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Public Health of Indonesia
ISSN : 24771570     EISSN : 24771570     DOI : -
Core Subject : Health,
Public Health of Indonesia is an International, peer-reviewed, and open access journal emphasizing on original research findings that are relevant for developing country perspectives including Indonesia. The journal considers publication of articles as original article, review article, short communication / brief reports, Education forum, letters to editor, case reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are preferred.
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Articles 12 Documents
Search results for , issue "Vol. 10 No. 4 (2024): October - December" : 12 Documents clear
Clinical Spectrum and Factors Associated to Post Covid Syndrome in Healthcare Workers Sinaga, Joshua Princeman; Sinaga, Bintang Yinke Magdalena; Siagian, Parluhutan; Eyanoer, Putri Chairani; Samodra, Yoseph Leonardo
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.844

Abstract

Background:Post-COVID Syndrome (PCS) is a newly recognized condition reported by approximately 45% of individuals following COVID-19 infection. This syndrome is estimated to affect the health-related quality of life in 10–30% of affected individuals. Objective:To examine the characteristics of Post-COVID Syndrome among healthcare workers at Adam Malik Hospital. Methods:This study employed a cross-sectional descriptive design. Data were collected using structured questionnaires administered to healthcare workers at Adam Malik Hospital who had contracted COVID-19 between 2020 and 2022. Results:A total of 120 participants were included in the study. The sample was predominantly female (78.3%), with the youngest age group (19–30 years) comprising 37.5% of participants. Most participants had direct exposure to patient care (78.3%) and were confirmed COVID-19 positive in 2021 (42.5%). Notably, 45.0% of participants were unvaccinated, 20.9% had a history of hospitalization, and 78.3% experienced mild COVID-19 infections. Hypertension was identified as the most common comorbidity. Participants were categorized as experiencing Acute PCS (43.9%) or Chronic PCS (56.1%), with both groups exhibiting similar predominant symptoms, including fatigue, persistent cough, memory impairment, and cognitive difficulties. Statistically significant associations were identified between PCS and variables such as sex (p=0.004, OR=0.27), age (p=0.015, OR=4.46), severity of prior COVID-19 infection (p=0.040, OR=1.77), vaccination status (p<0.001, OR=3.82), and the presence of comorbidities (p=0.025, OR=2.53). Conclusion:Post-COVID Syndrome is characterized by multifactorial etiologies and heterogeneous clinical manifestations. Factors such as gender, age, vaccination status, comorbid conditions, and severity of prior infections were significantly associated with PCS outcomes. Gender-related differences, potentially influenced by immune response, hormonal mechanisms, and antibody production, appear to contribute to variations in PCS manifestations. These findings underscore the need for further research to elucidate the epidemiology, clinical presentations, and pathological mechanisms underlying this emerging post-viral condition.  Keywords:Post-COVID Syndrome; healthcare workers; COVID-19; clinical manifestations; post-viral sequelae
The Utilization of Herbal Products for Public Health in Indonesia: The Role of Social Influence and Health Value on Intentions to Use Herbal Products Widyaningtyas, Dian
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.845

Abstract

Background:The utilization of herbal products has gained increasing recognition within the healthcare sector. The COVID-19 pandemic has significantly influenced public demand and behavioral shifts toward herbal product usage. Additionally, the distribution of these products has become more widespread. Objective:This study aims to identify the factors influencing public intentions to use herbal products, with a particular focus on the roles of social influence and health value. Method:The study utilized a sample of 275 primary data points collected from consumers of herbal products in major cities across Indonesia. Responses were measured using a five-point Likert scale. Structural Equation Modeling (SEM) was employed to examine the relationships between social influence, attitudes, health value, and the intention to use herbal products. The survey consisted of two parts: the first gathered demographic and personal information for classification purposes, while the second comprised questions related to four variables that explored respondents' perceptions of herbal products. Partial Least Squares (PLS) analysis was used to investigate these phenomena. Results:The findings revealed that health value significantly influences the intention to use herbal products (p-value = 0.000; t-statistic = 26.909). Similarly, attitudes were shown to have a significant effect on intention (p-value = 0.038; t-statistic = 2.083). Conclusion:The study demonstrates that health value and attitude positively influence the intention to use herbal products. These findings contribute to a deeper understanding of trends in herbal product consumption and their implications for public health in Indonesia. Keywords:herbal products; social influence; health value; public health; Indonesia
Anemia in Human Immunodeficiency Virus Infection: Exploring the Interplay Between Antiretroviral Therapy, Opportunistic Infections, Iron Status, and Anemia Murtiani, Farida; Tanjungsari, Dian Wahyu; Shidiq, Achmad; Herlina, Herlina; Dinar Widiantari, Aninda; Nurhayati, Nurhayati; Wirasmi, Sundari; Despitasari, Mieska; Yulianto, Aris; Hendarwan, Harimat
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.848

Abstract

Background:Anemia is a prevalent hematological complication among individuals with Human Immunodeficiency Virus (HIV), contributing significantly to increased morbidity and mortality. This study investigates the intricate relationships between antiretroviral therapy (ART), opportunistic infections (OIs), iron metabolism, and anemia in HIV-positive patients in Indonesia. Objective:To elucidate the multifactorial associations among ART regimens, opportunistic infections, iron biochemical parameters, and anemia development in individuals living with HIV. Method:A cross-sectional epidemiological study was conducted at Sulianti Saroso Infectious Disease Hospital, Indonesia, from July to November 2023. The study involved 300 adult HIV-positive patients undergoing ART, with exclusion criteria encompassing pregnant or postpartum individuals, those with recent blood transfusions, and patients with chronic kidney diseases. Data collection included anemia status, ART regimen details, history of opportunistic infections, and iron metabolic profiles (serum iron, total iron-binding capacity [TIBC], and ferritin levels). These were obtained through systematic medical record reviews and laboratory diagnostics. Descriptive statistics, bivariate, and multivariate analyses were employed to explore predictive factors for anemia. Results:The study identified an anemia prevalence of 24.3%, with significantly higher rates among female patients (p = 0.004) and older age groups (p = 0.031). Multivariate regression analysis highlighted critical predictors of anemia: second-line ART (adjusted odds ratio [AOR]: 2.536, p = 0.028), serum iron concentrations (AOR: 0.984, p < 0.001), ferritin levels (AOR: 1.002, p = 0.023), and absolute lymphocyte count (AOR: 0.516, p = 0.003). Conclusion:The findings emphasize the necessity of longitudinal monitoring of hematologic and biochemical parameters to enhance anemia management in HIV-infected populations. The complex interplay between ART regimens, immune status, and iron metabolism underscores the importance of tailored, patient-centered clinical interventions.  Keywords:anemia; HIV; antiretroviral therapy; opportunistic infections; iron metabolism
Knowledge, attitude, practice and compliance to weekly iron supplementation among female public junior high school students in West Papua Isnaini, Yuni Subhi; Pihahey, Priscilla Jessica; Bahra, Bahra; Mintaningtyas, Sestu Iriami; Simanjuntak, Melicha Kristine; Fabanjo, Ivonne Junita
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.858

Abstract

Background:Research indicates that the total iron intake among female adolescents aged 10–12 years who experience anemia is approximately 5.4 mg/day, significantly lower than the recommended daily requirement of 20 mg/day according to the 2013 Indonesian Nutritional Guidelines (AKG). To address this issue, the Indonesian government has implemented the Pemberian Tablet Tambah Darah pada Remaja Putri(PPAGB) program, which involves administering one iron tablet weekly over 12 months. However, the program's effectiveness is hindered by insufficient awareness of anemia's consequences and resistance among adolescents to consume iron tablets regularly. Objective:This study aimed to examine the association between female students' knowledge, attitudes, and practices (KAP) and their adherence to consuming iron supplements at Public Junior High School 08 Prafi, Manokwari, Papua. Methods:A school-based cross-sectional study was conducted between August and November 2023 among adolescent girls. A total of 226 participants were enrolled, divided into two phases: 75 participants in the first phase and 151 in the second. Weekly supplementation was provided for 12 weeks using 60 mg iron tablets. Data were analyzed using univariate, bivariate, and multivariable logistic regression analyses with SPSS version 27 to determine significant associations between adherence to iron tablet consumption and related variables at a significance level of p < 0.05. Results:Multivariate logistic regression analysis identified that accurate knowledge (OR = 0.403; p < 0.05), positive attitudes (OR = 0.226; p < 0.001), and frequent best practices (OR = 0.449; p < 0.05) were significantly associated with higher adherence to iron tablet consumption among female students. Conclusion:The findings suggest that enhancing female students' knowledge, attitudes, and practices regarding anemia and iron supplementation is crucial for improving adherence to iron tablet programs. Effective interventions should include educational initiatives to raise awareness about anemia and its consequences, alongside strategies to promote positive health behaviors. Keywords:knowledge; attitude; practice; compliance; iron supplements; anemia; Papua; Indonesia
A statistical study about vaccines used against Covid-19 in Nineveh Governorat Iraq Nayyef Mustafa, Khalidah
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.864

Abstract

Background:A total of 518 individuals vaccinated with three different COVID-19 vaccines were included in this study. The majority received the Pfizer vaccine, which was associated with mild side effects, while others experienced more severe symptoms such as headache and fever. Objective:To evaluate the types of COVID-19 vaccines administered, the age distribution of vaccinated individuals, and the vaccines' efficiency and safety, assessed by two criteria: prevention of reinfection and reduction of side effects. Methods:A cross-sectional study was conducted using a structured questionnaire from June 2021 to January 2022. Data were collected through in-person interviews, verification of vaccine cards, and personal information, followed by statistical analysis of the gathered data. Results:The most vaccinated age group was 36–50 years. The distribution of vaccines administered included Pfizer (86.4%), AstraZeneca (8.5%), and Sinopharm (5.4%). Vaccine effectiveness, based on the absence of reinfection post-vaccination, was highest for Pfizer (90.1%), followed by AstraZeneca (86.4%) and Sinopharm (78.6%). Adherence to preventive and sterilization measures was observed among vaccinated individuals, with 31.3% adhering completely and 49.4% adhering partially. Conclusion:The vaccines studied included Pfizer, AstraZeneca, and Sinopharm. The most vaccinated age group was 36–50 years, while the least vaccinated group comprised individuals over 50 years. All vaccines demonstrated mild side effects, with Pfizer being the most effective, followed by AstraZeneca and Sinopharm. Keywords:COVID-19 vaccines; age groups; vaccine safety; adherence post-vaccination
Voices from Rural Thailand: Understanding the Root Causes of Adolescent Pregnancy Panjarut, Laisuwannachart; Chamroonsawasdi , Kanittha; Vatanasomboon , Paranee; Kittipichai , Wirin
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.870

Abstract

Background: Adolescent pregnancy is an important global health concern. Almost 21 million adolescent women between the ages of 15 and 19 in developing countries become pregnant, and approximately 12 million of them give birth annually. Adolescent pregnancy has consequences for the health, social, and economic outcomes of adolescent women, their babies, and their families. Those in rural areas are particularly vulnerable due to poverty, inadequate education, limited access to contraception, and traditional beliefs. Objective:This qualitative study aims to explore the root causes of adolescent pregnancy in rural Thailand. Methods: This qualitative study was conducted from August to September 2023. We collected data through in-depth interviews with three mother-daughter dyads, whose daughters experienced adolescent pregnancy, and focus group discussions among four healthcare providers and four school teachers. We transcribed the data verbatim and applied thematic analysis. Results: The findings showed that the root causes of adolescent pregnancy include: 1) inadequate problem-solving skills to prevent adolescent pregnancy; 2) ineffective sexual communication; 3) poor family relationships; and 4) poor behavior control to prevent adolescent pregnancy. Conclusion:Our findings reveal the root causes of adolescent pregnancy in rural Thailand. Understanding these factors allows us to better address the unique challenges faced by adolescents in these communities. We should focus on these factors to design tailored interventions and involve multilevel stakeholders, including family, school, and healthcare services to prevent adolescent pregnancy. Keywords: Adolescent pregnancy; family functioning; mother-daughter dyads; The root causes; Thailand
The Determinants of Nutritional Status of Workers in Manufacturing Sector Damayanti, Ratih; Lutfiya , Indah Lutfiya; Noviarmi, Fadilatus Sukma Ika Noviarmi
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.872

Abstract

Background:The manufacturing industry is a sector that transforms raw materials into finished goods. Nutritional status plays a critical role in determining a worker's productivity, with poor nutritional status often associated with reduced efficiency. Objective:This study aimed to analyze the relationship between various factors and the nutritional status of workers in the manufacturing sector in Surabaya, Indonesia. Methods:This analytical observational study utilized a cross-sectional design. Data collection was conducted from January to March 2023 among manufacturing workers at PT A in Surabaya, East Java Province, Indonesia. Of the total 500 workers, 370 respondents were selected as the study sample. Independent variables included gender, marital status, education level, smoking habits, number of children, exercise habits, contraceptive method usage, and workload level. The dependent variable was nutritional status. Statistical analysis was performed using the Spearman correlation test and the contingency coefficient correlation test to evaluate the relationships between variables. Results:The majority of workers at PT A were male, had a high school education, were married, had 1–2 children, did not use contraceptive methods, were non-smokers, exercised infrequently, and had a moderate physical workload. Significant associations were found between nutritional status and variables such as gender, marital status, contraceptive method usage, smoking habits, and workload level. However, no significant relationships were observed between nutritional status and educational background or the number of children. Conclusion:Among the factors examined, workload level demonstrated the strongest association with nutritional status, likely due to its direct impact on the physical activity required during job tasks. This finding highlights the importance of considering workload in strategies aimed at improving workers' nutritional health. Keywords:determinants; nutritional status; workforce; manufacturing industry
Prevalence of Hepatitis B Virus and Associated Factors Among Pregnant Mothers Attending Antenatal Care in Public Hospitals, Afar Region, North Eastern Ethiopia Edris, Hussen; SREEMANARAYANA , V.
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.874

Abstract

Background:Hepatitis B kills a large number of individuals every year all over the world. Despite the critical nature of this issue, the extent of hepatitis B virus infection among pregnant women in the Afar Region remains unknown. Therefore, this study aimed to assess the Prevalence of the Hepatitis B Virus and its associated factors among pregnant women Attending Antenatal Care in Public Hospitals in Afar, Ethiopia. Method:A hospital-based cross-sectional study was conducted from August 1, 2023, to August 2, 2024, involving 442 pregnant women attending antenatal care at five public hospitals in the Afar Region. Structured and pretested questionnaires were used to collect socio-demographic data and associated factors. Blood samples were collected from each consenting participant after the interviews to assess their HBV status. The data was analyzed using SPSS, applying bivariate and multivariable logistic regression methods to identify associations and determine statistical significance, with a p-value threshold of less than 0.05. Result:The overall Prevalence of hepatitis B virus infection was 12.7% (95% CI: 9.7-16.1). Hepatitis B virus infection had a significant association with a family history of the virus (AOR=3.92; 95% CI [1.26-12.14]), sharing sharp objects (AOR=3.83; 95% CI [1.16-12.6]), female genital mutilation (AOR=4.77; 95% CI [1.02-22.3]), extraction of teeth (AOR=5.22; 95% CI [2.54-10.7]), and hospital admissions (AOR=2.48; 95% CI [1.15-5.35]). Conclusion:This study revealed a high prevalence of HBV in specific public hospitals in Ethiopia's Afar regional state. The study found that a history of Hepatitis B virus in the family, sharing of sharp objects, having teeth extraction, hospital admission, and female genital mutilation are important risk factors that lead to the high viral Prevalence in the Afar Region. Establishing comprehensive prenatal screening programs, educating the public, and considering cultural considerations are essential to solving this public health issue. Keywords: hepatitis B prevalence; pregnant women; antenatal care; public hospitals, Ethiopia
Determinants of Tuberculosis Disease in the Coastal Area of Kulisusu Sub District, Indonesia Saparina L, Titi; Akbar , Muhammad Ikhsan; Tasnim, Tasnim; Mulyani, Sri; Noviati, Noviati
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.875

Abstract

Background:Tuberculosis (TB) continues to be a significant public health issue in the coastal area of Kulisusu Sub-District, North Buton Regency, Indonesia. The prevalence of TB in this region has been increasing steadily, with 294 reported cases in 2023, compared to 281 cases in 2022. As an infectious disease, tuberculosis requires effective control strategies, which necessitate identifying its key determinants. Objective:This study aims to identify the risk factors associated with tuberculosis in Kulisusu Sub-District, North Buton Regency, Southeast Sulawesi Province, Indonesia. Methods:This quantitative research employed a case-control study design. The study population consisted of 172 individuals, with a sample of 25 cases and 25 controls, selected through proportional random sampling and age matching. Data analysis was conducted using univariate and bivariate analysis, with statistical significance tested using the Odds Ratio (OR). Results:The Odds Ratio (OR) analysis revealed the following risk factors for tuberculosis: knowledge (OR = 11.156), income (OR = 4.333), smoking habits (OR = 8.500), and residential density (OR = 5.630). These findings indicate that poor knowledge, low income, smoking habits, and high residential density are significant risk factors for tuberculosis in the Kulisusu Sub-District. Conclusion:The key determinants of tuberculosis in Kulisusu Sub-District include knowledge, income, smoking habits, and residential density. Health promotion strategies aimed at reducing TB prevalence should focus on these factors, with comprehensive and sustainable approaches to prevention. Keywords:knowledge; income; smoking habits; residential density; tuberculosis; Indonesia
The Risk Factors Contributing to The Occurrence of Pulmonary Tuberculosis in The Small Island of South Sulawesi, Indonesia Susilawaty, Andi; Basri, Syahrul; Haerana, Bs Titi; La Ane, Ruslan; Mappau, Zrimurti; Ikhtiar, Muhammad
Public Health of Indonesia Vol. 10 No. 4 (2024): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i4.876

Abstract

Background:Pulmonary tuberculosis (PTB) has emerged as the leading cause of death among infectious diseases globally. This is attributed to a complex interaction of factors, including host-related risk factors, infecting agents, and environmental conditions. The Southeast Asia and West Pacific regions account for 58% of all tuberculosis cases, with Indonesia reporting the second highest prevalence of tuberculosis globally (10%), following India, which accounts for 23% of global cases. Objective:This study aimed to investigate the risk factors associated with the incidence of pulmonary tuberculosis on small islands in South Sulawesi, Indonesia. Methods:This research employed a case-control study design. Several explanatory variables were considered: age, gender, knowledge, nutritional status, occupant density, ventilation area, humidity levels, and type of flooring. The occurrence of pulmonary tuberculosis was designated as the dependent variable. The study sample consisted of 240 respondents, with 120 cases and 120 controls, all residing on three small islands—Sembilan Island, Balang Lompo Island, and Salemo Island—all sharing similar characteristics. Results:The study identified several factors associated with an increased risk of pulmonary tuberculosis. These factors included gender (OR = 1.71, 95% CI 0.61-4.77), knowledge (OR = 3.143, 95% CI 1.06-9.26), occupant density (OR = 1.52, 95% CI 0.42-5.47), area of ventilation (OR = 6.00, 95% CI 1.17-30.72), humidity (OR = 3.763, 95% CI 1.03-13.64), and type of floor (OR = 1.144, 95% CI 0.41-3.16). In contrast, age and nutritional status were not identified as risk factors for pulmonary tuberculosis. Conclusion:Environmental factors such as occupant density, area of ventilation, humidity, and type of floor were found to be significant risk factors for the incidence of pulmonary tuberculosis in small islands of South Sulawesi. These findings highlight the need for targeted interventions addressing these modifiable environmental conditions to reduce the burden of tuberculosis. Keywords:risk factors; incidence; pulmonary tuberculosis; nutritional status; environmental factors; Indonesia

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