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INDONESIA
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 Knowledge and Host Behavior With Pulmonary Tuberculosis Cases in the Productive Age in Rantau Alai District, Ogan Ilir Regency Hanifah, Arindi Dinda; Razak, Rahmatillah; Sunarsih, Elvi; Budiastuti, Anggun
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.2024.15.2.209-219

Abstract

Pulmonary tuberculosis is an infectious disease that is a health problem in the world. In Indonesia, most cases of tuberculosis attack the productive age. Cases of pulmonary tuberculosis in Rantau Alai District in 2022 amounted to 380 cases, with the number of positive cases as many as 29 cases resulting in disability in the lungs and extrapulmonary organs and even death. The purpose of this study was to analyze the relationship between knowledge and behavior of the host with the incidence of pulmonary tuberculosis at productive age in Rantau Alai Subdistrict, Ogan Ilir Regency. This study used a case-control design with 108 respondents selected by simple random sampling. Then, the data analysis test was carried out, namely the chi-square test and multiple logistic regression test. The results showed that there was a significant relationship between knowledge (p-value<0.001), smoking history (p-value>0.001), household contact (p-value<0.001), the habit of drying mattresses (p-value<0.001) and the habit of opening windows every morning (p-value<0.001) against pulmonary tuberculosis. The results of multivariate analysis showed that the variable of house contact (p-value 0.001) was the most dominant variable associated with pulmonary tuberculosis (OR= 15.059, 95% CI: 3.093-73.317). The conclusion of this study is that poor knowledge and behavior of the host can increase the risk of pulmonary tuberculosis. Suggestions for the community are expected to follow extension activities on an ongoing basis and implement clean and healthy living behaviors to prevent the proliferation of pulmonary tuberculosis bacteria.
The Implementation of the Dengue Hemorrhagic Fever (DHF) Eradication Program Putri, Rossa Anugerah; Herniwanti, Herniwanti; Abidin, Aldiga Rienarti; Rahayu, Endang Purnawati
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.2024.15.1.132-148

Abstract

Billions of people living in wet tropical climates are at risk of suffering from Dengue Hemorrhagic Fever. In 2019, until mid-December throughout Indonesia, there were 71,668 people with dengue fever, and 641 of them died. Indragiri Hulu Regency is an area with a wet tropical climate and it becomes an endemic area Rengat District. This study aims to analyze of the implementation of the Dengue Hemorrhagic Fever eradication program. The type of research is analytical qualitative with case study design. The research informant technique used purposive sampling with 11 people. From the results of research and observations, it is shown that human resources are limited in facilities, not enough infrastructure is available, funds are still limited, from fogging carried out when cases occur, Eradication of Mosquito Nests. Dengue Hemorrhagic Fever is still not actively carried out by the community, abate powder is not evenly distributed to the community, Counseling that is still interested in carrying out Eradication of Mosquito Nests for Dengue Hemorrhagic Fever. Minimally carried out and public awareness about the condition of the environment around the community which is still not clean, causing the development of dengue mosquito larvae. It can be concluded that the Dengue Hemorrhagic Fever eradication program at the Sipayung Health Center still needs to be improved. It is expected to make program innovations to increase public interest in carrying out Eradication of Mosquito Nests for Dengue Hemorrhagic Fever.
The Influence of Feeding Practice on the Risk of Stunting in Toddler: A Scoping Review Gustavia Yolanda, Sholihah; Ismarwati, Ismarwati
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.2024.15.2.149-166

Abstract

Child stunting is a serious case that is difficult to overcome because it is caused by poor food quality and the amount of food that does not meet the body's needs during the first two years of life. The purpose of this study is to review the influence of feeding practices and feeding methods on the risk of stunting in children under five. PRISMA-ScR reporting guidelines are used to identify key concepts and knowledge gaps. This scoping review used a five-step framework approach. The databases used were PubMed, Wiley Online Library, ScienceDirect, and EBSCO. Manual searches used the Research Rabbit search engine. Based on the search results of 979 articles, ten articles were found that matched the inclusion criteria. Out of the seven themes found, four were in line with WHO's complementary feeding indicators, namely Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD), Minimum Acceptable Diet (MAD), and Introduction of Solid, Semi-Solid or Soft Foods (ISSSF). While the other three themes are a time of first feeding, breastfeeding practices, and feeding methods. Overall, inadequate feeding practices result in child malnutrition, including stunting. Improper nutrition and care during the first 1000 days of birth is detrimental to a child's life, both in the short and long term as malnutrition that occurs at this early stage of life has serious and irreversible consequences. Large-scale studies are recommended to explore the role of IYCF in reducing stunting and qualitative studies to determine barriers and drivers to improve infant and young child feeding practices.
Influence of Nutritional Status, Physical Activity and Stress Level on Menstrual Cycle Wari, Sindi Laras; Siagian, Masryna; Wau, Herbert
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.2024.15.2.195-208

Abstract

Menstrual cycle research was conducted on female students of the Public Health Study Program of Prima Indonesia University because it was found that 53% of female students experienced abnormal menstrual cycles. Irregular menstrual cycles can be an indicator of reproductive health issues such as hormonal imbalances or other endocrine disorders. This study was to see the relationship between nutritional status, physical activity and stress levels with the menstrual cycle in female students of the Public Health Study Program of Prima Indonesia University. This type of research uses analytical observational using cross-sectional design. The population in this study was 204, with 135 samples obtained by random sampling technique. Data analysis was carried out using the chi-square statistical test and multivariate logistic regression binomial. Most of the subjects experienced normal nutritional status by 63%, light physical activity by 49.6%, moderate stress level by 83% and abnormal menstrual cycle (oligomenorrhea menstrual cycle > 35 days) by (60%). There was no relationship between nutritional status (p=0.650) and physical activity (p=0.528) with menstrual cycle. There was an association between stress level (p=0.043) with menstrual cycle. Thus, nutritional status and physical activity did not correlate with the menstrual cycle, but stress level correlated with menstrual cycle of students. Based on the research findings, it is recommended to implement stress control programs and increase awareness about the menstrual cycle for female students.
Subjective Norms of Health Students Related to Parent's Social Control on Intention to Stop Smoking Husna, Ahsanu Bil; Ira Nurmala; Erdi Istiaji; Erwin Nur Rif'ah
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.2024.15.1.116-131

Abstract

Smoking among students is a significant global issue. Health students, expected to be knowledgeable about smoking dangers and serve as role models, are found to engage in smoking behavior, which is concerning. This study aimed to analyze health students' perceptions regarding parental social control and their intention to quit smoking using the Theory of Planned Behaviour, specifically focusing on the role of subjective norms. The study used a descriptive qualitative approach with a phenomenological methodology involving in-depth interviews and observations. The research was conducted in Jember Regency with five primary informants, health students at the University of Jember, and key informants who were close friends and parents of primary informants. Data processing used the interactive data analysis model proposed by Miles and Huberman, involving three steps: data reduction, data presentation, and conclusion drawing. The study found that health students who smoke positively perceived their parents' opinions and social support regarding smoking cessation behavior. They viewed their parents' efforts to prevent them from smoking as beneficial and effective in influencing their behavior. health students who smoke acknowledged that the social control exerted by their parents was crucial in helping them overcome their smoking habits. Most health students who smoke expressed a strong intention to quit smoking, indicating a willingness to change their behavior in response to the support they received from their parents. The study suggests that parents should set a good example and communicate effectively to influence adolescent smoking behavior. Health students and health offices can also support this effort through smoking cessation activities and education.
The Suitability of Direct Medical Costs with INA-CBG'S Claims of Outpatient Breast Cancer in Class A and B Hospitals Nugraheni, Diesty Anita; Hafi'ah, Fanyda Amiyassin; Harlin, May Syahra Indah Permata; Tetuko, Aji; Indarti, Titik Rahayu; Mayasari, Gita
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.2024.15.2.272-287

Abstract

BPJS Kesehatan noted that cancer financing claims reached IDR 3.5 trillion, ranking second after heart disease. This study aimed to determine the difference in direct medical costs with Indonesian-Case Base Groups (INA-CBGs) claims of outpatient breast cancer in Class A and B hospitals. The population is National Health Insurance (JKN) patients with outpatient breast cancer with the code INA-CBGs C-3-13-0. Data was collected retrospectively by tracing medical records, pharmaceuticals, and direct medical cost data for outpatient cancer patients in Class A and B hospitals for 2021. Direct medical costs are the actual costs of a patient's health care during a single visit to the hospital based on the hospital's perspective. Using the Mann-Whitney test, statistical analysis was performed to see how INA-CBGs claims differ from direct medical costs. The study result showed that the average direct medical cost of outpatient breast cancer patients in the group of recipients of contribution assistance (PBI) in Class A hospitals was IDR 3,397,073, non-PBI patients were IDR 3,439,253, and in Class B hospitals were IDR 2,619,355.26 with the direct medical cost component that contributed the most was drug bills. The direct medical costs of the hospital are more significant than the claims of INA-CBGs, resulting in a negative difference with the details of PBI patients in class A hospitals of minus IDR 88,041,600, non-PBI patients of minus IDR 91,386,300, and patients in Class B hospitals of minus IDR 160,419,079. There is a significant difference between the total claims of INA-CBG and direct medical costs for outpatient breast cancer patients in Class A and B hospitals (p=0.0001).
The Relationship Between Self-Efficacy and Self-Care Management with the Quality of Life of Patients With Diabetes Mellitus Puspita, Widya Galih; Wijayanti, Anisa Catur
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.2024.15.2.258-271

Abstract

Diabetes Mellitus (DM) is a disease that suffers for years and even throughout life. DM patients have the possibility of experiencing various kinds of complications that hurt their quality of life. Factors that affect the quality of life include characteristic respondent (family history, gender, age, long-suffering of DM), self-efficacy, and self-care management. This study analyzed the relationship between self-efficacy and self-care management and the quality of life of DM patients. This quantitative study used an analytical observational approach using a cross-sectional study design with a sample size of 180 respondents, determined by a purposive sampling technique. Data was collected from respondents using a questionnaire. The research data were analyzed using logistic regression. There is a relationship between self-efficacy (p-value = 0.003) with OR (95% CI) = 7.108 (1.981 – 25.510) and self-care management (p-value 0.024) with OR (95% CI) = 3.703 (1.190 – 11.525) with quality-of-life DM patients. This study recommends that structural education programs and increased social support improve self-efficacy and self-care management to impact the quality of life of DM patients positively.
Relationship of Sedentary Lifestyle With Hypertension Incidence in Productive Ages (20-59 Years) Among Educators and Educational Staff in Jember, Indonesia Qaimima Ayuni; Kinanthi, Citra Anggun; Prasetyowati, Irma
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.2024.15.2.246-257

Abstract

Hypertension remained a major global health issue that had not been fully addressed, causing 10.8 million deaths and serving as the leading risk factor for mortality worldwide. A sedentary lifestyle was a significant contributor to hypertension among the productive age group. It had been shown that a sedentary lifestyle decreased Nitric Oxide (NO) levels, cardiac output, and systemic blood flow, which altered blood vessel diameter, reduced insulin sensitivity, and impaired vascular function. These factors negatively impacted cardiovascular health, including the development of hypertension. The prevalence of hypertension among university educators was higher compared to other educational institutions, primarily due to lower physical activity levels and greater career pressures. Therefore, the objective of this research was to analyze the relationship between a sedentary lifestyle and the incidence of hypertension in productive ages among educators and educational staff in Jember. This research was a quantitative analytic study with a cross-sectional approach. The population of the study consisted of 2,531 educators and educational staff in Jember. A sample of 106 respondents was selected through simple random sampling. Data collection was conducted through interviews and the use of a Global Physical Activity Questionnaire (GPAQ). Both bivariate and multivariate analyses employed binary logistic regression. The results of the bivariate analysis showed significant associations between hypertension and characteristics such as age, family history of hypertension, smoking, Body Mass Index (BMI), and sedentary lifestyle (p-value < 0.05). However, gender was not significantly associated with hypertension (p-value > 0.05). The multivariate analysis confirmed that a sedentary lifestyle was the most dominant determinant of hypertension.
Decomposition of HIV Knowledge In Urban-Rural Areas In Indonesia Murti, Fadhaa Aditya Kautsar; Utami, Asti Annisa; Jangkang, Gastin Gabriel
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.2024.15.2.234-245

Abstract

HIV/AIDS remains a public health crisis, HIV/AIDS remains a public health crisis, especially among male adolescents in Indonesia. This urgency stems from the rapid increase in cases among adolescents, who often lack adequate access to education and prevention resources. If left unaddressed, the epidemic could continue to spread among younger populations, leading to long-term social and economic consequences. Despite the crucial role of HIV knowledge in prevention, disparities exist between rural and urban areas. This study examines these disparities, identifying factors influencing HIV knowledge. This cross-sectional study employed a total of 10,943 male adolescents enrolled in a survey called Indonesia Demographic Health Survey (IDHS) 2017. To address those disparities, a stratification chi-square based on place of residence was employed. We also employed a multivariate decomposition analysis to examine which variables account for most gaps. Results found that only 15% of adolescents were knowledgeable (9.5% in urban and 5.5% in rural areas). Bivariate Analysis showed that education level and HIV test awareness were associated in both areas ( p-value < 0.05), while wealth quintile and internet use were associated in urban areas only ( p-values < 0.05). The HIV knowledge gap would decrease by 8% if internet use was equalized, by 11% if HIV testing awareness was equalized, by 17% if educational attainment was equalized, and by 24% if wealth quintiles were equalized. This calls for a multi-sectoral intervention targeting such factors for better HIV outcomes in Indonesia.
Family Support Pattern for Treatment Adherence Among Tuberculosis Patients in Deli Serdang Regency : A Qualitative Study Gurusinga, Rahmad; Afrizal, Afrizal; Bachtiar, Adang; Firdawati, Firdawati; Machmud, Rizanda; Burhan, Erlina; Jendrius, Jendrius; Semiarty, Rima
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.2024.15.2.220-233

Abstract

In Indonesia, 50% of tuberculosis (TB) treatments are discontinued prematurely. The success of TB treatment depends on patient adherence to completing the treatment. Family support is crucial in enhancing TB patient adherence, particularly regarding emotional and appreciation support. This study aims to explore the complexity of family support to TB patient adherence in Deli Serdang Regency, North Sumatra Province, Indonesia. This qualitative study employed participatory observation and in-depth interviews with TB patients and their family members. The research was conducted from February to April 2024 in Deli Serdang Regency, North Sumatra, Indonesia. Informants included 10 TB patients and 16 family members, selected purposively based on data from the public health center and the TB Program Holder. The researcher was the primary instrument of the study, focusing on two dimensions of family support: emotional and appreciation. Data validity was checked through credibility testing, including triangulation. The study findings indicate that family emotional support is reflected in expressions of empathy and caring. Sadness is evident from family members’ tears upon learning that a relative tested positive for TB. Family support is shown by accompanying TB patients to the health center and reminding them to take treatment. Appreciation support is demonstrated by valuing the patient’s treatment process. Family members encourage and motivate the patient to adhere to the treatment. Emotional and appreciation support from family plays a significant role in TB patient adherence to treatment. Families can significantly contribute to the success of TB treatment by demonstrating empathy, caring, and appreciation for the patient.

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