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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.

Arjuna Subject : -

Articles 635 Documents

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HUBUNGAN TINGKAT KELEMBABAN RUMAH TINGGAL DENGAN KEJADIAN TUBERKULOSIS PARU DI WILAYAH KECAMATAN TULIS KABUPATEN BATANG Indriyani, Novita; Istiqomah, Nor; Anwar, M Choiroel
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))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v5i3.11311

Salah satu penyakit menular yang menjadi perhatian dan masalah kesehatan masyarakat di wilayah Kecamatan Tulis adalah TB paru yang meningkat setiap tahunnya, dengan angka prevalensi tahun 2014 sebesar 83,4/100.000 penduduk. Salah satu faktor yang mempengaruhi adanya agen bakteri tuberkulosis yaitu lingkungan rumah tinggal. Tujuan penelitian mengetahui hubungan tingkat kelembaban rumah tinggal dengan kejadian TB paru di wilayah kecamatan Tulis. Desain penelitian case control, variabel bebas yang diteliti yaitu tingkat kelembaban, dan variabel confounding adalah luas ventilasi, keberadaan jendela, pencahayaan, suhu. Sampel penelitian  70 responden, terdiri dari 35 kasus dan 35 kontrol. Hasil analisis bivariat uji chi square bahwa ada hubungan antara tingkat kelembaban (p=0,004 OR=4,792) dan pencahayaan (p=0,031 OR=3,273) dengan TB paru. Analisis multivariat yang terbukti sebagai faktor resiko adalah tingkat kelembaban (OR=3,801) dikontrol pencahayaan (OR=1,456).

HEALTH BELIEF MODEL DAN KAITANNYA DENGAN KETIDAKPATUHAN TERAPI ANTIRETEROVIRAL PADA ORANG DENGAN HIV/AIDS Sisyahid, Abdul Kharis; Indarjo, Sofwan
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))

Antiretroviral (ARV) therapy for people living with HIV/AIDS (PLHIV) may reduce mortality and improve the quality of life among them. Non-adherence of HIV/AIDS patients in ARV therapy may lead to cease of therapy, increase risk of death, complicate evaluation of ARV services, and increase the risk of ARV resistance if they wish to start over. This study aimed to determine the factors that cause non-adherence to ARV therapy among PLHIV in Pemalang Regency. The research used qualitative method with case study approach. Data collection was conducted through in-depth interviews, observations, and documentation to 6 HIV/ AIDS patients who were listed as non-adherence patient in ARV therapy. Data analysis was done descriptively with triangulation method and data analysis. Results revealed that the factors that cause non-adherence to ARV therapy among PLHIV were lack of vulnerability perception to illness in the future, lack of illness perception among informants about the severity of illness, lack of benefit perception perceived by most informants, and barrier perception of side effects, lack of facilities to access ARV, and pudency that their HIV-positive status was known by others.

FAKTOR RISIKO PAPARAN PESTISIDA SELAMA KEHAMILAN TERHADAP KEJADIAN BBLR PADA PETANI SAYUR Fatmawati, Miftah; Windraswara, Rudatin
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))

Berat badan lahir rendah (BBLR) menjadi salah satu penyebab utama mortalitas bayi. Permasalahan yang muncul adalah apakah ada hubungan antarapaparan pestisida pada masa kehamilan dengan kejadian BBLR di daerah pertanian. Tujuan penelitian ini untuk mengetahui faktor risiko yang berhubungan dengan kejadian BBLR. Penelitian ini merupakanstudi case control. Subjek dibagi menjadi dua kelompok: kelompok kasus sejumlah 25 petanidengan riwayat melahirkan BBLR dan kelompok kontrol yang merupakan tetangga dari subjek kasus tanpa riwayat melahirkan BBLR sejumlah 25 petani. Pengumpulan data penelitian ini menggunakan wawancara dan observasi. Analisis data menggunakan analisis univariat dan bivariat (chi square dan fisher sebagai alternatifnya). Faktor risiko yang terbukti berhubungan dengan kejadian BBLR antara lain: pekerjaan ibu hamil yang berkaitan dengan pestisida (OR = 6,769); kelengkapan alat pelindung diri (APD) saat beraktivitas di ladang (OR= 18,857); dan penyimpanan pestisida (OR= 12,667). Saran yang direkomendasikan adalah menghindari pekerjaan yang berkaitan langsung dengan pestisida selama masa kehamilan, jika memang harus ikut dalam kegiatan pertanian maka ibu hamil sebaiknya menggunakan APD lengkap.   Low birth weight becomes one problem that may cause infant mortality. This study aimed to find the relation between pesticide exposure during pregnancy and low birth weight. This was case control study. The subjects were divided into two groups: 25 farmers with low birth weight infants as case group, and subjects 25 farmers with normal birth weight infants wholived around the case group as control group. Data were collected with interview and observation. Data were analyzed by univariate and bivariate analysis (chi-square test and fisher test). Risk factors during pregnancy that associated with lowbirth weight were activities with pesticide during pregnancy (OR= 6,769); personal protective equipment completeness (OR= 18,857); and storage of pesticide (OR= 12,667). Recommended to pregnant farmer to avoid activity with pesticide during pregnancy. Pregnant farmer should use personal protective equipment completely when agricultural activities could not be avoided

PEMILIHAN KONTRASEPSI BERDASARKAN EFEK SAMPING PADA DUA KELOMPOK USIA REPRODUKSI Setiawati, Erna; Handayani, Oktia Woro Kasmini; Kuswardinah, Asih
Unnes Journal of Public Health Vol 6 No 3 (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))

ABSTRACT Kelompok usia reproduksi terbagi dalam tiga fase yaitufase menunda kehamilan (<20 tahun), fase menjarangkan kehamilan (20-30 tahun) dan fase mengakhiri kehamilan (>30 tahun). Cara yang ditempuh yaitu dengan pemakaian kontrasepsi.baik  MKJPmaupunnon MKJP. Tujuan penelitian ini adalah untuk mengetahui ada atau tidak perbedaan pemilihan kontrasepsi MKJP dan non MKJP berdasarkan efek samping pada dua kelompok usia reproduksi. Penelitin ini menggunakan desain cross sectional, pengambilan data dengan kuesioner. Sampel dalam penelitian ini adalah akseptor KB baik MKJP maupun non MKJP pada bulan april sampai juni sebanyak 200 responden, dimana tekhnik pengambilan datanya dengan random sampling dan kuota sampling. Hasil penelitian kemudian diuji dengan mann-whitney test.Hasil penelitian dengan uji mann whitney test diperoleh p = 0.662 dengan kata lain p > α (0.05) yang berarti tidak ada perbedaan pemilihan MKJP dan non MKJP berdasarkan efek samping di Wilayah Kabupaten Semarang.      ABSTRACT Reproductive-age category can be divided into three groups which are the group of delayed interval pregnancy (less than 20 years old), the group of intervalcontrol pregnancy (20 to 30 years old), and the group of high risk pregnancy (more than 30 years old). An alternative to avoid high risk pregnancy is by using contraception tool namely long-term contraception (MKJP) and non long-term contraception (non MKJP).The purpose of this research is to analysedwhether there are differences in choosing MKJP and non –MKJP based on side effects in the two reproductive-age groups.This research was an explanatory research with cross-sectional design. The population were all women of contraception acceptors in Semarang Regency.The samples were 200 respondents, used simple random sampling and quota sampling. This research used quisionaire instrument and analyze used mann whitney test (α=0,05). Theresult showed thatP = 0,662 meaning P > α = 0.05 which means there is no difference in choosing MKJP and non-MKJP based on side effects in the two reproduction-age groups in Semarang regency.

ANALISIS KEPUASAN JAMINAN KESEHATAN NASIONAL PADA PENGGUNA BPJS KESEHATAN DI KOTA SEMARANG Listiyana, Ita; Rustiana, Eunike Raffy
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))

National health insurance (NHI) as a part of national social security system (NSIS) is a form of government commitment to the implementation of health insurance among people in Indonesia entirely. State-owned enterprises (SOEs) assigned specifically by the government to provide health care insurance was the BPJS for Health (social security provider for health). The aim of this study was to analyze the satisfaction of national health insurance among BPJS for Health participants in Semarang City based on education, tuition classes, and place of service. This study was analytical survey with cross sectional approach. Sample of Non PBI (Contribution Assistance Recipients) BPJS for Health were 269 respondents, with purposive proportional sampling technique. There was a significant difference regarding the satisfaction of health insurance based on education level (basic, secondary, and high) and place of service (public hospital and private hospital). There was no significant difference on satisfaction of health insurance based on tuition classes (class I, II, and III). BPJS for Health participants who did not satisfied with the national health insurance were 64.7%. The most important complaint was the process of obtaining an inpatient room.

EVALUASI PELAKSANAAN PROGRAM TERAPI RUMATAN METADON PADA PECANDU NARKOBA JENIS PUTAW DI KOTA SEMARANG TAHUN 2016 Juniawati, Juniawati; Indriyanti, Dyah Rini
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))

Methadone maintenance treatment (MMT) is aimed to reduce the harmful effects of injecting drug use. Since the first Puskesmas Poncol opened this program in 2010, there were 50 users of MMT. Currently users of MMT were 11 people, 2 people have died, no patient has recovered, and 36 others dropped out. Those did not recover, but dropped out with reasons and information that were not known by the officer. MMT is a strategic key of HIV/ AIDS prevention for injecting drug users. However, in the implementation Puskesmas Poncol was lost most of active MMT users. The research aimed to know the implementation of MMT which includes input, process, and output on heroin addict in Puskesmas Poncol. This research was qualitative research supported by quantitative data. Data collection used in-depth interviews, observation, and documentation. The result of the research showed that the service of MMT in Puskesmas Poncol was still many weaknesses, from input aspect (untrained human resources), process (methadone planning, organizing, and dose arrangement have not been well implemented), and output (services have not been evaluated).

EVALUASI PENATALAKSANAAN GIZI BALITA STUNTING DI WILAYAH KERJA PUSKESMAS SIRAMPOG Khoeroh, Himatul; Indriyanti, Dyah Rini
Unnes Journal of Public Health Vol 6 No 3 (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))

ABSTRACT SUN (Scalling Up Nutrition) merupakan upaya global dalam rangka rencana aksi percepatan perbaikan gizi salah satunya menanggulangi balita stunting fokus pada 1000 HPK. Stunting merupakan prevalensi tertinggi di Wilayah kerja Puskesmas Sirampog di Kabupaten Brebes, ini menunjukkan bahwa kualitas pelayanan kesehatan masih rendah. Tujuan penelitian ini adalah untuk mengevaluasi penatalaksanaan status gizi balita stunting dengan unsur input, proses dan output. Penelitian ini merupakan penelitian kualitatif. Informan awal ditentukan dengan teknik purposive sampling. Metode pegumpulan data melalui wawancara mendalam, observasi dan dokumentasi terhadap 6 informan awal yang terdiri dari kepala puskesmas, bidan koordinator KIA, koordinator gizi, bidan desa, kader dan ibu balita sasaran. Dua informan triangulasi yang terdiri dari koordinator kesehatan kelurga dan koordinator gizi Dinas Kesehatan Kabupaten. Hasil penelitian menunjukkan pada tahap input yaitu tenaga kesehatan yang terlibat masih memerlukan tambahan, belum ada tenaga gizi. Pada unsur proses, sebagian program terlaksana dengan baik meliputi program sehat bagi wanita hamil, pemberian ASI Eksklusif, pemantauan tumbuh kembang, pemberian makanan tambahan, pemberian vitamin A kecuali program pemberian taburia. Pada unsur output, cakupan prevalensi stunting di Puskesmas Sirampog Kabupaten Brebes tahun 2015 sebesar 16,74 %.   ABSTRACT   SUN (Scalling Up Nutrition) is  the global efforts from all shorts of countries in the framework of program attractive speeding up of nutrition improvement one of them to cope with baby of stunting  focused to 1000 HPK. Stunting is highest prevalency in estate work clinik of sirampog brebes, this is indicate that quality of health treatment is too low. The porpose of This research is to evaluate management status nutrition of baby stunting included unsure input, proses and output.. This research is the qualitative reseearch in estate work clinik of sirampog brebes. Initial informant determined by purposive sampling. Methods of collecting data obtained through in-depth interviews, observation and document aboutfirst 6 top informant including heads of health centers, coordinator of midwives KIA, coordinator of nutrition,  midwives of village, cadre and  postpartum mother and two informants triangulation consisting coordinator of family health and nutrition coordinator health center official. The yield of research indicated that at input stage is health staff involved need more addition in order to program run with  optimal, no one nutrition staff, In the process, part of program carried out comprises health program for pregnancy,  Giving ASI, monitoring of growing, giving and addition food, giving vit A except giving taburia doesn’t good integreted in duty. At the output,scope of stunting prevalensi  in clinik center sirmpog brebes at 2015 amount 16,74%.

IMPLEMENTASI PENATALAKSANAAN KASUS GIZI BURUK DI WILAYAH KERJA PUSKESMAS CILACAP UTARA I Susanti, Eka Mei; Handayani, Oktia Woro Kasmini; Raharjo, Bambang Budi
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))

Severe malnutrition may increase the risk of mortality, morbidity from infectious diseases, and delayed physical likewise cognitive development. The incidence of severe malnutrition in Cilacap in 2013 was 112 cases and increased in 2014 to 116 cases. Therefore, it was necessary to know and analyze the implementation of severe malnutrition management, in terms of input, process, and output components. This study used qualitative research, using case study design on 6 informants selected with eligibility criteria. Data collection was conducted by observation, in-depth interviews, and document studies. Validity test was done with triangulation. Data were analyzed with Miles and Huberman analysis model. It showed that the management of severe malnutrition was good enough. It could be seen from the input components (the number of health volunteers and the infrastructure facilities have been fulfilled, while the number of nutrition officers was still less and their role have not been well implemented), the process components (preparation stage was good, while organizing has not well structured, implementation and severe malnutrition service flow have not well run as procedure), and the output components (malnourished children under five have treated for 3 months and there was an improvement to better nutritional status).

KAJIAN IMPLEMENTASI KEBIJAKAN RUANG LAKTASI DI SEKTOR PEMERINTAH DAN SWASTA Wijaya, Prawiti Sugeng; Soesanto, Soesanto Soesanto
Unnes Journal of Public Health Vol 6 No 3 (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 Masalah pemberian ASI menjadi salah satu issue kesehatan di dunia. Rendahnya konsumsi ASI bagi bayi, salah satu penyebabnya adalah faktor lingkungan yang belum kondusif mendukung ibu untuk tetap dapat memberikan ASI Eksklusif. Implementasi Kebijakan Pemerintah tidak selalu berjalan sesuai dengan harapan, sehingga perlu dilakukan studi implementasi baik di sector pemerintah maupun swasta.Tujuan penelitian yaitu untuk menganalisis implementasi kebijakan ruang laktasi yang diselenggarakan pemerintah dan swasta di kabupaten Purbalingga. Pendekatan yang digunakan adalah pendekatan kualitatif dengan desain studi kasus. Sasaran penelitian adalah pemimpin perusahaan, penanggungjawab ruang laktasi dan pengguna ruang laktasi di PT Royal Korindah dan KPP Pratama kabupaten Purbalingga dan informan tambahan dari bagian promosi kesehatan Dinas Kesehatan kabupaten Purbalingga serta bagian HPTK Dinas Tenaga Kerja kabupaten Purbalingga. Pengambilan data dilakukan melalui wawancara mendalam dan observasi sistematis. Hasil penelitian adalah implementasi kebijakan ruang laktasi yang diselenggarakan oleh sektor pemerintah dan swasta di kabupaten Purbalingga belum dilaksanakan sesuai dengan ketentuan yang ada.   ABSTRACT The low consumption of breast milk for infants, one reason is the environment that is not conducive factor supporting the mother to remain exclusive breastfeeding. Implementation of Government policies do not always go according to expectations. Object of this study was to analyze the implementation of lactation space policy organized by the government and private sectors in Purbalingga district. The approach used is qualitative approach with case study research design. Goal of research is the leader of the company, responsible for lactation space and user space lactation PT Royal Korindah and STO The Purbalingga and additional informants from the health promotion Purbalingga District Health Office and the Department of Labor HPTK part Purbalingga district. Data were collected through interviews and systematic observation. Results of the research is the implementation of space policy lactation organized by public and private sectors in Purbalingga has not been implemented in accordance with existing regulations.      

UJI DAYA BUNUH GRANUL EKSTRAK LIMBAH TEMBAKAU (NICOTIANAE TABACUM L ) TERHADAP LARVA AEDES AEGYPTI Khalalia, Rizki
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))

Pengendalian penyakit DBD bergantung pada pengendalian larva Aedes aegypti. Penggunaan insektisida nabati perlu dikembangkan untuk mengurangi dampak negatif insektisida kimia. Limbah tembakau merupakan tanaman yang mengandung zat alkaloid, saponin dan flavonoid yang berfungsi sebagai insektisida. Penelitian ini dilakukan untuk mengetahui efektivitas pemberian ekstrak limbah tembakau (Nicotiana tabacum L.) dalam bentuk granul untuk membunuh larva Aedes aegypti.  Jenis penelitian ini adalah eksperimen murni, dengan rancangan post test only with control group design dengan lima variasi konsentrasi ekstrak sebesar 10%, 15%, dan 20%, dengan empat kali pengulangan. Hasil uji menunjukkan terdapat hubungan antara ekstrak limbah tembakau dalam bentuk granul dengan kematian larva (p=0,001).  Analisis probit didapatkan LC50 granul ekstrak  limbah tembakau adalah 59,506% dan LC90 adalah 1.163,619%. LT50 pada konsentrasi 20% adalah 790,787 menit, sedangkan LT90 adalah 2.820.000 menit. Saran peneliti adalah perlu dilakukan penelitian lebih lanjut mengenai cara menghilangkan warna pada air yang diberi ekstrak limbah tembakau dalam bentuk granul. The efforted to control dengue fever depended on control of the Aedes aegypti larvae. The used of natural insecticides should be developed as easily biodegradable in nature. Tobacco waste in Indonesia is very abundant amount of 55776.24 tonnes per year. Tobacco waste contains alkaloid, essential oil, nicotine and flavonoid which its function as insecticides. This research was conducted to know the effectiveness granule extract tobacco waste (Nicotiana tabacum L.) to kill Aedes aegypti larvae. This research was true experimental research, with the design of post test only with control group with three variations of the extract concentration 10%, 15%, dan 20% with four times repetitions.This research was conducted in 2016. The result showed that there was corelation between Nicotiana tabacum L.extract in granul with larvae mortality (p=0.001). From probit analysis test, LC50 was found in 23,965% and LC90 in 4 0,957%. LT50 of 20% was 362.625 hours, while LT90 was 544.488 hours. The conclusion of this study is granule extracts of tobacco waste has larvicidal effect on Aedes aegypti larvae.

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Arum Siwiendrayanti

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a_shiwi@yahoo.com

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Kota semarang,

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INDONESIA