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Alfi Fairuz Asna
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fairuzasna@gmail.com
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Kota semarang,
Jawa tengah
INDONESIA
Jurnal Kesehatan Masyarakat
Published by Universitas Diponegoro
ISSN : 27155617     EISSN : 23563346     DOI : https://doi.org/10.14710/jkm.crossmark
Core Subject : Health,
Jurnal Kesehatan Masyarakat (JKM) provides an online media to publish scientific articles from research and development in the field of Public Health. The scope of JKM is as follows: - Health Administration and Policy - Epidemiology - Environmental Health - Occupational Health and Safety - Health Education and Behavioral Sciences - Biostatistics - Public Health Nutrition - Reproduction Healtg
Articles 1,944 Documents
ANALISIS IMPLEMENTASI PROGRAM DETEKSI DINI KANKER SERVIKS MELALUI METODE INSPEKSI VISUAL ASAM ASETAT (IVA) DI PUSKESMAS KOTA SEMARANG Meytri Saraswati; Ayun Sriatmi; Sutopo Patria Jati
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.41 KB) | DOI: 10.14710/jkm.v5i4.18320

Abstract

Cervical cancer screening program by visual inspection with acetic acid (VIA) was breakthrough effort to accelearte the decrease of morbidity and mortality rate for cervical cancer. However, the implementation of this program in Semarang still has not optimum yet. The objective of this study was analyze the implementation of cervical cancer screening program by VIA at primary healthcare in Semarang. This research was descriptive-qualitative study. The data collection was done using indepth interview based on purposive sampling criteria of the primary healthcare center that had increase and decrease of extreme in VIA. The research subjects were 5 midwife executor of VIA as the main informant and for the triangulations informants were 1 head of infectious diseases unit in Semarang District Health Office, 5 head of primary healthcare center, and 5 women of reproductive age. Content analysis method was applied in the data analysis. The variables researched were implementation, communication, human resources, infrastructure, information, mind and character, motivation, division of works, and supervision. The result of the study show that implementation of program by VIA still had some constraint in promotion and education through media and socialization of program. The implementation was influenced by communication, human resources, materials, information, mind and character, motivation, division of works, and supervision. In communication , midwife and women of reproductive age still had not have good understanding of program information. Although infrastructures were fine but there was no avaibility of midwife and information. Mind, character, and motivation of midwife showed  that need to be improved. Regular supervision and clear division of works need to between midwife and manager of infectious diseases unit.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KESELAMATAN PENGOPERASIAN ALAT ANGKAT BONGKAR MUAT PETI KEMAS (Studi Kasus di PT. Pelabuhan Tanjung Priok) Putri Sarah Alvernia; Bina Kurniawan; Daru Lestantyo
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.957 KB) | DOI: 10.14710/jkm.v6i4.21439

Abstract

Port is a workplace that has a high accident risk, one of them for loading and unloading activities by using lifting equipment. PT.Pelabuhan Tanjung Priok is a company engaged in the service of port services for container loading and unloading activities. These activities use lifting equipment that is Gantry Luffing Crane (GLC) and Overhead Crane (OHC) operated by the operator. This study aimed to analyze the factors that affected the safety of the operation of container loading and unloading equipment. In this research, the design used descriptive with qualitative analysis approach. The subject of research was 13 people consist of 8 main informants and 5 informant triangulation. The results of this study indicated that the level of education, working period and age had been in accordance with the rules set by the government, the level of education, employment and the higher age did not guarantee the operator would behave safely, but the operator's knowledge of safe working behavior was good enough, the attitude of the lift operator indicated that there were still operators who were not behaving safely, the state of the lifting machine was good because there has been checking every day, all operators have attended the training to get the SIO / K3 license, safety briefing done every shift change but only in the direction, the operating SOP already exists but the socialization has not been comprehensive throughout the operator, the assistant operators were very helpful operators in the operation of the tool, and the existence of punishment motivated operators to behave safely, but if there was a reward would be more motivate the operator to behave safely. The company should re-socialize the Operating Procedure SOP to all operators, conducted a two-way safety briefing and gave rewards as a form of appreciation to the operator.
ANALISIS RISIKO KESEHATAN AKIBAT PAPARAN BENZENE MELALUI INHALASI PADA PETUGAS STASIUN PENGISIAN BAHAN BAKAR UMUM (SPBU) DI SEKITAR KAWASAN UNIVERSITAS DIPONEGORO SEMARANG Dimas Triyadi; Nurjazuli Nurjazuli; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.031 KB) | DOI: 10.14710/jkm.v4i4.14386

Abstract

The use of motor vehicles increased from year to year due to seasonal residents come around Undip and area, it is impacting on the use of fuel gas stations around the area of Undip as a provider of fuel on average extension day, fill with 24,000 litres. fuel known to contain organic compounds, namely benzene that is dangerous on gas station attendant.This research aims to know the level of health risk due to exposure to benzene through inhalation on the gas station in the area around the Diponegoro University of Semarang. This research population is 78 people from 4 gas station. The number of samples obtained with the formula slovin of 28 people. This research is descriptive research that uses a risk assessment approach to environmental health. Data obtained from the measurement of the concentration of benzene inhaled aerial, weight measurements, interviews, and the study of literature. The results of measurement of concentrations of benzene aerial is of 28 respondents, respondents 1 threshold value exceeds 0,5 ppm specified Permenakertrans RI No.13 Tahun 2011 of 2,0791 ppm. The analysis to the data by doing the calculations benzene intake. The resulting intake values are then compared to the Reference Concentration (RfC) for non carcinogens effects and Cancer Slope Factor (CSF) for the effects of carcinogens. Analysis of the result obtained for the effects of non carcinogens realtime, namely RQ ≤ 1 is 71,4%, RQ > 1 is 28,6%, and effect of non carcinogens lifetime, namely RQ ≤ 1 is 10,7%, RQ > 1 is 89,3%. While the effects of carcinogens realtime, namely on ECR ≤ 10-4 is 39,3%, on ECR > 10-4 is 60,7% and effects of carcinogens,namely ECR >10-4 is 100%. In conclusion, the level of non carcinogens health risks mostly secured or not yet at risk and the level of carcinogens health risk mostly unsafe or risky.
HUBUNGAN KARAKTERISTIK PEKERJA, PROMOSI K3, DAN KETERSEDIAAN ALAT PELINDUNG DIRI (APD) DENGAN PERILAKU TIDAK AMAN PADA PEKERJA MECHANICAL MAINTENANCE Yunita Setiarsih; Yuliani Setyaningsih; Baju Widjasena
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (876.464 KB) | DOI: 10.14710/jkm.v5i5.18965

Abstract

Unsafe Behaviour is an act of workers who deviate from the principle of the HSE and safe procedure, which can cause accidents. Around 88% accident in work place caused from unsafe action. Action can be affected by predisposing factor, enabling factor and reinforcing factor.The aim of this study was to identify the association of worker characteristic, safety promotion and PPE availability inmechanical maintenance worker with unsafe action.This type of research is cross sectional study with observasional study and analytic.Population of this research is mechanical maintenance workerstotaling 57 people, and the sample in this study using total population method. Data was measured by filling questioner by respondent and observation by researcher. Statistical analysis is using Chi- Square correlation test with the results showed there are no correlation between age, job status, education level, job tenure, and knowledge with unsafe action (p value ≥0,05). There are correlation between manner, supervision, training, and PPE availabilitywith unsafe action (p value <0,05). Company should give training to all workers,monitoring CSMS and KPI on contractor and give reward for workers that obedient and safe action.
HUBUNGAN KONDISI LINGKUNGAN FISIK RUMAH DENGAN KEJADIAN PNEUMONIA PADA ANAK BALITA DI KECAMATAN PACITAN KABUPATEN PACITAN Delima Kurnia Sari; Mursid Rahardjo; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.145 KB) | DOI: 10.14710/jkm.v6i6.22157

Abstract

During the last 3 years the incidence of pneumonia in Pacitan District fluctuated. The highest pneumonia incidence in 2017 was in Pacitan subdistrict with 146 cases with incident rate in 2017 was 38 per 1000 children. This study aimed to analyze the physical environmental of house factors associated with pneumonia in under-five children in Pacitan district. This research used observational analytic study with case control design. Samples in this research were 80 children aged 12-59 months  consisting of 40 case groups and 40 control group with age and sex of the children matching. Analysis of data using chi square test and Odds Ratio (OR). The result showed the majority of respondents' houses had wall types, occupancy density, proportion of house ventilation that fulfilled the requirements. Respondent's house has a range of room temperature ranging from 26.3 ºC -32.8 ºC and room humidity level 47.5% -77%. There were 4 related variables from 9 variabels such as  the presence of family members who smoked (p-value=0,035; OR=3,116; 95%CI=1,184-8,200), use of mosquito coils (p-value=0,034; OR=9,750; 95%CI=1,158-82,108), type of floor (p-value=0,042; OR=3,400; 95%CI=1,156-9,996) and lighting intensity (p-value=0,001; OR=7,364; 95%CI=2,204-24,602). It can be concluded that there is a relationship between condition of physical environment at home with pneumonia in children under five years in Pacitan district.
ANALISIS TINGKAT RISIKO KELELAHAN PADA MASINIS COMMUTER LINE RUTE BOGOR-JAKARTA KOTA Adhinda Lili Pramasari; Baju Widjasena; Bina Kurniawan; Suroto Suroto
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 2 (2017): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.041 KB) | DOI: 10.14710/jkm.v5i2.16377

Abstract

Fatigue is one of the main factors of accident involving public transportation drivers, one of them is train drivers. Rail accident data summarized by the NTSC, railway accidents in Indonesia during 2007 until 2013 as many as 46 accidents. Total hours of sleep and quality of sleep obtained during the period of time when a person is not working can affect recovery from fatigue. The purpose of this research is to identify fatigue hazard and analyze fatigue risk level, so that the appropriate control can be determined. Variables studied include working hours, work shift, workload, work environment, rest time, sleep disturbance, physical condition and stress. Identification of fatigue hazard and analysis of fatigue risk level conducted to each variable. Identification of fatigue hazard was conducted by observation and indepth interview. The subjects of this study amounted to 5 as key informants and 3 as triangulation informants. Analysis of fatigue risk level was conducted by qualitative method and calculated with crossing consequences level and likelihood level. The results showed the entire train driver interviewed professed often experience fatigue. Symptoms of fatigue are often perceived by the five train drivers interviewed are drowsiness, feeling thirsty, pain in the waist, and the onset of bored. Tracks train long and monotonous as well as the extension of working hours (overtime) that they naturally contribute greatly to fatigue experienced. The conclusion of this study is is that fatigue is one of the problems that can occur on a commuter line train drivers. Companies need to provide training to train drivers on knowledge to recognize fatigue, factors that contribute to the onset of fatigue, the effects of fatigue and how to overcome the fatigue at the time of on duty.
FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN BALITA GIZI BURUK (SKOR Z BB/U < -3) DI KABUPATEN WONOGIRI TAHUN 2017 Suci Nurraini; Suyatno Suyatno; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (121.721 KB) | DOI: 10.14710/jkm.v6i1.19969

Abstract

Malnutrition (W/A) is still one of the health problems in Indonesia and the most vulnerable age group suffering from malnutrition is children under five years old. In 2013, the national prevalence of malnutrition-less in children under five is 19.6%, which means malnutrition-less problems in Indonesia are still a public health problem. The number of malnutrition cases in Wonogiri District in 2016 were 158 cases. The purpose of this study is to determine the risk factors associated with the incidence of malnutrition children under five in Wonogiri District. This type of research is an analytical survey with case control study design. The case group is children under five with Z-Score <-3 while the control group is children under five with Z-Score <-3 SD based on the W/A index. The sample was 34 for each group selected by purposive sampling technique. The result showed that there was significant correlation between malnutrition and infectious disease (p=0,011), parenting (p=0,011), maternal education level (p=0,002;) knowledge of mother (p=0,002), mother attitude level (p=0,012), mother practice level (p=0,011) and family economic status (p=0,039). There was no significant correlation between malnutrition and sex (p=1,000), age (p=0,334), energy sufficiency (p=0,582), protein adequacy level (p=0,742), and mother work status (p=0,123). It can be concluded that risk factors associated with the incidence of malnutrition in Wonogiri District are infectious diseases; parenting; mother's education level; level of knowledge, attitude, and practice of mother; and family economic status. Health workers are advised to always give information to society so that mother’s knowledge about baby nutrition increase. 
HUBUNGAN PRAKTIK HIGIENE PENJAMAH DENGAN KUALITAS MIKROBIOLOGIS PADA JAJANAN SIOMAY DI KECAMATAN TEMBALANG KOTA SEMARANG Azizah, Hana Fitria; Martini, Martini; Purwantisari, Susiana
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.953 KB) | DOI: 10.14710/jkm.v5i4.18374

Abstract

Siomay is a mixed food that has a limit of colony growth 1 x 104 colony/g or mL. A fish or meat-based food such as siomay is easily contaminated by pathogenic bacteria such as Escherichia coli. The contamination on siomay could be caused by the hygiene practices of food that was not applied properly. This research aimed to analyze the association between hygiene practices and microbiological quality of siomay stall in Tembalang Sub-District. The type of this research was analytic observasional study with cross-sectional approach. The population of this research was all of the siomay stall in Tembalang Sub-District. Sampling procedure used accidental sampling technique and it was obtained 37 samples. Interview and observation were conducted on hygiene practices, raw materials quality and raw materials storage practices at siomay stall. The data were analysed using chi square test. The results revealed that samples of 73% had the MPN values exceeding the limit, 70,3% was contaminated Escherichia coli exceeding requirement, and 32,4% was grown yeast exceeding the standards, then 91,9% samples did not supply the microbiological quality of food. The analysis showed that there was an association between hygiene practice (p = 0,047) in siomay stall with the microbiological quality. However, the raw materials quality and the raw materials storage practices of siomay had been quite good.
ANALISIS PELAKSANAAN PENANGANAN KELUHAN PELANGGAN DAN PELAYANAN INFORMASI DI BPJS KESEHATAN KANTOR CABANG SEMARANG Diah Eka Novitasari; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.994 KB) | DOI: 10.14710/jkm.v6i5.21975

Abstract

BPJS Kesehatan has a target in 2019 that is to cover all indonesians, there are some problems with increasing health services, one of them is an increase in complaints in BPJS Kesehatan branch office Semarang. The objective of this study is to analyze the implementation of customer complaints handling and information services in BPJS Kesehatan branch office Semarang. The type of research is qualitative research with descriptive approach through observational method and a survey was conducted for participants as an output amplifier for the implementation of customer complaint handling. Key informants included front liner staff, participant complaint handling staff, front liner supervisors and triangulation informants including Head of KPP, Head of USDMKP, 5 Participants, and research respondents totaling 85 participants. The results showed on certain days participant complaint handling staff serving the participants exceed the workload (1:30), training from the center only followed by jobholders, counters 11 and 12 are still in the grievance room while laying service counters had to be parallel to other counters, promoting mobile JKN still not optimal, participant complaint handling staff sometimes forget to ask participants to fill out of CSTI (Customer Satisfaction Index). Output of the implementation of customer complaints handling in BPJS Kesehatan branch office Semarang has been objective, responsive, coordinative, effective and efficient, accountable and transparent in accordance with the results of a survey conducted to participants. The suggestion is adding participant complaint handling staff in the office for certain days, optimization of Mobile JKN Ambassador, making warning alarm set during customer complaints handling services and posting information at the door of the complaint room regarding the obligation to bring supporting evidence to participants.
HUBUNGAN PAPARAN DEBU KAYU DI LINGKUNGAN KERJA TERHADAP GANGGUAN FUNGSI PARU PADA PEKERJA DI PT. ARUMBAI KASEMBADAN, BANYUMAS Rr Sarah Fadhilah Nafisa; Tri Joko; Onny Setiani
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 5 (2016): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.814 KB) | DOI: 10.14710/jkm.v4i5.14507

Abstract

One of the negative impact of wood industries was the emergence of air pollution such as sawdust particles originating from the processing of raw materials that could potentially lead to various health problems for workers especially lung function impairment.The purpose of this study was to determine the correlation of dust exposure in the work environment with impaired lung function on workers at PT. Arumbai Kasembadan Banyumas. This study was an observational research using cross sectional approach. The populations in this study are male workers of PT. Arumbai Kasembadan Banyumas division of production with a total of 54 people then 35 people were taken as samples based on the inclusion criteria. Data analysis using fisher exact test with a significant level of 95%. The results showed levels of sawdust at the sawmill was 0.135 mg/m3, wood working1 was 16,987 mg/m3 and wood working2 was 12,203 mg/m3. The results of lung function checkup on 35 workers shows that the majority of workers with impaired pulmonary function was as much as 30 workers. Fisher exact test result showed there is correlation between work period (p value = 0.026, 95% CI = 0.831 to 4.170), the use of PPE (p value = 0.049, 95% CI = 1.037 to 1.776), and the levels of dust (p value = 0.044, 95% CI = 0.849 to 3.112) with impaired pulmonary function of workers, while the time length of exposure variable showed there is no significant correlation between the time length of exposure with impaired lung function of workers (p value 1,000, 95% CI = 0,145-6,907). From the observed variables it was shown that work period, the use of PPE, and the total dust level were a factor which affects pulmonary function impairment to the workers. Therefore it is necessary to increase the efforts to control the total dust level in the wood working area and monitoring the use of masks regularly.

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