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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 9 Documents
 1 
Search results for , issue "Vol. 19, No. 1" : 9 Documents clear
Implementation of Digital Health in Addressing Global Threats: Lessons from the Use of Technology during COVID-19 Pandemic in Indonesia Shifa, Naili; Tiasari, Anisa; Siregar, Kemal N
Kesmas Vol. 19, No. 1
Publisher : UI Scholars Hub

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Abstract

This research conducted a systematic literature review to explore the implementation of digital health in Indonesia, focusing on the digital health policies, usage during the COVID-19 pandemic, benefits, and lessons learned. The study identified 10 relevant journals through database searches and analyzed the trends in publication, productive journals, and top institutions involved in digital health research. The findings revealed an increasing interest in digital health, with a growing number of published articles from 2021 to 2023. ScienceDirect emerged as the most productive journal, followed by PubMed and MDPI. The University of Indonesia and the University of Gajah Mada were the leading institutions in digital health research in Indonesia. The study discussed the implementation of digital health during the pandemic, highlighting its role in epidemic surveillance, telemedicine services, and data systems for COVID-19 management. The research also emphasized the challenges faced in the 3T regions (remote areas) of Indonesia due to limited internet access and infrastructure. Overall, the findings contribute to understanding the landscape of digital health in Indonesia and provide insights into its benefits and lessons learned.
Daily Income Targets and Passenger Pressure on Safety Risky Riding Behavior Among Online Motorcycle Taxi Riders in Jakarta, Indonesia Djunaidi, Zulkifli; Khaliwa, Agra Mohamad; Hafia, Azka; Putri, Nadya
Kesmas Vol. 19, No. 1
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Abstract

Online motorcycle taxi riders, a vulnerable group on the road, are more susceptible to serious injury than non-motorcycle riders. This study analyzed a correlation between daily income targets, passenger pressure, risk perception, safety attitudes, and risky riding behavior. This cross-sectional study used a semi-quantitative approach by collecting online-based questionnaires from 500 online motorcycle taxi riders in Jakarta, and 50 of them were obtained through offline interviews. The findings revealed a significant relationship between daily income targets, passenger pressure, risk perception (danger level, stochastic evaluation, and safety priority), safety attitudes (pragmatic attitude to rule violations and dissatisfaction with traffic rules), and risky riding behavior, with a p-value of <0.05. In particular, a pragmatic attitude to rule violations was the most impactful on risky riding behavior. Online motorcycle taxi companies should provide regular training on traffic laws and safe riding practices to improve road safety. This holistic approach may enhance safety through education, passenger awareness, and rigorous management.
The Effects of Environmental Noise on Annoyance, Stress, and Urine Cortisol Levels Among Residents Living Near Industrial Sites in Bangkok, Thailand Onmek, Nutthajit; Bordeerat, Narisa Kengtrong; Wangwongwatana, Supat
Kesmas Vol. 19, No. 1
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Abstract

People are exposed to environmental noise each day. It may be annoying, cause stress, induce hormonal changes, and negatively affect long-term health. This study aimed to determine the effects of environmental noise on annoyance, perceived stress, stress symptoms, and urine cortisol in people living in a selected area. This cross-sectional study was conducted from April to October 2022 on 142 participants. Urine samples were collected to determine cortisol levels, and perceived stress, stress symptoms, and environmental noise annoyance were evaluated using questionnaires. Stress symptoms correlated with traffic, industrial, and community noise, but not aircraft noise. Community noise correlated most strongly with all stress symptoms. Only community noise exposure was correlated with perceived stress. People reported that industrial and community noise affected their health and daily activities. Cortisol correlated with only traffic noise annoyance. Environmental noise was associated with stress symptoms and stress hormones. In brief, sound level is not the onlyindicator of stress or health impacts, but annoyance and concern over the effects of noise may negatively affect stress and health.
The Importance of Blood Pressure Control in the Survival of Peritoneal Dialysis Patients Using a Multistate Model Najafimehr, Hadis; Rahimi Foroushani, Abbas; Yekaninejad, Mir Saeed; Yousefifard, Mahmoud; Hosseini, Mostafa
Kesmas Vol. 19, No. 1
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Since less attention has been paid to the effect of passing blood pressure states on the survival of peritoneal dialysis (PD) patients, this study aimed to inves­tigate the survival of PD patients with and without hypertension, estimate the probability of hypertension and determine the influential factors. In this retro­spective cohort study, the data of 700 patients visiting dialysis centers from all provinces of Iran from 1997-2009 were analyzed. For data analysis, the multistate survival model was used. The median survival time (months) and five-year survival were 75% and 56%, respectively. Males had a higher probability of hypertension (63%) than females (52%). The risk of death in normotensive patients increased with age and fast blood sugar (FBS) (age: HR = 1.02, p-va­lue <0.001; FBS: HR = 1.03, p-value = 0.034) and decreased with increasing albumin (HR = 0.60, p-value = 0.015). When experiencing hypertension, the death risk increased with age (age: HR = 1.03, p-value<0.001); also, higher serum albumin and blood urea nitrogen (BUN) had a protective effect against mortality (albumin: HR = 0.66, p-value = 0.038; BUN: HR = 0.99, p-value = 0.014). Paying attention to age, obesity, and blood sugar in PD patients seems necessary.
Road Traffic Noise Annoyance and Cardiovascular Disease Risk in Population: A Case Series Study in Kota Bharu, Malaysia Naim, Faridah; Nasir, Nurin H M
Kesmas Vol. 19, No. 1
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Noise pollution can cause annoyance, significantly threatening the population’s health and well-being. This study aimed to find an association between road traffic noise exposure and cardiovascular disease (CVD) risk among residents in Kota Bharu, Malaysia. This descriptive study used a case series approach and surveyed 34 residents in selected residential areas near main roads. An adapted questionnaire was distributed to residents using a purposive sampling method. Questions related to sociodemographic information, self-reporting about CVD, and road traffic noise assessment were asked to investigate the underlying risk factors for CVD. The average score of CVD assessment was classified as moderate risk. No significant association between noise annoyance and CVD was found using multiple linear regression. However, the association between cardiovascular risk and sociodemographic variables, particularly the length of residency at the current address, was statistically significant. Although noise annoyance was not associated with CVD, the length of residency could mediate CVD risk as those living longer in residence might be less vulnerable to the noise. Future longitudinal studies are recommended, which include a noise exposure assessment with a larger sample.
The Structural Equation Modelling of First Level Health Facilities’ Performance-Based Capitation Payment in National Health Service Aryani, Ari Dwi; Bachtiar, Adang; Candi, Cicilya
Kesmas Vol. 19, No. 1
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The BPJS Healthcare Security implemented performance-based capitation/Kapitasi Berbasis Kinerja(KBK) payments to conduct structured and ongoingmonitoring of the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama(FKTP)'s performance throughout Indonesia. This study aimed to examinethe direct and indirect effects of FKTP capacity on KBK and FKTP performance. This study was conducted in February 2023, and Structural EquationModelling analysis was performed with secondary data from the BPJS Healthcare Security system database in 2021. Human resources were defined as theavailability of doctors in FKTP, infrastructure as credentialing value, ownership and type of FKTP, and KBK, and performance as first contact, non-specialistoutpatient referral ratios, and Chronic Disease Management Program/Program Pengelolaan Penyakit Kronis(Prolanis) participant ratio. The analytical resultsrevealed that human resources directly and positively affected the KBK. The indirect effect analysis results suggested that only human resources impactedFKTP performance. In conclusion, human resources are critical in achieving the KBK and FKTP performance.
Depression Among Islamic Boarding Schools Students During the COVID-19 Pandemic in East Java, Indonesia Asri, Yuni; Priasmoro, Dian Pitaloka; Muhtar, Muhammad Solihuddin; Manga, Yankuba B
Kesmas Vol. 19, No. 1
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Abstract

The COVID-19 pandemic significantly impacts many aspects of life, including health, economy, society, education, and mental well-being. The pandemic impact on mental health, in particular, leads to increased rates of depression, anxiety, and stress. This study aimed to determine the prevalence of depression among Islamic boarding school students in Indonesia and identify factors associated with depression symptoms. This cross-sectional study employed questionnaires for data collection. Assessment of depression levels used the DASS-21 tool. Descriptive statistics and multivariate logistic regression were applied to analyze relationships between variables. The study findings indicated that 62.4% of the students exhibited factors associated with depression. In general, education level, personality type, communication with peers, satisfaction with the living environment, and health status demonstrated significant associations with depression. In conclusion, recognizing and intervening at early stages are crucial for depression prevention and mitigation. This study serves as a key instrument for the policymakers in the field of education, providing insights to promptly take immediate actions, especially regarding the placement of students in Islamic boarding schools in Muslim-majority countries.
Effects of Maternal Anthropometry on Infant Anthropometry: A Cross-sectional Study at Public Hospital X in Ternate, Indonesia Nurwati, Yuni; Hardinsyah, Hardinsyah; Marliyati, Sri Anna; Santoso, Budi Iman; Anggraini, Dewi
Kesmas Vol. 19, No. 1
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Infant anthropometry is an indicator of neonatal survival. This study aimed to determine the effects of maternal anthropometry on estimating infant anthropom­etry. This cross-sectional study on 173 pregnant women at Public Hospital X in Ternate, Indonesia, was conducted from August 2018 to March 2023. The el­igible criteria were pregnant women aged ≥18 years, single pregnancy, and antenatal care (ANC) visits to the same hospital. The variables used included ma­ternal anthropometric measurements (body weight, body height, third-trimester weight (TTW)), gestational weight gain (GWG), education, age, ANC visits, and gestational age at delivery (GAD). A logistic regression model was employed to estimate significant variables related to infant anthropometric measure­ments (birth weight, birth length, and head circumference). The results showed that TTW, GWG, ANC, and GAD had significantly affected birth weight. Bodyweight, height, and TTW also significantly affected birth length. In addition, only GAD significantly affected the head circumference. In multivariate analysis, TTW and GWG significantly affected birth weight. Furthermore, only body height and GAD affected the birth length. Maternal anthropometrics become impor­tant indicators for estimating birth weight and birth length.
Implementation of National Movement for the Acceleration of Nutrition Improvement Policy for the First 1,000 Days of Life in Indonesia Napirah, Muhammad Ryman; Vidyanto, Vidyanto; Rahman, Nurdin; Ningrum, Arum Sekar; Asmawati, Asmawati; Veruswati, Meita
Kesmas Vol. 19, No. 1
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The national movement for accelerating nutrition improvement in the first 1,000 days of life is an effort to strengthen the Indonesian Government's commitment to the national strategic agenda and tackling stunting. This study aimed to determine communication, resources, disposition, and bureaucratic structure in implementing the movement at the Biromaru Primary Health Care (PHC) and Loru Village, Sigi District, Indonesia. The mixed method approach was carried out with informants consisting of several parties from the PHC, health cadres, and the local community through triangulation and questionnaires. The results showed poor communication was inhibited by a lack of community outreach, the attitude of the community’s lack of participation, and the PHC staff’s perceptions (85.14%). There was still insufficient number of health workers as resources (79.73%) who could cover all work areas. While, 75.68% of the health workers considered the disposition to be unfavorable because the incentive budget functioned as an operational budget. Only the bureaucratic structure has been running well, according to 82.43% of PHC staff. Standard operating procedure is required to make the movement run well.

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