Background and Aim: Effective prevention of coronavirus disease (COVID-19) requires public health focus on challenges at the community level. This study aimed to identify the determinants of COVID-19 preventive behavior among people in West Nusa Tenggara, Indonesia, using the health belief model. Materials and Methods: This was a cross-sectional study conducted in West Nusa Tenggara Province, Indonesia. The study sample included 385 randomly selected individuals. The dependent variable was COVID-19 preventive behavior. The data were collected by a questionnaire and analyzed by path analysis using Stata Statistical Software version 13 for Windows 64 bit. Results: COVID-19 preventive behavior was positively and directly associated with perceived benefits (b=0.20; confidence interval [CI] 95% 0.11-0.29; p<0.001), perceived barriers (b=–0.15; CI 95% –0.24-–0.06; p=0.002), and biological sex (b=–0.43; CI 05% –0.78-–0.08; p=0.016). Preventive behavior was also positively and directly associated with attitude (b=0.48; CI 95% –0.20-1.16; p=0.167) and perceived susceptibility (b=0.06; CI 95% –0.01-0.12; p=0.083), though these associations were not significant. Preventive behavior was indirectly associated with knowledge, perceived severity, age, health facility availability, and regulation exposure. Conclusion: COVID-19 preventive behavior among people in West Nusa Tenggara, Indonesia, is directly related to the perceived benefits, biological sex, perceived barriers, attitude, and perceived susceptibility. Preventive behavior of COVID-19 is indirectly associated with knowledge, perceived severity, age, health facility availability, and exposure to regulation.
Latar belakang: Tuberkulosis adalah penyakit menular langsung yang disebabkan oleh kuman TB (Mycobacterium Tuberculosis). Target pembangunan milenium Indonesia pada tahun 2015, angka prevalensi tuberkulosis di Indonesia diharapkan dapat turun sebesar 50% dan pada tahun 2050 diharapkan eliminasi tuberkulosis sebagai masalah kesehatan masyarakat. Di Kabupaten Banyumas penyakit TB masih merupakan masalah yang cenderung fluktuatif. Angka prevalensi di Kabupaten Banyumas dari tahun 2009-2011 masih jauh dari angka prevalensi Jawa Tengah. Berdasarkan situasi tersebut untuk menemukan kasus TB sedini mungkin maka perlu dilakukan skrining TB. Metode: Sasaran skrining TB adalah penduduk yang belum terdiagnosis sebagai penderita BTA positif TB paru di wilayah kerja Puskesmas Karanglewas, Sumbang I, dan Kembaran I, Kabupaten Banyumas. Untuk memudahkan pengambilan sputum dahak maka subjek skrining dipilih yang mengalami batuk atau batuk berdahak, termasuk kontak serumah dengan penderita TB – BTA positif. Uji diagnostik berdasarkan gejala klinis TB, sedangkan gold standar dengan pemeriksaan mikroskopis dahak menggunakan metode pengecatan Zeihl Neelsen.Hasil: Hasil pelaksanaan skrining TB paru di wilayah kerja Puskesmas Karanglewas, Kembaran I, dan Sumbang I Kabupaten Banyumas Provinsi Jawa Tengah tahun 2013 menunjukkan bahwa dari 97 orang yang diperiksa, ditemukan 90 orang (92,8%) memiliki gejala utama penderita TB paru yaitu batuk berdahak selama 2 – 3 minggu atau lebih. Kasus TB BTA positif ditemukan sebanyak 6 orang (6,18%). Berdasarkan hasil pemeriksaan mikroskopis dahak dengan metode pengecatan Zeilh Neelsen sebagai gold standar, didapatkan proporsi TB BTA positif pada penduduk berusia ≥ 15 tahun sebesar 6,18%.Kesimpulan: Gejala klinis utama TB paru berupa batuk berdahak selama 2 – 3 minggu atau lebih yang mana batuk tersebut diikuti dengan gejala tambahan yaitu sesak nafas, badan lemah, nafsu makan berkurang, berat badan menurun, malaise, dan demam pada malam hari dapat digunakan mengidentifikasi penyakit TB paru pada masyarakat di wilayah kerja Puskesmas Karanglewas, Kembaran I, dan Sumbang I Kabupaten Banyumas Provinsi Jawa Tengah.
Kebutuhan alat pelindung diri (APD) berupa pelindung wajah mengalami kenaikan yang tajam semenjak penyebaran covid-19 . Virus yang dapat menular melalui media droplet tersebut dapat membahayakan tenaga kesehatan atau personal yang berinteraksi langsung dengan penderita penyakit yang disebabkan covid-19. Keberadaan pelindung wajah, meskipun bukan alat pelindung satu-satunya sangat diperlukan untuk menunjang peralatan yang lain. Tanpa adanya pelindung wajah tersebut maka akan memperbesar kemungkinan penularan virus covid-19. Tujuan dari penulisan jurnal ini adalah untuk menjelaskan proses pembuatan, serta rencana distribusi APD ke masyarakat. Dari proses yang dilakukan dapat disimpulkan bahwa proses produksi melalui beberapa tahapan yang melibatkan beberapa dosen da n beberapa mahasiswa kedokteran yang memiliki kreatifitas dalam pembuatan face shield sehingga menghasilkan produk yang maksimal.. Dari segi distribusi, pengiriman alat dilakukan dengan langsung datang ke tempat yang membutuhkan dan menerapkan physical distancing, memakai masker, cuci tangan menggunakan sabun dan air mengalir atau hand sanitizer serta menggunakan jasa kurir
The West Nusa Tenggara Province (NTB) is designated as a Special Economic Zone (SEZ), where the direction of development is tourism. North Lombok is one of the districts with a developing tourist area. The tourist areas of North Lombok regency are mostly located in the working area of the Nipah Health Center.Tourism can have both positive and negative impacts. One of them is tourism health problem. This study aims to determine the perspective of health workers related to tourism health problems in the working area of the Nipah Health Center. Researchers used qualitative research design with a phenomenological approach. The researcher used purposive sampling technique with data collection method using observation and in-depth interviews with the five informants. The results of the study based on the perspective of health workers in the working area of the Nipah Health Center showed tourism health problems including sunburn, heat stroke (physical hazard), food poisoning (chemical hazard), insect bites, mosquitoes and food contamination by flies (biological hazard) and traffic accidents. , drowning, impaled by marine animals such as sea urchins, jellyfish (mechanical hazard). Prevention and handling carried out include free health checks, counseling, formation of Disaster Preparedness Team (TAGANA) and coordination with related parties.
Background:The case fatality rate (CFR) of Covid-19 deaths in Indonesia on June 16, 2020 was 5.52% and 4.19% in West Nusa Tenggara. One of the causes of this high percentage of deaths is the lack of preventive behavior against Covid-19. This study aims to analyze factors associated with Covid-19 preventive behavior among people in West Nusa Tenggara, Indonesia. Subjects and Method: A cross-sectional study was conducted in 10 cities/districts in West Nusa Tenggara from May-June 2020. A total of 385 people were enrolled in this study. Data were collected using a questionnaire distributed in the form of Google form and analyzed using multiple linear regressions with Stata 13. Results: High education level (≥high school) (aOR= 0.43; 95%CI=0.03 to 0.82; p=0.033), perceived benefits (aOR=0.16; 95%CI= 0.07 to 0.25; p=0.001), and good knowledge (aOR=0.19; 95%CI= 0.01 to 0.37; p=0.034) were increased the preventive behavior. While, male (aOR= 0.54; 95% CI= -0.89 to -0.19; p=0.002), perceived barriers (aOR= -0.16; 95%CI= -0.25 to -0.07; p= 0.001) were decreased the preventive behavior toward Covid-19, and they were statistically significant. Conclusion: Education higher than high school, high perceived benefit, and good knowledge are increase the local people behavior to prevent Covid-19 in West Nusa Tenggara.
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