The Implementation of AIDS Care Community (ACC) Work Program as an Efforts for Handling HIV / AIDS Cases in Poncol Community Health Center Work Area

Introduction: Semarang City has the highest number of HIV / AIDS cases in Central Java. Several attempts to control HIV / AIDS cases, such as the organization for AIDS that is named after AIDS Care Community (ACC) in every village scope. The purpose of this study is to describe the implementation of the ACC program in Poncol Community Health Center.Methods: This is a descriptive research, uses qualitative methods using in-depth interview for data collection techniques. There are 9 informants who are selected by using purposive sampling method. Data is analyzed using descriptive method. The process of data analysis begins with collecting data, and then reducing the data that has been generated. After that, the data are presented and concluded.Results: The results show that the implementation of ACC program in the work area of Poncol Community Health Center is assisted by Poncol Puskesmas. There is 1 ACC out of 9 ACC that is actively implementing the ACC program while the others are not running well. It is found that low capacity of ACC members, lack of funds, low of support from the local government (village), low community support, inadequate facilities and infrastructure that affect the implementation of ACC programs. Therefore, the output is not achieved optimally.Conclusions: The implementation of the of the ACC program in Poncol Community Health Center work area has not been running optimally. Support from all parties is needed, including from the members of the ACC, local government, AIDS commission, and the community in order to achieve the ACC goals.

Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved.

A Qualitative Inquiry into Rural Primary Schooler's Hygiene during the Covid-19 Pandemic in Kupang regency, East Nusa Tenggara Province, Indonesia

Introduction: The importance of personal hygiene in preventing the spread of infection cannot be underestimated. Handwashing is an essential aspect of personal hygiene, especially among children. This study aimed to explore primary school students' hygiene in rural and remote areas in the Kupang regency. Methods: This study was conducted as a part of the end line evaluation of the MEMBACA II project. Teachers from four primary schools in three villages were purposively selected to participate in this study. The teachers were recruited from the participant schools of the MEMBACA II Project. Data was collected using phone interviews. Data were analyzed using inductive thematic analysis. Results: In total, there were 31 participants across four primary schools interviewed. The participants consisted of teachers, village leaders, village reading camp facilitators, and school supervisors. Participants were recruited as a proxy for providing information about students' hygiene. There were three themes identified as a result of the data analysis. The first theme is an improvement in children’s hygiene behavior. The second theme is the benefit of the little doctor program in children’s hygiene practices. The third theme challenges in children’s hygiene promotion and education. Overall, children were used to handwashing practices. They understood the importance of handwashing, especially during the Covid-19 pandemic. They were also aware of four essential times of handwashing. However, the adults perceived the need for handwashing equipment and access to clean water were the main challenges to maintaining students' hygiene. Conclusion: The study demonstrated the significance of regularly teaching children about handwashing in making handwashing habits among these youngsters. A continuing provision of health literacy and access to clean water is required to maintain hygiene behavior

The Effectivity of Solid Medical Waste Management in Pandemic Era

Introduction: The increasing of confirmed positive case of SARS-Cov-2 Virus impacts to the need for improvement of health services, especially to the health workers and medical equipment. Along with the importance of regarding need of health service, it causes the rise number of medical waste that leads to health problem crisis. Therefore, this article presents common insight of the effectivity and challenge of medical waste management in Covid-19 pandemic.Methods: The notion is gained by finding out the source database from Pubmed, ScienceDirect, Google scholar, Researchgate that classified based on the research purpose. The keywords used were: (1) Covid-19 and medical waste; (2) pandemic solid waste; (3) waste and Covid-19; (4) management and pandemics.Results: An effective method to be applied is sterilizer technology, such as VH2O2 dan Stryker STERIZONE VP4, and the development of late waste respirator with the pyrolysis process. The method and the management process is considered, either nationally or internationally, as effective, but still we found challenge to implement the method, as lack of socialisation and support from the functionary. Conclusion: the method management can be implemented in the various countries, based on the needs and capability.

A Study on The Healthy Rental-Housing for College Students According to World Health Organization: Evidence from Surabaya City in Indonesia

Introduction:Many college students live far from their parents to study to get a better higher education, so they occupy a rental-housing. However,many rental-housings do not meet the health standards according to the World Health Organization (WHO). Therefore, this study aiming at evaluating the rental-housing quality used by college students in Surabaya, Jawa Timur, Indonesia.Methods:This type of research is an observational study conducted with a descriptive observational design. The sample in this study was 52 college students who originated from outside Surabaya and currently living in the rental-housing in Mulyorejo, Surabaya, Indonesia.Results:The results present observational data from 52 student respondents who live in boarding houses including the overview of boarding houses condition, ventilation and air circulation condition, trash management, clean water and wastewater management, and toilet condition.Conclusion: Under the circumstance, this study was conducted to assess healthy rental-housing quality for college students, using the WHO's evaluation indicators. While some college students could afford to stay in proper and healthy rental-housing, some of them still suffer from lousy ventilation, the absence of clean water, and terrible trash management.

Effectiveness Analysis of Single Dose Rifampicin-Post-Exposure Prophylaxis (SDR-PEP) as A Preventive Intervention for Leprosy Transmission: A Systematic Review of Randomized Controlled Trials

Introduction: Leprosy is a skin disease that reaches 200,000 cases annually. Considered a neglected tropical disease, 80% of annual leprosy remained in countries such as Brazil, India, and Indonesia. Multi-drug treatment is effective in curing leprosy but ineffective in preventing further transmission. The implementation of large-scale single dose rifampicin-post exposure prophylaxis suggests the inhibition of leprosy transmission and thus needs validation.Methods: This systematic review was carried out based on the PRISMA statement from multiple databases using set keywords. A total of 646 studies were identified, followed by 4 randomized controlled trials included after screening.Results: 86,502 subjects were divided into control and interventional groups and were to be followed up in 2-6 years. Most studies showed a significant decrease of leprosy cases by 50-60%. Furthermore, a complementary effect between single-dose rifampicin-post exposure prophylaxis and Bacillus Calmette–Guérin vaccine was identified. Moreover, the cost-effectiveness of the intervention was analyzed which resulted in IDR 80,414,775 being averted in its 25th year of implementationConclusion: The review established promising results of implementing single dose rifampicin-post exposure prophylaxis to prevent leprosy transmission. Further national scale intervention with a multi-layered approach is suggested to ensure full support and continuity of the large-scale intervention

Microplastic Pollution in Waters and its Impact on Health and Environment in Indonesia: A Review

Introduction: Microplastics have become a pollution problem that has received worldwide attention. Microplastics in the water impact the environment and health, especially in Indonesia, which is the second-largest plastic waste contributor in the world. This literature study aims to determine the distribution of microplastics pollution in waters and its impact on health and the environment in Indonesia.Methods: The literature search on papers from 2010-2021 through Google Scholar, Pubmed, ScienceDirect, and ProQuest, with the keywords of ‘Microplastics’, ‘Indonesia’, ‘aquatic’, ‘environment’ found 477 articles. Then, after the exclusion of duplicate articles, and other inclusion criteria, the final review was done on 42 articles. PRISMA guidelines were used for reviewing the procedure.Results: Most microplastic research was conducted in Java Island, which is dominated by rivers and beaches. Based on the source, microplastics came from domestic waste, tourism, and fishing activities. The most common forms found were black and blue fibers from fishing lines, nets, and clothing fibers of various sizes. The type of polymer identified is polyethylene plastic. Microplastics impacted tourist destinations, marine ecosystems through the food chain, and also humans who consume seafood.Conclusion: Microplastics are found in the Indonesian marine environment. Humans can consume seafood contaminated with microplastics, which will have an impact on health. Therefore, a health risk assessment should be done to provide information for taking environmental management efforts.

Risk of Psychiatric Problems for People with Negative Psychosocial Impacts in Compared to Positive Attitude during Covid-19 Pandemic: A Systematic Review

Introduction: COVID-19 pandemic has negative or positive psychosocial impacts on society. Fear, uncertainty, insomnia, depression, anxiety, and suicide are the negative psychosocial impacts. These psychosocial impacts may cause psychiatric problems. This paper aims to describe the risk of psychiatric problems for people with negative psychosocial impacts in comparison to positive attitudes during the COVID-19 pandemic.Methods: This systematic literature review used these keywords: ‘fear’, ‘uncertainty’, ‘COVID-19’, ‘psychiatric problem’ , and ‘society’. The search engines used were PubMed and Science Direct. There were 302 papers from PubMed and 134 papers from Science Direct at the beginning. To ascertain the quality of the selection, the process was done twice. Narrative reviews were excluded. Finally, 19 manuscripts were selected for review. PRISMA guidelines were used in the reviewing procedures.Results: From 18 cross-sectional studies and one randomized control trial, it was found that females and the elderly are prone to anxiety and depression. Other risk factors are low income, signs of infection, previous contact history with COVID-19 patients, too much information about COVID-19, and pseudoscientific beliefs. Positive protective factors are good self-talk skills, coping strategy mechanisms, compliance with the rules, and a high level of mental resilience.Conclusion: Anxiety and depression prevention related to Covid-19 can be done through strengthening the positive protective factor and minimize the risk factors. COVID-19 pandemic should be seen as an opportunity to strengthen positive mental attitudes.

Spatial Analysis of Environmental Factors with the Existence of Filariasis Vectors in Brebes Regency

Introduction: Ketanggungan District is one of the endemic filariasis areas in Brebes Regency since 2016 with a Microfilaria Rate >1%. Filariasis is an infectious disease that attacks the lymph nodes caused by filarial worms and is transmitted by mosquitoes. Environmental factors can affect the transmission of filariasis, which will provide a resting place and breeding place for mosquitoes. Therefore, this research aimed to describe the existence of filariasis vectors and environmental factors that can be seen spatially.Methods: The research was a descriptive observational/ exploratory study using the Geographical Information System (GIS) approach. Data collection was carried out by entomological surveys, subject points sampling, and research objects using GPS. Data were analyzed spatially by Geographic Information Systems (GIS).Results: Culex quinquefasciatus was the type of mosquito which had the highest distribution in the Karangmalang District. The mosquitos were found at sewers, puddles, shrubs, and cattle pens. The vectors can be found within a distance of 29 m to 2 km from filariasis cases.Conclusion: Culex quinquefasciatus may be the vector of filariasis in the Ketanggungan District, with the most environmental factors found in Dukuhturi Village.

Analysis On Village Readiness In The Acceleration Of Open Defecation Free Achievement Status Based On Stimulus, Organism, And Response Approach

Introduction: Open Defecation Free (ODF) is a condition in the community that has carried out total sanitation and does no more Open Defecation (OD). Dukuh Village was chosen as the research location because it was a village with the highest OD in Ngadiluwih, Kediri. This high rate of OD is caused by a lack of public awareness about the importance of sanitation. This research was conducted to analyze the village readiness to accelerate ODF status in Dukuh Village.Methods: This study was done in a qualitative method with a single holistic case study design using Stimulus-Organism-Response theory. The key informants of this study were five persons:1) the Head of Dukuh Village, 2) the environmental health officer of Wonorejo Community Health Center, 3) Dukuh Village community leader and 4) the community representatives who still defecated, and 5) no more defecated in an open area after triggering activities. They were selected purposively. Data were collected through in-depth interviews, Focus Group Discussion, and documents review. Data analysis was done through the Spradley model, scoring and categorizing village readiness using the scales of Aydin and Tasci.Results: Five main problems were the lack of funds for the ODF program, poor socialization, low Clean and Healthy Behavior, lack of roles from community leaders, and limited land for latrine construction. Based on the analysis of village readiness in achieving the ODF program using the Aydin & Tasci scale, the obtained score was 2.1. This score indicated that Dukuh Village was not ready yet and a lot of system improvements[h1] were needed.Conclusion: Dukuh Village was not ready yet for the ODF program and need a lot of system improvements. It was recommended to make village policies, create working groups, and maximizing socialization.