Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Socioeconomic Disparities in Infant Mortality: Evidence from the 2017 Indonesia Demographic and Health Survey

2025-04-09T19:17:22+07:00

Introduction: Indonesia did not meet the MDGs and SDGs targets. Factors contributing to the reduction of infant mortality in Indonesia in the last decade need to be understood.

Methods: This cross-sectional study uses a dataset from the 2017 Indonesia Demographic and Health Survey (IDHS). The sample size is 3413 infants. Multiple logistic regression results are performed by odds ratio (OR).

Results: Infants living in the middle wealth index were at higher risk of infant death compared to infants with the poorest and poor counterparts (AOR=1.73; 95% CI=1.14~2.61). The risk of infant death was almost two times higher among infants who were born in Sumatera (AOR=1.83; 95% CI=1.02~3.27), Java and Bali (AOR=2.14; 95% CI=1.21~3.76), and Sulawesi (AOR=2.39; 95% CI=1.15~4.96) than infants who were born in Papua and Maluku.

Conclusion: Infants living in the middle wealth index, Sumatera, Java and Bali, and Sulawesi had a higher mortality risk than others.

Parental Perception of Preschool Children's Mental Health and Synchronous Online Education Effectiveness in Knowledge Enhancement

2025-04-09T18:09:38+07:00

Introduction: Mental health in children is crucial for their growth, development, and academic achievement. The high prevalence of mental health disorders in children necessitates efforts to enhance parental knowledge via more accessible channels. This study aims to evaluate parental perceptions of children's mental health and assess the impact of online mental health education on parental knowledge.

Methods: A quasi-experimental design using a single-group pre-test and post-test method was conducted with 52 participants. The intervention consisted of synchronouz mental health education delivered via an online meeting platform, with data collected through pre- and post-test evaluations using Google Forms.

Results: 53.8% of parents were concerned about their child's mental health, yet 40.4% were unsure about their capacity to recognize symptoms, and 78.8% had never conducted early screening. The Wilcoxon Signed-Rank Test indicated no statistically significant difference in knowledge scores before and after the intervention (p=0.177). However, the mean score increased slightly from 6.71 (SD=1.05) in the pre-test to 6.98 (SD=1.29) in the post-test. The effect size (r = -0.64, 95% CI = [-0.91, -0.37]) shows an impact classified as moderate to large.

Conclusion: While many parents are concerned for their children's mental health, many cannot recognize symptoms and have not undertaken early screening. Although statistical significance was not achieved, the observed effect size and knowledge improvement in specific individuals highlights online education's potential to enhance parental understanding of children's mental health. It is imperative to advance the exploration of interactive and adaptable learning strategies to maximize the effectiveness of educational interventions.

Identification of Urine Specific Gravity in Female Workers Exposed to Hot Environments in Indonesia: A Cross-Sectional Study

2025-04-09T18:10:08+07:00

ntroduction: Dehydration can affect body functions related to temperature regulation and blood circulation. Persistent dehydration can lead to fatigue, impaired concentration, and kidney dysfunction. Workers in labor-intensive environments, such as the brickmaking industry, are at a higher risk due to strenuous physical activity and prolonged exposure to high temperatures. Direct sunlight and the brick-firing process further increase the risk of fluid loss, highlighting the need to assess hydration status among brickmaking workers.

Methods: This study employed a cross-sectional design involving 105 brickmaking workers. Individual characteristic factors, worker habit factors, work factors and work environment factors as independent variables, while the dependent variable was hydration status. Hydration status was measured using reagent strips for urinalysis, and other variables were collected through structured interviews using a questionnaire. Data collection was conducted over a period of 14 days. Data were analyzed using the Spearman rank correlation test and multiple linear regression to identify the most influential factors.

Results: The majority of study subjects were severely dehydrated, as indicated by Urine Specific Gravity (USG) measurements ranging from 1021 to 1030. The highest distribution was found in the USG range of 1026–1030, with a percentage of 36.2%. Significant factors associated with hydration status included water consumption (p = 0.000), physical workload (p = 0.000), and clothing use (p = 0.005). Other factors, such as age, nutritional status, work duration, years of experience, and heat stress, did not show a significant relationship with hydration status. Multiple linear regression analysis revealed that water consumption had the most significant influence on hydration status (p=0,000).

Conclusion: Water consumption significantly impacts hydration status. These findings highlight the need for hydration education and workplace interventions, such as accessible drinking water and awareness programs, to enhance worker safety and health in brickmaking environments.

Applying the Family Functioning Model to Explore Positive Support in Diabetes Self-Management: A Qualitative Study

2025-04-10T09:41:48+07:00

Introduction: Family members play a vital role in helping and undermining diabetes mellitus self-management practice.

Methods: A qualitative study design to describe and explore the potentially key family function in diabetes self-management (DMSM) practice. In-depth interview strategy and focus group discussion (FGD) were conducted at Community health centre. An open-ended approach was applied to elicit an answer from participants. A total of twenty-two participants were involved in this study. All interview and FGD processes were audiotaped and transcribed verbatim.

Results: The results found that positive function of family to support DMSM practice such as 1) positive encouragement and emotional support; 2) acknowledge responsibility for shared management; and 3) console, encourage and remind to maintain behaviours, regular blood glucose and medication adherence. the positive function of affective involvement such as 4) Be partners and work together in goal setting, action plan, and problem solving; and 5) accompanying for medical appointment and medical check-ups. Positive function in communication and problem solving such as 6) talking nicely and taking time to listen every compliance; and 7) partners recognize the needs of helping in crisis situation.

Conclusion: Our findings provide insights regarding how family function may influence the adoption and maintenance of healthy behaviours. As the health providers look for approaches to improve the DMSM practice, this valuable finding was essential to understand how the family function can improve and empower patients in DMSM practice. The findings of this study recommend that community health center should involve the family members to maintain the self-management implementation. The component of family function based should be consider for program development among diabetes patients.

The Influence of PMH Screening Training on Postpartum Mothers on the Knowledge, Attitude, and Practice of Midwives

2025-04-09T18:09:53+07:00

Introduction: Perinatal Mental Health (PMH) can impact both the mother and her baby, leading to a decrease in quality of life, premature delivery, reduced oxytocin levels, developmental disorders in the baby, and incidents of suicide. WHO recommends that PMH screening for postpartum mothers conducted by trained healthcare professionals can reduce the impact caused by PMH. The aim of this study is to analyze the effectiveness of training in improving the knowledge, attitudes, and practices of midwives regarding the implementation of Perinatal Mental Health (PMH) screening for postpartum mothers.

Methods: The research method used is quantitative with a quasi-experimental pre-posttest control group design to evaluate the knowledge, attitudes, and skills of midwives in conducting Perinatal Mental Health (PMH) screening for postpartum mothers. A total of 60 midwives were sampled and divided into 2 (two) groups, with 30 midwives in each group, the control group and the intervention group.

Results: The research results show that the training successfully significantly increased the midwives' knowledge (p-value 0.000). However, the training did not have a significant impact on attitude changes (p-value 0.137) and midwife practices (p-value 0.068).

Conclusion:The training provided successfully increased midwives' knowledge regarding perinatal mental health screening, but it has not yet significantly changed their attitudes and practices. This is likely due to the training duration being too short and the evaluation time being insufficient to support sustainable change.

Barriers to Contraceptive Access in Disaster Situations: A Systematic Review of Health System Preparedness and Socio-Cultural Challenges

2025-04-09T18:10:38+07:00

Introduction: This study examines barriers to access to contraceptive services in disaster situations in the context of reproductive health system preparedness and socio-cultural challenges. According to the United Nations Population Fund (UNFPA) report in 2022, 51.3% of married women have not used contraceptives, and around 11.3% of family planning needs are unmet. In disaster situations, these problems are further complicated by limited infrastructure, unequal distribution of services, and weak health system preparedness. The inability to meet contraceptive needs can increase the risk of unplanned pregnancies and reproductive health complications, exacerbating the impact of disasters on women and other vulnerable groups. This study aims to fill this research gap by providing a comprehensive review of the factors that hinder access to contraceptive services during disasters and proposing policy-based strategies to improve health system preparedness in emergency response.

Methods: This study is a systematic review that collects several studies according to PRISMA guidelines. Using relevant keywords, studies were obtained from PubMed, Science Direct, and Scopus databases. Studies were collected from June to July 2024.

Results: Key findings suggest that socio-cultural, religious, and economic factors influence barriers to contraceptive access during disasters. Limited knowledge, social stigma, cultural and religious norms, and financial instability contribute to low utilization of contraceptive services. In addition, disruptions due to disasters and the COVID-19 pandemic limit community mobility, hinder access to health facilities and exacerbate service gaps for vulnerable groups, including refugees and migrants.

Conclusion: This study highlights the importance of a human rights-based approach in ensuring the accessibility of contraceptive services in crisis situations. Policy implications include strengthening reproductive health systems in emergency response, reducing stigma through community education, and increasing stakeholder engagement in ensuring equitable distribution of services. The results of this study contribute to the global discourse on reproductive health rights in disaster contexts and provide a basis for innovative strategies to expand access to services in conflict-affected or remote areas.

Endoscopic Discectomy Versus Open Microdiscectomy: Systematic Review for Lumbar Disc Herniation Treatment

2025-04-09T18:09:23+07:00

Introduction: Lower back pain (LBP) is a widespread global issue, with nearly 80% of the population expected to experience at least one episode in their lifetime. Disc herniation is closely linked to disc degeneration, a process accelerated by aging. As individuals age, fibro chondrocytes in the disc undergo senescence, leading to reduced proteoglycan production. This reduction results in disc dehydration and collapse, increasing stress on the annulus fibrosus. Consequently, tears and fissures develop, facilitating the herniation of the nucleus pulposus. Chronic symptoms often emerge gradually due to the repetitive mechanical stress applied to the disc. Percutaneous endoscopic lumbar discectomy (PELD) has been shown to yield better outcomes compared to traditional methods, particularly in terms of reduced blood loss, smaller incisions, and shorter bed rest duration. However, conclusive guidelines comparing endoscopic to open approaches remain limited, underscoring the need for rigorous systematic reviews and risk-of-bias assessments to clarify the relative efficacy and safety profiles of these techniques.

Method: We developed the methodology for this systematic review following criteria outlined in the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 checklist. Additionally, we conducted a preliminary risk-of-bias assessment for the included studies to ensure more rigorous evaluation of their quality.

Result: Both PELD and conventional surgery significantly decrease ODI and VAS scores postoperatively. However, the control group shows a more substantial reduction in scores than the PELD group. Despite this, PELD is effective in treating herniated lumbar discs, offering advantages such as minimal postoperative pain, faster recovery, and reduced blood loss. Due to heterogeneity in outcome measures and follow-up durations across the included studies, a formal meta-analysis was not performed.

Conclusion: While PELD appears to improve surgical outcomes and reduce oxidative stress, further high-quality randomized trials are needed to confirm these benefits and establish standardized selection criteria.

The Intersection of Policy, Economics, and Workforce Resilience in Global Healthcare Systems: A Narrative Review

2025-04-09T18:52:00+07:00

Introduction: In this study, we aimed to examine systemic barriers and facilitators affecting healthcare workers, including policy frameworks, economic conditions, and organizational structures. With healthcare worker support mechanisms playing a critical role in ensuring the effectiveness and sustainability of healthcare systems, our objective was to assess the impact of these factors on healthcare worker well-being, service quality, and healthcare disparities, particularly among marginalized populations.

Methods: This comprehensive narrative review involved an in-depth analysis of peer-reviewed literature from major academic databases. The study focused on healthcare worker experiences, policy impacts, and cultural considerations. Articles were selected based on relevance to healthcare worker support mechanisms, and data synthesis was conducted to identify key themes.

Results: The primary outcome of the study indicated that inadequate healthcare worker support contributes to disparities in care, burnout, and reduced service quality. Additionally, findings emphasized the importance of policies promoting equitable resource allocation, mental health support, and interdisciplinary collaboration. Economic stability and culturally sensitive healthcare models were identified as crucial for improving worker well-being and patient outcomes.

Conclusion: In conclusion, our study contributes to the understanding of healthcare worker support by highlighting the systemic barriers and facilitators affecting their well-being and performance. This research provides insights into the need for policy reforms and organizational interventions to enhance healthcare workforce resilience. Future studies should focus on longitudinal evaluations of healthcare worker support mechanisms and comparative analyses of different healthcare systems, ultimately advancing strategies for sustainable and effective global healthcare systems.