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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 18 Documents
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Search results for , issue "Vol 19, No 1 (2023)" : 18 Documents clear
Outpatient Service Business Development in an Effort to Reduce Service Time Nila Novita; Alita Dewi Percunda; Djazuly Chalidyanto
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.41120

Abstract

Hospital service quality should be developed based on customer needs and satisfaction. Long service time at Bhayangkara Kediri Hospital Outpatient Unit (267,62 ± 136,41 min) becomes a problem for management. The process is an asset for an organization, especially the core process should be well managed. Business process management has been viewed as an effective concept to improve processes continuously. It is an operational research combining document review, stakeholder interview, focused group discussion, quantitative and qualitative process analyze, prioritization, and root cause analysis to give process redesign recommendations. There are five core processes in the outpatient unit, and we focus our research on the dispensing process in pharmacy. Then we made a process model based on evidence and interview-based discovery. The cycle time efficiency of the prescription analysis process was the worst with a value of 0.31. With non-value activities reach to 40% of all activities with the waste are over processing, waiting, and transportation. The selected problem was the disposition of prescriptions to the dispensing unit as waste. Based on the root cause analysis, we suggest two recommendations. For the short-term redesign, we support the use of a basket to transport the prescription embedded in the operational procedures. And for the long-term redesign, we suggest the implementation of electronic prescribing. These redesigns are assumed to reduce waiting time by 2.5 – 16.2 % of service time. 
Meta-Analysis and Systematic Review: Risk Factors of Measles Incidence in Indonesia (2012 – 2021) Fairuz Haniyah Ramadhani; R Azizah; Juliana Jalaludin; Santi Martini; Lilis Sulistyorini
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.43060

Abstract

Measles is a highly contagious disease caused by the morbillivirus. According to WHO data, measles is one of the worldwide leading causes of death in children and infants. Indonesia is one of the ten countries with the most significant measles cases worldwide. Cases in Indonesia have increased due to a decrease in immunization coverage in Indonesia during the pandemic.  Besides low immunization coverage, other factors that influence the incidence of measles in Indonesia are nutritional status, mother’s knowledge, and occupancy density. This study aims to analyze the risk factors of immunization status, nutritional status, Mother’s knowledge, and occupancy density for measles in Indonesia.  This study used a meta-analysis method. The data sources used are Google Scholar, Pubmed, and Science Direct, from 2012-2021. The research articles found in this study are 148 articles. The report is then selected by screening to choose the year and research method and continued selection using inclusion criteria. Thus, the articles analyzed in this article are 23 research articles. The results showed that the variable immunization status, nutritional status, Mother knowledge, and occupancy density have risk factors for the incidence of measles in Indonesia. The result of measuring the pooled OR value sequentially from immunization status, nutritional status, mother’s knowledge, and occupancy density is e1.26=3.53; e0.72= 2.05; e1.36= 3.82;  e1.34= 3.89. The variable with the highest risk factor value for measles incidence in Indonesia is the occupancy density, followed by the Mother’s knowledge; immunization status; and nutritional status.
Angraini Model as Effort to Early Detection of Chronic Energy Deficiency in Pregnancy Dian Isti Angraini; Delmi Sulastri; Hardisman Hardisman; Yusrawati Yusrawati
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42212

Abstract

The prevalence of chronic energy deficiency in pregnant women in Indonesia is still high. This condition is one of the unresolved nutritional problems such as stunting. This study aims to develop the Angraini Model, as an effort to early detection of chronic energy deficiency in pregnancy. This research is a quantitative study with a case-control design on 190 CED and non-CED pregnant women in the city of Bandar Lampung. The research took time from October 2018 to July 2021. The data used in this study are 18 indicators and 7 latent variables. Latent variables consist of socioeconomic (education, employment, income, knowledge), culture (age, parity, food taboo), BMI (prepregnancy BMI), laboratory (anemia, iron status, protein status), food intake (energy, protein, fat carbohydrates, iron), weight gain during pregnancy (pregnancy weight gain), and CED (chronic energy deficiency). Data were analyzed using a structural equation model (SEM) with Lisrel software and then built into a web-based expert system. The results of the SEM analysis stated that food intake, laboratory values, and weight gain during pregnancy directly affect the incidence of CED. socioeconomic variables (knowledge, education, employment, and income), culture (age, parity, and food taboo), and prepregnancy BMI indirectly affect the incidence of CED through food intake variables. The model obtained based on SEM analysis is then built in a web-based expert system with the address modelangraini.com. The Angraini model is a web-based expert system that can be used to detect early CED in pregnant women for health workers in primary healthcare facilities.
Analysis of Nurse Work Stress Factors During the COVID-19 Pandemic Umi Fatikhatul Luthfiyah; Chriswardani Suryawati; Antono Suryoputro
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42912

Abstract

Based on the preliminary study at Prof dr. Soekandar Hospital, it was found that out of 30 nurses, 50% of them found it often difficult to relax and feel tired often. In addition, the results show that 76.90% of them feel very drained of energy. This study aimed to determine the relationship between personal and organizational factors and the occurrence of work stress for nurses during the COVID-19 pandemic at Prof. dr. Soekandar Hospital. This research was a quantitative observational study using a cross-sectional study design. The number of samples in this study amounted to 145 respondents using a purposive sampling technique. Data analysis used the Pearson test and linear regression. The events of work stress for nurses were unaffected by work shifts. The variables that affect the incidence of work stress are social support, workload, work shift, and the policies on the use of PPE. Based on the results of the multivariate test, 41.2% of nurses’ work stress was influenced by social support, workload, work shifts, and policies on the use of PPE. Variables that simultaneously affect the incidence of work stress for nurses are workload and nurses’ work shifts.
Isolated Systolic Hypertension among Diabetes Mellitus Subjects; a national cross-sectional study in Indonesia Mahalul Azam; Fetty Nur Hidayati; Arulita Ika Fibriana; Udin Bahrudin; Syed Mohamed Aljunid
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.40548

Abstract

Isolated systolic hypertension (ISH) reflects atherosclerosis. Studies reported hypertension prevalence among diabetes mellitus (DM); however, limited studies provided community prevalence. The present study aimed to explore ISH prevalence among DM in Indonesia. This study obtained data from the 2018 Indonesia Basic Health Survey. The DM category was determined by fasting plasma glucose (PG) level ≥126 mg/dL or 2 hours postprandial and random PG level ≥200 mg/dL or previously diagnosed by a doctor. ISH is categorized if systolic blood pressure is≥140 mmHg and diastolic blood pressure is 90 mmHg. This study also explored the subject’s determinants, i.e., compliance, demography, and lipid profile. A Chi-square and Binary logistic regression were used to determine the association. The study included 3,911 DM individuals and disclosed the prevalence of ISH at 17.5%. ≥65 years old (OR=13.61 95%CI: 3.297-19.365) and 45-64 years old OR=4.59 95%CI: 3.297-6.383)), high HDL-cholesterol (OR=0.77; 95%CI: 0.626-0.936), and longer DM duration (OR=2.89; 95%CI: 2.405-3.474), all together were related to the ISH. Subjects with the oldest age category, i.e., ≥65 years old, had the highest OR. Older DM individuals with low HDL-C and longer DM duration were related to the ISH, suggesting lipid profile treatments, mainly the HDL-C, is a pivotal effort to delay ISH.
The Incidence of Hypertension in Internal Polyclinic in Latemmamala Hospital Soppeng Ida Leida Maria; Maftur Al Rafi; Rismayanti Hafidz; Firman Firman
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42869

Abstract

Hypertension, otherwise known as high blood pressure, is a condition that describes blood pressure significantly in the interval above 140/90 mmHG, which results in the death of 9.4 million people every year worldwide, with the incidence of the problem increasing over time. According to WHO, it is predicted that 1.28 billion or about 42% of people worldwide are diagnosed with hypertension, and the results of the 2018 Riskesdas suggest that the prevalence of hypertension in Indonesia increased to 34.1% from 25.8% in 2013. The type of research used is analytic observational with a cross-sectional study approach. The population in this study were all visitors recorded in the Internal Medicine Clinic register book at Latemmamala Hospital from January to December 2021, namely 707 people. The sampling technique used was simple random sampling with a total sample size of 148 people. This study finds that nutritional status (p=0.002), total cholesterol levels (p=0.000), abdominal circumference size (=0.000), and family history (p=0.000) had a relationship with the incidence of hypertension. As well as, type of work (p=0.078), marital status (p=0.916), stress level (p=0.079), smoking habits (p=0.261), and physical activity (p=0.376) have no relationship with the incidence of hypertension. This study shows a relationship between nutritional status, cholesterol levels, abdominal circumference size, and family history of hypertension. It is highly recommended for people with hypertension adopt a healthy lifestyle, such as maintaining a diet and regular physical activity to keep their blood pressure under control.
Mental Health Education for Pregnant Women during the COVID-19 Pandemic in Surakarta, Indonesia Yuli Kusumawati; Widyawati Widyawati; Fatwa Sari Tetra Dewi
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42211

Abstract

The main factors increasing the risk of depression are pregnant women’s lack of knowledge about recognizing signs and symptoms, early detection, and prevention efforts. The purpose of this study is to examine the impact of mental health education on pregnant Indonesian women’s knowledge and self-efficacy during the COVID-19 pandemic. A quasi-experimental study was conducted. Pregnant women in four Surakarta primary health care facilities received antenatal care using Basic Emergency Obstetric Neonatal Care. The inclusion criteria for the sample were 127 pregnant women with a gestational age of 24-36 weeks, no family history of mental disorders, a singleton pregnancy, and participation in the intervention from beginning to end. The study excluded pregnant women who experienced complications during their pregnancy. Sample sizes for the intervention and control groups were 67 and 60 pregnant women, respectively. Personal psychoeducation intervention was provided by trained midwives during antenatal care. During the intervention, materials were presented in modules, and videos were shared through WhatsApp groups and discussions. The Edinburgh Postpartum Depression Scale was used to assess depressive symptoms. The data were analyzed using the paired t-test and independent t-test. Following the intervention, the mean score for knowledge and self-efficacy increased. Depressive symptom scores decreased following the intervention and were significantly different from the control group. Mental health education interventions for pregnant women using modules and videos can improve pregnant women’s knowledge and self-efficacy in preventing antenatal and postnatal depression.
Assessment of Self-Care Activities Using Diabetes Self-Management Questionnaire in Diabetes Patients Balgis Balgis; Selfi Handayani; Sumardiyono Sumardiyono; Nur Kholifah Putri Taufan
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.40355

Abstract

One of the non-communicable diseases found in all regions of the world, including rural areas, is Diabetes Mellitus, caused by a chronic metabolic disorder characterized by increased glucose levels in the blood due to impaired insulin secretion. Diabetic neuropathy is damage to peripheral nerves or peripheral nerves commonly experienced by people with type 2 diabetes mellitus, characterized by excessive pain and decreased sensitivity to touch. The purpose of this study was to determine the self-management carried out by diabetic patients in the city of Surakarta. This study is cross-sectional with a sample of 99 respondents using a purposive sampling technique with inclusion criteria of 40-60 years of age and type 2 DM patients. The tests carried out were the inter-class intercorrelation coefficient test and the Kruskal–Wallis test using SPSS. The results of this study mean the highest interclass correlation coefficient was the diabetic foot care subclass with a value of 0.773 representing the homogeneity of the DMSQ questions and a confidence interval of 0.687-0.839 at 95% with a significance of p 0.05 in each subclass.

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