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Jurnal Kesehatan Masyarakat
Published by Universitas Negeri Semarang
ISSN : 18581196     EISSN : 23553596     DOI : https://doi.org/10.15294/kemas
Core Subject : Health, Education,
Education Public Health
KEMAS publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 25 Documents
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Search results for , issue "Vol. 20 No. 4 (2025)" : 25 Documents clear
Malaria Infection Among Pregnant Women of Abau District in Papua New Guinea Yatapya, Susina; Rejeki, Dwi Sarwani Sri; Wijayanti, Siwi Pramatama Mars; Radi, Radi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.10714

Abstract

Malaria is a communicable disease that poses a serious problem in Papua New Guinea, with the country recording the highest incidence of malaria in the Asia-Pacific region each year. However, research on the risk factors for malaria in Papua New Guinea is still minimal, especially among pregnant women. This study aims to investigate the correlation between malaria incidence in pregnant women in Papua New Guinea. This study is an observational study with a cross-sectional approach conducted on 200 pregnant women from January to March 2024 in Abou District, Papua New Guinea. Data collection used questionnaires and Rapid Diagnostic Tests (RDT) to diagnose malaria infection in pregnant women. The independent variables in this study are healthcare-seeking behavior, prevention of malaria, knowledge of malaria, maternal age, marital status, occupation, education level, and residential location. The dependent variable in this study is the incidence of malaria in pregnant women. In this study, the data analysis used included univariate analysis, bivariate analysis with chi-square, and multivariate analysis with logistic regression. The results showed that the risk factors for malaria incidence in pregnant women in Papua New Guinea are malaria prevention (p-value 0.014; OR= 4.426) and healthcare-seeking behavior (p-value 0.033; OR= 4.033), meaning that pregnant women with poor malaria prevention behavior and poor healthcare-seeking behavior are four times more likely to suffer from malaria. It is hoped that pregnant women will increase their awareness of malaria prevention during pregnancy and make full use of healthcare facilities during pregnancy.
Work-Related Factors and Individual Characteristics on Asthenopia Symptoms among “Pecanting Batik” Workers in Klaten, Indonesia Astutik, Risa Septi; Setyaningsih, Yuliani; Lestantyo, Daru
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.11303

Abstract

Astenopia is associated with close work, such as blurred vision, diplopia, dry eyes, and headaches. The incidence of asthenopia is quite common among workers who perform intensive visual tasks. The goal is to analyze the risk factors that are most related to astenopia complaints. This type of observational research with a cross sectional study design was conducted in July 2024 on 155 batik canters in 45 batik-making home industries in Jarum Village, Klaten Regency, Central Java, Indonesia. Variables were measured using a general questionnaire containing questions on age, length of service, length of work, and length of rest. In addition, the Pittsburgh Sleep Quality Index (PSQI) questionnaire is used to measure sleep quality. The worker's awkward posture was measured using the Rapid Upper Limb Assessment Worksheet. And the distance to see the object is measured using the JOYKO brand 30cm Butterfly Iron Ruler between the object and the worker's eyes. The Visual Fatigue Index (VFI) questionnaire was used to measure astenopia complaints. The analysis of bivariate data with spearman rank and multivariate correlation was used multiple linear regression test. The results of this study showed that the majority of respondents were 44,368 years old on average, felt that their sleep quality was not good and had been working as a batik maker ≥ 10 years. And the risk factors most related to astenopia complaints are sleep quality (p=0.000), age (p=0.001), and working period (p=0.019).  
The Evolution in The Field of Anticorruption in The Health Sector in Italy Tavone, Alessandro Mauro; Cammarano, Andrea; Ceccobelli, Giulia; Giuga, Gabriele; Marella, Gian Luca
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.12696

Abstract

The fight against corruption within the healthcare sector in Italy has undergone significant transformation following the introduction of Law n. 190/2012. This legislation marked a pivotal step towards establishing a comprehensive system aimed at preventing corruption through a blend of preventive measures, transparency, and administrative reorganization. Central to these efforts is the Italian National Anti-Corruption Authority (ANAC) and the National Anti-Corruption Plan (PNA), which provide structured guidelines and strategies for public administrations, including healthcare entities. This study examines the evolution and impact of anti-corruption measures in the Italian healthcare sector, focusing on key legislative and regulatory frameworks, particularly the roles played by ANAC and the PNA. The commentary explores the implementation of these measures, highlighting the innovative approaches and the challenges encountered. Significant milestones include the legislative updates, such as the Legislative Decree n. 231/2001, which introduced administrative liability for corporate crimes, and the more recent resolution n. 605/2023, which reinforces digital procurement processes, real-time data analytics, and enhanced transparency in healthcare administration. These updates align with broader national recovery efforts post-COVID-19 and aim to foster a culture of integrity and accountability within the sector. Key findings reveal that while there has been considerable progress in enhancing transparency and reducing corruption risks, challenges remain. These include resource constraints, complexity of integrating new measures with existing systems, stakeholder engagement, and ensuring rigorous monitoring and enforcement. Addressing these challenges is critical for sustaining the progress achieved and further improving the effectiveness of anti-corruption strategies. The continuous refinement of the PNA and its application within the healthcare sector illustrates a robust commitment by Italian authorities to uphold public trust and prevent corruption.
Soy Juice Is Effective in Reducing Hot Flush Symptoms in Premenopausal Mothers Wijhati, Ellyda Rizki Wijhati; Ferlina, Sandiya; Nuzuliana, Rosmita
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.13709

Abstract

Hot flush occurs in 73.3% of premenopausal mothers and is often accompanied by sleep disturbances and mood swings. This study aims to determine the effectiveness of soy juice in reducing hot flush symptoms in premenopausal mothers. This study uses a pre-experimental method with a type of one-group pretest-posttest design, and data analysis is carried out with the Wilcoxon Signed Ranks Test statistical test. The sampling technique used was purposive sampling with a total sample of 31 premenopausal mothers. The results showed that the consumption of soy juice reduced hot flush symptoms in premenopausal mothers with a significance value of 0.000 (ρ < 0.05). This shows that there is a significant influence before and after the administration of soy juice. The isofla-vones in soybean juice have a biological activity similar to estrogen and bind to estrogen receptors (Ers) as agonists. The reaction of the stimulation of the estrogen receptor Erα by isoflavones results in an interaction that affects the transcription process of cells, so that there is a stimulation of neurons in the central nervous system and resulting in a decrease in hot flush symptoms.
Socioeconomic Status as a Root Cause of Child Malnutrition Nuzuliana, Rosmita; Wijhati, Ellyda Rizki
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.13717

Abstract

Nutritional problems increase the prevalence of brain disorders and intellectual devel- opment disorders in underweight toddlers by 52%, severe stunting by 6.32%, and severe wasting by 1.22%. The type of qualitative research is related to problems in toddlers who experience nutritional issues. The primary informants were 9 mothers who had malnourished toddlers. Data triangulation involved nutritionists, health cadres, and health center midwives. The research location was in the working area of the Bantul Regency Health Center, Special Region of Yogyakarta. Data were taken by in-depth interviews and home observations. The instruments used were interview guidelines and Healthy Home assessment instruments. Data analysis used thematic analysis. The results obtained 5 themes, including low socio-economic status, health status, parenting style and feeding of toddlers with permissive and unresponsive parenting styles, low maternal education, and poverty resulting in low provision of quality food. Almost all malnourished toddlers experience health problems, and unhealthy housing conditions, and nutrition management carried out by the health center is good.
Environmental Health Impacts and Risks of Domestic Wastewater Issues in Small Island Maliga, Iga; Purwono, Suryo; Harini, Rika; Hasifah, Herni; Lestari, Ana
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.15420

Abstract

The problem of domestic wastewater on small islands poses a significant threat to the surrounding marine ecosystem. Generally, residents of small islands tend to overlook the sanitation aspects of domestic wastewater. The contents of domestic wastewater can harm environmental ecosystems and act as vectors for diseases within the community. This study aims to assess the sanitation risk index of domestic wastewater and its impact on environmental and public health. The research was conducted on Bungin Island in May 2024, using a mixed-methods approach with a Sequential Explanatory Design. The study involved 274 households as respondents and six key informants. Research instruments included questionnaires, observation sheets, and interview guides. Data collected were analyzed using Microsoft Excel 2013 and IBM SPSS version 29.0, while interview and observation data were processed using NVIVO version 14.0. The findings indicate that residents generally do not perceive domestic wastewater as a potential problem. Bungin Island falls into the high-risk category for sanitation, impacting fish ecosystems, coral reefs, and contributing to marine pollution. Furthermore, it acts as a driving factor for diarrheal diseases and stunting in children. In conclusion, poor sanitation conditions have direct and indirect impacts on environmental ecosystems and public health. Integrated efforts are thus essential to address domestic wastewater issues on densely populated small islands.
Role of Health Programs Utilization and Social Factors on Adolescent Anemia Status Arifah, Izzatul; Almayda, Mutiara Bahi; Widyani, Zahrina; Az Zahra, Qoonitah; Nuraisyah, Shinta Ramadhania; Werdani, Kusuma estu
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.15611

Abstract

Adolescent-friendly Health Services (PKPR’s Nutrition service) are intended to eliminate adolescent malnutrition, including anemia. However, the effect of health program utilization on adolescent anemia has rarely been studied. This study intends to examine the prevalence of anemia, the relation of social and behavioral factors, and the use of PKPR’s nutrition service with the anemia status of adolescent girls in Surakarta. A school-based cross-sectional design was conducted at a senior high school in Surakarta. Samples were 275 female students in grades 10 and 11 who had experienced menstruation. Multiple regression analysis is deployed to model the factors associated with anemia. The prevalence of anemia in female students was 37.82%. The employment status of the father and mother is associated with the anemia status of adolescents. Other factors, such as parent education, family affluence scale, behavior factors, parent support, knowledge, attitude, perception, and self-efficacy, were not associated with anemia status. PKPR’s nutrition service utilization did not correlate with adolescents' anemia status. PKPR’s nutrition service has not yet had an impactful outcome in reducing the frequency of anemia. Further research is needed to evaluate its implementation and impact on adolescent health outcomes.
The Ins and Outs of Alpha-mangostin’s Potential as an Antimalarial Tjahjani, Susy; Hermanto, Faizal; Muchtaridi, Muchtaridi; Aulifa, Diah Lia; Ahsanul Haq, Fahmi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.19307

Abstract

Malaria drug resistance, including to development of resistance against artemisinin based treatments, poses a major challenge to elimination efforts. Alpha-mangostin, an antioxidant with in vitro antimalarial activity, is hindered by its poor solubility. This study explores the antimalarial effects of water-soluble alpha-mangostin chitosan-alginate nanoparticles (ACAN) in mice with berghei malaria. Mice were treated with various doses of ACAN, compared to alpha-mangostin in polyethylene glycol (PEG), as well as in corn oil (ACO) and chloroquine as a standard. Growth inhibition rates were assessed, revealing no inhibition in the PEG and normal control (NC) groups, while ACO was less active. The effective dose 50 (ED50) of ACAN was 264.5 mg/kg BW, containing only 15.87 mg of alpha-mangostin, suggesting that alpha-mangostin in ACAN may offer promising in vivo antimalarial activity. Further investigation is needed.
Service Quality Perception and Service Satisfaction of COVID-19 Vaccination in Indonesia: A Participants Vaccination Perspective Zainafree, Intan; Maharani, Chatila; Indrawati, Fitri; Wahyono, Bambang; Syukria, Nadia; Patriajat, Maria M. Rosaria; Hakam, Mohammad Abdul; Defi, Rahma; Suhito, Hanif Pandu
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.23600

Abstract

The COVID-19 vaccine is a crucial effort to break the chain of transmission of COVID-19. To achieve optimal, effective, and efficient results in community program implementation, monitoring and evaluation are essential. The purpose of this study was to evaluate the implementation of COVID-19 vaccination in Semarang. So, it was known that service quality perception, service satisfaction, and willingness to recommend vaccination to others. This study is an analytic observational study with a cross-sectional design in 2022. The total number of respondents was 512 people. Data collection was carried out directly by visiting respondents who had received COVID-19 vaccinations at public health centers and vaccination centers. The data obtained is then processed and analyzed with the final model using Binary Logistic Regression. Respondents with basic education (4.67 ± 0.449) and those using the collective registration mechanism (4.51 ± 0.495) showed a positive correlation with perceived service quality. Of the 9 procedural suitability items, 4 received higher satisfaction scores: staff asking about regular medication use (4.41 ± 0.612), confirmed COVID-19 history (4.42 ± 0.598), close contact history (4.42 ± 0.609), and post-vaccination observation for side effects (4.43 ± 0.608), all with p-value < 0.05. Overall, respondents were satisfied with the service quality, with 26.5% willing to recommend vaccination to others. This indicates that the COVID-19 vaccination service is running effectively and appropriately.
Sun Exposure on the Incidence of Allergies in Adult Women Pertiwi, Fenti Dewi; Damayanthi, Evy; Rimbawan, Rimbawan
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.31230

Abstract

Exposure to UVB rays in humans largely affects vitamin D synthesis, and approximately 90%–95% of vitamin D is produced in the skin. Allergic diseases have a significant impact on the health of the affected individuals. This study aimed to determine the relationship between sun exposure and the incidence of allergies in adult women. This research used a quantitative cross-sectional design. This research was conducted in Bogor from August to November 2023. The population investigated consisted of the entire adult female population living in the city of Bogor. This study used simple random sampling to select representative respondents. The data were collected using a questionnaire. The study sample comprised of 395 people. The inclusion criteria were women aged between 19 and 49 years who permanently resided in Bogor City. The exclusion criteria are women who are pregnant, breastfeeding, experiencing menopause, using hormonal contraception, and diagnosed with diabetes or other infectious or non-communicable diseases. Bivariate data was analyzed using the chi-square test to determine the relationship between sun exposure and the incidence of allergies in women in Bogor City. Processed shellfish foods and products are a common cause of allergies in women in Bogor. The frequency of sunbathing and the use of sunscreen have a significant effect on allergies. Sunbathing 2 times/week reduces allergies, whereas never sunbathing causes allergies. Sunscreen use increases allergies, and more research is needed to develop effective prevention strategies.

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