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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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Sosioeconomic, Behavioral, and Biological Determinants of Tuberculosis Incidence: A Case Study in Aceh Besar, Indonesia Farrah Fahdhienie; Akbar, Fahrisal
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.v5i3.6008

Abstract

Introduction: Tuberculosis (TB) pandemic is a significant global health concern, especially in low- and middle-income countries. Every year the incidence and deaths due to TB continue to increase. Preventing and controlling TB effectively requires understanding the complex interplay of the multidimensional TB risk factors, which consist of social, behavioral, and biological determinants that contribute to its spread. This study aimed to identify and analyze the primary risk factors associated with TB incidence. Methods: This study employed a case-control design with 44 respondents consisting of 22 laboratory-confirmed TB patients and 22 non-TB patients with matching ages and sex. This study used a structured questionnaire was used to collect data through face-to-face interviews. The questionnaire assessed risk factors across three key domains: social determinants, behavioral determinants, and biological determinants. Bivariate analysis, which used a chi-square test (p-value <0.05), and multivariate analysis, which used a logistic regression test, were performed to determine risk factors most associated with TB incidence. Results: Low income (p-value=0.015;OR=6.923;95%CI=1.285-37.287), high TB-related stigma (p-value=0.033;OR=3.852;95%CI=1.086-13.661), insufficient TB knowledge (p-value =0.033;OR=3.852;95%CI=1.086-13.661), food insecurity (p-value=0.006;OR=5.950;95%CI=1.586-22.328), lack of preventative measures (p-value=0.015;OR=4.667;95%CI=1.299-16.761), history of contact with TB patients (p-value =0.039;OR=7.875;95%CI=0.860-72.122), and presence of comorbidities (p-value =0.031;OR=5.714;95%CI=1.051-31.072) were significantly associated with TB incidence. Comorbidities emerged as the strongest risk factor (p-value =0.020; OR=12.141;95%CI=1.486-99.231). Conclusion: This study highlights several major factors influencing TB incidence, including social, behavioral, and biological determinants. The findings suggest that effective TB control strategies should address socioeconomic conditions, promote healthy lifestyles, and involve community leaders and TB survivors in educational campaigns, stigma reduction, and early diagnosis efforts. Understanding these health determinants can inform more targeted public policies for curbing TB incidence.
Cadre Role and Performance in Preventing Stunting in Dolo, Central Sulawesi Revi Ekasetya Pratiwi; Eka Diah Kartiningrum; Rifaatul Laila Mahmudah
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.v5i3.6051

Abstract

Introduction: Indonesia has the highest rate of stunting among toddlers in Southeast Asia, with a prevalence of 31.0%. A 2022 survey on nutritional status conducted across 33 Indonesian provinces ranked Central Sulawesi 6th highest for stunting, at 28.2%. Within 13 regencies/cities in Central Sulawesi province, Sigi regency had the highest stunting rate, reaching 36.8% among toddlers. Data from the Dolo Community Health Center showed a local prevalence of stunting at 14.7% in 2022. This figure remains high compared to the government's annual standard of 3.8%. The Community Health Worker program in 12 countries prevents stunting by providing nutrition education, monitoring child growth, promoting exclusive breastfeeding, and distributing additional foods and supplements. As the main pillars for improving public health, cadres are crucial in preventing stunting. Therefore, this study aimed to analyze the role and performance of cadres in preventing stunting in the Dolo, Central Sulawesi. Methods: A qualitative case study design was adopted from March to July 2024 in Dolo, Central Sulawesi. Furthermore, 15 informants were selected by purposive sampling, including three key informants, seven primary informants, and five additional informants. Data collection involved participant observation, in-depth interviews, documentation, and focus group discussions. Analysis followed three steps: reduction, data display, and conclusion drawing/verification. Ethical approval was received from Majapahit Health Sciences College, Number: 04 /EC-SM/2024. Results: The results showed that stunting cadres in the Dolo, Central Sulawesi, effectively fulfilled their role and responsibilities across various stages of intervention. However, several challenges were identified, including limitations in conducting home visits. Conclusion: Cadre performance in Dolo requires a comprehensive approach, namely setting a minimum standard for each cadre's frequency of home visits. Stakeholders provide refresher training every six months and conduct periodic evaluations of cadre effectiveness.
Plant-Based Bioinsecticide for Controlling Houseflies (Musca domestica): Efficacy of Leaf Extracts Budiman, Budiman; Hamidah, Hamidah; Nur Afifah; Munir Munir; Miswan Miswan; Zhanaz Tasya
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.v5i3.6237

Abstract

Introduction: One of the vectors of disease spread is flies. House flies (Musca domestica) are often found alive in almost all types of environments. Several previous studies have shown that pandanus leaves (Pandanus amaryllifolius), basil leaves (Ocimum sanctum), and bay leaves (Syzygium polyanthum) contain active compounds that are toxic to insects, but no one has compared the effectiveness of the four types of plants. This research aims to determine the effectiveness of administering extracts from various plant leaves as a bioinsecticide for houseflies (Musca domestica). Methods: This type of research is experimental using a completely randomized design with 6 treatments. The treatment consisted of administering Pandan Leaf extract (Pandanus amaryllifolius), Basil Leaf extract (Ocimum sanctum) and Laurel Leaf extract (Syzygium polyanthum) each with a concentration of 5 ml, 10 ml and 15 ml and using a control for comparison. Observations were carried out for 24 hours observing the number of dead flies. Results: The results of this study indicate that pandan leaf extract (Pandanus amaryllifolius), basil leaf extract (Ocimum sanctum), and bay leaf extract (Syzygium polyanthum) are effective in killing houseflies (Musca domestica). The most effective concentration being 15 ml. Research Implications: This research demonstrates that the use of natural bioinsecticides from plant extracts can control the population of house flies (Musca domestica) so that the risk of disease transmission in the community can be significantly minimized Conclusion: Pandan leaf extract (Pandanus amaryllifolius), basil leaf extract (Ocimum sanctum) and bay leaf extract (Syzygium polyanthum) can be used as natural alternative ingredients to exterminate houseflies (Musca domestica) Limitations of the research: This research did not control environmental conditions such as sunlight, temperature, and humidity. Other than that, neither the effects on fly resistance nor the effects on non-target organisms have been studied. Recommendations for Future Research: It is hoped that future research can examine the effects of fly resistance and killing on non-target organisms and control environmental conditions.
Stunting in Toddlers: Exploring Multiple Factors Through a Case Control Study Wartana, I Kadek; Kolupe, Veni Mornalita; Mutohharoh, Rizkya; Fajrah, Sitti
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.v5i3.6293

Abstract

Introduction: Stunting is a serious concern for children globally, including in Indonesia, often caused by ongoing malnutrition problems. There are numerous factors associated with stunting. This research aims to analysed multiple factors related to stunting in toddlers. Methods: This research utilized a case-control approach. The research was conducted in the Marawola District from Juni to August 2024. A group of 128 toddlers were part of the study, with half of them classified as cases and the remaining half as controls. Variables in this research included maternal characteristics (education, occupation), toilet ownership, exclusive breastfeeding practice, complete immunization, and stunting. Data was collected using questionnaires and direct measurements (anthropometry). Data analysis involved univariate and bivariate analysis using the chi-square test, as well as multivariate analysis using linear regression with 95% confidence interval (CI). Results: The results from the research were indicated a strong correlation between education (p = 0.038), exclusive breastfeeding (p = 0.012), and complete immunization (p = 0.008) with the occurrence of stunting. In particular, it was identified that complete immunization has the highest impact on stunting compared to the others variables studied. Conclusion: A significant association was observed between education, exclusive breastfeeding, complete immunization, and the likelihood of stunting in toddlers. It is crucial to introduce targeted interventions that prioritize the provorsion of proper nutrition, education, and enhanced healthcare accessibility to reduce the prevalence of stunting among toddlers.
The Correlation Between Vaginal Hygiene Practices and the Prevalence of Fluor Albus Among Pregnant Women at Tamangapa Health Center Sartika, Sartika; Haruna, Nadyah; Setiawati, Dewi; Rahim, Rosdianah; Fatmawati, Fatmawati
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.v5i3.6295

Abstract

Introduction: Flour albus, or vaginal discharge, affects reproductive health globally, including in Indonesia. It may be physiological or pathological, indicating an infection or another health issue. Pregnancy hormones increase the risk of flour albus; therefore, vaginal hygiene is crucial. However, many pregnant women lack information on hygiene, increasing their risk of pathological disorders. This study investigates the association between vaginal hygiene and flour albus in pregnant women undergoing ANC at Tamangapa Health Centre, a topic that has been rarely studied. Methods: This study employed a cross-sectional design using a quantitative approach. A total of 52 pregnant women in their second and third trimesters were recruited through incidental sampling during ANC visits. Ethical approval and informed consent were obtained prior to data collection. Data were gathered through questionnaires and vaginal discharge examinations. Analyses included univariate, bivariate, and multivariate methods, with the Mann-Whitney Test used for statistical significance. Results: The findings revealed that 37 respondents experienced physiological fluor albus despite adhering to appropriate vaginal hygiene practices. Statistical analysis showed a significant correlation between vaginal hygiene and the type of fluor albus, with a p-value of 0.000 (p < 0.005). Conclusion: The study stresses the need for vaginal hygiene in pregnant women to prevent pathological leukorrhea. Vaginal care education reduces complaints and improves reproductive health. This research has major implications for public health policy, particularly in prenatal care, to raise awareness and improve hygiene. It can also help build community-based preventive programs and integrate vaginal hygiene education into antenatal care to lower reproductive health risks.
The Impact of Stress Management Training on Reducing Stress Levels in Adolescents at the Mamuju Detention Center Pulungan, Zulhaini Sartika A.; Edi Purnomo; Hamid, Achir Yani S.
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.v5i3.6379

Abstract

Introduction: Teenagers in detention centres often experience high levels of stress due to loss of freedom, an uncertain future, and social stigma. This study aims to determine the effect of stress management training on the stress level of adolescent inmates in detention centres. Methods: Quasi-experimental research with pre-post test with control group design. The study sample was 72, divided into intervention and control groups of 36. Purposive sampling technique. Stress management training was conducted in 8 sessions. Instrument used: Depression Anxiety Stress Scale 42. Data analysis with paired t-test and independent t-test. Results: The average age of respondents in the control group was 20.42 years, and the intervention group was 19.94 years. All respondents were male. The last education of the majority of respondents was high school; the control group was 55.6%, while the intervention was 69.4%. Most jobs before entering the prison were self-employed; the control group was 47.2%, while the intervention was 55.6%. Most cases were narcotics; the control group was 44.4%, while the intervention was 41.7%. The average length of stay in the detention centre in the control group was 2.69 months, while the intervention group was 2.61 months. There was a significant difference in reduced stress levels between the intervention and control groups (p = 0.002; d = 0,75). Conclusion: Stress management training lowers stress levels in adolescents in Rutan. These findings open up an excellent opportunity to develop more holistic rehabilitation programs that focus on the recovery and self-development of juvenile inmates. To maximize the positive impact of the study's findings, the researchers recommend that correctional institutions integrate stress management training programs into existing rehabilitation programs.
Hospital Size and Cybersecurity Practices: Evaluating Nurses' Awareness in Indonesia Irwandy, Irwandy; Ady Mangilep, Adelia U.; Anggraeni, Rini; Noor, Noer Bahry; Niartiningsih, Andi; Latifah, Nur; Bari’ah, Andi Azisah
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.v5i3.6412

Abstract

Introduction: This study aimed to evaluate nurses' knowledge, attitudes, and practices (KAP) regarding cybersecurity in healthcare settings, focusing on variations across hospitals of different sizes. Cybersecurity is critical in the digitalization of healthcare, yet gaps in awareness and training persist, particularly in developing countries. With increasing cyber threats targeting healthcare institutions globally, this study seeks to address the underexplored role of nurses in safeguarding hospital information systems. Methods: This cross-sectional study was conducted in three government hospitals in Makassar, Indonesia, from [start month/year] to [end month/year]. A total of 331 nurses participated, representing hospitals of varying organizational sizes and bed capacities. Data were collected using structured questionnaires, assessing KAP related to cybersecurity. Ethical approval was obtained from [name of ethics committee], and written informed consent was secured from all participants. Data were analysed using descriptive and inferential statistics, with significance set at p < 0.05. Results: The study revealed significant gaps in nurses' cybersecurity knowledge, attitudes, and practices. Awareness of hospital cybersecurity policies was low (43.2%), particularly in larger hospitals. Hospital 3, the smallest, exhibited higher awareness (59.0%) compared to Hospital 1 (35.8%) and Hospital 2 (39.6%) (p = 0.03). Risky behaviours, such as using personal devices for sensitive data transfer, were prevalent (77.0%), with the highest incidence in larger hospitals. Statistical analyses confirmed significant variations in cybersecurity KAP based on hospital size and organizational complexity. Conclusion: This study highlights the critical need for targeted cybersecurity training programs, particularly for nursing staff in larger hospitals, through raising awareness of social engineering attacks, email scams, and infection detection. By addressing gaps in awareness and practices, hospitals can enhance data protection and mitigate risks. Future research should explore tailored interventions and organizational factors influencing cybersecurity in healthcare systems to inform global health policies.
Factors Influencing the Utilization of the Mobile JKN Health Application in Indonesia Rahmadani, Suci; Feisha, Alifa Lulu; Palutturi, Sukri; Balqis, Balqis; Abadi, Muh. Yusri
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.v5i3.6438

Abstract

Introduction: The Indonesian Health Social Security Administering Agency (BPJS) has developed an information technology-based service, Mobile JKN, which can be accessed via smartphone. This application can make obtaining program services easier for National Health Insurance participants. However, utilization of the Mobile JKN application is still lacking; only 6.8% of National Health Insurance Participants in Ternate City use this application. This research aims to determine the factors related to using the Mobile JKN application at BPJS Health in Ternate City. Methods: This type of research is quantitative, using an analytical survey method and a cross-sectional study. A sample of 265 was obtained by chance through direct interviews and online questionnaires on Google Forms. Univariate data analysis with frequency distribution and bivariate analysis using Fisher's exact test. Results: The research found a relationship between system quality (p=0.001), information quality (p=0.000), service quality (p=0.000), user satisfaction (p=0.000), and net benefits (p=0.000) with the use of the Mobile JKN application. These findings highlight the critical role of technical and user experience factors in driving app adoption. Conclusion: All research variables were related to using the Mobile JKN application. The information system for the Mobile JKN application must be developed to be more easily accessible to all groups of society. To improve utilization, efforts should focus on enhancing accessibility, user-friendliness, and digital literacy, especially for underserved populations. Strengthening infrastructure and nationwide awareness campaigns can further drive adoption. These findings provide valuable insights for policymakers and serve as a model for similar digital health initiatives globally.
Determinants of Antenatal Care Utilization at Batua Health Center, Makassar City: A 2024 Study St. Rosmanely; Nurhayani Nurhayani; Muhammad Alwy Arifin; Zaskiah Zaskiah
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.v5i3.6474

Abstract

Introduction: Coverage of antenatal care services visits at Batua Health Centre will fluctuate in 2023. The causal factors include predisposing factors, enabling factors and need factors, our objective was to determine the factors related to the utilization of antenatal care services for pregnant women in the working area of the Batua Health Centre in 2024. Methods: This research uses a quantitative type of research, with a cross-sectional study approach. The population in this study were all pregnant women who had visited K4 at the Batua Health Center, namely 80 pregnant women. The sample in this study used a total sampling of 80 pregnant women with the sample criteria being pregnant women in the third trimester of pregnancy. The analysis technique uses univariate and bivariate tests in the form of Fisher's exact test using statistical test applications. Results: This research shows that there is a significant relationship between education (p=0.039<0.05), employment (p=0.003<0.05), knowledge (p=0.009<0.05) and husband's support (p=0.021<0.05) with the utilization of antenatal care services for pregnant women in the working area of Batua Health Center in 2024, while there is no significant relationship between age (p=0.551>0.05) and accessibility (p=0.053>0.05) with utilization of antenatal care services for pregnant women in the working area of the Batua Health Center in 2024. Conclusion: Education, employment, knowledge, and husband’s support play a crucial role in the utilization of ANC services among pregnant women. These findings underscore the importance of targeted interventions, such as community-based maternal health education programs and policies that promote husband involvement in maternal health support. To enhance ANC service coverage and effectiveness, strategic measures should be implemented, including strengthening maternal health awareness programs, providing broader access to health information, and optimizing the role of healthcare workers in encouraging regular ANC visits. The Batua Health Centre is encouraged to collaborate with local policymakers to develop strategies that improve awareness and participation in ANC services, ultimately contributing to better maternal and neonatal health outcomes on a broader scale.
Health Literacy with Quality of Life in People with HIV AIDS Rahmawati, Rahmawati; Sunarsih, Sunarsih; Komang Ayi Sukma; Fitri Yanti; Sri Mulyani
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.v5i3.6530

Abstract

Introduction: Indonesia is the 5th most vulnerable country in Asia, with an accumulated number of 519,158 cases in 2022. Health literacy is essential for people with HIV/AIDS (PLWHA) to avoid opportunistic infections through increased insights related to their health care. This study aims to analysing the relationship between respondent characteristics and access to information with health literacy and the relationship of health literacy with the quality of life of HIV/AIDS sufferers. Methods: Cross-sectional studies are used in this kind of quantitative research. The population in this study is 316 people with PLWHA undergoing treatment at Kendari City Hospital in 2023, with a sample of 177 people. Sampling of the study used Simple Random Sampling. The data analysis used is the Chi-Square Test. Results: The results of the study were obtained from the Chi Square test based on gender, p-value (0.769) > ? (0,05), based on age p-value (0.598 > ? (0,05), based on education p-value (0,004) < ? (0,05), based on the length of suffering p-value (0,006) < ? (0,05), and based on access to information p-value (0,001) < ? (0,05). The results of the binary logistic regression analysis were obtained by the information access variable with Exp (B) = 3,222. Conclusion: Factors related to health literacy in people with HIV/AIDS are education, long-time suffering and access to information. Health literacy related to quality of life in people with HIV/AIDS at Kendari City Hospital. It is expected, the hospitals which are the basis for health information services for PLHIV need to improve health literacy programs both conventionally and electronically involving digital technology.

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