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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Pawito -, Pawito
The Department of Communication, Social and Political Sciences Sebelas University at Surakarta
Medicine & Pharmacology Public Health

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Relationship Between Motivation, Competence, Workload, and Nurse Performance, at Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Indonesia Sutarto, Agus; Joebagio, Hermanu; -, Pawito
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Health worker performance is one of the key elements that determine the quality of hospital service. Health worker performance therefore is the target forimprovement. This study aimed to analyze the relationship between motivation, competence, workload of nurses, and nurse performance.Subjects and Method: This was an analytical observational study with cross sectional design. This study was conducted at Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Indonesia. A total of 50 nurses was sampled for this study.The independent variables consisted of motivation, competence, and workload. The dependent variable was performance of nurse. The data were collected by a questionnaire and analyzed by multiple linear regression model.Results: This study did not find relationship between motivation and performance of nurse (b = 0.02; 95% CI=-0.19 to 0.24; p= 0.823). Similarly there was no relationship workload and perfor­mance of nurse (b=0.05; 95% CI= -0.15 to 0.26; p = 0.607). There was a positive and statististically significant relationship between competence and performance of nurse (b = 1.10; 95% CI= 1.75 to 0.46; p= 0.001).Conclusion: There is a positive and statistically significant relationship between competence and performance of nurse.Keywords: motivation, competence, workload, performance, nurseCorrespondence: Agus Sutarto. dr. Soediran Mangun Sumarso Hospital, Wonogiri, East Java. Email: agus_skh70@yahoo.co.idJournal of Health Policy and Management (2016), 1(2): 78-94https://doi.org/10.26911/thejhpm.2016.01.02.03
Effect of Personal Factors, Family Support, Pocket Money, and Peer Group, on Smoking Behavior in Adolescents in Surakarta, Central Java Pandayu, Ardiansyah; Murti, Bhisma; -, Pawito
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: According to WHO and Global Youth Tobacco Survey, Indonesia is the third largest country with current smokers in the world, including young smokers. It is widely known that smoking is hazardous  to health and detrimental to economy. Surakarta is one of the major cities in Central Java where the prevalence of current smokers has been increasing among adolescents. This study aimed to determine the effect of personal factors, family support, pocket money, and  peer group, on smoking behavior in adolescents in Surakarta, Central Java.Subjects and Method: This was an analytic observational study using cross-sectional design. This study was carried out in 5 sub-districts in Surakarta, Central java, from February to March 2017. A sample of 50 adolescent smokers and 150 adolescent non-smokers was selected for this study by fixed disease sam­pling. The dependent variable was current smoking status. The independent variables were cigarette availability, peer-group, family support, pocket money, cigarette advertisement, attitude toward smoking, subjective norm, perceived preventive behavioral control, and intention. The data were collected by a set of questionnaire. The data were analyzed by path analysis.Results: Smoking behavior was affected  by strong intention (b= 3.7; 95% CI=2.5 to 4.9; p<0.001), and  weak perceived behavioral control (b=3.1; 95% CI= 1.7 to 4.5; p<0.001). Intention to smoke was affected by weak perceived preventive behavioral control (b= 2.1; 95% CI= 1.1 to 3.2; p<0.001), weak preventive subjective norm (b= 1.8; 95% CI= 0.7 to 2.9; p= 0.001), negative attitude (b= 1.9; 95% CI= 0.8 to 2.9; p<0.001), and exposure to cigarette advertisement (b= 1.6; 95% CI= 0.5 to 2.6; p= 0.004). Weak perceived preventive behavioral control was affected by pocket money ≥ Rp 10.000 (b= 1.3; 95% CI= 0.5 to 2.0; p= 0.001). Weak preventive subjective norm was affected by weak family support (b= 2.1; 95% CI= 1.3 to 2.8; p<0.001) and smoker peer-group (b= 1.4; 95% CI= 0.6 to 2.1; p<0.001). Cigarette advertisement was affected by cigarette availability (b= 0.7; 95% CI= 0.1 to 1.3; p= 0.028).Conclusion: Smoking behavior was directly affected  by strong intention and weak perceived behavioral control. Smoking behavior was indirectly affected by weak preventive subjective norm, negative attitude, exposure to cigarette advertisement,  pocket money ≥ Rp.10.000, weak family support, smoker peer-group, and cigarette availability.Keyword: path analysis, smoking behavior, intention, adolescents.Correspondence: Ardiansyah Pandayu. Master Program in Public Health, Sebelas Maret University, Surakarta. Email: ardiansyahpandayu07@gmail.com. Mobile: +6287864018631.Journal of Health Promotion and Behavior (2017), 2 (2): 98-111https://doi.org/10.26911/thejhpb.2017.02.02.01
Path Analysis on Factors Associated withthe Incidence of Diarrhea in Infants Aged 6-12 MonthsatKaranganyar Community Health Center,inPurbalingga, Indonesia Narzah, Norma Arista; -, Pawito; Dharmawan, Ruben
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: A diarrheal disease is an endemic disease and has outbreak potential in Indonesia. In Indonesia (2012) the number of pain diarrhea on toddler reached 900 per 1,000 inhabitants. This study aimed to determine the factors associated to the incidence of diarrhea in infant aged 6-12 months.  Subjects and Method: This was an observational analytic study with cross sectional design. This was conducted in Karanganyar Community Health Center, Purbalingga, Indonesia, in April-Mei 2016. A total of 100 subjects was selected Fixed Disease. The data was using the questionnaire. The data analysis used path analysis.Results: There was a direct correlation between breast feeding, nutritional status, personal hygiene of mothers and infants, and the availability of basic sanitation with the incidence of diarrhea, and statistically significant (b= 2.62; 95% CI= 1.00 to 4.24; p= 0.001), (b= 3.37; 95% CI = 0.61 to 6.12; p=0.017), (b=3.70; 95% CI=2.07 to 5.33; p<0.001), (b=3.00; 95% CI=0.69 to 5.32; p=0.011). There is a positive correlation between indirect breast feeding with the incidence of diarrhea through nutritional status, culture with the incidence of diarrhea through breast feeding, culture with the incidence of diarrhea through the facilitys individual mothers and babies, the availability of basic sanitation with diarrhea through individual facilitys mothers and babies, statistically significant (b=0.91;  95%CI =-0.28 to2.11;p=0.135), (b=1.83; 95% CI=0.95 to 2.22; p<0.001), (b=1.40; 95% CI=0.46 to 2.25; p=0.003), (b=1.10; 95% CI= -0.10 to 2.22; p=0.076).Conclusion: There is a direct correlation between breast feeding, nutritional status, personal hygiene of mothers and infants, and the availability of basic sanitation with the incidence of diarrhea. There is indirect correlation between breast milk with the incidence of diar­rhea through nutritional status, culture, personal of mother and infants, the availability of basic sani­tation with diarrhea through individual facilitys mother and the baby.Keywords: nutritional status, culture, human breast milk, sanitation, individual hygiene, diarrheaCorrespondence: Norma Arista Narzah.Community Health Center, Karanganyar, Purbalingga,  Indonesia. Email: normaaristanarzah@yahoo.com. Journal of Maternal and Child Health (2016), 1(1): 13-18https://doi.org/10.26911/thejmch.2016.01.01.03 
Factors Affected Low Coverage of Exclusive Breast Feeding in Cilacap Tengah, Central Java, Indonesia Ruhyana, Pemi Sunarsih; -, Pawito; Budhiastuti, Uki Retno
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Human resources (HR) quality is a requirement of absolute attainment of development in all fields. Nutritional status of being one of the very important factors in the quality of human resources is mainly associated with intelligence, productivity and creativity. To achieve an optimum between flower growing by giving breast milk to infants from birth in the early minutes of life until the age of 6 months exclusive breast milk given without other food. This study was aimed to determine the cause of the low coverage of breast milk exclusively and the factors that affected it.Subject and methods: This was a case study with qualitative design, was carried out in July-August 2016 in Cilacap, Central Java. A total sample of parents with infants aged 7-24 months of age, the mother/mother-in-law and health workers. The data was collected by interviews, observation and documents, and analyzed with data presentation, data reduction, and the withdrawl of the conclusion.Results: Pre-disposing Factors good motivation, attitudes, education and employment of the informant was indeed affect Exclusive breast feeding in the process. Enabling Factors are readily available and easily accessible due to the support of the party giver services though in terms of infrastructure there are still shortcomings in various things. While Reinforcing factors demonstrates the role of health workers and the people closest to either mother or mother-in-law strongly affect the behavior ofthe mother in giving breast feedingexclusively. Restricting factors namely wrong beliefs about the incessant promotion of baby food, infant formula and health problems in the mother and the baby. In addition, the existence of the recording and reporting of less fit so that it affects the actual coverage figures in society.Conclusion: the cause of the low coverage of exclusive breast feeding include knowledge of mother/mother-in-law limited about breast milk exclusively, the role of health workers that is not optimal, the existence of a mistaken beliefs and culture in the community about BREAST MILK exclusively and recording and reporting factors that still need to be addressed so that Exclusive breast feeding data in accordance with the conditions in the community.Keywords: exclusive breast feeding, coverageCorrespondence: Pemi Sunarsih Ruhyana. Midwifery Academic Graha Mandiri Cilacap, Jl. Dr. Soetomo No. 4B Cilacap. Email: pemisunarsihruhyana@gmail.com.Journal of Health Policy and Management (2016), 1(1): 20-28https://doi.org/10.26911/thejhpm.2016.01.01.04
Institutional and Social Factors Affecting the Acceptance of Family Planning Concept in Jeruklegi, Cilacap, Indonesia Oktaviani, Anisa Sevi; -, Pawito; Budihastuti, Uki Retno
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Family planning program is important to address population problem. However, there was some barrier confronting the family planning program.  This study was aimed to analyze the institutional and social factors that influence the acceptance of the family planning concept.Subjects and methods: This was a qualitative study with interactive analysis of a policy conducted in Tritih, Wetan, Jeruklegi, Cilacap. A total of head community empowerment Agency, women empowerment, children protection, family planning in Cilacap regency and extension officers in Tritih Wetan were selected by using snowball sampling. The data collected by in-depth interview, observation, analysis document. The data analyzed with a triangulation, included the collection of data, data presentation, data reduction, and the withdrawal of the conclusion.Results: The policy of family planning village have not provided significant influence towards the understanding of the concept of family planning society Tritih Wetan, Jeruklegi, Cilacap. Institutional factors against the acceptance of the concept of the family planning can be seen through the success indicator input aspect mentioned in the technical instructions of family planning village. In addition, the factors social, economic, and cultural barriers also affect the implementation of the policy of family planning village.Conclusion: The effectiveness of the implementation of the policy of family planning village in Tritih Wetan,Cilacap yet effective. While the dominant factor influencing the effectiveness of the implementation of the policy of family planning village was a factor family planning resource factors, social factors, and cultural factors.Keywords: family planning village, family planning policyCorrespondence: Anisa Sevi Oktaviani. School of Midwifery, Graha Mandiri, Cilacap, Central Java. Email: anisasevi@gmail.com.Journal of Health Policy and Management (2016), 1(1): 29-37https://doi.org/10.26911/thejhpm.2016.01.01.05 
Biological, Physical, Social, and Environmental Factors Associated with Dengue Hemorrhagic Fever in Nganjuk, East Java Nurrochmawati, Ike; Dharmawan, Ruben; -, Pawito
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Dengue Hemorrhagic Fever (DHF) is an infectious disease transmitted by mosquitoes that carry dengue virus (DV). This disease is endemic in more than 100 countries. Nganjuk district, East Java, is a DHF endemic area with sharp increase in DHF incidence by 286% from 2014 to 2015, of which 9 cases died. This study aimed to examine biological, physical, social, and environmental factors associated with dengue hemorrhagic fever in Nganjuk, East Java.Subjects and Method: This study was observational analytic with case control design. It was conducted in Nganjuk District, East Java, from May to June, 2017. A sample of 120 children aged less than 15 years old were selected for this study by fixed disease sampling. This sample consisted of 40 children with DHF selected as cases and 80 neighboring children without DHF selected as controls. The independent variables were the existence of bush surrounding the house, existence of mosquito larvae, still water, hung clothes, mosquito breeding place control (PSN), and activity of larva monitoring cadre. The dependent variable was DHF cases. The data were collected by a set of pre-tested questionnaire and observation with a checklist. Logistic regression was employed for data analysis.Results: Incidence of DHF case was determined by the existence of bush surrounding the house (OR=2.14; 95% CI =0.99 to 4.6; p=0.052), existence of mosquito larvae (OR=14.94; 95% CI =5.91 to 37.73; p<0.001), still water (OR=11.42; 95% CI= 4.68 to 27.89; p<0.001), hung clothes (OR=4.31; 95% CI =1.92 to 9.70; p<0.001), mosquito breeding place control (OR=0.06; 95% CI= 0.02 to 0.15; p<0.001), and activity of larva monitoring cadre (OR=0.14; 95% CI= 0.06 to 0.32; p<0.001).Conclusion: Existence of bush surrounding the house, existence of mosquito larvae, still water, hung clothes, mosquito breeding place control, and activity of larva monitoring cadre, are the determinants of DHF incidence.Keywords: biological, physical, social, environmental factor, mosquito breeding place control, Dengue Hemorrhagic FeverCorrespondence: Ike Nurrochmawati. Diploma Program in Midwifery, STIKes Satria Bhakti, Nganjuk, East Java. Email: ike.nurrochma@gmail.com.  Mobile: +6282141578108.Journal of Epidemiology and Public Health (2017), 2(2):  93-105https://doi.org/10.26911/jepublichealth.2017.02.02.01
Co-Authors Bhisma Murti Budhiastuti, Uki Retno Hermanu Joebagio Ike Nurrochmawati Narzah, Norma Arista Oktaviani, Anisa Sevi Pandayu, Ardiansyah RUBEN DHARMAWAN Ruhyana, Pemi Sunarsih Sutarto, Agus Uki Retno Budihastuti