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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 179 Documents
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The Analysis of Stigmatisation and Community Acceptance in Malang City towards Wolbachia-infected Aedes aegypti in Dengue Fever Vector Control Jenvia Rista Pratiwi; Noventia Sekar Pratiwi; Ridwan Muhamad Rifai; Ghea Pratiwi Santoso; Hanifa Salsabila; Anie Yulistyorini
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.6876

Abstract

Introduction: Dengue fever is a top ten global health threat according to the World Health Organisation (WHO). Indonesia, especially Malang City has 560 dengue haemorrhagic fever cases in 2022 with Sukun Sub-district having the highest number of 159 cases. Dengue haemorrhagic fever vector control carried out by the government is currently 3M (drain, cover, and recycle) where it is still conventional. Whereas generally now there have been many studies on dengue vector control innovations, one of which is the Ae. aegypti with Wolbachia. The programme has been implemented in Yogyakarta and resulted in a decrease in dengue fever cases. The purpose of this study was to analyse the stigma and acceptance of the community in Malang City towards the Wolbachia-infected Ae. aegypti with Wolbachia programme in controlling dengue haemorrhagic fever vector. Methods: The method used was cross-sectional using questionnaires to 100 communities in Sukun Sub-district, Malang City with non-dense and dense populations. Results: The results showed that 87.5% of densely populated communities were aware of the programme, while only 5% of non-densely populated communities were aware of the programme. Based on the questionnaire results, it is known that the majority of community concerns about the programme between non-dense and dense communities are the same, namely the cost and health risks. However, after distributing the comic "What is Ae. aegypti with Wolbachia?" the community's acceptance towards the programme was found to be majority accepting. The community also hoped that there would be a socialisation activity from the relevant government for the next step of implementation. Conclusion: This study concluded that the community had a positive stigma and acceptance towards the Wolbachia-infected Ae. aegypti with Wolbachia programme if implemented in their area.
Work Stress and Load as Predictors of Fatigue in Bakery Workers: Implications for Ergonomic Interventions Yuliani Setyaningsih; Ekawati Ekawati; Ida Wahyuni; Hanifa Maher Denny; Dina Lusiana Setyowati
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.7175

Abstract

Introduction: Work-related fatigue poses a significant challenge to worker productivity and well-being, particularly in physically demanding sectors such as the bakery industry. This study investigates the association between psychological stress, physical workload, and work-related fatigue among informal bakery workers in Batang, Indonesia. Methods: A cross-sectional study was conducted involving 52 workers over a two-month period (July–August 2022). Data were collected through direct observation, physiological measurements, and structured questionnaires covering worker characteristics, stress levels, workload (measured via heart rate monitoring), heat stress (WBGT index), and fatigue (measured using a reaction timer). Bivariate analysis (Fisher’s Exact Test) and multivariate logistic regression were performed to identify significant predictors of fatigue. Results: Multivariate analysis showed that both work stress and workload were significantly associated with work-related fatigue. Workers experiencing psychological stress had nearly three times the odds of fatigue (OR = 2.901; p = 0.047), while those with heavy workloads had over nine times the risk (OR = 9.446; p = 0.007). In contrast, heat stress and work tenure were not statistically significant predictors. Conclusion: These findings highlight the critical role of stress and workload in contributing to occupational fatigue. Interventions such as mental health support, ergonomic task redesign, and workload management are essential for improving well-being and safety among informal bakery workers. Future studies should explore additional mediating factors, including coping mechanisms and workplace social support, to inform holistic fatigue prevention strategies.
Innovative Oil from STIFA Pelita Mas for Glycemic Control and Tissue Regeneration in Diabetic Rats Joni Tandi; Muthmainah Tuldjanah; Tien Wahyu Handayani
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.7192

Abstract

Introduction: Diabetes mellitus is a significant global health problem with increasing prevalence in Indonesia. Conventional management of diabetes mellitus is often accompanied by side effects and high costs, prompting the search for alternatives based on natural ingredients. STIFA Pelita Mas Herbal Oil is an innovative formulation that combines various efficacious natural ingredients, but its effectiveness on histopathological changes in pancreatic and kidney tissues due to diabetes has not been comprehensively explored. This study aims to evaluate the effectiveness and mechanism of action of STIFA Pelita Mas Herbal Oil on reducing blood glucose levels, repairing pancreatic tissue damage, and kidneys in a streptozotocin-induced rat model. Methods: This study used a quantitative approach with an experimental design on 30 male white rats (Rattus norvegicus) divided into 6 treatment groups. STIFA Pelita Mas Herbal Oil is made by combining simplicia (Shallots, Garlic, Ginger, Curcuma zanthorrhiza, Lemongrass red, and Piper ornatum leaves) with various oils (VCO, eucalyptus oil, citronella oil, olive oil, and cinnamomum cullilawan). Diabetes was induced using streptozotocin (40 mg/kg BW) intraperitoneally. The parameters measured included blood glucose levels and histopathological changes in the kidneys and pancreas with Hematoxylin-Eosin staining. Data were analyzed using One Way ANOVA followed by the LSD or Kruskal-Wallis test. Result: The results showed that all three herbal oil formulas were able to lower blood glucose levels, with formula 1 and formula 3 showing comparable effectiveness to glibenclamide on day 28. In histopathological observations of the kidneys, formula 3 showed the best effectiveness in repairing damage to renal tubule and glomerular cells with a damage score of 0, equivalent to normal controls. Similarly, in histopathological observations of the pancreas, formula 3 showed the highest effectiveness in repairing damage to pancreatic beta cells with a damage score of 0.2, not significantly different from normal and positive controls. Conclusion: Stifa Pelita Mas herbal oil, especially formula 3, has the potential as an effective antidiabetic agent in lowering blood glucose levels and repairing tissue damage in the kidneys and pancreas due to diabetes. Future research should focus on dose variations to see at what dose this oil is effective.
Public Reactions to Indonesia's KRIS Policy: A Textual Network Analysis of Digital Legitimacy Pradono Handojo; Sudarsono Hardjosoekarto; Lydia Freyani Hayadi; Lora Luayya; Haifa Mayang Lestari; Rianca Amalia
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.7401

Abstract

ntroduction: Through the Presidential Regulation No. 59 of 2024 issued on May 8, 2024, the Government of Indonesia announced the elimination of the three-class inpatient service (Class 1, Class 2, and Class 3) in Indonesia. The regulation introduces a single standard inpatient service class (KRIS), effective July 1, 2025. This study analyzes the KRIS nursing policy by exploring comments on YouTube news reports during two distinct periods: before and after the policy announcement. It also evaluates the impact of public communication efforts by relevant institutions on public support for the policy. Methodologically, this study introduces a novel approach by integrating Textual Network Analysis (TNA) with digital legitimacy theory, offering a fresh lens to examine the construction of policy legitimacy in digital environments (YouTube). Methods: To address the first research question, TNA was conducted on comments on YouTube, capturing and analyzing public responses to KRIS policy-related news during both pre- and post-policy announcement periods. Data were collected using Communalityc and APIFY and analyzed using Gephi to visualize and generate word networks. To address the second research question, the authors quantified KRIS policy socialization videos and compared them with COVID-19 vaccination campaign videos, followed by a qualitative analysis. Results: The authors discover that public discourse and sentiment remained consistently negative both pre- and post-announcement. However, the focus of the discussion shifted from complaints about service quality and contribution burdens to more direct concerns over increased contributions and reduced benefits. Regarding the second research question, the authors conclude that compared to the COVID-19 vaccination campaign, efforts to promote the benefits of the KRIS policy have been relatively limited, with minimal engagement from the four government institutions involved. Conclusion: This study provides valuable insights into public discourse and sentiment regarding the Standard Inpatient Class (KRIS) policy, which is scheduled to take effect on July 1, 2025. The findings suggest that the government should strengthen its public engagement by adopting a more intensive, structured, and coordinated communication strategy—similar to that employed during the COVID-19 vaccination campaign—to boost public acceptance and enhance policy legitimacy.
Application of Anthocyanin Extract from Purple Sweet Potato (Ipomoea batatas L.) as a Natural Indicator for Borax Detection in Puli Crackers Zaenab Zaenab
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.7321

Abstract

Introduction: Food safety remains a major public health concern because contaminated food may cause adverse health effects, including poisoning from prohibited additives such as borax. Borax is illegally added to improve texture and shelf life despite its known toxicity. Puli crackers, a traditional snack widely consumed in Makassar City, are suspected of containing borax. This study aimed to detect borax in puli crackers using anthocyanin extract from purple sweet potato (Ipomoea batatas L.) as a natural colorimetric indicator. Methods: This research employs an observational method with a descriptive approach. A total of 21 puli cracker samples were purposively collected from five production sites and 16 street vendors. Samples were aseptically packaged in sterile polyethylene bags, labeled, and transported to the laboratory within 24 hours. In the laboratory, samples were homogenized, and aliquots were subjected to qualitative colorimetric analysis using anthocyanin extract to detect the presence of borax based on observable color changes. Borax detection was performed at the Chemistry Laboratory of Poltekkes Kemenkes Makassar using filter paper infused with purple sweet potato anthocyanin extract. A standardized borax test kit was used as a confirmatory method. Results: All samples tested positive for borax, indicated by bluish-green to blue color changes and confirmed by the test kit. Sample pH values ranging from neutral to alkaline (7–9), with alkaline values supporting borax presence, with alkaline values supporting borax presence. Conclusion: The findings highlight the urgent need for stricter regulatory monitoring of food production and distribution by relevant authorities. Enhanced education and outreach to producers and street vendors regarding the health risks of borax are also essential. Consumers are encouraged to be more vigilant in selecting food products and to recognize signs of potential borax contamination to reduce exposure risks.
Preparing a Collaborative Health Workforce through Team-Building Training: A Pilot Reaction-Level Evaluation in Indonesia Irwin Irwin; Gandes Retno Rahayu; Yoyo Suhoyo
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.8075

Abstract

Introduction: Global health systems face challenges from fragmented services, high costs, and workforce shortages, impacting care quality. Interprofessional education (IPE) is a key strategy for preparing a collaborative workforce. According to ADDIE instructional design model, this study aimed to develop and implement a policy-relevant team-building training program to enhance collaboration, communication, and problem-solving skills among health professional students, supporting health system transformation goals. Methods: The program was developed through the five phases of the ADDIE model—Analysis, Design, Development, Implementation, and Evaluation. A needs assessment guided the design of interactive, experiential activities to improve teamwork competencies in interprofessional education. The training program was piloted for 16 hours (two separate days) with health professional students from diverse disciplines (N=11). A mixed-methods approach was implemented, while the quantitative data were collected via the reaction level of the adjusted Kirkpatrick-Phillips’ questionnaire to assess satisfaction scores, and qualitative data were collected through focus group discussions (FGDs). Results: The implementation of the team-building program significantly improved participants' teamwork skills, communication effectiveness, and overall group cohesion. Participants reported highly positive participant reactions and perceived teamwork enhancement. Conclusion: Applying the ADDIE model to structure team-building activities provides an effective educational strategy to foster interprofessional collaboration early in training. More importantly, such structured interventions represent a strategic investment in human resources for health, contributing to policy objectives for integrated and team-based care delivery.
Bridging Gaps: Cross-Sector Collaboration in Improving Sanitation Access in Last-Miles Communities of South Sulawesi, Indonesia Muh. Saleh; Wildan Setiabudi; Andi Bunga Tongeng; Hamsah Sinring; Nildawati Nildawati; Ain Khaer; Muhammad Rachmat
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.5455

Abstract

ntroduction: According to the Global Burden of Disease study, approximately 775,000 lives were lost prematurely in 2017 due to poor sanitation. In 2020, only 54% of the global population had access to safely managed sanitation. Therefore, this study aimed to explore cross-sector collaboration for improving sanitation access at "last mile" communities in South Sulawesi, Indonesia. Barriers to achieving Open Defecation Free (ODF) status were emphasized, with a focus on the dynamics between health centers (puskesmas) and village governments. Methods: This qualitative case study was conducted with key stakeholders who were directly engaged in the STBM program, such as managers, district government officers, health officers, as well as sub-district, village, and puskesmas heads. Focus group discussions (FGDs) and in-depth interviews were used to collect data. Analysis was conducted thematically to determine patterns and obstacles to collaboration. Results: There was no synergy between puskesmas and village governments in enhancing access to sanitation. Puskesmas operated by modifying the behavior of communities to construct their own latrines, while the village governments operated by providing financial support through village funds. This isolation led to community reliance on outside assistance as well as lowered ODF program effectiveness. FGDs also showed misconceptions among the stakeholders, and external influences on the pathogen spread to water and food sources (e.g., vectors (e.g., flies) spreading pathogens). Conclusion: The synergy between puskesmas and village governments was a critical obstacle to attaining the ideal level of sanitation access and ODF status in the last-mile communities. Enhancing partnership by considering integrated planning, better communication, and participation of the community is necessary. The study showed that the existence of vectors, such as flies, worsened the sanitation issues. This underscores the significance of integrated and sustainable cross-sector partnerships to enhance access to sanitation and control vectors.
Effectiveness of Soursop (Annona muricataI) Extract Nanoparticles in Pantyliners on Vaginal Discharge in Childbearing-age women Elyasari Elyasari; Arsulfa Arsulfa; Heyrani Heyrani; Sitti Mukarramah; Melania Asi
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.6318

Abstract

Introduction: The treatment of vaginal discharge is pharmacological, such as cyclovir, podoflin 25%, and antiseptic solution for vaginal rinsing, and non-pharmacological, such as Annona muricata decoction. The aim of this study was to analyze the effectiveness of using pantyliners with Annona muricata extract nanoparticles against vaginal discharge in North Konawe Regency. Methods: This study used a two-group pre-posttest approach and a quasi-experimental design to compare the efficacy of regular pantyliners and pantyliner nanoparticles over a seven-day period. This study surveyed 124 childbearing women aged 15-49 in the North Konawe Regency who experienced vaginal discharge. Participants were those who could read and write, experienced moderate and severe discharge, and participated in ? 2 activities. This study used questionnaires to assess childbearing women's characteristics, knowledge of vaginal discharge, personal hygiene, observation sheets, and standard operating procedures. Wilcoxon, Mann-Whitney, and independent T tests were used. Results: The analysis revealed a significant difference in the level of vaginal discharge between the intervention and control groups (P = 0.000). However, changes in vaginal discharge differed between the intervention and control groups. The elimination of vaginal discharge was better in the group treated with Annona muricata extract panty than that in the control group. Conclusion: Annona muricata extract panty effectively reduced vaginal discharge in both the intervention and control groups. However, pantyliners containing Annona muricata extract may be more effective than regular panties.
Associations Between Work Motivation and Quality of Anesthesia and Surgical Services: A National Cross-Sectional Study of Nurse Anesthetists in Indonesia Richa Noprianty; Wahyu Wahdana; Asriadi Prihandika Widianto; Gina Sonia
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.7249

Abstract

Introduction: The operating room consists of various health professionals so that they must build good teamwork to realize optimal anesthesia and surgical services. Therefore, it is necessary to have work motivation to be able to improve the quality of anesthesia and surgical services. The purpose of this study was to determine the components of work motivation in the operating room and anesthesia that can provide implications for anesthesia and surgical services. Methods: This type of research is quantitative with cross sectional. The sample used was nurse anesthetist who worked at the hospital, using accidental sampling so that a sample of 188 nurse anesthetists was obtained. The research instrument was a Motivating Potential Score (MPS) questionnaire and a surgical anesthesia service questionnaire from the Ministry of Health Accreditation Standards Year 2022 which was provided via google form. Data analysis using Spearman rank correlation coefficient. This research has obtained permission from the IPAI professional organization and is ethically feasible No. 209/09.KEPK/UBK/VIII/2024. Results: The results indicate that the average work motivation score was 9.86 (min 3.6; max 12), while the quality of anesthesia and surgical services averaged 14.31 (min 8.14; max 16). All components of work motivation: skill variety, task identity, job significance, autonomy, and feedback showed significant associations with service quality. Notably, autonomy demonstrated a moderate positive correlation with anesthesia and surgical service quality (r = 0.511, p < 0.001, 95% CI: 0,42-0,59), highlighting the magnitude of its effect and strengthening the analytical robustness of the findings. Conclusion: There is an influence of motivation on anesthesia and surgical services with a p value of 0.013 and a CC value of 0.181. Increasing conducive work motivation successfully provides satisfaction for nurse anesthetists and has an important role in quality anesthesia and surgical services.
Unveiling Tuberculosis Dynamics in Indonesia for Effective Control and Prevention: A Panel Regression and Clustering Approach Novi Reandy Sasmita; Mutiara Syifa; Mhd Khairul; Latifa Rahayu; Zurnila Marli Kesuma; Selvi Mardalena; Rumaisa Kruba; Virasakdi Chongsuvivatwong; M. Ischaq Nabil Asshiddiqi
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.7265

Abstract

Introduction: Tuberculosis (TB) remains a critical global health challenge, with Indonesia ranking second in global TB burden. This study examines factors influencing TB incidence across Indonesian provinces and applies clustering to guide targeted interventions aligned with TB eradication goals by 2030. Specifically, these findings inform Indonesia’s End TB 2030 roadmap by identifying provincial heterogeneity that necessitates differentiated resource allocation and strengthened health governance frameworks. Methods: This ecological time-series study design analyzed data from 34 Indonesian provinces (2020–2022), including TB cases, healthcare services, HIV cases, smoking prevalence, food management places, and public facilities. Descriptive statistics summarized variable distribution, while panel data regression identified key factors using multicollinearity checks, model selection, and assumption testing. Fuzzy Possibilistic C-Means (FPCM) clustering grouped provinces based on similarity characteristics. Results: TB cases rose from 10,351 in 2020 to 21,303 in 2022. This study underscores the multifaceted factors influencing TB incidence in Indonesia. Significant factors included healthcare services (?1 = -8.37), HIV cases (?2 = 13.76), smoking prevalence (?3 = 905.32), food management places (?4 = 1.62), and public facilities (?5 = 1.11). This study proves that TB is not only influenced by health factors but also by non-health factors. Fuzzy clustering using the FPCM identified three clusters based on their possibilistic membership degrees: Cluster 3, with high HIV prevalence and public facilities, requiring urgent action; Cluster 2, needing improved healthcare and smoking reduction; and Cluster 1, with moderate challenges. Conclusions: Health and environmental factors significantly influence TB incidence. Addressing cluster-specific needs, such as enhancing healthcare, reducing HIV and smoking prevalence, and improving public health standards, is essential for TB control. Future studies should expand variables and periods to deepen insights.

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