International Journal of Public Health Science (IJPHS)
Not a member yet
1348 research outputs found
Sort by
Patient safety culture as a mediator between healthcare personnel's psychological empowerment and patient outcome
Get PDFPreventing healthcare errors and reducing damage are becoming the basic concepts of patient safety development. Healthcare personnel need to be more careful and minimize complications that can occur during patient care. Psychological empowerment is important to support a safety culture and patient outcomes. This study investigates the relationship between psychological empowerment (PE) and patient outcome (PO) mediated by patient safety culture (PSC). A cross-sectional survey study was conducted in private hospitals accredited by Joint Commission International. A total of 150 healthcare personnel as participants who met the requirements were obtained by distributing the questionnaires in March 2023. Significant results in mediating patient safety culture have been analyzed using partial least square-structural equation modeling (SEM). The dimensionality of PE and PSC was assessed by a new method that is a disjoint two-stage approach. The role of PSC was found to fully mediate the positive relationship between psychological empowerment and patient outcome (=0.436, p-value 0.05). This study contributes to growing the value of developing a safety culture and the function of psychological empowerment in healthcare staff to enhance patient outcomes
Facilitating exercise adherence among Kuala Selangor, Malaysia antenatal women: a study protocol
Get PDFAntenatal exercise is recommended for antenatal women for its numerous benefits. Despite knowing the advantages of exercise, most antenatal women are less active during pregnancy. It is vital to address women's knowledge, attitudes, and barriers facilitated by a behavioural theory while developing an intervention. This study’s objective is to assess the effectiveness of antenatal exercise intervention based on behavioural theory in facilitating exercise adherence among antenatal women in Kuala Selangor, Malaysia. This study enrolled 220 pregnant women from six primary health clinics in the sub-urban district in a two-arm, cluster randomised controlled trial. Data will be collected in three phases: before the intervention, immediately and one-month post-intervention. The primary outcome measure is antenatal women's adherence to exercise, which will be assessed via a self-reported Exercise Adherence Rating Scale questionnaire. The intervention in this protocol is designed based on the information, motivation and behavioral (IMB) model to facilitate antenatal women's adherence to antenatal exercise, promoting an active lifestyle and reducing maternal complications. The findings may contribute to developing a future intervention that will promote more active lifestyles during pregnancy, which would increase overall health-related quality of life
Spatial analysis of environmental sanitation and stunting incidents
Get PDFEnvironmental factors such as sanitation and hygiene, drinking water sources, quality of drinking water, and ownership of latrines are indirect factors causing stunting. This study aims to analyze the distribution of stunting and environmental sanitation factors that cause stunting in Dairi District, North Sumatra, Indonesia. The case-control design was carried out with 172 toddlers. The distribution pattern of stunting and the association of patient characteristics and environmental risk factors was carried out using the Geographic Information System. Data on healthy clean-living behavior was collected using a questionnaire, and microbiological laboratory tests measured water quality. The spatial analysis uses an average nearest-neighbor overlay. The association of characteristics and risk factors with the incidence of stunting was analyzed using chi-square and logistic regression. The average nearest neighbor analysis shows that the nearest neighbor index is 0.19 ( 0.05) are unrelated to stunting. The pattern of distribution of cases tended to be in clusters, and no relationship was found between population density and the incidence of stunting. The findings of this study provide a new understanding that health promotion to prevent stunting does not only focus on fulfilling nutrition but also on healthy clean-living behavior and water quality
Maternal risk factors for stunting in children aged 24-59 months
Get PDFStunting is a problem of growth and development disorders in children which is related to nutritional problems in the world. In 2022, 21.6% of children aged under five years in Indonesia were stunted. Several factors influence stunting, including environmental (social), household factors, maternal and child factors. The aim of this study was to determine maternal risk factors for stunting in children aged 24 to 59 months. This research, with a case control study design, involved 191 participants (91 stunted children and 100 non-stunting children). The results found that maternal factors associated with stunting in children aged 24-59 months included maternal height (P<0.005, OR 2.025), birth spacing (P<0.005, OR 1.912), gestational age (P<0.005, OR 2.622), history of illness during pregnancy (P<0.005, OR 2.453), and consumption of iron tablets during pregnancy (P<0.001, OR 7.600). In the multivariate analysis, consumption of iron tablets and maternal height were the factors identified as being most related to the incidence of stunting in children aged 24-59 months
Minerals and dietary fibre source snack made from Moringa leaves enriched with ginger
Get PDFThe findings from the 2021 Indonesian Nutritional Status Study reveal a substantial 24.4% prevalence of child stunting, emphasizing the need for diverse strategies to achieve the desired target. One such strategy involves ensuring the nutritional well-being of expectant mothers to prevent stunting. Moringa leaves are a rich source of essential nutrients. Incorporating Moringa leaf powder into catfish flour-based snacks can boost their protein and mineral content while overcoming any undesirable odors, though this application is currently limited to crackers. This study aimed to create snack products using Moringa leaves, such as tea, brownies, and pudding, with the addition of ginger to enhance dietary fiber and mineral content for pregnant women. The top formulations identified through sensory assessment are F1 tea, F1 brownies, and F2 pudding. These specific tea, brownies, and pudding variations boast dietary fiber content exceeding 3 grams and meet or exceed 15% of the recommended daily intake levels for iron and zinc for pregnant women, as stipulated by the nutrition label reference. As a result, they can be classified as wholesome snacks rich in dietary fiber, iron, and zinc
Spatio-temporal analysis of pulmonary tuberculosis in Astambul District, South Kalimantan, Indonesia 2020-2021
Get PDFRespiratory tuberculosis (TB) remains a significant global health concern and ranks among the top 10 leading causes of death worldwide, following human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Globally, it is estimated that 1.2 billion people are at risk of being infected with tuberculosis, and Indonesia is the country that contributes the third-highest number of TB cases worldwide, behind China and India. Tuberculosis is still a significant issue in South Kalimantan, notably in Banjar Regency. This study is a descriptive study that intends to identify respiratory TB clusters spatially and temporally in Astambul District during 2020–2021 with the SatScan application, which is visualized as a map of respiratory TB clusters using the Quantum GIS 3.28 application. Data on respiratory TB cases collected from the Banjar District Health Office were examined using retrospective space-time scan statistics, employing a Poisson probability model for analysis. This study found 4 respiratory TB clusters, and 2 of them had significant results, namely in 2020 (RR=6.90, p-value=0.000030) and 2021 (RR=5.27, p-value=0.00003). Factors that affect these clusters are population density, the physical condition of houses, humidity levels, and the availability of health facilities
Multidrug resistant tuberculosis risk factors in Makassar, Indonesia
Get PDFMultidrug resistant tuberculosis (MDR-TB) is a significant public health concern in Indonesia, resulting in substantial morbidity and mortality rates. This study aimed to quantify the impact of risk factors of MDR-TB. A case-control study was conducted at Makassar Community Lung Health Center (BBKPM) in Makassar City. A total of 132 respondents, 66 cases, and 66 controls have participated in the study. Data was analyzed using the Stata version 14 tool, odds ratio (OR), and multiple logistic regression. Multiple logistic regression analysis identified significant risk factors for the occurrence of MDR-TB include previous TB treatment (OR=8.46, 95% CI: 3.278-21.858), positive acid-fast bacilli (AFB) sputum (OR=6.40, 95% CI: 2.525-16.260), and adverse drug event (OR=3.45, 95% CI: 1.008-11.867). The probability of developing MDR-TB is 95.9% if there is previous TB treatment with cases of relapse/loss to follow-up/failed treatment, positive AFB sputum, and adverse drug event. The most dominant risk factor for the occurrence of MDR-TB is a previous TB treatment. We suggest that an efficient directly observed treatment shortcourse (DOTS) strategy, particularly in the management of adverse drug event, overseeing and supporting patients who have recovered from MDR-TB, involves the collaboration of MDR-TB healthcare professionals and patient supporters in the Yamali TB community, moving synergistically as an effort to MDR-TB control and prevention
Impact of bounding attachments on breastfeeding success in primipara postpartum mothers
Get PDFBreastfeeding is more than just generating healthy breast milk. It is a cooperative activity involving both parties. This study examined how ligature ties affect primiparous women's ability to nurse their babies after giving birth. This type of research is cross-sectional. The study sample consisted of 144 primiparous postpartum women whose children were aged between 0 and three months. The entire sample employed in this study consisted of 106 primiparous postpartum women, selected by a combination of simple random sampling and probability. Questionnaires were used to collect data on attachment factors and breastfeeding success. A correlation value of r=0.437 was obtained, indicating a very positive association between the two variables, and the results demonstrated a significance level of ≤0.05. This correlation implies that effective nursing is mostly dependent on the mother and infant developing strong emotional attachment. These results further emphasize the importance of providing primiparous postpartum mothers with sufficient assistance and direction to enhance their bonding and breastfeeding experiences. Teaching caregivers and medical professionals the value of emotional connection and how it affects nursing outcomes are also essential. Given the established link between effective nursing and emotional attachment, healthcare providers can provide customized interventions and support to improve mother-child bonds throughout the postpartum phase
Psychometric properties of a questionnaire on medical students’ satisfaction with a community health program
Get PDFChanges in the learning modes during the recent COVID-19 pandemic has provided a need to construct a feedback questionnaire to measure medical students’ satisfaction with community-based health programs. A total of 551 forms which has a 5-point Likert scale were submitted by the medical students upon concluding the public health program in 2018-2021 (which includes face-to-face and virtual learning). Reliability coefficients were estimated for each factor (domain) with values >0.70. Exploratory factor analysis (EFA) was used to assess the validity of the instrument, using principal components analysis with varimax rotation. EFA identified two factors; the first included 6 items (67.031%) of the total variance, the second explained 4 items (10.114%) and together explained 77.15%. root mean squared error of approximation (RMSEA): 0.074; normed fit index (NFI): 0.975; comparative fit index (CFI): 0.981; incremental fit index (IFI): 0.981; goodness of fit index (GFI): 0.956; Tucker Lewis index (TLI): 0.972. The overall students’ satisfaction had a Cronbach’s alpha test of 0.945 with a 95% confidence interval (0.938-0.952), and a reliability using Guttman Split-Half for overall was 0.894. Students’ satisfaction questionnaire with the public health program has a good reliability and validity in contrasting educational situations and it is worthwhile to include as part of the quality improvement
Nearest neighbor analysis of the spread of tuberculosis in Padang
Get PDFThe rate of Tuberculosis (TB) cases in Padang has never dropped appreciably from year to year. Cases continue to be reported in all working regions of Puskesmas (primary healthcare center) although the precise transmission site is unknown. This study aims to determine the distribution pattern of TB sufferers in 4 Health Center working areas with the highest incidence using nearest neighbor analysis. This quantitative descriptive study used secondary data from the Padang Health Office and 4 working regions of primary healthcare centers from 2022 to March 2023, totaling 938 cases. The evidence is supported by actual observations of the physical conditions of the environment where TB patients live. The investigation of the ArcGIS program discovered that of the 4 working regions of primary healthcare centers. Mapping revealed that all locations showed a cluster pattern of TB transmission. It is hoped that these findings will be useful for health institutions in determining interventions so they can break the chain of TB transmission