Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat

Anti-Tuberculosis Drug Resistance Patterns In Patients With Pulmonary Tuberculosis

2026-06-05T04:22:23+00:00

Background: In 2022, Indonesia reported a pulmonary tuberculosis (PTB) incidence rate of 354 per 100,000 population, with an estimated 24,666 cases of drug-resistant pulmonary tuberculosis (DR-TB). Nationally, DR-TB case detection coverage reached 50.8%, with 12,531 patients notified—an increase of 17% from the previous year.

Method: This study aimed to examine patterns of Anti-Tuberculosis Drug (ATD) resistance by analyzing internal host-related risk factors using an analytical observational study with a case-control design. The dependent variable was ATD resistance status (resistant and non-resistant). Independent variables included treatment history (new case or previously treated), treatment adherence (adherent or non-adherent), laboratory monitoring (regular or irregular), comorbidities (presence or absence of other diseases), and type of healthcare service unit. Treatment history, laboratory monitoring, and comorbidities were obtained from medical records using checklist forms, while treatment adherence and access to healthcare services were assessed through structured interviews using questionnaires. Data analysis was conducted using chi-square tests and multiple logistic regression.

Result: The chi-square tests revealed significant associations for treatment history (p = 0.00, OR = 71.5), adherence (p = 0.00, OR = 7.7), and laboratory monitoring (p = 0.00, OR = 12.0). No significant associations were found for comorbidities (p = 0.655) or service units (p = 0.171). Logistic regression identified treatment history as the primary risk factor for DR-TB (adjusted OR = 47.762), followed by laboratory monitoring (adjusted OR = 5.326).

Conclusion: The resulting regression model indicated a predictive probability of 94.9%, suggesting that treatment history and laboratory monitoring are the key factors contributing to ATD resistance among PTB patients.

Influence of Family Environment on Stunting Prevention among Toddlers in Huristak Public Health Center, Padanglawas Regency

2026-06-05T06:53:51+00:00

Background: Stunting is a condition of impaired growth and development in toddlers caused by chronic malnutrition over a prolonged period. One of the key factors influencing the occurrence of stunting is the family environment. This includes parenting practices, the level of nutritional knowledge, and the availability and utilization of healthcare facilities. This study aims to analyze the influence of family environmental factors, including parenting practices, maternal nutritional knowledge, household sanitation, clean water availability, and access to healthcare services, on stunting prevention among toddlers in the working area of Huristak Public Health Center, Padanglawas Regency.

Method: This research was an observational study with a cross-sectional design. A total of 286 mothers with toddlers were selected using purposive sampling. The study collected primary data through structured questionnaires and anthropometric measurements, including toddler height/length-for-age, maternal characteristics, parenting practices, nutritional knowledge scores, household sanitation conditions, availability of clean water, and utilization of healthcare services. Data were analyzed using chi-square tests and logistic regression.

Results: This study finds that the availability of clean water (p = 0.001), household sanitation conditions (p = 0.001), maternal nutrition education (p = 0.001), and access to basic healthcare services (p = 0.001) have a significant influence on stunting prevention among toddlers. The most influential variable is access to basic healthcare services Exp.(B)= 15.695).

Conclusion: It is recommended that stunting prevention efforts focus on improving access to basic healthcare services, supported by enhancements in sanitation, clean water availability, and nutrition education.

Implementing a Smoke-Free Area Policy to Prevent Smoking in Elementary Schools: A Case Study of Sleman Regency

2026-06-05T04:36:04+00:00

Background: The prevalence of smoking among school-aged children in Indonesia has increased markedly, raising serious public health concerns. In response, the Sleman District Government enacted Regent Regulation No. 42 of 2012 on Smoke-Free Areas (Kawasan Tanpa Rokok/KTR) as a preventive strategy. This study evaluates the implementation of the KTR policy in elementary school settings and identifies challenges to its enforcement.

Methods: A qualitative design was employed using semi-structured interviews and direct observations. Data were collected from one official at the Sleman District Education Office, four elementary school teachers, and 10 parents of students, with sampling continued until data saturation was achieved. Source and method triangulation enhanced credibility through interviews, observations, and document reviews. Observations focused on the presence of smoke-free signage and environmental compliance within school premises.

Results: Although the KTR regulation is formally established and supported by visible measures such as banners, posters, and school rules, dissemination and educational efforts remain limited, particularly at the elementary school level. While most stakeholders are aware of the regulation, many lack a comprehensive understanding of its content and objectives. The absence of coordinated socialization and sustained educational initiatives for students and families further constrains effective implementation.

Conclusion: Despite an existing regulatory framework, KTR implementation in elementary schools requires substantial strengthening. Enhanced cross-sector collaboration among education authorities, schools, and parents is critical. Integrating comprehensive, age-appropriate tobacco prevention education into school curricula is essential to deter early smoking initiation and ensure the long-term effectiveness of KTR policy enforcement.

Assessment of Occupational Safety and Health Implementation and Preventive Measures in Dry Dam Operations: A Case Study of the Sukamahi Dry Dam

2026-06-05T06:52:09+00:00

Background: Dry dams serve as flood-control mechanisms in urban regions subjected to extreme
hydrometeorological conditions. The Sukamahi Dry Dam, the first dry dam in Indonesia, has been operational
since 2022 and mitigates peak discharges toward Jakarta. This study assessed the implementation of occupational
health and safety (OHS) measures, identified potential hazards, and evaluated risk levels associated with the dam’s
operational activities.

Method: Hazard identification and risk assessment methodology was applied to categorize hazards and compute
risk scores on the basis of consequence, exposure, and likelihood. Data collection involved field observations,
interviews with 26 personnel, and a review of operational documents at the Sukamahi Dry Dam in 2024.

Results: Six primary operational tasks, most notably crane hoist operations and work conducted at heights,
presented significant risks, with consequence scores of 100. Major deficiencies were identified, including the
absence of fall protection systems, undocumented inspections of lifting equipment, outdated standard operating
procedures (SOPs), and inconsistent use of protective equipment. Irregular training, the absence of safety officers,
limited emergency preparedness, and a reactive safety culture exacerbate these hazards.

Conclusion: Current OHS practices are inadequate for ensuring safe operations. Such practices can be improved
through competency-based training, the establishment of risk-based SOPs with clear standards, safety audits, improved emergency response, and the integration of digital monitoring technology to enhance worker protection and ensure the reliability of flood control measures.

The Effect of Implementing Tri Hita Karana-Oriented Ergosafety on the Health Quality and Productivity of Piranti Upakara Makers

2026-06-04T15:22:02+00:00

Background: Ergosafety is an approach to ergonomic management that prioritizes the health, safety, and comfort of workers. Ergosafety aims to create an optimal work environment, thereby reducing the risk of injury, fatigue, and work stress, as well as increasing overall productivity and job satisfaction. The purpose of this research is to verify if the implementation of Tri Hita Karana-oriented ergosafety can be a holistic and sustainable solution to improve the quality of health and productivity of piranti upakara makers.

Method: The research was conducted for six months, from July to October 2025, and adopted a quasi-experimental design with a one-group pretest-posttest design. The research subjects and the target population were piranti upakara makers in Buruan Village, Penebel District, Tabanan Regency. The accessible population was 50 workers who met the inclusion criteria. The number of research samples was 25 people, who were selected by purposive sampling.

Results: The results showed that Tri Hita Karana-oriented ergosafety had a positive impact on the quality of health and work performance. This improvement was indicated by a 15.25% (p ≤ 0.01) decrease in the score of musculoskeletal complaints, a 28.3% (p ≤ 0.01) decrease in the score of work fatigue, and a 34.43% (p ≤ 0.01) increase in work productivity.

Conclusion: The implementation of Tri Hita Karana-oriented ergosafety can improve the quality of health and productivity of piranti upakara makers.