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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
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Compliance with the Covid-19 Protocol for Pregnant Women in Pagelaran Parastika Anggun Fauzia; Leersia Yusi Ratnawati; Rina Sutjiati
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.40768

Abstract

The COVID-19 pandemic resulted in more than 30 million deaths in 2020. Pregnant women are a vulnerable group. They tend to be at risk of contracting and experiencing complications that can affect pregnancy and fetal development. This research aims to analyze behavioral factors that influence compliance with the COVID-19 protocol for pregnant women using the health belief model approach in the working area of the Pagelaran Health Center. This research is a cross-sectional study of pregnant women in the Pagelaran health center. The sampling technique used in this study was random sampling and found 107 respondents. The analysis technique used in this study is multiple logistic regression. The research results show a significant influence between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and perceived self-efficacy with compliance. But there is no influence between cues to action on compliance. Variables included in the modeling and proven to influence pregnant women’s adherence to the COVID-19 protocol include perceived severity, perceived benefits, perceived barriers, and perceived self-efficacy, with perceived severity being the most dominant variable. So it is hoped that policy maker will consider more of perceived severity, benefits, barriers, and self-efficacy.
Predictor Factors of Multi-Drug Resistance Tuberculose on the Characteristics of Chest Radiographic Lesions Ana Majdawati; Inayati Habib
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.31728

Abstract

This research aimed to demonstrate some predictors of screening diagnosis of multi-drug-resistant tuberculosis (MDR-TB). Researchers determined several predictors as a screening diagnosis of MDR-TB, based on clinical symptoms, WHO criteria, chest radiographic lesions, and sputum smear microscopy. The method demonstrated a correlation between several factors as predictors of the MDR-TB diagnosis consisting of clinical symptoms, WHO criteria, BTA sputum, and cross-sectional chest radiograph lesions, based on examination of Gene X-pert for suspected MDR-TB. The results demonstrated a significant and positive odds ratio value of the relationship between variables: 1). Clinical symptoms (p:0.000) with the largest percentage of coughing with shortness of breath exhibiting 51.32% and coughing exhibiting 27.9%; 2). WHO criteria are among others, new patients (p:0.000; OR:3); 3). Chest radiographic lesion: consolidation (p: 0.000; OR: 3); pleural thickening (p:0.003; OR:2); Fibrosis (p:0.000; OR:6) with location on the medial right (p:0.000; OR:2) and left inferior (p:0.000; OR:3). The BTA sputum is (p:0.000; OR:8). The predictors for screening the diagnosis of MDR-TB are coughing, and shortness of breath. Other WHO criteria include radiographic lesions, fibrosis, consolidation, pleural thickening with the location of lesions either left inferior or medial right and positive smear sputum results. 
Social Construction of Defecation Behavior in Disadvantaged Villages Edy Agustinus; Resky Nanda Pranaka; Efriani Efriani
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.29422

Abstract

In 2020, the status of the Disadvantaged Village is pinned to Bengawan Ampar Village. The sanitation achievement is only 31% which indicates that defecation behavior in the area needs better direction. This study was conducted from July to December 2020. Informants were determined by purposive sampling. There are 8 informants, 4 have latrines, and the rest do not. They are 29-59 years old. This qualitative research aims to analyze the social construction of defecation behavior in people in disadvantaged villages. By using the analysis of the Miles and Huberman model, the study results confirm that most of the defecation behavior of the people of Bengawan Ampar Village is in the river and yard. The contributing factors include (1) the old habit of defecating in the river or yard; (2) economic conditions; (3) pigs are not penned; (4) limited infrastructure such as water, electricity, and roads; (5) lack of counseling; and (6) limited number of health workers.
Reassuring The Prevalence of Cerebral Palsy in Asian Children and Adolescents Andromeda, Andromeda; Hartini, Nurul; Suryanto, Suryanto
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.37540

Abstract

Cerebral palsy is becoming more common as a cause of developmental disorders in children. Several studies in low-income Asian countries found a higher prevalence of CP than in Europe. However, another study discovered the inverse result. The disparity in the results of these studies emphasizes the importance of the current study in updating the prevalence of CP in Asia. A systematic review and meta-analysis approach has been used in this study by searching for articles on three databases: PubMed, Scopus, and ScienceDirect. Eight articles were chosen through several screening stages and subjected to quality assessment. According to the study's findings, the prevalence of CP in Asia is 2.19 per 1000 children and adolescents (95% CI). Children and adolescents from low-income families have the highest incidence rate, with spastic-CP type being the most common classification.
Impact of PM10 Exposure and Socio-Demographic Aspect With Lung Function Disorders Siti Rachmawati; Iwan Suryadi; Juherah Juherah; Abdur Rivai; Nurlaila Fitriani; Fathoni Firmansyah; Rina Zam Ratun
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42953

Abstract

The concentration of PM2․5 and PM10 particles is a major problem and the primary environmental health risk that causes premature death. This study aims to examine the effect of PM10 exposure and socio-demographic aspects on lung function disorders of bus Terminal workers exposed to traffic emissions. This research used a cross-sectional approach. The population is 96 people, and 50 became samples according to the purposive sampling criteria. The measurement of lung vital capacity is by spirometry. The high-volume air sampler was applied to measure dust concentration, and the questionnaire was used to assess individual characteristics. The independent variables of this research are PM10 concentration, age, smoking behavior, working period, type of work, education, use of masks, and body weight. The dependent variable is impaired lung function. The bivariate analysis showed that exposure to PM10, smoking behavior, years of service, and use of masks were significant for impaired lung function. The result of multivariate analysis of dust is the most relevant to the lung vital capacity. In conclusion, dust concentrations are classified above the Threshold Limit Value (TLV), so government should control the source of dust exposure.
Home Environment and Larva Indices: A Cross-Sectional Study in the Indonesian Transition to Endemic COVID-19 Tri Wahyuni Sukesi; Sulistyawati Sulistyawati; Herman Yuliansyah; Surahma Asti Mulasari; Arfiani Nur Khusna; Fatwa Tentama; Bambang Sudarsono; Fanani Arif Ghozali
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42605

Abstract

This study aimed to assess the association between home environment and larval indices during the COVID-19 pandemic transition. A cross-sectional design was carried out in this study. The population was the houses in two villages of Gamping Sub-District, Sleman, Yogyakarta Province. The sample was calculated by considering the confidence interval value of 95%, the margin error of 5%, and the distribution response of 50%. Accordingly, the minimum sample size was 207 households. The chi-square test was used to analyze the data. The home environment was associated with the value of the container index (CI), indicated by a significant difference p-value of 0.008 with a prevalence ratio of 3.630, which means an unhealthy house will increase the value of the container index by 3.630 times greater. Sanitation of the home environment showed a significant relationship with the value of the container index (CI) with a p-value of 0.019 and a prevalence ratio of 2.625, which means that poor sanitation conditions will increase the value of the container index by 2.625 times. The health of the home environment is associated with the mosquito larvae index. 
Analysis of Risk Factors for Commercial Sex Workers and the Prevalence of the Human Immunodeficiency Virus (HIV) Sajuni Widjaja; Winnie Nirmala Santosa; Dwi Martha Nur Aditya
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.42036

Abstract

Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) are one of the biggest health problems in the 21st century. HIV/AIDS cases continue to soar, one of which is due to the practice of prostitution because commercial sex workers (CSW) are a group at high risk of contracting HIV/AIDS. Dolly, the largest localization at Surabaya, has already been closed by the government to decrease the transmission of HIV. The research method is based on laboratory examination using the Rapid Test Immunochromatography method, with the subject of examination being women who live around Dolly localization. This method has the advantages of fast inspection time (only around 15-30 minutes), is easy to do, do not use special tools, and is quite sensitive. The number of women who were HIV positive was 1.4%, and the numbers who were HIV negative was 98.6%. The association between the risk variables for CSWs and HIV status was then determined using the Spearman correlation test. Statistical analyses revealed a significant relationship between CSW status and HIV prevalence with a significance value of 0.05 (p=0.025; CI=95%). Since the correlation coefficient is positive, a rise in CSWs’ active status can also increase HIV prevalence. 
Physical Activity and Stress Levels on the Eating Behavior of Elementary School Amid the Covid-19 Pandemic Ayu Mutiara Santanu; Syifa Fakhomah Syihab; Muchamad Rizki Sentani; Hurry Mega Insani
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.33347

Abstract

The objective of this study is to analyze the relationship between physical activity and stress levels on the eating behavior of elementary school-aged children amid the Covid-19 pandemic in Garuda Village, Bandung, West Java. A cross-sectional research design was used in this study. We recruited 173 elementary school children in Garuda Village, Bandung, West Java. Research data were collected by questionnaire. Study measures included a general information survey, anthropometric measurements, a Perceived Stress Scale (PSS), an International Physical Activity Questionnaire (IPAQ), and Food Frequency Questionnaire (FFQ). Univariate, bivariate, and multivariate analyses were used. The result showed children’s nutrition intake is associated with the education of fathers and mothers. Students with mild stress levels showed a good eating pattern (55.8%) and students with moderate stress levels had a poor diet (54.2%). There was a relationship between physical activity and the diet of elementary school students (p-value = 0.049) (p 0.05) and students with sedentary physical activity have an opportunity of 2.289 times to have an adequate diet. Gender, father’s education, mother’s education, father’s occupation, mother’s occupation, income, and perception of stress were not related to the student’s diet (p-value 0.05). 
Outpatient Service Business Development in an Effort to Reduce Service Time Nila Novita; Alita Dewi Percunda; Djazuly Chalidyanto
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.41120

Abstract

Hospital service quality should be developed based on customer needs and satisfaction. Long service time at Bhayangkara Kediri Hospital Outpatient Unit (267,62 ± 136,41 min) becomes a problem for management. The process is an asset for an organization, especially the core process should be well managed. Business process management has been viewed as an effective concept to improve processes continuously. It is an operational research combining document review, stakeholder interview, focused group discussion, quantitative and qualitative process analyze, prioritization, and root cause analysis to give process redesign recommendations. There are five core processes in the outpatient unit, and we focus our research on the dispensing process in pharmacy. Then we made a process model based on evidence and interview-based discovery. The cycle time efficiency of the prescription analysis process was the worst with a value of 0.31. With non-value activities reach to 40% of all activities with the waste are over processing, waiting, and transportation. The selected problem was the disposition of prescriptions to the dispensing unit as waste. Based on the root cause analysis, we suggest two recommendations. For the short-term redesign, we support the use of a basket to transport the prescription embedded in the operational procedures. And for the long-term redesign, we suggest the implementation of electronic prescribing. These redesigns are assumed to reduce waiting time by 2.5 – 16.2 % of service time. 
Meta-Analysis and Systematic Review: Risk Factors of Measles Incidence in Indonesia (2012 – 2021) Fairuz Haniyah Ramadhani; R Azizah; Juliana Jalaludin; Santi Martini; Lilis Sulistyorini
Jurnal Kesehatan Masyarakat Vol 19, No 1 (2023)
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.v19i1.43060

Abstract

Measles is a highly contagious disease caused by the morbillivirus. According to WHO data, measles is one of the worldwide leading causes of death in children and infants. Indonesia is one of the ten countries with the most significant measles cases worldwide. Cases in Indonesia have increased due to a decrease in immunization coverage in Indonesia during the pandemic.  Besides low immunization coverage, other factors that influence the incidence of measles in Indonesia are nutritional status, mother’s knowledge, and occupancy density. This study aims to analyze the risk factors of immunization status, nutritional status, Mother’s knowledge, and occupancy density for measles in Indonesia.  This study used a meta-analysis method. The data sources used are Google Scholar, Pubmed, and Science Direct, from 2012-2021. The research articles found in this study are 148 articles. The report is then selected by screening to choose the year and research method and continued selection using inclusion criteria. Thus, the articles analyzed in this article are 23 research articles. The results showed that the variable immunization status, nutritional status, Mother knowledge, and occupancy density have risk factors for the incidence of measles in Indonesia. The result of measuring the pooled OR value sequentially from immunization status, nutritional status, mother’s knowledge, and occupancy density is e1.26=3.53; e0.72= 2.05; e1.36= 3.82;  e1.34= 3.89. The variable with the highest risk factor value for measles incidence in Indonesia is the occupancy density, followed by the Mother’s knowledge; immunization status; and nutritional status.

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