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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 315 Documents

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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.

Analysis of Public Health Centre Financing using the District Health Account (DHA) Model in Karangasem District, Bali, Indonesia Liena Sofiana; Gunadi Ardana; Suci Musvita Ayu
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Nosocomial infections can cause a significant number of deaths every day worldwide. Failure to perform good and proper hand hygiene is considered a major cause of infections related to health care. Health workers who are the most vulnerable in transmitting infections are nurses, because they are accompanying patients for 24 hours. This study aims to explore the relationship between knowledge, attitudes and motivation with the level of nurses’ compliance in hand hygiene practices in Class III inpatient wards of Pembina Kesejahteraan Umat (PKU) Muhammadiyah Hospital, Gamping, Yogyakarta. Methods: This was a cross-sectional observational analytic study. The study involved all 41 nurses working in Class III inpatient wards at PKU Muhammadiyah Gamping Hospital. The instruments for data collection was a questionnaire and an observation sheet. Data was analysed with statistical software comprised of univariate and bivariate analysis with Chi-square test and Fisher’s Exact test. Results: The results indicate the prevalence of nurses’ hand hygiene compliance was 70.7%. Factor that significantly associated with hand hygiene compliance was knowledge (p=0.001), while attitudes (p=0.577) and motivation (p=0.771) were not correlated significantly. Conclusion: Good knowledge increases the hand hygiene behavior among nurses in Class III inpatient wards of PKU Muhammadiyah Gamping Hospital. It is necessary to improve awareness through providing training on nurse compliance with the prevention and control of nosocomial infections, especially regarding proper steps and timing of hand hygiene practices.

Maternal social determinants of stunting events in Kulon Progo, Yogyakarta Ayu, Suci Musvita; Sofiana, Liena; Wardani, Yuniar; Haryanto, Yus
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: Kulon Progo District is one of the 100 priority districts in Indonesia for stunting program with a prevalence of 22.65%. The purpose of this research is to identify association between mother’s education, family income and exclusive breastfeeding history with stunting events in Kulon Progo District, Yogyakarta. Methods: This research used a cross sectional design which conducted in Kulon Progo District, Yogyakarta. There were 729 children aged 0-59 months recorded in the integrated service post (posyandu) who met the inclusion criteria. Data collection was conducted using a questionnaire for children and mothers’ characteristics, while stunting status was retrieved from the growth monitoring card. Data analysis was conducted using Chi-Square test. Results: Children in the survey were 53.77% boys and around a quarter (24.69%) were at 25-36 months old. The majority of the mothers (72.98%) were between the ages of 26 and 35 years with high school education (67.35%) and most of them did not work (82.17%). Children with lower maternal education are less likely to experience stunting (PR=0.751; 95%CI: 0.593-0.952; p=0.013), and those from lower income family have almost five fold increased chance of stunting (PR=4.562; 95%CI: 2.643–7.874; p<0.001). Whilst for history of exclusive breastfeeding, the association was not statistically significant with stunting (PR=0.795; 95%CI: 0.529–1.196; p=0.239) Conclusion:There is a relationship between maternal and family education with the probability of stunting, while there is 20% reduced chance of stunting if children were breast fed although it was not statistically significant. Improving maternal awareness on stunting is essential for stunting management programs.

Good parental feeding style reduces the risk of stunting among under-five children in Yogyakarta, Indonesia Erni Gustina; Liena Sofiana; Suci Musvita Ayu; Yuniar Wardani; Ditra Irna Lasari
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: In Indonesia, many studies on thecauses of stunting in children have been conducted. However, still few have explored the parental feeding style in relation to stunting. The purpose of this study was to analyze the relationship between parental feeding style and stunting among under-five children in Kulon Progo District, Yogyakarta. Methods: This study used a cross sectional design. This study involved 729 respondents who were the entire population of under-five children in Kulon Progo. Mothers were interviewed about the socio-demographic, economic and parental feeding style that mothers gave to their children using a structured questionnaire. Data were analyzed descriptively to identify the frequency distribution of each variable, hypothesis testing with chi square test and multivariable analysis with logistic regression at asignificance level of 5% were performed. Results: Of the 729 under-five children analyzed, 37.6% werefound to be stunting. The proportion of poor parental feeding style was almost 50%. The finding of this study showed that mother’s occupation (AOR=2.13; 95%CI: 1.26 3.59), family income (AOR=3.56; 95%CI: 2.34-5.42) and parental feeding style (AOR=2.77; 95%CI: 1.97-3.91) have a significant relationship with stunting. Conclusion: The prevalence of stunting is quite high in the study area. Parents with poor parental feeding style are predicted to increase the risk of stunting among under-five children. Familybased interventions that involve parenting styles in child feeding practices should be considered in reducing stunting among children.

Correlation between physical characteristics of the indoor environment toward the concentration of fungi in the inpatient rooms of dr. Soebandi Regional Hospital Jember, East Java Salsabilla Maula Zalfa El Hamzah; Astuti Setyawardani; I Nyoman Semita; Dini Agustina
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Air quality is an important determinant of a healthy life. One indicator of air pollutants in the room is fungi, which in hospital setting may cause nosocomial infection. This research aims to find out a correlation between physical characteristics of the indoor environment toward the concentration of fungi in the inpatient rooms of dr. Soebandi Regional Hospital Jember, East Java. Methods: This research uses a cross-sectional method with a total of four inpatient rooms. We measured physical room characteristicsincluding room temperature, humidity, light intensity, and room density. The concentration of fungi was measured by collecting air sample using passive air sampling method with a potato dextrose agar as the media to optimize the fungal growth. The data was processed with Saphiro-Wilk and Pearson correlation analysis using SPSS 25.0. Results: The ranges of room temperature and humidity were 29.6- 32.2°C and 41-59%, respectively; while the light intensity and roomdensity were 10-30 and 1.88-2.38 person/10 m2. The bivariate analysis showed a correlation between two components of physical characteristic of the indoor environment, room temperature and room density, with the concentration of fungi. Conclusion: There is a correlation between room temperature and room density with the concentration of fungi in the inpatient rooms of dr. Soebandi Regional Hospital Jember. The management of hospitals should take measures to improve the air quality within inpatient rooms.

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.

Willingness to pay for dengue vaccine among parents of elementary school students in Denpasar Indraswari, Ni Luh Astri; Wirawan, Dewa Nyoman; Kardiwinata,, Made Pasek; Januraga, Pande Putu
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: The incidence of Dengue Hemorrhagic Fever (DHF) in Bali, especially in Denpasar, remains high. Efforts to eradicate mosquito nests have been carried out but did not give a significant reduction in the incidence number. The dengue vaccine is now available and can be a way of prevention. The dengue vaccine has not been included in the mandatory immunization program by the government so people who want to get vaccinated have to pay for it by themselves. This study aims to determine the relationship between socio-demographic factors and perceptions with the willingness to pay for the dengue vaccine among parents of elementary school students in Denpasar. Methods: This study used a cross sectional design involving 100 mothers of students from grade 3 to grade 6 at Dauh Puri 5 Elementary School and Dauh Puri 6 Elementary School who were selected with systematic random sampling. Data collected included education level, income, respondents’ perceptions and willingness to pay for dengue vaccine. Data were collected by interview using a questionnaire, the results were analyzed using a multivariate logistic regression. Results: The average willingness of parents to pay for the dengue vaccine per dose was IDR 131,170. Percentage of respondents who were willing to pay for the dengue vaccine was 31%. The results of analysis showed that variables associated with parents’ willingness to pay for the dengue vaccine were education level (OR=4.06; 95%CI: 1.19-13.76), perceived susceptibility (OR=1.59; 95%CI: 0.58-4.37) and perceived benefits (OR=2.60; 95%CI: 1.00-6.81). Conclusion: Parents’ willingness to pay for the dengue vaccine remains very low compared to the current price of vaccine per dose. The government needs to provide subsidies so that the dengue vaccine can be included in the national immunization program and be accessed by all people. Further research is needed with a broader scope and more varied population’s characteristics to obtain a willingness to pay value that can represent society in general.

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.

Training program for tuberculosis (TB) patients to improve referrals of presumptive TB cases and sputum in Denpasar, Bali, Indonesia Putu Ayu Merry Antarina; Dewa Nyoman Wirawan; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Tuberculosis (TB) is a global healthproblem and one of the top ten causes of deaths in the world. TB case finding is an important component of TB control. In Indonesia, most case findings were done passively so that the referral coverage for TB sputum was lower than the target. This study aims to determine the effectiveness of training for TB patients as volunteers to increase the active referral of presumptive TB cases. Methods: The pretest-posttest design intervention study was conducted in five public health centers (PHCs) which had the highest number of TB patients in Denpasar. The intervention was carried out for seven weeks (February May 2020). A total of 35 TB patients, who were currently undergoing treatment at the PHCs, met the study criteria and willing to volunteer, were trained through meetings, discussions and demonstrations about the risk of TB transmission, contact investigations and how to collect sputum samples. Before and after the interventions, data on volunteers’ knowledge, the number of presumptive TB and sputum referrals by volunteers were collected through interviews and daily records. A regular reminder was sent in the form of a WhatsApp message once a week. Bivariate data analysis was performed with Chi-square and Wilcoxon Signed Rank Test. Results: Volunteers’ knowledge scores increased significantly after training, with a median score of 13.0 to 15.0 (p<0.001), and there was a significant difference in knowledge improvement amongthose who actively responded to regular reminders compared to those who were less active (p=0.002). A total of 31 presumptive TB cases were successfully referred during the study period (7 weeks). Volunteers managed to refer as many as 30 sputum preparations with good quality, but no positive sputum was found. Conclusion: Recruitment and training of TB patients as volunteers can increase the knowledge and skills of volunteers to identify and refer presumptive TB cases and quality sputum samples. More TB patients should be trained as volunteers with a longer observation time to increase TB patient detectio

The impact of national health insurance on the access of maternal care service for women in Indonesia Ramadhan, Masyitha Mutiara
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: The government of Indonesia has established national health insurance or Jaminan Kesehatan Nasional (JKN) since 2014 to meet the basic needs of appropriate public health, including women. However, maternal mortality rate in Indonesia is recorded to be higher than peers and decreases slowly. This paper aims to elaborate the impact of the national health insurance on the access to maternal care and services for women in Indonesia. Methods: This paper employs a secondary data analysis by using Indonesian National Socio-Economic Survey (SUSENAS) 2017 and applies propensity score matching methods. Within the sample, a treatment group is a group of women who are registered in the JKN, including the PBI and non-PBI participants, while the control group is a group of women who are not registered in the JKN, women who have other insurances and those who do not have any insurance. The total sample of the treatment group is 18,886 and the control group is 19,559 participants. There are two outcome variables in the analysis which reflect the access of health care and health services, which are child-birth service facility (CBSF) and Birth Attendant (BA), respectively. Results: The result shows that women who are the member of the JKN have greater probability in accessing formal health care and services during the maternity process. They tend to deliver babies in hospital and get helped by medical personnel. Moreover, by comparing the impact of the JKN in the rural and urban areas, the result shows that the probability of women in rural area to access health care and services is higher than women in cities. Conclusion: Based on these results, we can conclude that the JKN has improved the access for health care as well as medical services for maternity, in both rural and urban areas. However, the JKN program improvements are still needed, particularly in ameliorating the quality of JKN program, as well as expanding the number of participants to achieve a higher impact.

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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

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Kota denpasar,

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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