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Journal of Community Health and Preventive Medicine (JOCHAPM)
Published by Universitas Brawijaya
ISSN : -     EISSN : 27758915     DOI : https://doi.org/10.21776/10.21776/ub.jochapm.2023.
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health
JOCHAPM is a peer-reviewed and open-access journal officially published twice a year in English by the Faculty of Medicine, Universitas Brawijaya. JOCHAPM focuses on community health, epidemiology, environmental health, and preventive health. However, the focus of the study can develop following the improvement of the journal.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 84 Documents
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DETERMINATION OF VISIT PATIENTS OF HYPERTENSION PANDEMIC PERIOD AT BRAWIJAYA UNIVERSITY HOSPITAL PATIENT VISITS OF HYPERTENSION IN PANDEMIC PERIOD Andarini, Sri; Hanggara, Dian Sukma; Setijowati, Nanik
Journal of Community Health and Preventive Medicine Vol. 3 No. 2 (2023): JOCHAPM Vol. 3 No. 2 2023
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.003.02.1

Abstract

The World Health Organization (WHO) estimates a continuous increase in the number of hypertension cases alongside the expanding population. It is projected that approximately 29%, or around 1.6 billion people worldwide, will be afflicted with hypertension by 2025. The findings of the 2018 Riskesdas survey reveal a prevalence of hypertension in the population aged > 18 years based on national measurements, standing at 34.11%. This represents a 9% surge from the 2013 Riskesdas data, which recorded a prevalence of 25.8%. East Java Province ranks seventh with a prevalence rate of 36.32%, surpassing the national average. In the pursuit of hypertension control, it has been integrated into the Preventive Efforts of the Healthy Indonesia Family Approach Programs (PIS-PK) under point 7, mandating continuous monitoring of hypertension status for family members with a history of hypertension.  This study aims to identify determinant factors associated with enhanced services and visits for hypertension patients at Universitas Brawijaya Hospital in Malang amidst the pandemic. This study employs an observational analytic design, aiming to analyze the relationship between education level and medication adherence among hypertension patients during the COVID-19 pandemic. Temporally, this research adopts a cross-sectional approach, where both dependent and independent variable data are collected simultaneously. The study was conducted at Brawijaya University Malang, utilizing data from hypertensive patients who visited the hospital between March 2020 and March 2022. Logistic regression analysis with α = 0.05 will be employed for analytical purposes. The variable most strongly associated with hypertension patient visits is insurance ownership, exhibiting a Chi-Square value of 26.716. Additionally, the age variable demonstrates a correlation with patient visits, with a Chi-Square value of 4.312. The corresponding P-values for insurance ownership (p = 0.000) and age (p = 0.038) indicate a significant relationship between insurance ownership, age, and patients' motivation to seek healthcare. The determinant factors that positively influence hypertensive patient visits during the pandemic at Brawijaya University Hospital are insurance ownership and age. On the other hand, gender, regional affordability, and occupation exert a lesser impact on patient visits.
THE OUTCOME OF BASIC LIFE SUPPORT TRAINING AMONG SENIOR HIGH SCHOOL STUDENTS IN MALANG, EAST JAVA, INDONESIA: A PRELIMINARY STUDY Tjahjono, Cholid Tri; Arthamin, Maimun Zulhaidah; Satwikajati, Sawitri; Afifah, Yuri; Lestari, Defyna Dwi; Wulandari, Ayu Pramitha
Journal of Community Health and Preventive Medicine Vol. 4 No. 1 (2024): JOCHAPM Vol. 4 No. 1 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.004.01.2

Abstract

The purpose of this research is to report the influence of BLS training on the knowledge and life support skills of senior high school students.. We did an experimental study in one of the senior high schools in Malang City. First-year until third-year students conducted a BLS training. The use of automated external defibrillators and chest compressions were addressed in a 3.5-hour simulation-based session. We used pre-and post-tests to evaluate the outcome of BLS training with multiple-choice questions. Student t-tests were used to compare scores. According to our analysis, the average score before and after the test went from 80 to 94.19 (p<0.001). Following the instruction, over 90% of the students were able to carry out every step of automated external defibrillation and BLS. To sum up, high school students can learn BLS through a simulation-based method; the training validates their attitude and equips them with essential knowledge and skill sets, enhancing their confidence in BLS performance.
DETERMINANTS OF DIARRHEA AND EFFORTS TO INCREASE PUBLIC KNOWLEDGE OF DIARRHEA IN PARENTS OF CHILDREN 6 MONTHS-5 YEARS OLD THROUGH MENTORSHIP IN KARANGDUREN VILLAGE, PAKISAJI HEALTH CENTER AREA Shalshabilla, Nadya Neyza; Wardhani, Regita Kusuma; Damianna, Salma Karin; Alfani, M Naufal Rizqi; Prasetyo, M Budi; Arifin, Samsul; Rahmah, Shofi Nur
Journal of Community Health and Preventive Medicine Vol. 4 No. 1 (2024): JOCHAPM Vol. 4 No. 1 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.004.01.5

Abstract

Diarrhea is the passage of three or more loose or liquid stools per day (or more frequent passage than is normal for the individual). Frequent passing of stools that have formed consistency is not diarrhea, nor is the passing of loose stools by babies under 6 months old who only consume breast milk. In many studies, it has been identified that factors related to diarrhea are mainly associated with adequate access to water, sanitation, and hygiene. Apart from these environmental factors, educational factors are also factors that influence the high incidence of diarrheal diseases, with low levels of education resulting in a lack of knowledge about diarrhea and Pola Hidup Bersih dan Sehat (PHBS). This research aims to determine the risk factors contributing to diarrhea in Karangduren Village, Pakisaji District, and determine the level of knowledge of the Karangduren Village community regarding the management and prevention of diarrhea. This research was conducted in 2 stages, pre-intervention and intervention stages. At the pre-intervention stage, a questionnaire was used as a research instrument to determine the level of community knowledge and behavior about diarrhea that met the inclusion criteria which was analyzed using the Chi-Square test. At the intervention stage, the pre-experimental method used a one-group pretest-posttest design to assess the knowledge about diarrhea before and after being given the intervention which was analyzed using the Wilcoxon Test. The intervention was carried out by providing education and providing ‘Buku Saku Diare’ through mentorship related to diarrhea and Pola Hidup Bersih dan Sehat (PHBS).The results of the risk factor analysis, show that the factors contributing to the high prevalence of diarrhea in Karangduren Village are closely related to knowledge and implementation of Pola Hidup Bersih dan Sehat (PHBS). The intervention group included 30 participants, and an increase in respondents' knowledge was obtained with a significant value of p=0.000 (p<0.05).The outreach intervention that has been carried out with educational media using the ‘Buku Saku Diare’ can increase community knowledge in Karangduren Village.
THE RELATIONSHIP BETWEEN THE DIMENSION OF ANTENATAL CARE SERVICE QUALITY WITH THE PATIENT'S SATISFACTION AND THE INTEREST IN REVISITATION AT THE GONDANGLEGI PRIMARY HEALTH CENTER, MALANG REGENCY Budiarti, Maulida; Ratnaningrum, Safrina Dewi; Indriani, Anin
Journal of Community Health and Preventive Medicine Vol. 4 No. 1 (2024): JOCHAPM Vol. 4 No. 1 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.004.01.4

Abstract

Antenatal care (ANC) is planned to prepare for a safe and comfortable delivery. Assessment of the quality of care received by patients is used as a guide to determine the best and weakest dimensions of service quality. Service quality aspects are evaluated based on five quality service dimensions, including tangible, reliability, responsiveness, assurance, and empathy. The purpose of this study is to analyze the relationship between the five dimensions of ANC service quality and patient satisfaction and revisit interest. The method in this study uses a quantitative research design with a cross-sectional approach, with a sample size of 86 pregnant mothers. Sampling was done using accidental sampling. Data were analyzed using chi-square. The results show that the tangible dimension has the strongest influence on satisfaction (OR 104.50) and revisit interest (OR 41.08) of patients in the KIA clinic at Puskesmas Gondanglegi. The conclusion from this study is the existence of a relationship between the dimensions of ANC service quality, including tangible, reliability, responsiveness, assurance, and empathy, with patient satisfaction and revisit interest in the maternal-children clinic at Gondanglegi primary health center.
PREVENTION EFFORT OF DENGUE THROUGH EDUCATION AND PRACTICE OF THE 3M PLUS MOSQUITO NEST ERADICATION MOVEMENT FOR ELEMENTARY STUDENT IN WAGIR DISTRICT, MALANG REGENCY Shafa Maulida; Amandus Michael Martin; Maulana Wildan Saputra; Astika Wirabhatari; Alidha Nur Rakhmani; Siti Haryanti
Journal of Community Health and Preventive Medicine Vol. 4 No. 1 (2024): JOCHAPM Vol. 4 No. 1 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2023.004.01.3

Abstract

Dengue is a virus that can infect humans and be transmitted through mosquito bites, causing dengue hemorrhagic fever (DHF) and problems of the public health sector. To date, there have been several national strategies to achieve targets in combating DHF, systematically continued and carried out by the East Java Provincial Health Office up to the level of the Public Health Center, including health promotion activities, surveillance, control of risk factors, case detection, and graded case management, with a focus on prevention of Mosquito Nest Eradication (PSN) using 3M Plus (Drain, Bury, Cover). Since January 2024, there are 26 new cases of DHF found in the Wagir subdistrict, Malang Regency. Various factors can influence this increase, one of the causes being the lack of awareness among the people of Wagir about preventive measures such as 3M Plus. Methodologically, this study utilized a pre-experimental one-group pretest-posttest design. The research consisted of two phases: pre-intervention and intervention. In the pre-intervention phase, the primary data collected through a questionnaire on respondent characteristics, as well as a questionnaire on Knowledge, Attitude, and Practice regarding Dengue among 35 fourth and fifth-grade students at SDN Jedong 2, selected through purposive sampling. The relationship between respondent characteristics and knowledge, attitudes, and practices regarding dengue examined using regression analysis. The intervention phase involved dengue education through educational media such as posters, leaflets, and teaching aids. Additionally, pre and post-tests were conducted. Subsequently, the data from these tests were analyzed using the Wilcoxon test. The Wilcoxon test indicates that the intervention significantly increased knowledge scores after the intervention (p < 0.05) with a result of p = 0.000. There is a significant relationship between knowledge, attitude, and dengue-related behaviors. In conclusion, there was an increase in respondents' knowledge, attitudes, and behaviors regarding dengue after the intervention. Active involvement from students, teachers, parents, and community health workers is needed to improve the attitudes and behaviors of the local community to reduce the incidence rate.
FACTORS ASSOCIATED WITH MASK USE BEHAVIOR AMONG WORKERS OF THE KATARAJA TOLL ROAD CONSTRUCTION PROJECT IN 2024 Handayani, Puji; Iriani, Dewi Utami
Journal of Community Health and Preventive Medicine Vol. 4 No. 2 (2024): JOCHAPM Vol. 4 No. 2 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2024.004.02.1

Abstract

In toll road construction projects, some jobs cause high levels of Particulate Matter, such as breaking, road cleaning, and others. Thus, workers must use masks, such as KN95, KF94, or N95 masks. According to the Health Belief Model (HBM) theory, mask-use behavior is influenced by perceived threat, perceived benefits, perceived barriers, self-efficacy, cues to action, and sociodemographics. This study aims to determine the factors associated with mask-use behavior among workers of the Kataraja section 1 toll road construction project in 2024. The study design used was cross-sectional with a sample size of 70 workers taken by purposive sampling. Data collection was carried out using a questionnaire with interview techniques. The data obtained were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed that 44.3% of workers had poor mask use behavior, such as not washing hands before using a mask, not changing masks regularly, and not disposing of mask waste in its place. There is a significant relationship between education level (OR=81), knowledge level (OR=11), perceived threat (OR=8.31), perceived benefits (OR=59.06), perceived barriers (OR=7.32), self-efficacy (OR=38.85), and the role of supervisors (OR=10.17) with mask use behavior. To improve poor behavior in workers, companies need to provide informal education regarding the dangers of Particulate Matter and the benefits and procedures for using masks. In addition, workers still find it difficult to change masks, so companies should pay attention tothe quality and quantity of masks and make it easier for workers to take them.
THE CORRELATION BETWEEN THE ERYTHROCYTE INDEX AND THE EXTENT OF TUBERCULOSIS LESIONS IN THORAX RADIOGRAPHY Azmi, Mukhammad; Yueniwati, Yuyun; Rachma Erawati, Dini
Journal of Community Health and Preventive Medicine Vol. 4 No. 2 (2024): JOCHAPM Vol. 4 No. 2 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2024.004.02.4

Abstract

Tuberculosis is a contagious disease and is one of the ten leading causes of death in the world. Abnormalities in the hematology system, such as anemia, become one of the complications due to tuberculosis infection. The erythrocyte index becomes a benchmark for determining anemia based on its size and appearance. In tuberculosis patients, tuberculosis lesions can be seen in a thorax radiography examination. Therefore, the objective of this study was to determine the correlation between the erythrocyte index and the extent of tuberculosis lesions in thorax radiography. This study was an observational study using the cross-sectional method by taking 61 samples of patients' medical records in Saiful Anwar Hospital, which was conducted from January 2022 to December 2023. In this study, data obtained that MCV, MCH, and MCHC, which included in erythrocyte index value, did not have a correlation with the extent of tuberculosis lesion (p=0.656, p=0.484 and p=0.953, respectively, using Kruskal Wallis method). This could occur because tuberculosis patients only experienced anemia with a reduced number of erythrocytes without affecting their size and appearance. The conclusion of this study is that the erythrocyte index does not have a correlation with the extent of tuberculosis lesions.
THE RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE ABOUT THE DANGERS OF CIGARETTES AND CARBON MONOXIDE LEVELS OF BREATHING AIR IN STUDENTS FROM A HIGH SCHOOL IN MALANG Dwi Pratiwi, Suryanti; Agus Setyawan, Ungky; Mafisah, Saidah; Muhammad, Iqbal; Herda Asyari, Claudia; Dini, Zata; Pratiwi, Eka; Lyono, Albert; Delfianto, Dwiroza Delfianto; Nur Hikmah, Naila Nur Hikmah; Suardana, I Made Suardana; Martha , Martha
Journal of Community Health and Preventive Medicine Vol. 4 No. 2 (2024): JOCHAPM Vol. 4 No. 2 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2024.004.02.3

Abstract

This study aims to analyze the relationship between the level of knowledge about the dangers of smoking and smoking behavior and exposure to cigarette smoke in high school students. This quantitative descriptive research with a cross-sectional design involved 114 students from one Malang Senior High School, with sampling using a simple random sampling method. Using a CO analyzer, data was collected through questionnaires to measure students' knowledge levels and measurements of carbon monoxide (CO) in breathing air. The study results showed that 62% of the respondents were women and 38% were men, with an average age of 16.8 years. As many as 80% of students do not smoke, while the other 20% are active smokers. The average CO level of the students' breath air was 3.34 PPM, with active smokers showing significantly higher CO levels (7.74 PPM) compared to passive smokers (2.06 PPM) and non-smoking students (2.61 PPM). The ANOVA statistical test showed a significant difference in CO levels between groups (p < 0.05). Although the level of students' knowledge about the dangers of smoking was relatively high (average pretest 124), no significant relationship was found between knowledge and smoking behavior (p = 0.802). The study concluded that although knowledge about the dangers of smoking is moderate, smoking behavior among male students remains high, suggesting the need for more in-depth interventions to address the social and psychological factors that support smoking behavior.
THE RELATIONSHIP BETWEEN AGE AND PUBLIC KNOWLEDGE OF  RHEUMATIC DISEASE IN MALANG 2017 Thariq, Diefa Muhammad; Aditya, Perdana; Mayangsari , Elly
Journal of Community Health and Preventive Medicine Vol. 4 No. 2 (2024): JOCHAPM Vol. 4 No. 2 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2024.004.02.2

Abstract

Rheumatic disease is a type of illness that affects the human musculoskeletal system. Rheumatic diseases are often associated with advancing age. This categorizes rheumatic diseases as conditions more prevalent among the elderly. Symptoms include pain and can be accompanied by redness, swelling, and other manifestations. Knowledge about a disease can prevent and reduce the risk of its occurrence. Age is one of the factors that can influence the level of knowledge about a disease. This study aims to determine the relationship between age and public knowledge, as well as the influence of age on the improvement of public knowledge about rheumatic disease. The study employed an analytical observational approach with a cross-sectional design. Data were collected from pre-test and post-test questionnaires distributed during a public seminar on rheumatic disease at the Faculty of Medicine, Brawijaya University, on October 8, 2017. The results indicated that the highest level of rheumatic disease knowledge was in the age range of 25-54 years. Moreover, the highest increase in knowledge was observed in the age range of <25-34 years. Spearman rank correlation analysis revealed no significant relationship between age and the increase in knowledge about rheumatic disease. However, the Wilcoxon test results indicated that the age range of 55->65 years exhibited a significant difference between pre-test and post-test scores. For future research, questionnaire validation before assessing knowledge levels is recommended.
STUDY ON VACCINE COLD CHAIN MANAGEMENT ROUTINE IMMUNIZATION IN THE SERIBU ISLANDS DKI JAKARTA 2024 HURIYATI
Journal of Community Health and Preventive Medicine Vol. 4 No. 2 (2024): JOCHAPM Vol. 4 No. 2 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jochapm.2024.004.02.5

Abstract

Vaccines are biological components with special characteristics and are important products in immunization programs, which are efforts to prevent diseases, disabilities, and deaths caused by vaccine-preventable diseases (VPD) in children and adults. This research study aims to benefit the advancement of immunization programs and pharmacy programs in vaccine management so that the immunization goal of enhancing the immunity of the Thousand Islands community against VPD can be achieved. Qualitative research method with a phenomenological research design, structured observation of ongoing management accompanied by interviews and document review. The research variables are cold chain equipment, temperature management, and vaccine inventory. The results of the cold chain equipment study show that 5 community health centers have conducted routine maintenance, while 2 community health centers have not conducted routine maintenance. Temperature management is carried out according to guidelines, but one health center does not record temperatures regularly. In the vaccine inventory, all health centers stored vaccines longer than the duration specified in the guidelines, and vaccines with VVM C were found in one health center. The cold chain management for routine immunization vaccines in the Thousand Islands has adequate cold chain equipment readiness.

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