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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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Integration of Minimum Initial Service Package for Reproductive Health in the Sister Village Program Hermawan, Dwi Yunanto; Widyaningrum, Heny; Lee, Sook Foong; Indarjo, Sofwan; Nugroho, Efa; Raharjo, Bambang Budi; Nisa, Alfiana Ainun; Ediyarsari, Puput; Wahyono, Bambang; Isniyati, Heni; Wasono, Edi; Prihatno, Bayu Eko; Rozali, Agus
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.43465

Abstract

Indonesia’s high Disaster Risk Index (DRI) encourages the government to pay extra attention to disaster management efforts. MISP must be available in health crises because the need for reproductive health services remains and increases during the disaster response period because 4% of the affected people are pregnant women, and 75% are women, adolescent girls, and children. Integrating MISP into the Sister Village program is very important as an effort to reduce the impact of disasters on reproductive health due to the disruption of health services. This research was carried out in 2022 to explore opportunities and obstacles to integrating MISP in the sibling village program. The research uses a qualitative design with a phenomenological approach. Data collection used Focus Group Discussion techniques with 10 informants who were stakeholders related to the research topic. The research results show that in the integration of MISP and the Sister Village program, the role of each stakeholder is very important to achieve program objectives. Cooperation and coordination between stakeholders is the key to success. The integration of MISP in the Sister Village program can increase community participation in reproductive health services, strengthen the relationship between the health sector and the development sector, and improve public awareness of the importance of reproductive health. Limited accessibility and infrastructure in remote villages, stigma and cultural problems in village communities, lack of support and attention from the government and related parties, as well as security and conflict problems in several areas are obstacles to the integration of this program. High Disaster Risk Index (DRI) Indonesia encourages the government to pay extra attention to disaster management efforts. MISP must be available in health crises because the need for reproductive health services remains and increases during the disaster response period because 4% of the affected people are pregnant women, and 75% are women, adolescent girls, and children. Integrating MISP into the Sister Village program is very important as an effort to reduce the impact of disasters on reproductive health due to the disruption of health services. This research was carried out in 2022 to explore opportunities and obstacles to integrating MISP in the sibling village program. It uses a qualitative design with a phenomenological approach. Data collection used Focus Group Discussion techniques with 10 informants who were stakeholders related to the research topic. The research results show that in the integration of MISP and the Sister Village program, the role of each stakeholder is very important to achieve program objectives. Cooperation and coordination between stakeholders is the key to the success of the program. The integration of MISP in the Sister Village program can increase community participation in reproductive health services, strengthen the relationship between the health sector and the development sector, and improve public awareness of the importance of reproductive health. Limited accessibility and infrastructure in remote villages, stigma and cultural problems in village communities, lack of support and attention from the government and related parties, as well as security problems and conflicts in several areas, are obstacles to the integration of this program.
A Nurse’s Performance, Personality, and Situation Awareness in Fall Risk Prevention Arindani, Farichah Septiana; Mustikawati, Bernadetta Indah; Chalidyanto, Djazuly
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.44395

Abstract

One indicator of a nurse’s performance evaluation regarding implementing patient safety programs in hospitals is the risk of a patient falling. An audit of fall risk prevention at Siloam Hospitals in Surabaya was used to evaluate nurses’ performance in preventing patient falls. The impact of personality and situation awareness characteristics on the nurse’s output performance in preventing fall risk was examined. A cross-sectional research design was used in the observational analytic research method. Forty-five nurses made up the total sample. The EPPS and SEAFAP questionnaire were the instruments used in the data analysis, which applied the linear regression test. The following personal characteristics have a p-value of 0.05 or less: Order (p-value 0.016), Autonomy (p-value 0.019), Affiliate (p-value 0.012), Succorance (p-value 0.012), and Nurturance (p-value 0.009). With a p-value of 0.040, situation awareness impacts output performance. Both overall personality and situation awareness have a p-value of 0.006 and influence output performance, respectively. Situation awareness and personality-based needs have an impact on output performance. To provide specific solutions to improve the probability of patients falling, the recommendations for enhancing the fall risk prevention programs can be carried out through discussion and interviews.
Design of a Proning Mattress to Increase Oxygen Saturation in Patients with Respiratory Problems Rosida, Luluk; Fitriahadi, Enny; Ariyanto, Andry; Fajarini, Nurbita; Nursanti, Widya
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.44416

Abstract

Posisi pronasi yang tepat terbukti dapat meningkatkan saturasi oksigen pada pasien dengan gangguan pernafasan, namun demikian masih muncul banyak kebingungan dikarenakan pengaturan posisi pronasi hanya dianjurkan dengan menggunakan penyangga bantal di beberapa titik tubuh pasien. Perbedaan ukuran bantal sangat dimungkinkan terjadi pada setiap pengaturan posisi di tempat yang berbeda, sehingga diperlukan alat pengatur posisi pronasi yang sudah presisi, aman, nyaman dan dapat langsung digunakan oleh pasien dengan keluhan sesak nafas. Tujuan dari penelitian ini adalah membuat dan mengembangkan prototipe “marning” (matras proning)  untuk mempermudah melakukan posisi pronasi  dalam upaya  meningkatkan saturasi Oksigen pada pasien dengan  keluhan sesak nafas.  Metode penelitian dilakukan dengan membuat Matras proning yang  didesain dengan mempertimbangkan bentuk anatomi dan ergonomi tubuh, sehingga sudah sangat presisi dalam meningkatkan saturasi oksigen. Uji presisi dan ergonomi tubuh untuk pembuatan dan penentuan ukuran  matras  dilakukan melalui  pengukuran terhadap 20 responden  dengan berbagai macam postur baik laki laki maupun perempuan. Pengukuran dilakukan  di laboratorium klinik fisioterapi. Setelah itu hasil prototipe matras diuji efektifitasnya pada pasien sesak nafas untuk melihat peningkatan saturasi oksigen sebelum dan sesudah menggunakan matras proning. Uji efektifitas dilakukan di Poli Infeksi Puskesmas pathuk 1 Gunungkidul Yogyakarta sebagai mitra pada penelitian ini.  Model teknologi ini sudah berhasil dibuat prototipenya dan telah diujicobakan pada 8 responden dengan keluhan sesak nafas, hasilnya terjadi peningkatan saturasi oksigen pada 80% pasien dengan keluhan sesak nafas  (saturasi dibawah 95%). Matras ini didesain untuk menggantikan penggunaan bantal pada pengaturan posisi proning yang umum. Desain marning yang mempertimbangkan bentuk anatomi dan ergonomi tubuh menghasilkan ukuran yang presisi sehingga mencegah bantal bergeser. Inovasi ini memungkinkan pasien melakukan posisi proning yang tepat, nyaman dan juga sangat efektif dan efisien karena dapat langsung digunakan secara mandiri, namun demikian alat yang dikembangkan perlu penyempurnaan pada riset berikutnya, untuk mendapatkan alat yang lebih ringan sehingga mudah untuk dipindahkan dan dibawa kemana saja.
Effects of Smartphone Use on Sleep Quality, Depression, Anxiety, and Academic Achievement Megawati, Eka Roina; Wijaya, Fransiska Oktavia
Jurnal Kesehatan Masyarakat Vol 19, No 2 (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.v19i2.33060

Abstract

Smartphones are popular devices that can process a lot of information than standard cell phones.  The easier access to the internet due to the increased of smartphone technology is followed by the increase of the prevalence of smartphone users. There are several adverse effects due to the smartphone use such as physiological, psychological, social, and emotional disturbances. These adverse effects depend on the duration and frequency of smartphone use. The aim of this study was to determine the effect of smartphone use on sleep quality, depression, anxiety, and academic achievement on students. This is an observational analytic study with a cross-sectional design. The subjects of this study were 100 students that were given questionnaire about smartphone use with Smartphone Addiction Scale-Short Version (SAS-SV), sleep quality with Pittsburgh Sleep Quality Index, depression anxiety using DASS21, and academic achievement. The data was analyzed by using Spearman rho analysis. This study found significant relationship of smartphone use to sleep quality, depression anxiety with p value 0.027 and 0.001 respectively, but there was no significant relationship of smartphone use and academic achievement (p value = 0.182).
Portrait of Periodontal Disease Risk Factors among Adults Prihastuti, Rieski; Pramono, Dibyo
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.46612

Abstract

Periodontal disease is still a common oral disease all over the world. The yearly report from the Wonosobo District Health Office revealed that 17,807 out of 780,667 people had dental problems, with 5,422 of them having periodontal disease. This number was higher compared to the national number in Central Java Province. The aim of the study was to identify periodontal disease risk factors. Cross-sectional study was conducted using subjects aged 20-50 years old and resided in Wonosobo District. Data were analyzed using chi-square and logistic regression. A total of 440 subjects were included in the study. Independent variables consisted of demographic and oral condition namely sex, age group, education level, economic status, smoking, salivary flow rate, plaque accumulation, crowded tooth, and oral hygiene. The result of the study indicated that higher education level (OR 2.09; 95% CI 1.266-3.463) and lower plaque accumulation (OR 3.61; 95% CI 2.310-5.640) were found to be significant risk factors, whereas uncrowded teeth (OR 0.54; 95% CI 0.342-0.852) and good oral hygiene (OR 0.07; 95% CI 0.036-0.152) and fair oral hygiene (OR 0.28; 95% CI 0.142-0.572) were found to be significant protective factor for the occurrence of periodontal disease among adults in Wonosobo District.
Mapping the Sociocultural Implication on Tuberculosis Management and Control Programs: A Scoping Review Handayani, Sri; Shaluhiyah, Zahroh; Widjanarko, Bagus; Susanto, Henry Setyawan; Agushybana, Farid
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.46504

Abstract

The effectiveness of tuberculosis (TB) management and control programs is influenced by several factors, including sociocultural problems that affect delays in diagnosis and treatment and increased transmission risk in the community. How people viewed diseases and seeking behavior was socially constructed. The scoping review aims to understand the extent and type of evidence about the sociocultural implications of TB management and control programs. To address the research questions, a scoping review was conducted following PRISMA ScR as a guideline. Articles were searched in PubMed, Scopus, Science Direct, and Google Scholar databases. Searches were conducted in October 2022. The CASP checklist was used to measure the article's quality before being reviewed. A total of 15 articles were included, nine (9) studies conducted in Africa, two (2) studies in Papua New Guinea, one (1) study in India, one (1) study in Brazil, one (1) study in Yemen, and one (1) study in Nepal. Most studies were based on individual interviews (7), and three (3) studies included traditional/faith healer perspectives. Three main themes have been identified; sociocultural factors affected TB prevention, sociocultural factors affected TB-seeking behavior, and sociocultural factors affected treatment adherence. The review discovered that community practices, norms, and attitudes regarding perceived sickness impact TB care and control. To be effective and meaningful for the target population, the intervention must be attentive to cultural differences. 
Mastitis Pain in Postpartum Mothers Using Plumeria Rubra L Ointment Zakaria, Rabia; Astuti, Siti Choirul Dwi; Agustini, Rahma Dewi; Damiti, Sukmawati A.; Mashar, Harlyanti Muthmai’nnah
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.45857

Abstract

Treatment of mastitis is usually carried out pharmacologically by giving antibiotics, but the content of antibiotics can enter breast milk, so an alternative solution is needed for the problem of using herbal plants. Plumeria rubra L is processed into an ointment so that it is easy to use. The aim of this study was to determine the intensity of postoartum maternal mastitis pain in the use of 5% Plumeria rubra L ointment. The research design is true experiment pre post test control group design. Respondents were divided into 2 groups, namely intervention and control totaling 32 people. The intervention was given by 5% Plumeria rubra L ointment applied to the breasts of postpartum mothers who were given twice a day in the morning and evening for seven days with a size of 5 grams for each using. The result is the intensity of postpartum mastitis pain in the previous control group, most of the percentage was severe pain as much as 66.7% and after most of the presentations, namely moderate pain as much as 60.0%. The intensity of mastitis pain for postpartum mothers before using red frangipani ointment is mostly the percentage, namely severe pain 73.3% and the intensity of mastitis pain for postpartum mothers after using red frangipani ointment, most of the percentages are moderate pain 53.3%. The conclusion obtained is a p value of 0.004 which indicates a significant difference. To reduce mastitis pain, postpartum mothers can use red frangipani ointment for 7 days.
The Exploratory Study on Antecedents of Online Medical Consultation Continuous Usage Intention Larasati, Andini; Antonio, Ferdi; Wuisan, Dewi
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.44138

Abstract

The purpose of this study is to find and analyze factors that can affect Intention to Recommend in online medical consultation field. The research model is adapted from a previous study and then modified. Data were collected from women that are 17 years old and who have ever used the online medical consultation application, Halodoc. The research’s method is a quantitative survey, with cross-sectional data. Respondents’ data were taken by purposive sampling and questionnaires were distributed online. As many as 202 participants have fulfilled the requirements to be analyzed with PLS-SEM. The results showed that five antecedents had a significant influence on Intention to Recommend. Antecedents that were worth noting were Helpfulness Trust, Perceived Benefit, and Reliability Trust, where these factors show a positive impact on Intention to Recommend. Factors that could potentially influence users not using online medical consultation applications were also found, such as Performance Risk and Privacy Risk. From the findings of this study, it can be concluded that there are factors that may need to be considered by online medical consultation service providers to maintain or even to better their quality of care. 
The Economic Evaluation of Rare Disease Medicines Skarayadi, Oskar; Untari, Eka Kartika; Octaviani, Peppy; Larasati, Niken
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.41661

Abstract

Economic evaluation of rare diseases and orphan drugs has gained prominence among scientists, managers, and the general public. This challenging problem requires evaluation and analysis from a variety of perspectives. Economic assessment of technologies can support decision-making and resource allocation. The research objective describes and discusses several important issues when addressing economic evaluation in rare diseases and orphan drugs. The method used in this article review is to search the Pubmed, Scopus, and ScienceDirect databases using specific keywords for research articles published in English between 2016 and 2021. We found 537 studies that economically evaluated the cost of treating rare diseases. The selected studies met the eligibility criteria that had been established. To assess the quality of the selected papers, we used a 10-point checklist derived from Drummond's criteria for economic evaluation. Seven papers were reviewed from the initial 20 articles that met the eligibility criteria, and 537 records were initially found across the three databases. The quality of the selected papers ranged from 70% to 100% in meeting Drummond's 10-point checklist. The conclusion of this research is to consistently and continuously identify cost-effective and cost-saving solutions that may help achieve good clinical outcomes and reduce the burden of disease. Future research should focus on the clinical implementation of interventions along with accompanying economic evaluations.
Stunting and Head Circumference Growth in The First 3 Years of Life Priyantini, Sri; Nuha, Mohamad; Purnasari, Perez; Masyhudi, AA
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.40698

Abstract

The prevalence of stunting in Indonesia still exceeds WHO recommended standards. Stunting increases the risk of inhibition of brain growth. Head circumference is one of the parameters of brain growth. The study aimed to prove the mean head circumference growth difference between the stunted and non-stunted groups in the first 3 years of life. Another goal was to prove the relationship between zinc intake and zinc levels in toddlers on head circumference. The cohort study involved 50 subjects who were observed from birth to the age of 3 years and were born at Sultan Agung Islamic Hospital and Bangetayu Health Center Semarang City. The mean head circumference growth in the stunting group was lower than in the non-stunting group (4.1 v.s 4.6), p=0.043. The mean head circumference of stunted toddlers was smaller than that of non-stunted toddlers (44.9 vs. 47.2 ), p=0.000. There was no relationship between daily zinc intake and zinc levels of toddlers with stunting, p0.05. The growth of the head circumference of stunted toddlers was lower than in the non-stunted group, as well as the head circumference was smaller than in the non-stunted group. 

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