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J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health)
Published by Universitas Teuku Umar
ISSN : 23550643     EISSN : 23550988     DOI : -
Core Subject : Health,
Public Health
J-Kemas is a biannual scientific journal focused on issues related to public health, such as (but not limited to) health services and policy, environment and sanitation, social environment and behavior, epidemiology and biostatistics, public health practices, occupational health, child and maternity, and nutrition. Articles based on research, literature review, position papers, or commentary papers are welcome to be published either in April or October. J-Kemas was first published in 2015 in a printed version registered with an ISSN. To support the dissemination of knowledge, J-Kemas is available online (open access) since 2019.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 145 Documents
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Characteristics of Patients with Positive Cervical Cancer Screening using Visual Inspection with Acetic Acid (VIA) in Bantul District 2023: A Descriptive Study Firdaus, Muhammad Reza; Rohmah, Nilna Sa'adatar; Aryanto, Samsu; Wiratama, Bayu Satria
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11337

Abstract

Background: Cervical cancer is the second leading cause of death in Indonesia and is one of the largest burdens on health costs. This study aims to determine the distribution of characteristics of positive cervical cancer screening patients in the Bantul District. Method: A descriptive study using data from cervical cancer screening reports at Bantul District Health Office in 2023 was conducted to observe treatment outcomes, demographic factors (education, age, working status, marital status, and address), nutritional status, and behavior. Cervical cancer screening was done using Visual Inspection with Acetic Acid (VIA). Proportions were calculated for univariate analysis. Results: There were 1,587 females screened and 40 people (2,5%) were positive. Among those positive cases, only 7.5% received cryotherapy and 55% were referred to other health centers (either primary centers with cryotherapy facilities or secondary centers for further treatment). Most of positive cases married (25/25; 100%), non-drinker of alcohol (25/25; 100%), non-smoker (25/25; 100%), had high education levels (17/23; 73.9%), overweight (15/22; 68.2%), 20-44 years old (26/40; 65%), were not working (16/25; 64%), did not regularly consume fruits and vegetables (16/25; 64%), and active physical activity (13/25; 52%). There were variables with missing data ranging from 37.5% to 45%, with the variable that had the most missing data being BMI, while the variable with the most complete data was age. The positive cases were distributed across 9 sub-districts (52,9%). Conclusion: The majority of positive cases were married, non-drinkers of alcohol, non-smokers, higher education levels, overweight, 20-44 years old, not working, unhealthy dietary habits, active physical activity, and 37.5% unknown follow-up. These findings underline the need for targeted interventions to improve follow-up care and conduct follow-up studies regarding risk factors of cervical cancer.
Factors Related with Musculoskeletal Disorders on Garbage Carrier Workers Annisa, Yunia Zahra; Firdani, Fea; yani, Fitri
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11632

Abstract

Garbage collectors carry out manual work that requires physical strength when lifting and moving rubbish, which puts them at risk of experiencing Musculoskeletal Disorders complaints. Based on preliminary studies, 70% of waste collection officers in Padang City 2023 will experience serious MSD complaints. This research aims to determine the factors related to MSD complaints among waste collection officers in Padang City. This research used a cross-sectional design conducted from January to July 2023 with a population of 131 people and a sample of 62 people selected using Accidental Sampling. Data analysis techniques use univariate analysis, bivariate analysis (chi-square), and multivariate (multiple logistic regression). 61.3% of workers experienced complaints of severe MSDs, 61.3% had age at risk, 32.2% had abnormal BMI, 54.8% had long working periods, 79% had unergonomic working postures, and 53.2% had moderate physical workload. Variables related to MSDs were age (p=0.000), years of work (p=0.000), work posture (p=0.004), and physical workload (p=0.026). Variables unrelated to MSD complaints were (p=0.893) and repetitive movements (p=0.448). The most dominant variable related to MSD complaints was length of service (p=0.008). There is a relationship between age, years of work, work posture, and physical workload with MSD complaints. The working period is the most dominant variable related to MSD complaints. We hope that workers carry out routine muscle stretching before work and provide education on ergonomic working methods for garbage carrier workers.
The Utilization of Digitalization in Mental Health Screening: Literature Review Farida, Noor; Adisasmito, Wiku
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11652

Abstract

Background: Mental health disorders are one of the contributors to public health problems. Delays in providing mental health services are a major problem in treatment, which is caused by negative stigma from society if someone seeks mental health services. Digitalization in mental health screening is one way that makes early detection of mental health easier. Objective: This paper reviews scientific evidence regarding the use of digitalization in mental health screening. Method: This article was written based on a search for scientific journals carried out through online databases, namely Scopus, Proquest, PubMed, and Scholar, which were published in 2019-2025. Results: Utilization of mental health digitalization can help in early detection and prevent delays in providing mental health services. However, in its use, there are obstacles so that the application is less popular with the public, namely related to lack of trust in the security of personal data in the application, complexity in access, and content that users do not understand. Conclusion: The use of digitalization in mental health screening is an innovation that can improve mental health services, but collaboration from various scientific fields is needed to pay attention to the needs and abilities of users from various aspects.Keywords: Mental Health; Screening; Digitalization.
Analysis of Tuberculosis Control Program (Case Detection): Literature Review Aprilia, Reka; Nadjib, Mardiati
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11781

Abstract

To date, tuberculosis remains an infectious disease that can cause health problems in the community. In addition to increasing health risks, TB disease has an impact on the economy of a country and its sufferers. This is certainly hard for a developing country like Indonesia, which is still struggling in many ways besides TB disease. TB disease is an infectious disease caused by Mycobacterium Tuberculosis. TB case finding has the meaning of obtaining an overview through various activities including screening for suspected TB, physical and laboratory monitoring, diagnosing and categorizing the type of patient, so that treatment can be carried out as early as possible so that the patient can recover immediately and not spread to others. There are many factors that can affect the success of the tuberculosis program itself, one of which is the factor in management which includes input, process, output. Objective: This paper examines scientific evidence related to the implementation of the tuberculosis program in case detection. Methods: This article is based on a search of scientific journals conducted through online databases namely Scopus, Semantic, PubMed and Scholar published in 2020-2025. Results: In terms of TB case finding, there are many needs that must be carried out in an effort to get TB cases at health facilities. However, there are obstacles in its implementation, including lack of human resources, ineffective planning, and not optimal recording and reporting systems. Conclusion: efforts in TB case finding are highly dependent on the suitability and integration of available inputs, quality in the implementation process, and clear measurement of outputs. Therefore, efforts to improve program effectiveness require improvements in the management of inputs (such as resources and policies), optimization of processes (including more efficient detection and treatment), and continuous evaluation of outputs in TB case finding. Keywords: Tuberculosis, Case Detection, Indonesia 
Evaluation of Cervical Cancer Screening System using Visual Inspection with Acetic Acid (VIA) Method in Bantul District 2023 Rohmah, Nilna Saadatar; Firdaus, Muhammad Reza; Aryanto, Samsu; Wiratama, Bayu Satria
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.12087

Abstract

Background: Cervical cancer remains a significant public health challenge globally, particularly in Indonesia, where it disproportionately affects women of various age groups.  This study aims to evaluate the cervical cancer screening surveillance system in Bantul District in 2023, a region chosen for its low cervical cancer screening coverage and its significance as a representative area for rural public health challenges in Indonesia. Method: This descriptive study uses secondary data from the Visual Inspection with Acetic Acid (VIA) screening report conducted at Public Health Centers (PHCs) in Bantul District. The evaluation focuses on core functions (case detection, registration, reporting) and surveillance quality (completeness of data and reporting from PHCs). Results: Data were analyzed descriptively using percentages and frequencies. There were 27 PHCs, and 92,59% reported screening results. Jetis II PHC reported the highest screening coverage (9.60%) and Kasihan II PHC recorded the highest positive cases (21,15%).  24 PHCs (96%) used the patient registration form provided by the Health Office. Of 2.321 screened women, 52 were reported positive with 51.9% of cases having no follow-up records. The completeness of reporting from PHCs reached 95.68%, while the completeness of data averaged 61.76%, with a range of 4.35%-100%. Conclutions: The study relied on secondary data, which limited the ability to explore in-depth contextual factors and stakeholder perspectives, emphasizing the need for qualitative follow-up to enhance understanding. Capacity building of health workers in screening and reporting is required along with the development and implementation of Standard Operating Procedures (SOPs), which is critical to improving the program.
COVID-19 VACCINE SRATEGIES AND POLICIES IN UPPER-MIDDLE INCOME AND UPPER INCOME COUNTRIES IN ASEAN Zurlina, Cut Falia
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11740

Abstract

Covid-19 vaccination is one of an effort to prevent and break the chain of transmission. Until July 2024, Covid-19 positive cases reached 775.686.716 with total 7.054.093 deaths. Every country has their own strategies and policies to reduce the number of transmissions. The purpose of this study is to analysing vaccination strategies and policies in ASEAN country members that categorized in UIC and UMIC group, Brunei Darussalam, Singapore, Malaysia, Indonesia, and Thailand. The method in this study is using literature study and documenta analysis that related to this topic which can be accessed publicly, such as statistical data and government documents. Based on the results, the five countries have some similarities in vaccination strategies and policies. This happened because of there is a collaborative action plan within ASEAN country members and be adapted by all countries. However, there are still several countries that have not complied vaccination target of WHO, 70%.
FACTORS INFLUENCING MATERNAL ACTIONS TOWARDS CIRCUMCISION IN GIRLS IN PASAR PARGARUTAN VILLAGE, ANGKOLA TIMUR DISTRICT, SOUTH TAPANULI REGENCY sihombing, eni monaliska; Ibrahim, Ibrahim
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.12119

Abstract

Health is a fundamental human right and a key factor in determining the quality of human resources (HR). One factor influencing women’s health status is the maintenance of reproductive organ health, particularly the genital organs. However, one practice still carried out in the name of maintaining genital health is female circumcision (sirkumsisi). Female circumcision, also referred to as female genital cutting or female genital mutilation (FGM), is a tradition that has long existed in certain communities.The objective of this study was to identify the factors influencing mothers' decisions to circumcise their daughters in Kelurahan Pasar Pargarutan, Kecamatan Angkola Timur, Kabupaten Tapanuli Selatan.This was a descriptive correlational study using a cross-sectional approach. The total population consisted of 58 individuals, and the sampling technique used was total population sampling, meaning all 58 participants (third-year female students) were included. The analysis was carried out using logistic regression testing.Findings is The variables found to significantly influence mothers’ decisions to circumcise their daughters were Knowledge (p = 0.024 < 0.05), Medical support (p = 0.037 < 0.05). The variables found to have no significant influence were Attitude (p = 0.298), Family support (p = 0.837), Community leader support (p = 0.851), Religion (p = 0.092).Conclusion: The study concludes that only knowledge and medical support significantly influence a mother’s decision to perform circumcision on her daughter. Therefore, it is recommended that health workers increase efforts in educating the community about female circumcision, including the risks and the fact that it is prohibited by the government, so that the public can better understand the harmful consequences of this practice.Keywords: Knowledge, Attitude, Family Support, Medical Support, Support from Community and Religious Figures
THE INFLUENCE OF CONDOM USE SOCIALIZATION ON THE KNOWLEDGE AND ATTITUDES OF FEMALE COMMERCIAL SEX WORKERS IN THE PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS IN HELVETIA SUBDISTRICT, MEDAN, 2024 Simanungkalit, Ermita Silvana Putri; Duana, maiza
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.12122

Abstract

Health is a gift that must be acknowledged and maintained throughout life. Health improvement can be achieved by maintaining a proper diet, healthy lifestyle, and positive behavior. Health promotion includes both the prevention and treatment of diseases. One commonly encountered condition is Sexually Transmitted Infections (STIs), which are diseases primarily spread through sexual contact.STIs rank among the top ten causes of discomfort and disease in both men and women. The occurrence of STIs is largely due to the low usage of condoms, particularly among female sex workers. The objective of this study is to examine the effect of condom use socialization on the knowledge and attitudes of female commercial sex workers in the prevention of sexually transmitted infections in Helvetia Subdistrict, Medan, in 2023.This research uses a pre-experimental method with a one-group pre-test and post-test design. The sample was selected using the total sampling technique, meaning the entire population was used as the sample, totaling 30 individuals. The data were analyzed using a One-Group T-Test Experimental method.The results of the study showed a significant impact of condom use socialization on the knowledge of female sex workers in STI prevention, with a T-test result of 0.000. Similarly, the influence on attitudes showed the same result, 0.000, indicating a statistically significant impact.The conclusion of this study is that there is a significant effect of condom use socialization on the knowledge and attitudes of female commercial sex workers in STI prevention in Helvetia Subdistrict, Medan, in 2023. Based on these findings, it is recommended that health workers increase the frequency of educational outreach efforts, particularly focusing on STI prevention among female sex workers through consistent condom use.
Factors Influencing Blood Pressure Variability in Hemodialysis Patients Irasahwadi, Irasahwadi; Andriani, Rizki; Afrizal, Afrizal; Qaribi, Mahanta
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 2 (2025): October 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i2.12447

Abstract

Background: Blood pressure changes during hemodialysis are a common complication and can profoundly impact patient safety and quality of life. Various factors such as individual characteristics, technical aspects of the dialysis procedure, and psychological conditions are suspected to contribute to these blood pressure variability. Objective: This study aims to analyze the relationship between age, dialysis vintage, interdialytic weight gain (IDWG), blood flow rate (BFR), and stress levels with blood pressure variability in hemodialysis patients. Methods: This study uses a cross-sectional design with a quantitative approach. Fifty hemodialysis patients who met the inclusion criteria were selected as respondents. Data were collected through clinical dialysis observation sheets, pre-post dialysis blood pressure measurements, and stress level questionnaires. Data analysis was performed using the chi-square test. Data analysis was performed using the chi-square test. Results: The results showed that 54% of patients experienced changes in blood pressure after hemodialysis. There was a significant relationship between age (p = 0.008), IDWG (p = 0.003), BFR (p = 0.027), and stress levels (p = 0.002) with changes in blood pressure. Meanwhile, the dialysis vintage did not show a significant relationship (p = 0.569). Conclusion: Variability in blood pressure during hemodialysis are influenced by physiological, technical, and psychological factors. Managing hemodialysis patients requires a holistic and individual approach, including IDWG management, BFR adjustment, and stress management. Further research is recommended with a longitudinal design and a larger sample coverage.
Evaluation of Microbiological Quality and Hazardous Food Additives in Elementary School Snacks in Samarinda City, Indonesia Pasiakan, Meli; Wisnuwardani, Ratih Wirapuspita; Kamaruddin, Iriyani; Amir, Maryam
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 2 (2025): October 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i2.13392

Abstract

Background/Objectives: School snacks are an important source of energy and nutrients for children, but they may pose biological and chemical safety risk if not properly controlled. This study aimed to identify the presence of Escherichia coli, salmonella and hazardous food additives, including borax, formalin, rhodamine B and methanil yellow in school snacks sold around SDN 005 Dr.Sutomo Samarinda Ulu.Design/Methods: A descriptive cross-sectional design was conducted with sampling from in three school canteens and two street vendors. A total of 12 food and beverage samples were examined at Samarinda City Regional Health Laboratory. Microbiological tests were performed using the multiple-tube fermentation method, while chemical testing were conducted using qualitative methods. Results : Laboratory analysis showed that all samples tested negative for E.coli and Salmonella. Furthermore, chemical analysis confirmed the absence of borax, formalin, rhodamine B, or methanil yellow in all samples. These findings suggest that the school snacks tested from both microbiological contamination and prohibited chemical additives.Conclusion : School snacks sold around the SDN 005 Dr.Sutomo Samarinda Ulu are relatively safe for children’s consumption. The findings also reflect the effectiveness of school and health center supervision in ensuring food safety. However, continuous monitoring and education remain essential to sustain safe food practice among students and vendors.

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