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INDONESIA
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 151 Documents
 12   13   14   15   16 
Hematological Profile and Air Quality: A Case Study in Belendung Subdistrict, Benda, Tangerang Siti Mimah Rohimah; Nita Noriko; Firman Alamsyah; Dewi Elfidasari; Rizky Nuur Berlianni Mulyanto; Arief Pambudi
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.36799

Abstract

Cities with high population density, high traffic volume of public and private transportation, and significant industrial operations in areas surrounding airports constitute a combination that worsens air pollution. Exposure to pollutants could impact the hematological system. The aim of this study is to determine air pollution exposures in Belendung Subdistrict, Benda District, Tangerang. This study served as a preliminary step or pilot study, conducted within a 4.6 km radius of the airport, and located near some industries in the area, using a cross-sectional and purposive method. SO₂, CO, NO₂, Ox as O₃, NMHC, TSP, Pb, PM2.5, and PM10 levels were measured as air pollution variables. These parameters were assessed on the 3rd and 5th days before blood sampling. Neutrophils, eosinophils, monocytes, basophils, lymphocytes, CRP, leukocytes, hemoglobin, erythrocytes, hematocrit, platelets, MCV, MCH, MCHC, and ESR were measured from 12 male and 12 female respondents. The results showed that the air quality ranged within the standard threshold except for PM10, and most residents have normal biomarkers in the blood. This indicated that PM10 merely activates basic immune responses in the body. The observed inflammation provides a correlation between MCH and MCV, with a value of 0.905.
Strengthening Community Readiness for a Possible Avian Influenza Resurgence Nurrohman, Agus; Handayani, Oktia Woro Kasmini; Cahyati, Widya Hary; Rahayu, Sri Ratna
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.36967

Abstract

Avian influenza (AI) continues to pose a significant zoonotic threat in communities where close contact between humans and poultry is common. In 2024–2025, several areas, including Semarang City, Klaten, Temanggung, and Purworejo, reported simultaneous poultry deaths that were subsequently confirmed as AI through laboratory testing. This study aimed to develop and evaluate a community-based educational model to enhance readiness for a potential AI resurgence in Semarang City. A research and development (R&D) approach was employed using the ADDIE framework, encompassing needs analysis, model development, expert validation, pilot testing, and refinement. A mixed methods approach assessed knowledge, attitudes, practices, self-efficacy, and health commitment, complemented by qualitative feedback from community cadres and local leaders. Independent t-tests compared pre- and post-intervention results between intervention and control groups. The intervention included a validated educational module, cadre capacity strengthening, and community-based surveillance components. The intervention group demonstrated statistically significant improvements across all assessed variables (p = 0.000), whereas the control group exhibited no significant changes (p > 0.05). The community-based educational model, known as KONMABUR (Komunitas Masyarakat Anti Flu Burung), proved effective in enhancing community preparedness for AI and shows potential for broader application in the prevention of other zoonotic diseases.
Segmenting Women’s Motivational Profiles in mHealth Adoption for Reproductive Health: A Cluster Analysis Firliani, Alifia; Kurnia, Ari
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.36982

Abstract

While mHealth has the potential to improve access to reproductive health services, its adoption remains uneven in Indonesia. This study aimed to segment women of reproductive age based on motivational and contextual profiles related to mHealth use, rather than to identify causal determinants. A cross-sectional survey was conducted in 2025 among 350 Indonesian women aged 18–45 years. Guided by the Health Belief Model (HBM) and UTAUT2, k-means cluster analysis was used to identify user segments. Differences in motivational constructs were examined using t-tests, while contextual characteristics were assessed using chi-square tests. Two clusters emerged:  highly motivated users (n = 222) and less motivated users (n = 128). The highly motivated group reported significantly higher self-efficacy (M = 4.71 vs. 3.66), perceived benefits (4.82 vs. 3.86), effort expectancy (4.78 vs. 3.86), and trust in technology (Δ = 0.96; all p < .001). Moderate differences were observed for perceived susceptibility, while perceived barriers were not significant. Significant group differences were also found for income, perceived health literacy, prior use of reproductive health services, and intention to adopt mHealth (p < .05). These findings highlight distinct readiness-based user segments, supporting segmentation-driven digital health interventions.
The Role of Treatment Supporters in Addressing Adverse Effects of Anti-Tubercolusis Treatment: Cross-Sectional Study in Timor Leste Nita Yunianti Ratnasari; Weni Hastuti; Domingos Soares; Joaquim Gregorio de Carvalho; Jose Dionisio Ximenes; Eduardo C. Gaio
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.38216

Abstract

Tuberculosis (TB) remains a critical health challenge in Timor-Leste, as one of the 30 countries with the highest TB burden globally. The involvement of Treatment Supporters or Pengawas Minum Obat (PMO) has been widely implemented to address these challenges. Purpose: This study aims to examine the relationship between the presence of active PMO and the incidence of OAT adverse effects among TB patients in Timor Leste. Methods: A descriptive-correlational study was conducted from July to November 2023. A total of 69 pulmonary TB patients who had completed the intensive treatment phase were selected through purposive sampling. Data were collected using a validated questionnaire; analysis was conducted using a chi-square test via SPSS version 26. Results: Among 69 respondents, 10 (14.5%) reported adverse effects, while 59 (85.5%) did not. The most common symptoms included reddish urine (97.1%), loss of appetite (91.3%), and joint pain (34.8%). A significant correlation was found between active PMO presence and absence of reported adverse effects (p < 0.001). Conclusion: The presence of active PMO significantly influences the perception and reporting of OAT adverse effects among TB patients. Strengthening the training and involvement of PMO in TB programs can enhance patient adherence and improve treatment outcomes.
Uncovering Early Risk Factors of Diabetic Peripheral Neuropathy: Insights from Primary Health Care Facilities Adelina Vidya Ardiyati; Ernawati; Ratna Pelawati; Dwi Setyowati; Septiyani Wijayanti
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.38336

Abstract

Diabetic Peripheral Neuropathy (DPN) is a progressive and frequently underdiagnosed complication of type 2 diabetes mellitus. Limited early screening based on clinical risk factors in primary healthcare settings in Indonesia contributes to delayed diagnosis, increasing the likelihood of advanced neuropathy, foot ulceration, and lower-limb amputation. This study aimed to identify respondent characteristics and analyze risk factors associated with DPN among individuals with T2DM. A quantitative cross-sectional study was conducted among 162 patients with T2DM in the Bogor Primary Healthcare area. The Michigan Neuropathy Screening Instrument (MNSI) was used to assess neuropathic symptoms, and a physical foot examination was performed. Data were analyzed using Chi-square tests and binary logistic regression. The majority of respondents were aged 35–60 years (56.2%), female (69.1%), and had a duration of diabetes mellitus (DM) of <5 years (71.6%). 75.3% of respondents showed signs of Neuropathy, with the most common symptoms being dry and cracked skin on the feet (93.1%), muscle cramps (75.9%), and numbness (74.1%). No active ulcers were found (0%), and none had a previous diagnosis of Neuropathy. Bivariate analysis showed that age (p=0.004), duration of diabetes mellitus (p=0.030), and random blood sugar (p=0.000) were significantly associated with NPD. Logistic regression identified hyperglycemia (AOR=6.50; 95% CI = 2.65–15.85) and age ≥35 years (AOR=2.16; 95% CI 1.12–4.28) as independent predictors of NPD (Nagelkerke R²=0.27). Peripheral Neuropathy was highly prevalent even among patients with a short diabetes duration and had not been clinically diagnosed previously.
Monitoring and Managing Stress during Pregnancy with the ‘Smart Mother’ Information System for Early Detection Runjati Runjati; Sri Rahayu; Arum Budiyati; Krisdiana Wijayanti; Mundarti; Rr Sri Endang Pujiastuti; Nur Abadi
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.38420

Abstract

Psychological adjustment during pregnancy plays a vital role in maintaining maternal mental health and supporting fetal well-being. This study developed and evaluated Smart Mother, a smartphone based application designed for early detection and management of stress among pregnant women. The system was developed using the System Development Life Cycle (SDLC) framework and tested through a randomized controlled trial following CONSORT guidelines. A pretest–posttest design was conducted with 120 pregnant women randomly assigned to an intervention group (n = 60) and a control group (n = 60) from March to October 2023. The intervention group utilized the Smart Mother application, which integrates stress screening and self management features, while the control group received conventional printed educational materials. Statistical analysis using the Wilcoxon signed-rank test, Mann–Whitney U-test, and multivariate analysis showed a significantly greater reduction in stress scores in the intervention group compared with the control group (7.19 ± 5.8 vs. 5.87 ± 4.2; p< 0.01). Evaluation based on the Technology Acceptance Model (TAM) demonstrated high usability, with an average score of 4.26 (85.2%). These findings suggest that Smart Mother is an effective digital tool for improving stress monitoring and management during pregnancy and supports more comprehensive antenatal mental health care.
Early Breastfeeding Initiation Among Indonesian Women Aged 15–49: Evidence from the 2023 Health Survey Ari Andayani; Ari Yuniastuti; Intan Zainafree; Dina Nur Anggraini Ningrum
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.38837

Abstract

Early Breastfeeding Initiation (EBI) achievement globally has only reached 48%, with the target is 70% by 2030. Thus, there is still a 22% gap from the expected target. Although national coverage targets have been achieved in Indonesia, there are still some disparities in maternal characteristics, socioeconomic conditions, and access to maternal health services suggest the presence of underlying determinants that have not been fully explored at the national level. This study aimed to identify factors associated with the practice of EIBF among women of reproductive age in Indonesia. This study uses secondary data of individuals and toddlers SKI 2023 obtained from the Data Center of the Ministry of Health of the Republic of Indonesia, using 14,030 respondents’ data, who were selected based on the completeness of the data and did not have damaged data on the research variables. Chi-Square test was used with a significance level of α = 0.05 and a 95% confidence interval (CI 95%), while multivariate analysis was carried out using the Backward Likelihood Ratio (Backward LR) logistic regression test. The results of the study showed that the type of residential area (PR = 1.044; 95% CI = 1.013-1.077), maternal education level (PR = 0.920; 95% CI = 0.892-0.948), economic status (PR = 0.935; 95% CI = 0.906-0.964), parity (PR = 1.068; 95% CI = 1.024-1.114), ANC frequency (PR=0.958; 95% CI= 0.929-0.989), delivery method (PR=1.597; 95% CI= 1.597-1.745), place of delivery (OR= 1.167; 95% CI=1.021-1.335), and birth weight (PR= 1.265; 95% CI= 1.188-1.348) were associated with EBI practices in WUS in Indonesia. While maternal employment status was not associated with EBI practices in WUS in Indonesia. The variables of place of delivery and birth weight were proven to be confounded by the parity variable. The Indonesian Ministry of Health’s Data Center is advised to add data related to the mother’s age at birth. Women of childbearing age are advised to give birth in health facilities because they have a greater opportunity to practice EBI.
Natural Disasters and Maternal-Neonatal Health Services: Systematic Review of Services Disruption and Recovery Efa Nugroho; Budiyono; Yusniar Hanani Darundiati; Cahya Tri Purnami; Ayu Istiada
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.39684

Abstract

Sudden-onset natural disasters rapidly disrupted essential maternal and neonatal health (MNH) services across the disaster cycle. This systematic review synthesized how such events affected the disruption and recovery of antenatal care (ANC), facility delivery, and emergency obstetric and neonatal care (EmONC), as well as postnatal/neonatal care, and identified the main health-system pathways involved. Searches of Scopus, ScienceDirect, and PubMed (November–December 2025) included English-language, open-access articles published between 2021 and 2026. Eligible quantitative, qualitative, and mixed-methods studies examined sudden-onset disasters and reported disruption and/or recovery of essential MNH services. Using PRISMA procedures, PEO-based criteria, and the MMAT 2018 quality appraisal, seven studies were included, primarily focusing on floods and cyclones in South Asia, Sub-Saharan Africa, and the Caribbean islands. Disasters generated acute shocks to service delivery, workforce, supplies, referral and transport, and information and coordination, leading to declines in ANC, facility delivery/EmONC, and PNC/neonatal care. Recovery ranged from return to near baseline within about three months to prolonged and uneven restoration, with poorer, marginalized, and remote groups being consistently more affected. The findings highlighted predictable but inequitable system pathways, supporting the integration of MISP-aligned preparedness, protection of ANC/PNC platforms, securing EmONC referral and transport, strengthening supply chains, and improving routine information systems to sustain continuity and accelerate recovery.
Custom-Made Foot Insoles on Dynamic Balance in Children with Flexible Flat Feet: A Community-Based Study Nur Rachmat; Bambang Kuncoro; Dody Suprayogi; Atika Febri Anggraini; Annisa Dwi Nur Kusumawardani; Indra Yulianti
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
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.v21i3.39922

Abstract

Flexible flat feet in children are common in community and school-aged populations and may be associated with altered lower-limb biomechanics, impaired postural control, and reduced dynamic balance, potentially affecting mobility, participation, and safety in daily activities. Although custom-made foot insoles are widely prescribed, evidence regarding their functional effects on dynamic balance in community-based pediatric settings remains limited. This study aimed to evaluate the effects of custom-made foot insoles on dynamic balance among children with flexible flat feet in a community-based rehabilitation context. A pre–post intervention study was conducted involving 40 children (mean age 10.05 ± 1.04 years). Dynamic balance was assessed using the Balance Beam Test before and after the intervention. Changes in balance performance were analyzed using the Wilcoxon signed-rank test, with effect size calculated using Cohen’s d. Dynamic balance scores improved significantly after insole use (Z = −3.995, p < 0.001), with a large effect size (d = 0.81). Greater improvements were observed in children with lower baseline balance. These findings support the potential role of custom-made foot insoles within community-based rehabilitation strategies to enhance functional balance and promote safe participation among children.
Distribution, Severity, and Root Causes of Traffic Accidents in a Logistics Company Syifa Ula Hamidya; Muhammad Addin Rizaldi; Suratman Suratman; Khaidar Ali; Nur Ulfah
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
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.v21i4.40248

Abstract

Traffic accidents are the main issue in logistics and transportation, causing health and economic losses, including lowering productivity. The study aimed: 1) to investigate the distribution of accidents, 2) to examine the category and severity of accidents based on operational type, and 3) to evaluate the root cause of accidents in logistics/goods transportation. This quantitative study was conducted in Indonesia using the data from Logistics Corporation from 2022 to 2023. The variable consists of operational type, accident category, severity, and root cause. This study was analysed using descriptive and inferential statistics. The chi-square was used to examine the statistical test, with the alpha set at 5%. The analysis was performed in Stata Ver 13 (College Station, TX, USA). A total of 288 accidents were reported during 2022-2023, with the accidents being highly distributed on Java (50%) and Sumatra (44.79%). The Accident category noted that collisions with objects, hits, and single-vehicle accidents are prevalent. The accident severity is as follows: minor severity (83.33%) and higher minor severity (16.67%). The statistical test also exhibits a significant on accident severity between last mile and long haul (p value < 0.05). According to operational type, long-haul operations have high accident intensity, while last-mile operations have severe accidents. The root cause of the accident is caused by third-party error (32.98%), followed by driver behavior (30.56%), driver competence (13.88%), and driver distraction (6.59%). The company should establish regulations, standard operating procedures (SOPs), work shift schedules, and vehicle maintenance protocols, and ensure their implementation. Additionally, measuring stress levels and work-related fatigue among drivers should be conducted to help prevent accidents.

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