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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 100 Documents
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Implementation of Pillar I and Pillar III Community-Led Total Sanitation (CLTS) in Reducing the Incident of Stunting in Pangkep District Sahani, Wahyuni; Inayah, Inayah; Syamsuddin, Syamsuddin
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.21230

Abstract

Community-Led Total Sanitation (CLTS) is an approach to changing hygiene and sanitation behavior through community empowerment activities by triggering. The purpose of this study was to determine the application of pillars 1 and 3 of CLTS in reducing the incidence of stunting in the Pangkep Regency. The research method used an observational study with a cross-sectional approach. The study was conducted in 2023 and the population of this study were all heads of families in the subdistrict that have stunting incidence in Pangkep Regency. Sampling using accidental sampling technique was taken in Taraweang Village, Labakkang District as many as 63 heads of families, and in Buwong Cindea Village, Bungoro District as many as 78 heads of families. The research instrument used a questionnaire based on the guidelines of the Ministry of Health of the Republic of Indonesia. The results showed that there was a relationship between the implementation of Pillar 1 and Pillar 3 of Community-Led Total Sanitation (CLTS) in reducing the incidence of stunting in Taraweang Village, Labakkang District, and Buwong Cindea Village, Bungoro District, Pangkep Regency with the results of statistical tests obtained at (0.05 < 0.05) and (0.002 < 0.05). It is necessary to implement CLTS comprehensively so that the results of public health achievements can be maximized and the incidence of stunting can be prevented.
Contracts between Referral Health Facilities and Social Health Insurance in Indonesia and England Puspandari, Diah Ayu; Rimawati, Rimawari; Aristianti, Vini; Fadlika, Findri; Septiani, Trisna; Ruby, Mahlil; Wibowo, Mulyo; Febriyanti, Maya; Siregar, Dedy Revelino; Baros, Wan Aisyiah; Manurung, Kathrina
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.21231

Abstract

Purchasers and providers are important in providing quality health services for participants. This is formally regulated through a contractual mechanism to achieve the potential benefits of strategic health purchasing (SHP) and ensure effectiveness, efficiency, and quality. The experience of contracting with providers differs in each country due to underlying determinants. This study aims to identify differences in contracts between referral health facilities and social health insurance in Indonesia and England. A normative legal research approach is used, utilizing secondary data sources such as literature, regulations, and contractual arrangements. Important clauses in the contract, such as rights and obligations, service tariff setting, agreement period, monitoring and evaluation, settlement of expired or disputed claims, mechanisms for providing information, and handling complaints, have been regulated in contracts in both Indonesia and England. Unlike the case in England, incentive payment policies have not been further regulated in Indonesia’s contracts. Additionally, notification and communication procedures for the parties involved have been integrated into the system in England. It is expected that learning from the NHS contracts will provide the potential for developing a more ideal contract implementation, effective monitoring and evaluation, and the delivery of optimal and high-quality health services.
Breeding Site Preferences and Resistance Status of Aedes aegypti in Malang City Nuryady, Moh Mirza; Purwanti, Elly; Permana, Tutut Indria; Ariesaka, Kiky Martha
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.v21i2.21666

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant health challenge in urban and semi-urban regions, including Malang City, Indonesia, where Aedes aegypti is the primary vector. This study aimed to identify the breeding site preferences of Ae. aegypti and assess its resistance to 0.8% malathion and 0.05% cypermethrin insecticides. Using a descriptive observational design, ovitraps were deployed in three districts to collect mosquito larvae and eggs, and interviews with residents provided additional data on breeding site preferences. Resistance tests followed WHO guidelines, with mortality rates analysed after insecticide exposure. Results indicated that Ae. aegypti larvae were predominantly found in bathroom water tanks (45%) and flower vases (35%). Resistance status revealed geographical variability: Ae. aegypti in District 1 were resistant to cypermethrin, while populations in Districts 2 and 3 were susceptible, with average status of Ae. Aegypti to cypermethrin is tolerant. For malathion, resistance was widespread, particularly in District 3, with average status of Ae. Aegypti to malathion is resistant. These findings suggest that the use of malathion for vector control in Malang is no longer effective, while cypermethrin remains viable under strict monitoring to prevent future resistance. This study underscores the need for targeted insecticide use and regular monitoring to optimize vector control strategies and minimize DHF transmission.
Prevalence of Hypertension in Indonesia: 2018 Basic Health Research Ikhlasia, Nafasha Fairly; Syafarina, Inna; Latifah, Arnida L
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (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.v20i3.21685

Abstract

Hypertension is one of the main factors contributing to premature death. The nationwide prevalence rate of hypertension in Indonesia is relatively high. Understanding the factors contributing to hypertension is essential to reduce the prevalence of hypertension. This paper investigates the risk factors associated with hypertension based on the survey data of Riskesdas 2018. The risk factors related to behaviors or lifestyle include smoking every day, being less active, eating fatty or salty foods once a day, drinking caffeine once a day, and overweight status. Using multiple linear regression, this study finds that being overweight with a body mass index in range 25-27 and having a daily coffee intake habit of one cup are the most significant risk factors to the prevalence of hypertension. These findings should be used as a reference for preventative and promotional actions to reduce the prevalence of hypertension in Indonesia.
Sociodemographic Factors and Adolescent Attitudes Towards Family Planning Programs Related to Adolescent Marriage in Bali Province Seri Ani, Luh; Sumiati, Luh Nyoman; Ayu Dwi Utami Ds, Ni Kadek
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.22328

Abstract

Adolescent marriages in Bali Province are reported to be increasing. Sociodemographic factors and adolescents’ attitudes toward family planning programs are suspected to be related to adolescent marriage. Therefore, this study aims to analyze the relationship between demographic factors of adolescents’ attitudes toward family planning programs and the ideal age of marriage for adolescents. This study uses secondary data from the Program Performance and Accountability Survey of the National Population and Family Planning Agency of Bali Province in 2019. Cross-sectional studies were conducted among adolescents aged 10-24 years. The probability of selecting 668 adolescents for this study was determined using the proportional-to-size method. An adolescent’s marriage is determined based on the adolescent’s perceptions of the age of marriage before 21 years. Logistic regression tests were conducted to determine the relationship between access to information and the perception of marriage among adolescents. It was found that 87.9% of the adolescents perceive the age of marriage for women as≥ 21 years. Based on the results of the multivariate analysis, gender, rural residence, and access to information on family planning programs, adolescents’ attitudes toward FPPs and attitudes toward marriage before 21 years of age were associated with adolescents’ marriage. Factor demographic factors and adolescent attitudes increased the perception of the ideal age for marriage among adolescents. This finding suggests that demographic factors should be considered to increase the ideal age for adolescent marriage to further prevent the incidence of health and social problems resulting from child marriages.
Anemia in Pregnancy Based on Rural and Urban Areas Wulandari, Catur; Putri, Pratiwi Hariyani; Mutiarani, Anugrah Linda; Nuriannisa, Farah; Hisbullah, Farda Jamalia; Mabruroh, Farah Nur Laily; Lu'luah, Jauharotul; Solekha, Miftakhul
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.22585

Abstract

From 2013 to 2018, the proportion of anemia in pregnant women in urban and rural areas increased from 37.1% to 48.9%. This study aims to analyze the differences in determinants of anemia in pregnancy based on place of residence. Research was conducted in 2024. The research sample in rural areas was 39 pregnant women with anemia, and in urban areas was 31 pregnant women with anemia. Ratio scale data, including nutritional intake, is tested for normality with the Kolmogorov-Smirnov test, then tested using the t-independent test. Other variables are tested using the Mann-Whitney test. Regarding the various determinant factors studied, including the age of pregnant women, nutritional status, and gravida status, there is no significant difference (p-value > 0.05) in pregnant women with anemia in rural and urban areas. There is a significant difference (p-value < 0.05) between nutritional knowledge, food expenditure, and nutritional intake in pregnant women with anemia in rural and urban areas. Based on the determinant factors of anemia in pregnancy studied, food expenditure, nutritional knowledge of pregnant women, protein, iron, and vitamin C intake in pregnant women with anemia in rural and urban areas differ significantly.
Vitamin D and Lifestyle Factors in Active Smoker in Indonesia Lorensia, Amelia; Suryadinata, Rivan Virlando; Jalmav, Marthy Meliana Ariyanti; Aprianti, Pande Made Ayu; Wati, Angela Nofvianti Cahyo; Dhiba, Zahwa
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.v21i2.22618

Abstract

Smoking can affect vitamin D levels in the blood. Decrease in vitamin D levels are also influenced by a person's lifestyle habits, such as smoking habits, sun exposure, food intake and physical activity. This study aimed to determine relationship between vitamin D with lifestyle factors in active smoker. This research used cross-sectional design. The subjects were adult male active smokers in Rungkut Subdistrict, Surabaya City, from October 2023 to February 2024. The sampling method was purposive sampling technique. Data collection by measurement of smoking severity (Brinkman Index (BI)), vitamin D levels in blood (serum 25(OH)D), food intake (by SQ-FFQ (semi-quantitative food frequency questionnaire) and 24 hour food recall), and physical activity (by IPAQ (International Physical Activity Questionnaire)). The relationship using Spearman method (ordinal scale). There were 47 respondents. The majority of research respondents were moderate smokers, namely 38 people (80.85%). The respondents had an average 25(OH)D level of 23.19±8.86 ng/mL. The risk of vitamin D deficiency due to lack of sun exposure were 26 people (55.32%). The average consumption of foods containing vitamin D by SQ-FFQ was 5.75±5.68 mcg/day, and 24 hour food recall was 5.77±5.72 mcg/day. Most respondents had high physical activity (70.21%) and total mean was 8210.23±4955.89. The Spearman correlation coefficient was 0.742 (smoking severity), 0.117 (sun exposure), and 0.726 (food intake by FFQ), 0.742 (food intake by 24 hours recall), and 0.824 (physical activity). Vitamin D levels had significant association on severity smoking, food intake and physical activity. However, were not related to sun exposure.
Building a Culture of Patient-Centered Care and Its Impact on Hospital Performance Polla, Johanes; Prabowo, Harjanto; Sutoto, Sutoto; Abdinagoro, Sri Bramantoro
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (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.v21i1.23396

Abstract

The objective of this research is to examine the connection between hospital performance and customer centricity, focusing on the adoption of Patient-Centered Care (PCC) practices. This study explores how customer-centric approaches influence key performance indicators (KPIs) in healthcare organizations to highlight the benefits of fostering a patient-centered care culture. A mixed-methods approach combines qualitative case studies with quantitative data analysis. Data were collected through questionnaires and interviews with patients, administrators, and healthcare providers from selected hospitals. The quantitative aspect involved statistical analysis of financial performance, readmission rates, and patient satisfaction scores. The qualitative component included in-depth interviews capturing the perspectives of those implementing PCC. Findings reveal a significant positive correlation between hospital performance and customer-centric strategies. Hospitals that actively adopted PCC had lower readmission rates, higher satisfaction scores, and better financial outcomes. Qualitative insights further underscore the importance of organizational culture, staff development, and leadership commitment in successful PCC implementation. The research concludes by offering specific strategies healthcare organizations can adopt to enhance customer-centricity and achieve improved performance outcomes.
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.
Health Beliefs and Husband’s Preparedness in Supporting Postpartum Contraceptive Use Feriani, Pipit; Krisnawati, Komang Menik Sri; Ernawati, Rini; Winarti, Yuliani
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.v21i2.24085

Abstract

Use of postpartum contraceptives is critical to the prevention of unwanted pregnancies and enhancing maternal and child health. Yet, husbands’ support for the use of contraceptives is still low based on cultural beliefs and inadequate knowledge. It is important to understand how health belief influences husbands’ readiness in order to improve family planning. This study will analyze the association between health beliefs and husbands’ readiness to support postpartum contraceptive use. A cross-sectional correlational descriptive design was employed with 170 husbands of postpartum women in Samarinda, Indonesia. Consecutive sampling was used, and data were collected using validated tools modeled after the Health Belief Model (HBM) and a scale of a husband’s preparedness. The tools were found to have high reliability, with Cronbach’s alpha values ranging from 0.761 to 0.988. Data analysis included univariate descriptive statistics and Spearman’s rank correlation to quantify the relationship between preparedness and the health beliefs of husbands. Researchers found a significant positive relationship between preparedness and health beliefs of husbands in support of postpartum use of contraceptives (p = 0.01, r = 0.745). The greatest correlation was between perceived susceptibility and concern (r = 0.548, p = 0.00), then self-efficacy and concern (r = 0.534, p = 0.00). Husbands’ health beliefs play a crucial role in their willingness to support postpartum contraceptive use. Anchoring on education programs that reinforce health beliefs will enhance husbands’ participation in family planning.

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