Unnes Journal of Public Health https://journal.unnes.ac.id/sju/index.php/ujph <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> Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)) en-US Unnes Journal of Public Health 2252-6781 Literature Review: Cost Calculation of Blood Services in Some Countries (Based on HDI Level) https://journal.unnes.ac.id/sju/index.php/ujph/article/view/40872 <p>The blood processing replacement costs (BPPD) establishment in Indonesia is an incomprehensive cost calculation for blood services. Several countries have calculated costs for blood services at health care institutions through an activity framework plus generated blood products and components costs as well as blood services fees. This study aims to discuss the cost calculation method for blood services carried out in Zimbabwe, Canada, United Kingdom, Greece and India. It was a literature review conducted by accessing scientific articles sourced from the Google Scholar database. A total of 11 articles were collected, but only 5 with relevant topics were discussed. Blood service cost calculation provides information of various activities involved in producing a product and service. Also, blood service framework model determination was needed as a cost center for estimation to prevent duplication. Each activity's total output from the cost center was used in calculating the unit cost of the activity or product. The blood products and components include whole blood, red blood cells, platelets, plasma (FFP), and cryoprecipitate. Each of the blood components require a different cost determined by the activity involved in their production.</p> Khisula Riski Andani Ernawaty Ernawaty ##submission.copyrightStatement## 2021-07-17 2021-07-17 11 1 10.15294/ujph.v11i1.40872 Workplace Bullying among Offshore Workers of an Oil and Gas Company https://journal.unnes.ac.id/sju/index.php/ujph/article/view/46426 <p>Workplace bullying has become a psychosocial hazard that will decrease the performance of workers and will ultimately decrease the performance of the company's organization. This study was conducted to look into the correlation between bullying, psychological distress, and satisfaction with life. Respondents involved are offshore workers of an oil and gas company (N = 206) from various entities which are divided into permanent and contract workers, as well as into staff and non-staff positions, who were recruited using the snowball sampling method. Statistical analysis was performed using Pearson correlation test with the SPSS software. Statistical test results showed a significant association between bullying and psychological distress (r permanent=0.658, r contract=0.460, r staff=0.641, and r non-staff=0.453, p =0.001) and satisfaction with life (r permanent=-0.272, r contract=-0.232, r staff=-0.396, and r non-staff=-0.179, p =0.01). From the analysis, it was concluded that permanent workers and staff position have a higher level of psychological distress than contract workers and non-staff, yet they also have a higher level of satisfaction with life. This finding shows the presence of a mediating factor that underlies the fact that although the stress level is higher, the level of satisfaction with life remains higher among these workers. Thus, in-depth research on this phenomenon would be needed.</p> Kamto Kamto Sjahrul Meizar Nasri Dadan Erwandi Fatma Lestari Abdul Kadir ##submission.copyrightStatement## 2021-07-29 2021-07-29 11 1 10.15294/ujph.v11i1.46426 Barriers to Physical Activity Programs in Patients with Type 2 Diabetes Mellitus (T2DM) in Yogyakarta: A Qualitative study https://journal.unnes.ac.id/sju/index.php/ujph/article/view/43917 <p><em>The difficulty of the community to understand health behavior is the main cause of poor physical activity behavior. The aim of this study is to explore health education barriers to controlling blood glucose patient with DM in primry health care.</em><em> The Forum Group Discussion (n = 22) and interview (n = 5) methods were to explore the patient's desire to overcome educational barriers. Informants were patients with DM aged of 26-69 year-old from two community health center </em>and two private health center<em> in Sleman Regency, Indonesia. The questions were around barriers to physical activity programs for controlling blood glucose. The data were analyzed using Opencode.</em><em> Boring educational training is the leading cause of physical activity and dietary control in patients with DM. Formal language in delivering material is the cause of patient boredom to take part in the training. Despise and feeling of anxiety to ask questions during the educational procedure that the patient feels. Also, in terms of health service providers, limited human resources have resulted in a lack of maximum education programs for patients with DM in Yogyakarta.Tense atmosphere and language that is difficult to understand have a negative impact on patient behavior to change physical activity behavior and controlled eating patterns in patients with DM.</em></p> Mahendro Prasetyo Kusumo Wiwik Kusumawati ##submission.copyrightStatement## 2021-07-29 2021-07-29 11 1 10.15294/ujph.v11i1.43917 Factors Influencing Malnutrition of Children Aged 24-60 Months Old in Flores Timur, Nusa Tenggara Timur https://journal.unnes.ac.id/sju/index.php/ujph/article/view/40940 <p>Malnutrition remains a health problem in the world especially in developing countries such as Indonesia. This study aimed to determine factors influencing the nutritional status of children aged 24-60 months old in rural communities of Flores Timur, Nusa Tenggara Timur, Indonesia. This study was conducted in 5 villages in the rural community with a cross-sectional design. The total participant of this study was 250 mothers and children 24-60 months old. The participants were selected purposively. Data were collected using questionnaires of socio-demographic, dietary intakes, diseases, child care practices, and anthropometric measurement. Multivariate binary logistic regression was employed for the data analysis. Binary logistic regression revealed that energy intake (OR=8.99), protein intake (OR=6.95), the occurrence of infectious diseases (OR=6.45), the frequency of infectious diseases (OR=6.00), and age of introduction of complementary foods (OR=34.55) were significant factors that influence nutritional status in rural communities of Flores Timur, Indonesia. Based on these findings, health workers need to promote the appropriate time for giving the children complementary foods. Moreover, children who have experience of acute respiratory infection and/or diarrhea over the past six months should receive the appropriate intervention such as adequate dietary intake during illness to maintain nutritional status.</p> Yasinta Betan Monthana Hemchayat Kanokwan Wetasin ##submission.copyrightStatement## 2021-08-07 2021-08-07 11 1 10.15294/ujph.v11i1.40940 Predictors of Dysmenorrhea and Its Impact on Quality of Life among Tribal Adolescent Girls in India-A Cross Sectional Study https://journal.unnes.ac.id/sju/index.php/ujph/article/view/45965 <p><em>Dysmenorrhoea is the most common problem encountered by most of the adolescent girls .The study was conducted to find out the prevalence of dysmenorrhea, its risk factors and its impact on quality of life among these girls residing in tribal welfare hostels.&nbsp;A cross sectional study was conducted among 582 adolescent girls aged 10-19years residing in tribal welfare hostels in southern India after obtaining informed consent.&nbsp; Multinominal regression analysis was done to determine the factors associated with dysmenorrhea. The prevalence of dysmenorrhea was high with 58.4% and 48.8% participants reported to have physical premenstrual symptoms</em><em>.There was significant association between those experiencing moderate to severe pain intensity and the dysmenorrhea (p&lt;0.000). </em><em>A</em><em>ssociation between factors like prolonged menstrual duration [AOR,</em><em>3.40</em><em>(95%CI,</em><em>1.49-7.81</em><em>)],those who were having moderate[AOR,</em><em>5.78</em><em>(95% CI,</em><em>1.96-17.02</em><em>)] to severe menstrual bleeding [AOR, </em><em>5.14</em><em> (95% CI,</em><em> 1.78-14.08</em><em>)],positive family history [AOR, </em><em>3.57</em><em> (95%CI,</em><em>2.30-5.54</em><em>)]and also with respect to somatic symptoms [AOR,</em><em>2.03</em><em> (95%CI,</em><em> 1.33-3.08</em><em>]</em><em> were statistically significant</em><em>.</em><em>44.7% of them ignored the pain during menstruation,followed by bed rest (33.5%),self medication(16.5%),</em><em>hot application (4.1%).<strong>&nbsp;</strong></em><em>Strengthening of school health education programmes,incorporation of reproductive health issues in school curriculum will improve the barriers like&nbsp; knowledge on regarding menstrual cycle and treatment seeking behaviour among these vulnerable population.</em></p> Sharvanan E Udayar Devika P Jeeragyal K Kruthika ##submission.copyrightStatement## 2021-09-17 2021-09-17 11 1 10.15294/ujph.v11i1.45965