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[Description of School Health Development Index (SHDI) in Junior High Schools in Buleleng Regency – Bali ]]>
<![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.v14i3.12389
<![CDATA[Synergism in the field of health and education is strongly needed and urgent in order to attain a comprehensive education goal of intelligent and healthy people both physically and mentally according to the mandate of the 1945 Constitution. Based on the observation in Junior High Schools in Buleleng, We found that there were a lack synchronization between vision, missions, and the planned programs in the schools, limited cleaning facilities, and an implicitly lack of healthy lifestyle of the school residents. This research aimed to describe the School Health Development Index (SHDI) at the level of secondary schools in Buleleng Regency in 2017. The sample of the research were obtained from 10 junior high schools/JHS (SMP) in Buleleng Regency. We used a method of quantitative description following observations, documentation studies, and interviews. Based on the result and discussion, we concluded that: 1) SHDI of SMP in Buleleng Regency was categorized as mid-low (0.62), with minimal value of 0.51 and largest value of 0.78. The highest index was obtained by SMP 1 Singaraja and the lowest index was obtained by SMP Bhaktiasa Singaraja, 2) most of the schools did not include healthy value explicitly in the schools’ vision and missions, 3) most of the schools operated limited number of programs on health and did not include written reports on their programs, 4) the condition of facilities and infrastructures were sufficient, there were several schools having no warehouse, and the food products in cafeterias were not controllable yet especially for the unlicensed food products (without BPOM logo), 4) the school residents’ healthy lifestyle was good enough especially for the teachers and the students.]]>
<![CDATA[Physical Fitness of Adolescent Smoker ]]>
<![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.v14i3.17222
<![CDATA[Adolescent smoking behavior has a bad influence on health and fitness. The purpose of this study was to determine vital capacity and hemoglobin level in smoker and non-smoker adolescent towards physical fitness. The study was quantitative research with surveys and measurement tests. The sample size was 40 adolescents which in the neighborhood of Gunungpati. We used t-test, MANOVA and post hoc test to determine the differences in smoker and non-smoker adolescent. This study showed smoker adolescents had lower vital capacity compared than non-smoker adolescents. The value of hemoglobin levels in smoker adolescents were higher than non-smoker adolescents so that it affect the low levels of physical fitness. For adolescents, it is expected to maintain physical fitness through physical activity and reduce the number of cigarettes consumed and even try to stop smoking for smoker adolescents..]]>
<![CDATA[The Effect of Counseling on Improving Knowledge, Attitude, and Behavior in Efforts to Prevent and Control Non-Communicable Diseases ]]>
<![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.v14i3.10469
<![CDATA[Non-communicable diseases in Bengkulu Province has been increasing from 2007 to 2013. Integrated non-communicable disease development post (Posbindu PTM) is a platform for community participation in early detection and monitoring of risk factors in an integrated and periodic manner. Counseling on Posbindu PTM activities is one of the factor that could improve knowledge, attitude and behavior towards prevention and control of non-infectious diseases (NCDs). The study aimed to investigate the influence of counseling on the improvement of knowledge, attitude and behavior towards NCDs prevention and control. Through a quantitative research with quasi-experimental design, counseling at Posbindu PTM Damai and Padang Harapan Kota Bengkulu was conducted. The population and samples were all 32 members of Posbindu PTM. We found a difference in knowledge, attitude, and behavior before and after counseling from dependent and independent t-test analysis. The Community Health Centers (Puskesmas) need to train their cadres so that they are capable to counsel Posbindu PTM members to improve their knowledge, attitudes, and behavior towards prevention and control of NCDs.]]>
<![CDATA[Challenges of PMTCT and MCHS Integration in Indonesia, Analysis by Integration Analysis Framework and CFIR ]]>
<![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.v14i3.14570
<![CDATA[Integration was strategy of PMTCT (Prevention of Mother to Child HIV Transmission) and MCHS (Mother and Child Health Services) since 2006. This systematic review explored integration level between PMTCT and MCHS. Literature searched from June 2015 to January 2016 through Google, Google Scholar, University Library Website, Portal Garuda, ProQuest, PubMed and 90 institutions in Jakarta. Keywords were PMTCT, HIV Mother, PPIA HIV Evaluation and HIV PMTCT Evaluation. We yielded 157 literatures from 1995-2015. Research should be done at Public Primary Health Care (PHC), discussed PMTCT implementation, and captured perspectives of staffs or decision makers. Thematic analysis was done using Atun’s Integration Analysis Framework and CFIR. We included 7 studies. No study explored overall dimensions of integration, especially planning function. Challenges were resources, execution, needs of patients, networks and communications, policies, leadership, and access to information. Only 4 studies showed PMTCT results. Coverage of first visit counseling was 9-100% and percentage of pregnant women tested was 3.9 -60%. PMTCT integration was partial. Integration was not a sole solution to results. Planning should be done together with regional and local level, involving stakeholders to disseminate PMTCT information, increasing ownership and leadership. We proposed Atun’s Framework and CFIR for further research.]]>
<![CDATA[Risk Factors for Malaria in Pregnant Women ]]>
<![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[Efforts to Reduce Cigarette Smoke Exposure through Non-Smoking Area Regulation ]]>
<![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.v14i3.17851
<![CDATA[Pollution caused by cigarette smoke causes health problems and even death in humans. Active smokers contribute to this. The number of smokers increases every year, including among the students. This study aimed to develop a Non-Smoking Area model in campus area. This study used quantitative approach supported by qualitative data. The population was every campus members in the Faculty of Sports Sciences, Semarang State University (UNNES). In the quantitative approach, a sample of 170 respondents was determined by accidental sampling technique. We used questionnaire as the instrument and the data obtained were analyzed by correlation test. We involved 10 respondents in Focused Group Discussion (FGD) to obtain the qualitative data. The results showed that 1) 25.88% smoked actively; 2) 91.2% knew about cigarette and its health risks; 3) 68.2% supported smoking ban regulations on campus; 4) respondents’ knowledge and attitude influenced smoking behavior; 5) promotional messages about the dangers of cigarettes on health must be campaigned in a communicative and effective language at a strategic location; 6) Written regulation from campus officials is critical to strengthen the implementation of No Smoking Area policy on campus.]]>
<![CDATA[Mapping and Analysis of Hepatitis A Disease Distribution Based on Risk Factors in Bondowoso District ]]>
<![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[Why do I Follow the Program KB? ]]>
<![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[Evaluation Study of Health Promotion Hospital (HPH) in Muhammadiyah Hospital in DKI Jakarta, Indonesia ]]>
<![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[ 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. ]]>
