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INDONESIA
Jurnal Kesehatan Masyarakat
ISSN : 18581196     EISSN : 23553596     DOI : -
Core Subject : 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 1,403 Documents
Dukungan Informasi bagi Ibu-ibu Menyusui dalam Memberikan ASI Eksklusif di Kecamatan Gondokusuman Kota Yogyakarta
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (2016)
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.v11i2.3694

Abstract

AbstractBreast milk is the first and the best choice of food for infants in early life. Various efforts have been taken by the government of Indonesia to encourage mothers to breastfeed their children exclusively. However, exclusive breastfeeding outcomes in most areas are still low. Yogyakarta is one of those areas, especially in the Gondokusuman Subdistrict with breastfeeding outcome only 23.2%. The outcome should be 80% according to the target in the Minimum Service Standards of Health. The succes of 23.2% breastfeeding mothers to breast feed exclusevely because of the support that receive by them, one is the informational support.The purpose of this study was to determine what kind of informational support to breast feed exclusively which is received by nursing mothers in the Gondokusuman Subdistrict. The type of research is qualitative with a phenomenological approach. In depth interviews and focus group discussion (FGD) are used for data collection techniques. Depth interviews were conducted to mothers who exclusively breastfed, mothers who did not exclusively breastfeed, the husband of nursing mothers, and health care workers. Investigation of the trustworthiness of the study using triangulation of methods and sources. Thematic Content Analysis is used for data analysis. These results indicate that informational support is very important for pregnant and nursing mothers to be able to provide exclusive breastfeeding to their babies. Informational support in the form of support from health workers and significant others, the support of health care and UKBM (Community Based Health Unit), availability of health promotion media, completeness of information, easier access of information for nursing mothers. Information gleaned from significant others or people who are influential for nursing mothers have a more important role, because of the closer emotional factor. Therefore, nursing mothers need to build a positive environment in order to obtain sufficient information for the success of exclusive breastfeeding.Keyword : Exclusive breastfeeding, Informational support, Phenomenological
PENGARUH DISMENORE TERHADAP AKTIVITAS PADA SISWI SMK
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 2 (2011)
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.v6i2.1758

Abstract

Penurunan aktivitas siswi dipengaruhi oleh dismenore. Gejala ini terjadi pada siswi berupa nyeri perut, pusing, mual, dan nyeri pinggang. Tujuan penelitian ini adalah untuk mengetahui pengaruh dismenore terhadap aktivitas siswi. Penelitian ini adalah penelitian observasional dengan pendekatan belah lintang. Sampel terdiri atas 85 siswi yang dipilih secara acak sederhana di SMK Batik 1 Surakarta. Data dikumpulkan dengan wawancara  dan hasilnya dianalisis dengan uji chi kuadrat. Hasil penelitian menunjukkan bahwa nilai peratus penurunan aktivitas siswi pada kategori dismenore ≥ 6 mempunyai peratus lebih tinggi dari pada kategori dismenore 6, dengan beda peratus sebesar 16,8%. Perbedaan tersebut secara statistik mendekati bermakna (p = 0,059). Dapat disimpulkan bahwa peristiwa dismenore berpengaruh terhadap aktivitas siswa. AbstractDecrease in student activities were influenced by dysmenorrhea. Symptoms of dysmenorrhea occur in girls generally in the form of abdominal pain, dizziness, nausea, and low back pain. The purpose of this study was to determine the effect of dysmenorrhea on schoolgirl activities. This study was an observational research with cross sectional approach. The samples consist of 85 girls at SMK Batik 1 Surakarta those were selected with simple random sampling. Data were collected through interviews and the results were analyzed by chi square test. The results showed that the percentage of decrease in activities of schoolgirl those had dysme-norrhea ≥ 6 have a higher percentage than in the categories of dysmenorrhea 6, with difference of 16,8%. The difference was statistically close to significant (p = 0,059). In conclusion, dysmenorrhea influenced schoolgirl  activities.Keywords: Dysmenorrhea; Decreased of activities; Schoolgirl
KETERSEDIAAN SARANA SANITASI DASAR, PERSONAL HYGIENE IBU DAN KEJADIAN DIARE
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 2 (2013)
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.v8i2.2819

Abstract

Diare merupakan penyakit menular yang penting karena merupakan penyumbang utama ketiga angka kesakitan dan kematian anak di berbagai negara termasuk Indonesia.Tujuan dari penelitian ini untuk mengetahui hubungan antara ketersediaan sarana sanitasi dasar lingkungan dan personal hygiene ibu dengan kejadian diare pada balita di wilayah kerja Puskesmas Purwoharjo Kabupaten Pemalang tahun 2012. Jenis penelitian ini yaitu explanatory research dengan metode survey dan rancangan penelitian cross sectional dengan jumlah populasi seluruh balita di wilayah kerja Puskesmas Purwoharjo pada tahun 2012 yaitu sebanyak 3.789 balita. Sampel berjumlah 95 balita. Instrumen yang digunakan adalah check list dan kuesioner. Analisis data dilakukan secara univariat dan bivariat (menggunakan uji chi square dengan α=0,05). Hasil dari penelitian ini, variabel yang berhubungan dengan kejadian diare pada balita di wilayah kerja Puskesmas Purwoharjo Kabupaten Pemalang adalah ketersediaan sarana air bersih (p=0,001), ketersediaan sarana pembuangan tinja (p=0,002), ketersediaan sarana tempat pembuangan sampah (p=0,001), ketersediaan sarana pembuangan air limbah (p=0,001) dan personal hygiene ibu (p=0,001). Diarrhoea is an important infectious disease because there are assist third main of mortility and morbidity of children in almost country belong Indonesia. Annualy, diarrhoea disease attack 59 million Indonesian people and 2/3 of them are children under five years old throught 600.000 people was offers. The aim of the study was to find correlations between mother’s knowledge grade and availability of environmental sanitation with diarrhoea cases on children at Puskesmas Purwoharjo  District of Pemalang in 2012. This study was explanatory research, which used survey method and cross sectional study. The population is all of children at Puskesmas Purwoharjo areas in 2012 there are 3.789. The sample are 95 of children under 5 years old. The instrument of the study were using check list and questionnaire. Data were analyzed univariate and bivariate  (using chi square test with α=0,05). The conclusion of this study were there variables were correlated with diarrhoea cases of children including source of clean water (p=0,001), medium of faeces dismissal (p=0,002), rubbish treatment (p=0,001), waste water disposal (p=0,001), the mother’s hygiene grade (p=0,001).
Fatigue in Loading and Unloading Workers at the Port
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2020)
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.v16i1.22946

Abstract

The port has a fairly dense loading/unloading activity according to the total flow of goods it manages. In addition to high work activities, environment factors such as noise and work climate can also affect the occurrence of work fatigue.  Therefore, this study aims to determine factors associated with work fatigue in loading/unloading workers at the port.  This study uses cross sectional study design with simple random sampling.  Data analysis used the Paired Sample T-Test and Chi-Square test.  The results showed that there was a difference of fatigue before and after work and as many as 71.2% of workers experienced moderate fatigue.  It is known that age (p-value = 0,000), breakfast habits (p-value = 0,000), and years of service (p-value = 0,000) have a significant correlation with work fatigue, while nutritional status (p-value = 0.203), workload (p-value = 0.140), hot work climate (p-value = 0.362), and noise (p-value = 0.880) have no correlation with work fatigue.  It was concluded that age, breakfast habits and work duration were related to work fatigue in loading/unloading labor.  Therefore, workers are advised to be used to have breakfast with the right menu and time and workers should wear hats while working to reduce sun exposure.
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.
Traditional Birth Attendants (TBAs) Positioning on Strengthening Partnership with Midwives
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 1 (2017)
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.v13i1.7452

Abstract

Background of this research was the still high number of infant mortality and high use of Traditional Birth Attendants (TBAs). The This study aims aimed to determine TBAs positioning on the effort of strengthening partnership with midwives. A number of pregnant women, TBAs, and midwives become became informants, through in-depth interviews and focus group discussions. The results showed positioning TBAs still needed with different roles but side by side with midwife role, used by primi and multi pregnant women before and during pregnancy, during and after birth. The requirement  forrequirement for TBAs was derived from parents as a cultural heritage, whereas the requirement for midwife obtained was from formal and non- formal information. The TBAs services toward maintain family health care including include cultural events. The midwife is givingserved professional servicescare. The partnership includes clients registration, motivation, abnormalities early detection. There has had been an unwritten financing unwritten agreement. The TBAs midwife partnership needs to be strengthened through legislation and , communication to diverse audiences in order to form the right positioning.
FAKTOR YANG MEMPENGARUHI PERAN KADER DALAM PENGGUNAAN BUKU KESEHATAN IBU DAN ANAK
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 2 (2013)
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.v8i2.2632

Abstract

Kader posyandu dalam pelaksanaan program KIA memegang peranan penting untuk menggerakkan keaktifan ibu dalam peningkatan kesehatan ibu dan anak. Masalah penelitian adalah faktor-faktor apakah yang berhubungan dengan peran kader dalam penggunaan buku KIA. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan peran kader dalam penggunaan buku KIA di Kecamatan Kalibagor. Metode penelitian adalah studi analitik dengan pendekatan cross sectional. Populasi adalah kader posyandu aktif yang ada di wilayah kerja Puskesmas Kalibagor. Proportional random sampling digunakan untuk mendapatkan sampel sebanyak 67 responden. Hasil penelitian diperoleh sebanyak 59,7% responden memiliki tingkat pengetahuan yang baik, 56,7% responden memiliki motivasi yang kurang baik, 55,2% responden memiliki masa kerja baru (15 tahun), 53,7% responden memilki peran yang baik dalam penggunaan buku KIA. Pengetahuan terbukti berhubungan dengan peran kader dalam penggunaan buku KIA (nilai p=0,013), sedangkan motivasi dan masa kerja tidak berhubungan dengan peran kader dalam penggunaan buku KIA (nilai p=0,140). Simpulan penelitian adalah pengetahuan berhubungan dengan peran kader dalam penggunaan buku KIA. In maternal and child health (KIA) program, Posyandu cadres needed to increase maternal and child health. Research problem was whether factors related to role of cadres in the use of KIA book. Research purpose was to determine the factors related to the role of cadres in use of KIA book in Kalibagor District area. The research method was analytic study with cross sectional approach. Population was existing cadres which active in Kalibagor public health center area. Proportional random sampling was used to obtain 67 samples. The results were 59.7% of respondents had a good knowledge level, 56.7% of respondents have poor motivation, 55.2% of respondents have a new working period (15 years), 53.7% of respondents have a good role in use KIA book. There was associated between knowledge and cadres role in use KIA book (p=0.013), there were no association between motivation and working period to cadres role in use KIA book (p=0.140). Conclusion, knowledge related to cadre’s role in use KIA book.
Loving Lactation of Massage Effectiveness to Accelerating Lactation Onset
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.v17i1.25321

Abstract

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). 
SMS Gateway as a Media to Improve Awareness and Dietary Compliance of Hypertensive Patients
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (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.v15i1.17479

Abstract

Hypertension is a major health problem in Indonesia. Prevention can be applied through health promotion and modification of a healthy lifestyle. The aim of this study was to analyze the effects of SMS (Short Message Service) Gateway to dietary compliance and awareness of hypertensive patients. The research design was pre-experimental with one group pretest-posttest design. The study was conducted at Putri Ayu Health Center, Jambi City. The sampling technique was accidental sampling with a total sample of 30 hypertensive patients. The intervention was conducted for 30 days by sending SMS twice a day. The results of the study showed an average awareness score of 7.3 pre-test and 10.1 post-test. The average dietary compliance score was 21.2 pre-test and 31.3 post-test. Wilcoxon test showed there was an effect of SMS Gateway to awareness and dietary compliance in hypertensive patients (p-value = 0.000). This study concludes that there is an effect of nutritional messages through SMS media to awareness and dietary compliance in hypertensive patients.
Health Care Workers Communication on Diabetes Mellitus Management in Hospital and Community Health Center
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
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.v14i1.11755

Abstract

Diabetes Mellitus (DM) patients require DM management for life. Research proved that good quality self-care behavior of DM patients in dr. Harjono Regional Public Hospital Ponorogo and in North Ponorogo Community Health Center were still low (28,6% in dr. Harjono Regional Public Hospital Ponorogo and 50% in North Ponorogo Community Health Center). Health care worker communication is related to self-care behavior of DM patients. Differences in hospital and community health center self-care behavior in the previous study results triggered a question on the differences in hospital and community health center workers communication. This study was conducted in 2017 and aimed to explain the difference of health care workers communication regarding DM management in hospital and community health center. This study used comparative research design with 32 respondents from dr. Harjono Regional Public Hospital Ponorogo and 31 respondents from North Ponorogo Community Health Center. The results showed that 78.1% of respondents in hospitals and 93.5% of respondents in community health center stated good health care workers communication. The Fisher’s Exact test found p value of 0.148 which meant that there was no difference in communication of healthcare workers in hospital and community health center. Most patients in both places suffered from DM for 1-5 years and required the same health care workers communication, therefore there was no difference in the communication of health workers in both places.

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