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JURNAL PROMOSI KESEHATAN INDONESIA

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Published by Universitas Diponegoro

ISSN : 19072937 EISSN : 26204053 DOI : -

Core Subject : Health,

Public Health

The articles of this journal are published every six months, that is on January and August (2 issues per year), and developed by the Master Program of Health Promotion, Faculty of Public Health, Diponegoro University

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Analisis Faktor-Faktor Yang Berhubungan Dengan Perilaku Ibu Hamil Dalam Merencanakan Persalinan Untuk Pencegahan Komplikasi Di Wilayah Kerja Puskesmas Bandarharjo Kota Semarang Murdiati, Ari; Jati, Sutopo Patria
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRAKData kematian maternal yang diperoleh dari Dinas Kesehatan Kota SemarangÂ tahun 2012 menunjukkan bahwa Puskemas Bandarharjo menempati urutan teratas sepanjang tahun 2009-2012. Salah satu upaya terobosan untuk percepatan penurunan AKI adalah Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan stiker. Penelitian ini merupakan penelitian kuantitatif, jenis penelitian explanatory research, dengan rancangan cross sectional. Hasil penelitian menunjukkan ibu hamil yang memiliki perencanaan persalinan tidak baik sebanyak 62,2%, sedangkan ibu hamil yang memiliki perencanaan persalinan baik hanya 37,8%. Enam variabel yang berhubungan secara statistik Â signifikan yaitu paritas, pengetahuan ibu hamil, sikap ibu hamil, ketersediaan sarana dan prasarana, dukungan suami, dan dukungan petugas kesehatan. Variabel yang paling dominan berpengaruh adalah dukungan suami (OR=7,037). Hal ini berarti bahwa dukungan suami dalam program perencanaan persalinan yang baik memungkinkan ibu hamil memiliki perencanaan persalinan yang baik 7,037 kali dibanding dengan dukungan suami yang kurang.Kata Kunci :Â Perilaku, Ibu hamil, P4KÂ Analysis of Factors Related to the Behavior of Pregnant Women in Planning Labor for Prevention of Complications in the Working Area of Puskesmas Bandarharjo Kota Semarang. Maternal mortality data from Semarang City Health Office in 2012 showed that Puskesmas Bandarharjo was the top ranks throughout 2009-2012. One ground breaking effort to accelerate the decline of AKI is Childbirth Program Planning and Prevention Complications (P4K) with stickers. This study is a quantitative study with explanatory research, with a design using cross-sectional study. the results of the univariate analysis suggests that pregnant women who have a good labor planning as much as 37,8 %. While the pregnant women, who have a birth plan not good is only is. The results of bivariate analysis using the statistical test Chi-Square shows there are six variables significantly associated: parity, maternal knowledge, maternal attitudes, availability of facilities and infrastructure, husband support, and support for health workers. The most dominant variable is the support of the husband (OR = 7,037). This means that the support of her husband in a good birth planning program allows pregnant women has good labor planning 7,037 times compared with less support husband.Keywords: Behavior, Pregnancy, P4K

Kajian Pengaruh Predisposing, Enabling Dan Reinforcing Factors Terhadap Praktek Kerja Tenaga Kerja Bongkar Muat Yang Berisiko Terjadinya Kecelakaan Kerja Di Pelabuhan Tanjung Emas Semarang Rais, Muhammad; Prabamurti, Priyadi Nugraha; Widjasena, Baju
Jurnal Promosi Kesehatan Indonesia Volume 4, No. 1, Januari 2009
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Occupational Health and Safety aims to prevent, reduce and eliminate accidents. By the year of 2007, number of loading-unloading laborers in Tanjung Emas Port reach 756 persons, 2.56% of them experienced working accidents in the last 4 years. This research isaimed to analyze predisposing, enabling and reinforcing factors influencing loading-unloading laborers risky working behavior at Tanjung Emas Semarang.Method: It was a cross sectional study of 90 respondents from 756 laborers. Proportional random sampling was employed to obtain number of samples required. Data were collected using check list and questionnaires and were analyzed with logistic regression.Result: This study revealed that laborersâ€™ knowledge and attitudes, equipments, working standard, support of the head of laborersâ€™ group and laborersâ€™ cooperation generally categorized as good. Laborersâ€™ knowledge of occupational health and safety, equipment availability, working standard, equipment design, support of head of laborersâ€™ group andsupport laborersâ€™ cooperation were correlated with laborersâ€™ working practice. Knowledge and support of laborersâ€™ cooperation were simultaneously correlated to laborersâ€™ working practice.Keywords : predisposing, enabling, reinforcing, risky behavior, working accident

Breastfeeding and Bottle Feeding Practices: A Phenomenon towards Infant Feeding Practices in Semarang Margawati, Ani
Jurnal Promosi Kesehatan Indonesia Volume 2, No. 1, Januari 2007
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: Breastfeeding is regarded as good practice today. Women are encouraged to breastfeed and to continue breastfeeding for at least four to six months. In Indonesia, a campaign for exclusive breastfeeding was introduced more than 20 years ago. However, the Indonesian Demographic and Health Survey (IDHS) 2002 show that only 55.1 percent of babies were breastfed exclusively until four months old.Method: The purpose of this paper is to examine breastfeeding and bottle feeding practices among women in Semarang based on socio-cultural factors. The respondents for the study were, respectively, pregnant and breastfeeding women who living in Lintang village in Semarang. A qualitative data collection method was used in this research. The methods employed for qualitative data collection included focus group discussions, informal and in-depth interviews and participant observation.Results: This study found that the mothers in Lintang village stated that breastfeeding is healthy, cheap and practical. They perceived breastfeeding to be a natural process, part of a womenâ€™s duty and good parenting, which promotes a good relationship between mother andbaby. However, this study found that they lack a complete ofÂ understanding of the processes and nutritional issues involved in breastfeeding. This researchalso found that inconsistency in government policies to support the breast-feeding programmes, such as the poor implementation of the â€˜baby friendly hospitalâ€™ with â€˜rooming-in programmesâ€™ and also the length of maternity leave for working women, have led to an increase in bottle-feeding practices in IndonesiaKeywords: Breastfeeding practice; Socio-cultural aspects; Bottle feeding practice

Kepatuhan Pengguna Napza Suntik dalam Terapi Rumatan Metadon di RSK Propinsi Kalimantan Barat Herlantoro, Herlantoro; Widjanarko, Bagoes; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 7, No. 1, Januari 2012
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRAKKasus AIDs di Indonesia triwulan kedua tahun 2010 secara komulatif adalah 21.770 kasus, Penyebaran HIV/AIDS dikalangan Injection Drug Use/IDU telah mencapai 8.795 kasus (40,4%). Terapi subtitusi metadon perlu dilakukan bertujuan mengurangi dampak buruk kesehatan, sosial, ekonomi, mengurangi resiko tertular dan menularkan HIV kepada orang lain, namun kegagalan terapi sering terjadi karena ketidakpatuhan atau adherence yang buruk. Penelitian adalah Observasional dengan pendekatan cross sectional. Pengumpulan data menggunakan kuesioner melalui wawancara kepada 46 penasun mengikuti program terapi rumatan metadon di Rumah Sakit Khusus Propinsi Kalimantan Barat. Hasil penelitian menunjukkan kepatuhan dalam mengikuti terapi rumatan metadon yang baik 69.4%, remaja (15-20 tahun) (58,7%), kelamin laki-laki, pendidikan SLTA, telah bekerja . Faktor yang berhubungan kepatuhan dalam terapi rumatan metadon adalah pengetahuan , sikap, motivasi, self efficacy, peran keluarga, peran teman sebaya, dan peran petugas kesehatan. Analisis multivariat Regresi Logistik berganda faktor yang paling berpengaruh adalah motivasi dan peran teman sebaya.Kata Kunci:Kepatuhan, terapi rumatan metadon, Penasun.ABSTRACTAdherence Injecting Drug Users in Methadone Maintenance Therapy at The Hospital for Special Province of West Borneo; Cumulative Second quarter of 2010, AIDS cases in Indonesia were 21,770 cases, the spread of HIV / AIDS among Injection Drug Use / IDUs has reached 8795 cases (40.4%). Methadone substitution should be aimed at reducing the adverse health, social, economic, reducing the risk of contracting and transmitting HIV to others, but treatment failures often occur because of non-compliance or un-adherence. Design Explanatory Research studies are cross-sectional approach. Data collection through interviews using a questionnaire to the 46 IDUs who are following methadone maintenance program at the Hospital for Special Province of West Kalimantan. Results showed that adherence to the respondents in methadone maintenance who both reached 69.4%, adolescent (15-20 years), male, high school, has been working (87%). Factors related to compliance in methadone maintenance therapy is the knowledge, attitude, motivation, self-efficacy, family support, peers group, and health workers support. The most influential factor is motivation and the peers group.Keyword: Adherence, methadone maintenance, drug users

Pengembangan Media Film Sebagai Upaya untuk Menyadarkan Ibu Hamil Mengenai Pentingnya Tes HIV Ratih Indraswari
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

WHO memperkirakan bahwa setiap harinya terdapat 1.600 anak-anak yang terinfeksi HIV, atau sekitar 600.000 infeksi HIV baru tiap tahun di seluruh dunia. Penularan melalui perinatal adalah cara penularan yang paling umum terjadi pada anak-anak. Lebih dari 90% kasus AIDS pada anak ditularkan melalui ibunya yang terinfeksi HIV. Sedangkan tes HIV sebagai satu-satunya cara menegakkan diagnosis infeksi HIV belum banyak diketahui ibu-ibu hamil. Sumber informasi mengenai hal ini pun masih sulit ditemui. Pemakaian media audiovisual terbukti sangat efektif dalam menyampaikan pesan. Selain paparan yang luas karena dapat ditayangkan melalui TV, film sebagai media audiovisual juga dinilai lebih menarik.Tujuan penelitian ini adalah untuk mengembangkan media promosi kesehatan berupa film untuk menyadarkan ibu hamil mengenai pentingnya tes HIV. Penelitian ini mencakup tahapan analisis kebutuhan media informasi dan pengembangan media. Pada tahap analisis kebutuhan media menggunakan metode review literatur (2 penelitian, 2 buku ilmiah, 3 jurnal ilmiah) dan hasil pretest diperoleh dari wawancara perseorangan. Sasaran adalah ibu-ibu hamil yang merupakan ibu rumah tangga beresiko tinggi tertular HIV, tinggal di daerah rural, berpendidikan 9-12 tahun, dan tingkat sosial ekonomi menengah. Film yang diproduksi berjudul “Status” bercerita mengenai seorang suami yang gigih mencari tempat tes HIV untuk istrinya yang sedang hamil. Sebelumnya, rancangan skrip film telah dilakukan ujicoba dan perbaikan sesuai dengan hasil pretest yang didiskusikan dengan para ahli. Film dapat ditayangkan di RS, Puskesmas, Posyandu dan saat melakukan penyuluhan.The World Health Organization estimates that, every day, about 1600 children is infected with HIV, or there are about 600,000 new infections annually in children throughout the world. Perinatal HIV transmission is the most common route of HIV infection in children. It is now the source of more than 90% of all AIDS cases in children. HIV test, as the only way for make sure the diagnosis, is less known by pregnant women. Information sources are also difficult to get. Using audiovisual in sending message is effective. It’s huge in reaching people and very interesting as well.This research was aimed to develop movie for pregnant women to aware with HIV test. Literature review (2 researches, 2 scientific books, 3 journal) method was used to analyze information media need. Pretest was conducted by personal interview. The population of this research was pregnant women with high HIV infection risk who are housewives, lived in rural area, 9-12 study years, and middle socio economic level. The movie titled “Status” which is story a husband who not to yield in finding HIV testing place for his pregnant wife. Before, script was pretested, discussed and revised for betterment product. Film can be played in hospital, health center, and HIV socialization as well.

Perilaku Kebersihan Diri (Personal Hygiene) Santri di Pondok Pesantren Wilayah Kabupaten Brebes akan Terwujud Jika Didukung dengan Ketersediaan Sarana Prasarana Zakiudin, Ahmad; Shaluhiyah, Zahroh
Jurnal Promosi Kesehatan Indonesia Volume 11, No. 2, Agustus 2016
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

ABSTRACTThe Behavior Of Personal Hygiene Student at The Islamic Boarding School District in Brebes is Reached If The Availability of infrastructure and facilities of personal hygiene. To improve the health of students should be effort to improve personal hygiene behavior with the final result decrease morbidity rate of infectious disease. The aim of the studi is to analyze the factors that influence the personal hygiene students at the Islamic boarding school district Brebes. The study is quantitative and explanatory research with cross sectional approach. The population of the study is all of the junior and high school at the four Islamic boarding school as many as 3.350 students. Whereas samples were taken by Proportional cluster random sampling as many as 293 students. Data collection is taken by interviews and observations. The results of the univariate analysis describes that the behavior of personal hygiene students at the Islamic boarding school at Brebes District is good category (42,0%), less than the unfabvorable category is 58,0%. The results of bivariate analysis with Chi Square analysis showed that there are nine variables significantly associated. The variables are, gender, knowledge, availability of facilities and infrastructure of personal hygiene, availability regulations on personal hygiene, provision of information or dissemination, carer support boarding school, Support of friend, support health personel and support the ministry of religion. The most dominant factors that influence is the availability of facilities and infrastructure of personal hygiene (OR=10.335).Keyword : personal hygiene behavior, students, cottage

Peningkatan Pengetahuan dan Sikap Ibu Tentang PHBS Tatanan Rumah Tangga (ASI Eksklusif) Di Kabupaten Sambas melalui Media Leaflet Berbahasa Daerah Damayanti, Ria; Shaluhiyah, Zahroh; Cahyo, Kusyogo
Jurnal Promosi Kesehatan Indonesia Volume 12, No. 1, Januari 2017
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Peran media promosi kesehatan sangat penting dalam perubahan perilaku yang positif terhadap kesehatan. Media promosi kesehatan yang baik adalah yang melihat tingkat kebutuhan masyarakat, sedangkan media promosi kesehatan yang ada di Kabupaten Sambas masih bersifat sentralistik dan belum berbasis pada kebutuhan masyarakat setempat. Leaflet berbahasa daerah diharapkan dapat meningkatkan pengetahuan dan sikap ibu tentang Perilaku Hidup Bersih dan Sehat (PHBS) tatanan Rumah Tangga khususnya pada indikator ASI Eksklusif. Tujuan penelitian ini adalah untuk menganalisis pengaruh media leaflet berbahasa daerah terhadap peningkatan pengetahuan dan sikap tentang PHBS tatanan rumah tangga (ASI eksklusif) di Kabupaten Sambas. Penelitian ini menggunakan metode kuantitatif dengan pendekatan quasy experimental rancangan non equivalent control group, juga dilengkapi metode kualitatif berupa need assessment dan uji coba (pretesting) untuk pengembangan media leaflet. Penentuan sampel menggunakan tekhnik purposive sampling sebanyak 60 ibu rumah tangga yang terdiri dari masing-masing 20 ibu rumah tangga pada tiga kecamatan di Kabupaten Sambas. Hasil peneltian menunjukkan bahwa ada perbedaan pengetahuan (p value < 0,001) dan sikap (p value < 0,001) yang signifikan antara sebelum dan setelah perlakuan, dimana peningkatan pengetahuan dan sikap pada kelompok perlakuan dengan menggunakan media leaflet berbahasa daerah lebih tinggi dibanding dengan kelompok perlakuan dengan media leaflet berbahasa Indonesia dan kelompok tanpa perlakuan (kontrol).A good promotion media is one that considers each communityâ€™s need. Leaflet using local language is expected to increase the knowledge and attitude of mothers about household clean and healthy lifestyle behaviors, especially exclusive breastfeeding indicators. The purpose of this study was to analyze the influence of local-language leaflets media to increase knowledge and attitudes about living a clean and healthy behaviors in order household (exclusive breastfeeding) in Sambas district. This study uses a quantitative method, Using quasi-experimental with a non-equivalent control group design and qualitative method with needs assessment and testing (pretesting). Samples are chosen using a purposive sampling technique, which consisted of 60 housewives which are divided into 20 housewives for each three districts in Sambas. The Result show that there are higher increased knowledge and attitudes in the group treated with the use of local language leaflet.Â

Analisis Pelaksanaan Strategi Pelayanan Provider Initiated HIV Testing And Counseling / PITC (Studi Kasus Di Balai Kesehatan Paru Masyarakat Semarang) Sary, Lolita
Jurnal Promosi Kesehatan Indonesia Volume 4, No. 2, Agustus 2009
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background: In Indonesia, there were 40% of AIDS fatality associated with tuberculosis. Mortality rate of TB-HIV co-infection were found four time higher compared to those who only suffer from tuberculosis. Voluntary Counseling and Testing is an important entrance of TB patients to obtain HIV services. This study aims to analyze the need assessment in establishing Provider Initiative HIV Testing and Counseling (PITC) Service in Semarang Lung Clinic.Method: alitative study involving health providers in Semarang Lung Clinic who were selected purposively. In-depth interviews were conducted to obtain qualitative data.Result: All respondents considering the establishment of Provider Initiative HIV Testing and Counseling (PITC) Service in Semarang Lung Clinic is necessary. Respondentsâ€™ knowledge of PITC service was quite good. Respondentsâ€™ motivation to be involved in PITC service was to shift patientsâ€™ perception of HIV infection and the availability incentive. Subjects hoped there will be numbers of additional counselors, case managers, and lab technician. They also require counseling room, case managerâ€™s room, and data storagesâ€™ room. It is necessary to provide adequate information and socialization about TB-HIV and PITC, implementing TB-HIV service in Semarang Lung Clinic, adding TB-HIV counselors and team as well as tools and facilities.Keywords: Need assessment, PITC, Semarang, Lung, Clinic,TB-HIV

Praktik Lansia Hipertensi dalam Mengendalikan Kesehatan Diri di Wilayah Puskesmas Mranggen Demak Soesanto, Edy; Istiarti, Tinuk; Pietojo, Harbandinah
Jurnal Promosi Kesehatan Indonesia Volume 5, No.2 , Agustus 2010
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Hypertension has been defined as the major risk factor of cardiovascular disease in Indonesia. This disease tends to increase along with peopleâ€™s unhealthy life style, lack of facilities and high service-cost. This study aims to analyze factors influencing hypertension control practice among elderly in Mranggen, Demak. It was a cross sectional study combined quantitative and qualitative method. Total sampling 285 elderly were involved as study objects. Chi-square and logistic regression were employed to analyze the finding. Perceived benefit found to be the strongest predictor of hypertension control practice in this study. Elderly who have better perceived benefit were 3.589 times more likely to have better practice than those who has less perceived benefit. Education, income, daily activities, perceived susceptibility, perceived seriousness, perceived of cost, family support and social support were significantly correlated to hypertension practice in bivariate level.

Implementasi Pasal 83 Undang-Undang Nomor 13 Tahun 2003 Tentang Hak Menyusui Pekerja Perempuan Selama Waktu Kerja Analisis Perilaku pada Institusi Kesehatan dan Non Kesehatan di Kota Semarang Nurjanah, Nurjanah; Rachmani, Enny
Jurnal Promosi Kesehatan Indonesia Volume 3, No. 1, Januari 2008
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Background : Role of working woman in the work activity is more important nowadays. Working woman come to mainstream in much industry. But, working woman was treated discriminatively because of her role both as mother and employee. In Indonesia, woman rights as labor have been arranged in Labors Law number No. 13 year 2003 : worker woman who have child that still have breastfed have to give opportunity to breastfeed her child if must be done during work time ( Section 83 ). But this working woman rights is often be blamed cause unproductive by company. So that, baby do not get exclusive breastfeeding in 6 months although breast milk is the best food for babies. Breast milk contents all of nutrition for optimal baby growth, and vitamins for intelligence and immunity.Method : The objectives of this research were identifying predisposing factors include: motherâ€™s knowledge about benefit of breast milk, motherâ€™s attitude about breastfeeding, and believes about breast milk compared to formula; identifying enabling factor include : availability of facilitiesand time supporting breastfeeding behavior; identifying reinforcing factors include: implementing breastfeeding rights at workplace, support from company, other employee and family about breastfeeding behavior, explaining correlation between predisposing, enabling, and reinforcingfactors to working woman breastfeeding behavior; and also make concept to implement of breastfeeding right to working mother. This is an explanatory research with cross sectional approach, use quantitative and qualitative methods. Amount of samples are 74 mothers who hasbaby under two years old, at Kariadi Hospital and University of Dian Nuswantoro Semarang.Results : There is good predisposing and reinforcing factors in mother behavior, but bad in enabling factor. Statistic test with Pearson Product moment shows that predisposing and enabling factors are correlated to breastfeeding behavior (correlation coefficient of predisposing factor0.3, p-value 0.09 and correlation coefficient of enabling factor 0.241, p-value 0.038). Range Spearmen statistic test shows that reinforcing factors do not correlated to breastfeed behavior (p-value 0.73). From the report of focused group discussion with working mother, the researchersuggest to advocate and socialize the breastfeeding right, lactation management training for working mother, breastfeeding campaign, forming working mother forum in workplace, providing facilities for working mother to squeeze breast milk, that provided with cooler. The workplacealso have to give enough time (about 30 minutes, 2 times per day), to squeeze her breast milk.Keywords: breastfeeding, working mother, breastfeeding rights

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