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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.
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Articles 1,403 Documents
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Transovarial Transmission and Dengue Virus Serotypes in Aedes Aegypti In Kupang
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.v12i1.4993

Abstract

Dengue is an endemic disease in almost all provinces in Indonesia, including NTT pro-vince and Kupang City. DHF prevention and control efforts need to be accompanied by understanding of the epidemiological and entomological aspects. This study proves the presence of transovarial transmission and serotypes of Dengue virus in Ae. aegypti in areas with different endemics in Kupang City. The study was conducted in endemic, sporadic and Dengue-free villages. Samples from each location were 30 head squash Ae. aegypti females for examination of Dengue virus by IHC methods and 10 Ae. aegypti females for serotypes check of Dengue virus with RTPCR. Data presented in tables and images then analyzed descriptively. This study finds that transovarial infection rates 9.2% with serotype Dengue virus-1. As many 97.5% of respondents have heard about Dengue by most cadres resources (24.5%) and health workers (24%). Transovarial infection is found in endemic, sporadic and free areas so that the Dengue vector control needs to be done in the three regions with different endemicity.
FAKTOR TINDAKAN PERSALINAN OPERASI SECTIO CAESAREA
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.v7i1.1788

Abstract

Permasalahan yang diteliti adalah faktor apa sajakah yang berhubungan dengan dilakukannya persalinan melalui tidakan operasi sectio caesarea pada persalinan. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan dilakukannya persalinan melalui tidakan operasi sectio caesarea pada persalinan ibu di Rumah Sakit Islam YAKSSI Gemolong Kabupaten Sragen. Metode penelitian menggunakan survei analitik dengan pendekatan belah lintang, menggunakan data primer dari wawancara terpimpin dengan kuesioner serta data sekunder dari rekam medis. Penelitian ini dilaksanakan di RSI YAKSSI Gemolong Kabupaten Sragen pada September-Oktober 2010. Populasi penelitian ini ialah seluruh ibu yang melahirkan di RSI YAKSSI selama tahun 2009 sebanyak 792 responden. Sampel pada penelitian ini berjumlah 60 responden yang diambil menggunakan teknik consecutive sampling. Analisis bivariat menggunakan uji statistik chi square dengan derajat kemaknaan (α0,05). Hasil penelitian memperlihatkan bahwa faktor-faktor yang berhubungan dengan tindakan persalinan sectio caesarea diantaranya usia ibu (p 0,022), paritas (0,001), dan kejadian anemia (0,001). Simpulan penelitian, ada hubungan antara usia ibu, paritas, dan kejadian anemia dengan tindakan persalinan sectio caesareaThe problem research was what factors associated with sectio caesarea surgery. Purpose of this study was to determine the factors associated with sectio caesarea surgery at the YAKSSI Gemolong Islamic Hospital in Sragen District. This study used the analytical survey method with cross sectional approach, using primary data through interviews guided by a questionnaire and secondary data from medical records. The research was conducted in RSI YAKSSI in September-October 2010. This study population were all mothers who give birth in YAKSSI IH as many as 792 respondents. Samples in this study were amount of 60 respondents drawn using consecutive sampling technique. Bivariate statistical analysis done using chi square test with a degree of significance (α0,05). The results showed that factors associated with sectio caesarea surgery actions were maternal age (p 0,022), parity (0,001), and incidence of anemia (0,001). Conclusion, maternal age, parity, and incidence of anemia have associated with sectio caesarea surgery
The Relationship Between the Incidence of Stunting and the Frequency and Duration of Diarrhea in Toddler in the Working Area of Kenjeran Health Center in Surabaya
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 2 (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.v16i2.20032

Abstract

Infectious diseases (diarrhea) that repeatedly cause children’s health to increase in the pattern of children’s appetite which can lead to less nutritional status of children. This study was to analyze the relationship between the incidence of stunting and the frequency and duration of diarrhea in children under  five in the Kenjeran Health Center Surabaya Working Area. Analytical research design with cross sectional design in 4 villages in Kenjeran Health Center. Data retrieval is done by questionnaire sheet and observation using microtoise, sample technique uses Sampling Probability by using Stratified Random Sampling as many as 152 children. Data were analyzed using the Spearmen Rho statistical test. The results of research on children under five who experience the incidence of stunting with the frequency and duration of diarrheal disease indicate children who experience stunting and longer frequency. The Rho Spearmen Test showed differences in the incidence of stunting with the frequency of diarrhea p = 0.005 (pα = 0.05), duration of diarrhea p = 0.003 (pα = 0.05). The implication of this study is that stunting is related to the frequency and duration of diarrheal diseases, so that posyandu activities can add counseling about children’s health that requires the treatment of diarrhea in children under five in the Kenjeran Health Center Surabaya 
Analisis Risiko Pajanan Pestisida Terhadap Kesehatan Petani
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
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.v10i2.3387

Abstract

Petani dalam mengolah lahan membutuhkan pestisida untuk memberantas hama dan gulma. Namun di sisi lain pestisida dapat membahayakan kesehatan diri petani, konsumen, organisme non target serta lingkungan. Tujuan penelitian ini untuk mengetahui alur pajanan pestisida yang dapat masuk ke tubuh petani berbasis analisis risiko. Metode penelitian dengan exploratory research  dengan desain penelitian cross Sectional. Pengumpulan data dilakukan dengan observasi dan wawancara pada 54 petani. Pajanan pestisida dapat masuk ke dalam tubuh petani melalui kulit, pernapasan dan pencernaan. Petani dapat terpajan pestisida pada waktu membawa, menyimpan, memindahkan konsentrat, mencampur, menyemprot serta membersihkan alat semprot yang telah digunakan. Berdasarkan hasil perhitungan RQ (Risk Quotient) 54 petani mendapatkan nilai lebih dari 1, yang berarti lebih dari batas aman yang diperkenan. 40,7% petani menggunakan bahan aktif dalam sekali pencampuran lebih dari 10 jenis serta 51,9% petani melakukan penyemprotan menghabiskan 6-10 tangki dalam sehari. Semakin besar peluang pajanan pestisida dapat meningkatkan tingginya kejadian  keracunan kronis pada petani. Analisis risiko dapat memberikan gambaran  pajanan pestisida dalam tubuh petani, melalui tahapan identifikasi bahaya, dosis response, penentuan pajanan serta penetapan karakteristik risiko. Petani harus menggunakan pestisida dengan benar dan bijak dengan membaca label kemasan, penyemprotan pada waktu yang tetap dan penggunaan alat pelindung diri untuk menjaga keselamatan di tempat kerja.  Farmers cultivate agricultural land require pesticides to eradicate pests and weeds. But on the other hand, pesticide may be risking their own health, consumers, non-target organisms and the environment. The aim of this study to determine the flow of pesticide exposure that can enter the body of farmers based on risk analysis. The method uses an exploratory research with a cross sectional study design. The data collection had been done by observation and interviews with 54 farmers. Farmers exposed to pesticides through dermal, respiratory, and digestion. Farmers may be exposed to pesticides in agricultural land at the time of carrying, storing, transferring the concentrate, mixing, spraying and cleaning spray equipment that has been used. Based on the calculation of the value of RQ (Risk Quotient) 54 farmers obtain the results of more than 1, which means the excess of allowable safe limit. 40.7% of farmers use the active ingredient in a single mixing more than 10 types of active ingredient and 51.9% of farmers are spraying spend 6-10 tank in a day. The greater the chance of exposure to pesticides may increase the high incidence of chronic poisoning in farmers. Risk analysis can provide an overview of pesticide exposure in the body of farmers, through the stages of hazard identification, dose response, exposure determination and the determination of risk characteristics. Farmers should use pesticides properly and wisely by reading  the instructions on the packaging label, spraying at a fixed time and the use of personal protective equipment to maintain safety at work.
Smoking as Risk Factors to Dry Eye Syndrome
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
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.v15i1.8611

Abstract

Cigarette smoke can damage the fat layer of the tear film lperoxidation. Dry eye syndromeis a cluster of disorders caused by an imbalance between production and excretionof tears, causing symptoms of discomfort in the eye. This study aims to related riskfactors smoke of dry eye syndrome. Analytic observational with cross sectional design,population of all visitors, officers and employees KAI Poncol station Semarang. Sampleof 60 respondents who meet the inclusion and exclusion criteria. Data about dry eye syndrome are examined using Schirmer I test, data on smoking were taken using a checklist.The data obtained were analyzed using chi-square test. Results of the respondentswho smoke and have dry eye syndrome was higher (80.6%) compared with non-smokers(25.0%). The results chi-square test p=0.000 (p0.05), PR = 3.222 (95%CI:1.582-6.562).Smoke who risk 3.222 times higher chance of developing dry eye syndrome comparedwith do not smoke.
Acceptance Behavior of Electronic Prescription System
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.v13i2.9703

Abstract

Electronic prescription is one of information systems to support medical services based on computer technology to support clinical decision (Clinical Decision Support, CDS). Studies proved that the use of this system can decrease medication error. One of the hospitals that have applied this system is Meuraxa Hospital. This study aimed to determine the acceptance behavior of electronic prescription information systems. The respondents of this study were 30 doctors at specialist clinic. Data was collected by distributing questionnaires on August 1st-23rd, 2016. Data was processed using SmartPLS 3.0. Results showed that there was a positive effect of effort expectancy factor on behavioral intention and facilitating factors on the use behavior towards receipt of electronic prescription. It is expected that the management of Meuraxa hospital develop an existing electronic prescription system by accommodating the needs of the system users.
PENINGKATAN KADAR TIMBAL DARAH DAN MUNCULNYA PERILAKU ANTISOSIAL PENGRAJIN KUNINGAN
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 1 (2015)
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.v11i1.3730

Abstract

Penelitian ini bertujuan mengkaji pengaruh peningkatan kadar timbal (Pb) darah terhadap munculnya perilaku antisosial pada pengrajin kuningan. Disain penelitian  observasional analitik dengan studi cross sectional. Sampel terdiri dari 55 orang pengrajin kuni ngan, dengan kriteria inklusi pria atau wanita, minimal 17 tahun, telah bekerja di industri kuningan minimal 2 tahun, pendidikan minimal pernah SD. Hasil penelitian menunjukkan telah terjadi kontaminasi Pb di lingkungan kerja industri kuningan. Kadar Pb darah pengrajin yang melebihi  nilai ambang batas40µg/dl mencapai 80%. Perilaku antisosial terukur masuk kategori sedang dan rendah. Terdapat hubungan linier antara kadar Pb darah dan perilaku antisosial dengan R2 0,353. Simpulan pajanan kronik Pb di lingku- ngan kerja industri kuningan menyebabkan peningkatan kadar Pb darah pengrajin dan berkontribusi memicu  munculnya perilaku antisosial. This study aimed to examine the effect of increased Blood Lead Levels (BLL) results of the emergence of antisocial behavior in brass craftsmen. The research designs used the analytic observational with cross sectional study. The sample consisted of 55 brass craftsmen, male or female a minimum of 17 years old, has worked in the brass industry at least for 2 years, and at least has a degree in the elementary school level. The results showed that there has been a lead contamination in the environment of brass industry. BLL that exceed the threshold value (40 μg/dl) reached 80%. The antisocial behavior measured was in the category of medium and low. There was a linear relationship between BLL and antisocial behavior with R2 0.353. In conclusion, chronic lead exposure to the brass industry environment led to an increase to blood lead levels BLL  in craftsmen contributed in the appearance of antisocial behavior.
EVALUASI KEBIJAKAN JAMINAN PERSALINAN (JAMPERSAL) DALAM PENURUNAN ANGKA KEMATIAN IBU DAN BAYI DI INDONESIA
KEMAS: Jurnal Kesehatan Masyarakat Vol 9, No 2 (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.v9i2.2849

Abstract

Adanya kenyataan bahwa AKI meningkat progresif, walaupun telah dibentuk suatu kebijakan jampersal. Sehingga penelitian ini bertujuan untuk mengkaji kebijakan dan menganalisis evaluasi implementasi kebijakan Jampersal ditingkat pelayanan kesehatan ibu hamil dan melahirkan dan  dukungan pemerintah daerah kabupaten-kota serta stake holder lainnya. Analisis evaluasi kebijakan menggunakan metode observasional prospektif, dengan pendekatan analisis semi kuantitatif kualitatif. Hasil analisis dari beberapa aspek kebijakan meliputi pengambil atau pembuat keputusan, pelaksana kebijakan, lingkungan kebijakan, penerima kebijakan, dan dampak kebijakan. Dari hasil analisis dapat disimpulkan bahwa kebijakan Jampernal belum mampu mencapai hasil yang diharapkan dalam penurunan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB), bahkan kenyataan yang dihadapi saat ini menunjukan hasil yang negatif terhadap tujuan yang hendak dicapai. Perlunya peningkatan payung hukum kebijakan Jampersal dalam bentuk Instruksi Presiden (INPRES), sehingga akan mengikat para pelaku kebijakan yang terkait di kabupaten-kota. The fact maternal mortality rate increased progressively although the system has been established of universal delivery coverage (Jampersal) policy, so that the purpose of this study was analyze evaluation of the policy implementation of universal delivery coverage (Jampersal) in health maternal  pregnancy  and  implication supporting from government and other stakeholders in city-district level. Evaluation analysis of the implementation of Jampersal policy used prospective observational method and used qualitative and quantitative analysis. The results of the analysis showed that some aspects of the policy include making or policy-makers, policy implementers, policy environment, recipient policies, and the impact of policies. The result of analysis can be concluded that the policy Jampersal not been able to achieve the expected results in decrease mother mortality rate (MMR) and infant mortality rate,  even the current reality was showed the negative results from objectives to be achieved. The needed for increased legal protection in the form of policy Jampersal such as Presidential Instruction (INPRES) , so it will be binding on the relevant stakeholders in districts and cities.
HUBUNGAN ANTARA TINGKAT KESEGARAN JASMANI DAN STATUS GIZI DENGAN PRODUKTIVITAS KERJA
KEMAS: Jurnal Kesehatan Masyarakat Vol 5, No 2 (2010)
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.v5i2.1873

Abstract

Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat ke-segaran jasmani dan status gizi dengan produktivitas kerja penyadap karet di unit Plantukan/Blabak PT. Perkebunan Nusantara IX Boja Kabupaten Kendal. Jenis penelitian ini adalah deskriptif analitik, dengan pendekatan belah lintang. Populasinya adalah seluruh pekerja penyadap karet di unit Plantukan/Blabak PT. Perkebunan Nusantara IX Boja Kabupaten Kendal Tahun 2007 yang berjumlah 118 orang. Sampel sejumlah 55 orang diperoleh dengan menggunakan teknik restriksi. Data yang diperolah dalam penelitian ini diolah dengan menggunakan statistik uji chi-square (α = 5%). Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara tingkat kesegaran jasmani dengan produktivitas kerja (p = 0,033) dan status gizi dengan produktivitas kerja (p = 0,020). AbstractThe purpose of this study was to determine the relationship between the level of physical fitness and nutritional status of the productivity of workers in the rubber tappers Plantukan units/Blabak PT. Nusantara Plantation District IX Boja Kendal. This type of research is a descriptive analytic cross sectional approach. It’s population of rubber tappers of all workers in the unit Plantukan/Blabak PT. Nusantara Plantation District IX Boja Kendal in 2007 amounted to 118 peoples. The samples a number of 55 peoples were obtained using the technique Restrictions. The data in this study were processed using chi-square test statistic (α = 5%). The results showed that there is a significant relationship between level of physical fitness with labor productivity (p = 0.033) and nutritional status with labor productivity (p = 0.020).Keywords: Physical freshness levels; Nutritional status; Work productivity
Liver Function, Leucocyte, and Blood Pressure Levels with Acute Stroke Functional Outcomes
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 3 (2021)
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.v16i3.24400

Abstract

Several studies have shown that there is an increase in bilirubin levels, leukocytes, and blood pressure in acute phase strokes. The purpose of this study was to determine the relationship between liver function levels, leucocytes, and blood pressure with the functional outcome of acute stroke. The method was a cross-sectional study with a sample size of 30 people who were selected by consecutive non-random sampling method, clinically proven acute stroke patients, and computed tomography (CT) scan. They were studied at the General Hospital of the Adam Malik Center. Demographic data were analyzed using descriptive statistics. The results showed that all subjects did not differ in terms of demographic characteristics. This study concluds that there is no relation between liver function (total bilirubin, direct bilirubin, indirect bilirubin, serum glutamic oxaloacetic transaminase [AST], serum glutamic pyruvic transaminase [SGPT], alkaline phosphatase [ALP]), leukocytes, and blood pressure with acute stroke functional outcome. The functional outcome in acute hemorrhagic stroke is worse than acute ischemic stroke. Higher levels of liver function, leucocytes, and blood pressure were found in patients with the worse functional outcome though not significantly associated.

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