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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 100 Documents
Moringa Leaves-Added Food, Baby Massage, and Tui Na Massage to Reduce Stunting Rate on Young Children in Indonesia Sutrisna, Eka; Maulida, Husna; Saputra, Fauzan; Yunitasari; Ardila, Arista; Suriani; Ristiani
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.v21i2.24094

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in Aceh Province, where the prevalence reached 33.18% in 2021 exceeding the WHO threshold. In North Aceh District, 14.3% of children under five were stunted, with Simpang Keramat District reporting one of the highest rates (35%). This study aimed to evaluate the effectiveness of a combined intervention Moringa leaf-supplemented food within a balanced diet, baby massage, and Tui Na massage in improving the nutritional status of stunted children aged 0–2 years. A quasi-experimental pre-post design was used, involving 50 stunted children divided equally into treatment and control groups. The intervention was conducted over 2.5 months. Paired t-test results showed significant increases in weight (t24 = -6.656, p < .000) and height (t24 = -3.244, p < .003) in the treatment group compared to the control group. These findings suggest that combining dietary fortification using locally available Moringa leaves with physical stimulation through massage therapy can effectively enhance growth outcomes. Given the multifactorial nature of stunting, this study recommends that nurses and health practitioners incorporate both nutrition-based interventions and sensory-stimulating therapies to address growth delays in young children, particularly in high-risk areas such as Aceh.
Quality of Life Among Women at Menopause Marni, Marni; Farida, Siti; Husna, Putri halimu; Wahyuningsih, Wahyuningsih; Soares, Domingos; Yudhianto, Kresna Agung
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.v21i2.24246

Abstract

This study aimed to examine factors related to the quality of life in women at menopause. This cross-sectional study included 53 women aged 45 to 65 who were at menopause, with self-reported good general health and not receiving hospital treatment, and were willing to participate as respondents. The Menopause-Specific Quality of Life (MENQOL) questionnaire assessed quality of life across four domains: vasomotor, psychosocial, physical, and sexual. Data analysis involved univariate analysis using frequency tables and crosstabs, bivariate analysis using correlation tests, and multivariate analysis using chi-square tests. The bivariate analysis revealed a significant association between education and quality of life (p = 0.000). Additionally, the age of menarche (p = 0.022) and income (p = 0.006) were significant factors. The multivariate analysis confirmed that both income (p = 0.021) and frequency of sexual activity (p = 0.032) significantly impacted the quality of life. The quality of life among women at menopause was influenced by factors such as education, age of menarche, income, and early menopause. Income and the frequency of sexual activity particularly affected the quality of life, specifically in the sexual domain. This research holds implications highlighting the need for targeted interventions to help women prepare for menopause and mitigate physical complaints.
Telemonitoring-Based Cardiac Care to Reduce Readmissions in Coronary Heart Disease Patients Hariyono, Hariyono; Madyawati, Sri Pantja; Romli, Leo Yosdimyati; Tan, Chin Xuan; Fauziyah, Shifa; Sucipto, Teguh Hari
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.v21i2.24553

Abstract

Coronary heart disease (CHD) continues to be a leading cause of hospital readmissions, especially among elderly individuals with low educational attainment and limited understanding of health information. This research aimed to evaluate how cardiac care management influences the frequency of hospital readmission in patients diagnosed with CHD. Employing a quasi-experimental method with a one-group pretest-posttest design, the study involved 100 participants at Jombang Hospital, chosen through purposive sampling. Information regarding readmission rates was gathered before and after the intervention using structured questionnaires and assessed through the Wilcoxon signed-rank test. Before receiving the intervention, 25% of patients had been readmitted more than twice, while none avoided readmission altogether. Following the management program, only 5% experienced multiple readmissions, and 25% reported none. The statistical outcome demonstrated a significant difference (p = 0.002), proving that cardiac care interventions consisting of educational support, family involvement, and consistent follow-up effectively decreased patient readmission. Most participants were aged between 61 and 75, male, and had only completed elementary school, all of which are factors associated with poor disease self-management. This trial confirms that integrated cardiac care management greatly improves the outcomes of recovery and decreases the risk of rehospitalization in CHD patients.
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.
Community Engagement Approach to Successful Malaria Elimination in Kulon Progo District Heru Subaris Kasjono; Yamtana; Sugianto; Ratna Etika Sintawati
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.v21i1.24999

Abstract

This study, conducted in October–November 2024 in Kulon Progo Regency, Indonesia, explores a model of community engagement in supporting malaria elimination in high-case areas. Although malaria remains prevalent in eastern Indonesia, cases continue to occur in Java, including Kulon Progo. Using mixed-methods sequential exploratory design, this study combined qualitative and quantitative approaches. Data was collected through observations, interviews, focus group discussions (FGDs), and questionnaires, involving 200 participants—comprising 100 village officials and 100 community health cadres and members. Quantitative data were analyzed using univariate analysis and path analysis. Findings revealed that knowledge and attitudes significantly affect community participation in malaria elimination activities, such as mosquito breeding site eradication and clean-up programs. The path coefficient score (13.93) indicates that community engagement has a strong influence on environmental improvement. Moreover, cross-sector collaboration enhances program effectiveness. This engagement model demonstrates significant potential in strengthening sustainable malaria elimination efforts in endemic-prone areas.
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.

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