Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences)
pISSN: 2338-2147 eISSN: 2654-6485 Al-Tamimi Kesmas: Journal of Public Health Sciences (Journal of Public Health Sciences) Institut Kesehatan dan Teknologi Al Insyirah contains health-related articles, especially Health Promotion, Occupational Health, Epidemiology, Environmental Health, Health Policy, Nutrition, Reproductive Health, Hospital Management. Al-Tamimi Kesmas is one of the journals owned by Institut Kesehatan dan Teknologi Al Insyirah which is published in June and December every year.
Institut Kesehatan dan Teknologi Al Insyirah
PROSEDUR PEMERIKSAAN OESOPHAGUS MAAG DUODENUM (OMD) PADA KASUS GASTRITIS DI INSTALASI RADIOLOGI RSI SULTAN AGUNG SEMARANG
Differences exist between OMD examination technique for gastritis cases performed at RSI (Islamic Hospital) Sultan Agung Semarang and the procedures described in the literature, particularly regarding the use of a 1:1 water-soluble iodine contrast medium and the application of the erect patient position. This study aims to identify the OMD examination procedure in gastritis cases, the rationale for using water-soluble iodine contrast media, and the reasons for employing the erect patient position. This study employed a qualitative method with a case study approach. The research was conducted at the Radiology Department of RSI Sultan Agung Semarang from September 2025 to March 2026. Data were collected through observation, interviews, and documentation involving three radiographers and one radiologist. Direct observations were conducted during the OMD examination process. The data were presented narratively, verified against established theoretical references, and subsequently analyzed to draw conclusions. The results showed that the examination procedure included an explanation of the procedure, signing of informed consent, patient preparation consisting of fasting for at least four hours, changing into hospital clothing, and removing metallic objects to prevent artifacts. The examination was performed using a digital radiography system with fluoroscopy, a 1:1 diluted water-soluble iodine contrast medium, and AP plain, AP post-contrast, LPO, RPO, and lateral post-contrast projections in the erect position. The use of water-soluble iodine was considered safer and reduced nausea, while the erect position minimized the risk of coughing or aspiration during the examination.
Oesophagus Maag Duodenum, Gastritis, Iodine.
Copyright (c) 2026 Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) https://creativecommons.org/licenses/by/4.0
PERBEDAAN ASUPAN ZAT GIZI, KEBERAGAMAN PANGAN DAN STATUS GIZI SISWA PENERIMA MBG DAN BOARDING SCHOOL
Adolescent nutritional problems due to inadequate nutrient intake and lack of dietary diversity remain a public health issue in Indonesia. One effort that can be made is through the implementation of school meal programs. This study aimed to compare nutrient intake, dietary diversity, and nutritional status between students receiving the MBG program and boarding school students. An analytic observational study with a cross-sectional was conducted on 90 subjects selected through proportional stratified random sampling. Data were collected through anthropometric measurements, 2x24-hour food recall, IDDS questionnaire, and analyzed using Independent T-Test and Mann-Whitney test. The results showed significant differences in lunch intake of energy, protein, and carbohydrate, as well as dietary diversity between groups (p<0.05). Meanwhile, no significant differences were found in daily energy, protein, fat, and carbohydrate intake, lunch fat intake, and nutritional status between groups (p>0.05). Collaboration with nutritionists are needed to improve program effectiveness.
Nutrient intake, boarding school, dietary diversity, MBG, nutritional status
EFEKTIVITAS MEDIA KOMUNIKASI GIZI TERHADAP BODY IMAGE DAN RISIKO EATING DISORDER PADA REMAJA PUTRI
Negative body image and the risk of eating disorders are issues frequently experienced by adolescent girls, potentially impacting their physical and mental health. One approach to addressing these issues is through nutrition education using communication media tailored to the characteristics of adolescents. This study aimed to analyze the effectiveness of nutrition communication media specifically infographics, digital flipbooks, and videos on body image and eating disorder risk among adolescent girls. A quasi-experimental design with a one-group pre-test and post-test approach was employed. The study sample consisted of 30 adolescent girls in grades XI and XII at SMAN 1 Telukjambe Karawang, selected via purposive sampling and divided into three intervention groups. Body image was assessed using the Body Shape Questionnaire-16 (BSQ-16), and eating disorder risk was measured using the Eating Attitudes Test-26 (EAT-26). Data analysis was conducted using the Wilcoxon Signed-Rank Test. The results indicate that among the 30 respondents, the digital flipbook had a significant effect on both body image (p=0.035) and eating disorder risk (p=0.005). The video medium significantly influenced body image (p=0.038) but did not have a significant effect on eating disorder risk (p=0.445). Meanwhile, the infographic medium showed no significant effect on either body image (p=0.553) or eating disorder risk (p=0.333). In conclusion, the digital flipbook is the most effective nutrition communication medium for improving body image and reducing the risk of eating disorders among adolescent girls. Therefore, the use of digital flipbooks is recommended as a nutrition education tool within adolescent health promotion programs
Body_image, eating_disorders, digital_flipbook, nutrition_communication_media, adolescent_girls.
HUBUNGAN ANTARA KUANTITAS TIDUR DAN BEBAN KERJA FISIK DENGAN KELELAHAN KERJA
Work related fatigue is a prevalent issue experienced by workers across various industrial sectors. There are several factors that contribute to work related fatigue. This study aims to determine the relationship between quantity of sleep and physical workload with work related fatigue among workers at PT XYZ in Surabaya. This study is a quantitative study with a cross-sectional design. The population consists of all workers at PT XYZ in Surabaya, and the sample size was 50 participants, selected using proportional stratified random sampling. Data collection took place in February 2026. The research instruments consisted of a questionnaire on individual characteristics, an oximeter, and a reaction timer. The variables in this study included independent variables comprising sleep duration and physical workload, while the dependent variable was work related fatigue. The data analysis used included univariate analysis to describe the frequency distribution of each variable and bivariate analysis using the spearman’s correlation test to examine the relationship between variables. The results of the study indicate that there is no relationship between quantity of sleep and work related fatigue (p-value = 0.524), whereas physical workload has a significant relationship with work related fatigue (p-value = 0.000). Recommendation for companies is to educate employees on the importance of getting enough rest and maintaining good sleep habits, as well as the importance of stretching their muscles while working.
Fatigue, Physical Workload, Quantity of Sleep
EFEKTIVITAS YOGA CHILD POSE DAN LATIHAN NAPAS DALAM TERHADAP PENURUNAN NYERI PADA LANSIA HIPERURISEMIA DI DESA BANGUN REJO TAHUN 2026
Hyperuricemia-related pain in older adults may cause discomfort, reduced mobility, and impaired psychosocial well-being. Simple community-based mind–body interventions may serve as supportive non-pharmacological strategies; however, evidence regarding Child Pose Yoga combined with deep breathing exercises among older adults with hyperuricemia remains limited. This study aimed to evaluate changes in pain intensity, serum uric acid levels, and emotional regulation following the intervention. This study employed a quantitative pre-experimental design with a one-group pretest–posttest, involving 60 older adults with hyperuricemia. Participants received structured Child's Pose Yoga and deep-breathing exercises as part of a community-based, non-pharmacological program. Pain intensity was assessed as the primary outcome, while serum uric acid levels and emotional regulation were evaluated as secondary outcomes. Measurements were conducted before and after the intervention. Because the distribution of change scores was not normal, pre- and post-intervention differences were analyzed using the Wilcoxon signed-rank test, with p < 0.05 set as the criterion for statistical significance. The results showed that the mean age of participants was 71.08 ± 5.42 years. After the intervention, serum uric acid levels decreased from 7.23 ± 0.47 mg/dL to 6.08 ± 0.63 mg/dL, pain intensity decreased from 4.45 ± 0.79 to 2.32 ± 0.60, and emotional regulation increased from 2.40 ± 0.59 to 4.82 ± 0.57. All changes were statistically significant (p < 0.001). Child's Pose Yoga combined with deep breathing exercises may serve as a supportive, community-based, non-pharmacological strategy, although randomized controlled trials with longer follow-up are needed.
Child_Pose_Yoga, deep_breathing, hyperuricemia, older_adults, pain_intensity
PENGARUH EDUKASI KESEHATAN TERHADAP PENGETAHUAN REMAJA PUTRI TENTANG MENARCHE DI SDN 012 SUNGAI BERINGIN TAHUN 2026
The onset of menstruation experienced by teenage girls is referred to as menarche. Limited information about menarche can lead to anxiety and inadequate preparation in facing this phase. This study aims to determine the effect of health education on teenage girls' knowledge about menarche. The study employed a quasi-experimental design with a one-group pretest-posttest approach. The research sample consisted of 28 students from grades 4 to 6, selected using a total sampling technique. The instrument used was a structured questionnaire that had been tested for validity and reliability. The results showed that 26 out of 28 students demonstrated an increase in knowledge after receiving health education. The paired t-test revealed a p-value of 0.000 (p < 0.05), indicating a significant effect of health education on teenage girls' knowledge about menarche. Health education significantly improves teenage girls' knowledge about menarche. Therefore, reproductive health counseling programs are recommended to be routinely conducted through the School Health Unit and directly supervised by professional medical personnel.
Health_education, knowledge, menarche, teenage_girls
ESTIMASI NILAI DOSIS PADA PEMERIKSAAN CT-SCAN KEPALA NON-KONTRAS BERDASARKAN NILAI CTDIVOL DAN DLP
The Diagnostic Reference Level (DRL) is a standard used to prevent patients from being exposed to excessively high radiation doses. No evaluation of radiation doses from non-contrast head CT scans has ever been conducted at PKU Muhammadiyah General Hospital in Bantul. This study aims to determine the CTDIvol and DLP values and to evaluate their compliance with the Indonesian Diagnostic Reference Level (I-DRL). This descriptive quantitative study involved 106 non-trauma cases selected using purposive sampling. Data were obtained from dose reports containing CTDIvol and DLP values, as well as patient characteristics and examination parameters. IBM SPSS Statistics version 27 was used to determine the mean, median, and third quartile (Q3) through descriptive statistical analysis. The Q3 value was compared with the I-DRL. This study showed a CTDIvol value of 53.20 mGy. Meanwhile, the mean and median DLP values were 1098.41 mGy·cm and 1108.00 mGy·cm, respectively, with a Q3 value of 1134.60 mGy·cm. These values meet safety standards, as they do not exceed the limits set by BAPETEN, namely a CTDIvol of 60 mGy and a DLP of 1275 mGy·cm. Without compromising the quality of the diagnostic images produced, the radiation dose for non-contrast head CT scans at PKU Muhammadiyah Bantul General Hospital was successfully reduced to levels that do not exceed the specified dose limits.
IDENTIFIKASI RODENT DAN INDEKS PINJAL PADA TIKUS RUMAH (RATTUS RATTUS) DI LINGKUNGAN PERMUKIMAN
Rats are disease vectors that contribute to the transmission of several zoonotic diseases such as leptospirosis, plague, and murine typhus. The presence of fleas on rats is an important indicator in assessing the risk of vector-borne disease transmission. This study aimed to identify the morphological characteristics of house rats (Rattus rattus) and determine the general flea index of captured rats in a residential area. A descriptive observational design was used through live trapping and flea examination by combing the rat's body. The collected data were analyzed descriptively and used to calculate the general flea index. The results showed that the captured rat was identified as a female Rattus rattus weighing 320 grams with a total body length of 43 cm. No fleas were found during ectoparasite examination. The calculated general flea index was 0, which is below the environmental health standard threshold. These findings indicate a relatively low risk of flea-borne disease transmission in the study area. However, continuous Rodent control and environmental sanitation improvement are still necessary to prevent future increases in Rodent populations.
house rat, Rodent, flea, environmental health, flea index,
PERLINDUNGAN HUKUM TERHADAP KEAMANAN DATA REKAM MEDIS ELEKTRONIK PASIEN
Clinics as health service facilities have the responsibility to provide legal protection for the security of patient data contained in electronic medical records. The principle of security is often neglected in the implementation of electronic medical records in health care facilities. This researche aims to analyze the legal protection of the principle of security of patients electronic medical record data related to the aspects of confidentiality, integrity, and availability in Klinik S. The method applied in this researche is a qualitative descriptive. The results of the researche indicate that Klinik S has made efforts to provide legal protection for patient data security in the aspect of confidentiality by implementing system access through the use of usernames and passwords and supported by the automatic logout feature. However, there are drawbacks in the form of automatic password storage in the browser so that other parties can be known and there is no practice of changing passwords regularly by health workers. Legal protection in the aspect of integrity there is an edit and delete feature for users, even though this feature is available, there are still shortcomings in the form of no verification mechanism from health workers and authorities for every change made. The system also allows changes to be made at any time without setting a time limit. Legal protection in terms of availability, electronic medical records can only be accessed within the S Clinic environment and can be accessed at the same time (realtime) to support the smooth process of health services to patients. Legal protection for patient data security has been sought, but it is not fully optimal. Based on the juridical research of legal protection of patient data security and patient medical records in a preventive and repressive manner, it has also been regulated based on applicable laws and regulations.
Legal protection; data_security; electronic_medical_record; patient
HUBUNGAN FAKTOR MATERNAL DAN SOSIAL EKONOMI DENGAN KEJADIAN STUNTING PADA BALITA DI PUSKESMAS BAGAN SIAPI-API
One of the ongoing public health issues in Indonesia is Stunting, which is caused by chronic malnutrition. Stunting in toddlers is believed to be influenced by maternal and socioeconomic factors. The purpose of this study was to examine the relationship between Stunting in toddlers treated at the Bagan Siapi-api Community Health Center and maternal and socioeconomic variables. The study used a quantitative design with a cross-sectional approach. The sample consisted of mothers with children aged between 6 and 24 months. Univariate and bivariate procedures, including the Chi-square test and independent t-test, were used to analyze the data. The results of the study show that the average age of the mothers was 30.38 years, with a standard deviation of 3.82 years; the average mid-upper arm circumference (MUAC) of the mothers during pregnancy was 24.86 cm, with a standard deviation of 2.92 cm; the average age of the infants was 14.11 months with a standard deviation of 5.46 months, and the average height of the infants was 77.32 cm with a standard deviation of 11.24 cm. Most respondents had a high school education (69.4%), were unemployed (97.6%), had adequate knowledge (56.5%), had no history of KEK during pregnancy (62.4%), and had a family income ≥UMK (64.7%). Stunting was detected in 47.1% of cases. Significant associations were observed between maternal awareness (p=0.017), history of KEK during pregnancy (p=0.046), family income (p=0.036), and maternal upper arm circumference during pregnancy (p=0.025) and the incidence of Stunting in toddlers. No significant association was found between maternal age (p=0.610) or child sex (p=0.500) and the prevalence of Stunting. This study found that Stunting in toddlers is influenced by maternal and socioeconomic factors. Therefore, efforts to prevent Stunting should focus on improving family economic conditions, enhancing nutrition education for women, and monitoring nutritional status during pregnancy.
PREVALENSI DAN DETERMINAN KEJADIAN DERMATITIS KONTAK PADA NELAYAN: STUDI CROSS-SECTIONAL DI DESA WAESILI, BURU SELATAN
Fishermen are at risk of contact dermatitis due to exposure to seawater, humidity, sunlight, marine organisms, and irritants such as oil and fuel. Data from Waetawa Public Health Centre showed an increase in contact dermatitis cases in Waesili Village, from 12 in 2022 to 17 in 2023 and 26 in 2024. This analytical observational study with a cross-sectional design aimed to determine the prevalence of contact dermatitis and analyse its association with personal hygiene, PPE use, and marine environmental exposure among 30 fishermen selected through total sampling. Data were collected using questionnaires and observation, and analysed using Fisher’s Exact Test. The prevalence of contact dermatitis was 80.0% (95% CI: 62.7–90.5%). Personal hygiene (p=0.641), PPE use (p=1.000), and marine environmental exposure (p=0.073) were not significantly associated with contact dermatitis. However, marine environmental exposure showed the most notable descriptive difference in prevalence (PR=1.46; AR=29.5%). Preventive measures should focus on reducing prolonged wet contact and rinsing the skin with clean water after fishing.
Contact_Dermatitis, Fishermen, Prevalence, Determinants, Marine_Environmental_Exposure
HUBUNGAN ANTARA BEBAN KERJA FISIK DENGAN KELELAHAN KERJA PADA PEKERJA PABRIK TAHU (DI KECAMATAN MENGANTI)
Work-related fatigue is a health issue that can reduce productivity, impair concentration, and increase the risk of workplace accidents, particularly in industries that require high levels of physical activity and manual labor. At a tofu factory located in Menganti District, the production process is still carried out traditionally through five main steps: soaking soybeans, grinding, cooking, molding, and cutting the tofu. This process is performed repeatedly, which risks increasing physical workload and causing fatigue. This study aims to examine the relationship between physical workload and work-related fatigue among workers at a tofu factory in Menganti Subdistrict. The method used was quantitative with a cross-sectional design, involving 93 respondents selected via simple random sampling. Data were collected by measuring work heart rate using the Cardiovascular Load (CVL) method and distributing a questionnaire from the Industrial Fatigue Research Committee (IFRC). Data were analyzed using Kendall’s Tau test. The findings indicated that 52.7% of the workers were classified in the moderate physical workload category, while 50.5% were identified as experiencing a moderate level of work fatigue. Statistical analysis revealed a p-value of 0.001, indicating a significant association between physical workload and work fatigue. Based on these findings, tofu factory owners are encouraged to implement more effective rest arrangements and work organization strategies to help manage physical workload and reduce the risk of excessive fatigue
Physical Workload, Work-Related Fatigue, Tofu Factory Workers
HUBUNGAN SIKAP DAN SARANA DENGAN PERILAKU PENGELOLAAN SAMPAH BERBASIS 3R
Waste management remains one of the environmental problems that continues to receive attention in Indonesia, especially in residential areas. Several factors, including attitudes and facilities, influence community behavior in managing waste. This study aimed to determine the relationship between attitudes and facilities with 3R-based waste management behavior in Talang Betutu Residence, Palembang. This study used a quantitative design with a cross-sectional approach. The population in this study consisted of all heads of households and housewives in Talang Betutu Residence, Palembang, with a total sample of 40 respondents selected using total sampling, based on inclusion and exclusion criteria. Data analysis was conducted using univariate and bivariate analyses with the Chi-Square test. The results showed a significant relationship between attitudes and waste management behavior (p-value = 0.048; OR = 2.429), and between facilities and 3R-based waste management behavior (p-value = 0.003; OR = 7.071). This study concludes that attitudes and facilities have a significant relationship with household 3R-based waste management behavior. Therefore, efforts are needed to improve public education and awareness, as well as provide adequate facilities to encourage better waste management behavior.
HUBUNGAN DUKUNGAN SUAMI TERHADAP KESIAPAN MENTAL IBU HAMIL DALAM MENGHADAPI PERSALINAN
Anxiety disorders affect approximately 10% of pregnant women worldwide, while the prevalence in Indonesia reaches 12.4%. Preliminary data obtained from Payung Sekaki Community Health Center indicated that four out of six pregnant women reported experiencing anxiety prior to childbirth. A mother's psychological readiness to face labor is influenced by various factors, including support from her husband. This study aimed to analyze the relationship between husband support and the psychological readiness of pregnant women in facing childbirth at Payung Sekaki Community Health Center. This study employed a quantitative approach with a cross-sectional design. The sample consisted of 108 pregnant women in the first, second, and third trimesters, selected through purposive sampling from a population of 148 respondents. Data were collected using a husband support questionnaire and the Hamilton Anxiety Rating Scale (HARS) to assess psychological readiness. Data analysis was performed using the Chi-Square test. The results showed that the majority of respondents received good husband support (69.4%) and were categorized as having mild anxiety (66.7%). Statistical analysis revealed a significant relationship between husband support and the psychological readiness of pregnant women (p = 0.000). Pregnant women who received optimal support from their husbands tended to have better psychological readiness in facing childbirth. Based on these findings, it can be concluded that increased husband support contributes to better psychological readiness among pregnant women prior to childbirth.
Husband_support, psychological readiness, pregnant women, childbirth.
MUTU LAYANAN DALAM UNIVERSAL HEALTH COVERAGE INDONESIA DAN PERAN MEKANISME PEMBAYARAN JKN: PEMBELAJARAN STRATEGIC PURCHASING NHS INGGRIS
The implementation of Universal Health Coverage (UHC) through the National Health Insurance (JKN) program aims to improve access to and quality of healthcare services in Indonesia. However, its implementation still faces challenges related to service quality and healthcare financing effectiveness. This study aims to analyze the quality of UHC services in Indonesia and the role of JKN payment mechanisms through comparison with the healthcare system in England. The method used was a literature review of scientific articles obtained from PubMed and Google Scholar. The findings showed that JKN has improved financial protection for the population, although out-of-pocket (OOP) expenditures remain relatively high among vulnerable groups. In addition, payment mechanisms such as INA-CBGs influence the efficiency and quality of healthcare services. Therefore, strengthening payment systems, quality monitoring, and equitable access to healthcare services are needed to improve the implementation of UHC in Indonesia.
Benefit_package, cost _sharing, efficiency, financial_protection, JKN, patient_costs
PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENINGKATAN PENGETAHUAN LANSIA TENTANG HIPERTENSI DI UPT PSTW KHUSNUL KHOTIMAH DINAS SOSIAL PROVINSI RIAU
Background: Hypertension is a common health problem that frequently affects older adults. Lack of knowledge is a major challenge in its management, where an initial survey showed that five elderly people at the UPT PSTW Khusnul Khotimah did not know the cause of hypertension. Purpose: This study aimed to evaluate the effect of hypertension education on improving the knowledge level at UPT PSTW Khusnul Khotimah, Riau Province Social Service. To achieve the research objectives, a quantitative methodology was utilized, incorporating a quasi-experimental design with pretest and posttest measurements in a single group. The study population included 42 elderly individuals, with 38 selected by purposive sampling. Data analysis was conducted using the Chi-Square test. Results: The results showed that elderly participants demonstrated a significant increase in knowledge after receiving the educational program (P value = 0.000). Before the intervention, 84.2% of respondents had Low knowledge. After the intervention, there was a drastic increase, where 26 people (68.4%) had Moderate knowledge and the percentage of the High category increased to 21.1%. These results confirm that Hypertension Health Education is very effective in filling the knowledge gap and stimulating positive self-management behavior in the elderly. Conclusion: The conclusion shows that educational interventions have a significant impact on increasing elderly people's knowledge about hypertension.
Health Education, Hypertension, KnowledgeLevel, Elderly
DETERMINAN SOSIAL KESEHATAN DALAM PENCEMARAN AIR SUNGAI DAN DAMPAKNYA TERHADAP KESEHATAN MASYARAKAT: TINJAUAN LITERATUR SISTEMATIS DI DAS SIAK DAN DAS KAMPAR
River water pollution in the Siak and Kampar watersheds, Riau Province, constitutes a serious public health issue. This study aimed to identify and analyze social determinants of health influencing river water pollution and its impacts on community health in the Siak and Kampar watersheds. Method: A systematic literature review applying the PRISMA approach was conducted on five articles (n=5) published between 2017 and 2025, selected from Google Scholar, ResearchGate, and institutional repositories using a STROBE checklist with a 60% quality threshold. Results: Structural determinants included educational attainment, household income, and environmental regulation policies. Intermediate determinants encompassed waste disposal behavior, access to sanitation services, riverside settlement conditions, and psychosocial factors. Primary pollution sources originated from domestic waste, the palm oil industry, and agriculture, with BOD, phosphate, total coliform, and fecal coliform exceeding Class II standards. Pollution indices ranged from 2.0 to 3.5 (slightly polluted), yet risks of gastrointestinal, skin, and respiratory infections remained significant for vulnerable groups. Conclusion: Effective river pollution control requires a multidimensional approach targeting both structural and intermediate determinants through regulatory strengthening, cross-sectoral coordination, and community-based interventions.
DAS Kampar; DAS Siak; PRISMA; river water pollution; social determinants of health
PENGETAHUAN IBU YANG MEMILIKI ANAK BALITA USIA 12-59 BULAN TENTANG PEMBERIAN VITAMIN A DI WILAYAH KERJA PUSKESMAS SIMPANG BARU PEKANBARU
Vitamin A is only given twice a year, in February and August at integrated health posts (posyandu) and community health centers. The benefits of Vitamin A are to reduce mortality and morbidity rates and can increase the body's resistance to infectious diseases such as measles, diarrhea, and acute respiratory infections (ARI). Side effects are nausea and vomiting. But this does not happen to all children. To find out how the description of the knowledge of mothers who have toddlers aged 12-59 months about the provision of Vitamin A in the work area of Simpang Baru Community Health Center, Pekanbaru. This type of research is quantitative research and the design of this research is descriptive. The population in this study was 4412 people, the sample in this study was 98 people within one month. The technique used in this study was purposive sampling. Where the independent variable in this study was knowledge, while the dependent variable was the provision of Vitamin A. It can be seen that the knowledge of mothers is good as many as 13 people (13.3%), the knowledge of mothers is sufficient as many as 18 people (18.4%) and the knowledge of mothers is lacking as many as 67 people (68.4%). From the results of the research that I have done, it can be concluded that the majority of mothers' knowledge about Vit A can be seen that the knowledge of mothers is lacking as many as 67 people (68.4%). It is hoped that the results of this study can be useful as reference material and as material in the library of the Helvetia Pekanbaru Health Institute
HUBUNGAN PERILAKU PENCEGAHAN GIGITAN NYAMUK ANOPHELES DENGAN KEJADIAN MALARIA DI PA’LALAKANG
Malaria is the most important parasitic infectious disease in the world, with an estimated one billion people at risk of contracting the disease. Galesong District, Takalar Regency, is a coastal area, due to the area's environmental conditions, which are mostly swampy, providing potential breeding grounds for Anopheles mosquitoes. Overall, malaria cases have been found in Galesong District for three consecutive years, with a population at risk of 5,611. The purpose of this study was to determine the relationship between behaviors to avoid Anopheles mosquito bites and malaria incidence. This study was an observational study using a cross-sectional approach. The study was conducted in Pa'lalakang Village, Galesong District. The sample size was 140 respondents, selected using SPSS software. Data analysis was performed using univariate and bivariate methods. The results of this study indicate that the variables of mosquito net use, wire netting, mosquito repellent use, nighttime outdoor habits, and long-sleeved clothing are not associated with malaria incidence, with a Ho value of p > 0.05. Although there is no significant relationship, efforts to prevent Anopheles mosquito bites still need to be increased through education, environmental management and integrated vector control
Behavior, Anopheles mosquitoes, mosquito nets, wire netting, mosquito repellent, nighttime outdoor habits
HUBUNGAN PAPARAN POLUSI UDARA PM2,5 DENGAN RISIKO GANGGUAN KESEHATAN MASYARAKAT DI WILAYAH PERKOTAAN
Fine particulate air pollution measuring ≤2.5 micrometers (PM2.5) is one of the main environmental problems in urban areas that significantly contributes to the decline in public health. High PM2.5 exposure is known to penetrate the respiratory system to the lung alveoli and increase the risk of various health problems. This study aims to analyze the relationship between PM2.5 air pollution exposure and the risk of public health problems in urban areas. The study used a quantitative approach with an analytical observational design through a cross-sectional study. PM2.5 exposure data were obtained from air quality monitoring stations, while public health data were collected through secondary data from health service facilities and respondent surveys in Medan city. Data analysis was conducted using correlation and regression statistical tests to examine the relationship between PM2.5 exposure levels and the incidence of health problems, particularly respiratory and cardiovascular diseases. The results showed that 43.5% of respondents were in the high PM2.5 exposure category, with 39.5% experiencing respiratory problems and 34.0% experiencing cardiovascular problems. There was a significant association between PM2.5 exposure and respiratory disorders (r = 0.52; p = 0.001) and cardiovascular disorders (r = 0.41; p = 0.003). The results of the regression analysis showed that respondents with high PM2.5 exposure had a 2.87 times greater risk of experiencing health problems (OR = 2.87; 95% CI: 1.65–4.99; p = 0.001) compared to those with low exposure. The conclusion of this study confirms that PM2.5 is an important environmental risk factor in urban public health. Therefore, it is recommended to strengthen air pollution control, increase air quality monitoring, and educate the public as preventive measures to reduce the health impacts of PM2.5 exposure
Public Health, Environmental Exposure, PM2.5, Air Pollution, Urban Areas
PENGARUH ANTENATAL CLASS DENGAN TEKNIK RELAKSASI TERHADAP KESEHATAN MENTAL IBU PRE PARTUM
Cases of mental health disorders are the biggest cause of maternal mortality (MMR) in Indonesia. Pregnant women with mental health disorders have risk factors resulting in miscarriage, bleeding during labor and postpartum hemorrhage and mothers are susceptible to infection, fetuses are at risk of premature birth, fetuses are susceptible to infection and Intra Uterine Fetal Death (IUFD). Objectives To determine the effect of antenatal classes with relaxation techniques on the mental health of pre-partum mothers. Method This research is a quantitative study with a quasi-experimental research design using 2 groups, namely the intervention group of 30 people given antenatal class material treatment and applying breathing relaxation techniques for 1 month with 4 meetings and a control group of 30 people who were not given treatment for 4 weeks. The sampling technique is purposive sampling, with The inclusion criteria were gestational age >28 weeks, no pregnancy complications, and willingness to participate in more than three antenatal care sessions. Exclusion criteria included mothers who had not attended three antenatal care classes, high-risk pregnancies, and a history of abortion. The research instruments were the W-DEQ (Wijma Delivery Expectancy/Experience Questionnaire) and antenatal class modules. Data analysis used SPSS 22 with a dependent t-test. Results The average mental health score of the control group pretest (84.0) and posttest (71.9) P 0.000 while the intervention group pretest (64.4) and posttest (45.1) P 0.000. There is an effect of antenatal class with relaxation techniques on the mental health of prepartum mothers. The conclusion is that antenatal class with relaxation techniques is a new innovation to improve the mental health of prepartum mothers.
Antenatacl Class, Relaxation Techniques, Mental Health.
PENGARUH PROMOSI KESEHATAN MENGGUNAKAN MEDIA AUDIO VISUAL TERHADAP PENGETAHUAN SISWA TENTANG PENYAKIT MENULAR SEKSUAL
The level of knowledge about sexually transmitted diseases can change a person's behavior towards the disease. One of the information media to increase knowledge can use audio-visual media. The aim of this study was to determine the effect of health promotion using audio-visual media on students' knowledge about sexually transmitted diseases. The population in this study were all grade X students at SMK Teknologi Nasional Palembang. The sample in this study was taken using a total sampling of 113 people. The results of the study showed that the age of the respondents was the most, namely 16 years old, totaling 72 people (63.7%), the age of respondents 15 years old totaling 35 respondents (31%) and the age of respondents 14 years old totaling 6 respondents (5.3%). Gender was more male respondents, namely 81 respondents (71.7%) compared to female respondents, namely 32 respondents (28.3). knowledge before and after had a mean value of -18.053, which means that from the average value before and after there was an increase of 18.053, with a Std. Devitation of 7.572. The sig value (2-tailed) is 0.000, which means that there is an influence of video media on sexually transmitted diseases at SMK Teknologi Nasional Palembang. In this study, it was found that there was an influence of audio-visual media on sexually transmitted diseases at SMK Teknologi Nasional Palembang. For this reason, one of the media that can be used for health workers is audio-visual media, the results of which can help increase knowledge as a step to prevent sexually transmitted diseases.
Knowledge, Audio-visual Media, Health Promotion
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ISPA BAGIAN ATAS DI PUSKESMAS SAPAT, KUALA INDRAGIRI, INDRAGIRI HILIR
Upper Acute Respiratory Infection (ARI) is a self-limiting respiratory tract inflammation; however, its prevalence among the elderly at the Sapat Health Center, Indragiri Hilir Regency, showed an increasing trend of 109 cases during the 2023–2024 period. This quantitative study utilized a cross-sectional design to identify the factors triggering these high figures. Involving 91 respondents selected through accidental sampling, the data were analyzed using the Chi Square test to examine the relationships between variables. The results revealed that knowledge levels (p = 0.017), attitudes (p = 0.047), and smoking habits (p = 0.018) are significant risk factors associated with the incidence of upper ARI. Elderly individuals with smoking habits and low knowledge levels have a higher probability of contracting the infection. Based on these findings, it is recommended that the elderly stop smoking to maintain respiratory health. Furthermore, the Sapat Health Center is expected to improve the effectiveness of health promotion by using more engaging educational media, such as leaflets and posters. This effort aims to strengthen knowledge and transform the attitudes of the elderly to become more preventive against the dangers of respiratory diseases.
ARI, Smoking Habits, Elderly, Knowledge, Role of Health Workers, Attitude
EFEKTIFITAS ART THERAPY TERHADAP KOGNITIF LANSIA DI UPT PELAYANAN SOSIAL TRESNA WERDHA (PSTW) KHUSNUL KHOTIMAH DINAS SOSIAL PROVINSI RIAU
Drawing on statistics issued by the Pekanbaru Health Authority in 2022, the elderly population in Pekanbaru City was recorded at 77,779 individuals, showing a significant increase of 17.97% or 11,848 people from the previous year. To address cognitive decline in the elderly, one potential therapeutic intervention is Art therapy. This approach can be implemented through various methods, including providing colored materials that encourage the elderly to create different forms. This research seeks to explore how art-based interventions influence cognitive abilities among older adults population. The research design used was a Quasi-Experimental design with a One Group Pretest-Posttest Design. Statistical analysis confirmed the capability of Art therapy to enhance mental processing among older adults, as evidenced by a p-value of 0.001 (p value ˂ 0.05). Nurses at Khusnul Khotimah Nursing Home are expected to be able to implement Art therapy for the elderly population as a non-pharmacological therapeutic modality. Art therapy has has demonstrated a beneficial influence on advancing cognitive capability in elderly individuals.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGENDALIAN HIPERTENSI DI WILAYAH KERJA PUSKESMAS REJOSARI KOTA PEKANBARU TAHUN 2025
Hypertension is a cardiovascular disease characterized by elevated blood pressure and is often referred to as the silent killer due to its asymptomatic nature. The 2023 Basic Health Research (Riskesdas) reported that 34.1% of Indonesian adults suffer from hypertension. At Rejosari Public Health Center, hypertension ranked first among the ten most common diseases in 2024, with 844 recorded cases. This study aimed to analyze the factors associated with hypertension control in the working area of Rejosari Public Health Center, Pekanbaru City, in 2025. A quantitative study with a cross-sectional design was conducted on 80 respondents using total sampling. Data were collected through a validated and reliable questionnaire. Univariate and bivariate analyses were performed, with the chi-square test applied to examine associations between categorical variables. A total of 53.7% of respondents had uncontrolled hypertension, while 46.3% had controlled hypertension. Bivariate analysis revealed significant associations between knowledge (p=0.030; POR=3.506; CI 95%:1.237–9.943), socioeconomic status (p=0.017; POR=3.422; CI 95%:1.334–8.779), health services (p=0.031; POR=3.333; CI 95%:1.218–9.120), and family and environmental support (p=0.031; POR=3.333; CI 95%:1.218–9.120) with hypertension control. Knowledge, socioeconomic status, health services, and family/environmental support were significantly associated with hypertension control. Hypertensive patients are encouraged to routinely monitor blood pressure, utilize community-based programs such as Posbindu and Prolanis, and consult healthcare providers for appropriate treatment and education. Family involvement in reminding medication intake, preparing healthy meals, and promoting regular physical activity is essential to support effective hypertension management.
Hypertension Control, Rejosari Health Center, Pekanbaru City
Copyright (c) 2025 Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences) https://creativecommons.org/licenses/by/4.0
STATUS KEPADATAN TIKUS DAN DETEKSI BAKTERI LEPTOSPIRA DI WILAYAH PELABUHAN TANJUNG BALAI KARIMUN TAHUN 2025
Rodents are significant vectors in the transmission of zoonotic diseases, including leptospirosis, caused by Leptospira spp. Ports are high-risk areas for rodent infestation due to intense human and cargo movement, making them critical points for disease surveillance. This study aimed to assess rodent density and detect the presence of Leptospira bacteria in the kidneys of rats captured in the Tanjung Balai Karimun Port area.The survey was conducted from June 16 to 20, 2025, involving the placement of 100 traps across key port locations. Captured rodents were identified morphologically, and their kidneys were tested for Leptospira using the Polymerase Chain Reaction (PCR) method. Laboratory analysis was performed at the Class I Port Health Quarantine Office in Tanjungpinang from June 24 to 26, 2025. A total of 14 rats were captured, yielding a success trap rate of 14%, which exceeds the environmental health standard threshold (<1%). Species identification revealed a predominance of Rattus rattus (78.6%) and Rattus norvegicus (21.4%). PCR results showed no detection of Leptospira in any of the tested kidney samples. Although no Leptospira infection was detected in the sampled rats, the high rodent density indicates substantial environmental health risks. Rodent presence remains a public health concern in port areas, warranting systematic vector control measures and improved environmental sanitation as preventive strategies.
PENGARUH PEMBERIAN JUS BUAH NAGA DAN JUS TOMAT TERHADAP KADAR HB IBU HAMIL TRIMESTER II
Anemia in pregnant women in Indonesia is still relatively high at 48.9%. Anemia itself can be prevented by consuming nutritious food, one of which is dragon fruit and tomatoes. Red dragon fruit contains high potassium and flavonoids so it can lower blood pressure. Dragon fruit and tomatoes are one of the food ingredients that contain substances needed for the formation of blood cells so that they can overcome the effect of decreasing Hb. This study aims to determine the effect of giving tomato juice and dragon fruit juice on hemoglobin levels in third trimester pregnant women at Tambusai Batang Dui Village, Bathin Solapan District, Bengkalis Regency. This research was conducted in July 2021. The design of this study was a quasi-experimental method. Samples were taken using accidental sampling The number of samples is 30 people. Measurement of Hemoglobin Levels using Easy touch. Tomato juice was given for 5 days to 15 respondents and dragon fruit juice was given for 10 days to 15 respondents. The results of statistical tests obtained p value = 0.042 (p < 0.05), it can be concluded that there is a difference in the increase in Hb levels of pregnant women TM II given dragon fruit juice and tomato juice with a difference of 0.5% increase in Batang Dui Village, Bathin Solapan District. Bengkalis Regency.
EFEKTIFITAS PENERAPAN G-SPREADSHEETS PADA LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBATDI JARINGAN PUSKESMAS SABAK AUH KABUPATEN SIAK
Pharmaceutical service management encompasses a number of administrative tasks, including recording, reporting, and archiving. In the management of pharmaceutical preparations and consumable medical materials, one example of administrative recording and reporting is the LPLPO (Drug Usage Report and Request Sheet) (Ministry of Health of the Republic of Indonesia, 2019). The manual LPLPO management process often faces obstacles such as late reports, human error in stock calculations and data updates (Pratitis. M. K., et al., 2022). The purpose of this study was to determine the effectiveness of spreadsheet use, the effects of use before and after changing from manual to G-Spreadsheets. The research method used was a Quasi-Experimental Design with a One Group Pretest-Posttest Design. The research subjects were seven village midwives working at the Community Health Center (Pustu), Village Polindes (Polindes), and Village Health Post (Poskesdes) in the Sabak Auh district. Data were obtained from checking manual reports and interview checklists on the use of G-Spreadsheets. Data analysis used the Mc test. Nemar research results obtained P Value <0.05 (LPLPO that does not meet the standard P Value 0.031 and calculation error P Value 0.031 thus there is effectiveness of using Google Spreadsheets in LPLPO reporting rather than manual reporting. Meanwhile, for timeliness does not show a big influence because P Value> 0.05 (P Value 0.50). It is recommended that LPLPO reporting use G-Spreadsheets as a monthly report for midwives, health centers and village health posts to report to the health center.
G-Spreadsheet, LPLPO, Community Health Center Network
: G-Spreadsheet, LPLPO, Jaringan Puskesmas
PENGARUH KUALITAS PELAYANAN TERHADAP KUNJUNGAN ULANG PASIEN KB DI PUSKESMAS MELUR KOTA PEKANBARU
The role of service quality in repeat visits refers to the relationship between the standard of services provided to patients and their decision to return for future services. Good service tends to increase the intention to return, while poor service may reduce it. This research aims to assess the degree to which service quality influences the repeat visits of family planning (FP) patients at Puskesmas Melur, Pekanbaru City, in 2025. A quantitative cross-sectional method was used in this research, with total sampling utilized to select the study participants, where the entire population was included as respondents. Based on univariate analysis, most of the respondents (54%) intended to make repeat visits. Bivariate analysis using the Chi-Square test revealed no significant influence of the Tangible (p = 0.504), Reliability (p = 0.143), Responsiveness (p = 0.987), and Assurance (p = 0.770) dimensions on repeat visits. However, a significant influence was found in the Empathy dimension (p = 0.041). The conclusion of this study is that only the empathy dimension of service quality influences the repeat visits of FP patients at Puskesmas Melur, Pekanbaru City, in 2025. This study is expected to serve as evaluation material to improve service quality and patient loyalty. Future studies are recommended to build on the findings of this research using a qualitative approach to gain deeper and more comprehensive insights.
Quality, Visit, Service, Patient, Repeat
HUBUNGAN KELELAHAN KERJA DAN KARAKTERISTIK INDIVIDU TERHADAP TEKANAN DARAH PADA DRIVER DI TRAC-ASTRA RENT A CAR PEKANBARU TAHUN 2025
Blood pressure is the main cause of cardiovascular diseases (Abbas et al., 2024). Blood pressure occurs due to the force generated by blood in the arteries when the heart pumps blood throughout the body. Hypertension is also defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg (Hartoyo, 2024). The purpose of this research was to determine the relation between work fatigue and individual characteristics with blood pressure. This research was conducted at TRAC-Astra Rent A Car Pekanbaru used a quantitative method with a Chi Square test. The research instruments used a Digital Sphygmomanometer and a FAS (Fatigue Assessment Scale) Questionnaire. The results showed that variables that had a relation with blood pressure were work fatigue (P value = 0.030 < 0.05) and family history (P value = 0.004 < 0.05), while those that were not related to blood pressure were age (P value = 0.500 > 0.05), smoking habits (P value = 0.643 > 0.05), and length of service (P value = 0.441 > 0.05). Advice for drivers who experience work fatigue and have a family history of hypertension is to rest before drive, do stretching and maintain a diet.