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The Effects of Exclusive Breastfeeding and Contextual Factor of Village on Stunting in Bontang, East Kalimantan, Indonesia Sugiyanto, Joko; Raharjo, Setyo Sri; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Basic Health Research Results of 2018 stated that 30.8% of Indonesian children experienced Stunting. Stunting problems describe the existence of chronic nutritional problems, which can be influenced by a variety of interrelated factors. This study aimed to examine the determinants of stunting Bontang, East Kalimantan, Indonesia.Subjects and Method: This was an analytic observational study with a case control design. It was conducted at 15 sub-districts in Bontang, East Kalimantan, from February to April 2019. A sample of 225 children was selected by purposive sampling. The dependent variable was stunting. The independent variables were exclusive breastfeeding, history of infection, low birth weight (LBW), economic status, maternal education, maternal height, basic sanitation, and Community Based Total Sanitation (CBTS) urban village status. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: The risk of stunting decreased with maternal height â‰¥150 cm (b = -1.37; 95% CI= -2.41 to -0.32; p = 0.010), maternal education â‰¥senior high school (b = -1.83; 95 % CI= -2.79 to -0.87; p<0.001), exclusive breastfeeding (b= -1.67; 95% CI= -3.28 to -0.06; p= 0.042), and high economic status (b= -1.33; 95% CI= -2.23 to -0.41; p= 0.004). It was increased with number of family members >4 (b= 1.32; 95% CI= 0.41 to 2.22; p= 0.004), history of infectious disease (b= 2.23; 95% CI= 1.32 to 3.14; p<0.001), poor environmental sanitation (b= 1.83; 95% CI= 0.64 to 3.02; p= 0.003), and LBW (b= 1.30; 95% CI= 0.04 to 2.56; p= 0.043). Subdistricts had neglected contextual effect on the incidence of stunting with ICC <1%.Conclusion: The risk of stunting decreases with maternal height â‰¥150 cm, maternal education â‰¥senior high school, exclusive breastfeeding, and high economic status. It is increased with number of family members >4, history of infectious disease, poor environmental sanitation, and LBW. Subdistricts has neglected contextual effect on the incidence of stunting.Keywords: stunting,exclusive breastfeeding, multilevel analysisCorrespondence:Â Joko Sugiyanto. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: jksgnt@gmail.com.Mobile: 081254261020Journal of Epidemiology and Public Health (2019), 4(3): 222-233 https://doi.org/10.26911/jepublichealth.2019.04.03.10

Path Analysis on the Determinants of Adherence to Anti Tuberculosis Drug Treatment in Kaur District, Bengkulu, Indonesia Hamidi, Surahman; Raharjo, Setyo Sri; Wijaya, Mahendra
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Drug treatment compliance was the behavior of patients to take medication and undergo treatment according to the rules determined by professional health personnels. Many factors influenced the compliance with treatment for tuberculosis patients. This study aimed to examine determinants of drug treatment compliance among tuberculosis patients.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 16 community health centers in Kaur Regency, Bengkulu, Indonesia, from January to February 2019. A sample of 206 study subjects was selected by purposive sampling. The dependent variable was drug treatment adherence. The indepenÂdent variables were age, gender, education, income, knowledge, role of drug taking supervisor, side effect of drug treatment, distance to health service, drug availability, family support, and tenure. The data were collected by questionnaire and analyzed by path analysis.Results: Adherence to anti tuberculosis treatment was directly and positively affected by age (b= 2.96; CI 95%= 1.12 to 4.79; p= 0.002), gender (b= 1.48; CI 95%= 0.02 to 2.95; p= 0.047), education (b= 2.18; CI 95%= 0.24 to 4.11; p= 0.027), income (b= 0.85; CI 95%= 0.76 to 2.45; p= 0.031), knowledge (b= 2.27; CI 95%= 0.32 to 4.22; p= 0.023), the role of drug taking supervisor (b= 3.46; CI 95%= 1.57 to 5.36; p<0.001), drug availability (b= 0.04; CI 95%= -6.07 to 6.16; p= 0.989), and family support (b= 2.97; CI 95%= 1.30 to 4.64; p<0.001). It was negatively affected by the side effects of the drug (b= -3.07; CI 95%= -4.90 to -1.24; p= 0.001), distance to health service (b= -1.86; CI 95%= -3.61 to -0.11; p= 0.037), and tenure (b= -2.16; CI 95%= -3.95 to -0.38; p= 0.017). Adherence to anti tuberculosis treatment was indirectly affected by income, knowledge, and role of drug treatment supervisor.Conclusion: Adherence to anti tuberculosis treatment is directly and positively affected by age, gender, education, income, knowledge, the role of drug taking supervisor, drug availability, and family support. It is negatively affected by the side effects of the drug, distance to health service, and tenure.Keywords : treatment adherence, tuberculosis, determinants, path analysisCorrespondence:Â Surahman Hamidi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: surahmanhamidi@student.uns.ac.id. Mobile: 085267Â456713.Journal of Epidemiology and Public Health (2019), 4(3): 205-214https://doi.org/10.26911/jepublichealth.2019.04.03.08

Correlation between Low Birthweight and Underweight in Children Under Five: A Meta-Analysis Nurfitria, Adilla Misi; Raharjo, Setyo Sri; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Underweight among children results in growth disorders, and stunting. The study aims to determine the correlation between low birthweight and underweight in children under five based on primary studies previously conducted. Subjects and Methods: This study used a meta-analysis study with PICO as follows: P=chidren under five, I= low birthweight, C= normal birthweight, O= underweight. The search for articles in this study used databases, namely Pubmed, Google Scholar, and Springerlink. The article search used the following keywords: Low birth weight AND underweight OR underweight toddler AND low birthweight. The articles were analyzed by using Review Manager 5.3. Results: There were 9 articles from Ghana, Bangladesh, East Kenya, Pakistan, Malawi, China, Ethiopia, and Rwanda from 2017-2022 analyzed by using PRISMA flow diagrams. These results indicated that children under five with a history of low birthweight had 2.21 times risk of being underweight compared to children under five who had a history of normal birthweight (aOR= 2.21; CI 95% = 1.96 to 2.49; p<0.001). Conclusion: Children under five with low birthweight history are at risk of being underweight. Keywords: low birthweight, underweight, children under five, meta-analysis Correspondence: Adilla Misi Nurfitria. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Adillamisi2502@gmail.com. Mobile: +6285786605313.

Effectiveness of Acupuncture on the Quality of Life in Allergic Rhinitis Patients: Meta Analysis Widiatmaja, I Gusti Bagus Panji; Raharjo, Setyo Sri; Widyaningsih, Vitri
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.09.01.13

Background: Allergic rhinitis (AR) is one of the most common health problems experienced by people around the world. WHO ARIA defines allergic rhinitis as a disorder of the nose accompanied by symptoms of sneezing, runny nose, itching, and nasal congestion e after the nasal mucosa is exposed to allergens mediated by immunoglobulin E (IgE). Many studies have proven the impact of acupuncture on the immune system. This study aims to examine and estimate the effectiveness of acupuncture therapy for allergic rhinitis patients based on the results of previous similar studies. Subject and Method: This study is a systematic review and meta-analysis, with PICO as the following Population: allergic rhinitis patients. Intervention: acupuncture therapy. Comparison: sham/placebo acupuncture. Outcome: quality of life. The articles used in this study were obtained from several databases including Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, Europe PMC and Springer Link. These articles were collected for 1 month. The keywords to search for articles are as follows: "acupuncture for allergic rhinitis" OR "acupuncture for seasonal allergic rhinitis" OR "acupuncture for parenial allergic rhinitis" AND "quality of life" AND “randomized controlled trial". The article included in this study were a full text article with a randomized controlled trial (RCT) study design. Quality of life was measured using the Rhinitis Quality of Life Questionnaire (RQLQ). Meta analysis was written using PRISMA flow diagram and analyzed using Review Manager 5.4. Result: A total of 9 RCT articles with a sample size of 2542 from Germany, Queensland, Victoria, China, and Korea were reviewed in this meta-analysis study. The results of data processing using the RevMan 5.4 application showed the effect of acupuncture therapy on the quality of life of allergic rhinitis patients. Acupuncture was able to lower RQLQ scores (improve quality of life), although it was not statistically significant. Allergic rhinitis patients who obtained acupuncture on average had a quality of life with an RQLQ score of 0.17 units, it was better than those getting sham acupuncture (SMD = -0.17; CI 95% = -0.40 to 0.05; p = 0.120). Conclusion: There is an effect of acupuncture on the quality of life of allergic rhinitis patients. Keywords: acupuncture, allergic rhinitis, quality of life, randomized controlled trial

The Associations of Clean and Healthy Behavior, Social Capital, and Nutritional Status in Children Under Five in Waingapu Health Center Kudu, Stevani Rambu; Dewi, Yulia Lanti Retno; Raharjo, Setyo Sri
Journal of Health Promotion and Behavior Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Quality nutrition is a determinant of children's survival, health, and growth. Nutritional problems and lack of nutrient intake are also about whether bad in the environment or commonly known as clean and healthy behavior. Social capital refers to social relationships and connections between individuals because it is more of a relationship between individuals than an individual attribute. This study aimed to examine the relationship between clean and healthy behavior and social capital with the nutritional status of children under five at the Waingapu City Health Center.Subjects and Method: This was a cross-sectional study conducted at the Waingapu Health Center, East Sumba, East Nusa Teng-gara, Indonesia, in April 2021. The sample was 200 mothers, and children under five were selected randomly. The dependent variable was child nutritional status (WAZ). The independent variables were social capital, clean and healthy behavior, gender, maternal age, mater-nal occupation, and maternal education. Data were collected by using a questionnaire and analyzed by multiple logistic regression.Results: Clean and healthy lifestyle improved good nutritional status (OR= 5.50; 95% CI= 1.19 to 25.43; p= 0.029). High social capital increased good nutritional status (OR= 2.28; 95% CI= 1.15 to 4.51; p= 0.017).Conclusion: Healthy, clean living behavior, and high social capital improve good nutriational status.Keywords: clean and healthy behavior, social capital, nutritional statusCorrespondence: Stevani Rambu Kudu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Stevanir09@student.uns.ac.id. Mobile: 082226431161.Journal of Health Promotion and Behavior (2021), 06(01): 57-66https://doi.org/10.26911/thejhpb.2021.06.01.06

Effect of Project Based Learning Method on Knowledge and Learning Activity in Graduate School Students Manggandhi, Yuyun; Pamungkasari, Eti Poncorini; Raharjo, Setyo Sri
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.07

Background: The Project Based Learning (PjBL) model is a learning model that can make students have expertise and can understand the learning process. This study aims to look at the application of Project Based Learning (PjBL) to increase student activity, to see the character values and results of student academic achievement in the KKPMT practice subject to achieve competence. Subjects and Method: RCT research was conducted at STIKes Mitra Husada Karanganyar. The sample consisted of 90 students, 48 students as the control class and 42 students as the experimental class. Student activity is assessed with an observation sheet. Student character is assessed by means of a questionnaire. The results of learning achievement using the posttest and pretest instruments. The mean knowledge scores in both groups were compared by independent t-test. Results: The knowledge score after the intervention in the project-based learning group (Mean= 71.81; SD= 8.35) was higher than that of the control group (Mean= 67.73; SD= 8.64), and was statistically significant (p= 0.026). Project-based learning is effective in increasing students' knowledge of ICD. The activity score after the intervention in the project-based learning group (Mean= 68.83; SD= 12.87) was the same as the control group (Mean= 68.27; SD= 11.53), but statistically not significant (p= 0.827). Conclusion: This study concluded that project-based learning was effective in increasing students' knowledge of ICD but project-based learning was not effective in increasing student activity in discussing ICD subjects. Keywords: Project Based Learning, student character, student activity, learning outcomes. Correspondence: Yuyun Manggandhi. Masters’ Program in Public Health, Universitas Sebelas maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: Manggandhi88@gmail.com. Mobile: 0821 3384 6808.

Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work Hidayat, Fany Nurul Fawzi; Raharjo, Setyo Sri; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.09

Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.

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