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Contact Name
MUHAMAD ZAKKI SAEFURROHIM
Contact Email
saefurrohim@fkm.unmul.ac.id
Phone
+6287710112314
Journal Mail Official
saefurrohim@fkm.unmul.ac.id
Editorial Address
Gedung IsDB FKM Jl. Sambaliung, Gn. Kelua, Kec. Samarinda Utara, Kota Samarinda, Kalimantan Timur 75119
Location
Kota samarinda,
Kalimantan timur
INDONESIA
Proceeding Mulawarman International Conference on Tropical Public Health
Published by Universitas Mulawarman
ISSN : -     EISSN : 3090630X     DOI : -
Core Subject : 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.
Articles 327 Documents
EFFECT OF ARROWROOT cOOKIES WITH PORANG (Amorphophallus oncophyllus) GLUCOMANNAN ADDITION ON ATHEROGENIC INDEX OF PLASMA IN TYPE 2 DIABETes Erri Larene Safika; Vita Yanti Anggraeni; Eni Harmayani; Lily Arsanti Lestari; Leny Eka Tyas Wahyuni
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 and aims: Type 2 diabetes (T2D) patients are at risk of developing cardiovascular diseases (CVD). Arrowroot cookies with porang glucomannan which are rich in dietary fiber may be able to reduce CVD risk in T2D patients. This study aimed to evaluate the effect of cookies consumption for 8 weeks on the atherogenic index of plasma (AIP) of T2D patients. Material and method: As many as 24 T2D subjects were recruited from primary health centers in Yogyakarta. The control group (n=12) was given nutrition education, and the intervention group (n=12) was given nutrition education and 5 pieces of cookies (65 grams) as snacks for 8 weeks. AIP [log(TG/HDL-C)], anthropometry, and food intake were measured before (week 0) and after (weeks 8) the study. Results: There was a decrease in AIP in the intervention group from 0.189 to 0.164 (medium-risk of CVD), although it wasn’t significant (p>0.05). On the contrary, the AIP level in the control group increased from 0.075 (low-risk of CVD) to 0.111 (medium-risk of CVD). The AIP changes between groups were not significantly different (p>0.05). There were no changes in anthropometry measures in both groups after the study (p>0.05). We found an increase in dietary fiber intake in both groups (p<0.05), however, it was not significantly different between groups (p>0.05). Conclusions: Consumption of 65g arrowroot cookies with porang glucomannan addition for 8 weeks did not significantly affect the AIP in T2D patients. However, it could maintain the AIP level in the intervention group in the medium-risk category.
THE EFFECT OF CAMELLIA SINENSIS EXTRACT ON HORMONES AND BODY WEIGHT IN ANIMAL MODELS WITH POLYCYSTIC OVARY SYNDROME (PCOS): A SYSTEMATIC REVIEW AND META-ANALYSIS Safira Mauliyatul Chusna; Zelin Patarena Dawi Pramesti; Faris Regi Riswana; Eri Kurniasari; Noza Loviana
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: Polycystic Ovary Syndrome (PCOS) is the most common polygenic endocrine disorder in women of reproductive age. PCOS is characterized by symptoms of excess androgen hormones, ovulation disorders, and obesity. The polyphenol content in Camellia sinensis extract has been reported to be beneficial in lowering testosterone levels and stabilizing luteinizing hormone production, thereby improving the ovulation process in PCOS patients. Objective: Identify studies that use clinical trials and studies that evaluate Camellia sinensis extract in animal models of PCOS Method:  A comprehensive search was conducted on five databases, including SCOPUS, Science Direct, PubMed, ProQuest, and EBSCO met inclusion criteria. Risk of bias was assessed using SYRCLE’s. Data were analyzed using RevMan 5.4 software. Result: Three studies were included in the meta-analysis, which involved 74 female rats. Compared to the untreated PCOS rat group, managing of Camellia sinensis polyphenols to PCOS rats had a significant effect in reducing testosterone levels (MD = -7.17, 95% CI: -9.96 to -4.39, P < 0.00001, I² = 59%), luteinizing hormone (LH) levels (MD = -4.57, 95% CI: -4.67 to -4.46, P < 0.00001, I² = 15%), and body weight (MD = -40.31, 95% CI: -50.62 to -30.00, P < 0.00001, I² = 0%) indicating high consistency of treatment effects across all included studies. Conclusion: Camellia sinensis polyphenols significantly reduced testosterone, LH, and body weight levels in PCOS mouse models, demonstrating their potential as an effective alternative therapy for polycystic ovary syndrome management.
ANTIMICROBIAL RESISTANCE PATTERN OF CLINICAL BACTERIAL ISOLATES AT THE EAST KALIMANTAN PROVINCIAL HEALTH LABORATORY, 2024 Rahmadi; Riyan Ningsih; Blego Sedionoto
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 rising incidence of infections caused by antimicrobial-resistant bacteria has become a serious public health concern in Indonesia, yet data on resistance patterns in East Kalimantan, particularly in Samarinda, remain limited. This study aimed to describe antimicrobial resistance patterns among clinical bacterial isolates examined at the East Kalimantan Provincial Health Laboratory (UPTD Labkes) in 2024 through a descriptive observational design using secondary data from culture results and antibiotic susceptibility testing of 201 clinical isolates collected from January to December 2024. Data were analyzed descriptively using tabulation and percentage distribution. Of all positive isolates, 54.4% were Gram-negative bacteria and 45.6% were Gram-positive, with Escherichia coli being the most frequently identified species (24.4%), followed by Staphylococcus haemolyticus (7.0%) and Pseudomonas aeruginosa (7.0%). Susceptibility testing indicated that E. coli exhibited high sensitivity to meropenem (98%) and amikacin (100%), whereas Staphylococcus aureus demonstrated oxacillin resistance of 30.8%, suggesting the presence of MRSA. The predominant resistance mechanisms detected included β-lactamase production (21.7%), ESBL (40.6%), and MRSA (37.7%). These findings highlight substantial variability in bacterial susceptibility patterns in Samarinda and provide an essential baseline for strengthening continuous antimicrobial resistance surveillance efforts.
PYRETHROID RESISTANCE IN AEDES MOSQUITOES IN EAST KALIMANTAN, INDONESIA: SYSTEMATIC REVIEW 2005-2025 Fitria Anggraini; Mona Zubaidah; Khairunnida Rahma; Shalvira Purnama
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 : Synthetic pyrethroid insecticides remain the primary vector control strategy for Aedes sp. mosquitoes, the principal vectors of dengue, Zika, and chikungunya (1). Understanding regional resistance patterns is crucial for effective vector management programs in endemic areas.Objective : To systematically review and synthesize evidence on pyrethroid insecticide resistance status in Aedes sp. populations in East Kalimantan Province, Indonesia, from 2005 to 2025.Research Methods : A systematic literature review was conducted following PRISMA 2020  guidelines (13). Multiple databases including PubMed, Scopus, Web of Science, Google Scholar, and Indonesian Publication Index were searched from January 2005 to October 2025. Studies reporting pyrethroid resistance in Aedes sp. from East Kalimantan were included. Data extraction followed PICO framework with quality assessment using modified Newcastle-Ottawa Scale.Results : Eight studies met inclusion criteria, encompassing 1,880 mosquitoes from multiple districts. Confirmed pyrethroid resistance was documented in Ae. aegypti populations across the province. Permethrin resistance ratios ranged from 4.08× to 127×, while deltamethrin resistance ranged from 4.37× to 72.20×. Mortality rates were 32.5-78.3% for permethrin and 41.7-82.1% for deltamethrin. High frequencies of kdr mutations (F1534C: 74.6%; V1016G: 69.2%) were detected, with 61.9%showing double mutations. Synergist assays demonstrated significant involvement of cytochrome P450 monooxygenases and esterases in resistance mechanisms.Conclusion : High-level pyrethroid resistance is widespread in Aedes aegypti populations throughout East Kalimantan Province, with both target-site and metabolic resistance mechanisms contributing to the phenotype. Current pyrethroid-based vector control strategies are likely compromised, necessitating urgent implementation of insecticide resistance management programs.
AN OVERVIEW OF OUTPATIENT SERVICE QUALITY AT RSIA AISYIYAH SAMARINDA IN 2025 Mudassir Yunus; Nur Rohmah; Rahmat Bahtiar; Ratno Adrianto
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: Service quality is a crucial factor for patient satisfaction and loyalty in healthcarefacilities. The Government of Indonesia, through the Minister of Health Decree (Kemenkes) RI Number 129/Menkes/SK/II/2008, has set Minimum Service Standards (SPM) for outpatientsatisfaction at ≥90%. A study in 2024 showed a relationship between service quality and patientsatisfaction at RSIA Aisyiyah Samarinda, and an internal survey report for the January-June 2024 periodindicated that outpatient patient satisfaction was still below the 90% threshold. Objective: This study aims to provide an overview of outpatient service quality at RSIA AisyiyahSamarinda in 2025. Methods: This was a descriptive quantitative study usingaccidental sampling technique, with data collected from 110 respondents (n=110). The service qualityvariable was measured using five dimensions (Tangibles, Reliability, Responsiveness, Assurance,Empathy). Results: The results showed that the overall average service quality at RSIA Aisyiyah Samarindareached 90.6%, which falls into the “Very Good” category and meets the minimum standards set bythe Ministry of Health (Kemenkes). The dimensions that exceeded the standard were Assurance (92.5%), Empathy (92.1%), and Reliability (91.0%). However, two dimensions remained below the90% threshold, namely Responsiveness (89.3%) and Tangibles (88.0%). Conclusion: The overview of outpatient service quality at RSIA Aisyiyah Samarindain 2025 was categorized as very good
ACCURACY OF VISUAL INSPECTION WITH ACETIC ACID FOR CERVICAL LESIONS: A SYSTEMATIC REVIEW AND METAANALYSIS  Faris Regi Riswana; Faris Rega Riswana; Krisjentha Iffah Agustasari; Nabila Khairunisa Azzahra; Amanda Fransisca Rhevytasari
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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Visual inspection with acetic acid (VIA) remains widely used for cervical cancer screening in low- and middle-income countries, despite ongoing concerns regarding its diagnostic accuracy. This study aimed to evaluate the diagnostic performance of VIA for detecting high-grade cervical lesions (CIN2+) compared with histopathology. A systematic search was conducted in PubMed, Scopus, and ScienceDirect (2015–October 2025). Eligible studies provided sufficient data to construct 2×2 tables and were assessed using QUADAS-2. A bivariate random-effects model and HSROC analysis were applied. Thirteen studies were included, with five eligible for quantitative synthesis. Sensitivity ranged from 0.25 to 0.92 and specificity from 0.49 to 0.97, indicating substantial heterogeneity. Risk of bias was generally low to moderate, mainly in patient selection and flow and timing domains. VIA demonstrates moderate accuracy with variability across populations. Although less sensitive than HPV-based screening, VIA remains a pragmatic option in resource-limited settings, particularly within screen-and-treat strategies, with strengthened training and quality assurance required
THE IMPACT OF PICTORIAL HEALTH WARNINGS ON SMOKING CESSATION INTENTION: A NARRATIVE REVIEW BASED ON THE THEORY OF PLANNED BEHAVIOR Sandra Reinny Parengkuan; Nur Rohmah; Annisa Nurrachmawati
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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Cigarette consumption in Indonesia remains high, underscoring the need for effective tobacco control strategies such as Pictorial Health Warnings (PHWs). This study aims to analyze the influence of PHWs on the components of the Theory of Planned Behavior (TPB)—attitude, subjective norm, and perceived behavioral control—and their subsequent effect on the intention to quit smoking. A systematic Narrative review was conducted using indexed scientific databases, including Scopus, DOAJ, and PubMed, for the period of 2020–2024. The review included three primary studies that met the inclusion criteria and focused on smoking cessation behavior, the TPB framework, and pictorial media as an intervention. The findings consistently demonstrate that graphic visualizations of smoking-related hazards positively influence smokers' attitudes, enhance social awareness (subjective norm), and strengthen perceived behavioral control over quitting. The combination of emotionally compelling imagery and cognitive messaging proved effective in reinforcing quit intentions within the TPB framework. In conclusion, PHWs effectively target the key determinants of behavioral intention outlined in the TPB. An emotionally powerful visual approach significantly boosts smokers' awareness and motivation to quit, affirming the utility of PHWs as a critical public health intervention.