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Unnes Journal of Public Health
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This is an Open Access Journal

Open Access journal
ISSN (Print) 2252-6781
Published by Universitas Negeri Semarang

[79 journals]

Trends and Determinants of The Maternal Mortality Ratio Based on
Healthcare Resources
- Authors: Eka Nur Sejati, Elsye Maria Rosa, Bayu Anggileo Pramesona
  Pages: 1 - 11
  Abstract: ABSTRACT Health resources play an essential role in realizing the unattainable Sustainable Development Goals targets in lowering maternal mortality ratio (MMR) globally. The study aimed to analyze trends and determinants of MMR based on the number of healthcare resources in Indonesia. This study was a descriptive retrospective study with a cross-sectional approach. Data on the health program achievements in Central Java province, Indonesia from 2016 to 2020 was analyzed using bivariate analysis with scatter plots, statistical analysis with Pearson correlation tests, and multiple linear analysis using Tableau software. Results showed that the MMR was decreased in 2016-2019, however it was increased in 2020. The ratio of obstetrics-gynecology specialists and nutritional personnel had impact on the maternal mortality ratio in 2016 (p-value <0.05). While the general practitioners and nutritional workers ratio also affected the maternal mortality ratio in 2017 and 2019 to 2020 with p-value <0.05. Our study concluded that the trend of MMR in Indonesia was affected by the number of healthcare personnel resources. It is recommended that the Indonesian government should fulfill the quantity and equalization of the distribution of healthcare personnel resources particularly the obstetrics-gynecology specialists, general practitioners, and nutritional workers so the MMR could be decreased.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.57020
  Issue No: Vol. 12, No. 1 (2023)
The Effect of Lean Approach on Hospital Service Quality and Inpatient
Satisfaction
- Authors: Anton Timur Jailani Harahap, Chrismis Novalinda Ginting, Ali Napiah Nasution, Adek Amansyah
  Pages: 12 - 20
  Abstract: Measurement of the service quality is very important, especially to improve service quality and get loyal customers in a private hospital using a lean service approach. This research aims to determine the effect of a lean service approach based on variables including overproduction, waiting time, transportation, excess processing, inventory, motion and satisfaction defects. This study used a quantitative method approach with a cross-sectional design. The population were treated in the inpatient ward of Malahayati Hospital, Medan. The sample size was 110 patients, determined by Rao formula. The sampling technique was a purposive sampling technique with inclusion criteria of patients who were hospitalized for more than three days on March 2021. Data obtained were analyzed with the logistic regression tests. The results showed all variable have significant effect on the inpatient satisfaction including over production (p = 0.019), followed by waiting time (p = 0.012), transportation (p = 0.011), excess processing (p = 0.017), inventory (p = 0.010), motion (p = 0.015), and satisfaction defects (p = 0.010). Based on multivariate analysis concluded that hospital service quality affects inpatient satisfaction based on the waste inventory (4.567 times) as the highest and waste transportation (2.786 times) as the lowest. This study has strongly suggested that the hospital management should maintain over production waste and other waste variables in order to improve the service quality.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.57692
  Issue No: Vol. 12, No. 1 (2023)
A Well-understood Surgical Informed Consent : A Scoping Review
- Authors: Rieke Cahya Budi, Diah Melly Marliana, Adik Wibowo
  Pages: 21 - 32
  Abstract: The implementation of surgical consent has shifted from simply getting a signature to a focus on doctor-patient communication. Providing adequate information is very important for patients in making decisions so that patients do not feel forced to agree. Good understanding is required before a patient gives consent, but many patients have difficulty understanding and doctors fail to provide correct information. The aim of this scoping review is to investigate and evaluate patient comprehension of surgical informed consent provided by standard procedure or other methods and factors affecting patient comprehension. Three electronic database searches (ProQuest, ScienceDirect, and Scopus) were performed from 2017 until 2022. A total of 391 articles were identified and 25 articles were selected according to the PRISMA guidelines and the PCC framework. 9 of 11 articles stated that patient understanding level was low. Factors that influence it include education level, age and language limitations. 12 studies (85%) showed that patient understanding improved with the use of additional information media. Overall patient comprehension of surgical informed consent is low. This depending on the communication between the doctor and the patient. An interesting interventions can be used to improve patient understanding of surgical informed consent
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.57731
  Issue No: Vol. 12, No. 1 (2023)
Managing COVID-19 with Traffic transport Measures
- Authors: Azam Mohamadloo, Zahra Batooli, Gholamreza Mostafaii
  Pages: 33 - 37
  Abstract: Background: Since transmission of the virus occurs by interaction among individuals, the transportation system is the main factor in the spread of the COVID-19. The purpose of the study was to explain traffic transport measures to managing COVID-19 in Iran. Method: We first received the approvals of the Iran Committee against COVID-19. Then, measures of travel restrictions in 120 approvals were selected and categorized by the research team. Results All the measures associated with travel restrictions were elicited from the data analysis and were classified into four categories, including private transportation within the city, travel by private transportation means, travel between countries, and public transportation. Conclusion Travel restrictions have a severe impact on the sector, causing major dysfunction in activities at airlines and airports and significantly increase the risk of failure for air transport-related businesses. Therefore, developing the strategies to correct and re-orientate their businesses is urgently necessitating. To decrease the impacts of the COVID-19 pandemic, it is necessary the engagement of citizens, the private sector, governments at all levels, as well as international agencies, and all other related organizations.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.50222
  Issue No: Vol. 12, No. 1 (2023)
Analysis On the Attitude Towards Seeking Professional Psychological Help
- Authors: F A Nurdiyanto, Griselda Maria Ancela Wodong, Ririn Mamiek Wulandari
  Pages: 38 - 45
  Abstract: Failure to obtain mental health assistance from professional services can lead to wider treatment gaps and serious effects. People with mental health problems are encouraged to access mental health services for early assessment and intervention to promote their psychological well-being. This study was intended to evaluate the attitude towards professional help-seeking by considering demographic factors. This research was conducted through a quantitative approach using the ATSPPH-SF as the main instrument. A total of 590 respondents (male 150, x̅ age 24,16) participated voluntarily by filling out an online survey. The result found that the highest frequency of the respondents’ attitude was in the moderate category. This study also found that the attitude towards professional help-seeking was significantly different by gender (p<0,05), but there were no differences by ethnic group (Javanese, Minahasa, Sundanese), ages, and monthly expenses (p>0,05). This study shows that many Indonesians have not relied on professionals as the main source in solving mental health problems.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.51157
  Issue No: Vol. 12, No. 1 (2023)
Assesment of Cholera Preventive Practices Among Residents of Samaru
Community, Sabon-Gari, Kaduna State, Nigeria
- Authors: Abdulmuhit Temitope ISIAQ, Seun Nurudeen AKOREDE; Dr., Adam Abiola AKOREDE
  Pages: 46 - 52
  Abstract: Throughout the years, cholera outbreaks have plagued many different countries. Cholera is not only a problem from the past; it's still a big public health issue today. This study assessed the cholera prevention practices among residents of Samaru Community, Sabon-gari, Kaduna State, Nigeria. The ex-post facto research design was used. A sample size of three hundred and seventy-six (376) respondents was conveniently drawn from a population of 18,039 residents of Samaru Community, Sabongari, Kaduna State, Nigeria. A researcher-developed close-ended questionnaire was used to obtain responses from the participants. Descriptive statistics of frequency, percentages, means and standard deviations were used to answer the research question and inferential statistic of one-sampled t-test was used to test the stipulated hypothesis at 0.05 level of significance. The findings of the study revealed that the cholera prevention practice is significant (t=5.652; p= 0.000). Based on the findings of the study, it was concluded that residents of Samaru Community, Sabongari, Kaduna State practice cholera prevention strategies. The study recommended the need for awareness campaigns through health talks to assist sustain the already existing cholera preventive practices among the population of Samaru community, Sabongari Local Government Area, Kaduna State, Nigeria.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.55178
  Issue No: Vol. 12, No. 1 (2023)
Distributions and Determinants of Neonatal Mortality in Rembang Regency,
Central Java Province, Indonesia
- Authors: Sani Rachman Soleman, Yovita Oga Odelia
  Pages: 53 - 60
  Abstract: Neonatal mortality in Rembang regency, Central Java province, has raised concerns to solve comprehensively. This study aimed to observe distributions and examine determinants of neonatal mortality in the Rembang regency. A case-control study was conducted to examine 50 cases and 50 control by the medical records in the Department of Health. There were 11 variables: parity, mother's age, gestational age, a congenital defect, neonatal sepsis, neonatal asphyxia, pregnancy complication, birth weight, labour locations, childbirth helper, and type of labour. The analysis consists of bivariate with chi-square and multivariate by logistic regression. The most frequent risk factors are gestational age (P=0.00; OR=18.4; and CI=5.04-67.00) and birth weight (P=0.00; OR=14.7 and CI=4.96-43.51), yet logistic regression found high-risk birth weight (P=0.01; aOR=5.4 and CI=1.43 – 20.34) and high-risk gestational age (P=0.03; aOR=5.8 and CI=1.22-27.59) are significant on neonatal mortality in Rembang regency, Central Java Indonesia. This finding is essential in taking policy action on safe pregnancy among high-risk women in the Rembang regency.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.57694
  Issue No: Vol. 12, No. 1 (2023)
“I’m Not Satiety Without Rice”: Phenomenological Study of Barrier
and Weight Loss Efforts in Home Settings
- Authors: Rohayati Rohayati, Wiwin Wiarsih, Astuti Yuni Nursasi
  Pages: 61 - 70
  Abstract: Background: The prevalence of obesity around the world is quite high. Obesity management takes a long time and is highly disciplined. This can increase the noncompliance to obesity treatment. Family is a support system that can help obesity management. The study was to explored family experiences regarding the efforts and barriers to obesity management in a home setting. Methods: This study used a descriptive phenomenological research design. The seventh family who lived in Depok City were selected using purposive sampling. Inclusion criteria include 1) having family members who are overweight/obese, 2) obese family members who do not have comorbid diseases, 3) participants who do not have a chronic disease A semi-structured interview was used to collect data. The data analysis used Colaizzi’s method. Results: Four themes emerged, including 1) nutrition management efforts, 2) weight loss efforts, 3) unhealthy nutritional behavior patterns, 4) desire to achieve normal conditions. Conclusion: Family plays an important role in obesity management in the home setting. Nurses can optimize the family by providing support for positive efforts that have been made. Family counseling is needed to reduce perceived barriers.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.48661
  Issue No: Vol. 12, No. 1 (2023)
Factors Affecting The Occurrence of Obesity in College Students
- Authors: Tjie Kok Go, Vanessa Wiriantono, Lisa Aditama, Jordan Bakhriansyah
  Pages: 71 - 78
  Abstract: Obesity is a physical condition that can lead to health disorder. An increase in body mass index can be a risk factor for some non-communicable diseases, among which are cardiovascular diseases. College students are among the people with high risk of obesity. This review aims to describe factors that can cause obesity and hence the increasing risk of cardiovascular diseases in college students. We first collected 608 studies associated with our review and then selected 9 studies that highly correlate to our specific purpose. We evaluated each selected study for its quality and risk of bias using STROBE. We then conducted data extraction of each study. It can be concluded from the results of data extraction that even though there are various factors contributing to the occurence of obesity in college students, skipping breakfast and high snack consumption have a close relationship with the occurence. In addition, inadequate physical activity and high calorie diet also contribute to its occurence. Finally, smoking is also associated with the occurence of obesity, that can lead to the increasing risk of cardiovascular diseases.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.56013
  Issue No: Vol. 12, No. 1 (2023)
Patient Identification in the Hemodialysis Unit Using the
Plan-Do-Study-Act Approach
- Authors: Dinda Iryawati Bedy Saskito, Kemal N. Siregar, Muhammad Fachri, STR Tri Handayani, Budi Hartono
  Pages: 79 - 89
  Abstract: This study determines the cause and solutions of the patient identification achievement that is not yet 100%, as the base to improve the patient identification system in the HD unit of GPI Hospital. Qualitative research using the Plan-Do-Study-Act (PDSA) approach involving triangulation of data collection, namely observation, documentation, and interviews with the PDSA NHS Improvement instrument. Informants were selected by snowball sampling. The PDSA results indicated that the problem cause was the HD team's lack of understanding of patient identification. This problem can be overcome by socialization and simulation of patient identification: a standard operating procedure for patient identification, implementation of patient identification, patient identification incident reporting flow, and money for patient identification. The problem of identifying patients in the HD unit can be resolved using the PDSA cycle that has been performed. Modifications are required for the next PDSA cycle, consisting of 1) regular socialization and simulation of patient identification; 2) SOP of patient identification in HD unit; 3) implementation of the identification process by involving the patient; 4) reporting and building awareness of realizing a patient safety culture if an incident occurs, and 5) reporting on the achievement of monev data and recommendations for improvement efforts.
  PubDate: 2023-01-31
  DOI: 10.15294/ujph.v12i1.53111
  Issue No: Vol. 12, No. 1 (2023)