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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 9 Documents
 1 
Search results for , issue "Vol. 18, No. 2" : 9 Documents clear
Government or Donor: The Budget for HIV/AIDS Control and Financial Commitment in Bandung City, Indonesia Mambea, Indra Yudha; Prawiranegara, Rozar; Maharani, Febrina; Vadra, Jorghi; Siregar, Adiatma Y M; Bijlmakers, Pande Leon
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The number of HIV/AIDS cases in Indonesia has steadily increased since 1987. West Java Province, especially Bandung City, had the highest HIV/AIDS cases among other districts/cities in 2016. Some stakeholders' interventions overlap with others, leading to inefficient use of the limited government budget and flattening international donor funding. This study aimed to estimate the HIV/AIDS budget in Bandung City and then segregate the share of the budget by funding source and objectives. This study was a part of the Priority Setting Involving Stakeholder Using Multiple Criteria (PRISMA) project in 2017 to prioritize HIV/AIDS interventions knowing that Bandung City had the highest HIV/AIDS cases. Data from several institutions and relevant budget allocations were obtained before (2016) and after (2018-2019) the PRISMA project. HIV/AIDS control programs in Bandung City largely depend on international funding: 49% in 2016 (~USD208,898), 85% in 2018 (~USD386,132), and 71% in 2019 (~USD389,943) for a total of ~USD1,433,216. The largest budget was allocated to core interventions, with prevention dominating the budget since 2018. The budget allocated for prevention increased significantly from 2016-2019, most likely under the influence of the PRISMA project.
Dimensions of Vaccination Attitudes in Nigeria: A Study of the Impacts of COVID-19 Vaccine Risk Perception and Acceptance Lawal, Abiodun Musbau; Olawa, Babatola Dominic; Odoh, Ikenna Maximillian; Olawole, Ayodeji Olorunfemi; Ajayi, Olubukola; Azikiwe, Judith Chineye; Ayodele, Israel Oluwatosin; Odusina, Emmanuel Kolawole; Attah, Thomas; Odedokun, Ezekiel Adeyemi; Babatunde, Stephen Ishola; Oladejo, Teslim Alabi; Otoghile, Confidence Chioma; Saka, Saheed Abiola
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

Nigeria has been affected by the COVID-19 pandemic, and vaccination is a key strategy. However, the country faces vaccination hesitancy, poor risk perception, and low acceptance. This study aimed to assess the direct and interactive impacts of COVID-19 vaccine risk perception and acceptability on COVID-19 vaccination attitudes in the general Nigerian population. In a cross-sectional approach, participants completed a structured questionnaire including demographics, COVID-19 vaccine risk perception, acceptance, and vaccination attitude from April 2-30, 2021. The sample included 1,026 participants from different ethnicities across four regions (Southwest, South, Southeast, and North Central) in Nigeria, which were selected using the convenience sampling method. Multivariate analysis of variance results showed that the COVID-19 vaccine’s risk perception and acceptability have separate and interactive effects on overall vaccination attitudes. Interactively, individuals with high-risk perceptions and low acceptance expressed more skepticism about its benefits, were concerned about its long-term body effects, believed more in its commercialization, and preferred natural immunity. Nigerians’ apprehension about COVID-19 vaccination is impacted by their high-risk perception and low vaccine uptake.
Dietary Changes Among Normal and High Blood Pressure Adolescents During the COVID-19 Pandemic Victoria, Bernadette; Sartika, Ratu Ayu Dewi; Putri, Rizti Millva
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has significantly impacted adolescents' unhealthy eating habits and sedentary lifestyles, leading to an increase in blood pressure and obesity rate. High blood pressure among adolescents is an early indicator of adult hypertension, but this condition has received less attention recently. Therefore, this study aimed to determine the differences in dietary changes among high school students with normal and high blood pressure before and during the COVID-19 pandemic in West Lampung District, Indonesia. A cross-sectional design was used, and the sample population consisted of 167 students aged 14-19 years. The results showed that 43 participants had elevated blood pressure and stage 1 hypertension, accounting for 25.7% of the total population. Among these participants, 14 (32.6%) were found to be overweight and obese. Based on the results, students with high blood pressure were less likely to improve their dietary choices during the COVID-19 pandemic than those with normal blood pressure.
COVID-19 Prevention in People Living with HIV/AIDS: Entering the Endemic Phase Manurung, Imelda F E; Takaeb, Afrona E L; da Cruz, Jermias
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The mortality and severity risks due to COVID-19 infection are higher in people living with HIV/AIDS (PLWHA) than those with no such condition. This study aimed to analyze the relationship between health literacy, social support, and the health belief model in PLWHA in preventing COVID-19 from entering the endemic phase. An analytic observational study with a cross-sectional design was conducted in October 2021 among 94 PLWHA selected by purposive sampling in Kupang City, Indonesia. The bivariate data analysis used the Chi-square, and the multivariate data analysis used the binomial logistic regression test. The results showed that 88.3% of the participants had poor COVID-19 literacy, 67% had low emotional support, and 71.3% had poor COVID-19 prevention behavior. The results of the multivariate analysis showed that the factors with the strongest association, COVID-19 literacy (95% CI = 1.71–108.55; PR = 4.15)and emotional support (95% CI= 1.01–53.81; PR = 2.35), improve COVID-19 prevention behavior. Implementing communication, information, education, and policy strategies is important to improve literacy and emotional support to prevent COVID-19 from entering the endemic phase among PLWHA.
Development of Pandemic Burnout Inventory for Health Personnel Phuspa, Sisca Mayang; Dharmastuti, Anjarie; Sutomo, Adi Heru; Alim, Syahirul
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has increased the workload of health personnel in Indonesia, and the risk of burnout has thus doubled. Several instruments exist to assess burnout, but none have been specifically developed for health personnel during the COVID-19 pandemic. Therefore, to close this gap, developing a Pandemic Burnout Inventory for health personnel is important. This study used mixed methods with a sequential exploratory design at five COVID-19 referral hospitals. A total of 30 informants were employed in the qualitative phase, selected using an intensity sampling approach, and 731 respondents in the quantitative phase were obtained in field trials and online questionnaires. Finally, a Pandemic Burnout Inventory was formed with 14 items. The content validity, based on expert judgment, showed very good results. The assessment of item discrimination and construct validity showed good results. The concurrent validity and reliability of the instrument showed fairly good results. In general, the Pandemic Burnout Inventory meets the criteria for a good instrument according to psychometrics: it is objective, standard, valid, and practical. Health care institutions can use this instrument to evaluate and prevent the deterioration of the mental health condition of health personnel handling COVID-19 or similar health crises.
Extremely Hot Ambient Temperature and Injury-related Mortality Nguyen, Mien T N; Nguyen, Man V M; Le, Huong V T; Nguyen, Hoai Viet; Nguyen, Vu Anh; Le, Ngoan Tran
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

This pilot study aimed to evaluate the effects of extremely hot ambient temperatures on the total number of fatal injuries. Data were collected from a population-based mortality registry of Thanh Hoa, a province in the North Central region of Vietnam. This study qualified the distributed lag non-linear model and calculated the RR and 95% CI adjusted for long-term trend and absolute humidity. For the entire study population with 3,949 registered deaths due to injuries collected during 2005-2007, after the onset of extremely hot ambient temperatures, an increased risk of death was observed on the 9th day RR (95% CI) = 1.44 (1.06–1.97) and reached the peak on the 12th day RR (95% CI) = 1.58 (1.14–2.17), and at the 15th day RR (95% CI) = 1.49 (1.08–2.06). Men and old adults were identified as the most vulnerable groups. This study confirmed a positive association between hot temperatures and injury-related deaths in the province of 3.6 million people. The findings motivated further investigation into the effect of warm climate changes and the risk of deaths related to other specific causes such as road traffic, work-related injury, and etc.
Effects of Using an Application for Postpartum Contraceptive Use in Family Planning Counseling During Pregnancy Nurcahyani, Lia; Widiyastuti, Dyah; Iman, Arief Tarmansyah; Cahyati, Yanti; Fitrianingsih, Yeni
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

A decision-making tool for family planning flipchart is used for contraceptive counseling, but the use of this flipchart is suboptimal. In this study, primary study resulted in innovative decision-making tools for family planning applications. “Si KB Pintar” was also developed, a tool that women can use to discuss contraceptives with their husbands after family planning counseling. This study analyzed the effectiveness of family planning counseling during pregnancy by applying postpartum contraceptive use. Analytical quantitative quasi-experimental methods were used with a control group design. The sampling method was two-stage sampling. In the first stage, from 22 primary health care (PHC) in Cirebon City, Indonesia, 11 intervention and 11 control groups were selected using random allocation. Five participants were taken from each PHC in the second stage using simple random sampling. The findings indicated that participants given family planning counseling using an application had a 2.4 times higher likelihood of using postpartum contraception compared to flipcharts after controlling for age and parity variables. Because these applications are only for Android users, applications should be produced that all users can utilize in further study.
Assessment of Rabies Control Attitudes During the COVID-19 Pandemic through Partial Least Square-Structural Equation Modeling Purnama, Sang Gede; Utami, Ni Wayan Arya; Subrata, Made; Pradnyani, Putu Erma; Agustina, Karang; Swacita, IBN
Kesmas Vol. 18, No. 2
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Abstract

The COVID-19 pandemic disrupts rabies control activities in the community. A new approach is needed to control rabies during the COVID-19 pandemic through digital health interventions by conducting digital surveillance and education. This study aimed to determine key attitude indicators in controlling rabies during the COVID-19 pandemic. A cross-sectional study on 166 participants in Denpasar City with a total of 31 indicators measuring five variables: perceptions of the benefits of rabies control (6 indicators), perceptions of rabies risk (6 indicators), perceptions of obstacles to rabies control (5 indicators), perceptions of the need for technology (7 indicators), and attitudes toward rabies control (7 indicators) were analyzed using partial least square-structural equation modeling. The results revealed that 80.7% of participants owned a dog, and sources of rabies information were from social media (45%), the internet (33.7%), and rabies volunteers (33%). The model explained that perception of the benefits of rabies control and the need for technology had a direct effect on attitudes toward rabies control (p-value <0.001 and 0.015). In brief, perceived benefits and the need for technology influence attitudes toward rabies control during the COVID-19 pandemic.
Effect of Local Culture-based Nutrition Education on Compliance with Iron and Folic Acid Supplementation in Female Adolescent Rahmiwati, Anita; Djokosujono, Kusharisupeni; Krianto, Tri; Utari, Diah Mulyawati; Djuwita, Ratna; Setiarini, Asih; Besral, Besral; Purnama, Dadang Hikmah; Dwiriani, Cesilia Meti; Mulyana, Nana
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The non-compliance of female adolescents with the consumption of iron and folic acid supplementation (IFAS) poses a challenge to reducing the incidence of anemia. Therefore, this study aimed to determine the effect of nutrition education using the local culture-based approach on the level of knowledge and attitudes regarding awareness, interest, evaluation, trial, and adoption dimensions, as well as compliance of female adolescents in consuming IFAS. The intervention was conducted using a quantitative quasi-experimental design approach. The sample comprised 68 and 58 senior high school girls in the control and intervention groups. The intervention group received IFAS and local culture-based nutrition education for 12 weeks and followed up after four weeks; while, the control group was given a leaflet and IFAS. Univariate analysis was conducted to analyze the participants’ characteristics; while, bivariate analysis used an independent T-test. The multivariate analysis was carried out using multiple linear and logistic regression analyses. The study showed a statistically significant increase in knowledge and attitudes scores in the intervention group (p-value<0.01) compared to the control group. In conclusion, the compliance with IFAS in the intervention group was 82.8%.

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