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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 1,403 Documents
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SISTEM MANAJEMEN MUTU ISO 9000 SEBAGAI ALAT PENINGKATAN KUALITAS ORGANISASI PELAYANAN KESEHATAN
KEMAS: Jurnal Kesehatan Masyarakat Vol 5, No 1 (2009)
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.v5i1.1859

Abstract

Ketidakpuasan masyarakat terhadap pelayanan kesehatan di Indonesia menjadi pemacu organisasi pelayanan kesehatan untuk memperbaiki dan meningkatkan kualitas pelayanannya. Organisasi pelayanan kesehatan menggunakan alat seperti akreditasi dan Sistem Manajemen Mutu (SMM) ISO 9000 yang  menekankan pada standar struktur serta belum terkait dengan kepuasan pelanggan. Organisasi pelayanan kesehatan yang telah mengimplementasikan SMM ISO 9000 adalah rumah sakit, puskesmas, dan balai kesehatan. Hasil yang diperoleh  yaitu kepuasan pelanggan meningkat, kinerja terukur, koordinasi menjadi baik dan perbaikan berkelanjutan dapat dilaksanakan. Tetapi dalam pelaksana-an terdapat hambatan seperti kurangnya komitmen personel dan dukungan atasan. Perlu disadari oleh organisasi pelayanan kesehatan bahwa SMM ISO 9000 bukanlah alat ajaib untuk memperbaiki dan meningkatkan kualitas tanpa komitmen kuat dari semua pihak pada organisasi pelayanan kesehatan. AbstractDissatisfaction community to health services in Indonesia makes healthcare organizations to repair and enhance the quality of service. Health care organizations used the tools such as accreditation and the Quality Management System (QMS) ISO 9000 standard that emphasizes on the structure and not related to customer satisfaction. Health care organizations that have implemented QMS ISO 9000, are hospitals and health centers. The results found are customer satisfaction, measurable performance, good coordination and continuous improvement. But there are obstacles in the implementation such as lack of commitment and supervisor support. It is noteworthy that QMS ISO 9000 is not a magic tool to improve and enhance the quality without a strong commitment from all parties on health care organizations.Keywords: Quality improvement; Health services organization; ISO 9000 quality management system
Parental Monitoring and Risk Behavior in Middle Adolescents
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.v16i3.23431

Abstract

Friends played significant role due to middle adolescents tended to imitate behaviour of their friends including the risk behaviour. Parental monitoring could minimize the risk. However, the excessive unreasonable parental monitoring tended to increase risk behaviour of middle adolescents. Therefore, the purpose of this study was to know whether perceived parental monitoring had a significant relationship with risk behaviour among middle adolescents. This study used quantitative method with two measuring instruments in the form of a questionnaire, Parental Monitoring Questionnaire which consisted of 25 items to measure parental monitoring and Adolescence Risk Behaviour Questionnaire which consisted of 15 items to measure risk behaviour. The participants in this study were 105 male senior high school student age 15-17 years, who lived with both of their parents in Jakarta. Correlation test results showed that there was a significant relationship between perceived parental monitoring and substance use, premarital sex, and criminal behaviour among middle adolescents. Based on these results, the researcher presented some discussion materials and the suggestions that needed to be considered for further research.
Ecological Study on Factors Related to the Mortality of Rabies in North Sulawesi Province at the Year of 2015 to 2017
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.v15i1.19168

Abstract

Indonesia, which is part of the region, contributes 25 provinces including areas that have not been free from the endemic of rabies. One of the provinces that ranked top in the cases of rabies was North Sulawesi. Therefore, this study aims to find correlations between factors related to the prevalence of rabies deaths in North Sulawesi Province in 2015 - 2017. This study used a mixed ecological study design by applying the principle of total sampling to 15 districts/citiesin North Sulawesi. The results of the study found that there was a negative and weak strength correlation on the anti rabiesvaccine coverage factor (r = 0.279), moderate strength correlation on the ratio of health care workers (r = 0.345), and the ratio of health care facilities (r = 0.320) to the mortality of rabies. While the sex ratio factor is positive and has moderate strength (r = 0.365) against the mortality of rabies. The new findings of health care facility and health care workers that have a moderate strength correlation need to be included in the prevention of rabies approach because it can help to facilitate washing wounds treatment. 
The Description of Larva Free Index as COMBI (Communication for Behavioral Impact) Dengue Hemorrhagic Fever Prevention Indicator
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 3 (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.v13i3.5844

Abstract

Dengue hemorrhagic fever (DHF) has a high incidence rate, especially in the tropical and subtropical area. Various efforts have been made as an attempt to empower the community in PSN-dengue program, but has not yet reached the optimal result. COMBI (Communication for Behavioral Impact) is a dynamic team working to formulate and deliver the message, materials, and appropriate communication media for community problems found by way of a mutually agreed settlement of the problem.Quantitative research was done by cross sectional method to check the water storage containers inside the houses of the respondents. The number of the respondents were 990 male (38.1%), 1612 female (61.9%). Three (0.1%) respondents were aged 17 years, 249 (9.6%) were 17-25 years old, 526 (20.2%) were 26-35 years old, 706 (27.1%) were 36-45 years old, 602 (23.1%) were 46-55 years old, 348 (13.4%) were 56-65 years old, 173 (6.7%) were 65 years old. Most dominant level of education and employment statuses were 1107 (42.5%) high school and 858 (32.9%) were housewives. The average numbers of Larva Free Index in Sleman Regency, Bantul Regency and Yogyakarta municipality were - 75.8%; 70.9%; and 77.3% respectively. The average CI in Yogyakarta municipality was 7.05%, Sleman Regency was 9.68%, and Bantul Regency was 20.86%. The average HI in Yogyakarta municipality was 22.7%, Sleman Regency was 24.13%, and Bantul Regency was 29.02%. This study suggested that the LFI, CI and HI were not in accordance with the target of the Ministry of Health.
PENGARUH KONSELING TERHADAP MOTIVASI IBU MELAKUKAN PERAWATAN METODE KANGGURU PADA BAYI BERAT BADAN LAHIR RENDAH
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.v11i2.4028

Abstract

Hasil survei demografi dan kesehatan Indonesia angka kematian bayi sebesar 34/1000 kelahiran hidup, jauh dari sasaran MDGs (23/1000 kelahiran hidup). Penyebab utama kematian bayi adalah asfiksia, bayi prematur, BBLR dan infeksi. Angka kematian bayi di RSUD Soreang sebesar 14,76%, salah satu upaya menurunkan angka kematian bayi diantaranya dengan Perawatan Metode Kangguru (PMK). Penelitian tahun 2015 ini bertujuan menge-tahui perbedaan motivasi ibu melakukan PMK pada BBLR antara sebelum dan sesudah diberikan konseling. Rancangan penelitian menggunakan one group pretest and posttest design, dilakukan terhadap 32 sampel ibu dengan bayi BBLR. Uji statistik menggunakan paired sample t-test. Hasil penelitian pada pretest maupun posttest sebesar 62,5% mempunyai motivasi tinggi. Ada perbedaan rata-rata nilai motivasi ibu antara sebelum dan sesudah diberikan konseling dengan thitung = 10,268 ( dari t tabel = 2,042; nila p = 0,0001). Sosialisasi PMK kepada ibu yang mempunyai BBLR dan anggota keluarga berperan penting dalam mendukung pelaksanaan PM. Result of Indonesia demography and health survey, infant mortality rate is 34/1,000 live births, highest from the MDGs target (23/1,000 live births). The main causes of infant mortality are asphyxia, premature, low birth weight and infection. The infant mortality rate in hospitals Soreang amounted 14.76%, one of the efforts to reduce infant mortality among the treatment with kangaroo methode. The research in 2015 aimed to determine differences in maternal motivation of kanggoroo carein LBW between before and after counseling. The research design uses one group pretest and posttest design, carried out on 32 samples of mothers with LBW babies. Statistical test using a paired sample t-test. Results of research on the pretest and posttest 62.5% have high motivation. There are differences in the average value of maternal motivation between before and after counseling with Score T= 10.268 ( of T table = 2.042; p value = 0.0001). Socialization kanggoroo care to mothers with LBW and family members play an important role in supporting the implementation kanggoroo care.
MASA KERJA DAN SIKAP KERJA DUDUK TERHADAP NYERI PUNGGUNG
KEMAS: Jurnal Kesehatan Masyarakat Vol 9, No 1 (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.v9i1.2824

Abstract

Angka prevalensi kejadian nyeri punggung yaitu 7,6% sampai 37% per tahun, masalahnyeri punggung pada pekerja umumnya dimulai pada usia dewasa muda dengan puncakprevalensi kelompok usia 25-60 tahun. Masalah penelitian adalah bagaimana hubunganmasa kerja dan sikap kerja duduk terhadap nyeri punggung pekerja tenun sarung di DesaWanarejan Utara Pemalang. Tujuan dari penelitian ini untuk mengetahui hubunganmasa kerja dan sikap kerja duduk terhadap nyeri punggung. Metode penelitian crosssectional. Populasi penelitian adalah pekerja tenun sarung berjumlah 92 pekerja dansampel berjumlah 46 pekerja. Instrumen penelitian yang digunakan kuesioner, lembarpenilaian REBA, dan meteran gulung. Hasil penelitian menunjukkan hubungan tiapvariabel bebas dengan nyeri punggung sebagai berikut: (1) usia (p=0,04; OR=4,583); (2)masa kerja (p=0,02; OR=5); dan (3) sikap kerja duduk (p=0,43). Simpulan penelitian,nyeri punggung berhubungan dengan usia, masa kerja, dan sikap kerja.Incidence of back pain prevalence rate of 7.6% to 37% every year, the problem of backpain in workers generally begins in young adulthood with a peak prevalence age group25-60 years old. Research problem was how relationships work period and sitting positiontowards back pain in workers woven sarong in North Wanarejan village, Pemalang. Research purpose was to determine the relationship of work period and sitting positiontowards back pain. Cross-sectional research method. Population study were woven sarongworkers amounts 92 workers and samples were 46 workers. Research instrument usedquestionnaires, REBA assessment sheets, and roll meter. Th e results showed the relationshipof each independent variables with back pain as follow : (1) age (p=0.04; OR=4.583), (2)working period (p=0.02; OR=5), and (3) sitting position (p=0.43). Th e conclusion, backpain associated with age, working period, and work position.
Effect of Yoga Program on Mental Health: Competitive Anxiety In Semarang Badminton Athletes
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.v13i1.9862

Abstract

The most obvious factor which really affects the capability of an athlete, especially in Semarang badminton, is psychological factors. One technique supposed to represent all the mental techniques are yoga. A total of 20 athletes (12 men 8 women) from the badminton club in Semarang participated in this study. Quasi-experimental was used in the study. Two groups were selected according age group and class, and both are candidates of the provincial team. We measured anxiety levels with CSAI-2R and sphygmomanometer. We analyze the data using t-test and index gain. Cognitive anxiety item on the yoga group decreased (x=-2.10; -21.21%), and so did the control group (x=-0.20; -2.19%). Somatic anxiety symptoms were similar to yoga group (x=-3.50; -26.92%), but not for the control group, which increased (x=1.70; 17.71%). Whereas self-confidence has a negative correlation to other variables, the yoga group increased (x=2.00; 12.35%) but the control group decreased (x=-0.30; -1.99%).The last was badminton performance, yoga group increased (x=2.40; 14.67%) and whereas the control group decreased (x=-3.283; -17.23%).
PENGETAHUAN, SIKAP DAN MOTIVASI TERHADAP KEAKTIFAN KADER DALAM PENGENDALIAN TUBERKULOSIS
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.v8i2.2637

Abstract

Masalah penelitian adalah bagaimana hubungan antara pengetahuan, sikap, dan motivasi kader kesehatan dalam pengendalian kasus tuberkulosis. Tujuan penelitian untuk menganalisis hubungan antara pengetahuan, sikap, dan motivasi kader kesehatan dalam pengendalian kasus tuberkulosis di Kabupaten Buleleng. Metode penelitian menggunakan desain studi analitik observasional dengan pendekatan cross-sectional. Randomisasi dilakukan untuk mendapatkan sampel penelitian. Instrumen menggunakan kuesioner dan analisis menggunakan multivariat dengan regresi logistik ganda. Hasil penelitian menunjukkan terdapat hubungan antara variabel pengetahuan dengan keaktifan kader (p=0,012; OR=18.44), antara sikap dengan keaktifan kader (p=0,011; OR=8.08), dan antara motivasi dengan keaktifan kader (p=0,018; OR=15.01). Kader kesehatan dengan pengetahuan tinggi memiliki kemungkinan untuk aktif 18 kali lebih besar daripada pengetahuan rendah. Kader kesehatan dengan sikap baik memiliki kemungkinan untuk aktif 8 kali lebih besar daripada sikap kurang. Kader kesehatan dengan motivasi tinggi memiliki kemungkinan untuk aktif 15 kali lebih besar daripada motivasi rendah. Simpulan penelitian terdapat hubungan yang signifikan antara pengetahuan, sikap, dan motivasi dengan keaktifan kader kesehatan dalam pengendalian kasus tuberkulosis. Research problem was how the relationship between knowledge, attitudes, and motivation of health cadres in tuberculosis control. Research purpose was to analyze the relationship between knowledge, attitudes, and motivation of health cadres in tuberculosis control in Buleleng regency. The research method used analytic observational study by cross - sectional approach. Samples obtained by randomization. Instruments used questionnaires and multivariate analyzes used multiple logistic regression. The results showed there were association between knowledge and cadre activity (p=0.012 ; OR =18.44), between the attitude and cadres activity (p=0.011; OR=8.08), between motivation and cadre activity (p=0.018; OR=15.01) . Health cadres with high knowledge tended to be 18 times more active than the low knowledge. Health cadres with a good attitude tended to be 8 times more active than the fewer attitudes. Likewise, health cadres with high motivation were 15 times more active than the low motivation. Conclusion, knowledge, attitudes, and motivations related with activeness of health cadres in tuberculosis control.
"Gizi COVID-19 Bagi Remaja" Application as A COVID-19 Prevention
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.v17i1.26843

Abstract

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.
Factors Associated with Depression among Prisoners in Women’s Class II-A Prison Jakarta
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 3 (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.v15i3.19850

Abstract

Depression is a common mental disorder, characterized by persistent sadness and a loss of interest in activities that you normally enjoy, accompanied by an inability to carry out daily activities, for at least two weeks. Female prisoners represent groups at risk of depression where depression in prisoners is more vulnerable to female prisoners than men. This study aims to determine the factors associated with depression among prisoners in Women’s Class II-A Prison Jakarta. The study design used was cross-sectional with multivariate analysis, multiple logistic regression. The number of research samples is 200 prisoners taken using random sampling techniques. The results showed that the prevalence of depression among prisoners in Women’s Class II-A Prison Jakarta is 56,5%. Based on the results of the multivariate analysis, it can be seen that factors related significantly to depression are age (p-value = 0.012; POR = 2.144; 95% CI = 1.185 - 3.879) and recidivism status (p-value = 0.043; POR = 3.926; 95% CI = 1,047 –14,729) which the most influential factor on the incidence of depression is recidivism status. Government attention needs to be given to the mental health of prisoners by conducting various mental health programs and services such as regular screening and rehabilitation programs.

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