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MUHAMAD ZAKKI SAEFURROHIM
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saefurrohim@fkm.unmul.ac.id
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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 311 Documents
FACTORS AFFECTING MENTAL HEALTH IN PREGNANT AND BREASTFEEDING WOMEN Adisti, Lutfi; Wulandari, Aulia; Tunggal Mutika, Winnie
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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Abstract

Background : Mental health in pregnant and breastfeeding women causes anxiety, stress, insomnia, baby blues, and depression if not handled properly. Pregnant women who have mental disorders can increase the risk to the fetus in the form of poor fetal development, premature birth, and LBW. Objective : To identify risk factors that affect mental health in pregnant and breastfeeding women. Research Methods/ Implementation Methods : A literature review using four databases, namely Elsevier, Pubmed, Google Scholar, and Garuda using the keywords “mental health”, “depression”, “pregnant women”, “breastfeeding mothers”, and “related factors”. Results : Twenty journals have eleven significant journals with age, six significant journals with education, eight significant journals with social support, eight significant journals with parity, two significant journals with knowledge, six significant journals with exercise and physical activity, four significant journals with income, six significant journals with employment, four significant journals with anxiety, towards mental health in pregnant and breastfeeding mothers. Conclusion/Lesson Learned : Age, parity, education, knowledge, income, physical activity, type of labor, and social support are important in maintaining the mental health of pregnant and lactating women. Structured interventions that involve the family can be an effective preventive effort to reduce mental stress and improve maternal readiness for pregnancy and childbirth.
FTO rs9939609 Genotypes: Impact on Body Composition and Inflammatory Markers Related to Cardiovascular Risk Novitasari, Putri; Rimbawan, Rimbawan; Hardinsyah, Hardinsyah; Riyadi, Hadi
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 : Obesity is a significant global health issue, contributing to the prevalence of chronic diseases. Genetic factors such as the Fat-Mass Obesity-Associated (FTO) gene, particularly the rs9939609 variant, have been linked to increased susceptibility to obesity. Objective : This study examines the relationship between FTO rs9939609 genotypes (TT and AA/TA) and body composition, as well as markers of inflammation, in obese individuals. Research Methods/ Implementation Methods : Using a cross-sectional design, 38 obese young women aged 18-25 years from Bandung City were included. Anthropometric measurements were taken, and blood samples were analyzed for interleukin-6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), and adiponectin (ADP) levels. Results : The findings indicate that the AA/TA variant group showed lower mean values for weight, body mass index, waist and hip circumferences, visceral fat, fat percentage, resting metabolic rate, and subcutaneous fat than the TT group; however, these differences were not statistically significant. Additionally, the AA/TA group displayed slightly higher waist-to-hip ratios and skeletal muscle percentages, although these differences were also non-significant. These results contrast with previous studies, suggesting the influence of the FTO gene on obesity may vary based on population and other contributing factors. No significant differences in body composition or biochemical markers were observed between the FTO rs9939609 genotypes. Conclusion/Lesson Learned : The limited sample size and focus on a single demographic may have impacted the findings. Future research should involve a larger and more diverse sample, including individuals with various nutritional statuses, to enhance comparison and increase the reliability of the results.
Vulnerable Workers: Profile of Drug Abusers Lisa, Mona; Tunggal Mutika, Winnie; Rismiawati, Riris; Sulistyorini, Dwi
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 : Introduction The use of illicit drugs is a global epidemic, with prevalence varying depending on the type of drug and the location of use (Degenhardt and Wall, 2012). Social factors at the individual, family, and community levels are associated with the initiation and use of illicit drugs. The use of illicit drugs that is prevalent among young adult males with sufficient economic status can negatively impact the productivity of future generations (Blumstein, 1995). Objective : Objective The objective is to identify the characteristics of respondents who were illicit drug users in Indonesia in 2017. The characteristics examined include gender, education level, marital status, closeness to family, risk environment, access to drugs, and workplace location. Research Methods/ Implementation Methods : Method This research design uses a cross-sectional study. Data were obtained from a national survey conducted by the National Narcotics Board (BNN) and Center for Health Research, University of Indonesia, in 2017. This survey was conducted on groups of workers in various cities and districts throughout the provinces in Indonesia, with a sample size of 34,397 respondents. Data collection used a structured questionnaire filled out by the respondents themselves. The analysis used is a descriptive Results : Result The results of the study showed the characteristics of drugs. where men were 77.8%, medium education was 60.5%, married were 51.5%, closeness to family was 84.5%, non-risk environment was 64.6%, difficult access to drugs was 78.0%, and urban areas were 57.9%. Conclusion/Lesson Learned : The results of this study indicate that despite family support and limited access to drugs, drug abuse continues to occur, especially in certain population groups. These findings highlight the importance of a more holistic prevention approach, which takes into account social and environmental factors to reduce future drug abuse.
The Effect of Implementing EMR on User Acceptance EMR Based on UTAUT 2 theory In Hospital Bachtiar, Silvani; Baktiar, Rahmat; Sedionoto, Blego
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 Ministry of Health requires every health facility in Indonesia to maintain electronic medical records based on Minister of Health Regulation (Permenkes No.24/2022). However, the use of Electronic Medical Records (EMR) in Indonesia still finds many obstacles in user acceptance based on the Unified Theory of Acceptance and Use of Technology (UTAUT) 2 method Objective : This research aims to assess the implementation of EMR on user acceptance in hospitals. Research Methods/ Implementation Methods : This research uses a literature review method by reviewing 30 journal articles published between 2020 and 2024, which were retrieved via Google Scholar Results : The research results show that performance expectations, effort expectations, social influence, facilitating conditions, hedonic motivations, price values and habits influence the behavior intentions and Use Behavior of Electronic Medical Record users. In several studies, there are moderating variables such as age, gender and work experience that influence the relationship between constructs that build user intentions and behavior.
Multi-Program Strategy For Waste Managemen In Argo Mulyo Village: Socialization Of Waste Sorting, Waste Banks And Eco-Enzyme Production Elvira Anggraeni, Angelica
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 production of organic and inorganic waste is quite large every day, especially waste originating from household waste. Organic waste is a type of waste that comes from natural materials that can decompose naturally, for example food waste, fruit peels, vegetable waste, dry leaves and the like. Meanwhile, inorganic waste is waste that comes from non-natural materials or materials that do not easily decompose naturally, for example plastic, cans, paper and the like. Meanwhile, B3 waste has dangerous and toxic properties for humans and the environment, for example used batteries, lamps and chemical waste. Therefore, waste sorting is a crucial first step in efforts to reduce the negative impact of waste on the environment and public health. Proper waste sorting by knowing the types of waste in the household allows for more efficient waste handling and opens up opportunities for recycling and reuse. The problem of accumulation of household waste, especially organic waste in the domestic environment, is still a big problem, because the level of public awareness of the importance of good organic waste management is still relatively low. Objective : to increase residents' knowledge regarding sorting household waste and processing it into something useful Research Methods/ Implementation Methods : The method is carried out by introducing the community, recognizing the problem, solving the problem, implementing the program and evaluating at the final stage Results : From the procedure above, it was found that the problem in Argo Mulyo village was waste, which was then carried out by FGD with the factors causing the problems being related to the absence of TPS. so that from this problem, intervention programs were created in the form of "AYO SAMANGAT", "GARDA BERLIMPAH", and "SAMPAH BERDAYA" Conclusion/Lesson Learned : This community service program is to increase the community's knowledge and skills in overcoming the waste problem in Argo Mulyo Village, which is carried out through socialization about waste sorting to the community, increasing skills in managing organic waste into eco-enzymes, as well as planning the procurement of a waste bank. In its implementation, the people of Argo Mulyo Village have experienced an increase in knowledge regarding how to sort waste and the stages of making eco-enzymes, however the planning for the procurement of a waste bank has reached a draft for managing the waste bank, in this case the support of relevant village officials and awareness of the local community is needed to jointly make it happen. The waste bank in Argo Mulyo Village remembers that Argo Mulyo Village does not yet have a TPS or TPA so the majority of village people destroy their waste by burning it.
WHO SRQ-20 OUTCOMES IN MOTHERS OF CHILDREN 6-23 MONTHS BY FECAL DISPOSAL AND DRINKING WATER SOURCE FACTORS Muhamad Z. Saefurrohim; Intan Zainafree; Muhammad A. Fitrah; Dewi N.D. Utomo
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): [The 3th MICTOPH] Fullpaper
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Most studies tended to focus on the association of health conditions or tantrum behavior in toddlers with maternal mental health. There was limited in-depth research on the relationship between environmental quality, such as fecal disposal and drinking water sources, and maternal mental health. Objective : This study aimed to determine the differences in WHO SRQ-20 scores and the association of WHO SRQ-20 outcomes with fecal disposal factors and drinking water sources. Research Methods/ Implementation Methods : This study used secondary data from RISKESDAS 2018, involving 670 mothers with children aged 6-23 months. The WHO SRQ-20 questionnaire was used to measure general mental health disorders. Mann-Whitney analysis was conducted to determine the difference in scores, while Chi-Square was used to examine the association of WHO SRQ-20 outcomes with toddler feces disposal factors and drinking water sources. All analyses were performed using SPSS 22.0, with a significance value of <0.05. Results : The analysis showed that inappropriate fecal disposal and poor drinking water sources increased the total WHO SRQ-20 score (p=0.003, & p=0.041). Both factors were positively correlated with seven common mental health symptoms in mothers with children aged 6-23 months, including no appetite, difficulty thinking, difficulty making decisions, feelings of fear, trembling hands, and indigestion, with significant p-values (p<0.05) for each symptom. Conclusion/Lesson Learned : Environmental quality, especially inappropriate fecal disposal and poor drinking water sources, was significantly correlated with increased mental health symptoms among mothers with children aged 6-23 months.
REPRODUCTIVE HEALTH COUNSELING AND MATURING OF MARRIAGE AGE AS AN EFFORT TO INCREASE ADOLESCENTS' AWARENESS AND KNOWLEDGE ABOUT ADOLESCENT HEALTH Dia Gutami, Anggie; Anugrah Febrianti, Nanda; Angraini, Dista
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 main problem in adolescent reproductive health (ARH) in Indonesia is the lack of knowledge about reproductive health and low awareness of the importance of Marriage Age Maturation (MAM). This also happens in Tengin Baru Village, Sepaku District, where many teenagers do not understand the importance of maintaining reproductive health and the negative impacts of early marriage Objective : Therefore, the aim of this service is to increase teenagers' knowledge about reproductive health and PUP through outreach programs. Research Methods/ Implementation Methods : The method used in this service was counseling which involved 26 teenagers from Hamlet 1 of Tengin Baru Village as the main participants, with an additional 17 guests also attending. The activity begins with completing a pre-test to measure participants' initial knowledge, followed by providing material through presentations and interactive discussions. The program also includes educational video screenings to improve participants' understanding. Results : Evaluation is carried out by completing a post-test to see the increase in participant knowledge. The results show an increase in knowledge of 13.6% after counseling, which can be seen from the results of the post-test compared to the pre-test. This shows that the outreach program has succeeded in increasing teenagers' understanding of reproductive health and MAM. Conclusion/Lesson Learned : . In conclusion, this counseling went well and succeeded in increasing teenagers' knowledge about reproductive health and PUP. It is recommended that future counseling methods be more attractive to maintain participant enthusiasm, as well as choosing a more appropriate implementation.
Self-Motivated Learning on Reproductive Health Education: Literature Review Ekawati, Rany; Fahmi Karami, Ahmad; Rini Suprobo, Nina; Putri Novembriani, Rizqie; Rahma Maulida, Adiska; Ikrimah, Ikrimah; Naya Apriliyani, Putri
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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Sexual health issues remain unresolved globally and nationally. In Indonesia, unwanted pregnancies among women aged 15-19 years are twice as high (16%) as those aged 20-24 years (8%), and 19% of young people aged 15-24 who have had sexual relations report unwanted pregnancies. Comprehensive Sexuality Education (CSE) is one of the media in addressing this issue, fostering self-motivated learning that empowers adolescents to prevent unintended pregnancies and manage their sexual health. This study aimed to identify media and tools that effectively enhance adolescents' motivation for independent learning about reproductive health. A literature review was conducted using the Publish or Perish database for articles from 2018 to 2023, with keywords such as "self-motivated learning," "reproductive health," and "adolescents." and using through the PRISMA method. Through the PRISMA method, we found 1,755 articles were screened, and four relevant studies were identified. The findings suggest that game-based learning platforms and M-Health websites offering direct counseling and practical reproductive health guidance are particularly effective in fostering self-motivated learning. In conclusion, both game-based learning and M-Health platforms are key tools in promoting autonomous learning among adolescents about reproductive health.
Factors Affecting Nurse Performance In Outpatient And Emergency Installations Of Inche Abdoel Moeis Hospital, Samarinda Kadang, Silvia; Ramdan, Iwan Muhammad; Sedionoto, Blego
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 : In providing good quality and service, it is influenced by the human resources that influence it. Performance is the result of good work in quality and quantity that has been achieved by an employee in carrying out his duties in accordance with the responsibilities given to him. Objective : The purpose of this study was to determine the factors that influence the performance of nurses in the outpatient and emergency installations of the Inche Abdoel Moeis Regional General Hospital, Samarinda City Research Methods/ Implementation Methods : The study design iscross-sectional with a population of nurses in the Outpatient Installation and the Emergency Room at the Inche Abdoel Moeis Hospital. The sample of this research is 57 nurses (total sampling). The instrument used in this research is a questionnaire. Statistical test using chi-square test. Results : The results of the bivariate analysis in this study showed that a relation between motivation and nurse performance (p = 0.043). The work facilities variable also found a relations with the nurse's performance (p = 0.020). The training variable also found a relations with the nurse's performance (p=0.045). The commitment variable also found a relations with the nurse's performance (p=0.001). Conclusion/Lesson Learned : The conclusion of this study is a relations between motivation, work facilities, training and commitment to the performance of nurses in the outpatient and emergency department of the Inche Abdoel Moeis Hospital, Samarinda. Suggestions for the Inche Abdoel Moeis Hospital is continue to improve employee performance, especially in the aspects of motivation, training, work facilities and continue to maintain the commitment of nurses to improve better performance, for further researchers it is possible to do further research with different variables or in different research locations.
DETERMINANTS OF STUNTING INCIDENCE IN SUKARAME SUB-DISTRICT, TASIKMALAYA DISTRICT, JAWABARAT PROVINCE, INDONESIA Purwanto, Anto; Nurjazuli, Nurjazuli; Setiani, Onny; Trijoko, Trijoko
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 a disorder of children's growth and development due to chronic malnutrition and recurrent infections, which is characterized by their length or height being below standard. The prevalence of stunting in Indonesia continues to decline from 2018-2022. The incidence of stunting in toddlers is related to various factors such as sanitation and ETC Objective : The research aims to determine the distribution of stunting in the Sukarame District, Tasikmalaya Regency, West Java Province in 2024 Research Methods/ Implementation Methods : This study is an analytical descriptive research. The subjects targeted in this study are mothers who have stunted toddlers in February 2024, the inclusion criteria in this study are respondents who are declared stunted and willing to be interviewed. There were 341 stunting incidents in Sukarame District Results : Based on the results of the study, there are several determinants of stunting in Sukarame District, namely access to healthy latrines has only reached (77.7%), there are still (12.6%) people who do not have access to proper drinking water, there are (7%) mothers of stunted toddlers who experience KEK during pregnancy and only (30%) families of children under five who have BPJS/JKN Conclusion/Lesson Learned : Based on research that has been conducted in Sukarame Subdistrict, Tasikmalaya Regency, there are four main factors that influence the incidence of stunting in children under five years old, namely: 1. Community access to healthy latrines 2. Community access to proper drinking water 3. Chronic Energy Deficiency (CHD) in pregnant women 4. BPJS National Health Insurance coverage.

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