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Decision Making Behavior in Seeking Help and Utilizing Health Services in Maternal Death Cases in Berau Regency: Application of Andersen's Behavior Model and Pass Model Sudiastiningsih, Heni; Ramdan, Iwan Muhammad; Nurrahmawati, Annisa; Rohmah, Nur; Jasmawati, Jasmawati; Virawati, Dini Indo; Wati, Ratna; Arifin, Muhammad
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26127

Abstract

One of the causes of the high maternal mortality rate is the delay in seeking help. Delays in seeking help will have an impact on further delays, namely delays in utilizing health facilities which result in delays in receiving appropriate and adequate services. This study is a qualitative research with a phenomenological approach by collecting data through in-depth interviews with families of cases of maternal death in Berau with the aim of exploring the family's experience in the process of seeking health help by utilizing health services for pregnant women. The results showed that social support was related to family demographics with treatment practices still found based on local tribal customs. Perceived severity and vulnerability motivated families to seek health care. Trust in the ability of health workers also plays a role in the utilization of health facilities. This study provides information for families of pregnant women, communities and policy makers in designing more effective health programs, especially increasing knowledge related to maternal health. Improving the professionalism and competence of health workers as an attraction for the community to choose health services as the first choice when they need help Keyword: Maternal mortality;health seeking behavior ;health care utilization
Perception and Prevention Efforts Toward HIV Transmission AmongFemale Sex Workers and Seafarers Aditya Aditya; Annisa Nurrachmawati; Nur Rohmah
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Female sex workers (FSWs) and seafarers are high-risk groups for HIV transmission, especially in isolated coastal regions such as Muara Berau, East Kalimantan. Complex interactions between economic dependency, limited health service access, and gender inequality contribute to inconsistent condom use and high-risk sexual behavior. Although global studies have examined these dynamics, Indonesian maritime and port contexts remain understudied Objective : To summarize, analyze, and interpret research findings related to perceptions and preventive behaviors against HIV transmission among FSWs and seafarers, emphasizing condom negotiation, structural barriers, and contextual risk factors in coastal communities Research Methods/ Implementation Methods : A narrative review was conducted using 32 scientific articles published from 2010 to 2025, retrieved from national and international journals. The literature was analyzed thematically using theoretical frameworks including the Health Belief Model (HBM), Social Ecological Model (SEM), and Theory of Gender and Power to identify determinants of condom use, behavioral change, and prevention barriers Results : Findings reveal that HIV prevention among FSWs and seafarers is influenced by economic pressures, client dominance, social stigma, and limited access to health services. Knowledge and perceived benefits of condom use are often high, but behavioral consistency remains low. Structural barriers—mobility, gender power imbalance, and lack of outreach—exacerbate risk exposure. Conclusion/Lesson Learned : Effective HIV prevention in coastal Indonesia requires multilevel interventions addressing socio-economic, behavioral, and structural determinants. Empowering FSWs’ negotiation capacity, enhancing seafarers’ awareness, and strengthening outreach-based health programs are essential to close the knowledge–practice gap
Personal and Environmental Influences on Smoke-Free AreaCompliance : a Literature review Eka Rachmawati; Annisa Nurrachmawati; Nur Rohmah
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

The government has established smoke-free policies, but despite the issuance of various regulations, the implementation of smoke-free areas in the field still faces serious challenges, one of which is low public compliance. Factors that influence compliance include personal factors and environmental factors. Objective : The purpose of this study is to conduct a literature review of studies that investigate the influence of personal factors and environmental factors on compliance with no-smoking areas in public facilities. Research Methods/ Implementation Methods : The research method used in this study is a Systematic Literature Review (SLR) using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Search from Google Scholar, PubMed, and Research Gate, using the keywords "kepatuhan" (compliance), "smoke free area", and "kawasan tanpa rokok" (smoke-free zone) Results : Articles published from 2017 to 2025. From the 225 articles identified, 10 articles were selected for use after applying inclusion and exclusion criteria. Conclusion/Lesson Learned : personal factors (knowledge, attitude, self-efficacy, perception) and environmental factors (quality of smoking facilities, no smoking signs) influence compliance with the implementation of smoke-free areas in public facilities. These two factors are integrated and interact reciprocally (reciprocal determinism).
The Relationship Between Early Smoking Initiation and Drug UsePatterns Among Rehabilitation Clients : A Literature Review Fadly Abdul Hakim; Nur Rohmah; Annisa Nurrachmawati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The age at which an individual first starts smoking plays a critical role in shaping risk behaviors associated with substance abuse. Adolescents who begin smoking at an early age are more likely to experiment with alcohol, cannabis, or synthetic drugs. Understanding the relationship between early smoking initiation and the tendency toward drug use is essential for designing effective prevention and rehabilitation strategies Objective : This study aims to review empirical evidence on the association between smoking initiation age and patterns of drug use among adolescents and rehabilitation clients in Samarinda, serving as a foundation for evidence-based prevention strategies. Research Methods/ Implementation Methods : The review analyzed 21 reputable scientific articles (Scopus Q1–Q3 and SINTA), selected based on their relevance to early smoking age, substance abuse behavior, and adolescent or rehabilitation contexts. A thematic analysis was conducted across six key areas: smoking initiation age, psychosocial factors, smoking behavior patterns, transition to drug use, media and environmental influences, and health knowledge. Results : The findings indicate that smoking before the age of 15 significantly increases the likelihood of later drug abuse. Supporting factors include peer pressure, psychological stress, and permissive environments that normalize smoking and substance use behavior Conclusion/Lesson Learned : These results highlight the urgency of implementing early preventive interventions through health education, school-based programs, and social environment supervision to reduce drug abuse rates among adolescents and support rehabilitation efforts.
Factors Affecting Prevention Behavior against Thirdhand Smoke (THS)Exposure: Systematic Literature Review Aldyta Permata Sari; Nur Rohmah; Annisa Nurrachmawati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Thirdhand smoke (THS) is tobacco residue left on surfaces and dust after cigarette smoke disappears, which can increase health risks, especially for children. Understanding the factors that influence THS prevention behavior is essential for the development of effective public health interventions. This study aimed to identify and synthesize various factors that influence THS exposure prevention behavior through a SLR. Articles were systematically searched on PubMed, Google Scholar, and Scopus for publications from 2021 to 2025, referring to the 2020 PRISMA guidelines and strict into inclusion-exclusion criteria. Of the 280 articles identified, 12 studies (total 5,241 participants) were included, the majority of which were cross-sectional in design and predominantly from Turkey. The main factors influencing THS prevention behavior included: awareness and knowledge (10 studies), belief about the dangers of THS (8 studies), education (6 studies), income (5 studies), smoking rules at home (5 studies), and smoking behavior (4 studies). Awareness of the term THS was still low (8.7%). Higher education (OR=18.835; p<0.001) and home ownership (OR=2.667; p=0.004) significantly influenced beliefs about the dangers of THS. Information about nicotine levels on children's hands increased parents' concerns and intentions to improve. In conclusion, awareness, knowledge, belief in the dangers of THS, and sociodemographic factors are the main determinants of THS prevention behavior. Public health interventions need to target THS education at low-income and low-education groups. Further research is needed in diverse contexts.
The Effectiveness of Social Media to Improve Healthy LifestylesAmong Millennials: A Literature Review Lady Arounda Sophystikatty; Nur Rohmah; Annisa Nurrachmawati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Changes in the lifestyle of modern society, particularly the millennial generation, show an increased risk of various non-communicable diseases. A sedentary lifestyle, unhealthy eating habits, and high stress levels are dominant factors that negatively affect the health quality of this generation. Health promotion that is packaged in an attractive, informative way and aligned with millennial communication styles has the potential to increase awareness toward a healthier lifestyle. Objective : The general objective of this review is to determine how effective health promotion through social media in improving healthy lifestyles among millennials. Research Methods : This study was conducted through a literature review of 30 scientific articles retrieved from databases such as PubMed, ScienceDirect, Scopus, ResearchGate, Google Scholar, and SINTA. Articles were selected based on relevance to the effectiveness of social media in increasing awareness and healthy lifestyle behaviors Results : The collected evidence includes randomized controlled trials (RCTs), systematic reviews, intervention studies, surveys, and content analyses on platforms such as Instagram, TikTok, YouTube, Facebook. Overall findings show that social media is effective in increasing knowledge, intentions, and certain behavioral indicators, with the highest effectiveness observed when interventions combine social support, social-norm messaging and credible influencers Conclusion : Based on the analysis of the reviewed journals, it can be concluded that social media isa highly effective tool for health promotion in improving healthy lifestyles among millennials when content incorporates social norms, uses engaging short-video formats, and is supported by community interaction.
The Pictorial Health Warnings Impact on Smoking Cessation Intention: A Literature Review Based On TPB Sandra Reinny Parengkuan; Nur Rohmah; Annisa Nurrachmawati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Cigarette consumption in Indonesia remains high, underscoring the need for effective tobacco control strategies such as Pictorial Health Warnings (PHWs). This study aims to analyze the influence of PHWs on the components of the Theory of Planned Behavior (TPB)—attitude, subjective norm, and perceived behavioral control—and their subsequent effect on the intention to quit smoking. Objective : This study aims to analyze the influence of PHWs on the components of the Theory of Planned Behavior (TPB)—attitude, subjective norm, and perceived behavioral control—and their subsequent effect on the intention to quit smoking Research Methods/ Implementation Methods : A systematic literature review was conducted using indexed scientific databases, including Scopus, DOAJ, and PubMed, for the period of 2020–2024. The review included three primary studies that met the inclusion criteria and focused on smoking cessation behavior, the TPB framework, and pictorial media as an intervention. This study adopts the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method in the process of identifying and selecting literature studies. Results : The findings consistently demonstrate that graphic visualizations of smoking-related hazards positively influence smokers' attitudes, enhance social awareness (subjective norm), and strengthen perceived behavioral control over quitting. Conclusion/Lesson Learned : In conclusion, PHWs effectively target the key determinants of behavioral intention outlined in the TPB. An emotionally powerful visual approach significantly boosts smokers' awareness and motivation to quit, affirming the utility of PHWs as a critical public health intervention.
An Overview Of Outpatient Service Quality At RSIA AisyiyahSamarinda In 2025 Mudassir Yunus; Nur Rohmah; Rahmat Bahtiar; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Service quality is a crucial factor for patient satisfaction and loyalty in healthcare facilities. The Government of Indonesia, through the Minister of Health Decree (Kemenkes) RI Number 129/Menkes/SK/II/2008, has set Minimum Service Standards (SPM) for outpatient satisfaction at ≥90%. A study in 2024 showed a relationship between service quality and patient satisfaction at RSIA Aisyiyah Samarinda, and an internal survey report for the January-June 2024 periodindicated that outpatient patient satisfaction was still below the 90% threshold. Objective : This study aims to provide an overview of outpatient service quality at RSIA Aisyiyah Samarinda in 2025 Research Methods/ Implementation Methods : This was a descriptive quantitative study using accidental sampling technique, with data collected from 110 respondents (n=110). The service quality variable was measured using five dimensions (Tangibles, Reliability, Responsiveness, Assurance, Empathy) Results : The results showed that the overall average service quality at RSIA Aisyiyah Samarinda reached 90.6%, which falls into the “Very Good” category and meets the minimum standards set by the Ministry of Health (Kemenkes). The dimensions that exceeded the standard were Assurance (92.5%), Empathy (92.1%), and Reliability (91.0%). However, two dimensions remained below the 90% threshold, namely Responsiveness (89.3%) and Tangibles (88.0%). Conclusion/Lesson Learned : The overview of outpatient service quality at RSIA Aisyiyah Samarinda in 2025 was categorized as very good
Planned Delivery Place Preferences among Pregnant Women Visiting Puskesmas Lempake Muhammad Nur Huda; Ratno Ardianto; Nur Rohmah; Rahmat Bahtiar
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain key health indicators in Indonesia. According to data from the Indonesian Ministry of Health (2023), maternal deaths increased compared to the previous year. This study aimed to describe the delivery place preferences among pregnant women visiting Puskesmas Lempake and the factors influencing their decisions. Objective : To identify the characteristics and delivery place preferences planned by pregnant women attending Puskesmas Lempake Research Methods/ Implementation Methods : A descriptive quantitative study was conducted among all third-trimester pregnant women who visited Puskesmas Lempake in September 2025, with total sampling applied. Data were collected through structured questionnaires and secondary medical records. The data were analyzed using descriptive statistics of frequency and percentage Results : Most pregnant women were aged 20-35 years and had a senior high school level of educaction. Hospitals were the most preferred delivery places, followed by private clinics or independent midwives, and Puskesmas Lempake. Decisions regarding delivery place were primarily made by the pregnant women themselves and were largely supported by their husbands. Distance, cost, and family advice were the main reasons for choosing Puskesmas, while those who did not choose it cited inadequate facilities and previous clinical complications. Conclusion/Lesson Learned : The study highlights the need to strengthen health promotion and improve delivery facilities at Puskesmas Lempake. Increasing medical staff, particularly emergency doctors, and educating pregnant women and families about the importance of delivering at healthcare facilities are strongly recommended to reduce MMR and IMR.
Health Behaviour in Family Planning Service Utilization and Policy Implications for Health Promotion in Indonesia. Muhammad Ragil Dzihnu Sulkhi; Nur Rohmah; Ratno Ardianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The utilization of modern contraceptive methods has shown little improvement over the past decade. This stagnation indicating that barriers to Family Planning (FP) utilization may be rooted not merely in awareness or attitudes, but in access and service constraints within the health system. Objective : this study aims to examine the determinants of access and service barriers to family planning utilization in East Kalimantan, Indonesia. Research Methods/ Implementation Methods : This study is a cross-sectional design utilizing secondary data from the Indonesian Family Data Updating Survey 2024. A total of 217536 married women of reproductive age (15-49 years old) were included. Independent variables were age, marriage age, education level, insurance status, employment status, and ideal number of child. Dependent variable were barriers to family planning service. Chi-Square tests and Logistic Regression were included. Results : Of the 217,536 married women of reproductive age, the majority of respondents reported barriers categorized as non-access (57.4%) and (42.0%), only 0.6% reporting access barriers. Bivariate analysis established that all factors examined were significantly associated with the type of reported barriers. Service barriers were strongly determined by women aged 35–49 years (OR = 5.266), no formal education (OR = 1.155), informal occupation (OR = 1.178), and desiring more than two children (OR = 1.659). Access barriers was influenced by uninsured women (OR = 1.754) and no formal education (OR = 2.526). Conclusion/Lesson Learned : Policy interventions that enhance the availability, affordability, and quality of contraceptive services is essential to help the Indonesian Government designing integrated contraceptive programs to reduce inequalities in access and service barriers.