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 Design of Occupational Health and Safety Management Information System at Telogorejo Semarang Hospital https://journal.unnes.ac.id/sju/index.php/ujph/article/view/30866 <p><em>Hospital is one of companies who has obligation to compose and develop SMK3 hospital. In the hospital SMK3 must do K3 recording and reporting integrity process with management information system of the hospital. The problems in the recording and reporting system are difficulty to access and search the data, not on time in input, difficulty in processing and analysis process data, often to lose the data and the result of the information is not complete. The purpose of this research is doing development management information system of K3 in Telogorejo Semarang Hospital and trial information system. The planning management information system of K3 in the hospital is formed by in method waterfall are problems and needs analysis, design system, implementation and trial to use blackbox method. This system who can be easier to take decision. The result from this research is formed of information system K3 in the hospital will be resulting output such as reporting and graph and system worked well and right in agreed hope and rules who has been explained by user system and be able to accomodate using multi-user. The conclusion of this research is the use of K3 RS information systems can facilitate input and process data, speed up data search, and produce more accurate output.</em></p> Dyah Dewi Hastuti Yuliani Setyaningsih Kusworo Adi ##submission.copyrightStatement## 2019-09-02 2019-09-02 10.15294/ujph.v0i0.30866 Design of Web-Based Planned Referral Information System from Public Health Centers to Hospital https://journal.unnes.ac.id/sju/index.php/ujph/article/view/30876 <p><em>The health service referral system is the implementation of health services that regulate where and where a person with a particular health disorder should be checked for illness. Problems that occur in the referral process such as not having the certainty of service time, the service is not in accordance with the competence and the closest radius of the patient's location so that it can cause inconvenience. The aim of the study was to create a web-based planned referral system (SIJUNA) to help manage referral services from public health centers to hospitals so that there was no reason for patients not to be served because the human resources and facilities needed were not available. This research uses action research with a qualitative approach and the system development stage using the FAST method. The system is tested using black box testing so that it can be seen that the whole feature has a function that is good and in accordance with the objectives of the system user. The results of this study are the establishment of a Planned Referral Information System (SIJUNA) that facilitates the referral process of patients from the Public Health Center to the Hospital. With the existence of SIJUNA, the operational needs of services are good with the types of outpatient referrals, inpatient care, and emergencies can be fulfilled by increasing accessibility such as certainty of service time with competence and the closest radius of the patient's location, equalizing and increasing the effectiveness of health services. nearest health who has competencies according to patient needs.</em></p> Ega Nugraha Septo Pawelas Arso Agung Budi Prasetijo ##submission.copyrightStatement## 2019-09-02 2019-09-02 10.15294/ujph.v0i0.30876 Revenue and Cost Analysis for Unhealthy Commodity (Tobacco Products): Comparative Study among Indonesia and some ASEAN Countries https://journal.unnes.ac.id/sju/index.php/ujph/article/view/30551 <p>This research aims to analyze aspects of demand, costs and benefits of tobacco products in Indonesia and several other ASEAN countries (such as: Brunei, Cambodia, Laos, Malaysia, Philippines, Singapore, Thailand and Vietnam). The research approach used is descriptive comparative analysis and quantitative analysis to examine the relationship between demand factors and cost factors with explanatory variables, namely: price level, amount of excise, government revenue and cross-country specific factors. The descriptive approach is carried out by analyzing secondary data from the results of previous research studies. While the quantitative approach is done using standard regression analysis and instrument variable approach. The results of the study indicate that among ASEAN countries, Indonesia is known as the country with the highest rate of smoking prevalence for adult men (67 percent). The results showed that a one percent price increase would reduce the prevalence to around 0.27 percent (significance at 1%). Meanwhile the increase in prevalence will increase costs by an average of 14.71 million US dollars (significance at 5%). That is, the higher the state revenue from cigarette excise, the higher the costs to be borne. These results further strengthen the urgency of tobacco control in Indonesia.</p> Mohtar Rasyid Abdillah Ahsan ##submission.copyrightStatement## 2019-09-06 2019-09-06 10.15294/ujph.v0i0.30551 The Difference of Trapped Rats Number between Uncombinated and Combinated Bait https://journal.unnes.ac.id/sju/index.php/ujph/article/view/32571 <p>&nbsp;</p> <p><strong><em>Abstract</em></strong></p> <p><em>Rats become important pests in human life. Control of rats using live traps can only catch the rats in the first time the trap is set, for the following days no rats enter the trap. The purpose of this study was to determine whether there were differences in the number of rats trapped between the method of combined feeding with non-combined feeding.</em></p> <p><em>This type of research used in this study was quasi-experimental (quasi experiment) with a posttest only nonequivalent control group design. Each house has 5 traps installed with 6 repetitions. One trap was installed by combining bait types and four other traps were installed without combining bait types. The instruments used were house screening sheets, traps, and observation sheets. The data obtained were tested with the Mann-Whitney test.</em></p> <p><em>The results of the study showed that the number of rats trapped between combined feeding with anchovies (p = 0.048), combined feeding with rice (p = 0.272), fed combination with tofu (p = 0.443) and combined feeding with grilled coconut (p = 0.443). The most common trapping of the rats is the feeding of anchovies, while the most consistent trapping of mice is the combination of feeding and feeding of anchovies.</em></p> Rizka Khoirunnisa Arum Siwiendrayanti ##submission.copyrightStatement## 2019-10-17 2019-10-17 10.15294/ujph.v0i0.32571 Glucose Blood Level, Blood Pressure, and Medication Behavior are Related to Cardiovascular Complication on Hypertension Patient in Sikumana Public Health Center https://journal.unnes.ac.id/sju/index.php/ujph/article/view/28051 <p><strong>ABSTRAK</strong></p> <p>Hipertensi merupakan penyakit kardiovaskuler dimana tekanan darah sistolik &gt; 140 mmHg secara kronis yang jika tidak ditangani dengan baik akan merusak fungsi organ vital seperti jantung, otak dan ginjal. Tujuan penelitian ini untuk melihat hubungan faktor risiko (usia, jenis kelamin, glukos darah, kolesterol darah, tekanan darah, konsumsi obat, dan kontrol kesehatan) dengan komplikasi kardiovaskuler pada pasien Hipertensi di Puskesmas Sikumana Kota Kupang.</p> <p>Desain penelitian adalah analitik non eksperimen dengan rancangan <em>cross sectional</em><em>. </em>Jumlah sampel sebanyak 87 orang pasien hipertensi di Puskesmas Sikumana Kota Kupang yang diambil 30% dari populasi 292 orang pasien. Data hasil penelitian dianalisis dengan menggunakan uji statistik corelasi spearman rho dengan nilai signifikan α &lt; 0.01.</p> <p>Hasil penelitian menunjukkan 21,8% responden telah mengalami komplikasi stroke non haemoragic (SNH), 16,1% mengalami komplikasi penyakit jantung koroner/ coronaria arteri deseases (CAD), 3,4% mengalami komplikasi vaskuler pada otak dan jantung (SNH + CAD), dan terdapat 1,1% yang mengalami komplikasi penyakit kardiovaskuler lainnya ; anggina pecotris. Faktor risiko komplikasi ; usia (α = 0.404, r = 0.091), jenis kelamin (α = 0.161, r = -0,152), kadar glukosa darah (α = 0.000, r = -0,390), kadar kolesterol darah (α = 0,272, r = -0.119) tekanan darah (α = 0.000, r = +0.417), konsumsi obat (α= 0.000, r = +0,439), kontrol kesehatan (α = 0.000, r = +0,490).</p> <p>Beradasarkan hasil analisis dapat disimpulkan bahwa tidak ada hubungan yang signifikan antara usia, jenis kelamin, dan kadar kolesterol darah dengan komplikasi kardio vaskuler pada pasien hipertensi di Puskesmas Sikumana Kota Kupang. Terdapat hubungan yang siginifikan antara kadar glukosa darah, tekanan darah, konsumsi obat dan control kesehatan dengan komplikasi kardiovaskuler pada pasien hipertensi di Puskesmas Sikumana Kota Kupang.</p> <p>Saran kepada petugas kesehatan agar terus meningkatkan upaya promotif, preventif, curative dan rehabiltatif dalam upaya penanggulangan dan pencegahan komplikasi kardiovaskuler pada pasien hipertensi di wilayah kerja Puskesmas Sikumana Kota Kupang.</p> <p><strong>Kata Kunci : Hipertensi, Komplikasi Hipertensi, Fakto Risiko Komplikasi</strong></p> Israfil Israfil Maria Agustina Making ##submission.copyrightStatement## 2019-11-13 2019-11-13 10.15294/ujph.v0i0.28051 Transformation Prospect of Inclusive Elementary School Non-Disaster Preparedness Schools in Implementing Management of Child Safety Education https://journal.unnes.ac.id/sju/index.php/ujph/article/view/34378 <p>Children is a person aged 0 to 18 years old, including fetus. Primary School X is an inclusive primary school that enrolls children with special needs, located in a disaster-prone area and never been exposed to information and training related to child safety education. The purpose of this study is to investigate the readiness of Primary School X as Inclusive Primary School Non-Disaster Preparedness Schools in implementing child safety education management in schools. This study combines descriptive and analytic studies. Descriptive study was used to assess school management condition through 28 assessment and was conducted through interviews, document study and observation. The analytic study used was quasi-experimental study with one group pre- and post-test design. The result showed that the readiness level of Primary School X to transform into multi-disaster-based child safety was 36%, which is included into transformation “ready” category.</p> Evi Widowati Sugiharto Sugiharto Anik Setyo Wahyuningsih Adi Heru Husodo Wahyudi Istiono ##submission.copyrightStatement## 2019-11-24 2019-11-24 10.15294/ujph.v0i0.34378 Effectiveness of Soursop Leaf Extract (Annona muricata l.) on IL-6 Levels in Mammary Sprague dawley Female Rats Induced by Staphylococcus aureus https://journal.unnes.ac.id/sju/index.php/ujph/article/view/30904 <p class="s10">&nbsp;</p> <p class="s10"><span class="s6"><span class="bumpedFont15">Research this aiming for analyze effectiveness extract leaf soursop could take effect to IL-6 levels at mammae rat female Sprague Dawley induced Staphylococcus aureus. Research this use type research Experiment Moot or quasi-experimental design with the design of the Post-test Only Control Group Design by looking at the 3th and 6th day IL-6 levels after induction bacteria Staphylococcus aureus and giving treatment on mammae rat female Sprague Dawley. </span></span><span class="s6"><span class="bumpedFont15">Taking sample blood done at eye rat 2 times with examination elisa kit.</span></span><span class="s6"><span class="bumpedFont15"> Data analyzed with use Hock and Post test followed by the Mann Whitney </span></span><span class="s6"><span class="bumpedFont15">test .</span></span><span class="s6"><span class="bumpedFont15"> Research results to show that not there is difference IL-6 levels at group control (ρ=0,062 &gt; α =0</span></span><span class="s6"><span class="bumpedFont15">,05</span></span><span class="s6"><span class="bumpedFont15">) and group antibiotics (ρ=0,0514 &gt; α =0,05). On group leaf soursop (ρ=0.037 &lt; α =0</span></span><span class="s6"><span class="bumpedFont15">,05</span></span><span class="s6"><span class="bumpedFont15">) and group antibiotics + leaves soursop and on group control (ρ=0.030 &lt; α =0,05) to show there is difference levels IL-6. Value mean on group soursop 7.50 ± 1.74 pg/ml day to3, and 7.50 ± 1.74 1 pg/ml </span></span><span class="s6"><span class="bumpedFont15">day</span></span><span class="s6"><span class="bumpedFont15"> 6. Value mean on group soursop + antibiotics 7.46 ± 26t.66 pg/ml Day 3, and 4.73 ± 1.36 pg/ml day 6. The implication of this study is that soursop leaf extract or combination of antibiotic + soursop leaf extract can be as a complementary therapy for mastitis caused by the bacteria Staphylococcus aureus.</span></span></p> <p class="s10"><span class="s6"><span class="bumpedFont15">Keywords: Extract Leaf Soursop, Levels IL-6, Rat Sprague Dawley Females</span></span></p> Feby Purnamasari Risfah Yulianty Syamsa Latief ##submission.copyrightStatement## 2019-11-27 2019-11-27 10.15294/ujph.v0i0.30904 The Potential Sources of Transmission and Distribution of Lymphatic Filariasis in Semarang City, Central Java, Indonesia https://journal.unnes.ac.id/sju/index.php/ujph/article/view/30895 <p>Lymphatic Filariasis (LF) is a neglected tropical disease caused by filarial worms. Semarang City has an increasing number of LF. The aim of this study was to investigate potential sources of transmission and distribution of LF. It was descriptive research using cross-sectional design. The sample were 28 LF cases. The variables studied were level of knowledge, physical and biological environmental factors, and provision of health service. Data were collected using interviews and observation. Data were analyzed descriptively and spatially. The results showed that LF cases were distributed in center of Semarang City, especially in the coastal area.&nbsp; Poor drainage and stagnant water around the houses were potential breeding places for mosquitos, which are suspected as a vector of LF transmission. Poor knowledge of LF, physical and biological environmental factors around the houses of LF patient houses may possibly be sources of distribution and transmission of LF.</p> Nurjazuli Nurjazuli Aris Santjaka ##submission.copyrightStatement## 2019-12-11 2019-12-11 10.15294/ujph.v0i0.30895 The Influence of Vegetation and House Index on Male Mosquitoes Vector DHF Abundance on Kawengen Sub-District https://journal.unnes.ac.id/sju/index.php/ujph/article/view/34714 <p>The environmental conditions of an area can be a major risk factor for potential outbreaks of DHF. Dense areas with a variety of vegetation are facilitated as breeding sites and have an impact on vector density. The high of vector population give an effect the speed of transmission vector-borne diseases. DHF vector population is related to the vector DHF mating pattern. Adult male mosquitoes vector DHF plays an important role in the pattern of mating DHF. The proportion of mating between adult male and females mosquitoes is 1: 1. Thus it can be seen the density of male mosquitoes, it can be easily estimated the number of female mosquitoes which fertilize and lay eggs. Conducted using observational analytics with male mosquito population surveillance approach. This research aimed to effect of vegetation and House Index (HI) on the abundance of male mosquito populations. Adult mosquitoes taken using light traps with a total sampling technique. Using spatial vegetation analysis shows that Kawengen residents, has a variety of <em>monoecious</em> groups and rice fields. Variety of fruit trees (banana,mango,guava,soursop), flower plants (frangipani,hibiscus), bamboo, another plant (i.e teak). Vegetation density is in the low-moderate category. Kawengen included in the category of moderate density (HI=36%). The number of <em>Aedes sp.</em> male mosquitoes trapped by light traps, of the total trapped mosquito was 6.52%. Variety and density of plants give a support the abundance of male mosquitoes. As a resting and feeding place. HI in moderate density category, indicates there is a positive container or a place for laying eggs. The larvae density affects the sex ratio of mosquitoes.</p> Dyah Mahendrasari Sukendra Yunita Dyah Puspita Santik Bambang Wahyono Wahyono Nur Siyam Fitri Indrawati ##submission.copyrightStatement## 2019-12-14 2019-12-14 10.15294/ujph.v0i0.34714 Detection of Aedes aegypti Resistance towards Sipermetrin using Polymerase Chain Reaction (PCR) Techniques in Ambarawa Semarang Regency https://journal.unnes.ac.id/sju/index.php/ujph/article/view/34868 <p>Ambarawa Regency is one of the endemic sub-districts since 2017 which always accounts for the highest DHF cases in Semarang Regency. Molecular detection of Aedes aegypti resistance towards sipermetrin using Polymerase Chain Reaction (PCR) techniques. The study was conducted to see mutations in the Aedes aegypti VGSC gene.</p> <p>This research was a pure experimental study. The Aedes aegypti samples examined were 10 in every village taken from 3 endemic DHF villages with high fogging intensity in Ambarawa. The research used random sampling techniques taken with ovitrap which was first installed during the month of August. Resistance detection test using the PCR method were conducted at the Banjarnegara Research and Development Center in September. Data were analyzed descriptively to illustrate the results of the study.</p> <p>The results showed that in Tambakboyo Village, 2 samples were susceptible (V / V), 7 samples were detected as homozygous (G / G) resistant, 1 sample was detected as heterozygous (V / G) resistant; in Kupang District 5 samples were detected as being homozygous resistant (G / G) and 5 samples were detected as heterozygous resistant (V / G); and in Panjang Village 1 susceptible sample (V / V), 8 samples were detected as homozygous resistant (G / G), 1 sample was detected as heterozygous resistant (V / G).</p> <p>Based on the results of mutation studies had been found in the VGSC gene in codon V1016G. The proper implementation of management, selection and rotation of insecticides is expected to reduce the risk of resistance in the Aedes aegypti mosquito population.</p> Widya Hary Cahyati Laila Fitriani ##submission.copyrightStatement## 2019-12-22 2019-12-22 10.15294/ujph.v0i0.34868