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Ahmad Yani
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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 137 Documents
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Work and Individual Factors Influencing Stress Among Nurse Anesthetists in West Java, Indonesia Richa Noprianty; Akmal Fadhlurrohman; Madinatul Munawaroh; Fikri Mourly Wahyudi
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6590

Abstract

Introduction: Anesthesia services have complex and high-risk work characteristics, which can impact work stress in health workers, including nurse anesthetists in the operating room. This research aims to determine the relationship between work and individual characteristics and the incidence of work stress experienced by nurse anesthetists. Methods: The research method used was quantitative research with a cross-sectional approach. The population in this study were nurse anesthetists in the West Java region who were members of the DPD IPAI JABAR, totalling 765 people. The sample was chosen with non-probability sampling using a stratified random sampling technique based on the work area of the nurse anesthetists, totalling 88 people. The research instrument used a questionnaire about individual characteristics, work characteristics, and workload using the Maslach Burnout Inventory (MBI) questionnaire, created as a Google form sent via the DPD IPAI West Java admin. Data analysis uses regression with chi-square. Results: The research results show that the average work stress is 58.15, with a minimum value of 23, a maximum of 87, and a moderate stress category of 81.8%. Work characteristics related to work stress include hospital type (p-value 0.003), length of work per day (p-value 0.016), and patient’s ASA (p-value 0.013). Meanwhile, individual characteristics related to work stress are age (0.002) and year of work (0.000). Conclusion: Differences in working hours, type of hospital, work patterns, length of service, type of hospitals, as well as lack of seminars or education regarding stress management in the workplace, can influence work stress so that there is a need for clear work mapping for the hospital so that the quality of service can be provided optimally.
Stunting Prevention Behavior for Children Under Five Years of Age Based on Integrated Nutrition Education with Local Culture MARTABE: A Quasi Experiment Arisyah Siregar, Yuli; Batubara, Nurhalimah; J. Hadi, Anto; Ahmad, Haslinah
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6675

Abstract

Introduction: Stunting is a serious problem in public health, especially in children under five years old. The nutrition education program integrated with the local culture of MARTABE Batak Angkola Tribe can effectively prevent stunting in children under five years old. This study aims to assess the influence of nutrition education programs integrated with local culture on stunting prevention behavior. Methods: The study was conducted with a quasi-experimental design. Sampling was carried out by purposive sampling. The sample was divided into two groups: the intervention group that will be given the MARTABE local cultural integrated nutrition education program and the control group that did not receive the intervention. The intervention group was given a MARTABE local cultural integrated nutrition education program as a module, while the control group only received ordinary education through a leaflet. The local culture-based nutrition education program was carried out for 6 weeks, which included counseling on balanced nutrition, the benefits of local food, and ways to prevent stunting. Data was collected through questionnaires and observations. Data analysis used statistical techniques such as paired t-test, chi-square, and hoteling test. Results: The results showed that both the intervention and control groups had a significant influence on knowledge (p=0.002), attitude (p=0.000), action (p=0.001), and behavior (p=0.000) after being given nutrition education integrated with MARTABE's local culture. Hotelling's Trace values for overall behavior change showed significant results (F=5794,811, p=0.000). This shows a significant difference in the behavior of caregivers under five between before and after the intervention. In other words, local culture-based nutrition education programs effectively influence changes in the behavior of caregivers under five years old. Conclusion: Nutritional education integrated with local culture improves knowledge, attitudes, actions, and behaviors concerning stunting prevention in children under five. Therefore, this approach can be used as an intervention model in stunting prevention in Indonesia.
Stunting Prevention of Elementary School Children Based on Nutrition Education Peer Group: A Quasy Experimental Batubara, Nurhalimah; Siregar , Yuli Arisyah; J. Hadi, Anto; Ahmad, Haslinah; Antoni, Adi; A.A, Abdullah
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6683

Abstract

Introduction: Stunting in elementary school children is a nutritional problem that impacts physical and cognitive development. One of the main factors causing stunting is the lack of knowledge, attitudes, and appropriate actions in maintaining children's nutrition. Objective: This study aims to evaluate the effectiveness of peer group-based nutrition education in preventing stunting in elementary school children. Methods: A type of quantitative research with a quasi-experimental design with experimental and control groups in two primary schools. The sample was selected by purposive sampling consisting of a treatment group and a control group of 30 samples each. The intervention was carried out for three months and was carried out in 6 meeting sessions for 3 weeks. Each session is held for 60 minutes and is guided by a facilitator who is trained through a nutrition education program carried out by peer students with materials that include the importance of nutritious diets, healthy living behaviors, and stunting with the media of nutrition posters and leaflets, every month children are monitored using modified food recalls. Data were analyzed using paired t-test and chi-square test to compare the difference before and after the intervention. Results: This study found a significant improvement in nutrition-related knowledge, attitudes, and actions in the experimental group compared to the control group (p=0.001<0.05). Conclusion: This study proves that peer group-based nutrition education programs effectively increase knowledge, attitudes, and actions that can prevent stunting in elementary school children. Based on these findings, it is recommended to expand the application of similar interventions in schools to reduce the prevalence of stunting.
Occupational Risk of Knee Osteoarthritis Among Pedicab Operators: A Cross-Sectional Study in Indonesia Harahap, Rudiansyah; Setiawan, Muhammad Riza; Fatharani, Lukman Faishal; Putri, Hayyin Assofa Amina
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6734

Abstract

Introduction: Osteoarthritis is a joint disease with multifactorial causes, particularly among pedicab operators. Movements such as pushing, pedaling, and lifting often cause damage to cartilage, ligaments, and synovial tissues. This study evaluates the risk of knee OA (Osteoarthritis) from the perspective of pedicab operators, a profession whose health is often neglected, by assessing work duration, length of work, footwear usage, and work posture. Methods: This cross-sectional study was carried out on 50 pedicab operators based on inclusion and exclusion criteria. The demographic questionnaire used to assess work duration, length of work, footwear usage, and type of road. The posture was evaluated using the REBA Worksheet by measuring the angles of the neck, legs, body, wrists, upper arms, and lower arms. The risk of developing knee osteoarthritis was assessed using KOOS questionnaire. The data obtained was analyzed using SPSS version 26 and Graphpad. Results: 48.3% are aged 45–50 years, with 69% having a work posture with a moderate risk level. 51.7% of pedicab operators were at risk for Knee OA. Data analysis found that there was a relationship between work posture (p = 0.01) and length of work (0.000) with the risk of OA, and there is a significant difference between OA scores for those wearing sandals compared to shoes. Conclusion: The pedicab drivres have a risk of developing knee osteoarthritis through their length of work, footwear and work posture. This study stands out due to its biomechanical assessment, providing a detailed analysis of the factors contributing to the risk. The practical implications of this research underscore the importance of incorporating these findings into occupational health policies to enhance the well-being of pedicab operators and mitigate the risk of work-related musculoskeletal disorders. Furthermore, the study contributes to the broader discourse on occupational health, highlighting the need for targeted interventions and policy changes to protect workers in physically demanding jobs.
Factors influencing Electronic Cigarette use among Young Adults in Sarawak, Malaysia: A Hierarchical analysis Sivanandhan Selleyitoreea; Md Mizanur Rahman
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6765

Abstract

Introduction: The rapid global rise in electronic cigarette (e-cigarette) use has led to increasing research interest, yet factors influencing its adoption remain underexplored in Malaysia. This study investigates sociodemographic and psychosocial determinants of e-cigarette use in the Samarahan and Kuching divisions of Sarawak, Malaysia. Methods: A cross-sectional study was conducted among smokers aged 18 and above. A total of 474 participants were recruited using cluster sampling. Data collection was performed through face-to-face interviews using a structured questionnaire. Hierarchical multinomial logistic regression was applied to identify key predictors of e-cigarette use. Results: Among participants, 27.8% were e-smokers, 25.8% were switchers, and 46.4% were dual smokers. The analysis revealed that females were more likely to be e-smokers (AOR = 5.889, p < .001) and switchers (AOR = 2.647, p = .021) than males. Additionally, degree holders were more likely to be e-smokers than dual smokers (AOR = 4.106, p = .025). Psychosocial factors, such as subjective norms (AOR = 1.435, p = .023) and perceived usefulness (AOR = 1.616, p = .016), were significant predictors of e-cigarette use. Conclusion: Sociodemographic and psychosocial factors, such as gender and education, influence e-cigarette use in Sarawak. These findings provide valuable insights for designing targeted public health strategies to regulate e-cigarette use and support smoking cessation efforts in Malaysia.
Competence, Rewards, and Geographic Proximity in Nutrition Practitioner Performance Fauzie Rahman; Syamsul Arifin; Rosihan Adhani; Meitria Syahadatina Noor; Husaini, Husaini; Muhammad Abdan Shadiqi; Neka Erlyani; Muhamad Muslim
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6767

Abstract

Introduction: Based on data from the Indonesian Health Survey, the stunting rate in South Kalimantan Province in 2023 reached 24.7%. The target for reducing the national stunting rate in 2024 is 14%. Nutrition practitioner play a diverse and crucial role in handling stunting, from assessment and education to policy intervention and advocacy. This study aims to determine the effect of competence, appreciation and geographical proximity on the performance of nutrition practitioner with management span as a moderating variable in preventing stunting cases. Methods: This type of research is observational analytic with a cross-sectional design. The location of this research is at the Health Center in the working area of the South Kalimantan Provincial Health Office and the duration of the research is 2 months. The sample of this research is 280 respondents who were taken using the cluster sampling technique. The data collection method uses a questionnaire. Ethical approval was obtained from the Health Research Ethics Commission of the Faculty of Medicine and Health Sciences, Lambung Mangkurat University with number No.067/KEPK-FKIK ULM/EC/V/2024 and participants signed the Informed Consent. Results: The findings show that geographical proximity (t = 0.658, p = 0.510) has no significant effect on TPG performance, indicating that the distance between program targets and TPG members does not influence outcomes. In contrast, competence (t = 5.404, p = 0.000), rewards (t = 3.766, p = 0.000), and management range (t = 2.577, p = 0.010) have a significant positive impact on performance, where higher competence and more frequent rewards lead to improved results. The results further demonstrate that management range strengthens the effect of both rewards (t = 3.872, p = 0.000) and competence (t = 3.549, p = 0.000) on performance, indicating that effective coordination enhances their impact. However, the interaction between management range and geographical proximity (t = 0.742, p = 0.458) is not significant, suggesting that distance does not moderate the influence of management range on performance. Conclusion: Competence and reward is the factor influencing performance, while geographical proximity do not show significant influence. Competence, rewards, geographical proximity, and management span simultaneously influence performance with a contribution of 71% (R² = 0.710). This finding suggests the need for organizations to focus on improving TPG competencies through continuous training, skill development, and knowledge enhancement. In addition, it is important to explore other factors outside the research model that may have a significant impact on performance, including intrinsic motivation and better work system support.
Efficacy and Safety of Cannabidiol for Anxiety: A Bibliometric Analysis and Systematic Review Fajaryani, Putu Ayu Putri; I Made Agus Gelgel Wirasuta; Pande Made Nova Armita Sari; Dyah Kanya Wati; Putu Indah Budi Apsari; Made Ary Sarasmita
Journal of Public Health and Pharmacy Vol. 5 No. 3: 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.v5i3.6807

Abstract

Introduction: A non-psychoactive substance present in the cannabis plant, cannabidiol (CBD), seems to have potential as an anxiolytic agent. This study systematically reviews the efficacy, safety, dosage, mechanisms, and adverse effects of CBD in treating anxiety. Methods: The PRISMA guideline was used to conduct the review. Results: A total of 64 articles were included in the study. It showed that CBD works at the endocannabinoid receptors CB1 and 5-HT1A, which regulate mood and reduce anxiety. In animal models, a range dosage of 5 – 10 mg/kg showed a significant anxiolytic effect in behavioral tests, while in humans, 300 mg/day was proven to be effective in treating various types of anxiety disorders. However, individual responses to CBD showed varying results, and demographic characteristics affect the efficacy of animal and human studies. CBD was also considered safer to be used in the short term compared to diazepam, although the long-term effect remains lacking evidence Conclusion: This study concludes that CBD has potential as an alternative choice for anxiety. Further research is needed in larger populations with rigorous study design and longer study durations to evaluate its effectiveness and ensure its safety. 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.

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