! The!1st!International!Conference!on! Public!Health!2018! (ICPH 2018)

Book of Abstract

The Indonesian Public Health Association, Southeast Province (IAKMI SULTRA)

! i! The$1st$International$Conference$on$ Public$Health$2018$ (ICPH 2018)

Book of Abstract

The Indonesian Public Health Association, Province (IAKMI SULTRA)

! i! The$1st$International$Conference$on$ Public$Health$2018$ (ICPH 2018)

© IAKMI SULTRA 2018 | Book of Abstract ICPH 2018

IAKMI SULTRA Gedung FKM Universitas Halu Oleo , Jl.H.E.Mokodompit, Anduonohu Kendari, Sulawesi Tenggara. Email: [email protected]

Editor: Ramadhan Tosepu & Joko Gunawan Layout: ICPH Team

First Edition 2018 X, 178 pages; 176 x 250 mm

Copyright 2018, by IAKMI SULTRA. All rights reserved. This book is protected by copyright. No part of it maybe reproduced, stored in retrieval system, or transmitted, in any form or by any means- electronic, mechanical. Photocopy, recording, or otherwise-without the prior written permission of the publisher, except for brief quotations embodied in critical articles and reviews and testing and evaluation materials provided by publisher.

! ii! Congratulatory Message

Congratulations to all participants who have been selected in the 1st International Conference on Publich Health 2018. This conference occurs because the rapid changes in globalization, which impact lives & health of people around the world, and this surely become our responsibility to maintain the health of human kind.

The 1st ICPH 2018 is a public health academic forum aimed at discussing the future of public health development. The conference brings together experts, academics, and health researchers to collaborate on various public health topics. This conference is also very good for the participants to greet the findings in the form of posters and oral presentation.

I thank the committee of Indonesian Public Health Association, Southeast Sulawesi Province for making this event successful. I extend my welcome to all of you who join the event.

Ramadhan Tosepu, SKM, M.Kes, PhD Chairman of the Indonesian Public Health Association, Southeast Sulawesi Province

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! iii! Committee

International Committees 1. Dr. Ridwan Mochtar Thaha, MSc, The Indonesian Public Health Association 2. Prof. Kyungho Choi, Seoul National University, South Korea 3. Assoc. Prof. Kraichat Tantrakarnapa, Mahidol University, Thailand 4. Ramadhan Tosepu, SKM.,M.Kes,Ph.D, University of Halu Oleo, 5. Dr. Nani Yuniar,S.Sos.,M.Kes, ,Ph.D, University of Halu Oleo, Indonesia 6. Dr. H. Abdul Aziz Harun, M.Kes, STIKES Karya Kesehatan, Indonesia 7. Dr. Al Asyari, SKM.,MPH, Universitas Muhammadiyah Prof. Dr. Hamka, Indonesia 8. Askrening,SKM.,M.Kes, Poltekkes Kemenkes Kendari, Indonesia 9. Dr. Suriana Koro,SP.,M.Kes, Poltekkes Kemenkes Kendari, Indonesia 10. Dr. La Banudi,S.ST.,M.Kes, Poltekkes Kemenkes Kendari, Indonesia 11. Dr. Kartini, M.Kes, Poltekkes Kemenkes Kendari, Indonesia 12. Muliati Dolofu, SKM, Poltekkes Kemenkes Kendari, Indonesia 13. Dr. Nurmiati, M.Kes, Poltekkes Kemenkes Kendari, Indonesia 14. Dr. Fatmawati, M.Kes, Poltekkes Kemenkes Kendari, Indonesia 15. Dr (PH). Tasnim, SKM,.MPH, STIKES Mandala Waluya, Indonesia 16. Dr. Erwin Azizi Djayadipraja DM.,SKM.,M.Kes, STIKES Mandala Waluya, Indonesia 17. Dr. dr. Asriani, M.Kes, Faculty of Medicine, University of Halu Oleo, Indonesia

Organizing Committees La Ode Ali Imran Ahmad, SKM., M.Kes Dedi Indrawan Saputra, SKM Abdul Rahim Sya’ban, SKM.,M.Sc La Ode Kurniawan Hattu, SKM Amrin Farzan, SKM.,MM Andi Ferdian, SKM Rini, SKM Sartini Riski MS. SKM.M.Kes. Wa ode Rahmatia, SKM Asrun Salam. SKM.,M.Kes Sri Damayanti, SKM.,M.Kes PitrahAspian, S.Sos.,M.Sc Arif Pawenari Muhammad, SKM.,M.Kes Syawal K Saptaputra, SKM.,M.Sc Iriyanto Pagala, SKM.,M.Kes Rosmawati Rasyid, SKM.,M.Kes Dian Yuniar Syanti Akzi, SKM., MPH Rahayu.,SKM.,M.Kep Masuri Posimbi, SKM.,M.Kes Hasrina, SKM Hartati Bahar, SKM.,M.Kes Virginia Ivonela, SKM.,M,Kes Reni Yunus,S.Si.,M.Sc Jummu Huwriyati, SKM.,M.Kes Agus Darfin, SKM Lisnawati, SKM.,M.Kes Sabril Munandar, SKM.,M.Kes Fitri Rachmilla Fadmi, SKM.,M.Kes Lade Albar Kalza, SKM., MPH Hariati Lestari, SKM.,M.Kes La Ode Ahmad Saktiasyah, SKM., MPH Fikki Prasetya,SKM.,M.Kes Iksan Akbar,SKM.,M.Kes Anita Rosanty,S.ST.,M.Kes Sukirno,SKM Ririn Teguh Ardiansyah, SKM.,MPH Rosnah,STP.,MPH. Hestiawati,SKM

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! iv! HAZE! EPISODE! AND! LESSON! LEARNT! FROM! THAILAND!

Kraichat Tantrakarnapa

Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University

The changings of environmental situations in Thailand, and other AEC countries are critical issues. HAZE episode is one aspect of environmental change that is an additional burden affecting human health and the socio- economics. Normally, haze episodes in the upper north of Thailand are always happened in the dry season, other areas are rarely detected except the southern part of Thailand due to the transboundary effects. Haze episode in southern part are always detected during August to September of each year.

In Thailand, and other AEC countries, HAZE is an additional burden affecting human health and the economies. The haze situation has affected the transport, tourism, society, and the economy in the affected areas causing the number of tourists to drop while threatening the health of the general public who are forced to continue their daily lives under such an unhealthy environment, with heightened health risks to people with low immunity such as elders and children. It may cause the increasing rate of death 4.5% from all causes. 9.8% of death from respiratory disease, 3.9% cardiovascular and blood diseases, and increased mortality rate 5.4% for aging above 65 years old, especially those who have problems with respiratory allergies such as asthma before emphysema and heart disease. The haze originates from a number of sources, for example, biomass burning after harvesting, forest fire, open-burning, urbanization, and land-use conversion.

National Research Council of Thailand (NRCT) has a policy to minimize the impacts from haze, as being a research funding agency. NRCT provided the research budget for Research University Network (RUN) in Thailand to conduct the research to eradicate or minimize the haze. The research fund has been conducted as “Haze Free Thailand” and has been classified into 5 categories namely; (1) Supply chain management of alternative agricultural products (2) Health impacts (3) Haze dispersion modeling and health impacts (4) Monitoring system development and, (5) Curriculum development for haze management. All research team have been working in the communities and desk work as the first year conducting. The research indicators in each year were created for three consecutive years.

The first year results indicated that the haze episode solution is complicated and need more collaboration among the stakeholders. Number of hot spots in

! v! the first year (2017) was decreased compare to the previous years. In addition, the exceeded particulate matter concentration (PM10) days were also decreased in the concern areas. However, it is complicate to determine that the reduction of particulate matters was directly the consequence of these 5 projects since there are many organization both in local and central to contribute their tasks and work together. Research and transforming the research to implementation are one significant aspect to solve the problem and integrating system among the stakeholders are the role of haze solution. The research should be interdisciplinary encompassing all angles of environmental change and haze. Scientific information is required to support policy maker and people awareness.

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! vi! ENDOCRINE!DISRUPTING!CHEMICALS!AND! CHALLENGES!IN!PUBLIC!HEALTH!

Kyungho Choi

Environmental Toxicology Department of Environmental Health Sciences School of Public Health, Seoul National University, Seoul, Korea Email: [email protected]

Human societies cannot be thought of without chemicals. Dependence on chemicals has ever grown in numerous aspects of our lives. While chemicals are developed for specific use and benefits, their side effects have also been identified as well. Most of the side effects are suspected to occur without being recognized. It is therefore one of greatest challenges of public health to identify and manage hazardous chemicals and to help society choose and use safer alternatives. It is often extremely difficult to understand links between chemical use and diseases. That is because we are exposed to a myriad of chemicals often at very low doses for long time, in modern societies. Exposure among is difficult, and linking exposure to adverse health consequences is even more difficult. Endocrine disrupting chemicals (EDCs) are chemicals that can interfere with normal endocrine function and cause adverse effects on individuals, their progenies, or even populations. These chemicals are suspected to be linked with numerous ‘modern’ diseases that cause serious public health and societal impacts. In this talk, I will introduce what EDCs are, what EDCs do on humans and ecosystem, and several challenges in tackling EDCs issues will be discussed. Then, I would like to share possible approaches to address such challenges. !

! vii! Global&Health&Issues&&&The&Future&of&Public&Health&

Table of Contents

RELATIONSHIP OF PREGNANCY EXCERCISE WITH BIRTH WEIGHT IN PALANGKA RAYA ...... 10

ANTHROPOMETRIC MEASUREMENT ANALYSIS AT 6-12 YEAR-OLD CHILD IN SLUM AREA OF LANDONO PUBLIC HEALTH CENTER AREA ...... 11

ENABLING FACTOR RELATIONSHIP TO BREAST FEEDING WITH THE NUTRITIONAL STATUS OF THE BABY AT MAKASSAR ...... 12

THE INFLUENCE OF TRAINING EDUCATION NUTRITION TOWARDS KNOWLEDGE HIGH SCHOOL TEACHERS OF PRE-DIABETES ...... 13

RISK FACTOR FOR STUNTING AMONG INFANTS AGED 6-12 MONTHS ...... 14

ANALYSIS OF EXCLUSIVE BREASTFEEDING AND NON-EXCLUSIVE BREASTFEEDING ON BODY WEIGHT OF BABY 0-6 MONTHS OLD AT THE AREA OF POASIA HEALTH CENTRE, KENDARI CITY, SOUTH EAST SULAWESI PROVINCE IN 2017 ...... 15

THE DEVELOPMENT OF INSTRUCTIONAL MATERIALS FOR ADVANCED DIETETICS COURSE AS LEARNING SUPPORT FOR STUDENT IN DIPLOMA III OF NUTRITION, HEALTH POLYTECHNIC OF HEALTH MINISTRY OF KENDARI ...... 16

STRESS MANAGEMENT FACTOR AND OBESITY IN SENIOR HIGH SCHOOL TEACHERS IN KENDARI MONICYPALITY ...... 17

EFFECT OF BOOKLET NUTRITION COUNSELING TOWARDS KNOWLEDGE, ATTITUDE AND NUTRIENTS INTAKE AMONG ANEMIC TEENAGE GIRLS AT SMAN 1 KENDARI ...... 18

EFFECT OF BALANCE NUTRIENT TRAINING IN INCREASING NUTRITIONAL STATUS OF CHILDREN AGED 0 – 24 MONTHS IN ANDOWIA PUBLIC HEALTH CENTER OF ANDOWIA DISTRICT, NORTH ...... 19

CONCEPT OF FOOD SELECTION: AN EXAMPLE FROM COASTAL COMMUNITY IN TALIA VILLAGE IN KENDARI CITY, INDONESIA ...... 20

MODEL OF MIDWIFERY SERVICES TO DECREASE MATERNAL AND INFANT MORTALITY RATE IN BAJO TRIBE OF SOUTHEAST SULAWESI PROVINCE ...... 21

RELATIONSHIP OF A HUSBAND SUPPORT WITH THE IMPLEMENTATION OF EARLY INITIATION OF BREASTFEEDING IN MOTHERS IN THE WORKING AREAS OF HEALTH CENTER POA KOTA KENDARI ...... 22

NEEDS ASSESSMENTS OF MIDWIVES IN PUBLIC HEALTH CENTER (PUSKESMAS) AT SUKABUMI MUNICIPALITY, PROVINCE OF JAWA BARAT, INDONESIA ...... 24

ROLE OF POSYANDU CADRES IN EFFORTS TO IMPROVE POSYANDU UTILIZATION IN THE WORK AREA OF MOKOAU PUBLIC HEALTH CENTRE IN 2017 ...... 25

EFFECT OF SPIRITUAL LEADERSHIP ON THE IMPROVEMENT OF COMMITMENT HEALTH WORKERS IN SULTAN AGUNG SEMARANG ISLAMIC HOSPITAL ...... 26

THE IMPACT OF REGIONAL EXPANSION TO THE PUBLIC SERVICE QUALITY IN HEALTH CARE: A CASE STUDY IN WEST MUNA ...... 27

A PSYCHOGRAPHICAL STUDY IN THE SELECTION AND USE OF CONTRACEPTION TOOLS IN BAJO INDAH VILLAGE, KONAWE DISTRICT ...... 28

EVALUATION OF INTERSECTORAL COORDINATION MECHANISM WITH A HEALTHY CITY FORUM (FKS) ON THE HEALTHY CITIES PROGRAM IN THE CITY OF YOGYAKARTA ...... 29

FACTORS RELATED WITH THE PERFORMANCE OF THE SECOND CLASS OF PORT HEALTH OFFICE EMPLOYEES OF KENDARI ...... 30

FACTORS AFFECTING THE WILLINGNESS TO PAY IN PATIENTS IN THE INPATIENT WARD OF ABUNAWAS GENERAL HOSPITAL KENDARI ...... 31

RELATIONSHIP OF MOTHER KNOWLEDGE WITH BREAST CARE TREATMENT IN BAHTERAMAS HOSPITAL SULAWESI TENGGARA ...... 32

THE$1ST$INTERNATIONAL$JOURNAL$ON$PUBLIC$HEALTH$2018$ 1! ! Global&Health&Issues&&&The&Future&of&Public&Health& ! RELATED QUALITY OF HEALTH SERVICES LOYALTY GENERAL HOSPITAL PATIENTS IN GENERAL HOSPITAL OF CITY KENDARI 2016 ...... 33

HEALTH SERVICE QUALITY REVIEW ON PATIENTS WITH JAMKESMAS AT LAMBANDIA COMMUNITY HEALTH CENTER KOLAKA ...... 34

THE STUDY OF INTERNAL MONITORING OF THE NATIONAL HEALTH INSURANCE AT LOCAL GENERAL HOSPITAL OF ABUNAWAS KENDARI MUNICIPALITY IN 2014 ...... 35

RELATIONSHIP OF QUALITY OF HEALTH SERVICE WITH OUTPATIENT SATISFACTION AT HEALTH CENTER OF POASIA KENDARI CITY ...... 36

FACTORS RELATED TO THE INCIDENCE OF UPPER RESPIRATORY INFECTION IN INFANTS IN THE WORKING AREA OF MOWILA HEALTH CENTER, KABUPATEN KONAWE SELATAN ...... 37

FACTORS ASSOCIATED WITH A DECREASE IN THE PERFORMANCE OF HEALTH WORKERS IN PAMANDATI HEALTH CENTER OF ...... 38

FACTORS RELATED TO PATIENT SATISFACTION AT PUBLIC HEALTH CENTER OF LALOLAE KABUPATEN KOLAKA TIMUR ...... 39

FEEDING PRACTICES AND FOOD CONSUMPTION IN NUTRITIONAL STATUS UNDER TWO YEARS ON ETHNIC TOLAKI AT EAST KOLAKA IN SOUTHEAST SULAWESI PROVINCE ...... 41

KNOWLEDGE AS A DETERMINANT OF COLOSTRUM GIVING ON NEWBORN BABY AT PUBLIC HEALTH CENTER OF POASIA IN KENDARI CITY OF SOUTHEAST OF SULAWESI IN 2015 ...... 42

COMPARISON OF DISCOURSE AND DISCUSSION METHOD IN IMPROVING KNOWLEDGE ABOUT ADOLESCENT REPRODUCTIVE HEALTH IN MIDWIFERY ACADEMY OF SANDI KARSA MAKASSAR .. 43

RELATIONSHIP OF KNOWLEDGE, EDUCATION AND FAMILY INCOME WITH CHILDREN NUTRITIONAL STATUS IN MOTAHA HEALTH CENTER OF SOUTH KONAWE DISTRICT ...... 44

PATIENT SATISFACTION AND ITS CORRELATION WITH RELIABILITY, RESPONSIVENESS, AND SSURANCE AND EMPATHY IN OUTPATIENT WARD OF GENERAL POLYCLINIC OF BHAYANGKARA HOSPITAL KENDARI ...... 45

FACTORS THAT RELATED WITH MOTIVATION OF ELDERLY TO VISIT TO POSYANDU FOR THE ELDERLY IN THE WORKING AREA POASIA HEALTH CENTER OF KENDARI ...... 46

THE RELATIONSHIP BETWEEN HEALTH CARE QUALITY AND PATIENT SATISFACTION IN THE OUTPATIENT UNIT IN THE PUBLIC HEALTH CENTER OF KAPOTA IN SOUTHERN DISTRICT OF WANGI- WANGI WAKATOBI ...... 47

IMPLEMENTATION OF POLICY ON HEALTH OPERATIONAL COST AT HEALTH DEPARTEMENT OF PALU ...... 48

COMPARISON LEVEL OF ENERGY, PROTEIN, FAT AND CARBOHYDRATES CONSUMPTION ON NUTRITIONAL STATUS IN ATHLETES OF TAKRAW AND CHESS IN THE NATIONAL SPORTS COMMITTEE OF INDONESIA, SOUTH-EAST SULAWESI ...... 49

THE INFLUENCE OF FOOD SERVICES INPATIENT SATISFACTION IN HOSPITALS BHAYANGKARA KENDARI ...... 50

FACTORS RELATED WITH THE ROLE OF THE KADER FOR IMPROVING COVERAGE OF HEALTHY LIFE BEHAVIOR HOUSEHOLD IN THE WORKING AREA OF PUBLIC HEALTH CENTER KONAWE SELATAN REGENCY ...... 51

QUALITATIVE STUDY OF NATIONAL HEALTH INSURANCE IMPLEMENTATION BY HEALTH CARE AND SOCIAL SECURITY AGENCY IN TINANGGEA DISTRICT OF SOUTH KONAWE REGENCY . 52

PERFORMANCE OF HEALTH OFFICIAL IN PUBLIC HEALTH CENTER OF PASARWAJO IN REGENCY, SOUTH EAST SULAWESI ...... 53

RELATIONSHIP BETWEEN LEADERSHIP BEHAVIOR OF HEAD NURSES AND WORK MOTIVATION OF STAFF NURSES IN THE GENERAL HOSPITAL OF NORTH ...... 54

GEOGRAPHICALLY WEIGHTED REGRESSION (GWR) APPROACH In MALNUTRITION MODELING AND FACTORS AFFECTING In MUNA DISTRICT ...... 55

BIOMONITORING: CADMIUM AND PLUMBUM CONCENTRATION IN SHELL AND FISH ON AMBON BAY ...... 57

2$ THE$1ST$INTERNATIONAL$JOURNAL$ON$PUBLIC$HEALTH$2018! ! Global&Health&Issues&&&The&Future&of&Public&Health&

EXTEND STUDY OF CORAL REEF USING REMOTE SENSING IN THE MOLAWE BAY OF BEFORE, DURING AND AFTER NICKEL MINING AROUND MOLAWE BAY ...... 58

COLIFORM ANALYSIS AND PATHOGENIC BACTERIA DRINKING WATER CONTENT AT MANDONGA DISTRICT ...... 59

NON CANCER AND CANCER RISK ASSESSMENT FROM PM10 AND PAHS DURING HAZE EPISODE IN CHIANG MAI AND CHIANG RAI, THAILAND ...... 60

CHARACTERISTICS OF PARTICULATE MATTER (PM2.5) CONCENTRATION DURING HAZE EPISODE IN CHIANGMAI PROVINCE DURING 2013-2016 ...... 61

FACTORS ASSOCIATED WITH HEALTH AND SAFETY (K3) IN EMPLOYEES OF PT. PRIMA LESTARI DESA LARONANGA ANDOWIA SUB-DISTRICT NORTH KONAWE DISTRICT ...... 62

THE STUDY OF SAFETY RIDING BEHAVIOR AMONG ONLINE MOTORCYCLE TAXI RIDERS IN DEPOK CITY OF WEST JAVA ...... 63

ASSOCIATION BETWEEN CORRECT USE OF HOUSEHOLD HAZARDOUS PRODUCTS AND HOUSEHOLD HAZARDOUS WASTE MANAGEMENT IN THAILAND ...... 64

THE IMPLEMENTATION OF SANITATION TECNOLOGY TOWARD WATER CLOSED FAMILY SYSTEM BY USING SAND REVERSE FILTRATION METHOD IN COASTAL SOCIETY: A CASE STUDY IN PUUPI VILLAGE KOLONO DISTRICT SOUTH KONAWE SOUTHERN OF SULAWESI INDONESIA ...... 65

EFFECTIVENESS OF AVVERHOA BILIMBI L AS LARVICIDAL AGAINST DENGUE HEMMORAGIC FEVER VECTOR (AEDES AEGYPTI) ...... 66

THE STUDY OF FOOD BACTERIOLOGY IN RESTAURANT PADANG KENDARI ...... 67

THE INFLUENCE OF TRAY VARIATION IN THE USE OF WATERFALL AERATOR TO REDUCE THE LEVELS OF IRON (FE) IN THE WATER ARTESIAN WELL IN BTN MALEO RANOMEETO DISTRICT OF SOUTH KONAWE ...... 68

RELATIONSHIP OF MOTHER WORK STATUS WITH EXCLUSIVE BREASTFEEDING PRACTICE IN LAINEA PUBLIC HEALTH CENTER OF SOUTH KONAWE ...... 69

COMMUNAL SEPTICTANK PLAN ON GRIYA PERMAI HOUSEHOLD IN KENDARY CITY OF SOUTH EAST OF SULAWESI ...... 70

BACTEOROLOGICAL STUDY OF DRINKING WATER (AMIU) IN , INDONESIA ...... 71

POTENTIAL POLLUTION OF LAND WATER IN SOLID SETTLEMENT POPULATION SURVEY IN KENDARI CITY ...... 72

RELATIONSHIP OF DRINKING WATER RESOURCES WITH THE INCIDENCE OF DIARRHEA IN INFANTS AT KULISUSU PUBLIC HEALTH CENTER ...... 74

DESIGNING EARLY DETECTION SYSTEM OF DENGUE BLOOD FEVER DISEASE BASED ON GEOGRAPHIC INFORMATION SYSTEM IN KENDARI CITY ...... 75

RELATIONS WITH THE SANITATION BEHAVIOR OWNER EATING IN HEALTH CENTER BENU-BENUA DISTRICT OF WEST KENDARI IN KENDARI CITY ...... 76

THE INFLUENCE OF THE PHYSICAL ENVIRONMENT OF HOUSE WITH THE INCIDENCE OF PULMONARY TUBERCULOSIS ...... 77

ANALYSIS OF AIR POLLUTION RATE ON ANTROPOGENIC SOURCE IN KENDARI CITY ...... 78

AN ANALYSIS OF THE IMPLEMENTATION OF THE COMMUNITY BASED TOTAL SANITATION IN THE PUBLIC HEALTH CENTER OF MATA KOTA KENDARI IN 2017 ...... 79

THE FACTORS RELATED TO THE INCREASE IN WASTE VOLUME IN ANDUONOHU MARKET OF KENDARI CITY IN 2015 ...... 80

THE CORRELATION BETWEEN SANITATION HYGIENE OF RESTAURANT AND THE FOOD QUALITY OF RESTAURANT AT THE PORT AREA IN KENDARI ...... 81

THE FACTORS RELATED TO THE USE OF WASTE MANAGEMENT USING SORTING MODEL IN KEMARAYA SUB-URBAN OF KENDARI CITY IN 2015 ...... 82

THE EFFECT OF RICE HUSK ASH PROVISION TO DECREASE WATER HARDNESS OF DUG WELL IN WAWATU VILLAGE NORTH MORAMO SUB-DISTRICT SOUTH KONAWE DISTRICT ...... 83

THE$1ST$INTERNATIONAL$JOURNAL$ON$PUBLIC$HEALTH$2018$ 3! ! Global&Health&Issues&&&The&Future&of&Public&Health& ! THE CORRELATION BETWEEN PREVENTION PRACTICES AND DHF OCCURRENCES IN RAHANDOUNA SUB-URBAN POASIA SUB-DISTRICT KENDARI MUNICIPALITY IN 2015 ...... 84

THE EFFECT OF TOMATO LEAVES EXTRACT (Solanumlycopersicum) ON AEDES LARVAE DEATH ... 85

THE FACTORS RELATED TO HAVING FAMILY TOILET IN TUNDUNO VILLAGE OF WEST RANOMEETO SUB-DISTRICT OF SOUTH KONAWE DISTRICT ...... 86

THE EFFECTIVENESS OF FLIES TRAP BY USING A DIFFERENT TYPE OF BAIT AT WORKING AREA OF THE PORT HEALTH OFFICE OF CLASS II KENDARI ...... 87

THE EFFECTIVENESS OF THE COMPARISON OF CONVENTIONAL RAT TRAP (BUBU) AND PLASTIC BOTTLE TRAP IN CATCHING RATS AT THE WORKING AREA OF THE HEALTH OFFICE OF KENDARI PORT ...... 88

THE RELATIONSHIP OF OWNING LATRINES WITH DIARRHEA OCCURRENCE IN TODDLERS ...... 89

A LOVING AND CARING FAMILY COMMUNITY FOR PEOPLE WITH SCHIZOPHRENIA IN IMOGIRI SUB- DISTRICT, BANTUL REGENCY, THE SPECIAL REGION OF YOGYAKARTA ...... 91

SOCIAL DETERMINANT AND HEPATITIS PREVALENCE IN INDONESIA: DATA ANALYSIS OF RISKESDAS 2013 ...... 92

RISK FACTORS OF FEBRILE SEIZURES IN TODDLERS AT REGIONAL PUBLIC SERVICE AGENCY OF BAHTERAMAS GENERAL HOSPITAL SOUTHEAST SULAWESI ...... 93

THE IMPLEMENTATION OF DISCHARGE PLANNING WITH FAMILY CENTERED NURSING APPROACH IN RELATION WITH READINESS OF FAMILIES TO TAKE CARE OF DIABETES MELLITUS PATIENTS AT HASANUDDIN UNIVERSITY TEACHING HOSPITAL IN MAKASSAR ...... 94

RELATIONSHIP BETWEEN LEVEL OF KNOWLEDGE AND HOME ENVIRONMENT WITH INCIDENCE OF PULMONARY TUBERCULOSIS (+) IN COMMUNITY HEALTH CENTER OF KOLAKA DISTRICT 2017 ...... 95

RELATIONSHIP BETWEEN PROVIDING EXCLUSIVE AND NON-EXCLUSIVE BREASTFEEDING WITH BODY WEIGHT OF INFANT AGED 0-6 MONTH IN THE WORKING REGION OF BUSINESS CENTER BIMAMAROA REGENCY OF KONAWE SELATAN IN 2017 ...... 96

FINDING PATTERN OF HEALTH SERVICE FOR PREGNANT WOMEN BASED ON SOCIAL AND CULTURAL ASPECTS IN COASTAL AREA OF MATA DISTRICT KENDARI IN 2015 ...... 97

COMPARISON OF INTERNAL AND EXTERNAL FACTORS INTENSITY AFFECTING BASIC IMMUNIZATION DISOBEDIENCE ON TODDLERS AT THE WORKING AREA OF BAUMATA COMMUNITY HEALTH CENTER ...... 98

THE RELATION OF EATING HABIT WITH THE INCIDENCE OF HYPERTENTION IN COASTAL COMMUNITY IN BATU GONG VILLAGE OF LALONGGASUMEETO DISTRICT IN KONAWE REGENCY . 99

A DESCRIPTIVE STUDY OF PICKY EATERS AND NUTRIENTS INTAKE OF CHILDREN UNDER TWO (6 – 23 MONTHS) IN WATULONDO SUB-DISTRICTS PUUWATU KENDARI ...... 100

THE CONSTRAINT OF THE ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV AND AIDS IN MAKASSAR CITY ...... 101

EFFECT OF ARV AND TUBERCULOSIS TREATMENT ON CHANGES IN BODY WEIGHT OF PATIENTS WITH TB-HIV CO INFECTION IN HOSPITAL ...... 102

EFFECT OF BREATHING EXERCISE AND RESPIRATORY MUSCLE EXERCISE ON DISPNEA CONDITIONS OF COPD PATIENTS AT RS. KENDARI CITY ...... 103 Lena Atoy, Akhmad, Reni Deviaanti Usman ...... 103

EFFECT OF HOSPITAL STORYTELLING THERAPY ON ANXIETY IN CHILDREN AGED 6-8 YEARS IN GENERAL HOSPITAL OF BAHTERAMAS ...... 104 Nirwana1, Sunarti2, Winda Lestari3 ...... 104

THE RISK FACTORS OF THE PREVALENCE OF DIABETES MELLITUS IN PATIENTS IN THE OUTPATIENT WARD IN WUA-WUA COMMUNITY HEALTH CENTRE IN KENDARI CITY ...... 105

THE BEHAVIOR OF MALARIA PREVENTION IN LABUAN VILLAGE, NORTH BUTON ...... 106

NICOTIN CONTENT ANALYSIS OF “PURE” AS CIGARETTE SUBSTITUTE ON SMOKING CESSATION AT SOUTH KONAWE REGENCY ...... 108

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THE EFFECTIVENESS OF USING TONE THERAPY ON CLIENTS’ ABILITY TO CONTROL HALLUCINATIONS IN MENTAL HOSPITAL OF SOUTHEAST SULAWESI PROVINCE ...... 109

THE EFFECT OF COUNSELING TO MODIFICATION THE LIFESTYLE ON PREVENTION OF OBESITY IN ADOLESCENTS AT KHADIJAH JUNIOR HIGH SCHOOL MAKASSAR ...... 110

MANAGEMENT OF EATING PATTERN FOR THE PREVENTION OF OBESITY IN STUDENTS AT TANA TORAJA STATE JUNIOR HIGH SCHOOL ...... 111

IMPACT OF FEEDING PRACTICE EDUCATION ON MATERNAL SELF EFFICACY TO FEED THEIR UNDERNOURIZED CHILDREN AGED 6 – 24 MONTHS ...... 112

SOCIO-CULTURAL FACTOR IN MATERNAL MORTALITY IN BUTON REGENCY ...... 113

THE SEXUAL BEHAVIOUR OF STUDENTS WHO BECOME FEMALE SEX WORKER “CHICKEN CAMPUS” IN KENDARI BY USING SOCIAL EXCHANGE THEORY ...... 114

BEHAVIORAL COMPLIANCE OF NURSES IN IMPLEMENTING STANDARD OF OPERATIONAL PROCEDURE OF PATIENT SAFETY AGAINST THE OCCURRENCE OF PATIENT ADVERCE EVENTS . 115

FACTORS ASSOCIATED WITH INFECTION PREVENTION BEHAVIOR OF HIV/AIDS IN THE TRANSGENDER SEX WORKERS IN KENDARI CITY DISTRICT IN 2017 ...... 116

THE RELATIONSHIP OF NARRATIC KNOWLEDGE WITH HIV / AIDS BEHAVIOR IN CLASS II A KENDARI ...... 117

THE RELATIONSHIP OF CAREER DEVELOPMENT WITH THE PERFORMANCE OF EMPLOYEE IN THE PUBLIC HEALTH CENTRE OF LATAMBAGA KOLAKA DISTRICT ...... 118

PHENOMENOLOGY STUDY OF ANDROID HP BEHAVIORAL BEHAVIOR IN SCHOOL AGE CHILDREN VIEW EFFECTS ON ADOLESCENT REPRODUCTIVE HEALTH AT SMAN 8 KONAWE SELATAN ...... 119

COMMUNITY BEHAVIOR IN DISPOSING HOUSEHOLD WASTE: A CASE STUDY IN LOJI VILLAGE ON BUTON UTARA CITY ...... 120

THE EFFECT OF REPRODUCTIVE HEALTH EDUCATION ON KNOWLEDGE OF HEALTH REPRODUCTIVE IN ADOLESCENTS ...... 121

IDENTIFICATION OF RISK FACTORS OF MUMBUL BEHAVIOR IN ADOLESCENTS IN THE SALO VILLAGE IN 2017 ...... 122

EDUCATION INFLUENCE ON BIRTH WEIGHT AND BODY LENGTH IN KENDARI CITY, SOUTH EAST SULAWESI PROVINCE ...... 123

THE QUALITY OF INPATIENT SERVICES IN PATIENTS WITH SCHIZOPHRENIA AT THE PSYCIATRIC HOSPITAL OF DR. SOEPARTO HARDJOHOESODO, SOUTHEAST SULAWESI PROVINCE ...... 125

RELATIONSHIP OF AGE, PARITY, AND BIRTH DISTANCE TO RISK OF PREGNANT WOMEN IN ANDOWIA PUBLIC HEALT CENTER ...... 126

FACTORS RELATED TO MIDWIFE PERFORMANCE IN KENDARI CITY HEALTH OFFICE ...... 127

FACTORS RELATED TO INCIDENCE OF LEUCORRHEA IN FEMALE TEENAGERS AT SMAN 2 KENDARI ...... 128

SYNTHESIS AND CHARACTERIZATION OF PILLARED CLAY Ca3(PO4)2 ...... 129

KNOWLEDGE, PERCEPTION AND ATTITUDE OF MIDWIFE ABOUT EMERGENCY CONTRACEPTION IN KENDARI CITY ...... 130

THE REASONS OF MOTHERS DECISION TO CHOOSE A SHAMAN AS A BIRTH ATTENDANT IN MANAGING LABOR IN THE WORKING AREA OF PARIGI COMMUNITY HEALTH CENTER, SUB- DISTRICT OF ...... 131

RELATIONSHIPS OF NUTRITIONAL STATUS, HISTORY OF DISEASES, AND REGULARITY OF MENSTRUATION IN TEENAGE STUDENTS AT SCHOOL 2 WANGI-WANGI WAKATOBI ...... 132

RELATIONSHIP OF MEDICAL COMPLIANCE, LIFESTYLE, AND BLOOD PRESSURE STABILITY IN PATIENTS AGED 20-40 YEARS WITH HYPERTENSION AT ANDOWIA HEALTH CENTER OF NORTH KONAWE REGENCY ABSTRACT ...... 133

THE RELATION OF KNOWLEDGE, ATTITUDE AND BEHAVIOR OF MOTHER WITH DIARRHOEA ATTACT AT BABY AND UNDER FIVE YEARS THE WORK AREA IN LOMBAKASIH HEALTH CENTRE SUB DISTRICT LANTARI JAYA DISTRICT BOMBANA ...... 135 THE$1ST$INTERNATIONAL$JOURNAL$ON$PUBLIC$HEALTH$2018$ 5! ! Global&Health&Issues&&&The&Future&of&Public&Health& ! RELATIONSHIP KNOWLEDGE, ATTITUDE AND PRACTICE TODDLER MOTHER AGES 12-59 MONTHS TO USE POSYANDU IN LAMERORO VILLAGE RUMBIA SUBDIDTRICT OF BOMBANA DISTRICT ...... 136

THE RELATIONSHIP OF THE QUALITY OF HEALTH SERVICES WITH PATIENT SATISFACTION IN THE INPATIENTS UNIT OF THE GENERAL HOSPITAL OF SOUTHERN KONAWE REGENCY IN 2014 ...... 137

FACTORS RELATED TO THE LOW RATE OF THE FIRST ANTENATAL CARE VISIT IN LEMBO COMMUNITY HEALTH CENTRE IN NORTH KONAWE DISTRICT ...... 138

EFFECT OF DEEP BREATHING RELAXATION TECHNIQUE ON THE PAIN INTENSITY IN PATIENTS WITH POSTOPERATIVE APPENDICITIS IN THE GENERAL HOSPITAL OF SOUTH KONAWE DISTRICT ...... 139

THE EFFECT OF LACTATION EDUCATION ON MOTHER’S SELF-EFFICACY AND EXCLUSIVE BREASTFEEDING ...... 141

WORKING IN THE INFORMAL SECTORS IS THE OPTION OF HOUSEWIVES TO HELP THE FAMILY INCOME ...... 142

THE RELATIONSHIP BETWEEN 3-MONTHLY CONTRACEPTIVE INJECTION AND WEIGHT GAIN IN PUBLIC HEALTH CENTER OF MOKOAU KENDARI PERMAI ...... 143

ANALYSIS OF MEDICAL RECORD MANAGEMENT IN BOMBANA REGIONAL PUBLIC HOSPITAL ...... 144

THE RELATIONSHIP OF ENVIRONMENTAL CONDITION OF HOUSE WITH THE INCIDENCE RATE OF ACUTE RESPIRATORY INFECTION IN COASTAL COMMUNITY IN LAPULU VILLAGE OF ABELI SUBDISTRICT ...... 145

THE EFFECT OF THE INFORMATION ON THE BABY'S MOTHERS KNOWLEDGE, ATTITUDES, NORMS / CULTURE, CONFIDENCE, BREASTFEEDING, AND PROVISION OF COMPLEMENTARY FEEDING IN PREVENTING POTENTIAL STUNTING IN KENDARI...... 146

STORY TELLING AS AN EFFORT TO INCREASE THE INTEREST OF EATING VEGETABLES IN PRE SCHOOL CHILDREN IN TK AL-INSYIROH KENDARI ...... 147

STUDY OPPORTUNITIES HOME CARE SERVICES BASED ON THE USE OF INCOME AND HEALTH INSURANCE STATUS IN KENDARI - SOUTHEAST SULAWESI ...... 148

FACTORS RELATED TO THE IMPLEMENTATION OF STANDARDS IN NURSING CARE IN THE SURGICAL WARDS IN BAHTERAMAS GENERAL HOSPITAL OF SOUTHEAST SULAWESI PROVINCE 2013 ...... 149

RELATIONSHIP BETWEEN THE USE OF CONTRACEPTIVE INJECTION AND WEIGHT GAIN IN THE PUBLIC HEALTH CENTER OF WELALA, LADONGI, EAST KOLAKA ...... 150

HOUSEHOLD HEALTH ASPECTS AND THE OCCURRENCE OF UPPER RESPIRATORY TRACT INFECTION (URI) IN THE MATANDAHI HEALTH CENTER, MOTUI DISTRICT, NORTH KONAWE DISTRICT ...... 151

THE CORRELATION BETWEEN GASTRITIS, STRESS, AND SUPPORT OF HUSBAND AND HYPEREMESIS SYNDROME GRAVIDARUM IN WORKING AREA OF PUSKESMAS POASIA IN KENDARI MUNICIPALTY IN 2014 ...... 152

FACTORS RELATED TO THE OCCURANCE OF DIARRHEA CASES IN CHILDREN UNDER FIVE WHO WERE HOSPITALIZED AT BAHTERAMAS HOSPITAL OF KENDARI ...... 153

THE FACTORS RELATED TO ADMINISTRATION OF HEPATITIS B VACCINE AT BIRTH IN PERUMNAS COMMUNITY HEALTH CENTRE IN KENDARI CITY ...... 154

THE INCIDENCE OF TYPHOID AND ITS RELATED FACTORS IN THE SETTLEMENT REGION OF SLAUGHTERHOUSE OF KENDARI CITY ...... 155

RELATIONSHIPS OF THE USE OF PERSONAL PROTECTIVE EQUIPMENT AND WATER SOURCE WITH DERMATITIS OCCURRENCE IN GOLD MINING WORKERS IN THE WORKING AREA OF TAPUNGGAYA NORTH KONAWE PUBLIC HEALTH CENTER ...... 157

FACTORS ASSOCIATED WITH ACUTE RESPIRATORY INFECTIONS OCCURRENCE IN INFANTS IN THE WORKING AREA OF PUBLIC HEALTH CENTER OF ANDEO NORTH KONAWE ...... 158

FACTORS RELATED TO THE PERFORMANCE OF THE INTEGRATED HEALTH POST CADRES IN THE WORKING AREA OF MATANDAHI HEALTH CENTER OF NORTH KONAWE REGENCY ...... 159

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ANALYSIS OCCURANCE OF ACUTE RESPIRATORY INFECTION TO STOVE BURNING WORKERS IN THE WORKING AREA OF PONDIDAHA COMMUNITY HEALTH CENTER OF KONAWE DISTRICT, AMESIU VILLAGE ...... 160

DISTRIBUTION OF THE INCIDENCE OF SMEAR-POSITIVE PULMONARY TUBERCULOSIS USING GEOGRAPHIC INFORMATION SYSTEMS IN KENDARI ...... 161

FACTORS RELATED TO THE PRESENCE OF AEDES AEGYTI LARVAE IN THE WORKING AREA OF PUBLIC HEALTH CENTER OF ABELI ...... 162

EFFECTIVENESS OF NUTRITION COUNSELING USING VIDEO AND COMIC METHODS ON THE LEVEL OF KNOWLEDGE IN SELECTING HEALTHY SNACKS IN CHILDREN IN GRADE 4 AND 5 STUDENTS IN THE ELEMENTARY SCHOOL NO 11 WEST KENDARI ...... 163

FACTORS INFLUENCING MILK FORMULA FEEDING TO INFANTS AGED 0-6 MONTHS IN THE WORKING AREA OF PUBLIC HEALTH CENTER OF LEPO-LEPO KENDARI ...... 164

CORRELATION BETWEEN PERSONAL HYGIENE AND DIARRHEA IN CHILDREN UNDER FIVE IN THE ANDOWIA PUBLIC HEALTH CENTER ...... 165

THE INFLUENCE OF INDIVIDUAL CHARACTERISTIC, ORGANIZATIONAL CULTURE AND COMPETENCE TOWARD JOB PERFORMANCE OF PT. ASKES (PERSERO) STAFF IN KENDARI BRANCH OFFICE .... 166

THE IMPORTANCE OF HYGIENE AND FOOD SANITATION FOR THE QUALITY OF HUMAN LIFE: A LITERATURE REVIEW ...... 167

RELATIONSHIPS OF PERSONAL HYGIENE, KNOWLEDGE, AND SANITARY WATER WITH SKIN DISEASE (DERMATITIS) IN COASTAL COMMUNITIES IN THE VILLAGE OF POASIA OF ABELI DISTRICT, KENDARI, SOUTHEAST SULAWESI ...... 168

BENZENE REMOVAL EFFICIENCY BY USING ALOE VERA IN STATIC AIR CHAMBER ...... 169

THE FACTORS RELATED TO DENGUE HEMORRHAGIC FEVER (DHF) OCCURENCE AT WORKING AREA OF PUSKESMAS PUUWATU OF KENDARI CITY ...... 170

THE CORRELATION BETWEEN WORKING ENVIRONMENT AND HAZARD CONTROL AND THE EMPLOYEESWORKING MOTIVATION AT FISH PROCESSING COMPANY IN INDUSTRIAL ZONE OF SAMUDERA FISHERY HARBOR OF KENDARI CITY ...... 171 !

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Category 1

HEALTH PROMOTION

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1

THE ASSOCIATION BETWEEN LIFESTYLE WITH OVERWEIGHT AND OBESITY STATUS OF FEMALE ADOLESCENTS IN HIGH SCHOOL NO 11 MAKASSAR

Hermawati Hamalding, Risna

Background: Overweight is different from obesity. Overweight is defined as a state of body weight that exceeds normal weight. While obesity is excessive accumulation of body fat which has a risk to health. Aim: This study aims to examine the association between lifestyle with overweight and obesity status of female adolescents. Methods: The study used a cross sectional study design with 76 female students selected using proportioned stratified random sampling from 216 students. Data were collected through primary and secondary data collection. Data analysis was performed using chi-square test for univariate and bivariate analysis, multiple linear regression test for multivariate analysis using. Results: Findings showed that physical activity (p = 0.018), fast food (p = 0.012), watching tv ( p = 0.031), use gadget (p = 0.031) had a significant correlation with overweight and obesity. Multivariate analysis showed the influence of lifestyles to overweight and obesity as much as 23.6%. Conclusion: There was a significant correlation between lifestyle with overweight and obesity. It is suggested for students to change their lifestyle and consider the food menu that suits their energy needs both in and outside school.

Keywords: Lifestyle, Obesity, Overweight

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RELATIONSHIP OF PREGNANCY EXCERCISE WITH BIRTH WEIGHT IN PALANGKA RAYA

Andi Tenri Abeng and Cahaya A. Napitupulu

Faculty of Teacher Training and Education, Palangka Raya University

Background: Every birth expected a healthy physical with birth weight enough. Aim: The purpose of this study was to determine the factors of pregnancy exercise affect the birth weight of the baby. Methods: This was a quantitative research using cohort study prospective approach. The research subject was the third trimester pregnant women who were followed until deliver and performed baby's birth weight measurement. There were 100 mothers selected using random sampling. Mothers were followed up in the third trimester to give birth. There were 68 mothers following pregnancy exercise and 32 mothers did not follow pregnancy exercise. Results: The results of statistical test showed that Risk Ratio (RR) 6.375 with Confidence Interval (CI) 95% were 3.03 – 13.43, indicated that mothers who did not do pregnancy exercise had a risk of 6.375 times giving birth with low birth weight, and it was statistically significant. Conclusion: Pregnancy exercise affects the birth weight of the baby.

Keywords: Pregnancy exercise, Baby Birth Weight, Palangkaraya

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ANTHROPOMETRIC MEASUREMENT ANALYSIS AT 6-12 YEAR-OLD CHILD IN SLUM AREA OF LANDONO PUBLIC HEALTH CENTER AREA

Sahmad1 and Tri Sulistyawati2

1Lecturer, Poli Teknik Kesehatan Kendari 2Practitioner

Background: Patients with malnutrition in children is a public health problem involving multi-disciplinary and always must have to control, especially people living in newly developing countries. The incidence of malnutrition often found in slum areas. In Asia, the incidence of malnutrition is about 36 percent with the highest prevalence of occurrence in South Asia. From 2007 to 2011 the increasing trend of poor and bad nutrition prevalence increased. Methods: This research was conducted with descriptive design by using cross sectional study approach. Subjects were drawn from the population by total sampling of 32 people. Data collection was done by using observation sheet. The independent variables were weight, height, ideal body weight, and upper arm circumference. The dependent variable was the nutritional status of the child. Results: The results indicated that there were abnormal measurements in anthropometric measurements, among others, weight to age 6.3%, height to age 59.4%, ideal body weight 62.5%, and upper arm circumference 53.1%. Conclusion: The conclusion of this study is that most anthropometric measurements of children have abnormal size in weight to age, height of age, ideal body weight, and upper arm circumference.

Keywords: Weight, Height, Ideal Body Weight, Upper Arm Circumference

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ENABLING FACTOR RELATIONSHIP TO BREAST FEEDING WITH THE NUTRITIONAL STATUS OF THE BABY AT MAKASSAR

Anto1, Veni Hadju2,, Suriah3, Rahayu Indriasari4

1Student Doctoral Program Public Health Faculty, Hasanuddin University, Makassar, Indonesia 1Senior Lecturer of Nutrition Public Health Faculty, East Indonesia University, Makassar, Indonesia 2Professors of Nutrition Sciences Public Health Faculty, Hasanuddin University, Makassar, Indonesia 3Senior Lecturer of Health Promotion & Behavioral Sciences Public Health Faculty, Hasanuddin University, Makassar, Indonesia 4Lecturer of Nutrition Public Health Faculty, Hasanuddin University, Makassar, Indonesia

Correspondence Mail: [email protected]

Background: Nutritional status is less a major nutritional problem in infants and affects growth disorders and is a problem that needs to be addressed seriously 6-24 months is a very important period as well as a critical period in the process of growing up both physical and intelligence. Therefore, every baby in this period must obtain nutritional intake in accordance with their needs. This research was conducted in Maccini Sawah Village, Makassar Sub-District, Makassar City. Methods: The type of research used is analytical survey with cross sectional study approach with the aim to prove the enabling factor of the relation of feeding frequency of breast milk companion and variation of feeding of mother's milk supplement with nutritional status of infant in Maccini Sawah sub-district Makassar. The samples of this study were infants with sampling by exhaustic sampling with a total of 102 samples. Results: The result showed that the frequency of complementary feeding was related to nutritional status with p value (0.004) <0.05, and variation of complementary feeding related to nutritional status with p value (0.001) <0.05. Conclusion: The conclusion is that there is a strong correlation of frequency and variation of complementary feeding with infant nutritional status. It is recommended that intensive counseling for breastfeeding mothers and the importance of frequent feeding of infants to their babies be given to the baby's immune system and to observe the variety of complementary feeding foods given to the baby.

Keywords: Nutritional status, complementary feeding

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THE INFLUENCE OF TRAINING EDUCATION NUTRITION TOWARDS KNOWLEDGE HIGH SCHOOL TEACHERS OF PRE-DIABETES

Jamaludin M. Sakung1, Saifuddin Sirajuddin2, Andi Zulkifli2, Stang2

1Doctoral program students, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia 2Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

Background: Prediabetes is a condition that initiates the incidence of Diabetes Mellitus (DM) and continues to increase its prevalence, prediabetes is characterized by fasting blood glucose levels between 100 and 125 mg/dL or blood glucose levels between 100 and 199 mg/dL, Prediabetes can increase the risk of cardiovascular disorders by 1.5 times higher than healthy people, Prevention efforts by changing lifestyles and losing weight through nutritional education and provision of a chayote (sechium edule) instant Aim: In general, the objectives of the study were to analyze the effect of nutrition education training on the knowledge of prediabetes high school teachers. Methods: This research was quasi-experimental study with pre-post control group design. The number of research samples 25 for the intervention group were given nutritional education and 25 groups of nutritional education interventions provision of instant of a chayote (sechium edule) for 30 days. Normality test using Shapiro-Wilk, Statistical analysis using of Wilcoxon test, Mann-Whitney and Independent sample t-test. Results: There was a difference of knowledge before and after intervention in both groups of nutrition education training provision of a chayote (sechium edule) instant (p <0.05) in the nutrition education intervention group increased by 3.44 ± 2.434, while in nutrition education training intervention group provision of a chayote (sechium edule) instant, there was an increase in knowledge of 4.96 ± 3.94, There was no difference in knowledge before, after intervention in both groups (p> 0.05). there was no difference in knowledge change of nutrition education group and nutrition education group provision of a chayote (sechium edule) instant feeding after intervention (p> 0.05). Conclusion: Nutrition education training and provision of instant of a chayote (sechium edule) have an effect on the increase of prediabetes high school teacher knowledge. There is a difference of knowledge between the two groups after the intervention.

Keywords: Nutrition education, knowledge, prediabetes

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RISK FACTOR FOR STUNTING AMONG INFANTS AGED 6-12 MONTHS

Habib Ihsan M

Lecturer, Institute of Health Science Karya Kesehatan Kendari

Background: Stunting prevalence among Bajonese infants in Wakatobi was higher than South East Celebes’s stunting prevalence which is 46.3%. Aim: The objective of this study was to analyze risk factors for stunting among Bajonese infants aged 6-12 months. Method: A Case control study among 88 Bajonese infants aged 6-12 months was held. Samples were selected by proporsional random sampling with 44 subjects for each group. Results: Low energy sufficiency (OR= 6.92, 95%CI: 2.10 - 22.77), low protein sufficiency (OR= 2.79, 95%CI: 1.17 - 6.63), low iron sufficiency (OR= 2.92, 95%CI: 1.20 - 7.10), low birth weight (OR= 3.10, 95%CI: 1.23 - 7.79), and maternal stature (OR= 3.75, 95%CI: 1.55 - 9.06) were proven as risk factors for stunting among Bajoneseinfants aged 6-12 months while low energy sufficiency was the main risk factor. Conclusion: The main risk factorfor stunting among Bajoneseinfants aged 6- 12 months was low energy sufficiency.

Keywords: Stunting, risk factor

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ANALYSIS OF EXCLUSIVE BREASTFEEDING AND NON- EXCLUSIVE BREASTFEEDING ON BODY WEIGHT OF BABY 0-6 MONTHS OLD AT THE AREA OF POASIA HEALTH CENTRE, KENDARI CITY, SOUTH EAST SULAWESI PROVINCE IN 2017

Osrin Wahyuni

Lecturer, Karya Kesehatan Kendari Health Institute

Background: World health organization (WHO) states that only 40% of babies in the world who get exclusive breastfeeding while 60% of other babies get non-exclucive breastfeeding when the baby is less than 6 months. This illustrates that exclusive breastfeeding is still low whereas non-exclusive breastfeeding practices in various countries are still high. The increasing number of non-exclusive breastfeeding and exclusive breastfeeding decline is not only happening in developed countries but also in developing countries such as Indonesia. Aim: The aim of this study was to determine the relationship between giving exclusive breastfeeding towards baby weight in 0-6 months at the Area of Poasia Health Centre, Kendari City. The study was an observational study using cross sectional approach. The population and sample of the study were babies in 0-6 months who attended the activities of integrated service post at Area of Poasia Health Centre, Kendari City in 2017 on february as many as 40 babies. The sampling used total sampling. Results: The result showed that there was a significant relationship (x2 count 2 (5.625) > x table (3.841) and ρ value = 0.018 (0.018<0.05), between breastfeeding exclusive and non- breastfeeding exclusive towards baby weight growth in 0-6 months at integrated service post of at the Working Area of Poasia Health Centre. Conclusion: In conclusion, there was a significant relationship between exclusive breastfeeding and non-exclusive breastfeeding towards baby weight growth in 0-6 month. It is expected that mothers who had baby with 0-6 months to further raise awareness for exclusive breastfeeding behavior on baby 0-6 months.

Keywords: Exclusive Breastfeeding, Non-Exclusive Breastfeeding, Baby Weight 0-6 Months Old

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THE DEVELOPMENT OF INSTRUCTIONAL MATERIALS FOR ADVANCED DIETETICS COURSE AS LEARNING SUPPORT FOR STUDENT IN DIPLOMA III OF NUTRITION, HEALTH POLYTECHNIC OF HEALTH MINISTRY OF KENDARI

Rosnah, Fonnie E. Hasan, Petrus

Background: One of the efforts to improve the effectiveness of the learning process is the use of textbooks that must be owned by the learner as a source of learning. Aim: The purpose of this study is to make the development of teaching materials (modules) of advanced dietetics using a combination method, combining qualitative and quantitative methods sequentially (sequential exploratory design). Qualitative methods are used for module development process, lecturer and student responses using research and development methods (Research and Development). Quantitative method to test the effectiveness of module product, by observing the difference of mean value of midterm exam between group including analytic observational research type, quasi experimental design, one-group pretest-posttest design. The population is all students of Nutrition Department in Health Polytechnics of Kendari. The samples are students in the 5th semester in the academic year of 2015/2016 who have passed the course of advanced dietetics and the student in 5th semester in the academic year of 2016/2017 who are studying advanced dietetics, the total sample of 60 people. Sampling technique is purposive sampling. Data analysis technique is descriptive using percentage. Data from feasibility testing (validation) by the expert team using the Likert scale of 1-4. The effectiveness of the use of modules was analyzed using the Mann-Whitney test. Results: The results showed 96.7% of the sample stated they need another advanced dietetics book that easier to be understood and 90% want the book contained material, examples, and exercises. The lecturer also stated the same thing and the number of cases exercise need to be increased. The prototype module contains the explanation of the structure of the module from the front to the last page, compiled based on the topic of the lecture consisted of modules 1-11. Results of the assessment by the expert team on aspects of the module cover is obtained a mean score of 3 (good), the feasibility aspects of module content obtained a mean score of 3.2 to 3.5 (good to excellent). In the aspect of module presentation obtained a mean score of 3.0 to 3.5 (good to excellent), aspects of the layout module obtained a mean score 3.0 -3.1 (good). In the graphic aspect obtained a mean score of 3.1 to 3.3 (good), aspects of language obtained a mean score of 3.4 to 3.7 (very good). Average ratings of students to the module from the aspect of appearance, materials presentation and benefits including a very decent category (81% -100%). Conclusion: There is a significant increase in the average of the midterm result of students are given advanced dietetics module. This study suggests modules that produced need further development to improve the shortcomings that still found, it needs development related to the media are used eg. VCD media, interactive modules based computer and multimedia products in digital format (e-learning). This module can be applied to advanced dietetics learning in order to improve the knowledge and skills of students in conducting Standardized Nutrition Care Process in patients with nutritional problems. Teaching team should continue to improve learning more creative and innovative so that the learning process become more fun.

Keywords: Development of Teaching Materials, Advanced Dietetics, The Quality of Graduates, Education of Health Personnel

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STRESS MANAGEMENT FACTOR AND OBESITY IN SENIOR HIGH SCHOOL TEACHERS IN KENDARI MONICYPALITY

La Banudi

Background: Many factors contribute to obesity include stress or emotional factors. Obesity tends to eat more of what when you are tense or anxious, and the experiment proved accurate. Fat people eat more in a situation of stress than people with normal weight. Aim: To know the management of stress in the obesity high school teachers in Kendari monicipality. Methods: This study was a qualitative study in high school teachers in Kendari monicipality. This study has received ethical health research Medical Faculty of Hasanuddin University, No. UH16070578. Results: The results of in-depth interview on the informants indicated that obesity was caused by lifestyle, irregular diet, lack of rest, and stress-related eating, as well as lack of activity, imbalance exercise and excessive eating. Stress could affect body weight through excessive food consumption, which contains carbohydrates while there was no energy spending. Conclusions: One of the factors that lead to obesity is the effect of stress, which is related to eating as an escape. This study suggests thatsenior high school teachers need to improve management of stress through stress management in positive and healthy way.

Keywords: Stress, obesity, teacher

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EFFECT OF BOOKLET NUTRITION COUNSELING TOWARDS KNOWLEDGE, ATTITUDE AND NUTRIENTS INTAKE AMONG ANEMIC TEENAGE GIRLS AT SMAN 1 KENDARI

Masrif, Rita Irma and Risma

Health Polytechnic of Kendari

Background: Adolescences is a transition period which transition from childhood to adulthood markedly by physical, psychological and psychosocial changes. Teenage girls have a higher tendency risk of being anemic than teenage boys. Nowadays, education exposure and nutritional information for adolescents is still very limited meanwhile in developing countries such as Indonesia, information related health and nutritional status of adolescents is still rare. This problem might be occured by the focus of nutritional concern mostly in children, pregnant women and lactating mothers. Iron deficiency can lead to anemia and fatigue which causes unable to seize work productivity. Teens particularly teenage girls need more iron in order to replace the missing iron cause of loss in menstrual blood. Aim: This study aims to determine the effect of nutritional counseling by using Booklet towards knowledge, attitude and nutrients intake among anemic teenage girls at SMAN 1 Kendari Methods: This study was an analytical survey with a quasi-experimental design two groups pre and post test model. This research was conducted in August – November 2015 at SMA Neg 1 Kendari. The sample of this study was 60 students at SMA Neg 1 Kendari who suffered from Anemia selected by purposive sampling with inclusion criteria: not suffering from chronic disease (Infectious disease, kidney and cancer), not in menstruation period and willing to be a respondent. Data collection such as sample identity, knowledge and attitude were obtained through interviews using a questionnaire. Nutrients intake was obtained by recall 2 x 24 hours repeatedly measured before and after nutritional counseling. To determine anemic adolescent girls blood Hemoglobin levels was obtained by Hemoque and data were analyzes using Paired T-test. Results: There was a significant effect of counseling using a booklet among anemic student towards knowledge (P = 0.000) and attitude (P = 0.000) so as in energy intake (P = 0.035) and protein intake of anemic student (P = 0.000). Whereas there was no effect of counseling using a booklet among anemic student towards Vitamin C intake (P = 0.537) and Vitamin B 12 intake (P = 0.457). As for this study shows Fe intake was influenced by booklet nutrition counselling (P = 0.000) Recommendation: This study suggest that each school particularly with teenage girls to make a routine nutrition counselling programs as well as need for healthy canteen socialization to provides diverse and nutritious food.

Keywords: Booklet Nutrition Counseling, Knowledge, Attitude, Nutrient Intake, Anemic Teenage Girls

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EFFECT OF BALANCE NUTRIENT TRAINING IN INCREASING NUTRITIONAL STATUS OF CHILDREN AGED 0 – 24 MONTHS IN ANDOWIA PUBLIC HEALTH CENTER OF ANDOWIA DISTRICT, NORTH KONAWE REGENCY

Yahya

Student, Stikes Mandala Waluya Kendari

Background: Nutrition still becomes a big problem in Indonesia. There are four main nutrition problems such as deficiency of energy protein, anemia, and deficiency of iodine, and vitamin A. Prevalence status of nutrition in children under five in Indonesia based on Body weight/Age index is 13.9% of malnutrition, 5.7% Pellagra; and height/age is 19.2% short, 18% very short and 12.1% low nutrition. However, nutrition status is influenced by food consumption and disease infection. Aim: This research aimed to know the effect of balance nutrient training in increasing nutritional status of children aged 0 – 24 months. Method: This research used randomized post-test and pretest control group design. The population were all children aged 0-24 months in Public Health Center, Andowia District, North Konawe Regency consisted of 222 childre. The samples in this study were 46 children selected using proportional random sample. The data collection was taken using interview of questionnaire with the mothers. Data were analyzed using paired sample test. Result: This research showed that 56.5% of respondents had a good nutritional status before training and increased to 73.9% after training. There was an effect of balance nutrient on the increase of nutritional status of children under five (p = 0.000). Conclusion: There is an effect balance nutrient training in the increasing of nutritional status of children aged 0-24 months.

Keywords: Nutritional status, children aged 0-24 months, balance nutrient training.

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CONCEPT OF FOOD SELECTION: AN EXAMPLE FROM COASTAL COMMUNITY IN TALIA VILLAGE IN KENDARI CITY, INDONESIA

Dr. Tasnim, SKM, MPH

STIKES Mandala Waluya Kendari

Mail: [email protected]

Aim: Proportion of Indonesian who consumed vegetables and fruits was low, about 93.6% in 2013. It was the same as the number in 2007. Southeast Sulawesi Province was one of provinces where had highest number compared to the national number (95,5%). Some of them happened in coastal areas, including in Talia Village. As we known, less consumption of vegetables and fruits will emerge several chronic diseases such as hypertension, diabetes mellitus and coronary cancer. Therefore, this study aimed to investigate the basic concept of food selection in the coastal area families in Talia Village, Kendari City. Methods: This study used a qualitative method which applied PRA with semi- structure interview to data collection. The numbers of informants were 30 mothers in Talia Village of Abeli Sub-District in Kendari City. Dana analysis was based on "Grounded Theory", whereas all of the transcripts were analysed with interpretive analysis, which were recognised as "content analysis" in qualitative study. Results: This study found that some of mothers chose rice as energy source, fish as protein source beside egg and vegetable. Respondents got easy access from daily selling in the village. In terms of vegetables, although respondents have prepared vegetables in the family's menu, but the children did not want to eat vegetables in the diet. Furthermore, selection of fruits was low. This was caused by difficult access and low monthly family income. The selection of family food was based on family's member's predilection, such as their children, easy access, taste and texture, family's member health condition, opportunity and family's income, which was in the low rate of minimum wage in Southeast Sulawesi Province. Conclusion: This study suggested for Abeli Community Health Centre to give intensively health promotion about balanced diet and benefits. For the local government was suggested to do promotive actions to increase the number of consumption of vegetables and fruits.

Keywords: Selected Food, Coastal, Community, Diet

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MODEL OF MIDWIFERY SERVICES TO DECREASE MATERNAL AND INFANT MORTALITY RATE IN BAJO TRIBE OF SOUTHEAST SULAWESI PROVINCE

Sultina Sarita, Sitti Zaenab, Heyrani

Polytechnic of Health Kendari, Department of Midwifery

Background: Bajo tribe are people who live above the sea and are generally Muslim but still hold strong traditions and beliefs that developed in the life of the community. The Bajo tribe as a coastal community away from access to health services has a unique tradition of overcoming their health problems, called by Duata tradition. To improve maternal and child health services, local midwives are needed. A midwife is a person who has attended a recognized midwife education program in her country, has graduated from the education, and meets the qualifications to be registered and has a legal license (license) for midwife practice. Aim: To know the service model of midwife to decrease maternal and infant mortality rate in Bajo tribe of Southeast Sulawesi. Methods: This research was a qualitative research toexplore information about the existence of local midwives in helping improve mother and child health services in Bajo Tribe In Southeast Sulawesi. This research was conducted on Bajo tribe community which spread in some region in Southeast Sulawesi, North Moramo Subdistrict, Moramo Sub-District of South Konawe, Nambo Kendari City, Soropia Sub-District of Konawe Regency. Data collection in this research was done by using participant observation technique. Direct observation to the subject was also done with everyday’s activities to describe what we viewed, heard, and felt. Describing, reducing, selecting the theme were used for data analysis. Results: Based on the interviews of Bajo tribe mothers indicated that knowledge about the utilization of health services was still lacking, which most mothers preempt their pregnancy first in shaman and then check to midwife after the age of the pregnancy about 6-7 month. In addition, maternal knowledge about the use of Mothers and Children Health books was still very poor. Besides, midwives were not standby in this area due to the unavailability of health facilities such as the village health pos, thus midwives chose to stay at home or at community health clinic. Conclusion: Most of mothers have a positive attitude towards the existence of midwives and the utilization of health service facilities in the village.

Keywords: Bajo Tribe, Midwife, Qualitative, Southeast Sulawesi

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RELATIONSHIP OF A HUSBAND SUPPORT WITH THE IMPLEMENTATION OF EARLY INITIATION OF BREASTFEEDING IN MOTHERS IN THE WORKING AREAS OF HEALTH CENTER POA KOTA KENDARI

Andika Mayansara Saboli1, H. La Ode Malik2, La Ode Ali Hanafi3

1 Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2,3Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: Based on the results of Riskesdas 2010, breastfeeding to infants in the period of less than an hour is equal to 29.3%. For the Southeast Sulawesi region, infant feeding in less than an hour is 26%, with the lowest area is Maluku at 13%. Breastfeeding rate within the first hour continues to decline. The number of deliveries in Poasia Health Center from January to March 2015 amounted to 42 people. Aim: This study aims to determine the relationship of husband support to the implementation of early initiation of breastfeeding in the working area of public health centre of Poasia Kendari City. Methods: The type of this research was a quantitative research with cross sectional study design. The population in this study was 42 people while the number of samples of 38 people using simple random sampling. The method of analysis was chi square test. Results: The result of the coefficient test was 0.53, indicated that there was a strong relationship between husband support with the implementation of early initiation of brestfeeding. It is suggested to Kendari City Health Office and Poasia Health Center to further improve health promotion efforts on early breastfeeding for expectant mothers, pregnant women and husbands in order to increase mother's knowledge and attitudes related to early breatfeeding.

Keywords: Early Initiation of Breastfeeding, Husband Support, Kendari

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Category 2

HEALTH ADMINISTRATION

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NEEDS ASSESSMENTS OF MIDWIVES IN PUBLIC HEALTH CENTER (PUSKESMAS) AT SUKABUMI MUNICIPALITY, PROVINCE OF JAWA BARAT, INDONESIA

Al Asyary1,3, Taofik Ichsan2, Dian Azhari2, Meita Veruswati1,3

1Department of Public Health Sciences, University of Muhammadiyah Prof Dr Hamka, Indonesia 2Planning and Human and Resource Development (HRD) Section of Health Office, Local Government of Sukabumi Municipality, Province of Jawa Barat, Indonesia 3Problem Solving for Quality Hospitals Unit, Center for Health Service and Education, Faculty of Public Health, University of Indonesia (PSQH-P3M FKM-UI), Indonesia

Background: Sukabumi municipality has highest rank for maternal mortality in Indonesia with 102 by 100,000 live births with almost 80% of births were not attended by skilled birth attendant (SBA). Although universal health coverage has been implemented, availability and sufficiency of SBA, such as midwife in this developing country, are problematic agenda for the quality of public healthcare as well as decreasing maternal mortality rate. This study aims to describe the equally distribution of midwives in Sukabumi municipal as support of government’s program named Millennium Development Goals (MDGs) that aimed to suppress maternal mortality rate in Indonesia. Methods: We conducted an observational study with Workload Indicator of Staffing Need (WISN) analysis to present the dispersion of midwives by their activities and workloads in 37 Puskesmas. We also generated in-depth interview with several executive chief of health sections, including chief of health offices in Sukabumi municipality. Results: It resulted inferentially that several activities in midwives’ program were differed at once of existing than needed condition ideally (ρ value = 0.002 < 0.05). Meanwhile, decision for midwives’ procurement and placement were held by un-systematically procedure such as based on where the midwife was staying and it also progressed by neighborhood issue priorities. Absence of formal regulation in local government is serious problem that indicated poor political commitment, while access to SBA shall be focused carefully.

Keywords: Health Manpower, Needs Assessment, Professional Practice Gaps, Maternal Health Services

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ROLE OF POSYANDU CADRES IN EFFORTS TO IMPROVE POSYANDU UTILIZATION IN THE WORK AREA OF MOKOAU PUBLIC HEALTH CENTRE IN 2017 !

Resa Rahayu, Nani Yuniar, Amrin Farzan, and Sitti Susilawati

Faculty of Public Health, Halu Oleo University

Mail: [email protected] [email protected], [email protected], [email protected]

Background: Posyandu is one form of Community-Based Health Efforts (CBHE) managed from, by, for, and with the community, to empower communities and provide convenience to the public in obtaining basic health services. Posyandu is very dependent on the role of cadres. Kaders are community members who are willing, able and have time to organize posyandu activities. Aim: This study aims to describe the role of posyandu cadres in an effort to improve the utilization of posyandu in the work area of Mokoau PHC in 2017. Methods: This research used a qualitative method with phenomenology approach, involving 6 key informants and 5 supporting informants. Data analysis technique used in this research consisted of three paths: data reduction, data presentation, and conclusion drawing. Data processing was analyzed using content analysis method then interpreted and presented in narrative form. Checking the validity of the findings / conclusions was done by triangulation method. Results: The results were emerged from data: 1) Posyandu pre-cadre roles were not implemented, 2) Role of cadres at posyandu was implemented, 3) Posyandu post cadre roles were not implemented. It is necessary to increase the guidance to the cadres to carry out all the roles and duties including the role of pre-posyandu cadres, the role of cadres in the implementation of posyandu and the role of post-posyandu cadres, so that the achievement of a target can be achieved and expected on the part of Mokoau PHC to monitor the role of the cadres include, the role of pre-posyandu cadres, the role of cadres in the implementation of posyandu and the role of post-posyandu cadres, in order to create effective coordination of cadres and health workers.

Keywords: Roles, Posyandu cadres, Mokoau Public Health Centre

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EFFECT OF SPIRITUAL LEADERSHIP ON THE IMPROVEMENT OF COMMITMENT HEALTH WORKERS IN SULTAN AGUNG SEMARANG ISLAMIC HOSPITAL

Azlimin Azlimin

School of Public Health, College of Mandala Waluya Kendari Health Science, Kendari, Indonesia

Background: In modern society, stress and anxiety have become the norm of work. The need for the presence of spirituality bring a new awareness in management and modern organization that is recognition of the important role of spirituality in enhancing the commitment and performance of the organization. Aim: To describe and analyze the effect of spiritual leadership on increasing the commitment of health workers at Sultan Agung Semarang Islamic Hospital. Methods: This type of research was the explanatory study to see the influence between variables. The sample in this study was the employees of RSI Sultan Agung Semarang as many as 80 people using proportional stratified random sampling method. Results: There was a direct influence of spiritual leadership on the commitment of health workers and an indirect influence of spiritual leadership through spiritual survival towards human resource commitment. Conclusions: Spiritual leadership is very well applied to health care organization hospitals and health centers. The application of spiritual leadership values can increase the commitment and performance of health care.

Keywords: Spiritual Leadership, Spiritual Survival, Commitment, Health Workers

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THE IMPACT OF REGIONAL EXPANSION TO THE PUBLIC SERVICE QUALITY IN HEALTH CARE: A CASE STUDY IN WEST MUNA

Amrin Farzan, La Ode Ali Imran Ahmad, Muhamad Rasyidin

Public Health Faculty of Halu Oleo University

Mail: [email protected], [email protected], [email protected]

Background: Public service in the field of health is any form of activity in the framework of arranging, coaching, guidance, provision of facilities, services and other implemented by the government apparatus as an effort to meet the needs of the community in accordance with applicable legislation in the field of health. Factors affecting the quality of public services in the field of health is tangibility, reliability, responsiveness, assurance and empathy. Aim: This study aims to determine the tangibility, reliability, responsiveness, assurance and empathy of new expansion areas of West Muna district to the quality of public services in health care in 2017. Methods: This research was a qualitative research with phenomenological approach. Key informants consisted of 4 persons, 1 person from local government, 1 person from health agency and 2 people from public health center and regular informant consisted of 8 people, 4 people in the working area of Guali public health center and 4 people in the working area of Kombikuno public health services. Results: The results of the study indicated that the information from all informants, health agency, Guali public health centers, and public health centers of Kombikuno and the community revealed that the tangibility of health facilities in West Muna district is not yet complete. Reliability according to key informants from the health agency revealed that western muna district lacked of doctors and laboratory experts. The key information from the Guali and Kombikuno public health centers is similar to the information from the usual informants that the health officer has performed the health care provider in accordance with his expertise. The responsiveness according to the key informants of public health center and the usual informants revealed that every needs of the service user community was met. Assurance, according to the information from all informants revealed that health workers have been working in accordance with the professional code of ethics. Empathy, according to information from all informants revealed that all health workers have given empathy to health-care users.

Keywords: Tangibility, Reliability, Responsiveness, Assurance, Empathy, Health Services Quality

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A PSYCHOGRAPHICAL STUDY IN THE SELECTION AND USE OF CONTRACEPTION TOOLS IN BAJO INDAH VILLAGE, KONAWE DISTRICT

La Ode Ali Imran Ahmad, Vebi Yogawana Putri, Lisnawaty

Faculty of Public Health, University of Halu Oleo, Kendari, Indonesia.

Background: Bajo Society is a society with a background in social, economic and demographic as well as the different cultures of other communities. Slowly, the Bajau tribe in the village of Bajo Indah been touched by modernization is expected to improve well-being, including fertility. The essential factor in the family planning program is the selection and proper use of contraceptives. Aim: The purpose of this study was to determine the psychographic in the collection and use of contraception in the Bajo tribe community in the village of Bajo Indah subdistrict, Soropia Konawe in 2017. Methods: The research was a survey method with a qualitative approach through in-depth interviews with informants. The results showed that of the five informants said that they use contraceptives such as birth control pills, Injectable and Implant. During use contraceptives, the informant said there was a side effect that is felt but did not interfere with their physical activity. Type of contraception used informants determined by the installation cost of contraceptives. Also, the culture has long been on hold tightly Bajo ethnic community does not deter them from selecting the type and use of contraceptives. Thus, the informant chose the kind of contraception based on matches and installation costs of contraceptives. To support BKKBN improve community participation in the program, preferably Southeast Sulawesi Provincial Government, particularly the field of Population in collaboration with the Health Department Konawe to promote long-term contraception and permanent hopefully will help reduce the rate of population growth in Indonesia.

Keywords: Bajo, Selection, and Use of Contraceptives, Cost, Culture,

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EVALUATION OF INTERSECTORAL COORDINATION MECHANISM WITH A HEALTHY CITY FORUM (FKS) ON THE HEALTHY CITIES PROGRAM IN THE CITY OF YOGYAKARTA

Lade Albar Kalza, Hari Kusnanto, Mubasysyir Hasanbasri

Center of Health Policy and Management, Faculty of Medicine, Gadjah Mada University Mail: [email protected]

Background: The coordination sector remains important in development of a healthy city. The healthy city is legitimated by Minister of Internal Affairs in 1998 and validated in 2005 with the collective decision letter by Minister of Home Affair and Minister of Health No 34 in 2005 and No 1138/Menkes/PB/VIII/2005/ about directive implementation of the healthy city. Yogyakarta city got the national appreciation of swasti saba wistara in 2007, 2009, 2011, 2013, and 2015. The result of cooperation between the healthy city forum and builder team of the healthy city. Aim: To evaluate the intersectoral coordination mechanism with a Healthy City Forum Yogyakarta and its strategy to improve coordination. Methods: This was a qualitative qualitative study. The subjects were the Chairman of the forum of healthy city, the Secretary of the forum of healthy city and seven people with appropriate official positions. In-depth interview with open question was perfomed that complete the proof such as Mayor SK on forum team of the healthy city and directive implementation regency or the healthy city. Results: The healthy city perceived by forum team of the healthy city is the society and area of empowerment to increase health, civilize of the clean life and health, tourism promotion and support for the healthy city. The purpose of the healthy city is to create save city, comfortable, and priority to process approach than target. The activity of healthy city consists of meeting, suggestion of political district administered by a village chief, determine of excellent arrangement priority by the forum of healthy city and the founders in relation with communication, coordination and decision making in the implementation the healthy as the point task and the function of the Regional Government Unit. The strategy of the healthy city development indicated that intersectoral coordination involved the support from the Mayor of Yogyakarta, forum team of the healthy city as well as the head offices of the Regional Government Unit to determine excellent locations in election program arrangement of the healthy city. Conclusion: The implementation of the healthy city needs the commitment from the forum team of the healthy city persistent with Mayor decision letter and Secretary establishment for the activity implementation of the healthy city, which its establishment is the part of law to get donation from government and private institutes.

Keywords: Coordination, The Healthy City Forum, Yogyakarta

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FACTORS RELATED WITH THE PERFORMANCE OF THE SECOND CLASS OF PORT HEALTH OFFICE EMPLOYEES OF KENDARI

Adha F. Ondu, La Ode Hamiru, Budiman

Post Graduate of Public Health Department of Mandala Waluya College

Background: The performance of the second class of Port health office of Kendari employees has not been fully implemented in an orderly manner in accordance with applicable procedures and the quality of human resources were still lack, it was because the less performance of their employees. This restriction was caused by the factor of work motivation, job performance, and work attitude. Aim: This study aimed to determine the relationship between work motivation, job performance and work attitude on the performance of second class of Port health office of Kendari employees. The study method used was analytical survey with cross sectional study approach. Sample of this study was 42 respondents. Data processing was done by using the chi-square statistic, if relation meaningful continued by using the coefficient of contingency to see relationships. Data presented in form tabular distribution. Results: The results showed that 1) the motivation related with the 2 2 employees performance where (X calculate=11,662>X table=3,841) with the strength of relationship was fair. 2) Performance related to the employee 2 2 performance where (X calculate=4,765>X table=3,841) with the strength of relationship was fair. 3) Work attitudes related to the employees performance 2 2 where (X calculate=213,482>X table=3,841) with the strength of relationship was solid. Conclusion: The conclusions gained from the study results that there was a significant relationship between work motivation, work attitude on the performance of the employees of second class of Port health office of Kendari in 2011. And suggested the need for developing and empowering of human resources by staffing the employees based on the competence for the improvement of the employees performances.

Keywords: Motivation, Performances, Attitudes, Employees Port Health Office of Kendari

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FACTORS AFFECTING THE WILLINGNESS TO PAY IN PATIENTS IN THE INPATIENT WARD OF ABUNAWAS GENERAL HOSPITAL KENDARI

Nur Rabiah, Ruslan Majid, La Ode Ali Imran

Graduate Student of Public Health Studies Program Stikes Mandala Waluya Kendari

Mail: [email protected]

Background: Health financing is a major problem in the healthcare system, especially in a free for service. Often the price is not determined in accordance with the willingness to pay of people who will utilize health services. Then the other thing to consider in determining the price of health care is to look at the willingness to pay. Aim: The purpose of this study was to obtain a patient's willingness to pay health care (PAP) in inpatient ward of Abunawas General Hospital in Kendari and the factors that influence the patient's willingness to pay the household income, the patient's perception of the quality of in patient care, the patient's perception fare services and ability to pay (ATP). Methods: This type of research is a cross sectional analytic study. The sample was 79 respondents using accidental sampling. Data were collected using questionnaire. Data were analyzed using a logistic regression. Results: Based on the results of logistic regression showed that the household income variable (ρ=0.017) and the ability to pay (ATP) (ρ=0.049) have significant influence on willingness to pay variable in patients at the Abunawas General Hospital. While patient's perception of the quality of health services (ρ=0.416) and the perception of health care rates (ρ=0.370) has no effect on willingness to pay variable in patients at the Abunawas General Hospital, with α= 0.05(95%).

Keywords: Willingness to Pay, Inpatient, Hospital

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RELATIONSHIP OF MOTHER KNOWLEDGE WITH BREAST CARE TREATMENT IN BAHTERAMAS HOSPITAL SULAWESI TENGGARA

Anggi Selfina1, Hj. Nurbajani Tjanggi2, Julia Fitrianingsih3

1Student in DIV Educator Midwife Program, High School of Health Sciences Mega Rezky Makasar 2,3Lecture of DIV Educator Midwife Program, High School of Health Sciences Mega Rezky Makasar

Background: Bahteramas General Hospital Southeast Sulawesi is the hospital that coverage of labor approximately 720 patients per month with various indications of labor. It is 70% of post partum mothers do not understand about proper breast care. Aim: The purpose of this study is to determine the relationship of mother knowledge with postpartum breast care in the Public Hospital of Bahteramas Southeast Sulawesi. Methods: The type of research is descriptive analytic correlation with cross sectional design by using survey method. The research subjects were postpartum mothers who gave birth in public hospital in Southeast Sulawesi on 17 June 2015 - 17 July 2015, amounting to 30 people. Data collection techniques with questionnaires to know the level of knowledge and attitude of the mothers. Results: The results were presented in the form of frequency distribution and analyzed by using statistical test of product moment correlation according to spearman Rho with significant level: 5% obtained result: 0.000, indicated that knowledge of mother post partum about breast care is mostly good category, so there is a strong correlation between knowledge level of post partum mother with in breast care at Public Hospital of Bahteramas in Southeast Sulawesi Indonesia.

Keywords: Knowledge, Attitude, Breast Care

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RELATED QUALITY OF HEALTH SERVICES LOYALTY GENERAL HOSPITAL PATIENTS IN GENERAL HOSPITAL OF CITY KENDARI 2016

Ertika Sekar Ningrum Jayadipraja and Erwin Azizi

Post Graduate of Public Health Department of Mandala Waluya College

Mail: [email protected]

Background: Quality of service is an indicator that is given by a health worker. Quality of service is one of the capital to get more patients, especially loyal patients who will improve the quality of health care. According to secondary data from the General Hospital of Kendari City 2016, there was a decline in the level of loyalty of patients in the inpatient units of Kendari City Hospital. Aim: This study aims to determine the relationship of quality health services with the loyalty of patients in inpatient units of the General Hospital of Kendari in the aspects of direct evidence (tangible), empathy (empathy), reliability (reliability), and the guarantee / assurance (assurance). Methods: This study used a cross sectional design with a total population of 1,292 and a sample of 100 people determined by probability sampling technique. Data were collected using questionnaires. Results: Chi-square test (p <0.05) showed a significant relationship between (p = 0.000), empathy (p = 0.000), reliability (p = 0.000), and the guarantee / assurance (p = 0.000 ) to the loyalty of patients. It is suggested to the hospital to do more attention to the comfort of the patient's room and improve skills in serving patients to increase the quality of service and loyalty of patients.

Keywords: Quality of Care, Patient Loyalty, Hospitals

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HEALTH SERVICE QUALITY REVIEW ON PATIENTS WITH JAMKESMAS AT LAMBANDIA COMMUNITY HEALTH CENTER KOLAKA

Gunawan1, M. Adnin Muntu2, Hj. Nuraeny2

1Student In Public Health Program Studies, High School of Health Sciences Tamalate Makasar 2Lecture in Public Health Program Studies, High School of Health Sciences Tamalate Makasar

Background: Quality assurance of health services is one of the most important and fundamental efforts in providing health services to all patients without exception. Quality health services, professional, effective, and efficient and acceptable patients are the main purpose of health servicing at the health center. In the matter of health, people do not have suffered suffering in the form of health services. Service cases that are unfriendly, insulting, until hostage taking by health-care agencies are often experienced by inadequate patients. Aim: The purpose of this research is to know the quality picture of health service which is taken by Jamkesmas patient in public health centre of Lambandia Kolaka Regency, Southeast Sulawesi Province. Methods: The research method used is descriptive survey with 98 people selected using purposive sampling. Results: The results showed that the quality of service in terms of interpersonal relations officers showed that 62 respondents expressed less time accuracy and 56 respondents expressed less comfort.

Keywords: Quality of Service, Interpersonal, Timeliness, Convenience

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THE STUDY OF INTERNAL MONITORING OF THE NATIONAL HEALTH INSURANCE AT LOCAL GENERAL HOSPITAL OF ABUNAWAS KENDARI MUNICIPALITY IN 2014

Ayu Pitriana and Nani Yuniar

Student in Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari

Background: At Abunawas Hospital, from the medicare claims data obtained, there was a delay in the payment of claims from Social Security Administering Bodies (BPJS) to the hospital. Based on preliminary survey conducted at Abunawas Hospital, the National Health Security was not running well at the hospital yet. Aim: The purpose of the research is to find out the of internal monitoring of the national health insurance at Local General Hospital of Abunawas In Kendari Municipality in 2014. Methods: This is a qualitative research with phenomenological approach. The primary data were obtained from 2 key informants and 4 regular informants that are considered understanding the problem clearly, trusted, and able to communicate the problem well. Results: The result of the research shows that the internal monitoring of National Health Security at Abunawas Regional General Hospital is directly conduted by related parties with the hospital, a direct monitoring and document verification report is also conducted in order to know whether the National Health Security program is implemented procedurally and in accordance with the standardized service. The monitoring is conducted every 3 months, 6 months, and 1 year. The monitoring is directly conducted by the officer of the Social Security administering Bodies in charge in the hospital, the head of section, the head of service, and the Director of Hospital. The process of monitoring is that the director instructs the head of service to coordinate the head of sections to conduct monitoring toward the patiens of National Health Security (NHS). The next process is the service and claiming of NHS to be reported again to the Director of Hospital. Abunawas Hospital implemented the participles of accountability, transparency, and participation in the implementation of NHS by giving access or freedom for everyone to get information on the implementation of National Health Security in the hospital such as an information about the policy, making process and its implementation, and the results that have been achieved.

Keywords: Monitoring, Internal Monitoring of National Health Security, Abunawas Regional General Hospital.

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RELATIONSHIP OF QUALITY OF HEALTH SERVICE WITH OUTPATIENT SATISFACTION AT HEALTH CENTER OF POASIA KENDARI CITY

Alamiah

Post Graduate of Public Health Department of Mandala Waluya College

Background: Based on the preliminary survey at the Poasia Health Center, the number of outpatient visits at Poasia Public Health Center in 2010 amounted to 48,922, in 2011 amounted to 47,776, in 2012 amounted to 44,270, the period January to March 2013 as many as 7,402 visits. Aim: The purpose of this study is to know the relationship of health services with outpatient satisfaction at Poasia Health Center of Kendari City in 2013. Methods: This was a cross sectional study with 95 respondents. Data processing was done using electronic media. Data were analyzed using Chi- Square formula with analysis table 2 x 2. Results: This research shows that tangible variables have X2 value = 6.388 and Φ = 0.272 means that there is intermediate relationship tangible with quality of outpatient health service, and variable of reliability, empathy, responsiveness, and assurance, each has value X2 = 4,973 and Φ = 0.244; X2count = 4.340 and Φ = 0.231; X2count = 4.361 and Φ = 0.230; and X2count = 4.329 and Φ = 0.230, so that all four variables have weak relation with quality of outpatient health service. It is expected to the Poasia Health Center of Kendari City to make improvements to the quality of health care services, so that patient satisfaction on the quality of service will continue to increase.

Keywords: Tangible, Reliability, Emphaty, Responsiveness, Assurance, Quality of Service

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FACTORS RELATED TO THE INCIDENCE OF UPPER RESPIRATORY INFECTION IN INFANTS IN THE WORKING AREA OF MOWILA HEALTH CENTER, KABUPATEN KONAWE SELATAN

Binsar

Post Graduate of Public Health Department of Mandala Waluya College

Background: The number of patients with upper respiratory infection in the last three years at the Heatlh Center of Mowila in 2011 was 1,975 cases, and decreased to 1,099 cases in 2012. While in 2013 the cases increased steeply to 1,802 cases. The number of patients with ARI from January to March as many as 450 children under five. Aim: The purpose of this study was to identify factors related to the incidence of upper respiratory infection in infants in the Working Area of Mowila Health Center, Kabupaten Konawe Selatan. Methods: This was a cross sectional study 82 respondents with Simple Random Sampling sampling technique. Results: The results showed that the variables of knowledge, smoking habit of house occupants and occupancy density have X2 value = 4,169 and Phi = 0,386, X2count = 5,535 and Phi = 0,445, X2count = 4,169 and Phi = 0,386, a moderate relationship with the incidence of ARD in infants at the Working Area of Mowila Community Health Center of South Konawe District. It is suggested that health officer to increase knowledge of society through counseling about the importance of prevention of upper respiratory infection in toddler and factors such as environmental hygiene at home and condition of dense residents and visit sanitation of village in order to survey and counseling about healthy house in order to create quality a healthy residential environment.

Keywords: Knowledge, Smoking Habit, Dwelling Density, Health Center Mowila

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FACTORS ASSOCIATED WITH A DECREASE IN THE PERFORMANCE OF HEALTH WORKERS IN PAMANDATI HEALTH CENTER OF SOUTH KONAWE REGENCY

Niluh Sarindrawati

Post Graduate of Public Health Department of Mandala Waluya College

Background: Based on the initial survey there are a lot of programs in the Health Center of Pamandati who have not reached the targets set. One of which is the family Privy of targets set at about 65% while only 35% of its achievements, the existence of the problem most likely exists on the health workers such as the granting of incentives, facilities existing employment and working conditions. Aim: The purpose of this research is to know the factors that are associated with a decrease in the performance of health workers in the Pamandati Health Center of South Konawe Regency. Methods: This was a cross sectional study with31 respondents selected using total sampling. The data processing was done manually and presented in the form of tables and explanations, data analysis used a statistical test of Chi-Square. Results: Findings show that there is a connection between the ongoing incentives, facilities and working conditions of the working environment with the performance of health workers in the Pamandati Health Center of South Konawe Regency. It is suggested to Head of Health Department of Wowoni Island District to provide additional incentives in the form of budget to health workers to improve better performance, create policies and funding for the health service to provide supporting facilities to all health workers on duty as well as the need for the enhancement of a conducive working conditions, relationships with subordinates, superiors so entwined together to achieve the goal of cooperation.

Keywords: Performance, Health Workers, Pamandati Health Center, South Konawe Regency

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FACTORS RELATED TO PATIENT SATISFACTION AT PUBLIC HEALTH CENTER OF LALOLAE KABUPATEN KOLAKA TIMUR

Sudarni Geno

Post Graduate of Public Health Department of Mandala Waluya College

Background: The low performance of the service will build a bad image on the Public Health Center. The higher the performance of the services provided will be a plus for the Public Health Center, in which case the patient will be satisfied with the services provided by the Public Health Center. Based on the preliminary study, it was found that the number of patients at East Kolaka Public Health Center Lalolae Kabupaten Kolaka Timur in 2015 totaled 724 visits, and decreased drastically in 2016 to 581 visits, the period of January - May 2017 amounted to 221 visits. Aim: The purpose of this study was to determine factors related to patient satisfaction at Public Health Center Lalolae of Kabupaten Kolaka Timur. Methods: The type of this research was quantitative research with cross sectional approach. Total population of 208 people with the number of sample was 67 respondents by using random sampling technique. The data analysis used chi-square test and Phi coefficient. Results: The results in this study indicated that there was a correlation of determinant factors on patient satisfaction at Public Health Center Lalolae of Kabupaten Kolaka Timur in 2017, with variable of distance X2 count 14,120> X2 table 3,841; attitude X2 count 12,887> X2 table 3,841, facility facility X2 count 11,976> X2 table 3,841, and drug facility X2 count 9,879> X2 table 3,841. Thus, it is suggested to the related parties to raise more attention, especially in providing services to the community to maintain patient satisfaction.

Keywords: Distance, Attitude, Means, Medication, Satisfaction

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Category 3

HEALTH ADMINISTRATION AND NUTRITION

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FEEDING PRACTICES AND FOOD CONSUMPTION IN NUTRITIONAL STATUS UNDER TWO YEARS ON ETHNIC TOLAKI AT EAST KOLAKA IN SOUTHEAST SULAWESI PROVINCE !

Suriana koro¹, Theresia Limbong², Andi Erwin¹, Kameriah Gani¹

¹Jurusan Gizi Poltekkes Kemenkes Kendari ²Jurusan Kebidanan Poltekkes Kemenkes Makassar

Background: The nutritional problems of under five and under two children in Indonesia and Southeast Sulawesi province are still classified as public health problems. Aim: This study aims to measure the level of adequacy of food consumption, assess the nutritional status, explain the relationship between the level of adequacy of consumption with nutritional status and feeding practice relationships with nutritional status of under five years children of ethnic tolaki. Methods: The design of this research was a cross sectional study. The research was conducted from October to December 2017 in East Kolaka District, Southeast Sulawesi Province. The process of data collection conducted in October to November 2017. Subjects in this study were children aged 0-24 months. This study used a proportional cluster sampling, in which 30 clusters were selected. The cluster in this study refers to the Village, with a sample size of 138. Results: The results obtained chronic nutritional problems with Heigh / Age indicator of 23.9%, acute nutrition problem with indicator of Body Weight / Heigh as much as 5.8% and Body Weight / Age of 16.7%. Child eating patterns were less variable and there were indications of lack of micronutrients (Fe, Zn, and Ca). Based on feeding patterns, unsatisfactory indicators such as exclusive breastfeeding by age (90%), mothers provide food and / or non-breastfeeding before the first breastmilk comes out, and the mother's behavior when the child does not eat: scolds or lets the child. The need for optimization of systemic growth monitoring programs is recommended by utilizing Posyandu services and need to develop balanced local nutrition messages specific food based dietary guideline (FBDG) so that food availability will be followed by the availability of consumption.

Keywords: Nutritional Status, Feeding Practice, Food Consumption, Children Under Two, Ethnic Tolaki

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KNOWLEDGE AS A DETERMINANT OF COLOSTRUM GIVING ON NEWBORN BABY AT PUBLIC HEALTH CENTER OF POASIA IN KENDARI CITY OF SOUTHEAST OF SULAWESI IN 2015

Ellyani Abadi

Stikes Karya Kesehatan/Student of Stikes Mandala Waluya Kendari

Background: Colostrum is a composition of breast milk that is rich in nutrients for growth and development of infants. The indicator of National Colostrum giving was expected to reach 80%, but the Colostrum giving in Public Health Center of Poasia in 2014 reached only 14.4%. Aim: This study aims to examine knowledge as a determinant factor of Colostrum giving for newborn baby at Public Health Center of Poasia in Kendari city of Southeast Sulawesi. Methods: This study was analytic research with cross sectional study design. The population of this study was all mothers who have a newborn baby at Public Health Center of Poasia in Kendari City in 2015 in period of May to June was 54 people, and 54 samples were taken by Accidental Sampling. The analysis method used chi-square test. Results: The results showed that from 54 samples, mostly 80% of knowledge of mother in less category, 19% in enough category, then from 19 people with less knowledge, 57.9% gave Colostrum and 42.1% did not give Colostrum, then of 35 people with less knowledge, there were 20% give Colostrum and 80% did not give Colostrum. The result of chi-square test showed p value 0.012. Conclusion: The conclusion of this research was there was a significant correlation between knowledge and the Colostrum giving for newborn baby, so that knowledge is the determinant factor of giving Colostrum for newborn baby. Suggestion of this study is expected for the Public Health Center of Poasia in order to establish a policy in effort to improve the knowledge of postpartum mother through extension activities or intensive consultation to the mother about the importance of giving Colostrum for newborn baby.

Keywords: Colostrum, Knowledge, Public Health Center of Poasia

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COMPARISON OF DISCOURSE AND DISCUSSION METHOD IN IMPROVING KNOWLEDGE ABOUT ADOLESCENT REPRODUCTIVE HEALTH IN MIDWIFERY ACADEMY OF SANDI KARSA MAKASSAR

Irma Safitri1, Abd. Rahman2, Syamsuriati3

1Student In DIV Educator Midwife Program, High School Of Health Sciences Mega Rezky Makasar 2,3Lecture Of DIV Educator Midwife Program, High School Of Health Sciences Mega Rezky Makasar

Aim: This research was conducted to find out the comparison of the use of discussion and lecture method to improve the knowledge of students about adolescent reproduction health in midwifery academy of Karsa Makassar in 2013. Methods: This study used a Quasi Experimental method consisting of two groups, namely experiment and control group. Each group consisted of 33 students using cluster sampling. The instrument used in this study was a multiple choice test of knowledge for both experimental and control groups. The data obtained from the test results in the analysis using inferential statistics through the SPSS program. Results: The results of this study indicated that the use of discussion methods is more effective in improving the students' knowledge about adolescent reproductive health in midwifery academy of Sandi Karsa Makassar in 2013. This is demonstrated by the significant differences in posttest results in the experimental and control groups, of the posttest in the experimental group was 37.93 higher than the mean value in the control group 32.54. Conclusion: From this research, it can be concluded that the use of discussion method is more effective in increasing the students knowledge about adolescent reproduction health in lecture method.

Keywords: Discourse And Discussion Methode, Knowledge, Reproductive Health

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RELATIONSHIP OF KNOWLEDGE, EDUCATION AND FAMILY INCOME WITH CHILDREN NUTRITIONAL STATUS IN MOTAHA HEALTH CENTER OF SOUTH KONAWE DISTRICT

Sectio Akdaristan Asmahadi

Post Graduate of Public Health Department of Mandala Waluya College

Background: Based on the data obtained in Motaha Health Center in 2012, of 1,475 children, the number of infants who suffered from malnutrition as many as 22 infants (1.4%), in 2013 was 1,399 infants and toddlers who experienced malnutrition by 28 toddlers (2.0%), whereas in 2014 the number as many as 1,135 infants and those with malnutrition as much 30 infants (2.6%). Aim: The purpose of this study was to determine the relationship of the level of education, knowledge and family income with the nutritional status of children. Methods: This research was a cross sectional study. The population in this study were 246 children, while the samples in this study were mothers who had infants 0-6 months period of January to March as many as 57 respondents. Results: The results showed that there is a strong relationship between 2 2 knowledge of the nutritional status of children with the value X hit 23.622> X tab 3,841 and the value of phi = 0.644, there is a strong relationship between 2 2 education and nutritional status of children with the value X hit29.140>X tab 3,841 and the value of phi = 0.715, and there is a relationship being between 2 income families with nutritional status of children with the value X hit 2 16.574>X tab 3,841 and the value of phi = 0.539. It is suggested for health workers especially dieticiant to conduct counseling on nutrition to mothers in order to know the benefits and usefulness of good nutrition for babies and toddlers.

Keywords: Toddlers Nutritional Status, Knowledge Level, Education, Family Income, Motaha Health Center

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PATIENT SATISFACTION AND ITS CORRELATION WITH RELIABILITY, RESPONSIVENESS, AND SSURANCE AND EMPATHY IN OUTPATIENT WARD OF GENERAL POLYCLINIC OF BHAYANGKARA HOSPITAL KENDARI

Ramadan

Post Graduate of Public Health Department of Mandala Waluya College

Background: Patient satisfaction depens on the service they receive, often times patients complain of services provided. Low discipline and motivation wiill have a negative impact, because users of services will leave the health service and switch to the place of other health services. Aim: The pupose of the study was to determine patient satisfaction in outpatient ward of general polyclinic of Bhayangkara Hospital Kendari. Methods: The study was a cross-sectional study in August involving 385 patients. Results: The results showed significant relationships of patient satisfaction with reliability (x² hitung = 7.190 > x² table = 3.841) and responsiviness (x² hitung = 39.484 > x² tablel = 3.841). There was no relationship of satisfaction with assurance (x² hitung = 3.484 < x² table = 3.841), empathy (x² hitung = 2.796 < x² table = 3.841), and tangibles (x² hitung = 7.200 > x² tabel = 3.841). Conclusion: There was a significant relationship of reliability and responsiveness with patient satisfaction, and no relationships of assurance and empathy with patient satisfaction in outpatient ward of general polyclinic of Bhayangkara Hospital Kendari. It is suggested to the Bhayangkara Kendari hospital to provide outpatient services promptly and satisfactorily as well as for outpatient staffs to help patients and provide appropriate and fast services, and fix the outpatient physical facilities to increase comfort and security.

Keywords: Customer satisfaction, service quality, responsiveness, reliability, assurance, empathy, and tangibles

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FACTORS THAT RELATED WITH MOTIVATION OF ELDERLY TO VISIT TO POSYANDU FOR THE ELDERLY IN THE WORKING AREA POASIA HEALTH CENTER OF KENDARI

Nur Aisyah

Post Graduate of Public Health Department of Mandala Waluya College

Background: Elderly is a person who reaches the age of 60 years older. However, the increase of health services for elderly does not match with their motivation to visit to the services (Posyandu). Of the 165 elderly, only 40% of them regularly visit Posyandu for the elderly in the working area of Poasia Health Center. Aim: To examine the factors of knowledge, distance of residence, family support, and attitudes of Posyandu worker with motivation of elderly in the working area of Poasia Health Center of Kendari in 2012. Methods: This research was a cross-sectional study conducted on 27 June to 19 July 2012. The population was all elderly in the working area of Poasia Health Center amounted to 165 elderly. The sample size in this study was 62 elderly. Data were analyzed using chi-square test. and continued with Coefficient test of Phi. Results: Findings showed that there was a correlation between knowledge (V2=0.697), distance of residence (V2=0.590), family support (V2=0.668), and attitudes of Posyandu worker (V2=0.746) with motivation of elderly in the working area of Poasia Health Center of Kendari. All of those factors showed strong correlation. It is suggested that the Health Center has to make efforts to increase knowledge, attitude and family supports about benefits of Posyandu for elderly with counseling or other intervention, and improve services in regards to distance between health service and elderly homes.

Keywords: Motivation, Related Factors, Posyandu, Elderly

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THE RELATIONSHIP BETWEEN HEALTH CARE QUALITY AND PATIENT SATISFACTION IN THE OUTPATIENT UNIT IN THE PUBLIC HEALTH CENTER OF KAPOTA IN SOUTHERN DISTRICT OF WANGI-WANGI WAKATOBI

Rahmawati Passandang

Post Graduate of Public Health Department of Mandala Waluya College

Background: The Public Health Center of Kapota has been providing quality services at the outpatient unit, but patient satisfaction only reached 58.2% in regards to health services, high workload, less equipment, attitude of health workers, and high rate of drugs and services. Aim: This study aims to determine the relationship of health service quality with patient satisfaction in the outpatient units in the community health center of Kapota in Southern District of Wangi-Wangi Wakatobi. Methods: This was a cross sectional study. The target population in the study was all patients who previously visited the outpatient unit in the public health center of Kapota in Southern District of Wangi-Wangi Wakatobi in January- May 2015 as many as 120 people. The sample size was 55 respondents selected using simple random sampling. Chi-square test was used for data analysis. Results: Chi-square test results showed the value of Tangible with X2count (14.961)>X2Table (2.706) and p-value 0.000 (<α 0.1) and φ=0.559; Reliability with X2count (10.170)> X2Table (2.706) and p-value 0.000 (<α 0.1) and φ=0.470; Sympathy with X2count (14.610) < X2Table (2.706) and p-value 0.000 (<α 0.1) and φ= 0.557; Responsiveness with X2count (10.352)> X2Table (2.706) and p-value 0.000 (<α 0.1) and φ=0.472; and Assurance with X2count (8.393)>X2Table (2.706) and p-value 0.004 (<α 0.1) and φ= 0.430. Conclusion: It can be concluded that there is a strong relationship between physical evidence and sympathy with patient satisfaction, and no relationship between reliability, responsiveness and assurance with patient satisfaction in the outpatient units in the community health center of Kapota in Southern District of Wangi-Wangi Wakatobi. It is suggested for the health center to establish policies in order to improve health care services, especially in outpatient units through counseling and training for health workers about the importance of providing superior service to patients.

Keywords: Care quality, Satisfaction, Outpatients

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IMPLEMENTATION OF POLICY ON HEALTH OPERATIONAL COST AT HEALTH DEPARTEMENT OF PALU

Muh. Ryman Napirah, Muh. Jusman Rau, Indah Ekmy Siantary Putri

Health Administration and Policy Department, Public Health Studies Program, Faculty of Public Health, Tadulako University, Indonesia

Background: Trend of Health Operational Grant in Indonesia is purposed of controlling mother’s death rate, nutrition issue, overcome infectious disease and environment Health. Health Operational Grant in Health Department of Palu in 2015 was Rp. 44.309.006.240,- and spread to the whole community public health as much as Rp. 1.341.147.634,- which means that total Health Operational Grant for the whole health department of Palu was 0.3 percent. Based on initial survey, there was a problem of the grent namely inappropriate distribution, inefficient time in solving accountability and stuck program. Aim: The research aims to describe dimensions of communication, resources, disposition and bureaucratic structure in policy implementation of the grent in Health Department of Palu. Methods: This was a preliminary qualitative study. Content analysis was used to analyze the data with 10 informants. Data were collected on May 2016. Results: The results reveal the Health Operational Grant in Palu using Government Regulation Number 82 of 2015, the distribution of the grant based on the criteria, consistency and the communication confirmation used is not good yet, resources has not been adequate seen from health employees and the solving of the report and bureaucratic structure and disposition are not quite good yet that make the policy implementation at the Health department of Palu obstructed. Conclusion: It is expected to the Health Department of Palu to run communication consistently and clearly, adding and placing health employees, socialzing the appropriate of report format to the finishing of Health Operational Grant report.

Keywords: Policy Implementation, Health Operational Cost

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COMPARISON LEVEL OF ENERGY, PROTEIN, FAT AND CARBOHYDRATES CONSUMPTION ON NUTRITIONAL STATUS IN ATHLETES OF TAKRAW AND CHESS IN THE NATIONAL SPORTS COMMITTEE OF INDONESIA, SOUTH- EAST SULAWESI

Jenny Qlifianti Demmalewa1 and Desiderius Beladhesa2

1Public Health Magister, STIKES Mandala Waluya 2Nutrition Science Study Program, STIKES Karya Kesehatan Kendari

Background: Nutrition in one of factors that determine the attainment of an athlete who must be in line with the theory of sports that nutrition and physical axercise produce achievement. It is also strongly influenced by the availability and adequacy of optimal nutrition. Priority to athlete programs should intensively focus on not only exercise but also nutrition. Aim: This study aims to determine the ratio of consumption level of energy, protein, fat and carbohydrate on the nutritional status in athletes of takraw and chess in the national sports committee of Indonesia, South-east Sulawesi. Methods: This was a comparative study on the levels of carbohydrate, protein and fat consumption on the nutrional status of takraw and chess athletes conducted on 17th June - 10th July 2017. The population in the study amounted to 155 athletes, and the sample in this study was 60 athletes who consisted of 30 takraw athletes and 30 chess athletes selected using simple random sampling. Data collection used questionnaires. This study was analyzed using Independent T test. Results: The result of study showed that no difference of energy consumption (p=0.105), protein (0.475), fat (0.265), and carbohydrate consumption (p=0.278) on nutritional status in athletes of takraw and chess in the national sports committee of Indonesia. It can be concluded that health counseling is needed to understand the important of consumption needs on athletes.

Keywords: Energy, Protein, Fat, Carbohydrate and Nutritional Status

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THE INFLUENCE OF FOOD SERVICES INPATIENT SATISFACTION IN HOSPITALS BHAYANGKARA KENDARI

Abidin

Post Graduate of Public Health Department of Mandala Waluya College

Background: Hospital food service is a series of activities ranging from planning the menu until the distribution the food to consumers in order to achieve optimal health status with the aim of providing good food quality and quantity as needed and appropriate and adequate services to clients or consumers need. Aim: The study aimed to analize the influence of food service on the level of patient satisfaction in Bhayangkara hospital of Kendari. Methods: This research was a quantitative study using cross sectional analytical survey approach. The population was patients in the inpatient units in Bhayangkara hospital of Kendari, while the sample size was 124 respondents selected using accidental sampling. Data were analyzed using multiple linear regression. Results: The results showed that the appearance of the food has a hight impact at 0.047 (4.7 %) and do not significantly affect patient satisfaction; The taste of food has high impact at 0.296 (29.6 %) and significantly affect patient satisfaction; Diet variation has high influence of 0.228 (22.8 %) and significantly affect patient satisfaction; How the presentation of the food has a low impact of 0.309 (30,9 %) and significantly affect patient satisfaction; Timelinness serve food have a low impact 0.244 (24%) and significantly affect patient satisfaction; Attitudes and behavior of officers who serve food have a low impact of 0.095 (9.5 %) and cannot affect patient satisfaction; Taste of food is the most dominant variable influence on patient satisfaction by 0.296 (29.6%). Conclusion: Food appearance, taste food, diet varuation, ways of presenting the food, timeliness and attitude and behavior of officers simultaneously affect the level of patient satisfaction. It is suggested to n the installation of hospital nutrition of Bhayangkara hospital to more emphasis on the taste of food, variations in the patient’s diet, and appearance of the food, as well as maintaining the timeliness of the presentation of the food to the patients.

Keywords: Food Services, Satisfaction, Hospitalization

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FACTORS RELATED WITH THE ROLE OF THE KADER FOR IMPROVING COVERAGE OF HEALTHY LIFE BEHAVIOR HOUSEHOLD IN THE WORKING AREA OF PUBLIC HEALTH CENTER KONAWE SELATAN REGENCY

Sri Rahmiati

Student Magsiter Mandala Waluya Health Science College, School of Public Health, Indonesia

Background: The coverage of healthy living behavior in Ranomeeto Public Health Center was still low in 2016, which met 80% of target, only 3 from 9 villages have not met the target with low healthy living behavior coverage caused by lack of cadre role. Aim: The purpose of this study was to determine factors related to the role of cadres in increasing the healthy living behavior coverage of the household in the working area of public health center of Ranomeeto Konawe Selatan Regency. Methods: This was a quantitative study with cross sectional design. This study was conducted on 16 June to 10 August 2017. The population was all active health cadres in the work area of Ranomeeto public health center amounted to 60 people from 12 villages. There were 53 respondents selected using simple random sampling. Chi-Square test and closeness relationship with phi coefficient were used for data analysis. Results: The result of study revealed that there was a medium relationship of knowledge with role of cadre with X2 count value 10.545> X2 table value 3.841 2 2 and ϕ= 0.4461; a weak relationship of attitude with X count value 4.228> X 2 table value 3.841 and ϕ= 0.2824; a medium relationship of motivation with X 2 count value 16.377> X table value 3.841 and ϕ= 0.5559; a a medium relationship of business with X2 count value 9.968> X2 table value 3.841 and ϕ= 0.4337; and a medium relationship of incentive with the role of cadre with 2 2 X count value 15.987> X table value 3.841 and ϕ= 0.5492. It is suggested for health workers in the public health center to coach cadres in cooperation with the head of village to consider in the selection / recruitment of cadres and provide incentives to the cadres so as to enhance the role of cadres.

Keywords: The Role of Cadres, Knowledge, Attitude, Motivation, Business and Incentives

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QUALITATIVE STUDY OF NATIONAL HEALTH INSURANCE IMPLEMENTATION BY HEALTH CARE AND SOCIAL SECURITY AGENCY IN TINANGGEA DISTRICT OF SOUTH KONAWE REGENCY

Agus Putrawan

Mail: [email protected]

Background: The program of National Health Insurance (NHI) is a pattern of pre-financing efforts, which health insurance was issued before sickness. Aim: The purpose of this study was to describe the implementation of socialization, overview of membership, readiness of health facilities, and the referral system in the implementation of NHI program in Tinanggea District. Methods: The type of study was qualitative study with phenomenological approach through in-depth interview with informants. Results: The results showed that the implementation of the socialization of the NHI program which run by the social care security agency (SCSA) in the office of regency operational service the health office and local government clinic in the Tinanggea District of South Konawe regency had been running well, but has not been evenly distributed fully to society because there were still people who did not know about the NHI program. SCSA membership now reaches 40% of the population. Those who have not registered themselves as participants of SCSA because they cannot afford to pay dues per month, in addition, the readiness of health facilities was still poorly prepared to face JKN era. The facility provided 1 unit of local government clinic and not all have village health center in every village. The referral system run by local government clinic refers to the reference system of healthcare and social security agency that listed in the constitution. However, constraints that often occur in the referral process were still many people did not comply with the referral system, and often found that patients t referenced at their own request.

Keywords: NHI, Socialization, Membership, Readiness of Health Facilities Referral System, SCSA Tinanggea District.

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PERFORMANCE OF HEALTH OFFICIAL IN PUBLIC HEALTH CENTER OF PASARWAJO IN BUTON REGENCY, SOUTH EAST SULAWESI

Ruslan Hamzah

Post Graduate of Public Health Department of Mandala Waluya College

Background: To increase the performance of health official, healthy human resource and available infrastructure in health service are needed. However, their performance may be influenced by working condition, working partner, incentive and leadership style, which effect to quality services. Aim: To describe performance of health official in Public Health Center of Pasarwajo Buton regency in 2010, and to know the success of personal improvement, working environment and incentive of health official. Methods: The type of this research was an analytic survey with the 38 health official working in Pasarwajo Central Public Health Pasarwajo district Buton Regency in 2010. This research was conducted at 12 August – 26 August on 2010. The performance of health official was measured based on personal improvement variable, working environment, and incentive variable. Results: Results indicated that performance of health official in Pasarwajo Central Public Health of Buton Regency in 2010 revealed that only 21.1% had high personal improvement, 94.7% with good working environment, and 31.6% with high incentive. Thus, it is suggested that the local government in central public health level or healthy department of Buton regency need to increase the performance of official in order to improve and increase the quality services.

Keywords: Performance, Health Official, Pasarwajo

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RELATIONSHIP BETWEEN LEADERSHIP BEHAVIOR OF HEAD NURSES AND WORK MOTIVATION OF STAFF NURSES IN THE GENERAL HOSPITAL OF

Darwis

Student of Nursing Program of Mandala Waluya College

Background: Low quality of services at the General Hospital of North Buton Regency is still identified, which is caused by not only lack of the number of employees, but also leadership factor leading to low work motivation and poor performance of nurses. However, leadership, work motivation, and performance are inseparable aspects of the management in improving the effectiveness of organization in performing activities and work that has been planned and programmed. Aim: This study aims to determine the relationship between head nurse’s leadership and work motivation of staff nurses in the General Hospital of North Buton Regenncy in 2014. Methods: This reserch was a quantitative study with cross sectional appoach involving 61 respondents selected using total sampling. Data were analyzed using Chi-square test followed by phi coefficient. Results: The results of statistical analysis test obtained thet there was a relationship between directive leadership behavior (phi=0.303), supportive leadership behavior (phi=0.305), participative leadership behavior (phi=0.404), and achievement-oriented ledearship behavior (phi=0.436) with work motivation of nurses. Conclusion: Leadership behavior of head nurses has a significant relationship with nurses’ work motivation. It is suggested for head nurses should be able to apply the leadership behaviors that can increase nurses motivation.

Keywords: Leadership Behavioral, Work Motivation, North Buton General Hospital

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GEOGRAPHICALLY WEIGHTED REGRESSION (GWR) APPROACH In MALNUTRITION MODELING AND FACTORS AFFECTING In MUNA DISTRICT

Fitri Rachmillah Fadmi

School of Public Health Mandala Waluya Health Science College, Kendari City, Southeast Sulawesi, Indonesia ! Mail:[email protected]

Background: Nutrition is a health concern in the International, National, local levels. Muna Regency is one of the districts with the highest malnutrition case data in Southeast Sulawesi Province, Indonesia. The diversity of characteristics across regions determines the quality of health. Thus, the significant factor of response variables will differ from one region to another. Therefore, it is needed a statistical modeling method to take into account the spatial aspect using the Geographically Weighted Regression (GWR) method. Aim: The purpose of this study is to know the model of malnutrition prevalence by Geographically Weighted Regression (GWR) approach and the factors influencing in Muna District. Methods: The research method used in this study was a non-reactive or unobtrusive method. Samples in this study were all malnutrition data in Muna District Health Office with unit analysis in 22 Subdistricts. Results: The results of the study showed that the malnutrition GWR model in Muna District obtained was Y = 1.023651 + 0.001664X3 + 0.032492X4 + 0.010635X6. The Geographicaly Weighted Poisson Regression (GWR) model generates predictor variables significantly affecting the number of new cases of leprosy in Muna District, which was Percentage of Households using clean water sources (X3), Percentage of Low Birth Weight (X4) and Percentage of Toddlers under the Red Line (BGM) (X6). It is hoped that further research should use variables that incorporate local cultural and social elements, so that the final outcome is expected to explain the local conditions of the area. besides that the researcher can then use another method that is more specific to obtain maximum results.

Keywords: Malnutrition, spatial, GWR

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Category 4

ENVIRONMENTAL HEALTH I

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BIOMONITORING: CADMIUM AND PLUMBUM CONCENTRATION IN SHELL AND FISH ON AMBON BAY

Gracia Victoria Souisa

Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Mail: [email protected], Cell: 085656411459

Background: Indications of heavy metal contamination in the bay of Ambon through previous research needs serious attention because it could affect public health and the environment. One alternative for evaluating the quality of the waters is to conduct biomonitoring. All of aquatic biota such as fish and shellfish have the ability to absorb and accumulate heavy metals both essential and non essential. Aim: This study aimed to gain an overview of the concentration of cadmium and lead in mussels species antiquata Anadara, Asaphis violencens, Gafranium tumidum and fish species in the Bay of Ambon Caranx sp inside. Methods: The method used is observational analytic. Sampling was done by purposive sampling. Examination of the concentration of cadmium and lead in mussels and fish do in BTKL PPM Class II, Ambon using AAS Shimadsu, type AA-6300. Results: The results showed that the concentrations of Cd and Pb in mussels species antiquata Anadara, Asaphis violencens, Gafranium tumidum range between 0.0009 - 0.0505 mg / kg and 0.0172 - 0.1160 mg / kg. While the concentrations of Cd and Pb in fish species Caranx sp, undetected. Conclusion: Cd and Pb concentrations in shellfish and fish based SNI 01- 2729.1-2006 and ISO 7387: 2009 is still below the quality standard and safe for consumption.

Keywords: Concentration of Cadmium, Lead, Shellfish, Fish

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EXTEND STUDY OF CORAL REEF USING REMOTE SENSING IN THE MOLAWE BAY OF NORTH KONAWE REGENCY BEFORE, DURING AND AFTER NICKEL MINING AROUND MOLAWE BAY

Sampunur Kaslan, S.KEL.,M.SI

Lecturer of Marine Studi Fisheris and Marine Faculty Halu Oleo University

Aim: The purpose of this research is to know the extent of coral reefs before nickel mining, during nickel mining, and after mining around Molawe Bay. Methods: The method used in this research is remote sensing using Landsat image with lyzenga formulation which is analyzed using Er Mapper and ARC GIS program. Results: Result of this resarch showed that live coral cover in 2009 was 631.13 Ha (68.12%) during nickel mining in 2013 has decreased drastically by 23.9% to 409.25 Ha (44.52%), while 2017 after nickel mining was stopped in 2013, live coral cover to increase again to 583.28 Ha (58.68%) with the percentage increase from the year 2013 - 2017 is 14.4%.

Keywords: Coral Reef Extent, Remote Sensing, Molawe Bay

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COLIFORM ANALYSIS AND PATHOGENIC BACTERIA DRINKING WATER CONTENT AT MANDONGA DISTRICT

Muhammad Aswan*1, Lili Darlian2, Nur Arfa Yanti3, Nur Arafah4, La Majani5

1*,2Departement of Education Biology, Universitas Halu Oleo 3 Departement of Biology, Universitas Halu Oleo 4Departement of Enviromentaly Scince, Universitas Halu Oleo 5Departement of Sociology, Universitas Halu Oleo

Background: Drinking water refill depot is used primarily in sub-district community Mandonga, which is considered being contaminated by coliform bacterial and pathogenic bacteial. Aim: The aim of the study was to determine the microbiological quality in drinking water refill in Mandonga district. Methods: Data were analyzed using qualitative and quantitative technique using Presumtive testing, Confirmed testing and Complied testing as well as using specific media. Results: The result revealed that there is a negative one, namely coliform bacterial from the village and there are four depots with positive coliform bacterial in the village of Alolama, Wawombalata, Labibia and Korumba, with the highest MPN value (> 1100 MPN/100 mL ) found in the depot of Korumba and Wawombalata, whereas the MPN value in the Alolama village is 240 MPN / 100 mL and in the Wawombalata village is 460 MPN/ 100 mL. The result indicated that bacterial amplifier contamination of the depot is a non- faecal colifom bacteria (Enterobacter). Pathogenic bacteria Vibrio sp. was found at the depot in the village of Alolama, Wawombalata and Labibia. Therefore, the presence of bacterial content in drinking water primarily in the drinking water refill depot into an indication of enviromental pollution.

Keywords: Coliform Bacterial, Pathogen, The Quality of drinking water.

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NON CANCER AND CANCER RISK ASSESSMENT FROM PM10 AND PAHS DURING HAZE EPISODE IN CHIANG MAI AND CHIANG RAI, THAILAND

Nopadol Precha, Wissanupong Kliengchuay and Kraichat Tantrakarnapa

Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University

Background: Chiang Mai and Chiang Rai provinces are located in the northern part of Thailand, which are two of the most popular tourist cities in Thailand. The air pollution problem was regularly found in dry season and also affects the humans of all ages. The major sources of air pollution in haze episode are open burning, particularly wildfires and agricultural wastes burning, these combined with traffic emissions and also cause serious issue in urban area. Aim: This study focuses on PM10 and outstanding Polycyclic Aromatic Hydrocarbons (PAHs) e.g.: Benzo [a] pyrene, Benzo [b] fluoranthene and Benzo [k] fluoranthene in Chiang Mai and Chiang Rai. To evaluate the PM10 and PAHs condition in Chiang Mai and Chiang Rai and its potential health risk are the aim of this study. Methods: The concentrations of critical pollutants data during January–April of 2012 to 2015 for PM10 were obtained from Pollution Control Department (PCD) monitor station, PAHs were calculated as proportion from previous study and analyzed for the health risk assessment processes. Non cancer risk assessment of PM10 and PAHs were determined by Hazard Quotient (HQ). Results: The HQ ranges of PM10 were 5.13-19.70 and 6.07-32.31 and PAHs were 1.71 and 0.54 in Chiang Mai and Chiang Rai, respectively. The people in both provinces have high risk to human health from PM10 in this season. The health risk from PAHs exposure in Chiang Mai was low risk and was an acceptable risk in Chiang Rai. The lifetime lung cancer risks estimated from concentration of PM10 bound PAHs at Chiang Mai and Chiang Rai were 2.88 × 10-6 and 6.60 × 10-6, respectively. The probabilities of cancer risk of both provinces are in acceptable risk cancer follow to US.EPA recommendation for general population. Conclusion: The results indicated that PM10 in both provinces show the risk to cause human health effect and also show the probability of cancer cause from PAHs. Air pollution exposure control is largely beyond the individual’s action but requires the working together by public authorities at the local, national and regional to manage and regulate this issue.

Keywords: PM10, PAHs, Health Risk Assessment, Haze Episode, Thailand

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CHARACTERISTICS OF PARTICULATE MATTER (PM2.5) CONCENTRATION DURING HAZE EPISODE IN CHIANGMAI PROVINCE DURING 2013-2016

Wissanupong Kliengchuay1, Suwalee Worakhunpiset1, Aronrag Cooper Meeyai2, Kraichat tantrakarnapa1*

1Department of Social and Environmental Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand 2Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand *Corresponding author. E-mail: [email protected]

Aim: This study aims to investigate the pattern of air pollution events that develop in connection with enhanced subsidence due to haze episode, particularly in dry season over Thailand. Methods: Haze episode in Thailand was determined by the concentration of PM10 that over the standard. This study will use the secondary data of PM2.5 and PM10 measured by Pollution Control Department. Normally, AQI (Air Quality Index) is also used to determine the air quality. During the haze episode, PM10 has been used to indicate AQI. This study selected Chiangmai since it is the biggest province in the north of Thailand and it is a center of all important aspects such as education, business, tourism, culture and others. The secondary data was obtained from Pollution Control Department (PCD), Ministry of Natural resources and Environment during 2013 to 2016. Researchers used R studio software (“Openair: package) to describe descriptive statistics, correlation coefficient and also time series of PM2.5 and PM10. Results: The results indicated that the haze episodes of PM2.5 and PM10 normally occurred in the dry season during February to April. The maximum concentration was always found in March, number of date that monthly concentration exceeded the acceptable level is very high in March. The association of climatological factors with PM10 and PM2.5 concentration were analyzed and found that the relative humidity was negatively correlated with PM2.5 concentration. While, the PM2.5 concentration was strongly positive correlated with CO and NO2 with the correlation values of 0.35 and 0.39, respectively. The findings obtained from this project would be benefits for local organizations and central government to raise the awareness, set the surveillance system and warning system for involved and responsible organizations since PM2.5 and PM10 are associated with people health if they expose the air in the polluted area for longer time.

Keywords: PM2.5, Haze Episode, Chiangmai Province, Climatological Factors

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FACTORS ASSOCIATED WITH HEALTH AND SAFETY (K3) IN EMPLOYEES OF PT. PRIMA LESTARI DESA LARONANGA ANDOWIA SUB-DISTRICT NORTH KONAWE DISTRICT

Tisra Puspita Sari, Erwin Azizi Jayadipraja, Ahmad Saleh

Program Studi Kesehatan Masyarakat STIKES Mandala Waluya Kendari

Background: Based on data of PT. Prima Lestari Desa Laronanga Andowiya Sub District, Konawe Utara District, there were 15 cases of accidents occured such as exposed to sharp objects and heavy loads in 2014, 18 cases in 2015 and 30 cases in 2016. While from January to March 2017, of 64 employees, there were 23 cases of occupational accident. Aim: This study aims to determine factors related to health and safety (K3) on employees of PT. Prima Lestari Desa Laronanga Andowiya District North Konawe Regency. Methods: This was a cross sectional study. The target population was the employees of PT. Prima Lestari from January to March 2017 as many as 64 people while the number of samples was 39 people selected using simple random sampling. Chi square test was used. Results: Chi-square statistical test results revealed that there was a significant relationship of personal protective equipment (X2 count>X2 table; 5.602>3.841), work period (X2 count>X2 table; 5.748 > 3.841), age (X2 count> X2 table; 9.596>3.841) with health and safety. It is expected to the board or owner of PT. Prima Lestari to provide training or counseling regarding health and safety.

Keywords: Health and Safety, Personal Protective Equipment, Work Period, Age

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THE STUDY OF SAFETY RIDING BEHAVIOR AMONG ONLINE MOTORCYCLE TAXI RIDERS IN DEPOK CITY OF WEST JAVA

Syawal kamiluddin Saptaputra

Public Health Faculty of Halu Oleo University

Mail: [email protected]

Background: Currently the existence of online motorcycle taxi is needed by the community. The existence of online motorcycle taxi is very helpful as an alternative transportation that is easy to get, cheap and very flexible. On the other hand, the existence of online motorcycle taxi needs attention in safety riding because the reason of safety, health, and convenience of rider and passenger. Aim: The purpose of this study was to get the information about the safety riding behavior in the online motorcycle taxi riders in Depok City of West Java. Methods: The type of study was qualitative with Rapid Assessment Procedures (RAP). This study was conducted in November 2017 around Margonda Street, Depok City. Selection of informants used quota sampling method with certain criteria. The informants consisted of 6 key informants and 6 ordinary informants. Data collected using in-depth interview and observation. Results: The results show that generally online motorcycle taxi riders had good knowledge of safety riding, a very supportive attitude to safety in riding, the belief of riders that the safety and comfort of passengers is very important. The online motorcycle taxi riders got training related to driving safety supported by facilities from the company. Access of information was good enough. Family support and colleagues in terms of safety riding was very meaningful. Consistency and continuous improvement are required in supporting safety riding for online motorcycle taxi riders as an alternative of comfort transportation for the community.

Keywords: Safety Riding, Online Motorcycle Taxi Rider

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ASSOCIATION BETWEEN CORRECT USE OF HOUSEHOLD HAZARDOUS PRODUCTS AND HOUSEHOLD HAZARDOUS WASTE MANAGEMENT IN THAILAND

Prat Intarasaksit 1 & SomSak Pitaksanurat 2

1 Faculty of Public Health, Khon Kaen University, KhonKaen, Thailand 2 Department of Environmental Health Occupational Health and Safety, Khon Kaen University, Khon Kaen, Thailand

Background: Household hazardous waste (HHW) becomes a major problem globally and also in Thailand. The volume of HHW in Thailand in 2016 totaled approximately 610,000 kilograms or 1,672 kilograms per day, increased of 2.54% in 2015. However, the household hazardous waste management in Thailand has been less attention and inappropriate management. Aim: The objective of the study was to investigate the association between the correct use of household hazardous products and household hazardous waste management. Methods: The data used in this study were collected randomly by a structured questionnaire survey that was implemented to interviews households in Nakhon Nayok province, Thailand during February – May 2017. The association was presented as the odd ratio (OR) and 95% confidence interval (CI) by using multilevel mixed-effects logistic regression model. Results: The total of 663 households included, the result revealed the proportion of appropriate household hazardous waste management was 23.38% (95%CI: 20.15% to 26.61%). The association between the correct use of household hazardous products and household hazardous waste management was adjusted for all confounding factors including gender, number of a person in a household, knowledge of HHW management and collection of household hazardous product. The households who have a correct of using household hazardous product behavior are greater a chance of appropriate management than those have not (adjusted OR: 3.97; 95%CI: 2.40 to 6.58). The correct use household hazardous product associated with household hazardous waste management. This study suggested that the government should create the HHW strategies. In addition, the manual of HHW management should be developed. By passing the knowledge center of HHW at all district; send local government officer to teach people in the HHW product safety use and to motive them to have an appropriate HHW management. Local government should be the responsible unit to distribute the knowledge and awareness of HHW for their citizens and should cover all districts. Furthermore the proper behavior of HHW usages should be concentrated.

Keywords: Household Hazardous Waste, Waste management, Thailand

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THE IMPLEMENTATION OF SANITATION TECNOLOGY TOWARD WATER CLOSED FAMILY SYSTEM BY USING SAND REVERSE FILTRATION METHOD IN COASTAL SOCIETY: A CASE STUDY IN PUUPI VILLAGE KOLONO DISTRICT SOUTH KONAWE SOUTHERN OF SULAWESI INDONESIA

Abdul Rahim Syaban

Public Health Departement of Mandala Waluya College A. H. Nasution Street No. G-37 Kambu District of Kendary City

Indonesia is a maritime country who has number of islands on seashore area about 14% from world seashore on 81000 Km. The implication of coastal resource development area and society behavior has made number of environmental damage systems which the main problem is human waste management area. Puupi village is one of 31 villages on Kolono District South Konawe Region which becomes a pilot project model to conduct it. The high rank of unconciousness society for controlling human waste in Coastal region has been pushed to create a waste human sanitation tecnology namely Water Closed Design by sand reverse filtration systems. A scheme of pilot project consisted of two methods: i) Non physical system consisting of coastal health socialization and focus group discusssion, and 2) Physical system consisting of coastal natural equipment preparation, installing the equipment on coastal location site project, and evaluation test to determine the project to run as flow design parameter. The result indicated that all methods was running well and society will be using this model as daily need and could be mitigated to all deseases caused by human waste on this area.

Keywords: Coastal, Society Behavior, Human Waste Management, Sanitation, Water Closed Design, Sand Reverse Filtration System

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EFFECTIVENESS OF AVVERHOA BILIMBI L AS LARVICIDAL AGAINST DENGUE HEMMORAGIC FEVER VECTOR (AEDES AEGYPTI)

Reni Yunus1, Afrindayanti1, Mubarak2, Nurhayu Malik2

1Polytechnic of Health Kendari 2University of Haluoleo

Mail: Reni [email protected]

Background: Dengue Hemmoragic Fever (DHF) in Indonesia reported by WHO is the highest in Southeast Asia. Effective dengue eradication is preferred for vector control because an effective vaccine for dengue virus has not been found. Spraying with chemical insecticides currently generates a lot of problems, so larvicides naturally from plants are used. Averrhoa bilimbi L is a plant that has a potential as larvicides, the content of Averrhoabilimbi L that can serve as larvicides are alkaloids, saponins and flavonoids. Aim: This study aimed to determine the effectiveness of Averrhoa bilimbi L as larvicidal against Aedes aegypti as DHF vector. Methods: This study was experimental laboratories with posttest only control group, subjects were divided into two groups: the treatment group and the control group. Samples were Aedes Aegypti larvae, which were the result of breeding of Aedes aegypti eggs collected in Parasitology Laboratory Polytechnic of Health by ovitrap. Results: The results showed that the effectiveness of Averrhoa bilimbi L mortality Aedes aegypti within 24 hours was effective at the concentrations of 5%, 6%, 7% and 8%, and not effective at the concentration of 2%, 3% and 4%. Probit analysis results showed that the LC50 value was 4.080% and the LC90 was 7.014%. Conclusion: Avverhoa bilimbi L is effective as natural larvicides against dengue hemorrhagic fever vector (Aedes aegypti).

Keywords: Dengue Hemmoragic Fever, Averrhoa Bilimbi L, Aedes Aegypti

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THE STUDY OF FOOD BACTERIOLOGY IN RESTAURANT PADANG KENDARI

Sitti Rohani

Post Graduate of Public Health Department of Mandala Waluya College

Background: The data of the National Directory in 2007 stated that from 168 Padang restaurants in Kendari regency, there were only 93 (55.35%) restaurants were health legalized and 75 (44.64%) were not legalized. Aim: This research aims to know the bacteries of Escherichia coli and salmonella at Padang restaurant in 2009. Methods: This was a quasy experiment using sample and laboratorium task in eight Padang restaurannts in Kendari regency. Results: The result of this reseach showed that the bacteria of Escherishia coli found in Minang Jaya Restaurant and Nusantara Restaurant. It was caused by low holder of food and correlated with the condition of sanitation facilities and the place that was unsuitable with the food condition and the labour who did not pay attention to the temperature that was suitable to the food. It is suggested that management in each restaurant should pay attention regarding this issue and do trainings for their employees in order to increase their knowledge about food management, facilities sanitation, food management, food storage, and food supply from Healthy National Directory of Kendari.

Keywords: Restaurant, Bacteria, Sanitation, Food Supply, Kendari

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THE INFLUENCE OF TRAY VARIATION IN THE USE OF WATERFALL AERATOR TO REDUCE THE LEVELS OF IRON (FE) IN THE WATER ARTESIAN WELL IN BTN MALEO RANOMEETO DISTRICT OF SOUTH KONAWE

Sulhayati

Post Graduate of Public Health Department of Mandala Waluya College

Background: Water is a vital necessity for living things on earth, especially humans. The problem of clean water in BTN Maleo of Ranomeeto district of South konawe regency is a major concern regarding to the high content of iron (Fe) content in the water they. In addition, there are complaints from the public that the water is smell and yellowish. The coverage of the National clean water was 85% while the coverage of clean water in BTN Maleo of Ranomeeto district only reached 45%. Aim: The objective of this study was to reduce the levels of iron (Fe) in the water borehole in BTN Maleo using the variation of the waterfall aerator tray, by default of Permenkes allowed. Methods: This was an experimental study by holding treatment of water that has passed through the variation of the waterfall aerator tray with a diameter of 0.5 cm and laboratory examination on samples of water. Results: The results of the study showed that the initial iron (Fe) levels were 3.00 mg/L, after treatment the reduction of iron (Fe) levels in the waterfall aerator tray with 5 variations of the average were 1.90 mg/L (63.3%), the reduction of iron (Fe) levels in the waterfall aerator tray with 6 variations of the average was 1.91mg/L (63.7%), and the reduction of iron (Fe) levels in the waterfall aerator tray with 7 variations of the average was 1.96 mg/L (65.3%). Conclusion: It can be concluded that there is a variation in the effect of using waterfall aerator tray that more and more tray to be used, the greater the decrease in iron content in the water.

Keywords: Tray Waterfall Aerator, Experiment, Iron (Fe)

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RELATIONSHIP OF MOTHER WORK STATUS WITH EXCLUSIVE BREASTFEEDING PRACTICE IN LAINEA PUBLIC HEALTH CENTER OF SOUTH KONAWE

Hasna1, H. M. Idrus2, Titi Saparina2

1Student in Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari 2Lecturer of Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari

Background: Based on health profile data of the Lainea Public Health Centre, the number of exclusive breastfeeding mothers in the 2010 was 287 out of 365 mothers, 263 out of 368 breastfeeding mothers in 2011, 261 out of 385 mothers in 2012, and exclusive breastfeeding mothers in the period of January-March 2013 was 99 mothers. Mother employment status may influence the practice of exclusive breastfeeding. Aim: This study aims to determine the relationship between the mother working status and exclusive breastfeeding in infants aged 0-6 months in Lainea public health centre of South Konawe. Methods: This was a cross sectional study with the number of population of 99 people and the sample of 50 people selected using proportional random sampling. Chi square test was used for data analysis. Results: The results showed that the working status was not related to the exclusive breastfeeding (X2 count = 1.524,

Keywords: Work Status, Exclusive Breastfeeding, Baby

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COMMUNAL SEPTICTANK PLAN ON GRIYA PERMAI HOUSEHOLD IN KENDARY CITY OF SOUTH EAST OF SULAWESI

Tomo E Daga

Post Graduate of Public Health Department of Mandala Waluya College

Background: Domestic wastewater is still a serious problem in household waste processing. Communal Septictank is one of solution offered to overcome that problem. Aim: The purpose is to prevent groundwater contamination caused by non- maximal wastewater treatment. Methods: This was a qualitative reserch with interview directly to the owner of the house with a population of 30 Heads of Families with the assumption that 1 unit house consists of 5 people with samples interviewed as many as 18 homes. Thirty units of this house using 33 manhole to control the flow of stool water. The predetermined size, with a planning estimate of one year at a time, the size of a communal septictank was 9 meters long, 3.5 meters wide and 2.3 meters high. Results: This communal septictank can accommodate stool waste with a volume of 28,370 m³ for 2 years. The amount of volume that is accommodated by septictank communal is 0.03 m³ per day. With the utilization of communal septic tanks will be able to prevent the occurrence of groundwater contamination.

Keywords: Wastewater, Septictank Communal, Ground Water Contamination

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BACTEOROLOGICAL STUDY OF DRINKING WATER (AMIU) IN KOLAKA REGENCY, INDONESIA

Dasri, Masniyatin Tasman, Ahmad Kadarman, RatnaUmiNurlila

Post Graduate of Public Health Department of Mandala Waluya College

Mail: [email protected], 0811408667, [email protected], 0811400417

Background: Preliminary examination on drinking water content reset (AMIU) at Drinking Water Refill Depot in the District of Kolaka, from 37 samples examined, as many as 15 or 41% of them had a positive Coliform bacteria. Aim: This research is to know factors related to quality of drinking water bacteriological refill in District of Kolaka, Sub-Province of Kolaka. Pursuant to result of research obtained by the quality of depot bacteriological of AMIU up to standard counted 10 ( 41.7%) depot, and ineligible counted 14 ( 58.3%). Methods: This type of research is quantitative with an observational approach with cross sectional study design and examination laboratory examination. Simple random sampling was used to recruit 24 samples / depot from 31 population. Laboratory test results was compared to Minister of Health Decree No.492/MENKES/PER/IV/2010 on Drinking Water Quality Requirements and limit the number of MPN Coliform bacteria in drinking water allowed. Results: The result revealed that bacteriological quality has medium relationship with depot location (ρ = 0.007); φ= 0.580), high relationship with depot equipments (ρ = 0.002; φ =0.657), high relationship with personnel’s hygiene (ρ =0.001; φ = 0.676), and high relationship with untreated water (ρ = 0.002; φ = 0.657).

Keywords: Bacteriological Quality, Depot Location, Equipment, Personnels’s Hygiene, Untreated Water Condition

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POTENTIAL POLLUTION OF LAND WATER IN SOLID SETTLEMENT POPULATION SURVEY IN KENDARI CITY

Hasta Munanto, Kisman, Ifon

Post Graduate of Public Health Department of Mandala Waluya College

The land use map of Kendari and its surrounding areas is converted into a potential map of pollution sources against shallow groundwater. This map is then assembled with a map of groundwater pollution sensitivity to produce a new map of the map prediction of shallow groundwater pollution and groundwater levels. There are five categories of pollution levels that are low, rather low, medium, rather high, and high. Rapid Urban Growth that occurred in several big cities in Indonesia raises some implications. One of them is the rapid increase of population, followed by the growth of densely populated residential area. Health problems which then arise is not good waste management and Waste home that potentially contaminate the land / water, in addition, water supply from PDAM was not sufficient. Thus, people look for alternative groundwater utilization either in the form of dug well (ground water shallow) and ground water in (drilled well). This paper seeks to illustrate the use of groundwater sources, explore the potential and quantity of groundwater pollution and its impact on the health of citizens.

Keywords: Groundwater Contamination, Dug Wells, Drilling Wells

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Category 5

ENVIRONMENTAL HEALTH II

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RELATIONSHIP OF DRINKING WATER RESOURCES WITH THE INCIDENCE OF DIARRHEA IN INFANTS AT KULISUSU PUBLIC HEALTH CENTER

Emlin1, H. La Ode Saafi2, H. Abd. Radjab L.B2

1 Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: The rate of diarrhea in Kulisusu Public Health Centre in 2006 was 84 per 1,000 population, in 2007 was 98 per 1,000 population and in 2008 was 114 per 1000 population. The problem of diarrheal occurrence is caused by various factors such as use of drinking water contaminated from the source or when stored at home, not closed or when contaminated hands touch the water at the time of taking water from the sinking area. Aim: This study aims to determine the relationship between drinking water sources with the incidence of diarrhea in infants at the Kulisusu Community Health Center in Kulisusu and Buton Utara Districts, Southeast Sulawesi Province. Methods: The research method used is quantitative with cross sectional study design. The number of population was 56 people, and sample was 56 people recruited using total sampling. Results: The results showed that the source of drinking water was associated with diarrhea occurrence in infants (X2 count = 6.557, X2 table = 3.841, p value = 0.010 <α 0.05). It is suggested that the community holds dug wells and rainwater storage basins, and behaves in a clean and healthy way.

Keywords: Drinking Water Resources, Diarrhea, Infant

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DESIGNING EARLY DETECTION SYSTEM OF DENGUE BLOOD FEVER DISEASE BASED ON GEOGRAPHIC INFORMATION SYSTEM IN KENDARI CITY

Jeri Yanto

Post Graduate of Public Health Department of Mandala Waluya College Mail: [email protected] No. Tlp: 08114035370

Dengue Hemorrhagic Fever in Indonesia is still one of the diseases that require serious attention that often arises during the transition and causes extraordinary events and deaths. In 2014, until Mid-December it is recorded that there 642 cases of dengue fever in 34 provinces, which all of them died. This condition tells the need to record and report for the purposes of planning, prevention and eradication of dengue fever supported by a reliable system, which can provide accurate, valid and up to date data and information. One solution is to develop information system an early detection of dengue using a website-based reporting system supported by geographic information systems.The purpose of this research is to make an early detection application of dengue in Kendari City. It was an operational research with pre experimental research design called one shot case study. Designing web based programs using PHP and Mysql programming languages as database.

Keywords: Design, Early Detection, Dengue, Kendari.

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RELATIONS WITH THE SANITATION BEHAVIOR OWNER EATING IN HEALTH CENTER BENU-BENUA DISTRICT OF WEST KENDARI IN KENDARI CITY

Dedeh Nurhayati

Post Graduate of Public Health Department of Mandala Waluya College

Background: Restaurant is one of the places that provides food and drinks to the public interest. The standard for restaurant sanitation is 75%, but the highest standard in restaurant of the health center of Benu-benua only reached 48%. Aim: This study aims to determine the relationship of the behavior of the owner of the restaurant sanitation in Health Center Benu-Benua District of West Kendari in Kendari city. Methods: This was a cross sectional study. There are 54 restaurants as the population in this study. The number of sample was 48 owners of restaurants selected using simple random sampling. Chi-square test was used for data analysis. Results: The results showed that knowledge (p=0.024), attitude (p=0.037), action (p=0.002) on the behavior sanitation of restaurant owners. Conclusion: It is concluded that there is a correlation between knowledge, attitude and actions with the owner of the restaurant sanitation. It is suggested that the health center of Benu-benua needs to set policies to improve restaurant sanitation regarding the behavior of restaurant owners through training and courses for both owner and employees.

Keywords: Sanitation, Knowledge, Attitudes, Actions

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THE INFLUENCE OF THE PHYSICAL ENVIRONMENT OF HOUSE WITH THE INCIDENCE OF PULMONARY TUBERCULOSIS

Nugraheni Diana Suhesti1, Nursalam1, Prastiwi Suhartin Pongrekun1, Erwin Azizi Jayadipraja2

1Student in Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari 2Lecture of Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari

Background: Environment is one of the risk factors that affect the incidence of pulmonary tuberculosis, especially in the densely populated areas. The ineligible physical environment of the house will be a high risk factor for transmission and the incidence of pulmonary tuberculosis in Indonesia. Aim: The aim of this study is to know how the influence of the physical environment of the house (density of occupancy, ventilation, wall of house, and lighting) on the incidence of pulmonary tuberculosis. Methods: This was a retrospective research with case control, cross sectional, and observational study design. Results: The results showed that there was a significant relationship between air vents with the incidence of pulmonary tuberculosis. The risk of pulmonary tuberculosis incidence in the patients who had lack of air ventilation was 6.651 times greater than those who had good air ventilation. Chi Square test results obtained p-value of 0.017 (<0.05), which indicated that there was a significant relationship between the condition of the floor of the house with the incidence of pulmonary tuberculosis. The results also showed that the lighting has a significant effect on the incidence of pulmonary Tuberculosis with AFB positive. In addition, occupant density is one of the risk factors for tuberculosis. The more dense the house, the easier and faster the transfer of diseases, especially infectious diseases through the air.

Keywords: Tuberculosis, Home Environment, Residential Density

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ANALYSIS OF AIR POLLUTION RATE ON ANTROPOGENIC SOURCE IN KENDARI CITY

Anry Hariadhin1, Liyusri1, Nur Ahmad1 Erwin Azizi Jayadipraja2

1Student in Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari 2Lecture of Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari

Background: Air pollution today is increasingly showing a very alarming condition. The sources of air pollution can be from various activities including industry, transportation, offices, and housing, which make the greatest contribution of the air pollution. Air pollution derived from human activities is called air pollution derived from anthropogenic sources. Air is an important factor in life. However, in the modern era, in line with the development of physical development of cities and industrial centers as well as the development of transportation, air quality has been changed. From the originally fresh and becomes dry and dirty today due to the occurrence of air pollution caused by transport vehicles. Aim: The aim of this study is to determine the level of environmental pollution on anthropogenic. Methods: Anthropogenic pollutant load modeling was used. Data analysis technique was done using a quantitative approach to determine the level of pollutant on anthropogenic source. Results: The result of measurement of ambient air with calculation result ranged from 8.00% - 19.78%. This figure can be interpreted that the concentration of CO pollutants originating from other pollutant sources other than traffic was 8.00% - 19.78%. So it can be said that the concentration of CO pollutants caused by traffic was 80.22% - 92.00%.

Keywords: Air Pollution, Health, Environment

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AN ANALYSIS OF THE IMPLEMENTATION OF THE COMMUNITY BASED TOTAL SANITATION IN THE PUBLIC HEALTH CENTER OF MATA KOTA KENDARI IN 2017

Ellfi, Salmi, and Sukono Ilham

Post Graduate of Public Health Department of Mandala Waluya College

Background: The implementation of the first pillar of the Community Based Total Sanitation (STBM) program in Public Health Center of Mata was 46.72% from the target of 100%. Aim: This study aims to find out information on implementation of the first pillar of STBM in Public Health Center of Mata Kota Kendari. Methods: This study was a qualitative study with 23 informants. Data were collected using in-depth interview, focus group discussion, document review and observation. The data processing was done by reducing the data and making conclusion. The data analysis was done by triangulation. Results: of the research were the lack of supporting policies, the lack of a special allocation funds for the implementation of the program, the lack of coordinations with the relevant sectors involved and the lack of ability of sanitarian / facilitator in the implementation of the triggers. The process of the trigger implementation was not appropriate with established guidelines. The implementation of the first pillar STBM by triggered method in the Public Health Center of Mata was not appropriate with the guidelines so the implemention of the first pillar STBM by trigger method was less successful. It is suggested the Public Health Center of Mata to establish supporting policies, allocate special funds for the implementation of STBM, improve the quality and quantity of trainings about STBM for sanitarian / facilitator of Public Health Center, and do more improving of coordination with across relevant sectors.

Keywords: Community Based Total Sanitation, STBM, Public Health Center of Mata

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THE FACTORS RELATED TO THE INCREASE IN WASTE VOLUME IN ANDUONOHU MARKET OF KENDARI CITY IN 2015

Juliadin, Sarman, Shara Illa, Febryani Alimuddin Lauku, Marsidin

Environmental Health Academy of Mandala Waluya Kendari Jl. AH Nasution No. G-37 Lalolara Sub-Urban Kambu Sub-District Kendari Municipality

Background: Garbage on the surrounding market is not only the responsibility of market management, but also the participation of the traders is very important. In Anduonohu Sub-Urban, the amount of garbage in 2013 was around 63.81 M3/day and increased to be 83.58 M3/day in 2014. The market as a public place having many activities that lead to the increase of garbage amount. Aim: This study aims to find out the factors associated with the increase of waste volume in Anduonohu market of Kendari City. Methods: This was an analytic survey research using a cross sectional study approach. The objects in the study were all the traders in Anduonohu Market with the total of 451 traders and 79 respondents as samples. Results: The result of the research by using Chi Square test showed that there was a relationship between traders habit with the increase of waste 2 2 volume as shown by the result of the X counting>X table was 18.099>3.481, indicated that there was a relationship between the waste depository and the 2 2 increase of waste volume with the results of X counting> X table was 4.227>3.481, and also there was a correlation between the increase of waste 2 2 volume and waste transport with the results of the X counting> X table was 4.575>3.481. It is recommended to the management of the market to provide waste depository at every corner of the market, and to increase the participation of traders to solve the waste problem as well.

Keywords: Waste Volume, Traders, Depository, Transportation

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THE CORRELATION BETWEEN SANITATION HYGIENE OF RESTAURANT AND THE FOOD QUALITY OF RESTAURANT AT THE PORT AREA IN KENDARI

Ikrawati, Kadek Mardiyanti, Riska Fauziah, Wayan Saminingsih, Sri Ihsani

Environmental Health Academy of Mandala Waluya Kendari Jl. AH Nasution No. G-37 Lalolara Sub-Urban Kambu Sub-District Kendari Municipality

Background: The number of restaurants in the Port Area in Kendari is 19 restaurants, however there were only 4 restaurants (21.05%) with the qualification of health and 15 (78.95%) restaurants did not meet the health requiremments. Aim: This study aims to find out the relationship between sanitary hygiene of restaurants including the water used, the hygiene of food handlers, food equipment and the way to clean the materials and equipment and the quality of food at the Port area of Kendari in 2013. Methods: This was an observational study using comparative study approach. There were 8 restaurants selected as a sample from 19 restaurants of the total number of population. Statistical test used in this study was Fisher’s Exact test. Results: The result of the research showed that there was a significant relationship between the water (p= 0.03), food handlers hygiene (p= 0.03), the equipment (p= 0.673), the way to clean the materials and equipment (p= 0.03) and the food quality. It is recommended to the health officers to improve the health promotion activities to all employees or food handlers and invite restaurant owners to be trained on hygiene and sanitation of food and how to prevent contamination of food in restaurants, especially the surrounding area of the Port of Kendari.

Keywords: Sanitary Higiene, Quality of Food, Restaurant, Health Promotion

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THE FACTORS RELATED TO THE USE OF WASTE MANAGEMENT USING SORTING MODEL IN KEMARAYA SUB-URBAN OF KENDARI CITY IN 2015

Randi Cristian, Abit, Rosdiana, Odelia Maya, Abdul Rahim Sya’ban

Environmental Health Academy of Mandala Waluya Sultra

Background: Based on data from the Department of Sanitation, Parks and Cemeteries of Kendari Municipality in 2012, the amount of waste was around 270.395 m3 and the amount of waste transported to the Final Disposal Area was 199.425 m3, or 75.5% of the total amount of trash. In 2013, the number increased to be 270.803 m3 and the amount of waste transported to the Final Disposal Area was 199.781 m3 or 72.430%. From many Sub-Urban Areas in Kendari, Kemaraya Sub-Urban produced waste of 7.000m3. Aim: This study aims to examine the relationship between the waste management and the sorting model in Kemaraya Sub-Urban of Kendari City. Methods: This is an observational research using cross sectional study approach. The population in this study was 971 heads of families in Kemaraya Sub-Urban of Kendari City. The samples consisted of 88 respondents using simple random sampling. 2 Results: The results of statistical test shows that the value of X counting= 15.905 > X2table= 3.841 therefore the Ho was rejected and Ha was accepted, which indicated that there was a correlation between waste processing and community attitudes in Kemaraya Sub-Urban in 2015. While chi-square test 2 2 also obtained value X counting = 11.662 > X table = 3.841 indicated that that there was a correlation between waste management and the type of waste. In addition, there was a correlation between waste processing and the volume of 2 waste generated in Kemaraya Sub-Urban in 2015 with the value of X counting = 2 6.333 > X table = 3.841. It is recommended to the people living in Kemaraya Sub-Urban to preserve the principle of the 3Rs (Reduce, Reuse, Recycle) and as the result it can be of economic value added as the the results of 3R implementation.

Keywords: Waste Management, Community Attitude, Type, Volume

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THE EFFECT OF RICE HUSK ASH PROVISION TO DECREASE WATER HARDNESS OF DUG WELL IN WAWATU VILLAGE NORTH MORAMO SUB-DISTRICT SOUTH KONAWE DISTRICT

Miftahul Chaerah Gildam’s, Rifan, Wa Mariati, Lilis, La Dјabo Buton

Environmental Health Academy of Mandala Waluya, Sulawesi Tenggara

Background: Hardness is one of the chemical parameters that must be considered in the treatment of water to meet the requirements or standardized quality. According to the regulation of Health Minister No. 492/Minister of Health/per/iv/2010, the level for water hardness is 500 mg/l. Rice husk ash has a chemical composition that has a high density in that when passed by water containing lime, which is automatically lower the water hardness value. Aim: The aim of the study is to examine the effect of rice husk ash to decrease water hardness in dug well at a dose of 5 grams, 7 grams, and 10 grams. Methods: This was a quasi experiment. Results: The results of the research showed that the initial hardness of water was 0.43 mg/l, and after given three treatments at a dose of 5 grams, it decreased the hardness level to be 0.36 mg/l, 0.34 mg/l and 0.34 mg/l; while at a dose of 7 grams the level of hardness declined to be 0.32 mg/l, 0.29 mg/l and 0.28 mg/l respectively; and at the dose of 10 grams turned the hardness level to be 0.28 mg/l, 0.26 mg/l and 0.26 mg/l respectively. Based on the results of the statistical test using one-way anova, it is obtained that Fcounting = 87.429> F table 0.05 df 3.8 with α = 8.85 at the level of 95%, which means that the Ho was rejected and Ha was accepted, indicating that the rice husk ash with a dose of (5g, 7g and 10g) has a significant influence on the decrease of water hardness in dug wells in Wawatu Village North Moramo Sub-District South Konawe District.

Keywords: Hardness, Rice Husk Ash, Wells

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THE CORRELATION BETWEEN PREVENTION PRACTICES AND DHF OCCURRENCES IN RAHANDOUNA SUB-URBAN POASIA SUB-DISTRICT KENDARI MUNICIPALITY IN 2015

Wd Yugi Sepriani Amani, Asis Sahidin Nahirah, Ayu Irmamega Ningsih, Rasid Awaluddin, Sunarsih

Environmental Health Academy of Mandala Waluya SULTRA

Background: Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus transmitted from person to person through the bite of the Aedes aegypti mosquito. The data of Health Department of Southeast Sulawesi province showed that the occurrence of dengue disease increases every year. In 2014, the number of dengue fever patients were 854 cases and the Index Rate was 35.40% per 100,000 population and there were 9 people died with the Case Fatality Rate (CFR) of 1.1%. Based on data taken from the Health Department of Kendari Municipality showed the occurrences of dengue in Kendari city also increased every year during the period of 2011 to 2013. However, in 2014 the numbers declined to be only 30 cases before it climbed to be 43 cases in January 2015 where the numbers were higher compared to the year 2014. In Februari 2015 the number of cases were 39 cases, and in March 2015 it increased to 50 cases. Based on the data obtained from Puskesmas Poasia showed that the DHF cases occurred every year in that area. In the last three years, 2012, 2013, and 2014, the number of dengue cases were 13 cases, 7 cases, and 4 cases respectively. It also showed that in 2015, exactly on May 7, there were 11 cases and 4 of them were dead caused by dengue fever. Aim: The purpose of this study was to find out the relationship between the prevention practices and the occurrences of disease with Dengue Hemorrhagic Fever in Rahandouna Sub-Urban Poasia Sub-District of Kendari City. Methods: This was an observational type of research using cross sectional study design. The population of the study was all the houses in Rahandouna Sub-Urban Poasia Sub-District of Kendari City with the total of 2,335 family heads and 12.512 people. The sample of the research was 91 houses selected using simple random sampling. Results: The result of Chi Square test showed that there was a relationship between the use of wire gauze, closing the landfill, draining the bath tub and burying the consignment with DHF occurrences in Rahandouna Sub-Urban Poasia of Sub-District of Kendari City. It is recommended to the community in Rahandouna Sub-Urban Poasia Sub-District of Kendari City to maintain and always keep the environment clean and always strive to behave in a clean and healthy life and always do the 3M and use the wire gauze.

Keywords: Using Wire Gauze, Closing the Landfill, Draining the Bath Tub, Burying the Used stuff, DHF Occurrences 84$ THE$1ST$INTERNATIONAL$JOURNAL$ON$PUBLIC$HEALTH$2018! ! Global&Health&Issues&&&The&Future&of&Public&Health&

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THE EFFECT OF TOMATO LEAVES EXTRACT (Solanumlycopersicum) ON AEDES LARVAE DEATH

Muh. Ardiansyah, La Fitra, Nurul Fahmi Aziza, La Ode Saafi

Environmental Health Academy of Mandala Waluya SULTRA

Background: Tomato leaves (Solanum lycopersicum)in fact contain an active substance serving as an insecticide. Tomato leaves are good as mosquitos and larvae repellent. This material has active parts that can give distinctive aroma that can repel Aedes mosquitos. This is because the tomato leaves contain alkaloids (compounds that can be toxic and derail the process of metamorphosis) and saponins (the active compounds like soap). Compounds that are able of killing mosquito larvae (Dengue). Aim: This study aims to find out the effect of tomato leaves extract (Solanum lycopersicum) against Aedes larvae death. Methods: This was an experimental study to see the effect of of tomato leaves extract against Aedes larvae deathat a dose of 1 gram, 2 grams, 3 grams and 4 grams. The population of the study was all larvae of Aedes with third and fourth instars obtained by using ovitrap installation in a residential house in Watubangga Sub-Urban in Kendari City with the total of sample of 150 mosquito larvae. Analysis methods used in this study were Paired T test and independent T test. Results: The results show that there was an effect of the use of tomato leaves extracts (Solanum lycopersicum) with dose of 1 g / 1 liter of water on the death of Aedes larvae (t counting = 17.000> t table =2.920). There was an effect of the use of tomatoleaves extracts (Solanum lycopersicum) with dose of 2 grams / 1 liter of water on the death of Aedes larvae (t counting = 19.000> t table = 2.920). A significant effect of the use of tomatoleaves extracts (Solanum lycopersicum) with dose of 3 g / 1 liter of water on the death of Aedes larvae (t counting = 14.000> t table = 2.920), and there was an effect of the use of tomatoleaves extracts (Solanum lycopersicum) with dose of 4 g / 1 liter of water on the death of Aedes larvae (t counting = 29.000> t table = 2.920). It is recommended to all people especially those living in endemic areas of dengue disease in order to take advantage of the extract leaves of tomatos (Solanum lycopersicum) as the type of plants to reduce the population of Aedes mosquito larvae resulted in the decrease of dengue fever occurrences.

Keywords: Tomato Leaves, mosquito larvae, Aedes.

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THE FACTORS RELATED TO HAVING FAMILY TOILET IN TUNDUNO VILLAGE OF WEST RANOMEETO SUB-DISTRICT OF SOUTH KONAWE DISTRICT

Suriani, Abdul Maddan, Fahlia Shaumul Hidayah, Trisno, Abdul Rahim Sya’ban

Environmental Health Academy of Mandala Waluya SULTRA

Background: The West Ranomeeto Sub-District is one of the sub-districts including into the top 10 sub-districts which is still low in having family toilet. Data obtained from Public Health Center of Lameuru in 2015 showed that there were 1.665 total houses and there were 1.120 houses having family toilets and only 1.100 houses equipped with healthy toilets. In Tunduno village, the number of household heads was 127 and 602 populations, and there were only 53 houses (41%) having toilet, 74 houses (58.3%) did not have it. Methods: This was an analytical research using cross sectional study design to analyze the factors associated with the having of family toilet studied at one time simultaneously. Results: The results showed the strong relationship between knowledge, income, and the role of the officers with the having of family toilets in Tunduno Village, West Ranomeeto Sub-District, South Konawe District. Therefore, for the health officers, it is recommended to improve education and health promotion programs to improve public knowledge about the importance of having toilets. For the community, it is recommended to improve their behavior of clean and healthy life, especially not to defecate in any place and increase the number of family toilets.

Keywords: Knowledge, Income, Role of Officers, Having Toilet, West Ranomeeto Sub-District, Puskesmas Lameuru, Tunduno Village

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THE EFFECTIVENESS OF FLIES TRAP BY USING A DIFFERENT TYPE OF BAIT AT WORKING AREA OF THE PORT HEALTH OFFICE OF CLASS II KENDARI

Wa Ode Rosta, Irma Madao, Muh. Ruslin Maulid, Sjaifuddin

Environmental Health Academy of Mandala Waluya Sultra Jl. AH Nasution No. G-37 Lalolara Sub-Urban Kambu Sub-District Kendari Municipality

Background: Flies are the animals living and breeding in dirty and malodorous places. These tiny insects rely heavily on sight for survive.Their compound eyes consist of thousands of lenses and are very sensitive to movement. Some types of flies have an accurate three-dimensional vision. At present, it is found that no less than 60.000-100.000 fly species in the world. The problem discussed in this study was the effectiveness of different types of baits in trapping flies. Aim: The objective was to find out the most effective bait between three different types of baits: food leftover food such as fish, apples, and liquid sugar baits. Methods: This was an experimental method. The sample in this study was the number of flies that fall into the trap of each bait and the observations were conducted for three (3) times repetition. Results: Based on the result of research using One Way Anova, it is obtained that Fcounting=36.770 while the Ftable=19.00 on 95% level of reliability α = 0.05, indicated that F counting >36.770 Ftable19.00 which means H0 was rejected and Ha was accepted. It proved that there is an effectiveness of different types of bait on the number of flies fall into the fly trap. It is concluded that there are significant differences of using types of bait of flies trap. A type of food leftovers, fish is effective in controlling fly because it gives a real difference compared to the type of liquid sugar and apples.

Keywords: Types of bait, flies trap, Kendari

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THE EFFECTIVENESS OF THE COMPARISON OF CONVENTIONAL RAT TRAP (BUBU) AND PLASTIC BOTTLE TRAP IN CATCHING RATS AT THE WORKING AREA OF THE HEALTH OFFICE OF KENDARI PORT

Dhevi Rinayanti, Serin Cahaya Fauziah, Yogi Ardiansyah, Asrun Salam

Environmental Health Academy of Mandala Waluya Sultra Jl. AH Nasution No. G-37 Lalolara Sub-Urban Kambu Sub-District Kendari Municipality

Background: Port is a node point for ships to get together or as a place where ships, goods and people are in and out and as a gateway to the transformation of the spread of diseaseas well. In addition, the port is also a global threat to public health because of quarantine diseases, new emerging diseases, and a place where old infectious diseases occur again (re-emerging diseases). Based on data obtained from the Port Health Office (KKP) Class II Kendari in 2014, the installation of a mousetrap with the total of 472 pieces of traps from January until December, there were 62 rats caught during the first year with different types of mice: Ratus-ratus norvegicus consisting of 33 mice, Ratus-raytus diardi were 14 mice, and Mus musculuswere 15 mice. The number of buildings in Ferry Port of Kendari were 40 buildings that consisted of 5 warehouses containing raw materials of Kopra, and 35 buildings containing merchandise. Methods: This study used a pure experimental research. Pure experiment is an experiment that uses a random procedure to determine the subjects of the research to get one from the various levels of research factors, which the authors installed trapping with two types of different traps at different points, Bubu as conventional trap and traps made from plastic bottles, to figure out the most effectivetypes of traps. Results: After the two days installation of 10 traps with 5 traps respectively, it showed that the Plastic Bottle traps were more effective that there were four traps cathing mice whereas the conventional traps only got 2 mice. It is important to socialize it to the community to utilize the rat traps made from very cheap and efficient materials.

Keywords: Trap, Rat, Disease, Ports

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THE RELATIONSHIP OF OWNING LATRINES WITH DIARRHEA OCCURRENCE IN TODDLERS

Paskalis1, Risnawati1, Hadafia1, Erwin Azizi Jayadipraja2

1Student in Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari 2Lecturer of Magister Public Health Studies Program, High School of Health Sciences Mandala Waluya Kendari

Background: According to the Directorate General of Health Efforts, Ministry of Health of the Republic of Indonesia in 2012, morbidity due to diarrhea reached 9.739.163 cases and that handled was 2.301.424 cases or 35.5%. Diarrheal disease is still a public health problem, although in general the morbidity rate is still fluctuating, and diarrhea deaths reported by health service and cadres have decreased but diarrhea disease still often causes a large number of outbreaks even cause death. Aim: The purpose of this study is to know the relationship of possession of latrine with the incidence of diarrhea in children under five through various journals that have been studied. Methods: This was a cross sectional, case control study, and survey study. Results: The results showed that there was a relationship between latrine ownership and the incidence of diarrhea in children under five. Most of the existing communities have latrines, many still do not meet the requirements of healthy latrines by digging the soil as latrines, and the rest do not have latrines or bowel movements in the river.

Keywords: Water Closed, Diarrhea, Toddler

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Category 6

EPIDEMIOLOGY

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A LOVING AND CARING FAMILY COMMUNITY FOR PEOPLE WITH SCHIZOPHRENIA IN IMOGIRI SUB-DISTRICT, BANTUL REGENCY, THE SPECIAL REGION OF YOGYAKARTA

Ronald,SKM.,M.Kes1, Antok Nurwidi Antara,S.Kep,Ns.,M.Kep2

Mail: [email protected] | [email protected]

Psychotic disorder (psychosis) is characterized by disruption of the ability to assess reality. Possible symptoms include delusions, hallucinations, talking incoherently and agitation. The person with the condition is not aware of his or her behavior. Psychosis may occur as a result of a psychiatric illness such as schizophrenia. In other instances, it may be caused by a health condition, medication or drug use. According to the National Basic Health research data of 2013 Yogyakarta occupies one of the highest ranking in Indonesia as an area that has people with psychotic disorder (schizophrenia). Yogyakarta has approximately 16,000 people living with schizophrenia with a 2.7-per-mile schizophrenia prevalence, with Imogiri sub-district as the high incidents in Bantul district of Yogyakarta. In the first half of 2014, the index of schizophrenia disease in outpatient of Imogiri II Community Health centre was 781, even in the second half of 2014 it increased to 1203 visits. Trend of the incidence of this disease is still happening. The problem found is the high rate of recurrence of schizophrenia was due to lack of knowledge and support family of sufferers. The present community development programs aims to form family groups who love and care for people with schizophrenia, by make-up ability (knowledge, attitude, and skills), and community independence in overcoming health problems Schizophrenia. Methods to enhance ability and independence of families and communities are training for health cadre, individual and group therapy for schizophrenia and counseling to family of schizophrenia patients. The results obtained are the success to improve the ability and independence of families and communities in terms of the treatment of relapse and daily care for people with schizophrenia. This is seen from the measurement of knowledge, attitudes and skills of the community before and after the intervention which has increased by about 32% to 48%. The level of ability and independence of the community is also visible from the lack of even the discovery of cases of deprivation of patients with schizophrenia in Sriharjo village. Individual therapy and groups that are carried out increasingly pound the spirit of the sufferers to socialize and start a normal life. The success of families and communities increases their ability and independence in the prevention and treatment of recurrence Scizophrenia is an important asset to reduce the burden on patients, families, communities and even governments. The present Science Program for Society of STIKES Wira Husada is expected to provide a solution and a bright point of handling Schizophrenia in Yogyakarta, especially Sriharjo Village. It is also expected that this program can be a reference for the handling of schizophrenia on a national, or wider scale.

Keyword: Schizophrenia, Imogiri Sub-District, Yogyakarta

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SOCIAL DETERMINANT AND HEPATITIS PREVALENCE IN INDONESIA: DATA ANALYSIS OF RISKESDAS 2013

Nurhalina

Faculty of Health Sciences Muhammadiyah University of Palangkaraya Hp; 081314536125 / Email: [email protected]

Background: In 2014 WHO estimates in Southeast Asia there are 100 million people living with Chronic Hepatitis B and 30 million people living with chronic Hepatitis C. Each Year Hepatitis B causes nearly 1.4 million new cases and 300 thousand deaths. While Hepatitis C causes about 500,000 new cases and 160.000 deaths. In Indonesia, the prevalence of Hepatitis in 2013 is 1.2%, two times higher than in 2007. The five provinces with the highest prevalence of Hepatitis are Nusa Tenggara Barat (4.3%), Papua (2.9%), Sulawesi Selatan (2.5%), Sulawesi Tengah (2.3%) and Maluku (2.3%), Hepatitis B (21.8%) and Hepatitis A (19.3%) are dominant. In Indonesia, hepatitis is burden desease that affects public health, productivity, life expectancy, and other socioeconomic impacts. Aim: This paper aims to describe the social determinants and prevalence of Hepatitis in Indonesia. Methods: The data used are Riskesdas 2013 which is comprehensively analyzed through theoretical studies and relevant studies. Results: The results showed that the incidence of Hepatitis increased in all age groups, but there was no significant difference in sex, education, occupation, residence and quantitative indexes of ownership.

Keywords: Hepatitis, Age, Occupation, Sex, Education, Residence, Quantile Possession Index

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RISK FACTORS OF FEBRILE SEIZURES IN TODDLERS AT REGIONAL PUBLIC SERVICE AGENCY OF BAHTERAMAS GENERAL HOSPITAL SOUTHEAST SULAWESI

Herman

Lecturer of Diploma Program of Nursing, Nursing Academy of PPNI Kendari

Background: Febrile seizures are a seizure associated with symptoms of fever and age, and no intracranial infection or other abnormalities in the brain. Fever is a rise in body temperature over 380C rectal or over 37.80C axilla. More than 90% of cases of febrile seizures occur in children under 5 years of age. The incidence of febrile seizures in Indonesia reportedly reached 2 - 4% in 2009 - 2010. Data obtained from Bahteramas General Hospital Southeast Sulawesi Province in the last 3 years, the incidence of febrile seizures continues to increase where in 2013 as many as 17 people, in 2014 as many as 87 people and in 2015 as many as 149 people. Aim: The purpose of this study was to determine the risk factors of febrile seizures in children at the Bahteramas Public Hospital in 2016. Methods: This type of research was analytical with case control approach. The population in this study were all mothers who had children with febrile seizures treated in the Child Mawar Care Room. Population from January to May 2016 was 105 patients with accidental sampling withdrawal of 60 samples. Statistical analysis using odds ratios and binary logistic regression. Results: The result of statistic test was obtained by the value of odds ratio (pregnancy age = 7.500, infant with low birth weight = 9.036, infant with asphyxia neonatorum = 4.750 and Exclusive breast feeding = 4.929). Conclusion: It was concluded that all variables were risk factor of febrile seizures. While the results of statistical tests with binary logistic regression obtained 2 variables that are statistically significant asphyxia infant with p value 0,014 and breast feeding with p value 0.011. It is recommended for mothers to make efforts that can prevent premature, low birth weight and baby asphyxia and breastfeeding to their babies for more than 6 months so as to provide a natural immunity to the child's body and avoid the event of febrile seizures.

Keywords : Febrile Seizures, Risk Factor, Southeast Sulawesi

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THE IMPLEMENTATION OF DISCHARGE PLANNING WITH FAMILY CENTERED NURSING APPROACH IN RELATION WITH READINESS OF FAMILIES TO TAKE CARE OF DIABETES MELLITUS PATIENTS AT HASANUDDIN UNIVERSITY TEACHING HOSPITAL IN MAKASSAR

Dina Mariana1, Rahman Kadir2, Kadek Ayu Erika3

1Institute of Health Science Karya Kesehatan Kendari 2Lecturer of Management FE Unhas 3Lecturer of Nursing FK Unhas

Background: Discharge planning is part of the process of nursing care that systematically works to assess, prepare, and coordinate with health facilities that have been determined by the social services available in the community, before and after the patient move or go home. Aim: This study aims to analyse the implementation of discharge planning with family centered nursing approach in relation with readiness of families to take care of diabetes mellitus patients at Hasanuddin University Teaching Hospital in Makassar. Method: The research used a post test only with control group design. There were thirty samples selected using the accidental sampling technique. The instruments were discharge planning sheets for the independent variables, and questionnaires and checklists for the dependent variables. Statistic test mann whitney was used to find out the difference between the interval and the control groups with significancy level α < 0.05. Results: The mann whitney test showed a value of p=0.002. It means that there is a significant difference between the intervention group (with discharge planning) (Mean 25.67; SD ±1.234) and the control group (without discharge planning) (Mean 17.07; SD ±9.982) in terms of readiness. Conclusion: Discharge planning program needs to be applied to diabetes mellitus patients and their families so that they can continue treatment programs and treatment after the patient got home.

Keywords: Discharge Planning, Family Motivation, Family Readiness, Family Centered Nursing

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RELATIONSHIP BETWEEN LEVEL OF KNOWLEDGE AND HOME ENVIRONMENT WITH INCIDENCE OF PULMONARY TUBERCULOSIS (+) IN COMMUNITY HEALTH CENTER OF KOLAKA DISTRICT 2017

Jummu Huwriyati, Sri Damayanty, Hasriani

Public Health Department of Sekolah Tinggi Ilmu Kesehatan (STIK) Avicenna

Background: Tuberculosis remains a global health problem because it causes health problems cause of death from infectious disease worldwide. Pulmonary tuberculosis is a contagious disease directly caused by the bacteria Mycobacterium tuberculosis. Aim: This study aims to determine the relationship between level of knowledge and home environment with a tuberculosis incidence of pulmonary tuberculosis BTA (+) in Community Health Center of Kolaka District 2017. Methods: Design of the study is analytic research using cross sectional study approach, was held on December 21, 2016 until January 17, 2017. Population of the study was all patients with suspected pulmonary tuberculosis as many as 205 people of which 38 of them are people with lung tuberculosis BTA (+). Data was processed using chi square test , with a value of α ≤ 0.05. Results: The result of the study obtained p-value = 0.001 for level of knowledge variable and home environment variable. Then it is concluded that the level of knowledge and home environment related to incidence of pulmonary tuberculosis BTA (+) in Community Health Center of Kolaka District 2017.

Keywords: Knowledge, Home Environment, Pulmonary Tuberculosis BTA (+)

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RELATIONSHIP BETWEEN PROVIDING EXCLUSIVE AND NON-EXCLUSIVE BREASTFEEDING WITH BODY WEIGHT OF INFANT AGED 0-6 MONTH IN THE WORKING REGION OF BUSINESS CENTER BIMAMAROA REGENCY OF KONAWE SELATAN IN 2017

Narmi1 and Jumianti2

Institute of Health Science Karya Kesehatan Kendari Practitioner

Background: The World Health Organization (WHO) states that only 40% of babies in the world receive exclusive breastfeeding while 60% of other infants are found to be exclusively breastfed when they are less than 6 months old. This illustrates that exclusive breastfeeding is still low while the practice of non-exclusive breastfeeding in various countries is still high. The increasing number of non-exclusive breastfeeding and exclusive breastfeeding decline not only in developed countries but also in developing countries like Indonesia. Aim: The purpose of this research is to know the relationship between exclusive breast feeding and non-exclusve breastfeeding with baby weight growth aged 0-6 months in Posyandu Kelurahan Potoro Working Area of Bimamaroa Health Center of South Konawe Regency Year 2017. Methods: This type of research was an observational research using cross sectional approach. The population and samples in this study were 0-6 months old infants who followed Posyandu activities in Potoro Village in 2016 in December for 40 babies in Bimamaroa Health Center Working Area of South Konawe Regency. The sampling technique was conducted in total sampling. Results: The results showed that there was significant correlation (X2 count (5.625)> X2 table (3.841) and value of ρ-value = 0.018 (0.018 <0.05), between exclusive and non-exclusive breastfeeding with 0-6 month in the Posyandu of Potoro Sub-District Working Area of Bimamaroa Health Center of South konawe Regency Year 2017. Conclusion: There is a significant relationship between exclusive breastfeeding and non-exclusive breastfeeding with body weight of baby aged 0-6 months. It is expected for mothers who have babies 0-6 months to further increase awareness in the behavior of exclusive breastfeeding in infants 0-6 months.

Keywords: Exclusive Breastfeeding, Breast Milk, Weight Growth, Baby 0-6 Months

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FINDING PATTERN OF HEALTH SERVICE FOR PREGNANT WOMEN BASED ON SOCIAL AND CULTURAL ASPECTS IN COASTAL AREA OF MATA DISTRICT KENDARI IN 2015

Nirmala Idrus Post Graduate of Mandala Waluya College of Kendari A. H. Nasution Street No. G-37 Kambu District of Kendary City

Background: Maternal mortality regarding to parturition is still considered as public health in Indonesia. This might be due to several factors, include social and cultural factors. The number of maternal mortality rate in 2013 in Southeast Sulawesi within all regencies was 11 mortalities during pregnancy, 45 mortalities during parturition, and 23 mortalities during post partum. The overall number of mortalities in 2013 was 79. Aim: This study aimed to understand the finding pattern of health service for pregnant women based on social and cultural aspects. Methods: This study was qualitative through phenomenological approach addressed to gain more detail information. The number of samples was 42 respondents whom were determined by total sampling technique. Results: The results of the study indicated that regarding to social aspect it showed that most of the respondents had monthly earning for more than 1,625,000 rupiahs (57.1%). Most of respondents already had moderate knowledge (71.4%). In term of attitude, most of the respondents showed positive attitude over health service (71.4%). Almost all respondents had supports from family (95.2%), from husband (45.2%), parents (26.2%), parents in law (16.7%) and siblings (7.1%). Family who supported to get health service was (35.7%) and those who supported to get both health service and indigenous practitioner (59.5%). The supports could be in form of accompanying to health center (59.5%0, reminding (21.4%), and funding (14.3%). Meanwhile, regarding to decision making began from check up until delivery process came from selves (23.4%), spouse (12%), close family (8.2%). Whereas, based on cultural aspect indicated that respondents tended to control their pregnancy, care their pregnancy, find treatment and parturition assistance to health officers and indigenous practitioner, and in term of finding information about food during pregnancy, respondents would ask to family and health officers.

Keywords: Pregnant Women, Social, Culture

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COMPARISON OF INTERNAL AND EXTERNAL FACTORS INTENSITY AFFECTING BASIC IMMUNIZATION DISOBEDIENCE ON TODDLERS AT THE WORKING AREA OF BAUMATA COMMUNITY HEALTH CENTER

Ricky Ronaldy J. Therik and Acindy Tomasui

STIKes Maranatha Kupang Mail: [email protected]

Background: Immunization is an effort to give immunity to infants and children by giving the vaccine into the body, so that the body is able to create antibody to prevent certain diseases. Immunization coverage at Baumata Community Health Center ( Puskesmas ) has not met the target of UCI yet (Universal Coverage Immunization) since it does not reach 95%. The facilities, infrastructure, and regulations are often regarded as the affecting factors, but demographic differences will affect the success level of effort coverage. In other hands, sometimes motivation has forceful to influence. Immunization failure may lead to plague or epidemic of certain diseases, economic loss, low quality of life of children and other problems. If the factors causing immunization failure are found, then it will provide data for proper handling and prevention planning in public health scope. Aim: To find the comparison of internal and external factors intensity affecting basic immunization disobedience on toddlers at the working area of Baumata Community Health Center (Puskesmas Baumata ). Methods: iI was a qualitative research with descriptive survey type. The populations were all mothers whose toddlers were failed to obtain basic immunization at Baumata Community Health Care that were 79 respondents, with total sampling recruitment. Instruments used in this research were questionnaires and checklists. Univariate analysis was performed to analyze the data and then it was presented in qualitative explanation. The research was performed during May, 2017. Result: Types of incomplete basic immunization are BCG 9.8%, DPT 25.4%, Hb 37.2%, Polio 19.6%, and Measles 8%. It is found that there are 48.1% of internal factors affecting basic imminization disobedience ( in the deficiency category ) and also 27.8% of external factors affecting basic imminization disobedience ( in the deficient category ). Conclusion: the internal factors, which are knowledge and attitude, provide more significant effect tothe failure of basic immunization than external factors, which are caring, infrastructures ( facilities ) and distance. Suggestion: It is required to optimize the implementation of integrated health promotion strategies; implement 'pick up the ball' method for mothers who are averse to bring their children to health care facilities; involve secondary target in health promotion to force behavioral change, and disseminate information about immunization using modern and conventional methods to high school students, couples of reproductive age and parents having toddlers. Averall, this reseach said that to enhance immunization obedience, we should to improve knowledge and attitude of public particularly.

Keywords: Immunization, Knowledge, Attitude, Caring

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THE RELATION OF EATING HABIT WITH THE INCIDENCE OF HYPERTENTION IN COASTAL COMMUNITY IN BATU GONG VILLAGE OF LALONGGASUMEETO DISTRICT IN KONAWE REGENCY

Wa Ode Nurali

Practitioner, Dinkes Provinsi Sulawesi Tenggara/Student Stikes Mandala Waluya Kendari

Background: Hypertension is a condition which there is an increase in blood pressure above the normal threshold of 120/80 mmHg. The habit of eating high-sodium foods can increase blood pressure. Aim: This study aims to determine the relationship of eating habits with the incidence of hypertension in coastal communities in Batu Gong village of lalonggasumeeto district in Konawe regency. Methods: This research was analytical descriptive with cross sectional study design and implemented on August 24 to September 9, 2017 in Batu Gong Village, Konawe regency. The population was all of coastal community in Batu Gong Village from January to June in 2017 with 239 people and 71 samples. This research used purposive sampling technique, questionnaire and Chi- Square test. Results: The results of this research showed that of 71 respondents, most of which 50.7% experienced hypertension and 66.2% eating habits the less category. The result of chi-square test obtained p-value 0.009. Conclusion: There is a correlation between eating habits with the incidence of hypertension in Coastal Communities of Batu Gong Village in Lalonggasumeeto district of Konawe Regency. It is suggested for parties of Batu Gong village to give counseling to society about hypertension and food diet with low intake of natrium. Further research is needed to assess other factors causing hypertension in coastal community of Batu Gong in Lalonggasumeeto district.

Keywords: Eating Habit, Hypertention, Coastal Community

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A DESCRIPTIVE STUDY OF PICKY EATERS AND NUTRIENTS INTAKE OF CHILDREN UNDER TWO (6 – 23 MONTHS) IN WATULONDO SUB-DISTRICTS PUUWATU KENDARI

Rasmaniar, Wa Eni, Andi Erwin

Health Polytecnic Kendari

Background: Picky eaters is a eating problem has found mostly happened in children related to long-term concequences in growth and children development. Children with picky eaters problem potentially malnutrition asociated with reduced of nutrient terms in food variation and fact shows risk is raised among children less than 3 years old. Methods: This study is a descriptive study with survey approach and has been conducted on June to July 2017 in Watulondo Sub-District Puuwatu. 49 sample under two children were selected by accidentally sampling technique. Picky eaters children were determined by interviews using a questionnaire while nutrients intake data was obtained by 24 hours recall. Data was analyze using SPSS Results: This study shows that mostly children 65.3% is picky eaters, moreover average intake of energy and protein categorized inadequate with61.2% and 63.3%, respectively. Recommendation: This study suggest mothers and caregiver concern with feeding practice in children in order to prevent malnutrition among picky eaters children related inadeaquate of several nutrient intake.

Keywords: Picky Eater , Nutrients Intake, ChildrenUnder Two (6 – 23 Months)

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THE CONSTRAINT OF THE ANTIRETROVIRAL THERAPY IN CHILDREN WITH HIV AND AIDS IN MAKASSAR CITY

Taufan Asrisyah Ode1, Ridwan M. Thaha2, Ridwan Amiruddin3

1Health Information Management Department, Politeknik , Baubau 2Health Promotion Department, Public Health Faculty, Hasanuddin University, Makassar 3Epidemiology Department, Public Health Faculty, Hasanuddin University, Makassar

Background: Children are the age groups suffering an increasing trend of AIDS cases presently. Aim: This research aimed to analyze the inhibiting factors against the antiretroviral therapy in children with HIV and AIDS. Methods: This research used a qualitative method with a case design. The data were collected through the in-depth interviews and observation on the nurses of the children with HIV and AIDS, the associates of ODHA and the counselor of VCT. The data were then analyzed using the qualitative analysis. Results: The research indicated that the inhibiting factors of the antiretroviral therapy in the children occurred because of the poor understanding of the nurses about HIV and AIDS as well as the children’s ARV. The nurses thought that HIV and AIDS were not dangerous and could be recovered by ARV, while ODHA showed a submissive attitude, the nurses had low motivation, the nurses lacked commitment to assisting the children’s therapy, the nurses suffered from psychological disease, the children were reluctant to reveal their problem, other people, the family members treated the children badly, the society gave the children minimum support, the children found it difficult to access the ARV services in the health facilities (the administration system was found very complicated and difficult, it took so long to wait for the medicine, the attitude and performance of the doctors were so languid and not cooperative, the medicine service was separated, the medicine stock was often unavailable, and often caused side effect, the children refused to take the medicine because it tasted bitter or because they were bored). The stigma and discrimination which were still practiced by the community had also become a constraint that made the children’s ARV therapy late and even not receiving the antiretroviral. Therefore, a more persuasive and comprehensive approach to antiretroviral treatment in children is required.

Keywords: Constraint, Children’s ARV Therapy, Caregiver

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EFFECT OF ARV AND TUBERCULOSIS TREATMENT ON CHANGES IN BODY WEIGHT OF PATIENTS WITH TB-HIV CO INFECTION IN HOSPITAL

Laode Muh. Sety1, Adius Kusnan,2 Laode Surah3

1Lecturer, Faculty of Public Health Halu Oleo University 2Lecturer, Faculty of Medicine Halu Oleo University 3Staff of Bahteramas General Hospital South East Province

Background: Human Immunodeficiency Virus (HIV) has become a pandemic and worries people around the world, not only in health but also in social, economic, political, cultural and demographic areas. About one-third of HIV patients are TB, and 40% occur in Asia. WHO analyzes TB / HIV coinfection 98% will occur in developing countries, including Indonesia as an Endemic TB country. Aim: The objectives of this study were (1) to identify the demographic and clinical characteristics of TB / HIV co-infected patients (2) to determine the effect of antiretroviral therapy and Tb Treatment on changes in body weight of patients TB / HIV coinfected. (3) Know the differences in demographic characteristics (age, gender, marital status, domicile, risk of transmission status, patient status, TB diagnosis, duration of Tb Treatment and opportunistic infections) with body weight after TB treatment Methods: The study design was cross sectional, population is all people with TB / HIV Co-Infection at Integrated Service Working Group of Bahteramas Hospital of Southeast Sulawesi Province with sample number 35 people taken by simple random sampling. The study was conducted from April to October 2016. Data were analyzed bivariately with T and Anova tests. Results: The result of the study showed that most of the patients aged 26-45 years (62.5%), female 52.5%, minimum 95% high school education, 90% married status, 50% in Kendari city, 87.5% , 100% AIDS status, 97.5% of pulmonary TB, medication duration of at least 6 months 69.2%. There was a significant effect on ARV and OAT with changes in body weight (p <0.05). No age, sex, education, marital status, domicile, risk of transmission status, patient status, TB diagnosis, and severe opportunistic infections body p> 0.05), but there was a difference in the length of taking OAT with changes in body weight (p <0.05).

Keywords: TB-HIV, ARV, TB treatment , Weight

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EFFECT OF BREATHING EXERCISE AND RESPIRATORY MUSCLE EXERCISE ON DISPNEA CONDITIONS OF COPD PATIENTS AT RS. KENDARI CITY

Lena Atoy, Akhmad, Reni Deviaanti Usman ! Department of Nursing in Polythenic of Health Kendari Mail: [email protected]

Background: Chronic Obstructive Pulmonary Disease (COPD) is a disturbace in the respiratory system which results in inhibition of airflow in and out of the channel passage of the channel congestion with various causes. One of the clinical manifestations that arise under these conditions is dispnea or shortness of breath. This condition arises when the amount of oxygen the body needs is reduced and there also be a bulid up of carbon dioxide levels in the body. The impact of this is metabolic disorder of the body and can directly effect the quality of life of patients who experience it. In everyday life, dyspnea that causes obstacles in carrying out ADL, disptruption in work, feel tired prolonged so that the complexity of the problem is greater, thus the patient needs more compehensive treatment and care. One of the therapies that can be used as dispnea mangement is breathing exercise. This therapy is a breathing exercise to increase the capasity of lung ability and respiratiry muscle strength. The formulation of the problem in this study is how the influence of breathing exercise and respiratory muscle exercise on the condition of dispnea in patients with COPD in hospitals of Kendari City. Aim: The purpose of this study was to identify the effect of breathing exercise on the condition of dispnea in patients with COPD in hospital of Kendari City. Independent variable in this reaseach is breathing exercise dan musle respiratory exercise, and dependent variable is dipnea condition. Methods: The population is all patients twith COPD in Hospital of Kendari while the sampel is the patient with certain criteria. The instrument of this study was a questionaire to identify the dyspnea condition for assesing and implementing procedures of breathing exercise and respiratory muscle exercise. Results: There was difference in the mean value of the dispnea scale before the exercise in the intervention and control group was 0.29, with the SD score in the intervention group before the exercise was 1.21 and in the control group was 1.46. The results of statistical test analysis showed the p-value 0.510 (<0.05), which indicated that there was no difference in the scale of dyspnea in the intervention group with the control group. There was a difference of mean value after the combination of breathing exercise and respiratory muscle exercise in the intervention and breathing exercise in the control group was 1.20 in the intervention group with SD 1.07, whereas in the control group the dispnea value was 2.28 with SD of 1.14, and the results of statistical test showed of p-value was 0.0005(<0.05), indicated that there was a difference of mean value of dyspnea scale after exercise.

Keywords: Breathing Axercise, Respiratory Muscle Exercise, Dyspnea Condition, COPD

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EFFECT OF HOSPITAL STORYTELLING THERAPY ON ANXIETY IN CHILDREN AGED 6-8 YEARS IN GENERAL HOSPITAL OF BAHTERAMAS

Nirwana1, Sunarti2, Winda Lestari3

1Bapelkes Provinsi Sulawesi Tenggara 2Rs. Bahteramas 3STIK Avicenna

Mail: [email protected]

Background: Anxiety during hospitalization is one of stressfull events that has been experienced by children aged 6-8 years old, which could disturb the growth and development of children and recovery process of children. Storytelling therapy is considered effective to reduce anxiety in children. Aim: The objective of this research is to analyze the influence of hospital storytelling therapy on anxiety in children aged 6-8 years at pediatric ward in the Regional General Hospital of Bahteramas Kendari Southeast Sulawesi Province 2016. Methods: This was a pre-experiment with one group pretest – posttest design. Data were collected using T-MAS observation sheet. From 90 children of the population in this study, 19 children were selected using accidental sampling technique. Paired t-test was used for data analysis. Results: Findings showed that there was a significant effect of storytelling therapy on anxiety in children with p-value 0.000 (p < 0.05.

Keywords: Hospital Storytelling Theraphy, Anxiety, Children Aged 6-8 Years

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THE RISK FACTORS OF THE PREVALENCE OF DIABETES MELLITUS IN PATIENTS IN THE OUTPATIENT WARD IN WUA-WUA COMMUNITY HEALTH CENTRE IN KENDARI CITY

Muh. Darwin

Post Graduate of Public Health Department of Mandala Waluya College

Background: Diabetes Mellitus is one of diseases which is observed in the comprehensive surveillance system. From several diseases in Wua-Wua Community Health Centre, diabetes mellitus is in the fourth level after hypertension, acute respiratory infection of non-pneumonia and diarrhoea. The number of diabetes mellitus increased in Wua-Wua Community Health Centre in Kendari City in 2014, the prevalence of diabetes mellitus were 155 patients and increased in 273 patients in 2015. Aim: This study aimed to identify the risk factors of the prevalence of diabetes mellitus in patients in the outpatient ward in Wua-Wua Community Health Centre in Kendari City. Methods: This study was a quantitative study with a case control study design. The population of this study were 273 people. The samples of this study were 120 people who were divided into 60 cases and 60 controls. The sampling technique used a simple random sampling technique. Results: The results showed that the risk factors of the prevalence of diabetes mellitus in out-patients in Wua-Wua Community Health Centre in Kendari City of hypertension was OR=0.494, family history of diabetes mellitus (OR=5.816), obesity (OR=2.270) and dislipidemia (OR=2.513). For the community health centre, it is suggested to increase the promotion and prevention programs relating the risk factors of diabetes mellitus for communities. For the communities, it is recommended to check up early, especially for them who have the high risk of diabetes mellitus and did healthy life styles.

Keywords: Hypertension, Family history, Obesity, Dislipidemia, Diabetes Mellitus

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THE BEHAVIOR OF MALARIA PREVENTION IN LABUAN VILLAGE, NORTH BUTON

Anita Rosanty and St.Nurhayani Polytechnic of Health Kendari

Background: Malaria is still a major health problem, with more than 40% of the world community exposed by various levels of risk of malaria in 100 countries. In Indonesia, malaria morbidity rate is still high, even into third cause of death in some endemic areas. To reduce morbidity and mortality due to malaria, it is necessary to pay attention to preventive measures such as healthy behaviors consisting of knowledge, attitudes and actions. Aim: To study the behavior of malaria prevention in the community in the village of Labuan District of North Wakorumba North Buton. Methods: This study is a descriptive survey. The sample in this study was 34 head of families of 335 families residing in the village of Labuan District of North Wakorumba NorthButon using simple random sampling. Results: Findings showed that there were 20 respondents (58.8%) had a poor knowledge and 2 (5.9%) had a good knowledge. While based on the attitudes, it was 27 respondents (58.8%) had a favorable attitude and 7 (20.6%) had unfavorable attitude. Based on the action, it was 15 respondents (44.1%) had enough action, 15 people (44.1%) had poor action, and 4 (11.8%) had a good action. Conclusion: The behavior of malaria prevention in Labuan village is described as good actions and attitudes, but lack of knowledge.

Keywords: Behavior, Malaria, Prevention

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Category 7

HEALTH PROMOTION

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94

NICOTIN CONTENT ANALYSIS OF “PURE” AS CIGARETTE SUBSTITUTE ON SMOKING CESSATION AT SOUTH KONAWE REGENCY

Fikki Prasetya1 and Anggi Amriyati2

1Lecturer, Public Health Faculty Haluoleo University 2Practitioner, Nutrition Study Program Institute of Health Science Karya Kesehatan Kendari

Background: “Pure” is made of tobacco water and whiting then become a kind of paste and smeared on the lips of the user. The health hazards posed by pure come from tobacco components that contain harmful substances for health such as nicotine. Aim: This study aims to analyze the levels of nicotine in the pure ingredients that become the Substitution of Cigarettes at the Community of Angata Sub- District of Konawe Selatan Regency. Methods: This research is a quantitative research with observational analytic approach and has been implemented at Bina Husada Integrated Chemical Laboratory of Kendari. Sample of “pure“ used by the people of Angata sub- district of South Konawe Regency and part of pure selected to serve as research object. Sampling technique used a purposive sampling. Results: The results showed that the level of nicotine in pure concoction 1 was 0.5015 gr with nicotine levels 1.3 mg, a “pure” of 0.5006 gr obtained nicotine 2.83 mg, and pure 0.5003 gr obtained a nicotine level of 3.76 mg. Furthermore, in the “pure” 2 with a weight of 0.9971 gr with nicotine 2.89 mg, 0.9998 gr obtained nicotine 2.81 mg, and pure 0.9986 gr with nicotine 2.81 mg. And in “pure” 3, the weight of pure 1.4928 gr obtained nicotine levels 3.81 mg, 1.4918 gr obtained nicotine levels 3.66 mg, and in samples weighing 1.4952 gr obtained a nicotine level of 3.81 mg. Conclusion: The level of nicotine in pure with weight of sample 0.5 gr was 2,63 mg, then in sample 1 gr obtained nicotine content 2.83 mg, and in sample 1.5 gr, nicotine level was 3.76. It is suggested for Angata District government to socialize about danger of pure use for health. Angata community needs to reduce the habit of using pure slowly in order to leave the habit of using pure as a substitute for cigarettes.

Keywords: Pure, Tobacco, Extract, Nicotine, Angata

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95

THE EFFECTIVENESS OF USING TONE THERAPY ON CLIENTS’ ABILITY TO CONTROL HALLUCINATIONS IN MENTAL HOSPITAL OF SOUTHEAST SULAWESI PROVINCE

Mien1, Fikki Prasetya2, Waode harlina2

1Lecturer, Nursing Study Program Institute of Health Science Karya Kesehatan Kendari 2Lecturer, Public Health Faculty Haluoleo University 3Practitioner, Nursing Study Program Institute of Health Science Karya Kesehatan Kendari

Background: Hallucinations are perceptual movements (perceptions) of the five senses without any external stimuli which can cover all the five sensory systems taking place when the individual's awareness is full or good. Hallucination disorders can be treated by non-pharmacologic therapy and one of the most effective non-pharmacologic treatments is listening to music. Aim: This study aims to determine the effectiveness of using tone therapy on client's ability to control hallucinations in Mental Hospital of Southeast Sulawesi Province. Methods: This was a quasi experiment with one group pre-test and post test design. Interview and observation were conducted to the 32 patients who have hallucinations. Sample was taken by using a purposive sampling. Interview was conducted to get deep information about variables observed. the independent variable in this study was the using of tone therapy while the dependent variable was the ability of clients in controlling the hallucinations. Resuts: The analysis result using McNemar statistical test showed that the using of tone therapy is effective in controlling the hallucinations of clients’ ability with p value = 0.001 (<0.05). Conclusion: The use of tone therapy to the patients who have hallucinations in Mental Hospital of Southeast Sulawesi Province is effective on clients’ ability in controlling hallucinations significantly with p value = 0.001. It is suggested for health professional to apply the tone therapy in controlling hallucinations to the patients in Mental Hospital of Southeast Sulawesi Province.

Keywords: Hallucination, Clients’ ability, control, tone therapy

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THE EFFECT OF COUNSELING TO MODIFICATION THE LIFESTYLE ON PREVENTION OF OBESITY IN ADOLESCENTS AT KHADIJAH JUNIOR HIGH SCHOOL MAKASSAR

Anto1, Sumardi Sudarman2, Erni Yetti R3, Saskiyanto Manggabarani4, Syamsopyan4

1Lecturer Nutrition Public Health Faculty, Indonesia Timur University, Makassar, Indonesia 2Lecturer Nutrition Public Health Faculty, Pancasakti University, Makassar, Indonesia 3Lecturer Health Promotion, Sinar Kasih Midwifery Academy, Toraja, Indonesia 4Lecturer Nutrition Sinar Kasih Midwifery Academy, Toraja, Indonesia

Email: [email protected]

Background: Obesity is a serious problem for teenagers and a global pandemic as well as the biggest chronic health problem for both advanced and developing countries. Aim: The purpose of this study is to prove the effect of counseling on lifestyle modification on obesity prevention. Methods: This is a Quasy Experiment Study with pre-test and post-test control group and modifying counseling group. Proportional random sampling was used to select samples. Results: The result showed that there was a change of normal nutrient status, but there was no significant effect of counseling to modify the lifestyle to good nutrition status in treatment group (ρ = 0.107) and control group (ρ = 0.081). There was change of nutrition pattern and good nutrition but there was no significant effect of counseling to modify the lifestyle to diet and good nutrition in the treatment group (ρ = 0.001) and control group (ρ = 0.060); and physical activity no change and meaningful influence of counseling to modify lifestyle both in treatment group and control group with value (ρ = 0.509). Conclusion: It is found that lifestyle modification counseling can give enough change to nutrition status of student, diet and nutritional intake.

Keywords: Obesity, Lifestyle Modification, Counseling

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MANAGEMENT OF EATING PATTERN FOR THE PREVENTION OF OBESITY IN STUDENTS AT TANA TORAJA STATE JUNIOR HIGH SCHOOL

Erni Yetti R1, Muhammad Syafar2, Andi Zulkifli3, Rahayu Indriasari 4

1Student Doctoral Program Public Health Faculty, Hasanuddin University, Makassar, Indonesia 1Lecturer Health Promotion, Sinar Kasih Midwifery Academy, Tana Toraja, Indonesia 2Professors of Health Promotion & Behavioral Sciences Public Health Faculty, Hasanuddin University, Makassar, Indonesia 3Professors of Epidemiology Sciences Public Health Faculty, Hasanuddin University, Makassar, Indonesia 4Lecturer of Nutrition Public Health Faculty, Hasanuddin University, Makassar, Indonesia

Mail: [email protected] | [email protected]

Background: Overweight and adolescent obesity are a major nutritional issue and have become a serious health epidemic occurring in children to adults, including teenagers, thought to be the fifth leading cause of death at the global level. It is believed that the emergence of obesity in developing countries is likely to create tremendous public health burdens, as obesity in children and adolescents is strongly associated with many of the accompanying diseases. Aim: The purpose of this study was to identify the effect of diet management on the prevention of obesity and overweight. Methods: This research was conducted at Tana Toraja State Junior High School. The type of research was a quasi experimental study with pre-test and posttest control group design. The sampling technique used simple random sampling. Results: The results showed that there were differences in prevalence of obesity (p-value= 0.001), diet (p-value= 0.034), food type (p-value = 0.004), meal portion (p-value = 0.004) and food selection (p-value= 0.000) in student before and after intervention, and no difference in meal frequency (p- value=0.001) in students before and after intervention. Conclusion: It is concluded that dietary intervention on prevention of obesity in students can affect the changes in diet, food type, food portion and selection of food, but no effect on the frequency of eating. It is expected that the student's diet can be improved by choosing healthy foods and set the frequency of eating and eating and healthy food choices correctly.

Keywords: Obesity, Management of Diet, Adolescent

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IMPACT OF FEEDING PRACTICE EDUCATION ON MATERNAL SELF EFFICACY TO FEED THEIR UNDERNOURIZED CHILDREN AGED 6 – 24 MONTHS

Waode Syahrani Hajri

Lecturer, Nursing Academy of PPNI Kendari

Jl. Jend. A.H Nasution, No.46G Kendari, South East Sulawesi Phone: 085397692922 E-mail: [email protected]

Background: Most of undernutrition occurs during the period of complementary feeding. One of the influence factors is feeding practices which not optimally conducted by mothers. The unsuitable feeding practices are not only due to lack of knowledge, but also lack of maternal self-efficacy. Aim: In this study, health education aimed to improve maternal self-efficacy on her ability to perform recommended feeding practices which are then expected to support behavioral changes in optimally feeding their child. Methods: This was a pre-experimental study with pretest-posttest one group design. Experiment subjects were mothers of malnourished children aged 6- 24 months old. Sample selection was conducted by purposive sampling and resulted in 40 mothers as experiment subjects. Health education as intervention was conducted using booklet and self-efficacy approach. Instrument for data gathering was made by researcher and adopted from Parental Feeding Self Efficacy Questionnaire. Baseline data were conducted before education intervention and follow-up were conducted after 30 days. Data were analyzed in paired-t test, Wilcoxon test, and linear regression. Result: There was a significant increase in average score of maternal self- efficacy (p<0.001) after education intervention. External variables were proven to have no significant effect (p>0.05) on changes in maternal self efficacy scores. Conclusion: Health education had effective impact on improving maternal self-efficacy in malnourished child aged 6-24 months old.

Keywords: Feeding Practices, Health Education, Self-Efficacy, Undernutrition

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SOCIO-CULTURAL FACTOR IN MATERNAL MORTALITY IN BUTON REGENCY

Rininta Andriani, M.Kes

Lecturer of Faculty of Public Health of Dayanu Ikhsanuddin University

Background: According to WHO report in 2015, about 830 women died from pregnancy complications or childbirths in around the world every day, and 99% of deaths occurred in developing countries. Many factors causing a high maternal mortality rate, according to WHO report in 2015, maternal deaths were due to complications during and after pregnancy and childbirth. In Indonesia, it was caused by bleeding, eclampsia and infections that cause direct death of the mother and socio-cultural, economic and educational factors that indirectly cause. Aim: To describe the socio-cultural factor in maternal mortality in Buton Regency. Methods: This was a qualitative research with case study approach. Purposive sampling technique was used to select 9 families who experienced the mother's death (2012-2016). Data were collected using in-depth interviews and observation. The data was processed by content analysis and data validity used triangulation source and method. Results: Maternal mortality in Buton Regency was also influenced by non- medical factor known as "The Three Delays Models" or "Factor 3 Delays". Based on interviews and field observations, the result revealed that the incidence of maternal mortality was significantly influenced by the contribution of social and cultural factors, where, despite the economic factor, but not as influential, because it has been claimed that giving birth in health facility will be given free to use, but people still decided to give birth at home. It can be seen from 9 cases of maternal mortality, 7 of them, or usually delayed factor that made too late decisions and 2 others due to late correct medical treatment. Conclusion: Socio-cultural factor is still strongly held by the families of every mother who experience death. The values and norms of trust in society affect mothers and families to make the right decisions when the mother experiences complications during pregnancy and childbirth. Most mothers and families choose to survive at home, even though they are very critical.

Keywords: Socio-cultural Factor, Maternal Death, Buton

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THE SEXUAL BEHAVIOUR OF STUDENTS WHO BECOME FEMALE SEX WORKER “CHICKEN CAMPUS” IN KENDARI BY USING SOCIAL EXCHANGE THEORY

Syafaruddin1, Bagus Widjanarko2, Antono Suryoputro2

1University Science and Technology Jayapura 2Faculty of Public Health Universitas Diponegoro

Background: The rapidly increasing cases of Sexual Transmitted Desease and HIV AIDS in Kendari is the impact of developing prostitution activity. It not only can be found between the commercial female sex worker (PSK) but also to the student that known as “Chicken Campus”. Aim: The purpose of this research is to explore the sexual behaviour of students who become “chicken campus” by using social exchange theory. Methods: This study is a qualitative research with a phenomenological approach. The sample was taken by using snowball chain sampling technique and found 12 respondents and interviewed by in-depth interview. Results: The results showed that the most influence factors of student becoming sex worker were economic and lifestyle factor. All respondents said that their job have more advantages (reward ) compared with losses (cost) so that they kept doing this work (result). All of them said that after joining this field, their life was much better than before because all their needs can be fulfilled (comparison level) and most of respondents have a high standard of living. The things that made them change were found a new job with highly income or marriage (comparison level alternative). Related to safe sex, most of respondents did not use condom when having sex because they were afraid of losing customers. Overall, it can be seen that all respondents kept become sex worker (Outcome>CL>CLA) and still did not have a safe sex behaviour.

Keywords: Sex Worker, Student, Behavior

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BEHAVIORAL COMPLIANCE OF NURSES IN IMPLEMENTING STANDARD OF OPERATIONAL PROCEDURE OF PATIENT SAFETY AGAINST THE OCCURRENCE OF PATIENT ADVERCE EVENTS

Iriyanto Pagala, Zahroh Shaluhiyah, Baju Widjasena

Health Promotion Program and Work Safety Promotion Concentration, Diponegoro University

Mail: [email protected]

Background: Patient safety is free from injury that is not supposed to happen, or free from potential injury (disease, physical injury/social psychological, disability, and death) associated with health care. Indonesia through the establishment of the Hospital Patient Safety Committee reported patient safety events with a total of 145 incidents consisting of: KTD 46%, KNC 48% and others 6%. Hospital X of Kendari showed patient safety event data in 2012 consisted of errors in laboratory tests, patient falls, one giving blood kolf series, patient knock, one in drug delivery, and patient death cases. Based on the determination of priorities of the issues to be researched in which patients falling out of bed. One reason is lack of disobedience by nurses in implementing SOP risk of patient falls. Methods: This type of research is an explanatory research with cross sectional design. The sample in this research were 134 nurses in the inpatient unit. Data were collected using questionnaires. The independent variables included age, education, length of service, competence, knowledge, attitudes, perceptions of peer support nurse, supervisor support perception, and the perception of comfort / work units. The dependent variable was the behavior compliance of nurses in implementing SOP againts the risk of patient falls. Results: Findings showed that there were significant relationships between knowledge (p = 0.005), attitude (p = 0.035), perception supporting supervisor (p = 0.000), and perception of peer support nurses (p = 0.003). The results of multivariate analysis showed that the most dominant factor was the perception of supporting supervisor (OR = 5.504). Thus, there needs to be a strict monitoring of the hospital, the socialization of the SOP of risk of patient falls in the form of the provision of a paperback book of SOP to nurses, then supervisor should do and socialize regularly in the wards regarding and do the monitoring and evaluation of nursing care in accordance with the SOP to ensure patient safety.

Keywords: Behavior implement SOP risk of patient falls, patient safety incident

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FACTORS ASSOCIATED WITH INFECTION PREVENTION BEHAVIOR OF HIV/AIDS IN THE TRANSGENDER SEX WORKERS IN KENDARI CITY DISTRICT IN 2017

Rahmawaty

Post Graduate of Public Health Department of Mandala Waluya College

Background: Transvestite is one of the groups at risk for HIV/AIDS. HIV infection prevention behaviors can be done by the use of condom, lubricants and practice on a regular basis of VCT. Based on the report from routine VCT test result obtained that Transgender in Kendari City District Community as much as 42.55%, 31.92% and 100%. Whereas the practice of VCT in 2015 reached 78.72%, 72.34% and 87,.3%. Methods: This research used a cross sectional approach with total sample of 42 respondents. An analysis of data used univariat and bivariat with chi- square test. Results: The result of the data showed that there was a connection between the perception of seriousness (p = 0.033), perveived benefits (p = 0.001), perceived barriers (p = 0.037), perceptual cues to action (p = 0.049) perception of self-convidence (p = 0.001) with HIV infection prevention behavior, and there was no connection between the perception of susceptibility (p = 0.069) with HIV infection prevention behavior. It is recommended for this group to further increase preventive behavior with condoms, lubricant and practices of VCT.

Keywords: Transvestites, Condom, Lubricants, VCT practice

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THE RELATIONSHIP OF NARRATIC KNOWLEDGE WITH HIV / AIDS BEHAVIOR IN CLASS II A KENDARI

Athirah1, Ratna Umi Nurlaila2, Hj. Attiyah2

1 Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2,Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: HIV / AIDS risk behaviors not only occur in the wider community but also in specific sub-populations such as prisoners who are serving prison sentences that are vulnerable to HIV. Class II A Prison Kendari accommodates inmates who will be tried to determine their prison term and also accommodate prisoners who have been determined to serve their sentence. Prisoners with various cases were placed in prison where there was no separation between inmates and drug cases, and not with drug cases. Seeing this situation the possibility of an HIV epidemic in a prison may occur. Aim: This study aims to determine the relationship of knowledge with HIV / AIDS risk behavior in Class II A Kendari. Methods: The research method used is quantitative with cross sectional study design. The population of 162 people and the sample of 85 people while the sampling technique using stratificated random sampling. Results: The results showed that significant knowledge on HIV / AIDS risk behavior (X2 count = 6.748 > X2 table = 3.841, p-value = 0.009 <α 0.05). It is suggested to the leader of Class II A Kendari Prison to further enhance cooperation with the Provincial Health Office of Southeast Sulawesi (especially Health Officer in Rutan) in increasing prisoner knowledge on HIV / AIDS risk behavior.

Key Words: HIV / AIDS, Knowledge, Behavior, Prisoners

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THE RELATIONSHIP OF CAREER DEVELOPMENT WITH THE PERFORMANCE OF EMPLOYEE IN THE PUBLIC HEALTH CENTRE OF LATAMBAGA KOLAKA DISTRICT

Supriadi Sultan1, H. Sjaifuddin 2, La Ode Ali Hanafi 2

1Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2,3Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: Achieving good performance can improve the quality of health services. Besides, a conducive working atmosphere can be created by officers to work effectively. The data obtained by KIA room has 90% target while the achievement of 72% performance, nutrition room has 85% target while 72% achievement, disease eradication room has target of 90% while achievement 75%, environmental health has 85% target while 68% Promkes has a target of 80% while achieving 60%. Aim: This study aims to determine relationship of career development with the performance of employee in the public health centre of Latambaga Kolaka District. Methods: The research used a cross sectional study design. The population in this study was 98 people, with 78 people as a sample using accidental sampling. The analysis method used chi square test. Results: The results showed that there is a relationship between career development with employee performance (X2 count> H2 table = 7.409> 3.841). Phi coefficient test showed the strength of career development relationship to employee performance of 0.33. This suggests that career development has a strong relationship with employee performance.

Keywords: Employee Performance, Career Development, Public Health Centre

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PHENOMENOLOGY STUDY OF ANDROID HP BEHAVIORAL BEHAVIOR IN SCHOOL AGE CHILDREN VIEW EFFECTS ON ADOLESCENT REPRODUCTIVE HEALTH AT SMAN 8 KONAWE SELATAN

Mahmid

Post Graduate of Public Health Department of Mandala Waluya College

Background: HP android is actually used by people who have an interest, both in terms of school, college, work and business. But in fact, Hp android is not just circulating among the people who need it. However, android mobile phone circulating among early childhood. Even ironically again HP android is not a foreign item for early childhood that the reality is not worth using Hp android. Aim: To analyze the behavioral reasons of HP android use by school-age children with an impact approach to adolescent reproductive health at SMAN 8 Konawe Selatan. Methods: The type of research used is qualitative research using indepth interview. While theory behavior used is the theory of reasoned action. Number of informants as many as 5 people. Results: After seeing informant statement concluded that behavior of usage of Hp android in child caused by attitude of child who feel happy with the device because it equipped with interesting application so that invite interest of school age children, beside that environment around child especially social and support to give freedom at child for use of the device. So it is advisable to parents to provide on-going mentoring. If the child is using Hp android parents must accompany their children, opening features appropriate to the stage of development.

Keywords: Behavior, Use of HP Android, Adolescent Reproductive Health

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COMMUNITY BEHAVIOR IN DISPOSING HOUSEHOLD WASTE: A CASE STUDY IN LOJI VILLAGE ON BUTON UTARA CITY

Irnawati, Akbar, Muh. Said

Post Graduate of Public Health Department of Mandala Waluya College Jl. A.H. Nasution No. G 37 Kota Kendari Sulawesi Tenggara Telepon: 0811400394 Mail: [email protected]

Aim: This study aims to determine the behavior of communities disposal of household waste, as well as to know the constraints faced by the community and government in the management of household waste in the loji village. Methods: This research was conducted in December 2017 in Loji village Kulisusu Sub district, North Buton regency. A Quota sampling method was used to select 40 respondents from 4 divisions of village. Results: The results showed that 47% of people's behavior in managing or disposing household waste in the garbage units, 13% disposing of garbage carelessly, 30% of disposing garbage around the house because there is empty land and 10% community behavior by burning garbage. Constraints faced by society and government, namely: 1) the behavior of villagers that always cast the garbage units, 2) the absence of home-based garbage collection service, 3) the community assess the existing garbage units that are still lacking and the distance is quite far from their homes, 4) some people consider garbage pickup at the garbage units sometimes is not done every day by janitor, and 5) obstacles faced by the government in waste management such as limited facilities such as garbage units, fleet, human resources and experts.

Keywords: Behavior, Management / Disposal, Trash, Household.

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THE EFFECT OF REPRODUCTIVE HEALTH EDUCATION ON KNOWLEDGE OF HEALTH REPRODUCTIVE IN ADOLESCENTS

Andi Jayanti, C. I. Mba, S. N. Obi, Solikhah

Post Graduate of Public Health Department of Mandala Waluya College

Background: Lack of knowledge about adolescent reproductive health makes teens easily address the wrong information and harmful for reproductive health. Health education plays an important role in improving the knowledge and behavior of adolescents to maintain good reproductive health. Methods: The type of research is quasi experiment. The population in this study was teens. Adolescents showed positive and permissive attitudes toward reproductive health education and there was a decrease in sexual behavior after intervention, such as sex without maried, prevention of pregnancy and abortion and sexually transmitted infections. This study also revealed that good knowledge will support the realization of good behavior. Reproductive health education affects adolescent to reproductive health knowledge. Health authorities should provide guidance so that teens do not get caught any further.

Keywords: Education, Knowledge, Reproductive Health, Teens

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IDENTIFICATION OF RISK FACTORS OF MUMBUL BEHAVIOR IN ADOLESCENTS IN THE SALO VILLAGE IN 2017

Astina

Student, Faculty of Public Health, University of Haluoleo

Background: Based on the survey results of the National Narcotics Agency (BNN) in collaboration with the Center for Health Research, University of Indonesia (UI) estimated that the prevalence of drug abuse in 2009 was 1.99% of the Indonesian population aged 10-59 years. In 2010, the prevalence of drug abuse increased to 2.21%. There was no reduction efforts projected to raise in the prevalence of drug abuse with 2.8% in 2015. Drug cases handled by the National Narcotics Agency (BNN) in 2016 has increased. If in 2015 BNN uncover 638 cases of narcotics, then in 2016 BNN uncover 807 cases of narcotics. Drug user data from year to year increase and it occurs in adolescence. This behavior has given the negative impact and will have a futher negative impact on the future of the child. Aim: To identify risk factors of Mumbul behavior in adolescents in Salo Village Kendari City of Southeast Sulawesi province, and to know whether there is a relationship between motivation of Mumbul peers, conflict in families, and free association with adolescent behavior. Methods: The research was conducted in Kendari city, Southeast Sulawesi Salo in 2017 with the number of samples as many as 30 selected respondents using purposive sampling. This study used a cross-sectional study. Analysis of data using univariate analysis that describes the behavior of adolescents Mumbul, and also using multivariate analysis to analyze the relationship between the dependent and independent variables using SPSS application. Results: Findings showed that there was no significant relationship of motivation of Mumbul peers (p=0.400), conflict in families (p=0.700), and free association (p=0.4733) (>0.05) with adolescent behavior in Salo Village Kendari City in 2017.

Keywords: Mumbul, Drug Abuse, motivation of peers, free association, and family conflicts

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EDUCATION INFLUENCE ON BIRTH WEIGHT AND BODY LENGTH IN KENDARI CITY, SOUTH EAST SULAWESI PROVINCE

Kartini

Health Polytechnic of Health Ministry of Kendari

Mail: [email protected]

Aim: The research aimed to investigate the education influence on birth weight and body length in Kendari City, South East Sulawesi Province. Methods: This was a quasi experimental study using the pretest posttest design. Group 1 was given the education intervention using module, group 2 was given the education intervention using MCH book, group 3 was given only in the from of module, and group 4 was given the intervention only in the form of MHC book. The research samples were as many as 78 people. Data collection instruments were in the forms of the questionnaire, USG, baby scales, and centimeter tape. Data were analysed using the Wilcoxon and Kruskal Wallis’ tests. Results: The research result indicated that there is an effect of the education on the knowledge change (p=0.000), attitude (p=0.000), behavior (p=0.000), fetal growth (p=0.000), birth weigh (0,034), and body length (0,024). Module has the higher effectiveness in changing the mothers’ pregnant behaviours.

Keywords: Education, Birth Weight, Body Length

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Category 8

HEALTH REPRODUCTION, NURSING COMMUNITY, MEDICAL PUBLIC HEALTH I

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THE QUALITY OF INPATIENT SERVICES IN PATIENTS WITH SCHIZOPHRENIA AT THE PSYCIATRIC HOSPITAL OF DR. SOEPARTO HARDJOHOESODO, SOUTHEAST SULAWESI PROVINCE

Indrawati1, H. Hamzah2, H. Rinvil Amiruddin2

1Student In Public Health Studies Program, High School Of Health Sciences, Avicenna Kendari 2Lecture Of Public Health Studies Program, High School Of Health Sciences , Avicenna Kendari

Background: One of the most common types of mental disorders is schizophrenia disorder. This type of disease tends to be a chronic disease in which its solution is expected to be equivalent to other physical diseases. In developing countries, until now the handling of schizophrenic patients has not been satisfactory. This is caused by the limited knowledge of the public about schizophrenia which considers the type of disease is a family disgrace. Aim: The purpose of the study was to determine the quality of inpatient services in patients with schizophrenia seen from patient satisfaction with the actions of officers, physical environment conditions, provision of facilities and service fees at Psyciatric Hospital of Dr. Soeparto Hardjohoesodo, Southeast Sulawesi Province. Methods: The research type is a descriptive observasional study using a survey method. The population of this study were all 40 schizophrenic patients. While the sample was the whole of the population using saturated sampling technique. Results: The result of the research showed that patient satisfaction on the officer's action was still poor (52%), patient's satisfaction toward hospital physical condition condition was good (97.5%), patient satisfaction to facility provision was good (92.5%), and patient satisfaction seen from the cost of service was already running well (95.5%).

Keywords: Patient Satisfaction, Schizophrenia, Quality of Service

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RELATIONSHIP OF AGE, PARITY, AND BIRTH DISTANCE TO RISK OF PREGNANT WOMEN IN ANDOWIA PUBLIC HEALT CENTER

Siti Aisyah1, Sjaifuddin2, Lodes Hadju2

1Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: Currently in every minute of every day, a mother dies due to complications related to pregnancy and childbirth. Therefore, High Risk Pregnancy is still a problem of health services especially in the field of obstetrics because it can increase both maternal and perinatal morbidity and mortality. The immediate cause of maternal mortality is bleeding (28%), eclampsia (24%) and infection (11%). While the cause of indirect death is Chronic Energy Lesss (KEK) in pregnancy (37%) and anemia in pregnancy (40%). Aim: This study aims to determine the correlations of age, parity, and distance of pregnancy with the risk of pregnant women in Andowia Public Health Center of North Konawe Regency in 2011. Methods: This was a case control study. The sampe was 30 people selected using total sampling. Results: The results of the study based on the odds ratio test showed that the age of the mother was too old, while the number of children and the distance of pregnancy were too close at a risk factor of pregnant women in the face of pregnancy. It is suggested to Andowia Public Health Centre to actively conduct counseling to the surrounding community in order to add insight and improve public health status.

Keywords: Age, Parity, Birth, Pregnancy

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FACTORS RELATED TO MIDWIFE PERFORMANCE IN KENDARI CITY HEALTH OFFICE

Wa Ode Ndoale1, H. La Ode Hamiru2, La Ode Musa Rachmat2

1Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: Achieving good performance can improve the quality of health services. Besides, a conducive working atmosphere can be created by officers to work effectively. The importance of providing services by laborers in this case doctors and midwives in the hospital so that it can satisfy the patient. Consumer satisfaction is essentially a requirement and demand, in this case the hospital as a provider of health services must be oriented to the fulfillment of customer satisfaction. Aim: This study aims to determine the factors associated with the performance of midwife in the Department of Health of Kendari City 2012. Methods: This was a cross sectional study. The sample in this study amounted to 88 people from 113 people population. Sampling was done by simple random sampling. Chi Square test was used for data analsysis. Results: The result of the research shows that there was a significant correlation between incentives, working facilities, working conditions and supervision on midwife's performance. It is suggested for the Department of Health Kendari to considere these factors to develop midwife’s competence and performance.

Keywords: Incentives, Facilities, Condition, Supervision, Performance

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FACTORS RELATED TO INCIDENCE OF LEUCORRHEA IN FEMALE TEENAGERS AT SMAN 2 KENDARI

Rahmawati1, Safitri2, Abd. Aziz Harun2

1University of Haluoleo 2STIKES Karya Kesehatan

Mail: [email protected]

Background: In adolescence there is a development of the reproductive organs. Reproductive development in women is often impaired with leucorrhea. The impact of the vaginal leucorrhea can lead to infection of pathological disorders of the reproductive organs. Aim: This study aimed to determine the factors related to the incidence of leucorrhea in female teenagers at SMAN 2 Kendari Methods: This was a cross-sectional study. Total sample was 137 of 208 population obtained from class X and XI. Data were analyzed using chi- square test with significant value <0.05. Results: The study showed that knowledge (p=0.014), attitude (p=0.014), and action (p=0.010) have a significant relationship with incidence of leucorrhea in female teenagers Conclusion: There is a relationship between knowledge, attitudes, and actions of female teenagers to incidence of leucorrhea.

Keywords: Leucorrhea, Knowledge, Attitude, Action

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SYNTHESIS AND CHARACTERIZATION OF PILLARED CLAY

Ca3(PO4)2

Suardin

Post Graduate of Public Health Department of Mandala Waluya College

This was a research about synthesis and characterization of pillared clay Ca3(PO4)2, in which the purpose is to make pillared clay by using Ca3(PO4)2 pillared agent with varying volume and characterization pillared clay made by using X-ray diffraction (XRD) and infrared spectrofotometer (IR). Pillared clay is made by varying Ca3(PO4)2 0.05 M volume by, 50, 75, 100, 125 and 150 mL. And also varying the heater temperature by 200, 350 and 500oC. The result showed that the pillared agent volume was most effective at 125 mL by clean water filtrat colour and the number of clay that missing is slight. For pillared clay Ca3(PO4)2 125 mL d(001) is found that x-ray diffraction and wave number 3.3455 Å at 350oC were larger than 200 oC and 500 oC. Clay infrared spectrum without reconditing and pillared clay with variation temperature by 200 oC, 350 oC and 500 oC had no major differencse. The differences occured were at the sorption intensity, spectral raising and the lost of the adsorption ribbon at the 3.626 cm-1 wave number.

Keywords: pillared, clay, Ca3(PO4)2

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KNOWLEDGE, PERCEPTION AND ATTITUDE OF MIDWIFE ABOUT EMERGENCY CONTRACEPTION IN KENDARI CITY

Meiharty Mania

Post Graduate of Public Health Department of Mandala Waluya College

Background: There are 75 million of women in the world experience unwanted pregnancies each year. It is estimated that half of them could be prevented each year by dissemination of access to user and usage of emergency contraception. Aim: The aim of this research is to know about knowledge, perception and attitude of midwife about emergency contraception and analyze its factors related to knowledge. Methods: This was a cross sectional study. The target population was 108 people while the sample was 99 people selected using simple random sampling. Results: Findings showed that there were 57.6% of midwives practices have sufficient knowledge about emergency contraception regarding the knowledge about notions, benefits, types, effects side, error use, indication and contraindication, however, the knowledge about time use and problem security were still poor. In addition, there was only 47.5% of midwives positive perception, and 63.6% have positive attitude to emergency contraception. It is suggested to midwife to improve knowledge by joining training, and improve their attitude about emergency contraception.

Keywords: Knowledge, Perception, Attitude, Contraception Emergency, Midwife Practice, Kendari City

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THE REASONS OF MOTHERS DECISION TO CHOOSE A SHAMAN AS A BIRTH ATTENDANT IN MANAGING LABOR IN THE WORKING AREA OF PARIGI COMMUNITY HEALTH CENTER, SUB-DISTRICT OF MUNA REGENCY.

Saharudin Nisi

Graduate of Public Health Program STIKES Mandala Waluya Kendari Mail: [email protected], 0852-5509-7487

Background: The target coverage of delivery assistance by health personnel in order to achieve 2016 healthy Indonesia is 90% to achieve the required number of support and management of adequate delivery services. The excessive anxiety of a pre-natal mother will affect the mother's readiness for labor, including the determination of a mother's birth attendant. Aim: The objective of this research is to analyze the reason of decision of mother to choose shaman as birth helper in terms of management of anxiety of delivery in the working area of Parigi Community Health Center, Sub-district of Muna Regency. Methods: The type of research used is a qualitative research using indepth interview. The theory of reasoned action was used. The number of informants was 10 people. This interview method was conducted during the visit to each respondent's house. Results: Findings showed that the selection of shaman as assistant laborers with the reasons of their experience, better and gentle attitude toward society, very good care, and myths that were thriving in society. Conclusion: Thus, it can be concluded that the behavior of mothers in the selection of shamans as birth attendants is influenced by feelings of anxiety about the safety of mothers and babies, with the assumption that shamans are more comfortable than health care workers who are inculcated in the experience, family support and values of social norms or myths developed in the community.

Keywords: Birth Helper, Shaman, Mother Anxiety

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RELATIONSHIPS OF NUTRITIONAL STATUS, HISTORY OF DISEASES, AND REGULARITY OF MENSTRUATION IN TEENAGE STUDENTS AT SCHOOL 2 WANGI-WANGI WAKATOBI

Muh. Ikbal Yustika Ruslan

Post Graduate of Public Health Department of Mandala Waluya College

Background: Based on the results of preliminary survey tha has been carried out, there were 27 students have experienced stress due to irregular menstruation, and often complaind about insomnia, fatigue, quickly bored, change in weight; and 12 students have pre-menstrual complaints such as abdominal pain, irritability, and headaches. Aim: The purpose of this study was to determine the relationship of nutritional status and history of disease with menstrual periodic regularity at teenage students at School 2 Wangi-Wangi Wakatobi. Methods: This was a cross sectional study. The population in this study were all students of class X of School 2 Wangi-Wangi Wakatobi as many as 39 people, and the samples were 39 respondents selected using total sampling. Results: The results of this study indicated that there was a strong relationship between nutritional status, history of disease and regularity of menstruation at teenage students of School 2 Wangi-Wangi. It is suggested for the students to recognize their body and pay attention to changes in the body by recording the menstrual cycle each month, as well as to keep the weight in order to reduce the negative impact of malnutrition especially in the menstrual cycle.

Keywords: Nutritional status, History of Disease, Regularity of Menstruation, Teenager

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RELATIONSHIP OF MEDICAL COMPLIANCE, LIFESTYLE, AND BLOOD PRESSURE STABILITY IN PATIENTS AGED 20- 40 YEARS WITH HYPERTENSION AT ANDOWIA HEALTH CENTER OF NORTH KONAWE REGENCY ABSTRACT

Miraj Fatmawati

Post Graduate of Public Health Department of Mandala Waluya College

Background: Hypertension is marked by blood pressure step-up upon normal. Mostly patients drink medicine when they have high blood pressure and stop once it is getting low. However, their life style triggers the occurrence of hypertension again. Aim: This study aimed to determine the relationship of medical compliance and lifestyle with blood pressure stability in patients aged 20-40 years at Andowia Health Center of North Konawe Regency in 2012. Methods: This was a cross sectional study conducted on 31 May - 21 June 2012. Total sample was 31 patients aged 20-40 years with hypertension selected using accidental sampling. Results: Findings showed that the results of chi-square showed there were significant relationship of medical compliance and blood pressure stability ! ! (X count=8.316 >!X table= 3.841, Phi = 0.518); and significant relationship of ! ! lifestyle and blood pressure stability (X count=13.780 > X table=3.841, Phi=0.667). Conclusion: There was a significant relationship of medical compliance, lifestyle, and blood pressure stability in patients aged 20-40 years with hypertension.

Keywords: Medical Compliance, Lifestyle, Blood Pressure Stability

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REASONS OF MOTHERS AS FAMILY PLANNING (KB) ACCEPTORS SELECTING HORMONAL CONTRACEPTIVE METHODS IN KABAWO DISTRICT HEALTH CENTER OF MUNA DISTRICT

Nurhamsar Sarmin and Tasnim

Post Graduate of Public Health Department of Mandala Waluya College

Background: Population in Indonesia has various problems such as the number of growth, spread and density of population are not controlled. To reduce birth rate is one of of the efforts to control, and one of which is using contraceptives. The most popular contraception is the hormonal contraceptive methods. Aim: This study aims to analyze the reasons of mothers as family planning (KB) acceptors to choose hormonal contraceptive methods in Kabawo District Health Center of Muna District IN 2016. Methods: This was a qualitative study using in-depth interview technique and guided by the theory of reasoned action. There were 5 informants were selected. The interview was conducted during the visit to each respondent's house. Results: The results showed that the reasons of all respondents prefer hormonal contraception rather than natural ones were because they thought that the risk of non-success was greater in natural ones than hormonal methods, and all respondents had the same attitude of preferring hormonal contraception compared with natural methods. It can be concluded that all respondents prefer hormonal contraceptive methods rather than natural ones because of the practical use and effective. In addition, the community environment also affects the mother's behavior in the selection of hormonal contraceptives because it is easily following what is done by the surrounding environment.

Keywords: Mothers’ Behavior, Family Acceptance, Attitude, Hormonal Contraception

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THE RELATION OF KNOWLEDGE, ATTITUDE AND BEHAVIOR OF MOTHER WITH DIARRHOEA ATTACT AT BABY AND UNDER FIVE YEARS THE WORK AREA IN LOMBAKASIH HEALTH CENTRE SUB DISTRICT LANTARI JAYA DISTRICT BOMBANA

ARMAN

Post Graduate of Public Health Department of Mandala Waluya College

Background: In Lombakasih Health Centre in 2009, there was an increase of diarrhea prevalence at baby and under five years. This might be influenced by the level of education, attitude, and behavior of mothers about diarrhea. However, little is known about these factors. Aim: This research aimed to determine the relationship of knowledge, position and behavior of mothers with case of diarrhea in baby and under five years in Lombakasih Health Centre Sub District Lantari Jaya District Bombana Year 2009. Methods: This was a cross-sectional study with sample of 94 mothers having baby and under five years in Lombakasih Health Centre, Sub District of Lantari Jaya, Bombana District. Data were analyzed using chi-square. Results: Findings showed that there was a significant relationship of ! ! ! ! knowledge (X count=12.487 >!X table= 3.841), attitude (X count=4.358 >!X table= ! ! 3.841), and behavior (X count=5.967 >!X table= 3.841) with the case of diarrhea in baby and under five years. It is suggested for the public health center to increase the knowledge, attitude, and behavior of mothers through counseling and health education to prevent the case of diarrhea.

Keywords: Knowledge, Attitude, Behavior and Diarrhea

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RELATIONSHIP KNOWLEDGE, ATTITUDE AND PRACTICE TODDLER MOTHER AGES 12-59 MONTHS TO USE POSYANDU IN LAMERORO VILLAGE RUMBIA SUBDIDTRICT OF BOMBANA DISTRICT !

SATAR

Post Graduate of Public Health Department of Mandala Waluya College

Background: Community participation is a form of active involvement of communities in all aspects of life. In the field of health, community participation is one of growth monitoring of infants weight in the Posyandu. Rumbia Health Center in 2012 reported that 52.8% of infant weight was low and below tha National target (80%). Aim: This study aims to examine the relationship of knowledge, attitude and practice of mothers who have children aged 12-59 months with the use of Posyandu. Methods: This was a cross-sectional study with 74 respondents. Data were analyzed using Chi-square and coefficient correlation. Results: This study showed that the knowledge, attitudes and practice of mothers have significant correlations with the use of Posyandu in the village Lameroro, with the value of knowledge was 10.572, attitude 8.569 and practice 9.279. It is suggested to the community leaders to improve the knowledge of mothers related to the benefits of Posyandu and motivate them to come and use Posyandu to increase the body weight of the children as well as to maintain their health status.

Keywords: Knowledge, Attitude, Practice, and Posyandu

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THE RELATIONSHIP OF THE QUALITY OF HEALTH SERVICES WITH PATIENT SATISFACTION IN THE INPATIENTS UNIT OF THE GENERAL HOSPITAL OF SOUTHERN KONAWE REGENCY IN 2014

Dewi Asriani

Post Graduate of Public Health Department of Mandala Waluya College

Background: The general hospital of Southern Konawe regency obtained many complaints on its health services given by the medical personnel and non-medical personnel. Aim: The objective of this study was to determine the relationship of the quality of health services with patient satisfaction in the inpatient unit of the General Hospital of Southern Konawe regency in 2014. The satisfaction of the patients on the health services was observed from satisfaction, tangible, and empathy. Methods: This was analytical descriptive study with cross sectional design with 71 respondents as a sample. Chi-square and Phi test were used for data analysis. Results: The results of the study indicated that there was a strong relationship of tangible (X² count = 20,958 > X² table = 11,345), empathy (X² count = 18,458 > X² table = 11,345) with of patient satisfaction in the inpatient unit of the General Hospital of Southern Konawe regency. It is suggested to the personnel in the inpatient unit of the general hospital of Southern Konawe regency to keep commitment together to ensure the quality of health services for patients particularly in hospitalized patients.

Keywords: Satisfaction, Tangible, and Empathy

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FACTORS RELATED TO THE LOW RATE OF THE FIRST ANTENATAL CARE VISIT IN LEMBO COMMUNITY HEALTH CENTRE IN NORTH KONAWE DISTRICT

Ita Sinar

Post Graduate of Public Health Department of Mandala Waluya College

Aim: The study aimed to understand the relationships between knowledge, attitude, and family support with the low rate of the first antenatal care visit (K1) in Lembo Community Health Centre in North Konawe district. Methods: This was a cross sectional study. There were 51 pregnant mothers were selected using simple random sampling in Lembo Community Health Centre in North Konawe district in 2015. Data were collected using a questionnaire and processed with the statistical software (SPSS) version of 17.0. Data were analyzed using Chi-Square test. Results: The statistical test found that there was a significant association 2 2 between knowledge (X calculation= 18.687>X table=3 .841), attitude 2 2 2 (X calculation=25.527 > X table =3.841), and family support (X calculation=16.703 > 2 X table =3.841) with the low rate of the first antenatal care visit. Conclusion: There were significant associations between knowledge, attitude and family support with the low rate ofbthe first antenatal care visit in Lembo Community Health Centre in North Konawe District. Therefore, the socialization about the first visit of antenatal care for pregnant mothers is essential.

Keywords: Knowledge, Attitude, Family Support, Antenatal Care, Visit

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EFFECT OF DEEP BREATHING RELAXATION TECHNIQUE ON THE PAIN INTENSITY IN PATIENTS WITH POSTOPERATIVE APPENDICITIS IN THE GENERAL HOSPITAL OF SOUTH KONAWE DISTRICT

Lia Amalia

Post Graduate of Public Health Department of Mandala Waluya College

Background: Appendix is a dead and intestinal tract and protruding by the upper to the lower end of the cecum. Based on the data taken from the General Hospital of South Konawe District, in the period of 2011, from 203 patients, 25 % of them were patients with postoperative appendicitis, while in 2012, these patients were 21 % of 171 patients, and increased to 28% in 2013 from 231 patients. While in the period of January to May 2014, there were 41 patients with postoperative appendicitis. Aim: The research aims to study the effect of deep breathing relaxation technique on the intensity of pain in patients with postoperative appendicitis in the General Hospital of South Konawe District in 2014. Methods: This was a quasy-experimental study. There were 26 samples selected using accidental sampling from 41 people of population. The Two Related Samples test was used for data analysis. Results: The results of this research showed that there was a significant effect of deep breathing relaxation techniques combined with pain medicine on pain intensity in patients with postoperative appendicitis. There was a significant difference of pain intensity between patients who received deep breathing relaxation techniques combined with pain medicine than those who only received pain medicine alone. Thus, this technique could be used for reducing pain intensity levels in patients with postoperative appendicitis.

Keywords: Pain, Appendix, Post-operative, Deep Breathing Relaxation

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Category 9

HEALTH REPRODUCTION, NURSING COMMUNITY, MEDICAL PUBLIC HEALTH II

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THE EFFECT OF LACTATION EDUCATION ON MOTHER’S SELF-EFFICACY AND EXCLUSIVE BREASTFEEDING

Nurmiaty1, Arsunan A. A2, Saifuddin Sirajuddin3, Muh Syafar4, Muliati Dolofu1

1Health Polytechnic of Health Ministry of Kendari, Midwifery Department 2Epidemiology Department, Faculty of Public Health, Hasanuddin University, Makassar 3Nutritional Study Program, Faculty of Public Health, Hasanuddin University, Makassar 4Health Education and Promotion, Faculty of Public Health, Hasanuddin University, Makassar Mail: [email protected]

Abstract: Background: Self-efficacy is a belief that a mother has that she can breastfeed her baby. If the mother is confident, she will give exclusive breastfeeding until the baby is 6 months old without additional formula or other foods. Aim: To determine the effect of lactation education on the mother's self- efficacy and exclusive breastfeeding. Methods: The study design was the quasi experiment, pre-test, and post-test with control group design. Samples of mothers (gestational age ≥28-32 weeks) were divided into 3 groups: 1) those who received lactation and modification modules (n = 21), 2) a group that only received modification modules (n = 21) and 3) a group that only received the maternal and child health books (n = 20). Data were collected using questionnaires, self-efficacy measurements were performed before lactation education was performed, and after 6 months of age. Results: Initial measurement results (t0), the median self-efficacy score of respondents was between 60-79, while the median self-efficacy score of the mother at the final measurement (t1) was between 60-88. The highest score increase occurred in group 1, then group 3. The median test result showed there was self-efficacy difference between the three groups (p= 0.002). The Wilcoxon test in group 1 showed no difference in exclusive breastfeeding in infants aged 3 months and 6 months, whereas in group 2 there was no difference in breastfeeding in the third month, but in the sixth month found the difference (p = 0.006). In group 3, breastfeeding differences were found since the third month (p = 0.015) and the sixth month (p = 0.015). This finding means that lactation education has an effect on the practice of exclusive breastfeeding. This can be seen in group 1 which has the highest self-efficacy score and also has the highest percentage of exclusive breastfeeding percentage of all groups. Conclusion: Lactation education improves the self-efficacy of the mother and also increases the duration of exclusive breastfeeding.

Keywords: lactation education, self-efficacy, and exclusive breastfeeding.

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WORKING IN THE INFORMAL SECTORS IS THE OPTION OF HOUSEWIVES TO HELP THE FAMILY INCOME

Samrin, Samrin1, H. Herman Titop2, Rasidin Utha2

1 Student of Faculty of Economics, University of Southeast Sulawesi 2Lecturer of Faculty of Economics, University of Southeast Sulawesi

Background: One of the fundamental serious problems faced by Indonesia is the development and growth of the population that is not balanced with the provision of sufficient employment, thus affecting the development of life. Today the husband agrees his wife has a job in helping the fulfillment of the family, as long as not neglect the responsibility as a wife. Thus, women begin to play a double role. Aim: This study aims to identify the type of jobs that motivate housewives to work to contribute to the family income. Methods: This study was a qualitative research with 20 housewives selected using purposive sampling. Results: The results showed that the motivation of housewives to work as a cake seller was generally low and not sufficient for daily needs of family, while the motivation of housewives to work in the informal sectors was high and was considered as an important resource for family income to support dailiy needs and their children education.

Keywords: Motivation, Housewife, Family Income

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THE RELATIONSHIP BETWEEN 3-MONTHLY CONTRACEPTIVE INJECTION AND WEIGHT GAIN IN PUBLIC HEALTH CENTER OF MOKOAU KENDARI PERMAI

Mussapar

Student of Magister Public Health, STIKES Mandala Waluya Kendari, Indonesia

Background: The popular contraception in Indonesia is injection contraception. However, there are some disadvantages of injection contraception such as amenorrhea, menoragia and spotting, late fertility after discontinuation of contraception use, and increased weight gain. The most side effect of 3-monthly contraceptive injection is weight gain. Aim: This research aims is to find out the relationship between 3-monthly contraceptive injection and weight gain. Methods: The research was conducted at the Public Health Center of Mokoau in 2016. Cross sectional study design was used on 105 respondents as population with simple random sampling method. Results: The results of the statistical test of Chi-Square obtained ρ-value = 0.000 < α = 0.05, which indicated that there was a relationship between the use of 3-monthly contraceptive injection and weight gain. Phi-coefficient test obtained value of 0.479, showed a moderate relationship between the use of 3-monthly contraceptive injection and weight gain. This research can be used as consideration for further research. The research can use the larger respondents and the number of variables, such as age, food intake, lifestyle, activity, and others. Midwives and other health workers can provide counseling about side effects of 3-monthly contraceptive injection.

Key words: 3-monthly contraceptive injection, weight gain, and relationship

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ANALYSIS OF MEDICAL RECORD MANAGEMENT IN BOMBANA REGIONAL PUBLIC HOSPITAL

Harno

Post Graduate of Public Health Department of Mandala Waluya College

Mail : [email protected], HP. 0853 3076 1098

Background: A good medical management is one of improvement quality of hospital services; to improve quality of the service is required knowledge either about repository and operation of medical record. Aim: This research aimed to describe the medical record management based on knowledge level of medical record officers, medical record repository and operation of medical record in the Bombana regional public hospital. Methods: This was a descriptive quantitative study with 11 medical record officers. Data were collected using questionnaire. Results: Of all respondents, 5 respondents (45.5%) had good knowlodge about medical record management and 6 respondents (54.5%) had poor knowledge. For the knowledge about storage image of medical record, 4 respondents (36.3%) had good criterion and 7 respondents (63.7%) had less criterion. And for knowledge about image of medical record, 5 respondents (45.5%) had good criterion and 6 respondents (54.5%) had less criterion. Conclusion: It can be concluded that the medical record management based on knowledge level showed unfavorable criterion. Thus, the hospital manager should increase the knowledge of medical record officers in the Regional Public Hospital of Bombana.

Keywords: Medical record management, Hospital, Knowledge

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THE RELATIONSHIP OF ENVIRONMENTAL CONDITION OF HOUSE WITH THE INCIDENCE RATE OF ACUTE RESPIRATORY INFECTION IN COASTAL COMMUNITY IN LAPULU VILLAGE OF ABELI SUBDISTRICT

WD Siti Syarifah

Post Graduate of Public Health Department of Mandala Waluya College

Background: The incidence rate of Acute Respiration Infection (ARI) at Lapulu sub distric based on the Report of Coherent Recording and Reporting Source (SP2TP) of Public Health Center of Abeli in 2010 was 6.96%, in 2011 was 5.70%, and in 2012 was 6.4%. This is related to environment sanitation and poor housing. Aim: This study aimed to examine the relationship of environmental condition of house with the incidence rate of acute respiratory infection in coastal community in Lapulu Village of Abeli Subdistrict. Methods: This study was a cross sectional study conducted in 2013 with 89 respondents selected using proportional random sampling. Results: Findings showed that there was a significant association between physical conditions of house with the incidence rate of Acute Respiration Infection with p-value 0.008 (<0.05). But there were no significant associations between residential density (p= 0.456) and the source of air pollution (p= 0.456) with the incidence of Acute Respiration Infection in Coastal Community in Lapulu Village of Abeli Subdistrict. This study may be an input to prevent Acute Respiration Infection as early as possible.

Keywords: Indoor environmental Condition, Acute Respiration Infection, Coastal Society

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THE EFFECT OF THE INFORMATION ON THE BABY'S MOTHERS KNOWLEDGE, ATTITUDES, NORMS / CULTURE, CONFIDENCE, BREASTFEEDING, AND PROVISION OF COMPLEMENTARY FEEDING IN PREVENTING POTENTIAL STUNTING IN KENDARI.

Fatmawati

Health Polytechnic of Health Ministry of Kendari

Background: Complementary feeding is a risk factor directly related to stunting. Aim: This study aimed to determine the effect of the information on the baby's mothers knowledge, attitudes, norms / culture, confidence, breastfeeding, and provision of complementary feeding in preventing potential stunting in Kendari. Methods: This was a quasy experiment with pretest posttest control group design. A sample of 80 women divided into four groups. Instrument of data collection was in the form of questionnaires measuring instrument weight and body length. Data were analyzed using Wilcoxon and Kruskal test. Results: The results showed that the change in the behavior of breastfeeding and complementary feeding into a good deal in the group 1 than the other groups. The improvement scores of knowledge, attitudes, norms, beliefs, breastfeeding, and solids in the group 1 were higher than the group 2, group 3 and group 4. Findings showed that there was a significant effect of information about breastfeeding and complementary feeding on changes in knowledge (p = 0.000), attitude (p = 0.000), the norm (p = 0.000), confidence (p = 0.000), breastfeeding (p = 0.000) and provision of complementary feeding (p = 0.002) to prevent stunting. There were significant differences of knowledge (p = 0.000), attitude (p = 0.001), confidence (p = 0.001), breastfeeding (p = 0.027) and side dish of breast milk (p = 0.001) between the groups. The effectiveness of class with a module modification was higher than the class with MCH Handbook in changing the behavior of mothers in breastfeeding and complementary feeding. It is recommended for mothers to join the class of infants and toddlers in order to increase the knowledge. It is also suggested for health workers to educate mothers in the form of class periodically to keep knowledge and understanding of mothers about the benefits of breastfeeding and complementary feeding for infants, as well as to spread leaflets, books and electronic media about breastfeeding and complementary feeding to increase knowledge of the mothers.

Keywords: Information, Knowledge, Stunting, Breastfeeding

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STORY TELLING AS AN EFFORT TO INCREASE THE INTEREST OF EATING VEGETABLES IN PRE SCHOOL CHILDREN IN TK AL-INSYIROH KENDARI

Islaeli, Ari Nofitasari, Dewi Sari Pratiwi

STIKES Mandala Waluya Kendari

Mail: [email protected]

Preschool age is a period of rapid social, intellectual and emotional development for children. Children need adequate nutrition intake to achieve optimal growth and development. Vegetable is source of fiber, vitamins, and other healthy content that is beneficial to the child's body. However, today parents find it difficult to provide vegetable intake for consumption by their children. Unhealthy fast food is even more enjoyed by children, making it more difficult for parents to apply healthy living to their children by making vegetables as a diet. This research was conducted on 20 February to 25 March 2017 at kindergarten or Taman Kanak-kanak (TK) AL Insyiroh with 42 students, based on preliminary observation found that from 15 children who were eating together, 9 children who put aside vegetables at each meal, 2 children moved vegetables to their friends' dining places, and 4 other children just chew on vegetables and then save back to the place to eat. The results of interviews to their mothers said that every mother should try hard and force the child to eat vegetables, so making the atmosphere uncomfortable and the child becomes fussy. This description of attitude is a global case and it is a difficulty for parents to give their children food that contains fiber and many vitamins from vegetables. Story telling is a medium used as a creative process of children in their development, always activate not only the intellectual aspect but also aspects of sensitivity, refinement, emotion, art, fantasy, power, and imagination of children who not only prioritizes left brain capability but also the right brain, whose expectations will affect the child's interest and behavior toward something. This was a pre-experiment with one group pretest-posttest. The population in this study was preschool age children in TK AL-Insyiroh Kendari wconsisting of 42 children, which 38 children selected using purposive sampling. The independent variable was story telling with audiovisual media and vegetable type, and dependent variable was the interest of vegetable consumption, with instrument of observation sheet.

Keywords: Storytelling, vegetables consumption, preschool

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STUDY OPPORTUNITIES HOME CARE SERVICES BASED ON THE USE OF INCOME AND HEALTH INSURANCE STATUS IN KENDARI - SOUTHEAST SULAWESI

Laode Saltar, Sartini Risky, Asbath Said

Stikes Mandala Waluya Kendari

Mail: [email protected]

Background: Home care is one of the health care models performed by professionals in the patient's residence with the aim of helping to fulfill the needs of the patient by involving family members as supporters in the treatment and healing process. Aim: To identify the opportunity of home care service utilization based on income level and health insurance status in Kendari City of Southeast Sulawesi. Methods: This study was a descriptive study with qualitative approach and completed with quantitative data. The Informants were 6 people for qualitiative selected using purposive sampling, and 40 people for quantitative data using simple random sampling. The primary data collection was done by open- ended interview. Results: Qualiative findings of this study showed that all informants said satisfied with home care services provided by nurses. Home care provides convenience for families, cost-effective, timesaving and effective for patient recovery. Home care is selected because of difficulties for families to care if treated at the hospital, while services provided at home better, and willingness of the patient himself. Quantitative findings showed that the majority of respondents (82.5%) stated willing to be treated at home and 57% stated willing to bear the cost for home care. However, the majority of BPJS participants want the cost of home care services to be borne by BPJS. There wa no correlation between income level with the willingness of the respondents to be treated at home and the willingness of the respondents to bear the cost of home care, with the value of X2 count each (2.020 & 3.300

Keywords: Home Care, Income level, Health Insurance Status.

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FACTORS RELATED TO THE IMPLEMENTATION OF STANDARDS IN NURSING CARE IN THE SURGICAL WARDS IN BAHTERAMAS GENERAL HOSPITAL OF SOUTHEAST SULAWESI PROVINCE 2013

Wa Ode Rahmadania, Fransiska Tatto Dua Lembang, Mimi Yati

STIKES Mandala Waluya Kendari

Mail: [email protected]

Background: Standards describe the level of competent of nursing care from the care shown by the nursing process. Based on the results of the annual report of nursing in Bahteramas General Hospital of Southeast Sulawesi province, in 2010 the achievement of the implementation of standards in nursing care in the surgical wards was 48%, in 2011 was 53%, and in 2012 was 50% and were at low levels. Aim: To determine the relationship of knowledge, attitude, motivation, time service and workload with the implementation of standards in nursing care in the surgical ward of the Bahteramas General Hospital of Southeast Sulawesi Province in 2013. Methods: This was a descriptive survey with cross-sectional design. There were 36 samples selected using simple random sampling from 40 people of population. Chi-Square and Cramers test were used for data analysis. Results: Findings showed that there was a moderate relationship between knowledge (value = 0.398), attitude (value = 0.412), motivation (value = 0.442), and time service (value = 0.433) with implementation of standards in nursing care. And there was a strong relationship between workload with the implementation of standards in nursing care (value = 0.610). Conclusion: There was a moderate relationship between knowledge, attitude, motivation, and time service with implementation of standards in nursing care; and a strong relationship between workload with implementation of standards in nursing care. It is suggested to Bahteramas General Hospital of Southeast Sulawesi Province to consider policies that can improve knowledge, attitude, motivation and professional work of nurses through seminars and training about standards of nursing care.

Keywords: Nursing Care, Standard, Related Factors

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RELATIONSHIP BETWEEN THE USE OF CONTRACEPTIVE INJECTION AND WEIGHT GAIN IN THE PUBLIC HEALTH CENTER OF WELALA, LADONGI, EAST KOLAKA

MULIANA

Post Graduate of Public Health Department of Mandala Waluya College

Background: Based on the initial data collection conducted in the Public Health Center of Welala, Ladongi, East Kolaka, those who use contraceptive injection were 38 (38.61%) people. Aim: To determine the relationship of hormonal contraceptive injection with weight gain in the Public Health Center of Welala, Ladongi, East Kolaka in 2015. Methods: This research used analytic survey with cross sectional study design. The sample in this study was family planning acceptors that have been using 3-monthly contraceptive injections as many as 38 respondents selected using total sampling. Chi Square and Fisher's Exact Test were used for data analaysis. Results: Chi Square test obtained p-value 0.016 (<0.05). Fisher's Exact test obtained X² count= 7242>X table = 3841, and the value of phi was 0.437 which shows the strength of the relationship between the use of injections with weight gain. This study can be considered for further research. Through a larger number of respondents and the number of variables, such as age, food intake, lifestyle, activities, and others as well as midwives and other health workers can provide counseling on birth control side effects.

Keywords: The use of injections, weight gain, PHC Welala

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HOUSEHOLD HEALTH ASPECTS AND THE OCCURRENCE OF UPPER RESPIRATORY TRACT INFECTION (URI) IN THE MATANDAHI HEALTH CENTER, MOTUI DISTRICT, NORTH KONAWE DISTRICT

ABDUL RAZAK

Post Graduate of Public Health Department of Mandala Waluya College

Background: Risk factors for the occurrence of Upper Respiratory Tract Infection (URI) in the Matandahi Health Center are still high as many as 26.6% of the population, while the planned target to reduce the risk of URI occurrence was 10% by 2014. Aim: This study aims to know the risk factors of URI occurrence in terms of health aspects at home including housing, density of dwelling and temperature and humidity in the working area of Matandahi Health Center, Motui District, North Konawe District. Methods: The type of this research was observational analytic research with retrospective study design using Odd Ratio (OR) test. There were 89 patients with URI selected using total sampling from January to March 2014 at Matandahi Health Center. Results: The results showed that housing (OR = 2.865), density of dwelling (OR = 2.521), temperature and humidity (OR = 2,284) were risk factors for URI occurrence. It is suggested to the public to pay more attention to the need for separation of room, density of residence, temperature and humidity at homes.

Keywords: Upper Respiratory Tract Infection, Housing, Risk Factors

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THE CORRELATION BETWEEN GASTRITIS, STRESS, AND SUPPORT OF HUSBAND AND HYPEREMESIS SYNDROME GRAVIDARUM IN WORKING AREA OF PUSKESMAS POASIA IN KENDARI MUNICIPALTY IN 2014

Syahril Syamsuddin1, Hariati Lestari2, Andi Faisal Fachlevy2

1Student Public Health Studies Program, University Halu Oleo Kendari 2Lecture Public Health Studies Program, University Halu Oleo Kendari

Background: One of complications that affect the health status of mother and fetal growth is hyperemesis gravidarum that actually can be detected and prevented during the pregnancy period. Nause and vomiting are the most common disorders during the first trimester of pregnancy which is around 60%-80% at primigravida and 40%-60% at multi gravida. Hyperemesis gravidarum means that the pregnant woman has nausea and vomit persistently that makes her body weight loss for about >5% from total body weight before being pregnant that can lead to nutritional deficiencies and energy for the mother that can effect the fetal growth. Aim: This reserach aims at finding out the correlation between gastritis, stress, and support of husband and hyperemesis syndrome gravidarum in working area of Puskesmas Poasia in Kendari Municipality in 2014. Methods: This is an analytical research by using cross sectional study approach. The populations of this research were 74 pregnant women in working area of Puskesmas Poasia in Kendari Municipality. The sample was taken by using total sampling technique and chi-square test was used to find out the result of statistical analysis. Results: Findings showed that there was a significant correlation between gastritis (value=0.380), stress (value=0.234), and support of husband (value =0.411) and hyperemesis syndrome gravidarum in working area of Puskesmas Poasia in Kendari Municipality in 2014.

Keywords: Gastritis, Stress, Husband Support, and Hyperemesis Gravidarum

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FACTORS RELATED TO THE OCCURANCE OF DIARRHEA CASES IN CHILDREN UNDER FIVE WHO WERE HOSPITALIZED AT BAHTERAMAS HOSPITAL OF KENDARI

Rita Zahara

Post Graduate of Public Health Department of Mandala Waluya College

Background: Diarheae is one of the diseases characterized by bowel movements where the frequency is not normal with the consistency of stool is more soft or liquid. Diarheae is still the world's largest cause of death in children under five. Aim: This study aims to determine the factors related to the occurrence of diarheae case among under-five children who was hospitalized at Rumah Sakit Umum Provinsi Sulawesi Tenggara. Methods: The design of this study was a case control consisting of 41 respondents in a case group and 41 in control group. The related factors identified were knowledge, attitude, behaviour, water condition, and latrine ownership. Results: Findings showed that there was a significant relationship of attitude (p=0.049;OR 3.828), behavior (p=0.037; OR=4.644) with the occurrence of diarrhea cases; while there no correlation of knowledge (p=2.72;OR=2.1388), water condition (p= 0.155; OR=4.015), latrine ownership (p=0.624; OR=1.439) with the occurrence of diarrhea cases. Therefore, it is suggested to prevent the occurrence of diarheae case by repairing the water supply facilities, improving the quality of drinking water by adding caporit, establishment of latrine for those who do not have, and regular health education.

Keywords: Diarheae, knowledge, attitudes, behaviour, water supply, family latrine.

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THE FACTORS RELATED TO ADMINISTRATION OF HEPATITIS B VACCINE AT BIRTH IN PERUMNAS COMMUNITY HEALTH CENTRE IN KENDARI CITY

Sri Mulyani

School of Public Health Mandala Waluya Health Science College, Kendari City, Southeast Sulawesi, Indonesian

Background: Based on data in Perumnas Community Health Centre in Kendari City, the achievement of hepatitis-B vaccine was 41.5% in 2014, 41.84% in 2015 and 44.2% from January to March in 2016. The data showed that the hepatitis B vaccine at birth (within 0-7 days) has not met the target, namely 80%. This also showed that mother's participation to administer hepatitis-B vaccine for 0-7 days was still low. Furthermore, the achievement of vaccination was the lowest of other community health centres in Kendari City. Aim: The aim of this study was to understand the factors related to to administration of hepatitis-B vaccine at birth in Perumnas Community Health Centre in Kendari City in 2016. Methods: The study method used a cross sectional study design. This study was conducted from 1st April 2016 to 27 th April 2016. The population were all mothers who had babies, 0-7 days from January to March 2016 namely 282 people. The sample was selected using a proportional random sampling technique, namely 165 people. Data analysis used chi-square and coefficient contingency (ϕ). Results: The results showed that there was a week association between anxiety and administration of hepatitis-B vaccination for 0-7 days with 2 2 X calculation>X table (28.997>3.841), ρ=0.000(<0.05) and ϕ=0.3866. There was a medium association between knowledge and administration of hepatitis-B 2 2 vaccination with X calculation>X table (31.968>3.841), ρ=0.000(<0.05) and ϕ=0.4029. There was a week association between family support and 2 2 administration of hepatitis-B vaccination for 0-7 days with X calculation>X table (19.562>3.841), ρ=0.000(<0.05) and ϕ=0.3256. For health staff are suggested to increase the frequency of health promotion about hepatitis-B vaccination for the babies in every integrated health service.

Keywords: Hepatitis-B, Vaccination, Related Factors

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THE INCIDENCE OF TYPHOID AND ITS RELATED FACTORS IN THE SETTLEMENT REGION OF SLAUGHTERHOUSE OF KENDARI CITY

Fifi Nirmala, La Ode Ahmad Saktiansyah, Yunita Lestari

Fakultas Kesehatan Masyarakat Universitas Halu Oleo

Mail: [email protected] | [email protected]| [email protected]

Background: Typhoid is an acute infectious disease of the small intestine caused by the bacterium of Salmonella thypi. Poasia Health Center reported 354 cases in 2016. Aim: This study aims to determine the relationship between the flies’ density, environmental sanitation, distance of settlement from the slaughterhouse and personal hygiene with the incidence of typhoid in the settlement region of slaughterhouse of Kendari City. Methods: This study uses analytical research design with case-control study approach. Respondents in this study were 40 cases and 40 controls. The method of data collection was done by observation and questionnaires. Statistical test used was the chi-square test with a significance level of 95%. Results: The results of the study showed that the determinants that associated with the incidence of typhoid was the density of flies with a value (p-value=0.035, OR = 3.116, 95% CI = 1.184 to 8.200); and distance of settlement with values (p-value=0.020, OR = 3.444, 95% CI = 1.310 to 9.058), while the factors that not related were housing or environmental sanitation with the value (p-value = 1.000); and personal hygiene with the value (p-value = 1.000). Conclusion: The conclusion of this study was that there is a relationship between flies density and distance of settlement with the incidence of typhoid, while environmental sanitation and personal hygiene have no relationship with the incidence of typhoid.

Keywords: Typhoid, Flies Density, Slaughterhouse

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Category 10

OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH

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RELATIONSHIPS OF THE USE OF PERSONAL PROTECTIVE EQUIPMENT AND WATER SOURCE WITH DERMATITIS OCCURRENCE IN GOLD MINING WORKERS IN THE WORKING AREA OF TAPUNGGAYA NORTH KONAWE PUBLIC HEALTH CENTER

Nurlian Lahumuri

Post Graduate of Public Health Department of Mandala Waluya College

Background: Based on the number of cases reported in the Public Health Center of Tapunggaya Konawe Utara District, the incidence of dermatitis disease in the gold mining area is higher with 76 cases (12.1%) out of total 416 visits in the period of January - April 2017, which is increased dramatically from 82 cases (10.4%) in 2016. This is in line with the inappropriate use of Personal Protective Equipment (PPE) and water sources. Aim: The purpose of this study was to determine the relationship of PPE use and water source with dermatitis incidence in gold mining workers in the working area of Tapunggaya North Konawe Public Health Center. Methods: The type of this research is a quantitative research with cross sectional approach. There were 81 respondents selected using simple random sampling from 416 people of population. Data were analyzed using Chi-square and Phi coefficient test. Results: The results of this study indicated that there was a significant relationship between the use of PPE (X2count 31.935> X2 table 3.841) and water sources (X2count 18.347>X2 table 3.841) with the incidence of dermatitis in gold mining workers. It is therefore advisable to the relevant parties to increase the attention given to gold mining workers to pay attention to the use of PPE and clean water sources.

Keywords: Personal Protective Equipment, Water Source, Dermatitis, Gold Mining Workers

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FACTORS ASSOCIATED WITH ACUTE RESPIRATORY INFECTIONS OCCURRENCE IN INFANTS IN THE WORKING AREA OF PUBLIC HEALTH CENTER OF ANDEO NORTH KONAWE

Romi Indrayani

Post Graduate of Public Health Department of Mandala Waluya College

Background: The incidence of Acute Respiratory Infections (ARI) in infants in the working area of Public Health Center of Andeo North Konawe for the last 3 years has increased. In 2014, there were 186 cases (43%), in 2015 with 243 cases (56.7%), and in 2016 with 298 cases with the largest proportion of children under five (62%), and remains high in the period of January to March 2017. Aim: This study aims to determine factors associated with acute respiratory infections occurrence in infants in the working area of Public Health Center of Andeo North Konawe. Methods: This was a quantitative research with cross-sectional approach. Total population was 206 respondents and the sample was 67 respondents selected using simple random sampling technique. Data analysis used chi- square test. Results: The results of this study indicated that there was a significant correlation between smoking behavior (X2 count 10.766> X2 table 3.841 and φ = 0.401), mosquito repellent smoke (X2 count 17.046> X2 table 3.841 and φ = 0.504), kitchen smoke (X2 count 15.589> X2 table 3.841 and φ = 0.482), and occupancy density (X2 count 15.881> X2 table 3.841 and φ = 0.487), with ARI occurrence in infants in the working area of Public Health Center of Andeo North Konawe. So it is suggested to the Public Health Center to provide counseling and further information to the community about factors triggering acute respiratory infections in order to be prevented.

Keywords: Smoking Behavior, Mosquito Repellent Smoke, Kitchen Smoke, Occupancy Density

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FACTORS RELATED TO THE PERFORMANCE OF THE INTEGRATED HEALTH POST CADRES IN THE WORKING AREA OF MATANDAHI HEALTH CENTER OF NORTH KONAWE REGENCY

Lukwan

Post Graduate of Public Health Department of Mandala Waluya College

Background: Matandahi health center had decreased the amount of the cadres within the last two years. From 40 cadres 2008 to 24 cadres in 2008, and decreased to 17 cadres in 2009, the rest only came once in 2 months. Aim: This study aims to determine the factors related to the cadres performance in the working area of Matandahi health center of North Konawe Regency. Methods: This was a descriptive study with cross-sectional approach conducted in the working area of Matandahi Health Center of North Konawe Regency in 2010. The sample was 35 integrated health posts cadres selected using total sampling. The independent variables included knowledge, skill, incentive, and travel time. Dependent variable was the performance of integrated health post cadres. Data were analyzed using Chi-square test and Contingency coefisient test. Results: Findings showed that there was a significant relationship of knowledge (X2calculate=4,375; C=0,330), skill (X2calculate=10,151; C=0,474), incentive (X2calculate=4,880; C=0,349), and travel time (X2calculate=5,221; C=0,360) with the performance of the integrated health post cadres. Thus, it is suggested that the Health Department of North Konawe Regency to conduct the illumination regularly and to give training to the integrated health post cadres for the improvement of cadres knowledge and skill for the better quality services.

Keywords: Performance, Integrated Health Post, Cadre, Related Factors

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ANALYSIS OCCURANCE OF ACUTE RESPIRATORY INFECTION TO STOVE BURNING WORKERS IN THE WORKING AREA OF PONDIDAHA COMMUNITY HEALTH CENTER OF KONAWE DISTRICT, AMESIU VILLAGE

Sri Damayanty, Jumiati, Asmaul Husna

Publich Health Department of Sekolah Tinggi Ilmu Kesehatan (STIK) Avicenna

Background: Southeast Sulawesi is one of the provinces where the prevalence of Acute Respiratoty Infection (ARI) is still high and increasing. The numbers of ARI are always on the first list of diseases. Aim: This study aims to determine the factors associated with the prevalence of Acute Respiratory Tract Infection in the stove burning workers in the working area of Pondidaha Community Health Center of Konawe District, Amesiu Village in 2015. Methods: This was a cross sectional study. There were 67 stove burning workers selected using total sampling. Data were analyzed using Chi-square test. Results: Findings showed that there was a significant relationship of knowledge (X2count=12.223>X2table=3.841), attitude (X2count=16.153> X2table 3.841), and action (X2count=11.562>X2table=3.841) with the occurrence of Acute Respiratory Infections in the stove burning workers. It is suggested to the stove burning workers to improve their knowledge, attitude and action for prevention of Acute Respiratory Infections such as using a mask during the burning process.

Keywords: ARI, Knowledge, Attitudes and Action

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144

DISTRIBUTION OF THE INCIDENCE OF SMEAR-POSITIVE PULMONARY TUBERCULOSIS USING GEOGRAPHIC INFORMATION SYSTEMS IN KENDARI

Fandy Gatra

Post Graduate of Public Health Department of Mandala Waluya College

Background: Smear-positive pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Geographic information systems (GIS) can provide an overview by region that can be used in planning to determine the areas that are considered necessary to do a particular intervention. Aim: This study aimed to describe the distribution of the incidence of smear- positive pulmonary TB using GIS in Kendari. Methods: This study was a descriptive study with cross-sectional design. There were 26 patients selected using cluster sampling working in the region as the public health center of Kendari in 2014. Results: The results based mapping showed that the distribution of respondents with smear-positive pulmonary TB consisted of 6 persons (23.1%) in the Housing Health Center, 4 people (15.4%) in the Health Center of Benu-Continent, 4 people (15.4%) in the health center of Abeli, 3 people (11.5%) in Puuwatu health center, 3 people (11.5%) in the health center of Lepo-Lepo, 2 people (7.7%) in Poasia health center, and 1 person (3.8%) in the Public health centers of Kemaraya, Wua-WUA, Mokoau, and Nambo. Conclusion: The incidence of smear-positive pulmonary TB showed that of the 26 respondents there were 16 people (61.545%) lived in a densely populated area, 16 people (61.54%) lived in the region of high poverty, and 4 people (15.38%) lived in areas of low population of healthy marriage.

Keywords: Pulmonary TB, Geographic Information Systems, Distribution

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FACTORS RELATED TO THE PRESENCE OF AEDES AEGYTI LARVAE IN THE WORKING AREA OF PUBLIC HEALTH CENTER OF ABELI

Eriyadi

Post Graduate of Public Health Department of Mandala Waluya College

Background: Data from the City Health Office showed that the percentage of larvae in Abeli District Working Areas in 2009 was 83.30% and in 2010 reported in January to May was only 82.30%. Aim: The purpose of this research is to know the factors related to the presence of aedes aegyti larvae in the working area of Public Health Center of Abeli. Methods: This was an analytical research using cross sectional approach. There were 100 hourses selected using simple random sampling from 3,986 houses in the working area of Public Health Center of Abeli. Data were analyzed using Chi-square test. Results: The results of this study indicated that the correlation between independent variables and dependent variables ranging from the strongest to the weakest: eradication of mosquitoes-dengue fever (0.481), water reservoir (0.470), selective abatization (0.436) and waste bins (0.343). Because ά = 1> sig (1-tailed) - eradication of mosquitoes-dengue fever, water reservoir, waste bin and selective abatization: 0.000, then the correlation between the three independent variables to the dependent variable was significant. From the ANOVA table we got the result that ε = 1> sig = 0.00 so Ho was rejected, in other words, there was a linear relationship between aedes aegypti larvae with eradication of mosquitoes-dengue fever, water reservoir, waste bin and selective abatization. Conclusion: There is relationship of eradication of mosquitoes-dengue fever, water reservoir, garbage bins and selective abatization the presence of aedes aegyti larvae in the working area of Public Health Center of Abeli. Thus, the increase of health promotion and prevention of dengue fever is needed.

Keywords: Aedes Aegypti, Larvae, Related Factors

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EFFECTIVENESS OF NUTRITION COUNSELING USING VIDEO AND COMIC METHODS ON THE LEVEL OF KNOWLEDGE IN SELECTING HEALTHY SNACKS IN CHILDREN IN GRADE 4 AND 5 STUDENTS IN THE ELEMENTARY SCHOOL NO 11 WEST KENDARI

Irmayani

Post Graduate of Public Health Department of Mandala Waluya College

Background: Consuming snacks is a common habit among kids, usually in elementary school students and consumed regularly by the majority of school- age children because of its affordability and its additional intake of energy. However, these school snacks are often not balanced with food quality and expected nutritional values. A video method is efficient and simple while the comic method is an interesting and preferred method for elementary school children. Aim: The purpose of this study was to determine the level of knowledge in choosing healthy snacks food in children grade 4 and 5 in the Elementary School No 11 West Kendari. Methods: This research was a quasy experimental study with pretest posttest design. There were 36 samples selected using total sampling. The variables studied were the level of knowledge before and after the counseling of video method and comic method based on the value of the pretest and posttest. Data analysis used Wilcoxon with significant value α < 0.05. Results: Findings showed that there was a significant effect of counseling using video and comic methods on the level of knowledge with p-value 0.000 with significant difference of value before and after given intervention. Conclusion: There is a significant influence of counseling about the selection of snacks using video and comic methods in children in grade 4 and 5 in the Elementary School No 11 West Kendari.

Keywords: Knowledge, Video Methods, Comic Methods, and Healthy Snacks

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FACTORS INFLUENCING MILK FORMULA FEEDING TO INFANTS AGED 0-6 MONTHS IN THE WORKING AREA OF PUBLIC HEALTH CENTER OF LEPO-LEPO KENDARI

Yulli Fety

Lecturer of Nursing Program of Mandala Waluya College

Background: Based on the results of the previous study showed that infants aged 0-6 months who were not given formula as many as 22 respondents (44.9%). While infants aged 0 - 6 months given formula milk as many as 27 respondents (55.1%). Interviews conducted on 10 breastfeeding mothers indicated that there were only 2 breastfeeding mothers (20%) who gave exclusive breastfeeding to their babies, while 8 breastfeeding mothers (80%) gave formula milk to their babies. The reasons of giving the formula to the baby were because the mother was busy working, in addition there were still 6 (60%) mothers felt that the formula milk was better to consume, and when asked further they said the knew it from the advertising of formula milk in television. Aim: The purpose of this research is to know factors related to formula feeding in infants aged 0-6 months in the working area of Lepo-Lepo Public Health Center of Kendari. Methods: The type of this research was a quantitative research with cross- sectional approach. The population in this study was all mothers of infants aged 0-6 months in Public health Center of Lepo Lepo Kedari City in 2017 amounted to 96 breastfeeding mothers, with a sample of 49 respondents taken by simpel random sampling. The data were processed using chi-square test and continued by phi coefficient test. Results: Based on the result of statistical test, it is known that there was a moderate relationship (Coefficient phi = 0.36) between job and formula feeding for infants aged 0-6 months; a moderate correlation (phi coefficient = 0.37) between the mass media with formula feeding in infants aged 0-6 months old; moderate relationship (phi coefficient = 0.35) between knowledge with formula feeding in infants aged 0-6 months. It is suggested for Public Health Center to do more counseling to society especially breastfeeding mothers about the importance of exclusive breastfeeding to baby 0-6 months.

Keywords: Formula Feeding, Infant, Exclusive Breastfeeding, Related Factors

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CORRELATION BETWEEN PERSONAL HYGIENE AND DIARRHEA IN CHILDREN UNDER FIVE IN THE ANDOWIA PUBLIC HEALTH CENTER

Sri Wahyuni1, Budiman2, Muslimin2

1Student In Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari 2Lecture Of Public Health Studies Program, High School Of Health Sciences Mandala Waluya Kendari

Background: One of the causes of morbidity and death of children is an environmental-based disease such as diarrhea. The incidence of diarrhea in children in the world reaches one billion cases each year and the death is around five million people (Case Fatality Rate; 5%). The incidence of diarrhea in Indonesia is estimated to be around 60 million cases each year, of which 70-80% are children under 5 years old or approximately 40 million cases. Aim: This study aims to determine the relationship of personal hygiene to the incidence of diarrhea in infants in the area of Punlic Health Center of Andowia. Methods: This was a cross sectional study with 40 respondents selected using simple random sampling from 180 people of population. Results: The results showed that personal hygiene was related to diarrhea occurrence (X2count=5.736>X2table=3.841). Based on the results of research it is concluded that personal hygiene contributes to the incidence of diarrhea in toddlers in the Andowia public health center. It is suggested for those who have toddlers especially mothers to pay attention and keep the personal hygiene to prevent diarrhea.

Keywords: Personal Hygiene, Diarrhea, Children Under Five

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THE INFLUENCE OF INDIVIDUAL CHARACTERISTIC, ORGANIZATIONAL CULTURE AND COMPETENCE TOWARD JOB PERFORMANCE OF PT. ASKES (PERSERO) STAFF IN KENDARI BRANCH OFFICE

Yuliana Muslimin

Post Graduate of Public Health Department of Mandala Waluya College

Aim: This study aims to analyze the influence of individual characteristics on organizational culture, competence, and job performance; and the relationship between competence and job performance of the staffs at PT ASKES in Kendari Branch Office. Methods: Data were collected from 31 staff members using questionnaires whilst path analysis was also used to analyze the data Results: The result of this research has ascertained that the whole tested paths have positively and significantly influenced each other, which means that the individual characteristic has positively influenced organizational culture and job performance; the individual characteristic has positively and significantly influenced organizational competence and job performance; and the individual characteristic has positively and significantly influenced the job performance of the staffs. The research result is useful to enhance the staff in term of positioning the above elements to improve job performance, and as a reference particulary related to individual characteristic, organizational competence and job performance as well. Fundamentally, the research result could be referred by PT. Askes (Persero) to improve the staff performance.

Keywords: Individual Characteristic, Organizational Culture, Organizational Competence and Job Performance

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150

THE IMPORTANCE OF HYGIENE AND FOOD SANITATION FOR THE QUALITY OF HUMAN LIFE: A LITERATURE REVIEW

Baulija1, Rahayu Sri1, Robaya Endang1, Erwin Azizi Jayadipraja2

1Mahasiswa Program Studi Magister Kesehatan Masyarakat STIKES Mandala Waluya Kendari 2Dosen Program Studi Magister Kesehatan Masyarakat STIKES Mandala Waluya Kendari

Background: Food is a basic human need that is often filled with snack food because of the increase in human career activity today. Food greatly contributes to the quality of human life so it is important to review the hygiene and sanitation of snack food both in terms of snacks food quality and equipments used to produce it. Aim: This study aims to analyze the importance of hygiene and food sanitation for the quality of human life, as well as to analyze the condition of hygiene and sanitation of snack foods. Food sanitation is one of the prevention efforts that emphasizes the activities and actions necessary to free food and drink from all dangers that can interfere with or damage health, from before the food is produced, during processing, storage, transportation, to the point where food and the drink is ready to be consumed to the public or consumers. Food handlers are a workforce that touches start from preparing, processing, storing, transporting or serving food. Knowledge of attitudes and actions of a handler affects the quality of the food served by the handlers affecting the quality of the food served by the sick who are sick with the flue, fever and diarrhea should not be involved first in the process of food processing. Methods: A literature review. Results: The results show that hygiene and food sanitation greatly determine the quality of human life. The results of the study also indicated that there was a need for efforts to improve hygiene and sanitation of snack foods and to increase government control over hygiene and sanitation, including in kitchen appliances and kitchen area in the process of production of snack foods so that every produced products of snack food is clean, healthy and quality to support the quality of Indonesian human resources in general. The results of this study imply the need to increase the knowledge and skills of producers and consumers of snack foods on hygiene and food sanitation.

Keywords: Food, Hygiene, Sanitation, Snacks, Quality of Life

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RELATIONSHIPS OF PERSONAL HYGIENE, KNOWLEDGE, AND SANITARY WATER WITH SKIN DISEASE (DERMATITIS) IN COASTAL COMMUNITIES IN THE VILLAGE OF POASIA OF ABELI DISTRICT, KENDARI, SOUTHEAST SULAWESI

Eke Mahendra, Eva Noviyani, Fatimah Azzahra, Nurazizah

Faculty of Public Health Halu Oleo Univesity, Kendari

Mail: [email protected], [email protected], [email protected], [email protected]

Background: Dermatitis is inflammation of the skin that is usually characterized by a rash swelling redness and itchy skin and itchy. Skin allergy is a response of the body or the injections of the skin or the cause of abnormalities in the skin. Methods: This research uses an observational analytic method with cross sectional approach to see how big risk factors between independent variables (personal hygiene, knowledge, and water sanitation) with dependent variable (dermatitis). The population in this study was all coastal communities in the Village of Poasia of Abeli District, Kendari, Southeast Sulawesi in November- December 2017, with symptoms of itching (pruritis), redness (erythema) and bumps (urtika) on the skin. The sample in this study was the total number of population as many as 47. Data were collected using questionnaire and data analysis through two stages: (i) univariate analysis to describe frequency distribution and (ii) bivariate analysis to know the relation between two variables (chi-square). Results: Findings showed that there was a significant relationship between personal hygiene (p=0.006 <0.05) and dermatitis, but no significant relationships between knowledge (p=0.241 >0.05), water sanitation (p=1.000 >0.05) with dermatitis. Conclusion: It is concluded that there was a significant relationship between dermatitis and personal hygiene, but has no relationships with knowledge and water sanitation.

Keywords: Dermatitis, Personal hygiene, Knowledge, Water Sanitation, Coastal Communities

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BENZENE REMOVAL EFFICIENCY BY USING ALOE VERA IN STATIC AIR CHAMBER

Papitchaya Wamalun1, Wipa Youyen1, Kanwara Soisirikul1, Narut Sahanavin2

1Bachelor degree program of science (Public Health), Srinakharinwirot University. 2Department of Public Health, Faculty of Physical Education, Srinakharinwirot University.

Aim: The objective of this study was to compare the benzene removal efficiency with three aloe-species; Aloe vera (L.) Burm.f, Aloe rauhii, and Aloe Peppermint. Methods: The study was conducted in static air chamber. The residual benzene measurement in chamber for every minute was performed by photoionizing detector. Results: The results found that benzene removal efficiency by using Aloe vera (L.) Burm.f, Aloe rauhii and Aloe Peppermint were 72.22%, 64.83% and 30.83% respectively. The least significant difference (LSD) statistic result shown the removal efficiency by using Aloevera (L.) Burm.f and Aloe rauhii were not different, but significantly difference with Aloe Peppermint. The removal efficiency by using Aloevera (L.) Burm.f and Aloe rauhii were affected at the first minute and slightly increased by the increasing time of experiment, while removal efficiency by using Aloe Peppermint was significantly started at seventh minute and reach the stable state at nineteenth minute. The result of this study will be baseline information and benefits for the further research development and removal technology.

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THE FACTORS RELATED TO DENGUE HEMORRHAGIC FEVER (DHF) OCCURENCE AT WORKING AREA OF PUSKESMAS PUUWATU OF KENDARI CITY

Aksar, Wahyunita Sahrun, Aswar Hidayat, Wa Ode Jaliana, Mushadiq Aliah

Environmental Health Academy Of Mandala Waluya Kendari Jl. AH Nasution No. G-37 Lalolara Sub-Urban Kambu Sub-District Kendari Municipality

Background: Dengue Hemorrhagic Fever (DHF) is an infectious disease found in tropical and transmitted through intermediate host that is Aedes species. Based on data derived from Southeast Sulawesi Provincial Health Office, In 2011 there were 310 cases (13.61%), in 2012 the case increased to be 419 cases (18.16%), in 2013 increased to 1,168 cases (49.5%) and in 2014 the number of dengue fever patients decreased to only 150 cases. And based on the data in 2013 and 2015, Puskesmas Puuwatu is endemic with the number of dengue cases where in 2013, 2014, and 2015 there were 22 cases, 9 cases, and 56 cases respectively. Aim: The purpose of this study is to determine the factors associated with the incidence of DHF in Puskesmas Puuwatu of Kendari City. Methods: This research uses a case control design by doing direct observation to the field by using an observational questionnaire with the total sample of 72 respondents. Results: The results of the research showed that there is a relationship of breading place (x2 Counting 9.877> x2 Table 3.841), the habit of hanging used clothes (x2 Counting 12.656> x2 Table 3.841), frequency of draining the tub (x2 Counting6.914> x2 Table 3.841) with the incidence of DHF. It is suggested to the local government and the management of Puskesmas Puuwatu to improve promotive and preventive efforts, and the society should also always keep their surrounding houses clean to prevent the Aedes aegypti breeding, in that the effort in reducing DHF cases can be achieved.

Keywords: DBD Occurrence, Breading Pleace, Hanging Used Clothing Habit, Frequency of Draining Tub

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THE CORRELATION BETWEEN WORKING ENVIRONMENT AND HAZARD CONTROL AND THE EMPLOYEESWORKING MOTIVATION AT FISH PROCESSING COMPANY IN INDUSTRIAL ZONE OF SAMUDERA FISHERY HARBOR OF KENDARI CITY

Iin Hariati1, Asmayanti Asrum1, James Paonganan1, Abdul Rahim Sya'ban2

1Post-Graduate of Health Sciences of STIKES Mandala Waluya Kendari 2Lecture of Public Health Departement of Mandala Waluya College Jl. AH Nasution No. G 37 KendariCity, Southeast Sulawesi Province

The issuance of government policy in the form of Act Number 23 Year 1992 and the regulation of Manpower Ministry Number 5 Year 1996 is an implementation to protect the labor and environmentin supporting the efforts to achieve a good occupational safety and health system to achieve the optimal productivity. The high number of accidents in both frequency and severity levels become one of the factors increasing the production costs and causing the economic losses. The industrial area of Samudera Fishery Harbor of Kendari consists of 25 companies join in which consist of 16 service providers in the form of ice cube factory, Power Diesel (diesel), shipdocking, the State Electricity Company (PLN), tank provider for fuel (BBM), waterprovider, cooking oil distributors, supermarkets, kiosks and 9 major companies processing the marine products in the form of filet, packing and cooling with an average production quantities of 1.900 which was 12 tons per month in 2010. The working environment is a working place where there was around 25- 30% of the time a person has spent in that area. An attention given to working environment is very important because exposure to certain substances affect the performance of an individual. Hazard control is a continuous action including the measurement and monitoring in order to anticipate the risk of injuries to workers. Workers must be able to utilize all support given by the company in order to encourage their motivation and improve their working performance. Motivation is defined as psychological processes which cause a focus and the persistence of volunteer activities. The company also must pay attention to the needs of employees in accordance with the services provided to the company.

Keywords: Workplace Accidents, Workplace Environment, Hazard Control, Motivation, Fishery Companies.

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