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Journal of Public Health for Tropical and Coastal Region
Published by Universitas Diponegoro
ISSN : -     EISSN : 25974378     DOI : -
Core Subject :
Journal of Public Health for Tropical and Coastal Region (JPHTCR) is an open access journal on public health as discipline and practices related to preventive and promoting measures to enhance health of the public in tropical and coastal regions. This focus includes area and scope such as biostatistics, epidemiology, health education and promotion, health policy and administration, environmental health, public health nutrition, sexual and reproductive health, and occupational health and safety. The journal employs peer-review mechanism where each submitted article should be anonymously reviewed by expert peers appointed by the editor. Articles published in this journal could be in form of original article.
Arjuna Subject : -
Articles 123 Documents
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Challenges in the Use of Personal Protective Equipment among Emergency Nurses in Burkina Faso Nana, Félicité Wendin-manegdé; Compaore, Mariguetou; So, Abdoulaye; Sanon, Sandrine; Poda, Gislain Gnimbar; Rouamba, Bertrand Guy; Drabo, Drabo Koine
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.26345

Abstract

Introduction: Healthcare-associated infections (HAIs) are a significant risk in emergency departments. The use of personal protective equipment (PPE) is essential to mitigate these risks, but factors influencing PPE use need further exploration. This study aimed to assess factors affecting PPE use among emergency nurses at Yalgado Ouedraogo University Hospital (CHUYO), Burkina Faso.Methods: A cross-sectional study, with a mixed method of quantitative and qualitative was conducted at Yalgado Ouedraogo University Hospital (CHUYO), Burkina Faso. Study participants were all of the nurses (25 nurses) and resource persons at Emergency Department. Data were collected through interviews using structured questionnaires for the quantitative data and in depth interviews and observations for qualitative data. Data analysis were done descriptively for quantitative data and content analysis and for qualitative data. Qualitative data then were categorized into themes.Results: Most of the participants (95.65%) acknowledged the importance of PPE. The challenge of PPE use were the insufficient availability, poor quality, inadequate training, no room for donning and doffing, no functional laundry service for cleaning reusable PPE, and supply issues. More than 75% of nurses worked without PPE due to stockouts. Hand hygiene compliance was notably low at just 23.33%.Conclusion: PPE's importance has been recognized by the emergency care nurses, however the challenges like insufficient and low quality stock and and infrastructure hinder its effective use. Improving management and training is crucial for enhancing PPE compliance and safety.
Factors Related to Pregnancy Incidents in Adolescents at Mebung Primary Healthcare Center Working Area, Alor Regency Malaikosa, Lianna Melina; Riwu, Yuliana Radja; Landi, Soleman
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.24427

Abstract

Introduction: The number of teenage (less than 20 years old) pregnancies at Mebung Primary Healthcare Center working area increased every year from 2020 to 2023. In 2020, there were 28 cases of pregnancy; increased to 30 cases in 2021 and 40 cases in 2022 until 50 cases in 2023. Thi study aimed to determine the factors of teenage pregnancies at Mebung Primary Healthcare Center, Alor Regency  working area.Methods: This quantitative study used a cross-sectional study design. The dependent variable was teenage pregnancy, while the independent variables were knowledge, attitudes, exposure to information, the role of parents, and the role of peers. The population in this study was 565 adolescents at Mebung Primary Healthcare Center working area. The subjects were 65 female adolescents, which was chosen through simple random sampling method. Data analysis were done through chi-square tests, with a significance level of 95% (α=0.05).Results: There was a significant association between knowledge (p=0.0001), attitude (p= 0.0001), exposure to information (p=0.0001), the role of parents (p= 0.006), the role of peers (p=0.0001) with the incidence of pregnancy in adolescents at Mebung Primary Healthcare Center working area.Conclusion: Lack of knowledge, attitude, information exposure, parents’ support, peers’ support could lead to a higher incidence of teenager’s pregnancy at Mebung Primary Healthcare Center working area.
Analysis on Smoking Behavior of Final Semester Students of Diponegoro University Semarang Pramita, Tiara Hasna Widya; Prabamurti, Priyadi Nugraha; Handayani, Novia
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.26113

Abstract

Introduction: World Health Organization (WHO) data showed that tobacco consumption causes millions of deaths each year. Research on the University of Riau students found that 22-year-old students, who worked on their theses, tended to smoke. Another study at Faculty of Medicine, Diponegoro University, showed that college students used cigarettes to cope with academic stress. This study aimed to determine factors associated to smoking behavior on final-semester students of Diponegoro University Semarang.Methods: This observational study used a cross-sectional design. The purposive sampling with the criteria of Undip students who were active members of Thesis World Community, X social media accounts who were working on their thesis on May-August 2024, on the 2018-2020 class who smoked, and agreed to fill out the research forms. This study included a total of 100 students. Data collection was conducted through gforms, disseminated online in the Thesis World Community. Data analysis was performed using the chi-square tests.Results: These variables were associated to light or heavy smoking behavior: father's education level (p=0.004), mother’s education level (p=0.001), knowledge about the dangers of smoking (p=0.003), family encouragement (p=0.001), peer encouragement (p=0.011), perceived vulnerability (p=0.001), perceived seriousness (p=0.020), perceived benefits (p=0.022), perceived barriers (p=0.001), suggestions from others (p=0.001), and family experience (p=0.032). The variables that had no association with heavy smoking behavior were age (p=0.394) and sex (p=0.796).Conclusion: The determinants associated with heavy students' smoking behavior were low parental education level, the dangers’ of smoking knowledge, family encouragement, peer encouragement, perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, advice from others, and family experience.
Determinants of Adolescent Health Service Use Evidence from X Community Health Center in Semarang City Budiyono, Shabrina Putri; Arso, Septo Pawelas; Budiyanti, Rani Tiyas
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.26389

Abstract

Introduction: “X” Community Health Center provides adolescent health services, including counseling, information, education, and an integrated adolescent health post. However, adolescent participation in this program remains very low, at only approximately 1.57%. The purpose of this study was to analyze the determinants of adolescent health service utilization in a Community Health Center working area.Methods: Cross-sectional quantitative research was carried out in the “X“ Community Health Center working area between November 2024 and February 2025. One hundred and two participants constituted the research sample, and the sample division employed clustered random sampling and the accidental sampling technique to obtain data. Data analysis was performed using the chi-squared test and Andersen's health service utilization theory.Results: In total, 54.9% of the adolescents did not optimally utilize health services. The determinants of adolescent health services were gender (p=0.025), knowledge (p=0.031), attitude (p=0.000), peer support (p=0.000), support from health workers (p=0.000), and access to information (p=0.000).Conclusion: Female, who had good knowledge, had peer and health workers’ support, and good access of information tended to use adolescent health services. Forming peer mentors to increase adolescent motivation, using educational media, and organizing interesting service programs, as well as disseminating information through “X“ Health Center social media
Epidemiology of Chikungunya Outbreak at Pelem Village, Boyolali, 2024 Presenta, Lorda; Adi, Mateus Sakundarno; Suhartono, Suhartono; Kuncoro, Teguh Tri
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.27593

Abstract

Introduction: There was no reported case of Chikungunya, during the last five years in Pelem Village, Boyolali, but on September 21, 2024, the Simo Health Center found a suspected case of chikungunya in Pelem Village. This study aimed to describe the chikungunya outbreak in Pelem Village, Boyolali Regency in 2024. Methods: A descriptive observational study was conducted based on epidemiological data according to the characteristics of people, places, and time. Data were collected through active case-finding, interviews using questionnaires, environmental observations, and confirmation cases using a Rapid Diagnostic Test (RDT). Results: A total of 54 cases were identified from June to September and were distributed across four hamlets. To confirm the outbreak, RDT was performed in 11 cases, and seven cases were positive for chikungunya. Common symptoms included fever and joint pain (100.0%), rashes (66.7%), muscle pain (57.4%), headache (42.6%), and nausea (38.9%). The cases mainly occurred in female (51.9%), those aged 27-46 years (37.0%), and those with a medical history (63.0%). Wonokerti hamlets had the highest attack rate (9%). Of the 26 houses observed in the environmental observations, 11 houses were positive for larvae (42.3%) with a container index of 22.2% and a Density Figure indicating the potential for chikungunya transmission. Conclusion: The Chikungunya outbreak in Pelem Village occurred from June to September 2024. The 3M+ method (Burying, Draining, and Recycling) should be implemented to increase mosquito nest eradication and conduct periodic larval monitoring.
Factors Influencing Female Workers’ Perception of Sufficient Work Time: A Survey-Based Study Rahmawati, Nur Anisah; Kurniawati, Eighty Mardiyan
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.28822

Abstract

 Introduction: Women's participation in the labor market has increased significantly, yet challenges related to fair wages, long working hours, and work-life balance persist. This study addresses the factors influencing female workers’ perceptions of sufficient work time among female workers.Methods: This study used secondary data from the 2024 National Labor Force Survey conducted by Indonesia’s Central Bureau of Statistics, focusing on six industrial cities in East Java. A purposive sample of employed women aged 15 years and older with complete data on key variables was selected for the analysis. Data collection was conducted using Computer-Assisted Personal Interviewing (CAPI) through the FASIH application. Statistical analyses were performed with a significance level set at p < 0.05 and 95% confidence intervals (CI).Results: In total, 1,378 female workers completed the survey. Almost all the female workers (94.0%) felt that their working hours were sufficient. Education (p=0.014), length of work (p=0.07), payroll period (0.002), wages according to the district minimum wage (0.000), and long working hours (0.022) were related to perceived work time sufficiency in female workers, while age (p=0.624), marriage (p=0.642), vision impairment (p=0.956), and hearing loss were not related to perceived work time sufficiency.Conclusion: Employment conditions, education levels, and wage systems influenced how women perceive their work time adequacy. Adequate wages, access to education for women, and working hours within healthy limits can improve the work-life balance for women.
Analysis of Wastewater Quality at the Indonesian Red Cross (PMI) in Cilacap Regency Rakhmawati, Nita Sofia; Widuri, Hasri; Febrianti, Tessa Sukma
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.28045

Abstract

Introduction: Increasing volume of medical wastewater presents a significant challenge for environmental management, particularly in healthcare facilities such as the Blood Donor Unit (UDD) of the Indonesian Red Cross (PMI). Inadequate wastewater treatment can lead to environmental pollution and pose serious public health risks. This study aimed to evaluate the performance of a Wastewater Treatment Plant (WWTP) at the UDD PMI in the Cilacap Regency by analyzing key physical, chemical, and biological parameters.Methods: This study employed a descriptive, quantitative approach. Wastewater samples were collected from the WWTP outlet using random sampling. The samples were placed in sterile bottles, stored at low temperatures, and analyzed at Cilacap Environmental Agency Laboratory using standardized methods for water and wastewater examination (APHA, 2017). The parameters tested included pH, Biological Oxygen Demand (BOD), Chemical Oxygen Demand (COD), Total Suspended Solids (TSS), oil and grease, ammonia, and total coliform.Results: The physical parameter (TSS: 18 mg/L) and chemical parameters (pH: 8.0; BOD: 7 mg/L; COD: 10 mg/L; oil and grease: 1.9 mg/L; ammonia: <0.01 mg/L) were all within acceptable regulatory limits. However, the biological parameter of total coliforms exceeded the permissible threshold (>24,000 MPN/100 mL), indicating possible fecal contamination. This result highlights a significant risk to both public health and the environment.Conclusion: Although WWTP are equipped with standard treatment units, their disinfection process is insufficient, posing the potential risk of waterborne disease transmission (e.g., cholera). Therefore, immediate improvements in disinfection systems are recommended. 
New Wave Marketing and Reutilization of Out patient Services at “G” Clinic Aziza, Nafra; Budiyanti, Rani Tiyas; Nandini, Nurhasmadiar
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.28194

Abstract

Introduction: In the competitive healthcare industry, G Clinic has demonstrated successful marketing practices through the New Wave Marketing (NWM) approach, resulting in a 17.4% increase in repeat visits from self-paying general patients. This study aimed to analyze the correlation between NWM dimensions and reutilization of outpatient services at the G Clinic. Methods : A quantitative cross-sectional study was conducted from March to June 2025 at G Clinic, Bekasi City. A total of 110 respondents were selected using accidental sampling. Data were collected through direct interviews (80%) and self-administered questionnaires (20%). Data were analyzed using the chi-square test, with NWM as the independent variable and decision to reuse outpatient services as the dependent variable. Results: Most respondents were young adults (40.9%) and female (65.5%). The majority attained a higher level of education (98.2%). The most common employment status was private sector employment (27.3%). The predominant range of total family income was IDR 5,000,000–IDR 7,999,999 (30.9%). There was a significant relationship between patients' decisions to return and all the NWM dimensions: strategy (p=0.000), tactics (p=0.000), and value-added (p=0.000). This finding highlights the importance of each element in building patient loyalty.Conclusion: The three dimensions of New Wave Marketing—strategy, tactics, and value-added— are associated with the decision to reutilize outpatient services at the G Clinic. It is recommended to develop engaging social media content, design service flow infographics, use the WhatsApp Business API, and launch a Patient Experience Highlight program. Other clinics should also showcase service catalogs on social media, monitor digital reviews, and apply consistent brand guidelines.
Affordability Assessment of Community Health Centre Services in Klaten Regency Cahyoko, Fajar Dwi; Aditya, Nanda Oktarina; Darusasi, Restutita; Kurniawati, Lucky Anggi; Nurmaulid, Mitha Safira
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.27504

Abstract

Introduction: The existence and affordability of community health centers play a crucial role in supporting the achievement of health development goals. Klaten Regency as one of the regions in Central Java Province has various geographical characteristics and population densities, which resulted in inequality in access to health. This study aimed to assess the affordability of community health center distribution in the Klaten Regency by 2025.Methods: This study was conducted descriptively. Secondary data were obtained from the Klaten Regency Health Profile 2023 for distribution by sub-district and Google Earth for geographic coordinates. Spatial analysis was conducted using Nearest Neighbor Analysis (NNA) to determine distribution patterns, and buffer analysis to assess service coverage. Results: The NNA produced a T-ratio of 1.54, indicating a dispersed distribution of community health centers. Buffer analysis with a 3,000-meter service radius showed that many residential areas remain outside the reach of existing facilities.Conclusion: The Klaten Regency Government should prioritize accessibility to health services through strategic mapping of health workers and facilities, providing incentives for staff in underserved areas, and optimizing health technology to improve service coverage.
The Association between Energy and Protein Density with Obesity among Adults in Tembokrejo Sub-District, Pasuruan City Adistyrianti, Ludya Cahyani; Jannah, Miftahul; Amareta, Dahlia Indah; Elisanti, Alinea Dwi
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.28267

Abstract

Introduction: Adult obesity is a major nutritional concern, with a national prevalence of 21.8% and 22.4% in East Java Province and 19.9% in Pasuruan City, respectively. Consumption of energy- and protein-dense foods, combined with low physical activity and urban lifestyle patterns, were the main contributing factors. This study aimed to examine the association between energy density, protein density, and obesity among adults in the Tembokrejo Sub-District of Pasuruan City.Methods: This was an analytical observational study with a cross-sectional design involving 192 adult respondents selected through simple random sampling. The researchers and enumerators visited one of the residents houses, where several respondents were located within the same neighborhood unit. Energy and protein density were assessed using the 2 days of 24-h food recall method, while obesity was determined based on Body Mass Index (BMI) calculated from measured height and weight. Data analysis was conducted using the chi-square test.Results: There were 68.2% of women respondents in the study. About a third were aged 19.29 years, 30-50 years and > 50 years, respectively. Individuals consuming high-energy-dense foods were 14 times more likely to develop obesity (p=0.000), whereas those consuming high-protein-dense foods are 2 times more likely to develop obesity (p=0.001).Conclusion: Energy and protein densed food consumptions associated with obesity among adults in Tembokrejo Sub-District, Pasuruan City. It is recommended that the community regulates the consumption of high-energy and protein-dense foods as a preventive measure against obesity.

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