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 Identification of Variables for Measuring Hospital Efficiency in Data Envelopment Analysis (DEA): Literature Review https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38253 <p>Choosing input and output usually become a problem when doing efficiency assessment in hospital. Data Envelopment Analysis (DEA) is an instrument that often used for calculating efficiency of hospital using some inputs and outputs. This study purposed to identify most used hospital inputs and outputs from existing paper to assist hospital management staff to choosing relevant variables that can represent available of input, asses easily, and knowing which variables that need to improve. This literature review using keywords such as “hospital efficiency” and “DEA for hospital” to search peer-reviewed journal in PubMed and Open Knowledge Maps around 2014-2020. From 586 articles, there were 54 samples with total 5 to 3504 of many types of hospitals been analyzed from 23 countries. There were five most used inputs such as number of beds, number of medical personnel, number of non-medical staff, operational cost, and number of medical technician staff with most used outputs such as number of inpatient, number of outpatient service, number of surgery, days of inpatient, and number of emergency visit often used for hospital efficiency assessment in DEA application.</p> Nokky Farra Fazria Inge Dhamanti ##submission.copyrightStatement## 2020-08-22 2020-08-22 10 1 10.15294/ujph.v10i1.38253 Assessment of Patients’ Understanding about prescribed Medications after consultation with Clinician at Outdoor Patient Department of Tertiary Care Hospital in Central Gujarat, India. https://journal.unnes.ac.id/sju/index.php/ujph/article/view/39626 <p>Medications are an important part of treatment of patients by clinicians in addition to other measures to be followed by the patients during the entire period of treatment. The present descriptive cross sectional study assesses patients’ understanding about prescribed medications after consultation with clinician at outdoor patient department of a tertiary care hospital in central Gujarat, India. 184 patients from different clinical departments were interviewed after their consultation with the clinician. Majority of the subjects (45.5%) were belonged to 25-44 years age group, followed by 45-54 years of age group. Female proportion was 55.5%. Illiterate people were 20.4% of the interviewed patients, 32.5% were educated up to primary level. 84.3% were informed about proposed treatment duration, 13.9% informed about diet relation. The patients had fair knowledge about the disease they were suffering from and proposed duration of treatment, but they were not aware of about the line of treatment. Thus patients need to be educated about correct use of medications by clinicians.</p> Bhaveshbhai Rameshbhai Bariya Rahul J Parmar Vihang S Mazumdar ##submission.copyrightStatement## 2020-10-09 2020-10-09 10 1 10.15294/ujph.v10i1.39626 COVID-19 Pandemic-the existing challenges and available solution; evidence from A systematic review https://journal.unnes.ac.id/sju/index.php/ujph/article/view/39513 <p><strong><em>Background</em></strong><em>: Coronavirus disease (COVID-19) is now a day the most important topics worldwide. Still no vaccine or specific antiviral treatment for COVID-19 has been shown to be effective. In this emergency identifying risk factors, preventive measures and estimating challenges to control &amp; available drug options for COVID-19 are key to mitigate the severity of the pandemic until specific drug or vaccine available.</em></p> <p><strong><em>Methods</em></strong><em>: PubMed database was searched to find out the common risk factors, preventive measures, information regarding control challenges &amp; evidence on effectivity of available drug options against COVID-19. </em></p> <p><strong><em>Results: </em></strong><em>We included 33 research articles. Human-animal interaction, male, aged people and people with comorbidity were found as risk factors. Personal hygiene etiquette, media coverage, 3I tools identify, isolate and inform, However, asymptomatic cases, high reproducibility of virus and viral shedding could challenge us more. Antiviral drugs like remdesivir, chloroquine, lopinavir/ritonavir and traditional Chinese medicine (TCM) are available options to fight against COVID-19</em></p> <p><strong><em>Discussion: </em></strong><em>Due to new virus and new challenges we are facing, we should fight with our available resources. It is not the last pandemic we are facing. we have to learn how to prevent infectious disease and deal with a pandemic in a proper way.</em></p> <p><strong><em>Conclusion</em></strong><em>: To challenge this virus we need to generate more data about the virus and the disease. More studies are urgently needed to find out more risk factors, preventive measure and how to control the disease until specific treatment option is available.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keywords: </em></strong><em>COVID-19, PubMed; risk factors; Personal hygiene etiquette; anti-viral drugs.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong>&nbsp;</strong></p> Mohammad Injamul Hoq Md Hamidur Rahman Sime Md. Mohotasin Hossain Md Abdul Awal Muminul Hoque ##submission.copyrightStatement## 2020-10-10 2020-10-10 10 1 10.15294/ujph.v10i1.39513 Bio-concentration of Copper in the Oreochromis mossambicus and Safe Level of Consumption https://journal.unnes.ac.id/sju/index.php/ujph/article/view/37786 <p>Cooper is a heavy metal and can absorb in the organisms, including <em>Oreochromis mossambicus</em> fish. The research aimed to measure the bio-concentration of Cu in <em>Oreochromis mossambicus</em> and predicted the daily consumption of the fish. The samples of <em>Oreochromis mossambicus</em> fish were obtained from the fishermen and collectors. The Cu concentration in the water and 30 fish identified by the Atomic Absorption Spectrophotometry method. Questionnaires were employed to identify the demographic data of the 101 respondents. The average concentration of Cu in the water at Rawapening Lake and the <em>Oreochromis mossambicus</em> fish were 0.063 mg/l and 0.6 mg/kg, respectively. The bio-concentration of Cu in the <em>Oreochromis mossambicus</em> fish was 10.26±5.17 and categorized into the low. The average daily consumption of fish was 225±36.89 g/day. It concluded the average of bio-concentration is in a low category and the daily consumption of the fish is in a safe category.</p> Budiyono Budiyono Ailsa Devina Rosahada Nikie Astorina Dewanti ##submission.copyrightStatement## 2020-11-24 2020-11-24 10 1 10.15294/ujph.v10i1.37786 Stakeholder Mapping Analysis on the Scaling-Up Nutrition Movement in 1000 Days of Life between Urban and Rural Government Areas https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38029 <p><em>The Scaling-Up Nutrition Movement was an intervention overcoming chronic malnutrition through integrated stakeholder collaboration. The role of stakeholder groups in SUN Movement in rural or urban government areas need to be identified to understanding their different characteristics. The aim of study was mapping the stakeholders' roles in SUN Movement at Temanggung Regency which represents rural goverment areas and Semarang City for urban areas. 'Decision-makers' group have a power to influence but cannot guarantee program sustainability because they only act as implementor at regional level. The 'Provider' was better at technical issues but cannot build collaboration with other stakeholders. 'Clients &amp; Representatives' tend passively and considering the SUN movement was not important. Each stakeholder views their roles differently. Different perceptions about stakeholders' roles in various indicators and government areas show an implementation gap of SUN Movement. Through strengthening advocacy, coordination, routine socialization and communication between stakeholders could bridging the needs, constraints and challenges&nbsp; overcoming malnutrition and stunting.</em></p> Ayun Sriatmi Sutopo Patria Jati Antono Suryoputro Eka Yunila Fatmasari ##submission.copyrightStatement## 2020-11-28 2020-11-28 10 1 10.15294/ujph.v10i1.38029 Exercise and Physical Activity Counseling Needs Among Cardiac Rehabilitation Patients https://journal.unnes.ac.id/sju/index.php/ujph/article/view/36003 <h1>ABSTRACT</h1> <p><strong>Background: </strong>Cardiac rehabilitation have been proved in decreasing the recurrent cardiac events. Nevertheless, existing program for cardiac rehabilitation patients was not performed optimally. Health-care professionals more concerned with medical treatment, and less about prevention and rehabilitation. The needs of nursing care for cardiac rehabilitation patients have been investigated previously. Yet, information related the cardiac rehabilitation patients’ needs on exercise and physical activities counseling are very limited.</p> <p><strong>Purpose: </strong>To investigate exercise and physical activity counseling needs among cardiac rehabilitation patients and its relationships.</p> <p><strong>Methods: </strong>This study applied quantitative approach with descriptive correlational method. Convenience sampling was used for this study. The participants included 38 cardiac rehabilitation patients at the Cardiac Rehabilitation Unit. Data collection using questionnaires filled out by the respondents at the end of the CR program using a retrospective technique. The results were evaluated using descriptive correlational statistics.</p> <p><strong>Findings: </strong>The study presented that patients with CR required exercise (92.1%) and nurses' counseling for physical activities (86.9%). The finding also indicated that there is a statistically positive relationship between exercise and physical activities counseling among CR patients (r = 0.485, p &lt; 0.01).</p> <p><strong>Conclusion and Recommendations: </strong>Most CR patients wanted nurses to take part in exercise and physical activities. Patients’ needs on exercise and physical activity counseling among CR patients are correlated positively. Therefore, the information regarding exercise and physical activity for CR patients should be provided simultaneously to complement each other.</p> <h1>&nbsp;</h1> <p>&nbsp;</p> <p>&nbsp;</p> Yusshy Kurnia Herliani Urip Rahayu Hasniatisari Harun ##submission.copyrightStatement## 2020-11-29 2020-11-29 10 1 10.15294/ujph.v10i1.36003 Satisfaction Index of Employees on Service Quality through Quality Leadership at Three B-Type Hospitals https://journal.unnes.ac.id/sju/index.php/ujph/article/view/36806 <p>One of achievement of leadership style is job satisfaction. This is of interest to do research by analyzing job satisfaction with service quality through the leadership of hospital directors at various Type B Regional General Hospitals. To analyze employees index satisfaction on service through quality leadership by processing the data contained in the Decree of the Minister of Administrative Reform (Kepmenpan) No. Kep/25/M.PAN/2/2004. A cross sectional study design with sample are 500 employees from both civil servants and BLUD (hospital B type at Semarang city are 300, Jepara regency are 100, and Kendal regency are 100 respondents). The sampling technique using simple random sampling. Data processing and data analysis using the Community Satisfaction Index of Government Agencies Service Units. Employees satisfaction index of service quality through quality leadership of hospital B type at Semarang city and at Kendal Regency is decreasing. But hospital B type at Jepara regency is increasing. Transformational leadership style is leadership style that can increase employees satisfaction.</p> Faik Agiwahyuanto Suharyo Suharyo Via Ayusasmita Baju Widjasena ##submission.copyrightStatement## 2020-12-04 2020-12-04 10 1 10.15294/ujph.v10i1.36806