Background: The risk of death caused by non-communicable diseases is related to metabolic syndrome. Metabolic syndrome not only occurs in adults

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Early marriage is defined as a marriage of women aged <18 years old. The current world prevalence is declining, but when compared with the growth in population, the total number of married children tends to increase. Today, early marriage reaches 41.000 every day, especially in Sub-Saharan Africa and South Asia. This research aims to identify the social determinants of health that encourage early marriage. This research used a quantitative observational analytic study with cross-sectional design. The number of <18 year-old married women were 1.96% (IFLS5), <18 year-old married men were 0.15% (IFLS5). The average age at first birth was 22.96 years old. The economic status of early marriage was mostly in Quintile 1, and the majority of residences were in rural area. The ratio of married women and men aged <18 years old was 11-14: 1. Employment, education, residence and poverty were associated with early marriage and were statistically significant.

BackgroundsGlobally, the most rural healthcare systems are lagging behind those of urban healthcare systems. Especially in rural and remote areas, the essential resources to provide principal health services are inadequate. It is purported that physicians have an important role in healthcare systems. Unfortunately, there is a paucity of studies on physician leadership development in Asia, especially on how to enhance physician leadership competencies in rural and remote low-resource settings. This study aimed to investigate doctors’ perceptions of existing and needed physician leadership competencies based on their experiences in primary care settings in low-resource rural and remote areas are in Indonesia.MethodsWe performed a qualitative study with a phenomenological approach. Eighteen primary care doctors, who worked in rural and remote areas of Aceh, Indonesia, purposively selected, were interviewed. Prior to the interview, participants were asked to select the top-five skills they deemed most essential for their work based on the five domains of the ‘Lead Self’, ‘Engage Others’, ‘Achieve Results’, ‘Develop Coalitions’ and ‘Systems Transformation’ (LEADS) framework. We then performed a thematic analysis of the interview transcripts.ResultsWe identified the following qualities a good physician leader in low-resource rural and remote settings should possess: (1) cultural sensitivity skills; (2) a strong character that includes courage and determination; and (3) creativity and flexibility skills.ConclusionsLocal cultural and infrastructural factors create a need for several different competencies within the LEADS framework. A profound amount of cultural sensitivity was considered the most important in addition to the ability to be resilient, versatile and ready for creative problem-solving.

The use of non-standard work equipment, inadequate working environment, and health conditions that are poorly monitored by health services are a problem experienced by workers in the informal sector. Ergonomic risks arising from faulty work positions, unsafe workplaces and low knowledge of occupational safety and health. The process of making batik done manually, with long working hours and work postures that are not safe and comfortable. This study aimed to analyze the work posture with the level of ergonomic risk in the batik home-based  worker as well as preventive and promotive efforts made by health workers. The research was conducted qualitatively, with in-depth interview method and observation. Triangulation is done to obtain objective information. The ergonomic risk level analysis is done using the Rapid Entire Body Assessment (REBA) method. measurement of work posture done in batik making process obtained REBA score as follows, score 2-4 for waxing or nyanthing, score 7 for coloring process, score 4 and 8 for rinsing process and score 5 for process wax release. Ergonomic risk in the process of batik in the category of medium, medium category for colouring, medium and high category for rinsing process, and medium category for wax release, and still low preventive and promotive efforts made by health workers.