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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 133 Documents
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Quality of Service and Satisfaction Level of Non-National Health Insured Inpatients at K Referral Center Hospitals Widyaputri, Anak Agung Ayu Wanda; Sriatmi, Ayun; 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.v8i2.26356

Abstract

Introduction: The results of the community satisfaction survey at K Referral Center Hospital in 2019-2023 showed a decrease in patient satisfaction. In inpatient installation, satisfaction levels reached only 83.53% in May 2024, below the minimum standard of 90% set by the Ministry of Health (Kepmenkes Number 129 / Menkes / SK / II / 2008) for inpatient care. This study aimed to identify the level of satisfaction regarding the quality of inpatient services among non-national health insurance patients.Methods: This was a cross-sectional quantitative study. Sample calculation using the proportional sampling technique with accidental data collection for 97 non-national health-insured inpatients in January-February 2025. Data were processed using the chi-squared relationship test with SERVQUAL variables.Results: Most patients were satisfied (60.8%) with the services they received, whereas the others were dissatisfied (39.2%). A significant relationship was found between the tangible dimensions, responsiveness, reliability, and patient satisfaction. No significant relationship was found between the dimensions of empathy, assurance, and patient satisfaction.Conclusion: Inpatients satisfaction in K referral Hospital is related to the facilities owned by the hospital, attitudes of medical personnel, speed of response to complaints, and reliability of officers in providing services that can increase trust in health services
Obstacles and Challenges in Implementing Hospital Management Information System (A Study of Public and Private Hospitals in Padang City) Sari ZA, Ayulia Fardila; Putri, Saliya Oryza; Alifa, Juliza Nurul; Siswati, Sri
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.v8i2.28754

Abstract

.Introduction: Digital transformation in the health sector requires hospitals to implement the Hospital Management Information System (HMIS); however, problems remain in its implementation. This study aimed to analyze the obstacles and challenges in implementing an HMIS in Padang City. Methods: This descriptive qualitative study was conducted between March and July, 2024. The study was conducted in two hospitals in Padang City: one public hospital and one private hospital. The research participants were 16 people who were identified through purposive sampling. Data were collected through in-depth interviews, observations, and review of documents. Data processing consisted of data collection, reduction, and presentation, with content analysis. Source and method triangulation were used to ensure data validity.Results: Public hospitals have conducted internal training and have an adequate IT team, while private hospitals do not have formal training and lack IT personnel. From an organizational perspective, public hospitals show strong managerial support in the form of budget allocation and cross-unit coordination, whereas private hospitals face limitations in the integration of Electronic Medical Records (EMR) and SATUSEHAT. In terms of technology, both hospitals face obstacles due to slow Internet networks, but public hospitals are better prepared in terms of hardware infrastructure.Conclusion: The success of an HMIS implementation depends heavily on the alignment of human, organizational, and technological aspects. Private hospitals require stronger support in terms of training, infrastructure, and policies to compete with public hospitals in the digital transformation of health care services.
Evolution of Maternal Care-Associated Infections at Bogdogo University Hospital in Burkina Faso Nana, Félicité Wendin-Manegdé; BA, Absatou; SO, Abdoulaye; Ouattara, Adama; Poda, Ghislain G; Ouedraogo, Charlemagne; Drabo, Maxime Koine
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.v8i2.26880

Abstract

Introduction: Healthcare-associated infections (HAIs) are major public health issues in healthcare facilities. It is one of the main causes of maternal mortality, particularly in developing countries, where infrastructure and infection control measures are often inadequate. This study aimed to determine the prevalence, most common infections, and responsible pathogens and antimicrobial resistance patterns of maternal HAIs in a healthcare facility in Burkina Faso. Methods: This retrospective cross-sectional study was based on the patients' medical records between 1 and 30 March 2025. Data from patients who developed HAIs between 2018 and 2022 were collected, with a focus on endometritis, surgical site and urinary tract infections. The causative organisms were identified, and their resistance to antimicrobials was tested. Total sampling technique was used, based on available data. Trends and factors influencing the prevalence of HAIs were also analyzed.Results: The overall prevalence of HAIs was 4.27%. The most common infections were endometritis (2.17%), urinary tract infections (1,36%), and surgical site infections (0.74%). The main pathogens identified were Enterobacteriaceae (43.3%), yeasts of the Candida genus (30.8%), and staphylococci (11%). Antimicrobial resistance was high, particularly multidrug resistance, in E. coli and K. pneumoniae strains, as well as a notable rate of methicillin-resistant Staphylococcus aureus (MRSA) at 19.04%. Conclusion: The prevalence of HAIs is high, and multidrug-resistant pathogens are a major complication. There is an urgent need to strengthen infection prevention strategies, improve microbiological surveillance, and promote rational use of antibiotics to control the spread of resistance.
The Effectiveness of Cadre Training in Interpreting Toddler Nutritional Status using Anthropometric Indicators Fithri, Hanifa Amalia; Budiastutik, Indah; Saleh, Ismael; Marlenywati, Marlenywati; Permata, Widya
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.30145

Abstract

Introduction: Anthropometric knowledge is important for assessing nutritional status; however, measurement errors can affect data quality. Therefore, it is necessary to improve the capacity of the cadres to increase the accuracy of the nutritional data. This study aimed to determine the effectiveness of cadre training in improving their ability to interpret the nutritional status of toddlers using  anthropometric indicators.Methods: This study used a quantitative research methodology with a quasi-experimental, one-group, pretest-posttest design. The training methods used were equipment preparation, presentation of nutrition and anthropometry theory, discussion, demonstration, and measurement practice by trainers. The training research subjects were 39 posyandu cadres selected through purposive sampling method. Data analysis was performed using a paired t-test.Results: The cadres were mostly in the age group of 31-40 years, housewives, and more than half of them were in junior high school level and below. The training model improved the cadres’ knowledge in the interpretation of the anthropometric measurement results from a score of 4.79 to 6.74 after the training, with p=0.0001, indicating a significant improvement.Conclusion: Cadre training significantly improved the ability to interpret toddlers’ nutritional status based on anthropometric indicators, supporting more accurate growth monitoring and early detection of nutritional problems at the community level.
A Scoping Review of Strategic Approaches to Enhance Maternal Health and Antenatal Care Services in Coastal Areas Wahyuningsih, Windu Syawalina; Rajagukguk, Vivi Rosalin; Laro, Maria Natalia
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.29232

Abstract

Introduction: Globally, maternal mortality remains a major public health concern, with an estimated 223 maternal deaths per 100,000 live births and more than 800 women dying every day from preventable pregnancy-related causes. The burden is disproportionately high in low-resource settings, including coastal and island regions. This review aimed to identify the strategic approaches implemented to improve maternal health and antenatal care in these areas.Methods: A systematic search was conducted for studies published from 2000 to April 2025 in the PubMed, Scopus, and ScienceDirect databases. Of the 1,054 articles identified, 1,017 were screened, 54 met the eligibility criteria for full assessment, and 41 studies were ultimately included in the review.Results: The findings revealed several key strategies: mobile clinics, outreach services, and emergency transportation for pregnant women (n=6); telemedicine and mHealth initiatives (n=12); engagement of community health workers and local personnel (n=13); strengthening maternal waiting homes, delivery systems, and referral mechanisms; and integration of ANC with other health programs (n=10). These approaches highlight efforts to overcome socioeconomic, geographic, and cultural barriers to accessing essential maternal health services in coastal regionsConclusion: We recommend empowering local health workers, leveraging technology for outreach, strengthening referral and transport systems using data for targeted actions, and fostering community engagement to improve maternal health outcomes in coastal regions. Understanding the effectiveness and challenges of these strategies is crucial for developing context-specific interventions to reduce maternal mortality and enhance ANC coverage in underserved coastal communities. 
Prognostic Factors of Severe Dengue Based on Individual Characteristics And Laboratory Examination: A Scoping Review Manggar Sari, Arlyn; Susanti, Dwi; Fauzi, Muh; Dharmawan, Yudhy
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.27334

Abstract

Introduction: Dengue fever is a major health problem in 48 countries worldwide. Complications and death can occur in patients who experience shock or prolonged infection. Dengue severity can be predicted based on individual characteristics and laboratory test results. However, previous studies have reported different prognostic factors. This review aimed to identify the characteristics and laboratory findings associated with severe dengue.Methods: The inclusion criteria were observational studies published between January 2016 and May 2025 in the Scopus, PubMed, and Google Scholar databases, written in Indonesian or English, and available in full texts. Articles other than observational studies and those that did not provide PR/OR/RR were excluded from the study. Thirteen studies were eligible for assessment. This study followed the Preferred Reporting Items for Systematic Literature Reviews and Meta-Analyses (PRISMA) guidelines.Results: Patient characteristics that served as prognostic factors for severe dengue included male sex, abnormal nutritional status, age 15–49 years, presence of comorbidities, and receiving health care for more than 1–2 days of hospitalization. Laboratory findings that act as prognostic factors include hemoconcentration, thrombocytopenia, leukopenia, and low hemoglobin levels. Based on patient characteristics, the dominant prognostic factors were comorbidities, nutritional status, and duration of healthcare. According to the laboratory findings, the dominant factors were hemoconcentration and thrombocytopenia.Conclusion: The dominant prognostic factors for severe dengue are comorbidities such as hypertension, cardiovascular disease, and hemoconcentration. Further studies using a robust and comprehensive methodological approach are needed to validate the relationship between these prognostic factors.
Application of the Health Belief Model in Adherence to Iron Supplement Consumption Among Female Students at Universitas Diponegoro Alif, Dzaki Aziz Naufal; Prabamurti, Priyadi Nugraha; Handayani, Novia
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.26914

Abstract

Introduction: Anemia, a deficiency of red blood cells, is common in adolescent girls. The Indonesian government has an iron supplement program targeting school-aged girls. Female university students are not included. Consequently, iron supplement intake depends on individual choices. This study aimed to identify the factors associated with adherence to iron supplement consumption as a preventive measure against anemia among female students at Universitas Diponegoro.Methods: This was a quantitative study with a cross-sectional approach using interviews and questionnaires. The sample of this study was 384 respondents from 33,156 female students of Universitas Diponegoro in 11 faculties and one vocational school using the proportional sampling method, with the inclusion criteria being active diploma/undergraduate students who consented. This study employed univariate and bivariate analyses using chi-square tests.Results: The results indicated a significant relationship between iron supplement adherence and knowledge of anemia (p=0.001), knowledge of iron tablet consumption (p=0.001), perceived susceptibility (p=0.001), perceived severity (p=0.001), perceived benefits (p=0.001), perceived barriers (p=0.001), self-efficacy (p=0.001), and cues to action (p=0.001). However, no significant relationships were found between iron supplement adherence and age (p=0.570), level of study (p=0.127), allowance (p=0.958), or place of residence (p=0.793).Conclusion: Knowledge of anemia, knowledge of iron tablet consumption, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action are associated with iron supplement adherence among female students at Universitas Diponegoro in Semarang.
The Association Between Dietary Fiber Intake and Central Obesity With Hypertension Among High School Teachers at SMA 1 and SMA 2 Sumenep Kiptiya, Mariyatul; Jannah, Miftahul; Purnasari, Galih; Amareta, Dahlia Indah
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.28273

Abstract

Introduction: Hypertension is often referred to as a silent killer because it generally presents without any symptoms or complaints. The number of hypertension cases in Sumenep Regency increased from 70,870 in 2022 to 103,873 in 2023. Central obesity and fiber intake play important roles in hypertension. This study aimed to analyze the association between dietary fiber intake and central obesity with the incidence of hypertension in teachers.Methods: This analytical study used a cross-sectional design. A random sampling method was used to select 68 respondents for this study. A digital sphygmomanometer was used to monitor blood pressure, and a measuring tape was used to measure waist circumference to assess central obesity. Dietary fiber consumption was evaluated using a Semi-Quantitative Food Frequency Questionnaire. Chi-square test was used for statistical analysis.Results: Most respondents were mostly between 25-44 years, were non-smokers, and had no family history of hypertension. Sodium intake was mostly higher than the recommended level, and fiber intake was mostly inadequate. Most of the subjects had central obesity and normotension. The study showed no association between dietary fiber intake and the incidence of hypertension among the teachers (p = 0.248).  There was ans association between central obesity and the incidence of hypertension among teachers (p = 0.006), in which the ones wo had central obesity tended to had hypertension compared to the ones who had no central obesity.Conclusion: Central obesity is associated with hypertension among high school teachers in Sumenep. 
Surgical Site Infections at the General Referral Hospital of Niamey, Niger Nana, Félicité Wendin-manegdé; Soumana Zataou, Abdourahamane; BA, Absatou; Hien, Herve; Poda, Gislain Gnimbar; Belemsaga, Danielle Yugbare; Drabo, Maxime Koine
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.28549

Abstract

Introduction: Surgical site infections (SSIs) are a significant cause of morbidity, driven by surgical practices and the increasing prevalence of antimicrobial-resistant pathogens. This study aimed to estimate the prevalence of SSIs at the General Referral Hospital of Niamey in 2023, characterize the affected patients, and analyze the isolated pathogens and their antimicrobial resistance profiles.Methods: A retrospective descriptive study was conducted on 1,625 medical records from digestive surgery, trauma orthopedics, neurosurgery, and intensive care units in 2023. SSI cases were identified using the national clinical criteria, and microbiological data were extracted from laboratory reports. Data were extracted from registers, medical records, nursing care files, and laboratory databases. Data validation and reliability assurance were performed through double data entry, completeness and consistency checks, and data collector training.Results: The SSI prevalence was 1.7% (28 cases), predominantly in trauma orthopedics and neurosurgery (36%). Among the 26 isolates, gram-negative bacilli represented 69%, mainly Escherichia coli (27%) and Pseudomonas spp. (15%). Gram-positive cocci accounted for 31% of cases, with Staphylococcus aureus (27%). Antimicrobial susceptibility testing (24 isolates) showed high resistance to third-generation cephalosporins (40–80%), presence of ESBL-producing Enterobacterales, and one MRSA isolate. Carbapenems remained highly effective (>90%), whereas fluoroquinolones exhibited moderate activity (40–60%).Conclusion: The predominance of multidrug-resistant gram-negative bacteria underscores the need to strengthen infection prevention and control measures, optimize antibiotic prophylaxis, and enhance microbiological surveillance within surgical units
Heat Stress, Workload, and the Increase of Blood Pressure among Workers in A Limestone Industry Hasanah, Eka Lutfiatul; Hartanti, Ragil Ismi; Syamila, Ana Islamiyah
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (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.v8i3.28497

Abstract

Introduction: Most workers in the limestone industry report health problems. Working under hot environmental conditions combined with strenuous labor increases the body’s oxygen demand, which increases the pulse rate and blood pressure. This study aimed to analyze the association between heat stress, workload, and increased blood pressure among limestone industry workers in Puger District, Jember Regency, Indonesia.Methods: This cross-sectional observational analytical study was conducted in a tertiary hospital in South Korea. Simple random sampling was used to include 41 subjects among 50 workers. Data were collected through interviews and measurements. Body weight and height were measured using a bathroom scale and microtoise, workload with a pulse oximeter, heat stress with the Heat Index WGBT Meter, and blood pressure using a digital tensimeter. Data were analyzed using Spearman’s correlation and chi-square tests with a significance level of 0.05.Results: Most of the participants were aged ≥45 years and had worked in the limestone industry for > 5 years. Most of the subjects had a normal BMI, had no history of disease, and 58.5% of them were moderate smokers. Older age (p=0.000), longer working period (p=0.001), smoking habits (p=0.006), higher workload (p=0.000), and heat stress (p=0.005) were significantly associated with higher blood pressure. Nutritional status (p=0.271) and history of disease (p=0.231) were not significantly associated with higher blood pressure.Conclusion: The limestone workers who had worked longer, had a higher workload, experienced heat stress, and were smokers had higher blood pressure

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