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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 15 Documents
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Search results for , issue "Vol. 4 No. 2 (2016)" : 15 Documents clear
Family History, Stress, Less Physical Activity, Obesity and Excessive Salty Food Consumption as Risk Factors of Hypertension I Made Jaya Widyartha; I Wayan Gede Artawan Eka Putra; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p11

Abstract

Background and purpose: Hypertension was a significant public health problem. This study aims to determine risk factors of hypertension. Methods: The study used a case-control design, involving 77 cases and 77 controls aged 18-65 years old, who were selected consecutively. Cases and controls were matched on age and sex. Cases were defined as patients who were diagnosed with hypertension by clinician at the primary health center (PHC), and controls were patients at PHC who were not diagnosed as hypertension. Data were collected through interview regarding sosiodemographic status and risk factors of hipertension. Direct measurement was performed for weight, height and abdominal circumference. Multivariate analysis was conducted using logistic regression. Results: Cases and controls were comparable in term of sex, age and education level. Variables that associated with hypertension were family history (AOR=9.20; 95%CI: 3.47-24.41), moderate stress (AOR=13.01; 95%CI: 3.70-45.79), severe stress (AOR=16,75; 95%CI: 3,32-84,38), less physical activity (AOR=3.53 (95%CI: 1.38-9.01), obesity (AOR=5.72; 95%CI: 2.09-15.68) and excessive salty food consumption (AOR=3.08; 95%CI: 1.17-8.09). Eating fatty foods may also indirectly cause hypertension. Income, mild stress, smoking habits, being passive smokers, coffee consumption habits, frequency of fruits and vegetables consumption were not found to be risk factors. Conclusion: Family history, moderate and severe stress, less physical activity, obesity and excessive salty food consumption were risk factors of hypertension.
Relationship of Knowledge and Attitude among Midwives with the Implementation of Early Initiation of Breastfeeding in Badung Regency Luh Sudemi; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p12

Abstract

Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it. Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data  were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method. Results: The EIB was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the EIB more compared with those having ≤4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of EIB had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% p<0.001 and those having received supervision, namely 77.5% vs. 33.3%(p=0.001). Multivariate analysis showed that factors associated with implementation of EIB were knowledge with APR=1.5 (95%CI: 1.04- 2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3). Conclusion: Knowledge and attitude had a significant relationship to the implementation of EIB by midwives.
Risk Factors for Adolescent Pregnancy in Bali: Case Control Study Dewi Aprelia Meriyani; Desak Putu Yuli Kurniati; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p13

Abstract

Background and purpose: Adolescents pregnancy is a public health problem in Indonesia. The 2012 Demographic and Health Survey Indonesia showed that 9.5% women aged 15-19 years had given birth. The aim of this study was to identify risk factors associated with adolescent pregnancy. Methods: The study was conducted in Kintamani District, Bangli, Bali Province. Design of the study was case control with a total of 96 respondents. The cases were 32 pregnant woman age <20 years and the controls were 64 non married and non pregnant woman age <20 years. The cases were taken from register of pregnant women in Kintamani I and VI primary health care centers. The controls were randomly taken from a list of women in the youth group at the same working area of both primary health care centers. The data collection was conducted by interview in the house of each respondent. The data were analyzed using bivariate (chi square test) and multivariate logistic regression. Results: Risk factors that found associated with adolescents pregnancy were respondents with peer negative influence (AOR=71.6; 95%CI: 9.4-545.2), respondents who had opportunity to have sexual relationship (AOR=17.7: 95%CI: 3.2-98.2), lack of knowledge about reproductive health and adolescent pregnancy (AOR=12.8; 95%CI: 2.5-66.5) and higher family income (AOR=5.8: 95%CI: 1.3-26.6). Level of education and exposure to pornography was not significantly found associated with adolescent pregnancy. Conclusion: The negative influence from their peers, opportunity to have sexual intercourse, lack of knowledge and higher family income were found as risk factors of adolescents pregnancy.
The Analysis of Performance Based on Balanced Scorecard at Karangasem Hospital Putu Yulianti; I Nyoman Sutarsa; I Putu Ganda Wijaya
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p14

Abstract

Background and purpose: Karangasem Hospital has adopted balanced scorecard method in preparation of the strategic plan. The performance evaluation has been done based on accountability report only with the three other perspectives have never been analysed before. This study was conducted to assess those four perspectives. Methods: Cross-sectional survey was carried out among 110 inpatients and 95 employees which were selected conveniently. The data were collected by interviews using questionnaire. The data were analyzed with kartesius graph to get each item of patients and employees satisfaction that need to be priority. Secondary data analysis conducted to know the tendency of those four perspectives. Results: Based on the assessment of the four perspectives showed that the overall score is 44.7%. It is defined as sufficient category. This also can be observed that each perspective of finance, customers and internal business process included in sufficient category. Their scores are 16.65%, 12.5% and 15.62%. Meanwhile, for the learning and growth perspective showed as weak category (0). Kartesius graph analysis showed that two items of patient’s satisfaction have to do with procedure and quick service need to be concerned. However, the employees’ satisfaction showed that there are five sub items which need to be concerned. They are quick response, management support and working environment. Conclusion: The performance of Karangasem Hospital based on scorecard is in the sufficient category and patients/employee’s satisfaction still need to be concerned on certain items.
Determinants of Mortality among Low Birthweight Infants During Hospitalization in Karangasem District Hospital I Ketut Duara; Dewa Nyoman Wirawan; Pande Putu Januraga; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p15

Abstract

Background and purpose: Infant mortality rate in Indonesia is still high and is largely related to low birthweight (LBW) infants. Previous studies reported the sociodemographic and clinical factors as determinants of mortality of LBW infants, but rarely examined factors related to their health services. This study aims to determine the demographic, clinical and health services as determinants of mortality of LBW infants during hospitalization. Methods: This study was a retrospective using cohort data of medical record of LBW infants in Karangasem Hospital since January 2012 to October 2014. Logistic regression was done to determine the relationship between demographic, clinical and health services factors with LBW infants’ mortality. Results: The proportion of mortality among LBW infants during hospitalization was 12.12%. Most parents (64.6%) live in good access to health services. The proportion of female infants (51.4%) was higher than male. LBW infants who were born in hospital (85.7%) greater than born outside hospital. Vaginal delivery (75.3%) was greater than C-section. Preterm infants (57.1%) was greater than at term with median of birthweight was 2100 grams. Proportion of asphyxia, respiratory distress syndrome (RDS), sepsis, hypoglycemia and hypothermia, respectively 24.1%, 4.66%, 0.78%, 7.92% and 3.73%. Variables associated with LBW mortality were increasing of 50 grams of birthweight, asphyxia, RDS and referred infants. Conclusion: The mortality of LBW infants during hospitalization was 12.12% with increasing of 50 grams of birthweight,

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