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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 664 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 Suryani, Elvi
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; Restu Auliani; Erba Kalto Manik; Yan Deivita
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

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