Jurnal Kesehatan Komunitas (Journal of Community Health) 2023-07-26T00:00:00+00:00 Jasrida Yunita, S.KM, M.Kes Open Journal Systems <p>Journal Kesehatan Komunitas (<em>p-ISSN:<a title="P- ISSN" href=";1433571307&amp;1&amp;&amp;" target="_blank" rel="noopener">2088-7612</a>, e-ISSN: <a title="ISSN ONLINE" href="" target="_blank" rel="noopener">2548-8538</a></em>) is <strong>scientific, peer-reviewed and open access journa</strong>l managed and published by <em>LPPM Universitas Hang Tuah Pekanbaru</em> <strong>on March, July and November</strong>. Jurnal Kesehatan Komunitas publishes original research and/or library analysis on Health Community focuses on <strong>epidemiology, environmental health, promoting health, reproductive health, occupational health and safety, health policy and administration, community nursing, community midwifery. </strong>Since <strong>Volume 6 No. 3, 2020</strong>, Jurnal Kesehatan Komunitas (Journal of Community Health) has been accredited SINTA 3</p> Effectiveness Nursing Intervention of Progressive Muscle Relaxation (PMR) on the Fatigue Level of the Older Adults Covid 19 Survivors at Pekanbaru 2023-06-16T16:26:13+00:00 Abdurrahman Hamid Eka Wisanti Awaliyah Ulfah Ayudytha Ezdha <p><strong><em>Introduction</em></strong><em> Fatigue is the most common symptom experienced by </em><em>older adults</em> <em>COVID-19 survivors after fever and shortness of breath where the incidence is 30% of all </em><em>older adults</em> <em>COVID-19 survivors. Treatment of </em><em>older adults</em> <em>COVID-19 survivors requires an intervention that is able to accelerate the recovery of </em><em>older adults</em><em> from fatigue. <strong>The purpose</strong> of the study was to look at the effect of Progressive Muscle Relaxation nursing interventions on fatigue in </em><em>older adults</em> <em>COVID-19 survivors. Methods. </em><em>t</em><em>his study used a quasi-experimental research design with the type of pretest and posttest without a control group</em><em>. </em><em>By using a sample calculation of the population hypothesis test, the minimum sample size is 40 </em><em>older adults</em><em>. In this study, the sampling method used was multistage random sampling. The study was conducted in June-August 2022. Bivariate analysis using Paired T-Test. <strong>Results/findings</strong> The results of the study found that there was an effect of Progressive Muscle Relaxation Nursing Intervention on the fatigue level of the </em><em>older adults</em> <em>COVID-19 survivors </em><em>at</em><em> Pekanbaru</em> <em>with a p-value of 0.001 (&lt;0.05). This can be seen from the changes in the level of fatigue before and after the intervention. If the PMR therapy is associated with fatigue, that is, when doing this therapy, the production of endorphins, enkephalins, and serotonin releases the hormones, which will then lead to a feeling of calm and relaxation. <strong>In conclusion</strong>, this PMR Nursing Intervention can be used as an alternative form of nursing intervention to overcome fatigue problems in </em><em>older adults</em><em> and can be carried out by nurses in</em><em> primary health care.</em></p> 2023-07-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Waste Levy Willingness To Pay (WTP) Analysis Households In West Aceh Regency 2022-12-15T03:34:46+00:00 Serly Riski Amanda Fahmi Ichwansyah Irwan Saputra <p><em>Willingness To Pay (WTP) can be interpreted as how much people are willing to pay. </em> <em>However, there are several problems, namely until now the Willingness To Pay (WTP) waste retribution has not been maximized and this can be seen in the achievement of</em> <em> Regional Original Income (PAD) for waste retribution. </em> <em>Thus, the problem raised in this study is that the willingness to pay of the community to pay waste fees in West Aceh Regency is still low. The purpose of this study is to determine the amount of Willingness to Pay (WTP) of waste retribution paid by households and the factors that affect the WTP of household waste in West Aceh Regency. </em> <em>This research is a type of quantitative research with a cross-sectional study approach. The samples in this study were 378 heads of families, namely 261 people in the Johan Pahlawan sub-district and 117 people in the Meureubo sub-district. The sampling technique was carried out using Krejcie and Morgan Table. Data was collected using a questionnaire, while the statistical test used was logistic regression using stata. The results showed that the Willingness to Pay (WTP) waste retribution paid by households in West Aceh Regency was Rp. 14,542 and the factors related to the WTP of household waste in West Aceh Regency partially (partially) namely income (p-value = 0.001) and public perception in waste management (p-value = 0.031) and the relationship between income and community perception in waste management simultaneously with WTP for household waste retribution (p-value below 0.05). </em></p> 2023-07-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas The Effectiveness of Comic Media on Changes in Behavioral Selection of Healthy Snacks In Elementary School Students 2022-12-02T03:48:01+00:00 Yessi Alza Lidya Novita Zahtamal Zahtamal <p><em>In elementary school-age students (SD), most of their food comes from the consumption of snacks in the school canteen. Currently time, there is a great need for learning media that contains information about healthy school snacks. Media in the form of comic storybooks is a medium that is very liked by children. The aim of this study is to know the effectiveness of comics media on behavioral changes in choosing healthy snacks in elementary school students. This study is a quasi-experimental study with a non-equivalent control group design. Hypothesis analysis using paired sample t-test and independent sample t-test. The number of samples in this study was 55 students who were taken by purposive sampling with several inclusion criteria at two SD in Pekanbaru City. Wilcoxon's test of knowledge and attitudes showed p value &lt;0.05 in the intervention group and the control group. This shows that the use of educational comics for healthy snacks for elementary school students has proven to be significant in increasing students' knowledge and behavior in choosing healthy snacks. However, the comic was not yet effective in increasing knowledge and behavior as seen from the mean value in the control group which was greater than the intervention group in all research variables.</em></p> 2023-07-26T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Cycling effect on EPC to risk of cardiovascular disease in geriatry: systematic review 2023-02-10T06:53:58+00:00 Farida Murtiani Upik Rahmi Septian Andriyani Suci Tuty Putri Lisna Annisa Fitriana <p><em>This systematic review aims to review published articles on the effects of physical activity (PA) cycling on biomarkers of endothelial cell function on the risk of cardiovascular disease. Studies involving angiogenic factors were searched in the Medline and Cochrane libraries. Native human studies over 2 weeks of PA intervention were included. Study quality was assessed according to the GRADE evidence system.</em> <em>Results: five complete articles according to the inclusion criteria. Cycling increases angiogenic, endothelial progenitor cells (EPC) and decreased VEGF. The effect of PA on this factor appears to depend on the type and duration of exercise intervention and patient factors, such as the presence of ischemia.</em> <em>As presented in this review, there is strong evidence that cycling physical activity positively affects endothelial cell function and determines the risk of carciovascular disease.</em></p> 2023-07-26T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Behavioral Factor Analysis of BABS in RW 15 North Tangkerang Village, Working Area of Sapta Taruna Health Center 2022-10-05T08:43:22+00:00 Frecilia Sandy Winda Septiani Zulmeriza Rasyid Agus Alamsyah Hoppy Dewanto <p><em>Open Defecatio is an activity that reflects a person's behavior, where a person is defecating carelessly anywhere such as rivers, fields, and shrubs. The purpose of this study was to determine the Analysis of Factors of Open Defecation Behavior in RW 15 North Tangkerang Village, the work area of the Sapta Taruna Health Center. This type of research is quantitative with a case-control design with a sample of 80 households with a ratio of 1: 3, namely 20 case samples and 60 control samples. Data were collected by interview and observation methods using questionnaire data collection tools. The method of sampling cases in total sampling and the method of sampling control by Propotional Random Sampling. The data will be processed with univariate and bivariate analysis to see the comparison using the chi-square test carried out computerized. </em><em>From the results of the research on the relationship of knowledge in 20 cases,</em> <em>there are 11 household (55%) respondents knowledgeable. lowWhile 60, control there are 34 families (56,7%) knowledgeable high with (p-value 0,007). Obtained with the attitude respondents from 20 cases, there are 14 families (70 %) respondents who have the good. While 60, control there are 37 families (61,7%) having good behavior with obtained (p-value 0,007).</em> <em>In terms of the privy ownership of 20 cases, there are 13 families (65%) of respondents whose possession is privy. ineligibleWhile 60, control there are 31 households (51,7%) whose possession privy qualified with obtained (p-value 0,041).</em> <em>While the supply of clean water from 20 cases there are 11 households (55.0%) that have clean water availability ineligible. healthWhile 60, control there are 32 households (53,3%) that clean water supply qualified health (p-value 0,027).</em> <em>The role of health workers from 20 cases there are 15 families (75.0%) role that health workers. play no roleWhile 60, control there is 38 families (63,3%) role with the role of health workers who obtained (p-value 0,037),</em> <em>it means it can be concluded the knowledge, attitude, ownership of privy, of clean water supply and the role of health workers to the behavior defecate carelessly. This research is expected to give you an idea for the local community health center and urban village to minimize of risk of defecation in the community to not sustainable.</em></p> 2023-07-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Identification of Suspected Tuberculosis Using A Pharmamed Chatbot Based on Health Services in The City of Padang 2022-12-05T07:39:52+00:00 Sri Siswati Elsa Giatri Yolanda Safitri <p><strong><em>Introduction:</em></strong><em> TB disease is the first of the 10 leading causes of death in the world, and Indonesia is the 3rd highest country after India and China. The Minister of Health said there were 824,000 people suspected of having TB and asked all health officials to prioritize surveillance efforts to find people with TB detected by name by address. The TB cure rate in West Sumatra Province in 2020 is 76.9% and has not reached the national target of 85% and the city of Padang is only 23%. <strong>Objective:</strong> The purpose of this study is to find suspected cases of TB using the Pharmamed Chatbot, by name and by address so that they are easy to find to overcome TB. <strong>Methods</strong>: This type of research is quantitative descriptive of suspected TB cases using a 20-question chatbot to obtain social data by name and by address and suspected cases of TB. <strong>Results:</strong> The results of 838 respondents obtained 91 people suspected of TB, the composition of respondents BPJS 78.5% and 22.5%, not BPJS. BPJS respondents of productive age 15-24 years 26.91% and age range 45-64 years 34.4%. Chatbots are relatively successful and innovative as digital health in obtaining patients with suspected TB and the initial steps for TB control. It is necessary to develop a more complete chatbot and further research on TB disease prevention in Indonesia</em></p> 2023-08-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Analysis of Stunting Handling Strategies in Bangun Sari Village, Kampar Kiri Hilir District, Kampar Regency, Riau Province in 2021 2022-10-31T04:16:43+00:00 Tia Harjianti Dedi Afandi Novita Rany Doni Jepisah Hastuti Marlina <p><em>Stunting is a condition of a child's growth disorder, namely the child's height is shorter (dwarf) than the standard age, which is &lt;-2 SD. Kampar Regency is one of the highest-ranked stunting rates in Riau Province in 2018 which is 31.99% and increased in 2019 to 32.05%. The purpose of this study was to analyze the stunting management strategy in Bangun Sari Village, Kampar Regency, Riau Province. The study used qualitative methods through in-depth interviews, observation, and document review with 8 research informants. The results obtained are that there is still a lack of allocation of village funds budgeted by village officials. The health promotion provided has not been well received by the community. The inter-sectoral support that has been established has been running quite well. Food security has been provided and distributed, but in reality, the food aid is not consumed well by the community due to poor parenting by parents. Monitoring and evaluation have been carried out quite well. The conclusion of this study is that the commitment, vision, mission, health promotion, cross-sectoral support, food security, and monitoring of stunting have been sufficient and distributed by the UPTD of the Kampar Kiri Hilir Health Center.</em></p> 2023-07-29T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas User-Centered Design Method in Modelling Pregnancy Apps Based Maternal and Child Health Handbook for Pregnant Monitoring ¬¬¬¬ 2023-01-09T03:10:40+00:00 Izzati Muhimmah Sahriani Yasmini Fitriyati <p><em>Maternal and fetal health is one of the most important indicators of health status in the community. However, in reality, the mortality rate for pregnant women in Indonesia is still relatively high as happened in Bantul Regency, DIY. Contributing factors include limited health service facilities and a lack of communication between pregnant women and cadres or midwives about their condition, resulting in delays in recognizing danger signs of pregnancy. Therefore, efforts are needed to overcome these problems, one of which is by creating a mother companion application service (API). The purpose of this study was to make a model of a mother's assistant application (API) based on the MCH book using the User Centered Design (UCD) method for monitoring pregnant women. In this study. </em><em>The results presented are in the form of a prototype API service information system, where this system can help pregnant women to find out the history of previous examinations, see health articles needed during pregnancy, and when an emergency occurs, pregnant women can use the emergency button so they can quickly connect to a companion, cadres, and midwives nearby</em><em>. the results of this information system design are expected to make it easier during the pregnancy process. Therefore, it can be concluded that the creation of a mother companion application modeling (API) using the UCD method is effective in helping when carrying out the prototype design process because the user directly plays an active role in providing suggestions so that the requirements for the desired system can be fulfilled.</em></p> 2023-08-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Impact of COVID-19 Pandemic on Dietary Patterns and Physical Activity in Overweight and Obese Adolescents Based on Body Fat Percentages 2023-07-05T08:55:14+00:00 Fatma Syukrina Ratu Ayu Dewi Sartika Rizti Millva Putri <p><strong><em>Background:</em></strong><em> Obese and overweight adolescents have a high risk of COVID-19 susceptibility and severity compared to normal nutritional status. Although a healthy dietary pattern and physical activity do not entirely prevent infection, they play a substantial role in the host's response to infectious agents. The purpose of this study is to analyze the changes in dietary patterns and physical activity during the COVID-19 pandemic in overweight and obese adolescents based on body fat percentages (BFP). <strong>Method: </strong>A cross-sectional study using purposive sampling was conducted on 159 adolescents from selected high schools in West Lampung, Indonesia. Data collection was assessed using a body composition scale and Food Frequency Questionnaire (FFQ). Data analysis was performed using SPSS. The Wilcoxon signed-rank test was used to analyze the differences between the two adolescent groups. <strong>Result:</strong> The overweight and obese adolescents group increased the consumption of unhealthy foods and beverages compared to the normal group (p&lt;0.05). Both groups significantly increased the fruit rich in vitamin C consumption (p&lt;0.05), but no significant difference in vegetable consumption (p&gt;0.05). Both groups were found to have no significant difference in physical activity, both before and during the COVID-19 pandemic (p&gt;0.05). <strong>Conclusion: </strong>Adolescents with normal body fat percentages (BFP) tend to have better dietary patterns, in contrast to overweight and obese adolescents with a high BFP who tend to have a decrease in the quality of their dietary patterns. Then, both groups were found to have a significant decrease in the frequency of physical activity during the COVID-19 pandemic.</em></p> 2023-08-14T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Analysis of Antibiotic use for Covid-19 Patients in the Isolation Room of the Hospital X Tipe D at Malang District 2022-08-23T07:50:55+00:00 Retno Juwita Sari Rika Yulia Fauna Herawati <p><em>COVID-19 cases by the end of 2019 have raised the number of respiratory tract infections; in addition, coinfection during COVID-19 pandemic is associated with disease severity, consequently,causes the number of deaths to surge. The use of antibiotics during the pandemic has evidently improved in a significant way, similar to the increased number of broad-spectrum prescriptions. This phenomenon potentially elevates the number of Antimicrobial Resistance (AMR); therefore, it is necessary to fortify supervision over the use of antibiotics during COVID-19 pandemic. Referring to this, the objective of the study is to evaluate the use of antibiotic during COVID-19 pandemic. This is an observational study conducted on adult subjects with confirmed COVID-19, with moderate to severe level of disease, whose data was collected retrospectively during the period of April 2020 – March 2021. The result confirmed 146 patients were treated as sample of the study, most of whomwere male (53.4%),and female was 46.6%. The highest age group was 56 – 65 years old by 28.8%. The increase in leukocyte level &gt; 1.000 was 31.5%. 8 (eight) types of antibiotics were used in high frequency, such as, injection levofloxacin antibiotics (50%),while frequently used combination antibioticswere ceftriaxone and levofloxacin (5.5%). Based on quantitative analysis, the total value was 60,54 DDD/100 patient-days, and the value of antibiotic with the highest DDD was levofloxacin 26.51 DDD/100 patient-days. Additionally, the result of analysis on the quality of antibiotics using Gyssens flowchart suggested 36.3% of the given antibiotic were considered as rational (category 0) and 46.6% of the given antibiotics had no indication of usage (category V). Prospective research is needed regarding the use of antibiotics.</em></p> 2023-07-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Description Public Knowledge about Covid-19 Vaccination at Sidomulyo Health Center, Tampan District, Pekanbaru City 2023-02-07T06:13:55+00:00 Riski Ridho Ramadani Bayu Saputra Rani Lisa Indra <p><em>The spread of COVID-19 has not only attacked globally but has also reached Indonesia. COVID-19 has spread to provinces in the territory of Indonesia, including Riau Province. One way to prevent COVID-19 is to carry out the COVID-19 vaccination. The purpose of this study was to describe the public's knowledge of COVID-19 vaccination. This study uses a type of quantitative research. The population used by the researcher was 361 people. The sample of this study used 177 respondents. The sampling technique used is Consecutive Sampling. The research instrument was carried out using a questionnaire. Data analysis was carried out by using the univariate method, while on the characteristics of respondents, age used a numerical test, gender, education, occupation, and socioeconomic used a frequency distribution. the results of the study showed that the average age was 33.2 years, the majority of respondents were female as much as 80.8%, the majority of secondary education levels were education (SMA/SMK equivalent) as much as 79.7%, the majority of respondents worked as housewives (IRT) as much as 75.1%, the majority of the socioeconomic level is classified as low level as much as 54.2%. Respondents' knowledge about COVID-19 vaccination, most of the respondents still have a low level of knowledge about COVID vaccination as much as 44.5%, so it can be concluded that knowledge at the Sidomulyo Health Center is still in the low category.</em></p> 2023-07-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Analisis Hubungan Komplikasi Kehamilan Dengan Kejadian Bayi Berat Lahir Rendah di Indonesia (Analisis Data Sekunder Survei Demografi Kesehatan Indonesia Tahun 2017) 2022-10-28T05:27:03+00:00 Maulidani Maulidani Asnawi Abdullah Nurjannah Nurjannah <p><em>Pregnancy complications are problems or health problems that often occur during pregnancy, and can impact not only the health of the mother but also the newborn. High risk during pregnancy occurs in pregnant women under the age of 19 and over 35 years and the length of marriage is over 5 years. Further analysis of this secondary data is descriptive of analytics conducted using a Cross-sectional design. Research sites throughout the Province in Indonesia, conducted from July 24 to September 30, 2019. The secondary data was re-processed by researchers with several different variables in 2019. The samples in this study were all SDKI 2017 samples that met the criteria of 16,343 samples. Then the data is analyzed with univariate analysis, bivariate with a chi-square test, and multivariate with a logistics regression test. The results of the univariate analysis found that the percentage of babies born with LBW was 7.53% and the proportion of respondents who had pregnancy complications was 87.96%. Then the bivariate analysis obtained that there is a relationship between pregnancy complications with the incidence of BBLR obtained a p-value of 0.025 or a value of 0.81. Later multivariate analysis showed that the most influential factors were birth distance with OR=1.12 and Antenatal Care services (ANC) with OR=1.22. Then the factors associated with causing LBW are complications, maternal age, and socioeconomic status with a p-value of &lt;0.05. There is a link between pregnancy complications and LBW events with a p-value of 0.025. Pregnancy complications have a connection to the incidence of LBW, it is necessary for every pregnant woman to be able to increase knowledge of the danger signs of pregnancy.</em></p> 2023-08-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Overview of Pending and Dispute Events in the Health BPJS Claiming Process for Inpatients at Imelda Hospital, Medan, Indonesia in 2022 2022-12-15T03:55:01+00:00 valentina valentina Esraida Simanjuntak Siti Permata Sari Lubis Linfia Isti Zenika Hulu <p><em>Health insurance is a guarantee in the form of health protection so that participants obtain health care benefits and protection in meeting basic health needs that are given to everyone who has paid contributions or whose contributions are paid by the government. The purpose of this study is to describe the implementation of the BPJS (Social Security Administering Agency) Health claim system for inpatients at Imelda Workers' Hospital in Indonesia. This type of research is qualitative with a case study approach. The method used is observation and direct interviews to the field. The subjects used in this study were all pending and disputed medical record claim files for inpatients and in March 2022 as many as 94 claim files. The informants used in this study were 3 BPJS Health claims officers. Based on the results of the study, the implementation of inpatient BPJS Health claims is in accordance with regulations and SOPs at Imelda Indonesian Workers Hospital in Medan, the obstacles in the claiming process are facilities and networks that often have problems. The claim officer will scan the inpatient file and insert it into the hard disk and send it to BPJS Kesehatan. The hospitalization files that were claimed and submitted in March 2022 were 420 files, of which 326 files were received (78%) and 94 files were rejected (pending claims) (22%). There were also 27 disputed claim files in March 2022 (29%), after the submission of pending claims was made by Imelda Indonesian Workers Hospital in Medan. </em></p> 2023-07-26T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Culture-Based Health Education on People with Diabetes Mellitus: A Scoping Review 2023-04-11T02:58:36+00:00 Nurfadhila Nurfadhila Kusrini Semarwati Kadar Takdir Tahir <p><em>Self-management health education is considered an important element of treatment for all people with diabetes and those at risk of developing T2DM. A wide variety of diabetes self-management education (DSME) interventions are available in high-attenuation countries, whereas limited information on culture-based health education exists in Asian countries. The purpose of this scoping review is to map culture-based health education in terms of strategies, outcomes, and action interventions to improve health outcomes and adherence of people with diabetes mellitus. The PRISMA (preferred reporting items for systematic review and meta-analysis) method was used at all stages of the review. The databases used in this study were Medline (OVID), Pubmed, ProQuest, CINAHL, Scopus, Inform it Data, and Web of Science from 2010 to 2022. A manual search of the database yielded 197 pieces of</em> <em>data; 11 full-text included for review. Three forms of cultural integration in health education include using dual language (Spanish and English) ​​in the delivery of health education, creating guidelines books and questionnaires in local languages, and creating and modifying diabetes self-management programs or interventions that are adapted to local culture, for example by using food samples consumed. every day by the tribe. The</em><em> conclusion of this study is that the development of family and culturally supported diabetes interventions integrated with health education is an integral part of maintaining self-management behavior and improving health outcomes for patients</em> <em>with T2DM.</em></p> 2023-08-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Evaluation of the Elderly Health Service Program in the Pusako Community Health Center Work Area, Siak Regency 2022-10-05T08:49:04+00:00 Neni Suryani Budi Hartono Hendri Hendri <p><em>One of the successful efforts to improve the social welfare of the elderly is to improve the standard of living and Life Expectancy (UHH). In Siak Regency, the coverage of the elderly who have just received health services at community health centers in 2020 is around 3.7% (100% target). It aims to identify problems, prioritize problems, determine alternative solutions to problems, and create an Intervention Plan (Plan of Action) in accordance with alternative problem-solving related to the Evaluation of Elderly Programs at the Pusako Community Health Center. This research used qualitative methods, using document tracing data sources, direct observations, and field observations in the elderly unit. The informants are the Head of the Center for Public Health, the Head of Administration, the Elderly Program Holder, and employees in the elderly unit. It was found that there was no evaluation of the elderly program. So that the recording and reporting carried out are not in accordance with the achievements. The recommendation is that it is expected that the Head of the Center for Public Health needs to audit the documents and evaluate the recording and reporting of the elderly program in a comprehensive manner.</em></p> 2023-08-10T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Influence the Performance of Midwives in Conducting Early Detection Low Birth Weight Infants (LBWI) 2022-10-28T05:19:28+00:00 Lisvi Ulita Irwan Saputra Nurjannah Nurjannah Asnawi Abdullah Aulina Adami <p><em>Obstetrics services are an intensive part of health activities focused on maternal, newborn, and child health to realize meaningful family health. Maternal and child health is a national agenda that deserves top priority because it determines the quality of human resources for the next generation. This research method is analytical with a cross-sectional study design. The study sample consisted of 88 midwives. Data analysis was performed using regression analysis and the Results of bivariate. The results of the bivariate test found a relationship between knowledge (p=0.003), motivation (p=0.033), and leadership (p=0.000) with obstetric performance. Furthermore, although there is no relationship between attitudes (p=182) and obstetric performance, the variables of supervision, reward, and training show satisfactory results. The results of the multivariate analysis show that leadership is the most dominant factor in determining obstetric performance, with a p-value of 0.000 and OR. 180. Request the Aceh Besar Health Office to increase supervision not only from the supervising coordinating midwife but also from the abscess and the health office.</em></p> 2023-08-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas The Effectiveness of Mindfulness Bonding Interventions for Mother and Fetus Using Smartphones on Anxiety in Pregnant Women Before Childbirth 2022-11-28T03:16:20+00:00 Indah Adilla Misrawati Misrawati Ganis Indriati <p><em>Anxiety before childbirth is the main psychological problem experienced by pregnant women. Mindfulness bonding between mother and fetus is a technique that can increase the emotional bond between mother and fetus so as to reduce anxiety. The implementation of this mindfulness bonding intervention for mother and fetus can be done using a smartphone so that it can be accessed without </em><em>the </em><em>time and place limits. This study aims to analyze the effectiveness of the mindfulness bonding intervention of mother and fetus using a smartphone on the anxiety of pregnant women before delivery. The study used a quasi-experimental design with a pre and post-test design with a control group. The sample of this research was 34 pregnant women before delivery, divided into two groups, namely 17 respondents of pregnant women in the experimental group and 17 pregnant women in the control group by using a purposive sampling technique. Data was collected using the PRAQ-R2 questionnaire and the MIESRA application with data analysis using a t-test. There was a significant change before and after being given the mindfulness bonding intervention of mother and fetus using a smartphone on the anxiety of pregnant women before delivery (p-value = 0.001). The mindfulness bonding intervention of mother and fetus using a smartphone with the MIESRA application is effective in reducing the anxiety level of pregnant women before delivery.</em></p> 2023-07-29T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Effectivity Between Peer Group and Think, Pair, Share to Knowledge and Behaviour Prevention Anemia in Adolescents 2023-01-03T07:21:21+00:00 Yuli Astuti Arum Margi Kusumawardhani <p><em>Background Anemia in adolescents is a health problem that receives special attention. 16% of 50 adolescents have anemia. Anemia in adolescents is caused by iron deficiency, so adolescents need to receive sufficient education and information to change their knowledge and behavior in preventing anemia. The objective of this study was to determine the effectiveness of the peer group educational method compared to the think, pair, share game method. Methods This research was an analytical experimental research method, namely research that explains the relationship/influence between variables through hypothesis testing with data collection techniques were primary data with questionnaires distributed to 80 respondents who were members of FORPIS PMI Klaten. Sampling technique was total sampling. The statistical test used was path analysis with the SPSS 23 application. Results of this study showed that the effect of providing education with the peer group method stated that there was no effect on increasing knowledge and behavior to prevent anemia in adolescents (P&gt;0.005); and the think, pair, share card game method stated that there was an effect on increasing knowledge and behavior to prevent anemia in adolescents (P&lt;0.005). The conclusion of this study is that the think, pair, share card game education method is more effective in increasing knowledge and behavior to prevent anemia in adolescents.</em></p> 2023-07-26T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Factors Associated with Overweight/Obesity in Adolescent High School Students in Pekanbaru City 2023-07-09T13:32:02+00:00 Ervira Dwiaprini As Syifa Ratna Djuwita <p><em>Based on the 2013 and 2018 Basic Health Research, there was an increase in the prevalence of overnutrition and obesity in Riau province from 3.1% to 11.6%. This study aimed to </em><em>analyze</em><em> the factors associated with the incidence of </em><em>overweight</em><em>/obesity in adolescent students of public high schools in Pekanbaru City in 2023. The type of research is quantitative analytic with a cross-sectional design. The research was conducted in May-June 2023. Samples were class X and XI students in three high schools in Pekanbaru City, namely SMAN 4, SMAN 6, and SMAN 12. Sampling was done by purposive sampling. Independent variables were gender, adolescent knowledge, parental education, parental occupation, pocket money, parental obesity status, physical activity, sleep quality, fast food consumption</em><em>,</em><em> and sugary drink consumption. The dependent variable was over</em><em>weight</em><em>/obesity. Data were </em><em>analyzed</em><em> univariately, bivariate</em><em>,</em><em> and multivariate. The results showed that the dominant variable associated with overweight/obesity was parental obesity status (OR=3.12; 95% CI: 1.25-7.83). Adolescents with obese parents were three times more likely to experience over</em><em>weight</em><em>/obesity compared to adolescents who did not have obese parents. Other associated variables were student knowledge (OR=2.62; 95% CI: 1.27-5.39) and sweet food habits (OR=2.34; 95% CI: 1.04-5.27). For this reason, schools are expected to work with the Health Office and </em><em>Community Health Center </em><em>to </em><em>organize</em> <em>counseling</em><em> or seminars on nutrition and obesity in adolescents; schools can provide healthy canteens by limiting the availability of fast food and sugary drinks.</em></p> 2023-08-08T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Family Support and Age of Toddlers with Undernutrition Incidences among Toddlers in the Work Area of Simpang IV Sipin Health Center, Jambi City 2022-11-14T04:17:07+00:00 Azrimaidaliza Liya Putri Rahmaniya Denas Symond <p><em>The problem of malnutrition in a toddler is still faced by developing countries, one of which is the State of Indonesia, including Jambi Province. The incidence of malnutrition is still quite high. The purpose of this study was to determine the relationship between family factors and health services with the incidence of malnutrition in children under five. The type of research is quantitative research with a cross-sectional design. The study was conducted from January to June 2021 in the Simpang IV Sipin Health Center Work Area, Jambi City, with a total sample of 83 children under five. Samples were taken by using a stratified random sampling technique. Primary data collection to the respondent's house was then processed and analyzed using the SPSS program with the Multiple Logistics Regression test. The results showed that the incidence of malnutrition was close to 15%. Family support factor (p-value = 0.007; = 0.292; 95% CI = 0.007-0.045 and p-value = 0.002; = 0.325; 95% CI = 0.012 - 0.051) is a factor associated with the incidence of underweight and short in children. toddlers with a positive relationship direction. Then the factor of toddler age (p=0.019; =-0.243; 95%CI=-0.039 - -0.004) was also associated with stunting in toddlers with a negative relationship. Thus, it is necessary to provide education to families about nutritious food for toddlers to get good growth and development.</em></p> 2023-08-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Patient Safety Culture Measurement in Primary Health Care: Literature Review 2022-12-29T07:56:51+00:00 Davina Mutia Inge Dhamanti <p><strong><em>Background: </em></strong><em>Patient safety research has primarily focused on hospitals, despite the fact that patient safety incidents in primary care are quite common. Patient safety incident in primary care caused by the implementation of patient safety culture has not been widely applied. Measuring patient safety culture can improve primary care patient safety and decrease patient safety incidents. <strong>Objective:</strong> To identify patient safety culture dimensions with low scores that require improvement in primary care. <strong>Methods: </strong>Article searches were conducted through the PubMed and ScienceDirect databases using t</em>he <em>keywords “patient safety” AND “safety culture” AND “primary care”.</em><em> A total of 199 articles were found, a</em>nd <em>only 10 articles fit the inclusion criteria. </em><strong><em>Results: </em></strong><em>The SAQ-AV, MOSPSC, and HSOPSC patient safety culture measurement instruments were used in 242 primary healthcare settings across eight countries. According to research, each primary care setting has aspects of patient safety culture that could be improved. The dimensions of working conditions, work pressure and pace, and non-punitive response to error were the most frequently observed. <strong>Conclusion:</strong> The dimensions of management perception, working conditions, job satisfaction, work pressure, and speed, leadership support, staff training, incident reporting frequency, staffing, non-blame response, and hands-off and transition have low scores and require improvement in measuring patient safety culture.</em></p> 2023-08-16T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Effect of Fruit and Vegetable Modification on Fruit and Vegetable Consumption in Pangkalan Kerinci Elementary School 2022-10-14T07:12:30+00:00 Nurwahidah Nurwahidah Tri Krianto Karjoso Yesica Devis Meriwati Mahyuddin Mitra Mitra <table width="667"> <tbody> <tr> <td width="327"> <p><em>Efforts to increase fruit and vegetable consumption in school-age children are carried out by providing training to parents and providing video tutorials on fruit and vegetable modification on social media (WA Group) through the intermediary of teachers. The low coverage of Clean and Healthy Lifestyle Behavior (PHBS) on fruit and vegetable consumption indicators in Pelalawan Regency and the results of the initial survey which showed the low frequency of bringing fruit and vegetable supplies to school children were the reasons behind this research. This study aims to determine the effect of the amount of fruit and vegetable consumption in elementary school children in Pangkalan Kerinci. This study uses a quasi-experimental research design with pre test-post test non-equivalent control group design. The study was conducted in July – August 2022 with a sample of 100 students (50 in the treatment group and 50 in the control group). Data analysis was carried out univariate and bivariate using the Wilcoxon test and 1 sample T-test. The results found the highest significant average of fruit and vegetable consumption after the intervention was 63.1 grams and 134.1 grams in the treatment group and 63.9 grams and 128.8 grams in the control group. The conclusion of this study shows that there is a difference between the frequency of consumption of fruits and vegetables before and after the intervention. Suggestions in this study is that it is recommended for schools to make an appeal letter related to the fruit and vegetable consumption program once a week</em> <em>and expected to the Health office for increasing teachers education related to fruit and vegetable consumption in primary school children.</em></p> <p><em>&nbsp;</em></p> </td> </tr> <tr> <td width="327"> <p><strong><em>Keywords</em></strong><em> : </em><strong><em>Fruits </em></strong><strong><em>a</em></strong><strong><em>nd Vege</em></strong><strong><em>t</em></strong><strong><em>abels, Element</em></strong><strong><em>ary</em></strong><strong><em> School</em></strong><strong><em>, </em></strong><strong><em>Modification</em></strong><strong><em>.</em></strong></p> </td> </tr> </tbody> </table> <p>&nbsp;</p> 2023-07-29T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas The Effectiveness of Audio Visual Media and Snakes and Ladders Washing Hands on Knowledge of School Age Children 2022-11-18T04:42:07+00:00 Nutrisia Nu'im Haiya Iwan Ardian <p><strong><em>Introduction:</em></strong><em> Education through health education is one of the efforts to prevent diarrhea in children. The key to the success of health education for children lies in the media used, snakes and ladders media and audio-visual media are media that can be used in health education for children, but there has been no research related to differences in their effectiveness on knowledge about hand washing in school-age children.</em> <strong><em>Methods:</em></strong><em> Experimental research with a quasi-experimental design with nonequivalent pretest-posttest technique, random sampling being a sampling technique, with school-age children as respondents and a total of 80 respondents consisting of 40 health education intervention groups with snakes and ladders media and 40 audio-visual media intervention groups. data were measured before and after the intervention in both groups, and data were analyzed by the Wilcoxon test and Mann-Whitney test.</em> <strong><em>Results:</em></strong><em> The snake and ladder media was effective in increasing children's knowledge with p value 0.001 &lt;0.05 and audio-visual media was equally effective in increasing children's knowledge with p value 0.008 &lt;0.05, while the Mann-Whitney test showed that there was no significant difference in posttest results between the intervention groups with a value of 0.241&gt; 0.05.</em> <strong><em>Conclusion:</em></strong><em> Snakes and ladders media and audio-visual media are equally effective in increasing children's knowledge about hand washing, so this can become a media basis for health promotion by related stakeholders.</em></p> 2023-07-26T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Relationship of Knowledge, Attitudes, and Behavior of Parents towards Child Vaccine Administration 2023-03-28T03:23:28+00:00 Rosani Naim Ekawati Saputri <p><em>Currently, the government's target is to give COVID-19 vaccinations to children aged 6-11 years starting on December 14, 2021, with a target number of vaccinations reaching 26.5 million children. Giving COVID-19 vaccination to children 2 times with an interval of at least 28 days using the Bio Farma COVID-19 vaccine and/or Coronavac. Vaccination in children has been given previously, namely in children aged 12-17 years. <strong>Objective</strong>: To analyze the relationship of knowledge, attitudes</em><em>,</em><em> and behavior of parents to the provision of independent vaccines for children. <strong>Methods</strong>: Analytical description research with a </em><em>cross-sectional</em><em> study approach. The sampling technique used purposive sampling technique with a total sample of 171 people. <strong>Results</strong>: There is no relationship between parental knowledge (</em><em>p-value</em><em> = 0.282) and parents' attitude (</em><em>p-value</em><em> = 0.459) </em><em>toward</em><em> the administration of the child's independent vaccine. There is a relationship between the behavior of parents (</em><em>p-value</em><em> = 0.000) on the provision of independent vaccines for children. <strong>Conclusion</strong>: Parents' knowledge and attitudes have no effect on interest in vaccinating children because parents believe that the COVID-19 vaccine is very important to prevent children from being exposed to serious risks due to COVID-19.</em> <em>Information about the COVID-19 vaccine is also very important for parents to reduce worries about side effects and vaccine safety. Therefore, the government, doctors, and nurses must always disseminate the COVID-19 vaccine to children.</em></p> 2023-08-14T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas Factors Causing the High Positive Cases of COVID-19 in Nurses in the Pinere Room at the Madani Regional Hospital, Pekanbaru City 2021-12-06T06:04:18+00:00 Suryani Arif Santoso Santoso M Kamali Zaman <p><em>Background: Pekanbaru Madani Hospital is one of the patient referral hospitals that </em><em>serve</em><em> the treatment of patients who are confirmed positive for COVID-19. The increasing number of confirmed cases of COVID-19 patients who have been served by the hospital will have a major impact on the work guidelines and workload of health workers. The number of patients who have been served due to COVID-19 cases was 352 people in 2020 while health workers working at the Madani Regional Hospital confirmed COVID-19 until September 2021. Objective: To find out the factors causing the high number of positive COVID-19 cases in Pinere Room nurses. at the Madani Regional Hospital, Pekanbaru City Method: quantitative with an analytical survey research type design </em><em>cross-sectional</em><em> with collection technique with</em> <em>purposive sampling. The study was conducted in August – September 2021 at the Madani Hospital, the research sample </em><em>was </em><em>a total sampling technique of 91 nurses. Collecting data through </em><em>Google</em><em> form with univariate analysis, bivariate using chi-square, and multivariate analysis using multiple logistic regression. Research Results: The proportion of nurses who were confirmed positive for COVID-19 was 15 people (16.5%) with bivariate analysis there was a relationship between the use of PPE, application of health protocols, work stress</em><em>,</em><em> and work shifts with positive confirmed cases of COVID-19 in nurses. While the results of the multivariate analysis showed that there was a causal relationship between the use of PPE (</em><em>p-value</em><em> = 0.009;) and work stress (</em><em>p-value</em><em> 0.028) variables that did not have a causal relationship between health protocols (</em><em>p-value</em><em> = 0.85) and work shifts (</em><em>p-value</em><em> = 0.121). Conclusion: </em><em>The</em><em> dominant variable influencing positive confirmed cases of COVID-19 at Madani Hospital is the use of Personal Protective Equipment. Suggestion: </em><em>Improve</em><em> the supervisory function of nurses who use PPE when working each shift.</em></p> 2023-08-07T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas