Distribution Pattern of Children with Acute Respiratory Infection during Forest fire at Central Kalimantan Indonesia

Over the past 30 years, forest fire has been one of main ecological issues in Indonesia. Human-caused deforestation was accused to be the reason behind this matter, apart from the drastic changing in global climate. Palangkaraya is one of the citiesaffected by haze of the forest fire in 2015; considered to be the worst year of forest fire with the value of PM10 was above the normal threshold. As the impact to the community wellbeing, the prevalence of acute respiratory infection (ARI) in October 2015was increasing especially in children. The research aimed to analyse the spatial distribution of children with ARI in October 2015 at Palangkaraya City. Data onARI number were collected from Primary Care under Public Health Office of Palangkaraya City. The PM 10 value was collected bythe Environmental Agency of Palangkaraya City. The spatial analyse method was conducted using theAverage Nearest Neighbour (ANN) method. The result shows that the number of ANN ratio is 0.761801. It means that the distribution pattern of children with ARI in Central Kalimantan during the forest fire in October 2015 was in cluster form. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 171-174

Practices of waste management in health care facilities in Nepal's Biratnagar metropolitan city

Biratnagar is a medical referral centre with tertiary health care in Eastern Nepal. The city population is 202,061, according to the 2011 census. There are 35 Health Care Facilities (HCFs) in the city as of 2014. There are 7 HCFs, 2 non-governmental HCFs, and 26 private HCFs. In 2014, the District Public Health Office Morang, the Biratnagar municipality, and the private sector collaborated to check Biratnagar's health care waste management. Investigators performed a semi-structured questionnaire and checklists while visiting health care sites. According to the survey results, 10% of HCFs use incinerators. 80% of HCFs separate their garbage, 60% use needle destroyer machines, and 50% use coloured dustbins to separate different sorts of medical waste. The bed occupancy rate is 78%. Every day, one sweeper looks for 6.66 beds. Even 10% of HCFs let their waste out in the open. HCFs do not have enough capacity for waste disposal facilities. Thus, HCFs pay the municipality Rs. 1500- 15000 a month to have the facility's waste removed. In the municipality tractor, they are hauling medical garbage and home rubbish. As a result, the city discharges health care waste with household waste in the Singhiaya River. These actions endanger public health. Biratnagar city generates 118 Kgs of hazardous health care waste daily, necessitating immediate treatment. Biratnagar Municipality should collaborate with partners to develop a short and long-term strategy.

Factors Related to Work Stress among Health Office Employees during Covid-19 Pandemic

Introduction: Study related to work stress is usually more focused on the industrial sector. Meanwhile, workers in other sectors such as the government organization also have the potential to feel stressed due to their job. During the COVID-19 (Coronavirus Disease) pandemic, Health Office is one of the main stakeholders in handling and preventing COVID-19. The COVID-19 pandemic can cause work stress due to unachieved health programs and huge demands to develop programs related to this pandemic. This study analyzed the relationship between individual factors, work factors, and factors outside of work with level of work stress among Health Office employees. This study is expected to be able to analyze work stress and its determinant as early as possible. Methods: This study was a cross-sectional study using the Depression, Anxiety, Stress Scale 42 (DASS-42) and NIOSH (National Institute for Occupational Safety and Health) Generic Job Stress Questionnaire instrument. This study was conducted at the Public Health Office Bogor Regency April 2021. This study used total sampling method on employees of the Public Health Office Bogor Regency with total sample collected of 135 respondents. Data analysis in this study was performed using multiple logistic regression. Results: 86.67% of respondents did not experience work stress, 5.93% of respondents had mild work stress, and 7.41% of respondents experienced moderate work stress. Moreover, workload (p = 0.0001) and social support (p = 0.011) had a significant relationship in increasing work stress. Conclusion: Workload was the most dominant variable affecting work stress in which workers who had high subjective workload were 33.63 times more stressful compared to workers who had the appropriate workload. Prevention of occupational stress can be done by adjusting workloads and building a good social environment between colleagues.Keywords: factors outside of work, health office, individual factors, work factors, work stress

Evaluation of the Implementation of the Youth Care Health Service Program in the West Lingkar Health Center of Bengkulu City

Background: One of the strategies to overcome adolescent problems is the formation of the Youth Care Health Service Program or Pelayanan Kesehatan Peduli Remaja (PKPR). PKPR itself is a health service program aimed at adolescents and is a forum for overcoming adolescent problems. This study aimed to analyze the implementation of the PKPR program in the working area of the West Lingkar Health Center. Method: This research was a qualitative descriptive study conducted in March-April 2021. The methods used were observation and in-depth interviews with seven informants: the person in charge of the PKPR program, health workers, peer counselors, and youth participating in PKPR. Results: The results showed that the PKPR program was aligned with the 2014 standard guidelines. This research was done inside and outside the health center by collaborating with PKPR's person in charge and the health team based on the Decree of PKPR implementation. PKPR program is held in three schools in the working area of the West Lingkar Health Center and provides services such as health checks, counseling, and education about youth health. The peer counselor training subprogram has fulfilled the standard 10% of the target schools. PKPR is fully funded by the Special Operational Assistance or Bantuan Operasional Khusus (BOK) fund. Recording and reporting were done every two to three months to the public health office. Monitoring was reported during the activities, while the evaluation report is annual. This research discovered the availability of counseling rooms and related references about communication, information, and education books on PKPR. This research had collaborated with cross-sectors such as schools and the National Antinarcotics Agency. Conclusion: Implementation is under PKPR guidelines, but overall it was still not optimal. There was no regular socialization of PKPR, especially for youth who did not attend school.

Systems and mechanisms to develop health volunteers for the health of immigrant workforce in Ubon Ratchathani, Thailand

Purpose This study aims to examine the systems and mechanisms at provincial level to develop health volunteers to improve health of the immigrant workforce in Ubon Ratchathani, Thailand. Design/methodology/approach This qualitative study collected data from document research and in-depth interviews with 22 concerned people who worked at policy and provincial levels to develop health volunteers to improve the health of immigrant workforce. Data were collected from May to July 2017. Then, content of the conceptual framework was analysed. The research objectives were examined and summary and induction analysis interpreted data from documents, observations and interviews. Findings Ubon Ratchathani has developed a Thai village health volunteer network to provide health care to immigrant workforce. This consisted of four systems and one supporting mechanism, namely, selection of health volunteer, knowledge management on primary health care, welfare management and moral enhancement and resource and budget support. Development is driven through the committee under the mechanisms of government agencies, i.e. the provincial public health office together with non-government organizations and network partners. Originality/value The findings from this study could help develop health volunteers to significantly improve the health of the immigrant workforce in the Thai health service system.

Analysis Of Family Support And Diet Compliance In Hypertension Patients

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p>Hypertension is a disease that suffered by many people in the world, including in Indonesia. Patients with hypertension must make a diet to consume foods that can increase the sufferer's blood pressure. A hypertension diet is one of the important factors in maintaining the health of hypertension sufferers to prevent disease complications. This study aimed to analysis family support, and compliance with hypertension diet in hypertensive sufferers.</p><p>This study used a cross-sectional design conducted in the Hulu Village of Pancur Batu Public Health Center, Deli Serdang Regency. The sample size in this study was the entire population, namely hypertension sufferers. Sample (saturated sample), so that the total sample is 108 people. This study will conduct a Prevalent Rate (PR) analysis to see the risk of dietary adherence in hypertensive patients.</p><p>This study showed family support in the category of bad as many as 85 people (78.7%), the implementation of hypertension diet in the non-compliant category as many as 76 people (70.4%) and adhered to the implementation of hypertension diet as many as 32 people (29.6%). of avoided foodstuffs (hypertension triggers) it is known that for this type of foods high in cholesterol is (a) grilled/boiled meat, which is as much as 76 people (70.4%), (b) meat or chicken skin, which is as much as 55 people (50.9%), and (c) chicken yolks, which is as many as 67 people (62.0%). The type of food high in Sodium is; chips, which is as many as 55 people (50.9%).</p><p>Pancur Batu Public Health office, seeks to increase counselling about hypertension diet, namely recommended foodstuffs, restricted foodstuffs, avoided foodstuffs and carried out continuously in place and the right time. Families to increase knowledge about the primary prevention of hypertensive diseases so that they can conduct prevention independently and provide motivation (support) to hypertension sufferers to implement the hypertensive diet</p><p> </p></td></tr></tbody></table></div>

Sistem Informasi Geografis Pemantauan Status Gizi Balita di Kabupaten Lombok Barat untuk Pemeringkatan Daerah Rawan Gizi dengan Menggunakan Metode Analytical Hierarchy Process

This research was triggered by the increasing number of malnutrition cases in West Lombok Regency that caused the mortality rate of children under five years old is also increasing. This research is aimed to provide the malnutrition status information and other related nutritional information, also to let the citizen send their feedbacks to the Public Health Office and Community Health Clinic. This system was built with waterfall model as its System Development Method and Analytical Hierarchy Process (AHP) method to determine the nutritional areas. This system was tested with blackbox, whitebox and MOS. Whitebox was used to test the Analytical Hierarchy Process and the result was corresponding to the manually done calculation. Meanwhile the testing using blackbox showed that the system has been running well. The testing using MOS showed that the average assessment of public respondents to the system stated strongly agree, agree and fair were 39.04%, 55.24%, and 5.72% respectively

Tick-Borne Encephalitis Vaccination Protects from Alimentary TBE Infection: Results from an Alimentary Outbreak

In May 2017, a hospitalized index case of tick-borne encephalitis (TBE) was confirmed by Serology. The case was linked to alimentary infection by raw milk from a goat farm in the region of Tübingen, Baden-Württemberg, Germany, where no previous TBE cases in the area had been reported before. The TBE focus was confirmed by isolation of the TBE virus from ticks and Serological confirmation of past infection in one of the five flock goats. Additional investigations by the local public health office identified 27 consumers of goat milk at the putative period of exposure. For 20/27 exposed persons, anamnestic information was gained by the local public health office. Twelve/fourteen exposed and non-vaccinated people developed clinical illness and were confirmed as TBE cases by Serology. Five/six vaccinated and exposed people did not develop the disease. The one exposed and vaccinated person had their last TBE vaccination booster more than 15 years ago, and therefore a booster was more than 10 years overdue. None of the regularly vaccinated and exposed persons developed clinical overt TBE infection. We report the first known TBE outbreak, during which, protection by TBE vaccination against alimentary TBE infection was demonstrated.

Systems and mechanisms to develop health volunteers to improve the health of the immigrant workforce in four Thailand provinces

PurposeThe purpose of this study was to investigate the provincial-level systems and mechanisms to develop health volunteers to improve the health of the immigrant workforce in Thailand.Design/methodology/approachThis qualitative study obtained data from document research, in-depth interviews with 58 people involved at policy and provincial levels working to develop health volunteers to improve the health of the immigrant workforce. Data were collected from May–October 2017; then the content of the conceptual framework was analyzed, the research objectives were examined and summary and induction analysis interpreted data from documents, observations and interviews.FindingsThailand has four systems for developing health volunteers to improve the health of the immigrant workforce: recruitment, training and knowledge management, welfare and motivational and financial and other supportive resources. Development is driven through the mechanisms of the Provincial Public Health Office with Non Governmental Organizations (NGOs) and network partners. The health volunteer development exhibits two patterns: developing migrant workers to become migrant health volunteers and developing village health volunteers to perform health care for the immigrant workforce. All development patterns mainly rely upon the regular operating budget, which is often inadequate. Frequently, some provinces make attempts to seek other funding sources. In fact, health volunteer development is subjected to local authorities of the four provinces whose systems and mechanisms of development differ from one another.Originality/valueThe findings from this study could help develop health volunteers to significantly improve the health of the immigrant workforce in the Thai health service system.