IJHRD Ary Nugraha

Volume 10 Number 4 April 2019 Indian Journal of Public Health Research & Development EXECUTIVE EDITOR Prof Vidya Surwade Associate Professor, Dr Baba Saheb Ambedkar, Medical College & Hospital, Rohinee, Delhi INTERNATIONAL EDITORIAL ADVISORY BOARD NATIONAL EDITORIAL ADVISORY BOARD 1. Dr. Abdul Rashid Khan B. Md Jagar Din, (Associate Professor) Department of Public Health Medicine, Penang Medical College, Penang, Malaysia 5. Prof. Samarendra Mahapatro (Pediatrician) Hi-Tech Medical College, Bhubaneswar, Orissa 2. Dr. V Kumar (Consulting Physician) Mount View Hospital, Las Vegas, USA 6. Dr. Abhiruchi Galhotra (Additional Professor) Community and Family Medicine, AII India Institute of Medical Sciences, Raipur 3. Basheer A. Al-Sum, Botany and Microbiology Deptt, College of Science, King Saud University, Riyadh, Saudi Arabia 7. Prof. Deepti Pruthvi (Pathologist) SS Institute of Medical Sciences & Research Center, Davangere, Karnataka 8. 4. Dr. Ch Vijay Kumar (Associate Professor) Public Health and Community Medicine, University of Buraimi, Oman Prof. G S Meena (Director Professor) Maulana Azad Medical College, New Delhi 9. 5. Dr. VMC Ramaswamy (Senior Lecturer) Department of Pathology, International Medical University, Bukit Jalil, Kuala Lumpur Prof. Pradeep Khanna (Community Medicine) Post Graduate Institute of Medical Sciences, Rohtak, Haryana 6. Kartavya J. Vyas (Clinical Researcher) Department of Deployment Health Research, Naval Health Research Center, San Diego, CA (USA) 7. Prof. PK Pokharel (Community Medicine) BP Koirala Institute of Health Sciences, Nepal NATIONAL SCIENTIFIC COMMITTEE 1. Dr. Anju D Ade (Professor) Community Medicine Department, SVIMS, Sri Padamavati Medical College,Tirupati, Andhra Pradesh. 2. Dr. E. Venkata Rao (Associate Professor) Community Medicine, Institute of Medical Sciences & SUM Hospital, Bhubaneswar, Orissa. 3. Dr. Amit K. Singh (Associate Professor) Community Medicine, VCSG Govt. Medical College, Srinagar – Garhwal, Uttarakhand 4. Dr. R G Viveki (Associate Professor) Community Medicine, Belgaum Institute of Medical Sciences, Belgaum, Karnataka 5. Dr. Santosh Kumar Mulage (Assistant Professor) Anatomy, Raichur Institute of Medical Sciences Raichur(RIMS), Karnataka 6. Dr. Gouri Ku. Padhy (Associate Professor) Community and Family Medicine, AII India Institute of Medical Sciences, Raipur 7. Dr. Ritu Goyal (Associate Professor) Anaesthesia, Sarswathi Institute of Medical Sciences, Panchsheel Nagar 8. Dr. Anand Kalaskar (Associate Professor) Microbiology, Prathima Institute of Medical Sciences, AP 9. Dr. Md. Amirul Hassan (Associate Professor) Community Medicine, Government Medical College, Ambedkar Nagar, UP 10. Dr. Sunil Mehra (Paediatrician & Executive Director) MAMTA Health Institute of Mother & Child, New Delhi 11. Dr Shailendra Handu, Associate Professor, Phrma, DM (Pharma, PGI Chandigarh) 12. Dr. A.C. Dhariwal: Directorate of National Vector Borne Disease Control Programme, Dte. DGHS, Ministry of Health Services, Govt. of India, Delhi Print-ISSN: 0976-0245-Electronic-ISSN: (Four issues per volume) 0976-5506, Frequency: Quarterly Indian Journal of Public Health Research & Development is a double blind peer reviewed international journal. It deals with all aspects of Public Health including Community Medicine, Public Health, Epidemiology, Occupational Health, Environmental Hazards, Clinical Research, and Public Health Laws and covers all medical specialties concerned with research and development for the masses. The journal strongly encourages reports of research carried out within Indian continent and South East Asia. The journal has been assigned International Standards Serial Number (ISSN) and is indexed with Index Copernicus (Poland). It is also brought to notice that the journal is being covered by many international databases. The journal is covered by EBSCO (USA), Embase, EMCare & Scopus database. The journal is now part of DST, CSIR, and UGC consortia. Website : www.ijphrd.com ©All right reserved. The views and opinions expressed are of the authors and not of the Indian Journal of Public Health Research & Development. The journal does not guarantee directly or indirectly the quality or efcacy of any product or service featured in the advertisement in the journal, which are purely commercial. 10. Dr. N. Girish (Associate Professor) Microbiology, VIMS&RC, Bangalore 11. Dr. BR Hungund (Associate Professor) Pathology, JNMC, Belgaum. Editor Dr. R.K. Sharma Institute of Medico-legal Publications 12. Dr. Sartaj Ahmad (Assistant Professor), Medical Sociology, Department of Community Medicine, Swami Vivekananda Subharti University, Meerut,Uttar Pradesh, India Logix Office Tower, Unit No. 1704, Logix City Centre Mall, Sector- 32, Noida - 201 301 (Uttar Pradesh) 13. Dr Sumeeta Soni (Associate Professor) Microbiology Department, B.J. Medical College, Ahmedabad, Gujarat,India Printed, published and owned by Dr. R.K. Sharma Institute of Medico-legal Publications NATIONAL EDITORIAL ADVISORY BOARD 1. Prof. Sushanta Kumar Mishra (Community Medicine) GSL Medical College – Rajahmundry, Karnataka 2. Prof. D.K. Srivastava (Medical Biochemistry) Jamia Hamdard Medical College, New Delhi 3. Prof. M Sriharibabu (General Medicine) GSL Medical College, Rajahmundry, Andhra Pradesh 4. Prof. Pankaj Datta (Principal & Prosthodentist) Indraprastha Dental College, Ghaziabad Logix Office Tower, Unit No. 1704, Logix City Centre Mall, Sector- 32, Noida - 201 301 (Uttar Pradesh) Published at Institute of Medico-legal Publications Logix Office Tower, Unit No. 1704, Logix City Centre Mall, Sector- 32, Noida - 201 301 (Uttar Pradesh) I Indian Journal of Public Health Research & Development www.ijphrd.com Contents Volume 10, Number 4 April 2019 1. A Study of Experiences of Beneficiaries, Enrollees and Stakeholders of Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme (CMCHISTN) : A Qualitative Study .................................. 01 P Shirisha 2. Effectiveness of Self Myofascial Release, Static Stretching and Neural Tissue Mobilization on Hamstring Flexibility in Athletes ........................................................................................................... 06 Gatha Patel, Khushboo Bathia, Smita Kanase, Amrutkuvar Pawar, Vishnupriya Deshpande, Prachi Jain 3. Effect of Ground Level Reverse Treadmill Walking Versus Incline Reverse Treadmill Walking as an Adjunct to Conventional Physiotherapy in Chronic Knee Osteoarthritis Subjects ................................ 12 Amruta Khilwani, Amrutkuvar Pawar, Trupti Warude, Khushboo Bathia 4. Influence of Dietary Solvents on the Strength of Nanofill, Microfill and Minifill Composites ............. 19 Ayush Razdan Singh, Raazia Khan, B Rajkumar, K K Dixit, Gayathri S Jethwani, Alok Mishra 5. A Study of Factors affecting Online Shopping in Chennai ............................................................................ 24 V. Andal, G. Mythili 6. Perceived Benefits & Risks of Online Grocery Shopping: Role of Cognitive Influences ..................... 29 Sneha Ghai, Somya Tripathi 7. Effect of Barefoot Functional Rehabilitation in Flat Foot among Obese Women .................................. 36 Hemali Patel, S Anandh 8. Effect of Core Stability Exercise Programme Using Swiss Ball, Theraband and Floor Exercises on Abdominal Girth and Core Strength in Post Menopausal Women ......................................................... 41 Vishakha Panchal, Amrutkuvar Pawar, Trupti Warude, Khushboo Bathia 9. A Community based Cross Sectional Study to Assess the Association between Indices of Obesity and Hypertension ........................................................................................................................................... 48 Arun Varghese, Prakash M Durgawale, Satish V Kakade, Dhirajkumar A Mane, Supriya S Patil 10. Attitude Towards Ageing among Older Population .............................................................................. 54 B Jayabharathi, Nisha Yadav, Tharageshwari, Buvana 11. Impact of Farm Technology on Rice Production in Madurai District, Tamilnadu ................................. 60 S Thangamayan, B Chithirairajan, S Sudha 12. A System Dynamics Approach to Understand Respiratory Health Risk in Rural Population ............... 65 Snehlata Tigala, Anu Rani Sharma, Kamna Sachdeva II 13. Effectiveness of Lifestyle Modification for Grade I Hypertensive Individuals ..................................... 71 Akshaya Ashok Lade, Poovishnu Devi Thangavelu, Vaishali Krishnat Jagtap 14. Growth Performance of Leather Industry in India ................................................................................. 76 S Thangamayan, R Bharathi Rajan, B Chithirairajan 15. Effectiveness of Cabbage Leaves Application on Breast Engorgement: Narrative Review .................. 82 Akanksha Yadav, Kavitha Mole PJ, Nageshwar V 16. Reliability Estimation and Pilot Testing of Diet Quality Assessment Tool for Indian Children ............ 86 Ritushri Chamoli, Vandana, Monika Jain 17. Effect of Task Related Exercise on Arm and Hand Function among Patients with Stroke .................... 92 Deepthi John, Kanmani J 18. Self-disclosure and Quality of Relationship amongst Spouses of Combatants at a Forward Fighter Airbase .................................................................................................................................................... 99 MPS Marwaha, M V Singh, Rajesh Vaidya, Bhupinder Kaur Anand, Alok Kumar Chowdhury, Rajat Kumar Garg 19. Experience of Prioritizing in Nursing Care in India: A Qualitative Study ........................................... 103 Lata Mandal, A Seethalakshmi 20. Efficacy of Botulinum Toxin Type A in the Treatment of Post Surgical Parotid Fistula -A Systematic Review .................................................................................................................................................. 108 Kunal Gajendragadkar, Kalyani Bhate, Surabhi Magoo, Santhoshkumar S.N, Bhagyashree Jagtap, Kshitija Sonawane 21. Analysis of Factors Influencing Medical Tourism in India Chennai and its Impacts ........................... 113 J. Revathi, S. Jansi Rani 22. Radicular Cyst Associated with a Primary Molar: A Case Report ....................................................... 118 Rose Maria Joseph, Karuna Y M, Dharnappa Poojary, Ashwin P Rao, Anupama Nayak P 23. Functional Outcome of Multiple Plate Fixation of Tibial Plateau Fractures based on New “ThreeColumn Concept” Fracture Classification ............................................................................................ 122 Mahipat Singh, Deepinder Chaudhary, Manrattan Bhathal, Neha Baiswar, Divyant Randhawa, Jayant Randhawa, Vivek Kumar Madhur 24. Assessment of the Oral Health Status and Erosive Tooth Wear among Employees of a Petrochemical Industry in Mangalore, India ................................................................................................................ 128 Vaibhav Pravin Thakkar, Ashwini Rao, Rajesh G, Ramya Shenoy, Mithun Pai B.H 25. Contribution of Metagenomics Towards Identification of Oral Flora - A Review ............................... 134 Anitha Balaji, Krishnan Mahalakshmi, Jagadeesan Aarthi, Mohan Valiathan, Radhakrishnan Mensudar 26. A Study of Prevalence of Diabetes Mellitus and its Risk Factors in the Urban Slum Population of Gurugram .............................................................................................................................................. 141 Abhinav Jain , Bhupinder Kaur Anand, MPS Marwaha, Salil Kumar Srivastava, Archana Chaudhary, Sapna Jaiswal III 27. Relationship between Geriatric Oral Health Assessment Index (GOHAI) and Oral Health Status of the Institutionalized Elderly in Mangalore, India ....................................................................................... 146 Priyanka Ravi, Ashwini Rao, Gururaghavendran Rajesh, Ramya Shenoy, BH Mithun Pai 28. Comparative Study of CMC 0.5% Eye Drops versus Combination of .05% Cyclosporin Ophthalmic Emulsion and 0.5% CMC Eye Drops in Dry Eye Disorders ............................................................... 152 Prerana Agarwal, D.J. Pandey 29. A Survey of Machine Learning Techniques for Cancer Disease Prediction and Diagnosis ................. 157 M Kiran Kumar, Divya Udayan J 30. Attitudinal Parameters Influencing Treatment Seeking Behavior during Child Diarrhea in India ...... 163 Surya AV, Sanjeev MA, Rahul Sharma 31. The Impact of Platelet Rich Fibrin on Periodontally Accelerated Osteogenic Orthodontics (PAOO)A Perio-Ortho Interdisciplinary Case Report ...................................................................................... 169 Chatterjee Soham, Shetty J. Neetha, M.V Ashith 32. Role of Low Molecular Weight Heparin in Thromboprophylaxis for Hip and Knee Arthroplasty ...... 174 Deepinder Chaudhary, Mahipat Singh Manrattan Bhathal, Neha Baiswar, Jayant Randhawa, Divyant Randhawa 33. Impact of Attention Deficit Disorder on Academic Performance of Children ..................................... 179 Santosh B.R, Rachana N 34. Dental Educational Environment in Institutions of South East Asia ................................................... 185 Ramprasad Vasthare, Swagata Saha 35. Understanding Relationship between Internet Addiction and Emotional Intelligence with Reference to Delhi-NCR Region ........................................................................................................................... 191 Verma Priti , Arora Nidhi 36. A Study on Occupational Stress of Assistant Professors in Selected Private Universities – Chennai .......................................................................................................................... 197 P. Abinaya, S Indupriya 37. Recommendation System for Breast Cancer Treatment Using K-Means Clustering Algorithm ......... 202 Somil Jain, Manmohan Sharma, Puneet kumar 38. Effect of Core Training with and without Yogic Practices on Selected Psychological Variables among College Women Athletes ..................................................................................................................... 208 R. Meera, R. Mohanakrishnan, T. Arun Prasanna 39. Risk Indicators for Periodontal Diseases and Tooth Loss among Rural & Urban Population in Northern India- Distt. Bakshi Ka Talab: An Epidemiological Survey ................................................................. 213 Bhupinder Kaur Anand , MPS Marwaha, Sudhanshu Agrawal, Dipti Singh, Sapna Jaiswal, Salil Kumar Srivastava 40. Influence of Organizational Justice on Teachers’ Job Attitude – A Review ......................................... 218 S Suganya 41. Prevalence of Panton Valentine Leukocidin (PVL) gene of Staphylococcus aureus Isolated from Different Sepsis Cases in Odisha, India .............................................................................................. 223 Anima Mohanty, Bibhuti Bhusan Pal IV 42. Does Serum Cotinine affects Lipid Profile? ......................................................................................... 229 Vaishali S. Pawar, Ajit Sontakke, Satish Kakade, Jaywant Thorat 43. Betatrophin: It’s Impact on Lipid Profile in Type two Iraqi Obese Diabetic Women .......................... 236 Raghd A.Y. Alkhader, Khitam abdul-wahhab Ali, Abbas Mahdi Rahmah Al-Kharasani 44. Interaction Between Tobacco Consumption, BMI and Diabetes ......................................................... 242 T Manigandan, S Kisore Kumar, A Julius 45. Effective Usage of Exhaled Volatile Organic Compounds in Disease Diagnosis: A Comprehensive Review ............................................................................................................................................... 246 G.S. Karthick, P.B. Pankajavalli 46. Patients Health Monitoring System Using IOT .................................................................................... 252 Sudha Senthilkumar, Brindha.K, Charanya R, Abishek Kumar 47. Nanosensors in Blood Glucose Measurement: A Review .................................................................... 257 G.Kavitha, K.Senthil Kumar 48. Aggression in Psychiatric Unit: What is the Feeling of Psychiatric Nurses? ...................................... 263 Binil V, Christopher Sudhaker, Supriya Hegde, Unnikrishnan B, Alphonsa Ancheril 49. Caries Prevention by Biofilm Control: Newer Frontiers in Management ............................................ 267 Sowmya Sridhar, Baranya Shrikrishna Suprabha, Arathi Rao 50. Comparative Efficacy of Three Different Retreatment Rotary Instrument Systems for Removal of Gutta-Percha from Root Canals: A Comparative in Vitro Study .......................................................... 272 Jasmine Mary Antony, Aravind R. Kudva, Harish K Shetty, Shravan Kini, Sree Gowri 51. Digital India, Digitizing the Orthodontic Office- Our Experience with Design and Implementation of a Contemporary Patient Management System ........................................................................................ 278 Nidhin Philip Jose, Siddarth Shetty, Dilip G Naik, Shravan Shetty, Asavari Desai, Ashith MV, Lida Mary 52. Multi-State Models for the Time to Event Post-Transplantation Cancer Data: A Competing Risks Approach .............................................................................................................................................. 283 Chinnaiyan Ponnuraja, Valarmathi Srinivasan, Pari Dayal. L, B.Krishna Prasanth, K.M.K.Masthan 53. Family Support and Medication Nonadherence among Elderly on Antihypertensives ....................... 294 Melita Sheilini, H Manjunatha Hande, Anice George 54. Young People with Physical Disability Talking about Depression ..................................................... 299 Manoj Mathew P, Suja M K 55. Bio-Medical Waste Management at an Academic Hospital: Knowledge and Practice of Hospital Staff ........................................................................................................................................ 304 Khajan Singh, Niti Solanki Gahlot, Amrit Virk, Mahima Panigrahi, Narottam Samdarshi 56. Stakeholder Perception of Health Technology Assessment in Industrial Setting ................................. 309 Sowmya Sundararajan, Sanjay Pattanshetty, Kiran R Aatre, Manisha Gore, Ravi Raj Singh Chouhan V 57. Analysis of Uterus Involution, Lochea Expenditures and Back Pains on the Post Partum Mother Using Bengkung and Gurita ........................................................................................................................... 313 Sandu Siyoto 58. An Economic Analysis of Jasmine Cultivation in Madurai District, Tamilnadu ................................. 319 S Thangamayan, S N Sugumar, S Chandrachud 59. Effect of Mulligan’s Pain Release Phenomenon with Kinesiotaping in Chronic Patellofemoral Osteoarthritis ........................................................................................................................................ 324 Nikhil Bhosale, Smita B Kanase, Khushboo Bathia 60. Childhood Immunization Coverage and Factors Associated with it among Urban Slum Population in a South Indian City ................................................................................................................................. 328 Akshay Salgar, Satyajit Pattnaik, Samina Ausvi, Dhananjaya Sharma 61. Customer Satisfaction on Health Insurance in India – A Study ........................................................... 334 A. Meenakshi, S. Vennilaa Shree 62. Transcranial Direct Current Stimulation in Combination with TENS: Effectiveness on Pain and Functional Outcomes in Knee OA Patients – A Study Protocol ........................................................... 337 Rekha Chaturvedi, Sivachidambaram Kulandaivelan, Manoj Malik, Shabnam Joshi 63. An Empirical Study on the Impact of Emotional Intelligence on Occupational Performance .................... 342 Mekhala. R.S, Sandhya K 64. Measure to Human Ailments – A Holystic Approach .......................................................................... 349 S N Sugumar, M P Agathiyar, S Chandrachud 65. Enhancing the Role of Public Health Center as Gatekeeper on the National Health Insurance ......... 353 Betri Anita, Henni Febriawati, Desri Suryani, Yandrizal, Bintang Agustina, Pratiwi, Wulan Angraini, Riska Yanuarti 66. Involvement of KRAS rs61764370 T>G Gene Variation in Leukemia Patients of Saudi Arabia ........ 357 Osama Al-Amer, KF Alsharif, Rashid Mir , FM Abu-Duhier, Abdulraheem Almalki, Wayil Yassen 67. Prevalence and Risk Factors of Hypertension Stage 1 in Banjar Ethnic, South Kalimantan, Indonesia: Finding from the Indonesia Family Life Survey (IFLS) 5 ................................................................. 363 Ahmad Taufik Azis, Syahrizal Syarif 68. Evaluation of Some Biochemical Markers in Patients Serum of Myocardial Infarction and Heart Failure ......................................................................................................................................... 369 Ahmed Salih Lateef, Saddam Jumaa Nasser, Ayad Abdulrazzaq Mutar 69. Comparative Study between Ultrasound Finding and Retrograde Urethrography to Evaluate Uretheral Stricture ............................................................................................................................................... 374 Ahmed Turki Obaid 70. The Experience of Married Men Who Have Sex with Female Sex Workers (FSW) ......................... 380 Ainun Sajidah, Evy Marlinda, Agus Rachmadi VI 71. Seroprevalence of HBV, HCV, and HIV among Blood Donors in Main Blood Bank in Najaf Province, Iraq ........................................................................................................................................................ 385 Rana Talib Al-Nafakh, Shaymaa Abdul lteef Al-Fadhul, Hashim Ali Abdulameer Al-Sherees, Alaa H. Al-Charrakh 72. System Analysis of Public Health Surveillance in School-Age Children ............................................ 391 Arief Hargono, Kurnia Dwi Artanti, Fariani Syahrul 73. Dental Health Behavior in Elderly based on Demographic Characteristics ......................................... 397 Aulia Feresia Mauline, Taufan Bramantoro, Retno Palupi 74. Cryoglobulin Responses and Herd Immunity Plots among Periodontitis Patients .............................. 402 Baha, Hamdi Hakim Al-Amiedi, IMS Shnawa, Zainb, M. Hameed 75. Effect of Obesity in the Mode of Delivery ........................................................................................... 406 Ban Amer Mousa 76. Post- Traumatic Stress Disorder among Women with Breast Cancer in Iraq: A Preliminary Report ... 411 Aqeel S. Mahmood, Mushtaq T. Hashim, Eman A. Al-Kaseer 77. Molecular Diagnosis and Phylogenetic Analysis of 5.8s rDNA Gene of Cutaneous Leishmaniasis Species in Holy Karbala/Iraq ................................................................................................................ 414 Dhamiaa Maki Hamza, Laith Hasan Obayes, Fadhil Sami Zghair 78. Association of Certain HLA –II/ DR Alleles with Incidence of Thyroiditis in Iraqi Patients .............. 420 Samir S. Raheem; Mussa M. Alkhatib, Mohammed M. Alomari 79. Factors Associated with Self-Empowerment among Patients with Diabetes Mellitus in South Kalimantan ........................................................................................................................................... 423 Endang Sri Purwati Ningsih, Syamsul Firdaus 80. Irisin, Resistin and 25-Hydroxyvitamin D in Iraqi Obese and Non-Obese Type 2 Diabetic Patients .. 428 Gumar O Zamil, Halla G Mahmmod, Basil O Saleh 81. Diagnostic Value of Clinical Assessment in Comparison to Ultrasound in Meniscal Injury ............... 433 Mahmoud Khudair Yaseen, Faiq I. Gorial 82. Legal Protection of Midwives Based on Professional Justice in Midwifery Practices ........................ 437 Fitriani Nur Damayanti , Absori , Kelik Wardiono 83. Study of Biochemical Criteria of Blood for Thalassemia Patients ....................................................... 442 Hanan Jassim Hammod, Zainab Kareem Al-Kazazz, Hassan A Farman 84. Performance Analysis of Indonesian Public Hospitals: A Panel Data Method .................................... 447 Jon Hendri Nurdan, Sjafrizal, Hefrizal Handra, Hardisman Dasman 85. Evaluation of Platelet Rich Fibrin Effect in the Bone Density after Teeth Extraction by Cone Beam Computed Tomography ........................................................................................................................ 453 Kamal Saheb Mezal, Sahar Shakir Al-Adili, Ali S. Al-Haddad 86. Future Ready Strategy Development and Healthcare Performance An Evidence from Private Healthcare Sector in Iraq ........................................................................................................................................ 457 Hashim Fawzi Dabbas, Safa Tayeh Muhemmed VII 87. Incidence of Rota Virus as a Causative Pathogen in Iraqi Children Infected by Diarrhea ................... 463 Samir S. Raheem, Mohammed M.M. Alomari, Nawar J.H. Al-Salih 88. Bladder Injury as a Complication of Cesarean Deliveries And Peripartum Hysterectomy .................. 467 Nagham K. Tayeh, Nada Kadhum Kareem, Hayder Adnan Fawzi 89. The Spatial Perception as an Connotation to the Performance Level of the Forward Repel Blow of the Badminton ........................................................................................................................................... 472 Hisham Hindawi Howaidi, Asaad Ali Safih, Alaa Abdul Sada Mohammed 90. Echocardiographic Stigmata in the First Attack of Acute Rheumatic Fever as a Major Criterion for the Diagnosis of Rheumatic Carditis in Misan, Iraq ................................................................................. 478 Khalid Obaid Mohsin, Hussein Fadhil Musa Aljawadi, Esraa Abd Al-Muhsen Ali 91. A Comparative Study of Different Types of Warm-up Effect on Postural Stability and Isokinetic Strength ................................................................................................................................................ 483 Mohammad Ahsan 92. Evaluation of the Effects of Insulin Therapy on peripheral Nervous System in Diabetic Patients ...... 490 Mufeed Akram Taha 93. Differences in Self-Efficacy Before and After Antenatal Education ................................................... 496 Nur Jaqin, Muh. Syafar, Arsunan A.A, Prihantono, Suryani A 94. Body Mass Index During Child Development and It’s Association with their Immunity ................... 502 Qasim Dawood Yasir Altameemi, Mohanad Kadhim Mohammed Ali 95. Regional Longitudinal Strain by Speckle Tracking Echocardiography in Coronary Artery Disease .. 507 Saeed H. Lafta, Mohammad Saeed A., Khalid E. Amber 96. Global Longitudinal Strain Accurateness in Prediction of Ischemic Heart Disease ............................ 513 Saeed H. Lafta, Mohammad Saeed A, Khalid E Amber Sarah Mazin Naeem, Hussein A. Abdulkadhim, Kifah J. Shaker, Hamid N. Obied 97. Assessment of the Antineoplastic Effects of the Investigational Agent PAX2M as C-MYC Onco-Protein Blocking Agent in Human Colorectal Cancer Cells Model Sw480 Cell Line ............................................. 519 Sarah Mazin Naeem, Hussein A. Abdulkadhim, Kifah J. Shaker, Hamid N. Obied 98. The Main Challenges Facing the Iraq Banks ....................................................................................... 525 Shaymaa Dhafer Hashem 99. Factors Affecting the Implementation of Clean and Healthy Living Behavior at Household Level (Observational Study at Sungai Paring Village, Martapura Kota District) .......................................... 529 Laily Khairiyati, Fauzie Rahman, Arnila Udin, Vina Yulia Anhar 100. Point Prevalence of Healthcare Associated Infection and its Risk Factors among Patients Admitted to the Intensive Care Unit in Baghdad Medical City ................................................................................ 535 Waleed Ibraheem Ali, Hayder Adnan Fawzi, Huda Jassim Lafta, Sarah Alaa Mohammed, Noor Mosaad Ameer 101. Histopathological Study of Well Differentiated Papillary Thyroid Carcinoma Case Study ................ 541 Abdul Hadi Sallal Mohammed, Rasha Abdul Ameer Jawad, Ali Khudheyer Obayes VIII 102. Family Support of Ifontoks to their Pregnant Teenagers: an Extension Health Service Program of Mountain Province State Polytechnic College ..................................................................................... 545 June II A.Kiblasan 103. The Description of Musculoskeletal Symptoms, Workstation Design Compliance, and Work Posture among Computer Users at Head Office Jakarta Year 2018 .................................................................. 551 Sjahrul Meizar Nasri, Dita Maharani Kusumaningrum 104. Samban as a Complementary Immunization in Dayak Pitap Tribe in Indonesia (A Preliminary Study) ........................................................................................................................... 556 Ida Hastutiningsih, Oedojo Soedirham 105. Factors Influencing the Participation of National Health Insurance Independently ............................. 561 Ary Nugraha, Nida Ulfah, Mohammad Isa, Bahrul Ilmi 106. Prevalence and Perception of Women about Consanguineous Marriage in Al-Ramadi City ............... 567 Badeaa Thamer Yahyaa, Mustafa Ali Mustafa Al-samarrai, Saad Ahmed Ali Jadoo 107. Study of Counseling on Knowledge, Attitude and Behavior of Drug Supervisor (PMO) of Tuberkolosis Patient ................................................................................................................................................... 574 Ade Irwansyah, H Adenan, M Kes, dan Lenie Marlinae, SKM, MKL DOI Number: 10.5958/0976-5506.2019.00757.5 Factors Influencing the Participation of National Health Insurance Independently (Analytic Observational Study on Work Area Sungai Malang Primer Health Care Hulu Sungai Utara Regency) Ary Nugraha1, Nida Ulfah2, Mohammad Isa3, Bahrul Ilmi4 1 Cahaya Bangsa Institute of Health Science, 2 Public Health Study Program, Medical Faculty, Lambung Mangkurat University, 3 Ulin Banjarmasin General Hospita Area, 4Health Polytechnic of Banjarmasin Abstract Health insurance is a guarantee of health protection for everyone, 90% of Indonesians are already JKN participants. The coverage of JKN participation, especially in South Kalimantan is still low, namely 1,323,001 people (34.8%), one of the districts whose membership level is still low, namely Hulu Sungai Utara Regency with 49.65% from 225,822 is not yet a JKN participant especially in the work area of Sungai Malang Primer Health Care where only 12,387 people (25.67%) are JKN participants. Therefore it is necessary to investigate what factors affect the participation of JKN. Explain factors that influence the participation of National Health Insurance independently in the working area of Sungai Malang Primer Health Care. This research type is observational analytic research with design of case control design conducted by work area of Sungai Malang Primer Health Care. The populations were JKN participants and not JKN participants, while sampling using purposive sampling. The research variables are age, education level, knowledge, income, motivation, perception and socialization as independent variable and JKN membership independently as dependent variable. The research instrument used is the stuffing sheet. The result of multiple logistic regression analysis obtained the most influential variable is age (OR=9,8). There is a significant influence, level of education (P-value=0,000), knowledge (0,000), motivation (0,000), perception (0,000) and socialization (0,000). Keywords: national health insurance, social insurance provider body, participation Introduction Health insurance is a guarantee in the form of health protection for the community to benefit health care and protection in fulfilling basic health needs given to every person who has paid the dues or fees paid by the government1. There is a Social Security System in the amendment of the 1945 Constitution, and the publication of Law No. 40 of 2004 on the National Social Security System (SJSN) that every person has the right to social security to be able to meet the basic needs of a decent life and improve his dignity towards the realization of a prosperous, just and prosperous Indonesian society Corresponding author: Ary Nugraha [email protected] becomes a strong proof that government and related stakeholders have a great commitment to realize social welfare for all its people2. In support of the implementation, Law no. 24 Year 2011 establishes the National Health Insurance (JKN) organized by BPJS, which consists of BPJS Health and BPJS Employment. JKN held by BPJS Kesehatan whose implementation begin on January 1, 20143. Social Security Administering Body (BPJS) as the implementing agency has done various activities to accelerate JKN roadmap travel process so universal health coverage (UHC) quickly achieved. Socialization in various mass media about the benefits, payment method, the amount of dues chosen according to ability, has been implemented, but the expected result that there will be increasing independent participant not seen real4. 562 Indian Journal of Public Health Research & Development, April 2019, Vol. 10, No. 4 Data Ministry of Health RI (2013), shows the number of people who are guaranteed in various forms and health insurance as much as 151.6 million out of a total of 293.7 million people in Indonesia. Thus there are still 142.1 million people in Indonesia who do not have health insurance. Based on data of Social Security Administration Agency (BPJS) Health (2015). South Kalimantan Province of the total population of 3,989,793 people in the JKN membership coverage of 1,323,001 people (34.8%), consisting of 763,063 people (57.67%) of the contribution beneficiaries (PBI) and non PBI 559,938 inhabitants (42.32%)5. Based on data on the coverage of the working area of each Primer Health Care in Hulu Sungai Utara District, the Sungai Malang Health Center has the working area with the largest number of residents from other working areas and has the lowest percentage of JKN participation in Hulu Sungai Utara Regency. The number of JKN participants at the Sungai Malang Primer Heath Care was 12,387 people as of June 2016 with the coverage of the working area 47,961 residents in Amuntai Tengah subdistrict, meaning only 25.67% of the population in the working area of Malang River Community Health Center which is the participant of JKN which means 75,43% of the people in the region have the potential to become the most independent JKN participants. Material and Method The research is a kind of quantitative observational analytic research with case control approach. Type research is done by comparing case groups and control groups. The number of samples in this study is determined by purposive sampling method. The number of samples in study as much as respectively 130 respondents, which means the total sample in study was 260 respondents. Findings Table 1: Result of Univariate Analysis No Variable 1 Age 2 3 4 5 6. 7. Level of education Knowledge Income Perception Motivation Socialization Category Frequency % 18-40 year 181 69,6 41-65 year 79 30,4 Primary school 23 8,1 Junior high school 57 26,4 Senior High School 99 37,6 College 81 30,8 Less 157 59,7 Good 103 39,2 Low Income (≤ Rp 2.085.000) 171 65,8 Higher Income (>Rp 2.085.000) 89 34,2 Low 78 30 High 182 70 Low 148 56,9 High 112 43,1 Not 136 52,3 There is 124 47,7 Indian Journal of Public Health Research & Development, April 2019, Vol. 10, No. 4 Based on table 1 can be seen that of 260 respondents consisted of 18-40 (adult) age range 181 respondents (69.6%) and respondents with age range 41-65 (old) as much as 79 respondents (30.4%). Respondents can be seen in this study more than the range adult, this is because respondents with age range 18-40 is still productive and have a job. High school education level has the highest percentage (37,6%) this matter because resopondens in this research is participant by JKN independently which majority is entrepreneur. Of the 260 respondents, 157 respondents (59.7%) had less knowledge about JKN. Based on the results of the questionnaires of respondents who have less knowledge due to the respondents do not know the benefits obtained when a participant JKN as many as 155 people (97.4%), who do not know who is required to become a participant JKN as many as 155 people (97.4%), (94.7%) who do not know the purpose of BPJS Health (94.7%), who do not know the participants JKN consists of as many as 563 153 people (94.7%), who do not know the purpose of JKN as much as 153 people (94.7%) , who do not yet know the number of JKN participants as many as 151 people (92,1%), who do not yet know how to register become JKN participants for PBPU counted 145 people (86,8%), not yet know the procedure of registration of JKN as many as 122 people (73, 7%), who do not yet know the requirements to become a participant of JKN for Indonesian citizens are 95 people (68,4%). Income low (≤ Rp 2,085,000) more reported on the type of work in the informal sector with uncertain income each month. Concerned perceptions, 80 respondents (30.7%) assume that the facilities provided if the illness is incomplete, as many as 120 respondents (46%) assume that BPJS is only for the poor. Respondents have low motivation caused by those who say that does not agree that the way of registration as JKN participants is easy. Table 2. Bivariate Analysis JKN Independently Active Participation Variable Not a Participant (Control) Participants (Case) Age n % n % Adult (18-40 tahun) 98 75,4 83 63,8 Old (41-65 tahun) 32 24,6 47 36,2 Low 17 13,07 63 48,46 High 113 86,92 67 51,53 Less 105 80,8 52 40 Good 25 19,2 78 60 p-value OR (95% CI) 0,059 1,337 (0,991-1,802) 0,000 0,16 0,000 6,3 (3,59-11,02) Level of education Knowledge Income Low (≤ rp 2.085.000) 78 60 93 71,5 Higher (> rp 2.085.000) 52 40 37 28,5 Low 130 100 52 40 High 0 0 78 60 0,067 0,597 (0,35-1,00) 0,000 3,50 (2,78-4,40) 0,000 8,22 (5,33-12,6) Perception Motivation Low 130 100 18 13,8 High 0 0 112 86,2 No 100 76,9 36 27,7 There is 30 23,1 94 72,4 Socialization 0,00 8,70 (4,97-15,243) 564 Indian Journal of Public Health Research & Development, April 2019, Vol. 10, No. 4 Based on table 2 above, the result of chi-square test with 95% confidence level, there is a significant influence, level of education (P-value=0,000), knowledge (0,000), motivation (0,000), perception (0,000) and socialization (0,000). Table 3 Results the initial model of multiple logistic regression analysis No Variabel B Sig Exp(B) 1 Age 2.283 0.023 9.807 4 Level of education -2.270 0.019 0.103 3 Income 0.235 0.749 1.265 4 knowledge 1.869 0.021 6.483 5 Perception -19,181 0,996 0,000 6 Motivation -22,248 0,994 0,000 7 socialization 1,422 0,061 0,938 Table 4. Results of final model of multiple logistic regression analysis No Variabel B OR 95% CI OR P value 1 Age 2.283 9.807 1,129-69,423 0.023 2 Level of education -2.270 0.103 0,174-11,392 0.019 3 Income 0.235 1.265 0.299-5.344 0.749 4 knowledge 1.869 6.483 1,428-35,972 0.021 5 Perception -19,181 0,000 0,000 0,996 6 Motivation -22,248 0,000 0,000 0,994 7 socialization 1,422 0,938 0,880-16,113 0,061 Based on table 4 can be seen that the most influential variable is age, meaning that the more mature one’s age then 9.8 times have the opportunity to become participants of health insurance independently. Discussion Based on table 2, to see the effect of age on JKN membership independently that, p-value= 0,059, means there is no significant influence between age with JKN membership independently. The results of this study is supported by the results of previous research by Widhiastuti (2015) which states there is no significant influence between age with public awareness in insurance. Research with similar results was also revealed by Anggi Afifi (2014)4. In this study sampling was conducted only in primary health care, so there was no significant difference in health risks between respondents aged <40 years and ≥40 years, where they were more likely to experience low health risks6. Education of the 130 respondents who are not independent JKN participants, there are 113 respondents (86.9%) have high education level, while JKN membership comes from education level ≤ junior high school and college level only 24.6% and 26.9% which means lower levels of education are more likely to choose to be JKN participants. From these findings it can be seen that the level of education has no effect on knowledge. In addition, respondents with low level of education have concerns in terms of income due to their low employment rate (traders) as much as 218 respondents (82.9%). The effect of education with JKN participation independently, p-value=0,000, which means there is a significant influence between education with JKN membership independently. The value of OR=0.16 indicates that a person with a low educational Indian Journal of Public Health Research & Development, April 2019, Vol. 10, No. 4 level is 0.16 times more likely to be an independent JKN participant than someone with a higher level of education.The results of this study in line with the results of research conducted by Siswoyo BE (2015) there is a relationship between the type of work with the awareness of being a participant JKN. Respondents with unpredictable jobs and income are more interested in becoming JKN participants to ensure their health7. The effect of JKN self-knowledge and membership, that p-value = 0,000. The OR score indicates 6.3 which means that respondents who have high knowledge about JKN independently will have 6.3 times more chance to become independent JKN participants compared with those who have less knowledge about JKN. The results of this study in line with the results of research Tanjung (2015) there is a meaningful influence between knowledge with attitude JKN independent participation. Respondents’ knowledge of JKN includes understanding, understanding of participants regarding BPJS, JKN, JKN membership and benefits gained 8. As many as 71.5% of JKN participants came from respondents who have income ≤Rp.2.085.000, whereas respondents who have total income> Rp.2.085.000 per month only 28.5%. Based on the findings in the field of respondents with income of ≤Rp 2,085,000, more are based on the types of jobs in the informal sector with uncertain income each month. Uncertainty about income is what affects a person to ensure his health by deciding to become a participant of JKN, another factor high income level of income is found to be meaningless. The researcher’s assumptions are caused by the National Health Insurance program is a social health insurance, in which membership is mandatory for all Indonesians in meeting basic health needs. The implementation of this program has been adapted to the economic capacity of the people. This research is in line with the Whidiastuti (2015) study which stated that the respondents’ income in this study did not affect the JKN participation independently4. Perception is very closely influenced by perceived benefits. Based on the theory of Kurt Lewin (1951) that changes in one’s behavior is influenced by the driving factors and inhibiting factors. When a person’s perception of a program’s benefits is high, it will be said to be a driver toward the desired goal. This drive will be strengthened if the perception of resistance as an inhibiting factor is found low, then the behavioral change 565 toward the desired goal will be faster. The results of this study in accordance with the Health Belief Model where the change in behavior in respondents is influenced by the belief of the benefits or obstacles perceived. High perceptions of benefits and the discovery of low barriers of perception will lead to changes in respondent behavior9. There is a significant influence Motivation on JKN independently membership. The OR score indicates 8.22 which means that a person with high motivation has an opportunity to become a JKN participant compared to someone with low motivation. This research is in line with the results of Hardini’s (2016) research, motivation related to the participation of the national health insurance program because of the ease of registering, socialization, information received, the availability of health facilities, the health costs covered, and the protection of old age10. P-value = 0,000. There is an influence of JKN socialization on independent participation. Based on the table can be seen from 130 respondents who are not independent JKN participants, there are 100 respondents who have never received socialization related to JKN. Based on the findings in the field, respondents who are not independent JKN participants claimed to have never received socialization directly by the BPJS Amuntai Branch. In addition to direct socialization, respondents also have not received socialization through other media (print or electronic). Based on table 5.1.4 shows 59% of respondents have knowledge about JKN is still low which means still lack of socialization about JKN. Another thing is because most of the respondents who are not independent JKN participants are informal workers / SMEs. This is in line with research conducted by Fajar (2012) on MSME workers who get information that the respondents only know the program JKN as much as 21%, while those who do not know 62%. This indicates that massive socialization of the program is still needed, especially for the lower middle class, working in the informal sector and MSMEs10. Conclusion 1. There is no influence of age, income of respondents to the participation of National Health Insurance independently in Sungai Malang Primer Health Care 2. There is influence of educational level, knowledge, perception, motivation and 566 Indian Journal of Public Health Research & Development, April 2019, Vol. 10, No. 4 socialization of National Health Insurance participation independently in Sungai Malang Primer Health Care. 3. The most influential factor of logistic regression analysis is age to the participation of National Health Insurance independently in Sungai Malang Primer Health Care Ethical Clearance: this study approved and received ethical clearance from the Committee of Public Health Research Ethics of Medical Faculty, Lambung Mangkurat University, Indonesia. In this study we followed the guidelines from the Committee of Public Health Committee of Public Health Research Ethics of Medical Faculty, Lambung Mangkurat University, Indonesia for ethical clearance and informed consent. The informed consent included the research tittle, purpose, participant’s right, confidentiality and signature. Source Funding: This study done by self funding from the authors. Conflict of Interest: The authors declare that they have no conflict interest. References 1. Cahyani NME., Stage Innovation Leadership of Business Entity in Health Insurance Participation (Qualitative Study on Business Entity in Lumajang District). Essay. University of Jember, 2015 2. Ministry of Communications and Informatics Law number 40 year 2004 regarding National Social Insurance System. Jakarta, 2004 Presidential Decree Act No 24 year 2011 About the Social Security Agency. Jakarta, 2011 3. Widhiastuti I. Relationship factor sociodemografi, perception and socialization with membership of outpatient in program of National Health Insurance independently. Thesis. Denpasar: Universitas Udayana Denpasar, 2015 4. Social Security Administrator. Data Coverage Participation JKN Province South Kalimantan. Banjarmasin, 2016 5. Afifi A., Factors affecting the ownership of commercial insurance. Essay. Department of Public Health Sciences. Universitas Indonesia, 2009 6. Siswoyo BE, Prabandaryi YS, Hendrartini Y. Awareness of informal workers towards National Health Insurance program in Yogyakarta Province. Journal Kebijakan Kesehatan Indonesia. 2015. 4(4); 118-125. 7. Tanjung S. Relationship of knowledge about JKN with independent JKN membership attitude At Puskesmas Mergangsan Yogyakarta in 2015. Publication Manuscript Yogyakarta: STIKES Aisyiyah Yogyakarta, 2015 8. Akhmad AD, Satibi, Puspandari DA. Perception Analysis And The Factors Affecting Perception Of The Implementation Of The JKN Financing System In Supporting Health Facilities In D. I. Yogyakarta. Journal Manajemen dan Pelayanan Farmasi. 2015.5(4) 9. Hardini FL. (2016) Perception and Motivation of National Health Insurance Program Participation in Bogor. essay. Bogor : Institut Pertanian Bogor 10. Fajar, A.N., The Role of Cooperatives In Financial Inclusion Programs (2015. INFOKOP, 20(1).