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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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Peritonsillar Abscess Novad Sawelly; Baiq Najwa Shalfira Arka Kusuma; Muhammad Zahran Latif; Lalu Aditya Indrawahyu
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.v6i1.2003

Abstract

Peritonsillar abscess (PTA) is the most common deep neck space infection, predominantly affecting adolescents and young adults. This condition represents a suppurative complication of acute tonsillitis or pharyngitis, characterized by pus accumulation between the tonsillar capsule and the superior pharyngeal constrictor muscle. Despite advances in antibiotic therapy, PTA remains a significant clinical entity with potential for life-threatening complications if inadequately managed. This article provides a comprehensive overview of peritonsillar abscess, encompassing its etiology, epidemiology, pathophysiology, clinical manifestations, diagnostic approaches, and evidence-based management strategies. This study employed a qualitative comprehensive literature review method. Data were collected through systematic searching of electronic databases including PubMed, Scopus, and Google Scholar for articles published between 2010 and 2024. Additionally, retrospective data from Sanglah General Hospital Denpasar (2010–2017) were analyzed to provide Indonesian epidemiological context. The annual incidence of PTA approximates 30 cases per 100,000 population, with peak incidence in individuals aged 15–40 years. The condition is predominantly polymicrobial, with Group A Streptococcus recovered from approximately 20% of cases. Analysis of 38 Indonesian patients revealed male predominance (65.78%), mean age of 38.76 years, and Streptococcus viridans as the most commonly isolated organism (63.16%). Clinical presentation is characterized by unilateral sore throat, trismus, muffled "hot potato" voice, and uvular deviation. Diagnosis is primarily clinical, with needle aspiration serving as the gold standard. Management comprises prompt antibiotic therapy combined with surgical drainage. Peritonsillar abscess requires early recognition and appropriate intervention to prevent complications. A multimodal approach incorporating clinical assessment, imaging when indicated, and timely surgical drainage with targeted antibiotic therapy yields favorable outcomes.
Diphteria Baiq Ikatria Aisya Azzahra; Firza Padila Salsabila Al-Khatib; Ni Kadek Putri Arini Dwi Ananda; Baiq Mutiara Saji Candrawati
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.v6i1.2007

Abstract

Diphtheria remains a significant public health threat in Indonesia despite decades of immunization programs. The country has witnessed a resurgence of cases, with outbreaks repeatedly occurring in provinces with low vaccination coverage. While quantitative surveillance data exist, little is known about the underlying socio-behavioral and health system factors that perpetuate transmission. This qualitative study aimed to comprehensively explore the barriers to diphtheria prevention and control from the perspectives of multiple stakeholders. Using a descriptive exploratory design, in-depth interviews and focus group discussions were conducted with 60 participants, including healthcare workers, parents, community leaders, and district health officials, across three high-incidence districts. Data were analyzed thematically using Braun and Clarke’s framework. Four overarching themes emerged: (1) pervasive immunization gaps driven by vaccine hesitancy and access deficits; (2) fragmented health system capacity, particularly in surveillance and case management; (3) deeply rooted socio-cultural beliefs and misinformation; and (4) weak intersectoral coordination during outbreak response. Participants vividly described how religious objections, fear of adverse events, geographic remoteness, and inadequate logistics chain interact to sustain outbreaks. The findings highlight that diphtheria resurgence is a multifactorial phenomenon requiring integrated interventions. Strengthening routine immunization through community engagement, enhancing diagnostic capacity, and establishing culturally sensitive communication strategies are critical. This study provides essential evidence for policy refinement toward achieving diphtheria elimination in Indonesia
The Relationship between Psychological Stress and the Menstrual Cycle in Eighth Grade Female Adolescents at SMP Negeri 3 Panyabungan Regency Mandailing Natal Sri Wahyuni Harahap; Ayu Ulfah Nur Lubis; Doriana harahap; Nur Hasanah siregar; Ennysah Hasibuan; Doriani 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.v6i1.2029

Abstract

The menstrual cycle is the time from the first day of menstruation until the next menstrual cycle, while the length of the menstrual cycle is the distance from the start date of the previous menstruation to the start of the next menstrual cycle. A woman's menstrual cycle is usually 21-35 days, only 10-15% of women have a cycle of 28 days, 3-5 days and some have 7-8 days. Stress is an individual's response to changes in a threatening situation, This can be seen as a personal reaction to external events or demands such as doing tasks or internal states of mind such as worry. Stress tends to increase when unable to cope with unpleasant situations faced by a person. The population in this study was 47 people. The sample in this study used a Total Sampling sampling technique, namely a sampling technique where the sample size is the same as the population. The type of research used in this study is descriptive analytic with the Cross sectional method. The results of this study indicate that the p value = 0.050 (p = 0.05), so it is concluded that Ho is rejected and Ha is accepted. It is recommended for female students to continue to understand how to manage stress and reproductive health and to be able to carry out activities that are expected to reduce stress levels and seek information related to stress management and reproductive health
Effectiveness Use of the Jkn Mobile Application in Health Services at Gunung Tua General Hospital, North Padang Lawas Tiasa Pohan; Mhd.Fadlillah Nasution; Johan Saputra
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.v6i1.2031

Abstract

Advances in information technology sometimes require people to keep up with the times. Currently, the use of information and communication technology is crucial for businesses and organizations to win the competition. This study aims to analyze the effectiveness of the use of the JKN mobile application in healthcare services at Gunung Tua General Hospital. This research method uses a qualitative research method with a descriptive approach. Data collection was conducted through in-depth interviews, observation, and documentation with informants determined using a purposive sampling technique. The results show that the use of the JKN Mobile application has a positive impact on healthcare services, particularly in accelerating the registration process and reducing patient queues. This application is considered to help with time efficiency and increase user comfort. It is recommended that BPJS Kesehatan and the hospital increase socialization and education activities regarding the use of the JKN Mobile application, both through print and digital media, as well as direct patient assistance. In addition, improvements in the quality of technical services, including system and network stability, need to be continuously carried out. The hospital is also expected to provide special staff to assist patients who experience difficulties in using the application
Sociodemographic Factors as Predictors of Cutaneous Eruption Sites in Irritant Contact Dermatitis: An Analytic Study at Dr. Pirngadi Regional Public Hospital Nathalia E.R. Sipahutar; Joice Sonya Gani Panjaitan; Jenny Ria Sihombing; Hendra Hendra; Suhartomi Suhartomi; Runggu Retno Justiani Napitupulu
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.v6i1.2032

Abstract

Background: Irritant contact dermatitis (ICD) is a common skin disorder that may be influenced by various sociodemographic factors. These factors are suspected to contribute to the predilection sites of cutaneous eruptions in patients with ICD. Objective: This study aimed to determine the association between sociodemographic factors and the location of cutaneous eruptions in patients with irritant contact dermatitis at Dr. Pirngadi Regional Public Hospital. Methods: This analytic observational study employed a cross-sectional design. A total of 56 ICD patients were included using a total sampling technique. The variables analyzed included sociodemographic characteristics (age, sex, and occupation) as independent variables and eruption sites as the dependent variable. Associations between categorical variables were analyzed using the Chi-square test with the likelihood ratio approach, while the strength of association was assessed using Cramer’s V coefficient. Results: The majority of respondents were female (37; 66.1%), while males accounted for 19 participants (33.9%). Based on occupation, most respondents were housewives (16; 28.6%) followed by civil servants (13; 23.2%). The most common eruption sites were the upper extremities (35.7%) and lower extremities (33.9%). Statistical analysis showed no significant association between age and eruption sites (p = 0.067) or between sex and eruption sites based on the Chi-square likelihood ratio test (p = 0.334; Cramer’s V = 0.243). In contrast, occupation demonstrated a statistically significant association with eruption sites (p = 0.038) with a moderate strength of association according to Cramer’s V (0.504). Conclusion: Occupation is a sociodemographic factor significantly associated with the location of cutaneous eruptions in patients with irritant contact dermatitis.
Analysis Of The Impact Of Health Services And Facilities On The Decline In Patient Visits At Sangkunur Community Health Center Normayanti Rambe; Lisna Khairani Nasution; Susi Febriani Yusuf
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.v6i1.2037

Abstract

The use of Puskesmas as a center for basic health services in the community is still minimal. The results of the North Sumatra Provincial Susenas in 2021 where the population who treated the road was recorded at 17.47% in utilizing the Auxiliary Puskesmas / Puskesmas. The study aims to analyze the effect of health worker services, facilities, and infrastructure on the decrease in community patient visits (non-PBI) of the Sangkunur Health Center. The type of research used is analytical quantitative research with the Explanatory Research type, with a sample of all patients aged ≥ 17 years, who went to the Sangkunur Health Center, with a Non-PBI category of 243 people. The Statistical Test used is the chi-square test and linear logistic regression. The results showed that there was an influence of health services on the decrease in patient visits to the Sangkunur Health Center with a p-value = 0.000. The conclusion is that the poor service of health workers resulted in respondents decreasing visits at the Sangkunur Health Center.
The Relationship Between Maternal Knowledge and Stunting Prevention Practices Among Children at Alisah Clinic in 2026 Ermita Silvana Putri; Eni Monaliska Sihombing
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.v6i1.2042

Abstract

Stunting is a health issue that is currently a major concern, particularly in Indonesia. Stunting is a condition in which a child experiences growth impairment, resulting in shorter stature. Low levels of maternal knowledge influence mothers’ behavior in providing balanced nutrition to their children. This study aims to analyze the relationship between maternal knowledge and preventive measures against stunting in children at the Alisah Clinic in 2026. This study is an analytical survey using a cross-sectional approach. The study population consisted of mothers with children under 5 years of age at Alisah Clinic. The sample comprised 40 participants selected using accidental sampling. The results showed that of the 40 respondents with children under 5 years of age, the majority 23 respondents (57.5%) had knowledge categorized as “inadequate,” while a minority 8 respondents (20.0%) had knowledge categorized as “good.” Of the 40 respondents with children under 5 years of age, the majority 29 respondents (72.5%) did not take preventive measures, while a minority 11 respondents (27.5%) did. Of the 40 respondents regarding stunting prevention who have children under 5 years of age, the majority 22 respondents (55.0%) did not take any preventive measures, while a minority 18 respondents (45.0%) did. There is a relationship between mothers’ actions and the prevention of stunting in children. At a 95% confidence level with α = 0.005%, the two-tailed significance value (sig) was 0.00 < 0.05. The conclusion of this study is that there is a relationship between mothers’ knowledge and preventive measures against stunting in children at the Alisah Clinic in 2026. It is recommended that mothers further improve their knowledge regarding the prevention of stunting in children through educational sessions or other sources of information.
The Relationship Between Husband Support and Antenatal Care Visits Among Pregnant Women in the Third Trimester at PMB Nelly in Padangsidimpuan In 2024 Rya Anastasya Siregar; Rizka Heriansyah; Tapi Endang Fauziah Lubis; Arisa Harfa Said Lubis; Novita Sari Batubara; Nur Aliyah Rangkuti
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.v6i1.2053

Abstract

Prenatal care, or prenatal checkups at the nearest medical facility, can evaluate the health of pregnant women.Husband's support is one element that influences the frequency of prenatal care visits. Matemal mortality can be avoided with more prenatal care visits. This study aims to determine the relationship between prenatal care visits and husband's support among third-trimester pregnant women at PMB Nelly, Padangsidimpuan City in 2024. This study used a cross-sectional and quantitative approach. A total of 32 people were selected using an accidental sampling method. The results showed that the majority of husbands (18 people) did not provide assistance, and the mejority (20 people, or 62.5%) did not attend scheduled prenatal care appointments. A significant correlation between husband's support and prenatal care visits among third-trimester pregnant women was found using the chi-square test, which produced a p-value of 0.006. Conclusion: Among third-trimester egnant women, there is a relationship between prenatal care visits and husband's support. Recommendation: Husbands can help their wives to continue with prenatal care by increasing their involvement, and pregnant women should understand the importance of completing all planned ANC examinations as decided by health professionals.
The Effect of Administering Ethanol Extract of Rambutan Leaves (Nephelium Lappaceum L.) on Accelerating The Healing of Excision Wounds In Male White Mice (Rattus Norvegicus) Patimah Simamora
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.v6i1.1510

Abstract

Excisional wounds are wounds in which the skin surface and underlying layers are broken to varying depths but the wound edges are regular and are caused by accidental events such as accidents, trauma, or exposure to pressure, heat, sunburn, or chemicals. Rambutan leaves (Nephelium lappaceum L.) are known to contain secondary metabolite compounds, especially flavonoids and tannins, which have the potential to accelerate the healing of excisional wounds through antioxidant, anti-inflammatory, and astringent activities. This study aims to determine the effect of administering rambutan leaf ethanol extract on accelerating the healing of excisional wounds in male white rats (Rattus norvegicus) and to determine the most effective concentration.  The parameters observed include the percentage of wound healing and epithelialization time. Data were analyzed using the One-Way ANOVA test with a 95% confidence level. The results of phytochemical screening showed that rambutan leaf ethanol extract contains flavonoids and tannins. The percentage of wound healing on the 14th day in the 20%, 25%, 30%, positive control, and negative control concentration groups was 87%, 90%, 95.45%, 93.10%, and 86%, respectively. The results of statistical analysis showed that there were significant differences between the treatment groups. On the 4th day, the F value was 4.842 with p = 0.007, on the 9th day, the F value was 6.524 with p = 0.002, and on the 14th day, the F value was 8.720 with p <0.000 (p <0.05). The concentration of 30% rambutan leaf ethanol extract provided the best wound healing activity with a healing percentage of 95.45% on the 14th day with a significant value of 0.000 (p<0.05) and the fastest epithelialization time was a concentration of 30% on the 6th day with a significant value of 0.018 (p<0.05) compared to other groups.
Understanding Depression in Daily Practice Dana Rizki Adilla Sitepu; Deasy Hendrianti; Haznur Ikhwan; Hervina
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.v6i1.2027

Abstract

Depression represents a significant global health challenge, characterized as an abnormal condition arising from an individual's inability to adapt to specific circumstances or events, consequently affecting physical, psychological, and social functioning. According to the American Psychiatric Association (APA, 2013), depressive disorders are classified into two main categories: Major Depressive Disorder (MDD), marked by loss of interest or pleasure in daily activities lasting at least two weeks without manic episodes, and Dysthymic Disorder, a milder but chronic condition persisting for approximately two years. This article employs a comprehensive literature review methodology, systematically examining scholarly journals, scientific articles, websites, and textbooks to explore the characteristics, risk factors, and manifestations of depression across various populations. The findings reveal distinct patterns in specific demographic groups, including pregnant and postpartum women, adolescents, and the elderly, each presenting unique clinical features and predisposing factors. Depression results from a complex interplay of biological, psychological, and social factors, manifesting through characteristic physical, psychological, and social symptoms. The condition often leads to feelings of hopelessness, low self-esteem, persistent pressure, and negative thought patterns that may culminate in suicidal ideation. Early recognition and appropriate intervention are crucial for preventing adverse outcomes across all age groups and populations

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