ISoPH 2023

The 7th International

Symposium of Public Health

02 - 03 October 2023
Swiss-Belinn Tunjungan Hotel
Surabaya, Indonesia

ISoPH 2023
PROGRAM & ABSTRACT BOOK

Organized by
Doctoral Study Program in Public Health
Faculty of Public Health, Universitas Airlangga

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 ISoPH 2023

Program and Abstract Book of 7th International Symposium of Public Health

(ISoPH) 2023, 02 – 03 October 2023, Swiss-Belinn Tunjungan Hotel, Surabaya,
Indonesia

Disclaimer

The committee has been trying to check the typing mistakes and the contents of
this program and abstract book. However, if there were still errors and omissions,
the committee would fix them in the digital version of this book stored on the
ISoPH website.

Doc. Version: 1

The registration of this abstract book is in process. We will update the registration
number in the digital version of this book soon after we get it.

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 ISoPH 2023

TABLE OF CONTENTS
TABLE OF CONTENTS ......................................................................................................... iii
WELCOMING MESSAGE – DEAN OF THE FACULTY OF PUBLIC HEALTH,
UNIVERSITAS AIRLANGGA................................................................................................ iv
WELCOMING MESSAGE – THE HEAD OF THE DOCTORAL PROGRAM IN PUBLIC
HEALTH, FACULTY OF PUBLIC HEALTH, UNIVERSITAS AIRLANGGA ................... vi
WELCOMING MESSAGE – THE CHAIRMAN OF THE 7TH ISOPH ORGANIZING
COMMITTEE ..........................................................................................................................vii
SPEAKERS............................................................................................................................ viii
COMMITTEE OF ISOPH 2023 ............................................................................................... ix
LIST OF MODERATORS ....................................................................................................... xi
ZOOM ......................................................................................................................................xii
ACTIVITY RUNDOWN ....................................................................................................... xiii
PARALLEL SESSION SCHEDULE ...................................................................................... xv
ABSTRACTS ....................................................................................................................... xxiv
SCOPE – A: EPIDEMIOLOGY, COMMUNICABLE AND NON- COMMUNICABLE
DISEASES ................................................................................................................................. 1
SCOPE – B: PRIMARY HEALTH CARE AND HEALTH SERVICE MANAGEMENT .. 20
SCOPE – C: PUBLIC HEALTH AND NURSING ................................................................. 30
SCOPE – D: MATERNAL, CHILD, ADOLESCENT AND REPRODUCTIVE HEALTH 50
SCOPE – E: ENVIRONMENTAL PUBLIC HEALTH, OCCUPATIONAL HEALTH AND
SAFETY .................................................................................................................................. 89
SCOPE – F: NUTRITION AND PUBLIC HEALTH .......................................................... 106
SCOPE – G: MENTAL HEALTH, TOBACCO, ALCOHOL, AND SUBSTANCE USE . 124
SCOPE – H: TECHNOLOGY AND INNOVATION IN HEALTH SECTOR .................. 135
SCOPE – I: ONE HEALTH, ANTIMICROBIAL RESISTANCE, AND ZOONOSES ...... 141
COUNTRY OF ORAL PRESENTERS................................................................................. 144
CO-HOST .............................................................................................................................. 145
SPONSORS ........................................................................................................................... 146

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 ISoPH 2023

WELCOMING MESSAGE – DEAN OF THE FACULTY OF PUBLIC

HEALTH, UNIVERSITAS AIRLANGGA

Welcome to the 7th International Symposium on

Public Health (ISoPH), Faculty of Public Health,
Universitas Airlangga. It is an honor and a pleasure
for me, as we gather in this scientific conference.

The theme of this year's conference,

"Strengthening the Health System by Encouraging
Community Independence to Improve Public
Health Status in Society 5.0 Era,". The COVID-19
Prof. Dr. Santi Martini, dr., M.Kes pandemic has underscored global vulnerability to
health crises. This highlights the need for highly
vigilant, anticipatory, responsive and resilient health services in the face of current and future
health threats. The establishment of a national health system that fosters collaboration between
the government, health services and the wider community is therefore crucial.

The purpose of this symposium is to serve as a scientific meeting place, facilitating the
exchange of the latest information and ideas in the field of public health sciences. The
symposium aims to encourage discussion and exchange of insights on scientific issues in the
field of public health. In addition, the symposium aims to stay in tune with technological
advances in the field of public health. Through these efforts, the event is poised to make a
significant contribution to the advancement of public health knowledge and practice.

In the spirit of collaboration and knowledge sharing, the conference aims to foster
interdisciplinary partnerships and inspire transformative ideas. When we come together, we are
not just participants; we are catalysts for change. Our collective efforts have the power to shape
the future of science, technology and innovation.

I am confident that this conference will not only broaden our understanding of the latest
developments in our respective fields, but also forge lasting relationships and friendships. Let
us face the next few days with open minds and a spirit of collaboration, knowing that the
knowledge we gain and the relationships we build here will have a lasting impact on the world.

Thank you to keynote speakers Ir. Budi Gunadi Sadikin, CHFC, CLU (Minister of Health of
the Republic of Indonesia), Prof. Dr. Muhadjir Effendy, M.AP. (Coordinating Minister for
Human Development and Culture), and Dra. Hj. Khofifah Indar Parawansa, M.Si (Governor
of East Java), speakers: Dr. Khadizah Haji Abdul Mumin (University of Brunei Darussalam),
Prof. Dr. Nyoman Anita Damayanti, drg., MS. (Airlangga University), Dr. Nik Mohd Izham
Bin Mohamed Nor and Assoc. Prof. Ts. Dr. Abdul Hafiz Ab Majid (Universiti Sains Malaysia),
Assoc. Prof. Dr. Supaporn Chaigarun (Ubon Ratchathani Rajabhut University), Prof. Neil
Harris, BBehSc (Hons), PhD. (Griffith University), the organizers, all presenters, participants,

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and co-hosts, who were willing to be part of this event. My warmest greetings to all the
distinguished researchers, scientists, and delegates who have traveled from different parts of
the world to join us offline here as well as those attending online.

Welcome to the 7th International Symposium on Public Health (ISOPH), Faculty of Public
Health, Universitas Airlangga. I wish you all a productive, enlightening, and enjoyable
conference. Thank you.

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 ISoPH 2023

WELCOMING MESSAGE – THE HEAD OF THE DOCTORAL

PROGRAM IN PUBLIC HEALTH, FACULTY OF PUBLIC HEALTH,
UNIVERSITAS AIRLANGGA

Welcome to the 7th international symposium of

public health (ISoPH). This is an annual event
organized by the doctoral study program in
public health, Faculty of Public Health,
Airlangga University.

The purpose of this activity is as a scientific

meeting media to exchange the latest information
and ideas related to public health science, discuss
and exchange ideas about a scientific problem in
the field of public health, and follow the
development and technological advances in the
Dr. Hari Basuki Notobroto, dr., M.Kes field of public health.

The benefits of ISoPH are to expand scientific networks for academics, health human
resources, practitioners, and public health observers. This activity also expects the development
of research collaboration and joint publication and the increasing number of international
scientific publications of lecturers and students. This ISoPH activity is also an input for policy
makers in pandemic preparedness and post-pandemic recovery from a public health
perspective.

Thank you to all those who have helped the implementation of this event, so that it can be
consistently carried out until now until the 7th year. The extraordinary keynote speakers,
minister of health, Coordinating Minister for Human Development and Culture, and governor
of east java. The speakers who were willing to attend and share knowledge and experience
from various countries, Indonesia, Malaysia, Brunei Darussalam, Thailand, and Australia.
Hopefully the material presented at the 7th ISoPH can provide knowledge, enlightenment and
a good perspective in improving public health.

Thank you for your participation in the 7th ISoPH. Hopefully it can be useful and provide good
and inspiring new experiences.

Welcome and enjoy this event.

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WELCOMING MESSAGE – THE CHAIRMAN OF THE 7TH ISOPH

ORGANIZING COMMITTEE

I speak before you with respect and enthusiasm as

the Chair of the 7th ISoPH Committee. First of all,
let me extend a warm welcome to all the
participants, speakers, and honored guests who
have agreed to attend this event, either online or
present in Surabaya, Indonesia.

This event is not just an ordinary scientific meeting,

but a stage where brilliant ideas are gathered,
knowledge is expanded, and scientific
collaboration and cultural recognition flourish. The
theme of this year's ISoPH is "Strengthening the
health system by encouraging community
independence to improve public health status in
Mohamad Anis Fahmi, S.KM., MPH Society 5.0 Era", carefully chosen to stir our minds
and encourage in-depth discussions on relevant and
important topics in the field of public health.

There were 145 abstracts submitted to ISoPH this time from 6 countries: Indonesia, Malaysia,
Thailand, Bangladesh, Yemen, and Gambia. This is all due to the help and encouragement of
all parties. I would like to thank all the committee members who have worked hard to prepare
this event. Your dedication and hard work have created a solid foundation for the success of
this event. In addition, I would also like to thank the speakers who have been willing to share
their knowledge and experience with all of us. Your presence here adds tremendous value.

Thank you to the Doctor of Public Health Study Program and the Faculty of Public Health,
Universitas Airlangga for providing facilities, encouragement, guidance, and advice to make
this event possible. We the organizers are also grateful to the Co-Hosts: Universitas
Muhammadiyah Pontianak, Sekolah Tinggi Ilmu Kesehatan Kendedes, Poltekkes Kemenkes
Surabaya, Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW,
Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Universitas Jember and also thanks to the
sponsors: Center for Patient Safety Research Universitas Airlangga and PT Roche.

Hopefully you can follow and enjoy this event.

Thank you

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 ISoPH 2023

SPEAKERS
Keynote speech
Ir. Budi Gunadi Sadikin, CHFC, CLU.
Minister of Health of the Republic of Indonesia
Indonesia

Prof. Dr. Muhadjir Effendy, M.AP.

Coordinating Minister for Human Development and Culture
Indonesia

Dra. Hj. Khofifah Indar Parawansa, M.Si

Governor of East Java
Indonesia

Lecture Speech
Dr. Khadizah Haji Abdul Mumin
University of Brunei Darussalam (UBD)
Brunei

Prof. Dr. Nyoman Anita Damayanti, drg., MS.

Faculty of Public Health, Airlangga University
Indonesia

Dr. Nik Mohd Izham Bin Mohamed Nor

Universiti Sains Malaysia (USM)
Malaysia

Assoc. Prof. Ts. Dr. Abdul Hafiz Ab Majid

Universiti Sains Malaysia (USM)
Malaysia

Assoc. Prof. Dr. Supaporn Chaigarun

Ubon Ratchathani Rajabhut University
Thailand

Prof. Neil Harris, BBehSc (Hons), PhD.

Griffith University
Australia

Dr. Ernesta Sofija

Griffith University
Australia

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COMMITTEE OF ISOPH 2023

Executive Committee
Prof. Dr. Santi Martini, dr., M.Kes
Prof. Dr. Nyoman Anita Damayanti, drg., MS
Dr. Muhammad Atoillah Isfandiari, dr., M.Kes
Prof. Trias Mahmudiono, S.KM, MPH (Nutr.), GCAS. Ph.D.

Steering Committee
Dr. Hari Basuki Notobroto, dr., M.Kes
Prof. Ririh Yudhastuti, drh., M.Sc
Dr. Sri Widati, S.Sos., M.Si
Dr. Atik Choirul Hidajah, dr., M.Kes
Mela Firdaust, S.ST., M.KL

Organizing Committee
Chairman : Mohamad Anis Fahmi, S.KM., MPH
Vice-Chairman : Diansanto Prayoga, S.KM., M.Kes
Secretary : 1. Nining Tyas Triatmaja, S.Gz., M.Si
2. Queen Khoirun Nisa Mairo, SST.Bdn., M.Keb
Treasurer : 1. Oktovina Rizky Indrasari, SKM., M.Kes
2. I Komang Lindayani, SKM., M.Keb.

Sponsorship, Promotion & Membership Division

dr. Sholihul Absor, M.Kes
Lisbet Octovia Manalu, S.Kep., Ners, M.Kep
Irmayani, S.Si.T., M.Kes
Rosyidah Alfitri, S.ST., MPH
Abdurahman Wahid, Ns., M. Kep
dr. Ekawati Sutikno, MM., M.Kes.

Public Relations and Accommodation Division

Dani Nasirul H, S.KM., M.KKK
Iskandar Arfan, SKM, M.Kes (Epid)
Abigael Grace Prasetiani, S.Kep., Ns., M.Kep.

Program Division
Ns. Angger Anugerah H.S M.N.S
Ira Dwijayanti, S.Gz., M.Sc
Ulva Noviana, M.Kep
Ayesha Hendriana Ngestiningrum, S.ST, M.Keb
Haris Suhamdani, S.Kep.,Ns.,M.Kep.

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Meilina Ratna Dianti, S. Kep., Ns., M. Kep.

Zakiyah Yasin, S.Kep.Ns., M.Kep
Eka Yuni Indah Nurmala, SST., M. Keb
Eka Falentina Tarigan., SST., M.Keb
Oktarianita, S.K.M., M.K.M

Food and Consumption Division

Muslikha Nourma Rhomadhoni, S.KM., M.Kes
dr. Annisa Nurida, M.Kes
Ningsih Dewi Sumaningrum, S.KM., M.KKK.

Equipment and Documentation Division

Hasrah Junaidi, M.Kes
William W. Lamawuran, S.KM. M.KL.
Ahmad Ruhardi, S.Si., M.KL

Scientific Committee
Mr. Abdullah Al Mamun, B.Sc., M.Sc.
Prehatin Trirahayu Ningrum, S.KM., M.Kes
Marsiana Wibowo, S.KM., M.P.H.
Riyanti, S.SiT.,M.Keb
Evi Setyawati, SKM., M.Kes
Ashriady, SKM., M.Kes
Erni Gustina, S.KM., M.PH
Annisah Biancika Jasmine S.KG., MKM

Editorial Board : Prof. Dr. Thinni Nurul Rochman, Dra. Ec, M.Kes
Member : Prof. Ira Nurmala, S.KM., M.PH., Ph.D.
: Inge Dhamanti, S.KM., M.Kes., M.PH., Ph.D. Dr.
: Fariani Syahrul, S.KM., M.Kes.
Reviewer Board : Prof. Dr. Chatarina U. Wahjuni, dr., M.S., M.PH
Member : Prof. Soedjajadi Keman, dr., MS., Ph.D.
: Prof. Dr. Nursalam, M.Nurs., (Hons)
: Prof. R. Bambang W. dr. MS., MCN., Ph.D., Sp.GK
: Prof. Dr. Nyoman Anita Damayanti, drg., MS
: Prof. Tri Martiana, dr., MS
: Prof. Trias Mahmudiono S.KM, MPH (Nutr.), GCAS. Ph.D.
: Dr. Rachmat Hargono, dr., M.S., M.PH
: Dr. Abdul RohimTualeka, Drs., M.Kes
: Dr. Atik Choirul Hidajah, dr., M.Kes

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LIST OF MODERATORS

Moderator of Conference
Nur Atika, S.KM., MPH
Shinta Arta Mulia, S.KM., M.KKK., M.GPH

Moderator of Oral Presentation

Ira Dwijayanti, S.Gz., M.Sc
Dani Nasirul H, S.KM., M.KKK
Muslikha Nourma Rhomadhoni, S.KM., M.Kes
Abdurahman Wahid, Ns., M. Kep
Abigael Grace Prasetiani, S.Kep., Ns., M.Kep.
Haris Suhamdani, S.Kep., Ns., M.Kep.
Ulva Noviana, M.Kep
Yohanes Kambaru Windi, S.Pd, M.Kes, MPH
Reny Nugraheni, S.KM., S.H., MM., M.Kes
Ns. Alfunnafi’ Fahrul Rizzal, M. Kep., Sp. Kep.J
Forman Novrindo Sidjabat, S.K.M., M.Kes (Epid)
Rezha Alivia Hildayanti, S.ST., M.Keb.
Adistha Eka Noveyani, S.KM., MPH

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ZOOM

For online attendee please use following zoom link:

Topic : 7th ISoPH: Strengthening the Health System by Encouraging

Community Independence to Improve Public Health Status in Society
5.0 Era
Time : October 02, 2023 08:00 AM (GMT+7)
: October 03, 2023 08:00 AM (GMT+7)
Meeting ID : 995 3107 1909
Passcode : 496240
Link : https://zoom.us/j/99531071909?pwd=blNwWWpKd1VDQlRlaG9Lbk
gzTWYwUT09

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ACTIVITY RUNDOWN

Day 1, Monday, 02 October 2023

Time (GMT + 7) Activity
08:00 – 08:30 Participant Registration
08:30 – 09:30 Opening Ceremony:
1. Indonesian National Anthem and UNAIR MARS
2. Traditional Dance
3. Report by the Chair of the 7th IsoPH
4. Opening Remarks by the Dean of the Faculty of Public Health,
Airlangga University
5. Issuance of Certificates to Co-Hosts
6. Photo Session
09:30 – 10:00 Keynote Speech:
Ir. Budi Gunadi Sadikin, CHFC, CLU
(Minister of Health of the Republic of Indonesia)
Prof. Dr. Muhadjir Effendy, M.AP.
(Coordinating Minister for Human Development and Culture)
Dra. Hj. Khofifah Indar Parawansa, M.Si
(Governor of East Java)
10:00 – 10:30 Lecture Speech #1:
Dr. Khadizah Haji Abdul Mumin
(University of Brunei Darussalam)
10:30 – 11:00 Lecture Speech #2:
Prof. Dr. Nyoman Anita Damayanti, drg., MS.
(Airlangga University, Indonesia)
11:00 – 11:30 Lecture Speech #3:
Dr. Nik Mohd Izham Bin Mohamed Nor
(Universiti Sains Malaysia, Malaysia)
11:30 – 12:00 Discussion

12:00 – 13:00 Break for Lunch, Prayer, and Rest

13:00 – 16:00 Oral Presentation

19:00 – 21:00 Gala dinner and cultural night (only for offline guests and participants)
1. Opening Remarks by the Dean of Faculty of Public Health, Universitas
Airlangga
2. Traditional Dance
3. Performance of the Participants
4. Hospitality
5. Closing

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Day 2, Monday, 03 October 2023

Time (GMT + 7) Activity

08:00 – 08:15 Participant Registration

08:15 – 08:30 Opening by MC

08:30 -.09:00 Lecture Speech #1:
Dr. Abdul Hafiz Ab Majid (offline)
(Universiti Sains Malaysia, Malaysia)
09:00 – 09:30 Lecture Speech #2:
Dr. Supaporn Chaigarun
(Ubon Ratchathani Rajabhut University, Thailand)
09:30 – 10:00 Lecture Speech #3:
Prof. Neil Harris, BBehSc (Hons), PhD.
(Griffith University, Australia)
10:00 – 10:30 Lecture Speech #4:
Dr. Ernesta Sofija
(Griffith University, Australia)
10:30 – 11:00 Discussion

11:00 – 12:30 (Break for Lunch, Prayer, and Rest)

12:30 – 15:30 Oral Presentation

15.30 – 16.00 Closing Ceremony:

1. Announcements
2. Closing Remarks by Coordinator of Doctoral Study Program in Public
Health

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PARALLEL SESSION
SCHEDULE

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 ISoPH 2023

Parallel Session I

Monday, 02 October 2023 (ISoPH day 1)

Time : 13:00-14:10
Room : Offline Room
Moderator : Ira Dwijayanti, S.Gz., M.Sc
Co-Moderator : NA

Abstract
No. Title Time
ID
Concept Mapping Care Plan (CMCP) in Enhancing Nursing Students’ 13:00-
1 OC-101
Academic Achievement in Clinical Practices 13:10
Patients' Perceptions of the Success of Conventional Thalassemia 13:10-
2 OC-102
Treatment: A Qualitative Investigation 13:20
Association Between Pesticide Usage and Contact Dermatitis in 13:20-
3 OE-106
Agricultural Workers 13:30
13:30-
4 OE-116 Determinants of Waste-Sorting Practice of Rural Households
13:40
Effects of Co-Administered Methadone and Methamphetamine on liver 13:40-
5 OG-101
histology, Cytochrome P450 (2D6) and neurotransmitter 13:50
Food Safety Compliance During Food Delivery: Food Riders 13:50-
6 OF-104
Knowledge, Attitude, and Risk Perception 14:00
Utilization of Biscuits as Nutrition Carrier to Improve Stunting 14:00 -
7 OF-117
Condition among children: A Systematic Review 14:10

Monday, 02 October 2023 (ISoPH day 1)

Time : 13:00-16:20
Room : Breakout Room 1
Moderator : Dani Nasirul H, S.KM., M.KKK
Co-Moderator : Rezha Alivia Hildayanti, S.ST., M.Keb.

No. Abstract Title Time

ID
Stroke Risk Factors Based on The Framingham Stroke Risk Score 13:00 –
1 OA-101
Among Urban vs Rural Elderly Communities 13:10
Correlation of Stroke Risk Factor with Outcome of Non-Thrombolysis 13:10 –
2 OA-103
Acute Ischemic Stroke Patients 13:20
Identification of Risk Factors for High Prevalence of Hypertension in
13:20 –
3 OA-104 Farmworkers in the Work Area of the Mumbulsari Health Center in
13:30
Jember
The Use of Camellia sinensis to Lower Neuron Specific Enolase Level 13:30 –
4 OA-102
in Acute Ischemic Stroke 13:40
Prevention of Oral Cross-Infection by Using Povidone-Iodine
13:40 –
5 OA-106 Compared with Other Antiseptic Agents for Orally Transmitted
13:50
Diseases: Review
Risk Factors of Coronary In-Stent Restenosis in Bare Metal Stents and 13:50 –
6 OA-107
Drug Eluting Stents 14:00
Evaluation of Short-Course for Private doctors in Managing Children 14:00 –
7 OA-108
Tuberculosis as a part of Public-Private Mix in Surabaya, Indonesia 14:10
Assessment of Estimated Kidney Function Based on Creatinine in 14:10 –
8 OA-110
Indonesian Adult Populations: Calling for Validation of Performance 14:20

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Reported Prevalence of Gestational Diabetes Mellitus in Jambi: The

14:20 –
9 OA-111 Relationship with Socioeconomic Factors, Age, BMI, Hypertension,
14:30
and Social Support
Analysis of Risk Factors for Type 2 Diabetes Mellitus in Kepulauan 14:30 –
10 OA-112
Seribu Utara District DKI Jakarta Province 14:40
The Shift of STEMI Management and Outcomes in Asia and Europe 14:40 –
11 OA-113
in the Aftermath of the COVID-19 Pandemic: A Meta Analysis 14:50
The Association of Secondhand Smoke and Hypertension Among 14:50 –
12 OA-114
Adult Male in Bali, Indonesia 15:00
Community Participation: The Key to Effective Dengue Prevention 15:00 –
13 OA-115
and Control of Dengue Vectors 15:10
Surveillance of Pneumonia Risk Factors in Residential Areas West 15:10 –
14 OA-116
Lombok Regency, 2023 15:20
Experience and Perceptions of Self-Disclosure of People Living with 15:20 –
15 OA-117
HIV (PLHIV): A Qualitative Study 15:30
Unlocking the Potential: Vitamin D Supplementation in Tuberculosis 15:30 –
16 OA-118
and Respiratory Infections 15:40
Betel Quid Chewing Habit and Its Relation to Periodontal Status: A 15:40 –
17 OA-119
Systematic Review 15:50
Early Initiation Breastfeeding Practices and Exclusive Breastfeeding: 15:50 –
18 OD-134
Literature Review from Various Geographical Contexts 16:00
Does Good Knowledge Influence the Disapproving Attitudes of 16:00 –
19 OD-135
Adolescent Girls Regarding Early Marriage? A Cross-Sectional Study 16:10
Implementation of the Early Detection of Children’s Growth and 16:10 –
20 OD-136
Development by Midwives 16:20

Monday, 02 October 2023 (ISoPH day 1)

Time : 13:00-16:20
Room : Breakout Room 2
Moderator : Muslikha Nourma Rhomadhoni, S.KM., M.Kes
Co-Moderator : Ns. Alfunnafi’ Fahrul Rizzal, M. Kep., Sp. Kep.J

No. Abstract Title Time

ID
Analysis of the Achievement and Utilization of Capitation Funds
13:00 –
1 OB-101 through the Performance-Based Capitation (KBK) mechanism in the
13:10
Primary Healthcare in Malang
Decentralization Governance Analysis Based on WHO Building 13:10 –
2 OB-102
Blocks: Comparing of Indonesia and Germany Health Systems 13:20
The Relationship of Knowledge, Attitudes and Actions of Cadres in
13:20 –
3 OB-103 the Discovery of Suspected Cases of Diphteria in the City of
13:30
Probolinggo
Implementation of Communication, Bureaucracy and Disposition of
13:30 –
4 OB-104 Cost Reduction and Cost Difference in Preventing BPJS Health Fraud
13:40
in Hospitals
Efforts to Improve Performance of Inpatient Unit of Mabarrot Islamic 13:40 –
5 OB-105
Hospital Gresik Based on Malcolm Baldrige Performance Criteria 13:50
Midwives’ Perceptions of Berselendang Sutra Program 13:50 –
6 OB-106
Implementation at Primary Health Care, Banyuwangi Regency 14:00
Brand Awareness of Healthy Services at Primary Health Center: An 14:00 –
7 OB-107
Innovative Marketing Technique 14:10

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14:10 –
8 OB-108 Analysis of Factors Affecting Telemedicine Use Satisfaction
14:20
Analysis of the Relationship Between Hospital Ownership and Google
Maps Star Ratings: A Case Study of Regional General Hospitals 14:20 –
9 OB-109
(RSUD), Private Hospitals, and Muhammadiyah Hospitals (RSM) in 14:30
East Java
Stunting Meter: A Portable Digital Ultrasonic Device for Child Height 14:30 –
10 OH-102
Measurement and Stunting Detection 14:40
Development of the Dashboard Information System for the Public 14:40 –
11 OH-103
Satisfaction Index about Hospital X in East Java 14:50
Correlation of Nurses’ Self-Leadership with Technology Acceptance 14:50 –
12 OH-104
(A Study at Indonesian Urban General Hospital) 15:00
Integrated Early Warning System for High-Risk Pregnant Woman:
15:00 –
13 OH-105 Development of Management Information System Between PHC and
15:10
Hospital
Mapping Global Research Related to User Acceptance of Technology 15:10 –
14 OH-106
in Healthcare: A Scientometric Review 15:20
Application of COMBI (Communication for Behavioral Impact) to 15:20 –
15 OC-103
Stunting in Pamekasan District 15:30
Alertness of Bystander in Rapid First-Aids Management When Sudden 15:30 –
16 OC-104
Cardiac Arrest Strikes 15:40
The Relationship Between Obesity and Physical Activity in School
15:40 –
17 OC-105 Children Aged 13-15 Years Old in Junior High School Yogyakarta,
15:50
Indonesia
15:50 –
18 OC-106 Determinants of Early Marriage in Aceh Rural Areas
16:00
Policy, Intervention and Management in Addressing Stunting: A 16:00 –
19 OC-107
Systematic Review 16:10
Parental Influence and Physical Education on Adolescents Physical 16:10 –
20 OC-109
Activity 16:20

Monday, 02 October 2023 (ISoPH Day 1)

Time : 13:00-16:50
Room : Breakout Room 3
Moderator : Abdurahman Wahid, Ns., M. Kep
Co-Moderator : Reny Nugraheni, S.KM., S.H., MM., M.Kes

No. Abstract Title Time

ID
Facing Infectious Diseases of the Necro-Faryingitis Virus with 13:00 –
1 OF-101
Antioxidant Nutritional Intake 13:10
Factors Related to The Collaboration of KPM (Human Development 13:10 –
2 OF-102
Cadres) on Stunting Prevention Efforts 13:20
Effects of early childhood growth and development interventions
13:20 –
3 OF-105 implemented provider on children under 2 years of age: systematic
13:30
review
Predictor of Stunting, Wasting, and Being Underweight in Indonesia: 13:30 –
4 OF-106
Literature Review 13:40
Analysis of Total Lactic Acid Bacteria (LAB) and Organoleptic
13:40 –
5 OF-107 Quality of Goat Milk Kefir with the Addition of Kapok Honey (Cheiba
13:50
pentandra L.)

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 ISoPH 2023

Effect of Kapok Flower Honey (Ceiba pentandra) addition on

13:50 –
6 OF-108 Antioxidant Activity, Total Flavonoid, Total Phenolic, and Lactose
14:00
Levels in Goat's Milk Kefir
Organoleptic Test Characteristics and Acceptability of Grasshopper 14:00 –
7 OF-109
Nugget Flour as a High Protein Functional Food 14:10
Energy Adequacy, Physical Activity, and Stress Levels in the Female 14:10 –
8 OF-110
Athlete Triad of Volleyball Athletes 14:20
Correlation Between Exclusive Breastfeeding, Frequency, and Portion
14:20 –
9 OF-111 of Breastfeeding Complementary Foods with Stunting of Toddler in
14:30
Desa Puru Kec. Suruh Kabupaten Trenggalek
The Effectiveness of Moringa Biscuit (Moringa oleifera) and
Snakehead Fish (Channa striata) as Additional Foods in Improving the 14:30 –
10 OF-112
Nutritional Status of Pregnant Women with Chronic Energy 14:40
Deficiency
Communication, Information and Education (CIE) with Maternal 14:40 –
11 OF-114
Parenting Behavior and Growth Toddler 14:50
Mothers' Perspectives on Toddlers' Picky Eater Behavior: A 14:50 –
12 OF-115
Systematic Review 15:00
Factors related to feeding practice of maternal to prevent stunting 15:00 –
13 OF-116
based on social-cognitive theory construct: A systematic review 15:10
Impact of Micronutrient Supplementation on Hemoglobin, Ferritin,
15:10 –
14 OF-118 and Retinol Status in Stunting Children Under 5 years in Urban Poor
15:20
Regions
Type 2 Diabetes Mellitus Patients' Experiences in Receiving Family15:20 –
15 OC-111
Support: A Narrative Review 15:30
Determining Factors Affecting Mother's Behavior in Stunting 15:30 –
16 OC-112
Prevention in the Madura Rural using the Theory of Planned Behavior
15:40
Program-based Education to Prevent Diabetic Foot Ulcer on Patient 15:40 –
17 OC-113
with Diabetes: Systematic Review 15:50
HIV Patient Medical Data Protection Policy: Public Information 15:50 –
18 OC-114
Disclosure and Data Privacy Viewpoints 16:00
16:00 –
19 OC-115 Scoping Review of Midwives' Workload: A Comprehensive Overview
16:10
Determinants of Basic Immunization Compliance to Children in The 16:10 –
20 OC-116
Covid-19 Pandemic Based on The Health Belief Model 16:20
Research Trends for Family Assistance Teams in Efforts to Reduce 16:20 -
21 OC-117
Stunting in Health Journals in Indonesia 16:30
The Influence of Hyperreality Social Media on Adolescent Food and 16:30 –
22 OC-118
Drink Choices: A Preliminary Study 16:40
Parental Education's Influence on Care Patterns of Children with
16:40 –
23 OC-119 ADHD Based on Financial Stability and Demographic Region in
16:50
Indonesia

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 ISoPH 2023

Parallel Session I

Tuesday, 03 October 2023 (ISoPH Day 2)

Time : 12:30-15:50
Room : Breakout Room 1
Moderator : Abigael Grace Prasetiani, S.Kep., Ns., M.Kep.
Co-Moderator : Adistha Eka Noveyani, S.KM., MPH

No. Abstract Title Time

ID
Impact of Adolescent Pregnancy on Antenatal Care (ANC): An
12:30-
1 OD-101 Analysis of Demographic Health Survey (DHS) 2017 in Indonesia and
12:40
Philippine
A Descriptive Study on the Knowledge and Perception of Parent’s 12:40 –
2 OD-102
Towards Their Children’s Dietary Behavior 12:50
Health Literacy of Covid-19 Among Students and Visit to Health
12:50 –
3 OD-103 Clinic: A Mixed Method Study in Islamic Boarding School of
13:00
Indonesia
The Influence of Sleep Quality of Pregnant Women on the Incident of 13:00 –
4 OD-104
Stunting: A Literature Review 13:10
Study Protocol: A Mixed-Methods Study to Develop and Validate a
13:10 –
5 OD-105 Questionnaire of Self-management and Its Relationship with Quality
13:20
of Life among Thalassemia Adolescents
The Relationship of Anxiety Level with the Menstruation Cycle in 13:20 –
6 OD-106
Midwifery S1 Students at Institute of Health Science Kuningan 13:30
Factors that Influence the Occurrence of Stunting Among Child in 13:30 –
7 OD-107
Sumenep District 13:40
13:40 –
8 OD-108 Factors Associated with Risk of Injury in Toddlers
13:50
Is the Body Mass Index a Useful Predictor of Exercise Capacity among 13:50 –
9 OD-109
Postpartum Women: A Cross-Sectional Study 14:00
Ventilation in School and Student Health: A Systematic Literature 14:00 –
10 OD-110
Review 14:10
The Influence of Hormonal Contraceptive Risk Factors on the 14:10 –
11 OD-112
Incidence of Preeclampsia 14:20
The Relation Between Social - Cultural Perspectives and Exclusive 14:20 –
12 OD-113
Breastfeeding Practice in Palembang City 14:30
Neonatal Thyroid-Stimulating Hormone Test as Prevention of 14:30 –
13 OD-114
Congenital Hypothyroidism in Newborn: Review Article 14:40
Exclusive Breastfeeding in South Sulawesi, Indonesia: What factors 14:40 –
14 OD-115
are related? 14:50
Determinant Factors of Antenatal Care for Pregnant Woman in 14:50 –
15 OD-116
Indonesia 15:00
Effective Communication Methods in Preventing Adolescent Anemia: 15:00 –
16 OD-117
A Literature Review 15:10
Community Involvement in Adolescent Pregnancy Prevention: A 15:10 –
17 OD-118
Literature Review 15:20
Toluene Toxicity on Blood Serum CYP2E1 Levels and 15:20 –
18 OD-119
Malondialdehyde Expression in Coronary Arteries 15:30
The Role of Religious Leaders in Adolescent Reproductive Health and 15:30 –
19 OD-120
Family Planning: A systematic review 15:40

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 ISoPH 2023

Exploring The Factor Influencing Complementary Feeding Practices

15:40 –
20 OF-103 of Mothers with Infant 6-23 Months Old in Sidoarjo Regency,
15:50
Indonesia : A Qualitative Study

Tuesday, 03 October 2023 (ISoPH Day 2)

Time : 12:30-16:10
Room : Breakout Room 2
Moderator : Haris Suhamdani, S.Kep., Ns., M.Kep.
Co-Moderator : Forman Novrindo Sidjabat, S.K.M., M.Kes (Epid)

No. Abstract Title Time

ID
The Effect of Using Bellywrap on Changes in Low Back Pain Levels 12:30-
1 OD-126
in Pregnant Women in Menganti District, Gresik Regency 12:40
A Systematic Literature Review of the Correlation Between
12:40 –
2 OD-127 Knowledge, Self-Efficacy and Competence with Postpartum
12:50
Depression in Women During Postpartum Period
The Effect of Red Spinach Juice on Increasing Hemoglobin
Levels in Third Trimester Pregnant Women with Anemia in the 12:50 –
3 OD-128
Panarung Public Health Center, Pahandut District, Palangka 13:00
Raya City in 2020
The Meaningfulness of Village Shamans in Dayak Communities 13:00 –
4 OD-129
for the Adolescent Pregnancy Care: Indonesia 13:10
Determinant of the Quality of Life of Mothers with Children with 13:10 –
5 OD-130
Disability: A Systematic Review 13:20
Exploring the Impact of Family Support and Function on High- 13:20 –
6 OD-131
Risk Behavior Among Adolescents: A Comprehensive Study 13:30
The Effect of Giving Zinc Tablets as a Companion Fe Tablets on 13:30 –
7 OD-132
Hemoglobin Levels in Female Adolescent 13:40
Maternal and Child Health Using the Digitalization of the MCH 13:40 –
8 OD-133
Handbook Paciran Primary Health Care 13:50
Heavy Metals in Fish Knowledge, Attitudes and Practices among 13:50 –
9 OE-101
Consumers in Selangor, Malaysia 14:00
Literature Review: Surveillance Analysis of Risk Factors 14:00 –
10 OE-103
Relapse Mental Disorders 14:10
Path Analysis of the Relationship between Diarrhea, Climate and 14:10 –
11 OE-105
Environmental Variables in Province of West Nusa Tenggara 14:20
Environmental Risk Determinants Associated with Stunting in
14:20 –
12 OE-107 Children in Tasikmalaya, Indonesia: A Public Health
14:30
Surveillance-Based Retrospective Study
Unsafe Actions Cause Analysis with Human Factors Analysis 14:30 –
13 OE-108
and Classification Systems (HFACS) 14:40
Potential of Cymbopogan nardus Extract Inhibut the Growth of
14:40 –
14 OE-109 Candida albicans, Staphilococcus aureus, and Escherichia coli:
14:50
A In Vitro Study
The Influence of The Use of Fogging to Control Dengue
14:50 –
15 OE-111 Hemorrhagic Fever (DHF) on Health Impairments of Health
15:00
Workers: A Scoping Review

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 ISoPH 2023

Food Waste Treatment and the Effect of Composting on The 15:00 –

16 OE-112
Gambia's Carbon Footprint 15:10
Correlation of Personal Factors with Unsafe Action of Health 15:10 –
17 OE-113
Worker in Nine Puskesmas, Kediri City 15:20
Waste Management, Community Participation and Local
Wisdom in Environmentally Based Disease Control in Coastal 15:20 –
18 OE-115
Areas Through The Theory Of Planned Behavior Approach: A 15:30
Systematic Review
Climatic Factors Influencing Malaria in Banjar District, 15:30 –
19 OE-117
Indonesia 15:40
Climate Change Due to Mobility Restrictions During the 15:40 –
20 OE-118
Pandemic COVID-19: A Review 15:50
A Systematic Review of Airborne Microplastic Contamination: 15:50 –
21 OE-119
The Effects on Human Lungs 16:00
The Role of Government in Encouraging the Implementation of 16:00 –
22 OE-120
Occupational Health and safety in Companies 16:10

Tuesday, 03 October 2023 (ISoPH Day 2)

Time : 12:30-16:10
Room : Breakout Room 3
Moderator : Ulva Noviana, M.Kep
Co-Moderator : Yohanes Kambaru Windi, S.Pd, M.Kes, MPH, PhD

No. Abstract Title Time

ID
Risk of Family Cigarette Exposure on Abnormal Nervous
12:30-
1 OG-103 Development in Toddlers: Bibliometric Visualization and Systematic
12:40
Literature Review
Sleep Quality and Sleep Pattern Towards Absenteeism of Healthcare 12:40 –
2 OG-104
Students 12:50
Application of Supportive Group Therapy on Depression among 12:50 –
3 OG-105
Elderly with Hypertension 13:00
Factors Associated with Coping Mechanisms on Compliance with
13:00 –
4 OG-106 Diabetes Mellitus Patients at Katobu Community Health Center, Muna
13:10
Regency 2023
The Most Influential Factor in Smoking Behavior Aged 15-24 years in 13:10 –
5 OG-107
Bantul, Special Region of Yogyakarta, Indonesia 13:20
Determining Family Length in Patients with Hallucination Disorders 13:20 –
6 OG-108
in Surabaya City, East Java, Indonesia? 13:30
Joinpoint Trends Analysis of Disability Adjusted Life Year of Anxiety 13:30 –
7 OG-109
Disorders and Depression from 1990 to 2019 in Indonesia 13:40
Mental Health Readiness of the Bride and Groom in Marriage 13:40 –
8 OG-110
Readiness: Literature Review 13:50
Mental Health Screening and Its Correlation to Academic Self- 13:50 –
9 OG-111
Efficacy among Public Health Students 14:00
Reproductive Health of Female Students in Islamic Boarding School 14:00 –
10 OD-137
Culture 14:10
Effectiveness of Training for Cadres in Stunting Prevention Efforts in 14:10 –
11 OD-138
the Bangkalan District Area 14:20
Maternal Empowerment in Decision Making for Birth Preparedness 14:20 –
12 OD-139
and Complication Readiness: A Literature Review 14:30

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 ISoPH 2023

Unmet Need for Family Planning among Married Women in Urban

14:30 –
13 OD-121 Areas of Jember Regency, East Java, Indonesia: Does Gender Equality
14:40
Matter?
Knowledge of Young Women About Breast Self Examination (BSE) 14:40 –
14 OD-122
to Detect Breast Cancer at SMAN 1 Magetan 14:50
Levels of Premenopausal Anxiety in the Group of Women Given 14:50 –
15 OD-123
Lavender Aromatherapy and the Placebo Group 15:00
Hemoglobin Levels in Anemia Pregnant Women with Given of Blood 15:00 –
16 OD-124
Supplement Tablets and Combination of Moringa Extract 15:10
Comparison of Back Pain in 3rd Trimester Pregnant Women Based on
15:10 –
17 OD-125 Parity and Age in the Complementary Herbal Compress Ball Therapy
15:20
Group at PMB Yulis, Malang City
Prevention of Hypertension to Increase Elderly’s Quality of Life 15:20 –
18 OA-120
Through Screening and Education 15:30
Enhancing Cardiopulmonary Resuscitation (CPR) Training for 15:30 –
19 OC-108
Community with Foam Pillows: A Promising Approach 15:40
Role of Community Mental Health Nurses to Handling Psychosocial 15:40 –
20 OC-120
Problem Related Domestic Violence in Indonesia 15:50
Nano-emulsion of mangosteen rind extract in mucoadhesive patch for 15:50 –
21 OI-101
periodontitis regenerative treatment: In Vivo study 16:00
Antibacterial Activity of Yemen Sidr Honey Against 16:00 -
22 OI-102
Periodontopathogen Bacteria 16:10

xxiii
 ISoPH 2023

ABSTRACTS

xxiv
 The 7th International Symposium of Public Health 2023
2-3 October 2023

Abstract List

ID Title Page
A. Epidemiology, Communicable and Non- Communicable Diseases
Stroke Risk Factors Based on The Framingham Stroke Risk Score Among Urban
OA-101 2
vs Rural Elderly Communities
The Use of Camellia sinensis to Lower Neuron Specific Enolase Level in Acute
OA-102 3
Ischemic Stroke
Correlation of Stroke Risk Factor with Outcome of Non-Thrombolysis Acute
OA-103 4
Ischemic Stroke Patients
Identification of Risk Factors for High Prevalence of Hypertension in
OA-104 5
Farmworkers in the Work Area of the Mumbulsari Health Center in Jember
Prevention of Oral Cross-Infection by Using Povidone-Iodine Compared with
OA-106 6
Other Antiseptic Agents for Orally Transmitted Diseases: Review
Risk Factors of Coronary In-Stent Restenosis in Drug Eluting Stents: A
OA-107 7
Systematic Review and Meta-Analysis
Evaluation of Short-Course for Private doctors in Managing Children
OA-108 8
Tuberculosis as a part of Public-Private Mix in Surabaya, Indonesia
Assessment of Estimated Kidney Function Based on Creatinine in Indonesian
OA-110 9
Adult Populations: Calling for Validation of Performance
Reported Prevalence of Gestational Diabetes Mellitus in Jambi: The
OA-111 Relationship with Socioeconomic Factors, Age, BMI, Hypertension, and Social 10
Support
Analysis of Risk Factors for Type 2 Diabetes Mellitus in Kepulauan Seribu Utara
OA-112 11
District DKI Jakarta Province
The Shift of STEMI Management and Outcomes in Asia and Europe in the
OA-113 12
Aftermath of the COVID-19 Pandemic: A Meta Analysis
The Association of Secondhand Smoke and Hypertension Among Adult Male in
OA-114 13
Bali, Indonesia
Community Participation: The Key to Effective Dengue Prevention and Control
OA-115 14
of Dengue Vectors
Surveillance of Pneumonia Risk Factors in Residential Areas West Lombok
OA-116 15
Regency, 2023
Experience and Perceptions of Self-Disclosure of People Living with HIV
OA-117 16
(PLHIV): A Qualitative Study
Unlocking the Potential: Vitamin D Supplementation in Tuberculosis and
OA-118 17
Respiratory Infections
Betel Quid Chewing Habit and Its Relation to Periodontal Status: A Systematic
OA-119 18
Review
Prevention of Hypertension to Increase Elderly’s Quality of Life Through
OA-120 19
Screening and Education
B. Primary Health Care and Health Service Management
Analysis of the Achievement and Utilization of Capitation Funds through the
OB-101 Performance-Based Capitation (KBK) mechanism in the Primary Healthcare in 21
Malang
Decentralization Governance Analysis Based on WHO Building Blocks:
OB-102 22
Comparing of Indonesia and Germany Health Systems
The Relationship of Knowledge, Attitudes and Actions of Cadres in the
OB-103 23
Discovery of Suspected Cases of Diphteria in the City of Probolinggo
Implementation of Communication, Bureaucracy and Disposition of Cost
OB-104 24
Reduction and Cost Difference in Preventing BPJS Health Fraud in Hospitals

xxv
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2-3 October 2023

ID Title Page
Efforts to Improve Performance of Inpatient Unit of Mabarrot Islamic Hospital
OB-105 25
Gresik Based on Malcolm Baldrige Performance Criteria
Midwives’ Perceptions of Berselendang Sutra Program Implementation at
OB-106 26
Primary Health Care, Banyuwangi Regency
Brand Awareness of Healthy Services at Primary Health Center: An Innovative
OB-107 27
Marketing Technique
OB-108 Analysis of Factors Affecting Telemedicine Use Satisfaction 28
Analysis of the Relationship Between Hospital Ownership and Google Maps
OB-109 Star Ratings: A Case Study of Regional General Hospitals (RSUD), Private 29
Hospitals, and Muhammadiyah Hospitals (RSM) in East Java

C. Public Health and Nursing

Concept Mapping Care Plan (CMCP) in Enhancing Nursing Students’ Academic
OC-101 31
Achievement in Clinical Practices
Patients' Perceptions of the Success of Conventional Thalassemia Treatment: A
OC-102 32
Qualitative Investigation
Application of COMBI (Communication for Behavioral Impact) to Stunting in
OC-103 33
Pamekasan District
Alertness of Bystander in Rapid First-Aids Management When Sudden Cardiac
OC-104 34
Arrest Strikes
The Relationship Between Obesity and Physical Activity in School Children
OC-105 35
Aged 13-15 Years Old in Junior High School Yogyakarta, Indonesia
OC-106 Determinants of Early Marriage in Aceh Rural Areas 36
Policy, Intervention and Management in Addressing Stunting: A Systematic
OC-107 37
Review
Enhancing Cardiopulmonary Resuscitation (CPR) Training for Community with
OC-108 38
Foam Pillows: A Promising Approach
OC-109 Parental Influence and Physical Education on Adolescents Physical Activity 39
Type 2 Diabetes Mellitus Patients' Experiences in Receiving Family Support: A
OC-111 40
Narrative Review
Determining Factors Affecting Mother's Behavior in Stunting Prevention in the
OC-112 41
Madura Rural using the Theory of Planned Behavior
Program-based Education to Prevent Diabetic Foot Ulcer on Patient with
OC-113 42
Diabetes: Systematic Review
HIV Patient Medical Data Protection Policy: Public Information Disclosure and
OC-114 43
Data Privacy Viewpoints
OC-115 Scoping Review of Midwives' Workload: A Comprehensive Overview 44
Determinants of Basic Immunization Compliance to Children in The Covid-19
OC-116 45
Pandemic Based on The Health Belief Model
Research Trends for Family Assistance Teams in Efforts to Reduce Stunting in
OC-117 46
Health Journals in Indonesia
The Influence of Hyperreality Social Media on Adolescent Food and Drink
OC-118 47
Choices: A Preliminary Study
Parental Education's Influence on Care Patterns of Children with ADHD Based
OC-119 48
on Financial Stability and Demographic Region in Indonesia
Role of Community Mental Health Nurses to Handling Psychosocial Problem
OC-120 49
Related Domestic Violence in Indonesia
D. Maternal, Child, Adolescent and Reproductive Health
Impact of Adolescent Pregnancy on Antenatal Care (ANC): An Analysis of
OD-101 51
Demographic Health Survey (DHS) 2017 in Indonesia and Philippine

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2-3 October 2023

ID Title Page
A Descriptive Study on the Knowledge and Perception of Parent’s Towards
OD-102 52
Their Children’s Dietary Behavior
Health Literacy of Covid-19 Among Students and Visit to Health Clinic: A
OD-103 53
Mixed Method Study in Islamic Boarding School of Indonesia
The Influence of Sleep Quality of Pregnant Women on the Incident of Stunting:
OD-104 54
A Literature Review
Study Protocol: A Mixed-Methods Study to Develop and Validate a
OD-105 Questionnaire of Self-management and Its Relationship with Quality of Life 55
among Thalassemia Adolescents
The Relationship of Anxiety Level with the Menstruation Cycle in Midwifery
OD-106 56
S1 Students at Institute of Health Science Kuningan
Factors that Influence the Occurrence of Stunting Among Child in Sumenep
OD-107 57
District
OD-108 Factors Associated with Risk of Injury in Toddlers 58
Is the Body Mass Index a Useful Predictor of Exercise Capacity among
OD-109 59
Postpartum Women: A Cross-Sectional Study
OD-110 Ventilation in School and Student Health: A Systematic Literature Review 60
The Influence of Hormonal Contraceptive Risk Factors on the Incidence of
OD-112 61
Preeclampsia
The Relation Between Social - Cultural Perspectives and Exclusive
OD-113 62
Breastfeeding Practice in Palembang City
Neonatal Thyroid-Stimulating Hormone Test as Prevention of Congenital
OD-114 63
Hypothyroidism in Newborn: Review Article
OD-115 Exclusive Breastfeeding in South Sulawesi, Indonesia: What factors are related? 64
OD-116 Determinant Factors of Antenatal Care for Pregnant Woman in Indonesia 65
Effective Communication Methods in Preventing Adolescent Anemia: A
OD-117 66
Literature Review
Community Involvement in Adolescent Pregnancy Prevention: A Literature
OD-118 67
Review
Toluene Toxicity on Blood Serum CYP2E1 Levels and Malondialdehyde
OD-119 68
Expression in Coronary Arteries
The Role of Religious Leaders in Adolescent Reproductive Health and Family
OD-120 69
Planning: A systematic review
Unmet Need for Family Planning among Married Women in Urban Areas of
OD-121 70
Jember Regency, East Java, Indonesia: Does Gender Equality Matter?
Knowledge of Young Women About Breast Self Examination (BSE) to Detect
OD-122 71
Breast Cancer at SMAN 1 Magetan
Levels of Premenopausal Anxiety in the Group of Women Given Lavender
OD-123 72
Aromatherapy and the Placebo Group
Hemoglobin Levels in Anemia Pregnant Women with Given of Blood
OD-124 73
Supplement Tablets and Combination of Moringa Extract
Comparison of Back Pain in 3rd Trimester Pregnant Women Based on Parity
OD-125 and Age in the Complementary Herbal Compress Ball Therapy Group at PMB 74
Yulis, Malang City
The Effect of Using Bellywrap on Changes in Low Back Pain Levels in Pregnant
OD-126 75
Women in Menganti District, Gresik Regency
A Systematic Literature Review of the Correlation Between Knowledge, Self-
OD-127 Efficacy and Competence with Postpartum Depression in Women During 76
Postpartum Period

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2-3 October 2023

ID Title Page
The Effect of Red Spinach Juice on Increasing Hemoglobin Levels in Third
OD-128 Trimester Pregnant Women with Anemia in the Panarung Public Health Center, 77
Pahandut District, Palangka Raya City in 2020
The Meaningfulness of Village Shamans in Dayak Communities for the
OD-129 78
Adolescent Pregnancy Care: Indonesia
Determinant of the Quality of Life of Mothers with Children with Disability: A
OD-130 79
Systematic Review
Exploring the Impact of Family Support and Function on High-Risk Behavior
OD-131 80
Among Adolescents: A Comprehensive Study
The Effect of Giving Zinc Tablets as a Companion Fe Tablets on Hemoglobin
OD-132 81
Levels in Female Adolescent
Maternal and Child Health Using the Digitalization of the MCH Handbook
OD-133 82
Paciran Primary Health Care
Early Initiation Breastfeeding Practices and Exclusive Breastfeeding: Literature
OD-134 83
Review from Various Geographical Contexts
Does Good Knowledge Influence the Disapproving Attitudes of Adolescent
OD-135 84
Girls Regarding Early Marriage? A Cross-Sectional Study
Implementation of the Early Detection of Children’s Growth and Development
OD-136 85
by Midwives
OD-137 Reproductive Health of Female Students in Islamic Boarding School Culture 86
Effectiveness of Training for Cadres in Stunting Prevention Efforts in the
OD-138 87
Bangkalan District Area
Maternal Empowerment in Decision Making for Birth Preparedness and
OD-139 88
Complication Readiness: A Literature Review
E. Environmental Public Health, Occupational Health and Safety
Heavy Metals in Fish Knowledge, Attitudes and Practices among Consumers in
OE-101 92
Selangor, Malaysia
Literature Review: Surveillance Analysis of Risk Factors Relapse Mental
OE-103 93
Disorders
Path Analysis of the Relationship between Diarrhea, Climate and Environmental
OE-105 94
Variables in Province of West Nusa Tenggara
Association Between Pesticide Usage and Contact Dermatitis in Agricultural
OE-106 95
Workers
Environmental Risk Determinants Associated with Stunting in Children in
OE-107 Tasikmalaya, Indonesia: A Public Health Surveillance-Based Retrospective 96
Study
Unsafe Actions Cause Analysis with Human Factors Analysis and Classification
OE-108 97
Systems (HFACS)
Potential of Cymbopogan nardus Extract Inhibut the Growth of Candida
OE-109 98
albicans, Staphilococcus aureus, and Escherichia coli: A In Vitro Study
The Influence of The Use of Fogging to Control Dengue Hemorrhagic Fever
OE-111 99
(DHF) on Health Impairments of Health Workers: A Scoping Review
Food Waste Treatment and the Effect of Composting on The Gambia's Carbon
OE-112 100
Footprint
Correlation of Personal Factors with Unsafe Action of Health Worker in Nine
OE-113 101
Puskesmas, Kediri City
Waste Management, Community Participation and Local Wisdom in
OE-115 Environmentally Based Disease Control in Coastal Areas Through The Theory 102
Of Planned Behavior Approach: A Systematic Review
OE-116 Determinants of Waste-Sorting Practice of Rural Households 103
OE-117 Climatic Factors Influencing Malaria in Banjar District, Indonesia 104

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2-3 October 2023

ID Title Page
Climate Change Due to Mobility Restrictions During the Pandemic COVID-19:
OE-118 105
A Review
A Systematic Review of Airborne Microplastic Contamination: The Effects on
OE-119 106
Human Lungs
The Role of Government in Encouraging the Implementation of Occupational
OE-120 107
Health and safety in Companies
F. Nutrition and Public Health
Facing Infectious Diseases of the Necro-Faryingitis Virus with Antioxidant
OF-101 109
Nutritional Intake
Factors Related to The Collaboration of KPM (Human Development Cadres) on
OF-102 110
Stunting Prevention Efforts
Exploring The Factor Influencing Complementary Feeding Practices of Mothers
OF-103 with Infant 6-23 Months Old in Sidoarjo Regency, Indonesia: A Qualitative 111
Study
Food Safety Compliance During Food Delivery: Food Riders Knowledge,
OF-104 112
Attitude, and Risk Perception
Effects of early childhood growth and development interventions implemented
OF-105 113
provider on children under 2 years of age: systematic review
Predictor of Stunting, Wasting, and Being Underweight in Indonesia: Literature
OF-106 114
Review
Analysis of Total Lactic Acid Bacteria (LAB) and Organoleptic Quality of Goat
OF-107 115
Milk Kefir with the Addition of Kapok Honey (Cheiba pentandra L.)
Effect of Kapok Flower Honey (Ceiba pentandra) addition on Antioxidant
OF-108 Activity, Total Flavonoid, Total Phenolic, and Lactose Levels in Goat's Milk 116
Kefir
Organoleptic Test Characteristics and Acceptability of Grasshopper Nugget
OF-109 117
Flour as a High Protein Functional Food
Energy Adequacy, Physical Activity, and Stress Levels in the Female Athlete
OF-110 118
Triad of Volleyball Athletes
Correlation Between Exclusive Breastfeeding, Frequency, and Portion of
OF-111 Breastfeeding Complementary Foods with Stunting of Toddler in Desa Puru 119
Kec. Suruh Kabupaten Trenggalek
The Effectiveness of Moringa Biscuit (Moringa oleifera) and Snakehead Fish
OF-112 (Channa striata) as Additional Foods in Improving the Nutritional Status of 120
Pregnant Women with Chronic Energy Deficiency
Communication, Information and Education (CIE) with Maternal Parenting
OF-114 121
Behavior and Growth Toddler
OF-115 Mothers' Perspectives on Toddlers' Picky Eater Behavior: A Systematic Review 122
Factors related to feeding practice of maternal to prevent stunting based on
OF-116 123
social-cognitive theory construct: A systematic review
Utilization of Biscuits as Nutrition Carrier to Improve Stunting Condition among
OF-117 124
children: A Systematic Review

Impact of Micronutrient Supplementation on Hemoglobin, Ferritin, and Retinol

OF-118 125
Status in Stunting Children Under 5 years in Urban Poor Regions

G. Mental Health, Tobacco, Alcohol, and Substance Use

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2-3 October 2023

ID Title Page
Effects of Co-Administered Methadone and Methamphetamine on Liver
OG-101 127
Histology, Cytochrome P450 (2D6) and Neurotransmitter
Risk of Family Cigarette Exposure on Abnormal Nervous Development in
OG-103 128
Toddlers: Bibliometric Visualization and Systematic Literature Review
OG-104 Sleep Quality and Sleep Pattern Towards Absenteeism of Healthcare Students 129
Application of Supportive Group Therapy on Depression among Elderly with
OG-105 130
Hypertension
Factors Associated with Coping Mechanisms on Compliance with Diabetes
OG-106 131
Mellitus Patients at Katobu Community Health Center, Muna Regency 2023
The Most Influential Factor in Smoking Behavior Aged 15-24 years in Bantul,
OG-107 132
Special Region of Yogyakarta, Indonesia
Determining Family Length in Patients with Hallucination Disorders in
OG-108 133
Surabaya City, East Java, Indonesia?
Joinpoint Trends Analysis of Disability Adjusted Life Year of Anxiety Disorders
OG-109 134
and Depression from 1990 to 2019 in Indonesia
Mental Health Readiness of the Bride and Groom in Marriage Readiness:
OG-110 135
Literature Review
Mental Health Screening and Its Correlation to Academic Self-Efficacy among
OG-111 136
Public Health Students
H. Technology and Innovation in Health Sector
Stunting Meter: A Portable Digital Ultrasonic Device for Child Height
OH-102 138
Measurement and Stunting Detection
Development of the Dashboard Information System for the Public Satisfaction
OH-103 139
Index about Hospital X in East Java
Correlation of Nurses’ Self-Leadership with Technology Acceptance (A Study
OH-104 140
at Indonesian Urban General Hospital)
Integrated Early Warning System for High-Risk Pregnant Woman:
OH-105 141
Development of Management Information System Between PHC and Hospital
Mapping Global Research Related to User Acceptance of Technology in
OH-106 142
Healthcare: A Scientometric Review
I. One health, Antimicrobial Resistance, and Zoonoses
Nano-emulsion of mangosteen rind extract in mucoadhesive patch for
OI-101 144
periodontitis regenerative treatment: In Vivo study
Antibacterial Activity of Yemen Sidr Honey Against Periodontopathogen
OI-102 145
Bacteria

xxx
 The 7th International Symposium of Public Health 2023
2-3 October 2023

SCOPE – A:
EPIDEMIOLOGY, COMMUNICABLE AND
NON- COMMUNICABLE DISEASES

1
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-101
Stroke Risk Factors Based on The Framingham Stroke Risk
Score Among Urban vs Rural Elderly Communities

Abdulloh Machin1, Shafira Putri Widiawan2, Achmad Lefi3, Mohammad

Saiful Ardhi1, Nadya Husni4, Mochammad Wijdan Rosyich4*
1
Departemen of Neurology, Airlangga University/Dr. Soetomo General Hospital Surabaya, Indonesia
2
Faculty of Medicine, Universitas Airlangga, Indonesia
3
Departemen of Cardiology, Airlangga University/Dr. Soetomo General Hospital Surabaya,
Indonesia
4
Neurology Resident, Faculty of Medicine, Universitas Airlangga, Indonesia

*Presenting author: +6281252194254, [email protected]

Abstract

Background: Stroke causes the highest death in Indonesia based on 2019 WHO Global Health
Estimates. Framingham Stroke Risk Score (FSRS) can predict the 10-year stroke risk. There
isn't much data related to the comparison in risk factors between urban and rural communities
in Indonesia based on the FSRS assessment, especially in elderly subject. This study aims to
compare stroke risk factors based on the FSRS between the elderly in urban and rural
communities. We also determine the relationship between environmental factors and stroke
risk factors. Methods: This study was a cross-sectional study using secondary data from
Riskesdas 2018. Elderly (55-84 years old) in Surabaya and Kabupaten Malang without stroke
history were included. There were 810 subjects that met the inclusion criteria in this study. The
data was analysed using Microsoft Excel and SPSS programs. Independent sample t tests, chi-
square, and binary logistic regression were used. Results and Discussions: Comparison of risk
factors in elderly based on the average probability of stroke within 10 years by FSRS is higher
in rural communities (9.05 ± 6.68 vs 7.77 ± 6.20). Conclusions: There is a higher probability
of stroke in rural communities (9.05 ± 6.68 vs 7.77 ± 6.20). There is a relationship between
environmental factors, namely economic status, education level, and living habits, with the
measurement of stroke risk factors based on the Framingham Stroke Risk Score (FSRS).

Keywords: Elderly; Framingham Stroke Risk Score; Rural; Stroke; Urban.

2
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-102
The Use of Camellia sinensis to Lower Neuron Specific
Enolase Level in Acute Ischemic Stroke

Abdulloh Machin1,2,3*, Putri Irsalina4, Isti Suharjanti1,2, Mochammad

Wijdan Rosyich4, Mohammad Fata Fatihuddin5, Djoko Agus Purwanto3,6,
Anny Hanifah7, Beom Joon Kim8, Chrismawan Ardianto6, Nadya Husni4
1
Department of Neurology, Faculty of Medicine, Universitas Airlangga, Indonesia
2
Dr. Soetomo General Hospital, Surabaya, Indonesia
3
Universitas Airlangga General Hospital, Surabaya, Indonesia
4
Neurology Resident, Faculty of Medicine, Universitas Airlangga, Indonesia
5
Faculty of Medicine, Universitas Airlangga, Indonesia
6
Faculty of Pharmacy, Universitas Airlangga, Indonesia
7
Faculty of Medicine, Universitas Hang Tuah, Indonesia
8
Departement of Neurology, Seoul National University, Bundang Hospital, South Korea

*Presenting author: +6281252194254; [email protected]

Abstract

Background: This study aim to determine the efficacy of Camellia sinensis to lower neuron
specific enolase (NSE) level in acute ischemic stroke. Methods: A double-blind, randomized,
placebo-controlled trial was conducted in November 2020 – August 2021. Subjects were all
acute ischemic stroke patients presented to the emergency room during the recruitment period.
Patients were then randomized into placebo or experimental group and followed up to 7 days
of treatment. Both the NSE level and NIHSS score was measured on the first and seventh day
of admission. Results and Discussions: A total of 32 subjects (13 control, 19 experimental) is
included in this study. There is no significant difference in demographic data, baseline NSE,
and baseline NIHSS score between the two groups. However, the day-7 NSE level is
significantly lower in the experimental group compared to the control group (17.05±21.72 vs
62.02±39.20 ng/mL; p<0.001). Odds ratio analysis reveals that the experimental group is 2.19
times more likely to have a normal NSE level in day-7 compared to the control group. The
decrease of day-7 NIHSS score is also greater in the experimental group compared to the
control group (-2.42±2.22 vs -0.62±0.77; p=0.012). In addition, the experimental group is 1.58
times more likely to have neurological improvement on day-7 compared to the control group.
Conclusions: This study confirms the efficacy of Camellia sinensis to lower NSE level and
improve neurological outcome in acute ischemic stroke patients. However, further studies with
similar intervention are needed to confirm this finding in a wider population.

Keywords: Acute ischemic stroke; Camellia sinensis; EGCG; Neuron specific enolase;
Randomized controlled trial.

3
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-103
Correlation of Stroke Risk Factor with Outcome of Non-
Thrombolysis Acute Ischemic Stroke Patients

Muhammad Ja’far Shodiq1*, Abdulloh Machin2, Erdi Khalida Putra3,4

1
Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
2
Department of Neurology, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General
Hospital, Surabaya, Indonesia
3
Doctoral Program-Public Health Study Program, Faculty of Public Health, Universitas Airlangga,
Surabaya, Indonesia
4
Department of Neurology, Mohammad Noer General Hospital, Pamekasan, Indonesia

*Presenting author: +62-877-0184-3816; [email protected]

Abstract

Background: Stroke is the second leading cause of death worldwide with mortality rate of
about 5.5 million people and the third leading cause of chronic disability worldwide with over
50% of survivors. Indonesia has the highest stroke mortality rate among countries in Asia.
Stroke is associated with modifiable and non-modifiable risk factors. Stroke patients will have
limitations in their daily activities. The limitations vary depending on their outcomes. This
study aims to determine the correlation between stroke risk factors and stroke outcomes.
Methods: This research used cross-sectional observational analytic study and non-probability
sampling with total sampling technique. The research subjects consisted of 77 non-
thrombolysis acute ischemic stroke patients who came to the emergency room of Mohammad
Noer General Hospital from September 2022 to February 2023. The stroke risk factors were
assessed using the R-FSRS (Revised Framingham Stroke Risk Score) and patient outcomes
were assessed using the NIHSS (National Institutes of Health Stroke Scale). Results and
Discussions: The correlation between the risk factor of stroke and the outcome of non-
thrombolysis acute ischemic stroke patients was significant with a P value <0.001. The
correlation between blood pressure and type 2 diabetes mellitus with stroke outcome as
assessed by the NIHSS was significant with a P value <0.001. Conclusions: There was
significant correlation between the risk factor of stroke as assessed by R-FSRS and the outcome
of stroke as assessed by NIHSS in ischemic stroke patients. There was a significant correlation
between blood pressure and type 2 diabetes mellitus with stroke outcomes.

Keywords: Ischemic Stroke; R-FSRS; NIHSS

4
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-104
Identification of Risk Factors for High Prevalence of the
Hypertension Among Farm Workers in the Agro Industry
Area Jember

Ida Astuti1*, Angga Raharjo2, Arsyzilma Hakiim3, Eny Nurmaida4, Lukman

Oktadianto5
1234
Department of Public Health, Faculty of Medicine, University of Jember, Indonesia
5
Department of Pediatric, dr. Subandi Hospital- Faculty of Medicine, University of Jember, Indonesia

*Presenting author: +6281357484568; [email protected]

Abstract

Background: The prevalence of hypertension among farmers/farm workers in Indonesia

reaches 36.1%. Many studies have been conducted on the causes and risk factors for
hypertension in farmers/farm workers. However, each agro-industrial area has its own
characteristics, so it is important to recognize these problems so that solutions can be found.
This study aims to identify problems related to risk factors for hypertension in farm workers in
Jember Regency. Methods: This research is observational analytic research by cross sectional
study. The target population is the agro-industrial community, especially farm workers.
Determining the sample size in this study used total sampling, namely a number of 64 farm
workers with hypertension based on medical record data at the Puskesmas. The research
instrument was a questionnaire with structured interviews and data analysis test by chi square
test. Results and discussion: This study collected data on various risk factors that could
determine the prevalence of hypertension among farm workers, such as smoking, obesity, high
fat intake, excessive alcohol intake, high salt intake, and ignorance. From the statistical test
results of the six variables, only two variables have a high significance value (α<0.05). The two
variables are high salt intake (α=0.045) and ignorance factor (α=0.027). Conclusion: Variables
that have a correlation with hypertension are high sodium intake and the respondent's ignorance
factor. Both of these factors are closely related to knowledge, so the involvement of health
workers to provide continuing education is needed.

Keywords: Agroindustry worker; hypertension; risk factor

5
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-106
Prevention of Oral Cross-Infection by Using Povidone-Iodine
Compared with Other Antiseptic Agents for Orally
Transmitted Diseases: Review

Ala'a Saif Alqhtani1⃰, Farouk Al-ghazaly2, Ahmed Alareqi3, Anis Irmawati4,

Titiek Berniyanti5
1
Graduate Student of Dental Health Science, Faculty of Dental Medicine, University Airlangga,
Surabaya, Indonesia
2
Ph.D. student, Department of Dental Public Health, Faculty of Dentistry, University Airlangga,
Surabaya, Indonesia
3
BDS.MClinDent (Perio) Jordan University of Science and Technology Irbid, Jordan
4
Associate Professor in Oral Biology Department, Faculty of Dental Medicine, Universitas Airlangga,
Surabaya, Indonesia
5
Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Surabaya,
Indonesia

*Presenting author: +6288975846743; [email protected]

Abstract

Aim: Compare the effectiveness of povidone-iodine with other antiseptic agents in preventing
oral cross-infection and transmission of orally transmitted diseases. Background: there is a
gap in the literature regarding a comprehensive comparison between Povidone-iodine and other
formulations in terms of their effectiveness in preventing oral cross-infection and transmission
of orally transmitted diseases. Method: Utilizing the Google Scholar and PUBMED databases,
the researchers reviewed relevant studies over the previous five years. The snowballing
approach was utilized to locate more pertinent articles. Result: Povidone-iodine has shown
effective antiseptic properties in the oral cavity without disrupting its natural balance. It is a
valuable preventive oral transmitted disease for patients and healthcare providers, and there is
no evidence to show the side effects when long-duration. Conclusions: povidone-iodine can
be safely used as an antisepsis for the oral cavity as prevention of orally transmitted diseases
as personal prophylaxis and it's the most effective mouth rinse for viral infection in the oral
cavity due to the fast action.

Keywords: Antiseptic; COVID-19; Oral transmitted diseases; Povidone-iodine; SARS-COV-

2.

6
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-107
Risk Factors of Coronary In-Stent Restenosis in Drug Eluting
Stents: A Systematic Review and Meta-Analysis

Hotmauli Siahaan1*, Pandit2, Paulus Parholong Siahaan3, Rizky Novita

Anjaswanti4, Yudi Her Octaviono5, Hari Basuki Notobroto6

1,4,6
Public Health, Faculty of Public Health, Airlangga University, Indonesia
2,3,5
Medicine, Faculty of Medicine, Airlangga University, Indonesia

*Presenting author: +6281331521186; [email protected]

Abstract

Coronary restenosis is an event of reduction of the coronary artery diameter regardless the
stent implantation during percutaneous coronary intervention. This event can happen both in
uncoated (bare metal) or coated (drug eluting) stents. However, factors affecting the incident
have not yet been discovered. This systematic review and meta-analysis intended to delve the
risk factors frompatients clinical and angiographic characteristics standpoint of the incident
in bare metal stents (BMS-ISR) and drug eluting stents (DES-ISR). From our study, we found
that diabetes mellitus (OR 1.44 [95%CI 1.05 to 1.98] p < 0.00001), hypertension (OR 1.96
[95%CI 1.52 to 2.54] p < 0.00001), smoking (OR 1.26 [95%CI 1.01, 1.57] p = 0.04), family
history of CAD (OR 1.53 [95%CI 1.03 to 2.27] p=0.04) as the patients’ clinical characteristics
that play a role. As the angiography characteristics, stent lesion at LAD (OR 1.01 [95%CI
0.94 to 1.09] p = 0.69), LCX (OR 1.21 [95%CI 0.95 to 1.55] p = 0.13), and RCA (OR 0.97
[95%CI 0.90 to 1.05] p = 0.45) does not contribute of the occurrence of the event. However,
patients with two target lesion (OR 1.45 [95%CI 1.19 to 1.76] p = 0.0003) and multi vessel
disease (OR 2.13 [95%CI 1.75 to 2.60] p < 0.00001), in addition patients with longer stent
length and smaller stent diameter seems on risk factor of developing ISR in both BMS and
DES.

Keywords : Bare metal stents; Drug eluting stents; Meta analysis; Risk factor ISR;
Systematic review

7
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-108
Evaluation of Short-Course for Private doctors in Managing
Children Tuberculosis as a part of Public-Private Mix in
Surabaya, Indonesia

Rosita Dwi Yuliandari1*, Chatarina Umbul Wahyuni2, Fariani Syahrul2,

Yudied Agung Mirasa3, Kurnia Dwi Artanti2, Muji Sulistyowati2, Hari
Basuki Notobroto2, Mochammad Bagus Qomaruddin2
1
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Department of physical and chemical environment, Balai Besar Teknik Kesehatan Lingkungan dan
Pengendalian Penyakit, Surabaya, Indonesia

*Presenting author: +628157662545; [email protected]

Abstract

Background: Children are very susceptible to tuberculosis transmission, and the problems
often encountered in child tuberculosis are about diagnosis, treatment, and prevention according
to standards. This study aimed to improve the private doctor’s role in discovering and managing
child tuberculosis cases according to the Directly Observed Treatment Short-course program.
Methods: This quasi-experimental study with a pre-post design described 75 private doctors
(intervention group) who attended the courses and provided assistance four times in two months
in conducting early detection of children with tuberculosis and 75 private doctors (control
group). This study was conducted in September-December 2017 and used descriptive
quantitative data analysis. Results and Discussions: It was gathered that 84% of private doctors
attended a course to assist a suspected child with a moderate level of knowledge (60.0%).
Adjusted by the years of work, compared to the control group, the doctors in the intervention
group could screen children for TB up to four times higher. Most suspected tuberculosis
children had close contact with adult tuberculosis patients (48.1%) during the study.
Conclusions: This study found that private doctors suspected tuberculosis in children after
monitoring in the intervention group was more significant than in the control group. There has
been an increase in the discovery of tuberculosis suspected in children by private doctors who
intervened through courses and routine assistance.

Keywords: Public Private Mix; Tuberculosis; Children; Private doctor; Evaluation

8
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-110
Assessment of Estimated Kidney Function Based on
Creatinine in Indonesian Adult Populations: Calling for
Validation of Performance

Ferdy Royland Marpaung1*, Etienne Cavalier2, Hari Basuki Notobroto3

Djoko Santoso4 Aryati5
1
Doctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Indonesia
2
Department of Clinical Chemistry, University of Liège, CHU Sart Tilman, Liège, Belgium
3
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Indonesia
3
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Indonesia
4
Department of Clinical Pathology, Faculty of Medicine, Universitas Airlangga, Indonesia

*Presenting author: +6281330065748; [email protected];

[email protected]

Abstract

Background: The estimated glomerular filtration rate (eGFR) using creatinine serum is a
common method to determine kidney function. Currently, eGFR formulations including
Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI), Full Age Spectrum (FAS),
new European Kidney Function Consortium (EKFC), Dietary Modification in Renal Disease
(MDRD) and Cockcroft-Gault (CG), have been introduced and widely used in clinical settings.
However, the degree of categorical agreement among those formulas in the Indonesian
population remains unknown. The purpose of this study was to evaluate those formulas in
different classifications of GFR in the adult Indonesian population. Methods: The study
population consisted of 9,557 participants (median age 40 years, 68% male) who underwent
regular medical check-ups in August 2023. Serum creatinine levels were determined using
enzymatic and modified Jaffe methods. The eGFR CKD-EPI was considered the corresponding
GFR in comparisons. The mean differences and 95% limits of agreement of eGFRs between
each equation and the CKD-EPI equation were determined using Bland-Altman plots. To
compare the equations, Pearson's correlation coefficients (r) were determined for different GFR
categories. Results and discussion: The median creatinine level of population was 0.94
mg/dL. The CKD-EPI2021 and other equations have categorical agreement ranged from 67.24
to 93.18%. The correlation between CKD EPI-2021 varied; for CG, MDRD, CKD-EPI2009,
FAS and EKFC, it was 0.627, 0.927, 0.927, 0.998 and 0.83, respectively (p=0.001).
Conclusions: Based on our findings, there were significant disparities in eGFR evaluation in
the Indonesian adult population, depending on the equation used. Prospective research in
various clinical contexts using measured GFR is required to validate eGFR.

Keywords: Creatinine; eGFR; kidney function; Indonesia

9
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-111
Reported Prevalence of Gestational Diabetes Mellitus in Jambi:
The Relationship with Socioeconomic Factors, Age, BMI,
Hypertension, and Social Support

Ratna Sari Dewi1*, Santi Martini2, Muhammad Atoillah Isfandiari3

1
Doctoral Program of Public Health universitas Airlangga, Surabaya, Indonesia
2,3
Departement of Public Health universitas Airlangga, Surabaya,
Indonesia

*Presenting author: +62315920948, 5920949; [email protected]

Abstract

Introduction: Gestational diabetes mellitus (GDM) is a global problem that occurs in the
world. This case occurred in pregnant women at 24-28 weeks of gestation. The global
prevalence of GDM varies widely from 1% to 40%. Objective: The purpose of this study is to
describe the prevalence of GDM in Jambi and the risk factors for GDM. Methods: This
research method used a case control for analytic studies, the sample included 122 women with
GDM and 202 women without GDM. The research has an inclusion criterion is pregnant
women at 24-28 weeks of gestation. Results and discussion: The results of the study found
that the highest prevalence in Jambi 37,6%. The average risk factors for GDM are hypertension,
family history of DM, BMI > 25 kg/m2 and social factors. The results of a journal review also
show that mothers who give birth with GDM have a 48% risk of developing DM in the future.
Conclusion: Based on the conclusion in this study, that with the wide variation in risk factors
of GDM, it is better to set a GDM risk factor score so that other health services can use these
indicators as the gold standard for screening GDM.

Keywords: Gestational diabetes mellitus; Risk Factors, Jambi

10
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-112
Analysis of Risk Factors for Type 2 Diabetes Mellitus
in Kepulauan Seribu Utara District
DKI Jakarta Province

Intan Permata Hati Gea1*, Nurhayati Adnan 2, Inggariwati3,

Viktor Apriyanto4
1
Field Epidemiology Training Program, University of Indonesia, Indonesia)
2
Department of Epidemiology, University of Indonesia, Indonesia
3
Provincial Health Office of DKI Jakarta, Indonesia
4
Health sub-Office of Kepulauan Seribu Regency, Indonesia

*Presenting author: +6282273971576; [email protected]

Abstract

Background: Societal structure dynamics significantly contribute to lifestyle changes that

increase the risk of Diabetes Mellitus (DM). The prevalence of DM in DKI Jakarta in 2020 was
1.37% and increased in 2021 by 2.82%. This study aims to analyze and determine the risk
factors that most influence the incidence of Type 2 DM in Kepulauan Seribu Utara District.
Methodology: This research is an analytical study with a case-control design. It was conducted
in August 2023 using SIPTM secondary data from the Health Sub-Office of Kepulauan Seribu
Regency in 2022. The sample size used the Lemeshow formula, with 152 respondents divided
by 76 cases and 76 controls, by purposive sampling. Results and Discussions: The proportion
of respondents aged <45 years was 51.32%, and females was 53.29%. Bivariate analysis
showed that age, gender, obesity, central obesity, high blood pressure, family history of DM,
and sugar consumption related to the Type 2 DM (p-value <0,05). Multivariate analysis shows
four variables influencing the Type 2 DM: age (OR=2,6), family history of DM (OR=5,3), sugar
consumption (OR=4,7), and the most dominant variable influencing is high blood pressure (OR
11.3). It means that people with high blood pressure have an 11.3 times greater risk of
developing Type 2 DM. Conclusion. People aged ≥45 years or with a family history of DM
must be more alert, maintain daily sugar consumption, and normal blood pressure. It’s
necessary to execute a CERDIK campaign to prevent DM Type 2 and promote screening of
risk factors to increase community participation.

Keywords: Diabetes Mellitus; High Blood Pressure; Risk Factors

11
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-113
The Shift of STEMI Management and Outcomes in Asia and
Europe in the Aftermath of the COVID-19 Pandemic: A Meta
Analysis
Paulus Parholong Siahaan1*, Pandit Bagus Tri Saputra1, Ariikah Dyah Lamara1,
Rizky Novita Anjaswanti2, Diaz Faliha Adani2, Hotmauli Siahaan2, Markyan Jibril
Al Farabi3, Mohammad Saifur Rohman4, Yudi Her Oktaviono3, Atsushi Mizuno5,
Ayesha Cader6

1
Faculty of Medicine, Airlangga University, Surabaya, Indonesia
2
Faculty of Public Health, Airlangga University, Surabaya, Indonesia
3
Department of Cardiology and Vascular Medicine, Soetomo General Hospital, Faculty of
Medicine, Airlangga University, Surabaya, Indonesia
4
Department of Cardiology and Vascular Medicine, Soetomo General Hospital, Faculty of
Medicine, Brawijaya University, Malang, Indonesia
5
Department of Cardiovascular Medicine, St. Luke’s International Hospital, Tokyo, Japan
6
Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh

*Presenting author: +62811-3400-252; [email protected]

Abstract

Background: The COVID-19 pandemic created global issue especially in the field of
cardiovascular disease, specifically in STEMI management and outcome in Asia and Europe.
No study has compared those yet in between these continents. Methods: This meta-analysis
search for PubMed, Scopus, Web of Science, Proquest, EBSCO using MeSH terms, including
cohort studies of patients with STEMI reporting their door to balloon (DtB) time, symptom
onset to first medical contact (OtFMC) time and mortality before and during the pandemic with
the intent for PCI as the treatment strategy of choice, excluding patients of NSTEMI or UA
only, failed to make comparison before and during pandemic and different study design
Results: With a total of 38 cohort studies were included in this meta-analysis, Asia group’s
managements and main outcomes were: OtFMC (MD 18.66min [95%CI 5.16-32.17], I2 =70%,
p=0.007), DtB time (MD 22.76min (95%CI 13.34-32.18) I2 = 97%, p<0.0001), and mortality
(OR = 1.09 [95%CI 1.03–1.15], I2=48%, p= 0.002). Meanwhile, the Europe group’s were:
OtFMC (MD 25.93min [95%CI 13.93-37.92], I2 = 61%, p<0.0001), DtB time (MD 6.00min
[95 CI 1.26-10.74], I2=89%, p=0.01), and mortality (OR = 1.21 [95%CI 1.08–1.37], I2=22%,
p=0.001). Conclusion: Europe and Asia experienced higher door to balloon time, symptom to
first medical contact time, and mortality during the pandemic, with Europe has a lower DtB.
Many factors affecting the results and this study can be multifactorial evaluation for all health
stakeholders in combating STEMI patients during critical period.

Keywords: COVID-19; Door to Balloon Time; Onset to First Medical Contact Time; PCI;
STEMI

12
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-114
The Association of Secondhand Smoke and Hypertension
Among Adult Male in Bali, Indonesia

I Nyoman Purnawan1,3*, Sigit A. Saputro2, Muji Sulistyowati2,

Chatarina Umbul Wahyuni2, Santi Martini2, Sri Widati2
1
Doctoral Programme of Public Health, Universitas Airlangga, Surabaya, Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Faculty of Health and Science, Universitas Dhyana Pura, Bali, Indonesia

*Presenting author:Telp. +62315920948, 5920949; [email protected]

Abstract

Background: Secondhand smoke (SHS), also known as passive smoking is widely accepted
risk factors for hypertension. It is thought to have similar consequences outcomes for major
hypertension to that active smoking. This study aimed to determine the association of
secondhand smoke and hypertension among adult male. Methods: A nation-wide based cross-
sectional study of males aged ≥ 18 years were included into analysis. Multivariate logistic
regression was used to assess the association between hypertension and potential risk factors
of SHS. Results: We included 7,087 males in this study out of 14,494 subjects in Bali province,
that participated in Indonesian Basic Health Survey (IBHS) 2018 survey. Hypertension
prevalence among male adults was 32.3%. Among those hypertensive males, about 20.9%
subject was exposed as SHS. Multivariate logistic regression showed significant association
between SHS (OR = 1.16; 95%CI, 1.02-1.32) and hypertension with adjusted odd ratio of age
(aOR = 1.03; 95%CI, 1.02-1.04) and residence (aOR = 1.10; 95%CI, 0.99-1.23). Conclusions:
The prevalence of hypertension among older male who exposed SHS was higher among urban
residence in Bali’s province. We suggest to increase awareness of SHS exposure among older
male who life in urban area specifically. Public health campaign of anti-smoking is urgently
needed to control hypertension in Bali.

Keywords: Hypertension; Secondhand smoke; Urban; Male; Bali

13
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-115
Community Participation: The Key to Effective Dengue
Prevention and Control of Dengue Vectors

Iskandar Arfan1*, Fariani Syahrul2, Hasrah Junaidi3, Ayu Rizky4

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected];
2
Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Surabaya 60115,
Indonesia; [email protected];
3
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected];
4
Department of Health Administration, Institute of Technology and Health Muhammadiyah KALBAR,
Kuburaya 78117, Indonesia; [email protected]

*Presenting author: +6285651000862; [email protected]

Abstract

Background: Dengue is a disease transmitted through the bites of Aedes aegypti and Aedes
albopictus mosquitoes. Preventing this disease involves efforts from various stakeholders,
including the government, non-governmental organizations, healthcare professionals, and
equally important, active community participation. This literature review article will explore
the role and impact of community participation in dengue prevention and control. It involves a
review of various studies that have engaged communities in dengue prevention efforts and the
control of dengue vector transmission. Methods: This review employed a strategy of searching
for articles in research journal databases and reviewing them. Article searches were conducted
through databases such as Scopus, PubMed, and ProQuest from 2013-2023. Results and
Discussions: Community participation significantly influences dengue vector transmission
prevention and control. Community participation needs to be strengthened by various factors
such as community organizations, community leaders, community efforts, limited use of
insecticides in the community, community involvement in awareness campaigns, and
community relationships with health departments, NGOs, and institutions. Community
participation has a positive impact on dengue vector transmission prevention and control, but
there are also implementation barriers such as limited local health support and budget
constraints. Conclusions: Community participation plays a crucial role in dengue vector
transmission prevention and control. It is important to develop programs that consistently
involve community participation and enhance collaboration between the community and local
health authorities.

Keywords: Community Participation; Dengue Prevention; Dengue Control.

14
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-116
Surveillance of Pneumonia Risk Factors in Residential Areas
West Lombok Regency, 2023

Cresti Sukmadevi Sondakh*, Efi Sriwahyuni, Yudied Agung Mirasa

Center for Environmental Health Technique and Disease Control in Surabaya

*Presenting author: [email protected]

Abstract

Background: Pneumonia is the largest cause of death due to infection in children throughout
the world. Pneumonia killed 740,180 children under the age of 5 in 2019.at Indonesia. Many
factors contribute to the incidence of pneumonia such as air pollution, unfavorable
environment, immunization status. The aim of this research is to analyze risk factors for
pneumonia in this residential area through surveillance. Method: Cross-sectional research
method conducted February – March 2023. The research analysis unit is households with
toddlers. The sample size in this study was 210 households with simple random sampling.
Dependent variable: Pneumonia incidence, Independent variables are characteristics of
toddlers, low birth weight, exclusive breastfeeding, immunization, nutritional status, behavior
and home environment. Data were analyzed using multivariate logistic regression. Results: In
this study with multivariate analysis, that toddlers did not receive exclusive breast milk
(OR=3.15, 95%CI=1.09-9.10, p=0.03) where toddlers those who do not receive exclusive
breast milk have a 3.15 times risk of experiencing pneumonia, had smoking guests (OR=2.25,
95%CI=1.02-4.96, p=0.04), where toddlers whose homes were visited by smoking guests had
a 2.25 times risk of experiencing pneumonia. Conclusion: The incidence of pneumonia in
toddlers is 22.6%. The most dominant risk factors related to the incidence of toddler pneumonia
in West Lombok are toddlers who do not receive exclusive breast milk and guests who smoke.
It is recommended to keep toddlers away from smoke in their environment and provide
exclusive breast milk.

Keywords: Pneumonia; smoking; exclusive breastfeeding

15
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-117
Experience and Perceptions of Self-Disclosure Among People
Living with HIV (PLHIV): A Qualitative Study

Forman Novrindo Sidjabat1,2*, Nurhayati Adnan Prihatono2

1
Fakultas Teknologi dan Manajemen Kesehatan, Institut Ilmu Kesehatan Bhakti Wiyata Kediri,
Indonesia
2
Departement of Epidemiology, Faculty of Public Health, Universitas Indonesia, Indonesia

*Presenting author: +6285791143238; [email protected]

Abstract

Background: Self-disclosure is a complement to information about a person's health condition

and is related to preventing HIV transmission. However, it is not uncommon for people living
with HIV/AIDS to reveal their status because they are worried about stigma from society.
Method: This research was a qualitative study with 5 main informants for PLWHA who
revealed their status and 6 triangulated informants (partners, mothers, and health workers). The
data analysis technique used Rapid and Rigorous Qualitative Data Analysis (RADaR). Results
and Discussion: There are efforts to reveal positive HIV status, including self-awareness of
having carried out risky behavior, but there are obstacles to self-disclosure namely the risk of
being stigmatized by society. The benefit of self-disclosure is getting support. The reciprocity
of self-disclosure is the creation of an increasingly intimate relationship with family.
Conclusion: Self-disclosure for PLHIV is related to considering the positive/negative
influences received by PLHIV, besides also considering the benefits for the lives of PLHIV,
especially in undergoing medical therapy, risks in personal relationships, and responses. from
the interlocutor. Recommendation: Health care provides need to approach the community to
increase knowledge about HIV. Increase cooperation with government and citizens who care
about AIDS. Improving PLHIV consultation services.

Keywords: HIV/AIDS; Qualitative study; Self-disclosure

16
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-118
Unlocking the Potential: Vitamin D Supplementation in
Tuberculosis and Respiratory Infections

Hasrah Junaidi1, Annis Catur Adi2 , Iskandar Arfan3

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected];
2
Department Nutrition, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected];
3
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected]

*Presenting author: +628116886633; [email protected]

Abstract

Background: The potential role of Vitamin D supplementation in the management of

tuberculosis (TB) and prevention of respiratory infections has attracted significant attention in
recent years. This comprehensive literature review aims to synthesize and critically assess
findings from key studies conducted in diverse geographic regions to elucidate the impact of
Vitamin D supplementation in these contexts. The primary objective of this literature review is
to evaluate the efficacy of Vitamin D supplementation as an adjunctive therapy for TB treatment
and its preventive role in respiratory infections Methods: We conducted a systematic search of
relevant research articles, selecting five studies for inclusion in this review. These studies
encompassed randomized controlled trials and observational investigations, all exploring the
relationship between Vitamin D supplementation and TB or respiratory infections. We analyzed
the methodologies, findings, and implications of each study to provide a comprehensive
overview. Results and Discussions: There are 8 articles obtained and 5 articles analyzed
through the suitability of the topic, objectives, methods used, sample size, and results from each
article. Conclusions: The provision of elevated amounts of vitamin D hastened the clinical and
radiographic enhancement in every TB patient and heightened the activation of the host's
immune system in individuals with initially low serum vitamin D levels.

Keywords: Vitamin D; tuberculosis; respiratory infections; supplementation

17
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-119
Betel Quid Chewing Habit and Its Relation to Periodontal Status:
A Systematic Review

Annisah Biancika Jasmine1*, M. Atoillah Isfandiari2

1
Student of Public Health Doctoral Programme, Faculty of Public Health, Universitas
Airlangga, Indonesia
2
Public Health Doctoral Programme, Faculty of Public Health, Universitas Airlangga,
Indonesia

*Presenting author: +6281279801909; [email protected]

Abstract

Background: Betel quid chewing is associated with the periodontal status, in which it may
increase the risk and severity of periodontal disease. The objectives of this systematic review
were to provide an overview of the literature about the association between betel quid chewing
habit and periodontal status. Materials and methods: Publication searches were conducted on
PubMed database with criteria, such as: published between 2013 and 2023, written in English,
and assessed associations between betel quid chewing habit and periodontal status. The
included publications were analyzed for study design and main conclusions by using a critical
appraisal tool. Results: A total of 5 articles were evaluated. The habit of betel quid chewing
was greatly influenced by the community lifestyle. Duration and frequency of chewing had a
significant relationship with periodontal inflammatory parameters [PI, BOP, PD (4-6 and >6
mm), clinical AL and MBL], which were significantly higher in BQ chewers than non-chewers.
Conclusions: Betel chewing habit was associated with a worse periodontal status, in which
prolonged and excessive use of betel nut induced higher incidence and severity of periodontitis.

Keyword: Betel quid; Chewing habit; Periodontal status

18
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OA-120
Prevention of Hypertension to Increase Elderly’s Quality of
Life Through Screening and Education

Ekawati Sutikno1*, Hari Basuki Notobroto2, Nunik Puspitasari2, Ratna

Frenty Nurkhalim3, Dianti Ias Oktaviasari3
1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Indonesia
2
Department of Biostatistics and Population Study, Faculty of Public Health, Universitas Airlangga,
Indonesia
3
Faculty of Health Technology and Management of Institut Ilmu Kesehatan Bhakti Wiyata Kediri,
Indonesia

*Presenting author: +628123107573; [email protected]

Abstract

Background: Health and physical health are crucial for a healthy life, as they influence
productivity, productivity, and ability to maintain it. The balance between these factors can
lead to optimal living conditions. The quality of life in RW 09 Bandar Lor is divided into four
domains. Physical health domains showed the lowest score among other domains with a score
of 52.9. Min max (25-89.2). Health screening results showed that 70% respondent of the sample
suffered hypertension. The study aimed to improve the quality of life for the elderly in RW 09
Bandar Lor by implementing a program called "PURABAYA". Methods: The program
involved 106 elderly participants, who were taught how to make anti-hypertensive drinks,
receive counseling to increase knowledge about hypertension, and engage in exercise together.
Blood pressure measurements were taken in the first week and followed up three weeks after
the intervention. Results and Discussions: Quasi-experimental study designs (pre-post
intervention) was used in this research. The results showed that 71 respondents (66.67%)
increased their knowledge about physical activity and 23 (58.97%) increased their knowledge
about nutrition after counseling. Additionally, 93.3% of the participants experienced a decrease
in systolic blood pressure after the program. The Wilcoxon test showed p-value of the changes
in systolic blood pressure indicates 0.000 < 0.005, which means there is a difference between
the systemic blood pressure before and after the program. Conclusions: Based on the results,
it can be said that the program is effective in lowering blood pressure in the community.

Keywords: Quality of Life; Elderly; Hypertension; Kediri; Intervention

19
 The 7th International Symposium of Public Health 2023
2-3 October 2023

SCOPE – B:
PRIMARY HEALTH CARE AND
HEALTH SERVICE MANAGEMENT

20
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-101
Analysis of the Achievement and Utilization of Capitation
Funds through the Performance-Based Capitation (KBK)
mechanism in the Primary Healthcare in Malang

Ayu Tyas Purnamasari1*, Herlinda Dwi Ningrum1, Anggi Ardhiasti1

1
D3 of Health Insurance, Department of Medical Records and Health Information, Poltekkes
Kemenkes Malang, Malang, Indonesia

*Presenting author: +6285646872591; [email protected]

Abstract

Background: Capitation is one source of financing in primary healthcare which implemented

a performance-based capitation system since 2019. Performance-based capitation achievements
influence the amount of capitation received by primary healthcare. Several primary healthcare
experienced a decrease in capitation when they did not reach the indicators of performance-
based capitation. This study analyzed the achievement and utilization of Performace-Based
Capitation in the Primary Healthcare in Malang. Methods: This study used descriptive
qualitative research design with in-depth interview on six informants from three primary
healthcare who were responsible to manage capitation and used secondary data of Performace-
Based Capitation achievement from BPJS Kesehatan. Data were analyzed using content
analysis approach, including data reduction, presentation, conclusion, and verification. Results
and Discussions: Result showed that there were disparities in capitation funds because it was
determined by differences in the number of registered patients. In addition, there were also
differences in Performace-Based Capitation achievement. Among the three indicators, the
Outpatient Referral Ratio for Non-Specialized Cases (RRNS) was consistently achieved, but
the contact rate (AK) and controlled prolanis participant ratio (RPPT) indicators were still not
fully achieved. Primary Healthcare which were The Regional Public Entity (BLUD) status
managed capitation funds which have been incorporated into BLUD funds which were then
used for around 60% of services cost and 40% of operational costs. The use of BLUD
Puskesmas funds was regulated by Mayor's Regulations. Conclusions: Primary Healthcare
encourages the achievement of Performace-Based Capitation indicators so that the capitation
funds can be fully received and optimally utilized by Primary Healthcare.

Keywords: Utilization; Capitation; Performance-Based Capitation; Primary Healthcare

21
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-102
Decentralization Governance Analysis Based on WHO
Building Blocks: Comparing of Indonesia and Germany
Health Systems

Devy Syanindita Roshida1*, Eva Soelastri Harahap2

1
School of Medicines, Griffith University, Australia
2
Environmental Health Section, Public Health Sector, West Pasaman Health Office, Indonesia

**Presenting author: +6287702705688; [email protected]

Abstract

Background: Establishing health and wellness in Low-Middle Income Countries (LMICs) and
High-Income Countries (HIs) is a challenging process due to several factors. In fact, life
expectancy in LMICs is significantly lower than in HIs due to health imbalance. The lack of
disproportionate, preventable, or correctable discrepancies in the health of specific populations
is referred to as equity in health. A strong and integrated healthcare system is required to
achieve health equity in a country. Methods: This study analysis the health systems of
Indonesia and Germany utilising a review of 20 literatures followed by Boolean searching
algorithms on verified databases and grey literature to validate the contrast. Results and
Discussions: The nation profiles reveal differences in demography and socioeconomic
indicators for the two countries, resulting in similarities and differences based on WHO
building blocks data. The similarities include governance decentralisation and a method to
develop skilled workers in health. Comparing these two health systems, despite the fact that
Germany's health systems advanced in many areas as the best multi-payer scheme, Indonesia's
BPJS improved as the world's largest single-payer system. Conclusions: Germany and
Indonesia have both comparable and distinct health-care systems. However, Indonesia has more
major issues due to shortages, unequal distribution, and a restricted budget. Germany's health
system, on the other hand, has significant benefits due to its strong leadership, higher levels of
funding, and improved support systems. Nonetheless, both countries have very different health
systems that serve their respective populations by offering community health access.

Keywords: building blocks; comparison; Germany; health systems; Indonesia

22
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-103
The Relationship of Knowledge, Attitudes and Actions of Cadres in
the Discovery of Suspected Cases of Diphteria in the City of
Probolinggo

Dewi Rokhmah1*, Maharani2, Muslimat Erna Ekawati3

1,2
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat,
Universitas Jember
3
Dinas Kesehatan Kota Probolinggo, Jawa Timur

*Presenting author: [email protected]

Abstract

According to the World Health Organization (WHO), diphtheria is an infectious disease whose
epidemic is feared globally. This is because the death rate caused by diphtheria is high, especially in
children. In 2019, there were 529 cases with 23 deaths with a Case Fatality Rate (CFR) of 4.35%. Based
on the Probolinggo City Health Profile in 2022, it is known that 3 cases of diphtheria were discovered.
The study research location is located in the Probolinggo City Health, Control, Population and Family
Planning Service area or more precisely in the 6 work areas of Probolinggo City health centers,. This
research uses a quantitative method with a cross sectional approach. Respondents were obtained from
population and sample calculations. The respondent population was 1095 cadres, then a sample
calculation was carried out using cluster random sampling, obtaining the number of respondents in each
work area of the health center with a breakdown of 92 samples. Based on the results of the research,
conclusions can be drawn, namely, the characteristics of the highest respondents consist of an average
age including 41-50 years of age as many as 34 people, the average occupation is Housewife (IRT) as
many as 81 people, the average length of work is included in category >10 years as many as 61 people,
and the average education is high school as many as 65 people. The results of the Chi-Square test
analysis showed that age and education had a significant influence on cadre behavior, while cadre
employment and length of service did not have a significant influence on cadre behavior.

Keywords: Knowledge; attitudes; actions; cadres; diphtheria

23
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-104
Implementation of Communication, Bureaucracy and
Disposition of Cost Reduction and Cost Difference in
Preventing BPJS Health Fraud in Hospitals

Reny Nugraheni*, Ni Putu Priyanka Ayu Ratnanggana, Wahyu Sri Astutik,

Dadiek Sudarmanto, Tri Ana Mulyati, Endah Retnani Wismaningsih

Institut Ilmu Kesehatan Bhakti Wiyata Kediri (Health Technology and Management Faculty,
Indonesia)

* Presenting author: +6281234131111; [email protected]

Abstract

Background: : Fraud related to BPJS Kesehatan financing still occurs and can cause financial
losses for the state, one of which is a deficit in BPJS Health financing. The Government of
Indonesia issued PMK No. 51 of 2018 concerning the Imposition of Cost Reduction and Cost
Difference in the Health Insurance program as an effort to prevent fraud committed by health
facilities and BPJS Kesehatan participants. This study aims to analyze the picture of the
implementation of PMK policy No. 51 of 2018 concerning the implementation of cost reduction
and cost difference in hospitals. Methods: qualitative descriptive through structured interviews
with key informants of medical service managers, front office officers, casemix teams, and
main informants of BPJS Health inpatients. Results and Discussions: communication
variables are not in accordance with the Minister of Health Regulation, there is still a lack of
facilities to support the communication process, the variable disposition of the implementor
already understands the objectives and benefits of the policy, and there is no rejection in its
implementation, bureaucratic structure variables already have SOPs that regulate the
implementor's workflow, there is coordination between hospitals and BPJS Kesehatan, and not
through a bureaucratic structure that is too complicated. Conclusions: the implementation of
policies based on communication factors has not been in accordance with regulations,
dispositions, and bureaucratic structures in accordance with PMK No. 51 of 2018 concerning
the Imposition of Cost Reduction and Cost Difference.

Keywords: Implementation of Communication; Disposition; Bureaucracy; Cost Reduction;

Cost Difference

24
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-105
Efforts to Improve Performance of Inpatient Unit of
Mabarrot Islamic Hospital Gresik Based on Malcolm
Baldrige Performance Criteria
Setya Haksama1*; Diansanto Prayoga2; Muhammad Azhary RN3; Alida
Lienawati4; Susilowati3; M. Farid Dimjati Lusno1; Izzudin Syahbana5; Farid
Erwanto5; Tatik Farihah5; Arief Misbahul5; Syahrania Naura Shedysni5;
Syahprevi Rayyan Zeinsar6; Syadza Zahrah Shedyta6; Shyamkumar
Sriram7.
1
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
2
Public Health Study Program, Department of Health Sciences, School of Health and Life
Sciences, Universitas Airlangga, Banyuwangi, Indonesia
3
Faculty of Health Sciences. Alma Ata University, Yogjakarta, Indonesia
5
Islamic Hospital Mabarrot, Gresik, Indonesia
6
Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
7
College of Health Sciences and Professions, Ohio University, Athens-Ohio, United States

* Presenting author: +628123226632

Abstract

Background: Efficient hospital service performance is important in reflecting the success of

hospital services. Based on the Bed Occupancy Rate (BOR) of the hospital, the data obtained
in 2019 was 51.47%, in 2020 it was 40.85%, and in 2021 it was 45.92%, Methods: This study
is an analytic observational study with a cross-sectional approach. The study respondents were
34 people consisting of doctors, nurses, midwives, administrative staff. The questionnaire was
tested for content validity and obtained a value of CVI = 0.77, carried out construct validity and
obtained 90 items greater than r table = 0.476. Reliability test was used using Cronbach's alpha
formula and obtained a value of 0.986. Aims to improve the performance of Mabarrot Islamic
Hospital inpatients by using the Malcolm Baldrige Performance Criteria tool which consists of
8 (eight) criteria, namely: Organizational Profile; Leadership; Strategic Planning; Customer
Focus; Assessment, Analysis, and Knowledge Management; Human Resources; Operational
Activity Focus; and Results, each of which is tested for relationship and strength of relationship
with Spearman Correlation. Results and Discussions: There is a very strong relationship
between 3 criteria, namely Human Resources of 0.993, Results of 0.837, Strategic Planning of
0.758 towards Customer Focus Criteria; and Customer Focus Criteria of 0.837 against Results
Criteria. Conclusions: That performance based on Malcolm Baldrige criteria at Islamic
Hospital Mabarrot Gresik is good.

Keywords: Malcolm Baldrige Performance Criteria; Efficiency; In-patient Unit; Hospital

Management.

25
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-106
Midwives’ Perceptions of Berselendang Sutra Program
Implementation at Primary Health Care, Banyuwangi Regency

Annastasya Debby, Christyana Sandra*, Andrei Ramani

1
Undergraduate Programme of Public Health, Faculty of Public Health, University of
Jember, Kalimantan Street Number 37, Passcode 68121, Jember, Jawa Timur, Indonesia

*Presenting author: +6281331911040; [email protected]

ABSTRACT
Background: MMR and IMR are indicators to assess a country's health status. However, until
now MMR and IMR in Indonesia are still relatively high compared to other ASEAN countries.
Various efforts have been made to suppress MMR and IMR, one of which is by providing
opportunities for local governments to innovate public health services. Paspan Primary Health
Care has created an innovative program to reduce maternal and infant mortality in 2021,
because it contributes to cases of maternal and infant mortality in Banyuwangi Regency almost
every year. The purpose of this study was to describe implementation of Berselendang Sutra
program in work area of Paspan Primary Health Care, Banyuwangi Regency from the
perceptions of midwives. Methods: This type of study is descriptive with a quantitative
approach. Unit of analysis was the MCH field at Paspan Primary Health Care with 11 midwives
as respondents. Results and Discussions: The results showed that midwives' perceptions of
program input aspects were mostly sufficient to support program activities. In process aspect,
there is no job description and training for officers. In output aspect, several program targets
have been achieved. Conclutions: There needs to budgeting for the program, makin additions,
maintenance and repairs to existing facilities. It is necessary to immediately prepare the
procedure and tchnical instructions to guide the implementation of the programme. Coaching
and training must be regularly scheduled for officers to establish high officer performance.

Keyword: Implementation programme; perception; midwife

26
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-107
Brand Awareness of Healthy Services at Primary Health
Center: An Innovative Marketing Technique

Diansanto Prayoga1*, Nyoman Anita Damayanti2, Syifaul Lailiyah3, Jayanti

Dian Eka Sari3, Setya Haksama2
1
Doctoral Student of the Public Health Doctoral Study Program, Faculty of Public Health,
Universitas Airlangga, Surabaya, East Java, Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia
2
School of Health and Life Sciences, Universitas Airlangga, Surabaya, East java, Indonesia

*Presenting author: +6281335632063; [email protected]

Abstract

Background: Health centers play a vital role in prevention and health promotion. While most
individuals visit health centers for treatment, there are still relatively few people who visit
health centers for preventive care, aiming to stay healthy. Methods: This study employed a
qualitative approach with a cross-sectional study design. The sample was calculated using
Raosoft with a significant value of 5%, and from the calculation result, it is known that the
sample was 400 people. Results and Discussions: The majority of the community or 62.25%
of respondents (249 people) had received promotions from the Primary Health Center about the
innovation program of Healthy Person Mall. Among respondents who had received promotions
about healthy people malls, most respondents (38.6%) received them in offline form delivered
by health workers. The four types of marketing innovation in healthy people malls are radical
innovation, incremental innovation, disruptive innovation, and architectural innovation.
Marketing innovation methods that will help build brand awareness of the health center.
Marketing innovation to build brand awareness of healthy people malls by rebranding,
maintaining, educating, expanding, interacting, hosting events, personalizing, repricing,
partnering, and collaborating. Conclusions: Marketing innovation for the existence of healthy
people malls at Puskesmas is needed so that people visit to maintain and care for their health.
Maintaining the health of the community is better than doing medication.

Keywords: Brand Awareness; Prevention; Health Promotion; Puskesmas; Innovative

Marketing Techniques

27
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-108
Analysis of Factors Affecting Telemedicine Use Satisfaction

Annisa Nurida*, Djazuly Chalidyanto2

1
Faculty of Public Health, Airlangga University, Indonesia
2
Department of Health Administration and Policy
Faculty of Public Health, Airlangga University, Indonesia

*Presenting author: +6287851974841; [email protected]

Abstract

Background: The use of telemedicine as an alternative to healthcare has become increasingly

important in providing easier and more efficient accessibility to healthcare services.
Understanding the factors that influence telemedicine usage satisfaction is a key step in
maximizing the benefits of this technology. This literature review aims to; identify key factors
that influence telemedicine user satisfaction levels, assess methods used in analyzing
telemedicine usage satisfaction factors, and present important findings from related studies.
Methods: The study involved a literature search through academic databases which included
PubMed and Google Scholar. Article selection was based on the inclusion criteria of being
published in the last 5 years. Keywords such as "telemedicine", "user satisfaction",
"determinants", and related terms were used to search for relevant articles. Results and
Discussions: From this literature review, a number of key factors that influence user
satisfaction in telemedicine utilization were identified. These factors include the availability of
adequate technology, the quality of telemedicine services, the level of confidence in the security
of personal data, the ease of use of the telemedicine platform, and the interaction between
patients and healthcare providers through telemedicine. Conclusions: The factors that
influence telemedicine usage satisfaction are diverse and interrelated. User satisfaction is an
important indicator of successful telemedicine implementation. Therefore, healthcare providers
and policy makers should consider these factors in designing, implementing, and improving
telemedicine services. Further research and improved research methodologies can provide
stronger empirical evidence is a critical step in developing optimal and satisfactory
telemedicine practices for all concerned parties.

Keywords: Telemedicine; user satisfaction

28
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OB-109
Analysis of the Relationship Between Hospital Ownership
and Google Maps Star Ratings: A Case Study of Regional
General Hospitals (RSUD), Private Hospitals, and
Muhammadiyah Hospitals (RSM) in East Java

Sholihul Absor1*, Thinni Nurul Rochmah2, Musa Ghufron3

1
Doctoral Program, Faculty of Public Health, Airlangga University, Indonesia
2
Department of Health Administration and Policy, Faculty of Public Health, Airlangga University,
Indonesia
3
Dept. of Public Health and Healthcare Management, Faculty of Medicine, Muhammadiyah Surabaya
University, Indonesia

*Presenting author: +6281357831611; [email protected], [email protected]

Abstract

Background: Competition among hospitals in East Java is growing increasingly fierce,

especially in the midst of a stagnation in the number of National Health Insurance (BPJS)
participants. The Muhammadiyah Hospital network (RSM) faces the challenge of excelling
compared to its competitors, including Regional General Hospitals (RSUD) and other Private
Hospitals. Star ratings on Google Maps have now become a crucial factor influencing patients'
choices and, as such, serve as a relevant indicator for assessing hospital competitiveness.
Therefore, further analysis is required to establish a connection between hospital ownership
status and star ratings on Google Maps in East Java. Methods: This study involved 102
samples, including 34 RSMs, each compared with RSUDs and Private Hospitals in their
respective cities. The analysis aimed to examine the relationship between hospital ownership
status and star ratings on Google Maps in East Java. Results and Discussions: The results of
the statistical tests indicated no significant difference in star ratings between RSMs and Private
Hospitals (p 0.09; CI 95%) or RSUDs (p 0.08; CI 95%). Additionally, the analysis revealed a
Pearson correlation coefficient of -0.190 (p 0.05; CI 95%). While these results approach the
threshold of statistical significance, several methodological limitations should be considered,
including uncontrolled confounding variables. Conclusions: Considering the p-values
approaching the significance threshold, this study can serve as a foundation for further research,
particularly regarding factors that may influence star ratings. Furthermore, despite the lack of
statistical significance in this relationship, there is significant practical potential within the
context of hospital management, particularly for RSMs aiming to enhance competitiveness and
service quality.

Keywords: Google Maps; Hospital Ownership; Relationship Analysis; Star Rating; Hospital
Competition

29
 The 7th International Symposium of Public Health 2023
2-3 October 2023

SCOPE – C:
PUBLIC HEALTH AND NURSING

30
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-101
Concept Mapping Care Plan (CMCP) in Enhancing Nursing
Students’ Academic Achievement in Clinical Practices

Rusnani Ab Latif 1*, Wan Ismahanisa Ismail 2, Nadiatul Syima Mohd

Shahid 3, Norasma Bakar4, Yoyok Bekti Prasetyo 5
1 2 34
Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Pulau Pinang, Campus
Bertam,13200, Kepala Batas, Pulau Pinang, Malaysia.
5
Faculty of Health Sciences, University of Muhammadiyah Malang, Indonesia.

*Presenting author: +60-0139104522; +60-04-5623488; [email protected]

Abstract

Background: Clinical practices are the most important component of nursing education, where
the students apply knowledge and skills that had been taught in the classrooms into practice.
The success of this application process will enable them to bridge the gaps between theory and
practice, thus improving their clinical decision-making abilities and competencies. Concept
mapping is a useful tool for developing a care plan for a patient in a clear and logical manner.
Therefore, the aim of this study is to assess nursing students’ academic achievement in clinical
practices using the Concept Mapping Care Plan (CMCP). Methods: The study employed a two-
group quasi-experimental design with pre-and post-tests on 218 second-year nursing students,
which had 109 respondents respectively. Respondents were randomly assigned to a control
group (lecture-based) and an experimental group (concept mapping) from four nursing colleges
under Institut Latihan Kementerian Kesihatan Malaysia (ILKKM). Significant p-values were
considered as those less than 0.05. Results and Discussions: The experimental group’s mean
CMCP scores during clinical practices were 65.23, whereas the control groups were 59.33. The
paired t-test with a p-value of 0.05 indicates that there are significant differences between the
experimental and control groups. Conclusions: The purpose of employing concept mapping as
a teaching method is to allow the students to understand the knowledge theory comprehensively
and apply it during clinical practice. CMCP can be used to replace the current nursing process
used in clinical practice. CMCP can help students enhance their learning experience by linking
the ideas better.

Keywords: Academic achievement; Concept mapping care plan (CMCP); Clinical practices;
Nursing students

31
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-102
Patients' Perceptions of the Success of Conventional
Thalassemia Treatment: A Qualitative Investigation

Wan Ismahanisa Ismail1*, Maryam Farooqui2, Hidayah Karuniawati3,

Muhammad Nabil Fikri Roslan1, Rusnani Ab Latif1, Nadiatul Syima Syahid1,
Norasma Bakar1, Syarifah Masyitah Habib Dzulkarnain1
1
Universiti Teknologi MARA, Cawangan Pulau Pinang, Malaysia
2
Department of Pharmacy Practice, Unaizah College of Pharmacy, Qassim University, Qassim, Saudi
Arabia
3
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy Universitas
Muhammadiyah Surakarta, Indonesia
4
School of pharmaceutical sciences, Universiti Sains Malaysia, Penang, Malaysia

*Presenting author: +60184026428; [email protected]

Abstract

Objective: Thalassemia is a long-term medical condition that harms the mental and physical
health of those who are affected by it. These patients are handled by a cradle-to-grave
healthcare system that provides them with rigorous conventional therapy. The purpose of this
study is to investigate how thalassemia patients feel about the efficiency of traditional
treatments for their condition. Method: To investigate the problems connected to the
perceptions of the efficacy of the standard medicines among thalassemia patients, a qualitative
approach was used that blended theoretical and purposive samplings. A total of 21 willing
patients were enlisted from the Malaysian Thalassemia Society in Kedah. The Malay and
Chinese populations, two of Malaysia's three largest ethnic groupings, made up the sampled
patients. Results: The majority of thalassemia patients claimed to have relied on traditional
medical procedures to treat and lessen the severity of their condition. In this aspect, the patients
felt that conventional therapy successfully lowered ferritin levels and raised hemoglobin levels.
The employment of conventional therapies using highly advanced and clinically proven
procedures has been the subject of a sizable number of in-depth studies that have shown them
to be superior to the side effects of traditional medicine, despite the higher cost of the former.
Conclusions: In summary, patients expressed satisfaction with the standard thalassemia
treatments. To adhere to the treatment plans, though, more extensive counseling and instruction
are crucial. Therefore, more investigation is needed to examine the patients who have chosen
to forego receiving conventional medicines for the treatment of thalassemia.

Keywords: Conventional; thalasseemia; complementary and alternative medicine; qualitative

32
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-103
Application of COMBI (Communication for Behavioral
Impact) to Stunting in Pamekasan District

Sherly Jeniawaty*, Yuni Ginarsih, Queen Khoirun Nisa’Mairo,

Luthfi Rusyadi

Polytechnic Health Ministry Surabaya, Indonesia

*Presenting author: +6281259321301; [email protected]

Abstract

Background: The prevalence of stunted babies in Pamekasan is expected to remain in the

thousands in 2021. The Pamekasan Health Service (Dinkes) reports a record of 5,457 stunted
babies, despite a smaller number compared to the previous year when 7,506 babies experienced
stunted growth. However, this year's coverage area is larger. The research objective Applying
the COMBI Method to the Stunting Phenomenon in Pamekasan Regency Methods: This
qualitative research employs social capital. The COMBI method has been employed in the
community to reduce stunting prevalence. Data was collected from interviews with 20 health
workers overseeing stunting eradication programmes. Results and discussions: indicate that
stunting prevalence in Pamekasan Regency remains high, necessitating a thorough examination
of social capital utilization. The findings of this research reveal that cultural influences have an
impact on how inhabitants of Pamekasan district perceive maternal and parental healthcare.
The FGD analysis has shown that initiatives to tackle stunting such as the First 1000 Days of
Life programme have been introduced, but collaborations between different communities are
yet to be established. This necessitates collaboration between the health bureau, educational
office, and village to incorporate information on the stunting eradication scheme in all
community events. The conclusions and recommendations: emphasised the significance of
interdivisional and interprogramme cooperation in controlling and diminishing the stunting
prevalence. Midwives as officials of Posyandu (Regular Health Care) need to improve the
coordination with the local community and emphasize the promotion of stunting-eradication
programs.

Keywords: Methode COMBI; Stunting; Stunting in Pamekasan

33
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-104
Alertness of Bystander in Rapid First-Aids Management When Sudden
Cardiac Arrest Strikes

Yohanes Kambaru Windi*, Loetfia Dwi Rahariyani

Nikmatul Fadilah

Politeknik Kesehatan Kemenkes Surabaya

* Presenting author: [email protected]

Abstract

Background: Sudden Cardiac Arrest (SCA) is the most life-threatening heart disease. In many
cases, the risk of death from SCA can be avoided if there is timely first-aid to provide
pulmonary resuscitations. People around the victims (bystanders) can be a savior if they are
familiar with first aid, especially resuscitation. This study explores the alertness of the
bystanders in providing timely first aid for SCA casualties. Methods: It is a statistical
descriptive study involving 500 participants purposively chosen from four community health
centers in Sidoarjo District. The data were collected using questionnaires which are descriptive
statistical analyses. Results and Discussion: The data analysis shows that the majority of the
respondents (58%) are more familiar with heart attacks than SCA (2.6%). Heart attack is
perceived as heart attack is the most life-threatening (47%) compared to SCA (24%). Nearly
58% of the respondents seek first aid from the people around the site and 25% call the
emergency units. However, 40.2% of the respondents avoid doing anything to save the victims
of SCA the reasons of being incapable of providing first-aid (30%), and afraid of making wrong
treatments (27%) or being accused (22.6%). Conclusion: People around the SCA victim tend
to avoid providing first-aid due to poor knowledge and skills to perform first aid, being afraid
to make mistakes, and being blamed if the case worsens.

Keywords: Sudden Cardiac Arrest; Bystander; First aid; Resuscitation

34
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-105
The Relationship Between Obesity and Physical
Activity in School Children Aged 13-15 Years Old in
Junior High School Yogyakarta, Indonesia

Indriani1*, Rizky Wulandari1, Putri Ayu Mustikasari1, Nor Faizah Kaeni2

¹Department of Physical Therapy, Faculty of Health Sciences,

Universitas ‘Aisyiyah Yogyakarta, Indonesia
2
Department of Anesthesia Nursing, Faculty of Health Sciences,
Universitas ‘Aisyiyah Yogyakarta, Indonesia

*Presenting author: +62 82137645299; [email protected]

Abstract

Background: Globally, the problem of obesity in school children has become an important
concern. Obese children will be at risk of becoming obese adults and at high risk of developing
metabolic diseases, sleep disorders, bone problems, psychological problems such as loss of
confidence, and academic problems. One of the causative factors besides nutrition is lack of
physical activity, which causes an imbalance between energy intake and energy expenditure.
Objectives: The research objective is to determine the relationship between physical activity
and obesity in students aged 13-15 in Yogyakarta. Method: Cross-sectional study was
conducted on junior high school students with a total population of 245 students aged 13-15
who were enrolled as students in grades 7, 8, and 9 at a private high school in Yogyakarta.
Anthropometric data were used to determine BMI students. The research instrument in the
research was questionnaire aiming at assessing students' physical activity and its characteristics.
Data analysis used the Kendal tau test using SPSS version 19.00. Results: It was found that 22
students (15.3%) were obese and girls were more obese than boys, namely 12 students (14.5%).
Obese students were shown to be significantly less physically active (p = 0.025). Conclusion:
Child obesity is still high and is highly correlated with lack of physical activity. Schools play
an important role in reducing obesity by providing prevention programs and increasing students'
knowledge through nutrition education and physical education programs in the school learning
curriculum.

Keywords: BMI; Obesity; Physical activity, School Health Promotion; Physical Activity
Education Program

35
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-106
Determinants of Early Marriage in Aceh Rural Areas

Idawati1*, Lutfi Agus Salim2, Shrimarti Rukmini Devy2, Kartika1, Yuliana3,

Muzaffar1, Zulfikar1, Maulina Iriyanti1
1
Doctoral Program of Public Health Faculty of Public Health, Universitas Airlangga, Surabaya
2
Faculty of Public Health, Universitas Airlangga, Surabaya
3
Faculty of Midwife, STIKes Medika Nurul Islam, Pidie Regency, Aceh, Indonesia
* Presenting author: +6285260785988; [email protected]

Abstract

Background: Early-age marriages occur mainly in the lower middle economy, as some of the
population still adhere to the belief and tradition that daughters should be promptly married. As
for teenagers who are married because of their family circumstances. Even early marriages are
often caused by out-of-marriage pregnancies. Parents also think that marrying their daughters
at a young age will reduce the family's economic burden. Methods: This study uses data from
the Regional Office (Kanwil) of the Ministry of Religion (Kemenag) of Aceh, Population of
this study is all women who have been married at the age of under 19 years of the total of 507
respondents who live in the countryside of Aceh. Research samples using total sampling
techniques. The variables analyzed include early marriages, traditions, knowledge and
economics. The analysis used is collinearity, chi-square, and double logistic regression tests.
Results and Discussions: Traditional and economic factors are significantly linked to early
marriage among women married under the age of 19 in the rural Aceh region. The poorest
women were 2.23 times more likely to have early marriages than the richest women. Poor
women were 1.68 times more prone to early marriage than the most wealthy women. Women
with strong traditions were 10.34 times, 12.10 times, and 4.52 times higher than college
graduates. Conclusions: Traditional and economic factors are significantly linked to early
marriages but knowledge factors are more dominant than early marriage events.

Keywords: Early Marriage; Economics; Knowledge; Tradition.

36
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-107
Policy, Intervention and Management in Addressing
Stunting: A Systematic Review

Siti Aminah1*, Trias Mahmudiono2, Siti Rahayu Nadhiroh3

1
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
Indonesia
2
Departement of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Departement of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +62315920948, 5920949; [email protected]

Abstract

Background: Stunting is a problem of chronic malnutrition caused by a lack of nutritional

intake for a long time. This causes problems in the future which result in difficulties in
achieving optimal physical and cognitive development. Stunted children have an Intelligence
Quotient (IQ) lower than the average IQ of normal children. This research aims to analyze
policies, interventions, and management for handling stunting through a systematic study.
Method: The design used was a systematic review, articles were collected using electronic
databases such as ScienceDirect, SpringerLink, ProQuest, PubMed, and SAGE from 2019-
2023. The analysis uses journal content analysis. Results and Discussion: Based on the results
of a literature review to reduce stunting rates, the policies and management carried out include
partnerships between the provincial government and non-governmental organizations,
companies, and the community itself. Stunting policies and programs focus on food security,
decentralization of the health system, availability of health services and access to health
services, maternal education, access to water, sanitation, hygiene, maternal nutrition, and
poverty alleviation. Proper policy implementation results from holistic and comprehensive
policy formulation. Conclusion: Stunting prevention requires cross-program and cross-sector
collaboration and is carried out comprehensively. Existing policies and regulations at the central
level must be followed up with follow-up at the village level. The community-based
management system needs to be improved because the public's high awareness of the
importance of balanced nutrition, sanitation, and environmental cleanliness are the main assets
for reducing the incidence of stunting.

Keywords: Policy; management; stunting

37
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-108
Enhancing Cardiopulmonary Resuscitation (CPR) Training for
Community with Foam Pillows: A Promising Approach

Abdurahman Wahid1*, M. Atoillah Isfandiari1, Bernadetta Germia Aridamayanti2,

Shofy Aristia Wardani2, Mahadani2, Nida Islah Salsabila2, Muhammad Syarif2,
Achmad Rifky Wiguna2, Maulidah3
1
Doctoral Programme, Faculty of Public Health, Universitas Airlangga, Indonesia
2
School of Nursing, Faculty of Medicine, Universitas Lambung Mangkurat, Indonesia
3
Applied Undergraduate and Ners Study Programme, Health Polytechnic Pontianak,
Indonesia

*Presenting author: +6281334221983; [email protected]

Abstract

Background: Cardiopulmonary resuscitation (CPR) demands precision in life-saving

techniques. This study evaluates the efficacy of foam cushions as instructional aids to achieve
accurate compression depth and chest recoil during CPR training within a community context.
Methods: A Quasi-Experimental design, recognized in resuscitation studies, was employed.
The study involved 33 participants with no experience with CPRWe enrolled 33 CPR-naïve
participants aged 17 to 25 through open recruitment via WhatsApp and Instagram. Foam
cushions (45 cm x 60 cm) with compression markers served as instructional tools. The study
utilized the Little Anne QCPR CPR manikin by Laerdal and the QCPR application on an iPad
Air 2 for performance assessment. Results and Discussion: In our study of 33 participants
(mean age 19.93), reflecting agile learning potential, foam cushions were examined as CPR
training aids. With a balanced gender distribution (43.3% males, 56.7% females), a noteworthy
proportion achieved precise compression depth (93%) and chest recoil (96%) during CPR
training with foam cushions. These findings underscore the potential of foam cushions as tools
to augment CPR training quality, potentially influencing real-life resuscitation outcomes.
Further research is warranted to validate their efficacy and explore broader implications for
CPR education. Conclusion: Foam cushions promise to enhance community-based CPR
training by promoting precision in compression depth and chest recoil.

Keywords: Cardiopulmonary resuscitation; Chest recoil; CPR training; Resuscitation

education

38
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-109
Parental Influence and Physical Education on Adolescents
Physical Activity

Alya Nur Fadhilah*

Master of Public Health, Gadjah Mada University, Indonesia

*Presenting author: +6285777720466; [email protected]

Abstract

Background: Physical inactivity is the world’s fourth leading risk factor for global mortality.
Several studies underline the importance of parents as a health promoting factor and physical
education in school for physical activity. The aim of this study is to find out the relationship
between parental influence and physical education for physical activity of adolescents in
Indonesia. Method: This cross-sectional study analyzed data from the 2015 Global School-
based Student Health Survey (GSHS). Self-report questionnaire was collected from 11.124
students (13-17 years old) based on two-state cluster sample design. Parental influence
(yes/no), physical education attendance (0-1, 2-3, 4-5 days a week), and obese status (yes/no)
were independent variables. The data obtained were analyzed using multiple linear regression.
Result: Among the total sample, 15.86% of students reported that they were physically active
at least 60 minutes/day on 5 or more days. After controlling the sociodemographic factors (i.e.,
age and sex), physical activity was significantly associated with parental influence (AOR: 0.64;
95% CI: 0.57-0.71) and physical education attendance (AOR: 1.92; 95% CI:1.64-2.25).
Obesity was not statistically associated with physical activity. Conclusion: These results imply
that parents may implement structured physical activity times and support physical education
for their children. Furthermore, physical education must be part of regular curriculum at all
level of education to maintaining physical activity habits.

Keywords: Physical activity; parent influence; physical education

39
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-111
Type 2 Diabetes Mellitus Patients' Experiences in Receiving
Family Support: A Narrative Review

Haris Suhamdani1,2*, Ernawaty Ernawaty3

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya, 60115, Indonesia
2
Department of Nursing, Faculty of Health, Universitas Qamarul Huda Badaruddin Bagu, Lombok
Tengah, 83562, Indonesia
3
Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga
60115, Indonesia

* Presenting author: +6281917020001; [email protected]

Abstract

Background: Self-management behavior in T2DM patients is influenced by various factors,

one of them is family support. however, the specific family support in order to be received by
T2DM patients has never been studied. The aim of this study is to explore the experiences of
T2DM patients in receiving family support. Methods: A narrative review is used by searching
for literature in journal databases including PubMed, Scopus, ScienceDirect, ProQuest and
Sage Pub. Several keywords "T2DM Experience" OR t2dm AND "family support" OR "Family
supportive" AND "Self-Management". Results and Discussions: The results of the literature
search follow the framework (1) availability of family support for T2DM patients (2)
constraints in receiving family support for patients T2DM, and 3) the influence of family
support in carrying out self-management behavior for T2DM patients. Conclusions: Family
support is an important factor in self-management behavior for T2DM patients. There is a need
to increase family’s knowledge and skills as well as joint commitment in providing support to
patients with T2DM.

Keywords: Patients' Experiences; Family Support; Self-Management; T2DM; Narrative

Review

40
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-112
Determining Factors Affecting Mother's Behavior in
Stunting Prevention in the Madura Rural using the
Theory of Planned Behavior

Ulva Noviana 1*, Shrimarti Rukmini Devy2, Zakiyah Yasin3

Public Health Faculty, Airlangga university, Indonesia

*Presenting author: +6285790793777; [email protected]

Abstract

Background: Stunting is one of the cases of chronic malnutrition whose prevalence continues
to increase from year to year in Indonesia. WHO for 2022 indicates that about 22% or 149.2
million young children have stunts. The WHO also placed Indonesia as the third country with
the highest prevalence of stunts in Asia. The results of interviews and questionnaires by the
Balita stunting family obtained low levels of rural family behavior in Madura in stunting
prevention in terms of healthy clean lifestyle. This is what increases the prevalence of stunting
in Balita. This study aims to develop a model of mother behavior in stunting prevention in
children aged 0-24 months. Methods: Design observational analytical research with a cross
sectional approach. The population in this study was mothers with children aged 0-24 months,
totaling 215 respondents. These variables are behavioral belief, evaluation of behaviour
outcomes, attitudes, demographics, perceived control, intentions and behavior of mothers in
stunting prevention. The instrument used is a questionnaire adapting the theory of planned
behavior. Analyze data using SEM approach with the help of smartPLS4. Results and
Discussions: The results of the study have been obtained that that value for Cronbach alpha
and C.R calculated above (>0.7), AVE value >0.50 thus has good validity and reliability. PLS-
SEM results revealed that mother behavior in stunting prevention is directly influenced by
attitudes, demographics and perceived control. Intention as an arrangement of action that when
there is a suitable time and opportunity will be realized in the existence of action or behavior.

Keywords: Intention; behavior; stunting prevention

41
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-113
Program-based Education to Prevent Diabetic Foot Ulcer on
Patient with Diabetes: Systematic Review

Angger Anugerah Hadi Sulistyo1*, Inge Dhamanti2

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya, 60115, Indonesia
2
Center for Patient Safety Research, Universitas Airlangga, Surabaya, 60115, Indonesia

*Presenting author: +6282123501431; [email protected]

Abstract

Background: Diabetic foot ulcers (DFUs) pose a significant health burden, contributing to
morbidity and mortality among individuals with diabetes. Program-based education has
emerged as a crucial strategy in preventing DFUs and related complications. This systematic
review aims to assess the effectiveness of program-based education interventions in preventing
DFUs in patients with diabetes. Methods: A comprehensive search was conducted across major
electronic databases, The following database were Pubmed, Science Direct, Proquest, and Web
of Science. The method used in writing this article is a systematic review, using the Preferred
Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist guidelines.
The inclusion criteria were clinical and a randomized control trial published between 2018 to
2023. The primary outcome measure was the incidence of DFUs, while secondary outcomes
included foot-related knowledge, self-care behaviors, and quality of life. Results and
Discussions: The studies encompassed diverse educational programs, such as structured foot
care education, and patient-centered self-management programs. In total, 18.433 articles
regarding Program-based education to prevent Diabetic Foot Ulcer on patient with diabetes
were found in this study. However, around 19 articles that were met with the criteria of this
study. Conclusions: Program-based education is a promising approach for preventing DFUs in
patients with diabetes. The evidence suggests that such interventions are effective in reducing
DFU incidence, improved foot care behavior, enhancing knowledge and self-care practices, and
improving quality of life. Future research should focus on standardizing program components
and evaluating long-term outcomes to establish best practices in DFU prevention through
education programs.

Keywords: Programmed-based Education; Diabetic Foot Ulcer; Diabetes Mellitus

42
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-114
HIV Patient Medical Data Protection Policy: Public
Information Disclosure and Data Privacy Viewpoints

Arief Budiono1*, Alan Siti Nurrizky1, Fahmi Fairuzzaman1, Andria Luhur

Prakoso1
1
Department of Law, Faculty of Law, Universitas Muhammadiyah Surakarta, Indonesia

*Presenting author: +6282230291000; E-mail [email protected]

Abstract

Background: Digital technology is one of the tools that always closely coexists with human
activities in the 21st century. Cloud computing technology is one of the things that plays a role
in the health sector today, of course this has an impact on data management in health care
facilities. There are many problems regarding leakage of personal data in Indonesia, one of
which is leakage of medical data. The author tries to focus on issues regarding aspects of
privacy and public information disclosure regarding HIV patient data. Methods: The research
method in this study is a type of dogmatic research. The author uses a statutory approach and a
conceptual approach. Regulations for medical data specifically regarding HIV patient data in
Minister of Health Regulation Number 24 of 2022 which further regulate medical records.
Results and Discussions: Legal aspects of personal data protection, HIV patient data and
privacy and Public Information Disclosure have several legal aspects that need attention and
scrutiny. Data protection provisions regarding patient data are listed in the Personal Data
Protection Act. Medical records from HIV patients are included in a specific data category.
Disclosure of specific data based on the PDP Law is very strict in its management and
processing. Conclusions: The author sees that there are limitations in the aspect of public
information disclosure regulated in the Public Information Disclosure Act. Medical records are
information that can be exempted from being disclosed to the public for certain reasons and
could endanger medical personnel
Keywords: Medical Records; Public Infromation; HIV/AIDS; Privacy

43
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-115
Scoping Review of Midwives' Workload: A Comprehensive
Overview

Niken Bayu Argaheni1*, Rufidah Maulina1, Septiana Juwita2

1
Midwifery Department, Medical Faculty, Universitas Sebelas Maret, Indonesia
2
Doctoral Program of Development Communication/Community Empowerment, Universitas Sebelas
Maret, Indonesia

*Presenting author:

Abstract

Background: Midwives play a crucial role in maternal and newborn care, yet their workload
is a multifaceted and dynamic aspect of their profession. Understanding the factors that
contribute to midwives' workload is essential for optimizing their performance, ensuring quality
care, and promoting overall well-being. Methods: This scoping review aims to provide a
comprehensive overview of the existing literature on midwives' workload. A systematic search
of databases, including PubMed, CINAHL, and Scopus, was conducted to identify relevant
studies published between 2013 and 2023. The search strategy included keywords related to
midwives, workload, staffing, job satisfaction, and burnout. After screening and selection, a
total of 15 studies were included for analysis. Results and Discussions: The review synthesizes
key findings related to midwives' workload, highlighting various dimensions, including
caseload, patient acuity, staffing levels, work environment, and job satisfaction. Factors
contributing to increased workload among midwives encompass the rising complexity of
maternal and neonatal cases, inadequate staffing, long working hours, and organizational
challenges. Moreover, high workload levels have been linked to burnout, decreased job
satisfaction, and potential adverse outcomes for both midwives and the women they care for.
Conclusions: This scoping review provides a comprehensive overview of the existing literature
on midwives' workload, emphasizing the multifaceted nature of this issue and its potential
implications for midwifery practice and maternal health outcomes. The findings underscore the
need for further research and policy initiatives to address workload-related challenges, promote
midwife well-being, and ultimately enhance the quality of care provided to pregnant women
and newborns.

Keywords: Midwives; workload; staffing

44
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-116
Determinants of Basic Immunization Compliance to
Children in The Covid-19 Pandemic Based on The Health
Belief Model

Eka Mishbahatul Marah Has*1,2, Anni Izza Hanifa3, Aria Aulia Nastiti4,
Ilya Krisnana1, Dwi Faqihatus Syarifah Has5
1
Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya City,
Indonesia
2
School of Nursing and Midwifery, La Trobe University, Australia
3
Undergraduate Student, Faculty of Nursing, Universitas Airlangga, Surabaya City, Indonesia
4
Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya City, Indonesia
5
Doctoral Student, Faculty of Public Health, Universitas Airlangga, Surabaya City, Indonesia

*Presenting author: [email protected]

Abstract

Background: Immunisation of children is essential to reduce mortality and morbidity. The

immunisation coverage rate for children in Indonesia is still low, especially during the COVID-
19 pandemic. The study aimed to explain the determinants of basic immunisation compliance
for children during the COVID-19 pandemic based on the Health Belief Model. Methods: This
was a cross-sectional correlation study. The population were mothers with the latest children
aged 9-24 months. Samples were 148 respondents taken by using the proportional cluster
random sampling technique. The independent variables were perceived susceptibility,
perceived severity, perceived benefit, perceived barrier, and cues to action. The dependent
variable was the basic immunisation compliance of children. Data were collected by using a
questionnaire. Data were then analysed using Spearman Rho with the level of significance
α<0.05. Results and Discussions: There was a strong relationship between perceived
susceptibility (p = 0.000; r = 0.669), perceived severity (p = 0.000; r = 0.693), perceived benefit
(p = 0.000; r = 0.650), perceived barrier (p = 0.000; r = 0.777), cues to action (p = 0.000; r =
0.712) with adherence to basic immunisation for children during the COVID-19 pandemic.
Conclusions: The higher the perceived susceptibility, perceived severity, perceived benefit,
cues to action, and the lower the perceived barrier, the mother's compliance in providing basic
immunisation increases. Community health nurses should develop a health promotion program
to improve parental compliance in providing basic immunisations for children under five years.

Keywords: Compliance; immunization; children under five years old; health belief model;
COVID-19

45
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-117
Research Trends for Family Assistance Teams in Efforts to
Reduce Stunting in Health Journals in Indonesia

Lisbet Octovia Manalu*, Soenarnatalina Melaniani

Airlangga University (Faculty of Public Health, Indonesia)

*Presenting author: +6285220787761; [email protected]

Abstract

Background: Stunting is a public health problem in Indonesia with a relatively high

prevalence. Prevention is the Indonesian government's top priority. This can have short-term
and long-term impacts on quality. Human resources and productivity of malnourished stunted
children as they grow up. Therefore, prevention and early detection efforts are very necessary,
especially by the stunting family support team. Previous research has identified complexities
associated with the determinants of stunting. This research uses content analysis on a number
of articles that have been published in health journals throughout Indonesia from 2017 to 2023,
with the performance of the Family Assistance Team on Stunting as the main focus of the
research. Methods: This study adheres to the principle of content analysis, namely focusing
on findings from various studies that have been published in health journals in Indonesia.
Results and Discussions: Each article is grouped into certain categories based on certain
aspects that meet the specified categories. This decision is based on the information shared by
the author in the abstract, methods, and discussion sections. Next, the data that has been
collected is presented in the form of a bar chart. Conclusions: family support teams need to be
given increased capacity to improve performance as family support teams in efforts to reduce
stunting rates in Indonesia.

Keywords: Family support team; stunting; stunting prevention.

46
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-118
The Influence of Hyperreality Social Media on Adolescent
Food and Drink Choices: A Preliminary Study

Abigael Grace Prasetiani1*, Sri Widati2

1
Doctoral Degree Program in Public Health Program, Faculty of Public Health, Universitas
Airlangga, Indonesia
2
Departement of Epidemiology, Biostatistics and Demography, Health Promotion and Behavioral
Science, Faculty of Public Health, Universitas Airlangga, Indonesia

* Presenting author: +6283856547626; [email protected]

Abstract

Background: Social media has become an essential aspect of our lives, especially for
adolescents, in this digital age. Platforms like Instagram, FaceBook, TikTok, and many more
have created a hyperreal world that blurs the line between reality and fantasy. This can have
significant consequences, particularly when it comes to the food and drink choices of
adolescents. This initial study aims to examine how hyperreality in social media influences
adolescents' food choices. Methods: The study used both surveys and focus group discussions
to gather information from 20 adolescents aged 13-18. Participants had to be active users of
social media platforms. Results and Discussions: The study's findings indicate that exposure
to hyperreal social media content influences teenagers to make unhealthy food and drink
choices, increasing their risk of developing non-communicable diseases. Conclusions: More
research and effective measures are needed to counteract social media's negative effects on
adolescent health.

Keywords: Adolescent; food and drink choices; hyperreality; social media

47
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-119
Parental Education's Influence on Care Patterns of Children with
ADHD Based on Financial Stability and Demographic Region in
Indonesia

Meilina Ratna Dianti1*, Lilis Sulistyorini2

1
Doctoral Degree Program in Public Health Program, Faculty of Public Health, Universitas
Airlangga, Indonesia
2
Departement of Environmental Health, Faculty of Public Health, Universitas Airlangga, Indonesia

*Presenting author: 082221006667; [email protected]

Abstract

Background: Disparities or gaps in the care of children with Attention Deficit Hyperactivity
Disorder (ADHD) against the background of financial stability and parental demographic areas
were such a problem in Indonesia. The existence of quite specific differences in services and
care was found because parents who do not have permanent jobs tend to let children with
ADHD grow up without special attention. Methods: Using a longitudinal cohort design,
parents of children with untreated ADHD were surveyed and interviewed regarding their
knowledge and perceptions of ADHD and then followed for 3 to 6 months to determine whether
they used services. For 3 to 6 months, researchers carried out interventions in the form of
counseling and assistance regarding the care of ADHD children in the family. Results and
Discussions: Of the 70 children, 33 (47.1%) did not attend mental health appointments and 51
(72.9%) did not use any treatment at 3 to 6 month follow-up. Logistic regression showed that
increasing age and medication problems were associated with fewer follow-up mental health
appointments (P < 0.05) and less treatment utilization (P < 0.05). The results of this study
highlight the importance of addressing medication issues, when referring ADHD children with
parents of different financial stability and demographic regions to mental health services.
Conclusions: Health offerings are influenced by differences in demographic regions as well
because demographic regions influence whether or not it is easy for parents to access healthcare
or care offers from health professionals and facilities.

Keywords: Attention Deficit Hyperactivity Disorder; Care Patterns; Demographic Region;

Financial Stability; Parental’s Education

48
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OC-120
Role of Community Mental Health Nurses to Handling
Psychosocial Problem Related Domestic Violence in Indonesia

Alfunnafi’ Fahrul Rizzal1*, Suyatno2, Tien Aminah1, Indari1, Wita Oktaviana3

1
Mental Health Nursing Department, Faculty of Health Science, ITSK RS dr. Soepraoen, Indonesia
2
Arif Zainudin Mental Health Hospital, Surakarta, Indonesia
3
Universitas Muhammadiyah Surakarta, Indonesia

*Presenting author: [email protected]

Abstract

Background: Cases of domestic violence that occur in Indonesia have a significant impact on
the psychosocial well-being of victims. Dealing with these psychosocial effects requires
integration, particularly from community mental health nurses who work in health centers
throughout Indonesia. The purpose of this article is to explain the role of community mental
nurses in handling cases of domestic violence in Indonesia. Methods: This research method
using a simple narrative literature review. For this study, researchers randomly searched for
articles through various sources and databases, including ScienceDirect, neliti.com, and Google
Scholar. Results and Discussions: The results indicate that community mental health nurses
have three main domains of service. Firstly, they play a role in providing mental nursing care
interventions to help victims of domestic violence overcome anxiety and depression.
Additionally, community mental health nurses also advocate for further treatment by involving
more institution. Lastly, they provide education to the community through health counseling
and posyandu activities in order to prevent domestic violence. Conclusions: Integrated and
comprehensive efforts are necessary to strengthen families and prevent domestic violence.

Keywords: Domestic violence; community mental health nurses

49
 The 7th International Symposium of Public Health 2023
2-3 October 2023

SCOPE – D:
MATERNAL, CHILD, ADOLESCENT AND
REPRODUCTIVE HEALTH

50
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-101
Impact of Adolescent Pregnancy on Antenatal Care (ANC):
An Analysis of Demographic Health Survey (DHS) 2017 in
Indonesia and Philippine

Arfani Setyawati1*, Abdul Wahab2, Amirah Wahdi2

Student of Master’s Public Health Program, University of Gadjah Mada, Indonesia

1
2
Department of Biostatistics, Epidemiology and Population Health, Faculty of Public Health,
University of Gadjah Mada, Indonesia

*Presenting author: +6281335292274; [email protected]

Abstract

Background: Indonesia and Philippines are the three countries with high adolescent pregnancy
in ASEAN. The existence of negative stigma from society and lack of quality in health facilities
causes adolescent to be unable to access antenatal care. Even though the first adolescent
pregnancy has a high complications and maternal death. This study investigates the relationship
between adolescent pregnancy and ANC visits in Indonesia and the Philippines. Methods:
Cross-country comparison method was used with cross sectional design using Demographic
Health Survey (DHS) 2017 in Indonesia and Philippines. The sample was primiparous aged
15-49 years. A total of 4355 women in Indonesia and 1813 women in the Philippines were
successfully analyzed using the chi-square test and logistic regression. Results and
Discussions: In Indonesia, the prevalence of ANC visits < 8 times for adolescent mothers is
43.7%, while in the Philippines, it reaches 72.9%. In multivariable analysis, adolescent
pregnancy in Indonesia (AOR 2.06; 95% CI 1.68-2.53) and adolescent pregnancy in the
Philippines (AOR 1.72; 95% CI 1.20-2.47) had a higher risk of making ANC visits < 8 times
compared to adult pregnancies. Factors influencing ANC visits in both countries are the
mother's occupation, family economic status, place of residence, marital status, husband's
education, information about pregnancy complications, and demographic region. Conclusions:
Adolescent pregnancy was associated with ANC visits in Indonesia and the Philippines.
Adolescent mothers' compliance with ANC visits can be achieved by improving the quality of
youth-friendly health services by providing comprehensive services and collaborating with
others parties.

Keywords: Adolescent pregnancy; ANC; DHS; Indonesia; Philippines

51
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-102
A Descriptive Study on the Knowledge and Perception of
Parent’s Towards Their Children’s Dietary Behavior

Norasma Bakar1*, Nurul Syuhada Syafinaz Abd Halim2 , Khairunnisa

Samsudin2
1
Faculty of Health Sciences, Universiti Teknologi MARA Cawangan Pulau Pinang, Kampus Bertam,
2
Centre for Nursing Studies, Faculty of Health Sciences, Universiti Teknologi MARA
Cawangan Selangor

*Presenting author: +60194798796; E-mail ([email protected])

Abstract

Background: Childhood obesity is a growing problem influenced by genetics and the

environment. Studies consistently link dietary habits to obesity, including food choices, meal
frequency, snacking patterns, and overall diet quality. Parenting practices, such as being a good
role model and using moderate restrictions, significantly impact children's dietary behaviors.
Therefore, the study aims to assess parental general nutrition knowledge and perception on
dietary behavior among their children between the ages of four to six years old (preschool).
Methods: The researcher used a quantitative descriptive study design with simple random
sampling and it involved 390 respondents among parents. The study aimed to assess the
parental general nutrition knowledge and feeding style towards their children’s dietary
behavior in Kuala Selangor, Malaysia. The parent’s general nutrition knowledge and
perception were assessed using a General Nutrition Knowledge Questionnaire. Results and
Discussions: The results revealed that a significant portion of respondents (67.9%)
demonstrated an intermediate level of general nutrition knowledge, indicating a moderate
understanding of nutrition concepts. Another notable proportion (27.7%) scored higher marks,
indicating a higher level of nutrition knowledge associated with healthier eating habits and
lifestyle choices. However, a small percentage (4.4%) scored lower marks, suggesting a limited
understanding of general nutrition knowledge. Conclusions: Parent nutrition knowledge
perception is crucial in shaping children's dietary behavior. The findings of this study
emphasize the importance of parents' understanding of nutrition concepts and their ability to
translate that knowledge into healthy feeding practices.

Keywords: Knowledge; perception; dietary behaviors; parents; children.

52
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-103
Health Literacy of Covid-19 Among Students and Visit to
Health Clinic: A Mixed Method Study in Islamic Boarding
School of Indonesia

Ida Astuti1*, Kuntoro2, Bagus Qomaruddin2, Ayu Munawaroh3, Hirdes

Yuanto4
1
Doctoral Study Program of Public Health, Faculty of Public Health, Airlangga University,
Surabaya, Indonesia
2
Post Graduate Program, University of Airlangga, Surabaya, Indonesia
3
Department of Histology, University of Jember, Jember, Indonesia
4
Medical and Surgical Nursing Depatment of Institute of Health Nursing Sciences, Banyuwangi,
Indonesia

*Presenting author: 081357484568; [email protected]

Abstract

Background: Students (Santri) in Islamic boarding school (pesantren) are still limited literacy
of Covid-19. The aim of the study was to analyze health literacy of Covid-19 among Santri and
their behavior to visit health clinic in Pesantren. Methods: Mixed method study was conducted
among 348 Santri from October 2020 to May 2021, whereas the population size is 3.600 santris.
A self-administered questionnaire was used to measure characteristic of participants, student’s
health literacy of Covid-19, and health clinic visit. Meanwhile, a semi-structured questionnaire
was used to performed in depth interview among Santri. Kendalls Tau’s test was used to analyze
a quantitative data, while thematic analyses was used to analyze a qualitative data. Mixed
method analyzed was performed between quantitative and qualitative data regarding Health
Belief Model approach. Results and Discussion: The findings proved that the implementation
of Covid-19 prevention behavior based on a measurable and precise HBM could reduce student
morbidity rates by decreasing visits to the pesantren’s clinic during the Covid-19 pandemic.
The results of qualitative analysis through in-depth interviews with thematic methods showed
that self-efficacy (SE) is a unity of Performance outcome, Verbal persuasion, Emotional
arousal, and Observational learning. In this study, emotional arousal showed negative emotions
because senior santris have been in uncomfortable situations for years. Conclusion: The
conclusion of this study is that student’s health literacy toward as preventing Covid-19 increases
through understanding HBM. HBM implementation is important as a preventive promotive
effort to overcome diseases in a community such as Islamic Boarding Schools.

Keywords: Covid-19; Students; Islamic boarding school; Preventive behavior; Health Believe
Model

53
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-104
The Influence of Sleep Quality of Pregnant Women on the
Incident of Stunting: A Literature Review

Siti Nuriyatus Zahrah*, Nyoman Anita Damayanti

Faculty of Public Health, Airlangga University, Indonesia

*Presenting author: +6281318218785; [email protected]

Abstract

Background: Lifestyle changes have a significant impact on stunting prevention in the modern
era, including changes in sleep patterns. Sleep is an important activity for the body, during
sleep the process of growth of body cells occurs due to the work of growth hormone produced.
Irregular sleep patterns or sleep deprivation in pregnant women can lead to anemia and
disturbances in the formation of growth hormone, thereby disrupting the growth and
development of children, including the risk of stunting. Objective: This literature review aims
to discuss the influence of sleep quality of pregnant women on the incidence of stunting.
Methods: This research method is the results of a literature review. This study was obtained
from 3 databases namely Scopus, Google schoolar, and articles from the mass media using
exclusion and inclusion criteria. Results and Discussions: Pregnant women have poor sleep
quality especially in the third trimester. Short or less sleep duration have a negative impact on
the body. This is because the biological processes that occur during sleep will also occurence
disturbances, including disturbed hemoglobin formation so that the levels become lower than
normal standards. Sleep deprived pregnant women experience a lack of NREM sleep phase,
where in this phase the growth process occurs because growth hormone is produced.
Conclusions: There is an influence between the quality of sleep in pregnant women and the
incidence of stunting. Pregnant women who sleep less will experience anemia and lack of the
NREM sleep phase which is a risk factor for stunting babies.

Keywords: Pregnant women; sleep quality; stunting

54
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-105
Study Protocol: A Mixed-Methods Study to Develop and
Validate a Questionnaire of Self-management and Its
Relationship with Quality of Life among Thalassemia
Adolescents

Siti Munirah Abdul Wahab1*, Siti Khuzaimah Ahmad Sharoni2, Wan

Ismahanisa Ismail1, Noor Shafina Mohd Nor3

1
Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Pulau Pinang, Kampus Bertam,
13200 Kepala Batas, Pulau Pinang, Malaysia
2
Centre for Nursing Studies, Faculty of Health Sciences, Universiti Teknologi MARA Selangor,
Kampus Puncak Alam, 42300 Puncak Alam, Selangor, Malaysia
3
Paediatric Department, Faculty of Medicine, Kampus Sungai Buloh, 47000 Sungai Buloh,
Selangor, Malaysia

*Presenting Author: +6045623444, [email protected]

Abstract

Background: Self-management among Malaysian adolescents with thalassemia least

published study due to the paucity of specific theoretical and culturally appropriate measures,
leading to psychological effects and non-compliance with conventional treatment. This study
aims to develop and validate a questionnaire to evaluate self-management among Malaysian
adolescents with thalassemia. Methods: An exploratory mixed-method design is used in this
study. We will recruit adolescents aged 10 to 19 with thalassemia and their caregivers from one
of the thalassemia societies for a semi-structured interview in Phase I. Recruitment of
participants ends once thematic saturation is reached. Coding and thematic analyses will be
utilized to identify self-management domains and items. In Phase II, we will develop self-
management instruments based on the domains and items generated from Phase I. Content
validity will be reviewed by ten expert panels, and a pilot study will be tested with 42
conveniently selected adolescents aged 10 to 19. Four hundred twenty-two participants from
eleven thalassemia NGOs will participate in conducting the psychometric evaluation of items
self-management instruments. Expected Outcome: With the existence of these instruments,
healthcare providers can gather crucial information regarding thalassemia adolescents’ self-
management may improve adolescents’ adherence to treatment and lower serum ferritin,
enhancing their health-related quality of life. Trial registrations: Ethical approval will be
obtained from the UiTM Ethics Research Committee and the Malaysia Thalassemia Society.

Keywords: Thalassemia; Adolescents; Self-management; Questionnaire; Quality of Life

55
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-106
The Relationship of Anxiety Level with the Menstruation
Cycle in Midwifery S1 Students at Institute of Health Science
Kuningan

Fera Riswidautami Herwandar*, Siti Nunung Nurjannah, Evi Oktaviani

Study Program of S1 Midwife, Institute of Health Science Kuningan

*Presenting author: +6282128934621; E-mail riswida88gmail.com

Abstract

Background: The menstrual cycle is the period from the first day of menstruation to the first
day of the next menstruation. The menstrual cycle can be affected by a woman’s psychological
condition so that the menstrual cycle can go forward or backward. In West Java, the prevalence
of primary amenorrhea is 5.3%, polymenorrhea is 10.5% and mixed disorders is 15.8%. The
results of the preliminary study showed that as many as 8 out of 12 S1 Midwifery students at
Institute of Health Science Kuningan experienced menstrual cycle irregularities. The study
aimed to determine the relationship between anxiety levels and the menstrual cycle in
Midwifery S1 students at Institute of Health Science Kuningan in 2022. Methods: This type of
research is quantitative research with a correlational analytic approach. The population and
sample in this study were all students of the Institute of Health Science Kuningan Midwifery
study program with a total sampling technique of 54 respondents. The instruments used were
the HARS questionnaire and the menstrual calendar. Data analysis was performed using Rank
Spearman. Results and Discussions: The bivariate analysis of the two variables studied yielded
ρ–value = 0.003 with moderate category strength in a positive direction (R = 0.4). Conclusions:
There is a relationship between the level of anxiety and the menstrual cycle in S1 Midwifery
students at Institute of Health Science Kuningan. There is a need for a good coping mechanism
in dealing with every problem and a healthy lifestyle is needed to reduce anxiety so that the
menstrual cycle is not disturbed.

Keywords: Anxiety Levels, Menstrual Cycle

56
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-107
Factors that Influence the Occurrence of Stunting Among Child
in Sumenep District

Zakiyah Yasin1*, Ahmad Nawawi2, Ulva Noviana 3, Shrimarti Rukmini Devy4

1
Doktoral Program of Public Health, Faculty of Public Health, Universiatas Airlangga,
Indonesia
2
Pascasarjana Doktoral Pendidikan Agama Islam, Universitas Islam Negeri Sunan
Ampel Surabaya
3
Public Health Faculty, Airlangga university, Indonesia
4
Public Health Faculty, Airlangga university, Indonesia

*Presenting author: +6281703156544; [email protected]

Abstract

Background: Stunting has an impact on disruption of brain development. Intelligence,

physical growth disorders and metabolic disorders in the body are short-term impacts of
stunting. Decreased cognitive abilities, learning achievement and endurance are the long-term
impacts of stunting. The aim of this research is to analyze the influence of maternal factors on
the incidence of stunting among toddlers in Sumenep Regency. Methods: This type of research
uses a quantitative design with a cross sectional research design. This type of research uses a
quantitative design with a cross sectional research design. The population of this study was all
mothers who had children under five with stunting totaling 78 people. The sample was 65
people using simple random sampling technique. The data analysis used was a logistic
regression test. Results and Discussions: he research results showed that the majority of
respondents (58.5%) did not comply with taking Fe tablets, the majority of respondents
(53.8%) had a history of ANC examinations that were not fulfilled, the majority of respondents,
(55.4%) experiencing anemia during pregnancy. The logistic regression test shows that there
is an influence of adherence to consuming Fe tablets on the incidence of stunting with (p<α =
0.05), there is an influence of ANC examination history on the incidence of stunting with a
(p <α = 0.05). Conclusions: Stunting incidents can occur due to a lack of education and
counseling for pregnant women about the benefits of complying with taking Fe tablets, ANC
checks, and preventing anemia, knowledge and awareness of mothers in reducing the incidence
of stunting.

Keywords: Compliance with Fe Tablet Consumption, ANC Examination History, Anemia

during Pregnancy, Stunting

57
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-108
Factors Associated with Risk of Injury in Toddlers

Retno Puji Hastuti*, Musiana

Tanjungkarang Nursing Major, Tanjungkarang Health Polytechnic, Indonesia

*Presenting author: +6281379303502; [email protected]

Abstract

Background: Toddlers are vulnerable to injury. They have curiosity and enjoy exploring the
environment, but their understanding and ability to react to danger are limited. Toddlers actively
move and start to enjoy playing outside. Toddlers are developing fine motor skills and start
grasping, opening doors, or throwing objects around them. The research objective was to
identify factors associated with the risk of injury in toddlers. Method: This type of Quantitative
research with a cross-sectional approach. The location is in the sub-district of the Rajabasa
Indah Health Center. Respondents were 30 parents of toddlers with the inclusion criteria of
biological parents, who were selected using the Simple-Random Sample Technique. Data
collection with interview method using a questionnaire. Univariate data analysis with
proportion, and bivariate analysis to determine factors associated with injury risk in toddlers
with Chi-square. Results and Discussions: Characteristics of toddlers: Male (46.6%), female
53.4%; The most child is 3rd child (40%); Nutritional status: less (23.4%) and Normal (73.3%),
Development status: normality (93.34%), and deviations (6.66%). Type of injuries: Falls
(30%), wounds (16.7%), burns (10%). All mothers of toddlers (100%) had good knowledge,
but there was unfavorable environmental modification (10%). There is a significant relationship
between gender, maternal education, growth disorders, and developmental disorders with the
incidence of toddler injuries (p-value <0.05). There is no relationship between the number of
children and the mother's occupation to the incidence of toddler injuries (p-value>0.05).
Conclusions: Health promotion as anticipatory guidance is needed for families to prevent the
risk of injuries to toddlers.

Keywords: Toddlers, Preventing the risk of injury

58
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-109
Is the Body Mass Index a Useful Predictor of Exercise
Capacity among Postpartum Women:
A Cross-Sectional Study

Nurul Husna Mohd Nasir*, Rabiatul Adawiah Abdul Rahman

Physiotherapy Programme, Faculty of Health Sciences, Universiti Teknologi MARA,

Cawangan Pulau Pinang, Bertam Campus, Malaysia.

*Presenting author: +60135972933; [email protected]

Abstract

Background: Body mass index (BMI) and level of exercise capacity during the postpartum
period has a great impact on women’s physical fitness and risks to comorbidities. Yet, the
predictor of exercise capacity related to BMI is not well defined and understood. The study
aimed to determine the level of exercise capacity and its predictor among postpartum women.
Methods: A cross-sectional study was conducted at Kepala Batas Health Clinic, Pulau Pinang.
A total of 134 postpartum women were recruited using a purposive sampling method.
Descriptive analysis was performed on data pertaining to sociodemographic characteristics,
anthropometric characteristics, and exercise capacity level as measured by the 2-Minutes Step
Test (TMST). Predictors of exercise capacity among postpartum women were analysed using
a stepwise linear regression test. Results and Discussions: Overall, the mean BMI was
24.7±4.9 kg/m² and the mean score of exercise capacity based on TMST was 87.93±9.89 heart
beats per minute which was significantly poor (p=.044). The strongest significant predictor of
below average exercise capacity among postpartum women is being overweight (R²=80.1%).
The escalation of BMI is associated with an elevation in musculoskeletal pain, inflammation,
and premature fatigue, which consequently hinders exercise participation and creates obstacles
to engaging in physical activity. Conclusions: Postpartum women with an abnormal BMI
should be provided with comprehensive intervention by a multidisciplinary team, particularly
physiotherapy and dietitian. This intervention is crucial for preserving exercise capacity, which
serves as a fundamental indicator of a woman's overall physical fitness.

Keywords: Body mass index; exercise capacity; postpartum; predictor; 2-minutes step test

59
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-110
Ventilation in School and Student Health: A Systematic
Literature Review

Anita Dewi Moelyaningrum1*, Soedjajadi keman2, Soenarnatalina

Melaniani2, Hari Basuki Notobroto2, Ririh Yudhastuti2, Lilis Sulistyorini2,
Corie Indria Prasasti2, Fallah Hashemi3
1
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
Indonesia.
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
3
Environmental Health of Medical Sciences, Shiraz, Iran

*Presenting author: +6281331914711; [email protected]

Abstract

Background: Schools are the place where students spend a lot of time every day. Good
ventilation is one of the points that can support the health of students and satisfaction rather
than the goals of education. The research aims to analyze the ventilation at school and student
health. Methods: Scopus and Web of Science were used to retrieve the paper about ventilation
at school and student health. The search method used the keywords “ventilation” OR “Indoor
air pollution” OR “Indoor environment quality” AND “School” AND “Student” OR “Children”
AND “Health”, from 2019- May 2023. Results and Discussion: The ventilation in schools
researched are ventilation methods, insufficient or lack of ventilation, and the frequency of
opening windows. The parameters of air quality that have been studied in classrooms are NO2;
PM 10; PM 2.5; PM 1; ozone, benzene, and CO2. The disease was tiredness, bronchitis, asthma
symptoms, infection risk, rhinitis, etc. Conclusion: Appropriate ventilation at school can
reduce indoor air pollutants, thus related to student health. Ventilation in the classroom should
be prioritized to fulfill the needs of health students.

Keywords: Health; school; student; ventilation

60
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-112
The Influence of Hormonal Contraceptive Risk Factors on
the Incidence of Preeclampsia

Teta Puji Rahayu1*, Aning Rezki Murtanti2

1
Department of Midwifery, Poltekkes Kemenkes Surabaya, Indonesia
2
Pungkur Community Health Center, Ngawi District Health Service, East Java, Indonesia

*Presenting author: +6281554960405; [email protected]

Abstract

Background: Preeclampsia one of the causes of maternal death. The prevalence of

preeclampsia cases quite high, namely 34.1%. One of the risk factors for preeclampsia is a
history of using hormonal contraception. For this reason, we want to know the influence of
hormonal contraceptive risk factors on the incidence of preeclampsia. Methods: This research
is a case control analytical observational study. Samples were 24 cases and 24 controls.
Independent variable is hormonal contraception, dependent variable is preeclampsia. Data was
collected through medical records at the Pangkur Community Health Center, Ngawi Regency.
Chi-square analysis test with a significance level of P<0.05. Results and Discussions: The
results of this study indicated that exposure to hormonal birth control for the incidence of
preeclampsia was 66.6%, while exposure to hormonal Contraception for non-preeclampsia
events was 25%. From the results of the analysis with the Chi-Square test, the significance
value of P = 0.009. Conclusions: It can be concluded that there is an influence of hormonal
contraceptive risk factors on the incidence of preeclampsia. It’s recommended that potential
acceptors undergo counseling before making a decision by looking at the short-term and long-
term effects.

Keywords: Hormonal; contraception; preeclampsia

61
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-113
The Relation Between Social - Cultural Perspectives and
Exclusive Breastfeeding Practice in Palembang City

Nur Alam Fajar1*, Suci Destriatania1, Dadang Hikmah Purnama2

Estri Sri Ananingsih3, Mela Firdaust4, Ririh Yudhastuti5
Mohammad Zen Rahfiludin6
1
Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia
2
Faculty of Social and Political Science, Universitas Sriwijaya, Palembang, Indonesia
3
Poltekkes Kemenkes Palembang, Palembang, Indonesia
4
Poltekkes Kemenkes Semarang, Semarang, Indonesia
5
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
6
Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

*Presenting author: +62899-6666-969; [email protected]

Abstract

Background: Exclusive breastfeeding in Indonesia still relatively low. According to the

Indonesian Health Profile in 2018, the coverage of babies receiving breastfeeding was 68.74%.
This condition influenced by the interaction of various socio-cultural, demographic, biological,
pre and postnatal, and psychological factors. Although many studies have proven that exclusive
breastfeeding will provide many benefits for babies and mother’s health, but in reality, it didn’t
meet expectations. Advances in this modern era might also become one of the contributing
factors to social, cultural, and economic changes, thus causing the decline in supports to
breastfeeding moms. The aim of this study was to analyze the relationship between
sociocultural perspectives and exclusive breastfeeding in Palembang. Methods: This study
used cross-sectional method. This study conducted among several communities located in
Palembang city, namely Ogan, Bugis, Arabic, Chinese, Javanese, Padang, Batak, etc. The
samples of this study were 220 respondents of breastfeeding moms. Samples were collected
using cluster random sampling technique. Results and Discussions: Only 70% respondents
give exclusive breastfeeding. Giving exclusive breastfeeding by women with ≤ 2 number of
children correlates significantly to exclusive breastfeeding to infants with p value 0.003. The
support from the wife’s mother/mother-in-law gives a significant correlation to exclusive
breastfeeding practice to infants with p-value 0.001. A spouse’s support at labor time gives a
significant correlation to exclusive breastfeeding practice with p-value 0.004. Conclusions:
This study showed that several variables have significant correlations with exclusive
breastfeeding including the number of children, mother-in-law support, and partner support.

Keywords: Exclusive breastfeeding; Social; Cultural; Breastfeeding moms.

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-114
Neonatal Thyroid-Stimulating Hormone Test as Prevention
of Congenital Hypothyroidism in Newborn: Review Article

Museyaroh*, Suhariyadi, Evy Diah Woelansari, Anik Handayati

Health Polytechnique Ministry of Health Republic Indonesia Surabaya: Department of Medical

Laboratory Technology

*Presenting author: +6281330415246; [email protected]

Abstract

Congenital hypothyroidism is the most common cause of mental retardation in children, which
is caused by a lack of thyroid hormone while still in the womb. Data from medical records at
the RSCM and RSHS children's endocrine clinics in 2012-2013 shows that more than 70% of
congenital hypothyroidism sufferers were detected after the age of 1 year so that patients had
experienced permanent mental retardation, so early detection of congenital hypothyroidism is
very important. According to the 2014 Minister of Health Decree, the Neonatal TSH
examination is the most sensitive examination for detecting primary Congenital
Hypothyroidism using the Disassociation Enhanced Lanthanide Fluoro Immuno Assays
(DELFIA) method at the age of the baby 24 - 72 hours after birth. This examination is very
important for the early detection of congenital hypothyroidism because the late diagnosis of
Congenital Hypothyroidism can cause permanent intellectual instability in children with an
average IQ value below 70. Neonatal TSH levels of less than 20 µU/mL are normal while
Neonatal TSH levels are ≥ 20 µU /mL show a high result and must be confirmed by T4 and
FT4 examination, if the neonate's TSH level is high accompanied by an increase in T4 or low
FT4 levels, then a diagnosis of primary congenital hypothyroidism can be made

Keywords: Congenital hypothyroidism; Neonatal TSH; Delfia

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-115
Exclusive Breastfeeding in South Sulawesi, Indonesia: What
Factors are Related?

Noor Edi Widya Sukoco*, Agung Dwi Laksono, Rika Rahmalina, Puti Sari H

The National Research and Innovation Agency of The Republic of Indonesia

*Presenting author: +6282125678963; [email protected]

Abstract

Background: Many benefits of exclusive breastfeeding (EBF) have been reported in previous
studies worldwide. This study aimed to analyze the factors related to the achievement of EBF
among toddlers in South Sulawesi. Methods: The analysis material for the study was the 2017
Indonesian Nutritional Status Monitoring, which was a cross-sectional survey. A total of 2,587
toddlers were analyzed. In addition to EBF as the dependent variable, the study also examined
eight independent variables: regency/city, residence, maternal characteristics (age, marital,
education, employment, toddler characteristics (age, sex). The study was analyzed using Binary
Logistic Regression tests. Results: The results show regency/city is one of the predictors of
EBF in South Sulawesi. Toddlers living in urban areas have a 0.713 times chance of EBF
compared to toddlers residing in rural areas. The study also found maternal age to be a
significant predictor of EBF in South Sulawesi. All maternal marital status has a lower
probability than divorced/widowed mothers to have EBF under five. Mothers with primary and
secondary education are more likely to have EBF under five than mothers with higher
education. There is no difference between no-education mothers and mothers with higher
education. Unemployed mothers are 1.192 times more likely than employed mothers to have
EBF under five. The study also found toddler age to be one of the predictors of EBF. Boys are
1.026 times more likely than girls to experience EBF. Conclusion: The study concluded that
the eight variables tested were related to EBF in South Sulawesi, Indonesia.

Keywords: Breastfeeding; exclusive breastfeeding; community nutrition; big data

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-116
Determinant Factors of Antenatal Care for Pregnant Woman in
Indonesia

Shrimarti Roekmini Devy1, Setya Haksama1, Kartika1,2*,

Ismuntania3,4, Fakhryan Rakhman5
1
Faculty of Public Health, Airlangga University, Indonesia)
2
Study Program of Nursing STIKes Medika Nurul Islam, Indonesia)
3
Faculty of Nursing, Airlangga University, Indonesia
4
Study Program of Nursing STIKes Medika Nurul Islam, Indonesia)
5
Study Program of Pharmacy, STIKes Medika Nurul Islam, Indonesia

*Presenting author: +6282370882709; [email protected]

Abstract

Background: Detection of pregnancy and childbirth complications can basically be achieved

through routine integrated pregnancy examination activities which are usually called Integrated
Antenatal Care (ANC). Integrated ANC is carried out comprehensively and with quality
targeting all pregnant women. Methods: The systematic review comes from databases from
2017 to 2023. This systematic review used single keywords, namely "Antenatal Care" and "
Pregnant Woman". The results of the final selection left 15 articles. Results and Discussions:
The behavior of pregnant women who do not comply with ANC is a strong reason for pregnancy
complications which result in complications during childbirth and can cause the mother to die.
In principle, many complications during pregnancy can be prevented if you control your
pregnancy through ANC regularly and heed the advice of health workers. Conclusions: ANC
is the spearhead of maternal and fetal health during pregnancy, the maternal health condition
during pregnancy is a determining factor for the health of the mother and fetus in the future,
such as the postpartum period and beyond.

Keywords: Antenatal Care, Pregnant Woman

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-117
Effective Communication Methods in Preventing Adolescent
Anemia: A Literature Review

Dessy Lutfiasari1*, Santi Martini2, Sri Widati2, Widati Fatmaningrum3

1
Doctoral program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +6281336229675; [email protected]

Abstract

Background: The incidence of anemia in adolescents has increased. Apart from increasing
nutritional requirements, behavioral changes are needed to prevent anemia. Effective
communication is very necessary to change human behavior to prevent adolescent anemia. This
Systematic review aims to review effective communication methods to prevent anemia in
adolescents Methods: Articles were searched from five electronic databases such as Science-
direct, PubMed, Sage, ProQuest, and Springer. An online search for articles was carried out in
August 2023 provided that articles were published from 2018 to 2023. Several keywords used
for literature searching include “communication methods to prevent anemia” and “anemia
prevention in adolescence”. Data selection using PICOS and PRISMA flowchart got 11 articles.
Data were narratively described. Results and Discussions: The result of this literature review
showed that interpersonal communication proved knowledge, attitude, and behavior to prevent
anemia. The volunteers were needed to give interpersonal communication with the adolescent
to promote behavioral changes to prevent anemia. Conclusions: Interpersonal communication
is an effective method to promote behavioral changes to increase iron folic acid use to reduce
anemia.

Keywords: Communication; anemia; prevention; adolescent

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2-3 October 2023

OD-118
Community Involvement in Adolescent Pregnancy
Prevention: A Literature Review

Riyanti1,3*, Muji Sulistyowati2, Rini Fortina, Ira Dwijayanti1,4

1
Doctorate Degree Program in Public Health, Faculty of Public Health,
Universitas Airlangga, Surabaya, 60115, Indonesia
2
Department of Health Promotion and Behavioral Sciences, Faculty of Public
Health, Universitas Airlangga, Surabaya, 60115, Indonesia
3
Department of Midwifery, Palangka Raya Health Polytechnic, Palangka Raya,
73111, Indonesia
4
Department of Nutrition, Faculty of Health, Universitas Nahdlatul Ulama
Surabaya, 60237, Surabaya, East Java, Indonesia

*Presenting author: +6282148342611; [email protected]

Abstract

Background: Adolescent pregnancy is a widespread global concern that extends beyond the
immediate health implications for both young mothers and their infants. It also significantly
affects broader societal development issues. Adolescent pregnancy not only poses risks to the
physical well-being of teenagers and their babies but also exerts notable social and economic
consequences. In developing countries, approximately 21 million girls aged 15-19 become
pregnant, with roughly 12 million of them proceeding to give birth. The behavior of
adolescents, which can lead to unintended pregnancies is strongly influenced by the roles
played by parents, peers, and the surrounding environment. Objective: To assess the influence
of various societal factors, including parents, peers, schools, and community leaders in
initiatives aimed at preventing adolescent pregnancy. Methods: The methodology involved a
comprehensive database search across Scopus, PubMed, Science Direct, and Web of Sciences.
The primary search terms used were ‘community roles’ and ‘prevention of adolescent
pregnancy’. There were seven articles obtained for analysis of the suitability of the topics,
objectives, methods used, sample size, and results in each article. Results and Discussions:
We conducted an analysis of seven articles, evaluating their relevance to the topic, alignment
with research objectives, employed research methods, sample sizes, and the results presented
in each article. Conclusion: The community plays a crucial role in supporting adolescent
pregnancy prevention. This study explores the significance of the community, encompassing
peers, parents, schools, and the environment as a key support and social control within the
framework of adolescents’ pregnancy prevention.

Keywords: Community involvement; prevention; adolescent pregnancy

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-119
Toluene Toxicity on Blood Serum CYP2E1 Levels and
Malondialdehyde Expression in Coronary Arteries

Ellyza Setya Maryiantari1*, Soedjajadi Keman2, I Ketut Sudiana3, Santi

Martini2
1
Doctoral Student, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Department of Anatomic Pathology, Faculty of Medicine, Universitas Airlangga, Surabaya,
Indonesia

* Presenting author: +628384673033; [email protected]

Abstract

Background: Exposure to inhaled toluene induces cytochrome P450 2E1 (CYP2E1) has been
widely associated with oxidative stress. Therefore, we investigated the relationship between
toluene exposure, CYP2E1 levels, and oxidative stress with the biomarker malondialdehyde
(MDA). Methods: This was a pure experimental study of 30 male Wistar rats, administered by
1.6 ml, 3.2 ml, 6.4 ml, and 12.8 ml toluene liquid and control, each consisting of 6 rats.
Exposure was given by flowing toluene liquid into the chamber for 6 hours per day for 14
consecutive days. Results and Discussion: Exposure to inhaled toluene was associated with
blood serum CYP2E1 levels and associated with coronary artery MDA expression. The
ANCOVA test showed that the dose of inhaled toluene exposure and CYP2E1 levels affected
MDA expression in the coronary arteries of Wistar rats. Conclusions: Exposure to inhaled
toluene and CYP2E1 levels simultaneously influence coronary artery MDA expression

Keywords: Environmental pollution; toluene; malondialdehyde; coronary artery damage

68
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-120
The Role of Religious Leaders in Adolescent Reproductive
Health and Family Planning: A systematic review

Ashriady Ashriady1*, Lutfi Agus Salim2, Suko Widodo3

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya, 60115, Indonesia
2
Department of Epidemiology, Population Biostatistics and Health Promotion, Faculty of Public
Health, Universitas Airlangga, Surabaya, 60115, Indonesia
3
Department of Communication, Faculty of Social and Political Science, Universitas Airlangga,
Surabaya, 60286, Indonesia

*Presenting author: +6285242979292; [email protected]

Abstract

Background: Reproductive health and family planning are important aspects of overall health
and well-being. Improving access to family planning and reproductive health services globally
can help prevent maternal deaths and reduce unwanted pregnancies. Religious leaders, such as
imams and pastors, can influence demand and uptake of family planning services and
commodities. This study aims to analyze articles related to the role of religious leaders in
adolescent reproductive health and family planning. Methods: The method used in writing this
article is a systematic review, using the Preferred Reporting Items for Systematic Reviews and
Meta-analyses (PRISMA) checklist guidelines and searching several journal databases,
including PubMed, Science Direct, Scopus, ProQuest, and Web of Science. In the initial stage
of searching for journal articles, around 1435 articles were obtained from 2018 to 2023. The
inclusion criteria used in this research include original articles, English language articles, and
open access, while the exclusion criteria are articles in the form of reviews, systematic reviews,
or meta-analysis. Results and Discussions: The results of the analysis show that involving
religious leaders to support positive social norms is an important strategy to increase voluntary
contraceptive use. According to research, exposure to family planning messages from religious
leaders is significantly associated with higher use of modern contraception. Conclusions: This
research concludes that religious leaders have the power to inhibit or facilitate the
implementation of effective contraceptive methods to support family health.

Keywords: Religious leaders; Reproductive Health; Family Planning

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-121
Unmet Need for Family Planning among Married Womenin Urban Areas
of Jember Regency, East Java, Indonesia: Does Gender Equality Matter?

Ni'mal Baroya1*, Kuntoro, Lutfi Agus Salim2, Shrimarti Rukmini Devy2, Pinky
Saptandari3
1
Doctoral Study Program in Public Health, Faculty of Public Health-Airlangga
University, Universitas Airlangga, Indonesia
2
Faculty of Public Health-Airlangga University, Universitas Airlangga, Indonesia
3
Department Anthropology, Universitas Airlangga

*Presenting author: +628179310690; [email protected]

Abstract

Unmet need for family planning was very important to assess in achieving universal access to
sexual and reproductive health services. This study aims to assess the effect of gender relations
on unmet need for family planning among married women in urban areas Jember Regency East
Java. We conducted a cross-sectional study design. The study population was 21,133 married
women in Sumbersari District, Jember Regency. The research sample was 92 people who were
selected by simple random sampling technique. We collected data through structured
interviews in June to July 2021. The data collected were analyzed using multiple logistic
regression. The unmet need for family planning among married women in urban areas of
Jember Regency was 33.7%. Married women who have 3-4 children and low education were
more at risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95%
CI 2.3-60, respectively). Married women who experience unequal gender relations with their
husband were more at risk of unmet family planning (OR 10.3; 95% CI 2.97-35.55) as well as
women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender
inequality was a determinant of the unmet need for family planning among married women
living in urban areas. Therefore, it is necessary to improve women's empowerment programs
to reduce unmet need family planning among married women.

Keywords: Family planning; gender relation; married women; unmet need

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-122
Knowledge of Young Women About Breast Self Examination
(BSE) to Detect Breast Cancer at SMAN 1 Magetan

Jujuk Proboningsih, Fisca Aza Nisa’ul Khasanah*, Endang Soelistyowati,

Irine Christiany

Surabaya Ministry of Health Health Polytechnic Nursing Department

*Presenting author: +6282143825874; [email protected]

Abstract

Cancer is one of the causes of death in women. Breast cancer is the number two killer of women.
An important step that must be taken by women, especially teenagers, to reduce the incidence
of breast cancer in the final stages is by knowing about breast self-examination (BSE), which
can detect breast cancer early. From the results of a preliminary study, it was found that 10
young women at SMA Negeri 1 Magetan found that 2 young women suffered from breast
cancer because they did not know about breast self-examination (BSE). The aim of this research
was to determine the knowledge of young women about breast self-examination (BSE) at SMA
Negeri 1 Magetan. The type of research used was quantitative and descriptive research, the
research sample was 100 female teenage students. The variable used in this research is a single
variable. The instrument in this research uses a questionnaire. The results of this study show
that in general the knowledge of young women about breast self-examination (BSE) for early
detection of breast cancer at SMA Negeri 1 Magetan has sufficient knowledge, namely 69
(69%) of 100 young women. For this reason, young women at SMA Negeri 1 Magetan are
expected to further increase their knowledge about SADARI.

Keywords: Breast cancer; knowledge; BSE; Young women; Teenage Student

71
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-123
Levels of Premenopausal Anxiety in the Group of Women
Given Lavender Aromatherapy and the Placebo Group

Rezha Alivia Hildayanti*, An Nisa Fithri, Indah Mauludiyah, Lilik

Winarsih

1
Departement of Midwifery, STIKes Kendedes, Malang

*Presenting author: +6281216617616; [email protected]

Abstract

Background: Population aging is becoming a serious global issue. During the COVID-19
pandemic, women experienced higher levels of stress, depression, and anxiety, mainly due to
hormonal changes during premenstrual and menopausal periods. To overcome this problem,
premenopausal women are offered a non-pharmacological solution like aromatherapy with
lavender essential oil. Lavender oil contains calming, sedative, antiseptic, analgesic,
antispasmodic, and healing properties, which can help reduce anxiety. The aim of this study
was to look at the level of premenopausal stress in the group given lavender aromatherapy and
the placebo group. Methods: This research uses a Quasy Experimental research design with
Pre test and Post Test with control group design. By analyzing the data using Mann-Whitney.
The population in this study was premenopausal women. The sampling technique is purposive
sampling. The total sample was 30 respondents, lavender aromatherapy is given for 15-20
minutes at each intervention and is carried out every 2 weeks’ time. Results and Discussions:
The statistical test results showed a p value of 0.00 < (0.05). This shows a significant difference
between two groups, it is assumed that lavender aromatherapy has the effect of reducing
anxiety because of the sedative and calming. Conclusions: There is a significant difference in
the level of anxiety in premenopausal women before and after giving lavender aromatherapy
so lavender aromatherapy has the effect of reducing anxiety in premenopausal women.

Keywords: Anxiety; Premenopausal; Lavender Aromatherapy

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-124
Hemoglobin Levels in Anemia Pregnant Women with Given
of Blood Supplement Tablets and Combination of Moringa
Extract

Nanda Agnesia Jati Pratiwi*, Eva Inayatul Faiza, Ulfa Nur Hidayati, Nanik
Susanti

Departement of Midwifery, STIKes Kendedes Malang

*Presenting author: +6287864888688; [email protected]

Abstract

Background: Anemia in pregnancy is a problem in almost all countries in the world. During
pregnancy, anemia is one of the causes of maternal and neonatal emergencies which results in
increased mortality and morbidity. Blood supplement tablets are one of the standard therapies
that is a solution to the problem of anemia, one of which is in Indonesia. However, another
alternative solution, namely herbal therapy with Moringa leaf extract, is given to reduce the
incidence of anemia in pregnant women. Methods: This research design uses a quasi
experiment with pre and post control group design. By analyzing the data using the T-Test.
The population in this study was pregnant women with anemia. The sampling technique is
purposive sampling. The total sample was 30 respondents consisting of 15 control groups and
15 treatment groups. The control group was only given blood-boosting tablets, while the
treatment group was given blood-boosting therapy and 500 grams of moringa extract at a dose
of 2 x 1 per day in capsule form for 14 days. Result and Discussion: The statistical test results
showed a p value of 0.00 < (0.05). This shows a significant difference between the two control
groups and the treatment group, which means that the combination of moringa extract and
blood supplement tablets can increase hemoglobin levels in pregnant women with anemia.
Conclusion: Giving moringa extract in combination with blood supplement tablets has been
proven to increase hemoglobin in pregnant women when compared to giving blood supplement
tablets only.

Keywords: Anemia; Pregnancy; Hemoglobin levels; Blood supplement tablets;Moringa extract

73
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-125
Comparison of Back Pain in 3rd Trimester Pregnant Women
Based on Parity and Age in the Complementary Herbal
Compress Ball Therapy Group at PMB Yulis, Malang City

Riski Akbarani, Miftakhul Mahfirah Ermadona*, Dian Hanifah

Midwifery Study Program, STIKes Kendedes, Indonesia

*Presenting author: +6285755083698; [email protected]

Abstract

Background: Lower back pain in pregnancy causes discomfort. Preliminary study results from
15 pregnant women in the third trimester, there were 12 mothers who experienced lower back
pain. Herbal compress ball therapy is a nonpharmacological that can reduce back pain. Study
aims to determine the comparison of back pain in third trimester pregnant women based on
parity and age in the complementary therapy. Method: research used a pre-experimental with
one group pre test post test design. The sampling technique used was random sampling with
20 respondents. Results and Discussion: before being given therapy there were 20% of with
multiparous and 5.2% of grandmultiparous with a pain scale of 37% experiencing back pain
level 7, the results showed 12.7% of pregnant women >35 years with a pain scale, after being
given the therapy, pregnant women aged >35 years fell to scale 2 at 5.3% and for multipara
mothers it fell to scale 2 at 1.25%. The results of the Shapiro Wilk test show that α<0.05. The
results of the level of low back pain before therapy obtained a pretest score with the lowest
score of 5 and the highest score of 7 and the posttest results with the lowest score of 1 and the
highest score of 5. The value of ρ = 0.000 < α (0.05), Z (- 3.953). Conclusion: Herbal Compress
Ball can be an appropriate therapy to reduce the intensity of back pain in pregnant women in
the third trimester, multiparous and grandemultiparous and pregnant women aged >35 years.

Keywords: Herbal Compress Ball; Pregnant Women; Parity; Age

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-126
The Effect of Using Bellywrap on Changes in Low Back Pain
Levels in Pregnant Women in Menganti District,, Gresik
Regency

Fauziyatun Nisa1*, Wiwik Afridah2, Muslikha Nourma Rhomadhoni3,

Nurul Fatmawati1
1
Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
2
Department of Public Health, Faculty of Health Science, Universitas Nahdlatul Ulama Surabaya,
Surabaya, Indonesia
3
Doctoral Program of Public Health, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +6281235443349; [email protected]

Abstract

Background: Pregnant women during pregnancy usually often complain of discomfort, one of
which is low back pain, low back pain that is not resolved causes an increase in the intensity of
pain after the mother gives birth to her baby, so it is necessary to make non-pharmacological
handling efforts with the use of bellywrap. The purpose of the study was to determine the effect
of using bellywrap on changes in low back pain levels in pregnant women in Menganti District,
Gresik Regency. Methods: The research method used one group pre-test and post-test design,
a population of 55 pregnant women and a sample of 48 pregnant women, with simple random
sampling techniques. Variable independent use of bellywrap and variable dependent changes
in low back pain levels in pregnant women. The research instrument used a pain scale
observation sheet (NRS). Data analysis using Wilcoxon signed rank test Results and
Discussions: The results of the study found that almost all of them (85.4%) experienced
changes in the level of low back pain with a mild category. The results of data analysis with the
Wilcoxon test, it was found that p (0.00) < α (0.05) that there was an effect of using bellywrap
on changes in low back pain levels in pregnant women in Hulaan Village Menganti District,
Gresik Regency. Conclusions: The conclusion of this study is that the use of bellywrap can be
used as one of the nonpharmacological therapies that can done by pregnant women in reducing
low back pain.

Keywords: Bellywrap; Low Back Pain Level; Pregnant Women

75
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-127
A Systematic Literature Review of the Correlation Between
Knowledge, Self-Efficacy and Competence with Postpartum
Depression in Women During Postpartum Period

I Komang Lindayani1*, Ira Nurmala2, Nunik Puspitasari3

1
Doctorate Degree Program in Public Health, Faculty of Public Health, AirlanggaUniversity,
Surabaya 60115, Indonesia
2
Department of Health Promotion and Behavioural Science, Faculty of Public Health, Airlangga
University, Surabaya 60115, Indonesia
3
Department Biostatistic, Faculty of Public Health, Airlangga University, Surabaya 60115, Indonesia

*Presenting author: +6282144110520; [email protected]

Abstract

Background: The global prevalence of postpartum depression ranges from 0.5% - 60.8%.
Depression that occurs in the first weeks after birth negatively affects the relationship between
mother and baby, and potentially affects the baby's long-term development and health. The
worst impact is that this condition is a risk factor for suicidal ideation. Empowerment may be
an effort to prevent and mitigate symptoms of postpartum depression. The components that
form empowerment include knowledge, self-efficacy, and competence. This systematic review
aims to identify the influence of knowledge, self-efficacy, and competence on the incidence of
postpartum depression. Methods: We conducted a literature search in Google Scholar,
Crossreff, Scopus, and Web of Science, published from 2013-2023, the number of articles
obtained was 515, through PRISMA only 10 articles were analyzed. Results and Discussions:
The majority of studies found that high maternal self-efficacy was associated with high
maternal role competence and fewer postpartum depression symptoms. Women with poor
depression literacy/knowledge tended to have a greater lack of emotional clarity, which
negatively affected their symptom awareness and recognition of postpartum depression.
Conclusions: the small body of work suggests that knowledge, self-efficacy, and competence
correlation with postpartum depression. We recommend that women’s depression literacy, self-
efficacy, and emotional competence should be improved during the perinatal period as a
prevention strategy.

Keywords: Competence; knowledge; postpartum depression; self-efficacy

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-128
The Effect of Red Spinach Juice on Increasing Hemoglobin
Levels in Third Trimester Pregnant Women with Anemia in the
Panarung Public Health Center, Pahandut District, Palangka
Raya City in 2020

Riny Natalina*, Legawati, Miranda Rika Margareth

Politeknik Kesehatan Kemenkes Palangka Raya, Indonesia

*Presenting author: [email protected]

Abstract

Background: Anemia is caused by iron deficiency caused by physiological changes due to

pregnancy that is aggravated by a lack of nutrients, vitamin B12, folic acid and vitamin C. The
results of a preliminary study at PKM Panarung in 2021, there were 102 pregnant women with
HB 8-11gr/dl, and there were 58 pregnant women in the third trimester who experienced
anemia (56.8%). Objective: of the study was to determine the effect of red spinach juice plus
Fe tablets on increasing HB levels in third trimester pregnant women with anemia. Methods:
The research design was a quasi-experimental design with a pre-test and post-test design with
a control group. The population is all pregnant women in the third trimester who are anemic in
the PKM Panarung Palangka Raya working area as many as 58 people in 2021. The sampling
technique uses purposive sampling. The sample is 44 people according to the inclusion and
exclusion criteria. Results: The average HB for pregnant women in the intervention group
before being given red spinach juice plus Fe tablets was 10.24 g/dl and after being given red
spinach juice plus Fe tablets was 11.95 g/dl. Meanwhile, the average HB for pregnant women
in the control group before being given Fe tablets was 10.41 g/dl and after being given Fe
tablets was 11.58 g/dl. Bivariate analysis obtained a p-value of 0.020 (p<0.05). There is a
significant effect between the consumption of red spinach juice plus Fe tablets on the increase
in HB levels of pregnant women in the third trimester with anemia in the work area of the
Panarung Health Center, Pahandut District, Palangka Raya City in 2022.

Keywords: Hemoglobin; Fe Tablets; Pregnant Women; Red Spinach Juice

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-129
The Meaningfulness of Village Shamans in Dayak Communities for the
Adolescent Pregnancy Care: Indonesia

Legawati*, Riny Natalina

Politeknik Kesehatan Kementerian Kesehatan, Palangka Raya, Indonesia

*Presenting author: [email protected]

ABSTRACT

Background: Pregnancy management should be done more intensively and optimally in

adolescent pregnancy. Teen pregnancy care related to the health impact of teenage pregnancy
will increase compared to healthy reproductive age. The objective of this study was to explore
the use of village shamans in the treatment of adolescent pregnancy. Methods: This study uses
a qualitative approach with semi-structured techniques. The sample selection of this study used
a purposive sampling technique with a saturation approach. Data analysis uses thematic
analysis and templates. Results: There are two phenomena found. First, adolescent pregnant
women do not carry out pregnancy checks according to standards (frequency, quantity, helper,
and place). Two, the use of village shamans is very high in helping with pregnancy check-ups.
The condition of the Covid-19 pandemic is one of the reasons for the increase in visits by
village shamans. Some other origins presented are mobility restrictions closure of health
service facilities (independent practices of midwives and doctors, public health centers, and
auxiliary health centers) over a long period. Conclusion: Pregnancy care carried out by
adolescent pregnant women is not up to standard and Increased involvement of village shamans
can help in early detection of health problems in adolescent pregnant women. The government
should regulate the role of village shamans in dealing with teenage pregnancy.

Keywords: Village Shaman; Pregnancy Care; Adolescent Pregnancy; Dayak Community

78
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-130
Determinant of the Quality of Life of Mothers with Children
with Disability: A Systematic Review

Eka Falentina Tarigan1*, Trias Mahmudiono2, Pramesti Pradna Paramita 3,

Ira Dwijayanti 1,4
1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
60115, Surabaya, East Java, Indonesia
2
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, 60115, Surabaya, East
Java, Indonesia
3
Faculty of Psikology, Universitas Airlangga, Surabaya, 60115, Indonesia
4
Department of Nutrition, Faculty of Health, Universitas Nahdlatul Ulama Surabaya, 60237,
Surabaya, East Java, Indonesia

*Presenting author: +6282164777687; [email protected]

Abstract

Background: Children with disabilities have limited capacity, which causes great dependence
on those closest to them, especially their mothers. Mothers who care for children with
disabilities experience various problems that affect their quality of life, such as physical health
problems, psychological health problems, social relationships, and environmental problems.
This research aims to identify factors that influence the quality of life of mothers who have
children with disabilities. Methods : A systematic review was conducted using data from six
electronic databases, including Scopus, Web of Science, Science Direct, EBSCOhost,
ProQuest, and PubMed. To be eligible for inclusion, studies had to follow observational cross-
sectional designs and qualify as original research from 2019 to 2023. The screening process,
encompassing title screening, abstract screening, full-text screening, and data abstraction, was
conducted to ensure an unbiased selection. The selected studies underwent a risk of bias
assessment using the JBI Critical Appraisal Tool. 16 articles met the inclusion criteria and were
included in the final analysis. Results and discussions: Mothers who have children with
disabilities experience a decrease in quality of life in the physical, psychological, social, and
environmental domains. The determinants that influence the decline in quality of life are age,
education, employment, family income, resilience, severity of the condition of children with
disabilities, emotional well-being, illness of caregivers, number of family members,
relationship with children, social support, parenting patterns, and marital status. Conclusions:
Supportive and therapeutic programs are essential to enhancing the quality of life for mothers
who provide care to children with disabilities.

Keywords: Quality of life; mother; disability children

79
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-131
Exploring the Impact of Family Support and Function on
High-Risk Behavior Among Adolescents: A Comprehensive
Study

Rosyidah Alfitri1*, Rachmah Indawati2, Sulistiyah3, Rifzul Maulina3

1
Doctoral Program of Public Health, Faculty of Public Health University of Airlangga, Surabaya,
Indonesia
2
Biostatistic Departement, Faculty of Public Health University of Airlangga, Surabaya, Indonesia
3
Institute of Science Technology and Health dr. Soepraoen Hospital. Malang, Indonesia

*Presenting author: +6281232663216; [email protected]

Abstract

Background: This study aims to investigate the impact of family support and family function
on high-risk behavior in adolescents. Methods: study design was used Cross sectional and data
was obtained through a survey of 195 teenagers with various sociodemographic characteristics
such as gender, age, number of siblings, place of residence, parental status, parental education,
parental occupation, family income, as well as various types of risky behavior such as smoking,
consuming alcohol, using seat belts, etc. Completed a questionnaire that measured family
support, and family function and health risk behavior. Family support were measured by family
support scale and family function by APGAR family. Results and Discussions: The results of
the study show that perceptions of family support and functioning are significantly related to
the level of adolescent involvement in high-risk behavior. Adolescents who feel they have good
family support and functioning are less likely to engage in high-risk behavior. In addition,
gender, age and other sociodemographic factors also play a role in determining high-risk
behavior. Conclusions: These findings underline the important role of the family in shaping
adolescent behavior and emphasize the need for providing appropriate sexual information and
education by parents. The implication of this research is that the role of parents in providing
emotional support, information and supervision for their children can play an important role in
reducing high-risk behavior in adolescents. This research provides deeper insight into the
relationship between the family and high-risk behavior in adolescents, and provides a basis for
the development of intervention programs aimed at improving the quality of family support and
family functioning to reduce the risk of high-risk behavior in adolescents.

Keywords: Family support; Family function; High-risk behavior; Adolescents;

Sociodemographic factors

80
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-132
The Effect of Giving Zinc Tablets as a Companion Fe Tablets on
Hemoglobin Levels in Female Adolescent

Rani Safitri1,2*, Mohamed Saifulaman³, Tukimin Sansuwito⁴, Zainal Alim⁵

¹Lincoln University College

²Institute of Technology, Science and Health, dr. Soepraoen Hospital, Malang
³’⁴Lincoln University College,
⁵ Obgyn Department of dr Soepraoen Hospital.

*Presenting author: +6281334602226; [email protected], [email protected]

Abstract

Background Increasing hemoglobin levels in adolescent girls can be influenced by a

combination of Fe tablets with zinc. Zinc acts as part of the essential carbonic anhydrase
enzyme found in red blood cells. It is needed for the activity of the superoxide dismutase
enzyme, which functions to protect the surface of red blood cells from damage. This study
aimed to determine the increase in hemoglobin levels in female adolescent. Methods:This
research design uses the Chi-Square test and Fisher's Exact test. The population in this study
was 160 female adolescents. They were divided into two groups, namely 80 control groups and
80 treatment groups. Results and Discussions Respondents' hemoglobin (HB) data before
treatment was given to the intervention group. The distribution of hemoglobin data for
respondents in the moderate HB category (8-10) was 68 people (85%) in the control group, and
in the intervention group, there were 64 people (80%). Data on the distribution of hemoglobin
(HB) of respondents after being given treatment in the intervention group. The distribution of
hemoglobin data for respondents in the moderate HB category (8-10) was 56 people (70%) in
the control group, and in the intervention group there were 34 people (42.5%). Meanwhile, the
mild HB hemoglobin category (11-12) was found in 23 people (28.7%) in the control group
and 42 people (52.5%) in the intervention group. Conclusions based on the mean ± standard
deviation of hemoglobin in the control group (9.86 ± 1.09) and the intervention group (10.80
± 1.47) also showed a significant difference (p = 0.000 < 0.05). It is recommended that young
women better understand the risk of anemia by consuming ZINC tablets.

Keywords: Zinc tablets; Fe tablets; female adolescents

81
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-133
Maternal and Child Health Using the Digitalization of the
MCH Handbook Paciran Primary Health Care

Rizki Amalia1,5*, Diah Indriani1, Endang Sulistiyani2, Retno Aulia

Vinarti3, Adistha Eka Noveyani4, Nurul Riska Novita2, Resa Alpiana5,
1
Departement Doctoral Public health, Faculty Public Health, Universitas Airlangga
2
Department Sistem Informasi,Faculty Ekonomi Bisnis dan Tekhnologi Digital, Universitas Nahdlatul
Ulama Surabaya, Indonesia
3
Department Sistem Informasi, Faculty Teknologi Elektro dan Informatika Cerdas, Institut Teknologi
Sepuluh Nopember (ITS), Indonesia
4
Department Kesehatan Masyarakat, Faculty Kesehatan Masyarakat, Universitas Jember, Indonesia
5
Department of midwifery, Faculty of nursing and midwifery, Universitas Nahdlatul Ulama Surabaya,
Indonesia

*Presenting author; +6285655581002; [email protected]

Abstract

Background: Puskesmas prioritize promotive and preventive efforts to achieve optimal public
health status. In the current industrial era 4.0, almost all activities have been digitized, the
puskesmas should also have started to be digitized. The data collection system at the Paciran
Health Center still uses a manual system and patients often do not carry Maternal and Child
Health (MCH) books. This research aims to accelerate the performance of the midwives at the
Puskesmas so that it does not take up a lot of time and effort. And make it easier for the public
so they don't have to carry the MCH handbook and see the examination results without opening
the MCH handbook. Methods: The method of data collection used by the author in this research
is observation, interviews and literature study. With the Java programming language with
Netbeans IDE 8.0.2 as an editor and MySQL as a database. The result of this research is that
the data collection process becomes faster and more regular. Then the process of making reports
can also be faster and neater. And also the patients are helped because they can know their
progress, even though they do not carry or do not have the MCH book. Results and
Discussions: Mothers and Health workers who understand and use the kiaweb.org website are
more effective in improving their Health status compared to printed books because the number
of those who have experienced an improvement in their Health status through kiaweb.org
(51.2%) while those who still use printed MCH books and their health status remain the same
(48 .7%). A small percentage (16.6%) of mothers at the Paciran community health center cannot
access kiaweb.org and do not have printed MCH books (20.8%). Based on the results of the chi
square test, the P-Value value was 0.002, where p≤0.05, then e-books can be effective in
improving the health status of mothers and children. The Odds Ratio (OR) value = (1.894-
142.501) which means that using printed KIA books is 16 times risky, the mother does not
understand the contents of the KIA book.Conclusions: With the construction of the kiaweb.org
website, MCH data at community health centers has become better quality, integrated, and
easier to monitor maternal and child health.

Keywords: Maternal and child book; digitalization; Java; primary health care; UML

82
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-134
Early Initiation Breastfeeding Practices and Exclusive
Breastfeeding: Literature Review from Various
Geographical Contexts

Oktarianita1*, Ratna Dwi Wulandari2

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected];
2
Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia; [email protected].

*Presenting author: +62895609945084; [email protected]

Abstract

Background: Early initiation of breastfeeding (EIBF) is an important practice in maternal and

infant health services that has become the focus of global attention. EIBF refers to the act of
giving breast milk to a baby immediately after birth, which is usually done within the first hour
after birth. This practice has a significant impact on the health and well-being of mothers and
babies, and has been recognized as one of the main interventions in efforts to improve child
health and reduce infant mortality. This comprehensive literature review aims to identify
differences and similarities in EIBF practices between countries and present relevant findings
on the positive impact of EIBF on maternal and infant health. Methods: We conducted a
systematic search of relevant research articles, selecting five studies for inclusion in this
review. These studies cover the prevalence of EIBF, factors influencing it, and its positive
impact. We analyzed the methodology, findings, and implications of each study to provide a
comprehensive overview. Results and Discussions: The findings show variations in
EIBFpractices between countries, while factors such as maternal education, access to health
services, culture, and socio-economic factors play a role in determining EIBF practices.
Conclusions: This literature shows the importance of a deep understanding of EIBF as an effort
to improve maternal and infant health care. Future research recommendations include
expanding research across diverse geographic contexts, emphasizing preventative and
educational approaches to improve EIBF practice, and continued efforts to address remaining
challenges in promoting EIBF.

Keywords: Early initiation of breastfeeding, exclusive breastfeeding

83
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-135
Does Good Knowledge Influence the Disapproving Attitudes
of Adolescent Girls Regarding Early Marriage? A Cross-
Sectional Study

Erni Gustina1,2*, Elicia Marita Sylvie2, Mohammad Zainal Fatah3

1
Doctoral Program in Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
60115, Indonesia
2
Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
3
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +6285729620155; [email protected]

Abstract

Background: Early marriage is a severe public health problem issue. This research aims to
analyze the knowledge and attitudes of adolescent girls regarding early marriage and its causes.
Method: A cross-sectional design was used for this study of 245 teenage girls. The inclusion
criteria for this study were adolescent girls aged 15-18 years and unmarried. Data was collected
using a questionnaire regarding sociodemographic data such as parent's education, parents'
work, and family income, and a questionnaire on the knowledge and attitudes of adolescent
girls regarding early marriage. The multivariable logistic regression model was used to analyze
the relationship between teenage girls' knowledge and their attitudes regarding early marriage.
Result and Discussion: Of 245 adolescent girls, most (54.29%) do not agree with early
marriage. The results of the study showed that adolescent girls who had good knowledge were
0.51 times more likely to have an attitude of disapproval towards early marriage compared to
adolescent girls who had less knowledge (AOR=0.51; 95% CI=0.29-0.86; p-value=0.01).
Adolescent girls whose mothers are highly educated have a 0.4 times risk of disapproving
attitudes towards early marriage compared to adolescent girls whose mothers have low
education (AOR=0.4; 95% CI=0.24-0.68; p-value=0.001). Conclusion: Adolescent girls have
a disapproving attitude towards early marriage. Good adolescent girls' knowledge and mother's
education support teenage girls' disapproval of early marriage. The better the understanding of
adolescent girls about early marriage, the less they agree with early marriage.

Keywords: Adolescent girls; Attitude; Early marriage; Knowledge

84
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-136
Implementation of the Early Detection of Children’s Growth
and Development by Midwives

Ayesha Hendriana Ngestiningrum1*, Mochammad Bagus Qomaruddin2

1
Doctoral Student, Public Health Faculty, Airlangga University, Indonesia
2
Division of Health Promotion and Behavioral Sciences, Public Health Faculty, Airlangga
University

*Presenting author: +6281392045222; ayesha.hendriana.ngestiningrum-

[email protected]

Abstract

Background: In Indonesia, the SDIDTK (Stimulation of Early Detection and Intervention of

Growth and Development) program aims to monitor children's growth and development.
However, in 2021, only 57.6% of toddlers received this service nationwide, with better
coverage in East Java (61.8%) and Magetan Regency (89.32%). This study analyzes midwives'
application of early detection services in Magetan Regency. Methods: Using a mixed-method
approach, the research first quantitatively assessed the application of early detection by
surveying 53 randomly selected village midwives and 8 participants for the qualitative stage.
Results and Discussion: About 43.9% of midwives falsely reported providing SDIDTK
services even when they only monitored growth. Cadres played a crucial role in growth
detection, with high rates for weight (100%), height (100%), and head circumference (87%).
This study also examined developmental detection using KPSP (Developmental Pre-Screening
Questionnaire), involving cadres in 60.4% of cases. Vision detection with cadre assistance was
at 37.7%, and hearing detection with cadre support stood at 30.2%. Challenges in implementing
developmental detection included workloads, time, and human resources. Growth detection was
prioritized due to stunting cases, while developmental detection faced issues like inadequate
supervision and non-midwives’ involvement. Conclusion: The SDIDTK program's
implementation remains suboptimal. Through the Indonesian Midwife Association
organizations, midwives must improve cross-sector collaboration, empower communities, and
set standards for community midwifery care. This study emphasizes the necessity of upgrading
early childhood development programs in Magetan and comparable areas.

Keywords: Early Detection, Children’s Growth, Children’s Development, Midwives

85
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-137
Reproductive Health of Female Students in Islamic Boarding
School Culture
Queen Khoirun Nisa Mairo1*; Siti Rahayu Nadhiroh2; Lutfi Agus Salim2; M.
Atoillah Isfandiari2
1
Doctoral Program of Public Health Faculty of Public Health, Universitas Airlangga,
Surabaya;
2
Faculty of Public Health, Universitas Airlangga, Surabaya

*Presenting author: +6281332266707; [email protected]

Abstract

Reproductive health is the complete physical, mental, and social well-being concerning all
aspects of the reproductive system, functions, and processes, not just the absence of disease or
disability. Adolescent reproductive health is a state of well-being that pertains to the
reproductive system, functions, and processes of adolescents. Being healthy does not solely
mean being free from illness or disability but also being mentally and socially culturally
healthy. Issues in adolescent reproductive health include unprotected sex, early marriage and
pregnancy, unintended pregnancies, sexually transmitted infections, and others. Most
adolescents attend school, making it one of the places where they receive education, including
reproductive health education, sexuality, and health behavior. One educational model in
Indonesia is the Islamic boarding school (pondok pesantren), which emphasizes religious
education and is supported by dormitories as living quarters. Adolescents living in boarding
schools are referred to as "santri," and they interact with their peers 24 hours a day within the
boarding school community. Boarding schools promote a simple way of life, instill self-
reliance, encourage discipline, and foster cooperation. However, health issues in boarding
schools still require attention from various stakeholders, including access to health services,
healthy behaviors, and environmental health that can affect their reproductive health. Female
santri in boarding schools acquire knowledge about reproductive health from classical texts
such as "Adabul Mar'ah," "Risalatul Mahid," "Kitabun Nikah," "Qurratul Uyun," "Uqud al
lujjayn," and others. Reproductive health education does exist in boarding schools, but it tends
to follow a normative model

Keywords: Adolescent Reproductive Health; Islamic Boarding School

86
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-138
Effectiveness of Training for Cadres in Stunting Prevention Efforts
in the Bangkalan District Area
Queen Khoirun Nisa Mairo*, Sherly Jeniawaty
1
Department of Midwifery Health Polytechnic Health Ministry Surabaya, Indonesia

*Presenting author: +6281332266707; [email protected]

Abstract

Background: Stunting is often referred to as dwarfism or short stature. According to the WHO,
stunting is the result of inadequate child nutrition due to continuous infections during the first
1,000 days of life. Bangkalan is one of the regions with a high prevalence of stunting. Stunting
prevention efforts can utilize promotion and training through existing cadres in Integrated
Health Posts (Posyandu). The research aims to analyze the impact of training on cadres in
stunting prevention. Method: This study is a follow-up research after the first phase of
exploring variables and developing modules. In this research, a module was implemented using
a quasi-experimental method with a pretest-posttest design. The research subjects were cadres
from Integrated Health Posts (Posyandu) in the Bangkalan District, totaling 100 individuals.
Results and Discussion: Training for cadres has a significant effect on increasing knowledge
about stunting prevention with a p-value of <0.05. A social approach can also be used to
enhance knowledge and information about stunting prevention through cadre training.
Conclusion and Recommendations: Socialization should be conducted before the module is
implemented in training. This research showed an increase in cadre knowledge before and after
receiving training using the module.

Keywords: Training; Cadres; Stunting

87
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OD-139
Maternal Empowerment in Decision Making for Birth
Preparedness and Complication Readiness: A Literature
Review

Irmayani1*, Mahmudah2
1
Doctorate Degree in Public Health, Faculty of Public Health, Airlangga University, Indonesia
2
Department of Department of Epidemiology, Population Biostatistics and Health Promotion,
Faculty of Public Health of Airlangga University

*Presenting author: +6281901253819, [email protected]

Abstract

Background: Birth preparedness and Complication Readiness (BPACR) is a comprehensive

strategy to ensure safer pregnancy. BPACR is an important instrument for the empowerment
and autonomy of all women decision-making during childbirth. Women empowerment
increases their decision-making authority significantly and positively can improve maternal and
child health outcomes and is a viable strategy to improve maternal and child health This study
aims to describe maternal empowerment in decision making for birth preparedness and
complication readiness. Methods: Literature is obtained from online journal databases, namely
PubMed, Google Scholar, and ScienceDirect, and other related sources, systematically from
2019 to 2023. Results and Discussions: Eighteen articles on maternal empowerment in
decision-making for birth preparedness and complication readiness were described by
demographic characteristics, scope, and impact. Barriers and facilitators for three categories
include process, communication, information and education, health outcome, psychological,
and satisfaction. Conclusions: Existing literature identifies that maternal empowerment in
decision making through various interventions that involve mothers in decision making with
the assistance of midwifery proffesional, partners, family and community based support can
improve outcomes for matenal health, however this review shows that the self-empowerment
of pregnant women in BPACR decision making is still limited.

Keywords: Maternal empowerment; Decision making; Birth preparedness; Complication

readiness

88
 The 7th International Symposium of Public Health 2023
2-3 October 2023

SCOPE – E:
ENVIRONMENTAL PUBLIC HEALTH,
OCCUPATIONAL HEALTH AND SAFETY

89
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-101
Heavy Metals in Fish Knowledge, Attitudes and Practices
among Consumers in Selangor, Malaysia

Nadiatul Syima Mohd Shahid1*, Nurul Aqilah Shariff2, Rusnani Ab Latif1,

Wan Ismahanisa Ismail1, Mohamad Azhar Mohd Nor1, Amir Heberd
Abdullah1, Norasma Bakar1, Norfezah Md Nor3
1
Faculty of Health Sciences, Universiti Teknologi MARA, Pulau Pinang Branch, Campus Bertam,
13200 Kepala Batas, Pulau Pinang, Malaysia
2
Communicable Disease Control Unit, Bagan Datuk District Health Office, Jalan Maharajalela
36000 Teluk Intan, Perak, Malaysia
3
Department of Foodservice Management, Faculty of Hotel & Tourism Management, UiTM Pulau
Pinang Branch Permatang Pauh Campus, Pulau Pinang, Malaysia

*Presenting author: +601111977619; [email protected]

Abstract

Background: The presence of heavy metals in aquatic environment leads to the accumulation
of metal toxicity in fish and poses a potential threat to public health. Consumer knowledge,
attitudes and practices play important roles in ensuring food safety. This study aimed to assess
knowledge, attitudes and practices towards heavy metals in fish among consumers in Selangor
and their associations. Methods: One hundred (100) consumers from three different districts in
Selangor answered a questionnaire that consisted of four parts: demography, consumers’
knowledge, attitudes and practices towards heavy metals in fish. Consumers are those who
consume fish and above 18 years old. A cross-sectional online survey using a validated self-
administered questionnaire was employed to collect data from a sample of adults aged 18 years
and above. The sampling technique used the snowball technique. The questionnaire was
analysed using SPSS (version 21), descriptive and Spearman’s correlation analysis. Results
and Discussions: Overall, the findings indicated adequate knowledge (57%) and satisfactory
attitudes (52%), but poor practices (26%) towards heavy metals in fish. The study results
indicated moderately positive correlations but significant differences between consumers’
knowledge and practices (r= 0.410, p= <0.001), and attitudes and practices (r= 0.314, p=
<0.001). Conclusions: These findings suggest that consumer knowledge is essential for
influencing attitudes and achieving significant changes in practices. In order to maintain a
healthy society, this study also confirms the importance of understanding heavy metals to
increase consumer awareness.

Keywords: Consumer; fish; heavy metal; knowledge, attitudes and practices (KAP)

90
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-103
Literature Review: Surveillance Analysis of Risk Factors
Relapse Mental Disorders

Rini Fortina1,3*, Chatarina U.W2, Atik C.H2, Fariani S.2*, Yulinar3*

1
Doctoral Program of Public Health, Faculty, Universitas Airlangga, Surabaya, Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Psychiatric Hospital, Central Kalimantan Province, Indonesia.

*Presenting author: +6281349030922; [email protected]

Abstract

Background: Psychosis is a psychiatric disorder characterized by hallucinations and delusions

with schizophrenia spectrum disorders and mood disorders such as depression and bipolar.
Treatment for psychosis sufferers lasts a long time or even a lifetime cause re-admission and
hospitalization. Surveillance is used to monitor trends in mental disorders to predict the time
of recurrence so that the severity of the disorder can be prevented as early as possible.
Methods: Search for articles via Google Scholar, PubMed, NIHR and ResearchGate, aims to
surveillance mental psychosis. There were 10 articles obtained and 6 articles analyzed based
on suitability of purpose and topic. Results and Discussions: Surveillance variables consist of
risk factors, protective factors and triggers factors as well as mental health indicators. The
impact is socio-economic, disability, and the risk of suicide / self-harm. Surveillance in the
mental health facilities and public health.Conclusions: It is recommended to include
surveillance activities in community-based psychosocial rehabilitation programs, so that
recording signs or symptoms of relapse can be carried out routinely.

Keywords: Surveillance; mental health; psychosis; relapse; mental disorders

91
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-105
Path Analysis of the Relationship between Diarrhea, Climate
and Environmental Variables in Province of West Nusa
Tenggara

Khadijah Azhar1*, Ika Dharmayanti2, Dwi Hapsari Tjandrarini2, Bambang

Wispriyono3
3
University of Indonesia, Depok District, West Java 16424, Indonesia
2
Research Center for Public Health and Nutrition, Research Organization for Health, National
Research and Innovation Agency, Bogor District, West Java 16915, Indonesia
3
University of Indonesia, Depok District, West Java 16424, Indonesia

*Presenting author: +6281388523737; [email protected]

Abstract

Background: Diarrhea disease is still an important sources of morbidity and mortality,

particularly in Province of West Nusa Tenggara (NTB). In general, there are some factors
contributing to the incidence of diarrhea. This study aimed to examine the role of climate,
economic status, demographic, and water, sanitation, hygiene (WASH) factors, whether they
have a direct or indirect influence on diarrhea. Methods: This study used an ecological study
design that focused on the characteristics of population groups. The unit of analysis was
districts/cities. We used data on diarrhea cases in the area from 2017-2020, as well as other
variables in the same period. The dependent variable was the number of diarrhea cases per
month and the independent variables included average temperature, economic status,
population density, access to WASH. A total of 480 records were analyzed descriptively and
using path analysis to determine relationships between the variables studied. Results and
Discussions: There was an influence between average temperature on diarrhea and statistically
significant both directly (b=0.127; p=0.013; 95% CI=0.03 to 0,23) and indirectly through
WASH (water-sanitation: b=0.311; p<0.001; 95% CI=0.24 to 0,38 and hygiene: b=0.529;
p<0.001; 95% CI=0.47 to 0,59). Economic status, population density had a significant indirect
effect on diarrhea, whereas WASH had a significant direct effect on diarrhea. The model also
showed that water-sanitation had a positive and significant correlation to hygiene.
Conclusions: Diarrhea is directly influenced by the average local temperature and access to
WASH. Indirectly, the average temperature plays a role together with population density and
economic status.

Keywords: Climate; diarrhea; path analysis; WASH

92
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-106
Association Between Pesticide Usage and Contact Dermatitis in
Agricultural Workers

Sutida Sutamma1*, Patcharee Jaigarun2, Supaporn Chaigarun3

1
Master's Student, Department of Public Health, Faculty of Public Health, Ubon Ratchathani
Rajabhat University, Thailand
2
Boromarajonani College of Nursing Sanpasithiprasong, Thailand
3
Faculty of Public Health, Ubon Ratchathani Rajabhat University, Thailand

*Presenting author: +66898417086; [email protected]

Abstract

Background: Analysis of hospital records from Ubon Ratchathani province spanning 2016 to
2021 reveals 1,533 documented cases of contact dermatitis. Drawing from an extensive
literature review, several factors have been identified as potential contributors to contact
dermatitis among farmers who are exposed to pesticides. The objective of this research was to
examine the factors related to contact dermatitis among farmers who use pesticides. Methods:
The study employed a retrospective design, utilizing hospital-based data from a sample of 150
individuals collected between July 2 0 2 0 and July 2 0 2 1 . The data were analyzed using
frequency distribution, percentage, mean, standard deviation, minimum, and binary logistic
regression analysis. Results and Discussions: Among the sample of 1 5 0 individuals, the
majority were males (57.3%), with a diagnosis of contact dermatitis (33.3%). Additionally, a
significant proportion of males were diagnosed with contact dermatitis (64.0%). The mean age
of individuals with contact dermatitis was 3 4 . 1 2 years (S.D. = 6 . 1 2 5 ) . Several factors were
found to be significantly associated with contact dermatitis, including disease status (OR =
3.95, 95% CI = 1.92-8.13), education (OR = 2.66, 95% CI = 1.32-5.36), attitude towards
pesticide use (OR = 2.81, 95% CI = 1.32-5.99), and pesticide usage practices (OR = 3.14, 95%
CI = 1 . 4 2 - 6 . 9 8 ) . These findings provide essential information for health teams to promote
suitable pesticide use practices and attitudes among farmers, with the aim of reducing the
occurrence of contact dermatitis in the future. Conclusions: Pesticide usage practices were
significantly associated with contact dermatitis.

Keywords: Chemical pesticides; dermatitis; farmers

93
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-107
Environmental Risk Determinants Associated with Stunting
in Children in Tasikmalaya, Indonesia: A Public Health
Surveillance-Based Retrospective Study

Cecep Heriana1*, Merissa Laora Heryanto1, Fera Riswidautami

Herwandar1, Nita Nur Latifa2
1
Institute of Health Science Kuningan, Indonesia
2
Public Health Center Cipatujah, Tasikmalaya, Indonesia

*Presenting author: +6285224265351; [email protected]

Abstract

Background: Globally, by 2020, 155 million children under the age of five will be stunted.
Indonesia is one of the countries contributing to the third highest incidence of stunting in
Southeast Asia, reaching 36.4%. West Java Province has a stunting prevalence of 31.2% with
Tasikmalaya Regency ranked 5th with a prevalence of 24.4%. Cipatujah Public Health Center
has the 4th highest prevalence in Tasikmalaya Regency at 21.4%. The purpose of this study
was to analyze the environmental risk determinants of stunting in the Cipatujah Public Health
Center based on Surveillance data. Methods: The research design was Retrospective Cohort.
The study sample was 257 respondents who met the inclusion criteria taken by total sampling.
The research instrument used was a checklist sheet. The statistical analysis used was Chi-
square. Results and Discussions: The risk of family latrines and the incidence of stunting (p-
value=0.001, RR = 5.407, CI 95%=2.784-10.50). Water quality (p-value= 0.001, RR= 4.688,
CI = 95% 2.513-8.745). Conclusions: There is a relationship between environmental risk
determinants and the incidence of stunting in children aged 24 months in the Cipatujah Health
Center Working Area, Tasikmalaya Regency in 2023. For families, it is necessary to improve
basic sanitation that meets the requirements of the household to create the application of clean
and healthy living behavior.

Keywords: Stunting; Environmental Risk; Family Latrine Risk Level; Water Quality

94
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-108
Unsafe Actions Cause Analysis with Human Factors Analysis
and Classification Systems (HFACS)

Dani Nasirul Haqi1*, Tri Martiana2, Indriati Paskarini2, Yustinus Denny

Ardyanto Wahyudiono2
1
Doctoral student of Public Health, Faculty of Public Health, Universitas Airlangga, Indonesia
2
Departement of Occupational Safety and Health, Faculty of Public Health, Universitas Airlangga,
Indonesia

* Presenting author: +6281233538835; [email protected]

Abstract

Background: Most accidents occur during the hotel construction project by PT "X" Surabaya
due to unsafe actions (51.7%). An analysis of the factors that cause the unsafe action has not
been undertaken. HFACS method describes in detail the factor that causes unsafe action by
looking at the mistakes made by supervisors and management. The research problem was what
factors caused unsafe action in the hotel construction project by PT "X" Surabaya with the
Human Factors Analysis and Classification System (HFACS) approach. Methods: This was a
cross-sectional analytic survey research. The research design used quantitative and qualitative
approaches. Results and Discussions: Preconditions for unsafe action variables that influenced
the occurrence of unsafe action were the type of personality, worker’s motivation, workers'
readiness, knowledge level, and Health and Safety training. The unsafe supervision performed
by the foreman was operation planning which was performed less optimally. Organizational
influences to consider were the organization's operational processes. HFACS analysis showed
that unsafe action on labor could occur when organizational influences in the organization's
operational processes in the hotel construction project of PT "X" Surabaya did not run
optimally. It brought an impact on the unsafe supervision which led to the occurrence of unsafe
action. Conclusion: the company must pay attention to the factors that cause unsafe action at
each layer of HFACS. the company must place more emphasis on the socialization factor of
procedure guidelines to workers and supervision must be more intense.

Keywords: HFACS; unsafe action; accident; construction project

95
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-109
Potential of Cymbopogan nardus Extract Inhibut the Growth
of Candida albicans, Staphilococcus aureus, and Escherichia
coli a In Vitro Study

Rachmaniyah*, Rusmiati, Khambali

Departement of Environmental Health, Poltekkes Kemenkes Surabaya

*Presenting author: +6281803046575; [email protected]

Abstract

Background: To examine the effectiveness of the Cymbopogon nardus extract against E.coli,
Staphylococcus aureus, and Candida albicans in vitro, a laboratory experiment was conducted.
Cymbopogon Nardus contains dicarboxylic acids, phenols, steroid saponins, flavonoids,
saponins, coumarins, homoisoflavanone, and fatty acids. The goal to be achieved is to analyze
the extrak ability of Cymbopogon nardus extract in inhibiting the growth of E. coli bacteria,
Staphilococcus aureus and Candida albicans fungi. Methods: By employing the maceration
method and 96% ethanol, antibacterial testing of the Cymbopogon nardus extract was
performed at concentrations of 5%, 10%, 20%, and 40% to investigate the development of
E.coli, Staphilococcus aureus, and Candida albicans. Result and Discussions: ethanol extract
of the Cymbopogon nardus 5- 40% inhibited the growth of E. coli with average inhibition zone
diameters of 5.22 mm, 6.32 mm, 6, 7, and 6.63 mm, respectively. Cympobogon nardus can
inhibition Staphylococcus aureus bacteria with an average diameter of the inhibition zone of
7.55 mm and 6.2 mm, respectively, could be inhibited by concentrations of 20% and 40%.
Cymbopoghon ethanol extract at concentrations of 5% and 40% did not result in an inhibition
zone on Candida albicans growth; however, doses of 10% and 20% might, with the average
diameter of the inhibition zone being 6.13 mm and 6.6 mm, respectively. Conclusion:
Cymbopogon nardus inhibits the growth of E.coli bacteria, Staphylococcus aureus, and
Candida albicans at low and high concentrations. The suggestion in this study is trial modifies
the Cymbopogon nardus extract with other solutions that can also absorb air pollutants.

Keywords: Escherichia coli, Cymbopogon nardus; Staphilococcus aureus; Potential

Inhibition

96
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-111
The Influence of The Use of Fogging to Control Dengue
Hemorrhagic Fever (DHF) on Health Impairments of Health
Workers: A Scoping Review

M.F.D. Lusno1*, Ririh Yudhastuti2, Nazri Che Dom2, Siti Aekbal Saleh2,
Ahmad Razali Ishak2
1
Faculty of Public Health, Airlangga University, Indonesia
2
Universiti Teknologi MARA Cawangan Pulau, Pinang, Malaysia

*Presenting author: +6281335130077; [email protected]

Abstract

Background: Fogging is a method used to fight dengue fever by spraying a chemical

insecticide that kills adult Aedes aegypti mosquitoes. These mosquitoes are responsible for
spreading the disease. However, too much fogging can be harmful to people because the
chemicals are toxic and don't last long in the environment. This research looks at health
problems that can happen to fogging workers when they are exposed to these insecticides.
Methods: We did a Scoping review to find and summarize existing research on using
insecticides for fogging to control dengue fever. We collected data from the past ten years from
sources like scientific databases. In total, we studied 31 scientific articles. Results and
Discussions: Our study found that many fogging workers used a chemical called temephos for
fogging. When they used too much of it and didn't wear protective gear, they were at risk of
being exposed to the insecticide. Exposure to these chemicals could lead to various health
issues, like anemia, high blood pressure, diabetes, nervous system problems, and specific
problems for women, such as thyroid issues and reproductive problems. It also affected men
with fertility issues. People exposed to the insecticides had physical problems like tremors and
felt unwell with symptoms like skin irritation, dizziness, nausea, coughing, headaches, and
trouble breathing. Conclusion: While fogging is important to control dengue fever, it's crucial
to protect fogging workers by making sure they use the right safety gear. This will help reduce
the health risks linked to exposure to these insecticides.

Keywords: Insecticide; fogging; Dengue hemorrhagic fever; health workers; health problems

97
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-112
Food Waste Treatment and the Effect of Composting on The
Gambia's Carbon Footprint

Babucarr Jassey1,2*, Ririh Yudhastuti3, Hoirunisa4

1
Doctoral Study Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Indonesia
2
Department of Public Health Services, Ministry of Health, The Gambia, West Africa
3
Department of Environmental Health, Faculty of Public Health, Airlangga University, Indonesia
4
Public Health Department, Faculty of Health Sciences, Syarif Hidayatullah Jakarta State Islamic
University, Indonesia.

* Presenting author: +6281385613705; [email protected]

Abstract

Background: In The Gambia, about 35% of the food produced is wasted, making it the most
significant contributor to municipal solid waste. Food waste presents unique challenges for
conventional waste treatment techniques because of its high moisture content, oils, and
changeable composition. Food waste is disposed of in landfills, significantly raising the carbon
footprint and producing greenhouse gases. Methods: Two treatment methods successfully
utilized to treat and manage leftover foods are anaerobic digestion and composting. This study
provides a brief overview of the effects of composting food waste on carbon footprint in The
Gambia, paving the path for future research on the benefits of composting along with other food
waste treatment methods, including anaerobic digestion. Results and Discussions: It
determined The Gambia's altered carbon footprint due to diverting food waste using carbon
calculation over lifecycle version 2 (CCaLC2) software. Food waste composting lowered The
Gambia's overall carbon footprint by 2.58 and 2.53 megatons of CO2 in 2019 and 2020, which
accounted for roughly 20% and 22% of the country's total municipal solid waste footprint,
respectively. Conclusions: The carbon footprint statistics were compared to the data from
Senegal, Nigeria, Guinea, and Sierra Leone to demonstrate the significant efficacy of
composting in The Gambia..

Keywords: Food waste; carbon footprint; waste treatment;; composting;; greenhouse gases;.

98
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-113
Correlation of Personal Factors with Unsafe Action of
Health Worker in Nine Puskesmas, Kediri City

Ningsih Dewi Sumaningrum1*, Ririh Yudhastuti2, Y. Denny Ardyanto3

1
Airlangga University, Faculty of Public Health, Airlangga University, Indonesia

* Presenting author: +6288227001634; [email protected]

Abstract

Background: The standard action in PUSKESMAS still high and often ignored, this is very
dangerous if left unchecked it will have an impact on the safety and health of health workers,
patients and patiens families. The purpose of this study is to anlize the correlation personal
factors and unsafe actions of health worker in 9 PUSKESMAS Kediri City. The populatio of
this study was health workers totaling 410 health worker. Variable in this study were unsafe
action and personala factors included the level of knowledge and work fatique. Methods: This
research is analytical with cross secional design. The number of respondents was 410 health
workers, using total sampling technique. Data were collected through observations and
interviews on substandard actions. Statistical analysis of the correlation between personal
factors and unsafe action used logistic regression because the dependent variables categorical.
Results and Discussions: The result showed correlation between fatique and unsafe action, the
more fatique health workers, the higher unsafe action. The result showed correlation between
knowledge of health workers and unsafe action, the higher the knowledge of health workers,
the lowe unsafe action.Conclusions: There is a correlation between personal factors
(knowledge, fatigue) and unsafe actions and strong correlation. It is recommended to have a
safety talk during the morning on a regular basis to increase health vigilance when going to
work.

Keywords: PUSKESMAS; Unsafe action; Health worker; Fatique; Knowledge

99
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-115
Waste Management, Community Participation and Local
Wisdom in Environmentally Based Disease Control in
Coastal Areas Through The Theory Of Planned Behavior
Approach: A Systematic Review

Ahmad Ruhardi1*, R Azizah2

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Airlangga University,
Surabaya, 60115, Indonesia
2
Department of Environmental Health, Faculty of Public Health, Airlangga University, Surabaya,
60115, Indonesia

*Presenting author: +628175798265; [email protected]

Abstract

Background: Health development is an important aspect of national development because it

touches all aspects of human life. Disease events that occur in a communityin a region are the
final stage of a process dynamics of interactive relationships between humans and
environmental components. Solid waste management practices are a concern for public health
and environmental protection. The research objective is to analyze articles related to waste
management, community participation and local wisdom in environmental-based disease
control. Methods: The method used in writing this article is a systematic review, using the
Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist
guidelines and searching several journal databases including PubMed, ScienceDirect, Scopus,
and ProQuest. In the initial stage of searching for journal articles, around 443 articles were
obtained from 2018 to 2023. The inclusion criteria used in this research included original
articles, English language articles, and open access, while the exclusion criteria were articles
in the form of reviews, systematic review, or meta-analysis. Results and Discussions: The
results of the analysis show that waste management is closely related to environmental and
behavioral factors. Humans with civilization, culture, behavior and employment status can
building an environment in such a way that it creates the potential danger of disease.
Conclusions: Waste management policies and strategies carried out through socio-economic
and cultural development of the community to realize community welfare based on local
wisdom indirectly have a close relationship in controlling environmental-based diseases.

Keywords: Waste management; Community Participation; Local wisdom; Environmental-

based diseases

100
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-116
Determinants of Waste-Sorting Practice of Rural Households

Khuliyah Candraning Diyanah1*, Nuzulul Kusuma Putri2, Aditya Sukma

Pawitra1, Lilis Sulistyorini1, Izzuki Muhashonah3, Andhini Aurelia Putri4
1
Environmental Health Department, Faculty of Public Health, Universitas Airlangga, Indonesia
2
Health Policy and Administration Departmen, Faculty of Public Health, Universitas Airlangga,
Indonesia
3
Clinical Pathology Department, Medical Faculty, Univesitas Negeri Surabaya, Indonesia
4
Internal Audit Management System, PT Samator, Indonesia

*Presenting author: +6285645945551; [email protected]

Abstract

Background: Household waste across the globe is increasing, including in the rural area. Rural
households in Indonesia prefer open dumping and open burning than start recycling their waste.
This study investigates the determinants of waste-sorting practice as a vital part of recycling
practice among the rural household. Methods: We surveyed 2,459 households living in
Bojonegoro district where the largest rural areas of East Java located. We used data on
education, income, healthy lifestyle, the 3R campaign outreach, the availability of final disposal
site and the waste circular system as the predictors of waste-sorting practice. We used multiple
linear regression analysis to model the predictors of this behavior. Results and Discussions:
Even though most of the rural households are well-educated and have a moderate healthy
lifestyle, only small number of rural households sorted their domestic waste. The socio-
economic condition and household access to final disposal site did not determine their habit in
waste-sorting. The waste-sorting behavior was found to relate to the availability of waste
circular system (OR 0,157; p<0,01) and the campaign of 3R practice in the community (OR
0,289; p<0,01). Conclusions: Amid the waste-sorting practice among rural households is
pathetic, there is still possibility to change this behavior. Providing a proper infrastructure of
waste circular system and familiarizing 3R practice could help improving the waste-sort
behavior among rural households.

Keywords: Determinants; Household Waste; Waste-sorting; Rural Households

101
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-117
Climatic Factors Influencing Malaria in Banjar District, Indonesia

Muhammad Rasyid Ridha1*, Ririh Yudhastuti2 Triwibowo Ambar Garjito3

Dewi Sri Susanti 4, Hadrianti Lasari5
1
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
National Research and Innovation Agency, Indonesia
4
Faculty of Mathematics and Natural Science, Universitas Lambung Mangkurat, Banjarbaru,
Indonesia
5
Faculty of Public Health, Universitas Lambung Mangkurat, Surabaya, Indonesia

*Presenting author: +628125012745; [email protected]

Abstract

Background: Malaria in Indonesia is a serious health problem and it is important to understand

the emergence of this disease. Climatic factors play an important role in malaria prevention.
Understanding the characteristics of the disease will benefit the health monitoring system and
provide ways to address this problem. This study aims to determine the effect of climate on
malaria incidence in Banjar District, Indonesia. Methods: Malaria case records were obtained
from the Banjar District Health Office, South Kalimantan Province. Climate data from the
Meteorology, Climatology, and Geophysics Agency of South Kalimantan Province. While
Population data was obtained from the Central Bureau of Statistics (BPS). Data for the period
2015 to 2022 was used to develop a model using multivariable linear regression. The forcasting
model is used to the number of malaria cases trend. Results and Discussions: The forcasting
results show that malaria trends occur in the months of November-January and April-May every
year. There is an influence of rainfall, maximum wind speed and average wind speed on malaria
incidence. Conclusions: Climate data and annual malaria incidence can be used by health
authorities in predicting the occurrence of dengue fever every year to be able to carry out control
interventions before the transmission season.

Keywords: Malaria; rainfall; wind speed; forecasting

102
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-118
Climate Change Due to Mobility Restrictions During the
Pandemic COVID-19: A Review

Dicky Andiarsa1*, Aditya Sukma Pawitra2, Khuliyah Candraning Diyanah2,

Chrisna Nur Hadyandiono2, Firman Cahyo Nugroho2, Putri Ziha Nabiha2,
Zainul Amiruddin Zakaria3, Nuzulul Kusuma Putri4, Santi Martini5
1
Doctoral Program of Public Health, Public Health Faculty, Universitas Airlangga, Surabaya 60115,
Indonesia
2
Environmental Health Department, Public Health Faculty, Universitas Airlangga, Surabaya 60115,
Indonesia
3
Department of Biomedica Sciences, Faculty of Medicine and Health Sciences, Universiti Malaysia
Sabah, Kota Kinabalu 88400, Malaysia
4
Health Policy and Administration Department, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia
5
Epidemiology Department, Public Health Faculty, Universitas Airlangga, Surabaya 60115,
Indonesia

*Presenting author: +6285349550593; [email protected], [email protected]

Abstract

Background: The pandemic has had far-reaching impacts on public health, economies, and
societies worldwide. It has strained healthcare systems, disrupted supply chains, caused job
losses and economic downturns, and disrupted education and daily routines, including
environmental and climate change. Methods: This research was a study conducted using the
literature review method, where searches are made from various references including
international and national articles, using online databases. Results and Discussions: Climate
change has emerged as one of the most pressing global issues of our time. With the onset of the
COVID-19 pandemic, governments worldwide implemented mobility restrictions to curb the
spread of the virus. These restrictions inadvertently led to significant changes in human
mobility patterns, which have had both positive and negative effects on the environment. While
the reduction in carbon emissions and improved air quality provided temporary relief, it is
essential to recognize the complexities of these changes. Conclusions: As the world recovers
from the pandemic, it is crucial to build upon the lessons learned and develop sustainable
strategies that strike a balance between economic recovery and environmental stewardship.

Keywords: Climate Change; Covid-19; Mobility Restriction

103
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-119
A Systematic Review of Airborne Microplastic
Contamination: The Effects on Human Lungs

Prehatin Trirahayu Ningrum12*, Soedjajadi Keman3, Lilis Sulistyorini3, I Ketut

Sudiana4
1
Doctoral Degree Program in Public health, Faculty of Public Health, Universitas Airlangga,
Surabaya, Indonesia
2
Faculty of Public Health, Universitas Jember, Jember, Indonesia
3
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
4
Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +6281330009604; prehatin.trirahayu [email protected]

Abstract

Background: Microplastics are the result of degradation of plastic waste in nature and contain
various toxicological effects which are different for each organism. Microplastics are the result
of degradation of plastic waste in nature and contain various toxicological effects which are
different for each organism. It is estimated that humans ingest around 100,000 fine particles of
plastic every day. Methods: Data search in this study used four electronic databases, namely
Scopus, Web of Science, Science Direct, and PubMed. Cross-sectional research design. There
were 20 articles that fulfilled this research. The research process includes title screening,
abstract screening, full text screening, and data abstraction, this is done to ensure data
objectivity. Risk assessment to reduce data bias using the JBI Critical Appraisal Tool. Results
and Discussions: Microplastics are in the air and humans inhale microplastics every day. This
can have an impact on humans who, in their daily activities, breathe air contaminated with
plastic. so that sub-chronically it will have an impact on human lungs. Conclusions:
Microplastics have an effect on human health, especially on human lungs through the air.

Keywords: Microplastic; Airborne; Contamination; Human lungs

104
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OE-120
The Role of Government in Encouraging the Implementation
of Occupational Health and safety in Companies

Muslikha Nourma Rhomadhoni1,5*, Ririh Yudhastuti2, Indriati Paskarini3,

Fauziyatun Nisa’3, Wiwik Afridah1,4, Friska Ayu5
1
Doctorate Degree Program in Public Health, Faculty of Public Health, Airlangga University,
Surabaya 60115, Indonesia
2
Faculty of Public Health, Airlangga University, Surabaya 60115, Indonesia
3
Department of midwifery, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya
4
Department of Public Health, Faculty of Health Science, Universitas Nahdlatul Ulama Surabaya
5
Department of Occupational Health and safety, Universitas Nahdlatul Ulama Surabaya

*Presenting author: +6281232717203; [email protected]

Abstract

Safety performance is an employee's statement about work behavior that is relevant to safety
or maintenance to explain safety-related activities by individuals to maintain safety in the
workplace. The implementation of corporate K3 culture from the aspect of company
management has been widely researched, but from the role of stakeholders it is still very rare.
So, researchers are interested in conducting research entitled The Role of Government in
Encouraging the Implementation of K3 in Companies. The aim of the research is to identify
the role of government in encouraging the implementation of K3 in companies. Research
method, literature study using government regulations governing the implementation of K3.
Data analysis was carried out descriptively. Result: That the government regulates regulations
in Law 1 of 1970 concerning work safety. This regulation regulates activities that are required
to implement K3, health checks of workers, obligations of K3 management in the Company,
work safety development committee, reporting obligations if work accidents do not occur,
obligations and rights of workers in implementing K3 in the Company, obligations if they join
the Company and sanctions if there is a violation of the company's K3. Conclusion: The
government has regulated companies regarding the implementation of K3.

Keywords: Role of Government; K3; Company

105
 The 7th International Symposium of Public Health 2023
2-3 October 2023

SCOPE – F:
NUTRITION AND PUBLIC HEALTH

106
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-101
Facing Infectious Diseases of the Necro-Faryingitis Virus with
Antioxidant Nutritional Intake

Fitiara Indah Permatasari

Nutritional Science, Faculty of Public Healthy, Airlangga University, Indonesia

*Presenting author: +6282233545544; [email protected]

Abstract

Background: Necro-faryingitis infection is a disease caused by bacteria that attacks the

pharynx and makes sufferers feel like they have inflammation on throat, difficulty breathing
due to ripples or mucus in the pharynx and connects to the respiratory tract, namely the nose,
necro-faryingitis infection is rife In Surabaya, especially at Dr. Soetomo Hospital Surabaya and
willfully this virus is very deadly especially in patients who already have a history of
degenerative diseases such as diabetes mellitus, asthma, and etc. Phenol acid is an antioxidant
that can be called the most effective to counteract off bacteria, free radicals, or viruses. This is
because phenol acid has phenolic compounds from phenol groups that are able to bind a free
radical and have great potential to cure an infectious disease, especially infections that are in
the throat or pharynx. Besides being easily identified, food ingredients that contain high phenol
acid are also local foods that are rich in benefits, because in addition to fighting infections,
bacteria, and necro-faryingitis viruses this local food spice can also reduce the percentage of
cancer. Because phenol acid can also reduce or fight the virus that causes cancer.

Keywords: Necro-Faryingitis; phenol acid; antioxidant; nutrition; infection

107
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-102
Factors Related to The Collaboration of KPM (Human
Development Cadres) on Stunting Prevention Efforts

Dian Utama Pratiwi Putri1*, Trias Mahmudiono2, Diah Indriani2

1*
Doctoral Program of Public Health Universitas Airlangga, Surabaya, Indonesia
2
epartement of Public Health Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +621369919766; [email protected]

Abstract

Background: There is no collaboration between KPM (Human Development Cadres) with

other stunting cadres, there is no direct communication media and there is no one to facilitate
KPM collaboration to carry out the task of collecting data as an indicator of stunting
achievement and for stunting prevention, this can lead to repeated data collection, unequal data
and irrelevant data accuracy and if KPM and other stunting cadres collaborate then the
performance of both will be more effective and Efficient because of the intersecting tupoksi so
that it is hoped that the data obtained for stunting achievement indicators are accurate and more
optimal visits to the community. Research to determine the factors related to KPM collaboration
on stunting prevention efforts. Methods: Quantitative research with cross-sectional study
design. The research sample was KPM whose respondents served in the working area of
Pringsewu Regency, Lampung Province as many as 63 respondents. The inclusion criteria are
KPM who are willing to be respondents to receive a decree for at least 6 months while the
exclusion criteria are KPM who are not willing to be respondents and are sick at the time of the
study. Research instruments are tested using validity and reliability tests. Data analysis used
univariate and bivariate analysis. Results and Discussions: The variables associated with KPM
collaboration in stunting prevention efforts are pvalue confidence 0.032, communication p-
value 0.021, deliberation p-value 0.002 and added value p-value 0.001. Conclusions: Cadre
collaboration is important in stunting prevention efforts

Keywords: KPM; Collaboration; Prevention; Stunting

108
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-103
Exploring The Factor Influencing Complementary Feeding
Practices of Mothers with Infant 6-23 Months Old in
Sidoarjo Regency, Indonesia: A Qualitative Study

Ira Dwijayanti1,2*, Muji Sulistyowati3, Emyr Reisha Isaura4, Anugrah Linda

Mutiarani2, Gusti Maya Shafira Noor2
1
Department of Nutrition, Faculty of Health, Universitas Nahdlatul Ulama Surabaya, 60237,
Surabaya, East Java, Indonesia
2
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya, 60115, Indonesia
3
Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas
Airlangga, Surabaya, 60115, Indonesia
4
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, 60115,
Indonesia

*Presenting author: +6281281004940; [email protected]

Abstract:

Background: The introduction of solid or semi-solid foods, referred to as complementary

feeding (CF), is a crucial milestone in an infant’s growth. This study aims to gain a deep
understanding of CF practices and the factors influencing among mothers in Sidoarjo Regency.
Methods: We conducted a descriptive qualitative study between June and August 2023 in
Sedati District, Sidoarjo Regency. We selected ten mothers with children aged 6-23 months
using purposive sampling. Descriptive statistics were used to analyze the demographic
characteristics and thematic analysis to describe the mother’s perspective during
complementary feeding practices. Results and Discussions: Three key themes emerged on
complementary feeding practices, individual perceptions, and social support dynamics. The
findings underscore the widespread availability of ultraprocessed food and the significant
influence of family dynamics on children’s dietary preferences. Mothers may adopt differing
approaches to CF practices based on their individual beliefs, and enhancing social support,
including spousal involvement. Conclusions: This study emphasizes the significance of
addressing obstacles, strengthening familial support, enhancing peer and health care
professional assistance, and taking into account personalized dietary approaches. These
measures are essential to effectively implementing complementary feeding practices and
advancing child nutrition and development.

Keywords: Complementary feeding; perceived; qualitative analysis; social support

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-104
Food Safety Compliance During Food Delivery: Food Riders
Knowledge, Attitude, and Risk Perception

Norfezah Md Nor1*, Nur Zahirah Nizam1, Nadia Liana Mohd Karim1,

Nadiatul Syima Mohd Shahid2, Amir Heberb Abdullah2, Dominikus
Raditya Atmaka3, Trias Mahmudiono3
1
Department of Food Service Management, Faculty of Hotel & Tourism Management, Universiti
Teknologi MARA (UiTM) Cawangan Pulau Pinang, Permatang Pauh Campus, 13500 Pulau Pinang,
Malaysia
2
Faculty of Health Sciences, Universiti Teknologi MARA (UiTM) Cawangan Pulau Pinang, Bertam
Campus, 13200 Kepala Batas, Pulau Pinang, Malaysia
3
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Indonesia

*Presenting author: [email protected]

Abstract

Background: The prevalence of online food delivery services (OFDS) environments in many
food service and retail contexts has an impact on how people order and access meals. This also
led to the emergence of numerous new employment opportunities, such as food delivery riders,
whose numbers have increased significantly, particularly in Kuala Lumpur, Malaysia. It is
critical to understand food riders’ knowledge , attitude and risk perception in order to protect
this new trend of food consumption under public health programmes.However, there are
challenges for OFDS providers in evaluating food safety and cleanliness to ensure that clients
receive safe and high-quality meals. Therefore, the purpose of this study was to examine how
food riders in Kuala Lumpur's knowledge, attitudes, and risk perceptions influenced their food
safety practises. Methods: The Google Forms platform was used to conduct a quantitative e-
survey. The data from 132 Kuala Lumpur food riders was then evaluated using a descriptive
statistic, followed by correlation and multi regression using the SPSS 26 edition. Results and
Discussions: Male food riders make up the majority of Grabfood's workforce in Kuala Lumpur
(64%) and are more likely to have completed a food handling course and received thyphoid
vaccinations (20.5%) than female riders. The results also showed a significant positive link
between food safety practises among the food riders in Kuala Lumpur for all three variables:
food safety knowledge (FSK, r=0.845, p0.001), food safety attitude (FSA, r=0.832, p0.001),
and risk perception (RP, r=0.774, p0.001). According to the results of the multiple regression,
all three of the aforementioned components accounted for 76.5% of the variation (R2=0.770, F
(3,131)=143.00, p=0.010).Conclusions: To summarise, the majority of food riders have solid
food safety knowledge, attitudes, and risk perception, and they follow best practises.

Keywords: Food Delivery Riders; Food Safety; Online Food Delivery Services (OFDS);
Public health

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-105
Effects of early childhood growth and development
interventions implemented provider on children under 2
years of age: systematic review

Rahma Kusuma Dewi1*, Sri Sumarmi2, Irwanto3, Dewi Retno Suminar4

1
Doctoral Program of Public Health University of Airlangga, Surabaya
2
Faculty of Public Health, University of Airlangga, Surabaya
3
Faculty of Medicine, University of Airlangga, Surabaya
4
Faculty of Psychology, University of Airlangga, Surabaya

*Presenting author: +6281229440101; [email protected]

Abstract

Background: The impact of interventions on early childhood growth and development is well
known. However, there have not been many systematic reviews effect of interventions on the
growth and development of children under 2 years of age. The objective to effects of early
childhood growth and development interventions implemented by providers on children under
2 years of age. Methods: We conducted an electronic search using PubMed, Science Direct,
Scopus, SpringerLink, and Wiley to select studies on intervention effects, and developmental
growth in children under 2 years, and implemented providers published from January 2015 to
December 2023. This research uses PRISMA (Preferred Reporting Items for Systematic
Reviews and Meta-Analyses) guidelines. Results and Discussions: We found 1235 articles.
After the application of exclusion criteria and the exclusion of redundant references, 25 articles
were analyzed thematically. The studies were organized: impact of intervention, health services
implemented, growth and development, and children under 2 years of age. The implemented
provider to children has an impact on long-term social, cognitive, emotional, and physical
development and has a positive impact on children's growth and development. Conclusions:
The identified studies show that providing early and comprehensive education, health and social
services has an impact on the growth and development of children under 2 years of age. We
found interventions as responsive stimulation provided in health services can improve the
growth and development of children under 2 years of age. Further studies regarding the long-
term impact of effectiveness growth and development of children under 2 years of age.

Keywords: Implemented provider; Early childhood; growth development; children under 2

years

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-106
PREDICTOR OF STUNTING, WASTING, AND BEING
UNDERWEIGHT IN INDONESIA: LITERATURE
REVIEW

Fitri Rachmillah Fadmi1*, Bambang Widjanarko Otok2, Kuntoro Kuntoro3,

Soenarnatalina Melaniani3
1
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya, Indonesia
2
Departement of Statistics, Faculty of Science and Data Analytics, Institut Teknologi
Sepuluh Nopember, Surabaya, Indonesia
3
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +6285241545007; [email protected].

Abstract

Background: Parents must be aware of stunting, wasting, and being underweight in their
children. However, it is a common misconception among parents that these conditions are
solely influenced by nutritional intake. In reality, various factors contribute to these incidents.
This study aims to determine the factors associated with stunting, wasting, and being
underweight. Methods: Researchers used a Systematic Literature Review design using the
PRISMA procedure. The researchers applied a keyword search to databases collected via
ScienceDirect, PubMed, ProQuest, SAGE and Emerald to find relevant articles published from
2016 to 2021 and in English. Results and Discussions: The results of the study found 17
relevant articles dan revealed several factors associated with stunting. These include factors
associated with stunting include sanitation and water maintenance, low birth weight, the
number and age of children, antenatal care, gender, age, mother's height, exclusive
breastfeeding, parental education, complete immunization, essential amino acid intake, and
family income. Factors associated with wasting include breastfeeding, nutritional status during
pregnancy, antenatal care, and malnutrition. Furthermore, factors associated with being
underweight include the availability of water, the availability of restrooms, the quality of the
house's roof, low birth weight, limited growth and development in the womb, the height and
age of pregnant women, maternal parity, breastfeeding, antenatal visits, nutrition during
pregnancy, and gender. Conclusions: This study found that all factors related to stunting,
wasting, and underweight do not stand alone as the only predictors. Instead, they interact and
contribute collectively to the occurrence of these conditions.

Keywords: Predictor; stunting, wasting, underweight, Indonesia

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-107
Analysis of Total Lactic Acid Bacteria (LAB) and
Organoleptic Quality of Goat Milk Kefir with the Addition
of Kapok Honey (Cheiba pentandra L.)

Ibnu Malkan Bakhrul Ilmi1*, Angga Hardiansyah2, Avliya Quratul Marjan1,

Yessi Crosita Octaria1, Muhammad Mukhlis Saputra2, Fitria Susilowati2
1
Nutrition Study Program, Faculty of Health Sciences, Universitas Pembangunan Nasional Veteran
Jakarta, Depok, Indonesia
2
Department of nutrition, faculty of psychologi and health, Walisongo State Islamic University

*Presenting author: +6285649190409; [email protected]

Abstract

Background: Goat's milk kefir is a probiotic product with a sour taste due to the activity of
lactic acid bacteria which makes it less palatable. This study aims to calculate the total lactic
acid bacteria (LAB) and the organoleptic quality of goat's milk kefir with the addition of kapok
honey. Methods: It was an experimental study with a Completely Randomized Design (CRD).
The treatment of Kapok honey flower was grouped into five levels, namely 0, 10, 15, 20, and
25% with three repetitions. There were 15 total experimental units in this study. Statistical
analysis was done using One Way ANOVA test and followed by Duncan Multiple Range Test
(DMRT) for normally distributed data. Kruskall-Wallis test and Mann-Whitney Post-Hoc test
was done for the non-normally distributed data. Results and Discussions: The results showed
that the addition of Kapok honey to the goat’s kefir increased the total lactic acid bacteria
(LAB) with a range between 2.12x1010 CFU/ml to 3.5x1010 CFU/ml (P<0.05). The addition
of kapok honey also had a significant contribution to the organoleptic quality as measured by
the following parameters; aroma, sour taste, sweet taste, texture and overall (P<0.05).
However, in terms of color the addition of Kapok flower honey did not have a significant
impact on the organoleptic quality assessment (P>0.05). Conclusions: The study resumes that
the addition of kapok honey to goat's milk kefir increases the total LAB and improves its
organoleptic quality.

Keywords: Goat’s kefir; LAB; milk; Kapok honey; organoleptic

113
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-108
Effect of Kapok Flower Honey (Ceiba pentandra) addition
on Antioxidant Activity, Total Flavonoid, Total Phenolic,
and Lactose Levels in Goat's Milk Kefir

Angga Hardiansyah1*, Ibnu Malkan Bakhrul Ilmi2, Avliya Quratul

Marjan2, Yessi Crosita Octaria2, Karina Ana Saputri1, Khodijah1,
Darmuin1
1
Department of nutrition, faculty of psychologi and health, Walisongo State Islamic University
2
Nutrition Study Program, Faculty of Health Sciences, Universitas Pembangunan Nasional Veteran
Jakarta, Depok, Indonesia

*Presenting author: +6285215686007; [email protected]

Abstract

Background: The addition of honey from Kapok flower may increase the bioactive component
of Goat's milk kefir. This study aims to determine the antioxidant activity, flavonoid content,
total phenolics and lactose in goat's milk kefir added with Kapok flower honey. Methods: This
study used experimental design with a Completely Randomized Design (CRD). The formula
was made at five levels (0, 10, 15, 20, and 25%) with three repetitions. Thus, there were 15
experimental units in this study. The data obtained were analyzed using ANOVA and followed
by Duncan test to determine differences in treatment effect. Results and Discussions: Results
showed that adding Kapok flower honey to the Goat’s kefir was able to increase the antioxidant
content with the highest value being P4 (98979.13 ppm). Total flavonoids and total phenolics
increased with increasing concentration of kapok flower honey. The highest total flavonoid
was P4 (0.0265%), and the highest total phenolic was P4 (0.0590%). The addition of kapok
flower honey lowered the lactose levels in goat's milk kefir. The lowest lactose was in P4 with
a level of 2.4672%. Conclusions: Kapok flower honey increases the antioxidant content, total
flavonoids, and total phenolics, and reduces the lactose levels in Goat's milk kefir.

Keywords: Antioxidant; Flavonoid; Goat’s Milk Kefir; Kapok Flower Honey; Phenolic;
Lactose

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-109
Organoleptic Test Characteristics and Acceptability of
Grasshopper Nugget Flour as a High Protein Functional Food

Sherly Maureta Santi*, Mitha Faula Rusdiyana, Ria Novita Sari, Riska Nabela
Andini Putri, Agung Nugraha, Nining Tyas Triatmaja

Program Studi S1 Gizi, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Indonesia

*Presenting author: +6285936157225; [email protected]

Abstract

Nuggets with the innovation of replacing grasshopper flour as a functional food have a fairly
high protein content as an essential factor in the functioning of the human body, so it can be
said that life is impossible without protein. Apart from that, grasshoppers are also a source of
high protein food which is currently known to be widely consumed by people in Africa and
Asia. This research aims to determine the level of acceptability of grasshopper flour nuggets
as an alternative protein-rich functional food. This research was carried out using a Completely
Randomized Design (CRD) with a Statistical Test, namely the Friedman Test and if there was
a significant difference (p < 0.05) followed by the Wilcoxon Test using the SPSS 20
application. For the experimental method an Organoleptic Test was carried out with a target of
30 semi-trained panelists where researchers measured the level of preference for processed
products from grasshopper flour in 3 treatments P1 (100% tapioca flour: 0% grasshopper flour),
P2 (95% tapioca flour: 5% grasshopper flour) and P3 (85% tapioca flour, 15% grasshopper
flour). The results of the research showed that the highest color acceptability of grasshopper
nugget products was P1 (0% grasshopper flour), the highest aroma acceptability was P1, the
highest texture acceptability was P1 & P2 (5% grasshopper flour), and the highest taste
acceptability was P1. It can be concluded that the best received power is P1 from each
parameter.

Keywords: Functional Food; Nugget; Grasshopper

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 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-110
Energy Adequacy, Physical Activity, and Stress Levels in the
Female Athlete Triad of Volleyball Athletes

Ratna Dewi1*, Bambang Wirjatmadi2, Hari Setijono3, Gadis Sari4

1
Doctoral Program, Public Health Study Program, Faculty of Public Health, Universitas
Airlangga, Surabaya, Indonesia
2
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3
Faculty of Sports and Health Sciences, Universitas Negeri Surabaya, Surabaya, Indonesia
4
Medical Faculty, Universitas Airlangga, Surabaya, Indonesia

*Presenting author: +6285237024018; [email protected]

Abstract

Background: The Female Athlete Triad (FAT) includes eating disorders, menstrual cycle
disorders, and decreased bone density can result in decreased performance in athletes.
Unbalanced intake, heavy training, abnormal nutritional status and stress can increase the risk
of disorders. This study aims to analyze the relationship between food intake, nutritional status,
physical activity and stress levels on eating disorders, menstrual cycle disorders and decreased
bone density in volleyball athletes. Methods: This study used a cross-sectional design with a
sample of 21 people aged 14-18 years and selected using a simple random sampling technique.
Data collected includes measurements of energy intake, physical activity, BMI, stress levels,
eating disorders, menstrual cycle disorders. The results of the study showed a relationship
between stress levels and eating disorders with a p value = 0.001, stress levels and bone density
(p value = 0.033), eating disorders and bone density (p-value = 0.036). Results and
Discussions: The results showed a significant relationship between stress levels and eating
disorders with p-value = 0.001, stress levels and bone density (p-value = 0.033), eating
disorders and bone density (p-value = 0.036). Conclusions: Stress levels have an impact on
eating disorders and decreased bone density in female volleyball teenage athlete.

Keywords: Energy Adequacy, Physical Activity, Stress Levels, Female Athlete Triad

116
 The 7th International Symposium of Public Health 2023
2-3 October 2023

OF-111
Correlation Between Exclusive Breastfeeding, Frequency,
and Portion of Breastfeeding Complementary Foods with
Stunting of Toddler in Desa Puru Kec. Suruh Kabupaten
Trenggalek

Ana Nur Filiya1*, Adenix Putri Ultasari2

1
Nutrition Study Programme, Health Faculty, Health Science Institute of Bhakti Wiyata, Kediri
2
Public Health Study Programme, Faculty of Technology Manajement and Health, Health Science
Institute of Bhakti Wiyata, Kediri

*Presenting author: +6285779008097; [email protected]

Abstract

Background: Stunting is still a health problem in Indonesia. Exclusive breastfeeding and

breastfeeding complementary foods are the main factors causing stunting in Toddlers. Stunting
the highest nutritional problem in Trenggalek. Trenggalek has designated 15 stunting locus
villages with a target of 11.35%, while the prevalence of stunting in Puru is 12.41%. It means
that Puru has not achieved tha target set for 2022. The purpose of this research is to study the
correlation between exclusive breastfeeding, frequency and portion of breasfeeding
complementary foods with stunting among toddlers in Puru Village, Suruh District, Trenggalek
Methods: the type of this research is observational analytic with cross sectional design. The
location is in Puru Village Suruh, Trenggalek. Total population is 137 toddlers. Total sample
was 58 toddlers taken by purposive sampling with the inclusion criteria being toddlers aged 6
to 59 months and willing to become research respondents. Exclusion criteria are toddlers who
are sick or suffer from birth defects. The research began in September 2022 to February 2023.
The statistical test used was chi square to determine the relationship between exclusive
breastfeeding and the incidence of stunting. The relationship between frequency and portion of
breastfeeding complementary foods with stunting using the Mc Nemar test. Results and
Discussions: There was a relation between exclusive breastfeeding and stunting (p-value
0.009), there was a relation between frequency and portion of breastfeeding complementary
foods with stunting (p-value 0.001). Conclusions: There was a relation between exclusive
breastfeeding, frequency, and portion of breastfeeding complementary foods with stunting.

Keywords: Stunting; exclusive breastfeeding; breastfeeding complementary foods; frequency

of breastfeeding complementary foods; portion of breastfeeding complementary foods

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OF-112
The Effectiveness of Moringa Biscuit (Moringa oleifera) and
Snakehead Fish (Channa striata) as Additional Foods in
Improving the Nutritional Status of Pregnant Women with
Chronic Energy Deficiency

Evi Setyawati1,2*, Sri Sumarmi3, Nurasmi4, Irnawati4, Iin Octaviana

Hutagaol4
1
Doctoral student of Public Health, Universitas Airlangga, Surabaya, Indonesia
2
Faculty of Health, Universitas Widya Nusantara, Palu, Central Sulawesi, Indonesia
3
Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
4
Faculty of Health, Universitas Widya Nusantara, Palu, Central Sulawesi, Indonesia

*Presenting author: +6282291407676; [email protected]

Abstract

Background: The prevalence of the risk of chronic energy deficiency (CED) in pregnant
women in 2020 was 32.6%. How to improve the nutritional status of pregnant women with
CED by providing additional food in the form of biscuits. Biscuits can be made from local food
ingredients, namely Moringa and Snakehead Fish. The aim of this research is to analyze the
effectiveness of providing moringa biscuits and snakehead fish to improve the nutritional status
of pregnant women with CED in Sigi Regency. Methods: This type of quasi-experimental
research with a pre-post test control group design, 30 CED pregnant women were sampled,
divided into two groups, the sampling technique used total sampling, Biscuits were given five
pieces per day (weighing 60g) for three months, consumption patterns were controlled through
food recall. Analyzed using paired t test statistics. Results and Discussions: There was a
significant effect on increasing BMI in both groups before and after being given biscuits with
a P value of 0.000. Meanwhile, for the upper arm circumference (UAC) measurement variable,
there was no effect before and after the intervention with a P value of 0.247. However, there
was a difference in the treatment of providing functional biscuits and control biscuits in
increasing BMI (P 0.000) and UAC (0.015) of CED pregnant women. Conclusions:
Consumption of functional moringa and snakehead fish biscuits contributes higher energy and
nutrients to CED pregnant women compared to control biscuits, biscuit made from local food
can encourage family food and nutritional independence in a sustainable manner.

Keywords: Biscuits; moringa; nutrition; pregnant women CED; snakehead fish.

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2-3 October 2023

OF-114
Communication, Information and Education (CIE) with
Maternal Parenting Behavior and Growth Toddler

Rahma Kusuma Dewi1*, Sri Sumarmi2, Irwanto3, Dewi Retno Suminar4

1
Doctoral Program of Public Health, University of Airlangga, Surabaya
2
Faculty of Public Health, University of Airlangga, Surabaya
3
Faculty of Medicine, University of Airlangga, Surabaya
4
Faculty of Psychology, University of Airlangga, Surabaya

*Presenting author: +6281229440101; [email protected]

Abstract

Background: The incidence of stunting in children under five in Indonesia is 30.8%. One of
the factors causing the high number of stunting cases is the ability of mothers to do parenting.
Mothers do not have enough knowledge and skills in parenting. There needs to be an idea of a
program to improve parenting behavior towards toddler growth. One of the efforts that can be
done through the parenting CIE program. The aim of the research is to determine the
relationship between parenting CIE on parenting behavior of toddler mothers and toddler
growth. Methods: This study used a quasi-experimental design nonequivalent with control
group design. The number of study samples in the intervention and control groups was 30
mothers who had toddlers in each group. The intervention was carried out for 3 months from
September to December 2022. Toddler growth is measured by weighing them. Quantitative
data analysis using t-test and multiple regression test with CI 95% and p = 0.05. Result and
conclusion: interventions have a significant relationship with the parenting behavior of
mothers under five and the growth of children under five. Conclusion: CIE is a program needed
to improve parenting behavior of mothers under five and toddler growth

Keywords: KIE; Parenting behavior; toddler growth

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2-3 October 2023

OF-115
Mothers' Perspectives on Toddlers' Picky Eater Behavior: A
Systematic Review

Oktovina Rizky Indrasari*, Shrimarti Rukmini Devy

Fakultas Kesehatan Masyarakat, Universitas Airlangga, Indonesia

*Presenting author: +6285649909801; [email protected]

Abstract

Background: The health benefits and importance of family mealtimes have widely expressed.
Eating habits are formed from an early age through experience gained from contact with food
and observations of the environment. Picky eater behavior is a common thing that occurs in
childhood. Mothers of children with picky eaters have an important role in their children's care,
but little is known about their perspectives regarding the support they seek and receive in
fulfilling this role. This review aims to identify mothers' perspectives regarding toddlers' picky
eater behavior. Because this is a new area of research, qualitative research is needed to
understand mothers' perspectives on how they make decisions in dealing with picky eater
behavior in toddlers. Methods: A systematic search of relevant databases was performed.
Reference lists of included papers were also searched based on Health data. Three electronic
databases (Scopus, ScienceDirect, Pubmed) using predefined search terms. Limitations on the
search consisted of full text and publication date (last 10 years). The filtering process was
carried out using inclusion and exclusion criteria. Results and Discussions: 82 studies met the
inclusion criteria which were then mapped using content analysis. Studies were included if they
were of good quality and focused primarily on family experiences, maternal perspectives, and
family practices regarding picky eaters. Conclusions: The results of this review show that the
conceptualization of picky eaters can explain the influence of parents' feeding practices and
children's eating habits on each other. Further research is needed to understand children's
perspectives and the experiences of picky eaters in later childhood.

Keywords: Mother; Perspective; Toddlers; Picky Eater; Fussy

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OF-116
Factors related to feeding practice of maternal to prevent
stunting based on social-cognitive theory construct: A
systematic review

Nining Tyas Triatmaja1*, Trias Mahmudiono2, Diah Indriani3

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Airlangga University,
Surabaya 60115, Indonesia
2
Department of Nutrition, Faculty of Public Health, Airlangga University, Surabaya 60115, Indonesia

*Presenting author: +6281333664402; [email protected]

Abstract

Background: The high stunting rate in under five children makes this problem one of the
public health problems. One of the causes of stunting in under five children is inappropriate
feeding practice. Many factors that related to feeding practice of maternal. Thus, we conducted
systematic review to determine the factors related to feeding practice of maternal to prevent
stunting based on social-cognitive theory construct. Methods: Systematic searches were
conducted using the following journal databases: Science Direct, PubMed, ProQuest, Web of
Science, and Scopus. The inclusion criteria were only data published in peer-reviewed journals
from the selected databases, limited to English language, and no limit on publication date. The
study was based on Preferred Reporting Items for Systematic Reviews and Meta-analyses
(PRISMA) checklist guidelines. Results and Discussions: We analysed thirty-six studies: nine
assess knowledge, ten social support, eleven self-efficacy, and six barriers and facilitators.
Feeding practice were affected by maternal knowledge, social support, self-efficacy, barrier’s
and facilitators. To improve maternal feeding practice, several interventions were implemented
including educating mothers, feeding support groups, and lactation-support service.
Conclusions: There are many factors that related feeding practice of mother. There is potential
for improvement of maternal feeding practice by designing effective interventions.

Keywords: feeding practice; social cognitive theory; social cognitive learning; child stunting

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OF-117
Utilization of Biscuits as Nutrition Carrier to Improve
Stunting Condition among children: A Systematic Review

Abdullah Al Mamun1*, Ririh Yudhastuti2, Trias Mahmudiono3

1
Doctorate Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga,
Surabaya 60115, Indonesia
2
Department of Environmental Health, Faculty of Public Health, Universitas Airlangga, Surabaya
60115, Indonesia
3
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115,
Indonesia

*Presenting author: +6282136364408; [email protected]

Abstract

Background: Childhood stunting remains a global health issue with significant consequences
for growth, long-term health, and development. Poor nutrition is a well-established contributor
to childhood stunting, with dietary interventions, including different nutrients, emerging as
potential strategies to address this major health issue. This study aims to investigate the
potential of utilizing biscuits as a nutrition carrier to improve the stunting condition among
children. Methods: We conducted this systematic review by literature search in several
databases, including Scopus, Web of Science, ScienceDirect, PubMed, and Springer, following
the PRISMA methodology. Our search yielded a total of 836 articles and we assessed the
selected studies for their relevance, adherence to the research question, employing inclusion
and exclusion criteria. Results and Discussions: The included studies revealed promising
findings regarding the utilization of biscuits as a nutrition carrier to address childhood stunting.
These studies highlighted the effectiveness of fortified biscuits in providing essential nutrients
to children, thereby contributing to growth improvement. However, variations in study design,
populations, and interventions were observed, underscoring the need for standardized
approaches and further research. Conclusions: This review provides evidence supporting the
use of biscuits as a nutrition carrier for addressing childhood stunting. Nevertheless, more well-
designed and standardized studies are warranted to establish clear guidelines for the formulation
and implementation of biscuit-based interventions. Policymakers and health practitioners
should consider incorporating fortified biscuits into strategies aimed at reducing childhood
stunting rates, especially in regions with a high prevalence of stunted growth.

Keywords: Biscuits; child development; childhood stunting; dietary interventions; growth

improvement

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OF-118
Impact of Micronutrient Supplementation on
Hemoglobin, Ferritin, and Retinol Status in Stunting
Children Under 5 years in Urban Poor Regions
Rifzul Maulina1*, Rosyidah Alfitri1,2, Waifti Amalia2
1
Department of Midwifery, Institute Technology, Sains and Health RS dr Soepraoen
2
Department of Midwifery, STIKES Widyagama

*Rifzul Maulina: +6281231195071; [email protected]

Abstract

Background: Stunting is intently related to the deficiency of various variouvitaminutrients,

vitamins, and minerals. Micronutrient deficiencies, which include diet A, iron, and zinc afflict
more than three billion people internationally. Methods: This study intends to analyze the
lengthy-term intake of dietary supplements along with, essences, nutrition C: 50 mg, Zn: 8 mg,
minerals Fe: 8 mg, and vitamins B1, B2, B6: 1 mg, at the status of hemoglobin, ferritin, and
nutrition A substances in malnourished babies. Materials and strategies: This form of study is
quasi-experimental. The subjects of this study were youngsters elderly 1 to a few years old who
were malnourished by the use of one intervention organization. The cyanmethemoglobin
method became used to research hemoglobin reputation; For ferritin popularity, serum ferritin
has measured the use of the ELISA technique. size of nutrition A ranges became carried out by
means of determining serum retinol complementary HPLC. This complementary drink
intervention changed into given as soon as a day in the morning and for 12 weeks or three
months. Result: before the intervention, 25% of the samples, particularly malnourished
toddlers, had abnormal hemoglobin fame (anemia), 39.5% ferritin reputation changed into
unusual, and 5,3% vitamin A degrees were strange. Supplementary drink intervention can
reduce hemoglobin reputation in malnourished children by 13.2%. and 23.7% ferritin repute
but there has been a boom within the wide variety of kids under five who had atypical vitamin
A (retinol) stages of 9.2%. Conclusion: Giving supplementation for three months to under-
fives with malnutrition can reduce hemoglobin repute and ferritin reputation but there's an
increase in diet A (retinol) degrees.

Keywords: Ferritin; Hemoglobin; Micronutrient; Retinol; Malnutrition

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SCOPE – G:
MENTAL HEALTH, TOBACCO, ALCOHOL, AND
SUBSTANCE USE

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OG-101
Effects of Co-Administered Methadone and Methamphetamine
on Liver Histology, Cytochrome P450 (2D6) and
Neurotransmitter

Shariff Halim1*, Nor Amira Jasmi2, Purwo Sri Rejeki3, Nasir Mohamad4
1
Faculty of Health Sciences, Universiti Teknologi MARA (UiTM) Cawangan Pulau Pinang, Malaysia
2
Postgraduate Centre, Management & Science University,Shah Alam, Selangor, Malaysia
3
Physiology Division, Department of Medical Physiology, Faculty of Medicine, Universitas
Airlangga, Surabaya, Indonesia
4
Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia

*Presenting author: +60142444007, [email protected]

Abstract

Background: Methadone maintenance treatment (MMT) uses methadone to treat dependence

on heroin or other opioids and is administered on an ongoing basis. Unfortunately, the co-
administration of methadone and methamphetamine has become a serious public health
challenge worldwide, and little is known about their combined effects. Therefore, this study is
conducted to determine the effects of co-administration of methadone and methamphetamine
on liver-related activity. Methods: Twenty-eight male Sprague-Dawley rats were randomly
divided into four groups (n = 7): the normal control group (received no treatment), the
methamphetamine group (3 mg/kg, iv for fourteen days), methadone (1 mg/100 mL for
fourteen days), and combination methamphetamine-methadone (3 mg/kg, iv, 1 mg/100 mL,
respectively, for fourteen days). Levels of cytochrome P450 (2D6) and dopamine were
determined using an ELISA kit. The histopathology of the liver was examined using
hematoxylin and eosin staining techniques. Results and Discussions: This study demonstrated
that the level of P450 (2D6) decreased, significantly increasing the level of dopamine in the
blood in combination with methamphetamine-methadone. Besides that, there are also abnormal
changes in the liver, such as nuclear enlargement, nuclear shrunkenness, and nuclear
fragmentation, which are indicative of possible hepatocellular damage. Conclusion: It is
recommended that those who are under MMT should not take methamphetamine, as it will
cause liver toxicity. It will also increase the risk of treatment discontinuation or dropout. By
knowing the pharmacology of these effects, we can work better to provide the best treatment
for addressing this public health issue.

Keywords: Methadone Maintenance Therapy; cytochrome P450 (2D6); dopamine;

methamphetamine; methadone; liver toxicity

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OG-103
Risk of Family Cigarette Exposure on Abnormal Nervous
Development in Toddlers: Bibliometric Visualization and
Systematic Literature Review

Ngabila Salama*, Ede Surya Darmawan

Faculty of Public Health, University of Indonesia

*Presenting author: +6281286306290; [email protected]

Abstract

Background: The visualization of the risk of current children's health problems due to
smoking behavior in the family has not been widely explored. This study aims to carry out
bibliometric visualization followed by a systematic literature review of the risk of health
problems in children due to smoking behavior. Methods: Research data was obtained from
various well-known digital libraries. The bibliometric visualization displays the main keywords
for child health problems based on 2017–2020. Meanwhile, a systematic literature review was
carried out in the range of April 2013–April 2023 after the visualization was carried out to
obtain the main outcomes due to family smoking. Article searches were carried out in three
databases, namely Scopus, PubMed, and SpringerLink. Results and Discussions: The main
results of the data analysis revealed that the health problems of children under five were due to
family smoking behavior, namely neurodevelopment. These disorders include delays in fine
and gross motor skills, neurodevelopment, lower levels of focused attention, children's
language skills, lower adaptive behavior, decreased children's motor development, language
and cognitive development disorders, lower and thinner children, and hearing loss.
Conclusions: Further research, especially in developing countries in urban areas, is very
important to strengthen smoking control, especially for poor households.

Keywords: Neurodevelopment; Children; Cigarette Exposure; Household

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OG-104
Sleep Quality and Sleep Pattern Towards Absenteeism of
Healthcare Students

Nurshazana Akmal Jamaludin1*, Sakinah Rasli2, Muhammad Haziq

Sharifudin2, Siti Nur Baait Mohd Sokran3, Nurul’ain Suhaimi2
1
Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Pulau Pinang, Kampus Bertam
13200 Kepala Batas, Pulau Pinang, Malaysia
2
Department of Occupational Therapy, KPJ Healthcare University, 71800 Nilai, Negeri Sembilan,
Malaysia
3
Department of Physiotherapy, KPJ Healthcare University, 71800 Nilai, Negeri Sembilan, Malaysia

*Presenting author: +6019-6892785; [email protected]

Abstract

Background: Sleep issues are regarded as both a prognostic indicator and a manifestation of
numerous medical diseases and are associated with significant deterioration in overall well-
being. Healthcare students are more susceptible to experiencing sleep deprivation due to their
requirement to participate in hospital-based internship training and the heightened stress
associated with their examinations. The aim of the study is to investigate the relationship
between sleep quality and sleep patterns of healthcare students with absenteeism at private
healthcare colleges. Methods: The cross-sectional study employed a convenience sampling
method, which included 86 students who met the inclusion and exclusion criteria and
participated in the assessment. The evaluation entailed utilizing a self-administered
questionnaire, specifically the Pittsburgh Sleep Quality Index (PSQI) and the Epworth
Sleepiness Scale (ESS), to gauge the sleep quality and patterns of the students who exhibited
absenteeism. A series of Spearman rank-order correlations were conducted. Results: A two-
tail test of significance indicated there was a significant relationship between sleep quality and
student absenteeism rs (86) = .740, p<.05. Moreover, a two-tail test of significance indicated
there was a significant relationship between sleep pattern and student absenteeism rs (86) =
.397, p<.05. Conclusion: It is imperative to advocate for the implementation of sleep assistant
support and services within the healthcare colleges to underscore the importance of considering
both the quality and quantity of sleep for individuals to effectively identify and implement
strategies to enhance sleep behavior while mitigating absenteeism.

Keywords: Absenteeism; Mental Health; Sleep Pattern; Sleep Quality; Quality of Life

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OG-105
Application of Supportive Group Therapy on Depression
among Elderly with Hypertension

Sri Endriyani1*, Marta Pastasari1, Erna Erawati2, Sawab2

1
Psychiatric Nursing Department, Nursing Program Study, Poltekkes Kemenkes Palembang,
Indonesia
2
Psychiatric Nursing Department, Nursing Program Study, Poltekkes Kemenkes Semarang, Indonesia

*Presenting author: +6281367756884; [email protected]

Abstract

Background: Hypertension in the elderly can have various impacts, physically, mentally and
socially. Elderly people are at risk of experiencing depression. Elderly people who experience
depression experience changes in attitudes, cognition and behavior, even accompanied by
feelings of hopelessness, helplessness and feeling useless.This condition requires appropriate
management, intervention and support from the family and environment. One intervention that
can be applied to depressed elderly people with hypertension is supportive group therapy.
Methods: This research is an quasi-experimental two group pre and post test design. The data
were obtained from the intervention study that was carried out for elderly with hypertension in
Ariodillah Palembang Community Health Center in four meetings. Sample for the intervention
study was carried out by purposive sampling from an elderly with hypertension. Participants
selected fulfilled inclusion criteria: elderly hypertension degrees I and II, aged ≥ 55 years. The
exclusion criteria are participants who have heart disease, asthma, liver, hepatitis, fever, gout,
kidney. There are 60 participants who devided into two group were involved in the study. Level
of depression were assessed from the pre and post test conducted in training. Results and
Discussions: Supportive group therapy can improve elderly with hypertension' level of
depression. This intervention significantly influences the level of depression, with a p-value is
0.000. Conclusions: Elderly with hypertension should receive supportive group therapy to
reduce their level of depression.

Keywords: Supportive group therapy; Elderly, Hypertension; Depression.

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OG-106
Factors Associated with Coping Mechanisms on Compliance
with Diabetes Mellitus Patients at Katobu Community
Health Center, Muna Regency 2023

Junaidin Junaidin*, Abdurrachman Abdurrachman, Ketut Sudiana

Doctoral Program in Medical Sciences, Faculty of Medicine, Airlangga University, Indonesia

*Presenting author: +6282393361228; [email protected]

Abstract

Background: Diabetes mellitus is a disorder of carbohydrate, fat and protein metabolism

resulting from abnormalities in insulin secretion, insulin action, or both and is characterized by
high blood sugar levels.The stress problem of diabetes sufferers is closely related to the
problem solving strategies used by diabetes sufferers. Psychosocial factors buffer the negative
effects of stress on blood glucose. If the psychosocial response is negative, it will have an
impact on behavior, an inability to make decisions and an unhealthy lifestyle, which can inhibit
the decline in blood glucose. Objective: To determine the factors related to coping mechanisms
and compliance in diabetes mellitus patients. Methods: Analytical survey with a "cross
sectional study" approach. Population: All DM type II sufferers seeking treatment at the Katobu
Community Health Center, with a sample size of 31 people. Statistical test using Chi Square
with () = 0.05. Result: there is a relationshiplevel of education (p value = 0.001) age (p value
= 0.002) and gender (p value = 0.001) with coping mechanisms on diabetes mellitus patient
compliance. If a person's level of education is high then their knowledge will be good, the older
a person is, the more constructive they will be in using coping with the problems they face, and
women usually have better resistance to stressors than men, so that DM patients are able to
behave positively and adhere to treatment. Conclusion: The factors of education level, age and
gender are strongly related to coping mechanisms for compliance in diabetes mellitus patients.

Keywords: Age; Coping; Diabetes Melitus; Education; Gender

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OG-107
The Most Influential Factor in Smoking Behavior Aged 15-
24 years in Bantul, Special Region of Yogyakarta, Indonesia

Marsiana Wibowo1,2*, Ahmad Ahid Mudayana2, Ira Nurmala1

1,3
Faculty of Public Health, Universitas Airlangga, Indonesia
2
Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia

*Presenting author: +6281804126400; [email protected]

Abstract

Background: Smoking is one of the risk factors for non-communicable diseases. Smoking
worsens a person's health and can even cause death. This smoking behavior is primarily initiated
in adolescence. This study aimed to determine the influence between knowledge, attitudes,
family roles, and peers on smoking behavior aged 15-24 and determine the most influential
factors. Method: The design of this study is cross-sectional, with the target being adolescents
aged 15-24 years, 368 samples in Bantul Regency, Special Region of Yogyakarta, Indonesia.
The sampling technique used is multistage random sampling. The test used is logistic
regression. Results and discussion: This study showed that 67.9% of the sample were smokers.
The results of the relationship test show that knowledge (p-value 0.001; OR 4.404, CI 2.714 –
7.146), attitude (p-value 0.001; OR 47.061, CI 19.794 – 111.892), family roles (p-value 0.001;
OR 9.622, CI 5.636 – 16.429), peer role (p-value 0.001; OR 32,057, CI 15,793 – 65,072) on
smoking behavior. The results of the influence test resulted in three variables that influenced
smoking behavior, namely knowledge (p-value 0.076), attitude (p-value 0.000), and peer role
(p-value 0.000), with an R square of 0.627. Conclusions: knowledge, attitudes, family roles,
and peers were associated with adolescents aged 15-24, but only inside attitudes and family
roles influenced smoking behavior aged 15-24, which affected 62.7%. Attitude is the most
influential variable on the smoking behavior of adolescents 15-24 years; therefore, intensive
intervention is needed for adolescents to form attitudes that do not support smoking.

Keywords: Adolescent; behavior; determinant; smoking

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OG-108
Determining Family Length in Patients with Hallucination
Disorders in Surabaya City, East Java, Indonesia?

Andrei Ramani1, Jayanti Dian Eka Sari 2*, Riris Diana Rachmayanti 3,
Anindya 3, Diansanto Prayoga 2, Syifa’ul Lailiyah 2
1
Faculty of Public Health, Jember University, Jember East Java Indonesia.
2
School of Health and Life Sciences, Universitas Airlangga, Surabaya East java Indonesia
3
Division of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas
Airlangga, Surabaya East Java Indonesia 60015

*Presenting author: +62 8123467558; [email protected]

Abstract

Background: Based on East Java health profile data in 2021 the number of ODGJ with serious
disorders was 72,041 and the highest number was the city of Surabaya with the number 5,546.
Objective: analyze the determinants that determine the duration of hallucinations in Surabaya
city. Method: This research uses descriptive analytics. The sample was 104 families of patients
with hallucinations. The research location is in the city of Surabaya. Data analysis used
bivariate analysis using the independent sample t test, Pearson correlation test and oneway
anova test. Results and Discussion: There is a significant difference in the duration of
hallucinatory disorders based on age group (sig 0.0001); There was no difference in the
duration of hallucinatory disorders based on the patient's gender (sig 0.744); there is a
difference in the duration of hallucinatory disorders between those treated by parents and
family (sig 0.001) and between those treated by siblings and others (sig 0.014); There is a
significant difference in the length of time people suffer from hallucinatory disorders based on
the age of the patient's companion, 18-25 years and 26-49 years (sig 0.046); There was no
significant difference in the length of time people suffer from hallucinatory disorders based on
the status of the sufferer's companion (sig 0.208). Conclusion: determinants that influence the
length of time a patient has hallucinations include age, the sufferer's companion and the age of
the companion. The more optimal family function is known to be able to minimize the length
of time the patient experiences hallucinations.

Keywords: Determinant; Family; Hallucination; Disorders; Mental

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OG-109
Joinpoint Trends Analysis of Disability Adjusted Life Year
of Anxiety Disorders and Depression from 1990 to 2019 in
Indonesia

Mohamad Anis Fahmi1*, Santi Martini2, Arief Hargono2

1
Doctoral Program of Public Health Universitas Airlangga, Surabaya, Indonesia.
2
Departement of Public Health Universitas Airlangga, Surabaya, Indonesia.

*Presenting author: +6285749339433; [email protected]

Abstract

Background: The impact of mental disorders, especially anxiety disorders and depression,
leads to severity of illness, costs, and suicidal ideation. One suggested measure of the impact
of anxiety disorders and depression is the Disability Adjusted Life Year (DALY). However, the
number of DALYs attributable to these two diseases over time in Indonesia is unknown. The
aim of this study was to analyze the trend of DALYs of anxiety disorders and depression in
Indonesia over a period of 20 years. Methods: We obtained data from the global burden of
diseases (GBD) study in 2019. We used joinpoint regression modeling to obtain the best model
to analyze the trend of DALYs of anxiety disorders and depression. The outputs of the joinpoint
regression we used were Annual Percentage Change (APC) and Average Annual Percentage
Change (AAPC). We use these two numbers to see the high and low annual trend changes.
Results and Discussions: APC for DALY of anxiety disorders was highest at 0.316 (95%CI
0.309-0.324) in 2006-2016. In recent years (2016-2019), it has increased (95%CI 0.194 (0.136-
0.235). Meanwhile in depression, the largest AAPC of DALY in 2017-2019 was 1.337 (95%CI
1.084 - 1.537). During 1990-2019, the AAPC of anxiety increased by 0.168 (95%CI 0.164-
0.171) and depression decreased by -0.016 (95%CI -0.031 - -0.004). Conclusions: Anxiety has
had a high rate of increase in DALYs recently, which is cause for concern. Although depression
has decreased in AAPC, the DALY APC in the last year 2017-2019 has increased greatly.

Keywords: Joinpoint Trends Analysis; Disability Adjusted Life Year; Anxiety Disorders;
Depression

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OG-110
Mental Health Readiness of the Bride and Groom in
Marriage Readiness: Literature Review

Eka Yuni Indah Nurmala1 *, Arief Hargono2, An Nisa Fithri3

Doctoral Program, Public Health Faculty, Airlangga University, Indonesia

2
Epidemiology Department, Public Health Faculty, Airlangga University, Indonesia
3
Midwifery Bachelor Program, Kendedes Health School, Indonesia

*Presenting author: +6282234724049; [email protected]

Abstract

Background: There is a relationship between mental health and marital adjustment in married
couples. Mental health or mental health problems are still considered less important than
physical health. If mental health problems are not handled properly, they can have very serious
impacts and threaten human life. In a marriage bond, of course there is a need to continue
offspring through pregnancy planning. Pregnant women are a group vulnerable to experiencing
emotional or psychological disorders. Physical changes and hormonal function can trigger
emotional instability in pregnant women. Couples who are getting married are advised to
undergo health checks, not only physically but also mentally. So far, premarital checks have
been thought to only be about physical health, but it turns out mental health checks are just as
important. Methods: literature review searches were conducted using the following journal
databases: Science Direct, PubMed, ProQuest, SAGE journal, Web of Science, and Scopus.
Results and Discussions: Based on a literature review of 25 scientific articles obtained, only
25%–39% of couples consult a health professional before the wedding to prepare for
conception, including mental health. Conclusions: Marriage is a long process that both must
face, until finally they are blessed with a baby. Therefore, it is very important to know the
mental condition or risk of psychological disorders in your partner.

Keywords: Readiness; mental health; prospective bride and groom; marriage

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OG-111
Mental Health Screening and Its Correlation to Academic
Self-Efficacy among Public Health Students

Adistha Eka Noveyani*, Meilinda Alya’ Putri Haryanik, Wahyu Efita, Dian
Yudhita Sari

Department of Epidemiology, Faculty of Public Health, University of Jember

*Presenting author: +6282257078215; [email protected]

Abstract

Background: There were an increasing number of students seeking counseling services for
psychological problems. This study aimed to determine the prevalence of students based on the
type of mental health in terms of the mental health continuum and whether it affect the academic
self-efficacy. Methods: This was a descriptive-analytic study with a cross-sectional approach.
The study was conducted in Jember, East Jawa during May-June 2022. The population was
public health students. The sampling method used was voluntary response sampling. Instrument
were using the MHC-SF, while psychopathological indicators were measured by HSCL-25 and
academic self-efficacy using GSE. Bivariate data was analyzed with an ordinal regression test.
Results and Discussions: A total of 115 full-time students in the faculty of public health age
18-23 years old answered the survey. Most of the respondents have high academic self-efficacy
(72.8%) and most of them have depression (87.8%). A significant correlation between students'
anxiety and depression levels in different mentally healthy status (p-value: 0.000; r: -0.488).
The negative correlation between the mentally healthy and the psychopathological means
higher scores of mentally healthy reflect lower scores of anxiety and depression levels. Analysis
using ordinal regression showed that the mentally healthy significantly affects academic self-
efficacy (p-value: 0.000; OR: 16.4) means there is a risk of 16 times to obtain high academic
self-efficacy on students with better mental health, however psychopathological did not
significantly affect academic self-efficacy. Conclusions: we need to develop preventive
intervention programs so that students achieve more optimal psychosocial functioning that
affects academic self-efficacy.

Keywords: Academic self-efficacy; mental health; public health student; two continuum model

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SCOPE – H:
TECHNOLOGY AND INNOVATION
IN HEALTH SECTOR

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OH-102
Stunting Meter: A Portable Digital Ultrasonic Device for
Child Height Measurement and Stunting Detection

Tri Siswati1,2*, Lukman Waris3, Bunga Astria Paramashanti4,5, Muhammad

Primiaji Rialihanto1,2
1
Department of Nutrition, Poltekkes Kemenkes Yogyakarta, Indonesia
2
Center of Excellence for Applied Technology Innovation in The Field of Public Health,
Poltekkes Kemenkes Yogyakarta, Indonesia
3
Department of Public Health, Faculty of Health Sciences, Universitas Faletehan, Indonesia
4
Department of Nutrition, Faculty of Health Sciences, Universitas Alma Ata, Indonesia
5
Sydney School of Public Health, The University of Sydney, Australia

*Presenting author: +6287739666204; [email protected]

Abstract

Background: Stunting is a global public health concern, and Indonesia has set a national
agenda to accelerate its reduction through primary healthcare transformations. This aims to
develop a digital height measurement and stunting detection tool. Method: This is research and
development through five stage: literature review, development and analysis using Force Field
Analysis (FFA), accuracy test, acceptance test, and downstream analysis. For FFA, we involved
12 experts from different health professionals, frontline health workers, and early education
teachers. Test and re-test were conducted with 50 children under-fives. We included 43 people
for user acceptability test. We tested data accuracy using t-test and user acceptability with the
cut-off of 80. All of these analyses were done using STATA. Result and Discussion: Our study
resulted in a well-developed digital ultrasonic device “Stuntingmeter” for child height
measurement in centimeter, height-for-age Z-score, and stunting status detection. Our literature
review found that “Stuntingmeter” met high novelty aspect. The FFA analysis found positive
stakeholder and user perceptions encouraged the innovation of the device. Field scale
measurement test showed accuracy or no significant different with the gold standard (p<0.05),
output reading in 4 seconds, high user acceptability (>85), and a potency for research
downstreaming to support health transformations. This tool has been registered for a patent in
Indonesia (number: S00202306944). Conclusion: We succeed to build an accurate and
practical stuntingmeter digital. User can implement the tool for assessing stunting fast and
accurately, but more widespread use requires government policies promoting mass production,
distribution, and tool usage.

Keywords: Detection; digital tool; measurement; stuntingmeter; ultrasound sensor

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OH-103
Development of the Dashboard Information System for the
Public Satisfaction Index about Hospital X in East Java

Dewa Ngakan Gde Wahyu Mahatma Putra*, Nuryadi

Health Administration and Policy, Faculty of Public Health, University of Jember, Indonesia

*Presenting author: +6285721967074; [email protected]

Abstract

Background: The assessment of public satisfaction about Hospital is crucial due to the
complexity of healthcare services, intense competition among healthcare facilities, and
stakeholder demands for an effective tool to monitor and provide information about service and
infrastructure quality while enhancing transparency in hospital management. In the digital
transformation era, the use of a dashboard as a system which capable to deliver real-time visual
information is a key element for improved decision-making, measuring the impact of
improvements, and reflecting patients' assessments of hospital performance and facilities.
Methods: The development methods of this dashboard used literature review and Focus Group
Discussion (FGD). The literature review aimed to understand the concept of dashboard
information systems and the indicators of public satisfaction index based on Regulation
Menpan RB Number 14 of 2017. FGD with the stakeholder was conducted to determine the
appropriate dashboard design (user-centered design). The research objects were 11 units at
Hospital X in East Java. Results and Discussions: The development of the dashboard for public
satisfaction index about Hospital X in East Java was created using Google Services, providing
online accessibility with a user-firendly interface based on stakeholders standar need.
Conclusions: The dashboard development has successfully displayed public satisfaction index
as per requirements, provided real-time information, provided a user-friendly interface, and
offered transparency in information as needed by stakeholders.

Keywords: Dashboard; Public Satisfaction Index; Hospital

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OH-104
Correlation of Nurses’ Self-Leadership with Technology
Acceptance (A Study at Indonesian Urban General Hospital)

Alita Dewi Percunda1,2*, Djazuly Chalidyanto3

1
Department of Hospital Administration, Faculty of Technology and Health Management, Institut
Ilmu Kesehatan Bhakti Wiyata, Kediri, Indonesia
2
Bhayangkara General Hospital, Kediri, Indonesia
3
Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga
Surabaya, Indonesia

*Presenting author: +628123291917; [email protected]

Abstract

Background: Information system in hospital is a crucial key factor for high performance to
support efficacy and efficiency. Nurses play important role in patient care as they do most tasks
in medical and management aspect. Researches in technology acceptance has revealed some
factors that contribute to the usage of information system. Self-leadership as a process to
achieve self-direction is necessary to have good performance in modern days. Research of the
correlation these two factors is limited. Methods: A questionnaire (RSLQ) to measure self-
leadership variables and technology acceptance (UTAUT) variables was given to clinical nurses
of nursing department. Simple random sampling brought out sample size of 104-validated
questionnaires from 149 population. Data analysis had been done for descriptive values and
non-parametric test for correlation coefficient of each variable Results and Discussions:
Respondents are mostly female (76.9%) with dominant age group 20 – 29 years old (41.3%).
The highest score of self-leadership variable is self-goal setting (3.20 SD. 422) and technology
acceptance variable is social influences (3.22 SD. 460). The result shows significant correlation
between self-leadership and technology acceptance (p<0.05) and all its three variables (p<0.05).
Conclusions: Self-leadership is correlated to technology acceptance and its variables. Low
technology acceptance variable or nurse could be caused by still developing information system
at hospital and other factors

Keywords: Nurse; self-leadership; technology acceptance

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OH-105
Integrated Early Warning System for High-Risk Pregnant
Woman: Development of Management Information System
Between PHC and Hospital

Syifa’ul Lailiyah1,2*, Diansanto Prayoga1,2,3, Jayanti Dian Eka Sari1, Siti

Nuraini4, Panji Kusuma Prasetyanto5
1
School of Health and Life Sciences, Universitas Airlangga, Indonesia
2
Center of Excellence for Patient Safety and Quality, Universitas Airlangga, Indonesia
3
Doctoral Student of the Public Health Doctoral Study Program, Faculty of Public Health, Airlangga
University, Surabaya, Indonesia
4
Faculty of Economic and Business, Universitas Airlangga, Indonesia
5
Department of Economic Development, Faculty of Economics, Universitas Tidar, Indonesia

*Presenting author: +6281337648985; [email protected]

Abstract

Background: There were 22 cases of maternal death in Banyuwangi District in 2013 out of
23,634 live births. The cases of maternal mortality needs attention considering to reduction
MMR. An information system for high- risk pregnant woman is needed as a basis for decision
making and Local Area Monitoring (PWS). The research aims to analyze the need for
developing an integrated early warning system for high-risk pregnant woman between PHC
and Hospital Methods: A qualitative design and action research. Primary data was obtained
from interviews, observations, and FGD. Informants are Head, Midwife Coordinator, and Area
Midwife of PHC; Head of Medical Service, and Head of IT Public Hospital. Secondary data
from PHC and hospital documents. Processing and analysis data descriptively. Results and
Discussions: Problem identification of existing system was manual for compilation, analysis,
and mapping; no integrated system between PHC and hospital MIS; referral patient data was
re-entered in referral patient registration; the presence of high-risk pregnant women not yet
known by the hospital; and information on the availability of maternal rooms in the hospital
cannot be accessed directly by referral patients. There was an opportunity to develop an
integrated MIS. Conclusions: There was need for developing an information system for high-
risk pregnant women between PHC and hospital, that can be used by all level users, can relied
on to carry out data processing, easier to produce quality information. The MIS is based on
websites (web-based) and Android for an integrated early warning system to prevent deaths of
pregnant women.

Keywords: Management Information System; High-risk Pregnant Woman; Maternal Health.

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OH-106
Mapping Global Research Related to User Acceptance of
Technology in Healthcare: A Scientometric Review

Umi Khoirun Nisak*1,2, Cholifah2, Aditiawardana3, Arief Hargono4, Hari

Basuki Notobroto4
1
Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya,
Indonesia
2
Health Science Faculty, Universitas Muhammadiyah, Sidoarjo, Indonesia
3
Dr. Soetomo Hospital, Surabaya, Indonesia
4
Department of Epidemiology and Biostatistics, Faculty of Public Health, Universitas Airlangga,
Surabaya, Indonesia

*Presenting author: +6285648881456; [email protected]

Abstract

Background: The Acceptance and Use of Technology Models suggest that some constructs
predict behavioral intention toward the acceptance and use of technology. Therefore, these
models are increasingly being used by researchers worldwide. Method: We conducted a
quantitative scientometric review of 769 relevant journal articles published between 1995 and
2023, indexed in the Web of Science Core Collection Acceptance and Use of Technology
Models in Healthcare implementation, to determine which models are most used by researchers.
Results and Discussion: The findings show that the number of articles published in the field
has increased rapidly, especially since 2005, and this expansion has been led primarily by the
USA, China, and England, as these three countries not only produced most of the high-yielding
research institutions and productive authors but also published a majority of the prolific
journals. Journals related to the SDG's topic in the top three are related to affordable and clean
energy, good health and well-being, and climate action. Conclusion: These results supplement
the existing qualitative literature from a quantitative standpoint and provide useful insights and
ramifications for global studies pertaining to technology model utilization.

Keywords: Utilization technology model; literature review; Scientometric analysis; Citespace

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SCOPE – I:
ONE HEALTH, ANTIMICROBIAL RESISTANCE, AND
ZOONOSES

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OI-101
Nano-emulsion of mangosteen rind extract in mucoadhesive patch
for periodontitis regenerative treatment: In Vivo study

Mohammed Ahmed Aljuanid1,2*, Huda Rashad Qaid 1,3, Rini Devijanti Ridwan4,
Hendrik Setia Budi4
1
Doctoral Program of Dental Medicine, Faculty of Dental Medicine, Universitas Airlangga,
Indonesia.
2
Department of Dental and Oral Medicine, Faculty of Medicine, Taiz University, Taiz, Yemen.
3
Faculty of Oral and Dental Medicine, Alsaeed University, Taiz, Yemen.
4
Department of Oral Biology, Faculty of Dental Medicine, Universitas Airlangga, Indonesia.

*Presenting author: +6285336998538; [email protected]

Abstract

Background: Periodontitis is a widespread oral infectious disease that affects populations

worldwide. It is characterized by alveolar bone loss resulting from inflammatory responses
triggered by bacterial pathogens, notably two major causative microorganisms:
Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis bacteria. The field of
dentistry has witnessed rapid advancements in diagnosis, prevention, and treatment, largely
attributed to the integration of nanotechnology. Consequently, this study aims to explore the
therapeutic potential of a nano-emulsion of mangosteen rind extract within a mucoadhesive
gingival patch for the management of periodontitis. Additionally, it seeks to assess the impact
of this treatment on the expression levels of TNF-α, RANKL, and IL-10. Method: Laboratory
experimental research was conducted 60 Wistar rats were used and divided into four groups:
positive control group (A mucoadhesive patch with doxycycline), control negative group
(Mucoadhesive patch), Treatment group I (A mucoadhesive patch with mangosteen rind
extract), and the Treatment group II (A mucoadhesive patch with nano-emulsion of mangosteen
rind extract). Porphyromonas gingivalis-Induced periodontitis as an experimental model in rats
by 0.03ml of bacteria locally with 1 × 1010 colony-forming unit seven times at 2-day intervals
in the gingival sulcus of mandibular anterior teeth. Application of treatment was for 1 hour/day
for 3 days. On the days 3, 5, and 7 after treatment, five rats from each group will be slaughtered.
TNF-α, IL-10, and RANKL expression were determined by dissecting the lower jaw for
immunohistochemistry. Results: Research shows that the mucoadhesive patch with nano-
emulsion mangosteen rind extract significantly decreases TNF-α and RANKL expression and
increases IL-10 expression (p< 0.05) when compared to the treatment I, positive and negative
control groups. Conclusion: A mucoadhesive gingival patch with nano-emulsion of
mangosteen rind extract has therapeutic potential for the healing process of periodontitis by
decreasing the TNF-α, RANKL, and increasing IL-10 expression.

Keywords: Mangosteen Rind Extract; Mucoadhesive Gingival Patch; Nano-Emulsion;

Periodontitis; P. gingivalis bacteria

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OI-102

Antibacterial Activity of Yemen Sidr Honey Against

Periodontopathogen Bacteria
Huda Rashad Qaid 1,2*, Mohammed Ahmed Aljunaid 1,3, Nejva Kaid 4, Rini
Devijanti Ridwan5, Hendrik Setia Budi 5.
1
Doctoral Program of Dental Medicine, Faculty of Dental Medicine, Universitas Airlangga,
Surabaya, Indonesia.
2
Faculty of Oral and Dental Medicine, Alsaeed University, Taiz, Yemen.
3
Department of Dental and Oral Medicine, Faculty of Medicine, Taiz University, Taiz, Yemen.
4
Department of Pharmaceutical Technology, Faculty of Pharmacy, Yeditepe University,
Istanbul, Turkey.
5
Department of Oral Biology, Faculty of Dental Medicine, Universitas Airlangga, Indonesia.

*Presenting author: +6282331842807; [email protected]

Abstract

Objective: To demonstrate the antibacterial impact of Sidr honey on Aggregatibacter

actinomycetemcomitans, Porphyromonas gingivalis and Fusobacterium nucleatum bacteria as
major periodontopathogens which are responsible for causing periodontitis. Method:
Minimum Inhibitory Concentration and Minimum Bactericidal Concentration values are
calculated using the serial dilution method, and the measurement of the inhibition zone was
conducted using the diffusion method on the Mueller Hinton agar medium. Results: According
to the study, there are significant differences between the number of bacterial colony groups
that develop against Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and
Fusobacterium nucleatum bacteria on the Minimum Inhibitory Concentration (12.5%) and
Minimum Bactericidal Concentration (25%) of Yemen Sidr honey with p-value = 0.000.
Similarly, the disc diffusion method for Yemeni honey against Aggregatibacter
actinomycetemcomitans, Porphyromonas gingivalis and Fusobacterium nucleatum bacteria,
showed significant differences with a p-value (0.000). Conclusion: According to the findings
of the study, Yemen Sidr honey revealed its antibacterial effect in inhibiting and preventing the
growth of bacteria causing periodontitis.

Keywords: Antibacterial; Periodontitis; Periodontopathogen bacteria; Yemen Sidr honey

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COUNTRY OF ORAL PRESENTERS

1. Indonesia
2. Malaysia
3. Thailand
4. Bangladesh
5. Yemen
6. Gambia

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CO-HOST

Universitas Muhammadiyah Pontianak

Pontianak City, West Kalimantan
Indonesia

Sekolah Tinggi Ilmu Kesehatan Kendedes

Malang City, East Java
Indonesia

Poltekkes Kemenkes Surabaya

Surabaya City, East Java
Indonesia

Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Malang City, East Java
Indonesia

Institut Ilmu Kesehatan Bhakti Wiyata Kediri

Kediri City, East Java
Indonesia

Universitas Jember
Jember, East Java
Indonesia

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SPONSORS

1. Center for Patient Safety Research, Universitas Airlangga

2. PT Roche

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See you in 8th ISoPH, 2024 in Surabaya,

Indonesia