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INDONESIA
Jurnal Kesehatan Masyarakat
Published by Universitas Negeri Semarang
ISSN : 18581196     EISSN : 23553596     DOI : -
Core Subject : Health,
Public Health
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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Articles 36 Documents
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Search results for , issue "Vol 14, No 3 (2019)" : 36 Documents clear
School Stakeholder’s Support on the Use of Youth Information and Counseling Centers (PIK-R)
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.11699

Abstract

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.
Indonesia Hospital Cost Analysis: a Micro-Costing Approach
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.15627

Abstract

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.
The Acceptance and the Development of Renal Function of People with Diabetes Mellitus
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.8089

Abstract

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.
The Relationship between Previous Tuberculosis Treatment and HIV Status with Multidrug-Resistant Tuberculosis
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.14087

Abstract

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.
The Lead Exposure Risk Due to Wells Water Consumption in Code Riverside Community, Yogyakarta City
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.11739

Abstract

The environmental conditions of Code River were strongly influenced by anthropogenic activities that include industry, hospitals, domestic, and agriculture. The contamination status on the Code River according to BLH Yogyakarta reported in 2014 was heavily polluted based on STORET (≤-31). The riverside community were misusing the river for final disposal site, potentially contaminating it with lead (Pb). Local communities were potentially exposed to Pb toxicity through well water consumption. An Environmental Health Risk Assessment (EHRA) study of ingestion exposure of heavy metals was never conducted in the Code Riverside, making it  interesting for further studies. The study aimed to determine human health risks of consumption of well water containing Pb in Code Riverside, Yogyakarta City using an observational design with an Environmental Health Risk Assessment approach. There were 9 environmental samples and 47 respondents selected based on certain criteria. Data was collected through environmental inspection and human health assessment, interviews and anthropometric data measurement of respondents. Data was analyzed by univariate (frequency distribution) and EHRA methods. The result showed that the noncarcinogenic risk level of Pb due to well water consumption from majority of research sites have RQ value (Risk Quotient) 1, which means high potential risk to human health.
Continuous Technical Guidance for Public Health Center Officer Based on Training Evaluation
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.15753

Abstract

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.

Page 4 of 4 | Total Record : 36

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