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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. 21 No. 2 (2025)" : 25 Documents clear
Understanding Cadre Coping Mechanisms in Utilizing Digital Tools for Stunting Intervention Programs Batubara, Astriana Marta; Februhartanty, Judhiastuty; Iswarawanti, Dwi Nastiti
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.24587

Abstract

Digital tools have been increasingly adopted in health services within the years. Cadres are now expected to integrate various digital tools into their routine practices to enhance the effectiveness, accuracy, and reach of stunting prevention efforts. This qualitative study explores the coping mechanisms employed by community health cadres in Sumedang District, Indonesia, as they adapt to digital platforms for stunting intervention. In-depth interviews with cadres revealed three primary adaptive strategies: workload management through task delegation, reliance on peer and family support to overcome digital literacy barriers, and the formation of informal learning networks for knowledge sharing. While these mechanisms highlight the resilience and adaptability of cadres, the findings also expose challenges, including increased workload, inconsistent knowledge transfer, and unequal access to training and resources. The study underscores the need for structured digital literacy training, accessible technical support, and equitable capacity-building opportunities to ensure the effective and sustainable use of digital tools in stunting prevention programs. These insights are crucial for policymakers and program implementers aiming to enhance the quality and impact of digital health interventions at the community level.
Hookah Smoking in Incidence with Asymptomatic Gout Jumaah, Israa A. Mohammed Jumaah; Demerchi, Shatha A.; Mahmood, Abdulrahman Ahmed
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.25033

Abstract

Water pipe smoking (WPS) has become very popular worldwide, especially among young people. Its widespread use makes it a risk factor for various diseases. In this study, we hypothesized that water pipe smoking is a cause of asymptomatic gout and prostate cancer and affects salivary pH and serum magnesium (Mg) levels. The study was conducted with 80 participants (60 in the hookah smoking group and 20 in the control group) in Kirkuk, Iraq. Serum uric acid, magnesium (Mg), prostate-specific antigen (PSA), and saliva pH were tested and analyzed for both groups. The result was a significant increase in serum uric acid concentration without any notable changes in saliva pH, serum PSA, and serum magnesium levels. Also, based on tabular data using the Pearson correlation coefficient, a significant positive correlation between waterpipe smoking and serum uric acid levels was examined, but a significant negative correlation between serum PSA and serum Mg levels was assessed. Finally, we also observed small changes in serum uric acid, serum PSA, and serum magnesium levels over extended period (less than 5 years or ≥ 5 years) among waterpipe smokers.
Nutritional Status of Children Aged 6-59 Months Based on Composite Index of Anthropometric Failure Rizka Pratiwi; Sudiarti, Trini
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.25264

Abstract

Composite Index Anthropometric Failure (CIAF) is an alternative indicator for assessing nutritional status in children which can identify all children who are malnourished, whether they are stunting, wasting, underweight, wasting and underweight, stunting and underweight, or a combination of all three. The problem of failure to thrive in children aged 6-59 months based on CIAF in Bojongsari District, Depok City, in 2023 is 29,8%. This figure is higher than conventional measurements with single indicators of stunting, wasting, and underweight in Depok City based on the 2023 SKI, respectively, namely 14.3%, 5.8%, and 12.8%. The research aims to determine the determinants of the nutritional status of children aged 6-59 months based on CIAF in Bojongsari District, Depok City, West Java Province in 2023. This quantitative research with a cross-sectional study design used secondary data, and data analysis was conducted using the Chi-square test and multiple logistic regression. There were 317 children aged 6-59 months in this study. Bivariate analysis showed that variables related to children’s nutritional status based on CIAF were energy intake, protein intake, fat intake, and carbohydrate intake. Multivariate analysis shows that energy intake is the risk factor in children’s nutritional status based on CIAF in children aged 6-59 months in Bojongsari District, Depok City, West Java Province in 2023 after controlling for the variables protein intake and fat intake (p=0.006; OR = 3.493, 95% CI = 1.428 – 8.543).
Brand Image as a Determinant of Patient Decision-Making in Inpatient Healthcare Utilization Martianawati; Nur, Tuffaillah Muawina; Lathifi, Ahmad
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.25500

Abstract

Healthcare has evolved from provider-centered to consumer-oriented models, making brand image crucial in patient decision-making. However, systematic examination of this relationship in developing country healthcare contexts remains limited. This study investigated how brand image dimensions (corporate identity, physical environment, contact personnel, service offerings, and corporate individuality) influence patient decisions for inpatient services at Nahdlatul Ulama Hospital, Tuban, Indonesia. A quantitative cross-sectional study from January to March 2023 using structured questionnaires from 268 inpatients selected through purposive sampling. Brand image dimensions and patient decision-making were measured using 5-point Likert scales. Analysis included descriptive statistics, Spearman’s correlation, and multiple linear regression. All five dimensions collectively influenced patient decision-making (F=42.990, p<0.001), explaining 45.1% of variance. Bivariate analysis showed significant correlations for all dimensions, with physical environment (rho=0.456, p<0.001) and corporate identity (rho=0.399, p<0.001) strongest. However, multivariate analysis revealed only three dimensions independently influenced decisions: service offerings (β=0.318, p<0.001), contact personnel (β=0.184, p=0.024), and corporate individuality (β=0.115, p=0.030). Brand image significantly influences inpatient healthcare decisions, with service offerings, contact personnel, and corporate individuality most influential. Healthcare facilities should develop comprehensive brand strategies emphasizing service quality, patient-staff interactions, and aligned corporate values, highlighting human elements over physical infrastructure.
Handgrip Strength of Public Works Personnel in West Jakarta Alvina, Alvina; Pusparini, Pusparini; Mario, Mario; Mashabi, Yasmine
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.25917

Abstract

Public Works Personnel (PWP) in Jakarta perform their routine duties manually instead of using equipment. Handgrip strength (HGS) measures maximum hand strength as a quality indicator for muscle strength and mass. Factors affecting muscle strength are age, sex, body mass index (BMI), waist circumference (WC), and hip circumference (HC). Increased fasting blood glucose (FBG) is also associated with muscle quality, muscle strength, and physical performance. This study aimed to determine the factors associated with handgrip strength in PWP. A total of 192 male PWP from the Cengkareng district were recruited by simple random sampling. The collected data were demographics, BMI, FBG, WC, HC, and HGS. Statistical analysis was done using Pearson’s correlation test and multiple regression analysis. There was a significant positive correlation of BMI, WC, and HC with HGS (p=0.006; r=0.20, p=0.009; r=0.19, and p=0.005; r=0.20) and a significant negative correlation between age and HGS (p=0.008; r=-0.19) but not between FBG and HGS (p=0.847). Multiple regression analysis showed height, BMI, and HC positively predicting HGS (R2=0.19). Handgrip strength of public works personnel is associated with BMI, age, waist circumference, and hip circumference, but not with fasting blood glucose. Height, BMI, and hip circumference predict handgrip strength.
Perinatal Mental Health Disorders in Indonesia: A Systematic Review of QuantitativeStudies (2015–2024) Putri, Noviyati Rahardjo; Rahmah, Ulinuha Aufa; Perestroika, Grhasta Dian
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.26267

Abstract

Perinatal mental health disorders, especially depression and anxiety, are prevalent among women in low- and middle-income countries (LMICs), including Indonesia. These conditions can affect both maternal well-being and child development. This systematic review aimed to identify and synthesize key risk factors associated with perinatal mental health disorders among women in Indonesia. A systematic search was conducted in PubMed, Scopus, and Google Scholar for quantitative studies published between 2015 and 2024. Inclusion criteria included studies involving pregnant or postpartum women in Indonesia, using quantitative designs, and reporting on risk factors for depression and/or anxiety. The review followed PRISMA 2020 guidelines.  Data extraction and screening were conducted manually by reviewers. Out of 434 identified records, six studies met inclusion criteria. Most employed cross-sectional designs and focused on sociodemographic, psychosocial, obstetric, and psychological factors. Common risk factors included young maternal age, low education, unstable employment, lack of social support, and history of mental illness. Several studies also identified low mental health literacy and poor maternal-fetal attachment as contributing factors. The included studies were mostly cross-sectional, limiting causal inference. This review highlights the need for routine mental health screening, greater provider training, and community-based interventions in maternal health care. Future research should prioritize longitudinal designs and assess the effectiveness of policy implementation.
Preoperative Anxiety Levels and the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia Rekso Negoro, Widigdo; Sintara, Sindu; Rindy Permana, Annes; Rodli, Muhammad; Priyonggo, Reko; Suryanto
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.27115

Abstract

Postoperative nausea and vomiting (PONV) are common complications after general anesthesia, negatively impacting patient comfort, recovery, and hospital stay. While many factors contribute to PONV, psychological aspects such as preoperative anxiety are often underestimated despite their influence on postoperative outcomes. This study aimed to analyze the relationship between preoperative anxiety levels and the incidence of PONV in patients undergoing surgery under general anesthesia. Using a cross-sectional design, 45 elective surgical patients were assessed for anxiety using the Hamilton Anxiety Rating Scale (HARS), and PONV incidence was recorded within 24 hours post-surgery. Chi-square analysis revealed a significant association between anxiety levels and PONV occurrence (p = 0.002). Among patients with moderate to severe anxiety, 73.3% experienced PONV, compared to only 26.7% among those with mild anxiety. These findings indicate that higher preoperative anxiety increases the risk of PONV. Therefore, integrating psychological assessment and anxiety management into perioperative care is crucial to reducing postoperative complications and improving anesthetic outcomes through a more holistic patient care approach.
Giving Moringa Soy Milk on Weight Gain and Upper Arm Circumference of Pregnant Women Nahdyah, Syafaatun; Ahmad, Mardiana; Hadju, Veni; As'ad, Suryani; Jumrah
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.29036

Abstract

Moringa oleifera leaves are a potential source of micronutrients and bioactive compounds in functional foods and nutraceuticals. This study aims to determine the effect of moringa soy milk on pregnant women’s weight gain and mid-upper arm circumference (MUAC) as indicators of energy and protein nutritional status. This quasi-experimental study was conducted from February to April 2025 in the working area of the Jatibaru Community Health Center, Bima City. It was conducted on 30 pregnant women in their second to third trimesters with a MUAC <23.5 cm. Respondents were divided into two groups: the intervention group accepting 250 ml/day of moringa soy milk for 28 days, and the control group accepting local supplementary food. Data were analyzed using a paired t-test and chi-square tests. The results showed an increase in body weight of 2.00 kg and MUAC of 0.35 cm in the intervention group (p<0.05), higher than in the control group. The content of vegetable protein, iron, calcium, and vitamins in moringa soy milk plays a role in improving the nutritional status of pregnant women. These findings suggest that moringa soy milk may be an effective and affordable dietary intervention to prevent Chronic Energy Deficiency (CED) in pregnant women.
The Role of Decentralized Health Systems in Shaping Service Quality: A Systematic Review in Low- and Middle-Income Countries Witcahyo, Eri Witcahyo; Gani, Asobat; Suwandi, I Made
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.29250

Abstract

Decentralization has emerged as a prominent strategy for health sector reform in low- and middle-income countries (LMICs), aiming to enhance service quality, efficiency, equity, and responsiveness. This study systematically reviews literature published between 2021 and 2025 to explore the role of decentralized health systems in shaping healthcare service quality across LMICs. Using PRISMA 2020 guidelines, 20 eligible studies were identified and analyzed from databases including PubMed, Scopus, Web of Science, and Google Scholar. Thematic synthesis of findings reveals mixed outcomes: while decentralization improves local responsiveness, enhances community engagement, and strengthens health system performance in some settings, it also exacerbates disparities in others due to uneven institutional capacity, limited fiscal resources, and fragmented coordination. Key performance areas identified include human resource deployment, financing, access to services, and equity in service delivery. The study emphasizes the significance of local capacity-building, efficient resource allocation, and integrated planning in attaining sustainable and equitable healthcare improvements within decentralized systems. This review provides practical insights for policymakers aiming to align decentralization strategies with health equity and service quality objectives.
Pentahelix Collaboration in Achieving Disaster Preparedness through Resilient Villages: A Systematic Literature Review Hermawan, Dwi Yunanto; Widowati, Evi; Indarjo, Sofwan; Nugroho, Efa; Utami, Annisa Novanda Maharani
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (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.v21i2.29453

Abstract

Pentahelix is one of the disaster preparedness approaches. This study aimed to provide an overview of the roles of each component in pentahelix collaboration occurring in several countries, thereby enhancing the effectiveness of disaster preparedness. Indonesia is the country with the second-highest disaster risk in the world, with a total of 3,472 disasters occurring in 2024.. Pentahelix collaboration has not been optimal, and disaster preparedness has not been achieved. This systematic literature review was conducted in accordance with PRISMA guidelines, compiling relevant studies from databases including PubMed, ScienceDirect, and Scopus. The literature search was carried out between April and June 2024 using specific keywords. The search yielded a total of 3.848 articles across the selected databases. Of these, 2.384 articles were obtained from Scopus, 1.277 from Science Direct, and 187 from PubMed. After the screening process, 13 relevant articles were identified for further review. Conclusion: the Government, private sector, community, academics, and media play crucial roles in disaster preparedness effectiveness. Overall, the success of disaster preparedness depends on strong cooperation and coordination among all stakeholders. Strong coordination and close collaboration among all stakeholders through Penthahelix collaboration are crucial to minimize the impact of disasters and accelerate the recovery of critical infrastructure.

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