Jurnal Kesehatan Masyarakat
KEMAS Journal: Research Study in Public Health publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues. The journal was first published in July 2005 and subsequently published twice a year, in July and January. KEMAS Journal is a peer review journal and can be accessed in http://journal.unnes.ac.id/nju/index.php/kemas.
Semarang State University (Unnes) is a leading university in Indonesia with the vision to become a world-class conservation university. The conservation vision is closely related to the study of public health sciences. Unnes also published high quality e-journal from various disciplines, integrated, and managed through Open Access Journals that can be accessed in http://journal.unnes.ac.id.
The IAKMI (Ikatan Ahli Kesehatan Masyarakat Indonesia/The Association of Indonesian Public Health Expert) is a non-profit membership association dedicated to advance public health as a scientific discipline and profession that serves public good for Indonesia and humanity.
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<![CDATA[Entomological Surveillance of Malaria Vectors in Saumlaki, Maluku Tenggara Barat Regency, Maluku Province ]]>
<![CDATA[Sandy, Semuel]]>;
<![CDATA[Ayomi, Ivon]]>;
<![CDATA[Suebu, Melda S]]>;
<![CDATA[Maladan, Y]]>;
<![CDATA[Pardi, M Rahardjo]]>;
<![CDATA[Lewier, Jan]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.5970
<![CDATA[The research aims to determine the prevalence of malaria and Anopheles spp using bio-ecology surveillance in Alusi and Waturu community health centers in Maluku Tenggara Barat Regency. The study was conducted in March-April 2015 with cross sectional design. In this research, we performed mass blood survey on 489 participants in the Kilmasa village and 434 participants in Waturu village. We also performed entomology surveillances, i.e. larval density, catching Anopheles spp, temperature, humidity, and salinity. To confirm malaria vectors, we used enzyme linked immunoabsorbent assay (ELISA) techniques. The data analyzed descriptively. The results of the study showed proportion 0.20% malaria morbidity in Kilmasa village and 0.23% in Waturu village. Anopheles flavirostris and An. barbirostris group were likely to bite a human outside and inside the house and peaked at 11.00 pm-12.00 pm. The parous rate of An. flavirostris and An. barbirostris was 46% and 26%, respectively. Human blood index of An.flavirostris and An. barbirostris was 33.3% and by 70%, respectively. Anopheles flavirostri and An. barbirostris were malaria vectors with sporozoite rate 0.38% and 12.5%, respectively.]]>
<![CDATA[Early Detection of High Risk Pregnancy ]]>
<![CDATA[Kurniawan, Arif]]>;
<![CDATA[Sistiarani, Colti]]>;
<![CDATA[Hariyadi, Bambang]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.5998
<![CDATA[There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.]]>
<![CDATA[Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu ]]>
<![CDATA[Suryani, Desri]]>;
<![CDATA[Simbolon, Demsa]]>;
<![CDATA[Elly, Nur]]>;
<![CDATA[Pratiwi, Bintang Agustina]]>;
<![CDATA[Yandrizal, Yandrizal]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.6890
<![CDATA[The  first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .]]>
<![CDATA[Tuberculosis Suspect in the Companies in Semarang District Indonesia; Case-Control Study ]]>
<![CDATA[Rahayu, Sri Ratna]]>;
<![CDATA[Katsuyama, Hironobu]]>;
<![CDATA[Katsuyama, Midori]]>;
<![CDATA[Ota, Yoko]]>;
<![CDATA[Djaja Semadi, Ngakan Putu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.8657
<![CDATA[In Semarang district, the population at the companies were 83120 workers. The number of smear positive cases in 2011 were 258 and 3898 suspected tuberculosis. Case-control study was conducted to analyze the risk of TB suspect infection among workers in the factory. We recruited 194 suspects and 197 controls who visited the factory clinic. The most common symptom was coughing with sputum (63 %) and then followed by malaise, chest pain, sweating at night, weight loss, dyspnea, anorexia, cough more than 2 weeks, sub febris and hemoptoe. Around 47 % both of the suspects and controls don’t know received Bacillus Calmette-guérin (BCG) or not. The multivariate analysis showed the dominant factors that influence the occurrence of TB suspect, “educationâ€, “incomeâ€, “ashamed of having TBâ€, “TB treatment is very costlyâ€, and “share dishâ€.distribution of health education booklet to teachers and parents.]]>
<![CDATA[Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency ]]>
<![CDATA[Kusumawati, Erna]]>;
<![CDATA[Rahardjo, Setiyowati]]>;
<![CDATA[Sistiarani, Colti]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.4990
<![CDATA[The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.]]>
<![CDATA[The Phytochemical Analysis of Hay Infusions and Papaya Leaf Juice as an Attractant Containing Insecticide for Aedes Aegypti ]]>
<![CDATA[Cahyati, Widya Hary]]>;
<![CDATA[Asmara, Widya]]>;
<![CDATA[Umniyati, S Rahmah]]>;
<![CDATA[Mulyaningsih, Budi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.6223
<![CDATA[Aedes aegypti mosquito population could be controlled by using lethal ovitrap. The addition of hay infusions as a attractant greatly enhance Aedes aegypti eggs trapped, and papaya leaf juice may inhibit Aedes aegypti eggs evolve to larvae or a larvae to pupae stage. This study was conducted to find out the chemical compounds in hay infusion and papaya leaf juice. We used phytochemical test using UV-Vis Spectrophotometry, Thin Layer Chromatography, and High Performance Liquid Chromatoraphy (HPLC) method. The results showed that hay infusion contains 12,75 mg/L ammonium and <1,20 ppm (µg/mL) lactic acid and papaya leaf juice contains 0,25% alkaloid, 0,14% flavonoid, 0,30% saponin, ≤68 mg/L steroid and 11,34% tannin, but negative terpenoid. We concluded that hay infusion and papaya leaf juice contains chemical compounds that could be use as attractant and bioinsecticide to Aedes aegypti, respectively.]]>
<![CDATA[Implementation and Relevance of Curriculum of Health Insurance Diploma at the Health Insurance Education Institutions ]]>
<![CDATA[Gunarto, Catur Septiawan]]>;
<![CDATA[Hakim, Achmad Lukman]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.7374
<![CDATA[Good quality curriculum is very important to create highly competitive graduates, thereby it require curriculum review regularly to adjust recent health insurance institutions needs based on graduates users needs particularly at the Diploma Program of Health Insurance STIKIM. The research aims to understand the implementation and relevance of the diploma program curriculum in health insurance at the health insurance education institutions. We used a qualitative method by interviewing 5 informants who consists of the Head of Health Insurance Diploma Program STIKIM, 1 lecturer, 1 alumni, 1 student, and 1 graduate user, and then the data were analyzed using Bogdan and Biklen model. The result showed curriculum implementation of Health Insurance Diploma Degree STIKIM 2010 academix year still relevant to the expected measure, this reflected from alumni is easier getting a job in their respective field. However, there are still weakness in the implementation of the curriculum such as internship program for final year student is still limited due to lack of cooperation with government and private sectors. This study concluded that curriculum of Health Insurance Diploma Program STIKIM 2010 academic year is still relevant to the to the needs of graduates users, so for now it is no needs to update the curriculum of Health Insurance Diploma Program STIKIM 2010 academic year.]]>
<![CDATA[Meal Pattern of Malnutrition Children Under 5 Years and Related Factors ]]>
<![CDATA[Sophia, Fanjaniaina]]>;
<![CDATA[Suherni, Suherni]]>;
<![CDATA[Kuswardinah, Asih]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.8511
<![CDATA[Malnutrition prevalence in Indonesia has increased from 2007 to 2013. Research was conducted on Kabupaten Brebes which rank 29 of 35 Kabupaten/City on Jawa Tengah province in malnutrition case and meal pattern is found as related factor. The research objective is to obtain malnutrition children under 5 years  meal pattern and others related factors. Reseach was conducted in 2016 by quantitative approach and supported with qualitative datas. Sampling method by total sampling from 32 mother and children under 5 years with malnutrition status. Research instrument consist of questionnaire and food recall instrument accompanied with observation guide. The quantitative datas are analysed by descriptive method and chi square statistic test. Result shown most of malnutrition children under 5 years meal pattern is improper (75%) and children under 5 years feeding is not proper to it’s nutrition requirement. Whether the nutrition, quantity and frequention of the feeding. This is relation between level of knowledge, education, family income with meal pattern (p value < 0.005) and no relation between numbers of family member with meal factor of malnutrition children under 5 years (p value = 1.00) at work region of Puskesmas Brebes. Respondent does not know proper food for children under 5 years, proper food for each children under 5 years age yet aware that the food must be cooked to produce soft texture.]]>
<![CDATA[Health Services, Maternal Intrinsic and Socio-Cultural Factors and Perinatal Mortality ]]>
<![CDATA[Diaz Viera, Andika Alexander]]>;
<![CDATA[Pellokila, M R]]>;
<![CDATA[Paun, Rafael]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.5812
<![CDATA[This study question was how significant the determination of health services, maternal intrinsic risk factors and socio-cultural factors on perinatal mortality. Â Its objective was to construct a model of perinatal mortality pattern by case-control design. Â The case population was all mothers with perinatal mortality. Â The sample-size was 35 by simple random sampling with case-control ratio of 1:1 (35:35). Â The data analysis applied Bivariate using Chi Square Test and Multivariate using Logistic Regression Test. Â The Bivariate Analysis Results found the risk-variables on Perinatal Mortality were Birth Attendant (OR=2.1; 1.63-2.7; 95%CI), Health Financing (OR=7.1; 1.82-27.8; 95% CI), Maternal Disease History (OR=8; 2.05-31.16; 95%CI), Perinatal History (OR=6.47; 2.26-18.55; 95%CI) and Custom (OR=2.17; 1.67-2.82; 95%CI). Â Multivariat Analysis found three consistent risk variables on Perinatal Mortality i.e.: Health Financing (p=0.016; OR=6.8; 95% CI), Maternal Disease History (p=0.006; OR=8.41; 95%CI) and Perinatal History (p=0.021; OR=4.3; 95%CI). It concluded that the most significant determinant on Perinatal Mortality was Maternal Disease History.]]>
<![CDATA[The Effectiveness of Passion Fruit Juice Consumption as Pain Reliever for Bruise Trauma in Pencak Silat Athletes ]]>
<![CDATA[Irawan, Roy Januardi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v12i2.4385
<![CDATA[Pencak Silat is a martial art that has a risk of causing micro-trauma due to physical impact. This trauma will stimulate the secretion of prostaglandin, a compound in the body which is a mediator of pain and inflammatory response that promote pain in bruised trauma. Passion fruit contains high level of anti-inflammatory and antioxidant substances. The objective of this study was to understand the effectiveness of passion fruit juice consumption in reducing bruised trauma pain in Pencak Silat athletes of PSHT Belotan Magetan. The research design is a quantitative descriptive with quasi-experimental. The pretest and posttest group of 20 people PSHT Belotan Magetan Pencak Silat athletes with an average age of 13.4 ± 0.94 years were divided into treatment group (K1) and control group (K0) with 10 subjects respectively. Each treatment group (K1) subject was given the juice twice a day for 10 consecutive days. We used paired sample T-test to assess the mean variance of the group. The result showed that there was a decrease of pain intensity in both the treatment group and the control group. The pain intensity difference assessed by a Bourbonnais Rating Scale in the treatment group showed a significant difference with the t value of 7,216 and a probability value of 0,000, while the control group showed t value of 3,000 and probability value of 0,015. There was a decrease in the athlete’s muscle soreness who were given passion fruit juice twice a day for 10 days. The athlete’s pain intensity was in middle category.]]>
