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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.
Arjuna Subject : -
Articles 319 Documents
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Correlation between fine particulate matter air pollution and under-five children mortality in Indonesia: A secondary data analysis of WHO Global Health Observatory Soleman, Sani; Rifai, Muchamad; Indah, Meiyla Farikha
Public Health of Indonesia Vol. 9 No. 1 (2023): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i1.662

Abstract

Background: Fine particulate matter (PM2.5) is an environmental factor contributing to the death rate. However, few studies have demonstrated the association between PM2.5 and the under-five mortality rate. Objective: To determine the correlation between PM2.5 and under-five children mortality in Indonesia. Methods: A secondary data analysis of the WHO Global Health Observatory on Environmental Pollution and Children Mortality during 2012-2016 was conducted. The environmental pollution was measured by PM2.5 levels (μg/m3) in rural, urban, and both areas. Mortality data were categorized by specific causes—meningitis/encephalitis, acute lower respiratory infection, diarrhoeal diseases, tetanus, prematurity, birth asphyxia, and congenital anomalies. Data were analyzed using Mann-Whitney and Spearman correlations. Results: The PM2.5 total concentration in urban areas was greater than in rural areas for four years (18.4±1.19 vs. 15.4±1.1, p = 0.016). Prematurity, acute lower respiratory infection, and birth asphyxia were the leading causes of under-five mortality. The PM2.5concentration in urban and rural areas was significantly associated with an acute lower respiratory infection, tetanus, prematurity, birth asphyxia, and congenital anomalies (p <0.05). Additionally, the PM2.5 concentration was negatively correlated with tetanus, prematurity, birth asphyxia, and congenital anomalies (p <0.001; r = -0.8, -0.8, -0.82, -0.83, respectively). Conclusion: PM2.5 air pollution was correlated with tetanus, prematurity, birth asphyxia, and congenital anomalies from 2012-2016 in Indonesia. Further action is needed to handle the sources of air pollution contamination to preventing under-five mortality in the community.
Association between fat and fiber intake and cholesterol levels in patients with coronary heart disease: A cross-sectional study in Southeast Sulawesi, Indonesia Suwarni, Suwarni; Wiralis, Wiralis; Anggar Sari, GP. Ghita
Public Health of Indonesia Vol. 9 No. 1 (2023): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i1.666

Abstract

Background: The prevalence of coronary heart disease continues to increase globally, and it is important to understand the factors associated with it. Objective: This study aimed to explore the association between fat and fiber intake with cholesterol levels in patients with coronary heart disease at the Outpatient BLUD Bahteramas General Hospital, Southeast Sulawesi Province, Indonesia. Methods: A cross-sectional study design was employed in this study. Data were collected from 55 patients with coronary heart disease using a semi-quantitative food frequency questionnaire and laboratory data on total cholesterol and HDL levels. Results: There was no significant association between fat and fiber intake with cholesterol level (p >0.05). Conclusion: No significant association was found between fat and fiber intake with cholesterol levels in patients with coronary heart disease. However, other factors may be contributing to the high cholesterol among these patients. Thus, future research is needed and considers using larger sample sizes to confirm the results. In the meantime, it is crucial to continue providing nutrition consultations that emphasize the importance of a balanced diet for patients with coronary heart disease.
Assessing seawater intrusion and chloride zones in residents' wells in selected coastal area of Indonesia: A GIS analysis Nurmaladewi, Nurmaladewi; Saktiansyah, La Ode Ahmad; Jayadisastra, Yoenita; Sulfitrana, Andini; Kaimuddin, Sitti Mikarna; Okto, Ali
Public Health of Indonesia Vol. 9 No. 2 (2023): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i2.661

Abstract

Background: Seawater intrusion refers to the infiltration of seawater into groundwater, either naturally or artificially, due to the extraction of groundwater for domestic purposes. Seawater intrusion can have wide-ranging impacts on various aspects of life, including health issues, reduced soil fertility, structural damage, and groundwater contamination. In the Kendari District area, people rely on springs, dug wells, and drilled wells to fulfill their daily water needs, as well as for tourist and commercial activities. However, signs of seawater intrusion become evident when the water used by residents in the area becomes brackish or even saline. Objective: This study was to determine the distribution pattern of seawater intrusion and chloride zones in the coastal area of Kendari District, specifically within Kendari City, Indonesia. Methods: This study employed a descriptive research design and utilized purposive sampling to select the subjects. A total of 20 water samples were collected from residents in Kendari District, Kendari City. The research was conducted at various wells within the district. The collected data were then entered into a Geographic Information System (GIS) to analyze the distribution pattern of seawater intrusion and chloride zones in the coastal area of Kendari District, Kendari City. Results: The findings revealed an average pH of 7.11 (ranging from 5 to 8.8), an average temperature of 29.4°C (ranging from 29.4 to 32.7°C), an average Total Dissolved Solid (TDS) level of 590.25 mg/L (ranging from 54 to 1,388 mg/L), and an average salinity of 3.05‰ (ranging from 1 to 5‰). Conclusion: Based on these results, it can be concluded that seawater intrusion is classified as low and is not affecting the wells used by residents in the coastal area of Kendari District, Kendari City, Indonesia.
Evaluating food sanitation, hygiene, and quality in the nutrition installation of an Indonesian mental hospital: A qualitative study Yuniar, Nani; Effendy, Devi Savitri; Bahar, Hartati; Syamsuddin, Syam Sinar
Public Health of Indonesia Vol. 9 No. 2 (2023): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i2.674

Abstract

Background: Food sanitation and hygiene is an effort to control factors such as the environment, equipment, personnel, and food items that may cause health problems, diseases, or food poisoning. Hospitals are healthcare institutions that provide comprehensive individual healthcare. One crucial aspect of healthcare services in hospitals is nutrition installation, which plays a vital role in the patients' recovery process. Objective: This study aimed to analyze the food sanitation, hygiene, and quality at the Nutrition Installation of the Southeast Sulawesi Provincial Mental Hospital in 2022. Methods: This study employed qualitative research with a phenomenological approach. The information was sourced from two key informants and four ordinary informants. Data collection methods included in-depth interviews to explore the topic thoroughly, careful and direct observations, documentation through photographs of relevant phenomena, symbols, and signs, as well as recording dialogues during the research process. Triangulation techniques, including source, method, and research time, were used to ensure data and information validity. Data analysis involved classification, sorting, and presentation. Results: The findings indicated that the food storage and processing practices complied with the requirements outlined in Decree of Indonesia Minister of Health (Permenkes) No. 1096 of 2011. However, the selection of foodstuffs, food presentation, food transportation, and personal hygiene of food handlers do not meet the standards. Furthermore, based on the assessment of the physical feasibility of food sanitation hygiene at the nutrition Installation of the hospitals, a score of 80 was obtained, which falls below the minimum requirement specified in the requirement. Conclusion: The study revealed a significant non-compliance with the use of personal protective equipment (PPE) by food handlers during food processing and serving. Furthermore, health checks were not conducted, and the Nutrition Installation of the selected hospitals lacked a certificate of sanitary hygiene eligibility.
Effectiveness of Slow Stroke Back Massage (SBBM) on blood pressure, anxiety, and depression among older people with hypertension: A quasi-experimental study Patonengan, Gita Sandy; Mendrofa, Fery Agusman Motuho; Hani, Umi
Public Health of Indonesia Vol. 9 No. 2 (2023): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i2.678

Abstract

Background: The high incidence of hypertension among older adults requires the efforts of healthcare workers to prevent complications that can worsen the condition. Hypertension can also lead to anxiety and depression due to a combination of factors, such as a physiological decline in physical condition. One of the non-pharmacological therapies considered for reducing blood pressure, anxiety, and depression is slow stroke back massage (SSBM). Objectives: The study aimed to examine the effectiveness of SSBM in reducing blood pressure, anxiety, and depression among older adults with hypertension. Methods: This study utilized a quasi-experimental pretest-posttest control group design. The research was conducted in March 2023 with 50 respondents aged 60-74. Aneroid Sphygmomanometer, Geriatric Depression Scale (GDS), and Geriatric Anxiety Scale (GAS) were used for data collection. Mann-Whitney and Wilcoxon tests were used to analyze data. Results: The SSBM therapy in the experimental group was effective compared to the standard therapy in the control group in reducing blood pressure, anxiety, and depression. Conclusion: SSBM therapy is an effective complementary therapy for reducing blood pressure, anxiety, and depression in older adults. Therefore, it can be utilized as a preventive measure against complications that may arise in the older adult population.
Factors related to open defecation behavior: A cross-sectional study in Serang City, Banten, Indonesia Kurniatillah, Nia; Hayat, Fauzul; Masyruroh, Anis
Public Health of Indonesia Vol. 9 No. 2 (2023): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i2.682

Abstract

Background: Open defecation remains a public health problem in Indonesia, contributing to various diseases such as diarrheal diseases within communities. Open defecation can be influenced by several factors, including socio-demographic, cultural, financial, and poor sanitation factors. However, these factors remain poorly investigated. Objective: This study aimed to determine the association between age, gender, level of education, knowledge, attitude, family income, local government support, availability of clean water, and family latrines with open defecation behavior in Serang City, Banten Province, Indonesia. Methods: A cross-sectional study design was selected, using purposive sampling in the study area. Data were collected from 220 respondents using a structured questionnaire from June to October 2022. Chi-square test was used to analyze the data. Results: The majority of the respondents were females (52.7%), and the dominant age group was >30 years old (50.9%). Bivariate analysis showed a significant relationship between gender (OR = 8.190, 95% CI =4 .460-15.038), attitude level (OR = 2.391, 95% CI = 1.271-4.500), family income (OR = 35.964, 95% CI = 8.477-152.582), local government support (OR = 4.540, 95% CI = 2.073-9.943), availability of clean water (OR = 2.834, 95% CI =1.632-4.922), and family latrines (OR = 19.260, 95% CI = 9.612-38.591) with open defecation behavior (p <0.05). There was no significant relationship between age, level of education, and knowledge with open defecation behavior (p >0.05). Conclusion: The main variables that significantly influenced open defecation behavior were female gender, family income, local government support, and family latrines. Therefore, there is a need for a policy shift to involve female empowerment and local government support to construct affordable and effective latrines, aiming to improve the current practice and eliminate open defecation.
Factors influencing the utilization of the Modern Family Planning (MFP) method under the National Health Insurance in Indonesia: An analysis of the 2017 IDHS Maretalinia, Maretalinia; Rusmitasari, Heni; Supriatin, Supriatin; Amaliah, Lili; Sukmawati, Ellyzabeth; Suwarni, Linda
Public Health of Indonesia Vol. 9 No. 2 (2023): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i2.694

Abstract

Background: Indonesia recently implemented a National Health Insurance program while simultaneously grappling with the challenge of unmet family planning needs. Objective: This study aimed to examine the correlation between health insurance ownership and the utilization of family planning methods among married/in-union women in Indonesia. Methods: This study employed secondary data analysis using the 2017 Indonesian Demography and Health Survey (IDHS). The analysis included a sample of 18,411 married/in-union women. Univariate, bivariate (Chi-square test), and multivariate (binary logistic regression) analyses were conducted to examine the relationship between health insurance ownership and the utilization of family planning methods. Results: The analysis revealed that a small proportion of individuals with health insurance utilized family planning services. Several factors were found to be associated with the utilization of family planning services, including ownership of health insurance, women's age, family planning decision-maker, socioeconomic status (as measured by being in the richest quintile), and higher education attainment. Conclusion: The findings of this study provide important insights for policymakers and public health practitioners regarding the integration of national health insurance programs and family planning initiatives in Indonesia. It is crucial to address the low utilization rate of family planning services among those with health insurance. Future research should focus on fostering collaboration among all stakeholders to promote comprehensive education on freely accessible contraceptive methods, aiming to bridge the gap between policy implementation and effective utilization of family planning services.
Determinants of HAZ score in children under five in Glagah, Lamongan, Indonesia: A SEM-PLS analysis Al Ayubi, Moch Thoriq Assegaf; As'ad, Muhammad; Ariyanti, Fajar
Public Health of Indonesia Vol. 9 No. 3 (2023): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i3.701

Abstract

Background: Stunting is a nutritional condition of children with a Height for Age Z-score (HAZ score) under -2. The percentage of stunting in Indonesia in 2018 for children under five years of age was 30.80%, which has consistently increased since 2000. Glagah is a subdistrict in Lamongan Regency, which includes the national priority of the stunting intervention program. A multisectoral and comprehensive intervention must be related to evidence-based and previous relevant research and framework. However, there are various results about the determinants of stunting. Objective: This study aimed to identify direct and indirect effects from the determinant of HAZ score in children under five years of age in Glagah, Lamongan, Indonesia. Methods: This research employed a case-control design with K=2 and utilized a modified research questionnaire to collect the data. The population was mothers with 6–59-month-old children in Glagah. The samples were 88 control and 44 cases. The analysis was performed with SEM-PLS analysis with bootstrapping using α 0.05. Results: Our model shows an R-square of 0.433. Variables with the most affecting factors are Energy intake → HAZ (β 0.541), Protein intake → HAZ (β -0.327), Parenting score → HAZ (β 0.309), parenting score → energy intake (β 0.411), parenting score → protein intake (β 0.435), parenting score → energy intake → HAZ (β 0.222). Conclusion: These results provide an essential brief for community empowerment to increase parenting quality in a stunting intervention program. This research proposes an improvement on the environment and population variables for further study.
TENORM radiation protection patterns for the sustainable health of workers Primanti, Afthina; Kusnoputranto, Haryoto; Purwana, Rachmadhi; Gozan, Misri
Public Health of Indonesia Vol. 9 No. 3 (2023): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i3.704

Abstract

Background: Coal production in Indonesia continues to increase to meet national energy needs and export demand. Solid waste from the coal combustion process is estimated to increase significantly. One of the hazardous mining wastes is TENORM, but some TENORM is classified as production goods with economic value. The problem in this research is that the volume of waste containing TENORM is quite large, and the disposal, use, and recycling of TENORM has the potential to cause contamination for workers at the steam power plant and the surrounding environment. Objective: The purpose of this research is to obtain a design model for the protection of the environment and workers against TENORM radioactive waste from coal ash through an analysis of the social and economic perceptions of steam power plant workers regarding TENORM radiation and the effectiveness of TENORM radiation protection education to workers. Methods: A mixed method with a quantitative approach was applied. Data were gathered through field observation utilizing a questionnaire instrument that asked workers working at Steam Power Plant Units 1 – 7 a series of written questions. Results: Prior to Counseling, most Suralaya Steam Power Plant workers had shallow social and economic perceptions of TENORM radiation, with 88 percent unaware of its effects. The majority also paid between 100,000 and 500,000 IDR monthly in medical expenses. All respondents agreed that TENORM radiation safety counseling for Suralaya Steam Power Plant workers was utterly compelling, with acceptance of TENORM and WTP estimates following Counseling being the most important aspect. Conclusion: There was a significant relationship between the WTP variable after Counseling and the variables acceptance of TENORM protection (0.730), TENORM knowledge (0.627) before and after Counseling (after Counseling), and acceptance of TENORM protection (0.648), according to the pattern of protection for the SEM model.
Factors associated with Food Safety Practices (FSP) among visitors in the Depok Beach Area in Yogyakarta, Indonesia Suryani, Dyah; Rustiawan, Asep; Jannah, Arihni Arihatal
Public Health of Indonesia Vol. 9 No. 3 (2023): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i3.707

Abstract

Background: The availability of safe, healthy, and clean food in tourism places is essential to ensure customers’ satisfaction. Most previous studies focused on food safety practices among food handlers. However, personal food safety practices are needed to prevent foodborne diseases. Objective: This study aimed to identify the factors associated with food safety practices among people who visited Depok Beach. Methods: A quantitative approach was done on 211 Depok Beach visitors selected by the accidental sample method. This study was conducted from September to October 2022. Descriptive statistics, chi-square, and binary logistic regression were used for data analysis. Results: This study found that factors such as marital status, knowledge, and attitude were 2.8, 1.2, and 2.2 times, respectively, more likely to practice poor food safety practices.  Conclusion: The food safety practice among visitors was less than average. The factors associated with food safety practices among visitors were marital status, knowledge, and attitude about food safety. Health promotion about food safety for customers is needed. Further studies could mix with the qualitative approach to get comprehensive findings.

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