Journal of Public Health and Pharmacy

Effect of Parenting on Stunting Incidence in Infant Aged 0-59 Months Old

2024-11-05T10:03:47+07:00

Introduction: Parenting is a factor most significantly affect and contribute to the incidence of stunting in infants aged 0-59 months. Parenting has recently attracted many attentions since parents are the one who have the most interaction with their own children. Hence, current research was carried out to know the correlation between parenting and the incidence of stunting in infants aged 0-59 months.

Methods: This research was carried out through quantitative method with cross sectional approach. In this case, the samples involved are 169 infants. The data obtained were further analyzed through logistic regression with the assistance of SPSS Version 26.

Results: There is a relationship between parenting and the incidence of stunting in infants aged 0-59 months old with the logistic regression P-value of <0.05.59,8% respondent of them received poor parenting and his education is only senior high school and This finding found that the higher the knowledge of parents, the more it will influence the provision of food to their children with good nutritional value.

Conclusion: Parenting on the incidence of stunting in infants aged 0-59 months old is very important. In this case, knowledge and nutritional intake are necessary to support the growth and development of infants aged 0-59 months.

Analysis of Contributing Factors to Stunting in Poso Regency: A Perspective from the Special Stunting Handling Index

2024-11-12T12:29:31+07:00

Introduction: The prevalence of stunting in children in Indonesia, including Poso Regency, remains relatively high despite a decrease in recent years. This study aims to analyze factors associated with stunting in Poso Regency.

Methods: This study employed a cross-sectional analytical method with a sample size of 250 mothers and their children under 2 years old, using structured questionnaires and direct measurements to collect data. Univariate analysis, chi-square tests and binary logistic regression were performed with a final report of adjusted odds ratios (AORs) and 95% confidence intervals (CI). All of the analyses used Stata version 15.

Results: Results indicate a significant association between stunting and the child's gender, maternal education, immunization, and breastfeeding. Boys face a 2.3 times higher risk of stunting, while children of mothers with primary education have a 4.7 times higher risk compared to those with higher education. Non-immunized and non-breastfed children also exhibit significantly higher stunting risks.

Conclusion: The study underscores the impact of factors such as the child's sex, maternal education, immunization, and breastfeeding on stunting in Poso Regency. The study emphasizes the need for targeted educational programs by healthcare professionals, policy-driven nutritional support initiatives, and community-based awareness campaigns to effectively address stunting in Poso Regency.

Risk Analysis of Groundwater Contaminant in Rural Areas Using Spatial Distribution

2024-11-06T17:48:52+07:00

Background: Water is a very important material for the life of creatures in nature and its function for life cannot be replaced by other compounds. Groundwater is an important resource for humans, especially in rural areas that depend on Groundwaters as the main source of clean water. However, the quality of groundwater in many areas has decreased due to pollution from human activities, such as agriculture and industry.

Method: This study aims to analyse the level of pollution risk of groundwaters in rural areas of Masama District, Banggai Regency using descriptive quantitative methods. Spatial analysis of pollution risk was conducted on 516 Groundwaters selected as samples. Spatial data is collected by recording the location of each well using GPS, which is then used to create a spatial map. The pollution risk analysis is based on the Sanitation Inspection results, using 11 key indicators.

Result: The results showed that 4 Groundwaters (0.78%) were in the very high pollution risk category, 115 Groundwaters (22.29%) were in the high-risk category, 204 Groundwaters (39.53%) were classified as medium risk, and 193 Groundwaters (37.40%) had low pollution risk. The results indicate that most Groundwaters in the study area are at moderate to high risk. Groundwaters with high and very high risk are dominated by Groundwaters located in Minang Andala, Purwo Agung and Kembang Merta villages, which are agricultural areas with sufficient area and most of the people have livestock around their homes which could potentially be a source of contaminants.

Conclusion: This study shows that the majority of Groundwaters in the study area have a moderate to high risk of pollution, with high and very high-risk categories found in villages that have agricultural and livestock activities. This emphasises the need for more intensive groundwater management and protection measures.

Development of Cross-Sector Collaboration Indicators for Accelerating the Reduction of Stunting in South Sulawesi, Indonesia

2024-11-05T10:15:35+07:00

Background: To reduce stunting, the government of Indonesia, which has the fifth-highest prevalence of stunting in toddlers, launched the National Strategy for the Acceleration of Stunting Prevention (StraNas Stunting). Despite involving multiple sectors, stunting rates remain high. This research aimed to develop cross-sector collaboration indicators to assess the effectiveness of cross-sector efforts in reducing stunting.

Method: This qualitative study utilized a rapid assessment procedure (RAP) to generate cross-sector collaboration indicators through in-depth interviews with five key informants and four experts. The recurring themes from these interviews were identified as indicators, which were further refined. In the second phase, quantitative analysis was conducted with 50 respondents to test the developed indicators using Confirmatory factor analysis (CFA) methods.

Result: A total of 15 indicators and 41 sub-indicators of cross-sector collaboration were developed across five key dimensions: governance, administration, autonomy, mutuality, and norms. Confirmatory Factor Analysis (CFA) was performed to validate the indicators, with the results showing that the Average Variance Extracted (AVE) for each dimension was greater than 0.5, and the Composite Reliability (CR) exceeded 0.7. These findings confirm the validity and reliability of the developed indicators.

Conclusion: As recognized by experts, the theory of cross-sector collaboration has been further advanced by the cross-sector collaboration indicators generated in this study. Additionally, these indicators, which were based on five dimensions of collaboration, may be used to assess cross-sector performance for the Stunting Acceleration Program in Indonesia. The framework of this study for defining and assessing collaboration was expected to provide a foundation for further research.

Implementation of the Standard Inpatient Class Policy at RSUP Dr. Tadjuddin Makassar

2024-11-05T10:18:50+07:00

Background: Based on Presidential Regulation No. 59 of 2024, which replaces Presidential Regulation No. 82 of 2018 on Health Insurance, the implementation of the Standard Inpatient Class (KRIS) is mandated for four types of hospitals in Indonesia, including RSUP Dr. Tadjuddin Chalid Makassar. The KRIS policy must be implemented in all hospitals in Indonesia cooperating with BPJS Health by June 30, 2025. However, the current implementation of KRIS primarily focuses on adjusting medical facilities and infrastructure toward a single class. To analyze the implementation of the KRIS policy at RSUP Dr. Tadjuddin Chalid Makassar in 2024 based on Input and Process aspects.

Method: This study employed descriptive research with a qualitative approach, using interviews, observations, and document reviews conducted from February to March 2024 at RSUP Dr. Tadjuddin Chalid Makassar. Eleven informants were selected using purposive sampling.

Result: The "Man" input is adequate but faces obstacles. There is no specific budget allocation ("Money") and no difference in financial management before and after policy implementation. "Material" needs are not fully met, and there are established "Methods" or rules for implementing the KRIS policy.

Conclusion: Overall, the implementation of KRIS at RSUP Dr. Tadjuddin Chalid Makassar, as a pilot hospital for KRIS, has been successful. However, several variables still need improvement. It is recommended that the hospital enhance its strategies in various aspects of KRIS policy implementation.

Vitamin D Deficiency in Patients with Type 2 Diabetes Mellitus with and without Pulmonary Tuberculosis

2024-11-05T10:21:17+07:00

Background: Vitamin D has a role in the body's calcium balance and immunodeficiency effects, and stimulates dendric cells, monocytes, T cells, macrophages in pathogenic microbes’ elimination. The variation occurrence as polymorphism on VDR might cause problem in production, transportation, and activity of vitamin D. The gap between the occurrence findings in previous studies shows that there are indication factors of VDR levels that probably associate with the T2DM range in comorbid with pulmonary tuberculosis. To determine vitamin D levels and factors associated with vitamin D deficiency in Type 2 Diabetes Mellitus (T2DM) patients with and without pulmonary Tuberculosis (TB).

Method: The design of this study was cross-sectional. T2DM subjects with pulmonary TB were 45 people, and 43 people without pulmonary TB were 43 people. Sampling was done by consecutive sampling from October to December 2017. We collected data through interviews and examination of plasma vitamin D (25-OH) levels by ELISA. Data analysis using the Mann-Whitney test, and chi-square test with a confidence level of 95%.

Result: There were 88 T2DM patients who met the inclusion criteria, consisting of 43 T2DM patients without pulmonary TB and 45 T2DM patients with pulmonary TB as the study subjects. There were differences in the distribution of T2DM subjects based on sex and BMI measurements. The mean plasma vitamin D levels in T2DM with pulmonary TB and T2DM without pulmonary TB were 20.08 ng/ml (SD ± 0.83 ng/ml) and 20.29 ng/ml (SD ± 0.81 ng/ml), respectively, we found no significant result in statistic (p = 0.287). Vitamin D deficiency was not associated with the incidence of pulmonary TB in T2DM, whereas female sex, age> 50 years, BMI ? 25.0 kg /m2, and duration of T2DM> 5 years were associated with vitamin D deficiency (p <0.05). This research has contributed in novel findings of the correlation between sex and BMI associated in duration of T2DM impacted the Vitamin D insufficiently.

Conclusion: Sex, age, BMI, and duration of T2DM had a significant correlation with vitamin D deficiency in T2DM patients with and without pulmonary TB.

Health Behavior Study in Natural Disaster Vulnerability in Palu City (Case Study of Tondo Huntap, Palu City)

2024-11-05T10:24:00+07:00

Background: The strengthening of health behavior intentions in disaster mitigation poses an urgent challenge to be addressed. There is a need to enhance health behavior preparedness in facing disaster threats, considering that the city of Palu is located in an earthquake-prone zone and has a history of being affected by earthquakes. This research aims to study health behavior and mental health in relation to disaster vulnerability, based on a case study of Huntap in the Tondo area, Palu City, Central Sulawesi, using the Theory of Planned Behavior (TPB) approach.

Method: The type of research used is a mixed-method approach with a sequential explanatory model. Data collection utilizes questionnaires and observation sheets, supplemented by interview methods in the qualitative approach.

Result: This study shows that the chi-square test results indicate a significant relationship between attitude, subjective norms, behavioral control, and mental health (<0.05) with health behavior. Meanwhile, in-depth interviews revealed barriers to health behavior, such as respondents' attitudes towards preparedness efforts and inadequate access to information and health workers. There is a pressing need for mental health interventions to improve preparedness. Moreover, there is a need for mental health interventions to improve mental health in promoting disaster preparedness efforts.

Conclusion: This study concludes that mental health related to disaster vulnerability among the Huntap Tondo community is still lacking, which will impact disaster preparedness. Mental health interventions are essential to enhance preparedness and reduce disaster-related losses. Therefore, mental health interventions are needed to enhance preparedness for disasters and take action to reduce disaster losses and damage.

The Perceptions of Overweight and Obese Individuals Regarding Weight-Loss Dietary Supplement Advertisements: A Pilot Cross-Sectional Survey

2024-11-05T10:34:43+07:00

Introduction: The negative health consequences of overweight and obesity underscore the importance of weight loss in mitigating these issues. Weight-loss dietary supplements (DS) are highly sought-after by overweight or obese individuals, with widespread advertisements promoting their use. This study aimed to investigate the perceptions of overweight and obese individuals regarding weight-loss DS advertisements.

Methods: Over a six-week period from 5th April to 17th May 2023, an online pilot cross-sectional study was conducted targeting overweight and obese individuals in Malaysia. The study utilized a convenience sampling method to recruit participants.

Results: Of the 146 participants, most were female (82.9%), 53.4% were overweight, and 46.6% were obese. Most respondents believed that weight-loss DS advertisements often contained exaggerated, unverified, and misleading information. Nearly 90% acknowledged that exaggerated advertisement claims might influence consumers, and about 85% believed that people are influenced to buy frequently advertised weight-loss DS. Despite these perceptions, about 40% reported purchasing a weight-loss DS after seeing such a product in an advertisement, while less than 50% of those who purchased weight-loss DS sought information from healthcare professionals.

Conclusion: The study found that almost 40% of the respondents had purchased a weight-loss DS after seeing such products being advertised. Individuals with higher income, married people, and older respondents appeared more likely to purchase a weight-loss DS. These findings underscore the necessity for stricter regulatory frameworks and comprehensive consumer education initiatives to protect consumers from misleading information and unethical marketing tactics within the weight-loss DS industry. Implementing targeted public health interventions could further safeguard consumers from the risks associated with exaggerated product claims.

The Effect of Adjuvant Therapy on Metabolic Syndrome in Schizophrenia Patients at Madani Hospital

2024-11-05T10:37:41+07:00

Background: Schizophrenia is a mental disorder that impacts behavior, emotions, and communication. In recent years, atypical antipsychotics have been increasingly prescribed because they significantly reduce both positive and negative symptoms. However, the long-term effects of atypical can cause metabolic syndrome. Additional therapy is provided to maximize the primary therapy and reduce the side effects.

Method: This study used a quasi-experimental design with a single-blind, pretest-posttest approach. Patients who had been using atypical antipsychotics, either monotherapy or combination therapy, for more than 3 were examined pretest to determine metabolic syndrome levels. Group A received adjuvant therapy, while Group B did not receive adjuvant therapy. Based on this data, an analysis of the reduction in metabolic syndrome categories was conducted.

Result: The percentage of schizophrenia patients by gender was dominated by males (60%). By age, the majority were adults (87%). In Group A, the incidence of metabolic syndrome decreased from 53% in the pretest to 40% in the posttest after being given vitamin A, B, and folic acid therapy. The most commonly used other medication was THP (38%).

Conclusion: The administration of adjuvant therapy with vitamins A, B, E, and folic acid can reduce the value of one or two of the five metabolic syndrome criteria for schizophrenia patients (p = 0.052) compared to the group of patients who did not receive vitamins A, B, E, and folic acid adjuvant therapy. Future research should use a longer duration to observe the effects of vitamins A, B, E, and folic acid and evaluate their therapeutic doses. Additionally, it should narrow down the criteria for medication use, focusing solely on the atypical antipsychotic’s clozapine or olanzapine.

Black Garlic Supplementation and Glomerular Protection in Hyperuricemic Rats: A Study on Kidney Health Prevention

2024-11-05T10:40:21+07:00

Introduction: Hyperuricemia is a significant risk factor for the development of chronic kidney disease. Excessive uric acid can deposit in the kidneys, triggering inflammatory reactions and oxidative stress, leading to structural damage in the glomeruli. Black garlic, with its antioxidant and bioactive compounds, has the potential to protect the kidneys from hyperuricemia-induced damage. Our objective is to evaluate the effect of black garlic supplementation on the histopathological features of glomeruli in a hyperuricemic rat model.

Methods: This study was an analytical observational study using Biological Remnant Materials (BRM) from a previous study. The sample consisted of 30 male Sprague-Dawley rats divided into 5 groups: disease control, drug control (allopurinol), and 3 black garlic dose groups (240 mg/day, 480 mg/day, and 960 mg/day). Data were collected through histopathological examination of kidney tissue using the glomerular damage scoring method (0-3). Data analysis was performed using one-way ANOVA and post hoc LSD tests.

Results: Black garlic demonstrated protective effects on the histopathological features of glomeruli in hyperuricemic rats. The 240 mg/day dose showed the most significant improvement in kidney health, reducing glomerular damage scores compared to the disease control group (p < 0.05). These findings suggest that black garlic can serve as a preventive agent against kidney complications caused by hyperuricemia.

Conclusion: Black garlic provides protective effects on glomerular histopathology in hyperuricemic rats, with the 240 mg/day dose being the most effective. These results suggest potential use for black garlic in preventing kidney complications in hyperuricemia.

Correlation Between Axial Length and Amplitude of Accommodation in Myopia Patients

2024-11-05T10:42:53+07:00

Background: Myopia is the most common refractive disorder and is a global concern because it can cause more serious eye problems. Excessive prolonged axial growth of the eyeball can lead to myopia. The amplitude of accommodation is the strength of the eye accommodation during the minimum and maximum accommodation conditions. Based on the above data, the researchers wanted to assess the relationship between eyeball length and accommodation amplitude in myopia patients.

Method: The research was conducted at the Hospital of Prof CPL University of North Sumatra from November 2023 to March 2024. Data analysis was done analytically and presented in the form of data tabulation.

Result: This study included 54 myopia patients, 27 males and 27 females, who visited the eye clinic. The mean age of the subjects was (52%). The mean age of the subjects was 23 years old with the youngest being 22 years old and the oldest being 24 years old. The mean of axial length for mild myopia, moderate myopia and severe myopia were 24.51 cm, 25.75 cm and 28.38 cm respectively. The lowest NPA value was found in severe myopia (27.33 cm) and the highest in mild myopia (43 cm). The lowest NPC value was found in mild myopia (36.61 cm) and the highest in severe myopia (38.56 cm). There was a significant relationship between eyeball length and accommodation amplitude with a Spearman correlation value of -0.685 as well as after cycloplegic administration with a Spearman correlation value of 0.438. NPA values showed an increase when receiving spherical correction, whether accompanied by cycloplegics or not, and a decrease when not receiving spherical correction. NPC values showed a decrease in all treatments.

Conclusion: There is a correlation between axial length and amplitude of accomodation values (NPA and NPC) in patients with myopia.

The role of Pharmaceutical Marketing in Prescribing Decisions in a Developing Country: A Comprehensive Study Exploiting Theory of Planned Behaviour

2024-11-05T10:45:08+07:00

Background: Prescription medicines have become a major component of health systems in both developed and developing countries contributing to, may be, more than half of the total health care expenditure in the developing countries. Although literature directly attributing rise in medicines expenditure to prescribers’ decision, but still only a few researches had employed studies with sound theoretical foundations to comprehensively examine prescribing decision behaviours. Our objective was to investigate potentially modifiable factors, which may influence prescribing decisions of physicians employing theory of planned behaviour.

Method: A quantitative survey approach was used to investigate the proposed hypotheses. Population was physicians in outpatient clinics in both private and governmental hospitals in Sana’a, capital city of Yemen. A structured questionnaire was designed to measure the influence of drug-promoting marketing techniques on physicians’ prescribing decisions. Data was collected through an anonymous survey questionnaire. The hypotheses were tested by multiple regressions analysis. Ethical approval was obtained from the Ethical Committee of the Ministry of Public Health and Population (MoPHP), and participants provided written consent before enrolling in the study.

Result: Physicians admitted the presence of promotional influence on their prescribing decision. The study revealed that receiving low-value promotional items, belief of physicians that it is appropriate to accept both low- and high-value promotional items, physicians’ exposure to company-direct sources of information, and drug promotion-related factor all are positively and significantly related to physicians’ prescribing decisions (? = 0.438, p <0.001; ? = 0.089, p =0.027; ? = 0.157, p <0.001; ? = 0.093, p =0.032; and ?= 0.118, p = 0.007 respectively).

Conclusion: This research clarified the role played by pharmaceutical companies to influence prescribing decisions of physicians. Therefore, could provide theoretical framework for policymakers in Yemen, and other countries with similar conditions, to develop a suitable policy and strategy in terms of drug promotion.