Journal of Public Health Sciences
Not a member yet
71 research outputs found
Sort by
Study of Socio-cultural Support for Stunting in Children of Biak Regency
Get PDFStunting remains a significant public health concern in Indonesia, particularly in Biak Regency, where socio-cultural factors and infant feeding practices influence child growth. This study examined the association between exclusive breastfeeding and socio-cultural support with stunting among children aged 25–59 months in Biak Regency. A cross-sectional analytic design was applied to 35 toddlers from the Ridge Public Health Center and Integrated Services Post. Data were collected via anthropometric measurements and structured questionnaires and analyzed using Fisher’s Exact Test and binary logistic regression. Stunting prevalence was 65.7%, and only 42.9% of children had received exclusive breastfeeding for the first six months of life. In bivariate analysis, none of the exclusively breastfed children and none of those with adequate socio-cultural support were stunted (both p < 0.001). In multivariable analysis, lack of exclusive breastfeeding (No vs Yes) was associated with higher odds of stunting (AOR = 18.0; 95% CI: 2.90–111.60; p < 0.001), and inadequate socio-cultural support (Inadequate vs Adequate) similarly increased the odds (AOR = 18.0; 95% CI: 2.90–111.60; p < 0.001). These results indicate that exclusive breastfeeding and supportive socio-cultural environments are strongly protective against stunting. Given the small sample and wide confidence intervals, findings should be interpreted with caution but highlight the need for culturally sensitive strategies that promote exclusive breastfeeding and address socio-cultural barriers during the first 1,000 days of life
Designing A Digital-Based Surveillance Information System Prototype for Epidemiological Investigation of Avian Influenza (H5N1) In Bali Province
Get PDFAvian Influenza (AI) is an infectious disease that can attack birds and humans caused by a virus. Until April 2023, the number of human victims infected with AI disease in the world reached 874 people (confirmed AI cases), with 458 of them dying (CFR = 52%). Health Surveillance is a systematic and continuous observation activity of data and information about the incidence of disease or health problems and conditions that influence the increase and transmission of disease or health problems. The aim of the research is to design a digital-based AI epidemiological surveillance system in Bali Province. The research design used in this research is a research and development (R&D) approach with a prototyping development model. Acceptance tests were carried out on 130 surveillance officers with the PSSUQ questionnaire. The results obtained were in the form of a prototype AI epidemiological investigation information system application with acceptance test results regarding system quality (2.37), information quality (2.43), and the overall system (2.37) showing very good results. Meanwhile, acceptance of the quality of the design or appearance of the prototype is in the good category (2.37). This value is classified based on the norm scale of the PSSUQ questionnaire. Conclusion: Therefore, this AI epidemiological investigation surveillance information system is worthy of further development
Analysis of Access to Reproductive Health Services for the Elderly Challenges of Stigma and Policy in Indonesia
Get PDFThis qualitative study examines the barriers faced by elderly populations in Indonesia in accessing reproductive health services, focusing on cervical and prostate cancer screening, sexuality counseling, and menopause/andropause management. Despite the increasing number of older adults, reproductive health services remain predominantly oriented toward younger groups, leaving elderly needs under-addressed. Using semi-structured interviews with 35 elderly individuals, 15 healthcare providers, and 10 policymakers across urban and rural settings, the study identifies significant structural and cultural challenges. Key findings reveal pervasive social stigma surrounding elderly sexuality, inadequate healthcare provider training, and fragmented policy frameworks that fail to explicitly include geriatric reproductive health. Rural participants reported limited availability of essential screenings and counseling services, while many providers perceived elderly reproductive health concerns as low priority. Policy analysis highlights the absence of comprehensive guidelines and inconsistent implementation across regions. These barriers contribute to disparities in service utilization and negatively impact elderly health outcomes. The study recommends evidence-based strategies including stigma reduction initiatives, integration of reproductive health services into primary care for the elderly, enhanced provider education, and the development of targeted policies with dedicated funding. Addressing these challenges is critical to promoting equitable access to reproductive healthcare for Indonesia’s aging population, supporting their right to health and well-being. This research contributes to filling the gap in geriatric reproductive health literature and offers practical policy recommendations to improve service delivery in Indonesia
Patient Safety Culture as A Mediator Between Leadership and Incident Reporting
Get PDFThis study investigates the influence of transformational leadership on patient safety incident reporting among nurses in the inpatient units of Charitas Group hospitals, with a focus on the mediating role of patient safety culture. Using a sequential explanatory mixed-methods design, the research integrates quantitative survey data from 232 nurses and qualitative insights from 16 key informants, including unit heads and safety committee leaders. Structural Equation Modeling and Sobel test results reveal that transformational leadership has a positive effect on patient safety culture but a paradoxically negative direct effect on incident reporting. Patient safety culture significantly mediates this relationship, underscoring the role of organizational climate in translating leadership into safety behaviors. Qualitative findings illuminate this paradox, revealing stark unit-level differences such as in the Pharmacy unit, where psychological safety and open dialogue are strongly fostered, while in other units, fear, silence, and inadequate follow-up persist. The study finds that institutional values are not consistently reflected in daily practices, limiting cultural transformation. This study contributes to the limited literature in Indonesia by highlighting how leadership must be embedded in safe and responsive environments to encourage safety behavior. Recommendations include strengthening leadership presence and follow-through, enhancing safety committee roles, and conducting routine audits to promote a just and learning culture. The findings provide actionable insights for hospital policy, leadership training, and efforts to improve organizational safety in healthcare settings
Relationship Between Maternal Dietary Patterns and the Triple Burden of Malnutrition in Indonesian Families: A Complex Sample Cross-Sectional Study
Get PDFThe triple burden of malnutrition (TBM), comprising undernutrition, overnutrition, and micronutrient deficiencies, remains a major nutritional challenge in Indonesia amid rapid economic growth and shifting dietary habits. This study aimed to analyze the prevalence of TBM and its association with maternal dietary patterns using data from 1,005 mother–child pairs in the 2023 Indonesian Health Survey. Complex sample logistic regression was applied to account for the multistage sampling design. The prevalence of TBM was 4.3%. In children, 16.6% were underweight, 21.3% stunted, and 21.7% anemic, while 51.4% of mothers were overweight or obese and 15.0% anemic. Maternal dietary patterns were significantly associated with TBM risk, whereby mothers who rarely or never consumed grilled or charred foods were more likely to belong to non-TBM families (AOR = 8.57; 95% CI: 1.43–51.29; p = 0.018), as were those with moderate consumption (AOR = 4.78; 95% CI: 1.09–20.98; p = 0.038). In contrast, rare consumption of meat, poultry, or fish products with preservatives (AOR = 0.13; 95% CI: 0.02–0.95; p = 0.043) and fruits or fruit-based products (AOR = 0.19; 95% CI: 0.06–0.61; p = 0.005) was associated with a higher likelihood of TBM. A non-linear association was observed for flavor enhancers, where moderate consumption was linked to lower odds of TBM (AOR = 0.33; 95% CI: 0.15–0.73; p = 0.006), whereas rare consumption increased the likelihood of belonging to non-TBM families (AOR = 2.79; 95% CI: 1.04–7.48; p = 0.041). Additionally, moderate consumption of fats and oils was positively associated with TBM risk (AOR = 2.94; 95% CI: 1.01–8.54; p = 0.047). In conclusion, maternal dietary patterns significantly influence TBM risk among Indonesian families
Factors Associated with Self-esteem Levels in Generation Z Students at Universitas Muhammadiyah Jakarta: A Cross-sectional Study
Get PDFGeneration Z faces significant mental health challenges, including low self-esteem. In Indonesia, over 30% of individuals experiencing low self-esteem do not receive adequate treatment. Among the approximately 2.5 million people with mental illnesses, around 40% report low self-esteem. This study aimed to identify factors associated with self-esteem levels among students at Universitas Muhammadiyah Jakarta in 2024. An analytical cross-sectional research design was employed, with probability sampling used to select 103 respondents. Data were collected through questionnaires and analyzed using the Chi-square test. Results indicated that the majority of Generation Z students with low self-esteem reported insufficient family support (67 students, 65.0%), limited peer support (69 students, 67.0%), and were predominantly female (67 students, 67.0%). Statistical analysis revealed significant associations between family support and self-esteem level (P = 0.001), peer support and self-esteem level (P = 0.030), and gender and self-esteem level (P = 0.005)
School Experience in Facing Bantul Earthquakes Disaster Response: A Qualitative Study
No full textEarthquakes can significantly affect children's development both physically and psychologically. School experience in disaster management becomes one of the foundations for formulating needs and policies in earthquakes disaster mitigation within the school environment. This study aimed to capture the experience of schools in Bantul, Yogyakarta, in dealing with earthquakes events. Using a qualitative approach, data were collected through in-depth interviews and analyzed thematically to identify codes and themes emerging from the data, related to school-based disaster management. Analysis yielded nine major categories describing how schools prepare for, respond to, and recover from earthquakes. The findings highlight the critical role of disaster education and preparedness within school settings and reveal the need for clear procedures supporting children’s physical and psychological recovery after an earthquake. These insights underscore the importance of cross-sector collaboration and policy development to strengthen school-based disaster mitigation and post-earthquake recovery programs
Play-Based Psychoeducation to Enhance Emotional Literacy Among Migrant Children in Malaysia
Get PDFEmotional literacy is critical for children’s psychosocial well-being and particularly challenging among migrant children facing displacement and cultural stressors. This pre-experimental study evaluated the immediate changes of a play-based psychoeducation program on emotional literacy among 30 Indonesian migrant children aged 9–15 years in Malaysia. Using a one-group pretest–posttest design, participants completed the validated Emotional Literacy Questionnaire before and after intervention. Wilcoxon signed-rank tests showed a significant improvement in total emotional literacy scores from 11.53 ± 0.54 to 13.30 ± 0.49 (p = 0.009, r = 0.47). Children improved in recognizing emotions, applying emotional knowledge to case studies, and employing adaptive regulation strategies. The findings provide preliminary evidence suggesting that culturally congruent, play-based psychoeducation may support improvements in emotional competence among migrant children. Nursing professionals can incorporate such interventions to promote psychosocial adaptation in school and community settings
Effectiveness of Autogenic Relaxation Therapy for Managing Mood Swings in Adolescent Girls with Premenstrual Syndrome
Get PDFPremenstrual Syndrome (PMS) is associated with mood instability in adolescents, affecting emotional well-being and daily functioning. Non-pharmacological interventions, such as autogenic relaxation, may help manage these fluctuations. This study examined the effect of autogenic relaxation therapy on mood changes in 88 female adolescents at SMP Negeri 1 Pare, Kediri Regency, using a one-group pretest–posttest pre-experimental design. Mood was assessed with the Four Dimensions Mood Scale (FDMS) and analyzed using the Wilcoxon Signed-Rank test. Before the intervention, most participants (61.4%) reported negative mood. After autogenic relaxation, the majority (52.3%) shifted to the positive mood category, with statistically significant improvement (p < 0.001). These results suggest that autogenic relaxation promotes emotional regulation through focused attention and controlled breathing, supporting a physiological relaxation response. Autogenic relaxation appears to be a simple, accessible, and cost-effective method for managing PMS-related mood disturbances in adolescents. However, the absence of a control group and limited demographic scope warrant caution. Future studies with controlled designs and diverse populations are recommended
Implementation of Maternal and Perinatal Death Surveillance and Response (MPDSR) in Developing Countries: A Scoping Review
Get PDFDespite the World Health Organization's continued advocacy for the adoption of Maternal and Perinatal Death Surveillance and Response (MPDSR) as a systematic approach to uncovering and addressing the root causes of maternal and perinatal mortality, death rates within these populations remain alarmingly high in many regions. The effectiveness of MPDSR varies widely across settings, often limited by weak health information systems, reporting delays, blame-oriented cultures, and poor follow-up of audit recommendations. This scoping review aims to examine the practical application of MPDSR across various real-world contexts, with a particular emphasis on the mechanisms for identifying, reporting, evaluating, and responding to maternal and perinatal deaths, as well as the factors that enable or hinder these processes. Peer-reviewed publications from the past decade were systematically retrieved from major databases, including PubMed, Wiley, and ScienceDirect. The review identified key barriers such as shortages of skilled personnel, incomplete documentation, and limited financial and monitoring resources, while effective MPDSR was facilitated by community engagement, clear reporting systems, and supportive policies. These findings highlight the need to strengthen workforce capacity, data systems, and governance to reduce preventable maternal and neonatal deaths