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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.
Arjuna Subject : -
Articles 1,403 Documents
Community Understanding of 13 General Messages of Balanced Nutrition
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.v14i1.11800

Abstract

Indonesia still faces a double burden of nutritional problems, especially in children. It is essential to promote balanced nutrition education to mothers of toddler years old. They are more familiar with “4 Healthy and 5 Complete” which has been replaced by “Balanced Nutrition Guidelines” (PUGS). This cross-sectional study aimed to assess the knowledge of mothers about 13 PUGS messages in East Lombok District. This study was conducted using quantitative approach and supported with qualitative data. Data was collected by interviewing 188 mothers, stakeholders, health workers, cadres and community leaders. Data was analyzed using logistic regression to determine which messages are correlated to nutritional status. The result shows that the majority of mothers do not understand PUGS. There is a relationship between mother’s knowledge with children’s nutritional status. Mother’s knowledge of consuming iron-containing foods, drinking clean and sufficient water are associated with children’s nutrition status. PUGS messages are better understood by health workers compared to mothers.
Determinants Failure of Exclusive Breast Feeding on Health in the City Bengkulu
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, 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.v12i2.6890

Abstract

The  first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .
KETERLIBATAN DALAM AKTIVITAS PERTANIAN DAN KELUHAN KESEHATAN WANITA USIA SUBUR
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.v7i1.1795

Abstract

Masalah penelitian adalah bagaimana hubungan praktek keterlibatan dalam aktivitas pertanian dan keluhan kesehatan pada wanita usia subur. Tujuan penelitian ini adalah mendiskripsikan dan menganalisis praktek keterlibatan dalam aktivitas pertanian dan keluhan kesehatan pada wanita usia subur (WUS) di daerah pertanian Kecamatan Kersana Kabupaten Brebes. Metode penelitian adalah explanatory dengan desain belah lintang dan pendekatan deskriptif. Jumlah sampel 86 orang diambil dari empat desa yang dipilih secara purposif. Instrumen yang digunakan adalah peralatan pengambilan dan pemeriksaan sampel darah, mikrotoa, timbangan berat badan, serta kuesioner. Data dikumpulkan dengan wawancara, pengukuran, dan pemeriksaan sampel darah. Hasil penelitian menunjukkan bahwa dari praktek keterlibatan dalam aktivitas pertanian, WUS di daerah tergolong rentan terhadap pajanan pestisida. Simpulan penelitian, dilihat dari keluhan kesehatan secara subyektif dan pemeriksaan kondisi kesehatan secara umum, belum ada gangguan kesehatan/penyakit serius yang dialami oleh WUS secara subyektif, namun telah ditemukan 20 WUS yang mengalami kejadian gangguan fungsi hati.Research problem was how associate the practice of engaging in agricultural activity and health complaints in productive childbearing age women. Purpose of this study was to describe and analyze the practice of engaging in agricultural activity and health complaints in childbearing age women in agricultural areas Kersana District of Brebes regency. The method was explanatory research design with cross sectional and descriptive approach. The number of samples taken 86 people from four villages were selected purposively. The instrument were a collection equipment and examination of blood samples, mikrotoa, weight scales, and questionnaires. Data were collected by interviews, measurements, and examination of blood samples. Results showed that the practice of engaging in agricultural activity, women in the region were vulnerable to pesticide exposure. The conclusion, there aren’t health problems or serious illnesses experienced by women subjectively, however it has been found 20 women with liver dysfunction.
Breastfeeding Patterns as a Determinant of Fertility in the Province of East Nusa Tenggara, Indonesia
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.v16i2.26136

Abstract

Although the fertility rate in East Nusa Tenggara Province has decreased over the last 10 years, the birth rate is still higher than other provinces in Indonesia. Interestingly, the infertility index for breastfeeding in East Nusa Tenggara Province is the lowest compared to other provinces in Indonesia, which means that women of childbearing age in East Nusa Tenggara Province breastfeed their children with the longest breastfeeding period. Therefore, this study aims to determine the fertility decomposition and characteristics of breastfeeding mothers in East Nusa Tenggara Province in 2017. The data source of this study uses the results of the 2017 Indonesian Demographic and Health Survey (IDHS) using women of childbearing age who have given birth. The analysis used in this study included fertility decomposition analysis and continued with univariable, bivariable, logistic regression analysis. The results of this study indicate that breastfeeding as a proxy for infertility towards fertility in the province of East Nusa Tenggara has an index value (Ci) of 0.72 and after controlling for maternal characteristics variables, age, education and work status of mothers are the factors most related to breastfeeding behavior in East Nusa Tenggara in 2017. Promotion of good breastfeeding techniques and the benefits of breastfeeding needs to be improved in order to improve the quality of life of infants, spacing pregnancies and reduce the incidence of tengkes (stunting).
KARAKTER GIZI REMAJA PUTRI URBAN DAN RURAL DI PROVINSI JAWA TENGAH
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.v11i1.3463

Abstract

Sejak tahun 2010 westernisasi menjadi kiblat remaja dalam berbagai bidang, diantaranya gaya hidup dan perilaku makan baik di daerah urban maupun rural. Penelitian ini bertujuan untuk mengetahui perbedaan karakter gizi pada antara remaja putri urban dan rural. Rancangan cross sectional digunakan untuk mengumpulkan data dalam variabel karakter remaja gizi remaja putri urban dan rural. Lokasi penelitian ini di Kota Semarang dan Kabupaten Sragen. Responden yang diambil dari masing-masing wilayah sejumlah 48 orang. Pengumpulan data dengan wawancara menggunakan kuesioner terstruktur untuk variabel body image, pengetahuan gizi, dan perilaku makan. Instrumen untuk mengetahui status gizi adalah digital scale dan mocrotoise dan dikategorikan berdasarkan kategori Asia. Penelitian dilakukan selama Bulan Agustus dan September 2014. Analisis data menggunakan software SPSS. Uji statistik yang digunakan adalah independent t test dan mann whitney untuk mengetahui perbedaan karakter gizi pada remaja urban dan remaja rural. Hasil penelitian menunjukkan bahwa tidak ada perbedaan pada body image (p=0,28), pengetahuan gizi (p=0,87), dan perilaku makan (p=0,14), sedangkan pada status gizi ada perbedaan (p=0,0001).Since 2010 westernization be the center of a teenager in a her life, including lifestyle and eating behavior in both urban and rural areas. This study aims to determine the difference between the character of nutrition in urban and rural adolescent girls. Cross-sectional design was used to collect data in the variable character teenage girls nutrition urban and rural. The location of this research in Semarang City and Sragen. Respondents were drawn from each region some 48 people. Collecting data by interviews using a structured questionnaire for variable body image, nutrition knowledge and eating behavior. The instrument to determine the nutritional status were a digital scale and mocrotoise. Nutritional status categorized Asian. The study was conducted during the months of August and September 2014. Data were analyzed using SPSS software. The statistical test used was the independent t test and Mann Whitney to determine differences in the character of nutrition in adolescents urban and rural adolescents. The results showed that there was no difference in body image (p = 0.28), nutritional knowledge (p = 0.87), and eating behavior (p = 0.14), whereas this got difference in nutritional status (p = 0, 0001).
Unified Theory of Acceptance and Usage of Technology (UTAUT) Model to Predict Health Information System Adoption
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.v15i1.12376

Abstract

In order to improve the quality and performance of health services, health information systems are one of the most important technologies in health management. This study aims to determine the factors that influence the adoption of nutrition information system by nutrition officers of primary health care by using Unified Theory of Acceptance and Usage of Technology (UTAUT) Model. This research is quantitative research with survey approach, located in 39 primary health care of Banyumas district. Sampling technique using purposive sampling. Respondents are 50 people. The research instrument used questionnaire. Based on regression test results known that factors related to use behaviour is behavioral intention. While the facilitating condition is not related to use behavior. Factors associated with behavioral intention is the performance expectancy, effort expectancy and social influence.
Determinant of Teenage Pregnancies
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.v13i2.7380

Abstract

The number of teenage pregnancies in Banyumas district in 1727 as a pregnant teenager  less than 20 years old and young teenagers maternity by 1382 either through premarital or marital. The research was conducted in 2016 aimed to determine the factors that affect pregnancy young age in Banyumas. This research is a quantitative research with cross sectional approach. The population was all pregnant women under 20 years of pregnancy and childbirth are recorded in the data in Puskesmas Jatilawang, Puskesmas I Cilongok, health center II Donates totaled 614 people. Calculation of the estimated proportion of the sample using the formula obtained 107 samples, taken using simple random sampling technique. The data collection is done by using a questionnaire that advance has been tested questionnaire to meet the validity and reliability of a measuring instrument. Yan data analysis used univariate analysis with descriptive statistics, bivariate analysis using chi square, and multivariate analysis by logistic regression. The results showed the level of education, marital status, knowledge, access to information, health care utilization, the role of the family has no effect on pregnancy young age. Attitudes and access to health information is the most dominant variable affecting the pregnancy young age.
DUKUNGAN KELUARGA, DUKUNGAN PETUGAS KESEHATAN, DAN PERILAKU IBU HIV DALAM PENCEGAHAN PENULARAN HIV/AIDS KE BAYI
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.v11i2.4014

Abstract

AbstrakBerdasarkan faktor risiko penularan, kasus HIV pada ibu rumah tangga menduduki per-ingkat kedua. Penularan melalui perinatal menyumbang 5,1%. Tujuan penelitian ada-lah untuk mengetahui hubungan dukungan keluarga dan dukungan petugas kesehatan dengan perilaku ibu HIV positif dalam upaya pencegahan penularan HIV/AIDS dari ibu ke bayi.Penelitian dilakukan pada tahun 2014 di Provinsi Jawa Tengah dengan menggu-nakan pendekatan cross sectional. Sampel ibu HIV positif sebanyak 32 orang secara total sampling.Hasil analisis univariat didapatkan 65,6% mendapat dukungan dari keluarga, 75% mendapat dukungan dari petugas kesehatan, dan 56,3% memiliki perilaku baik dalam pencegahan penularan HIV/AIDS dari ibu ke bayi. Hasil analisis bivariat dengan menggunakan uji fisher exact didapatkan ada hubungan yang bermakna antara dukung-an petugas kesehatan dengan perilaku ibu HIV positif (p=0,010, OR=17), tidak ada hubungan yang bermakna antara dukungan keluarga dengan perilaku ibu HIV positif dalam upaya pencegahan penularan HIV/AIDS dari ibu ke bayi (p=0,142).Kata kunci : Perilaku ibu HIV, PMTCT, Dukungan keluarga, Dukungan Petugas KesehatanAbstractThe number of women who infected with HIV has increased year by year. Through perinatal transmission contributed 5.1%. This study aims to learn associated of family support and health provider support with the behavior of HIV positive mothers in preventing mother to child transmission of HIV/AIDS. This study was conducted in Central Java Province at 2014. This study was a cross sectional approach. The sample was collected 32 HIV positive mothers with total sampling technique. Univariat analysis result showed that 65,6% receiving family support, 75% receiving health provider support, and 56,3% has good behavior in preventing mother to child transmission of HIV/AIDS. Bivariat analysis used fisher exact showed that there was a relationship between health provider support and HIV positive mothers behavior (p=0,010, OR=17), there was no relationship between family support and HIV positive mothers behavior in preventing mother to child transmission of HIV/AIDS (p=0,142).Keywords :HIV mothers behavior; PMTCT; Family support; Health provider support
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU MENYISAKAN MAKANAN PASIEN DIIT DIABETES MELLITUS
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.v6i2.1762

Abstract

Permasalahan penelitian ini adalah mengetahui faktor-faktor yang menyebabkan pasien diit diabetes mellitus menyisakan makanannya? Tujuannya untuk mengetahui faktor-faktor yang berhubungan dengan perilaku menyisakan  makanan pada pasien penderita diit diabetes mellitus di RSUD Dr. M. Ashari Pemalang. Jenis dan rancangan penelitian yang digunakan adalah penjelasan, dengan menggunakan pendekatan belah lintang. Jumlah sampel penelitian sebanyak 14 pasien. Teknik pemilihan sampel dilakukan dengan cara total. Data dianalisis menggunakan uji fisher dengan tingkat kebermaknaan 0,05. Ins-trumen yang digunakan adalah kuesioner, timbangan makanan dan formulir pengamatan sisa makanan. Hasil penelitian dapat disimpulkan bahwa faktor yang berhubungan dengan sisa makanan diit DM yaitu jadwal makan (nilai p = 0,005), makanan luar RS (nilai p = 0,015), cita rasa makanan (nilai p = 0,005), dan kebiasaan makan (nilai p = 0,003). AbstractProblem in this study was how to identify factors that cause diabetes mellitus patients leaving his food? Purpose of this study was to determine the factors associated with food leaving behavior of patients who received diabetes mellitus in Dr. M. Ashari Pemalang Hospital. The type and design of the study was explanatory, using cross-sectional approach. The number of samples were as many as 14 patients. Sample selection technique was using the total sampling. The data analyzed using fisher test with significance level 0.05. The instruments used were questionnaires, food scales and observation form. In conclusion, the factors associated with DM diet leftovers are meal schedule (p value = 0.005), outside the hospital food (p value = 0.015), the taste of food obtained (p value = 0.005), and eating habits (p value = 0.003).Keywords: Diet of DM; Leftovers; Glouse
PENGETAHUAN, SIKAP DAN AKTIVITAS REMAJA SMA DALAM KESEHATAN REPRODUKSI DI KECAMATAN BULELENG
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.v10i1.3068

Abstract

Berbagai permasalahan remaja banyak disoroti saat ini di Bali, antara lain adalah pergaulan bebas hingga pelecehan seksual yang berkaitan dengan kesehatan reproduksi remaja dimana dampaknya dapat menentukan kualitas hidup remaja. Tujuan penelitian ini adalah untuk mengetahui pengetahuan dan sikap remaja SMA tentang kesehatan reproduksi serta hubungannya dengan aktivitas remaja SMA dalam menjaga kesehatan reproduksi. Penelitian ini menggunakan desain studi analitik observasional dengan pendekatan cross-sectional. Sampel penelitian adalah siswa SMA/SMK yang ada pada wilayah Puskesmas Buleleng yang berjumlah 346 orang. Sampel dalam penelitian ini diambil dengan teknik random sampling, Variabel penelitian diukur menggunakan kuesioner dan analisis hubungan antar variabel menggunakan analisis korelasi bivariate pearson. Hasil penelitian menunjukan bahwa terdapat hubungan yang positif dan signifikan antara variabel pengetahuan dengan sikap remaja SMA (p=0.000; r=0,383), pengetahuan dengan aktivitas remaja SMA (P=0,000; r=0,284) dan sikap dengan aktivitas remaja SMA (p=0,000; r=0,269). Dapat disimpulkan bahwa remaja SMA yang memiliki pengetahuan yang baik akan diikuti dengan sikap yang baik, remaja SMA yang memiliki pengetahuan yang baik akan diikuti dengan aktivitas yang positif dan remaja SMA yang memiliki sikap yang baik akan diikuti juga dengan aktivitas yang positif. There are now a variety of adolescent problems in Bali, such as promiscuity and sexual harassment related to adolescent reproductive health which can determine the impact on the quality of life of teenagers. The purpose of this study was to determine the knowledge and attitudes of high school adolescents about reproductive health and its relationship to high school adolescent activity in maintaining reproductive health. This study used an observa-tional analytic study design with cross-sectional. Samples were students in high school/vo-cational school health centers that exist in the region of Buleleng, amounting to 346 people. The samples in this study were taken with random sampling techniques, research variables were measured using questionnaires and analysis of relationships between variables using Pearson bivariate correlation analysis. The results showed that there is a positive and sig-nificant relationship between the variables of knowledge to high school adolescent attitude (p=0.000; r=0.383), knowledge to the activity of high school adolescents (P=0.000; r=0.284) and attitude to the activity of high school adolescents (p=0,000; r = 0.269). It is concluded that high school teenagers who have a good knowledge will be followed with a good attitude, high school teenager who has a good knowledge will be followed by a positive activities and high school teens who have a good attitude will be followed by a positive activities.

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