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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 21 Documents
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Search results for , issue "vol. 6 no. 2 (2026)" : 21 Documents clear
Preparing a Collaborative Health Workforce through Team-Building Training: A Pilot Reaction-Level Evaluation in Indonesia Irwin Irwin; Gandes Retno Rahayu; Yoyo Suhoyo
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.8075

Abstract

Introduction: Global health systems face challenges from fragmented services, high costs, and workforce shortages, impacting care quality. Interprofessional education (IPE) is a key strategy for preparing a collaborative workforce. According to ADDIE instructional design model, this study aimed to develop and implement a policy-relevant team-building training program to enhance collaboration, communication, and problem-solving skills among health professional students, supporting health system transformation goals. Methods: The program was developed through the five phases of the ADDIE model—Analysis, Design, Development, Implementation, and Evaluation. A needs assessment guided the design of interactive, experiential activities to improve teamwork competencies in interprofessional education. The training program was piloted for 16 hours (two separate days) with health professional students from diverse disciplines (N=11). A mixed-methods approach was implemented, while the quantitative data were collected via the reaction level of the adjusted Kirkpatrick-Phillips’ questionnaire to assess satisfaction scores, and qualitative data were collected through focus group discussions (FGDs). Results: The implementation of the team-building program significantly improved participants' teamwork skills, communication effectiveness, and overall group cohesion. Participants reported highly positive participant reactions and perceived teamwork enhancement. Conclusion: Applying the ADDIE model to structure team-building activities provides an effective educational strategy to foster interprofessional collaboration early in training. More importantly, such structured interventions represent a strategic investment in human resources for health, contributing to policy objectives for integrated and team-based care delivery.
Bridging Gaps: Cross-Sector Collaboration in Improving Sanitation Access in Last-Miles Communities of South Sulawesi, Indonesia Muh. Saleh; Wildan Setiabudi; Andi Bunga Tongeng; Hamsah Sinring; Nildawati Nildawati; Ain Khaer; Muhammad Rachmat
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.5455

Abstract

ntroduction: According to the Global Burden of Disease study, approximately 775,000 lives were lost prematurely in 2017 due to poor sanitation. In 2020, only 54% of the global population had access to safely managed sanitation. Therefore, this study aimed to explore cross-sector collaboration for improving sanitation access at "last mile" communities in South Sulawesi, Indonesia. Barriers to achieving Open Defecation Free (ODF) status were emphasized, with a focus on the dynamics between health centers (puskesmas) and village governments. Methods: This qualitative case study was conducted with key stakeholders who were directly engaged in the STBM program, such as managers, district government officers, health officers, as well as sub-district, village, and puskesmas heads. Focus group discussions (FGDs) and in-depth interviews were used to collect data. Analysis was conducted thematically to determine patterns and obstacles to collaboration. Results: There was no synergy between puskesmas and village governments in enhancing access to sanitation. Puskesmas operated by modifying the behavior of communities to construct their own latrines, while the village governments operated by providing financial support through village funds. This isolation led to community reliance on outside assistance as well as lowered ODF program effectiveness. FGDs also showed misconceptions among the stakeholders, and external influences on the pathogen spread to water and food sources (e.g., vectors (e.g., flies) spreading pathogens). Conclusion: The synergy between puskesmas and village governments was a critical obstacle to attaining the ideal level of sanitation access and ODF status in the last-mile communities. Enhancing partnership by considering integrated planning, better communication, and participation of the community is necessary. The study showed that the existence of vectors, such as flies, worsened the sanitation issues. This underscores the significance of integrated and sustainable cross-sector partnerships to enhance access to sanitation and control vectors.
Effectiveness of Soursop (Annona muricataI) Extract Nanoparticles in Pantyliners on Vaginal Discharge in Childbearing-age women Elyasari Elyasari; Arsulfa Arsulfa; Heyrani Heyrani; Sitti Mukarramah; Melania Asi
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.6318

Abstract

Introduction: The treatment of vaginal discharge is pharmacological, such as cyclovir, podoflin 25%, and antiseptic solution for vaginal rinsing, and non-pharmacological, such as Annona muricata decoction. The aim of this study was to analyze the effectiveness of using pantyliners with Annona muricata extract nanoparticles against vaginal discharge in North Konawe Regency. Methods: This study used a two-group pre-posttest approach and a quasi-experimental design to compare the efficacy of regular pantyliners and pantyliner nanoparticles over a seven-day period. This study surveyed 124 childbearing women aged 15-49 in the North Konawe Regency who experienced vaginal discharge. Participants were those who could read and write, experienced moderate and severe discharge, and participated in ? 2 activities. This study used questionnaires to assess childbearing women's characteristics, knowledge of vaginal discharge, personal hygiene, observation sheets, and standard operating procedures. Wilcoxon, Mann-Whitney, and independent T tests were used. Results: The analysis revealed a significant difference in the level of vaginal discharge between the intervention and control groups (P = 0.000). However, changes in vaginal discharge differed between the intervention and control groups. The elimination of vaginal discharge was better in the group treated with Annona muricata extract panty than that in the control group. Conclusion: Annona muricata extract panty effectively reduced vaginal discharge in both the intervention and control groups. However, pantyliners containing Annona muricata extract may be more effective than regular panties.
Associations Between Work Motivation and Quality of Anesthesia and Surgical Services: A National Cross-Sectional Study of Nurse Anesthetists in Indonesia Richa Noprianty; Wahyu Wahdana; Asriadi Prihandika Widianto; Gina Sonia
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.7249

Abstract

Introduction: The operating room consists of various health professionals so that they must build good teamwork to realize optimal anesthesia and surgical services. Therefore, it is necessary to have work motivation to be able to improve the quality of anesthesia and surgical services. The purpose of this study was to determine the components of work motivation in the operating room and anesthesia that can provide implications for anesthesia and surgical services. Methods: This type of research is quantitative with cross sectional. The sample used was nurse anesthetist who worked at the hospital, using accidental sampling so that a sample of 188 nurse anesthetists was obtained. The research instrument was a Motivating Potential Score (MPS) questionnaire and a surgical anesthesia service questionnaire from the Ministry of Health Accreditation Standards Year 2022 which was provided via google form. Data analysis using Spearman rank correlation coefficient. This research has obtained permission from the IPAI professional organization and is ethically feasible No. 209/09.KEPK/UBK/VIII/2024. Results: The results indicate that the average work motivation score was 9.86 (min 3.6; max 12), while the quality of anesthesia and surgical services averaged 14.31 (min 8.14; max 16). All components of work motivation: skill variety, task identity, job significance, autonomy, and feedback showed significant associations with service quality. Notably, autonomy demonstrated a moderate positive correlation with anesthesia and surgical service quality (r = 0.511, p < 0.001, 95% CI: 0,42-0,59), highlighting the magnitude of its effect and strengthening the analytical robustness of the findings. Conclusion: There is an influence of motivation on anesthesia and surgical services with a p value of 0.013 and a CC value of 0.181. Increasing conducive work motivation successfully provides satisfaction for nurse anesthetists and has an important role in quality anesthesia and surgical services.
Unveiling Tuberculosis Dynamics in Indonesia for Effective Control and Prevention: A Panel Regression and Clustering Approach Novi Reandy Sasmita; Mutiara Syifa; Mhd Khairul; Latifa Rahayu; Zurnila Marli Kesuma; Selvi Mardalena; Rumaisa Kruba; Virasakdi Chongsuvivatwong; M. Ischaq Nabil Asshiddiqi
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.7265

Abstract

Introduction: Tuberculosis (TB) remains a critical global health challenge, with Indonesia ranking second in global TB burden. This study examines factors influencing TB incidence across Indonesian provinces and applies clustering to guide targeted interventions aligned with TB eradication goals by 2030. Specifically, these findings inform Indonesia’s End TB 2030 roadmap by identifying provincial heterogeneity that necessitates differentiated resource allocation and strengthened health governance frameworks. Methods: This ecological time-series study design analyzed data from 34 Indonesian provinces (2020–2022), including TB cases, healthcare services, HIV cases, smoking prevalence, food management places, and public facilities. Descriptive statistics summarized variable distribution, while panel data regression identified key factors using multicollinearity checks, model selection, and assumption testing. Fuzzy Possibilistic C-Means (FPCM) clustering grouped provinces based on similarity characteristics. Results: TB cases rose from 10,351 in 2020 to 21,303 in 2022. This study underscores the multifaceted factors influencing TB incidence in Indonesia. Significant factors included healthcare services (?1 = -8.37), HIV cases (?2 = 13.76), smoking prevalence (?3 = 905.32), food management places (?4 = 1.62), and public facilities (?5 = 1.11). This study proves that TB is not only influenced by health factors but also by non-health factors. Fuzzy clustering using the FPCM identified three clusters based on their possibilistic membership degrees: Cluster 3, with high HIV prevalence and public facilities, requiring urgent action; Cluster 2, needing improved healthcare and smoking reduction; and Cluster 1, with moderate challenges. Conclusions: Health and environmental factors significantly influence TB incidence. Addressing cluster-specific needs, such as enhancing healthcare, reducing HIV and smoking prevalence, and improving public health standards, is essential for TB control. Future studies should expand variables and periods to deepen insights.
Improving Traffic Safety Through Innovation: A Systematic Review of Technology-Enhanced Education for Novice Drivers with Implications for LMICs Dina Lusiana Setyowati; Yuliani Setyaningsih; Chriswardani Suryawati; Daru Lestantyo
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.7317

Abstract

Introduction: Road traffic accidents remain a major global public health challenge, disproportionately affecting low- and middle-income countries (LMICs), where fatality rates among novice drivers are particularly high. Despite this burden, most empirical research on road safety education has focused on high-income settings, leaving significant gaps in evidence relevant to LMIC contexts. This study aims to systematically review the effectiveness of technology-based interventions for road safety education among novice drivers and to examine their behavioral outcomes, theoretical foundations, and contextual relevance in LMICs. Methods: A systematic literature review was conducted in accordance with PRISMA 2020 guidelines. Peer-reviewed journal articles published between 2015 and 2025 were retrieved from the Scopus database using predefined search terms related to road safety education, novice drivers, and digital or technology-enhanced interventions. After screening and eligibility assessment, 47 empirical studies were included for synthesis. Data were extracted on intervention type, theoretical framework, geographic setting, and behavioral outcomes, and analyzed using descriptive, thematic, and network-based approaches. Results: The findings indicate that technology-enhanced interventions, including gamification, virtual reality, mobile applications, telematics, and artificial intelligence, are generally associated with improved learner engagement, enhanced hazard perception, safer driving behavior, increased helmet use, and reduced traffic violations among novice drivers. However, most studies lack explicit theoretical grounding, rely on short-term outcome measures, and are concentrated in high-income settings, limiting generalizability to low- and middle-income contexts. Conclusion: This review highlights the need for theory-informed, culturally sensitive, and context-responsive road safety education strategies that integrate behavioral science with digital innovation. Strengthening longitudinal evaluation and expanding research in underrepresented regions are essential to inform effective policy and scalable intervention design.
Integrating a Mobile App into Pharmacist-Led Patient Education to Enhance Insulin Pen Self-Administration: A Pre-Experimental One-Group Pretest–Posttest Study Muhammad Thesa Ghozali; Bagas Dwi Nugroho; Anita Agustina Styawan; Satibi Satibi; Gerhard Fortwengel
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.7365

Abstract

Introduction: Objectives This study was conducted to assess the impact of adding mobile health (mHealth) application on pharmacist-mediated patient counseling to improve accuracy of insulin pen self-administration skills among diabetic patients. Introduction Every day, diabetes mellitus (DM) remain one of the worlds biggest health problems where insulins therapy acts among the mainstay in treating type 1 and ineffective treatment for type 2 diabetes mellitus (T2DM). Insulin pens have increased convenience and adherence to insulin therapy compared with traditional vials and syringes; however, administration errors are still prevalent. These errors typically due to incorrect priming, wrong injection angle or failure to discharge air bubbles can lead to hypoglycemia, hyperglycaemia, and loss of glycemic control, with consequent negative impact on therapeutic outcomes. Although the results provide evidence of substantial improvement in dosing accuracy of insulin, causal inference and generalizability are limited by the single-group pretest–posttest design. Controlled studies moving forward are required to validate these results. The goal of this study was to determine if the addition of these mHealth technologies in pharmacist-led education could help us fill this important procedural gap. Methods: Between December 2023 and May 2024, this study took place in the outpatient clinic of PKU Muhammadiyah Gamping Hospital, Yogyakarta, Indonesia as a pre-experimental, one-group pretest–posttest study. Hundred adult diabetic patients were selected. Structured questionnaires and direct observations based on a standardized insulin pen checklist were used to collect the data. Ethics approval was obtained from Health Research Ethics Committee of PKU Muhammadiyah Gamping Hospital, and all individuals provided written informed consent. Results: At baseline, 29% of participants achieved high proficiency but post-intervention all (100%) achieved this level. Mean accuracy score significantly improved, from 10.28 (SD = 1.36) to 14.12 (SD = 1.03) (p <0.001). Procedural enhancements were to mix insulin and remove air bubbles. Conclusion: Pharmacist-led education with mHealth integration, the application of mobile technology in health monitoring, represents a novel and potentially generalisable approach in efforts to improve practices of insulin self-administration.
Utilization of Interactive Schistosomiasis Educational Media in Changing Clean and Healthy Living Behaviors to Prevent Stunting Ahmad Erlan; Paisal Paisal; Yona Patanduk; Muhammad Firdaus; Anggri Alfira Yunita Assa; I Kadek Wartana; Veni Mornalita Kolupe; Sitti Fajrah; Niluh Desy Purnamasari; Desak Eka Susianawati; Fitri Arni
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.8098

Abstract

Introduction: Schistosomiasis disease infecting humans in Indonesia is caused by the trematode worm Schistosoma japonicum type with the intermediate host being the snail Oncomelania hupensis lindoensis. Schistosomiasis can be chronic and worsen the incidence of malnutrition so that it can increase stunting in school-aged children. The aim of the research is to assess the increase in knowledge of students who have received local schistosomiasis so that they can practice clean and healthy living habits to prevent stunting in school children. Methods: The research was carried out using mixed methods, namely collecting qualitative and quantitative data. Data was obtained by in-depth interviews with key informants and focus group discussions. Results: Providing schistosomiasis subject matter to school children by measuring students' level of knowledge through pre and post-tests. Based on statistical analysis, a significant increase in students' knowledge about schistosomiasis was found with a p-value < 0.001. Conclusion: Empowering communities by integrating schistosomiasis education into the local school curriculum enhances students' understanding of the disease. It is important to continue incorporating local content about schistosomiasis so that school children remain consistent in preventing its transmission.
Local Wisdom-Based Parenting Concept in Stunting Prevention Policy among Coastal Bugis Communities Andi Surahman Batara; Linda Hardianti Saputri; Nurul Hikmah B
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.8482

Abstract

Introduction: Stunting remains a major public health issue in Indonesia, particularly in coastal areas such as Barru District, South Sulawesi, which has shown a significant increase in prevalence. Parenting practices play a central role in stunting prevention; however, existing policies often fail to accommodate the local values embedded within communities. Among coastal Bugis communities, local wisdom-based parenting practices such as mattarana’ and yabelale are believed to contribute to the holistic development of children, yet they have rarely been studied in the context of health policy. This study aims to explore the concept of local wisdom-based parenting within Bugis coastal communities and to analyze its potential for integration into more contextual and participatory stunting prevention policies. Methods: A mixed-methods sequential exploratory design was employed with explicit qualitative–quantitative integration. The qualitative phase generated culturally grounded constructs of parenting through in-depth interviews, focus group discussions, and participatory observations with parents, community leaders, health workers, and posyandu cadres. These findings directly informed the development of quantitative survey instruments. The subsequent quantitative phase involved a descriptive survey of 326 caregivers selected via stratified random sampling. Integration occurred at the design level (instrument development), the methods level (sequential linkage), and the interpretation level, where qualitative themes were used to contextualize quantitative results. Data were analyzed using thematic analysis and descriptive statistics. Ethical approval was obtained from the Health Research Ethics Committee of Maluku Husada School of Health Sciences (RK.196/KEPK/STIK/VII/2025). Results: Qualitative findings revealed that mattarana’ is understood as a form of intensive maternal caregiving, while yabelale represents a spiritual-emotional practice that strengthens mother-child attachment. Quantitative data indicated that 93.3% of respondents had adequate knowledge about stunting and 99.4% demonstrated positive attitudes toward healthy parenting. However, parenting practices did not fully reflect this knowledge. Furthermore, 62.9% of respondents agreed that local wisdom should be integrated into stunting prevention policies. Integrated analysis indicates that local values shape how biomedical knowledge is interpreted and enacted in daily caregiving. Conclusion: Integrating the concept of mattarana’ into stunting prevention policies may enhance the effectiveness of interventions through a more culturally grounded, socially responsive, and locally contextualized approach. This strategy supports WHO’s whole-of-society principle and offers a more humanistic and sustainable framework for health development.
Pharmacists’ Experiences and Needs in Pharmaceutical Care to Support Diabetes Medication Adherence in Indonesian Primary Care Riza Alfian; Muhammad Hafizh Abiyyu Fathin Fawwazi; Wirawan Adikusuma; Yohane Vincent Abero Phiri
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.8568

Abstract

Introduction: Medication adherence remains a major challenge in the management of diabetes mellitus, particularly in primary health care. Pharmacists play an important role in supporting adherence through pharmaceutical care. However, there is still limited evidence regarding pharmacists’ experiences and needs in implementing pharmaceutical care related to adherence in community health centers (Puskesmas) in Indonesia. Methods: This descriptive cross-sectional study was conducted among pharmacists working at Community Health Centers (Puskesmas) in South Kalimantan Province, Indonesia, between July and August 2025. A total of 244 pharmacists were invited, and 161 participated (response rate 66.0%). Data were collected using a validated structured questionnaire consisting of 35 items on a five-point Likert scale, covering pharmacists’ experiences, barriers, and needs in implementing pharmaceutical care to support medication adherence among patients with diabetes mellitus. Data were analyzed descriptively. Results: Pharmacists predominantly relied on indirect adherence assessment, most commonly through prescription refill monitoring (60.9%), while less consistently confirming patients’ understanding of therapeutic goals. Adherence-support interventions were largely limited to face-to-face education, with minimal use of remote/digital modalities (telephone or social media: 60.9% never). Monitoring and follow-up were also inconsistent, including limited assessment of adverse drug reactions. Key systemic and workflow barriers included limited time, lack of training, and restricted access to patients’ clinical information (75.8%). Pharmacists reported strong needs for standardized adherence assessment tools, accessible patient medication records, systematic guidelines, and training programs. Conclusion: Pharmaceutical care to support medication adherence among patients with diabetes mellitus in Puskesmas is not yet implemented consistently. Strengthening pharmacist competencies through practical tools, clear guidance, and continuous training, together with better access to patient information and appropriate use of digital resources, may improve the delivery of adherence services in primary care.

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