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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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History of Low Birth Weight and Cigarette Smoke Exposure on the Incidence of Stunting in Toddlers Aged 24-59 Months
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): 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.2025.16.1.32-45

Abstract

Stunting is chronic malnutrition in children under the age of five, especially during the first 1000 days of life, which, if not properly addressed, can increase morbidity and mortality rates. The prevalence of stunting in Jember Regency in 2022 was higher than in East Java (34.9%). So far, several studies on risk factors for stunting have only focused on nutritional issues, but other more complex issues, such as exposure to cigarette smoke, have rarely been studied. The aim of this study was to determine the relationship between a history of Low Birth Weight (LBW) and stunting, and exposure to cigarette smoke and stunting. Cigarette smoke exposure factors included the number of smoking family members, their smoking status, smoking duration, smoking locations, cigarette types, and the number of smoking consumed. This study used a case-control design and was conducted in 3 stunting loci with a sample size of 134, comprising 67 stunting and 67 non-stunting children, matched for sex, age, and area of residence. The sampling technique used was proportional random sampling. Data, were collected using a modified Secondhand Smoke Exposure Scale (SHES) questionnaire, and bivariate analysis with chi-squared and multivariate analysis with logistic regression. The results showed no association between a history of LBW and stunting. However, there was a most significant association between exposure to cigarette smoke and stunting in terms of smoking location and number of cigarettes consumed. It is recommended that health centers address this issue by providing education on the dangers of smoking in the home.
Relationship of Sedentary Lifestyle With Hypertension Incidence in Productive Ages (20-59 Years) Among Educators and Educational Staff in Jember, Indonesia
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): 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.2024.15.2.246-257

Abstract

Hypertension remained a major global health issue that had not been fully addressed, causing 10.8 million deaths and serving as the leading risk factor for mortality worldwide. A sedentary lifestyle was a significant contributor to hypertension among the productive age group. It had been shown that a sedentary lifestyle decreased Nitric Oxide (NO) levels, cardiac output, and systemic blood flow, which altered blood vessel diameter, reduced insulin sensitivity, and impaired vascular function. These factors negatively impacted cardiovascular health, including the development of hypertension. The prevalence of hypertension among university educators was higher compared to other educational institutions, primarily due to lower physical activity levels and greater career pressures. Therefore, the objective of this research was to analyze the relationship between a sedentary lifestyle and the incidence of hypertension in productive ages among educators and educational staff in Jember. This research was a quantitative analytic study with a cross-sectional approach. The population of the study consisted of 2,531 educators and educational staff in Jember. A sample of 106 respondents was selected through simple random sampling. Data collection was conducted through interviews and the use of a Global Physical Activity Questionnaire (GPAQ). Both bivariate and multivariate analyses employed binary logistic regression. The results of the bivariate analysis showed significant associations between hypertension and characteristics such as age, family history of hypertension, smoking, Body Mass Index (BMI), and sedentary lifestyle (p-value < 0.05). However, gender was not significantly associated with hypertension (p-value > 0.05). The multivariate analysis confirmed that a sedentary lifestyle was the most dominant determinant of hypertension.
Decomposition of HIV Knowledge In Urban-Rural Areas In Indonesia
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): 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.2024.15.2.234-245

Abstract

HIV/AIDS remains a public health crisis, HIV/AIDS remains a public health crisis, especially among male adolescents in Indonesia. This urgency stems from the rapid increase in cases among adolescents, who often lack adequate access to education and prevention resources. If left unaddressed, the epidemic could continue to spread among younger populations, leading to long-term social and economic consequences. Despite the crucial role of HIV knowledge in prevention, disparities exist between rural and urban areas. This study examines these disparities, identifying factors influencing HIV knowledge. This cross-sectional study employed a total of 10,943 male adolescents enrolled in a survey called Indonesia Demographic Health Survey (IDHS) 2017. To address those disparities, a stratification chi-square based on place of residence was employed. We also employed a multivariate decomposition analysis to examine which variables account for most gaps. Results found that only 15% of adolescents were knowledgeable (9.5% in urban and 5.5% in rural areas). Bivariate Analysis showed that education level and HIV test awareness were associated in both areas ( p-value < 0.05), while wealth quintile and internet use were associated in urban areas only ( p-values < 0.05). The HIV knowledge gap would decrease by 8% if internet use was equalized, by 11% if HIV testing awareness was equalized, by 17% if educational attainment was equalized, and by 24% if wealth quintiles were equalized. This calls for a multi-sectoral intervention targeting such factors for better HIV outcomes in Indonesia.
Family Support Pattern for Treatment Adherence Among Tuberculosis Patients in Deli Serdang Regency : A Qualitative Study
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): 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.2024.15.2.220-233

Abstract

In Indonesia, 50% of tuberculosis (TB) treatments are discontinued prematurely. The success of TB treatment depends on patient adherence to completing the treatment. Family support is crucial in enhancing TB patient adherence, particularly regarding emotional and appreciation support. This study aims to explore the complexity of family support to TB patient adherence in Deli Serdang Regency, North Sumatra Province, Indonesia. This qualitative study employed participatory observation and in-depth interviews with TB patients and their family members. The research was conducted from February to April 2024 in Deli Serdang Regency, North Sumatra, Indonesia. Informants included 10 TB patients and 16 family members, selected purposively based on data from the public health center and the TB Program Holder. The researcher was the primary instrument of the study, focusing on two dimensions of family support: emotional and appreciation. Data validity was checked through credibility testing, including triangulation. The study findings indicate that family emotional support is reflected in expressions of empathy and caring. Sadness is evident from family members’ tears upon learning that a relative tested positive for TB. Family support is shown by accompanying TB patients to the health center and reminding them to take treatment. Appreciation support is demonstrated by valuing the patient’s treatment process. Family members encourage and motivate the patient to adhere to the treatment. Emotional and appreciation support from family plays a significant role in TB patient adherence to treatment. Families can significantly contribute to the success of TB treatment by demonstrating empathy, caring, and appreciation for the patient.
Interdialytic Weight Gain and Nutritional Status are Associated with Quality of Life Among Hemodialysis Patients in Dr. Mohammad Hoesin General Hospital Palembang
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): 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.2024.15.3.360-370

Abstract

Hemodialysis patients experience changes in all aspects of their life, particularly due to fluid and dietary restrictions. Excessive interdialytic weight gain and malnutrition are common problems that negatively impact the increase of morbidity and mortality in these patients, as well as a decrease in their quality of life. This research aims to determine the relationship between interdialytic weight gain and nutritional status with the quality of life of chronic kidney disease patients undergoing hemodialysis at Dr. Mohammad Hoesin General Hospital Palembang. 102 patients were involved in this cross-sectional study, and they were taken by purposive sampling. IDWG data was collected using The Interdialytic Weight Gain (IDWG) observation sheet, nutritional status was identified using the Dialysis Malnutrition Score (DMS), and quality of life was assessed using The Kidney Disease Quality of Life Short Form-36 (KDQOL-36TM). The data analysis used in this study is Fisher Exact test. Based on The Fisher Exact test, there is a relationship between IDWG and quality of life (p=0.048). The results of statistical analysis also showed a relationship between nutritional status and quality of life (p=0.047). Most patients had IDWG in the mild category, good nutritional status, and poor quality of life based on KDQOL-36TM. This study concludes a relationship between interdialytic weight gain and nutritional status with the quality of life of patients undergoing hemodialysis. It is recommended that health workers in hemodialysis units monitor interdialysis weight gain regularly and conduct routine nutritional screenings to prevent a decrease in quality of life.
Health Belief Model and Hand Hygiene Compliance Among Nurses in the Wards of RSUD dr. H. Kumpulan Pane Tebing Tinggi
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): 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.2024.15.3.303-319

Abstract

One of the intermediaries for infection transmission between patients is through the hands of health workers. Hand hygiene is an easy, cheap, and effective precaution, but very difficult to implement. This study aims to determine the effect of health beliefs on nurse hand hygiene compliance in the inpatient ward of RSUD dr. H. Kumpulan Pane (HKP). This quantitative analytic study with a cross-sectional design was conducted at the inpatient ward of RSUD HKP. This study involved 210 inpatient ward nurses. Data collection was carried out using survey techniques, valid and reliable questionnaires, and direct observation. The majority of respondents were 36-40 years old (40.5%), were female (91.4%), had an associate degree (74.8%), had worked for 6-10 years (57.1%), and were civil servants (56.7%). All respondents had attended Infection Prevention and Control (IPC) training, experienced sharp object injuries and contact with patient body fluids, and 85.7% of respondents had experienced nosocomial infections. The majority of respondents had good perceptions of susceptibility, severity, benefits, cue to action, and self-efficacy, but the majority of respondents also had high perceptions of barriers. Further observation found that nurses' hand hygiene compliance was only around 56.7%. Data analysis found that nurses’ hand hygiene compliance at RSUD HKP was influenced by perceived susceptibility (p<0.001), severity (p<0.05), cue to action (p<0.001), and age (p<0.005). It can be concluded that although all components of the health belief model were associated with hand hygiene compliance, only perceived susceptibility, severity, cue to action, and age had a significant influence on hand hygiene compliance.
Coleus Amboinicus (Bangun-Bangun Leaves) and Stolephorus Commersonii (Anchovies) Biscuit in Increasing Iron Intake in Adolescent Girls
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): 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.2024.15.3.334-345

Abstract

Adolescent girls are more susceptible to anemia so good nutritional intake is needed to meet these iron needs. to meet iron needs in adolescents. Bangun-bangun leaves biscuits and anchovies that are rich in iron can be a solution to meet the iron needs of adolescent girls. This study aimed to determine the selected formulation, the effect of adding bangun-bangun leaves and anchovies to biscuits and the iron content of biscuits. This research was an experimental research, with the RAL (Complete Randomized Design) research method. Laboratory tests on the products of bangun-bangun leaves and anchovies were conducted to determine the iron content contained in the products. Data collection was conducted on 22 fairly trained panelists, to test the organoleptic of the products of bangun-bangun leaves and anchovies. Based on the results of the hedonic test, F3 biscuits were the most preferred formula compared to other formulations. Based on statistical tests, data was obtained that there was a significant difference (p <0.05) between the color, aroma, taste and texture of all formulas. The results of laboratory tests showed that the more bangun-bangun leaves and anchovies were added, the higher the iron content in the biscuits. By consuming F3 biscuits as additional food, it could meet the iron needs of adolescent girls, which was 15% of the total daily requirement. F3 biscuits can be an alternative substitute for snacks or supplementary food for adolescent girls to meet their iron intake needs so that they can prevent anemia.
Uncovering Barriers to Maternal Mortality Audits: An Unseen Challenge
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): 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.2024.15.3.371-386

Abstract

Indonesia has the third highest maternal mortality rate in ASEAN. The Maternal Perinatal Death Surveillance and Response (MPDSR) program was established to reduce the high maternal mortality rate. However, the effectiveness of maternal audit implementation still faces many obstacles. This study aims to describe the obstacles faced by the MPDSR team in assessing maternal mortality in Lombok Island. We used qualitative study with case study design through in-depth interviews with nine informants from two MPDSR program holders at the Health Offices and one Maternal Perinatal Death Notification (MPDN) coordinator at the West Nusa Tenggara Health Office in 2022. Data were analyzed using the thematic analysis approach. Triangulation were done by method triangulation, triangulation between researchers, triangulation of data sources, and theoretical triangulation. The results showed that the problems faced by the MPDSR team, including ineffective of MPDSR socialization, budget limitations of MPDSR activities, feature issues in the MPDN, the ratio between labor and workload was less than ideal, incomplete and delayed collection of maternal mortality data, lack of communication between MPDSR teams, health workers have not been trained in the data entry process, labor outside of medical supervision, no monitoring of maternal mortality cases in wards other than obgyn, health workers did not understand the ICD-10 code, the assessment was still conducted in a hybrid, not all maternal death cases were assessed, blaming culture, and suboptimal monitoring of the sustainability of MPDSR recommendation. Therefore, it was necessary to establish discussion to find strategies and solutions based on a priority scale.
Factors Associated With Cessation of Exclusive Breastfeeding Among Working Women
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): 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.2024.15.3.387-400

Abstract

Exclusive breastfeeding for the first six months are crucial for infant nutrition. The condition of mothers as workers is reported to be one of the factors that hinders exclusive breastfeeding, while the number of working mothers continues to increase every year. This study aimed to evaluate the level of exclusive breastfeeding and identify factors associated with the cessation of exclusive breastfeeding among working mothers. This research employed an analytical observational study. Data was collected from five health center areas in Langkat district, involving 165 working mothers. Samples were taken using a purposive sampling technique. Data analysis included univariate, bivariate (chi-square), and multivariate (logistic regression) analyses. This study reported low levels of exclusive breastfeeding among working mothers. Several factors were associated with breastfeeding, namely age (OR=2.13, 95% CI, 1.07-4.24); p=0.044), education (OR=2.40, 95% CI, 11.24-4.64; p = 0.009), knowledge (OR= 27.08, 95% CI, 10.88-67.37; p<0.001), attitude (OR=18.80, 95% CI,8.33-42.43; p<0.001) and husband's support (OR=8.14, CI 95%, 3.92-16.87; p<0.001). This study concluded that adequate knowledge, a positive attitude towards breastfeeding, and a husband's support are key factors for the success of exclusive breastfeeding for working mothers. Therefore, health workers must pay special attention to these aspects by providing education on the importance of breastfeeding for pregnant women and husbands by providing education of exclusive breastfeeding. It is suggested that future research design a model of public health education to increase the quality and quantity of exclusive breastfeeding among employed women.
Sanitation Practices and Escherichia Coli Contamination in Sugarcane Ice: A Case Study from 16 Ilir Market in Palembang
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): 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.2024.15.3.414-429

Abstract

Sugarcane ice is a beverage susceptibleto be contaminated with bacteria such as E.coli from the processing stage to the final stage of serving. This study aimed to analyze the sanitary hygiene practices and E. coli content in sugarcane ice sold at 16 Ilir Market, Palembang. The method used was descriptive qualitative through observational research. There were 12 informants selected by purposive sampling and eight samples consisting of 4 samples of sugarcane ice and four samples of water used by the handlers. Laboratory results on sugarcane ice showed that 3 of the four samples tested were positive for E.coli, with 6.9 MPN/100 ml results and 1.1 MPN/100 ml. As for the water used by the handlers, all were detected negative for E.coli. The results showed that two handlers did not always wash their hands before processing sugarcane ice, and all handlers did not use special tools to take sugarcane stalks. 3 out of 4 servers still use water containers from disposable plastic containers, two servers do not have trash bins, and three servers have open sugar cane storage. The conclusion was that sugar cane ice's sanitary hygiene was still not good, and E.coli bacteria were found in sugar cane ice. The advice is that the server must be able to maintain personal hygiene, the cleanliness of the processing equipment used, and the cleanliness of the environment around the selling place to keep it clean.

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