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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 -
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 -
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 -
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 Aditya41. University of Technology Malaysia , MY2. State University of Malang , ID3. State University of Malang , ID4. Universitas Jember , ID2026-01-27|page 174-192AbstractBackground: 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 StyleHassim, 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 -
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 Supriyadi41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-06-02|page 67-79AbstractBackground: 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 StyleAulia, 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 -
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 -
Maternal education and child stunting in Kenya: The role of socio-economic confounding using DHS 2022 data
Anastacia Katungo Maluki1, Zerai Hagos2, Kabiru Gulma3, Michael Musili Nzau41. Doctoral Programme in Epidemiology and Biostatistics, Euclid University, Banjul , GM2. Doctoral Programme in Epidemiology and Biostatistics, Euclid University, Banjul , GM3. School of Global Health and Bioethics, Euclid University, Bangui , CF4. United Nations Development Programme, New York , US2026-05-24|page 41-56AbstractBackground: Child stunting remains a major public health challenge in Kenya, reflecting long‑term nutritional deprivation and socioeconomic inequalities. Although maternal education is widely considered protective, its independent effect is often unclear due to confounding by structural factors.
Objectives: To examine the association between maternal education and child stunting among children under five in Kenya and to assess the extent of confounding and effect modification by key sociodemographic factors.
Methods: A cross‑sectional analytical study was conducted using data from the 2022 Kenya Demographic and Health Survey (KDHS). The sample included 19,530 children aged 0–59 months. Stunting was defined using height‑for‑age z-scores (<-2 SD). Descriptive, bivariate, stratified, and multivariable logistic regression analyses were performed, accounting for the complex survey design.
Results: Stunting prevalence was 18.2%. Stunting decreased with increasing maternal education, from 21.4–21.7% among children of mothers with no or primary education to 8.7% among those with higher education (χ² = 238, p < 0.001). However, the association was weak (Cramer’s V = 0.117) and attenuated after adjustment for socioeconomic factors. Household wealth was the strongest predictor, with children in the richest households having significantly lower odds of stunting than those in the poorest households (AOR = 0.268; 95% CI: 0.222–0.323; p < 0.001). Stunting risk increased with age, particularly among children aged 6–23 months, while females had lower odds than males (OR = 0.717; 95% CI: 0.662–0.776). Stratified analyses showed stronger protective effects of maternal education among older children. In contrast, variation across wealth groups should be interpreted cautiously, given inconsistent and non-significant findings in some strata. No meaningful effect modification by child sex was identified.
Conclusions: Child stunting in Kenya is primarily driven by structural socioeconomic factors. While maternal education is associated with reduced stunting, its effect is highly context dependent. Addressing poverty and inequality is essential for effective and equitable reductions in child stunting.
APA Citation StyleMaluki, A. K. , Hagos, Z. , Gulma, K. , & Nzau, M. M. (2026). Maternal education and child stunting in Kenya: The role of socio-economic confounding using DHS 2022 data. Public Health and Occupational Safety Journal, 41-56. https://doi.org/10.56003/phosj.v2i1.743 -
The effect of leaflet-based education and simulation of first-aid in accidents (P3K) on the knowledge and skills of tourism workers in Indonesia
Adelia Permatasari1, Anita Sulistyorini2, Supriyadi Supriyadi3, Nurnaningsih Herya Ulfah41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2025-06-15|page 127-138AbstractBackground: Law Number 1 of 1970 concerning Occupational Safety requires all sectors, including tourism, to implement Occupational Safety and Health (K3). Taman Dolan Batu City, as a tourist destination, has a risk of work accidents, so it needs mitigation efforts through First Aid for Accidents (P3K).
Objectives: This study aims to analyze the effect of leaflet-based education and simulation on workers' knowledge and first aid skills.
Methods: The research design used a quasi-experiment conducted with a sample of 16 people divided into two different intervention groups. This study uses questionnaire instruments and observation sheets that have been proven valid and reliable through statistical tests (Pearson, Aiken's V, and Cronbach Alpha) and experts' validation of leaflet educational media. Data analysis used Wilcoxon Signed Rank, and Mann-Whitney U tests with a significance level of 0.05.
Results: The results of hypothesis testing showed that both educational methods significantly improved workers' knowledge and skills (p<0.05). The combined intervention of leaflet and simulation proved more effective than the single method.
Conclusions: Leaflet-based education and simulation together are more effective in improving the knowledge and skills of first aid workers at Dolan Park. Researchers recommend that managers routinely hold K3-related training to reduce the risk of workplace accidents. Future research is recommended to involve a larger sample and evaluate the long-term effectiveness of the intervention provided.
APA Citation StylePermatasari, A. , Sulistyorini, A. , Supriyadi, S. , & Ulfah, N. H. (2025). The effect of leaflet-based education and simulation of first-aid in accidents (P3K) on the knowledge and skills of tourism workers in Indonesia. Public Health and Occupational Safety Journal, 127-138. https://doi.org/10.56003/phosj.v1i1.596 -
Effects of theory-based education versus simulation-based training on knowledge and skills in managing shortness of breath among university health volunteers
Agus Nur Wahyuda1, Marji Marji2, Nurnaningsih Herya Ulfah3, Anita Sulistyorini41. State University of Malang , ID2. State University of Malang , ID3. State University of Malang , ID4. State University of Malang , ID2026-01-14|page 163-173AbstractBackground: First aid skills for respiratory emergencies, particularly shortness of breath, are crucial for university health volunteers who often serve as the first responders. However, theory-based learning alone is not always adequate for developing practical competencies.
Objectives: This study aims to evaluate the effectiveness of theoretical education compared to the combination of theory and simulation in enhancing the knowledge and skills of university health volunteers in managing cases of shortness of breath.
Methods: A quasi-experimental pre-posttest design was conducted among 40 student volunteers of the Indonesian Red Cross Volunteer Corps (KSR-PMI), aged 18-20 years, who were equally assigned to a theory-only group or a theory-plus-simulation group. The intervention consisted of two 45-minute sessions. Knowledge and skills were assessed before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann–Whitney U Test with a significance level of α = 0.05.
Results: Knowledge significantly improved in both groups (p < 0.05), with no significant difference between them (p = 0.204). Skill performance improved markedly in the simulation group, increasing from 0% to 100%, compared with only 20% in the theory-only group (p < 0.001).
Conclusions: While theoretical education effectively enhances knowledge, it is insufficient for developing practical skills. Integrating simulation-based training significantly improves psychomotor competence and better prepares university health volunteers to manage respiratory emergencies.
APA Citation StyleWahyuda, A. N. , Marji, M. , Ulfah, N. H. , & Sulistyorini, A. (2026). Effects of theory-based education versus simulation-based training on knowledge and skills in managing shortness of breath among university health volunteers. Public Health and Occupational Safety Journal, 163-173. https://doi.org/10.56003/phosj.v1i2.671 -
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
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