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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
 1 
Search results for , issue "Vol. 14, No. 2" : 8 Documents clear
Effect of Self-Regulated Learning for Improving Dietary Management and Quality of Life in Patients with Type-2 Diabetes Mellitus at Dr. Ramelan Naval Hospital, Surabaya, Indonesia Estuningsih, Yayuk; Rochmah, Thinni Nurul; Andriani, Merryana; Mahmudiono, Trias
Kesmas Vol. 14, No. 2
Publisher : UI Scholars Hub

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Abstract

Self-regulated learning is a process of learning how to manage and regulate oneself to obtain skills and knowledge without depending on others. It is expected that diabetes patients can manage their diabetes by themselves. This study aimed to analyze the effect of self-regulated learning-based educational intervention on quality of life for patients with type-2 diabetes mellitus (DM) at Dr. Ramelan Naval Hospital, Surabaya. This was a quasi-experimental study in the form of pretest and posttest with a control group design. A total of 20 patients with DM were randomly divided into intervention and control groups to undergo a 4-week intervention. The intervention group received dietary education with self-regulated learning, while the control group received standard education. The results revealed differences in variables such as dietary obedience, food intake at home, fasting blood sugar, diastolic blood pressure, and quality of life. The intervention group experienced a positive impact on the quality of life and resulted in better dietary obedience than that of the control group. In conclusion, the implementation of self-regulated learning-based dietary education can improve dietary obedience, knowledge, intention, family support, social support, physical activity, and quality of life for patients with type 2 diabetes.
Maternal Knowledge, Attitude, and Practices about Traditional Food Feeding with Stunting and Wasting of Toddlers in Farmer Families Simanjuntak, Betty Yosephin; Haya, Miratul; Suryani, Desri; Khomsan, Ali; Ahmad, Che An
Kesmas Vol. 14, No. 2
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Traditional foods are foods consumed by a certain ethnic group in a specific region. The habit of consuming traditional foods is usually inherited by the family members, including toddlers, of a respective generation. The study aimed to determine relationship of maternal knowledge, attitude, and practices in traditional food feeding with stunting and wasting of toddlers in the farmer families of the Central Bengkulu District. This study employed a cross-sectional design with a sample of mothers with children aged 12–59 months. The sample included a total of 115 farmer families. Data on nutritional knowledge, attitude, practices about traditional food, sex of children, and the number of family members were collected via interviews conducted with the mothers; stunting and wasting status data were collected via height and weight measurements. Data were analyzed bivariately using the chi-square test. Multivariate logistic regression analysis was also used in this study. It was found that there was a relationship between nutritional knowledge of traditional food and nutritional status of weight-for-age (p-value = 0.031), and there was a correlation between nutritional practices of traditional food and wasting incidence (p-value = 0.012). According to the height-for-age index, the nutritional status was related to the maternal knowledge of traditional food, whereas the maternal nutritional practice with traditional food had a significant relationship with the weight-for-age index.
Overweight and Obesity Status with Dental Caries among Children Aged 7–12 Years Old in Badung District, Bali 2018 Rafitha, Hariani; Machmud, Putri Bungsu; Djuwita, Ratna; Gayatri, Dwi; Ariani Ayub, Fakhrana
Kesmas Vol. 14, No. 2
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Dental caries is an infectious disease that Dental is characterized by the dental damage resulting from microorganism products in carbohydrate fermentation. Dental caries and obesity in children are multifactorial diseases associated with eating habits and certain lifestyle factors. This study aimed to assess the association between overweightness, obesity, and dental caries among children aged 7–12 years in Badung district, Bali province in 2018. The total sample of 426 children and their mothers were recruited from all first to fifth elementary grade students in three schools selected by simple random sampling. The logistic regression analysis has demonstrated a significant association between obesity and dental caries (OR: 1.830; 95% CI: 1.230–2.722) and showed that after controlling for the confounding variables, obese children have a twice higher chance of experiencing dental caries than non-obese children. Therefore, strengthening the existing health education programs in schools, including those on healthy food or snack components, and improving the efficiency of physical activities for preventing obesity could be a short-term strategy to protect school children from childhood obesity and dental caries.
Personal Exposure of Traffic Policeman to Particulate Matter in Jakarta: Distribution of Size, Chemical Composition, and Work Time Ramdhan, Doni Hikmat; Ahmad, Eka Fitriani; Kurniasari, Fitri; Rizky, Zuly Prima; Atmajaya, Hardy; Santoso, Muhayatun
Kesmas Vol. 14, No. 2
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Particulate matter (PM) is an air pollutant that has an impact on public health, especially in an urban area. The objective of this study was to analyze the personal concentration of PM2.5 and its composition among police working in the roadside area in Jakarta. PM measurement has done to the policeman that controlled traffic on four near highway locations in Jakarta. Sioutas impactor, Leland Legacy personal pump, and quartz fiber filter were chosen to measure the fine particles. Each PM was measured for 8-hour period. PM concentration was analyzed by the gravimetric method while tracing element and black carbon in PM0.25 by energy dispersive X-ray fluorescence (EDXRF) and EEL Smoke Stain Reflectometer. As a result, near highway PM2.5 concentration in Jakarta during weekdays and weekends measurement are 92.18 ± 10.66 μg/m3, and 78.09 ± 11.61 μg/m3. S, K, Fe, Ca, Zn, and Pb are major elements found in all locations. The black carbon concentration in all location was 17 ± 5.7 μg/m3. A high concentration of fine particles, a traffic-related trace element in PM0.25, and black carbon are showed that traffic-related source is the major contributor to a high level of fine particulate matter at near highway locations in Jakarta. The weekday's concentration of PM2.5 and PM0.25 among Jakarta Policemen was higher than in the weekend concentration. A particle with size of less than 0.25 µm dominated the fine particles concentration. Further researcher is expected to see the difference in the effects of traffic-related particulate matter exposure between traffic policeman and police who work at office.
Users’ Perception of the Hospital Information System in a Maternity Hospital in Lampung, Indonesia Asyary, Al; Prasetyo, Arief Kurniawan Nur; Eryando, Tris; Gerke, Solvay
Kesmas Vol. 14, No. 2
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Abstract

Hospital information systems (HIS) have been applied on a massive scale; however, user evaluation of their effectiveness, efficiency, and service quality improvements remain rare. This study aimed to describe the utility of information systems from the users’ point of view by using the Technology Acceptance Model (TAM) in a maternity hospital in Lampung, Indonesia. The study provided an overview of the features of the information system and the workflow of the user through this information system. Screenshots were taken by using Camtasia Studio 2.0 Trial Version application software for one day (two shifts) in the outpatient service. The HIS generally supported the workflow, but not all application modules were fully applied. The obstacles appear to be at the registration unit/outpatient registration and queue dashboard, cashier unit, pharmacy unit, medicine storage/room, and poly unit/checking room. A TAM framework, which included perceived ease of use and perceived usefulness of the information system, revealed that the currently implemented HIS was not perceived as optimal. However, users are still optimistic and aware of the usefulness of the information system in supporting their jobs. Thus, leaders have committed to initiate the potential development of this information system in the inpatient polyclinic.
Knowledge, Attitude, Practices, and Health Beliefs of Pregnant Women about Urinary Tract Infection and Its Associated Risk Factors: A Local Filipino Community Experience Navarro, Annalyn; Tiongco, Raphael Enrique; Bundalian Jr., Reynaldo
Kesmas Vol. 14, No. 2
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Abstract

Urinary tract infection (UTI) during pregnancy is assumed to be associated with increased maternal and fetal morbidity and mortality; hence, a proper assessment of knowledge and practices is crucial to formulate preventive strategies to ensure the health of both the mother and the baby. The study determined the knowledge, attitude, practices (KAP), and the beliefs of pregnant women about UTI based on the Health Belief Model. A survey questionnaire was used to gather data from pregnant women with and without UTI. The association of the pregnant women’s sociodemographic characteristics with their KAP and health beliefs was determined using Pearson’s chi-square test. Results of the study showed that the majority of pregnant women have unsatisfactory knowledge with a positive attitude and good hygienic practices against UTI. Educational qualification and socioeconomic status showed a significant association with the KAP of pregnant women. Positive attitude and satisfactory hygienic practices were evident among the respondents despite their unsatisfactory knowledge. The salient traits of the Filipino women are exhibited on the descriptive of the Health Belief Model that include being resilient amid a problem and considering difficulties not as barriers but opportunities to make life healthier and better.
Midwife’s Role in the Mother-to-Child Transmission Prevention Program in Primary Health Care in Yogyakarta Meilani, Niken; Setiyawati, Nanik; Barasa, Sammy Onyapidi
Kesmas Vol. 14, No. 2
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Abstract

Curing and eradicating Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) are to the core principles of the United Nations’ Sustainable Development Goals (SDGs). The incidence of HIV in the world remains high. Although midwives play a pivotal role in PMTCT implementation, the factors associated with midwives’ role in its implementation are not well understood. The aim of this study was to determine factors associated with midwives’ role in implementation of PMTCT. This study used a cross-sectional design. The subjects were 80 midwives at 14 primary health care in Yogyakarta City, Indonesia. The study was conducted from April to August 2017. Data were analyzed through univariate, bivariate with chi-square and Fisher’s exact test, multivariate with logistic regression. The results showed that 47.5% of midwives were in the poor category regarding implementation of PMTCT. Information availability through socialization (p-value = 0.047) and knowledge level (p-value = 0.016) were found to be related to PMTCT implementation. There was no relationship between age, length of work, education level, marital status, availability of information, midwife’s attitude, perception of the availability of facilities and institutional support with midwife behavior in PMTCT implementation. Multivariate analysis showed that level of knowledge was the most dominant factor affecting PMTCT implementation (OR:6.2; CI 95% = 1.8-21.4). We recommend that efforts should be made to continuously improve the knowledge of midwives on PMTCT implementation through peer support and training in order to achieve sustainable development goals.
Sexual Dysfunction among Women with Diabetes in a Primary Health Care at Semarang, Central Java Province, Indonesia Saraswati, Lintang Dian; Udiyono, Ari; Sutrisni, Dian; Fauzi, Muh
Kesmas Vol. 14, No. 2
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Abstract

Sexual dysfunction is associated with pain during sexual intercourse. Diabetes mellitus (DM) has been reported to be one of the causal factors for sexual dysfunction in women. This cross-sectional study was conducted to describe the status of sexual dysfunction in women with DM in the Tlogosari Kulon Primary Health Care, Semarang, Indonesia, in March 2017. A total of 103 women with DM attending the health center participated in this study. Data were collected using a questionnaire-guided interview and through measurements (blood pressure and random blood glucose test). Results showed that 74.8% of women with DM had sexual dysfunction. The proportion of sexual dysfunction was higher among women in the clinical phase, with uncontrolled blood glucose levels, hypertension grade II, prolonged duration of DM of ≥ 5 years, undergoing insulin treatment, in menopause, grand multiparity, having used the tubectomy contraception method, low physical activity, depression, and consumption of antihypertensive drugs. The aging process, menopausal status, and consumption of antihypertensive drugs will increase the risk for sexual dysfunction in women with DM. It is recommended that women with DM maintain their physical activity, blood sugar levels, blood pressure, and their depression status.

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