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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. 9 No. 1 (2021)" : 12 Documents clear

COVID-19 Infodemic: Underlining the importance of digital literacy skills Sari, Komang Ayu Kartika
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

The massive spread of online information, high access to internet and social media, and inadequate digital literacy among Indonesian have been a combination to accelerate the spread of infodemic that indicates the need for a better approach in countering COVID-19 infodemic. Collaboration between the community, social media platforms and the government is required to improve Indonesian digital literacy. The government, both at the national and sub-national levels, need to start a digital literacy campaign by actively involve the community to educate and empower them in searching, checking and spreading various information available in digital platforms. Community involvement should be started from family level as first gatekeeper to prevent spread of incorrect information as well to filter the correct one before circulating it inside and outside their family circle. Family members can be reached through local community organisations or programs such as Karang Taruna and Pemberdayaan Kesejahteraan Keluarga (PKK). Schools also need to get involved by including digital literacy in the current national curriculum starting from the early years of primary school. Social media platforms and official websites of both governmental and nongovernmental organisations have currently responded to COVID-19 infodemic by taking several actions such as flagging, filtering, blocking and removal content or accounts, etc, which are identified or reported suspicious. Nevertheless, those efforts must be supported by the government regulation to combat disinformation, particularly for the digital media companies in Indonesia. Strong and sustainable collaboration between the community, social media platforms and the government is important to achieve the good level of Indonesian digital literacy skills and to tackle the COVID-19 infodemic.

Feasibility of implementing pranic healing as a complementary service: A case study at Sanglah General Hospital, Denpasar Megawati, Desak Made; Lubis, Dinar Saurmauli; Manuaba, Ida Bagus Gede Fajar; Lesmana, Cokorda Bagus Jaya
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: WHO supports the implementation of complementary therapy services in health facilities to increase comprehensive health services coverage. Sanglah Hospital is developing the pranic healing service as part of the development of Indonesia’s medical tourism and traditional health. This study aims to determine the extent to which the feasibility, obstacles, challenges, and opportunities of the pranic healing service implemented at Sanglah Hospital. Methods: This study employed a mixed-methods design with a case study approach. The data were collected from March to April 2020 using in-depth interview with 23 informants by collecting information on acceptance, readiness, requests, and service management. Documents and archival records were also collected. The survey data were collected using a selfadministered questionnaire from 40 respondents by collecting information on patients’ requests and acceptance aspects. The qualitative data analysis was performed thematically and presented in a narrative form. The survey data were analyzed using univariate analysis. Results: The pranic healing service received support from the Ministry of Health and the hospital management, had a good acceptance from health workers and patients, was the only complementary service of its kind in health facilities throughout Indonesia and had the potential for the development of medical tourism. Obstacles and challenges found were related to workforce management, regulatory readiness, referral systems, and the development of inpatient services. Conclusion: Pranic healing service could be implemented at Sanglah Hospital because they had substantial support and because of demand and acceptance aspects. However, obstacles and challenges on the implementation and practicality aspects should be overcome for the sustainability of this service. The pranic healing has a good potency since to date, it is the only one available in Indonesia which is also potential for the development of medical tourism.

How Does Islamic Organizations Respond to COVID-19 in Indonesia? A Case Study Rahvy, Aisyah Putri; Ridlo, Ilham Akhsanu
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: Indonesia has made several regulations to tackle the corona virus disease 2019 (COVID-19) pandemic, including large scale social limitation (Pembatasan Sosial Berskala Besar (PSBB)). This regulation is related to physical distancing in all sectors and activities, including religious activities. But efforts made by government and other organizations are not enough to ensure society that these regulations will not affect their religiosity. To strengthen this policy, majelis ulama Indonesia (MUI) and other Islamic organizations have made fatwa and official statement about how worships, especially those which are done in groups should be conducted during this pandemic. This paper aims to provide report and analysis of Islamic organizations response during pandemic in relation to Islamic worships during COVID-19 pandemic in Indonesia Methods: This is a case study of Islamic organizations response during pandemic. It includes Majelis Ulama Indonesia (MUI), Muhammadiyah, and Nahdlatul Ulama responses (fatwa and official statement) to this issue and public responses as well. COVID-19 case also compared to vaccine hesitancy case, due to similarities of Islamic organization response between them. Results: Some fatwas had been made by MUI as response to Islamic worships performance during pandemic. But still there were cases like Banjarbaru and Solo case, indicating that fatwas could not guarantee the success of COVID-19prevention in religious worships. Conclusion: Religious and community leaders are needed to strengthen government move by helping government promote and educate people about health issues from religious perspectives. Moreover, some kinds of punishment made by government are needed to strengthen fatwas and rulings, as most of these religious opinions do not have legal enforcement.

Implementation of six patient safety goals at a public health centre with in-patient services in Bali, Indonesia: A qualitative case study Gunawan, I Made Abdi; Wirawan, I Made Ady; Lubis, Dinar Saurmauli
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: The Indonesian government requires all health care facilities including public health centres (PHCs) to implement a patient safety program as part of the accreditation standard process. The implementation of patient safety in PHCs have faced various problems, including human resources and infrastructure issues. This study aims to explore the implementation of patient safety target procedures in an accredited inpatient PHC in Tabanan District, Bali, Indonesia.Methods: We conducted a qualitative case study that adopts four main domains in patient safety, consisting of executive officers, community or patient who received services, systems in service delivery and methods, and elements in each domain. The research location was at Penebel I PHC, an inpatient PHC with the accreditation status of “utama”. Data collection was carried out from March to April 2020. It includes observation of the patient safety implementation, review on tracking patient safety documents and in-depth interviews with 11 informants who are PHC staff, patients’ safety task force and the family of patients. The data were analysed using thematic analysis by creating a grid of themes, sub-themes and data reduction to narrative presentation. Results:The patient safety procedure in Penebel I PHC has been carried out through the standard and procedure according to the Ministry of Health (MoH) regulation which consist of patient identification; communication between staff and patients; maintain the safety of High Alert and Look Alike Sound Alike (LASA) medications. However, there is a need to improve the capacity of implementing officers to increase their communication competencies as well as to enhance cooperation between officers in health services to avoid patient safety incidents. Conclusion:The implementation of six patient safety goals in-corporate through four main domains of health care services has been running according to the MoH’s standard. There is a need to improve the competence of officers, cooperation between officers in carrying out patient safety management and improve communication between officers and patients so that the information conveyed by officers is truly understood by patients.

Analysis of parents’ factors in providing developmental stimulation among pre-school age children in Pakis Sub-District, Malang, East Java Mansur, Herawati; Setyaningsih, Wahyu
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: Lack of stimulation can cause deviations in child development and even permanent disturbances. The purpose of the study is to determine parenting factors in providing developmental stimulation in pre-school age children in Pakis Sub-District, Malang City, East Java.Methods: This was a cross-sectional study of 120 mothers who have pre-school age children in Curah Ampel Village, Pakis Sub-District, Malang, conducted from September-November 2018. Data were collected with self-administered questionnaire. The questionnaire consists of mothers’ demographic characteristics (age, education, and employment), father’s involvement, knowledge about development stimulation, parenting style, and parental stimulation. Data analysis were including univariable, bivariable, and multivariable analysis conducted with STATA. Results: On average, mother’s age was 30 years old, 70.0% with low education, and 83.3% were unemployed. This study found that 55% of parents provide stimulation development that falls in the poor categories. From the result of multivariable analysis with logistic regression, it was found that mother’s education associated with parental stimulation to pre-school age children (OR=0.322, 95%CI: 0.121-0.858, p=0.023). Conclusions: This study highlights that mother’s educational background has an important role in providing parental stimulation. Poor parental stimulation can cause developmental delays. A parenting program is needed to develop the knowledge and the ability of parents in accompanying every phase of their child development.

Husband’s behavior and early marriage as risk factors for hepatitis B virus infection among pregnant women in Karangasem, Bali, Indonesia Surapathi, I.N. Adnyana; Wirawan, Dewa Nyoman; Sawitri, Anak Agung Sagung
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: Indonesia is categorized as a country with moderate level of hepatitis B virus (HBV) infection, where the majority of HBV transmissions occur from mother to child, horizontal transmission during childhood and adulthood, and transmission in health services. This study aims to determine factors associated with HBV infection among pregnant women. Methods: A case control study was conducted among 80 pregnant women with sero-positive HBsAg as cases and 80 pregnant women with sero-negative HBsAg as controls. The sources of cases and controls were the registers of pregnant women at 12 public health centers (PHCs) and Karangasem District Hospital from June 2017 to December 2018. Cases were selected by systematic random sampling from 129 pregnant women with sero-positive HBsAg and controls were selected through the same method from 1,408 pregnant women with sero-negative HBsAg. They were then matched based on village or residence. Data collected were including history of marriage, pregnancy, childbirth and abortion, history of health services relevant to HBV infection, use of contraception, mobility, permanent tattoos and history of injecting drug use. Data collection was carried out from June to August 2019 through face-to-face interviews with pregnant women as respondents in their respective homes using a pre-tested questionnaire. Bivariate data analysis was conducted with chi square test and multivariate analysis with logistic regression. Results: The case and control groups were similar in terms of age, number of pregnancy and parity. Risk factors which found to be significantly associated with HBV infection in pregnant women were age at first marriage <19 years with AOR=2.51 (95%CI: 1.13-5.60), history of husband’s mobility with AOR=3.07 (95%CI: 1.13-8.34), husband has a permanent tattoo with AOR=2.77 (95%CI: 1.04-7.44) and low level of maternal education with AOR=2.47 (95%CI: 1.06-5.73). Conclusion: Young marital age, low education, husband’s mobility and husband with permanent tattoos increase the likelihood of HBV infection among pregnant women. The coverage of HBV examination among pregnant women and early detection of HBV among husbands ought to be increased, especially among those with associated risk factors.

Efficacy of sport and slow stroke back massage as a non-pharmacological therapy to lower blood pressure in elderly with chronic hypertension Azmy, Liza Ulil; Subrata, I Made; Suariyani, Ni Luh Putu
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: The prevalence of hypertension has been increasing along with the increasing elderly population. Non-pharmacological therapies such as sports and slow stroke back massage offer a potential adjuvant therapy for elderly patient with chronic hypertension. This study aims to determine the efficacy of sports and slow stroke back massage as nonpharmacological therapies to lower blood pressure in this age group. Methods: This study was a Parallel Group Randomized Controlled Trial, conducted in Patrang, Jember, East Java. The study involved a total of 72 elderly aged between 60 to 79 years old who had blood pressure of ≥140/90mmHg, and not taking antihypertensive drugs. The study participants were assigned randomly into three groups namely, the sports massage, slow stroke back massage, and control groups. Subject characteristics, stress level, physical activity level and eating habit were collected through structured interview using standardized questionnaires (Global Physical Activity Questionnaire, Food Frequency Questionnaire, Depression Anxiety Stress Scale (DASS 21)). Blood pressure measurements were done twice, before and after treatment. Before and after comparison was conducted with Wilcoxon test, between group comparison was conducted with Kruskal Wallis test followed by Mann Whitney test. Results: The average systolic blood pressures before and after sports massage were 168.96±SD 16.02 mmHg and 147.50±SD 15.95 mmHg, respectively. For the slow stroke back massage was 165.42±12.50 mmHg before treatment and 154.58±16.15 mmHg after treatment. The systolic and diastolic blood pressures before and after treatment in the treatment groups (sports massage and slow stroke back massage) were statistically different from the control group (p <0.05). Further, the Mann Whitney results indicated that slow stroke back massage was more effective than sports massage in lowering blood pressure in elderly with hypertension. Conclusions: Sport massage and slow stroke back massage are effective as a non-pharmacological therapy in lowering blood pressure in elderly with hypertension. These non-pharmacological therapies should be considered for controlling blood pressure in elderly.

Association between Stress, Depression and Anxiety with Body Fat Percentage among Medical Students of Faculty of Medicine and Health Sciences of Atma Jaya Catholic University Dewi, Sheilla; Tenggara, Riki; Hasan, Surilena
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: Medical students have higher rate of stress, depression and anxiety compared to the general population of the same age and are at risk of having high level of body fat percentage. The objective of this study is to determine the association between stress, depression and anxiety with body fat percentage among medical students. Methods: This is a cross sectional study carried out among 90 undergraduate medical students of Faculty of Medicine and Health Sciences of Atma Jaya Catholic University, North Jakarta, from January to March 2019. Sampling was performed by using the stratified proportional random sampling method. Stress, depression and anxiety were measured with Depression Anxiety Stress Scale 42 and body fat percentage was measured with Bioelectrical Impedance Analysis. Data analysis was performed by using Spearman correlation. Results: Based on sociodemographic characteristics, the respondents were mostly 19 years old, female and 1st year students. This study shows that 34.4% of respondents had stress, 22.2% had depression and 48.9% had anxiety. This study shows that 62.1% of the male respondents and 32.8% of the female respondents had high body fat percentage. Spearman analysis showed moderate positive correlation between stress (r=0.505), depression (r=0,403) and anxiety (r=0,485) with body fat percentage among the respondents. Conclusion: There is a significant association between stress, depression and anxiety with body fat percentage among medical students. This study intends to be an input for educational institutions to screen for mental health problems (stress, depression and anxiety) as well as body fat percentage in students that may affect their well-being and learning process so that they can be diagnosed and intervened as early as possible.

Association between empowerment factors and the utilization of long-acting and permanent contraceptive methods among married women in Indonesia Artini, Ni Nyoman Astri; Martha, Evi; Putra, I Gusti Ngurah Edi
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: The use of long-acting and permanent methods (LAPMs) of contraception becomes one of the government’s efforts to ensure the continuity of family planning program. Factors associated with the LAPMs use can be contingent upon the study context or setting that includes socio-demographic, social and cultural norms, and women empowerment factors. This study aims to examine the associations between women empowerment and the LAPMs use. Methods: This was a cross-sectional study involving 97,316 records of married women aged 15-49 years, retrieved from three rounds of the Indonesia Demographic and Health Survey/IDHS (2007, 2012, and 2017). The dependent variable is the LAPMs use, whereas the main independent variables were women empowerment factors (i.e., educational level, occupational status, participation in household decision-making, attitude toward wife-beating). Adjusted associations between women empowerment and the LAMPs use were examined using binary logistic regression by controlling the influence of sociodemographic variables as potential confounders. Results: About half of women in this study were 35-49 years old and completed primary education. Education level was found to be positively associated with the use of LAPMs. Working women increased the likelihood of using LAPMs by 1.10 (95%CI: 1.03-1.17) times. In addition, those who approved for being beaten by their husband in any circumstance were less likely to use LAPMs (OR=0.91; 95%CI: 0.86-0.97). However, participation in household decision-making was not associated with the LAMPs use. Conclusion: Women empowerment factors that included educational level, occupational status, and the attitude toward wife-beating were associated with the use of LAPMs among Indonesian married women. Therefore, improving women empowerment by increasing women’s educational level, participation in labor force, and reducing women’s vulnerability to domestic violence can increase the uptake of LAPMs.

Utilization of cervical cancer screening program and its predictors in the universal health coverage era in Badung District, Bali Wati, Putu Ayu; Januraga, Pande Putu; Putri, Wayan Citra Wulan Sucipta
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: Cervical cancer is the second most prevalent cancer in women after breast cancer. Nationally, the coverage of cervical cancer screening among reproductive age women from 2014 to 2018 only reached 7.34%, while in Badung District was 10.3% in 2018. In the era of the Universal Health Coverage (UHC) schemes, cervical cancer screening has been covered. This study aims to explore factors associated with the utilization of cervical cancer screening programs in the UHC era in Badung District. Methods: This cross-sectional study was conducted from January-February 2020, involving 195 women aged 20-50 years who were selected through multistage random sampling from two villages in the Badung District. Characteristics of the women, perceptions of seriousness, vulnerability, barriers and benefits, self-efficacy, cues to action and knowledge on cervical cancer screening programs were assessed. Data was analyzed descriptively, and association was assessed with Chi square and multiple logistic regression. Results: The proportion of reproductive age women who utilized cervical cancer screening program in the last 5 years was 44.1%. The utilization of cervical cancer screening program was associated with age (AOR=0.03; 95%CI: 0.03-0.300), perceived vulnerability (AOR=28.77; 95%CI: 3.745-221.68), perceived barriers (AOR=55.70; 95%CI: 7.12-435.72), selfefficacy (AOR=34.44; 95%CI: 4.34-273.66), cues to action (AOR=19.56; 95%CI: 3.32-115.24). Conclusion: The perception of barriers was found to be significantly associated with the use of cervical cancer screening programs along with other variables related to the Health Belief Model (HBM). Structured campaigns and improvement of the quality of services should be carried out in order to increase access of women to cervical cancer screening.

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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

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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