Background: Healthy Community Movement (GERMAS) is a systematic and planned effort carried out jointly by the entire nation with awareness, willingness, and ability to behave healthily to improve quality of life. Based on the results of preliminary studies of visitors of the Cengkareng Health Center who live in the East Cengkareng area, it was found that the application of GERMAS in the Cengkareng community was still relatively insufficient and the number of Non-Communicable Diseases (NCDs) increased. Objective: This study aimed to identify factors associated with the implementation of GERMAS in East Cengkareng Village Methods: This study used a quantitative and correlational approach with a cross-sectional design. The population of this study is the East Cengkareng Community of adults aged 20-49 years. An accidental sampling technique was used to obtain 300 respondents. This research instrument was adopted from previous research conducted by Laksmi in 2019 to measure the implementation of GERMAS, attitude, and knowledge. The data obtained were analyzed using univariate analysis and bivariate analysis with Chi-Square. Results: The results showed that the people in the East Cengkareng village as many as 252 (84.0%) respondents implemented GERMAS well and as many as 48 (16.0%) respondents did less implement GERMAS. The factors that have a significant relationship with the implementation of GERMAS are age (p-value=0.004), occupation (p-value=0.023), and attitude (p-value=0.013) Conclusions: Age, occupation, and attitude can affect GERMAS implementation. Future researchers can analyze the application of GERMAS on different characteristics of respondents such as the elderly, pregnant women, adolescents, and on respondents with certain conditions. Keywords: Age; attitude; GERMAS; occupation
{"title":"Factors Associated with the Implementation of GERMAS (Healthy Living Community Movement) in the Community of Cengkareng Timur Village","authors":"Evanny Indah Manurung, Laura Angelia Putri Sianturi, Lola Ade Syah Putri Purba, Mutia Agustina, Ester Silitonga","doi":"10.36685/phi.v10i1.779","DOIUrl":"https://doi.org/10.36685/phi.v10i1.779","url":null,"abstract":"Background: Healthy Community Movement (GERMAS) is a systematic and planned effort carried out jointly by the entire nation with awareness, willingness, and ability to behave healthily to improve quality of life. Based on the results of preliminary studies of visitors of the Cengkareng Health Center who live in the East Cengkareng area, it was found that the application of GERMAS in the Cengkareng community was still relatively insufficient and the number of Non-Communicable Diseases (NCDs) increased.\u0000Objective: This study aimed to identify factors associated with the implementation of GERMAS in East Cengkareng Village \u0000Methods: This study used a quantitative and correlational approach with a cross-sectional design. The population of this study is the East Cengkareng Community of adults aged 20-49 years. An accidental sampling technique was used to obtain 300 respondents. This research instrument was adopted from previous research conducted by Laksmi in 2019 to measure the implementation of GERMAS, attitude, and knowledge. The data obtained were analyzed using univariate analysis and bivariate analysis with Chi-Square.\u0000Results: The results showed that the people in the East Cengkareng village as many as 252 (84.0%) respondents implemented GERMAS well and as many as 48 (16.0%) respondents did less implement GERMAS. The factors that have a significant relationship with the implementation of GERMAS are age (p-value=0.004), occupation (p-value=0.023), and attitude (p-value=0.013)\u0000Conclusions: Age, occupation, and attitude can affect GERMAS implementation. Future researchers can analyze the application of GERMAS on different characteristics of respondents such as the elderly, pregnant women, adolescents, and on respondents with certain conditions.\u0000Keywords: Age; attitude; GERMAS; occupation","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":"103 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Siswati, Almira Sitasari, B. A. Paramashanti, Tjaronosari Tjaronosari, N. Nurhidayat, Agus Wijanarka, Lukman Waris
Background:Child malnutrition contributes to elevated rates of mortality and morbidity, profoundly affecting child welfare. Maternal childcare knowledge and practices play a pivotal role in addressing this issue. Objective:This study aims to evaluate the impact of the mHealth App on maternal knowledge and practices in child care. Method:A randomized controlled trial was conducted in Yogyakarta, Indonesia, from May to August 2022. Mother-child pairs were assigned to either the intervention (n=100) or control (n=100) groups. Data on maternal knowledge and practices were collected at baseline, follow-up 1, and follow-up 2. Maternal knowledge was assessed using a structured questionnaire covering child growth and development, while feeding practices were evaluated using a yes-no checklist. The analysis of maternal knowledge and practices involved mean difference, t-test, and general estimating equations in STATA-15. Result:The results revealed a consistent increase in knowledge and practice scores between follow-ups 1 and 2. The mHealth application significantly enhanced maternal knowledge about child growth, development, and feeding at follow-up 2 compared to baseline, with improvements of 1.42 (CI 95% 1.34-1.89), 1.32 (CI 95% 1.22-1.72), and 1.45 (CI 95% 1.34-2.42), respectively. Additionally, growth and development monitoring practices increased by 0.80 (CI 95% 0.08-0.99) and 0.98 (CI 95% 0.21-0.99). Conclusion:The mHealth application significantly enhances maternal knowledge and practices related to child growth, development, and feeding. Key words: mHealth; maternal; knowledge; practices; children
{"title":"Effect of mHealth based intervention on Maternal Knowledge and Practices of Child Care: A quasi-experimental study","authors":"T. Siswati, Almira Sitasari, B. A. Paramashanti, Tjaronosari Tjaronosari, N. Nurhidayat, Agus Wijanarka, Lukman Waris","doi":"10.36685/phi.v10i1.756","DOIUrl":"https://doi.org/10.36685/phi.v10i1.756","url":null,"abstract":"Background:Child malnutrition contributes to elevated rates of mortality and morbidity, profoundly affecting child welfare. Maternal childcare knowledge and practices play a pivotal role in addressing this issue.\u0000Objective:This study aims to evaluate the impact of the mHealth App on maternal knowledge and practices in child care.\u0000Method:A randomized controlled trial was conducted in Yogyakarta, Indonesia, from May to August 2022. Mother-child pairs were assigned to either the intervention (n=100) or control (n=100) groups. Data on maternal knowledge and practices were collected at baseline, follow-up 1, and follow-up 2. Maternal knowledge was assessed using a structured questionnaire covering child growth and development, while feeding practices were evaluated using a yes-no checklist. The analysis of maternal knowledge and practices involved mean difference, t-test, and general estimating equations in STATA-15.\u0000Result:The results revealed a consistent increase in knowledge and practice scores between follow-ups 1 and 2. The mHealth application significantly enhanced maternal knowledge about child growth, development, and feeding at follow-up 2 compared to baseline, with improvements of 1.42 (CI 95% 1.34-1.89), 1.32 (CI 95% 1.22-1.72), and 1.45 (CI 95% 1.34-2.42), respectively. Additionally, growth and development monitoring practices increased by 0.80 (CI 95% 0.08-0.99) and 0.98 (CI 95% 0.21-0.99).\u0000Conclusion:The mHealth application significantly enhances maternal knowledge and practices related to child growth, development, and feeding.\u0000Key words: mHealth; maternal; knowledge; practices; children","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Indonesia is the second country in the world with the highest burden of tuberculosis. Pulmonary tuberculosis is one of the global health issues that can substantially affect quality of life. Objective: To analyze the quality of life and associated factors among pulmonary tuberculosis patients. Methods: A cross-sectional study was conducted at the TB-DOTS outpatient clinic of Prof. Chairuddin Panusunan Lubis Universitas Sumatera Utara Hospital, Medan, Indonesia. The study subject was 100 pulmonary tuberculosis patients aged ≥18 years, newly diagnosed, and undergoing treatment from August to October 2023, selected using consecutive sampling. Primary data were collected through face-to-face interviews using the WHOQOL-BREF questionnaire. Descriptive statistics, the chi-square test, and the logistic regression test were used for data analyses. Results: The chi-square test showed there was a significant relationship between age (p = 0.022), family income (p = 0.005), treatment phase (p < 0.001), and adverse drug reactions (p = 0.040) with overall quality of life. The logistic regression test showed there was a significant relationship between family income (p = 0.007, OR = 3.685, 95% CI = 1.432–9.479) and treatment phase (p < 0.001, OR = 5.643, 95% CI = 2.139–14.888) with the deterioration of overall quality of life. Conclusion: The treatment phase lasting less than 2 months was the factor that most influenced the deterioration of the overall quality of life. Hence, families, healthcare workers, and the government should consider the treatment phase as a focus of interventions to enhance the quality of life of pulmonary tuberculosis patients
背景：印度尼西亚是世界上肺结核发病率第二高的国家。肺结核是严重影响生活质量的全球健康问题之一。目的：分析肺结核患者的生活质量和相关因素：分析肺结核患者的生活质量及相关因素。研究方法在印度尼西亚棉兰市苏门答腊大学鲁比斯医院（Prof. Chairuddin Panusunan Lubis Universitas Sumatera Utara Hospital）的肺结核-DOTS门诊进行了一项横断面研究。研究对象为 2023 年 8 月至 10 月期间新确诊并正在接受治疗的 100 名年龄≥18 岁的肺结核患者，采用连续抽样法选出。通过使用 WHOQOL-BREF 问卷进行面对面访谈收集原始数据。数据分析采用了描述性统计、卡方检验和逻辑回归检验。结果显示卡方检验显示，年龄（p = 0.022）、家庭收入（p = 0.005）、治疗阶段（p < 0.001）和药物不良反应（p = 0.040）与总体生活质量之间存在显著关系。逻辑回归检验显示，家庭收入（p = 0.007，OR = 3.685，95% CI = 1.432-9.479）和治疗阶段（p < 0.001，OR = 5.643，95% CI = 2.139-14.888）与总体生活质量的恶化有显著关系。结论治疗阶段少于 2 个月是影响总体生活质量恶化的最大因素。因此，家属、医护人员和政府应将治疗阶段作为干预的重点，以提高肺结核患者的生活质量。
{"title":"Factors Affecting the Quality of Life Among Pulmonary Tuberculosis Patients at the TB-DOTS Outpatient Clinic of Public Hospital","authors":"Diandra Angelia Az Zahra, B. Sinaga","doi":"10.36685/phi.v10i1.774","DOIUrl":"https://doi.org/10.36685/phi.v10i1.774","url":null,"abstract":"Background: Indonesia is the second country in the world with the highest burden of tuberculosis. Pulmonary tuberculosis is one of the global health issues that can substantially affect quality of life. \u0000Objective: To analyze the quality of life and associated factors among pulmonary tuberculosis patients. \u0000Methods: A cross-sectional study was conducted at the TB-DOTS outpatient clinic of Prof. Chairuddin Panusunan Lubis Universitas Sumatera Utara Hospital, Medan, Indonesia. The study subject was 100 pulmonary tuberculosis patients aged ≥18 years, newly diagnosed, and undergoing treatment from August to October 2023, selected using consecutive sampling. Primary data were collected through face-to-face interviews using the WHOQOL-BREF questionnaire. Descriptive statistics, the chi-square test, and the logistic regression test were used for data analyses. \u0000Results: The chi-square test showed there was a significant relationship between age (p = 0.022), family income (p = 0.005), treatment phase (p < 0.001), and adverse drug reactions (p = 0.040) with overall quality of life. The logistic regression test showed there was a significant relationship between family income (p = 0.007, OR = 3.685, 95% CI = 1.432–9.479) and treatment phase (p < 0.001, OR = 5.643, 95% CI = 2.139–14.888) with the deterioration of overall quality of life. \u0000Conclusion: The treatment phase lasting less than 2 months was the factor that most influenced the deterioration of the overall quality of life. Hence, families, healthcare workers, and the government should consider the treatment phase as a focus of interventions to enhance the quality of life of pulmonary tuberculosis patients","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background:Spiritual care is a vital aspect of the nursing process, particularly for palliative patients such as those with Coronary heart disease. While pharmacological and medical interventions remain paramount for managing heart conditions, the efficacy of Islamic spiritual therapy with Murottal has also been significant. Research has demonstrated its notable influence on patients' quality of life, particularly in mitigating anxiety and depression. Objective:This study aims to conduct a systematic review to explore the role of Islamic spirituality in nursing, specifically through Murottal recitations, and its impact on anxiety and depression among Coronary heart disease patients. Method:Employing a systematic review design, we utilized various electronic databases including PubMed, ProQuest, Science Direct, DOAJ, Wiley, Garuda, and secondary PubMed-indexed sources from 2018 to 2023. Inclusion criteria comprised studies with a clear definition of spiritual care involving Murottal in nursing, confirmed Coronary heart disease diagnoses, and reporting outcomes such as the incidence of death, cardiovascular outcomes, and quality of life. Result:The search focused on examining the correlation between Islamic spiritual care with Murottal and the quality of life in patients with coronary heart disease. Following a rigorous methodology, which included study selection, critical appraisal, data extraction, and synthesis, the search yielded 1,286 articles, with seven meeting the inclusion criteria. Analysis and categorization of these articles based on evidence level and recommendations revealed a consistent association between Islamic spiritual care with Murottal and reduced anxiety and depression in Coronary heart disease patients. However, heterogeneity was observed in research instruments, implementation duration, and outcomes. Conclusion:The conclusive evidence from this review supports the notion that Islamic spiritual care, particularly through Murottal recitations, significantly impacts the quality of life among Coronary heart disease patients. Keywords: Anxiety, Coronary Heart Disease, Depression, Murottal, Spiritual Care
{"title":"Islamic Spiritual Care with Murottal for Reducing Anxiety and Depression in Coronary Heart Disease Patients: A Comprehensive Systematic Review","authors":"Aris Citra Wisuda, T. Sansuwito, Citra Suraya","doi":"10.36685/phi.v10i1.776","DOIUrl":"https://doi.org/10.36685/phi.v10i1.776","url":null,"abstract":"Background:Spiritual care is a vital aspect of the nursing process, particularly for palliative patients such as those with Coronary heart disease. While pharmacological and medical interventions remain paramount for managing heart conditions, the efficacy of Islamic spiritual therapy with Murottal has also been significant. Research has demonstrated its notable influence on patients' quality of life, particularly in mitigating anxiety and depression.\u0000Objective:This study aims to conduct a systematic review to explore the role of Islamic spirituality in nursing, specifically through Murottal recitations, and its impact on anxiety and depression among Coronary heart disease patients.\u0000Method:Employing a systematic review design, we utilized various electronic databases including PubMed, ProQuest, Science Direct, DOAJ, Wiley, Garuda, and secondary PubMed-indexed sources from 2018 to 2023. Inclusion criteria comprised studies with a clear definition of spiritual care involving Murottal in nursing, confirmed Coronary heart disease diagnoses, and reporting outcomes such as the incidence of death, cardiovascular outcomes, and quality of life.\u0000Result:The search focused on examining the correlation between Islamic spiritual care with Murottal and the quality of life in patients with coronary heart disease. Following a rigorous methodology, which included study selection, critical appraisal, data extraction, and synthesis, the search yielded 1,286 articles, with seven meeting the inclusion criteria. Analysis and categorization of these articles based on evidence level and recommendations revealed a consistent association between Islamic spiritual care with Murottal and reduced anxiety and depression in Coronary heart disease patients. However, heterogeneity was observed in research instruments, implementation duration, and outcomes.\u0000Conclusion:The conclusive evidence from this review supports the notion that Islamic spiritual care, particularly through Murottal recitations, significantly impacts the quality of life among Coronary heart disease patients.\u0000Keywords: Anxiety, Coronary Heart Disease, Depression, Murottal, Spiritual Care","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Breast cancer is the most prevalent cancer among women worldwide. Due to its unknown causes, secondary prevention is highly encouraged for case early detection. Unfortunately, some women face difficulties in accessing it, even though they are covered by social health insurance. Objective: This study aimed to identify previous studies that mapped the various aspects within the domain of breast cancer screening access among low-income women under social health insurance. Design: This study used a scoping review method, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Data Sources: The electronic databases were searched in PubMed, Scopus, and EBSCO identified 115 articles. After the selection process involves two main stages, we found 7 studies included for the full review. Methods: Data charting is used for the data extraction. Thematic analysis is conducted to address the research question. Results: Social Health Insurance has a positive influence on access to breast cancer screening. Based on the Levesque framework, access is conceptualized in five dimensions, namely approachability, acceptability, availability, affordability, and appropriateness. Some aspects are found as variations of the original concept proposed as evidence from the field. Conclusion: The Levesque framework remains relevant to the experiences of low-income women. The variations observed emphasize the need for tailored approaches to healthcare delivery, providing opportunities for improving access.
背景：乳腺癌是全球妇女中发病率最高的癌症。由于乳腺癌的病因不明，我们非常鼓励通过二级预防来及早发现病例。遗憾的是，一些妇女即使参加了社会医疗保险，也很难获得这方面的服务。研究目的本研究旨在找出以前的研究，这些研究对参加社会医疗保险的低收入妇女接受乳腺癌筛查的各个方面进行了调查。设计： 本研究采用了范围界定综述方法，遵循了《系统性综述和荟萃分析首选报告项目扩展范围界定综述》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews，PRISMA-ScR）核对表的指导原则。数据来源：在 PubMed、Scopus 和 EBSCO 等电子数据库中检索了 115 篇文章。经过两个主要阶段的筛选过程后，我们发现有 7 项研究被纳入全面综述。研究方法使用数据图表进行数据提取。针对研究问题进行主题分析。结果社会医疗保险对乳腺癌筛查有积极影响。根据 Levesque 框架，可及性被概念化为五个方面，即可接近性、可接受性、可获得性、可负担性和适当性。其中一些方面是作为实地证据提出的原始概念的变体。结论：Levesque 框架仍然与低收入妇女的经历相关。观察到的变异强调了在提供医疗保健服务时采取有针对性的方法的必要性，从而为改善就医机会提供了机会。
{"title":"Breast Cancer Screening Access Among Low-Income Women Under Social Health Insurance: A Scoping Review","authors":"Sari Hastuti","doi":"10.36685/phi.v10i1.760","DOIUrl":"https://doi.org/10.36685/phi.v10i1.760","url":null,"abstract":"Background: \u0000Breast cancer is the most prevalent cancer among women worldwide. Due to its unknown causes, secondary prevention is highly encouraged for case early detection. Unfortunately, some women face difficulties in accessing it, even though they are covered by social health insurance. \u0000Objective: This study aimed to identify previous studies that mapped the various aspects within the domain of breast cancer screening access among low-income women under social health insurance. \u0000Design: This study used a scoping review method, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. \u0000Data Sources: The electronic databases were searched in PubMed, Scopus, and EBSCO identified 115 articles. After the selection process involves two main stages, we found 7 studies included for the full review. \u0000Methods: Data charting is used for the data extraction. Thematic analysis is conducted to address the research question. \u0000Results: Social Health Insurance has a positive influence on access to breast cancer screening. Based on the Levesque framework, access is conceptualized in five dimensions, namely approachability, acceptability, availability, affordability, and appropriateness. Some aspects are found as variations of the original concept proposed as evidence from the field. \u0000Conclusion: \u0000The Levesque framework remains relevant to the experiences of low-income women. The variations observed emphasize the need for tailored approaches to healthcare delivery, providing opportunities for improving access.","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reni - Yunus, Fitri Wijayati, Askrening Askrening, DianYuniar Syanti Rahayu, Fonnie E Hasan, Trees Trees, Angriani Fusvita
Millions of single-celled microscopic organism called bacteria reside within the human body. Numerous infectious diseases in humans are caused by some of these pathogen bacteria. One of the major risk factors for bacterial infections is diabetes mellitus. Bacterial infections and diabetes may have a reciprocal relationship in which some illnesses exacerbate insulin resistance. Diabetes may occur as a result of bacteria in the digestive system. Any organ in a human body can become infected by bacteria. The respiratory tract, gastrointestinal tract, urinary tract, skin, and soft tissues are the most frequently infected areas with diabetes. Uncontrolled hyperglycemia increases the risk of bacterial infections by impairing innate and adaptive immune responses. Furthermore, skin ulceration can result from long-term diabetic consequences such peripheral vascular disease and neuropathy (sensorimotor and autonomic). These conditions can also lead to secondary bacterial infections.
{"title":"Diabetes Mellitus and Bacterial Infections: A Review of Main Infections in DM Patients","authors":"Reni - Yunus, Fitri Wijayati, Askrening Askrening, DianYuniar Syanti Rahayu, Fonnie E Hasan, Trees Trees, Angriani Fusvita","doi":"10.36685/phi.v10i1.777","DOIUrl":"https://doi.org/10.36685/phi.v10i1.777","url":null,"abstract":"Millions of single-celled microscopic organism called bacteria reside within the human body. Numerous infectious diseases in humans are caused by some of these pathogen bacteria. One of the major risk factors for bacterial infections is diabetes mellitus. Bacterial infections and diabetes may have a reciprocal relationship in which some illnesses exacerbate insulin resistance. Diabetes may occur as a result of bacteria in the digestive system. Any organ in a human body can become infected by bacteria. The respiratory tract, gastrointestinal tract, urinary tract, skin, and soft tissues are the most frequently infected areas with diabetes. Uncontrolled hyperglycemia increases the risk of bacterial infections by impairing innate and adaptive immune responses. Furthermore, skin ulceration can result from long-term diabetic consequences such peripheral vascular disease and neuropathy (sensorimotor and autonomic). These conditions can also lead to secondary bacterial infections.","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140388206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background:Papua is a malaria-endemic region with Indonesia's highest annual parasite incidence. At the same time, stunting is a common child health problem in Papua. Malaria incidence in pregnant women is considered a risk factor for stunting in children. Thus, the identification of confounding factors in this relationship is necessary. Objective:The study aimed to determine significant confounding factors in maternal malaria and child stunting and clarify the true association between these two conditions. Methods: The study with a case-control design was conducted at 14 Puskesmas from May to September 2023. The sample size was 681 children, consisting of toddlers who were stunted and not stunted and were selected by probability sampling technique. Data collection used questionnaires and anthropometric measurements. Statistical analysis used Mantel-Haenszel chi-square with a cut-off point for changes in the estimated coefficient for determining confounding> 10%. Results: The results showed that the crude Odds Ratio of the effect of malaria incidence during pregnancy on the incidence of stunting in children was 1.746 (95% CI 1,062-2,872). Stratification analysis showed the adjusted Odds Ratio value of child sex (1.78), low birth weight (1.652), basic immunization status (1.771), breastfeeding status (1.753), maternal age (1.732), occupation (1.828), ethnicity (1.722) and family income (1.764). There were no potential confounding variables in the association between malaria incidence in pregnant women and childhood stunting (change in coefficient estimate <10%). Conclusions: Public health interventions aimed at preventing malaria during pregnancy can be used as a strategy to reduce the risk of childhood stunting. Keywords:Malaria; pregnancy; stunting; confounding; Indonesia
{"title":"Unraveling Potential Confounding Variables in the Association Between Maternal Malaria and Child Stunting in Papua: A Case-Control Study with Mantel-Haenszel Analysis","authors":"Z. Felle, Muhamad Sahiddin","doi":"10.36685/phi.v10i1.772","DOIUrl":"https://doi.org/10.36685/phi.v10i1.772","url":null,"abstract":"Background:Papua is a malaria-endemic region with Indonesia's highest annual parasite incidence. At the same time, stunting is a common child health problem in Papua. Malaria incidence in pregnant women is considered a risk factor for stunting in children. Thus, the identification of confounding factors in this relationship is necessary.\u0000Objective:The study aimed to determine significant confounding factors in maternal malaria and child stunting and clarify the true association between these two conditions.\u0000Methods: The study with a case-control design was conducted at 14 Puskesmas from May to September 2023. The sample size was 681 children, consisting of toddlers who were stunted and not stunted and were selected by probability sampling technique. Data collection used questionnaires and anthropometric measurements. Statistical analysis used Mantel-Haenszel chi-square with a cut-off point for changes in the estimated coefficient for determining confounding> 10%.\u0000Results: The results showed that the crude Odds Ratio of the effect of malaria incidence during pregnancy on the incidence of stunting in children was 1.746 (95% CI 1,062-2,872). Stratification analysis showed the adjusted Odds Ratio value of child sex (1.78), low birth weight (1.652), basic immunization status (1.771), breastfeeding status (1.753), maternal age (1.732), occupation (1.828), ethnicity (1.722) and family income (1.764). There were no potential confounding variables in the association between malaria incidence in pregnant women and childhood stunting (change in coefficient estimate <10%).\u0000Conclusions: Public health interventions aimed at preventing malaria during pregnancy can be used as a strategy to reduce the risk of childhood stunting.\u0000Keywords:Malaria; pregnancy; stunting; confounding; Indonesia","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140388025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Putri Mulia Sakti, Ikhsan Hi. Amir Sene, Kadar Ramadhan
Background: Central Sulawesi falls within the Wallacea region, making it home to various endemic flora and fauna. One distinctive plant in Central Sulawesi is the Moringa tree. The Moringa tree, especially its leaves, was often used as a culinary ingredient known as sayurkelor in the traditional cuisine of the Kaili ethnic group in Central Sulawesi Province. Objective: This research aimed to determine the effectiveness of moringa leaf extract in increasing hemoglobin levels and erythrocyte count. Method: Twenty-four male Wistar rats strain (Rattusnorvegicus) 9−10 weeks old and 200−250 grams were divided into four groups (n=6), normal as a no treatment, negative control, ethanol extract, and positive control during the 15thday. Blood samples on the 15thday were administered to determine blood count. Result: The resultsof this study showed differences in hemoglobin and erythrocyte levels in the four experimental groups.The significant difference in average hemoglobin levels between Group 2 and Group 3 with a P-value <0.05 (P value 0.00). The difference between Group 2 and Group 4 is significant with a P-value <0.05 (P value 0.00), and the difference between Group 3 and Group 4 is significant with a P-value <0.05 (P value 0.03). the significant difference in the average erythrocyte counts between Group 2 and Group 3 with a P-value <0.05 (P value 0.00). The difference between Group 2 and Group 4 is not significant with a P-value >0.05 (P value 0.07). The difference between Group 3 and Group 4 has a P-value >0.05 (P value 0.63). Conclusion: The research results indicate that pregnant Wistar rats experienced hemodilution characterized by a decrease in hemoglobin and erythrocyte levels during pregnancy. However, after being given ethanol extract from moringa leaves, there was an increase in hemoglobin and erythrocyte levels. Keywords: Extract; ethanol; moringa; oleifera; hemoglobin
{"title":"The Potency of Typical Plants of Central Sulawesi Province to Prevent Iron Deficiency Anemia: Experimental Study","authors":"Putri Mulia Sakti, Ikhsan Hi. Amir Sene, Kadar Ramadhan","doi":"10.36685/phi.v10i1.775","DOIUrl":"https://doi.org/10.36685/phi.v10i1.775","url":null,"abstract":"Background: Central Sulawesi falls within the Wallacea region, making it home to various endemic flora and fauna. One distinctive plant in Central Sulawesi is the Moringa tree. The Moringa tree, especially its leaves, was often used as a culinary ingredient known as sayurkelor in the traditional cuisine of the Kaili ethnic group in Central Sulawesi Province.\u0000Objective: This research aimed to determine the effectiveness of moringa leaf extract in increasing hemoglobin levels and erythrocyte count.\u0000Method: Twenty-four male Wistar rats strain (Rattusnorvegicus) 9−10 weeks old and 200−250 grams were divided into four groups (n=6), normal as a no treatment, negative control, ethanol extract, and positive control during the 15thday. Blood samples on the 15thday were administered to determine blood count.\u0000Result: The resultsof this study showed differences in hemoglobin and erythrocyte levels in the four experimental groups.The significant difference in average hemoglobin levels between Group 2 and Group 3 with a P-value <0.05 (P value 0.00). The difference between Group 2 and Group 4 is significant with a P-value <0.05 (P value 0.00), and the difference between Group 3 and Group 4 is significant with a P-value <0.05 (P value 0.03). the significant difference in the average erythrocyte counts between Group 2 and Group 3 with a P-value <0.05 (P value 0.00). The difference between Group 2 and Group 4 is not significant with a P-value >0.05 (P value 0.07). The difference between Group 3 and Group 4 has a P-value >0.05 (P value 0.63).\u0000Conclusion: The research results indicate that pregnant Wistar rats experienced hemodilution characterized by a decrease in hemoglobin and erythrocyte levels during pregnancy. However, after being given ethanol extract from moringa leaves, there was an increase in hemoglobin and erythrocyte levels.\u0000Keywords: Extract; ethanol; moringa; oleifera; hemoglobin","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: In the hospital industry, human resources are the drivers of the organization to achieve goals. The interaction of hospital human resources with patients is one of the essential aspects of service to increase patient satisfaction and loyalty. Objective: This study aimed to determine the effect of hospital human resource interactions on loyalty through patient satisfaction as an intervening variable. Methods: This type of research is quantitative analytic with a cross sectional design. The sampling technique was 339 respondents using random sampling technique. The data obtained will be analyzed using SmartPLS software (v3.2.9). Result: Interaction has a significant effect on patient loyalty directly (β=0.161 and p-value=0.015). Interaction also affects patient loyalty through intervening patient satisfaction variables (β=0.094 and p-value = 0.049). Conclusion: This study concludes that interaction has more effect on patient loyalty directly than through the intervening variable of patient satisfaction.
{"title":"The Influence of Human Resource Interactions on Loyalty with Patient Satisfaction as an Intervening Variable in Hospital X Surabaya","authors":"Minarni Wartiningsih","doi":"10.36685/phi.v10i1.737","DOIUrl":"https://doi.org/10.36685/phi.v10i1.737","url":null,"abstract":"Background: In the hospital industry, human resources are the drivers of the organization to achieve goals. The interaction of hospital human resources with patients is one of the essential aspects of service to increase patient satisfaction and loyalty. \u0000Objective: This study aimed to determine the effect of hospital human resource interactions on loyalty through patient satisfaction as an intervening variable. \u0000Methods: This type of research is quantitative analytic with a cross sectional design. The sampling technique was 339 respondents using random sampling technique. The data obtained will be analyzed using SmartPLS software (v3.2.9). \u0000Result: Interaction has a significant effect on patient loyalty directly (β=0.161 and p-value=0.015). Interaction also affects patient loyalty through intervening patient satisfaction variables (β=0.094 and p-value = 0.049). \u0000Conclusion: This study concludes that interaction has more effect on patient loyalty directly than through the intervening variable of patient satisfaction.","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":" 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140387730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Moch Thoriq Assegaf Al Ayubi, Muhammad As'ad, Fajar Ariyanti
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.
{"title":"Determinants of HAZ score in children under five in Glagah, Lamongan, Indonesia: A SEM-PLS analysis","authors":"Moch Thoriq Assegaf Al Ayubi, Muhammad As'ad, Fajar Ariyanti","doi":"10.36685/phi.v9i3.701","DOIUrl":"https://doi.org/10.36685/phi.v9i3.701","url":null,"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.","PeriodicalId":489442,"journal":{"name":"Public Health of Indonesia","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135769865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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