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Unnes Journal of Public Health
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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Correlated Factors on Performance of Tuberculosis Program Officers at Community Health Clinic in Increasing the Finding of New AFB Smear-Positive Cases
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v7i1.16705

Abstract

ABSTRACT Semarang regency had CDR issues under the national target. The activity of new cases finding determine the success of the tuberculosis eradication programs, so the process of find new AFB smear-positive cases by officers is crucial. The purpose of this study was to determine factors related to the performance of tuberculosis officers at the community health clinic in increasing the findingof AFB smear-positive new cases (case study in Semarang regency). This type of research is observational analytic, with the cross-sectional design involving 45 saturated samples. Data analysis used was chi-square test. The results showed that factors related to the performance of tuberculosis programs officers were knowledge (p = 0.022), training (p = 0.001), double duty (p = 0.014), screening for active TB suspect (p = 0.038), motivation (0.040) and attitude (p = 0.011). While there was no correlation between years of service (p = 0.152), facilities (p = 0.154), and incentive (p = 0.121). ABSTRAK Kabupaten Semarang memiliki permasalahan CDR di bawah target nasional. Kegiatan penemuan kasus baru menentukan keberhasilan program pemberantasan tuberkulosis, sehingga proses penemuan kasus baru BTA positif oleh petugas sangat menentukan. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kinerja petugas tuberkulosis puskesmas dalam meningkatkan penemuan kasus baru BTA positif (studi kasus di Kabupaten Semarang). Jenis penelitian ini adalah analitik observasional, dengan desain cross sectional yang melibatkan 45 sampel jenuh. Analisis data menggunakan uji chi square. Hasil penelitian menunjukkan faktor yang berhubungan dengan kinerja petugas program tuberkulosis puskesmas adalah pengetahuan (p = 0,022), pelatihan (p = 0,001), tugas rangkap (p = 0,014), penjaringan suspek TB aktif (p = 0,038), motivasi (0,040), dan sikap (p = 0,011). Sementara tidak ada hubungan antara faktor masa kerja (p = 0,152), sarana (p = 0,154), dan insentif (p = 0,121).
PETA JALAN PEMBANGUNAN KESEHATAN KABUPATEN MANGGARAI BARAT TAHUN 2016-2021
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v6i4.16783

Abstract

Abstrak Pembangunan kesehatan adalah upaya meningkatkan kesadaran, kemauan dan kemampuan hidup sehat setiap orang mewujudkan kesehatan masyarakat yang optimal. Dalam perencanaan dan penganggaran pembangunan kesehatan di Manggarai Barat, setiap unsur-unsur sumber daya kesehatan dan non kesehatan bekerja parsial sehingga hasil pembangunannya belum mencapai target yang ditetapkan oleh Kementerian Kesehatan Republik Indonesia. Tujuan penelitian ini adalah merumuskan peta jalan sebagai rujukan perencanaan dan penganggaran pembangunan kesehatan di Kabupaten Manggarai Barat selama tahun 2016 sampai tahun 2021. Desain penelitian kualitatif dan kuantitatif melalui analisis data sekunder publikasi BPS provinsi Nusa Tenggara Timur dan Profil Kesehatan Provinsi Nusa Tenggara Timur. Pelaksanan penelitian melalui lokakarya persepsi tentang isu kesehatan, FGD penyusunan agenda kebijakan dan rekomendasi pembangunan kesehatan. Peserta FGD sebanyak 35 orang. Lama penelitian dua bulan mulai Juni-Juli 2016. Hasil dari penelitian ini adalah tersusunnya dokumen perencanaan sebagai peta jalan pembangunan kesehatan Kabupaten Manggarai Barat 2016-2021 berbasis tujuh sub sistem kesehatan daerah sebagai penjabaran misi pembangunan kesehatan Kabupaten Manggarai Barat, yakni meningkatkan layanan kesehatan, pendidikan dan perlindungan sosial. Peta jalan berisi strategi dan kebijakan pembangunan kesehatan disertai target sebagai indikator capaian kinerja pembangunan kesehatan di kabupaten Manggarai Barat sampai tahun 2021. Kata kunci: Peta jalan, pembangunan kesehatan, sehat Abstract Health development is effort to increase awareness, willingness and ability to live healthy every person realize optimal public health. In health development planning and budgeting in West Manggarai, every element of health and non-health resources works partially so that the development results have not reached the target set by the Ministry of Health Republic of Indonesia. The purpose of this research was to formulate road map as reference for health development planning and budgeting in West Manggarai District during 2016 until 2021. Research design was combined from qualitative and quantitative research through secondary data analysis of BPS publication and health profile East Nusa Tenggara Province. Conducting research through perception workshops on health issues, FGD on policy agendas and health development recommendations. FGD participants were 35 people. Duration of two months study from June to July 2016. The drafting of planning document as road map of health development of West Manggarai District 2016-2021 based on seven sub-system of regional health the elaboration health development mission, improving health care, education and social protection. The road map contains health development strategies and policies with targets indicator of health development performance achievements in West Manggarai District 2021. Keywords; Road map, health development, healthy
POLA KONSUMSI FAST FOOD DAN SERAT SEBAGAI FAKTOR GIZI LEBIH PADA REMAJA
Unnes Journal of Public Health Vol 5 No 3 (2016): Unnes Journal Of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v5i3.16792

Abstract

Abstrak Gizi lebih atau overweight pada saat sekarang merupakan masalah kesehatan di seluruh dunia, mempengaruhi tidak hanya negara maju tapi juga negara berkembang. Survei obesitas yang dilakukan akhir-akhir ini pada anak remaja siswa/siswi SLTP di Yogyakarta menunjukkan bahwa 7,8% remaja di perkotaan dan 2% remaja di daerah pedesaan mengalami obesitas. Pada tahun 2011 berdasarkan hasil penjaringan peserta didik TA 2011/2012 di Kota Semarang pada remaja usia 16 tahun dari 16.579 anak sebesar 3,71% berstatus gizi lebih. Penelitian ini bertujuan mengetahui apakah ada hubungan antara serat dan fast food dengan gizi lebih. Penelitian ini dilakukan di Kota Semarang pada remaja sejumlah 65 orang. Variabel bebas penelitian ini adalah pola konsumsi fast food dan serat, sedangkan variabel terikatnya adalah status gizi. Analisis data yang digunakan adalah chi square. Hasilnya, 58,5% responden mengalami malnutrisi yang terdiri dari underweight, overweight, obesitas I, dan obesitas II; sementara 41,5% responden berstatus gizi normal. Sehingga bisa dikatakan bahwa remaja bermasalah dengan status gizi. Konsumsi fast food (p=0,21) dan serat (p=0,43) tidak berhubungan dengan overweight. Sebagian besar responden sering mengkonsumsi fast food (95,4%) dan kurang mengkonsumsi serat (84,6%). Abstract Overweight is a health problem worldwide, affecting not only developed countries but also developing countries. A recent obesity survey in junior high school students in Yogyakarta showed that 7.8% of teenagers in urban areas and 2% of adolescents in rural areas were obese. In 2011, 3.71% from 16,579 adolescents aged 16 in Semarang were over nutrition. This study aimed to determine if fiber and fast food consumption were correlated with over nutrients. This research was conducted in Semarang with 65 adolescent students as respondents. The independent variables were the pattern of fast food and fiber consumption, while the dependent variable is nutritional status. The data were analyzed with chi square test. The result showed that 58.5% of respondents were malnourished, which consists of underweight, overweight, obese I and obese II; while 41.5% of them were normal in nutrition status. It could be said that the teenagers had a problem with nutritional status. Fast food consumption (p = 0.21) and fiber consumption (p = 0.43) were not significantly associated with overweight. Most respondents consume fast food frequently (95.4%) and consume fiber less (84.6%).
Analysis of Health Service Payment Utilization in National Health Insurance (JKN) by Premium-Aid-Recipient (PBI) Insurers
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v7i1.16966

Abstract

Abstrak Salah satu temuan dalam evaluasi pelaksanaan Jaminan Kesehatan Nasional (JKN) pada 2 tahun pertama adalah tingginya rasio klaim pada pelayanan rawat jalan tingkat lanjutan pada Fasilitas Kesehatan Tingkat Lanjutan (FKTL). Biaya pelayanan kesehatan rill per jiwa pada peserta Non PBI Mandiri adalah sebesar Rp282.139,00 jauh lebih besar dari rata - rata besaran Per Orang Per bulan sebesar Rp27.062,00. Rasio klaim pada pool Non PBI Mandiri adalah sebesar 1380%. Ini berbanding terbalik dengan peserta PBI yang pemanfaatan yankes masih jauh di bawah yang seharusnya dengan rasio klaim yang sangat rendah. Tujuan khusus dari penelitian ini adalah menganalisis pola pemanfaatan jaminan pembiayaan kesehatan era JKN pada peserta PBI untuk mengetahui gambaran determinan yang mempengaruhinya dan menghasilkan rekomendasi terhadap perbaikan kebijakan pembiayaan kesehatan masyarakat sektor informal non miskin dan miskin yang diharapkan dapat mendukung upaya perluasan kepesertaan menuju kesehatan masyarakat semesta. Penelitian ini menggunakan penelitian pendekatan kualitatif. Hasil penelitian menunjukkan bahwa pengetahuan mengenai gambaran peresepsi masyarakat tentang program JKN dipengaruhi oleh tingkat pendidikan partisipan, keaktifan partisipan dalam mengikuti organisasi, serta adanya tindakan penyuluhan mengenai program JKN.
HUBUNGAN TEMAN SEBAYA, CITRA TUBUH DAN POLA KONSUMSI DENGAN STATUS GIZI REMAJA PUTRI
Unnes Journal of Public Health Vol 6 No 3 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v6i3.17016

Abstract

Abstrak Teman sebaya dan citra tubuh merupakan faktor yang dapat menyebabkan remaja putri merasa kelebihan berat badan dan merasa tidak puas terhadap bentuk tubuhnya. Remaja tersebut akan menerapkan perilaku makan yang tidak sehat yang akhirnya berdampak pada status gizi yang buruk. Tujuan penelitian ini adalah untuk menganalisis hubungan teman sebaya, citra tubuh dan pola konsumsi dengan status gizi remaja putri SMAN 1 Kupang. Metode penelitian yang digunakan adalah survei analitik dengan rancangan cross sectional study. Populasi penelitian adalah seluruh siswi yang ada di SMAN 1 Kupang dan sampel penelitian sebesar 88 responden yang diperoleh dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa variabel yang mempunyai hubungan dengan status gizi remaja putri yaitu teman sebaya sedangkan variabel yang tidak mempunyai hubungan yaitu citra tubuh dan pola konsumsi. Upaya peningkatkan pengetahuan remaja tentang diet yang benar sangat diperlukan agar tidak mudah terpengaruh oleh teman sebaya dan melakukan diet yang salah. Abstract Peers and body image are factors that caused adolescents to feel overweight and dissatisfied toward her body shape. Then adolescents will ted to eat unhealthy food that results in a low nutritional status. The aim of this study was to analyze the relationship of peer, body image, and consumption pattern with nutritional status of adolescents at SMAN 1 Kupang. Research method used was analytical survey with cross sectional study design. The population of this study was all students in SMAN 1 Kupang and sample of this study was 88 respondents selected by using simple random sampling technique. Peers were significantly related to nutritional status of adolescents. While the variables that had no relationship were body image and consumption pattern. The efforts to increase knowledge about proper diet is necessary for adolescents so that they could not easily affected by peers and have wrong diet.
The Correlation between Junk Food Consumption and Age of Menarche of Elementary School Student In Gedung Johor Medan
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v7i1.17093

Abstract

ABSTRACT Acceleration age of menarche, can increase the chances of endometrial hyperplasia. The incidence of uterine and breast cancer are associated with early menarche. Junk food is indicated as one of the triggers of early menarche. With observational-analytic research and case-control research design, it was conducted to determine the effect of junk food in early menarche at elementary school student. The population of the study was the 6th grade elementary school students who had been menstruated, yet the sample was chosen randomly. Data collected using questionnaires, also measuring weight and height, then analysed using chi-square. The results shows a relationship between junk food consumption with early menarche incidence (p = 0.021) and OR 1.889. This is due to the high consumption patterns of junk food/fast food in teenages. Affected by behavioral patterns of people who tend to choose practical food, easy to get and ready to eat. ABSTRAK Percepatan usia menarche dapat memperbesar peluang terjadI hyperplasia endometrium. Insiden kanker uterus dan kanker payudara dihubungkan dengan menarche dini. Junk food diindikasi sebagai salah satu pemicu menarche dini. Dengan penelitian observasional-analitik dan desain penelitian case-control, dilakukan untuk mengetahui pengaruh junk food pada menarche dini di usia SD. Populasi penelitian adalah siswi SD kelas VI yang sudah haid /belum, sampel dipilih secara random. Pengumpulan data menggunakan kuesioner kepada siswi, menimbang berat badan serta mengukur tinggi badan. Analisis data menggunakan chi-square. Hasil penelitian bahwa ada hubungan konsumsi junk food dengan kejadian menarche dini (p=0,021) dan OR 1,889. Hal ini disebabkan Tingginya pola konsumsi junk food/fast food pada remaja dipengaruhi oleh pola perilaku masyarakat yang cenderung memilih makanan praktis, mudah didapat dan siap saji.
Factors Related to Soil Transmitted Helminth Infection on Primary School Children
Unnes Journal of Public Health Vol 7 No 1 (2018): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v7i1.17400

Abstract

ABSTRACT Infeksi Soil Transmitted Helminth (STH) is the third ranks of the top 10 common infectious diseases in the world with an incidence rate of about 1.4 billion per year. The incidence of STH in Indonesia is still quite high. This figure occurs in primary school students of 60-80%, while for all ages of 40% -60%. The purpose of this study was to determine factors related to STH infection in elementary school children at primary school of Moyudan Sleman. The type of research used was analytic observational with the cross-sectional design. The population in this study were all students of class I, II, and III in Moyudan Sleman primary school with total sampling technique of 60 respondents. Data analysis used chi-square. The test results showed that the habit of hand washing before eating (sig= 0.010; RP= 3.850), the habit of hand washing after defecating(sig= 0.007; RP= 4.571), nail hygiene (sig= 0.179; RP= 2.138), the habit of wearing footwear (sig= 0.008; RP= 3.714), and bowel habits (sig= 0.004; RP= 4.000). It can be concluded that there was a relationship between hand washing before eating, hand washing after defecating, the habit of wearing footwear, bowel habits and STH infection on the students of Moyudan Sleman primary school but there was no relationship between nail hygiene and STH infection. ABSTRAK Infeksi Soil Transmitted Helminth (STH) adalah penyakit yang menempati urutan ketiga dari 10 penyakit menular di dunia dengan tingkat kejadian sekitar 1,4 miliar per tahun. Insiden STH di Indonesia masih cukup tinggi. Angka tersebut terjadi pada siswa di sekolah dasar mencapai 60-80%, sedangkan untuk semua usia berkisar antara 40%-60%. Tujuan dari penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan infeksi STH pada anak sekolah dasar di SD Negeri Moyudan Sleman. Penelitian ini adalah observasional analitik dengan rancangan cross sectional. Populasi dalam penelitian ini adalah semua siswa kelas I, II, dan III di SD Moyudan Sleman dengan teknik total sampling yaitu 60 responden. Analisis data menggunakan uji chi-squre. Hasil uji menunjukkan bahwa mencuci tangan sebelum makan (sig= 0,010; RP= 3,850), mencuci tangan setelah buang air besar (sig= 0,007; RP= 4,571), kebersihan kuku (sig= 0,179; RP= 2,138), kebiasaan memakai alas kaki (sig= 0,008; RP= 3,714), dan perilaku buang air besar (sig= 0,004; RP= 4,000). Disimpulkan bahwa ada hubungan antara mencuci tangan sebelum makan, mencuci tangan setelah BAB, kebiasaan memakai alas kaki, dan perilaku buang air besar dengan infeksi STH pada anak-anak sekolah dasar Moyudan Sleman, sementara kebersihan kuku tidak memiliki hubungan dengan infeksi STH. Kata kunci: Infeksi STH, faktor risiko, sekolah dasar ABSTRACT Infeksi Soil Transmitted Helminth (STH) is the third ranks of the top 10 common infectious diseases in the world with an incidence rate of about 1.4 billion per year. The incidence of STH in Indonesia is still quite high. This figure occurs in primary school students of 60-80%, while for all ages of 40% -60%. The purpose of this study was to determine factors related to STH infection in elementary school children at primary school of Moyudan Sleman. The type of research used was analytic observational with the cross-sectional design. The population in this study were all students of class I, II, and III in Moyudan Sleman primary school with total sampling technique of 60 respondents. Data analysis used chi-square. The test results showed that the habit of hand washing before eating (sig= 0.010; RP= 3.850), the habit of hand washing after defecating(sig= 0.007; RP= 4.571), nail hygiene (sig= 0.179; RP= 2.138), the habit of wearing footwear (sig= 0.008; RP= 3.714), and bowel habits (sig= 0.004; RP= 4.000). It can be concluded that there was a relationship between hand washing before eating, hand washing after defecating, the habit of wearing footwear, bowel habits and STH infection on the students of Moyudan Sleman primary school but there was no relationship between nail hygiene and STH infection.
PENINGKATAN CD8 DAN IFN-γ PADA HYPERSENSITIVITY PNEUMONITIS (HP) AKIBAT PAJANAN DEBU PENGGILINGAN PADI
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v6i4.17732

Abstract

Abstrak Masalah klinis kesehatan kerja pada pekerja penggilingan padi saat ini adalah penyakit saluran pernafasan. Penelitian ini bertujuan untuk menganalisis peningkatan CD8 dan IFN-γ pada Pneumonitis Hipersensitif (HP) akibat pajanan debu penggilingan padi pada mencit (Musmusculus) BALB/C. Penelitian yang dilakukan adalah penelitian eksperimental laboratoris dengan hewan coba mencit (Musmusculus) BALB/C, rancangan penelitian yang digunakan adalah Randomized the post test only control group design. Mencit (Musmusculus) BALB/C dipajan dengan debu penggilingan padi selama empat jam/hari selama tiga puluh hari dengan konsentrasi 0.50 mg/m3, 0.75 mg/m3, 1.00 mg/m3. Variabel bebas adalah debu penggilingan padi, sedangkan variabel tergantung adalah CD8 dan IFN-γ, serta gambaran histopatologis paru mencit, sedangkan variabel kendali adalah strain, berat badan, dan umur. Hasil penelitian menunjukkan bahwa terjadi peningkatan kadar CD8 antara kontrol dengan perlakuan, dan secara statistik ada perbedaan yang bermakna. Kemudian terjadi peningkatan IFN-γ dan secara statistik ada perbedaan yang bermakna antara kontrol dan perlakuan pada mencit (Musmusculus) BALB/C. Hasil penelitian dapat digunakan sebagai dasar upaya pencegahan dan pemberian terapi penyakit HP lebih dini sehingga dapat meningkatkan kualitas paru. Kata Kunci: CD8, IFN-γ, debu penggilingan padi Abtract The purpose of this research was to analyze increase of CD8 and IFN-γ of Hypersensitivity Pneumonitis (HP) as a result from the exposure of dust from paddy milling on mice (Musmusculus)BALB/C. The research done was a laboratory experimental research with mice (MusMusculus) as experimental animal. The research design used was the post only control group design using mice (MusMusculus) Balb/c as experimental animal. Mice (Musmusculus) Balb/c were exposed to dust from paddy milling for four (4) hours/day and it was done for thirty (30) days with the exposed concentrations respectively were 0.50 mg/m3, 0.75 mg/m3, 1.00 mg/m3.The research variables were free variable, dependent variable, and control variable. Independent variable was dust from paddy milling, dependent variables were Hypersensitivity Pneumonitis (HP), CD8 and IFN-γ, while control variables were strain, body weight and age of mice (MusMusculus) Balb/c. The research result showed that there was an increase of CD8, and statistically there was significant difference; there was an increase on IFN-γ and statistically there was a significant difference between the study and control on mice BALB/C. It was suggested that: the research result be used to underlie a preventive action and an early therapy on Hypersensitivity Pneumonitis (HP) so that it increase the quality of lung. Keywords: CD8, IFN-γ, dust from paddy milling Abtract The purpose of this research was to analyze increase of CD8 and IFN-γ of Hypersensitivity Pneumonitis (HP) as a result from the exposure of dust from paddy milling on mice (Musmusculus)BALB/C. The research done was a laboratory experimental research with mice (MusMusculus) as experimental animal. The research design used was the post only control group design using mice (MusMusculus) Balb/c as experimental animal. Mice (Musmusculus) Balb/c were exposed to dust from paddy milling for four (4) hours/day and it was done for thirty (30) days with the exposed concentrations respectively were 0.50 mg/m3, 0.75 mg/m3, 1.00 mg/m3.The research variables were free variable, dependent variable, and control variable. Independent variable was dust from paddy milling, dependent variables were Hypersensitivity Pneumonitis (HP), CD8 and IFN-γ, while control variables were strain, body weight and age of mice (MusMusculus) Balb/c. The research result showed that there was an increase of CD8, and statistically there was significant difference; there was an increase on IFN-γ and statistically there was a significant difference between the study and control on mice BALB/C. It was suggested that: the research result be used to underlie a preventive action and an early therapy on Hypersensitivity Pneumonitis (HP) so that it increase the quality of lung. Keywords: CD8, IFN-γ, dust from paddy milling
FAKTOR-FAKTOR YANG MEMPENGARUHI EFEKTIVITAS PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK (PPIA) DI KOTA JAYAPURA
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v6i4.17733

Abstract

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
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) 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.v6i4.17736

Abstract

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

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