.05).Healthy family approach program needs to find strategies in improving mother's knowledge on the use of sugar, salt, and fat in the daily consumption of food for children under five.ABSTRAK Menurut Data Survei Konsumsi Makanan Individu (SKMI) Provinsi DKI Jakarta tahun 2014, proporsi balita dengan asupan gula, natrium, dan lemak yang melebihi batas yang dianjurkan,yaitu untuk asupan gula sebesar 1,9%, asupan natrium sebesar 15%, dan asupan lemak sebesar 22,2%. Preferensi makanan dan perilaku makan anak-anak dipengaruhi oleh pengalaman masa balita dan erat kaitannya dengan pilihan dan perilaku makan orang tuanya. Preferensi rasa saat usia dini ini akan menjadi kebiasan makan dikemudian hari dan menjadi perilaku negatif.Hal inilah yang menimbulkan timbulnya Penyakit Tidak Menular tidak hanya terjadi pada usia dewasa tetapi juga pada usia anak. Tujuan dari penelitian ini adalah untuk mengetahui perilaku ibu dalam pola pemberian gula, garam, lemak pada makanan balita umur 6-59 bulan di Kecamatan Cipayung, Jakarta Timur. Penelitian ini menggunakan desain studi cross sectional yang dilakukan pada bulan Juli-Agustus 2019 di wilayah Kecamatan Cipayung, Jakarta Timur. Sampel pada penelitian ini berjumlah 200 responden dengan subjek ibu yang memiliki balita umur 6-59 bulan di wilayah Kecamatan Cipayung yang didapat dengan purposive sampling. Hasil penelitian menunjukkan sebesar 53% Ibu memiliki perilaku negatif dalam pola pemberian gula, garam, lemak pada makanan balita. Sebesar 73,5% Ibu memiliki pengetahuan yang rendah dalam pola pemberian gula, garam, lemak pada balita dan sebesar 95,5% responden memiliki sikap negatif dalam pemberian gula, garam, lemak pada makanan balita. Berdasarkan uji multivariat regresi logistik diketahui bahwa perilaku ibu dalam pemberian gula, garam, lemak pada makanan balita memiliki hubungan yang signifikan dengan pengetahuan p-value=0,005 (p<0,05), pemanfaatan media sosial p-value=0,001 (p<0,05) dan dukungan petugas kesehatan p-value= 0,005 (p<0,05). Oleh karena itu diperlukan adanya pengembangan strategi dalam meningkatkan pengetahuan ibu akan penggunaan gula, garam, lemak di dalam konsumsi makanan balita sehari-hari melalui program indonesia sehat pendekatan keluarga

Ergonomic risk factor of musculoskeletal disorders complaints in woven fabric workers

ABSTRAKBackground: Occupational safety and health (K3) in medium-sized businesses (UKM) is needed because almost 70% of SMEs in Indonesia do not know occupational safety and health (K3). Occupational diseases (PAK) in weaving workers, namely complaints of musculoskeletal disorders (MSDs) caused by unnatural work postures (clumsy) can result in disruption of skeletal muscles and high workload can affect the occurrence of loading on the muscles so that it can result in fatigue in workers because of the accumulation of lactic acid in the muscles and blood circulation resulting from the contraction process of an ergonomic work that takes place over a long period of time and repeatedly. In the lurik fabric manufacturing industry in the Bantul Special Region of Yogyakarta (DIY), namely Kurnia Lurik through the lurik fabric manufacturing process that takes place in 1.5 to 2 months that still uses non-machine looms (ATBM).Research Objectives: The purpose of this study was to analyze the risk factors for ergonomics of workers in the Kurnia Lurik Sewon Bantul Industry Special Region of Yogyakarta (DIY) against complaints of Musculoskeletal Disorders (MSDs).Research Methods: The method used in this study is a quantitative method. This type of research is a type of observational analytic study using a cross-sectional design. Assessment of work posture using the Rapid Entire Body Assessment (REBA) method, assessment of work fatigue (subjective) using the Nordic Body Map (NBM) method, measurement of lactic acid in the blood is used to measure work fatigue (objective), then reinforced by the presence of controlled variables including variables work period and duration of work in measuring Musculoskeletal Disorders (MSDs) complaints in 30 Kurnia Lurik industrial workers. The research data were analyzed and interpreted using Stata 12 statistics. Bivariate data analysis used the Chi-Square test and multivariate data analysis using the Logistic Regression test.Research Results and Discussion: The results of the study show the work posture of Kurnia Lurik workers is a risk of ergonomic danger that is the working conditions and work equipment used by workers not in accordance with the work posture of workers. Work fatigue (subjective) and work fatigue (objective) of Kurnia Lurik workers constitute risk of work environment hazards, namely the risk of hazards in the form of physical, chemical, biological, psychosocial, and ergonomic factors. Workload of Kurnia Lurik workers is a risk of danger to the worker's body that is derived from the worker's body, such as work capacity and health status of workers. Work period and duration of work of Kurnia Lurik workers constitute a risk of harm to the organization of workers and a work culture that is work risk associated with excessive workload of workers and excessive work time for workers.Conclusion: There is a risk of ergonomic hazards due to mismatch between equipment used by workers as well as working conditions with workers' body measurements. Keywords: Musculoskeletal Disorders (MSDs), Work Posture, Work Fatigue, Workload, Work Length, Work DurationBackground: Musculoskeletal disorders (MSD) caused by unnatural (awkward) work postures can cause damage to skeletal muscles and workload which can increase loading on muscles which can increase work on workers accumulating lactic acid in muscles and blood circulation resulting from the contraction process. Purpose: Analyze the risk factors for ergonomics of workers in the Kurnia Lurik against complaints of MSDs. Methods: A quantitative method. Assessment of work posture using the Rapid Entire Body Assessment method, assessment of work fatigue (subjective) using the Nordic Body Map method, measurement of lactic acid in the blood is used to measure work fatigue (objective), then reinforced by controlled variables including variables work period and duration of work in measuring MSDs complaints in 30 Kurnia Lurik industrial workers. Results: The results of the study show the work posture of Kurnia Lurik workers is a risk of ergonomic danger that is the working conditions and work equipment used by workers not in accordance with the workers posture. Work fatigue (subjective) and work fatigue (objective) of Kurnia Lurik workers constitute a risk of work environment hazards. Workload of Kurnia Lurik workers is a risk of danger to the worker's body that is derived from the worker's body, such as work capacity and health status of workers. Work period and duration of work of Kurnia Lurik workers constitute a risk of harm to the organization of workers and a work culture that is work risk associated with excessive workload of workers and excessive work time for workers.Conclusion: There is a risk of ergonomic hazards due to mismatch between equipment used by workers as well as working conditions with workers' body measurements. Keywords: Musculoskeletal Disorders (MSDs), Work Posture, Work Fatigue, Workload, Work Lengt