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Compliance with family planning and its association with quality of life among Meranaw women in rural Philippines
Maslainie Aliola1, Hamdoni Pangandaman21. Mindanao State University - Marawi, Lanao Del Sur, 9700, Philippines , PH2. Mindanao State University, Marawi City , PH2026-05-24|page 1-13AbstractBackground: The COVID-19 pandemic disrupted access to essential health services, including family planning (FP), particularly in rural and underserved communities. These disruptions may influence women’s reproductive practices and overall quality of life (QoL).
Objectives: This study aimed to determine the level of family planning compliance and examine its influence on the quality of life among Meranaw women during the COVID-19 pandemic.
Methods: A descriptive cross-sectional design was employed among 378 Meranaw women who were family planning users in selected municipalities of Lanao del Sur, Philippines. Data were collected from January to October 2022. A stratified random sampling technique was used based on municipal distribution to ensure proportional representation of respondents. A validated researcher-developed questionnaire assessed attitude- and practice-related compliance (CVI = 0.81–0.92; α = 0.79), while QoL was measured using the WHOQOL-BREF. Data were analyzed using descriptive statistics and multiple linear regression.
Results: Respondents demonstrated high compliance in both attitude (mean = 3.61) and practice (mean = 3.41) domains. Overall QoL was rated very satisfactory (mean = 5.72), with the highest scores in the psychological (mean = 5.89) and relational (mean = 5.85) domains. Multiple regression analysis revealed that age (β = .319, p < .001), monthly income (β = –.097, p = .008), number of children (β = .395, p < .001), duration of FP use (β = .092, p = .034), and type of FP method (β = .129, p < .001) significantly predicted QoL. The model explained a substantial proportion of variance (R² = 0.974), indicating strong predictive capacity.
Conclusions: Meranaw women demonstrated high compliance with family planning practices despite pandemic-related constraints, thereby significantly improving the quality of life. Sustaining family planning services during public health crises is essential to maintaining women’s well-being, particularly in rural and culturally distinct populations.
APA Citation StyleAliola, M. , & Pangandaman, H. (2026). Compliance with family planning and its association with quality of life among Meranaw women in rural Philippines. Public Health and Occupational Safety Journal, 1-13. https://doi.org/10.56003/phosj.v2i1.698 -
Spatial mapping and correlation between healthy home coverage and tuberculosis incidence in Malang district
Fatma Lidya Zulfa1, Hartati Eko Wardani2, Tika Dwi Tama3, Anindya Hapsari4, Rara Warih Gayatri5, Erni Astutik61. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID5. State University of Malang , ID6. Airlangga University , ID2025-04-23|page 1-16AbstractBackground: According to the Ministry of Health, 91% of active tuberculosis (TB) cases in Indonesia occur in crowded and slum areas. The Healthy Homes Program under the Healthy Indonesia Indicators (2010) aims to improve housing conditions in such areas to meet health standards. Malang District, with the second-highest housing density in East Java, ranks fifth in TB cases, suggesting residential exposure as a contributing factor.
Objectives: This study aims to map trends and examine the correlation between healthy home coverage and TB incidence in the Malang District Health Center Working Area 2019-2021.
Methods: The study was conducted in January-April 2023 at the Malang District Health Office with a unit of analysis of 39 health centers. The variables of this study were the coverage of healthy homes and the incidence of BTA-positive pulmonary TB. The study used a mixed ecological study and Pearson correlation test with secondary data from the Malang District Health Office and BPS.
Results: TB incidence showed a decreasing trend alongside increasing healthy home coverage. Nine health centers remained in high-incidence zones, and five exhibited poor housing coverage. Correlation analysis revealed a weak, negative relationship (r = -0.084). High TB incidence was still found in areas meeting healthy home criteria.
Conclusions: The incidence rate of BTA-positive pulmonary TB in the working area of the Malang District Health Center showed a downward trend for 3 years. Future research using individual data and other specific risk factors that may influence TB incidence is recommended.
APA Citation StyleZulfa, F. L. , Wardani, H. E. , Tama, T. D. , Hapsari, A. , Gayatri, R. W. , & Astutik, E. (2025). Spatial mapping and correlation between healthy home coverage and tuberculosis incidence in Malang district. Public Health and Occupational Safety Journal, 1-16. https://doi.org/10.56003/phosj.v1i1.532 -
Impact of large-scale social restrictions on air quality (NO₂, CO, O₃) during COVID-19: Surabaya case study, Indonesia
Asmaul Nur Fitria1, Supriyadi Supriyadi2, Muhammad Al-Irsyad3, Anindya Hapsari41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-04-23|page 27-39AbstractBackground: The COVID-19 pandemic galvanized the world at the end of 2019. It was identified as an attack on humans and spread very quickly almost all over the world. As the person in charge of protecting the community, the government makes a policy that can suppress the spread of the COVID-19 virus.
Objectives: This study aims to determine whether implementing large-scale social restrictions (PSBB) in the COVID-19 period (2020 to 2021) impacts air quality in Surabaya City, East Java.
Methods: This quantitative research uses an Analysis of Secondary Data (ADS) approach by utilizing secondary data as the primary source. This research was conducted at the Surabaya City Environmental Service, East Java Province, in July - August 2021, with the total population being all the results of NO2, O3, and CO air quality measurements in 2020-2021 during the COVID-19 pandemic in January 2020 to December 2021 at monitoring stations in Surabaya City. This study uses Wilcoxon test analysis.
Results: The results showed that implementing the first phase of large-scale social restrictions had no significant impact on NO₂ air quality in Surabaya City (p = 0.068). Implementing the transitional PSBB (second stage) had no significant impact on NO₂ air quality in Surabaya City (p = 0.068). Implementing the first and second phases of the PSBB has no significant impact on NO₂ air quality in Surabaya City (p = 0.173).
Conclusions: The implementation of PSBB Phase One and PSBB Phase Two (transition period) did not significantly impact the air quality of NO2, CO, or O3 gases in Surabaya City. This finding challenges the common assumption that lockdowns automatically improve air quality and emphasizes the need for more comprehensive environmental policies.
APA Citation StyleFitria, A. N. , Supriyadi, S. , Al-Irsyad, M. , & Hapsari, A. (2025). Impact of large-scale social restrictions on air quality (NO₂, CO, O₃) during COVID-19: Surabaya case study, Indonesia. Public Health and Occupational Safety Journal, 27-39. https://doi.org/10.56003/phosj.v1i1.528 -
Exploring the interplay of gender, breastfeeding practices, and minimum dietary diversity on stunting among Indonesian children aged 6–23 months
Rossa Amalia1, Hartati Eko Wardani2, Tika Dwi Tama3, Anindya Hapsari41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-06-14|page 114-126AbstractBackground: Stunting has the highest prevalence compared to other major malnutrition problems. Risk factors for stunting include gender, breastfeeding, and complementary feeding practices. Stunting requires a faster reduction in prevalence to avoid functional losses in children.
Objectives: This study aimed to determine the association between gender, early breastfeeding initiation, exclusive breastfeeding, breastfeeding status, and Minimum Dietary Diversity with the incidence of stunting.
Methods: This study was an observational analytic study with a cross-sectional approach. The population of the study was children aged 6-23 months in West Java who were sampled by the Indonesian Nutrition Status Study (SSGI) 2021, and the study sample was all members of the population who met the inclusion criteria. Data in this study were obtained through SSGI 2021 documentation and analyzed using the Chi-Square and logistic regression tests.
Results: The results of the bivariate analysis showed a significant association between gender (OR=1.249; 95%CI 1.013-1.540; p=0.042) and breastfeeding status (OR=0.693; 95%CI 0.533-0.901; p=0.007) with the incidence of stunting. Early breastfeeding initiation (p=0.792), exclusive breastfeeding (p=0.059), and MDD (p=0.882) had no significant association with the incidence of stunting in children aged 6-23 months in West Java. Multivariate analysis showed that the most influential factor in the incidence of stunting was gender (OR=1.260; 95%CI 1.022-1.555; p=0.031).
Conclusions: This study shows the association between gender and breastfeeding status on the incidence of stunting. Further research is recommended to explore the role of complementary feeding practices and maternal nutrition in stunting prevention.
APA Citation StyleAmalia, R. , Wardani, H. E. , Tama, T. D. , & Hapsari, A. (2025). Exploring the interplay of gender, breastfeeding practices, and minimum dietary diversity on stunting among Indonesian children aged 6–23 months. Public Health and Occupational Safety Journal, 114-126. https://doi.org/10.56003/phosj.v1i1.540 -
Climate change and public health in Africa: A narrative review of resilience strategies for health systems
Kabiru Gulma1, Sa’adatu M. Julde2, Isman Wais3, Emmanuel Morna4, Abubakar S. Danbatta5, Bakam Rodine6, Anastacia Katungo Maluki71. School of Global Health and Bioethics, Euclid University, Banjul , GM2. Faculty of Pharmaceutical Sciences, Bayero University, Kano , NG3. Euclid Caisse Nationale de Sécurité Sociale de Djibouti , DJ4. Doctoral Programme in Monitoring, Measurement and Evaluation, Euclid University, Bangui , CF5. Faculty of Pharmaceutical Sciences, Bayero University, Kano , NG6. Doctoral Programme in Global Energy Policy, Euclid University, Douala , CM7. Doctoral Programme in Epidemiology and Biostatistics, Euclid University, Banjul , GM2026-05-24|page 25-40AbstractBackground: Climate change poses an escalating threat to public health in Africa, a continent responsible for less than 10% of global greenhouse gas emissions yet disproportionately bearing the burden of its consequences. Existing health systems remain fragile, under-resourced, and ill-equipped to absorb climate-related shocks.
Objectives: To synthesize evidence on the health impacts of climate change in Africa and identify strategies for building climate-resilient health systems.
Methods: This study is a narrative literature review. A comprehensive search of peer-reviewed databases and gray literature was conducted. Sources were screened against predefined inclusion criteria and synthesized thematically across six domains: climate science, contextual vulnerabilities, health systems strengthening, governance, community engagement, and financing. A total of 22 studies and reports were included and analyzed using thematic synthesis following Thomas and Harden’s (2008) three-step approach.
Results: Climate change intensifies the burden of infectious and non-communicable diseases, disrupts health infrastructure, and deepens health inequities across African regions. Resilience-building requires strengthened governance, sustained domestic and international financing, multisectoral partnerships, community engagement, and climate-adaptive health information systems.
Conclusions: Concerted, context-sensitive action that integrates climate adaptation into health policy frameworks is urgently needed to protect the health and well-being of African populations from the accelerating impacts of climate change. Practical implications include strengthening health system governance, mobilizing climate finance, investing in climate-adaptive surveillance systems, and fostering community engagement and multisectoral collaboration to build durable climate resilience across African health systems.
APA Citation StyleGulma, K. , Julde, S. M. , Wais, I. , Morna, E. , Danbatta, A. S. , Rodine, B. , & Maluki, A. K. (2026). Climate change and public health in Africa: A narrative review of resilience strategies for health systems. Public Health and Occupational Safety Journal, 25-40. https://doi.org/10.56003/phosj.v2i1.719 -
Effectiveness of 3D poster in improving menstrual hygiene knowledge among adolescent girls: A quasi-experimental study
Rani Mustikawati1, Windi Chusniah Rachmawati2, Endang Sri Redjeki3, Nurnaningsih Herya Ulfah41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-04-23|page 40-52AbstractBackground: Personal hygiene during menstruation is important and must be applied during the menstrual cycle. Suppose personal hygiene during menstruation is not maintained correctly. In that case, adolescent girls have the potential to experience health problems such as vaginal discharge, irritation of the genital area, allergies, inflammation, and Urinary Tract Infection (UTI). As many as 75% of women in Indonesia have experienced vaginal discharge once, while 45% have experienced it more than 2 times.
Objectives: This study aimed to determine the effectiveness of 3D posters in increasing knowledge about personal hygiene during menstruation.
Methods: The research method used was Research and Development (R&D), which was conducted through a pre-experimental approach with one group pretest-posttest. Ninety-five adolescent girls in class VII of State Junior High School 13 Malang participated in the study obtained using a purposive sampling technique. The research instrument used a closed-type questionnaire with 10 items to measure knowledge.
Results: The 3D poster product obtained a percentage value of media feasibility of 95% for the media aspect and 92% for the material aspect, which means it is very feasible to use. After the intervention, it is known that there is an effect of providing health education using 3D posters on the knowledge of adolescent girls regarding personal hygiene during menstruation according to the p-value = 0.000 from the Wilcoxon test.
Conclusions: Personal hygiene education during menstruation should be done more often to improve the knowledge of adolescent girls. The findings support the use of 3D media in menstrual health promotion, especially in schools with limited resources.
APA Citation StyleMustikawati, R. , Rachmawati, W. C. , Redjeki, E. S. , & Ulfah, N. H. (2025). Effectiveness of 3D poster in improving menstrual hygiene knowledge among adolescent girls: A quasi-experimental study. Public Health and Occupational Safety Journal, 40-52. https://doi.org/10.56003/phosj.v1i1.531 -
Better BMI but higher anemia risk? Evidence from lacto-vegetarian women
Hamid Nurrohman1, Ha Thi Thu Trang21. Department of Preventive and Restorative Dental Sciences, University of California , US2. Nursing Program, School of Medicine and Pharmacy, Vietnam National University, Hanoi , VN2026-05-24|page 14-24AbstractBackground: The increasing adoption of plant-based diets in the United States, particularly lacto-vegetarian patterns, has been driven by their perceived metabolic benefits. However, middle-aged women represent a nutritionally vulnerable group due to menopausal transitions and a high risk of anemia. In this context, the potential trade-off between improved body weight and micronutrient deficiencies remains insufficiently explored.
Objectives: This study examined the nutritional trade-offs between lacto-vegetarian and non-vegetarian diets, focusing on body mass index (BMI), anemia status, and lifestyle behaviors among middle-aged women in California, USA.
Methods: A cross-sectional study was conducted between June and September 2025 in California, USA, involving 40 women aged 40–65 years (20 lacto-vegetarians and 20 non-vegetarians), selected purposively. Socio-demographic characteristics and lifestyle behaviors were collected using a validated structured questionnaire. BMI, blood pressure, and hemoglobin levels were measured using standardized procedures. Data were analyzed using the Mann–Whitney U test and Spearman rank correlation, with results summarized using median and interquartile range (IQR) where appropriate. Statistical significance was set at p < 0.05.
Results: Lacto-vegetarian women showed a higher proportion of normal BMI compared to non-vegetarians (50% vs 30%, p=0.04). However, anemia prevalence was markedly higher among lacto-vegetarians (70% vs 10%, p=0.001). No significant differences were observed in physical activity, smoking, or blood pressure (p>0.05). These findings indicate a clear nutritional trade-off: improved weight status is associated with increased anemia risk.
Conclusions: Lacto-vegetarian diets were associated with more favorable BMI profiles but a significantly higher risk of anemia. These findings highlight the need for targeted nutritional strategies and public health interventions in the United States, particularly emphasizing iron and vitamin B12 adequacy among middle-aged women adopting plant-based diets.
APA Citation StyleNurrohman, H. , & Trang, H. T. T. (2026). Better BMI but higher anemia risk? Evidence from lacto-vegetarian women. Public Health and Occupational Safety Journal, 14-24. https://doi.org/10.56003/phosj.v2i1.714 -
The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
Aulia Pramesti1, Hartati Eko Wardani2, Tika Dwi Tama3, Anindya Hapsari41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-06-14|page 97-113AbstractBackground: Stunting is a chronic nutritional problem whose causes include unmet nutrition in pregnant women, lack of infant nutritional intake, and socioeconomic conditions. Dinoyo Health Center covers an area with a high stunting rate in Malang City, particularly Lowokwaru District. Previous research stated that the dominant factor causing stunting in toddlers is antenatal care (ANC).
Objectives: This study aims to determine whether stunting in toddlers in the Dinoyo Community Health Center area is caused by the quality and quantity of ANC.
Methods: The research method is observational analytic with a case-control design using a retrospective approach. The population was 1643 mothers taken from three villages: Tlogomas, Dinoyo, and Sumbersari. The research sample amounted to 69 people using purpose sampling. The research was conducted in February - March 2023. Quality measurement was based on a minimum 10T service standard, while quantity measurement was based on a minimum frequency of 4 visits using a checklist sheet instrument and MCH book with Chi-Square analysis.
Results: The results obtained for ANC quality with stunting p-value = 0.609 with OR value = 1.30 (95% CI: 0.47-3.55), while ANC quantity with stunting p-value = 0.864 with OR value = 1.09 (95% CI: 0.40-2.97).
Conclusions: It is concluded that the quality and quantity of antenatal care have no association with the incidence of stunting in children under 24-59 months in the Dinoyo Community Health Center (Puskesmas) area. These findings highlight the need for multifactor interventions beyond ANC to reduce stunting, such as improved maternal nutrition and environmental sanitation.
APA Citation StylePramesti, A. , Wardani, H. E. , Tama, T. D. , & Hapsari, A. (2025). The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age. Public Health and Occupational Safety Journal, 97-113. https://doi.org/10.56003/phosj.v1i1.539 -
Correlation analysis of vaccination coverage, positivity rate, and community mobility rate on COVID-19 effective reproductive rate: SIR modeling study from Indonesia
Meirina Nur Asih Susanti1, Siti Nurrochmah2, Lucky Radita Alma3, Supriyadi Supriyadi41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-06-03|page 80-96AbstractBackground: Effective Reproduction Rate (Rt) is used to evaluate COVID-19 transmission; although Tegal City has the lowest cumulative cases in Central Java, the spread of the virus remains rapid. Intervention efforts are carried out through vaccination coverage, positivity rate, and level assessment as a shared responsibility to reduce the transmission rate.
Objectives: The purpose of this study was to estimate the spread of COVID-19 with the intervention and to determine whether there is a correlation between the COVID-19 Rt Number and vaccination coverage, positivity rate, and level assessment situation in Tegal City.
Methods: Observational quantitative research design. The type of research used was SIR (Susceptible Infected Removed) mathematical modeling and descriptive analysis through an ecological study approach and Spearman correlation statistical analysis.
Results: The results of the study showed a decrease in the number of cases of vulnerable and infected subpopulations after public health interventions, followed by the results that the positivity rate and level assessment situation were significantly correlated with the strength of the relationship powerful to the Covid-19 Effective Reproductive Rate with values (r=0.856; p=0.00) and (r=-0.712; p=0.00), while vaccination coverage was not statistically significantly correlated with a value of (r=-0.209; p=0.137).
Conclusions: The positivity rate and COVID-19 level assessment situation were statistically significantly correlated to the effective reproductive rate of COVID-19 in Tegal City with a strong correlation. Meanwhile, vaccination coverage did not correlate statistically with effective reproductive rate. Further studies must evaluate the effectiveness of combined interventions (vaccination + testing + mobility restriction) in various epidemiological settings.
APA Citation StyleSusanti, M. N. A. , Nurrochmah, S. , Alma, L. R. , & Supriyadi, S. (2025). Correlation analysis of vaccination coverage, positivity rate, and community mobility rate on COVID-19 effective reproductive rate: SIR modeling study from Indonesia. Public Health and Occupational Safety Journal, 80-96. https://doi.org/10.56003/phosj.v1i1.534
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