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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 12 Documents

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Search results for , issue "Vol. 8 No. 2 (2020)" : 12 Documents clear

Gut microbiota offers new insight into public health I Nengah Sujaya
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

With the increasing scientific evidence of the contribution of GM to health and disease, various approaches are sought to maintain, restore or modulate the groups of beneficial bacteria in the digestive tract. Those approaches are mainly performed through three different ways including administration of probiotics, prebiotics, and fecal microbial transplantation. The probiotic approach is commonly attained through the consumption of live bacteria which can improve the health of the host, while prebiotic approach is the consumption of food ingredients or food components that increase the growth of beneficial bacteria inthe digestive tract. Meanwhile, fecal microbial transplantation (FMT) has been beginning to perform under certain conditions in which fecalmicrobiota is introduced into individuals with certain disease and has been showing encouraging results. Even though the application of probiotics (bacteriotherapy) in maintaining or modulating of GM yet to fully recognized by some countries, the approach has showed positive impact on humanhealth demonstrated in certain diseases prevention. Similar evidence was obtained from studies that revealed the beneficial outcomes of prebiotic and FMT intervention for human GM, which consequently improve human health. Therefore, it is noticeable that the composition of GM is a promising aspect which may need to be considered in developing an innovative intervention program to alleviate certain public health problem.

Determinants of anemia in women of reproductive age in Indonesia: Secondary data analysis of the 2018 Indonesia Basic Health Research Putu Sri Utami; Luh Seri Ani; Dinar Saurmauli Lubis; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Anemia in women is a public health concern that is prevalent in developing countries. Women of reproductive age (WRA) frequently suffer from anemia, which can contribute to morbidity and mortality of mothers and their infants. The purpose of this study was to determine the prevalence and factors associated with anemia among women of reproductive age (WRA) in Indonesia. Methods: This study uses secondary data from the 2018 Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) which was conducted in 34 provinces in Indonesia. The number of samples analyzed was 3,677 women aged 15-49 years who had data from interviews, measurements of height, weight, results of malaria\ tests, and hemoglobin levels. Data analysis was performed using multivariate logistic regression to determine the relationship between anemia and individual characteristics, nutritional and health status as well as environmental conditions and healthservice accessibility. Results: The prevalence of anemia among WRA in Indonesia was 25.3% (95%CI: 23.9-26.7). Factors which found to be associated with the prevalence of anemia in WRA were age <20 years (AOR=3.44; 95%CI: 2.22-5.35; p<0.001), underweight (AOR=1.48;95%CI: 1.08-2.05; p=0.017), obesity (AOR=0.68; 95%CI: 0.56-0.81; p<0.001) and the use of hormonal contraception (AOR=0.53;95%CI: 0.44-0.64; p<0.001). Conclusion: Based on the prevalence, anemia among WRA inIndonesia is categorized as a moderate public health concern and the most common risk factor for anemia was WRA aged <20 years and underweight. To reduce the incidence of anemia in WRA, interventions should be targeted at WRA aged <20 years and underweight

Quality analysis of quality control system in work units based on the Routine Data Quality Assessment of X Hospital in Semarang District Endang Fatmawati; Farid Agushybana; Septo Pawelas Arso
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: An excellent process of hospital quality management system produces useful data for the management in the future decision-making. The problem obtained from the quality management system of X hospital was that the data collectors do not understand the procedure of data collection, thus the data became less complete and less accurate. Routine Data Quality Assessment (RDQA) instrument is recommended to measure the data quality. This study aims to analyze the data quality in the quality management system of X Hospital work unit in Semarang. Methods: Quantitative method was applied in this study using cross-sectional approach. RDQA instrument was used as a model of quality assessment of routine data that can be implemented to evaluate the quality of the collected data. Purposive sampling was used in the selection of informants. This study involved 22 quality managers at level I (the wards) as the informants who conducted the data selection, three quality managers at level II as data collectors, and one quality manager at level III as a data center. The data were analyzed both quantitatively and qualitatively. The work units assessed in this study include the outpatient, inpatient and critical units. Result: RDQA instrument was adapted by adjusting the substanceof RDQA with the standards of hospital accreditation in Indonesia. The development of indicator 2 focused on the understanding of data collection, while indicator 3 focused on the supervision of data collection, and indicator 5 focused on the staff understanding on the recommendation of quality achievement results. The application of RDQA articulated that the quality control systems did not optimally run, including the lack of understanding of the data collection procedure, non optimal supervision of quality management, not all quality manager conduct data verification properly, not all staff understand the recommendations of the quality achievement results. The highest percentage of the data quality was 93% and the lowest was 72%. In general, the system assessment was 1.5-2.5 which indicated that the data were partially complete/available/ operated. Conclusion: RDQA resulted that the data quality control on the hospital quality management system has not yet to be conducted optimally.

The roles of private practice midwives in Prevention of Mother-To-Child Transmission Program (PMTCT) in Bali Province, Indonesia I Ketut Dwipayana; Pande Putu Januraga; Ni Made Dian Kurniasari
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Mother-to-child transmission of HIV has been one of the problems in HIV prevention. In Indonesia, private practice midwives (PPM) play an important role in maternal and child health services. The roles of PPM in HIV vertical transmission prevention through PMTCT have not yet clearly understood. This research aims to analyse the roles of PPM in Bali Province in the PMTCT program as well as the PPM’s characteristics, knowledge, and attitudes about the program. Methods: This study was a descriptive cross-sectional survey, conducted from March to May 2020. The study population was PPM in Bali Province. The samples obtained were 404 out of a total of 1,736 PPM (23% response rate). The variables studied included socio-demographic characteristics, services and resources characteristics, knowledge, attitudes, and the role of PPM in four PMTCT prongs. Data was collected via self-filled online questionnaires distributed through Indonesian Midwives Associations branches in every district/city in Bali Province. Data were analysed descriptively and differences in roles in PMTCT were analysed using the chi-square test. Results: Of the 404 PPM, 66.1% served childbirth (deliveries), 25.4% had served HIV-positive women, and 18.3% had served HIV-positive pregnant women. As many as 95.5% of PPM played a good role in prong 1, and 99.0% of PPM, who had served HIV positive patients, played a good role in prong 2, 3 and 4. Statistically significant determinants for good implementation of prong 1 of PMTCT by the PPM were indicated by ownership or access to PMTCT information media (p=0.026), experience of serving HIV positive women (p<0.00), and having served higher number of PMTCT patients (p=0.019). Conclusion: The PPM in Bali Province has played a good role inPMTCT, with a significant difference for good PMTCT implementation in prong 1 determined by the availability of information media, a history of serving HIV-positive women, and the number of PMTCT patients who have been served.

The ways urban marginalized group conceptualizes health and wellbeing: The case of the waste pickers in Surabaya, Indonesia Yohanes Kambaru Windi; Dyah Wijayanti; Eko Rustamaji Wiyatno
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Health and wellbeing have a different meaning for an individual, institution, ethnicity and organization. The study aims to overview the ways waste pickers conceptualize health and wellbeing. Methods: A qualitative procedure deployed to identify the predictors of health and wellbeing according to the waste pickers and how they perceive them. Forty waste pickers were involved as participants. Semi-structured in-depth interviews, natural group discussion (NGD) and casual conversation are the main methods for collecting information. The information was analysed using a thematic and inductive approach. Results: The waste pickers identify health as free from diseasesand illness, being able to work, a peaceful mind, positive relation within the family and social life, being grateful for life, surrender to God, and being happy. They relate wellbeing with gratefulness with achievements, sense of enough, being satisfied with life, submission to God, sense of “enough”, frugality and some assets back hometown. Conclusion: The study concludes that waste pickers provide apractical understanding of health and wellbeing. It recommendsthat understanding and measuring health and wellbeing should on the context of the target population.

Determinants of caesarean section among women of childbearing age in Indonesia: Secondary data analysis of the 2017 Indonesia Demographic Health Survey Desak Nyoman Purniati; Dewa Nyoman Wirawan; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: The caesarean section (CS) trendcontinues to increase throughout the world, including Indonesia. Indonesia is one of the countries where the proportion of CS exceeds the WHO recommendation. CS on medical indications can save the mother and baby, but if the CS is performed without any medical indication it will affect the welfare and health of both. This study was conducted to determine the factors associated with CS deliveries in women of childbearing age (WCA) in Indonesia. Methods: This study is a secondary data analysis using the 2017Indonesia Demographic and Health Survey (IDHS) data. The data analyzed in this study were CS deliveries in the last 5 years and predictors variables which were collected via interviews. The number of samples in this analysis were 14,533 respondents from the total sample size of the 2017 IDHS as many as 50,730 female respondents aged 15-49 years. Data analysis was performed using multivariate logistic regression with backward method. Results:The proportion of CS among women aged 15-49 years in Indonesia was 17.7% (95%CI: 17.4-18%). The risk factors for CS were age >35 years with AOR=2.35 (95%CI: 1.61-3.44), primiparity with AOR=2.03 (95%CI: 1.54-2.68), multiparity with AOR=1.53 (95%CI:1.18-1.99), low infant weight with AOR=1.71 (95%CI: 1.45-2.03),maternal high education level with AOR=2.15 (95%CI: 1.79-2.59), husband’s middle education level with AOR=1.41 (95%CI: 1.231.62), urban areas of residence with AOR=1.28 (95%CI: 1.15-1.41), high family wealth index with AOR=1.87 (95%CI: 1.64 2.13), hasa health insurance with AOR=1.54 (95%CI: 1.41–1.70), delivered the baby at a private health facility with AOR=1.18 (95%CI: 1.07-1.31), number of ANC visits ≥4 times with AOR=1.87 (95%CI: 1.42-\2.32), and have been exposed to information media with AOR=2.01(95%CI: 1.02-3.97). Conclusion: The proportion of CS delivery in Indonesia remains relatively high. Education for mothers and families about the impact of unnecessary CS delivery needs to be increased so that mothers and families are able to make appropriate and rational decisions. Interventions should be focused on mothers and husbands who are more educated, have higher socioeconomic status, live in urban areas and have chosen delivery in private health facilities

Good parental feeding style reduces the risk of stunting among under-five children in Yogyakarta, Indonesia Erni Gustina; Liena Sofiana; Suci Musvita Ayu; Yuniar Wardani; Ditra Irna Lasari
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: In Indonesia, many studies on thecauses of stunting in children have been conducted. However, still few have explored the parental feeding style in relation to stunting. The purpose of this study was to analyze the relationship between parental feeding style and stunting among under-five children in Kulon Progo District, Yogyakarta. Methods: This study used a cross sectional design. This study involved 729 respondents who were the entire population of under-five children in Kulon Progo. Mothers were interviewed about the socio-demographic, economic and parental feeding style that mothers gave to their children using a structured questionnaire. Data were analyzed descriptively to identify the frequency distribution of each variable, hypothesis testing with chi square test and multivariable analysis with logistic regression at asignificance level of 5% were performed. Results: Of the 729 under-five children analyzed, 37.6% werefound to be stunting. The proportion of poor parental feeding style was almost 50%. The finding of this study showed that mother’s occupation (AOR=2.13; 95%CI: 1.26 3.59), family income (AOR=3.56; 95%CI: 2.34-5.42) and parental feeding style (AOR=2.77; 95%CI: 1.97-3.91) have a significant relationship with stunting. Conclusion: The prevalence of stunting is quite high in the study area. Parents with poor parental feeding style are predicted to increase the risk of stunting among under-five children. Familybased interventions that involve parenting styles in child feeding practices should be considered in reducing stunting among children.

Training program for tuberculosis (TB) patients to improve referrals of presumptive TB cases and sputum in Denpasar, Bali, Indonesia Putu Ayu Merry Antarina; Dewa Nyoman Wirawan; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Tuberculosis (TB) is a global healthproblem and one of the top ten causes of deaths in the world. TB case finding is an important component of TB control. In Indonesia, most case findings were done passively so that the referral coverage for TB sputum was lower than the target. This study aims to determine the effectiveness of training for TB patients as volunteers to increase the active referral of presumptive TB cases. Methods: The pretest-posttest design intervention study was conducted in five public health centers (PHCs) which had the highest number of TB patients in Denpasar. The intervention was carried out for seven weeks (February May 2020). A total of 35 TB patients, who were currently undergoing treatment at the PHCs, met the study criteria and willing to volunteer, were trained through meetings, discussions and demonstrations about the risk of TB transmission, contact investigations and how to collect sputum samples. Before and after the interventions, data on volunteers’ knowledge, the number of presumptive TB and sputum referrals by volunteers were collected through interviews and daily records. A regular reminder was sent in the form of a WhatsApp message once a week. Bivariate data analysis was performed with Chi-square and Wilcoxon Signed Rank Test. Results: Volunteers’ knowledge scores increased significantly after training, with a median score of 13.0 to 15.0 (p<0.001), and there was a significant difference in knowledge improvement amongthose who actively responded to regular reminders compared to those who were less active (p=0.002). A total of 31 presumptive TB cases were successfully referred during the study period (7 weeks). Volunteers managed to refer as many as 30 sputum preparations with good quality, but no positive sputum was found. Conclusion: Recruitment and training of TB patients as volunteers can increase the knowledge and skills of volunteers to identify and refer presumptive TB cases and quality sputum samples. More TB patients should be trained as volunteers with a longer observation time to increase TB patient detectio

Factors affecting tuberculosis cadres’ motivation in the detection of tuberculosis cases in Kediri City, Indonesia Gita Sekar Prihanti; Eko Setyo Herwanto; Galih Bayu Prakoso; Gusti Gandha Pandya; Cha Cha Astrid Ghesa; Hiolda Lubvianda Oktavin; Yulanda Fitriana
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Tuberculosis (TB) is an infectiousdisease caused by Mycobacterium tuberculosis (MTB). The high incidence of TB acquires the active role of TB cadres in TB case finding. Motivation is an important factor that support the performance of TB cadres. This study aims to explore factors that affect the motivation of TB cadres case detection rate of TB. Methods: This was an observational analytic study with crosssectional study design, conducted in Kediri City. A total samplingtechnique was applied with a total of 59 TB cadres in the workingarea of Sukorame Public Health Center, in Kediri City. TB cadres filled in a questionnaire containing questions about sociodemographic, attitudes, knowledge, and motivation with a total of 39 questions. Data were analyzed with univariate descriptive statistics, bivariate test by Fisher and Chi Square tests and followed by multivariate analysis using logistic regression. Results: Of the 59 cadres, 37 (67.2%) have a good motivation onTB case findings. The results of multivariate analysis showed that there were four independent variables which have a significant association with the motivation of TB cadres, including age, education, jobs and incentive. Cadres who are 41-60 years have better motivation compared to 25-40 years (OR=31.49; 95%CI:2.373-417.907; p=0.009), cadres who have higher education (university/college) have better motivation (OR=36.957; 95%CI:2.389-571.805; p=0.010). While those who not getting incentives (OR=0.100; 95%CI: 0.013-0.758; p=0.026) and having a job (OR=0.120; 95%CI: 0.021-0.670; p=0.016) were less likely to have a good motivation. Conclusion: Motivation of TB cadres in Kediri City is influenced by intrinsic factors (age, education and employment) and extrinsic factor (incentive). Providing appropriate incentive will significantly boost cadre motivation and relevant stakeholders should consider making this strategy sustainable.

Internal and external factors of providing quality traditional health services in public health centres in Tabanan District, Bali, Indonesia I Wayan Murdita; Dyah Pradnyaparamita Duarsa; I Nyoman Hariyasa Sanjaya
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Traditional health services has beenintegrated into health services at the public health center (PHC),however, its implementation remains suboptimal. Situational analysis is required to identify implementation factors of traditional health services. This study aims to explore key strengths, weaknesses, opportunities and threats of providing quality traditional health services at PHCs in Tabanan District. Methods: A qualitative study using an explorative case study design was conducted across PHCs in Tabanan District between January and February 2020. We utilized a SWOT analysis framework to facilitate our study. Data were collected through semi-structured in-depth interviews with 14 informants. They were purposively selected to allow rich data being collected. Six informants were considered as key informants and eight informants were considered as supporting informants. Data were analyzed using thematic approach. Results: The strengths of PHCs in Tabanan District to provide quality traditional health services include commitment and competency of health providers, trust towards traditional medicine from health staff and community members, promotional activities, the tariff scheme and an established partnership with traditional healers. The weaknesses include limited numbers of staff, high workload of existing health providers and lack of supporting facilities and financial assistance. The opportunities include support from the community, the potency of traditional medicines, availability of government regulations, an established collaboration between traditional and conventional health services and potential customers brought by tourism industries of Bali Province. The threats include unlicensed traditional healers, lack of support from local governments and irresponsible promotional conducts. Conclusion: Our study reveals key strengths, weaknesses, opportunities and threats of providing quality traditional health services at the PHC level in Tabanan District. Findings from our SWOT analysis can be used to develop strategies for improving implementation of traditional health services at the PHC level.

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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

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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