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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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INDONESIA
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 15 Documents
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Search results for , issue "Vol. 3 No. 2 (2015)" : 15 Documents clear
Disease History and Delayed Diagnosis of Dengue Infection as Risk Factors for Dengue Shock Syndrome in Wangaya Hospital Denpasar I Made Suganda Yatra; I Wayan Gede Artawan Eka Putra; Gede Ngurah Indraguna Pinatih
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p11

Abstract

Background and purpose: Dengue Haemorrhagic Fever (DHF) is a serious public health concern in Bali Province, especially in Denpasar wherein the incidence rate amounted to 217.7 per 100,000 in 2014. This figure is much higher than national incidence of 51 per 100,000. Dengue Shock Syndrome (DSS) frequently occur alongside high mortality. This research aims to identify risk factors of DSS among DHF patients hospitalized in Wangaya Hospital Denpasar. Methods: A case-control study was conducted. Cases (47) were DSS patients and controls (94) were dengue patients hospitalized in Wangaya Hospital in 2013- 2014. Data were collected from medical records on as age, gender, duration of fever, dengue history, haematocrit, platelets, class of care and health insurance. Results: Risk factors that independently associated with DSS were history of previous dengue infection with adjusted OR=11.6 (95%CI=1.83-73.96), duration of fever before admission ≥4 days with adjusted OR=5.5 (95%CI: 2.03-14.96), haematocrit ≥42% with adjusted OR=2.8 (95%CI: 1.02-7.68), platelets <50,000/mm3 with adjusted OR=5.2 (95%CI: 1.88-14.36), and third class ward with adjusted OR=2.9 (95%CI: 1.01-8.29). Conclusion: History of previous dengue infection and delay in recognizing the symptoms of dengue fever increased risk of DSS. In addition, patients who hospitalized in the third class ward had higher risk of DSS.
Factors Associated with the Behavior of Food Handlers in the Application of Good Manufacturing Practice (GMP) in the Household Food Industry (HFI) in Karangasem Regency Ni Made Astini Handayani; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p12

Abstract

Backgrounds and purpose: Indonesia is considered of the countries in Southeast Asia with low food quality. The poor behaviors of food handlers in applying good manufacturing practice may bring about a decline in food quality which can lead to the risk of health conditions such as diarrhea, worm infection or food poisoning. This study aims to determine the factors associated with the behaviors of food handlers in the application of good manufacturing practice at the household food industry level. Methods: Cross-sectional survey was conducted among 79 food handlers, working at the household food industry in Karangasem. Data were collected through interviews and observations and analyzed using poisson regression to understand the association of knowledge, attitudes and managerial support with behavior of food handlers. Results: The knowledge and attitude of food handlers were relatively poor at respectively 48.10% and 53.16%. The behavior of food handlers classified as good was 49.37%. Behavior of food handlers was significantly associated with knowledge (PR=1.48; 95%CI: 1.01-2.15), attitude (PR=2.13; 95%CI: 1.47-3.08) and managerial support (PR=3.01; 95%CI: 1.77-5.13). Conclusion: The behavior of food handlers in the application of good manufacturing practice at the household food industry remains low and was associated with knowledge, attitude and level of managerial support.
Perceived Benefits as Variable Related to Voluntary Enrolment in the National Health Insurance Program (JKN) at Public Health Centre I East Denpasar Ida Ayu Putri Widhiastuti; Pande Putu Januraga; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p13

Abstract

Background and purpose: By 2019 all Indonesian citizens should be covered by the JKN program. In 2015 the proportion of population covered by JKN was 53.4%, constituting 34.0% paid by the government, 4.3% by their employer and 3.9% independently, while 57.8% were not covered by JKN. In order to achieve universal coverage there needs to be increased enrolment from non-government employees and people who work independently. This study aims to understand the relationship between out patient enrolment and sociodemographic variables, information about JKN, perceived risk of falling sick, perceived benefits and barriers to access JKN. Methods: Cross sectional sample survey was conducted among 188 households, consist of 94 non-employee JKN participants and 94 respondents not yet enrolled. Data was collected through interview and analyzed by univariate, bivariate and multivariate analysis using logistic regression. Results: Exposure to JKN information was 89.36%. Bivariate and multivariate analysis showed that the only variable associated with JKN enrollment was perceived benefits with adjusted OR=4.53 (95%CI: 2.15-9.55). There was no association with sociodemographic variables, information regarding JKN and health status risk perception. Conclusion: Variable connected with voluntary JKN enrolment at Primary Health Care I Denpasar East was perception of benefits.
Association of Physical Fitness Participation with Cognitive Function and Balance among the Elderly in Denpasar Lanawati; Rina Listyowati; Raden Ayu Tuty Kuswardhani
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p14

Abstract

Background and purpose: Aging is known to cause cognitive impairment and body imbalance. Studies have found that physical exercise helps to delay such depreciation. The purpose of this study was to assess the relationship between participation in physical fitness and cognitive function and body balance among the elderly in Denpasar. Methods: Study was cross sectional, involving 60 elderly who were categorised into those who participated in physical exercise and those who did not, using proportional stratified random sampling. MoCa-Ina was used to determine the level of cognitive function and Romberg Test was applied to determine body balance. Data were analysed using chi-square and logistic regression tests. Results: The proportion of normal cognitive function among elderly who did and did not participate in physical fitness were 80% and 20%, respectively. Similarly, proportions of normal body balance among the elderly who did and did not participate in physical fitness were 86.7% and 20.0% respectively. These differences were statistically significant. In logistic regression analysis, it was shown that the variables affecting cognitive function were participation in physical fitness and in a hobby, and variables that affected body balance were participation in physical fitness and disease history. Conclusion: Participation in physical fitness was associated with cognitive function and body balance among elderly.
Factors that Contribute to the Acceptance of Vasectomy as Contraception Option in East Lombok Regency Yudi Ardiana; Pande Putu Januraga; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p15

Abstract

Background and purpose: The national family planning program currently promotes the role of husbands as acceptors of vasectomy as contraception. The Wanasaba Sub-district of the East Lombok Regency is one of the areas with a high number of acceptors. This phenomenon needs to be understood more deeply in order to increase vasectomy contraception uptake in other areas. This study aims to understand in depth the factors that contribute to the acceptance of vasectomy as contraception in the Sub-District of Wanasaba of East Lombok. Methods: The study used a qualitative design with phenomenology approach. The data were collected through in-depth interviews. The study was conducted among 20 participants consisting of five couples of vasectomy acceptors and five couples of non-vasectomy acceptors. Data were analyzed using thematic analysis. Results: Research showed that the decision to undergo vasectomy was voluntarily and swift without any pressure or coercion from providers or others. The main factor contributing to the acceptance of vasectomy was the availability of free, direct and fast services facilitated efficiently by providers and cadres. Another factor was economical owing to the fact that hormonal contraceptive was considered costly. The driving factor for the acceptance of vasectomy was active support from the spouse along with social acceptability of the process from the community. Conclusion: Service availability, in addition to the involvement from health workers and cadres were crucial in providing information on the procedure, and in promoting and facilitating vasectomy uptake. It is necessary to improve the capacity of cadres, family planning field workers and family planning motivators in order to increase the number of vasectomy acceptors.

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