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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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Midwives' Knowledge, Attitudes, and Skills in Screening Maternal Health Postpartum Pujianti Harahap, Ana; Sakundarno Adi, Mateus; Sriatmi, Ayun; Tri Purnami, Cahya
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Perinatal Mental Health (PMH) is a mental health issue that occurs in pregnant women and postpartum. The care of mental health is greatly influenced by the knowledge, attitudes, and skills of midwives in conducting mental health screenings Objective : Therefore, this study aims to analyze the knowledge, attitudes, and skills of midwives in implementing mental health screenings for postpartum mothers. Research Methods/ Implementation Methods : This research utilized a cross-sectional design that surveyed 102 (one hundred and two) midwives working in postpartum care rooms at healthcare centers in Indonesia. The sampling was conducted using Consecutive Sampling in December 2023, with the criteria of midwives who are actively working and willing to be respondents. Research data were collected electronically using a questionnaire through Google Forms, distributed via WhatsApp using Snowball sampling technique to evaluate the demographic characteristics, knowledge, attitudes, and skills of midwives in conducting postpartum maternal health screenings. Data were analyzed using SPSS version 27 and tested using the Chi-square test with significant at p < 0.05. Results : Among midwives, 51.9% are knowledgeable about PMH screening. Of the 53 midwives surveyed, 80% demonstrated a high level of knowledge, while 98.1% have a positive attitude toward PMH screening. However, only 47.1% presented proficient skills in this area. Statistical analysis reveals a significant correlation between midwives’ knowledge and attitudes regarding PMH screening, with a p-value of 0.001, which is below the threshold of 0.05. Conclusion/Lesson Learned : It is essential to provide training for midwives in the implementation of PMH screening for postpartum mothers to ensure optimal care outcomes.
The Correlation Between Educational Attainment and Duration of Breast-feeding of Women Fertil in Rural Banggai Regency S Otoluwa, Anang; Monoarfa, Yustiyanty; Kurniasari, Dian; Forsberg, Neil
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The Government of Indonesia has recently initiated a national effort to reduce incidence of child stunting. One of the important effort to reduce stunting is breastfeeding practice. Objective : To evaluate the correlation between the level of education and duration of breast feeding on women fertile in Banggai Regency. Research Methods/ Implementation Methods : A sample of 454 women in children bearing from twenty villages contained with Banggai Regency were selected to participate in this study. Variables included duration of breastfeeding, mothers education level, mothers ages. Data was analysed using binary logistic regression. Results : The data indicate that large proportions (near 45%) of women completed only elementary school. Approximately 30% of the women had completed high school. Most women breast-fed for over six months. Less than 15% of the women in all villages breast-fed for less than 6 months. There was a significant positive correlation between educational attainment and duration of breast-feeding (P<.0455). Conclusion/Lesson Learned : Educational attainment has positive correlation to the duration of breastfeeding.
THE EFFECT OF HEALTH CADRE MOTIVATION ON PERFORMANCE IN EFFORTS TO IMPROVE TODDLER GROWTH: METAANALYSIS Rahmawati A, Anita; Akhyar, Muhammad; Setyowati B, Retno; Mulyani B, Sri
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Health cadres are the spearhead in implementing health programs at the village level. In the context of toddler growth, cadre duties include monitoring child growth and development and early detection of toddler health problems. Cadre motivation is seen as a factor that influences how much involvement and dedication cadres have in carrying out their duties well. Objective : This article aims to analyze the influence of health cadre motivation on performance in efforts to improve toddler growth. Research Methods/ Implementation Methods : This study is a meta-analysis using the PRISMA flowchart and PICO model. Population: toddler health cadres. Intervention: have good motivation. Comparison: poor motivation, Outcome: Cadre performance. The process of searching for articles by searching through databases in Google scholar, Scopus, ProQuest, PubMed, Elsevier, and Science direct. The keywords used are "health cadre motivation" OR "health cadre performance" OR "toddler growth" OR "toddler growth efforts" AND "health cadre efforts" AND "Cross sectional" AND "aOR". Articles were selected based on inclusion criteria, namely articles with a cross-sectional design published in 2015-2024 analyzed using logistic regression. Data were analyzed using Review Manager 5.3. Results : Meta-analysis was conducted on 7 primary studies from countries Ethiopia, Nigeria, and Indonesia. The results showed that health cadre motivation improved cadre performance in toddler growth (aOR= 1.84; 95% CI= 1.45 to 2.33; p=0.02). Conclusion/Lesson Learned : Good motivation of health cadres improves the performance of cadres in efforts to grow toddlers.
Health Literacy and Social Determinants of Health Among Residents of Coal Mining Surrounding in East Kalimantan Nurrachmawati, Annisa; Anggraeni, Ike; Permana, Lies
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Health literacy is a critical aspect of community well-being, particularly in regions affected by coal mining. The communities surrounding coal mining operations often face unique health challenges due to environmental exposures and socioeconomic factors. This emphasizes its importance of enhancing health literacy to mitigate these effects. The problem is low Health Literacy is common in developing countries. Therefore increasing health literacy is needed to support the achievement of targets related to SDGs regarding health, and other SDGs targets. Objective : This study explores the economic conditions, social determinants and health literacy Research Methods/ Implementation Methods : It was a cross-sectional study. Located in 10 villages distributed in Kutai Kertanegara district and Samarinda city. The sample was 450 people. The data collection used the HLSSF-12 questionnaire. Data analysis using Mann Whitney test Results : The results showed there was a difference in the mean Literacy score between men and women (Asymp. Sig = 0.00). There was a significant difference of mean literacy scores between middle, high and low education levels ( Asymp. Sig = 0.00) There was a significant difference of literacy scores among low and moderate family income. It was concluded that for different social determinants groups there are differences in health literacy. Conclusion/Lesson Learned : There is still a gap in health literacy, It is recommended that health literacy education begin at the family level, especially in families with low levels of education and income.
Relationship between Household Members with WTP for JKN in Balikpapan Ardhiputri, Titania; Anggraeni, Ike; W Wisnuwardani, Ratih
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Universal Health Coverage (UHC) in Indonesia. In 2022, East Kalimantan was designated as the new capital, Nusantara, under Law No.3. Various regions in East Kalimantan show diverse participation rates in the PBPU (Non-Wage Recipient Benefit) program: Jakarta (18.5%), East Kalimantan (28.2%), PPU (14.2%), Paser (19.6%), and Kutai Kartanegara (39.9%), with Balikpapan—known as the gateway to the future capital—at 24.6%. Objective : to examine the relationship between household size and willingness to pay (WTP) for BPJS Kesehatan in Balikpapan. Research Methods/ Implementation Methods : Cross-Sectional study Results : A significant association was found between household size and willingness to pay for BPJS Kesehatan, with a p-value=0.0001. Conclusion/Lesson Learned : A negative association was found between the number of household members and willingness to pay for BPJS Kesehatan among participants in Balikpapan, highlighting potential barriers to health coverage in larger households.
The Relationship between Dietary Compliance, Physical Activity, and Nutritional Status with the Incidence of Type 2 Diabetes Mellitus in Adults in the Barong Tongkok Health Center Work Area Jessica Hanason, Arielle; K, Iriyani; Larene Safika, Erri
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Diabetes Mellitus is a metabolic syndrome disease that causes high mortality rates both nationally and internationally. The prevalence of diabetes mellitus in adults aged 15 years and over in West Kutai Regency in 2018 showed a figure of 1.86% for diabetes mellitus sufferers. Objective : This study aims to determine the relationship between dietary compliance, physical activity, and nutritional status with the incidence of type 2 diabetes mellitus in adults in the Barong Tongkok Health Center work area. Research Methods/ Implementation Methods : The type of research used is cross-sectional with a total of 77 respondents. Data collection using a questionnaire. Data were analyzed using the Fisher Exact test. Results : The results showed that there was a significant relationship between dietary compliance (p <0.001), physical activity (p <0.045), and nutritional status (p <0.001) with the incidence of type 2 diabetes mellitus in adults in the Barong Tongkok Health Center work area with a p-value <0.005. Conclusion/Lesson Learned : This study concludes a relationship between dietary compliance, physical activity, and nutritional status with the incidence of type 2 diabetes mellitus in adults. It is recommended that there is a need for dietary regulation, regular exercise, weight monitoring, and blood sugar monitoring to live a healthy life.
MUMPS OUTBREAK RESPONSE IN A PRIMARY SCHOOL IN CONDONGCATUR SLEMAN Alfi Maziyya, Arifah; Ratu Boelqiah Assaad, Andi; Dharmawidjaja, Isa; Oktaria, Vicka
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background: On September 10, 2024, seven primary school students with neck swelling were reported to the Sleman District Health Office (DHO) by Depok II Primary Health Care (PHC). Purpose: This study aimed to confirm and characterize the outbreak and recommend control measures. Methods: A descriptive study was conducted based on person, place, and time. A case was defined as someone who experienced swelling in the cheek or neck area with or without symptoms of fever, sore throat, headache, and no appetite at SDN X from August to September 2024. The population-at- risk (PAR) was defined as people at SDN X in August to September 2024. Data was collected via Google Form and analyzed with graphs and tables. Results: Among 244 PAR, 17 cases were identified (attack rate = 6.96%). The highest attack rate was in class 1A (38.5%, 10/26). Predominant symptoms included swollen cheeks or neck (100%) and fever (88%). The index case was a 7-year-old girl in class 1A, symptomatic from August 28. Cases peaked from September 8-14 (n=7). Case management was carried out by having symptomatic students rest at home until recovery to prevent further transmission. Awareness education on mumps, handwashing, mask use, distancing, and dissemination of guidelines on mumps vigilance were implemented following outbreak confirmation. Conclusions: A mumps outbreak was confirmed at a primary school in Condongcatur, Sleman. The recommendation, schools should monitor for mumps symptoms and report cases to PHC promptly and immediately take actions according to their policies.
Correlation of Patient Visits to Dental Treatment Procedures: Case Study of Hospital X in Bontang Suhargiati, Atik
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Hospitals play a vital role in healthcare delivery, with medical records essential for informed decision-making. Increased public health awareness has resulted in a rise in patient visits, particularly in dental departments. Objective : This research examines the relationship factors between patient visits and dental treatments at Hospital X in Bontang from July to September 2023, focusing on the influences of age and gender. Research Methods/ Implementation Methods : A quantitative observational study included all 375 dental patients during the specified period. Data on demographics and dental treatment procedures were collected and analyzed using Pearson correlation and T-tests. Results : : A significant correlation (r = 0.7317) was found between patient visits and treatment complexity. Male patients showed a correlation of 0.398, while female patients had 0.280. T-test results confirmed statistical significance Conclusion/Lesson Learned : Demographic factors significantly impact dental care complexity, highlighting the need for targeted resource allocation to enhance patient outcomes.
The Complementary Feeding in Baru Tengah Balikpapan Contribute A Positif Correlation With Stunting Somba, Harpina; W. Wisnuwardani, Ratih
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Stunting is the impaired growth and development that children experinece from poor nutrition, repeated infection and in adequate phsycososial stimulation. Based on Riskesdas 2018, the pervalence rate of stunting in Indonesia was recorded at 30,8 % baby in under five years old experiencing stunting. The pervalence in east Kalimanatan in 2022 is 22,39 %. Objective : This is a cross sectional study to find corelation between complementary feeding and stunting. : This study used a cross-sectional design to investigate the association between complementary feeding, smoke exposure, and immunization with stunting among children at Baru Tengah Primary Health Care, Balikpapan. Data were collected through questionnaires completed by parents, covering feeding practices, exposure to cigarette smoke, and immunization history. Stunting was assessed by measuring children’s height and comparing it to the WHO Child Growth Standards. The Chi-Square test was applied to analyze correlations between stunting and each variable Results : Using Chi-Square analysis, a significant relationship was found between stunting and complementary feeding practices (p-value= 0,001), but no correlation was observed with smoke exposure or immunization status (p-value > 0,05) Conclusion/Lesson Learned : Complementary feeding practices are associated with stunting. Regular counseling on appropriate complementary feeding should be prioritized for parents, especially when children reach six months of age, to reduce stunting risk.
Serum Cholinesterase Levels And Their Correlation With Body Composition Measured By Bioelectrical Impedance Analysis (BIA) Nasrokhatun Diniah, Bibit; Sulistiyani, Sulistiyani; Joko, Tri; Budiyono, Budiyono
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Pesticide exposure has harmful effects on farmers, especially spraying farmers. All of pesticide classes such as organophosphates, carbamates, pyrethroids and organochlorines can have a disruptive effect on metabolism and energy storage. One of the bioindicators that can be used to identify farmers exposed to pesticides is AChE. Abnormal AChE levels stimulate nicotinic and muscarinic receptors in various organs, causing a wide range of metabolic disorders including adipose tissue dysfunction, inflammation and changes in body composition. Objective : The aim of this study was to examine the correlation between long-term pesticide exposure and potential body composition alteration in vegetable farmers. Research Methods/ Implementation Methods : This was a cross-sectional study with 46 farmers who spraying pesticide in vegetables area. Subjects were determined by purposive sampling and must fulfil the inclusion and exclusion criteria. Indicator of pesticide exposure measured by cholinesterase serum and history of exposure, while parameters of body composition by bioelectrical impedance analysis (BIA) using body fat monitor. There were body weight, body mass index, resting metabolism rate, total, visceral and subcutaneous fat, skeletal muscle also body age. Results : Subjects with abnormal AChE were only 8.9%. AChE level had no correlation with all components of the exposure history, but had a significant correlation with body composition parameters (p<0.05), that was body weight, BMI, percent fat, percent visceral fat, RMR with strength of correlation is weak (R 0.31-0.34). Conclusion/Lesson Learned : Based on this study AChE may represent a good indicator of metabolic alterations in body composition and may occur due to lipid metabolism disruption.

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