Lilik Zuhriyah

Background: Indonesia is one of the countries that is prone to natural disaster. There are between 1,500-2,000 cases of natural disasters annually and most of the cases are related to hydro meteorological activities such as flood. Preparedness is a critical phase in disaster management as it is able to decrease or prevent negative effects of natural disasters for example negative effects of natural disaster in health sector. Nurse preparedness is one of the determining factors in describing how severe effects of natural disasters are in health sector.Objective: To identify and analyze relationship between personal self-efficacy and flood disaster preparedness of Indonesian nurses.Method: The study used analytical observational design with cross sectional approach. The population was 191 nurses and the samples were 160 nurses working in public health centers. The sampling method was purposive sampling. The setting on the study was 5 public health services located in areas prone to flood in Kendari, Southeast Sulawesi, Indonesia. Spearman rank correlational test was used for data analysis with significant level (α) =0.05.Results: Spearman Rank correlational test showed a significant relationship between self-efficacy and flood disaster preparedness of nurses (p =0.00 and r =0.63).Conclusion: Personal factor such as nurses’ self-efficacy in dealing with flood is related to their flood disaster preparedness in Kendari, Southeast Sulawesi, Indonesia.

Ovitrap merupakan alat perangkap telur nyamuk yang sukses diaplikasikan di beberapa negara. Penyederhanaan model ovitrap telah dilakukan dan diaplikasikan di Kepanjen, Kabupaten Malang namun sampai saat ini kontribusinya dalam menurunkan kepadatan larva belum pernah dievaluasi. Penelitian ini bertujuan untuk membandingkan House Index, Container Index, Breteau Index, dan Density Index antara daerah perlakuan dan daerah kontrol serta sebelum dan sesudah intervensi, mengetahui trend jumlah telur nyamuk per ovitrap, serta mengidentifikasi jenis larva yang ditetaskan dari telur yang didapat dari ovitrap. Penelitian Eksperimen Kuasi dilakukan di 4 Rukun Warga (RW) dari kelurahan yang berbeda di Kotamadya Malang pada September 2013-Februari 2014 yang memiliki Incidence Rate (per 10.000 penduduk) DBD tertinggi dalam empat bulan pertama 2013 yaitu 11,89 untuk Jatimulyo; 10,52 untuk Merjosari; 31,57 untuk Sumbersari; dan 25,21 untuk Bandulan. Hasilnya menunjukkan bahwa angka kepadatan larva (HI, BI, CI, dan DI) dua RW perlakuan lebih rendah secara signifikan (p<0,05) dibandingkan dua RW kontrol dengan Uji Mann Whitney. Kepadatan larva dan rata-rata jumlah telur dari ovitrap sesudah aplikasi ovitrap lebih rendah dibandingkan sebelumnya. Sebagian besar telur yang terperangkap merupakan telur Aedes aegypti. Disimpulkan bahwa aplikasi ovitrap di 4 RW dari kelurahan di Malang efektif untuk menurunkan kepadatan larva dan dapat diterapkan sebagai salah satu cara pengendalian nyamuk Ae. aegypti.Kata Kunci: Aedes aegypti, angka kepadatan jentik, ovitrap, jumlah telur

OBJECTIVES: The dengue prevention program known as "One House One Mosquito Larva Inspector" involves health volunteers who play a crucial role in the surveillance of mosquito larvae and reporting their findings to local public health officials. This study aimed to identify factors related to the knowledge, attitudes, and practices (KAP) of dengue prevention behavior among these health volunteers. METHODS: A study was conducted in 5 sub-districts in Malang, an urban area in Indonesia. We employed a cross-sectional design and utilized a semi-structured questionnaire to assess the KAP of 400 health volunteers. Data were collected through face-to-face interviews. RESULTS: Multiple logistic regression analysis revealed that individuals with a more positive attitude (odds ratio [OR], 1.69; p<0.05) and those with family sizes greater than five persons (OR, 1.90; p<0.05) were more likely to engage in effective dengue prevention practices. Additionally, possesing good knowledge was significantly assocated with more positive attitude (OR, 2.24; p<0.001). Furthermore, 40% reduction in positive attitude was observed in those over 45 years (OR, 0.60; p<0.05). The best practices most frequently reported by the majority of respondents included always reporting their surveillance activities (75.8%) and cleaning the water container in the bathroom at least once a week (65.2%). However, only 52.2% of respondents regularly checked for mosquito larvae in their neighborhood. CONCLUSIONS: Sustainable promotion and training for the "One House One Mosquito Larva Inspector" initiative are necessary, particularly among young health volunteers, to improve dengue prevention behaviors both within their own homes and in the surrounding environment.

The development of current environmental problems raises the concerns of investors or hospital lenders about the potential financial problems resulting from current environmental problems. A sustainable health care system can achieve high-quality care and improve public health without wasting resources. The health service sector is continuously encouraged to apply the concept of "Green Hospital" which is one example of the continuity of health services. This research focuses on emission reduction management in health care facilities. This study examines several published papers containing the terms sustainable, green infrastructure, and energy management. Guidelines for Efficient and Sustainable Energy Management in Hospital Buildings is the selected article. The articles used were obtained from the Google Scholar database. Data analysis was carried out descriptively using tables. This study took data from three countries, namely Thailand, Taiwan, and Indonesia, based on our team's observations during a virtual hospital visit to the two countries (Thailand and Taiwan), which we then compared with most hospitals in Indonesia. Currently, there is no Green Hospital standard for each of these countries. The application of the green infrastructure concept can have a positive impact on cost efficiency and hospital sustainability. Energy Saving Opportunities (PHE) is one method that can be used to save energy use in hospitals. The way to do this is to control the use of infrastructure that consumes a lot of energy, such as the use of lights and Air Conditioners (AC), as well as other infrastructure that is not included in vital equipment.

Protein is an essential macronutrient for the growth and development of infants. Protein levels in lactating mothers are dynamic and influenced by various factors, particularly the environment and maternal characteristics. Therefore, this study aimed to evaluate the complex correlation between maternal blood lead levels (BLLs), maternal diet, and total milk protein. The Kruskal–Wallis test was used to compare total milk protein in the three groups of lead exposure, while Spearman’s correlation was used to assess the correlation between maternal diet, BLLs, and total milk protein. The multivariate analysis used multiple linear regression. The results showed that the median of maternal BLLs and total milk protein were 3.3 µg/dL and 1.07 g/dL, respectively. Maternal protein intake and current BMI had a positive correlation with total milk protein, while BLLs had a negative correlation. BLLs ≥ 5 μg/dL had the most significant impact on reducing the total milk protein (p = 0.032). However, increasing maternal protein intake can effectively maintain total milk protein levels in mothers with BLLs under 5 μg/dL (p < 0.001). It is crucial to measure BLLs in lactating mothers residing in areas exposed to lead because high maternal protein intake can only maintain total milk protein levels when the BLLs are <5 μg/dL.