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@#Introduction: Occupational Health and Safety (OHS) for formal sector workers is held along with regulations, joint commitments, training, and continuous monitoring. This condition cannot be applied for informal sector, so it approaches that can be performed such as activating social support from workers’ environment. This study aimed to determine for social support to improve the knowledge, attitude and practice of OHS workers in informal sector. Methods: This study a quasi-experimental with pre-posttest and control group design. Subjects were 90 limestone workers taken by Multistage Sampling from Gunungkidul Regency, Indonesia. Subjects were divided into health promotion by family support and peer support (FS&PS), peer support (PS), family support (FS), and control (C) group with treatment period of one month. Variables were measured using a knowledge, attitude, and practice questionnaire. The obtained data then analyzed using Kruskal-Wallis test and Mann-Whitney test. Results: There was a significant difference (p<0.001) in the knowledge, attitude and practice of OHS in limestone workers. FS&PS group gave the highest score for knowledge variable. There was no significant differences between OHS attitude between FS&PS and FS only (p=0.787). The biggest influence of attitude changes was from the FS group. The OHS practice has no significant differences between PS and C group (p=0.696), while other groups have significant differences. Conclusion: The biggest influence of changes in OHS practice was in the FS group. The combination of FS&PS is more effective in increasing knowledge, while attitude and practice are more effective if involving FS.
RESUMO
OBJECTIVES: To assess the implementation and contextual barriers of POSBINDU, a community-based activity focusing on screening of non-communicable diseases (NCDs), mainly hypertension and diabetes, in Indonesia. DESIGN: This was a concurrent mixed-methods study, with a cross-sectional analysis of secondary data and focus group discussions (FGDs) on stakeholder of POSBINDU. SETTING: The study was conducted in seven districts in three provinces in Indonesia, with approximately 50% of the primary healthcare (PHC) were selected as areas for data collection (n PHC=100). PARTICIPANTS: From 475 POSBINDU sites, we collected secondary data from 54 224 participants. For the qualitative approach, 21 FGDs and 2 in-depth interviews were held among a total of 223 informants. PRIMARY OUTCOMES AND MEASURES: Proportion of POSBINDU visitors getting the hypertension screening and risk factors' assessment, and barriers of POSBINDU implementation. RESULTS: Out of the 114 581 POSBINDU visits by 54 224 participants, most (80%) were women and adults over 50 years old (50%) showing a suboptimal coverage of men and younger adults. Approximately 95.1% of visitors got their blood pressure measured during their first visit; 35.3% of whom had elevated blood pressure. Less than 25% of the visitors reported to be interviewed for NCDs risk factors during their first visit, less than 80% had anthropometric measurements and less than 15% had blood cholesterol examinations. We revealed lack of resources and limited time to perform the complexities of activities and reporting as main barrier for effective hypertension screening in Indonesia. CONCLUSIONS: This study showed missed opportunities in hypertension risk factors screening in Indonesia. The barriers include a lack of access and implementation barriers (capability, resources and protocols).
