Reaching the Unreached: Improving Population Health in the Rural and Remote Areas最新文献

{"title":"Effectiveness of Multilevel Health Promotion on Exclusive Breastfeeding in Jember, East Java","authors":"Nur Khamidah, Y. Prabandari, D. Nurdiati","doi":"10.26911/THEICPH.2018.02.18","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.18","url":null,"abstract":"Background: The need for multilevel and comprehensive health promotion programmes has become widely accepted, as has the importance of community approaches. Multilevel-Multicomponent (ML-MC) interventions are interventions that work on more levels at the same time and that involves more intervention components that are synchronized across levels. As a result, they require extensive community engagement. This study aimed to examine the effectiveness of multilevel health promotion on enhancing exclusive breastfeeding practice among lactating women in Jember, East Java. Subjects and Method: This was a mix method study (qualitative and quantitative) conducted in Jember, East Java. A sample of 245 lactating women was selected for this study, divided in 2 groups: 120 women with multilevel health promotion program and 125 women without multilevel health promotion program. The dependent variable was exclusive breastfeeding. The independent variable was multilevel health promotion program. The data were collected by questionnaire, indepth interview, and focus group discussion. Difference in percent of exclusive breastfeeding between the two groups was tested by chi square. Qualitative data were analyzed by content analysis. Results: Percent of women who breastfed in the multilevel health promotion program was 2.4 times as many as that in the control group. Conclusion: Multilevel health promotion program is effective to enhance exclusive breastfeeding practice among lactating women.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"18 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":"129121133","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":"Effects of Workload and Job Satisfaction on Work Performance among Health Workers at Siloam Hospital, East Nusa Tenggara","authors":"Jovita Marlin Langko, Hari Rarindo, Luh Putu Ruliyanti","doi":"10.26911/THEICPH.2018.04.54","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.04.54","url":null,"abstract":"Background: Work performance is a hugely important process to the entire company's success, as it affects a company's performance. Work performance is the assessment of whether an employee has done their job well. It is an individual evaluation, measured based on a single person’s effort. This study aimed to determine the effects of workload and job satisfaction on work performance among health workers at Siloam Hospital, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at Siloam Hospital, Kupang, East Nusa Tenggara. A total of 97 health workers were selected for this study. The dependent variable was work performance. The independent variables were job satisfaction and workload. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Work performance increased with job satisfaction (OR= 4.25; p= 0.024) but decreased with workload (OR= 0.37; p= 0.035). Conclusion: Work performance increases with job satisfaction but decreases with workload.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"135 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":"130382288","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":"Immunodepression As a Risk Factor of Infection in Patients with Acute Ischemic Stroke","authors":"Ken Wirastuti","doi":"10.26911/THEICPH.2018.05.28","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.05.28","url":null,"abstract":"Background: Immunodepression is an absence or deficient supply of the components of either humoral or cellular immunity, or both. Previous studies show that the central nervous system and the immune system interact in complex ways. Better insight into these interactions may be relevant to the treatment of patients with stroke and other forms of central nervous system injury. This study aimed to determine immunodepression as a risk factor of infection in patients with acute ischemic stroke. \u0000Subjects and Method: This was a cohort study conducted in Sultan Agung Islamic Hospital, Semarang, Central Java. A sample of 89 patients with post-acute ischemic stroke who had been hospitalized for ≥5 days was selected for this study as the exposed group and nonstroke patients as non-exposed group. The dependent variable was immunodepression infection as indicated by high leucocytes, high neutrophils, low lymphocytes, low monocytes. The independent variable was post-acute ischemic stroke. The data were obtained from the medical record. The data were analyzed by a chi-square test with Risk Ratio (RR) as the measure of association. \u0000Results: Post-acute ischemic stroke was associated with an increased risk of leucocytosis (RR= 3.95%; 95% CI= 1.59 to 3.27), neutrophilia (RR= 1.98; 95% CI= 1.69 to 12.63), lymphocytopenia (RR= 1.77; 95% CI= 1.51 to 1.98), monocytopenia (RR= 1.85%; 95% CI= 1.33 to 1.92). \u0000Conclusion: Acute ischemic stroke increases the risk of infection due to immunodepression. \u0000\u0000Keywords: acute ischemic stroke, immunodepression, infection","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"43 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":"116702815","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":"Resource Mobilization and Preparedness to Control Dengue Haemorrhagic Fever in Medan, North Sumatera","authors":"Novi Adriyanti, I. Yustina, Zulfendri Zulfendri","doi":"10.26911/THEICPH.2018.02.31","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.02.31","url":null,"abstract":"Background: Infectious diseases continuously emerge and/or reemerge, resulting in epidemics of varying sizes and scope. Infection preventionists undertake preparedness activities to ensure that the healthcare facilities and communities are well-prepared to recognize and respond to an infectious disease epidemic. Infectious disease epidemic preparedness is an ever evolving process that addresses the four principles of emergency management: mitigation, preparedness, response, and recovery. This study aimed to determine the relationship between resource mobilization within community and preparedness to control DHF. \u0000Subjects and Method: A cross sectional study was carried out in Medan, North Sumatera. A sample of 100 household heads was selected for this study by random sampling. The dependent variable was preparedness to control DHF. The independent variable was resource mobilization within the community. The data were collected by questionnaire and analyzed by chi-square with Odd Ratio (OR) as the measure of association. \u0000Results: Preparedness to control DHF was positively associated with resource mobilization within the community (OR= 3.22; 95% CI= 1.32 to 7.85; p= 0.001). \u0000Conclusion: Preparedness to control DHF is associated with resource mobilization within the community.\u0000\u0000Keywords: dengue haemorrhagic fever, control, preparedness, resource mobilization.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"66 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":"132820347","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":"Mitigating Musculoskeletal Disorder Using Occupational Chair among Batik Workers","authors":"","doi":"10.26911/theicph.2018.01.23","DOIUrl":"https://doi.org/10.26911/theicph.2018.01.23","url":null,"abstract":"","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"50 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":"128458560","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 Work Performance among Midwives at Community Health Centers in Central Java","authors":"Nurul Wahidah, E. S. Sulaeman, Uki Retno Budihastuti","doi":"10.26911/theicph.2018.04.51","DOIUrl":"https://doi.org/10.26911/theicph.2018.04.51","url":null,"abstract":"Background: Performance of midwives in antepartum, intrapartum, and post partum health care can influence maternal health as well as infant survival. Despite its importance, studies into factors associated with work performance among widwives in Indonesia are scanty. This study aimed to investigate factors associated with work performance among midwives at Community Health Centers in Central Java.\u0000Subjects and Method: This was a cross-sectional study carried out at 28 Puskemas (Community Health Centers) in Sukarta and Karanganyar, Central Java, Indonesia. A sample of 28 Puskesmas was selected for this study by stratified random sampling, comprising of 5 strata of Puskesmas. A total sample of 200 midwives was selected for this study by random sampling. Around 4 to 14 mid¬wives were selected randomly from each selected Puskesmas, resulting in a total sample of 200 midwives. The dependent variable was work performance. The independent variables included knowledge, experience, tenure, motivation, job burden, facility, skill, and reward. The data were collected by pretested questionnaire and analyzed by a multiple logistic regression.\u0000Results: Work performance was positively associated with knowledge (OR= 6.96 95% CI= 2.88 to 16.82; p<0.001), experience (OR= 2.39; 95% CI= 1.12 to 5.13; p= 0.025), tenure (OR= 2.69; 95% CI= 1.20 to 6.04; p= 0.016), motivation (OR= 2.76; 95% CI= 1.22 to 5.59; p= 0.014), facility (OR= 2.91; 95% CI= 1.32 to 6.41; p= 0.008), skill (OR= 2.59; 95% CI= 1.11 to 6.11; p= 0.030), and reward (OR= 2.08; 95% CI= 0.97 to 4.46; p= 0.061), but was negatively associated with job burden (OR= 0.36; 95% CI= 0.16 to 0.82; p= 0.015).\u0000Conclusion: Work performance is positively associated with knowledge, experience, tenure, motivation, facility, skill, and reward, but is negatively associated with job burden, among midwives working at Puskesmas.\u0000\u0000Keywords: work performance, knowledge, experience, tenure, motivation, facility, skill, reward, job burden, midwife.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"42 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":"127676283","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":"Hygiene Sanitation and Detection of Rhodamin B in Sauce nd Formalin in Meatball at Meatball Tavern, Kupang, East Nusa Tenggara","authors":"Marthen Rachmad Here, Pius Weraman, Hari Rarendo","doi":"10.26911/THEICPH.2018.01.06","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.06","url":null,"abstract":"Background: Food safety and sanitation is an essential part of the food industry. While it is important to be able to deliver food quickly and profitably, the importance of food safety and sanitation cannot be underestimated. Fast food retailers such as meatball tavern are common in Kupang, East Nusa Tenggara. Therefore it is worth studying the food safety and sanitation among the existing fast food retailers. This study aimed to examine hygiene sanitation and detection of rhodamin B in sauce and formalin in meatball at meatball tavern, Kupang, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at meatball taverns, Kupang, East Nusa Tenggara, Indonesia. A total of 16 meatball taverns were selected for this study by total sampling. The dependent variables were hygiene sanitation, rhodamine B content in sauce, and formalin content in meatball. The independent variables were selection of foodstuff, food storage, processing place, equipment, food handlers, food transport, and food provision. The data were collected by observation and laboratory examination. The data were described accordingly. Results: Hygiene and sanitation in food selection and food storage were good (70100%). Hygiene and sanitation in food handling and processing were fair (5078%). Hygiene and sanitation of processing places were variable from poor to moderate (36-72%). Hygiene and sanitation of equipment were good (70-100%). Food stewardship was very good (87-100%). Rhodamine B content was absent in sauce. Formalin content was absent in meatball. Conclusion: Hygiene and sanitation levels in various aspect of food preparation and handling at meatball taverns were variable ranging from poor to very good level.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 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":"129249838","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 Dengue Fever Preventive Practice Using Theory of Planned Behavior","authors":"Kanthi Devi Ayuningtyas, S. Rahardjo, Bhisma Murti","doi":"10.26911/THEICPH.2018.01.69","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.69","url":null,"abstract":"Background: Dengue fever, also known as breakbone fever, is a mosquito-borne infection that can lead to a severe flu-like illness. It is caused by four different viruses and spread by Aedes mosquitoes. There are currently no vaccines. The best method of prevention is to avoid mosquito bites. Treatment is possible if diagnosis occurs before the patient develops dengue shock syndrome (DSS) or dengue haemorrhagic fever (DHF). This study aimed to investigate factors affecting dengue fever preventive practice using theory of planned behavior, using theory of planned behavior. Subjects and Method: A cross sectional study was conducted in 8 sub-districts in Sukoharjo, Central Java, from May 7 to July 8, 2018. A sample of 200 study subjects was selected for this study by random sampling. The dependent variable was dengue fever preventive practice. The independent variables were intention, self-efficacy, perceived seriousness, attitude, and education. The data were collected by questionnaire and analyzed by path analysis. Results: Dengue fever preventive practice was directly and positively affected by intention (b= 0.62; 95% CI= 0.45 to 0.79; p<0.001), self-efficacy (b= 0.13; 95% CI= 0.01 to 0.25; p= 0.043), and perceived seriousness (b= 0.31; 95% CI= -0.05 to 0.67; p= 0.091). Dengue fever preventive practice was indirectly affected by attitude and education. Conclusion: Dengue fever preventive practice is directly and positively affected by intention, self-efficacy, and perceived seriousness. It is indirectly affected by attitude and education.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"7 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":"115842894","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":"Occupational Risk Factors Associated with Perceived Central Nervous System Disorder among Printing Industry Workers in Medan","authors":"Samuel Marganda, T. Ashar","doi":"10.26911/THEICPH.2018.01.57","DOIUrl":"https://doi.org/10.26911/THEICPH.2018.01.57","url":null,"abstract":"Background: Toluene is a colorless, water-insoluble liquid, aromatic hydrocarbon, with the smell associated with paint thinners. Toluene is used in the printing of colored illustrations in media such as catalogues and magazines. Studies on male employees in the printing industry found that both high and low exposure to toluene were associated with an imbalance of sexual hormones in serum samples. This study aimed to analyze the occupational risk factors associated with perceived central nervous system disorder attributable to toluene exposure among printing industry workers in Medan, North Sumatera. Subjects and Method: This was a cross sectional study conducted at a printing industry in Medan, North Sumatera. A sample of 50 printing industry workers was selected for this study. The dependent variable was perceived central nervous system disorder attributable to toluene. The independent variables were age, smoking, years of service, history of illness, alcohol consumption, and personal protective equipment (PPE). The data were collected by questionnaire and analyzed by a chi-square test. Results: Perceived central nervous system disorder attributable to toluene exposure was statistically associated with age and smoking, but was not statistically associated with years of service, history of illness, alcohol consumption, and PPE. Conclusion: Perceived central nervous system disorder is statistically associated with age and smoking among printing workers.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"270 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":"116118624","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":"Short-Term Evaluation of the Steroid Epidural Injection Method for Patients with Degenerative Lumbar Stenosis","authors":"Pamudji Utomo, R. Andhi Prijosedjati, Haryo Wicaksono","doi":"10.26911/theicph.2018.05.15","DOIUrl":"https://doi.org/10.26911/theicph.2018.05.15","url":null,"abstract":"Background: Spinal stenosis is a narrowing of the vertebral canal that com-presses spinal nerves and may cause leg pain and difficulty walking. The symptoms of degenerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively with decompressive surgery. However, studies on the effectiveness of steroid epidural injection (EPI) on reducing pain in patients with degenerative lumbar stenosis in Indonesia are lacking. This study aimed to evaluate the short-term effect of the steroid epidural injection method on the reduction of pain and disability in patients with degenerative lumbar stenosis.\u0000Subjects and Method: This was a cohort study conducted at Prof. Dr. R. Soeharso Orthopedi Hospital, Surakarta, Central Java, from March 2015 to January 2016. A total of 50 patients with degenerative lumbar stenosis was selected for this study. The dependent variables were pain and disability levels. The independent variable was EPI. Pain level was measured by visual analog scale (VAS). Disability level was measured by Oswestri Disability Index (ODI). The outcome data before and after the intervention (EPI) were compared by t-test.\u0000Results: Score of VAS a month after EPI (mean= 36.20) was lower than before EPI (mean= 63.20) and it was statistically significant (p= 0.027). Score of ODI a month after EPI (mean= 42.82) was lower than before EPI (mean= 54.90) and it was statistically significant (p= 0.033). However, scores of both VAS and ODI began to rise three months after EPI.\u0000Conclusion: Non-operative steroid epidural injection (EPI) is effective to reduce pain and disability among patients with degenerative lumbar stenosis in the short-term within three months after the intervention.\u0000\u0000Keywords: steroid epidural injection, pain, disability, degenerative lumbar stenosis.","PeriodicalId":297517,"journal":{"name":"Reaching the Unreached: Improving Population Health in the Rural and Remote Areas","volume":"1 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":"115546669","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}