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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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Analysis of Climate and Environmental Risk Factors on Dengue Hemorrhagic Fever Incidence in Bogor District Wulandari, Ririn Arminsih; Rahmawati, Tria; Asyary, Al; Nugraha, Fajar
Kesmas Vol. 18, No. 3
Publisher : UI Scholars Hub

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Abstract

Dengue Hemorrhagic Fever (DHF) is transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes and is still becoming endemic in Bogor District. This quantitative correlation study with an ecological approach aimed to analyze how DHF incidence is influenced by climate factors, population density, Larvae Free Rate (LFR), and the area altitude factor. Secondary data were obtained from the Bogor Regency Health Office; the Central Bureau of Statistics of Bogor District; and the Meteorology, Climatology, and Geophysics Agency. In this study, the spatial analysis method was also used, but only on the area altitude factor. The study’s results showed a significant relationship between climate factors, such as air humidity at a Time Lag of 0 months (r=0.394) and the altitude factor (r=-0.350), and DHF incidence in the Bogor District from 2017 to 2022. Spatial data shows that in districts with lower altitudes, such as Cibinong, Cileungsi, and Gunung Putri, DHF incidence tends to be higher. The Bogor District Health Office, together with the community, may enhance efforts to prevent and control DHF, especially during seasonal transitions and in areas with lower altitudes. Cross-sector collaboration with the Meteorology, Climatology, and Geophysics Agency is also necessary to remain vigilant during climate fluctuations.
Editorial: The Public Health Scholars as the Health Leaders Asyary, Al; Veruswati, Meita; Machmud, Putri Bungsu; Susilowati, Indri Hapsari
Kesmas Vol. 18, No. 4
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Abstract

1. Achmadi UF. Kesehatan Masyarakat: Teori dan Aplikasi. Jakarta: Rajawali Pers; 2014. 2. Asyary A. Editorial. Kesmas. 2023; 18 (Special Issue 1): 1-3. DOI: 10.21109/kesmas.v18isp1.7201 3. Badan Kebijakan Pembangunan Kesehatan. Pembangunan Kesehatan di Indonesia melalui Kesinambungan Finansial Jaminan Kesehatan serta Meningkatkan Kualitas Layanan dengan Integrasi Data. Jakarta: Kementerian Kesehatan Republik Indonesia; 2023.
Evaluation of Solid Medical Waste Management in Bogor Regional Public Hospitals Khansa, Silvia; Kusumayati, Agustin; Susanna, Dewi; Sinaga, Uli Tiarma
Kesmas Vol. 18, No. 4
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Abstract

Healthcare facilities generate medical waste. If not properly managed, medical waste may damage the environment and spread diseases. Many hospitals in Indonesia do not adhere to medical waste management regulations. This study aimed to evaluate the management of solid medical waste at four public hospitals in Bogor District, Indonesia. A case study design was used to obtain a comprehensive description of the solid medical waste management activities inthe hospitals. Data were collected through direct observations, interviews, and document reviews. This study revealed that the medical waste generated in allhospitals was infectious, pathological, pharmaceutical, chemical, and cytotoxic, totaling approximately 4,000-12,000 kg. Hospitals A, B, C, and D fulfilled the Regulation of the Indonesian Ministry of Environment and Forestry No. P56 of 2015 criteria, achieving compliance rates of 77%, 83.78%, 83.3%, and 86.48%, respectively. However, several activities of the hospitals did not meet the standards for waste reduction, segregation, on-site transport, temporary storage, and human resource quality. It is important that hospitals establish comprehensive and compliant medical waste management systems.
Development and Validation of Perception of Seating Ergonomics Questionnaire: A Study on Klang Valley Drivers in Malaysia Yap, Choy Min; Mohd Rasdi, Hanif Farhan; Harun, Dzalani; Lim, Wen Xin
Kesmas Vol. 18, No. 4
Publisher : UI Scholars Hub

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Abstract

Driving is an instrumental activity of daily living that has become an essential mode of transportation. Good ergonomic practices are vital to ensure successful driving. This study aimed to develop and validate a questionnaire that could be used to determine how personal, environmental, and occupational factors influence drivers' perceptions of seating ergonomics. This cross-sectional study was conducted in June-July 2022 among 250 drivers in the Klang Valley, Malaysia, recruited via an online survey. The participants completed the questionnaire by assessing different constructs in the Person-Environment-Occupationmodel and perceptions of seating ergonomics. Exploratory factor analysis (EFA) was conducted, followed by a path analysis. Test-retest reliability wasassessed in 30 participants. The final EFA generated a four-factor structure that accounted for 61.69% of the variance. The final version of the questionnairecontained 19 items. The Cronbach's alpha values for all the constructs were above 0.7, and all the intraclass correlation coefficients were above 0.8. Basedon the path analysis results, personal and occupational factors emerged as significant predictors for drivers' perceptions of seating ergonomics. The developed questionnaire was valid and reliable.
Composite Index of Anthropometric Failure and Early Childhood Cognitive Development Based on the 2018 Indonesian Basic Health Research Data Zamrudiani, Safira; Wahab, Abdul; Harisaputra, Rosalia Kurniawati
Kesmas Vol. 18, No. 4
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Abstract

Delays in early childhood cognitive development may have profound long-term implications on health and life expectancy. Optimal nutrition supports early life development, including a child's cognitive development. This study aimed to determine the association between the Composite Index of Anthropometric Failure and early childhood cognitive development among children aged 36-59 months in Indonesia. This cross-sectional study utilized data from the 2018 Indonesian Basic Health Research that involved 18,027 participants aged 36-59 months. This study outcome demonstrated that children who were stunted-underweight were potentially susceptible to delayed cognitive development compared to those with normal nutritional status (aOR = 1.30; 95% CI = 1.12–1.51) after controlling for child’s age, sex, vitamin A supplementation, antenatal care visits, gestational age, access to drinking water and sanitation (combined risk), maternal’s education and mental health (combined risk), maternal’s occupation and number of household members (combined risk). In summary, malnourished children are vulnerable to impaired physical growth and potential delays in early cognitive development.
Role of Partner and Health Workers on Modern Contraceptive Use Among Married/In-union Women in Uzbekistan Supriatin, Supriatin; Rifky, Mohamed; Khan, Muhammad Uzair; Amaliah, Lili; Nurmalita Sari, Marlynda Happy; Santoso, Eko Budi; Ruswandi, Indra; Maretalinia, Maretalinia; Suwarni, Linda
Kesmas Vol. 18, No. 4
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Abstract

Many factors contribute to the declining total fertility rate, including family planning programs. The successful implementation of the family planning method might be influenced by how the decision to choose a contraceptive method was made. This study aimed to examine the correlation between family planning decision-makers and modern contraceptive use among married/in-union women of reproductive age in Uzbekistan. The 2021-2022 Multiple Indicator Cluster Survey was used by selecting only married/in-union women of reproductive age of 15 to 49 years, totaling 2,794 eligible samples. The modern family planning use variables were divided into not using, using Long-Acting Contraceptives (LAC), and Short-Acting Contraceptives (SAC). The univariate, bivariate (Chi-square and ANOVA), and multinomial logistic regression were performed. Family planning decision-makers from both women and husbands/partners, healthworkers, or others were significantly associated with modern contraceptive use for SAC and LAC, respectively. The type of family planning methods was significantly influenced by decision makers. Spouses, family members, and health workers need to implicate women to decide the most applicable contraceptive method.
Development of an Evidence-Based Tool to Assess the Relative Vulnerability of Different Communities to Tuberculosis Isworo, Slamet; Handayani, Sri; Hinchcliff, Reece; Hasibuan, Zainal Arifin
Kesmas Vol. 18, No. 4
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Abstract

Identifying specific tuberculosis (TB) vulnerabilities in populations based on their geographical, demographic, and epidemiological characteristics is anessential yet challenging requirement to help reduce and eliminate TB. Assessment tools that can accurately quantify the risks associated with key factorscould be used to measure TB vulnerability efficiently and indicate the most appropriate range of interventions. This study aimed to develop TB vulnerability assessment tools based on a TB vulnerability assessment conceptual framework developed with Leximancer. Three steps to produce the tools were facetanalysis, interpreting the facet to create a list of questions, and expert judgment to confirm the suitability of the questionnaire. The “everything is data” principlewas used to identify the data sources and build the tools. The data came from multiple primary data sources, with a questionnaire survey and observational form, and secondary data from various governmental statistical departments in Indonesia to collect data related to demography, health indicators, climate,temperature, and air quality. These tools will be optimized at scale next year to evaluate their utility for prioritizing and prescribing health system responses to TB in different communities in Central Java Province.
The Effect of Fluid Overload Control Program on Knowledge and Behavior Among Caregivers of End-Stage Renal Disease Patients on Hemodialysis Ummee, Kanyanat; Rerkkasem, Kittipan; Wungrath, Jukkrit
Kesmas Vol. 18, No. 4
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Abstract

End-stage renal disease (ESRD) is a pressing health issue, and patients on hemodialysis frequently grapple with fluid overload. In Chiang Mai, Thailand, from September to November 2022, this study was conducted to assess the impact of an educational program on the knowledge and behavior of caregivers managing fluid overload in ESRD patients. Using a quasi-intervention design, participants were categorized into two groups: the intervention group, which underwent the educational intervention, and the control group, which continued with standard care. The educational content was grounded in existing studiesand insights from healthcare professionals, caregivers, and patients. Post-intervention results revealed a significant enhancement in the knowledge andbehavior of caregivers in the intervention group regarding fluid overload control compared to the control group (p-value<0.05). This study emphasizes thepotential benefits of structured and evidence-based educational initiatives in equipping caregivers with the tools they need to better manage fluid balance, ultimately leading to improved patient outcomes.
Social Media Use Behavior and Social Media Disorder Among Faculty of Public Health Students During the COVID-19 Pandemic Amelia, Tiara; Zainita, Ulfi Hida; Martha, Evi
Kesmas Vol. 18, No. 4
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Abstract

Excessive use of social media can lead to vulnerability to social media disorder, which is significantly related to the trend of mental health problems among college students. This study aimed to assess the prevalence of social media disorder among college students and to determine the relationship between the number of social media accounts, the total duration of social media use, and social media disorder. This cross-sectional study collected data through an online survey of 201 college students from the class of 2021 in the Faculty of Public Health, Universitas Indonesia. This study used the Social Media Disorder scaleand univariate and bivariate analysis to analyze the data. The prevalence of social media disorder was 23.9%; 93% of students were classified as high-duration social media users, and 58.2% had more than 10 accounts. Statistically, there was a significant relationship between the number of accounts (p-value= 0.045) and social media disorder. However, there was no significant relationship between the duration of social media use and social media disorder (p-value = 0.560). As a suggestion, the self-regulation factor must be considered an independent variable in predicting social media disorder among college students.
System Safety Assessment of the Warehouse Operation Using Functional Resonance Analysis Method and Resilience Analysis Grid Sudiarno, Adithya; Dzaky Ma’arij, Ahmad Murtaja
Kesmas Vol. 18, No. 4
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Abstract

This study applied the perspective of Safety-II using the Functional Resonance Analysis Method (FRAM) and the Resilience Analysis Grid (RAG) to analyze safety in warehouse operations from a system perspective. FRAM was used to emphasize what caused things to go right, with the findings highlighting higher performance and safety variability occurring in activities that require multiple individual or group efforts. RAG was used to assess the organization’s potentialto handle unexpected occurrences, identify the potential resilience of the warehouse in its daily activities, and evaluate the ability to maintain flow and workersafety based on four pillars of resilience. The assessment resulted in a value of 3.50 in the ability to respond, 2.84 in the ability to monitor, 3.88 in the abilityto learn, and 3.21 in the ability to anticipate. Combining FRAM and RAG enhances the depth of a new perspective of safety analysis and addresses resilience factors in daily operations.

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