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Jurnal Ilmu Kesehatan Masyarakat
Published by Universitas Sriwijaya
ISSN : 20866380     EISSN : 25487949     DOI : -
Core Subject : Health,
Public Health
Jurnal Ilmu Kesehatan Masyarakat (JIKM) is a scientific peer-reviewed journal. Its aims are to share out, to develop, to facilitate research findings in Public Health that it will give benefit to managers, decision makers, public health officer, health problem practitioners, lecturers, as well as students. The content of the journal includes literature review, research-based article dealing with: 1. Health policy and administration 2. Environmental health 3. Occupational health and safety 4. Public health nutrition 5. Health promotion and behavioral sciences 6. Epidemiology & Biostatistics 7. Others related to public health challenges
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 426 Documents
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The Relationship Between Human Host and Environmental Factors on the Severity of Pneumonia Among Under-Five Children in West Java Province Nadia Regita Ayu Cahyani; Hartati Eko Wardani; Lucky Radita Alma
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 3 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.3.362-380

Abstract

Pneumonia cases in West Java Province 2018 were ranked first as the province with the highest number of cases in Indonesia with a prevalence of 58.80%. About 7-13% of severe pneumonia patients with an increased risk of death in children require intensive care. This study aims to determine the relationship between host and environmental factors on the severity of pneumonia in children under five years. The research method used cross-sectional study design approach. Data analysis techniques used chi-square, fisher's exact, and multiple logistic regression tests. The population in this study was 2,338 children under five years aged 12-59 months in West Java Province for the 2018 period, while the sample consisted of 132 respondents who met the inclusion criteria and were recorded in RISKESDAS 2018. The results showed that there was a significant relationship between host factors and the severity of pneumonia, namely prematurity (aOR= 2.446; 95% CI=1.113-5.376), while environmental factors that have a significant relationship on the severity of pneumonia, namely the habit of opening windows (aOR= 2.963; 95% CI=1.342-6.544). There is no relationship between Low Birth Weight (LBW), home ventilation conditions and lighting intensity. The most dominant factor in the severity of pneumonia is that the habit of opening windows does not meet the risk of 2.9 times higher severity of pneumonia in children under five years. This study concludes a relationship between prematurity and the habit of opening windows on the severity of pneumonia.
Acceptance and Practice to COVID-19 Vaccination Among Rural Population in Indonesia Rifda Amalia Choirunnisa; Ede Surya Darmawan
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 3 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.3.349-361

Abstract

As one of the strategies to prevent and reduce the spread of COVID-19 since January 2021, the Indonesian Government has implemented a COVID-19 vaccination program. When this research was carried out in the first semester of 2022, the achievement of COVID-19 vaccination target was not yet reach the expected target due to many people were afraid and refused to be vaccinated. The research aims to determine the acceptance and practice of COVID-19 vaccination in rural communities located in Banyumas Regency, Central Java in 2022. This was a cross-sectional study based on electronic survey data distributed to residents (aged ≥ 15 years) of Tunjung Village, Jatilawang Sub-district between May 27, 1 - June 10, 2022. The study sample size was 211 respondents using the quota sampling technique. We used the Health Belief Model (HBM) as the theoretical framework. The research results show that the majority (69%) of respondents stated that they received the COVID-19 vaccination and around 79.6% of those who received it had received the COVID-19 vaccination. Chi-square statistical analysis shows that the variables gender, education, knowledge about COVID-19, knowledge about COVID-19 vaccination, perceived severity of COVID-19, perceived benefits of COVID-19 vaccination, and perceived self-efficacy towards COVID-19 vaccination are related. significantly impact acceptance of COVID-19 vaccination. Perception of self-efficacy towards COVID-19 vaccination is the strongest driving factor for acceptance (POR: 5.45). In the multivariate test, the most dominant variable influencing vaccine acceptance was the variable perception of self-efficacy towards vaccination after controlling for the knowledge variable. A significant relationship was obtained between receipt of COVID-19 vaccination and COVID-19 vaccination practices. It was concluded that acceptance of COVID-19 vaccination is closely related to the level of knowledge and attitudes towards COVID-19 and COVID-19 vaccination, and the higher acceptance encourages the practice of carrying out COVID-19 vaccination. It is recommended that to increase acceptance and practice of Covid vaccination it is necessary to increase the population's knowledge regarding COVID-19 and the COVID-19 vaccine by increasing education and promotion of the COVID-19 vaccination program through electronic media, especially television and social media.
The Analysis of Determinant Factors of Chronic Energy Deficiency (CED) in Pregnant Women With Modification of Lawrence Green and Snehandu B. Kar’s Theories Siska Yuni Fitria; Suhartini Suhartini; Ristya Widi Endah Yani
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 3 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.3.381-392

Abstract

Throughout the world, almost every day, 800 mothers die due to complications of pregnancy and childbirth, and more than 5 million babies die every year. One factor that can increase the risk of maternal and infant death is Chronic Energy Deficiency (CED) during pregnancy. This research aimed to analyse the determinants of CED factors in pregnant women with modifications to Lawrence Green's and Snehandu B. Kar's theories. This research used an analytical survey with a cross-sectional approach. In August–September 2023, there were 97 cases and 97 controls. The sampling technique was purposive sampling—bivariate analysis used chi-square and multivariate with a logistic regression test. The statistical analysis showed that education, gravida, parity, pregnancy interval, and husband's support have a significant relationship with CED (p<0.05). Meanwhile, age, knowledge, occupation, Antenatal care (ANC) examination, intention to become pregnant, independence in making health decisions, the role of health workers, family and health cadre support, transportation facilities, and ease of obtaining health information were not significant relationships to CED (p>0.05). Multivariate statistical analysis showed primigravida was the most dominant factor (p<0.05). The factors of education, gravida, parity, pregnancy interval, and husband's support were significant relationships with CED in pregnant women. The most dominant factor causing CED is primigravida. We recommend providing optimal FE tablets and educating adolescents about the importance of adolescent nutrition and integrated services in the school environment.
Opportunities and Challenges in Implementing Regional Public Service Agency Policy in Regional Hospitals: Systematic Review Masyitoh Basabih; Indriaswari Widhakuswara
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.1-20

Abstract

The Policy of the Regional Public Service Agency (Badan Layanan Umum Daerah or BLUD) is a form of autonomy for Regional Public Hospitals (Rumah Sakit Umum Daerah or RSD) born from healthcare service reforms. Despite being implemented for over two decades, several challenges in persist policy implementation. This research aims to analyze the opportunities and challenges in implementing the BLUD policy in RSD within the context of public services. The research method employed is a systematic review using inclusion criteria. Searches were conducted using the keywords policy implementation, BLUD, and RSD, utilizing the Garuda database and Google Scholar. This systematic review analyzes articles published from 2007 to 2022. The study identifies challenges such as resource quality, organizational fragmentation, and suboptimal communication. On the other hand, there is evidence of positive acceptance or response from implementers towards the BLUD policy. Based on the analysis, it can be concluded that the BLUD policy provides opportunities for RSD to enhance performance through its flexibility. Human resource capacity and communication pose challenges in BLUD policy implementation within RSDs. Implement targeted training programs for both regional governments and hospitals should address the specific needs and challenges of BLUD implementation, such as potential knowledge gaps arising from differing educational backgrounds.
Health Care System Application (Good Care) Android-Based at Primary Health Care (Case Study at Clinic of Wijaya Kusuma) Prasastin, Oliva; Napida, Anggi; Fanny, Nabilatul
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.97-115

Abstract

The development of information systems is currently experiencing very rapid development which we now recognize as the era of digitalization, one of which is in the field of health services. Primary healthcare is a type of medical health service that provides health services to individuals at the first level health service. The problem that most often arises is related to the registration system which is still done manually by recording in the registration book, thereby allowing the risk of errors occurring and the process of searching for visit data taking a long time. This research aims to improve better service for visits so it is necessary a good, systematic and integrated data handling and processing in a developing service system, even at the level of independent health service practice. This research method uses Field Observation, Library Research, Interviews, Study Research Literature (Research Literature Study), System Design, System Implementation and Testing. Application system from syntax errors and functionally produces functions as expected. The health service system application (Good Care) has been tested and can be used so that it can increase the effectiveness and efficiency of health services at the independent doctor's practice at Clinic of Wijaya Kusuma.
Differences in Diet and Nutritional Status in Toddlers in Coastal and Mountainous Areas Lestari, Puji; Hidayati, Nurul; Ummunnisa, Melya
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.57-69

Abstract

Malnutrition of toddlers is often referred to as the golden age, which is irreversible. One of the factors that influence nutritional status is diet. The different geographical location between the coast and the mountains causes different food sources to be obtained. The purpose of this study was to analyze the differences in diet and nutritional status of toddlers in coastal and mountainous areas. This research design used a cross-sectional with sampling technique used stratified random sampling resulted in 143 toddlers. Data were obtained from direct interviews using the Semi Quantitative-Food Frequency Questionnare (SQ-FFQ) and nutritional status measurements using weight and height. The results showed that in coastal areas the majority of diets (energy, protein, fat, and carbohydrate) were good (90.9%), over (100%), good (67.5%) and good (85.7%). As for the majority of nutritional status in coastal areas, the weight for age (W/A) was normal (84.4%), height for age (H/A) was normal (92.2%), and weight for height (W/H) was normal (89.6%). In mountainous areas the majority of diets (energy, protein, fat, and carbohydrate) were over (57.6%), over (95.5%), over (60.6%) and good (68.2%). As for the majority of nutritional status in mountainous areas, the W/A was normal (96.96%), H/A was normal (71.21%) and W/H was normal (87.9%). The bivariate test showed there are difference energy and fat intake (p<0.05), but there are no difference protein dan carbohydrate intake (p> 0.05) between coastal and mountainous areas. The nutritional status  have difference in H/A, but no differences in W/A and W/H in toddlers between coastal and mountainous areas.
Risk Factor Analysis for Stroke Incidence in North Sulawesi: Based on the 2018 Indonesia Basic Health Research Mulyani, Lia; Marjan, Avliya Quratul; Arini, Firlia Ayu; Octaria, Yessi Crosita
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.70-84

Abstract

Stroke is a serious public health issue and the main cause of disability and death after ischemic heart disease. Every year, 12.2 million individuals worldwide suffer from a stroke, which results in 6.5 million deaths. There has been an increasing incidence of stroke in Indonesia, including in North Sulawesi. This study aims to examine the risk factors for stroke incidence in North Sulawesi in a population aged ≥35 years based on the 2018 Indonesia Basic Health Research data. This quantitative research was an analytical observational study with a cross-sectional design. The Chi-square test and multiple logistic regression were performed during data analysis involving 7,111 respondents. The multivariate analysis results showed that hypertension (p=0.000; AOR 8.739; 95% CI 5.758-13.263), physical activity (p=0.000; AOR 2.771; 95% CI 1.944-3.948), gender (p=0.000; AOR 2.047; 95% CI 1.388-3.017), heart disease (p=0.015; AOR 1.919; 95% CI 1.133-3.250), age (p=0.008; AOR 1.669; 95% CI 1.144-2.434), occupation (p=0.008; AOR 1.693; 95% CI 1.145-2.504), and fatty foods consumption (p=0.023; AOR 0.603; 95% CI 0.390-0.932) had a significant correlation with stroke incidence in this study. The main finding of this study shows that hypertension is the most influential risk factor for stroke incidence in a population aged ≥35 years in North Sulawesi. Regular blood pressure screenings are needed as an early hypertension detection effort to prevent stroke incidence.
Adoption of the Supplemental Food for School Children Program at Kulon Progo City Hartika, Andi Yuniarsy; Ulumiyah, Safira Ainun
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.85-96

Abstract

One of the national programs is providing Supplementary Food for School Children, which was launched to accelerate the achievement of national development goals. This complete food-based program was the first to be carried out in Kulon Progo Regency; in the previous year, this supplementary food program was provided in the form of snacks. This research aims to explore the adoption of the Supplementary Food for School Children program in Kulon Progo Regency. This research used a qualitative design with a case study approach. The selection of informants used a purposive sampling technique. Data collection is done by in-depth interview method and focus group discussion. The validity of the data is done by using source triangulation, member checking, and peer debriefing. This aspect of adoption consists of the program implementer's intention to adopt a program, how the activity implementer tries to implement a program and implements the innovations needed for program development. This is demonstrated by their being able to prepare a team to implement the Supplementary Food for School Children program in schools consisting of cooks and administrative staff, prepare the facilities and infrastructure for implementing the program, and carry out initial anthropometric measurements of school children. Schools receiving the Supplementary Food for School Children program show that they are ready and able to adopt this new program in their respective school settings
The Implementation of Canteen Management Policy in Sriwijaya University: A Qualitative Study Rahmiwati, Anita; Febry, Fatmalina; Purnamasari, Indah; Etrawati, Fenny
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.2.167-180

Abstract

A canteen in the campus environment is one of the infrastructures that educational units must own that will support educational activities if it is managed well by paying attention to the nutritional content of food and implementing proper hygiene and sanitation. This research aims to find an overview of the canteen management policy at Sriwijaya University. This research used a qualitative design with 23 research informants, consisting of 2 Vice Chancellors, 1 Dean, 2 Deputy Deans, 6 canteen owners, 6 employees, and 6 students at Sriwijaya University. Data collection was carried out using in-depth interviews and observation.The data was  analyzed using the Content Analysis method and presented in a narrative for interpretation. Monitoring of each faculty's canteen for the management of a healthy canteen has mainly been carried out by handlers or sellers. However, facilities and infrastructure, such as access to electricity, clean water, canteen area, and canteen location, still need to be improved. Regarding food quality, practices, and sanitation, the food sold in each canteen already has good nutritional content. The implementation of healthy canteen management policies has been regulated in policies per faculty, although it is not evenly distributed. It is stated that the central policy for managing healthy canteens is still being designed. The implementation of canteen management policies at Sriwijaya University is that facilities and infrastructure still need to be improved, he food handlers and canteen managers are expected to continue to pay attention to food hygiene and sanitation of canteen buildings by the Indonesian Minister of Health Regulation Number 1096 of 2011.
Determinants of Personal Protective Equipment Use Behavior Among Female Farmers of Childbearing Age Exposed to Pesticides in Dempo Selatan District Pagar Alam City Ulandari, Rizka Tri; Purba, Imelda; Oktivaningrum, Rafika; Saci, Muhammad Amin Arigo; Hasyim, Hamzah; Ardillah, Yustini; Putri, Dini Arista
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.2.181-194

Abstract

Female farmers of childbearing age are at risk of adverse health effects due to pesticide exposure in agricultural activities. The use of Personal Protective Equipment (PPE) that does not meet the required standards is one of the factors that causes high pesticide exposure in female farmers of childbearing age. Therefore, the objective of this research was to analyze the factors associated with PPE use behavior among female farmers of childbearing age in South Dempo District of Pagar Alam. This research was a quantitative analytic with a cross-sectional approach. The population of this study was all farmers of childbearing age in the South Dempo District Pagar Alam. A sample of 116 respondents was selected through simple random sampling. Data collection was conducted through interviews using a questionnaire. Data processing was carried out with the stages of editing, coding, entry, and cleaning. Bivariate analysis employed the chi-square test, while multivariate employed the multiple logistic regression. The results of the bivariate analysis showed that there were significant associations between the variables and PPE use behavior: education level, income level, knowledge, attitude, and PPE availability (p-value<0.05). In contrast, age, work period, and agricultural extension worker support were not significantly associated with PPE use behavior (p-value>0,05). The multivariate analysis showed that the most dominant variable determining PPE use behavior was PPE availability. The study concluded that PPE availability was the most determining factor in the PPE use behavior among female farmers of childbearing age.

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