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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 106 Documents
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Digital Premarital Health via KesCatin: Implementation Challenges in Pringsewu, Indonesia Nelly Indrasari; Risneni Risneni; Amrina Octaviana; Eva Berliana; Nurlaila Nurlaila; Roslina
Journal of Public Health Sciences Vol. 5 No. 01 (2026): 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.001370

Abstract

Stunting remains a major public health concern in Indonesia. Prevention during the premarital period is essential, as risk factors such as anemia, undernutrition, and early pregnancy (<20 years) are often established before conception. To address this, the Ministry of Health developed the KesCatin application as a digital innovation to enhance premarital reproductive health education and screening. This study aimed to explore the implementation process, challenges, and opportunities of the KesCatin application in improving digital-based premarital health services as part of stunting prevention efforts in Pringsewu District. A descriptive qualitative design was employed. Data were collected through four Focus Group Discussions (FGDs) involving 35 cross-sector program managers and in-depth interviews with 26 brides-to-be who had used KesCatin. Data were analyzed thematically following Braun and Clarke’s six-step framework, supported by source triangulation and member checking for validation. All 5,818 prospective brides registered in January–June 2024 received digital health screening and counseling via KesCatin. However, 3.2% were anemic (Hb <12 g/dL) and 1.8% had chronic energy deficiency (MUAC <23.5 cm). Thematic analysis identified three main themes: (1) strong cross-sector collaboration, (2) improved access to reproductive health information, and (3) barriers including poor internet connectivity, limited digital literacy, and absence of offline features. KesCatin has significant potential to strengthen premarital health services and support stunting prevention. To optimize its impact, offline access, user training, and continuous monitoring are recommended.
Building Holistic Well-Being: Islamic Physical, Psychological, and Spiritual Experiences in Breast Cancer Survivors Dewi Mustikaningsih; Nurrohmah; Desvika Putridewa Bernanda; Ilham Anugrah Hidayatullah
Journal of Public Health Sciences Vol. 5 No. 01 (2026): 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.001378

Abstract

Breast cancer is a leading cause of death for women in most countries in Indonesia. Breast cancer survivors are the primary subjects of most studies, but little attention is paid to the impact of the procedure, especially the post-mastectomy experience. We examined the physical, psychological, and Islamic spiritual aspects of breast cancer survivors who have undergone mastectomy. In this qualitative study, we recruited 21 women with breast cancer who had undergone mastectomy in a community in West Java Province. Participants were interviewed, recorded, and transcribed verbatim. Thematic analysis was conducted using Atlas-ti7. The main themes that emerged identified physical issues such as pain, fatigue, swelling, numbness, and stiffness at the surgical site; psychological issues such as loss of femininity, low self-esteem, sadness, worry, anxiety, and anger; Islamic spiritual issues such as complaining to Allah SWT, feelings of abandonment, and questioning Allah SWT's supreme power; and Islamic religious spiritual coping. Post-mastectomy breast cancer survivors experienced significant stress due to frequent hospital visits for check-ups and other procedures. We recommend including strategies for overcoming problems in the physical aspect with physical exercise, strategies for overcoming problems in the psychological aspect with breathing exercises, self-talk techniques, strategies for overcoming problems in the Islamic spiritual aspect with prayer, prayer, dhikr, Islamic caring, mindfulness for breast cancer survivors after undergoing mastectomy to improve the overall physical, psychological, and Islamic spiritual well-being.
Influence of Reproductive Health Education on Adolescent Self-Efficacy Herlianty; Evi Sridahrianti; Ni Ketut Sumidawati; Mira Kohmala Bauw
Journal of Public Health Sciences Vol. 5 No. 01 (2026): 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.001392

Abstract

Adolescence is a transitional period marked by vulnerability to various reproductive health problems, including physical, mental, and social challenges. Limited knowledge about reproductive health often leads adolescents to engage in risky behaviors and exhibit low self-efficacy in maintaining their well-being. Self-efficacy refers to an individual’s belief in their ability to perform actions necessary to achieve desired outcomes. In reproductive health, it reflects adolescents’ confidence in making informed decisions and adopting protective behaviors. Health education is therefore a strategic intervention to improve adolescents’ knowledge, attitudes, and confidence regarding reproductive health. This study aimed to examine the effect of reproductive health education on adolescents’ self-efficacy in the working area of UPT Puskesmas Kota Enrekang Regency. A quasi-experimental design with a one-group pretest-posttest approach was employed. A total of 80 adolescents were selected using purposive sampling, and the intervention was delivered through leaflet-based health education. Self-efficacy was measured using a 20-item questionnaire. Before the intervention, only 13.7% of respondents demonstrated good self-efficacy, while 86.3% were categorized as low. After the intervention, there was a significant increase in the mean self-efficacy score from 38.56 to 72.12, with a mean difference of 33.56 and a p-value of 0.009. These findings indicate that reproductive health education significantly improves adolescents’ self-efficacy. The study highlights the importance of integrating structured reproductive health education into school and community programs to empower adolescents, reduce risky behaviors, and promote healthier future generations in Indonesia.
Protecting Adolescents in Indonesia from the Dangers of Smoking and Tobacco Products: A Narrative Review and Policy Implementation Perspectives Fenny Etrawati; Rita Damayanti
Journal of Public Health Sciences Vol. 5 No. 01 (2026): 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.001422

Abstract

The World Health Organization states that the prevalence of tobacco product use among young people aged 15-24 is 13.3%, while in Indonesia reached 47.1%. Smoking has an impact on morbidity and mortality due to degenerative and infectious diseases, lost work productivity due to illness, and health care financing. It is necessary to understand what policy strategies are in place to protect adolescents from the dangers of smoking and tobacco products. This study uses a narrative review approach with a broad focus on identifying the problem of adolescent smoking in Indonesia, policy responses, gaps in the literature, and strategies for improving policy implementation. The increasing trend of cigarette and tobacco product use among Indonesian adolescents indicates the need for effective strategies to accelerate the implementation of global commitments to reduce it. In line with the mandate of the Framework Convention on Tobacco Control (FCTC), six (6) MPOWER messages can be implemented, namely: monitoring tobacco use and prevention policies; protecting the community against cigarette smoke; offering support to quit smoking; warning of the consequences of smoking; enforcing bans on cigarette advertising, promotion, and sponsorship; and raising tobacco taxes. In addition, cross-programme and cross-sectoral cooperation is needed to implement existing policies more effectively and efficiently. These are expected to reduce smoking prevalence as well as improve healthcare efficiency.
Assistive Technology to Support Medical Professionals for Disaster Management Debrina Kusuma Devi; Rika Yuliwulandari; Zulfan Febriawan; Rifda El Mahroos; Hafiz Tareq Abdullah Khan
Journal of Public Health Sciences Vol. 5 No. 01 (2026): 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.001436

Abstract

Medical assistive technology plays a crucial role in enhancing response and recovery efforts during disasters. This technology includes advanced tools and devices designed to support medical professionals in assessing, treating, and managing patients in high-pressure disaster situations. This paper will explore the medical assistive technology to enhance disaster management. This literature review was conducted via searching in databases such as PubMed, Science Direct, Google Scholar, and Scopus using keywords such as “technology for disaster management”; “pharmaceutical technology for disaster”; “health information”; “communication and technology”; and “disaster medicine technology, robotic, and IoT for healthcare”. The result showed that several tools and software were developed in many countries such as 3D printing for pharmaceuticals for medication printing, drone technology for delivering medical equipment, drugs, and blood, Emergency Medical Information Systems (EMIS), virtual reality (VR) for disaster medicine training, robotics, and innovative mobile applications like SaveMyLife, mental health applications, and rapid DNA technology for disaster victim identification. Using the Health System Resilience Framework, this study highlights how these technologies strengthen service delivery, workforce capacity, and information systems in emergencies. Despite their benefits, most innovations originate in high-income countries, raising challenges for equitable adoption. Future research should address scalability, local adaptation, and ethical considerations to enhance health system resilience in low-resource settings.
Effectiveness of Sajie Care Application in Reducing Stress: A Quasi-Experimental Study Isymiarni Syarif; Hasnawati Amqam; Saidah Syamsuddin
Journal of Public Health Sciences Vol. 5 No. 02 (2026): 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.001358

Abstract

This study evaluated the effectiveness of the Sajie Care mobile application in reducing stress among caregivers of individuals with schizophrenia. A quasi-experimental pretest–posttest control group design was conducted with 64 caregivers in Labakkang Sub-district, South Sulawesi, Indonesia. Participants were divided into an intervention group using the Sajie Care app (n = 32) and a control group receiving leaflet-based psychoeducation (n = 32). The three-month intervention integrated stress management education, Spiritual Emotional Freedom Technique (SEFT) therapy, medication reminders, and peer support. Stress levels were assessed using the Indonesian version of the Perceived Stress Scale (PSS-10). The intervention group showed a significant reduction in mean stress scores from 17.84 to 13.06 (p < 0.001), while the control group showed a smaller, non-significant change (16.84 to 15.75; p = 0.070). Between-group analysis confirmed significant differences at posttest 3 (p = 0.014). These findings indicate that Sajie Care effectively reduces caregiver stress and enhances coping capacity compared to conventional psychoeducation. The study demonstrates the potential of culturally adapted mobile health interventions as accessible, sustainable tools to strengthen community-based mental health services in low-resource settings.
Evaluating the Quality of Health Services for BPJS Nasional Indonesia Beneficiaries Using the Servqual Model Sudirman; Yulia Safitri; Desak Eka Susianawati; Ake Royke Calvin Langingi; Jumain
Journal of Public Health Sciences Vol. 5 No. 02 (2026): 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.001798

Abstract

Evaluating the quality of health services for BPJS participants is essential to ensure the effectiveness and sustainability of the National Health Insurance program. Although patient visits at the Tinggede Community Health Center have continued to rise, this increase has not been matched by improvements in service quality, highlighting the need for a structured assessment of patient needs. This study aims to evaluate patient perceptions of service quality using the ServQual model, which consists of five key dimensions: Reliability, Responsiveness, Assurance, Empathy, and Tangible. A quantitative cross-sectional design was employed involving 96 BPJS beneficiary respondents. Data were collected through a Likert scale–based questionnaire and analyzed using the Friedman test to compare perceptions across dimensions. Results show that Assurance and Responsiveness received the highest ratings, while Tangible scored the lowest and differed significantly from the top two dimensions. These findings indicate that non-physical elements, particularly competence, trustworthiness, and timely responses from healthcare workers, play a greater role in shaping patient satisfaction than physical facilities. The study contributes empirical evidence on priority areas for improving service quality in primary health care settings. Practical implications include enhancing staff competencies, streamlining service flow to reduce waiting times, and strengthening empathetic communication. The study concludes that efforts to improve service quality should prioritize non-physical dimensions that have the strongest influence on patient experience. Recommendations include ongoing quality evaluations, broader adoption of digital services, and expanding future studies to different regions and populations to deepen understanding of service quality determinants.
The Relationship between the Albumin-Bilirubin Ratio and Frailty in Patients with Liver Cirrhosis Triyanta Yuli Pramana; Alwidya Rosyid Akhmad Permana; Fatichati Budiningsih; Hanung Prasetya
Journal of Public Health Sciences Vol. 5 No. 02 (2026): 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.001311

Abstract

Patients with liver cirrhosis are at risk of impaired liver function, characterized by disturbances in albumin synthesis and bilirubin secretion. The Albumin-Bilirubin (ALBI) score has been reported to be associated with the prognosis of liver cirrhosis patients. This study aimed to analyze the relationship between the ALBI score and frailty in patients with liver cirrhosis. A cross-sectional study was conducted at Dr. Moewardi General Hospital from May to September 2024. A total of 68 patients with liver cirrhosis were included. The dependent variable was frailty, while the independent variable was the ALBI score. Data were collected via a questionnaire and laboratory results, and analyzed using logistic regression. This study found a significant association between a higher ALBI score and frailty in patients with liver cirrhosis. After correcting for data entry errors, the re-analyzed data showed a significant association. A one-unit increase in the ALBI score was associated with a significant increase in the odds of frailty (OR = 13.32; 95% CI = 1.31 to 135.48; p = 0.029). These findings suggest a significant relationship between the ALBI score and frailty in patients with liver cirrhosis, indicating that patients with more severe liver dysfunction (reflected by a higher ALBI score) are more likely to be frail.
Earphone Use Patterns and Hearing Loss Risk Affecting Quality of Life Lina Marliana; Sena Pongtuluran; Fransiskus Harf Poluan
Journal of Public Health Sciences Vol. 5 No. 02 (2026): 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.001440

Abstract

In today's modern life, most people are constantly exposed to noise every day, potentially disrupting their hearing function. One such factor is the use of hearing devices, namely earphones. Approximately 1.1 billion young adults and adolescents are at risk of experiencing hearing loss in their lifetime. If someone is at risk of hearing loss, it can undoubtedly impact their quality of life. Participants in this study were students at the Christian University of Indonesia in 2019, 2020, and 2021. The purpose of this study was to determine whether risky earphone use patterns are associated with quality of life. Data for this study were collected using a cross-sectional observational analytical methodology with a consecutive sampling technique. The study sample was assessed with a questionnaire created using Google Forms. The questionnaire, which is divided into two parts: the Earphone Use Pattern Questionnaire (PPE) and the Hearing Handicap Inventory for Adults (HHIA), to determine the patient's quality of life, was then analyzed using the Chi-Square and Spearman tests. Of the 225 respondents, there were 62.2% risky earphone usage patterns and 37.8% non-risky earphone users. According to the HHIA score findings, 74.2% of people had no disabilities, 9.8% had mild to moderate disabilities, and 16.0% had severe disabilities, with p = 0.015 (p <0.05) obtained through the use of the Chi-Square statistical test. There is a relationship between earphone usage patterns and the risk of hearing loss, which affects the quality of life of students of the Faculty of Medicine, Universitas Kristen Indonesia, Class of 2019, 2020, and 2021.
Predictive Statistical Modeling of Unemployment-Related Lack of Health Insurance Coverage among US Adults Emmanuel Thompson; Mohamed Abu Sheha; Seidu Sofo
Journal of Public Health Sciences Vol. 5 No. 02 (2026): 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.001951

Abstract

The study aimed to develop an accurate predictive model to identify individuals without health insurance due to unemployment. The study participants comprised 2,496 individuals who lacked general health insurance coverage in the United States for the period 2020-2023. Microdata records from the National Health Interview Survey available in the Integrated Public Use Microdata Series (IPUMS) served as the data source. The response variable was a binary variable indicating whether an individual had no health insurance (uninsured) due to unemployment. Statistical analyses involved descriptive measures: frequencies, percentages, and quartiles and inferential tests: Pearson’s chi-squared test, Wilcoxon rank-sum test, and Goodman and Kruskal’s measures. For predictive analysis, data were partitioned into training and testing sets, with class imbalance addressed using the Synthetic Minority Over-sampling Technique (SMOTE). Binary logistic regression and probit models were applied, and model performance was assessed using accuracy, precision, recall, and F1 score. Most participants reported being in good, very good, or excellent health. The demographic and health-related factors in this study had limited standalone predictive values. However, Probit and Logit models identified obesity, age, lower education, and lack of healthcare access as critical risk factors. Furthermore, the prediction performance metrics for both Logit and Probit models were identical.

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