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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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Indonesia’s COVID-19 Trend After the End of a Public Health Emergency of International Concern: Preparation for an Endemic Novarisa, Nessa; Helda, Helda; Mulyadi, Rahmad
Kesmas Vol. 18, No. 5
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Three years into the pandemic, the World Health Organization revoked the COVID-19 public health emergency of international concern on May 5, 2023. This decision sparked debate, notably around the possibility of a surge in cases due to the SARS-CoV-2 mutations. To manage this transition, the Indonesian government enacted stringent controls on case numbers. This case series study provided an overview of COVID-19 case trends in Indonesia following the revocation of public health emergency of international concern status by the World Health Organization. Data were collected for 5 weeks after the statement (May 6–June 10, 2023) from the COVID-19 Task Force’s official online platform of the Indonesian Ministry of Health. The trends were monitored in daily confirmed, active, recovered, and death cases, and analyzed the data using Microsoft Excel and Stata 16. The findings indicated a positive trend for Indonesia, with decreased daily confirmed cases (89.42%) and active cases (44.16%). Recovered cases accounted for 97.47%, higher than the global average (96%). Unfortunately, the death rate (2.38%) exceeded the global statistic (1%). These results highlighted the need for sustained vigilance, enhancement of the 3T strategy (testing, tracing, and treatment), and wider vaccination coverage. It remains critical to uphold the 3M protocols—mask-wearing, physical distancing, and hand hygiene—to prevent a potential rebound in cases, even without the public health emergency of international concern status,as the situation transitions toward endemic COVID-19.
Nutrition Education Effect on Anemia Incidence in Female Adolescents: Meta-Analysis for Future Health Post-COVID-19 Pandemic Rahmiwati, Anita; Djokosujono, Kusharisupeni; Krianto, Tri; Utari, Diah Mulyawati; Djuwita, Ratna; Utama, Feranita
Kesmas Vol. 18, No. 5
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Female adolescents are at a heightened risk of anemia due to inadequate iron intake and absorption, blood loss during menstruation, and an escalated need for iron to support rapid growth. This study examined the impact of nutrition education on the incidence of anemia in adolescent girls. The investigation was conducted through a systematic review and meta-analysis, employing articles from reputable sources such as Google Scholar, JAMA Network, PubMed, ScienceDirect, The New England Journal of Medicine, Lancet, and ProQuest, published between 2013 and 2021. The keywords for data retrieval were"nutrition education" and "adolescent anemia girls." Furthermore, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was used to select and organize publications for this study. Using Review Manager 5.3 Software, full-text articles meeting meta-analysis criteria were selected, resulting in 7 out of the 257 retrieved articles being included. The findings suggested that nutrition education indeed impacts the incidence of anemia in adolescent girls (p-value
Oral Manifestations in COVID-19 Patients Associated with Oral Hygiene in Aceh, Indonesia: A Literature Review Hanum, Misra; Abdat, Munifah; Nurjannah, Nurjannah; Saputra, Irwan; Usman, Said
Kesmas Vol. 18, No. 5
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COVID-19 became a pandemic because of its high-speed transmission via salivary and airborne droplet routes. Viruses can enter host cells through ACE-2 receptors in various human organs, including the oral cavity. The oral manifestations that arise include white plaque, ulceration, burning sensation, oral mucositis, depapillation of the tongue, dry mouth, halitosis, and loss of the sense of taste. Poor oral hygiene, comorbidities, decreased immunity, and stress can exacerbate these manifestations. This review study aimed to report various oral manifestations of COVID-19 related to oral hygiene. Relevant articles were identified from PubMed, ScienceDirect, Elsevier, and Google Scholar. Out of the 60 articles selected, only 36 could be reviewed. The World Health Organization recommends early detection for individuals with suspected exposure to the COVID-19 virus to control its spread, including checking for oral manifestations. Oral hygiene is an important factor affecting the manifestations of the oral cavity of COVID-19 patients, so examination of the condition of oral hygiene is recommended in the medical management of COVID-19 patients. To conclude, oral hygiene is related to the emergence of oral manifestation in COVID-19-infected patients.
The Influence of the COVID-19 Pandemic on Physical Growth and Personal Hygiene of Adolescents Halifu, Ruslan; Amiruddin, Ahmad; Samrida, Wa Ode Nesya J; Justin, Wa Ode Sitti; Sari, Selvi Mayang; Pabokori, Sudirman
Kesmas Vol. 18, No. 5
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The COVID-19 pandemic has influenced the community's lifestyle, including adolescents’ behavior. One aspect majorly affected was physical growth, which encompasses several areas, including nutritional status and personal hygiene. Maintaining the quality of physical growth is very important, even beyond the pandemic. Therefore, this study aimed to determine the influence of the COVID-19 pandemic on adolescents' nutritional status and personal hygiene. A literature review method was used through a bibliometric and content analysis of publications obtained from databases such as Google Scholar. The articles obtained were classified by publication year, study location, keywords, and journal titles. Based on the literature search, 11 articles were found on the influence of the COVID-19 pandemic on the nutritional status of adolescents, and 10 articles discussed the effect on personal hygiene. After reviewing the articles, it was concluded that the pandemic influenced adolescents' nutritional status and personal hygiene.
Kualitas Pelayanan Keluarga Berencana dan Penggantian Kontrasepsi di Indonesia Rahardja, Mugia Bayu
Kesmas Vol. 6, No. 3
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Keberhasilan program Keluarga Berencana Nasional tidak hanya diukur dari peningkatan peserta program, tetapi juga efektivitas dan durasi pemakaian kontrasepsi. Penelitian ini bertujuan menilai pengaruh kualitas pelayanan KB terhadap perilaku penggantian alat kontrasepsi di Indonesia. Penelitian sumber data sekunder histori pemakaian metode kontrasepsi dalam kalender data SDKI tahun 2007 dengan metode analisis regresi logistik dengan efek random. Wanita tanpa informed choice dan tanpa kunjungan petugas KB serta pengguna susuk KB berhenti karena ingin metode lebih efektif yang dapat membuat terlihat lebih muda, dan menghasilkan anak sedikit. Pada pasangan yang masa perkawinannya kurang dari 10 tahun, status pendidikan dan sosial ekonomi tinggi, serta bermukim di perkotaan memperlihatkan proporsi penggantian alat kontrasepsi yang tinggi. Hasil analisis multivariat menunjukkan bahwa informed choice dan kunjungan petugas KB berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Selain itu, sejumlah faktor sosial ekonomi dan demografi juga berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. The success of family planning (FP) program is measured not only by the improvement of contraceptive prevalence but also by the effectiveness. This research uses the data of the 2007 Indonesia Demographic and Health Survey calendar data by employing a random-effect logistic regression model. The objective is to study the influence of FP services quality and other socioeconomic and demographic factors on switching contraceptive behavior in Indonesia. The results of descriptive analysis show that the percentage of contraceptive switching is higher on women who are younger, have less children, less than 10 years of marital age, have high education, have high economic status, who did not get informed choice and get visit from FP officers in last 6 months, who use implants, stop using contraceptive in order to get others method which more effective and living in urban areas. The ultivariate analysis results show that the quality of FP services which consists of informed choice and FP officer’s visit significantly influence the possibility of FP acceptor to switch their contraceptive method. The result of this research also supports the previous researches that socioeconomic and demography factors significantly influence the possibility of FP acceptor to switch their contraceptive method.
Pendapat Pembaca Awam terhadap Buku “Air Susu Ibu: dari Ayah untuk Ibu dan Bayi” Februhartanty, Judhiastuty; Septiari, Andi Mariyasari; Destriatania, Suci
Kesmas Vol. 5, No. 4
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Kendati ayah diketahui berperan sebagai pendukung praktik pemberian air susu ibu (ASI), akses ayah terhadap informasi mengenai praktik pemberian ASI yang benar sangat minim. Buku dapat menjadi salah satu saluran informasi yang potensial. Studi pendahuluan ini bertujuan untuk menggali pendapat para pembaca sukarelawan laki-laki dan perempuan mengenai isi dan manfaat sebuah buku tentang ASI dan peran ayah. Studi ini menggunakan pendekatan kualitatif deskriptif. Sukarelawan dipilih sebagai informan secara purposif berdasarkan tingkat pendidikan, jenis kelamin, status perkawinan, paritas, dan tingkat kegemaran membaca buku. Analisis isi (content analysis) dilakukan terhadap hasil wawancara dengan menggunakan matriks perbandingan (comparative matrix). Sebagai temuan studi ini, setelah membaca buku umumnya seluruh informan menyatakan bahwa buku yang dibaca penting dan bermanfaat. Namun, informan berpendapat bahwa praktik pemberian ASI masih menjadi urusan kaum perempuan. Seluruh informan sependapat bahwa ayah berperan membantu ibu menyusui agar sukses memberikan ASI. Peran yang dapat dilakukan ayah bagi ibu menyusui umumnya bersifat dukungan psikologis. Disarankan agar dilakukan studi lanjutan tentang pengaruh buku ini dalam meningkatkan pengetahuan, sikap, dan perilaku pembacanya. Although fathers were known supportive in mothers’ breastfeeding practice, they have limited access toward correct information about breastfeeding practice. Book can be a potential source of information for fathers. This preliminary study is aimed at exploring opinion about a book containing information about breastfeeding and the role of father from voluntary male and female readers as informants. This study employed qualitative approach. Informants were recruited purposively based on their educational level, sex, marital status, parity, and fondness of book reading. Content analysis was employed for analysis. This study found that all informants stated that the book is important and beneficial, however, breastfeeding is as female domain. Having the book read, all informants agreed that fathers do play roles in breastfeeding practice, that is in this study found to be related to psychological support to the breastfeeding mothers. It is suggested that this study needs to be followed up by other study to assess the effect of the book in improving the knowledge, attitude, and practice of the readers.
Repellency Test of Wet Tissue Containing DEET (N,N-diethyl- 3-metatoluamide) and Citronella Oil (Cymbopogon citratus) Againts Aedes Aegypti Mosquitoes Satoto, Tri Baskoro T.; Mulyaningsih, Budi; Sintorini, M.M.; Sugiarto, A.F.; Kesuma, B. A
Kesmas Vol. 5, No. 4
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Demam berdarah merupakan salah satu masalah utama kesehatan di Indonesia. Karena penyakit ini disebarkan oleh nyamuk Aedes aegypti, berbagai cara telah dilakukan untuk memutus rantai pejamu, agen, dan lingkungan, termasuk mencegah kontak manusia dengan vektor dengan menggunakan bermacam-macam pengusir serangga. Uji ini membandingkan waktu proteksi N,N-diethyl-3-metatoluamide (DEET) dengan waktu proteksi minyak sitronella yang terkandungkan dalam tisu basah terhadap Aedes aegypti. Untuk uji ini, dibuat larutan 12,5% DEET dalam etanol dan larutan 20% minyak sitronella. Sejumlah tisu kering dicelupkan ke dalam masing-masing larutan ini, ditiriskan dalam udara terbuka, kemudian dibungkus dengan lembaran aluminium dan disimpan selama satu hari dan satu minggu. Sementara itu, sejumlah nyamuk Aedes aegypti betina yang bebas penyakit ditempatkan dalam sangkar. Tisu basah yang telah disimpan selama satu hari dan satu minggu diusapkan pada bagian tangan (dari sikut sampai pergelangan tangan) relawan, kemudian tangan yang telah diusap itu dimasukkan ke dalam sangkar nyamuk dalam tiga replikasi uji (25 ekor nyamuk per sangkar). Waktu antara pemasukan tangan sampai dengan gigitan nyamuk pertama dinyatakan sebagai waktu usir tisu basah. Ditemukan bahwa waktu usir rata-rata tisu basah 12,5% DEET dan 20% minyak sitronella yang disimpan satu hari masing-masing 4 jam 26 menit dan 14,24 menit, sedangkan untuk tisu basah yang disimpan satu minggu masing-masing 4 jam 6 menit dan 12, 57 menit. Uji Post Hoc menunjukkan bahwa penyimpanan tisu basah satu hari dan satu minggu tidak berbeda secara bermakna (p = 0,524 untuk DEET dan p = 0,681 untuk minyak sitronella). Dengue hemorrhagic fever has been one of the major health problems in Indonesia. As the disease spreads out by Aedes aegypti, a variety of ways has been conducted to disconnect host, agent, and the environment chain including prevention of human contact w ith the vector using by various repellents. The present test compared the complete protection time of N,N-diethyl- 3-metatoluamide (DEET) and citronella oil impregnated in wet tissue against Aedes aegypti. For this test, an ethanol-based 12.5% DEET and 20% citronella oil were prepared, into which dry tissue papers were immersed, drain in open air, and then stored in aluminum foil packs for one day and one week. Meanwhile, a number of disease-free adult female Aedes aegypti were placed in mosquito cages. The prepared one-day and oneweek stored wet tissues were used to swab volunteer adult human hands (from elbow to wrist) which were then inserted into the mosquito cage in three replicates (25 mosquitoes each cage). Elapsed time from first hand insertion to the first mosquito bite was calculated and expressed as repellency time of the impregnated repellent. It was found that the average repellency times of one-day stored 12.5% DEET and 20% citronella oil wet tissues were 4 hour 26 minutes and 14.24 minutes, respectively, while for oneweek stored were 4 hour 6 minutes and 12.57 minutes, respectively. Post Hoc test showed that the repellency time difference between one-day and one-week storage was not statistically significance (p = 0.524 for DEET and p = 0.681 for citronella oil).
Potensi Asam Amino pada Tempe untuk Memperbaiki Profil Lipid dan Diabetes Mellitus Utari, Diah M.; Rimbawan, Rimbawan; Riyadi, Hadi; Muhilal, Muhilal; Purwantyastuti, Purwantyastuti
Kesmas Vol. 5, No. 4
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Prevalensi penyakit degeneratif dari tahun ke tahun meningkat akibat perubahan gaya hidup, khususnya perubahan pola makan. Walaupun tempe sebagai makanan tradisional Indonesia yang banyak dikonsumsi masyarakat karena mudah diperoleh dan harga terjangkau, tidak banyak yang mengetahui manfaat tempe bagi kesehatan. Tempe lama dikenal sebagai sumber protein yang dikonsumsi oleh kalangan masyarakat berpenghasilan rendah. Kajian lebih mendalam mengenai kandungan gizi dan manfaat tempe dan bagi kesehatan, khusus sebagai pencegah penyakit degeneratif perlu dilakukan. Proses fermentasi kedelai menjadi tempe mengakibatkan perubahan zat gizi dan non gizi yang mengakibatkan manfaat tempe jauh lebih baik dibandingkan kedelai. Protein tempe lebih mudah di cerna tubuh, sedangkan asam amino arginin yang meningkat hampir dua kali lipat pada tempe, sangat tinggi manfaatnya bagi kesehatan terutama dalam memperbaiki profil lipid dan diabetes mellitus. Mempertimbangkan hal tersebut tempe dapat dipertimbangkan sebagai pangan fungsional yang bermanfaat bagi kesehatan. Degenerative diseases prevalence had been arining over years. One of the causes is the life style changes including eating pattern. Tempeh, an Indonesian soybean traditionally fermented food, was known and consumed by almost all Indonesian people. However, only a few know the health benefit of tempeh. Tempeh was also well known and cheap protein source food affordable for the poor. Hence, there is a need to explore the nutritious content of tempeh and health benefit of it deeper such as in preventing degenerative diseases. Fermentation process of soybean to become tempeh had improved nutrient and non-nutrient contents that make tempeh better than soybean. Tempeh protein is more digestible than soybean and the arginine content increases twice, that could improve lipid profile and diabetes mellitus. Tempeh could be considered as functional food having health benefit.
Efektivitas dan Efisiensi Sistem Informasi Keluarga Berencana di Puskesmas Putri, Aragar; Besral, Besral
Kesmas Vol. 5, No. 4
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Efisiensi dan efektivitas sistem informasi keluarga berencana (KB)-kesehatan yang telah disosialisasikan sejak tahun 2007 dibandingkan dengan sistem yang lama belum diketahui. Suatu penelitian survei dilakukan di empat provinsi, yaitu DKI Jakarta, Lampung, Kalimatan Tengah, dan Bali. Di tiap provinsi dipilih dua kabupaten/kota dan pada tiap kabupaten/kota dipilih dua puskesmas (kecamatan) yang sudah menerapkan sistem informasi KB-kesehatan tersebut. Pengumpulan data dilakukan pada bulan Juni-September 2008. Penelitian ini menemukan bahwa efektivitas dan efisiensi sistem informasi KB yang baru cukup baik, 77,8% responden menyatakan lebih efektif atau sangat lebih efektif dan 66,7% responden menyatakan lebih efisien atau sangat lebih efisien dibandingkan dengan sistem yang lama. Skor efektivitas dan efisiensi berbeda antar provinsi (nilai p <0,01), skor terendah di provinsi Bali (rata-rata 68,9 untuk efektivitas dan 61,3 untuk efisiensi), dan skor tertinggi di Kalimantan Tengah (rata-rata 82,7 untuk efektivitas dan 82,2 untuk efisiensi). Tidak ada perbedaan skor efektivitas dan efisiensi sistem informasi KB menurut lingkup kerja dan jabatan responden (nilai p> 0,05). Disarankan kepada Kementerian Kesehatan untuk dapat melakukan perbaikan pada komponen sistem informasi keluarga berencana, terutama dalam pembuatan grafik pemantauan wilayah setempat KB dan mengimplementasikannya di pelayanan KB di puskemas beserta jaringannya. A study is to know the efficiency and effectiveness of the new family planning information system that has been socialized since 2007. To compare with the previous information system, this study was conducted in four provinces i.e., DKI Jakarta, Lampung, Central Kalimatan, and Bali. In each province two districts were randomly selected, and from each selected district two health centers were then randomly selected. Data was collected from June to September 2008. Results of this study revealed that the effectiveness and efficiency of the new family planning information system is considered good, where 77,8% of the respondents reported it as effective or more effective, and 66,7% stated more or much more efficient compared to the previous system. The mean score for effectiveness and efficiency vary between provinces (p-value <0,01). The lowest score was found in Bali (mean 68,9 for effectiveness and 61,3 for efficiency), and the highest score was in Central Kalimantan (mean 82.7 for effectiveness and 82.2 for efficiency). There is no significant difference of the score according to characteristics of the respondents. This study recommends to improve the family planning information system, especially by providing and implementing the local monitoring graph, in the health center and its network.
Pemanfaatan Fasilitas Pelayanan Kesehatan Pemerintah dan Swasta di Kabupaten Sleman Sulistyorini, Anita; Purwanta, Purwanta
Kesmas Vol. 5, No. 4
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Di Sleman, masyarakat yang memanfaatkan fasilitas pelayanan kesehatan swasta (52%) lebih tinggi daripada yang memanfaatkan fasilitas kesehatan pemerintah (37,6%). Fenomena ini diduga berhubungan dengan kebijakan kesehatan. Penelitian ini bertujuan mengetahui pola pemanfaatan fasilitas pelayanan kesehatan pemerintah dan swasta oleh keluarga di Kabupaten Sleman serta berbagai faktor yang mempengaruhinya. Penelitian dengan rancangan studi cross sectional ini dilakukan di 13 kecamatan terpilih di Kabupaten Sleman. Teknik pengambilan sampel yang digunakan adalah cluster sampling dua tahap menghasilkan jumlah sampel penelitian 240 responden dari 30 cluster. Instrumen pengumpulan data yang digunakan adalah kuesioner yang sebelumnya telah disiapkan. Metoda uji chi-square digunakan untuk melihat hubungan antara pemanfaatan fasilitas pelayanan kesehatan pemerintah dan swasta dengan status ekonomi, persepsi akses ke fasilitas pelayanan kesehatan, persepsi kualitas pelayanan kesehatan, serta persepsi sehat sakit. Angka pemanfaatan fasilitas pelayanan kesehatan milik pemerintah dan swasta oleh masyarakat di Kabupaten Sleman ternyata sama tinggi yaitu lebih dari 90%. Pemanfaatan fasilitas pelayanan kesehatan pemerintah berhubungan bermakna dengan persepsi aspek waktu pelayanan kualitas pelayanan kesehatan (p value = 0,019). Fasilitas pelayanan kesehatan swasta berhubungan bermakna dengan persepsi aspek biaya kesehatan kualitas pelayanan kesehatan (p value = 0,005). Disimpulkan bahwa pemanfaatan fasilitas pelayanan kesehatan milik pemerintah maupun swasta oleh keluarga di Kabupaten Sleman dipengaruhi oleh persepsi kualitas pelayanan kesehatan. In Sleman, the private health service facilities is utilized higher ( 52%) than those of public facilities ( 37,6%). This phenomenon is assumed to be brought about by health policy. This research is aimed at studying the pattern of private and public health services facilities utilization in Sleman Regency and the factors influence it. A cross-sectional survey was carried out in 13 selected districts of Sleman Regency. Two steps cluster sampling was administered giving 30 clusters and 240 households as respondents. Chi-square test was used to identify association between private and public health services utilization and economical level; the perception of services facilities’s accesibility; the perception of health services quality also the perception of family health and healthy illness perception. Both private and public health services facilities in Sleman Regency were equally utilized (>90)%. Utilization of public health services facilities has significant correlation with perception towards health services quality, especially services time (p value = 0,019). The private health services facilities has a significant correlation with the family perception towards health services quality, especially health cost (p value = 0,005). It is concluded that the family perception towards quality of health services influence the public and private health services facilities utilization.

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