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Gedung B Jurusan Kesehatan Masyarakat Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman Jl.dr. Soeparno Karangwangkal, Purwokerto Utara Jawa Tengah, Indonesia
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Insights in Public Health Journal
Published by Universitas Jenderal Soedirman
ISSN : -     EISSN : 27226603     DOI : -
Core Subject : Health,
Health Professions Public Health
The aim of the Journal is to provide a venue for disseminating and sharing scientific information related to public health and health sciences Scope : The Journal publishes research papers, original articles, and reviews on public health and health sciences issues. The Journal is aimed at academics, researchers, policymakers, academic institutions, health professionals and others interested in public health and health sciences.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 92 Documents
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Prevalence and Determinants of Virological Non-Suppression Among HIV Infected Adolescents on Antiretroviral Treatment At Kanyama General Hospital, Lusaka, Zambia Siameka, Daniel; Muyoyeta, Monde; Kaonga, Patrick
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.11909

Abstract

Background Zambia continues to face challenges in addressing the HIV epidemic among adolescents. Despite implementing various interventions to improve viral suppression among adolescents, the proportion of adolescents achieving viral load (VL) suppression remains low compared to the adults, and below the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95% target. Therefore, the study estimated the proportion and determined the factors associated with non-suppression among HIV infected adolescents on antiretroviral treatment at Kanyama General Hospital, Lusaka, Zambia Methods A cross-sectional study was conducted using routinely collected data from SmartCare on adolescents (10 – 19 years) receiving ART for the period 1st January 2020 to 30th September 2022. Demographic and clinic characteristics data was extracted. The study defined virological non-suppression as having VL count ≥1000 RNA copies/mL. The study used multivariable logistic regression to identify factors associated with virological non-suppression. Data analysis was conducted in Stata 14. Results Of the 415 study participants, majority were 15-19 years (62.4%, 259/415) were female (56.6%, 235/415). The proportion of non-suppression was 5.8% (24/415, 95% CI=0.04-0.08). Age and sex showed no significant association with virological non-suppression, indicated by p-values of 0.089 and 0.310, respectively. Both treatment duration on ART and current treatment line were identified as determinants of virological non-suppression, with treatment duration on ART showing slightly decreased odds of (AOR=0.99, 95% CI=0.98-1.00) and being on the 2nd treatment line/regimen was associated with increased odds (AOR=8.09, 95% CI=2.71-24.17) of virological non-suppression. Conclusion The study found a prevalence of 5.8% virological non-suppression among adolescents. Treatment duration on ART and 2nd treatment line/regimen were found as determinants of virological non-suppression. Need to continuously monitor adolescent’s treatment duration on ART to avoid them moving 2nd treatment line/regimen.
Prevalence and Factors Associated with Neonatal Death among Neonates referred to Neonatal Intensive Care Unit from an Urban high-density community of Lusaka, Zambia Napanje, Chomba; Sampa, Mutale; Makasa, Musonda; Jacobs, Choolwe
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.11947

Abstract

Background: The first month of life is the most vulnerable period of child survival. Globally the neonatal period accounted for nearly half (47 per cent) of all under-five deaths that occurred in 2022. Factors associated with neonatal death vary between environments and are essentially not well understood. This study aimed to investigate the prevalence and factors associated with neonatal death among neonates born at Kanyama first level hospital, located in an urban high-density community and referred to University Teaching Hospital (UTH)- Neonatal Intensive Care Unit (NICU). Methods: A cross-sectional study was conducted in January and February 2023 through data extraction from registers and medical files on prevalence and factors associated with neonatal death. Pearson’s Chi square, fisher’s exact test and multiple logistic regression were conducted using the STATA version 14.2. 205 medical records were selected for the study using Cochrane (1963) formula to calculate a minimum sample size of 104. Results: The study population comprised neonates born at Kanyama first level hospital in 2021 and 2022 of which 38.05% were female, 61.95% were male, 60% were born at full term and 40% were born at pre-term. Factors associated with neonatal death were labour complications (AOR: 3.46, p=0.039), conditions requiring special attention such as preeclampsia (AOR: 20.4, p=0.001), concerning Apgar score at one minute (AOR=4.50, p=0.014) and pre-term at birth (AOR=7.50, p<0.0001). Conclusion: The prevalence of neonatal death was found to be high and the associated factors included; labour complications, condition requiring special attention, Apgar score at one minute and term at birth. Therefore, neonatal survival should be prioritized through pregnancy monitoring, quality antenatal and Emergency Obstetric and Neonatal Care (EmONC) training to improve response interventions in the event of complications. Keywords: neonatal mortality, urban high-density community, factors associated, neonatal intensive care unit
Analysis of Quality of Life of Children With Tuberculosis (8-14 Years) in Banyumas Regency 2023 Rahayu, Febianti; Nurlaela, Sri; Rejeki, Dwi Sarwani Sri
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.12113

Abstract

Tuberculosis (TB) of school-age children (5-14 years) increases significantly every year in Banyumas Regency. Children with TB infection can be a source of TB disease can reduce the quality of human resources and quality of life in the future. It takes information on the quality of life of children TB systematically and more in-depth. This study aims to determine the quality of life of children with TB based on 7 aspects and characteristics with descriptive quantitative method of case study design. The population of all TB patients aged 8-14 years has treatment status in Banyumas Regency in 2022-March 2023. Research samples were 72 with Total sampling method. Data collection with questionnaire interviews and TACQOL CF instruments that have been translated and tested for reliability validity and univariate data analysis. Characteristics of TB patients aged 8-14 years in Banyumas Regency, the average age is 10 years old, male (68.1%), and educated in elementary school (80.6%). Most are in Sumbang District (15.3%), confirmed in February 2023 (25%). Clinical characteristics were BCG immunization (97.2%), normal nutritional status (56.3%), type of pulmonary TB (93.1%), advanced stage (75%), type of scoring diagnosis (83.3%), no OAT side effects (73.6%), no comorbidities (66.7%), and family history of TB (52.8%). The quality of life of the study subjects was moderate (51.4%), with the most aspects of the good category on positive emotions (25%) and the less good category on motor function (23.6%) and daily habits (23.6%). The total quality of life of the study subjects was good at best on the aspects of positive emotions and poor quality of life only on the aspects of daily habits. Any difficulties and disorders symptoms are experienced most when the condition is sick and mild pain. Keywords: Characteristics, Quality of Life, Childhood Tuberculosis
The Implementation of Exclusive Breastfeeding Policies: A Literature Review Nindya, Yuditha; Kurniawan, Arif; Nafisah, Lu'lu; Wahyuningsih, Eri
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.12163

Abstract

Background Providing optimal nutrition in the first 6 months of life is important because it can support the child's nutritional status before complementary feeding begins. Formulating health policies related to exclusive breastfeeding is one of the government's strategy to gain support from various parties. policies were prepared with the aim of ensuring that the community was able to provide exclusive breastfeeding until the child was two years old and accompanied by additional food according to nutritional needs. This research aims to describe the implementation of exclusive breastfeeding policies in worldwide Methods A systematic literature review was conducted of the published literature review the years 2019 – 2024. Published literature included journals, papers and issue briefs. Content analysis were conducted to explore more about the policy implementation. 7 articles were selected to be reviewed in this study. Results Mother's knowledge, working mother, husband's support and family support play an important role in the success of exclusive breastfeeding. The factors that influence the provision of exclusive breastfeeding to working mothers include lack of socialization, lack of supporting facilities, and the implementation of special policies regarding exclusive breastfeeding in the workplace. Conclusions Increasing administrative capacity, cross-sector support, adequate communication and coordination as well as increasing government commitment in implementing policies are the keys to successful implementation of exclusive breastfeeding policies
Literature Review : Determinant of Latent Tuberculosis Infection (LTBI) in Developing Country Radi, Radi; Firdaus, Dwiyan Maharani Mutiara
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.12214

Abstract

Background: The problem of TB in Indonesia is increasingly worrying considering that Indonesia is the second country with the most TB cases in the world. Serious efforts are needed to break the chain of TB transmission as early as possible by focusing on preventing risk factors for transmission. TB transmission often occurs within the family, the vulnerable group being infected with TB who live in the same house as TB sufferers. The study aims to know the determinants of latent TB infection in children under 15 years old and adults in developing countries. Method: This study used the literature review method by collecting journals from Google Scholar, PubMed, and ScienceDirect. Data collection using keywords Risk Factors AND ILTB AND Developing Country. The results of the livelihood obtained a total of 125 articles which were then carefully selected so that 8 of the most relevant articles were obtained for article review. Results: The research results show that the determinants of ILTB infection are individual factors in the form of history of BCG vaccination, gender, age, history of contact with TB patients, marital status, duration of work, and protozoan infection. The second factor is socioeconomic factors in the form of home ownership, poverty and employment. The third factor is behavior which includes the habit of sleeping in the same room, smoking, sharing needles, and keeping animals at home. Conclusions: The determinants of ILTB infection are individual, behavioral and socioeconomic factors Keywords: Latent TB, Risk Factor, Developing Country
Exploring Perceptions of Marriage and Reproductive Health Among Thalassemia Patients in Banyumas Regency Kotale, Nichola Noelle; Wijayanti, Siwi Pramatama Mars; Rujito, Lantip
Insights in Public Health Journal Vol 5 No 1 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.1.12880

Abstract

Abstract Background: Thalassemias are a large group of autosomal recessive disorders characterized by imbalanced globin chain production, resulting in and haemolytic anaemia. The complications of thalassemia arise due to iron overload in the bodily organs. Iron overload in the endocrine glands causes hypogonadism, which then affects the growth of reproductive organs. As a result, reproduction in thalassemia patients is not a normal procedure. Thalassemia patients considering marriage and having a family go through so many psychological problems in life, which are influenced by factors such as their socioeconomic status, adherence to treatment and complications. These factors play a role in shaping the perceptions towards marriage and reproduction of thalassemia patients. Method: This study was aimed at exploring the perceptions surrounding marriage and reproduction. This research was a descriptive study design conducted in Purwokerto, Central Java. Data was collected for 37 participants through interviews and questionnaires, for variables on sociodemographic, attitude to treatment, and perceptions surrounding marriage and reproduction. Data was analyzed using Microsoft excel and Minitab software version 22. Results: The results demonstrated that the average age of the participants was 26.41 with a standard deviation of 5.93. The youngest participant was 16 years and the oldest was 39 years old. 84% of the participants were female and 16% were male. 75% of the participants had an education level of high school or lower, 81% had economic support, and 56% had jobs with income. Most participants never abandoned blood transfusion therapy, iron chelation, and other necessary treatments. Many reported of experiencing negative impacts in their lives, despite the absence of complications. Married participants still report of experiencing infertility, while some have children. Many participants agree for prenatal diagnosis of thalassemia foetus but disagree on abortion of thalassemia foetus. Participants interviewed about their perception regarding male and female contraceptive methods, had little knowledge regarding the subject. Conclusion: More studies are needed to fully explore the perceptions on marriage and reproductive health of thalassemia patients. Thalassemia patients willing to start a family go through so many challenges, and need collective support from the society and caregivers, for them to live a normal life. Thalassemia patients should also understand reproductive health through counselling. Keywords: Marriage, Thalassemia, Reproductive Health, Fertility
Sleep-Related Consequences of the COVID-19 Pandemic: A Survey Study on Insomnia and Sleep Apnea Among Affected Individuals Hasan, Dler Osman; Aladdin, Aso Mohammed
Insights in Public Health Journal Vol 5 No 2 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.2.12972

Abstract

Background: The global outbreak of the COVID-19 pandemic, starting in December 2019, has profoundly disrupted people's well-being across the globe. Its impact extends far beyond physical health, reaching deep into our psychological well-being, potentially triggering sleep disorders like insomnia and sleep apnea. Numerous surveys are dedicated to assessing the impact of COVID-19 on sleep-related problems in individuals, whether during their infection or post-recovery. To achieve this objective, the study has amassed a wealth of data and insights based on rigorous scientific methods. Methods: The investigation evaluates and utilizes both insomnia severity index and the stop-bag method to ascertain the persisting presence of sleep issues after recuperation from COVID-19. The study collected data through an online and offline survey involving 403 participants who had contracted COVID-19 in Kurdistan Region of Iraq (KRI). For a clearer examination, data is analyzed using basic and advanced statistical methods. Results: Out of the participants, 195 (48.39%) had insomnia, 9 (2.23%) were at high risk for OSA, and 394 (97.77%) had low to moderate OSA risk. In the analysis, a statistically significant association was found: females (OR: 1.58, 95% CI: 1.02, 2.46, p = 0.0412) and those needing oxygen therapy (OR: 1.41, 95% CI: 10.66, 3.01, p = 0.3714) had a higher chance of experiencing insomnia. Conclusions: The study revealed a significant connection between psychological issues and factors like sleep duration, quality impairment, and increased sleep apnea risk among COVID-19 patients during and after their illness.
Nutritional Intake and Oxygen Saturation in Adolescent Girls in Central Java, Indonesia Anandari, Dian; Masfiah, Siti; Rubai, Windri Lesmana; Maqfiroch, Arrum Firda Ayu; Wijayanti, Siwi Pramatama Mars; Kurniawan, Arif; Saryono, Saryono; Aji, Budi
Insights in Public Health Journal Vol 5 No 2 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.2.12985

Abstract

Background Adolescents are usually thought of having a healthy condition, so study about their physical health, especially that related to lung condition is very limited. Indicator used for assessing lung condition is oxygen saturation. The study aimed to analyze the association of nutritional impact to low oxygen saturation in adolescent girls in Central Java, Indonesia. Methods This study used a cross-sectional design with 378 adolescent girls as respondents. To find which nutrition intake related to oxygen saturation, data of each nutrition intake and SpO2 level were analyzed using linear regression. Data of body mass index, hemoglobin level and upper arm circumference were also included in the analysis since previous research showed their correlation with oxygen saturation. Results The prevalence of low SpO2 in adolescent is 8.5%. The nutrition intake which statistically significant related to oxygen saturation were fat (p = 0.007; CI = -0.021, -0.003) and vitamin D (p = 0.037; CI = 0.005, 0.172). Conclusions Adolescent should decrease fat consumption, increase vitamin D consumption, and need to increase arm circumference by consuming more protein and living healthy lifestyle to avoid infectious diseases.
Knowledge and Perception of Cardiopulmonary Resuscitation Among Kudumbashree Workers of a District in India K K, Ashwin Raj; Namboothiri G, Narayanan; T P, Mubarack Sani; V, Ajith
Insights in Public Health Journal Vol 5 No 2 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.2.12998

Abstract

ABSTRACT Introduction: Life-threatening emergencies like sudden cardiac arrest require immediate CPR to improve survival chances. Kudumbashree’s wide grassroots network in Kerala presents a valuable opportunity to boost community CPR awareness and skills. Objectives: Our study aimed to evaluate the knowledge and perceptions of CPR among Kudumbashree workers in Malappuram, Kerala, and identify factors influencing their understanding of this critical life-saving technique. Methods: The descriptive cross-sectional study included 300 Kudumbashree participants (Females, ≥18 years) selected via simple random sampling. A pre-tested validated questionnaire collected socio-demographic data, knowledge of CPR, perceptions and influencing factors. Data were analyzed using SPSS 26, with chi-square tests for bivariate analysis (p ≤ 0.05). Results: Our study found that 34% of Kudumbashree workers had good CPR knowledge. Media exposure, personal experience with cardiac events, and BLS session attendance significantly improved knowledge, with 65%, 37.6%, and 75.2% showing good knowledge, respectively. Despite misconceptions, 52.33% thought only healthcare workers should provide CPR, and 52% were reluctant to help strangers. However, 72.67% were willing to promote BLS training, and 68% supported its inclusion in school curricula. Conclusion and recommendation: The study found that CPR knowledge among Kudumbashree workers was generally low, with experience and exposure, rather than demographic factors, being key to better understanding. Despite fears and misconceptions about performing CPR, many workers recognized the value of BLS training and were open to promoting it in their communities, highlighting the need for targeted education initiatives.
Environmental Sanitation and Scabies Incidence among Santri in Islamic Boarding School in Jember Regency Ali, Khaidar; Rizaldi, Muhammad Addin; Putri, Serius Miliyani Dwi
Insights in Public Health Journal Vol 5 No 2 (2024): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2024.5.2.13462

Abstract

Background: Scabies, caused by the Sarcoptes scabiei mite, remains a significant public health concern, particularly in densely populated environments such as Islamic boarding schools. This study aims to explore the environmental sanitation and the incidence of scabies among santri in Islamic boarding schools in Jember. Methods: This quantitative study employed cross-sectional approach to capture dependent and independent variable at the same time. The dependent variable was scabies incidence, and independent variable was environmental sanitation. The Islamic boarding school was divided and clustered into two group, namely Khalafi (modern) and Salafiyah (Conservative). The data was analyzed by univariately or descriptively. Results: The incidence of scabies among santri in Khalafi and Salafiyah in Jember is 46.07% and 25.81%, respectively. Although the dormitory density is in high category, the sanitation facility in both Khalafi and Salafiyah is low (score <10) with the result of environmental sanitation does not meet requirements. Conclusions: This finding indicates that poor sanitation level was identified in Islamic boarding schools in Jember, where a high scabies incidence was found. Therefore, Health Office of Jember need to establish regular health inspection and initiate the pesantren health post in Islamic boarding school in order to prevent the transmission for the disease. In addition, the religious leader should allocate a budget for the provision of sanitation facilities.

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