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Putu Ayu Swandewi Astuti
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Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : Health,
Public Health
ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and Clinical Epidemiology Global health Health policy analysis Health promotion Health systems and health care management Maternal and child health Program monitoring and evaluation Public health nutrition Reproductive health, sexually transmitted infections and HIV related issues Travel health and health tourism Population and family planning Disaster management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 310 Documents
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Correlation between Demographics, Clinical and Risk Factors for HIV Infection with HIV/TB Co‑infection in Amertha Clinic Kerti Praja Foundation Denpasar Yuneti Octavianus Nyoko; I Wayan Gede Artawan Eka Putra; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p01

Abstract

Background and purpose: HIV infection increases the risk of developing tuberculosis (TB), as TB infection increases the progression of HIV. In Bali, HIV/TB co-infected patients have increased from 26% in 2012 to 30% in 2013. Study on factors related with the occurrence of HIV/TB co-infection is limited in Indonesia. This study aims to determine the correlation between demographics, clinical and risk factors for HIV infection with HIV/TB co-infection in Amertha ClinicKerti Praja Foundation Bali.Methods: The study design was cross-sectional using secondary data of patients with HIV/AIDS who were receiving antiretroviral therapy (ART) from 2002-2012. Independent variables were demographics: gender, age, education level, working status, and presence of ART supervisor; clinical: hemoglobin count, weight, CD4 count; and risk factor for HIV infected. The status of HIV/TB co-infection was the dependent variable. Data was analysed using univariate, bivariate (chi-square) and multivariate (cox regression).Results: From the 531 patients, the majority were male (57.6%) and aged ≥31 years (50.8%). About 5.5% of patients experienced HIV/TB coinfection. Multivariate analysis indicated that the variables correlating with HIV/TB co-infection occurrence were CD4 count at baseline ≤200 cell/mm3 (PR=10.34; 95%CI: 1.39-76.69; p=0.022) and risk factor for HIV infected with IDU (PR=3.27; 95%CI: 1.56-6.88; p=0.002).Conclusion: Patients with CD4 count ≤200 cell/mm3 and HIV infected by IDU have correlating with HIV/TB co-infection.
Direct and Indirect Factors Influencing Selection of Birthing Attendants in Gunungsari, West Lombok (NTB) Ni Nyoman Aryaniti; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p02

Abstract

Background and purpose: This study aims to determine the direct and indirect factors influencing the selection of birth attendants in Gunungsari subdistrict, West Lombok. Methods: This study was cross-sectional with a purposively selected sample of 27 mothers giving birth assisted by non-health professionals. Samples of those assisted by health professionals were taken by means of proportional systematic random sampling in Gunungsari and Penimbung health centers, respectively 29 of 916 and 14 of 437. Exogenous factors were maternal education levels, attendance to ANC classes, knowledge levels regarding to birthing attendants, maternal attitude, family support, and access to facilities. Birth attendant selection was the endogenous factor. Data were collected by means of interviews. Data analysis includes descriptive and inferential analysis with path analysis by linear regression. Results: The majority of respondents were 21-25 years old (87.4%), housewives (47.14%) had education under high school (65.72%) and were married (88.57%). Family support had a direct influence in decision making with a coefficient of 0.534 and 35.54% influence overall. Attendance to ANC classes in addition to family support had an indirect influence with a coefficient of 0.520 and 34.78% influence overall. Family support had a direct influence and the factor of attendance to ANC classes and family support has an indirect effect with the overall effect of 70.32%. Conclusion: The presence of the husband/family was needed in ANC class, through an implementation of schedule agreement.
Internal and External Perspectives on Quality of Healthcare Services at Sanglah General Hospital Denpasar Made Nopy Diah Sundari; Putu Ayu Indrayathi; Raden Ayu Tuty Kuswardhani
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p03

Abstract

Background and purpose: Customer satisfaction is a primary indicator of the quality of public healthcare services. This study investigated internal (hospital staff) and external (hospital clients) perspectives in order to gain insight into the quality of care at Sanglah General Hospital. Methods: The study used both qualitative and quantitative methodologies with 11 informants and 106 respondents. Qualitative data obtained through in-depth interviews with hospital staff were analyzed thematically. Quantitative data obtained through self-administered questionnaire were analyzed using univariate analysis. Results: Informants from the qualitative data collection stated that Sanglah General Hospital has a relatively high level of service and that existing structures to mitigate issues are in place, which act as reinforcing factors. Data from the quantitative survey indicated that clients were satisfied with the quality of service (ServQual), with an overall percentage of 83.82%. Conclusion: Further efforts could be made in order to improve healthcare provision at Sanglah Hospital, particularly from the perspective of hospital facilities, staff support and increased implementation of clinical governance.
The Relationship between Inpatient Expectations of Staff Responsiveness and Empathy with Inpatient Satisfaction at Wangaya District Hospital Denpasar Dwidyaniti Wira; I Ketut Suarjana; I Putu Ganda Wijaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p04

Abstract

Background and purpose: The evaluation of quality of service within inpatient and outpatient services is very critical to be done. This research aims to explore the relationship between inpatient expectations of the quality of nursing service and inpatient satisfaction, in the third-class ward Wangaya District General Hospital, Denpasar. Methods: This research was a quantitative study using cross-sectional design. A sample of 111 were selected by simple random sampling. The data was analysed by using univariate, bivariate, and multivariate analysis with logistic regression. Results: The analysis indicated that the level of actual satisfaction compared to inpatient expectations was as low as 45%. Perception of responsiveness with OR=2.404 (95%CI: 1.076–5.373) and perception of empathy with OR=2.594 (95%CI: 1.165-5.779) had a significant relationship with inpatient satisfaction. Conclusion: The study concluded that the patient satisfaction rate is moderate and found to have significant correlation with perceptions of responsiveness and empathy.
Employment and Education as Risk Factors of Cataract Incidence on Patients Treated in Eye Health Centre Mataram City West Nusa Tenggara Ni Nyoman Santi Tri Ulandari; Putu Ayu Swandewi Astuti; I Nyoman Adiputra
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p05

Abstract

Background and purpose: The purpose of the study was to determine the risk factors of employment, education and other risk factors on the occurrence of cataracts in patients seeking treatment at Eye Health Center in the City of Mataram, West Nusa Tenggara. Methods: The study was a case-control with a sample of cases and controls, respectively amounted to 40 (1: 1). The dependent variable was patients with cataract and independent variables were: education, employment, income, diabetes mellitus, history of cataracts, smoking behavior, and exposure to smoke and sun exposure. Data were collected by means of interviews using questionnaires and tracking documents of patients’ medical records. Data analysis was performed using univariate, bivariate to determine the comparability between cases and controls and to see the crude of OR. Multivariate analyses were performed to determine the adjusted OR. Results: Four variables were found to be risk factors to the occurrence of cataracts: education, income, occupation and exposure to sunlight with each crude OR of 10.50 (95% CI: 3.39 to 32.52); 6.23 (95% CI: 2.35 to 16.51), 10.52 (95% CI: 3.56 to 31.12); and 3.11 (95% CI: 1.25 to 7.78). While diabetes mellitus, family history of cataracts, smoking behavior and exposure to smoke was not statistically proven as a risk factor for cataracts. The multivariate analysis showed that most risk factors played a role in the occurrence of cataract was employment with OR=9.81 (95% CI: 1.85 to 52.02) and education with OR=6.53 (95% CI: 1.42 to 29.92). Conclusion: Employment and education were significant risk factors to the occurrence of cataracts in patients who visited the Eye Health Center in the City of Mataram, West Nusa Tenggara.
Reasons Behind Non-Exclusive Breastfeeding by Working Women in Mataram City West Nusa Tenggara Haryani; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p06

Abstract

Background and purpose: The purpose of this study was to determine why working mothers choose to not exclusively breast feed their infants in Mataram, West Nusa Tenggara. Methods: The study used a qualitative design with a phenomenological approach. Data collection in this study involved focus group discussions and in-depth interviews. In-depth interviews with 9 working women not exclusively breastfeeding. Focus group discussions two comprising of 21 respondents were husbands, in-laws, mother’s family, healthcare provider, workplace representatives, religious and community leaders. Result: Study findings indicated that the primary reason for working women to not exclusively breastfeed, because of a lack of individual motivation, pressures of a high workload, lack of permitted time off, lack of infrastructure and concerns about losing employment due to time off. Obstacles included fear of losing employment, maternal physical factors (low/no milk production), psychological factors (stress/anxiety/frustration), lack of facilities and supporting infrastructure. Conclusion: The predominant reasons behind non-exclusive breastfeeding were lack of personal motivation, high workload, lack of permitted time off, lack of supporting infrastructure and fear of losing employment. The external obstacles for providing exclusive breastfeeding were economic factors, the mother’s ability to produce milk, psychological factors, lack of supporting infrastructure.
Relationship between Consumption of Iron Supplements and Malaria Infection with Anaemia among Pregnant Mothers in Ambon City Widy Markosia Wabula; Nyoman Tigeh Suryadhi; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p07

Abstract

Background and purpose: Maluku Province is one of the regions in Indonesia with the highest prevalence of anaemia among pregnant mothers; in addition, the prevalence of malaria in pregnant women in this province is also high. The aims of this study were to determine the relationship between consumption of iron supplements and malaria infection with anaemia of pregnant mothers in Ambon City Methods: This study used a cross-sectional design. Study sample was pregnant mothers in their 3rd trimester, and a total sample of 83 respondents was selected using multistage random sampling. Primary data on iron supplement intake were collected through interviews. Secondary data on malaria infection were obtained from medical records. Data on anaemia was obtained through collected blood samples using a digital hemometer. Data were analyzed using univariate, bivariate (chi-square test) and multivariate (logistic regression) analysis. Results: Multivariate analysis indicated there was a significant relationship between anaemia with consumption of iron supplement with OR=4.570 (95%CI: 1.174-17.788), as well as malaria infection with OR=20.216 (95%CI: 4.773-85.620). Conclusion: Malaria infection and iron supplement intake was associated with anaemia of pregnant mothers in Ambon City.
Access to Health Service Related to Use of Antenatal Care Facilities at the Kawangu Health Centre, East Sumba Nara Adriana; Luh Putu Lila Wulandari; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p08

Abstract

Background and purpose: The study aims to determine factors influencing the utilization of accredited government-run ANC facilities at the Kawangu Health Centre. Methods: Research was a cross-sectional study, with a total of 85 samples taken by consecutive sampling from the Kawangu Health Centre. The dependent variable was the use government-run ANC facility at the Kawangu Health Centre. The independent variables were knowledge, awareness, attitudes, access to health services, frequency of receiving information and family support. The data were collected by interview using questionnaires. The data analysis includes univariate, bivariate (chi-square) and multivariate analysis with logistic regression. Results: The results of the study indicated that there was a significant relationship between the use of accredited government-run ANC facilities with maternal knowledge/awareness (p=0.001), attitude (p<0.001), ability to access to health services (p<0.001), frequency of information (p=0.039), and family support (p<0.001). Multivariate analysis indicated that the only significant independent variable related to the use of adequate delivery was the ability to access health services with OR =11.68 (95%CI: 1.37 to 99.89). Conclusion: An inability to access either due to distance to travel, lack of vehicle and/or infrastructure concerns such as poor quality/lack of roads was the dominant variable in the utilization of accredited government-run ANC facility.
Enabling and Barriers of Implantable Contraceptive Use at Health Centre I North Denpasar Nida Gustikawati; Luh Putu Lila Wulandari; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p09

Abstract

Background and purpose: The objective of this study was to explore the supporting and the inhibiting factors influencing the use of implant contraceptive use by women of childbearing age. Methods: The study was qualitative using a phenomenological approach. Data collection involved a purposively selected sample, conducting two FGD (10 implant users and 10 non-users) and 11 in-depth interviews among private midwives, government midwives, husbands, in-laws, and family planning staff. Results: FGD found that perceptions and attitudes towards implants of those already using the contraceptive were positive, while the perceptions and attitudes of non-users were less so. Some respondents intimated that they experienced side effects though these were not a deterring factor in usage. Enabling factors for the use of implant contraceptives were the availability and accessibility to the healthcare facilities and the support of their husbands. Access to facilities and infrastructure were not inhibiting factors either for the users or the non-users. Findings from in-depth interviews indicated that inhibiting factors included were the desire to have more children and the lack of promotion of the implant contraceptives. Healthcare provider informants stated that the lack of training was an inhibiting factor. Conclusion: Enabling factors for the use of implant contraceptives were the availability and accessibility to the healthcare facilities and the support of their husbands. Inhibiting factors were the desire to have more children, the lack of proper training for the health workers, as well as the lack of promotion of the implant contraceptive in the community
Factors Associated with Contraceptive Use among Early Married Couples in Aikmel Subdistrict, East Lombok District Hery Aryanti; Luh Seri Ani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p10

Abstract

Background and purpose: Early marriage considered as a major issue in Indonesia including West Nusa Tenggara Province with a prevalence of 23.9%. This results in the increasing number of total fertility rate (TFR) as many as 2.8 children. This is higher than the national TFR (2.36). An effective implementation of family planning program can decrease TFR. Until currently very limited study have identified factors associated to the use of contraceptive methods among early marriage couple in Aikmel Subdistrict East Lombok. Method: This is a cross-sectional quantitative study involving 84 early marriage women in Aikmel Subdistrict East Lombok. Samples were selected using convenience method and were interviewed to obtain data related to characteristic, contraceptive method history, knowledge, information from health provider and support from their husband. Data were analysed using univariate and bivariate (chi square test). Results: The majority of respondent’s first time marriage were at aged ≥17 year (64.3%). Most of the respondents have low education level (66.7%) and do not work (57.1%), have low level of knowledge (92,9%), lack of information from health provider (91.7%) and lack of support from husband (51.2%). Husband’s support was found to be the most significant factor associated to contraceptive use among early marriage women (p<0,001). Other factors including age at first marriage, education level, employment, level of knowledge and information from health providers were not statistically associated to contraceptive use. Conclusion: Support from husband is the most significant factor associated to contraceptive use among early marriage women in Aikmel Subdistrict East Lombok.

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