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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 458 Documents
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Implementing and Sustaining Primary Health Care Accreditation Under Universal Health Coverage: A Qualitative Study in Indonesia: IN PRESS Fadilah Aulia Rahma; Riswandy Wasir; Apriningsih Apriningsih; Suparni Suparni; Abdul Rahman Ramdzan
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Under universal health coverage (UHC), improving access to services must be accompanied by strengthening service quality, particularly at the primary health care level. Accreditation has been widely adopted as a policy instrument to support quality improvement; however, evidence on its implementation and sustainability in primary health care remains mixed, especially in low- and middle-income countries. Objective: This study aimed to examine the implementation of primary health care accreditation and its implications for service quality under Indonesia’s UHC system. A qualitative descriptive study study was conducted in two fully accredited (Paripurna) primary health care centres (Puskesmas) in an urban setting in Indonesia. In-depth, semi-structured interviews were carried out with 17 participants, including managerial, clinical, and administrative staff, as well as representatives from professional health organisations. Data were analysed using framework-guided thematic analysis informed by the Donabedian model of health care quality. Five key themes were identified. Accreditation contributed to improved structural readiness, including facility organisation and documentation systems, and to greater standardisation of clinical and administrative processes through formalised quality governance. Effective implementation was enabled by leadership commitment, staff training, and professional support. However, accreditation was constrained by human resource limitations, administrative burden, and financial and infrastructural challenges. Sustaining quality improvements beyond accreditation surveys required integration of standards into routine management, continuous quality improvement practices, and the use of digital systems and external collaboration. Primary health care accreditation can support service quality improvement under UHC when effectively implemented and sustained. Its contribution depends on leadership, organisational capacity, and alignment with broader UHC policies. Strengthening these factors may enhance the role of accreditation as a sustainable quality improvement instrument in primary health care.
Practices of Reusing Cooking Oil and Peroxide Values Among Pecel Lele Vendors Around the Universitas Sriwijaya Campus: IN PRESS Riska Seliana; Imelda Gernauli Purba; Dini Arista Putri; Frisca Rahmadina
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Repeated use of cooking oil by pecel lele vendors may accelerate oil degradation and increase peroxide formation, posing potential health risks. Study aimed to explore vendors’ knowledge and practices regarding reused cooking oil and to describe the peroxide values of oil samples collected around the Universitas Sriwijaya Campus. A qualitative descriptive design with supplementary laboratory analysis was used. Twenty informants were selected purposively, comprising seven vendors, twelve consumers, and one chemistry expert. Data were collected through in-depth interviews, observation, documentation, and laboratory testing. Six reused oil samples were analyzed for peroxide values using the iodometric titration method at BSPJI Palembang. Data validity was ensured through source and method triangulation. Most vendors and consumers understood the general meaning and visible characteristics of reused cooking oil, but none knew the definition, health implications, or permitted limit of peroxide values. Vendors commonly reused oil more than four times, mixed old oil with new oil, used the same oil and wok for different foods, and stored used oil in open containers. Deep-fat frying with high heat and relatively long heating durations was also observed. All six oil samples exceeded the maximum peroxide value of 10 mEq O₂/kg stipulated in SNI 7709:2019, ranging from 14.96 to 2,313.07 mEq O₂/kg. These findings indicate that unsafe oil-reuse and storage practices were common among the participating food vendors and occurred alongside peroxide values above the permitted limit. Practical education, regular oil replacement, filtration, safer storage, and better control of frying duration are recommended to improve food safety
Short-Term Changes in Anemia Prevention Knowledge, Attitudes, and Practices After Community-Based Health Education Among Adolescent Girls: IN PRESS Wahyu Ratri Sukmaningsih; Anggraini Luthfiyyah Syarry Handoko; Dyah Ayu Pitaloka
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Anemia remains a major public health concern among adolescent girls despite ongoing iron supplementation and screening programs. Health education may improve knowledge, attitudes, and preventive practices related to anemia prevention. This study aimed to assess changes in knowledge, attitudes, and preventive practices among adolescent girls following a health education program supported by leaflets and posters. A pre-experimental one-group pretest-posttest study was conducted from May to June 2026 among 100 female participants aged 17-20 years who were active members of Karang Taruna “Tunas Mekar” in Gondangrejo District, Karanganyar Regency, Indonesia. All eligible members were included through total sampling. Participants completed a validated and reliable questionnaire immediately before the intervention and seven days afterward. Paired scores were analyzed using the Wilcoxon signed-rank test, and effect sizes were calculated as r = Z/√N. Following the intervention, median knowledge, attitude, and preventive-practice scores increased from 10 (IQR 8-12) to 13 (IQR 12-14), 28 (IQR 25-31) to 33 (IQR 31-36), and 6 (IQR 5-7) to 8 (IQR 7-9), respectively. Significant differences were observed between pre-test and post-test scores for knowledge, attitudes, and preventive practices (all p < 0.001), with moderate effect sizes (r = 0.394-0.411). Short-term improvements in knowledge, attitudes, and self-reported preventive practices were observed following the health education program. These findings suggest that leaflet- and poster-assisted health education may be a practical component of community-based anemia prevention programs; however, controlled studies with longer follow-up are needed to confirm long-term effectiveness.
Gender-Based Disparities in Adolescent Overweight: Findings from the Thailand Global School-Based Student Health Survey (GSHS): IN PRESS Purwo Setiyo Nugroho; Kusuma Estu Werdani
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Adolescent overweight is an increasing public health concern in Thailand, driven by rapid lifestyle changes and urbanization. However, gender differences in factors associated with overweight remain insufficiently understood. This study conducted a secondary analysis of data from the 2021 Global School-Based Student Health Survey (GSHS), a nationally representative survey using a stratified two-stage cluster sampling design. A total of 4,510 adolescents aged 13–17 years were included. Data were analyzed using univariate, bivariate, and multivariate logistic regression, and sex stratified analyses were performed to identify factors associated with overweight. Overweight prevalence was highest among boys aged 13 years and girls aged 15–16 years. Among boys, overweight was significantly associated with younger age, food insecurity, and psychosocial distress. Among girls, dietary behaviors, sedentary lifestyle, and parental support showed stronger associations. Insufficient parental monitoring increased the likelihood of overweight in both sexes. Smoking was inversely associated with overweight among boys (OR=0.697, 95% CI: 0.691–0.704) but positively associated among girls (OR=1.236, 95% CI: 1.225–1.247). Overweight girls also reported higher levels of psychosocial problems, including bullying, loneliness, suicidal ideation, and sleep disturbances. Adolescent overweight in Thailand is influenced by multiple determinants that differ by gender. Gender sensitive interventions are needed, focusing on psychosocial well being and food security for boys, and healthy eating, parental involvement, and reduced sedentary behavior for girls to address the growing burden of adolescent overweight.
Utilization of Adolescent-Friendly Health Services (PKPR) From the Perspective of Andersen’s Behavioral Model at Four Primary Health Centers in Bone Bolango Regency: IN PRESS Zulkifli Walangadi; Sry Ade Muhtya Gobel; Muamar Afdhal Mahendra; Luthfiana Nur; Nurul Anisa; Siti Qomaria Usu
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Adolescence is a critical developmental stage marked by increased vulnerability to reproductive health problems. However, evidence remains limited regarding the simultaneous contribution of Andersen’s predisposing, enabling, and need factors, together with adolescent-specific service characteristics and peer support, to the utilization of Adolescent-Friendly Health Services (PKPR) in local primary care settings. This study examined factors associated with PKPR utilization among adolescents in Bone Bolango Regency using Andersen’s Behavioral Model. A cross-sectional study was conducted in 2024 among 130 adolescents aged 15–19 years with previous primary health center service contact in the catchment areas of four primary health centers through proportional stratified and systematic random sampling. PKPR utilization was determined from primary health center records and categorized as ever or never utilized during the previous 12 months. Data were analyzed using multivariable binary logistic regression. The final model identified knowledge about PKPR (aOR = 3.809; 95% CI: 1.190-12.190), perceived need (aOR = 3.623; 95% CI: 1.299-10.106), provider preference (aOR = 4.646; 95% CI: 1.107-19.507), assessment of facilities (aOR = 3.936; 95% CI: 1.295-11.963), suitability of operating hours (aOR = 13.972; 95% CI: 3.810-51.238), and peer support (aOR = 3.756; 95% CI: 1.305-10.808) as factors independently associated with PKPR utilization. Sociodemographic characteristics and distance were not significantly associated with utilization. These findings support integrated interventions that strengthen adolescent health education, provide private and confidential counseling facilities, adjust service hours to adolescents’ schedules, improve provider responsiveness, and develop peer-supported outreach to increase PKPR utilization.
Effectiveness of Education Modules on Thalassemia Screening Awareness in Adolescents from Families with Thalassemia in Tegal City, Central Java: IN PRESS Deddy Utomo; Anny Fauziah; Sri Hidayati; Nati Fatkhiyah
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Thalassemia is a genetic disease that remains a public health problem in Indonesia, with a relatively high prevalence of carriers. Preventive measures through early screening for adolescents, especially those with a family history of thalassemia, are crucial. This study aimed to analyze the effectiveness of an educational module on increasing awareness of thalassemia screening among adolescents from families with thalassemia in Tegal City. The study used a quasi-experimental design with a one-group pretest-posttest approach. A sample of 120 adolescents was selected using purposive sampling. The intervention consisted of an educational module on thalassemia for two weeks. Data were collected using a screening awareness questionnaire and analyzed using a paired t-test. The results showed a significant increase in screening awareness scores from before (mean 58.3) to after the intervention (mean 82.7) with a p-value <0.001. The educational module was effective in increasing awareness of thalassemia screening among adolescents. Integration of the educational module into school- and family-based adolescent health programs is recommended.
Association Between Indoor Environmental Conditions and Airborne Bacterial Counts in Inpatient Rooms at I.A. Moeis Regional Public Hospital, Samarinda: IN PRESS Nur Nazliyatun Nada; Ayudhia Rachmawati; Riyan Ningsih; Blego Sedionoto; Vivi Filia Elvira
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Hospitals are highly vulnerable to indoor air pollution, particularly in inpatient rooms where interactions among patients, visitors, and healthcare workers may influence environmental sanitation and infection risk. This study aimed to assess airborne bacterial counts and indoor environmental conditions and to explore their associations in inpatient rooms at I.A. Moeis Regional Public Hospital, Samarinda. An exploratory cross-sectional environmental assessmentwas conducted in 7 rooms selected purposively based on room class and function. Airborne bacteria were measured using the Total Plate Count method, while environmental parameters included temperature, humidity, lighting, occupancy density, disinfection frequency, and ventilation conditions. Data were analyzed using univariate and correlation tests. The mean bacterial count was 317.86 CFU/m³, ranging from 98 to 397 CFU/m³, and no room exceeded the upper reference limit of 500 CFU/m³. The mean temperature was 25.5°C, above the recommended range, while mean humidity was 71% and reached 83%, exceeding the recommended range of 40–60%. Two rooms had lighting below 100 lux, and room-space compliance varied. Disinfection was performed twice daily. No significant associations were observed between bacterial counts and temperature, humidity, lighting, or occupancy density (p > 0.05). These findings should be interpreted cautiously because the small sample size (n = 7) limited statistical power. Hospitals should strengthen routine microbial monitoring, maintain ventilation and air-conditioning systems, assess airflow and air-exchange effectiveness, control temperature and humidity, manage occupancy, and consistently implement disinfection and environmental hygiene practices.
Perceived Adequacy of School Environment and Waste Management Resources Among Secondary School Students in Baiji District, Iraq: A Cross-Sectional Study: IN PRESS Sabah Ramadhan Hassan; Nazar Ahmed Mahmood
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 2 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Waste management is an important component of a safe and healthy school environment. Inadequate waste-management infrastructure and educational resources may contribute to environmental and health risks among students. This study aimed to assess students’ perceptions of the school environment and resources available for waste management in public secondary schools in Baiji District, Iraq. A school-based cross-sectional study was conducted among 427 students selected through a multistage sampling procedure. Data were collected from November 30 to December 21, 2025, using a structured self-administered questionnaire consisting of six items assessing waste-management facilities, educational activities, policies, and human resources. Descriptive statistics were used to summarize the findings. Overall, 190 students (44.5%) perceived their school environment and waste-management resources as inadequate, 110 (25.8%) as acceptable, and 127 (29.7%) as adequate. Separate bins for recyclable waste were reported as unavailable by 60.2% of students, while 59.3% reported the absence of posters or signs regarding waste disposal. In contrast, 57.6% reported the presence of a clear school waste-disposal policy, and 57.1% reported that their schools organized cleaning activities or lessons. These findings indicate important gaps in waste-management infrastructure and educational resources in the surveyed schools. Strengthening waste-separation facilities, environmental education materials, school waste-management policies, and coordination with municipal waste services may help improve waste-management practices in secondary schools.

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