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Journal of Public Health Indonesian
Published by PT Anagata Sembagi Education
ISSN : -     EISSN : 30481139     DOI : https://doi.org/10.62872/jphi.v2i5
Core Subject : Health,
Health Professions Medicine & Pharmacology
Journal of Public Health Indonesian: Jurnal Kesehatan Masyarakat is an international, peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health. It is aimed at all public health practitioners and researchers and those who manage and deliver public health services and systems. It will also be of interest to anyone involved in provision of public health programmes, the care of populations or communities and those who contribute to public health systems in any way. Published six times a year, Journal of Public Health Indonesian: Jurnal Kesehatan Masyarakat considers submissions on any aspect of public health across age groups and settings. These include: Public health practice and impact Epidemiology and Biostatistic Applied Epidemiology Need or impact assessments Health service effectiveness, management and re-design Health Protection including control of communicable diseases Health promotion and disease prevention Evaluation of public health programmes or interventions Public health governance, audit and quality Public health law and ethics Health policy and administration Capacity in public health systems and workforce Public health nutrition Environmental healthOccupational health and safety Reproductive health Maternal and child health Obstetrics This is not an exhaustive list and the Editors will consider articles on any issue relating to public health. Journal of Public Health Indonesian: Jurnal Kesehatan Masyarakat also publishes invited articles, reviews and supplements from leading experts on topical issues.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 104 Documents
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The Impact of Universal Health Coverage Implementation on the Increase in Patient Referrals at the Poso Regional General Hospital Tri Budiono; Budiman Budiman; Finta Amalinda
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/jnhr3d23

Abstract

Universal Health Coverage (UHC) has transformed health service utilization patterns across Indonesia, particularly through the Jaminan Kesehatan Nasional (JKN) program administered by BPJS Kesehatan. This study examines the impact of UHC implementation on the increase in patient referrals at Poso Regional General Hospital (RSUD Poso), Central Sulawesi, Indonesia. Using a mixed-methods approach combining retrospective secondary data analysis and cross-sectional survey, data were collected from 2020 to 2024 covering 6,418 referral cases in 2024 alone. Results indicate a significant and progressive increase in patient referrals, from a rate of 12.0% in 2020 to 21.7% in 2024, representing a cumulative growth of approximately 190%. The proportion of JKN-based referrals rose from 73.6% to 89.2% over the same period. The most prevalent referral diagnoses involved cardiovascular diseases, neoplasms, and diabetes mellitus. Improvements in referral documentation compliance (67.3% to 88.2%) and reduced hospital waiting time (4.2 to 2.7 days) were also observed. These findings confirm that UHC implementation has substantially expanded access to higher-level hospital services at RSUD Poso, while simultaneously highlighting challenges of healthcare capacity management in remote areas. Strengthening primary care gatekeeping functions and expanding hospital capacity are recommended as key policy responses.
Factors Influencing Basic Immunization Coverage in the Working Area of Puskesmas Dombusoi, Sigi Regency Suwandi; Sudirman; Munawir H. Usman
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/4xwc3t63

Abstract

The national achievement of Complete Basic Immunization (CBI) in 2024 only reached 83.09%, failing to meet the Strategic Plan (Renstra) target of 100%. This shortfall reflects real barriers in protecting children against Vaccine-Preventable Diseases (PD3I). This study aims to analyze the factors influencing the administration of basic immunization in the working area of UPT Puskesmas Dombusoi. A quantitative study using a cross-sectional design was conducted with 76 maternal respondents. Data were analyzed using bivariate chi-square tests and multivariate multiple logistic regression. The bivariate test detected significant effects of maternal knowledge ( ), maternal attitude ( ), location/distance ( ), and family support ( ) on immunization status. However, multivariate testing demonstrated that all variables lost their partial significance ( ) due to strong interactions and overlaps among the variables in the field. The study concludes that knowledge, attitude, geographical access, and family support contribute simultaneously as a unified determinant of child immunization status. Consequently, Puskesmas Dombusoi must reformulate its intervention strategies by combining persuasive Information, Education, and Communication (IEC) with the optimization of mobile health posts (posyandu keliling) in hard-to-reach areas to achieve national coverage targets.
Analysis of User Satisfaction of Electronic Medical Record (EMRE) Application Using Pieces Framework Method at Kamaipura Community Health Center, Sigi Regency Ince Rahmi; Budiman; Ahmad Yani
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/bmm7aj94

Abstract

The implementation of Electronic Medical Records (EMR) is mandated by Minister of Health Regulation No. 24 of 2022, but its implementation at the Kamaipura Community Health Center still faces technical obstacles such as slow internet connection and incomplete reporting features. This study aims to analyze the level of satisfaction of EMR application users using the PIECES Framework method (Performance, Information, Economic, Control, Efficiency, and Service) at the Kamaipura Community Health Center, Sigi Regency. This type of research is quantitative with a questionnaire instrument distributed to health workers (doctors, nurses, midwives, and medical records officers). Data analysis used multiple linear regression tests to determine the partial (t-test) and simultaneous (f-test) effects of PIECES variables on user satisfaction. The results showed that all PIECES Framework variables simultaneously have a significant influence on user satisfaction of the EMR application. Partially, only system reliability (performance) had a significant effect on the perception of health worker satisfaction, while information quality, economic, control/security, efficiency, and service showed no significant partial effect. It can be concluded that the PIECES method is effective in mapping weaknesses in the EMR system. The recommendations of this research are the need to increase internet network capacity, complete reporting features, and prepare official SOPs.
Design and Development of an Isothermal-Based Contrast Media Storage Device for Optimal Temperature Stability Sagita Yudha; Nerifa Dewilza; Noviardi Prima Putra; Agusril Agusril
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/f3v6pz64

Abstract

Contrast media are used in radiological diagnostic imaging to enhance the visibility of internal body structures. The storage of contrast media must adhere to temperature standards, specifically around 37°C, to maintain its quality. The use of inadequate storage equipment can lead to crystallization or a decrease in the function of the contrast media. This research aims to design and build an automatic contrast media storage device, test its functionality, and evaluate its performance based on applicable storage standards. This research uses an exploratory approach. The designed tool is in the shape of a square box, made of plywood with an aluminum coating on the outside and lead on the inside. The main elements include an electric heater, a digital thermostat for temperature control, and LED lights for illumination. Function tests are conducted using a checklist assessment, while performance tests are evaluated based on ease of use, safety, and effectiveness. The results of the functional test demonstrate that every part of the apparatus, including the temperature controller and heating element, functions effectively to keep the contrast media temperature at 37°C. The equipment is safe, efficient, and easy to use, according to the performance test findings. A > 80% feasibility level was attained in both experiments. The automatic contrast media storage device's design and construction were successful in preserving the contrast media's quality, boosting radiographers' productivity, and making it appropriate for use in medical facilities. However, in rooms with air conditioning, the device's effectiveness is subpar. To enhance the device's performance in different environmental circumstances, more development is required.
Exploring the Needs and Perceptions of Women of Reproductive Age Toward a Digital System for Early Breast Cancer Detection: A Qualitative Study Novita Nining Anggraini; Juwita Muspita Sari
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/vsmh8t06

Abstract

Breast cancer is the most common malignancy among women worldwide, and early detection remains the most effective strategy for reducing mortality. Digital technologies, including artificial intelligence and mobile applications, are increasingly proposed to support early detection, yet perspectives of women of childbearing age toward such systems remain poorly understood. Objective: This study explored the needs and perceptions of women of childbearing age (15–49 years) regarding a digital breast cancer early detection system. A qualitative descriptive design was used. Twenty participants were purposively selected and engaged through in-depth interviews and two focus group discussions. Data were analyzed using Braun and Clarke's thematic analysis, and trustworthiness followed Lincoln and Guba's criteria. Four themes emerged: perceived benefits of digital early detection, perceived barriers and concerns, contextual needs for adoption, and preference for a human technology hybrid model of care. Participants valued convenience, privacy, and empowerment but expressed concerns regarding digital literacy, trust in algorithmic accuracy, cost, and data security. Women of childbearing age hold generally positive yet conditional perceptions toward digital breast cancer early detection systems. Successful implementation requires digital literacy support, transparent communication about accuracy and privacy, affordability, and integration with trusted human healthcare providers
The Impact of Screen Time on Mental Health Outcomes among Adolescents: A Systematic Literature Review Naima Lassie; Ertati Suarni; Jean Henry Raule
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/re08ve37

Abstract

Adolescence is a critical developmental period in which mental health trajectories are shaped by biological, social, and environmental influences, including pervasive digital technology use. This systematic literature review synthesizes evidence from twenty-five peer-reviewed studies published between 2021 and 2026 examining associations between screen time and mental health outcomes among adolescents aged ten to nineteen years. Following a structured search of PubMed, Scopus, Web of Science, ScienceDirect, and Google Scholar, studies were screened against predefined eligibility criteria covering observational, longitudinal, and review-level evidence with verifiable digital object identifiers. The synthesis indicates that higher total screen time, particularly social media or smartphone use exceeding roughly two hours daily, is consistently associated with elevated depressive symptoms, anxiety, sleep disturbance, and diminished well-being, although effect sizes are generally small to moderate, non-linear, and moderated by content type, use context, gender, and family communication patterns. Passive, comparison-driven use appears more detrimental than active, socially connective use, and dose-response or threshold effects emerge across several large cohort studies. This review's novelty lies in integrating recent 2024-2026 prospective cohort and umbrella-review evidence within a content-and-context framework rather than treating screen time as a single undifferentiated exposure. Implications for clinicians, parents, educators, and policymakers are discussed alongside methodological limitations, including reliance on self-reported screen time and heterogeneous outcome measures.
Risk Factors for Breast Cancer at Undata Regional General Hospital, Central Sulawesi Province Andi Zuhra Ibrahim; Rajindra Rajindra; Zhanaz Tasya
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/9vrfh392

Abstract

Breast cancer is one of the most common cancers among women and a growing public health problem, including at Undata Regional General Hospital, Central Sulawesi, where inpatient cases rose from 38 in 2022 to 144 by September 2025. This study aimed to analyze the risk factors associated with breast cancer at Undata Hospital. This is a quantitative study with a case-control design involving 104 respondents (52 cases and 52 controls) selected through purposive sampling. The variables were studied menarche, family history, lactation history, hormonal contraceptive use, and age at first childbirth. Data were analyzed using the Odds Ratio (OR) test in bivariate analysis and multiple logistic regression in multivariate analysis. The results showed that all variables were significantly associated with breast cancer after adjustment: early menarche <12 years (AOR=8.942; 95% CI=1.963–40.740), family history (AOR=13.753; 95% CI=2.973–63.629), lactation duration <12 months (AOR=14.024; 95% CI=4.010–49.045), hormonal contraceptive use ≥5 years (AOR=3.226; 95% CI=1.035–10.060), and age at first childbirth ≥30 years (AOR=9.830; 95% CI=1.703–56.745). The most dominant factor was a lactation duration of less than 12 months. Breast cancer incidence is influenced by an interrelated combination of hormonal, reproductive, and genetic factors, highlighting the need for stronger health promotion, risk-factor education, hormonal contraceptive counseling, and early-detection programs.
Differences in Adaptive and Maladaptive Coping Strategies Between Adolescents with and Without a History of Self-Harm at SMAN 1 and SMAN 2 Bangkinang Kota, Kampar Regency Alini Alini; Faridah Mohd Said; Nia Aprilla; Bri Nofrika
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/9144h398

Abstract

Adolescent self-harm is a mental health problem associated with ineffective stress management. This study aimed to determine differences in adaptive and maladaptive coping strategies between adolescents with and without a history of self-harm at SMAN 1 and SMAN 2 Bangkinang Kota, Kampar Regency. A comparative analytic cross-sectional design was used involving 248 respondents, consisting of 124 adolescents with a history of self-harm and 124 without such history, selected using purposive sampling. Coping strategies were measured using the Brief COPE questionnaire and grouped into adaptive and maladaptive coping. The results showed that the adaptive coping score was 36.2 ± 7.8 in the self-harm group and 37.1 ± 7.2 in the non-self-harm group, with p = 0.182. Maladaptive coping scores were 22.9 ± 6.1 and 18.4 ± 5.3, respectively, with p < 0.001. In conclusion, there was a significant difference in maladaptive coping, but not in adaptive coping. These findings highlight the importance of school-based nursing interventions to reduce maladaptive coping among adolescents at risk of self-harm.
The Effect of Black Garlic Extract as a Curative Therapy on Increased Total Cholesterol in Obesity Model Rats Shalsa Nabilla; Prima Adelin; Berri Ramadhoni; Letvimona; Rahma Triyana
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/16njj366

Abstract

Obesity is a condition of excess body fat accumulation that often triggers an increase in total cholesterol levels in the blood, thereby increasing the risk of cardiovascular disease. Black garlic, a fermented garlic product, is known to contain bioactive compounds such as S-allylcysteine (SAC) which is effective in lowering cholesterol levels. Objective: To determine the effect of black garlic extract as a preventive therapy in obesity model rats induced by a high-fat and fructose diet. Method: The research method used an experimental design with a pre- and post-test group design approach. A total of 28 male Sprague Dawley rats were divided into four groups: negative control (standard diet AIN 93), positive control (high-fat and fructose diet), and two treatment groups each given black garlic extract at a dose of 1.6 ml/day and 0.8 ml/day. Total cholesterol levels were measured before and after the intervention using the spectrophotometric method. Data analysis used SPSS with the Independent t-test. Results: The results showed that administration of black garlic extract significantly reduced total cholesterol levels in the treatment group compared to the positive control group. A dose of 1.6 ml/day produced a greater cholesterol-lowering effect than a dose of 0.8 ml/day. Conclusion: Black garlic extract was effective in lowering total cholesterol levels in an obese rat model.
Antibacterial Potential of Rhinacanthus Nasutus Leaf Extract Against Escherichia Coli and Streptococcus Pneumoniae in Vitro Betty Fitriyasti; Irfan Maulana; Adelia Fitri; Nurhuda; Rifkind Malik; Muhammad Rezki Syahputra
Journal of Public Health Indonesian Vol. 3 No. 2 (2026): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/vc11pj98

Abstract

Antibiotic resistance is a growing global health problem that impacts the effectiveness of infection therapy (World Health Organization [WHO], 2024). Therefore, safe and effective antibacterial alternatives are needed, including those derived from natural ingredients such as Rhinacanthus nasutus (L.) Kurz, which is known to contain bioactive compounds. This study aimed to evaluate the antibacterial activity of ethanolic extract of Rhinacanthus nasutus leaves against Escherichia coli and Streptococcus pneumoniae in vitro. The method used was well diffusion on Mueller–Hinton Agar media with varying extract concentrations of 15%, 30%, and 60%. Ciprofloxacin was used as a positive control and distilled water as a negative control. Antibacterial activity was measured based on the diameter of the inhibition zone after 24 hours of incubation at 37°C and analyzed using one-way ANOVA. The results showed that the extract was able to inhibit the growth of both test bacteria, with an increase in the diameter of the inhibition zone with increasing concentration. Statistical analysis showed a significant difference between treatment groups (p < 0.05). However, the inhibitory power of the extract was still lower than that of the positive control. These findings indicate that Rhinacanthus nasutus has the potential to be developed as a natural antibacterial, but further research is needed to optimize its effectiveness and safety.

Page 10 of 11 | Total Record : 104

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