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The Indonesian Journal of Public Health

IJPH
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Published by Universitas Airlangga

ISSN : 18297005 EISSN : 25408836 DOI : -

Core Subject : Health,

Public Health

The Indonesian Journal of Public Health published since 2004, is a scientific journal article presents the results of research and review of the literature on the development of science that includes the study of Public Health Epidemiology, Administration & Policy Health, Health Promotion and Behavior, Biostatistics and Demography, Environmental Health, Public Health Nutrition, and Health & Safety work. Each manuscript submitted to The Indonesian Journal of Public Health will be reviewed by the appropriate bestari partners in the field. List the name of the reviewing bestari partners article will be listed on the final number of each volume.

Arjuna Subject : -

Articles 352 Documents

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DETERMINANT FACTORS TO THE EXISTENCE OF AEDES AEGYPTI MOSQUITO IN THE WORKING AREA OF UBUD I HEALTH CENTER GIANYAR REGENCY, BALI Kadek Risma Yulina Sari
The Indonesian Journal of Public Health Vol. 16 No. 1 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Ubud I Primary Healthcare Center's working area showed an annual increase in dengue hemorrhagic fever (DHF) cases and deaths. It reported the highest DHF cases out of 13 Primary Healthcare Centers in Gianyar district. The purpose of this study was to analyze the determinants of the Aedes aegypti larvae' existence in the Ubud I Primary Healthcare Center 's working area, Gianyar district, Bali. This research was an analytic observational study with a cross-sectional study design. The research sample was 95 respondents chosen randomly using the simple random sampling technique. The high DHF cases in the Ubud I Primary Healthcare Center working area can be referred to environmental factors and community behavior factors. Interviews, larvae observation and other observations were done to collect data. Chi-square statistical test was used for data analysis. The results showed that there was a relationship between the MNE-DHF actions (p = 0.047), water PH (p = 0.001), container color (p = 0,000) to Aedes aegypti larvae' presence. On the other hand, MNE-DHF knowledge (p = 1.00) and room humidity (p = 0.357) showed no relationship with Aedes aegypti larvae' presence. Thus, it has been concluded that community actions, container color, and water pH have significant relationships with the larvae' existence. It is recommended to increase community awareness of applying more environmental management precautions.Keywords: Container’s Color, Dengue Fever, Aedes aegypti

FACTORS ASSOCIATED WITH NUTRITIONAL STATUS OF CHILDREN UNDER FIVE YEARS OF AGE IN GUNUNGSITOLI IDANOI PRIMARY HEALTHCARE CENTER Novrin Senselia Putri Ziliwu; Lina Dewi Anggraeni; Rosa Nora Lina
The Indonesian Journal of Public Health Vol. 15 No. 3 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

The number of children under five years of age suffering from underweight was 28.0% in Gunungsitoli district. Out of six primary Healthcare centers in the district, Gunungsitoli Idanoi Primary Healthcare Center Healthcarewas one of the six primary healthcare centers with the highest malnutrition prevalence. Sixty-four children under five years of age there Healthcaresuffered from malnutrition. This study aimed to identify factors associated with the nutritional status of children under five in Gunungsitoli Idanoi Primary Healthcare Center, Gunungsitoli district. It was an analytical survey with a cross-sectional approach conducted in Gunungsitoli Idanoi Primary Healthcare Center in February 2019. Data were collected using a questionnaire. This study had samples as many as 246 mothers of children under five years of age selected using a purposive random sampling technique. The bivariate analysis indicates the nutritional status of children under five was significantly associated with mother’s employment status (p=0.043) and family size (p=0.015). While the nutritional status of children under five had no significant association with mother’s knowledge of nutrition (p=0.485), mother’s education (p=0.616), family income (p=0.511), infectious disease (p=0.913), and history of breastfeeding (p=0.847). Mother’s employment status and family size affected the nutritional status of children under five. The primary Healthcare center should cooperate with stakeholders across sectors, especially conduct training for improving economic business skills of the people in the village, and promote family planning program for couples of childbearing age. Keywords: Breastfeeding, children under five years of age, underweight, mother’s knowledge, mother’s employment.

THE EMPOWERMENT OF CADRES AND TRADITIONAL BIRTH ATTENDANTS IN THE EARLY DETECTION AND PREVENTION OF STUNTING IN NORTH BOGOR DISTRICT, BOGOR, WEST JAVA Evi Martha; Nindy Audia Nadira; Trini Sudiarti; Aisyah Putri Mayangsari; Embun Ferdina Enjaini; Tika Puspa Ryanthi; Dina Evariyana Bangun
The Indonesian Journal of Public Health Vol. 15 No. 2 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Stunting associated to the increased risk of morbidity and mortality, reduced physical capacity, impaired development and function of children’s motor and mental condition. Efforts have been made by the Government through Integrated Healthcare Center (IHC), however it is less optimal as it didn’t involved all aspects of the community. Cadres and TBAs are important parts of the community that are strategic enough to be involved in this activity, because they are very close to mothers and the community.This program aims to improve the knowledge and practice of 31 cadres and traditional birth attendants (TBA) in early detection and prevention of stunting and implement their knowledge to the community by using lecture, discussion, practice, and film screening methods. There is a significant difference in the knowledge level of cadres and TBA between pre and post training (p value = 0.0005) with knowledge improvement of 30.68%. Furthermore, cadre and TBA did a Follow-Up Plan (FUP) in the form of stunting socialization and education, particularly to the expectants and mothers, with the results of about 124 people exposed to stunting. To monitor FUP, team formed a total of 3 Whatsapp Groups for each village as a forum of communication and discussion between fellow participants to PHC and Research Team. As the result, almost all trainees informed the FUP through Whatsapp group, in the form of socialization and education to other cadres and mothers during IHC, recitations, village activities, sports activities, as well as family or neighbors individually, etc. Through the empowerment of cadres and TBA, education on early detection and prevention of stunting goes according to expectations and is quite effective to the role of cadres and TBA in the community.Keywords: stunting, cadre, traditional birth attendant, empowerment

THE ANALYSIS OF DECLINING OUTPATIENT VISITS IN SURABAYA SURGICAL HOSPITAL USING AN INTERNAL BUSINESS PROCESS PERSPECTIVE Fina Aprilia
The Indonesian Journal of Public Health Vol. 15 No. 2 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Patient visitation is one of the hospital performance indicators. There are several factors which influence the decrease of patient visitation in a hospital. This study aims to identify the factors that caused the decrease of outpatient visitations at Surabaya Surgical Hospital based on the internal business process perspective. This study used a quantitative research method which used a cross-sectional design and descriptive approach. The participants of the checklist sheet-based interview involved health assurance, marketing, human resources, outpatients, and emergency room, while the questionnaire-based interview involved 79 outpatients and 23 employees at Surabaya Surgical Hospital. The research variables included innovation development, operational process, and customer management processes (marketing). The results showed that there was one variable that had a lesser average value, i.e., the customer management processes variable (marketing) with a poor average value (2.49). Particularly, the indicators which had the lowest score from the others on average were promotion and communication. In conclusion, the decrease of outpatient visitation at Surabaya Surgical Hospital was caused by one variable with lesser average value, i.e., the customer management processes (marketing) on the promotion and communication indicator. This is because the promotions advertised by the hospitals are not much known by the society.Keywords: internal business process, outpatients, Surabaya Surgical Hospital

ACTIVE SMOKING AND EXPOSURE TO PASSIVE SMOKING AMONG PREGNANT WOMEN ATTENDING A PRIMARY HEALTH CENTRE IN TEMANGGUNG, INDONESIA Herlina Mayangsari; Mohammad Afzal Mahmood
The Indonesian Journal of Public Health Vol. 16 No. 1 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Smoking during pregnancy threatens the health of mothers and their fetus. There are limited data in Indonesia about risk factors associated with smoking during pregnancy. This study aimed to explore levels of smoking, exposure to second-hand smoke (SHS), and related risk factors among pregnant women. Pregnant women who received antenatal care at the Temanggung Primary Health Centre in Central Java, Indonesia were interviewed face-to-face. They were asked about their smoking status, socio-economic status, pregnancy characteristics, and knowledge about health risks associated with smoking. A total of 80 participants were interviewed, and none of whom reported smoking, but the majority of whom (91.3%) reported exposure to SHS. This is a significant proportion when compared to rates of exposure to SHS recorded in other countries. The age of the mother affected the likelihood of exposure to SHS, with older mothers having a reduced likelihood of SHS exposure (p = 0.013; OR = 0.8; 95% CI = 0.74-0.96). However, the number of pregnancies, ANC visits, level of education, income, and awareness of the health risks associated with smoking were not found to be statistically significant. Although women appeared to be relatively aware of the negative effects associated with smoking and SHS exposure, the high incidence of passive smoking illustrated the challenges encountered by women in avoiding SHS. ANC programme should place greater stress on the dangers of SHS exposure, and also involve the whole family. Additionally, laws should be enacted to restrict or prohibit smoking in public places.Keywords: pregnant women, second-hand smoke, smoking

ANALYSIS OF ACCEPTANCE OF E-HEALTH APPLICATION BY USERS IN PRIMARY HEALTHCARE CENTER IN SURABAYA CITY Ni Made Mira Wahyu Astani; Ni Luh Putu Arum Puspitaning Ati; Ernawaty Ernawaty
The Indonesian Journal of Public Health Vol. 16 No. 1 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

This study used the observational quantitative method to analyze the acceptance of information technology in the form of thee-Health. The theory of acceptance was further analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. UTAUT model is the latest unified model that is an appropriate to explain the acceptance and use of information systems. The research objective was to analyze perceptions of the use of e-Health applications in the Surabaya City Health Center. The research design method used was cross-sectional design. The selected samples of 100 people were determined by multistage sampling in primary healthcare centers in every area of Surabaya. The independent variables in this study were performance expectancy, effort expectancy, social influence and behavioral intention while the dependent variable was the use of e-Health applications. Data were collected through questionnaires delivered via interviews. The results showed that the lowest indicator of acceptance by the users was the time needed to input data category to the e-Health application. This study concludes that the acceptance of e-Health by users primary healthcare centers in Surabaya is low. This study suggests a more widespread dissemination of information regarding the benefits of the use of e-Health along with technical assistance and guidance on the use of e-Health applications.Keywords: UTAUT Model, e-Health application, primary healthcare center, acceptance

CHARACTERISTICS OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AT SURABAYA HAJI GENERAL HOSPITAL Ismianti Lifia Bestari
The Indonesian Journal of Public Health Vol. 15 No. 3 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Diabetes mellitus is a chronic disease due to impaired blood glucose levels. Type 2 diabetes mellitus dominantly causes most deaths in the world. The number of patients with type 2 diabetes mellitus (DM) was ranked the second highest at the Surabaya Haji General Hospital. Purpose: This study described characteristics of patients with type 2 DM at the Surabaya Haji General Hospital. Methods: This study was descriptive and used a cross-sectional research design. This study’s population were patients with type 2 DM who visited Diabetes Unit at Surabaya Haji General Hospital. This study was conducted in the Diabetes Unit at the Surabaya Haji General Hospital by involving 114 respondents as the samples. These respondents were interviewed using questionnaires from 11 March to 11 April 2019. The study’s variables were patients’ characteristics including age, gender, family history, and disease duration. Data were analyzed using a univariate analysis with a frequency table. Results: Almost all of patients with type 2 DM at Surabaya Haji General Hospital were aged ≥40 years (94.7%) and female (71.9%). The majority of patients had a family medical history of type 2 diabetes mellitus disease (60.5%) and long disease duration of >5 years (5.,4%). Conclusion: Almost patients with type 2 DM in Surabaya Haji General Hospital were elderly who had a family medical history of diabetes mellitus and had suffered from type 2 diabetes mellitus for >5 years.Keywords: diabetes mellitus, characteristics, hospital, descriptions.

THE INFLUENCE OF SNAKES AND LADDERS GAME TO IMPROVE KNOWLEDGE AND ATTITUDES OF ELEMENTARY SCHOOL STUDENTS ABOUT STOP BABS IN BANDUNG CITY Miki Kurnia Fitrizah; Ardini S. Raksanagara; Ridad Agoes
The Indonesian Journal of Public Health Vol. 15 No. 2 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Increased knowledge and attitude on students can be done by using interesting, convenient, and simple health promotion method or media such as snake and ladder game. This study is aimed to measure and analyze the effectivenes of snake and ladder game and Triggering stop BABS on elementary school students’ knowledge and attitude. The research method used is true experiment approach to the design of two group pre-test post-test design. The samples were 62 respondents, 31 for triggering group and 31 for snake and ladder game group. The research instrument was questionnaire. Analyzing data used R Commander program. The result indicated that There were significant differences improvement of knowledge and attitude of students before and after snake and ladder game stop BABS (p=0.0001 for knowledge, P=0.0001 for attitude). There were significant differences in knowledge and attitude level of students before and after the triggering (p=0.0001 for knowledge, p=0.0001 for attitude). There were no Effectiveness difference between triggering and snake ladder game (p=0,556) (p=0,226).The result of analysis also indicated that provision health education through both snake and ladder game and Triggering Method have impact to improvement knowledge and attitude of elementary schools students. Snake and ladder game can be used as alternative health education media in school.Keywords: Snack and Ladder Game, Triggering, Knowledge, Attitude

THE INFLUENCE OF BEHAVIOR INTENTION, PERSONAL AUTONOMY, ACCESSIBILITY OF INFORMATION, AND SOCIAL SUPPORT ON THE COMPLIANCE OF THE USE OF PPE AT PT. PLN Fanny Tri Cahyani; Sri Widati
The Indonesian Journal of Public Health Vol. 16 No. 1 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

The International Labor Organization states that more than 250,000,000 workplace accidents, more than 160,000,000 become ill because of hazards caused by the workplace, and 1,200,000 workers died due to their workplaces each year. Workplaces that have high levels of danger can cause harm to workers, and thus, companies as well. One effort to reduce the risk of danger is the use of Personal Protective Equipment (PPE). Compliance with the use of PPE is influenced by many factors. This study aims to analyze the influence of behavioral intention, personal autonomy, accessibility of information, and social support in complying with the use of PPE. This study was analytic observational and used the cross-sectional research design. The population of this research, amounting to 44 workers, were all employees at PT. PLN. The sample size was 41 samples selected using the simple random sampling method. This study shows (1) behavioral intention had no effect on compliance with the use of PPE (sig.= 0.581), and (2) personal autonomy had no effect on compliance with the use of PPE (sig. = 0.075). Meanwhile, (3) social support had no effect on compliance with the use of PPE (sig. = 0.575). However, accessibility of information affected the use of PPE (sig. = 0.042). To maintain compliance with the use of PPE, researchers suggest to continue health promotion, conduct monitors, and implement a reward and punishment system for workers.Keywords: accessibility of information, behavior intention, personal autonomy, personal protective equipment, social support

RECOMMENDATION OF DIPHTHERIA ANTITOXIN TO DIFFERENT SUSPECTS DURING THE DIPHTHERIA OUTBREAKS,LUMAJANG DISTRICT IN 2018 Munif Arifin
The Indonesian Journal of Public Health Vol. 15 No. 3 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

The number of diphtheria suspects in Lumajang district was the second highest in East Java province during the diphtheria outbreaks in 2018. The number of diphtheria cases was more than 500% in 2018 compared to 2017. To give diphtheria antitoxin (DAT), the provincial diphtheria expert team consider various suspects’ characteristics for DAT recommendation as DAT supplies are limited. This case report aimed to explore and describe the relationship between diphtheria suspects’ characteristics, including age, gender, symptoms, immunization status, duration of disease, and contact status with other suspects according to the DAT recommendations from the expert team. This case report was descriptive and used a cross-sectional approach. It was conductedduring the diphtheria outbreaks and involved total samples of all suspects. Based on age, the majority of the suspects (92%)were under 19 years old. Suspects at this age were the target of an outbreak response immunization (ORI) program. Those who were not targetted to receive ORI (aged over 19 years) began to appear in November and mostly in December. The trend of non-ORI targetted age increased after the third round of ORI implementation. According to the report form parents, most suspects (46.7%) had complete immunization status, and only 6.7% of their immunization records were reported on growth chart cards. All suspects with positive diphtheria never had and know routine immunization records. The laboratory tests show only 5% were suspected with positive diphtheria with a cultural type of mitis toxigenic. As many as 32% of the total suspects were recommended for DAT treatment. The use of controlled DAT could save 1,640,000 iU. Keywords: Diphtheria, outbreak response immunization, diphtheria antitoxin.

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