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International Journal of Public Health Science (IJPHS)

IJPHS
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Published by Institute of Advanced Engineering and Science

ISSN : 22528806 EISSN : - DOI : -

Core Subject : Health,

Health Professions

International Journal of Public Health Science (IJPHS) is an interdisciplinary journal that publishes material on all aspects of public health science. This IJPHS provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers world wide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.

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Articles 10 Documents

Search results for , issue "Vol 6, No 3: September 2017" : 10 Documents clear

Developing Primary Liaison Psychiatric Services for HIV/AIDS Patients in Community Ahsan Ahsan; Retno Lestari
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

In Indonesia, the number of HIV/AIDS patients has grown at significant level. HIV can be a source of major stress which can lead to changes in mental health, such as persistent sadness, feeling empty and anxiety. The ability of liaison officer could help patients reduce their psychiatric problems and at the same time it can greatly affect patients' risks for transmission of HIV to others. This study aimed to analyze the effect of developing primary liaison psychiatric services for HIV/AIDS patients on the abilities of health care workers to provide treatments. This study used a quasi experimental design with one group pretest-posttest which included 64 health care workers aged between 20 and 50 years from the Community-Integrated Health Care in East Java. The inclusion criteria were nurses and physician in Community-Integrated Health Care. The respondents were assessed using the Abilities of Health Care Workers Checklist pre-treatment and post-treatment. The outcomes were analyzed using the Wilcoxon signed rank test. There was a significant increased in the abilities of health care workers to provide psychiatric services after treatment (p<0.05). The liaison psychiatric services were considered to be effective in increasing the abilities of health care workers in improving the treatment of HIV/AIDS.

Knowledge, Attitude and Practice of Cervical Cancer Screening through Visual Inspection with Acetic Acid Susmita Kar; Md. Kapil Ahmed
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Detection of the cervical cancer requires practice of screening that will increase survival rates from the disease. Visual Inspection with Acetic Acid (VIA) is an alternative to screening for cervical cancer.This study aims to assess the knowledge, attitude, and practice towards VIA screening among adult women. We used a cross-sectional study in urban areas of Bangladesh with a sample of 285 respondents those were interviewed through semi-structured questionnaire. Analyses have done by targeting the objectives and considering the indicators with appropriate test statsitsics.About 56.1% respondents aged between 18 and 35 years with majority had at least secondary education including 29.5% were from affluent group. Though the highest majority of women had the knowledge of cervical cancer but only quarter was aware of VIA. A few of the respondents adopted any screening test for detecting cervical cancer and this lower coverage could be due to, among other reasons, lack of knowledge, accessibility, and service availability. The results also indicated that higher educational level of respondents is the predictor of improving knowledge on the disease and early adoption of available test procedure.An awareness building program should be designed for women of early detection of cervical cancer using VIA procedure.

Risky Sexual Behavior and Associated Factors Among High School Students in Gondar City, Northwest Ethiopia Abebaw Wasie Kasahun; Mezgebu Yitayal; Tadele Girum; Bekri Mohammed
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

According to World Health Organization (WHO), youth are young people within 15-24 years old. Studies reported that more than half of all new HIV infections occur among people between the ages of 15 and 24 years. Institution based quantitative cross-sectional study was conducted among high school students in Gondar city. Multistage sampling technique was employed to recruit study participants. Data were collected using pretested structured self-administered questionnaire. Data were entered in Epi Info version 7 and analyzed using SPSS version 21. Descriptive statistics were computed to describe important variables in relation to the outcome variable, Binary and multivariable logistic regressions were used to identify independent predictors of the outcome variable. The overall prevalence of risky sexual behavior was 12.8%. Two out of five sexually active respondents ever had unprotected sexual intercourse. Ever used alcohol ((AOR, 3.53 95% CI (1.73-7.19)), had no parental monitor (AOR, 12.21 95% CI (6.55-22.78), ever watched pornographic film (AOR, 2.24 95% CI (1.15-4.35), had no parental discussion on sexual and reproductive health issues (AOR, 2.57 95% CI (1.36-4.85) and peer pressure (AOR,2.50, 95%CI (1.20-5.21), were factors which significantly increases the odds of risky sexual behavior among youth. Risky sexual behavior among high school students in Gondar city administration was very high and worrisome; so that collaborated effort is needed from parents, schools, health facilities and health policy makers to bring healthy sexual behavior among school youth.

The Effectiveness of Counseling through Vasectomy Module in North Kolaka, Indonesia Askrening Askrening; Hendra Yulita
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

The main problem faced nowadays is the low participation of men in terms of implementation of the Family Planning Program. The figures for family planning in Indonesia only demonstrate a high rate on contraception use in women not in men. The Strategy to improve knowledge by promotion activities of family planning of men with a variety of media and forms are expected to increase knowledge. This study aimed to analyze the effectiveness of media modules to improve knowledge and attitudes and also analyze the factors that lead to low participation of family planning in North Kolaka. This study used Mixed Method design which combines qualitative and quantitative method. The research was conducted in North Kolaka in July and August 2016. The population of this study was all of husbands who classified as a couple reproductive ages in North Kolaka with the total of 19,819 people. Samples were divided into two groups: the experimental group given counseling through modules about vasectomy were 124 people and the control group given counseling without a module were 126 people.The module is more effective to improving knowledge and attitudes than counseling without module. The most reason for rejection vasectomy was they want to have children, fear of surgery and religious issues. Health promotion through modules must be expanded and improved by the district government of North Kolaka. Implementing promotion programs shouldnt involve religious leaders.

Timing and Determinants of Tuberculosis Treatment Interruption in Nairobi County, Kenya Violet Jepchumba; Simon Karanja; Evans Amukoye; Lawrence Muthami; Hillary Kipruto
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Tuberculosis (TB) treatment is a key pillar in the management and control of TB. Service delivery within the treatment facilities plays an important role in ensuring treatment adherence by TB patients. A prospective cohort study involving 25 health facilities, 25 facility in-charge officers and 291 patients diagnosed as new sputum smear positive (SM+) between December 2014 and July 2015 was undertaken. The aim of the study was to estimate the median time to treatment interruption, associated factors and overall predictors of non-adherence to TB treatment. A total of 19 (6.5%) treatment interruptions were observed. The median time to default was 56 [95% CI, 36-105] days. Treatment in a non-public facility [AOR=0.210, 95% CI (0.046-0.952)] and facilities perceived to have adequate number of health care workers to offer Directly Observed Therapy (DOT) [AOR=0.195, 95% CI (0.068-0.56)] showed a lower odds of treatment interruption whereas attainment of secondary level education [AOR=5.28, 95% CI (1.18-23.59)] indicated a higher odds of treatment interruption. Non-clinical aspects of health care service delivery influence patient adherence to TB treatment. Health seeking behavior of groups considered to be high risk for treatment interruption should be incorporated into the design and delivery of TB treatment.

Incidence and Predictors of Tuberculosis among Adult PLWHA at Public Health Facilities of Hawassa City Henok Bekele; Mesfin Kote; Aman Yesuf; Tadele Girum
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Tuberculosis (TB) is the most frequently diagnosed opportunistic infection (OI) and disease in people living with HIV/AIDS (PLWHA), world-wide. This study aimed at determining the incidence and predictors of tuberculosis among people living with HIV.A Six year retrospective follow up study was conducted among adult PLHIV. The Cox proportional hazards model was used to identify predictors.A total of 554 patients were followed and produced 1830.3 person year of observation. One hundred sixty one new TB cases occurred during the follow up period. The overall incidence density of TB was 8.79 per 100 person-year (PY). It was high (148.71/100 PY) in the first year of enrolment. The cumulative proportion of TB free survival was 79% and 67% at the end of first and sixth years, respectively. Not having formal education(AHR=2.68, 95%CI: 1.41, 5.11 ), base line WHO clinical stage IV (AHR = 3.22, 95% CI=1.91-5.41), CD4 count <50 cell/ul (AHR=2.41, 95%CI=1.31, 4.42), Being bed redden (AHR= 2.89, 95%CI=1.72, 3.78), past TB history (AHR=1.65, 95% CI = 1.06,2.39), substance use (AHR=1.46, 95% CI=1.03,2.06) and being on pre ART (AHR=1.62, 95%CI:1.03-2.54 ) were independently predicted tuberculosis occurrence. Advanced WHO clinical stage, limited functional status, past TB history, addiction and low CD4 (<50cell/ul) count at enrollment were found to be the independent predictor of tuberculosis occurrence. Therefore early initiation of treatment and intensive follow up is important.

Prevalence and Determinants of Anemia in Pregnancy, Sana’a, Yemen Yousef M. Alflah; Iman H. Wahdan; Ali A. Hasab; Dalia I. Tayel
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Anemia is a global public health problem in both developing and developed countries, especially among pregnant women. The aim of the study was to estimate the prevalence of anemia among pregnant women in Sana'a governorate, Yemen, and to identify the determinants contributing to it, and to assess knowledge regarding it. The study was conducted using a cross-sectional approach. It included 360 pregnant women attending the maternity clinics of maternity hospitals. A predesigned structured interviewing questionnaire was used to collect data from the pregnant women. Laboratory investigations were done. The prevalence of anemia was found to be 40.3%, and was higher among females aged 35 to less than 45 years, those with poor income and poor nutritional level. The risk of anemia increased with the gestational age, gravidity, decreased birth spacing, drinking tea and coffee after meals, decreased intake of proteins and low level of knowledge and income. The binary logistic regression model indicated a significant impact of the education and occupation on the level of knowledge of pregnant women. Anemia was found out to be a severe public health problem among pregnant women in Yemen. Identified risk factors should be considered for its prevention and control.

Dietary Diversity Practice and Associated Factors Among Infants and Young Children in Haramaya Town, Ethiopia Berhe Gebremichael; Gudina Egata; Nega Assefa
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Optimum child feeding is crucial for growth, development, and better health in later life. Dietary diversity is a critical part of the feeding practices. However, there is limited evidence on dietary diversity practice in low-income countries, like Ethiopia. This study assessed dietary diversity practice and associated factors among mothers of infants and young children aged 6-23 months in Haramaya Town, Eastern Ethiopia. Community based cross-sectional study design was used and study participants were selected by simple random sampling. Data were collected using a pre-tested questionnaire by face-to-face interview. The collected data were entered to EpiData version 3.1 and exported to SPSS version 22.0 for analysis. Characteristics of the study participants were described by using frequencies, percentages, summary measures, and tables. Bi-variable and multi-variable analyses were used to identify the associated factors. Statistical significance was declared at p-value < 0.05. The study included 635 participants yielding to a response rate of 98.1%. The prevalence of dietary diversity practice was 25.2%. Mothers learned up to secondary level or above [(AOR=2.97, 95% CI: (1.26, 6.99)], mothers who had job [(AOR=3.21, 95% CI: (1.41, 7.29)], older children [(AOR=2.51, 95% CI: (1.45, 4.34)], male children [(AOR= 2.08, 95% CI: (1.29, 3.33)], healthy children [(AOR=2.65, 95% CI: 1.36, 5.16)] and richest households [(AOR=4.45, 95% CI: 1.94, 10.22)] were associated with dietary diversity practice. Generally, the dietary diversity practice was low. Therefore, attention should be given to mothers with no formal education and efforts should be done to improve the socioeconomic status of the households.

Container Positivity and Larva Distribution Based on the Container Characteristics Wanti Wanti; Ririh Yudhastuti; Subagyo Yotopranoto; Hari B. Notobroto; Sri Subekti; Sitti R. Umniati
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

Dengue Haemorrhagic Fever (DHF) prevention and control program has been conducted in Kupang City but DHF Incidence Rate (IR) is always high and exceeds the national average. Calculating the density of larvae and pupae is a good choice in calculating DHF mosquitos’ density because larvae capture is easier than mosquitoes, and pupa is the nearest stage with adult mosquitoes so can better represent actual mosquito density. This observational study used cross sectional study design was conducted in Kupang City as many 24 urban villages or 480 houses during the rainy and dry season and all containers inside and outside homes selected been observed. Larvae and pupae were collected using gamadotik then identified. Analyzed data were using multiple regression logistic test, independent t test and Anova test. This study found 781 containers with the equation model of container positivity = 2,975 lid - 0.192 material + 0.781 type - 3,706, with the most influential variable is the container lid (OR 19.5). Ae. Aegypti, Ae. Albopictus and Culex can be found in water containers both inside and outside homes. The presence of larvae can be prevented either by doing closed and drain the container regularly and bury or drying container that is not used anymore. As limitation of water supply so other solutions need to be taken such as by sprinkling temefos into container with closed tightly to reduce the container positivity 19.5 times. For greater container can be done by water draining or reuse used container outside the home into a place to plant flowers or plants or become temporary garbage.

The Effect of Satisfaction, Perceived Value, Image, and Perceived Sacrifice on Public Healthcare Service Institution’s Patient Loyalty Medi Yarmen
International Journal of Public Health Science (IJPHS) Vol 6, No 3: September 2017
Publisher : Intelektual Pustaka Media Utama

This research aims to investigate the simultaneous effect of satisfaction, perceived value, image, and perceived sacrifice on patient loyalty. This study is believed to be the first to develop and test patient loyalty model that includes satisfaction, perceived value, image, and perceived sacrifice. Quantitative research methodology was employed. We performed survey to collect the empirical data. The respondents are 162 patients of two health care service institutions in Bogor and Bekasi, Indonesia. The conceptual model and proposed hypotheses were examined using multiple regressions analysis. The findings showed that image has positive impact on patient loyalty. However, this research also found that satisfaction, perceived value, and perceived sacrifice do not have significant impact on patient loyalty. Thus, the management of public healthcare service institution should consider and manage the image of the institution proactively.

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