Media Kesehatan Masyarakat Indonesia

COVID-19 Cases and Factors Associated with 11 Indonesian Provinces, 2021

Mugi Wahidin — 2024-04-04

In collaboration with other stakeholders, National Task Force of COVID-19 Control conducted massive detection of the cases, followed by contact tracing. The study aimed to overview COVID-19 cases from 58 districts of 11 provinces in Indonesia and its associated factors. A cross-sectional study design used secondary data from The National Task Force of COVID-19 Control. COVID-19 cases and other variables were collected in 58 districts in 11 provinces of Indonesia year 2021. The study incorporated descriptive, correlation, and multiple linear regression analysis with the district as an analysis unit. The median of COVID-19 cases was 804 per district, traced cases were 70.6% of cases, cases had contact was 2.6% of cases, close contact was 2,188, the ratio of close contact: cases were 2.75, isolation drop out was 8, quarantine drop out was 9, test for close contact was 962, COVID-19 vaccine dose 1 was 147, dose 2 was 205, and no vaccine was 354. Factors significantly correlated with COVID-19 cases were cases traced, cases have epicontact, close contact, and ratio close contact. In multivariate analysis, the percentage of traced cases, cases had epicontact, isolation drop out, COVID-19 vaccine dose-1, and no COVID-19 vaccine associated with COVID-19 cases. Identifying factors related to the incidence of COVID-19 can be used to increase efforts to prevent and control COVID-19 cases in the community as a response to alertness to the emergence of new cases due to new variation mutations.

Potential of Noni Leaf Extract (Morinda citrifolia L.) As Aedes aegypti Mosquito Repellent

Demes Nurmayanti — 2024-04-04

Dengue fever is transmitted every year by the Aedes aegypti mosquitoes in Indonesia. One way to prevent this is by using repellents, such as the noni leaf extract (Morinda citrifolia L.). The objective of this study was to analyze the potential of the noni fruit (Morinda citrifolia L.) leaf extract as a repellent against Aedes aegypti. The study employed a post-test research design with only a control group, using concentrations of 12.5%, 25%, and 37.5%, and 25 mosquitoes with 6 repetitions. The technique for data collection involved counting mosquitoes that perched on hands. The study was conducted from November 2022 to May 2023. Data analysis was performed using SPSS Anova One Away Post Hoc and the power protection formula. The research on Aedes aegypti mosquitoes that perched for 6 hours showed that the noni leaf extract concentration of 37.5% had an average of 2.5 tails perched. The concentration of the noni leaf extract is 37.5%, according to the Pesticide Committee standard (1995). The average protection power for 6 hours is 90.86%. The study also suggests investigating the side effects of use and the addition of an HPMC gelling agent. However, for concentrations of 12.5% and 25%, the protective power is less than 90%. This study shows that concentrations of 37.5% are effective for repelling Aedes aegypti mosquitoes. Further research can be conducted using old or yellowed leaves, as well as for repelling culex and Anopheles mosquitoes.

Dietary Habit and Physical Activity as Risk Factors of Metabolic Syndrome among Civil Servants in Jambi City

Guspianto Guspianto — 2024-04-04

The prevalence of Metabolic Syndrome (MetS) is an important health problem due to the association with increased cardiovascular disease as the main cause of death. Approximately 20-25% of the global adult population including Indonesia suffers from MetS. The high prevalence is attributed to several factors namely lifestyle changes such as dietary habit and physical activity. Therefore, this study aimed to investigate the relationship between dietary habit and physical activity with MetS incidence among civil servant employees in Jambi City, Indonesia. A cross-sectional design was used to assess the proportion of MetS, dietary habit, and physical activity. A total of 108 civil servant employees were selected as respondents from six agencies using a multistage random sampling technique. Data collection was carried out through physical examination and interviews using a questionnaire. The results showed that the prevalence of MetS was 60.2%, with three risk indicators, namely central obesity (74.1%), blood pressure (66.7%), and HDL (63%). Based on the chi-square test, dietary habit (OR=2.571, 95%CI=1.151-5.744) and physical activity (OR=3.692, 95%CI=1.625-8.388) were significantly related to MetS. The persistently high prevalence of MetS was significantly related to dietary habit and physical activity among civil servant employees in Jambi City-Indonesia. These results underscored the need to improve understanding of healthy diets by adopting a balanced nutritional intake, increasing the intensity of physical activity according to age, and engaging in regular exercise.

Hand Hygiene Practices among Nurses in South Sulawesi Hospitals

Muhammad Rizky Asfarada — 2024-04-04

Healthcare professionals’ adherence to hand hygiene protocols is paramount to prevent Healthcare-Associated Infections (HAIs) and ensure patient safety. This study evaluates compliance with the World Health Organization's (WHO) "Five-Moment Hand Hygiene" protocol among nurses in two Indonesian hospitals: Regional General Hospital X in Makassar City and Provincial General Hospital Y in South Sulawesi Province. A total of 60 nurses participated, with demographic analysis revealing significant differences between the hospitals. Utilizing a comprehensive observation tool provided by the WHO, data analysis indicated variations in hand hygiene practices, particularly after touching patient surroundings. Despite these differences, the data followed a normal distribution, enhancing the reliability of statistical analyses. Significant disparities in hand hygiene practices were found after touching patient surroundings (p-value = 0.008; α < 0.05), underscoring the urgent need for targeted interventions among nurses to improve their compliance and enhance patient safety. This study recommends comprehensive training, resource provision, regular audits, fostering a supportive organizational culture, and integrating robust hand hygiene modules into nursing education. The study also suggests further research to identify barriers and improvement strategies. Addressing these recommendations collectively will bolster patient safety and reduce healthcare-associated infection burdens in Indonesian healthcare settings. The study's identification of specific deficiencies in hand hygiene practices provides actionable insights for healthcare administrators, infection control practitioners, and frontline healthcare workers, emphasizing the urgency of sustained efforts to promote proper hand hygiene practices.

Relationship Between Medication Adherence and Blood Sugar Levels Among Diabetes Mellitus Outpatients

Ida Untari — 2024-04-04

Diabetes Mellitus (DM) is a disease with progressively increasing prevalence every year and often leads to complications when not properly managed. Control or success of treatment is influenced by adherence of patients to the treatment process. This study aimed to analyze relationship between medication adherence and fasting glucose levels among DM outpatients. A correlation study was conducted using a cross-sectional approach on a sample of 300 respondents selected by probability sampling technique from the entire population. The instrument used was the MMAS-8 Test (Morisky Scale Medication Adherence Scales-8) and examination of fasting sugar levels. Meanwhile, data analysis was conducted with the Spearman Rho test. The results showed that the highest treatment adherence was in the moderate category by 130 (43.3%) and a decrease in fasting sugar levels was observed among 230 (76.7%) respondents. A significant relationship was found between medication adherence and fasting glucose levels with a p-value = <0.001 and r: -0.597. Based on the results, there was a negative relationship between medication adherence and fasting blood sugar. The higher medication adherence, the better the fasting sugar levels in DM outpatients.