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Public Health and Preventive Medicine Archive

phpma
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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 13 Documents

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Search results for , issue "Vol. 8 No. 1 (2020)" : 13 Documents clear

COVID-19 Pandemic: Opportunity to Accelerate e-Health in Indonesia Nyoman Sutarsa; Putu Ayu Swandewi Astuti; Melinda Choy; Malcolm Moore
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

The COVID-19 pandemic has catalysed the transformation of health care provision across the globe, including Indonesia. However, adopting and implementing e-health technologies in health care system has to be done gradually with careful planning and assessment to minimise negative consequences and to ensure equity. Strategies are required to address availability of basic infrastructure, broadband internet access, health system preparedness and acceptability from the community and health professionals. Promoting e-health also means transforming the overall landscape of health systems and the societal culture around health-seeking behaviour. It will not happen overnight, it takes time and substantial investment; but the process has to start now to leverage the ‘magic’ momentum presented by the COVID-19 pandemic.

Predictor of muscle dysmorphia among members of fitness centers in Denpasar City, Bali, Indonesia Vennesa Vitari Maureen Susanto; Dewa Nyoman Wirawan; I Putu Adiartha Griadhi
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Muscle dysmorphia is one of the most common forms of body dysmorphic disorder. It is part of the obsessive-compulsive disorders, wherein sufferers believe that the body is too small or not muscular enough. The purpose of this study was to determine the predictors of muscle dysmorphia among fitness center members. Methods: A cross-sectional study was conducted at five fitness centers with 117 respondents. Several scales were applied including: 1) 4th edition Sociocultural Attitudes Towards Appearance Scale (SATAQ) to measure self-internalization, family, peer, and media pressures; 2) Physical Appearance Comparison Scale (PACS) to measure social comparison; 3) Body Esteem Scale for Adolescents and Adults (BESAA) to measure respondents’ satisfaction with their bodies and 4) The Muscle Dysmorphic Disorder Inventory (MDDI) to measure muscle dysmorphia. Meanwhile, weight was measured with Kris EB9-4A Series digital scales, height with GEA microtoise and body fat percentage with a digital HBF-306 body fat monitor. Spearman’s Correlation test was performed for the bivariate analysis and multiple linear regression for the multivariate analysis. Results: The prevalence of muscle dysmorphia among fitness center members was 43.6% (95%CI=33.99:53.20) in the total sample based on MDDI cut-off score. Bivariate analysis shows that six variables including body fat percentage, total physical activity, thin/low body fat internalizations, muscular/athletic internalizations, peer pressure, media pressure associated with muscle dysmorphia. In the multivariate analysis, only four variables were significantly associated with muscle dysmorphia, namely: muscular/athletic internalization (β=0.369, 95%CI=0.296:0776, p<0.001), media pressure (β=0.277, 95%CI=0.167:0.595, p<0.001), body fat percentage (β=-0.262, 95%CI=-0.301:-0.067, p=0.002) and body dissatisfaction (β=-0.224, 95%CI=-0.245:- 0.050, p=0.003). Conclusion: The prevalence of muscle dysmorphia in Denpasar City is relatively high. Muscular/athletic internalization, media exposure, body fat percentage and body satisfaction are associated with increase chance of having muscle dysmorphia.

‘I want what they’re eating’: College students’ experiences in watching food content on YouTube Dewa Ayu Mirah Ardrini; Dinar Lubis; Ni Wayan Arya Utami
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The prevalence of obesity among adolescents is increasing significantly. One of the predictors of this problem is unhealthy eating pattern due to peer and social media influence. This study aims to explore in depth the experience of college students in watching food content on YouTube. Methods: This study used a qualitative method with a phenomenological approach. Data were obtained through in-depth interviews with ten informants and one focus group discussion with seven female students aged 18-22 years. The informants were female students who have been watching food content on YouTube for more than one year. Data collection was carried out over April-May 2019. Data were analyzed thematically and presented using anarrative approach. Results: There were three themes that emerged in this study, namely the reasons for watching food content, the benefits, and the effects of watching food content on adolescent health habits. Food content on YouTube is imagined to be educational and provides new knowledge related to food and culture in various regions of Indonesia and other countries. Watching YouTube has become a routine teen activity where they can spend one to four hours per day and can cause teens to form sedentary lifestyle. YouTube watching habits are influenced by peers and social media. It can increase adolescent appetite, thus, they more often opt for unhealthy foods. Conclusion: Watching food content on YouTube has a positive and negative impact on adolescent health. One negative impact is that the content or influencers can cause the selection of unhealthy foods. Attractive education method should be applied in order to counteract unhealthy food content and promote healthy eating habits.

Implementation of e-Puskesmas in Badung District, Bali, Indonesia I Kadek Candra Dwi Astawa Alit Putra; Ni Made Sri Nopiyani; Partha Muliawan
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Development of e-Puskesmas information system is one of the government’s efforts to improve efficiency and effectiveness of primary healthcare services. A comprehensive evaluation of e-Puskesmas implementation has not been conducted. This study aims to explore the implementation of e-Puskesmas system in Badung District from health providers’ perspectives. Methods: This study was an explorative qualitative study conducted in Badung District from July to August 2019. Datacollection was carried out through in-depth interviews with 14 informants who were selected purposively, consisted of managers and operators of e-Puskesmas in Badung District, Health Office and Public Health Centre (puskesmas). Semi-structured interview guidelines were developed based on the Health Metrics Network (HMN) Framework. Data were analyzed by thematic analysis. Data validation was carried out through source triangulation, member checking and peer debriefing. Results: The input of e-Puskesmas is generally sufficient in terms of policies, financing and infrastructure, but it is necessary to improve the quality and quantity of human resources, the internet network, and availability of standard operating procedure. The e-Puskesmas indicators have not accommodated the overall minimum health service standards of puskesmas, data on promotive and preventive programs, and data from private health care facilities. Data management is non optimal due to poor data completeness, breach of confidentiality and also the existence of other disease specific information system that is not integrated into the e-Puskesmas system. The quality of information produced from the system should be improved since there is lack of validity and unable to provide comprehensive information regarding health status of the community. The use and dissemination of information is limited to reporting to the health office while dissemination to the public has not been optimal. Conclusion: The implementation of e-Puskesmas in Badung District has not been optimal. Concerted efforts should be undertaken to overcome the barriers in the implementation and to develop a more effective, efficient and integrated health information system.

The relationship between body image and tea drinking habits with anemia among adolescent girls in Badung District, Bali, Indonesia Kadek Agus Dwija Putra; Putu Cintya Denny Yuliyatni; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The prevalence of anemia among adolescent girls in Indonesia remains high. Poor nutrition is a risk factor of anemia among adolescent girls, which is likely related to food intake restrictions to achieve a desired body shape (body image), and the habit of drinking tea while eating which can affect the absorption of iron. This study aims to determine the relationship between anemia with body image perception and tea drinking habits among adolescent girls. Methods: This study used a cross-sectional design carried out from March-May 2018, involving girls aged 15-18 years at high schools in Badung District. Two schools were selected from 44 high schools, then a sample of 106 students were selected by systematic random sampling. Data collected included hemoglobin levels measured with hematology autoanalyzer, nutritional status with anthropometric measurements, and data on socio-demographics, socio-economics, tea drinking and eating habits, menstrual pattern, helminthiasis, knowledge and perception of body image with face-to-face individual interviews. Data were analyzed using the Chi square test for bivariate analysis, and multivariate using logistic regression. Results: The prevalence of anemia (hemoglobin <12 g/dL) in adolescent girls was 13.2%. The results of the logistic regression analysis showed that the variables associated with anemia were poor knowledge about anemia with an adjusted odds ratio (AOR)=11.4 (95%CI: 1.6-83.1), no iron supplement consumption (AOR=14.7; 95%CI: 1.9-109.8), negative body image (AOR=30.6; 95%CI: 2.9-321.1), tea drinking habits while eating (AOR=52.2; 95%CI: 4.2-642.9) and excessive menstrual volume (AOR=17.1; 95%CI: 1.6-185.9). Conclusion: Negative perceptions of body image and tea drinking habits while eating increase the risk of anemia among adolescent girls aged 15-18 years. In addition, poor knowledge about anemia, a history of not consuming iron supplements and excessive menstrual volume can also increase the risk. These factors need to be considered when designing policies to reduce anemia among adolescent girls.

The impact of National Health Insurance online referral system on the access and quality of health services in Gianyar District, Bali, Indonesia Ida Ayu Agung Dewi Sawitri; Pande Putu Januraga; Ni Made Sri Nopiyani
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The introduction of an online referral system aims to improve the quality and costs control of the National Health Insurance (NHI) or Jaminan Kesehatan Nasional. This study aims to determine the impact of the NHI online referral system implementation on access and quality of health services in Gianyar District. Methods: This is an explorative qualitative study conducted in Gianyar, Bali, Indonesia. Data was collected through semistructured in-depth interviews to a total of 26 informants recruited purposively. They were including policy makers in the health office and the NHI implementing organization (BPJS), heads of public health centres (puskesmas), private health facilities and referral healthcare facilities; and 13 NHI participants. Data collection was undertaken from May to August 2019. The interview results were thematically analysed based on the Health Care Reform Control Knobs Framework. Results: The study identifies several positive impacts of the online referral system, which include: the closer distance of patients accessing services, the easier it is to obtain information on services at referral health facilities, and the easier the hospital to promote its service products, the higher assurance of patients being accepted by the referral hospitals, patients with special conditions are better accommodated, the easier the administrative procedure, improved time, cost and working procedure efficiencies, increased punctuality of the services, and guaranteed data security that reduces the risk of lost or damaged referral documents. On the other hand, the online referral system has also resulted in negative impacts, some of them were system inconsistencies, information and communication technology (ICT) constraints, service discontinuity, service injustices and loss of patients’ loyalty. Conclusion: NHI online referral system generally have positive impacts on access and quality of health services, however, it is necessary to improve several aspects of the online referral system to better accommodate user needs and to optimize service.

Relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan Public Health Center, North Jakarta Micheline Chang; Surilena Hasan; Erfen Gustiawan Suwangto; Nelly Tina Widjaja
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Anxiety is generally found in primary health care patients with physical problems and are often not treated. This condition can affect the patient’s sleep quality. The aim of this study was to determine the relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan Public Health Center (PHC), North Jakarta. Methods: This is a cross-sectional study of 434 patients attending the health care service of Kecamatan Penjaringan PHC, North Jakarta from August to October 2019. Data was collected with demographic and drug consumption questionnaire, Zung Selfrating Anxiety Scale (SAS) and Pittsburgh Sleep Quality Index (PSQI). Data analysis were including univariate and bivariate analysis conducted with SPSS 25.0. Results: There were 434 respondents aged 17-81 years old involved in the study, with an average age of 47.1 years, 72.4% of them were female, 56.2% with basic education, 54.8% were unemployed and 61.1% with low-income level. As high as 26.3% of the respondents were fallen into anxiety classification, including 19.4% mild anxiety, 5.5% moderate anxiety and 1.4% severe anxiety; while 53.5% of them reported poor sleep quality. Bivariate analysis showed a significant relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan PHC, North Jakarta (P<0.001). Patients with anxiety were 7.8 times (OR=7.819, 95%CI: 4.462-13.703) more likely to experience poor sleep quality than those without anxiety. Conclusion: There is a significant relationship between anxiety and sleep quality in patients attending Kecamatan Penjaringan PHC, North Jakarta. Detection of anxiety disorders and sleep quality should be considered as one essential part of patients’ care at PHC.

Analysis of the Birth Insurance Program (Jampersal) utilization in Bangli District, Bali, Indonesia Ni Made Ayu Kemala Dewi; Yuli Kurniati; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The Birth Insurance Program or called Jaminan Persalinan (Jampersal) aims to reduce maternal and newborn deaths. Bangli is one of the districts in Indonesia with low utilisation of Jampersal program. The study aims to explore factors associated with the low utilization and uptake of Jampersal Program in Bangli District. Methods: This was a qualitative study conducted between April- May 2019. The study involved 24 informants who were selected purposively. The informants were 18 pregnant women, two community leaders, three health workers and one Bangli Health Office’s staff. Data were collected through in-depth interviews which explore factors associated to utilisation of Jampersal using PRECEDE-PROCEED Framework. Data were analyzed by thematic analysis. Results: We found that informants who used Jampersal had sufficient knowledge about Jampersal, were exposed to the program informed by health workers and community leaders, and were supported by their families. Whereas, those who yet to utilize Jampersal had a poor understanding on Jampersal service mechanisms, lack of spousal support in preparing Jampersal requirements and private midwives had not signed the Jampersal MoU. Conclusion: Low utilisation of Jampersal Program in Bangli District partially influenced by low understanding of the program and in-optimal involvement of midwifery networks. The local health office should further expand cooperation with the private midwife network for optimum utilization of Jampersal, elucidation of the Jampersal technical guidelines to health workers, as well as technical support for participants in completing required documents.

Length of caring duration increases burden and reduces health status of cancer patients’ family caregivers in Surabaya, Indonesia Yesiana Dwi Wahyu Werdani
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The duration of care taking of cancer patients can trigger stress which impacts on the emergence of a burden which further affects the physical health of the family caregivers. This study aims to determine the effect of caring duration on the burden and health status of cancer patient’s family caregivers. Methods: This was a cross-sectional study. Samples were 56 cancer patient’s family caregivers who were selected by a purposive sampling technique based on specified inclusion criteria from two public health centers (PHCs) in Surabaya Indonesia. Participants completed the questionnaire which comprised of questions on caring duration, caregiver burden scale and physical health status. Statistical tests using simple linear regression and multiple linear regression were performed. Results: The average age of family caregivers was 49.91 (SD=12.24), mostly female (66.7%), while half of the patients (51.8%) were a stage III cancer patients and the most frequent type of therapy (35%) received was chemotherapy. The average of caring duration was 4.44 (SD=1.92) years, score of burden was 51.07 (SD=18.45) and score health status was 60.32 (SD=10.81). After adjusted for age, gender, cancer stage and type of therapy, caring duration was significantly associated with increased burden of family caregivers (b=9.186, 95%CI: 7.85-10.10, p<0.001) and with reduced health status (b=5.282, 95%CI: 4.50-5.85, p< 0.001) Conclusion: The longer caring duration of cancer patients causes a higher burden and also a lower health status of family caregivers. Health workers and community have an important role in reducing the burden and improving the health status of caregivers by providing supports and appropriate prevention measures.

Perceived quality of primary healthcare services among the National Health Insurance members and fee for service patients in the West Denpasar II Public Health Center Bali, Indonesia Nitya Nijyoti; Putu Ayu Indrayathi; I Made Ady Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The Government of Indonesia established the National Health Insurance or in Indonesia called Jaminan Kesehatan Nasional (JKN) in 2014 with the target of achieving universal health coverage (UHC) by 2019. However, many have not become JKN participants and still use the fee for service financing system. The purpose of this study was to determine patient’s perceptions of the quality of health services under the JKN and fee for service payment methods. Methods: A cross-sectional study was conducted at West Denpasar II Public Health Centre (PHC) with 133 outpatient respondents who were selected sequentially. Data collection was carried out in June 2019 through interviews. Patients’ perceptions of service quality were measured according to the six domains of health service quality established by the Institute of Medicine (IOM) which include effectiveness, efficiency, timeliness, patient-centered approach, safety and equity. Bivariate analysis was conducted with Mann Whitney test and multivariate analysis with Ancova. Results: Patients’ perceptions of the quality of services in the JKN and fee for service payment methods were found to be quite good with an average of 3.08 and 3.17 of the maximum value of 4.0. Bivariate analysis showed a significant difference with a mean rank of 54.28 for JKN and 79.16 for fee for service (p<0.01). Patients’ perceptions of service quality also differed significantly based on the dimensions of efficiency (p=0.001), effectiveness (p=0.005), timeliness (p=0.007) and patient-centered approach (p=0.032). Multivariate analysis showed that the variable that was significantly related to patient perceptions of service quality was the payment methods (p<0.001). Conclusion: Patients with a fee for service payment methods have a better perception of service quality than patients who use JKN. Advocacy to policy makers and service providers should be conducted in order to ensure the equal quality of service for all patients.

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Putu Ayu Swandewi Astuti

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editor@phpmarchive.org

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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

Location
Kota denpasar,

Bali

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

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

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

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