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All Journal Media Kesehatan Masyarakat Indonesia Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Abdimas Rekayasa: Jurnal Penerapan Teknologi dan Pembelajaran MEDISAINS JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Jurnal Manajemen Kesehatan Indonesia The Indonesian Biomedical Journal HIGEIA (Journal of Public Health Research and Development) Journal of Health Education Jurnal Kesehatan Masyarakat Journal of Public Health for Tropical and Coastal Region Amerta Nutrition Jurnal Respirologi Indonesia Unnes Journal of Public Health Public Health Perspective Journal Jurnal Keperawatan dan Fisioterapi (JKF) Journal of Sport Coaching and Physical Education Indonesian Journal of Public Health and Nutrition Bookchapter Pendidikan Universitas Negeri Semarang Prosiding Seminar Nasional Pascasarjana Proceeding of International Conference on Science, Education, and Technology International Journal of Health Literacy and Science Public Health Perspective Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mahalul Azam
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Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Engineering Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Analysis of The Relationship Between The Contact History of Patients Suspected for Covid-19 and Psychological Disorders in Nurses at Hospital X, Demak District Octarini, Dewi; Yuniastuti, Ari; Azam, Mahalul
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.2632

Abstract

The aim of this inquiry was to examine the relationship between contact history with suspected COVID-19 patients and the level of psychological distress among nurses at Hospital X, Demak Regency. A retrospective survey was conducted involving 60 nurses, representing the entire nursing population at the hospital. The analysis showed that contact history with suspected COVID-19 patients was associated with depression. The P-value is 0.008, the anxiety level shows a P-value of 0.004, the stress level shows a P-value of 0.0027, PTSD shows a P-value of 1.000. The results of the analysis show that there is a significant relationship, namely anxietyas many as 62.5% experienced moderate anxiety. Nurses in the Emergency Department showed a high rate of PTSD, at 41.7%. Furthermore, factors such as gender, age, and length of service were also statistically associated with contact history with suspected COVID-19 patients. A statistical analysis revealed a significant correlation between contact history with suspected COVID-19 patients and PTSD levels in nurses. These findings provide important insights into the potential psychological impact on nurses who have had contact with suspected COVID-19 patients. In the real world, this research can help develop plans to support nurses' mental well-being during the pandemic.
Factors Associated with the Incidence of Anemia among Pregnant Women in Indonesia (IFLS 5 Secondary Data Analysis) Nurfajriah, Nurfajriah; Azam, Mahalul; Indarjo, Sofwan
Public Health Perspective Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i1.9218

Abstract

Anemia is a severe public health problem with the incidence of anemia among pregnant women in Indonesia at 46.2% based on data from the Indonesia Family Life Survey (IFLS) 5. This study aimed to determine the factors associated with the incidence of anemia among pregnant women in Indonesia. The cross-sectional design of the study was using secondary data from IFLS 5 which was conducted from September 2014 to March 2015 on 292 pregnant women out of 53,160 respondents based on inclusion and exclusion criteria. Chi-square analysis showed that maternal age, maternal occupation, smoking habit, food frequency, green vegetable consumption, vitamin C consumption, socioeconomic status and health service distance were not associated with the incidence of anemia among pregnant women in Indonesia. Whereas maternal education (p=0.006), nutritional status (p=0.003), gestational age (p=0.001), iron consumption (p=0.001), ANC examination (p=0.006) and protein consumption (p=0.012) were associated with the incidence of anemia among pregnant women in Indonesia. Multivariate analysis with multiple logistic regression showed maternal education (p=0.014), nutritional status (p=<0.001), gestational age (p=0.002), iron consumption (p=0.008) and protein consumption (p=0.038) were associated with the incidence of anemia among pregnant women in Indonesia. Gestational age was the most dominant variable associated with the incidence of anemia among pregnant women after controlling for maternal education, nutritional status, iron consumption and protein consumption (OR=3.029; 95% CI=1.520-6.038).
Determinants of Anemia in Pregnant Women in Semarang City in 2023 Rahmawati, Siska; Azam, Mahalul; Rahayu, RR. Sri Ratna
Public Health Perspective Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v8i2.16430

Abstract

Anemia during pregnancy can lead to serious complications, such as bleeding and premature birth. The prevalence of anemia in Semarang in 2022 reached 15.4%, exceeding the WHO target. This study aims to analyze factors influencing the occurrence of anemia among pregnant women in Semarang in 2023. The study was conducted at five public health centers in Semarang with 183 pregnant women, consisting of 61 with anemia and 122 without anemia. Data were collected from January to July 2024, with analysis using Chi-Square and logistic regression tests. Significant factors associated with anemia included age (p=0.006), employment status (p=0.005), gravidity (p=0.047), ANC history (p=0.036), compliance with iron supplementation (p=0.003), tea/coffee consumption habits (p=0.024), iron intake from food (p=0.033), nutritional status (KEK) (p=0.041), and knowledge about anemia (p=0.009). Multivariate analysis showed that age (OR=3.09), employment status (OR=0.395), and KEK status (OR=2.99) were higher risks for anemia. Age, employment status, and nutritional status (KEK) are significant factors affecting anemia in pregnant women in Semarang, highlighting the importance of nutritional interventions and health education for pregnant women.
Transformation of Stroke Rehabilitation through Occupational Game Consoles: A Quasi-Experimental Study at RSUD Dr. Adhyatma, MPH, Semarang Daniswari, Aruna; Azam, Mahalul; Rahayu, Sri Ratna
Public Health Perspective Journal Vol. 9 No. 1 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i1.19981

Abstract

Stroke is a leading cause of long-term disability worldwide, often resulting in impaired motor function and reduced independence in daily activities. Innovative and engaging rehabilitation strategies are urgently needed to improve patient outcomes and adherence. This study aimed to evaluate the effectiveness of an occupational game console in improving functional abilities among stroke patients. A quasi-experimental study was conducted at RSUD Dr. Adhyatma, MPH, Semarang, between March and June 2024, involving 30 stroke patients aged 30–70 years. All participants completed in a 4-week rehabilitation program without a control group. They received structured therapy using an occupational game console designed to enhance motor coordination, muscle strength, and independence. Functional improvements were measured using the Barthel Index (BI), Manual Muscle Test (MMT), and Nine Hole Peg Test (NHPT). Data were analyzed using paired sample t-tests with a significance level set at p < 0.05. The participants included 18 males (60%) and 12 females (40%). Most were in the 51 60 years age group (40.0%), followed by 41–50 years (26.7%), and smaller proportions in 30–40 years (16.7%) and 61–70 years (16.7%). In term of stroke duration, 56.7% had experienced a stroke for 5–8 months, 23.3% for 0–4 months, and 20.0% for 9–12 months. The results showed significant improvements in functional outcomes, with BI scores increasing from 45 (moderate dependence) to 65 (mild dependence), MMT scores improving from 3/5 to 4/5, and NHPT times decreasing from 120 to 90 seconds (p < 0.01). Additionally, 85% of patients reported higher motivation and engagement due to the console’s interactive and gamified features. Occupational game consoles demonstrate promising potential as innovative and accessible tools to support stroke rehabilitation by enhancing motor function, independence, and patient engagement. Future studies should include randomized controlled trials with larger samples and longer durations to assess long-term effectiveness and broader clinical applications.
Sistem Informasi Admisi Pasien Membantu Ketepatan Pengambilan Keputusan Admisi Pasien Azam, Mahalul; Fibriana, Arulita Ika
Kesmas Vol. 6, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Ketepatan admisi merupakan salah satu indikator kualitas pelayanan medis yang sesuai dengan standar. Appropriateness Evaluation Protocol (AEP) merupakan protokol yang digunakan untuk menilai ketepatan admisi pasien rawat inap. Tujuan penelitian ini adalah merancang sistem informasi admisi pasien rawat inap untuk membantu pengambilan keputusan klinis dan administrasi dalam admisi pasien rawat inap di Rumah Sakit Umum Daerah dr. H. Soewondo Kabupaten Kendal. Penelitian dilakukan dalam dua tahap. Tahap pertama, penelitian kualitatif untuk perancangan sistem informasi dengan menerapkan Framework for Application of System Technique (FAST). Tahap kedua, penelitian kuantitatif dengan rancangan one group pretest-posttest design yaitu uji coba sistem informasi admisi dengan membandingkan indikator-indikator akseptabilitas, aksesibilitas, sensitivitas, kerepresentativan, dan ketepatan waktu. Hasil penelitian ini berupa rancangan Sistem Informasi Admisi (SIA) pasien rawat inap meliputi masukan, keluaran, basis data, dan antarmuka yang dilanjutkan dengan membangun sistem sehingga dihasilkan SIA berbasis AEP. Hasil uji coba menunjukkan dukungan responden terhadap sistem lama dan sistem baru dari aspek akseptabilitas (RRT 2,20 dan 3,18), aksesibilitas (RRT 2,25 dan 3,19), sensitivitas (RRT 2,30 dan 3,10), kerepresentativan (RRT 2,40 dan 3,16), dan ketepatan waktu (RRT 2,13 dan 3,13) dengan perbedaan yang bermakna (p = 0,0001). Diperlukan komitmen manajemen untuk dapat menjalankan SIA, evaluasi setiap tahun terhadap kinerja sistem untuk mengantisipasi perubahan kebutuhan informasi, dan rancangan input data yang cepat dengan teknologi tinggi. Appropriateness in admission represent quality of medical services. Appropriateness Evaluation Protocol (AEP) is protocol that used to evaluate inpatient admission according to medical indications. The research was carried out to design admission information system of inpatient as administrative and clinical decision support system in Rumah Sakit Umum Daerah dr. H. Soewondo Kabupaten Kendal. The research was done in two step. First step was qualitative study applied Framework for Application of System Technique (FAST) to design information system. Second step used one group pretest-posttest design, trying information system that built comparing acceptability, accessibility, sensitivity, representativeness and punctuality. The result of this research was admission information system design consist of input design, output design, data base design and interface design continuing to build AEP based admission information system. Trial result shows that respondents give their agreement in old and new system for acceptability (2,20 and 3,18), accessibility (2,25 and 3,19), sensitivity (2,30 and 3,10), representativeness (2,40 and 3,13), and punctuality (2,13 and 3,13), and it was statistically significant (p = 0,0001). The management commitment is required to carry on admission information system, annual evaluation of system performance required to anticipate changes of information requirement, and it is required to design input faster using high technology instrument.
Family Empowerment Model Based On Socio-Cultural Wisdom For Stunting Prevention In North Gorontalo Regency Nasaru, Jumriyanti; Azam, Mahalul; Woro Kh, Oktavia; Yuniastuti, Ari
International Journal of Health Literacy and Science Vol. 3 No. 2 (2025): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v3i2.86

Abstract

Stunting prevalence affects 149.2 million children worldwide, compromising cognitive development and economic productivity. North Gorontalo Regency experienced an increase in prevalence from 23.6% to 30.5% between 2022 and 2023, highlighting the limitations of conventional interventions. This quasi-experimental study evaluated culturally integrated health promotion models through family empowerment among 384 households with children aged 0-59 months in North Gorontalo Regency. The study employed intervention groups (n=192) and control groups (n=192) using statistical and thematic analytical approaches. Interventions integrated Nola Pender's Health Promotion Model with indigenous Gorontalo socio-cultural wisdom through two-month participatory education programs and enhanced interpersonal communication strategies. Findings revealed substantial behavioral transformations: family knowledge scores improved by 34.2% (p<0.001), positive attitudes toward traditional feeding practices increased by 28.7% (p<0.01), and optimal childcare practice adoption rose by 42.1% (p<0.001) compared to control groups. The culturally adapted model effectively leveraged indigenous childcare wisdom and community social frameworks, achieving sustainable behavioral changes that integrate traditional practices with evidence-based stunting prevention approaches, thereby enhancing program acceptance and effectiveness.
Effectiveness of Pre-Harvest Feed Treatments and Post-Harvest Processing in Reducing Escherichia coli Contamination in Catfish (Clarias gariepinus) Nur Endah Wahyuningsih; Sutopo Patriajati; Ayun Sriatmi; Antono Suryoputro; Puteri Inandin Nabiha; Mahalul Azam
JURNAL KESEHATAN LINGKUNGAN Vol. 18 No. 1 (2026): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v18i1.2026.10-18

Abstract

Introduction: The presence of Escherichia coli strains in freshwater fish like catfish (Clarias gariepinus) populations has caused contamination, particularly in Indonesian aquaculture areas where domestic garbage is the primary source of contamination. In order to determine the appropriate handling of E. coli and fecal Coliform contamination before and after harvesting, this study examined the effects of treatment on safety measures for consumption. Methods: Between March and November 2022, a posttest-only control design was used in 126 catfish samples from Bumiayu, Central Java for an experimental study that was quasi-quantitative. There were two types of feed used during growth, followed by six treatments post-harvest (washing; soaking; fry; grill). The MPN method was employed in microbiology testing. Results and Discussion: There was no significant difference in microbial load variation before harvesting the food, with a pre-harvest feed variation of p > 0.05 (indicating that environmental contamination may have been more important). Thermal treatments that completely eradicated E. coli and fecal coliforms (0 MPN/g) by cooking at high temperature for 4-6 minutes and grilling for 5-7 minutes, were the only alternative to post-harvest treatment. Washing and soaking alone remained ineffective. Conclusion: This study demonstrates that high-temperature processing is a reliable method to ensure microbiological safety of catfish, whereas feed variation before harvest has minimal influence under environmentally contaminated conditions. The findings provide practical guidance on safe cooking time–temperature combinations to prevent E. coli exposure from aquaculture products.
The Effectiveness of Diabetic Foot Gymnastics with Newspaper and Thorn Ball Media to Increase Foot Sensitivity in Type II Diabetes Mellitus Patients Dewi Aini Zulfah; Mahalul Azam; Ari Yuniastuti
Public Health Perspective Journal Vol. 10 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v10i1.4749

Abstract

Diabetes Mellitus (DM) is a metabolic disorder in the body that occurs due to insulin function insufficiency resulting in high blood sugar levels. One of the complications of DM that is often experienced is neuropathy syndrome in the form of symptoms of peripheral nerve dysfunction which can affect foot sensitivity. Management of DM, namely physical activity in the form of leg exercises, can increase blood circulation, strengthen small muscles, thigh and calf muscles and reduce limitations in joint movement. The aim is to analyze the effectiveness of diabetes foot exercises using newspaper and thorn ball media to increase foot sensitivity in type II diabetes mellitus (DM) patients. Random Control Trial with pre post design involving 48 respondents in 3 intervention groups. Statistical analysis using Wilcoxon test with a 5% confidence interval using newspaper media obtained mark p value 0.013 and thorn ball media with value p value 0,029. Mann Withney test Newspaper foot exercises with values p value 0.008 and thorn ball media with value p value 0.012 is less than 0.05. In conclusion is DM foot exercises using newspapers and thorn balls are effective in increasing the sensitivity of the feet of patients with Diabetes Mellitus.
Association between Gastritis and Duodenitis with the Incidence of Hypertension in Semarang City Yhoaninda Nurul Ilmi; Mahalul Azam; Dina Nur Anggraini Ningrum
Public Health Perspective Journal Vol. 10 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v10i1.20478

Abstract

The prevalence rate in Semarang City has not yet reached the global SDG 2025 target of a 25% reduction (WHO, 2023). Hypertension is often referred to as a “silent killer” because its early symptoms are rarely noticeable, leading many individuals to be unaware of their condition until complications such as gastritis and duodenitis occur. This study aims to analyze the epidemiological patterns of hypertension and gastritis and duodenitis, as well as the association between these conditions and hypertension incidence. This quantitative research uses a nested case-control design with SIMPUS data from Semarang City from 2020–2022, involving 220,093 patients, consisting of 21,639 cases and 198,032 controls. The dependent variable was hypertension, while gastritis and duodenitis served as independent variables. Univariate and bivariate (chi-square) analyses were performed. The results show that hypertension was more common in women (27,709 patients) and highest in the 50–59 age group, while gastritis and duodenitis were also more frequent in women (25,042 patients), peaking in the 20–29 age group. Bivariate analysis revealed a significant association between gastritis and duodenitis and hypertension. Among males, the highest risk occurred in the 70–79 age group, with an OR of 2.76 (95% CI: 2.62–2.89), while among females, the highest risk was observed in the 80–89 age group, with an OR of 3.32 (95% CI: 3.08–3.57). The Semarang City Health Office is recommended to strengthen hypertension prevention by prioritizing early screening for gastritis and duodenitis in high-risk older adults.
Risk Factors Influences Incidence of Hypertension in Lautem Municipality, Timor Leste in 2025 Nintorio Vieira Fernandes; Mahalul Azam; RR Sri Ratna Rahayu
Public Health Perspective Journal Vol. 10 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/phpj.v9i3.32028

Abstract

Hypertension is a leading global health problem and a major cause of cardiovascular and renal complications. In low- and middle-income countries, including Timor-Leste, its prevalence continues to rise despite ongoing prevention programs. This study examines the factors influencing hypertension in Lautem Madya City, Timor-Leste, focusing on behavioral, cultural, and socio-demographic determinants. This study uses a qualitative approach with a cross-sectional was applied using data from the Lautem Health Office. Associations between lifestyle behaviors, cultural practices, and structural barriers with hypertension prevalence were analyzed. Using a cross-sectional analytic design and Structural Equation Modeling–Partial Least Squares (SEM-PLS), 340 adult respondents (170 with hypertension and 170 without) were surveyed between January and April 2025. Data were analyzed revealed that age, gender, family history, education, diet (high salt and meat intake), smoking, alcohol consumption, limited healthcare access, and poor family support were significantly associated with hypertension (p < 0.05). Cultural practices emerged as a central factor, directly increasing hypertension risk and mediating the effects of lifestyle behaviors such as diet, smoking, and alcohol use. These findings indicate that hypertension prevention in Lautem Municipality requires culturally tailored and family-centered interventions supported by improved primary healthcare systems. This study contributes empirical evidence on the interaction of lifestyle, social, and cultural determinants of hypertension in a low- and middle-income country context.
Co-Authors A.A. Ketut Agung Cahyawan W Afifi, Sesaria Nisa Agus Kristyanto Kumbara Agus Raharjo Aldinda, Tharra Widadari Anik Setyo Wahyuningsih Antono Suryoputro Arga Iman Malakani Ari Yuniastuti Artiyaningrum, Budi Arulita Ika Fibriana Ayu, Dhea Istiva Ayun Sriatmi Baharuddin Ali Bambang Budi Raharjo Bambang Priyono Bambang Widjanarko Bioladwiko, Bioladwiko Budhi Setianto Chandra Permana Daniswari, Aruna Dartini Dartini Dewi Aini Zulfah Dewi, Nila Prastiana Dina Nur Anggraini Ningrum Dina Nur Anggraini Ningrum Donny Kristanto Mulyantoro Donny Wira Yudha Elsa Yuniarti Endika, Okta Mega Gres Eri Barlian Eunike Raffy Rustiana Eunike Raffy Rustiana Evi Widowati Farida, Eko Fatihah, Ana Nur Fatimah Fatimah Fazriyah, La’elatul Ferdiani, Dhita Aulia Ferdiani, Dhita Aulia Fetty Nur Hidayati Fitri Indrawati Halibi, Maria Suzana Hardhono Susanto Hardhono Susanto heldi heldi Hendra Adinata Heny Setyawati Indah Septiani Indah Septiani Indang Dewata Innayah, Nurul Irawan Wibisono Irwan Irwan Isti Mulyawati Jeffri Ardiyanto Kamisih, Kamisih Kholifah, Siti Putri Nur Kristian, Samuel Kusuma, Donny Wira Yudha Lukman Fauzi M. Riski Adi Wijaya M.Jannah, Ajeng Ayu Maftukhah, Maftukhah Martha Irene Kartasurya Martha Irene Kartasurya Mohammad Arif Ali, Mohammad Arif Muhammad Azinar Nasaru, Jumriyanti Navik Puryantini Ningrum, Trinanda Agustina Sapta Nintorio Vieira Fernandes Nisa, Alfiana Ainun Nugroho, Anan Nur Endah Wahyuningsih Nurfajriah, Nurfajriah Nurharsono, Tri Nurtanti, Ratna Nurul Dwi Astuti, Nurul Dwi Nyoman Suci Widyastiti Octarini, Dewi Oktia Woro Kasmini Handayani Puteri Inandin Nabiha Qimamayah, Asih Satut Damul Rahayu, Rr. Sri Ratna Rahmawati, Siska Ricko Irawan Ricko Irawan RR Sri Ratna Rahayu Rr. Sri Ratna Rahayu Rukmana, Dewi S. Sugiharto S.Pd. M Kes I Ketut Sudiana . Saefurrohim, Muhamad Zakki Salsabila, Alif Mazida Saniya Ilma Arifa Saputri, Indramala Yulmi Saputri, Meilinda Ayu Sari, Riska Permana Sekar, Anastasia Kinanti Sesaria Nisa Afifi Setya Rahayu Shofiyanah, Lina Shofiyanah, Lina Siti Fatimah Pradigdo Siti Minasari Soedjatmiko Soedjatmiko Soegiyanto Soegiyanto Soesanto . Sofwan Indarjo Sri Lestari Sri Sumarni Sri Sumartiningsih Sudiyono Sudiyono Suhartono, Suhartono Sungkowo Edy Mulyono Sungkowo Sungkowo Susanti Lestari Sutopo Patria Jati Syed Mohamed Aljunid Tandiyo Rahayu Taufiq Arif Setyanto Thijs Eijsvogels TOMMY SUPIT, TOMMY Totok Triputrastyo Murwatono Tri Joko Raharjo Tri Tunggal Setiawan Udin Bahrudin Udin Bahrudin Udin Bahrudin, Udin Utami, Nur Lissa Utami, Nur Lissa Utomo, Ocbrivianita Mulyaningtyas Wafi, Ahmad Zein Al Widya Hary Cahyati Woro Kh, Oktavia Yan Wisnu Prajoko Yani Istadi Yhoaninda Nurul Ilmi Yuni Astuti Yuni Wijayanti