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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 7 Documents

Search results for , issue "Vol. 4 No. 3 (2018): July - September" : 7 Documents clear

OUTCOME OF STAGE T1 RENAL CELL CARCINOMA TREATED WITH PARTIAL NEPHRECTOMY: INITIAL EXPERIENCES FROM A TEACHING HOSPITAL IN BANGLADESH Morshed, Md. Selim; Al-Asad, Hafiz; Alam, Mohammad Saruar; Lutful Hasan, Abu Naser Md.; Belal, Md. Towhid; Hossain, AKM Shahadat; Zaman, Sojib Bin
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Renal cell carcinoma accounts for 85% of all solid tumors of the kidney. For many years, radical nephrectomy was the standard treatment for RCC. Partial nephrectomy has gradually replaced radical nephrectomy over the past decade, especially for T1 stage renal cell carcinoma. However, the benefit of partial nephrectomy on oncologic outcomes is not well known.Objective: to investigate the clinical outcome of partial nephrectomy on T1 renal cell carcinoma. Methods: This prospective observational study was conducted in a single unit of urology department of Dhaka Medical College Hospital, Bangladesh from the period September 2014 to September 2017. Fourteen patients underwent partial nephrectomy during this period with renal mass based on eligibility criteria. Two follow up was done at three months and six months. Result: Mean age of the patients undergoing surgery was 52.0± 3.8 (46.0 to 57.0 years) years. For the majority of the patients, tumour size was in a range of 3-7 cm. Average operative time was 90 minutes and mean ischaemic time was 16.5 ± 4.6 minutes (14.5 to 21.0 minutes). Histopathological reports correlated with clinical diagnosis and showed adequate surgical clear margin in every case. There was no recurrence of tumour noticed during the two follow up periods. The different investigation did not reveal the impaired renal functional test during the follow-up period. Conclusion: The clinical outcome of partial nephrectomy was found better in this study. Partial nephrectomy has the potential to replace radical nephrectomy for managing T1 tumours. However, there are some controversies regarding the post-operative oncological outcome. More studies are recommended to investigate the effect of partial nephrectomy for T1 tumours.

THE BEHAVIOR OF FOOT CARE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: APPLYING THE THEORY OF PLANNED BEHAVIOUR Narmawan, Narmawan; Syahrul, Syahrul; Erika, Kadek Ayu
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Diabetes mellitus (DM) is a chronic non-infectious disease with complications such as diabetic foot, which has the potential for amputation if left untreated. Theory of Planned Behavior (TPB) is a behavior-based theory that can be applied to DM patients including foot care to minimize risk. Some studies related to TPB particularly about physical activity and diet have been explored, however, studies on foot care are still lacking.Objective: This study aims to apply the Theory of Planned Behavior (Intentions, Attitudes, Subjective Norms and Behavioral Control) on the patient's foot care.Methods: This was a cross sectional descriptive study. There were 93 patients diagnosed with type 2 DM recruited at 9 public health centers (Puskesmas) using accidental sampling on April 2018. TPB-based foot care questionnaire from the IWGDF (International Working Group on Diabetic Foot) Diabetic Foot guidelines was used. Data were analyzed in the form of frequency distribution.Results: Of the total number of respondents, 25 males and 68 females with average age of 53.05 ± 8.04 years, approximately 87.1% of them have the intention to wear footwear according to size. The majority of patients think that washing feet every day is a form of good and positive practice. They also agreed that the family expects the patient to examine the presence of bone / joint protrusions independently and believes that monitoring the foot deformities performed by other DM patients is very important as well as having control that the patient can check for signs of boils in the legs and there is a high likelihood of blisters / sores if the socks used are not suitable.Conclusion: The majority of respondents have good intentions, positive attitudes, social support and behavioral controls for foot care.

INDONESIAN PRIMARY CARE THROUGH UNIVERSAL HEALTH COVERAGE SYSTEMS: A FEELING IN BONES Asyary, Al
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Jaminan Kesehatan Nasional or JKN realized as the one of problem solving for equity of healthcare in Indonesian setting. At the same point, it has to compatible with all aspects in health financing issues by its newly adopted systems. This review aims to reveal JKN health financing policy since it implemented by 2014 in Indonesia. Several bibliographies databases were identified to conduct literature reviews that comprised of international and national/local journals. It founds that JKN principles focuses on mutual support, not-for-profit, good governance, and portability aspects. JKN enrollment consisted of two types polisholders including incapable polis insurance (PBI JKN) that bear by the Indonesian government, and capable polis insurance (none PBI JKN). JKN have to synergize with recent existing challenges including integration from previous regional health insurance (Jamkesda), healthcare facilities, package benefit, financing issue as well as the deficit issue which happened as lower dues that making by JKN polisholder than the high claim by the healthcare facilities particularly in hospitals. Although, JKN emerges to tackle the inequity of healthcare in all Indonesian regions, the existing settled Jamkesda in several regions, particularly regions with high regional income, made JKN integration as the setback health financing on its regions. Limited healthcare facilities that cooperated with BPJS-Kesehatan also challenged the JKN implementation as well as financial lose in affecting by mismatch between medical expenditures with JKN claimed as per package. It concludes that the political willing to choose several options including to prevent JKN deficit depend on the leader commitment to make JKN as not for another journey but it shall be the destination for health financing in Indonesia.

THE EFFECT OF CLIMATE FACTORS FOR DENGUE HEMORRHAGIC FEVER IN BANJARMASIN CITY, SOUTH KALIMANTAN PROVINCE, INDONESIA, 2012-2016 Ishak, Nuning Irnawulan; Kasman, Kasman
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: One of the factors that lead to high incidence of DHF is climate change.Objective: To analyze the effect of climate factors (temperature, humidity, wind speed, and rainfall) associated with DHF incidence in Banjarmasin City, 2012-2016. Methods: We used the national data on annual reported incidence from Health Office of Banjarmasin City and climate variations from Meteorology Climatology and Geophysics Agency 2nd Class Climatology Station Syamsudin Noor Banjarmasin, January 2012-December 2016. The analysis techniques using path analysis to explained the mechanism of causal relationships between variables.Results: The result showed the overall incidence of DHF in Banjarmasin City during 2012- 2016 was 243 cases, of DHF cases were fluctuates by the monthly trend, where the highest number of DHF cases in January to March, climate variation which occurred in Banjarmasin City period 2012-2016 included temperatures ranged from 25.8-28.7°C, humidity ranged from 65-88%, wind speed ranged from 4-6 knots and rainfall ranged from 0.0-546.7 mm, and the path analysis showed that rainfall variable (X4) was the only variable which positively effected to DHF incidence variable (Y) equal to 0.613 unit (Y = 0.613 X4) (p value = 0.002).Conclusion: Climate information can used as a precautionary signal through early warming of the readiness in facing the outbreaks of vector borne diseases so that further efforts in environmental management by manipulation method and environmental modification.

PREVALENCE AND PATTERN OF UTERINE BLEEDING AMONG BREASTFEEDING WOMEN USING PROGESTERONE-ONLY PILLS Ratrikaningtyas, Prima Dhewi; Rosdiana, Dian; Wilopo, Siswanto Agus
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Progesterone-Only Pill (POPs) is one of the ideal oral contraceptive methods for breastfeeding women. Discontinuation of POPs was mostly due to bleeding pattern disorders.Objective: The purpose of this study is to identify the prevalence and pattern of uterine bleeding on breastfeeding women using contraceptive pills containing progesterone derivatives.Methods: This study is a double blind block randomized controlled trial for the treatment group (levonorgestrel or lynestrenol pills) and non-randomized controlled trial for the control group, 6-8 weeks' postpartum women, 20 to 35-year-old, and breastfeeding. Monthly follow up was done for 6 months. Analysis was done using survival analysis, X2,and Cox's Proportional Hazard.Results: A hundred and seven women were involved with a drop-out rate of 17.8%. Subjects characteristics were â‰¤ 32-year-old, multiparous, ever used contraception with birth spacing of >60 months. Spotting and amenorrhea was the most common pattern. Levonorgestrel causes bleeding/menstrual resumption sooner in breastfeeding women than Lynestrenol.Conclusion: The most common uterine bleeding on women using Progesterone-only Pills were spotting and amenorrhea. By recognizing such effects, for Indonesian women, POPs was expected to be produced in the country and can be included in the national family planning programs.

GOD SERVANTS' KNOWLEDGE AND STIGMA OF TUBERCULOSIS IN KUPANG INDONESIA Manurung, Imelda Februati Ester; Ruliati, Luh Putu; Ndun, Helga J. N; Baun, Aminah H; Lele, Yumiati Ke; Wahyuni, Chatarina U
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Knowledge and stigma are the factors that determine the success of TB control. The people of East Nusa Tenggara still rely heavily on the support of God's servants in addressing health issues. God's servant is someone who is believed to have the gift of healing through prayer to the Lord Jesus. Aim: This study aimed to reveal God's servants' knowledge on and stigma to TB.Methods: This study is a descriptive quantitative study, in which the research aims to perceive God's servants' knowledge and stigma to TB in 2 community health centers with the most TB cases in Kupang. The population of the study was God's servants in three areas of coverage of community health centers with the most TB cases. The sample of the study was the entire population (Total sampling) as many as 120 people. Data were collected through questionnaires and using mid-point score.Results: The results showed that the knowledge related to transmission, treatment, and prevention of Tuberculosis was low, amounted to 76%, similar to the stigma to TB that was amounted to 58%. God's servants still held the stigma that TB is a curse and disgraceful disease and they were unwilling to share with tuberculosis patients.Conclusion: God's servants' knowledge related to TB is low. As for stigma, even though mostly is low, there are still many God's servants who give stigma to TB disease. Since God's servant is a potential figure believed by some people to have the gift of healing, their knowledge and stigma needs to be improved in order to provide true information and support for TB patients.

DEVELOPING HOLISTIC CARE MODEL: THE PHYSICAL WELLBEING OF ELDERLY BASED ON SOCIAL SUPPORT AND CHARACTERISTIC Wiliyanarti, Pipit Festi; Asri, Asri; Putra, Kusuma Wijaya Ridi
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Background: Elderly experiences with degenerative process in their life spam and physical condition as well as their ability to adopt with their environment. Those conditions will influence the achievement of elderly wellbeing.Purpose: This study aims to examine physical wellbeing in elderly based on social support and elderly characteristic.Method: This study employed cross-sectional survey design. The population was elderly who lived in east Surabaya. One hundred and ten of elderly were recruited. Their age was more than sixty years old, living with their family and under Medokan Ayu Public Health Center supervision. Multi stage random sampling was performed. The research instrument was physical wellbeing including elderly autonomy, cognitive, complaining about physical and disease as well. Structural Equation Modeling with Partial Least Square (SMART PLS) was used to analyze the data.Results: The research results showed that majority of emotional support in social support variable was good (98%). The majority of instrumental support was good (88.18%). Social wellbeing has significant relationship with the elderly physical wellbeing (p 0.312, t-statistic: 4.420, t-table: 1.65), elderly characteristic of holistic care (0.178, t-statistics 2.422, t-table: 1.65), and elderly characteristic of physical health (0.140. t-statistic 1.790, t table.1.65).Conclusion: Social support influences the physical wellbeing of elderly.

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