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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 Relationship Between Physical Activity and Suicidal Thought in Korean Adolescents Taikyung Choi; Junghyun Kim
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.v12i2.1841

Abstract

Background: The social changes of adolescence can cause stress in some adolescents, leading to increased rates of adolescent emotional disorders and suicide attempts, and serious public health problems such as suicide and self-harm. Existing studies on adolescent mental health have focused on the association between physical activity and depressive symptoms, but empirical studies examining the direct link with suicidal ideation are rare. Objectives: Therefore, this study aimed to investigate the independent and significant association between physical activity and suicidal ideation in Korean adolescents. Method: The sample was analyzed from the 20th (2024) Youth Health Behavior Survey of Korea. This study conducted a binary logistic regression analysis on 54.653 students from the first year of middle school to the third year of high school. Results: The prevalence of suicidal ideation was 12.7%, and suicidal ideation was found to increase with lower socioeconomic status (SES). The analysis of suicidal ideation related to physical activity revealed that the number of days of strength training performed in the past seven days was related to suicidal ideation. The odds ratio (OR) for those who performed strength training on three or more days was 1.11 (95% CI, 1.04-1.19) times higher than for those who performed it on two or fewer days. Conclusion: This study found that while general physical activity tended to be associated with lower suicidal ideation, frequent muscle-strengthening exercise was positively associated with suicidal ideation, suggesting that not all types of physical activity provide equal mental health benefits. Educational interventions should also aim to foster healthy motivation for physical activity by emphasizing self-efficacy rather than competition or appearance.
Effectiveness of The Performance Appraisal System of Functional Officials With Employee Work Targets at The Health Department of Southeast Sulawesi Province Sartini Risky; Waode Nova Noviyanti Rachman; Sri Mulyani; Lodes Hadju; Firmansyah Firmansyah
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.v12i2.1884

Abstract

Background: The Employee Performance Objectives system represents a major reform in Indonesia’s civil service appraisal mechanism, yet its effectiveness depends on regulatory understanding, digital literacy, and evaluator competence. Objective: To assess the effectiveness of the functional officials’ performance appraisal system at the Southeast Sulawesi Provincial Health Office based on input, process, and output components. Methods: A qualitative evaluative case study was conducted with eight purposively selected informants. Data were collected through in-depth interviews and analyzed using NVivo through coding, categorization, and thematic interpretation. Results: The employee performance objectives system is perceived as more practical and flexible than the previous DUPAK system. However, challenges include limited understanding of new regulations, low digital literacy, inconsistent socialization, and the absence of structured performance dialogue. Monitoring features are available but not optimally used. Despite procedural weaknesses, the new system increases employee motivation and encourages better documentation, although assessment objectivity remains limited. Conclusion: The appraisal system shows progress in efficiency and alignment with regulations but still requires improvement in evaluator capacity, regulatory comprehension, monitoring, and feedback mechanisms. Strengthening digital skills and structured communication is essential for achieving a more objective and effective performance appraisal system.
Cancer Survival Under Universal Health Coverage: Evidence from Indonesia's National Health Insurance System Ambo Sakka; Ede Surya Darmawan; Dumilah Ayuningtyas; Dewi Gayatri; Syarif Rahman Hasibuan
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.v12i2.2041

Abstract

Background: Universal health coverage (UHC) aims to ensure equitable access to quality healthcare services. Indonesia's National Health Insurance (BPJS Kesehatan), covering 248.8 million people, provides unprecedented opportunities to examine cancer survival patterns under UHC implementation. However, survival outcomes and factors influencing mortality among cancer patients within this system remain underexplored. Objective: To analyze survival outcomes and identify factors associated with mortality among cancer patients covered by Indonesia's National Health Insurance from 2017-2023. Methods: A retrospective longitudinal cohort study was conducted using BPJS Kesehatan administrative data. From a database of 2.501.251 JKN participants, 2.444 patients with cancer diagnoses (ICD-10: C00-C97) were identified. After applying eligibility criteria, 330 patients diagnosed since 2017 were eligible, with 316 patients included in final analysis after excluding incomplete data. Cox proportional hazards regression was employed to identify factors associated with survival time. Variables analyzed included comorbidity status, insurance scheme type, regional healthcare access, regional setting, age groups, and gender. Results: The analysis included 316 cancer patients with overall mortality rate of 52.8%. Female patients comprised 64.9% of the cohort, with 47.8% in the 40-59 years age group. Urban (Kota) patients represented 77.5%. Patients with documented mild complications showed significantly better survival (HR=0.360, 95% CI: 0.331-0.392, p<0.001) compared to those without complications. Severe complications also demonstrated improved survival (HR=0.482, 95% CI: 0.440-0.527, p<0.001). Insurance scheme type emerged as a critical factor, with PBI APBN patients showing 2.3-fold increased death hazard (HR=2.306, 95% CI: 2.086-2.548, p<0.001), while PBPU patients had 55% reduced hazard (HR=0.445, 95% CI: 0.412-0.479, p<0.001). Substantial regional variations were observed, with Regional 3 showing 3-fold increased death hazard (HR=2.957, 95% CI: 2.682-3.260, p<0.001). Age group 40-59 years demonstrated optimal survival (HR=0.553, 95% CI: 0.514-0.596, p<0.001). Female patients showed 26% increased death hazard (HR=1.259, 95% CI: 1.185-1.338, p<0.001), and rural (Kabupaten) patients had 54% increased survival (HR=1.535, 95% CI: 1.426-1.653, p<0.001) compared to urban patients. Conclusion: Cancer survival outcomes under Indonesia's universal health coverage system are significantly influenced by insurance scheme type, complication documentation status, regional healthcare access, urban-rural disparities, age, and gender, revealing substantial inequities within the UHC framework that require targeted policy interventions to achieve equitable cancer care.

Page 39 of 39 | Total Record : 383

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