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Contact Name
Alfi Fairuz Asna
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fairuzasna@gmail.com
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+6281333033548
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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
IDENTIFIKASI FAKTOR-FAKTOR PENYEBAB DROP-OUT ARV PADA PENDERITA TB-HIV DI KELOMPOK DUKUNGAN SEBAYA ARJUNA SEMARANG Sifa Fauziah; Kusyogo Cahyo; Besar Tirto Husodo
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.752 KB) | DOI: 10.14710/jkm.v7i1.23075

Abstract

HIV / AIDS is a disease caused by the HIV virus which causes a decrease in the immune system. Decreasing the immune system makes it easier for other diseases to attack the body. Tuberculosis is a disease that is most often suffered by someone who is infected with the HIV virus because the nature of the disease that is easily transmitted is supported by the body's condition with low immunity. Therefore, to improve the immune system the body of a person with HIV is required to consume ARV for life. Consumption of antiretroviral drugs for a lifetime causes a person to experience burnout, so dropping out or dropping from taking antiretroviral. The purpose of this study was to identify the factors that cause drop-out of ARV in patients with TB-HIV in the Arjuna Peer Support Group Semarang. This type of research is qualitative research with in-depth interviews. The population studied were 7 research subjects who were members of the Peer Support Group and 2 subjects were triangulation. Factors identified as causing ARV drop-outs in TB-HIV patients include knowledge, attitudes towards ARV treatment, side effects of ARVs, access to health services, health care facilities, service satisfaction from health workers, family support, partner support, community support, support from health workers, and support from peer support groups.
ANALISIS WASTE PADA ALUR RUJUKAN PASIEN PELAYANAN PONED PUSKESMAS HALMAHERA KOTA SEMARANG DENGAN PENDEKATAN LEAN HEALTHCARE Nurlita Putri Apriliani; Sutopo Patria Jati; Eka Yunila Fatmasari
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 (149.548 KB) | DOI: 10.14710/jkm.v5i4.18322

Abstract

Central Java contributing the highest Maternal Mortality Rate in Indonesia,Semarang City is ranked the 2nd highest AKI in Central Java after BrebesRegency. Optimization of Basic Emergency Obstetric and Newborn Care (BEMONC) services is the government's effort to reduce MMR. HalmaheraHealth Center is the best PONED Puskesmas in Semarang city, but at servicecrotch is not optimal with 3 emergency referral case in dashboard entering red zone.Lean Healthcare is one of the concepts for quality management and cost efficiency to optimize value-oriented services. Qualitative includes 5 provinces  study with descriptive analytic approach was done at Halmahera Primary Health Care of Semarang. There was 9 informants in each PHC including Doctor, Midwife, Nurse and also patient's family. In depth interviews and observations was done to assesing waste in service process.Value Stream Mapping overview in the flow of patient referral services PuseksmasHalamheraBEMONC is ideal when viewed from the standard Response Time by Kepmenkes 856 in 2009. Results showed the ratio between the activities of the Value Added and Non-Value Added amounted to 36.36%; 63.64% which means the patient referral line of BEMONC service at Halmahera PHC is not yet in Lean condition. The types of waste found are unnecessary transportation, motion, waiting, defect, and underutilized abilities of people. The causes of problems that arise are the ethics and competence of the midwife, the layout of the room, supervision of leadership, clarity of division of labor, clarity of cooperation with vendors related sijariemas system, clarity of cooperation with CEMONC (Comprehensive Emergency Obstetric and Newborn Care) Hospital. Suggested changes to the layout of the room, clarity of cooperation with vendors and hospitals, increased supervision of the leadership, and the emergency drill routine to improve midwife competence.
ANALISIS FAKTOR-FAKTOR KEBIJAKAN DALAM IMPLEMENTASI PROGRAM KESELAMATAN DAN KESEHATAN KERJA RUMAH SAKIT (K3RS) DI INSTALASI GAWAT DARURAT RUMAH SAKIT UMUM DAERAH KOTA SEMARANG Ajeng Retno Yunita; Ayun Sriatmi; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 2 (2016): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (164.545 KB) | DOI: 10.14710/jkm.v4i2.11919

Abstract

Rumah Sakit merupakan salah satu tempat kerja, yang wajib melaksanakan Program Keselamatan dan Kesehatan Kerja Rumah Sakit (K3RS) yang bermanfaat baik bagi SDM Rumah Sakit, pasien, pengunjung/pengantar pasien, maupun bagi masyarakat di lingkungan sekitar Rumah Sakit. Di awal pelaksanaannya permasalahan yang dijumpai di IGD RSUD Kota Semarang diantaranya menunjukkan adanya kejadian yang beresiko penyakit akibat kerja dan kecelakaan akibat kerja seperti, masih ada perawat yang tidak memakai alat pelindung diri berupa sarung tangan dan masker saat melakukan tindakan perawatan di instalasi gawat darurat, pencahayaan yang kurang di ruang administrasi instalasi gawat darurat, ruang tunggu untuk pasien tidak nyaman,ruang triage yang tidak berfungsi dengan baik, dan tidak dibedakannya pintu masuk dengan pintu keluar Intalasi Gawat Darurat sehingga dapat menyebabkan terjadinya benturan antara pasien yang masuk dan keluar. Tujuan dari penelitian ini adalah untuk mendeskripsikan faktor-faktor kebijakan Implementasi  Program K3RS di IGD RSUD Kota Semarang. Penelitian ini merupakan penelitian kualitatif deskriptif. Pengumpulan data dengan wawancara mendalam dengan informan utama petugas kesehatan di IGD dan informan triangulasi Kepala Instalasi K3, Kepala Ruang IGD, dan Kepala Seksi Pelayanan Medik. Hasil penelitian menunjukkan faktor-faktor implementasi dari segi isi dan  tujuan program K3RS, komunikasi, dan komitmen masih kurang penerapannya dikarenakan sosialisasi dan pengawasan yang kurang. Sedangkan untuk sumber daya, lingkungan kerja, dan SOP sudah baik. Disarankan pihak rumah mengadakan sosialisasi secara rutin, dan perlu adanya sanksi atau teguran bagi petugas kesehatan yang tidak menerapkan program K3RS sesuai dengan SOP yang ada.
HUBUNGAN POSTUR KERJA DENGAN TINGKAT KELELAHAN OTOT PUNGGUNG PADA PEKERJA MEKANIK BENGKEL X SEMARANG Rohkaeni, Sikis; Widjasena, Baju; Suroto, Suroto
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.099 KB)

Abstract

In the motorcycle maintenance activities use awkward posture, in a long time and repeatedly. Awkward posture can result in muscle fatigue or musculoskeletal disorder disorder (MSDSs). The purpose of this study was to analyze the corelation of work posture to the level of back muscle fatigue. The type of research used is quantitative with analytic observational research design and cross sectional research design. The population of the study were all mechanical workers of Bengkel X Semarang which amounted to 23 people with sampling method total sampling. The research instrument used is questionnaire, back dynaamometer and activity photo. The results showed there were 78.3% of respondents experiencing fatigue back muscles. Statistical analysis using Fisher Exact Test showed that there is a correlation between work posture with back muscle fatigue on the activity of checking/adjusting and lubricating gas cable (p = 0,033). There was no correlation between work posture with back muscle fatigue on air filtering activity (p = 1.00), oil check/change activity (p = 0,272), and brake checking activity (p = 0,539). It is recommended for workers to stretch on the sidelines of work. for the workshop manager to design/repair hydraulic aids so that it can be used by workers.
KEMAMPUAN SERBUK BIJI ASAM JAWA DALAM MENURUNKAN TSS, TURBIDITAS, DAN AMONIAK PENGOLAHAN LIMBAH CAIR PT. UTAMA MULTINIAGA INDONESIA Dita Kartika; Nurjazuli Nurjazuli; Budiyono Budiyono
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 (109.683 KB) | DOI: 10.14710/jkm.v4i4.14387

Abstract

Industrial liquid waste from waste clove cigarettes, washing waste and domestic waste. PT. Utama Multiniaga Indonesia still using alum to treat industrial cigarettes waste. In addition to having to pay a large alum spending around Rp 165,000,000.00/year, the use of alum continuously will cause a negative impact on the environment and human health. Therefore, the treatment needs alternative to a natural coagulant such as tamarind seed powder which can be obtained easily and cheap prices. This study aimed to analyze the ability of tamarind seed powder in lowering levels of TSS, turbidity and ammonia levels cigarette liquid waste by using One Way ANOVA. The samples used were 60 samples (30 protests and posttest 30) and sampling use grab sampling. This study showed that there are differences in levels of TSS and turbidity effluent cigarette between before and after administration of coagulant powder tamarind seeds. However, only a dose of 0.5 g/l to reduce levels of TSS and turbidity (p value 0,0001).  A dose of 1.0 g/l, 1.5 g/l, 2.0 g/l and 2.5 g/l can increase levels of TSS and turbidity. All variations of doses can not lowered the levels of ammonia (p value 0,0001). It can concluded the optimum dose of coagulant powder tamarind seeds in lowering levels of TSS and turbidity of 0.5 gr/l.
HUBUNGAN PENGETAHUAN, SIKAP DAN PRAKTIK PERAWAT DENGAN KUALITAS PENGELOLAAN LIMBAH MEDIS PADAT RUANG RAWAT INAP INSTALASI RAJAWALI RSUP DR. KARIADI Nopi Reknasari; Nurjazuli Nurjazuli; Mursid Raharjo
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.883 KB) | DOI: 10.14710/jkm.v7i3.26257

Abstract

Latar belakang : Instalasi Rajawali RSUP Dr. Kariadi merupakan instalasi yang memberikan pelayan rawat inap yang menghasilkan limbah medis padat pada tahun 2017 sebesar 79.483, 05 kg sedangkan pada tahun 2018 sebesar 81.420,59 kg. Perawat belum mengetahui beberapa fungsi dan simbol limbah medis padat. Perawat berperan dalam mewujudkan kualitas pengelolaan limbah medis padat rumah sakit yang baik. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan, sikap dan praktik perawat dengan kualitas pengelolaan limbah medis padat.Metode : Penelitian ini menggunakan desain cross sectional dan bersifat observasional yang dilakukan pada ruang rawat inap instalasi Rajawali RSUP Dr. Kariadi. Populasi penelitian ini terdiri dari 277 perawat yang bekerja di instalasi Rajawali. Sampel penelitian berjumlah 72 orang yang diambil dengan teknik purposive sampling.Hasil : Analisis hubungan antara variabel pengetahuan perawat dan kualitas pengelolaan limbah medis padat memiliki nilai signifikansi p value=0,011. Variabel sikap perawat dengan kualitas pengelolaan limbah medis padat memiliki nilai signifikansi p value=0,524. Sedangkan untuk variabel praktik perawat dengan kualitas pengelolaan limbah medis padat memiliki nilai signifikansi p value=0,059 .Simpulan : Terdapat hubungan antara pengetahuan perawat dengan kualitas pengelolaan limbah medis padat.
HUBUNGAN ANTARA FAKTOR LINGKUNGAN FISIK RUMAH DENGAN KEJADIAN PNEUMONIA PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS SEMIN I KABUPATEN GUNUNG KIDUL Amalia Mustika Hayati; Suhartono Suhartono; Sri Winarni
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 (97.651 KB) | DOI: 10.14710/jkm.v5i5.19166

Abstract

Infectious disease is one of the major health problems in Indonesia. The incidence of pneumonia in infants at the working area of Community Health Centre Semin is 9,1% cases. The purpose of this study was to analyze the association of environmental house factors with pneumonia incidence in children under five years at the working area of Community Health Centre Semin I GunungKidul District 2017. This study used observational analytic research with case control approach, discovered populations of infants in the group of some 126 cases and the control group as much as 1.710. The sample is selected by simple random sampling, with sample of 90 respondents which fulfill the criteria as research subject. The data analysis used were univariate and analytic bivariate using chi square statistic test with significance value ( = 5%) and univariate analysis showed 12.2% of respondents aged 26 years; 47.8% respondents with recent high school education; 62% as housewives; and 54.4% of income <UMR. The results were analyzed by chi square analysis of natural lighting (p = 0,000), humidity (p = 0,001), ventilation area (p = 1,000), wall type (p = 0,230), temperature (p = 0,833), occupancy density (p = 0,205 ), Fuel type (p = 0,271), presence of smoking family member (p = 0,121), and type of floor (p = 1,000). There is an association between natural lighting (p = 0,000; OR = 25.231) and humidity (p = 0.001; OR = 5,474) with the incidence of pneumonia in infants. There is no association between ventilation area, wall type, temperature, occupancy density, fuel type, existence of smoking family member, floor type with incidence of pneumonia in infants. Society needs to pay attention to physical condition and maintain air quality and natural light as always open the window in the morning and evening.
GAMBARAN KADAR GLUKOSA DARAH SEWAKTU PADA PETUGAS AVIATION SECURITY BANDARA JUWATA TARAKAN DENGAN INDEKS MASSA TUBUH 17-27 kg/m2 Setiyawan, Agung
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.362 KB) | DOI: 10.14710/jkm.v4i3.12794

Abstract

Blood sugar levels are affected by several factors such as knowledge, age, gender, heredity, diet, smoking, and physical activity. Lifestyle changes such as shifting diet with less fiber and foods high in sugar. This becomes a risk factor for overweight and if it last continsuously will increase incidence of diabetes mellitus. This study aims to describe blood sugar levels when the officer Aviation Security service Tarakan Juwata with a Body Mass Index (BMI) 17-27 kg/m2. This research is descriptive. Respondents consisted of male and female 41 persons for 5 people. Data obtained with a Body Mass Index measurements and laboratory test are random blood sugar levels. The results showed that out of 46 respondents consisted of 41 men (89,1%) and 5 women (10,9%), as many 27 people (58,7%) had normal blood sugar levels. Based on the results of this study concluded that the Aviation Security service officers Juwata Tarakan with BMI 17-27 kg/m2 most have blood glucose levels as normal. Suggestions for the respondents to stop smoking, exercise regularly, avoid obesity, and health checks regularly.
HUBUNGAN PAPARAN PANAS DENGAN TEKANAN DARAH PADA PEKERJA PABRIK BAJA LEMBARAN PANAS Lestari, Dinda Tri; Rahardjo, Mursid; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.688 KB)

Abstract

Heat stress exposure is often found in the industrial environment that exposed workers at risk for increasing blood pressure. This study investigated the associations of heat stress exposure with blood pressure on steel industry workers. This research is an observational study with cross sectional design. The study population was 27 workers in production area and 13 workers in control room selected by probability sampling method. The data were analyzed by using Rank Spearman Correlation with 95% confidence level. Workers in production area had significantly higher levels of systolic blood pressure (SBP) (137.52±14.98 mmHg) and diastolic blood pressure (DBP) (86.41±9.64 mmHg) than workers in control room (SBP : 119.15±10.92 mmHg, DBP : 77.62±5.17 mmHg). The results of this study show that heat stress were positively correlated with systolic (p=0,000) and diastolic (p=0,001). In conclusion, exposure to heat was a major risk factor for hypertension. Exposure to heat can elevate blood pressure. Therefore, workshops with high temperature must do their best to lower environment temperature in order to control blood pressure.
ANALISIS EVALUASI IMPLEMENTASI SIK 5NG PADA BIDAN DESA DENGAN METODE TAM DI WILAYAH KERJA DINAS KESEHATAN KABUPATEN DEMAK TAHUN 2016 Ayu Laraswaty Lumban Gaol; Atik Mawarni; Djoko Nugroho
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 (98.254 KB) | DOI: 10.14710/jkm.v5i4.18341

Abstract

Central Java Provincial Health Office has developed Health Information System that is SIK 5NG “Jateng Gayeng Nginceng Wong Meteng” which is designed for pregnant recording and reporting system can be done in realtime so as to provide accurate, relevant, and timely data and information for the decision-making procces. One of the districts that have utilized SIK 5NG is Demak Regency, but not yet maximally utilized by its users, Village Midwives. The SIK 5NG development phase requires an evaluation for the improvement of further development. The purpose of this research is to analyze the evaluation of SIK 5NG implementation in the working area of Demak District Health Office by TAM method (Technology Acceptance Model) which viewed from perceived ease of use, perceived usefulness, attitude toward using, behavioral intention of use, and actual system usage. This research uses quantitative and qualitative approach. The population of this research is 281 Village Midwives who work in the working area of Demak District Health Office. The sample of this research is 38 Village Midwives. Sampling technique using Simple Random Sampling technique. The results show that there are still some deficiencies in each variable, such as the village midwife is not easy to use SIK 5NG in recording and reporting of pregnant women, not using SIK 5NG to calculate indicator on KIA program, and not using SIK 5NG to produce information about women pregnant. One of the reasons presented is the frequent server interruption so the system is difficult to access. Therefore, it is advisable for the midwife coordinator to evaluate and monitor the village midwife in utilizing the SIK 5NG from entrering data, calculating indicator on KIA program to produce information about pregnant women.

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