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Journal of Public Health for Tropical and Coastal Region

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Published by Universitas Diponegoro

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Journal of Public Health for Tropical and Coastal Region (JPHTCR) is an open access journal on public health as discipline and practices related to preventive and promoting measures to enhance health of the public in tropical and coastal regions. This focus includes area and scope such as biostatistics, epidemiology, health education and promotion, health policy and administration, environmental health, public health nutrition, sexual and reproductive health, and occupational health and safety. The journal employs peer-review mechanism where each submitted article should be anonymously reviewed by expert peers appointed by the editor. Articles published in this journal could be in form of original article.

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Articles 68 Documents

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Blood Lead Levels in Pregnant Women and the Source of Exposure in Northern Coastal Area of Brebes Regency Nova Amalia Sakina; Suhartono Suhartono; Nikie Astorina Yunita Dewanti
Journal of Public Health for Tropical and Coastal Region Vol 1, No 1 (2018): Journal of Public Health for Tropical and Coastal Region (JPHTCR)
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: Lead has no advantage for health, pregnant women are vulnerable to lead exposure. Blood Lead Levels (BLLs) in pregnant women that exceed the quality standard in accordance with Center for Disease Control (CDC) (>5 μg/dL) can encounter spontaneous miscarriage and fatigue easily during pregnancy, BLLs in pregnant women < 10 μg/dL can induce health problem during pregnancy such as hypertension, preeclampsia, and eclampsia which is the cause of mortality in pregnant women and high maternal mortality. The aim of study to measure BBLs and the source of exposure.Methods: Pregnant women in 2nd and 3rd trimester were recruited in 4 Subdistricts. Cross sectional study is used with 86 pregnant women located in Wanasari Subdistrict, Bulakamba Subdistrict, Losari Subdistrict and Tanjung Subdistrict with purposive sampling method. BLLs during pregnancy were determined by Atomic Adsorpiton Spectrometer.Results: The results shows that mean of BLLs in pregnant women in this study were 42.437 + 19.758 μg/dL. The source of lead exposure are the habit of consuming seafood (44.2%), wrapping food using newspaper (80.2%), being involve in agricultural activity (37.2%), and passive smoking (70.9%).Conclusions: To recapitulate, BBLs in pregnant women in the northern area of Brebes Regency have exceeded the standard set by the CDC of 5 μg/dL. The dominant source of lead exposure are the habit of wrapping food using newspaper and passive smoking.

Relationship between Sanitation of Warung Makan Tegal and Intestinal Nematodes Infestations in Cockroaches in Tembalang District, Semarang City Punguan Sitanggang; Retno Hestiningsih; Martini Martini; Praba Ginandjar
Journal of Public Health for Tropical and Coastal Region Vol 1, No 1 (2018): Journal of Public Health for Tropical and Coastal Region (JPHTCR)
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: Cockroaches are insects that are considered disgusting and act as mechanical vectors. The existence of cockroaches in a place becomes a benchmark of low sanitation in the place. The properties possessed by cockroaches by eating anything, so that in looking for food can spread nematodes by walking and removing dirt on top of food, dishes or other eating utensils that pass. The purpose of this study was to determine the intestinal nematode infestation in cockroaches.Methods: This study was an observational study with a cross sectional approach. The stall samples were taken using a total sampling of 43 stalls and cockroach samples were determined by 2 cockroaches from each warteg.Results: Observations under a microscope showed that intestinal nematodes were found in cockroaches including hookworm (14.0%), and Oxyuris vermicularis (30.2%).Conclusion: Intestinal nematodes (hookworm and Oxyuris vermicularis) are found in cockroach bodies

Analysis of Reinforcing Factor with Involvement of Informal Sector Workers in Occupational Health Post (Pos UKK) Muhammad Dyas Husnan Khair; Ayun Sriatmi; Bina Kurniawan
Journal of Public Health for Tropical and Coastal Region Vol 1, No 1 (2018): Journal of Public Health for Tropical and Coastal Region (JPHTCR)
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: Occupational Health Post (Pos UKK) is a program aims to improve occupational health and productivity of informal sector workers in Indonesia through promotive, preventive, simple curative and rehabilitative care with the principle of Community Based Health Efforts (UKBM). The number of Pos UKK registered in Semarang City Health Office is 30 units. The results of the preliminary study illustrate different situations because there were only 6 Pos UKK. Among those, only 2 were active (6.7%) from the registered Pos UKK. It’s alleged that inactivity of Pos UKK due to low support from various parties and impacted on low sustainability of the program. This study aims to analyze the reinforcing factor with the involvement of informal sector workers in Pos UKK in Semarang City.Methods : Quantitative study with cross sectional approach. Population were 146 workers and selected sample were 70 workers. Independent variables include co-worker support, business owner support and Community Health Centre (Puskesmas) support and dependent variable is involvement of informal sector workers in Pos UKK.Results : Majority of informal sector workers involvement in Pos UKK were low (51,43%). Co-worker and business owners support was good but Puskesmas support as guide was not. Statistically, co-worker support (p = 0,000, OR = 30.8), business owner support (p <0.001, OR = 10.6) and Puskesmas support (p <0.001, OR = 13.5) proved to have a significant relationship. Conclusion:This study showed that reinforcing factors have significant relationship in increasing involvement of informal sector workers in Pos UKK to ensure program sustainability. Puskesmas is expected to provide continuing assistance and socialization about the benefits of Pos UKK to informal sector workers.

Improvement to Early Warning System Of DHF Transmission Through Controlling Vector Breeding Places Of Aedes Sp. In Klaten District, Central Java Nur Alvira Pascawati; Ellen Petra Songjanan; Tri Baskoro Tunggul Satoto; Elisabeth Deta
Journal of Public Health for Tropical and Coastal Region Vol 1, No 1 (2018): Journal of Public Health for Tropical and Coastal Region (JPHTCR)
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: The presence of potential breeding places can be used to measure the risk of DHF transmission in Klaten. This result can be used by the community to eradication of mosquito breeding place on terget and can improve to early warning system through effective methods for vector control. The aim of the study is to know effective methods for vector control to improve early warning system.Methods: Type of study was analytic with cross-sectional study. The study was conducted in 104 households with simple random sampling technique. Data analysis used three stages: univariate, bivariate (Chi-square, Kolmogorov Smirnov, Spearman rank) and multivariate test (multiple logistic regression) with α=5%.Results: The density of larvae based on the value of CI, HI, and BI amounted to 1,6%, 19.2%, 27.9%. The potential place for larvae breed based on Maya Index of 76%. Containers of open wells with groundwater sources, the volume of water is more than 1 liter and the material from cement can be the preferred place for mosquitoes to breed. Multivariate analysis shows that open wells are strongly related and has a risk of 1,556 (CI: 1,199-2,019) increasing the density of larvae compared with other variables.The density of larvae based on who's standards indicates BI is a high category, HI is a moderate category and CI is a low category.Conclusions: The condition is influenced by the presence of open wells made of cement and can hold water in large quantities. Improve to early warning system of DHF transmission through effective methods for vector control in this area are to close the wells at the household level and conduct regular monitoring on the Controllable Sites.

Influence of amount of pesticide and amount of PPE to diastolic blood pressure of farmers in Bumen Village, Sumowono District, Semarang Regency Atka Kurnia Sari; Tri Joko; Nikie Astorina Yunita Dewanti
Journal of Public Health for Tropical and Coastal Region Vol 1, No 1 (2018): Journal of Public Health for Tropical and Coastal Region (JPHTCR)
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: Farmers in Bumen Village used pesticide from group of organophospat, carbamate, piretroid, and nicotinoid. The dose of pesticide that mix in one tank is not appropriate dosage. A preliminary survey found that farmers mixed more than a two types of pesticides and 100% of farmers did not use the complete Personal Protective Equipment (PPE) when preparing pesticides to spray. Hypertension is more prevalent in males with an 18.8% prevalence in Sumowono District in 2015 and becomes the number one disease each month in 2017. The purpose of this study was to determine the influence of the amount of pesticide and the amount of PPE with diastolic blood pressure in farmers in Bumen Village, Sumowono District, Semarang Regency. Independent variables were amount of pesticide and amount of PPE. Dependent variable was diastolic blood pressure.Methods: This study was observational with cross sectional design using purposive sampling. Samples were 35 respondents. The measurement methods were questionnaire and digital tensimeter. Data analysis used Rank Spearman.Results: The results showed that measurement of diastolic blood pressure has an average of 88.75 mmHg. The amount of pesticide (p=0,007; r=0,455) had an influence with diastolic blood pressure, positive correlation, the strenght of correlation was enough and the amount of PPE (p=0,034; r=-0,36) had an influence with diastolic blood pressure, negative correlation, the strenght of correlation was enoughConclusions: From this study can be concluded that the amount of pesticide and the amount of PPE affected the diastolic blood pressure in farmers in Bumen Village, Sumowono District, Semarang Regency.

Description Data Completeness in Maternal & Child Health (MCH) Handbook in Temanggung Regency Yudhy Dharmawan
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: Maternal mortality rate in Central Java in 2015 was still high, at 111 / 100,000 live births. Therefore developed a method for early detection of the cause of death in “Desa Siaga“ Program. In this program include a community-based surveillance. Sources of primary data recording surveillance activities are MCH handbook. Therefore it needs to know how the completeness of MCH handbook as a basis for the development of surveillance system in the villageMethod: Data collection techniques using observations with the checklist instrument to describe data completeness MCH handbook. Population study is MCH handbook what owned by Mothers who have children under five. Samples were MCH handbook in 31 villages with category Active “ Desa Siaga” in the working area three health centers in the district of Temanggung.Results: The average of data completeness in MCH Handbook was 45.29%. For 13 MCH Handbook section was observed, there are only 3 parts completeness above 50%, Ten other parts percentage is less than 50%. Conclusion: There are many data that useful for screening high risk pregnant woman and nutrition growth are incomplete. Incomplete data in MCH Data shown that data is not be urgent in MCH Services. Data in MCH Handbook couldn’t be database for MCH Surveillance in “Desa Siaga “ Program

Immunization Punctuality in The Achievement of Complete Basic Immunization for Babies Age 12-22 Months in Semarang Ayun Sriatmi; Wulan Kusumastuti
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background : Immunization is an effort that deliberately provides immunity to infants/children to avoid certain diseases. Immunization is important because it affects the growth of infants and children, when administered within the stipulated time period. The facts show that many parents do not immunize on schedule and tend to postpone it. The objectives of the study analyzed the punctuality of complete basic immunization in infants aged 12 to 13 months (“Baduta”) in Semarang.Methods: This research is an observational study with cross sectional design. The population means all Baduta in Semarang, with sample of 689 Baduta from 37 Puskesmas (Society Health Center) taken randomly. Baduta immunization status is obtained from the KIA Book.Results: The results show 98.25% of Baduta have received basic immunization although not all yet complete. Immunization of measles is the most immunization which have not been received yet by Baduta (13.35%),followed by Polio-4 (8.27%) and DPT / HB / HiB-3 (7.4%). Sources of information on immunization are generally obtained from health workers and cadres.Conclusion : Immunization HB-0 is given at the most punctual (96.28%), followed by DPT / HB / HiB-3 (90.13%) and Polio-4 (85.44%), while immunization of measle s has the lowest punctuality (41.04%), followed by BCG immunization (61.5%).

Knowledge on Breastfeeding and Breastfeeding Behavior among Working Mothers and Housewives : A Cohort Study Nurhasmadiar Nandini; Novia Handayani; Djazuly Chalidyanto; Widodo Jatim Pudjirahardjo; Nuzulul Kusuma Putri
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background : Surabaya is one of the cities with low coverage of exclusive breastfeeding in East Java. The average rate of babies who got exclusive breastfeeding in Surabaya from 2012 to 2015 was 63.13% (target 80%). Decision about whether to breastfeed or not is a challenge for every mother, especially for working mothers. This research aimed to identify breastfeeding behavior among working mothers and housewives.Methods : This was descriptive observational research with prospective cohort study design.The sample size was 79 mothers in the eastern part of Surabaya chosen by purposive sampling technique.Results : Result showed that 56.6% of housewives have low knowledge on breastfeeding. Both working mothers (100%) and housewives (90.6%) already give colostrum right after baby born. However, There were 54.7% of housewives and 46.2% of working mothers already give formula milk during the first month after baby born.Conclusion : There were not much difference between working mothers and housewives in knowledge, feeding colostrum and skin to skin contact aspects. But, working mothers mostly give formula milk during the first month of baby born than housewives.

Relationship of Behavioral Factors with Existence of Aedes Aegypti in Buffer Area of Tanjung Intan Cilacap Port 2018 Akhmad Purnianto; Retno Hestiningsih; Nissa Kusariana
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background :DHF cases in the buffer area of Tanjung Intan Cilacap port is still high. Incident Rate (IR) reaches 0.54 per 1000 population. Density of DHF vectors is still abovethe required, HI 23.3%. The presence of Aedes aegypti larvae is influenced by several factors, one of which is behavior factor. This study aims to determine the relationship of behavior factors with the presence of larvae Ae. aegypti in buffer area of Tanjung Intan Cilacap Port.Methods: This is an observational analytical study with cross sectional design. The sample was chosen multistage sampling with 385 houses. This research uses data collection method through observation and interview. The study was conducted from May to June 2018. Results: The study yielded the following data. HI (28.1%), CI (26.13%), BI (37.9%). The chi-square analysis showed that variables related to the presence of larvae Ae. aegypti is Knowledge (p = 0,005), Attitude (p = 0,010) and Action (p = 0,039).Conclusion: Increased knowledge is needed to support the success of mosquito nest eradication programs (PSN).

Description of Daily Nutritional Intake of Pregnant Women in Temanggung District, Central Java, Indonesia M. Zen Rahfiludin; Yudhy Dharmawan
Journal of Public Health for Tropical and Coastal Region Vol 2, No 1 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Background: The nutritional status of pregnant women are affected by daily nutritional intake. Daily nutritional intake during pregnancy depends on total macronutrient intake and micronutrient intake. The aim of the study is to describe daily nutritional intake from pregnant women in Temanggung,Central Java, Indonesia.Method: This study was conducted from September – December 2016 in Temanggung. This was a cross sectional study and the respondents were recruited using purposive sampling technique. Total sample of this study were 60 pregnant women. Intakes of macronutrients (Energy, and Protein), and micronutrients were calculated based on Food Frequency Questionnaire (FFQ) Semi Quantitative and using Nutrisoft software, Demographic data were obtained by interviewing.Results Of the total 60 pregnant women, 40 (66,7%) were unemployed. The majority of educational level of the respondents (48,3%) were Junior High School. The mean gestational age were 6,70 ± 1,109 months. The mean intake of energy in 60 pregnant women was 2153,9833 ± 369 kcalConclusion: The majority of pregnant women in this study have adequate intake of both macro and micronutrient besides iron and folic acid.

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