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Putu Ayu Swandewi Astuti
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Department of Public Health and Preventive Medicine, Udayana University, Bali-Indonesia Phone: +62 361 4744646 Fax: +62 361 4744646 Email: editor@phpmarchive.org
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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 16 Documents
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Search results for , issue "Vol. 3 No. 1 (2015)" : 16 Documents clear
Risk of in House Cigarette Smoke Exposure to the Premature Birth in Denpasar City Ni Ketut Noriani; I Wayan Gede Artawan Eka Putra; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p11

Abstract

Background and purpose: Indonesia is ranked fifth in the world in term of premature birth prevalence, which is estimated 10-20%. This study aimed to find out risk of in house cigarette smoke exposure to premature birth in Denpasar. Methods: This study is a case control. Case is a mother experienced premature delivery, while the control is mothers who been registered in the same period with mature delivery. Samples either case or control were selected using systematic random sampling, which preceded by listing premature and mature birth in each puskesmas in 2013. Data analysed bivariate and multivariate using chi-square test and logistic regression. Results: Bivariate analysis showed no significant different of characteristic (age, education, occupation and parity status) between case and control group. However, significant different of ANC behavior and average of arm circumference were found between case and control. Multivariate analysis showed that the adjusted OR of tobacco smoke exposure at home after being controlled by ANC and upper arm circumference was 3.647 (95%CI: 1.683-9.903). Conclusion: In house cigarette smoke exposure increases significantly the risk of premature birth in Denpasar.
Barriers to Integrating Antiretroviral Therapy Services Into Community Health Centre: A Qualitative Study in Badung Regency Made Sugiana; I Nyoman Sutarsa; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p12

Abstract

Background and purpose: Increasing of HIV+ cases resulted in the increasing demand for antiretroviral (ARV) and access to ART services. This study aims to explore barriers of integrating ART services into primary health centres in Badung District. Methods: Explorative interviews were conducted with CST officers at Badung District Hospital, puskesmas (health centres), NGOs, policy makers, community leaders and PLWHA. Data were collected by conducting indepth interviews, focus group discussion and observation. Data were thematically analysed. Results: The study found that there were variations in internal barriers across different puskesmas in Badung District to be a satellite site. The main internal barriers perceived by health officers particularly in relation to issues around the availability of human resources, lack of competencies and increase of workload. Internal capacity of puskesmas which also perceived as barriers including the availability of laboratory facilities, absent of operational procedures, limited information system and source of funds that predominantly still from donor agencies. External barriers perceived by respondent were stigma and discrimination. Conclusions: Barriers to integrate ART services into puskesmas consist of structural barriers from internal puskesmas as well as external barriers such as stigma and discrimination towards PLWHA.
Risk Factors of Poor Glycaemic Control among Patients with Type 2 Diabetes Mellitus at the Primary Health Center of Kembiritan Banyuwangi Regency Rizki Yulia Purwitaningtyas; I Wayan Gede Artawan Eka Putra; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p13

Abstract

Background and purpose: Number of patients with type 2 diabetes mellitus in Kembiritan Primary Health Center has increased as many as 160 in 2013 to 215 in 2014. This study was conducted to determine risk factors of poor glycaemic control among patients with type 2 diabetes mellitus in the Primary Health Center of Kembiritan Banyuwangi. Methods: The research design was a case control study of 55 patients with poor glycaemic control of diabetes mellitus as cases and 55 patients with good glycaemic control of diabetes mellitus as controls (1:1), who were randomly selected from the registers of patients with diabetes mellitus at the primary health center during 2014. Data was collected through interviews at the primary health center during March-May 2015 using questionnaires. Data was analyzed by univariate, bivariate (chi square test) and multivariate using logistic regression. Results: Bivariate analysis showed that duration of disease and nutritional status significantly increase risks of poor glycaemic control respectively with OR=2.9 (95%CI: 1.20-7.54) and OR=5.7 (95%CI: 1.82-21.04). Multivariate analysis showed four factors that increase the risk of poor glycaemic control, namely duration of disease with adjusted OR=3.8 (95% CI: 1.37 to 10.59), medication adherence, with adjusted OR=3.7 (95% CI : 1.30 to 10.59), nutritional status, with adjusted OR=6.6 (95%CI: 2.01-21.44) and distance of health facilities, with adjusted OR=3.1 (95%CI: 1.19-7.95). Conclusion: Risk factors for poor glycaemic control among patients with type 2 diabetes mellitus were disease duration, adherence of medication, nutritional status and distance to health facilities.
Analysis of Inpatients Food Leftover at Sanglah Hospital Bali Province Ni Luh Partiwi Wirasamadi; Kadek Tresna Adhi; I Wayan Weta
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p14

Abstract

Background and purpose: Foods leftover is still very common in many hospitals in Indonesia. Minimum standard of hospitals require that foods leftover of patient is not more than 20%. The aim of this study was to determine the number and cost wasted due to the foods leftover of patient. Methods: The study was cross-sectional involving 68 inpatient subjects in the 1st, 2nd and 3rd ward class and hospitalized up to 10 days and had regular food with a 10-day menu cycle. Data of foods leftover were obtained by three methods: observation, medical records and interview. Foods leftover were measured by Visual Comstock method with the scale of 6 points. Age, sex, length of stay, ward classes, and types of patients’ diseases were obtained from medical records. Patient’s perception of food appearance and taste were gained through interviews. Data were analyzed by independent sample t-test and one-way ANOVA. Results: Average number of patients’ food leftover amounted to 14.79%. Patients who left foods were mostly women, aged 50-64 years, hospitalized in the class 2nd and 3rd with a length of stay ≤5 days. Those who had good perception on appearance and taste of the food tended to leave less food leftovers. The average cost of meal wasted a day was Rp 2,939 per patient. There were significant different leftover foods according to gender, age group, length of stay, ward classes, and the patient’s perception (p<0,05), whereas there were no significant different leftover foods according to the type of diseases and the menu cycles (p>0,05). Conclusion: Average number of patients’ food leftover at Sanglah Hospital Denpasar has satisfied hospital minimum standard (less than 20%) with an average daily cost of meal wasted was Rp 2,939 per patient.
Physical Activity, Food Consumption and Nutritional Status among Female High School Students in North Denpasar Nabila Zuhdy; Luh Seri Ani; Ni Wayan Arya Utami
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p15

Abstract

Background and purpose: Optimal nutrition status will lead to health and productive adolescent. Recently, double burden of nutritional status has occurred among adolescent, including underweight and overweight. This study assessed that relationship among adolescent in urban area. Methods: This study was cross-sectional survey with a total sample of 75 female students who were randomly selected from three high schools. Data were collected by interviews using a structured questionnaire, Semi-quantitative Food Frequency Questionnaire (SQFFQ) and Adolescent Physical Activity Recall Questionnaires (APARQ). Anthropometric measurement was done for height, weight, middle upper arm and stomach circumference. Data of food consumption were analyzed using software Nutri-Survey, WHO Anthro Plus. Thecorrelation of risk factor and nutritional status were tested by linier regression. Results: This study supports the evidence of double burden in nutritional status among high school female students. Despite 18,67% of chronic energy deficiency, 8% students were overweight. Consumption of snack and fast food was also frequent, that may relate to high level of fat sufficiency among them. Variable significantly associated in all indicators of nutritional status was weight control (p<0.05). Physical activities had no significant relationship to nutritional status. Conclusion: There was double burden of nutritional status among high school female students especially overweight. Weight control had significant relationship toward nutritional status, while physical activities had no significant relationship to nutrition status.
Factors Associated to Implant Use among Married Women of Reproductive Age in Banyuwangi Firdawsyi Nuzula; Ni Putu Widarini; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p16

Abstract

Background and purpose: The proportion of implant use at Tegalsari District of Banyuwangi has increased year by year until it reached 17% in 2013. This proportion was much higher than the national and provincial rates. This study aims to determine factors related to implant use among married women of reproductive age at Tegalsari District of Banyuwangi. Methods: This was a cross-sectional survey involving 198 married women of reproductive age who were using contraception at Tegalsari district. Data was collected by conducting interview in each respondent’s house using a structured questionnaire. Univariate analysis was conducted to determine frequency distribution of each variable, bivariate analysis using the chi-square test, and multivariate analysis was performed to determine factors that independently associated to the use of implant using logistic regression. Results: The proportion of implant use in women of reproductive age at Tegalsari District was 21.21%. Multivariate analysis indicated that the statistically significant factors associated with implant use were cultural value with adjusted OR=3.59 (95%CI: 1.44-8.94), knowledge on implant with adjusted OR=15.10 (95%CI: 3.44-74.40), role model with adjusted OR=3.43 (95%CI: 1.47-8.06) and information from health workers with adjusted OR=3.13 (95%CI: 1.16-8.44). Conclusion: Factors related to implant use among married women of reproductive age were supported cultural values, role model, good knowledge about implant and information from health workers.

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