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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 928 Documents
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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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Abstract

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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Abstract

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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Abstract

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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Abstract

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.
Kangaroo Mother Care in Improving Thermoregulation of Premature Babies During the COVID-19 Pandemic: A Case Report Wahyuningrum, Ari Damayanti; Arief, Yuni Sufyanti; Fitriyasari PK, Rizki; Lei, Chui Ping; Kapti, Rinik Eko
Kesmas Vol. 18, No. 5
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Abstract

Premature babies lose four times more heat than those with sufficient birth weight. Moreover, their body temperature regulation center does not function properly. This study aimed to investigate Kangaroo Mother Care's effect in increasing premature babies' thermoregulation during the COVID-19 pandemic at Hospital A in Malang City, Indonesia. This study was a case report with data from follow-up checks on premature babies discharged from the hospital. The Kangaroo Mother Care method, carried out by the mother, increased the thermoregulation of premature babies' temperature by 0.2ᴼC compared to the father. It was because women have a slightly higher body temperature than men. The comfortable body temperature for women was 2.5ᴼC higher than for men. Men had a lower body mass of fat, so it took an average longer time for metabolism. The kangaroo mother care procedure, especially when done by the mother, can increase the body temperature of premature babies by conduction.
The Role of Resilience in Quality of Life in a Productive-Age Population During the COVID-19 Pandemic Nurcandra, Fajaria; Ronoatmodjo, Sudarto; Keliat, Budi Anna; Sudaryo, Mondastri Korib
Kesmas Vol. 18, No. 5
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Abstract

The COVID-19 pandemic has impacted various sectors and may trigger a decrease in quality of life (QoL), so resilience is urgently needed. This study aimed to analyze the role of resilience in the QoL of individuals during the second wave of the COVID-19 pandemic in East Jakarta, Indonesia. An explanatory sequential mixed methods study was conducted with a cross-sectional design. The QoL was measured using the Indonesian-HRQoL on 300 respondents through multistage cluster sampling. The explanatory qualitative approach involved Focus Group Discussions and in-depth interviews. A Cox regression was used to analyze the quantitative data. The proportion of poor QoL was 26.30%. Poor resilience (individual, family, and community) contributed to poor QoL during the pandemic. Realistic perceptions determined the role of individual resilience in QoL concerning gratitude, sincerity, patience, mutual reinforcement, accepting circumstances, implementing health protocols, cognitive emotion regulation, adaptability, and optimism. The age of family decision-makers, social support, and self-control determined the role of individual resilience in QoL. The role of community resilience in mental-emotional disorders and QoL was determined by the stability of the education system, health system, political/government system, and pandemic management system.
Infodemic, Health Promotion Efforts, and Preventive Behavior During the COVID-19 Pandemic in Indonesia: A Quantitative Analysis Study Kurniati, Desak Putu Y; Indrayathi, Putu Ayu; Pradnyani, Putu Erma; Ulandari, Luh Putu S; Januraga, Pande Putu; Yuliarti, Monika Sri; Santosa, Karina Samaria
Kesmas Vol. 18, No. 5
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Abstract

The coronavirus disease 2019 (COVID-19) is the first pandemic in history where technologies and social media are used on a large scale to make people safe, informed, productive, and connected. At the same time, these technologies enabled the rise of the infodemic, which endangered pandemic control. This study aimed to assess COVID-19 information exposure in the community, the efforts to find related information in online media, and COVID-19 preventive behavior. A cross-sectional study was conducted with 909 participants in Indonesia using the consecutive sampling technique. Data were collected using a questionnaire distributed through social media (WhatsApp, Instagram, and Facebook) and analyzed using univariate analysis, bivariate analysis (Chi-square test), and multivariate analysis (multiple logistic regression). The results showed that about 838 (92.2%) participants said they often or always obtain information about COVID-19 online, 662 (72.8%) participants stated that information from online sources increased their knowledge of the disease, and 728 (80.1%) said that online information enabled them to make preventive efforts. Marital status (AOR: 1.81, p-value = 0.002) and perceived susceptibility (AOR: 1.42, p-value= 0.011) were the most influential factors for COVID-19 preventive behaviors. Information sources and channels frequently accessed by the community must be professionally managed by the government as valuable tools for mitigating an epidemic or pandemic.
The Influence and Feasibility of Therapeutic Exercise Videos at Home on the Functional Status of Post-COVID-19 Hospitalization Wahyuni, Luh Karunia; Harini, Melinda; Sunarjo, Peggy; Ramadhany, Mellisya; Fitriana, Ika; Hidemi, Octaviany; Wijayanti, Indri; Nugraha, Boya; Tedjasukmana, Deddy; Tamin, Tirza Z
Kesmas Vol. 18, No. 5
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Abstract

The COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the intervention group was shown educational videos about therapeutic exercise at home. The comparison of all functional outcomes between the two groups after the intervention showed a significant difference. The intervention group improved more than the control group, except for the fatigue severity scale. Most of the responses showed that this video was feasible and useful and did not need to be supervised by health workers. Therapeutic exercise educational videos can be an option to deliver rehabilitation programs for post-COVID-19 hospitalized patients.
Epidemiology of Celiac Disease in Northern Morocco in 2018–2021: A Descriptive Cross-Sectional Study Haddadi, Maroua; Mellouki, Ihsan; Benmakhlouf, Yousra; Diakite, Adama; Khaili, Aymane; Barrijal, Said; Essalmani, Haiat
Kesmas Vol. 18, No. 5
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Abstract

Celiac disease is an autoimmune disease caused by gluten. This retrospective cross-sectional study with descriptive and analytical aims was conducted over three years, from 2018 to 2021. The participants were 280 patients diagnosed with celiac disease registered in the Gluten Intolerant and Allergic Association of the North in the Tangier-Tetouan-Al Hoceima region. The prevalence and incidence of celiac disease in this region were 1/135 and 1/253, respectively. The average age was 21.18 ± 1.13, and the first symptoms appeared between 10 and 25 years. The data showed a female predominance of 68% versus 32% for males, with a male/female sex ratio of 0.45. The clinical signs of celiac disease manifested more in gastrointestinal symptoms. This study obtained data on 22.6% of microcytic hypochromic anemia patients and 40.7% of Helicobacter pylori infections. In addition to celiac disease, the patients showed other pathologies with different rates: repeated spontaneous abortions (2.14%), type 1 diabetes mellitus (1.42%), autism (1.42%), dermatitis herpetiformis (0.72%), cancer(0.72%), and epilepsy (0.35%). Serologically, anti-transglutaminase antibodies were positive in 47.2% of patients. Analyses of histological data from intestinal biopsies from 141 patients were positive in 50.8% of patients. There was a minor correlation between the serological profile and the degree of atrophy.

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