Public Health and Preventive Medicine Archive https://phpmarchive.org/index.php/phpma <table class="data" width="100%" bgcolor="#ffffff"> <tbody> <tr valign="top"> <td width="15%">Journal Name</td> <td width="50%"><strong>Public Health and Preventive Medicine Archive</strong></td> <td rowspan="9" width="2%"> </td> <td rowspan="9" width="35%"><img src="https://phpmarchive.org/public/site/images/phpma/cover-image-new-with-logo-afb0ed2b3575bedced53cbe1785093e1.png" alt="" width="160" height="200" /></td> <td rowspan="9" width="2%"> </td> </tr> <tr valign="top"> <td>Publish Time</td> <td><strong>2 issues a year | July, December</strong></td> </tr> <tr valign="top"> <td>DOI</td> <td><strong>Prefix 10.15562 = Vol1.No1-Vol9.No2<br />Prefix 10.53638 = Vol10.No1-Current</strong></td> </tr> <tr valign="top"> <td>Language</td> <td><strong>English</strong></td> </tr> <tr valign="top"> <td>p-ISSn</td> <td><strong>-</strong></td> </tr> <tr valign="top"> <td>e-ISSN</td> <td><strong>2503-2356</strong></td> </tr> <tr valign="top"> <td>Editor-in-Chief</td> <td><em><strong>Putu Ayu Swandewi Astuti, MPH, PhD</strong></em></td> </tr> <tr valign="top"> <td>Publisher</td> <td><a href="https://www.unud.ac.id/" target="_blank" rel="noopener"><strong>Udayana University</strong></a></td> </tr> </tbody> </table> <p align="justify">Public Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. <strong>The journal </strong><strong>has been accredited by the Indonesian Ministry of Research, Technology and Higher Education since 2022 - 2027 </strong><strong>with SINTA 3. </strong>Articles published in the journal include original research, systematic review, policy paper/policy brief, case study, book review and letters. Note:</p> <ol> <li class="show">We only accept articles<strong> written in ENGLISH</strong></li> <li class="show"><a href="https://phpmarchive.org/index.php/phpma/plagiarism" target="_blank" rel="noopener">Please check plagiarism </a>before submitting</li> </ol> <p> </p> Universitas Udayana en-US Public Health and Preventive Medicine Archive 2303-1816 <p>**Creative Commons Attribution 4.0 International License (CC BY 4.0)**</p> <p>*Welcome to the world of open collaboration and shared creativity! The Creative Commons Attribution 4.0 International License (CC BY 4.0) empowers creators to share their work with the world while maintaining certain rights.*</p> <p>**Key Points:**</p> <p>1. **Freedom to Share:** CC BY 4.0 allows creators to share their work globally, granting others the freedom to use, remix, and build upon it.</p> <p>2. **Attribution Requirement:** Users can use the work for any purpose, even commercially, as long as they provide appropriate credit to the original creator.</p> <p>3. **Flexibility:** Applicable to various content types—text, images, music, videos—the license fosters a diverse range of creations.</p> <p>**Common Use Cases:**</p> <p>- **Education:** Widely used for educational materials, promoting open learning environments.<br /><br />- **Research:** Applied to scholarly articles, accelerating the dissemination of knowledge.</p> <p>**How to Use:**</p> <p>1. **Share:** Share your work with the world, marking it with the CC BY 4.0 license.<br /><br />2. **Attribution:** Users, when utilizing the work, must provide proper attribution to honor the original creator.</p> <p>**Conclusion:**</p> <p>CC BY 4.0 contributes to a more open and collaborative digital landscape. Join the movement of shared knowledge and creativity!</p> <p>*For full license details, visit [Creative Commons](https://creativecommons.org/licenses/by/4.0/).*</p> Understanding COVID-19 preventive behavior among health workers in Bali’s referral hospitals: A socio-ecological approach https://phpmarchive.org/index.php/phpma/article/view/412 <p><em><strong>Background and purpose:</strong></em> Coronavirus Disease (COVID-19) is one of global health problems which affect all aspects of people’s life. Because hospitals are high-risk environments for COVID-19 transmission, healthcare workers' preventive behaviors are critical. These behaviors are shaped by the interaction of personal, interpersonal, and institutional factors. Therefore, this study aimed to explore the COVID-19 preventive behaviors of registration staff at three referral hospitals in Bali, utilizing the Socio-Ecological Model.</p> <p><em><strong>Methods:</strong></em> This qualitative study applied a phenomenological approach based on the Socio-Ecological Model of Health Behavior. The study was conducted in March 2021 at three COVID-19 referral hospitals in Bali (Sanglah, Wangaya, and Tabanan Hospitals). We purposely sampled 50 health workers from the registration section. Data were collected via online semi-structured interviews, observations and documentation, then analyzed using phenomenological techniques. Data validity was ensured through source triangulation (comparing insights from staff in outpatient, emergency, and COVID-19 registration posts, as well as the unit heads) and methods triangulation.</p> <p><em><strong>Results:</strong> </em>The findings demonstrate that preventive behaviors at the personal level interacted dynamically with interpersonal and institutional dimensions. At personal level, workers adhered to standard protocols (masking, handwashing, and physical distancing), utilized hand sanitizer after patient registration, conducted routine disinfection, and wore appropriate personal protective equipment. Individual actions were reinforced through informational support from peers on how to safely interact with patients and their families. At the institutional level, the health facilities supported these personal and interpersonal efforts through official preventive policies and by physically modifying the environment in registration areas.</p> <p><em><strong>Conclusion:</strong></em> Preventing the transmission of infectious diseases in healthcare facilities requires a comprehensive approach that encompasses individual behavior, interpersonal support, a safety-oriented work culture, and robust institutional policies. These findings may serve as a reference for developing training programs, establishing standard operating procedures (SOPs), and strengthening a culture of safety among healthcare workers, thereby enhancing their preparedness to respond to future infectious disease outbreaks.</p> Putu Chrisdayanti Suada Putri Dinar Saurmauli Lubis Cokorda Bagus Jaya Lesmana Copyright (c) 2025 Putu Chrisdayanti Suada Putri, Dinar Saurmauli Lubis, Cokorda Bagus Jaya Lesmana https://creativecommons.org/licenses/by/4.0 2026-08-09 2026-08-09 13 2 75 84 10.53638/phpma.2025.v13.i2.p01 Local Wisdom, Global Impact: Integrating Perarem for Sustainable Tourism in Bali Province, Indonesia https://phpmarchive.org/index.php/phpma/article/view/553 <p>The COVID-19 pandemic has accelerated the ongoing global transformation, reshaping tourism, and highlighting the indispensable link between travel and public health <sup>1</sup>. Highly mobile travellers can carry infectious diseases across borders, turning local vulnerabilities into worldwide risks<sup>2,3</sup>. Failure to embed robust public health systems into the heart of the tourism sector potentially creates socioeconomic instability rather than sustainable recovery and growth<sup>4. </sup>Driven by these heightened risks, modern travellers no longer choose destinations solely for their breathtaking scenery or rich culture—they expect robust health and safety infrastructure as part of the package<sup>5</sup>. Yet, despite growing emphasis on health-conscious travel, a serious disconnect persists on the ground. In destinations like Indonesia, particularly Bali, the public health and tourism sectors continue to operate in silos. This lack of integration creates a critical blind spot for two-way disease transmission. A truly sustainable framework must work both ways: shielding local communities from imported pathogens while simultaneously protecting visiting tourists from endemic health risk.</p> Adi Saputra Copyright (c) 2026 Adi Saputra https://creativecommons.org/licenses/by/4.0 2025-12-01 2025-12-01 13 2 71 74 10.53638/phpma.2025.v13.i2.p00