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Journal of Public Health and Pharmacy
Published by Universitas Muhammadiyah Palu
ISSN : -     EISSN : 27754952     DOI : 10.56338/jphp
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Public Health and Pharmacy is an national, peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health. It is aimed at all public health practitioners and researchers and those who manage and deliver public health services and systems. It will also be of interest to anyone involved in provision of public health programmes, the care of populations or communities and those who contribute to public health systems in any way. These include: Epidemiology Health education and behavioral science Environmental Health Occupational Health and Safety Biostatistics Health Administration and Policy Reproduction health Pharmacy This is not an exhaustive list and the Editors will consider articles on any issue relating to public health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 22 Documents
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Search results for , issue "Vol. 5 No. 2: JULY 2025" : 22 Documents clear
Antiseptic and Disinfectant Utilization Patterns at Tlemcen University Hospital Center: A Five-Year Epidemiological Study Amel Berrached; Hafida Hassaine; Fethi Borsali; Nezha Bereksi Reguig Berber; Amel Chiali; Lamia Boublenza; Zatla, Ilyes
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.5442

Abstract

Introduction: Disinfectants and antiseptics are integral components of hospital infection control policies; however, their overuse can lead to microbial resistance, a growing concern in healthcare settings. This study aims to analyze the consumption patterns of antiseptics and disinfectants across various departments of Tlemcen University Hospital Center (CHU), providing insights into their usage over a five-year period and helping inform strategies for more responsible use. Methods: Data on the consumption of Povidone iodine (PVI) and various disinfectants across 20 departments over a five-year period (2015–2019) were obtained from the pharmacy and relevant CHU departments. Statistical analysis was conducted using SPSS version 25. Chi-square tests were employed to compare categorical data, and ANOVA was used to assess trends in consumption over time. Results: The results revealed a decline in PVI consumption to 13.5% in 2019, while disinfectant use increased by 29.1%, possibly due to a reduction in surgical procedures and an increase in medical admissions. Notably, consumption patterns varied across departments, with surgical services showing higher disinfectant use compared to medical services. Conclusion: Given the extensive use of antiseptics and disinfectants, we recommend implementing strategies to reduce their overuse, such as periodic audits of antimicrobial consumption and educational programs for healthcare professionals to mitigate the risk of microbial resistance.
Determinants of Patient Loyalty in Healthcare: The Multifaceted Influence of Demographics and Nurses' Caring Behavior Rohita, Tita; Dedeng Nurkholik
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.5704

Abstract

Introduction: Patient loyalty is a crucial factor in providing quality healthcare services. One effective strategy to enhance healthcare service standards is improving the caring behavior of nurses. The success of nurses in delivering caring and empathetic care can significantly influence patient loyalty, making it an essential focus for healthcare providers. Objective: This study aims to explore the factors influencing patient loyalty within a healthcare context. Methods: A cross-sectional design was utilized in this study, involving 144 inpatients selected through purposive random sampling from private and government hospitals. Data were collected using questionnaires and analyzed using chi-square and ANOVA tests. Results: The analysis identified three factors significantly correlated with patient loyalty: Caring Behavior of Nurses: p < 0.0001, Education: p < 0.007, Marital Status: p < 0.001. The most influential factor was the caring behavior of nurses, with effect sizes indicating a strong relationship. In contrast, demographic factors such as age and gender did not show a significant correlation with patient loyalty. Conclusion: The findings highlight that the most significant determinant of patient loyalty is the caring behavior of nurses, followed by education and marital status. To enhance patient loyalty and overall healthcare quality, it is crucial to strengthen nurse training programs that focus on empathy and caring behaviors. Additionally, implementing services tailored to patients’ demographic characteristics can further improve loyalty. These insights can guide policymakers and practitioners in developing targeted training and healthcare policies that prioritize compassionate care, ultimately benefiting patient satisfaction and retention.
Pharmacist Recommendations for Non-Infectious Diarrhea Self-Medication: A Study in Padang, Indonesia Nasif, Hansen; Dillasamola, Dwisari; Sanjaya, Wira; Juwita, Dian Ayu
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.5854

Abstract

Introduction: Diarrhea is a condition where a person defecates with a soft or liquid stool consistency or even just water which can be accompanied by blood or foam with a frequency that is more frequent than usual in a day. Self-medication is an action taken by someone to treat themselves by recognizing the symptoms and illnesses felt, usually minor illnesses, then choosing drugs according to their wishes without going through a doctor's prescription. Methods: A descriptive study with cross-sectional approach to determine the recommended choice of diarrhea drugs without symptoms of infection for self-medication from pharmacies in Padang City, West Sumatra, Indonesia. Data were collected through proportional random sampling using the Slovin formula. From a total of 247 pharmacies in Padang City, data was collected from 38 pharmacies that had been proportioned in 11 sub-districts in Padang City. Participants in this study were pharmacists on duty at the pharmacy. Data were collected through structured interviews recorded by pharmacists in pharmacies with a single question, what drug do you give for self-medication to adult patients with mild diarrhea without symptoms of infection. Results: Drug recommendations from pharmacist in Padang City pharmacies are attapulgite, kaolin-pectin, activated carbon, loperamide, Oral Re-hydration Formula (ORS), zinc supplements, probiotics, and antacids. The drug recommendations given are in the form of single therapy and combination therapy. Assessment of recommendations that are said to be appropriate refers to the recommendations of Dipiro (2020), namely the provision of a single absorbent or absorbent plus ORS. The results of appropriate recommendations were obtained at 44.74% and those that were not appropriate were obtained at 55.26%. There is no statistically significant evidence to suggest a relationship between the education level of pharmacist and appropriate of the answer (p>0.05). Conclusion: There are still many mistakes made by pharmacists in recommending diarrhea drugs without symptoms of infection for self-medication in pharmacies.
Antioxidant Effects of Temulawak and Black Cumin Honey in Stunted Children: A Study in Cirebon Siti Pandawangi TW; Akrom, Akrom; Nurkhasanah, Nurkhasanah; Ahmad Azrul Zuniarto
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.5950

Abstract

Introduction: The imbalance between the production of free radicals and the antioxidant defense system in the body will cause the body to experience oxidative stress. This can be caused by chronic malnutrition. In children, this condition causes growth and development failure called stunting. Honey, temulawak and black cumin are herbs with high antioxidant content, formulated in one preparation to test its effectiveness. The purpose of the study was to determine specific descriptions experienced by stunted children and to test the antioxidant effectiveness of preparation temulawak-black cumin honey. Methods: The research method used was quasi-experimental, pre-post design, the research time starts from January-May 2023. The population of Stunting children in the Tegalwangi locus area, Cirebon Regency, the selected samples or subjects are children aged 24-60 months who meet the inclusion criteria. The subjects were divided into 2 groups, namely the treatment group that received the test preparation for 4 months and the control group without the provision of the test preparation. Blood sampling was carried out simultaneously or simultaneously at the village hall with the help of trained analysts. The antioxidant parameters superoxide dismutase, catalase, glutathione peroxidase and free radical parameters Nitric oxide and malondialdehyde. The data obtained will be analysed using an independent t-test. Results: The results of the study on 50 stunted children showed low levels of Superoxide Dismutase, Catalase, Glutathione peroxidase, and free radical parameters Nitric oxide and Malondialdehyde were obtained high. This means that stunted children experience oxidative stress. There was significant antioxidant effectiveness with increased levels of SOD and Catalase in the treatment group (P<0.05), a decrease in NO and MDA in the treatment group (P<0.05) compared to the control group. Conclusion: Temulawak-black cumin honey preparation has activity to reduce oxidative stress in stunted children in Cirebon.
Factors Related to Health Resilience in Students Affected by Disaster at Campus Graha Ananda Palu Syam, Sadli; Sabri Syahrir, Muhammad; Aji Satria, Muhammad; Irawati, Iin
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6014

Abstract

Introduction: Palu City, located in Central Sulawesi Province, is one of the most vulnerable areas disaster, intervention countermeasures disaster that has been This focus on intervention recovery source power and development infrastructure. while on intervention poor mental health get attention. Follow stages disaster in Palu City, when these are the people affected disaster in Palu City now currently in phase recovery going to resilience, namely restore normal condition and strengthen Power stand public to disaster. Research This aiming for inspect relationship preparedness, mental health and behavior health post disaster to resilience health of affected students disaster at the Institute Health Technology and Business Graha Ananda, Palu City, to be able to strengthen resilience health and able adapt to threat, danger, serious disturbance from disaster. Methods: Study This conducted at the Institute Technology and Health Business Ananda Building, Palu City, with use design observational cross sectional. Sample study This that is students of the Institute of Health Technology and Business Graha Ananda Palu City which was affected disaster as many as 55 people. Data is collected use questionnaire that has been validity and reliability tests were conducted along with with sheet observation. Data analysis was carried out with univariate and bivariate with using fisher exact test and likelihood as an alternative to the chi-square test. Results: Research results show that behavior health post disaster influential significant to resilience health, things This indicated p- value of 0.004, which means the better behavior health individual after disaster, increasingly big his contribution to ability for recover and survive (resilience health). Preparedness post disasters also have significant relationship with resilience health, with p value of 0.026, this show that individual or a more society Ready face situation post-disaster tend own resilience better health good. On the other hand, post-traumatic mental health disaster No own significant relationship with resilience health, because p -value of 0.112, which means that the condition post mental health disaster in context This No in a way direct influence level resilience health. Conclusion: Individual with level preparedness and implementing behavior good health after experience disaster tend show resilience better health Good However No existence significant relationship between post mental health disaster with resilience health indicates that resilience health Possible influenced by other factors such as support social from family, friends, and community can become factor important in resilience, individuals who feel supported in a way emotional or own access to network strong social tend more easy recover from trauma or stress caused by disaster.
Psychological Well-Being Mediates Cyberbullying Victimization and Risky Health Behavior: Public Health Implications for Universities Nugroho, Purwo Setiyo; Bhubate Samutachak; Tawanchai Jirapramukpitak; Fatimah Ahmad Fauzi; Ghozali, Ghozali; Aphichat Chamratrithirong
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6044

Abstract

Introduction: Cyberbullying has become a burden in the current digital world and has an impact on health status, including physical and mental health. People try to mitigate these mental health issues through various coping strategies, including engaging in risky health behavior. Such risky health behaviors may have implications for future health status. Thus, this study aims to examine the prevalence of cyberbullying victimization and elucidate the consequences of cyberbullying victimization on psychological well-being and risky health behavior. Methods: A cross-sectional design was employed in this study, with 700 undergraduate students as research participants. The students were randomly selected using proportional stratified and random sampling in a selected university in Samarinda, Indonesia, between January and March 2024. Participants were first-year, second-year, third-year, and fourth-year students. Self-administered data collection using a standard questionnaire for each variable. This study used the Structural Equation Model to analysed the associations between variables. Results: Cyberbullying victimization affects psychological well-being, which, in turn, influences risky health behaviors. While no direct link was found between cyberbullying and risky health behaviors, psychological well-being fully mediates this relationship. This suggests that the negative impact of cyberbullying on health behaviors occurs through its detrimental effects on psychological well-being, leading to risky health behaviors as coping strategies. Conclusion: The study reveals significant links between cyberbullying victimization, coping capacity, psychological well-being, and risky health behavior. These findings highlight the importance of effective coping strategies. Future research should focus on enhancing problem-focused coping techniques, which could serve as positive strategies to reduce the negative impact of cyberbullying on psychological health and risky health behaviors.
A Collaborative Framework to Enhance Clinical Trial Participation and Health Equity in Sulawesi Island, Indonesia Inaku, Hartati; Napu, Arifasno; Ilham, Rosmin
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6070

Abstract

Introduction: In this study, we aimed to develop and evaluate a collaborative framework for integrating clinical trials into primary health care within the context of addressing health disparities in Sulawesi Island, Indonesia. With notable regional disparities in health service utilization and participation in clinical trials reported in the 2018 Indonesian Basic Health Survey, our objective was to bridge gaps in clinical trial access and improve health outcomes in underserved areas. Methods: This quasi-experimental post-test control group study involved the implementation of a collaborative framework conducted across primary health care settings in Sulawesi over a six-month period. A total of 200 participants were enrolled, and data were collected through electronic health records (EHRs), surveys, and interviews. Ethical approval was obtained from the relevant ethics committee, and participants provided written informed consent. Results: The primary outcome of the study was a significant increase in clinical trial participation, with rates rising from 25% to 60% in the intervention group, compared to 20% to 30% in the control group. Additionally, health outcomes improved, including reductions in average blood pressure (140/90 mmHg to 130/85 mmHg) and blood glucose levels (160 mg/dL to 140 mg/dL). Statistical analyses revealed a p-value of <0.05 for these changes. Key factors contributing to these results included training on digital health technologies and integration of trial data into EHRs. Conclusion: In conclusion, our study contributes to the understanding of health equity by demonstrating the effectiveness of a localized collaborative framework in improving clinical trial participation and health outcomes. This research provides insights into the importance of tailored interventions, digital health infrastructure, and training programs in addressing disparities in underserved regions. Future studies should address the scalability and long-term impact of this framework, ultimately advancing health equity in Indonesia.
Survival Analysis and Factors Associated with Pulmonary Tuberculosis Arda, Zul Adhayani; Nur, Sunarti Hanapi; Nur Hamdani Nur; Mohamad, Sabrina Nadjib; Mohammad Amon
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6126

Abstract

Introduction: Analysed the survival rates of patients and factors associated with pulmonary tuberculosis at the Limboto Public Health Center, with particular attention to the role of hypertension as a predictor of treatment failure and its potential integration into TB treatment guidelines. Methods: The study represents retrospective cohort research conducted by collecting medical records of individual pulmonary tuberculosis patients at the Limboto Public Health Center. The research sample comprised 144 patients and was analysed using survival analysis methods, including the Kaplan-Meier and Cox Regression models. Result: Among a cohort of 144 pulmonary tuberculosis cases, 21 individuals (14.6%) encountered treatment failure, resulting in three fatalities. A Kaplan-Meier survival analysis unveiled marked disparities in the survival probabilities of pulmonary tuberculosis patients contingent on their hypertension status (p=0.000). In the Cox Regression analysis, the hazard ratio associated with hypertension in the context of treatment failure in pulmonary tuberculosis patients was determined to be HR= 10.216. These findings suggest the necessity of incorporating hypertension screening and management into existing TB care protocols. Conclusion: Evidence-based interventions should be implemented, particularly among patients with concomitant hypertension. Strengthening the integration of hypertension management into TB treatment guidelines may improve patient outcomes and reduce treatment failures.
Quantitative Risk Assessment (QRA) Prenatal Mercury Exposure of Whitening Cosmetic and Infant Neurodevelopmental Risk Abbas, Hasriwiani Habo; Yuliati, Yuliati; Masayuki Sakibara
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6157

Abstract

ntroduction: Mercury compounds are divided into elemental mercury, inorganic mercury, and organic mercury. Exposure to mercury through both direct and indirect pathways can have serious impacts on environmental and health issues, especially sensitive populations such as pregnant women, infants, and children. According to the Global Nielsen institution, 45% of women in Indonesia use whitening cosmetics. It should be noted that the content of whitening cosmetics contains mercury and its derivatives. Pregnant women are exposed to mercury through the use of cosmetics and the consumption of seafood. The impact caused if accumulated in the placenta will cause neonatal neurodevelopmental risk. This study aimed to analysed the quantitative risk assessment of prenatal mercury exposure and neurodevelopmental risk. Methods: The study design is an observational analytic with a cross-sectional study. Statistical analysis of Hg concentration in scalp hair samples was performed using SPSS software. The correlation between Hg concentration in scalp hair and skin whitening cosmetics was determined by chi-square correlation analysis, with p < 0.05 considered significant. The quantitative risk assessment (QRA) method analyses hazard identification, assessment exposure, hazard characterization, and risk characterization. The sample used was 20 pregnant women and 20 babies. The mercury concentration in the scalp hair of pregnant women and their babies will be examined in the BBLK Laboratory. Results: The results of this study indicate that hazard identifications were mercury concentrations in the scalp hair of pregnant women is average of 7.04 (range 0.18-41.70 ppm, the mercury concentration in scalp hair is average of 0.71 (range 0.24-1.68), mercury whitening cosmetic is average 17.34 (range 3.5-86.0 ppm). Hazard characteristics are divided according to HBM 3 categories: normal at 60%, alert at 15%, and high at 25% for mercury concentration in pregnant women. In comparison, the baby concentration is divided into two categories: normal 70% and alert 30%. Risk characteristics found that around nine people, or 45% of babies, experienced the risk of neurodevelopmental symptoms, and mothers exposed to mercury had an impact on their babies. Conclusion: This study highlights the occurrence of Hg in skin-whitening cosmetics and the accumulation of Hg in the human body through their application. There is a correlation between mercury in pregnant women's scalp hair and the mercury concentration in their babies. Babies exposed to mercury with alert concentration levels have a neurodevelopmental risk. Therefore, it is better not to use whitening cosmetics during prenatal periods because mercury exposure can affect the baby.
Evaluation of the Utilization of the Hospital Management Information System (SIMRS) at Madani Regional General Hospital, Palu Muhammad Rifial; Amran Razak; Darmawansyah, Darmawansyah; Indar, Indar; Arsyad Rahman
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6169

Abstract

Introduction: The Hospital Management Information System (SIMRS) plays a crucial role in supporting optimal healthcare services in hospitals. SIMRS enables efficient and effective management of information, ranging from patient data to hospital administration. At Madani Regional General Hospital, Palu, the implementation of SIMRS has been carried out; however, operational challenges and user satisfaction issues still need to be evaluated. This study aims to evaluate the utilization of SIMRS at Madani Regional General Hospital, Palu, in 2024, and to analysed the impact of system usage, user satisfaction, information quality, and service quality on the net benefits of SIMRS. Methods: This study uses a quantitative method with a cross-sectional study approach and logistic regression analysis. The population of this study includes all employees at Madani Regional General Hospital, Palu. The sample consists of 172 respondents, determined using the Slovin formula Results: The study shows that system usage (p = 0.007), user satisfaction (p = 0.003), information quality (p = 0.002), and service quality (p = 0.006) are associated with the utilization of SIMRS at Madani Regional General Hospital, Palu. Based on Binary Logistic analysis, the variable with the strongest influence is System Usage (Sig = 0.006) Conclusion: This study concludes that the use of SIMRS at Madani Regional General Hospital, Palu, provides significant benefits in terms of hospital service efficiency and effectiveness. System usage is the most dominant factor influencing the utilization of HMIS, followed by user satisfaction, information quality, and service quality. It is recommended to continuously improve the quality of system usage by providing ongoing training for hospital staff.

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