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Unnes Journal of Public Health
ISSN : 22526781     EISSN : 25487604     DOI : -
Core Subject : 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
FAKTOR-FAKTOR YANG MEMPENGARUHI EFEKTIVITAS PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK (PPIA) DI KOTA JAYAPURA Tumangke, Hesty; Tappy, Melkior; Kendek, Rispan
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))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.03 KB) | DOI: 10.15294/ujph.v6i4.17733

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Abstrak Provinsi Papua memiliki prevalensi HIV/AIDS tinggi, dimana terdapat 6957 wanita usia 15-49 tahun menderita HIV/AIDS. Masalah ini dapat menyebabkan penularan HIV/AIDS ke bayi bahkan kematian bayi karena HIV. Penelitian ini bertujuan menganalisa faktor yang mempengaruhi keberlangsungan program PPIA. Penelitian menggunakan metode kualitatif dengan pengumpulan data melalui wawancara mendalam. Penelitian dilakukan di Jayapura, Dinas Kesehatan Kota Jayapura dari Januari 2015 sampai Juni 2015. Populasi penelitian adalah semua tenaga kesehatan di dinas kesehatan kota Jayapura, dan sampel nya adalah 12 orang mencakup kepala UPT AIDS TB, kepala seksi P2PL, kepala puksesmas, kepala KIA, staf KIA dan penanggung jawab HIV puskesmas. Pengambilan sampel adalah purposif sampling dan data dianalisis dengan triangulasi. PPIA tidak berhasil karena rendah nya K1 dan juga K4, dimana ada puskesmas yang memiliki K4 hanya 58%. Di rumah sakit Abepura ditemukan 8 kelahiran bayi dengan HIV, hal ini karena ibu hamil positif yang tidak menkonsumsi ARV secara rutin sampai melahirkan. Rendah nya K1 juga disebabkan oleh beberapa faktor yaitu ibu hamil lebih tertarik ke dokter praktek, suami yang tidak setuju bila istri nya mendapatkan tes VCT, dan rendah nya kesadaran ibu hamil akan pentingnya K1 sampai K4 dan juga VCT. Begitu juga dengan SIHA yang tidak berjalan dengan baik. Kata kunci : Pencegahan HIV, Ibu hamil, bayi, Jayapura   Papua province has high prevalence of HIV/AIDS where there was 6957 cases among women age 15-49 years old. Moreover, this increasedthe number of infants with HIV and impact the rise of infant mortality rate.This study aims to analize factors that affected this HIV prevention from mother to child. This study is qualitative using indeep interview, and located in Jayapura City from January 2015 to June 2015. The population is all staffs in Jayapura’s Health Department, and the total sample is 12 including head of this program, staff of local primary care, staf of hospital, and staffs that have responsibily to run this program. This is purposive sampling, and data will analize with triangulation. HIV prevention is not success due to the low rate of pregnant women visit to local primary care. There was a local primary care that only has 58% of pregnant women visit. In Abepura hospital 2015, there was 8 cases of childborn with HIV. This is because many positive mothers did not consum ARV. The low visit in local primary care has several causes such as mother more willing to go to private obsetric, treat from husband where husband  didn’t allow VCT to his wive, and the low self efficacy of pregnant mother. The HIV report system is not well implemented. Key words : HIV Prevention, pregnant mother, infant, Jayapura
FAKTOR YANG BERPENGARUH TERHADAP KEPATUHAN IBU HAMIL PREEKLAMSIA DALAM PEMANFAATAN LAYANAN ANC Mariyana, Kristin; Jati, Sutopo Patria; Purnami, Cahya Tri
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))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.039 KB) | DOI: 10.15294/ujph.v6i4.17736

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ABSTRAK Preeklamsia dapat dicegah apabila didukung oleh kesadaran ibu hamil untuk patuh dalam pemanfaatan layanan ANC. ANC berkualitas yang dilakukan tenaga kesehatan dan kesadaran masyarakat tentang kesehatan ibu hamil, bersalin dan nifas. Penelitian ini untuk menganalisa faktor yang paling berpengaruh dari ibu hamil preeklamsia supaya patuh dalam pemanfaatan layanan ANC di wilayah kecamatan Pemalang. Penelitian kuantitatif dengan pendekatan cross sectional bersifat explanatory research. Sebanyak 66 responden dipilih secara purposive, menggunakan quesioner, dan data diolah secara distribusi. Variabel yang berpengaruh : riwayat keturunan hipertensi dan atau DM (0,037), pengetahuan (p-value 0,021), akseptabilitas (p-value 0,018), dukungan dan sikap tenaga kesehatan (p value 0,041), dan dukungan suami (p-value 0,045). Variabel yang tidak berpengaruh : umur (p-value 0,239), paritas (p-value 0,714), tingkat pendidikan (p-value 0,394), pekerjaan (p-value 0,316), sikap (p-value 0,714), persepsi kerentanan (p-value 0,665), persepsi kegawatan (p-value 0,233), persepsi manfaat (p value 0,066) dan dukungan keluarga (p-value 0,067). Variabel paling dominan berpengaruh adalah variabel pengetahuan (p-value 0,015) dengan OR (Exp B) 5,527. Kata Kunci : Kepatuhan, ibu hamil preeklamsia, ANC   ABSTRACT Preeclampsia can prevented if supported by the awareness of pregnant women to obey the service ANC. ANC performed by qualified health personnel and public awareness about the health of pregnant women, maternity and childbirth. The aim is to analyze the most influential factors of maternal preeclampsia to obey the ANC service utilization. Quantitative research with cross sectional on pregnant women with preeclampsia in Pemalang district. A 66 respondents taken with purposive, using quessionaire, data analyse with distribution. Related variables : hypertension or DM (0,037), knowledge (p-value 0.021), acceptability (p-value 0.018), support-attitude of health workers (p-value 0.041), and the support of her husband (p-value 0.045). Not related variable: age (p-value 0.239), parity (p-value 0.714), educational level (p-value 0.394), occupation (p-value 0.316), attitude (p-value 0.714), perception of vulnerability (p-value 0.665), perception of severity (p-value 0.233), perceived benefits (p-value 0.066), family support (p-value 0.067). Dominant variable is knowledge (p-value 0.015) OR (Exp B) 5.527. Keywords : Compliance, preeclampsia pregnant women, ANC
Air Stripping as an Effective Carbon Monoxide (CO) Adsorption Model on Cigarette Smoke Isniyati, Heni; Affandi, Mustafa Daru
Unnes Journal of Public Health Vol 7 No 2 (2018): 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 | Full PDF (209.927 KB) | DOI: 10.15294/ujph.v7i2.17856

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ABSTRACT   Carbon Monoxide (CO) produced from smoke by cigarettes has a certain level that accumulates indoors and affects indoor air quality. The purpose of this study was to see how effective the method of air stripping in reducing CO gas concentration by using activated carbon, silica sand, and zeolite media in the experimental room which has a volume of 1000 litters. This research was performed in the laboratory by using pre-experiment random group design. The independent variables of this study include activated carbon, zeolite, and silica sand as adsorbent, while the dependent variable of this study was carbon monoxide concentration. The test was carried out by measuring the accumulation of CO gas from burning cigarette, and subsequent testing with air stripping test treatment by using the varies adsorbent on 30 minutes. From the test results obtained the highest percentage reduction of CO concentration, which was 50.89% by using the activated carbon adsorbent medium, and the lowest percentage of CO reduction was 5.85% by using silica sand adsorbent medium. The difference of CO gas concentration was significant after passing air stripping process by using zeolite media, activated carbon and silica sand with significance level p value = 0.0001. There were significant differences in the ability of zeolite, activated carbon and silica sand to reduce CO concentration, with p value = 0.0001.   Keywords: Carbon Monoxide Concentration, Air Stripping, Adsorption, Activated Carbon, Zeolite, Silica Sand   ABSTRAK   Karbon Monoksida (CO) yang dihasilkan dari asap oleh rokok memiliki kadar tertentu yang terakumulasi di dalam ruangan dan mempengaruhi kualitas udara dalam ruangan. Tujuan dari penelitian ini adalah untuk melihat seberapa besar efektivitas metode air stripping dalam menurunkan konsentrasi gas CO dengan  menggunakan media karbon aktif, pasir silika dan pasir zeolit di dalam ruangan percobaan yang memiliki volume 1000 liter. Penelitian ini merupakan penelitian yang dilakukan di dalam laboratorium dengan menggunakan pre-eksperimen desain kelompok acak. Variabel bebas dari penelitian ini meliputi karbon aktif, pasir zeolite dan pasir silika sebagai adsorben, sedangkan variabel terikat dari penelitian ini konsentrasi karbon monoksida.. Pengujian dilakukan dengan mengukur akumulasi gas CO dari pembakaran rokok, dan pengujian berikutnya dengan perlakuan uji air stripping menggunakan adsorben yang berbeda-beda dengan waktu pengujian selama 30 menit. Dari hasil uji didapatkan persentase penurunan konsentrasi CO tertinggi, yaitu 50,89 % dengan menggunakan media adsorben karbon aktif, dan persentase penurunan CO terendah yaitu 5,85% dengan menggunakan media adsorben pasir silika. Perbedaan konsentrasi gas CO yang signifikan setelah melalui proses air stripping dengan menggunakan media zeolit, karbon aktif dan pasir silika dengan taraf signifikasi nilai p = 0,0001. Ada perbedaan nilai yang signifikan terhadap kemampuan media zeolit, karbon aktif dan pasir silika dalam menurunkan konsentrasi CO, dengan nilai p = 0,0001.   Kata kunci : Konsentrasi Karbon Monoksida, Air Stripping, Adsorbsi, Karbon aktif, Zeolit, pasir silika
Association between Social-Cultural and the Utilization of Elderly Integrated Health Services (Posyandu Lansia) in Hamparan Perak Health Center Simbolon, Pomarida; Simbolon, Nagoklan
Unnes Journal of Public Health Vol 7 No 1 (2018): 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 | Full PDF (128.196 KB) | DOI: 10.15294/ujph.v7i1.18201

Abstract

Abstract Elderly Integrated Health Service (Posyandu Lansia) is an integrated service post for elderly in certain areas that have been agreed upon, which are community driven. A significant elderly population will be accompanied by various problems and will affect various aspects of life especially health. Based on preliminary data, the number of elderly population of 930 people, but only about 230 people or about 24.7% who came to Elderly Integrated Health Services. The purpose of this research was to analyze the association between socio-cultural and the utilization of Elderly Integrated Health Services. The type of this research is the explanatory survey with research population of 160 people and research sample of 60 respondents. Data collection used questionnaire. The results of this study were there was a correlation between tradition (p = 0.000), belief (0.001) with the utilization of Elderly Integrated Health Services.   Abstrak Posyandu Lansia adalah pos pelayanan terpadu untuk orang tua di daerah tertentu yang telah disepakati, yang digerakkan oleh masyarakat. Populasi lansia yang signifikan akan disertai dengan berbagai masalah dan akan mempengaruhi berbagai aspek kehidupan khususnya kesehatan. Berdasarkan data awal jumlah populasi lansia sebanyak 930 orang tetapi yang datang ke posyandu lansia hanya berkisar 230 orang atau sekitar 24,7%. Tujuan dari penelitian ini adalah untuk menganalisis hubungan social budaya dengan pemanfaatan posyandu. Jenis penelitian ini adalah survey explanatory dengan populasi penelitian 160 orang dan sampel penelitian 60 responden. Pengumpulan data dengan menggunakan kuesioner. Hasil penelitian ini menunjukkan ada hubungan antara tradisi (p=0,000), kepercayaan (0,001) dengan dengan pemanfaatan Posyandu.   
Review of Environmental Aspects and Community Behavior in the Determination of Filariasis Risk Vulnerability Zone Khikmah, Nurul; Pawenang, Eram Tunggul
Unnes Journal of Public Health Vol 7 No 1 (2018): 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 | Full PDF (288.34 KB) | DOI: 10.15294/ujph.v7i1.18348

Abstract

ABSTRACT Pekalongan City is a filariasis endemic area with the highest number of filariasis cases in Central Java. One of the factors influencing the risk of transmission of filariasis is environmental factors and community behavior. The purpose of this research was to know the potential areas of filariasis transmission risk in terms of environmental condition and behavior of society. This research was conducted on 6 urban villages in Pekalongan City on May-June 2017. It was quantitative descriptive research based on Geographic Information System (GIS) with the object of research in the form of environmental factors and community behavior in the mapping unit. The sample technique used proportional random sampling with 387 respondents in a sample area. Data analysis used univariat and spatial analysis with buffer, overlapping and overlay techniques. The result of this study were still there region that categorized very vulnerable to transmission of filariasis with amount each variable as many as 55.3% (21 RWs) based on sewerage condition, 57.8% (22 RWs) based on the presence of stagnant water, 23.7% (9 RWs) based on the night outdoor habit, 86.9% (33 RWs) based on the habit of using mosquito nets, and 39.5% (15 RWs) based on the overlay of vulnerability to environmental conditions and community behavior.     ABSTRAK Kota Pekalongan merupakan daerah endemik filariasis dengan jumlah kejadian filariasis tertinggi di Jawa Tengah. Salah satu faktor yang mempengaruhi tingkat risiko penularan filariasis di Kota Pekalongan adalah faktor lingkungan dan perilaku masyarakat. Tujuan penelitian ini adalah untuk mengetahui daerah potensial penularan filariasis ditinjau dari kondisi lingkungan dan perilaku masyarakat. Penelitian ini dilakukan pada 6 kelurahan di Kota Pekalongan pada bulan Mei-Juni 2017. Jenis penelitian ini adalah penelitian deskriptif kuantitatif berbasis Sistem Informasi Geografis (SIG) dengan objek penelitian berupa faktor lingkungan dan perilaku masyarakat dalam unit pemetaan. Pengambilan sampel perilaku dilakukan dengan teknik proporsional random sampling menggunakan sampel wilayah terdahap 387 responden. Analisis data menggunakan analisis univariat dan analisis spasial dengan teknik buffer, pengharkatan dan overlay. Hasil penelitian menunjukkan bahwa masih terdapat wilayah yang masuk kategori sangat rentan penularan filariasis proporsi sebanyak 55,3% (21 RW) berdasarkan kondisi SPAL, 57,8% (22 RW) berdasarkan keberadaan genangan air, 23,7% (9 RW) berdasarkan kebiasaan keluar rumah pada malam hari, 86,9% (33 RW) berdasarkan kebiasaan memakai kelambu, dan 39,5% (15 RW) berdasarkan overlay kerentanan kondisi lingkungan dan perilaku masyarakat.  
The Implementation of Acute Respiratory Infection (ARI) Controlling Programme and the Coverage of Pneumonia among Under-Five Children Baroya, Ni'mal; Aryani, Maulidya Puji; Ariyanto, Yunus
Unnes Journal of Public Health Vol 7 No 1 (2018): 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 | Full PDF (258.865 KB) | DOI: 10.15294/ujph.v7i1.18362

Abstract

Abstract Pneumonia is an acute infection of lung tissue (alveoli). Pneumonia is one of the main focus ARI preventing and controlling program.  One of the ARI preventing and controlling program indicators was pneumonia coverage among under five years old. The coverage of pneumonia finding among under five years old in Banyuwangi Regency since 2014-2016 years have not reached the national target. Pneumonia toddler coverage in 2014 and 2015 shows 33,7% and 71,1%, while in 2016 shows 41,99%. This research aims to analyze the association between officer characteristics, logistics availability and ARI control activities with pneumonia toddler coverage in Banyuwangi Regency. The research uses cross sectional analytic desain with 31 respondents. The result of this research has significant relationship is age, work length and capacity buailding. Nevertheless, gender, education, knowladge, availability of diagnostic tools, guideline, KIE media, recording and reporting media, advocation and socialisation, pneumonia find and management, supervision, recording and reporting, partnership and network, monitoring and evaluation has not significant relationship. Banyuwangi Health Office is hoped to do conduct periodic training every year to ARI program officer on ARI control management, management of pneumonia toddler and promotion of pneumonia control in under fives to increase human resources capacity in primary health facility.                 Abstrak Pneumonia merupakan salah satu fokus utama Program Pencegahan dan Pengendalian ISPA. Salah satu indikator program P2 ISPA adalah cakupan penemuan pneumonia balita. Cakupan pneumonia pada balita di Kabupaten Banyuwangi dari tahun 2014-2016 belum mencapai target nasional. Pada tahun 2014 dan 2015 cakupan pneumonia pada balita sebesar 33,7% dan 71,1% sedangkan tahun 2016 sebesar 41,99%. Penelitian ini bertujuan menganalisis hubungan antara karakteristik petugas, ketersediaan  logistik dan kegiatan pengendalian ISPA dengan cakupan penemuan pneumonia pada balita di Kabupaten Banyuwangi. Desain penelitian yang digunakan adalah analitik cross sectional dengan jumlah sampel 31 responden. Hasil penelitian ini yang memiliki hubungan signifikan dengan cakupan penemuan pneumonia pada balita adalah usia, lama kerja dan peningkatan kapasitas SDM dengan cakupan penemuan pneumonia pada balita. Sedangkan jenis kelamin, pendidikan, pengetahuan, ketersediaan alat diagnostik, buku pedoman, media KIE, media pencatatan dan pelaporan, advokasi dan sosialisasi, penemuan dan tata laksana pneumonia, supervisi, pencatatan dan pelaporan, kemitraan dan jejaring serta monitoring dan evaluasi tidak memiliki hubungan. Dinas Kesehatan Kabupaten banyuwangi diharapkan dapat melaksanakan pelatihan secara berkala setiap tahun kepada pemegang program P2 ISPA mengenai manajemen pengendalian ISPA, tatalaksana pneumonia pada balita serta promosi pengendalian pneumonia pada balita untuk meningkatkan kapasitas sumber daya manusia yang telah tersedia di puskesmas.  
SWOT Analysis on JKN Implementation in Ngaliyan Health Center Semarang in 2016 Melani, Florentina; Santjaka, Aris; Latif, Rr Vita Nur
Unnes Journal of Public Health Vol 7 No 1 (2018): 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 | Full PDF (201.148 KB) | DOI: 10.15294/ujph.v7i1.19197

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ABSTRACT                    The position of  Health Center (Puskesmas) as a first level health facility becomes the spearhead in good implementation of JKN (Jaminan Kesehatan Nasional or National Health Insurance). By using SWOT Analysis in 6M dimension (Men, Money, Method, Material, Machine, Market), it is expected to be an alternative for Ngaliyan Health Center to improve the work performance and become a reliable health facility for Ngaliyan citizens. And it can support the realization of totally covered insurance in 2019. This study aims to explore the strengths, weaknesses, opportunities, and threats to the Ngaliyan Health Center in organizing JKN service in 6M dimension (Men, Money, Method, Material, Market, Machine), to find the critical point and make KSF (Key Success Factor). The research is qualitative descriptive with structured in-depth interview approach. Using 15 informants selected by purposive sampling. The results of this study obtained a critical point that is on the dimension of money. There was a deficit between capitation and expenditure funds of the Health Center in the implementation of JKN.   ABSTRAK                    Kedudukan puskesmas sebagai fasilitas kesehatan tingkat pertama menjadi ujung tombak pelaksanaan JKN yang baik. Dengan menggunakan Analisa SWOT dalam dimensi 6M (Men, Money, Method, Material, Machine, Market) diharapkan menjadi alternatif bagi puskesmas ngaliyan untuk meningkatkan prestasi kerja dan menjadi fasilitas kesehatan yang diandalkan bagi warga Ngaliyan. Serta bisa mendukung terwujudnya totally covered di tahun 2019. Penelitian ini bertujuan untuk mengeksplorasi Kekuatan, Kelemahan, Peluang, dan  Ancaman bagi puskesmas Ngaliyan dalam menyelenggarakan pelayanan JKN dalam dimensi 6M (Men, Money, Method, Material, Market, Machine), untuk menemukan titik kritis, serta membuat FKK (Faktor Kunci Keberhasilan). Penelitian berupa kualitatif deskriptif dengan pendekatan wawancara mendalam terstruktur. Menggunakan 15 orang informan yang dipilih secara purposive sampling.Hasil penelitian ini didapatkan titik kritis yaitu pada dimensi money. Terdapat defisit antara dana kapitasi dan biaya yang dikeluarkan puskesmas dalam pelaksanaan JKN.  
Emotional Freedom Techniques for Reducing Anxiety and Cortisol Level in Pregnant Adolescent Primiparous Mardjan, Mardjan; Prabandari, Yayi Suryo; Hakimi, Mohammad; Marchira, Carla R.
Unnes Journal of Public Health Vol 7 No 1 (2018): 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 | Full PDF (231.971 KB) | DOI: 10.15294/ujph.v7i1.19212

Abstract

ABSTRACT Anxiety during pregnancy in  primiparous mother will be a hard burden because of the immature both psycologic and reproductive organs which can increase the risk of maternal mortality, infant mortality, prolonged childbirth, LBW, postpartum depression, etc. An effort to minimize the anxiety is the implementation of EFT (Emotional Freedom Techniques) during the third trimester.  This research purposed to assess the effectiveness of EFT to decrease anxiety in facing childbirth. This research used the quasi-experimental pre-test and post-test method of treatment and control. The treatment was done during the third trimester, started and followed for 3 months ie month 7th, 8th, 9th. The EFT was implemented every month then continued independently by the mother, until before childbirth process. The research instrument used TMAS (Taylor Manifest Anxiety Scale) and cortisol blood test. The subjects were 38 respondents consisted of 19 interventions and 19 controls. Result with paired t-test, TMAS1,2,3, each stage got significant difference, pre and post blood cortisol level p = 0.0001. Linear regression analysis on TMAS p = 0.001 and R² = 0.57, whereas blood cortisol level p = 0.004 and R² = 0.43. This analysis proved EFT contributed significantly 57% to lower anxiety levels and 43% to lower blood cortisol level, indirectly affected the readiness to face childbirth process.                                                            ABSTRAK         Kecemasan selama kehamilan pada ibu primipara akan memberatkan kondisi bayi dalam kandungan karena secara psikologis kejiwaannya belum siap dan organ reproduksi belum sempurna yang dapat meningkatkan risiko dalam persalinan dan merupakan salah satu faktor penyebab kematian ibu, bayi, partus lama, BBLR, depresi postpartum, dll. Upaya meminimalisasi kecemasan ini dilakukan dengan metode EFT (Emotional Freedom Techniques) selama trimester ketiga.         Tujuan penelitian untuk mengetahui efektivitas EFT terhadap penurunan kecemasan dalam menghadapi persalinan. Penelitian ini menggunakan metode quasi eksperimen pre test dan post terhadap perlakuan dan kontrol. Perlakuan  dilakukan selama trimester III, dimulai dan diikuti selama 3 bulan yaitu  bulan ke-7, 8, 9. EFT dilakukan setiap bulan dan dilanjutkan secara mandiri oleh ibu, sampai menjelang persalinan. Instrumen penelitian menggunakan TMAS (Taylor Manifest Anexity Scale) dan pemeriksaan darah kortisol. Subyek penelitian 38 responden, terdiri atas 19 intervensi dan 19 kontrol.         Hasil penelitian  dengan uji paired t-test, TMAS1,2,3, setiap tahapannya didapatkan perbedaan bermakna yaitu kortisol darah pre dan post p=0,0001, analisa regresi liniear TMAS   p = 0,001, dan R² = 0,57; serta kortisol darah p=0,004 dan R²=0,43. Analisa ini membuktikan EFT berkontribusi 57% menurunkan tingkat kecemasan dan 43%  dalam menurunkan kortisol darah secara signifikan yang secara tidak langsung  berpengaruh terhadap kesiapan menghadapi persalinan.   
The Influence of Organizational Culture on Inpatient Staff Performance of QIM Hospital Atmojo, Agung; Purnomo, Imam Purnomo; Muljono, Slamet
Unnes Journal of Public Health Vol 7 No 1 (2018): 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 | Full PDF (137.091 KB) | DOI: 10.15294/ujph.v7i1.19213

Abstract

ABSTRACT                                                     Organizational culture plays an important role in stimulating the human resources work spirit. The organizational environment affects staff behavior and appearance, as well as staff performance. QIM Hospital is a new hospital. Therefore, it is needed to know the influence of organizational culture on staff performance in the inpatient staffs of QIM Batang Hospital. Using a quantitative research with the survey method. The population in this research was all in-patient staffs of QIM Batang Hospital. A 51 people as a sample and choosen using simple random sampling. Data taken with questionnaire instrument, then analyzed using simple linear regression. The results showed that organizational culture has a positive and significant effect on staff performance. The influence of organizational culture on staff performance is 64.4% (the coefficient of determination of 0.644).   ABSTRAK   Budaya organisasi berperan penting dalam  merangsang semangat kerja sumber daya manusia. Lingkungan organisasi mempengaruhi perilaku dan penampilan pegawai serta kinerja pegawai. RS QIM merupakan rumah sakit yang tergolong baru. Sehingga perlu diketahui pengaruh budaya organisasi terhadap kinerja pegawai rawat inap Rumah Sakit QIM Batang. Melalui penelitian kuantitatif menggunakan metode survei. Populasi dalam penelitian ini adalah seluruh pegawai rawat inap Rumah Sakit QIM Batang. Sampel sebanyak 51 orang menggunakan simple random sampling, instrumen kuesioner, dan data dianalisis menggunakan regresi linier sederhana. Hasil menunjukkan bahwa budaya organisasi memiliki pengaruh positif dan signifikan terhadap kinerja pegawai. Pengaruh budaya organisasi terhadap kinerja pegawai sebesar 64,4% (koefisien determinasi sebesar 0,644).  
User Satisfaction Analysis of Primary Care Information Systems in Semarang City with EUCS Model Prasetyowati, Asih; Kushartanti, Roro
Unnes Journal of Public Health Vol 7 No 2 (2018): 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 | Full PDF (227.974 KB) | DOI: 10.15294/ujph.v7i2.19305

Abstract

Abstract   Primary Care Information System (P-Care) is used at the first level health facility (FKTP) for the service of patients of the National Health Insurance. The purpose of this study was to determine the success of using the P-Care information system by evaluating the system using the End User Computing Satisfaction (EUCS) Model. This is a cross-sectional survey research with Primary Care information system objects. The variables studied were the user satisfaction factors of the p-care information system including content aspects, accuracy, format, ease of use, and timeliness. The research subjects were primary care information system operators with 61 FKTPs as samples. Data were analyzed using descriptive analytical methods. P-care application user satisfaction index was 75.5 (satisfied category). This shows that respondents generally have received the primary care information system. The lowest index on A1 (system accuracy), C1 (accuracy of information), and T1&2 (timeliness of information). The lowest average user satisfaction index is on aspects of system accuracy and timeliness. To improve the index of primary care information system user satisfaction, the BPJS needs to improve system monitoring, increase feedback and increase report output. FKTP can develop a bridging P-Care system and structuring the medical record system to be more effective and efficient.   Keywords : information systems, user satisfaction, primary care, EUCS Model     Abstrak   Sistem Informasi Primary Care (P-Care) digunakan pada fasilitas kesehatan tingkat pertama (FKTP) untuk pelayanan pasien Jaminan Kesehatan Nasional (JKN).  Kepuasan pengguna aplikasi P-Care merupakan faktor penting dalam kinerja sistem informasi. Tujuan penelitian ini adalah mengetahui keberhasilan penggunaan sistem informasi p-care dengan melakukan evaluasi sistem menggunakan End User Computing Satisfaction (EUCS) Model. Jenis penelitian adalah penelitian survey bersifat cross sectional dengan obyek sistem informasi Primary Care. Variabel yang diteliti adalah faktor kepuasan pengguna sistem informasi p-care meliputi aspek content, accuracy, format, ease of use, dan timeliness. Subyek penelitian adalah operator sistem informasi primay care dengan 61 sampel FKTP. Data dianalisis dengan cara diskriptif analitik. Indeks kepuasan pengguna aplikasi P-care adalah 75,5 (kategori puas). Hal ini menunjukkan bahwa responden secara umum sudah menerima sistem informasi primay care.  Indeks terendah pada A1 (akurasi sistem), C1 (ketepatan informasi), dan T1&2 (ketepatan waktu informasi). Rata-rata indeks kepuasan pengguna paling rendah pada aspek akurasi sistem dan ketepatan waktu. Untuk meningkatkan indeks kepuasan pengguna sistem informasi primary care, maka pihak BPJS perlu meningkatkan monitoring sistem, meningkatkan feedback dan penambahan output laporan. FKTP dapat mengembangkan sistem bridging p-care dan penataan sistem rekam medis untuk pelayanan pasien yang lebih efektif dan efisien.   Kata kunci : sistem informasi, kepuasan pengguna, primary care, EUCS Model

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