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Buletin Penelitian Kesehatan
Published by Poltekkes Kemenkes Palu
ISSN : 01259695     EISSN : 23383453     DOI : https://doi.org/10.33860/bpk.v52i2.3999
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Buletin Penelitian Kesehatan aims to disseminate the results of research in the field of health to academics, practitioners, students, and individuals who have competency in the field includes: Nursing Law Health Nutrition Midwifery Environmental health Public health Reproductive Health Education and Health Promotion
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 33 Documents
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Relationship Between Demographic Characteristics and Central Obesity with Dyslipidemia among Adult Population in Indonesia Lulu'ul Badriyah; Annisa Yuri Ekaningrum
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4018

Abstract

Background: One of the main risk factors for cardiovascular disease and the leading cause of death worldwide, including in Indonesia, is dyslipidemia. The purpose of this study is to examine the relationship between demographic characteristics and central obesity with dyslipidemia among adults in Indonesia. Methods: This study used national Basic Health Research data from 2018. Study design is cross sectional. This study was conducted in September 2024. The study population consisted of individuals aged 25–45 years in Indonesia. Initially, the sample size included 305,457 respondents, but after data cleaning, 12,796 respondents with complete data remained. The analysis was conducted univariately using frequency distribution and percentages, bivariately using chi-square tests, and multivariately using multiple logistic regression. Results: The results of bivariate analysis showed a significant relationship between age (p=0.000, OR=1.46), gender (p=0.000, OR=1.53), central obesity (p=0.000, OR=1.79) and dyslipidemia. There was no relationship between level of education and dyslipidemia (p=0.283). Central obesity showed the strongest association in multivariate analysis Conclusion: In conclusion, the variables associated with dyslipidemia are age, gender, and central obesity.  Central obesity emerged as the strongest predictor of dyslipidemia in the multivariate analysis. Management of central obesity such as dietary improvements and increased physical activity should be considered to decrease risk of dyslipidemia.
Sex Education by Parents to Prevent Child Sexual Abuse: Scoping Review Nisa, Ananda Fadila; Ismarwati, Ismarwati
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4033

Abstract

Background: Child sexual abuse (CSA) is a global health problem with significant health consequences. Parents have an important role in providing sex education to prevent CSA. The research aims to examine parent’s attitudes, barriers, practices in providing sex education to prevent their children from sexual abuse. Methods: A scoping review research design using database searches from Pubmed, Scopus, Ebsco, SpringerLink, ScienceDirect, and manual searches carried out in 2019-2023, with the search words “parent*” AND “sex education” AND “prevent” OR “intervention” AND “child sexual abuse”. This article follows the Joanna Briggs Institute (JBI) scoping review framework to evaluate the studies Results: Obtained were 1061 articles, and then filtering was carried out based on inclusion and exclusion criteria and assessment of eligibility to obtain 10 articles that met the requirements. Results show that most parents believe in the importance of sex education for self-protection, though many face barriers such as embarrassment and lack of accurate information. Positive attitudes and open practices are crucial in delivering effective sex education. Conclusion: Parents play a crucial role in sex education to prevent child sexual abuse. They create a safe environment, teach body awareness, and foster self-confidence.
Water, Hygiene, and Sanitation Risk Factors towards Stunting among Children (0-14 years): A Systematic Literature Review Sulistiyorini, Desy; Ekaningrum, Annisa Yuri
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4044

Abstract

Background: Stunting remains a major public health problem in low- and middle-income countries and is closely linked to inadequate water, sanitation, and hygiene (WASH) conditions through repeated infections and impaired nutrient absorption. Evidence on the role of WASH across a broader child age range remains limited. This study aimed to systematically review the association between WASH factors and stunting among children aged 0–14 years. Methods: A systematic literature review was conducted following PRISMA guidelines. Articles published in English between 2013 and 2023 were retrieved from PubMed and Scopus using the keywords “water,” “sanitation,” “hygiene,” “WASH,” and “stunting.” Observational studies conducted in low- and middle-income countries were included. Two reviewers independently screened titles, abstracts, and full texts. Results: A total of 83 studies were included, predominantly cross-sectional in design. Most studies were conducted in East Africa and Southeast Asia. Consistent evidence showed that unimproved water sources, lack of water treatment, poor sanitation facilities, open defecation, unsafe disposal of child feces, and inadequate hygiene practices—particularly handwashing—were significantly associated with increased risk of stunting. Improved water access, sanitation infrastructure, and hygiene behaviors were identified as protective factors. Conclusion: Inadequate WASH conditions are strongly associated with childhood stunting. Integrating WASH interventions, especially sanitation and hygiene improvements, with nutrition programs is essential to reduce stunting and promote healthy child growth in low- and middle-income countries.
Involvement of Community Organisations in Providing Information, Motivation to TB Patients to Adhere to Regular Treatment Manurung, Nixson; Bolon, Christina Magdalena T.; Manurung, Sarida Surya; Manurung, Rostinah; Siregar, Sarmaida; Ratna Dewi; Sagala, Deddy Sepadha Putra; Dame, Arta Marisi; Nainggolan, Syahrul Handoko
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4056

Abstract

Background: Tuberculosis (TB) requires long-term treatment, and non-adherence remains a major challenge that increases the risk of treatment failure and disease transmission. The Information–Motivation–Behavioral (IMB) model highlights the importance of social support in improving adherence. Community-based organizations, particularly youth and religious organizations, are deeply embedded in society and have the potential to support TB patients through information dissemination and motivational assistance. This study aimed to explore the role of community organizations in providing information and motivation to enhance treatment adherence among TB patients. Methods: A qualitative study with a phenomenological approach was conducted in the Serdang Bedagai health service area, North Sumatra, Indonesia. A total of 24 informants, including health workers, members of youth and religious organizations, and TB patients, were recruited using purposive sampling. Data were collected through in-depth interviews and analyzed using qualitative content analysis supported by Atlas.ti software. Results: Three main themes emerged: adherence to treatment, establishment of cooperation, and motivation. Community organizations supported adherence by facilitating regular meetings, assisting medication intake, establishing communication groups, and providing emotional, informational, and family support. Conclusion: The involvement of youth and religious organizations plays a critical role in strengthening TB treatment adherence. Integrating community-based support with health services may enhance motivation, supervision, and long-term treatment compliance among TB patients.
Analysis of Mineral and Vitamin Content in Sweet Potato Leaves and Their Potential Role in Hemoglobin Formation Nuryanti, Yayuk; Sombuk, Hosiana Loisa; Taher, Achmad
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4085

Abstract

Background: Sweet potato leaves are widely consumed in Indonesia and have been traditionally used to help overcome anemia due to their mineral and vitamin content. This study aimed to analyze the mineral and vitamin C content of green and red sweet potato leaves and to assess their potential role in supporting hemoglobin formation. Methods: This type of research is descriptive by explaining the results of laboratory tests on water extracts and red and green sweet potato leaves. Samples of water extract from 10 red sweet potato leaves and 10 green sweet potato leaves. Meanwhile, for the leaf extract, each leaf was air-dried for 1 week and then placed in an oven at 1050C for 3 days until the weight remained constant. To analyze the minerals, samples were tested using a SHIMADZU Type AA-7800 Atomic Absorption Spectrophotometer (AAS). Vitamin C analysis was performed using the titration method. Results: The results of the study were obtained from the green leaf extract Fe 56.36 gr, Ca 1052.2 gr, Mg 3.3 gr. Red leaves Fe 55.46 gr, Ca 285.9 gr, and Mg 32.46 gr. The content of boiled water extract for 10 minutes Fe 0.15 mg/l, Ca 0.54 mg/l, Mg 1.9 mg/l. Pink leaves Fe 0.08 mg/l, Ca 0.745 mg/l, Mg 1.88 mg/l. Dark red leaves Fe 0.11 mg/l, Ca 0.95 mg/l, Mg 1.92 mg/l. Water extract with added sugar on green leaves Fe 0.04 mg/l, Ca 0.84 mg/l, and Mg 1.89 mg/l. Red leaves Fe 0.08 mg/l, Ca 1.27 mg/l, and Mg 1.91 mg/l. The vitamin C content of green sweet potato leaves is higher than that of red sweet potato leaves, indicating its potential as a more effective food source to increase hemoglobin levels and overcome anemia. Conclusion: Sweet potato leaves contain important nutrients, based on the results of extracts from green sweet potato leaves containing higher concentrations of minerals and vitamin C.  
The Influence of Education on Increasing Women's Empowerment for Early Detection of Pregnancy Complications in Sigi Regency Rahyani, Ni Komang Yuni; Batjo, Siti Hadijah; Nurmiaty, Nurmiaty; Hadina, Hadina; Marzo, Roy Rillera
Buletin Penelitian Kesehatan Vol. 53 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v53i2.4174

Abstract

Background: Women’s empowerment plays a critical role in improving maternal and family health, particularly through timely recognition of pregnancy danger signs and informed decision-making. Educational interventions are expected to enhance women’s knowledge, attitudes, skills, and empowerment related to the early detection of pregnancy complications. This study examined the effect of education on women’s empowerment and behavioral outcomes regarding pregnancy danger signs among third-trimester pregnant women in Sigi Regency, Indonesia. Methods: A quantitative quasi-experimental study with a pretest–posttest design without a control group was conducted from June to October 2023. Eighty-five pregnant women with gestational age >28 weeks were recruited from four community health centers. Participants received structured education using a pocket book on danger signs during pregnancy, childbirth, and the postpartum period. Data were collected using a validated self-reported questionnaire. Paired t-tests were used for data analysis. Results: Mean scores for knowledge (8.74 to 9.35), attitudes (19.07 to 21.46), and skills (20.69 to 25.91) regarding pregnancy danger signs increased significantly after the intervention (p<0.05). Although the empowerment score increased (14.65 to 16.27), the difference was not statistically significant (p>0.05). Conclusion: Educational intervention effectively improved pregnant women’s knowledge, attitudes, and skills related to pregnancy danger signs, but was insufficient to significantly enhance women’s empowerment. Comprehensive, family-centered strategies are needed to strengthen women’s autonomy in maternal health decision-making.
Implementation of Drug Logistics Management in Disaster Preparedness at Tipo Public Health Center Palu City Ashari, Muhammad Rizki; Sulaiman, Miftahul Haerati; Firmansyah, Firmansyah; Ilham, Mohammad; Nasir, Muhammad
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4137

Abstract

Background: Effective drug logistics management is essential to ensure the availability, continuity, and timely distribution of medicines, particularly in disaster-prone areas. Tipo Public Health Center in Palu City faces challenges related to essential drug availability, procurement delays, and stock discrepancies, which may affect routine services and disaster preparedness.Methods: This study used a qualitative case study design. Data were collected through in-depth interviews, observation, and document review. Informants included the person in charge of the pharmaceutical unit, the head of the Public Health Center, and pharmaceutical staff. Data validity was strengthened through source and method triangulation, and data were analyzed using content analysis.Results: Drug logistics planning was conducted periodically based on stock evaluation, previous drug use, disease patterns, and estimated patient needs. The process involved collaboration among pharmacists, pharmaceutical staff, health workers, epidemiology personnel, and management. However, several challenges were identified, including uncertainty in patient numbers and disease trends, limited stock availability at the Health Office pharmaceutical warehouse, discrepancies between requested and received medicines, and technical problems in the e-catalogue system. Disaster preparedness was integrated through emergency stock considerations, although contingency planning and coordination still require strengthening.Conclusion: Drug logistics management at Tipo Public Health Center has been implemented through collaborative and needs-based planning, but procurement constraints, stock mismatches, and technological barriers reduce its effectiveness. Strengthening coordination, improving digital infrastructure, and developing clear emergency drug contingency plans are necessary to support routine services and disaster preparedness.
Reconfiguring National Health System Governance for Non-Military Threats: A Threat-Based Integrated Management Framework for Indonesia Nugroho, Anton; Sarjito, Aris; Setiawati, Deni; Lusianah, Lusianah; Fahrun, Fahrun; Hasanah, Oswati
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4383

Abstract

Background: Emerging public health crises expose structural vulnerabilities within national health systems, particularly in governance coordination, workforce sustainability, supply chain stability, and digital integration. Indonesia’s COVID-19 experience revealed gaps between regulatory design and operational implementation across these domains. Strengthening governance alignment is therefore essential to enhance preparedness for future systemic shocks. Methods: This study employed systematic document analysis and triangulated synthesis of national regulatory instruments, administrative records, and peer-reviewed studies published between 2019 and 2025. Using iterative cross-domain coding, four analytical domains were examined: crisis governance architecture, workforce resilience, strategic supply chain capacity, and digital health integration. Results: Findings indicate regulatory completeness but operational fragmentation. Temporary dual coordination structures during the pandemic reflected governance misalignment between central and subnational authorities. Persistent psychosocial strain among healthcare workers signals risks to long-term workforce sustainability. Structural dependence on imported pharmaceutical inputs and uneven logistics infrastructure exposed supply chain vulnerabilities. Although digital integration initiatives have progressed, subnational analytic capacity remains uneven. Cross-domain synthesis suggests that institutional alignment gaps, rather than policy absence, constitute the primary systemic challenge. Conclusion: Enhancing Indonesia’s health system resilience requires structural integration across governance, workforce protection, supply chain strategy, and digital capacity. The proposed Integrated Resilience Management Framework offers a policy-oriented pathway to improve institutional coherence and preparedness for future public health crises. This study contributes to health policy scholarship by translating cross-domain structural gaps into actionable system reform strategies.
Patient Satisfaction Based on the Quality of Health Services Through Midwife Performance at the Batalaiworu Public Health Center: Case Study in Maternal and Child Health Clinic for Pregnant Women Sarumi, Rasniah; Albert, Albert; Sari, Elna; Hartati, Hartati; Narmi, Narmi; Trisnawati, Astie
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4412

Abstract

Background: The quality of maternal health services at primary healthcare facilities remains a critical determinant of pregnant women’s service experiences and continued utilization of antenatal care (ANC). Inadequate service quality, particularly in terms of infrastructure, service processes, and interpersonal communication, may limit patient satisfaction and weaken the effectiveness of maternal health programs. Midwives play a central role in shaping service quality at Maternal and Child Health (MCH) clinics. This study aimed to examine the association between healthcare service quality and pregnant women’s satisfaction through midwife performance at the Batalaiworu Community Health Center, Southeast Sulawesi, Indonesia.Methods: A quantitative cross-sectional design was applied involving 51 pregnant women in Sidodadi Village, selected using saturated sampling. Data were collected using a structured questionnaire measuring healthcare service quality (structure and process dimensions) and patient satisfaction. Primary and secondary data were analyzed using the chi-square test to assess the association between variables.Results: Most respondents perceived healthcare service quality as good (72.5%), and 68.6% reported being satisfied with the services received. Bivariate analysis showed a statistically significant association between healthcare service quality and pregnant women’s satisfaction (ρ < 0.001). Pregnant women who perceived better service quality tended to report higher satisfaction levels, although some dissatisfaction persisted despite favorable service conditions.Conclusion: The findings indicate a significant association between healthcare service quality and pregnant women’s satisfaction at the primary healthcare level. These results highlight the importance of strengthening midwife performance, particularly in communication, responsiveness, and patient-centered care practices, alongside maintaining adequate service infrastructure. Continuous supervision and capacity-building initiatives for midwives are recommended to enhance maternal health service quality and patient satisfaction.
Community Preparedness in Facing Flood Disasters in Kecamatan Baolan, Kabupaten Tolitoli Ra'bung, Alfrida Semuel; Faisal, T. Iskandar; Wartana, I Kadek
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4027

Abstract

Background: Kelurahan Baru RT 01 RW 12 Kecamatan Baolan is one of the areas that often experiences floods and has an impact on property destruction, clean water difficulties and poses a risk of disease, so community preparedness is needed to minimize the impact caused. This study aims to analyze community preparedness in dealing with flood disasters in Baolan District, Tolitoli Regency . Methods: This study uses a survey method with a correlational approach which was carried out in Baru Village, RT 01 RW 12, Baolan District from June 11 to 13, 2024. The research sample consisted of all heads of families residing in the area, totaling 102 heads of families. The research variable is community preparedness in dealing with flood disasters. The instrument used was in the form of a preparedness questionnaire that included five parameters, namely: knowledge, attitude, emergency response plan, early warning system, and resource mobilization. Data analysis uses the Pearson product moment test, as well as multiple linear regression tests with a 95% confidence interval (CI). Results: The results of the study showed that community preparedness was in the category of very ready (69.6%). There was a significant relationship between knowledge parameters (p=0.000; r=0.822), attitudes (p=0.000; r=0.609), emergency response plans (p=0.000; r=0.862), early warning systems (p=0.000; r=0.642), and resource mobilization (p=0.000; r=0,623) and disaster preparedness (p<0.05). Of the five parameters, knowledge is the most influential factor on preparedness (p=0.000; beta=0.435). Conclusion: The community in the research area is classified as very prepared to face flood disasters, with knowledge as the most influential factor. These findings suggest that increased public knowledge about flood disaster risk plays a key role in improving preparedness. This emphasizes the importance of continuous education programs to strengthen public knowledge and awareness.

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