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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
Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency Kusumawati, Erna; Rahardjo, Setiyowati; Sistiarani, Colti
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.v12i2.4990

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
Evaluation of Administrative Service Quality Towards JKN Patient Satisfaction Indarwati, Molina; Phuoc, Phan Thien
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.v14i1.14915

Abstract

Based on BPJS Kesehatan data, there was a decrease in Participant Satisfaction Index by 0.3% in 2016. The number of outpatient visits in RSUD KRT. Setjonegoro Wonosobo has decreased in 2016. Based on preliminary study, there were problems mainly related to health services provided by RSUD KRT. Setjonegoro Wonosobo. The purpose of this study was to determine how the quality of administrative services affect the satisfaction of JKN patients. This research used qualitative research methods. Data collection was conducted using observation and interview techniques. The results showed that the quality of administrative services in RSUD KRT. Setjonegoro seen from the dimensions of tangibles, reliability, responsiveness, assurance, and empathy is good. All the main informants were satisfied enough with the health services provided by the hospital. The advice given was to improve the performance in by conducting regular evaluation of the services provided.
Caring Environment Model in Emergency Services of Hospitals by Banyumas Public Perception Suroso, Jebul; Yuliarti, Yuliarti; Mardiyaningsih, Eko
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.v13i1.8655

Abstract

Caring environment for providing service in the emergency departmentof the hospital becomes the need of the society. Caring environment has impact on the satisfaction, safety, and potential success of the services for the patients. The research aims at identifying the perception of society on caring environment as well as confirming the model of caring environment for providing emergency service in the hospital. This research employs descriptive exploration, involving 300 patients of emergency department from three hospitals in Banyumas. The analysis of decriptive data is conducted to categorize the perception of society on caring environment. The construct validity of caring environment is tested using confirmatory factor analysis. The result shows that the perceptions of society on caring environment in emergency department are good (86.3%) and fair (13,7 %). As the construct used to shape the model of caring environment has met the criteria of goodness of fit, involving: GFI; 0.96, RMSEA; 0.031, AGFI; 0,94; NFI;0,98; CFI;1, so it is revealed that the measurement model of caring environment for providing emergency service is fit. Moreover, all indicators are able to explain and support the model of caring environment for providing emergency services, involves; clean and comfortable room, complete facilities and equipments, and room safety. This finding could be the foundation for formulating the policy of caring quality improvement related to the aspect of caring environment for providing emergency services.
The Giving of Guava Leaves Boiled Water to Postpartum Perineal Wound Healing Zuhana, Nina; Prafitri, Lia Dwi; Ersila, Wahyu
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.v14i1.10663

Abstract

Labor often results in a tearing of the birth canal, either primigravida or multigravida with a rigid perineum. Approximately 85% of women who give birth spontaneously vaginal have 32-33% perineal trauma due to episiotomy and 52% are spontaneous lacerations. Perineal trauma may occure perineal infection due to poorly maintained perineal hygiene. This can be prevented by treating injuries. The research aims to know the effect of guava boiled water (psidium guajava linn) on the duration of wound healing of the postpartum nurse’s perineum. This research uses quasi-experimental research method with posttes control group design. Population used all postpartum with perineal sew wound in Pekalongan district in 2017 with sampling technique non probability sampling type consecitive sampling. Data analysis using un-paired t test showed that there was influence of guava leaf decoction (Psidium Guajava Linn) on the duration of wound healing of postpartum nurse perineum with significance value p 0,000 (<0,05).
Physician Performance Measurement Barriers in Private General Hospitals Around Medan City Lubis, Arfah Mardiana; Nasution, Puteri Citra Cinta Asyura
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.v13i1.7809

Abstract

Study results from early 2016 across 20 private general hospitals around Medan city, show there are 10 hospitals that have a physician performance measurement. However, the Medical Committee perceived some unknown barriers on measurement of physician performance. Should it be known, the hospitals can improve and enhance physician performance measurement effectively and efficiently. Therefore, this study aims to uncover the barriers on physician performance measurement in Private General Hospitals around Medan city. From the interviews with 10 Medical Committees and 6 document studies in 10 Private General Hospitals around Medan city which have a physician performance measurement, we found that the barriers on physician performance measurement are: unsupportive human resources, improper Medical Committee monitoring, unwillingness of physicians to be assessed, and assessors tendency toward giving moderate and good score. Therefore, we recommended that Medical Committee in each Private General Hospital around Medan or supervisors who will assess the performance of the physicians to attend performance measurement training to minimize biases and errors in filling out the sheet of physician performance measurement. Training should also be followed by an explanation that physicians should treat this performance measurement as a positive thing, because it can help the medical profession improve its professionalism.
Effectiveness Leadership and Optimalization of Local Potential in Nutrition Status Improvement Effort Handayani, Oktia Woro Kasmini; Rahayu, Sri Ratna; Nugroho, Efa; Hermawati, Bertakalswa; Vu, Nguyen Thi; Loc, Nguyen Huu
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.v13i3.13593

Abstract

Indonesia which is a developed country, has community health issue, as nowadays face a double concern of nutrition problem. Based on the data in 2007 to 2010, over nutrition prevalence on children under five years was 14.0%, increase from condition in 2007 which was 12.2%, aligned with poor and malnutrition prevalence. Programs applied has not resulted nutrition status improvement as expected. The problem in this research is how does the effectiveness of community empowerment optimalization model in the effort to improve nutrition status. Qualitative approach is used to evaluate model implementation, with focus of the research is model implementation based on the input, process and output. Respondents are determined by purposive technique. While the instruments are observation guide, interview guide, and FGD guide. Analysing Technique by Miles and Huberman model. The quantitative approach, to assess model effectiveness, with data-fill form intrument. The calculation is viewed from number increase and effectiveness criteria from Sugiyono. Local potential optimalization in the effort to improve nutrition status indicate effectiveness criteria (60%), This activity could not result maximum effectiveness level due to the leadership style tends to paternalistic which is dominated by otoritarism, causing community empowerment by cadre members and Family Welfare Program which are the potential that will be utilized can play maximum role.
The Phytochemical Analysis of Hay Infusions and Papaya Leaf Juice as an Attractant Containing Insecticide for Aedes Aegypti Cahyati, Widya Hary; Asmara, Widya; Umniyati, S Rahmah; Mulyaningsih, Budi
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.v12i2.6223

Abstract

Aedes aegypti mosquito population could be controlled by using lethal ovitrap. The addition of hay infusions as a attractant greatly enhance Aedes aegypti eggs trapped, and papaya leaf juice may inhibit Aedes aegypti eggs evolve to larvae or a larvae to pupae stage. This study was conducted to find out the chemical compounds in hay infusion and papaya leaf juice. We used phytochemical test using UV-Vis Spectrophotometry, Thin Layer Chromatography, and High Performance Liquid Chromatoraphy (HPLC) method. The results showed that hay infusion contains 12,75 mg/L ammonium and <1,20 ppm (µg/mL) lactic acid and papaya leaf juice contains 0,25% alkaloid, 0,14% flavonoid, 0,30% saponin, ≤68 mg/L steroid and 11,34% tannin, but negative terpenoid. We concluded that hay infusion and papaya leaf juice contains chemical compounds that could be use as attractant and bioinsecticide to Aedes aegypti, respectively.
Benefit of Childbirth Care Counseling for Mood of Postpartum Period Purwati, Yuni; Kustiningsih, Kustiningsih
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.v13i3.11275

Abstract

Postpartum mood disorder experienced by mothers was characterized by severe fatigue, poor concentration, tiredness, sadness, and anger at her husband. This postpartum mood disorders could progress to postpartum depression and postpartum psychosis. Childbirth care counseling was an attempt to allow mothers to adapt to her postpartum condition. The objective of this research was to identify the effect of childbirth care counseling on postpartum mood changes at Wates General Hospital, Kulonprogo. This research used pre-experimental design with post test. We used purposive sampling to obtain 20 respondents in the experimental group and 20 respondents in the control group. Moreover, EPDS instruments were also used in this research. Saphiro-Wilk normality test resulted in SD=0.000<0.05. The Mann-Whitney test resulted Z-2.054>t-table, α=0.040<0.05. We found that there was a significant benefit of childbirth care counseling on postpartum mood changes at Wates General Hospital, Kulonprogo. The significance of this research is that health workers in prenatal units should provide counseling about postpartum care to mothers in their third trimester.
Pengetahuan, Deteksi Dini dan Vaksinasi HPV sebagai Faktor Pencegah Kanker Serviks di Kabupaten Sukoharjo Kusumawati, Yuli; Nugrahaningtyas, Ridhiya Wiyasa; Rahmawati, Eka Nurul
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.v11i2.4208

Abstract

Penyakit non menular yang cukup mengkhawatirkan masyarakat terutama kaum wanita adalah kanker serviks. Perjalanan penyakit kanker yang sangat lambat sebenarnya  pada stadium awal prakanker dapat diketahui dengan melakukan deteksi dini papsmear  dan dapat dicegah dengan melakukan vaksinasi. Data di rumah sakit Kabupaten Sukoharjo, mulai tahun 2011 sampai 2013 selalu terdapat kejadian kanker serviks meskipun jumlahnya berfluktuatif.            Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan, deteksi dini papsmear dan vaksinasi HPV dengan kejadian kanker serviks. Penelitian ini merupakan penelitian observasional dengan rancangan case control study. Populasi adalah seluruh pasien wanita  yang tercatat di bangsal VK RSUD Sukoharjo sejak bulan Januari 2012 sampai bulan September 2013 yaitu sebanyak 759 orang. Sampel kasus diambil secara total dari kasus penderita kanker serviks di RSUD Kabupaten Sukoharjo hingga bulan September 2013 sebanyak 32 orang, sedangkan sampel kontrol diambil dengan jumlah yang sama secara simple random sampling dari pasien obgyn yang berada di ruang perawatan Bougenville RSUD Kabupaten Sukoharjo. Analisis data menggunakan uji Chy square dan Fisher Exact dan estimasi nilai OR dengan bantuan program SPSS di laboratorium komputer fakultas ilmu kesehatan Univrsitas Muhammadiyah Surakarta.            Hasil penelitian menunjukkan bahwa terdapat hubungan antara perilaku deteksi dini pap smear dengan kejadian kanker serviks, tidak ada hubungan antara pengetahuan dengan kejadian kanker serviks, serta tidak ada hubungan antara vaksinasi HPV dengan  kejadian kanker serviks. Perilaku deteksi dini dengan papsmear dan vaksinasi belum terbukti sebagai factor pencegah kanker serviks.Saran bagi wanita perlu mencari informasi yang benar tentang kanker serviks sehingga dapat melakukan upaya pencegahan dengan caramenghindari faktor risiko. Bagi petugas kesehatan memberikan sosialisasi tentang kanker serviks kepada masyarakat, agar masyarakat mempunyai pemahaman yang benar, mau melakukan deteksi dini dan melakukan vaksinasi HPV pelayanan kesehatan. 
Support of Family Member, Public Figure, and Health Attendant to PSN Behavior and Related Factors Rangga, Rouhdy; Giang, Nguyen Tra; Azinar, Muhammad
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.v13i2.12112

Abstract

The eradication of mosquito’s breeding place (PSN) is the most effective efforts to prevent the increasing prevalence of DHF in Demak which is 43% of its area is endemic. This study aims to determine the factors related to PSN behavior by family members.This is an observational analytic study with cross sectional approach using 210 samples divided into 3 groups of respondents (father, mother, child) with purposive sampling technique. Data were obtained through questionnaire based on interview results and analyzed by chi square. The results of the research on the father respondents showed that there was a relationship between the support of family members (p=0.001), support of community leaders (p=0.007), and support of health attentand (p=0.005) with PSN behavior. In mother respondents was found that the support of family members (p=0.006) and support of health officer (p=0.009) correlated with PSN behavior. In the child respondents was found that the support of family members (p=0.000), support of community leaders (p=0.007), and support of health officer (p=0.009) correlated with PSN behavior. It was concluded that the support of family members and support of health attendant was related to the behavior of PSN in all groups of respondents, and support of community leaders related to PSN behavior to the respondents of father and child.

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