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Proceeding Mulawarman International Conference on Tropical Public Health
Published by Universitas Mulawarman
ISSN : -     EISSN : 3090630X     DOI : -
Core Subject : Health,
Public Health
The Mulawarman International Conference on Tropical Public Health (MICTOPH) is an annual international conference organized by the Faculty of Public Health (FKM), Universitas Mulawarman. This event serves as a platform to gather and integrate diverse, constructive, and comprehensive ideas, concepts, and perspectives. The outcomes of these discussions and presentations aim to form the foundation for addressing and solving various challenges in the field of public health, particularly those related to tropical regions. Through collaboration and knowledge exchange, MICTOPH strives to contribute to the advancement of public health research and practices.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 311 Documents
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The Carcinogenic and non-carcinogenic risks of Pb exposure indrinking Water Sources in Samarinda City Sedionoto, Blego; Firdaus, Ade Rahmat
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The risk of Pb contamination in urban drinking water sources can stem from raw water contamination, suboptimal water treatment systems, and limited water source distribution. Objective : This study aims to predict cancer and non-cancer risks from the impacts of consuming Pb-contaminated drinking water sources. Research Methods/ Implementation Methods : This study used an environmental health analysis method with a quantitative approach. In addition to measuring Pb in household-based drinking water sources, the lead was analyzed using an Atomic Absorbed Spectrometer (AAS). Results : The results of Pb measurements in household of community in Loabakung Samarinda City with a concentration level between 0.001-0.045 mg/L. The analysis results showed a non- carcinogenic and carcinogenic risk level of 67% (78) of respondents at non-carcinogenic risk and 84.5% (98) at carcinogenic risk Conclusion/Lesson Learned : Reducing the source of Pb pollutants in the raw water for water processing in the city of Samarinda is very necessary. And replacing distribution pipes that still have lead in household flows is a necessity in holistic environmental risk management
TikTok Content Analysis for Strengthening Stunting PreventionEducation Systems Rahayu, Agustin Putri; Ariyanti, Rea; Rahayu, Eka Putri; Saefurrohim, Muhamad Zakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Stunting presents significant public health challenges requiring comprehensive prevention strategies. Digital health education has emerged as an effective approach to strengthen health systems and community engagement. TikTok, as a widely accessible social media platform, offers potential for delivering evidence-based stunting prevention education. Objective : This study analyzes stunting education content on TikTok to provide recommendations for optimizing digital health communication strategies in achieving SDGs. Research Methods/ Implementation Methods : Content analysis was conducted on TikTok videos with #preventstunting hashtag posted within six months. The analysis examined 50 highest- engagement videos (final dataset) and identified top 10 most popular videos. Systematic coding analyzed video attributes (duration, music, text display, posting age), audience responses, target demographics, creator backgrounds, and content characteristics (message types, information density, sentiment). Results : Final dataset characteristics revealed optimal attributes: 16-60 second duration, TikTok music integration, explanatory text overlays, 31-90 days posting history, general public targeting, and diverse creator backgrounds. Top 10 popular videos showed similar patterns with extended posting duration (90-180 days), healthcare professional involvement, and multi-sentiment approaches (empathy, humor, fear). Prevention-focused messages with 1-2 key information points generated highest engagement. Recommended video framework includes 60-second duration, music and subtitle integration, active audience interaction, multi-sectoral creators, prevention messaging with 1- 2 focal points, and strategic sentiment use. Creativity, quality, and simplicity emerged as critical engagement factors. Conclusion/Lesson Learned : TikTok demonstrates significant potential for strengthening health system communication strategies in stunting prevention education. Video characteristics substantially influence audience engagement, with simple, informative, and creative content generating optimal responses. This digital platform can enhance health promotion accessibility and reach, contributing to SDG achievement through innovative community-level interventions.
Maternal Mental Well-Being and Infant Feeding Outcomes: A Systematic Review and Meta-analysis Kurniasari, Eri; Chusna, Safira Mauliyatul; Farokah, Atik; Nanda, Britania Laila; Maharani, Wafa Aulia; Fitriana, Salsabila; Pramesti, Zelin Patarena Dawi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Maternal mental well-being is a crucial determinant of infant feeding outcomes. Psychological conditions such as postpartum depression, anxiety, and stress may influence a mother’s ability and motivation to initiate or sustain breastfeeding. However, the direction and magnitude of this association remain unclear. Objective : This systematic review and meta-analysis aimed to assess the association between maternal mental well-being and infant feeding outcomes, including exclusive breastfeeding practices. Research Methods/ Implementation Methods : A comprehensive literature search was conducted in Scopus, ScienceDirect, and PubMed databases for studies published between 2015-2025. Both observational and interventional studies examining maternal mental health and infant feeding outcomes were included. Data were synthesized using a random-effects model following PRISMA guidelines. Results : Three studies met the inclusion criteria and were included in the meta-analysis. The pooled odds ratio indicated no statistically significant association between maternal mental well-being and infant feeding outcomes (OR = 0.61; 95% CI = 0.18–2.00; p = 0.41). Considerable heterogeneity was observed among studies (I² = 87%), which may be attributed to variations in study design, population characteristics, and measurement instruments Conclusion/Lesson Learned : Although several individual studies suggest that poor maternal mental health may adversely affect breastfeeding and other infant feeding practices, the pooled results did not reveal a significant association. The high heterogeneity highlights the need for future longitudinal studies with standardized assessments of maternal mental well-being and infant feeding behaviors.
The Effect of Pharmacist Counseling on Knowledge of Hypertension Treatment: A Narrative Review Baruni, Amandha; Ardiansyah, Andika Nicholas Iqbal; Rahayu, Anisa; Nuning, Nuning; Ningrum, Vallina Laurensia Indika; Azmiardi, Akhmad
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Hypertension is a chronic condition that requires long-term medication adherence to prevent serious cardiovascular complications. Adequate knowledge about treatment is an important prerequisite for patients to achieve optimal adherence. Pharmacists play a crucial role in providing education and advice through medication counseling. Objective : This review aims to synthesize evidence narratively regarding the effect of counseling interventions conducted by pharmacists on improving patients' knowledge about hypertension treatment Research Methods/ Implementation Methods : This narrative review was conducted by tracing various relevant research articles. Article searches were carried out on the PubMed, Google Scholar, and ResearchGate databases, with publications from 2011 to 2022. The main keywords used included "pharmacist counseling," "medication knowledge," and "hypertension." Article criteria included medication counseling provided by pharmacists to patients. Inclusion criteria for articles were knowledge level as an outcome, articles written in Indonesian or English, and being full-text articles. After screening based on the criteria, 15 research articles were selected for narrative analysis. Results : The results of the literature review from 15 analyzed articles consistently show that counseling provided by pharmacists has a positive and significant impact on improving patients' knowledge about hypertension treatment. The majority of studies reported measurable increases in patients' understanding of dosage regimens, drug-food interactions, side effect management, and the importance of blood pressure monitoring. Effective counseling helps address knowledge gaps that often act as barriers to good medication adherence. This increase in knowledge is often an important initial step before achieving improved adherence and better blood pressure control Conclusion/Lesson Learned : Pharmacist counseling is an effective intervention in enhancing the knowledge of hypertensive patients about their medications. These findings recommend that the healthcare system optimize the role of pharmacists in patient education to achieve better treatment outcomes.
Enhancing Noise-Induced Hearing Loss Detection through Air-BoneGap Assessment in Oil and Gas Workers Rina, Dewi Nata; Nasri, Sjahrul Meizar; Bashiruddin, Jenny
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Noise-Induced Hearing Loss (NIHL) remains a major occupational health problem in the oil and gas industry. Conventional surveillance methods, such as air conduction (AC) thresholds or Standard Threshold Shift, are limited in distinguishing NIHL from other types of hearing loss, leading to potential underestimation of prevalence. The Air-Bone Gap (ABG) parameter compares air and bone conduction thresholds, enabling the detection of sensorineural hearing loss that reflects inner ear damage specifically attributable to noise exposure. This makes ABG a more effective tool for early detection of NIHL and for supporting targeted hearing conservation programs Objective : This study evaluated the role of ABG in improving NIHL identification accuracy. Research Methods/ Implementation Methods : A cross-sectional design was applied using secondary data from audiometric examinations of 495 oil and gas workers purposively selected from Similar Exposure Groups (SEG) routinely exposed to occupational noise. NIHL was defined based on audiometric screening criteria, with AC thresholds classified as normal or impaired, and ABG categorized into conductive, sensorineural, and mixed. Chi-square tests assessed associations at p < 0.05. Results : Results showed 14 cases (2.8%) of NIHL, all among workers with impaired AC thresholds, indicating a significant association between AC impairment and NIHL (p < 0.05). Moreover, all NIHL cases clustered exclusively in the sensorineural group of ABG classification, confirming a strong association between ABG and NIHL (< 0.05). Conclusion/Lesson Learned : These findings highlight that ABG provides greater specificity in distinguishing NIHL from other disorders. Incorporating ABG into routine audiometric surveillance may enhance
Behind the Makeup: An Exploration of Sleep Quality and Adaptive Strategies Among Freelance Make-Up Artists (MUAs) in West Java Facing Irregular Work Rhythms Santanu, Ayu Mutiara; Fitrianingsih, Asti Dewi Rahayu; Abidin, Habibah
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Freelance Make Up Artists (MUAs) in West Java work irregular hours, often starting before dawn or finishing late at night, disrupting circadian rhythms and leading to sleep problems. Working in the informal creative sector also means they lack occupational health protection. Early symptoms of shift-work sleep disorder, physical fatigue, and psychological stress are common, yet limited research explores sleep quality within this profession. Understanding their sleep problems and coping patterns is essential to support MUAs’ well-being and the sustainability of the creative industry. Objective : To explore MUAs’ sleep duration, frequency of sleep disturbances, fatigue-related impacts on performance, and adaptive strategies used to cope with occupational stress. Research Methods / Implementation Methods : This qualitative phenomenological study involved eight freelance MUAs selected purposively, all with at least two years of experience and irregular work schedules. Research was conducted in several West Java regions (Bandung, Tasikmalaya, Subang, Garut) from May–July 2025. Data were collected through in-depth interviews, non-participant observation, and documentation. All interviews were recorded with consent and analyzed thematically using NVivo 12 Pro. Results : MUAs experienced markedly irregular sleep patterns driven by client demands, especially during early-morning traditional wedding bookings. Most reported fragmented sleep, short sleep duration, transient insomnia, and chronic fatigue. Physical complaints included headaches, muscle pain, and menstrual disturbances. Psychologically, MUAs described irritability, emotional instability, and reduced concentration. Emotional strain was aggravated by the dual burden of professional work and home responsibilities. Coping strategies such as napping, caffeine intake, and selectively declining clients were common but only offered short-term relief. Long-term health concerns were frequently expressed, along with a desire for time-management guidance, occupational health education, and community support. The absence of formal protections for informal creative workers worsens their vulnerability despite the sector’s economic growth. Conclusion / Lesson Learned : Freelance MUAs in West Java face significant sleep disruptions and related health impacts due to irregular work hours and lack of occupational safeguards. Their coping strategies are temporary and do not address structural challenges. Cross-sector collaboration involving government, community groups,
Analysis of Factors Related to Employee Satisfaction at Rural HealthCenters in Samarinda Astuti, Ashri Budi; Adrianto, Ratno; pakki, Irfansyah Baharuddin
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Job satisfaction is an important goal in Human Resources management because it directly and indirectly impacts work productivity. Employee job satisfaction directly impacts organizational commitment, where employees who are satisfied with their work, colleagues, pay, and superiors are more likely to be highly dedicated to the organization Objective : The purpose of this study was to analyze factors related to employee job satisfaction at Rural Community Health Centers in Samarinda. The research method used was quantitative with a cross-sectional approach. The study population consisted of 179 employees, and the sample size was determined by purposive sampling, with 138 employees. Data were collected using a questionnaire with a Likert scale Results : The results of the bivariate analysis showed a relationship between income and job satisfaction among Rural Community Health Center employees in Samarinda, with a p-value of 0.00. In addition, the work policy variable also shows a relationship with job satisfaction with a p value of 0.00. Conclusion/Lesson Learned : There is a relationship between income and work policies with employee job satisfaction in rural community health center employees in Samarinda.
Maternal Mortality Analysis Through AMP-SR Review in East  Kalimantan Province, Indonesia, 2023–2024 Utari, Ari; Adrianto, Ratno; Gunawan, Ike Anggraeni
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Maternal mortality remains a major public health challenge in East Kalimantan Province, despite a decline in reported cases from 83 deaths in 2023 to 74 deaths in 2024. Objective : This study aimed to describe the pattern of maternal deaths based on maternal characteristics, timing and place of death, and to analyze preventable factors through the Audit Maternal Perinatal Surveillance and Response (AMP-SR) approach. Research Methods/ Implementation Methods : A descriptive-analytic case series design was applied using secondary data from the East Kalimantan Maternal Perinatal Death Notification (MPDN) database for 2023–2024. Results : The results revealed that more than 51% of deaths occurred during the postpartum period and 77% took place in hospitals, indicating the predominance of Delay 3 (delays in receiving adequate care). Analysis of modifiable factors showed that most deaths were preventable through improvements in the quality of obstetric services, increased antenatal care (ANC) compliance, and strengthened referral and postnatal follow-up systems. The major risk factors included delays in family decision-making, weak interfacility referral coordination, and inadequate case management at referral hospitals. Conclusion/Lesson Learned : These findings highlight that reducing the Maternal Mortality Ratio in East Kalimantan requires the completion of 100% AMP-SR case reviews, the strengthening of Postnatal Care (PNC) implementation, and the enhancement of Emergency Obstetric and Neonatal Care (EmONC) capacity across all levels of healthcare facilities.
Personal and Environmental Influences on Smoke-Free AreaCompliance : a Literature review Rachmawati, Eka; Nurrachmawati, Annisa; Rohmah, Nur
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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The government has established smoke-free policies, but despite the issuance of various regulations, the implementation of smoke-free areas in the field still faces serious challenges, one of which is low public compliance. Factors that influence compliance include personal factors and environmental factors. Objective : The purpose of this study is to conduct a literature review of studies that investigate the influence of personal factors and environmental factors on compliance with no-smoking areas in public facilities. Research Methods/ Implementation Methods : The research method used in this study is a Systematic Literature Review (SLR) using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Search from Google Scholar, PubMed, and Research Gate, using the keywords "kepatuhan" (compliance), "smoke free area", and "kawasan tanpa rokok" (smoke-free zone) Results : Articles published from 2017 to 2025. From the 225 articles identified, 10 articles were selected for use after applying inclusion and exclusion criteria. Conclusion/Lesson Learned : personal factors (knowledge, attitude, self-efficacy, perception) and environmental factors (quality of smoking facilities, no smoking signs) influence compliance with the implementation of smoke-free areas in public facilities. These two factors are integrated and interact reciprocally (reciprocal determinism).
Iron Intake and Supplement Adherence as Determinants of Anemia in Pregnancy: A Literature Review Manik, Frisca Anggraeni; Pakki, Irfansyah Baharuddin
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : : Anemia in pregnancy remains a critical global health problem, especially in low- and middle-income countries where nutritional deficiencies and limited access to health services persist. Iron deficiency is the leading cause, mainly due to inadequate dietary intake and poor adherence to iron supplementation. Objective : This review aimed to analyze the relationship between dietary iron intake, supplement adherence, and anemia prevalence among pregnant women. Research Methods/ Implementation Methods : A narrative literature review was conducted using databases including PubMed, ScienceDirect, Scopus, Google Scholar, and DOAJ. Articles published from 2020 to 2025 were identified using keywords such as “anemia in pregnancy”, “iron deficiency”, “iron supplementation”, and “adherence”. Inclusion criteria comprised peer-reviewed studies involving pregnant women and examining dietary iron intake or supplement adherence in relation to anemia. Results : Findings indicate that low consumption of iron-rich foods and poor adherence to supplementation are major determinants of anemia. Barriers include gastrointestinal side effects, cultural food taboos, limited awareness, and lack of counseling. Education, family support, and healthcare engagement significantly enhance adherence and hemoglobin outcomes. Conclusion/Lesson Learned : Combining nutrition education with consistent supplementation effectively reduces anemia prevalence. Integrated, community-based strategies are essential to improving maternal iron status and pregnancy outcomes.

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