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Jurnal Kesehatan Masyarakat
Published by Universitas Diponegoro
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Articles 11 Documents
Search results for , issue "Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)" : 11 Documents clear
HUBUNGAN KADAR TIMBAL (Pb) DENGAN KADAR MALONDIALDEHID (MDA) DALAM DARAH PADA IBU HAMIL DI WILAYAH PANTAI KABUPATEN BREBES Ismanto, Hari; Suhartono, Suhartono; Darundiati, Yusniar Hanani; Nurjazuli, Nurjazuli
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

The highest maternal mortality in Central Java was found in Brebes District with 54 cases in 2016 and 52 cases in 2015. Lead exposure may contribute to the causes. The study was conducted in four coastal areas of sub-districts in Brebes. The purpose of this study was to determine the relationship between lead (Pb) levels with malondialdehyde (MDA) levels of pregnant women’s blood, it was an observational analytic research with a cross sectional study design. The samples were 85 pregnant women. Data were analyzed descriptively by univariate analysis, data on lead levels and malondialdehyde levels were analyzed using Rank Spearman correlation test. The study showed that the average age of pregnant women was 30.15 years old with the largest age category being 20-35 years. The average gestational age was 27.62 weeks or predominantly in the second and third trimesters of pregnancy (43.5% and 54.1%). The pregnant women in the study area had high risk of lead exposure sourced from cigarette and pesticides (28.2% and 78.8%). The average lead level in the blood of pregnant women is 42.67 µg / dl, while malondialdehyde was 377.3 ng/ml. The results of the correlation test of lead levels with malondialdehyde levels in the blood of pregnant women showed that both variables were not related (p Value>0.05). It is important to highlight the lead levels of blood in the study area. Pregnant women are advised to prevent lead exposure by avoiding cigarette smoke, pesticides, not consuming lead contaminated seafood, and minimizing the vehicle emission exposure.
HUBUNGAN FAKTOR LAMA MENDERITA DM DAN TINGKAT PENGETAHUAN DENGAN DISTRES DIABETES PADA PENDERITA DIABETES MELLITUS TIPE 2 TAHUN 2017 (Studi di Wilayah Kerja Puskesmas Rowosari, Kota Semarang) Laili, Fitrianur; Udiyono, Ari; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Distress Diabetes was a condition that was common in people with diabetes. As many as 48.5% of people with type 2 diabetes were at risk of developing diabetic distress. The purpose of this study was to describe and analyze the relationship between duration of DM and level of knowledge with distress diabetes in type 2 DM patients in 2017. The population were all type 2 Diabetes Mellitus patients recorded at Rowosari Public Health Center, Semarang City in 2017, namely 231 patients. The minimum sample size was 100 respondents with a simple random sampling method. And for data analysis used sperman rank test with 95% significance level. The results showed that the average duration of DM was 4.66 years, the average level of knowledge was 4.33 points, and the average score of diabetic distress was 51.16 points. As for the significance value for the duration of DM variable (p = 0.005; rp = -0.280) and level of knowledge variable (p = 0.001; rp = -0,654). So the conclusion of this study that there was a significant relationship between the duration of DM variable and level of knowledge variable with diabetes distress.
Kepadatan Larva di Kelurahan Endemis Tinggi Kelurahan Tembalang Kota Semarang : Studi Pendahuluan Cross Sectional Deskriptif Indarti, Diah Palupi; Martini, Martini; Yuliawati, Sri
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Abstract.Dengue Hemorrhagic Fever (DHF) is an acute fever that can cause death. Tembalang Village is the highest urban village with Incidence Rate (IR) compared to other villages in Tembalang District in 2017. DHF events are influenced by various factors, one of the factors is the presence of containers around the community that are suitable for breeding Aedes spp. The type of this research is observational analytic with cross sectional study design. The sample used is a house that is at risk of dengue incidence with a total sample of 20 houses in August and 33 houses in December. The results of the descriptive analysis of entomological surveys were obtained in August HI = 35%; CI = 52.17% and BI = 60%; with Density Figure (DF) of 6.6 (high larval density) while in December HI = 33.33%; CI = 7.82% and BI = 42.42%; with DF of 4.3 (medium larval density). So it can be concluded that the Tembalang Village has medium-high larval density. Abstrak.Demam Berdarah Dengue (DBD) adalah penyakit demam akut yang dapat menyebabkan kematian. Kelurahan Tembalang merupakan kelurahan dengan Incidence Rate (IR) tertinggi dibandingkan kelurahan lain di Kecamatan Tembalang pada tahun 2017. Kejadian DBD dipengaruhi berbagai faktor, salah satu faktornya adalah keberadaan kontainer di sekitar lingkungan masyarakat yang cocok bagi perkembangbiakan Aedes spp. Jenis penelitian ini adalah analitik observasional dengan desain studi cross sectional. Sampel yang digunakan adalah rumah yang berisiko terhadap kejadian DBD dengan jumlah sampel sebanyak 20 rumah pada bulan Agustus dan 33 rumah pada bulan Desember. Hasil analisis deskripsitf survei entomologi didapatkan pada bulan Agustus HI = 35%; CI = 52,17% dan BI = 60%; dengan Density Figure (DF) sebesar 6,6 (kepadatan larva tinggi) sedangkan pada bulan Desember HI = 33,33%; CI = 7,82% dan BI = 42,42%; dengan DF sebesar 4,3 (kepadatan larva sedang). Sehingga dapat disimpulkan bahwa Kelurahan Tembalang memiliki kepadatan larva sedang-tinggi. 
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU IBU DALAM KUNJUNGAN NEONATAL DI WILAYAH KERJA PUSKESMAS KEDUNGMUNDU SEMARANG Rahmawati, Auliya; Husodo, Besar Tirto; Shaluhiyah, Zahroh
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

More than half of infant deaths in the world occur in the first year of life, especially in the neonatal period (0-28 days baby age). Neonatal period is the most vulnerable period for infants to risk health problems. As a result of this risk, every baby must get health assistance according to standards, namely by carrying out a complete neonatal visit (KN1 – KN3). Kedungmundu Health Center is one of the ISO standard health centers in the city of Semarang whose coverage of neonatal visits has not yet reached the SPM target both in 2016 and 2017 with coverage rates below 90%. The purpose of this study was to analyze the factors related to the behavior of mothers in neonatal visits in the work area of Kedungmundu Health Center Semarang. This research is descriptive analytic with cross-sectional study design. The population were mothers who had babies aged 2-3 months,  where the sampling used a total sampling technique of 84 people. Data analysis in this study used univariate, bivariate, and multivariate analysis. The results showed that most respondents did not carry out a complete neonatal visit (66.7%). The results of the bivariate analysis using the chi-square test showed that the related variables were variables of age (p-value = 0.026), education level (p-value = 0.010), and beliefs (p-value = 0.033). The results of multivariate analysis showed the level of education was the most influential factor (OR = 5.174). There are still many mothers who are not fully equipped, it is hoped that health workers will actively conduct home visits and improve their mistaken beliefs by showing adverse effects if they do not implement KN, while puskesmas must have a strategy in delivering neonatal care materials according to their education level­.
PERAN TENAGA PELAKSANA ELIMINASI DALAM PELAKSANAAN PROGRAM PEMBERIAN OBAT SECARA MASSAL (POPM) FILARIASIS DI KOTA PEKALONGAN Jorghi BP, Herlysse; Ginandjar, Praba; Kusariana, Nissa; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Filariasis is a disease caused by filarial worms, Pekalongan City has carried out filariasis MDA (Mass Drug Administration) since 2011-2015. However, the results of the Finger Blood Survey (SDJ) showed that the microfilaria rate was > 1%. This study aims to describe the role of Elimination Personnel (EP) and the obstacles faced in implementing filariasis MDA in Pekalongan City. This study used a cross sectional research method. Sampling in this study used simple random side, total 95 respondents. Data obtained by structure interviews using questionnaires. The results showed that EP in selecting the target family members to be treated is optimal (63.2%). EP in helping puskesmas determine the dosage and administration of medicines for each of the assisted families (52.6%). EP in recording the assisted families who drank the medicine on the card was optimal (55.8%). EP in monitoring and recording treatment reactions that may arise and reporting to health workers was optimal (61.1%).
PERILAKU IBU DALAM PENCEGAHAN KEKAMBUHAN PNEUMONIA PADA BAYI DAN BALITA DI KOTA SEMARANG Maharani, Cindy Adhitya; Musthofa, Syamsulhuda Budi; Husodo, Besar Tirto
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Pneumonia is an inflammation which occurs in the lungs caused by infection. Pneumonia can affect to all age groups but it becomes one of the main causes of mortality in children under five years old. Penumonia reccurence is possible to happen after the first episode has been cured. Mothers have important role in children's lives, which includes maintaining their health by recognizing signs of disease in children and seeking medical help. This study aimed to analyze the factors associated with mother’s behavior in preventing recurrence of pneumonia in children under five years old in Semarang. The study used a cross sectional study design. The population of this study were mothers of children under five years old with a history of pneumonia in Semarang. Sampling was chosen with a multi stage random sampling technique and 90 samples were colected. Data were analysed with univariate and bivariate analysis. The results from the study showed that most of the participants didn’t do pneumonia reccurence prevention (60,0%). The chi square test results showed perceived severity (p=0,037), perceived benefits (p=0,000), perceived barriers (0.010), and self-efficacy (p=0,00) had a significant relationship with mother behaviors in preventing pneumonia recurrence in children under five years old in Semarang while perceived susceptibility did not (p=0,448). Providing information about the benefits of pneumonia prevention in children under five years old needs to be done to community to prevent child mortality caused by pneumonia.
FAKTOR PERILAKU DAN FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS GEBANG KABUPATEN PURWOREJO Isnaeni, Laela; Saraswati, Lintang Dian; Wuryanto, M. Arie; Udiyono, Ari
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Malaria is an infectious disease and still become a public health problem in Indonesia. Malaria transmission is influenced by several factors such as the environment, agent, and host. Purworejo is one of sub-districts in Central Java that has the highest malaria rate. One endemic sub-district in Purworejo is Gebang with MOPi in the early quarter of 2018 at 1.3 ‰. The purpose of this study was to analyze the relationship between environmental factors of malaria incidence in Kecamatan Gebang. This study was an observational analytical with case control design. The sample of this study amounted to 106 respondents with details of 53 cases and 53 controls. The univariate and bivariate were used to analyze the data. The results showed that were a relationship between habit of going out at night (p = 0,000; OR = 10,513), use of mosquito repellent (p = 0,036; OR = 2,710), existence of breeding place (p = 0,000; OR = 5,077), distance of breeding place (p = 0.011 OR = 2.963), existence of resting place (p = 0.003; OR = 4.313), and livestock cage (p = 0,000; OR = 10,014). The conclusion of this study is that there is a relationship between  habit of going out at night, use of mosquito nets, existence of breeding places, distance of breeding places, existence of resting places, and existence of livestock cages related to malaria incidence in Gebang.
ANALISIS PELAKSANAAN PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA BAGI ORANG DENGAN GANGGUAN JIWA BERAT DI PUSKESMAS (STUDI KASUS SKIZOFRENIA DI PUSKESMAS KEDUNGMUNDU KOTA SEMARANG) Uzhma, Lathifah Safaatul; Sriatmi, Ayun; Jati, Sutopo Patria; Suryoputro, Antono
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Mental health is one of the important components to get health as a whole. Mental health is included in one indicator of Minimum Service Standards (SPM) and in the Healthy Family Indicator (IKS) PIS-PK which both focus on severe ODGJ. The Annual Life Report of the Semarang City Health Office shows an increase in the number of cases of severe mental disorders (Schizophrenia) in the Semarang City Health Center each year. In 2017 the city of Semarang has reached the target of 100% SPM in health services for severe ODGJ. But based on data from the Social Service of Central Java Province in Semarang in Semarang, there were 325 persons with mental disabilities (psychotic) and 67 children with mental disabilities (psychotic) who were reported by the community and had not received health services. This study aims to describe the implementation of PIS-PK for people with severe mental disorders in the Semarang City Health Center, especially in cases of schizophrenia in Kedungmundu Health Center with a system theory approach. This qualitative study uses in-depth interview methods. The results showed that the PIS-PK helped in the ODGJ data collection especially in cases of schizophrenia. The ODGJ program was helped by the PIS-PK, because there was no specific program intended for ODGJ. But further interventions for ODGJ have not been implemented in PIS-PK activities. Further interventions will only be carried out on the 3 most problems that arise in the community and ODGJ Severe (Schizophrenia) problems are not included in that. Further interventions can be carried out by crossing collaboration programs between PIS-PK and ODGJ programs, so that IKS and SPM can be achieved simultaneously. In addition, there is no synchronization between SPM report data and ODGJ data on PIS-PK. So that the data is not yet able to show the case in real terms. Even though ODGJ data in PIS-PK, can be a reference in taking intervention in the community. Furthermore, the ODGJ case finding can be helped by maximizing the SRQ 29 form early detection.
HUBUNGAN IMT DAN TINGKAT AKTIVITAS FISIK DENGAN KEJADIAN KOMORBID TB-DM DI KOTA SEMARANG Rahmania, Mia; Saraswati, Lintang Dian; Wuryanto, M. Arie
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Tuberculosis in an infectious disease resulted in a high number of mortality in Indonesia. Diabetes melitus recognized as an important risk factors to tuberculosis. The aim of the study was to analyze relationship BMI and physical activity level with the incidence of comorbid TB-DM in Semarang city. This study is an analytical observational study with cross sectional study design. The study population was 286 positive smear TB patients who still TB treatment from April to August 2018. The sample size in the study was 100 TB patients who selected using proportional probability with sample size and simple random sampling technique. Primary data obtained directly through interviews with respondents using questionnaires, and measurement of blood sugar to diagnose DM. Bivariate analysis using chi-square with 95% significance. The results of measurements with fasting blood sugar levels found that 29% of respondents were diagnosed with DM. The majority of respondents were 46-55 years old (27%) with mean age 44.05 years and male sex (53%). The majority of TB-DM patients have overweight IMT (72.7%) and have moderate physical activity (43.3%).Bivariate analysis showed that BMI (p=0,000) and physical activity level ((p=0,081). It can be concluded there is a relationship between BMI with the incidence of comorbid TB-DM. DM patients are expected to control  increasing body weight and food intake.
STATUS KERENTANAN NYAMUK ANOPHELES SPP TERHADAP LAMBDACYHALOTHRIN 0.05% DI KECAMATAN PITURUH KABUPATEN PURWOREJO Ningtyas, Angelia Galuh; Wuryanto, M. Arie; Saraswati, Lintang Dian; Ginandjar, Praba
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Anopheles spp is a malaria mosquito vector in Purworejo Regency. The monitoring of the susceptibility status of Anopheles spp to insecticides not implemented. The purpose of this study was to determine the susceptibility status of Anopheles spp mosquitoes in Pituruh Subdistrict. The design of this study used quasi-experiment with samples of Anopheles spp mosquitoes as a result of F1 colonization The mosquitoes used for testing are female Anopheles spp mosquitoes. The total number of mosquitoes tested was 120 mosquitoes. Repetition was carried out 6 times with the details of 4 tubes as a treatment and 2 tubes as controls for each tube containing 20 mosquitoes. The results showed that the average knock down of Anopheles spp mosquitoes during the 60-minute exposure was 19 per repetition (92.5%). After a 24-hour holding, the average mortality of Anopheles spp mosquitoes was 20 per repetition (100%). Mosquito deaths reached 80 mosquitoes (100%) at 12 hours. In the control group, the number of mosquito deaths after 24 hours holding was 2 tails (0.5%), so there was no need to make corrections using the Abbots formula. Anopheles spp mosquitoes are said to be susceptible to lambdacyhalothrin so lambdacyhalothrin can still be used as vector control in Purworejo Regency.

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