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International Journal of Public Health Science (IJPHS)
ISSN : 22528806     EISSN : 26204126     DOI : -
Core Subject : Health,
International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world wide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : -
Articles 1,427 Documents
Community-based turmeric tea intervention for hyperuricemic elderly in Manado, Indonesia Ellen Pesak; Ni Luh Jayanthi Desyani; Tinneke A. Tololiu; Jane Annita Kolompoy; Herlina P. Memah; Bongakaraeng Bongakaraeng; Rommy David Watuseke; Yanni Karundeng; Lorrien Grace Runtu; Debora Yuriska Rau
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27073

Abstract

Hyperuricemia, with a global prevalence of approximately 14.0% in the general population and rising to 24.0% among the elderly, represents the second most prevalent metabolic disease after diabetes and constitutes a significant public health burden. This study aimed to determine the effectiveness of turmeric tea in reducing blood uric acid levels in hyperuricemic elderly. A quasi-experimental design with a pretest-posttest control group approach was employed, involving 140 respondents equally divided into an intervention group (n = 70) receiving 1000 mg/day of turmeric tea and a control group (n = 70) receiving standard health education. Blood uric acid levels were measured using a portable uric acid meter. Data were analyzed using the Paired Sample t-test, the Independent Sample t-test, and multiple linear regression. The intervention group demonstrated a significant reduction in mean uric acid levels from 8.46 ± 1.32 mg/dL to 6.78 ± 1.18 mg/dL (mean difference = 1.68 mg/dL; p = 0.000), while the control group showed no significant change (8.39 ± 1.28 to 8.21 ± 1.25 mg/dL; p = 0.137). The effect size was large (Cohen's d = 1.23). Multiple regression confirmed turmeric tea as the strongest predictor of uric acid reduction (B = 1.472; p = 0.000). Turmeric tea effectively reduces blood uric acid levels in hyperuricemic elderly and holds potential for integration into community-based elderly health programs as an accessible and affordable complementary therapy for hyperuricemia management.
Empowerment-based ToT HIV intervention among Indonesian construction workers: a quasi-experimental study Anisful Lailil Munawaroh; Fatma Lestari; Baiduri Widanarko
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27117

Abstract

Preventing HIV/AIDS in high-risk workplaces remains a public health priority, particularly in the construction sector. However, empirical evidence on structured, sustainable, and empowerment-based Training-of-Trainers (ToT) interventions for HIV prevention in Indonesian construction workplaces remains limited. This study evaluated a ToT-based intervention designed to build internal peer-facilitator capacity among construction workers and to strengthen workplace HIV prevention through a feasible, scalable, and participatory model. MA quasi-experimental single-group pre-test-post-test study was conducted among 30 construction workers attending a two-day facilitator training. HIV/AIDS knowledge was assessed before and immediately after training using a structured questionnaire. Paired-sample t-tests, Wilcoxon signed-rank test, Cohen’s dz, and thematic content analysis were applied. Results: Mean knowledge scores increased significantly from 60.00 (SD = 12.66) to 91.33 (SD = 7.65), with a mean difference of 31.33 (95% CI: 26.76-35.90; p < 0.001). These findings suggest that peer-facilitator training may be a promising workplace health promotion strategy to strengthen HIV prevention capacity in construction settings, although further controlled studies are needed. Qualitative findings highlighted increased confidence, perceived relevance, and stronger peer networking. The ToT-based intervention was associated with substantial short-term gains in HIV/AIDS knowledge among construction workers and may help strengthen internal workplace prevention capacity. Further controlled studies with longer follow-up are needed to confirm its effectiveness and sustainability.
Association between educational level and diabetes knowledge among older adults with type 2 diabetes in Bandung City: a cross-sectional study Citra Windani Mambang Sari; Hartiah Haroen; Neti Juniarti; Lisda Amalia; Jerico Franciscus Pardosi
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26915

Abstract

Diabetes mellitus (DM) is a major non-communicable disease among older adults and a growing public health problem in Indonesia. Older people often have limited health literacy, which may affect their knowledge and self-management of DM. This study aimed to analyze the relationship between education level and knowledge about DM among the elderly in Bandung City, West Java. A descriptive cross-sectional study was conducted on 150 elderlies with type 2 DM using purposive sampling at primary health care facilities with high DM cases. Data were collected through structured interviews using a demographic questionnaire and a 15-item multiple-choice questionnaire on DM knowledge that had been tested for validity and reliability previously, adapted from an Indonesian diabetes self-management instrument. Knowledge scores were categorized into good and poor. Data were analyzed using the Chi-square test. Most respondents had an elementary or high-school education. The majority of the elderly with higher education levels had good knowledge about DM, while those with lower education levels tended to have poorer knowledge. There was a statistically significant association between education level and elderly knowledge about DM (p<0.001). Education level is significantly associated with DM knowledge among the elderly in Bandung. These findings highlight the need for a tailored continuity of care diabetes program, especially for the elderly with lower educational attainment, in order to improve self-management and glycemic control.
Oxytocin massage and clary sage aromatherapy on lactation and uterine recovery Rahmadini Faricha Hakim; Dyan Permata Rachim; Hindun Mila Hudzaifah; Ulfa Farrah Lisa; Dina Taufia; Fathiya Ilma Shabrina
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26928

Abstract

The postpartum period is a critical phase in maternal health, during which inadequate lactation and delayed uterine involution may contribute to an increased risk of complications. This study aimed to determine the effectiveness of combined oxytocin massage and clary sage aromatherapy on lactation and uterine involution in women during the postpartum period. A quasi experimental study was conducted among 30 participants (15 controls; 15 intervention). In the control group, mean breast milk volume increased from 32.00 ± 14.74 mL to 105.33 ± 18.07 mL (Δ = 73.33 ± 17.29; p < 0.001). In the intervention group, it increased from 37.00 ± 24.04 mL to 98.33 ± 40.39 mL (Δ = 61.33 ± 36.62; p<0.001), with no significant intergroup difference (p = 0.265). However, uterine involution differed significantly between groups (Mann-Whitney U = 43.000, Z = -2.932, p = 0.003). The combined intervention may serve as a complementary strategy to enhance uterine recovery, although its effect on breast milk production was not statistically superior to standard care.
Assessing the effectiveness of a semi-annual monitoring model for data analysis and use in routine immunisation in Benin Lamidhi Salami; Yolaine Glele Ahanhanzo Hessou; Jean Pierre de Lamalle; Alphonse Biaou; Moussiliou Noël Paraïso
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26936

Abstract

Routine immunisation programmes generate large volumes of data, yet their effective analysis and use for decision-making remain limited at the operational level. For over three decades, Benin has institutionalized a semi-annual monitoring system to assess effectiveness, quality, and develop problem resolution plans (PRPs). This study evaluated its effectiveness in fostering data analysis and use within vaccination services. A descriptive cross-sectional study using mixed methods was conducted from January to June 2025 in eleven health centers across four departments. Data collected via direct observation, semi-structured interviews (n = 38), and document review underwent descriptive and qualitative analysis. Input availability and service accessibility remained optimal (100%). Variability persisted in utilisation, continuity, and quality, with recurrent over-coverage rates. During self-monitoring, technical tasks were frequently performed, whereas in-depth analysis and PRP development were limited (9.09%). Although 90.9% of centers had PRPs, their quality was mostly acceptable, with low innovation and weak follow-up mechanisms. Community participation was irregular. Nevertheless, 81.82% of managers perceived PRPs as contributing to improved vaccination performance. Semi-annual monitoring remains functional and relevant; however, strengthening analytical capacity, digital tools, follow-up mechanisms, and community engagement is essential to institutionalise a sustainable culture of data use for decision-making.
Effectiveness of telerehabilitation versus home exercise in knee osteoarthritis: a quasi-experimental study in Indonesia Grenda Aprilyawan; Inayah Ageng Izza; Lanendo Raufbar Ramdan Suwanda; Made Mahaguna Putra
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26860

Abstract

In Indonesia, osteoarthritis affects about 7.30% of the population, with its occurrence rising markedly as people age. The condition is found in 11.08% of individuals aged 45-54 years and increases to 18.85% among those older than 75 years. A large proportion of individuals with knee osteoarthritis (KOA) lead inactive lifestyles and often lack adequate encouragement to engage in physical activity. Exercise is known to be beneficial, as it helps regulate cytokine activity in synovial fluid while reducing inflammation and oxidative stress. This research aimed to evaluate the comparative effectiveness of telerehabilitation and home-based exercise interventions for individuals with KOA. A quasi-experimental approach with pre- and post-intervention assessments and a control group was applied. The study involved 120 participants diagnosed with osteoarthritis, who were assigned to either an intervention group receiving an 8-week telerehabilitation program or a control group performing standard exercises independently. Outcome measures: 30-CST, pain intensity, physical activity levels assessed using IPAQ, fear of movement measured by the Tampa Kinesiophobia Scale, and FSS. These variables were assessed before and after the intervention. Additionally, adherence to exercise (EARS) and patient satisfaction were recorded. Statistical analysis was conducted using the Mann-Whitney test and the Wilcoxon signed-rank test.
Comparative effects of desflurane and sevoflurane on recovery time in patients undergoing modified radical mastectomy: a cross-sectional study Muhammad Rodli; Suryanto Suryanto; Reko Priyonggo; Sindu Sintara; Annes Rindy Permana; Widigdo Rekso Negoro
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26903

Abstract

Fast and predictable recovery is essential in breast cancer surgery, yet comparative evidence on inhalation anesthetics within Indonesian clinical settings remains limited. This study compared the effectiveness of desflurane and sevoflurane on early recovery time after modified radical mastectomy. A cross-sectional design was applied to 76 ASA I-II female patients who received standardized induction, maintenance, and Aldrete-based recovery assessment. Recovery was categorized as fast (≤10 minutes) or delayed (>10 minutes). Statistical analysis used Chi-square testing, supported by effect size and risk ratio estimation. Desflurane demonstrated significantly faster recovery than sevoflurane (97.4% vs 78.9%, p = 0.014). The association showed a moderate effect size (Cramér’s V = 0.30), and patients receiving sevoflurane were substantially more likely to experience delayed recovery (RR = 8.3). These results align with recent studies highlighting desflurane’s lower blood-gas solubility and faster elimination profile. The homogeneous sample and standardized anesthetic protocol strengthen internal validity. However, the non-randomized design, purposive sampling, and absence of documented adverse events limit generalizability. Desflurane may offer practical benefits in improving post-anesthesia care unit (PACU) efficiency and surgical throughput in high-volume settings. Further multicenter randomized studies are recommended to confirm these findings and explore broader clinical implications.
The effect of emotion card games on emotional intelligence among elementary school-aged children: a quasi-experimental study in Mataram, Indonesia Moh. Arip; Sri Susantini; Martha Meti Kodi; Melati Inayati Albayani; Novi Enis Rosuliana
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27032

Abstract

Emotional intelligence is a key skill influencing adaptation, communication, and personal growth in elementary school-aged children. Emotional card games offer a promising interactive approach to enhance children's emotional competencies. To analyze the effect of emotional card games on the emotional intelligence of elementary school-aged children. A quasi-experimental pretest-posttest control group design was conducted among 77 first-grade students at MI Mambaul Khair NW Bertais Mataram in 2025. The intervention group (n = 39) participated in three sessions of an emotional card game, while the control group (n = 38) received no intervention. Emotional intelligence was measured using a validated 24-item questionnaire. The intervention group demonstrated a significant increase in emotional intelligence scores from pre-test to post-test (p = 0.007), whereas the control group showed no significant change. Between-group comparison confirmed significantly higher post-test scores in the intervention group (p = 0.006). After adjusting for confounding variables and baseline scores, the intervention effect remained statistically significant (p < 0.001). Emotional card games effectively improve emotional intelligence among elementary school-aged children. These findings support the integration of game-based social-emotional learning strategies into elementary school curricula. School health practitioners and educators can utilize this low-cost, engaging intervention to promote children's emotional well-being and support holistic child health development.
Hemodynamic stabilization in cesarean section patients administered spinal anesthesia: a quasi-experimental study comparing ephedrine and phenylephrine Sindu Sintara; Annes Rindy Permana; Widigdo Rekso Negoro; Suryanto Suryanto; Reko Priyonggo; Muhammad Rodli
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26957

Abstract

This quasi-experimental research aimed to compare the effects observed following the administration of ephedrine 10 mg and phenylephrine 50 mg administered as therapeutic bolus doses for the management of intraoperative hypotension due to spinal anesthesia in cesarean section. The study involved 60 parturients who developed intraoperative hypotension during spinal anesthesia, who were divided into two groups treated with either phenylephrine or ephedrine. Maternal blood pressure, including systolic and diastolic values, was assessed pre- and post- vasopressor administration and analyzed using descriptive statistics, normality testing, and independent-samples t-tests. Both vasopressors were associated with increased maternal blood pressure following intervention, with no significant differences observed at baseline. However, between-group comparisons revealed statistically significant differences in post-intervention systolic and diastolic blood pressure (p < 0.05), indicating distinct hemodynamic response profiles. These findings demonstrate the effectiveness of both ephedrine and phenylephrine in treating hypotension associated with spinal anesthesia; vasopressor selection influences maternal blood pressure outcomes. From a practical perspective, this study provides clinically relevant evidence to inform anesthetic decision-making in maternal healthcare services, particularly in settings where therapeutic bolus administration is routinely utilized for the management of hypotension associated with spinal anesthesia.
Water quality assessment of the Banong River receiving effluent from Sleman Public Hospital Muchsin Maulana; Didik Setiawan; Wonder N. Dlamini
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26854

Abstract

Hospital effluent has the potential to release both chemical substances and pathogenic microorganisms into surrounding water bodies, creating hazards for the environment and human health. There is a scarcity of studies in Indonesia that assess the impact of hospital wastewater on river ecosystems using benchmark regulations. This study measured the quality of wastewater at a point 50 meters before discharge and 50 meters after the wastewater treatment plant by analyzing six main parameters of temperature, potential of hydrogen (pH), Biochemical oxygen demand (BOD), chemical oxygen demand (COD), total dissolved solids (TDS), and total suspended solids (TSS), then compared with the water quality standards according to the Regulation of the Governor of the Special Region of Yogyakarta No. 20/2008. This study found that although temperature and pH remained within acceptable ranges, higher BOD, COD, and TDS levels downstream indicated that hospital wastewater was adding to the river's organic and chemical pollution. Improved wastewater treatment processes and consistent monitoring are essential to protect ecosystem integrity and public health.

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