Kesmas: National Public Health Journal
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Gerakan Nusantara Program on Children’s Nutrition Practices
Get PDFGerakan Nusantara is a nutrition education program that aims to change the nutrition knowledge, attitudes, and practices of elementary school children in Indonesia. The program was implemented in 2015–2018 in Jakarta, Bandung, Surabaya, Makassar, Medan, Yogyakarta, Pontianak, East Nusa Tenggara, Pekanbaru, Padang, Jambi, and Sorong. The present study sought to determine the effects of Gerakan Nusantara on the nutrition practices of school-aged children and describe the extent of changes in each nutrition practice component covered by the program. This study used secondary data on Nutrition and Health Knowledge, Attitudes, and Practices studies collected from students participating in the program and involved 6132 school children. The seven nutrition practice components studied were consumption of staple foods, plant protein, animal protein, vegetables, and fruits; milk drinking; and exercise. Significant improvements in fruit consumption and exercise were noted in 2015; all variables improved in 2016; significant changes in the consumption of staple food and plant protein and exercise were recorded in 2017; and significant improvements in the consumption of vegetables, plant protein, and animal protein and milk drinking were noted in 2018. Significant differences in nutrition practices before and after program implementation were noted in each year. Overall, the results demonstrated that Gerakan Nusantara successfully improved the nutrition practices of elementary school children
Challenges for Indonesia Zero Hunger Agenda in the Context of COVID-19 Pandemic
Get PDFThe rapid spread of COVID-19 has not only threatened the lives of infected persons but also affected a broader community socially and economically. The pandemic has also challenged Goal 2 of the 17 Sustainable Development Goals (SDGs) to eradicate all forms of hunger by 2030. The most disadvantaged society may have a greater risk of malnutrition and poor health as they cannot access safe, nutritious, affordable, and sustainable diets. At this moment, saving lives by focusing on the health-care system should not be the only priority, emphasis should be made in other essential aspects, including agri-food sector, in order not to cause the additional burden of hunger, malnutrition, and overall health
Entomological Index and Home Environment Contribution to Dengue Hemorrhagic Fever in Mataram City, Indonesia
Get PDFIndonesia is a member of Southeast Asia Regional Office (SEARO) ranked the first in dengue hemorrhagic fever (DHF) problem based on incidence rate (IR) and case fatality rate (CFR). Several provinces in Indonesia experience an outbreak, one of which is the Mataram City in West Nusa Tenggara Province. Mataram City is an endemic area of DHF because the DHF cases are always found in three consecutive years with the number of cases that fluctuate and tend to increase. This study aimed to obtain factors that could be used to improve early warning systems in controlling DHF. This study used a case control design with a ratio of 1:1 to 180 house holds. The results showed that home environmental factors, such as no ceiling, indoor and outdoor temperature that had the potential for breeding places for mosquitoes, no wire net in ventilation, low lighting and high humidity, related to DHF transmission. Vector distibution with entomology index showed that the existence of larvae, eggs and mosquitoes played a role in dengue transmission. The dominant factors affecting the transmission of dengue in Mataram City are the condition of the ceiling and the existence of mosquito eggs in the house
Analysis of Government Budgeting for Health: Case Study of COVID-19 in East Java Province, Indonesia
Get PDFCOVID-19 in Indonesia was first reported on March 2, 2020 with two cases, and the number has increased each day until April 23, 2020 and reached 7,775 positive cases of COVID-19. East Java Province ranks the third in Indonesia with 662 cases. COVID-19 requires a health financing system aimed for COVID-19 patients and hospital services. The study aimed to describe the amount of COVID-19 and the use of funds for COVID-19 in East Java Province. This study applied descriptive analytic method. Secondary data analysis used the COVID-19 fund data of 31 districts/cities in East Java Province from the Regional Development Agency of East Java Province in period of March 23 - April 23, 2020. The results showed that the total budget for COVID-19 in the province was worth IDR2,102,600,000,000 divided for Curative IDR727,654,880,535, Promotive Preventive IDR97,134,092,873, Social Safety Net IDR877,301,513,766 and Recovery IDR400,50,512,826. The total fund for COVID-19 per capita in the province was IDR1,997,139 divided for Curative IDR691,158, Promotive Preventive IDR92,262, Social Safety Net IDR 833,299 and Recovery IDR 380,421. According to districts/cities, the highest budgeting is Jember District, Surabaya City, and Gresik District. The highest per-capita funds, according to districts/cities, are Batu City, Jember District, and Trenggalek District
A Study on Knowledge, Attitudes, and Practices on Rabies in the Philippines
Get PDFIn 2007, the Philippine government passed the Anti-Rabies Act to address rabies in the country. However, rabies is still a major public health concern in many provinces. This study aimed to evaluate the knowledge, attitude, and practices (KAP) of residents on rabies, the Anti Rabies Act, and responsible pet ownership (RPO) in Pampanga, Philippines. A cross-sectional survey was done from October 2017 to February 2018 in 92 randomly selected barangays in the province. Questionnaires were adapted from similar studies. Logistic regression was used to identify factors associated with KAP. Results showed that most people have good knowledge of the Anti-Rabies Act, RPO, and moderate knowledge of rabies. Their attitude toward rabies was appropriate, and on RPO, moderate. The RPO practices by most dog owners were good and moderate for most cat owners. Moreover, the subjects’ area of residence was a significant factor in their knowledge of RPO, and pet ownership status was a significant factor in their RPO attitude. In general, respondents showed satisfactory knowledge; however, there is a need to intensify information and education campaigns in rural areas
When will the COVID-19 Pandemic in Indonesia End?
Get PDFOn January 30, 2020, the World Health Organization(WHO) declared 2019-nCOV to be a Public Health Emergency of International Concern (PHEIC), due to the significant increase in confirmed new cases in various countries.1 In Indonesia, the first confirmed COVID-19 case was a female who had a closed contact with the 24th confirmed case in Malaysia and the second case was the mother of the first case.2 As time goes by, the number of new cases has increased significantly, reaching 160.165 confirmed cases with 6,944 deaths by August 27, 2020.3 The time when the COVID-19 pandemic in Indonesia will end is not known, although some studies are attempting to predict this such as in articles, journals, newspapers, and other media
The Use of Masks during the Pandemic Period in Indonesian People
No full textThe use of masks protects individuals from the spread of COVID-19 and control the source of transmission through droplets, but with limited medical masks, a cloth face mask can be used as an alternative personal protection from COVID-19. This study aims to describe the use of cloth face mask as an alternative personal protection during the pandemic. WHO recommends the use of non-medical masks both at home and in public places. The use of face masks is a WHO’s recommendation on April 6, 2020. Medical masks are categorized as medical waste, then the disposal must be appropriate to prevent COVID-19 transmission in community. Cloth face mask can be used repeatedly and washed, its use can be adjusted to face. However, using a face mask alone is not enough to provide an adequate protection level. Other steps must be taken, such as washing hands with hand soap in running water, keeping a physical distance of minimum one meter from people, especially from those showing respiratory tract symptoms (coughing, sneezing), cleaning items touched by hands of people such as door handles and handles stairs. Therefore, the use of cloth face mask must be carried out together with clean and healthy living behaviors
Cultural and Religious Belief Approaches of a Tuberculosis Program for Hard-to-Reach Populations in Mentawai and Solok West Sumatera, Indonesia
Get PDFTuberculosis (TB) is a leading public health concern in Indonesia. It ranks second on the list of high-burden TB countries. In West Sumatra, 47% of TB cases are undetected, late diagnosed, and received incomplete treatment because of low-level awareness and knowledge and stigma, especially among the hardest to reach populations. The study aims to identify the best communication channel to reach those who live in vulnerable and remote areas. This study was a qualitative study applying in-depth interviews to the informal leaders, health officers, cultural artists, and religious leaders across districts in Mentawai and Solok Districts, which are remote and had the lowest case detection rates compared with other districts. The questionnaire was prepared with the perception of the channel to identify TB cases. The data were analyzed using the content analysis technique. Involving religious and informal leaders and using traditional music as a communication channel improved the population's awareness of TB symptoms and access to TB testing and treatment, as well as reduced TB-related stigma. This study found that the cultural and religious contexts play a major role in health communication on TB control for hard-to-reach populations in West Sumatera, Indonesia
Using the Reach, Effectiveness, Adoption, Implementation, Maintenance Framework in the Evaluation of Community-Based Adolescent Care Pilot Program
Get PDFPosyandu Remaja (Posmaja) is a community-based adolescent care service in Indonesia that comprises a group of adolescents working as volunteers and healthcare workers under the guidance and responsibility of the Public Health Centre and City Health Office. The study aims to provide a formative evaluation program of Posmaja using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This research used a qualitative approach and took place in South Tangerang City, Indonesia. The data were collected from July until December 2018. Nineteen people participated in the study. The study used in-depth interviews and focus group discussions that adopted the RE-AIM framework for data collection. Content analysis was used to analyze the collected data. The majority of Posmaja’s participants were male adolescents aged around 15 years old. Common themes generated were “adolescent empowerment,” “increasing health knowledge,” and “monitoring health and nutrition” as a result of doing the pilot program. Volunteers and healthcare workers recognized the benefits of Posmaja and thus encouraged the adoption of the program. This awareness, followed by the city Health Office’s willingness to fund and adopt the program, was viewed as highly necessary for the program’s continuation
Determinants of Stunted Children in Indonesia: A Multilevel Analysis at the Individual, Household, and Community Levels
Get PDFThis study aimed to examine the risk factors of childhood undernutrition in Indonesia. Determinants of childhood stunting were examined by using the 2013 Indonesia Basic Health Research Survey dataset. A total of 76,165 children aged under 5 years were included in this study. The analysis used multivariate multilevel logistic regression to determine adjusted odds ratios (aORs). The prevalence of stunting in the sample population was 36.7%. The odds of stunting increased significantly among the under-five boys, children living in slum area, and the increase of household member (aOR = 1.11, 95 %CI: 1.06–1.15; 1.09, 95%CI: 1.04–1.15; and 1.03, 95%CI: 1.02–1.04 respectively). The odds of stunting decreased significantly among children whose parents more educated (aOR = 0.87, 95 %CI: 0.83–0.91 and 0.87, 95%CI: 0.83–0.9, respectively), who live in urban area, in a province with higher Gross Domestic Product (GDP) per capita, and in a province with higher ratio of professional health worker per 1,000 population aged 0-4 years (aOR = 0.85, 95%CI: 0.81–0.89; 0.89; 95%CI: 0.79–1.00; and 0.99; 95%CI: 0.99–1.00, respectively). The study found that stunting was resulted from a complex interaction of factors, not only at the individual level, but also at household and community levels. The study findings indicate that interventions should implement multi-level approaches to address various factors from the community to the individual level