Kesmas: National Public Health Journal
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Maternal Coping Strategies for Premature Infant: A Systematic Review
Full text linkA mother’s stress due to the birth of her premature baby results in obstacles to the mother’s role, hence it requires appropriate coping strategies. This review aimed to identify coping factors, explore coping strategies by mothers with premature babies, and identify interventions for enhancing maternal coping strategies. The article navigation utilized Boolean Operator of "or" and "and" with keywords of [preterm or premature or LBW, coping, and mother. Databases included ScienceDirect, EBSCOhost, PubMed, SAGE, ProQuest, and Scopus. The 529 articles obtained were screened by reading the focus of journals and addressing the topic and suitability of the journal content, selecting 10 articles. The first result reported factors influencing coping strategies: delivery method, income, available information, knowledge, support, and maternal self-efficacy. The second result presented maternal coping strategies for closely handling premature babies: belief in God, support-seeking, and the babies’ condition progress. The third result showed two interventions: mother’s empowerment program and group discussions with health workers. These two interventions to improve coping strategies play an important role in supporting mothers by facilitating their participation in caring for their babies
A Stunting Prevention Risk Factors Pathway Model for Indonesian Districts/Cities with a Stunting Prevalence of ≥30%
Full text linkThe prevalence of stunting in Indonesian children aged 0-23 months is a public health problem caused by direct and indirect factors. This study aimed to discover the path of the relationship between various risk factors and the stunting prevalence of ≥30% in 165 districts/cities in Indonesia. Data were obtained from the 2018 National Basic Health Research, National Socioeconomic Survey, and the Statistics Indonesia with a cross-sectional approach. The secondary data on stunting and risk factors were aggregated at the district/city level from individual data; children aged 0-23 months. The path analysis used to determine a stunting prevention model showed that antenatal care at the district/city level decreased stunting rates by at least 2.56% (b = -0.16; p-value = 0.04). A contraceptive user at the district/city level decreased stunting rates by 2.25% (b = -0.15; p-value = 0.05), and handwashing with soap at the district/city level by5.76%, (b = -0.24; p-value = 0.003). Antenatal care, contraceptive use, and handwashing with soap contributed to the reduction of stunting prevalence by18.18%. The study results suggested that districts/cities can play an important role in reducing stunting
The Potential of Private Health Insurance Ownership Based on the 2018-2020 National Socioeconomic Survey Data
Full text linkIn 2014, the Indonesian Government introduced a social security program in the health sector. However, Indonesia’s out-of-pocket expenses remain high due to a lack of public interest in National Health Insurance services. Financing expensive health services with high out-of-pocket expenses has the potential to cause poverty. Private health insurance is considered a solution to this problem. This study aimed to determine the socioeconomic factors of private health insurance ownership and its potential in Indonesia. This study used secondary data from the 2018, 2019, and 2020 National Socioeconomic Surveys. Logistic regression analysis showed that the variables related to private health insurance ownership were age, sex, education, economic status, employment status, marital status, household status, and location of residence. The most dominant variable in 2018 was per capita expenditure (economic status), while education was the most dominant variable in 2019 and 2020. The result of this study can be used to formulate a strategy for increasing participation in private health insurance. The socioeconomic health sector should use this information to target specific markets for private health insurance
The Determinants of Stunting for Children Aged 24-59 Months in Kulon Progo District 2019
Full text linkThis study pertains to stunting in children in Indonesian with z-scores of less than -2 Standard Deviation (SD) and less than -3 SD. The preliminary study results showed the highest prevalence of stunting to be 22.6%, at the Temon II Primary Health Care in Kulon Progo District. The study aimed to assess the determinants of stunting children aged 24–59 months. This study was conducted from September 2018–May 2019. The design of this study was analytical observational with study design case-control. The sample was 60 children aged 24–59 months. The method utilized proportional sampling, whereas the data analysis applied chi-square and logistic regression.The analysis of statistical tests showed a significant correlation between the stunting children and energy intake factor (p-value = 0.030; α = 0.05; CI = 95%). Risk factors were energy intake, protein intake, suffering from acute respiratory tract infections, and suffering diarrhea. A non-risk factor was immunization status. Protective factors were access to clean water and the history of exclusive breastfeeding. The most influential factor for stunting children aged 24–59 months was energy intake
Knowledge, Attitude, and Practice Regarding COVID-19 among Residents of Pesantren
Full text linkIslamic boarding schools (pesantren) have a risk of COVID-19 transmission. The pesantren learning system is generally carried out collectively and the interaction between teachers and students is almost 24 hours. This community service aims to empower pesantren in efforts to prevent and control COVID-19 so that they become a safe learning place from the spread of COVID-19. The design of this study was a case study on the empowerment of pesantren in the prevention and control of COVID-19. Study located at a traditional Islamic boarding school (salafiah) in Lebak Regency, Banten. The target of the study consists of pesantren leader, teachers (ustadz/ustadzah) and students (97 people), and community service partners consist of the sub-district Public Health Center and the sub district COVID-19 Task Force. The results of this study showed that controlling COVID-19 in pesantren requires the commitment of pesantren leaders through the establishment of pesantren COVID-19 task force and requires partnerships with relevant stakeholders. Health literacy needs to be improved especially the implementation of health protocols and information on clean and healthy living behavior. There were obstacles in handling COVID-19, especially: social distancing, infrastructure, and funding. This study recommended that the empowerment of pesantren residents (teachers and students) related to health literacy, and it is necessary to make people aware that COVID-19 is everyone's responsibility. The Government should pay serious attention to pesantren as boarding educational institutions where interaction between students is almost 24 hours, to prevent pesantren from becoming clusters of the spread of COVID-19
A Path Analysis Model for Explaining the Factors Influencing Wearing a Mask among Commuting Workers Using Commuter Line Bogor-Jakarta
Full text linkJakarta is one of the most air-polluted cities in the world, which can increase the health risk of commuting workers exposed to pollutants. This study aimed to determine the factors that directly and indirectly affect healthy behavior (wearing a mask) for commuters using the Bogor-Jakarta Commuter Line. Furthermore, a total of 155 respondents participated and the data collected were analyzed using descriptive and path analysis. The commuters aware of the hazard potential related to air pollution during commuting were 137 people (88.4%). While 104 people (67.1%) were aware of the good perception of pollution and 125 uses masks during commuting (80.6%). The healthy behavior in commuting workers using Commuter Line was affected by some factors, both directly and indirectly. The knowledge and commuting experience toward healthy behavior were two variables that significantly influenced on healthy behavior. The knowledge was also the only mediated variable with a significant indirect effect of education on healthy behavior
Exclusive Breastfeeding History Risk Factor Associated with Stunting of Children Aged 12–23 Months
Full text linkStunting (low height-for-age) remains a global and national health problem because it increases the risk of disturbances in growth and development and mortality. Banjar Margo District, Tulang Bawang Regency, has the second-highest prevalence in Lampung Province, Indonesia. This study aimed to analyze the association of exclusive breastfeeding history and stunting in children aged 12–23 months in Banjar Margo District. This study used a cross-sectional design on 193 children aged 12–23 months. It was primary data conducted between April and May 2018 with a questionnaire. Data analysis was performed using the chi-square test and multiple logistic regression. The result showed that of 193 children, 29.5% were stunted. Children who were not exclusively breastfed were 3.1 times (95%CI = 1.5–6.4) more at risk of stunting than those exclusively breastfed, after controlling for mothers with low education and unemployment factors as confounding variables. Health promotion activities in primary/integrated health care should be focused not only on mothers but also on other people involved in child care, such as grandparents, at-home caregivers, and day carers
National Health Insurance Scheme: Internal and External Barriers in the Use of Reproductive Health Services among Women
Full text linkLack of familiarity among the community, medical workers, and administrative staff regarding reproductive health services covered by Badan Penyelenggara Jaminan Sosial (BPJS) or the National Health Insurance (NHI) in Indonesia remained a problem. Therefore, this resulted in sub-optimal use of the medical services, as shown by surveys from the Women's Health Foundation for three consecutive years (2015-2017). This qualitative study was conducted with a Rapid Assessment Procedure design in three cities within Indonesia: Padang Pariaman, Manado, and Kupang. Data were collected through IDIs (n = 47informants) and 6 FGDs (7 persons/group). Participants also consisted of NHI RHS users (mothers and young women), administrative officers at health facilities, medical services providers, and officials related to the NHI assistance. Data were managed using NVivo version 2.0 software, accompanied by thematic analysis. The internal barriers in NHI use included inadequate knowledge of RHS covered by NHI, and a culture of shame in informants. External barriers included additional costs for medicines not covered by NHI, the dissatisfaction of health services provided by medical workers, busy work and household activities, and lack of women's role in decision-making within families, which related to reproductive wellness
Outdoor Activity: Benefits and Risks to Recreational Runners during the COVID-19 Pandemic
Full text linkRunning has become one of the most popular recreational sports worldwide. It is an easily accessible form of exercise as there are minimal equipment and sport structure requirements. Aerodynamic simulation experiments showed a risk of droplet exposure between runners when two people run in a straight line at a close distance (slipstream). Thus, running activities require a safe physical distance of 10 meters to avoid droplet exposure, which can be a source of transmission of COVID-19 infection. However, running outdoors during the COVID-19 pandemic is still often done in pairs and even in groups without wearing a mask. Open window theory stated that changes in the immune system occur immediately after strenuous physical activity. Many immune system components showed adverse changes after prolonged strenuous activity lasting more than 90 minutes. These changes occurred in several parts of the body, such as the skin, upper respiratory tract, lungs, blood, and muscles. Most of these changes reflected physiological stress and immunosuppression. It is thought that an “open window” of the compromised immune system occurs in the 3–72-hour period after vigorous physical exercise, where viruses and bacteria can gain a foothold, increasing the risk of infection, particularly in the upper respiratory tract. Outdoor physical activity positively affects psychological, physiological, biochemical health parameters, and social relationships. However, this activity requires clear rules so that the obtained benefits can be more significant while simultaneously minimizing the risk of transmission of COVID-19 infection
The Effect of Smoking on Carbon Monoxide Respiration among Active Smokers in Palembang City, Indonesia
Full text linkSmoking leads to disease and disability as well as harm nearly every organ of the body. Furthermore, smoking of tobacco is known to cause pulmonary dysfunction and lead to complications, pain, or even death. This study aimed to measure the risk factors for the respiration of carbon monoxide among smokers. A cross-sectional design was implemented by involving 156 smokers in Karyajaya Subdistrict, Palembang City. The dependent variable was carbon monoxide levels (ppm), while the independent variables were smoking frequency, duration, and the last period of smoking. The carbon monoxide levels (ppm) measured with a PiCO + Smokerlyzer® device from Bedfont Scientific Limited were the research tool and the independent variables of the questionnaire. The Pearson Correlation and multiple linear regression were used for the analysis. The results of the multiple linear regression analysis revealed that smoking duration assessment is related to carbon monoxide respiration after controlling smoking frequency, the last period of smoking, and the distance of residence to sources of exposure. The smoker's respiration of carbon monoxide level was 72.5% influenced by the duration, frequency, last period of smoking, and distance of residence to sources of exposure. Reducing the frequency of smoking and stopping may prevent and control carbon monoxide respiration