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Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : Health,
Public 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
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 8 Documents
 1 
Search results for , issue "Vol. 12 No. 1 (2024)" : 8 Documents clear
The resilience of nurses in the emergency department of Sanglah Hospital during the pandemic of COVID-19 in Bali, Indonesia Kumalasari, Heni; Lubis, Dinar Saurmauli; Kurniati, Desak Putu Yuli
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v12.i1.p05

Abstract

Background and purpose: COVID-19 pandemic has a major impact on the health care system, including nurses. The rapid increase in the number of patients, lack of knowledge of the disease, and the high risk of being exposed to the virus, are some challenges faced by nurses in hospitals. During this situation, nurses need to build resilience to provide good services for patients as well as to protect themselves from COVID-19 infection. This study aims to explore resilience of the emergency room (ER) nurses at Sanglah Hospital Denpasar during the early stage of COVID-19 pandemic. Methods: A qualitative study with a phenomenological approach was conducted in the ER of Sanglah Hospital Denpasar, from October to November 2020. Data were collected through in-depth interviews that involved six nurses. The information collected include nurses' experiences in dealing with pandemics, nurses' knowledge about COVID-19, challenges and obstacles to nursing services during the COVID-19 outbreak, efforts to protect themselves, family and closest relatives, as well as management responses regarding the protection of health workers, especially among nurses. Data were analyzed by Interpretive Phenomenological Analysis (IPA) and presented narratively. Results: Nurses have the internal strength to deal with increased workloads and working conditions that were considered difficult during the pandemic situation. Nurses’ resilience is also formed by external supports such as from co-working partners, family, and organizations. The challenges and obstacles faced in maintaining resilience are the implementation of services, amidst the uncertainty of the status of COVID-19 patients and the stigma among health workers, as they were suspected as virus carriers. Efforts to strengthen resilience are conducted by increasing capacity, taking care of oneself, and setting work schedules. Conclusion: The resilience of nurses consists of the resilience to face increased workloads and difficult working conditions during a pandemic. This resilience comes from internal and external strengths such as friends and organizations. In difficult situations, nurses are still able to think of concrete steps to protect themselves and their families. However, challenges and obstacles need to be overcome to improve the quality of patient care during a pandemic.
Elderly perception of hypertension and its treatment in Gianyar District, Bali Ida Ayu Ratna Trisna; Duarsa, Dyah Pradnyaparamita; Ani, Luh Seri
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p03

Abstract

Background and purpose: The risk of hypertension increases in the elderly, while treatment adherence plays a crucial role in controlling blood pressure in the elderly. This study aims to explore the elderly's perception of hypertension and its treatment. Methods: This study used an exploratory qualitative design. Data were obtained through in-depth interviews about the elderly's perception of hypertension and its medication, health-seeking behavior, and cues to action in undergoing treatment for 6 elderlies with hypertension and 4 health workers in Gianyar District in July-September 2020. The data obtained were analyzed using thematic methods. Results: This study identified 2 big themes, namely the elderly's perception of hypertension and seeking behavior. The elderly's perception of hypertension is described from the perceived vulnerability from the aspect of age, lifestyle, and heredity. Hypertension is seen as a serious disease by the elderly, particularly from the complications aspect, while complaints felt are not considered serious unless they interfere with activities or have to undergo treatment. Reduced complaints and controlled blood pressure are the perceived benefits of treatment and lifestyle adjustments: long-term medication, side effects of drugs, and traditional medicine as obstacles for the elderly in undergoing treatment. The elderly seek treatment based on their trust and comfort in health workers, infrastructure, access to health services, and support from health workers and the government. Conclusion: The perception of barriers to treatment and health-seeking behavior of the elderly in seeking treatment play a significant role in determining the medicational therapy that the elderly undergoes, which can prevent complications. Family support for the elderly is essential in overcoming obstacles and increasing elderly adherence to medication.
Yoga versus neuromuscular coordination exercise in improving fall predictor parameters and nerve growth factor levels among adult population: a randomized controlled trial Wahyuni, Nila; Adiputra, Nyoman; Adiatmika, I Putu Gede; Sundari, Luh Putu Ratna; Indrayani, Agung Wiwiek; Vittala, Govinda
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p04

Abstract

Background and purpose: The incidence of fracture-related falls in young adults has been increased and the population with walking disorders has an increased risk of falling. It is very important to improve fall predictor parameters early in adulthood to reduce the risk of falling and injury in the future. This study aims to explore the differences of effectiveness between yoga and neuromuscular coordination exercise in improving several fall predictor parameters and Nerve Growth Factor (NGF) levels. Methods: This study was a randomized controlled trial involving 30 participants who met the inclusion and exclusion criteria. Participants were divided into two groups randomly. Group one was given yoga training intervention and group two was given neuromuscular coordination exercise. Participants` gait speed measurements were carried out using Shuttle Run Test. Participants` agility measurements were carried out using Hexagonal Obstacle Test. Participants` visual and auditory reaction time measurements were carried out using Whole Body Measuring equipment II type TKK – 1264 B. NGF measurement used the ELISA technique. Results: Paired sample Wilcoxon test showed yoga training was effective in improving all fall risk predictor parameters and NGF with p<0.05, but neuromuscular coordination exercise only showed improvement in one fall predictor parameter, namely speed. The unpaired sample Mann Whitney test proved that yoga training was significantly more effective with p<0.05 compared to neuromuscular coordination exercise in improving fall risk parameters, namely agility, visual reaction time, auditory reaction time, but not more effective in improving speed gait and NGF level. Conclusion: The We conclude that yoga training is the most effective exercise in improving fall risk parameters, namely agility, visual and auditory reaction time. Yoga training is a promising intervention in improving various aspects of fall risk.
Acceptance strategy of HIV pre-exposure prophylaxis for female sex workers in Badung, Bali, Indonesia Putri Pratiwi, Ni Putu; Ani, Luh Sri; Sutarsa, I Nyoman
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p06

Abstract

Background and purpose: HIV pre-exposure prophylaxis (PrEP) is aimed to prevent the transmission of HIV infection. The use of PrEP by female sex workers (FSWs) in Badung District, Bali Province was relatively low. This study explores critical strategies to increase the acceptance of HIV PrEP program by FSWs in Badung District, Bali, Indonesia.  Methods: A qualitative descriptive study was conducted in Badung District. This study involved 16 purposively selected informants consisting of 5 FSWs who had used PrEP, 5 FSWs who had not and 6 stakeholders whom involved in the PrEP implementation. Data was collected using in-depth interviews which include: strategies for strengthening self-confidence, social support, effectiveness of PrEP implementation, and accessibility of health services. Data was analyzed using a thematic approach.  Results: The research highlights several key strategies to enhance the acceptance of PrEP including strengthening self-efficacy, empowering individuals with the confidence and skills to utilize PrEP effectively, bolstering of social support networks by reducing stigma and fostering a supportive environment. The effectiveness of PrEP program implementation is crucial by ensuring well-structured, responsive, and capability to meet the population needs. Finally, improving service accessibility is crucial, as it removes barriers to obtaining PrEP. Together, these strategies form a comprehensive framework for improving PrEP acceptance.  Conclusion: To increase PrEP acceptance among FSWs, the primary strategy that needs to be implemented is strengthening the service sector. For this reason, it is suggested that the health office carry out outreach and increase access to health services and assistance.  
The Evaluation of human papillomavirus vaccination coverage for school aged girls in Badung District, Bali, Indonesia, 2016 – 2018 Yuliyatni, Putu Cintya Denny; Sawitri, Anak Agung Sagung; I Gusti Agung Alit Naya; Mego Windyningtyas; Ni Kade Erveni; I Nyoman Sutarsa
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p02

Abstract

Background and purpose: Since 2016, Badung District, Bali has implemented a free HPV vaccination program for school children, with vaccination coverage reported to be over 90% in 2016-2018. This study aims to objectively assess the coverage of HPV vaccination among school children in Badung District. Methods: This survey used a cross-sectional design that conducted between March and June 2019. Sample selection was done by systematic random sampling, following the WHO guidelines. A total of 216 families met the sample criteria, with a total of 249 children from all families. Respondents in this study were eligible girls' mothers or families who knew the child's vaccination history. Variables of this study were sociodemographic characteristics of respondents and children, HPV vaccination recall and HPV child vaccination validation. The data collected were analyzed descriptively to calculate the coverage of recall and validation of HPV vaccination. Results: The majority of respondents were mothers (70.83%) with a high school education (51.85%). The median age was 43 years (IQR=8 years). Each family had a mean of 1.15 eligible children (SD=0.39). Of the 249 children, most were aged 16-19 years (43.37%), with age at vaccination mostly ≤12 years (46.52%). HPV vaccination coverage by recall was 82.32% (95%CI: 77.56-87.09), with HPV vaccination coverage by validation was 76.59% (95%CI: 70.74-82.43). Conclusion: After validation, vaccination coverage was lower than vaccination coverage by recall. The health office needs to improve the vaccination registration system, in particular the uniformity of registration and record keeping to ensure proper traceability of vaccination history.
Association of parental feeding styles and the nutritional status of children ages 2 to 5 years in Jember, East Java, Indonesia Marchianti, Ancah Caesarina Novi; Rachmawati, Dwita Aryadina; Astuti, Ida Srisurani Wiji; Raharjo, Angga Mardro; Kusuma, Irawan Fajar; Sudarmanto, Yohanes; Hakiim, Arsyzilma; Nurmaida, Eny
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p07

Abstract

Background and purpose: There is a great deal of mythical erroneous information regarding children's nutrition that can affect styles of parental feeding. If it is left uncontrolled, it may influence the nutritional status that led to malnutrition. The purpose of this study is to determine association between styles of parental feeding and nutritional status of children ages of 2 to 5 years old.  Methods: This was a cross-sectional study, conducted in November-December 2023 in Jember, East Java, Indonesia. Samples were 244 mothers who were selected purposively and satisfied the inclusion and exclusion criteria. Data was collected with interview which include parents’ and children’s characteristics, the feeding practices using a validated structured questionnaire (FPSQ-28), and children nutritional status. Descriptive analysis followed by correlation analysis were performed. Results: Most parents earn more than IDR 2,000,000 and work as self-employed, whereas more than half of the respondents, both fathers and mothers, had at least a high school education, and the majority of height in both were 150-170 cm with normal body mass index. There is a weak positive association between the styles of parental feeding with the body weight for age (r=0.183; p=0.040) while no significant association with body weight for height (r=0.08; p=0.216). Conclusion: Styles of parental feeding affected children's feeding and nutritional status, particularly when it comes to chronic conditions and in order to maintain children's nutrition or balanced nutrition, it is necessary to conduct education and evaluation of parental feeding styles.    
The The association between Vitamin D serum level and sleep quality among pregnant women in Asia: A Systematic Review Faustine, Gredel; Kurniawan, Felicia; Regina
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p01

Abstract

Background and purpose: Studies have investigated that Vitamin D serum level is associated with sleep quality and circadian rhythms in pregnant women in Asia, but the results remained controversial. This systematic review is conducted to explore the association between Vitamin D serum level and sleep quality among pregnant women population in Asia. Methods: We conducted systematic literature review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Relevant studies that discussed the association between Vitamin D serum level and sleep quality was retrieved from Pubmed, EBSCO, and Proquest. The outcome variable was sleep-quality which measured with Pittsburg Sleep Quality Index (PSQI) questionnaires and the independent variable was the serum 25(OH)D levels. A total 2,285 articles were excluded, leaving 3 final articles to be analyzed. The risk of bias was assessed with the New-Castle Ottawa Quality Assessment Scale (NOS).  Results: Three studies included in this review with a total of 1,359 pregnant women in Asia, ranging from 18 to 68 years old. All three studies were controlled for covariates. Out of three studies, two studies showed a significant result of the association between Vitamin D serum level with sleep quality with a p-value <0,05. Causal reasons remained unexplained considering the studies were completed in cross-sectional and cohort design. Conclusion: This study gives an overview of the role of Vitamin D in the sleep quality of pregnant women in Asia. Future research should focus on conducting more comprehensive studies with stringent criteria to further explore this association in diverse Asian populations
Extending intervention window from 1000 to 8000 first day of life: how can it boost the stunting reduction program? Sutiari, Ni Ketut; Adhi , Kadek Tresna; Utami, Ni Wayan Arya; Astuti, Putu Ayu Swandewi
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p00

Abstract

Stunting is one of the triple malnutrition burdens in Indonesia, beside obesity and micronutrient deficiency. Stunting is a reflection of long-term undernourishment which resulted in stunted growth. National Health Survey Data showed the reduction of stunting rate among under-five children in Indonesia from 37.2% in 2013 to 30.4% in 2018 and 21.5% in 2023. Despite this decreasing trend, the national stunting rate was still above the World Health Organization threshold of 20%. There is also a wide discrepancy between provinces in Indonesia with stunting rate ranges from 7.2% in Bali to 39.2% in Papua. Back in 2011, there was a movement by 28 countries including Indonesia regarding the 1000 first day of life (1000-days) program. This was an approach targeting children during their 1000 first day of life through specific and sensitive nutritional interventions. The 1000-days is started during pregnancy until the child is two years old. This movement involved related stakeholders from national and sub-national level including ministries, community organization, private sectors, professional organization, academics and others.

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