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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 8 Documents
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Search results for , issue "Vol. 13, No. 1" : 8 Documents clear
Factors Influencing Immunisation Schedule Adherence and Completion at the Regional Level in the Philippines Vicerra, Paolo Miguel Manalang
Kesmas Vol. 13, No. 1
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Penyebab utama kematian bayi sebagian besar dapat dicegah dan terdapat alasan baik dari sisi suplai maupun permintaan layanan kesehatan hal itu dapat terus berlangsung. Penelitian ini bertujuan memastikan faktor-faktor yang memengaruhi perilaku layanan kesehatan preventif imunisasi bayi di Filipina yang tepat waktu karena tingkat kelengkapan, atau kepatuhan, telah stabil dalam beberapa dekade terakhir. Metode yang digunakan adalah pembuatan model statistik di tingkat subnasional. Sampel berisi bayi yang lahir sebelum Survei Demografi dan Kesehatan Nasional Filipina tahun 2013 untuk menentukan kepatuhan yang tepat terhadap jadwal imunisasi yang dimandatkan oleh pemerintah. Hal ini melibatkan penggabungan 17 wilayah administratif negara ke tiga wilayah subnasional tradisional. Diamati bahwa tingkat pendidikan ibu yang lebih tinggi dan peningkatan status sosial ekonomi rumah tangga merupakan faktor yang paling menunjukkan peningkatan kepatuhan di semua wilayah. Sampai taraf tertentu juga halnya dengan usia ibu yang lebih tua pada saat melahirkan. Otonomi ibu untuk mengunjungi fasilitas kesehatan menggambarkan hubungan yang saling bertentangan untuk daerah yang berbeda, serta bagaimana ibu berperilaku tergantung pada niat dasar untuk melahirkan. Aspek-aspek mengenai faktor prediktif layanan preventif ini belum dipelajari secara mendalam pada tingkat regional di Filipina. The leading causes of infant deaths are largely preventable and there are reasons from both the supply and the demand sides of healthcare why they may be perpetuating. This study aimed to ascertain factors affecting the preventive healthcare behaviour of immunisation of infants in the Philippines which is timely because completion, or adherence, rate had plateaued in recent decades. The method employed was the creation of statistical models at sub-national level. The sample contained infants born prior to the 2013 Philippines National Demographic and Health Survey to determine proper adherence to the government-mandated immunisation schedule. This involved merging the 17 administrative regions of the country to the traditional three sub-national regions. It is observed that the higher maternal education level and improved household socioeconomic status were the most indicative factors of improved adherence across all regions. This is also the case to some extent with more advanced maternal ages at giving birth. Autonomy of mothers to visit healthcare facilities depicts conflicting relations for different regions as well as how mothers behave depending on the nature of intention to give birth. These aspects regarding predictive factors of preventive care have yet to be studied keenly at the regional level in the Philippines.
Husband’s Support for Their Wives in Antenatal Care Visit Hanifah, Awalia; Pratomo, Hadi; Hoang, Giang
Kesmas Vol. 13, No. 1
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Di wilayah Puskesmas Cimanggis, Kota Depok, cakupan kunjungan antenatal pertama (K1) dan kunjungan ke-4 (K4) sebesar 99,4% (2013) dan 91% (2014). Dukungan suami ibu hamil merupakan salah satu faktor yang berperan penting dalam kunjungan antenatal pada ibu hamil. Penelitian ini bertujuan menilai faktor predisposisi, pemungkin dan penguat dari dukungan suami terhadap ANC istrinya dengan menggunakan pendekatan kualitatif dengan desain Rapid Assessment Procedure. Lima suami dan istrinya yang sedang hamil dipilih sebagai informan serta dua bidan puskesmas sebagai informan kunci. Analisis data menggunakan matriks data kualitatif dan teknik analisis tematik. Hasil penelitian menunjukkan bahwa faktor predisposisi, pemungkin dan penguat dari suami sangat penting dalam mendorong ibu hamil melakukan kunjungan antenatal pada saat kehamilan. In Cimanggis Primary Health Care, Depok City, the coverage of both the first antenatal care visit (ANC) and the fourth ANC was 99.4% (2013) and 91% (2014). The husband support is one of the factors that plays an important role in mothers’ ANC visit. This study aimed to assess predisposing, enabling, and reinforcing factors of the husband support towards their wives’ ANC visit. This was a qualitative study using a Rapid Assessment Procedure. Five husbands of pregnant women and their wives were recruited as informants. Two midwives from the primary health care were the key informants. Data were analysed using matrix of qualitative data and thematic analysis technique. Results showed that those three factors, meaning that predisposing, enabling and reinforcing factors of the husband were very important in motivating their pregnant wives to do ANC during pregnancy.
Influential Host Factors to the Incidence of HIV/AIDS in Key Populations in Pati District Murtono, Dwi; Riyanto, Puguh; Shaluhiyah, Zahroh
Kesmas Vol. 13, No. 1
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Human Immunodeficiency Virus (HIV) dan Acquired Immune Deficiency Syndrome (AIDS) merupakan penyakit berbahaya di dunia yang salah satu metode penularannya adalah melalui hubungan seksual. Penelitian ini bertujuan menjelaskan faktor-faktor yang berpengaruh terhadap kejadian HIV/AIDS pada populasi kunci. Penelitian dilakukan dari bulan Maret sampai September 2016. Penelitian analitik observasional dengan rancangan kasus kontrol pada populasi kunci di Kabupaten Pati. Kasus sebanyak 53 pasien positif HIV/AIDS, sedangkan kontrol sebanyak 53 pasien negative HIV/AIDS.Pengambilan sampel menggunakan teknik consecutive sampling. Data diperoleh dari riwayat medis dan wawancara kuesioner. Penelitian ini menggunakan uji kai kuadrat pada analisis bivariat dan regresi logistik ganda pada analisis multivariat. Hasil penelitian menunjukkan bahwa faktor yang berpengaruh terhadap kejadian HIV/AIDS pada populasi kunci dalam penelitian ini adalah perilaku pemakaian kondom, riwayat menderita infeksi menular seksual, dan bentuk aktifitas seks kombinasi. Faktor yang tidak berpengaruh adalah perilaku multi pasangan seks, perilaku penggunaan aksesoris seks, perilaku penggunaan jarum tato, dan perilaku penggunaan narkoba suntik. Sebagai kesimpulan, faktor yang berpengaruh terhadap kejadian HIV/AIDS yaitu perilaku pemakaian kondom yang tidak konsisten, riwayat menderita IMS dan bentuk aktivitas seks kombinasi. Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) are serious diseases in the world in which one of transmission methods is through sexual intercourse. This study aimed to explain the influential host factors to the incidence of HIV/AIDS in key populations. The study was conducted in March-September 2016. The study was observational analytic with case-control design in key populations in Pati District. Cases were 53 patients living with HIV/AIDS, while controls were 53 patients not living with HIV/AIDS. The sampling technique employed was consecutive sampling. Data were obtained from medical records and interview questionaire. This study applied chi-square test to analyze bivariate data, and multiple logistic regression to analyze multivariate data. Results indicated that the influential factors to the incidence of HIV/AIDS in key populations were inconsistent condom use behavior, records of suffering from sexually-transmitted infections (STIs), and forms of sexual activity. While, factors which were not influential to the incidence of HIV/AIDS were multiple sex partner behavior, sex accessory use behavior, tattoo needle use behavior, injecting drug use behavior. In conclusion, several influential factors to the incidence of HIV/AIDS in key populations are the inconsistent condom use behavior, records of suffering from STIs, and forms of sexual activity.
Web-Based Application to Support Physical Fitness Information of Elderly People Dharmawan, Yudhy; Suroto, Suroto; Putra, Priguna Septia
Kesmas Vol. 13, No. 1
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Penduduk lanjut usia (lansia) semakin banyak seiring meningkatnya usia harapan hidup. Banyak upaya yang harus dilakukan untuk mencegah kesakitan di lansia, salah satunya dari aspek preventif dengan menjaga kebugaran para lansia. Untuk memonitor status kebugaran lansia, maka diperlukan aplikasi pemantauan kebugaran jasmani berbasis teknologi web karena tidak ada sistem yang merekam data kebugaran para lansia. Aplikasi ini ditujukan untuk merekam data kebugaran jasmani para lansia untuk merekomendasikan gym yang sesuai berdasarkan kondisi kesehatan yang dapat diakses di mana saja. Aplikasi ini dibuat dengan bahasa pemrograman PHP dan MYSQL sebagai pengolahan basis data yang dilengkapi dengan grafik untuk memantau kebugaran jasmaninya. Hasil uji menunjukkan bahwa aplikasi mampu berfungsi dengan baik yang ditunjukkan dengan berfungsinya seluruh menu yang didesain dan dikembangkan. Sistem mampu merekam data individu serta kebugaran lansia. Sistem mampu menyajikan informasi dan riwayat kebugaran lansia serta rekomendasi latihan kebugaran yang sesuai. The number of elderly people is more increasing along with the rising of the life expectancy age. There are many efforts that should be carried out to prevent the elderly, one of which from the preventive aspect is by maintaining the physical fitness of the elderly. To monitor the fitness status of the elderly, it needs an application of the web technology-based physical fitness monitoring because has been no system that records elderly fitness data. This application was to record physical fitness data of the elderly to recommend the appropriate gym based on the health condition which can be accessed anywhere. This application was made with the PHP and MYQSL program language as the database processing equipped by the graphic to monitor the physical fitness. The results of the test showed that the application worked properly. As indicated by the functioning of the designed and developed menues. The system was able to record the individual data and the physical fitness of the elderly, also able to serve the information and the records of the fitness of the elderly people and the appropriate recommendation on fitness exercise.
Unsafe Behavior of Workers in Rotary Lathe Section in One of the Plywood Industries in East Kalimantan Ramdan, Iwan Muhamad; Wijayanti, Dyyka Indah
Kesmas Vol. 13, No. 1
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Kecelakaan kerja dan penyakit akibat kerja masih menjadi masalah kesehatan dunia, dua faktor utama penyebabnya adalah perilaku dan kondisi lingkungan kerja yang tidak aman. Penelitian sebelumnya membuktikan penyebab utamanya adalah faktor perilaku yang tidak aman. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan perilaku tidak aman dalam bekerja pada tenaga kerja di PT IAW dan menganalisis faktor yang paling berpengaruh. Penelitian potong lintang dilakukan pada bulan Juli sampai Agustus 2016 terhadap 104 sampel penelitian. Variabel bebas terdiri dari persepsi, komunikasi, pengawasan, ketersediaan alat pelindung diri (APD), pelatihan dan suhu lingkungan kerja. Variabel terikat adalah perilaku tidak aman. Analisis data menggunakan Pearson produk moment dan uji regresi linier berganda. Disimpulkan persepsi (nilai p=0,00, R=0,817), komunikasi (nilai p=0,000, R=0,810), pengawasan (nilai p=0,00, R=0,529), ketersediaan APD (nilai p=0,000, R=0,902) dan suhu lingkungan kerja berhubungan signifikan, sangat kuat, positif dan berbanding lurus dengan perilaku tidak aman, sedangkan pelatihan keselamatan kerja (nilai p=0,092, R=0,166) tidak berhubungan. Persepsi keselamatan kerja merupakan variabel yang paling dominan memengaruhi perilaku tidak aman dalam bekerja. Occupational accidents and diseases remain the global health problem, two main factors for this are unsafe behavior and conditions. Previous study proved that the main cause is unsafe behavior factor. This study aimed to analyze factors associated with occupational unsafe behavior in workers at PT IAW and analyze the most influential factor. A cross-sectional study was conducted from July to August 2016 with 104 samples. Independent variables consisted of perception, communication, supervision, the availability of personal protective equipment (PPE), training and workplace temperature. While the dependent variable was unsafe behavior. Data analysis used Pearson product moment and multiple linear regression. In conclusion, perception (p value=0.00, R=0.817), communication (p value=0.000, R=0.810), supervision (p value=0.00, R=0.529), availability of PPE (p=0.000, R=0.902) and workplace temperature are related significantly, very strong, positive and directly proportional to unsafe behavior, while training (p value=0.092, R=0.166) are not related. Perception is the most dominant variable influencing unsafe behavior.
Direct Experience with Cervical Cancer Patient, Husband Support, and Self-Perception as Determinant Factors of Women’s Desire to Take VIA Screening Test Rahmawati, Nur Anisah; Dewanti, Linda
Kesmas Vol. 13, No. 1
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Kanker serviks menyebabkan 10.3% kematian pada perempuan di Indonesia. Inspeksi visual asam asetat (IVA) telah digunakan untuk program skrining sejak tahun 2014 tetapi hanya 2,45 % perempuan yang melakukan pemeriksaan pada tahun 2015. Di tempat penelitian, cakupan skrining metode IVA kurang dari 1%. Penelitian sebelumnya menyebutkan faktor psikososial sebagai satu faktor penting, tetapi sedikit penelitian yang menganalisis peran dukungan suami dan pengalaman langsung dengan penderita kanker serviks. Penelitian ini bertujuan mempelajari hubungan antara pengalaman langsung dengan penderita kanker serviks, dukungan suami, persepsi diri dan keinginan perempuan melakukan skrining IVA. Penelitian potong lintang dilakukan secara acak pada perempuan berusia 25-55 tahun di empat kelurahan di Yogyakarta. Seluruh data dikumpulkan melalui kuesioner. Sebagian besar dari 188 responden memiliki persepsi yang benar mengenai kanker serviks dan pentingnya pemeriksaan IVA, tetapi mereka tidak menerima dukungan yang cukup dari suami. Sebagian kecil memiliki pengalaman langsung dengan penderita kanker serviks. Uji statistik menunjukkan bahwa usia, persepsi yang benar, dan dukungan suami berhubungan dengan keinginan perempuan untuk melakukan skrining IVA (nilai p < 0.05), sedangkan pengalaman langsung dengan penderita kanker serviks tidak berhubungan dengan keinginan melakukan skrining. Perempuan dengan persepsi yang benar dan dukungan suami lebih bersedia melakukan skrining IVA. Cervical cancer causes 10.3% women mortality in Indonesia. Visual Inspection of Acetic Acid (VIA) had been used for screening program since 2014, but only 2.45% women took the test in 2015. In the place of this study, the coverage was at less than 1%. Previous studies revealed that psychosocial was an important factor, but less studies analyzed the role of husband support and direct experience with cervical cancer patient. The aim of the study was to learn correlation between direct experience with cervical cancer patient, husband support, self-perception and women’s desire to take VIA screening. Crosssectional study was applied randomly on women aged 25-55 years old at four villages in Yogyakarta. All data were taken by questionnaire. Most of 188 respondents had right perception of cervical cancer and the importance of VIA, but they did not receive adequate support from their husband. Few of them had direct experience with cervical cancer patient. Statistical results showed that age, right perception and husband support were correlated with women’s desire to take VIA test (p value< 0.05), while direct experience with cervical cancer patient was not correlate. Women with right perception and husband support are more willing to take VIA test.
The Implementation of Documentation by Midwives in Pekanbaru Anita, Wan
Kesmas Vol. 13, No. 1
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Dokumentasi kebidanan adalah suatu bukti pencatatan dan pelaporan yang dimiliki oleh bidan dalam melakukan catatan perawatan yang berguna untuk kepentingan pasien, bidan, dan tim kesehatan. Pendokumentasian dapat diterapkan dengan metode Subjektif, Objektif, Analisa dan Perencanaan (SOAP). Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan pelaksanaan dokumentasi SOAP oleh bidan di Kota Pekanbaru tahun 2016. Penelitian bersifat kuantitatif analitik observasional dengan desain penelitian potong lintang analitik. Sampel penelitian adalah seluruh populasi bidan yang praktik mandiri atau di rumah bersalin di Kota Pekanbaru dengan jumlah sampel sebanyak 191 bidan yang diambil dengan prosedur systematic random sampling. Data dikumpulkan melalui wawancara langsung dengan menggunakan kuesioner dan melihat catatan dokumentasi bidan. Hasil penelitian menunjukkan variabel yang berpengaruh terhadap pelaksanaan dokumentasi SOAP adalah format dokumentasi (POR 15,988), supervisi (POR 6,366) dan sikap (POR 2,729). Artinya bidan dengan format yang tidak tersedia berpeluang 16 kali untuk melaksanakan dokumentasi tidak sesuai SOAP, yang tidak pernah disupervisi berisiko enam kali, dan yang bersikap negatif berisiko tiga kali. Midwifery documentation is a recording and reporting evidence owned by midwives in performing care records that is useful for the interest of patient, midwives and health team. Documenting can be applied to the Subjective, Objective, Analysis and Planning (SOAP) method. This study aimed to determine factors associated with the implementation of the SOAP documentation by midwife in Pekanbaru City in 2016. This study was a quantitative analytical observational study with analytic cross-sectional study design. The population was all Independent Practice of Midwives or maternity hospital in Pekanbaru City with a total sample of 191 midwives with systematic random sampling procedure. Data were collected through interview using questionnaires and the midwives’ documentation records. The results showed that variables which affected the implementation of SOAP documenting method were the documentation format (POR 15.988), supervision (POR 6.366) and attitude (POR 2.729). This means that midwives with the unavailable format are 16 times at risk of carrying out the documentation not in accordance with SOAP, while the midwives who are never supervised are 6 times at risk and the midwives with negative attitudes are 3 times at risk.
Adolescent’s Knowledge and Skill to Refuse Drugs Herawati, Lucky; Budiman, Johan Arief; Haryono, Haryono
Kesmas Vol. 13, No. 1
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Berbagai upaya telah dilakukan untuk mencegah remaja dari penggunaan narkoba, kendatipun evaluasi pengetahuan dan keterampilan remaja menolak narkoba belum pernah dilakukan. Penelitian ini dilakukan pada 300 remaja, siswa kelas 7 atau setara usia 12-15 tahun di dua kota di Provinsi Daerah Istimewa Yogyakarta. Penelitian analitik bertujuan mengetahui gambaran pengetahuan, keterampilan remaja menolak narkoba, dan hubungan keduanya dengan karakteristik remaja. Variabel yang diteliti adalah pengetahuan remaja tentang narkoba, keterampilan menolak narkoba, dan karakteristik remaja, yang dikumpulkan dengan menggunakan kuesioner (self-reported questionnaire). Data dianalisis dengan uji korelasi Pearson dan Spearman rho, dengan tingkat signifikansi 95 persen. Hasil penelitian menunjukkan bahwa rata-rata nilai pengetahuan remaja tentang narkoba 66,39+17,48 dan nilai keterampilan menolak narkoba 55,62+16,49 dengan nilai maksimun 100. Terdapat hubungan secara bermakna antara variabel pengetahuan dan keterampilan dengan nilai p = 0,05. Penelitian ini menyimpulkan bahwa keterampilan menolak narkoba cenderung meningkat dengan bertambahnya usia, namun tidak terdapat hubungan bermakna antara karakteristik remaja (usia dan jenis kelamin) dengan pengetahuan tentang narkoba dan keterampilan menolak tawaran narkoba. Various efforts have been made to prevent adolescents from the drug use, despite their knowledge and skill to refuse drugs have never been evaluated. This study was aimed to describe the adolescents knowledge and skill to refuse drugs and their relation to the characteristics. This was an analytic study conducted in 300 students at the seventh grade aged 12-15 years old in two cities in the Special Region of Yogyakarta Province. Variables studied were adolescent’s knowledge, skill to refuse drugs, and their characteristics. Data were collected using a self-reported questionnaire, then analyzed using Pearson correlation test and Spearman rho, with 95% level of significance. The findings showed that the average score of adolescent's knowledge of drugs was 66.39+17.48 and the score of skills to refuse drugs was 55.62+16.49. There was a significant relation between knowledge and skills (p = 0.05). There was no significant relation between the young adolescent’s characteristics (age and sex) with their knowledge and skills to refuse the drug offered. This study concludes that the skill to refuse drugs tends to increase as the adolescents get older, and no significant relation between knowledge and skill to refuse drugs offered by sex and ages.

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