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International Symposium of Public Health and International Conference of Epidemiology Public Health

DYNAMICS OF PRACTICES AND CHALLENGES IN THE DOCUMENTATION OF WORK-RELATED MORTALITY: A QUALITATIVE STUDY IN HOSPITALS IN AGROINDUSTRIAL REGIONS OF JEMBER

Date Published : 15 September 2026

Contributors

Achmad Jaelani Rusdi

Universitas Jember
Author

Hadi Prayitno

Universitas Jember
Author

Isa Ma’rufi

Universitas Jember
Author

Dwi Prijatmoko

Universitas Jember
Author

Keywords

Agro-Industrial Sector Death certificate Occupational death

Proceeding

(2026): PROCEEDING OF 9th INTERNATIONAL SYMPOSIUM OF PUBLIC HEALTH (ISOPH)

Track

General Track

License

Copyright (c) 2026 International Symposium of Public Health and International Conference of Epidemiology Public Health

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Abstract

Background: The quality of death certificates has been widely studied; however, work-related mortality remains underexplored, particularly in high-risk agroindustrial regions. Globally, nearly 2 million people die annually from occupational factors, with Asia accounting for about 65%. In Indonesia, occupational accidents and diseases increased to 234,370 cases in 2021, including 6,552 deaths. Inaccurate documentation hinders evidence-based policymaking and equitable compensation. This study assessed gaps in the quality of work-related mortality documentation by describing recording practices, data management, and case determination dynamics in hospitals located in agroindustrial areas. Method: This exploratory qualitative study was conducted in 2024 across nine hospitals in Jember’s agroindustrial region. Data sources included 36 case documents of work-related deaths, 10 in-depth interviews with key informants, and one focus group discussion (FGD) with five participants. Thematic analysis was applied to examine documentation patterns across four workflow stages: identification, recording, processing, and reporting. Result: The study found dynamic variations at each stage of documentation. Accuracy was shaped by both enabling and inhibiting factors, which were categorised into four critical domains: (1) procedures, (2) infrastructure, (3) personnel, and (4) institutional environment and policies. These domains influenced how mortality data were identified, managed, and reported, revealing significant gaps between practice and policy expectations. Conclusion: The quality of work-related mortality documentation results from the interaction of multiple factors throughout the workflow. Strengthening procedures, infrastructure, and institutional support is essential to enhance reporting reliability. Recommendations include developing adaptive technical guidelines and reinforcing national policies to ensure accuracy and responsiveness in documenting occupational mortality.

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How to Cite

Achmad Jaelani Rusdi, A. J. R., Prayitno, H., Ma’rufi, I., & Prijatmoko, D. (2026). DYNAMICS OF PRACTICES AND CHALLENGES IN THE DOCUMENTATION OF WORK-RELATED MORTALITY: A QUALITATIVE STUDY IN HOSPITALS IN AGROINDUSTRIAL REGIONS OF JEMBER. International Symposium of Public Health and International Conference of Epidemiology Public Health, 38-48. https://e-conference.unair.ac.id/isoph/paper/view/1563