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Media Kesehatan Masyarakat Indonesia
Published by Universitas Hasanuddin
ISSN : 02162482     EISSN : 23564067     DOI : https://doi.org/10.30597/mkmi.v18i1
Core Subject : Health,
Public Health
Media Kesehatan Masyarakat Indonesia accepts scientific papers in the form of research reports (original research papers) with a focus on the development of public health issues problems in Indonesia, including the developments and main problems in the field of epidemiology; Health Promotion; Environmental Health, Occupational Health, and Safety, Health Administration and Policy, Biostatistics, Reproductive Health, Hospital Management, Nutrition Science, Health Information Systems in Regional of Indonesia.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 451 Documents
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Multifactorial Analysis of Work Accidents among Transportation Sector Workers in Parepare City Russeng, Syamsiar S.; Saleh, Lalu Muhammad; Syafitri, Nurul Mawaddah; Imran, Naufal Hilmy; Nurazizah, Auliya; Nurhidayah, Andi Fatimah Mustovia
Media Kesehatan Masyarakat Indonesia Vol. 19 No. 4: DECEMBER 2023
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v19i4.31186

Abstract

Reports have shown that there has been a continuous annual increase in the number of traffic accidents in Indonesia. Parepare City, in particular, faces significant congestion in its public transportation system, leading to 167 cases and 144 cases of accidents in 2019 and 2020, respectively. Therefore, this study aims to analyze the influence of knowledge, attitude, personality, and safety riding practice on traffic accidents among transportation workers in Parepare City. This cross-sectional study comprised 100 respondents selected using the simple random sampling method. The study instrument was a questionnaire, which had previously been tested for its validity and reliability. The data obtained were analyzed using univariate analysis to describe the characteristics of each variable. In contrast, bivariate analysis was conducted using the chi-square test with a confidence level of 95%. Data were collected through interviews with a questionnaire and analyzed using multiple logistic regression with the forward LR method. The results showed that attitude and safety riding practice had a significant influence. Multivariate analysis showed that factors influencing accidents included attitude (AOR = 0.031; 95%CI = 0.45-0.26), practice (AOR = 0.108; 95%CI = 0.03-0.38), and knowledge (AOR = 0.337; 95%CI = 0.13-0.88), while personality had no effect. Based on the results, future studies were advised to conduct long-term investigations (longitudinal studies) to monitor changes in the variables observed and the relationship with the rate of traffic accidents.
Factors Affecting The Success of Exclusive Breastfeeding Among Mothers Recovered From Covid-19 Ulfatul Latifah; Nora Rahmanindar; Ardhi Henda Karmandika
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 2: JUNE 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i2.31400

Abstract

Exclusive breastfeeding for the first 6 months and continued breastfeeding with complementary foods up to 2 years are emphasized by the World Health Organization. Amid the COVID-19 pandemic, maternal concerns about virus transmission through breastfeeding have surfaced. Despite these concerns, breastfeeding remains the primary recommendation due to its manifold health benefits. This research, conducted in Tegal City's Margadana sub-district, investigates factors influencing exclusive breastfeeding success among mothers recovered from COVID-19. Using an analytical observational design with a cross-sectional approach, the study explores the link between COVID-19 symptoms in infants and exclusive breastfeeding success, revealing a significant correlation (p-value=0.042). Conversely, breast milk production shows no significant association with exclusive breastfeeding success (p-value=0.144). Notably, spousal and family support emerges as pivotal, exhibiting a significant association with exclusive breastfeeding success (p-value=0.003). However, there is no significant relationship between healthcare provider support during breastfeeding and adherence to 6-month exclusive breastfeeding (p-value=0.456). The findings underscore the importance of breastfeeding during post-COVID-19, balancing potential virus transmission risks against the established breastfeeding health benefits. The study concludes by advocating for further research to comprehensively understand and address complexities of exclusive breastfeeding in the post-COVID-19 context, offering insights for healthcare practitioners and policymakers.
Hand Hygiene Practices among Nurses in South Sulawesi Hospitals Muhammad Rizky Asfarada; Rini Rachmawaty; Andina Setyawati; Gulzar Malik
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 1: MARCH 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i1.31480

Abstract

Healthcare professionals’ adherence to hand hygiene protocols is paramount to prevent Healthcare-Associated Infections (HAIs) and ensure patient safety. This study evaluates compliance with the World Health Organization's (WHO) "Five-Moment Hand Hygiene" protocol among nurses in two Indonesian hospitals: Regional General Hospital X in Makassar City and Provincial General Hospital Y in South Sulawesi Province. A total of 60 nurses participated, with demographic analysis revealing significant differences between the hospitals. Utilizing a comprehensive observation tool provided by the WHO, data analysis indicated variations in hand hygiene practices, particularly after touching patient surroundings. Despite these differences, the data followed a normal distribution, enhancing the reliability of statistical analyses. Significant disparities in hand hygiene practices were found after touching patient surroundings (p-value = 0.008; α < 0.05), underscoring the urgent need for targeted interventions among nurses to improve their compliance and enhance patient safety. This study recommends comprehensive training, resource provision, regular audits, fostering a supportive organizational culture, and integrating robust hand hygiene modules into nursing education. The study also suggests further research to identify barriers and improvement strategies. Addressing these recommendations collectively will bolster patient safety and reduce healthcare-associated infection burdens in Indonesian healthcare settings. The study's identification of specific deficiencies in hand hygiene practices provides actionable insights for healthcare administrators, infection control practitioners, and frontline healthcare workers, emphasizing the urgency of sustained efforts to promote proper hand hygiene practices.
Supports and Barriers Regarding The Iron-Folic Acid Supplementation Adherence Level in Anemic Pregnant Women: Indonesian’s Perspective Rizka Novia Atmadani; Akrom Akrom; Dhea Ananda; Laila Yoga Saputri; Alvina Arum Puspitasari; Siti Urbayatun
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 2: JUNE 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i2.32569

Abstract

Anemia is a worldwide public health issue that affects various groups in low, middle, and high-income nations. Anemia is linked to pregnancy and is influencing poor cognitive and motor development outcomes in children. A recommended intervention to reduce anemia prevalence during pregnancy is the universal administration of Iron-Folic Acid (IFA) supplements. This study investigated supports and barriers regarding iron-folic acid supplementation adherence levels in pregnant women recorded in public health centers in Malang, Indonesia. This research was conducted using qualitative methods with in-depth interviews using semi-structured open-ended questions from July to September 2023. Twenty-five participants from four public health centers was included. The interview guide's content was developed using World Health Organization’s framework as well as other pertinent themes. Data analysis was processed from verbal record transcription, generating the codes into the outcomes. Five main themes with a total of eleven subthemes were highlighted from interview process. These themes was further classified into barriers and supports. Side effect, forgetfulness, boredom, laziness, and insufficient understanding of disease recorded as barriers. In contrast, husband and family support, health care team motivation, affordability of access, knowledge and education background included in supports. These findings enlighten the barriers encountered by the pregnant women in IFA supplementation adherence. However, the effectiveness of treating anemia during pregnancy might be influenced by fundamental elements that support IFA supplementation adherence. Therefore, to tackle the this issue, the pregnant women requires a proper therapy and all key points mentioned in support group must be applied.
Problems Scanning Related to Stunting Using Iceberg Theory Model in Salakbrojo Village Central Java Yuniarti Yuniarti; Ristiawati Ristiawati; Dewi Nugraheni Restu Mastuti; Muhammad Fatih
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 2: JUNE 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i2.32672

Abstract

The prevalence of stunting to date is 21,6%, which is far from target which is 14%.  Research aimed to elaborate on problem of stunting using iceberg method model analysis. The research is a qualitative study with a phenomenological approach to obtain idea of stunting occurrence pattern as well as the root of problem. Data was collected by assigning focused group discussion. Correspondents were ten mothers of toddlers, five health cadres, a secretary of rural, and a rural midwife. Validity test was done by doing data source triangulation during focused group discussions. Mental model analysis was taken using directly elicited mental model technique by doing content analysis. Result of iceberg analysis found that occurrence of stunting was 3,42%. Patterns and trends include wasting 2,92%, normal nutrition 84,39%, risk of overnutrition 5,85%, overnutrition 1,95%, and obesity 1,46%. Systemic structure has shown there are relation between direct cause include lack of food intake, exclusive breastfeeding, complementary food, infectious diseases and incomplete basic immunization. Indirect causes for stunting include lack of knowledge of stunting, access of health services, house condition triggers infectious diseases and poor sanitation.   The mothers’ analysis on mentality who are confident about their children being healthy and active despite nutritional problems. Mental model of health cadres, rural midwives, rural government and public health centers believe that collaboration in solving stunting problems is needed. It can be concluded that iceberg model can be applied in analyzing stunting problem and results of it can be considered in the implementation of stunting treatment.
Risk of Vitamin D Deficiency in Smokers: Mix-Method Amelia Lorensia; Marthy Meliana Ariyanti Jalmav; Zahwa Dhiba; Rivan Virlando Suryadinata
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 2: JUNE 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i2.32775

Abstract

Cigarettes are one of the leading causes of death in the world and  Indonesia. Cigarettes emit cigarette smoke, which contains toxins and has pro-inflammatory properties that interfere  the metabolism of vitamin D in the lungs. The study aimed to determine the risk of vitamin D deficiency in active smokers in Rungkut Village, Surabaya City. This research method is a mix-method with a  Convergent Parallel Design type strategy, which is a way of collecting quantitative (cross-sectional) and qualitative data (interpretative phenomenological analysis) simultaneously, with purposive sampling technique. The variable was the risk of vitamin D deficiency and vitamin D level. Subjects were active smokers aged ≥19 years in the Rungkut Subdistrict. The number of samples involved in this research was 125 samples in the quantitative phase, and 15 people in the qualitative phase.  The highest level of smoking severity was light smokers (45.60%). Most of respondents had normal vitamin D levels (≥20 mg/mL) of 73.33%, averaging of 37.66 ± 5.89 mg/mL. Most active smokers are at risk of vitamin D deficiency. Risk factors for deficiency in heavy smokers are not consuming foods containing vitamin D (such as fish, eggs, and milk), not consuming fish oil supplements and vitamins, and not sunbathing. However, the level of physical activity tended to be moderate-heavy. The conclusion is that smokers must pay attention to their intake of foods containing vitamin D and exposure to sunlight to achieve sufficient vitamin D levels.
Risk Factors of Chronic Kidney Disease in Indonesian Patients with Diabetes Mellitus Asy Syifa Anwari Zahra; Chandrayani Simanjorang
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 3: SEPTEMBER 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i3.33053

Abstract

Chronic Kidney Disease (CKD) is a public health problem with increasing prevalence and incidence. About 1 in 3 adults with Diabetes Mellitus (DM) has CKD. This study aims to determine the risk factors for Chronic Kidney Disease in Diabetes Mellitus (CKD-DM) patients in Indonesia. A cross-sectional study was conducted with secondary data, Indonesia Basic Health Research 2018. Data analysis was carried out univariate, bivariate, and multivariate. Also, spatial analysis was carried out to map the prevalence of cases. Among 14.932 samples, the prevalence of CKD-DM in Indonesia was 1.8%. Multivariate analysis results found that gender (aPR=3.24; 95%CI 3.182-3.306), every day smoker (aPR: 2.47; 95%CI 2.415 – 2.535), someday smoker (aPR=1.93; 95%CI 1.875 – 1.987), hypertension (aPR=1.56; 95%CI 1.540 – 1.591), pre elderly (aPR=1.13 95%CI 1.098 – 1.158), elderly (aPR=0.81; 95%CI 0.790 – 0.834), exercise (aPR =1.07; 95%CI 1.055 – 1.090), and obesity (aPR=0.90; 95%CI 0.891 – 0.924) have a significant relationship with the incidence of CKD-DM in Indonesia. This study found that gender is the dominant variable in the incidence of CKD-DM in Indonesia. It is desired that healthcare providers and program makers should recognize gender differences in the progression of CKD and conduct screening program for risk factors of CKD-DM.
Social Determinants of Covid-19 Morbidity in Indonesia: Observational District Level Analysis Ade Heryana; Wiku Adisasmito; Dumilah Ayuningtyas
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 1: MARCH 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i1.33183

Abstract

Since the COVID-19 pandemic globally struggled in late 2019, the global community has become aware that outbreaks of infectious diseases are associated with conditions beyond health factors, such as social, economic, demographic, geographic, and lifestyle. This paper aims to identify the influence of Social Determinants of Health (SDOH) on COVID-19 morbidity rates in Indonesia. The study analyzed morbidity cases during the second wave of the COVID-19 pandemic, namely the Delta variant wave. Multivariate analysis with linear regression was used to determine the predictors that affect COVID-19 morbidity in 128 districts/cities of the Java and Bali isles, which were controlled by the pandemic stages including pre, resurgence, decline, and post. Morbidity data was collected cross-sectionally from the National COVID-19 Task Force dataset and the social determinant of the 2021 Central Statistics Agency report. The number of health facilities is the most influential characteristic of the regency/city to COVID-19 morbidity at the pre-and resurgence-pandemic stages. The ratio of the immune population is the most influential characteristic when the pandemic experiences a decline stage; meanwhile, during the post-pandemic, the second dose of vaccination is the most influential characteristic. We recommended that testing, tracing, quarantine, and isolation intervention should be prioritized in the districts/cities with higher health facilities (pre- and resurgence-stage), higher herd immunity (decline-stage), and booster vaccination (post-stage). Social determinants of health are suggested to be used as a basis for predicting the risk factors for an outbreak of infectious diseases in a region and contributing to different SDOH factors in different outbreak stages.
Foodborne Outbreak Investigation in Elementary School Students in Bantul, Yogyakarta, 2023 Soraya Isfandiary Iskandar; Miftakhul Janah; Samsu Aryanto; Bayu Satria Wiratama
Media Kesehatan Masyarakat Indonesia Vol. 20 No. 3: SEPTEMBER 2024
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v20i3.34464

Abstract

Bantul District Health Office received notification that 75 students in elementary school were sick with symptoms of nausea, vomiting, and dizziness after they consumed snacks from the school canteen. An epidemiological investigation was conducted to confirm the outbreak, identify additional cases, determine risk factors and causes, and recommend preventive measures. This investigation conducted active case finding followed by a retrospective cohort study. Individuals who experience one or more symptoms, such as nausea, vomiting, diarrhea, stomach pain, dizziness, fever, and malaise after consuming snacks were defined as cases. Data was collected through direct interviews with students, teachers, staff, and food sellers. Samples of food and vomit were collected and sent to the health laboratory. Data were analyzed using chi-square and multiple binomial regression. There were 150 cases. Most cases were found in the female group (53.22%), 9-year-old group (55.32%), and third-grade students (65%). Dizziness (66.67%), vomiting (56.67%), and nausea (46%) were the most common symptoms. The epidemic curve was a common source, with incubation periods ranging from one to 26 hours. Meatballs were associated with the increased risk of becoming a case in this outbreak (aRR = 1.49; 95% CI = 1.22-1.81). The causative agent was suspected to be Salmonella spp, but the laboratory analysis results were inconclusive due to contamination. Potential risk factors were large storage in the refrigerator, insufficient reheating, and cross-contamination. Improvements in food safety monitoring for schools and food handlers, along with appropriate sampling by healthcare facilities, are required to control outbreaks.
Analysis of Successful Implementation of Hospital Information System in Bhayangkara Polda DIY Hospital with MMUST Method Afriliya Hayati; Savitri Citra Budi
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 1: MARCH 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i1.34474

Abstract

Since 2010, Bhayangkara Polda DIY Hospital has been using Hospital Information System (HIS), but the system still needs to be optimized. In the context of optimizing HIS implementation, it is necessary to analyze the success of HIS implementation. This study examines the factors that influence the successful implementation of Hospital Information System (HIS) in Bhayangkara Polda DIY Hospital based on the Model for Mandatory Use of Software Technologies (MMUST) method. This research is a descriptive study with a cross-sectional quantitative approach. The study sample used purposive sampling, which amounted to 98 respondents. Data analysis using the Structural Equation Modeling Partial Least Squares (SEM-PLS) technique using SmartPLS software version 4.1.0.3. The results stated that information satisfaction is influenced by information quality, performance expectations are influenced by information satisfaction and social influence, performance expectations and facility conditions influence attitudes, attitudes influence usage and overall satisfaction, and net benefits are influenced by usage and overall satisfaction. This study proves empirically that all hypotheses are accepted. HIS has proven to be a successful implementation because it can produce accurate, fast, and complete information, accelerate user performance, and provide benefits in its implementation.

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