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INDONESIA
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 19 Documents
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Search results for , issue "Vol. 12 No. 1 (2026): January - March" : 19 Documents clear
Effectiveness of Oketani Breast Massage with Lavender Essential Oil in Enhancing Breastfeeding Success: A Quasi-Experimental Study in Rural Community Sumini, Gempi Tri; Suryani, Lilis; Sari, Wahyu Anjas; Wati, Dwi Retno
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1275

Abstract

Background: Breastfeeding is a critical determinant of infant health and development, yet many mothers face challenges that hinder breastfeeding success, particularly in rural settings with limited access to lactation support. Oketani breast massage and lavender essential oil aromatherapy have been explored individually for their potential to improve lactation outcomes. Objective: This study aimed to evaluate the effectiveness of Oketani breast massage combined with lavender essential oil in enhancing breastfeeding success among postpartum mothers in a rural Indonesian community. Methods: A one-group pretest-posttest quasi-experimental design was used, involving 80 postpartum mothers in Penjalian Village, East Java, Indonesia. Participants received Oketani breast massage and lavender essential oil therapy daily for seven days postpartum. Breastfeeding success was assessed using the LATCH scoring system before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test. Results: The proportion of mothers achieving a “good” LATCH score increased from 46.25% before the intervention to 72.50% after the intervention. The Wilcoxon test revealed a statistically significant improvement in breastfeeding success (Z = -4.750, p < 0.001), indicating the positive impact of the combined intervention. Conclusion: Oketani breast massage combined with lavender essential oil is an effective, low-cost, and culturally appropriate intervention to enhance breastfeeding success in postpartum mothers. Its implementation in rural communities can serve as a practical strategy to support exclusive breastfeeding practices and improve maternal-infant health outcomes. Keywords: oketani breast massage; lavender essential oil; breastfeeding success; postpartum mothers; LATCH Score
Knowledge, Attitude, and Practice Regarding Iron Deficiency Anemia Prevention Among Female Adolescents in Bogor City, Indonesia Wardani, Riastuti Kusuma; Nurmansyah, Muhammad Iqbal; Yustiyani; Iriani, Dewi Utami; Ariyanti, Fajar; Zilhadia; Kilic, Bulent
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1276

Abstract

Background: Iron deficiency anemia (IDA) is a significant public health issue due to its prevalence and numerous contributing factors, specifically among female adolescents. Objective: The study aimed to examine the influence of knowledge and attitude on IDA prevention practice among female adolescents in Bogor City, Indonesia. Methods: This cross-sectional study was carried out among 20 junior high schools in Bogor City, Indonesia. A total of 1.410 female students were selected through a non-probability sampling method. The Spearman rank correlation test was then used to examine the relationship between knowledge, attitude, and practice regarding IDA prevention. Results: The results showed that the average scores for knowledge, attitude, and practice were 5.92 (out of 15), 11.56 (out of 15), and 8.95 (out of 12), respectively. In addition, knowledge had a significant correlation with attitude (p-value = 0.001, r = 0.185), and attitude showed a significant correlation with practice (p-value = 0.005, r = 0.075). Conclusion: The limited understanding of female students concerning IDA may influence their attitude and practice towards its prevention. This indicates that the implementation of diverse strategies is essential to enhance understanding of anemia, thereby improving prevention behavior. Keyword: Anemia, Chronic Diseases, Developing Countries, Female Student, School-Based
Bioecological Distribution of Aedes Mosquito Density in Coastal and Highland Areas Akbar, Fajar; Mappau, Zrimurti; Mulyadi, Mulyadi; Erlani, Erlani; Islam, Fahrul; Adiningsih, Ridhayani; Chairani, Miftah; Rusdi, Muhammad
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1282

Abstract

Background: Disease transmission is strongly supported by the presence of disease vectors. Along coastal areas, shrimp ponds, swamps, and stagnant water are commonly found, which provide ideal breeding sites for mosquitoes, where many vector-borne diseases are prevalent. Objectives: This study aims to determine the bioecological diversity of virus-carrying mosquitoes in light of the persistently high incidence of dengue hemorrhagic fever (DHF), particularly focusing on the disease vector Aedes spp. The study examines aspects of bioecological distribution, species diversity of mosquitoes in coastal and highland areas, species distribution patterns in both regions, and how these distributions are influenced by geographic location, habitat type or breeding sites, mosquito density, and environmental characteristics of coastal and mountainous regions. Methods: This study employed an observational approach with a bioecological study design. Data were analyzed descriptively to assess egg and larval density of mosquitoes using a free collection method conducted in coastal and highland areas of Mamuju and Polewali Mandar Regencies, specifically in areas reporting DHF cases. Results: The results indicate that ovitraps are effective in reducing Aedes spp. mosquito density, as reflected by the ovitrap index. Conclusion: The ovitrap index was higher in highland areas than in coastal areas, influenced by environmental factors such as temperature, humidity, wind speed, and the abundance of breeding sites. It is expected that the local government, through the District Health Office, will provide community education on controlling Aedes spp. mosquitoes by installing ovitraps in individual households. Keywords: bioecology; Aedes spp.; coastal; highland areas
Modulating Inflammation in PCOS: The Role of a High-Protein, Low-Carb Diet in Reducing IL-6 and TNF-α Aryani, Hany Puspita; Suryani, Lilis; Sugiyanta
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1316

Abstract

Background: Polycystic ovary syndrome (PCOS) is a chronic endocrine disorder characterized by insulin resistance and low-grade inflammation, marked by elevated cytokines such as interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α). Nutritional modulation may play a role in managing these inflammatory markers. Objective: This study aimed to assess the effect of a low-carbohydrate high-protein (RKTP) diet on IL-6 and TNF-α levels in a PCOS-insulin resistance rat model. Methods: This experimental study used a post-test only control group design involving 18 female Rattus norvegicus rats. The rats were divided into three groups: negative control (K−), positive control (K+; PCOS-insulin resistance induced by testosterone propionate), and treatment (P; PCOS-insulin resistance treated with RKTP diet composed of 40% carbohydrates, 30% protein, and 30% fat). The intervention lasted 48 days. Serum levels of IL-6 and TNF-α were measured using ELISA. Data were analyzed using ANOVA, Kruskal-Wallis, and Mann-Whitney tests. Results: The treatment group experienced a significant reduction in IL-6 levels compared to the positive control (p = 0.038) and negative control (p = 0.002). TNF-α levels also significantly decreased in the treatment group (mean = 4.17) compared to the negative control group (mean = 8.83), with a Mann-Whitney test p-value of 0.025. These findings suggest an anti-inflammatory effect of the RKTP diet in PCOS-induced insulin resistance. Conclusion: A high-protein, low-carbohydrate diet effectively reduced inflammatory cytokines in PCOS-insulin resistant rats, suggesting potential as a non-pharmacologic intervention in PCOS management. Keywords: RKTP diet; PCOS-RI; IL-6 Levels; TNF-α Levels
MUAC and Hemoglobin Among Adolescent Girls: Implications For Community-Based Nutritional Interventions Malonda, Nancy Swanida Henriette; Sanggelorang, Yulianty; Pondagitan, Alpinia Shinta; Salsabila, Syefira
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1409

Abstract

Background: Anemia among adolescent girls is a global public health issue that can impair growth, cognitive function, and future reproductive health. Objectives: This study aimed to analyze the influence of various nutritional, socioeconomic, and physiological factors on hemoglobin levels among adolescent girls. Methods: A cross-sectional study was conducted involving 50 adolescent girls aged 11–19 years. Data collection included anthropometric measurements, dietary intake assessments, and a structured questionnaire on sociodemographic characteristics and menstrual patterns. Hemoglobin levels were measured using a standard hemoglobinometer. Bivariate analysis using Spearman’s Rho and multivariate analysis using multiple linear regression were performed to determine the associated factors. Results: The prevalence of anemia was 26%. Bivariate analysis showed significant correlations between hemoglobin levels and mid-upper arm circumference (r = 0.356; p = 0.011), protein intake (r = 0,271; p = 0.050), and iron intake (r = 0.293; p = 0.039). Multivariate analysis revealed that MUAC and protein intake were the most influential factor affecting hemoglobin levels (p = 0.021 and 0.025 respectively). Other variables such as BMI-based nutritional status, parental income, vitamin C intake, anemia-related knowledge, and menstrual characteristics did not show significant associations. Conclusion: The findings highlight that improving dietary intake particularly of protein and iron and regularly monitoring MUAC are practical steps to reduce anemia among adolescent girls. These insights offer valuable guidance for nutritional interventions focused on adolescent well-being. Keywords: adolescent girls; hemoglobin; mid-upper arm circumference; protein intake; iron intake; nutritional status  
Larvicidal Activity of Young and Old Leaves of Ricinus communis linn (Castor) with Ethanol, Aquades, Ethyl Acetate, and N-hexane solvents against Aedes sp. Dwicahya, Bambang; Arsin, A. Arsunan; Ishak, Hasanuddin; Hamid, Firdaus; Kanan, Maria; Mallongi, Anwar; Maria, Ida Leida; Birawida, Agus Bintara; Syahrir, Muhammad
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1412

Abstract

Background: Dengue fever remains a major public health problem in tropical regions, including Indonesia, where vector control relies heavily on synthetic larvicides that pose environmental and health concerns. Plant-based larvicides have emerged as promising alternatives; however, comparative evidence regarding the influence of solvent polarity and leaf developmental stage on larvicidal efficacy remains limited. Objectives: This study evaluated the larvicidal activity of young and old castor bean leaf extracts obtained using different solvents against Aedes sp. larvae. Method: A laboratory-based experimental study was conducted following WHO guidelines for mosquito larvicide testing. Young and old leaves of castor were extracted separately using n-hexane, ethyl acetate, ethanol, and distilled water through multistage maceration. Third-instar Aedes sp. larvae were exposed to graded concentrations (75–200 ppm) of each extract, with 25 larvae per treatment and three replications. Larval mortality was recorded hourly for 24 hours. Probit analysis was used to determine LC₅₀ and LC₉₀ values with 95% confidence intervals, and differences among treatments were analyzed using one-way ANOVA (p < 0.05). Results: All extracts exhibited larvicidal activity against Aedes sp., with efficacy varying according to solvent type and leaf age. Ethanol extracts of old leaves produced the highest larval mortality, while ethyl acetate extracts of young leaves showed the lowest LC₅₀ values. Phytochemical screening confirmed the presence of alkaloids, flavonoids, saponins, tannins, and steroids in most extracts. LC₅₀ values ranged from 131.403 to 410.225 ppm, whereas LC₉₀ estimates were substantially higher and exceeded the tested concentration range, indicating extrapolation beyond observed data.  Conclusion: The larvicidal effectiveness of castor leaf extracts against Aedes sp. is influenced by both solvent polarity and leaf developmental stage. Old leaves extracted with ethanol and young leaves extracted with ethyl acetate demonstrated comparatively higher larvicidal potential. These findings support the potential of castor as a botanical larvicide, although further studies incorporating standard larvicide controls, quantitative phytochemical analysis, and field validation are required before operational application.   Keywords: Aedes sp; ricinus communis linn; castor
The Factors affecting household e-waste management behavior Thung Khai Subdistrict, Don Ta Khao District, Trang Province, Thailand Decharat, Somsiri; Buacharoen, Thanawan; Munwean, Jarawee; Phengratsami, Sathiya
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1485

Abstract

Background: Rapid technological advancement has changed consumer behavior, increasing demand for electronic devices, which are now essential in daily life. Objectives: To study the knowledge, attitudes, behaviors, and the factors influencing the related to electronic waste management of households. Methods: This cross-sectional descriptive study was conducted among households with 344 participants. A random sampling method was then used to select households from among those residing in Thung Khai Subdistrict, Yan Ta Khao District, Trang Province, Southern Thailand, between September 2024 to March 2025. The study questionnaire was given to the 344 participants. Descriptive statistics and chi-square test were used to analyze. Results:  Overall mean knowledge score of 11.28 (SD = 2.58), corresponding to the “moderate” category. The aggregate attitude score (M = 3.81, SD = 1.58), placing them in the “high” attitudinal category, and the overall mean behavior score of 2.14 (SD = 0.74), corresponding to a “fair” level of practice. Only prior exposure to information on electronic waste management demonstrated a statistically significant association with respondents’ self‐reported e‐waste behaviors (χ² = 17.89, p = .01). Conclusions: Thus, effective e-waste management is crucial for achieving sustainable development goals and requires collaboration across all sectors. Raising public awareness of circular economy principles is vital for enhancing community engagement in e-waste management. Keywords: Factors affecting; household e-waste management; behavior; Trang Province
The Effect of HEROIC Application on increasing Knowledge and Attitudes of Health Reproductive among Adolescent students in Indonesia Tri Agustini, Ni Komang; Parwati, Ni Wayan Manik; Sari, Apriani Susmita; Swarjana, I Ketut
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1546

Abstract

Background: Adolescent health remains a significant concern in Indonesia. Previous studies have revealed that adolescents often lack an adequate understanding of reproductive health. Any program developed should, therefore, aim to improve adolescents’ comprehension of reproductive health issues. Health education delivered via mobile applications has been shown to influence knowledge and attitudes regarding sexual reproductive health. This study employed a health education program using the Health reproductive and Online Interactive Counselling (HEROIC) application as an intervention to improve knowledge and attitudes related to reproductive health among Indonesian adolescents. Objective: This study aims to analyse the effect of the HEROIC application on increasing adolescents’ knowledge and attitude. Methods: A quasi-experimental design with a pre-test-post-test design was used. The sample consisted of 156 adolescents, divided into an intervention group ( 85 participants using the HEROIC application) and a control group (71 participants receiving a booklet). Results: Both the HEROIC application and booklet led to a significant increase in adolescents’ knowledge and attitudes about sexual and reproductive health (p<0.001). However, there were no significant differences in knowledge and attitude improvements between the two groups. Conclusion: There is a constant need to improve knowledge and attitude about sexual and reproductive health. In order to make interventions more effective, it is essential to use the right media to provide health education to adolescents. Keywords: reproductive health; knowledge; attitude; HEROIC application
Becoming a Resilient Mother: The Impact of Breastfeeding Self-Efficacy and Multiparity on Emotional Adjustment of Postpartum Mothers Fitrianingsih, Julia; Yulis, Dian Meiliani; Herman, Sriyana; Fitriani, Fitriani
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1588

Abstract

Background: The postpartum period is a critical phase characterized by significant emotional and psychological transformations Objective: This study aims to investigate the effect of breastfeeding self-efficacy and multiparity on the emotional adjustment of postpartum mothers Method: The research design used was a cross-sectional study to collect data from 101 Breastfeeding mothers. The sample consisted of all postpartum mothers who gave breastmilk. The inclusion criteria were gestational age of at least in women with a singleton pregnancy, 34 weeks, no breast abnormalities, and no smoking or alcohol consumption. Mothers and infants who need special care were excluded. The BSE Scale-Short Form questionnaire was used to collect data. This used crosstabulation, chi-square testing, and regression to evaluate the data to clearly and formally describe the statistical analyses performed. Results: The results showed that mothers with high BSE were much more likely to say they were emotionally stable, with an odds ratio (OR) of 12.54 (p <.001), which means there was a strong connection between BSE and emotional adjustment through multiparity. The crosstab analysis showed that multiparity was likewise statistically significant (p = .000), but when BSE was controlled, regression showed that its effect was not significant (p = .558). Conclusion: The study concludes that breastfeeding self-efficacy is more important than multiparity in determining how well a mother adjusts emotionally after giving birth. Interventions that build BSE may help new mothers feel better emotionally.  Keywords: Breastfeeding Self-Efficacy; Emotional Adjustment; multiparity; postpartum

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