Miracle Journal of Public Health (MJPH)
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Determinants of Personal Hygiene Behaviour of Adolescent During Menstruation in Junior High Schools in Jakarta
Full text linkAdolescent girls are prone to infections of the reproductive organs during menstruation, this can occur if they do not perform good menstrual hygiene. This study aims to determine the determinants of adolescent personal hygiene behaviour during menstruation at SMPN X Jakarta in 2024. This study used a cross-sectional design with stratified random sampling technique. The total population was 429 in all classes VII, VIII and IX, with a sample size of 94 who met the inclusion criteria. Data collection used a questionnaire instrument that was filled in directly by the respondent. Descriptive data analysis uses frequency counts and percentages, while relationship analysis with the chi-square test with a degree of significance of 5%. The results of the research data showed that more than half behaved well on personal hygiene during menstruation 79 students (84%), had high knowledge 72 students (76.6%), thought that Water, Hygiene and Sanitation (WASH) facilities were adequate during menstruation as many as 55 students (58.5%), and received peer support 62 students (66%). The results of the relationship test stated that there was a significant relationship between personal hygiene behaviour and the variables of knowledge (p value= 0.045) and peer support (p value= 0.044), but there was no significant relationship on the variable of school facilities related to water, hygiene, and sanitation (p value= 0.874). It is recommended that there should be a continuous health programme between increasing knowledge and increasing peer support, so that the problem of female reproductive organ hygiene can be resolved
The Effect of Chlorine on The Reduction of Coliform and Total Suspended Solids in Domestic Wastewater at Port X Batam City
Full text linkDaily activities at Port X produced domestic liquid wastewater with total coliform and TSS parametersexceeding the required quality standards. Total coliforms and TSS polluted waterbodies and causedgastrointestinal diseases in humans. The aim of this research was to see the effect of chlorine on reducing totalcoliforms and TSS in domestic wastewater from Port X Batam City in 2024. This research used trueexperimental method with a pretest - posttest control group design. Primary data was obtained by treatmentand examination in the laboratory. Data were analyzed using a paired t-test to see the effect on the controlgroup and treatment group (p value <0.05). The research results showed that there was an effect of theindependent variable towards the dependent variable. The most influential treatment was a chlorine dose of 2gr/l and aeration for 4 hours with a percentage reduction in the total number of coliforms and TSS levels of82.71% and 85.16% respectively. Based on the research results, it can be concluded that chlorine had an effecton reducing the total number of coliforms and TSS levels in Port X domestic waste samples.Keywords: Chlorine, wastewater, Stirring, aeratio
Risk Factors for Chronic Complications in Type 2 Diabetes Mellitus Patients in Makassar City: A Case-Control Study
Full text linkThe prevalence of type 2 diabetes mellitus continues to increase globally and has become a significant economic burden on health, making the identification of risk factors for chronic complications important in order to prevent long-term effects. This study aims to analyze risk factors for chronic complications in patients with type 2 DM at five community health centers in Makassar: Sudiang, Ballaparang, Kassi-kassi, Antara, and Paccerakkang. The study design used an analytical observational approach with a case-control approach. The total sample consisted of 100 respondents (50 cases and 50 controls) selected using purposive sampling. Data were collected through interviews and medical records, then analyzed univariately and bivariately (Odds Ratio/OR). The results of statistical analysis showed that age (OR = 2.524; 95% CI = 0.723-8.818), blood pressure (OR = 1.379; 95% CI = 0.628–3.029), GDP (OR = 3.802; 95% CI = 1.482–9.750), duration of DM (OR = 18.614; 95% CI = 6.782–51.087), treatment adherence (OR = 2.263; 95% CI = 1.013–5.052), stress (OR = 1.084; 95% CI = 0.494–2.377), and self-care for DM (OR = 2.495; 95% CI = 1.105–5.629). Based on these findings, patients with type 2 DM are advised to monitor their blood sugar levels regularly, improve adherence to therapy, and implement good self-care practices such as diet management, regular physical activity, and periodic health checkups to prevent chronic complications
Mental Health and Academic Outcomes in Jakarta Adolescents: A Cross-Sectional Study
No full textAdolescence is a vulnerable period marked by rapid changes and increasing mental health challenges, which can significantly affect academic performance. In Jakarta, this issue is exacerbated by academic pressure and urban stressors. This study aimed to investigate the relationship between mental health and academic performance among adolescents in Jakarta. A cross-sectional, quantitative study was conducted involving 14 purposively selected 8th and 9th-grade students from MTs Umdatur Rasikien, East Jakarta. Mental health was assessed using the Self-Reporting Questionnaire (SRQ-20) before and after counseling interventions, while academic performance was measured by the number of subjects graded “C” or below. Individual and group counseling sessions were provided over two weeks. Data were analyzed using paired-sample t-tests and Pearson correlation in SPSS 25. Post-intervention SRQ-20 scores significantly decreased (p = 0.000), indicating improved mental health. Eight out of 14 students showed better academic performance, while five worsened. Correlation analysis revealed a weak, non-significant negative association between post-test mental health scores and academic performance (r = -0.168, p = 0.565), suggesting complex and indirect effects. Counseling interventions effectively improved mental health, though their direct impact on academic performance was limited, emphasizing the need for integrative, multi-faceted school-based support
Salted Fish Consumption Factors on the Incidence of Nasopharyngeal Cancer: A Systematic Review
Full text linkNasopharyngeal cancer (NPC) is a squamous cell cancer that originates from the epithelial lining of the nasopharynx. The issue of salted fish consumption is a concern because the salt preservation process can produce carcinogenic nitrosamine compounds. The nitrosamine content is formed from the reaction between nitrite, nitrate, and secondary amines, which has the potential to cause cell changes to become malignant if consumed in the long term, especially from an early age. This study aimed to systematically review the consumption pattern of salted fish based on age, frequency of consumption, and its potential risk of NPC and to identify gaps in the results of previous studies. The method used was a systematic review by searching the literature on online databases such as Scopus, PubMed, ScienceDirect, and Garuda. A total of 126 articles were obtained, and 11 articles met the criteria. The results of the analysis showed that there are differences in salted fish consumption patterns based on age and frequency that may increase the risk of NPC, especially in individuals who started consuming in childhood and high amounts. This study highlights the need for further research that considers genetic aspects, types of salted fish, and processing methods in different regions to clarify the causal relationship
Analysis of the Effect of Digital System Integration on Improving Service Quality and Patient Perception at Kabelota Regional Hospital
Full text linkIn the digital era, hospitals are faced with the challenge of improving service quality by integrating digital systems. Although technologies such as SIMRS have begun to be implemented, there are still many obstacles, such as infrastructure limitations and low patient satisfaction, that have not been resolved. This study aims to analyze the effect of digital system integration on service quality and outpatient perceptions at Kabelota Hospital, Central Sulawesi. The study used an associative quantitative approach with a cross-sectional design and a total sampling technique of 125 outpatients. The results of the analysis show that digital system integration has a significant effect on service quality (ρ = 0.000 < 0.05), patient perception (ρ = 0.000 < 0.05), and service quality also affects patient perception (ρ = 0.000 < 0.05). The conclusion shows the importance of infrastructure development, HR training, and system evaluation for hospital service effectiveness
The Impact of the Interaction between Parents, Employment Status, Income, and Education on the Risk of Stunting in Sungai Landas Village
Full text linkStunting is a chronic nutritional problem that affects the growth and development of children. The results of community diagnostics that have been carried out from January to February 2025 in Sungai Landas Village show data that 30% of children aged 0-60 months are stunted. This study aims to analyze the relationship between employment status, income, and parental education on the incidence of stunting in Sungai Landas Village, Karang Intan District, Banjar Regency. This study used a cross-sectional design with a sample of 30 respondents from Sungai Landas Village who have children aged 0-60 months. Data were collected through questionnaires and anthropometric measurements and then analyzed using Fisher's exact test with a 95% confidence level. The results showed that there was no significant relationship between parents' employment status (p=0.329) and parents' income (p=1.0). There was a significant relationship between parents' education level (p=0.030) and the incidence of stunting. Parental education plays an important role in understanding nutrition, which affects parenting and children's food intake. Therefore, increasing community-based nutrition education, especially for parents, needs to be the focus of stunting prevention efforts
Dietary Diversity Using the Minimum Dietary Diversity-Women Indicator in Pregnant Women
Full text linkEating a variety of foods is very important to prevent nutritional deficiencies, especially micronutrients. Low dietary diversity results in vulnerability to nutritional deficiencies. Malnutrition in pregnancy can adversely affect the mother and fetus. This study aims to evaluate the adequacy of dietary diversity and food group consumption patterns of pregnant women in the Lambai Health Centre working area. This type of research is a descriptive study with a cross-sectional design. This study was conducted from November to December 2024 in the working area of Lambai Health Centre, Lambai District, North Kolaka. The sampling technique in this study used total sampling so that the sample size was 47 pregnant women. The level of dietary diversity was evaluated using the Minimum Dietary Diversity for Women (MDD-W) with the criteria of consuming at least five food groups categorized as adequate. The results showed that the majority of pregnant women met the MDD-W criteria (93.6%), and only 6.4% had inadequate dietary diversity. The most consumed food groups were staple foods (100%), namely carbohydrate sources of cereals, tubers, and bananas, meat (95.7%), and green leafy vegetables (93.6%). However, there was no consumption of nuts and seeds. This suggests the need for nutrition education regarding the importance of food variety to support adequate micronutrients during pregnancy
The Effect of Human Development Cadre Mentoring on Knowledge and Attitude of Stunting Prevention in Pregnant Women in Sragen
Full text linkStunting is a condition that is said to be malnourished, thus affecting infants both before birth and early after birth which is analysed from several factors including maternal size, nutrition during pregnancy, and fetal growth. The lack of information obtained by pregnant women affects knowledge and attitudes, especially about preventing stunting during pregnancy. This study aims to determine the effect of development cadre assistance (KPM) on knowledge and attitudes in preventing stunting in first and second trimester pregnant women in Sragen. This study used a Quantitative approach, this type of research is experimental, quasi-experimental design with a sub-design of one group pre-test and post-test only one group, without a control group. The sample was determined using purposive sampling, the intervention was given to 38 pregnant women in trimester 1 and 2, data analysis using the Friedman test. The results showed that there was an effect of KPM assistance on knowledge and attitudes in preventing stunting. So with these significant results, it is hoped that the sragen district government can empower KPM so that data collection on the 1000 HPK target, besides that KPM can become a companion, especially in providing education related to stunting prevention
Optimizing the Role of Hospital Health Promotion in Improving Superior Services
Full text linkThis study used a descriptive qualitative approach with the aim of evaluating the implementation of the Hospital Health Promotion Programme (PKRS) at RSUD Jenderal Ahmad Yani Metro City in 2024. The research sample consisted of 8 informants selected using purposive sampling technique, which included 1 Head of PKRS Installation, 3 medical staff, and 4 patients. Data collection techniques were conducted through in-depth interviews, direct observation, and documentation. Analysis was conducted using a thematic analysis approach. The results showed that the implementation of the Hospital Health Promotion Programme (PKRS) at RSUD Jenderal Ahmad Yani Metro City still faces obstacles, such as the lack of structured training for medical and non-medical staff, the non-integration of the PKRS programme in all hospital service lines, and the absence of structured ongoing evaluation. Strengthening the use of educational media, coordination between departments, and increasing the budget to support CSE activities are also needed. It is expected to improve service quality, reduce nosocomial infection rates, and strengthen public awareness of the importance of Clean and Healthy Living Behaviour (PHBS) in providing superior health services