cover
Contact Name
Putu Ayu Swandewi Astuti
Contact Email
editor@phpmarchive.org
Phone
+62361-4744646.
Journal Mail Official
editor@phpmarchive.org
Editorial Address
Department of Public Health and Preventive Medicine, Udayana University, Bali-Indonesia Phone: +62 361 4744646 Fax: +62 361 4744646 Email: editor@phpmarchive.org
Location
Kota denpasar,
Bali
INDONESIA
Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : Health,
ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and Clinical Epidemiology Global health Health policy analysis Health promotion Health systems and health care management Maternal and child health Program monitoring and evaluation Public health nutrition Reproductive health, sexually transmitted infections and HIV related issues Travel health and health tourism Population and family planning Disaster management
Articles 11 Documents
Search results for , issue "Vol. 11 No. 2 (2023)" : 11 Documents clear
Association of contact history and family behavior with tuberculosis in children at Banyu Urip Public Health Center, Surabaya City, Indonesia: A case-control study Agustin, Avita Fitri Agustin; Sulistyorini, Lilis
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p09

Abstract

Background and purpose: The Surabaya City had the highest number of pediatric tuberculosis cases in East Java Province; while, Banyu Urip Public Health Center contributed significantly to the number of pediatric tuberculosis in Surabaya. This study aims to analyze risk factors of tuberculosis among children aged 0-14 years in the working area of the Banyu Urip Public Health Center in Surabaya City. Methods: This is a case-control study conducted in Banyu Urip Public Health Center area in 2022. All 42 children aged 0-14 years with TB were included as cases and 42 healthy children were selected as control purposively. Data collection was carried out using questionnaires which filled in by the guardian/caregiver of each child. The variables collected include children’s characteristics, immunization history, contact history and knowledge, attitude, practices (KAP) toward TB of the families. The data was analyzed descriptively and continued with a Chi-square test. Results: The majority of children had received BCG immunization among both cases (95.2%) and control (100%) and had no comorbidities among cases (88.1%) and control (97.6%). We found history of contact (p<0.001), poor families’ knowledge (OR=3.80; 95%CI: 1.00-17.56; p=0.0026) and poor practices (OR=3.28; 95%CI: 1.22-8.92; p=0.009) were associated with a higher likelihood of TB infection among children in Surabaya. Conclusion: Risk factors for pediatric TB were contact history with TB patients, poor family knowledge, and poor family practices. Awareness campaign to improve parental and community knowledge and practices regarding TB must be carried out using different methods that are preferred by the communities.
Motivation and leadership style influence the implementation of nursing care standards at Udayana University Hospital, Bali, Indonesia Ni Putu Kusumayuni; I Ketut Suarjana; Cokorda Bagus Jaya Lesmana
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p08

Abstract

Background and purpose: Leadership style, work environment and motivation of nurses are related to the implementation of nursing care standards. This study aims to determine factors associated with the implementation of nursing care standards in the hospital’s inpatient services.  Methods: A cross-sectional study was conducted with all of the total 65 nurses working in the inpatient wards of the Udayana University Hospital, Bali in December 2022. Data were collected with a structured questionnaire covering nurses’ characteristics, leadership style, work environment, motivation and implementation of nursing care standards. Data were analyzed descriptively and analytically through path analysis assisted by a statistical software. Results: Of the 65 nurses, 69.2% were aged 26-30 years, 64.5% were female, 75.5% have worked under 3 years, and 75.4% have a bachelor's degree in nursing. There is a relationship between motivation (with a path coefficient of 0.603, p<0.001) and supportive leadership style (with a path coefficient of 0.615, p=0.028) with the implementation of standard nursing care. In addition, supportive leadership style (path coefficient 0.554, p=0.002), participative leadership style (path coefficient -0.353, p=0.061) and achievement-oriented leadership style (path coefficient 0.426, p=0.002) were associated with work motivation. Conclusion: Nurse motivation is directly associated, while supportive leadership style is indirectly related to the implementation of nursing care standards through increasing nurse motivation. Supportive, participatory leadership styles and achievement orientation are also directly related to nursing motivation. The hospital leaders and room manager must maintan and strengthen the participatory leadership style which will improve motivation and nursing care standard. 
Reasons for switching the primary health providers among national health insurance participants in Klungkung District, Bali Province, Indonesia Windu, I Kadek; I Ketut Suarjana; I Nyoman Sutarsa
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p03

Abstract

Background and purpose: National Health Insurance Provider (BPJS Kesehatan) facilitates the distribution of National Health Insurance (NHI) participants. High number of 1,947 NHI participants were switched primary health providers in Klungkung, Bali between July to December 2021.This study aims to explore the reasons for the switching of providers among NHI participants and the health providers’ efforts to minimize it. Methods: A qualitative descriptive study guided by an access theory was conducted in Klungkung District between December 2022 to March 2023. A total of 18 informants were purposively recruited, consisting of NHI participants (12 people), health service providers (4 people), BPJS Kesehatan (1 person) and staff of the district health office (1 person). Data was collected through in-depth interviews guided by interview guidelines. Data were analyzed using a thematic approach and presented in a descriptive narrative. Results: NHI participants in Klungkung District switched provider due to spatial and non-spatial reasons. Spatial reason was the distance and time to the health provider. Non-spatial reasons included (1) conflict in social relations due to service and negative attitudes of health workers, (2) economic considerations in the health system which are difficult to reach, and (3) external encouragement. Strategies that have been or can be implemented to minimize the switching of PHCs were adjusting operational hours, improving the infrastructures, administration through fulfilling accreditation, service quality and training for human resources. Conclusion: The dominant reason for switching of PHCs is associated with negative social interaction experiences related to human resources and service facilities at PHCs. PHCs are expected to be able to improve the quality of services through improving human resources and service delivery facilities.
Refusal of COVID-19 booster vaccination among people living in remote tourism area, Samosir, Indonesia Sitompul, Jos Iswadi; Anak Agung Sagung Sawitri; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p05

Abstract

Background and purpose: Samosir Island is a tourist area located in the middle of Toba Lake, Sumatra. It was reported that the coverage of COVID-19 booster vaccination had not reached the national target. This study aims to determine factors associated with the refusal of the COVID-19 booster vaccination. Methods: A community-based survey was conducted in the Sitiotio Sub-district of Samosir, from January to March 2023. Four out of eight villages were selected to represent the farthest and closer area. A multistage systematic random sampling was applied to select 156 out of 2073 households (HH). We interviewed 376 respondents to explore sociodemographic, experience of side effects of previous COVID-19 vaccination, comorbidities, family support, information, knowledge and perceptions. Booster vaccination status was determined through p-Care and immunization card. Descriptive, simple and multiple logistic regression were conducted. Results: About 32.4% of respondents refused the COVID-19 booster for fear of vaccine side effects (95.5%), had been vaccinated against COVID-19 (91.8%), and believed that the COVID-19 virus was gone (66.4%). The refusal of boosters was higher for those with low education, experienced side effects, have comorbidities, no family support and insufficient information, had poor knowledge and perception about COVID-19 vaccinations. Lack of trust of COVID-19 vaccine (AOR=2.31, 95%CI: 1.05-5.07), high perceived barriers (AOR=4.75, 95%CI: 1.96-11.49) and low self-efficacy (AOR=4.94, 95%CI: 1.44-16.98), less family support (AOR=6.34, 95%CI: 1.89-21.26) and poor knowledge (AOR=7.74, 95%CI: 1.74-34.02) significantly associated with COVID-19 booster vaccination refusal. Conclusion: Poor knowledge and perception of the COVID-19 vaccine and lack of family support increase refusal of the COVID-19 booster. Continuous evidence-based health promotion and family involvement can be carried out to increase public trust.  
Survival analysis of cervical cancer patients at Wangaya Hospital, Bali Province, Indonesia Agnes Agatha Renaningtyas Itu; Putu Cintya Denny Yuliyatni
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p01

Abstract

Background and purpose: In Indonesia, cervical cancer has the second-highest prevalence of cancer cases after breast cancer. This study aims to determine the survival rate and to explore factors that affect the survival of cervical cancer patients at Wangaya Hospital, Denpasar, Bali. Methods: This was a retrospective cohort study. The samples were 165 cervical cancer patients who started therapy at Wangaya Hospital between 2016 – 2021 and met the research criteria. The variables retrieved from medical record were age, employment status, marital status, education level, parity, stage of cancer, type of treatment, comorbidities and time to event of death. Data were analyzed using Kaplan Meier, Log-rank test, and Cox Proportional Hazard. Results: The result shows the cervical cancer survival rate during the period of study is 67.27% with the average of follow up time was 38.4 months and a mortality rate was 7.2/1000 person months (IR=0.007). From a total of 165 patients who were sampled, 54 patients died (32.73%). Based on the results of the Cox Proportional Hazard model, it was found that the factors significantly affected the death of cervical cancer patients at Wangaya Denpasar Hospital were older age (HR=1.06; 95%CI: 1.03–1.08; p<0.001), patients who were employed (HR=2.32; 95%CI: 1.24–4.33; p=0.008), at stage 1 cancer (HR=3.94; 95%CI: 1.07–14.49; p=0.039), stage 2 (HR=5.86; 95%CI: 1.50–22.78; p=0.011), stage 3 (HR=11.73; 95%CI: 3.15-43.56; p<0.001), stage 4 (HR=18.95; 95%CI: 4.33-82.91; p<0.001) and had comorbidities (HR=2.11; 95%CI: 1.12-3.99; p=0.021). Conclusion: The survival of cervical cancer patients at Wangaya Hospital is quite good and needs to be improved. To increase patient survival, appropriate treatment is needed, especially in patients who have comorbidities and older age. Screening efforts also need to be improved to find cases at earlier stages.  
Effects of yoga exercise in reducing the risk of knee osteoarthritis and fibulin-3 levels among overweight population: a randomized controlled trial Wahyuni, Nila; Adiatmika, I Putu Gede; Vittala, Govinda; Nova Mahendra, Agung
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p04

Abstract

Background and purpose: One of the main risk factors for knee osteoarthritis is overweight. The purpose of this study is to determine the effectiveness of yoga exercise in reducing the risk of knee osteoarthritis and fibulin-3 levels in overweight populations. Methods: This study was a randomized controlled trial involving 24 participants who met the inclusion and exclusion criteria. Participants were randomly divided into two groups: group one was given yoga exercise intervention and group two was given neuromuscular coordination exercise as the control group. Risk of knee osteoarthritis measurements were carried out using The Western Ontario and McMasters University Osteoarthritis Index (WOMAC). Fibulin-3 measurement used ELISA technique using human fibulin-3 kit, FBLN3 BT-LABkit 96T E4667Hu. Results: Participants of both groups were comparable, except for age where the control group is slightly older. Pre and post-test comparison showed improvement in pain, stiffness, physical function, total WOMAC score, and fibulin-3 levels in both groups. While, the post-test comparison between the two groups showed that yoga group has better scores on all indicators compared to the control groups which was statistically significant (p≤0.001). Conclusion: Both interventions are effective in reducing the risk of knee osteoarthritis and fibulin-3 levels, but yoga showed better result. We recommend yoga training to reduce the risk of knee osteoarthritis compared to conventional training. Future research is needed to measure other knee osteoarthritis biomarkers that describe the pathological process of knee osteoarthritis.
Family smoking behavior and stunting among children in rural areas of Sleman, Yogyakarta: A case-control study Panggabean, Eva Rortiana; Deta, Elisabeth; Yuningrum, Hesti; Trisnowati, Heni
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p10

Abstract

Background and purpose: Stunting is one of the public health concerns in Indonesia. The prevalence of stunting among children under five in Kalasan Sub-district, Sleman District, Yogyakarta was high at 17.01%. One of the significant predictors of stunting is parental/family smoking behavior. This study aims to portray the smoking behavior of family members and its association with stunting. Methods: We used a quantitative method with a case-control design. The study was conducted in Tamanmartani Village, one area with a high incidence of stunting. The cases were 45 children under five years with stunting based on the public health center’s data and 45 children with normal nutritional status were selected as control. The data was collected by structured interviews using an online questionnaire which included children’s and mother’s characteristics, and smoking behavior among family members. Data was then analyzed descriptively and a Chi-square test was performed to assess the association between variables and stunting. Results: Children who experience stunting are mostly at the age of 24-35 months (35.6%), female (53.3%) and with family income below minimum wages (62.2%). The smoking behavior among the family was slightly higher among cases (66.7%) than controls (64.4%). Most smoking family members in both groups were smoking outside the house. There was no statistically significant association between all variables with stunting, however, we found a potential association between the father’s smoking, type of cigarette, and higher spending on cigarettes with stunting. Conclusion: Smoking among family members was high in both groups, and smoking among fathers is a potential predictor of stunting. Health promotion strategies to reduce smoking habits, smoke-free home innovations, and cessation services should be conducted to reduce and prevent stunting and to improve health.
Mothers’perceptions and exposure to information associated with the acceptance of children’s tuberculosis prevention therapy in Bali Indonesia I Made Arta; Sawitri, Anak Agung Sagung; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p02

Abstract

Background and purpose: Children face risk of tuberculosis (TB) infection within households where an index case is present. TB prevention therapy (TPT) for children is a recommended measures to provide protection against TB. This study aims to investigate the relationship between maternal perceptions and the information exposure received by mothers with the acceptance of TPT for toddlers. Methods: A cross-sectional study was conducted in Badung District, Bali Province, using the register of tuberculosis patients from 2018-2019 as the sampling frame. A systematic random selection yielded 138 mothers with eligible criteria out of 226 children. Home interviews was conducted with mothers regarding maternal characteristics, knowledge, toddlers’ characteristics, perceptions, information exposure, and acceptance of TPT for their children. The relationship between acceptance of TPT and perceptions, information, and other variables was tested using Chi-square test, followed by multivariable analysis using forward logistic regression. Results: The majority of mothers were aged 30-39 years (57.8%), had completed high school (43.5%), unemployed (43.5%), resided in the Kuta sub-district (23.9%), and had ≤2 living children (73.2%). About 19.2% of mothers accepted TPT for their children. The acceptance of TPT for children was significantly associated with information sources from health worker (aOR=26.70; 95%CI: 1.25-569.38), the presence of ≥2 family members with TB (aOR=14.29; 95%CI: 1.22-166.68), duration of child care by the index case ≥8 hours/day (aOR=10.04; 95%CI: 2.05-49.26), receiving complete information (aOR=9.01; 95%CI: 1.64-49.64), and perceiving minimal barriers (aOR=4.08: 95%CI: 1.22-13.62). Conclusion: Adequate information exposure, longer duration of care by TB patients, and low perceived barriers contribute to the acceptance of TPT for children. Education to parent is essential to improve acceptance to TPT.
Body image perception is associated with nutritional status of adolescent girls: A cross-sectional study in Denpasar City, Bali Province, Indonesia I Gusti Ayu Komang Widiastuti; Ni Ketut Sutiari; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p07

Abstract

Background and purpose: Adolescent psychopathological conditions influence body image perception which can lead to eating disorders, resulting in nutritional and health problems The objective of this study is to analyze the relationship between body image perception, eating disorders, and the nutritional status of adolescent girls. Methods: This is a quantitative observational study using a cross-sectional design. The study was conducted at SMP Negeri 8 Denpasar and SMP Raj Yamuna in 2022 involving 90 students. Data collected included characteristics, body image perception, eating disorders, weight, and height. Data collection instruments included questionnaire, Multidimensional Body Self Relations Questionnaire-Appearance Scales (MBSRQ-AS) for body image perception, anthropometric measurement tools and the Eating Disorder Diagnostic Scale (EDDS). The data was analysed including descriptive analysis and Chi-square test. Results: The respondents were aged between 12–15 years, with the highest proportion was age 13 years at 42.2%. The majority of adolescent girls (44.8%) were in grade VIII. More than half (54.4%) tend to have a positive body image perception, whilst the majority experienced eating disorders at 86.7%, and had normal nutritional status at 75.6%. Body image perception associated with nutritional status of adolescent girls (OR=4.587; 95%CI: 1.589-13.237; p=0.003). Conclusion: Body image perception is related to the nutritional status of adolescent girls in Denpasar. Therefore, peer counselors are needed to improve adolescent communication, including promoting nutritional action messages through appealing social media approaches. Then, interventions at school are also needed including to define the role of peer supports.
Vision 2030 and World AIDS Day 2023: Empowering Communities in HIV Research and Policy in Indonesia Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p00

Abstract

Notable challenges and accomplishments have characterized Indonesia's efforts in combating HIV AIDS. As of 2022, it is estimated that 546,573 people are living with HIV in the country, with new infections totaling 24,223 in the same year. Recent data shows a decrease in new HIV infections and AIDS-related deaths. However, there remains a concerning steady rate of new infections within the men who have sex with men(MSM) population.1 Although there have been improvements in Indonesia's HIV care cascade, particularly in achieving the first target of the 95-95-95 goals, challenges persist. In 2022, only 42% of people living with HIV (PLHIV) knew their status and were on HIV treatment, and a mere 15% of those on treatment achieved viral suppression.2 These figures highlight the necessity for strategies that are specifically tailored to meet the unique needs of different communities within the HIV AIDS landscape in Indonesia.

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