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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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The Factors Affecting The Occurrence of Obesity in College Students Tjie Kok; Vanessa Wiriantono; Lisa Aditama; Jordan Bakhriansyah
Unnes Journal of Public Health Vol 12 No 1 (2023): 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.v12i1.56013

Abstract

Obesity is a physical condition that can lead to health disorder. An increase in body mass index can be a risk factor for some non-communicable diseases, among which are cardiovascular diseases. College students are among the people with high risk of obesity. This review aims to describe factors that can cause obesity and hence the increasing risk of cardiovascular diseases in college students. We first collected 608 studies associated with our review and then selected 9 studies that highly correlate to our specific purpose. We evaluated each selected study for its quality and risk of bias using STROBE. We then conducted data extraction of each study. It can be concluded from the results of data extraction that even though there are various factors contributing to the occurence of obesity in college students, skipping breakfast and high snack consumption have a close relationship with the occurence. In addition, inadequate physical activity and high calorie diet also contribute to its occurence. Finally, smoking is also associated with the occurence of obesity, that can lead to the increasing risk of cardiovascular diseases.
Trends and Determinants of The Maternal Mortality Ratio Based on Healthcare Resources Eka Nur Sejati; Elsye Maria Rosa; Bayu Anggileo Pramesona
Unnes Journal of Public Health Vol 12 No 1 (2023): 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.v12i1.57020

Abstract

ABSTRACT Health resources play an essential role in realizing the unattainable Sustainable Development Goals targets in lowering maternal mortality ratio (MMR) globally. The study aimed to analyze trends and determinants of MMR based on the number of healthcare resources in Indonesia. This study was a descriptive retrospective study with a cross-sectional approach. Data on the health program achievements in Central Java province, Indonesia from 2016 to 2020 was analyzed using bivariate analysis with scatter plots, statistical analysis with Pearson correlation tests, and multiple linear analysis using Tableau software. Results showed that the MMR was decreased in 2016-2019, however it was increased in 2020. The ratio of obstetrics-gynecology specialists and nutritional personnel had impact on the maternal mortality ratio in 2016 (p-value <0.05). While the general practitioners and nutritional workers ratio also affected the maternal mortality ratio in 2017 and 2019 to 2020 with p-value <0.05. Our study concluded that the trend of MMR in Indonesia was affected by the number of healthcare personnel resources. It is recommended that the Indonesian government should fulfill the quantity and equalization of the distribution of healthcare personnel resources particularly the obstetrics-gynecology specialists, general practitioners, and nutritional workers so the MMR could be decreased.
The Effect of Lean Approach on Hospital Service Quality and Inpatient Satisfaction Anton Timur Jailani Harahap; Chrismis Novalinda Ginting; Ali Napiah Nasution; Adek Amansyah
Unnes Journal of Public Health Vol 12 No 1 (2023): 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.v12i1.57692

Abstract

Measurement of the service quality is very important, especially to improve service quality and get loyal customers in a private hospital using a lean service approach. This research aims to determine the effect of a lean service approach based on variables including overproduction, waiting time, transportation, excess processing, inventory, motion and satisfaction defects. This study used a quantitative method approach with a cross-sectional design. The population were treated in the inpatient ward of Malahayati Hospital, Medan. The sample size was 110 patients, determined by Rao formula. The sampling technique was a purposive sampling technique with inclusion criteria of patients who were hospitalized for more than three days on March 2021. Data obtained were analyzed with the logistic regression tests. The results showed all variable have significant effect on the inpatient satisfaction including over production (p = 0.019), followed by waiting time (p = 0.012), transportation (p = 0.011), excess processing (p = 0.017), inventory (p = 0.010), motion (p = 0.015), and satisfaction defects (p = 0.010). Based on multivariate analysis concluded that hospital service quality affects inpatient satisfaction based on the waste inventory (4.567 times) as the highest and waste transportation (2.786 times) as the lowest. This study has strongly suggested that the hospital management should maintain over production waste and other waste variables in order to improve the service quality.
Distributions and Determinants of Neonatal Mortality in Rembang Regency, Central Java Province, Indonesia Sani Rachman Soleman; Yovita Oga Odelia
Unnes Journal of Public Health Vol 12 No 1 (2023): 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.v12i1.57694

Abstract

Neonatal mortality in Rembang regency, Central Java province, has raised concerns to solve comprehensively. This study aimed to observe distributions and examine determinants of neonatal mortality in the Rembang regency. A case-control study was conducted to examine 50 cases and 50 control by the medical records in the Department of Health. There were 11 variables: parity, mother's age, gestational age, a congenital defect, neonatal sepsis, neonatal asphyxia, pregnancy complication, birth weight, labour locations, childbirth helper, and type of labour. The analysis consists of bivariate with chi-square and multivariate by logistic regression. The most frequent risk factors are gestational age (P=0.00; OR=18.4; and CI=5.04-67.00) and birth weight (P=0.00; OR=14.7 and CI=4.96-43.51), yet logistic regression found high-risk birth weight (P=0.01; aOR=5.4 and CI=1.43 – 20.34) and high-risk gestational age (P=0.03; aOR=5.8 and CI=1.22-27.59) are significant on neonatal mortality in Rembang regency, Central Java Indonesia. This finding is essential in taking policy action on safe pregnancy among high-risk women in the Rembang regency.
A Well-understood Surgical Informed Consent : A Scoping Review Rieke Cahya Budi; Adik Wibowo
Unnes Journal of Public Health Vol 12 No 1 (2023): 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.v12i1.57731

Abstract

The implementation of surgical consent has shifted from simply getting a signature to a focus on doctor-patient communication. Providing adequate information is very important for patients in making decisions so that patients do not feel forced to agree. Good understanding is required before a patient gives consent, but many patients have difficulty understanding and doctors fail to provide correct information. The aim of this scoping review is to investigate and evaluate patient comprehension of surgical informed consent provided by standard procedure or other methods and factors affecting patient comprehension. Three electronic database searches (ProQuest, ScienceDirect, and Scopus) were performed from 2017 until 2022. A total of 391 articles were identified and 25 articles were selected according to the PRISMA guidelines and the PCC framework. 9 of 11 articles stated that patient understanding level was low. Factors that influence it include education level, age and language limitations. 12 studies (85%) showed that patient understanding improved with the use of additional information media. Overall patient comprehension of surgical informed consent is low. This depending on the communication between the doctor and the patient. An interesting interventions can be used to improve patient understanding of surgical informed consent
Correlation Between Family Function with Stunting Firdaus Wahyudi
Unnes Journal of Public Health Vol 12 No 2 (2023): 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.v12i2.54953

Abstract

Introduction: Stunting is a nutritional problem with a high prevalence in Indonesia. Stunting prevention and control efforts can be carried out with a family approach. The family, as the first and foremost environment for children, plays an important role in their growth and developmentAim: to analyze the correlation between family functions and stunting in toddlers. Method: An analytical observational study with a cross sectional design was conducted in July 2019 in the working area of the Kebondalem Health Center, Pemalang Regency with samples of children aged 6-24 months by cluster and consecutive sampling techniques. The variables were age, body length/height, immunization status, history of breastfeeding and complementary feeding. Also considered were history of infectious diseases, parental education level, family income, APGAR score (Internal Family Function), SCREEM score (External Family Function) and hygiene. Statistical analysis used a logistic regression test. Result: The number of samples were 142. The fixed model results were internal family function (APGAR) OR = 3.139 (p = 0.017; 95%CI 1.226-8,037), history of infectious disease OR = 2.875 (p = 0.008; 95%CI 1.325-6.236), mother's work status OR=0,353 (p=0,017; 95%CI 0,101 -1,232). Conclusion: There was a correlation between family function, history of disease and mother’s work status with stunting in toddlers.
Telehealth Effectiveness in Pregnancy Service: Integrative Review Lantiar winda oktari pondawati
Unnes Journal of Public Health Vol 12 No 2 (2023): 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.v12i2.60007

Abstract

Background: Physical distancing makes all health services, especially maternal and child health hampered. This forces health service providers to use remote technology or known as telehealth, telemedicine, and telemonitoring to monitor pregnant women. Telehealth is considered an effective method to reduce the spread of the COVID-19 virus. Method: Integrative review. Articles were searched using databases including Pubmed, Wiley Online Library, Sciencedirect, and Proquest. Assessment of the articles quality used the instrument tool from JBI (Joana Briggs Institute). Result: The ten articles obtained consisted of eight original research articles and two review articles. The results of this review showed seven indicators of the effectiveness of telehealth in pregnancy services, namely; 1) length of time used; 2) telehealth reuse; 3) services provided; 4) the technology used; 5) inspection plan compliance; 6) efficiency of time used by health workers; 7) patient satisfaction, and there are two unfound indicators, namely; 1) diagnostic accuracy and 2) closeness of patients to health workers. There are other indicators found regarding usage costs. Conclusion: Most articles stated that using telehealth is effective in prenatal care, but it cannot be used completely in pregnancy checks. Therefore, a face-to-face visit is still a must to find out more about the mother's condition.
Distribution Of Covid-19 Based on Location Quotient (LQ) in Batang Regency, Central Java, Indonesia Heni Isniyati; Eram Tunggul Pawenang; Mustafa Daru Affandi; Yanesti Nuravianda Lestari
Unnes Journal of Public Health Vol 12 No 2 (2023): 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.v12i2.62741

Abstract

The distribution of Covid-19 cases in the Batang regency increased to 9,924 confirmed cases from its first identification on April 4, 2020, until December 2021. The potential distribution of Covid-19 instances in 2020 and 2021 is in low land near the regency's main road access. This study aims to analyze the potential distribution of Covid-19 in an area based on environmental characteristics by a spatial approach based on location quotient (LQ) in the Batang regency for 2 consecutive years. The type of research is descriptive with a spatial explanatory design with a sample were 248 villages in the Batang regency. The results showed that 248 villages were confirmed to have Covid-19 with a very high potential distribution (LQ> 1.2) were 53 (21.4%) villages, the high potential distribution (1.05<LQ< 1.2) were 20 (8,1%) villages, the average potential distribution (0.95<LQ< 1.05) were 12 (4,8%) villages, the low potential distribution (0.80<LQ< 0.95) were 25 (10,1%) villages, and shallow potential distribution (0<LQ< 0.8) were 138 (55,6%) villages. Moran’s index showed that the pattern of Covid-19 has a significant spatial correlation with p-value < 0.01 and Z-score > 2.58 in both 2020 and 2021 with the distribution pattern forming a cluster.
Tuberculosis Risk Mapping in Yogyakarta, Indonesia : An Ecological Study Ningrum, Dina Nur Anggraini; Trisnaningsih, Asyifa Rahma
Unnes Journal of Public Health Vol 12 No 2 (2023): 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.v12i2.65193

Abstract

Abstract Environmental, demographics, geography, to health system-related aspects can influence the incidence of tuberculosis. The objectives of this study are to know the correlation between environmental, health services and population-related variables with tuberculosis incidence rate and map the tuberculosis risk distribution in 78 sub-districts in Daerah Istimewa Yogyakarta. This study is a cross-sectional study with an ecological approach and using a mapping approach. Variables in this study include population density, altitude, tuberculosis treatment success rate, health facilities, health personnel, education, and population growth rate. Data in this study were analyzed using univariate and bivariate (Rank Spearman) tests, then depicted in a map. There are correlations between population density, education, population growth rate, altitude, and health facilities with tuberculosis incidence rate (r = 0.663, 0.654, -0.495, -0.274, and -0.267). Tuberculosis treatment success rate and health personnel show no correlation with tuberculosis incidence rate (r = -0.020; -0.002). Strengthening of TB programs and cross-sectoral measures are needed to control TB, especially in high-risk areas. Research on other ecological-related factors and further spatial analysis can also be carried out to provide input for TB control. Abstrak Aspek lingkungan, demografi, geografi, hingga aspek terkait sistem kesehatan dapat mempengaruhi kejadian tuberkulosis. Penelitian ini bertujuan untuk mengetahui korelasi antara variabel terkait lingkungan, pelayanan kesehatan, dan populasi dengan kejadian tuberkulosis serta memetakan distribusi risiko tuberkulosis di 78 kecamatan di Daerah Istimewa Yogyakarta. Penelitian ini merupakan penelitian cross-sectional dengan pendekatan ekologi dan pemetaan. Variabel dalam penelitian ini yaitu kepadatan penduduk, ketinggian wilayah, keberhasilan pengobatan tuberkulosis, fasilitas kesehatan, tenaga kesehatan, pendidikan, dan laju pertumbuhan penduduk. Data dalam penelitian ini dianalisis dengan uji univariat dan bivariat (Rank Spearman), kemudian digambarkan dalam peta. Hasil uji statistik menunjukkan adanya korelasi antara kepadatan penduduk, pendidikan, laju pertumbuhan penduduk, ketinggian wilayah, dan fasilitas kesehatan dengan incidence rate (IR) tuberkulosis (TB) (r = 0.663, 0.654, -0.495 -0.274, and -0.267). Tidak ada korelasi antara angka keberhasilan pengobatan tuberkulosis dan tenaga kesehatan dengan IR TB (r = -0.020; -0.002). Penguatan pelaksanaan program TB serta upaya lintas sektor diperlukan untuk pengendalian TB terutama di wilayah dengan risiko yang tinggi. Penelitian mengenai faktor lain terkait ekologi dan analisis spasial lebih lanjut juga dapat dilakukan guna memberikan input untuk pengendalian TB.
The Existing Curriculum and Teaching Learning Challenges for Prevention and Handling Sexual Violence in Higher Education Sartiah Yusran; Trias Setiawati
Unnes Journal of Public Health Vol 12 No 2 (2023): 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.v12i2.65709

Abstract

Sexual Violence (SV) has been increased in universities and victims have more silence due to fear and shame. There is no clear mechanism in protecting the rights of victims. This study aims to analyze the problems of SV on campus, to examine the existing curriculum and its challenge in integrating the concept of SV. This is a collaborative research between the University of Halu Oleo Kendari, the University of Islam Indonesia Jogyakarta and the University of Syah Kuala Banda Aceh. The study applied a mixed method of quantitative and qualitative using surveys, In-depth interviews and FGDs and analyzed using triangulation. Total respondents 435 for survey and 34 for 3 FGD and 4 key informants for In-depth interview, and were representative for students, lecturer and staff applying Stratified Purposive Random Sampling. The results showed that respondents reported ever experienced at least once sexual harassment in their life either perpetrated by someone they knew or stranger. 79.31% respondents claimed their friends as victims and 36.78% recognized their friends as perpetrators, while 14.94% respondents claimed themselves as the victims. The underline problem of SV that occurs on campus is due to a very strong patriarchal culture in the concext of power relationship and gender inequality. These have been recognized as a trigger for the high number of SV cases on campus. In addition, the existing curriculum identified some topics related to prevention and response the case of SV, however, they were recognized as hidden curriculum. The challenges were political commitment due to unwanted sexual attention and gender violence were the two mostly do not reported as the form of SV. Therefore, there is an urgent need to re-define the concept of SV in actual curriculum, instead of being a hidden curriculum.

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