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INDONESIA
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,
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.
Articles 8 Documents
Search results for , issue "Vol. 13, No. 3" : 8 Documents clear
Influence of Decentralization and Type of Patient on Loss to Follow-up among Multidrug-Resistant Tuberculosis Patients in Indonesia from 2014 to 2015 Noerfitri, Noerfitri; Sutiawan, R.; Wahyono, Tri Yunis Miko; Hartono, Pratiwi Ayuningtyas
Kesmas Vol. 13, No. 3
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Abstract

Drug-resistant tuberculosis (TB) patients have a greater risk of loss to follow-up (LTFU) than drug-sensitive TB patients, due to their longer treatment duration. This study aimed to determine the influence of decentralization and patient type on LTFU among multidrug-resistant TB (MDR-TB) patients in Indonesia. A retrospective cohort study was conducted at all MDR-TB treatment healthcare facilities in Indonesia from 014 to 2015. Using total sampling technique, 961 patients were examined and sampled. Of these patients, 86.03% were decentralized. Patients were classified into types as follows: 35.17% were “relapse” patients, 5.52% were “new,” 13.94% were classified as “after LTFU” patients, 23.10% were “treatment failure category 1” patients, 20.29% were “treatment failure category 2” patients, and 1.90% were classified as “other types” patients. Decentralization reduced LTFU risk by up to 46% (HR = 0.54, 95% CI 0.35–0.84). LFTU in “after LTFU,” “treatment failure category 2,” and “other types” patients was higher by 50%, 53%, 74%, respectively compared to LFTU occurrence in “relapse” (baseline) patients. Among “treatment failure category 2 patients, female patients were 2.13 times more likely to have an occurrence of LFTU, while male patients were 0.55 times as likely to have an occurrence of LFTU, compared to “relapse” type patients of the same sex.
Knowledge and Practice in Household Waste Management Widiyanto, Agnes Fitria; Suratman, Suratman; Alifah, Nisrina; Murniati, Tri; Pratiwi, Oktafiani Catur
Kesmas Vol. 13, No. 3
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Abstract

Declining environmental quality is one of population caused by household consumption behavior. Some of the highest contaminant contributions are domestic waste, waste, and company waste. Waste contamination will lead to dead fish, decreased water quality and disease transmission. Community approach can be done to solve the waste problem, especially at the household level. This study uses quantitative methods to analyze the effect of intervention and waste management training on changes in household waste management knowledge and practices. This type of research uses quasi experiment with one group of pre and post test design. The results showed that there was an increase of knowledge about waste management after being given intervention by the researcher because the p value ≤ 0,05. The results also show that there is an increasing practice on waste management after being given intervention by researchers because the p value ≤ 0.05. Based on the research results, it can be concluded that the provision of intervention is effective for improving knowledge and practice in the household waste management.
Exclusive Breastfeeding and Decrease of Upper respiratory Infection Incidence among Infants Aged 6-12 Months in Kampar District, Riau Province Rustam, Musfardi; Mahkota, Renti; Kodim, Nasrin
Kesmas Vol. 13, No. 3
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Abstract

Upper Respiratory Infection (URI) is a major cause of morbidity and mortality of infants and toddlers in developing countries. The high infant morbidity and mortality rates in Indonesia are associated with the low exclusive breastfeeding ability. Breast milk is a natural drink for newborns in the first month of life that is beneficial not only for the babies, but also for mothers. The aim of study was to determine exclusive breastfeeding and decrease in incidence of URI among infants aged 6-12 months. This study was conducted by using case control design. Samples were taken by using cluster random sampling. Subject of study consisted of 162 cases and 162 control with infants aged 6-12 years. Cases were 162 infants aged 6-12 months suffering from URI within one last month and taken by mothers to primary health care that was selected location of study, while control was mothers who took their infants aged 6-12 months who did not suffer from URI within one last month to the selected primary health care. Data analysis included univariate, bivariate, stratification, and multivariate analysis with logistic regression. Results of study found that infants who were not exclusively breastfed were 1.69 times (95% CI: 1.02-2.80) more at risk of increasing URI incidence compared to infants who were breastfed exclusively after controlled by smoker in house and immunization variables. Health promotion of 6-month exclusive breastfeeding, provision of immunization, and anti-smoking program need to be implemented continuously to decrease the rates of morbidity and mortality due to URI disease.
The Consumption of Fresh Vegetables from Street Food and Sanitation of Street Stalls at Four Locations in Bogor City Utami, Donna Fujie Rahaditha; Rahayu, Winiati P; Nuraida, Lilis
Kesmas Vol. 13, No. 3
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The consumption of fresh vegetables at the stalls needs serious attention. This research aimed to estimate the exposure probability due to fresh vegetables consumption of street food consumers, to measure sanitation level of street stalls that serving fresh vegetables, and to recommend a mentoring program for the stalls at four locations in Bogor City. This research was conducted at 16 stalls located at four locations in Bogor City. The number of respondents surveyed was 293 people and determined by stratified sampling method. Food frequency questionnaire was used as a tool in the survey. The survey showed that men consumed more fresh vegetables than women with the average of 47.12 g/person/consumption and frequency 3.37 times/week (p<0.05). Adults consumed fresh vegetables at the stalls most often with 3.05 times/week and the average consumption of 44.59 g/person/consumption (p<0.05). All street stalls were at level IV of sanitary practices. Thus, there is a risk of food safety in consuming fresh vegetables at the stalls at four locations in Bogor City. Men and adults had high exposure probability to microbiological hazards due to fresh vegetables consumption at the stalls. Mentoring program for all locations involving socialization and implementation of street stall management and sanitation practices regulations by government, full awareness of street vendors in complying with the prevailing regulations, and firm action for the vendors who violate the rules.
Perception of People Living with HIV/AIDS on Social Stigma of HIV/AIDS in Sukoharjo District Haryanti, Titik; Wartini, Wartini
Kesmas Vol. 13, No. 3
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The stigma of wrong society about HIV / AIDS is one of the obstacles to prevention and control of HIV / AIDS in Sukoharjo District. This study aims to determine the relationship of characteristics, causal factors and duration of HIV / AIDS with the perception of people living with HIV to the stigma of society about HIV / AIDS in Sukoharjo District. The research used is analytical descriptive with cross sectional approach. The population is all people with HIV / AIDS until April 2016 amounted to 256 with a sample of 156 people with sampling technique quota sampling. Bivariate analysis with chi square test and multivariate analysis with linear regression. The results showed that most of the respondents were 30-40 years old (69.2%), male gender (60.9%), secondary education (44.2%), private employment (30.8%), HIV / AIDS (66.7%), HIV / AIDS-related causes of freedom (55.8%) and negative perceptions of community stigma about HIV / AIDS (67.9%). The statistical test shows that there is a relationship between age (p value = 0.001) and last education (p value = 0.015) with the perception of people living with HIV / AIDS on community stigma about HIV / AIDS. Multiple regression test is known that the age and the last education of respondents together influence the perception of people living with HIV to the stigma of society about HIV / AIDS and education have more influence than age respondent. The need to provide true information about HIV / AIDS both to PLWHA and the community so that there is no negative stigma about HIV / AIDS.
Prediction Models for Descreasing Visual Acuity in Wig Makers Ulfah, Nur; Harwanti, Siti; Ngadiman, Ngadiman
Kesmas Vol. 13, No. 3
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One of the occupational diseases that can arise for workers with high accuracy is a decrease in their visual acuity. Therefore, it is necessary to study the risk factors of decreasing visual acuity in workers with high accuracy, such as in wig makers. This study aimed to examine the correlation between age, working period, lighting intensity, fatigue, and nutritional status with visual acuity, and to observe the main risk factors that can be used as a reference for predicting decreasing visual acuity. This study was an observational study that used a cross-sectional design. The population number for this study was 185 wig makers.A total of 85 samples were selected using simple random sampling. The study was carried out in January to March 2016 on wig makers in Purbalingga. The results showed that variables most closely associated with visual acuity were working period (p-value = 0.000 < 0.05), lighting intensity (p-value = 0.000 < 0.05), and fatigue (0.013 < 0.05). Variables that were not related to vision acuity were age (p-value = 0.846 > 0.05) and nutritional status (p-value = 0.562 > 0.05).
Relationship Model for Occupational Safety and Health Climate to Prevent Needlestick Injuries for Nurses Ismara, Ketut Ima; Husodo, Adi Heru; Prabandari, Yayi Suryo; Hariyono, Widodo
Kesmas Vol. 13, No. 3
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The risk of accidents and disease transmission when working at hospitals is quite high, especially in Indonesia. This study aimed to analyze the relationship model between the Occupational Safety and Health (OSH) climate and behavior intention in OSH performance to prevent needlestick injuries (NSI) based on a theory of planned behavior. A mixed approach using qualitative and quantitative methods was applied. Data were obtained from Structural Equation Model questionnaires, observation, and documentation, and interviews were analyzed qualitatively. The population was 1,042 nurses at Dr. Sardjito General Hospital in Yogyakarta. The sample consisted of 289 respondents determined by purposive random sampling with an accuracy level of 5%. The OSH climate consisted of attitude, norm, and perceived behavioral control effect on safety intention. An indirect OSH climate can influence safety performance, but it must be followed by intention. Intention directly affects safety performance in the form of behavior to implement NSI prevention procedures. Attitudes toward risk, attitudes toward leader commitment as role models, group norms, and beliefs in the ability to perform safety and health procedures determine the safety climate that leads to the intention for safe and healthy behavior in OSH performance.
Effect Of Condom Utilization On Sexuall Transmitted Infection Among Female Sex Workers, In Tulungagung District, East Java, Indonesia Hanifah, Ainun; Probandari, Ari Natalia; Pamungkasari, Eti Poncorini
Kesmas Vol. 13, No. 3
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One effective strategy for preventing sexually transmitted infection (STI) incidence and providing protection for female sex workers (FSWs) from their sexual partners is correct and consistent condom use behavior. This study examined the effect of condom use on STI among FSWs in Tulungagung District, East Java. This analytic and observational study using a cohort prospective design was conducted at Ngujang ex- prostitution area and Gunung Bolo prostitution area, Tulungagung District, from November to January 2017. The total sample selected was 90 FSWs. Data was collected through a set of questionnaires and tracking condom use in a diary. Data were analyzed by using Pearson’s chi-square, t-test and logistic regression models at a significance of 0.05. Bivariate analysis with chi-square test showed that STI was affected by period of condom use, ratio of number of condom used to number of times the FSW had sex, condom use, age, number of customers, skill in using condoms, tarifts for sexual services, and length of working as an FSW. Results of multivariate logistic regression showed an influence in ratio of condom use to having sex, number of condoms, and number of customers. In conclusion, the incidence of STI is influenced by the ratio of condom use to having sex, number of condoms used, and number of customers in Tulungagung District.

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