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CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal
Published by Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia
ISSN : -     EISSN : 27228169     DOI : https://doi.org/10.37148/comphijournal
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal merupakan Jurnal Ilmiah bidang Ilmu Kedokteran Komunitas dan Ilmu Kesehatan Masyarakat yang dikelola dan diterbitkan oleh Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia. CoMPHI Journal terbit 3 (tiga) kali dalam 1 tahun yaitu setiap bulan Juni, Oktober dan Pebruari. Cakupan dan Fokus Jurnal ini pada Bidang Ilmu Kedokteran Komunitas, Ilmu Kesehatan Masyarakat dan atau yang serumpun dengannya seperti Kedokteran Keluarga, Kedokteran Industri, Biostatistik, Administrasi dan Kebijakan Kesehatan, Epidemiologi, Gizi, Farmasi, Kesehatan dan Keselamatan Kerja, Promosi Kesehatan, Rekam Medik dan lainnya yang masih serumpun dengan bidang Ilmu Kesehatan.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 138 Documents
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Knowledge-Attitude Health Behaviour And Vitamin D Status During Epidemic Covid-19 Lorensia, Amelia; Septinellya, Cinthya Farah; Suryadinata, Rivan Virlando
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Vitamin D deficiency or vitamin D deficiency can increase the incidence of respiratory diseases. The of individuals have less knowledge and attitudes towards health problems. The objective was determine relationship vitamin D status and knowledge-attitudes health Behaviour about vitamin D. This type of research was a cross-sectional research design. The research location used in this study was around the Surabaya area starting in March-July 2022. The research location was carried out in Rungkut District, Surabaya, Indonesia. The variables were vitamin D status and knowledge and attitudes on smoking health Behaviour about vitamin D. The relationship between vitamin D status and knowledge-attitudes on smoking health Behaviour about vitamin D using a contingency coefficient. There was no significant relationship with vitamin D status and knowledge on smoking health Behaviour about vitamin D (p=0.685), but there was a significant relationship with vitamin D status and attitude on smoking health Behaviour about vitamin D, but the relationship was low or weak (p=0.000). A positive attitude will reduce the risk of vitamin D deficiency which can boost the immune system during the COVID-19 pandemic.
Sekolah IBU PINTAR (Pembangun Keluarga agar Anak Tumbuh Sehat dan Religi) Berbasis Keluarga di Desa Kadubelang Kecamatan Mekar Jaya Kabupaten Pandeglang Dini widianti; Widianti, Dini; Mahardhika, Zwasta Pribadi
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Ibu mempunyai peran yang dominan dan multi peran,baik sebagai Ibu, Ibu rumah tangga, pembimbing dan pembina anak dalam melindungi setiap anggota keluarga dari berbagai hal yang tidak diinginkan terjadi dalam keluarga, dalam pemenuhan kebutuhan dan keuangan keluarga Ibu mempunyai peran ganda yaitu sebagai penopang ekonomi keluarga. Tujuan sekolah ibu PINTAR diadakan agar PKK yang ada di desa Kadubelang dapat melakukan pemberdayaan dengan 10 program pokok PKK, masyarakat khususnya ibu mendapatkan edukasi dan pengetahuan sebagai bekal dalam pemberdayaan keluarga. Metode yang digunakan dalam kegiatan ini yaitu a) FGD (Focus Grup Discussion) dengan mitra b) pelatihan kader, c) Penyuluhan kepada ibu, d) pengisian kuesioner pretest dan postest, e) kader peserta pelatihan praktek langsung. Kegiatan dilaksanakan selama 2 hari pada hari Selasa-Rabu 4-5 Juni 2024 pukul 09.00 WIB sampai dengan selesai di balai desa Kadubelang. Evaluasi dilakukan dengan kuesioner pretest dan postest untuk kegiatan pelatihan kader dan penyuluhan ibu pintar yang dilakukan oleh kader terlatih, dilanjutkan pengisian kepuasan oleh peserta. Analisis dilakukan secara univariat dan bivariat. Jumlah peserta kegiatan FGD sebanyak 15 orang, peserta pelatihan kader 10 orang yang berasal dari 5 pos dan peserta penyuluhan sebanyak 27 orang. Hasil analisis pelatihan kader dengan uji Wilcoxon adalah nilai p = 0,780 yang menunjukkan bahwa pelatihan kader tidak signifikan dengan peningkatan pengetahuan kader, dan nilai p =0,094 pada penyuluhan ibu pintar juga menunjukkan tidak signifikan dengan pengetahuan. Hasil kepuasan peserta menunjukkan mitra, kader dan peserta penyuluhan merasa puas terhadap materi dan juga narasumber.
Analysis of Sensitive Interventions through Drinking Water Supply and Access to Sanitation in Accelerating the Reduction of Stunting in Sempung Polling Village, Lae Parira Subdistrict, Dairi Regency, 2023 nolia, helfi; Harnat , Robert
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Poor quality of clean water and sanitation is a significant risk factor for stunting, a condition where a child's height is not appropriate for their age. Globally, 149.2 million children (22%) were stunted in 2020, with Asia contributing the highest number of cases (79 million). Southeast Asia has the second-highest prevalence (27.4%) after South Asia. According to the Asian Development Bank (ADB), Indonesia ranks second in Southeast Asia for stunting prevalence (31.8%). The Indonesian Ministry of Health reported that as of November 2018, Indonesia's sanitation coverage was 73.9%, and by 2020, 94% of drinking water facilities had been monitored. In Dairi Regency, the prevalence of stunting in 2022 was 13.53%, with 3,025 stunted children. Research Objective is to analyze risk factors related to access to water and sanitation. The study uses a cross-sectional method, with purposive sampling techniques, involving a research sample of 60 children under five. Bivariate analysis was conducted using the chi-square test with ἀ=0.05, and multivariate analysis was performed using logistic regression. Results: The variable that most significantly contributes to the incidence of stunting in Sempung Polling Village, Dairi Regency, is poor drinking water management. The positive beta (β) coefficient contribution of 3.115 with an Exp (β) of 3.627 indicates that poor drinking water management at the household level increases the risk of stunting in toddlers by 3.7 times.
Pelatihan Kader Remaja, Edukasi Dan Skrining Kesehatan Siswa SMK Di Kabupaten Tangerang Komalasari, Rita; Maulidya, Siti; Yusnita; Evry, Nur Isnaeni
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Adolescent girls have a higher risk of developing anemia due to increased iron needs during puberty and menstruation. Anemia has a bad impact on physical and cognitive health, so it can reduce the productivity and learning achievement of adolescents. The long-term impact of anemia has the potential to have a high-risk pregnancy, including an increased risk of stunting in the child born. The purpose of this community service is to provide health training for adolescent cadres, screening and health education for vocational school students in Tangerang Regency. This Community Service is in collaboration with health centers and schools in Kresek District, Tangerang Regency on August 2 and 9, 2024. Ten medical students were involved in this program from coordination with the district health office and related stakeholders to the implementation of the event. The program consisted of training for 10 vocational school youth cadres, followed by nutritional status screening activities including measuring Height, Weight, Haemoglobin, Blood Sugar, Upper Arm Circumference,, then education related to anemia in adolescents was given which was attended by 127 vocational school students. ). The results of this screening emphasize the importance of educational initiatives in improving the health of adolescents that are directed at forming healthy adolescents and reducing long-term risks, such as stunting.
Characteristics of Knee Osteoarthritis Patients Undergoing TKR Surgery at the Hospital Orthopedic and Traumatology Hospital in 2022-2023 Putri, Fernita Naomi; Prima Arundani; Andi Abdullah; Lena Wijayaningrum
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Osteoartritis (OA) didefinisikan sebagai kerusakan progresif tulang rawan artikular yang sering terjadi pada populasi geriatri. Faktor resiko OA dapat dibagi menjadi dua kategori : faktor tingkat individu (usia, jenis kelamin, obesitas, genetika, dan diet) dan faktor tingkat sendi (cedera, ketidaksejajaran, dan pembebanan abnormal pada sendi). Prevalensi OA mencakup 50% pasien berusia 65 tahun atau lebih tua yang menunjukkan tanda-tanda radiografi OA, namun hanya 10% pria dan 13% wanita lansia yang menunjukkan adanya gejala klinis dari OA, dan sekitar 10% di antaranya menderita kecacatan yang berhubungan dengan OA. Penelitian ini bertujuan untuk mengetahui karakteristik pasien osteoarthritis lutut yang menjalani operasi TKR di Rumah Sakit Orthopedi dan Traumatologi Surabaya pada tahun 2022 – 2023. Desain penelitian deskriptif dengan menggunakan metode purposive sampling dari data sekunder rekam medis pasien OA lutut yang menjalani operasi TKR di Rumah Sakit Orthopedi dan Traumatologi Surabaya. Didapatkan data sebanyak 120 data rekam medis pasien yang memenuhi kriteria inklusi. Data dideskripsikan dalam bentuk frekuensi, persentase, grafik, dan juga table menggunakan software Microsoft Excel. Kesimpulan penelitian didapatkan sebanyak 120 kasus yang secara sosiodemografi memiliki mayoritas usia ≥ 65 tahun dengan rata – rata usia 67,25 tahun, berjenis kelamin Perempuan, dan memiliki pekerjaan sebagai ibu rumah tangga. Distribusi berat badan berdasarkan IMT mayoritas memiliki kategori obesitas I, dan rata – rata berat badan pasien adalah 67,53 kg. Sedangkan untuk derajat OA yang diderita mayoritas pasien mengidap OA derajat 4. Osteoarthritis (OA) is defined as the progressive destruction of articular cartilage that often occurs in the geriatric population. Risk factors for OA can be divided into two categories: individual-level factors (age, gender, obesity, genetics, and diet) and joint-level factors (injury, misalignment, and abnormal loading of the joint). The prevalence of OA includes 50% of patients aged 65 years or older who show radiographic signs of OA, but only 10% of elderly men and 13% of elderly women show clinical symptoms of OA, and about 10% of them suffer from OA-related disability. This study aims to determine the characteristics of knee osteoarthritis patients who underwent TKR surgery at the Surabaya Orthopedic and Traumatology Hospital in 2022 - 2023. Descriptive research design using purposive sampling method from secondary data of medical records of knee OA patients undergoing TKR surgery at Surabaya Orthopedic and Traumatology Hospital. Data were obtained from 120 patient medical records that met the inclusion criteria. Data were described in the form of frequencies, percentages, graphs, and tables using Microsoft Excel software. The conclusion of the study was obtained as many as 120 cases whose sociodemographics had a majority age ≥ 65 years with an average age of 67.25 years, were female, and had jobs as housewives. The distribution of body weight based on BMI, the majority had an obesity category I, and the average patient weight was 67.53 kg. As for the degree of OA suffered, the majority of patients have grade 4 OA.
Identification Insidence Of Premature Rupture Of The Membranes Risk Factors Rahardjo, Abdi Malik; Tunjungsari, feny
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Premature rupture of membranes can cause several problems for the mother and for the fetus. Significantly causing neonatal and maternal deaths in countries with high and low incomes, besides that the burden of PROM itself is not limited to maternal and neonatal but also a decrease in the country's economic power due to the need for drugs, hospital care, and burdens for health workers. Failure to increase birth attempts by 2035 will result in around 116 million deaths and 99 million living with disabilities , moreover complications from PROM namely low birth weight, asphyxia, neonatal infection , sepsis, chorioamnionitis . Therefore, paying attention to pregnant women with risk factors for premature rupture of membranes and looking for possibilities that underlie these risks is very important in preventing and early detection of premature rupture of membranes. The research method uses literature studies from several national and international journals obtained from 30 reference sources through searches on PubMed and Google Scholar which were published within the last 5 years. A total of 30 full-text articles were obtained that met the inclusion criteria and contained several risk factors associated with premature rupture of membranes (PROM). Risk factors for premature rupture of membranes include age, parity, smoking, anemia, history of BV, occupation, antenatal care , vaginal dysbiosis , history of CS, history of premature rupture of membranes, history of premature birth, history of abortion, spacing of pregnancies, history of HIV, group infection B streptococcus (GBS), amniotic fluid volume, urinary tract infection. Identification of risk factors for premature rupture of membranes can reduce the incidence and associated mortality of the disease. So that it can reduce the level of mortality and morbidity in mothers and children. Keywords : premature rupture of membranes, PROM, risk factors.
Perbandingan Percutaneous Nephrolithotomy (PCNL) dan Open Nephorlithotomy Pada Pasien dengan Batu Staghorn : Systematic Review Ramadhan, Ilham; Wibisono, Wibisono
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v5i3.286

Abstract

Introduction: Staghorn stones are one of the most severe forms of urinary lithiasis. They have a nuclear body and at least one calyceal branch. Untreated staghorn stones are associated with recurrent infections, stone growth, significant morbidity, and progressive loss of renal function. This requires further development of appropriate management, both open surgical and endourological. Objective: to compare percutaneous nephrolithotomy (PCNL) and open nephrolithotomy in patients with staghorn stones. Methods: This review was conducted in accordance with the requirements outlined in PRISMA 2020. A systematic search for studies to be included in the review was conducted from 20 February 2025 using GoogleScholar, PubMed and SagePub databases using the words: "percutaneous nephrolithotomy", "open nephrolithotomy", and "staghorn". Results: We found six studies comparing PCNL and open stone removal procedures between 2021 and 2025. All of these studies were obtained from Asian countries, one of which was Indonesia. Conclusion: Both open surgery and PCNL are effective options. Although, patients with PCNL generally have a shorter hospital stay, postoperative complications are lower in the open surgery group.
Tingkat Kepatuhan Datang Berobat Pada Lanjut Usia Dengan Hipertensi Setelah Pemberian Buklet Dan Kartu Datang Berobat Di Desa Kambingan Kecamatan Cerme Meilia, Jane Netta; Tsuraya, Rani Zakiyatus; Putri, Melani Adelian; Adi, Made Permana; Dahliana, Anita; Sayekti , Harum
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Perubahan pola hidup mengakibatkan terjadinya peningkatan angka kejadian penderita penyakit tidak menular. Hipertensi merupakan salah satu penyakit tidak menular yang ditandai dengan peningkatan tekanan darah secara konsisten berada diatas normal. Pada tahun 2018 kejadian hipertensi di Indonesia meningkat menjadi 34,1%. Di Jawa Timur hanya sekitar 49,70% yang mendapatkan layanan kesehatannya, hal ini disebabkan karena penderita hipertensi sering tidak ada keluhan. Data Puskesmas Cerme menunjukkan bahwa hanya 48,59% pasien hipertensi berobat secara teratur pada tahun 2023. Penelitian ini bertujuan melakukan evaluasi dan mengukur tingkat kepatuhan lansia dengan hipertensi, dengan cara menyediakan buklet serta kartu pantau minum obat yang digunakan sebagai alat untuk meningkatkan pemahaman, disiplin dan mengontrol lansia terkait pentingnya mengikuti pengobatan hipertensi. Penelitian ini menggunakan metode studi observasional dengan desain potong lintang. Data dikumpulkan dari data sekunder dan dinilai berdasarkan frekuensi kunjungan pasien. Data kontrol diambil dari kunjungan lansia dengan hipertensi sebelum intervensi. Hasilnya setelah diberikan intervensi, 43 responden terbagi menjadi 3 kelompok: 19 responden (44,2%) patuh, 22 responden (51,2%) cukup patuh, dan 2 responden (4,7%) kurang patuh dalam datang berobat. Perubahan tingkat kepatuhan responden untuk datang berobat sebelum dan setelah diberikan buklet dan kartu datang berobat meningkat. Hasil uji statistik uji Mann-Whitney atau p-value sebesar 0,001. Terdapat pengaruh pemberian buklet dan kartu datang berobat dengan tingkat kepatuhan datang berobat pada lansia hipertensi di desa Kambingan kecamatan Cerme.
Karakteristik Pasien Stroke Di Klinik Rehabilitasi Medik Rspal Dr. Ramelan Surabaya Periode Januari – Juni 2024 Febrian, Amellia Ika; Jauhar, Tamam; Wijayaningrum, Lena; Tjahjono, Varidianto Yudo
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v5i3.271

Abstract

Stroke adalah kelainan neurologi yang menjadi faktor penyebab kematian terbanyak kedua di dunia. Penderita stroke umumnya berusia diatas 50 tahun dan banyak yang berasal dari negara berkembang. Stroke bisa terjadi karena banyak faktor, seperti penyakit penyerta, pola hidup buruk, lingkungan yang kurang sehat, dan kurangnya aktivitas fisik. Meskipun stroke banyak terjadi di usia lanjut, namun faktor risiko tersebut banyak didapatkan ketika usia muda yang dapat meningkatkan risiko stroke di usia mendatang. Penelitian ini bertujuan untuk mengetahui karakteristik pasien stroke di klinik Rehabilitasi Medik RSPAL dr. Ramelan Surabaya periode Januari – Juni 2024. Metode penelitian yang digunakan adalah deskriptif dengan pengambilan sampel menggunakan metode total sampling. Populasi penelitian adalah seluruh pasien stroke yang memiliki rekam medis lengkap. Data yang dilihat antara lain usia, jenis kelamin, penyakit penyerta berupa hipertensi dan diabetes mellitus. Berdasarkan data yang diperoleh dari rekam medis didapatkan 70 sampel dengan variabel penelitian hipertensi, diabetes mellitus, usia, dan jenis kelamin. Distribusi pasien stroke dengan faktor risiko hipertensi berjumlah 53 orang. Distribusi pasien stroke dengan faktor risiko diabetes mellitus berjumlah 24 orang. Distribusi pasien stroke dengan faktor usia mayoritas termasuk dalam usia ≥45 tahun sebanyak 66 orang. Distribusi pasien stroke dengan faktor risiko jenis kelamin mayoritas pada laki-laki sebanyak 47 orang. Kesimpulan penelitian ini yaitu faktor risiko yang mendominasi kejadian stroke pada pasien stroke di Klinik Rehabilitasi Medik RSPAL dr. Ramelan Surabaya periode Januari – Juni 2024 adalah memiliki hipertensi, berjenis kelamin laki-laki, dan berusia ≥45 tahun
Penilaian Risiko Kebisingan di Area Kerja Industri Farmasi Pasuruan Sari, Revita Dea; Martiana, Tri; Ardyanto, Denny
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 3 (2025): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Noise risks in the work area of the pharmaceutical industry in Pasuruan can have a negative impact on workers' health. The purpose of this study was to measure noise levels, evaluate health risks, and assess the effectiveness of noise control programs. The method used was descriptive analytic with a cross-sectional design, noise measurements were made using a sound level meter to obtain continuous sound pressure levels (Leq). Data were also analyzed using a risk matrix and field observations to identify noise sources. The results showed that the highest noise level in the work area reached 90 dBA, with the main sources coming from the generator and chiller engines, while most of the work area had a relatively low noise risk. Nevertheless, there are several points that exceed the established noise threshold. This study recommends the implementation of technical and administrative controls, including the use of personal protective equipment (PPE) and proper work scheduling, to reduce noise exposure. Periodic monitoring is also recommended to ensure the effectiveness of the applied controls, so as to create a safer working environment for workers.

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