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Alfi Fairuz Asna
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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 STRATEGI PELAKSANAAN PROGRAM RUMAH SAKIT TANPA DINDING (HOSPITAL WITHOUT WALLS) DI RSJD DR. AMINO GONDOHUTOMO PROVINSI JAWA TENGAH MENGGUNAKAN MATRIKS SWOT DAN QSPM Cika Hanjani Pratiwi; Sutopo Patria Jati; Septo Pawelas Arso
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.336 KB) | DOI: 10.14710/jkm.v9i3.29151

Abstract

The variety of health problems in Central Java is that there are not yet optimal public health efforts held in primary healthfacilities, like as Puskesmas in promotive and preventive services. According to this problem, the Governor of Central Java for the 2018-2023 period launched an innovation program, namely the Hospital Without Walls (HWW)  which aims to strengthen public health efforts and empower the community. RSJD Dr. Amino Gondohutomo is one of the seven provincial hospitals that implemented the HWW. In two years of implementing HWW, an evaluation and improvement strategy is needed. So the purpose of this study is to describe and analyze strategies in an effort to optimize the implementation of HWW. This research is a qualitative research using descriptive method through in-depth interviews, informants were selected based on purposive sampling technique. The main informants are the Director, Deputy Director of Services, Head of Medical Services, Manager of Patient Services, and Head of Planning and Education Division. Triangulation informants are the health promotion leader and members of the HWW coordinating team. The results showed that internal factors in the form of strengths and weaknesses, as well as external factors such as opportunities and threats in the implementation of the HWW. The implementation of the HWW is in quadrant 3, which is a turn around strategy. Where this strategy minimizes internal weaknesses to take advantage of existing opportunities. Alternative strategies that can be implemented is to equate perceptions of understanding and positive mental attitudes for directors, managerial, and hospital staff.
ANALISIS EFEKTIVITAS PROGRAM INOVASI PEMBERIAN ASI GERSASI DI PUSKESMAS JATI KABUPATEN KUDUS Salsabilla Rushda Amrina; Septo Pawelas Arso; Nurhasmadiar Nandini
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.652 KB) | DOI: 10.14710/jkm.v9i3.29648

Abstract

Indonesia has proceeded ASI eksklusif program to create well nutrition generation. The program is held in health services facility. Puskesmas Jati holds the program as GERSASI (Gerakan Ibu Sayang Bayi Wajib ASI). The research objective was to describe and analyze the implementation of the effectiveness of the Exclusive Breastfeeding (ASI) program called GERSASI in Puskemas Jati, Kudus Regency. The objective was to analyze achievement aspect, integration, and adaptation. Research This was descriptive qualitative research, and data collected was done by indepth interview. The research was held on July-August 2020. The informants of the research consist of key informant and triangulation informant. The GERSASI’s Program target were pregnant mothers and breastfeeding mothers in Jati kulon village. GERSASI program performs socialization in Jati Kulon village in March 2017. The consensus was done by Jati Kulon authority to Jati Kulon villagers. The infrastructure of GERSASI Program were monitoring books, stickers, and certificates. Accompaniment was done by health cadres who were breastfeeding motivators. The health cadres were chosen because they were considered to be closed to the community. The effectiveness of the GERSASI Program is still deemed ineffective. There were still several aspects that need to be improved so that the GERSASI Program can achieve its objectives.
PERBEDAAN PENGELUARAN ASI SEBELUM DAN SETELAH PEMBERIAN SUSU KEDELAI PADA IBU PASCA MELAHIRKAN DI RUMAH SAKIT BERSALIN FATIMAH MEDAN TAHUN 2021 (Differences in Breast Milk Secretion Before and After Giving Soy Milk to Postpartum Mothers at Fatimah Materni Ade Lestari; Tiarnida Nababan; Fatimah Dorani; Elvi Harnista
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 4 (2021): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.149 KB) | DOI: 10.14710/jkm.v9i4.30273

Abstract

Fat in bosom contains an answer of protein, lactose, and natural salts that are handled by the mother's mammary organs, bosom milk is the best nourishment for children. One approach to build milk creation is by burning-through soy milk. The advantages of soy milk are to expand milk creation and increment the protein substance of soy milk by 35%. The reason for this examination was to decide the impact of giving soy milk on expanding bosom milk creation in baby blues moms at the Fatimah Maternity Home, Medan in 2021. The plan in this investigation utilized tests. A sum of 30 respondents were utilized as tests for this investigation. By utilizing the Wilcoxon grade test with a p-esteem = 0.000, it is demonstrated that giving soy milk affects expanding bosom milk creation after conveyance. The outcomes acquired from devouring soy milk influence chemicals with the aim at that the myoepithelial cells are crushed into bosom milk. This investigation concluded that there was an impact given soy milk to increase milk production in baby blues mothers. The screening recommendation is to believe that a healthy delivery can focus on nursing mothers, to be specific that utilization of soy milk is useful for bosom milk creation.                                                  
FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN IMS PADA WANITA DI PROVINSI JAWA TENGAH Elisa Nurhayati; Atik Mawarni; Farid Agushybana
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 6 (2021): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.19 KB) | DOI: 10.14710/jkm.v9i6.31243

Abstract

Prevention of Sexually Transmitted Infections is one of the priorities of the World Health Organization 2016-2021. Women are a group that is still unfamiliar with STI prevention behavior, especially in terms of seeking information and treatment of STIs in health services. Some of the factors related to STI prevention behavior are age, latest education, marital status, residence, level of knowledge, and attitudes. This study aims to analyze the relationship between age, latest education, marital status, residence, level of knowledge, and attitudes with STI prevention behavior. The study was conducted using data from the 2017 IDHS (Indonesian Health and Demographic Survey). The sample consisted of 3,414 women in Central Java Province. Data analysis used chi-square test and logistic regression. Latest education (p-value = 0.009), marital status (p-value = 0.033) and level of knowledge (p-value = 0.008) are associated with STI prevention behavior, while age, residence, and attitude have no significant relationship with STI prevention behavior. The logistic regression test results showed that there was an influence between latest education (OR = 1.134), marital status (OR = 1.124), and level of knowledge (OR = 1.139). This study concludes that there is a significant relationship between latest education, marital status, and level of knowledge with STI prevention behavior.
GLUTARALDEHID SEBAGAI ALTERNATIF UNTUK BAHAN STERILISASI ALAT MEDIS DI RUMAH SAKIT Ida Fitri Leksanawati; Budiyono Budiyono; Suhartono Suhartono
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 6 (2020): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (118.269 KB) | DOI: 10.14710/jkm.v8i6.28281

Abstract

Sterilisasi alat medis untuk operasi dilakukan untuk mencegah infeksi. Proses sterilisasi yang dilakukan selama ini dengan cara direbus. Alat medis yang disteril dimungkinkan masih mengandung kuman.  Pilihan proses sterilisasi yang lain adalah menggunakan bahan kimia glutaraldehid. Glutaraldehid mempunyai sifat disinfektan kuat, bersifat bakterisida, virusida, dan fungisida, serta bersifat non-korosif. Tujuan penelitian ini adalah untuk mengetahui efektivitas glutaraldehid berdasarkan waktu dan konsentrasi. Jenis penelitian adalah eksperimen dengan 48 sampel alat set medis bedah (gunting jaringan, pinset, klem besar dan klem ovarium). Konsentrasi dalam volume 1 liter air yang digunakan 20 ml, 25 ml dan waktu (20 menit, 30 menit). Uji  analisis  statistik  dengan  Uji Two way Anova. Hasil penelitian konsentrasi 20 ml / 1 liter  air  sangat efektif membunuh kuman pada alat set medis bedah. Ada efesiensi biaya untuk sterilisasi menggunakan bahan kimia glutaraldehid dengan kosentrasi 20 ml/1 liter air dibandingkan konsentrasi 25 ml/1 liter air di Instalasi CSSD RSUD Hj. Anna Lasmanah Banjarnegara. Kesimpulan dari penelitian ini adalah ada pengaruh desinfektan glutaraldehid dalam menurunkan angka kuman pada konsentrasi 20 ml dan waktu 20 menit. Namun demikian, perlu riset lebih lanjut dan seksama untuk mengetahui efektifitas bahan kimia tersebut.
HUBUNGAN INTENSITAS KEBISINGAN DI LINGKUNGAN KERJA DENGAN PENINGKATAN TEKANAN DARAH PADA PEKERJA PT X SEMARANG Aqila Tischana Dewi; Tri Joko; Yusniar Hanani Darundiati
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 6 (2021): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.289 KB) | DOI: 10.14710/jkm.v9i6.31784

Abstract

Noise from working environment can generate health impact on workers. Noise exposure which exceeds the treshold limit can affect the cardiovascular system, one of which is the increase of blood pressure. This research aims to determine the association between noise intensity and the increase of blood pressure on workers at PT X Semarang, a steel conduit manufacturing company. This is an observasional analitic study with cross-sectional design. The respondent amounted to 32 people taken with total sampling technique. The noise intensity measurement showed that the lowest noise intensity is in office area (59,7 dBA) while the highest is in factory B (88,12 dBA). The average age of the respondents is 40 years old with 8 years of working period. The average blood pressure before working is 124,06/81,34 mmHg and after working is 126,97/82,84 mmHg in which 71,9% respondents have an increase in systolic blood pressure and 68,8% in diastolic blood pressure. Bivariate analysis using fisher’s exact test showed that there is an association between noise intensity and the increase of diastolic blood pressure (p = 0,013; RP = 9,500; CI 95% = 1,641-54,994) but no association between noise intensity and the increase of systolic blood pressure (p = 0,075; RP = 5,938; CI 95% = 1,084-32,513).  Among the confounding variables, there was an association between smoking habit and the increase of diastolic blood pressure (p = 0,022; RP = 7,000; CI 95% = 1,185-41,359) but not with the increase of systolic blood pressure (p = 0,433; RP = 2,600; CI 95% = 0,518-13,041). The conclusion of this research is noise intensity and smoking habit can affect the increase of diastolic blood pressure. The workers are advised to wear earplugs when working.
HUBUNGAN PENGETAHUAN DAN SIKAP MENGENAI INFORMASI PETA HAZARD DENGAN PRAKTIK PEKERJA DALAM MENCEGAH KECELAKAAN KERJA DI INDUSTRI MANUFAKTUR Ihzam Ubaidillah; Ekawati Ekawati; Baju Widjasena
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 1 (2021): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.017 KB) | DOI: 10.14710/jkm.v9i1.28515

Abstract

Hazard maps are visual representations of workplaces where there are hazards that can cause injury or illness.1 PT. Phapros Tbk is a pharmaceutical company which is one of the manufacturing sectors that produce 284 kinds of medical drugs which is classified in the ethical, generic, OTC, and Agromed product groups. One of units at PT. Phapros Tbk which has a high risk categories is the Tablets, Coated Tablets and Capsules (TTSK) because there are many potential hazard that probably can cause accident or incident. The aim of the study was to analyze relation between knowledge and attitude about hazard map information with workers practices in preventing work accident. The population in this study was all employees in the TTSK pack and process unit of PT. Phapros Tbk with a total of 50 workers. The sample used in this study was 50 workers with total sampling technique. Data was taken using a research questionnaire filled out via Google Form because researchers do not get permission to enter the company because of SARS CoV-19 pandemic so that foreigners except workers do not become agents to spreading the virus. Based on result of research by using Chi-Square Test obtained variables associated with workers practices in preventing work accident is attitude about hazard map information (p-value = 0,000). The variables that was not related to workers practices in preventing work accident is knowledge about hazard map information (p-value = 0,706). Researchers suggests to conduct a hazard mapping approach with a small group of workers or work units with some similarities in job description, so that the approach is more effective and efficient.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETIDAKPATUHAN KUNJUNGAN KEHAMILAN K1-K4 PADA IBU HAMIL DI BPM BIDAN MARI SENTONO, PEGADUNGAN, KALIDERES TAHUN 2020 Santi Fatmawati; Gisely Vionalita; Rini Handayani; Devi Angeliana Kusumaningtiar
Jurnal Kesehatan Masyarakat (Undip) Vol 10, No 1 (2022): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.824 KB) | DOI: 10.14710/jkm.v10i1.31907

Abstract

One of the causes of Maternal Mortality Rate (MMR) is complications in pregnancy and childbirth. Complications of pregnancy and childbirth can be prevented by regular antenatal care (ANC) examinations. ANC is a visit by pregnant women with health workers to get pregnancy services in accordance with established standards. Of these 114 pregnant women patients, there were patients who were not compliant (having visits less than 4 times) as many as 89 (78%) patients while the data on the coverage of antenatal care visits in DKI Jakarta in 2019 was 88.54%, this was due to a lack of knowledge about pregnancy visits, parity, and mileage. The purpose of this study was to determine the factors associated with non-adherence to pregnancy visits K1-K4 in pregnant women. This research is a quantitative research with a cross sectional design. This research was conducted in January – August 2021. The population in this study were all pregnant women at BPM Midwife Mari Sentono in 2021 as many as 114 people in January – April. The sample in this study was 75 medical records of pregnant women with simple random sampling method. Data analysis was carried out univariate and bivariate with Chi Square test (α = 0.05) and calculate the Prevalence Ratio (PR) value. The results of the Chi Square test are age (p-value = 0.962, PR = 1.085), education (p-value = 0.027, PR = 0.487), occupation (p-value = 1,000, PR = 1,000), parity (p-value = 1,000). value = 0.037, PR = 1.975), and distance traveled (p-value = 0.024, PR = 2,000), the conclusion is that there is a relationship between education, parity and distance traveled with non-compliance with K1-K4 visits to pregnant women at BPM Midwife Mari Sentono. Suggestions for the BPM are expected to be used as input to develop a special program in increasing the coverage of ANC visits during the pandemic in order to minimize the incidence of maternal and infant mortality.
HUBUNGAN PERSEPSI KEGANASAN KANKER PAYUDARA DENGAN PRAKTIK SADARI (PERIKSA PAYUDARA SENDIRI) PADA MAHASISWI FAKULTAS KESEHATAN MASYARAKAT UNDIP SEMARANG Nur Afifah Azhari; Dharminto Dharminto; Sri Winarni; Djoko Nugroho
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 1 (2021): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.19 KB) | DOI: 10.14710/jkm.v9i1.28630

Abstract

Breast Self-Examination (BSE) is one of the most important methods for early diagnosis of breast cancer. Generally, Student of Public Health have obtained information about breast cancer and BSE so they tend to have good knowledge. But in fact their awareness to do Breast Self-Examination is still low (30%). The purpose of this study is to determine the relationship between severity of breast cancer perception based on patient survival, treatment costs, and perceived suffering with breast self-examination practice (BSE) in female student at the Faculty of Public Health Diponegoro University Semarang. This research is a quantitative research with explanatory research method and cross sectional study design. The population in this study was 1166 female students with a sample of 102 respondents taken using a simple random sampling technique. The results showed that most of the respondents were at the age of 19 years (33,3%), and were Grade 1/Class 2019 students and Level 3/Class 2017 students (27,5%). Correlation test results show there is a weak positive relationship between patient survival sub-variables (p-value = 0.010, r=0,256) and perceived suffering (p-value = 0.019, r=0,231) with BSE practices in female students. Therefore the perception of severity based on breast cancer survivors has an important role in the practice of BSE. It is recommended for female students to increase their awareness of their health by paying more attention to the state of their breasts and increasing their understanding of BSE well.
HUBUNGAN ANTARA DUKUNGAN SUAMI DAN KELUARGA DENGAN PEMBERIAN ASI EKSKLUSIF PADA IBU PEKERJA SEKTOR FORMAL (Studi pada Wilayah Kerja Puskesmas Kebakkramat I) Alya Hanifa Lisma Febita; Syamsulhuda Budi Musthofa; Novia Handayani
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 2 (2021): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.754 KB) | DOI: 10.14710/jkm.v9i2.28853

Abstract

Exclusive breastfeeding for babies will reduce the risk of developing infectious diseases. Many women in Kebakkramat sub-districts work in the formal sector because this area is industrial. Working mothers who are breastfeeding need to divide their time between babysitting and their work, so they need support from their husbands and families to achieve exclusive breastfeeding. This research aimed to analyze the relationship between husband and family support with the exclusive breastfeeding behavior in the work area of Kebakkramat I Health Center. This study conducted using quantitative observational study methods with a cross-sectional approach. The population in this research was 113 of formal sector worker mothers who had babies aged 6-12 months. The sample in this study was 55 respondents selected using simple random sampling. The results of this study showed that the majority of respondents already have good support from their husbands and families, but as many as 80% of husbands who have not suggested respondents to participate Ojek ASI program and 70.9% of families suggest giving complementary foods of breastmilk to babies under 6 months. There is a significant relationship between husband support (p-value= 0,000) and family support (p-value= 0.029) with exclusive breastfeeding behavior. Health workers need to provide correct information about exclusive breastfeeding to husbands and families so they can provide positive support for breastfeeding mothers.

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