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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior
Setyo Sri Raharjo
Faculty of Medicine, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Path Analysis on the Determinants of Adherence to Anti Tuberculosis Drug Treatment in Kaur District, Bengkulu, Indonesia Surahman Hamidi; Setyo Sri Raharjo; Mahendra Wijaya
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.436 KB)

Abstract

Background: Drug treatment compliance was the behavior of patients to take medication and undergo treatment according to the rules determined by professional health personnels. Many factors influenced the compliance with treatment for tuberculosis patients. This study aimed to examine determinants of drug treatment compliance among tuberculosis patients.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 16 community health centers in Kaur Regency, Bengkulu, Indonesia, from January to February 2019. A sample of 206 study subjects was selected by purposive sampling. The dependent variable was drug treatment adherence. The indepen
The Effects of Exclusive Breastfeeding and Contextual Factor of Village on Stunting in Bontang, East Kalimantan, Indonesia Joko Sugiyanto; Setyo Sri Raharjo; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.586 KB)

Abstract

Background: Basic Health Research Results of 2018 stated that 30.8% of Indonesian children experienced Stunting. Stunting problems describe the existence of chronic nutritional problems, which can be influenced by a variety of interrelated factors. This study aimed to examine the determinants of stunting Bontang, East Kalimantan, Indonesia.Subjects and Method: This was an analytic observational study with a case control design. It was conducted at 15 sub-districts in Bontang, East Kalimantan, from February to April 2019. A sample of 225 children was selected by purposive sampling. The dependent variable was stunting. The independent variables were exclusive breastfeeding, history of infection, low birth weight (LBW), economic status, maternal education, maternal height, basic sanitation, and Community Based Total Sanitation (CBTS) urban village status. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: The risk of stunting decreased with maternal height ?150 cm (b = -1.37; 95% CI= -2.41 to -0.32; p = 0.010), maternal education ?senior high school (b = -1.83; 95 % CI= -2.79 to -0.87; p<0.001), exclusive breastfeeding (b= -1.67; 95% CI= -3.28 to -0.06; p= 0.042), and high economic status (b= -1.33; 95% CI= -2.23 to -0.41; p= 0.004). It was increased with number of family members >4 (b= 1.32; 95% CI= 0.41 to 2.22; p= 0.004), history of infectious disease (b= 2.23; 95% CI= 1.32 to 3.14; p<0.001), poor environmental sanitation (b= 1.83; 95% CI= 0.64 to 3.02; p= 0.003), and LBW (b= 1.30; 95% CI= 0.04 to 2.56; p= 0.043). Subdistricts had neglected contextual effect on the incidence of stunting with ICC <1%.Conclusion: The risk of stunting decreases with maternal height ?150 cm, maternal education ?senior high school, exclusive breastfeeding, and high economic status. It is increased with number of family members >4, history of infectious disease, poor environmental sanitation, and LBW. Subdistricts has neglected contextual effect on the incidence of stunting.Keywords: stunting,exclusive breastfeeding, multilevel analysisCorrespondence:
Multilevel Analysis of District- and City-Level Contextual Factors Influencing Hypertension Risk Among Adults: An Analysis of Indonesian Health Survey Year 2023 Anindhita Saviorel Rivaldy; Bhisma Murti; Setyo Sri Raharjo; Vitri Widyaningsih; Eti Poncorini Pamungkasari
Journal of Epidemiology and Public Health Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.02.04

Abstract

Background: Hypertension remains a major public health challenge in Indonesia, with prevalence continuing to rise across different population groups. The burden of hypertension varies across settings, including urban and rural areas, socioeconomic levels, and regional contexts. This study aimed to examine how district- and city-level contextual factors influence the risk of hypertension among adults in Indonesia. Subjects and Method: A cross-sectional study included a sample of 48,878 adults who participated in the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia). The data were analyzed using multilevel multiple linear regression. Results: Multilevel analysis showed that the risk of hypertension increased among individuals aged ≥60 years (b= 4.12; 95% CI= 3.76 to 4.48; p < 0.001), compared with those aged <20 years. Senior high school or higher education (b= –0.40; 95% CI= –0.48 to –0.31; p <0.001) was associated with a lower risk of hypertension compared with individuals with no formal education. Higher BMI was associated with an increased risk of hypertension among individuals with BMI 18.5–25 kg/m² (b= 0.19; 95% CI= 0.09 to 0.30; p < 0.001) and BMI ≥25 kg/m² (b= 0.92; 95% CI= 0.82 to 1.03; p < 0.001). Female sex (b= 0.21; p < 0.001), urban residence (b= 0.06; p= 0.021), and high Gini Ratio (b = 0.17; p < 0.001) increased the risk of hypertension, whereas high physical activity and higher provincial minimum wage reduced the risk. The ICC of 0.37% indicated low variation across districts/cities. Conclusion: Hypertension risk among Indonesian adults is mainly driven by individual factors, while income inequality is the only contextual factor with a significant effect. These results emphasize the need for interventions targeting both personal health behaviors and socioeconomic disparities.
The Associations of Clean and Healthy Behavior, Social Capital, and Nutritional Status in Children Under Five in Waingapu Health Center Stevani Rambu Kudu; Yulia Lanti Retno Dewi; Setyo Sri Raharjo
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.001 KB)

Abstract

Background: Quality nutrition is a deter­mi­nant of children's survival, health, and growth. Nutritional problems and lack of nutrient intake are also about whether bad in the environment or commonly known as clean and healthy behavior. Social capital refers to social relationships and connections between indivi­duals because it is more of a relationship between individuals than an individual attri­bute. This study aimed to examine the relation­ship between clean and healthy behavior and social capital with the nutritional status of children under five at the Waingapu City Health Center.Subjects and Method: This was a cross-sectional study conducted at the Waingapu Health Center, East Sumba, East Nusa Teng-gara, Indonesia, in April 2021. The sample was 200 mothers, and children under five were selected randomly. The dependent variable was child nutritional status (WAZ). The indepen­dent variables were social capital, clean and healthy behavior, gender, maternal age, mater-nal occupation, and maternal education. Data were collected by using a questionnaire and analyzed by multiple logistic regression.Results: Clean and healthy lifestyle improved good nutritional status (OR= 5.50; 95% CI= 1.19 to 25.43; p= 0.029). High social capital in­creased good nutritional status (OR= 2.28; 95% CI= 1.15 to 4.51; p= 0.017).Conclusion: Healthy, clean living behavior, and high social capital improve good nutria­tional status.Keywords: clean and healthy behavior, social capital, nutritional statusCorrespondence: Stevani Rambu Kudu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Stevanir09@student.uns.ac.id. Mobile: 082226431161.Journal of Health Promotion and Behavior (2021), 06(01): 57-66https://doi.org/10.26911/thejhpb.2021.06.01.06
Effect of Project Based Learning Method on Knowledge and Learning Activity in Graduate School Students Yuyun Manggandhi; Eti Poncorini Pamungkasari; Setyo Sri Raharjo
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.07

Abstract

Background: The Project Based Learning (PjBL) model is a learning model that can make students have expertise and can understand the learning process. This study aims to look at the application of Project Based Learning (PjBL) to increase student activity, to see the character values and results of student academic achievement in the KKPMT practice subject to achieve competence. Subjects and Method: RCT research was conducted at STIKes Mitra Husada Karanganyar. The sample consisted of 90 students, 48 students as the control class and 42 students as the experimental class. Student activity is assessed with an observation sheet. Student character is assessed by means of a questionnaire. The results of learning achievement using the posttest and pretest instruments. The mean knowledge scores in both groups were compared by independent t-test. Results: The knowledge score after the intervention in the project-based learning group (Mean= 71.81; SD= 8.35) was higher than that of the control group (Mean= 67.73; SD= 8.64), and was statistically significant (p= 0.026). Project-based learning is effective in increasing students' knowledge of ICD. The activity score after the intervention in the project-based learning group (Mean= 68.83; SD= 12.87) was the same as the control group (Mean= 68.27; SD= 11.53), but statistically not significant (p= 0.827). Conclusion: This study concluded that project-based learning was effective in increasing students' knowledge of ICD but project-based learning was not effective in increasing student activity in discussing ICD subjects.   Keywords: Project Based Learning, student character, student activity, learning outcomes.   Correspondence: Yuyun Manggandhi. Masters’ Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Manggandhi88@gmail.com. Mobile: 0821 3384 6808.
Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work Fany Nurul Fawzi Hidayat; Setyo Sri Raharjo; Burhannudin Ichsan
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.09

Abstract

Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.
Co-Authors Anindhita Saviorel Rivaldy Bhisma Murti Burhannudin Ichsan Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Fany Nurul Fawzi Hidayat Joko Sugiyanto Mahendra Wijaya Stevani Rambu Kudu Surahman Hamidi Vitri Widyaningsih Yulia Lanti Retno Dewi Yuyun Manggandhi