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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 17, No 1 (2021)" : 36 Documents clear
Relationship between Smoking and Hereditary with Hypertension Suprapto, Suprapto; Mulat, Trimaya Cahya; Norma Lalla, Nur Syamsi
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.24548

Abstract

Smoking describes overt behavior where smokers inhale tobacco. High blood pressure describes the condition of systolic blood pressure ≥140 mmHg and diastolic ≥ 90 mmHg at 2 times checking blood pressure measurements within 5 minutes duration in calm conditions. This type of research is an observational analytic method with a cross-sectional approach. Sampling using is a purposive sampling method. Data were analyzed by Chi-Square Test. Using Chi-Square test analysis prove p-value = 0. 016 which is less than the significance value (0.05), proves that there is an important relationship between smoking habits with high blood events and there is a relationship between the generation aspect and high blood events and by using the Chi-Square test proves p-value = 0. 023 were less than the significance value (0.05). There is a link between smoking and the history of generation to the hypertension event in the area of the Makassar City Health Center of Barombong. It can be applied by respondents and families in helping to lower blood pressure in an efficient and efficient way by avoiding aspects that can be replaced.
Preference-Based Pricing of the Indonesian JKN-KIS Health Insurance for Urban Middle-Income Self-Funders Pratikto, Fransiscus Rian
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.25979

Abstract

We determine optimal premiums of the Indonesian JKN-KIS health insurance plans for urban middle-income self-funders based on their preferences. We use the discrete choice experiment to measure preferences assuming a mixed multinomial logit model. By applying the Bayesian method to stated-preference choice data, individual utilities were estimated and subsequently used for deriving price-response functions. We found that more than 90% of respondents prefer the first-class and second-class plans. Accordingly, we set up a pricing optimization formulation for those two plans to maximize total contribution while maintaining the price difference between them and setting the price of the third-class plan as it was. We came up with monthly premiums of Rp290,000 and Rp240,000 for the first-class and the second-class plan, respectively, with an estimated monthly total contribution of Rp1.191 trillion, a 150% increase compared to that of the current pricing. This reveals the opportunity for increasing revenue by implementing finer price differentiation without sacrificing the mission of serving the underprivileged with the third-class plan.
Human Papilloma Virus Vaccination Acceptance of Elementary School Student’s Parents Evita Trisnarini, I Gusti Ayu; Widarini, Ni Putu
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.29319

Abstract

A costless vaccination program had been implemented in Badung Regency, but there were parents of elementary schoolgirls who did not give written consents to their daughters for joining the program. The research intended to determine the factors of HPV vaccination program acceptability comprised of age, education level, knowledge, perception, and doctor recommendation. The research design was quantitative-based cross-sectional from January – May 2020. The population study was elementary schoolgirls’ parents in Badung Regency. The respondents were 92 parents who were selected based on two strata and using simple random sampling. The source of primary data was collected through interviews and online questionnaires. It was analyzed with descriptive and analytical techniques with a logistic regression test. The result showed that 64,13% of respondents accepted the HPV vaccination program. The multivariate analysis showed that the perceived barrier was the most influential factor towards the acceptability of the HPV vaccination program (AOR = 6,056; 95%CI 1,754-20,906). Education would be needed to decrease the barriers to the HPV vaccination program.
Behavior Paying Premium to the Independent Participants in Healthcare Social Insurance Administration Office Tarigan, Sylva Flora; Dondo, Marisa Lestary
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.23301

Abstract

Premiums non-compliance leads to the Healthcare Social Insurance Administration Office (henceforth, will be referred to as BPJS Kesehatan) budget deficit, resulting in an accumulation of debt claims in various health facilities and an impact on the quality and quantity of health services in health facilities. As of March 2019, 38% of independent National Health Insurance (JKN) participants in Gorontalo City were not compliant to pay dues. This study objective to assess the relationship between willingness to pay with compliance behavior to pay premiums for BPJS Kesehatan independent participants. This study uses a cross-sectional study design. The population was 8,594 people who were independent BPJS Kesehatan participants with a sample of 95 people using accidental sampling techniques. Data were collected through interviews using a questionnaire, data analysis using Chi-Square test. The results showed that the distribution of the level of compliance paying BPJS premiums independently was still 64.2%. Distribution of the willingness to pay by 85%. There is a significant relationship between Willingness To Pay (WTP) with compliance paying dues with p = 0.031. There is a relationship between WTP with compliance to pay the premiums of BPJS Kesehatan independent participants in the inpatient installation at RSUD Prof. Dr. H. Aloei Saboe in Gorontalo City.
Altered Baseline of Plasma Glucagon Level in pre-Obese to very Obese Persons Lesmana, Ronny; Mulyanaga, William Giovanni; Mukarromah, Siti Baitul; Goenawan, Hanna; Darmayanti, Meita; sugianli, Adhi
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.24703

Abstract

“Bihormonal hypothesis” is disturbances of both insulin and glucagon in diabetes mellitus. It resulted in a high blood glucose level. Interestingly, as one of Diabetes Mellitus’s risk factors and metabolic disorders, obesity may also play role in altering homeostasis and regulation of glucose metabolism in blood and its utilization in tissues. Unfortunately, there is limited information about the alteration of glucagon levels in various degrees of obesity. This research objective is to learn the plasma glucagon levels alteration in pre-obese, obese, and very obese persons in Jatinangor in 2015. We had observed 31 obese female subjects in one village. This study was conducted using descriptive quantitative with cross-sectional design. Blood vein samples from the left arm were collected, stored, and transferred to Dr.Hasan Sadikin General Hospital. Glucagon plasma was measured by the ELISA method. We discovered an interesting pattern that showed a correlation between glucose level and the glucagon level in a very obese group. We observed average glucose level is declined and linearly associate with the glucagon level from pre obese to obese and to very obese group. The average level of glucagon in the pre-obese group is 158.62 pg/mL, the obese group is 149.99 pg/mL, and the very obese group is 111.98 pg/mL.
The Role of Caregivers in Elder Care during Coronavirus Disease-2019 Outbreaks Agustin, Dinni; Apriyan, Nur; Susanti, Fajar; Tafrizi, Tafrizi; Aprillia, Yuna Trisuci; Cahyono, Sigit; H, Putri Tresna A; Agustina, Lisna; Endah, Dwi; Suratmi, Tri; Indrawati, Lili; Erwanto, Rizky; Nurminingsih, Nurminingsih; Rosa, Tina; Irawaty, Dian Kristiani; Rahardjo, Tri Budi W
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.26134

Abstract

The elderly and their caregivers are at higher risk from Coronavirus Disease-2019, particularly for elderly with chronic health conditions. To prevent the transmission of the virus, those elderly issued strict physical distance, restricting most interactions between the elderly and their caregivers. On the other side, caregivers can serve as crucial and trusted partners in the elderly’s care to curb the spread of the COVID-19 virus. Hence, this study aims to analyze the knowledge, attitudes, practices (KAP), and the role of caregivers in providing services to the elderly during the outbreaks. A descriptive quantitative study was conducted from May to June 2020. The survey was utilizing Google Forms in four cities in Indonesia. A total of 317 out of 400 participants had completed the survey. The knowledge of the COVID-19 score was 79.50%, attitude 92.11%, and practice 90.54%. The caregivers’ role in protecting the elderly from COVID’s infection was about 98.42%. They could continue their routine activities during physical distancing 84.54%, treated elderly by not going to the hospital (60.04%), not visited any crowded place, wore masks and washed their hand after activity (87.38%). They agreed that government would finally successfully control COVID-19 (90.22%). This study concluded that the knowledge, attitude, practice and role of caregivers on COVID-19 effectively prevents the caregivers neglecting the elderly during the COVID-19 outbreak. Future information on elderly care need to consider not just the risks of the virus, but also the healthy lifestyle.
Rice Bran Substitution to Vitabran as A Snackyfication Trend Model and Diabetes Mellitus Prevention Handayani, Oktia Woro Kasmini; Kurnia, Arif Rahmat; Fathonah, Siti
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.31026

Abstract

Snackyfication is a trend where snacks as a substitute for staple food are more efficient. On the other hand, the Diabetes Mellitus case increases, and it is related to unhealthy foods, so there is a need for healthy foods on the market. The research objective was to find which product formula would be recommended as Vitabran. Vitabran is made from rice bran, while additional ingredients are yellow sweet potato pulp, cornstarch, soy milk, flour, eggs, honey, baking powder, margarine, and oats. The formula tested consists of 2 variations of bran content (20% and 30%). The product was made of biscuits in the form of bars. The tests consisted of 1) organoleptic test 2) hedonic test. 3) proximate test and 4) Glycemic Index test. The final result of functional food substitution is a synergistic effect of the functional substances contained therein.
Anti-Tuberculosis Drugs against the Resistance Level of Mycobacterium tuberculosis isolates Sutanto, Yusup Subagio; Sutanto, Magdalena Sutanto; Harti, Agnes Sri
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.24158

Abstract

Prolonged MDR-TB therapy can have side effects, namely a correlation between cure rates and changes in bacterial profiles related to resistance to anti-tuberculosis drugs (ATD) which can affect the incidence rate of MTB and MDR-TB in a region. The research objective was to analyze the effectiveness of the type of ATD against the resistance level of Mycobacterium tuberculosis (MTB) isolates with the incidence of tuberculosis (TB) and MDR-TB. The research method used was a retrospective cohort based on tracing medical record data at the Surakarta City Center General Hospital 2016 until 2017 with total sampling. The independent variable of this study was the type of ATD, while the dependent variable was the resistance level of MTB isolates. The characteristics of the most patient respondent suspect TB were male with the level of resistance of MTB isolates to ATD relatively varied. The results of the analysis of different tests showed a p value of 0.000 so that the p value was <0.05, so there was an effect of the type of ATD (Strepttomycin, Isoniazid, Rifampicin and Ethambutol) on the resistance of TB isolates from patients with suspected TB. This is useful to determine the success of TB therapy in terms of mortality and the effectiveness of therapy in TB patients.
Dynamic System Model of the Role of Leadership Coaching on Employee Performance Hartono, Budi; Darmawansyah, Muhamad Erman; Bedy Saskito, Dinda Iryawati
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.25023

Abstract

Jakarta Cempaka Putih Islamic Hospital (RSI) experienced a decline in performance. Judging from the 2013 Bed Occupancy Rate (BOR) of 70.59%, it then dropped to 44.12% in 2016. Efforts to improve employee performance by coaching have been carried out, but not comprehensively in each Hospital unit. The study aims to look at the role of leadership coaching with a dynamic system model on employee performance at the Jakarta Cempaka Putih Hospital. Besides that, it is also to find out the role of inspirators, facilitators, motivators, as well as the pattern of system behavior characteristics between the role of leadership coaching on employee performance. Analytical research using quantitative methods with explanatory research design. The research sample was 86 taken by accidental sampling technique from the population of inpatient staff and medical support in May 2018. Data processing techniques were carried out in stages including univariate analysis, bivariate Chi-Square, multivariate logistic regression, and dynamic system models of causal loop diagrams formulated to the flow diagram. The instrument used in the form of a questionnaire. In general, the test results showed the influence of the role of leadership coaching on employee performance. Specifically, it shows the influence of the role of leadership coaching as an inspiration, facilitator, and motivator on employee performance. Then the pattern of system behavior characteristics for the next 10 years is in the form of exponential growth and in the next 20 years in the form of S-Shaped growth. Likewise, the behavior pattern of the coaching leadership system role for the next 10 years in the form of exponential growth. The leadership coaching role was found to have an effect on improving employee performance.
Demographic Characteristics Related to First Married Age in Indonesia Najib, Najib; Triwijayanti, Urip; Utomo, Wahyu
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021)
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.v17i1.26144

Abstract

Quantitative population growth but does not compensates with the quality will be a problem. One of the efforts to reduce the population growth rate is the age of first marriage. Based on BPS data in 2017, early marriage in Indonesia is 25.71 percent, meaning that in every 100 marriages, there are 25 couples less than 18 years. This study aims to study the factors affecting the age of first marriage (UKP) in Indonesia. The data used were the results of the 2017 RPJMN Survey with a sample of 51,493 people. The data was taken by systematic random sampling, then the unit of analysis was taken FAW (15-49 years) married as many as 40,268 respondents. The variables studied included residence, wealth quintile, education level, employment status, and age at first marriage. The analysis was performed using descriptive and inferential methods using binary logistic regression models. The results showed 21,405 (53.2%) women at first marriage were more than 20 years old. Meanwhile, those under 20 years of age totaled 18,863 people (46.8%). Statistically, there is a significant relationship between the variables of age at first marriage and residence, wealth quintile, education level, and employment status. Women aged 15-49 years tend to marry or have a high risk of experiencing the age of first marriage over 20 years are those who live in urban areas, high economic status, highly educated, and working.

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