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Tropical Public Health Journal (TROPHICO) Faculty of Public Health Universitas Sumatera Utara Jalan Universitas No. 21, Kampus USU Padang Bulan Medan 20155, Sumatera Utara - Indonesia
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TROPHICO: Tropical Public Health Journal
Published by TALENTA PUBLISHER
ISSN : 2774766     EISSN : 2797751X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
TROPHICO: Tropical Public Health Journal is a journal published by TALENTA Publisher, Universitas Sumatera Utara and managed by Faculty of Public Health, Universitas Sumatera Utara. TROPHICO publishes research articles in the field of public health or other disciplines related to public health that have not been published by other publication media. The scientific scope of research results include Epidemiology, Health Policy and Administration, Occupational Health and Safety, Environmental Health, Health Education and Behavioral Science, Public Health Nutrition, Biostatistics and Demography, Family and Reproductive Health and other research in the field of Public Health Sciences. This journal was first published in March 2021 and will then be published twice a year in March and September both in printed and electronic versions designed using the Online Journal System (OJS).
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 81 Documents
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Determinants of tuberculosis treatment success at Siti Fatimah Regional Hospital, Palembang Pulungan, Rafiah Maharani; Liberty, Iche Andriyani; Utami, Anissa Citra; Pratama, Benny Putra; Kirana, Junneka Sarah
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23862

Abstract

Tuberculosis (TB) is a chronic infectious disease that remains a public health problem in Indonesia. The success rate of pulmonary TB treatment at Siti Fatimah Regional Hospital, Palembang, in 2024 was 71%, still below the national target of 90%. This study aimed to determine factors associated with the success of pulmonary TB treatment. The analysis showed that age was significantly associated with treatment success, with patients aged <30 years having almost three times the chance of success compared to patients aged ≥30 years (OR=2.87; p=0.000). Residential factors also showed a significant relationship, with patients domiciled in Palembang City having a greater chance of success than patients from outside the city (OR=8.88; p=0.020). Meanwhile, gender and occupation did not show a significant relationship. Further analysis showed that age was the most dominant factor influencing the success of pulmonary TB treatment. These findings emphasize the importance of more intensive therapy supervision in adults and the elderly and the need to strengthen access to healthcare for patients from outside the city.
SERVQUAL outpatient service quality and patient satisfaction: policy implications at Puskesmas Kabanjahe Inayyah Nur Fitry Sirajuddin; Nurul Fajriah Istiqamah; Sarifah Dwi Islamiati; Hervien Maulana Rachman
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.24650

Abstract

Patient satisfaction is a crucial indicator of healthcare service quality. Puskesmas Kabanjahe, serving 64,890 residents across 10 villages, requires comprehensive evaluation of outpatient service quality to inform policy improvements and achieve the mandated 95% satisfaction threshold. This study evaluated the relationship between SERVQUAL dimensions (reliability, responsiveness, assurance, empathy, and tangibles) and patient satisfaction at Puskesmas Kabanjahe to provide evidence-based policy recommendations. A cross-sectional study was conducted from April to August 2025 involving 237 outpatient visitors selected through accidental sampling. Data were collected using structured SERVQUAL questionnaires on a five-point Likert scale and analyzed using Spearman rank correlation. All five SERVQUAL dimensions demonstrated statistically significant relationships with patient satisfaction (p<0.05). Descriptively, all five dimensions were rated as good by the majority of respondents: tangibles (99.6%), assurance (99.2%), reliability (98.7%), responsiveness (98.3%), and empathy (98.3%). Spearman correlation analysis confirmed significant positive relationships between each dimension and patient satisfaction (rs= 0.134–0.212; p<0.05 for all dimensions), with reliability showing the strongest correlation (rs=0.212). Female respondents exhibited significantly higher satisfaction (91.7%) compared to males (80.6%) (p=0.04). Occupation showed borderline significance (p=0.05), with farmers demonstrating lowest satisfaction (87.5%). These findings confirm that outpatient services at Puskesmas Kabanjahe have achieved high service quality consistent with SPM requirements, while highlighting the need for targeted improvements in specific demographic groups to ensure equitable attainment of the mandated 95% satisfaction threshold across all patient populations.
The relationship of breakfast habits and nutrient intake with the incidence of anemia in female students at Dharmawangsa High School in Medan City Luthfiyah Widhyatri; Ernawati Nasution; Arfah Mardiana Lubis; Zulhaida Lubis
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.23140

Abstract

Anemia is among the most common health issues experienced by adolescent girls, characterized by a hemoglobin (Hb) level below the established threshold (<12 g/dL). This condition can impact learning concentration, physical stamina, and productivity. Field observations indicate that several students appear weak, have pale complexions, and frequently miss school due to dizziness or fatigue. This is supported by teachers’ reports stating that a considerable number of students have reduced concentration, especially in the morning after the flag ceremony or physical education sessions, and many of them do not have time to eat breakfast at home. This reflects poor breakfast habits and the possibility of insufficient nutritional intake. The objective of this study was to examine the relationship between breakfast habits and nutrient intake with the incidence of anemia among female students at Dharmawangsa High School in Medan. This research is a quantitative study with a cross-sectional design. The study was carried out at Dharmawangsa High School in Medan City with a sample of 80 female students determined using the Slovin formula. Data were collected through interviews using a breakfast habits questionnaire, assessment of nutrient intake using the 2x24-hour food recall method, and measurement of hemoglobin levels using the EasyTouch GCHB digital device. Data analysis was conducted using univariate and bivariate methods with the Chi-Square test (α=0.05). The findings showed that 53.8% of female students had poor breakfast habits. There was a significant association between breakfast habits, energy intake, protein, iron, and zinc intake with the incidence of anemia. It is expected that female students will pay greater attention to their nutritional intake, particularly at breakfast, to help prevent anemia.
Evaluation of hazardous waste management at a Type A Psychiatric Hospital in Riau Province, Indonesia Fadhila Fadhila; Sekar Ayu Anandyta; Amir Husin; Tengku Mahmud Aria Lamantjiji; Sarah Patumona Manalu; Novrida Harpah Hasibuan; Ferdy Ashari Syawal
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.24544

Abstract

Hazardous and toxic waste management is essential for ensuring safe, effective, and sustainable healthcare services. This study evaluated compliance with hazardous and toxic waste management practices at a Type A Riau Provincial Psychiatric Hospital, Indonesia, based on the Indonesian Ministry of Environment and Forestry Regulation No. 56 of 2015 concerning Procedures and Technical Requirements for Hazardous and Toxic Waste Management from Healthcare Facilities. The evaluation was conducted through field observations using a Likert scale-based checklist. The results showed an overall compliance score of 85.05%, classified as “very good” or “compliant” according to the assessment criteria. However, non-compliance was identified in the segregation and handling of sharps waste due to improper waste mixing. To improve performance, the hospital should strengthen the implementation of standard operating procedures (SOPs) for waste segregation, provide continuous training for healthcare workers and cleaning personnel, implement waste minimization at the source, and enhance coordination with licensed third-party waste management providers. These measures are expected to improve regulatory compliance, reduce occupational health and safety risks, prevent needlestick injuries, minimize exposure to infectious agents and environmental contamination, and ultimately strengthen public health protection within healthcare facilities and surrounding communities.
Utilization of Mengalo as an alternative carbohydrate source and dietary consumption patterns among the Sakai Tribe Nahya Rahmatul Ariza; Jumirah
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.24724

Abstract

The Sakai Tribe is an indigenous community that traditionally consumes Mengalo. However, the consumption of fruits and protein-rich foods remains limited. This study aimed to describe food consumption patterns and the utilization of Mengalo as an alternative carbohydrate source among the Sakai Tribe. A descriptive cross-sectional survey was conducted involving 72 Sakai households. The sample size was determined using the Slovin formula with a 90% confidence level. Nutrient intake data were collected through face-to-face interviews using a food recall form. Household dietary diversity was assessed using the Household Dietary Diversity Score (HDDS), while the utilization of Mengalo was measured using a structured questionnaire. Data were analyzed descriptively and presented as percentages. The findings indicated that 43.1% of households had normal energy intake and 58.3% had normal carbohydrate intake. In contrast, protein intake was predominantly classified as a severe deficit in 38.9% of households. The average household dietary diversity was categorized as high (63.9%), although the intake of fruits and protein sources remained relatively low. Regarding local food utilization, 48.6% of households demonstrated a moderate level of Mengalo utilization as an alternative carbohydrate source. In conclusion, Mengalo continues to play an important role in supporting carbohydrate intake among the Sakai Tribe. Nevertheless, efforts are needed to improve the consumption of fruits and protein-rich foods to enhance overall diet quality. Preserving the cultural practice of Mengalo consumption through intergenerational knowledge transfer and exploring more modern processing techniques may contribute to sustaining local food utilization and improving dietary diversity among indigenous communities.
Maternal personal hygiene as a dominant risk factor for diarrhea among toddler in Medan City: a logistic regression analysis Sufia Idya; Jayanti Rida Lestari; Rahmi Wardani
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.24747

Abstract

In Indonesia, toddler diarrhea is still a major public health concern, especially in crowded cities like Medan City. The prevalence of diarrhea in toddlers remains high despite advancements in environmental sanitation, suggesting the impact of additional contributing factors, particularly caregiver behavior. The purpose of this study was to examine the main variables linked to toddler diarrhea incidence, with an emphasis on maternal personal hygiene habits. In this quantitative study, 120 mothers with toddlers ages 24 to 59 months selected through purposive sampling participated in a cross-sectional design. Participants were chosen from Medan City's seven subdistricts with the highest number of toddler diarrhea cases reported. Maternal personal hygiene behavior—which includes knowledge, attitudes, and practices—were the independent variables. Multiple logistic regression analysis was used to determine the most significant factor influencing the incidence of diarrhea in toddlers. The findings indicated that maternal personal hygiene practices were the most significant factor linked to toddler diarrhea incidence among all variables analyzed (p = 0.013; Exp.B = 3.387). Diarrhea was 56% more likely to occur in toddlers whose mothers practiced poor personal hygiene. The incidence of diarrhea was not substantially correlated with maternal attitudes or environmental sanitation factors. In conclusion, preventing diarrhea in toddlers in urban environments requires improving maternal hygiene practices, especially handwashing with soap, sterilizing baby bottles and feeding utensils, and preparing safe food and drinking water.
Analysis of service quality using SERVQUAL to improve patient satisfaction in Standard Inpatient Class St Rosmanely; Sukri Palutturi; Nurmala Sari; Suci Rahmadani; Sugi Asmira; Wana Kurnia; Inayyah Nur Fitry Sirajuddin
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Indonesia’s National Health Insurance (JKN) program introduced the Standard Inpatient Class (Kelas Rawat Inap Standar/KRIS) policy to standardize inpatient facilities and eliminate service disparities across contribution classes. In September 2022, Dr. Tadjuddin Chalid Hospital in Makassar was designated as a national pilot project site for implementing the KRIS policy. This study evaluates patient satisfaction with inpatient services at the hospital following the policy's implementation. A total of 174 Health Insurance Administration Agency (BPJS) patients were selected using the Isaac and Michael table with a 10% margin of error. Data were collected through a SERVQUAL-based questionnaire and analyzed using correlation techniques. Ethical approval was obtained from the Health Research Ethics Committee of Dr. Tadjuddin Chalid Hospital, and participants provided informed consent. The primary outcome of the study was the level of patient satisfaction, which showed a significant positive correlation with all five service quality dimensions—reliability, responsiveness, assurance, empathy, and physical evidence. Empathy had the highest correlation coefficient (r = 0.770), followed by responsiveness (r = 0.577), reliability (r = 0.510), assurance (r = 0.506), and physical evidence (r= 0.338). Our study contributes to understanding patient satisfaction in the context of KRIS implementation by highlighting the importance of empathy and responsiveness. These findings provide insights for improving both interpersonal and facility-based service quality to support the successful nationwide implementation of KRIS.
Characteristics of microplastics in the surface water of Lake Singkarak and their relationship with microplastics in bilih fish (Mystacoleucus padangensis) Calysta Deli Ad’hani; Fadhila Fadhila; Lusi Ulisfah; Rona Rofida; Desti Alfrianti; Yasmin Zafirah
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.25324

Abstract

Microplastic pollution in freshwater ecosystems has become a pressing global environmental health issue, given potential to accumulate in aquatic food chain and pose health risks to aquatic organisms and to humans who consume fishery products. Microplastics are among the most commonly found pollutants in freshwater and have the potential to affect aquatic organisms. Lake Singkarak is potentially exposed to microplastic pollution from various surrounding anthropogenic activities. This study aimed to analyze the abundance and characteristics of microplastics in surface water and to compare them with the characteristics of microplastics in bilih fish based on secondary data. Water samples were collected in triplicate from three locations representing a river inlet, a residential area, and a tourism area. Samples were analyzed using chemical extraction and visual identification under a microscope. The parameters observed included the number and shape of microplastics. Microplastics were detected at all sampling locations, with abundance ranging from 9.33±1.15 to 11.67±4.51 particles/L. The microplastics found were dominated by fiber and fragment shapes, with fiber being the most dominant. The highest abundance was found at the river inlet and tourism area locations. Comparison with microplastic data on bilih fish showed consistent characteristics, particularly the dominance of the fiber shape. This indicates a potential link between the presence of microplastics in the water and exposure in aquatic biota. Thus, Lake Singkarak functions as a medium for the transport and accumulation of microplastics, highlighting the need for improved plastic waste management to reduce potential pollution and its impact on the aquatic ecosystem.
The relationship between electronic medical record use and nurse satisfaction in inpatient installations at Wulan Windy General Hospital, Medan Sapriadi; Varian Fanandrosa Harefa; Khairatunnisa
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.26210

Abstract

Electronic Medical Records (EMR) refer to a digital documentation system that records comprehensive patient health data, from personal identification to clinical examination findings and treatment histories. This system enables healthcare workers to retrieve information efficiently, accurately, and securely. Electronically stored data can further support service quality evaluation and evidence-based clinical decision-making. Objective: This study aimed to examine the relationship between EMR use and nurse satisfaction in the inpatient ward at Wulan Windy General Hospital, Medan, in 2025. Method:  applied quantitative analytical survey, a cross-sectional design. Population consisted of 76 respondents, selected by using total sampling. Data were analyzed using univariate and bivariate analyses with the chi-square test. Results: The frequency of use variable yielded p = 0.011, and the daily use duration variable yielded p = 0.001. Both variables demonstrated a significant association with nurse satisfaction (p ≤ 0.05). Conclusion:  significant relationship exists EMR use measured through frequency and daily duration and inpatient nurse satisfaction at Wulan Windy Hospital. The recommend that the Wulan Windy hospital expand EMR features to better suit user needs and provide operational manuals for both new and existing staff.
Correlation between access to health information and health literacy among adolescents in Aceh, Indonesia Chelsea Indriani; Dina Rasmita
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.25426

Abstract

The development of digital technology has brought about significant changes in how adolescents access health information; however, the main challenge remains their ability to evaluate and utilize information effectively. This study aims to examine the relationship between access to health information and levels of health literacy among adolescents in Aceh Tamiang. The study employs a descriptive correlational design with a quantitative approach, involving 88 students from SMA Negeri 4 Kejuruan Muda, selected via stratified random sampling. Data were collected via a health information access questionnaire and the Indonesian version of the Health Literacy Survey (Q16). Bivariate analysis using Spearman's Rho test revealed a very strong positive relationship between health information access and adolescents' health literacy levels (r = 0.802, p < 0.05). The majority of respondents had moderate access to information (60.2%), whilst health literacy levels were predominantly in the adequate category (43.2%); however, the majority of adolescents had inadequate literacy. This study indicates that good access to health information is a key factor in the development of health literacy in line with the European health literacy model. However, access to information without critical literacy skills risks increasing exposure to misinformation. These findings contribute to the development of comprehensive, context-specific health literacy interventions grounded in access to information and serve as a reference for the design of policies and health literacy education programs for adolescents in rural areas of Indonesia.

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