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  • Open Access

    Compliance with family planning and its association with quality of life among Meranaw women in rural Philippines

    Maslainie Aliola1, Hamdoni Pangandaman2
    1. Mindanao State University - Marawi, Lanao Del Sur, 9700, Philippines , PH
    2. Mindanao State University, Marawi City , PH
    2026-05-24
    doi https://doi.org/10.56003/phosj.v2i1.698
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 24 May 2026
    |
    page 1-13
    Abstract

    Background: 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 Style
    Aliola, 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
  • Open Access

    Factors influencing desired family size among women of childbearing age in eastern Indonesia: Evidence from the Indonesian Demographic Health Survey

    Cindy Ade Aulia1, Siti Nurrochmah2, Lucky Radita Alma3, Supriyadi Supriyadi4
    1. State University of Malang , ID
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. State University of Malang , ID
    2025-06-02
    doi https://doi.org/10.56003/phosj.v1i1.533
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 02 June 2025
    |
    page 67-79
    Abstract

    Background: Globally, Indonesia is the fourth most populous country. Based on the results of the Indonesian Central Bureau of Statistics census, it is known that the population of Indonesia in 2017 was around 261 million people, with an average number of children desired by women of childbearing age in East Nusa Tenggara Province of 2.9 or around three children per woman of childbearing age.

    Objectives: This study aimed to determine the relationship between marital status, age at first marriage, employment status, and the number of children desired.

    Methods: This quantitative study uses a cross-sectional design and an observational analytic survey method. This study took survey data from the 2017 Indonesian Demographic and Health Survey. The study sample was women aged 15-49 years who were recorded as a selected sample in East Nusa Tenggara Province, totaling 1,929 women. Data analysis used the Chi-square test.

    Results: The analysis showed that the p-value of marital status was 0.000, the p-value of age at first marriage was 0.000, and the p-value of employment status was 0.000, which means that there is a significant relationship between marital status, age at first marriage, and employment status with the number of children desired by women of childbearing age.

    Conclusions: This study found that marital status, age at first marriage, and employment status were significantly associated with the number of children desired by women of childbearing age. The findings suggest the need for employment-based interventions and marriage education to reduce fertility preferences in areas with high TFR.

    APA Citation Style
    Aulia, C. A. , Nurrochmah, S. , Alma, L. R. , & Supriyadi, S. (2025). Factors influencing desired family size among women of childbearing age in eastern Indonesia: Evidence from the Indonesian Demographic Health Survey. Public Health and Occupational Safety Journal, 67-79. https://doi.org/10.56003/phosj.v1i1.533
  • Open Access

    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 Maluki7
    1. School of Global Health and Bioethics, Euclid University, Banjul , GM
    2. Faculty of Pharmaceutical Sciences, Bayero University, Kano , NG
    3. Euclid Caisse Nationale de Sécurité Sociale de Djibouti , DJ
    4. Doctoral Programme in Monitoring, Measurement and Evaluation, Euclid University, Bangui , CF
    5. Faculty of Pharmaceutical Sciences, Bayero University, Kano , NG
    6. Doctoral Programme in Global Energy Policy, Euclid University, Douala , CM
    7. Doctoral Programme in Epidemiology and Biostatistics, Euclid University, Banjul , GM
    2026-05-24
    doi https://doi.org/10.56003/phosj.v2i1.719
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 24 May 2026
    |
    page 25-40
    Abstract

    Background: 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 Style
    Gulma, 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
  • Open Access

    Factors associated with the use of the PUSTAKA online registration service at the Sekaran Community Health Center in Semarang City

    Bunga Gustikasari Ismail1, Nurhasmadiar Nandini2, Rani Tiyas Budiyanti3
    1. Faculty of Public Health, Universitas Diponegoro , ID
    2. Faculty of Public Health, Universitas Diponegoro , ID
    3. Faculty of Public Health, Universitas Diponegoro , ID
    2026-05-26
    doi https://doi.org/10.56003/phosj.v2i1.739
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 26 May 2026
    |
    page 57-69
    Abstract

    Background: Online registration services have been implemented in community health centers to facilitate patient access and reduce long queues by enabling appointment scheduling at specific times. However, the utilization of this service in several community health centers in Semarang City remains below the monthly target of 10%. At Sekaran Community Health Center, for example, the average utilization rate was only 1.03% between June and August 2023.

    Objectives: This study analyzed the factors associated with the use of the PUSTAKA Online Registration Service at The Sekaran Community Health Center in Semarang City.

    Methods: This study employed a quantitative research design with a cross-sectional approach. The population consisted of existing patients at Sekaran Community Health Center, with a sample of 97 respondents selected using accidental sampling. The variables examined included age, education, occupation, attitude, knowledge, perceived need, availability of facilities, and ease of obtaining information in relation to the decision to use PUSTAKA services. Data were collected using a closed-ended questionnaire that had previously undergone validity and reliability testing.

    Results: The results of the research analysis using the chi square statistical test showed the conclusion that there was a significant relationship between the factors of age (p = 0.006), education (p = 0.007), occupation (p = 0.044), attitude (p = 0.017), perceived needs (p = 0.006), and ease of obtaining information (p = 0.021) with the decision to use PUSTAKA services at the Sekaran Health Center.

    Conclusions: Meanwhile, there is no relationship between knowledge (p = 0.812) and the availability of facilities (p = 0.114) with the decision to use PUSTAKA.

    APA Citation Style
    Ismail, B. G. , Nandini, N. , & Budiyanti, R. T. (2026). Factors associated with the use of the PUSTAKA online registration service at the Sekaran Community Health Center in Semarang City. Public Health and Occupational Safety Journal, 57-69. https://doi.org/10.56003/phosj.v2i1.739
  • Open Access

    Workplace stress and burnout among university lecturers in Indonesia and Malaysia: A systematic review of stressors, outcomes, and protective factors

    Mimi Haryani Hassim1, Dian Puspitaningtyas Laksana2, Rachmy Rosyida Rais3, Ronal Surya Aditya4
    1. University of Technology Malaysia , MY
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. Universitas Jember , ID
    2026-01-27
    doi https://doi.org/10.56003/phosj.v1i2.674
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 27 January 2026
    |
    page 174-192
    Abstract

    Background: Workplace stress and burnout have emerged as critical occupational health concerns among university lecturers, particularly amid increasing academic workloads, performance pressures, and organizational demands intensified during and after the COVID-19 pandemic. Despite growing empirical attention, evidence remains fragmented, especially within Southeast Asian higher education contexts.

    Objectives: This study aims to systematically review empirical research on workplace stress and burnout among university lecturers in Indonesia and Malaysia, with a focus on identifying key stressors, associated outcomes, and protective factors.

    Methods: A systematic literature review was conducted following the PRISMA 2020 guidelines. Peer-reviewed articles published in English were retrieved from the Scopus database using predefined search terms related to workplace stress, burnout, lecturers, and higher education in Indonesia and Malaysia. After screening and eligibility assessment, 19 studies published between 2004 and 2025 were included. Methodological quality was assessed using the Newcastle–Ottawa Scale, and findings were synthesized through qualitative narrative analysis due to study heterogeneity.

    Results: The review reveals that workplace stress and burnout are prevalent among university lecturers in both countries. Major stressors include excessive workload, role ambiguity, performance-based evaluation systems, work–life imbalance, and limited organizational support. These stressors are consistently associated with adverse outcomes such as emotional exhaustion, reduced job satisfaction, impaired performance, and increased turnover intention. Protective factors, including social support, supportive leadership, emotional intelligence, and workplace spirituality, were found to mitigate stress and burnout effects.

    Conclusions: Workplace stress and burnout among university lecturers in Indonesia and Malaysia are multifactorial and systemic issues embedded in contemporary academic work environments. Organizational- and policy-level interventions are essential to promote lecturer well-being and ensure sustainable academic careers.

    APA Citation Style
    Hassim, M. H. , Laksana, D. P. , Rais, R. R. , & Aditya, R. S. (2026). Workplace stress and burnout among university lecturers in Indonesia and Malaysia: A systematic review of stressors, outcomes, and protective factors. Public Health and Occupational Safety Journal, 174-192. https://doi.org/10.56003/phosj.v1i2.674
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