RESUMEN
@#Based on the Basic Health Research (Riskesdas) in 2018, malnutrition cases in West Kalimantan reached 23.8 percent. In 2015, Pontianak City documented 27 cases of malnutrition. Then, the cases increased in 2016 and 2017 as many as 29 and 41 cases. The utilization of Geographic Information System (GIS) is required as a method for public health surveillance and monitoring. This study aims to analyze the distribution of malnutrition cases based on several clinical and non-clinical factors using GIS between 2016 to 2017. The dependent variable was malnutrition cases and the independent variables included household income level, parent’s educational level, comorbidities factors, and distance to the primary health care service. A total of 65 cases of malnutrition in Pontianak City were collected from six sub-districts in Pontianak City. This research was a cross-sectional study. The results showed that of 65 cases of malnutrition occurred on under 5-year-old children in Pontianak in 2016-2017, malnutrition cases taking place in East Pontianak sub-district were 29 cases (44.6%). In addition, malnutrition with clinical symptoms was reported 63 cases (96.9%), while the distance from home to primary health care less than 1 km was 32 cases (49.23%). The study also revealed that malnutrition with comorbidities were 78,5%. Finally, household income levels with malnutrition were below Pontianak regional minimum wage (Rp 2,515,000/month or $176,88). The mapping of malnutrition cases using Geographic Information Systems can facilitate the nutrition programmer in Pontianak City Health Office and Public Health Centre in intervening the social determinant of health to overcome malnutrition.
RESUMEN
@#The prevalence of occupational skin diseases reaches 20% up to 70% around the world. Occupational contact dermatitis cases reached 1.3-8.1 per 10,000 full-time workers per year in two decades. This research aims to identify the relationship between predisposing factors, enabling factors, and reinforcing factors on the contact dermatitis cases on palm oil plantation workers of PT. X in Semitau Subdistrict. This study design was a cross-sectional involving 72 samples. The independent variables covered age, gender, level of knowledge, use of Personal Protective Equipment (PPE), tenure, chemical contact, personal hygiene, history of occupational dermatitis, occupational history, and Occupational Safety and Health Management System (SMK3). Then, the dependent variable was occupational dermatitis cases. A total of 54.2% of respondent suffered from occupational dermatitis. Some respondent were elderly (43.1%) and most of the subject were female (62.5%). The respondents had a good level of knowledge (37.5%), good personal hygiene (52.8%), and use complete PPE (25%). A total of 51.4% of respondent did not have chemical contacts and those who have <2 years of tenure reached 45.8%. Most of the subjects did not have an occupational history (81.9%) and occupational dermatitis history (75%). Half of the subjects had a good level of application of SMK3. Chi-Square Test results showed significant values of personal hygiene, use of PPE, and a history of the disease (<0.05) with p values of <0.05. There is a strong relationship between personal hygiene, the use of PPE, and the history of occupational dermatitis on palm oil plantation workers of PT. X in Semitau Subdistrict.