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Svāsthya: Trends in General Medicine and Public Health
Published by PT Mega Science Indonesia
ISSN : -     EISSN : 30630649     DOI : https://doi.org/10.70347/svsthya
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Svāsthya: Trends in General Medicine and Public Health is a multidisciplinary journal and it is published six times (January, March, May, July, September, and November) a year. The objective is to promote articles on general medicine, infection, public health, Global health Infection, Tropical diseases, One health and eco-epidemiology, Biomedical sciences, Epidemiology and clinical epidemiology, Molecular biology, Biology of disease and infection, Environmental health, Epidemiology and biostatistics, Disease, prevention and health promotion, Health technology and innovation, Microbiology, Pharmacological medicine, Traditional medicine, and Diseases in tropics. Svāsthya publishes original research work across all disciplines of medicine and allied sciences, related to infection, public health, global health, tropical infection, one health and diseases in tropics. The journal publishes original articles, short report, case report, review articles, systematic review - meta analysis and letters to the editor. All articles published in Svāsthya are peer-reviewed and published online for immediate access and citation.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 6 Documents
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Search results for , issue "Vol. 2 No. 4 (2025): July 2025" : 6 Documents clear
The financial burden of COVID-19 hospitalization: A retrospective economic evaluation Putro, Wahyu Gito
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.101

Abstract

The COVID-19 pandemic continues to demonstrate dynamic fluctuations across global, regional, and local contexts. These ongoing variations have substantial public health and socioeconomic consequences worldwide. This study examines the financial and demographic effects of COVID-19 hospitalizations at South Tangerang General Hospital between 2021 and 2022. A retrospective economic analysis by comparing hospitalization data from 2021 and 2022. This study evaluated key parameters, including patient demographics, duration of hospitalization, treatment costs, and funding sources, identifying significant patterns across the study period. This study revealed notable changes in patient demographics, with the predominant age group shifting from > 59 years (2021) to 19-59 years (2022; p=0.000). The percentage of females represented increased from 49.1% to 59.5% (p=0.033). Compared with 2021 admissions, hospital stays were significantly shorter, with most 2022 patients discharged within 1–5 days (p=0.000). The average treatment costs declined from $3,676 to $2,024 (p=0.000), primarily due to reduced nursing and medication expenses. Funding sources transitioned from near-total (99.6%) reliance on the national COVID-19 program in 2021 to 52.7% coverage by the BPJS health insurance in 2022 (p=0.000). This study revealed significant changes in COVID-19 hospitalization patterns, characterized by younger patient populations, shorter hospital stays, and lower treatment costs. The evolving financial model, which incorporates both insurance and government support, highlights the necessity of forward-looking financial strategies in healthcare systems to effectively manage future health crises. These findings underscore the adaptive capacity of the healthcare sector and the critical role of socioeconomic considerations in treatment outcomes.
Neutrophil–lymphocyte ratio as a predictor of dengue hemorrhagic fever severity in Indonesian pediatric patients: A Single-center retrospective study Dewi, I Gusti Ayu Ajeng Widia Kencana; Adiwinoto, Ronald Pratama; Rokhmadhoni Pikir, Rizqi; Rusli, Christina; Biutifasari, Verna; Diah Utami, Prawesty
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.104

Abstract

Dengue hemorrhagic fever (DHF) is a significant health burden in Indonesia, necessitating reliable prognostic markers for early clinical intervention. The neutrophil‒lymphocyte ratio (NLR) has emerged as a potential biomarker for disease severity assessment, although its utility in pediatric populations requires further validation. This study aimed to to determine the relationship between the neutrophil‒lymphocyte ratio and DHF severity grade in pediatric patients and evaluate its potential as a prognostic indicator for clinical decision-making. This retrospective cross-sectional study analyzed 111 pediatric patients aged 5-14 years who were diagnosed with DHF at RSPAL Dr. Ramelan, Surabaya, between January 2022 and December 2024. Patients were classified according to the WHO severity grades (I-IV), with the NLR calculated from complete blood counts obtained during days 3-6 of illness. Statistical analysis with Spearman's rank correlation was used to examine the relationship between the NLR and disease severity. The study population predominantly demonstrated Grade I DHF (56.8%), followed by Grade II DHF (20.7%), Grade III DHF (18.0%), and Grade IV DHF (4.5%). Patients with lower severity grades (I-II) predominantly presented low NLR values (<1) in 46.0% and 47.8% of cases, respectively, whereas those with higher severity grades (III-IV) primarily presented normal NLR values (1-3) in 65.0% and 60.0% of cases, respectively. Spearman's correlation analysis revealed no statistically significant relationship between the NLR and DHF severity (ρ = 0.120, p = 0.208). The neutrophil‒lymphocyte ratio has limited utility as a standalone predictor of DHF severity in pediatric patients. These findings suggest the need for alternative biomarkers or composite indices for accurate prediction of pediatric DHF severity.
Translating tuberculosis control policy into practice: Planning and budgeting challenges at a primary healthcare center Mujtahidah, Mujtahidah; Rahmilah, Mitha
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.118

Abstract

Tuberculosis (TB) remains one of the most prevalent communicable diseases in Indonesia, with high morbidity and mortality rates, particularly in urban areas such as Makassar city. This study aimed to examine the planning and budgeting processes of the TB control program at the Tarakan Public Health Center (PHC) in Makassar city. A qualitative descriptive study was conducted via document analysis, direct observations, and in-depth interviews with four key informants (TB program managers, healthcare workers, and community health volunteers involved in TB control). Thematic analysis was used to identify patterns related to program planning, budgeting, implementation, and barriers to program implementation. The TB control program at Tarakan PHC followed national guidelines but faced local challenges, including insufficient early case detection, limited community awareness, and strong social stigma. Budget allocations fluctuate yearly, with IDR 12,800,000 allocated in 2023 and increasing to IDR 25,000,000 in 2024, affecting the program’s sustainability. Patient nonadherence to treatment, often due to perceived recovery, economic hardship, and stigma, was a major barrier. In response, the PHC implemented activities such as active case finding, contact tracing, default tracing, treatment supervision, and preventive therapy, supported by community engagement. Between 2020 and 2024, 226 TB cases were identified. Although national policy supports TB control efforts, local implementation is hindered by behavioral, operational, and financial constraints. Consistent budget allocation, targeted health education, and stronger community involvement are essential for improving treatment outcomes and supporting TB elimination strategies at the primary care level.
Body mass index as a determinant in the development of osteoarthritis: A cross-sectional study Adyasputri, A A I Ayesa Febrinia; Raini, Putu Ayu Meka
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.129

Abstract

Osteoarthritis (OA) is a degenerative joint disease characterized by the progressive degradation of articular cartilage, the formation of new bone (osteophytes), and changes in synovial and subchondral tissues. These pathological changes contribute to pain, joint stiffness, and functional impairment in OA. The primary risk factors for OA include advanced age and increased body mass index (BMI). This study aimed to determine the association between BMI and the incidence of osteoarthritis. A cross-sectional analytical study was conducted among 70 participants aged >40 years from Banjar Cepaka, Badung, Indonesia, using simple random sampling method. Osteoarthritis severity was assessed using the WOMAC questionnaire, while BMI was calculated from measured height and weight. Chi-square analysis was performed to determine the associations between variables. Osteoarthritis severity assessment using the WOMAC questionnaire demonstrated that 58.6% of the participants experienced severe symptoms, while 27.1% reported moderate symptoms. Chi-square analysis revealed a statistically significant association between BMI and osteoarthritis incidence (p = 0.000). The cross-tabulation showed that individuals with obesity class I had 81.2% severe osteoarthritis cases, while those with obesity class II had 83.3% severe cases and 16.7% very severe cases of osteoarthritis. In conclusion, a strong association between elevated BMI and osteoarthritis severity among adults over 40 years in rural Indonesia. The progressive relationship between increasing body weight and joint degeneration severity underscores the modifiable nature of this risk factor through weight management interventions.
Spatial risk assessment of canine rabies transmission via GIS buffer analysis in Bobonaro municipality, Timor-Leste Cruz, Zito Viegas da; Pereira, Abrão J.; Machado, Filipe de Neri; Adnyana , I Made Dwi Mertha; Jundaeng, Jarupat
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.137

Abstract

Rabies is a fatal zoonotic disease caused by Lyssavirus of the Rhabdoviridae family. Timor-Leste experienced a rabies outbreak in March 2024, with a 100% fatality rate, primarily affecting dogs as the main reservoir. Bobonaro Municipality has reported an increasing number of confirmed cases, necessitating spatial approaches for effective control strategies. This study aimed to identify confirmed rabies case distribution patterns and predict transmission risk zones via GIS buffer analysis within the Bobonaro Municipality. This study utilized secondary data from 39 confirmed rabies cases from the Bobonaro Municipal Agriculture Service between January and June 2025. The analysis was conducted via the Buffer and Multiple Buffer tools in ArcGIS 10.8 software. The geographic coordinates of confirmed cases were mapped to generate distribution maps with transmission movement predictions on the basis of locations in each administrative post, village, and hamlet. Mapping revealed that the majority of confirmed rabies cases were concentrated in the northeastern Bobonaro Municipality, comprising the Cailaco administrative post with the hamlets of the Meligo village, such as Bereleu, Daulelo, Liabote, and Mude, plus the Maliana administrative post. Buffer analysis with a 2 km radius identified tendencies for animal movement at risk of local rabies transmission that could spread to humans and other animals, including neighboring municipalities sharing land borders with Bobonaro. GIS-based buffer analysis successfully identified high-risk zones for rabies transmission within a 2 km radius of the average confirmed case locations. These findings provide an evidence-based foundation for policymakers to implement effective and specific rabies control strategies tailored to Timor-Leste's resource-limited environment.
Front and Back Matter for Volume 2 Issue 4, July 2025 Trends in General Medicine and Public Health, Svāsthya
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Volume 2, Issue 4, July 2025 This issue consists of 5 articles contributed by 16 authors affiliated with 12 affiliations from four countries including Indonesia (Universitas Pembangunan Nasional Veteran Jakarta, Universitas Hindu Indonesia, Universitas Negeri Makassar, Universitas Hang Tuah Surabaya, Universitas Muhammadiyah Semarang, Universitas Jambi, dan Indonesian Society of Epidemiologists), United Kingdom (Royal Society of Tropical Medicine and Hygiene), Timor-Leste (Epidemiological Surveillance Municipal Health Service (SMS) Bobonaro, National University of Timor-Leste (UNTL), National Institute of Public Health of Timor-Leste (INSP-TL)), Thailand (Mahasarakham University)

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