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 in cooperation with 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 under-developed and developing countries. The journal can be used by health practitioners, health caregivers, teachers, students, and people who interested in health issues</p> <p style="text-align: justify;"><a href="https://scholar.google.co.id/citations?user=gd9V5_oAAAAJ&amp;hl=id" target="_blank" rel="noopener"><img title="http://journal.unnes.ac.id/sju/public/site/images/widiyanto/images_2_-_copy1_160" src="/sju/public/site/images/widiyanto/images_2_-_copy1_160.jpg" alt="http://journal.unnes.ac.id/sju/public/site/images/widiyanto/images_2_-_copy1_160" width="160" height="69"></a></p> Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)) en-US Unnes Journal of Public Health 2252-6781 Service Quality and Unmet Need for Family Planning in Childbearing-Age Women at Jambesari Darus Sholah Sub-District, Bondowoso Regency https://journal.unnes.ac.id/sju/index.php/ujph/article/view/28815 <p><em>The unmet need for family planning in Bondowoso Regency is the third highest in East Java. Jambesari Darus Sholah Subdistrict is the sub-district with the highest number of unmet need in Bondowoso Regency. This study aims to analyze the relationship of service quality with unmet need for family planning in Jambesari Darus Sholah District, Bondowoso Regency. This was an analytic study with cross sectional design. The sample of this research was 149 married women who were selected by simple random sampling technique. Collecting data of this study through structured interview methods using a questionnaire. Data analysis used chi-square test and logistic regression test with backward method with a significance level of 95%. The results showed that respondents who experienced unmet need for family planning were 20.1%. If reviewed based on the type of unmet need for family planning, 83.3% do not want more children and 16.7% want children to be postponed. Women who are older, have children &gt; 2 and have low education are at greater risk of unmet need for family planning. The quality of family planning services was related to unmet need for family planning. Women who receive poor quality family planning services are at risk of unmet need for family planning 3.3 times greater than good quality family planning services. Thus increasing the quality of family planning services becomes important to reduce the number of unmet need for family planning.</em></p> Dinda Masitha Aulia Andrei Ramani Ni'mal Baroya ##submission.copyrightStatement## 2020-02-05 2020-02-05 9 2 10.15294/ujph.v0i0.28815 Analysis of Balanced Nutrition Program Implementation Against Stunting in Toddlers https://journal.unnes.ac.id/sju/index.php/ujph/article/view/34141 <p><em>Nutrition and stunting problems cannot be separated, because as a result of unbalanced nutritional intake it will result in children experiencing growth and development failure (stunted)</em><em>. </em><em>The purpose of this study was to evaluate the process of implementing a balanced nutrition program in overcoming the problem of stunting carried out by health workers in the working area of </em><em>​​</em><em>Bantilang Public Health Center. </em></p> <p><em>The research design used was descriptive qualitative. The sample in this study amounted to 15 informants. Sampling uses a purposive sampling technique that is pointing directly to informants who decide on a policy of balanced nutrition allocation in order to tackle the problem of stunting in Bantilang Public Health Center. Data analysis using the Collaizi (1978) method. </em></p> <p><em>&nbsp;This study produced a number of themes, namely (1) Balanced Nutrition Program: PGS implementation was running less than optimal, PG Includes nutritional programs inside and outside the building, (2) Barriers to PGS implementation discussed by Health Officers included; Geographical conditions, lack of human resources, low level of community interest in posyandu, lack of optimal management functions, and lack of supporting facilities, while those received by the community concerned; minimum supporting facilities, low community interest in posyandu, and reducing assistance by health workers, (3) Efforts to overcome PGS barriers made by health workers namely; Optimizing the existing budget, dual tasks, maximizing cadres, maximizing extension programs, motivating citizens to go to posyandu, while what the community does is making their own MP-ASI, improving health, and increasing taking time to posyandu. </em></p> <p><em>The Balanced Nutrition Program in the work area of </em><em>​​</em><em>the Bantilang Public Health Center has been implemented, but it has not yet run optimally due to several obstacles including limited community participation and local government. So it is necessary to monitor and evaluate the implementation of the Balanced Nutrition Program by the East Luwu District Health Office.</em></p> Sugiyanto Sugiyanto Sumarlan Sumarlan Anto J. Hadi ##submission.copyrightStatement## 2020-02-17 2020-02-17 9 2 10.15294/ujph.v0i0.34141 Efectivity Evaluation among Dengue Control Programs in Semarang City, Indonesia https://journal.unnes.ac.id/sju/index.php/ujph/article/view/37512 <p>Increased dengue cases occur throughout Southeast Asia. Semarang Health Office held programs to control dengue,which are Rainfall monitoring,Routine Mosquito Larvae Monitoring Program, One House One Larvae Observer Movement, And Students look For Mosquito Larvae Movement. To assess whether the programs reducing Dengue Hemorrhagic Fever caseswere effective. The method used were correlation analysis. Data obtained from every region in Semarang and reported to Semarang Health Office. Average Dengue Hemorrhagic Fever case was 79.5±13.69. Correlationtest results between dengue cases with rainfall was r=0.951;p=0.049, Larvae Absence Rate from Routine Mosquito Larvae Monitoring Program was r=0.648;p=0.352, with Larvae Absence Rate from One House One Larvae Observer Movement was r=0.804;p=0.196, with Larvae Absence Rate from Students Search For Mosquito Larvae Movement was r=0.961;p=0.039. Correlation between rainfall and Larvae Absence Rate from Students Search For Mosquito Larvae Movement with Dengue Hemorrhagic Fever case were significant and had positive strong correlation,correlation test results of Larvae Absence Rate from Routine Mosquito Larvae&nbsp; Program and One House One Larvae Observer Movement had strong correlation but were not significant.</p> Sri Maharsi Oktia Woro Kasmini Handayani Yuni Wijayanti ##submission.copyrightStatement## 2020-03-28 2020-03-28 9 2 10.15294/ujph.v9i2.37512 The Effectiveness of Recreation Program on Self-Esteem and Aging in the Elderly Club of Danmeakhmmon Subdistrict Uttaradit Province, Thailand https://journal.unnes.ac.id/sju/index.php/ujph/article/view/36286 <p>This research aims to study and compare the effects of recreation on aging and self-esteem of the elderly at the Elderly Club of the Danmeakhammon sub-district in the Uttaradit Province. The sample used in this study were aged between sixty to sixty-nine years of the Elderly Club in the Danmeakhammon sub-district of the Uttaradit Province. The samples consisted of fifty by filling out the application form and participating recreation programs by purposive Sampling technique and the criteria for inclusion regarding who participated in recreational programs and through primary health care. The researchers created a recreational program for 8 weeks and ran the program twice a week and a total of 16 times. The research instrument used to study included recreational programs affecting the self-esteem of the elderly and self-esteem for elderly data analysis by finding an average, standard deviation and pre-test and post-test experiment. The results of the study were as follow: After the participation in program the elderly people at the club in the Danmeakhammon sub-district in the Uttaradit Province of self-esteem better than before joining recreational programs with a significantly difference of .05.</p> Teerawat Piwkom Sumonratee Nimnatipun ##submission.copyrightStatement## 2020-03-28 2020-03-28 9 2 10.15294/ujph.v9i2.36286 Literature Review: Analysis of Causes and Efforts to Prevent Medication Administration Error (MAE) in Hospitals https://journal.unnes.ac.id/sju/index.php/ujph/article/view/36470 <p>Tingginya angka <em>medical error</em> yang terjadi di rumah sakit pada negara maju maupun negara berkembang menjadikan keselamatan pasien sebagai isu penting. Besarnya kasus insiden keselamatan pasien, termasuk <em>medication administration error</em> (MAE) mengharuskan pihak rumah sakit untuk melakukan langkah yang mengutamakan keselamatan pasien. Penulisan artikel <em>literature review&nbsp;</em>ini bertujuan untuk menjelaskan tentang faktor determinan MAE di Rumah Sakit beserta upaya pencegahannya melalui tindakan preventif, sehingga dtandar keselamatan pasien di rumah sakit (<em>zero defect</em>) dapat tercapai. Rancangan penelusuran artikel pada studi literatur ini dilakukan melalui Google Scholar, JAKI, dan PSNet dengan kata kunci insiden keselamatan pasien, <em>medication administration error, contributing factor of MAEs,</em> dan <em>determinant factor of MAEs</em>. Berdasarkan 10 artikel yang telah diperoleh sesuai dengan kriteria, terdapat 29 faktor determinan pada MAE yang dikelompokkan menjadi tiga kategori yaitu faktor <em>ineffective communication,&nbsp;</em>lingkungan kerja, dan <em>human factor.&nbsp;</em>Berbagai upaya preventif yang dapat dilakukan untuk mencegah terjadinya MAE diantaranya: menerapkan <em>crew resource management</em>, memperjelas rantai komando, penggunaan form komunikasi SBAR, mendesain tempat kerja yang ergonomis, menerapkan Patient Advocacy Reporting System (PARS), pemberian pelatihan dan pendidikan bagi tenaga kesehatan, serta pengaturan jadwal kerja yang tidak melebihi beban kerja. Implementasi tindakan preventif MAE yang efektif dapat menurunkan jumlah MAE di rumah sakit secara langsung.</p> Innes Rizma Brigitta Inge Dhamanti ##submission.copyrightStatement## 2020-04-09 2020-04-09 9 2 10.15294/ujph.v9i2.36470 Decision of Implementing Uzlah and Gerbat Techniques in Islamic Boarding School as Preparedness Response for Covid-19 Pandemic https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38107 <p>The purpose of this study is to describe the decision making and implementation of the uzlah and gerbat techniques by the Salafiyah Syafi'iyah Islamic Boarding School from Sukorejo Situbondo as an educational institution supported by 12,247 boarding students, for covid-19 transmission. Qualitative research methods; by using ethnography and in data analysis using hermeneutics. Outcome: consider the decision to apply the uzlah and gerbat techniques, because both techniques are historical, theological, and follow the government's recommendations in deciding the distribution of covid-19. While the implementation, among others: 1) uzlah technique: students are expelled from the Islamic boarding school complex and activated by outsiders. 2) gerbat technique, namely the reading of prayers to avoid a plague. In approving the transmission of Covid-19, Islamic boarding schools balance the technique of uzlah and gerbat, harmonize the lahiriyah (visible) and batiniyah (invisible) approaches.</p> Samsul Arifin Akhmad Zaini ##submission.copyrightStatement## 2020-06-06 2020-06-06 9 2 10.15294/ujph.v9i2.38107 Smoking and Comorbidities in Covid-19: A Systematic Review https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38181 <p><em>COVID-19 is highly contagious, causing pneumonia, respiratory failure, death, and becoming a pandemic. Patients with severe infections must be treated in the Intensive Care Unit (ICU) with a ventilator. Ventilator facilities in the ICU are limited; it must take precautions by knowing the characteristics of patients at high risk of severe disease in COVID-19, one of which was smoking or comorbidity. The purpose of this study was to assess the risk of comorbidity and smoking in COVID-19. This study used systematic review by searching for articles from the ScienceDirect and Medline databases with journals published on January 1, 2019 - March 31, 2020. The results of the study showed that there were 12 relevant articles full text in English and were analysed. The conclusion was that patients with COVID-19 who were smoking or had comorbidities were more susceptible to COVID-19 infection, more severe illness, and causing death.</em></p> Andri Nugraha Ernawati Ernawati Tuti Anggriani Utama Santi Rinjani ##submission.copyrightStatement## 2020-06-09 2020-06-09 9 2 10.15294/ujph.v9i2.38181 Anxiety of Health Workers in the Prevention and Management of Covid-19 in Sidrap Regency https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38436 <h3>The spread of Covid-19 disease has reached epidemiological criteria which need to be declared a pandemic because it has infected more than 100,000 people in 100 countries. The purpose of this study was to determine the criteria for anxiety levels in health workers in the prevention of covid-19. In carrying out their duties, most of health workerd experienced anxiety due to lack of personal protective equipments and family safety. This study uses a a cross sectional survey design and cluster random sampling techniques with 80 respondents. The results showed that the average health workers 52 respondets (65.0%) had experienced mild anxiety, 11 respondents (13.8%) had experienced moderate anxiety, and 2 respondents (2.5%) had experienced severe anxiety and 15 respondents (18.8%) who didn’t experienced anxiety.The contributing factor is the lack of personal protective equipment, so the health workers worried to transmited the corona virus to their family. They also felt stigmatized because they felt related to patients infected by the virus. In addition, the patients honesty when visited health services, many of them keep it a secret of a visit history to the plague area or areas that have suffered many cases of Covid-19.</h3> Fadli Fadli Andi Sastria Ahmad Safruddin Safruddin Sumbara Sumbara Rohandi Baharuddin ##submission.copyrightStatement## 2020-06-14 2020-06-14 9 2 10.15294/ujph.v9i2.38436 An Approach to Measure the Death Impact of Covid-19 in Jakarta using Autoregressive Integrated Moving Average (ARIMA) https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38460 <p>Coronavirus disease 2019 (COVID-19) is a pandemic in more than 200 countries around the world. As the fourth most populous nation in the world, Indonesia is predicted to face a big threat to this pandemic particularly Jakarta as the epicentre of the virus in Indonesia. However, the nature of COVID-19 that can easily spread and also many undetected cases that do not present symptoms make it more difficult to determine the real mortality effects of COVID-19.The deaths in Jakarta from the new coronavirus may be higher than officially reported. To overcome this issue, this paper will provide an approach to measure the death impact of COVID-19 using the Autoregressive Integrated Moving Average model (ARIMA). The model will predict the ‘what if’ normal condition of the number of funerals in Jakarta compared to the real situation in March 2020 as an approach of the actual effect of COVID-19 in Jakarta. This research revealed a discrepancy of 450-1070 funerals in March 2020 that could not be predicted by the ARIMA model. This funeral gap, a forecast error, could be an approach to the potential number of possible death impacts of COVID-19 in Jakarta that should be significantly higher than the report. The people should be more conscious and alert of COVID-19 situation.</p> Ferdian Fadly Erika Sari ##submission.copyrightStatement## 2020-06-15 2020-06-15 9 2 10.15294/ujph.v9i2.38460 A Literature Review: Risk of Death in Covid-19 Patients https://journal.unnes.ac.id/sju/index.php/ujph/article/view/38121 <p>The purpose of this study is to determine risk factors for death in covid-19 patients in China. The objective of this study is to guide the handling and prevention of death in covid-19 patients in Indonesia. This type of research is a literature review. There are 15 international journals as a source of literature on risk factors for death in Covid-19 patients in China. Data was collected from Scopus and PubMed databases that met the inclusion criteria. The results of the study found five risk factors for death in Covid-19 patients, namely age, covid-19 complications, the immune system (immunity), concomitant diseases (cormobidity), and treatment facilities. Conclusion of risk factors for death in covid-19 patients in China are the age factor ≥ 47 years, complications namely Acute Respiratory Distress Syndrome (ARDS), low oxygen saturation, and organ failure. A low immune system is characterized by low white blood cells (WBC), lymphocytopenia, and neutrophilia. Co-morbidities of diabetes mellitus, hypertension, heart disease, chronic lung disease, cardiovascular disease, and cerebrovascular disease. Differences in the availability of patient care facilities, namely ICU, ventilators, logistics, doctors and nurses.</p> Israfil Israfil Israfil Pipit Festi Wiliyanarti Pius Selasa ##submission.copyrightStatement## 2020-06-19 2020-06-19 9 2 10.15294/ujph.v9i2.38121