Unnes Journal of Public Health 2021-06-05T10:11:02+00:00 Arum Siwiendrayanti Open Journal Systems <p style="text-align: justify;">Unnes Journal of Public Health is published by Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)). Unnes Journal of Public Health contains articles about health epidemiology, biostatistics, health administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, health management, health economics, traditional medicine/treatment for preventive or first aid purposes, public health law/ethics and other related health articles, especially in low-income and middle-income countries. The journal can be used by health practitioners, health caregivers, teachers, students, and people who interested in health issues.</p> Factors Related to Data Uses of Maternal Child Health Handbook by Midwives 2021-03-27T17:44:19+00:00 Yudhy Dharmawan Atha Rifqia Pradana Sri Winarni <p>MCH (Maternal Child Health) handbook records the main data that can be used to prevent the mortality of infant, under-five, and maternal. Midwives are one of the health workers that use this handbook. &nbsp;This study investigated factors related to data uses of the MCH handbook, from individual factors, organization, and operational techniques. This study conducted by the quantitative approach in a cross sectional-survey with a structured questionnaire. 31 village midwives sample in Active Alert Village in Temanggung district elected randomly. Tabulation is used to present descriptive data. Inferential analysis by Pearson product-moment. This study shows the used rate of MCH Handbook data is 78.54%. It is indicated that there are significant relationships on all individual factors by observing the percentage index mean score which is above 70%. &nbsp;Based on the result, there are significant relationships of data needs perception, data filling skill, motivation, attitudes of midwives and availability of facilities (p &lt; 0,05) toward the uses of MCH handbook data. &nbsp;The individual factors is the mainly factor that determined in the use of data in MCH handbook, so it needs efforts to improve data utilization by increasing the perception of data requirement, data filling skills, motivation and midwife attitudes.</p> 2021-03-27T17:15:40+00:00 ##submission.copyrightStatement## Health policy Challenge for Breast Cancer Prevention in Mental Retardation: A Case Report 2021-03-27T18:04:18+00:00 Hojjat Torkmandi Akbar Pourrahimi Mahnaz Keshavarz Afshar Sanaz Fayazi Mohammad Abdi <p><em>Early diagnosis of breast cancer increases the likelihood of a certain cure. Breast self-examination is one of the most common screening methods which can be used by women. We reported a case of&nbsp;24-year-old woman with a history of mild mental retardation that had a complaint of chest pain. She had a large lump in her breast when she visited the surgical clinic. The patient’s parents stated that they noticed the lump due to the change in the shape of the patient’s clothes which covered her chest area. The patient underwent mastectomy surgery after a biopsy and the confirmation of the existence of a malignant lump in her breast. The registration and identification of people with a history of mental disorders or various degrees of mental retardation in health centers in each region to periodically assess their breast health reduce the risk of late detection of breast cancer in women. </em></p> 2021-03-27T18:04:18+00:00 ##submission.copyrightStatement## Knowledge of Tuberculosis among Tuberculosis Patients Attending Federal Medical Centre, Owo, Ondo State, Nigeria 2021-03-27T22:32:54+00:00 Seun Nurudeen Akorede Ayodotun Edward Ajayi Peter Oluwatimilehin Tawose <p><em>Tuberculosis (TB) constitutes a significant and major public health emergency globally. </em><em>Despite the downward trend in the incidence and prevalence of TB, every continent still reports new cases, especially Africa and south-east Asia (WHO, 2012). This study investigated the knowledge of tuberculosis (TB) among tuberculosis patients attending Federal Medical Centre, Owo, Ondo State Nigeria. The study seeks to: investigate the knowledge of signs and symptoms;</em> <em>mode of transmission</em><em> of TB.</em></p> <p><em>A descriptive research design of survey type was adopted in this study. The population for this study comprised all tuberculosis patients attending Federal Medical Centre Ondo State. </em></p> <p><em>Multistage sampling procedure was used to select one hundred and fifty-one (151) a researcher’s designed closed-ended questionnaire was used for data collection. The instrument was validated by experts with reliability ascertained. The data obtained were subjected to statistical analysis of Cronbach alpha and a correlation coefficient of 0.76 was obtained. The findings reveals that: Tuberculosis patients have knowledge of signs and symptoms of TB, Tuberculosis patients have knowledge of mode of transmission of TB </em></p> <p><em>Therefore, the study concluded that tuberculosis patients have knowledge of mode of transmission, signs and symptoms of TB. Therefore, it is recommended that the knowledge of mode of transmission and symptoms of TB should be sustained among the patients. </em></p> 2021-03-27T22:32:54+00:00 ##submission.copyrightStatement## Does Health Insurance Affect the Completeness of Antenatal Care? 2021-06-03T21:22:41+00:00 Ratna Dwi Wulandari Agung Dwi Laksono <p>Antenatal care as an effort to reduce maternal mortality has not shown encouraging progress. The study aimed to analyze the effect of health insurance on the completeness of antenatal care in Indonesia. Data was processed from the 2017 Indonesian Demographic and Health Survey. With the unit of analysis for women aged 15-49 years old, a sample size of 15,351 women was obtained. Besides antenatal care as the dependent variable, other variables analyzed were health insurance, place of residence, age group, marital status, education level, parity, and wealth status. Determination of the effect of health insurance using Binary Logistic Regression. The results found that based on the complete category of antenatal care visits, both categories of ownership of health insurance were dominated by women who did antenatal care visits ≥ 4 visits. Results of binary logistic regression of antenatal care among childbearing age women who gave birth in the last five years in Indonesia. It appears that ownership of health insurance affects the completeness of antenatal care. Women who were covered by health insurance were 1.394 times higher than women who were not covered by health insurance for antenatal care ≥ 4 visits (OR 1.394; 95% CI 1.257-1.546). Other variables that were known to be determinant along with health insurance are age group, education level, parity, and wealth status. It could be concluded that health insurance makes Indonesian women have a better possibility to do complete antenatal care ≥ 4 visits.</p> 2021-05-23T21:23:46+00:00 ##submission.copyrightStatement## Online Affirmation and Peer Support are Effective for Reducing Medical Personel Stress in Dealing with Covid-19 Patients 2021-06-03T21:48:11+00:00 Nurmukaromatis Saleha Rina Delfina Nurlaili Nurlaili Fourni Ardiansyah Mercy Nafratilova <p style="text-align: justify;"><span style="font-size: 8.0pt; font-family: 'Calisto MT',serif;">The Covid-19 outbreak has psychological impacts for medical personnel who dealing in the frontline will be at risk. We aimed to evaluate the effect of online affirmations and peer support on the stress level of medical personelin dealing with Covid-19 patients. We also investigate the influence of social support and spiritual intelligence on the stress that occurs. This was a quasi-experimental with pre and post-test with Control Group administered to 25 medical personelas the intervention group and 30 medical personelas the control groups participated. The intervention was carried out using the Whastapp group for 4 weeks. The results of the stress level pair T-test obtained in the intervention group with p = 0,000, in the control group p = 0,238. For the independent T-test results obtained p = 0,009. Social Support did not affect medical personel’s&nbsp;stress (p=0,978) while spiritual intelligence had&nbsp;a significant effect (p=0,000). The results of the multiple regression test with the enter method we got the coefficient value (R2) = 0,584. The conclusion of this intervention was effective in helping medical personelmanage stress. Hospital managers need to carry out stress management training to maintain the mental health of medical personel.</span></p> 2021-06-03T21:48:11+00:00 ##submission.copyrightStatement## Patient Perceptions Toward the Changes in Outpatient Oncology Service During the COVID-19 Pandemic 2021-06-05T10:11:02+00:00 Yan Wisnu Prajoko Tommy Supit Mahalul Azam <p>COVID-19 crisis has posed an enormous challenge for all healthcare services, including oncology service. This study aimed to describe the cancer patients’ knowledge and perceptions on COVID-19 pandemic on the quality of oncology service during the pandemic. Outpatient cancer patients were given a questionnaire to qualitatively assess their perceptions toward the changes in chemotherapy and radiotherapy service that took place in response to the pandemic. The significant majority of the 230 participants of this study were knowledgeable about the COVID-19 pandemic and claimed to sufficiently practiced preventive measures. Their main source of information was the television and internet. Despite being worried about getting infected by the COVID-19, less than 15% of the respondents thought to stop or delay outpatient visits. Overall, the changes in oncology service were well-received by the patients and they trust the health care workers in maintaining their safety. The delivery of oncology services in out institution remains consistent despite several alterations in hospital policies. The use personal protective equipment both by the health care workers and patients proved to be an important factor in reducing anxiety during hospital visits. Policy makers should fully utilize the internet and associated mobile applications as an education tool.</p> 2021-06-05T10:11:02+00:00 ##submission.copyrightStatement##