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Putu Ayu Swandewi Astuti
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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 310 Documents
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Factors related to parent’s participation in child dental health care in Tegallalang I Public Health Centre Vivin Sumanti; I Ketut Tangking Widarsa; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p08

Abstract

The public health centre reports showed that the level of parent’s participation in children dental health care in Tegallalang I Public Health Centre was low (31.7%-35.1%). This study aims to determine the relationship between parent’s knowledge, attitudes, motivation and transportation accessibility to parent’s participation in child dental health care in Tegallalang I Public Health Centre. A cross-sectional study was conducted to 100 parents whose children were referred to undergo dental health examinations in Tegallalang I Public Health Centre using a systematic random sampling method. Data of knowledge, attitudes, motivation and transportation accessibility were collected using an interview guide, while parent’s participation was obtained from dental care registration. The data were analised by logistic regression. The results showed that level of parent’s participation in child dental health care was low (41%). Variables that were significantly associated with level of parent’s participation in child dental health care were knowledge [OR=7.35; p=0.001], motivation [OR=4.89; p=0.028] and attitudes [OR=4.19; p=0.039). Transport accessibility was not associated with parent’s participation [OR=2.35; p=0.123]. The conclusion of this study is that parent’s participation in child dental health care was influenced by parent’s knowledge about oral health, motivation and attitudes towards child dental health care. It is recommended to upscale health promotion related to dental health and the benefits of treatment in order to encourage parent’s participation in children dental health care.
Low proportion of contact among people attending early detection for pulmonary tuberculosis in South Denpasar I Public Health Centre year 2012 Anak Agung Gede Agung; Anak Agung Sagung Sawitri; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p09

Abstract

Family members with positive BTA tuberculosis (TB) are vulnerable to be infected due to regular contact. However, awareness of early detection is still low, resulting in low rates of TB suspect identification and low detection of new cases in the public health centre. The study aims to measure the proportion of contacts in the house for people attending early detection for pulmonary tuberculosis, and to analyse the influence of perception of contacts to the behavior of early detection. This cross-sectional analytic study include 110 respondents taken from all family members of BTA pulmonary TB cases as recorded in TB register at South Denpasar I Public Health Center between 2010 and 2011. There were 49 samples who have ever underwent early detection and 61 samples have not. Data collected were analysed using univariate, bivariate (chi square) and multivariate with cox regression. The proportion of contact in the house who underwent early detection is still low (22.55%). The perception of vulnerability and threat were found to be associated with the early detection behavior. Cox regression analysis however showed none of those variables associated with the early detection of pulmonary tuberculosis. The study concluded that only small proportion of people who had contact with TB patient in a house was underwent early detection. The perception of vulnerability and threat influence the early detection behavior of pulmonary tuberculosis in South Denpasar I Public Health Center. The awareness campaign to increase early detection of pulmonary tuberculosis needs to be improved through enhancing the knowledge regarding the spread of TB and its symptoms.
Knowledge as determinant in deciding expectant mother’s birth assistance at Taliwang Public Health Centre, West Nusa Tenggara, 2013 M. Karjono; Luh Putu Lila Wulandari; Nyoman Tigeh Suryadhi
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p10

Abstract

Regional government directives push for 90% of all expectant mothers to utilise birthing assistance from trained health care providers, however recent data from Taliwang Public Health Center indicates this falls well below the target only 56.8%. The choice of alternative forms of birthing assistance can often result in risky and dangerous birthing methods, thereby increasing the possibility of infant/maternal mortality. In order to explore this, a study to explore factors influencing the birth assistance choice at Taliwang Public Health Center was conducted. A cross sectional design was adopted in the study. Total sample of 160 pregnant mothers was selected from a total of 1068 population using systematic random sampling. Each respondent was interviewed using a questionnaire. Data were analysed using univariate, bivariate (chi square) and multivariate analysis (logistic regression). The results of bivariate analysis indicate that factors influencing a choice of birth assistance were: knowledge levels [X2=20.79; p=0.003]; access to the health service [X2=10.34; p=0.006], access to reliable information [X2=6.15; p=0.011), parent’s role [X2=10.64; p=0.002] and influence of authority/religious figures [X2=10.21; p=0.006). The multivariate analysis revealed that knowledge levels of mothers was the most significant and influential factor in birthing assistance choice [OR=2.02; p=0.013; 95%CI 1.16-3.51; R2=0.13]. It is evident that there is a need to upscale efforts in improving the knowledge levels of expectant mothers regarding risky birthing practices, through health promotion programs, and to increase the frequency of the current antenatal classes. Furthermore, studies regarding other factors which might influence expectant mothers birthing assistance choice, such as socio-cultural factors, the role of healthcare providers, traditional birthing mythologies could be explored.
Parental willingness to pay the cervical cancer vaccination cost of senior high school aged students in Badung District Ni Ketut Karneli; Ketut Suwiyoga; I Gede Adnyana Sudibya
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p11

Abstract

The incidence of cervical cancer is high in Bali (0.8%), and more than 70% of cases are detected at an advanced stage (above 2B), making it difficult to treat. Prevention efforts are still very low; the Badung District only financed 1567 vaccinations from 8784 senior high school students, accounting for around 17.8%. Vaccination requires substantial funds, and its sustainability required community participation. This cross-sectional study aims to determine the relationship between the variables of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, education and employment with the willingness of the parents to cover the costs of vaccination. A study was conducted using 196 samples from 595 populations selected by systematic random sampling, consisting of mothers of grade one high school students at SMU Petang, SMU 2 Mengwi, and SMU 1 North Kuta. The data was obtained through self-administered questionnaires. Perceived benefits and severity were measured by assessing the answers to open questions and pre-coded. Chi square and logistic regression tests were applied when analyzing the data. The results of the analysis show that willingness of parents to cover the cost is still low (43%) with 70% of respondents willing to pay less than Rp. 237,500 for three doses. Bivariate analysis found that: perceived susceptibility [RP=1,31; 95%CI: 1,04-1,67], perceived severity [RP=1,57; 95%CI: 1,20-2,05], perceived benefits [RP=1,84; 95%CI: 1,39-2,45], education [RP=1,64; 95%CI: 1,05-2,57], perceived barriers [RP=0,89; 95%CI: 0,70-1,15] and occupation [RP=1,18; 95%CI: 0,87-1,60]. From the results it can be concluded that the perceived susceptibility, perceived severity, perceived benefits and education are related to the willingness of the parents to cover vaccine costs, however, perceived barriers and occupation were not shown to be associated. The related dominant factor is perceived benefits. It is suggested that health promotion should emphasise on the benefits of the vaccination and cervical cancer malignancy rates in order to increase people's willingness to cover cervical cancer vaccination costs.
Correlation between perceptions with the occurence of dental decay among cruise employee candidates who visited dental clinics in Denpasar year 2012 Putu Eka Pratiwi; Anak Agung Sagung Sawitri; I Nyoman Adiputra
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p12

Abstract

Based on Basic Health Research (Riskesdas) in 2007, the prevalence of dental decay in Bali Province was 22.5%. The proportion of dental decay among the cruise employee candidates who visited a dental clinic was 96.2%. The behavior to prevent decay influences the occurrence of decay, in which perception affects the behavior. This case control study aims to examine the correlations between perception of susceptibility, seriousness, barriers, benefits, trigger factors and knowledge on dental decay with the occurence of dental decay at the cruise employee candidates. The study conducted between June-October 2012. The case in this study was the cruise employee candidates who were diagnosed of having dental decay and the control was them who are not. Risk factors explored include perception of susceptibility, seriousness, barriers, benefits and trigger factors that correlated with dental decay using structured questionaire. Education and age are the control variables. Data were analysed using univariate, bivariate and multivariate. The crude OR indicates that perception of seriousness [OR=4.38; 95%CI: 2.13-8.99], benefits [OR=3.08; 95%CI: 1.51-6.28] and knowledge [OR=4.85; 95%CI: 2.32-10.11] can increase risk of dental decay. The adjusted OR shows that perception of seriousness [OR=10.5; 95%CI: 3.73-29.97], benefits [OR=3.3; 95%CI: 1.41-8.19], barriers [OR=3.3; 95%CI: 1.2-9.35] and knowledge [OR=6.4; 95%CI: 2.59-16.19] increased risk of dental decay. Efforts to improve perception of seriousness, benefit, barrier and knowledge on dental decay for cruise employee candidates need to be conducted in a sustainable manner.
Cigarette smoke exposure and personal hygiene as determinants for cervical pre-cancer lession in Denpasar, 2012 I Gusti Agung Ayu Novya Dewi; Anak Agung Sagung Sawitri; I Nyoman Adiputra
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p13

Abstract

The prevalence of cervical cancer in Bali continues to rise (43/100.000 and in the Denpasar City is 25/100.000 in 2010). The cervical pre-cancer cases are greater of 184/100.000, eight times the number of cervical cancer cases. Pre-cancer lesion can be detected early using visual inspection of acetic acid. This study aims to explore the risk factors of self hygiene and exposure to cigarette smoke for the incidence of cervical pre-cancer lesions. This case-control study involved 60 cases and 60 controls taken from the referral registery during August 2010-December 2011. Study was conducted in two public health centres that offer early detection using visual inspection of acetic acid services in Denpasar. Respondents were interviewed using a modified See and Treat questionnaire. Data were analised using univariate, bivariate with chi square test and multivariate (logistic regression) in order to determine the most dominant risk factor. Respondents were aged 24-56 years, with mean of 41.76 years. The majority of respondents is high school graduated (87.5%), private sector employment (47.5%), the age of first marriage was >20-25 years (41.7%), parity was 2 (42.5%) and most (83.3%) did not have a family history of cancer. The study reveals that poor hygiene increased cervical pre-cancer lessions by 29 times [OR=29.57; 95%CI: 10.51-83.17]. Out of eight indicators for personal hygiene, the frequency of sanitary pads changing has the highest risk (16.44). An exposure to cigarette smoke for >4 hours/day increases cervical pre-cancer lessions by 4 times [OR=4.75; 95%CI: 2.19-10.33]. From the logistic regression analysis, personal hygiene is the most dominant risk factors. The two most significant variables in increasing risk factor for cervical precancer lesions were exposure to cigarette smoke and personal hygiene. Further attention must be paid to personal hygiene including regularity and choice of sanitary pads.
Risk factors of type 2 diabetes mellitus of outpatients in the community health centres of South Denpasar Subdistrict Sri Trisnawati; I Ketut Tangking Widarsa; Ketut Suastika
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p14

Abstract

The prevalence of Diabetes Mellitus (DM) is increasing throughout the world particularly type 2 DM. The changes in people’s lifestyle and diets are assumed to play major roles. This study aimed to examine the relationships between the risk factors such as obesity based on body mass index (BMI) and waist circumference (WC), hypertension, inactivity, smoking, and age ≥50 years with the incidence of type 2 DM. A matched case-control design involving of 136 pairs of men with family history of diabetes was used in this study. Cases and controls were selected from outpatients at the South Denpasar Sub-District Public Health Center. Data from outpatients were collected by interviewing, physical and laboratory examinations. Data were analyzed using McNemar and logistic regression. Based on the statistical analysis the Odds Ratio (OR) of the factors such as obesity (based on waist circumference) was 5.2 [95%CI: 2.31-11.68] with p=0.001 and age ≥50 years was 4 [95%CI: 1.74-9.21] with p=0.001. It can be concluded that patients with obesity (based on waist circumference) and age of ≥50 years have a higher risk for type 2 DM. It suggested that the occurrence obesity in the community can be reduced by modifying the lifestyle and eating patterns of the community.
Antenatal care behavior as a risk factor of nutritional anemia among pregnant women at South Denpasar II Public Health Centre, 2012 Made Dwi Hendrayani; Anak Agung Sagung Sawitri; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 1 No. 1 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i1.p15

Abstract

The South Denpasar II Public Health Centre has the highest reported nutritional anemia among pregnant women (57,4%) in the year 2011-2012. Nutritional anemia increased the risk of maternal and perinatal mortality, prematurity and low birth weight. This case control study aimed to identify the relationship between antenatal care (ANC) behaviour and nutritional anemia. The study involved 69 cases and 69 controls which taken from pregnant women records April to August 2012 by using a quota sampling. Cases were those with Hb Sahli levels <11 gr/dl, whereas those with Hb Sahli levels ≥11 were used as controls. Demographic characteristics, gestational age, parity, IUD use and ANC patterns were obtained by structured interviews and observations. ANC patterns which was evaluated from frequency and time of ANC and Fe tablets consumption were categorised as sufficient and insufficient. Data were analysed using univariate, bivariate (crude OR) and logistic regression for adjusted OR. Most women were aged 20-35 and had a low level of education, with gestational age >1st trimester, a parity of 1-3, and time window between births <2 years. Gestational age >1st trimester had 5.17 greater risk of nutritional anemia (95%CI: 1.66-16.06). Insufficient ANC behaviour increased risk of nutritional anemia as many as 23.29 (95%CI: 7.49-72.33) and 9.85 for insufficient Fe tablets consumption (95%CI: 3.27-29.68). Most of these women consumed less than <30 Fe tablets in the last month. Age, time between births, parity, family income, level of education, nutritional status and history of IUD use were proven not as risk factors. An early approach to newly couples, sekaa teruna teruni and senior high school students is needed to be targeted in regard to information of ANC. A more intensive surveillance is also needed to monitor Fe tablets consumption.
Tantangan dalam upaya penemuan anak usia di bawah usia lima tahun dengan gizi buruk Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p01

Abstract

Satu-satunya jalan keluar untuk mengatasi tantangan ini adalah mencari secara aktif dari rumah ke rumah dan difokuskan pada rumah tangga miskin yang datanya saat ini telah tersedia di seluruh Indonesia dalam data base Program Perlindungan Sosial 2011. Dengan duduk bersama, kesulitan pendanaan dalam memberikan insentif kepada kader untuk menjalankan tugas kunjungan dari rumah ke rumah pasti bisa dicarikan jalan keluarnya.
Long-term trends in Neisseria gonorrhoeae and Chlamydia trachomatis prevalence among brothel-based female sex workers in Denpasar, Bali, Indonesia Dewa Nyoman Wirawan; Emily Rowe; Fonny Silfanus; Putri Pidari; Gusti Ayu Satriani; Dewa Suyetna
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p02

Abstract

The objective of this study is to analyze the long-term trends of Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) infections and risk factors among female sex workers (FSW) in Denpasar, Bali, Indonesia. In order to understand the long-term trends, secondary data was examined from the years 1997-1999, 2004, 2007, 2009 and 2010; to analyze associated factors, data from 2010 was used. Analysis indicates an overall decrease of NG prevalence in Bali from 60.5% (95%CI: 56.6-64.5) in 1997 to 22% (95%CI: 16.8-27.1) in 2010. CT prevalence has also experienced a long term decline but not to the same degree as NG. Findings from analysis of surveys in 2004 and 2010 indicate that there is a strong relationship between condom use in the last sexual transaction with NG infection (p=0.02), duration of sex work (p=0.02), number of clients in the last week (p=0.01), clinic visit intervals and clinic visit frequency. CT prevalence was associated with the number of clients (p=0.04) and clinic visit frequency. Unfortunately, these were the only variables collected therefore a multivariate analysis was not possible. High prevalence of both NG and CT is associated with the high mobility of FSW and low condom use. There is a significant long-term decrease of NG prevalence from 60.5% to 22%. However, CT experienced an insignificant long term decrease from 41.3% to 35%.

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