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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 310 Documents

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Factors affecting tuberculosis cadres’ motivation in the detection of tuberculosis cases in Kediri City, Indonesia Gita Sekar Prihanti; Eko Setyo Herwanto; Galih Bayu Prakoso; Gusti Gandha Pandya; Cha Cha Astrid Ghesa; Hiolda Lubvianda Oktavin; Yulanda Fitriana
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Tuberculosis (TB) is an infectiousdisease caused by Mycobacterium tuberculosis (MTB). The high incidence of TB acquires the active role of TB cadres in TB case finding. Motivation is an important factor that support the performance of TB cadres. This study aims to explore factors that affect the motivation of TB cadres case detection rate of TB. Methods: This was an observational analytic study with crosssectional study design, conducted in Kediri City. A total samplingtechnique was applied with a total of 59 TB cadres in the workingarea of Sukorame Public Health Center, in Kediri City. TB cadres filled in a questionnaire containing questions about sociodemographic, attitudes, knowledge, and motivation with a total of 39 questions. Data were analyzed with univariate descriptive statistics, bivariate test by Fisher and Chi Square tests and followed by multivariate analysis using logistic regression. Results: Of the 59 cadres, 37 (67.2%) have a good motivation onTB case findings. The results of multivariate analysis showed that there were four independent variables which have a significant association with the motivation of TB cadres, including age, education, jobs and incentive. Cadres who are 41-60 years have better motivation compared to 25-40 years (OR=31.49; 95%CI:2.373-417.907; p=0.009), cadres who have higher education (university/college) have better motivation (OR=36.957; 95%CI:2.389-571.805; p=0.010). While those who not getting incentives (OR=0.100; 95%CI: 0.013-0.758; p=0.026) and having a job (OR=0.120; 95%CI: 0.021-0.670; p=0.016) were less likely to have a good motivation. Conclusion: Motivation of TB cadres in Kediri City is influenced by intrinsic factors (age, education and employment) and extrinsic factor (incentive). Providing appropriate incentive will significantly boost cadre motivation and relevant stakeholders should consider making this strategy sustainable.

Factors affecting quality of life of fracture patients with productive age at dr. Haryoto Regional General Hospital, Lumajang District, East Java Yugiana, Anastasya Marli; Martini, Santi
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: Fractures can affect activity and productivity due to delayed time of returning to work. It may have impacts on the patient’s physical, psychological, social, and environmental conditions that can influence the quality of life. The purpose of this study was to explore factors associated with the quality of life of fracture patients with productive age. Methods: This research used a cross sectional approach conducted at the Orthopedic Clinic of dr. Haryoto Regional General Hospital, in Lumajang District, East Java from October 2020 to February 2021. The study involved 84 patients whom were selected using simple random sampling. Data was collected with interview using the WHOQOL-BREF questionnaire which can assess a person’s quality of life. The data were analysed using univariable, bivariable and multivariable analysis with Chi-square and Logistic Regression. Results: Most respondents were aged 20 to 60 years, male, have worked, completed secondary education, and married. Most of them had health insurance, experienced fractures in lower extremity with open fracture type, had severe condition since more than 12 months and had an accident on the highway. Factors associated with quality of life were family support with OR=0.631 [95%CI: 0.524-0.760; p=0.004], duration of fracture with OR=0.333 [95%CI: 0.123–0.900; p=0.049] and fracture severity with OR=11.00 [95%CI: 3.261–37.106; p=0.00]. Conclusion: Family support, duration of fracture, and fracture severity were associated with quality of life of productive aged fracture patients. Special attention and family support are needed for fracture patients during the healing period to improve their health status.

Level of knowledge and workload are associated with nurse’s adherence in implementing fall prevention procedures at Tabanan District Hospital, Bali Sulawa, I Ketut; Wirawan, Made Ady; Putri, Wayan Citra Wulan Sucipta
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose:Fall prevention is an essential part of patient safety system. At Tabanan District Hospital (BRSUD Tabanan), incidence of falling among patients is still happening. This study aims to determine the relationship between level of knowledge and workload of nurses with compliance in implementing standard operational procedures (SOP) to prevent the risk of falling in the inpatient rooms at Tabanan District Hospital. Methods: This study was a cross-sectional survey. The sample size was 75 nurses in the inpatient room at BRSUD Tabanan. Data collection was carried out in the period of December 2, 2019 - January 2, 2020 which included 1). direct interviews to obtain data on characteristics, the level of knowledge and workload of nurses, 2). observations of nurses’ adherence in the implementation of standard operational procedures to prevent the risk of falling patients. Data analysis was performed by univariate, bivariate with chi-square test and multivariate analysis with logistic regression. Results: Most of the respondents were ≤40 years old (86.7%), female (72%), length of working ≤10 years (81.4%), education level of bachelor in nursing (65.4%). Two third of the respondents have a good level of knowledge (66.7%), with medium workload (26.7%) and heavy workload (73.3%). Most of the respondents (70.7%) adhere to the implementation of standard operating procedures to prevent the risk of falling patients. Variables associated with the compliance to SOP are age (AOR=5.35; 95%CI: 1.230-23.259; p=0.025), level of knowledge (AOR=6.409; 95%CI: 1.720-23.873; p=0.006), and workload (AOR=0.076; 95%CI: 0.17-0.339; p=0.001), where the workload variable has a negative relationship with nurse compliance (AOR<1). Conclusion: The conclusion of this study is that there is a relationship between the level of knowledge and workload on nurses’ compliance in implementing standard operational procedures to prevent the risk of falling patients

Factors associated with minimum dietary diversity among 6-11-month-old children in Indonesia: Analysis of the 2017 Indonesian Demographic and Health Survey Zebadia, Eurika; Atmaka, Dominikus Raditya
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: The indicators to assess food diversity in complementary feeding is minimum dietary diversity (MDD). In 2017, the proportion of MDD among 6-11-month-old children in Indonesia was 33.8%, which was the lowest among other age group and below the national rate. This study aims to explore factors associated with MDD among 6-11-month-old children in Indonesia. Methods: This study was a secondary data analysis of the 2017 Indonesia Demographic and Health Survey (IDHS), a crosssectional study involving 17,848 children across all provinces in Indonesia. The final samples included in this analysis were 1,593 children aged 6-11-month-old. Variables analyzed were parent’s education level, access to information, parent’s occupation, wealth index, and access to health facilities. Logistic regression model was applied to identify factors associated with MDD. Results: The proportion of MDD in this study was 35.1%. The highest food groups that were consumed were staple food, vitamin-A rich fruits and vegetables, and breastmilk. The final model showed factors which correlated significantly with complementary feeding practices that met MDD requirement were wealth index categorized as richer (OR=1.72; 95%CI: 1.16-2.55; p=0.007), wealth index categorized as richest (OR=2.42; 95%CI: 1.58-3.68; p<0.001) and using internet almost every day (OR=1.42; 95%CI: 1.05-1.91; p=0.023). Conclusion: Wealth index and internet use were independently associated with MDD. Online media should be considered as channel to spread information of complementary feeding diversity to children, while socio-economic factor which associated to food accessibility should be addressed by involving beyond health sector.

Internal and external factors of providing quality traditional health services in public health centres in Tabanan District, Bali, Indonesia I Wayan Murdita; Dyah Pradnyaparamita Duarsa; I Nyoman Hariyasa Sanjaya
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Traditional health services has beenintegrated into health services at the public health center (PHC),however, its implementation remains suboptimal. Situational analysis is required to identify implementation factors of traditional health services. This study aims to explore key strengths, weaknesses, opportunities and threats of providing quality traditional health services at PHCs in Tabanan District. Methods: A qualitative study using an explorative case study design was conducted across PHCs in Tabanan District between January and February 2020. We utilized a SWOT analysis framework to facilitate our study. Data were collected through semi-structured in-depth interviews with 14 informants. They were purposively selected to allow rich data being collected. Six informants were considered as key informants and eight informants were considered as supporting informants. Data were analyzed using thematic approach. Results: The strengths of PHCs in Tabanan District to provide quality traditional health services include commitment and competency of health providers, trust towards traditional medicine from health staff and community members, promotional activities, the tariff scheme and an established partnership with traditional healers. The weaknesses include limited numbers of staff, high workload of existing health providers and lack of supporting facilities and financial assistance. The opportunities include support from the community, the potency of traditional medicines, availability of government regulations, an established collaboration between traditional and conventional health services and potential customers brought by tourism industries of Bali Province. The threats include unlicensed traditional healers, lack of support from local governments and irresponsible promotional conducts. Conclusion: Our study reveals key strengths, weaknesses, opportunities and threats of providing quality traditional health services at the PHC level in Tabanan District. Findings from our SWOT analysis can be used to develop strategies for improving implementation of traditional health services at the PHC level.

Delphi Approach to explore ways to optimize case manager services in inpatient wards of Sanglah General Hospital Sayu Kade Alit Sagitariani; Pande Putu Januraga; I Ketut Surya Negara
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Case manager services in inpatientrooms have gained popularity in many hospitals in Indonesia,however there are challenges in its implementation. This study aims to explore ways to optimize the characteristics of the case manager, case management practice and outcome of the case manager in cases in inpatient wards based on the Sanglah Hospital standards. Methods: The study utilized a two-stage Delphi study design,started with a qualitative data collection and followed by aquantitative survey. Data collection was done in May-June 2020 based on the concept of case manager characteristics, practice and outcomes. The qualitative data collection through in-depth interviews involved 9 key informants. It aimed to explore case manager services based on qualifications, competencies, ethical standards, workload, hierarchy and guidelines, implementation of case management and indicators of effectiveness of case management at Sanglah General Hospital. The results of the indepth interviews with thematic analysis informed the Delphi survey instrument development. The Delphi survey aimed to generate agreement on the characteristic of the case manager, case management practice and outcome of the case manager among 21 expert panelists (case managers) in the inpatient wards of Sanglah Hospital. This Delphi survey was conducted in 3 rounds, the results were analyzed based on the median value and quartile deviation (QD). Results: The three rounds of the Delphi survey showed that there was an agreement regarding the qualifications of the case manager, competency development, mechanism for appointment and placement of case managers, case manager guidelines, organizational structure, job descriptions and authorities, information of the presence and role of case managers, screening indicators according to characteristics of inpatient cases, case management target measurement tools, case manager service evaluation indicators as well as the activity feedback loop. Conclusion: Optimization of the case manager service should focus on aspects of human resources, developing guidelines and work systems as well as evaluation indicators and feedback mechanism.

Implementation of food labelling policy in small, medium and micro food businesses in West Nusa Tenggara Ayuningtyas, Dumilah; Farida, Ida; Utami, RR Mega; Barinda, Sandra; Munawaroh, Sayyidatul
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: The government has adopted policies regarding food labelling to ensure food quality and safety, but the implementation has not yet optimal. This study identifies resources, knowledge, and facilities that affect food labelling implementation in small, medium, and micro food-businesses (SMMF-B) in West Nusa Tenggara, Indonesia. Methods: We conducted a mixed method study. The qualitative data was collected through in-depth interviews with informants from the West Nusa Tenggara Provincial Office of National Agency of Drug and Food Control and the Mataram City. Health Office, and a focused-group discussion involving SMMF-B owners. The quantitative data was collected with a survey to 30 respondents using questionnaire and observation of the label of 36 SMMF-B products to determine the presence of product’s label, composition, net-weight, producer’s name and address, production code, expiry date and distribution license. Results: We found SMMF-B owners’ knowledge on food labelling was low, however, they expressed supports to the implementation of food label controlling. Of the 36 food labels, the two highest number of violations were the absence of production code (88.9%) and net weight (86.1%). Meanwhile, of the 30 surveyed respondents, the majority (96.6%) stated the importance of labels on SMMF-B products and almost two third (63.4%) read food labels before purchasing the product. Conclusion: This study reveals that SMMF-B in West Nusa Tenggara has not implemented food labelling policies optimally. The lack of implementation was influenced by the government’s lack of funds and minimal information and monitoring efforts. Therefore, government should increase budget allocation for food label controlling, number and capacity of food label controllers and strengthen the enforcement.

The relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City, West Papua Fegita Beatrix Pajala; Erfen Gustiawan Suwangto; Yunisa Astiarani; Astrid Fransisca Padang
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Labor complications are conditionsduring or after labor that can threaten life of the mother and the baby to be born. Some factors have been associated with labor complications, including inter pregnancy interval and gestational age. This study was conducted to determine the relationship between inter pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City. Methods: This study was an analytic observational study with a cross-sectional design. The samples of this study were pregnant women who gave birth at the Sele Be Solu Regional Public Hospitalof Sorong City in 2016-2018 and met the inclusion criteria. We used secondary data from the medical records retrieved in July to August 2019. We retrieved mothers’ identities (age, education, employment status), inter-pregnancy interval, gestational age and labor complications. A number of 261 samples (121 with labor complications and 140 without labor complications) were selected using convenience sampling technique. Descriptive analysis and Chi-Square test with SPSS 25.0 were performed. Results: Most of the mothers (85.8%) were in the non-high-risk age group, graduated from senior high school or above (82%), were not employed/housewives (68.6%), the majority (67.8%) of inter-pregnancy interval was in the non-high-risk group, more than half (52.5%) of gestational age was in the high-risk group and the most common type of complications (17.2%) was the premature rupture of membranes. There were significant relationship between age (p<0.001; OR=5.201; 95%CI: 2.275-11.889), inter-pregnancy interval (p<0.001; OR=2.955; 95%CI: 1.722 5.070) and gestational age (p<0.001; OR=4.606; 95%CI: 2.722-7.794) with labor complications. There were no relationship between education (p=0.166; OR=0.599; 95%CI: 0.312-1.151) and employment status (p=0.230; OR=1.428; 95%CI: 0.845-2.412) with labor complications. Conclusions: There are significant relationship between inter-pregnancy interval and gestational age with labor complications. Health offices and health workers have an essential role in minimizing the risk of labor complications by providing early detection of possible labor complications and active counseling to the community especially women of childbearing age.

Ethical violations and the publication of journal articles Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 7 No. 2 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i2.p01

Since the academic world is the most related to ethical violations above, have all the stakeholders involved in it taken their respective roles? Does the student's supervisor understand ethics and provide guidance to publish student’s research following ethical principles? As a thesis examiner, have these ethical aspects been raised in the student proposal exam? Has the lecturer or researcher done the research and published it according to ethical principles? As a lecturer of research methods, have they provided enough ethical provisions to students? As an official, for example as the head of study programs, deans and chancellors, have they provided adequate space and systems for conducting ethical research? As a journal manager, have the information on the ethical boundaries been disseminated for prospective writers? Every person can take a role to reduce the occurrence of ethical violations and make small changes that will become cumulatively meaningful.

The role of social media support as public health intervention strategy in Indonesia Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p01

Finally, with the growing and high number of internet and social media users, it could be concluded that Indonesia is a potential country for the development of internet-social media based health intervention.18 Currently, there are abundant programs and/or campaign using internet and social media based as platforms for health information and promotion, however most of them were developed without proper evaluation design to measure its effectiveness. Universities and research centers in the country could become a potential partner for any developers for developing programs and/or campaigns that utilize internet and social media in standardized and scientific ways.

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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

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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