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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.
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Articles 635 Documents
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Risk Factors of Autism Spectrum Disorder (ASD)
Unnes Journal of Public Health Vol 7 No 2 (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.v7i2.20565

Abstract

Abstract There were 112,000 ASD sufferers in Indonesia in 2012 and in 2015 it was estimated that there were 1 per 250 children or 134,000 sufferers. The proportion of ASD was 62.8% and in 2016 it was 1.28 out of 1000 children in 2015. This study aimed to determine the risk factors for the incidence of ASD in Pontianak City. The research method was analytic observational with a control case study design. The sample was 70 people (35 cases and 35 controls) taken by purposive sampling technique. Data analysis used Chi-Square test (α = 0,05). The results showed that the factors associated with the incidence of ASD were father's age (p = 0.03; OR = 4.00; CI = 1.250-12.804), stress history during pregnancy (p = 0.04; OR = 3.18; CI = 1.13-8.93) and insufficient months of birth (p = 0.036; OR = 4.88; CI = 1.22-19.4), while age of mother during pregnancy, passive smoker, antenatal hemorrhage and pregnancy interval were not associated with the incidence of ASD (p> 0.05). The conclusion of this study is father's age, the presence of a history of stress during pregnancy and insufficient months of birth associated with the incidence of ASD. Keywords: Father’s age, Stress History, Autism Spectrum Disorder Abstrak Autism Spectrum Disorder (ASD) dikenal sebagai triad of impairments yaitu adanya gangguan perkembangan pada aspek komunikasi, adanya perilaku yang diulang-ulang dan gangguan dalam berinteraksi dengan lingkungan. Pada tahun 2012 dilaporkan sebanyak 112.000 penderita ASD di Indonesia, tahun 2015 diperkirakan terdapat 1 per 250 anak atau 134.000 penderita. Data dari UPTD Autis Center Kota Pontianak tahun 2015 proporsi ASD sebesar 62,8% dan pada tahun 2016 sebesar 1,28 dari 1000 anak. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian ASD di Kota Pontianak. Metode penelitian adalah observasional analitik dengan desain studi kasus kontrol.Sampel penelitian berjumlah 70 orang (35 kasus dan 35 kontrol) yang diambil dengan teknik purposive sampling. Analisis data menggunakan uji Chi-Square (α=0,05). Hasil penelitian menunjukkan faktor yang berhubungan dengan kejadian ASD adalah usia ayah (p=0,03; OR=4,00; CI=1,250-12,804), riwayat stres saat hamil (p=0,04; OR=3,18; CI=1,13-8,93) dan lahir belum cukup bulan (p=0,036; OR=4,88; CI=1,22-19,4), sedangkan usia ibu saat hamil, perokok pasif, perdarahan antenatal dan jarak kehamilan tidak berhubungan dengan kejadian ASD (p>0,05). Simpulan penelitian ini adalah faktor usia ayah, adanya riwayat stres saat hamil dan kelahiran belum cukup bulan berhubungan dengan kejadian ASD. Keyword : Usia ayah, riwayat stress, Autism Spectrum Disorder
Parenting Stress and Hypertension in Parents of Mental Retardation Children
Unnes Journal of Public Health Vol 7 No 2 (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.v7i2.20807

Abstract

Abstract Parents with mental retardation children experience higher parenting stress than parents with other types of disability. Differences in responses to stressors indicate a level of parenting stress that is influenced by the characteristics of children, family, parents, and the environment. Parenting stress that is not managed and occurs in a long time can cause physical disorders of hypertension. The purpose of this study was to describe the parenting stress and the incidence of hypertension in the parents of children with mental retardation aged 12-15 years. This research is a descriptive research with quantitative approach. The sample of this study was the father and mother of mental retardation students aged 12-15 years of 59 respondents who met the criteria of inclusion and exclusion. The result of this research is most of the hypertension respondent have high parenting stress level of 53,6% in fathers and 64,5% in mothers. Keywords: hypertension, mental retardation, parenting stress, parents. Abstrak Orang tua dengan anak retardasi mental cenderung mengalami parenting stress tinggi dibandingkan orang tua dengan anak jenis kecacatan lain. Adanya perbedaan tanggapan terhadap stressor menunjukkan adanya tingkatan parenting stress yang dipengaruhi oleh karakteristik anak, keluarga, orang tua, dan lingkungan. Parenting stress yang tidak dikelola dan tejadi dalam waktu lama terjadi dapat menyebabkan gangguan fisik hipertensi. Tujuan penelitian ini adalah menggambarkan parenting stress dan kejadian hipertensi pada orang tua yang mengasuh anak retardasi mental usia 12-15 tahun. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Sampel penelitian ini adalah ayah dan ibu siswa retardasi mental usia 12 – 15 tahun sebesar 59 responden yang memenuhi kriteria inklusi dan eksklusi. Hasil dari penelitian ini adalah sebagian besar responden hipertensi mengalami tingkat parenting stress tinggi sebesar 53.6 % pada ayah dan 64.5 % pada ibu. Kata kunci: hipertensi, orang tua, parenting Stress, retardasi mental.
Factors of Loss to Follow-up Antiretroviral Therapy in Islanded Area
Unnes Journal of Public Health Vol 7 No 2 (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.v7i2.20901

Abstract

ABSTRACT Loss to follow-up of antiretroviral therapy is when PLWHA (People Living with HIV/AIDS) do not come for antiretroviral therapy for more than 3 months. This study aimed to determine the factors of loss to follow-up antiretroviral therapy for PLWHA at Prof. Dr. W. Z. Johannes Kupang Public Hospital where PLWHA with land, water and air transportation are served. This was a case control study with 66 samples of PLWHA. The samples underwent antiretroviral therapy in Prof. Dr.W.Z. Johannes Kupang Public Hospital from 2006 to 2016. Saturated sampling technique was done for cases group and simple random sampling was done for control group. Univariate and bivariate data analysis were done in this study. The result of bivariate analysis showed that there were association between intention (p = 0.004, OR = 4.667), self efficacy (p = 0.0001, OR = 7.875), action (p = 0.0001, OR = 45.000), transportation mode (p = 0.046, OR = 0.200), and transport costs (p = 0.0001, OR 19.333) and loss to follow-up antiretroviral therapy. It could be concluded that transportation and behavior were the major problems for the loss to follow up antiretroviral therapy in the islanded area. Keywords: HIV/AIDS, antiretroviral therapy, loss to follow-up, islanded area ABSTRAK Gagal follow-up antiretroviral therapy adalah jika ODHA (Orang dengan HIV/AIDS) tidak menjalani terapi antireroviral lebih dari 3 bulan terakhir. Penelitian ini bertujuan untuk mengetahui faktor-faktor gagal follow-up antiretroviral therapy pada ODHA di RSUD Prof. Dr. W. Z. Johannes Kupang yang melayani para ODHA dengan moda transportasi darat, air, dan udara. Desain penelitian ini adalah case control. Sampel sebanyak 66 ODHA yang menjalani antiretroviral therapy di RSUD Prof. Dr.W.Z. Johannes Kupang sejak tahun 2006 sampai 2016. Teknik pengambilan sampel yang digunakan adalah sampel jenuh untuk kelompok kasus dan simple random sampling untuk kelompok kontrol. Analisis data menggunakan prosentase untuk univariat dan bivariat. Hasil analisis bivariat menunjukkan ada pengaruh niat (p = 0,004, OR = 4,667), self efficacy (p = 0,0001, OR = 7,875), tindakan (p = 0,0001, OR = 45,000), moda transportasi (p = 0,046, OR = 0,200), dan biaya transportasi (p = 0,0001, OR 19,333) terhadap gagal follow up terapi antiretroviral. Dapat disimpulkan bahwa masalah utama gagal follow up terapi antiretroviral di wilayah berkepulauan ini adalah transportasi dan perilaku. Kata Kunci: HIV/AIDS, terapi antiretroviral, gagal follow up, wilayah berkepulauan.
Effect of Patients Behavior and Family Health Companion Role on Hypertension Complication Occurrence
Unnes Journal of Public Health Vol 7 No 2 (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.v7i2.20982

Abstract

ABSTRACT Various efforts of hypertension complications prevention have been carried out properly but the prevalence of hypertensive complications in NTT Province is still very high. The study aimed to determine the effect of patient behavior and family health companion role on the incidence of hypertension complications. The study was carried out in the work area of Sikumana Health Center in Kupang City with a case-control design. A total of 40 case samples and 40 control samples were taken by simple-random sampling. Data were analyzed by bivariate (simple logistic-regression) and multivariate (multiple-logistic regression), with significant values ​​of α <0.05 and OR> 1. The results showed that 70% of patients experienced Non-Hemorrhagic Stroke (SNH) complications and 30% experienced complications of Coronary Artery Disease (CAD). The results of the knowledge factor analysis (α=0.000, OR=4.775), attitude (α=0.998, OR=1.876), practice (α=0.000, OR=18.599), family health officer (α=0.000, OR=15.13) and simultaneously the practices of the patient (α=0.000, OR=17.233). There was a significant influence on patient knowledge, patient practices, and family health companion role on the incidence of hypertensive complications. The most influential variable was the patient's practices. Patients who had poor behavior had a risk of 17.233 times greater of complications of hypertension. Keywords : behavior of patients, family health companion role, complications of hypertension ABSTRAK Beragam upaya untuk mencegah komplikasi hipertensi, telah dilaksanakan dengan baik. Namun prevalensi komplikasi hipertensi di NTT masih sangat tinggi. Penelitian bertujuan untuk mengetahui pengaruh perilaku pasien dan peran pendamping kesehatan keluarga pada kejadian komplikasi hipertensi. Penelitian dilakukan di wilayah kerja Puskesmas Sikumana Kota Kupang dengan desain kasus-kontrol. Sebanyak 40 sampel kasus dan 40 sampel kontrol, diambil secara simple-random-sampling. Data dianalisis bivariat (regresi-logistic-sederhana) dan multivairiat (regresi-logistic-berganda), dengan nilai signifikan α<0,05 dan OR>1. Hasil penelitian menunjukkan 70% pasien mengalami komplikasi Stroke Non Haemoragik (SNH) dan 30% mengalami komplikasi Coronary Artery Diseases (CAD). Hasil analisis faktor pengetahuan (α=0,000, OR=4,775), sikap (α=0,998, OR=1876), tindakan (α=0,000, OR=18,599), peran pendamping kesehatan keluarga (α=0,000, OR=15,13), dan secara simultan tindakan pasien (α=0,000, OR=17,233). Ada pengaruh signifikan antara pengetahuan pasien, praktek/tindakan pasien, dan peran pendamping kesehatan keluarga terhadap kejadian komplikasi hipertensi. Variabel yang paling berpengaruh adalah praktek/tindakan pasien. Pasien yang memiliki praktek/tindakan kurang baik memiliki risiko 17,233 kali lebih besar terjadi komplikasi hipertensi. Kata Kunci : perilaku pasien, peran pendamping kesehatan keluarga, komplikasi hipertensi
Factors Related to Healing Process of Sectio Caesarea Surgical Wound
Unnes Journal of Public Health Vol 7 No 2 (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.v7i2.21705

Abstract

ABSTRACT Sectio caesarea surgical wound is a disorder in the incontinence of cells due to surgery performed to remove the fetus and placenta by opening the abdominal wall for certain indications. The aim of the study was to analyze and make a modeling of the relationship of factors in healing the sectio caesarea surgical wounds. This research is an analytic observational study with cross-sectional design. The sample in this study were 42 mothers with post sectio caesarea surgery at Prof. DR. W.Z. Johannes Kupang Public Hospital. Sampling was performed by simple random sampling. Data analysis was carried out in a bivariate and multivariate analysis. The results of the bivariate analysis found that the variables that give risk to wound healing were age (p = 0.041; RP = 3.4), discharge planning (p = 0.004; RP = 4.75), personal hygiene (p = 0.003; RP = 0.18), nutritional status (p = 0.013; RP = 0.15). Multivariate analysis found three variables that consistently provide risks to wound healing, namely discharge planning (p = -2.078; RP = 829 95% CI), personal hygiene (p = -1.852; RP = 1.039 95% CI), nutritional status (p = -2,374; RP = 1,023 95% CI). Probability model for healing the surgical wound at Prof. Dr. W.Z. Johannes, namely personal hygiene, nutritional status, discharge planning are factors related to wound healing. Keywords : sectio caesarea, wound, discharge planning, personal hygiene ABSTRAK Luka operasi sectio caesarea adalah gangguan dalam inkontuinitas sel akibat dari pembedahan yang dilakukan untuk mengeluarkan janin dan placenta dengan membuka dinding perut atas indikasi tertentu. Tujuan penelitian untuk menganalisis dan membuat pemodelan hubungan faktor pada penyembuhan luka operasi sectio caesarea. Penelitian ini merupakan studi observasional analitik dengan desain cross sectional. Sampel pada penelitian ini sebanyak 42 ibu post operasi sectio caesarea di RSUD Prof. DR. W.Z. Johannes Kupang. Pengambilan sampel secara simple random sampling. Analisis data dilakukan secara bivariat dan multivariat. Hasil analisis bivariat menemukan variabel yang memberikan risiko terhadap penyembuhan luka adalah umur (p=0,041; RP=3,4), discharge planning (p=0,004; RP=4,75), personal hygiene (p=0,003; RP=0,18), status gizi (p=0,013; RP=0,15). Analisis multivariat menemukan tiga variabel yang konsisten memberikan risiko terhadap penyembuhan luka yaitu discharge planning (p= -2.078; RP=829 95% CI), personal hygiene (p= -1.852; RP= 1,039 95% CI), status gizi (p= -2.374; RP=1,023 95% CI). Model probabilitas penyembuhan luka operasi di RSUD Prof. Dr. W.Z. Johannes yaitu personal hygiene, status gizi, discharge planning merupakan faktor yang berhubungan dengan penyembuhan luka. Kata kunci : sectio caesarea, luka, discharge planning, personal hygiene
***[RETRACTED]*** Effectiveness of Ferro Sulfate Supplementation on Hemoglobin and Ferritin Levels of Trimester I Pregnant Women
Unnes Journal of Public Health Vol 8 No 1 (2019): 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.v8i1.22131

Abstract

RETRACTION TO: Isfaizah & Cahyaningrum. 2019. Effectiveness of Ferro Sulfate Supplementation on Hemoglobin and Ferritin Levels of Trimester I Pregnant Women. Unnes Journal of Public Health, 8(1): 51-56. This article has been retracted by Publisher based on the following reason: It is reported that this article has been published in Jurnal Medika Respati Volume 13 Issue 3, 2018 [http://medika.respati.ac.id/index.php/Medika/article/view/174/165]. Based on clarification, authors of the above paper have admitted submitting this paper to the both journals which it is forbidden and already explained explicitly in submission form of Unnes Journal of Public Health. One of the conditions of submission of a paper for publication in this journal is that authors declare explicitly that their work is original and has not appeared in a publication elsewhere. As such this article represents a severe abuse of the scientific publishing system. The scientific community takes a very strong view on this matter and apologies are offered to readers of the journal that this was not detected during the submission process.
Parental Permissiveness And Family Functions On Unwanted Pregnancy In Teenagers
Unnes Journal of Public Health Vol 8 No 1 (2019): 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.v8i1.22441

Abstract

Abstract ASFR (Age Specific Fertility Rate) in Sintang District of pregnancy on 15-19 years old teenagers was 9.85%, the highest in West Kalimantan. The aim of the study was to determine the association between parental permissiveness to teen dating behavior and the concept of family function with unwanted pregnancy in teenagers in the work area of Mensiku Health Center Sintang District. The study used a cross-sectional design with a quantitative approach. The sample in this study were 60 people. Statistical tests used the chi-square test with a confidence level of 95%. The results showed parental permissiveness (p-value = 0.004; PR = 2.176), religious function (p-value = 0.02; PR = 1.726), and reproductive function (p-value = 0.033; PR = 1.696) were associated with unwanted pregnancy. Social-cultural function, affection function, protection function, socialization and education function, economic function, environmental function were not associated with unwanted pregnancy (p value> 0.05). It was concluded that parental control, sex education, and the strengthening of religious education in the family environment were important factors associated to the incidence of unwanted pregnancy in teenagers. Abstrak ASFR (Age Spesific Fertility Rate) di Kabupaten Sintang pada kehamilan 15-19 tahun sebanyak 9.85%, tertinggi di Kalimantan Barat. Tujuan penelitian untuk mengetahui hubungan antara permisifitas orang tua terhadap perilaku pacaran remaja dan konsep 8 fungsi keluarga dengan kehamilan tidak diinginkan pada remaja di wilayah kerja Puskesmas Mensiku Kabupaten Sintang. Penelitian menggunakan desain crosss sectional dengan pendekatan kuantitatif. Sampel dalam penelitian ini sebanyak 60 orang. Uji statistik menggunakan uji chi square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan ada hubungan yang signifikan antara permisifitas orang tua (p value =0,004; PR=2,176), fungsi agama (p value=0,02; PR= 1,726), dan fungsi reproduksi (p value = 0,033; PR= 1,696) dengan kehamilan tidak diinginkan. Variabel yang tidak berhubungan yaitu fungsi sosial budaya, fungsi cinta kasih, fungsi perlindungan, fungsi sosialisasi dan pendidikan, fungsi ekonomi, fungsi lingkungan (p value > 0,05). Disimpulkan bahwa kontrol orang tua terhadap pergaulan anak remaja mereka, sex education, dan penguatan pendidikan agama di lingkungan keluarga menjadi faktor penting yang berkaitan dengan kejadian kehamilan tidak diinginkan pada remaja.
Failure Mode and Effect Analysis (FMEA) Application for Safety Risk Assessment Design of “X” Bakery
Unnes Journal of Public Health Vol 8 No 1 (2019): 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.v8i1.22534

Abstract

ABSTRACT Companies in the food sector have 8 production process lines including: receiving raw materials, storing, making dough, baking, frying, cooling, packaging, and distributing. Potential hazards can include: slipping, stuck in a mixer machine, crushed in a dough press machine, crushed in a packing machine, head hit by an elevator, short circuit, fire, explosion, leak, hot oil splash, the potential danger of ergonomics, heat stress, and respiratory disorders. This study aimed to design a risk assessment to minimize the incidence of workplace accidents. This type of research is research and development with a semi-quantitative approach. The informants were determined as many as 2 people with a purposive sampling technique. The research instrument used observation sheets, interview sheets, and FMEA worksheets. Product design is validated by an expert team. The results show 23 potential hazards in 8 production processes. The highest hazard potential is slip (RPN = 140) and the lowest is explosion (RPN = 10). So that it requires administrative control, engineering, inspection, repairs to electrical installations and gas pipes, and using personal protective equipment. ABSTRAK Perusahaan di bidang makanan terdapat 8 alur proses produksi antara lain: Penerimaan bahan baku, penyimpanan, pembuatan adonan, pemanggangan, penggorengan, pendinginan, pengemasan, dan pendistribusian. Potensi bahaya dapat berupa: terpeleset, terjepit mesin mixer, terjepit mesin penggiling, terjepit mesin packing, kepala terbentur lift, arus pendek listrik, kebakaran, ledakan, kebocoran, percikan minyak panas,bahaya ergonomi, heat stress, dan gangguan saluran pernapasan. Penelitian ini bertujuan untuk membuat perancangan penilaian risiko untuk meminimalisir kejadian kecelakaan kerja. Jenis penelitian ini adalah research and develompent dengan pendekatan semi kuantitatif. Informan yang ditetapkan sebanyak 2 orang dengan teknik purposive sampling. Instrumen penelitian menggunakan lembar observasi, lembar wawancara, dan FMEA worksheet. Desain produk dilakukan validasi oleh tim pakar. Hasil menunjukkan 23 potensi bahaya tersebar di 8 proses produksi. Potensi bahaya tertinggi adalah terpeleset (RPN=140) dan terendah adalah ledakan (RPN=10). Sehingga diperlukan pengendalian administratif, rekayasa teknik, inspeksi secara ruitn, perbaikan terhadap instalasi listrik dan pipa gas, serta menggunakan alat pelindung diri. Kata Kunci : Failure Mode and Effect Analysis (FMEA), Potensi Bahaya, Penilaian Risiko.
Factors Influencing the Reporting Time of Online-Based Recording and Reporting Systems in Public Health Center of Semarang City
Unnes Journal of Public Health Vol 8 No 1 (2019): 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.v8i1.22748

Abstract

ABSTRACT The target of timely reporting of SP3 online in Semarang City in the first quarter of 2017, amounted to 72% of Public Health Centers on time. Quarter II of 2017 was 62%. This is not in accordance with the target set by the Semarang City Health Office, which is 80%. The purpose of the study was to determine the factors that influence the timeliness of monthly SP3 reporting in Semarang City. This is an observational analytic research with case-control design. The sample set was 14 cases and 14 controls. The research instrument used was structured questionnaire. The results showed age factor (p value = 0.018; OR = 10.8), incentive (p value = 0.023; OR = 9.1), workload (p value = 0.008; OR = 13.4), leader support (p value = 0.008; OR = 15), supporting facilities (p value = 0.033; OR = 13) influenced the timeliness of SP3 reporting and years of service factor (p value = 0.7; OR = 1.8), computer skills (p value = 0.55; OR = 2.07), education (p value = 1; OR = 1.4), job training (p value = 0.5; OR = 2.07), and co-worker support (p value = 0.02; OR = 2.5) had no influence on the timeliness of SP3 reporting. ABSTRAK Target ketepatan waktu pelaporan SP3 online Puskesmas Kota Semarang triwulan I tahun 2017, sebesar 72% puskesmas tepat waktu. Triwulan II tahun 2017 sebesar 62%. Hal ini tidak sesuai dengan target yang ditetapkan oleh Dinas Kesehatan Kota Semarang, yaitu 80%. Tujuan penelitian untuk mengetahui faktor yang mempengaruhi ketepatan waktu pelaporan Sistem Pencatatan Puskesmas (SP3) Bulanan Kota Semarang. Jenis penelitian adalah observasional analitik dengan rancangan case control. Sampel yang ditetapkan sebesar 14 kasus dan 14 kontrol. Instrumen penelitian berupa kuesioner terstruktur. Hasil menunjukkan faktor umur (p value=0,018; OR=10,8), insentif (p value=0,023; OR=9,1), beban kerja (p value=0,008 ; OR=13,4), dukungan pimpinan (p value=0,008; OR=15), fasilitas pendukung (p value=0,033; OR=13) mempengaruhi ketepatan waktu pelaporan SP3 dan faktor masa kerja (p value=0,7; OR=1,8), kemampuan teknik komputer (p value=0,55; OR=2,07), pendidikan (p value=1; OR=1,4), pelatihan kerja (p value=0,5; OR=2,07), dan dukungan rekan kerja (p value=0,02; OR=2,5) tidak mempengaruhi ketepatan waktu pelaporan SP3.
Evaluation of Basic Emergency Obstetric and Newborn Care (BEMONC) Implementation
Unnes Journal of Public Health Vol 8 No 1 (2019): 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.v8i1.22753

Abstract

Abstract Maternal Mortality Rate is one indicator in describing the health status of people in a region. This study aimed to evaluate the implementation of Basic Emergency Obstetric and Newborn Care (BEMONC) at the Tegalrejo Yogyakarta Public Health Center with Basic Emergency Obstetric and Newborn Care. This research was qualitative with a case study design. The subjects were 5 BEMONC Core Team informants and 3 BEMONC patients. The instrument used in-depth interviews and checklists. The results of the Input: do not have nurses in the BEMONC core Team, due to a lack of nurses and not all BEMONC officers have received training. Infrastructure facilities were insufficient, but budget was enough. The BEMONC implementation went well but on holydays the doctors did not stand by and the shift was not evenly distributed. The implementation output reached the target and the service was satisfactory but found officers who were not friendly with the patient's family. Input is in accordance with the standard, but health personnel and training are not up to standard. The output reached the target and the service was satisfactory but one of the officers was not friendly. The Team must try to focus on customer satisfaction in a friendly manner so that the services provided meet patient expectations. Abstrak Angka Kematian Ibu merupakan salah satu indikator dalam menggambarkan derajat kesehatan masyarakat di suatu wilayah. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) di Puskesmas PONED Tegalrejo Yogyakarta. Penelitian ini adalah kualitatif dengan rancangan studi kasus. Subyek sebanyak 5 informan Tim Inti PONED dan 3 pasien PONED. Instrumen menggunakan wawancara mendalam dan checklist. Hasil pada Input tidak terdapat perawat di dalam Tim inti PONED, disebabkan kurangnya perawat dan belum semua petugas PONED mendapatkan pelatihan. Sarana prasarana kurang tercukupi namun pendanaannya tercukupi. Pelaksanaan PONED berjalan baik namun pada hari-hari besar dokter tidak stand by dan pembagian shift kurang merata. Output pelaksanaan mencapai target dan pelayanannya memuaskan namun ditemukan petugas yang kurang ramah dengan keluarga pasien. Input sesuai dengan standar, namun tenaga kesehatan dan pelatihan tidak sesuai standar. Output mencapai target dan pelayanan yang memuaskan namun salah satu petugasnya kurang ramah. Sehingga Tim harus berusaha fokus terhadap kepuasan pelanggan secara ramah agar pelayanan yang diberikan memenuhi harapan pasien.

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