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International Journal of Public Health Excellence (IJPHE)
Published by PT Inovasi Pratama Internasional
ISSN : -     EISSN : 28099826     DOI : https://doi.org/10.55299/ijphe
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
International Journal of Public Health Excellence (IJPHE), ISSN 2809-9826 (online) has a subject area as follows, but is not limited to the following health areas that are reproduction health, medical service, health statistics, health management, oral hygiene, medical bio, civilized environmental health, universal health, nursing, health care provider, health entrepreneur, health research, health innovation, infectious diseases and their treatment, medical insurance, medical neuroscience, occupational health and safety, public health science and midwifery.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 690 Documents
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Dietary Intervention Using Salacca (Snake Fruit) Chips to Combat Anemia in Pregnancy: Evaluation of Iron Status Improvement and Compliance Factors in Padangsidempuan, Indonesia Elvi Suryani
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1923

Abstract

Anemia in pregnancy remains a critical public health challenge in Indonesia, with prevalence exceeding 48% in some regions. Conventional iron supplementation faces barriers related to adherence and side effects. Salacca zalacca (snake fruit), an indigenous Indonesian fruit rich in iron (3.9–4.2 mg), vitamin C (8.4 mg), and phytochemicals per 100 g, offers a promising food-based intervention. This study evaluated the efficacy of vacuum-fried snake fruit chips in improving iron status and assessed compliance determinants among anemic pregnant women in Padangsidempuan, North Sumatra. A quasi-experimental design involved 128 participants (64 per group). The intervention group received 50 g of snake fruit chips daily for 12 weeks plus routine iron–folic acid (IFA), while controls received IFA alone. At week 12, the intervention group showed significantly greater improvements in hemoglobin (11.82 ± 0.91 vs. 10.94 ± 1.02 g/dL), serum ferritin (28.46 ± 5.73 vs. 22.18 ± 6.41 μg/L), and hematocrit (35.86 ± 2.74% vs. 33.45 ± 3.12%) (all p < 0.001). Anemia prevalence reduction was 41.7% vs. 26.7% (p = 0.008). High compliance (≥80%) was achieved by 81.3% of the intervention group. Palatability, family support, and perceived health benefits were significant positive predictors of compliance. These findings support integrating culturally acceptable, food-based interventions into maternal nutrition programs to address iron deficiency anemia in resource-limited settings.
Characteristics of Sexually Transmitted Infections in Patients with Human Immunodeficiency Virus /Acquired Immunodeficiency Syndromeat Abepura Regional Hospital: A Descriptive Study Inneke Viviane Sumolang; Lusye Howay; Maria Novia Herlin Solossa
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1193

Abstract

Sexually Transmitted Infections (STIs) are a public health problem that remains a global challenge, especially for people with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS).  The relationship between HIV and STIs is bidirectional, where STIs can increase the risk of HIV transmission through genital mucosal damage and inflammatory processes, while a decreased immune system in HIV patients can worsen the manifestations of STIs. Papua is one of the provinces with a high number of HIV/AIDS cases in Indonesia, so it is important to understand the types of STIs and the factors that contribute to the occurrence of STIs in people with HIV/AIDS. This study aims to determine the most common types of STIs and the characteristic factors that contribute to the incidence of STIs in HIV/AIDS patients at the VCT Clinic of Abepura Regional Hospital for the period 2022–2024. Methods: This study used a quantitative approach with a descriptive design. The study sample consisted of 63 medical records of HIV/AIDS patients with STIs selected using a purposive sampling technique. Data were collected through a review of medical record documents and analyzed descriptively using frequency distribution and crosstabulation. The results showed that the most common type of STI found was syphilis with 55 cases (87.3%), followed by gonorrhea with 5 cases (7.9%) and condyloma acuminata with 3 cases (4.8%). The majority of patients were in the 17–25 years age group (39.7%), male (55.6%), had a high school education (81%), were unemployed (34.9%), single (63.5%), and had high-risk sexual behavior (84.1%). No patients were found with a history of drug use. Conclusion: Syphilis was the most prevalent STI among HIV/AIDS patients at the VCT Clinic at Abepura Regional Hospital. The most common characteristics among HIV/AIDS patients with STI coinfection were young age, male gender, secondary education, single status, unemployed, and high-risk sexual behavior
Nursing Analysis of SEFT and PC6 Acupressure in Reducing Anxiety in Stemi Patients Fitri Fitri; Zulmah Astuti; Ulfatul Muflihah; Dwi Widiyastuti
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1909

Abstract

Anxiety is one of the most common psychological responses experienced by patients with ST-Elevation Myocardial Infarction (STEMI) during hospitalization in the Intensive Cardiac Care Unit (ICCU), which may affect physiological stability and the recovery process. Therefore, supportive non-pharmacological nursing interventions are needed to help manage anxiety. This study aimed to analyze nursing practice through the application of the Spiritual Emotional Freedom Technique (SEFT) and PC6/Neiguan acupressure on anxiety levels in patients with STEMI. A case analysis was conducted on two patients with STEMI in the ICCU using a nursing care approach. The first patient received standard care combined with SEFT and PC6/Neiguan acupressure interventions, while the second patient received standard care only. Anxiety levels were measured using the State–Trait Anxiety Inventory (STAI). The patient who received SEFT and PC6/Neiguan acupressure experienced a reduction in anxiety level from moderate anxiety to no anxiety, while the patient who received standard care only did not show any reduction in anxiety level and remained in the moderate anxiety category. The application of SEFT and PC6/Neiguan acupressure in nursing practice was associated with reduced anxiety levels in patients with STEMI and may serve as supportive nursing therapies within a holistic nursing care approach for cardiovascular patients
Beyond BMI: The Synergistic Effect of Ultra-Processed Food Consumption and Sedentary Behavior on Gut Microbiota and Systemic Inflammation in Young Adults with Early Metabolic Syndrome – A Longitudinal Cohort Study Ian Astarina Mas'ud; Yeni Aryani; Restu Auliani; Erba Kalto Manik; Yan Deivita; Ani Laila; Yofa Sukmawati
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1955

Abstract

Background: Body mass index (BMI) inadequately captures metabolic risks driven by modern lifestyles, particularly the combination of ultra-processed food (UPF) intake and sedentary behavior. While each factor independently fosters low-grade systemic inflammation, their synergistic impact on the gut microbiota–inflammation axis in young adults with early metabolic syndrome (MetS) remains unexplored. Objective: This longitudinal cohort study examined the independent and synergistic effects of UPF consumption and sedentary behavior on gut microbiota composition and systemic inflammatory biomarkers in Indonesian young adults with early MetS over 12 months. Methods: We recruited 400 participants aged 20–30 years meeting 1–2 ATP III criteria for MetS. Dietary intake was assessed with a validated semi-quantitative FFQ with NOVA classification; sedentary time was measured via triaxial accelerometers. Gut microbiota was profiled using 16S rRNA sequencing (V3–V4 region), and hs-CRP, IL-6, and TNF-α were quantified at baseline and 12 months. Participants were stratified into four groups by median splits of UPF energy share (%kcal) and daily sedentary time. Generalized estimating equations tested synergistic interactions on inflammation, and mediation analyses evaluated microbiota diversity pathways. Results: The high-UPF/high-sedentary group exhibited the greatest increases in hs-CRP (+1.78 mg/L), IL-6 (+2.95 pg/mL), and TNF-α (+3.12 pg/mL), with a significant multiplicative interaction (p<0.001). Shannon diversity declined most sharply in the high-UPF/high-sedentary group (−0.32), paralleled by a rise in the Firmicutes/Bacteroidetes ratio (+0.47). Mediation analysis showed that 31.4% of the synergistic effect on hs-CRP was mediated by loss of diversity. Conclusion: Co-occurring high UPF consumption and sedentary behavior synergistically amplify systemic inflammation partly through gut dysbiosis in early MetS, underscoring the need to target both dietary and physical activity domains beyond BMI-centric strategies
The Influence of Accessibility Factors on The Success of Exclusive Breastfeeding in The Working Area of Portibi Public Health Center, North Padang Lawas Regency in 2026 Dina Herawati; Ica Fauziah Harahap
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1172

Abstract

Breastfeeding is the best investment for biological survival and improving the health, social, and economic development of individuals and nations. Although the global breastfeeding initiation rate is relatively high, only about 40% of infants under 6 months of age receive exclusive breastfeeding, and 45% continue to receive breastfeeding until the age of 24 months (Fadlliyyah, 2019). This study is an observational study with a cross-sectional design that aims to analyze the influence of accessibility factors on the success of exclusive breastfeeding at the Portibi Community Health Center, North Padang Lawas Regency, in 2026. The study was conducted at the Portibi Community Health Center, North Padang Lawas Regency in 2026 with a total of 78 respondents. This study concluded that accessibility factors have a significant effect on the success of exclusive breastfeeding at the Portibi Community Health Center, North Padang Lawas Regency in 2026 (p-value = 0.05).
The Effect of a Mobile-Based Nutrition Education Module on Improving Feeding Practices and Nutritional Status of Children under Five in Urban Slums Risnati Malinda; Chatarina Suryaningsih; Rahmah Juliani Siregar; Sri Sumarni; Emdat Suprayitno
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1554

Abstract

Background: Inappropriate feeding practices and high malnutrition rates among children under five remain critical public health issues in urban slums, where access to nutrition information is limited. Mobile health (mHealth) interventions offer a promising platform for delivering nutrition education. Objective: This study aimed to evaluate the effect of a mobile-based nutrition education module on improving feeding practices and nutritional status of children aged 6–23 months in urban slums. Methods: A quasi-experimental pretest-posttest control group design was employed. A total of 120 mother-child pairs were purposively selected and allocated into an intervention group (receiving a 12-week mobile-based module, n=60) and a control group (receiving conventional lectures and leaflets, n=60). Feeding practices (minimum dietary diversity, meal frequency) were assessed using structured questionnaires, while nutritional status was measured through anthropometry (weight-for-age, height-for-age, weight-for-height z-scores). Data were analyzed using paired t-test, independent t-test, and ANCOVA (p<0.05). Results: The intervention group showed significantly greater improvements in feeding practice scores compared to controls (p<0.001). Moreover, stunting prevalence decreased from 32% to 18%, and wasting from 15% to 7% in the intervention group, with significantly better WAZ and HAZ z-scores than the control group (p<0.05). Conclusion: The mobile-based nutrition education module effectively improved maternal feeding practices and child nutritional status in urban slums. This innovation offers a scalable, low-cost solution for addressing childhood malnutrition in underserved populations.
Analysis of Household Air Pollution and Its Association with Acute Respiratory Infection Incidence in Women Living in Rural Agro-Industrial Areas Rahmah Juliani Siregar; Willhelmina Wahara; Nour Sriyanah; Maryam Latifah Harahap; Eko Mulyadi
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1559

Abstract

Introduction: Household air pollution (HAP) from solid fuel combustion remains a leading environmental health threat, yet its specific impact on women in rural agro-industrial areas, where agricultural residues are commonly used as cooking fuel, is poorly documented. This study aimed to measure HAP levels and determine their association with acute respiratory infection (ARI) incidence among women in these settings. Method: A cross-sectional study was conducted among 250 women from three rural villages in an agro-industrial region. Indoor PM2.5 and carbon monoxide (CO) concentrations were monitored over 24 hours using portable air samplers. Data on ARI symptoms (cough, fever, and difficulty breathing) and household fuel use were collected via validated questionnaires. Multivariate logistic regression was used to assess associations. Results: Mean 24-hour PM2.5 and CO levels were 285 µg/m³ and 7.2 ppm, respectively, both far exceeding WHO safety thresholds. Biomass fuel use dominated (78%), primarily agricultural waste. ARI prevalence reached 42%. After adjusting for confounders, elevated PM2.5 was significantly associated with ARI (AOR=2.8; 95% CI: 1.6–4.9), alongside biomass fuel use and prolonged cooking time. Discussion: The strong dose-response relationship suggests that chronic exposure to high particulate matter from agricultural residues directly compromises respiratory defenses. The synergistic effect of indoor smoke and poor ventilation likely exacerbates infection risk, highlighting a overlooked occupational-exposure pattern in agrarian communities. Conclusion: Urgent interventions particularly cleaner cookstove programs and kitchen design improvements are essential to reduce the substantial ARI burden among this vulnerable population.
Why do teens act impulsively? A psychoneuropsychiatry review of decision making Firza Padila Salsabila Al-Khatib; I Gusti Ayu Luneta Somya Paramita Prayuga; Rais Nauval Sabirah; Anisa
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1910

Abstract

Adolescence is a crucial transitional phase characterized by the "Adolescent Health Paradox," a condition where adolescents are at their peak physical vitality yet experience increased morbidity and mortality rates due to high-risk behaviors. From a psychoneuropsychiatric perspective, this is caused by an imbalance in brain maturation between the limbic system and the prefrontal cortex. This literature review aims to provide a comprehensive understanding of the dynamics of adolescent brain development and its relationship with impulsive behavior and decision-making mechanisms. This study utilizes a literature review method by examining scientific articles from the Google Scholar, PubMed, and NCBI databases, as well as references from official institutions such as the WHO and the Ministry of Health of the Republic of Indonesia, primarily focusing on publications from the last ten years. The review indicates that adolescent impulsivity is a multidimensional construct involving "impulsive action" and "impulsive choice". Based on the Dual Systems Model, the limbic system (reward and emotion) develops more rapidly than the prefrontal cortex (executive control), leading adolescents to be more reactive and struggle with delaying gratification. Internal factors such as emotion regulation and resilience, as well as external factors like parental attachment and peer influence, significantly affect impulsivity levels. The clinical implications of this condition include an increased risk of mental disorders such as ADHD, Substance Use Disorder, and self-harm. Impulsive behavior in adolescents is a logical consequence of incomplete neurodevelopmental processes. Intensive guidance from parents and a supportive school environment are necessary to help adolescents develop self-control and healthy decision-making skills.
The Effect of Knowledge and Attitude to Implement Dysmenorrhea Exercises on Reducing Pain Scale in Midwifery DIII Students at Paluta Husada Gunungtua Umi Istiqomah
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1933

Abstract

Adolescence is a phase of life between childhood and adulthood, from the age of 10 to 19 years. Adolescence is a unique stage of human development and is an important time to lay the foundation for good health. This study is a quantitative type with a pre-experimental design that uses the one group pretest-posttest design, because this study aims to compare the results of the pretest of the intervention group and the posttest of the intervention group. The sample in this study were 66 students of the D-III Midwifery Study Program level I and II of STIKes Paluta Husada. Knowledge behavior before carrying out dysmenorrhea exercises had knowledge mostly in the sufficient category and after carrying out dysmenorrhea exercises knowledge was good, and before carrying out dysmenorrhea exercises students had a negative attitude because they felt it would not affect them, but after carrying out the exercises there was a positive attitude. D-III Midwifery Study Program students at STIKes Paluta Husada Gunung Tua can play an active role in helping to reduce menstrual pain problems, especially in female students with dysmenorrhea exercises. As midwifery students, we are expected to implement our role as midwifery care providers by regularly conducting dysmenorrhea exercises to reduce and manage menstrual pain
The Relationship Between Post-Acne Scars and Quality of Life Among Medical Students of FK UNAND, Padang, Indonesia Salsabila Aulia Kasbina; Satya Wydya Yenny; Hendra Permana; Aswiyanti Asri; Qaira Anum; Yulistini
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1942

Abstract

Post-acne scars are a condition of skin layer damage due to the healing process of acne vulgaris, causing the skin to appear depressed. This condition disrupts facial aesthetics and may become permanent, thereby affecting the patient’s psychological condition and quality of life. This study aimed to determine the relationship between the severity of post-acne scars and the quality of life among medical students of FK UNAND, Padang, Indonesia. This study was an analytic observational study with a cross-sectional design conducted from June to December 2023. The population consisted of medical students of FK UNAND batch 2020–2022 who had acne scars. The total sample was 88 respondents selected using consecutive sampling. Data were collected using the Facial Acne Scar Quality of Life (FASQOL) questionnaire and Dysmorphic Concern Questionnaire (DCQ). Statistical analysis was performed using One-Way ANOVA and Fisher’s Exact Test. The results showed that most respondents were female and aged 21 years. The majority experienced mild acne scars (46.6%). The mean FASQOL score was 14.11. Most respondents felt disturbed by the presence of acne scars on their face. The DCQ results showed that 88.6% of respondents had no dysmorphic disorder features. There was no significant relationship between acne scar severity and quality of life (p=0.938) nor dysmorphic disorder (p=0.241). The study concluded that there was no relationship between the severity of post-acne scars and the quality of life among medical students of FK UNAND, Padang, Indonesia

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