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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.
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Articles 1,403 Documents
Analysis of Malaria Control Situation in Magelang Regency and Obstacles to Maintain Malaria Elimination Status
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 2 (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.v14i2.14208

Abstract

Magelang Regency received malaria elimination certificate in April 2014, however, the epidemic signal was received back in April 2015. Malaria epidemic had occurred for two months and until the end of December, indigenous cases could still be found. The purpose of this study was to find out description of situation regarding malaria, malaria control, and obstacles to malaria control in Magelang Regency. Rapid assessment method was conducted by adopting the methodology in the protocol and methods for malaria situation analysis from WHO (2003) and by using desk review as the reference for the research process in malaria control method in a region with similar condition to Magelang regency. Data collection was performed through interview and observation. This study found that in April 2015, the number of indigenous cases was 2 which was increased to 37 cases in May and the peak prevalence was 56 cases in June. Previously, import cases were found in March. Up until December, malaria cases were dominated by indigenous cases (97%). Village regulation regarding malaria migration surveillance was still not available in most receptive villages. In area which had eliminate malaria, there should be regulation that govern malaria migration surveillance. Therefore, the Regent should advise the village chief through a circulatory letter to form a new regulation regarding malaria migration surveillance in order to reduce outbreak potential.
Meal Pattern of Malnutrition Children Under 5 Years and Related Factors
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.v12i2.8511

Abstract

Malnutrition prevalence in Indonesia has increased from 2007 to 2013. Research was conducted on Kabupaten Brebes which rank 29 of 35 Kabupaten/City on Jawa Tengah province in malnutrition case and meal pattern is found as related factor. The research objective is to obtain malnutrition children under 5 years  meal pattern and others related factors. Reseach was conducted in 2016 by quantitative approach and supported with qualitative datas. Sampling method by total sampling from 32 mother and children under 5 years with malnutrition status. Research instrument consist of questionnaire and food recall instrument accompanied with observation guide. The quantitative datas are analysed by descriptive method and chi square statistic test. Result shown most of malnutrition children under 5 years meal pattern is improper (75%) and children under 5 years feeding is not proper to it’s nutrition requirement. Whether the nutrition, quantity and frequention of the feeding. This is relation between level of knowledge, education, family income with meal pattern (p value 0.005) and no relation between numbers of family member with meal factor of malnutrition children under 5 years (p value = 1.00) at work region of Puskesmas Brebes. Respondent does not know proper food for children under 5 years, proper food for each children under 5 years age yet aware that the food must be cooked to produce soft texture.
PENGARUH PEMBUBUHAN TAWAS DALAM MENURUNKAN TSS PADA AIR LIMBAH RUMAH SAKIT
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 2 (2011)
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.v6i2.1756

Abstract

Untuk mengendapkan padatan tersuspensi dalam air limbah diperlukan bahan kimia koagulan dengan dosis yang sesuai. Tujuan penelitian ini untuk menge-tahui dosis optimum yang dapat menurunkan kadar TSS air limbah dan untuk mengetahui perbedaan penurunan TSS sebelum dan sesudah pembubuhan tawas dengan dosis optimum. Desain penelitian menggunakan rancangan eksperimen semu. Variabel penelitian terdiri atas kadar TSS (variabel terikat), dosis optimum (variabel bebas), pH, suhu dan tingkat kekeruhan (variabel peng-ganggu), waktu pengadukan, kecepatan pengadukan, dan tempat pengambilan sampel (variabel kendali). Analisis data menggunakan uji t-test paired. Hasil percobaan pendahuluan diperoleh dosis optimum 70 mg/l. Hasil parameter TSS tanpa pembubuhan tawas antara 618 mg/l sampai 170 mg/l, setelah  pembubuhan tawas dengan dosis optimum TSS turun menjadi antara 60 mg/l sampai 40 mg/l. Hasil uji statistik diperoleh p =0,019 (ada perbedaan bermakna  kadar TSS sebelum dan sesudah  pembubuhan tawas dengan dosis optimum). AbstractTo precipitate suspended solids in wastewater, it is necessary to take a chemical coagulant with optimum dose. The purpose in this study was to determine the optimum dose required to reduce level of TSS in the wastewater, and to obtain whether there were significant differences on the reduction of TSS before and after affixing the optimum dose of alum. The design of this study was quasi-experimental design. The variables of this study include TSS levels (dependent variable), the optimum dose (independent variables), pH, temperature, and turbidity level (confounding variable), stirring time, and stirring speed. The sampling place is fixed as control variable. Data analyzed by using paired t-test. The results of preliminary experiments fix the optimum dose of 70 mg / l. TSS parameter without alum obtained between 618 mg / l to 170 mg / l, and after affixing the optimum dose of alum, TSS dropped to between 60 - 40 mg / l. The result of statistical test obtained is p = 0,019 (there were significant differences in TSS levels before and after the affixing of optimum alum dose).Keywords: Optimum Dose; Alum; TSS levels
SOCIAL CAPITAL AND NUTRITIONAL STATUS OF CHILD UNDER 5 YEARS IN RURAL INDONESIA AND THAILAND
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 1 (2014)
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.v10i1.3074

Abstract

Prevalensi gizi kurang balita di pedesaan pada satu dasawarsa terakhir terdapat kecenderungan penurunan, yaitu di Thailand (0.3%) lebih cepat secara signifikan dibanding di Indonesia (3,5%). Diduga ada perbedaan pola pemanfaatan modal sosial dalam upaya perbaikan gizi balita. Permasalahan dalam penelitian ini adalah apakah ada perbedaan pengaruh modal sosial yang berhubungan dengan status gizi balita pada urban area di Indonesia dan Thailand. Penelitian ini menggunakan pendekatan kualitatif, dengan strategi penelitian lapangan studi kasus di wilayah kerja Puskesmas Kajen 1, Kabupaten Pekalongan, Indonesia dan di Ongkharak Thailand. Fokus penelitian berupa aspek modal sosial yang terdiri dari: (1) citizenship, (2) asosiasi/organisasi sosial, (3) sosial suport yang mempengaruhi status gizi balita di masyarakat. Teknik penentuan informan dengan cara purposive sampling dan snowball sampling. Hasil penelitian modal sosial yang berkaitan dengan status gizi balita di desa di Indonesia dan Thailand mempunyai corak sejenis. Dimana unsur-unsur modal sosial yang mempengaruhi berupa: 1) cytizenship, dalam bentuk partisipasi aktif dan kreatif terutama dari para kader atau relawan, 2) organisasi sosial berupa Posyandu dan Pusat Pengembangan Balita. Sedangkan perbedaan yang tergambar adalah: 1) Organisasi sosial di Thailand merupakan program yang lebih pro aktif, 2) Di Indonesia aspek cytiznship yang berkaitan dengan unsur resiprocyti atau semangat untuk membantu sangat menonjol, dan 3) Program pemerintah Thailand yang sangat menentukan status gizi balita diperlemah dengan banyaknya masalah bencana alam dan situasi politik. In Indonesia and Thailand, the prevalence trend of malnutrition of children under five in rural area in the last decade has declined, in Thailand (0.3%) was significantly faster than in Indonesia (3.5%). So the problem in this study is whether the different effect of social capital associated with nutritional status of children in rural area in Indonesia and Thailand.This study used a qualitative approach, in Kajen 1 health center, Pekalongan, Indonesia and in Ongkharak, Thailand. The focus of this study was the form of social capital aspect which consists of: (1) citizenship, (2) the association/social organization, (3) social support that affect the nutritional status of children in society. Informants consisted of village heads, heads of health center, village midwives, IHC cadres, community leaders and children’s families. The technique of determining the informant by purposive sampling and snowball sampling.Based on result, social capital related to the nutritional status of children in rural area in Indonesia and Thailand had similar patterns. The elements of social capital that influence as follows: 1) citizenship, in the form of active and creative participation, especially from the cadre or volunteers, 2) social organizations such as IHC and Children Development Center. While the differences were illustrated: 1) social organization in Thailand was a more pro-active programs, 2) In Indonesia, citizenship aspects related to the elements reciprocity or passion to help each other was very prominent, and 3) The Thailand government programs that determine the nutritional status of children had been weakened with the many problems of natural disasters and political situation.
KEBIASAAN MAKAN PAGI, LAMA TIDUR DAN KELELAHAN KERJA (FATIGUE) PADA DOSEN
KEMAS: Jurnal Kesehatan Masyarakat Vol 9, No 1 (2013)
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.v9i1.2830

Abstract

Latar belakang. Fatigue merupakan fenomena normal bagi setiap orang sehat, yang dapat dikurangidengan istirahat maupun tidur. Kurang tidur (sleepiness) telah menjadi fokus masalah dalam isukesehatan kerja. Namun, penelitian kelelahan kerja pada dosen masih sangat terbatas dan belummenjadi perhatian. Tujuan penelitian untuk mengetahui hubungan kebiasaan makan pagi, lamawaktu tidur dengan kelelahan kerja. Metode. Desain cross sectional digunakan dalam penelitian dansebanyak 77 partisipan berasal dari 2 sekolah tinggi ilmu kesehatan swasta di Jawa Barat. Makanpagi dan lama waktu tidur per hari (variabel bebas) diukur menggunakan kuesioner. Kelelahankerja (variabel terikat) diukur menggunakan reaction timer yang dilakukan selama 3 hari dalam 1minggu. Kelelahan kerja merupakan rerata waktu reaksi dari hasil pengukuran. Hasil. Rerata waktutidur 6,12±0,670 jam, sebanyak 52(67,5%) dosen mempunyai kebiasaan makan pagi. Rerata waktureaksi 233,83±46,64 milidetik. Hasil uji statistik menggunakan uji korelasi didapatkan tingkatkelelahan berkorelasi negatif dengan kebiasaan makan pagi (p=0,000; r=-0,472) dan waktu tidur(p=0.000; r=-0,459). Kesimpulan. Kelelahan kerja dosen disebabkan kurang tidur dan intake kaloriyang dibutuhkan untuk beraktivitas. Untuk mengatasi kelelahan kerja perlu peningkatan kesadarandan pengetahuan dosen tentang keselamatan dan kesehatan kerja terutama kebiasaan makan danwaktu istirahat yang baik dan sehat agar menjadi budaya kerja. Background. In a healthy person fatigue is a normal phenomenon, experienced by everyone andusually easily relieved by rest or sleep. Increased sleepiness at work is now increasingly being focusedon a safety health issue. However, research on university teacher’s fatigue is very limited and has notbeen fully addressed. Objective. Th e Objective of this study was to clarify the relationship betweensleeping duration, breakfast habits and fatigue in university teacher. Method. Cross-sectional surveywas used and 77 participants were given a questionnaire about sleeping duration, breakfast habits andfatigue symptoms. Fatigue level was measured with reaction timer in the morning when they arrivedat the workplace and before they left the workplace. Correlation analyses were used to identify therelationship between independents and dependent variables. Result. Average hour of sleep was 6.12hours per night (SD=0.67) and 67.5% participants were not having breakfast. Level of fatigue in themorning was mostly in light fatigue level (259.68±49.16 mms), which was signifi cantly correlated withsleep duration (r=0.459; p=0.000), which was signifi cantly correlated with breakfast habits (r=-0.472;p=0.000). Conclusion. Fatigue level was associated with sleep deprivation and low intake calories frombreakfast. University teachers may suff er from fatigue at their beginning of work because of the lack ofsleep duration, while in the evening, fatigue became higher because of the lack energy from breakfast.To manage the fatigue level for university teachers should be considered to improve university teacher’sknowledge about sleep and breakfast and have enough time to sleep and breakfast before working.
KEMATIAN LARVA AEDES AEGYPTI SETELAH PEMBERIAN ABATE DIBANDINGKAN DENGAN PEMBERIAN SERBUK SERAI
KEMAS: Jurnal Kesehatan Masyarakat Vol 7, No 1 (2011)
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.v7i1.2802

Abstract

Penggunaan larvasida sintesis sangat merugikan masyarakat, seperti pencemaran lingkungan dan menyebabkan resistensi. Alternatif untuk mengurangi dampak negatif tersebut adalah dengan menggunakan larvasida nabati yang berasal dari tanaman yaitu serai. Tujuan dari penelitian ini adalah untuk mengetahui untuk mengetahui perbedaan jumlah kematian larva Aedes aegypti setelah pemberian abate dibandingkan pemberian serbuk serai. Jenis penelitian ini adalah eksperimen yang dilakukan pada tahun 2011, menggunakan rancangan penelitian post test only with control group design. Dengan populasi seluruh larva Aedes aegypti instar III dan IV yang berada di B2P2VRP Salatiga. Sampel berjumlah 400 ekor larva. Analisis data yang dilakukan secara univariat dan bivariat (menggunakan uji independent t-test dengan α= 0,05). Kesimpulan dari penelitian ini adalah ada perbedaan yang signifikan jumlah kematian larva Aedes aegypti setelah pemberian abate dibandingkan dengan pemberian serbuk serai, dapat dilihat dari hasil uji independent t-test, dimana nilai p=0,002 (p0,05).The usage of sintesis larvacide harmed the society, such as contamination of enviroment, and resistense. Some alternatives to reduce the negative impact were use vegatation larvacide from flora such as lemongrass. The purpose of this research was to investigate the differences on the number of Aedes aegypti larvae mortality after giving abate compared with giving lemongrass powder. The study was experiment research in 2011, used post test only with control group design plan research. The population were all of Aedes aegypti larvae instars III and IV in B2P2VRP Salatiga. Sample were 400 larvaes. The data analysis used univariate and bivariate (used independent t-test with α = 0,05). The conclusion is that there is a significant difference in the number of Aedes aegypti larvae mortality after giving abate compared with giving lemongrass powder, can be seen from the test results of independent t-test, where the p value = 0,002 (p 0,05).
Characteristics of Shoes with Musculoskeletal Complaints on Foot and Ankle of Sales Promotion Girl
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 3 (2020)
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.v15i3.14972

Abstract

Musculoskeletal complaints are a series of aches in the tendons, muscles, and nerves due to activities with high repetition rates resulting in tissue damage and pain in the muscles. Musculoskeletal complaints are experienced by many female workers due to work demands. Job demands such as the obligation to use high heels when working. Jobs related to the use of high heels are sales promotion girl (SPG). This study uses a quantitative approach. This type of research is observational analytic with cross sectional design. The assessment of musculoskeletal complaints in this study used the Foot and Ankle Outcomes Score (FAOS) questionnaire. Based on the results of the Spearman test factors associated with musculoskeletal complaints on feet and ankles of SPG at Golden Market Jember include individual factors consisting of length of work (ρ = 0,000; r = 0.617; negative direction), BMI (ρ = 0.022; r = 0.314; unidirectional), and sports habits (ρ = 0.045; r = 0.617, opposite). The work factor is static position (ρ = 0,000; r = 0.530; opposite). Shoe characteristic variables consist of shoes type (ρ = 0.022; r = 0.313, opposite), duration of use (ρ = 0,000; r = 0.547; direction), high heels (ρ = 0,000; r = 0.855; direction), and suitability shoe size (ρ = 0,000; r = 0.584; unidirectional). Factors not related to musculoskeletal complaints on the feet and ankles are age (ρ = 0.027; r = 0.850; unidirectional).
Analysis on Factors Related with Treatment Behavior of Pulmonary Tuberculosis Patient
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.v14i1.12518

Abstract

The total number of pulmonary tuberculosis cases found in Wonogiri district up to Trimester III in 2017 was 602 new cases. Adherence to patient treatment is one of the decisive factors in the success of therapy, but adherence to treatment by pulmonary TB patients is often low. This study aims to evaluate the compliance of treatment of pulmonary tuberculosis patients in Selogiri District Health Center Wonogiri regency. The design of this study used cross-sectional descriptive analysis with data collector in the form of questionnaire as primary data and patient treatment card (Form TB 01) as secondary data. Population of all pulmonary TB patients treated at Selogiri Public Health Center, registered from January 2016 to December 2017. Sampling by total sampling technique. Result of research from 23 total respondents during treatment showed that the number of respondents who adhere to TB treatment was smaller than the non-compliant respondent, that is 10 respondents (43,47%) obedient while respondent did not obey 13 (56,52%). The conclusion of this study there is no relationship between sociodemographic factors, knowledge, drug side effects, history of other diseases, availability of transportation and the role of families and officers with compliance to treatment of pulmonary tuberculosis patients in Selogiri Health Center. This study shows the high rate of non-adherence treatment of lung TB patients.
Health Services, Maternal Intrinsic and Socio-Cultural Factors and Perinatal Mortality
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.v12i2.5812

Abstract

This study question was how significant the determination of health services, maternal intrinsic risk factors and socio-cultural factors on perinatal mortality.  Its objective was to construct a model of perinatal mortality pattern by case-control design.  The case population was all mothers with perinatal mortality.  The sample-size was 35 by simple random sampling with case-control ratio of 1:1 (35:35).  The data analysis applied Bivariate using Chi Square Test and Multivariate using Logistic Regression Test.  The Bivariate Analysis Results found the risk-variables on Perinatal Mortality were Birth Attendant (OR=2.1; 1.63-2.7; 95%CI), Health Financing (OR=7.1; 1.82-27.8; 95% CI), Maternal Disease History (OR=8; 2.05-31.16; 95%CI), Perinatal History (OR=6.47; 2.26-18.55; 95%CI) and Custom (OR=2.17; 1.67-2.82; 95%CI).  Multivariat Analysis found three consistent risk variables on Perinatal Mortality i.e.: Health Financing (p=0.016; OR=6.8; 95% CI), Maternal Disease History (p=0.006; OR=8.41; 95%CI) and Perinatal History (p=0.021; OR=4.3; 95%CI). It concluded that the most significant determinant on Perinatal Mortality was Maternal Disease History.
PENGARUH INTENSITAS PENCAHAYAAN LOKAL
KEMAS: Jurnal Kesehatan Masyarakat Vol 5, No 1 (2009)
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.v5i1.1862

Abstract

Tujuan penelitian ini adalah untuk mengetahui pengaruh intensitas pencahayaan lokal terhadap kelelahan mata operator bagian loom weaving V denim perusahaan tekstil di Semarang. Metode penelitian ini bersifat penjelasan de-ngan menggunakan pendekatan belah lintang. Variabel dalam penelitian ini adalah intensitas pencahayaan lokal dan kelelahan mata. Populasi berjumlah 33 yang bekerja sebagai operator mesin loom weaving V denim. Sampel dipilih de-ngan teknik purposif berdasarkan kriteria inklusi sehingga diperoleh sebanyak 13 orang. Hasil penelitian menunjukkan ada pengaruh antara intensitas pencahayaan terhadap kelelahan mata yaitu meningkatnya intensitas pencahayaan 1 lux akan diikuti dengan menurunnya kelelahan mata responden sebesar 1.782 milidetik. AbstractThe purpose of this study was to determine the effect of local illumination intensity with the operator eyestrain, in loom weaving V denim of textile company in Semarang. The method of this research was explanatory research using cross sectional approach. The variable in this study was the intensity of local lighting and eyestrain. Population are 33 operators who worked as machine operators of weaving looms V denim. The samples were selected by purposive sampling technique based on inclusion criteria as many as 13 peoples. The results show influence between the intensity of illumination with the eyestrain that is the increasing intensity of illumination 1 lux will be followed by a decrease eyestrain respondents for 1782 milliseconds.Keywords: Local lighting; Eyestrain

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