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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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Atomic Habits Parenting Validating a Behavioral Framework for Stunting Prevention Sirajuddin, Sirajuddin; Mustamin, Mustamin; Dien Abdul Munir
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.v5i2.6405

Abstract

Introduction: Atomic Habits Parenting focuses on small, consistent actions by caregivers to detect and prevent stunting in children. A valid and reliable instrument is essential for early detection and effective prevention. This study aims to evaluate the validity and reliability of the Atomic Habits Parenting instrument and its association with stunting prevention in children under five. This method differs from others as the consistent daily practice of small habits leads to a 37-fold improvement over one year. Methods: A cross-sectional study was conducted in Jeneponto, Barru, and Sinjai Districts of South Sulawesi, Indonesia, involving 900 children aged 0-59 months. Data were collected from February to August 2024. Validity and reliability were assessed using Cronbach's alpha, sensitivity, and specificity with ROC analysis, and the association with stunting was measured using the Chi-Square test. Results: The instrument demonstrated high reliability with Cronbach's alpha values above 0.8 for all parenting practices. ROC analysis showed excellent sensitivity (75.6%) and specificity (82.3%) at a threshold score of 313.5. A significant association was found between Atomic Habits Parenting and stunting prevention (p<0.001). Conclusion: The Atomic Habits Parenting instrument is valid and reliable, with strong sensitivity and specificity. It is significantly associated with the prevention of stunting in children under five, making it a valuable tool for public health programs. Adapting this approach globally in high-stunting regions (>20%) could support a sustainable stunting reduction roadmap.
A Benchmark of Supply Management Models for Pharmaceutical Products from Pharmacies in Public and Private Hospital Structures Benzekri, Samiha; Cheikh, Amine; Lamsaouri, Jamal; Bennana, Ahmed; El Wartiti, Mohammed Adnane
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.v6i1.6653

Abstract

Introduction: The objective of this work is to study a certain number of criteria to meet the expectations of healthcare services seeking to improve the availability of pharmaceutical products. Methods: Regarding the data collection method, we conducted a survey. The latter was intended for healthcare services. The questionnaire was validated by a team of hospital pharmacists and managers. To develop our questionnaire, we used the Sphinx tool, and for the quantitative data, we processed it on a computer using SPSS software. Results: The internal pharmacy management models of the two hospitals represent several differences but also several similarities. Two major differences can be noted, the first one is the supply model that is based on annual markets for AMSS hospitals versus negotiated and just-in-time purchases for private hospitals. The second one is the hospital central pharmacy healthcare service procurement model. Conclusion: Following the multiple changes currently affecting the health care sector, hospital structures must optimize their management to reduce expenses while guaranteeing the safety and quality of care administered to patients.
Karamunting Fruit Gel as a Natural Dental Plaque Disclosing Solution Prasetyowati, Silvia; Ayatullah, M. Ibraar; Hadi, Sunomo
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.v5i2.6689

Abstract

Introduction: Dental and oral health issues remain a global challenge, with rising dental caries cases, particularly in regions like Sub-Saharan Africa and Indonesia, where 57.6% of the population is affected. Among Indonesian children aged 3-9, caries and toothache are prevalent, highlighting the need for early plaque detection and targeted interventions. This study aims to evaluate the effectiveness of disclosing solution gel formulated from Karamunting fruit (Melastoma malabathricum L.) as a dental plaque identifier in children attending the Special Education School under the Surabaya Foundation for Children with Disabilities. Methods: This study utilized a quasi-experimental design using a post-test with a control group framework. A total of 24 respondents were selected through random sampling and divided into four groups. The first three groups were given Karamunting fruit gel at concentrations of 7.5%, 10%, and 12.5% respectively, while the fourth group received a chemically-based disclosing solution as the control. This design allowed for a comparative analysis of the effectiveness of the natural and chemical formulations in detecting dental plaque. Results: The result of the analysis, conducted by using Kruskal-Wallis revealed a p-value of 0.004 (<0.05) indicating a statistically significant effectiveness among Karamunting gel concentrations of 7.5%, 10%, and 12.5% when compared to chemically-based disclosing solution. These findings demonstrate that Karamunting gel is effective in identifying dental plaque, with its efficacy varying significantly according to the concentration used. Conclusion: The disclosing solution gel derived from Karamunting fruit (Melastoma malabathricum L.) showed a potential as an effective alternative for dental plaque notification.
Readiness and Acceptance of Health Providers using Clinical Decision Support System at Probolinggo Primary Healthcare Centers Rokayah, Rokayah; Alfian, Riza; Nita, Yunita; Puspitasari, Hanni Prihhastuti
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.v5i2.6709

Abstract

Introduction: The government targets a significant reduction in antibiotic resistance by 2030 through wise antibiotic management, including implementing the Clinical Decision Support System (CDSS) for Health Providers in Non-Pneumonia acute respiratory infections (ISPA) and Non-specific Diarrhea in Primary Healthcare Centre (Puskesmas). However, the readiness and acceptance of Health Providers to CDSS need to be evaluated. This study evaluates the readiness and acceptance of doctors, nurses, midwives, pharmacists, and pharmacists' assistants in Puskesmas using CDSS. Methods: The method used was a cross-sectional quantitative survey with snowball sampling of 185 respondents at the Probolinggo Puskesmas in July-August 2024. The questionnaire was developed based on a combination of the Technology Readiness Index and the Technology Acceptance Model (TRAM), and the data was analyzed using SEM-PLS (Structural Equation Modeling-Partial Least Squares). Result: This study revealed that optimism contributed positively to the perception of ease of use (PEOU) and perception of benefits (PU) of CDSS. Innovation also contributed positively to PEOU, but not significantly to PU. Optimism increases PEOU and PU, while innovation only increases PEOU. Although innovation is insignificant to PU, it has a more significant impact on PEOU than optimism. Conclusion: These findings also show that PU affects the attitude of Health Providers to use CDSS (? = 0.286, p < 0.001) but does not directly affect behavioral intentions (? = 0.081, p = 0.250). PEOU significantly affected PU (? = 0.617, p < 0.001) and attitude (? = 0.661, p < 0.001). Attitudes towards CDSS greatly influenced the behavioral intentions of healthcare providers to use it (? = 0.851, p < 0.001), making it a strong predictor of CDSS adoption. The integration of TRI and TAM in predicting the readiness of Health Providers has proven helpful in understanding the factors of CDSS adoption in Puskesmas. These findings highlight the importance of training for health providers to improve CDSS readiness and acceptance. In addition, the results of this study can be the basis for policy development in implementing CDSS Primary Healthcare Centers to support a more rational use of antibiotics.
Spatio-Temporal Analysis of Tuberculosis Clusters in a Region of Topographic Diversity: A Case Study from West Sulawesi Province, Indonesia Islam, Fahrul; Ahmad, Haeranah; Akbar, Fajar; Khaer, Ain; Suryadi, Iwan; Syukri, Muhammad; Ramadhan, Kadar
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.v5i2.6762

Abstract

Introduction: Several studies on tuberculosis (TB) using spatial and time clustering analyses have been conducted in Indonesia, however none have specifically focused on regions characterized by diverse topography. This study aimed to identify geospatial clusters of TB cases in West Sulawesi Province, Indonesia, an area known for its topographic variability. Methods: An ecological study design was employed. TB case data, including bacteriologically confirmed and clinically diagnosed cases, were obtained from the Tuberculosis Information System (Sistem Informasi Tuberkulosis, SITB) of the West Sulawesi Provincial Health Office, covering the period from January 1, 2020, to December 31, 2023. Spatial visualization was performed using QGIS version 3.40.0. Cluster detection and spatial pattern analysis were conducted using SaTScan version 10.2.5. Results: TB cases in West Sulawesi formed clusters. A total of 17 clusters were identified—4 primary (most likely) clusters and 13 secondary clusters. In 2020, the primary cluster was located in Bambang Village, Bambang Subdistrict. In 2021, the primary cluster was in Lambanan Village, Mamasa Subdistrict. In 2022, the primary cluster was in Ulumambi Barat Village, Bambang Subdistrict, and in 2023, the primary cluster was again in Lambanan Village, Mamasa Subdistrict. Conclusion: This study found that the most likely TB clusters from 2020 to 2023 were consistently located in the eastern part of West Sulawesi Province, specifically in Mamasa Regency, an area characterized by mountainous terrain. This suggests that various environmental, social, and economic factors unique to mountain communities may influence TB transmission dynamics. The findings highlight the need for geographically tailored intervention strategies, including mobile TB services, community-based education, enhanced surveillance systems, the establishment of local TB support networks, and improved healthcare infrastructure adapted to mountainous areas. Future research should consider integrating genotypic, molecular, and geospatial approaches to advance global TB control efforts.
Determinants of Contact Dermatitis Among Fishermen: A Study on Barrang Lompo Island, Indonesia Kasrudin, Iqrayati; Birawida, Agus Bintara; Amqam, Hasnawati; Daud, Anwar; Muhammad Rachmat; Stang, Stang; R. Russeng, Syamsiar; Gurendro Putro; Nurlia Sila
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.v5i2.6873

Abstract

Introduction: Contact dermatitis is a common health issue among fishermen caused by exposure to harsh working environments, including seawater, chemicals, and suboptimal use of personal protective equipment (PPE). Factors such as personal hygiene, history of skin diseases, and access to clean water can influence the incidence of contact dermatitis. The novelty of this study is combining environmental sanitation and occupational health factors of fishermen that influence contact dermatitis, which have previously been studied only partially. The results of this study also found that the PPE (Personal Protective Equipment) variable acts as a moderating factor influencing contact dermatitis. This study aims to investigate the causal relationships between personal hygiene, history of skin diseases, PPE use, and access to clean water with the incidence of contact dermatitis among fishermen on Barrang Lompo Island. Methods: This study employed a cross-sectional using Structural Equation Modeling (SEM) to analysed the relationships between personal hygiene, skin disease history, PPE use, and access to clean water. SEM effectively evaluates interactions among latent variables, offering a robust approach to occupational health issues and providing insights into how individual and environmental factors influence dermatitis prevalence. Data were collected through structured interviews and validated questionnaires. Results: The analysis showed that personal hygiene and history of skin diseases had significant relationships with the incidence of dermatitis (p < 0.05). However, PPE use and access to clean water did not show a significant direct effect. Conclusion: Improving personal hygiene practices and targeted interventions for individuals with a history of skin diseases are essential for reducing contact dermatitis among fishermen. Education on proper hygiene techniques and optimizing PPE use are recommended for maximum protection.
Enhancing Hospital Service Quality Through Strategic and Operational Excellence Focused on Patient Satisfaction: The Case of Indonesia Iwan Sumarta, Renaldus; Sudirman, Iman; Suteja, Jaja; Djulius, Horas; Sofyan, Mohammad
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.v5i2.7000

Abstract

Introduction: Hospitals, functioning both as public service institutions and business entities, must prioritize patient satisfaction to ensure the sustainability of their services. This study explores the relationships among operational strategy, operational competence, quality culture, and service quality, as well as their combined impact on patient satisfaction in Indonesian hospitals. Methods: This study employed a quantitative approach using a survey method. Data were collected from 300 respondents, comprising medical and non-medical staff, across four hospitals in Jambi Province. Structural Equation Modeling (SEM) was utilized for data analysis, enabling an in-depth examination of both direct and indirect relationships among the variables. Results: The findings revealed that operational strategy and operational competence significantly influenced quality culture and service quality. Additionally, quality culture and service quality collectively impacted patient satisfaction, highlighting the critical roles of these factors in enhancing hospital performance. Notably, service quality had the strongest direct effect on patient satisfaction, while quality culture contributed to sustaining these improvements over time. Conclusions: These findings underscore the essential role of strategic alignment and operational excellence in achieving higher levels of patient satisfaction. The study provides valuable insights for hospital management and policymakers in developing countries, advocating for the integration of strategic planning and competency development to enhance healthcare delivery systems and improve patient outcomes.
Assessing Community Needs and Expectations with Healthcare Quality: A Case Study of Lawawoi Community Health Center Tahir, Muhammad; Hasrul, Hasrul; Annisa Parno, Nur; Asnuddin, Asnuddin
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.v5i2.7256

Abstract

Introduction: In this study, we aimed to examine the relationship between community healthcare needs, expectations, and perceived service quality within the context of rural health service delivery. With growing global emphasis on patient centered care and rising concerns about inequitable healthcare access, our objective was to assess how well community needs and expectations align with service provision at the Lawawoi Community Health Center (CHC) to address gaps identified in existing literature. Methods: This quantitative cross sectional study involved the distribution of structured questionnaires and observational data collection conducted at the Lawawoi CHC from March to May 2024. A total of 80 respondents were enrolled through purposive sampling. Data were collected via validated surveys assessing perceptions of service quality, expectations, and healthcare needs. Ethical approval was obtained from the Institutional Review Board of the research team’s affiliated institution, and participants provided informed consent. Results: The primary outcome of the study was the perceived improvement in service quality. Findings revealed that 90.5% of participants with high healthcare needs and 94.7% of those with high expectations perceived service quality as good. Chi square tests showed statistically significant relationships between community needs and service quality (p = 0.000) and between expectations and service quality (p = 0.000). Notably, cultural values and interpersonal provider patient interactions were influential in shaping perceptions. Conclusion: In conclusion, our study contributes to the understanding of patient centered service delivery in rural Indonesia by highlighting the importance of aligning healthcare provision with community needs and expectations. This research provides insights into participatory planning, communication strategies, and culturally responsive care as drivers of perceived service quality. Future studies should explore longitudinal impacts of community engagement and evaluate continuous quality improvement models to advance equity oriented healthcare practices in resource limited settings.
Body Mass Index, Hemoglobin levels and Grade-Point Average for Public Health Students: Cross Sectional Study Alam, Syamsul; Syahrir , Sukfitrianty; Yasin, Maesarah; Aswadi, Aswadi
Journal of Public Health and Pharmacy Vol. 5 No. 3 (2025): November 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.v5i3.5483

Abstract

Introduction: Poor nutrition can disrupt a child's motivation, ability to train, and his ability to learn. This will affect children's learning achievement. The first-year students following the lecture process with the block system have an average GPA lower than students who use the lecture system block two to three years. The aim to find out the nutritional status and the college student's achievement index who take the block system learning method in the learning environment of the public health department UIN Alauddin Makassar. Methods: The participants were 88 students from the public health department of UIN Alauddin Makassar with the Cross-Sectional approach method. The research data was obtained by measuring anthropometry based on BW / TB, measurement of hemoglobin, and student achievement index. Data were analyzed by the chi-square test at p-value <0.05. Results: The results showed that the analysis of BMI based on indicators of weight and height measurements obtained the normal nutritional status of students only 40.9%, nutritional status underweight category as much as 35.2% and overweight or overweight as much as 23.9%. The results of hemoglobin examination (g / dl) showed that respondents had anemia which was as much as 71.6%, which was not anemic 28.4%. The results showed that there was no relationship between the BMI with the learning achievement of students who took classes with the block system in health study programs, P-value = 0.902. P-value = 0.001, which shows that there is a significant relationship between anemia status and achievement index obtained during the 2 semesters of lectures that have been followed. Conclusion: Anemia is one of the nutritional problems that can affect student learning achievement, so students can improve consumption patterns that affect hemoglobin.
Cost Analysis of Caesarean Deliveries under INA-CBG’s Tariff System in Jogja Hospital, Indonesia Hadning, Ingenida; Arditya, Zhafira As Syafa Putri
Journal of Public Health and Pharmacy Vol. 5 No. 3 (2025): November 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.v5i3.5889

Abstract

Introduction: This study aimed to determine differences in the average real cost of caesarean section with INA-CBG’s. This study is the first to use the latest INA-CBG's in 2023, so it can provide an overview of the implementation of INA-CBG's in 2023. The finding has the potential to provide recommendations for improving reimbursement policies and can guide the development of more effective financing models for hospitals and patients, particularly regarding caesarean section costs. In light of the growing global demand for cost efficiency in healthcare, this study provides valuable insights into optimizing financing structures and resource allocation. Methods: The study uses a quantitative research approach with retrospective data from sectio caesarea patient medical records in Jogja Hospital during January-September 2023. A total of 30 patients were enrolled, and data were collected through total sampling. Ethical approval was obtained from the hospital director with number 56/KEPK/RSUD/IX/2023 Results: The study's primary outcome was that the average real cost of the Caesarea section is higher than the INA-CBG's 2023. Furthermore, it was found that there was a significant difference between the average real cost of sectio caesarea and INA-CBG's in class 1 INA-CBG's code O-6-10-I (sig.0.001), class 3 INA-CBG's code O-6-10-I (Sig.0.000) and class 3 INA-CBG's code O-6-10-II (Sig.0.028). There are results of insignificant differences in class 1 INA-CBG's code O-6-10-II (Sig.0.180), class 2 INA-CBG's code O-6-10-I (Sig.0.089), class 2 INA-CBG's code O-6-10-II (Sig.0.180). Conclusion: This study shows that there is a significant difference between the real cost and the INA-CBG's on the payment of patient claims for inpatient services at Jogja Hospital. Our study contributes to understanding healthcare reimbursement issues by the difference between the average cost of sectio caesarea and INA-CBG's. Future research should address the evaluation of the factors that can cause the difference between the cost of sectio caesarea and INA-CBG's 2023, which will ultimately advance knowledge in the field of international health.

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