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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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The Impact of Tuberculosis on People Living With HIV: Scoping Review Hulu, Victor Trismanjaya; Ginting, Rapael; Manalu, Putranto; Samosir, Frans Judea; Hartono; Siregar, Santy Deasy; Siagian, Masryna; Zendrato, Victorwan Novri; Sihotang, Widya Yanti
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.804

Abstract

Background:Tuberculosis (TB) patients with HIV/AIDS experience higher mortality rates, lower cure rates, and poorer treatment adherence compared to TB patients without HIV. As a result, TB can exacerbate HIV progression and lead to increased mortality. This study aims to investigate and summarize the determinants of TB incidence among people living with HIV/AIDS. Objective:This study employs a scoping review approach to explore the key factors associated with TB occurrence in HIV/AIDS patients. Methods:A literature search was conducted across indexed databases, including Scopus, PubMed, Google Scholar, and Crossref. Studies published between 2013 and 2021 were selected based on article titles, study design, population, intervention, and results. Fourteen relevant articles were included. Data were processed by identifying key sentences relevant to the coding framework, highlighting important findings, and organizing a narrative review framework. Qualitative data analysis was performed using NVIVO-12 Plus, with data presentation and report compilation. Results:The study identifies age, gender, education and knowledge level, nutritional status, use of antiretroviral therapy (ART), and cluster of differentiation 4 (CD4) cell count as the dominant factors influencing TB incidence among people living with HIV/AIDS. Conclusion:HIV infection weakens the immune system by attacking lymphocytes, leaving individuals with HIV/AIDS highly susceptible to Mycobacterium tuberculosis infection. Keywords:tuberculosis; HIV; AIDS; ART; CD4
Evaluation of Complementary Cupping Therapy in the Management of Hypertension and Triglyceride Levels in Coastal Fishermen Communities lilin, lilin rosyanti
Public Health of Indonesia Vol. 10 No. 2 (2024): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i2.806

Abstract

Background: Fishermen are community groups requiring special attention. The characteristics of a stressful job, unhealthy diet, and environmental and weather conditions are risk factors for hypertension and increased triglycerides. Wet cupping therapy is expected to improve imbalance in triglyceride levels, blood pressure, and pulse rate in fishermen living in coastal areas. Methods: Sixty people from fishing communities participated in this study through random sampling by creating a serial number list. The hypertensive group (n= 30) received cupping therapy combined with Al-Quran therapy, whereas the normotensive group (n= 30) only received cupping therapy. Blood pressure, pulse, and triglyceride levels were measured in both groups before and one week after cupping therapy. Results: In the hypertension group who were administered cupping therapy combined with Al-Quran therapy, there were changes in blood pressure, mean systolic blood pressure value (from 155.4 ± 21.8 to 141.3 ± 19.9), diastolic blood pressure (from 92.9 ± 10.6 to 85.3 ± 11.3), and triglyceride levels (from 259.4 ± 154.6 to 173 ± 74.5), which showed a statistically significant decrease in P value <0.05, while the normotensive group was statistically significant, but there was an increase within normal limits in systolic blood pressure and diastolic blood pressure, as well as a decrease in triglyceride levels. Conclusion: The results of this study showed that wet cupping combined with Al-Quran therapy is a promising complementary therapy for controlling blood pressure and triglyceride levels in hypertensive patients. Therefore, it could be an alternative therapy for fishing communities in coastal areas.
Evaluation Of the Emergency Severity Index Triage For Improving Emergency Room Services Quality In Indonesian Hospital Ramli, Hasnah; Erfina, Erfina; Rini Rachmawaty
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.809

Abstract

Background:Effective prioritization is crucial in delivering high-quality emergency medical services, although it is often lacking. Objective:This study aims to evaluate the application of triage based on the Emergency Severity Index (ESI) in improving the quality of emergency departments in hospitals in Indonesia. Methods:An accidental sample of 100 emergency room patients was selected. Patient satisfaction was measured using questionnaires, while infrastructure, support facilities, and the triage process were assessed through direct observation. Results:The evaluation found that nurse staffing levels did not meet standards and were inadequate to meet patient needs. Triage facilities and infrastructure at both hospitals met established standards. The triage process, conducted on 100 respondents by 30 nurses, revealed that the majority of patients were categorized as ESI level 3, comprising 82 (82%) respondents. There was an excessive use of triage resources beyond projections, and patient placement did not always adhere to standards, although the average response time was within the accepted range. Patient satisfaction was evaluated across five dimensions; the most satisfying dimensions were assurance and empathy, with 90% of respondents rating thempositively, while the tangibles dimension received the lowest satisfaction rating at 84%. The correlation between the application of ESI triage and patient satisfaction was not statistically significant (p-value = 0.101, higher than 0.05). Conclusion:It is recommended that hospitals increase the number and competence of nursing staff in emergency departments to ensure response times and patient placement align with ESI triage standards, thereby enhancing the effectiveness of triage implementation. Keywords:emergency severity index triage; quality of care; emergency department
The Role of Surrendering to God in Reducing Work-Related Stress Among Office Workers Amran, Yuli; Lestari, Shalsa Pebi
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.810

Abstract

Abstract Background:Work-related stress is a common mental health concern among office workers. Surrendering to God during work activities may help prevent or reduce the risk of work-related stress. Objectives:This study aims to examine the correlation between surrendering to God and work-related stress among office workers at the Head Office of Company X. Methods:A cross-sectional study design was used in this research. A total of 149 respondents were selected through simple random sampling. Results:The study found that 24.5% of workers experience work-related stress. It also revealed that higher levels of surrendering to God as measured by dimensions such as effort (ikhtiar), patience, gratitude, acceptance of fate, and faith in God are significantly correlated with lower levels of work-related stress among office workers. Conclusion:It is crucial to promote and enhance the practice of surrendering to God in work environments to help prevent work-related stress among office workers. Organizing training to improve employees' emotional and spiritual management capacities is vital for maintaining their mental health. Keywords:surrendering to god; work-related stress; office workers
Transformative Impact of Islamic Spiritual Care (ISC) Enriched with Murottal: Alleviating Anxiety and Depression among Coronary Heart Disease Patients through Pre- and Post-Intervention Analysis Wisuda, Aris Citra
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.813

Abstract

Background:Spiritual care is a vital component of comprehensive nursing, especially for patients in palliative care, such as those with coronary heart disease. While pharmacological and medical interventions remain the primary approach for heart-related conditions, the substantial success rate observed with spiritual therapy incorporating Murottal recitations highlights its significant impact on improving patients' quality of life, particularly in managing anxiety and depression. Objective:This study aimed to assess the differences in anxiety and depression scores among cardiovascular patients diagnosed with coronary heart disease before and after the application of Islamic spiritual care interventions using Murottal, in both intervention and control groups. Method:Using a quasi-experimental pretest-posttest design with a control group, the study involved a population of 156 coronary heart disease patients undergoing treatment. Simple random sampling produced a sample size of 110 patients at Muhammadiyah Hospital in Palembang, South Sumatra, Indonesia. Respondents were divided into two groups of 55 participants each. The intervention group received spiritual care through Murottal, while the control group received standard hospital therapy. Levels of anxiety and depression were measured using the Depression Anxiety Stress Scale (DASS). Results:The Wilcoxon test results for anxiety and depression variables in the intervention group showed a p-value of <0.005, indicating a significant difference in anxiety and depression scores before and after receiving the spiritual care intervention with Murottal. Conclusion:Islamic spiritual care (ISC) services incorporating Murottal recitations have the potential to reduce anxiety and depression among coronary heart disease patients at Muhammadiyah Hospital in Palembang, South Sumatra, Indonesia. Keywords: Anxiety, Coronary Heart Disease, Depression, Murottal, Spiritual Care, Patient.
The Relationship Between Adolescent Social Determinants Factors at the Various Parental Activities on Self-Efficacy for Choosing Healthy Foods Abadi, Moh Fairuz; Wati, Ni Made Nopita; Prasetya, Didik; Prihatiningsih, Diah; Idayani, Sri; Mirayanti, Ni Ketut Ayu; Pamungkas, Mohammad Adreng
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.814

Abstract

Background:Adolescent self-efficacy in choosing healthy foods is closely related to the incidence of obesity. According to WHO data, the obesity rate among children and adolescents increased from 18% to 19.3% between 2016 and 2021, and this rising trend is also observed in Indonesia. Understanding the factors that influence adolescents' eating habits is essential for comprehending their behavior in selecting healthy foods and designing effective interventions to promote healthier eating habits among this age group. Objective:This study aimed to determine the level of adolescent self-efficacy in choosing healthy foods and to examine the relationship between various social determinants such as gender, class, age, and parental activities and adolescent self-efficacy in selecting healthy foods. Additionally, this study tested parental activities as a moderating variable for factors significantly influencing adolescent self-efficacy in choosing healthy foods. Methods:A quantitative descriptive design was employed for this study. The population consisted of high school students, with a total of 408 respondents selected through non-probability cluster sampling. Data were analyzed using univariate, bivariate, and multivariate regression statistical tests. Results:The findings revealed that 57.8% of respondents exhibited a moderate level of self-efficacy in choosing healthy foods, 35.5% showed a strong level of self-efficacy, and 6.6% demonstrated a low level of self-efficacy. Age was the only variable significantly influencing adolescents' ability to choose healthy foods, with a significance level of 0.039 (P < 0.05). Parental activities were not found to significantly moderate the relationship between age and the level of self-efficacy in choosing healthy foods. Conclusion:Age is a significant factor influencing adolescent self-efficacy in choosing healthy foods. However, parental activities do not significantly moderate the relationship between age and adolescent self-efficacy in food selection. Keywords:Adolescent, Feeding Behavior, Meals, Parents, Social Determinants of Health.
Development of Family Empowerment Model in Diabetes Management Among Type 2 DM Patients Trisnadewi, Ni Wayan; Januraga, Pande Putu; Pinatih, Gde Ngurah Indraguna; Duarsa, Dyah Pradnyaparamita
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.815

Abstract

Background: Diabetes management has not been optimally implemented by patients, considering the high incidence of diabetes complications. Therefore, family empowerment is important for diabetes management. Objective: This study aims to determine factors related to diabetes management, inhibiting, and supporting factors for diabetes management to develop a family-based educational model in diabetes management through expert testing.Methods: This research used Mixed Methods design with an Explanatory Sequential Design approach. A cross-sectional approach to 207 people with DM selection using a multistage sampling technique. Data was collected by questionnaire, in-depth interview, and Delphi study. Data analysis using chi-square and logistic regression. The development of family empowerment model is based on the theory Ladder of Empowerment, Social Cohesion, and Family Support. Results: Research results showed that good knowledge of patients, good family empowerment, and absence of DM risk factors are related to diabetes management. Model development and expert testing (Delphi Study) of the model find that a family-based diabetes management module is needed. Conclusion: A good family-based diabetes management module includes aspects of Self-Instructional, Self-Contained, Stand Alone, Adaptive, and User-Friendly aspects. This module is expected to improve diabetes management for patients and their families so that diabetes complications can be prevented and the patient's quality of life increases.
Evaluation of Home Healthcare Services By Service Providers and Users KÜÇÜK, Yavuz Selim; Şahin, Bayram
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.817

Abstract

Background: On May 15, 2017, the Turkish Ministry of Health transferred the coordination and delivery of home healthcare services from primary healthcare facilities to hospitals. Objective:This study aims to find out what the patients, their families, and home healthcare providers think about this organizational change that has been made to the service delivery process. Methods: In the quantitative research, the survey created using the results of qualitative research was administered to 396 individuals, comprising 322 patients or their relatives and 74 medical staff members. The survey's reliability was assessed using Cronbach's alpha coefficient, its validity was assessed using exploratory and confirmatory factor analyses, and the t-test was used to test the hypotheses. Results: Following the transfer of home health service delivery and coordination from primary healthcare institutions to hospitals, it was found that visit frequency-satisfaction, equity, monitoring-evaluation, and socio-economic support were the dimensions in which patients and their relatives participated more than healthcare personnel. However, compared to patients or patient relatives, healthcare personnel participate more in the areas of access to services, personnel-financial support, and private sector-security support. Conclusions: According to these findings, it is noteworthy that both groups have a much higher level of participation in issues that directly concern them. Thus, it is believed that improving the problems that clients and staff find objectionable will enhance home health services. Keywords: Home care; healthcare providers; healthcare users; primary healthcare; hospitals
The Role of Parents in Preventing Teenage Pregnancy in Rural Areas of Banyumas District Kurniawan, Arif; Gamelia, Elviera
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.819

Abstract

Background:One of the factors contributing to Indonesia's high maternal mortality rate is the high incidence of teenage pregnancy in Banyumas. The family, particularly parents, plays a crucial role in influencing teenage pregnancy, as they are expected to act as educators, motivators, supervisors, communicators, and counselors for their teenagers. Objective:The purpose of this study was to identify the factors that influence the role of parents in the prevention of teenage pregnancy. Methods:A cross-sectional study design was employed, focusing on female participants. A cluster random sampling technique was used to obtain a sample size of 150 parents from the study population, using the proportion estimation formula. The validity and reliability of the questionnaire used were tested. Data were analyzed using logistic regression. Results:The univariate analysis revealed that 93.2% of respondents were female, 25.3% were aged between 38 and 42, 61.3% had only completed elementary school, 63.3% were housewives, 58% had incomes below IDR 1.350.000, 52% had monthly family expenses under IDR 1.350.000, and 42.7% had five or more dependents. The bivariate chi-square test showed an association between parental resources, the role of health professionals, knowledge, attitudes, and societal values in the prevention of teenage pregnancy. The multivariate analysis using logistic regression indicated that the value of people and resources significantly impacts the role of parents in this regard. Conclusion:The role of parents in preventing teenage pregnancy is influenced by the value placed on people and resources. Keywords: Maternal mortality; adolescent pregnancy; role of parents; knowledge; attitudes
Factors Related to Compliance with HBsAg Screening Among Pregnant Mothers in Bengkulu Province Sofais , Danur Azissah Roesliana; Suyanto , Jipri; Rustandi , Handi; Susanty, Sri
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.821

Abstract

Background:The low number of Hepatitis B surface antigen (HBsAg) screenings indicates that the people of Bengkulu Province have a limited understanding of the importance of such examinations. In Bengkulu, 1.61% of pregnant women, or approximately 47.550 individuals, are positive for hepatitis B infection. This is partly due to the low rate of HBsAg screening among pregnant women. Objective:To determine the prevalence of HBsAg screening compliance among pregnant women and the factors influencing it. Method:This research utilized a cross-sectional study design. A multistage random sampling method was used to select 488 pregnant women from nine districts and one city in Bengkulu Province. Data analysis was performed using multiple logistic regression. Results:The findings showed a non-compliance rate for the HBsAg test of 77.87% (95% CI: 73.95-81.34). Factors associated with non-compliance included maternal perception (adjusted OR: 7.01, 95% CI: 3.62–13.57), quality of life (adjusted OR: 6.19, 95% CI: 2.98–12.88), husband's support (adjusted OR: 2.16, 95% CI: 1.11–4.18), and health worker support (adjusted OR: 3.68, 95% CI: 1.91–7.08). Conclusion:It is crucial for pregnant women to increase their awareness of the importance of HBsAg screening, supported by their husbands, with additional counseling on the negative impacts of hepatitis B during pregnancy. Cultural perceptions should be addressed to foster more positive attitudes. Enhanced collaboration between health service providers, traditional or community leaders, and the public is necessary to improve overall public health outcomes. Keywords: HBsAg screening compliance; health literacy; quality of life; perception; husband support; health worker support

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