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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 155 Documents
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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 (2025): 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 (2025): 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 (2025): 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; Sunarti Hanapi; Nur Hamdani Nur; Mohamad, Sabrina Nadjib; Mohammad Amon
Journal of Public Health and Pharmacy Vol. 5 No. 2 (2025): 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 (2025): 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 (2025): 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.
Empowering Adolescent Girls Through Social Organisation-Based Mentoring to Prevent Malnutrition Khafidhoh, Nur; S.A. Nugraheni; Sriatmi, Ayun; Winarni, Sri
Journal of Public Health and Pharmacy Vol. 5 No. 2 (2025): 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.v6i1.6216

Abstract

Introduction: Adolescent girls are prone to nutrition-related problems, ranging from anaemia, SEZ, undernutrition and overnutrition. Currently, more interventions are conducted on school-aged adolescents, while adolescents who are no longer in school have not been addressed. Implementation of interventions in the community, such as youth organisations and religious organisations, not only in schools. This can increase accessibility and participation among adolescents who are not in formal education young women-based social organisations can be involved in interventions to prevent adolescent malnutrition through a mentoring model. The aim of this study was to analyse the effect of organisation-based mentoring on improving knowledge, this study aims to analyse the differences in knowledge, practice of malnutrition prevention in the form of measurement of calorie adequacy and iron intake. Methods: This research design is a quasi-experimental pre and post-test with a control group. This study was conducted on 189 adolescent girls, which were divided into an intervention group of 98 people and a control group of 91 people. Respondents were taken by purposive sampling based on inclusion criteria. The study was conducted for 10 weeks. Data were obtained by structured interviews. Data were analysed using paired t test and wilcoxon, while between group analysis with manwithney. Results: The results showed that there was a difference between knowledge, behaviour before and after the intervention between the treatment group and the control group with p < 0.05. There was a significant increase in knowledge, attitude and behaviour in the intervention and control groups. Conclusion: Community organisation-based mentoring has been shown to be effective in improving adolescent health. It is necessary to strengthen regulations in regulating the role of community organisations, especially adolescents, through structured assistance and education for vulnerable groups including adolescents. The results of the study can be duplicated to be implemented in other organisations that focus on adolescents.
Analysis of Factors Affecting the Success of Sociocultural Education Approach in Preventing Tuberculosis in Tapanuli Selatan Regency Sujoko, Edy; J. Hadi, Anto; Harahap, Dewani; Rantesalu, Matius; Sallipadang, Edwinn; Utaminingtyas, Farida; Andriani Rangkuti, Juni; Lastari, Asdi
Journal of Public Health and Pharmacy Vol. 5 No. 2 (2025): 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.v5i2.6266

Abstract

Introduction: Tuberculosis is still becoming one of the deathliest infectious diseases in the entire world and has become the most urgent public health challenge globally. This study aims to analyze the factors affecting the success of the sociocultural education approach in preventing Tuberculosis in Tapanuli Selatan Regency. Methods: Using a cross-sectional study approach, data were collected from the local community using purposive sampling. Data analysis was conducted to evaluate the influence of certain variables, including public education level, health service access, community participation in education programs, the use of social media in education campaigns, and health workers' support on the success of sociocultural education approach in preventing Tuberculosis through univariate, bivariate, and multivariate analyses. Results: The findings showed that community education level (p=0.001), health service access (p=0.001), community participation in education programs (p=0.001), social media use in education campaigns (p=0.001), health workers support (p=0.001) had a significant effect on the success of the sociocultural education approach in preventing Tuberculosis. Meanwhile, the variable of social media use in educational campaigns significantly influences public awareness and participation in efforts to prevent Tuberculosis, with an Exp value (B)=15.581 and a p=0.001 < ?=0.05 value. Conclusion: This research concludes that the tuberculosis prevention strategy in Tapanuli Selatan Regency needs to be supported with an integrated sociocultural education approach that accommodates the roles of social media, health service access, community participation, and health workers' support. This research suggests an increase in investment in health infrastructure, health workers' training, and a more intensive and guided education campaign to improve the community's awareness and participation in preventing Tuberculosis in the area.
Breaking the Chains of ‘Pasung’: The Potential Roles of Primary Health Centres and Pharmacists in an Indonesian Setting Sulisetiorini, Sulisetiorini; Wibowo, Yosi Irawati; Sunderland, Bruce; Setiadi, Adji Prayitno
Journal of Public Health and Pharmacy Vol. 5 No. 2 (2025): 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.v5i2.6306

Abstract

Introduction: Healthcare for patients in pasung is often neglected. Limited data is available on the roles of Primary Health Centres (PHCs) as the main providers of primary care in Indonesia. This research aims to explore health services provided for patients in pasung at PHCs and to identify the roles of pharmacists. Methods: This descriptive qualitative research used in-depth interviews with a range of stakeholders [i.e., patients in pasung (n=14) or the representative family caregivers (n=12), mental health nurses (n=5), pharmacists (n=5)] at 5 PHCs in Trenggalek, Indonesia from May to July 2023. Inductive thematic analysis was used to address the research questions. Ethical approval was obtained from the Research Ethics Committee of Universitas Surabaya (number 130/KE/V/2023), and participants provided written informed consent. Results: Patients in pasung have generally had adequate access to PHCs with no charge for their treatments. Health services provided for patients in pasung at PHCs were categorised into two main themes: outpatient services (i.e., medication supply, and home-care), and referral to inpatient services. Pharmacists’ roles have largely related to drug supply, while clinical pharmacy services have been very limited (e.g., providing drug information when patients obtained their medications at the pharmacy units). Conclusion: In conclusion, findings in this study have provided a baseline for future development of mental healthcare for patients in pasung. Pharmacists have the potential to take up more clinical roles to ensure quality use of medicines among patients in pasung. Supporting policy and resources should be allocated for PHCs to expand pharmacist’s services.
Stunting Countermeasures Model (A Case Study of a Specific Nutrition Intervention Program) Nofitasari, Ari; Islaeli, Islaeli; Dina, Hasniah
Journal of Public Health and Pharmacy Vol. 5 No. 2 (2025): 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.v5i2.6373

Abstract

Introduction: The prevalence of stunting in Indonesia (24.4%). The data from Southeast Sulawesi Province (2021), showed that the prevalence of stunting included 35.2% in Buton Regency, 30.9% in South Buton, 22.8% in Central Buton, 21,3% Bombana, 20% North Buton, 19,8% East Kolaka, 19.5% Konawe South, 19.3% in Konawe, 17.3% in Muna Regency, 16.4% North Konawe, 14.9% Wakatobi, 13.7% in West Muna, 12.2% Kolaka, 11.1% in Bau-Bau City, 9% in Konawe Island, 9% in North Kolaka, and 5.6% in Kendari City. Kolaka Regency in 2022 showed that the number of stunting toddlers was 620, consisting of 481 toddlers in the short category and 139 toddlers in the very short category. In this study, we aim to see a reduction in the incidence of stunting through specific nutritional interventions. Methods: This research used quantitative methods with a cross-sectional design. The sample in this research was 244 respondents, using a purposive sampling technique. Results: There is a relationship between: socio-economic and the incidence of stunting (X2count = 41.164 > X2Table = 3.841); Exclusive Breastfeeding and the incidence of Stunting (X2count= 18.511 > X2Table = 3.841); breast milk complementary food and the incidence of Stunting (X2count= 5.678 > X2Table= 3.841); immunization and the incidence of Stunting (X2count value = 69.750 > X2Table value = 3.841); the vitamin A capsules and the incidence of Stunting (X2count= 8.001 > X2Table= 3.841); protein intake and the incidence of Stunting (X2count= 3.927 > X2Table= 3.841); energy adequacy figures and Stunting criteria (X2count= 11.759 > X2Table= 3.841); The stunting control model through a combined scenario experienced a decline rate with an optimistic strategy of 1.82%. Conclusion: In conclusion, there was a significant relationship between household socio-economic factors, exclusive breastfeeding, complementary breastfeeding, immunization, vitamin A capsules, protein intake, and energy intake and the incidence of stunting.

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