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J-KESMAS: Jurnal Kesehatan Masyarakat
Published by Universitas Al Asyariah Mandar
ISSN : 24428884     EISSN : 25414542     DOI : -
Core Subject : Health,
Health Professions Public Health
J-KESMAS: Jurnal Kesehatan Masyarakat merupakan jurnal dari Fakultas Kesehatan Masyarakat Universitas Al Asyariah Mandar. Terbit berkala enam bulan sekali (Semester). Sebagai wahana komunikasi insan akademik dalam bidang Kesehatan Masyarakat dan Kesehatan Lingkungan.
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Articles 162 Documents
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HUBUNGAN JUMLAH ANGKA LEMPENG TOTAL DENGAN JUMLAH ANGKA ENDOTOKSIN PADA AIR REVERSE OSMOSIS HEMODIALISA Rita Yuliati; Misbahul Subhi; Ike Dian Wahyuni
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (2025): J-KESMAS Volume 11 Nomor 2, November 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v11i2.6546

Abstract

Reverse Osmosis water is a major component in the hemodialysis process, acting as a solvent for dialysate fluid. The microbiological quality of Reverse Osmosis water significantly impacts patient safety, particularly with regard to endotoxin contamination originating from the cell walls of Gram-negative bacteria. This 2025 study aimed to analyze the relationship between total plate count (ALT) and endotoxin levels in Reverse Osmosis water in the hemodialysis unit of Hospital X, Mojokerto City. This study used an analytical observational design with a cross-sectional approach. Samples were obtained from a single location, namely water produced by the Reverse Osmosis machine that was ready to be flowed into the hemodialysis machine. Sampling was carried out 20 times, 10 samples of Total Plate Count and 10 samples of Endotoxin for five consecutive days at two different times each day, namely the morning shift (around 08.00–10.00) and the afternoon shift (around 13.00–15.00). ALT was examined using the pour plate method, and endotoxin levels were measured with the Nexgen device using the chromogenic LAL method. Based on the Spearman test results, a correlation coefficient (r) value of -0.518 was obtained with a significance value (p) of 0.125 (p > 0.05), which indicates that there is a moderate negative relationship between ALT and endotoxin levels, but this relationship is not statistically significant at the 95% confidence level (α = 0.05). Therefore, in this study, changes in the Total Plate Count (ALT) did not affect the amount of endotoxin. 
ASUPAN ZAT GIZI MAKRO DAN SCREEN TIME BERKORELASI DENGAN STATUS GIZI PADA REMAJA SMAN 1 KRIAN Annisa Rindy Antika; Cleonara Yanuar Dini
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 11, No 1 (2025): J-KESMAS Volume 11 Nomor 1, Mei 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v11i1.6054

Abstract

Nutritional status adolescents is an important indicator in supporting optimal health and growth. Nutritional status is influenced by various factors, including macronutrient intake and screen time. This study aims to determine the relationship between macronutrient intake and screen time with the nutritional status of adolescents at SMAN 1 Krian. The method used in this study was quantitative, with a cross-sectional design, conducted in July-August 2024 with a sample of 103 participants. Data were obtained through 2x24-hour food recall questionnaire interviews and screen time questionnaires, as well as height and weight measurements.. The data analysis technique used was the Pearson Correlation Test. This study showed that 96.1% of adolescents had low carbohydrate intake, 51.5% low protein intake, 64.1% low fat intake, 68% high screen time duration, and 66% normal nutritional status. It was concluded that macronutrient intake (p<0.05) and screen time (p= 0.000; r=0.624) correlated with nutritional status in adolescents at SMAN 1 Krian. Therefore, food intake and screen time duration in adolescents need to be considered to achieve optimal nutritional status.
GAMBARAN PENGETAHUAN IBU HAMIL TERHADAP UPAYA PENCEGAHAN STUNTING DI WILAYAH KERJA PUSKESMAS WONOMULYO Arfan, Farmin; Nur, Hamdan; Ayuni, Sri
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2026): J-KESMAS Volume 12 Nomor 1, Mei 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v12i1.7224

Abstract

Stunting is still a chronic nutritional problem in Indonesia. This study aimed to describe pregnant women’s knowledge of stunting prevention in the working area of Wonomulyo Health Center. A quantitative descriptive design was used with 39 respondents selected by purposive sampling. Data were collected using questionnaires and analyzed univariately. The results showed that most respondents had good (51.3%), moderate (30.8%), and low (17.9%) knowledge. In conclusion, most pregnant women have good knowledge about stunting prevention, but continuous health education is still needed. 
GAMBARAN PENGETAHUAN IBU HAMIL TENTANG KURANG ENERGI KRONIS Idawati Ambohamsah; Farmin Arfan; Siti Aulia Farhana
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (2025): J-KESMAS Volume 11 Nomor 2, November 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v11i2.6253

Abstract

Maternal nutritional status before and during pregnancy is very important for fetal growth. If the mother's nutrition is good during pregnancy, it is likely that the baby will be born healthy. Lack of nutritional intake, such as Chronic Energy Deficiency (CED), can have a negative impact on the health of the mother and fetus. Therefore, it is important to pay attention to nutrition from the beginning of pregnancy until the beginning of the baby's life. Chronic Energy Deficiency (CED) in pregnant women can cause risks and complications for the mother, including: the mother not gaining weight normally, anemia, bleeding, and contracting infectious diseases. The World Health Organization (WHO) states that the prevalence of CED in pregnancy globally is 35% -75%. WHO also notes that 40% of maternal deaths in developing countries are related to KEK. Based on 2018 Riskesdas data, West Sulawesi Province has a prevalence of CED in pregnant women of 17.53%. The three districts with the highest percentage of KEK are Central Mamuju District (41.33%), Mamasa District (31.84%), and Polewali Mandar District (25.8%). This study employs a descriptive methodology with questionnaire-based data gathering procedures to pregnant women in the Massenga Community Health Center working area. The aim is to identify and describe the level of knowledge of pregnant women about CED. Data was examined using factors like age, education, employment, and mother's parity. Research shows that the level of knowledge of pregnant women about CED varies. The majority of respondents had good knowledge (70.0%), sufficient knowledge (23.3%), some still had low knowledge (6.7%). Factors that influence pregnant women's knowledge about KEK include education level and employment. Higher education and certain occupations tend to increase mothers' knowledge of SEZs.  
LITERATURE REVIEW: ANALISIS BIAYA MANFAAT PENGARUH PENGGUNAAN ALAT BANTU MANUAL PATIENT HANDLING TERHADAP RISIKO MUSCULOSKELETAL DISORDERS Maarifah Dahlan
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2026): J-KESMAS Volume 12 Nomor 1, Mei 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v12i1.7207

Abstract

Musculoskeletal Disorders (MSDs) are common occupational health problems experienced by healthcare workers, particularly nurses, due to manual patient handling activities involving high biomechanical loads. These conditions may lead to musculoskeletal pain, decreased productivity, work absenteeism, and increased healthcare costs. This literature review aimed to analyze the effectiveness of manual patient handling assistive devices in reducing the risk of MSDs and to examine the concept of cost-benefit analysis in workplace ergonomic implementation. Literature searches were conducted through PubMed and Google Scholar using the keywords “Manual Patient Handling,” “MSDs,” and “Cost Benefit Analysis.” The selected articles were relevant scientific publications from the last ten years. The findings showed that the use of assistive devices such as exoskeletons, robotic transfer systems, air-assisted devices, wearable lift-assist vests, and patient-handling technology could reduce biomechanical loads, excessive muscle activity, and the risk of MSDs among healthcare workers. In addition to improving occupational safety and comfort, these devices also have the potential to enhance service efficiency. However, their implementation still faces challenges, including high procurement costs, training requirements, and limited healthcare facilities. Cost-benefit analysis is an important approach for assessing the feasibility of ergonomic implementation in supporting occupational safety and healthcare worker productivity.Keywords: Manual Patient Handling, Musculoskeletal Disorders, ergonomics, healthcare workers, cost-benefit analysis.
PERAN KADER DALAM PEMANTAUAN KESEHATAN MASYARAKAT DI POSYANDU Yuniati Yuniati; Lina Handayani; Heni Trisnowati
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (2025): J-KESMAS Volume 11 Nomor 2, November 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v11i2.6504

Abstract

Health cadres play a vital role in monitoring community health at Posyandu, particularly in promoting better living condition mothers and children at the community level. This papper focus on review the role of health caders in health monitoring. A literature study was conducted on articles published between 2019–2024, analyzing articles from electronic databases such as Google Scholar, PubMed, and Semantic Scholar. After sorting based on inclusion and exclusion criteria, ten relevant articles were selected for further analysis. The study results indicate that Posyandu cadres have significant roles in early disease detection, health data collection, community education, health program implementation, and case referrals to health facilities. However, challenges such as inadequate training, limited resources, and low community participation hinder the optimization of cadre roles. Continuous training support, adequate facilities, and supervision are needed to enhance the effectiveness of health cadres in strengthening primary health systems. This study highlights the importance of health cadres as the forefront of community-based health services in supporting national health programs, particularly in reducing maternal and infant mortality rates. 
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA DI WILAYAH KERJA PUSKESMAS PASIR PUTIH KABUPATEN KOTAWARINGIN TIMUR Syahla Aryza Zaharani
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 11, No 1 (2025): J-KESMAS Volume 11 Nomor 1, Mei 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v11i1.6055

Abstract

Breast milk is the best intake for babies during the first six months of life, as it contains all the nutrients necessary for optimal growth and development. This study aims to identify the factors that affect exclusive breastfeeding in the working area of the Pasir Putih Health Center, Kotawaringin Timur Regency. Using a cross-sectional study, data was collected from 104 mothers who had babies aged 6-24 months through questionnaires and tests. Data analysis was carried out using a univariate and bivariate approach (chi-square test). The results of the study showed that only 40.4% of mothers provided exclusive breastfeeding. Maternal education factors (p=0.002), maternal knowledge (p=0.000), maternal attitude (p=0.000), IMD (p=0.000), maternal health (p=0.000) and family support (p=0.000) showed a significant relationship with exclusive breastfeeding, maternal employment factors (p=0.345) and childbirth assistants (p=1,000) did not show a significant relationship with exclusive breastfeeding.
CORRELATION BETWEEN LENGTH OF SERVICE AND CHROMIUM LEVELS IN URINE OF WELDING WORKSHOP WORKERS Arya Hafidh Fauzan; Isnin Aulia Ulfah Mu&#039;awanah; Sri Martuti
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2026): J-KESMAS Volume 12 Nomor 1, Mei 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v12i1.6894

Abstract

Welding is an industrial activity with a risk of exposure to hexavalent chromium (CrVI). Chromium levels are monitored through urine because the kidneys are the main route of excretion, so urine levels reflect the body's exposure levels. Specimens were collected through spontaneous urination in the morning using the midstream method. This study aimed to determine the relationship between work duration and urinary chromium levels in welding workshop workers. The study was conducted in seven welding workshops in four subdistricts in the Special Region of Yogyakarta using a cross-sectional design with an observational analytical approach. A total of 18 workers met the criteria as respondents. Morning urine samples were analyzed using graphite furnace atomic absorption spectrophotometry (GF-AAS) because the concentration is more concentrated and able to describe chromium accumulation. The analysis was performed descriptively and with Pearson's correlation test. The results showed no significant relationship between length of service and urinary chromium levels (p=0.078), although a moderate positive correlation was observed (r=0.427). The study concluded that length of service was not significantly related to urinary chromium levels. Further studies involving larger samples and considering confounding variables are recommended.
Hubungan Pengetahuan dan Sikap Keluarga dengan Tingkat Kepulihan Pasien ODGJ yang Dirawat di Rumah Wilayah Kerja Puskesmas Sendana I Tahun 2025 Aisyah, Nur; Pattola, Pattola; Afni, Nur; Immawanti, Immawanti
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2026): J-KESMAS Volume 12 Nomor 1, Mei 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v12i1.7245

Abstract

Mental disorders remain a serious health problem because they can affect patients’ social functioning, emotional condition, and quality of life. In the recovery process of People with Mental Disorders (PMD), family plays an important role as the main support system through their knowledge and attitudes toward patient care. This study aimed to determine the relationship between family knowledge and attitudes with the recovery level of PMD patients treated at home in the working area of Sendana I Public Health Center. This study used a quantitative analytic design with a cross-sectional approach. The sample consisted of 34 respondents selected using the Slovin formula. Data were collected using questionnaires and analyzed using Fisher’s Exact Test with a significance level of α=0.05. The results showed that most respondents had poor knowledge, accounting for 20 respondents (58.8%), while 26 respondents (76.5%) had positive attitudes. Most patients had a low recovery level, accounting for 13 respondents (38.2%). Statistical analysis showed a significant relationship between family knowledge and the recovery level of PMD patients with p=0.001, and a significant relationship between family attitudes and the recovery level of PMD patients with p=0.001. This study concludes that better family knowledge and more positive family attitudes are associated with better recovery levels among PMD patients treated at home
EVALUASI EFEKTIVITAS PENGGUNAAN MOBILE JKN DALAM PELAYANAN PASIEN RAWAT JALAN DI RSUD HAJJAH ANDI DEPU KABUPATEN POLEWALI MANDAR Putri, Andi Masyita; Gobel, Fatmah Afrianty; Rusydi, Arni Rizqiani
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2026): J-KESMAS Volume 12 Nomor 1, Mei 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v12i1.6949

Abstract

The digital transformation of health services through the Mobile Jaminan Kesehatan Nasional (JKN) application aims to improve administrative efficiency, reduce waiting times, and enhance patient satisfaction. However, its implementation in regional hospitals still faces challenges related to system integration, infrastructure readiness, and users’ digital literacy. This study aimed to analyze the effectiveness of Mobile JKN usage in outpatient services at RSUD Hajjah Andi Depu, Polewali Mandar Regency. A qualitative case study design was employed using the Donabedian framework (structure–process–outcome). Data were collected through non-participant observation, in-depth interviews, and document review. The results indicated that Mobile JKN improved administrative efficiency and queue management for online users, yet the average waiting time remained above service standards due to unsynchronized online and manual queues, network instability, and limited digital literacy among some patients. In conclusion, Mobile JKN has the potential to enhance outpatient service effectiveness when supported by system integration, stable network infrastructure, clear service standard operating procedures, and digital literacy education.

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