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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
Counseling Model Development Based on Analysis of Unwanted Pregnancy Case in Teenagers Nugroho, Efa; Shaluhiyah, Zahroh; Purnami, Cahya Tri; Kristawansari, Kristawansari
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.v13i1.9488

Abstract

Teenegers who experience unwanted pregnancies are increasing. The number of client that access the Unwanted Pregnancy counseling services in IPPA Central Java in the year 2006 (94 clients), 2007 (91 clients), 2008 (95 clients), 2009 (68 clients), 2010 (157 clients), 2011 (98 clients), and 2012 (83 clients). Related to that data, 31% of clients were referred Haid Induction (HI), 3% refer shelter, and 66% continue the pregnancy and there were not identified. This research cunducted in 2014 used quantitative-qualitative approach which aimed to develop a model of counseling after mapping the case. Respondents were 5 Unwaned Prenancy counseling clients selected based on the final decision of counseling. From the research developed counseling model for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices. Services consists of counseling, contraception, safe abortion, treatment of STIs, information center counseling and HIV testing, gynecological, prenatal and postnatal services, as well as the services of victims of gender based violence and sexual abuse.
ANALISIS SITUASI PERMASALAHAN SAMPAH KOTA YOGYAKARTA DAN KEBIJAKAN PENANGGULANGANNYA Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
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.v11i2.3989

Abstract

Kontak langsung dengan sampah dapat berisiko mengalami gangguan kesehatan. Volu-me sampah dipengaruhi oleh jumlah penduduk, aktivitas, dan gaya hidup. Pemerintah daerah memberlakukan berbagai kebijakan untuk mengatasi permasalahan sampah sebagai bentuk tanggung jawab pelayanan publik. Tujuan dari penelitian ini adalah untuk mengetahui permasalahan sampah dan upaya penanganan di Kota Yogyakarta. Metode penelitian adalah deskriptif kualitatif. Teknik pengambilan sampel dengan cara purposive sampling. Informan merupakan stakeholder pengelolaan sampah di Yogyakarta. Data diolah dan disajikan dengan metode explanation building. Sampah di TPA Piyungan tertinggi pada Maret 2014 dan terendah pada Juli 2014. Kota Yogyakarta penyumbang sampah terbanyak di TPA Piyungan, kemudian Kabupaten Sleman dan Bantul. Volume sampah tertinggi pada 2012 dan terus menurun sampai tahun 2014. Semua permasalahan ada dari sisi hilir (masyarakat), proses (pengelola sampah) dan hulu (TPA). Setelah semua diidentifikasi, dibuat suatu kebijakan pengelolaan sampah secara optimal dengan melibatkan semua lintas sektoral dan program-program pemberdayaan oleh stakeholder terkait.Direct contact with the waste can be increasing health problems risk. The volume of waste is affected by population, population activities, and lifestyle. Government enforces many policy in order to address the waste problems. The purpose of this study was to find out the waste problem in the Yogyakarta Municipality and to know the strategy to handling it. Qualiative study was applied in this research. The informant was a delegation of stakeholder regarding waste management, with purposive sampling. Analysis data were performed by using explanantion building using content analysis. The highest number of waste was produced on March 2014 and the lowest on July 2014.. In Yogyakarta municipality,  TPA Piyungan gave biggest waste contribution. . The peak of waste volume was in 2012 and tend to decrease until 2014. All the waste problems started from the downstream (community) , process (government who manage waste) and upstream (TPA). All problem were identified and government made a policy about manage waste that involved all sectoral empowering program by stakeholder on waste management.
Soil Transmitted Helminths Infection in Elementary School Students in Highland and Lowland Areas of Gianyar Regency Nuryanti, Ni Made; Subrata, I Made
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.v13i3.6507

Abstract

Soil-Transmitted Helminths (STH) Infection is a worm infection which is transmitted through soil. STH is still a public health problems around the world, including Indonesia. The tropical climates of Indonesia is a suitable environment for viability of STH. The prevalence of STH in Bali since 2003-2007 reached 40.94%-92.4%. The altitude of an area may affect the rate of STH infection. The rate of STH infection is higher on population in highland area compared to lowland area. This study aimed to identify risk factors of STH infection in elementary school students in highland and lowland area in Gianyar Regency. This study used cross sectional analytic design and was conducted in 2016. The total samples of this study were 104 students which were consisted of 53 students in highland area and 51 students in lowland area. The samples were collected using cluster random sampling technique. The specimens were examined using Kato-katz method. The results showed that the prevalence of STH infection in elementary school students in highland area (28.31%) was higher than in lowland area (1.96%). In lowland area, the risk factor could not be clearly identified because there was only one student with a positive STH infection. Meanwhile, the identified dominants risk factors which influence STH infection in highland area were habit of washing hands using soap (AOR=24.99), fingernails cleanliness (AOR= 13.19) and parents income (AOR=18.83).
Differences in Risk Factor of Cardiovascular Disease Risk on Rural and Urban Population Rosjidi, Cholik Harun; Isro’in, Laily; Wahyuni, Nurul Sri
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.v13i1.4174

Abstract

Cardiovascular disease is a global threat. This study aimed to obtain a description of cardiovascular disease pattern among rural and urban population in Ponorogo. Two locations were chosen to represent rural and urban area through cluster sampling. Cross sectional study design was chosen with a sample size of 350 respondents. The research instrument was adopted from WHO STEPS. Difference in prevalence between the two clusters were analyzed with ?2 test, with ?=0.05. The result showed that the prevalence smoking and alcohol consumption among males were higher in rural than urban population (p= 0.04 and p=0.012 respectively). The prevalence of unhealthy fruit consumption was higher in both sexes from rural population (p =0.025 and p=0.012). Hypertension was higher among rural female compared to female living in urban area (p=0.024).
Building Critical Awareness Through HIV and AIDS Management Policy at Subdistrict and Village Level Rokhmah, Dewi; Khoirun, Khoirun
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.v13i2.7297

Abstract

The number of PLWHA in Jember Regency has been increasing every year from 2004 to 2016 always, hence HIV/AIDS prevention must involve the community, not just relying on programs from the Department of Health or KPAD. Jember Regent’s policy on HIV/AIDS Management Team at Subdistrict and Village Level strategically involve all components of the society. Society’s participation was not limited to physical participation but extended to critical awareness. This is a descriptive analytic study about logical thinking on fostering critical awareness on HIV/AIDS through subdistrict and village HIV/AIDS team regulated by Jember’s Regent. Policy analysis was done through Triangle of Policy Analysis theory which includes: context, content, process and actors. The result showed that Jember Regent’s policy on HIV/AIDS prevention teams at subdistrict and village level was very effective to foster community’s critical awareness in HIV/AIDS preventive programs at Jember Regency.
The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance Anita, Betri; Febriawati, Henni; Yandrizal, Yandrizal
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (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.v12i1.3933

Abstract

The percentages of referrals for the first level health facilities visits are coming from the health center (Puskesmas) with 16.85% at the highest and from the practicing doctors with 12.45% at the lowest. The aim of the research is to examine the efficiency the promotion, preventive and curative care quality improvement. This study used qualitative exploratory design by case study approach. The collection of data was conducted through field observations, document observation and in-depth interviews. TThe informants consisted of 4 Head of Health Center/Puskesmas, 9 cadres of integrated guiding posts (Pos Pembinaan terpadu /Posbindu) for Non-Communicable Diseases (NCDs), 9 cadres of Integrated Service Post (Pos Pelayanan Terpadu/Posyandu), 33 participants of the National Health Insurance and 23 people from community who have not joined the national health insurance scheme. The results show that mini workshops are held every month in preparing activities with a focus on the causes of most diseases in the previous month. Posyandu may reduce morbidity rate on infants and pregnant women, Posbindu for Non-communicable Diseases can prevent and control non-communicable diseases. Quality of service can improve the perception of the quality of the service and can reduce referrals to hospital.
Pemanfaatan Voluntary Counseling and Testing oleh Ibu Rumah Tangga Terinfeksi HIV/AIDS Tasa, Yeni; Ratu Ludji, Ina Debora; Paun, Rafael
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.v11i2.3912

Abstract

Human Immunodeficiency Virus - Acquired Immuno Deficiency Syndrome (HIV-AIDS)  merupakan penyakit menular yang jumlah penderitanya terus bertambah. Ibu rumah tangga merupakan penderita HIV/AIDS terbanyak di Kabupaten Belu. Pemanfaatan Voluntary Counseling and Testing (VCT) yang rendah oleh  orang dengan HIV/AIDS (odha) termasuk ibu rumah tangga terinfeksi HIV/AIDS menyebabkan  penyebaran HIV/AIDS sulit dikendalikan. Tujuan penelitian ini adalah untuk menganalisis hubungan umur, tingkat pendidikan, persepsi tentang penyakit, persepsi tentang pelayanan kesehatan, pekerjaan suami, pendapatan keluarga, keterjangkauan, persepsi keparahan penyakit dan persepsi stigma diri sendiri dengan pemanfaatan VCT oleh ibu rumah tangga terinfeksi HIV di Kabupaten Belu. Jenis penelitian yang digunakan adalah kuantitatif, disain cross sectional. Jumlah sampel adalah 90 orang yang merupakan total populasi. Penelitian dilakukan di Kabupaten Belu pada bulan Januari sampai Juli 2015. Analisa data secara deskriptif dan bivariat. Hasil analisis bivariat dengan uji chisquaremenunjukkan adanya hubungan pendidikan (p=0,040), persepsi tentang penyakit (p=0,0001), persepsi tentang pelayanan kesehatan (p=0,0001), pendapatan keluarga (p=0,016), pekerjaan suami (0,037), keterjangkauan (p=0,038), persepsi keparahan penyakit (p=0,0001) dan persepsi stigma diri sendiri (p=0,0001) dengan pemanfaatan VCT. Persepsi tentang penyakit dan pelayanan kesehatan perlu ditingkatkan dengan memperluas penyebaran informasi tentang penyakit HIV/AIDS dan manfaat VCT.Kata kunci :  HIV/AIDS, ibu rumah tangga,  pemanfaatan VCT
Development Model of Household Contacts as a Peer Support to Decrease the Prevalence of Pulmonary Tuberculosis Suharyo, Suharyo; Mubarokah, Kismi
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.v13i3.10632

Abstract

Tuberculosis is a global threat, caused mortality of 15 million people in 2014. Drug supervisor is the main strategy in patient adherence. Hence, the need for strengthening the strategy testing and counseling patients by a household contact as a peer support in overcoming the disease. Non randomized one-group pretest-posttest design was used. The identification of the characteristics of the household contact person who will be peer support was done through focus group discussions. Seventeen household contacts became a model of peer support that accompanied each individual patient. Differences in results were used the Wilcoxon test. There was a significant increase of knowledge (p value = 0.03), adherence (p value = 0.02), prevention practice of transmission by patients (p value = 0.03), and the prevalence of pulmonary TB was decreased by 41% after peer support intervention. Peer   support model can be used as an alternative to increase the role of drug supervisor.
Salivary Glucose Level Increases Severity ff Periodontal Condition in Patients with Type 2 DM Fatmasari, Diyah; Ramadhani, Yoga Rizki; Ekoningtyas, Endah Aryati; Wiyatini, Tri
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.v13i2.9471

Abstract

Saliva can be used for early detection of Diabetes Mellitus (DM). The purpose of the study was to determine the relationship between salivary glucose level of patients with type 2 DM on periodontal tissue and to compare it with non DM condition. Observational analysis with cross sectional study was the design used with 40 patients in each group as samples. Periodontal conditions were examined using a dental probe and salivary glucose levels with Eppendorf  Ecom 6125 Photometer. The data was analysed statistically with Spearman test to find the relationship between salivary glucose level and periodontal condition and Mann Whitney U Test to compare DM and non DM groups. Cofficient value of Spearman was 0.86, there was a strong correlatiom between salivary glucose level and periodontal condition. Salivary glucose level of DM patients was 8.55 and the control group’s was 1.85 (p=0.02). Higher salivary glucose level would increase severity of periodontal tissue status.
Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency Rejeki, Dwi Sarwani Sri; Nurlaela, Sri; Octaviana, Devi; Kusnanto, Hari; Murhandarwati, Elsa Herdiana
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (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.v12i1.4030

Abstract

Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.

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