Jurnal kesehatan komunitas (Journal of community health) https://jurnal.htp.ac.id/index.php/keskom <p>Journal Kesehatan Komunitas (<em>p-ISSN:<a title="P- ISSN" href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1433571307&amp;1&amp;&amp;" target="_blank" rel="noopener">2088-7612</a>, e-ISSN: <a title="ISSN ONLINE" href="http://u.lipi.go.id/1482822153" 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> LPPM Hang Tuah Pekanbaru en-US Jurnal kesehatan komunitas (Journal of community health) 2088-7612 <p>Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons&nbsp;Attribution-NonCommercial-ShareAlike 4.0 International License (<a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>) which permits unrestricted non-commercial used, distribution and reproduction in any medium&nbsp;</p> The Effect of the Existence of Larvae and 3M Plus Behavior on the Incidence of Dengue Hemorrhagic Fever https://jurnal.htp.ac.id/index.php/keskom/article/view/1392 <table width="667"> <tbody> <tr> <td width="327"> <p><em>An infectious disease that is still a public health problem today is dengue hemorrhagic fever. Prevention efforts that can be done are by breaking the chain of transmission by eradicating mosquito nests. The purpose of this study is to analyze the influence of the presence of larvae and the behavior of 3M plus on the incidence of dengue hemorrhagic fever. The study used a cross-sectional design. The research was carried out in the working area of Puskesmas Puter, in July - August 2022. The population in this study was 7,110 heads of households. The number of samples was 67 heads of families, taken using stratified random sampling techniques. The statistical test used is the chi-square test. The results showed that the variables that affect the incidence of dengue hemorrhagic fever are the presence of larvae (p = 0.006 and POR = 4.8), closing water reservoirs (p = 0.009 and POR = 4.8), draining water reservoirs (p = 0.041 and POR = 3.5), and larvicides (p = 0.027 and POR = 4.4). This research can conclude that the incidence of DHF can be influenced by several factors, namely the presence of mosquito larvae, and the behavior of closing, draining, and sprinkling larvicide powder.</em> <em>It is recommended that health workers further optimize the role of levels in monitoring mosquito nest eradication behavior carried out by the community.</em></p> </td> </tr> </tbody> </table> Saadah Siregar Sri Mulyani Vincentia Ade Rizky Dzul Akmal Agung Sutriyawan Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 456 463 10.25311/keskom.Vol9.Iss3.1392 Environmental Health Risk Assessment of Dust Exposure on Sand Workers in the City of Palembang https://jurnal.htp.ac.id/index.php/keskom/article/view/1428 <p><em>Every workplace contains various potential hazards that can affect the health of workers, one of them is dust exposure. One of the dust exposures occurs in the working environment of the sand mine. Palembang City is an area flowed by the Musi River which is a place for sand mining in Palembang. This sand mining activity can pose a risk of exposure to dust such as PM<sub>10</sub> and TSP. The purpose of this study was to analyze the environmental health risks due to dust exposure on sand collectors in Palembang. The EHRA method was used to take air samples at 19 measurement points to determine PM<sub>10</sub> and TSP levels in the work area. Data collection was carried out using a questionnaire with 74 respondents. The results showed that there were 2 points at risk due to PM<sub>10</sub> exposure with the RQ value at Depot 1 of 5.4 and Depot 2 of 2.7. Meanwhile, TSP levels do not pose a health risk to sand collectors in Palembang with an RQ value ≤ 1. So risk management is needed by reducing the PM<sub>10</sub> concentration to a safe limit of 1.81 mg / m³.</em></p> Dini arista putri Amrina Rosyada Desri Maulina Sari Dian Islamiati Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-04 2023-12-04 9 3 485 493 10.25311/keskom.Vol9.Iss3.1428 The Role of Leadership in Improving Patient Safety Culture in Hospitals (A Literature Review) https://jurnal.htp.ac.id/index.php/keskom/article/view/1458 <p><em>One of the elements that contribute to patient safety issues is poor leadership. Leadership is an essential component of changing the culture of patient safety. This literature review aims to examine the role of leadership in enhancing hospital patient safety culture. The method employed is a review of the literature using articles published between 2017 and 2022. The literature was gathered using the terms "leadership," "patient safety culture," and "hospital" from two database sources: Garuda Portal and Google Scholar. According to the keywords, the search yielded 77 articles. Five articles were evaluated after being screened using inclusion criteria. According to the five articles obtained, there are five leadership roles in improving patient safety culture: encouraging and ensuring the implementation of the Seven Steps Toward Hospital Patient Safety, ensuring ongoing programs to identify patient safety risks and reduce incidents, encouraging and fostering communication and coordination between units and individuals, allocating adequate resources, and measuring and reviewing the effectiveness. It is expected that hospital leaders can show commitment to making the hospital institution safe by implementing five leadership roles and involving staff in the commitment.</em></p> Nikita Nabilla Inge Dhamanti Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 471 476 10.25311/keskom.Vol9.Iss3.1458 Analysis of Quality Service Chronic Disease Management Programs and Satisfaction Participants Club by Using the Importance Performance Analysis Method https://jurnal.htp.ac.id/index.php/keskom/article/view/1549 <p><em>Every year, the working area of Gunung Toar Community Health Center views an increase in the number of patients suffering from diabetes mellitus and hypertension. However not everyone with hypertension and diabetes mellitus received prolanis, and neither the Gunung Toar Community Health Center nor BPJS Health have evaluated the quality of prolanis services.</em> <em>The research's objective was to use the Importance Performance Analysis (IPA) method to assess participant satisfaction and the quality of services provided by the chronic disease management program. It is a mixed-methods research design. The study was carried out in May and June of 2022 in the working area of the Gunung Toar Community Health Center in Kuantan Singingi Regency. There were 533 individuals in the population. Importance Performance Analysis was used for both quantitative analysis, with a sample of 100 respondents, and qualitative analysis, with five informants conducted through in-depth interviews. Based on the study's findings, it was discovered that participant satisfaction was 96.51% overall, officer reliability was 92.68%, responsiveness was 97.45%, physical evidence was 99.50%, assurance was 98.18%, and empathy was 96.02%.</em> <em>More personnel in charge of prolanis in each club, a stronger prolanis team, increased cross-sectoral support, better management of accountability document archiving, and regular, quarterly, and annual evaluations of prolanis operations are still required.</em></p> Palji Alpala Yasrin Jasrida Yunita Nurvi Susanti Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-16 2024-01-16 9 3 577 587 10.25311/keskom.Vol9.Iss3.1549 Distribution of Stunting and Determinants of Stunting in the Province of East Nusa Tenggara, Indonesia in 2021:A Spatial Analysis https://jurnal.htp.ac.id/index.php/keskom/article/view/1575 <p><em>The problem of stunting is still fundamental in Indonesia's human development. East Nusa Tenggara Province is an archipelago dryland area with the highest prevalence of stunted children under five in Indonesia. This study aims to determine the relationship of child characteristics with the prevalence of stunting. This type of research is </em><em>an </em><em>observational study with a </em><em>cross-sectional</em><em> design. This study used individual secondary data from the Indonesian Nutritional Status Survey in 2021 consisting of 7,835 children under five.</em><em> The results of the spatial analysis showed that in the child's characteristic factor, there w</em><em>as</em><em> a relationship between short birth length and low birth weight with stunting prevalence. It is hoped that there will be a special model of stunting control interventions that are integrated and of high quality through multisectoral cooperation in the dryland areas of the islands of East Nusa Tenggara Province.</em></p> Eflita Meiyetriani Intje Picauly Anak Agung Ayu Mirah Adi Majematang Mading Pius Weraman Daniela L Adeline Boeky Asmulyati S Saleh Jane A Peni Varry Lobo Ahmad Thohir Hidayat Siti Fadhilatun Nashriyah Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-30 2024-01-30 9 3 630 636 10.25311/keskom.Vol9.Iss3.1575 Determinants of the Use of Long-Term Contraception Methods in Couples of Feet Age in the New Normal Time in Indragiri Hilir District https://jurnal.htp.ac.id/index.php/keskom/article/view/1377 <p><em>The long-term contraceptive method (MKJP) is a contraceptive used to delay, space out pregnancy, and stop fertility that is used long term, which includes IUD (Intra Uterine Device) Implant (KB) and steady contraception, while the new normal is a new order of life during the Covid-19 pandemic. The proportion of MKJP usage in Indragiri Hilir Regency (2019) was 9.97%, far below the national standard of 16.47% (Indragiri Hilir was the lowest achievement in the use of MKJP in Riau Province). The new normal during the COVID-19 pandemic with restrictions on community activities so that the intensity of husband-and-wife relations increases. The purpose of this study was to determine the determinants that affect the use of MKJP in Couples of Childbearing Age (EFA) in the new normal period. The results of this study are significant as evidence for policy determination in improving family planning programs in Riau Province. This type of research was quantitative analytic research using a cross-sectional study design. The location of this research is Indragiri Hilir Regency which has 20 sub-districts with 158 respondents. Data analysis using logistic regression. Results People with a negative attitude have a 3.11 times higher risk of not using the MKJP than people with a positive attitude. The statistical test showed significant results (p-value = 0.001 and 95% CI = 1.81-5.34). Those with low knowledge are at a 1.9 times higher risk of not using the Long-Term Contraceptive Method (MKJP) than those with good knowledge. The statistical test showed significant results (p-value = 0.016 and 95% CI = 1.13-3.22). The variable that was inversely related to the use of MKJP in Indragiri Hilir Regency was the officer's role variable with OR = 0.5 and Access to Family Planning Services OR = 0.26. The public health center must provide good communication on family planning services and supporting facilities, especially queues at the public health center so that people want to implement family planning.</em></p> Nila Puspita Sari Ikhtiyaruddin Ikhtiyaruddin Agus Alamsyah Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-17 2024-01-17 9 3 10.25311/keskom.Vol9.Iss3.1377 Determinant Factors of Pulmonary Tuberculosis at Puskesmas Pamarican, Ciamis https://jurnal.htp.ac.id/index.php/keskom/article/view/1422 <p><em>In 2021, the Pamarican Health Center had the second-highest cases of pulmonary TB in the Ciamis Regency. This study aimed to analyze the determinant factors of the incidence of pulmonary TB in the working area of the Pamarican Health Center. This study used a case-control design. The case population was all patients at the Pamarican Health Center from 2021 to July 2022 who had confirmed smear pulmonary TB (+) and residing in the working area of the Pamarican Health Center, namely 34 people. Meanwhile, the control group consisted of all patients at the Pamarican Health Center from 2021 to July 2022 who tested negative for pulmonary TB, namely 416 people. Selection of case samples using total sampling, while control samples using purposive sampling. The comparison of cases and controls is 1: 2 so the sample size of cases and controls was 34: 68. Data was collected through interviews using a questionnaire, observation using observation sheets, and direct measurements using a roll meter. Data analysis used univariate analysis, the bivariate analysis used chi-square and Fisher's exact tests, and multivariate analysis used multiple logistic regression. The results of the bivariate analysis showed that 2 variables were proven to have a significant relationship with the incidence of pulmonary TB, namely marital status (p = 0.038; OR = 2.774, 95% CI: 1.038-7.414), comorbid diseases (p = 0.006; OR = 6.667; 95% CI: 1.640 – 27.107). Based on the results of multivariate analysis, it was known that there was one variable that was most related to the incidence of pulmonary TB, namely the comorbid disease variable, with an OR of 5.302 (95% CI: 1.215 – 23.146). Based on the research results, it was suggested to the American Health Center to continue to monitor and control comorbid diseases, namely DM, which is a risk factor for TB transmission</em></p> Nissa Noor Annashr Puji Laksmini Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-20 2024-01-20 9 3 614 623 10.25311/keskom.Vol9.Iss3.1422 Audio-Visual-Based Health Education to Improve Family Understanding of Pressure Sores Prevention https://jurnal.htp.ac.id/index.php/keskom/article/view/1448 <p><strong><em>Introduction</em></strong><em>: Bed rest patients have a high risk of damage to the integrity of the skin caused by pressure and immobilization (bed rest), known as decubitus ulcers or pressure sores. The occurrence of pressure sores is heavily influenced by the level of education and knowledge of patients and families, <strong>research objectives</strong>: to analyze the effect of providing audio-visual-based health education in increasing family knowledge about pressure sore prevention, <strong>method</strong>: quasi-experimental research design with pre-test and post-test designs. The population was families who had patients with a high risk of developing pressure sores at PKU Gamping Hospital. The process of taking samples with a quota sampling technique was 15 people for the control group and 15 people for the intervention group. The instruments used were questionnaires and educational media in the form of audio-visual media. Data were collected using a questionnaire and analyzed using the Wilcoxon Test and Mann-Whitney Test, <strong>results</strong>: family knowledge in the intervention group after being given health education experienced a significant change with p-value = 0.001 (p &lt;0.05), whereas in the control group, it did not have a change with p-value = 0.314 (p&gt;0.05). Audio-visual-based health education influences the level of family knowledge about pressure sore prevention, p-value 0.000 (p &lt;0.05), <strong>conclusion</strong>: Audio-visual-based health education has a good impact on increasing family knowledge about pressure sore prevention.</em></p> <p><strong><em> </em></strong></p> Nur Chayati Gema Akbar Purnama Juandi Copyright (c) 2024 Jurnal kesehatan komunitas (Journal of community health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-02-05 2024-02-05 9 3 557 566 10.25311/keskom.Vol9.Iss3.1448 Rehabilitation of Stroke Patients During the Covid-19 Pandemic: Integrative Review https://jurnal.htp.ac.id/index.php/keskom/article/view/1526 <p><strong><em>Background: </em></strong><em>Rehabilitation services for stroke patients decreased during the Covid-19 pandemic, and patients mainly stayed home without rehabilitation. As a result, the patient experiences recurrent strokes, contractures, malnutrition, decubitus, and reduced cognitive function. Therefore, the repair is crucial to achieving maximum recovery and improving one's physical, mental, social, and speech abilities. <strong>Purpose:</strong> To find out the rehabilitation for stroke patients during the Covid-19 pandemic. <strong>Method: </strong>This review used a modified version of the integrative review research methodology developed by Whittemore and Knafl (2005). The literature search was conducted on five databases, namely PubMed, Science Direct, ProQuest, Cochrane Library, and DOAJ, with inclusion criteria in English, focusing on the rehabilitation of stroke patients, the Covid-19 pandemic, and original research published between 2020 and 2022. Evaluation of publications used Bowling's critical assessment model (2001). <strong>Results: </strong>Ten articles were included in the analysis. As a result, an overview of the rehabilitation of stroke patients during the Covid-19 pandemic was obtained, which included, first: Changes in the rehabilitation service system. Second: the obstacles to the rehabilitation of stroke patients during the Covid-19 pandemic, such as increasing family workload, lack of social support, and economic factors/financial constraints. Third: Changes in the functional status of stroke patients.<strong>Conclusion: </strong>The overview of the rehabilitation of stroke patients during the Covid-19 pandemic includes changes in the rehabilitation service system, obstacles to the restoration of stroke patients during the COVID-19 pandemic, and changes in the functional status of stroke patients.</em></p> Felisima Ganut Rosyidah Arafat Suni Hariati Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-05 2023-12-05 9 3 521 531 10.25311/keskom.Vol9.Iss3.1526 Evaluation of the Management Information System (SIMPUS) Implementation with the HOT-FIT Model at the Tambun Bekasi Health Center https://jurnal.htp.ac.id/index.php/keskom/article/view/1570 <p><em>The Health Center Information System (SIMPUS) is a system for recording and reporting health activities at the Health Center which is currently being carried out mostly electronically (e-Puskesmas). BPJS as the organizer of national health insurance has prepared an information system, namely P-Care for recording JKN patients at the Puskesmas so that the two systems are integrated. HOT-Fit is a framework that can be used to evaluate information systems. This model positions the important components in information systems, such as people, organizations, and technology, as well as the relevant relationships between these components. This study aims to evaluate the application of e-Puskesmas and P-Care information systems with the Human Organization Technology (HOT)-Fit model at the Tambun Bekasi Health Center. This research is a descriptive study using a qualitative approach with in-depth interviews, observation, and documentation studies. The results of the study show that from the aspect of the human component training is still needed to improve the knowledge and skills of officers, the organizational aspect has built an appropriate organizational structure and the working officers are by their competencies and the necessary facilities and infrastructure are complete. In terms of technology, it is known that system quality, information quality, and service quality have been well achieved. The information system that has been running well in the Puskesmas studied is an example of good recording and reporting management so that it can be used as a benchmark for other Puskesmas. A well-managed information system can assist the decision-making process for Puskesmas management to achieve its main goals.</em></p> Salma Karami Andrea Puspa Evindiyah Prita Dewi Yuyun Umniyatun Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-17 2024-01-17 9 3 588 598 10.25311/keskom.Vol9.Iss3.1570 The Resilient Health System Against the COVID-19 Pandemic: The Study of Resilience of RSUD Haji Abdoel Madjid Batoe Batang Hari Jambi https://jurnal.htp.ac.id/index.php/keskom/article/view/1120 <p><em>The COVID-19 outbreak is a global public health emergency of international concern. Cases of COVID-19 spread in many countries across the continent and were marked as a pandemic. COVID-19 is growing rapidly, requiring hospitals to prepare preparedness measures related to managing the pandemic while continuing to provide essential services to other patients who need treatment. This study aims to assess the resiliency capacity of RSUD Haji Abdoel Madjid Batoe Batang Hari Jambi against the COVID-19 pandemic. This research is a descriptive approach. Assessment using the N-COV Hospital Readiness Checklist. The results show that the readiness to respond to the COVID-19 pandemic shows an achievement of 95.6%, which means that HAMBA Hospital is ready to face the COVID-19 pandemic disaster. HAMBA Hospital has taken preparedness steps according to the guidelines from the World Health Organization (WHO) in handling.</em></p> Herlina J. EL- Matury Shintya Handayani Selamat Ginting Nur Mala Sari Friska Ernita Sitorus Bunga Mari Sembiring Saiful Batubara Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 464 470 10.25311/keskom.Vol9.Iss3.1120 Determinants of Stunting in Toddlers during the Covid-19 Pandemic in the Work Area of Pirak Timu Health Center North Aceh District https://jurnal.htp.ac.id/index.php/keskom/article/view/1393 <p><em>The Covid-19 pandemic in Indonesia has prevented several basic health services, especially Posyandu, from being carried out, which can hinder the achievement of the 2024 national target, which is to reduce the stunting rate to 14%. The aim of the study was to analyze the determinants of stunting in toddlers during the Covid-19 pandemic in the Pirak Timu Community Health Center, North Aceh District. This type of research is quantitative analytic. The sample of this study was stunted toddler mothers who lived in the working area of the Pirak Timu Health Center, North Aceh Regency, totaling 65 people. Data collection was carried out using the interview method using a questionnaire carried out from December 2021 to January 1<sup>st, </sup>2022. Data analysis was univariate, bivariate, and multivariate using a multiple logistic regression test. Variables related to the incidence of stunting in toddlers are history of exclusive breastfeeding, diet, knowledge, and income. Meanwhile, the variable that is not related to the incidence of stunting is parity. The conclusion obtained is that there is a relationship between a history of exclusive breastfeeding, diet, knowledge, and income with the incidence of stunting in toddlers during the Covid-19 pandemic at the Pirak Timu Health Center, North Aceh District </em></p> Elmina Tampubolon Vierto Irennius Girsang Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 431 436 10.25311/keskom.Vol9.Iss3.1393 Nutritional Contents and Sensory of Patin Nuggets with the Addition of Tempe as an Alternative Food for Toddlers in Stunting Prevention Efforts https://jurnal.htp.ac.id/index.php/keskom/article/view/1432 <table> <tbody> <tr> <td><em>Malnutrition in toddlers can result in growth disturbances, development, and low-quality human resources. Indonesia ranks fifth in the prevalence of stunting in the world. SSGI data for 2021 the prevalence of stunting in the city of Pekanbaru is 11.4%. The highest prevalence of stunting under five cases was found in the Lima Puluh District at 7.29%. The Supplemental Feeding Program (PMT) is one of the efforts to overcome and prevent stunting, the type of food ingredients used as PMT can be local food ingredients, namely catfish, in Riau the commodity of catfish is higher than other fish. Indonesia is the largest soybean market in Asia with the largest tempe production in the world. The study aimed to determine the nutritional and sensory content of catfish meat nuggets added with tempeh, which can be used as a solution for providing additional food for toddlers to prevent stunting. the research used in this study was experimental with a completely randomized design (CRD). The stages of this research consisted of, 2 namely the preliminary research stage to analyze the addition of the amount of tempeh in each treatment and further research namely the implementation of sensory tests and proximate analysis. The results of the study found that the most preferred treatment was the addition of 70% tempeh both from the attributes of color, aroma, taste, and texture. The ingredients contained in the nuggets are carbohydrates at 22.2%, protein at 4.9%, fat at 10.7%, fiber at 5.5%, ash content 0.1%, and water content 52.8%. Fish nuggets based on SNI contain 5.0% protein, 15.0% fat, 2.5% ash content, and 60% moisture content.</em></td> </tr> </tbody> </table> Hesti Atasasih Irma Susan Paramita Dewi Rahayu Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 477 484 10.25311/keskom.Vol9.Iss3.1432 Relationship between Coverage of Antenatal Care, Maternity Care, and Postnatal Care with Maternal Mortality Rate in East Java Province https://jurnal.htp.ac.id/index.php/keskom/article/view/1497 <p><em>Maternal mortality in Indonesia is known to be a concern to be able to achieve targets in accordance with the focus on SDGs and achieve adequate maternal health services in terms of access and quality. One of the urgencies for strategies to reduce maternal mortality is to map the factors associated with maternal mortality and identify the implementation that is carried out. This study aims to analyze the relationship between coverage of health services for pregnant women, delivery mothers, and postpartum women with maternal mortality in East Java, quantitative type research with a correlational approach conducted with secondary data, in the East Java Health Profile from 2019 to 2021. Variables in this study include maternal mortality coverage of health services for pregnant women, </em><em>delivery mothers,</em><em> and postpartum women (ANC for pregnant women K1, ANC for pregnant women K4, delivery assisted by health workers, delivery conducted at health services, KF 1, KF 2 and KF 3 postpartum women. The results of the study found that the variables correlated with maternal mortality in East Java from 2019 to 2021 coverage of health services for mothers during pregnancy, </em><em>delivery mothers, and postpartum.</em></p> Rahmah Christiawan Lutfi Agus Salim Sarah Christiawan Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 448 455 10.25311/keskom.Vol9.Iss3.1497 The Effect of Healthcare Service Quality on Trust Through Patient Satisfaction at Public Health Center in Jember Regency https://jurnal.htp.ac.id/index.php/keskom/article/view/1559 <p><em>The decrease in the Community Satisfaction Index from 2018 to 2021 from 89% to 79% shows the dissatisfaction with services at the Public Health Center, so it is necessary to manage the improvement of service quality through behavioral attitudes, officer expertise, and process quality in providing services. The purpose of this study was to prove the effect of health service quality on trust through patient satisfaction at the Public Health Center in Jember Regency. The research was conducted through a survey using a questionnaire on 204 patients from 6 selected health centers with consecutive sampling techniques. Data analysis techniques using Structural Equation Model (SEM) with Partial Least Square (PLS). The results show that satisfaction is influenced by attitudes and behaviors and process quality, but not expertise. Attitude, behavior, and satisfaction have a direct effect on trust, while process quality has an indirect effect through satisfaction. Trust was not influenced by expertise. The attitude and behavior of health workers greatly affect satisfaction and trust, so officers at the Public Health Center must have good attitudes and behavior in serving patients.</em></p> Driana Desy Purwiningsih Ika Barokah Suryaningsih Viera Wardhani Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-07 2023-12-07 9 3 532 541 10.25311/keskom.Vol9.Iss3.1559 Blood Chemistry Profile as Early Detection of Degenerative Diseases in the Productive Age Group https://jurnal.htp.ac.id/index.php/keskom/article/view/1389 <p><em>Degenerative diseases are chronic diseases that affect a person's quality of life and productivity. Degenerative diseases include hypertension, asthma, cancer, diabetes mellitus, osteoporosis, and so on. Indonesia's current health problems are influenced by lifestyle, work environment, and stress. The purpose of the study was to determine the differences in laboratory examination results of blood chemistry profiles (blood sugar, cholesterol, uric acid, creatinine, urea, and SGOT levels) at productive age in the Jambi City Health Center Working Area in 2022. The cross-sectional research method with the population is the community in Posbindu in the working area of 3 Puskesmas (KONI, Pakuan Baru, and Putri Ayu) with purposive sampling technique, where the research sample is the Posbindu group who are productive age (16-64 years) which amounted to 140 respondents. The data obtained were then analyzed by independent t-test. The results of laboratory examinations of blood chemistry profile levels, where each variable has high levels, namely 25% prediabetes blood sugar levels, and 10.7% diabetes. Cholesterol 30%, uric acid 20.7%, creatinine 4.3%, ureum 6.4% and SGOT 10%. Conclusion There is a significant difference between the average levels (blood sugar, cholesterol, creatinine, urea, and SGOT) in the productive age group with blood pressure. While uric acid levels have no significant difference because the pvalue&gt; 0.05. Suggestions for the community, it is hoped that they can pay more attention to health conditions by routinely doing Medical check-ups to minimize the occurrence of degenerative diseases at a productive age.</em></p> Witi Karwiti Sholeha Rezekiyah Nasrazuhdy Nasrazuhdy Wuni Sri Lestari Nurhayati Nurhayati Asrori Asrori Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-04 2023-12-04 9 3 494 503 10.25311/keskom.Vol9.Iss3.1389 Implementation of the SUN-Movement Program in Managing Stunting Cases: Literature Review https://jurnal.htp.ac.id/index.php/keskom/article/view/1425 <p><em>The high incidence of stunting in Indonesia according to SSGI data in 2021 is 24.4% (WHO Target 20%). One of the prevention and control efforts from the government is the</em> <em>Scaling Up Nutrition</em> (SUN) <em>movement, which is the first 1000 days of life movement based on</em> <em>Presidential Regulation</em><em> No. 72 </em><em>of</em><em> 2021 by carrying out specific interventions. This article aims to analyze the implementation of the SUN-Movement program in overcoming stunting cases. This research uses a literature review method that reviews 9 articles. The articles reviewed were based on the results of screening by reading all and only focusing on SUN-Movement, Stunting Program, Stunting Program, and Stunting. The results of the review of 9 articles in 7 districts in west Indonesia, that of the 9 specific interventions in the SUN-Movement policy, 6 interventions were identified that had been carried out such as in Aceh Besar and Subang exclusive breastfeeding was implemented. Consuming blood supplement tablets for adolescent girls and supplementary nutrition for pregnant women has been implemented in Palembang, Subang, and Bebes. </em><em>Supplementary food for toddlers</em><em> in Demak has been implemented. Complementary feeding for infants over 6 months has been implemented in Semarang and Pasaman. However, interventions for </em><em>toddlers</em><em> such as nutrition care services, growth and development monitoring, and complete basic immunization have not been implemented. It was revealed that about 3 specific intervention programs in 7 districts in Indonesia had not been implemented.</em></p> Della Anggraini Putri Della Misnaniarti Anita Rahmiwati Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-11-30 2023-11-30 9 3 437 447 10.25311/keskom.Vol9.Iss3.1425 Implementation of Integrative Basic Occupational Health and Safety at Kasongan, a Tourism Village in Yogyakarta Province. https://jurnal.htp.ac.id/index.php/keskom/article/view/1454 <p><em>Two hundred and twenty-two public health centers have organized Basic Occupational Health and Safety (BOHS) in Yogyakarta province in 2022.</em> <em>Based on previous</em><em> research, most of the implementation of the BOHS of community health centers is not yet running and specific. One of the BOHS for tourism sector workers is the “Kasongan Sehat”, in the Kasongan Tourism Village. This qualitative research aims to analyze the implementation of the BOHS in the “Kasongan Sehat”. The research subjects were occupational health trainers at the Community Health Center level, cadres, pottery industry workers in Kasongan, and hamlets selected using purposive sampling. In-depth interview and observation data collection techniques. The analysis uses the content analysis method. Research findings; The basis for administering the BOHS is Bantul Regent's regulation number 42 of 2015. This post has implemented an integrated BOHS by Minister of Health Regulation number 100 of 2015, which can be seen from the combination of their activities and management. Activities have been running regularly; including measuring blood pressure, body weight, first aid, and providing referrals to community health centers. The Community Health Center has distributed facilities and infrastructure and held first aid training for treating wounds for cadres. In general, occupational health service activities by cadres at the “Kasongan Sehat” have not been implemented comprehensively, due to a lack of training on OHS and the BOHS has just been revitalized after being stagnant after the 2006 Yogya earthquake. Specific training and guidance on BOHS are needed for supervisors as well as cadres.</em></p> Helfi Agustin Machfudz Eko Arianto Muchamad Rifai Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-30 2024-01-30 9 3 637 647 10.25311/keskom.Vol9.Iss3.1454 Factors Associated with the Incidence of Preeclampsia in Third-Trimester Pregnant Women at Midwife Independent Practice in Bangkalan https://jurnal.htp.ac.id/index.php/keskom/article/view/1533 <p><em>Preeclampsia is hypertension at 20 weeks of gestation or after delivery with blood pressure ≥ 140/90 mmHg accompanied by protein in the urine and edema. Preeclampsia can occur during pregnancy, childbirth, and puerperium. During pregnancy, preeclampsia occurs at the age of 20 weeks and above. The study aimed to analyze the factors associated with the occurrence of preeclampsia. The research method was analytic with a cross-sectional approach. The independent variables are age, education, occupation, anxiety, and adherence to antenatal care, the dependent variable is preeclampsia. The population is 42 children with a sample of 38 respondents. Simple random sampling technique, statistical test using Spearman Rank. The data analysis used was univariate with percentage, and bivariate with Spearman Rank. The statistical test results obtained P-value (0.010) &lt; α (0.05) anxiety, P-value (0.001) &lt; α (0.05) adherence to antenatal care, age P-value (0.000), occupation P-value (0.003) and P-value (0.04) with the incidence of preeclampsia. Efforts to reduce the incidence of preeclampsia are by encouraging pregnant women to carry out regular and active Ante Natal Care examinations to attend classes for pregnant women. Early detection of preeclampsia is still being carried out for all pregnant women to prevent preeclampsia.</em></p> Zakkiyatus Zainiyah Dewi Anggriani Harahap Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-04 2023-12-04 9 3 504 511 10.25311/keskom.Vol9.Iss3.1533 Resistance Test of Aedes Aegypti Mosquito to 0.05% Cypermethrin at Duku River Port Pekanbaru https://jurnal.htp.ac.id/index.php/keskom/article/view/1574 <p><em>The use of chemical insecticides is one way to control the vector of dengue hemorrhagic fever that is caused by the Aedes aegypti mosquito. Considering that the use of different insecticides in an area will result in different resistance statuses, it is necessary to conduct a resistance test. The use of cypermethrin has replaced Malathion which is used at the Duku River Port, Pekanbaru. This study aims to determine the resistance status of the Aedes aegypti mosquito to the insecticide Cypermethrin at The Duku River Port, Pekanbaru. The method in this research is descriptive with a cross-sectional study design. The independent variable was the Aedes aegypti mosquito exposed to insecticide at the Duku River Port, while the dependent variable was the Aedes aegypti mosquito susceptibility status. The resistance test method refers to The World Health Organization Susceptibility Test criteria. The resistance test using WHO standard impregnated paper showed that the percentage of mosquitoes that died after being exposed to impregnated paper containing 0.05% Cypermethrin for 24 hours at the Duku River Port, Pekanbaru was 83%. There has been a tolerance for the use of Cypermethrin 0.05% against the population of Aedes aegypti mosquito in the Duku River Port, Pekanbaru.</em></p> Dedes Handayani Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-29 2024-01-29 9 3 624 629 10.25311/keskom.Vol9.Iss3.1574 Knowledge, Attitude, and Social Support Regarding Community Participation in the COVID-19 Vaccination Program in Tulehu, Central Maluku https://jurnal.htp.ac.id/index.php/keskom/article/view/1308 <p><em>Data on vaccination coverage in Central Maluku Regency is the Regency with the second lowest percentage after West Seram. Tulehu Village is one of two villages with low vaccination rates in Salahutu District with a vaccine percentage of 35.59%. The purpose of this study was to analyze the relationship between knowledge, attitudes, and social support with community participation in COVID-19 vaccination in Tulehu Village, Central Maluku Regency in 2022. This study was a quantitative analytical study with a cross-sectional approach and a sample of 106 respondents. This research uses a purposive sampling technique. The results of the research conducted showed a relationship between knowledge (p = 0.022), attitude (p = 0.048), and social support with community participation in Tulehu Village in the COVID-19 vaccination program (p = 0.027). The results of this study indicate a relationship between the dependent and independent variables. These results can be concluded that the better a person's knowledge, attitudes, and social support, the better one's participation in the COVID-19 vaccination will be. It is recommended to increase education and support to the community regarding COVID-19 vaccination.</em></p> Elpira Asmin Mahusein Tuharea Halidah Rahawarin Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-02 2024-01-02 9 3 549 556 10.25311/keskom.Vol9.Iss3.1308 Determinants of Utilization of Non-Communicable Disease (NCD) Posbindu by The Community at Hamlet of Ngabean Kulon 36 Sinduharjo Ngaglik Sleman https://jurnal.htp.ac.id/index.php/keskom/article/view/1405 <p><em>Non-communicable disease</em><em> is a chronic disease that is very dangerous because it does not give symptoms or complaints. Minimum service standards for screening NCD at Ngaglik I Public Health have not reached the target due to the low utilization of PTM Posbindu. This study aims to analyze the determinants of the use of NCD Posbindu by the community at the hamlet of Ngabean Kulon 36 Sinduharjo Ngaglik Sleman. This research was conducted at Ngudi Waras Posbindu, hamlet of Ngabean Kulon 36 Sinduharjo Ngaglik Sleman. This type of research used quantitative methods with a cross-sectional approach. The sample was taken by proportional random sampling method with a total sample of 88 respondents. The data analysis used</em><em> bivariate analysis with Fisher’s test and</em><em> multivariate analysis with logistic regression. The results of the bivariate analysis showed knowledge (p=0.000), motivation (p=0.000), perceived benefits (p=0.000), health facilities (p=0.000), family support (p=0.000), and cadre support (p=0.020)</em><em>. </em><em>Factors influencing Posbindu PTM utilization were health facilities (p=0.004) and family support (p=0.029). The most dominant factor in the utilization of Posbindu PTM is health facilities (p=0.004) with OR = 60.079, which means that health facilities have 60.079 opportunities to influence the community in utilizing Posbindu PTM.</em> <em>The need to </em><em>assist</em><em> cadres, increase existing resources to complement lacking health facilities, and innovate activities to attract people to take advantage of Posbindu for non-communicable diseases.</em></p> Reza Nur Fatimah Dewi Ariyani Wulandari Susi Damayanti Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-05 2023-12-05 9 3 512 520 10.25311/keskom.Vol9.Iss3.1405 Behavior in the Prevention of COVID-19 in the Elderly after Tele–Nursing https://jurnal.htp.ac.id/index.php/keskom/article/view/1436 <p>Prevention and management of COVID-19 in the elderly in Indonesia are essential. This is strongly influenced by the knowledge, attitudes and behaviour of the elderly about COVID-19. The elderly are the population most at risk due to COVID-19 transmission. This population requires health education on the prevention and impact of COVID-19 transmission. One of the interventions that can be done is through tele -nursing. This study aimed to identify the knowledge, attitudes and behavior of the elderly to prevent and manage COVID-19 after tele-nursing. This research uses quantitative descriptive on 101 elderly respondents in 26 sub-districts in West Java. The instrument consists of symptoms, knowledge, attitudes and behavior of COVID-19 in respondents who were measured after tele-nursing intervention in the elderly. The analysis uses percentage and frequency distribution. The results of the representative knowledge of respondents are good; only 31.7% of respondents do not know about the 2019 COVID-19 transmission through wild animals and 24.8% when there is no fever. The representation of the respondent's behavior after tele-nursing was nine respondents did not use masks, and 33 still went to crowded places, 33 did not wash their hands after handling objects, and 34 did not avoid touching the face area. The knowledge, attitudes and behavior of respondents illustrate the government's stay-at-home campaign and tele-nursing related to the prevention of COVID 19 in the elderly. Some respondents still have not carried out maximum prevention due to situations and conditions such as the economy, signals, ownership of smartphones. Tele-nursing is one way to improve COVID-19 prevention behavior in the elderly. Further research can be carried out on the elderly by using Randomized Control Trial and qualitative studies to explore factors that influence the involvement of the elderly in the program.</p> Citra Windani Mambang Sari Desy Indra Yani Neti Juniarti Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-18 2024-01-18 9 3 605 613 10.25311/keskom.Vol9.Iss3.1436 Video Education of Iron Supplements and Pregnancy Nutrition to Increase Knowledge, Adherence, and Hemoglobin Level https://jurnal.htp.ac.id/index.php/keskom/article/view/1514 <p><strong><em>Background</em></strong><em>: Pregnancy is a very important period, the state of the mother and fetus are related to one another. While pregnant women are often found to have iron deficiency anemia. One of the efforts to overcome the problem of anemia in pregnant women is by giving iron supplements. However, in Riau Province pregnant women who received FE3 decreased, namely in 2018 as much as 79% decreased to 65% in 2019. Therefore, an educational method is needed to increase knowledge, and adherence to taking iron supplements, and hemoglobin (Hb) levels in pregnant women. <strong>Objectives: </strong>To increase knowledge and adherence of taking iron supplements and hemoglobin (Hb) levels in pregnant women. <strong>Methods</strong>: This study is a pre-experimental study with one group pretest and post-test to evaluate the effect of nutrition education with video media on knowledge, adherence to taking iron supplements, and Hb levels in late-trimester pregnant women. The educational videos include material on the importance of taking iron supplements, how to consume them, and balanced nutrition for pregnant women. <strong>Result: </strong>There is a statistically significant difference between the knowledge and the adherence of pregnant women taking iron supplements before and after treatment or intervention with a significance value of 0.000 (&lt;0.05). Changes in Hb levels before and after treatment or intervention in the form of Educational Video for Iron Supplements (TTD) and Nutrition for Pregnant Women did not show a statistically significant difference with a significance value of 0.085 (&gt; 0.05).<strong>Conclusion: </strong>Educational videos on iron supplements and nutrition for Pregnant Women affect knowledge and adherence of pregnant women taking iron supplements. </em></p> Dewi Erowati Yolahumaroh Yolahumaroh Yessi Marlina Copyright (c) 2023 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-07 2023-12-07 9 3 542 548 10.25311/keskom.Vol9.Iss3.1514 Tobacco Related Content Analysis on YouTube: User Engagement Analysis https://jurnal.htp.ac.id/index.php/keskom/article/view/1569 <p><em>Penetration of the internet and social media in Indonesia is increasing, with the most significant percentage of its users coming from the youth. The internet and social media can be a medium for promoting and selling products to youth. This study aimed to identify and describe videos potentially suggested when users enter the keyword "rokok" in a search on YouTube. We hypothesized that tobacco-related videos on YouTube could contain materials that either refer to (1) tobacco advertising, promotion, and sponsorship (TAPS); or (2) Non-TAPS categories. Both types of materials could have different engagement from the viewers. A YouTube search was performed in October 2022, and we only consider the videos published during June 2022. We assigned our team to classify the video content to the TAPS and Non-TAPS categories based on its title and description. We analyzed the number of views, likes, and comments of each video descriptively. We obtained 210 videos and excluded 24 videos unrelated to the study objectives in terms of the context or the language used. Most videos are related to TAPS (84%), and very few contain Non-TAPS (16%), in particular anti-smoking, including Public Service Advertisements (3%). Non-TAPS-related videos were mainly published by News Channels and the Government Public Relations Office Channels (57%), while individuals, including MSMEs and retailers, seemingly published most TAPS-related videos (78%). In addition, TAPS-related videos tend to have a higher number of likes and comments from viewers. YouTube is a potential medium to attract viewers and promote health, but TAPS-related videos are much easier to find. Public health agencies should establish a more significant presence on YouTube to reach more people and engage in broader partnerships to promote health educational material.</em></p> Aditya Ramadona Renie Cuyno Mellen Ifa Najiyati Zakiya Ammalia Farahdilla Retna Siwi Padmawati Copyright (c) 2024 Jurnal Kesehatan Komunitas (Journal of Community Health) http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-16 2024-01-16 9 3 567 576 10.25311/keskom.Vol9.Iss3.1569