KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat <p>KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat&nbsp;is a scientific journal published by Faculty of Public Health,&nbsp; Universitas Widya Gama Mahakam, with&nbsp;<a href=""><strong>pISSN 2460-0350</strong></a>&nbsp;and&nbsp;<a href=""><strong>eISSN 2477-5819</strong></a><strong>&nbsp;publish twice a year in June&nbsp;and December</strong>. This journal receives scientific writing as a research report (Original article research paper). The accepted articles will be available online following the journal peer-reviewing process. The language used in this journal is Bahasa Indonesia or English.</p> en-US <p>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a&nbsp;<a href=""><strong>Creative Commons Attribution 4.0 International License</strong></a>&nbsp;that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</p> <p><img src="/public/site/images/kesmas/CCC1.jpg"></p> (Apriyani K, SKM., MPH.) (Istiarto, SKM., M.Kes.) Sun, 26 Jun 2022 00:03:33 +0700 OJS 60 The Link between the Implementation of Management Functions on the Performance Primary Health Care Employees <p><strong><em>Background:</em></strong></p> <p><em>The condition of the management function (POAC) is one of the causes of declining employee performance in service organizations. Therefore, it is necessary to pay attention to the management function (POAC) in order to have a positive impact such as increasing employee performance at the Public health center</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aims to determine the relationship between the management function (POAC) and employee performance at the Langga Payung Health Center.<strong>Research Metodes: </strong></em></p> <p><em>The type of research used is quantitative with a cross sectional study design with a sample of 95 respondents. Data was collected by filling out a questionnaire. Data analysis was univariate and bivariate (chi square). </em></p> <p><strong><em>Findings: </em></strong></p> <p><em>The results showed that in general the management function (POAC) was categorized as good and the employee performance was classified as good. Meanwhile, the bivariate test proved the significance of the relationship only on the controlling function (p=0.008).</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>There is no significant relationship between planning, organizing and actuating management functions with the performance of Langga Payung Health Center employees. And there is a significant relationship between the controlling management function and the performance of the Langga Payung Health Center employees. This means that respondents cannot prove that the Planning, Organizing and Actuating variables have a relationship with employee performance in this study and does not rule out other variables that can affect employee performance other than the management function at the Langga Payung Health Center.</em></p> Marlina Yusnita Nasution, Rapotan Hasibuan Copyright (c) 2022 Marlina Yusnita Nasution, Rapotan Hasibuan Wed, 29 Jun 2022 00:00:00 +0700 Implementation of Work Environment Hygiene and Sanitation Standard in Public Health Facilities Sumbawa <p><strong><em>Background:</em></strong> <em>The implementation of sanitation standards and cleanliness of the work environment in health care facilities is an absolute must. Hospital Sanitation is an effort by the health care system in hospitals to create clean, comfortable, healthy hospital conditions, prevent cross-infection, and not discuss the environment.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aimed to determine the application of hygiene and sanitation standards to the work environment in health care facilities.</em></p> <p><strong><em>Research Metodes: </em></strong><em>This study uses quantitative methods using a descriptive design. This research was conducted at the Sumbawa Hospital, and the data collection technique used an observation system and a checklist sheet whose results were calculated using a scoring system. The time of study was carried out in November 2021. </em></p> <p><strong><em>Results: </em></strong><em>The results/findings of the study showed that the achievement of implementing environmental sanitation was 90.4%, the achievement of environmental health was 91.6%, and the achievement of environmental sanitation was 92.3%.</em></p> <p><strong><em>Conclusion: </em></strong><em>In conclusion, the study results indicate that the implementation of sanitation and hygiene in the work environment at the Sumbawa Hospital has met the requirements. It's just that there is still a need for improvement in aspects of environmental health implementation, especially in parts of air sanitation and waste management.</em><em>.</em></p> Iga Maliga, Rafi'ah Rafi'ah, Herni Hasifah, Abdul Hamid Copyright (c) 2022 Iga Maliga, Rafi'ah Rafi'ah, Herni Hasifah, Abdul Hamid Wed, 29 Jun 2022 00:00:00 +0700 Child Nutrition Health Services Centered on Primary Health Care To Reduce Stunting Incidence <p><strong><em>Background: </em></strong><em>Stunting is a growth and development disorder that is characterized by a short body condition that exceeds the deficit (-2) standard deviation below the median height line by measuring the height for the child's age, through the child's height curve.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this study was to determine nutritional services in primary health care to reduce the incidence of stunting.</em></p> <p><strong><em>Research Metodes: </em></strong><em>The method used in writing this article uses a literature review through the Google Scholar database.</em></p> <p><strong><em>Results: </em></strong><em>The results obtained are that in theory the implementation of the program can be carried out properly and continuously, but in the field it is not necessarily able to be implemented properly. Many factors can affect the implementation of nutrition services in Primary Health Care, but broadly it is divided into three factors, namely Provider, User and Program factors.</em></p> <p><strong><em>Conclusion: </em></strong><em>Nutrition services in Primary Health Care should focus on providing complete and continuous knowledge at the community level, regular checks on mothers and children on a regular basis, as well as interventions that must be at the individual and community level such as supplementary feeding and others.</em></p> Ni Putu Ayu Krisna Yuniastuti Copyright (c) 2022 Ni Putu Ayu Krisna Yuniastuti Wed, 29 Jun 2022 00:00:00 +0700 Relationship Between Culture, Nutrition during Pregnancy, and Birth Weight of Babies on Stunting in Cawas, Klaten <p><strong><em>Background:</em></strong><em> Stunting is one of children developmental disorders which can cause various developmental disorders in future. Many factors influence the occurrence of stunting, such as parenting, culture, parental background, birth weight, nutrition of pregnant women, and many more.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to investigate the relation between culture, nutrition during pregnancy, and birth weight of babies on stunting in Cawas, Klaten.</em></p> <p><strong><em>Research Method: </em></strong><em>This research was an observational analytic study with a cross sectional design. This research was conducted during October-November 2021 in the Working Area of Community Health Center II, Cawas, Klaten and mothers with children aged 2-5 years old as the population.</em></p> <p><strong><em>Results: </em></strong><em>Of 170 respondents, 20% of children suffered from stunting. 20% mothers with basic education had stunting children, 18% mothers who did not work had stunting children 18%, and 20% stunting children were raised in Islam. In addition, this study found that the relationship between the nutritional status of pregnant women and the nutritional status of babies had a significance value of 0.827, the relationship between belief and baby’s nutritional status had a significance value of 0.146, and the relationship between baby’s birth weight status and the current nutritional status of children had a significance value of 0.016.</em></p> <p><strong><em>Conclusion: </em></strong><em>There is a significant relation between stunting and baby’s birth weight, but there is no significant relation between stunting and nutrition during pregnancy and neither culture is.</em></p> Atur Semartini, Lilik Ariyanti Copyright (c) 2022 Atur Semartini, Lilik Ariyanti Thu, 30 Jun 2022 09:27:38 +0700 Literature Review: Alteration in the Age of Menarche Among Indonesian Adolescent <p><strong><em>Background:</em></strong><em> There are around 900 million adolescent girls who experience early menarche and 85% of them live in developing countries. </em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to knowing the alteration in the age of menarche in among Indonesian adolescent and how pornography can affect it.</em></p> <p><strong><em>Research Metodes: </em></strong><em>This type of research is narrative review which used articles from databases Google Scholar, Garudan, and Pubmed.</em></p> <p><strong><em>Results: </em></strong><em>The result showed that there was alteration in the age of menarche among Indonesian adolescent. These changes are determined by many factors, one of which is exposure to mass media and pornography. Exposure to pornography can affects the condition of the adolescent body, that is stimulating the reproductive and genital systems to mature more quickly, which is causing the reproductive system to mature more quickly and causing menarche.</em></p> <p><strong><em>Conclusion: </em></strong><em>Exposure to pornography causes changes in the age of menarche. Exposure to pornography stimulates the reproductive and genital systems, causing faster maturation. This acceleration of maturation affects the production of sex hormones, causing early menarche.</em></p> <p><strong><em>Keywords: </em></strong><em>Menarche; Menstruation; Pornography; Age; Adolescent</em></p> Sekar Ayu Putri, Winda Nadya, Kania Rizqita Dewi, Chahya Kharin Herbawani Copyright (c) 2022 Winda Nadya Wed, 29 Jun 2022 00:00:00 +0700 The Effect Of Health Education On Groom And Bride Candidates’ Attitude And Belief In Tarakan City <p><strong><em>Abstract </em></strong></p> <p><strong>Background.</strong>The attitude and belief of groom and bride candidates on exclusive breastfeeding were still low.</p> <p><strong>Objective.</strong>This study aimed at examining the effect of exclusive breastfeeding module on the attitude and belief of groom and bride candidates at Tarakan City.</p> <p><strong>Method</strong>. This study applied quantitative approach with pre-test post-test. The subjects of this research were groom and bride candidates who attended pre-marriage counseling at Ministry of Religion office of Tarakan City where the number of sample were 100 respondents. The distribution of exclusive breastfeeding module was done after pre-test to measure the groom and bride candidates’ attitude towards exclusive breastfeeding. The data analysis was done using T-test of Paired Samples Test.</p> <p><strong>&nbsp;</strong></p> <p><strong>Findings</strong>. The characteristics of male respondents in Module Reading group were generally aged from 25 to 30 years old (52%) and those who belonged to Lecture Listening group were generally aged from 20 to 24 years old and 25 to 30 years old (32% and 32%). Female respondents in Module Reading group and Lecture Listening group were generally aged from 25 to 29 years old (40%) and 20 to 24 years old (56%). The attitude and belief of the male respondents in all groups after intervention were, in general, statistically meaningful to the value of p&lt;0.05. The attitude of female respondents in module reading group was not meaningful while the belief of female respondents in Lecture Listening group was also not meaningful.</p> <p><strong>Conclusion</strong></p> <p>Health Education can improve the attitude and belief of male respondents on exclusive breastfeeding while the attitude and belief of female respondents in all groups were different from the male respondents’ after the intervention. It is suggested that exclusive breastfeeding materials are given to groom and bride candidates.</p> <p><strong>Key words</strong>: Attitude and Belief, Groom and Bride Candidates, Exclusive Breastfeeding</p> Muhammad Aris Aris, Syamsiah, Asma Copyright (c) 2022 Muhammad Aris Aris Wed, 29 Jun 2022 00:00:00 +0700 Implementation Of Spiritual Therapy In Controlling Violent Behavior <p><strong><em>Background :</em></strong><em> Violent behavior is a response to the stressor faced by someone who is shown by committing violence, to oneself, to others, and to the environment, verbally and non-verbally, aiming to hurt others physically and psychologically, which is indicated by actual behavior of violence. To overcome the recurrence, the patient needs to get treatment, there are implementation strategy in the patient Mr. R, Mr. A and Mr. M at Mitra Mulia Foundation.</em></p> <p><strong><em>Methods : </em></strong><em>This research used descriptive in a case study to explore the implementation of spiritual healing nursing in schizophrenia patients with violent behavior problems at the Mitra Mulia Banyuasin Foundation, South Sumatra. The research subjects to be studied amounted to two patients, namely schizophrenic patients with violent behavior problems. The place of research is Mitra Mulia Banyuasin, South Sumatra.</em></p> <p><strong><em>Results :</em></strong><em> The results showed that the implementation of the implementation strategy in patients with violent behavior who suffered from violent behavior was very helpful in healing the patient Mr. R, Mr. A and Mr. M at Mitra Mulia Foundation from March 11 to March 17, 2022. In carrying out the implementation, the author involves patients directly using standard operating procedures.</em></p> <p><strong><em>Conclusion :</em></strong><em> The patient is able to control violent behavior by implementing the 4 spiritual healing strategies that have been taught by the author.</em></p> <p><strong><em>Keywords </em></strong><em>: Schizophrenia, Violent Behavior.</em></p> <p><em>&nbsp;</em></p> Sri Endriyani Djohan, Sri Martini, Syindy Yulistia Copyright (c) 2022 Sri Endriyani, Sri Martini, Syindy Yulistia Wed, 29 Jun 2022 00:00:00 +0700 Evaluation of Jumputan Fabric Craftswomen’s Work Posture at Kelurahan Tahunan, Yogyakarta using Nordic Body Map Questionnaire and REBA <p><strong><em>Background:</em></strong> <em>Kelurahan Tahunan, Umbulharjo, Yogyakarta is known as the production center of jumputan fabrics.</em> <em>The making process of jumputan fabrics is done manually using simple tools. This causes the craftswomen to work with non-ergonomic posture. The health impact that arises due to non-ergonomic work posture is musculoskeletal disorder.</em></p> <p><strong><em>Objectives: </em></strong><em>This research is conducted to evaluate the work posture of jumputan fabric craftswoman.</em></p> <p><strong><em>Research Methods: </em></strong><em>Data were obtained by filling out the Nordic Body Map (NBM) questionnaire, measuring, and observing using the Rapid Entire Body Assessment (REBA).</em></p> <p><strong><em>Results: </em></strong><em>I</em><em>t is known that the REBA’s score of jumputan fabrics craftswomen is 9 which means high risk.</em></p> <p><strong><em>Conclusion: </em></strong><em>The working posture of jumputan fabric craftswomen is high risk and needs to be changed. To overcome this, a tool can be made in the form of a table with a drain so that the craftsmen can work with a better posture.</em></p> Maria Gratiana Dian Jatiningsih, Cici Finansia, Mahdiya Nayla Copyright (c) 2022 Maria Gratiana Dian Jatiningsih Wed, 29 Jun 2022 00:00:00 +0700 Analysis Of The Number Of General Doctors Needs With The Health Workload Analysis Method At The Public Poli Uptd Puskesmas Jatirahayu, Bekasi City, 2021 <p><strong><em>Background:</em></strong><em> Human resource planning is a series of processes that are useful for investing resources with various information and strategies in order to to achieve agency goals. One of the health human resource planning methods is to use the health workload analysis method issued by BPPSDMK RI in 2015.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to analyze the optimal number of general doctors in General Poly at Jatirahayu Primary Health Care of Bekasi City in 2021.</em></p> <p><strong><em>Research Methods: </em></strong><em>This study uses the health workload analysis method. The research design is descriptive qualitative with research instruments, namely, work sampling and interviews.</em></p> <p><strong><em>Results: </em></strong><em>The result of this study indicate that the working time of general doctors is 78.180 minutes/year. Then, the workload standard of the general doctors was 17.373,34 for medical services, 9.984,67 for follow-up services, and 7.474,19 for referral-making services. The supporting task standard was 1,96. The results of the calculation using the health workload analysis method found that there was a shortage of 3 general doctors.</em></p> <p><strong><em>Conclusion: </em></strong><em>Based on the results of the study, it is hoped that it can become a consideration for primary health care regarding the addition of general doctors and evaluations so that the quality of service can be improved.</em></p> Ruth Vivian, Acim Heri Iswanto, Cahya Arbitera Copyright (c) 2022 Ruth Vivian Wed, 29 Jun 2022 00:00:00 +0700