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Jurnal Kesehatan Masyarakat
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Articles 38 Documents
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GAMBARAN EPIDEMIOLOGI KASUS LEPTOSPIROSIS DI KABUPATEN BOYOLALI, PROVINSI JAWA TENGAH Nuraini, Sri; Saraswati, Lintang Dian; Adi, Mateus Sakundarno; Susanto, Henry Setyawan
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Leptospirosis is a public health problem all over the world, especially in tropical and subtropical countries. International Leptospirosis Society (ILS) states that Indonesia is the third-highest country in the world in terms of Case Fatality Rate (CFR). The purpose of the study is to figure out the epidemiological overview of leptospirosis case in Boyolali Regency based on variables of person, place, and time. The type of the study is descriptive using quantitative methods. The sample of the study is all leptospirosis cases in the districts in Boyolali consisted of 47 cases. The result of the study shows that leptospirosis case occurs more in adults of age group 26-45 years (38,3%), are male (70%), and work as farmers (44,7%). Leptospirosis case is most prevalent in 2014 and the highest incident cumulative (0,6) happens in March 2014 and 2015. The most prevalent case of leptospirosis in Boyolali occurs in Nogosari district with 16 cases (34%). Counseling on the prevention of leptospirosis transmission needs to be conducted so that people can avoid the danger of leptospirosis.
HUBUNGAN BEBERAPA FAKTOR IBU LANSIA DENGAN PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI LANSIA DI PUSKESMAS LEBDOSARI SEMARANG TRIWULAN I TAHUN 2016 Susilowati, Niken Budi; Nugroho, Djoko; Dharmawan, Yudhy
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Kesehatan reproduksi merupakan salah satu masalah kesehatan lansia yang telah mendapat perhatian khusus secara global dalam ICPD tahun 1994. Oleh sebab itu, Indonesia mengadakan program kesehatan reproduksi lansia. Sampai saat ini, hanya 30% Puskesmas di seluruh Indonesia yang melakukan pelayanan koseling kesehatan reproduksi lansia, oleh sebab itu perlu adanya pelayanan kesehatan reproduksi lansia. Tujuan dari penelitian ini adalah untuk menganalisis hubungan beberapa faktor ibu lansia dengan pemanfaatan pelayanan kesehatan reproduksi lansia. Penelitian ini menggunakan jenis penelitian explanatory research dengan pendekatan cross sectional study. Populasi adalah seluruh ibu lansia umur 60 tahun ke atas yang berkunjung di Puskesmas Lebdosari Semarang pada triwulan I tahun 2016 berjumlah 104 ibu lansia menggunakan teknik Simple Random Sampling dengan sampel diambil sebanyak 51 responden ibu lansia. Analisis data melalui analisis univariat dan analisis bivariat (analisis deskriptif menggunakan crosstab dan analisis analitik menggunakan uji korelasi Pearson dan korelasi Rank Spearman. Dari penelitian ini diperoleh hasil bahwa ada hubungan pengetahuan ibu lansia (p value = 0,007), kebutuhan seksualitas lansia (p value = 0,003), kebutuhan konseling kesehatan reproduksi lansia (p value = 0,035), dan tidak ada hubungan sikap ibu lansia (p value = 0,067)  dengan pemanfaatan pelayanan kesehatan reproduksi lansia di Puskesmas Lebdosari Semarang triwulan I tahun 2016. Saran bagi Puskesmas Lebdosari Semarang melalui pendekatan kepada ibu lansia.
ANALISIS KEPEMIMPINAN KEPALA RUANGAN DALAM PENERAPAN BUDAYA KESELAMATAN PASIEN DI RUMAH SAKIT JIWA DAERAH Dr. AMINO GONDOHUTOMO SEMARANG Ningsih, Nurul Ayu; Sudiro, Sudiro; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

The head room UPIP in Dr. Amino Gondohutomo Semarang Local Psychiatric Hospital lacks in evocative process, make others do, in becoming a role model, and in giving leadership encouragement related to WalkRounds, safety champion, and briefing staff. There are 10 steps taken to support the patient safety culture with the approach of the Institute for Healthcare Improvement. The objective of this study is to analyze the head of service’s leadership in the implementation of patient safety. The method used in this study is qualitative method. The informants were eight people consisting of main and triangulation informant, the deputy director, the head of medical committee, the head of room service, secretary KPRS, and the four nurses. The result can be concluded based on the facts such as has not yet formed a champion safety in every units, does not give a routine encouragement to the staff, does not give enough examples of patient safety to the staff during briefing time, and lack of building a reporting culture, and learning culture. Suggestion from the research to the hospital is to provide information regarding the number of occurrences in space UPIP for all hospital employees and socialization to nurse the importance of reporting the incident, form a safety champion in each unit as a driver and a conduit of information issues of patient safety, encourage a routine from every month to every day to the staff, provides examples of behavior-related directives safety is supported by a team KPRS periodically/regularly, socialization to all nurses to not be afraid to report, and pay attention to the cases of patients in the room UPIP as learning such as overseeing special patients who often flee and patients often fall.
Analisis Pelayanan Antenatal dan Faktor – Faktor yang Berkaitan dengan Cakupan Pelayanan Antenatal oleh Bidan Desa Di Kabupaten Jember Wulandari, Anastasia; Wigati, Putri Asmita; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Antenatal care merupakan pelayanan kesehatan dasar untuk ibu hamil yang harus dilakukan sesuai standar, yaitu minimal 4 kali selama masa kehamilan. Setiap kehamilan dapat berkembang menjadi masalah atau komplikasi. Berdasarkan hasil survey pendahuluan dan data PWS KIA di Kabupaten Jember tahun 2014, cakupan pelayanan antenatal di Kabupaten Jember masih rendah, kunjungan ibu hamil ke 4 belum mencapai target SPM yaitu 75% dari target 94% pada tahun 2014. Terdapat beberapa faktor yang dapat mempengaruhi cakupan antenatal, yaitu SDM, sarana dan prasarana, ketersediaan dana, dan masyarakat itu sendiri, sehingga perlu dilakukan penelitian untuk menganalisis pelayanan antenatal dan faktor – faktor yang berkaitan dengan cakupan pelayanan antenatal oleh Bidan Desa di Kabupaten Jember. Jenis penelitian ini adalah kualitatif yang dilakukan dengan wawancara kepada 8 informan utama dan 4 informan triangulasi.  Terdapat 2 puskesmas yang dipilih dengan metode purposive sampling, yaitu Puskesmas Arjasa dan Puskesmas Kencong. Variabel pada penelitian ini yaitu SDM, dana, sarana dan prasarana, metode, perencanaan, penggerakan, dan penilaian. Cakupan pelayanan antenatal di Kabupaten Jember masih rendah karena beberapa faktor yang berkaitan yaitu, Jumlah SDM yang masih kurang serta  dana yang tersedia belum mencakup kebutuhan yang ada, sehingga bIdan Desa menggunakan uang pribadi untuk menutupi kekurangganya. Sarana dan prasarana masih perlu dikembangkan karena beberapa kondisi alat yang kurang layak. Perlu adanya perencanaan untuk mengatur penggerakan dan penilaian yang dilakukan oleh Bidan Desa. Guna meningkatkan cakupan pelayanan antenatal dan kualitas pelayanan antenatal.
PENGARUH PENDIDIKAN GIZI TERHADAP PENGETAHUAN GIZI DAN TINGKAT KECUKUPAN GIZI TERKAIT PENCEGAHAN ANEMIA REMAJA (Studi Pada Siswa Kelas XI SMA Teuku Umar Semarang Sefaya, Khoirunisa Triavi; Nugraheni, Sri Achadi; Pangestuti, Dina Rahayuning
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Pemberian pendidikan gizi kepada remaja menjadi alternatif untuk meningkatkan pengetahuan dalam memperbaiki tingkat kecukupan gizi khususnya untuk pencegahan anemia. Penelitian ini menggunakan desain Quasy Experimental dengan jumlah sampel kelompok perlakuan dan kontrol masing-masing 35 orang yang diambil dengan teknik purposive sampling. Setiap kelompok diberikan pretest kemudian dilakukan penyuluhan dengan media buku saku kepada kelompok perlakuan selama 1 minggu, dilanjutkan dengan pemberian posttest kepada kedua kelompok. Uji normalitas menggunakan Shapiro Wilk. Analisis data menggunakan Paired t–test, Wilcoxon Signed Ranks Test, Unpaired t-test dan Mann Whitney. Hasil penelitian menunjukkan persentase peningkatan kategori baik pengetahuan gizi (54,3%), tingkat kecukupan energi (11,4%) kelompok perlakuan lebih baik dari pengetahuan gizi (2,9%), tingkat kecukupan energi (14,3%) kelompok kontrol, sedangkan tingkat kecukupan protein (8,5%) kelompok kontrol lebih baik dari kelompok perlakuan (2,9%) dan peningkatan persentase kategori cukup tingkat kecukupan besi (11,4%), vitamin c (20%) kelompok perlakuan lebih baik dari tingkat kecukupan besi (-20%), vitamin c (14,2%) kelompok kontrol sedangkan tingkat kecukupan vitamin B12 (48,6%), asam folat (8,6%) kelompok kontrol lebih baik dibandingkan tingkat kecukupan vitamin B12 (2,9%) dan asam folat (-8,6%) kelompok perlakuan. Hasil penelitian menunjukkan terdapat perbedaan selisih rata-rata tingkat pengetahuan gizi (ρ=0,048;p<0,05), tingkat kecukupan energi (ρ=0,001;ρ<0,05), protein (ρ=0,001;p<0,05), asam folat (ρ=0,001;ρ<0,05) tetapi untuk tingkat kecukupan besi (ρ=0,883;ρ>0,05), vitamin B12 (ρ=0,122;ρ>0,05), vitamin C (ρ=0,738;ρ>0,05) tidak terdapat perbedaan selisih rerata antara kedua kelompok. Saran penelitian ini adalah agar siswa melakukan pencegahan anemia dan memperbaiki konsumsi makanan yang bervariasi setiap hari serta didukung dengan aktifitas fisik yang cukup. 
GAMBARAN FAKTOR – FAKTOR KEJADIAN LESI PRAKANKER LEHER RAHIM DI PUSKESMAS CANDIROTO, KABUPATEN TEMANGGUNG Khasanah, Mazroatul; Udiyono, Ari; Saraswati, Lintang Dian; Suwandono, Agus
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Cervical cancer is a leading cause of mortality and morbidity after breast cancer, representing approximately 12% of all cancer in women worldwide. Early diagnostic of cervical cancer with cervical precancerous lesions.  The aim of the study is to describe the incidence of precancerous cervical lesions in Puskesmas Candiroto, Temanggung Regency. The study is an observational study which uses case control approach. Population of the study are woman who has conducted VIA test in Puskesmas Candiroto in 2015 – 2016 with 120 respondents. Analysis using frequency distribution. The result of distribution shows that Offspring history has 10,0% in the control grup, education has 38,0% with elementary school, using hormonal contraception (injection) has 40% in case group and marriage under 20th has 49,2% in control group . it is suggest that women must using non hormonal contraception and keep her hygiene personal.
ANALISIS PELAKSANAAN REVITALISASI POSYANDU DI WILAYAH KERJA PUSKESMAS GAYAM SARI KOTA SEMARANG (Studi Kasus di Kelurahan Sambirejo) Asriyani, Winda; Suryawati, Chriswardani; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Based on the quantity, the development of posyandu (Integrated Service Post) in Indonesia is good enough. On the other hand from the quality aspect, still found so many problems inside. From that statement, Indonesia Government published the letter No. 411.3 /1116/SJ on June 13, 2001 about the revitalization of Posyandu. But in the fact, Posyandu revitalization is not reach the target yet and it is not able to decrease AKI and AKB astaught before. The purpose of this study is to analyze the implementation of Posyandu revitalization. This research uses a quantitive method. While for collecting the data uses interview and analyze the documents. Ten informants are taken as the sample including cadres of Posyandu, head of PKK, Pokja IV, RW, Puskesmas, the elder of this area, village chief and the Posyandu management. The data present in narrative text. The result of the research shows that the active leader is only the elders in this area. socialization to the community is held only once a month. There is routine guidance from head of hamlet (head of RW) and Posyandu in the community. Public participation in Posyandu revitalization activities has been good, good for force participation, mind, goods, money and expertise.The training for the cadres posyandu is not ideal yet. The Posyandu services by five tables and visits to society houses also are not good enough. Posyandu in this area does not have its own place and good facilities. The society participation is increase and has a good cooperation with the sector side. There is PAUD for the added facilities. Some suggestions are needed to increase mentoring and coaching against the good of posyandu health workers, community leaders, and village officials.
Analisis Kesiapan Implementasi Badan Layanan Umum Daerah Puskesmas Kota Semarang (Studi Kasus pada Puskesmas Ngesrep dan Bandarharjo) Adam, Edlin Shufi; Suparwati, Anneke; Arso, Septo Pawelas
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Community Health Center as a public service agencies on health are requied to provide excellent service to community. However, still not met society’s expectations due to complexity of flow budgeting. Implementation of the Local Public Service Agency (BLUD) is proposed solution for the problems with these flexibility to improve the service quality. All of Community Health Center in Semarang will Implement BLUD. The purpose of this study is to determine the readiness of the health center in BLUD  Implementation case study in health centers community Ngesrep and Bandarharjo. The approach of this research is a qualitative descriptive. Data of this research were collected by in-depth interviews. The main informants numbered 4 are head of the community health center and head of administration with the triangulans numbered 5, are the treasurer and technical staff at both community health center and escort team of BLUD from Semarang Health Departement. the result of this research, Ngesrep and Bandarharjo Community Health Center is not ready to implement BLUD. It seen from lack of educational competences and lack number of staff because have no administrative personnel to implement BLUD and lack of infrastructure. The documents and requirement available as well, targets to be BLUD are good enough. Lack of communication and coordination. Executor Characteristics has support enough. Environment of social, economics, and politics is good, but there has no governing policy to regulate BLUD in municipal level. Executor Disposition is good it seen from Community Health Center Commitment and positive staffs attitude towards BLUD, but understanding and involvement of staff towards BLUD is still lack. The research suggest is to improve the understanding and qualification of staff and addition of administrative personnel for implementation of BLUD. Increase the intensity information of BLUD, making BLUD technical regulations on municipal level and improve the communication and coordination between community health center and Semarang health department.
GAMBARAN FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI PADA AKSEPTOR KONTRASEPSI PIL (Studi di Wilayah Kerja Puskesmas Kuwarasan Kabupaten Kebumen) Ardiningsih, Umi; Saraswati, Lintang Dian; Adi, Mateus Sakundarno; Udiyono, Ari
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

Hypertension in woman tends to be higher than in man. One of them is the use of the hormonal contraceptive tool such as  oral contraceptive. The purpose of this research is to figure the factor which is related to the occurrence of hypertension in woman oral contraception acceptor at Public Health Center of Kuwarasan, Kebumen regency.This research is a descriptive study with cross-sectional approach. The samples of this research included 100 women of fertile couples which are selected randomly and conducted the interview, filing questionnaires, and measurement. Data show that mostly respondents experience hypertension at age more than 35 years old (57,7%); have history of family hypertension (58,6%); status of obesity (59,6%); low physical activity (56,4%); high atrium consumption (70%); and too heavy stress level (100%). Need to increase awareness to maintain a healthy lifestyle by the acceptor and the socialization of the government regarding contraceptives to the public.
GAMBARAN FAKTOR-FAKTOR TEKANAN DARAH PADA AKSEPTOR KB HORMONAL DI WILAYAH KERJA PUSKESMAS KEDUNGMUNDU 2016 Zahidah, Afina Karimatu; Udiyono, Ari; Adi, Mateus Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
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Abstract

The usage of hormonal contraception in Indonesia has increased one of them in the work area of Kedungmundu community health center Semarang city with prevalence in 2015 about 17,9%. The aim of this research is knowing the blood pressure profile of hormonal contraception acceptors in work area of Kedungmundu community health center. This research is descriptive research with observational design and cross sectional approach. Total of sample is 100 hormonal contraception acceptors, 15-45 years old, and selected randomly to be interviewed and measured. The results was hormonal contraception acceptors has high blood pressure (29%); majority of respondents aged early adulthood, 26-35 years old, (43%);used injecting hormonal contraception (75%); had normal nutritional status (55%);had central obesity (66%);Senior High School for the last education (38%);housewife (59%);had salary more than minimum wage work Semarang city (52%);used hormonal contraception for 13-19 years (43%);had no hypertension history (68%);not smoked (100%); exposured by smoke (79%); and did light physical activity (60%). Hypertension incident of the respondents was tend to in late adulthood; had no hypertension history; exposured by smoke;used injection contraception;used hormonal contraception for 13-19 years;had obesity of nutritional status;had central obesity; and had light physical activity. Hormonal contraception acceptors should had sufficient physical activity, avoid of getting exposured by smoke; and controlling blood pressure routinely.

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