The relationship between household good security and incidence of stunting in toddlers during the new normal: A systematic review

Background: Stunting is a growth disorder and malnutrition problem experienced by toddlers worldwide and affects the quality of human resources that have an essential role in developing a nation. Households experiencing food insecurity led to a lack of nutritional intake and stunting. This work aimed to analyze the relationship between household food security with the incidence of stunting in toddlers during the new normal era. Method: This was a systematic review design conducted by searching relevant articles from some databases: Google Scholar, PubMed, and Science Direct using the keywords (“Household Food Security” OR “Food Security Families”) AND (“Stunting” OR “Stunted” “Nutritional Status”) AND (“Toddlers” OR “Children”) AND (“New Normal” OR “Adaptation of “new habits”) in Bahasa Indonesia and English. This work was performed following PRISMA guidelines. Articles were selected based on inclusion criteria: publication date from 2017 to 2022, food security with stunting incidence and factors affecting stunting, full text, open access, and academic journals. Articles were analyzed using a matrix table. Results: Based on the search results for articles that match the keywords, there are 333 articles. Of these, ten articles come from Indonesia, Iran, and Rwanda. The analyzed articles were selected from 10 articles. Conclusion: This study concludes that there is a relationship between household food security and the incidence of stunting in toddlers during the new normal

Meta-Analysis: Association between Empowerment of Home-Based Rehabilitation Intervention on the Escalation of Functional Ability in Post Stroke Patients

Background: Stroke is a disease that is the third leading cause of death in the world after heart and cancer. Stroke is also a disease that causes serious and permanent disability in the first order in the world. The rehabilitation program or recovery of stroke patients will greatly affect the improvement of functional abilities and independence of post-stroke patients, one of the keys to functional improvement is the intensity of therapy and family involvement in supporting the rehabilitation process. This study aims to analyze the relationship between empowering home-based recovery interventions to improve the functional ability of post-stroke patients, with a meta-analysis of primary studies conducted by previous authors.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, Population: stroke patients. Intervention: home-based recovery. Comparison: not home based recovery. Outcomes: functional ability. The articles used in this study were obtained from several databases, namely PubMed, Springer Link, Cochrane Database, Hindawi, Elsevier, JBBA, LWW, Google Scholar. Search keywords “home-based” AND “intervention” OR “rehabilitation” OR “exer­cise” OR “therapy” OR “care” AND “stroke” AND “functional ability” OR “functional capacity” AND “Randomized Controlled Trial “ OR “ RCT". The articles included are full-text English and Indo­nesian languages with a study design of a Randomized Controlled Trial from 2000 to 2021 and reporting on the Mean and SD in multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 9 randomized controlled trials from Iran, Turkey, Australia, Taiwan, China, Thailand and the Netherlands were selected for a systematic review and meta-analysis. The data collected showed that the home-based recovery intervention improved functional ability in post-stroke patients compared to usual care (SMD = 2.70; 95% CI = 1.53 to 3.87; p<0.001). There is a publication bias that indicates an overestimation). Conclusion: Home-based recovery interventions improve functional ability in post-stroke patients.Keywords: Home-based recovery, functional ability, stroke patients, meta-analysisCorrespondence: Muhammad Husein Syawaludin. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285­728989309.Journal of Health Policy and Management (2022), 07(01): 46-57https://doi.org/10.26911/thejhpm.2022.07.01.0

Effectiveness of digital interventions with application program to improve nutritional knowledge, mother's behavior and nutrition status of children under five : A systematic review

The problem of under-five nutrition is still a significant concern in developing countries, including Indonesia. Under-five nutritional problems are caused by multifactorial causes, therefore, nutrition education can be the key to intervention in children’s nutrition problems. With the current development of technology, it will be easier to intervene in nutritional problems through digital platforms, for example, using applications. This review aimed to analyze the effectiveness of digital interventions through applications on nutritional knowledge, mother’s behaviour, and nutritional status of children under-fiv

A Meta-Analysis: Correlation between Hypertension of Comorbidity on Mortality in Patients with COVID-19

Background: SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. In severe cases of COVID-19 it can cause pneumonia, acute respiratory syndrome, kidney failure, and even death. Hypertension causes a number of pathophysiological changes in the cardiovascular system such as left ventricular hypertrophy and fibrosis. This can make a hypertensive heart particularly vulnerable to SARS-CoV-2. This study aims to analyze and estimate the effect of comorbid hypertension on mortality in COVID-19 patients.Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagram. Article searches through journal databases include: Google Scholar, PubMed, Science Direct, and Springer Link by selecting articles published in 2020 and 2021. The keywords used are “Hypertension” OR “Hypertensive Patient” OR “Blood Pressure”, “Systolic Pressure” OR “Diastolic Pressure” AND “Mortality”, OR “death” OR “loss” AND “COVID-19” OR “SARS-COV-2” OR “coronavirus” AND “multivariate”. The inclusion criteria were full paper articles with observational research methods, the results of the analysis used the aOR value, the exposure given was comorbid hypertension, the research subjects were COVID-19 patients, with mortality outcomes. Eligible articles were analyzed using the Revman 5.3 app. Results: A meta-analysis of 18 articles showed that confirmed COVID-19 patients who had comorbid hypertension had a 1.27 times risk of mortality compared to those without comorbid hypertension and were statistically significant (aOR= 1.27; 95% CI= 1.14 to 1.41; p <0.001).Conclusion: Comorbid Hypertension affects the mortality of COVID-19 patients

Meta-Analysis: Effects of Unsafe Action and Work Experience on Occupational Exposure to Needlestick Injury among Health Workers in the Hospital

Background: Needlestick injury is a dangerous work accident that causes blood contact with pa-tients and is at risk of being infected with blood borne diseases such as hepatitis B virus (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). The purpose of this study was to analyze the influence of unsafe behavior factors on the incidence of accidents due to needlestick injury to health workers in hospitals. Subjects and Method: This research was conducted using a systematic review and meta-analysis study design using PICO, population: health workers, intervention: unsafe action and lack of work experience. Comparison: safe action and good work experience, Outcome: Needlestick Injury (NSI) incident. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. The keywords of the article are ("Needle Stick Injury" or "Sharp Injury") AND aOR. The articles included in this study are full paper articles, observational study designs, 2011-2021 and the size of the relationship between Adj Odds Ratio Results: A total of 19 observational studies (case-control and cross-sectional) with 28,487 health workers from the African Continent (Egypt and Ethiopia), the Asian Continent (Thailand, Taiwan, Malaysia and Indonesia) and the European Continent (Bosnia and Herzegovina) were analyzed. From data processing, it was found that unsafe action increased the incidence of Needlestick Injury (NSI) in health workers in hospitals by 2.79 times higher than health workers who behaved safely (safe action) and statistically significant (aOR= 2.79; 95% CI= 2.18 to 3.67; p<0.001). Work Experience increases the incidence of Needlestick Injury (NSI) in health workers in hospitals by 1.97 times higher than health workers who have good work experience and is statistically significant (aOR= 1.97; 95% CI= 1.16 to 3.34; p = 0.010) . Conclusion: The influence of human factors, especially unsafe action, in increasing the incidence of needlestick injuries in health workers.Keywords: needlestick injury, sharp injury, unsafe actionCorrespondence:Nurul Dwi Andriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282137279586.Journal of Health Policy and Management, 07(01): 58-71https://doi.org/10.26911/thejhpm.2022.07.01.06

Association between Heat Stress, Work Fatigue, and Elevated Blood Pressure among Construction Workers in Yogyakarta

Background: Excessive heat stress will cause fatigue and drowsiness, reduce stability and increase the number of work errors. The purpose of this study was to analyze the relationship between heat stress and work fatigue and increased blood pressure in construction workers at PT PP Urban Development Project at the University of Nahdlatul Ulama Yogyakarta. Subjects and Method: Research with a cross sectional design was conducted at PT PP Urban Development Project, Nahdlatul Ulama University, Yogyakarta, from March to April 2022. A sample of 107 workers was selected by purposive sampling. The dependent variable is work fatigue and an in-crease in blood pressure. The independent variable is heat stress. Heat stress was measured by Heat Stress Monitor, work fatigue by reaction timer and increase in blood pressure was measured by digit-al sphygmomanometer. Test analysis using chi-square and the value of Odds Ratio (OR). Results: Construction workers who experience high heat stress have a risk for an increase in blood pressure of 3.10 times compared to normal heat stress and are statistically significant (OR= 3.10; 95% CI= 1.01 to 9.24; p= 0.020), and have a risk of work fatigue 2.73 times compared to normal heat stress and statistically significant (OR= 2.73; 95% CI= 0.97 to 7.52; p= 0.020). Conclusion: There is a relationship between high heat stress and work fatigue and an increase in blood pressure.Keywords: heat stress, fatigue, blood pressure Correspondence:Nisa Nur Kusuma. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A,Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282225229919 J Health Policy Manage. 07(01): 72-80. https://doi.org/10.26911/thejhpm.2022.07.01.0

The relationship of vitamin A, C, and E intake with premature aging of facial skin in female market traders

Background: Women's market traders are jobs that are often exposed to free radicals, including air pollution, cigarette smoke, sun exposure and have a high workload that causes stress. Antioxidants can protect the skin from free radicals and can inhibit the process of premature aging of facial skin which are found in vegetables and fruits such as vitamins A, C, E. Objective: To determine the relationship between intake of vitamins A, C, and E with premature aging of market traders in the form of wrinkles around the face. Methods: Observational research with cross sectional method. The sampling technique is multi-stage cluster sampling. This research was conducted at Beringharjo Market with a total sample of 172 respondents with inclusion criteria namely female traders, aged 26–45 years, workers in the market area. The exclusion criteria are tourists/market visitors, women who are pregnant and breastfeeding. The research variables for intake of vitamins A, C, and E used the SQ-FFQ (Semi-Quantitative Food Frequency Questionnaire) questionnaire with the interview method. In measuring the number of wrinkles on facial skin using photoaging through facial shooting using a Sony A7R3 camera with a 24-70 lens that is analyzed by a dermatologist (skin expert). Data analysis technique using multiple logistic regression analysis. This analysis uses SPSS software version 22.0. Results: In the multiple logistic regression test, p = 0.037 (p <0.05) means that there is a relationship between vitamin A intake and premature aging of facial skin. On vitamin C intake, p = 0.436 (p> 0.05), meaning that there is no relationship between vitamin C intake and premature aging of facial skin. And on vitamin E intake, p = 0.171 (p> 0.05) there is no relationship between vitamin E intake and premature aging of facial skin. Conclusion: Intake of vitamin A has a significant relationship with the occurrence of premature aging of the face, but vitamins C and E do not have a significant relationship with the occurrence of premature aging of the facial ski

Perbedaan Gangguan Muskuloskeletal Pembatik Wanita dengan Dingklik dan Kursi Kerja Ergonomis

Posisi kerja pekerja batik tulis saat ini sebagian besar menggunakan dingklik sehingga posisi kerja menjadi membungkuk yang berisiko mengalami gangguan muskuloskeletal. Secara ergonomis, posisi kerja tersebut harus dirubah sehingga posisi kerja menjadi lebih alami. Masalah penelitian adalah bagaimana perbedaan gangguan muskuloskeletal pada pekerja yang menggunakan dingklik dan kursi ergonomis. Tujuan penelitian untuk mengetahui perbedaan gangguan muskuloskeletal pada pekerja yang menggunakan dingklik dan kursi ergonomis. Metode penelitian eksperimental quasi dengan pendekatan one group pre and posttest design. Populasi penelitian seluruh pekerja industri Batik Sragen. Sampel sebanyak 50 orang menggunakan quota random sampling. Tingkat gangguan muskuloskeletal diukur menggunakan kuesioner Nordic body map. Analisis statistik menggunakan test. Hasil penelitian menunjukkan terdapat perbedaan keluhan muskuloskeletal sebelum dan sesudah menggunakan kursi ergonomis (p=0,035). Simpulan penelitian, kursi kerja ergonomis menurunkan risiko keparahan gangguan muskuloskeletal.Now, batik workers working position mostly use “dingklik” so work position becomes bent, and it is risk of musculoskeletal disorders. Ergonomically, that working position should be changed becomes more natural position. Research problem was how musculoskeletal disorders differences in workers who use “dingklik” and ergonomic chairs. Research purpose was to determine musculoskeletal disorders differences in workers who use “dingklik” and ergonomic chairs. Quasi- experimental research method by one group pre and posttest design. Population study were Sragen Batik industry workers. Sample of 50 people using by quota random sampling. The rate of musculoskeletal disorders were measured by questionnaire Nordic body map. Statistical analysis using the test. The result showed there were differences in musculoskeletal complaints before and after using ergonomic chairs (p=0.035). The conclusion, ergonomic chair can reduce risk of musculoskeletal disorders

A Meta-Analysis of Correlations between Chronic Obstructive Pulmonary Disease, Smoking, and Severity of COVID-19

Background: Corona Virus Disease 2019 (COVID-19) is a respiratory disease that can progress to severe hypoxemia with cases reaching more than 235 million cases worldwide until November 2021. The association with Chronic Obstructive Pulmonary Disease (COPD) and smoking habits are both very common globally and may increase the severity of COVID-19. However, it has not been elucidated. Given the gaps in evidence and the increasing prevalence of COVID-19, this study aimed to examine the influence of COPD and smoking habits on the severity of COVID-19 patients.Subjects and Method: This meta-analysis study was conducted with PICO as follows: Popul

Workplace Noise Pollution and It's Correlation with Hypertension: A Meta-Analysis

Background: Noise is identified as one of the most widespread physical factors in occupational health and safety (OHS) and is a problem in all regions of the world. Noise can be pathogenic if there is continuous and repeated exposure causing a persistent upregulation of vascular autoregulation resulting in hypertension. Epidemiological studies report an association between occupational noise exposure and hypertension. This study aims to determine the effect of noise exposure in the workplace on hypertension.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, Population= workers, Intervention= occupational noise exposure ≥85 dBA, Comparison= occupational noise exposure <85 dBA, Outcome= hypertension. The meta-analysis was carried out using search articles from databases such as Google Scholar, PubMed, and Science Direct, published from 2012 to 2022. The keywords used in the article search were “Occupational Noise Exposure” OR “Occupational Noise” AND “Hypertension” OR "High Blood Pressure" OR "Primary Hypertension" AND "Workers" AND "Cross-Sectional Study". The included studies were full-text articles published in English, reporting the adjusted odds ratio (aOR) of the results of the multivariate analysis, and the study design was cross-sectional. The selection of articles was carried out using PRISMA flow-charts and analyzed using the Revie Manager 5.3 application.Results: A total of 10 cross-sectional studies were analyzed involving 12,437 workers covering Iran, Jordan, China, Indonesia, Tunisia, and Brazil. The results of the meta-analysis showed that workers exposed to noise 85 dBA had higher hypertension than workers exposed to noise <85 dBA (aOR= 1.96; 95% CI= 1.68 to 2.29; p< 0.001).Conclusion: Exposure to occupational noise ≥ 85 dBA increases hypertension compared to exposure to occupational noise <85 dBA. Keywords: occupational noise, noise exposure, hypertension, meta-analysis Correspondence:Muna Maimunah Salsabila. Masters’ Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285728565926