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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 7 Documents
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Search results for , issue "vol. 6 no. 3 (2026): in progress" : 7 Documents clear
Abc-Ven Analysis of Drug Use and Cost in Outpatien Cardiology Under Indonesia’s National Health Insurance: Study at a Single Center Andi Bulqiah Nur; Budi Suprapti; Moch Yusuf; Yulistiani; Wulida Nuril Fajriyah; Zam Zami Jauhari
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.9251

Abstract

Introduction: Pharmaceutical procurement represents a significant proportion of hospital expenditure, with drug inventory accounting for approximately 10-20% of of total hospital costs. The ABC-VEN analysis has been widely used to improve pharmaceutical inventory management, but evidence regarding its application in outpatient cardiology services within Indonesia’s National Health Insurance (JKN) system remains limited. This study aims to evaluate drug use patterns, pharmaceutical expenditure, and inventory priorities using ABC–VEN analysis in outpatient cardiology services under Indonesia’s National Health Insurance (JKN) system. Methods: A retrospective observational study was conducted using all outpatient prescriptions under the national health insurance program in the cardiology clinic from January to March 2020. The ABC method carried out the analysis of drug use patterns and cost. ABC-VEN matrix was formulated by combining the results of ABC and VEN analysis. Results: A total of 4.443 prescriptions contained 482.457 items from 125 types of drugs. Based on usage value, Classes A, B, and C accounted for 68%, 21%, and 11%, respectively, while based on invesment value, they accounted for 68%, 27%, and 5%. Class A drug usage and cost represent only 6% and 2% of total drug types. VEN analysis identified no Vital drugs, whereas Essential medicines accounted for 94% of total drug utilization and 98% of total pharmaceutical expenditure The ABC-VEN matrix showed drug usage in Categories I, II, and III at 34%, 60%, and 6%, with the corresponding drug costs for 68%, 30%, and 2%. Category I drugs represented 34% of total drug use but consumed 68% of total pharmaceutical expenditure, indicating substantial budget concentration in a limited number of essential high-cost medicines. Conclusion: The ABC analysis based on usage value and invesment value and VEN analysis shows differing patterns. Pharmaceutical expenditure in outpatient cardiology services was highly concentrated among a limited number of essential medicines. ABC–VEN analysis provides a practical framework for procurement prioritization, budget optimization, and strategic inventory control, thereby supporting more efficient pharmaceutical management and sustainable medication availability.
Invisible Families in Universal Health Coverage: Multilayered Exclusion of Underage Couples in Rural Bali, Indonesia Desak Putu Yuli Kurniati; Pande Putu Januraga; Ni Made Swasti Wulanyani; Dyah Kanya Wati; Anak Agung Sagung Sawitri; Ni Made Utami Dwipayanti; Ni Wayan Tianing; Ni Luh Putu Rita Primayuni; I Made Ady Wirawan
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.9765

Abstract

Introduction: Despite Indonesia’s commitment to Universal Health Coverage (UHC), adolescents involved in customary marriages often remain beyond the reach of state protection. This study explores the "multilayered exclusion" experienced by these couples in accessing maternal health services in Munti Gunung, Bali. Methods: This exploratory qualitative case study involved 16 purposively selected participants, including early-married adolescent mothers (n=5), family gatekeepers (husbands/in-laws, n=5), health workers (n=5), and a community leader (n=1). Data were collected through in-depth interviews and analyzed using thematic analysis to identify barriers across the socio-ecological spectrum. Results: Inductively derived from localized empirical data, this study presents 'Administrative Invisibility' as an emergent conceptual construct describing how the lack of civil marriage certificates systematically excludes newborns from the National Health Insurance scheme. This qualitative exploration indicates that structural vulnerability is mediated by rigid household hierarchies and a mismatch in institutional capacity within resource-constrained primary care services. To secure immediate healthcare, families and local administrative actors navigate this socio-legal limbo by employing pragmatically effective yet legally high-risk informal workarounds. Conclusion: Within this single-site qualitative scope, the intersection of customary child marriage and legal identity exclusion appears to form a compounded structural node within the multi-layered matrix of healthcare exclusion for newborns. Achieving health equity requires proactive, affirmative structural reforms, specifically, piloting a 'Conditional Humanitarian Enrolment' model powered by an API-driven digital bridging framework to formally decouple an infant’s constitutional right to healthcare from parental marital status, safely integrating immediate neonatal survival with long-term socio-legal safeguards.
Change in Adherence and Glycemic Control Following WhatsApp-Based Education and Interactive Reminders among Diabetes Patients Diyah Wahyuni; Budi Suprapti; Ramadi Satryo Wicaksono; Abdul Kadir Jaelani; Vini Siane Tanaem
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.10072

Abstract

Introduction: Type 2 diabetes mellitus (DM) is a non-communicable disease with increasing prevalence and low adherence globally. Therefore, this study aims to evaluate changes in medication adherence and glycemic control after a WhatsApp-based education and interactive reminders among outpatients receiving insulin therapy. Methods: A pre-experimental study used a prospective one-group pre-test-post-test design among outpatients receiving insulin in a hospital. The intervention included DM education at the initial meeting, followed by educational videos and weekly interactive reminders provided through WhatsApp for 6 weeks. Patient knowledge was assessed with Diabetes Knowledge Questionnaire (DKQ) and adherence to medication was assessed using Adherence to Refills and Medications Scale (ARMS). Glycemic control indices (fasting blood glucose (FBG), two hours of postprandial blood glucose (2hPPBG), glycated hemoglobin (HbA1c)) were measured before and after the intervention. Additionally, a paired t-test was used to measure the effect of the intervention on knowledge, adherence, and glycemic control indices. Results: Among the 122 patients who fulfilled the inclusion criteria, there was a significant increase in knowledge (p < 0.001), with the proportion of highly knowledgeable patients rising from 19.7% to 38.5%. The increase in adherence to medication from 30.3% to 39.3% was not statistically significant (p = 0.228). Glycemic control indices showed a significant improvement (p < 0.001), with mean HbA1C, FBG, and 2hPPBG decreasing from 8.63% to 7.85%, 152.18 mg/dl to 138.72 mg/dl, and 268.84 mg/dl to 228.66 mg/dl, respectively. Conclusion: Following the 6 weeks WhatsApp-based education and interactive reminders, improvement were observed in patient knowledge and glycemic control indices, but medication adherence did not change significantly. This study lacked a control group, the findings represent observed changes after the study period and require confirmation in controlled studies with longer follow-up.
Level of Health Literacy with Multiborbidity; Cross-Sectional Study in the Elderly Rahmawati; Sri Mulyani; Fitri Yanti; Niken Kuswary; Nurul Syahriani Salahuddin; Andi Ulfiana Fitri
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.9456

Abstract

Introduction: Older adults are particularly vulnerable to multimorbidity, underscoring the importance of adequate health literacy for maintaining health and managing chronic diseases. Health-related competencies range from functional literacy, which involves basic skills for handling health information, to communicative and critical literacy, which enable individuals to interact with, interpret, critically assess, and apply information in more complex health contexts. Inadequate health literacy may reduce the capacity to manage chronic conditions and potentially contribute to the development or progression of multimorbidity. This study assessed the relationships between functional, communicative, and critical health literacy and multimorbidity among older adults. Methods: A quantitative cross-sectional study was conducted among 44 older adults using total (exhaustive) sampling. Data were collected in June 2023 through structured questionnaire-based interviews. Fisher’s exact tests were used to assess associations. Results: Functional health literacy (p = 0.018), communicative health literacy (p = 0.010), and critical health literacy (p = 0.007) were significantly associated with multimorbidity. Health information access (p = 0.001) and family support (p = 0.023) were also significantly associated with multimorbidity, whereas education, sex, and income were not. Conclusion: Multimorbidity among older adults participating in the Prolanis program in Besu Village was significantly associated with functional, communicative, and critical health literacy. The findings suggest that chronic disease management may benefit from efforts to strengthen health literacy and access to reliable health information. However, causality cannot be established from this cross-sectional study and requires confirmation in longitudinal and intervention research.
Anti-Adhesion Effect of Intraperitoneal Quercetin Associated with Caspase-3 Concentration in a Rat Model of Postoperative Peritoneal Adhesion Zikrul Haikal; Asra Al Fauzi; Maftuchah Rochmanti; Idyatul Hasanah
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.10492

Abstract

Introduction: Postoperative peritoneal adhesion is a common complication that can lead to severe morbidity, including chronic pain and intestinal obstruction. Adhesion formation involves an imbalance between proliferation and apoptosis of mesothelial cells, with suppression of caspase-3 activity playing a key role. Quercetin has been suggested to possess anti-adhesion potential through caspase-3 activation; however, experimental evidence supporting this mechanism remains limited. This study aims to evaluate the effect of intraperitoneal quercetin administration on caspase-3 levels and peritoneal adhesion formation in a Wistar rat (Rattus norvegicus) model following laparotomy. Methods: This true experimental study employed a posttest-only control design involving 36 healthy male Wistar rats aged 3–4 months and weighing 200–250 g. The animals were randomly allocated into two groups: control (normal saline irrigation) and treatment (intraperitoneal quercetin at 50 mg/kg body weight). Peritoneal adhesion was induced by standardized peritoneal abrasion. On post-operative day 7, evaluations included caspase-3 level measurement using ELISA and macroscopic adhesion grading with a validated scoring system. Statistical analysis was performed using the Mann–Whitney test. Results: Caspase-3 concentration in the quercetin-treated group was significantly higher than in the control group (2.968 ± 0.970 vs. 1.277 ± 0.482; p = 0.000), indicating enhanced apoptosis. The mean adhesion score was significantly lower in the quercetin group (1.280 ± 1.127 vs. 2.220 ± 1.047; p = 0.012), demonstrating a protective effect of quercetin against pathological adhesion formation. Conclusion: Intraperitoneal quercetin significantly reduces peritoneal adhesion formation and is associated with increased caspase-3 levels, suggesting a potential apoptosis-related mechanism. These findings support further investigation into its clinical applicability, including optimization of dosing, safety evaluation, and integration into perioperative pharmacotherapy protocols. If validated in human studies, quercetin may contribute to reducing surgical complications and associated healthcare burdens.
Effects of Moringa oleifera Leaf Extract on Serum 8-OHdG Levels in Alloxan-Induced Diabetic Rats Yuhendri Putra; Arni Amir; Eti Yerizel; Hasmiwati
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.11226

Abstract

Introduction: Oxidative stress contributes to the pathogenesis and complications of diabetes mellitus through excessive production of reactive oxygen species, which can lead to oxidative DNA damage. Serum 8-Hydroxy-2′-Deoxyguanosine (8-OHdG) is widely used as a biomarker of oxidative DNA damage. Moringa oleifera leaves contain various antioxidant compounds that may help modulate oxidative stress under diabetic conditions. This study aimed to evaluate the effects of Moringa oleifera leaf extract on serum 8-OHdG levels in alloxan-induced diabetic rats. Methods: This exploratory, randomized, post-test-only experiment included 25 male Wistar rats allocated to five groups (n = 5/group): non-diabetic control, alloxan-exposed diabetic control, and alloxan-exposed groups receiving Moringa oleifera leaf extract at 250, 500, or 1000 mg/kg body weight orally once daily for 14 days. Alloxan monohydrate was administered intraperitoneally at 150 mg/kg body weight. A fasting glucose level ≥200 mg/dL at 72 hours defined eligibility for the diabetic groups. Serum 8-OHdG was measured by enzyme-linked immunosorbent assay (ELISA), and group means were compared using one-way ANOVA with p < 0.05 as the significance threshold. Results: Serum 8-OHdG did not differ significantly among groups (F(4,20) = 1.55; p = 0.227). The 500 mg/kg group had the numerically lowest mean (0.367 ± 0.036 ng/mL), but this observation did not establish a treatment effect or an optimal dose. The diabetic control mean (0.416 ± 0.073 ng/mL) was not higher than the non-diabetic control mean (0.468 ± 0.108 ng/mL). Conclusion: This exploratory study did not demonstrate a statistically significant effect of Moringa oleifera leaf extract on serum 8-OHdG under the tested conditions. The observed numerical variation should be interpreted cautiously and does not establish antioxidant efficacy or an optimal dose. Larger, adequately powered studies with standardized extract characterization, longitudinal glycemic assessment, and additional oxidative stress markers are warranted.
Respiratory Symptom Composite, Individual Characteristics, and Area PM10 Measurements among Makassar Flour Mill Workers Tiara Rahmadhani; Atjo Wahyu; Yahya Thamrin; Masyita Muis; Andi Arsunan
Journal of Public Health and Pharmacy Vol. 6 No. 3 (2026): In Progress
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i3.11536

Abstract

Introduction: This study described an unvalidated respiratory symptom composite, individual characteristics, and concurrent spirometric screening among flour mill workers in Makassar, with short-duration area PM10 measurements providing descriptive workplace context. Methods: The cross-sectional study was conducted in December 2025. Archived aggregate tables included data for 87 workers; complete participation and source-data completeness could not be verified. The primary outcome was a study-specific, unvalidated 12-item composite using a ≥50% affirmative-response threshold. Crude prevalence ratios (PRs) and odds ratios (ORs) with nominal 95% confidence intervals (CIs) were reconstructed from categorical counts. Ten 10-minute area PM10 measurements were summarized separately. The unverifiable adjusted model was removed. Results: The composite threshold was met by 49/87 workers (56.3%). Crude PRs were 1.61 (95% CI 1.08–2.40) for the respiratory history composite, 2.44 (1.65–3.62) for service >5 years, and 2.62 (1.60–4.31) for former or current smoking versus never smoking. PPE use had a PR of 1.47 (0.996–2.180), and the exercise composite had a PR of 1.04 (0.72–1.52). Abnormal spirometric screening co-occurred with a higher composite-positive proportion (PR 2.56; 1.39–4.73), without implying a predictive relationship. PM10 ranged from 5 to 902 µg/m³. Estimates were unadjusted and CIs did not account for possible work-area clustering. Conclusion: Recorded individual characteristics differed in their crude association with the unvalidated symptom composite. These findings do not establish respiratory disease prevalence, independent determinants, or causation. Area measurements cannot establish individual PM10–symptom associations or regulatory compliance. The findings identify priorities for better-documented exposure assessment and respiratory surveillance.  

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