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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 224 Documents
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The Influence of Environmental Sanitation, Clean Water Access, and Hygiene Behavior on Stunting Incidence: A Community-Based Public Health Study Gusman Gusman
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v2i6.1017

Abstract

Stunting remains a major public health challenge in many developing countries and reflects long term nutritional deficiencies combined with environmental and behavioral determinants affecting child growth. In addition to inadequate dietary intake, environmental sanitation, access to clean water, and hygiene behavior are increasingly recognized as critical factors influencing stunting incidence among children under five years of age. This study aims to analyze the influence of environmental sanitation, clean water access, and hygiene behavior on the occurrence of stunting within a community based public health context. The study employed a quantitative cross sectional design involving households with children under five years old. Data were collected through structured questionnaires, environmental observations, and anthropometric measurements based on the World Health Organization Child Growth Standards. Data analysis included descriptive statistics, chi square tests, and logistic regression to identify significant determinants associated with stunting incidence. The results indicate that poor environmental sanitation, limited access to clean drinking water, and inadequate hygiene practices are significantly associated with increased risk of stunting. Children living in households with inadequate WASH conditions are more vulnerable to repeated infections such as diarrhea and intestinal diseases, which impair nutrient absorption and growth. In conclusion, improving environmental sanitation, ensuring access to safe drinking water, and strengthening hygiene behavior are essential public health strategies to reduce stunting prevalence and promote healthy child development..
Risk Factors Associated with Maternal Mortality in Donggala Regency, Indonesia: Evidence from a Case–Control Study (2020–2024) Tri Rizkiyanti alwi; Sudirman Sudirman; Zhanaz Tasya
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v2i6.1018

Abstract

Maternal mortality remains a significant public health problem and reflects the quality of maternal health services. Donggala Regency is one of the regions with a relatively high and fluctuating maternal mortality rate during the period 2020–2024. This study aimed to analyze risk factors and determine the most influential factors associated with maternal mortality in Donggala Regency from 2020 to 2024. This study employed an observational analytic design with a case–control approach, involving a total sample of 108 subjects, consisting of 54 cases and 54 controls, selected using purposive sampling. Secondary data were obtained from Maternal Verbal Autopsy (MVA) records and the maternal cohort registry. Data analysis was conducted using IBM SPSS Statistics, applying Odds Ratio (OR) and p-values for bivariate analysis, and multiple logistic regression for multivariate analysis. The results of the study showed that the risk factors for maternal mortality in Donggala Regency during 2020–2024 were a history of hemorrhage (AOR = 9.01; 95% CI = 1.61–50.64; p = 0.013), history of disease (AOR = 8.21; 95% CI = 1.56–43.32; p = 0.013), and incomplete antenatal care (ANC) visits (AOR = 6.14; 95% CI = 1.52–24.85; p = 0.011). Delay in referral was identified as the main and independent risk factor associated with maternal mortality (AOR = 10.05; 95% CI = 2.04–49.61; p = 0.005). Parity, interpregnancy interval, history of hypertensive disorders of pregnancy, and maternal education did not show statistically significant associations; however, they acted as confounding variables in the final multivariate model.Maternal mortality in Donggala District during 2020–2024 was significantly influenced by a history of hemorrhage, comorbid diseases, inadequate ANC, and referral delay. Referral delay was the strongest determinant of maternal mortality. These findings highlight the importance of early detection of pregnancy complications, adherence to standard ANC services, and an effective and timely maternal referral system to reduce maternal mortality
Opportunities and Challenges in Improving Patient Safety Dewi Puspa Rianda; Novian Aldo
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v2i6.1019

Abstract

Patient safety is a fundamental aspect of the healthcare system that plays a crucial role in ensuring the quality and standards of care. This article aims to analyze the opportunities and challenges in efforts to improve patient safety through a literature review approach. The method used is a literature review, examining various relevant scientific sources related to patient safety, including national and international journals, reports from health organizations, and other academic publications. The results of the review indicate that patient safety is influenced by various factors, including system-related aspects, human resources, technology, and organizational culture. Opportunities for improving patient safety can be identified through the utilization of digital technology, the implementation of evidence-based practice, the strengthening of a safety culture, and the active involvement of patients and their families. However, there are still a number of challenges to be addressed, such as resource constraints, the complexity of the healthcare system, an unsupportive organizational culture, and low public health literacy. Therefore, a holistic and integrated approach involving various stakeholders is needed to create a safe, effective, and sustainable healthcare system.
Analysis of Factors Influencing Compliance with Radiation Safety Implementation in the Operating Room in the Use of C-Arm at Hospital X, Padang Oktavia Puspita Sari; Santa Mareta; Yori Rahmadianti
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v2i6.1020

Abstract

The use of C-Arm in the operating room is one of the radiological technologies that greatly assists doctors in performing surgical procedures in real time. The C-Arm produces X-ray radiation that allows visualization of anatomical structures during surgery. However, radiation exposure from the use of a C-Arm can pose risks to healthcare workers in the operating room, such as doctors, nurses, and radiographers, if not accompanied by proper radiation safety practices. Compliance with the use of personal protective equipment (PPE) in the operating room during the use of C-Arm devices at Hospital X Padang in 2024 is expected to serve as a basis for improving the implementation of radiation safety for healthcare workers. Based on observations, it was found that not all operating room staff used radiation protective equipment according to regulations, even though the potential radiation hazards from the C-Arm in the operating room are quite significant. This may result in increased radiation doses received by workers present during the operation of the C-Arm. The purpose of this study was to determine the factors influencing non-compliance among operating room staff during the use of the C-Arm. This quantitative study used a cross-sectional design, with the population consisting of all operating room staff at Siti Rahmah Hospital, using total sampling with 32 respondents. The research instrument used was a questionnaire. After all data were collected, the data were processed and analyzed using the Spearman test. Out of 32 respondents, 18 were male (56.2%) and 14 were female (43.8%). Based on age categories, 24 respondents (75%) were aged 20–30 years, 4 respondents (12.5%) were aged 30–40 years, and 4 respondents (12.5%) were aged 40–50 years. Based on years of service, 24 respondents (75.0%) had 0–5 years of experience, 4 respondents (12.5%) had 5–10 years, and 4 respondents (12.5%) had 10–15 years of experience. Regarding education level, 20 respondents (62.5%) held a D3 diploma and 12 respondents (37.5%) held a D4 diploma. In terms of knowledge level, 8 respondents (25.0%) had low knowledge, 7 respondents (21.9%) had moderate knowledge, and 17 respondents (53.1%) had good knowledge. Regarding attitudes, 15 respondents (46.9%) had poor attitudes, while 17 respondents (53.1%) had good attitudes. The availability of radiation protection facilities for operating room staff showed that 15 respondents (46.9%) reported inadequate availability, while 17 respondents (53.1%) reported adequate availability. There was a relationship between age, years of service, education level, knowledge level, attitudes, and the availability of facilities and infrastructure with compliance in implementing radiation safety. However, there was no relationship between gender and compliance with radiation safety practices.
Sustainable Publich Health Financing dalam Perspektif Green Economy Jasmin Ambas; Meliana Handayani; A.Ulfiana Fitri
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v2i6.1021

Abstract

Sustainable public health financing has become an increasingly important issue in the context of global health system resilience and sustainable development. Many countries continue to face chronic underinvestment in primary health care and increasing financial pressures due to demographic changes, environmental risks, and emerging health crises. At the same time, the concept of the green economy has gained attention as an integrated framework that connects economic development, environmental sustainability, and social well-being. This study aims to analyze sustainable public health financing from a green economy perspective by examining how green financial instruments and sustainability-oriented policies can support resilient health systems. The study employed a qualitative approach using a systematic literature review of peer-reviewed articles published between 2020 and 2025 related to public health financing, green finance, and sustainable development. The findings indicate that integrating green finance instruments, such as green bonds, climate funds, and environmental taxation, can contribute to improving environmental quality, strengthening health infrastructure, and supporting long-term public health outcomes. However, the implementation of green finance in health systems remains constrained by regulatory limitations, institutional capacity gaps, and fragmented financing structures. Therefore, integrating green economy principles into public health financing frameworks can provide strategic pathways for developing resilient, equitable, and environmentally sustainable health systems.
The Relationship Between Enabling Factors and the Intention to Return Among Patients Undergoing Conventional Radiological Examinations at Pariaman Regional General Hospital Santa Mareta; Oktavia Puspita Sari; Yori Rahmadianti; Abidaturrahmah Abidaturrahmah
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v2i6.1022

Abstract

Conventional radiology services are a vital medical support in the diagnosis and treatment of patients. Patient return visit rates serve as a key indicator of service quality, which can be influenced by enabling factors such as facilities, service quality, and location. This study aims to analyze the relationship between enabling factors and patients’ willingness to return for conventional radiology examinations. The study is a quantitative, analytical, correlational study with a cross-sectional design. It was conducted at the radiology department of Pariama Regional General Hospital. The population consisted of 52 patients who returned for follow-up visits during the period of July–September 2024.  The sample consisted of 46 respondents. Data were collected via a questionnaire measured using Likert and Guttman scales, which had been tested for validity and reliability, and were then analyzed using the Chi-Square test. The results showed that the majority of respondents rated the facilities as poor (52.2%) and the service as poor (54.3%), while the location was considered accessible (54.3%). Statistical tests revealed a significant relationship between facilities (p=0.039) and service (p=0.018) and the intention to revisit, whereas location was not associated (p=0.236). These results confirm that improving the quality of facilities and service is a key factor in enhancing patient loyalty toward radiology services.
Narrative Communication in HIV/AIDS Education:The Impact of Storytelling on Health Behavior Change RD.D.Lokita Pramesti; Poppie Indriyanti; Saktisyahputra Saktisyahputra
Journal of Public Health Indonesian Vol. 3 No. 1 (2026): MAY - JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v3i1.1023

Abstract

Narrative communication and storytelling have increasingly been recognized as powerful tools in HIV/AIDS health education, offering culturally resonant pathways for promoting behavior change, reducing stigma, and improving health outcomes among diverse populations. This systematic literature review synthesizes evidence from 25 peer-reviewed studies published between 2021 and 2025, examining the mechanisms through which narrative formats — including oral and theatrical storytelling, digital storytelling, video-delivered serial dramas, mHealth narratives, and peer ambassador models — influence knowledge, attitudes, and practices related to HIV/AIDS prevention, testing, treatment adherence, and stigma reduction. Findings indicate that narrative interventions are consistently associated with increased HIV knowledge and awareness, reduced stigma and discrimination, improved HIV testing and screening uptake, enhanced antiretroviral therapy (ART) adherence, and decreased sexual risk behaviors. Theoretical frameworks including narrative persuasion theory, social cognitive theory, and the Health Belief Model provide robust explanatory foundations for the documented effects. Cultural adaptation, community participation, and digital media integration emerge as critical moderating factors that amplify narrative efficacy across diverse populations, including adolescents and young adults, people living with HIV (PLHIV), migrants and refugees, Black and other minority communities, and rural populations. The paper also identifies persistent barriers — including health literacy limitations, structural stigma, and implementation fidelity challenges — and proposes a research framework mapping the full pathway from theoretical foundations to measurable outcomes. These insights provide actionable guidance for public health practitioners, communication specialists, and policymakers designing HIV/AIDS education programs
Psychosocial Challenges and HIV Prevention Barriers among High-Risk Youth in Deli Serdang, Indonesia Nurhamida Fithri; Pratiwi Lumbantobing; Nona Try Agista; Wanri Lumbanraja
Journal of Public Health Indonesian Vol. 3 No. 1 (2026): MAY - JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v3i1.1024

Abstract

Human Immunodeficiency Virus (HIV) remains a significant public health problem among high-risk youth in Indonesia. Psychosocial problems, stigma, discrimination, emotional isolation, and limited access to healthcare services continue to hinder HIV prevention efforts among vulnerable populations. This study aimed to explore psychosocial challenges and barriers to HIV prevention among high-risk youth in Deli Serdang, Indonesia. A qualitative study was conducted using in-depth interviews and focus group discussions involving people living with HIV/AIDS, key populations, healthcare workers, community leaders, and related stakeholders. Participants were selected using purposive sampling. Data were analyzed using thematic analysis to identify major psychosocial and social barriers associated with HIV prevention. The findings revealed several important challenges, including stigma and discrimination, fear of HIV status disclosure, limited family and social support, risky sexual behaviors, low self-confidence, psychological distress, and barriers to healthcare access. Social stigma and insufficient community education were also found to contribute to delayed HIV testing and treatment seeking. The study concludes that psychosocial burden and social barriers remain major obstacles to HIV prevention among high-risk youth in Deli Serdang. Strengthening psychosocial support, community education, stigma reduction programs, and accessible HIV services are essential to improve HIV prevention efforts among vulnerable populations.
Digital Transformation in Primary Healthcare Services: An Analysis of Telemedicine Effectiveness on Access and Quality of Public Health Services Yuni Vivi Santri P; Susi Amenta Beru Perangin-angin; Nona Try Agista
Journal of Public Health Indonesian Vol. 3 No. 1 (2026): MAY - JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v3i1.1025

Abstract

Digital transformation has fundamentally reshaped the delivery of primary healthcare services globally, with telemedicine emerging as a pivotal mechanism for expanding access and improving service quality. The COVID-19 pandemic served as a critical inflection point, accelerating telemedicine adoption across diverse healthcare systems. Objective: This study aims to analyze the effectiveness of telemedicine in enhancing access to and quality of primary healthcare services through a systematic review of existing literature. Methods: A comprehensive literature review was conducted using peer-reviewed articles published between 2021 and 2025. A total of 40 studies were identified and analyzed across dimensions of healthcare access, service quality, patient satisfaction, clinical outcomes, and implementation barriers. Results: Telemedicine significantly improved geographic access to care, particularly in rural and underserved communities. Clinical quality indicators were largely comparable to in-person care, with notable benefits in chronic disease management, follow-up care, and patient engagement. However, disparities persisted among elderly populations, low-income groups, and regions with limited digital infrastructure. Conclusion: Telemedicine represents an effective and scalable approach to primary healthcare transformation, though its equitable implementation requires targeted policy interventions addressing digital literacy, infrastructure, and regulatory frameworks
The Effect of Instagram Social Media on Improving Reproductive Health Behavior Among Students of SMK Negeri 1 Labuan Sfandy Rusly
Journal of Public Health Indonesian Vol. 3 No. 1 (2026): MAY - JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61536/jphi.v3i1.1026

Abstract

Adolescent reproductive health remains a critical public health issue, particularly in Indonesia, where limited knowledge and unstructured health education continue to expose adolescents to reproductive health risks. This study aimed to determine the effect of Instagram social media on improving reproductive health behavior, encompassing knowledge, attitude, action, and motivation among students of SMK Negeri 1 Labuan, Donggala Regency, Central Sulawesi. A preliminary survey of 80 students revealed that only 41.3% had good reproductive health knowledge, 47.5% showed permissive attitudes toward risky behavior, and 87.5% had active Instagram accounts, yet no structured reproductive health education via social media had been implemented. A quasi-experimental study using the Nonequivalent Control Group Design was conducted from March to May 2026, involving 132 students divided equally into an intervention group (n=66) and a control group (n=66) through purposive sampling. The intervention consisted of structured Instagram-based reproductive health education delivered over six weeks. Data were collected using validated pre-post-test questionnaires and analyzed using the Wilcoxon Signed Ranks Test, Paired t-test, Mann–Whitney U Test, and multiple linear regression. The intervention group demonstrated highly significant improvements across all variables: knowledge (Z=−7.074, p=0.000), attitude (Z=−7.077, p=0.000), action (Z=−7.091, p=0.000), and motivation (Z=−7.078, p=0.000), while the control group showed no significant changes. Multiple linear regression confirmed that group assignment was the sole significant predictor of reproductive health action (B=25.322, R²=0.949, p=0.000). Instagram-based health education is an effective, scalable strategy for improving adolescent reproductive health behavior.

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