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Unnes Journal of Public Health

ujph
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Published by Universitas Negeri Semarang

ISSN : 22526781 EISSN : 25487604 DOI : -

Core Subject : Health,

Public Health

Unnes Journal of Public Health (UJPH) is an open access and peer-reviewed journal. It publishes original papers and short reports on all aspects of the science, philosophy, and practice of public health.

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Articles 635 Documents

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GAMBARAN STRES KERJA PEGAWAI BAGIAN REKAM MEDIS RUMAH SAKIT BHAKTI WIRATAMTAMA SEMARANG Sartika, Dewi; Sugiharto, Sugiharto
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Faktor penyebab stres kerja adalah lingkungan kerja yang kurang nyaman, konsultasi yang tidak efektif dan konflik antara tuntutan keluarga dan tuntutan instansi. Penelitian kualitatif dilakukan untuk memperoleh gambaran stres kerja pegawai bagian rekam medis rumah sakit Bhakti Wiratamtama Semarang. Jenis penelitianini adalah penelitiankualitatif deskriptif menggunakan teknik snowball sampling. Informan utama berjumlah 15 pegawai dan 2 triangulasi. Hasil yang diperoleh, yaitu informan mengeluhkan mengalami stres kerja akibat rak fililng yang kurang rapi dan pengembalian dokumen rekam medis pasien yang terlambat dan lingkungan kerja yang kurang baik. Adanya pertemuan triwulan dapat mengurangi masalah yang dihadapi oleh pegawai. Saran bagi pegawai yaitu petugas filing melakukan pemilahan dokumen rekam medis antara lembar yang akan diabadikan dan dimusnahkan. Rumah sakit disarankan dalam pembersihan berkas pasien dan penataan ruang lebih ditata dengan rapi agar pegawai nyaman dalam mobilisasi dalam bekerja.   Factors that cause occupational stress are the inconvenient occupational environment, ineffective consultation and conflict between family agency requirement. The purpose of this qualitative research is to get occupational stress overview of medical record employee in Bhakti Wiratamtama Semarang Hospital. This research method is qualitative research using snowball sampling. The informants consist of 15 key informants and 2 triangulation informants. The informans were complained about untidy shelves and late of medical record returning. Quarterly meeting to reduce this problem. Suggestion to employee was to sorting the medical record document, and to select wich one to be saved. Suggestion to hospital was to clean up patients documents and tidy up the room so the employee can work with comfort.  

EVALUASI PROGRAM ELIMINASI FILARIASIS DARI ASPEK PERILAKU DAN PERUBAHAN LINGKUNGAN Munawwaroh, Lailatul; Pawenang, Eram Tunggul
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak   Filariasis merupakan penyakit menular disebabkan cacing filaria dan ditularkan nyamuk. Untuk menekan jumlah kasus filariasis dilakukan Program Eliminasi Filariasis melalui POMP (Pemberian Obat Massal Pencegahan) filariasis. Kelurahan Kuripan Yosorejo RW I-V (Kuripan Lor) merupakan daerah endemis filariasis (Mikrofilaria rate ≥1%)dan menjadi daerah yang diprioritaskan untuk Eliminasi Filariasis.Tujuan penelitian adalahuntuk mengetahui(1) gambaran Program Eliminasi Filariasis di Kelurahan Kuripan Yosorejo tahun 2011-2015,(2) gambaran perubahan perilaku dan lingkungan setelah pelaksanaan Program Eliminasi Filariasis. Jenis penelitian adalah kualitatif.Jumlah informan adalah 14 informan, 2 informan utama dan 12 informan triangulasi. Hasil penelitian adalah (1) pelaksanaan Program Eliminasi Filariasis tahun 2011-2015 di Kelurahan Kuripan Yosorejosesuai peraturan yang berlaku (2)aspek perilaku masyarakat yang berubah adalah perilaku minum obat filariasis sedangkan perilaku praktik pencegahan lainya (perilaku mencegah gigitan nyamuk dan pengelolaan lingkungan) serta aspek lingkungan (kawat kasa, genangan pada got/SPAL, semak-semak,tanaman air) sudah cukup baik tetapi tidak mengalami perubahan.   Abstract   Filariasis was an infectious disease caused by the filarial worm and transmitted by mosquitoes. Filariasis Elimination Programthrough MDA (Mass Drug Administration) was used to reduce the number of filariasiscases. Kuripan Yosorejo RW I-V village (Kuripan Lor) was endemic filariasis area (Mikrofilaria rate of≥1%) and became the priority area for Filariasis Elimination Program. The purposes of research were to know(1)the description of Filariasis Elimination Program, especially in Kuripan Yosorejo villagebetween 2011- 2015, (2)the influence of Filariasis Elimination Program on behavioraland environmental aspect. This research usedqualitative method. Theinformants were 14.It consisted of2 keyinformants and 12 triangulation informants. The results of researchwere(1) Filariasis Elimination Program implementation between2011-2015 in the Village Kuripan Yosorejo was appropiate with the regulations,(2) the changing of behavioral aspects in the society were the behavioral of taking medication of filariasis while the behaviorof other prevention practices (prevention of mosquitos bites and environmental management) and the environmental aspects (wire netting, puddles on the waste water pipeline, bushes, water plants) were already good enough but not changed.  

PRAKTIK BIDAN DALAM PENGGUNAAN ALGORITMA MANAJEMEN TERPADU BAYI MUDA PADA KUNJUNGAN NEONATAL Iraningsih, Wahyu; Azinar, Muhammad
Unnes Journal of Public Health Vol 6 No 1 (2017): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Neonatal mortality in Indonesia declined slowly and tended to stagnant in number of 20/1000 live births. Proportion of neonatal mortality in Cilacap Regency at 2015 reached 69% of infant mortality. A quality neonatal care might decrease 34-62% mortality, but not all midwives used integrated management of neonatal and childhood illness (IMNCI) algorithm. This study aimed to figure out factors associated with midwives’ practice on using IMNCI algorithm in neonatal care. This study used cross sectional approach with purposive sampling until 60 respondents were collected. Data were analyzed with chi-square test. There were association between knowledge (p=0.000), attitude (p=0.023), availability of facilities (p=0.023), support from leader (p=0.017), length of work (p=0.011), and supervision (p=0.039) with midwives’ practice on using IMNCI algorithm. There were not assocation on age (p=0.124), employment status (p=0.124), extra work load (p=0.290), and reward (p=0.053). Factors associated with midwives’ practice on using IMNCI algorithm in neonatal care were knowledge, attitude, availability of facilities, support from leader, length of work, and supervision.

HUBUNGAN STRES KERJA DENGAN MENSTRUASI ABNORMAL PEKERJA KONVEKSI DESA PEGANDON PEKALONGAN Rizal, Mohammad
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Stres kerja adalah tanggapan-tanggapan tubuh pekerja terhadap stressor yang berada di tempat kerja. Tanggapan tersebut dapat berupa fisik, psikologis, dan perilaku. Pekerja wanita berisiko lebih tinggi mengalami stres kerja daripada pekerja pria. Stres kerja pada pekerja wanita dapat menyebabkan menstruasi abnormal. Tujuan dari penelitian ini untuk mengetahui hubungan antara stres kerja dengan menstruasi pada pekerja konveksi di Desa Pegandon Pekalongan. Jenis penelitian ini adalah penelitian explanatory research dengan pendekatan cross sectional. Populasi berjumlah 74 pekerja dengan sampel sebanyak 43 pekerja (menggunakan teknik proportional random sampling). Instrumen yang digunakan adalah pengukuran dan kuesioner. Analisis data dilakukan secara univariat dan bivariat (menggunakan uji chi square dengan α=0,05). Hasil penelitian menunjukkan bahwa 60,5% responden tidak mengalami stres kerja dan 39,5% responden mengalami stres kerja. Sementara itu, sebanyak 69,8% responden mempunyai menstruasi yang normal dan sebanyak 30,2% responden mempunyai menstruasi abnormal. Uji chi square didapatkan hasil yaitu nilai ρ adalah 0,02. Hal ini menunjukkan bahwa nilai ρ<0,05. Dengan demikian dapat disimpulkan bahwa ada hubungan antara stres kerja dengan menstruasi abnormal pada pekerja konveksi di Desa Pegandon Pekalongan.

ANALISIS SPASIAL FAKTOR LINGKUNGAN PADA KEJADIAN DEMAM BERDARAH DENGUE DI KECAMATAN GENUK Kirana, Kartika; Pawenang, Eram Tunggul
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Kecamatan Genuk merupakan salah satu kecamatan yang endemis DBD di Kota Semarang. Secara berturut-turut sejak tahun 2012 hingga 2014, Kecamatan Genuk masuk sebagai tiga besar kasus DBD terbanyak. Salah satu faktor yang mempengaruhi kejadian DBD adalah faktor lingkungan. Tujuan penelitian ini adalah untuk mengetahui gambaran dari hasil analisis spasial faktor lingkungan dengan kejadian DBD di Kecamatan Genuk. Jenis penelitian ini deskriptif dengan pendekatan kuantitatif. Fokus penelitian ini adalah kondisi SPAL, penumpukan ban bekas dan sumur gali. Penelitian ini dilakukan di Kecamatan Genuk (Kelurahan Genuksari, Karangroto, Bangetayu Kulon dan Banjardowo) pada bulan Maret 2016. Instrumen meliputi lembar observasi, peta lokasi, Global Positioning System (GPS), alat fotografi dan AcrGIS. Analisis data menggunakan SIG. Hasil penelitian menunjukkan bahwa kejadian DBD menggerombol pada beberapa RW yang berdekatan dengan keberadaan penumpukan ban bekas sekitar permukiman dan sumur gali terbuka.   Kata Kunci        : demam berdarah (DBD), lingkungan, analisis spasial     ABSTRACT Genukis one of dengue fever endemic district in Semarang city. Since 2012 until 2014, Genuk involve as the place that has high incidence of Dengue Fever. One of the factors in the incidence Dengue Fever areenvironmental factors.The goals of this research wasto analize spatial environmental factorsin the incidence Dengue Fever in Genukdistrict. This was a quantitative descriptive research with descriptive survey. The unit this research was water puddle on the pilling of the tire, the dug wells, and waste water pipeline that located in Genuk District (Subdistrict of Genuksari, Karangroto, Bangetayu Kulon and Banjardowo) at March 2016. The instruments were paper of observation,the  map, GPS, camera and ArcGIS. Data was analyzed with GIS. The study showed that dengue fever transmission was inthe area with pilling of the tire, and the dug wells.   Keywords        : dengue fever, environment, spatial analysis.

MANAJEMEN SUMBER DAYA TERHADAP MUTU PELAYANAN NEONATUS DI PUSKESMAS PONED OESAO KUPANG Fai, Isterina Felandina; Pandie, David B.W; Ludji, Ina Debora Ratu
Unnes Journal of Public Health Vol 6 No 2 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Terdapat 9 kasus kematian neonatus di tahun 2015 di Puskesmas Oesao.Ditinjau dari aspek sumber daya manusia, aspek  peralatan, aspek obataspek bangunan, aspek SOP belum memenuhi syarat. Penelitian ini bertujuan untuk menganalisis pengaruh manajemen sumber daya secara parsial dan simultan terhadap mutu pelayanan neonatus.Jenis penelitian yang digunakan dalam penelitian ini adalahObservasional Analitik desain cross sectional. Lokasi penelitian di Puskesmas Oesao Oesao Kabupaten Kupang. Populasi dalam penelitian ini adalah semua ibu yang memiliki neonatus di wilayah kerja Puskesmas Oesao dari bulan Januari sampai September 2015 sebanyak 396 orang ibu, teknik pengambilan sampel menggunakan teknik sampling acak sederhana dan sampel penelitian sebanyak 67 ibu yang memiliki neonatus. Hasil analisis univariat menunjukkan bahwa aspek SDM, spek peralatan, aspek obat, aspek bangunan, aspek SOP dan mutu pelayanan neonatus termasuk dalam kategori baik. Hasil Analisis bivariat menunjukkan bahwa secara parsial ada pengaruh antara aspek SDM (p value = 0,004), aspek obat(p value = 0,004) terhadap mutu pelayanan neonatus. Hasil analisis multivariat menunjukkan bahwa secara simultan ada pengaruh antara Aspek SDM (p value = 0,004) dan aspek obat (p value = 0,004) terhadap mutu pelayanan neonatus. Public Health Center Oesao was considered under perform in term of aspect of human resources, aspects of equipment, aspects of medicine, aspects of the building, and on procedural aspects. At same time, there were 9 cases of neonatal deaths in 2015. This study aimed to analyze the influence of resource management partially and simultaneously on the quality of neonatal care. This type of research used in this study was observational analytical cross-sectional design. The population in this study are all mothers who had newborns in PHC Oesao from January to September 2015 as many as 396 people a mother, a technique of sampling using simple random sampling and samples are 67 mothers with newborns. Results of univariate analysis showed that the human resources aspect, spec equipment, medicine aspects, aspects of the building, the quality aspects of the draft SOP neonatal care included in both categories. The results of the bivariate analysis showed that partial no influence between aspects of HR (p=0.004), Aspects of Medicines (p=0.004) on the quality of Neonatal Care. Multivariate analysis showed that simultaneously there is influence between the human resources aspect (p=0.004) and Aspects of Medicine (p=0.004) on the Quality Neonatal Services. It was recommendet to further enhance regular supervision to improve the quality, quantity, resource management and quality neonatal care.

GAMBARAN PERILAKU PENCEGAHAN HIV DAN AIDS PADA LELAKI SUKA LELAKI (LSL) DI KOTA KUPANG TAHUN 2014 Kana, Indah M.P; Nayoan, Christina R; Limbu, Ribka
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

HIV prevalence among men who have sex with men (MSM) in Indonesia increasing time to time, 7% in 2009 to 12,8% in 2013. The high prevalence of HIV in this population is associated with the low level of prevention, because as lack of information and low condom use. The purpose of this study was to obtained in-depth information about the behavior of HIV and AIDS prevention in MSM assessed the intention, social support, access to information, personal autonomy, and action situation. Design of this study is descriptive using qualitative approach. Five informants were selected by purposive sampling from IMOF Kupang Community for indepth interview, using guidance structured interview. The result was transcipted then classified according to the themes that emerged. The results shows that informants were attitude, subjective norm, and behavior control the influencing their intention to HIV and AIDS prevention. MSM obtained social support from the MSM community friends and KPA, the support are emotional support and information. Informants get the information about HIV and AIDS from socialiszations and mass media (internet). The informants also have their own initiatives for preventing HIV and AIDS (using condoms during sex). Health services can be accessed easily by the informant because there is a cooperation with the health institution. From this research it can be concluded that informants have a good intention, social support, the availability of information acces, personal autonomy and action situation to prevent HIV and AIDS.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TERJADINYA SERVISITIS PADA WANITA DI LINGKUNGAN KELUARGA PEGAWAI NEGERI SIPIL PEMERINTAH PROVINSI KALIMANTAN BARAT Abrori, Abrori; Hermawan, Andri Dwi; Inayati, Sri
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

the incidence of cervicitis have not the exact figure to explained. There is a high risk for women affected by the servisitis of disease because they do not know the factors. Theoretically, servisitis of disease caused: the cleanliness of the vulva hygien, some kinds of bacteria, cervical laceration, sexual activity, and vaginal douching. The cervicitis was one of the problems of Sexually Transmitted disease (STI), Servicitie that less well known in the wider community. The purpose of this study was to determine the factors associated with cervicitis in women’s family environment the Civil Service of West Kalimantan Government.This is a method of observational analytic study using cross sectional. The results of this results are: there is a significant correlation between (1) vaginal douching and cervicitis (p = 0,000); (2) the cleanliness of the reproductive organs and cervicitis, (p = 0,000); (3) the cleanliness of clothing and cervicitis, (p = 0,000); (4) parity and the occurrence of cervicitis, (p = 0,000); (5) frequency of sexual intercourse and cervicitis, (p = 0,000). This study suggests that the Polyclinic of West Kalimantan Province to improve IVA service and increase laboratory germs facilities; to disseminate the impact of cervicitis and vaginal douching do counseling about the Clean and Healthy Lifestyle to maintain the cleanliness of the female reproductive organs.

PROFIL POTENSI PENYAKIT AKIBAT KERJA TAHAPAN PEMBATIKAN Latif, Rr. Vita Nur; Ristiawati, Ristiawati; Istiqomah, Nor
Unnes Journal of Public Health Vol 5 No 4 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak   Batik diakui UNESCO sebagai budaya milik Indonesia. Pembatikan masih menggunakan bahan baku berbahaya. Salah satu tuntutan AFTA (ASEAN Free Trade Area) 2015 yaitu meningkatkan kualitas dan perlindungan produk dalam negeri (batik) untuk dapat bersaing dengan produk luar negeri, dimana dalam proses produksinya memperhatikan aspek kesehatan dan keselamatan kerjanya. Penelitian ini bertujuan mengidentifikasi gangguan kesehatan yang muncul pada tahapan pembatikan yang nantinya dapat menjadi dasar rekomendasi substitusi bahan dan metode dalam tahapan pembatikan. Penelitian ini berupa survey analitik dengan metode deskriptif analitik. Populasi penelitian ini adalah seluruh pekerja industri batik di Kota Pekalongan pada 634 industri batik. Sampel pada penelitian ini sejumlah 80 responden yang diambil secara random sampling. Ditemukan gangguan kesehatan pada pekerja batik berupa gangguan kapasitas paru 67,5%; penurunan fungsi penglihatan 33,8%; dermatitis ekstrimitas 30%. Sebaran pekerja dengan gangguan kapasitas paru, penurunan fungsi penglihatan, dan dermatitis ekstrimitas terbanyak ditemukan pada tahap pelekatan lilin, berturut-turut 64,8%; 48,1%; dan 66,7%.   Abstract   Batik is recognized by UNESCO as Indonesian indigenous culture. Batik processing was still using dangerous material. One of AFTA 2015 requirements was to increase quality and protectionto domestic product for commpeting with foreign product, whith paying attention to health and safety. This study aimed to identify health disorders in batik processing for being the rasionale for material and method substitution recommandation in batik processing. This was descriptive analitic survey. The population was all workers in all batik industries (634 industries) in Pekalongan City. There were 80 respondents which were choosen ramdomly as sample. It was indentified that the health disorders in batik industries workers were vital lung capacity abnormalities (33.8%), optical degeneration and dermatitis extremities (30%). Health disorders were mostly found in waxing process; they were vital lung capacity abnormalities (64.8%), optical degeneration (48.1%) and dermatitis extremities (66.7%).

KAJIAN STRATEGI PROMOSI KESEHATAN SANITASI TOTAL BERBASIS MASYARAKAT (STBM) DI KELURAHAN TIRTO KECAMATAN PEKALONGAN BARAT KOTA PEKALONGAN Indriyani, Yulis; Yuniarti, Yuniarti; Nur Latif, Rr Vita
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Latar Belakang: Sanitasi Total Berbasis Masyarakat (STBM) merupakan pendekatan untuk mengubah perilaku higienis dan saniter melalui pemberdayaan masyarakat dengan cara pemicuan. Fenomena yang terjadi di Kelurahan Tirto masih terdapat perilaku BABS sebanyak 84 KK, perilaku buang sampah secara sembarangan (di lahan kosong dan sungai), dan mengalirkan limbah cair rumah tangga (limbah deterjen dan air bekas mandi) ke sungai. Tujuan penelitian: Mengkaji secara mendalam strategi promosi kesehatan (advokasi, bina suasana, dan pemberdayaan masyarakat) STBM di Kelurahan Tirto Kecamatan Pekalongan Barat Kota Pekalongan. Rancangan penelitian ini menggunakan metode studi kasus dengan desain eksploratoris kualitatif. Hasil penelitian: Pencapaian lima pilar  STBM di Kelurahan Tirto belum maksimal yaitu pada pilar stop BABS dan pilar pengelolaan limbah cair rumah tangga secara aman. Terdapat beberapa hambatan yang mempengaruhi hasil capaian tersebut diantaranya konsistensi komitmen yang tegas belum diterapkan bagi pelaku yang mengalirkan pembuangan feses ke sungai, belum adanya pelatihan teknis STBM bagi tokoh masyarakat, metode CLTS bersifat terbatas di satu RW, dan masyarakat Kelurahan Tirto belum mengoptimalkan swadaya atau iuran secara kolektif untuk menyediakan penambahan sarana sanitasi berupa septic tank dan bak penampungan. Saran: Pertama, penerapan punishment dari Kelurahan Tirto untuk mencapai Kelurahan ODF bagi pelaku yang mengalirkan pembuangan feses ke sungai. Kedua, pertemuan untuk menjalin koordinasi antara Pemerintah Kota Pekalongan dan Pemerintah Kabupaten Pekalongan untuk bersama mengelola limbah cair rumah tangga secara aman. Ketiga,  pelatihan teknis STBM bagi tokoh masyarakat untuk mencapai perilaku buang air besar secara sehat di Kelurahan Tirto. Keempat, penambahan bak penampungan limbah cair rumah tangga melalui swadaya masyarakat.

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Arum Siwiendrayanti

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