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kemas@mail.unnes.ac.id
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kemas@mail.unnes.ac.id
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INDONESIA
Jurnal Kesehatan Masyarakat
ISSN : 18581196     EISSN : 23553596     DOI : https://doi.org/10.15294/kemas
Core Subject : Health, Education,
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
Articles 25 Documents
Search results for , issue "Vol. 20 No. 4 (2025)" : 25 Documents clear
National Health Insurance on Household Out-of-pocket Health Expenses in Indonesia Wijayati, Ira Yusnita; Handayani, Dwini
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.v20i4.31231

Abstract

BPJS Kesehatan is expected to increase access to fair and high-quality health care for all citizens and provide financial risk protection. Our study aims to examine the impact of BPJS Kesehatan’s implementation as national health insurance (NHI) on household out-of-pocket expenses. Our study used a difference in differences (DID) regression model that was applied to repeated cross-section data from the National Socio-Economic Survey (Susenas) between 2013-2014 and 2019-2020. Propensity-score matching (PSM) is used to provide covariate balance in the regression model data. Illnesses that are represented by health conditions and treatment options (self-medication, outpatient, inpatient) are determining factors of out-of-pocket expenses. Our finding, the implementation of BPJS Kesehatan resulted in a 26.0% increase in out-of-pocket expenses. Its main reason is an increase in public health awareness, as indicated by the increased number of visits to health facilities. However, the increase in out-of-pocket expenses suggests that the usage of BPJS Kesehatan is not optimal. To optimize its function as financial protection, improvements must be made to the mechanism and system policies.
Sociodemographics, Knowledge, Attitudes, and COVID-19 Prevention Measures in Indonesia Sulistyawati , Sulistyawati; Haifa, Adinda
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.v20i4.31232

Abstract

The COVID-19 pandemic provides many lessons for all countries to prepare the health system and society when an outbreak of a disease occurs. From COVID-19, we learn that community participation in preventing COVID-19 is mandatory. This study aims to determine the relationship between sociodemographics, knowledge, and attitudes toward prevention measures for COVID-19. A cross-sectional study was conducted in the Mergangsan subdistrict, Yogyakarta City, Indonesia, in February-April 2022. A structured questionnaire was used to collect information from 350 participants. Univariate and bivariate analysis was performed to analyze the data. Our study found that age, gender, level of education, and attitude were significantly associated with COVID-19 prevention measures. Men-employed people and people with low knowledge and attitudes had a higher possibility of having poor prevention measures towards COVID-19. Considering the result of this study, increasing community participation in COVID-19 prevention measures requires interventions and programs tailored to specific layers by targeting men, working groups, and insufficient knowledge and behavior towards COVID-19.
Effect of Moringa Oliefera Supplementation During Pregnancy on Stunting in Children of Pre-School Age Basri, Hasan; Hikmah, Nur; Hadju, Veni; Bahar, Burhanuddin; Zulkifli, Andi; Russeng, Syamsiar S.
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.v20i4.31233

Abstract

Stunting is a growth failure due to a lack of nutrition that has lasted from pregnancy to 24 months of age. This study aims to examine the effect of moringa supplementation during pregnancy on stunting in preschool children (5-6 years old). This study is a follow-up study of a Randomized Control Trial with Double Blind study that provides moringa supplements in the form of PG (Powder Group), EG (Extract Group), and as well as IFA (Iron Folate Acid) supplements to pregnant women. The subjects were 303 children in six sub-districts in Jeneponto District who were children of mothers who received supplementation of PG, EG, and IFA during pregnancy. Children’s height was measured using a microtoice. Data were statistically analyzed using the Logistic Regression test. The results showed a significant difference between the three groups. EG intervention had a significant effect on stunting in preschool-age children (5-6 years old). EG intervention (24.18%) showed the lowest prevalence of stunting among PG (25.47) and IFA (38.68%) interventions. EG prevented stunting by 2.215 times compared to the other intervention groups. The provision of Moringa extract to pregnant women has a better effect on reducing stunting.
Ergonomic Risk Assessment on Palm-Oil Harvesting Workers in East Kalimantan Pawitra, Theresia Amelia; Fathimahhayati, Lina Dianati; Sitania, Farida Djumiati
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.v20i4.31236

Abstract

Along with the growth of the palm-oil industry in Indonesia, work-related musculoskeletal disorders (WMSD) experienced by palm-oil harvesting workers also increased. This paper aims to evaluate ergonomic risk factors among harvesting palm workers in East Kalimantan and to propose suggestions to mitigate the risks. A total sample of 70 workers from 3 plantations in Muara Wahau, Babulu, and Muara Badak was observed in 2023. Gotrak survey and ergonomic risk factor (ERF) questionnaire of SNI 9011:2021 were utilized for determining the WMSD and identifying the ergonomics risk, respectively. The result showed that 91% of workers experienced pain after work, and 72% frequently experienced physical fatigue. The Gotrak survey on cutting and carrying bunches activity revealed high exposure risk for the neck (97%), followed by the shoulder (77%) and knee (55%). Meanwhile, during the activity of loading bunches onto the truck, high exposure risk occurs in the shoulders (73%), elbows (53%), and knees (53%). The result of the Kruskal-Wallis statistical test indicates that there is a difference in Gotrak levels among the three locations. The Gotrak level in Muara Wahau is the highest, followed by Babulu and Muara Badak. The results of the ERF questionnaire showed that loading to truck, followed by carrying FFB to the fruit collection point, were the two activities with high ERF scores, i.e., 39 and 34, respectively. Finally, improvements such as stretching exercises before and during work, as well as redesigning ergonomic T-hook and egrek, will mitigate the risk.
Translation and Psychometric Analysis of the Brief Symptom Inventory in Adolescents with Substance Use Disorder Yanuarti, Tuty; Daud, Mohd Nazri Bin Mohd; Mohamed, Noor Hassline Binti; Atil, Azman Bin
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.v20i4.31237

Abstract

The Brief Symptom Inventory-18 (BSI-18) is an 18-item self-report checklist designed to screen for psychological symptoms in medical patients. This study aimed to assess the psychometric properties of BSI among a diverse group of Indonesian adolescents. This study involved 80 15 to 18-year-old adolescents from a drug rehabilitation center in West Java, Indonesia. The instrument was translated into Bahasa Indonesia, and its content validity index was calculated using Aiken’s V formula. The CVI ranged from 0.73 to 1.00 for BSI. The factor loadings of each of the three scales in the BSI ranged from 0.43 and 0.88. The model was acceptable and appropriate when confirmatory factor analyses of the BSI were conducted. The Cronbach alpha coefficient of the BSI was 0.925. The findings of this study give evidence that the BSI is a viable and beneficial screening tool for detecting substance use problems among Indonesian adolescents.

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