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Unnes Journal of Public Health

ujph
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Published by Universitas Negeri Semarang

ISSN : 22526781 EISSN : 25487604 DOI : -

Core Subject : Health,

Public Health

Unnes Journal of Public Health (UJPH) is an open access and peer-reviewed journal. It publishes original papers and short reports on all aspects of the science, philosophy, and practice of public health.

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ANALISIS SPASIAL FAKTOR LINGKUNGAN PADA KEJADIAN DEMAM BERDARAH DENGUE DI KECAMATAN GENUK Kirana, Kartika; Pawenang, Eram Tunggul
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Kecamatan Genuk merupakan salah satu kecamatan yang endemis DBD di Kota Semarang. Secara berturut-turut sejak tahun 2012 hingga 2014, Kecamatan Genuk masuk sebagai tiga besar kasus DBD terbanyak. Salah satu faktor yang mempengaruhi kejadian DBD adalah faktor lingkungan. Tujuan penelitian ini adalah untuk mengetahui gambaran dari hasil analisis spasial faktor lingkungan dengan kejadian DBD di Kecamatan Genuk. Jenis penelitian ini deskriptif dengan pendekatan kuantitatif. Fokus penelitian ini adalah kondisi SPAL, penumpukan ban bekas dan sumur gali. Penelitian ini dilakukan di Kecamatan Genuk (Kelurahan Genuksari, Karangroto, Bangetayu Kulon dan Banjardowo) pada bulan Maret 2016. Instrumen meliputi lembar observasi, peta lokasi, Global Positioning System (GPS), alat fotografi dan AcrGIS. Analisis data menggunakan SIG. Hasil penelitian menunjukkan bahwa kejadian DBD menggerombol pada beberapa RW yang berdekatan dengan keberadaan penumpukan ban bekas sekitar permukiman dan sumur gali terbuka.   Kata Kunci        : demam berdarah (DBD), lingkungan, analisis spasial     ABSTRACT Genukis one of dengue fever endemic district in Semarang city. Since 2012 until 2014, Genuk involve as the place that has high incidence of Dengue Fever. One of the factors in the incidence Dengue Fever areenvironmental factors.The goals of this research wasto analize spatial environmental factorsin the incidence Dengue Fever in Genukdistrict. This was a quantitative descriptive research with descriptive survey. The unit this research was water puddle on the pilling of the tire, the dug wells, and waste water pipeline that located in Genuk District (Subdistrict of Genuksari, Karangroto, Bangetayu Kulon and Banjardowo) at March 2016. The instruments were paper of observation,the  map, GPS, camera and ArcGIS. Data was analyzed with GIS. The study showed that dengue fever transmission was inthe area with pilling of the tire, and the dug wells.   Keywords        : dengue fever, environment, spatial analysis.

STUDI KARAKTERISTIK PASIEN TUBERKULOSIS DI PUSKESMAS SEBERANG ULU 1 PALEMBANG Ismah, Zata; Novita, Emma
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak Analisis karakteristik penderita TB selain berguna untuk pengobatan juga berguna dalam memudahkan penemukan tersangka TB. Penelitian ini bertujuan untuk menganalisis karakteristik penderita TB. Desain studi yang digunakan adalah crossectional dengan sampel sebanyak 40 pasien TB yang berobat 3 bulan terakhir di Puskesmas Seberang Ulu 1 Palembang. Pengumpulan data dilakukan dengan kunjungan rumah ke pasien lalu dilakukan wawancara serta pemeriksaan fisik dan status kesehatan.  Hasil penelitian didapatkan bahwa karakteristik penderita TB paling banyak pada kelompok : usia produktif usia 12 – 35 tahun  dan  rentang usia dewasa 49 -  61 tahun; jenis kelamin laki-laki; pendidikan sekolah tingkat dasar; pekerjaan buruh; sosial ekonomi rendah; perokok aktif. Ditemukan 13.2% pasien TB dengan DM, 45% pasien TB dengan hipertensi, 47.5% pasien TB dengan anemia, 55% pasien TB dengan gizi kurang, 17.5% pasien memiliki riwayat keluarga menderita TB. Pasien kambuh sebanyak 12.5%; pasien yang putus OAT 17.5%; serta ditemukan tidak minum OAT sebanyak 15%.   Kata kunci: Karakteristik, Deskriptif, Tuberkulosis,                            Abstracts Analysis of characteristics TB disease besides useful for treatment is also useful to finding TB cases. This study aims to analyze characteristic of TB patients. This research used cross sectional study design with 40 TB patients treated last 3 months at Puskesmas Seberang Ulu 1 Palembang. Data collection was done with patient home visits, interview, physical examination health status. The results was most of characteristic TB patients in productive age group, maximum age 35 years, male gender, primary education, occupation was coolie, low socioeconomic, active smokers. TB Patients was founded 13.2% with DM; 45% TB patients with hypertension; 47.5% TB patients with anemia; 55% TB patients with malnutrition; 17.5% of patients had a family history of TB. Patients relapsed were 12.5%; OAT dropout patients were founded 17.5%; 15% patients were not OAT.   Keywords: Characteristics, Descriptive, Tuberculosis

HUBUNGAN LINGKUNGAN FISIK DENGAN KEBERADAAN JENTIK AEDES PADA AREA BERVEGETASI POHON PISANG Susanti, Susanti; Suharyo, Suharyo
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Profil Kesehatan Dinas Kota Semarang tahun 2016 menunjukkan bahwa ABJ di wilayah kerja Puskesmas Halmahera 83,00% masih tergolong rendah yaitu masih di bawah target nasional ≥ 95%. Terdapat area dengan vegetasi pohon pisangg yang rapat pada wilayah tersebut. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pH, volume air, kelembaban dan jenis pohon pisang dengan keberadaan jentik Aedes aegypti di wilayah kerja puskesmas Halmahera Kota Semarang tahun 2017. Penelitian ini menggunakan metode observasional analitik kuantitatif dengan pendekatan cross sectional, data primer dan data sekunder diolah dan dianalisis menggunakan uji statistik Chi Square. Sampel yang digunakan berjumlah 100 pelepah. Hasil penelitian menunjukkan bahwa terdapat hubungan antara volume air (p=0,023) dan kelembaban (p=0,0001) dengan keberadaan jentik, serta tidak ada hubungan antara tingkat pH (p=0,153) dan jenis pohon pisang (p=0,493) dengan keberadaan jentik. Kata kunci : keberadaan jentik, tingkat pH, volume air, kelembaban udara, dan jenis perindukan pohon pisang. ABSTRACT Health Profile of Semarang City Office in 2016 told that ABJ (larvae presence free number) in work Halmahera Health Center area was 83.00%. It was below the national target of ≥ 95%. This study purposed to know the relationship between pH level, water volume, humidity and banana tree species with the presence of Aedes aegypti larvae in Halmahera Health Center area in 2017. This research used quantitative analytic observational method with cross sectional approach. Data were processed and analyzed using Chi Square test. The samples were 100 midribs. The results showed that there was correlation between water volume (p = 0,023) and humidity (p = 0.0001) with larvae presence, whereas there was no correlation between pH level (p = 0,153) and banana tree species (p = 0,493) larvae presence. Keywords: presence of larvae, pH level, water volume, humidity, and banana tree species

ANALISIS KINERJA ORGANISASI DENGAN PENDEKATAN BALANCED SCORECARD DI RUMAH SAKIT IBNU SINA MAKASSAR Sumarni, Sumarni
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak Balanced Scorecard memberi kerangka kerja untuk penerjemahan strategi ke dalam kerangka operasional.Kinerja adalah hasil kerja yang dapat dicapai seseorang atau sekelompok orang dalam suatu organisasi sesuai dengan wewenang dan tanggung jawab masing-masing dalam rangka mencapai tujuan organisasi. Hasil penelitian menunjukkan berdasarkan perspektif pembelajaran dan pertumbuhan berada pada kategori tinggi. Berdasarkan perspektif proses bisnis internal terkait pencapaian standar pelayanan minimal dan prosedur pelayanan berada pada kategori tinggi. Berdasarkan perspektif pelanggan dengan dimensi pengukuran kepuasan pelanggan, jumlah pelanggan komplain, layanan purna jual, dan retensi pelanggan berada pada kategori tinggi. Kualitas jasa yang dihasilkan oleh rumah sakit maka akan menjadikan customer repet buyer dan akan memberitahu rekan mereka mengenai kepuasan mereka terhadap jasa rumah sakit, sehingga diharapkan akan menambah cutomer baru.Untuk  perspektif keuangan berada pada kategori tinggi.    Kata kunci: Balanced Scorecard, Pengukuran kinerja.   Abstract The Balanced Scorecard provides a framework for translation of strategies into the operational framework. Performance is the work that a person or group of people in an organization can achieve in accordance with their respective powers and responsibilities in order to achieve the organization's objectives.Based on the performance of research, in terms of perspective of learning and growth, Ibnu Sina Hospital was classified to have high category. Based on the perspective of internal business processes related to the achievement of minimum service standards and service procedures, Ibnu Sina Hospital was also classified into the high category. Having high quantity of services, the hospital was expected to have an impact on the customer choice to come back. Based on the customer's perspective to the dimensions of customer satisfaction measurement, the number of customer complaints, after sales service and customer retention were also classified into high category.Based on the done calculations, the financial perspective was classified into the high category.   Keywords: Balanced Scorecard, Performance Measurement. Based on the performance of research, in terms of perspective of learning and growth, Ibn Sina Hospital was classified to have high category, which means its employees possess high satisfaction and commitment to work. Based on the perspective of internal business processes related to the achievement of minimum service standards and service procedures, Ibn Sina Hospital was also classified into the high category. Having high quantity of services, the hospital was expected to have an impact on the customer choice to come back. Based on the customer's perspective to the dimensions of customer satisfaction measurement, the number of customer complaints, after sales service and customer retention were also classified into high category. The quality of services produced by the Hospital will make the ‘customer repeat buyer’ and will inform their colleagues about their satisfaction with the hospital services, which is expected to add a new customer. Meanwhile, financial state performance in Ibn Sina Hospital based on revenue trend reached an increase up to 729.0% with Return On Investment amounting to -0.24, Income Statement was still showed a loss (deficit) of Rp. 995 310 037, but it is still within reasonable limits due to nominal assets which had already included the construction in progress of the new Ibn Sina Hospital's building (not yet operating). The measurements in ‘Fixed Assets Turnover’ obtained 0.04, while the ‘Inventory Turnover’ amounted up to 2,3. Based on the done calculations, the financial perspective was classified into the high category.    

BIOLARVASIDA EKSTRAK ETANOL KULIT NANAS (Ananas comosus L. Merr) TERHADAP LARVA NYAMUK Culex Sp. Juariah, Siti; Irawan, Mega Pratiwi
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK   Nanas merupakan salah satu komoditi asal Provinsi Riau. Setiap tahun nanas mengalami peningkatan dengan semakin meningkatnya produksi nanas maka limbah yang dihasilkan akan semakin meningkat. Pada limbah kulit nanas diduga terdapat senyawa alkaloid yang dapat membunuh larva nyamuk Culex Sp. Nyamuk yang termasuk dalam genus Culex dikenal sebagai vektor penular arbovirus, demam kaki gajah, dan malaria pada unggas. Pengendalian serangga umumnya dilakukan menggunakan pestisida sintetik. Penggunaan senyawa kimia yang bersifat sintetik sangat berbahaya bagi pengguna yang terpajan. Tujuan dari penelitian ini adalah untuk menentukan efektifitas ekstrak etanol kulit nanas dan mengetahui jumlah larva yang mati dengan menentukan konsentrasi terbaik dari ekstrak etanol kulit nanas (AnanascomosusL.) terhadap larva nyamuk culex Sp. Penelitian ini bersifat Eksperimen Laboratory, yaitu meneliti tentang uji mortalitas larva nyamuk Culex Sp setelah pemberian ekstrak etanol kulit nanas (AnanascomosusL.). Hasil penelitian yang didapatkan bahwa ekstrak etanol kulit nanas dapat dibuktikan pada tingkat konsentrasi 1% angka kematian larva nyamuk telah mencapai 72,5%. Sedangkan pada konsentrasi 4% telah mampu membunuh larva sebesar 97,5%. Kata Kunci        : Ekstraketanol, Kulit nanas, Culex Sp.   ABSTRACT                Pineapple is one of the commodities origin of Riau Province. Each year the pineapple increases with the increasing production of pineapple so the waste generated will increase. In pineapple leaf waste is suspected of alkaloid compounds that can kill the mosquito larvae Culex Sp. The mosquitoes belonging to the genus Culex are known as arbovirus-transmitting vectors, elephant leg fever, and malaria in poultry. Insect control is generally done using synthetic pesticides. The use of synthetic chemicals is very dangerous for exposed users. The purpose of this study was to determine the effectiveness of pineapple ethanol extract and to determine the number of dead larvae by determining the best concentration of pineapple ethanol extract (Ananascomosus L.) on culex mosquito larvae Sp. This research is experimental laboratory, which is examining about mortality test of Culex sp. Mosquito larvae after administration of pineapple ethanol extract (Ananascomosus L.). The results showed that pineapple ethanol extract can be proven at concentration level of 1% mosquito larvae mortality rate has reached 72,5%. While at 4% concentration has been able to kill larvae of 97.5%.   Keywords:Ethanol Extract, Pineapple Skin, Culex Sp.

ANALISIS PENGETAHUAN, SIKAP DAN PRAKTIK PENCEGAHAN FILARIASIS DI KELURAHAN KERTOHARJO KOTA PEKALONGAN TAHUN 2016-2017 Lestari, Sandra Dewi; Indarjo, Sofwan
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Filariasis merupakan penyakit yang disebabkan oleh infeksi parasit nematoda yang tersebar di Indonesia, Kota Pekalongan merupakan daerah dengan kasus filariasis tertinggi di Jawa Tengah, pada tahun 2017 mencapai 409 kasus dengan 37 kasus termasuk kategori kronis. Kasus tersebut tersebar di 12 kelurahan endemis Kota Pekalongan, salah satunya adalah Kelurahan Kertoharjo Pada tahun 2016 dilaksanakan program AKTIF MANDIRI guna meningkatkan pengetahuan, sikap serta praktik pencegahan penularan filariasis di Kelurahan Kertoharjo. Tujuan penelitian yaitu mengetahui gambaran pengetahuan, sikap dan praktik pencegahan penularan filariasis tahun 2016-2017 di Kelurahan Kertoharjo. Metode penelitian menggunakan jenis penelitian deskriptif kuantitatif dengan menggunakan desain studi deskriptif. Populasi penelitian 628 responden dan sampel 35 responden. Pengambilan data primer menggunakan kuesioner dan data sekunder dengan metode dokumentasi. Data dianalisis menggunakan uji chi square. Hasil uji statistik menunjukkan terdapat perbedaan yang signifikan pada pretest-posttest tahun 2016 serta posttest tahun 2016-tahun 2017 pada variabel pengetahuan (0,009-0,011), sikap (), penggunaan obat nyamuk (0,001-0,001), penggunaan kelambu (0,001-0,001) serta praktik pengendalian luar rumah (0,841-0,001), sedangkan yang tidak ada perbedaan yang signifikan pada variabel keluar malam berisiko (0,841-0,866). Saran penelitian agar melakukan upaya promosi kesehatan yang tepat kepada masyarakat mengenai keluar malam berisiko penyakit filariasis. Kata Kunci: Pengetahuan, Sikap, Praktik AKTIF MANDIRI   ABTRACT Filariasis is a disease caused by infection parasitic nematode that is spread across Indonesia, Pekalongan City is the with a case filariasis highest in central java, in 2017 reached 409 cases with 37 cases in the category of chronic.Cases is spread in 12 urban village endemis in Pekalongan City, one of them were Kertoharjo Village on 2016 carried out program AKTIF MANDIRI in order to increase knowledge, attitude and practices prevent transmission of filariasis in Kertoharjo Village. Research objectives that is know picture knowledge, attitude and practices prevent transmission of filariasis years 2016-2017 in Kertoharjo Village. A method of the research uses the kind of research descriptive quantitative by using design study descriptive. Population research 628 respondents and sample 35 respondents.The primary data uses a questionnaire and secondary data with the methods documentation. Data analyzed use test chi square. The results of statistical tests indicate there were significant differences in pretest-posttest 2016 and posttest years 2016-tahun 2017 on the variables of knowledge (0.009-0.011), the attitude (), the use of repellent (0.001-0.001), the use of netting (0.001-0.001) and practices out of control (0.841-0.001), while there are no significant differences on the variables of came out that night risky (0.841-0.866). Advice research to conduct the promotion health proper to the community of came out that night risky disease filariasis Keywords: Knowledge , Attitude , Practice of AKTIF MANDIRI

PETA JALAN PEMBANGUNAN KESEHATAN KABUPATEN MANGGARAI BARAT TAHUN 2016-2021 Salesman, Frans; Rahmat, Emanuel G. A
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak Pembangunan kesehatan adalah upaya meningkatkan kesadaran, kemauan dan kemampuan hidup sehat setiap orang mewujudkan kesehatan masyarakat yang optimal. Dalam perencanaan dan penganggaran pembangunan kesehatan di Manggarai Barat, setiap unsur-unsur sumber daya kesehatan dan non kesehatan bekerja parsial sehingga  hasil pembangunannya belum mencapai target yang ditetapkan oleh Kementerian Kesehatan Republik Indonesia. Tujuan penelitian ini adalah merumuskan peta jalan sebagai rujukan perencanaan dan penganggaran pembangunan kesehatan di Kabupaten Manggarai Barat selama tahun 2016 sampai tahun 2021. Desain penelitian kualitatif dan kuantitatif melalui analisis data sekunder publikasi BPS provinsi Nusa Tenggara Timur dan Profil Kesehatan Provinsi Nusa Tenggara Timur. Pelaksanan penelitian melalui lokakarya persepsi tentang isu kesehatan, FGD penyusunan agenda kebijakan dan rekomendasi pembangunan kesehatan. Peserta FGD sebanyak 35 orang. Lama penelitian dua bulan mulai Juni-Juli 2016. Hasil dari penelitian ini adalah tersusunnya  dokumen perencanaan sebagai peta jalan pembangunan kesehatan Kabupaten Manggarai Barat 2016-2021 berbasis tujuh sub sistem kesehatan daerah sebagai penjabaran misi pembangunan kesehatan Kabupaten Manggarai Barat, yakni meningkatkan layanan kesehatan, pendidikan dan perlindungan sosial. Peta jalan berisi strategi dan kebijakan pembangunan kesehatan disertai target sebagai indikator capaian kinerja pembangunan kesehatan di kabupaten Manggarai Barat sampai tahun 2021. Kata kunci: Peta jalan, pembangunan kesehatan, sehat   Abstract Health development is  effort to increase awareness, willingness and ability to live healthy every person realize optimal public health. In health development planning and budgeting in West Manggarai, every element of health and non-health resources works partially so that the development results have not reached the target set by the Ministry of Health Republic of Indonesia. The purpose of this research was to formulate road map as reference for health development planning and budgeting in West Manggarai District during 2016 until 2021. Research design was combined from qualitative and quantitative research through secondary data analysis of BPS publication and health profile East Nusa Tenggara Province. Conducting research through perception workshops on health issues,  FGD on policy agendas and health development recommendations. FGD participants were 35 people. Duration of two months study from June to July 2016. The drafting of planning document as road map of health development of West Manggarai District 2016-2021 based on seven sub-system of regional health  the elaboration health development mission, improving health care, education and social protection. The road map contains health development strategies and policies with targets indicator of health development performance achievements in West Manggarai District 2021. Keywords; Road map, health development, healthy

PENINGKATAN CD8 DAN IFN-γ PADA HYPERSENSITIVITY PNEUMONITIS (HP) AKIBAT PAJANAN DEBU PENGGILINGAN PADI Ma'rufi, Isa; Kuntoro, Kuntoro; Keman, Soejdajadi
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak     Masalah klinis kesehatan kerja pada pekerja penggilingan padi saat ini adalah penyakit saluran pernafasan. Penelitian ini bertujuan untuk menganalisis peningkatan CD8 dan IFN-γ pada Pneumonitis Hipersensitif (HP) akibat pajanan debu penggilingan padi pada mencit  (Musmusculus) BALB/C. Penelitian yang dilakukan adalah penelitian eksperimental laboratoris dengan hewan coba mencit (Musmusculus) BALB/C,  rancangan penelitian yang digunakan adalah Randomized the post test only control group design. Mencit  (Musmusculus) BALB/C dipajan dengan debu penggilingan padi selama empat jam/hari selama tiga puluh hari dengan konsentrasi 0.50 mg/m3, 0.75 mg/m3, 1.00 mg/m3. Variabel bebas adalah debu penggilingan padi, sedangkan variabel tergantung adalah   CD8 dan IFN-γ, serta gambaran histopatologis paru mencit, sedangkan variabel kendali adalah strain, berat badan, dan umur. Hasil penelitian menunjukkan bahwa terjadi peningkatan kadar CD8 antara kontrol dengan perlakuan, dan secara statistik  ada perbedaan yang bermakna. Kemudian terjadi peningkatan IFN-γ dan secara statistik ada perbedaan yang bermakna antara kontrol dan perlakuan pada mencit  (Musmusculus) BALB/C. Hasil penelitian dapat digunakan sebagai dasar upaya pencegahan dan pemberian terapi penyakit HP lebih dini sehingga dapat meningkatkan kualitas paru.   Kata Kunci: CD8, IFN-γ,  debu penggilingan padi     Abtract   The purpose of this research was to analyze increase of CD8  and IFN-γ of Hypersensitivity Pneumonitis (HP) as a result from the exposure of dust from paddy milling on mice (Musmusculus)BALB/C. The research done was a laboratory experimental research with mice (MusMusculus) as experimental animal.  The research design used was the post only control group design using mice (MusMusculus) Balb/c as experimental animal.  Mice (Musmusculus) Balb/c were exposed to dust from paddy milling for four (4) hours/day and it was done for thirty (30) days with the exposed concentrations respectively were 0.50 mg/m3, 0.75 mg/m3, 1.00 mg/m3.The research variables were free variable, dependent variable, and control variable.  Independent variable was dust from paddy milling, dependent variables were Hypersensitivity Pneumonitis (HP), CD8 and IFN-γ, while control variables were strain, body weight and age of mice (MusMusculus) Balb/c. The research result showed that there was an increase of CD8, and statistically there was significant difference; there was an increase on IFN-γ and statistically there was a significant difference between the study and control on mice BALB/C. It was suggested that:  the research result be used to underlie a preventive action and an early therapy on Hypersensitivity Pneumonitis (HP) so that it increase the quality of lung.   Keywords: CD8, IFN-γ, dust from paddy milling     Abtract   The purpose of this research was to analyze increase of CD8  and IFN-γ of Hypersensitivity Pneumonitis (HP) as a result from the exposure of dust from paddy milling on mice (Musmusculus)BALB/C. The research done was a laboratory experimental research with mice (MusMusculus) as experimental animal.  The research design used was the post only control group design using mice (MusMusculus) Balb/c as experimental animal.  Mice (Musmusculus) Balb/c were exposed to dust from paddy milling for four (4) hours/day and it was done for thirty (30) days with the exposed concentrations respectively were 0.50 mg/m3, 0.75 mg/m3, 1.00 mg/m3.The research variables were free variable, dependent variable, and control variable.  Independent variable was dust from paddy milling, dependent variables were Hypersensitivity Pneumonitis (HP), CD8 and IFN-γ, while control variables were strain, body weight and age of mice (MusMusculus) Balb/c. The research result showed that there was an increase of CD8, and statistically there was significant difference; there was an increase on IFN-γ and statistically there was a significant difference between the study and control on mice BALB/C. It was suggested that:  the research result be used to underlie a preventive action and an early therapy on Hypersensitivity Pneumonitis (HP) so that it increase the quality of lung.   Keywords: CD8, IFN-γ, dust from paddy milling  

FAKTOR-FAKTOR YANG MEMPENGARUHI EFEKTIVITAS PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK (PPIA) DI KOTA JAYAPURA Tumangke, Hesty; Tappy, Melkior; Kendek, Rispan
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Abstrak Provinsi Papua memiliki prevalensi HIV/AIDS tinggi, dimana terdapat 6957 wanita usia 15-49 tahun menderita HIV/AIDS. Masalah ini dapat menyebabkan penularan HIV/AIDS ke bayi bahkan kematian bayi karena HIV. Penelitian ini bertujuan menganalisa faktor yang mempengaruhi keberlangsungan program PPIA. Penelitian menggunakan metode kualitatif dengan pengumpulan data melalui wawancara mendalam. Penelitian dilakukan di Jayapura, Dinas Kesehatan Kota Jayapura dari Januari 2015 sampai Juni 2015. Populasi penelitian adalah semua tenaga kesehatan di dinas kesehatan kota Jayapura, dan sampel nya adalah 12 orang mencakup kepala UPT AIDS TB, kepala seksi P2PL, kepala puksesmas, kepala KIA, staf KIA dan penanggung jawab HIV puskesmas. Pengambilan sampel adalah purposif sampling dan data dianalisis dengan triangulasi. PPIA tidak berhasil karena rendah nya K1 dan juga K4, dimana ada puskesmas yang memiliki K4 hanya 58%. Di rumah sakit Abepura ditemukan 8 kelahiran bayi dengan HIV, hal ini karena ibu hamil positif yang tidak menkonsumsi ARV secara rutin sampai melahirkan. Rendah nya K1 juga disebabkan oleh beberapa faktor yaitu ibu hamil lebih tertarik ke dokter praktek, suami yang tidak setuju bila istri nya mendapatkan tes VCT, dan rendah nya kesadaran ibu hamil akan pentingnya K1 sampai K4 dan juga VCT. Begitu juga dengan SIHA yang tidak berjalan dengan baik. Kata kunci : Pencegahan HIV, Ibu hamil, bayi, Jayapura   Papua province has high prevalence of HIV/AIDS where there was 6957 cases among women age 15-49 years old. Moreover, this increasedthe number of infants with HIV and impact the rise of infant mortality rate.This study aims to analize factors that affected this HIV prevention from mother to child. This study is qualitative using indeep interview, and located in Jayapura City from January 2015 to June 2015. The population is all staffs in Jayapura’s Health Department, and the total sample is 12 including head of this program, staff of local primary care, staf of hospital, and staffs that have responsibily to run this program. This is purposive sampling, and data will analize with triangulation. HIV prevention is not success due to the low rate of pregnant women visit to local primary care. There was a local primary care that only has 58% of pregnant women visit. In Abepura hospital 2015, there was 8 cases of childborn with HIV. This is because many positive mothers did not consum ARV. The low visit in local primary care has several causes such as mother more willing to go to private obsetric, treat from husband where husband  didn’t allow VCT to his wive, and the low self efficacy of pregnant mother. The HIV report system is not well implemented. Key words : HIV Prevention, pregnant mother, infant, Jayapura

FAKTOR YANG BERPENGARUH TERHADAP KEPATUHAN IBU HAMIL PREEKLAMSIA DALAM PEMANFAATAN LAYANAN ANC Mariyana, Kristin; Jati, Sutopo Patria; Purnami, Cahya Tri
Unnes Journal of Public Health Vol 6 No 4 (2017): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

ABSTRAK Preeklamsia dapat dicegah apabila didukung oleh kesadaran ibu hamil untuk patuh dalam pemanfaatan layanan ANC. ANC berkualitas yang dilakukan tenaga kesehatan dan kesadaran masyarakat tentang kesehatan ibu hamil, bersalin dan nifas. Penelitian ini untuk menganalisa faktor yang paling berpengaruh dari ibu hamil preeklamsia supaya patuh dalam pemanfaatan layanan ANC di wilayah kecamatan Pemalang. Penelitian kuantitatif dengan pendekatan cross sectional bersifat explanatory research. Sebanyak 66 responden dipilih secara purposive, menggunakan quesioner, dan data diolah secara distribusi. Variabel yang berpengaruh : riwayat keturunan hipertensi dan atau DM (0,037), pengetahuan (p-value 0,021), akseptabilitas (p-value 0,018), dukungan dan sikap tenaga kesehatan (p value 0,041), dan dukungan suami (p-value 0,045). Variabel yang tidak berpengaruh : umur (p-value 0,239), paritas (p-value 0,714), tingkat pendidikan (p-value 0,394), pekerjaan (p-value 0,316), sikap (p-value 0,714), persepsi kerentanan (p-value 0,665), persepsi kegawatan (p-value 0,233), persepsi manfaat (p value 0,066) dan dukungan keluarga (p-value 0,067). Variabel paling dominan berpengaruh adalah variabel pengetahuan (p-value 0,015) dengan OR (Exp B) 5,527. Kata Kunci : Kepatuhan, ibu hamil preeklamsia, ANC   ABSTRACT Preeclampsia can prevented if supported by the awareness of pregnant women to obey the service ANC. ANC performed by qualified health personnel and public awareness about the health of pregnant women, maternity and childbirth. The aim is to analyze the most influential factors of maternal preeclampsia to obey the ANC service utilization. Quantitative research with cross sectional on pregnant women with preeclampsia in Pemalang district. A 66 respondents taken with purposive, using quessionaire, data analyse with distribution. Related variables : hypertension or DM (0,037), knowledge (p-value 0.021), acceptability (p-value 0.018), support-attitude of health workers (p-value 0.041), and the support of her husband (p-value 0.045). Not related variable: age (p-value 0.239), parity (p-value 0.714), educational level (p-value 0.394), occupation (p-value 0.316), attitude (p-value 0.714), perception of vulnerability (p-value 0.665), perception of severity (p-value 0.233), perceived benefits (p-value 0.066), family support (p-value 0.067). Dominant variable is knowledge (p-value 0.015) OR (Exp B) 5.527. Keywords : Compliance, preeclampsia pregnant women, ANC

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Home Page

OAI Link

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Contact Name Arum Siwiendrayanti

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Location Kota semarang, Jawa tengah INDONESIA

Abstract

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Abstract

Contact Name
Arum Siwiendrayanti

Contact Email
a_shiwi@yahoo.com

Phone
-

Journal Mail Official
a_shiwi@yahoo.com

Editorial Address
-

Location
Kota semarang,

Jawa tengah

INDONESIA