The Indonesian Journal of Public Health

Journal Information
ISSN / EISSN : 1829-7005 / 2540-8836
Published by: Universitas Airlangga (10.20473)
Total articles ≅ 133
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Latest articles in this journal

Mizanur Rahman, Sharmin Mizan, Razitasham Safii, Sk Akhtar Ahmad
The Indonesian Journal of Public Health, Volume 16, pp 1-11; doi:10.20473/ijph.v16i1.2021.1-11

Maternal mortality and its associated complications can be avoided by ensuring safe and supervised delivery. In this paper, the authors examined the factors associated with the utilisation of institutional delivery care at the Urban Primary Health Care Project (UPHCP) clinic in Bangladesh. A two-stage cluster sampling was used in selecting the ever-married women aged 15-49 years in the catchment areas of the UPHCP in Bangladesh. A total of 3,949 women’s data were analysed. The authors collected data through face-to-face interviews using a structured questionnaire. A multinomial logistic regression analysis was done to determine the potential factors associated with the utilisation of delivery care, in which ‘place of delivery care’ was considered as a dependent variable. Data entry and analysis were done in Statistical Package for the Social Sciences version 22.0. This study found that 30% of the women delivered their most recent child at the UPHCP clinic, and 45.9% of the women delivered their most recent child at other institutions. However, one-fifth of the women delivered at home. Doctors attended two-thirds of the deliveries. A small proportion of women were tended to by nurses, paramedics, FWV, and FWA. Traditional birth attendants attended one-fifth (20%) of deliveries. The multinomial logistic regression analysis found that respondents from poor catchment areas were 33.677 times more likely to utilise delivery care at the UPHCP when compared to 12.052 times by the respondents who took previous antenatal care from the non-poor catchment area. This study also found that women who had entitlement cards were 6.840 times more likely to utilise delivery care at the UPHCP in the poor catchment area, which was almost twice the women from the non-poor catchment area. Although the maternal mortality rate in Bangladesh has notably reduced,Bangladesh still needs to address the issue of safe delivery for marginalised women in order to attain the Sustainable Development Goals (SDGs) by 2030. A red card approach might increase access to the UPHCP for marginalised women to have safe deliveries.Keywords: poor, urban, red card, delivery care, Urban Primary Health Care Project, Bangladesh
Herlina Mayangsari, Mohammad Afzal Mahmood
The Indonesian Journal of Public Health, Volume 16, pp 134-145; doi:10.20473/ijph.v16i1.2021.134-145

Smoking during pregnancy threatens the health of mothers and their fetus. There are limited data in Indonesia about risk factors associated with smoking during pregnancy. This study aimed to explore levels of smoking, exposure to second-hand smoke (SHS), and related risk factors among pregnant women. Pregnant women who received antenatal care at the Temanggung Primary Health Centre in Central Java, Indonesia were interviewed face-to-face. They were asked about their smoking status, socio-economic status, pregnancy characteristics, and knowledge about health risks associated with smoking. A total of 80 participants were interviewed, and none of whom reported smoking, but the majority of whom (91.3%) reported exposure to SHS. This is a significant proportion when compared to rates of exposure to SHS recorded in other countries. The age of the mother affected the likelihood of exposure to SHS, with older mothers having a reduced likelihood of SHS exposure (p = 0.013; OR = 0.8; 95% CI = 0.74-0.96). However, the number of pregnancies, ANC visits, level of education, income, and awareness of the health risks associated with smoking were not found to be statistically significant. Although women appeared to be relatively aware of the negative effects associated with smoking and SHS exposure, the high incidence of passive smoking illustrated the challenges encountered by women in avoiding SHS. ANC programme should place greater stress on the dangers of SHS exposure, and also involve the whole family. Additionally, laws should be enacted to restrict or prohibit smoking in public places.Keywords: pregnant women, second-hand smoke, smoking
Otik Widyastutik, Yeni Pratiwi
The Indonesian Journal of Public Health, Volume 16, pp 156-165; doi:10.20473/ijph.v16i1.2021.156-165

During the covid19 pandemic, malnutrition should be prevented. Nutritional status in infants may weaken their immunity, intelligence and productivity and arises their vulnerability to diseases and stunting during their development. The initial survey showed that in the working area of Sungai Raya Dalam Primary Healthcare Center, Kubu Raya District, West Kalimantan 60% of mothers have infants with malnutrition. This study aims to determine the relationship between lactation management (techniques, duration and frequency of breastfeeding) and the nutritional status of infants (0-12) months. This study used a case-control design. The research sample was 98 respondents (49 cases and 49 controls) selected by purposive sampling technique. The results showed that there was a significant relationship between mother's breastfeeding technique (p = 0.001; OR = 4.471; 95% CI = 1.882-10.620), duration of breastfeeding (p = 0.004; OR = 3.692; 95% CI = 1.578-8.638), and the frequency of breastfeeding (p = 0.009; OR = 3.257, OR = 1.422-7.459) with nutritional status of infants aged 0-12 months in the working area of Sungai Raya Dalam Primary Healthcare Center. Reflecting on the study, it is recommended for the health workers to provide counseling materials related to the techniques, duration and frequency of breastfeeding, and encourage mothers to get the required knowledge about them using Kartu Menuju Sehat (KMS) or Health Cards.Keywords: lactation management, malnutrition, breastfeeding technique, duration, frequency
Windi Chusniah Rachmawati, Fitri Khalimiah, Endang Sri Redjeki
The Indonesian Journal of Public Health, Volume 16, pp 146-155; doi:10.20473/ijph.v16i1.2021.146-155

There are a large number of teenagers in the world who experience mental health problems as a result of stress, which disrupts human productivity. A good mental state allows people to realize the potential that exists in themselves, overcome the stresses of life, work productively, and contribute to their community. The purpose of this study was to describe efforts to minimize stress among adolescents by going for coffee in Malang city. This research was descriptive with a quantitative approach. Data was obtained through direct observation and interviews with respondents based on research guidelines. Stress minimization refers to the reduction of stress or actions taken when experiencing stress to calm the mind, which can be done by seeking peace, drinking coffee, and hanging out with friends. Managing stress in adolescents is important because it will affect the next stage of their lives. If adolescents cannot manage stress properly, they will continue to think about it and their performance will not be optimal. The attitude taken when having a problem that disturbs the mind can vary, such as worshipping first then looking for the source of the problem. Alternatively, taking a walk and drinking coffee can calm the mind. Doing assignments in a coffee shop rather than in a boarding house is more productive and allows for many ideas to arise.Keywords: stress, reducing stress, coffee shop, teenage age
Ursula Yesi Gusti Ayuputri, Soedjajadi Keman
The Indonesian Journal of Public Health, Volume 16, pp 56-65; doi:10.20473/ijph.v16i1.2021.56-65

Lead (Pb) is a metal used as raw material for color pigments in printing ink. Pb exposure caused by printing ink can cause an increase in Pb levels in the blood and a decrease in hemoglobin levels. This study aimed to analyze the effect of Pb levels of ink on Pb levels in blood, as well as the effect of Pb levels in the blood on hemoglobin levels in book printing employees on Jalan Karah Surabaya. This study included analytic observational research, the research design used was the cross-sectional design, and the multiple linear correlation test was used for analysis. The results showed that the Pb level in ink had an effect on the Pb level in the blood (p = 0.000; OR = 0.762). The employee characteristics, namely work period, had an effect on Pb level in blood (p = 0.000; OR = 0.883). Age, use of Personal Protective Equipment (PPE) and personal hygiene do not affect the Pb level in the blood. Pb levels in the blood affect blood hemoglobin levels (p = 0.001; OR = -0.724). Employee characteristics, namely their work period, affect blood hemoglobin levels (p = 0.046; OR = -0.4471). Age and nutritional status did not affect the blood hemoglobin level. The conclusion in this study is that Pb levels in ink increases Pb levels in the blood, and Pb levels in the blood decrease blood hemoglobin levels. Therefore, it is necessary to monitor lead levels in the blood by periodic examination every 6 or 12 months. Book printing personnel should also take supplements containing calcium, iron (Fe), and vitamin C to inhibit lead absorption.Keywords: Pb levels in ink, blood Pb levels, Hb levels, printing employees.
Tisandra Safira Handini, Nunik Puspitasari
The Indonesian Journal of Public Health, Volume 16, pp 124-133; doi:10.20473/ijph.v16i1.2021.124-133

The International Statistical Classification of Disease (ICD-10) defines postpartum depression as a mental and behavioral disorder that occurs after six-week labor. The number of postpartum blues in Asia is high and varies between 26-85%. In Indonesia, especially Jakarta, Yogyakarta, and Surabaya, the prevalence of postpartum depression is 11-20%. In Surabaya, 22% mothers had postnatal depression in 2003. The occurrence of postpartum depression is influenced by several factors namely biological and characteristic. This study aimed to analyze differences in postpartum maternal depression levels based on characteristics of maternal age and husband support. This study used quantitative with cross sectional study design. The population of this study was 209 mothers with postpartum depression in the timeframe of 6 weeks to 1 year. The sample size was 70 samples selected through simple random sampling. The retrieval of data was through surveys and questionnaires. The results of the study showed most respondents aged 26-30 years had high husband support and were not at risk of depression. There was a significant difference between postpartum maternal depression levels based on maternal age (p = 0.014) as well as on husband support (p = 0.000). Based on the results, researchers suggest to establish continuous husband support, conduct early detection, and educate mothers.Keywords: depression level, husband support, mother's age, postpartum depression
Amila Amila, Evarina Sembiring
The Indonesian Journal of Public Health, Volume 16, pp 43-55; doi:10.20473/ijph.v16i1.2021.43-55

Hemoglobin levels in patients with pulmonary tuberculosis. This study aimed to examine the effect of beetroot biscuits consumption on the increase of hemoglobin levels in patients with pulmonary tuberculosis at the Integrated Service Unit of the Pulmonary Central Hospital of North Sumatera. The research design was quasi experimental and used pre-tests and post-tests without a control approach. This study was conducted with a sample of 100 patients selected using the purposive sampling technique. Firstly, the hemoglobin level of the patients was measured. Then, beetroot biscuits were given to the patients for thirty days as the intervention. A Wilcoxon test was performed to pinpoint the differences between the pre-test and post-test results. It was found that there was a 2.01 gr/dl increase in hemoglobin after beetroot biscuits were given to patients with pulmonary tuberculosis at the Integrated Service Unit of the Pulmonary Central Hospital of North Sumatera. It was also found that the differences were significant when comparing the average level of hemoglobin before and after the intervention with a p value of 0.000. This study suggests that doctors and nurses play important roles in constructing patients’ knowledge and understanding on the importance of anemia prevention in order to improve community knowledge to use local resources to improve health outcomes.Keywords: anemia, biscuit, beetroot, tuberculosis
Fanny Tri Cahyani, Sri Widati
The Indonesian Journal of Public Health, Volume 16, pp 112-123; doi:10.20473/ijph.v16i1.2021.112-123

The International Labor Organization states that more than 250,000,000 workplace accidents, more than 160,000,000 become ill because of hazards caused by the workplace, and 1,200,000 workers died due to their workplaces each year. Workplaces that have high levels of danger can cause harm to workers, and thus, companies as well. One effort to reduce the risk of danger is the use of Personal Protective Equipment (PPE). Compliance with the use of PPE is influenced by many factors. This study aims to analyze the influence of behavioral intention, personal autonomy, accessibility of information, and social support in complying with the use of PPE. This study was analytic observational and used the cross-sectional research design. The population of this research, amounting to 44 workers, were all employees at PT. PLN. The sample size was 41 samples selected using the simple random sampling method. This study shows (1) behavioral intention had no effect on compliance with the use of PPE (sig.= 0.581), and (2) personal autonomy had no effect on compliance with the use of PPE (sig. = 0.075). Meanwhile, (3) social support had no effect on compliance with the use of PPE (sig. = 0.575). However, accessibility of information affected the use of PPE (sig. = 0.042). To maintain compliance with the use of PPE, researchers suggest to continue health promotion, conduct monitors, and implement a reward and punishment system for workers.Keywords: accessibility of information, behavior intention, personal autonomy, personal protective equipment, social support
Ni Made Mira Wahyu Astani, Ni Luh Putu Arum Puspitaning Ati, Ernawaty Ernawaty
The Indonesian Journal of Public Health, Volume 16, pp 66-78; doi:10.20473/ijph.v16i1.2021.66-78

This study used the observational quantitative method to analyze the acceptance of information technology in the form of thee-Health. The theory of acceptance was further analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. UTAUT model is the latest unified model that is an appropriate to explain the acceptance and use of information systems. The research objective was to analyze perceptions of the use of e-Health applications in the Surabaya City Health Center. The research design method used was cross-sectional design. The selected samples of 100 people were determined by multistage sampling in primary healthcare centers in every area of Surabaya. The independent variables in this study were performance expectancy, effort expectancy, social influence and behavioral intention while the dependent variable was the use of e-Health applications. Data were collected through questionnaires delivered via interviews. The results showed that the lowest indicator of acceptance by the users was the time needed to input data category to the e-Health application. This study concludes that the acceptance of e-Health by users primary healthcare centers in Surabaya is low. This study suggests a more widespread dissemination of information regarding the benefits of the use of e-Health along with technical assistance and guidance on the use of e-Health applications.Keywords: UTAUT Model, e-Health application, primary healthcare center, acceptance
Ahmad Luqmanul Hakim, Lilis Sulistyorini
The Indonesian Journal of Public Health, Volume 16, pp 79-88; doi:10.20473/ijph.v16i1.2021.79-88

A hot working environment can cause health problems for workers, one of them being dehydration. The hydration status of a worker can be influenced by the characteristic of the worker, physical environmental factors, and fluid intake. The objective of this study is to determine the relationship between workers’ characteristics, physical environmental factors, and fluid intake with the hydration status of workers. This study was conducted using the cross-sectional design method and used a simple random sampling technique to select 17 respondents and 17 home industries originally derived from 20 respondents and 20 home industries. The research location was on Jalan Banyu Urip Lor X Surabaya. Data were analyzed using cross-tabulation and fisher’s exact test with a confidence level of 95%. The data were collected through interviews, measurements, questionnaires, and verification. The results showed that there was a significant relationship between physical environmental factors, which included temperature (p = 0.002), humidity (p = 0.029), and fluid intake (p = 0.029), with the hydration status of workers. In general, it can be concluded that physical environmental factors and fluid intake are relevant towards the hydration status of workers. Therefore, it is recommended that the workers improve air circulation in the room by adding natural ventilation, an exhaust fan in the kitchen, and are advised to consume enough mineral water while working.Keywords: temperature, humidity, fluid intake, hydration status
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