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KESANS : International Journal of Health and Science
Published by Cv.Rifainstitut
ISSN : 28087380     EISSN : 28087178     DOI : https://doi.org/10.54543/kesans.v1i1.2
Core Subject : Health, Science,
Chemistry Health Professions Medicine & Pharmacology Physics Public Health
KESANS : International Journal of Health and Science provides a means for ongoing discussion of the relevant issues that fall within the focus and scope of the journal that can be examined empirically. This journal publishes research articles in the medicine, Nursing, Midwifery, Public Health, Health Technology, Occupational Health and Safety, Pharmacy, and physiotherapy. Articles published are the results of research, studies or scientific studies on important and current issues or scientific book reviews.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 507 Documents
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Occupational Noise Exposure in Open-Pit Coal Mining: Implications for Auditory Health, Safety Risks, and the Need for Real-Time Monitoring Adenan, Adenan; Yamin, Imam Syahputra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.562

Abstract

Introduction: Noise is a dominant physical hazard in the mining industry that is often overlooked, despite its significant impact on auditory health and occupational safety risks, including fatigue and accidents. Objective: This study aims to identify the profile of noise exposure, analyze its impact on workers' hearing function and safety risks, and formulate optimal control strategies at a major coal mining services company. Methods: A descriptive observational case study was conducted in August 2025 at critical operational areas (Pit Road and Workshop). Primary data were collected using a calibrated Sound Level Meter referring to SNI 7231:2009 standards, while secondary data were obtained from workers' audiometric Medical Check-Up (MCU) results. Results and Discussion: Measurements indicated that 80% of sample points exceeded the Threshold Limit Value (85 dBA), with the highest intensity reaching 98 dBA in the Workshop area. MCU analysis revealed a prevalence of hearing impairment indications of 35% among operators with a service period of >5 years. High noise levels were also identified as potential factors reducing vigilance and hindering operational communication. Conclusion: Current administrative controls and the use of Personal Protective Equipment (PPE) are insufficient in reducing risks. The study recommends a transition towards technology-based continuous noise monitoring (IoT) and the integration of health data for more proactive OHS risk management
Spatial Clustering and Hotspot Analysis of Dengue Fever in West Java Province, 2020–2024 Mardhiyah, Lailatul; Suhartono, Suhartono; Raharjo, Mursid; Wahyuningsih, Nur Endah; Sulistiyani, Sulistiyani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.563

Abstract

Introduction: Dengue fever, a vector-borne disease caused by the dengue virus (DENV) and transmitted by Aedes aegypti and Aedes albopictus mosquitoes, has become a major public health problem in West Java, Indonesia. Objective: This study aimed to map high-risk zones of dengue fever in West Java from 2020 to 2024 using spatial analysis techniques. Method: The study used confirmed dengue case data obtained from the West Java Health Profile and applied ArcMap version 10.5 for spatial mapping and analysis, including Global Moran’s Index, Getis-Ord Gi*, Local Indicators of Spatial Association (LISA), and hotspot analysis. Result and Discussion: The results showed a shift in the spatial distribution pattern of dengue cases from random in 2020 to significantly clustered in subsequent years. LISA analysis consistently identified high-high clusters in Bandung Regency, Bandung City, Bogor Regency, Bogor City, Depok City, and Bekasi City, indicating persistent spatial hotspots. Getis-Ord Gi* analysis further confirmed these hotspots with varying levels of statistical significance throughout the study period. Conclusion: These findings indicate the presence of endemic pockets and underscore the need for targeted public health interventions in high-risk areas. This study highlights the value of spatial analysis in understanding disease patterns and in informing evidence-based dengue control strategies in West Java.
The Onset of Lactation among Postpartum Mothers at Private Midwifery Practice Dwilda Ferdinandus, Euvanggelia; Dwi Jayanti, Ratna; Piesesha, Frieska; Zada Fauziyah, Nail Firah; Giyanti Putri, Pionera Seconda
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.557

Abstract

Introduction: The onset of lactation is the beginning of the breastfeeding process, marked by breast tenderness and the release of colostrum, which occurs ≤72 hours after delivery. Objective: This study aims to explore the onset of lactation in postpartum mothers at Private Midwifery Practices. Method: The study used a descriptive study method involving 83 postpartum mothers in 5 independent midwife practices in Surabaya. Statistical analysis used descriptive statistics through frequency distribution. Result and Discussion: Most postpartum mothers were in the reproductive age group (85.5%) and multiparous (73.5%). However, most postpartum mothers did not engage in Early Initiation of Breastfeeding immediately after giving birth (92.8%). Seventy-three percent of mothers had moderate knowledge about lactation, and 80.7% experienced a rapid onset of lactation. Conclusion: The onset of lactation is an important part that determines the success of breastfeeding to meet the nutritional needs of the baby
The Relationship Between Mother's History of Anemia and Chronic Energy Deficiency (CED) and The Incidence of Stunting in Toddlers Aged 0–59 Months Indah, Louise Kartika; Tampubolon, Christine Handayani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.565

Abstract

Introduction: Child growth and development are affected by stunting, a chronic nutritional problem that occurs primarily in communities with low nutritional levels. Maternal nutritional status during pregnancy is a major cause of stunting, including anemia and chronic energy deficiency. Objective:to determine the relationship between maternal anemia and CED history on stunting in toddlers aged 0–59 months. Method: The following study used an analytical design with a retrospective approach. Data were obtained from medical records at the Welamosa Community Health Center and analyzed using the Chi-Square test and logistic regression. Result and Discussion: Of the 147 respondents, 70.7% of toddlers experienced stunting. The analysis results showed that maternal anemia had a significant relationship with stunting (p-value = 0.000, OR = 6.507). CED in mothers also showed a significant relationship with stunting (p-value = 0.008, OR = 3.676). Multivariate analysis showed that anemia was the most dominant factor in stunting compared to CED. Mothers with a history of anemia and chronic kidney disease (CED) are at higher risk of giving birth to stunted children. Conclusions: more optimal nutritional interventions for pregnant women are needed through education, iron supplementation, and regular nutritional status monitoring to prevent stunting and improve maternal and child health
The Relationship Between Parental Knowledge About Stimulation and Child Development in Playgroup Classes in Bluru Kidul Village, Sidoarjo Setyowati, Dewi; Ragil, Rinez Ananda; Andriyanti, Andriyanti
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.566

Abstract

Introduction: Early childhood is a critical period for cognitive, language, motor, and social development. However, developmental problems remain a serious issue globally and in Indonesia. Objective: This study aims to analyze the relationship between parental knowledge about stimulation and child development in playgroup classes. Method: This analytical observational study used a cross-sectional design with 60 children and their parents from four early childhood education centers in Bluru Kidul Village, Sidoarjo. Parental knowledge was assessed using questionnaires, and child development was evaluated using the Pre-Screening Developmental Questionnaire (KPSP). Data were analyzed using Fisher's Exact Test. Results and Discussion: Most parents (51.7%) demonstrated good knowledge levels, and most children (73.3%) showed appropriate development. Fisher's Exact Test showed a significant association (p = 0.019) between parental knowledge and child development outcomes. Conclusion: There is a significant relationship between parental knowledge about stimulation and child development in playgroup-aged children. Strengthening parental knowledge and consistent stimulation practices are essential for optimal early childhood development
Knowledge and Premarital Sexual Behavior among Adolescents at Vocational High Schools in Surakarta: A Cross-Sectional Study Ariyanti, Lilik; Atur Semartini
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.567

Abstract

Introduction: Sexual behavior among adolescents poses serious risks to their physical health, psychological development, and social well-being. Previous studies have consistently reported the occurrence of premarital sexual behavior among adolescents. Adequate knowledge is generally expected to play a preventive role by discouraging adolescents from engaging in premarital sexual practices. Objective: This study aims to examine the relationship between knowledge and premarital sexual behavior among adolescents at Vocational High School in Surakarta. Method: An analytical observational study with a cross-sectional design was conducted among students aged 16–17 years selected through simple random sampling. Data were collected using a structured questionnaire assessing behaviors indicative of sexual activity. Responses were scored using a five-point Likert scale with reverse scoring for negative statements. Total scores of 7–21 indicated risky sexual behavior, whereas scores >21 indicated non-risky behavior. Most respondents demonstrated a good level of knowledge. Result and Discussion: The majority of respondents demonstrated a good level of knowledge. 3.4% of respondents engaged in risky sexual behavior, while 96.6% exhibited non-risky sexual behavior. The analysis of the relationship between knowledge and risky sexual behavior yielded a p-value greater than 0.05, indicating that there was no significant association between knowledge and adolescent sexual behavior. Conclusions: There was no significant relationship between knowledge and premarital sexual behavior among adolescents.
Impact of an Interplatform Collaborative Health Seminar on Reproductive and Psychological Preparedness Among Prospective Brides Setyowati, Dewi; Kusuma, Ira Nurwahyu; Tricahyanti, Ari; Anindito, Hendrikus Anung; Damayanti, Candra; Sabrina, Aisyah; Kurniawan, Agde Muzaky; Darussalam, Rabhindra Javier Hariri; Arrobbaniy, Najway Azka; Izzah, Iffah Nurul
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.569

Abstract

Introduction: Marriage is a critical life transition that influences family quality and long-term well-being. Increasing divorce rates in Indonesia highlight the growing complexity of marital problems, some of which are related to inadequate reproductive health preparedness before marriage. Reproductive health issues, including infertility and undiagnosed conditions, may contribute to marital stress and adverse maternal outcomes. Objective: This study aimed to describe participant satisfaction and perceived benefits of a reproductive health education seminar as part of preconception preparation for prospective couples. Method: A quantitative descriptive survey was conducted among participants of the Serasa Sehatin Seminar: “Prepare Your Future Start Now: Marriage.” Data were collected using an online questionnaire distributed to seminar participants, with responses analyzed using descriptive statistics. Results and Discussion: The evaluation showed that most indicators achieved moderate to high mean scores, indicating positive participant perceptions of content quality and speaker performance. Result and Discussion: The findings suggest that professionally delivered reproductive health education effectively improves understanding of reproductive health and increases awareness of health conditions prior to conception. Conclusions: High-quality reproductive health education is essential in strengthening preconception preparedness and supporting long-term maternal and family well-being.
Exploring Contraceptive Use Among Reproductive Woman at Pamekasan, Madura Island Dwi Jayanti, Ratna; Ivon Diah Wittiarika; Agnestia Naning Dian Lovita; Euvanggelia Dwilda Ferdinandus; Nurul Azizah; Rafhani Rosyidah; Pionera Seconda Giyanti Putri
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.572

Abstract

Introduction: Unintended pregnancy remains a major global and national concern, with 64 unintended pregnancies per 1,000 women worldwide and 15.5% of pregnancies in Indonesia reported as unwanted; the Indonesian government addresses this issue through the Family Planning program, where contraceptive use has reached 62.38% nationally. Even while long-term methods like IUDs and implants are very effective, their use is still inconsistent, whereas short-term like injectable contraception is most often used. Objective: this study aimed to exploring contraceptive use among reproductive woman at rural area. Method: A cross-sectional study using consecutive sampling involved 69 women of reproductive age completing structured questionnaires on contraceptive use, analyzed using descriptive statistics. Result and Discussion: Most respondent in 40-49 group age (42%), have secondary education level (57%), have no working (77%), and Married woman (91%). Most participants (54.4%) not used contraception although 74% ever used contraception, with the hormone injection were the preferred contraceptive methods. Conclusions: This study show a sociodemographic characteristic that can be analyzed in the future study.
Immobilization of Cadmium (CD) in Soil from the Talang Gulo Landfill Using Palm Shell Biochar Nuranjani, Nuranjani; Damris, Damris; Saad, Asmadi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.573

Abstract

Introduction: Cadmium (Cd) levels in well water near the Talang Gulo Landfill (TPA) reached 0.064 mg/L, approximately 19 times higher than the clean water quality standards set by the Minister of Health Regulation No. 02 of 2023. Cd concentrations decreased with increasing distance from the landfill, indicating the mobilization of Cd from the landfill soil into the surrounding environment. Given the toxic and highly mobile nature of Cd, mitigation efforts are needed to suppress the movement of this heavy metal. Objective: This study aims to evaluate the effectiveness of palm oil shell biochar in immobilizing cadmium (Cd) in landfill soil through changes in solubility under water extraction and simulated acidic conditions. Methods: This study used a laboratory experimental method with the addition of palm oil shell biochar to the Talang Gulo landfill soil at doses of 0%, 5%, and 10% and an incubation time of up to 60 days. Results and Discussion: The addition of biochar can increase soil pH and significantly reduce Cd mobility, with immobilization efficiency increasing with increasing biochar dose and incubation period. Conclusion: Palm oil shell biochar has the potential to be used as an environmentally friendly ameliorant solution for the remediation of cadmium-contaminated soil
Biosecurity-Based Good Aquaculture Practices for Sustainable Aquaculture Environmental Management: A Literature Review Zamzami, Zamzami
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.574

Abstract

Introduction: The rapid development of aquaculture contributes to meeting global fish protein demand; however, it also poses environmental challenges such as declining water quality, increased aquaculture waste, and heightened risks of disease transmission. Objective: This article aims to examine the role of biosecurity-based Good Aquaculture Practices (GAP) in supporting sustainable aquaculture environmental management. Method: This study employed a literature review method with a content analysis approach, drawing on relevant national and international scientific articles. Results and Discussion: The findings indicate that the implementation of biosecurity-based GAP contributes to improved water quality and waste management, enhanced sanitation and fish health management, and reduced use of antibiotics and chemicals that may contaminate the environment, with successful implementation influenced by managerial support and policy frameworks. Conclusion: Biosecurity-based Good Aquaculture Practices represent an important approach to aquaculture environmental management, as they support the sustainability of aquaculture activities while minimizing negative impacts on aquatic environments

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