Background: Sputum smear microscopy is the standard diagnostic method for detection of smear positive pulmonary tuberculosis (TB). Insufficient quality of sputum might result in missing cases. In this study we aimed at assessing the quality of sputum in a district in Central Java and determining patient and health worker factors associated with submission of three good quality sputum samples.

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ABSTRAKData kematian maternal yang diperoleh dari Dinas Kesehatan Kota Semarang  tahun 2012 menunjukkan bahwa Puskemas Bandarharjo menempati urutan teratas sepanjang tahun 2009-2012. Salah satu upaya terobosan untuk percepatan penurunan AKI adalah Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan stiker. Penelitian ini merupakan penelitian kuantitatif, jenis penelitian explanatory research, dengan rancangan cross sectional. Hasil penelitian menunjukkan ibu hamil yang memiliki perencanaan persalinan tidak baik sebanyak 62,2%, sedangkan ibu hamil yang memiliki perencanaan persalinan baik hanya 37,8%. Enam variabel yang berhubungan secara statistik  signifikan yaitu paritas, pengetahuan ibu hamil, sikap ibu hamil, ketersediaan sarana dan prasarana, dukungan suami, dan dukungan petugas kesehatan. Variabel yang paling dominan berpengaruh adalah dukungan suami (OR=7,037). Hal ini berarti bahwa dukungan suami dalam program perencanaan persalinan yang baik memungkinkan ibu hamil memiliki perencanaan persalinan yang baik 7,037 kali dibanding dengan dukungan suami yang kurang.Kata Kunci :  Perilaku, Ibu hamil, P4K Analysis of Factors Related to the Behavior of Pregnant Women in Planning Labor for Prevention of Complications in the Working Area of Puskesmas Bandarharjo Kota Semarang. Maternal mortality data from Semarang City Health Office in 2012 showed that Puskesmas Bandarharjo was the top ranks throughout 2009-2012. One ground breaking effort to accelerate the decline of AKI is Childbirth Program Planning and Prevention Complications (P4K) with stickers. This study is a quantitative study with explanatory research, with a design using cross-sectional study. the results of the univariate analysis suggests that pregnant women who have a good labor planning as much as 37,8 %. While the pregnant women, who have a birth plan not good is only is. The results of bivariate analysis using the statistical test Chi-Square shows there are six variables significantly associated: parity, maternal knowledge, maternal attitudes, availability of facilities and infrastructure, husband support, and support for health workers. The most dominant variable is the support of the husband (OR = 7,037). This means that the support of her husband in a good birth planning program allows pregnant women has good labor planning 7,037 times compared with less support husband.Keywords: Behavior, Pregnancy, P4K

Tidal inundation is a flood that usually occurs in the coastal region. It will impact water quality, which may lead to health problem. A semi-quantitative tool was use to assess water quality in Bandarharjo Village, a tidal inundation affected area. Total coliform was also performed to aseess bacterial contamination. The assessment was conducted at three sites of drinking water supply system: source/provider, distribution, and customer levels. The result showed that both provider and distribution levels have very high risk of contamination, while customer level has a high risk. Water from either source/provider and customer level contained bacterial contamination.

The Scaling-Up Nutrition (SUN) Movement was an intervention to overcome chronic malnutrition through integrated stakeholder collaboration. Furthermore, the roles of stakeholders' in the SUN-Movement were not optimal and their characteristics were not yet known based on the groups and government areas (cities and regency). This study aims to map the SUN-Movement stakeholders' roles in different groups and government areas based on their attitudes, powers, and interests. This is an observational descriptive research with a qualitative approach. Totally of 30 institutions as stakeholders were involved in this study and divided into 3 different groups, namely Decision Maker (DM), Provider (P), and Clients & Representatives (CR). The DM group have the power to influence programs. Also, the P group was better at handling technical issues, however, it cannot build collaboration with other stakeholders. The CR tend to build this collaboration passively, nevertheless, it does not consider the SUN-Movement to be important. Consequently, each stakeholder views their roles differently. Different perceptions about stakeholders' roles in various indicators and government areas reveals an implementation gap in the SUN-Movement. Therefore, in conclusion, strengthening advocacy, coordination, routine socialization, and communication between stakeholders could bridge the needs, constraints and challenges that cause malnutrition and stunting.

ABSTRAKTingkat penyebaran HIV/AIDS yang semakin mengkhawatirkan, memerlukan penanggulangan secara terpadu dari berbagi pihak, baik pemerintah, lembaga swadaya masyarakat, termasuk tokoh agama. Pemuka agama diyakini memegang peranan strategis untuk menanggulangi dampak buruk, sekaligus memutus mata rantai penyebaran HIV dan AIDS. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi stigma tokoh agama terhadap ODHA. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Pengambilan data dilakukan pada 164 tokoh agama di Kabupaten Banyumas. Analisis data univariat menggunakan distribusi frekuensi, analisis bivariat menggunakan chi square dan analisis multivariat menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan stigma tokoh agama terhadap ODHA adalah nilai/kepercayaan, pengetahuan tentang HIV/AIDS dan dukungan teman. Faktor yang paling dominan adalah pengetahuan tentang HIV/AIDS. Dari penelitian ini dapat disimpulkan bahwa pengetahuan tentang HIV/AIDS dapat mempengaruhi stigma terhadap ODHA selain dukungan teman dan nilai / kepercayaan.Kata kunci: Stigma terhadap ODHA, Pengetahuan Tentang HIV/AIDS, TomaABSTRACTKnowledge about HIV/AIDS Influencing The stigma towards people living with HIV in Banyumas. The rate of the spread of HIV/ AIDS that more and more worrisome needs an integrated tackling from various parties such as the government, non – governmental organizations, includes religious figures. Religious leader is believed that they have a strategic role in tackling the bad effect, at the same time break the chain of the spread of HIV and AIDS. This research aimed to know the factors that influence the stigma of religious figures towards people living with HIV/ AIDS. The kind of the research isanalytical correlational with crossectional approach. The data was collected from 164 the religious figures. Data were analyzed using univariate with frequency distribution, bivariate with Chi-square, and multivariate with logistic regression. The result showed that factors related to The stigma towards people living with HIV were knowledge about HIV/AIDS, value/belief and friend’s support. Knowledge about HIV/AIDS was the main factor that has considerable influence to The stigma towards people living with HIV. From this research, can be conclude that Knowledge about HIV/AIDS can affect The stigma towards people living with HIV besides value/belief and friend’s support.Keywords : The stigma towards people living with HIV, knowledge, religious figures

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Coronavirus Disease-2019 (COVID-19) is a pandemic disease in all over the world caused by SARS-COV-2 virus. This disease also spread all over Indonesia. The cost of treating People Under Surveillance and Patient under Monitoring, also confirmed patient of COVID-19 will be financed by the Indonesian Government. This research aimed to identify the estimated cost for treating the Covid-19 patients in Indonesia. The calculation method used top up costs and INA CBGs based on the number of hospitalized positive patients. The data source was COVID-19 data in Central Java and national data. Case growth calculated by doubling time positive cases of COVID-19 in Central Java were 1.7 (range 1.73 – 2.73). Range of days was between 6-8 days. The amount of top up cost for one day treatment refers to Health Ministry of Indonesia Decree Number HK.01.07/MENKES/238/2020 and cost estimation of INACBGs with the severity level II and III. This calculation did not include donations, outpatients and other costs. The result of this study, estimation if patients were treated in ICU for 8 days and non ICU for 7 days, and the rest of inpatients according to INACBs, so the cost of COVID-19 treatment for 14 – 28 days estimated at 75.7-77.3 million rupiah/patient. Whereas if the patient treated in ICU for 14 days and non ICU for 14 days, the rest of inpatient according to INACBs, the cost for COVID-19 treatment estimated at 130.4- 133.2 million rupiah/patient. The COVID-19 treatment is quite expensive and can be a burden for the Government of Indonesia’s budget. In addition, the limited access and health facilities also become an obstacle. Strengthening promotive and preventive efforts are needed to prevent the surge of COVID-19 case. Policies which support strict social and physical distancing are needed so that the interventions become more effective.