Health Efforts Research Articles

Positioning plant health within the evolving human-animal-environmental health paradigms

The evolution of the global scenario, which involves such converging crises as the climate crisis, the COVID-19 pandemic and its aftermath, and the Russia-Ukraine and Israel-Palestine wars, has underscored the fragility of the current food systems and the interdependence of human, animal, plant, and environmental health. Plant health is an important element in all these crises as plants provide food and feed, fix CO2, produce oxygen, and stabilize the soil. As a result of the Covid 19 pandemic, the One Health concept has finally obtained the attention of scientists and funding agencies. However, despite their role in global nutrition, the economy, and in climate crisis, plants are often excluded from the One Health efforts and funding streams. This paper advocates the need for an updated and more holistic view of plant health as public goods within the context of the evolving global challenges and explores opportunities within the Circular Health paradigm.

HOSPITAL SERVICE QUALITY AND CUSTOMER TRUST TOWARDS PATIENT SATISFACTION IN GENERATION MZ

According to Law Number 17 of 2023 of the Republic of Indonesia, health efforts, health resources, and health management are required to improve public health to the highest possible standard. Indonesian hospitals should provide patients with a degree of service excellence as supplied by medical, paramedical, and medical support staff. This research aims to understand, explore, and analyze based on empirically investigating the dimensions or attributes of service quality and evaluate the importance of variance attributes for Gen MZ patients at Hospital B. This quantitative study examines the relationship between service quality and brand trust (independent variable) towards patient satisfaction (dependent variable) in Gen MZ at Hospital B. This research was conducted from January to March 7, 2024; it involved 122 Generation MZ patients using non-probability purposive sampling to represent the population. Result shows that the similar levels of satisfaction and trust between Generations M and Z at Hospital B may be due to the hospital's standardized, high-quality services. This consistency ensures that both generations have comparable experiences. Additionally, Hospital B's effective use of technology, such as hospital apps and online medical information access, meets and exceeds the expectations of both groups.

Exploring the Impact of Organizational Initiatives on Work Environment Safety and Health for Public Health

Workplace safety and health efforts in public health are organizational endeavours that include practices, policies, and interventions intended to reduce hazards, enhance well-being, and guarantee adherence to health and safety laws.We provide the findings from a phone conversation and in-person interviews with 286 manufacturing companies.We carried out a cross-sectional study of the attitudes, behaviours, and policies related to health and safety at work. All company types were subjected to analyses using data from the Lost Time Injury frequency rate (LTIFR). Paternalistic efforts, the documentation of occupational safety and public health (OSPH) measures, more worker participation in making decisions, and enhancing managerial perspectives about the importance of OSPH were all linked to very low LTIFR. The results show the advantages of a proactive strategy for developing a culture of wellness and security in public health contexts and emphasize the crucial role that organizational commitment plays in establishing safer and healthier workplaces.In conclusion, safer workplaces are characterized by worker and management engagement in OSPH activities. Additionally, there is a correlation between reduced injury rates and management's overall concern for OSPH, as demonstrated by both attitudes and practical actions.

IMPLEMENTATION OF EFFECTIVE COMMUNICATION IN HEALTH EDUCATION ACTIVITIES FOR NON-COMMUNICABLE DISEASES TO ACHIEVE SUSTAINABLE DEVELOPMENT GOALS (SDGs)

The world has a dream of achieving a prosperous society. This dream is encapsulated in the Sustainable Development Goals. One of the points included is Good Health and Well-being. A healthy society will lead to a developed and progressive nation. One of the obstacles to global health is non-communicable diseases. These diseases, which are among the leading causes of death worldwide, can be addressed early through prevention programs. One such proven effective prevention program is health education. Health education is a form of communication to the community as a health effort. To achieve success, certain techniques are needed in the delivery process. This study uses a qualitative method with a descriptive approach. Data collection techniques were carried out through interviews and observations, while the data analysis techniques were data reduction, data modeling (data display), and concluding. The results of this study show that there are attitudes of Respect, Empathy, Audibility, Clarity, and humility (REACH) in the communication of general practitioners towards participants in health education activities conducted by Klinik Pratama Nuhato Antapani Bandung.

IHR-PVS National Bridging Workshop for Somalia: An interactive and participatory approach for operationalizing the One Health roadmap

BackgroundNational Bridging Workshops (NBW) are a tool for reviewing collaboration gaps between line ministries relevant to the One Health framework. MethodsThe NBW for Somalia was held on November 11–13, 2023 in Nairobi, Kenya with support from WHO and WOAH. Participants included representatives from the Somali government both national and sub-national (including Ministry of Health; Ministry of Livestock, Forestry and Range; Ministry of Agriculture and Irrigation; and Ministry of Environment and Climate Change). Other participants included representatives from non-governmental organizations, academia and the quadripartite. Structured sessions guided participants through a step-by-step process, starting from identifying gaps to collectively developing solutions. The design of these sessions aimed to foster active engagement and collaboration with the outcomes of each session contributing to the subsequent one. ResultsA total of 60 participants partook in the exercise, representing human health (35%), animal health (27%), agriculture (13%), environmental health (7%) and other relevant sectors (18%). Eighty-three percent of participants represented the national level and 17% the sub-national level. The collaborative effort yielded a joint roadmap comprising 36 activities and 11 objectives. Priority objectives included: development of national joint surveillance systems for selected One Health threats (41/47 votes, or 87% of the total votes); establishment of a high-level ministerial system to govern and coordinate One Health activities (30/47; 64%); and establishment of emergency funding structures for priority zoonotic diseases along with development of a 5-year national investment plan for One Health (27/47; 57%). A total of 94% of activities required low or moderate cost to be implemented, and 90% of activities were identified to have a likely high impact on multisectoral collaboration. The timeline for implementing the activities is projected to span one to two years. ConclusionThe workshop promoted high-level engagement, national ownership, and leadership in addressing health threats at the human-animal-environment interface. The resulting co-created roadmap will be integrated into the National Action Plan for Health Security, supporting ongoing One Health efforts in Somalia.

Hubungan Perilaku Hygiene Dengan Kejadian Diare Pada Anak Di Puskesmas Tegalrejo

Introduction : One of the risk factors that causes diarrhea is hygiene behavior. Behavior is a person's action in responding to something and then making it a habit, while hygiene is a health effort by maintaining and protecting cleanliness. This study aims to determine the relationship between hygiene behavior (defecation behavior, snacking behavior, hand washing behavior and nail cleanliness behavior) with the incidence of diarrhea in children at the Tegalrejo Community Health Center.Method: This research is a quantitative study with a correlation design and uses a cross-sectional approach. The research subjects were 105 school-aged children (6-18 years) at the Tegalrejo Community Health Center with samples taken using the Purposive Sampling technique. Data collection was measured using a questionnaire which was analyzed using Chi-Square Test. Result: In this study there was no relationship between defecation behavior and the incidence of diarrhea with p value = 0.265 (p>0.05), there is a significant relationship between behavior snacks and the incidence of diarrhea with p value = 0.000 (p<0.05), there is a significant relationship between hand washing behavior and the incidence of diarrhea with p value = 0.000 (p<0.05), there is a significant relationship significant relationship between maintaining nail cleanliness and the incidence of diarrhea with p value = 0.000 (p<0.05). Conclusions: Based on the research results, there is no relationship between defecation behavior and the incidence of diarrhea and there is a relationship between the behavior of snacking, washing hands and keeping nails clean and the incidence of diarrhea.

The Role of Social Capital in the Implementation of Public Health Programs in West Kendari District, Kendari City

This study aims to find out and describe the forms and roles of social capital in the community of West Kendari District in supporting the implementation of public health programs. This study uses a qualitative approach with a descriptive model, the research informants totaled 12 people who were selected by purposive sampling technique. The data in this study was obtained through interviews, observations and document studies, the data obtained was then analyzed qualitatively with an interactive model consisting of data reduction, data presentation and conclusion drawn. The results of the study show that based on the results and discussion above, the conclusion that can be drawn is that social capital in West Kendari District plays an important role in supporting the implementation of public health programs through three main forms: trust, norms, and social networks. Trust between citizens strengthens cooperation and active participation in various health programs, creating an environment that supports efforts to improve public health. Existing social norms facilitate collective action, strengthen social cohesion, and ensure that health efforts are carried out together with a strong commitment from all elements of society. In addition, social networks serve as an important tool for disseminating health-related information and rallying support from various parties, thereby expanding the reach of health programs and ensuring their sustainability. Thus, strengthening trust, norms, and social networks in West Kendari District is the key to increasing the effectiveness and sustainability of public health programs implemented in the region.

OPTIMALISASI SANTRI SADAR KESEHATAN DAN OBAT DI PONDOK PESANTREN MAHASISWA

Health-related problems in Islamic boarding schools or Pesantren rarely get the attention of its residents and the surrounding community. An-Najah Student Islamic Boarding School is one of the Islamic boarding schools in the Banyumas area. In the health sector, the student or santri have not been optimal in paying attention to the health of the surrounding environment both in dormitories and dorm rooms. Therefore, health efforts in the form of promotive, preventive and curative were needed. The purpose of community service activities was to increase the knowledge and awareness of santri as well as the management of Pesantren related to health and proper management of medicines. In addition, activities were also carried out to improve facilities and infrastructure to support health in realizing clean and healthy Islamic Boarding Schools. The activity was carried out by adopting the Guidelines for the Implementation and Development of Islamic Boarding Health Units that had been issued by the Indonesian Ministry of Health in 2013. The results of community service activities were in the form of increasing awareness and knowledge of the students on proper health and drug management and improving health facilities and infrastructure in Islamic Boarding Schools.

HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP TINDAKAN HIGIENE SANITASI PENGOLAHAN MAKANAN JAJANAN PEDAGANG KAKI LIMA DI PERUMNAS SIMALINGKAR KECAMATAN MEDAN TUNTUNGAN KOTA MEDAN TAHUN 2023

Street vendors' knowledge regarding food processing sanitation hygiene will determine their attitudes, and this will influence the vendors' actions when processing food. Sanitary hygiene in street food processing is a health effort by maintaining and protecting cleanliness. Personal hygiene in food processing can be achieved if an understanding of the importance of maintaining personal health and cleanliness is embedded within oneself. The aim of this research is to determine the relationship between knowledge and attitudes towards sanitary hygiene measures for processing street food snacks at Perumnas Simalingkar in 2023. This research is analytical with a cross sectional design, which means a study where the variables including effects are observed. The sample used in this research used total sampling. The total sample size is all 35 street food traders. The data was analyzed using the chi square test. Based on the results of the chi square test, there is a relationship between knowledge of food sanitation hygiene measures with a p value of 0.019, and there is a relationship between attitudes towards food sanitation hygiene measures with a p value of 0.019. The research conclusion is that there is a relationship between knowledge and action and there is a relationship between attitude and action. The advice that researchers can give is to take part in training and counseling on food sanitation hygiene in order to guarantee the quality of the food to be sold.

OPTIMALISASI HEALTH LITERACY MELALUI BERMAIN PADA PERILAKU HIDUP BERSIH DAN SEHAT ANAK PRA SEKOLAH

Introduction & Aim: The level of children's health is related to health problems about infection factors. Health efforts are carried out in the form of promotive, preventive, curative, and rehabilitative, in the form of Clean and Healthy Behavior (Perilaku Hidup Bersih dan Sehat, PHBS). The aim was to improve PHBS skills in children: Washing hands in 6 steps and sorting and disposing of waste properly. Implementation Method: The activity was held in January - February 2024 at PAUD Kuncup Melati RW 07, Kapasan, Simokerto, Surabaya for 33 pre-school age students. The initial survey has formulated problems and solutions in the form of efforts to prevent disease in early childhood with PHBS through health literacy using the train-playing method. Arranging permits, determining the location and target participants, socializing the original activities, and preparing the media. Method of Activity: There was a Health station which consisted of station 1: Hand Washing Movement and Song and the next station was to dispose of rubbish properly in the Hygiene Box. Evaluation has been done at the 4th meeting and at the same time rewards in the form of healthy, nutritious snacks. Results: Participation through play-based health literacy has been shown to increase young children's ability to participate in PHBS activities. namely washing their hands in 6 steps correctly, which initially 100% of students were not able to do correctly to 84.8% of students who were able to do it correctly. Discussion: Health Literacy using the play method can increase PAUD students' understanding and ability to carry out Clean and Healthy Living Behaviors, namely washing their hands in 6 steps correctly and being able to sort and dispose of waste in the correct place. PHBS that can be done early and continuously will become a good habit for children.

Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California

BackgroundTo examine how legal status and past undocumented status are associated with healthcare access and health outcomes.MethodsData were collected between 2018 and 2020 as a follow-on, cross-sectional survey to the...

Hubungan Pengetahuan, Sikap dan Perilaku Terhadap Personal Hygiene Penjamah Makanan (Food Handler) Di Pasar Retail Jakabaring Palembang

Background: Personal Hygiene is a health effort by maintaining and protecting individual cleanliness to realize proper Personal Hygiene in food handling. Objectives: To determine the relationship between knowledge, attitudes and behavior towards personal hygiene of food handlers in the Jakabaring retail market Palembang. Method: Using Descriptive Analytics with a Cross Sectional Approach with a sample of 30 respondents. Results: Based on statistical tests with the Chi Square test, the p value is ≥ 0,05 (0,201) so That Ha is rejected, meaning there is no relationship between Knowledge and Personal Hygiene. The results of statistical tests with the chi square test show a p value of ≤ 0,001 ) p value ≤ 0,05) Ha is accepted, meaning there is a relationship with Attitudes towards Personal Hygiene. The results of the Chi Square Statistical test showed that the p value was ≥ 0,05, namely 0,113, so Ha was rejected, meaning there was no relationship between behavior and Personal Hygiene. Conclusion: There is no relationship between knowledge and Personal Hygiene so Ha is rejected These result show that there is no significant relationship between knowledge and Personal Hygiene, There is a relationship between attitudes towards Personal Hygiene so that Ha was accepted These result can be concluded that there is a relationship between attitudes towards Personal Hygiene, There is no relationship between behavior towards Personal Hygiene so that Ha was rejected these results show that there is no significant relationship between behavior towards Personal Hygiene.

Pengembangan Seni Hidangan Alternatif dan Terinspirasi pada Kader Posyandu Balita Sesuai Kandungan Gizi Isi Piringku di Desa Karangsono Kabupaten Jember

Stunting poses a serious health issue in Indonesia. In 2022, the national prevalence of stunting stood at 22.6%, exceeding the World Health Organization's requirement of below 20%. According to the Indonesian Nutrition Status Survey (SSGI) 2022 by the Ministry of Health, Jember Regency has the highest prevalence of stunted toddlers in East Java, reaching 34.9% or approximately 35,000 toddlers. To address the stunting problem, health efforts are being made through the prevention of stunting diseases with the implementation of the "SEHATI" (Seni Hidangan Alternatif dan Terinspirasi or Alternative or Inspired Food Art) program in Karangsono Village, Bangsalsari Subdistrict, Jember Regency. This program involves community health volunteers managing meals according to the "Isi Piringku" guidelines with appropriate nutritional content for toddlers. The aim of this activity is to raise awareness and knowledge among community health volunteers about the importance of managing balanced and nutritious meals according to the "Isi Piringku" program issued by the Ministry of Health. This study uses a Pre-Experimental Design method with a Pretest-Posttest design model to measure the increase in knowledge of community health volunteers after socialization about the "Isi Piringku" program. The research results show that 90% of volunteers experienced an average knowledge increase of 13.5 after the counseling activities. The "SEHATI" program successfully stimulates children's appetite through unique and appealing foods with balanced nutritional value. The "SEHATI" program is expected to serve as an example for the community in preparing balanced and nutritious meals for children. Through accurate and easily understandable nutrition education, it is hoped that awareness of the importance of healthy and nutritious food intake will increase, ultimately aiding in the prevention of stunting and other nutritional problems in Jember Regency.

The social drivers of health for Native Hawaiian and Pacific Islander youth in the United States

ObjectivesTo describe the social drivers of health and health status of Native Hawaiian and Pacific Islander (NHPI) youth in the US. MethodsThis is a cross-sectional analysis of the 2014 NHPI National Health Interview Survey (NHIS) which surveyed about 3,000 NHPI households, including 1,428 NHPI youth (884 0–12 yo, 421 13–17 yo, and 123 18–21 yo). We described domains of social drivers of health (SDoH), health conditions, and associations of income and food insecurity with body mass index (BMI) for NHPI youth. ResultsNHPI youth come from households with a wide range in income. Approximately 20% of the cohort were food insecure. Among 18–21 yo, 10% report chronic medical conditions (5% with prediabetes). 33% of 13–17 yo and 52% of 18–21 yo were overweight/ obese. For 13–17 yo, lower income was associated with higher BMI. There was no association between food insecurity and BMI for any age group. ConclusionsOverweight/ obesity are highly prevalent among NHPI youth which is concerning for development of diabetes, hypertension, cardiovascular and kidney disease. Health efforts should focus on SDoH, obesity prevention and management for NHPI youth.

Legal Analysis of the Constitutional Court's Decision on the Revocation of Article 11 (Paragraph) 1, 2 of Law No. 36 of 2014 concerning Health Workers: Literature Study, Constitutional Court Decision No. 82/PUU-XIII/2015

This study aims to analyze and find out the basis for the Constitutional Court judge’s decision No.82/PUU-XIII/2015, which granted the applicant’s request to revoke Article 11 paragraphs 1 and 2 of Law No. 36 of 2014 concerning Health Workers, that medical personnel, namely doctors, dentists, specialists, special dentists are not health workers, whereas the explanation of paragraph 2: health workers are people who devote themselves in the field of health and have knowledge, skills through education in the health sector which for certain types requires the authority to carry out health efforts. Testing of this law has ended in the repeal of that article. This research is a normative juridical research with descriptive analysis. Primary legal data sources are the judge’s decision No.82/PUU XIII/2015, secondary data are related laws, it is hoped that it will not cause confusion over the status and position of medical personnel. Therefore, the judge must be able to reflect on the meaning of each article which is the reason for the applicant to revoke it, and it is necessary to conduct socialization so that there is a new understanding of medical personnel not being classified as health workers and a strong rationale. The output of the research, is a new understanding of the community about medical personnel not Health workers.

Quality of Service for Health Workers at the Motaha Community Health Center, South Konawe Regency Southeast Sulawesi

A community health center (puskesmas) is a functional organization that carries out health efforts that are comprehensive, integrated, equitable, acceptable and affordable to the community and use the results of appropriate science and technology development, at a cost that can be borne by the government and the community. The aim of this research is to determine the quality of service of health workers at the Motaha District Health Center. South Konawe, Southeast Sulawesi. This type of research is descriptive observational. This type of research is observational, descriptive in nature, which aims to describe the quality of service of health workers at the Motaha District Health Center. South Konawe, Southeast Sulawesi. Based on the results of field research, it shows that 40 respondents (76.9 %) had sufficient knowledge and 12 respondents (23.1%) had insufficient knowledge.

The Relationship Between Perceived Uncontrollable Mortality Risk and Health Effort: Replication, Secondary Analysis, and Mini Meta-analysis.

The Uncontrollable Mortality Risk Hypothesis (UMRH) states that those who are more likely to die due to factors beyond their control should be less motivated to invest in preventative health behaviors. Greater levels of perceived uncontrollable mortality risk (PUMR) have been associated with lower health effort in previous research, but the topic remains understudied. To examine the evidence for the UMRH by replicating a previous study investigating the effects of PUMR on social gradients in health effort, and conducting a mini meta-analysis of the overall relationship between PUMR and health effort. We replicated Pepper and Nettle (2014), who reported a negative relationship between PUMR and health effort, and that the positive effect of subjective socioeconomic position on health effort was explained away by PUMR. We also compared the predictive effect of PUMR on health effort with that of dimensions from the Multidimensional Health Locus of Control scale-a well-used measure of a similar construct, which is frequently found to be associated with health behavior. Finally, we conducted a mini meta-analysis of the relationship between PUMR and health effort from the available research. PUMR was negatively associated with health effort, and mediated 24% of the total effect of subjective socioeconomic position on health effort, though this mediation effect was weaker than in Pepper and Nettle (2014). PUMR was shown to be a substantially stronger predictor of health effort than the relevant dimensions of the MHLC scale. Finally, our mini meta-analysis indicated a medium-sized negative relationship between PUMR and health effort. Our findings offer support for the role of PUMR in mediating the relationship between subjective socioeconomic position and health effort. The results highlight the importance of measuring and understanding PUMR in studying socioeconomic inequalities in health behaviors. We discuss potential areas for future research, including determining the accuracy of PUMR, investigating influential cues, examining the role of media in shaping risk perceptions, and understanding individuals' awareness of their own perceptions of mortality risk.

Efektivitas Pemeriksaan Anak Korban Kekerasan Seksual Dalam Persidangan

The examination of child victims of sexual violence in trials has not been effectively carried out in accordance with Law Number 11 of the Year, in trials of child victims of sexual violence the child victims must provide information again during the trial which has previously been explained during the inquiry and investigation process so that the child must remember again. incidents that make children afraid and traumatized, plus they have to meet the defendant or perpetrator who is someone who has caused trauma and damaged the child physically and psychologically, not to mention children who do not receive assistance and health and safety measures during the judicial process as in case number 117.Pid.Sus/PN LBo where the two child victims did not receive assistance from child protection agencies and from psychology for child safety and health efforts in accordance with Law Number 11 of the Year. This research uses an empirical juridical research method which is research and implementation in accordance with written legal provisions. Based on the results of the analysis of Law Number 11 of 2012, it provides protection and assistance to child victims, especially child victims of sexual violence, victims receive assistance treatment during the investigation and case investigation process until the completion of the case trial, but in fact in case 117.Pid.Sus/2022/ PN LBo, child victims experience deep trauma and even damage to the child's psychology, but there is no assistance from institutions that are experts in handling this case, such as women and children empowerment institutions, so that the examination of child victims of sexual violence in court has been effective but has not been carried out optimally.

Legal Protection of Patients in Telemedicine Services in Indonesia

The Health Law in regulating the use of telemedicine/telemedicine is much more general than the regulations in the Kepmenkes and Permenkes. Because the Health Law is much more general and only mentions a few provisions in the mechanism of running telemedicine, namely only related to definitions, health efforts, and health service facilities. Based on the three rules described above, none of the provisions regulate the rights of patients or the legal protection of patients who use the utilization of telemedicine. The type of research used in this study is normative juridical research. Furthermore, the research approach in this study uses a stata approach. This research is descriptive, which makes a systematic description, regulation of telemedicine and patient protection in telemedicine services. The author concludes, first, Based on the three rules, no one mentions the existence of legal protection regarding patient rights in using telemedicine, but the legal protection referred to in the Health Law is only to patients in general. Second, the vagueness regarding the protection of these rights specifically in the implementation of telemedicine. So that the regulation related to the protection of patients' rights in the implementation of telemedicine still has several gaps that need to be regulated further.

Health Services Place Construction Design Based on Android and ISO/TEC 25010


 
 
 
 Health services are places where health efforts are carried out. The study found several problems with health care information, such as the County's official website providing information on only a few major hospitals, not all locations, and if using the Google Maps application, there are still medical service locations that are not registered, so this application can add data that is not registered in the Google Maps application so that people can know more and find medical places easily. The design method used is a prototype and the testing technique used is ISO/TEC 25010. The results of this research are that the Android-based health service location mapping application in the district can display a list of information on hospitals, health centers, main clinics and google maps. Apart from that, the system testing carried out is the conformity aspect in terms of functionality and usability. Based on the functional suitability test, usability results were obtained with results of 81.6%. The conclusion from the test results using ISO/TEC 25010 testing shows that this application can help the community and can be said to be successful