Journal The Indonesian Journal of Public Health-
The Indonesian Journal of Public Health, Volume 14, pp 174-185; doi:10.20473/ijph.v14i2.2019.175-186
Abstract:Immunization is one of the main activities implemented by the Ministry of Health in order to decrease the number of child pain and mortality caused by diseases that can be prevented by immunization (PD3I). This research aims to analyze the correlation between the mother characteristics and complete basic immunization on infants at Wonokusumo Community Health Service, Semampir District, Surabaya. The research is analytical study by employing cross-sectional design. The research samples were 86 mothers taken by using simple random sampling techniques. The data collection was carried out by conducting interview based on the existing questionnaire to mothers with 1-2 years children in Wonokusumo area. The analyzed variables were mother’s age, knowledge, employment status, income level, antinatal maternal status, and motivation. The data analysis was carried out by Chi-Square.The results show that there is a correlation of the mothers’ formal education (p=0.005), mothers’ knowledge about immunization (p=0.000), income level (p=0.018), antenatal maternal status (p=0.000), and the mother’s motivation (p=0.000) and complete basic immunization. Meanwhile, the mothers’ age (p=0.849) and mothers’ employment status (p=0.059) have no correlation with the complete basic immunization. In conclusion, the mother’s formal education, knowledge about immunization, income level, antenatal maternal status, and motivation are crucial matters in conducting complete basic immunization.
The Indonesian Journal of Public Health, Volume 14, pp 221-231; doi:10.20473/ijph.v14i2.2019.223-233
Abstract:The trend of Gross Death Rate (GDR) Surabaya Hajj Hospital had tended to increase from 2012 to 2015.However, it eventually decreased in 2016. This research aims to analyze the constraints in the service performance at the inpatient unit of Surabaya Hajj Hospital. The researchutilizedthe theory of constraint to minimize the constraints and to prevent the trend of increased GDR over the years. The research employed observational descriptive and cross-sectional design. The primary data were directly collected from the nurses as respondents through questionnaires. The results of the research indicated that the resource constraints were the workload, lack of facilities, lack of medical and non-medical equipment, and lack of nurse workforce. In conclusion, with all the foregoing constraints, such as the workload, lack of facilities, medical, and non-medical equipment, and lack of nurse's workforce, do not directly affect the service performance of the nurses.Accordingly, improvement efforts are recommended for the existing obstacles.
The Indonesian Journal of Public Health, Volume 14, pp 243-251; doi:10.20473/ijph.v14i2.2019.246-255
Abstract:Cigarette smoke contains nicotine which disturbs health. Nicotine is capable of reducing the taste of food, so there is appetite suppressant. The ability of nicotine in increasing blood liposuction process can affect the increase in blood cholesterol level. The research aims to study the difference between food intake and blood cholesterol level between smokers and non-smokers. This study was a comparative observational analytic study using cross-sectional design. The data of particular subjects and smoking habit were obtained from the questionnaire. The food intake was obtained by interview using 2x24 hours food recall form while the blood cholesterol level was obtained by blood sampling which was then analyzed using laboratory test. The subjects were 13 smokers and 13 non-smokers, taken by simple random sampling. The data were analyzed by Independent t-Test. The results have suggested that the difference in the average food intake and blood cholesterol level between smokers and non-smokers were not significant. The substantial average difference was found in the level of cholesterol intake, so the statistical test has showed a significant difference, p-value = 0.005 < α(0.05). Smoking has a harmful effect for health so people must decrease its consumption or stay abstinent from it. The longer human get exposed to cigarette, the more susceptible they get the illness from it.
The Indonesian Journal of Public Health, Volume 14, pp 210-220; doi:10.20473/ijph.v14i2.2019.211-222
Abstract:The prevalence of childhood obesity in Indonesia increase from year to year. This circumstance is believed to be associated with the high consumption of fatty foods and lack of knowledge of a balanced diet. Conducting the nutrition education of balance diet (nutrition counseling) is one of the ways to improve knowledge and attitude towards nutrition and to reduce nutritional problems. The study aims to analyze the effect of nutrition education by utilizing the poster and nutrition card on elementary students at SDN Ploso I-172 Surabaya. This study was Quasi-experimental research with pre-post test design involving 29 samples of elementary students at SDN Ploso I-172 Surabaya. The samples were chosen through a simple random sampling technique. The data were collected by interview using the questionnaire. The statistical test utilized the Paired Sample T-Test. The nutrition education with posters media increased the students’ knowledge (p=0.005) and attitude (p
The Indonesian Journal of Public Health, Volume 14, pp 186-198; doi:10.20473/ijph.v14i2.2019.187-199
Abstract:Food stall is one of catering services that provide food/beverages for the public. The handling of utensils and selecting good food and beveragesarethe efforts to prevent the presence of Escherichia coli on food and beverages in thefood stalls. The studyaims to describe the process of handling the utensils, selecting food ingredients, and testing the presence of Escherichia coli in iced tea. The method of this research was cross-sectional with 34 unit samples of food stalls in Mulyorejo Urban Village. The samples were inserted in plastic and tested in the laboratory with the Escherichia coli parameter. The interviews were conducted with the food vendorsregarding the sources of clean water, the washing process, handling the utensils, and the iced tea ingredients, such as drinking water, tea, sugar, and ice cubes. The analysis was conductedin a descriptive approach. The results showed that 24% of the samples were positive containing Escherichia coli. The sellers’ primary source of clean water was derived from the the Water Company (PDAM)by 82.3%. Furthermore, 67.6% of the samples used detergent/soap in the washing processwith two buckets,used to dip the utensils repeatedly. In terms of storing the utensils, 94.1% of the the utensils were glassware stored face down. The ingredients of iced tea consisted of boiled water (50%), obtained from the well and the Water Company (PDAM), the tea ingredients which had been registered in food control agency, the sugar which was not spoiled or smelled, and the ice cubes which were bought from the neighborhood area (88.2%). It isproven that Escherichia coli existed inthe iced tea due to the sanitary components of utensils and the hygiene of beverage ingredients did not meet the requirements. It is recommended that the guidance can be given to the vendors, especially in washing the utensils correctly and selectingthe beverage ingredients, such as water and ice cubes.
The Indonesian Journal of Public Health, Volume 14, pp 232-242; doi:10.20473/ijph.v14i2.2019.234-245
Abstract:The case of pesticide contamination in Batu City in 2017 wasrelatively high, with the percentage of 82.7%. The case of pesticide contamination could be detected by examining the cholinesterase enzyme activity in blood.The Bumiaji villagers (Batu City) mostly work as a pesticide spray farmers. The study aims to analyze the factors that affect cholinesterase enzyme’s activities on the blood of the farmers who spray pesticide. The study was observational with cross-sectional design and used ordinal regression method. The research sampleswere 81 farmers selected through accidental sampling method. The independent variables of this study were the use of Personal Protective Equipment (PPE) and farmers’work duration. The dependent variable of this study was the cholinesterase enzyme’s activities in the farmers’ blood. The results of the study were that most farmers experienced cholinesterase enzyme activity changes, misused PPE (80.2%), and worked for less than 8 hours each day (92.6%). Based on the ordinal regression analysis, the variables which affected to the cholinesterase enzyme activity of the farmers’ blood was the use of PPE with a p-value of 0.00 <α (0.05). Based on the regression model, the farmers who properly used PPE had 0.12 higher chance to avoid the change of cholinesterase enzyme activity in the blood. It is necessary to held a disseminationabout the use of personal protective equipment to the farmers, as a preventive effort by the district health office, local village office, and the management of farmer groups in Binangun sub-village, Bumiaji Village, Bumiaji Subdistrict, Batu City.
The Indonesian Journal of Public Health, Volume 14, pp 199-209; doi:10.20473/ijph.v14i2.2019.200-210
Abstract:Dengue fever remains a public health problem. Environmental factors influence the mosquito Aedes aegypti’s growth, especially if there are many containers in the neighborhood. The community of Nanggungan Village have a habit of storing water in containers, therefore, they risk to become breeding sites for mosquitoes. This study aims to identify the Maya Index status of Aedes aegypti between Tegalrejo and Krajan Kidul Village. The research was observational with a cross-sectional design. Total samples were 200 homes, which 100 homes from Tegalrejo and 100 homes from Krajan Kidul Village, taken by simple random sampling. The measurement of variables employed observation sheet and analyzed in a descriptive approach. The number of containers observed in the Tegalrejo Village was 394 units, and Karajan Kidul Village was 391 units. Maya Index statuses in Tegalrejo (92%) and Krajan Kidul Village (88%) were low. Maya Index status in Krajan Kidul (13%) was higher than Tegalrejo Village (8%). House Index (HI) in the Tegalrejo (18.0%) was lower than Krajan Kidul Village (25.0%), Container Index in Tegalrejo (5.30%) was lower than in Krajan Kidul Village (8.95%), Breteau Index in Tegalrejo (21.0%) was lower than in Krajan Kidul Village (35.0%), Density Figure in Tegalrejo and Krajan Kidul Village indicated a scale of 3 and 4. Based on the MI’s status, Tegalrejo and Krajan Kidul Village were included as a low-risk category of mosquito breeding sites. Based on the density number of larvae, two villages have a moderate risk of Dengue Fever transmission. The community should implement the Mosquitoes Breeding Sites Eradication Program (PSN 3M Plus) and minimize the presence of the containers.
The Indonesian Journal of Public Health, Volume 14, pp 150-159; doi:10.20473/ijph.v14i2.2019.150-160
Abstract:Family Planning Program has some indicators of success; one of the indicators is unmet needs of family planning services. The success of the unmet need indicator services is the decrease of unmet need to 9.9% in 2019. In 2012, the number of unmet need for family planning amounted to 11.4%. This study aims to identify whether there is a correlation of the education level, residence, and information of family planning field officers with unmet needs for family planning in East Java. This research was conducted with a cross-sectional design with the data from the 2012 Indonesian Demographic and Health Survey. There is a correlation of the education level (p=0.000), residence (p=0.010), and information of family planning field officer (p = 0.048) with the unmet needs for family planning. The research cocludes that education level, residence, and information from health centre affect the unmet need for family planning.
The Indonesian Journal of Public Health, Volume 14, pp 138-149; doi:10.20473/ijph.v14i2.2019.138-149
Abstract:The incidence of hypertension is the highest non-communicable disease in Kediri in 2016. The prevalence of hypertension in Kediri reaches 27.9. This situation even exceeds the prevalence rate in East Java (26.2). This study aims to calculate the value of economic losses caused by hypertension sufferers in Kediri. This research is a quantitative research with the cross-sectional method. The primary data collection was done by interviewing 100 hypertension sufferers. The results show that the direct medical cost incurred by patients due to hypertension is IDR 563,360 per capita. Meanwhile, the indirect costs to be incurred by patients during suffering hypertension reach IDR 789,272 per capita. Disability-Adjusted Life Years or years lost due to premature death and disability caused by hypertension disease in Kediri regency amount to 189,915 years. Consequently, the Burden of disease value obtained due to hypertension in Kediri District is IDR 330,882,930,485. It can be concluded that the economic burden caused by hypertension is significantly high. The indirect costs incurred by the patients are greater than the direct costs. Therefore, it is recommended to intensify the dissemination and preventive efforts to decrease the incidence of hypertension.
The Indonesian Journal of Public Health, Volume 14, pp 263-271; doi:10.20473/ijph.v14i2.2019.267-277
Abstract:Asthma could affect quality of life and decrease productivity. The worsening of asthma symptoms also affected lung function. Symptoms of asthma could be control by self-management. The patient's behavior in self-management influenced by his perception of asthma. This research aims to determine effect of perception of disease on health function of parents in asma patients in surabaya. Research using observational methods with cross sectional design. Research Subjects were outpatient asthma patients aged 17-25 years. Data collection was conducted from June 2015 to January 2016 in Surabaya, to 27 people. Assessment of asthma perception use Illness Perception Questionnaire (IPQ) and health condition of lung function with peak flow meter to assess PEF (peak expiratory flow). The results of this study indicate that both groups have a PEF value 0.05) between disease perceptions based on the number of asthma-related symptoms with lung function (PEF), with the greatest answer as the cause of asthma that is genetic. Therefore, the perception of asthma does not affect lung function (PEF) in adult asthma patients in Surabaya.