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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
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Search results for , issue "Vol. 19, No. 2" : 9 Documents clear
Spatial Durbin Model on the Utilization of Delivery at Health Facilities: A 2017 Indonesian Demographic and Health Survey Analysis Wahyuni, Indah Sri; Gustina, Ira; Makful, Martya Rahmaniati; Eryando, Tris
Kesmas Vol. 19, No. 2
Publisher : UI Scholars Hub

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Abstract

The utilization of delivery at health facilities is a major intervention in reducing 16 to 33% of deaths. This study aimed to determine the model of utilization of delivery at health facilities in Indonesia in 2017 and its influential factors. This study used secondary data from the 2017 Indonesian Demographic and Health Survey using a Spatial Durbin Model (SDM) approach. The population was mothers aged 15 – 49 years, spread across 34 provinces of Indonesia, and had 15,321 samples. The results showed that the Moran’s I value was positive (0.146) and significant at p-value = 0.007, indicating clustered regions with similar characteristics. The SDM modeling estimation results (R2 = 91.61%) presented those dependent and independent variables that influenced the utilization of delivery at health facilities and its influential factors. The significant and most dominant direct factor that influenced the utilization of delivery at health facilities was pregnancy visits, while the most dominant indirect factor was socioeconomic status. Therefore, further policy planning is expected to be based on regional specificities, and effective intervention programs should be designed based on these factors.
The Influences of Medical Students' Consent to Participate in Thalassemia Research Wratsangka, Raditya; Adriani, Donna; Tungka, Endrico Xavierees; Murthi, Aditya Krishna
Kesmas Vol. 19, No. 2
Publisher : UI Scholars Hub

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Abstract

An effective way of learning about thalassemia, a complex public health issue with multiple perspectives, is through participating in research. This study used an inductive approach to presume the influencing factors of students' consent to participate in thalassemia research voluntarily. Nested in the preliminary stage of a research series on thalassemia, this study used a consecutive sampling to recruit 140 medical undergraduates. Their knowledge, experience, and attitude to thalassemia and the perception of self-quality life were assessed using self-administered questionnaires. Blood samples were drawn for carrier screening. Students' GPAs were collected from faculty records. Of 140 participants, only 123 had at least heard of thalassemia, and their data was used in the analysis. Most participants had fairly good but incomplete knowledge of inheritance patterns, antenatal screening, and thalassemia management. Premarital screening was known and received the most positive attitudes from participants. Inductively, academic performance and carrier status curiosity were presumed to influence students' consent to participate. With the limitation of an inductive approach, further study with a specific design is needed to closely investigate student perspectives on research and their drives to get involved.
Mapping for Tracking Sexually Transmitted Infections by Subdistricts in Surabaya, Indonesia Susilaningrum, Destri; Ulama, Brodjol Sutijo Suprih; Hibatullah, Fausania; Anjani, Diandra Soja
Kesmas Vol. 19, No. 2
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Abstract

The 2014 shutdown localization of prostitution in Surabaya City, East Java Province, Indonesia, has given rise to an illegal prostitution industry, resulting in the spread of uncontrolled sexually transmitted infections (STIs). Mapping needs to be done to track the spread of the disease. This study used secondary data on STIs in 2020 from the Surabaya City Health Office. By using biplot analysis, this study sought to offer a detailed understanding of the distribution and dynamics of STI cases in different parts of Surabaya. The early-stage syphilis was found in Tegalsari and Krembangan Subdistricts; then, gonorrheal urethritis was found in Tandes, Karang Pilang, and Pabean Cantian Subdistricts. Meanwhile, gonorrhea was typically found in Tandes, Gunung Anyar, Sawahan, and Karang Pilang Subdistricts. On the other hand, Tegalsari, Krembangan, and Pabean Cantian Subdistricts also had cases of advanced syphilis. This study enables relevant parties, specifically the Surabaya City Health Office, to monitor the method's rapid spread and respond to each case according to the predominant type of STI.
Menstrual Personal Hygiene Behavior Among Adolescents with Physical and Intellectual Disabilities Elfiyani, Nur Khotimah; Kusumayati, Agustin; Wuryaningsih, Caroline Endah; Siregar, Kemal Nazaruddin
Kesmas Vol. 19, No. 2
Publisher : UI Scholars Hub

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Abstract

Reproductive health for adolescents with disabilities is often disregarded, and education on personal hygiene is insufficient because some people perceive menstruation as a sensitive topic and have a false belief that adolescents with disabilities have no sexual desire. This study aimed to determine the overview of personal hygiene behavior among adolescents with physical and intellectual disabilities when facing menstruation. The method used was qualitative, with case studies, in-depth interviews, and observations for data collection. The informants comprised four adolescents aged 19-21 years, two mothers, and two therapists for special needs children. This study was conducted at two growth and development clinics in South Jakarta, Indonesia, from July to September 2021. This study found a lack of apprehension about menstrual personal hygiene among mothers and adolescents with disabilities, a lack of understanding about menstrual personal hygiene in general among adolescents with disabilities, and inappropriate menstrual personal hygiene behavior among adolescents with disabilities. To conclude, this study underlines the importance of improving the ability of adolescents with disabilities in terms of menstrual hygiene behavior.
Exploring the Implementation of Safety Resilience Assessment in Industries: A Systematic Literature Review Wirawan, Mufti; Lestari, Fatma; Djunaidi, Zulkifli; Hafia, Azka; Khaliwa, Agra Mohamad; Al Azhar, Muhammad Schehan
Kesmas Vol. 19, No. 2
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Abstract

Safety Resilience discusses how a work process can run properly not only aims at preventing adverse events, but also increasing work productivity and effectiveness by increasing resilience. The concept of resilience has been widely suggested as safety management due to its ability to support organizations to continue operating even when facing unexpected demands or scale disruptions by improving their day-to-day performance. This study used a systematic literature review to explore the implementation of safety resilience in various industries. The results showed that 50% of articles used the Resilience Assessment Grid instrument to measure safety resilience in the workplace. In brief, increased safety resilience positively improves work performance and organizational safety.
Exploring the Multifaceted Nature of Occupational Stress Among Nurses: A Systematic Review Sundram, Bala Murali; Vallasamy, Suriya Kumareswaran; Muhadi, Umairah
Kesmas Vol. 19, No. 2
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This systematic review examined occupational stress among nurses, its multifaceted nature, and its significant impact on healthcare delivery and nurse well-being globally. This study identified various stressors, including intrinsic job factors, organizational structure, role expectations, interpersonal relationships, and career development. Using the Cooper and Marshall stress model, a thorough literature search was conducted across databases like ISI Web of Knowledge, PubMed, Scopus, Ovid Medline, and Google Scholar, focusing on publications from 2010 to 2023. This rigorous approach included diverse research methodologies, emphasizing studies measuring outcomes related to occupational stress and mental health among nurses. A total of 10 studies met the inclusion criteria, highlighting stressors such as workload, job demand, job insecurity, and less reward, categorized into five primary sources. The review revealed that occupational stress in nursing is a global issue, leading to adverse outcomes like burnout, decreased job satisfaction, and increased turnover. The discussion emphasized the need for a holistic approach to stress management, advocating for supportive work environments, adequate staffing, and professional development opportunities. In conclusion, strategic interventions are crucial for improving mental health, job satisfaction, and healthcare quality, necessitating collaborative efforts from healthcare leaders, policymakers, and practitioners.
Prevention of HIV Transmission Among Men Who Have Sex with Men and Compliance with Sexual Protective Equipment Sitorus, Rico Januar; Octavia, Nurafni; Panjaitan, Merry Natalia; Rahmiwati, Anita Rahmiwati; Syakurah, Rizma Adlia; Aerosta, Danny; Sangalang, Reymart V; Yusri, Yusri
Kesmas Vol. 19, No. 2
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Abstract

Sexual orientations, such as gay, lesbian, and bisexual, are prevalent among individuals at high risk of experiencing mental health problems, including drug use, depression, emotional distress, and suicide. Therefore, this study aimed to assess the compliance of men who have sex with men with protective equipment and determine the dominant influential factors. This cross-sectional study included 187 men who had sexual intercourse with men who were recruited from two foundations based in Palembang City, Indonesia, focusing on people living with HIV/AIDS. Data were analyzed using Chi-square and binomial logistic regression. In this context, 50.8% of men who have sexual intercourse with men did not comply with the use of sexual protective equipment, exceeding those in compliance. The multivariate logistic regression showed that knowledge was the dominant factor (PR = 15.733; 95% CI = 4.063-60.920), and most low-knowledge individuals were 15.733 times more at risk of non-compliance. Intensive education is needed regarding the potential risk of transmission, considering the ease of access to condoms.
Analysis of Factors Affecting Hospital Risk Management in Indonesia: The SEM-PLS Approach Dihartawan, Dihartawan; Lestari, Fatma; Widanarko, Baiduri; Besral, Besral
Kesmas Vol. 19, No. 2
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Abstract

Healthcare workers, especially those in hospitals, face a variety of complex hazards and exposures. One of the essential aspects of reducing risks and dangers is effective risk management. This study used a cross-sectional approach to survey the implementation of occupational health and safety management systems in Indonesian hospitals and to identify factors predisposing hospital risk management in Indonesia. A purposive sampling method was employed to select 90 hospitals distributed across 10 provinces in Indonesia. Data were analyzed using descriptive analysis, correlation, and SEM-PLS. A total of 44 hospitals (48.9%) had complete status plenary, and the majority were type C hospitals (43.3%). The results of SEM-PLS analysis showed that the hazard and risk identification analysis and Standard Operating Procedures (SOPs) factor-variables significantly predisposed the high quality of hospital risk management in Indonesia, with path values of 0.282 and 0.469, respectively. Enhancing hospital risk management in Indonesia could be achieved by increasing the use of appropriate SOPs and conducting a thorough analysis of hazards and risk identification.
Performance of Stunting Reduction Acceleration Team: An Explorative-Qualitative Study in Indonesia-Timor Leste Border Area Nahak, Maria Paula Marla; Nitsae, Veronika
Kesmas Vol. 19, No. 2
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Abstract

Stunting is a complex issue influenced by multiple factors, including specific factors within and outside the health sector. Achieving a significant reduction in stunting needs the involvement of relevant local government offices in the Stunting Reduction Acceleration Team (SRAT). This study aimed to investigate SRAT performance in a specific context of accelerating stunting reduction in Malaka District. This qualitative study, with a phenomenological approach, was conducted in Malaka District, Indonesia, and Timor Leste Border Area from July to September 2023. This study revealed four major themes of SRAT performance to accelerate stunting reduction in Malaka District: activities to accelerate stunting reduction, challenges faced in implementing the programs, supporting factors for program implementation, and alternative activities initiated by the local government. This study showed that the many local government agencies responsible for specific and sensitive interventions have effectively fulfilled their mandatories and roles in accelerating the elimination of stunting in Malaka District. However, inadequate internal coordination within SRAT has led to a dearth of harmonization in its execution.

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