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Public Health Perspective Journal
Published by Universitas Negeri Semarang
ISSN : 25285998     EISSN : 25407945     DOI : -
Core Subject : Health,
Public Health
Public Health Perspective Journal publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health. It is aimed at all public health practitioners and researchers and those who manage and deliver public health services and systems. It will also be of interest to anyone involved in provision of public health programmes, the care of populations or communities and those who contribute to public health systems in any way.
Arjuna Subject : -
Articles 342 Documents
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The Influence of Characteristics And Patterns of Women Behavior On The Case of Pracancerous Cervical Lesions at Community Health Centers in Pemalang District Handayani, Saadah; Rini Indriyanti, Dyah
Public Health Perspective Journal Vol 3, No 3 (2018): December 2018
Publisher : Universitas Negeri Semarang

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Abstract

Cervical cancer is a malignant disease that is preceded by the condition of precancerous cervical lesions, namely the existence of cervical intraepithelial dysplasia / neoplasia (NIS). This study attempted to analyze the effect of characteristics and patterns of women behavior on the case of precancerous cervical lesions. The study belonged to observational study with a cross sectional study design. For more, the subjects of the study involved the population of 60 women who were positive for precancerous cervical lesions, while the number of sample was the same as the population, namely 60 respondents sampled by using total sampling technique. Their data were analyzed by using path analysis model. In conclusion, the factors of socioeconomic, age, history of STIs (Sexually Transmitted Infections) directly influence the case of precancerous cervical lesions and indirect effects of parity followed by the use of contraception on the case of precancerous cervical lesions.
Analisis Tingkat Kepuasan Pasien BPJS Terhadap Kualitas Pelayanan Petugas Medis Medis Melalui Faktor Assurance di Ruang Rawat Inap RSUD Bima, NTB Faturahmah, Erni; Budi Raharjo, Bambang
Public Health Perspective Journal Vol 2, No 3 (2017): December 2017
Publisher : Universitas Negeri Semarang

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Abstract

Kemampuan rumah sakit dalam memenuhi kebutuhan pasien dapat menjadi tolak ukur puas atau tidaknya pasien terhadap pelayanan yang diberikan. Untuk mengetahui kualitas pelayanan yang diberikan oleh rumah sakit, diperlukan pandangan dari pasien. Data jumlah pasien BPJS di RSUD Bima mengalami penurunan, pada tahun 2014 berjumlah 14.009 pasien, tahun 2015 berjumlah 12.202 pasien, bulan Januaru sampai bulan Oktober 2016 berjumlah 10.686 pasien. Tujuan penelitian menganalisis faktor assurance terhadap tingkat kepuasan pasien BPJS di ruang rawat inap RSUD Bima.Penelitian ini merupakan penelitian deskriptif kuantitatif, pendekatan cross sectional study. Jumlah sampel 66 pasien dibagi menjadi tiga kelompok kelas, yaitu pasien BPJS kelas I, kelas II dan kelas III. Setiap kelas berjumlah 22 pasien. Analisis data menggunakan analisis univariat, bivariat, dan multivariate. Hasil penelitian diperoleh kelas I, faktor yang paling berpengaruh terhadap kepuasan pasien yaitu faktor responsiveness, ditunjukkan oleh nilai OR tertinggi OR=45,000 P=0,015. Kelas II faktor yang paling berpengaruh adalah emphaty OR=17,397, P=0,033. Kelas III faktor yang paling berpengaruh yaitu assurance OR=15,685, P=0,039. Kesimpulan ada pengaruh yang signifikan antara faktor Assurance terhadap kepuasan pasien BPJS kelas III. Sehingga perlu kiranya petugas medis dalam melaksanakan tugas, lebih peduli kepada pasien serta memberikan jaminan untuk menimbulkan kepercayaan pasien terhadap RSUD Bima.The ability of hospital to meet the needs of patients can be a benchmark for whether the patients satisfy or not to the services provided. To observe the quality of services provided by the hospital, it needs the views of the patients. The number of BPJS patients in Bima Regional General Hospital continued to decrease, in 2014 there were 14.009 patients, in 2015 there were 12.202 patients, January until October 2016 there were 10.686 patients. The study objective is to analyze the assurance factor, tangibles factor on the satisfaction level of BPJS patients in the wards of Bima Regional General Hospital.This study was a quantitative descriptive study, cross sectional study approach. The samples were 66 patients divided into three class groups, namely BPJS class I, BPJS class II and BPJS class III. Each class is 22 patients. Data were analyzed used univariate, bivariate, and multivariate analysis. The quality of medical staff service from responsiveness factor, empathy factor, and assurance factor greatly affected the satisfaction of BPJS Class I, Class II, and Class III patients. The conclusion was that there was significant influence between responsiveness, indicated by the value or highest OR=45,000, P=0.015. Class II the most influential factor is emphaty OR=17,397, P=0,033. In class III the most influential factor namely assurance OR=15,685, P=0.039. Conclusion there is a significant impact between the factor Assurance of customer satisfaction patients BPJS class III. So it is necessary for the medical staff to carry out their duty, provide more care to the patients and provide assurance to create patients’ trust to Bima Regional General Hospital.
HUBUNGAN FAKTOR SOSIAL EKONOMI DENGAN KETERLAMBATAN DIAGNOSIS PENDERITA KANKER LEHER RAHIM DI RSUD KOTA SEMARANG Mukharomah, Kunthi Isti; Cahyati, Widya Hary
Public Health Perspective Journal Vol 1, No 1 (2016)
Publisher : Public Health Perspective Journal

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Abstract

Penderita kanker leher rahim di RSUD Kota Semarang terus meningkat. Peningkatan kasus diikuti dengan banyaknya pasien yang didiagnosis stadium lanjut. Faktor keterlambatan diagnosis kanker leher Rahim dipengaruhi factor social ekonomi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status pekerjaan dan tingkat penghasilan dengan keterlambatan diagnosis kanker leher rahim. Jenis penelitian ini adalah analitik observasional dengan pendekatan kasus kontrol. Total sampel 62, terdiridari 32 kasusdan 32 kontrol yang diperoleh dengan teknik acak sederhana. Analisis data dilakukan melalui 2 tahap yaitu analis isunivariat dengan deskriptif dan analisis bivariate dengan ujichi-square (?=0,05) dan menghitung nilai Odds Ratio (OR). Hasil penelitian menunjukkan bahwa factor tingkat penghasilan (p=0,001; OR=6,818) berhubungan dengan keterlambatan diagnosis kanker leher rahim. Saran bagi RSUD Kota Semarang adalah memberi dorongan kepada wanita usia subur untuk mendaftarkan diri dalam jaminan kesehatan agar dapat menggunakan pelayanan kesehatan dengan lebih murah atau tanpa biaya.Cervical cancer patients in SemarangCityHospital increased. That increased case was followed by most patient diagnosed with advanced stage of cervical cancer. Late diagnosis of cervical cancer was influenced by socio economic factor. The purpose of this research was to identify association between occupation and income level with late diagnosis of cervical cancer patient. This research was observational analytic with case control approach. Total sample was 64, consisted of 32 cases and 32 controls that were taken using simple random sampling technique. Data analysis used univariate analysis by descriptive and bivariate analysis by chi-square test (?=0,05) and calculated the Odds Ratio value (OR). Study result showed that income (p=0,001; OR=6,818) related with late diagnosis of cervical cancer patient. Recommendation for SemarangCityHospital was to advocate childbearing woman for registered at health insurance to order used the cheaper or free health care.
Keefektifan Promosi Kesehatan Terhadap Pengetahuan, Sikap dan Perilaku Tentang Tes IVA pada Wanita Usia 20-59 Tahun Fridayanti, Warni; Laksono, Budi
Public Health Perspective Journal Vol 2, No 2 (2017): August 2017
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Abstract

Kanker serviks merupakan salah satu penyabab tingginya kematian pada wanita di dunia. Di Indonesia, 80% - 90% penderita kanker seviks biasanya sulit disembuhkan karena mereka datang ke pelayanan kesehatan lebih dari 70% dengan kondisi yang sudah dalam stadium lanjut. Rendahnya pengetahuan dan kesadaran pada wanita untuk melakukan deteksi dini kanker serviks menjadi salah satu penyebab faktor utama. Promosi kesehatan sangat dibutuhkan untuk meningkatkan pengetahuan pada wanita agar kesadaran wanita tentang deteksi dini kanker serviks meningkat. Penelitian ini merupakan jenis penelitian quasi experimental dengan rancangan  pretest-posttest randomize design.Sampel dalam penelitian ini 96 responden. Penelitian dilakukan bulan Oktober 2016. Instrumen yang digunakan adalah kuesioner meliputi pengetahuan dan sikap, perilaku. Analisis data meliputi analisis univariat, analisisis bivariat dengan uji wilcoxon dan mann withney. Hasil Penelitian menunjukkan ada perbedaan yang bermakna antara sebelum dan sesudah promosi kesehatan dengan leaflet terhadap pengetahuan (0,002), sikap (0,003), perilaku (0,005), dan ada perbedaan bermakna antara sebelum dan sesudah promosi kesehatan dengan motivasi tokoh masyarakat terhadap pengetahuan (0.000), sikap (0,000), perilaku (0,001). Ada perbedaan yang signifikan antara promosi kesehatan dengan leaflet dan promosi kesehatan dengan motivasi tokoh masyarakat terhadap pengetahuan (0,000), sikap (0,002) dan perilaku (0,042).Cervical cancer is a disease with the highest prevalence in women in the world that causes death. Nearly 80% of cervical cancer cases are in developing countries. In Indonesia, 80% - 90% of patients with cervical cancer are usually difficult to cure because they come to the health care with more than 70% are in advanced stage. Lack of knowledge and awareness in women about early detection of cervical cancer is one of the main factors. Health promotion is needed to improve the women’s knowledge to increase the women’s awareness about early detection of cervical cancer. Quasi-experimental study with pretest-posttest randomize design was used. Sample in this study 96 respondents. The study was conducted in October 2016. Data analysis included univariate, bivariate test analisisis wilcoxon and mann Whitney. Results showed significant differences between before and after the health promotion using leaflets in knowledge (0.002), attitude (0.003), and behavior (0.005), and there were also significant differences between before and after health promotion through motivation from community leaders in knowledge (0.000), attitude (0.000), and behavior (0.001). There were also significant differences between the health promotion using leaflets and the health promotion through motivation from community leaders in knowledge (0.000), attitude (0.002) and behavior (0.042).
The Influence of Knowledge, Attitude, Family Support and Peer Support on The Behavior of Female Teenage Menstrual Hygiene Ningrum, Meika Ayu Cahya; Indriyanti, Dyah Rini
Public Health Perspective Journal Vol 3, No 2 (2018): August 2018
Publisher : Universitas Negeri Semarang

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Abstract

__________________________________________________________Teens who have experienced menarche become more susceptible to reproductive health problems such as Reproductive Tract Infection, especially Indonesian women because it triggers hot and humid air. In the year 2015 in Jombang district which experienced an increase in number of people with Reproductive Tract Infection (RTI) such as candidiasis 5.50% from the previous year. Hygiene behavior during menstruation is important in determining the health of reproductive organs.The purpose of this research was to analyze the influence of knowledge, attitude, family support and peer support on the behavior of female teenage menstrual hygiene.          The sttudy design used analytic with cross sectional approach through survey method. The population was all of female students of grade VIII SMP Negeri 1 Mojowarno who has experienced menstruation amounted to 198 female studentss. The samples were 68 respondents with simple random sampling technique. Chi-Square test results show that there is significantan effect  of knowledge on the behavior of menstrual hygiene (p = 0,000); there is significantan effect  of attitude on behavior of menstrual hygiene (p = 0.000); there is significantan effect of family support on the behavior of menstrual hygiene (p = 0,000); there is significantan effect of peer support on the behavior of menstrual hygiene (p = 0.018). Logistic regression test results show that more dominant knowledge affecting behavior of menstrual hygiene p = 0,011 and value of OR 8,645. The conclusions of knowledge, attitude, peer support and family support have an effect on the behavior of menstrual hygiene. This research is expected as an input to make development planning of YCCS (Youth Care Care Service) so that adolescent can apply good menstrual hygiene
Factors Related to Schoold Food Snacks (SFS) Safety Through the Test of Borax, Formalin, and Escherichia coliBacteria Mahmudah, Siti; Yuniastuti, Ari; Mukarromah, Siti Baitul
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
Publisher : Universitas Negeri Semarang

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Abstract

Food safety of primary school children snack is a source of health problems that must be considered. In 2010, BPOM reported 141 cases of food poisoning caused by School Food Snacks (SFS) with 79% occurred at the primary school level. The purpose of this research is to analyze factors related to food safety of school children in elementary school in Salatiga city. Type of observational analytic research using cross sectional design. The sampling technique used is the total sampling number of 35 respondents based on the inclusion and exclusion criteria. The research instrument using aquestionaire and examination of food samples of meatballs. Analysis using chi square. The results showed that sellers' knowledge, pedagogical education and hygiene of food snacks were factors related to School Food Snacks (SFS)safety through the test of borax, formalin and eschercia coli bacteria at Salatiga primary school (p <0.05). The selling age and duration of selling are not factors related to School Food Snacks (SFS) safety through the test of borax, formalin and eschercia coli bacteria at Salatiga Elementary School (p> 0,05). Suggestions that can be recommended by researchers is the need to improve the policy, planning and the role of Education Office and Public Health Service in improving food safety of snack in Salatiga primary school.
Faktor - Faktor yang Berhubungan dengan Status Gizi Balita di Pedesaan dan Perkotaan Sholikah, Anik Sholikah; Rustiana, Eunike Raffy; Yuniastuti, Ari
Public Health Perspective Journal Vol 2, No 1 (2017): April 2017
Publisher : Universitas Negeri Semarang

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Status gizi balita merupakan hal penting yang harus diketahui oleh setiap orang tua. Kurang gizi pada masa emas ini bersifat irreversible (tidak dapat pulih). Kekurangan gizi dapat mempengaruhi perkembangan otak anak. Kekurangan gizi pada balita di Indonesia terlihat meningkat dari tahun ke tahun. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan status gizi pada balita di pedesaan dan perkotaan. Jenis penelitian adalah survey analitik dengan rancangan Cross Sectional. Sampel dalam penelitian ini sebanyak 192 ibu yang mempunyai balita usia 1 – 5 tahun di pedesaan dan perkotaan dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner. Analisa data menggunakan Kolmogorov Smirnov. Hasil penelitian menunjukkan faktor – faktor yang berhubungan dengan status gizi pada balita di pedesaan dan perkotaan adalah penyakit infeksi (p < 0.05). Penyakit infeksi yang dialami balita berdasarkan hasil penelitian adalah tuberculosis, diare dan ISPA, sebagian besar masyarakat dipedesaan maupun perkotaan berada dilingkungan rumah industri mebel sahingga udara mudah tercemar debu kayu. Faktor yang yang tidak berhubungan dengan status gizi balita di pedesaan dan perkotaan adalah Jarak kelahiran, pola pengasuhan gizi, pendidikan ibu dan pekerjaan ibu (p > 0.05).Toddler nutrition status is the important fact that should be concerned by each parents. Malnutrition in this golden periode are irreversible (cannot be recovered). The malnutrition can affect the toddler’s brain development. The malnutrition on toddlers in Indonesia increase every year. The purpose of the research are to know the factors related to the nutrition status on toddlers  in the rural and urban area.  The type of the research is the analytical survey with Cross Sectional design. Sample in this study were 192 mothers with toddlers in the rural and mothers with toddlers in urban area with consecutive sampling. Collecting using questionnaires. Analyzed using Kolmogorov Smirnov. The summary of the study, factors related to the nutrition status on toddlers in the rural and urban area are infectious disease (p < 0.05). The infectious disease that happened on toddlers based on research are tuberculosis, diarrhoea and respiratory problems. Most of people in the rural and urban area are located in the furniture industry neighbor hood. That can be polluted by the wood dust. The factors that are not related to the toddler nutrition status in the rural and urban area are spacing birth of toddlers, nutrition parenting pattern, maternal education and maternal employment (p >0.05).
Factor Analysis of Family Member Behavior to Wards Giving Therapy Anti Retrovial (ARV) in Children With HIV/ AIDS in RAA Soewondo Hospital Pati nisa, Makzizatun nisak; Budi Raharjo, Bambang; Ratna Sri Rahayu, RR
Public Health Perspective Journal Vol 4, No 1 (2019): April 2019
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Background: HIV is one of the major health problems and infectious diseases that can affect maternal and child mortality. HIV / AIDS in Indonesia from year to year is constantly increasing. Not a few people with this deadly virus is that they are still considered children. Children with HIV / AIDS in order to stay healthy immune system can be arrested by taking anti-retroviral / ARV. They are only successful if used in compliance, according to the schedule. The award of ARV therapy in children should be appropriate to the child can sustain life in the long term so that the child requires special attention and depending on the behavior of family members Method: This study used a qualitative approach, descriptive research type. The research object is the provision of antiretroviral therapy in HIV / AIDS. Subjects were parents and families of children with HIV / AIDS. Research with in-depth interviews. Qualitative data processing performed by the content analysis method based on a theme (thematic content analysis). Result: The primary informants in this study had a lifespan of 25 years up to 47 years. The education levels of primary informant school no 3, SD 1, SMA 2 and D2 1. Knowledge of HIV and antiretroviral mostly know about HIV is an infectious disease that attacks the immune system. ARVs are drugs to treat HIV / AIDS. Access to VCT / PMTCT distance from the house to the hospital where taking antiretrovirals majority of informants has a considerable distance to the point of taking ARV (over 20 km). Means of transportation used for the majority of health facilities to the motorcycle itself. Family Support shows that 4 immediate family informant know about the child's illness and provide support and attention. Children with HIV / AIDS have different accuracy in the delivery of antiretroviral therapy, most of the regular informant, at the same time, precise and has never been forgotten in the provision of antiretroviral therapy are 5 key informants. There is one informant who had never done ARV treatment. The remaining one informant said he had about 6 months did not take antiretroviral drugs to the hospital so do not take medication again. Conclusion: Most informants regularly taking antiretrovirals, at the same time, precise and has never been forgotten in the provision of antiretroviral therapy are 5 key informants. 1 informant who have never done ARV treatment. The remaining one informant said he had about 6 months did not take antiretroviral drugs to the hospital so do not take the medicine again. ARV consumption in children with HIV / AIDS is highly dependent on family members who care for children.
Analysis of The Effect of Hatha Yoga on The Quality of Sleep and Immune System Among The Students in Public Health Postgraduate Program At UNNES Nopitasari, Dewi; Sri Ratna Rahayu, Rr.
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
Publisher : Universitas Negeri Semarang

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Abstract

The sleep quality of a person is said to be good if it does not show any signs of lack of sleep and he or she has no problems in sleeping. Lack of sleep can also cause changes in cytokine tissue. So, the immune system will work less effectively. Hatha yoga exercises is one of the non-pharmacological therapy that can improve the quality of sleep and immune system. The purpose of this study is to analyze the effect of Hatha Yoga exercises on the quality of sleep and immune system.among the students in Public Health Postgraduate Program at Unnes.The method used here was quasi experiment with pretest and posttest with control group design. The population in this study was all students in Public Health Postgraduate Program at Unnes. The samples were selected based on inclusion and exclusion criteria by purposive sampling technique. The samples obtained were 24 respondents, divided into two groups to perform hatha yoga exercises in the intervention group. The study instrument used was questionnaire on the quality of sleep and leukocyte examination to find out the respondent's immunity.The study results showed that there was a significant difference in the quality of sleep between the intervention group and control group after the provision of hatha yoga exercises in intervention group with p value of 0.000 (p <0.05) and there was no significant effect on the immunity between the control group and the intervention group after the provision of hatha yoga exercises with p value of 0.092 ( p> 0.05). Conclusion: Hatha yoga exercises had an effect on the quality of sleep but hatha yoga exercises had no effect on immunity.
EFEKTIVITAS SMS BUNDA DIBANDING KELAS IBU BALITA TERHADAP PENINGKATAN PENGETAHUAN, SIKAP, PERILAKU Chikmah, Adevia Maulidya; Laksono, Budi; Yuniastuti, Ari
Public Health Perspective Journal Vol 1, No 1 (2016)
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Beberapa program dari pemerintah telah dilaksanakan namun Angka Kematian Balita masih tinggi. Kelas Ibu Balita (KIB) adalah program pemerintah sejak Tahun 2010, Namun pelaksanaan KIB di Kabupaten Tegal belum maksimal. Layanan pesan singkat (SMS) dinilai memiliki potensi untuk mempengaruhi perubahan perilaku seseorang dikarenakan efisiensi, biaya rendah, dan kemampuan untuk menyebarluaskan informasi kesehatan kepada populasi yang sulit dicapai sekalipun. Tujuan dari penelitian ini adalah Menganalisis Efektifitas SMS Bunda dibanding Kelas Ibu Balita Terhadap Pengetahuan, Sikap, dan Perilaku Ibu dalam Melakukan Parenting. Metode penelitian yang digunakan adalah Quasi Experiment pretest and posttest. Jumlah responden sebanyak 30 orang (15 orang kelompok SMS Bunda dan 15 Orang kelompok KIB). Analisis yang digunakan untuk membedakan pre dan post test pada masing-masing program adalah wilcoxon sedangkan untuk membandingkan kedua program menggunakan Man Whitney. Hasil penelitian menunjukkan bahwa peningkatan pengetahuan, sikap, dan perilaku ibu lebih efektif pada Program SMS Bunda di banding pada program Kelas Ibu Balita.Government programs have been implemented but still high. Parenting class is a government program since the year 2010, however the implementation of the Parenting Class in Tegal is not maximized. Short Message Service (SMS) is considered to have the potential to affect a person's behavior changes due to efficiency, low cost, and the ability to disseminate health information to the population inaccessible. The purpose of this study was to analyze SMS Program Effectiveness Mother SMS than Parenting Class Program to Knowledge, Attitudes, and Behavior Parenting. Researcher using experimental research methods research design Quasi Experiment prepost and posttest. Total respondents 30 people (15 people at SMS Mother and 15 People at Parenting Class). The analysis used by researchers to distinguish between pre and post test on each program is Wilcoxon while to compare the two programs using Man Whitney. The results showed that Mother SMS is more effective than Parenting Classes.

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