{"title":"Risk Factors of Malaria in Lembata District, East Nusa Tenggara","authors":"W. Olin, R. Paun","doi":"10.26911/THEICPH.2018.01.59","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.59","url":null,"abstract":"Background: Provincial Health Office of East Nusa Tenggara reported that the annual parasite incidence (API) in 2016 was 5.46 new cases per thousand populations, distributed in 22 districts. Lembata district is an endemic area with the highest API in the province. This study aimed to determine the risk factors of malaria in Lembata district, East Nusa Tenggara. Subjects and Method: A case control study was carried out in Lembata district, East Nusa Tenggara. A sample of 800 patients was selected for this study, consisting of 400 malaria cases with positive laboratory result and 400 with negative laboratory result. The dependent variable was malaria incidence. The independent variables were education, knowledge, attitude, behavior, housing, and swamp. Data of malaria case were obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: Malaria incidence increased with low education (OR= 2.24; 95% CI= 1.09 to 4.63; p= 0.029), poor knowledge (OR= 3.94; 95% CI= 2.67 to 5.81; p<0.001), negative attitude (OR= 6.62; 95% CI= 4.45 to 6.05; p= 0.042), unhealthy behavior (OR= 3.97; 95%CI= 2.63 to 5.43; p<0.001), poor housing (OR= 3.53; 95%CI= 2.30 to 5.43; p< 0.001), and close to swamp (OR= 2.80; 95% CI= 1.33 to 3.28; p= 0.023). Conclusion: Malaria incidence increases with low education, poor knowledge, negative attitude, unhealthy behavior, poor housing, and close to swamp.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127677620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Associated with Diarrhea in Noebeba, Middle South Timor, East Nusa Tenggara","authors":"D. U. Pati, Pius Weraman, Hari Rarindo","doi":"10.26911/THEICPH.2018.01.14","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.14","url":null,"abstract":"Background: Acute diarrheal diseases remain a leading cause of global morbidity and mortality particularly among young children in resource-limited countries. Large studies are also currently underway evaluating novel and potential easy-toimplement water sanitation and hygiene (WASH) preventive strategies. This study aimed to examine factors associated with diarrhea in Noebeba, South Timor Tengah. Subjects and Method: This was a cross-sectional study conducted in Noebeba, Middle South Timor, East Nusa Tenggara. A sample of 355 mothers was selected for this study by simple random sampling. The dependent variable was diarrhea. The independent variables were household water container ownership, latrine ownership, maternal knowledge, handwashing practice, trash bin, and food sanitation. The data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: Household water container ownership (OR= 0.21; p= 0.003), latrine ownership (OR= 0.32; p< 0.001), good maternal knowledge (OR= 0.62; p<0.001), and handwashing practice (OR= 0.41; p< 0.001) were associated with a decreased incidence of diarrhea. Trash bin and food sanitation did not show statistical significance with incidence of diarrhea. Conclusion: Household water container ownership, latrine ownership, good maternal knowledge, and handwashing practice, are associated with a decreased incidence of diarrhea.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126310028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation Between Parental and Child Habits in Tooth Brushing in Temanggung, Central Java","authors":"Ririn Fastiningtyas, Zumrotul Choiriyyah, Fiki Wijayanti","doi":"10.26911/theicph.2018.02.11","DOIUrl":"https://doi.org/10.26911/theicph.2018.02.11","url":null,"abstract":"Background: The observational learning construct in Albert Bandura’s Social Learning Theory holds that an observer’s behavior changes occur after viewing the behavior of a model. In the famous Doll Experiment, Bandura showed that children will alter their behavior simply by observing parents’ behavior. This study aimed to determine the correlation between parental and child habits in tooth brushing in Temanggung, Central Java.\u0000Subjects and Method: This was a cross sectional study conducted at SDN (primary school) Sunggingsari, Temanggung, Central Java. A sample of 81 primary school students was selected for this study. The dependent variable was tooth brushing habit. The independent variable was parent’s habit. The data were collected by questionnaire and analyzed by Pearson correlation.\u0000Results: There was a weak positive correlation between child tooth brushing habit and parent’s habit (r= 0.21; p= 0.034). \u0000Conclusion: Child tooth brushing habit correlates positively with parent’s habit. \u0000\u0000Keywords: tooth brush, habit, parent, children","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125666186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relative Effectiveness of Neoadjuvant Chemotherapy Versus Primary Surgery in Patients with Advanced Ovarian Cancer","authors":"H. Priyanto, A. Andrijono","doi":"10.26911/theicph.2018.05.04","DOIUrl":"https://doi.org/10.26911/theicph.2018.05.04","url":null,"abstract":"Background: This study aimed to compare the morbidity and disease free progression between patients with advanced ovarian cancer treated with neoadjuvant chemotherapy (NAC) followed by surgery and those treated conventionally with cytoreductive surgery followed by cytotoxic chemotherapy. Subjects and method: This was a retrospective-cohort study conducted at Dr. Cipto Mangunkusumo Hospital, Jakarta. A sample of 84 patients with advancedstage ovarian cancer was selected for this study, consisting of 64 patients treated conventionally (CT group) with primary surgery followed by platinum-based adjuvant chemotherapy, 20 patients treated with neoadjuvant chemotherapy, of which 8 patients subsequently underwent interval debulking and adjuvant chemotherapy (NAC group). The dependent variables were morbidity and disease free progression. The independent data were neoadjuvant chemotherapy and cytoreductive surgery followed by cytotoxic chemotherapy. The data were collected from medical record and questionnaire. Difference in means between the two groups was tested by t-test. Difference in percents between the two groups was tested by chi-square. Results: The response rate to the NAC assessed at three cycles was 40%. Performance status (Hb, albumin, ascites, pleural effusion, Ca 125, and stage) in the NAC group was worse than CT group. Disease free progression after 12 and 24 months in the NAC group was 30% and 5%, CT group was 10% and 7.5%, respectively. Parameters of surgical aggressiveness (massive bleeding, organ injury, and ICU stay) were lower in the NAC group than the conventional group. Complication rate of surgical injury in CT group was 17% and zero in the NAC group. Conclusion: Neoadjuvant chemotherapy followed by interval debulking in advanced ovarian cancer does not affect disease free progression but reduces morbidity.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125987868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knowledge, Preventive Practice, and the Risk of Dengue Hemorrhagic Fever in Kupang, East Nusa Tenggara","authors":"Ignasius Tangi Bupu, Pius Weraman, R. Paun","doi":"10.26911/THEICPH.2018.01.01","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.01","url":null,"abstract":"Background: Dengue/dengue hemorrhagic fever (DHF) has been one of the most important resurgent tropical diseases in the past 17 years. Its incidence in East Nusa Tenggara has been increasing from 2011 to 2013. This study aimed to investigate the associations between knowledge, preventive practice, and the risk of dengue hemorrhagic fever in Kupang, East Nusa Tenggara. \u0000Subjects and Method: This was a case-control study conducted at 8 Puskesmas (Community Health Center) in Kupang, East Nusa Tenggara, Indonesia, from March to May 2016. A total of 72 subjects were selected for this study by fixed disease sampling, consisting of 36 DHF cases and 36 controls. The dependent variable was DHF. The independent variables were knowledge on DHF and DHF preventive practice including draining, hoarding and burying. The data were collected by questionnaire and interview. The data were analyzed by multiple logistic regression. \u0000Results: Poor knowledge on DHF (OR= 4.85; 95% CI= 1.62 to 14.49; p= 0.005) and poor DHF preventive practice (OR= 4.72; 95% CI= 1.60 to 13.91; p= 0.005) were associated with an increased risk of DHF.\u0000Conclusion: Poor knowledge of DHF and poor DHF preventive practice are associated with an increased risk of DHF.\u0000\u0000Keywords: knowledge, preventive practice, dengue hemorrhagic fever.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"272 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115964203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parenting Style, Residence, and Glue Sniffing among Primary School Children in Sibolga, North Sumatera","authors":"Yusniar Yusniar, L. S. Andayani, T. Ashar","doi":"10.26911/theicph.2018.02.47","DOIUrl":"https://doi.org/10.26911/theicph.2018.02.47","url":null,"abstract":"Background: Glue sniffing refers to the practice of sniffing the fumes of glue containing toluene or other solvents for the intoxicating and euphoric effects, it may cause damage to the brain, liver, kidneys, etc. It is a bad behavior and is hazardous particularly to child health. Previous studies had reported the use of glue sniffing and its problems as encountered by street children. Pleasure, numbness, warmth, hallucination, unconsciousness, disturbance and disappointment were the major health problems encountered by the children. Headache, nausea, vomiting, chest pain, palpitation and loss of loco motors skills were the immediate health problems encountered during their sniffing. This study aimed to describe associations of parenting style and residence with glue sniffing among primary school children in Sibolga, North Sumatera.\u0000Subjects and Methods: This was a case-control study conducted in Sibolga, North Sumatera. A sample of 60 primary school students was selected for this study consisting of 30 students who sniff glue and 30 students who did not sniff glue. The dependent variable was glue sniffing. The independent variables were parenting style and residence. The data were collected by questionnaire, interview, and direct observation. The data were analyzed by a multiple logistic regression.\u0000Results: Glue sniffing was associated with permissive parenting style (OR= 8.50; 95% CI= 5.10 to 16.54; p<0.001) and living in unfavorable residence area (OR= 4.21; 95% CI= 2.25 to 5.20; p= 0.027).\u0000Conclusion: Glue sniffing is associated with permissive parenting style and living in unfavorable residence area. Attention need to be drawn for the authorities to the glue sniffing health hazards and to the necessity of collaborative societal works for containment of this bad behavior.\u0000\u0000Keywords: glue sniffing, parenting style, residence, children","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132119738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations between Motivation, Facility, and Work Performance among Midwives in Antenatal Care in Central Java","authors":"Titis Eka Gusti, D. Tamtomo, Bhisma Murti","doi":"10.26911/theicph.2018.04.47","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.47","url":null,"abstract":"Background: Earlier studies have shown motivation is a driver to health worker performance in hospitals. Motivation of employees determines the level of input that employees will put in the organization to commit to good performance. Either intrinsic or extrinsic motivation contributes to employee satisfaction and thus enhances performance and productivity. Studies into the association between motivation and work performance among midwives in Indonesia, however, are scanty. This study aimed to estimate the associations between motivation, facility, and work performance among midwives in antenatal care. Subjects and Methods: This was a cross sectional study carried out in 25 Community Health Centers in Karanganyar regency and Surakarta, Central Java, from April to May 2018. A sample of 200 midwives was selected for this study by stratified random sampling. The dependent variable was work performance. The independent variables were motivation and facility. The data were collected by questionnaire. The data were analyzed by a multiple linear regression model. Results: Midwife work performance in antenatal care was positively associated with motivation (b= 0.23; 95% CI= 0.11 to 0.34; p<0.001) and facility (b= 0.51; 95% CI= 0.46 to 0.55; p<0.001). Adjusted R2 =85.2% Conclusion: Midwife work performance in antenatal care is positively associated with motivation and facility.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"125 25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129964315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Coconut Water in Reducing Fatigue among Workers in North Sumatera","authors":"Bona Rina Ria Rajagukguk, Etti Sudaryati","doi":"10.26911/THEICPH.2018.01.58","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.58","url":null,"abstract":"Background: Fatigue can reduce working performance, worker motivation, and work productivity. Fatigue due to exposure to heat pressure which causes excessive sweating must be overcome through the provision of fluids that are right for workers. Coconut water contains electrolytes, so it is very good to replace lost body fluids during activities throughout the day. The purpose of this study is to analyze differences in work fatigue with interventions giving 4 liters of drinking water and giving 1 liter of young coconut water (Cocos nucifera L.) accompanied by giving 3 liters of drinking water. Subjects and Method: This study is a quasi-experimental design with a research design of one group pre and post test design. The study population was the production of cassava chips factory workers with a total sample of 20 people. The sampling technique is purposive sampling. The dependent variable is work fatigue while the independent variable is giving 4 liters of drinking water and giving 1 liter of young coconut water (Cocosnucifera L) accompanied by giving 3 liters of drinking water. The type of data collected is primary data in the form of work fatigue (in milliseconds) measured using the Reaction Timer. Bivariate analysis was conducted using the paired T test. Results: Fatigue after giving 1 liter of young coconut water and 3 liters of drinking water was lower (mean = 118.00; p = 0.001) than the group given 4 liters of drinking water (mean 164.94; p= 0.001). Conclusion: Work fatigue in the group given 1 liter of young coconut water and 3 liters of drinking water was lower than the group given 4 liters of drinking water.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134507832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Associations of Ward Head Direction and Incentive with Nurse Performance at Arun LNG Hospital, Lhokseumawe, Aceh","authors":"Irwadi Irwadi, Zulfendri Zulfendri, D. Aulia","doi":"10.26911/THEJHPM.2018.03.02.08","DOIUrl":"https://doi.org/10.26911/THEJHPM.2018.03.02.08","url":null,"abstract":"Background : The current transformation in the hospital care industry demands greater coordination of care across providers and across settings so as to improve quality care, improve outcomes, and reduce spending. Nurses contribute to the transformative changes by being a fully contributing member of the inter-professional team. It requires an enhanced set of knowledge, skills, attitudes, and performance among nurses around wellness and population care with a renewed focus on patient-centered care, care coordination, data analytics, and quality improvement. This study aimed to analyze the associations of ward head direction and incentive with nurse performance at Arun LNG Hospital, Lhokseumawe, Aceh. Subjects and Method : This was a cross-sectional study carried out at Arun LNG Hospital, Lhokseumawe, Aceh. A sample of 74 nurses was selected for this study by exhaustive sampling. The dependent variable was nurse performance. The independent variables were ward head direction and incentive. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results : Nurse performance improved with high motivation (OR= 11.12; 95% CI= 2.66 to 46.49; p= 0.001), explicit ward head direction (OR= 4.37; 95% CI= 1.05 to 18.17; p= 0.043), and existence of incentive (OR= 5.84; 95% CI= 1.30 to 26.17; p= 0.021). Conclusion : Improved nurse performance is associated with explicit ward head direction and existence of incentive. Keywords: nurse performance, ward head direction, incentive Correspondence : Irwadi. Masters program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: wadieadi655@gmail.com. Mobile: 08126922595. Journal of Health Policy and Management (2018), 3(2): 114-117 https://doi.org/10.26911/thejhpm.2018.03.02.08","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"413 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134530347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Firdaus Wahyudi, Dodik Pramono, Saekhol Bakri, Bambang Hariyana, A. Nugraheni
{"title":"Occupational Health Profiles among Informal Sector Workers on Jepara, Central Java","authors":"Firdaus Wahyudi, Dodik Pramono, Saekhol Bakri, Bambang Hariyana, A. Nugraheni","doi":"10.26911/theicph.2018.01.74","DOIUrl":"https://doi.org/10.26911/theicph.2018.01.74","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133483625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}