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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 11 Documents
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Search results for , issue "Vol. 17, No. 2" : 11 Documents clear
Interprofessional Collaborative Practice and Health Workers Retention at Remote Primary Health Care: Case Study from Nusantara Sehat Team-based Program Soewondo, Prastuti; Pujisubekti, Retno; Prastyani, Ade Widyati; Rahmayanti, Nurul Maretia
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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Abstract

The Nusantara Sehat Team (NST), established in 2015 and consist of multi-professional health workers, implemented to provide comprehensive services at remote primary health cares (PHCs) for two years. This study aimed to explore how the NST leverages the Interprofessional Collaboration (IPC) and its impact on the future career prospects of health workers. Using a qualitative approach, the information was gathered from 48 informants drawn from the current 30 NST recruits and 18 alumni through semi-structured interviews. Of these 48, 20 were clinical practitioners, while the rest were non-clinical health workers. The findings revealed several challenges in promoting collaborative practice, including the community's high demand for curative services, the unclear division of tasks among the NST and local PHC staff, and inadequate health facility support. The curriculum of IPC was yet to be included in the pre-service education and in-service training before NST, allowing the staff to enter the workplace and collaborate, especially in the backward areas. The institutional support through macro and meso policies has yet to enable collaborative-practice ready workers adequately. Other factors such as personal values, family expectations, gender roles, and career sustainability also affected the retention of personnel in the NST.
Benign Prostatic Hyperplasia (BPH): A Comprehensive Analysis of the Malaise and Summarizing Possible Management Options through Phytotherapeutic Agents Sasidharan, Shan; Srinivasakumar, Kumarapillai Parameswaran; Poddar, Sandeep; Bhaumik, Amiya; Das, Sreemoy Kanti; J, Hareendran Nair
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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Abstract

Benign prostatic hyperplasia (BPH) is a severe illness affecting middle-aged and geriatric male patients. This disease normally occurs at the age of 40 or above and is also associated with sexual dysfunction. Alpha-blockers and 5α-reductase inhibitors are the preferred drugs practiced to treat BPH. However, invasive surgical therapy remains the gold standard for managing the condition in the case of refractory and intricate BPH conditions. Due to the fear of sexual dysfunction and the detrimental influence on their quality of life, most patients seek to avoid synthetic drugs and surgery. For this reason, several patients turn to phytotherapy and other alternative therapies. The authors looked at the existing perceptions of epidemiology, etiology, and pathophysiology associated with BPH in this review article. In addition, this article contained basic information on the pathological roles of inflammation in BPH and various diagnoses and treatment options. It was well reported that the administration of medicinal herbs played a vital role in managing BPH. In recent years, many researchers worldwide have reported the efficiency and safety of phytochemicals in managing numerous pathological disorders in-vivo and in-vitro conditions and the prevention of illness.
Knowledge, Attitudes, and COVID-19 Prevention Practices of Healthcare Workers in Indonesia: A Mobile-based Cross-sectional Survey Besral, Besral; Wiyanti, Zulvi; Nurizin, Dion Zein; Herdayati, Milla; Sutiawan, R; Rahmaniati, Martya; Yuniar, Popy
Kesmas Vol. 17, No. 2
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Knowledge of disease can affect attitudes and prevention practices, and wrong attitudes and practices can directly increase the risk of disease infection. This study aimed to describe the knowledge, attitudes, and COVID-19 prevention practice of healthcare workers in Indonesia and factors associated with prevention practices. A mobile-based cross-sectional survey was conducted in August 2020 with 254 healthcare workers in Indonesia. The self-administered questionnaire consisted of four parts: 1) sociodemographic information, 2) knowledge of COVID-19, 3) attitudes and anxiety toward COVID-19, and 4) COVID-19 prevention practices. The results indicated that healthcare workers in Indonesia had excellent knowledge and positive attitudes about COVID-19, but their preventionpractices were lacking. The multiple logistic regression analysis results revealed that the factors associated with the COVID-19 prevention practices of healthcare workers in Indonesia were knowledge, attitudes, anxiety, domicile island, age, income, and education. Healthcare workers who had excellent knowledge, positive attitudes, and high anxiety exhibited better COVID-19 prevention practices than others. Healthcare workers in Sumatra Island, aged 41–50 years, and an undergraduate education showed better COVID-19 prevention practices than others.
Treatment Adherence and Incidence of Coronary Heart Disease in Type 2 Diabetes Mellitus Patients Baniu, Ahmad Sahlan; Sauriasari, Rani; Riyadina, Woro; Soewondo, Pradana
Kesmas Vol. 17, No. 2
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Abstract

Previous studies showed that uncontrolled blood sugar and long-term use of several types of antidiabetic could increase the risk of coronary heart disease (CHD). This study aimed to compare the incidence of CHD in type 2 diabetes mellitus (T2DM) patients showing treatment adherence and non-adherence behavior over four years. This was a retrospective cohort study with data sets obtained from the Bogor Cohort Study of Non-Communicable Disease Risk Factors. All study subjects were not diagnosed with CHD at the beginning of the study. The sample was divided into two groups; one had adhered to treatment from health centers and followed the treatment instructions (adherent group), while the other had not followed the treatment instructions (non-adherent group). Of 5,690 subjects, 276 were eligible for this study (84 in the adherent and 192 in the non-adherent group). The incidence of CHD in the non-adherent group was 2.3% higher than in the adherent group (p-value = 0.564) and had a 1.7 times greater risk of developing CHD, but not statistically significant (adjusted HR = 1.739; 95% CI = 0.673-4.490). The non-adherent T2DM patients had a greater risk of developing CHD than adherent T2DM patients.
Local Wisdom Enriching Complementary Feeding Practices during Disaster Situations in Indonesia Astuti, Astuti; Hayati, Happy; Waluyanti, Fajar Tri; Wanda, Dessie
Kesmas Vol. 17, No. 2
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This study aimed to analyze complementary food fulfillment during disaster situations in Indonesia since it frequently experiences natural disasters and young children face unique challenges related to their feeding needs in disaster situations. This qualitative case study based on the Mount Merapi eruption and Sumedang landslide in 2021 collected data using observations, forum group discussions, and in-depth interviews; then, a thematic analysis was conducted. This study involved 17 participants, including Non-governmental Organizations (NGO) activists, health workers, residents involved in making complementary foods, and primary caregivers of children aged 6–24 months. This study found that there were five themes generated from the data analysis; 1) the donation of home-based complementary foods based on local wisdom, 2) inadequate complementary feeding, 3) limited resources to manage the complementary feeding, 4) clean versus dirty conditions, and 5) mothers’ endeavour in complementary feeding practices. This study concluded that the complementary feeding practices during a disaster in Indonesia were supported by NGOs, residents, and nearby healthcare workers and thus represent a form of mutual cooperation among the Indonesian people.
Infarct Diameter for Predicting Cognitive Dysfunction in Ischemic Stroke Survivors in West Nusa Tenggara, Indonesia Harahap, Herpan Syafii; Putri, Setyawati Asih; Indrayana, Yanna; Amin, Hasan; Mahardika, Fransisca Ika
Kesmas Vol. 17, No. 2
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Cognitive dysfunction is an important consequence of ischemic stroke, which can progress in the first few years and is primarily determined by clinical factors. This study aimed to investigate the clinical determinants of cognitive dysfunction in stroke survivors in West Nusa Tenggara Province, Indonesia. This cross-sectional study assessed 255 ischemic stroke survivors with a mean age of 57.1±9.3 years old and 29–79 years old, recruited consecutively in three main hospitals in West Nusa Tenggara Province between March 2019 and October 2021. Categorical data collected included age, sex, education level, clinical determinants of ischemic stroke, and cognitive status of the patients. The association between the clinical determinants of ischemic stroke and the risk of cognitive dysfunction in patients was analyzed using logistic regression after adjusting for age, sex, and level of education. The final multiple logistic regression analysis models revealed infarct diameter as the only clinical determinant significantly associated with an increased risk of cognitive dysfunction (OR = 3.14;95% CI = 1.20–8.23). Thus, a larger infarct diameter is the only clinical determinant of cognitive dysfunction in ischemic stroke survivors in West Nusa Tenggara Province, Indonesia.
Muscle Dysmorphia in Fitness Center Members: Its Affecting Factors and Impacts Fitranti, Deny Yudi; Widyastuti, Nurmasari; Noer, Etika Ratna; Rahadiyanti, Ayu; Dieny, Fillah Fithra; Purwanti, Rachma; Sandi, Dewi Kurnia; Destikasari, Widya
Kesmas Vol. 17, No. 2
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Muscle dysmorphia (MD) has several impacts on the decline in social and health functions. This study aimed to determine the correlation between MD with eating behaviors and exercise loading among fitness center members and analyze the factors affecting it. This study used a cross-sectional design with 100 subjects chosen by a consecutive sampling method at three fitness centers in Semarang City. The subjects were all male members of an active fitness center between 17 and 45 years. The data of MD were obtained using the Drive Muscular Scale (DMS), while eating behavior data were obtained using the Eating Attitude Test-40 (EAT-40) and the training load data, including the duration and frequency of weight training data. Social influence data, self-esteem data, and perfectionism data were obtained using a questionnaire. The findings revealed that 61% of the subjects experienced MD, 80% experienced impaired eating behavior, and 80% consumed supplements. There was a correlation between the occurrence of MD with eating behavior with PR = 2.56 and consumption of supplements with PR = 2.56. The most influential factor on MD was a social influence.
Determinants of the Coexistence Dual Form of Malnutrition in Pairs of Mother and Child Aged 6 – 59 Months in Bogor District 2019 Krismanita, Maulina Dwi; Triyanti, Triyanti; Syafiq, Ahmad; Sudiarti, Trini
Kesmas Vol. 17, No. 2
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The dual form of malnutrition (DFM) is defined as multiple nutritional problems in the same household and time. This study aimed to determine the related factor to DFM incidence in pairs of mothers and children aged 6–59 months in Bogor District in 2019. This cross-sectional study used secondary data on the Nutrition and Health of Babakan Madang Subdistrict Toddlers in 2019 and Nutrition Intake and Stunting of Children Under-Five in Bogor District, West Java Province, involving a total sample of 274 households. The dependent variable in this study was DFM, while the independent variables were maternal age during pregnancy, maternal height, maternal breastfeeding history, parity, family income, mother's and father's education level. Bivariate analysis involving the Chi-square test and multivariate analysis with multiple logistic regression tests was used in this study. The results revealed that DFM incidence in the Babakan Madang Subdistrict in 2019 was 42%. The determinants of DFM that were significantly related were maternal height (p-value = 0.000), maternal breastfeeding history (p-value = 0.027), and parity (p-value = 0.049). The analysis results showed that the dominant factor in the prevalence of DFM was the maternal height (OR = 2.704; 95% CI = 1.615-4.528). It is recommended to improving nutrition in adolescence, especially in the case of girls in their role as future mothers.
The Influence of Intrapersonal Constraints on Travel Intention of People at High Risk from COVID-19 during the New Normal Widiyastuti, Dyah; Wardhani, Ikasari Kusuma
Kesmas Vol. 17, No. 2
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Due to the COVID-19 pandemic, tourism constraints have created a challenge for inclusive tourism, especially for older people and people with comorbidities. This study examined intrapersonal constraints’ effect on the travel intentions of people facing fewer opportunities for tourism due to the COVID-19 pandemic, which could disrupt their well-being fulfillment. The data were collected through an online survey of Jakarta citizens aged 46 years and older from the end of June to September 2021, and a total of 337 responses were accumulated. This study applied partial least square structural equation modeling to test the moderating effect of intrapersonal constraints toward the theory of planned behavior and revealed that the travel intentions of people at high risk from COVID-19 were considered high and were directly influenced by subjective norms, perceived behavioral control, and intrapersonal constraints. High travel intention implies that intrapersonal constraints do not extensively weaken at-risk people’s desire to travel during the new normal.
Zoom Fatigue during the COVID-19 Pandemic: Is it Real? Lestari, Putri Winda; Fayasari, Adhila
Kesmas Vol. 17, No. 2
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The coronavirus disease 2019 (COVID-19) pandemic has caused drastic changes to social lives moreover the activities done outside, such as work and school. The policy of large-scale social restrictions (LSRR)/Pembatasan Sosial Berskala Besar (PSBB), which makes people stay at home, also plays an important role in changing the face-to-face activity online. As a solution to the major change, people use video conferencing to keep in touch and still feel like doing "offline" activities. The increasing use of video conferencing has raised concerns about the resulting fatigue, termed "Zoom fatigue." This study aimed to describe Zoom fatigue during the COVID-19 pandemic and the factors contributing to it. This study used a cross-sectional design with 376 participants. Data were gathered by completing a 45-item online questionnaire, which was analyzed using univariate, bivariate (Chi-square), and multivariate (binomial logistic regression) analyses. It was found that 68.6% of respondents experienced Zoom fatigue at a moderate to a high level. Respondents complained of se - veral symptoms related to activity, motivation, and physical weakness after using the video platform. In brief, Zoom fatigue is real, and the frequency of video platform use is related to the incidence of Zoom fatigue.

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