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[Z. mauritiana Leaves as Larvasidal Alternatives ]]>
<![CDATA[Amaliyah, Nurul]]>;
<![CDATA[Purnomo, Aryanto]]>;
<![CDATA[Khayan, Khayan]]>;
<![CDATA[Wardoyo, Slamet]]>;
<![CDATA[Anwar, Taufik]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.24377
<![CDATA[The development of resistance to chemical insecticides among mosquitos has been considered as a setback in vector control. However, the use of chemical insecticides is often toxic to both human and non-target animals, thus it needs the development of natural insecticides. This study aims to analyze the larvicidal effect of Z. mauritiana leaves as a natural larvicidal that is friendly to the environment. This research will outline the larvicidal effect of Z. mauritiana leaves and discuss the significance of addressing this natural larvicide against Aedes aegypti larvae. Methods and Material in this study, we developed a mosquito larvacide by extracting Z. mauritiana leaves with the maceration method. We extracted Z. mauritiana leaves into 5 different concentrations (1%, 3%, 5%, 7%, 9%) and its effect compared to the current chemical larvicide (1% of temephos). Data analysis was performed by using the computer and statistical of variance test One Way Anova. This experiment was successfully 100% killed Aedes aegypti in 24 hours of the intervention of 9% extract of Z. mauritiana leaves which was a powerful effect compare to recent studies. The intervention of concentration variations was significantly associated with larvae mortality (p ≤ 0,001).]]>
<![CDATA[Loving Lactation of Massage Effectiveness to Accelerating Lactation Onset ]]>
<![CDATA[Utami, Rahayu Budi]]>;
<![CDATA[Rohuna, Rohuna]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.25321
<![CDATA[Failure to provide exclusive breastfeeding can be a factor in the occurrence of stunting. The reasons for not giving exclusive breastfeeding, among others, are because the breast milk has not yet come out. Massage is one of the most popular methods among the public. Loving lactation massage has not been widely used. This study aims to analyze the effect of Loving Lactation Massage on postpartum mothers on lactation onset. This type of research is Quasi Experimental with a non-randomized control group design. The population of postpartum mothers in the Perumnas II area of Pontianak City who gave birth to BPM Titin Widyaningsih with the number of samples is 51 people. The sampling technique used was purposive sampling. Data analysis by univariate, bivariate. The hypothesis test used was Anova, with a significance of 95% (α = 5%). Results: The average occurrence of lactation onset in the untreated group was 57.17 hours. Conventional group massage 44.17 hours. In the Loving Lactation Massage group, 35.47 hours There was a significant difference between conventional and untreated lactation massage on lactation onset. ((p=0,004). There is a significant difference between the lactation massage with the loving lactation massage method and the untreated lactation onset (p=0,000). Statistically, there was no significant difference between the loving lactation massage method and the conventional method of lactation onset (p=0,079). ]]>
<![CDATA["Gizi COVID-19 Bagi Remaja" Application as A COVID-19 Prevention ]]>
<![CDATA[Rahayu, Sri Ratna]]>;
<![CDATA[Sulistiani, Duwi]]>;
<![CDATA[Yuniastuti, Ari]]>;
<![CDATA[Merzistya, Aufiena Nur Ayu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.26843
<![CDATA[Adolescents are a vulnerable group in fulfilling nutrition for body defence as an effort to prevent COVID-19. Nutrition education is needed for adolescents to increase their knowledge of nutrition consumption. One of the models to improve nutrition knowledge used the Android-based smartphone nutrition application model. This research aimed to design and develop a nutrition android application model to increase adolescents' nutritional knowledge in the prevention of COVID-19. The method used Research & Development with four stages: the analysis stage, the design stage, the development stage, and the testing stage. This research produced the "Gizi COVID-19 Bagi Remaja" as a nutrition application android-based with 3 main menus, namely BMI and calories checking, nutrition info, and COVID-19 info. The N-Grain test results show that this application effectively increases nutritional knowledge in 10 high school-adolescents (N-Grain=88.21%). The Android-based “Gizi COVID-19 Remaja†application is expected to be a comprehensive media for adolescents nutrition education during the COVID-19 pandemic in Indonesia to prevent the transmission of COVID-19.]]>
<![CDATA[Amount of Menstrual Blood and Nutrient Intake with Hemoglobin Level ]]>
<![CDATA[Wahyurin, Izka Sofiyya]]>;
<![CDATA[Rahmah, Hiya Alfi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.24540
<![CDATA[The most influential factor in the anemia is severe menstrual bleeding on each cycle. Heavy menstrual bleeding that can periodically reduce iron stores in the body so that the body has an iron deficiency and lead to anemia. This study aimed to find out the relationship between menstrual blood counts and nutritional intake with hemoglobin (Hb) levels in girls. The study used a cross-sectional design with a sample of 169 young girls in middle school in Banyumas District, Central Java, Indonesia. The amount of menstrual blood was seen using a questionnaire menstrual pictogram. The nutritional intake studied was the intake of protein, fibre, iron, and vitamin C using an FFQ semi-quantitative questionnaire and Hb levels through the insertion of peripheral blood. Data analysis using is chi-square and Fisher exact tests. There was no significant relationship between the amount of menstrual blood with Hb levels (p = 0.54 CI 95% = 0.36-1.74), protein intake (p = 0.26), fibre intake (p = 0.78) and iron intake (p = 0.44). There was a significant relationship between vitamin C intake and Hb levels (p = 0.03 CI 95% = 1.04-4.10). There is a significant relationship between vitamin C intake and hemoglobin levels in young girls. ]]>
<![CDATA[Additional Feeding Based on Local Food to Improve The Nutritional Status of Tooddlers ]]>
<![CDATA[Ariesthi, Kadek Dwi]]>;
<![CDATA[Pattypeilohy, Aning]]>;
<![CDATA[Fitri, Hironima Niyati]]>;
<![CDATA[Paulus, Aysanti Yuliana]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.25862
<![CDATA[East Nusa Tenggara (NTT) occupies the first position in the incidence of malnutrition in Indonesia, with Kupang City as the third highest position in cases of malnutrition in NTT Province. The purpose of this study was to see the effect of supplemental feeding based on local food (Moringa nuggets) on improving status. Nutrition for toddlers. This research was conducted in 2020, using a quasi experimental research method with a pretest-posttest control group design. A total of 90 respondents were selected using purposive sampling technique. The data were collected using a questionnaire, anthropometric measurements to measure nutritional status, and recording weight gain at the beginning and end of moringa nuggets. Each research subject in the case group was given Moringa nuggets for 30 days as many as 3 pieces of nuggets per day, where each piece contained 11.4% protein. Data analysis was performed bivariately using the Pearson correlation test with α = 0.05 and pre-post comparison analysis with paired samples T-test. The results showed that there was a significant difference in changes in nutritional status of children under five before and after giving Moringa nuggets to underweight children under the anthropometric index of weight / age indicated by p = 0.041 (p <0.05). Meanwhile, the anthropometric index weight / height did not show a significant difference with a value of p = 0.052.]]>
<![CDATA[Wet Cupping Therapy to The Arterial Baroreflex Sensitivity on Hypertensive Elderly ]]>
<![CDATA[Fadli, Fadli]]>;
<![CDATA[Fatmawati, Fatmawati]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.24802
<![CDATA[Wet cupping therapy can remove toxins and prevent atherosclerosis. This process will stimulate the sensitivity of the arterial baroreflex which will stimulate a decrease in blood pressure. This is to determine the impact of cupping therapy on the sensitivity of arterial baroreflex with blood pressure indicators in the elderly suffering from hypertension. Quasi-experimental research using pre and post-test and group control design approaches. The sampling technique was simple random sampling, consisting of 21 respondents which was carried out from January to April 2020. The statistics used the General Linear Model Repeated Measures (GLM-RM) test. There was a significant difference between the sensitivity of arterial baroreflex on blood pressure measurement indicators before and after 2 weeks of follow-up period at systolic BP p-value = 0.000 (24.29 ± 8.11 mmHg) and diastolic BP p-value = 0.001 (5.24 ± 6.02); between 2 weeks and 4 weeks at systolic BP p-value = 0.000 (10.95 ± 6.25 mmHg) and diastolic BP p-value = 0.000 (9.05 ± 6.25 mmHg); Between 4 weeks and 6 weeks there was no significant difference in the sensitivity of arterial baroreflex on the measurement indicator systolic BP p-value = 0.267 (-1.43 ± 5.73) and BP diastole p-value = 0.771 (-0.48 ± 7.40). Wet cupping therapy effectively increases the sensitivity of arterial baroreflex with an indicator of decreasing blood pressure in the elderly suffering from hypertension to a limit of 4 weeks after therapy and measurement after 6 weeks of having increased blood pressure.]]>
<![CDATA[Life Skills Education to Improvement of Teenager’s Knowledge, Attitude, Self-efficacy and Risk Health Behavior ]]>
<![CDATA[Shaluhiyah, Zahroh]]>;
<![CDATA[Indraswari, Ratih]]>;
<![CDATA[Kusumawati, Aditya]]>;
<![CDATA[Musthofa, Syamsulhuda Budi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.22474
<![CDATA[IDHS data shows adolescent risky behaviors such as smoking, alcohol, drugs and free sex tend an increasing from year to year. The purpose of this study was to analyze the influence of life skills education on adolescents’ knowledge, attitudes, self-efficacy and prevention of health risk behaviors.This study was a quasi-experimental design with non-equivalent pre-test post-test control group. Of 28 and 60 adolescents at the villages of Sembukan and Sukoharjo, Wonogiri were selected purposively to participate in this study. Life skills education were conduted for 3 months, every week for 6 hours. At the end of the intervention adolescent’s ambassadors were formed called â€Narsis†to share and educate their peers. Data were analyzed by univariate, independent t-test mann whitney and paired t-test. The findings show that there was significant influence on providing lifeskills education to adolescent’s knowledge, attitudes, self efficacy and prevention health risk behaviour at the intervention group. Whilst, there was only a slight increase on knowledge and significantly decrease in attitudes and self-efficacy including the prevention risk behaviors of adolescents at control group. It is recommended that adolescents are necessary to provide intensive and comprehensive life skills education to prevent their risk behaviours.]]>
<![CDATA[Urban Community Perceptions and Experiences about Social Distancing During the Covid-19 Pandemic ]]>
<![CDATA[Nugroho, Efa]]>;
<![CDATA[Ningrum, Dina Nur Anggraini]]>;
<![CDATA[Kinanti, Anastasia]]>;
<![CDATA[Listianingrum, Devy]]>;
<![CDATA[Sarifah, Mar’atul]]>;
<![CDATA[Adeliani, Melia]]>;
<![CDATA[Ulfah, Natijatul]]>;
<![CDATA[Yuswantoro, Rico Novian]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.31307
<![CDATA[Social distancing is a policy taken as a form of minimizing and suppressing the spread of Covid-19 which is increasing from time to time. The purpose of this study was to describe people's perceptions and experiences about social distancing during the Covid-19 pandemic. This research was a qualitative research with a phenomenological approach which was presented in a descriptive form. The location of this research was in Central Java Province. The method of data collection was carried out by in-depth interviews. The results showed that the respondents knew about social distancing well. Some respondents have applied social distancing in their daily lives. Information obtained on the behavior of sorting and choosing social distancing when in certain conditions and situations. Social distancing is applied when in public places and when meeting with strangers while when meeting with the closest people, social distancing is rarely applied. There was an attitude that appears when respondents meet perpetrators of social distancing policy violators, including letting them know, reprimand, advise, and set a good example. Most of the respondents have good knowledge of social distancing. The implementation of social distancing has been carried out in their daily lives, although it has not been comprehensive.]]>
<![CDATA[Relationship between Smoking and Hereditary with Hypertension ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.24548
<![CDATA[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.]]>
<![CDATA[Preference-Based Pricing of the Indonesian JKN-KIS Health Insurance for Urban Middle-Income Self-Funders ]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v17i1.25979
<![CDATA[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.]]>
