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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.
Arjuna Subject : -
Articles 1,403 Documents
 105   106   107   108   109 
The Implementation of Credentialing for First-Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (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.v12i1.4944

Abstract

The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.
PERBEDAAN TINGKAT KELELAHAN PERAWAT WANITA
KEMAS: Jurnal Kesehatan Masyarakat Vol 7, No 1 (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.v7i1.1790

Abstract

Permasalahan penelitian adalah adakah perbedaan tingkat kelelahan perawat wanita shift pagi dan malam. Tujuan penelitian ini adalah untuk mengetahui perbedaan tingkat kelelahan perawat wanita shift pagi dan malam. Jenis penelitian ini adalah explanatory. Metode penelitian yang digunakan yaitu survei analitik dengan pendekatan belah lintang. Populasi meliputi seluruh perawat wanita yang bekerja tiga shift sebanyak 99 orang. Sampel diambil sebanyak 49 orang dengan rincian 25 perawat wanita shift pagi dan 24 perawat wanita shift malam. Sampel diambil secara purposif dengan kriteria umur 20-45 tahun, masa kerja lebih dari dua tahun, status gizi normal, sehat, dan tidak bermasalah. Variabel yang diteliti yaitu tingkat kelelahan dan shift kerja. Hasil penelitian menunjukkan rata-rata tingkat kelelahan perawat wanita pada shift pagi mencapai 300,196 md (kelelahan kerja ringan) dan pada shift malam mencapai 420,904 md (kelelahan kerja sedang). Simpulan penelitian adalah tingkat kelelahan perawat wanita shift malam lebih tinggi daripada shift pagiProblem of research was differences in levels of fatigue among female nurses. Purpose of this study was to determine differences in levels of fatigue among female nurses in the morning and night shift. Type of research was explanatory and method used was analytical survey with cross sectional approach. Population in this study were all female nurses who work for three shifts on the Sunan Kalijaga Hospital as many as 99 peoples. Samples taken in this study a number of 49 peoples consisting of 25 female nurses morning and night shift nurses 24. Samples were taken with a purposive sampling technique with the criteria of age 20-45 years, a work period was over two years, the nutritional status was normal, healthy, and not problematic. Variables were the level of fatigue and shift work in the morning shift and night shift. Average levels of fatigue female nurses on morning reached 300,196 md (fatigue category of light work) and on the night shift reached 420,904 md (labor categories are exhausted). Conclusion, fatigue level of night shift female nurses was higher than the morning shift
Insomnia and Quality of Life in The Elderly: WHOQOL-BREF and WHOQOL-OLD Indonesian Version
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (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.v16i2.22895

Abstract

In Indonesia, the elderly are someone who has reached the age of 60 years old and over. Along with the aging, there will be changes in sleep pattern and awakening process so that insomnia will appear. Insomnia can cause decrease in quality of life. The aim of this study was to analyze the relationship between insomnia and quality of life in elderly which measured by WHOQOL-BREF and WHOQOL-OLD Indonesian version. The quantitative analytical cross-sectional study had been carried out to 60 elderly from 6 public health centers (puskesmas) in Bandung City, West Java, Indonesia. This study was conducted from August to November 2019. Insomnia was measured by Insomnia Severity Index and quality of life was measured by WHOQOL-BREF and WHOQOL-OLD Indonesian version. The Spearman correlation test was used for data analysis. This study discovered that the proportion of insomnia in the elderly  was 36,7%(95%ci:24.5%-48.9%).the correlation coefficient between insomnia and quality of life was -0,386 (WHOQOL-BREF) and -0,302 (WHOQOL-OLD). It can be concluded that the proportion of insomnia in the elderly is high and  there is a correlation between insomnia and quality of life even though the correlation is weak.
ANALISIS PENYEBAB RESISTENSI OBAT ANTI TUBERKULOSIS
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 1 (2015)
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.v11i1.3341

Abstract

Jumlah penderita TB Indonesia sekitar 5,8% total TB dunia dan menempati peringkat keempat dengan angka prevalensi 281/100.000 penduduk. Kendala program pemberantasan dan penanggulangan TB adalah Resistensi obat anti tuberkulosis, karena pengobatan lama, mahal, dan tingginya efek samping. Tujuan penelitian menganalisis penyebab resistensi OAT. Penelitian dilakukan pada tahun 2013 dengan rancangan penelitian menggunakan kasus kontrol. Sampel kasus penderita TB resisten dan sampel kontrol penderita TB yang sembuh masing-masing 26 orang. Data dari hasil pemeriksaan laboratorium dan catatan medik di RS Dr. HA. Rotinsulu Kota Bandung. Uji statistik dengan chi square dan besar risiko dari OR. Hasil penelitian didapatkan 80,8% kategori MDR-TB dan 19,2% XDR-TB. Penderita TB mengalami efek samping 42,3%, riwayat pengobatan tidak adekuat 96,2%, adanya kontak erat 30,8%, tempat pengobatan sebelumnya tidak menerapkan DOTS 15,4%. Penyebab resistensi OAT adalah riwayat pengobatan tidak adekuat (nilai p= 0,001; OR= 40,00, 95%CI: 4,66-343,14). Pencegahan resistensi OAT dengan penatalaksanaan TB komprehensif, menerapkan program DOTS agar pengobatan tidak terputus dan berkesinambungan. Number of case TB Indonesia approximately 5.8% total TB in world, was ranked fourth with prevalence rate 281/100,000 population. Anti-tuberculosis drug resistant become problem prevention and eradication TB programmes, because treatment for longer, expensive, and greater side effects. The purpose this study was analysis causes Anti-tuberculosis drug resistant. This research was conducted at 2013 with design using case control. Cases which TB patients drug resistance, control which patients were cured TB each one as 26 people. Data obtained from the results laboratory and medical records in  hospital Dr. HA. Rotinsulu Bandung. Statictic analyzed using chi-square test and risk factor from OR. Results showed 80.8% MDR-TB and 19.2% XDR-TB. TB patients who experience side effects 42.3%, inadequate treatment 96.2%, 30.8% close contact, not implementing DOTS 15.4%. The causes anti-tuberculosis drug resistance inadequate treatment (P value= 0.001; OR= 40.00, 95%CI: 4.66-343.14). Prevention of anti-tuberculosis drug resistance by comprehensive TB management, implementing DOTS program that uninterrupted and continuous treatment.
Effectiveness of Early Exercise Against Uterine Involution in Spontaneous Postpartum Patients
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (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.v15i1.11936

Abstract

It is estimated that 50% of puerperal mortality occur within the first 24 hours. At thistime the involution process occured. Involutionary disorders cause complications whichis the leading cause of maternal mortality. Most of postpartum women do not obtainexercise guidance after giving birth. They are only advised to do simple mobilizationwithout planned guidance. The purpose of this study was to determine the effectivenessof early exercise against uterine involution (fundus and lochea). The research methodused Quasi Experimental (pre-post test non equivalent control group design). It wasconducted from May to August 2017. The samples were 40 respondents spontaneousprimiparous postpartum mother. The study was started by 1) divided the samples intocontrol group and treatment group, 2) measured the fundus and lochea, 3) providedearly exercise on treatment group, 4) re-measured fundus and lochea in both groups, 5)analyzed the effectiveness of early exercise to fundus and lochea expenditure decrease.The data analysis used Mann Whitney with α = 0.05. The results showed p value is 0.000(fundus) and p value are 0.001 (lochea). It means that early exercise is effective againstuterine involution (fundus and lochea). The results can provide positive contribution inpreventing maternal mortality caused by puerperal complications.
Leptospirosis: New Emerging Disease in Sukoharjo District
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (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.v13i2.4849

Abstract

Leptospirosis in Sukoharjo was discovered in 2014. Examination with RDT (Rapid Diagnostic Test) leptotek supported by clinical symptoms showed 6 positive cases of Leptospira, and until March 2015 one person was found to be Leptospira positive. The aim of this study was to identify rats as the main reservoir of leptospirosis, calculate the catching rate of rats and to detect the presence of pathogenic Leptospira in rats. This study was a cross-sectional survey, and was conducted in Pabelan village Kartasura Sukoharjo on May 2015. Polymerase Chain Reaction (PCR) assay was conducted in Bacteriology Laboratory Balai Litbang P2B2 Banjarnegara to detect leptospira in the kidney of the rats. Data were analyzed descriptively. Results of rats and shrew catching obtained Rattus tanezumi, Rattus norvegicus and Suncus murinus. The species most commonly found was balanced between R. tanezumi and S.murinus (46%). The trap success rate inside and outside the house are 1.50% and 5%, respectively. Result of laboratory test showed from 13 rats kidneys, two kidneys were found to be Leptospira positive and was from R.tanezumi and R.norvegicus.
KANDUNGAN L-DOPA DALAM VARIASI PERENDAMAN DAN PEREBUSAN DALAM PROSES PEMBUATAN TEMPE BENGUK
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.v11i2.3489

Abstract

AbstrakL-Dopa biji koro benguk sebesar 14,7%, berbeda dengan tempe benguk. Tujuan penelitian adalah menguji L-Dopa dalam 4 pengolahan tempe benguk yang berbeda. Penelitian tahun 2015 ini menggunakan teknik pengumpulan data dengan mengamati proses pengolahan tempe benguk dan menguji L-Dopa dalam fraksi tempe benguk dengan HPLC. Populasi penelitian adalah seluruh pemilik industri tempe benguk. Sampel penelitian diambil dengan metode purposif sampling, menentukan 4 industri tempe benguk yang sering digunakan. Proses pertama dengan satu rebusan 1-1,5 jam dan satu rendaman (2 hari) mengandung L-Dopa 8425,00 ppm. Proses kedua yaitu rebusan dua kali 1-1,5 jam dan ulangan rendaman tiga kali (setiap rendaman 1 hari 1 malam) mengandung L-Dopa 389,42 ppm. Proses ketiga yaitu ulangan rebusan dua kali (1,5-2 jam) dan rendaman satu kali mengandung L-Dopa 2163,37 ppm. Proses keempat rebusan satu kali ( 1 jam) dan rendaman satu kali (dua hari) mengandung L-Dopa tertinggi yaitu 9781,55 ppm.Kata kunci : Tempe benguk; Perendaman Perebusan; L-Dopa AbtractL-Dopa of koro benguk seed is around 14,7%, different with benguk tempeh. The objective of this study is to test L-Dopa in 4 different ways. Data were collected in 2015 by observing benguk tempeh processing and testing L-Dopa in benguk tempeh  (HPLC). The population of this study are all owners of benguk tempeh industries. The sample was taken by using purposive sampling, determining 4 benguk tempeh industries that mostly used. The first process with one boiling 1-1,5 hours and  one immersion (2 days) contain L-Dopa 8425,00 ppm. The second process with two boiling 1-1,5 hours and repetition immersion three times (each immersion 1 day 1 night) contains L-Dopa 389,42 ppm. The third process is twice re-boiling once ( 1 hour)  and immersion once again (2 days) contain the high L-Dopa that is 9781,55 ppm.Keyword : Benguk tempeh; Soaking-boiling; L-Dopa
PROGRAM PHYSICAL FITNESS DALAM MENINGKATKAN KESEHATAN PARU (VO2 max)
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 1 (2014)
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.v10i1.3063

Abstract

Penelitian ini bertujuan untuk mengetahui pengaruh physical fitness programme terhadap maximum oxygen uptake (VO2 max) mahasiswa IKORA FIK UNY. Penelitian ini menggunakan metode eksperimen dengan desain the one group pretest-posttest design. Populasi penelitian adalah mahasiswa IKORA angkatan 2010. Sampel dalam penelitian ini melibatkan seluruh mahasiswa prodi IKORA FIK UNY angkatan 2010 yang mengambil konsentrasi keahlian kebugaran. Instrumen yang digunakan adalah menggunakan tes lari 15 menit dengan metode balke. Teknik analisis data menggunakan uji normalitas, uji homogenitas dan uji t. Berdasarkan hasil analisis diperoleh nilai t hitung sebesar 11,261 dengan nilai signifikansi sebesar 0,000. Oleh karena nilai signifikansi sebesar 0,000 lebih kecil dari 0,05 (p0,05), maka dapat disimpulkan ada perbedaan yang signifikan VO2 Max mahasiswa saat pre test dan post test. Hasil ini dapat diartikan bahwa ada pengaruh yang signifikan antara physical fitness programme terhadap maximum oxygen uptake (VO2 max) mahasiswa IKORA FIK UNY. This research aims at investigating the effect of physical fitness programme towards maxi-mum oxygen uptake (VO2 max) of students of Sport Science Study Program Faculty of Sport Science Yogyakarta State University. This study used an experimental method with one-group pretest-posttest design. The study population was class of 2010 Sport Science Study Program (Ikora) students. The samples in this study involved the entire students of Ikora class of 2010 who took the concentration of fitness expertise. The instrument used is a 15-minute test run using the balke method. The data analysis technique used normality test, homogeneity test and T-test. Based on the analysis results obtained, the t value is 11.261 with a significance value of 0.000. Because the significant value of 0.000 is less than 0.05 (p 0.05), it can be concluded that there are significant differences in VO2 Max of the students when in pre-test and post-test. These results imply that there is a significant relationship between physical fitness program to the maximum oxygen uptake (VO2 max) of Ikora stu-dents in Faculty of Sport Science YSU.
NILAI FUNCTIONAL INDEPENDENCE MEASURE PENDERITA CEDERA SERVIKAL DENGAN PERAWATAN KONSERVATIF
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
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.v8i1.2253

Abstract

Masalah penelitian adalah bagaimana nilai Functional Independence Measure (FIM) pasien cedera servikal dengan manajemen konservatif. Tujuan penelitian untuk menganalisis nilai Functional Independence Measure (FIM) pasien cedera servikal dengan manajemen konservatif. Metode penelitian kohor prospektif dengan observasi pada semua pasien cedera servikal yang memenuhi kriteria inklusi di bagian Bedah Saraf Rumah Sakit (RS) Dr. Hasan Sadikin Bandung. Subjek dikelompokkan berdasarkan umur, jenis kelamin, trauma tunggal/multipel, akut/kronik, abnormalitas servikal, lesi komplit/inkomplit, dan ASIA impairment score. Data dianalisis menggunakan uji t dan uji chi kuadrat. Hasil penelitian menunjukkan terdapat 17 pasien cedera servikal yang dirawat di bagian Bedah Saraf RS Dr. Hasan Sadikin Bandung periode April 2009–April 2010. Rata-rata nilai FIM pasien cedera servikal adalah 4+1,63. Tidak terdapat hubungan umur, jenis kelamin, jenis trauma, onset trauma, dan abnormalitas servikal dengan besarnya nilai FIM pasien cedera servikal. Simpulan penelitian adalah terdapat hubungan jenis lesi cervical spine, ASIA impairment score dengan besarnya nilai FIM pasien cedera servikal. Jenis lesi cervical spine dan ASIA impairment score memiliki hubungan bermakna dengan besarnya nilai FIM pasien 6 bulan pasca cedera servikal. The research problem was how the Functional Independence Measure score (FIM) cervical injury patients with conservative management. The purpose of this study was to analyze the value of the functional independence measure (FIM) cervical injury patients with conservative management. Prospective cohort methods used to observe cervical injury in all patients who met the inclusion criteria at the Neurosurgery Hospital (Hospital) Dr. Hasan Sadikin. Subjects were grouped by age, sex, trauma, single/multiple, acute/chronic, cervical abnormalities, complete/incomplete lesions, and ASIA impairment score. Data were analyzed using t test and chi-square test. The results showed there were 17 patients with cervical injuries were treated at the Hospital of Neurosurgery Dr. Hasan Sadikin the period April 2009-April 2010. The average value of FIM cervical injury patients was 4 +1.63. There wasn’t relationship to age, sex, type of trauma, the onset of trauma, and cervical abnormalities with the value of FIM cervical injury patients. The conclusion, there was relationship type of cervical spine lesions, ASIA impairment score with the value of FIM of cervical injuries patients. Type the cervical spine lesions and ASIA impairment score had significant correlation with the value of FIM 6 months after injury of cervical patients.
Risk of Pesticide Exposure on Impaired Level of Intelligence (IQ) of Children
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (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.v16i3.29233

Abstract

The shallot cropping pattern applied by farmers in the village of Pasir Demak is very likely to cause pollution. Pesticide contamination in pregnant women in the first trimester (3 months) can result in fetal death, low birth weight, and impaired intelligence (IQ). Preliminary research conducted in 2016 found that elementary schooler who came from Pasir Village, Demak had low learning achievement. It was an observational study with a cross-sectional approach; the respondents were Elementary Schooler grades 4, 5, and 6 (107 people) and the mothers of the students (107 people). Thus, the total respondents were 214 people. The IQ assessment instrument used the SPM and CPM instruments. The level of pesticide poisoning from the mother was to measure blood Cholin Esterase levels using a tintometer, the data were then statistically analyzed using Chi Square and Odd Ratio for risk factors. There were significant differences on the level of intelligence of children including the planting system p=0.002; room area p=0.047; ventilation area p=0.041; type of pesticide p=0.001; spraying before harvest p=0.007; spraying after harvest p=0.008; storage place for crop yields p=0.039, while the variables that did not show significant difference were the playing environment p=0.848; gestational age p=0.190; contact to pesticides p=0.105 and age p=0.418. Pesticide contamination in pregnant women in the 1st trimester which the time to process formation and development of the brain in the Temporal lobe and Frontal lobe will experience impaired learning and memory (IQ). Keywords : Elementary schooler; Pesticide exposure; Level of intelligence.

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