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
Tobacco advertising ban discourse in online media coverage Samodro, Dewanto
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p10

Abstract

Background and purpose: One industry that allocates quite a lot of budgets for advertising is the tobacco industries, which is still allowed with restrictions. Along with efforts to protect the public from negative exposure to tobacco products, tobacco control activists are discussing a total ban on tobacco advertisement in various media. The campaign to voice a total ban on tobacco advertisement has also reported in online media coverage. The purpose of this study is to determine the frame of online media coverage of the tobacco advertisement ban discourse. Methods: This research analyzed online media news stories in January – April 2022 period about the discourse on the tobacco advertising ban using framing analysis method with a qualitative approach. This study analyzes the frame of online media news stories related to the discourse of a total ban on tobacco advertisement. Results: This research found that there were two tones of news story in online media about the discourse of tobacco advertising ban, namely those that supported and those that rejected. News story with a supportive tone usually took source person from the civil society groups that support tobacco control, while news story with a rejection tone usually placed the tobacco industries as a disadvantaged party which in the end also harmed the workers and tobacco farmers. Conclusion: The discourse of tobacco advertisement ban was framed in different way by online media. There are at least two different tones in media coverage of the discourse, namely those that support the tobacco advertisement ban and those who reject the tobacco advertisement ban, although more news was found to be supportive.
Talking cigarette in cyberspace: Cyber community response to the implementation of smoke free area policy in Bandung, Indonesia Karolina, Cut Meutia; Zarkasi, Irwa Rochimah
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p04

Abstract

Background and purpose: The policy of implementing and expanding smoke free area (kawasan tanpa rokok/KTR) in several locations in the City of Bandung has become a topic that is highlighted by the community. Community response is an essential component in succeeding policy implementation. This study examines how the culture of cyber society responds to the implementation and extension of the KTR in the city of Bandung Methods: This study uses a qualitative method with a netnographic strategy. Three posts were selected according to the criteria for the research objectives, including: @prfmnews posts, @infobandungraya, and @infobdg.com. Instagram is selected as the research data source because, according to the Ministry of Communication and Information (Kominfo), it is the most popular social media in Indonesia. Indeed, every post and information on it has the potential to attract various groups. Several concepts and theories in this study relate to the diffusion of innovation, information literacy, cognitive dissonance theory, and selective process theory. Results: This study found some of the contra arguments were conducting tobacco control is false propaganda; other regulations are more urgent than KTR; the leading cause of dirty air is vehicles; local regulation on KTR is ambiguous, and smoking is part of individual rights. In the pro category, the communities are supportive, especially those who are passive smokers and feel discomfort with cigarette smoke conditions. Information and digital literacy related to cigarettes are factors that trigger individual responses to hoaxes and conspiratorial information about cigarettes. Denial to the reality of the dangers of smoking illustrates how the process of cognitive dissonance occurs in smokers who try to justify their actions for various reasons. The cyber community has experienced selective exposure to the KTR and the diffusion of innovations in the KTR should be considered. Conclusion: Based on the research findings, the researcher suggests that the government should pay attention to the stages of persuasion and promotion of KTR policies to achieve public obedience to the applicable local regulations.
Implementation level indicators of public facilities in Surabaya to smoke-free area regulation Christanto, Daniel; Martini, Santi; Dwi Artanti, Kurnia; Indriani, Diah
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p03

Abstract

Background and purpose: The regulation of smoke-free area in Surabaya was adopted since 2008 and amended in 2019. Hotel, restaurants, and cafes are smokefree dedicated area under the regulation. Therefore, it is very important to review the implementation level of smoke-free area regulations in public places such as hotels, restaurants and cafes. This study aims to analyze how strong the indicators that forms the implementation level of public facilities with smoke free area regulations in Surabaya. Methods: This was a cross sectional survey carried out in 88 public facilities consisting of hotels and restaurants between June-August 2021. Confirmatory Factor Analysis (CFA) was carried out with the Analysis of Moment Structures (AMOS) Application to test the strength of each smoke-free area monitoring indicators that forms the implementation level of these public facilities. These indicators include: awareness of smoke-free area regulations, smoke-free area internal promotion, installation of smoke-free signs, no colaboration with tobacco industries, no violations and owning an internal policy related to smoke-free. Results: There were three strong indicators that are strongest in shaping smoke-free area implementation level at public facilities in Surabaya, including awareness of smoke-free area regulations (CFA 4.681), smoke-free area internal promotion (CFA 2.609) and installing a smoke-free sign (CFA 1.000). Meanwhile, the other three indicators showed weak association. Conclusion: Awareness of smoke-free area regulations, smoke-free area internal promotion and installation of smoke-free sign were the strong indicators for smokefree law (SFL) implementation. It is important to push for more internal dissemination involving cross sectors and improve other indicators.
Factors related to adherence to stay at the isolation house and health protocols for COVID-19 confirmed positive people in Denpasar, Bali, Indonesia Ni Nyoman Sudarti; Widarini, Ni Putu; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p07

Abstract

Background and purpose: Quarantine in the isolation house for people who are confirmed having COVID-19 is essential to reduce transmission in the community. This research aimed at determining factors associated with compliance to isolation for 14 days and the implementation of health protocols for people who are confirmed positive for COVID-19. Methods: This study applied analytic cross-sectional design, which was conducted in the working area of the Public Health Centre (PHC) II North Denpasar. The samples were 279 people whom selected by simple random sampling. The collected data included sociodemographic characteristics, adherence to stay in the isolation houses and to apply health protocols, perceptions to compliance, cues to action, self-efficacy, knowledge, and social support. The data were analysed by Stata including descriptive analysis, followed by Chi-square Test and Multiple Logistic Regression. Results:  As high as 60.6% of respondents complied to stay for 14 days in the isolation house and implemented health protocols. From multivariable analysis, the higher likelihood to comply with staying at the isolation houses for 14 days and applying health protocols were among female (AOR=3.02; 95%CI: 1.54-5.90, having higher education (AOR=6.03; 95%CI: 3.09-11,77), those having high self-efficacy (AOR=3.43; 95%CI: 1.81-6.50), and those having good knowledge (AOR=2.18; 95%CI: 1.19-3.98). Conclusion: About a third of the respondents did not comply with isolation for 14 days in the isolation house nor apply etiquette according to the health protocols, thus indicating a high risk of transmitting COVID-19 to others. It is necessary to promote health targeting people with low knowledge level and to provide social support from family, surrounding community and government.
Supports from place of delivery and mother in-law were associated with successful exclusive breastfeeding Ni Wayan Budi Astiti; Ni Putu Widarini; Kadek Tresna Adhi
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p06

Abstract

Background and purpose: The 2019 Health Profile of Klungkung District in Bali Province shows that the area of Dawan I Public Health Center has the coverage of exclusive breastfeeding below 80% (72.6%). This study aimed at determining factors associated with the success of exclusive breastfeeding. Methods: This cross-sectional study involved all breastfeeding mothers with children aged 6-11 months old at the time of the data collection who resided in the area of Dawan I Public Health Center. The total number of samples was 105 mothers. Data was obtained from an online survey, using a structured questionnaire. The variables include maternal age, education and working status, parity, birth spacing, mother's attitude and knowledge on breastfeeding, supports from place of delivery and family, including husband and mother-in-law. Data were analyzed using Chi Square Test and Logistic Regression. Results: We found 81.90% of mothers were 20-35 years old, had high education (76.19%) and were working (53.33%). The success rate of exclusive breastfeeding in the working area of Dawan I was only 40.95%. The strongest predictors were the supports from place of delivery and mother-in-law. Mothers who received good supports from the place of delivery had a 4.12 times higher chance (p=0.03; 95%CI: 1.10-15.35) to successful exclusive breastfeeding. Mothers who received good supports from their mother-in-law had a 2.68 times higher chance (p=0.02; 95%CI: 1.13-6.34) to successfully give exclusive breastfeeding to their baby. Conclusion: Supports from place of delivery and mother-in-law are important determinants to be considered in increasing the success rate of exclusive breastfeeding.
The resilience of nurses in the emergency department of Sanglah Hospital during the pandemic of COVID-19 in Bali, Indonesia Kumalasari, Heni; Lubis, Dinar Saurmauli; Kurniati, Desak Putu Yuli
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v12.i1.p05

Abstract

Background and purpose: COVID-19 pandemic has a major impact on the health care system, including nurses. The rapid increase in the number of patients, lack of knowledge of the disease, and the high risk of being exposed to the virus, are some challenges faced by nurses in hospitals. During this situation, nurses need to build resilience to provide good services for patients as well as to protect themselves from COVID-19 infection. This study aims to explore resilience of the emergency room (ER) nurses at Sanglah Hospital Denpasar during the early stage of COVID-19 pandemic. Methods: A qualitative study with a phenomenological approach was conducted in the ER of Sanglah Hospital Denpasar, from October to November 2020. Data were collected through in-depth interviews that involved six nurses. The information collected include nurses' experiences in dealing with pandemics, nurses' knowledge about COVID-19, challenges and obstacles to nursing services during the COVID-19 outbreak, efforts to protect themselves, family and closest relatives, as well as management responses regarding the protection of health workers, especially among nurses. Data were analyzed by Interpretive Phenomenological Analysis (IPA) and presented narratively. Results: Nurses have the internal strength to deal with increased workloads and working conditions that were considered difficult during the pandemic situation. Nurses’ resilience is also formed by external supports such as from co-working partners, family, and organizations. The challenges and obstacles faced in maintaining resilience are the implementation of services, amidst the uncertainty of the status of COVID-19 patients and the stigma among health workers, as they were suspected as virus carriers. Efforts to strengthen resilience are conducted by increasing capacity, taking care of oneself, and setting work schedules. Conclusion: The resilience of nurses consists of the resilience to face increased workloads and difficult working conditions during a pandemic. This resilience comes from internal and external strengths such as friends and organizations. In difficult situations, nurses are still able to think of concrete steps to protect themselves and their families. However, challenges and obstacles need to be overcome to improve the quality of patient care during a pandemic.
Elderly perception of hypertension and its treatment in Gianyar District, Bali Ida Ayu Ratna Trisna; Duarsa, Dyah Pradnyaparamita; Ani, Luh Seri
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p03

Abstract

Background and purpose: The risk of hypertension increases in the elderly, while treatment adherence plays a crucial role in controlling blood pressure in the elderly. This study aims to explore the elderly's perception of hypertension and its treatment. Methods: This study used an exploratory qualitative design. Data were obtained through in-depth interviews about the elderly's perception of hypertension and its medication, health-seeking behavior, and cues to action in undergoing treatment for 6 elderlies with hypertension and 4 health workers in Gianyar District in July-September 2020. The data obtained were analyzed using thematic methods. Results: This study identified 2 big themes, namely the elderly's perception of hypertension and seeking behavior. The elderly's perception of hypertension is described from the perceived vulnerability from the aspect of age, lifestyle, and heredity. Hypertension is seen as a serious disease by the elderly, particularly from the complications aspect, while complaints felt are not considered serious unless they interfere with activities or have to undergo treatment. Reduced complaints and controlled blood pressure are the perceived benefits of treatment and lifestyle adjustments: long-term medication, side effects of drugs, and traditional medicine as obstacles for the elderly in undergoing treatment. The elderly seek treatment based on their trust and comfort in health workers, infrastructure, access to health services, and support from health workers and the government. Conclusion: The perception of barriers to treatment and health-seeking behavior of the elderly in seeking treatment play a significant role in determining the medicational therapy that the elderly undergoes, which can prevent complications. Family support for the elderly is essential in overcoming obstacles and increasing elderly adherence to medication.
Hospital financial control strategy in the COVID-19 Pandemic era Citra Mutiarahati, Ni Luh; Ani, Luh Seri; Suarjana, Ketut; Januraga, Pande Putu; Manuaba, I.B.G. Fajar; Lesmana, Cokorda Bagus Jaya; Indrayathi, Putu Ayu
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p06

Abstract

Background and purpose: The pandemic of COVID-19 is an unprecedented medical and economic challenge for healthcare system. The number of patients during pandemic of COVID-19 had a rapid growth which led to changes in services aspects that threaten financial viability of hospitals, including private hospitals. This study aims to determine the efforts of private hospitals in maintaining financial stability during the pandemic of COVID-19. Methods:  A qualitative study with a multi-case design carried out in 7 (seven) private hospitals in Denpasar. Informants were obtained based on a purposive sampling approach. This study recruited 19 informants from 7 private hospitals in Denpasar. Data was collected through in-depth interviews conducted face-to-face, using the Zoom and Whatsapp applications. The data were analysed using a content analysis approach. Results: Almost all hospitals stated that their finances disrupted. Financial mitigation efforts were difficult to do, hospital preparation and responses were dependent on the hospital's financial condition and regulations that changing, and recovery efforts were not easy either because in general the community's economy has not recovered. Conclusion: Private hospital finances were experiencing disruption. Mitigation efforts were difficult to do due to the unpredictable changing regulations and policies during the pandemic. Based on the study results, it can be recommended that the hospital management needs to develop a service strategy that is able to overcome the problem of the surge in the number of patients.
Teachers’ perception on COVID-19 vaccination and preventive behaviour in Denpasar, Bali Sridyantari, Luh Verra; Sawitri, Anak Agung Sagung; Putra, I Wayan Artawan Eka
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p08

Abstract

Background and purpose: Teachers as one of the public service providers are at risk of transmitting or contracting COVID-19, so they are prioritized to get COVID-19 vaccination. This study aims to explore teachers’ willingness to vaccinate, their behaviour and perception after COVID-19 vaccination. Methods:  We conducted a cross-sectional study involving 200 teachers from 20   primary and secondary schools in Denpasar, who were selected by stratified multistage random sampling. The variables collected are sociodemographic characteristics (age, gender, religion, education, economic status), willingness to be vaccinated, behaviour after the vaccination, and the beliefs which include perceived vulnerability, perceived seriousness, and perceived benefits. Data analysis was carried out descriptively to describe the behaviour and perception of teachers after the vaccination. Results: Most teachers were middle-aged (31-45 years) and female (74%), with undergraduate education (84%). Most of the respondents were willing to be vaccinated and had been vaccinated (97%). Respondents had a low vulnerability belief of 18%, a high seriousness belief of 8.5% and a low benefit belief of 3.5%. All teachers have intentions to continue implementing health protocols to prevent transmission of COVID-19. Conclusion: Some school teachers have low perceived vulnerability, high seriousness, and belief of low benefits after vaccination. This shows that teachers are still unsure about the COVID-19 vaccine effectiveness in preventing the transmission of COVID-19, so further education effort is needed.  
Demographical risk factors of adverse events following immunisation of CoronaVac in Jambi, Indonesia Heriyanto, Rivaldo; Yanto, Theo Audi; Octavius, Gilbert Sterling; Nisa, Haviza; Ienawi, Catherine; Pasai, Emildan
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p05

Abstract

Background and purpose: Slow uptake of COVID-19 vaccination might be associated with the adverse events after vaccination. This study aims to evaluate the association between demographical factors and COVID-19 vaccine adverse events in Jambi, Indonesia Methods: We conducted a cross-sectional study with a total population sampling. Data were collected with a structured questionnaire. We included adults vaccinated for the first dose with CoronaVac in Putri Ayu Public Health Center between March 15th and June 3rd, 2021, accounted for 522 persons. Statistical analysis was done using IBM SPSS 26.0. Multivariate logistic regression analysis was used to analyze the predictive models. Results: This Out of 522 respondents included, immune reactions (34.1%) were the most common adverse effects reported by the respondents. Multivariate analysis showed that respondents with no family members or friends exposed to COVID-19 are less likely to experience puncture site reaction with an OR of 0.28 (95%CI: 0.09-0.92; p=0.036). Those with no history of mental disorders were also less likely to experience the adverse event with an OR of 0.12 (95%CI: 0.024-0.62; p=0.011). As for other reactions, those in the 26-35 years old category are more likely to experience other adverse event reactions with an OR of 11.62 (95%CI: 1.5-89.92; p=0.019). Conclusion: Based Younger respondents tend to experience more other reaction of COVID-19 vaccine adverse events than the older groups. We also found that those with no family or friends who contracted COVID-19 and no history of mental disorders are less likely to experience puncture site reaction adverse events.