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Journal of Public Health Sciences
Published by Indonesian Institute of Science and Technology Research
ISSN : 29619106     EISSN : 29618681     DOI : https://doi.org/10.56741/jphs.v1i02
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Public Health Sciences is an international peer-reviewed journal publishing original and high-quality papers in all aspects of the science and practice of public health. As an academic exchange media, scientists and researchers can know the up-to-date trends and seek valuable sources. The subject areas include, but are not limited to the following fields: public health practice, epidemiology, health promotion, health service effectiveness, public health governance, disease prevention, and public health evaluation.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 72 Documents
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The Relationship Between Pre-Conception Nutritional Care Patterns and ANC Frequency with Stunting Incidence in Newborns: A Prospective Cohort Study in North Sumatra Suryani, Elvi
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001102

Abstract

Stunting remains a critical public health challenge in Indonesia, with North Sumatra showing particularly high prevalence rates. Pre-conception nutrition and antenatal care (ANC) frequency are potentially modifiable factors that may influence birth outcomes and subsequent growth patterns. To examine the relationship between pre-conception nutritional care patterns and ANC frequency with stunting incidence in newborns using a mixed-methods prospective cohort design in North Sumatra. A prospective cohort study was conducted involving 1,200 women of reproductive age (18-35 years) who intended to conceive, recruited from primary healthcare centers across North Sumatra. Participants were followed from pre-conception through 24 months post-delivery. Pre-conception nutritional assessment included body mass index (BMI), mid-upper arm circumference (MUAC), hemoglobin levels, and dietary intake patterns. ANC frequency and quality were monitored throughout pregnancy. Birth outcomes and child growth measurements were assessed at birth, 6, 12, 18, and 24 months. Qualitative interviews were conducted with a subsample of 60 mothers to explore perceptions and experiences regarding nutrition and healthcare utilization. The overall stunting prevalence at 24 months was 28.3%, consistent with national averages. Mothers with optimal pre-conception nutrition status (adequate BMI ≥18.5 kg/m², MUAC ≥23.5 cm, hemoglobin ≥12 g/dL) had significantly lower risk of having stunted children (adjusted OR: 0.65, 95% CI: 0.48-0.87, p<0.01). Adequate ANC visits (≥6 visits) were associated with 18% lower risk of stunting (adjusted OR: 0.82, 95% CI: 0.68-0.99, p<0.05). Qualitative findings revealed significant knowledge gaps regarding pre-conception nutrition importance and cultural barriers to optimal healthcare utilization.  Pre-conception nutritional status and adequate ANC frequency are significant protective factors against stunting in North Sumatra. Integrated interventions targeting both pre-conception health optimization and improved ANC utilization may substantially reduce stunting prevalence.
Determinants of Compliance of Mothers on Vaccine Preventable Diseases (VPD) Immunization at the Rural Health Units of the 5th District of Camarines Sur M. Dacara, Jhessa; Malabanan, Leni Moralde
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001154

Abstract

The study examined the determinants of compliance with vaccine preventable diseases (VPD) immunization among mothers with children aged ≥1 year in the rural health units of the 5th District of Camarines Sur, Philippines. The research utilized a descriptive analytical research design employing a questionnaire to gather data. The findings reveal a diverse demographic profile among the respondents, highlighting factors such as age, civil status, religion, number of children, educational background, occupation, and family income. The study indicates a strong commitment to vaccination practices among mothers, with notable emphasis on prioritizing immunization appointments and recognizing the importance of vaccination for preventive healthcare. Factors influencing compliance include access to healthcare services, knowledge and awareness about vaccines, attitudes and beliefs, socio-economic status, and the availability of healthcare infrastructure. Religion and family monthly income emerged as significant predictors of compliance, underscoring their impact on immunization adherence.  Based on the study's results, a proposed plan to enhance compliance focuses on educational campaigns, improved accessibility, personalized support, and incentives for mothers. By addressing these areas, the plan aims to increase vaccination rates and ensure effective implementation of VPD immunization programs.
The Relationship Between Education Level and Public Knowledge of Malaria in East Seram Regency, Maluku Kailola, Nathalie Elizcheva; Seimahuira, Theresia Natalia; Lekatompessy , Jerome Constantine
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001196

Abstract

Malaria remains a significant public health challenge in tropical regions, including East Seram Regency in Maluku Province, which continues to experience high malaria endemicity. Community education plays a vital role in shaping health literacy and malaria knowledge. This cross-sectional study examined the association between education level and malaria knowledge among 253 randomly selected respondents using a validated questionnaire. Logistic regression analysis examined the relationship between education, healthcare facility visits, and malaria knowledge. The findings indicated that higher education level was strongly associated with better malaria knowledge (OR=6.93; 95% CI: 1.89–25.45; p=0.003). Respondents who had visited health facilities were more likely to have good malaria knowledge (OR=2.45; 95% CI: 1.38–2.90; p=0.001). Other variables, including gender, marital status, income, and age, were not statistically significant after adjustment. To reduce malaria burden, scalable interventions should prioritize educational outreach and improve access to quality health services. Integrating these strategies into regional malaria control programs can enhance community health literacy and support sustainable prevention efforts.
Designing A Digital-Based Surveillance Information System Prototype for Epidemiological Investigation of Avian Influenza (H5N1) In Bali Province I Gusti Ngurah Agung Surya Pratama; Putu Putri Agustini; I Dewa Agung Ayu Ari Shinta Dewi; I Made Subrata; Ngakan Putu Anom Harjana; Sang Gede Purnama; Romy Muhammad Dary Mufa
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Article in Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001222

Abstract

Avian Influenza (AI) is an infectious disease that can attack birds and humans caused by a virus. Until April 2023, the number of human victims infected with AI disease in the world reached 874 people (confirmed AI cases), with 458 of them dying (CFR = 52%). Health Surveillance is a systematic and continuous observation activity of data and information about the incidence of disease or health problems and conditions that influence the increase and transmission of disease or health problems. The aim of the research is to design a digital-based AI epidemiological surveillance system in Bali Province. The research design used in this research is a research and development (R&D) approach with a prototyping development model. Acceptance tests were carried out on 130 surveillance officers with the PSSUQ questionnaire. The results obtained were in the form of a prototype AI epidemiological investigation information system application with acceptance test results regarding system quality (2.37), information quality (2.43), and the overall system (2.37) showing very good results. Meanwhile, acceptance of the quality of the design or appearance of the prototype is in the good category (2.37). This value is classified based on the norm scale of the PSSUQ questionnaire. Conclusion: Therefore, this AI epidemiological investigation surveillance information system is worthy of further development.
Comparative Analysis of INA-CBGs Tariffs and Unit Cost of Cesarean Section: A Systematic Review in Indonesian Hospitals Syakurah, Rizma Adlia; Frymaruwah, Edwin; Mufarikhah, Muhimatul; Izzatika, Meiliza
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001257

Abstract

The National Health Insurance (JKN) requires efficient, equitable, and sustainable healthcare services. However, various studies indicate discrepancies between INA-CBGs tariffs and actual hospital service costs. One of the procedures with the highest claim rates is Cesarean Section (CS), which exhibits significant disparities. This study aims to analyze the average unit cost associated with Cesarean Sections (CS) across Indonesia using the Activity-Based Costing (ABC) method. A systematic literature review (SLR) approach was employed, analyzing articles published between 2017–2024. Relevant articles were retrieved through the Google Scholar database. Of the 79 articles initially identified, 37 passed the preliminary screening, and 12 articles met all inclusion criteria. Results indicate that INA-CBGs tariffs for CS procedures only cover 25%–54% of actual costs, varying by service class, hospital location, and operational efficiency. This mismatch contributes to financial deficits in hospitals, potentially compromising service quality, restricting medical equipment procurement, and increasing healthcare professionals’ workloads. Moreover, regional cost variations demonstrate that the current tariff system inadequately considers geographic factors and service complexity. Hospitals in major cities like Bandung report nearly double the unit costs compared to regions such as Yogyakarta or Lampung. Therefore, findings highlight the necessity of reformulating INA-CBGs tariffs to better reflect hospitals' actual conditions. Without updates based on cost-of-service, the financing system risks perpetuating service disparities and reducing the quality of national healthcare. The review findings indicate that the actual cost of Cesarean Section (CS) procedures in Indonesian hospitals is significantly higher than the INA-CBGs tariffs reimbursed by BPJS, with disparities ranging from 46% to 75%.
Analysis of Health-Seeking Behavior for Non-communicable Diseases: a Literature Review Lu'lu Luthfiatun Ulinnuha; Titih Huriah
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001261

Abstract

People's behavior in seeking health care is an important first step in preventing and controlling non-communicable diseases (NCDs). Non-communicable diseases account for 43 million deaths globally, with 82% of these premature deaths occurring in low- and middle-income countries. Therefore, this literature review aims to explore patterns of health-seeking behavior and the factors that influence them worldwide. This research employed a literature review method, with data searches conducted through Emerald Insight, PubMed, and Scopus, following the PRISMA protocol guidelines for literature reviews. The keywords used in the search strategy were "health-seeking behavior" and "non-communicable disease" combined using Boolean operators AND and OR. Seven international articles published between 2019 and 2024 met the inclusion and exclusion criteria. The findings of this research indicate that health-seeking behavior for non-communicable diseases varies significantly across countries, with a preference for traditional medicine remaining prevalent. Social, cultural, economic, and health services access factors influence this preference. Policymakers and relevant stakeholders should encourage promoting health-seeking behavior, expanding health insurance coverage, and strengthening healthcare infrastructure.
Study of Socio-cultural Support for Stunting in Children of Biak Regency K, Hairuddin; Meliani Yulis, Dian; Suprapto, Suprapto
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Article in Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001299

Abstract

Stunting remains a significant public health concern in Indonesia, particularly in Biak Regency, where socio-cultural factors and infant feeding practices influence child growth. This study examined the association between exclusive breastfeeding and socio-cultural support with stunting among children aged 25–59 months in Biak Regency. A cross-sectional analytic design was applied to 35 toddlers from the Ridge Public Health Center and Integrated Services Post. Data were collected via anthropometric measurements and structured questionnaires and analyzed using Fisher’s Exact Test and binary logistic regression. Stunting prevalence was 65.7%, and only 42.9% of children had received exclusive breastfeeding for the first six months of life. In bivariate analysis, none of the exclusively breastfed children and none of those with adequate socio-cultural support were stunted (both p < 0.001). In multivariable analysis, lack of exclusive breastfeeding (No vs Yes) was associated with higher odds of stunting (AOR = 18.0; 95% CI: 2.90–111.60; p < 0.001), and inadequate socio-cultural support (Inadequate vs Adequate) similarly increased the odds (AOR = 18.0; 95% CI: 2.90–111.60; p < 0.001). These results indicate that exclusive breastfeeding and supportive socio-cultural environments are strongly protective against stunting. Given the small sample and wide confidence intervals, findings should be interpreted with caution but highlight the need for culturally sensitive strategies that promote exclusive breastfeeding and address socio-cultural barriers during the first 1,000 days of life.
Patient Safety Culture as A Mediator Between Leadership and Incident Reporting Dameria, Kurniati; Talim, Margaretha Banowati; Sugiarto, Paulus Susilo
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Article in Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001325

Abstract

This study investigates the influence of transformational leadership on patient safety incident reporting among nurses in the inpatient units of Charitas Group hospitals, with a focus on the mediating role of patient safety culture. Using a sequential explanatory mixed-methods design, the research integrates quantitative survey data from 232 nurses and qualitative insights from 16 key informants, including unit heads and safety committee leaders. Structural Equation Modeling and Sobel test results reveal that transformational leadership has a positive effect on patient safety culture but a paradoxically negative direct effect on incident reporting. Patient safety culture significantly mediates this relationship, underscoring the role of organizational climate in translating leadership into safety behaviors. Qualitative findings illuminate this paradox, revealing stark unit-level differences such as in the Pharmacy unit, where psychological safety and open dialogue are strongly fostered, while in other units, fear, silence, and inadequate follow-up persist. The study finds that institutional values are not consistently reflected in daily practices, limiting cultural transformation. This study contributes to the limited literature in Indonesia by highlighting how leadership must be embedded in safe and responsive environments to encourage safety behavior. Recommendations include strengthening leadership presence and follow-through, enhancing safety committee roles, and conducting routine audits to promote a just and learning culture. The findings provide actionable insights for hospital policy, leadership training, and efforts to improve organizational safety in healthcare settings.
Cardiopulmonary Responses to Ramadan Fasting in Hypertensive Patients: A Multigroup Comparative Study Sukarmin; Edy Soesanto; Yulisetyaningrum; Ratna Aryani
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001331

Abstract

Hypertension remains a major global health challenge, prompting exploration of culturally relevant interventions such as Ramadan fasting. This study evaluated the effects of varying Ramadan fasting intensities on cardiovascular parameters among hypertensive patients. An observational design was applied to 159 participants in a community-based management program in Pati Regency, Indonesia, categorized into non-fasting, partial fasting, and full fasting groups. Systolic blood pressure (SBP) slightly increased in the non-fasting group (164.38 ± 19.12 to 166.04 ± 20.29 mmHg; p = .019), whereas both partial and full fasting groups showed significant SBP reductions (partial: 169.76 ± 16.96 to 163.86 ± 14.30 mmHg; p < .001; full: 171.79 ± 12.78 to 161.07 ± 13.15 mmHg; p < .001). A similar pattern was observed in diastolic blood pressure (DBP), with no significant change in the non-fasting group (p = .182), but significant decreases in the partial (99.28 ± 5.36 to 93.25 ± 6.27 mmHg; p < .001) and full fasting groups (102.86 ± 5.99 to 95.00 ± 6.38 mmHg; p < .001). Only the full fasting group showed a significant reduction in heart rate (97.54 ± 5.81 to 84.25 ± 4.54 bpm; p < .001), while oxygen saturation remained stable across all groups. These findings suggest that full Ramadan fasting provides substantial cardiovascular benefits, supporting its potential as a culturally grounded, non-pharmacological approach hypertension management.
Effectiveness of Modelling in Stunting Intervention to Improve Teenage Mothers’ Knowledge About Exclusive Breastfeeding Hatijar; Candra Yanti, Lilis
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001389

Abstract

Stunting remains a persistent public health problem in Indonesia, strongly associated with early marriage, teenage pregnancy, and inadequate breastfeeding practices. Exclusive breastfeeding for the first six months of life is a key strategy for stunting prevention; however, adolescent mothers often face knowledge and experience barriers. This study aimed to evaluate the effectiveness of a modelling-based intervention in improving adolescent mothers’ knowledge of exclusive breastfeeding in Poso Regency, Central Sulawesi. A quasi-experimental one-group pretest–posttest design was applied, involving 31 adolescent mothers recruited through purposive sampling. The intervention consisted of a 60-minute session, including a 30-minute educational video and a 30-minute live demonstration covering the benefits of exclusive breastfeeding, breastfeeding techniques, breast care, and common breastfeeding challenges. Data were collected using a validated questionnaire (Cronbach’s Alpha = 0.612) and analyzed using paired t-tests with a significance level of p < 0.05. Results showed a significant increase in knowledge scores from pretest (mean = 5.81) to posttest (mean = 6.97), with a mean difference of -1.16 (p = 0.003), indicating improved understanding after the intervention. The findings suggest that modelling-based education integrating visual and practical components effectively enhances knowledge among adolescent mothers. Nevertheless, the absence of a control group and the small sample size limit causal inference and generalizability. These results provide preliminary evidence that modelling interventions are potentially useful pending further research in supporting exclusive breastfeeding promotion and stunting prevention programs

Page 7 of 8 | Total Record : 72

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