Graha Medika Public Health Journal https://journal.iktgm.ac.id/publichealth <p>Graha Medika Public Health Journal memuat naskah hasil penelitian yang berkualitas baik untuk aspek perkembangan teknologi terkini di bidang epidemiologi, keselamatan dan kesehatan kerja, kesehatan lingkungan, gizi kesehatan masyarakat, administrasi dan kebijakan kesehatan, biostatistik dan kependudukan, pendidikan kesehatan dan ilmu perilaku, sistem informasi kesehatan, manajemen rumah sakit, dan kesehatan reproduksi diterbitkan 2 kali dalam setahun yaitu pada bulan April dan Oktober.</p> en-US Graha Medika Public Health Journal Profil Mahasiswa Program Studi Gizi Universitas Gorontalo https://journal.iktgm.ac.id/publichealth/article/view/246 <p><strong><em>Background: </em></strong><em>The health and nutritional status of students is crucial, especially for those studying nutrition. As prospective nutrition professionals, they are expected to be role models for the community in maintaining good health and nutrition. However, nutrition students sometimes experience nutrition-related issues, such as being overweight, underweight, or other nutritional issues.</em></p> <p><strong><em>Objective: </em></strong><em>To describe the nutritional status of nutrition students in terms of pocket money, nutritional knowledge, and consumption behavior.</em></p> <p><strong><em>Method: </em></strong><em>This study used a descriptive method. The population was all 134 nutrition students, using a total sampling technique.</em></p> <p><strong><em>Results: </em></strong><em>Based on the study results, the majority of participants were between 151-160 cm in height (67 students) (50.0%). Based on the weight category, the highest number of participants weighed between 47 kg and 56 kg (69 students) (51.0%). Of the 126 students (94.0%) who received pocket money exceeding Rp 400,000 per month, the study concluded with a total sampling technique. Based on the nutritional assessment results, 105 students (77.6%) had normal nutritional status, the remainder were normal and malnourished. 131 students (97.8%) had sufficient knowledge. Meanwhile, 75 students (56.0%) had good consumption behavior.</em></p> <p><strong><em>Conclusion: </em></strong><em>Based on the study results, it can be concluded that the majority of students are female, with normal nutritional status and sufficient knowledge and good consumption behavior.</em></p> Selli Wanimbo Firdausi Ramadhani Deysi Adam Maesarah Marselia Sandalayuk Rono Adam Nurhayati Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 81 87 Analisis Manajemen Pengelolaan Logistik Obat di Instalasi Farmasi Rumah Sakit: Literature Review https://journal.iktgm.ac.id/publichealth/article/view/247 <p><strong><em>Background</em></strong><strong><em>:</em></strong> <em>Hospital logistics management is a crucial aspect of hospital operations. Pharmaceutical logistics management in hospitals encompasses several crucial stages, such as planning, procurement, storage, distribution, disposal, evaluation, and monitoring. The availability and availability of sufficient quantities of medications are crucial factors in ensuring effective treatment and patient safety.</em></p> <p><strong><em>Objective:</em></strong> <em>This study aims to analyze the effectiveness of medication management in hospital pharmacy units.</em></p> <p><strong><em>Method:</em></strong> <em>This study utilized a review of scientific articles and research journals, comprising 10 journals available in online databases.</em></p> <p><strong><em>Results: </em></strong><em>This study demonstrates the crucial role of pharmacists in the medication logistics management process in hospital pharmacy units, ensuring medication availability, from selection, purchasing, storage, and disposal. The management of medication supplies in pharmacy units involves several stages, including medication planning, drug logistics budgeting, and procurement, which are crucial for supporting patient healthcare services. </em></p> <p><strong><em>Conclusion:</em></strong> <em>A medication logistics management strategy can be implemented by considering every aspect, including planning, procurement, storage, distribution, and disposal/disposal activities. In the planning aspect, this is carried out by the management at the hospital pharmacy installation.</em></p> Nurul Fajriah Istiqamah Mujtahidah Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 88 97 Faktor-Faktor yang Berhubungan dengan Kelelahan Mata pada Operator Komputer di Dinas Kependudukan dan Pencatatan Sipil Kabupaten Bone Bolango, Kabupaten Gorontalo dan Kota Gorontalo https://journal.iktgm.ac.id/publichealth/article/view/248 <p><strong><em>Background</em></strong><strong><em>:</em></strong> <em>In the United States, more than 143 million people work using computers. A consequence of a review conducted by the American Optometric Affiliation shows that more than 10 million eye examinations each year are performed for eye problems in computer users and more than 1,000,000 cases.</em></p> <p><strong><em>Objective: </em></strong><em>The research aimed to determine the factors associated with eye fatigue in computer operators at the Population and Civil Registration Service of Bone Bolango Regency, Gorontalo Regency, and Gorontalo City.</em></p> <p><strong><em>Method:</em></strong> <em>The research uses observational analytics with a cross-sectional approach. The sample was computer operators in the Population and Civil Registration Service of Bone Bolango Regency, Gorontalo Regency, and Gorontalo City, totaling 48 respondents. The data Accidental sampling using a questionnaire sheet. Data analysis used the chi-square test.</em></p> <p><strong><em>Results: </em></strong><em>The&nbsp;results of the&nbsp;research using the chi-square test showed that the age variable 0.001 (p≤0.05) was a significant or related variable. For the variables, gender 0.157 (p&gt;0.05), working hours 1,000 (p&gt;0.05), length of service 0.487 (p&gt;0.05), and&nbsp;lighting 0.185 (p&gt;0.05) are variables that are not significant or not related.</em></p> <p><strong><em>Conclusion:</em></strong><em> Try not to work&nbsp;with a distance between the monitor and your eyes &lt;50cm because a monitor distance too close can result in eye strain, fatigue, and potential visual impairment.</em></p> Dandi Saputra Harun Marselia Sandalayuk Zul Adhayani Arda Moh. Rivandi Dengo Sunarti Hanapi Wahyuni Hafid Safrudin Tolinggi Rahmawati Firdausi Ramadhani Ririn Pakaya Rifai Ali Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 98 106 Pengaruh Kepatuhan dan Pengetahuan Perawat Terhadap Penerapan Clinical Pathway di Rumah Sakit Umum Daerah (RSUD) Haji Padjonga Daeng Ngalle Takalar https://journal.iktgm.ac.id/publichealth/article/view/250 <p><strong><em>Background:</em></strong><em> Clinical pathways are clinical service guidelines aimed at improving service quality, resource efficiency, and patient safety. Observations at Haji Padjonga Daeng Ngalle Takalar Regional General Hospital (RSUD), revealed that the implementation of the Clinical Pathway in inpatient care began in 2018 and covers 45 disease diagnoses. However, according to a nursing staff member, implementation is still not optimal, as only one disease has been implemented or filled out according to the clinical pathway SOP. Furthermore, one factor contributing to non-compliance with clinical pathway implementation is the emergence of unpredictable complications, complicating the implementation of established clinical flows. <strong>Objective:</strong> To determine the effect of nurses' compliance and knowledge on the implementation of the Clinical Pathway at Haji Padjonga Daeng Ngalle Takalar Regional General Hospital (RSUD).</em><strong><em>Methods:</em></strong><em> This study employed a quantitative design with a cross-sectional approach. The sample consisted of 200 inpatient nurses selected through random sampling. Data analysis was performed using the Chi-square test and multiple linear regression using SPSS.</em><strong><em>Results:</em></strong><em> This study shows that the F-test analysis shows that the calculated F value (64.341) &gt; F-table (3.04) with a significance level of 0.000 &lt; 0.05, thus Ha is accepted and Ho is rejected.</em><strong><em>Conclusion:</em></strong><em> Nurses' compliance and knowledge simultaneously influence the implementation of clinical pathways. These results demonstrate the importance of improving nurses' understanding and compliance to optimize clinical pathway implementation.</em></p> Afriyana Amelia Nuryadin Tri Wahyudi Ali Imran Nuranniza Hamzah Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 107 121 Analisis Sanitasi Tempat-Tempat Umum Ekowisata Mangrove Karangsong Kabupaten Indramayu Tahun 2025 https://journal.iktgm.ac.id/publichealth/article/view/251 <p><strong><em>Background</em></strong><strong><em>:</em></strong> <em>The development of eco-tourism without effective management can harm environmental health and the viability of the flora and fauna living in the ecotourism area. Insufficient optimization of mangrove ecotourism management can be attributed to limited access and a lack of knowledge and awareness regarding the management of mangrove ecotourism resources.</em></p> <p><strong><em>Objective:</em></strong> <em>This r</em><em>esearch </em><em>o</em><em>bjectives</em><em> is</em> <em>to determine the sanitary analysis of public spaces at Mangrove Karangsong Ecotourism in Indramayu 2025.</em></p> <p><strong><em>Method:</em></strong> <em>This research used a mixed method with an explanatory design. Data analysis was conducted through a quantitative phase, a qualitative phase, and an integration of quantitative and qualitative data.</em> <em>&nbsp;&nbsp;</em></p> <p><strong><em>Results: </em></strong><em>T</em><em>he results showed that </em><em>(1)Environmental conditions are not eligible with a precentage of 50% due to marine debris, deteriorating infrastructure, financial constraints, and workforce limitations; (2)Sanitary Facilities are eligible with a precentage of 72% attributed to the provision of clean water that meets physical requirements, self-regulated wastewater management, and adequate waste disposal amenities; (3)Supplementary facilities are not eligible with a precentage of 50% due to the unavailability of a medical clinic and a fire extinguisher that is accessible.</em></p> <p><strong><em>Conclusion:</em></strong> <em>The environmental conditions and supporting facilities at Karangsong Mangrove Ecotourism fail to satisfy established tourism sanitation standards.</em></p> Hilya Raudhotul Anwariyah Eko Maulana Syaputra Roifatun Nisa Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 122 135 Elemen Penyelenggaraan Rekam Medis Elektronik Dalam Pemenuhan Standar Akreditasi di UPTD Puskesmas Watubelah Kabupaten Cirebon https://journal.iktgm.ac.id/publichealth/article/view/252 <p><strong><em>Background</em></strong><strong>: </strong><em>Community Health Centers as first-level service facilities are required to organize electronic medical records (EMR) in accordance with the provisions of Minister of Health Regulation Number 24 of 2022. The implementation of EMR is part of fulfilling accreditation standards, specifically standard 3.8 for the implementation of medical records in criterion 3.8.1 for the governance of the implementation of medical records.</em></p> <p><strong><em>Objective: </em></strong><em>To determine the suitability of the implementation of electronic medical records at the UPTD Watubelah Community Health Center, Cirebon Regency based on standard 3.8 criteria 3.8.1 in assessment element 1, namely the implementation of medical records.</em></p> <p><strong><em>Method: </em></strong><em>This research used a descriptive method, with the object being the web-based ePuskesmas Klaster application. The research instrument used a checklist and direct observation as the data collection technique.</em></p> <p><strong><em>Results: </em></strong><em>The results of this study were that of the 10 assessment elements assessed in the implementation of electronic medical records, 10 elements (100%) met the standards and 5 of the contents of the 10 assessment elements (16%) did not meet the standards.</em></p> <p><strong><em>Conclusion: </em></strong><em>Non-compliance with standards due to not fulfilling the regulations of the Minister of Health Regulation No. 24 of 2022 and KMK No. 165 of 2023. This is due to the unavailability of features in the ePuskesmas Cluster, such as electronic signatures, cloud computing support systems and data backups that have not been upgraded, and changes to the RME guidelines have not been made. Adding features to the ePuskesmas Cluster application must be submitted directly to the vendor. Currently, requests for adding features to the ePuskesmas Cluster application are no longer available.</em></p> Putri Noviyanti Riantina Luxiarti Husni Hidayat Malik Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 136 146 Kesiapan Tenaga Kesehatan dalam Hospital Disaster Plan Pada Manajemen Bencana di RSUD Nene Mallomo https://journal.iktgm.ac.id/publichealth/article/view/253 <p><strong><em>Background</em></strong><strong><em>:</em></strong> <em>Hospital preparedness in dealing with disasters contained in the Hospital Disaster Plan is one of the requirements for assessing hospital accreditation. Disaster Management are activities carried out to control disasters and emergencies, while providing a framework for helping people in high-risk situations to avoid or recover from the effects of disasters.</em></p> <p><strong><em>Objective:</em></strong> <em>This study aims to determine the relationship between knowledge, attitudes, and experience of health workers regarding disaster management.</em></p> <p><strong><em>Method:</em></strong> <em>This study employed a quantitative cross-sectional approach. The population comprised 360 nurses, midwives, and doctors. Simple random sampling was used to obtain a total of 79 samples. The research instrument was a questionnaire.</em></p> <p><strong><em>Results:</em></strong> <em>Data were analyzed univariately and bivariately with the chi-square test. The results showed that of the 79 respondents in the category of the highest level of knowledge, 71 people (89.9%) had enough and the lowest, 8 people (10.1%) lacked. Meanwhile, for the category of the highest level of attitude, that is enough as many as 73 people (92.4%) and the lowest is lacking as many as 6 people (7.6%). Meanwhile, for the category of the highest level of experience, there were enough 75 people (94.9%), while the lowest was lacking, as many as 4 people (5.1%).</em></p> <p><strong><em>Conclusion:</em></strong> <em>There</em> <em>is</em> <em>a</em> <em>relationship</em> <em>between</em> <em>the</em> <em>knowledge,</em> <em>attitude and experience of health workers on disaster management at Nene Mallomo Hospital. It is recommended that health workers increase their knowledge about disaster management</em><em>.</em></p> Lifka Sandrina Usman Herlina Muin Makhrajani Majid Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/ 2025-10-20 2025-10-20 4 2 147 155