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> en-US ujph@mail.unnes.ac.id (Fitri Indrawati) efa.nugroho@mail.unnes.ac.id (Efa Nugroho) Mon, 25 Jul 2022 00:00:00 +0700 OJS http://blogs.law.harvard.edu/tech/rss 60 Practice of Early Initiation of Breastfeeding in Sukoharjo Based on the Theory of Planned Behavior and Social Cognitive Theory https://journal.unnes.ac.id/sju/index.php/ujph/article/view/45958 <p>Early initiation of breastfeeding (IMD) can reduce child mortality. The Sukoharjo district government trained birth attendants to practice of IMD. This qualitative study analyzed the practice of IMD in Sukoharjo. The theme of the results was: the practice of IMD in Sukoharjo seen from the Theory of Planned Behavior and Social Cognitive Theory. The categories found were: 1) There were several obstacles and support, 2) not all mothers had the intention to practice early initiation of breastfeeding (<em>IMD</em>), 3) in general, hospitals had not properly practiced <em>IMD</em>, 4) families did not obstruct <em>IMD</em>, 5) not all community health center &nbsp;implemented <em>IMD</em> &nbsp;according to standards, 6) not all birth attendants understood <em>IMD</em> correctly, 7) neighbors did not understand the importance of <em>IMD</em>, 8) not all mothers understood or asked for <em>IMD</em> before delivery, 9) birth attendants perceived that <em>IMD</em> was not burdensome, 10) health workers supported <em>IMD</em>, 11) there was government support, 12) mothers and birth attendants had good health expectations related to <em>IMD</em>, 13) the standard of <em>IMD</em> in Sukoharjo has been partially met. The conclusion is that the IMD in Sukoharjo was already underway but still needed a lot of improvement. When viewed from the TPB and SCT theory, some of the constructs were strong, but many of them were weak. Both of these theories can be used as a basis for interventions to improve the IMD.</p> Burhannudin Ichsan, Faiz Maulana, Mada Sukma Dytho ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/45958 Mon, 27 Sep 2021 00:00:00 +0700 Soil-Transmitted Helminths Infection: the Severity Levels of Anemia and Concentration Levels in Bengkulu City https://journal.unnes.ac.id/sju/index.php/ujph/article/view/42472 <p>Soil-Transmitted Helminths (STH) is a worm infection with a prevalence of 1.5 billion people worldwide and is mostly found in preschool and school children. Worm infection can affect the level of concentration and the quality of children's learning which results in less optimal achievement within their potential. The purpose of the research was to determine the correlation between STH infection and anemia and the level of concentration in children grades II-VI of elementary school in Kampung Melayu Sub-district, Bengkulu City. The research conducted using an analytic observational with the cross-sectional design. The research took 215 students as samples with a stratified random sampling method. Feces specimens were examined by using Kato-Katz technique. Haemoglobin levels were measured by using the POCT method and students' concentration levels were tested by using the Bourdon Vos Test. The results showed a significant relationship between STH infection with the occurrences of anemia (p = 0.001; RP = 0.225) and very weak correlation strength between STH infection with the concentration level (p = 0.014; RP = -0.167). Worm infection in preschool and school children can cause anemia and nutrition deficiency which affect their growth and development, cognitive function, concentration levels and learning achievement. Continuous education and coordination with related institutions is necessary to carry out strategies for preventing and treating worms thoroughly.</p> Dessy Triana, Galieh Riyasdi Fadhurrohman, Nurul Karima, Besly Sinuhaji, Wahyu Sudarsono ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/42472 Mon, 27 Sep 2021 00:00:00 +0700 Screening of Diabetes Mellitus and Physical Activity Analysis: A Stepwise WHO Approach https://journal.unnes.ac.id/sju/index.php/ujph/article/view/43809 <p>By 2030 it is predicted that there will be 52 million deaths per year due to NCD, an increase of 9 million from 38 million people today. The purpose of this research was to describe the risk factors for NCD in Medan using the stepwise WHO. This research method is a quantitative method with a cross-sectional design. Univariate and Bivariate analysis using the Chi Square test were carried out in this research. 799 participants were recruited using accidental sampling technique. The place of this research was conducted in Medan City, North Sumatra Province. The results of this research indicate that age 55-59 years, last elementary school education, work as an entrepreneur and not eating vegetables are risk factors for diabetes mellitus in this research. It is suggested that local health workers provide health education through outreach to the community, especially the people of Medan City, on how to reduce the risk of increased blood sugar or diabetes mellitus incidence. In addition, participants or the community are expected to be able to maintain a good diet, namely by implementing balanced nutrition, especially paying attention to adequate vegetable consumption.</p> <p>&nbsp;</p> Zata Ismah, Citra Cahyati Nst, Wahidah Wahidah ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/43809 Mon, 27 Sep 2021 00:00:00 +0700 Farmers’ Intention to Apply for National Health Insurance https://journal.unnes.ac.id/sju/index.php/ujph/article/view/44899 <p>The number of people who worked as farmers is big enough to challenge the Healthcare Social Security Agency (BPJS <em>Kesehatan</em>)&nbsp;to&nbsp;achieve&nbsp;these targets. This study aims to determine the variables associated by the intention of farmers to apply&nbsp;for&nbsp;National Health Insurance in the working area&nbsp;of&nbsp;Sungai Rambutan Integrated Independent City Community Health Center&nbsp;in&nbsp;Ogan Ilir&nbsp;Regency. The type of this research is descriptive analytical research&nbsp;with a cross-sectional design. The samples used farmers in the work area of Sungai Rambutan public health center. 104 samples were selected by cluster random sampling. 57.7 % of the farmers have the intention to apply for national health insurance. There are five variables related to&nbsp;the&nbsp;intention of farmers to apply for national health insurance. Those variables are the behavioral beliefs, the outcome evaluation, motivation to comply, control beliefs, and perceived power. The outcome evaluation was the most dominant variable associated with the intention to apply for national health insurance since it&nbsp;controlled&nbsp;the other variables. To increase the number of&nbsp;national health insurance members, approaching&nbsp;local stakeholders to introduce and educate all people to apply and inform the benefit of national health insurance&nbsp;is required</p> Maya Apriani, Haerawati Idris ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/44899 Mon, 27 Sep 2021 00:00:00 +0700 The Determinants of Healthy Food Consumption Behaviour during the Covid-19 Pandemic https://journal.unnes.ac.id/sju/index.php/ujph/article/view/45227 <p>This research investigated the determinants of healthy food consumption behaviour (HFCB) during Covid-19 pandemic. More specifically, this research aimed to test the effect of digital health communication media usage, e-health literacy, the perceived threat of Covid-19, perceived benefit of HFCB related to Covid-19, attitude toward HFCB, healthy food extension education intensity, healthy food affordability, and social influences - injunctive norm and descriptive norm – on HFCB simultaneously. The data were collected through a survey with 249 respondents in the Tangerang City, Indonesia. A multiple regressions analysis was conducted to analyse the data. The research results showed that HFCB was significantly and positively influenced by attitude toward HFCB, digital health communication media usage, healthy food affordability, and descriptive norm. This research also revealed that HFCB was significantly and negatively influenced by perceived threat of Covid-19. However, perceived benefits of healthy food consumption, e-health literacy, healthy food extension education intensity, and injunctive norm did not pose an impact on HFCB.</p> <p><strong>Keywords:</strong> consumption behaviour, healthy food, Covid-19 pandemic, health education, digital communication</p> Sik Sumaedi, Sumardjo Sumardjo, Amiruddin Saleh, Agus Fanar Syukri ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/45227 Mon, 27 Sep 2021 00:00:00 +0700 Analysis of the Antimicrobial Stewardship Program Policy on Inpatients Antibiotics Use https://journal.unnes.ac.id/sju/index.php/ujph/article/view/49175 <p>The Exploration of Antimicrobial Consumption to Identify Targets for Quality Improvement in Indonesian Hospitals study showed that 97% of the use of empirical antibiotics was 81% empiric therapy, 12% medical prophylaxis, 4% surgical prophylaxis, and 16% without clear indications. The most common diagnoses are typhoid, pneumonia. and dengue fever. The Antimicrobial Stewardship Programme (ASP) Team supports the national program to reduce the use of irrational antibiotics. This study aims to analyse the ASP policy implementation on the use of antibiotics at the Royal Taruma Hospital. A secondary data on the use of Defined Daily Dose (DDD)/100 patient-days for the quarterly months of February, May, and August 2020. The 14 key informants'&nbsp;perceptions, opinions, thoughts are the primary data&nbsp;of&nbsp;qualitative research on the use of antibiotics during the ASP policy implementation. The three most antibiotics used were Ceftriaxone (64.7%), Levofloxacin (20.1%), and Meropenem (6.9%), which belong to the broad-spectrum antibiotic class. The total use of antibiotics was 1206.59 DDD/100 patient-days. The implementation of ASP policies has not been running optimally. It is necessary to formulate a pattern of germs and antimicrobial resistance, not only in the intensive room, but also in the care ward to achieve ASP quality indicators.</p> Elfrida Rinawaty Manurung, Helen Andriani ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/49175 Mon, 25 Jul 2022 00:00:00 +0700 Students’ Knowledge Regarding Antibiotic Usage for Children Upper Respiratory Tract Infections https://journal.unnes.ac.id/sju/index.php/ujph/article/view/51812 <p>Upper respiratory tract infections are the most common illness among children under 5 years old. Knowledge regarding antibiotics usage is essential especially among pharmacy and nursing students. To assess students' knowledge regarding the use of antibiotics to treat children upper respiratory tract infection (URTIs). A cross-sectional study was conducted on 300 students collected from the College of Nursing and Pharmacy in a private university in Baghdad using convenience sampling. Data collection was done using an electronic platform. Around two-thirds (58.7%) of the students have a good level of knowledge. Only (41.3%) of students had poor knowledge about the use of antibiotics in children's upper respiratory tract infections. More than half (60.33%) of the students were aware of antibiotic resistance resulting from the overuse of antibiotics. There was a significant association between gender and Knowledge on antibiotics usage (P value=0.022). The students' knowledge regarding the use of antibiotics to treat children upper respiratory tract infection was good. More health promotions and educational campaigns are required to help students understand the correct use of antibiotics.</p> Hasanain Faisal Gahzi, Tiba Nezar Hasan, Farqad Hamed Rashed, Kadhem Salah Mahdi, Fatima Aziz Sami, Laith Assad Najm, Fahad Arkan Abd ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/51812 Mon, 25 Jul 2022 00:00:00 +0700 Patient Claim Financing at RSUP Dr. Kariadi Semarang During the Covid-19 Pandemic https://journal.unnes.ac.id/sju/index.php/ujph/article/view/51664 <p>Findings on the health status and condition of patients who came to Dr. Kariadi were classified into two categories comorbid and co-incident. For patient claims to be funded, an assembling process and case-mix coding are carried out for the submission process based on the results of checking the status and health conditions of comorbid and co-incident patients. This study explores the procedure for the process of financing the patient's claim at Dr. RSUP. Kariadi Semarang during the covid-19 pandemic. The research was conducted in a phenomenological descriptive qualitative manner with the data sources coming from primary informants. Sampling technique with the selection according to the criteria then conducted an interview. Flow analysis model and interactive analysis model were used to analyze the data. For Covid-19 patients with comorbidities, previously a claim was made for Covid-19 cases, and if the Covid-19 case was completed but the comorbidities persisted, the guarantor switched from the Ministry of Health to BPJS Health. The procedure for the process of financing a patient's claim at Dr. RSUP. Kariadi Semarang during the COVID-19 pandemic there were two guarantors from the Ministry of Health and BPJS Health.</p> Faik Agiwahyuanto, Suharyo Suharyo, Evina Widianawati, Widya Ratna Wulan, Deddy Setiadi ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/51664 Mon, 25 Jul 2022 00:00:00 +0700 The Association Between Body Mass Index, Waist to Hip Ratio and Mid-Upper Arm Circumference with Endometriosis https://journal.unnes.ac.id/sju/index.php/ujph/article/view/46095 <p>Endometriosis is characterized by the presence of endometrial tissue, in the form of glands and stroma outside of the uterus. This study aimed to determine the relationship between body mass index, waist to hip circumference ratio, and mid-upper arm circumference with the incidence of endometriosis. This study was analytical observational research with a case-control. The subjects were 63 patients diagnosed with endometriosis through laparoscopic action and 63 normal women who both met inclusion and exclusion criteria. The measurement result of body mass index (BMI) in kg/m² is categorized into ≤25 and &gt;25, waist to hip ratio is categorized to &lt;0.85 and ≥0.85, mid-upper arm circumference in centimeters to ≤23.0 and &gt;23.0. The result showed the relationship of body mass index, waist to hip ratio, and mid-upper arm circumference with endometriosis incidence obtained BMI with endometriosis (b=0.824, CI 95%=0.99 to 5.25, p=0.053), waist to hip ratio (b=0.893, CI 95%=1.03 to 5.82, p=0.044), and mid-upper arm circumference (b=-0.246, CI 95%=0.10 to 6.09, p=0.814). There is a significant relationship between BMI and waist to hip ratio with the incidence of endometriosis. There is no significant relationship between mid-upper arm circumference with the incidence of endometriosis.</p> Alyssa Vania Hanifah, Uki Retno Budihastuti, Balgis Balgis ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/46095 Mon, 25 Jul 2022 00:00:00 +0700 The The Effect of the Covid-19 Pandemic on Mental Health (Children, Adolescents, Young Adults) and Mental Health Service: Systematic Review https://journal.unnes.ac.id/sju/index.php/ujph/article/view/53472 <p><em>The impact of the COVID-19 pandemic on mental health in young age groups (children, adolescents, and young adults) has a higher prevalence than individuals at other stages of the lifecycle (adults and the elderly). The implementation of mental health services faces more barriers to professional care than in the pre-pandemic period. This study aims to identify the effect of sociodemographic and Public Health Measures on the mental health of young age groups and mental health services during the COVID-19 pandemic. A systematic review without meta-analysis was performed on seven databases. The selection procedure followed the flow diagram of the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). Inclusion criteria included all types of research that looked at the impact of COVID-19 on mental health and mental health services. There are 44 included articles and the quality assessment shows that the study was evaluated as 80% and 100% quality criteria met. During the implementation of Public Health and Social Measures, the young age group experienced mental health problems, including stress, depression, anxiety, sleeping disorder, eating disorder, and post-traumatic stress disorder related to socioeconomic status, academic, and social factors. This systematic review proves that the COVID-19 pandemic affects the mental health of the young age group and mental health services.</em></p> Endang Purnawati, Lintang Dian Saraswati, Moh. Arie Wurjanto, Sri Yuliawati ##submission.copyrightStatement## https://journal.unnes.ac.id/sju/index.php/ujph/article/view/53472 Mon, 25 Jul 2022 00:00:00 +0700