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INDONESIA
Jurnal Ilmu Kesehatan Masyarakat
Published by Universitas Sriwijaya
ISSN : 20866380     EISSN : 25487949     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Ilmu Kesehatan Masyarakat (JIKM) is a scientific peer-reviewed journal. Its aims are to share out, to develop, to facilitate research findings in Public Health that it will give benefit to managers, decision makers, public health officer, health problem practitioners, lecturers, as well as students. The content of the journal includes literature review, research-based article dealing with: 1. Health policy and administration 2. Environmental health 3. Occupational health and safety 4. Public health nutrition 5. Health promotion and behavioral sciences 6. Epidemiology & Biostatistics 7. Others related to public health challenges
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 440 Documents
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The Role of the Midwife in Postpartum Family Planning Services : A Case Study on Three Different Health Facilities in South Central Java
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 1 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.1.112-125

Abstract

Postpartum family planning coverage in Central Java is below the national standard, or it only reached 26.8%. Postpartum mothers are at risk of getting pregnant if they do not use contraception. Modern contraceptives prevent 3.2 million of 5.6 million under-five deaths and 109,000 of 155,000 (70%) maternal deaths. Continuity of Midwifery Care during the extended postpartum period encourages mothers to use modern contraception to manage the pregnancy gap. This study aimed to explore midwifery services for Family Planning Postpartum from the perspective of providers and clients in three health facilities: hospitals (RS), Public Health Centers, and Independent Midwifery Practice (PMB). The research was implemented through a qualitative descriptive, a case study approach design in 2021. informants were ten postpartum mothers, nine midwives, two heads of Puskesmas, head division of Family Planning, Women and Children Empowerment (KBPPA) conducted an in-depth interview. The interviews were digitally recorded, transcribed, and analyzed using the Miles and Huberman method. Providers and clients identified several benefits of Postpartum Family Planning (KBPP). Midwives stated several obstacles in providing services, such as limited counseling time during labor and lack of support from hospital management. The competence of midwives constrained KBPP services at the Puskesmas. There were still few midwives at the Puskesmas certified to provide Long Term Contraception Method services. Midwives were also overloaded with work during the pandemic. Obstacles in the Independent Midwifery Practice were the lack of IMP with clinical networks and the limited authority of the midwife. Meanwhile, postpartum mothers' barriers included lack of knowledge about fertility and KBPP, worry about side effects, and the husband's lack of support. Therefore, optimizing the referral mechanism for long-term contraception in advanced health facilities is necessary. Continuity of care midwives and integration of services will increase coverage of postpartum contraception.
Determinants of Modern Contraceptive Use Among Married Women in Indonesia Urban
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 1 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.1.85-96

Abstract

The use of contraceptives in Indonesia among married women has tended to be stagnant in the last 3 years. Indonesia's 2017 demographic and health survey report reports that the prevalence of modern contraceptive use was lower among women in urban areas (59%) than in rural areas (55%). This study aims to analyze the determinant of modern contraceptive use in married women in Indonesian urban. This study is a quantitative study with a cross-sectional design. We used secondary data from Indonesia Health and Demographics Survey 2017. The population of this study was married women. We got a sample was 15,520 respondents. We analyze the predictor of modern contraceptive use by using logistic regression. Respondents using modern contraceptives were 53.5%.  Age, education level, number of living children, number of ideal children, employment status, economic status, and region have a significant association with modern contraceptive use in Indonesian urban. The most dominant factor associated with modern contraceptive use is the number of living children >2 children. Proper dissemination of information on the use of modern contraceptives needs to be expanded to increase contraceptive use.
Spatial Distribution of HIV Cases in Female Sex Workers in Palembang City
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.155-167

Abstract

Key populations such as PSP (Female Sex Workers) are one of the factors that have the potential to influence the number of HIV-positive cases. The prevalence of HIV cases in Indonesia in the PSP group is 2.1%. This study aimed to examine the spatial distribution of HIV cases in PSP (Women Sex Workers) in Palembang City. This type of research is descriptive with an ecological study design. The population groups studied were 41 Public Health Center, 14 hospitals, and other HIV services such as Class I Rutan and Class IIA Women's Prisons in 18 sub-districts in Palembang City. The study used secondary data from the KT, and TIPK HIV Reports from the City Health Office, while spatial data were obtained from government websites and Google Maps. The results showed that the distribution area of ​​the PSP key population was at most 23 Ilir, Merdeka health center and Campus health center, and in the working area of ​​hospitals, detention centers, and women's prisons, there was no distribution of PSP key populations. Then, the distribution of HIV-positive cases in the PSP key population found no distribution of HIV confirmed cases in the working area of ​​the public health center or the working area of ​​hospitals, detention centers, and women's prisons. The need for further attention to policymakers on the unequal distribution of VCT services and socialization from health workers is also needed to increase awareness of PSP key populations regarding the importance of conducting VCT to prevent and control HIV cases in key populations to suppress HIV cases in Palembang City.
Cognitive, Affective and Psycomotoric Aspects Related Risky Sexual Behavior Among Adolescents at the University Level
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.197-209

Abstract

The current phenomenon shows that teenagers are into the sexually active period quickly. This condition causes adolescents to be more vulnerable to experiencing adolescent reproductive health triad such as premarital sex, STI/HIV infections and drug abuse. Higher education is an educational institution whose students are teenagers who do not rule out experiencing these problems. This study aims to determine the cognitive, affective and psychomotoric factors related to risky sexual behavior among adolescents at the college level using a cross sectional approach. The research analysis sample was 750 students from 4 study programs in one of the universities in South Sumatra which were taken by using cluster random sampling technique. Data analysis includes univariable and bivariable analysis (chi square test). The results showed that 12% of students had risky sexual behavior where 3.5% had vaginal, anal or oral sex. In addition, the results of the bivariate analysis showed that the variables that were significantly related to risky sexual behavior included cognitive factors (knowledge), affective factors (attitudes, perceptions of norms, parental roles and self-efficacy) and psychomotoric factors (negative peer group behavior). This study recommends the need for access to adolescent-friendly reproductive health services with the principle of peer educator as a means of improving soft skills for adolescents related to adolescent reproductive health.
Prevalence of Syphilis Cases Among Blood Donors in Bojonegoro
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.145-154

Abstract

Syphilis is a disease caused by Treponema pallidum. Syphilis could transmit through sexual intercourse, and can also occur in the vertical direction from the mother to the fetus, through blood products and, in some cases, through medical equipment. Among those, blood transfusions are the main way to spread the disease. WHO estimates that more than 1 million people worldwide are diagnosed with 4,444 sexually transmitted diseases daily. This study was using total 51351 blood sample obtained from blood donor in 2020 and 2021 in Blood Donor Unit (UDD PMI) Bojonegoro. The aim in this study was to find the prevalence of syphilis cases occurred in Blood Donor Unit (UDD PMI) Bojonegoro. This finding may have implication to increase people awareness in syphilis. This study was used descriptive study with cross sectional design and conducted by using cross tabulation as statistical analysis. The data showed that there was slight increase with 0.12% and 0.16% cases of confirmed syphilis in 2020 and 2021 respectively (P = 0,174). Total cases from 51351 blood samples, 71 (0,14%) blood samples were positive for syphilis. The highest cases in 2020 was occurred in January (7 cases) and highest cases in 2021 was occurred in October (13 cases). The conclusion of this study showed that the prevalence of syphilis was low in this study. Even though the percentage might be below 1% in this study, it is still a significant transfusion problem in blood donation quality purpose to be overcomed.
Telemedicine for emergency patients in pre-hospital care: A scoping review
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.127-145

Abstract

Pre-hospital care is the initial phase of emergency management for patients with acute conditions. Emergency patients' mortality rates can be lowered with appropriate pre-hospital care. The utilization of telemedicine has been increasing rapidly, and one of its applications is the provision of pre-hospital care. This study aimed to identify and evaluate published research on the use of telemedicine to facilitate emergency patient management in pre-hospital care. ProQuest, Scopus, EMBASE, and EBSCOhost databases were used for article search and PRISMA flow diagram was used to perform the articles selection. The search results obtained 443 articles. Title and abstract screening removed 347 articles, leaving 41 to be assessed for eligibility. Articles relevant to the study question and meet the criteria were 14 articles. Most of the studies were conducted in developed countries. The use of telemedicine has a significant potential to improve the quality of pre-hospital care provided to emergency patients, by aiding in diagnosis and treatment selection for patient’s better outcomes. However, to establish this system, a well-organized EMS system is required. Nevertheless, the use of this technology requires more development, and additional study is required in the future.
The Health-Promoting Lifestyle Assessment Among Nursing Students In East Kalimantan
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.168-179

Abstract

Nurses as a health professional has a significant role in primary health services in nurturing, and also enabling the community to healthy behavior. Nurse students will become role models for healthy lifestyles and as leaders to enable people to live healthy lives, this is inversely proportional to the possibility of their unhealthy lifestyles since the study period. The purposes of study were to assess the level health-promoting lifestyle among student of nursing and identify the differences in such lifestyle based on socio-demography. A cross-sectional descriptive study was conducted on 326 of nursing students in East Kalimantan. The data has been collected by Health-Promoting Lifestyle Profile II (HPLP II) level (i.e., responsibility of health, spiritual, physical activities, interpersonal relationship, student nutrition, and their stress management). Data was taken by online self-administered questionnaire. Participants were recruited by convenience sampling. Descriptive and inferential statistics data analysis has been conducted. It was found that 76.4% were female, 37.7% were in second years study, as much as 58.9% of students from municipality areas. The mean score of 2.79 (good) of total HPLP II. The highest mean score was shown for interpersonal relationship by nurse students 3.25 (excellent) and the lowest was daily nutrition (2.43) and physical activity (2.47) as moderate level. Based on independence t-test analysis there were differences statistically in physical activity between gender (p-value <0.001), there is a difference statistically in health responsibility between student from municipality and regency (p-value = 0.010). In general, the HPLP indicators for nursing students are good, but improvement and promotion of healthy lifestyles is still needed. Further identification as strengthening to determine the cause of low nutrition and physical activity. Aspects that must be maintained are interpersonal relationships and spiritual growth.
The Effect of Antepartum Yoga Sequences on Anxiety Levels, Vital Sign Values, and Fetal Heart Rate in Third-Trimester Primigravida
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.236-246

Abstract

Anxiety in the third-trimester pregnancy can affect the physical and psychological aspects of the mother and fetus. Until now, there has been no study comparing yoga sequences that are effective in reducing anxiety levels in third-trimester primigravida. The yoga sequence will cause the heart rate to return to normal after finishing exercising, and the body will feel more comfortable. This study aims to determine the effect of antepartum yoga sequences on anxiety levels, vital sign values, and fetal heart rate in third-trimester primigravida. This study was quasi experiments with a pretest posttest control group design conducted in January-April 2022. The sampling technique used cluster sampling to determine the intervention group and control group. The intervention group was given antepartum yoga sequences for six sessions with a duration of 60 minutes, consisting of 18 respondents in A group model and 18 respondents in B group model. The control group consisting of 18 respondents, received pregnancy exercise for six sessions with a duration of 60 minutes. Data analysis using T-test. The results showed differences in the control group for anxiety (p-value = 0.042), pulse (p-value = 0.021) and respiratory frequency (0.032). In the intervention group model A, there were differences in anxiety, diastolic blood pressure, pulse, and respiratory rate with p-values ​​of 0.032, 0.005, 0.005, and 0.005, respectively. While in the intervention group model B, there were significant differences in anxiety, systolic blood pressure, diastolic blood pressure, pulse, respiratory rate, and fetal heart rate, namely p-values ​​of 0.005, 0.002, 0004, 0.005, 0.005, 0.005. The results of this study can be used by midwifery service providers as one of the complementary treatments for reducing anxiety experienced by third-trimester primigravida mothers, namely by giving antepartum yoga, which is done for 60 minutes.
Determinants of Obesity in School Teachers During the COVID-19 Pandemic in the Region of Cempaka Putih West Jakarta Center
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.247-259

Abstract

The COVID-19 pandemic (Coronavirus Disease-2019) is a virus of international concern, WHO has declared the COVID-19 pandemic a public health emergency. In Indonesia, one of the efforts to prevent and control COVID-19 is by means of Emergency PPKM. This PPKM policy causes changes in people's lifestyles such as decreased physical activity and changes in diet that can cause obesity. The prevalence of overweight and obesity has increased from year to yea. The purpose of the study was to obtain the determinants of obesity in school teachers during the COVID-19 pandemic in the Cempaka Putih Barat sub-district, Central Jakarta.This study uses quantitative analysis with a cross-sectional design. The population of the study were teachers of SMP, SMA and SMK as many as 165 samples. The sampling technique is purposive sampling using a questionnaire. Data analysis using Chi-Square and Logistic Regression. Univariate results showed that 104 (63,03%) teachers were obese. The results of Chi-Square show that there are between eating patterns, knowledge, attitudes, actions, and genetics. While those that are not related to activity, level of estimation, gender, and age. The results of the multiple logistic regression test showed that there were five variables that were significantly correlated with obesity in teachers, namely actions, genetics, eating patterns, knowledge and attitudes. It is recommended for school teachers to change a healthy lifestyle during the COVID-19 pandemic to prevent the risk of obesity.
Identification of Food Diversity Factors to Overcome Stunting in Toddlers on the Musi River Suburbs, Palembang South Sumatra, Indonesia
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.224-235

Abstract

A diverse and balanced diet is one way to overcome stunting in toddlers. Without adequate food intake, toddlers will lack the nutrients to grow and develop properly. The purpose of this study was to identify the factors of various food choices in stunting toddlers on the outskirts of the Musi River, Palembang. This research is an observational study with a cross-sectional method conducted in two health centers representing the Musi River suburbs, namely Gandus Health Center and 11 Ilir Health Center. The subjects of this study were toddlers aged 6 months to 59 months, totaling 170 children under five who were calculated using the two-proportion hypothesis test formula and sampling through the purposive sampling technique. Data collection was carried out directly by interviews using a questionnaire. Chi-square test was used to analyze bivariate and multiple logistic regression test predictive model for multivariate analysis. Based on the results of the study, data obtained that there was a relationship between the mother's education (p = 0.000), number of family members (p = 0.017), food availability (p = 0.000), and eating patterns (0.005) with various foods. The results of multivariate analysis showed that maternal education and food availability had a significant relationship with food diversity. Mother's education has the greatest influence or is the most dominant risk factor for food diversity to overcome stunting in toddlers on the on the Musi River suburbs, Palembang. Mothers of toddlers should increase their knowledge about food diversity and provide food at home that does not have to be expensive but remains diverse and nutritionally balanced, in order to meet nutritional needs so that toddlers avoid stunting.

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