District Health Office Research Articles

Factors Associated with the Incidence of Vertigo in Konawe Distric

Background: Based on data obtained from the Konawe District Health Office, it is known that there are still many women affected by Vertigo and each year it has increased. There were 2,460 cases recorded in 2020, in 2021 there were 2,770 cases, while in 2022 month 6 there were 2,890 cases. The purpose of this study was to analyze the factors associated with the incidence of vertigo in Konawe District.
 Methods: This research was a quantitative observation with using a Cross Sectional Study design. This research was carried out from October to November 2022. The research population was all people suffering from disabled neurological diseases at the Konawe district health office living in the Konawe district in 2021 totaling 698 cases with the sample is 97 respondents.
 Results: The results showed that the results of the chi-square test on the work fatigue variable obtained an X2 hit value = 23.642, stress obtained an X2 hit value = 25.630, and sleep patterns obtained an X2 hit value = 26.085.
 Conclusion: The conclusion was that there is a relationship between work fatigue, stress and sleep patterns with the incidence of vertigo in Konawe Regency, the most dominant variable associated with the incidence of vertigo is sleep pattern variable.

Mathematical Modeling for Dengue Fever Transmission Dynamics in Kebri Dehar District, Somali Regional State, Ethiopia

Dengue is a mosquito-borne viral infection and is transmitted to humans by the bite of an infected female Aedes mosquito of the species Aedes Aegypti and Aedes Albopictus. In this study, we developed and analysed a Susceptible-Infected-Recovered-Susceptible (SIRS) mathematical model which describes the transmission dynamics of dengue in Kebri Dehar district of Somali regional state. To achieve the objective of the study, we employed different mathematical tools and available cumulative cases data from Kebri Dehar district health office. The model was developed using a system of nonlinear ordinary differential equations and we performed analysis for both local and global stability of the equilibrium points of the model and the basic reproduction number for the year 2017 to 2021 is R_0 ≈ 0.0421071. In addition the parameters of the model are estimated by using the confirmed dengue cases of Kebri Dehar district for the year 2017 to 2021. Moreover, we studied numerical simulation and sensitivity analysis of the based on reproduction number that revealed the death rate of the mosquitoes and the host transmission rate are the most influential parameters. Our results suggest that the prevention of mosquitoes from humans (measure to decreasing transmission rate from mosquito to human) and any measure the increases the mortality of mosquitoes can significantly reduce the infection of dengue fever and may reduce further spread of infection in the community.

Geographic Information System Mapping Risk Factors Stunting Using Methods Geographically Weighted Regression

Technological developments in this era of globalization are very rapid. This requires humans to enter life together with information and technology. Stunting as a chronic nutritional problem in children, continues to be a global challenge. Geographic Information Systems (GIS) have proven to be effective tools in spatial analysis and distribution mapping stunting. In this context, method Geographically Weighted Regression (GWR) has been used to model the spatial relationship between factors that contribute to stunting. This research will produce a Geographic Information System using the method Geographically Weighted Regression. With this Geographic Information System, it can display location points and affected information stunting. Because of this system, the Padang Lawas Utara District Health Office does not need to store location data stunting in archive form again but digitally. This study underscores the importance of using GIS with the GWR method in mapping patient locations stunting. Through the integration of geographic data and spatial analysis, we can generate a better understanding of the influencing factors stunting at the local level, which in turn can support prevention and response efforts stunting which is more effective.

Implementasi Algoritma Floyd Warshall pada Pencarian Lokasi Puskesmas di Kabupaten Karanganyar

One of the key public health service facilities is Public Health Center (Puskesmas). For new residents, it is very important to have information about the location of the puskesmas or hospital as well as information about the shortest path to the puskesmas or hospital. The size of the region and the volume of traffic present a challenge for people who are unfamiliar with the Karanganyar Regency's routes. The aim of this research is to enable the community to easily locate the health center and to provide access for numerous individuals who require assistance in locating the health center in Karanganyar Regency. Floyd-Warshall research methodology was used in this study to create this system while data collection from Karanganyar District Health Office is then required in this study. The results of this study are in the form of the closest route that is connected to Google Maps, which is information about the location of the health center in Karanganyar Regency which is beneficial for people outside Karanganyar Regency. This study's test findings, which used Floyd Warshall's results approach, further ensure its success in identifying the closest path. The test scenario and the available observations matched 91.6% of the 12 test components, according to the system functionality test. Based on the validity test, it has an average error in predicting the distance from the starting point to the search location of 98%.

Attrition of health extension workers in Ethiopia: trends, regional variations and determinants – a mixed methods study of 15 years of experience

BackgroundEnsuring regular supervision, capacity building and motivation are crucial for the successful retention of health extension workers (HEWs). Failure in these aspects could increase the attrition rate of HEWs. To date, there has not been a comprehensive nationwide study on HEW attrition that could act as a source of evidence for policy makers. This study explored HEW attrition, including leaving the health sector entirely and its regional variation, trends and predictors of attrition out of the health system.MethodsThis study explored the attrition of HEWs from the beginning of the program until the end of 2018. A district-based mixed method study was conducted to review the personnel files of HEWs. A multistage sampling technique was employed to select 3,476 HEWs, and a probability weight was assigned for each observation. Descriptive statistics were calculated for the outcome and predictor variables. A logistic regression model was used to model attrition out of the health system. A qualitative study was conducted to understand the reasons why HEWs leave their jobs. Thematic analysis was performed using Nvivo version 12.ResultsThe magnitude of attrition of HEWs was found to be 21.1% during the fifteen years of HEP implementation. Of the total 704 who left their job as an HEW, 530 (73%) left the health system altogether. Number of biological children [AOR = 0.61, 95% CI; 0.42–0.89], having an additional education [AOR = 8.34, 95% CI; 3.67–18.98], obtaining official recognition [AOR = 0.29, 95% CI; 0.10–0.83], administrative reprimand [AOR = 1.66, 95% CI; 1.07 -2. 56), distance between district health office and health post [AOR = 1.75, 95%CI; 1.18–2.59) and COC status [AOR = 2.06, 95%CI 1.39–3.06) were independent predictors of leaving the health sector. High regional variation in attrition was observed, ranging from 38.5% in Addis Ababa to just 6.1% in the Harari region. The trend of attrition has steadily increased over time, with a high of 1,999 attritions per 10,000 HEW in 2018. Psychosocial factors, administrative issues, career advancement incentives, and workplace-related problems were the themes that emerged from the qualitative study as reasons for attrition of HEWs.ConclusionEven though the magnitude of attrition was relatively low, there was high regional variation and incremental trends. Moreover, the out-of-health sector attrition is also high. Critically examining the HEP policy environment to increase the number of HEWs deployed per health post to reduce workload and improving HEW incentives, including career development, may assist in increasing HEW job satisfaction, which in turn could help to reduce attrition, including leaving the health sector.

ANALYSIS OF THE HEALTHY LIVING COMMUNITY MOVEMENT PROGRAM WHICH WAS CARRIED OUT WITHOUT ANY POLICY IN THE INDUSTRIAL AREA IN KONAWE REGENCY

Background: Based on the results of a short interview with the Konawe District Health Office Health Promotion Program, it was explained that the Healthy Living Community Movement policy had not been implemented due to many factors. One of them is the absence of a legal umbrella in the form of a district head's regulation that has been issued. Therefore the author feels interested in conducting research related to the title Analysis of Healthy Living Community Movement Activities carried out without any Policy being made in Industrial Areas in Konawe Regency Methods: Qualitative research uses a case study approach, with a triangulation method. The sample in this study consisted of Key Informants (1 person), Main Informant (5 people) and Supporting Informants (5 people), by taking samples using the QSR NVivo 12 application. Results: Informant interviews about Healthy Living Community Movement activities carried out without any policies being made in the industrial area of ​​Konawe Regency which stated that there were guidelines for implementing Healthy Living Community Movement activities, availability of budgetary, human resources and socialization of activities that were comprehensive and with the support of commitment from the government in the industrial area of ​​Konawe Regency. Conclusion: Healthy Living Community Movement activities without a Health Policy are due to the existence of guidelines for Healthy Living Community Movement implementation, budget and human resources, implementation of socialization and local government support.

An Epidemiological Investigation of Acute Diarrheal Disease Outbreak at Urban Area in Borsad Taluka of Anand District

Introduction: Acute Diarrheal Disease (ADD) is affecting millions of people around the world especially in second world nations now a days. Major pathogenic organisms that cause diarrhea, are transmitted through feco-oral route. We investigated an outbreak of Acute Diarrheal Disease at urban area of Borsad taluka, Anand District of Gujarat state with Objectives: 1. To confirm the existence of an outbreak, 2. To know the magnitude and distribution of the outbreak with reference to time, place and person, 3. To identify the source of infection, mode of transmission and implement control and preventive measures. Method: A Cross Sectional Epidemiological study was carried out to investigate the outbreak of acute diarrheal disease cases in urban area of Borsad taluka. We obtained required information from Chief District Health Office, Anand &, Community Health Centre, borsad, conducted house to house survey and also inspected the sanitation and water supply of the affected area. Results: There were 72 cases of acute diarrheal disease. The overall Attack Rate was 0.43%. Majority of the affected population used non-chlorinated water for drinking. Conclusion: The underlying cause for the outbreak of acute diarrheal disease can be co-related by consumption of contaminated water and food. Keywords: Acute Diarrheal Disease, Borsad, Chlorination, Epidemic Investigation.

Determinan faktor yang berhubungan dengan cakupan imunisasi dasar pada balita di Pidie, Aceh: Studi potong lintang

Background: Immunization coverage in Pidie Aceh Still has not met the targets. Based on data from the Pidie Health District Office, it is known that the coverage of complete basic immunization for toddlers has only reached 84,84%. The Regional Government and related agencies are still working on various programs to achieve this. Several factors affect the coverage of basic immunization in an area, such as the low role of cadres and the lack of family support for immunization. An assessment must be conducted to determine good policies for future health programs.Objective: The research aims to determine the factors that cover the basic immunization program for toddlers in Kembang Tanjong, Pidie-Aceh. Method: This research is descriptive-analytic with a cross-sectional study design. Sampling using probability sampling was carried out on 100 respondents. This research was carried out from 03 to 11 December 2020 in the Kembang Tanjong, Pidie, Aceh. Data were collected through interviews using a questionnaire. Analysis used the Chi-Square test at 95% CI.Research result: This study has found a relationship between the role of cadres (p= 0,015), family support (p= 0,025), and the role of health workers (p= 0,040), as well as the role of religious leaders (p= 0,033) with the coverage of the basic immunization program for toddlers.Conclusion: Family support, the role of officers, and the role of religious leaders greatly influence whether immunization results are achieved in Pidie Aceh. Therefore, these three factors need to be considered.

The Effect of Consuming Garlic (Allium sativum L) on Cholesterol Levels of Young Girls

The South Ogan Komering Ulu District Health Office noted an increase in cholesterol sufferers in 2020 of 743 people; in 2021, there were 870 people, and in 2022, there were 922 people. High cholesterol cases are caused by several risk factors, such as lack of physical activity, unhealthy eating patterns, smoking, and excessive alcohol consumption. Garlic can be chosen as an alternative to lower blood cholesterol levels. Garlic contains allin which can increase HDL synthesis and slow down the endogenous synthesis of cholesterol. The purpose of this study was to determine the effect of the consumption of garlic (Allium sativum L) on cholesterol levels in female adolescents. This research uses a quasi-experiment with- a one-group Pretest-Posttest design. The population is a teenage daughter with moderate cholesterol (> 200 mg/dl to 239 mg/dl) of 30 adolescents in July 2023. Samples researcher using total sampling where teenagers will be given garlic capsules at a dose of 2x500 mg per day for 14 days. The instruments used were garlic capsules, sheets of observation, and technical instructions for checking cholesterol levels. A data analysis using the Paired Samples Test. The average cholesterol level of female adolescents before being given garlic was 219.53, while after being given garlic, it was 194.27. Bivariate results show a p-value of 0.00 0 < 0.05. There is an influence of the consumption of garlic (Allium sativum L) on cholesterol levels of young women in Tanjung Menang Ilir Village, South Ogan Komering Ulu District, South Sumatra in 2023. It is hoped that adolescents will be able to use garlic as an herbal remedy for cholesterol-lowering therapy so that it can be controlled and stable within normal limits.

Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study

IntroductionHypertensive disorders of pregnancy (HDP) are a leading cause of maternal deaths globally and require close monitoring of blood pressure (BP) to mitigate potential adverse effects. Despite the recognised need...

Reasons for switching the primary health providers among national health insurance participants in Klungkung District, Bali Province, Indonesia

Background and purpose: National Health Insurance Provider (BPJS Kesehatan) facilitates the distribution of National Health Insurance (NHI) participants. High number of 1,947 NHI participants were switched primary health providers in Klungkung, Bali between July to December 2021.This study aims to explore the reasons for the switching of providers among NHI participants and the health providers’ efforts to minimize it. Methods: A qualitative descriptive study guided by an access theory was conducted in Klungkung District between December 2022 to March 2023. A total of 18 informants were purposively recruited, consisting of NHI participants (12 people), health service providers (4 people), BPJS Kesehatan (1 person) and staff of the district health office (1 person). Data was collected through in-depth interviews guided by interview guidelines. Data were analyzed using a thematic approach and presented in a descriptive narrative. Results: NHI participants in Klungkung District switched provider due to spatial and non-spatial reasons. Spatial reason was the distance and time to the health provider. Non-spatial reasons included (1) conflict in social relations due to service and negative attitudes of health workers, (2) economic considerations in the health system which are difficult to reach, and (3) external encouragement. Strategies that have been or can be implemented to minimize the switching of PHCs were adjusting operational hours, improving the infrastructures, administration through fulfilling accreditation, service quality and training for human resources. Conclusion: The dominant reason for switching of PHCs is associated with negative social interaction experiences related to human resources and service facilities at PHCs. PHCs are expected to be able to improve the quality of services through improving human resources and service delivery facilities.

The Relationship of Common Cold Knowledge Level and Self-Medication Behavior in Non-Faculty of Health Students at Yogyakarta Muhammadiyah University

The results of the National Health Survey in 2016 showed that 72.44% of the people carried out self-medicationtreatment and data from the Health Profile of the Bantul District Health Office in 2019. Acute nasopharyngitis(Common cold) was included in the top ten diseases with 84,142 patients. Self-medication behavior must befollowed with high knowledge in order for treatment to be appropriate and rational. This study aims to determinetherelation between the level of common cold knowledge and common cold self-medication behavior innon-healthfaculty students at the University of Muhammadiyah Yogyakarta. This was an observational study withacross-sectional research design using descriptive analysis. The sampling technique used was the probabilitysamplingtechnique with systematic random sampling. In this study, 400 respondents who were non-medical students at theUniversity of Muhammadiyah Yogyakarta were included in the study. The instruments used in this studywereacommon cold knowledge level questionnaire and a common cold self-medication behavior questionnaire. Thedatawere analyzed using the spearman rank correlation test. The results of this study showed that the level of knowledgeof respondents regarding common cold self-medication was known, namely 84.5% of respondents were includedinthe category of high knowledge, 15.5% of the category of fair knowledge. For common cold self-medicationbehavior, 82.3% were found to be in the high behavior category, 12.5% in the fair behavior category, and5.4%inthe poor behavior category. The results of the correlation test between the level of knowledge and self-medicationbehavior produced a significant correlation value (p-value 0.005) with a correlation coefficient of 0.141. Basedonthe results of the study, it can be concluded that there is a relation between the level of common cold knowledgeandthe behavior of common cold self-medication in non-medical faculty students at the University of MuhammadiyahYogyakarta.

Facility-Based Audit System With Integrated Community Engagement to Improve Maternal and Perinatal Health Outcomes in Rural Pakistan: Protocol for a Mixed Methods Implementation Study.

Maternal and newborn mortality in Pakistan remains as a major public health challenge. Pakistan faces significant infrastructure challenges and inadequate access to quality health care, exacerbated by sociocultural factors. Facility-based audit systems coupled with community engagement are key elements in achieving improved health system performance. We describe an implementation approach adapted from the World Health Organization audit cycle in real-world settings, with a plan to scale-up through mixed methods evaluation plan. This study aims to implement a locally acceptable and relevant audit system and evaluate its feasibility within the rural health system of Pakistan for scale-up. The implementation of the audit system comprises six phases: (1) identify facility and community leadership through consultative meetings with government district health offices, (2) establish the audit committee under the supervision of district health officer, (3) initiate audit with ongoing community engagement, (4) train the audit committee members, (5) launch the World Health Organization audit cycle (monthly meetings), and (6) quarterly review and refresher training. Data from all deliveries, live births, maternal deaths, maternal near misses, stillbirths, and neonatal deaths will be identified and recorded from four sources: (1) secondary-level care rural health facilities, (2) lady health workers' registers, (3) community representatives, and (4) project routine survey team. Concurrent quantitative and qualitative data will be drawn from case assessments, process analysis, and recommendations as components of iterative improvement cycles during the project. Outcomes will be the geographic distribution of mortality to measure the reach, proportion of facilities initiated to implement an audit system for measuring the adoption, proportion of audit committees with community representation, and proportion of audit committee members' sharing feedback regularly to measure acceptability and feasibility. In addition, outcomes of effectiveness will be measured based on data recording and reporting trends, identified modifiable factors for mortality and morbidity as underpinned by the Three Delays framework. Qualitative data will be analyzed based on perceived facilitators, barriers, and lessons learned for policy implications. Results will be summarized in frequencies and percentages and triangulated by the project team. Data will be analyzed using Stata (version 16; StataCorp) and NVivo (Lumivero) software. The study will be implemented for 20 months, followed by an additional 4-month period for follow-up. Initial results will be presented to the district health office and the District Health Program Management Team Meeting in the districts. This study will generate evidence about the feasibility and potential scale-up of a facility-based mortality audit system with integrated community engagement in rural Pakistan. Audit committees will complete the feedback loop linking health care providers, community representatives, and district health officials (policy makers). This implementation approach will serve decision makers in improving maternal and perinatal health outcomes. DERR1-10.2196/49578.

Analysis of P4K Filling in The MCH Book with Factor of Maternal Death Based on Three Delays (3T) in 2022 In The Jember District

The Birth Preparedness and Complication Readiness Program (P4K) is an effort to overcome maternal mortality by reducing three delays (3T), late decision-making, late reaching health facilities, and late getting treatment. The purpose of this study was to analyze P4K filling in maternal and child health (MCH) books with the causes of maternal death based on three delays (3T). The method used in this study is quantitative and descriptive using data on 58 cases of maternal death found at the Jember District Health Office. The results of this study were that there were 15 (25.8%) cases of maternal death with P4K in the MCH handbook which were incompletely filled in and identified as experiencing three delays and 12 (20.6%) cases of maternal death with P4K in the MCH handbook which were not filled out. This research can be used as material for evaluating the Birth Preparedness and Complication Readiness Program (P4K).

Membership dropout rates and associated factors in a community-based health insurance scheme in southern Ethiopia: a mixed method study

BackgroundDropout from community-based health insurance (CBHI) membership is a common problem in low-income countries, even if its implementation leads to substantial improvement in the utilization of essential health services. Few studies have addressed the factors contributing to dropout rates in southern Ethiopia. Therefore, the purpose of this study was to determine the rate of CBHI dropout in southern Ethiopia as well as any contributing factors.MethodsThis mixed-method cross-sectional study was conducted among 460 randomly selected CBHI-enrolled households at the Arba Minch Health and Demography Surveillance System site from November 1, 2021, to April 30, 2022. The quantitative data were collected by an open data kit (ODK). using an interviewer-based structured questionnaire and analyzed using Statistical Package for the Social Sciences (SPSS) version 25.0. Multivariable logistic regression was applied to identify significant variables. The qualitative data were used to support the quantitative findings and were gathered through in-depth interviews (by the CBHI coordinator and three purposively selected health extension workers) and focus group discussions (in two randomly selected villages). The qualitative data were analyzed using thematic analysis. Finally, triangulation was used to present both the quantitative and qualitative findings.ResultsThis study found that 92 (21.5%) people stopped their community-based health insurance membership. The presence of sick adults [AOR = 0.281, 95% CI (0.136–0.581)], trust of participants in the contracted health facilities [AOR = 0.227, 95% CI (0.121–0.436)], and poor knowledge of the participants [AOR = 5.518, 95% CI (1.526–19.950)] were significant predictors.ConclusionThe magnitude of the dropout rate was high in this study when compared with the national target. The absence of a sick adult, the absence of trust among participants, and the poor knowledge status of the participants were significant predictors. We suggest that the health facility managers, the CBHI coordinating office, and the district health office give priority to implementing a wide range of knowledge improvement activities and a transparent system in public health facilities. Studies with longitudinal research designs are called for at a wide range of national levels to address the limitations of this study.

LPPM Umri Memberikan Stimulus UMKM Melalui PKM Pada Usaha Kerupuk Maju Jaya Untuk Mendukung Upaya Mengetaskan Stunting Dari Produk Ikan Lele

Stunting is a chronic malnutrition problem caused by insufficient nutritional intake for a long time due to feeding that is not in accordance with nutritional needs. The incidence of stunting in children under five can occur due to lack or low quality of protein containing essential amino acids. Based on data obtained from the Kampar district health office, it was found that there was a stunting prevalence of 32.99% (in 2020), in 2021 and a prevalence of 23.07%, and in 2022 there was an increase in prevalence of 25.7%. To support the kampar district government program to eradicate free stanting, c In 100 grams of catfish contains protein 20.0%-46.6% (w/k), fat + 20.8 (w/k), minerals + 14.6% (w/k), water and + 6.81% (w/k). Each part of catfish has nutritional content that can be useful if consumed such as catfish head contains 50.94% protein, meat 17.7%, fish bones have a nutritional content rich in calcium which is 39.24%.Crackers are complementary foods that are favored by children because crackers are foods that have a crunchy and savory texture, This is what underlies the emergence of new innovations for stunting prevention made from catfish which is rich in protein.

ANALISIS KUALITAS PELAYANAN PEMERIKSAAN RT-PCR TERHADAP KEPUASAN PASIEN DI UPDT LABORATORIUM KESEHATAN DAERAH KABUPATEN MOJOKERTO

Improving the quality of service is an important point as the end point of the overall government administration reform. During the Covid 19 pandemic, visits to laboratories were expected that each clinical laboratory must meet the criteria for organization, space and facilities, equipment, specimens, examination methods, quality, security, recording and reporting properly. This study aimed to determine the effect of the quality of RT-PCR examination services at the UPTD Health Laboratory in Mojokerto Regency in 2022. The study design was a cross-sectional study. The population in this study were all patients carrying out RT-PCR examinations at the UPTD Regional Health Laboratory of Mojokerto Regency in 2022 with an average population in 2 months of 60 patients with a sample of 38 respondents. Data was collected using a questionnaire and then analyzed using linear regression. The results of the study explained that the quality of RT-PCR examination services on patient satisfaction at the Mojokerto District Health Laboratory UPTD in 2022 had a positive effect on patient satisfaction, which means that the better the quality of service performed by the UPTD Mojokerto District Health Laboratory, the higher patient satisfaction. Judging from the simple linear regression test of service quality on consumer (patient) satisfaction meets the requirements because the significance value is 0.003 <0.05, it can be concluded that variable X (service quality) affects variable Y (patient satisfaction). support from the local government through the Mojokerto District Health Office in terms of physical improvement of the UPTD Mojokerto District Health Laboratory and improving the quality of health services.

Exploring Job Stress Among Public Health Workforce in Northeastern Malaysia.

Introduction Job stress is recognized as a significant concern across various occupational settings which have profound implications for both individuals and organizations. During the COVID-19 pandemic, job stress among the public health workforce (PHW) has been a significant concern, as they face a significantly increased risk of infection and mortality due to excessive COVID-19 exposure. This study presents a descriptive exploration of key job stress-related factors among PHW in Terengganu, Malaysia. Methodology This is a cross-sectional study conducted from May 2022 to April 2023, encompassing all eight District Health Offices (DHO) and government health clinics in Terengganu. Data collection involved a Malay version of the Job Content Questionnaire (M-JCQ), which assesses job characteristics based on Karasek's demand-control-support model and consists of four main domains: decision latitude, psychological job demands, physical job demands, and social support. Data was collected from 1044 participants, and statistical analysis was performed using SPSS version 27 (IBM Corp., Armonk, NY, USA). Findings Of the 1044 participants, 18.9% experienced job stress. The highest percentage of job stress was observed among nurses (24.3%), followed by medical assistants (18.3%) and physicians (16.0%). In contrast, the public health assistant (PKA) group had the lowest rate of job stress. Job types based on Karasek's model also showed variations, with doctors having the highest percentage of active jobs (46.4%), while medical assistants had the highest percentage of low job strain (17.9%), and PKAs had the highest percentage of passive job types (44.7%). Conclusion This study offers significant insights into the work-related challenges faced by the public health workforce in Terengganu, Malaysia, especially during the COVID-19 pandemic. Job stress is a substantial concern, and understanding its underlying factors is essential for improving the well-being of PHWs. Decision latitude, job demands, and social support play critical roles in shaping job stress among PHWs. Strategies and interventions are needed to mitigate job stress, improve working conditions, and enhance the effectiveness of PHWs in public health initiatives. This study highlights the importance of addressing job stress in this sector, with potential benefits for both the mental and physical health of PHW.

Factors Influencing Intrauterine Contraceptive Device Uptake

Background: The Intrauterine Contraceptive Device (IUD) is an effective long-term reversible contraceptive method suitable for women of reproductive age. However, its uptake is low in Aceh province, Indonesia. This study aimed to analyze factors influencing IUD uptake among women of reproductive age in Aceh. Subjects and Method: This was a case control study conducted at the Simpang Kiri Health Center, Subulussalam, Aceh from January to June, 2023. A total of 106 women of reproductive age were selected for this study. The dependent variable was IUD uptake. The independent variables were age, education, knowledge, parity, attitudes, socio­demographic variable, and the role of health personnel. Data on IUD uptake were obtained from medical records in Subulussalam District Health Office and the Simpang Kiri Health Center, in Aceh. The other data were collected by questionnaire and observation. The data were analyzed by multiple logistic regression. Results: Factors increasing the IUD uptake in women of reproductive age were good knowledge (OR= 11.11; 95% CI= 3.29 to 37.58; p<0.001) and the active role of health personnel (OR= 8.36; 95% CI= 2.73 to 25.61; p <0.001). Positive attitude increased IUD uptake, but it was statistically non-significant (OR= 1.26; 95% CI= 0.39 to 3.97; p=0.697). Conclusion: Factors increasing the IUD uptake in women of reproductive age are good knowledge and the active role of health personnel. Positive attitude increases IUD uptake, but it is statistically non-significant. Keywords: intrauterine contraceptive device, case control, reproductive. Correspondence: Ricca Nophia Amra. Midwifery Academy of Medica Bakti Persada. Jl. Pinang Baris Desa Lae Oram Dusun Indah No. 193, Simpang Kiri, Subulussalam, 24781, Aceh, Indonesia. Email: ricca.ubudiyah­@gmail.com. Mobile: 082294425839.

Forecasting the Number of Tuberculosis Patients Using Automatic Clustering And Fuzzy Logical Relationship Method

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis bacillus, which infects the lungs and can potentially cause death. This study aims to predict the number of tuberculosis sufferers in Kampar Regency in 2022. The method used is the automatic clustering and fuzzy logical relationship method. The data analyzed is secondary data obtained from the Kampar District Health Office from 2017 to 2021. From the results of the analysis carried out using the automatic clustering and fuzzy logical relationship method, it was obtained to forecast the number of tuberculosis patients in 2022, as many as 944 people with MAPE of 0.0882%, the accuracy of forecasting results of 99.9118%, and an increase in the number of tuberculosis sufferers from 2021 to 2022 as many as 4 people.