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Public Health and Preventive Medicine Archive

phpma
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Published by Universitas Udayana

ISSN : 23031816 EISSN : 25032356 DOI : https://doi.org/10.53638/

Core Subject : Health,

Public Health

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and Clinical Epidemiology Global health Health policy analysis Health promotion Health systems and health care management Maternal and child health Program monitoring and evaluation Public health nutrition Reproductive health, sexually transmitted infections and HIV related issues Travel health and health tourism Population and family planning Disaster management

Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan

Articles 268 Documents

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COVID-19 Pandemic: Opportunity to Accelerate e-Health in Indonesia Nyoman Sutarsa; Putu Ayu Swandewi Astuti; Melinda Choy; Malcolm Moore
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

The COVID-19 pandemic has catalysed the transformation of health care provision across the globe, including Indonesia. However, adopting and implementing e-health technologies in health care system has to be done gradually with careful planning and assessment to minimise negative consequences and to ensure equity. Strategies are required to address availability of basic infrastructure, broadband internet access, health system preparedness and acceptability from the community and health professionals. Promoting e-health also means transforming the overall landscape of health systems and the societal culture around health-seeking behaviour. It will not happen overnight, it takes time and substantial investment; but the process has to start now to leverage the ‘magic’ momentum presented by the COVID-19 pandemic.

Predictor of muscle dysmorphia among members of fitness centers in Denpasar City, Bali, Indonesia Vennesa Vitari Maureen Susanto; Dewa Nyoman Wirawan; I Putu Adiartha Griadhi
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Muscle dysmorphia is one of the most common forms of body dysmorphic disorder. It is part of the obsessive-compulsive disorders, wherein sufferers believe that the body is too small or not muscular enough. The purpose of this study was to determine the predictors of muscle dysmorphia among fitness center members. Methods: A cross-sectional study was conducted at five fitness centers with 117 respondents. Several scales were applied including: 1) 4th edition Sociocultural Attitudes Towards Appearance Scale (SATAQ) to measure self-internalization, family, peer, and media pressures; 2) Physical Appearance Comparison Scale (PACS) to measure social comparison; 3) Body Esteem Scale for Adolescents and Adults (BESAA) to measure respondents’ satisfaction with their bodies and 4) The Muscle Dysmorphic Disorder Inventory (MDDI) to measure muscle dysmorphia. Meanwhile, weight was measured with Kris EB9-4A Series digital scales, height with GEA microtoise and body fat percentage with a digital HBF-306 body fat monitor. Spearman’s Correlation test was performed for the bivariate analysis and multiple linear regression for the multivariate analysis. Results: The prevalence of muscle dysmorphia among fitness center members was 43.6% (95%CI=33.99:53.20) in the total sample based on MDDI cut-off score. Bivariate analysis shows that six variables including body fat percentage, total physical activity, thin/low body fat internalizations, muscular/athletic internalizations, peer pressure, media pressure associated with muscle dysmorphia. In the multivariate analysis, only four variables were significantly associated with muscle dysmorphia, namely: muscular/athletic internalization (β=0.369, 95%CI=0.296:0776, p<0.001), media pressure (β=0.277, 95%CI=0.167:0.595, p<0.001), body fat percentage (β=-0.262, 95%CI=-0.301:-0.067, p=0.002) and body dissatisfaction (β=-0.224, 95%CI=-0.245:- 0.050, p=0.003). Conclusion: The prevalence of muscle dysmorphia in Denpasar City is relatively high. Muscular/athletic internalization, media exposure, body fat percentage and body satisfaction are associated with increase chance of having muscle dysmorphia.

COVID-19 Pandemic: an opportunity to enhance tobacco control in Indonesia Putu Ayu Swandewi Astuti
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Indonesia has been suffering huge burden from tobacco use with more than two million morbidities and US 45.9 billion macro-economic lost due to tobacco use in 2015.23 With the comorbidity of smoking and COVID-19 pandemic, this is the crucial time for the Indonesia government to improve coordinate responses between ministries and the community on tobacco control and COVID-19 recovery.

COVID-19 Infodemic: Underlining the importance of digital literacy skills Komang Ayu Kartika Sari
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

The massive spread of online information, high access to internet and social media, and inadequate digital literacy among Indonesian have been a combination to accelerate the spread of infodemic that indicates the need for a better approach in countering COVID-19 infodemic. Collaboration between the community, social media platforms and the government is required to improve Indonesian digital literacy. The government, both at the national and sub-national levels, need to start a digital literacy campaign by actively involve the community to educate and empower them in searching, checking and spreading various information available in digital platforms. Community involvement should be started from family level as first gatekeeper to prevent spread of incorrect information as well to filter the correct one before circulating it inside and outside their family circle. Family members can be reached through local community organisations or programs such as Karang Taruna and Pemberdayaan Kesejahteraan Keluarga (PKK). Schools also need to get involved by including digital literacy in the current national curriculum starting from the early years of primary school. Social media platforms and official websites of both governmental and nongovernmental organisations have currently responded to COVID-19 infodemic by taking several actions such as flagging, filtering, blocking and removal content or accounts, etc, which are identified or reported suspicious. Nevertheless, those efforts must be supported by the government regulation to combat disinformation, particularly for the digital media companies in Indonesia. Strong and sustainable collaboration between the community, social media platforms and the government is important to achieve the good level of Indonesian digital literacy skills and to tackle the COVID-19 infodemic.

Gut microbiota offers new insight into public health I Nengah Sujaya
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

With the increasing scientific evidence of the contribution of GM to health and disease, various approaches are sought to maintain, restore or modulate the groups of beneficial bacteria in the digestive tract. Those approaches are mainly performed through three different ways including administration of probiotics, prebiotics, and fecal microbial transplantation. The probiotic approach is commonly attained through the consumption of live bacteria which can improve the health of the host, while prebiotic approach is the consumption of food ingredients or food components that increase the growth of beneficial bacteria inthe digestive tract. Meanwhile, fecal microbial transplantation (FMT) has been beginning to perform under certain conditions in which fecalmicrobiota is introduced into individuals with certain disease and has been showing encouraging results. Even though the application of probiotics (bacteriotherapy) in maintaining or modulating of GM yet to fully recognized by some countries, the approach has showed positive impact on humanhealth demonstrated in certain diseases prevention. Similar evidence was obtained from studies that revealed the beneficial outcomes of prebiotic and FMT intervention for human GM, which consequently improve human health. Therefore, it is noticeable that the composition of GM is a promising aspect which may need to be considered in developing an innovative intervention program to alleviate certain public health problem.

Feasibility of implementing pranic healing as a complementary service: A case study at Sanglah General Hospital, Denpasar Desak Made Megawati; Dinar Saurmauli Lubis; Ida Bagus Gede Fajar Manuaba; Cokorda Bagus Jaya Lesmana
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Background and purpose: WHO supports the implementation of complementary therapy services in health facilities to increase comprehensive health services coverage. Sanglah Hospital is developing the pranic healing service as part of the development of Indonesia’s medical tourism and traditional health. This study aims to determine the extent to which the feasibility, obstacles, challenges, and opportunities of the pranic healing service implemented at Sanglah Hospital. Methods: This study employed a mixed-methods design with a case study approach. The data were collected from March to April 2020 using in-depth interview with 23 informants by collecting information on acceptance, readiness, requests, and service management. Documents and archival records were also collected. The survey data were collected using a selfadministered questionnaire from 40 respondents by collecting information on patients’ requests and acceptance aspects. The qualitative data analysis was performed thematically and presented in a narrative form. The survey data were analyzed using univariate analysis. Results: The pranic healing service received support from the Ministry of Health and the hospital management, had a good acceptance from health workers and patients, was the only complementary service of its kind in health facilities throughout Indonesia and had the potential for the development of medical tourism. Obstacles and challenges found were related to workforce management, regulatory readiness, referral systems, and the development of inpatient services. Conclusion: Pranic healing service could be implemented at Sanglah Hospital because they had substantial support and because of demand and acceptance aspects. However, obstacles and challenges on the implementation and practicality aspects should be overcome for the sustainability of this service. The pranic healing has a good potency since to date, it is the only one available in Indonesia which is also potential for the development of medical tourism.

Knowledge about sources and benefits of vitamin D among high school students in Bandung, Indonesia Reina Syafira Gisrianti,; Vycke Yunivita Dewi; Edhyana Sahiratmadja
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: Indonesia is a tropical country, located through the equator line which is abundantly exposed with sun. However, vitamin D deficiency among population in Indonesia is common. To increase optimal vitamin D intake, knowledge on vitamin D and the role of sun exposure early in the adolescence period is imperative. This study aims to explore the knowledge of high school students about the sources and benefits of vitamin D. Methods: This was a quantitative analytical study with a cross-sectional design using survey method, conducted in 2019. A public madrasah high school in Bandung, Indonesia, was selected using convenience sampling. A validated questionnaire was distributed to students aged 16-18 years old, containing of two parts about sources of vitamin D (10 questions) and its benefits (4 questions). Results: In total, 198 high school students participated in the study, majoring in Natural Sciences (55.6%) and Social Sciences (44.4%), of whom 76.3% were females. The proportion of students who answered correctly about vitamin D was 72.8%, whereas 61.9% had correct answers about the sources of vitamin D and 83.8% about its benefits. Female students had significantly higher score compared to males (p<0.001). Interestingly, the Natural Science students had no significant higher score compared to Social Science students (p=0.227). Conclusion: The knowledge about the source of vitamin D and its benefit among female high school students is significantly better than males, thus, special attention to male students is needed. There is a trend, although not significant, that the knowledge of students majoring in the Natural Sciences is higher compared to the Social Sciences. This study suggests the need of an integrative health education and outdoor activities, as well as a better nutrition program, focusing especially on male students and the Social Sciences class.Keywords: knowledge, vitamin D, health education, sun.

Determinants of anemia in women of reproductive age in Indonesia: Secondary data analysis of the 2018 Indonesia Basic Health Research Putu Sri Utami; Luh Seri Ani; Dinar Saurmauli Lubis; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 8 No. 2 (2020)
Publisher : Universitas Udayana

Background and purpose: Anemia in women is a public health concern that is prevalent in developing countries. Women of reproductive age (WRA) frequently suffer from anemia, which can contribute to morbidity and mortality of mothers and their infants. The purpose of this study was to determine the prevalence and factors associated with anemia among women of reproductive age (WRA) in Indonesia. Methods: This study uses secondary data from the 2018 Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) which was conducted in 34 provinces in Indonesia. The number of samples analyzed was 3,677 women aged 15-49 years who had data from interviews, measurements of height, weight, results of malaria\ tests, and hemoglobin levels. Data analysis was performed using multivariate logistic regression to determine the relationship between anemia and individual characteristics, nutritional and health status as well as environmental conditions and healthservice accessibility. Results: The prevalence of anemia among WRA in Indonesia was 25.3% (95%CI: 23.9-26.7). Factors which found to be associated with the prevalence of anemia in WRA were age <20 years (AOR=3.44; 95%CI: 2.22-5.35; p<0.001), underweight (AOR=1.48;95%CI: 1.08-2.05; p=0.017), obesity (AOR=0.68; 95%CI: 0.56-0.81; p<0.001) and the use of hormonal contraception (AOR=0.53;95%CI: 0.44-0.64; p<0.001). Conclusion: Based on the prevalence, anemia among WRA inIndonesia is categorized as a moderate public health concern and the most common risk factor for anemia was WRA aged <20 years and underweight. To reduce the incidence of anemia in WRA, interventions should be targeted at WRA aged <20 years and underweight

‘I want what they’re eating’: College students’ experiences in watching food content on YouTube Dewa Ayu Mirah Ardrini; Dinar Lubis; Ni Wayan Arya Utami
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The prevalence of obesity among adolescents is increasing significantly. One of the predictors of this problem is unhealthy eating pattern due to peer and social media influence. This study aims to explore in depth the experience of college students in watching food content on YouTube. Methods: This study used a qualitative method with a phenomenological approach. Data were obtained through in-depth interviews with ten informants and one focus group discussion with seven female students aged 18-22 years. The informants were female students who have been watching food content on YouTube for more than one year. Data collection was carried out over April-May 2019. Data were analyzed thematically and presented using anarrative approach. Results: There were three themes that emerged in this study, namely the reasons for watching food content, the benefits, and the effects of watching food content on adolescent health habits. Food content on YouTube is imagined to be educational and provides new knowledge related to food and culture in various regions of Indonesia and other countries. Watching YouTube has become a routine teen activity where they can spend one to four hours per day and can cause teens to form sedentary lifestyle. YouTube watching habits are influenced by peers and social media. It can increase adolescent appetite, thus, they more often opt for unhealthy foods. Conclusion: Watching food content on YouTube has a positive and negative impact on adolescent health. One negative impact is that the content or influencers can cause the selection of unhealthy foods. Attractive education method should be applied in order to counteract unhealthy food content and promote healthy eating habits.

Implementation of e-Puskesmas in Badung District, Bali, Indonesia I Kadek Candra Dwi Astawa Alit Putra; Ni Made Sri Nopiyani; Partha Muliawan
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: Development of e-Puskesmas information system is one of the government’s efforts to improve efficiency and effectiveness of primary healthcare services. A comprehensive evaluation of e-Puskesmas implementation has not been conducted. This study aims to explore the implementation of e-Puskesmas system in Badung District from health providers’ perspectives. Methods: This study was an explorative qualitative study conducted in Badung District from July to August 2019. Datacollection was carried out through in-depth interviews with 14 informants who were selected purposively, consisted of managers and operators of e-Puskesmas in Badung District, Health Office and Public Health Centre (puskesmas). Semi-structured interview guidelines were developed based on the Health Metrics Network (HMN) Framework. Data were analyzed by thematic analysis. Data validation was carried out through source triangulation, member checking and peer debriefing. Results: The input of e-Puskesmas is generally sufficient in terms of policies, financing and infrastructure, but it is necessary to improve the quality and quantity of human resources, the internet network, and availability of standard operating procedure. The e-Puskesmas indicators have not accommodated the overall minimum health service standards of puskesmas, data on promotive and preventive programs, and data from private health care facilities. Data management is non optimal due to poor data completeness, breach of confidentiality and also the existence of other disease specific information system that is not integrated into the e-Puskesmas system. The quality of information produced from the system should be improved since there is lack of validity and unable to provide comprehensive information regarding health status of the community. The use and dissemination of information is limited to reporting to the health office while dissemination to the public has not been optimal. Conclusion: The implementation of e-Puskesmas in Badung District has not been optimal. Concerted efforts should be undertaken to overcome the barriers in the implementation and to develop a more effective, efficient and integrated health information system.

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Department of Public Health and Preventive Medicine, Udayana University, Bali-Indonesia Phone: +62 361 4744646 Fax: +62 361 4744646 Email: editor@phpmarchive.org

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Kota denpasar,

Bali

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Putu Ayu Swandewi Astuti

Contact Email editor@phpmarchive.org

Phone +62361-4744646.

Journal Mail Official editor@phpmarchive.org

Editorial Address Department of Public Health and Preventive Medicine, Udayana University, Bali-Indonesia Phone: +62 361 4744646 Fax: +62 361 4744646 Email: editor@phpmarchive.org

Location Kota denpasar, Bali INDONESIA

Abstract

Abstract

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Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Putu Ayu Swandewi Astuti

Contact Email
editor@phpmarchive.org

Phone
+62361-4744646.

Journal Mail Official
editor@phpmarchive.org

Editorial Address
Department of Public Health and Preventive Medicine, Udayana University, Bali-Indonesia Phone: +62 361 4744646 Fax: +62 361 4744646 Email: editor@phpmarchive.org

Location
Kota denpasar,

Bali

INDONESIA