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Public Health of Indonesia

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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 10 Documents

Search results for , issue "Vol. 3 No. 3 (2017): July - September" : 10 Documents clear

ENVIRONMENTAL RISK FACTORS IN COASTAL AREA OF WAWATU VILLAGE, MORAMO SUB DISTRICT, NORTH OF SOUTH KONAWE, SOUTHEAST SULAWESI Lestari, Hariati; Bahar, Hartati; Asfian, Pitrah; Ali Imran Ahmad, La Ode
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Aim: This survey study aims to assess and describe environmental risk factors in Wawatu Village, Moramo sub district, North of South Konawe, Southeast Sulawesi.Methods: There 43 respondents selected using convenience sampling. Data were collected using self-questionnaire and observation sheet, consisting of physical condition dimension, chemical and biological factors. Data were analyzed using descriptive statistics. Results: Findings show that 77% of respondents had a good water condition, however, 77% of them had no latrines, 93% had no severage channel, and 63% no landfills. Some of respondents (28%) disposed of ship waste (28%) and household waste (28%) in the sea. Sadly, 81% of respondents did not defecate in the toilet.Conclusions: This study provides the evidence that the health environment in Wawatu Village, Moramo sub district, North of South Konawe, Southeast Sulawesi, needs to more attention. Government and Public health workers need to do great efforts in controlling the risk factors, build the health structure, and implement health promotion program in this area.

IMPLEMENTATION OF INFORMATION SYSTEM TOWARDS HEALTH SYSTEM STRENGTHENING IN INDONESIA: A POLICY BRIEF Veruswati, Meita; Asyary, Al
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

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EVALUATION OF THE IMPLEMENTATION OF A REFERRAL SYSTEM IN THE COMMUNITY HEALTH CENTER OF ABELI, KENDARI, INDONESIA Risky, Sartini; Nofitasari, Ari
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: The referral rate in Southeast Sulawesi in the first-level health facilities was still high, which reached 17% in 2016. Ideally, the maximum referral rate in the first-level facilities should be no more 5%. Objective: This study aims to evaluate the implementation of the first-level referral system in terms of availability of health personnel, facilities and medicines, and understanding of health officers on the referral system at the Community Health Center of Abeli.Methods: In-depth interviews were conducted with a total of 5 health facility managers. All the materials were analyzed using a qualitative thematic analysis approach.Results: Three themes emerged from data; namely human resources (Lack of responsibility of midwives, Lack of communication between staffs, Lack of the number of physician, Understanding of health personnel regarding referral system), availability of facilities, and availability of drugs.Conclusion: Availability of human resources, facilities and drugs is unreliable. Effort should be made to ensure the quality of service provided. This should imply, amongst other things, that human resources, drugs and facilities are adequately available and accessible.

FACILITY ASSESSMENT FOR MATERNAL AND CHILD HEALTH SERVICES IN BANGLADESH USING SERVICE AVAILABILITY AND READINESS ASSESSMENT (SARA) TOOL: A CROSS-SECTIONAL PILOT STUDY Aftab, Afzal; Hasan, Mehedi; Bari, Rahmatul; Hossain, Mohammad Didar; Hasan, Mehadi; Azad, Abul Kalam; Islam, Bulbul; Sarker, Malabika
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: To initiate journey towards the Universal Health Coverage (UHC) it is essential to assess the health facilities. Unfortunately, no health facility assessment has been conducted in Bangladesh so far using "Service Availability and Readiness Assessment (SARA)” tool. Therefore, we aimed to conduct a pilot study to assess health facilities for maternal and child health services using SARA tool so that we can scale-up this assessment throughout the country later.Aim: We aimed to assess the health facilities for maternal and child health services in Tangail, Bangladesh using service availability and readiness assessment (SARA) tool.Methods: A cross-sectional pilot study was conducted in Bashail and Shokhipur Upazilla of Tangail district. A sample of 14 health facilities was assessed purposefully for data collection using a modified version of the SARA tool. Data was collected from November 01 to November 15, 2013, using paper-based questionnaire. Finally, following data collection, data were documented into Microsoft Excel by data collectors. Data were analyzed using Microsoft Excel, version 2010.Results: General service readiness has been segregated into five domains and their readiness scores were basic amenities (53.06%), basic equipment (83.33%), standard precautions for infection prevention (55.56%), and basic equipment (58.93%) for included health facilities. Similarly, specific service readiness includes family planning (48.15%), child immunization (67.71%), preventive and curative care (71.43%), and basic surgery (93.33%).Conclusion: Since we are moving towards UHC, it is essential to know the current scenario of health facilities. This pilot study reveals the strength and weakness of the health facilities in providing the maternal and child health services. These findings will help us to resolve all the identified gaps through proper planning and action.

THE EFFECT OF PURSED LIPS BREATHING IN INCREASING OXYGEN SATURATION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN INTERNAL WARD 2 OF THE GENERAL HOSPITAL OF DR. R. SOEDARSONO PASURUAN Budiono, Budiono; Mustayah, Mustayah; Aindrianingsih, Aindrianingsih
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Chronic obstructive pulmonary disease is a leading cause of death and disability. Thus, the effort to reduce the symptoms, such as dyspnea is necessity. Pursed lip breathing is assumed increasing oxygen saturation.Objective: This study aims to determine the effect of pursed lips breathing in increasing oxygen saturation in patients with COPD in internal ward 2 of the General Hospital of Dr. R. Soedarsono Pasuruan on May 16 - June 30, 2017.Methods: This was a pre-experimental design with pre-posttest design. There were 24 patients with COPD selected using simple random sampling technique. Pulse oximetry (oximeter pulse fingertip) was used to measure oxygen saturation. Data were analyzed using Wilcoxon Sign Rank Test.Results: Findings showed p-value 0.000 (<0.05), which indicated that there was a statistically significant difference in oxygen saturation before and after pursed lips breathing.Conclusion: There was a significant effect of pursed lips breathing on oxygen saturation in patients with COPD in the internal ward 2 of the general hospital of Dr. R. Soedarsono Pasuruan. Thus, pursed lips breathing could be applied as a nursing intervention in patients with COPD.

EFFECT OF 30° HEAD-UP POSITION ON INTRACRANIAL PRESSURE CHANGE IN PATIENTS WITH HEAD INJURY IN SURGICAL WARD OF GENERAL HOSPITAL OF Dr. R. SOEDARSONO PASURUAN Pertami, Sumirah Budi; Sulastyawati, Sulastyawati; Anami, Puthut
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Head-injured patients have traditionally been maintained in the head-up position to ameliorate the effects of increased intracranial pressure (ICP). However, it has been reported that the 15 degrees head-up position may improve cerebral perfusion pressure (CPP) and outcome. We sought to determine the impact of 30 and 15 degrees on intracranial pressure change.Methods: This was a quasi-experimental study with posttest only control time series time design. There were 30 head-injured patients was selected using consecutive sampling, with 15 assigned in the treatment (30° head-up position) and control group (15° head-up position). Intracranial pressure variable was identified using the level of consciousness and mean arterial pressure parameters. Wilcoxon signed rank test was used for data analysisResults: Findings showed p-value 0.010 (<0.05) on awareness level and p-value 0.031 (<0.05) on mean arterial pressure, which indicated that there was a statistically significant effect of the 30° head-up position on level of awareness and mean arterial pressure.Conclusion: There was a significant effect of the 30° head-up position on intracranial pressure changes, particularly in the level of awareness and mean arterial pressure in patients with head injury. It is recommended that for health workers to provide knowledge regarding this intervention to prevent increased intracranial pressure.

EFFECT OF SOCIO-ART WORKING GROUP THERAPY IN REDUCING THE SYMPTOMS OF HALLUCINATIONS IN COMMUNITY HEALTH CENTER Lestari, Retno; Ahsan, Ahsan
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Schizophrenia is a chronic illness with considerable impact on individuals and their families. One of the symptoms of schizophrenia is hallucination. The treatment goals are reducing the symptoms and maintaining the recovery from the effects of illness.Objective: This study aimed to analyze the effect of socialization and art-working group therapy in reducing the symptoms of hallucinations.Methods: This study used a pre-experimental design with one-group pretest-posttest involved 60 patients aged between 12 and 55 years diagnosed with schizophrenia in the Community-Integrated Health Care in East Java. The Symptoms of Hallucinations Checklist was used to assess the hallucination symptoms. Data were analyzed using Wilcoxon signed rank test.Results: Findings showed that there was a statistically significance difference between pretest and posttest score after the socialization and art-working group therapy with p-value 0.000 (p<0.05).Conclusion: Socialization and art-working group therapy had a significant effect in reducing the symptoms of hallucinations in patients with schizophrenia.

THE EFFECT OF STORYTELLING IN A PLAY THERAPY ON ANXIETY LEVEL IN PRE-SCHOOL CHILDREN DURING HOSPITALIZATION IN THE GENERAL HOSPITAL OF BUTON Yati, Mimi; Wahyuni, Sri; Islaeli, Islaeli
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Anxiety is one of the psychical stresses experienced by children during hospitalization. A storytelling in a play therapy is considered effective in reducing anxiety.Objective: This study aims to determine the effect of storytelling in a play therapy on anxiety level in pre-school children during hospitalization in the general hospital of Buton.Methods: This was a quasy-experimental study with pretest-posttest control group design. There were 30 pre-school children selected in this study using accidental sampling, with 15 assigned in each group. The Pre School - Spence Children's Anxiety Scale (SCAS) was used to measure anxiety in pre-school children. Wilcoxon matched paired test was used to analyze the data. Results: Findings showed that the mean of anxiety level in the intervention group in pretest was 42 and in posttest was 31.53. Wilcoxon matched paired test showed p-value 0.003 (<0.05), which indicated that there was a statistically significant effect of storytelling on the level of anxiety in pre-school children.Conclusions: There is a significant influence of storytelling in a play therapy on anxiety levels in pre school children during hospitalization. It is suggested that this intervention could be applied as a nursing intervention to reduce anxiety in children.

RELATIONSHIPS OF THE IMPLEMENTATION OF A 3M PLUS PROGRAM AND THE EXISTENCE OF AEDES AEGYPTI LARVAE TOWARDS THE NUMBER OF DENGUE FEVER CASES IN THE PUBLIC HEALTH CENTER OF TIGO BALEH BUKITTINGGI, WEST SUMATERA, INDONESIA Alhamda, Syukra
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Dengue fever in Tigo baleh Bukittinggi community is one of the infectious diseases resulting in serious health problems. Understanding the factors associated with the disease is necessity.Objective: To determine the relationships of the implementation of 3M plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia.Methods: This was a case control study conducted between January and December 2016 in the Public Health Center of Tigo Baleh Bukittinggi. There were 78 samples recruited by total sampling, with 39 were assigned in the case and control group. House index (HI) and Container index (CI) were used to measure the presence of Aedes aegypti larvae. The implementation of 3M plus program was measured using questionnaire developed by the researcher. Chi Square was performed for data analysis. Result: Findings showed that house index value was 43.6% and container index was 17.9%. The presence of larvae at home contributes to 24 (61.5%) cases of DHF in the case group and 10 (25.6%) cases in the control group. Poor implementation of the program contributes to 27 (69.2%) cases in the case group and 17 (43.6%) in the control group. Chi square test showed p 0.040 (<0.05) for the 3M plus implementation and p 0.03 (<0.05) for the presence of Aedes aegypti. Conclusion: There were significant associations between the implementation of 3m plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia. It is suggested that the community should do more efforts to prevent the occurrence of DHF through mosquito nest eradication, such as the implementation of 3M Plus and sanitation efforts, and pay attention to any places that potentially become a breeding ground for Aedes aegypti mosquitoes.

HEMOGLOBIN LEVELS IN PREGNANT WOMEN LIVING IN COASTAL AND PLATEAU AREAS, KENDARI, INDONESIA Rosanty, Anita; Yunus, Reni
Public Health of Indonesia Vol. 3 No. 3 (2017): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Insufficient hemoglobin levels are one of the most vulnerable health problems during pregnancy. Hemoglobin levels less than 11 g/dL indicate anemia in pregnant women. However, it is assumed that there is a difference of hemoglobin levels between pregnant women in coastal and plateau areas. Objective: To compare the hemoglobin levels in pregnant women who live in the coastal and plateau areas in the working area of the Community Health Center of Mata, Kendari. Methods: This was an observational analytic research with cross sectional approach, conducted in May-June 2014. There were 38 pregnant women using quota sampling, divided into 19 respondents in coastal areas and 19 respondents in plateau areas. Blood sampling was performed in each respondent, and categorized into mild, moderate, and severe anemia. Data were analyzed using chi-square test. Results: The proportion of pregnant women with anemia in the working area of the Community Health Center of Mata was 94.74%. Chi-square test showed p-value 0.307 (>0.05). Conclusion: There was no significant difference in hemoglobin levels in pregnant women in coastal and plateau areas in the working area of the Community Health Center of Kendari district.

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