Disease Prevention and Public Health Journal

The Correlation of Repetitive Movements, Wrist Postures, and Work Duration with Carpal Tunnel Syndrome Complaints among Hand-Drawn Batik Workers

Ika Mayfatul An Nisa — 2026-10-16

Background

: Carpal Tunnel Syndrome (CTS) is a median nerve entrapment disorder that may be influenced by occupational biomechanical exposure. Hand-drawn batik workers perform precise, repetitive hand movements and may sustain non-neutral wrist postures for prolonged periods. Method: This analytical quantitative study used a cross-sectional design involving 96 female hand-drawn batik workers in Giriloyo, Bantul, Special Region of Yogyakarta. Data were collected using the Boston Carpal Tunnel Questionnaire (BCTQ), direct observation of repetitive movement and wrist posture, and respondent characteristics. Associations were tested using the Chi-square test. Results: Repetitive movement was significantly associated with CTS complaints (p<0.001; OR 6.00, 95% CI 2.27–15.86). Wrist posture was also significantly associated with CTS complaints (p=0.001), with severe complaints most frequent among workers with non-neutral posture (76.7%). Work duration was significantly associated with CTS complaints (p=0.001; OR 4.48, 95% CI 1.85–10.81), with severe complaints most frequent among workers with long daily work duration (71.7%). Conclusion: Repetitive movement, wrist posture, and work duration were significantly associated with CTS complaints in this group. Ergonomic redesign, neutral wrist positioning, and structured rest periods, while recognizing that the cross-sectional design does not establish causality

Active Case Finding of Tuberculosis Among Household Contacts in the Special Region of Yogyakarta

Fardhiasih Dwi Astuti — 2026-10-01

Background: Tuberculosis (TB) is an infectious disease and also one of the problems in the world due to the high mortality rate and thus becomes an economic burden. The Special Region of Yogyakarta (DIY), Indonesia, has an increasing incidence of tuberculosis, however the Case Detection Rate has not yet reached the target. One of the approaches used by the government of DIY to control TB is through the Active Case Finding Program of Tuberculosis. This research aimed to see the extent of TB case finding in DIY through the Active Case Finding Program. Method: This is a quantitative-descriptive research. The type of data used in this research were the secondary data from the “Active Case Finding Program of Tuberculosis,” obtained from the Health Department of DIY in 2017-2019. The sampling technique used the non-probability sampling based on registered TB patients at Primary health care. The screening was conducted through TB patients among household contacts and the closest neighbors. Results: The Active Case Finding Program of Tuberculosis in DIY found that in 2017 to 2019 respectively that there were 19 TB patients positive out of 19.904 screened people, 13 TB patients positive out of 4.078 screened people and 27 TB patients positive out of 7.520 screened people. The incidence rates of TB patients per 10,000 population in 2017 to 2019 respectively 9.55; 31.88 and 35.9. Conclusion: The findings revealed that although ACF contributed to an increase in TB case detection—particularly in districts such as Sleman—the overall yield remained low compared to the number of individuals screened

Analysis of the Implementation of Public Health Services under Primary Care Integration Regulations

Pangesti Putri Noviliansari esty — 2026-10-03

Background: Primary Care Integration is a strategic policy in the transformation of Indonesia’s health system that aims to strengthen primary health care through the integration of life-cycle-based services and the strengthening of promotive, preventive, and curative efforts. Although its implementation has been expanded across various primary health care facilities, evidence regarding the factors influencing its success remains dispersed across various studies. This systematic review aims to identify, evaluate, and synthesize evidence regarding the factors influencing the implementation of Primary Care Integration in public health services. Method: The literature search was conducted in Google Scholar and Garuda using a predetermined search strategy based on inclusion and exclusion criteria. The selection and reporting processes followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2021 guidelines. Results: A total of 1,180 articles were identified at the initial stage, and after the screening and eligibility assessment processes, seven articles met the criteria for thematic analysis. The synthesis results identified four main determinants of implementation, namely human resource capacity, availability of facilities and infrastructure, utilization of health information systems, and service governance. The competence of health workers and cadres supports the implementation of screening, area monitoring, and health education, while limitations in technical competence, digital literacy, technological infrastructure, financing, and operational support constitute consistent barriers. Conclusion: Overall, the success of Primary Care Integration implementation depends on the integration of resource capacity, technological and infrastructure support, service governance, cross-sectoral coordination, and the continuity of policy support.

Effectiveness of a Health Promotion Website Platform as a Learning Model and Practice for Public Health Students

Salahuddin Salahuddin — 2026-10-04

Background: Health promotion websites have been widely recognized as digital literacy media, including among university students. However, evidence regarding the effectiveness of these media in improving students’ knowledge and skills remains very limited. This study aimed to evaluate the effectiveness of a health promotion website among public health students. Method: This study employed a quasi-experimental design using a pretest–posttest non-equivalent control group design. The sample consisted of 30 students in the intervention group and 30 students in the control group. A paired-samples t-test and analysis of covariance (ANCOVA) were used in this study. Results: There were increases in knowledge (0.34) and skills (0.43) scores from pretest to posttest. However, statistically, there were no differences in scores between the two groups for either variable (knowledge, p = 0.555; skills, p = 0.731). Conclusion: Students’ skill and knowledge scores increased from pretest to posttest; however, there were no significant differences in either variable between the intervention and control groups. The website platform has potential as a medium for digital health promotion learning, particularly through strengthening interactive learning, increasing the duration of platform use, and actively engaging users in website content development and management.