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Jurnal Kesmas dan Gizi (JKG)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550849     DOI : -
Core Subject : Health,
Public Health
Jurnal Kesmas & Gizi (JKG) terbit dua kali setahun yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan masyarakat dan gizi yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kesehatan masyarakat dan gizi.
Arjuna Subject : -
Articles 473 Documents
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Analysis of Compliance with the Use of Personal Protective Equipment (PPE) among Healthcare Workers in the Emergency Department of Lirik Primary Health Care Center Risty Nanda Maisi Putri; M. Kamali Zaman; Said Mardani
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/tpkakc23

Abstract

The Emergency Department (ED) is a healthcare service area with a high risk of exposure to biological hazards, making the proper use of Personal Protective Equipment (PPE) in accordance with Occupational Health and Safety (OHS) standards essential for healthcare workers. However, non-compliance with PPE use is still frequently observed in primary healthcare facilities. This study aimed to analyze the level of healthcare workers’ compliance with PPE use in the Emergency Department of Lirik Primary Health Care Center, Indragiri Hulu Regency, in 2025. This study was conducted as a residency activity using a descriptive observational design with a risk analysis approach. The study population consisted of all healthcare workers in the Emergency Department of Lirik Primary Health Care Center. The main informant was the ED coordinator, while supporting informants included OHS officers and other healthcare workers. Data were collected through direct observation, in-depth interviews, and document reviews of standard operating procedures (SOPs) and OHS reports. The variables analyzed included the level of PPE compliance and factors contributing to non-compliance. Data analysis employed a fishbone diagram to identify root causes and the Urgency, Seriousness, and Growth (USG) method to determine problem priorities. The results showed that PPE compliance among healthcare workers in the Emergency Department had not yet reached an optimal level. This condition was influenced by behavioral factors, limited availability of OHS educational materials, inadequate supervision, and insufficient availability of PPE at service points. In conclusion, improving PPE compliance requires integrated interventions, including strengthening SOP implementation, providing continuous training, ensuring adequate PPE availability, and conducting routine supervision to support healthcare worker safety and the quality of emergency services.
Analysis of Factors Associated with Sexual Behavior among Adolescents in Tasikmadu District, Karanganyar Regency Kusumaningrum, Ananta Rinasari; Wijayanti, Anisa Catur
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/hcs03m16

Abstract

Background: Adolescents are in a developmental phase characterized by significant biological, psychological, and social changes, potentially influencing various aspects of behavior, including sexual behavior. Limited understanding of reproductive health, exposure to pornographic content, the influence of the peer environment, and the suboptimal role of the family can increase adolescents' vulnerability to risky sexual behavior. Tasikmadu District, Karanganyar Regency, is one of the areas facing relatively high levels of adolescent reproductive health problems, so a scientific study is needed to identify factors of knowledge, attitudes, exposure to pornography, parental roles, and peer roles related to sexual behavior in the adolescent age group. Research Objective: to analyze factors of knowledge, attitudes, exposure to pornography, parental roles, and peer roles related to sexual behavior in Tasikmadu District, Karanganyar Regency. Method: The type of research used is quantitative analytic with a cross-sectional approach. The research sample was 193 respondents obtained using a purposive sampling technique. The independent variables include the level of knowledge, attitudes, exposure to pornography, parental roles, and peer influence, while the dependent variable is adolescent sexual behavior. Data collection was conducted through interviews and self-completed questionnaires by adolescents and analyzed using the Chi-Square test with a 95% confidence level. Results: The analysis results showed a relationship between the level of knowledge (p = 0.000), attitudes (p = 0.000), exposure to pornography (p = 0.000), parental influence (p = 0.047), peer influence (p = 0.039) with sexual behavior in adolescents. Conclusion: Adolescent sexual behavior is influenced by the interaction of individual, family, media, and social factors, so that prevention efforts require an integrated approach through education, family support, and strengthening a positive social environment.
Relationship Between Desk Chair Workstations and the Incidence of Low Back Pain Among Elementary School Teacher In Paron district, Ngawi Regency Nugroho, Farizky Aji; Purnamasari, Salsabila
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/9jp09g07

Abstract

Low back pain (LBP) is one of the most common musculoskeletal disorders affecting the lumbar region of the spine and may reduce comfort and work productivity. Elementary school teachers are considered at risk of developing LBP due to prolonged static postures and workstations that may not comply with ergonomic principles. This study aimed to analyze the relationship between workstation suitability—specifically desk and chair dimensions based on anthropometric measurements—and LBP complaints among elementary school teachers in Paron District, Ngawi Regency. This study employed a quantitative approach with a cross-sectional design conducted from February to March 2025. A total of 140 elementary school teachers were included using a total sampling technique. Data were collected through anthropometric measurements to assess workstation suitability and the Oswestry Low Back Pain Disability Questionnaire (ODI) to determine the severity of LBP. The collected data were analyzed using the Chi-Square test with a 95% confidence level. The findings showed that the majority of respondents were female (71.4%) and aged 45–59 years (42.1%). Based on workstation assessment, 81.4% of respondents had ergonomically suitable workstations, while 18.6% used non-ergonomic facilities. Most respondents (83.6%) experienced minimal to mild LBP, 12.1% moderate LBP, and 4.3% severe LBP. Statistical analysis revealed a significant relationship between workstation suitability and LBP complaints (p=0.000). Non-ergonomic workstations were associated with a higher incidence and greater severity of LBP. Therefore, the implementation of ergonomic principles and proper posture education is essential to prevent LBP and to maintain teachers’ spinal health and productivity.
Evaluation of Solid Medical Waste Treatment Implementation Using Sterilwave Technology at the Health and Environmental Laboratory Unit of the Riau Provincial Health Office Marwad; Oktavia Dewi; Sangap Daniel Tarigan
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ef1qtf04

Abstract

Solid medical waste management is a critical aspect of environmental health that requires proper handling to prevent environmental contamination and protect public health. The Environmental Health Laboratory Unit (UPT Labkesling) of Riau Province has implemented Sterilwave technology, a modern microwave-based waste treatment system, as an alternative to conventional incineration. However, the implementation still faces several operational challenges. This study aims to evaluate the implementation of solid medical waste treatment using Sterilwave technology and identify factors affecting its effectiveness. The research employed a qualitative approach with a case study design and problem-solving cycle method. Data collection was conducted through observation, in-depth interviews, and documentation during October 2025. Analysis used fishbone diagrams and the USG (Urgency, Seriousness, Growth) method to determine problem priorities. The study identified five main problems, with priority given to the suboptimal process of solid medical waste treatment using Sterilwave. Fishbone analysis revealed that problem causes originated from six factors: human resources, methods, materials, machines, funds, and environment. The recommended solution is a combination of soft approaches (capacity building through training and supervision) and hard approaches (provision of supporting facilities such as calibration systems, stabilizers, and mechanical ventilation). This strategy is considered effective and efficient because it can be implemented with existing resources without major investment and has potential for long-term sustainability in maintaining treatment effectiveness and safety.
The Effect of Brassica Veggie Spring Roll Recipe Modification on Sensory Evaluation (Color, Aroma, Texture, Taste, Nutritional Value) at Senjani Kitchen Malang Taqiyya Firdausi Aliyya; Rani Nurmayanti
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/5qqhdm95

Abstract

Recipe modification is the process of creating and developing existing recipes to improve their overall quality. In catering food service, recipe modification aims to enhance menu quality in terms of taste, color, aroma, texture, and nutritional value, making the products more appealing to consumers. Attractive menus are more easily accepted by consumers and can positively influence customer satisfaction. This study aimed to analyze the development of the Brassica Veggie Spring Roll recipe based on sensory evaluation, including color, aroma, texture, taste, and nutritional value, at Senjani Kitchen Malang. The research employed a quasi-experimental method with a posttest-only control group design. The study was conducted in November 2025 at the Integrated Laboratory of Poltekkes Kemenkes Malang. The organoleptic test involved 25 panelists consisting of students from the Applied Bachelor Program in Nutrition and Dietetics and Dietitian Professional students of Poltekkes Kemenkes Malang. The preference assessment scale was categorized into four levels: Strongly Like (SL), Like (L), Dislike (D), and Strongly Dislike (SD). Data were analyzed using univariate analysis with Microsoft Excel and bivariate analysis using the Wilcoxon test. The results showed that the highest hedonic score was found in the aroma of the modified recipe, with a value of 3.52, which fell into the “Like” category. The Wilcoxon test indicated significant differences in preference levels for aroma, texture, and taste (p-value < 0.05), meaning that recipe modification had a significant effect on these attributes. Nutritional value analysis using NutriSurvey 2007 revealed differences in energy, protein, fat, fiber, and carbohydrate content before and after the recipe was modified. Based on these findings, recipe modification influenced aroma, texture, taste, and nutritional value. Future research is recommended to explore color variations in recipe development and to conduct laboratory-based nutritional analysis for more accurate results.
Strategic Analysis of Accelerating the Reduction of Stunting Prevalence in Kuantan Singingi Regency Using the SWOT Approach and IFAS–EFAS Matrix Sarwendah; Herniwanti
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6z9xkn73

Abstract

Stunting remains a significant public health problem in Kuantan Singingi Regency, Riau Province, with a relatively high prevalence influenced by nutritional, environmental, and behavioral factors. This study aimed to analyze strategies to accelerate the reduction of stunting prevalence in Kuantan Singingi Regency using a SWOT approach and the IFAS–EFAS matrix. This was a descriptive-analytic study with a cross-sectional design employing SWOT analysis. Primary data were collected through in-depth interviews and observations with key informants from public health units, nutrition, environmental health, and health promotion. Secondary data were obtained from health profiles, stunting reports, and sanitation coverage data. Strategic analysis was conducted using SWOT analysis supported by the Internal Factor Analysis Summary (IFAS) and External Factor Analysis Summary (EFAS) matrices. The IFAS calculation produced a score of −9.4, the EFAS calculation yielded −6.9; this negative value indicates that the external opportunities supporting WASH–stunting in Kuantan Singingi Regency are also weak, because external threats are far greater than external opportunities. Furthermore, based on the IFAS and EFAS results, strategic positioning for accelerating stunting reduction was mapped onto the SWOT quadrant diagram. The SWOT quadrant shows that the coordinate point (−9.4; −6.9) falls in Quadrant IV (Weakness–Threat), indicating the dominance of internal weaknesses and external threats in accelerating stunting reduction. This position suggests that the most appropriate approach is a defensive strategy: addressing mothers’ low knowledge through education delivered by health centers (puskesmas) and community health volunteers (cadres); establishing a routine schedule for counseling, home visits, and cadre-based education activities led by environmental health cadres; strengthening monitoring and evaluation of STBM and SKAMRT through a simple reporting system supported by cadres; and addressing limited education budgets through collaboration with village funds to reinforce support for STBM and SKAMRT programs and to support the construction of improved, adequate latrine.
The Effect of Implementing an Electronic Medical Record (EMR) System on Patient Data Management at the Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai in 2025 Anna Ivra Soleliza Jones; Felix Kasim; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1h37da70

Abstract

The Electronic Medical Record (EMR) system is a crucial component in improving the quality of healthcare services through fast, accurate, and integrated patient data recording. The Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai has fully implemented the EMR system; however, its implementation still faces several challenges, including limited computer devices, network disruptions, unstable electricity, and variations in users’ ability to operate the system, which may affect the effectiveness of patient data management. This study aims to analyze the effect of EMR implementation on patient data management, including time efficiency, data accuracy, cost savings, and healthcare workers’ satisfaction. This research employed a quantitative approach with a descriptive-analytic design, involving a sample of 38 healthcare workers representing the total population of EMR users. Data were collected using a Likert-scale questionnaire that had been tested for validity and reliability, supported by observation. Data analysis was conducted using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis using multiple linear regression. The results showed that EMR implementation was significantly associated with time efficiency, data accuracy, cost savings, and healthcare workers’ satisfaction (p < 0.05). Regression analysis indicated that data accuracy and time efficiency were the most dominant variables contributing to improved patient data management. It can be concluded that the implementation of the EMR system has a significant effect on patient data management at the Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai. Therefore, improvements in technological infrastructure, routine training, and handling of technical obstacles are needed to optimize EMR utilization and maximize its impact on healthcare service quality.
Comparative Study of World Health Organization Recommended Smallpox Vaccine to Prevent Monkeypox Reas Najla Anugrah; Ahsanal Kasasiah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0ejez036

Abstract

Background: Monkeypox is a zoonotic disease caused by the monkeypox virus (MPXV) from the Orthopoxvirus genus and has shown a global increase in cases since 2022. Currently, no specific vaccine is available; however, smallpox vaccines provide cross-protection and are recommended by the World Health Organization (WHO) for prevention. Objective: This review aims to compare the efficacy and safety of WHO-recommended smallpox vaccines (MVA-BN, LC16m8, and ACAM2000) in preventing monkeypox. Methods: This literature review searched Google Scholar and Publish or Perish with the keywords “monkeypox vaccine”, “MVA-BN,” “LC16,” “ACAM2000,” “efficacy,” and “safety.” Articles published between 2015 and 2025 were included. Of 155 identified records, 9 met the inclusion criteria and were analyzed. Results: All vaccines were effective in preventing monkeypox through humoral and cellular immune responses. MVA-BN showed the highest efficacy and best safety profile, while LC16m8 provided long-term protection with mild adverse effects. ACAM2000 was effective but associated with mild cardiovascular adverse events, limiting its use in certain populations. Conclusion: WHO-recommended smallpox vaccines are effective and relatively safe, with MVA-BN considered the most optimal option. Further development of monkeypox-specific vaccines using mRNA and DNA technologies is needed, as these platforms allow more specific antigen targeting and may enhance immune response and safety.
Socioeconomic Analysis of the Utilization of Health Facilities for Outpatient Care in West Java Province: Analysis of 2024 SUSENAS Data Jati Setyo Dwi Susanti, Jati Setyo Dwi Susanti; Kurnia Sari; Salma Nusaiba
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/vt9v8r11

Abstract

This study aims to analyze the influence of socioeconomic factors on the utilization of health facilities for outpatient care in West Java Province. A quantitative approach with a cross-sectional design was employed using data from the 2024 National Socioeconomic Survey (SUSENAS). The study sample consisted of 9,523 individuals. Data analysis was conducted descriptively, bivariately using the chi-square test, and multivariately using binary logistic regression. The results indicate that age, employment status, economic status, and health insurance ownership have a significant effect on the utilization of outpatient services. Individuals of productive and older age, those who are employed, with higher economic status, and possessing health insurance are more likely to utilize outpatient services. In contrast, education level does not show a significant effect. These findings confirm that socioeconomic factors remain key determinants in the utilization of health services; therefore, health policies should focus on reducing economic and structural barriers to promote equitable access to care.
Effectiveness of Tuberculosis Financing on Reducing Tuberculosis Incidence in Asia and Africa: A Systematic Review Salma Nusaiba; Budi Hidayat; Mufti As Siddiq M Irzal; Anggie Hardiyanti; Jihannisa Aurellia Suharno
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4mvhff85

Abstract

Tuberculosis (TB) remains a significant global health burden, particularly in Asia and Africa, which account for the majority of TB cases worldwide. Financing gaps, limited financial protection mechanisms, and dependence on international donors continue to pose major challenges to achieving the 2030 TB elimination targets. Catastrophic costs among households affected by TB remain high, especially in low- and middle-income countries across these regions. Objective: This systematic review aims to assess the effectiveness of TB financing in supporting various TB control program scenarios and its impact on reducing TB incidence in countries across Asia and Africa. Methods: The study was conducted in accordance with PRISMA 2020 guidelines. Literature searches were carried out in four international databases (PubMed, Scopus, ScienceDirect, and ProQuest) for publications from 2014 to 2024. Of the 2,227 identified articles, 29 studies met the inclusion criteria. The included studies comprised economic evaluations (cost-effectiveness and cost-utility analyses), cohort studies, randomized controlled trials, and cross-sectional studies. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Results: The synthesis indicates that TB financing from multiple sources—such as central government Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the original work is properly cited.budgets and international donors (Global Fund, WHO, USAID, UNICEF, Global Drug Facility/GDF, TB REACH/Stop TB Partnership, PEPFAR, the Bill and Melinda Gates Foundation, the UK Department for International Development), as well  as World Bank loans—has supported the implementation of various TB control strategies. These include shorter treatment regimen trials in India, incentive-based active case finding in Pakistan, and community-based care models in South Africa. Such financing mechanisms contributed to increased case notification rates, improved treatment success, and reductions in TB incidence. However, catastrophic costs persist, primarily due to income loss and transportation expenses. The sustainability of TB programs in Asia and Africa depends largely on increased domestic financing, strengthened social protection mechanisms, and more efficient fund allocation through strategic purchasing approaches

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