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Jurnal Kesehatan Masyarakat
Published by Universitas Diponegoro
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Articles 45 Documents
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HUBUNGAN ANTARA KUALITAS SARANA & PRASARANA RUMAH DAN PERILAKU SEHAT DENGAN KEJADIAN DEMAM TYPHOID DI WILAYAH KERJA PUSKESMAS NGALIYAN KOTA SEMARANG Yerisa Yonathan, Daniel
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Typhoid fever prevalent in low socioeconomic areas and sanitation and personal hygiene of the population does not meet the health requirements. Recorded Incident Rate typhoid fever in Indonesia is 500/100.000 population between 0.6 to 5% mortality. Ngaliyan Public Health Center ranks number 2 most cases of typhoid fever during the year 2011 in the city of Semarang. The purpose of this study was to analyze the relationship between the quality of facilities and infrastructure, homes and health behaviors with the incidence of typhoid fever in the Working Area of Ngaliyan Public Health Center, Semarang. Type of research is a study using the observational method with a case control study design. The sample was aged over 15 years in 6 villages of working area of Ngaliyan public health center, amounting to 33 case group and 33 control group. The sampling technique used was simple random sampling. Statistical analysis using chi square test. Based on the statistical test is known that there is a relationship of quality toilet facilities (p = 0.034), hand washing behavior (p = 0.007), no relationship between the bacterium E. coli (p = 0.473), waste management (p = 0.706), SPAL quality (p = 0.443), storage of food and beverages (p = 0.509) with the incidence of typhoid fever in working area of Ngaliyan public health center. From these results it can be concluded that the factors associated with the incidence of typhoid fever in the working area of  Ngaliyan Public Health Center is a quality toilet facilities and hand washing behavior.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PRAKTIK PENGGUNAAN MASKER PADA PEKERJA BAGIAN PENCELUPAN BENANG DI PT X KABUPATEN PEKALONGAN Nur Hiday, Zone
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Textile industry is one industry that produces dust environment and use of chemicals in the production process. PT X is the textile industry. The monthly report disease data polyclinic PT X in June 2012, there were cases of acute respiratory infection by 52,7%. The prevention of work accidents and occupational diseases, the company provides a mask for free and require the use of masks to workers at work but the preliminary observations of nearly 60% of workers do not use it. The purpose of this study was to analyze the factors related to the masks usage practice on yarn dyeing workers of PT X in Pekalongan district. Type study was quantitative with cross sectional design. The number of samples are 49 workers by using technique of the total population. Data collected from observations and interviews of questionnaires. Analysis data used frequency distribution and Rank Spearman with significance level 0,05.  The result of this study, it was found that 42,8% workers were not wear masks while worked. The result of this study indicated that there was a correlation between age (p=0,007), working time (p=0,006), training (p=0,022) and supervision (p=0,001) with masks usage practice. There was no correlation between knowledge (p=0,087) with masks usage practice. The study suggests company to increase the knowledge workers of importance of personal protective equipment
HubunganAntaraTinggiHak Sepatu danIndeks Massa Tubuh (IMT) denganKeluhanNyeriPinggangBawahpada Sales Promotion Girl (SPG) Ramayana Salatiga Isnain, Muhajirin
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Low back pain is pain that occurs in the lower back and may spread to the legs, especially the back and outer side. Factors associated with low back pain among other individual factors, work factor, psychosocial and lifestyle. This study aimed to determine the relationship between high heels and body mass index with complaints of low back pain. This study includes explanatory research, using cross sectional method. The population in this study SPG Ramayana Salatiga 25-40 years old and not pregnant then numbering 207 people sampled a total of 140 samples were taken in a way that SPG happened to meet with researchers to use as a sample, if it encountered SPG 25-40 years old who are not pregnant. Statistical test used was chi square with yates correction. The results showed that 70% SPG had a normal nutritional status, 78.6% SPG wear shoes with the heels high > 5 cm, and 67.9% SPG have a complaint of low back pain. The test results showed there was no statistical association between body mass index (BMI) with complaints of low back pain in the sales promotion girl (SPG) (p = 0.345) and there was a relationship between the heels high with complaints of low back pain on a sales promotion girl (SPG) Ramayana Salatiga (p=0,001).
ANALISIS IMPLEMENTASI KEBIJAKAN PEMERINTAH DALAM PENGHENTIAN SUPLEMENTASI KAPSUL IODIUM DI KABUPATEN MAGELANG Heriyanto, Styawan
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Gangguan akibat kekurangan Iodium (GAKI) merupakan masalah kesehatan masyarakat di Indonesia. Pemerintah telah melakukan penanganan melalui program jangka pendek dengan pemberian kapsul iodium, dan jangka panjang dengan  garam beriodium. Berlawanan dengan program tersebut, hasil penelitian menunjukan bahwa telah muncul adanya kasus hipertiroid, sehingga pemerintah menghentikan suplementasi kapsul iodium. Kabupaten Magelang menyikapi kebijakan tersebut dengan melakukan pemberian kapsul iodium secara selaktif, namun dari survei ke 29 puskesmas ada 2 kebijakan yang dilaksanakan oleh para pelaksana yaitu stop pemberian kapsul iodum dan pemberian kapsul iodium secara selektif. Menurut Van horn dan Van meter dalam implementasi kebijakan ada 6 faktor yang saling berpengaruh yaitu : Sasaran dan tujuan, sumber daya, Komunikasi, Karakteristik badan pelaksana,Lingkungan, dan sikap pelaksana. Penelitian ini bertujuan menjelaskan implementasi kebijakan penghentian suplementasi kapsul iodium di Kabupaten Magelang.Penelitian ini menggunakan metode penelitian observasional yang bersifat kualitatif dengan pendekatan deskriptif. Informan penelitian ini yaitu 4 Petugas gizi puskesmas yang terdiri dari 2 petugas gizi yang melaksanakan kebijakan stop kapsul iodium dan 2 petugas gizi yang melaksanakan kebijakan pemberian kapsul iodium selektif. Instrumen penelitian adalah peneliti dengan menggunakan pedoman wawancara. Hasil penelitian menunjukkan dalam implementasi kebijakan Di Kabupaten Magelang ditemukan bahwa standar pelaksanaan belum jelas bagi pelaksana, kurangnya komunikasi dan koordinasi, belum adanya SOP untuk petunjuk pelaksanaan, dan dukungan masyarakat yang kurang. Berdasarkan data laporan, angka TGR pada ibu hamil dan screening NHI  tidak ditemukan adanya hipotiroid. Kasus hipertiroid memang ada namun belum terdata. Dapat disimpulkan bahwa variabel sasaran dan tujuan, sumber daya, komunikasi, karakteristik badan pelaksana, lingkungan, dan sikap pelaksana sangat berpengaruh terhadap keberhasilan implementasi kebijakan. Oleh sebab itu, diperlukan komitmen dari semua pihak dalam rangka mendukung pelaksanaan  kebijakan.
FAKTOR RISIKO KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS MAYONG I KABUPATEN JEPARA Nurbayani, Lara
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Malaria is one of the health problems are still a major problem in public health. It is re-emerging disease which caused many deaths in Indonesia. The working area of mayong health centre I have Annual Malaria Incidence (AMI) for the period December 2011-May 2012 amounted to 17,56 per 1000 population. The aim of this study was to analyze the relationship between malaria risk factors to the incidence of malaria in the working area of mayong health centre I. This study used observational research with case control study desaign. The sample consists of 38 respondents in the case group and 38 respondents in the control group. Total respondents were 76 people taken by random sampling technique. The data were analyzed using the chi aquare. Based on bivariate analysis variables that have a relationship with the incidence of malaria are: the presence of the shrub (OR = 4.63, 95% CI = 1.69 to 12.7), the presence of rice field (OR = 3.11, 95% CI (1.043 -9.281), knowledge (OR = 3.03, 95% CI = 1.174 to 7.831), habit of not using mosquito-net (OR = 3.03, 95% CI = 1.107 to 8.323), and habit of hanging clothes (OR = 3, 11, 95% CI = 1.188 to 8.147). It can be concluded that the environment around the house and the household’s practices / habits showed a significant relationship to the incidence of malaria, it is recommended to hold health education about malaria, keep the environment of the house, especially around the shrub, and cultivate the habit of using mosquito nets while sleeping night.
HUBUNGAN ANTARA SANITASI LINGKUNGAN DAN PERSONAL HYGIENE IBU DENGAN KEJADIAN DIARE PADA BALITA DI KELURAHAN SUMUREJO KECAMATAN GUNUNGPATI KOTA SEMARANG Nur Pratama, Riki
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Diarrhea disease occurs mostly in children under five years old. Based on data over the last three years Public health center Gunungpati diarrhea cases has increased each year. The purpose of this study was to determine the association between the state of environmental sanitation and personal hygiene to mothers with the incidence of diarrhea in young children in Sub District Sumurejo Gunungpati.This research used observation research with cross sectional approach. The population in this study were infants aged 1-5 years who lived in the village with a population of 386 Sumurejo children under five. samples taken were 80 children under five across 6 RW. Fetching data collected by interviews and observations using the questionnaire as a research support tool. Analysis of the data used is chi-square. Based on the statistical test  there was no association between the ownership of water supply (p value = 0.087), there was no association between the type of water supply facilities (p value = 0.116), there was no association between conditions sewer wastewater (p value = 0.224 ), there was association between the condition of the bin (p value = 0.02), no association between latrine ownership (p value = 0.566), no correlation between the type of latrine (p value = 0.207), there was association between the habit of washing hands with soap before feeding children (p value = 0.015), there was no association between the habit of washing hands with soap before cooking (p value = 0.305), there was no association between the habit of washing their hands after Toilet (p value = 0.364), no association the habit of boiling milk bottle with hot water before use (p value = 0.364) and the incidence of diarrhea in young children under five at Sub District Sumurejo Gunungpati. From this study it can be concluded that there was  association between the condition of the trash and hand washing practive before feeding children with diarrhea incident in  children under five at Sub Sumurejo Gunungpati District of Semarang.
Hubungan Antara Karakteristik Pekerja Dan Pemakaian Alat Pelindung Pernapasan (Masker) Dengan Kapasitas Fungsi Paru Pada Pekerja Wanita Bagian Pengampelasan Di Industri Mebel “X” Wonogiri Putra Bintara Kandung, Rimba
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Dampak dari pencemaran industri mebel dapat mengganggu kesehatan pekerja dan pencemaran udara. Bahan pencemar tersebut berasal dari debu yang dihasilkan dari proses pengampelasan kayu. Debu dapat menimbulkan efek berupa gangguan fungsi paru apabila melebihi kadar ambang batas dan paparan yang cukup lama. Kapasitas fungsi paru dipengaruhi oleh beberapa faktor yaitu umur, masa kerja, kebiasaan olahraga, status gizi dan pemakaian masker . Tujuan penelitian ini adalah menganalisa hubungan antara karakteristik pekerja (umur, masa kerja, kebiasaan olahraga, status gizi) dan pemakaian masker dengan kapasitas fungsi paru pada pekerja wanita bagian pengampelasan di industri mebel ”x” Wonogiri. Jenis penelitian ini adalah explanatory research dengan pendekatan cross sectional. Data dianalisis dengan menggunakan uji Chi Square dan Fisher Exact. Populasi dalam penelitian ini berjumlah 18 orang dengan jenis kelamin perempuan. Instrumen dalam penelitian ini adalah kuesioner keluhan subyektif, spirometer, microtoise, timbangan berat badan dan HVS (High Volume Sampler). Hasil analisis bivariat dengan uji Fisher Exact diperoleh nilai p=0,019. Dengan demikian dapat disimpulkan bahwa ada hubungan antara pemakaian masker dengan kapasitas fungsi paru. Dari uji statistic menggunakan Chi Square dengan tingkat kesalahan 5% (0,05) dengan nilai p < 0,05 dapat disimpulkan bahwa tidak ada hubungan antara umur dengan kapasitas fungsi paru, tidak ada hubungan antara masa kerja dengan kapasitas fungsi paru, tidak ada hubungan antara kebiasaan olahraga dengan kapasitas fungsi paru, tidak ada hubungan antara status gizi dengan kapasitas fungsi paru, ada hubungan antara pemakaian masker dengan kapasitas fungsi paru. Di sarankan kepada pemilik perusahaan agar mengharuskan pekerja untuk memakai masker pada saat bekerja.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN GANGGUAN NON-AUDITORY AKIBAT KEBISINGAN PADA MUSISI ROCK Risky Yulianto, Ardian
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The musicians who got noise attack with the intensity up to 85 dBA and the average of practice duration between 2 untill 4 hours has arisk get NIHL. If the musicians has NIHL , so there can be the interference of communication, physiologic, and phsycologic. The aim of this research is to know all the factor who related with non auditory intrference from the consequences of the noise on rock musicians.This research is supported by explanatory research, writing using cross sectional approachment. Total population are 35 rock musicians and using technique sampling total population on 35 rock musicians for the sample. In this case, the author use sound level meters (SLM) for measure the noise.Result of measuring the noise is the noise between 99 dBA till 113 dBA. For minimum Leq of noise are 101 dBA and maximum leq of noise are 101 dBA.Result of research, the authors get the result that there is a relation between level the noise, mass work, ages, and duration of the noise attack the rock musicians toward interference of non auditory, with statistic correlation test pearson product moment get the result p-value 0,010;0.028;0.023;0.010. and there is no strong relation between the record of musicians rocks hearing upset with interference of non auditory, with statistic correlation biserial get the number p-value -0.092
ANALISIS HUBUNGAN DUKUNGAN SOSIAL DARI REKAN KERJA DAN ATASAN DENGAN TINGKAT BURNOUT PADA PERAWAT RUMAH SAKIT JIWA Labiib, Akhmad
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Nurses are one of the types of work that are particularly vulnerable to burnout, especially psychiatric hospital nurses, because nurses not only care for the patients physical health, but also provide psychological care and rehabilitation efforts. Burnout is a change of attitudes and behavior in the form of psychological reactions to withdraw from work, such as keeping distance from others, and cynical to others, absent form work, often come late to work and very strong desire to change job. Social support from nurse’s partners and superiors can minimize distress which led to burnout. This research aimed to determine the relationship between social support from nurse’s partners and superiors with the nurse’s burnout level in a psychiatric hospital. This study used an explanatory research design, with cross sectional approach. The population in this study was all nurses in third class ward of dr. Amino Gondohutomo Mental Hospital Semarang, as many as 91 people. The sample taken is 76 respondents, by using simple random sampling method. Data was collected using social support questionnaires and Maslach Burnout Inventory. The data was tested using Kendalls Tau test. The results showed that five variables of social support, which were emotional (p value= 0,031), appreciation (p value= 0,032), instrumental (p value= 0,013), informational (p value= 0,005), and the network support (p value= 0,001), have a relationship with nurse’s burnout level. The negative mark showed that social support inversely with burnout level, or the higher support received, the lower level of burnout. The conclusion from this research is of social support from partners and superiors have a low power relationship and a negative impact with the nurse’s burnout level.
Private Practice Midwives Motivation in Signing Delivaery Assurance of Memorandum of Understanding in Semarang City Jannati Rahmah, Miftahul
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Backgrounds: Jampersal is a government program that has been implemented in the city of Semarang since 2011. Private Practice Midwives (BPS) is one of the spearheads health services for mothers and children who are implementing jampersal if BPS is doing jampersal agreement with DKK. The purpose of this study was to determine the motivation of Midwives in Private Practice jampersal signing of cooperation agreements in Semarang in 2011, according to Maslows theory. Methods: This research is a qualitative descriptive approach. Informants are 8 people BPS research in health Puskesmas Pegandan and Puskesmas Tlogosari Wetan. Analysis of data using Content Analysis. Results: The survey results revealed that motivation BPS in signing a cooperation agreement jampersal, the factor of self-actualization needs as a form of devotion to the community BPS and compliance with government regulations, while BPS did not follow the trend jampersal because replacement costs are too little and feeling uncomfortable if signed jampersal must abide by the rules jampersal, difficult claims mechanism, and the number of consumed time to claim they were reluctant to follow jampersal, Conclussion: BPS does not follow jampersal likely still make physiological and safety as motivation, while CBS that follows jampersal tend to make self-actualization motivation as with participation in the signing jampersal Suggestions: Motivation of the DKK and IBI is necessary to encourage BPS follow jampersal, not a threat but growing awareness of the importance of BPS jampersal as a form of devotion to the community and the government.

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