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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 383 Documents
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The Role of Spiritual Care in Promoting Health and Well-Being Among Patients with Chronic Illnesses: A Systematic Review and Meta-Analysis Manisha Manisha; Aris Citra Wisuda; Tukimin bin Sansuwito; Idris Adewale Ahmed
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1547

Abstract

Background: Chronic illnesses are often accompanied by prolonged psychological stress and a decline in spiritual well-being, both of which can negatively affect patients’ health, coping ability, and overall quality of life. Spiritual care has emerged as a key component of holistic, patient-centered care, promoting emotional stability and spiritual resilience in those managing chronic conditions. Objective: This systematic review and meta-analysis aimed to evaluate the effectiveness of spiritual care interventions in reducing stress and enhancing spiritual well-being among adults with chronic illnesses. Methods: A systematic search was conducted using PubMed, Scopus, Google Scholar, and ScienceDirect to identify relevant RCTs published between 2020 and 2025. Studies were included if they involved adults (≥18 years) diagnosed with chronic diseases and implemented spiritual care as the primary intervention. Data screening, extraction, and synthesis followed PRISMA 2020 guidelines. Ten RCTs met the eligibility criteria and were included in the qualitative synthesis, with meta-analysis performed where applicable. Results: Spiritual care interventions such as prayer therapy, mindfulness-based spiritual practices, religious rituals, and structured spiritual counseling demonstrated statistically significant effects in reducing stress levels and improving spiritual well-being across varied patient populations, including those with cancer, diabetes, cardiovascular, and renal conditions. Interventions were typically delivered by trained nurses, chaplains, or multidisciplinary teams over 4 to 8 weeks. Conclusion: Spiritual care is effective in managing psychological and spiritual challenges in chronic illness, supporting its integration into holistic, person-centered healthcare.
Medical Managers Financial Accountability: The importance of feedback on work outcomes in Community Health Centers Suryo Pratolo; Tiyas Puji Utami
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1574

Abstract

Background: The issue of New Public Management (NPM) in the public sector, especially healthcare, challenges the role of medical doctors and their relationship with accountability. The existence of a hybrid role requires medical doctors to align themselves with financial responsibility. This leads to performance management practices that cause a shift from professionalism values to managerial values. Objective: This study aims to examine the effect of formal and informal feedback on felt accountability, as well as analyze how felt accountability affects managerial performance in medical managers through commitment as a mediating variable. Methods: This leads to performance management practices that cause a shift from professionalism values to managerial values. The hypothesis-testing questionnaire method was adopted by including 460 medical managers in Indonesia as samples. The analysis of the gathered data was conducted through Structural Equation Modelling-Partial Least Squares analysis. Result: The results of this study indicate that commitment can mediate between felt accountability and managerial performance. This study found the importance of formal and informal feedback in improving managerial performance. Conclusion: This study highlights that organizations need to create good communication between the organization and medical managers. Furthermore, it is also crucial for medical managers to have more spontaneous, unplanned, and voluntary social interactions to increase the positive impact of informal feedback.
The Effectiveness of E-Learning Interventions in Enhancing Parental Knowledge and Attitudes Toward Exclusive Breastfeeding: A Narrative Review for Implementation in the Indonesian Context Elvaro Islami Muryadi Muryadi; Radhakrishnan Muthukumar; Isaraporn Thepwongsa; Pattapong Kessomboon
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1597

Abstract

Background: Exclusive breastfeeding provides substantial health benefits for infants and mothers; however, adherence rates remain suboptimal worldwide. Barriers such as limited access to healthcare services, inadequate prenatal education, and insufficient involvement of fathers continue to undermine breastfeeding practices. Objectives: This narrative review aims to critically synthesize global evidence on e-learning interventions for exclusive breastfeeding education and explore their effectiveness, contextual determinants, and implementation challenges relevant to Indonesia. Methods: A narrative review was conducted using PubMed, Scopus, ScienceDirect, and Google Scholar (2015–2024). Of 187 identified articles, 29 met the inclusion criteria and were thematically analyzed to evaluate e-learning interventions and barriers to exclusive breastfeeding education. Results: The findings demonstrate that e-learning interventions can improve parental knowledge and breastfeeding self-efficacy; however, their impact on sustained exclusive breastfeeding behavior remains variable. Interventions incorporating multimedia content, interactive engagement, and personalized digital support tend to yield stronger outcomes than passive formats. Father-inclusive approaches are consistently associated with improved parental alignment and breastfeeding continuation. Nevertheless, effectiveness is moderated by technological access, digital literacy, healthcare system integration, and sociocultural factors, particularly in low-resource and rural settings. Conclusion: E-learning interventions offer a potentially scalable approach to promoting exclusive breastfeeding; however, their effectiveness is highly context-dependent. In settings such as Indonesia, digital strategies must be culturally adapted, family-inclusive, and integrated within existing healthcare and community support systems to achieve meaningful and equitable impact. Rather than functioning as standalone solutions, e-learning frameworks should complement structural and relational determinants of breastfeeding behavior. Future initiatives should prioritize contextual adaptation, technological equity, and rigorous evaluation to inform sustainable program development and policy decisions.  
Improving The Hospital Waste Management: An Action Research Study at The UMY Dental Hospital Pipiet Okti Kusumastiwi; Siti Jauza Hanan
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1606

Abstract

Background: Hospital waste as an inherent part of human life is one of the most serious issues affecting public health and the environment. Objective: This study aims to improve hospital waste management at the UMY Dental Hospital. Methods: This is an action research study using Simmons model. First, a list of critical issue was identified during the waste management process through a standard checklist and discussion with hospital officials and staff. A prioritizing matrix was utilized to rank the issues that were identified. Eleven interventions were then planned and carried out over a six-month period following consultation with hospital personnel. The performance of waste management was then reassessed. Results: The participants' average understanding of hospital waste management (HWM) standards increased significantly (from 64 ± 13.8 before to the training to 84.6 ± 20.6). The production of general waste decreased by 24.89% in terms of waste weight (99.2 kg–74.5 kg) and 27.7% in terms of rubbish bags. The amount of infectious waste produced decreased by 32.09% in terms of trash weight (58.9 kg–40 kg) and by 22.8% in terms of garbage bag count. The number of goods that met the HWM requirements increased from 16 to 32. Conclusion : Training, provision of guidelines, SOP, and educational posters, and development and implementation of hospital waste management program can improve waste management at the UMY Dental Hospital by augmenting awareness of medical waste management, elevating compliance with medical waste management standards, and decreasing the volume of hospital waste produced.
Chronic Kidney Disease Patient Satisfaction Assessment of Health Websites Information Luh Putu Febryana Larasanty; Yenny Kandarini; Anna Wahyuni Widayanti; Tri Murti Andayani
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1610

Abstract

Background: Health websites can enhance health literacy among patients with chronic kidney disease. Patients' satisfaction with health websites is related to website usability and their perception of the website's information, which can be assessed using the System Usability Scale questionnaire. Objective: Assess the level of satisfaction of chronic kidney disease patients towards health websites, using the System Usability Scale questionnaire that is specifically adapted for website assessment. Methods: We conducted content and construct validity tests, followed by a reliability test using Cronbach's alpha. Subsequently, a correlation study was conducted to assess the System Usability Scale questionnaire's ability to measure website quality, with particular emphasis on user satisfaction. Results: Nine panelists conducted a content validity assessment. In addition, 35 patients with chronic kidney disease participated in the construct validity, reliability, and patient satisfaction tests. Regarding content validity, the ratio was ≥ 0.78 (valid), and the content validity index was > 0.89 (appropriate and relevant). The questionnaire demonstrated validity (construct validity > 0.325) and reliability (Cronbach's alpha 0.741). Furthermore, there was a strong correlation between the SUS adjective scores and direct patient satisfaction assessments (coefficient interval 0.767). Finally, patient satisfaction with health websites varied by website type (p<0.001). Conclusions: The System Usability Scale questionnaire in Indonesian was valid and reliable for assessing health websites, and can be used to assess patient satisfaction with health-related websites. Most patients have a good level of satisfaction, and the type of website accessed affects satisfaction among chronic kidney disease patients.
Relationship between Physical Activity and Quality of Life in Patients with Diabetes Mellitus Metty Wuisang; Frendy Fernando Pitoy; Mutiara Wahyuni Manoppo; Silvia Dewi Mayasari Riu; Denny Maurits Ruku
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1612

Abstract

Background: Engagement in Physical Activity (PA) is advised for those diagnosed with Diabetes Mellitus (DM); nevertheless, patients with DM frequently struggle to comply due to symptomatic manifestations, adversely affecting their quality of life (QoL). Objective: to examine the relationships between demographic characteristics, PA and QOL; Furthermore, this study was to identify predictors of QoL in patients with DM. Methods: This study uses a cross-sectional design. The measuring instruments used were demographic characteristics, the Five Times Sit-to-Stand Test (FTSST), the International Physical Activity Questionnaire (IPAQ), and the Quality of Life (EQ-5D-5L) Questionnaire for data collection.  Data was analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and multiple hierarchical regression. Results: The mean age of 245 patients with DM was 59.91 ± 11.68 years, with 60.4% female, and the mean score QOL was 0.88 ± 0.10. QOL in patients with DM showed a significant relationship with sitting time, domains of PA (Occupational, Transportation, and Leisure time), and the total score IPAQ. Meanwhile, age, gender, marital status, living arrangement, education level, body mass index (BMI), duration of DM diagnosis, FTSST, and housework domain did not show significant correlations with QOL in patients with DM. Seven variables emerged as significant predictors of QOL in patients with DM: age, BMI, duration of DM diagnosis, sitting time, and domains of PA (occupational, transportation, and leisure time). Conclusion: Consistent PA is essential for enhancing the QOL of patients with DM. Moreover, sitting time, domains of PA (occupational, transportation, and leisure time), and total PA should be considered when delivering care to DM patients to enhance QOL.
Effectiveness of Technology in the Implementation of Early Stroke Detection Applications: Integration into the Management of High-Risk Patient Care Renny Triwijayanti; Annisa Rahmania; Romiko Romiko; Diah Indriastuti; Paray Theo Lonardo
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1621

Abstract

Background: Early recognition of stroke symptoms is essential to reduce prehospital delay and improve patient outcomes. However, limited community awareness of stroke warning signs remains a challenge in many primary healthcare settings. Objective: This study aimed to evaluate the association between the D-Stroke mobile application and improvements in knowledge of early stroke detection among community health cadres in a primary healthcare setting. Methods: A quasi-experimental one-group pretest–posttest design was conducted at the Nagaswidak Public Health Center in Palembang. Twenty-eight community health cadres were recruited using a total sampling approach. Participants completed a 10-item knowledge questionnaire before and after one week of application use. Data were analyzed using the Wilcoxon signed-rank test due to non-normal distribution. Effect size (r) was calculated to determine the magnitude of change. Results: The median knowledge score increased from 15.00 (pretest) to 34.00 (posttest). The improvement was statistically significant (Z = −5.683, p = .001). The calculated effect size (r = .80) indicated a large magnitude of change. Conclusion: Use of the D-Stroke application was associated with significant improvement in knowledge of early stroke detection among community health cadres. Mobile-based educational tools may support stroke awareness and early referral capacity in primary healthcare settings; however, further controlled studies are needed to confirm behavioral and clinical impact.
Assessment of Nurses' Knowledge about Early Clinical Manifestation of Herpes Zoster Harith Fathi Khudhayer Al-Aubaid; Ali Mohammed Fathi; Nasir Muwfaq Younis
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1650

Abstract

Background: VZV stays dormant in the dorsal root spinal ganglia after chickenpox resolves, and it can reactivate at any time, though it usually does so later in life to cause herpes zoster. Objective: The purpose of this study is to evaluate nurses' understanding of the early clinical signs of herpes zoster. Methods: The study was descriptive in nature. From November 4, 2024, to April 1, 2025, nurses' knowledge of early clinical signs of herpes zoster was assessed using a purposive (non-probability) sample drawn from four teaching hospitals in the Nineveh Governorate. There were two sections to the study:  Age, gender, degree, and years of experience were among the demographic data collected in the first section of the study. Six key questions concerning nurses' awareness of the early clinical signs of herpes zoster were asked in the second section. The Statistical Package for the Social Sciences (SPSS) version 27 was used to analyze the data. Results: In the study, 23 nurses (76.7%) received a low level, while 7 nurses (23.3%) received a high level, out of all the nurses who completed the questionnaire. While the relationship between demographic characteristics and nurses' knowledge of the clinical signs of herpes zoster was very weak. Conclusions: According to the study's findings, nurses' understanding of general information, symptoms, and signs was significant, but their understanding of nursing care and treatment was non-significant. The socio-demographic factors and nurses' knowledge had a weak correlation.
Child Risk Determinants to Predict Stunting: A Case-Control Study in Sorawolio, Bau-Bau City Fitri Rachmillah Fadmi; Sri Mulyani; Asfani Yuhadi; Wa Ode Justin
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1699

Abstract

Background: Stunting remains a major public health concern with serious consequences for human development and long-term productivity. Objective: This study analyzed child-related factors linked to stunting among children under five in the Sorawolio Health Center area, Baubau City, and developed a logistic regression prediction model. Methods: Using a case-control design, the researchers included 302 participants 151 stunted and 151 non-stunted children selected through proportional random sampling. Health center records provided the child's nutritional status, while structured interviews with a validated questionnaire collected data on birth order, low birth weight (LBW), birth length, immunization history, exclusive breastfeeding, and household exposure to cigarette smoke. Results: Multivariate logistic regression showed strong associations between stunting and being the firstborn (AOR=7.45; 95% CI: 3.64–15.26), LBW (AOR=7.16; 95% CI: 1.60–32.13), short birth length <48 cm (AOR=25.29; 95% CI: 11.51–55.55), absence of exclusive breastfeeding (AOR=9.10; 95% CI: 3.17–26.15), and cigarette smoke exposure (AOR=2.40; 95% CI: 1.21–4.79). Immunization status showed only a borderline effect (p=0.059). The final model (constant –16.712) indicated that stunting risk rises sharply when multiple risk factors occur together, supporting its use as an early screening tool in primary care. Conclussion: These findings highlight how biological, nutritional, and environmental factors interact to drive stunting and emphasize the urgency of targeted interventions in coastal communities with limited health resources.
Effect of Prenatal Yoga on Sodium and Potassium Levels Among Madurese Women with Pre-eclampsia: A Quasi-Experimental Study Eny Susanti; Zakkiyatus Zainiyah; Novita Wulandari; Sriyana Herman; Mochamad Amin; Iswahyudi Iswahyudi
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1705

Abstract

Background: Preeclampsia is a hypertensive disorder of pregnancy (HDP), characterised by trophoblast immaturity and vascular dysfunction. Preeclampsia is characterised by blood pressure >140/90 mmHg and proteinuria. Preeclampsia can be prevented by maintaining a healthy diet and engaging in regular exercise during pregnancy, including yoga.  Objectives: To analyse the effect of Prenatal Yoga on Sodium and Potassium Levels Among Madurese Women with Pre-eclampsia. Methods: This study employed a quasi-experimental design involving 14 pregnant women diagnosed with preeclampsia and an equivalent number of 14 pregnant women in good health. Prenatal yoga sessions were conducted weekly for 8 weeks. Expectant mothers were selected according to specific inclusion and exclusion criteria. Serum specimens were collected using Elabscience assay kits. Serum sodium and potassium concentrations were analysed before and after prenatal yoga. The data were tested for normality, and the Wilcoxon test was used. Results: This study showed a significant difference in serum potassium levels before a mean of 3.29 and after a mean of 4.23 prenatal yoga in preeclamptic pregnant women (p=0.016), although there was no significant difference in serum sodium levels (p>0.05) before a mean of 150.15 and after a mean of 126.11 prenatal yoga in preeclamptic pregnant women. Conclusion: Helping to prevent hypertension during pregnancy. Prenatal yoga may reduce the risk of pre-eclampsia and improve maternal and fetal morbidity and mortality.

Page 38 of 39 | Total Record : 383

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