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Public Health of Indonesia
Published by Ikatan Ahli Kesehatan Masyarakat Indonesia
ISSN : 24771570     EISSN : 24771570     DOI : -
Core Subject : Health,
Public 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 20 Documents
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Search results for , issue "Vol. 11 No. 4 (2025): October - December" : 20 Documents clear
The Effectiveness of Flashcards Media in Increasing Parents' Knowledge and Perceptions about The Reproductive Health of Elementary School-Age Children Kusumaningrum, Tanjung Anitasari Indah; Kusumawati , Yuli; Inayati , Nurul Latifatul; Umaroh, Ayu Khoirotul; Hidayat, Muhamad Taufik; Livia, Wardhatul; Syifa, Asy; Trijaya; Nabilla, Nur Jihan Luthfia; Nugroho, Purwo Setiyo
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1135

Abstract

Background: Elementary school-age children need to get reproductive health information, but parents still have negative perceptions and a lack of knowledge about reproductive health in elementary school children. Objectives: This study aims to analyze the effectiveness of using flash cards as educational media to improve parents' knowledge and perceptions of reproductive health education in elementary school-age children. Methods: This quasi-experimental study was conducted with a pretest-posttest control group design in June 2024. The participants in this research were parents of children in grades 1-3 at two elementary schools in Kartasura, with 32 people in the experimental group and 32 in the control group. Statistical analysis used a paired t-test for knowledge, and a Wilcoxon signed rank test for perception. The effectiveness of flashcards on parents' knowledge was tested with an independent t-test, and perception was tested with the Mann-Whitney U test.  The significance level was 5%. Results: The result was an increase in the mean score of knowledge (p-value<0.001) and perception (p-value=0.023) in the intervention group. The mean score did not increase in the control group on these variables. The intervention and control groups differed in parents’ average knowledge (p-value=0.0496) and perception (p-value=0.0036) regarding reproductive health. Conclusions: Flashcards effectively improved parents' knowledge and perceptions about reproductive health education.
The Effect of Reminiscence Exercise Therapy and Nursing Resource Management on the Psychological Well-being of Elderly in Nursing Homes: A Multi-Perspective Study Mendrofa, Fery Agusman Motuho
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1136

Abstract

Background: The aging population in Indonesia continues to grow rapidly, with projections reaching 19.8% by 2045 according to Indonesia's Central Bureau of Statistics (2022). Elderly individuals in nursing homes face complex physical and psychosocial challenges that require comprehensive interventions. Objectives: This study aimed to analyze the combined effect of Reminiscence Exercise Therapy (RE) and nursing resource management optimization on the psychological well-being of elderly residents in nursing homes. Method: This study employed a quasi-experimental design with a sequential explanatory mixed-methods approach. The quantitative component used a pre-post test design with three groups (n=72): RE intervention with nursing resource management optimization (combined intervention), RE intervention only, and control group. Data collection included Geriatric Depression Scale (GDS-15), Satisfaction With Life Scale (SWLS), and Timed Up and Go (TUG) test. The qualitative component involved in-depth interviews with nurses (n=12) and managers (n=6) to explore implementation processes. Results: Both intervention groups showed significant improvements in all three parameters compared to the control group (p<0.001). However, the combined intervention group demonstrated significantly greater improvements than the RE-only group in GDS-15 scores (mean difference -1.46, p=0.023), SWLS scores (mean difference 3.45, p=0.002), and TUG test (mean difference -1.44 seconds, p=0.034). Qualitative analysis identified four main themes: (1) synergy between reminiscence-based care and management practices, (2) empowerment of nursing staff in person-centered care approaches, (3) optimization of resource allocation for reminiscence activities, and (4) implementation barriers at system level. Conclusion: An integrated approach combining Reminiscence Exercise Therapy with nursing resource management optimization is significantly more effective in improving psychological well-being and functional mobility of elderly nursing home residents compared to RE Therapy alone or standard care. This study highlights the importance of considering organizational and management factors when implementing psychosocial interventions in nursing homes. Future research should explore the long-term sustainability of this integrated approach in various organizational contexts.
Determinants of HIV/AIDS Prevention Behavior Among Men Who Have Sex with Men: A Mixed-Methods Study in Palu, Indonesia Fadjriah, Rasyika Nurul; Khairunnisaa; Mu’minsyah; Arifuddin, Adhar; Rahman, Abd
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1141

Abstract

Background: Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) remain global health challenges, particularly among men who have sex with men (MSM), who face biological and social vulnerabilities. In Indonesia, MSM represent a key population with high HIV prevalence, and Palu City reports the highest number of HIV cases in Central Sulawesi, underscoring the need for targeted prevention. Objectives: This study examined the relationship between knowledge, attitudes, infrastructure availability, healthcare provider support, peer influence, stigma/discrimination, and family support with HIV/AIDS preventive behavior among MSM at Talise Health Center, Palu. Methods: An explanatory mixed-methods design was used. The quantitative phase applied a cross-sectional approach with total sampling of 30 MSM, analyzed using univariate and bivariate (Chi-Square) tests. The qualitative phase involved case studies with in-depth interviews of 10 informants. Results: Overall, 43.3% of MSM showed good preventive behavior. Significant associations were found between infrastructure availability, peer influence, family support, and stigma/discrimination with HIV/AIDS preventive behavior (p<0.05). No significant relationship was observed for knowledge or healthcare provider support (p>0.05). Qualitative findings revealed that although MSM possessed adequate knowledge, this did not consistently lead to preventive actions. Conclusions: HIV/AIDS preventive behavior among MSM in Talise remains suboptimal. Key influencing factors include attitudes, family support, infrastructure, peer influence, and stigma/discrimination. Strengthening empowerment programs to reduce stigma and enhance community support is essential to improve prevention efforts.
The Impact of Hyperthermia on The 30-Day Functional Recovery Outcome of Stroke Patients at a Hospital In Vietnam Pham, Tho Kieu Anh; Pham, Van Phuong; Nguyen, Vu Hien; Tran, Van De; Nguyen, Thanh Tan
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1145

Abstract

Background: Hyperthermia is associated with adverse outcomes in patients with neurological injuries. However, in Vietnam, there is limited research on this association among both stroke patients and hemorrhagic stroke patient groups. Objective: This study aims to determine the rate of hyperthermia and some factors related to hyperthermia in stroke patients, as well as evaluating the impact of hyperthermia on the 30-day motor recovery outcomes of stroke patients. Methods: This descriptive, cross-sectional study was conducted on all patients diagnosed with acute stroke and treated as inpatients at a Hospital in Vietnam, from May 1, 2023, to July 31, 2023. The 30-day outcomes of stroke patients were collected 30 days post-discharge during an outpatient clinic visit, assessed using the modified Rankin Scale (mRS) for motor function recovery. Results: Of the 262 acute stroke patients included in this study, 33.3% of them had hyperthermia (defined as a body temperature > 37.5°C), with the frequency of hyperthermia episodes increasing significantly after the first 72 hours post-admission (52.9%). An NIHSS score above 5 (OR=5.31; 95%CI: 1.78-15.90; p=0.003), infection status (OR=168.16; 95%CI: 40.59-696.74; p<0.001), and ischemic stroke classification (OR=31.45; 95%CI: 8.52-116.05; p<0.001) were found to be associated with hyperthermia in stroke patients. Additionally, the number of hyperthermia episodes (OR=7.72; 95%CI: 1.45-41.11; p=0.020) and the NIHSS score at admission (OR=55.51; 95%CI: 18.01-171.08; p<0.001) were associated with poor motor recovery outcomes 30 days post-discharge. Conclusion: The study found that nearly one-third of patients experienced hyperthermia. These results underscore the significance of monitoring body temperature after the first 72 hours in stroke patients, particularly in those with hemorrhagic stroke, high NIHSS scores, and infections. Addressing hyperthermia and controlling infections are crucial for reducing the frequency of hyperthermic episodes during treatment.
Prevalence and Determinants of Fluor Albus Among Postmenopausal Women Without Symptoms: Implications for Public Health Screening Programs Purnamasari, Yenti; Hamid, Firdaus; Saimin, Juminten; Bukhari, Agussalim
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1146

Abstract

Background: Postmenopausal women are susceptible to vaginal infections due to hormonal changes that alter the vaginal microbiota, potentially leading to fluor albus even in the absence of symptoms. Objective: This study aims to determine the prevalence of Fluor Albus and assess its relationship with age, age of menopause, and duration of menopause in postmenopausal women. Methods: A cross-sectional study was conducted from April to July 2024 at Kendari City, Southeast Sulawesi, Indonesia. A total of 35 postmenopausal women were selected through total sampling, excluding those with chronic illnesses, vaginal symptoms, recent antibiotic use, or vaginal cleansing. Data were collected through participant-completed forms and laboratory examinations using KOH smear and Gram staining to detect the presence of Candida and pathogen bacteria. Data were analyzed using descriptive statistics and Chi-square tests. Results: The prevalence of fluor albus in postmenopausal women in this study was 68.6%. There was no statistically significant relationship between age (0.628), age of menopause (0.150), or duration of menopause (0.269) with the incidence of fluor albus. Conclusion: The prevalence of fluor albus among postmenopausal women in this study was high and was not related with age, menopausal age and duration of menopause, underlining the importance of regular reproductive health screening in the postmenopausal group.
The Influence of Religious Figures' Support and Mother's Parenting Patterns on the Incidence of Stunting in the Dry Land Area of the Islands of East Nusa Tenggara Province Picauly, Intje; Laga Nur, Marselinus; Oematan, Grouse; Marni, Marni; Pellokila, Marthen Robinson; Exposto , Levi Anatolia S.M.; Pacheco , Cipriano do Rosario
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1255

Abstract

Background : The regional government of Nusa Tenggara Timur (NTT) province has made many efforts to accelerate the reduction of stunting prevalence. However, until now, NTT Province still contributes to a high prevalence of stunting. Objective : The study aims to determine the effect of religious figure support and parenting patterns on stunting incidents in the NTT Islands Dry Land Region. Methods : The research was conducted in May - August 2024 in Batakte Village, West Kupang District, Kupang Regency with a sample of 60 mothers of toddlers and 10 informants who were religious leaders. This type of research is quantitative descriptive using case control study design. The collected data were analyzed univariately and bivariately using che square analysis. Results : The results of the study showed that 96.67% of mothers of toddlers were directly involved in the religious figure innovation program and 91.67% of mothers of toddlers had good food and nutrition parenting patterns. The results of the analysis show that support from religious figures and maternal parenting patterns have an influence (pValue = 0.000 < 0.005) on the incidence of stunting. Further analysis showed that toddlers would be at 36 times greater risk (OR = 36; 95%CL = 8.108-59.894) of experiencing stunting if they did not receive support from religious figures and poor maternal parenting factors gave toddlers a 23 times greater risk (OR = 23; 95%CL = 8.108-39.850) of experiencing stunting. Conclusion: support from religious figures and maternal parenting patterns related to food consumption are important factors in preventing stunting. Suggestion: religious figures together with local governments can carry out nutritional advocacy activities, nutritional counseling and improving nutritional institutional governance to support accelerated steps to overcome stunting problems in dry land and island areas of NTT
Crisis Response in Nursing: A Phenomenological Study of Patient Care Roles During Public Health Emergencies within Thailand’s Border Hospitals Chantachon, Suratsawadee; Wicharit, Lerkiat; Nak-Ai, Worayuth; Kitphati, Rungrueng; Suphaudomphon, Thira; Krates, Juraporn; Khotmanee, Supaporn
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1259

Abstract

Background: Nurses play a crucial role in managing COVID-19 patient care by providing nursing services, coordinating with families and medical teams, and preserving healthcare systems' core values. Despite challenges from infection control measures and organizational priorities, nurses remain committed to providing care. Globally, they form the largest component of the health workforce. In Thailand, registered nurses possess extensive knowledge in treating various health conditions and are skilled in managing critical and emergency care. During the COVID-19 pandemic, nurses faced increased workloads and multidimensional responsibilities. Objective: This study explores their lived experiences in managing COVID-19 patient care in Thailand's border hospitals. Methods: A qualitative research using an interpretive phenomenological approach. The key informants were registered nurses involved in the care of COVID-19 patients in Northeastern Thailand's border hospitals. A purposive sampling technique was used, resulting in a total of 12 participants. Data were collected through in-depth interviews, using an interview guide. Diekelmann, Allen, & Tanner's data analysis method was used as the data analysis approach. Results: The results of the study found four themes were identified: 1) Special patient care system, 2) Patient care safety management, 3) Care for critically ill and complex patients, and 4) Resource and equipment management for care. Conclusion: This study highlights nurses' critical role in managing COVID-19 patient care in Thai border hospitals by organizing care systems, ensuring safety, and managing resources. It emphasizes the importance of adaptability, digital tools, and infection control during health emergencies. The findings recommend investing in emergency preparedness, digital healthcare tools, and resource management to strengthen healthcare resilience in future crises.
Environmental Health Determinants of Stunting Incidence: An Observational Study in Densely Populated Settlements Kurniawati, Ratna Dian; Khoerunnisa, Fitrina; Widjanarko, Bagoes; Nugraheni, Sri Achadi; Mulyati, Iceu; Ariani, Antri
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1483

Abstract

Background:  Stunting, a form of chronic malnutrition manifesting in early childhood, typically becomes apparent by the age of two.  It inhibits physical growth, disrupts brain development, and increases the risk of disease in children, thus affecting the quality of future human resources. Babakan Penghulu sub-district, with 53 cases of Stunting in 2023, has been designated a priority area for stunting control program by ​​the Cinambo Health Center.  As a densely populated and flood-prone area in Bandung, Babakan Penghulu suffers from inadequate environmental sanitation, which adversely impacts toddler health and development. Objective: This study aims to identify environmental factors related to the incidence of stunting in the Babakan Penghulu sub-district. This study employs an analytical observational design with a cross-sectional approach. Method: This research is a quantitative research. The population comprised 458 mothers with toddlers. A sample of 79 mothers was selected using proportional random sampling across 8 neighborhood units. Data were collected through observation sheets, and data analysis was conducted using the Chi-Square Test. Results: The results showed a relationship between drinking water quality (P-value:0.018), waste disposal facilities (P-value:0.044), and access to healthy toilet facilities (P-value:0.001). In contrast, household wastewater disposal facilities (P-value:0.089) not show a significant relationship. Conclusion: Stunting in toddlers is significantly associated with environmental sanitation factors such as the quality of drinking water, waste disposal facilities, and toilet hygiene. However, household wastewater disposal wasn’t significantly related. Strengthening community-based total sanitation infrastructure and promoting community health initiatives, with support and supervision from the local health office and the Bandung City government, are recommended.
Analysis of the Potential of Platelet Indices as a Predictor of Hematological Comorbidity in Patients with Diabetes Mellitus Umar, Ani; Wenty, Darmayanita; Firdayanti; Susanti; Umar, Heni
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1591

Abstract

Background: Diabetes Mellitus (DM) is one of the chronic diseases that is a global burden. The increase in DM cases poses a risk of complex comorbidities such as cardiovascular disease, kidney disease and hematological disorders. The Platelet indices (MPV, PDW, PCT, P-LCR) reflects platelet activation and has the potential to be a biomarker for predicting comorbidities, so it can help improve the quality of clinical management in DM patients. Objective: This study aims to evaluate the predictive potential of platelet indices as a biomarker of comorbidity hematology in DM patients. Methods: An analytical study with a cross-sectional design was conducted from June to July 2025 at the Bahteramas Regional Hospital, Indonesia, involving 100 patients with diabetes mellitus and 100 healthy individuals as controls selected through purposive sampling. Venous blood samples were taken from all participants to measure platelet indices (PLT, MPV, PDW, P-LCR) using an automated hematology analysis tool. Data analysis was carried out by an independent sample t-test to compare index values between groups, as well as an ROC curve to evaluate its predictive value against DM status, Statistical significance was set at p < 0.05. Results: showed that the mean platelet indices in the group of healthy individuals with PLT was 229.98 ×10³/μL and in DM patients with a mean value of 260.71 ×10³/μL, MPV in healthy individuals with MPV was obtained at 10.24 fL. In DM it rises to 10.46 fL. The PDW value in healthy individuals was 9.82 fL. In DM the average value increased to 11.80 fL, in Healthy Individuals PCT averaged 24.7%, In DM the value increased to 28.7%. The P-LCR value in healthy individuals was 22.12%. In DM, the average value increased to 25.80%, with a significant value of P< 0.05 which shows that between healthy patients and DM patients there is a significant difference in terms of PLT, MPV, PDW, PCT and P-LCR parameters. The ROC curve of each platelet parameter (PLT, MPV, PDW, PCT, and P-LCR) illustrates the sensitivity and specificity of the model in predicting the occurrence of comorbidities. This can be obtained from the Under the Curve Area Value (AUC) which shows that PDW has the highest AUC of 83.4%, which indicates the ability of the most effective parameters in predicting comorbidities in DM patients. Conclusions: This study shows that platelet indices, especially PDW values, has the most effective potential as a practical and easily accessible hematological biomarker for predicting comorbidity risk in patients with diabetes mellitus. These results confirm the role of the predictive value of platelet indices in early detection and risk stratification, which can support more proactive clinical decision-making and management of DM patients.
Reassessing Patient Satisfaction: Social Determinants and Hospital Quality in Indonesia Sudirman, Sudirman; Yani, Ahmad; Andri, Mohamad
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1651

Abstract

Background: Patient satisfaction is widely recognized as a crucial indicator of healthcare quality, shaped not only by clinical outcomes but also by social determinants of health such as education, economic stability, neighborhood environment, and social/community context. Objectives: This study aimed to identify the key social determinants influencing patient satisfaction at Undata General Hospital, Palu, Indonesia, assess the strength of associations between these determinants and satisfaction outcomes, and highlight practical implications for improving patient-centered care in resource-constrained hospital settings. By focusing on social determinants, the research addresses existing gaps in understanding how contextual and relational factors contribute to hospital service quality. Methods: A quantitative, cross-sectional design was employed between January and March 2025, with 97 patients recruited through proportionate stratified sampling across wards. Data were collected using structured questionnaires and analyzed with chi-square tests to examine associations between social determinants and patient satisfaction. Results: The findings revealed that education and economic stability, while descriptively linked to differences in satisfaction, were not statistically significant predictors. In contrast, neighborhood environment and social/community context showed strong and significant associations with patient satisfaction. Patients who perceived the hospital environment as clean, safe, and comfortable were markedly more satisfied, while those embedded in supportive social networks also reported higher satisfaction. These results align with global evidence that highlights environmental quality and social cohesion as decisive determinants of patient experience, particularly in resource-limited contexts. The discussion emphasized how expectation theory and cultural competence frameworks explain the observed patterns, reinforcing the importance of aligning care with both structural and social dimensions. Conclusion: In conclusion, this study contributes to the growing body of literature on patient satisfaction by demonstrating that environmental and community factors outweigh individual socioeconomic attributes in shaping perceptions of care. The findings highlight practical implications for hospital managers and policymakers, suggesting that investments in environmental improvements and community engagement strategies are crucial pathways to enhance patient-centered quality care in Indonesia and similar settings.

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