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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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Effect of COVID-19 PPKM on BMI, Glucose Levels, and HbA1c in Patients DM Type 2 di Demak Regency Kamisih, Kamisih; Azam, Mahalul; Yuniastuti, Ari
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.37382

Abstract

Implementing COVID-19 Community Activity Restrictions (Pemberlakuan Pembatasan Kegiatan Masyarakat/PPKM) affects community activities, including type-2 Diabetes mellitus patients in Demak Regency. BMI and HbA1c are risk factors for increased blood glucose levels of DM type 2. This research aims to determine the impact of corvid-19 PPKM against BMI, Glucose Levels, and HbA1c in Type 2 DM Patients in Demak Regency. This study used secondary data from the Chronic Disease Management Program (PROLANIS) in three health centers (Pusat Kesehatan Masyarakat/Puskesmas) in Demak Regency. Which was grouped into measurements before PPKM (October 2019 and February 2020), the PPKM period (August 2021), and the end of PPKM (March 2022). The complete variables were incorporated into the final analysis. A total of 164 respondents were spread across in Wonosalam 1 (n=64), Bonang 2 (n=49), and Wedung 1 (n=51).  The results of the Analysis of Friedman and the Wilcoxon post hoc showed that there was an influence of COVID-19 PPKM on Glucose Levels (p= 0.000) and HbA1c (p = 0.000). There was no influence on BMI (p = 0.108) in Dm Type 2 patients in Demak Regency, meaning on the variable levels of FBS and HbA1c, there are at least two different measurements in October 2019, February 2020, August 2021, and March 2022 measurements.  Special attention is needed in DM patients to control changes in BMI, Glucose levels, and HbA1c during the implementation of COVID-19 PPKM.
The Extraction of Zingiber Officinale Rosc as a Natural Insecticide for Aedes Aegypti Larvae Boekoesoe, Lintje; Ahmad, Zul Fikar
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.37638

Abstract

Dengue fever is a health problem in Indonesia, including in Gorontalo Province, with an incidence rate of 101.53 per 100,000 population. One of the efforts to prevent the incidence of dengue fever is the use of natural insecticides, including red ginger. This study aims to assess the effectiveness of red ginger juice on the mortality of Aedes aegypti mosquito larvae. This research took place at the Laboratory of the Department of Public Health, the State University of Gorontalo, in 2021 using a True Experiment design. The mosquito larvae samples used were 500 larvae of Aedes aegypti instar IV mosquitoes taken from endemic areas of dengue fever in Gorontalo. Data were analyzed using the One Way ANOVA statistical test. Red ginger extract was given in five concentrations, namely 60%, 70%, 80%, 90%, and 100%. The results showed an effect of red ginger extract on the mortality of Aedes aegypti mosquito larvae at each treatment concentration given (p-Value = 0.000). The higher the concentration level given, the higher the larval mortality rate will also be. Red ginger is expected to be used by the community to prevent dengue fever.
Patient Satisfaction Improvement by Comprehensive Holistic Services at Public Health Centre X Surabaya Wartiningsih, Minarni; Silitonga, Hanna Tabita Hasianna; Ritunga, Imelda; Prayogo, Michelle Christina; Wijaya, Evelyn Danielle
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.31555

Abstract

Comprehensive holistic health services are a form of improving the quality of health services by measuring IKM. The result of a survey by BPJS Kesehatan is that the IKM has not reached targeted satisfaction in 2016 and 2017. Public Health Center X has an index value that exceeds the existing IKM target, but the index value is lower than the index value in 2016. This study will analyze the decrease in the satisfaction index of BPJS participants towards First-Level Healthcare Facilities (FKTP). Then the low satisfaction index of BPJS participants getting their treatments in Public Health Center X. The study aims to understand the relationship between comprehensive holistic service and the satisfaction of outpatients at Public Health Center X. The research was an analytical observational study with a cross-sectional design. The samples obtained in this study were 242 respondents. The data were next processed using the PLS-SEM application. The results show that comprehensive holistic services affect satisfaction (t=7.983). The holistic service affects loyalty (t=6.112). The customer value affects satisfaction (t=2.155) and loyalty (t=3.527). Satisfaction affects loyalty (t=4.488). This research concludes that comprehensive holistic service and customer value affect satisfaction and loyalty. In addition, satisfaction has a direct effect on loyalty.
Effect of Population Density and Altitude on COVID-19 : A Spatial Pattern Cahyati, Widya Hary; Purwoko, Sidiq; Farida, Eko; Khairunnisa, Marizka; Asturiningtyas, Ika Puspita; Ashar, Hadi; Puspitasari, Candra
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.37327

Abstract

The Covid-19 pandemic that has been going on since March 2020 has spread rapidly, with high mortality In Indonesia. Central Java, Covid-19 remains a disease with a Case Fatality Rate (CFR) of 4.4% and is above Indonesia’s CFR of 3.0%. In Magelang itself,  positive cases of Covid-19 in 2020 reached 4418 and were among the top 3 cases in Central Java Province. This study’s purpose was to spatially describe the distribution of new cases of Covid-19 in terms of population density and elevation of the sub-district area in Magelang. The type of research is descriptive quantitative with ecological studies using a spatial approach. The results showed that the distribution of new cases of Covid-19 has a unique pattern in mapping based on population density and altitude. Some of the new distribution cases showed a distribution pattern following the regional elevation and almost entirely following the pattern of population density. The increase of Covid-19 tends to be higher in areas with high-density populations and low-altitude regions. This study concludes that the distribution pattern of new Covid-19 cases is influenced by population density and the area’s height during the peak period of new Covid-19 cases in 2020 at Magelang.
Provision of Media Booklets on Increase Knowledge of Junior School Children Nusra, ST. Austa; Sudana, I Made; Raharjo, Bambang Budi
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.37494

Abstract

The Indonesian government has implemented policies to improve the quality of human resources, namely efforts to improve community nutrition. But the implementation has not been optimal, and there are various problems with eating behavior, clean and healthy living behavior, and disease. A Quasi-experimental design with correlational design. The sampling technique was purposive, proportional, and random sampling with 100 samples. This research took time in June-July 2022. Univariate describes the characteristics of the subject. Bivariate on two variables related or correlated. Based on the Spearman correlation test, the p-value of work (0.634) with a value of (ρ) 0.048, education (0.085) with (ρ) -0.173, infrastructure (0.518) with a value of (ρ) 0.065, school support (0.127) with a value of (ρ) 0.062, parental support (0.010) with (ρ) 0.255 and peer support (0.005) with (ρ) -0.034. Predisposing factors on the variables of work and education through booklet media on knowledge of anemia prevention 0.005. Enabling factors through booklet media on knowledge of anemia prevention were not significantly related to p-value 0.005. The reinforcing factor on the variables of school support and peer support through booklet media on knowledge of anemia prevention, was not significantly related to a p-value of 0.005, but the parental support variable had a significant relationship p-value of 0.005.
Receiving COVID-19 Messages on Social Media to the People of Semarang City Desty, Rani Tiara; Arumsari, Wahyuni
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.33132

Abstract

During the COVID-19 pandemic, social media has become one of the ways to convey information quickly with internet technology. Of the many uses of social media in obtaining information about COVID-19. Of course, not all are accurate. There are many hoaxes or fake news, while on the other hand, the news happened according to the facts. Confirmed cases found in Semarang City were 88,014 cases with a death toll of 4,460 people. This study aims to find out how to receive information about COVID-19 on social media in the community of Semarang City. This study uses an analytic observational study with a cross-sectional design conducted in June-July 2021. The research sample is Semarang residents who have social media with an age range of 15-65 years. The results showed that 68% of respondents believed in information related to COVID-19 on social media. 80% can distinguish hoaxes from true information related to COVID-19 from social media. 71% of respondents confirmed the truth of the news obtained about COVID-19 from Social media. Some respondents believe in the information on social media WhatsApp, Instagram, Facebook, Youtube, Twitter, and Telegram. So growing digital literacy skills are expected to help the government overcome the issue of corona hoaxes and vaccines that are still emerging. The improved critical way of thinking is expected to be the countermeasure. 
Effect of Modisco-Cookies Combined with Auriculopuncture therapy on Increment of Body Weight Latifah, Maasyitoh Sari; Puruhito, Edith Frederika; Budhy, Theresia Indah; Azis, Zulfikran Moh Rizki
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.33052

Abstract

Being underweight is a common problem in developing countries, including Indonesia, that may cause infections, including viral ones. The solution to this problem is to provide Modisco cookies and auriculopuncture therapy with seed-pressing methods. Auriculopuncture is a traditional Chinese therapy using the seed-pressing method at the auricular point stimulating to relieve other body pathologies. While Modisco cookies have energy-dense, high- calories, digestible cookies that aim to help accelerate weight gain. This study aims to determine the effect of Modisco cookies compared to a combination of Modisco cookies with auriculopuncture on the increase of body weight among male adolescents. This study observed 22 male teenagers with low body weight for three weeks. The subjects are categorized into two treatment groups: (1) the Modisco cookies group and (2) the combination of Modisco cookies and the auriculopuncture treatment group every day for three weeks (26 days). This study compared the mean of the pretest and posttest of the weight changes using a T-test. Furthermore, the average weight changes between the two groups were compared using Manova repeated measured test. The Modisco cookies have nutrient-dense and easy to digest, while Auriculopuncture may stimulate to a certain point in the ear. The hypothalamus has a role in the production of the ghrelin hormone. The therapy may increase hormone appetite and reduce the use of fat reserves. It may increase the body weight of underweight adolescents significantly (p=0.00). A combination of Modisco cookies and auriculopuncture therapy gave a significant increase in adolescent body weight compared to modisco cookies.
Spatial Distribution of Drug-Resistant Tuberculosisin Makassar City, South Sulawesi Province, Indonesia Zainuddin, Andi Alfian; Soma, Andang Suryana; Kasim, Muhammad Firdaus; Ramadany, Sri; Djaharuddin, Irawati
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.36436

Abstract

This study aims to determine the domicile distribution, find out the high-risk areas, and determine the risk of drug-resistant tuberculosis patients based on patient location in 15 districts of Makassar City from Tuberculosis register data of South Sulawesi Provincial Health Office in December 2017 – April 2019 period. Gen Xpert rapid or drug sensitivity examinations were used to define drug-resistant tuberculosis. The domicile location of patients was geocoded by maps in Google Earth and aggregated per area by using Kernel Density analysis using ArcView GIS 10.3 software. We found that drug-resistant tuberculosis cases tended to be clustered in the western part of Makassar City, an area with a fairly high population density. There were areas with the highest concentration of predicted cases as a high risk of transmission of drug-resistant TB, around the Bontoala District, Makassar District, and Mamajang District. Healthcare facilities located in hot spots area need to be equipped with molecular rapid test facilities and conduct drug sensitivity tests for all suspected tuberculosis patients. Further research needs to be carried out to determine the distribution of tuberculosis patients who are sensitive and resistant to drugs.
Analysis of Basic Environmental Health Facilities Associated with Risk Factors of Diarrhea Among Toddlers Maliga, Iga; Rafi'ah, Rafi'ah; Lestari, Ana; Hasifah, Herni; Sholihah, Nur Arifatus
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.35376

Abstract

Diarrheal disease in young children (toddlers) seems increasingly common in tropical countries, especially in dirty and dense urban areas. Diarrhea can last several days and cause the body to lose the fluids needed for survival. This study aimed to determine the sanitation factors that influence the incidence of diarrhea. Methods: This study used a case-control design involving 100 respondents. All respondents were divided into two groups: the case class (toddlers who had diarrhea) and the control class (toddlers who did not experience diarrhea). Results and Discussion: This showed that four sub-variables of sanitation (waste, drainage conditions, domestic wastewater management, and water source safety) had a significant relationship with the incidence of diarrhea (p-value 0.05). Domestic wastewater was the most influencing factor and securing clean water and drinking water sources, with a Nagelkerke R Square value of 0.952. There was an indication that the independent variable (sanitation) affected the dependent variable (diarrhea incidence) by 95.2%. Conclusion: The sub-variable of domestic wastewater management and the sub-variable of the safety of clean water and drinking water sources were the most affecting the incidence of diarrhea. The clean water source factor was 12 times riskier. It means children who did not get it will have 12 times the risk of getting diarrhea. Meanwhile, in the aspect of domestic wastewater management, children who did not meet the requirements for domestic wastewater have a risk of 8.13 times the incidence of diarrhea.
Implementation of Learning from Home as a Determinant of Social Development Problems for Preschool Children Anggorowati, Lindra; Desty, Rani Tiara; Fauzi, Lukman; Yuliyana, Al Dina
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2022)
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.v18i2.32960

Abstract

Background: Learning From Home (BDR) policy since 2019 in controlling the transmission of Covid-19 in Indonesia is suspected to be able to cause children to be limited in getting stimulation for partnerships that should be built between parents, the community, and teachers. Forty percent of preschoolers are prone to social development problems. Researchers intend to know the implementation of BDR as a determinant of social development problems of preschool-age children (5-6 years). Methods: The study design of this research was analytically observational with a cross-sectional approach. The variables include the implementation of BDR, the mother’s education, the child’s gender, the child’s nutritional status, and the child’s social development. The instrument used is Denver II. The sampling method used a simple random sampling technique with as many as 113 samples. Data analysis was performed in a bivariable manner, with a chi-square test. Results: This study showed that the implementation of BDR was related to the problem of children’s social development (p-value = 0.012, OR = 1.639, 95% CI = 1.16-2.31). Mother’s education is related to children’s social development problems (p-value = 0.045, OR = 2.227, 95% CI = 1.93-5.3). Conclusion: Online BDR is a determinant of social development problems aged 5-6 years. The community and government need to anticipate problems that can occur through early detection of developments so that they can be overcome as early as possible. Parents should be involved in online BDR assistance to manage screen duration following safety standards for health.

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