Jurnal Kesehatan Masyarakat
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.
Articles
1,403 Documents
<![CDATA[Preference-Based Pricing of the Indonesian JKN-KIS Health Insurance for Urban Middle-Income Self-Funders ]]>
<![CDATA[Pratikto, Fransiscus Rian]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[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.v17i1.25979
<![CDATA[We determine optimal premiums of the Indonesian JKN-KIS health insurance plans for urban middle-income self-funders based on their preferences. We use the discrete choice experiment to measure preferences assuming a mixed multinomial logit model. By applying the Bayesian method to stated-preference choice data, individual utilities were estimated and subsequently used for deriving price-response functions. We found that more than 90% of respondents prefer the first-class and second-class plans. Accordingly, we set up a pricing optimization formulation for those two plans to maximize total contribution while maintaining the price difference between them and setting the price of the third-class plan as it was. We came up with monthly premiums of Rp290,000 and Rp240,000 for the first-class and the second-class plan, respectively, with an estimated monthly total contribution of Rp1.191 trillion, a 150% increase compared to that of the current pricing. This reveals the opportunity for increasing revenue by implementing finer price differentiation without sacrificing the mission of serving the underprivileged with the third-class plan.]]>
<![CDATA[The Correlation between Caries and Quality of Life of Mentally Disabled Learners ]]>
<![CDATA[Endah Yani, Ristya Widi]]>;
<![CDATA[Pratiwi, Yunita Satya]]>;
<![CDATA[Prayitno, Hadi]]>;
<![CDATA[Anshari, Muhammad]]>;
<![CDATA[Nugroho, Heru Santoso Wahito]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021) ]]>
Publisher : <![CDATA[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.v16i3.23973
<![CDATA[Introduction. Mentally disabled learners have dental problems 30% more complex than the ordinary toddler. It is because they have intellectual function disorder and adaptive behavior. This condition caused limitations in cleaning teeth optimally. So it will increase the risk of caries. This study objective is to find the correlation between the quality of life and dental caries at mentally disabled learners. Method. An analytical observational study with a cross-sectional approach to 118 learners in Sidoarjo, Indonesia, by total sampling. The variables in this study were quality of life (was measured with WHOQL-BREF index) and dental caries (was measured with DMF-T index). Tools and materials used are dental kids, alcohol 70%, cotton pellet, cotton roll, tampon, and WHOQL-BREF sheet. The data were presented descriptively in the form of a frequency distribution table, continued by Spearman Correlation test to analyze the correlation between the quality of life and dental caries at mentally disabled learners. Results. Most of the respondents are male (61%), with a range of age is 16-20 years old. The average quality of life for mentally disabled learners is the moderate category ( 65%). The average dental caries is considered as high. Spearman correlation shows p≤α(0,05) means there is a correlation between dental caries and quality of life. Conclusion. There is a correlation between dental caries and the quality of life for mentally disabled learners.]]>
<![CDATA[Mobile Health Quality among National Health Insurance Participants in South Sumatra ]]>
<![CDATA[Idris, Haerawati]]>;
<![CDATA[Misnaniarti, Misnaniarti]]>;
<![CDATA[Safriantini, Dian]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020) ]]>
Publisher : <![CDATA[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.v16i2.21375
<![CDATA[The development of information technology and telecommunications has penetrated into various sectors including health. With Mobile JKN, community administrative activities in managing JKN are easier. The study aims to analyze the perception of mobile health among participants JKN in South Sumatra Province. This research is a quantitative study with a cross-sectional design. The research sample was JKN participants stay in South Sumatra aged> 18 years who use the Mobile JKN app amount 400 participants. The sampling technique used purposive sampling. Data collection using online questionnaires and distributed through social media. Results of the study showed that the perception of the quality system has optimal results (50,50%). The problem encountered was in the network stability indicator from JKN mobile application users. On the quality of information has optimal results(67.50%).Problems encountered are in the indicator of limited service information, display updates. Then, the quality of service has optimal results (63,50%). The problem encountered was in the service integration indicator from the JKN mobile application. Quality of the JKN Mobile application seen from the System Quality, Information Quality and Service Quality has optimal results. BPJS Health suggested to increase network stability, improve service information, display updates and information in the JKN Mobile application, conduct application socialization, and develop service integration.]]>
<![CDATA[The Early Vigilance of Dengue Hemorrhagic Fever Outbreak in the Community ]]>
<![CDATA[Indawati, Rachmah]]>;
<![CDATA[Hendrati, Lucia Yovita]]>;
<![CDATA[Widati, Sri]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021) ]]>
Publisher : <![CDATA[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.v16i3.24114
<![CDATA[Early Awareness of Extraordinary Events of Dengue Hemorrhagic Fever (DHF) was asked to community (n= 130). Precautions were measured based on community knowledge, attitudes, and behavior. Knowledge, attitude, and behavior are constructs (in the form of a composite variable) from an early awareness of DHF outbreak. The result showed that the knowledge related to the transmission factor and the proliferation of dengue disease was quite good (72.3%). The DHF risk control was also good (93.9%) while the dengue fever eradication was still poor (67.7%). However, the attitude showed that it is still not ready to act on the basis of consciousness. Meanwhile, the results of the data analysis identified that the model of the early awareness measurement on DHF outbreak which consisted of construct variables (knowledge, attitude, and action) were a perfect fit. Based on the measurement model, the level of community awareness on DHF disease can be measured. This showed that the level of early awareness of DHF disease was good 76.2% and only 3.8% were less alert. This means although the less alert percentage is quite small, if people have an attitude of indifference to the prevention of DHF then the impact will affect a wider community.]]>
<![CDATA[Improving Teenage Awareness of Healthy Behavior by Mapping Adolescent Programming and Measurement (MAPM) Framework ]]>
<![CDATA[Siyam, Nur]]>;
<![CDATA[Cahyati, Widya Hary]]>;
<![CDATA[Handayani, Oktia Woro Kasmini]]>;
<![CDATA[Fauzi, Lukman]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020) ]]>
Publisher : <![CDATA[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.v16i2.25419
<![CDATA[The improvement of healthy behavior awareness of teenagers is still a serious concern. There are three major problems in teenage: sexuality, drugs, and addictive substance and sexually transmitted diseases, especially HIV and AIDS. Among steps that can be taken to build teenage awareness to have healthy behavior is by applying Mapping Adolescent Programming and Measurement (MAPM) Framework. The objective of the research is to build an MAPM Framework model and obtaining a description of its effectiveness as an effort to improve teenage awareness of healthy behavior. The research conducted at Walisongo Kedungwuni Islamic Junior High School. Samples are students that have problem as mapped and measured from MAPM. A non-randomized one group pre-test- post-test design was implemented in this study. The results indicate that attitude towards counseling, cigarette, juvenile delinquency, smoking attitude, attitude towards drugs, and premarital sex after the application of the MAPM positively changed (p-value <0,05). The attitude and behavior of students were improved. Teenage awareness of healthy behavior significantly increases (p value= 0,000) after the application of the MAPM framework. Further discussion will be discussed in the article below.]]>
<![CDATA[Human Papilloma Virus Vaccination Acceptance of Elementary School Student’s Parents ]]>
<![CDATA[Evita Trisnarini, I Gusti Ayu]]>;
<![CDATA[Widarini, Ni Putu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[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.v17i1.29319
<![CDATA[A costless vaccination program had been implemented in Badung Regency, but there were parents of elementary schoolgirls who did not give written consents to their daughters for joining the program. The research intended to determine the factors of HPV vaccination program acceptability comprised of age, education level, knowledge, perception, and doctor recommendation. The research design was quantitative-based cross-sectional from January – May 2020. The population study was elementary schoolgirls’ parents in Badung Regency. The respondents were 92 parents who were selected based on two strata and using simple random sampling. The source of primary data was collected through interviews and online questionnaires. It was analyzed with descriptive and analytical techniques with a logistic regression test. The result showed that 64,13% of respondents accepted the HPV vaccination program. The multivariate analysis showed that the perceived barrier was the most influential factor towards the acceptability of the HPV vaccination program (AOR = 6,056; 95%CI 1,754-20,906). Education would be needed to decrease the barriers to the HPV vaccination program.]]>
<![CDATA[Behavior Paying Premium to the Independent Participants in Healthcare Social Insurance Administration Office ]]>
<![CDATA[Tarigan, Sylva Flora]]>;
<![CDATA[Dondo, Marisa Lestary]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[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.v17i1.23301
<![CDATA[Premiums non-compliance leads to the Healthcare Social Insurance Administration Office (henceforth, will be referred to as BPJS Kesehatan) budget deficit, resulting in an accumulation of debt claims in various health facilities and an impact on the quality and quantity of health services in health facilities. As of March 2019, 38% of independent National Health Insurance (JKN) participants in Gorontalo City were not compliant to pay dues. This study objective to assess the relationship between willingness to pay with compliance behavior to pay premiums for BPJS Kesehatan independent participants. This study uses a cross-sectional study design. The population was 8,594 people who were independent BPJS Kesehatan participants with a sample of 95 people using accidental sampling techniques. Data were collected through interviews using a questionnaire, data analysis using Chi-Square test. The results showed that the distribution of the level of compliance paying BPJS premiums independently was still 64.2%. Distribution of the willingness to pay by 85%. There is a significant relationship between Willingness To Pay (WTP) with compliance paying dues with p = 0.031. There is a relationship between WTP with compliance to pay the premiums of BPJS Kesehatan independent participants in the inpatient installation at RSUD Prof. Dr. H. Aloei Saboe in Gorontalo City.]]>
<![CDATA[An effective approach method in improving the attitude of preventing narcolema (drugs through the eye) in junior high school students in the city of Samarinda ]]>
<![CDATA[Winarti, Yuliani]]>;
<![CDATA[Sunarti, Sri]]>;
<![CDATA[Wibowo, Thomas Ari]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (2020) ]]>
Publisher : <![CDATA[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.v16i2.16610
<![CDATA[Studi terbaru menunjukkan bahwa terpapar materi pornografi merupakan hal yang biasa. Pengakses pornografi atau narkolema oleh anak-anak dibawah umur sudah sangat memprihatinkan. Penanggulangan dampak narkolema perlu segera dilakukan dengan berbagai usaha preventif. Penelitian ini bertujuan untuk mengetahui metode yang efektif dalam meningkatkan sikap siswa dalam pencegahan Narkolema. Jenis penelitian adalah quasi experiment dengan rancangan non-equivalent control group with pre-test and post-test bertujuan untuk melihat metode yang paling efektif dalam meningkatkan sikap pencegahan narkolema. Subjek dalam penelitian ini berjumlah 76 orang siswa, terbagi menjadi 2 yaitu kelompok intervensi yang mendapat metode peer educator  sebanyak 40 siswa di SMPN 4 Samarinda dan kelompok kontrol yang mendapat modul sebagai bahan bacaan mandiri sebanyak 35 siswa di SMPN 24 Samarinda yang dipilih secara purposive sampling dengan teknik analisis data menggunakan uji paired t-test dan uji independent t - test. Keputusan pengujian hipotesis penelitian ini berdasarkan taraf signifikansi 5% atau p value = 0,05. Terdapat perbedaan sikap yang bermakna secara statistik p < 0,05 pada kedua kelompok sebesar p = 0,003. Rerata perubahan sikap kelompok perlakuan lebih tinggi dibandingkan kelompok kontrol. Pendidikan kesehatan melalui metode peer educator lebih efektif dibanding modul dalam meningkatkan sikap pencegahan Narkolema.]]>
<![CDATA[Fertility in North Sumatera: Why is it not declining? ]]>
<![CDATA[Raharja, Mugia Bayu]]>;
<![CDATA[Fadila, Wisnu]]>;
<![CDATA[Rahmadewi, Rahmadewi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021) ]]>
Publisher : <![CDATA[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.v16i3.26138
<![CDATA[The results of the Indonesia Demographic and Health Survey (IDHS) in 2017 confirm that although the prevalence of contraception is quite high, the fertility rate in North Sumatera Province is still high. Fertility decomposition analysis has been used extensively to identify changes in fertility in various countries. This study was conducted to determine the pattern of changes in fertility decomposition in North Sumatra by using IDHS data in 2002/03 and 2017. The total fertility rate (TFR) from 2002 to 2017 in this province relatively remains the same, which is around 3 children per woman. There was a change in the proximate contribution of the determinant of fertility. Contraceptive use and effectiveness are the main contributors affecting the fertility rate in North Sumatra Province. The contribution of breastfeeding patterns has increased and marital patterns have decreased over a period of 15 years. The implementation of population and family planning programs in North Sumatra Province needs to be continuously improved to reach a TFR of 2.1 children per woman by 2024. Promotion of exclusive breastfeeding needs to be encouraged to extend the birth interval and reduce natural fertility. Prevention programs for child marriage and teenage pregnancy should be promoted.]]>
<![CDATA[Altered Baseline of Plasma Glucagon Level in pre-Obese to very Obese Persons ]]>
<![CDATA[Lesmana, Ronny]]>;
<![CDATA[Mulyanaga, William Giovanni]]>;
<![CDATA[Mukarromah, Siti Baitul]]>;
<![CDATA[Goenawan, Hanna]]>;
<![CDATA[Darmayanti, Meita]]>;
<![CDATA[sugianli, Adhi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 1 (2021) ]]>
Publisher : <![CDATA[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.v17i1.24703
<![CDATA[“Bihormonal hypothesis†is disturbances of both insulin and glucagon in diabetes mellitus. It resulted in a high blood glucose level. Interestingly, as one of Diabetes Mellitus’s risk factors and metabolic disorders, obesity may also play role in altering homeostasis and regulation of glucose metabolism in blood and its utilization in tissues. Unfortunately, there is limited information about the alteration of glucagon levels in various degrees of obesity. This research objective is to learn the plasma glucagon levels alteration in pre-obese, obese, and very obese persons in Jatinangor in 2015. We had observed 31 obese female subjects in one village. This study was conducted using descriptive quantitative with cross-sectional design. Blood vein samples from the left arm were collected, stored, and transferred to Dr.Hasan Sadikin General Hospital. Glucagon plasma was measured by the ELISA method. We discovered an interesting pattern that showed a correlation between glucose level and the glucagon level in a very obese group. We observed average glucose level is declined and linearly associate with the glucagon level from pre obese to obese and to very obese group. The average level of glucagon in the pre-obese group is 158.62 pg/mL, the obese group is 149.99 pg/mL, and the very obese group is 111.98 pg/mL.]]>
