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Public Health Perspective Journal
Published by Universitas Negeri Semarang
ISSN : 25285998     EISSN : 25407945     DOI : -
Core Subject : Health,
Public Health
Public Health Perspective Journal publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health. It is aimed at all public health practitioners and researchers and those who manage and deliver public health services and systems. It will also be of interest to anyone involved in provision of public health programmes, the care of populations or communities and those who contribute to public health systems in any way.
Arjuna Subject : -
Articles 342 Documents
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Effectiveness of Tera Gymnastics and Healthy Heart Gymnastics on Blood Pressure Among Elderly With Hipertension in Sinomwidodo Village, Tambakromo Subdistrict, Pati District
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
Publisher : Universitas Negeri Semarang

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Abstract

The elderly are at high risk for degenerative diseases. Hypertension occupies the largest proportion of all degenerative diseases reported. Gymnastics Tera and Healthy Gymnastics are one of the nonpharmacology efforts to suppress Hypertension. The purpose of this study was to determine the effectiveness of Gymnastics Tera and Healthy Gymnastics Against Blood Pressure on Hypertensive Elderly. This research uses a quasi experiment method with Nonequivalent control group design. The population in this study is all elderly who suffer from Hypertension in Sinomwidodo Village Tambakromo Subdistrict, Pati Regency which according to criteria amounting to 35 elderly. Sampling with Purposive Sampling technique and sample size is determined by Slovin formula. The sample is 32 respondents with the provision of 11 people tera gymnastics group, 11 people healthy heart gymnastic group and 1o people control group. The results showed that after the intervention there was a significant effect between the group of Gymnastics Tera and Healthy Gymnastics compared with the control group with the measurement of mercury p-value (0.05). There was no significant difference from the comparison of the post-test value of gymnastic exercise of Tera and Healthy Heart gymnastic to systolic and diatolic blood pressure in elderly hypertension p-value ( 0.05). Conclusion Gymnastics Tera and Healthy Gymnastic Gym are effective in lowering blood pressure in hypertensive elderly. The effectiveness of gymnastics Tera and Healthy Heart gymnastics are the same.
EVALUASI PELAKSANAAN KEGIATAN PREVENTIONOf MOTHER TO CHILD TRANSMISSION ( PMTCT ) PADA IBU HAMIL DI KOTA TANJUNGPINANG
Public Health Perspective Journal Vol 1, No 1 (2016)
Publisher : Universitas Negeri Semarang

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Abstract

Berdasarkan data Dinas Kesehatan Tanjungpinang jumlah ibu hamil yang melakukan skrening HIV di Puskesmas se-kota Tanjungpinang tahun 2013 jumlah 6.697 orang, yang melakukan skrening HIV sebanyak 1977. Program PMTCT ini telah berjalan sejak tahun 2008, sehingga diperlukan penguatan program baikdariefisiensi, efektifitasdan lain-lain. Tujuan penelitian ini menjelaskan UntukmengevaluasiPelaksanaan Kegiatan PMTCT Pada Ibu Hamil di Puskesmas Kota Tanjungpinang.Jenis penelitian ini deskriptif dengan metode kualitatif. Pengumpulan data menggunakan wawancara mendalam pada informan utama Kepala puskesmas , Kepala KIA, Bidan, perawat, ibu hamil, dan informan triangulasi Kepala puskesmas, Bidan Pelaksana, dan Kepala P2PL Dinas Kesehatan Kota.Hasil penelitian dalam pelaksanaan kegiatan pelaksanaan PMTCT sudah baik, hal ini terlihat dari standar input ( jumlah tenaga sudah memenuhi, tenaga kesehatan sudah terampil, fasilitas memadai, peralatan terpenuhi namun belum terkalibrasi, sudah adanya kebijakan baik dalam bentuk SOP, SK ataupun protap), standar proses ( tahap persiapan sudah baik, namun dalam pengembangan staf perlu terprogram secara pasti, pengorganisasian perlu disusun, pelaksanaan sudah berjalan sesuai dengan prosedur yang ditetapkan, Standar output (cakupankunjungan ANC meningkat, serta penularan bayi dengan HIV kecil). Diharapkan Dinas Kesehatan mengalokasikan alat pemeriksaan yang telah terkalibrasi, serta dibuatkan jadwal untuk pengembangan staf, dan untuk puskesmas tersedianya struktur organisasi kegiatan.Based on the data from Public Health CenterTanjungpinang, the number of pregnant women who went through screenings for HIV in public health centers throughout Tanjungpinang in 2013 reached up to 6697 people, 1977 of them were screened for HIV. The PMTCT has been running since 2008, so it needs more reinforcement for this program in terms of efficiency, effectiveness, and so on. The purpose of this study was to evaluate the Implementation PMTCT On Pregnant Women in Public Health Centers in Tanjungpinang. This study is a descriptive study that adopts qualitative method. Data was collected using in-depth interviews on key informants; the head of the Public Health Center, the chief of KIA (Mother and Child healthcare), midwives, nurses, pregnant women, and the triangular informants; the head of the public health center, the executive midwife, and the chief of P2PL. The results showed the implementation of PMTCT activities was good, it can be seen from the input standard (the number of health workers that already met the standard, highly skilled health workers, adequate facilities, health equipments that met the standard, however, they were not well calibrated, they already had their policies in the form of either SOP or SK ), process standard (preparation was good, however, the staff development needs to be programmed more properly,  the PMTCT activity organizing was already carried out, the implementation of PMTCT activities was already underway in accordance with the established procedures, while the Standard output (increasing ANC visit coverage, and the small number of infants infected with HIV). DKK needs to allocate calibrated health screening equipments and needs to program a schedule and Public Health Centers need to create a necessary organizational structure.
The Relation of Drug Amount, Comorbidity, Blood Pressure, and Residential Area to Drug-Related-Problems of Hypertension Patients
Public Health Perspective Journal Vol 5, No 3 (2020): December 2020
Publisher : Universitas Negeri Semarang

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Abstract

Hypertension is a direct cause of various cardiovascular diseases that can cause complications if not controlled. Drug Related Problems (DRPs) are treatment-related problems that can intervene in therapeutic outcomes, one of which is blood pressure. This study analyzed the relationship of factors that influence the case of DRPs in hypertensive patients. This research was an observational quantitative study with a cross-sectional study design conducted by direct interview method to 141 hypertensive prolanis patients in Semarang City Health Center. The instrument used was a questionnaire. The results showed there was a relationship between the number of drugs (p = 0.038), comorbidity (p = 0,000), and blood pressure (p = 0,000) with the case of DRPs. There was no relationship between the area of residence and the case of DRPs (p = 0.569). Multivariate models showed the most influential factors were comorbidity (p = 0,000, OR: 21,689) and blood pressure (p = 0,000, OR: 13,277). The conclusion of this study is comorbidity and blood pressure are the predictors that most influence the case of DRPs in hypertensive patients.
Analysis Of Risk Factors Causing The Incidence Of Prematurity In Mother With Severe Pre-Eclampsia (Case Study In Permata Bunda Hospital Purwodadi)
Public Health Perspective Journal Vol 3, No 3 (2018): December 2018
Publisher : Universitas Negeri Semarang

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Abstract

Premature labor can increase posibility of infant mortality. Disorders that occur in newborns baby from mothers who suffer from pre-eclampsia can be caused by several factors including maternal age, parity, gestational age, and birth weight of the baby and having a very high risk of complications. The purpose of this study is to analyze the influence of obstetric history, lifestyle and parity in causing the occurrence of premature labor and see the factors that have the most influence in causing the incident. This research is a quantitative study using a case control design with a retrospective approach. The population in this study is mothers with severe pre-eclampsia, sampling is done by using purposive sampling method with 122 respondents divided into two groups, 61 respondents in the case group and 61 respondents in the control group. The results of the study show that parity, lifestyle and obstetric history have a significant effect on the incidence of preterm birth in women with severe pre-eclampsia with p value 0.05. The obstetric history factor has a larger OR of 5,125 compared to other factors, parity with OR 5,102 and a lifestyle of 0.104, therefore it can be concluded that obstetric history has a biggest impact than other variables
Pola Pemberian Makanan Terhadap Status Gizi Usia 12-24 Bulan pada Ibu Bekerja
Public Health Perspective Journal Vol 2, No 2 (2017): August 2017
Publisher : Universitas Negeri Semarang

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Penyebab kurang gizi dipengaruhi oleh dua faktor secara langsung dan tidak langsung. Penyebab langsung yaitu makanan yang dikonsumsi dan penyakit infeksi, sedangkan penyebab tidak langsung yaitu ketahanan pangan, pola asuh, perawatan kesehatan dan sanitasi lingkungan. Tujuan penelitian ini untuk mengetahui hubungan pola pemberian makanan terhadap status gizi usia 12-24 bulan pada ibu bekerja. Penelitian ini merupakan penelitian deskriptif korelasi dengan rancangan cros sectional. Sampel sejumlah 39 responden diambil dengan teknik pengambilan secara purposive sampling. Instrumen menggunakan food recall2x 24 jam. Analisa data menggunakan sperman rank correlation dan uji korelasi Kendall. Hasil diperolehpola pemberian makanan terhadap status gizi anak untuk frekuensi pemberian makanan p value 0,58 dan 0,174, angka kecukupan energi p value 0,89 dan 0,174, angka kecukupan protein p value 0,418 dan 0,174 jadi tidak ada hubungan pola pemberian makanan terhadap status gizi usia 12-24 bulan pada ibu bekerja.There are direct and indirect factors that cause malnutrition. The direct factors are such as food intake and infectious diseases. While the indirect ones are food security, parenting, health care and environmental sanitation. The purpose of this study is to determine the correlation between the feeding patterns and children nutritional status of 12-24 months towards mother’s working. This study was a descriptive correlation with cross sectional design. There were 39 respondents as the sample taken by purposive sampling technique. The instrument used a 24-hour food recall for two days. The data were analyzed by using Spearman Rank correlation and Kendall correlation. The results showed feeding patterns on the nutritional status of the feeding frequency p value was 0.58 and 0.174, energy sufficiency p value was 0.89 and 0.174, protein p value was 0.418 and 0.174there is no correlation between feeding patterns towards children nutritional status aged 12-24 months on mother’s working
Socio Demography and Physical Environment Factors Against the Incidence of Dengue Hemorrhagic Fever in Delta Pawan District, Ketapang Regency
Public Health Perspective Journal Vol 6, No 2 (2021): August 2021
Publisher : Universitas Negeri Semarang

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Dengue Hemorrhagic Fever is an environmentally-based dangerous disease which is still a world health problem. WHO noted that Indonesia is a country with the highest cases of Dengue Hemorrhagic Fever (DHF) in Southeast Asia (WHO, 2016). In 2019 the cases increased with the number of cases 137.761. West Kalimantan Province is one of the 5th highest provinces out of 34 provinces in Indonesia for 2018. Ketapang Regency is in the first place with the highest number of cases in Delta Pawan District. The purpose of this study was to determine the effect of socio demography and physical environment on the incidence of Dengue Hemorrhagic Fever. This study used a case control design. The research sample was 132 respondents (66 cases and 66 controls) respondents obtained by purposive sampling technique. Data collection techniques by interviewing, questionnaires, and observations. Data analysis using chi-square. The results showed that there was a relationship between income (p = 0.024), ventilation (p = 0.005) and water reservoirs (p = 0.023). There was no relationship between population mobility (p = 0.601) and house distance (p = 0.577) with the incidence of dengue hemorrhagic fever. The conclusion of this study is that the variables associated with the incidence of Dengue Hemorrhagic Fever in the Delta Pawan district of Ketapang regency are income, ventilation and water reservoirs variables. It needs to increase health promotion about the dangers of DHF and the importance of PSN (advocacy, atmosphere building, social support and household empowerment) and improve the performance of jumantik through continuous supervision and facilitation, it is necessary to increase awareness by always closing water reservoirs and using gauze. Through these efforts, it is hoped that there will be an increase in larva free (ABJ) and a decrease in the incidence of Dengue Hemorrhagic Fever (DHF).
The Influence of Calendar and Leflet Media Toward The Toddler Mothers’ Increasing of Knowledge and Attitude to Posyandu
Public Health Perspective Journal Vol 5, No 2 (2020): August 2020
Publisher : Universitas Negeri Semarang

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Posyandu is a health effort organized from, by, for and with the community, in order to empower the community and provide facilities to the community in obtaining basic health services, primarily to accelerate the reduction in maternal and under-five mortality rates. The purpose of this research was to analyze the influence of the calendar media on increasing the knowledge and attitudes of mothers of children under five (toddlers) in participating visits to Posyandu. This research was a quantitative research with two group pretest-posttest experimental methods. The calendar media was given to mothers of intervention group, and leaflet media to the control group. The study population was all mothers of toddlers in the Semarang City while the number of samples were 144 mothers who have toddlers aged 6-59 months in the Karangayu Health Center, Poncol Health Center and Bugangan Health Center. The sampling technique is purposive sampling. Data were analyzed using univariate and bivariate. The results showed that after the intervention increased knowledge of children under five in the calendar group (0.93%) was smaller than in the leaflet group (1.38%). The increase in the attitude of the toddlers in the calendar group (1.40%) was almost the same as the leaflet group (1.38%). Increasing the frequency of attendance of Toddler Children to the Posyandu in the calendar group (0.52%), is greater than in the leaflet group (0.29%). The conclusion of this study was that there was an increase in the frequency of attendance between the intervention groups using calendar media and the control groups using leaflet media. Interventions using calendar media increase the frequency of attendance more than using leaflet media.
Evaluation of Policy Implementation of Regional Public Service Agencies (BLUD) Toward Patient Satisfaction Perspective at RSUD Landak
Public Health Perspective Journal Vol 3, No 3 (2018): December 2018
Publisher : Universitas Negeri Semarang

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Application of financial management flexibility independently exist in BLUD policy as one alternative to overcome the problem by the central government-run hospitals to regional government to fulfill its resources that are expected to improve the efficiency, effectiveness and productivity kenerja finances and improving the quality of service performance. Financial performance and good service can determine the quality of service quality at the hospital so that patients feel satisfied with the services received, the study aims to evaluate policy implementation BLUD at RSUD Landak using the CIPP model of evaluation. This study is a qualitative evaluation approach desktiftif. Sources of data in this research with in-depth interview data collection techniques as the primary data and secondary data obtained documents and observation techniques. Context evaluation found RSUD Landak mission and vision is not fully achieved, however BLUD policies have a positive impact on the achievement of the vision and mission RSUD Landak. The input evaluation found that the implementation of MSS and the fulfillment of the organizational structure in RSUD Landak had not reached the target of MSS and the organizational structure had not been fulfilled in terms of human resources, but the BLUD policy has a positive impact on improving MMS performance and efforts to meet HR in services and other functional at the RSUD Landak. Process evaluation found factors that hindered the implementation of BLUD policy in RSUD Landak. Product evaluation was found based on 14 indicators of HPI categorized as good for all HPI indicators in RSUD Landak.
The Risk Factors of HIV Incidence in Demak Regency in 2019
Public Health Perspective Journal Vol 5, No 3 (2020): December 2020
Publisher : Universitas Negeri Semarang

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HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immuno Deficiency Syndrome) which attacks the human immune system and weakens the body's ability to fight any disease. One of the districts in Central Java, namely Demak Regency, is one of the areas that are quite high in HIV incidence and every year in that place has increased, therefore the aim of this study is to analyze the factors that influence the incidence of HIV in Demak Regency in 2019. This study used a cross sectional approach which was strengthened by interviews. The populations in this study were people who had tested HIV and were registered at the Demak District Health Office in 2019 and obtained 126 people. In this study, the sample was purposive sampling; with a total are 106 respondents. The instrument in this study was the provision of a questionnaire on sexual behavior, environment and socioeconomic status. After the data is obtained, it is analyzed by bivariate, univariate and multivariate. The results of this study indicate that there is a significant relationship between sexual behavior factors with a P-Value of 0.008, OR = 3.235 and a CI of 1.334 - 7.844. Besides that, socioeconomic status is also a risk factor associated with the HIV incidence with a P-Value of 0.001, OR = 0.253 and a CI of 0.111 - 0.575. Meanwhile, social environmental factors were not related to HIV incidence because the P-Value was 0.102, OR = 0.511 and CI was 0.227 - 1.149. However, the independent variable can only explain by the model  23.1% and there are other factors that influence the risk of HIV incidence.
The Influence of Reproductive Health Education to Knowledge and Percieved Behavior Sexual Adolescent Control
Public Health Perspective Journal Vol 5, No 1 (2020): April 2020
Publisher : Universitas Negeri Semarang

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Teenage is a phase that ranges with delinquency especially sexuality. Sexuality which is still considered a taboo makes the lack of knowledge and low perceived behavior control in adolescents so that more teenagers have had sexual relations before marriage. Premarital sexual behavior has an impact on health, that is transmission of sexualy transmitted diseas/infections and teenage pregnancy which can result in dropping out of school, other social sanction or complications during pregnancy, childbirth, and peurperial. The purpose of this study was to analyze the effect of reproductive health education on knowledge and perceived behavior control. This research was conducted using quasi-eksperimental one group pretest-posttest design. Population of this study was student grade XI SMA in Grobogan with number of sample was 85 student. Data analizing were using Wilcoxon Test. There was a difference level of knowledge with a p-value of 0,000; there was differences in the behavior of the Perceived Behavior Control with a p-value of 0,000 and there was an influence between the knowledge and Perceived Behavior Control with a p-value of 0,000 after health education. There was a difference between the knowledge and behavior of Perceived Behavior Control after health education.

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