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All Journal Journal of Maternal and Child Health Proceeding Mulawarman International Conference on Tropical Public Health
Saptowati, Dewi
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Medicine & Pharmacology Public Health

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Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java Saptowati, Dewi; Mudigdo, Ambar; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis.Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier (b=-5.98; 95% CI= -8.83 to -3.13; p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness.Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.Keywords: visual inspection acetic-acid test, determinants, biopsychosocial, health belief modelCorrespondence: Dewi Saptowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: dewi.saptowati@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 197-206https://doi.org/10.26911/thejmch.2018.03.03.04
Assessing the Efficiency of Plastic Waste Management at Universitas Gadjah Mada Academic Hospital Putri, Anindya Monika; Wardani, Rifdah; Saptowati, Dewi
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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Background : Plastic waste from infusion bottles and hemodialysis solution containers constitutes a major component of hospital-generated hazardous waste (B3). Effective management of this material is essential to reduce environmental impact and promote sustainable hospital practices. The Universitas Gadjah Mada Academic Hospital (RSA UGM) has implemented a systematic approach to optimize its handling and utilization. Objective : This study aims to evaluate the utilization and effectiveness of managing infusion bottle waste and used hemodialysis solution containers at RSA UGM in terms of cost efficiency and microbial reduction. Research Methods/ Implementation Methods : This descriptive observational study applied a cross- sectional design. Primary data were obtained through observation and in-depth interviews, while secondary data were collected from hospital documents. Data collection was conducted between September and November 2021. The analysis focused on process efficiency, cost-effectiveness, and microbiological safety. Results : From January 2020 to October 2021, RSA UGM produced 16,467.17 kg of infusion and hemodialysis plastic waste, consisting of 76% infusion bottles and 24% jerrycans. The management process involved segregation, washing, chlorine disinfection, shredding, and licensed disposal. Microbial analysis indicated a substantial decrease in contamination levels—from 1.2×104 cfu/g before to 2.2×102 cfu/g after decontamination. Conclusion/Lesson Learned : The waste management system implemented at RSA UGM demonstrated microbiological effectiveness, indicating that structured handling and recycling of medical plastic waste can significantly support environmentally sustainable healthcare operations.
Study of the Prevalence and Determinants of Stunting Based on SSGI 2024 Data in East Kalimantan Saptowati, Dewi; Putri, Anindya Monika; Thohira, Morrin Choirunnisa; Wardani, Rifdah
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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Background : Stunting remains one of the major public health issues in Indonesia, particularly among children under five. The decline in stunting prevalence nationally shows a positive trend, but challenges remain at the regional level, including in East Kalimantan. Objective : This study aims to analyze trends in stunting prevalence and its determinants in East Kalimantan, using data from the 2024 Indonesian Nutritional Status Survey (SSGI), to inform regional policy interventions. Research Methods/ Implementation Methods : The method used is a descriptive, quantitative approach with a comparative analysis of national data Results : The results indicate that all districts/cities in East Kalimantan reported stunting prevalence rates above the national average in 2024, except for Kutai Kartanegara. Factors such as the high incidence of closely spaced pregnancies, low participation in prenatal classes, the proportion of babies born with low birth weight and short birth length (LBW and SBL), the quality of complementary feeding (MPASI), low consumption of iron tablets among pregnant women, limited coverage of vitamin A supplementation, low public awareness about stunting, suboptimal performance of family assistance teams, adequate sanitation and drinking water are believed to contribute to the high prevalence in East Kalimantan. Conclusion/Lesson Learned : These findings underscore the importance of sustainable, specific, and sensitive nutrition interventions, as well as a multisectoral approach involving families and communities. This study is expected to serve as a reference for local governments in developing evidence-based policies to accelerate stunting reduction in East Kalimantan.
Co-Authors Ambar Mudigdo Bhisma Murti Putri, Anindya Monika Rifdah Wardani Thohira, Morrin Choirunnisa