cover
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
Public Health and Preventive Medicine Archive
Published by Universitas Udayana
ISSN : 23031816     EISSN : 25032356     DOI : https://doi.org/10.53638/
Core Subject : 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
Articles 310 Documents
Factors Associated with Rabies Dog Vaccination Practices in Bebandem I Nyoman Sudiatmika; Dewa Nyoman Wirawan; Made Pasek Kardiwinata
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p06

Abstract

Background and purpose: The first reported case of rabies in Bali was in November 2008, wherein previously in Bali was declared rabies free. The epidemic spread rapidly to all district, including Karangasem regency. By December 2015 there were 163 reported rabies cases and all of them were infected through dog bites. It was estimated that there were 411,153 domestic canines in Bali. From 2009-2015 the immunization coverage in dog was reported 55.0-76.9%. This study aims to determine the proportion of households in the district of Bebandem that have vaccinated their dogs and the factors that influence the decision to vaccinate. Methods: The study was cross sectional and carried out in two villages in the district Bebandem with a sample of 110 families randomly selected. Data was collected through interviews regarding socio-demographic variables, knowledge, attitudes, perceptions, types of vaccination facilities, distance from vaccination facility and information received from the Departement of Agriculture/head of village. Multivariate analysis was done using poisson regression to determine the relationship between these variables with their dog vaccination for rabies. Results: Results indicated that 88% of households vaccinated their canine pets. Multivariate analysis showed that factors associated with the administration of the rabies vaccines were: having attended education session (APR=2.37; 95%CI: 1.34-4.18); family income (APR=1.16; 95%CI: 1.03-1.31); and perception (APR=3.09; 95%CI: 1.20-7.97). There was no significant relationship between education, knowledge and attitudes towards rabies vaccination in dog. Conclusion: Factors associated with dog rabies vaccination practice were having attended education session, family income and perception.
The Association between Social Functions and Quality of Life among Elderly in Denpasar Nandini Parahita Supraba; Ni Putu Widarini; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p07

Abstract

Background and purpose: Good quality of life among elderly will reduce social and economic burden among the productive age people. This study aims to determine association between social function and quality of life among elderly in Denpasar. Methods: A cross-sectional survey was conducted among 144 elderly in Denpasar who were selected by cluster sampling and data were collected by a structured interview. Data were analyzed using logistic regression to determine the relationship between quality of life of the elderly with social activities, social interactions and family functions. Results: The study showed that the proportion of lower quality of life of the elderly in Denpasar was 64.58%. Proportion of elderly with lower quality of life was found among elderly of older age, female, low education, not working, low-income and widow/widower. Multivariate analysed showed that there was an association between quality of life of elderly with gender (AOR=6.42; 95%CI: 1.79-23.0), employment (AOR=9.81; 95%CI: 2.45-39.1), health status (AOR=8.65; 95%CI: 2.57-29.02), social activities (AOR=3.85; 95%CI: 1.22-12.1), social interactions (AOR=5.59; 95%CI: 2.01-15.5) and family functions (AOR=21.7; 95%CI: 6.09-77.7) Conclusion: Good quality of life of elderly was found associated with gender, employment, health status, social activities, social interactions and family functions.
Predictors to Achieve Normal Nutrition Status: Longitudinal Study among HIV Children on Antiretroviral Treatment in Bali Haryadi; Anak Agung Sagung Sawitri; Ketut Dewi Kumara Wati; I Wayan Gede Artawan Eka Putra; Ketut Tuti Parwati Merati
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p08

Abstract

Background and purpose: Malnutrition is common in children with HIV/AIDS. Antiretroviral therapy (ART) improves the nutritional status; however, information about predictors affecting the changes of nutritional status is limited and inconsistent. Methods: The retrospective survival study analyzed secondary data of 84 undernourished children receiving ART in Sanglah Central Hospital in 2010 to 2015. Demographic, clinical and socio-economic characteristics at ART initiation were linked to the achievement of normal nutritional status (z-score ≥ -2 SD). Kaplan Meier analysis was used to obtain the incidence rate and median time and cox proportional hazards models to identify its predictors. Results: Of the 73.81% of children achieved a normal nutrition status with the incidence of children achieving normal nutritional was 19 per 100 child months, and a median time of 4 months 10 days. Children with birth weight ≥2500 gr (AHR=5.41; 95%CI: 1.76-16.61), without candidiasis (AHR=3.72; 95%CI: 1.27-10.93), Clinical WHO Stage III (AHR=1.6; 95%CI: 1.08-4.24), Clinical WHO Stage II (AHR=4.49; 95%CI: 1.95-10.79) and early ART intiation (AHR=0.91; 95%CI: 0.83-0.98) were predictors to achieve normal nutritional status. Conclusion: Clinical characteristics of children are predictors of achieving a normal nutritional status.
Agreement Analysis of Energy and Protein Contents during Medical Nutrition Therapy at Sanglah Hospital Denpasar Putu Ayu Laksmini; Ni Made Sri Nopiyani; I Wayan Weta
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p09

Abstract

Background and purpose: Medical nutrition therapy at Sanglah Hospital, Denpasar consists of diet prescription, food labelling, food portion, and food serving. Nutrition assessment has been carried out based on the minimum service standards of Sanglah Hospital Denpasar in 2013, but agreement assessment of energy and protein contents has never been performed in the provision of medical nutrition therapy. The study was conducted to determine the compatibility of energy and protein contents of the diet prescription until the food is served in hospitalized patients who received medical nutrition therapy at Sanglah Hospital Denpasar. Methods: This is a cross-sectional study involving 50 samples of food served with prescribed diet by clinical nutrition specialists at Sanglah Hospital selected by consecutive sampling. Data were collected using observation sheets filled by surveyors and analyzed using Bland Altman Test. Results: There was compatibility of the contents of energy and protein in the provision of medical nutrition therapy of diet prescription with food labelling (energy r=0.43; p=0.04, protein r=0.48; p=0.02), food labelling with food portion (energy and protein r=1.00; p=0.00), food portion with the food serving (energy r=0.48; p=0.03, protein r=0.50; p=0.01), and from diet prescription until the food is served (energy r=0.52; p=0.04, protein r=0.57; p=0.02). Although there is a strong agreement, there is mean value difference which is clinically acceptable. Conclusion: Energy and protein content in the prescribed diet until the food is served at Sanglah Hospital were compatible. The medical nutrition therapy is appropriate and should be evaluated continuously to improve the quality of services at the tertiary level.
Factors Associated with Exclusive Breastfeeding among Mothers who Work at Home at Tabanan Regency Hesteria Friska Armynia Subratha; I Wayan Gede Artawan Eka Putra; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p10

Abstract

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it. Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic,knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis. Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape change of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76). Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.
Family History, Stress, Less Physical Activity, Obesity and Excessive Salty Food Consumption as Risk Factors of Hypertension I Made Jaya Widyartha; I Wayan Gede Artawan Eka Putra; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p11

Abstract

Background and purpose: Hypertension was a significant public health problem. This study aims to determine risk factors of hypertension. Methods: The study used a case-control design, involving 77 cases and 77 controls aged 18-65 years old, who were selected consecutively. Cases and controls were matched on age and sex. Cases were defined as patients who were diagnosed with hypertension by clinician at the primary health center (PHC), and controls were patients at PHC who were not diagnosed as hypertension. Data were collected through interview regarding sosiodemographic status and risk factors of hipertension. Direct measurement was performed for weight, height and abdominal circumference. Multivariate analysis was conducted using logistic regression. Results: Cases and controls were comparable in term of sex, age and education level. Variables that associated with hypertension were family history (AOR=9.20; 95%CI: 3.47-24.41), moderate stress (AOR=13.01; 95%CI: 3.70-45.79), severe stress (AOR=16,75; 95%CI: 3,32-84,38), less physical activity (AOR=3.53 (95%CI: 1.38-9.01), obesity (AOR=5.72; 95%CI: 2.09-15.68) and excessive salty food consumption (AOR=3.08; 95%CI: 1.17-8.09). Eating fatty foods may also indirectly cause hypertension. Income, mild stress, smoking habits, being passive smokers, coffee consumption habits, frequency of fruits and vegetables consumption were not found to be risk factors. Conclusion: Family history, moderate and severe stress, less physical activity, obesity and excessive salty food consumption were risk factors of hypertension.
Relationship of Knowledge and Attitude among Midwives with the Implementation of Early Initiation of Breastfeeding in Badung Regency Luh Sudemi; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p12

Abstract

Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it. Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data  were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method. Results: The EIB was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the EIB more compared with those having ≤4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of EIB had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% p<0.001 and those having received supervision, namely 77.5% vs. 33.3%(p=0.001). Multivariate analysis showed that factors associated with implementation of EIB were knowledge with APR=1.5 (95%CI: 1.04- 2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3). Conclusion: Knowledge and attitude had a significant relationship to the implementation of EIB by midwives.
Risk Factors for Adolescent Pregnancy in Bali: Case Control Study Dewi Aprelia Meriyani; Desak Putu Yuli Kurniati; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p13

Abstract

Background and purpose: Adolescents pregnancy is a public health problem in Indonesia. The 2012 Demographic and Health Survey Indonesia showed that 9.5% women aged 15-19 years had given birth. The aim of this study was to identify risk factors associated with adolescent pregnancy. Methods: The study was conducted in Kintamani District, Bangli, Bali Province. Design of the study was case control with a total of 96 respondents. The cases were 32 pregnant woman age <20 years and the controls were 64 non married and non pregnant woman age <20 years. The cases were taken from register of pregnant women in Kintamani I and VI primary health care centers. The controls were randomly taken from a list of women in the youth group at the same working area of both primary health care centers. The data collection was conducted by interview in the house of each respondent. The data were analyzed using bivariate (chi square test) and multivariate logistic regression. Results: Risk factors that found associated with adolescents pregnancy were respondents with peer negative influence (AOR=71.6; 95%CI: 9.4-545.2), respondents who had opportunity to have sexual relationship (AOR=17.7: 95%CI: 3.2-98.2), lack of knowledge about reproductive health and adolescent pregnancy (AOR=12.8; 95%CI: 2.5-66.5) and higher family income (AOR=5.8: 95%CI: 1.3-26.6). Level of education and exposure to pornography was not significantly found associated with adolescent pregnancy. Conclusion: The negative influence from their peers, opportunity to have sexual intercourse, lack of knowledge and higher family income were found as risk factors of adolescents pregnancy.
The Analysis of Performance Based on Balanced Scorecard at Karangasem Hospital Putu Yulianti; I Nyoman Sutarsa; I Putu Ganda Wijaya
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p14

Abstract

Background and purpose: Karangasem Hospital has adopted balanced scorecard method in preparation of the strategic plan. The performance evaluation has been done based on accountability report only with the three other perspectives have never been analysed before. This study was conducted to assess those four perspectives. Methods: Cross-sectional survey was carried out among 110 inpatients and 95 employees which were selected conveniently. The data were collected by interviews using questionnaire. The data were analyzed with kartesius graph to get each item of patients and employees satisfaction that need to be priority. Secondary data analysis conducted to know the tendency of those four perspectives. Results: Based on the assessment of the four perspectives showed that the overall score is 44.7%. It is defined as sufficient category. This also can be observed that each perspective of finance, customers and internal business process included in sufficient category. Their scores are 16.65%, 12.5% and 15.62%. Meanwhile, for the learning and growth perspective showed as weak category (0). Kartesius graph analysis showed that two items of patient’s satisfaction have to do with procedure and quick service need to be concerned. However, the employees’ satisfaction showed that there are five sub items which need to be concerned. They are quick response, management support and working environment. Conclusion: The performance of Karangasem Hospital based on scorecard is in the sufficient category and patients/employee’s satisfaction still need to be concerned on certain items.
Determinants of Mortality among Low Birthweight Infants During Hospitalization in Karangasem District Hospital I Ketut Duara; Dewa Nyoman Wirawan; Pande Putu Januraga; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p15

Abstract

Background and purpose: Infant mortality rate in Indonesia is still high and is largely related to low birthweight (LBW) infants. Previous studies reported the sociodemographic and clinical factors as determinants of mortality of LBW infants, but rarely examined factors related to their health services. This study aims to determine the demographic, clinical and health services as determinants of mortality of LBW infants during hospitalization. Methods: This study was a retrospective using cohort data of medical record of LBW infants in Karangasem Hospital since January 2012 to October 2014. Logistic regression was done to determine the relationship between demographic, clinical and health services factors with LBW infants’ mortality. Results: The proportion of mortality among LBW infants during hospitalization was 12.12%. Most parents (64.6%) live in good access to health services. The proportion of female infants (51.4%) was higher than male. LBW infants who were born in hospital (85.7%) greater than born outside hospital. Vaginal delivery (75.3%) was greater than C-section. Preterm infants (57.1%) was greater than at term with median of birthweight was 2100 grams. Proportion of asphyxia, respiratory distress syndrome (RDS), sepsis, hypoglycemia and hypothermia, respectively 24.1%, 4.66%, 0.78%, 7.92% and 3.73%. Variables associated with LBW mortality were increasing of 50 grams of birthweight, asphyxia, RDS and referred infants. Conclusion: The mortality of LBW infants during hospitalization was 12.12% with increasing of 50 grams of birthweight,