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[Risk Factors for Malaria in Pregnant Women ]]>
<![CDATA[Sutarto, Sutarto]]>;
<![CDATA[Wardani, Dyah Wulan S.R.]]>;
<![CDATA[Oktarlina, Rasmi Zakiah]]>;
<![CDATA[Aryanti, Sri]]>;
<![CDATA[Indriyani, Reni]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.13443
<![CDATA[Malaria is a major worldwide contagious disease, including Indonesia, and is an important public health issue. Prevalence of malaria among pregnant women and its risk factors in Pesawaran, Lampung Province are currently unknown. This study was a cross-sectional study using rapid survey method. Data was analyzed with chi square and logistic regression. Malaria prevalence was 47.6 per mile, spread over 5 out of 11 sub-districts. One important information was the discovery of pregnant women with malaria in non-endemic districts. The result of bivariate analysis proved a relationship between knowledge and malaria with p-value 0.007 and Odds Ratio (OR) 10. Maternal behavior had p-value of 0.009, OR 9, while usage of mosquito nets had p-value of 0.01, OR 5. The multivariate analysis model formula found was Y (pregnant woman with malaria) = -7.546 + 2.353 (knowledge) + 2.270 (usage of mosquito net) + 2.250 (house condition), and pregnant woman probability of malaria 33.9%. Prevention efforts should be done through strengthening of integrated maternal class groups into malaria programs in all areas. ]]>
<![CDATA[Why do I Follow the Program KB? ]]>
<![CDATA[Lette, Arman Rifat]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.15247
<![CDATA[The behavior of mothers who want to become KB acceptor is interesting to be known and studied, considering the many negative views or perception about family planning such as: KB can disturb fertility, contrary to family planning, KB can disrupt health, the view that many children can bring a lot of fortune and etc. This study aims to Explores in depth the factors that pushed the mother into KB acceptor at clinic image of Pratama Citra Husada Kupang. Qualitative research with exploratory design and phenomenology approach. The main informants were mothers who became KB acceptor and supporting informants were the clinic head, BKKBN representative of NTT province and field officer of KB. Data collection is done by: 1. Observation; 2. In-depth interview. Factors that encourage mothers to accept family planning acceptors are: Do not bother to take care of children, Fear when pregnant again with close distance, Mother is in a state of urgency, Consider the child’s education forward, Child’s health is assured and affection to the child can be maximal, Experiencing Trauma in childbirth, To be more successful in the future, consider economic factors and for maternal and child health. Family Planning Program is beneficial for mothers, both physically and psychologically. Mothers who are not yet acceptor of KB need to consider joining family planning program because the benefits of family planning have been very proven in society.]]>
<![CDATA[Mapping and Analysis of Hepatitis A Disease Distribution Based on Risk Factors in Bondowoso District ]]>
<![CDATA[Hikmah, Faiqatul]]>;
<![CDATA[Nuraini, Novita]]>;
<![CDATA[Sari, Estu Pratika]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.11246
<![CDATA[Hepatitis A is caused by the Hepatitis A virus (HAV). Bondowoso experienced an Extraordinary Occurrence HAV with 60 patients who were mostly teenagers. This study aimed to map and analyze the distribution of HAV based on risk factors in Bondowoso in 2016. This was descriptive research and application which was used to create digital map ArcView GIS 3.3. The result of this research was a map of HAV distribution and risk factor in Bondowoso. Mapping results showed that the risk factors cause HAV outbreak in Bondowoso were unhealthy living behaviors, Open Defecation, and rainfall intensity. The population density was not a risk factor due to outbreaks or extraordinary occurrences of hepatitis A occurred in areas of low population density. Suggestion for the Health Department to cooperate with an educational institution to increasing of clean and healthy behaviors Additionally, Hepatitis A immunization, and provide clean water.]]>
<![CDATA[Evaluation Study of Health Promotion Hospital (HPH) in Muhammadiyah Hospital in DKI Jakarta, Indonesia ]]>
<![CDATA[Tatang, Emma Rachmawati]]>;
<![CDATA[Mawartinah, Tri]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.16520
<![CDATA[Health Promotion in Hospital (HPH) initiatives still run slowly. This study aimed to evaluate the implementation of HPH at Muhammadiyah Hospital in Jakarta, Indonesia. The survey was carried out during March-April 2018 to 304 permanent employees in three Muhammadiyah Hospitals in Jakarta. Measurements include employee characteristics and self-assessment tools related to the achievement of HPH national standards. According to HPH activities, the results showed that the average knowledge of employees was good enough (5.6; max: 10) and good attitudes (29.6, max: 40), but low HPH activities (25.3%), and low involvement in HPH training (13.5%). The highest achievement was the “partnership†standard (68%), and the lowest achievement was “reviewing the needs of the hospital community†(50%). There were 56% of respondents stating the achievement of the HPH national standard in Muhammadiyah Hospital was good. The results of this study as evidence-based to design the priority of HPH improvement strategies in Muhammadiyah Hospital.]]>
<![CDATA[Sexual Behaviours for Contracting Sexually Transmitted Infections and HIV at Badung Traditional Market, Bali ]]>
<![CDATA[Pradnyawati, Luh Gede]]>;
<![CDATA[Ani, Luh Seri]]>;
<![CDATA[Januraga, Pande Putu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.13733
<![CDATA[Studies on sexual behaviours are mainly conducted among high risk populations, only limited publications from female general population. This study aims to explore sexual behaviours among women who work at the biggest traditional market in Bali Province. A mix-methods approach was used to study women who work at the Badung Market in Bali. In October 2016, a survey of 100 women was conducted, then followed by a total of 20 in-depth interviews. Quantitative data were analysed using descriptive statistic, while qualitative data were analysed using thematic approach. Our survey found that 60% of respondents were perceived themselves as a low risk group. As many as 22% of respondents admitted that they had sexual intercourse with more than one partner over the last years with 41% of them used condom on their last sexual intercourse. In-depth interviews revealed that the basis of their sexual intercourse was mutual interests and desire. Only one respondent admitted economic reasons for sexual intercourse. Condoms were rarely used because of low risk perception of the sexual intercourse. Prevention programs targeting low risk groups are required to reduce the burden of disease from STIs including HIV. ]]>
<![CDATA[Indonesia Hospital Cost Analysis: a Micro-Costing Approach ]]>
<![CDATA[Dianingati, Ragil Setia]]>;
<![CDATA[Riewpaiboon, Arthorn]]>;
<![CDATA[Youngkong, Sitaporn]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.15627
<![CDATA[Efforts to develop the financing methods is needed to strengthen the Indonesia’s recently implemented universal health coverage system. Hospital cost data is urgently needed to calculate the unit cost of medical services that is important to evaluate the reimbursement rate setting. The most recent approach to calculate unit cost of medical services in hospital is micro-costing approach. This study aimed to perform a unit cost calculation using micro-costing approach in Indonesia’s district hospital in June-Dec 2016 from the provider perspective. The costing study followed the standard costing method and financial data were obtained through the hospital financial reports. Some financial data were directly measured since this study used bottom-up approach. This study showed that the unit cost was not relevant with the reference price set up by the government. It could be caused by different cost items and cost objects that had been employed in the study since the government tariff’s did not have clear and detailed information about the source of cost calculation. Micro-costing approach was useful as a precise method to calculate unit cost, even though rigorous efforts were needed to complete the data.]]>
<![CDATA[School Stakeholder’s Support on the Use of Youth Information and Counseling Centers (PIK-R) ]]>
<![CDATA[Isni, Khoiriyah]]>;
<![CDATA[Matahari, Ratu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.11699
<![CDATA[School stakeholder’s support greatly affects PIK-R utilization by students. The problem is that school stakeholders are often only responsible but do not play an active role in PIK-R implementation. The purpose of this study was to analyze the support of school stakeholders on the utilization of PIK-R Wijaya Kusuma SMAN 1 Srandakan. This research used qualitative research with case study approach. Key informants were principals, teachers PIK-R coach, guidance and counseling teachers, and peer counselors as triangulan. The data were collected through in-depth interviews. The results showed that the support of school stakeholders on the utilization of PIK-R wijaya kusuma was satisfactory. The support provided were in the form of active participation and involvement such as school counseling for students who experience problems, support in funding PIK-R activities, and cooperation efforts with other agencies. Some teachers were involved in health information socialization activities. Capacity building and skills related to adolescent health were also required by all teachers, so that all parties had the same understanding of PIK-R and gave full support to the utilization of PIK-R Wijaya Kusuma.]]>
<![CDATA[The Acceptance and the Development of Renal Function of People with Diabetes Mellitus ]]>
<![CDATA[Isroin, Laily]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.8089
<![CDATA[Chronic renal failure (CRF) is a silent killer disease. CRF disease is mainly caused by diabetes mellitus and hypertension.Patients with diabetes mellitus should be able to accept the disease so that it can control blood sugar and blood pressure. Sectional analytic study design to measure self-management that includes cognitive, self-efficacy, psychological, social and environmental patients which associated with decreased renal function, blood pressure and blood sugar. The study was conducted in dr. HarjonoHospital Ponorogo with a sample of patients with hypertension and diabetes mellitus outpatient. Total sample of 42 patients with diabetes mellitus were taken by purposive. Analysis using chi square test and the magnitude of the risk factors using OR. There was a significant correlation between the level of acceptance of the disease with glomerular filtration rate (GFR) and receiving negative disease risk 4 times the decline in GFR compared with positive reception disease. Patients with diabetes mellitus who can not control blood sugar normal it will be at risk of decreased GFR was 2.07 times compared with patients whose blood sugar normal and stable. Patients with diabetes mellitus GFR decreased by 3 to 5 degrees of 64.3%.The decline in GFR at level 5 hemodialysis patients require lifelong therapy. This will reduce the productivity of patients and social and economic burden to both family and government.]]>
<![CDATA[The Relationship between Previous Tuberculosis Treatment and HIV Status with Multidrug-Resistant Tuberculosis ]]>
<![CDATA[Nugrahaeni, Dyan Kunthi]]>;
<![CDATA[Zaqiya, Salma]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.14087
<![CDATA[Multidrug-resistant tuberculosis (MDR-TB) is becoming major public health issues in the world. Among the causes are history of previous TB treatment and increased co-infection of TB-HIV (Human Immunodeficiency Virus). This study aimed to identify the relationship between history of previous TB treatment and HIV status with MDR-TB. This is a case control study. The sample case was patients with MDR-TB, while sample control was patient who have drug-sensitive TB. Secondary data was obtained from patient medical records and laboratory results at Rotinsulu Pulmonary Hospital Bandung. Data were analyzed using chi-square. Multiple logistic regression was used to identify the dominant factor that influence the occurrence of MDR-TB. This study showed that the history of previous TB treatment was statistically significant with MDR-TB (p value= 0.001; OR= 18.889; 95% CI= 4.093-87.172) and it is the dominant factor that influence MDR-TB (p value= 0.0001; OR= 56.84; 95% CI= 6.9- 468.87). HIV infection at control group (who contracted drug-sensitive TB) was 26.1% (p value= 0.022). This finding suggested that HIV testing should be performed to each TB and MDR-TB patients and increased collaboration TB-HIV program between the other health care facilities should ensue. Drug sensitivity testing should be conducted at the start of TB treatment for patients with previous TB treatment and TB-HIV co-infection.]]>
<![CDATA[Continuous Technical Guidance for Public Health Center Officer Based on Training Evaluation ]]>
<![CDATA[Surtimanah, Tuti]]>;
<![CDATA[Ruhyat, Ejeb]]>;
<![CDATA[Subekri, Trisno]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i3.15753
<![CDATA[Health promotion services at public health center is essential to support healthy behavior but still many officers did not have the competence and quality to conduct standard health promotion. West Java implemented health promotion training to 238 officers from 10 districts. The research objective was determining changes in participants’ knowledge and its implementation after training as a basis for sustainable technical guidance. Mixed methods design explanatory sequential as results from training analysis and in-depth interviews of officers. The results showed significant change in participants’ knowledge after training by district, no significant difference between districts and education level, and no significant increase in service coverage. Continuous technical direct guidance for officers by district officials and professional organizations is needed to strengthen service management, coordination, partnerships, integration and recording-reporting. Guidance through social media can be considered for use. Further training is needed to strengthen advocacy, partnership, evaluation. Participants were grouped into four as multivariate cluster analysis result of knowledge level after training and education level.]]>
