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Public Health Perspective Journal
ISSN : 25285998     EISSN : 25407945     DOI : -
Core Subject : 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 122 Documents
The Effect of Sleep, Stress and Physical Activities Toward Obesity in Adolescent Aged 12-18 Years in Yogyakarta City Abudu, Komaria Ode; Woro Kasmini Handayani, Oktia; Yuniastuti, Ari
Public Health Perspective Journal Vol 4, No 1 (2019): April 2019
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Abstract

Obesity become worrying problem among adolescents, they who are obesed are 80% have the opportunity to experience obesity as adults and have higher risk of serious diseases such as cardiovascular disease, stroke, diabetes, asthma, and some types of cancer. According to the health profile of Yogyakarta Special Province in 2017 the prevalence of obesity was 19.1% occurs in adolescents. The city of Yogyakarta is an area that has many obese people compared to other districts with a prevalence of 4.81%. The purpose of this study was to analyze the effect of sleep patterns, stress and physical activity on the incidence of obesity in adolescents. This research was a quantitative research with a cross sectional approach. The research sample amounted to 109 respondents using the Simple random sampling technique. Instrument used was a questionnaire, observation and documentation. Analysis of calculations in this study used path analysis, it was found the results of sleep patterns with estimates of -0.539 (p = 0.702> 0.05) means that there is an indirect influence on the incidence of Obesity, stress variables indirectly affect the incidence of Obesity through other factors outside the path with coefficients lane is -0.055 (P = 0.963> 0.05) and physical activity variable with an estimate of -0.284 (p = 0.035 <0.05) there is a direct influence on the incidence of Obesity. The results of the study can be a consideration for improving health status by maintaining a healthy lifestyle, regulating sleep patterns, controlling stress and a lot of physical activity.
The Analysis of Katajaga (Village of Qualified Family Latrine) Program Effect to The Contamination of Fecal Coliform , Diarrhea and Typhoid Occurrence in Semarang Harahap, Maimunah; Laksono, Budi; Rustiana, Eunike Raffy
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
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Abstract

The most common contagious diseases in developing countries are diseases of the respiratory and digestive tract. Gastrointestinal tract infection disease can be caused by virus, bacteria and protozoa. Diseases that can occur include diarrhea and typhoid. Factors that may increase the risk of diarrhea and typhoid include fecal contaminated water and improper defecating. The lack of owning healthy latrines causes most of people defecate in any places which induce environmental pollution so that sanitation is needed to break the germ link from the infectious source. The purpose of this study is to analyze the effect of Katajaga program (Village Of Qualified Family Latrine) against contamination of fecal coliform, the occurrence of diarrhea and typhoid.This research is a type of quantitative research with cased control study approach. The population in this study was 30 people who were given Katajaga Program in Gunungpati Sub-district and 30 people who were not given Katajaga Program in Mijen Sub-district. Sampling was done by simple random sampling technique.The results showed that there was a significant difference of fecal coliform contamination rate between case and control group with p value 0.047 (p <0.05), there was a significant difference of diarrhea occurrence rate between  case and control group with p value 0.034 (p <0.05) and there was significant difference of typhoid occurrence rate between case and control group with p value 0.009 (p <0.05). The conclusion is giving the Katajaga program effects on the contamination of fecal coliform, the occurrence of diarrhea and typhoid. This research is useful to encourage people to improve sanitation development and prevent disease transmission caused by poor sanitary conditions.
Determinan Risiko Kejadian Anemia pada Remaja Putri Berdasarkan Jenjang Pendidikan di Kabupaten Kebumen Agustina, Ely Eko; Laksono, Budi; Indriyanti, Dyah Rini
Public Health Perspective Journal Vol 2, No 1 (2017): Juni 2017
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Abstract

Perdarahan sebagai penyebab utama tingginya AKI di Indonesia diawali dengan adanya anemia.Penelitian ini bertujuan untuk mengetahui determinan risiko kejadian anemia pada remaja putri di Kabupaten Kebumen tahun 2016.Penelitian ini merupakan penelitian analitik observasional dengan desain kasus kontrol. Sampel dalam penelitian ini sebesar 120 responden. Penelitian dilakukan pada bulan Mei-Juni 2016. Pengambilan data dilakukan dengan kuisioner, Semi Quantitative- Food Frequency Quotionare (SQ-FFQ), pengukuran tinggi badan, penimbangan berat badan dan pemeriksaan laboratorium. Analisis data meliputi analisis univariat, analisis bivariat dengan uji chi_square, dan analisis multivariat dengan regresi logistik.Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara asupan zat gizi energi p = (0,047), protein p = (0,000), zat besi p = (0,002), pola menstruasi p = (0,001) dan satus gizi antropometri p = (0,021) dengan kejadian anemia pada remaja putri. Analisis multivariat regresi logistik menunjukkan variabel yang paling dominan terhadap kejadian anemia adalah asupan zat gizi protein OR 4,255 pada CI (1, 850-9,784). Penelitian ini diharapkan dapat bermanfaat bagi Dinas Kesehatan Kabupaten Kebumen sebagai bahan masukan bagi penentu kebijakan, perencanaan dan pelaksana program khususnya dalam Pembinaan Gizi Institusi Sekolah (PGIS) sebagai upaya penurunan Angka Kematian Ibu (AKI).Bleeding as a major cause of high maternal mortality rate in Indonesia begins with anemia.The purposeof this study to determine the risk of anemia in adolescent girls in Kebumen 2016.This research is an analytic observational with case control design.The sample in this study of 120 respondents.The study was conducted in May-June 2016. Data were collected by questionnaire, Semi Quantitative- Food Frequency Quotionare (SQ-FFQ), height measurement, weighing and laboratory tests.Data analysis included univariate analysis, bivariate analysis withchi_square test, and multivariate logistic regression analysis.The results showed a significant relationship between nutrient intake of energyp = (0.047),proteinp = (0.000),iron p = (0.002), menstrual pattern p = (0.001) andanthropometric nutritional statusp = (0.021)with the incidence of anemia in adolescent girls.Multivariate logistic regression analysis showed the most dominant variables on the incidence of anemia is the nutrient intake of protein in the CI OR 4,255 (1, 850 to 9.784)This research is expected to be beneficial for Kebumen District Health Department as an input for policy making, planning and implementing programs, especially in the Guidance Nutrition Educational Institutions (PGIS) as an effort to reduce Maternal Mortality Rate (MMR).
An Analysis of Picky Eater Towards Growth and Motor Development at Kebasen District Health Centre Ell Khaq, Arrina; Yuniastuti, Ari; Ratna Rahayu, Sri
Public Health Perspective Journal Vol 3, No 3 (2018): December 2018
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Abstract

The risk of malnutrition is caused by several factors, one of which is food disruption (picky eaters). Picky Eater can be interpreted as a child with several criteria for eating behavior such as feeling full quickly, eating slowly, fussy and picky about food, lacking response and not enjoying eating. Picky eater's prevalence is quite high in the world, including Indonesia which was as much as 45.5% (2010), an increase of 77% in 2012 and 35.4% in 2016. Picky eater has a risk twice as big as being underweight at age 4, 5 years compared to nonpicky eater. Underweight will interfer motor development, intelligence, learning processes, susceptibility to infection, disease severity and mortality. The aim of the study was to analyze picky eater on toddler’s motor growth and development in the Kebasen District Health Center. This type of research was analytic with cross sectional approach. The populations in this study were all toddlers aged 12-59 months who participated enrolled in the Kebasen District of Banyumas Regency, had growth chart and join with Maternal and Child Health Service (Posyandu). The samples were 101 respondents with clustering random sampling technique followed by simple random sampling. The Chi-Square test results show there is a picky eater effect on the growth of toddlers with p-value 0.034 <0.05; and there is the influence of picky eater on motor development p-value 0.024 <0.05. Picky Eater's conclusions affect the growth and development of toddlers’ motor.
Analisis Hubungan Sikap Perilaku Pengelolaan Sampah dengan Gejala Penyakit pada Masyarakat di TPI Kota Tegal Aennie Widiastuti, Vinka; Yuniastuti, Ari
Public Health Perspective Journal Vol 2, No 3 (2017): Desember 2017
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Abstract

Permasalahan yang dikaji dalam penelitian ini berasal dari hasil observasi awal yang menunjukan bahwa dampak pengelolaan sampah  yang buruk di TPI Kota Tegal bagi kesehatan masyarakat akan menyebabkan gejala penyakit Dermatitis 15%, ISPA 80% dan Diare 5%. Tujuan penelitian ini untuk mengetahui hubungan sikap dan perilaku pengelolaan sampah dengan gejala penyakit pada masyarakat yang berada di kawasan TPI Kota Tegal Tahun 2017. Jenis penelitian ini kuantitatif, dengan desain penelitian survey analitik dan rancangan cross sectional. Populasi dalam penelitian ini adalah semua masyarakat yang berada di kawasan TPI Kota Tegal yaitu sebanyak 27.143 orang. Sampel berjumlah 100 responden. Instrumen yang digunakan yaitu kuesioner. Analisis data dilakukan secara univariat dan bivariat Chi-square. Hasil penelitian menunjukkan ada hubungan yang signifikan antara sikap dengan Dermatitis  p-value sebesar 0,005 <α (0,05). Sikap ISPA p-value sebesar 0,001 <α (0,05). Sikap Diare p-value sebesar 0,003 <α (0,05). Perilaku  Dermatitis p-value sebesar 0,001 <α (0,05). Perilaku  ISPA p-value sebesar 0,002 <α (0,05). Perilaku  Diare p-value sebesar 0,021 <α (0,05). Agar masyarakat yang bekerja di TPI Kota Tegal menggunakan alat  pelindung diri (APD), pemerintah mendukung serta memfasilitasi masnyarakat di TPI dalam mengelola sampah, memberdayakan tokoh masyarakat untuk membuat program pendaur ulangan sampah.The problems studied in this study came from the results of initial observations that show that the impact of poor waste management in TPI Tegal City for public health will cause symptoms of disease Dermatitis 15%, ISPA 80% and Diarrhea 5%. The purpose of this research is to know the correlation between attitude and behavior of waste management with disease symptom in society that is in TPI area of Tegal City 2017. This research type is quantitative, with analytical survey research design and cross sectional design. The population in this study is all the people who are in the area of TPI Tegal City as many as 27,143 people. Sample amounted to 100 respondents. The instrument used is questionnaire. The data were analyzed by univariate and bivariate Chi-square. The results showed there was a significant relationship between attitudes with p-value Dermatitis of 0.005 <α (0.05). Attitude of the p-value of ISPA is 0.001 <α (0.05). P-value Diarrhea is 0.003 <α (0.05). P-value Dermatitis behavior is 0.001 <α (0.05). ISPA behavior of p-values was 0.002 <α (0.05). The behavior of p-value Diarrhea was 0.021 <α (0.05). In order for people working in TPI Tegal City to use personal protective equipment (APD), the government supports and facilitates the community in TPI in managing waste, empowering community leaders to create a waste recycling program.
PELAYANAN KESEHATAN MATERNAL DALAM AKSELERASI PENURUNAN MATERNAL MORTALITY Hidayah, Luluk; Kasmini Handayani, Oktia Woro; Indriyanti, Dyah Rini
Public Health Perspective Journal Vol 1, No 1 (2016)
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Abstract

Maternal mortality merupakan indicator utama kesehatan. Maternal mortality di Indonesia masih jauh dari target MDGs tahun 2015, yaitu 102/100.000 KH. Pelayanan kesehatan berkelanjutan merupakan pendekatan penting untuk mengurangi kematian ibu. Tujuan penelitian untuk menganalisis pelayanan kesehatan maternal dalam akselerasi penurunan maternal mortality di Wilayah Kerja Puskesmas Karanganyar II. Jenis penelitian kualitatif, difokuskan pada pelayanan kehamilan, persalinan dan nifas. Informan penelitian ditentukan dengan teknikpurposive sampling dan snowball sampling. Teknik pengambilan data dengan wawancara mendalam. Analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi. Aspek input pelayanan kesehatan maternal meliputi SDM, sumberdana, sarana prasarana, dan SOP tersediadenganbaik. Proses pelayanan kesehatan maternal sudah sesuai standar pelayanan kebidanan, namun output belum optimal karena ada kesenjangan antara cakupan K1 dan K4. Supervisi, bimbingan teknis, monitoring dan evaluasi pelayanan kesehatan maternal dilakukan secara rutin oleh bidan koordinator. Perlu optimalisasi kemitraan dengan berbagai pihak dalam upaya akselerasi penurunan maternal mortality.Maternal mortality is a key indicator of health. Maternal mortality in Indonesia is still far from the target of the Millennium Development Goals by 2015, that is 102/100.000 live birth. Sustainable health care is an important approach to reducing maternal deaths. Purpose of the research was to analyzed the maternal health services to acceleration of decline maternal mortality in Public Health Center of Karanganyar II. The research was a qualitative study, was focused on pregnancy, delivery and post-partum. Informant determined by purposive sampling and snowball sampling technique. Data collection technique was in-depth interviews. Data analysis was done descriptively and presented in narrative form. Aspects input of maternal health services include human resources, financial resources, infrastructure, and standard operating procedure have provided well. Maternal health care process has been standardized midwifery services, but the output was not optimal because there was a gap between K1 and K4 coverage. Supervision, technical guidance, monitoring and evaluation of maternal health services has been done routinely by the coordinator of the midwife. Need to optimize partnerships with various parties in an effort to accelerate a decrease in maternal mortality.
Predisposisi Perilaku Ibu Hamil Anemia Yang Mempengaruhi Kepatuhan Antenatal Care dan Mengkonsumsi Tablet Fe Chotimah, Chusnul; Baitul Mukarromah, Siti
Public Health Perspective Journal Vol 2, No 2 (2017): September 2017
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Abstract

Tinginya Angka Kematian Ibu (AKI) di Indonesia disebabkan oleh perdarahan, hipertensi dalam kehamilan dan infeksi.  Deteksi dini dengan kunjungan antenatal care dapat menekan komplikasi pada saat kehamilan maupun persalinan yang diharapkan dapat menekan AKI. Tujuan penelitian ini adalah untuk mengetahui pengaruh predisposisi perilaku ibu hamil anemia dalam pemanfaatan layanan antenatal care dan mengkonsumsi tablet Fe ditinjau dari status ekonomi dan paritas.  Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross sectional survey.  Populasi ibu hamil resiko tinggi sejumlah 366 dengan total sampling 78 ibu hamil yang memenuhi ktiteria inklusi. Pengetahuan merupakan predisposisi perilaku ibu hamil anemia yang mempengaruhi kepatuhan dalam pemanfaatan layanan antenatal care dan mengkonsumsi tablet Fe.Bleeding, hypertension in pregnancy and infection caused the high Maternal Mortality Rate (MMR) in Indonesia. Early detection by Antenatal Care can reduce complications during pregnancy, childbirth and MMR.  The purpose of this study was to determine the influence of predisposition behavior on anemia maternity towards Antenatal Care services and consuming iron supplementation viewed from economic status and parity. This research is analytic observational with cross sectional  approach. The population of pregnant at high risk for a total amount of 366 sampling 78 pregnant who meet the inclusion ctiteria.   Knowledge predisposes behavior of pregnant women anemia that affect compliance in the utilization of antenatal care and consuming iron supplementation.
Analysis of Factors Affecting the Participation women of childbearing age in Early Detection of Cervical Cancer Aminah, Mun; Made Sudana, I
Public Health Perspective Journal Vol 3, No 2 (2018): August 2018
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Abstract

Cancer disease is a disease with the highest prevalence in Indonesia. In the year 2013 increased to 114 patients and in 2015 a number 115 cervical cancer patients. Cancer often happens to childbearing-age women. The incidence of cervical cancer, in fact, can be suppressed by performing early detection. The purpose of this research is to know the effect of the counseling, husband’s support and information source on early detection of cervical cancer and also the most dominant relative and effective contribution. This research is a quantitative research with cross sectional approach with random sampling technique using three predictor regression analysis. Population and sample in this research are the childbearing-age women in working area of Primary Health Survices Purwodadi I with 80 respondents by using random Sampling technique. The analysis that is used in this research is Regression analysis with 3 predictors. The result of F arithmetic is obtained that F table is based on dk denominator = 3 and dk denominator (80-3-1) = 76. For error level 5% = 2,74 because F count is greater than F table then the correlation coefficient tested is significant that dominant factor is husband’s support. Relative contribution is 73,81% and effective contribution is 64,87%, counseling has 27,5% of relative contribution and 24,17% of effective contribution and information sources have -1,37% of relative contribution and -1,20 of effective contribution. The conclusion of the influence between husband support and counseling on early detection of cervical cancer
The Effectiveness of Pregnancy Training Class towards the Childbirth Preparation in Kendal Regency Widiar, Restu; Soesanto, Soesanto; Deliana, Sri Maryati
Public Health Perspective Journal Vol 3, No 1 (2018): April 2018
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Abstract

The mortality number of women (AKI) is one of the indicators which shows the maternal health degree. In Kendal Regency, this class has been socialized and conducted since the late 2009, but the decrease of AKI has not been significant yet. This study was aimed at analyzing the effectiveness of a childbirth preparation training in pregnant women class. By such objective, this study belongs to quasi-experiment with non-randomized control group pretest-posttest design. This design used purposive sampling and  involved 60 pregnant women in trimester III who were divided into three groups as the sample, namely: two as experimental groups, and one as control group. Their data were analyzed by using one way ANOVA and Tamhane’s Post Hoc test. The results showed that there was a significant difference in the improvement of childbirth preparation of pregnant women viewed from the post-test and pre-test of the experimental group of A, B and control group showed by the result of  one way ANOVA test with the p value of (0.000) < 0.05. According to the above findings, this study concludes that the giving of pregnancy training class with the slide media is more effective than the flipchart media in improving the childbirth preparation of pregnant women. It was showed by the result of Tamhane’s Post Hoc test, namely 0.000< 0.05 and N-gain value of 0.70 > 0.71.
Faktor- Faktor yang Berhubungan dengan Keteraturan Kunjungan Layanan Care Support And Treatment (CST) pada Pasien Koinfeksi Tb-HIV di Balai Kesehatan Paru Wilayah Semarang Rahmatin, Elinda; Azinar, Muhammad
Public Health Perspective Journal Vol 2, No 1 (2017): Juni 2017
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Abstract

Layanan Care Support and Treatment (CST) adalah layanan perawatan,dukungan dan pengobatan untuk Orang Dengan HIV/AIDS (ODHA) setelah di diagnosis positif. Diakses setiap satu bulan sekali selama pengobatan. Penelitian ini bertujuan untuk mengetahui faktor apa sajakah yang mempengaruhi keteraturan kunjungan layanan CST pada pasien koinfeksi TB-HIV. Jenis penelitian adalah analitik observasional dengan pendekatan cross sectional dengan menambahkan kajian kualiatatif pada pasien yang tidak teratur. Penelitian dilakukan pada bulan Agustus 2015 di BKPM Semarang. Sampel penelitian adalah 44 pasien koinfeksi TB-HIV. Teknik pengambilan sampel secara random sampling. Analisis data dilakukan secara uji chi-square. Hasil penelitian ini faktor yang berhubungan dengan perilaku berisiko HIV/AIDS menurut uji chi-square adalah pengetahuan tentang HIV/AIDS (p-value=0,010), akses layanan (p-value=0,002), dan dukungan petugas (p-value=0,033). Sedangkan yang tidak berhubungan yaitu sikap terhadap layanan CST (p-value=0,127) dan dukungan keluarga (p-value=0,314). Kesimpulan ini adalah terdapat hubungan antara pengetahuan terhadap HIV/AIDS dan CST, akses layanan dan dukungan petugas terhadap keteraturan kunjungan layanan CST pada pasien koinfeksi TB-HIVCare Support and Treatment (CST) is a service of caring, supporting, and medicinal treatment for people who are suffering HIV/AIDS (ODHA) after being diagnosed. Accessed once a month during treatment period. This research is aimed to comprehend what factors which influence regularity of CST service visit to patients who are coinfected TB-HIV. The study was observational analytic using cross sectional approach by adding a qualitative study toward irregular visit. This research took place in BPKM Semarang on August 2015. The sample of this research were 44 TB-HIV coinfected patients. The sampling technique in this research was random sampling. Chi-square was used in analysing the data.The result of the research showed that factors related to behavior HIV/AIDS risk based on Chi-square analysis was the understanding about HIV/AIDS (p-value=0,010), access toward services (p-value=0,002), and officers support (p-value=0,033). Indirect factors were attitude toward CST services (p-value=0,127) and familys support (p-value=0,134).In conclusion, there were relation between understanding of HIV/AIDS and CST, access toward services, and officers supports toward the regulatity of CST service visit toward coinfected TB-HIV patients.

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