Kesmas: National Public Health Journal
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Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during COVID-19 Pandemic in Indonesia (Case Studies: Five Cities/Districts in East Java Province)
No full textThe first positive case of coronavirus disease 2019 (COVID-19) in Indonesia was announced in March 2020. Since then, the positive cases have continued to increase. This condition prompted the government to adopt the Large-Scale Social Restriction (LSSR)/Pembatasan Sosial Berskala Besar (PSBB). Some areas included in endemic regions for dengue face two problems: overcoming COVID-19 and Dengue Hemorrhagic Fever (DHF) simultaneously. Five economic growth center cities/districts in East Java Province (Gresik, Bangkalan, Surabaya, Sidoarjo, and Lamongan) were affected by the COVID-19 pandemic and dengue fever. This was a quantitative research with a comparative design study using the Wilcoxon test to compare the cases of DHF pre-COVID-19 and during the COVID-19 pandemic. The Wilcoxon test result showed no significant difference with a p-value of 0.319 (p-value>0.05). It can be concluded that DHF still becomes a problem in five cities/districts in East Java Province even though LSRR was applied. Extra attention is needed to overcome DHF. One of the efforts to prevent and control DHF during the COVID-19 pandemic is to build community independence through the one house one health cadres’ movement
Strategy for Diagnosing Breast Cancer in Indonesia during the COVID-19 Pandemic: Switching to Ultrasound-Guided Percutaneous Core Needle Biopsy
Full text linkIn this era of COVID-19, suspected breast cancer patients experience delay in diagnosis due to the fear of contracting the virus and reduction of non-COVID-19 health services. Furthermore, it may lead to potential increase in the incidence of advanced cancers in the future. Ultrasound-guided (US-guided) percutaneous core needle biopsy (CNB) is a great option for the diagnosis of cancer but it is poorly utilized. This study aimed to prove that the US-guided CNBis accurate when performed in a local setting and a potential solution for diagnosing breast cancer patients in this pandemic. In addition, it was a single health center cross-sectional study, and the participants were all breast cancer patients that had US-guided CNB from 2013-2019. The pathology results from US-guided CNB were compared to specimens from post-CNB surgeries. The data were collected from medical records and the immunohistochemistry (IHC) examinations were carried out for malignancy. There were 163 patients who were included in this study, 86 had malignancies and 77 had benign tumor reported in their CNB results. The US-guided CNB had 100% sensitivity and specificity compared to surgery. With its lower cost, time usage, and patient exposure to the hospital environment, US-guided CNB should replace open surgery biopsy for diagnosing suspicious breast cancers during the pandemic in Indonesia
COVID-19 and the City: A Healthy City Strategy for Pandemic Challenges, from Planning to Action
Full text linkCOVID-19 is a respiratory disease caused by SARS-CoV-2, a new coronavirus discovered in 2019. WHO declared COVID-19 is a respiratory disease caused by SARS-CoV-2 as a pandemic that the detection level of cases changed daily, and it can track almost in real-time. This paper used a narrative literature review to address issues of urban quality and lack of exercise. The specific aim was to discuss the concept of a healthy city, indicate a new urban model, and advocate for the increased use of bicycles, outdoor gym/outdoor exercise, walking to reducing pollution, and improving physical, psychological, and social fitness. A healthy city can improve residents’ health by improving conditions of life to face COVID-19 pandemics. It needs the local capacity to prevent the spread of the diseases and design public health concepts concerning the built environment and contemporary towns in a new urban model. Dialogue opportunities in public health can provide essential guidance for designers (architects and town planners), decision-makers, public health experts, and health agencies locally, promoting the actions and policies to transform the city into a healthier neighborhood and salutogenesis
Strengthening the Strategic and Operational Response for Reducing COVID-19 Transmission in Indonesia
Full text linkIndonesia reported the first two cases of COVID-19 from Depok City, West Java, on March 2, 2020. This study aimed to evaluate the strategic response for reducing the COVID-19 transmission which mainly comprised case management, large-scale social restrictions, including micro-scale social restrictions, and the development of drugs and vaccines. The data were collected from the Indonesian Government’s official websites and the latest information from March 2020 to May 2021. Furthermore, a logical framework approach and a theory of change were used to describe, evaluate, and strengthen the strategic response. The current strategic response has not reduce the COVID-19 transmission. As of May 30, 2021, 1,879,730 confirmed cases with 101,639 active cases,1,663,998 recovered, and 50,404 deaths have been reported from 34 provinces. The case management faced a high positive rate and case fatality. Furthermore, the large-scale social restrictions have not increased public awareness and behavior practice on the prevention and control. Currently, there is no cure, and the vaccination needs more time to complete. Therefore, strengthening the current strategic response needs more testing, contact tracing, better quality treatment, community education for behavior change, and effective vaccination
Evaluation of Added Sugar and Sugar-Sweetened Beverage Consumption by University Students
Full text linkToday, increased intake of sugar and sugar-sweetened beverages is seen today as an important factor in the growing prevalence of chronic diseases, such as obesity, obesity-related diabetes, and coronary heart diseases. This study involved 214 university students from the Department of Nutrition and Dietetics of Ankara University, Faculty of Health Science, which was intended to evaluate the consumption of sugar and sugar-sweetened beverages. The frequency of student consumption of beverages and the quantities and amounts of sugar taken with beverages were questioned. The average total amount of sugar added to drinks by the students was 4.69 ± 6.35 gram, while the average total amount of sugar taken with sugar-sweetened beverages was 11.34 ± 15.32 gram. Female students relative to male students, students in grade 4 compared to grades 2 and 3, and students who had daily breakfast compared to those who did not had lower average sugar consumption (p-value 0.05). It is important to educate university students about the reduction in sugar intake and sugar-containing food in order to avoid many chronic diseases that may be seen in older ages
Impact of Climate Variables on COVID-19 Pandemic in Asia: A Systematic Review
Full text linkCOVID-19 has become a global pandemic and threatens public health systems worldwide. Virus transmission can be influenced by several factors, one of which is climatic conditions. Temperature, humidity, precipitation, wind speed, and solar radiation play an important role in the transmission of infectious diseases and are variables that can determine the resistance of the SARS virus. This paper aimed to critically assess and provide evidence-based on the impact of climate variables on COVID-19 cases in Asia based on current knowledge to form the basis of guidelines for health care and prevention efforts. This systematic review used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The articles were searched from ProQuest, Scopus, PubMed, and Springerlink databases. It has been screened 2.784 abstracts, 103 full-text publications, and ultimately included 11 systematic reviews. The review found a consistently positive relationship between climate variables and COVID-19. Average temperature, maximum temperature, minimum temperature, and humidity (r = 0.83, 0.94, 0.93, 0.30) were significantly correlated with COVID-19 cases. Temperature, maximum humidity, and population density (adjusted R2 = 0.53, p < 0.05), can be used as references in planning interventions during potential future pandemics. Linear regression framework, high humidity, and high temperature (p < 0.05) significantly reduce the transmission of COVID-19. This systematic review shows that climate plays a role in the spread of the COVID-19 pandemic in Asia
Junk Food Consumption and Symptoms of Mental Health Problems: A Meta-Analysis for Public Health Awareness
Full text linkJunk food consumption increases the risk of having symptoms of mental health problems. This study aimed to conduct a meta-analysis to assess the association between junk food and symptoms of mental health problems. Six researchers, two primary researchers, and four assistant researchers, from October to December 2020 conducted a systematic literature review. The data sources were selected from Pubmed and Science Direct articles published from 2010 to 2020. Those websites were check-marked for text availability for original articles, using keywords for junk foods and mental health. This study had inclusion criteria for selecting and organizing articles using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The full-text articles were selected for conducting a meta-analysis using R Studio Software. The 5,079 article titles were obtained, seven of which met the relevant requirements for meta-analysis. The range of respondents who experienced symptoms of mental illness was 1.38%–79.8%. There was no heterogeneity based on the Tau-square test. The correlation coefficient was 0.11 (95% CI 0.09–0.14), with no publication bias based on Egger’s Regression test (0.6023 or p-value>0.05). The frequent consumption of junk food can contribute to mental illness symptoms, even with minimal effects
Low Knowledge and Unawareness of the Health Promotion as the Determinant Factors in Non-Compliance to the Mass Drug Administration Program
Full text linkFrom the total population of the community in Kuningan District, 78.61% were taking filariasis drugs in the Mass Drug Administration (MDA) program in 2017. Cilimus Subdistrict became a filariasis-endemic area in Kuningan with 72.39% of the MDA program coverage in 2017 (government target >86%). The purpose of this study was to analyze the determinant factors of compliance with the MDA program. The study was an analytical study with a cross-sectional design and conducted from May to June 2018. The sample of 106 people was taken from the population living in Cilimus Subdistrict, Kuningan District, using a simple random sampling technique. Independent variables were collected by a constructed questionnaire included age, education level, knowledge, attitude, health promotion, and family support. A questionnaire also measured compliance with MDA as a dependent variable. Data analysis consisted of univariate, bivariate (chi-square and Fisher exact test), and multivariate analyses (multiple logistic regression). The results showed that the variables of knowledge, attitude, MDA health promotion, and family support influence compliance with the MDA (p-value < 0.05). Low knowledge and unawareness of the MDA health promotion proved to be the dominant factors in non-compliance with the MDA program
Correlation between Care Burden and Mental Health with the Perceived Social Support of Patients Relatives in Turkey
Full text linkThe people providing care for relatives always need support and accompaniment from their families and friends. This study aimed to evaluate the correlation among the care burden, mental health and social support perceptions of the patients’ relatives that provide long-term care for patients receiving service from the home care service (HCS) unit in one city. This descriptive study was carried out with the relatives of patients receiving service from home health units. Among the relatives providing care for a total of 859 patients, those that did not comply with the inclusion criteria were excluded, which made a total population of 309 people. Individual information form, burden interview, brief symptom inventory and multidimensional scale of perceived social support were used for the assessment of the data. Descriptive statistics and Spearman’s correlation coefficient were used for data analysis. The result showed a positive moderate significant correlation among the burden score, brief symptom inventory subscale and global index scores while, a negative moderate significant correlation was discovered between the family, significant other and multidimensional scale of perceived social support scores. Consequently, as the perceived social support level in the patients’ relatives providing care increased, their care burden and mental health problems decreased
Prevalence and Determinants of Pre-lacteal Feeding: Insights from the 2017 Indonesia Demographic and Health Survey
Full text linkPre-lacteal feeding is widely known as a distraction to exclusive breastfeeding, and the malpractice continues to be prevalent in Indonesia. Therefore, this study aimed to explore the potential determinants of pre-lacteal feeding among mothers of infants below 24 months. A sample of 6,455 mother-infant pairs from the 2017 Indonesia Demographic and Health Survey (IDHS) was used. Also, multivariate logistic regression was employed to identify factors associated with pre-lacteal feeding practice. In Indonesia, 44% of infants were introduced to solid/liquid feeds in their first three days of life. Infant formula was the most common pre-lacteal feed given, followed by any other milk, plain and sugar water, and honey. Early initiation of breastfeeding and living in an urban area was protective method against pre-lacteal feeding (AOR: 0.24; 95%CI: 0.21-0.28; AOR: 0.76; 95%CI: 0.65-0.90, respectively), while cesarean delivery acted as arisk factor (AOR: 1.36; 95%CI: 1.14-1.63). Meanwhile, gender role attitude, parity, perceived birth size, and household wealth index was also associated with pre-lacteal feeding. Overall, the percentage of mothers introducing pre-lacteal feeds was still high. The modifiable covariates associated with pre-lacteal feedings, such as early initiation of breastfeeding, parity, and birth size, were the major factors discouraging this practice