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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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Health Behavior Study in Natural Disaster Vulnerability in Palu City (Case Study of Tondo Huntap, Palu City) Arwan, Arwan; Syam, Sadly; Zikra, Muhammad; Firmansyah, Firmansyah; Sabri Syahrir, Muhammad; Aji Satria, Muhammad
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.5613

Abstract

Background: The strengthening of health behavior intentions in disaster mitigation poses an urgent challenge to be addressed. There is a need to enhance health behavior preparedness in facing disaster threats, considering that the city of Palu is located in an earthquake-prone zone and has a history of being affected by earthquakes. This research aims to study health behavior and mental health in relation to disaster vulnerability, based on a case study of Huntap in the Tondo area, Palu City, Central Sulawesi, using the Theory of Planned Behavior (TPB) approach. Method: The type of research used is a mixed-method approach with a sequential explanatory model. Data collection utilizes questionnaires and observation sheets, supplemented by interview methods in the qualitative approach. Result: This study shows that the chi-square test results indicate a significant relationship between attitude, subjective norms, behavioral control, and mental health (<0.05) with health behavior. Meanwhile, in-depth interviews revealed barriers to health behavior, such as respondents' attitudes towards preparedness efforts and inadequate access to information and health workers. There is a pressing need for mental health interventions to improve preparedness. Moreover, there is a need for mental health interventions to improve mental health in promoting disaster preparedness efforts. Conclusion: This study concludes that mental health related to disaster vulnerability among the Huntap Tondo community is still lacking, which will impact disaster preparedness. Mental health interventions are essential to enhance preparedness and reduce disaster-related losses. Therefore, mental health interventions are needed to enhance preparedness for disasters and take action to reduce disaster losses and damage.
The role of Pharmaceutical Marketing in Prescribing Decisions in a Developing Country: A Comprehensive Study Exploiting Theory of Planned Behaviour Al-Areefi, Mahmoud; Mohamed Ibrahim, Mohamed Izham; Abubakr Abdelraouf Alfadl
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.5860

Abstract

Background: Prescription medicines have become a major component of health systems in both developed and developing countries contributing to, may be, more than half of the total health care expenditure in the developing countries. Although literature directly attributing rise in medicines expenditure to prescribers’ decision, but still only a few researches had employed studies with sound theoretical foundations to comprehensively examine prescribing decision behaviours. Our objective was to investigate potentially modifiable factors, which may influence prescribing decisions of physicians employing theory of planned behaviour. Method: A quantitative survey approach was used to investigate the proposed hypotheses. Population was physicians in outpatient clinics in both private and governmental hospitals in Sana’a, capital city of Yemen. A structured questionnaire was designed to measure the influence of drug-promoting marketing techniques on physicians’ prescribing decisions. Data was collected through an anonymous survey questionnaire. The hypotheses were tested by multiple regressions analysis. Ethical approval was obtained from the Ethical Committee of the Ministry of Public Health and Population (MoPHP), and participants provided written consent before enrolling in the study. Result: Physicians admitted the presence of promotional influence on their prescribing decision. The study revealed that receiving low-value promotional items, belief of physicians that it is appropriate to accept both low- and high-value promotional items, physicians’ exposure to company-direct sources of information, and drug promotion-related factor all are positively and significantly related to physicians’ prescribing decisions (? = 0.438, p <0.001; ? = 0.089, p =0.027; ? = 0.157, p <0.001; ? = 0.093, p =0.032; and ?= 0.118, p = 0.007 respectively). Conclusion: This research clarified the role played by pharmaceutical companies to influence prescribing decisions of physicians. Therefore, could provide theoretical framework for policymakers in Yemen, and other countries with similar conditions, to develop a suitable policy and strategy in terms of drug promotion.
The Effect of Adjuvant Therapy on Metabolic Syndrome in Schizophrenia Patients at Madani Hospital Kurnia Utami, Indah; Yasinta Rakanita; Patricia Novina Nurak; Niluh Puspita Dewi
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.5900

Abstract

Background: Schizophrenia is a mental disorder that impacts behavior, emotions, and communication. In recent years, atypical antipsychotics have been increasingly prescribed because they significantly reduce both positive and negative symptoms. However, the long-term effects of atypical can cause metabolic syndrome. Additional therapy is provided to maximize the primary therapy and reduce the side effects. Method: This study used a quasi-experimental design with a single-blind, pretest-posttest approach. Patients who had been using atypical antipsychotics, either monotherapy or combination therapy, for more than 3 were examined pretest to determine metabolic syndrome levels. Group A received adjuvant therapy, while Group B did not receive adjuvant therapy. Based on this data, an analysis of the reduction in metabolic syndrome categories was conducted. Result: The percentage of schizophrenia patients by gender was dominated by males (60%). By age, the majority were adults (87%). In Group A, the incidence of metabolic syndrome decreased from 53% in the pretest to 40% in the posttest after being given vitamin A, B, and folic acid therapy. The most commonly used other medication was THP (38%). Conclusion: The administration of adjuvant therapy with vitamins A, B, E, and folic acid can reduce the value of one or two of the five metabolic syndrome criteria for schizophrenia patients (p = 0.052) compared to the group of patients who did not receive vitamins A, B, E, and folic acid adjuvant therapy. Future research should use a longer duration to observe the effects of vitamins A, B, E, and folic acid and evaluate their therapeutic doses. Additionally, it should narrow down the criteria for medication use, focusing solely on the atypical antipsychotic’s clozapine or olanzapine.
Development of Cross-Sector Collaboration Indicators for Accelerating the Reduction of Stunting in South Sulawesi, Indonesia Balqis, Balqis; Suci Rahmadani; Muh. Yusri Abadi; St. Rosmanely; Arif Anwar; Laksmi Trisasmita; Ni Made Viantika Sulianderi; Faizal Fahmi; Arsunan Arsin; Muh. Amri Arfandi; Nur Annisa Hamka; Amaliah Amriani. AS
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.5924

Abstract

Background: To reduce stunting, the government of Indonesia, which has the fifth-highest prevalence of stunting in toddlers, launched the National Strategy for the Acceleration of Stunting Prevention (StraNas Stunting). Despite involving multiple sectors, stunting rates remain high. This research aimed to develop cross-sector collaboration indicators to assess the effectiveness of cross-sector efforts in reducing stunting. Method: This qualitative study utilized a rapid assessment procedure (RAP) to generate cross-sector collaboration indicators through in-depth interviews with five key informants and four experts. The recurring themes from these interviews were identified as indicators, which were further refined. In the second phase, quantitative analysis was conducted with 50 respondents to test the developed indicators using Confirmatory factor analysis (CFA) methods. Result: A total of 15 indicators and 41 sub-indicators of cross-sector collaboration were developed across five key dimensions: governance, administration, autonomy, mutuality, and norms. Confirmatory Factor Analysis (CFA) was performed to validate the indicators, with the results showing that the Average Variance Extracted (AVE) for each dimension was greater than 0.5, and the Composite Reliability (CR) exceeded 0.7. These findings confirm the validity and reliability of the developed indicators. Conclusion: As recognized by experts, the theory of cross-sector collaboration has been further advanced by the cross-sector collaboration indicators generated in this study. Additionally, these indicators, which were based on five dimensions of collaboration, may be used to assess cross-sector performance for the Stunting Acceleration Program in Indonesia. The framework of this study for defining and assessing collaboration was expected to provide a foundation for further research.
Implementation of the Standard Inpatient Class Policy at RSUP Dr. Tadjuddin Makassar Muhammad Alwy Arifin; Andi Luthfiyyah Anna; Dian Saputra Marzuki; Sukri Palutturi; Ryryn Suryaman Prana Putra
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.5951

Abstract

Background: Based on Presidential Regulation No. 59 of 2024, which replaces Presidential Regulation No. 82 of 2018 on Health Insurance, the implementation of the Standard Inpatient Class (KRIS) is mandated for four types of hospitals in Indonesia, including RSUP Dr. Tadjuddin Chalid Makassar. The KRIS policy must be implemented in all hospitals in Indonesia cooperating with BPJS Health by June 30, 2025. However, the current implementation of KRIS primarily focuses on adjusting medical facilities and infrastructure toward a single class. To analyze the implementation of the KRIS policy at RSUP Dr. Tadjuddin Chalid Makassar in 2024 based on Input and Process aspects. Method: This study employed descriptive research with a qualitative approach, using interviews, observations, and document reviews conducted from February to March 2024 at RSUP Dr. Tadjuddin Chalid Makassar. Eleven informants were selected using purposive sampling. Result: The "Man" input is adequate but faces obstacles. There is no specific budget allocation ("Money") and no difference in financial management before and after policy implementation. "Material" needs are not fully met, and there are established "Methods" or rules for implementing the KRIS policy. Conclusion: Overall, the implementation of KRIS at RSUP Dr. Tadjuddin Chalid Makassar, as a pilot hospital for KRIS, has been successful. However, several variables still need improvement. It is recommended that the hospital enhance its strategies in various aspects of KRIS policy implementation.
Vitamin D Deficiency in Patients with Type 2 Diabetes Mellitus with and without Pulmonary Tuberculosis Wahiduddin, Wahiduddin; Agung Pranoto; Sudjarwo , Sudjarwo
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.5976

Abstract

Background: Vitamin D has a role in the body's calcium balance and immunodeficiency effects, and stimulates dendric cells, monocytes, T cells, macrophages in pathogenic microbes’ elimination. The variation occurrence as polymorphism on VDR might cause problem in production, transportation, and activity of vitamin D. The gap between the occurrence findings in previous studies shows that there are indication factors of VDR levels that probably associate with the T2DM range in comorbid with pulmonary tuberculosis. To determine vitamin D levels and factors associated with vitamin D deficiency in Type 2 Diabetes Mellitus (T2DM) patients with and without pulmonary Tuberculosis (TB). Method: The design of this study was cross-sectional. T2DM subjects with pulmonary TB were 45 people, and 43 people without pulmonary TB were 43 people. Sampling was done by consecutive sampling from October to December 2017. We collected data through interviews and examination of plasma vitamin D (25-OH) levels by ELISA. Data analysis using the Mann-Whitney test, and chi-square test with a confidence level of 95%. Result: There were 88 T2DM patients who met the inclusion criteria, consisting of 43 T2DM patients without pulmonary TB and 45 T2DM patients with pulmonary TB as the study subjects. There were differences in the distribution of T2DM subjects based on sex and BMI measurements. The mean plasma vitamin D levels in T2DM with pulmonary TB and T2DM without pulmonary TB were 20.08 ng/ml (SD ± 0.83 ng/ml) and 20.29 ng/ml (SD ± 0.81 ng/ml), respectively, we found no significant result in statistic (p = 0.287). Vitamin D deficiency was not associated with the incidence of pulmonary TB in T2DM, whereas female sex, age> 50 years, BMI ? 25.0 kg /m2, and duration of T2DM> 5 years were associated with vitamin D deficiency (p <0.05). This research has contributed in novel findings of the correlation between sex and BMI associated in duration of T2DM impacted the Vitamin D insufficiently. Conclusion: Sex, age, BMI, and duration of T2DM had a significant correlation with vitamin D deficiency in T2DM patients with and without pulmonary TB.
Risk Analysis of Groundwater Contaminant in Rural Areas Using Spatial Distribution Herawati, Herawati; Kanan, Maria; Anwar Mallongi; Bidullah, Ramli; Sakati, Sandy N.; Balebu, Dwi Wahyu
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.6032

Abstract

Background: Water is a very important material for the life of creatures in nature and its function for life cannot be replaced by other compounds. Groundwater is an important resource for humans, especially in rural areas that depend on Groundwaters as the main source of clean water. However, the quality of groundwater in many areas has decreased due to pollution from human activities, such as agriculture and industry. Method: This study aims to analyse the level of pollution risk of groundwaters in rural areas of Masama District, Banggai Regency using descriptive quantitative methods. Spatial analysis of pollution risk was conducted on 516 Groundwaters selected as samples. Spatial data is collected by recording the location of each well using GPS, which is then used to create a spatial map. The pollution risk analysis is based on the Sanitation Inspection results, using 11 key indicators. Result: The results showed that 4 Groundwaters (0.78%) were in the very high pollution risk category, 115 Groundwaters (22.29%) were in the high-risk category, 204 Groundwaters (39.53%) were classified as medium risk, and 193 Groundwaters (37.40%) had low pollution risk. The results indicate that most Groundwaters in the study area are at moderate to high risk. Groundwaters with high and very high risk are dominated by Groundwaters located in Minang Andala, Purwo Agung and Kembang Merta villages, which are agricultural areas with sufficient area and most of the people have livestock around their homes which could potentially be a source of contaminants. Conclusion: This study shows that the majority of Groundwaters in the study area have a moderate to high risk of pollution, with high and very high-risk categories found in villages that have agricultural and livestock activities. This emphasises the need for more intensive groundwater management and protection measures.
Anemia Associated with Student Learning Achievement: Cross-Sectional Study Taqwin, Taqwin; Purwita sari, Eka; Asrawati, Asrawati; Hadriani, Hadriani; Imelda Tondong, Henrietta; Batjo, Siti Hadijah; Sri Yanti Kusika; Silfia, Niluh Nita
Journal of Public Health and Pharmacy Vol. 5 No. 1: MARCH 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.v5i1.5005

Abstract

Introduction: Adolescent anemia is one of the public health problems globally, including in Indonesia. Learning achievement is associated with adolescent anemia in girls. This study aims to determine the relationship between anemia and teenage girls' learning achievement at school. Methods: The type of research was a cross-sectional study conducted in June 2022 at one of the Aliyah madrasas in Palu City. Research samples from 34 adolescent girls were taken using a simple random technique. The research variables were learning achievement, body mass index (BMI), and hemoglobin levels. Research data was collected using observation sheets, digital weight scales, height using a longboard, and hemoglobin levels using the Easy Touch Kit. The measurement of learning achievement uses the average score of student education reports based on the minimum completeness criteria (CCM) set by the school with the requirements of good (B), enough (C), and less (K). The research data analysis used a chi-square test and prevalence ratio with a confidence level (95%). Results: The results showed that anemia in adolescent girls was 67.6%. There was an association between learning achievement and anemia (?=0.034) and PR value = 0.79, 95% CI 0.00 to 1.52. There was no association between body mass index and anemia (?=0.49) and PR value = 0.54, 95% CI 0.08 to 3.7. Conclusion: The study concluded that the percentage of anemia in adolescent girls was 67.6% and was categorized as a severe public health problem. Teenage girls who are anemic have a risk of 0.79 times having academic achievement with a grade of C. Students are expected to pay attention to adequate nutritional intake; the school facilitates regular iron supplementation intervention programs and nutrition education for vulnerable students, and health programs are integrated with the educational curriculum, health monitoring, and periodic anemia screening
Prevalence and Characteristics of Forward Head Posture among University Students Fatharani, Lukman Faishal; Purnamasari, Rina; Ramadhan, Mohammad Raihan Diki; Adhyatma, Galih Prakasa
Journal of Public Health and Pharmacy Vol. 5 No. 1: MARCH 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.v5i1.5027

Abstract

Introduction: Forward head posture (FHP) is a condition of misalignment in the cervical vertebrae where the cervical spine shifts towards a more anterior angle. This change induces stress on the surrounding anatomical structures, leading to comorbidities and pathology. FHP has been identified as prevalent among young adults. Various risk factors contribute to this demographic's high burden of FHP, including increased exposure to modern technologies, such as smartphones. Therefore, our study aims to investigate the prevalence of FHP among university students in our center and analysed risk factors associated with FHP. Methods: This cross-sectional study was conducted on students of Universitas Muhammadiyah Semarang. A total of 126 participants were enrolled. Diagnosis of FHP was determined by measuring the craniovertebral angle (CVA) using ImageJ. Data of risk factors was collected by questionnaire, smartphone addiction scale-short version (SAS-SV) and the neck pain disability index. Ethical approval was obtained from the ethics committee of Universitas Muhammadiyah Semarang and participants provided informed consent. Results: The prevalence of FHP in our center was 63.5%. The mean CVA was 48±6o. We discovered that overweight or obese participants had almost 4 times the odds of developing FHP (aOR=3.899, 95%CI [1.3;11.6], p=0.014). A similar trend was also observed in participants with smartphone addiction, who were 4.5 times more likely to develop FHP (aOR=4.41, 95%CI [1.76;11.04], p=0.002). We did not observe a significant association between FHP and neck pain. Conclusion: Our study demonstrates the considerable prevalence of FHP in our center, especially in those with higher BMI and addiction to smartphones. However, we advise caution in interpreting this study to a broader population of students due to its small sample size and cross-sectional design. We recommend larger longitudinal studies analysing strategic risk factors of FHP to construct a basis of policymaking for effective prevention and targeted intervention.
Bioeffects of EM Radiation on Human Skin Health: A Theoretical SAR Analysis Rockey Choudhary; Vijay Kumar; Soni Mishra
Journal of Public Health and Pharmacy Vol. 5 No. 1: MARCH 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.v5i1.5068

Abstract

Introduction: In this modern era, electromagnetic waves are playing a crucial role in our lives. An electric field is generated around the source of electromagnetic waves like mobile phone transmission towers, radio towers, TV towers, etc., which affects human beings living around them. The sources are increasing as we are regularly using devices that emit EM waves. Methods: to study the effects of non-ionizing EM radiation on the skin of human being, the electric field around the transmiison tower is calculated. When this external electric field incident on the body of human being, it penetrates inside the skin of human being. The penetrated electric field is calculated at different depth inside the skin. With the help of this penetrated electric field, the specif ic absorption rate inside the skin is also calculated for various height of transmission tower. The impact of non-ionizing EM radiation on the skin is predominantly associated with thermal effects. The extent of these effects depends on the intensity, duration, and proximity of the exposure. Results: In this manuscript, the specific absorption rate (SAR) is calculated inside the skin at the variable depth of the epidermis layer of human beings. The transmission towers of EM waves are taken at different heights. It is observed that the tower that has the minimum height produces more electric field inside the skin as compared to the longer-height tower. Conclusion: The amount of energy absorption by the tissues of the skin is higher for the transmission tower of 50 m height. The energy absorption by the tissues may become harmful for the health of the skin.

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