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Siwi Pramatama Mars Wijayanti
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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 89 Documents
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Knowledge about Fertile Period and its Determinants among Reproductive Aged Women in Bangladesh Khatun, Sathi; Hasan, Md. Mehedi; Haque, Md. Aminul
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.2024.5.2.13552

Abstract

Abstract Background: The older population in Bangladesh is growing rapidly, from 8.0% in 2020 to 22.0% in 2050. However, the determinants of active aging are scarcely known. Objective: The study aimed to assess the determinants influencing the active aging situation in Bangladesh. Methods: A cross-sectional study was conducted among 518 older adults aged 60 years and over. Following the WHO active aging model, the respondents’ socio-demographic, personal, behavioral, and physical environment and health and social services characteristics were collected using a semi-structured questionnaire. Multiple linear regression was performed to determine the determinants, followed by the bivariate level of analysis. Results: The determinants of active aging were deeply rooted in the respondents' socio-cultural, economic, and spatial conditions. Nine out of 23 determinants, like marital status, income, decision-making capacity, regular walking/physical exercise, smokeless tobacco consumption, newspaper reading as a leisure activity, use of medicine, and health service accessibility, significantly influence active aging. The active aging score was 10-15% higher among the respondents who regularly adhered to the above determinants. Conclusion: Effective initiatives are needed to improve the socio-cultural, economic, and health system-related determinants of active aging to enhance the active aging situation. Concerned bodies of the country, ministries, departments, and development partners should take appropriate measures to increase awareness and the participation of people in lifestyle-related determinants to improve the active aging situation in the country.
Knowledge and Practice of Hepatitis B Virus Infection Prevention among Young Adults in Benue North-East: A Cross-Sectional Study Zwawua, Orfega; Ukpekeh, Smith Tertsegha; Ityodugh, John Ityonande
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.2024.5.2.13676

Abstract

ABSTRACT Backgound: The increasing prevalence of HBV infection in Benue State, especially among young adults has called for public health concern. This study, therefore, assessed knowledge and practice of HBV infection prevention among young adults (18 – 35 years) in North-East Senatorial District of Benue State, Nigeria. Methods: A cross-sectional resesrch design was used, and a sample size of 440 was drawn from a population of 404,270 young adults. A researcher-developed questionnaire (KAP-HBVIPQ) with reliability coefficients of 0.85 and 0.74 for knowledge and practice, respectively, was used for data collection. Descriptive statistics were used to describe sociodemographic characterisics and to analyse responses on knowledge and practice items. Pearson chi-square statistics was used to test for association between knowledge/practice of HBV infection prevention and sociodemographic characteristics. Significant associations were declared at P < .05. Results: The overall knowledge regarding HBV infection prevention was poor as more than half (53.6%) of the participants scored below 50% on knowledge items. Practice of HBV infection prevention was fair as almost half (49.9%) of the participants scored from 50 – 69% on practice items. Good knowledge/practice of HBV infection prevention was significantly associated with being a female, being of older age (30 – 35 years), acquiring tertiary education,and having a family member infected with HBV (P < .05). Conclusion: Young adults’ knowledge of HBV infection prevention was poor, while their practice was fair but not encouraging. Therefore, the Benue State Government in collaboration with Local Government Authorities and NGOs in Benue North-East should step up public health education activities on HBV infection prevention, targeting mostly young adults with no or low level of education.
Analysis of Risk Factors Influencing the Incidence of Hemorrhagic Stroke in People Aged 35-70 Years at Banyumas Regional Hospital Rachmawati, Farras; Rejeki, Dwi Sarwani Sri; Wahyuningsih, Eri; Radi, Radi
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.2024.5.2.13859

Abstract

Background: Stroke is one of the non-communicable diseases with the highest mortality rate in the world. Hemorrhagic stroke is a type of stroke caused by a rupture of blood vessels in the brain that can threaten the lives of patients. Mortality and morbidity caused by hemorrhagic stroke are higher than ischemic stroke. This study aims to determine what risk factors cause hemorrhagic stroke. Methods: This study is a quantitative analytical study with a case-control study design conducted at Banyumas Regional Hospital. The study sample consisted of 100 case samples of hemorrhagic stroke patients and 100 control samples of ischemic stroke patients using random sampling techniques. This study was conducted in September-October 2024. The variables studied were age, gender, ancestry, history of hypertension, history of DM, dyslipidemia, smoking habits, diet, physical activity, obesity, and control compliance. The research data consisted of secondary data obtained from the medical records section of Banyumas Regional Hospital and primary data obtained through interviews using questionnaires. Data analysis used SPSS 23 software with univariate tests, bivariate with chi-square, and multivariate with logistic regression to calculate the odds ratio (OR). Results: The average age of the study respondents was 57.4 years and female. Variables that influenced the incidence of hemorrhagic stroke were non-compliance with control (p-value 0.000 and OR of 4.869), history of hypertension (p-value 0.004 and OR of 3.110), and poor diet (p-value 0.015 and OR of 2.204). Variables that did not influence were age, gender, heredity, history of DM, dyslipidemia, smoking habits, physical activity, and obesity. Conclusions: Patients who have a history of hypertension, poor diet, and are not compliant with medication controls are at greater risk of suffering from hemorrhagic stroke. Keywords: Hemorrhagic Stroke, Control Compliance, Hypertension History, Diet
The Role of Leadership for Improving the Quality and Performance of Health Services in Primary Health Care : A Literature Review Oktanti, Qoni
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.2024.5.2.14606

Abstract

Background: Community Health Centers or we usually called Puskesmas in Bahasa, as first-level health facilities, have a great responsibility in providing quality health services to the community. In carrying out this function, the role of leadership is a key factor that influences the effectiveness and efficiency of services. Strong and effective leadership in Community Health Centers could encourage the achievement of organizational goals, such as increasing service accessibility, reducing morbidity and mortality rates, and also increasing patient satisfaction. This study aims to examine how the role and style of leadership in Community Health Centers can affect the quality of health services provided. Methods: A systemic literature review was conducted of the published articles in 2015-2025. Published articles included journals, papers and issue briefs. The determination of the article is based on the purpose of writing, namely to determine the influence and various leadership styles on improving the quality of services at the Community Health Center. Results: The influence of a good leadership role not only affects the performance of health center officers, but also has a positive effect on patient satisfaction with a health service, the improvement of the quality of services, the competence and also the infrastructure. Various leadership styles can be optimally adjusted to different leaders and health center conditions. Conclusions: Leadership has a very important influence on improving the quality of services in the Health Center, where it can be assessed from the improvement of the performance of health workers in the Health Center, patient satisfaction and also the quality of health center services. There are also various leadership styles, but a good leadership style is a flexible one that it could be adjusted to the situation and conditions in the health center.
Predictors of Unintended Pregnancy among Indian women: An analysis from NFHS-IV Survey Kishun, Jai; Chandra, Abhishek; Kumar, Anup; Singh, Uttam
Insights in Public Health Journal Vol 6 No 1 (2025): 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.2025.6.1.14434

Abstract

Abstract Background Low levels of women’s decision-making over control of sexual intercourse, contraceptive use, domestic violence with intimate partners not only have impact on socioeconomic and cultural aspects but also on unintended pregnancies. Which create serious public health issues associated with physical, reproductive and mental health consequences. Objectives The aim of this study was to explore the predictors of unintended pregnancy among socio-demographic factors, contraceptive use, family planning methods, media exposure etc. among Indian women. State-wise prevalence of unintended pregnancies was also investigated to see which states need more attention Methods A total of 32428 married women aged between 15-49 years, who responded on current pregnancy wanted were observed in NFHS-IV (2015-16) survey data. Out of these, 3,842 were found eligible for this study. Logistic regressions were used for analysis using SPSS23 software. Results The mean age of 3,842 women respondents was 25.27 ± 4.97 years. 12.3% of them were unintended pregnancies. Women aged between 25-34 years (OR = 1.21, 95% CI: 0.99-1.48) and 35-49 years (OR = 1.50, 95% CI: 1.02-2.21) were more likely to have an unintended pregnancy than 15–24 years. Working women were 7% (OR = 0.93, 95% CI: 0.73-1.18) less likely to have an unintended pregnancy than not working. Women who never used contraception were 1.4 times more likely to have an unintended pregnancy. Conclusions Sociodemographic disparities need to be addressed to promote reproductive health and welfare services. Preventing physical violence by intimate partners against women could reduce unintended pregnancy. Key messages Improving women’s status through educational and occupational initiatives could contribute to reducing physical violence and the incidence of unintended pregnancies Keywords: Unintended Pregnancy, Women, NFHS-IV, India
Household Solid Waste Management in Communities Living in Plantation Areas Hasanah, Swara Mega
Insights in Public Health Journal Vol 6 No 1 (2025): 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.2025.6.1.15890

Abstract

Background: The cause of the lack of waste management in the community in the plantation area is the lack of sanitation facilities in the community. environmental health risks are associated with households that do not utilize waste services or possess trash bins. This study aims to determine the condition of household solid waste processing in the community in the plantation area in Banjarsari Village, Bangsalsari District, Jember Regency. Methods: The research design employed is descriptive research. Descriptive research methods are employed to address issue formulations in research concerning the treatment of household solid waste. Results: The result of this study shows that 94.12% or 32 respondents who have their own trash cans and the rest do not have trash cans. For 2 respondents with a percentage of 5.88% do not have their own trash cans. All respondents processed waste by burning, namely 34 (100%) respondents. There are no TPS in the plantation area Conclusions: The Banjarsari plantation does not have a temporary Waste Storage (TWS), resulting in the community processing waste by burning. Processing waste by burning can have negative effects on the environment and health
THE PARTICIPATION AND UTILIZATION OF NATIONAL HEALTH INSURANCE (JKN) AMONG INDIGENOUS PAPUAN PEOPLE (OAP) IN JAYAPURA DISTRICT, PAPUA PROVINCE zamuli, habibi
Insights in Public Health Journal Vol 6 No 1 (2025): 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.2025.6.1.15821

Abstract

The article 28H of the 1945 Constitution of the Republic of Indonesia stipulates that health is a fundamental human right and a key element of national welfare that must be realized in accordance with the ideals of the Indonesian nation, without exception. At present, the National Health Insurance (JKN) coverage in Papua Province has reached approximately 1.3 million individuals out of a total population of 1.5 million. The JKN participation rate among the indigenous Papuan population (Orang Asli Papua, OAP) in Jayapura Regency is recorded at 76%, comprising 50% OAP originating from outside Jayapura Regency and 20–25% representing local clans within Jayapura Regency. This study employed a descriptive quantitative research design, involving a sample of 531 respondents selected through simple random sampling. The findings reveal that 87.94% of the OAP community possesses JKN membership. The types of health insurance held by OAP respondents are distributed as follows: 78.53% under JKN, 6.59% under the Papua Health Card (Kartu Papua Sehat, KPS), and 14.87% under other schemes such as Regional Health Insurance (Jamkesda) and Maternity Insurance (Jampersal). Furthermore, 53.11% of OAP respondents reported having been JKN members for one year or less. With regard to service utilization, 43.12% of respondents expressed dissatisfaction with the quality of healthcare services received, whereas 74.95% indicated that the administrative process for obtaining JKN membership was straightforward. In terms of perceived fairness, 75.14% of the respondents believed that the distribution of JKN and KPS memberships was equitable. Conclusion: The ownership rate of National Health Insurance (JKN) among the OAP population is relatively high. JKN membership, predominantly through BPJS Kesehatan, constitutes the main form of health insurance ownership, with the majority of participants having enrolled within the past year. Although nearly half of the OAP community reported dissatisfaction with the healthcare services received, the administrative processes associated with JKN enrollment were generally perceived as accessible. Moreover, the majority of respondents considered the distribution of JKN and KPS memberships to have been conducted fairly.
Analysis of Factors Influencing the Utilization of the Non-Communicable Diseases Community Health Post (Posbindu) in the South Purwokerto Community Health Center, Banyumas Regency Razan, Nadia Nisrina; Octaviana, Devi; Fitriyani, Novita Endang; Jayanti, Rosita Dwi
Insights in Public Health Journal Vol 6 No 1 (2025): 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.2025.6.1.17016

Abstract

Background: Non-communicable diseases (NCDs) are the leading cause of global death. The Non-Communicable Diseases Community Health Post (Posbindu PTM) aims to prevent and control NCDs, but utilization at the South Purwokerto Community Health Center remains low. The average attendance rate at each Posbindu was only 2.6 %, far below the 100% target. This study aims to analyze the factors influencing the utilization of Posbindu PTM in the region. Methods: This study analyzes the influence of variables such as gender, education level, employment status, income, knowledge, individual perception, availability of facilities, access to health services, access to information, cadre support, and family support on the utilization of Posbindu PTM in the South Purwokerto Community Health Center area. The research design used is cross-sectional , the population is the productive age community with sampling using proportional random sampling technique of 110 people. Data collection through observation and questionnaire interviews. Research data analysis consists of univariate analysis, bivariate analysis, and multivariate analysis. Results: The utilization of Posbindu PTM in the Purwokerto Selatan Community Health Center Working Area was significantly influenced by access to information (p = 0.021; OR = 5.000; CI 95% = 1.268 – 19.714). Conclusions: Access to information is a significant factor influencing the utilization of Posbindu PTM in the South Purwokerto Community Health Center working area. Therefore, the dissemination of information regarding Posbindu PTM should be expanded through routine community activities and by strengthening the role of health cadres as key implementers. Enhancing these efforts will enable the South Purwokerto community to gain a better understanding of Posbindu and recognize the importance of preventing non-communicable diseases through early detection at Posbindu PTM.
A SYSTEMATIC REVIEW: RISK FACTOR FOR BURNOUT-INDUCED HYPERTENSION AMONG WORKERS Putri, Rezky Amelia; Solikhah, Solikhah; Sulistyowati, Sulistyowati
Insights in Public Health Journal Vol 6 No 2 (2025): 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.2025.6.2.14826

Abstract

Background : Burnout can be described as a state of physical and psychological exhaustion from job demands or pressures at work that make a person experience prolonged stress. Purpose : This study conducted a systematic review of risk factors for burnout-induced hypertension among workers. Methods: The system review design with PICO and PRISMA flowchart was used; articles were selected from PubMed, ScienceDirect, and inclusion criteria were articles that had risk ratio and relative risk values in case-control or cohort studies. Results: This study analyzed 5 articles and found that chronic work stress can show chronic work stress increases the risk of metabolic syndrome (OR 2.25), no significant association between fatigue and hypertension (OR 0.62), moderate (OR 19.72) and severe (OR 32.55) stress increases the risk of hypertension, fatigue increases the risk of heart attack (RR 2.13). Conclusions: Burnout increases the risk of hypertension among workers. It is important for workers and companies to pay attention to the signs of fatigue and take appropriate precautions to keep their hearts healthy.

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