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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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Demography Characteristic of Married Women and Abortion Behavior in Unwanted Pregnancy Suherni, Suherni; Raharjo, Bambang Budi
Public Health Perspective Journal Vol 3, No 2 (2018): August 2018
Publisher : Universitas Negeri Semarang

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Abstract

Unwanted pregnancy is a reproductive health problem that has an impact on high maternal mortality and unsafe abortion rates, Indonesia is one of the developing countries with maternal mortality rates (MMR) in 2015 researching 305 per 100,000 live births, this number is still far from the target of sustainable development goals (SDGs) to reduce MMR to 70 per 100,000 live births in 2030 (Ministry of Health, 2017). The purpose of this study was to determine the effect of married women demographic characteristics and unsafe abortion behavior on unwanted pregnancies in the Indonesian Family Planning Associating (PKBI) in Pemalang district. This research is a mixed method research with a quantitative explanatory design. The samples of the study were married women with unwanted pregnancies totaling 287 respomdents, with purposive sampling. Data analysis used chi square and logistic regression. Meanwhile, to support quantitative data from unsafe abortion behavior, eight informants were taken as qualitative data sources through interviews. The results showed that the characteristics of age, income and number of children were significantly associated with unsafe abortion behavior while the demographic caharacteristics that most affected the behavior of unsafe abortion were high risk age (p. 006 with OR 2,917) and the number of children was more than 2 (p. 0,044 with OR 2.069). Unwanted pregnancies in married women generally occur in old age whose already have enough children. Plan a pregnancy and arrange with contraceptive methods, so that the number of mobility and mortality associated with unsafe abortion can be reduced.
The Quality, Quantity and Age of Giving Breastfeeding for Toddlers in Relation with Nutritional Status Syarifah, Aidah Nur; Yuniastuti, Ari; Rini Indriyanti, Dyah
Public Health Perspective Journal Vol 4, No 1 (2019): April 2019
Publisher : Universitas Negeri Semarang

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Abstract

Malnutrition is one of the main causes of malnutrition. Globally, poor nutritional status is one of the causes of under-five mortality. The purpose of this study was to analyze the effect of the quality, quantity and age of providing complementary food for breast milk in relation to the nutritional status of children.This study was an observational study with a cross sectional study design. The population of toddlers aged 7-24 months is 344 toddlers, a sample of 77 toddlers. Data retrieval is using simple random sampling technique using Slovin formula.The results are showed that the three independent variables affected the nutritional status of children. The obtained is p-value (0.001) quality, (0,000) quantity and age (0,000).Based on the results of the study, it can be concluded that there is a relationship between the quality of complementary food for breast milk to the nutritional status of children with ap value of 0.001 (p <0.05), there is a relationship between the quantity of complementary food for the nutritional status of children with p value amounting to 0,000, and there is a relationship between the age of providing complementary food for breast milk to the nutritional status of children with ap value of 0.000. This research is expected to benefit the community. For information on the program of dissemination and counseling on the quality and quantity of complementary feeding for mother's milk the which is good in the family and the impact the caused by nutritional problems in infants. 
Faktor Determinan dan Respon Masyarakat Terhadap Pemanfaatan Jamban dalam Program Katajaga di Kecamatan Gunungpati Semarang Oktanasari, Wiji; Laksono, Budi; Rini Indriyanti, Dyah
Public Health Perspective Journal Vol 2, No 3 (2017): December 2017
Publisher : Universitas Negeri Semarang

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Abstract

Pada saat ini masih ada warga masyarakat yang memiliki perilaku buang air besar disembarang tempat karena tidak memiliki jamban. Hal ini sangat merugikan kondisi kesehatan masyarakat. Tujuan penelitian ini untuk menganalisis faktor determinan dan respon masyarakat terhadap pemanfaatan jamban dalam program KATAJAGA (Kampung Total Jamban Keluarga) di Kecamatan Gunungpati Semarang. Desain penelitian yang digunakan adalah survey analitik dengan pendekatan cross sectional. Populasi penelitian ini seluruh kepala keluarga yang mendapatkan bantuan jamban di Kecamatan Gunungpati berjumlah 1222 kepala keluarga. Sampelnya berjumlah 93 responden dengan teknik Proportionate Random Sampling. Pengambilan data diperoleh dengan cara memberi kuesioner dan wawancara pada responden. Analisis data dilakukan dengan program SPSS 17 secara bivariat (Chi Square). Hasil penelitian menunjukkan bahwa terdapat hubungan pendidikan dengan pemanfaatan jamban (χ2=4,423; df=1; p=0,035<0,05), demikian pula ada hubungan status ekonomi (χ2=6,500; df=2; p=0,039<0,05), pengetahuan (χ2=6,928; df=2; p=0,031<0,05), ketersediaan air bersih (χ2=4,371; df=1; p=0,037<0,05), akseptabilitas (χ2=8,387; df=1; p=0,004<0,05), dan partisipasi (χ2=6,918; df=2; p=0,031<0,05) terhadap pemanfaatan jamban dalam program KATAJAGA di Kecamatan Gunungpati Semarang. Manfaat penelitian yaitu dapat digunakan sebagai bahan pertimbangan bagi dinas kesehatan dalam rangka pengambilan keputusan kebijakan dan evaluasi perbaikan program jamban.At this time there are still people who have a defecate behavior in place because they do not have latrines. This is very detrimental to public health conditions. The purpose of this research is to analyze the determinant factor and the community response to the utilization of latrines in the program of KATAJAGA (Total Village Family Latrine) in Gunungpati District Semarang. The research design used was analytic survey with cross sectional approach. The population of this study is the entire head of the family who received a toilet assistance in Gunungpati District amounted to 1222 families. The sample were 93 respondents with Proportionate Random Sampling technique. The data were collected by giving questionnaires and interviews to the respondents. Data analysis was done using SPSS 17 program in bivariate (Chi Square). The results showed that there were correlation between education with the utilization of latrines (χ2 = 4,423; df = 1; p = 0,035 <0,05), also there was correlation economic status (χ2 = 6,500; df = 2; p = 0,039 <0,05 ), knowledge (χ2=6,928; df=2; p=0,031<0,05), supply of clean water (χ2 = 4,371; df = 1, p = 0.037 <0.05), acceptability (χ2 = 8,387; df = 2, p = 0,031 <0,05), and participation (χ2 = 6,918; df = 2; p = 0,031 <0,05) to the utilization of latrines in the program of KATAJAGA in Gunungpati District Semarang. The benefits of research that can be used as a consideration for the health department in the framework of policy decision and evaluation of improvements to toilet programs.
Hubungan antara Pengetahuan, Pola Asuh Permisif, Tayangan Pornografi, dan Konformitas Teman Sebaya dengan Perilaku Seks Remaja yang Menggunakan Jasa WPS (Wanita Penjaja Seks) di Bandungan Kab. Semarang Isnaeni, Noviyana; Laksono, Budi; Deliana, Sri Maryati
Public Health Perspective Journal Vol 2, No 1 (2017): April 2017
Publisher : Universitas Negeri Semarang

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Abstract

Fakta mengejutkan diungkap Menteri Kesehatan pada akhir 2012, yang mengatakan ada 6,7 juta pria di Indonesia yang menjadi pelanggan WPS. Jumlah 40 persen pelanggan WPS adalah remaja dan 60 persen pria yang sudah menikah. Resiko tertinggi bagi 6,7 juta pria pengguna jasa WPS rentan tertular HIV/AIDS. Menganalisis pengetahuan, pola asuh permisif, konformitas teman sabaya dan tayangan pornografi dengan perilaku seks remaja yang menggunakan jasa WPS di Bandungan. Penelitian ini adalah kuantitatif dengan desain cross sectional dengan data primer dan sekunder. Variable penelitian meliputi pengetahuan, pola asuh permisif, konformitas teman sabaya, tayangan pornografi dan remaja yang menggunakan jasa WPS. Hasil Penelitian menunjukkan ada hubungan yang bermakna antara pengetahuan seksual (p=0,002), pola asuh permisif (0,001), konformitas teman sebaya (0,013), tayangan pornografi (0,000) terhadap perilaku remaja yang menggunakan jasa seks WPS di Bandungan Kab. Semarang. Hasil regresi logistik menunjukkan bahwa tayangan pornografi memiliki pengaruh yang sangat kuat pada remaja yang menggunakan jasa WPS (0,000) jika dibandingkan dengan faktor yang lainnya. Kesimpulan dalam penelitian ini ada hubungan yang signifikan antara faktor pengetahuan seks, pola asuh permisif, konformitas teman sebaya, dan tayangan pornografi dengan perilaku seks remaja yang menggunakan jasa WPS di bandungan Kab. Semarang. Analisis multivariate dengan uji regresi logistik diketahui bahwa hanya satu faktor tayangan pornografi yang paling dominan mempengaruhi remaja menggunakan jasa seks.This study is the surprising fact revealed by the Minister of Health at the end of 2012, that said there 6.7 million men in Indonesia who became clients of female sex workers. Is know, 40 percent of customers Female Sex Workers are adolescents and 60 percent of men who are married. The highest risk for 6.7 million men service users Women Sex range of contracting HIV / AIDS. Analyze sexual knowledge, permissive parenting, conformityand pornography with sexual behavior of teenagers who use the services of Female Sex Workers in Bandungan. Methods this research is quantitative with cross sectional design with primary and secondary data. Variable research include sexual knowledge, permissive parenting, conformity peers, pornography and teenagers who use the services of Female Sex Workers. Results showed no significant association between sexual knowledge (p = 0.002), permissive parenting (0,001), conformity peers (0,013), pornography (0,000) to the behavior of adolescents who use the services of Female Sex Workers in Bandungan. The results of logistic regression showed that pornography has a very strong influence on teenagers who use the services of WPS (0,000) when compared to other factors. The conclusion in this study there was a significant relationship between the factors of sexual knowledge, permissive parenting, peer conformity, and pornography with sexual behavior of teenagers who use the services of Female Sex Workers in Bandungan Semarang. Multivariate analysis with logistic regression analysis revealed that only one factor pornography of the most dominant influence adolescents use sexual services
An Analysis of Knowledge. Attitude. Family Support. and Compliances of Takipesial region of Yogyakartang Drugs Towards Diabetes Mellitus Type II in S Lyndasari, Pamela; Rahayu, Sri Ratna; Yuniastuti, Ari
Public Health Perspective Journal Vol 3, No 3 (2018): December 2018
Publisher : Universitas Negeri Semarang

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Abstract

Diabetes mellitus has quickly become one of the most common non-communicable diseases globally. According to the Health Centre Integrated Disease Surveillance Report of Yogyakarta Province in 2017 there were 8.321 cases of diabetes and the results showed that DM was the number 4 most common disease in DIY in 2017 with 152 deaths. The purpose of this study was to analyze knowledge.attitudes.family support.andcompliances of taking medication towards diabetes mellitus Type II in Sleman.Special Region of Yogyakarta. This research was a quantitative study with a cross sectional approach. The research sample consisted of 119 simple random sampling techniques. This research instrument used a questionnaire. The analysis in this study used Path Analysis. The results showed that there was a direct effect of knowledge on blood glucose levels with a path coefficient of 0.193 (p = 0.031 <0.05). There is an influence of attitudes towards blood glucose levels with a path coefficient of 0.203 (p = 0.019 <0.05). The community needs to adopt a healthy lifestyle. the health office and the local government need to conduct health education (KIE) in a comprehensive manner.
Analisis Total Status Antioksidan (TSA) Pasien Tuberkulosis (TB) Paru Kelompok Usia 30-60 Tahun di Wilayah Kerja Puskesmas Kecamatan Genuk Kota Semarang Altika, Sifa; Sri Ratna Rahayu, Rr.
Public Health Perspective Journal Vol 2, No 3 (2017): December 2017
Publisher : Universitas Negeri Semarang

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Abstract

Kondisi sepsis (infeksi) oleh M. tuberculosis dapat menyebabkan Peningkatan Reaktive Oxygen Species (ROS) yang mengakibatkan penurunan kadar antioksidan antioksidan. Penelitian ini bertujuan untuk menganalisis total status antioksidan pada pasien TB kelompok usia 30-60 tahun di Wilayah Kerja Puskesmas Kecamatan Genuk Kota Semarang. Desain penelitian ini adalah case control. Sampel TB sebanyak 30 pasien yang dipilih dari puskesmas Bangetayu dan puskesma Genuk yang sesuai dengan kriteria inklusi dan eksklusi sesuai kedatangan (consecutive sampling), sedangkan control dipilih secara volunter. 2,5 mililiter darah diambil dari setiap sampel, kemudian dilakukan pemeriksaan kadar TSA dengan metode DPPH.Hasil penelitian menunjukkan bahwa sampel pasien TB paru dengan TSA yang rendah / kurang dari normal. Rerata TSA pada pasien TB paru 0.61±0.103 lebih tinggi dibandingkan dengan kelompok kontrol yaitu 0.58±0.090. Hasil uji statistik Mann Whitney menunjukkan bahwa tidak terdapat perbedaan antara total status antioksidan pada responden TB paru dengan responden sehat, nilai p=0.318 (p>0,05).  Hal ini menunjukan bahwa secara statistik kondisi sakit TB ataupun kondisi tidak sakit tidak memberikan pengaruh yang berbeda terhadap total status antioksidan.The condition of sepsis (infection) by M. tuberculosis can cause an increase in Reactive Oxygen Species (ROS) resulting in decreased levels of antioxidants. The purpose of this study was to analyze the total antioxidant status in TB patients age group 30-60 years in the Working Area community health centers Genuk Districts Semarang City. The design of this research is case control. Samples of TB were 30 patients selected from Bangetayu and Genuk community health centers in accordance with inclusion and exclusion consecutive sampling criteria, while control was selected by volunter. 2.5 milliliters of blood taken from each sample, then examined TSA levels by DPPH method.The results showed that samples of pulmonary TB patients with TSA were low / less than normal. The mean of TSA in pulmonary tuberculosis patients was 0.61 ± 0.103 higher than the control group of 0.58 ± 0.090. Mann Whitney statistical test results showed that there was no difference between total antioxidant status in pulmonary tuberculosis respondents with healthy respondents p = 0.318 (p> 0,05). This shows that statistically the condition of TB disease or the condition of pain does not give a different effect on the total antioxidant status.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPUASAN PASIEN RAWAT JALAN DI PUSKESMAS LAMPER TENGAH KECAMATAN SEMARANG SELATAN KOTA SEMARANG Mernawati, Defi; Zainafree, Intan
Public Health Perspective Journal Vol 1, No 1 (2016)
Publisher : Public Health Perspective Journal

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Abstract

Faktor utama penentu kepuasan pasien adalah persepsi pelanggan terhadap kualitas layanan kesehatan.Pendekatan kualitas jasa yang sering digunakan adalah model ServQual (Service Quality). Jenis penelitian adalah survey eksplanatory dengan pendekatan cross sectional. Teknik pengambilan sampela dalah accidental sampling, dan jumlah sampel 96. Hasil peneltian ini menunjukkan ada hubungan antara factor reliability (0,017<0,05), assurance (0,001<0,05), tangible (0,006<0,05), empathy (0,003<0,05) dan responsiveness (0,021<0,05) dengankepuasanpasien. Kesimpulan penelitian ini adalah adanya hubungan antara faktor (reliability, assurance, tangible, empathy, responsiveness) dengan kepuasan pasien rawat jalan Puskesmas Lamper Tengah Kota Semarang. Saran yang diberikan yaitu menambah fasilitas ruang tunggu dan media informasi, melakukan survey kepuasan pasien berkala.The determining factor for patients satisfaction was customer's perception of the quality of health services.Approach to service quality that is often used is the model ServQual (Service Quality).The type of this research was an explanatory survey with cross sectional approach. The techniques used in taking the sample was an accidental sampling, the number of sample was. The results of this research show that there was relation between the reliability factor (0.017 <0.05), assurance (0.001 <0.05), tangible (0.006 <0.05), empathy (0,003 <0.05) and responsiveness (0.021 <0.05) with patients satisfaction. The conclusion of this study was there was relationship between factors (reliability, assurance, tangible, empathy, responsiveness) and the satisfaction of outpatients of Lamper clinic. Advice given to adding the lounge facilities and media information, periodic survey of patients satisfaction should be conducted to maintain continous improvement.
Input Sistem Rujukan Badan Penyelanggara Jaminan Sosial (BPJS) Kesehatan di Fasilitas Kesehatan Tingkat Pertama (FKTP) Kabupaten Jepara Indrianingrum, Irawati; Woro Kasmini Handayani, Oktio
Public Health Perspective Journal Vol 2, No 2 (2017): August 2017
Publisher : Universitas Negeri Semarang

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Abstract

Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan sebagai badan pelaksana merupakan badan hukum publik yang dibentuk untuk menyelenggarakan program jaminan kesehatan bagi seluruh rakyat Indonesia. Sistem  rujukan diselenggarakan  dengan  tujuan  memberikan pelayanan  kesehatan  secara  bermutu sehingga tujuan  pelayanan  tercapai  tanpa  harus menggunakan biaya yang mahal. Tujuan penelitian ini untuk mendiskripsikan  Pelaksanaan Sistem Rujukan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan pada Fasilitas Kesehatan Tingkat Petama Kabupaten Jepara.Penelitian ini merupakan penelitian deskriptif kualitatif. Sumber data dalam penelitian ini ditentukan dengan teknik purposive sampling dan dapat dikembangkan lagi dengan teknik snowball.  Input untuk sarana prasarana sudah sesuai dengan standar dan kriteria teknis yang dipersyaratkan pada awal seleksi dan kredensialing dari dinas kesehatan dan BPJS Kesehatan pada Fasilitas Kesehatan yang bekerjasama. Untuk Tenaga pelaksana sudah sesuai dengan tupoksinya, sesuai standar prosedur dan kompetensi non spesialistik pada 144 penyakit. Rujukan BPJS Kesehatan tidak ada penambahan biaya, sesuai kelas, sesuai dengan kapitasi dan kepesertaan yang terdaftar sedangkaan metode pelayanan rujukan BPJS Kesehatan sesuai alur rujukan dan berjenjang serta obat yang diberikan adalah obat generik dan diberikan sesuai indikasi medis serta dalam penyediaann obat dari kapitasi.Social Security Agency of Implementing Agency (BPJS) Kesehatan as a public legal entity set up to organize the health insurance program for all Indonesian people. The referral system was organized with the aim of providing quality health care services so that the goal is achieved without having to use an expensive cost. The purpose of this study is to describe the Referral System Implementation of Social Security Agency (BPJS) Kesehatan in Health Care Facilities of First Instance Jepara regency.       This research is a qualitative descriptive study. Sources of data in this research was determined by purposive sampling and can be developed further with the snowball technique.The input stage of the infrastructure is in conformity with the standards and technical criteria required at the beginning of the selection and kredensialing from the health department and BPJS on Health Facilities in cooperation. For the executive power is in conformity with tupoksinya, according to the standard procedures and non specialist competence in the 144 diseases. Referral BPJS no additional cost, appropriate classes, according to capitation and registered membership and method BPJS appropriate referral services and tiered referral flow and a given drug is a generic medicine and given appropriate medical indication as well in drug provision of capitation.
The Role of Family in Activity of Daily Living (ADL) Among Children With Intellectual Disability At State Special School Pembina Pekanbaru Assalam, Teguh Opri; Indriyanti, Dyah Rini; Kasmini, Oktia Woro
Public Health Perspective Journal Vol 3, No 2 (2018): August 2018
Publisher : Universitas Negeri Semarang

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Abstract

Activity of daily living (ADL) is a person's ability to perform activities independently. ADL is influenced by several factors, one of which is the role of family. The result of preliminary study at State Special School Pembina Pekanbaru showed that of,  6 children 10 children with intellectual disability aged 8-12 year had not been able to perform ADL as a whole. This study aims to determine the role of family and ADL and to analyze the role of family as a provider, the role of child care, the role of child socialization, family care of ADL for the children with intellectual disability at State Special School Pembina Pekanbaru. The study method was observational analytic with cross sectional design. The samples of this study were children with moderate level of intellectual disability aged 8-12 years as many as 43 children. The instrument used here was questionnaire. Data analysis used Chi Square test with significance level of 5%. The study results showed that there was a relationship between the role of family as provider and ADL (p-value 0,035). The role of family in child care and ADL (p-value 0,024). The role of family in child socialization and ADL (p-value 0,018). The role of family as nurse and ADL (p-value 0,024). This study is expected to provide input in developing programs that refer to government programs in dealing with children with intellectual disability so as to make a step of health promotion so that children with intellectual disability can know the importance of optimizing ADL needs independently.
Relationship between Working period and Personal Hygiene towards the Incidence of ARI Among Fish Fillet Workers (Case Study In TPI Tegal City 2017) Sari, Desy Karlita; Soesanto, Soesanto; Laksono, Budi
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
Publisher : Universitas Negeri Semarang

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Abstract

The International Labor Organization's (ILO) world body says the third cause of death from work is a respiratory disease. Working periods are important to see  how long a person has been exposed to unhealthy environments or chemicals. The longer a person works on the unhealthy the higher the risk of health problems. While the problem of Personal Hygiene is a daily thing to do, but sometimes still considered less important. The purpose of this study is to analyze the working period and personal hygiene of ARI cases among fish fillet workers in TPI Tegal City. This research is a kind of quantitative research. Analytical observational research design with case control approach.The population of all Fish Fillet workers in TPI Tegal City and sample of 80 samples was obtained by lameshow formula. With a sample of 40 samples and a control sample of 40 samples. The sample was obtained by the technique of Consecutive Sampling Instrument used was questionnaire. Data analysis using Chi square test. The result of the research showed that there was a significant correlation between work period to ARI occurrence among fish fillet workers in TPI Tegal City (p = 0,000) with OR = 10,55 and no significant relationship between personal hygiene to ARI occurrence among fillet workers fish in TPI Tegal City (p = 0,189). The conclusion of long-time fish fillet workers (≥ 5 years) is 10 times greater risk of ARI than new workers (<5 years) working as fish fillet workers in TPI Tegal City.

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