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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
Stunting Intervension Strategy Based on Community Empowerment
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (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.v15i2.19049

Abstract

The problem of stunting is still spread in various parts of the world including Indonesia which is a developing country with diverse community conditions. Lampung Province which is one of the regions with a high prevalence of stunting. This research is about the strategy intervention of stunting cases in Lampung Province through Asah, Asih and Asuh programs based on community empowerment. The focus of this research is on the stunting intervention strategy through Asah, Asih and Asuh program to the community. The research approach used descriptive qualitative type. The data analysis techniques used data reduction, data display and conclusion. There were some informants for this research such as the Head of the family and nutrition health section, Head of the Program and Data Evaluation Division, Head of the Health Services and Stakeholders Division. They were the keys informants. We picked ten to be interviewed. We decided to use purposive sampling to decide the informants. This study showed that the stunting intervension strategy was still weak because of some reasons such as 1). The program has not yet been performed on specific nutrition interventions from Lampung Provincial Health, 2). The human resources indicators have less ability in carrying out the Asah, Asih and Asuh programs and decision makers in formulating legislation for reducing stunting cases and 3). There is the cooperation among stakeholders to accelerate nutrition improvement activities in handling stunting.
Development Model of Household Contacts as a Peer Support to Decrease the Prevalence of Pulmonary Tuberculosis
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.
The Increase of Periodontal Tissue in Type 2 Diabetes Mellitus Patients Based on Index CPITN
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.v12i1.5954

Abstract

The prevalence of periodontal disease in Indonesia for all age groups has reached 96.58%. Periodontal disease has been identified as a consequence of diabetes mellitus (DM). The purpose of this study is to determine the differences of periodontal tissues in type 2 diabetes and non-diabetic patients based on CPITN index (Community periodontal index of Treatment index). This study employed case control design. The population of the study consisted of 3.544 visits in the Internal Disease Polyclinic of RSUD Cimahi Cibabat in January 2015. The samples for case group were 50 people (diabetes mellitus type 2) and control group were 50 people (non-DM). The sampling technique used accidental sampling. The study was conducted in 2015 by conducting measurement of periodontal pocket depth using CPITN index. The analysis of data was carried out with independent T test. The results show that the average pocket depth based on CPITN index in the case group of type 2 DM (4.26) is greater than control group of patients without DM (3.14). There is different condition on the periodontal tissue in the group of type 2 diabetes (value-p = 0.002 0.05). The awareness in increasing the oral health protection is done by providing consultation related to blood glucose.
FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD
KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 1 (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.v6i1.1753

Abstract

Tuberculosis (TB) menjadi ancaman global karena hampir sepertiga penduduk dunia terinfeksi M. tuberculosis. Uji tuberkulin  merupakan diagnosis yang penting untuk mengetahui adanya infeksi M. tuberculosis pada anak. Tujuan penelitian ini untuk mengeksplorasi faktor-faktor dalam memprediksi uji tuberkulin positif. Faktor prediksinya yaitu karakteristik anak (umur, jenis kelamin), karakteristik orang tua (pendidikan, pekerjaan orang tua), dan ukuran rumah. Penelitian ini adalah studi kendali di sekolah dasar di Kabupaten Cilacap  bulan September-Desember 2008. Populasi dibagi menjadi kelompok perlakuan dan kendali. Sampel kasus adalah anak dengan uji tuberkulin ≥10 mm sedangkan kendali yang memiliki uji tuberkulin 0–9 mm yang dipilih dengan sampling acak proporsional. Hasil uji tuberkulin adalah data sekunder dari survei dan data primer didapatkan dengan pemeriksaan. Hasil penelitian ini adalah faktor-faktor yang dapat digunakan untuk memprediksi uji tuberkulin positif adalah BCG scar dan umur. AbstractTuberculosis becomes a global threat because nearly a third of world population infected with M. tuberculosis. Tuberculin test is an important diagnosis to rule out infection of M. tuberculosis in children. The purpose of this study to explore the factors in predicting a positive tuberculin test. Predictive factors of child characte-ristics (age, sex), parental characteristics (education, occupation of parents), and the size of the house. This research is the study of control in an elementary school in the district of Cilacap, September up to December 2008. The population is divided into treatment and control groups. The case samples are children with tuberculin test ≥ 10 mm while the control have a tuberculin test 0-9 mm are selected by proportional random sampling. Tuberculin test results of the survey is a secondary data and primary data obtained by the intervention. The results of this study are factors that can be used to predict a positive tuberculin test is a BCG scar and age.Keywords: Tuberculin test; Primary school kid; Tuberculosis
SBAR Communication (Situation, Background, Assessment, Recomendation) On Attitude And Nursing Behavior In Improving Patient Safety
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.v16i2.15954

Abstract

AbstrakBackground:Sikap dan perilaku perawat dalam memberikan asuhan keperawatan kepada pasien harus menerapkan keselamatan pasien, perawat harus melibatkan kognitif, afektif, dan tindakan yang mengutamakan keselamatan pasien. salah satu solusi untuk meningkatkan keselamatan pasien yaitu dengan komunikasi efektif salah satu metode komunikasi yang efektif saat serah terima adalah komunikasi SBAR. Komunikasi SBAR (Situation, Backgroud, Assesment, Recomendation) merupakan alatinformasiyang menyediakan metode terstruktur dan formal dari komunikasi antara staf, SBAR memiliki potensi untuk meningkatkan kemampuan staf untuk menyusun dan menyampaikan informasi penting, meningkatkan keselamatan pasien dengan mengurangi kesalahan yang terjadi selama tindakan.Purpose:Tujuan penelitian adalah untuk mengetahui pengaruh komunikasi SBAR terhadap sikap dan perilaku perawat dalam meningkatkan keselamatan pasien.Methods:Jenis penelitian yang digunakan quasi experiment dengan desain yang digunakan pre-posttest with control group design, hasil penelitian diolah dengan uji paired sample t test untuk sampel yang berhubungan dan independent samples t test untuk sample yang tidak berhubungan, instrument komunikasi SBAR menggunakan observasi, instrument sikap dan perilaku perawat menggunakan kuesioner. Populasi pada penelitian seluruh perawat yang bertugas di ruang rawat inap kelas 3 yaitu ruang gading 1, gading 2, flamboyan, dahlia RSUD RAA Soewondo Pati sebanyak 48 perawat, tehnik sampling dalam penelitian adalah total sampling jumlah sampel 48 perawat terbagi menjadi kelompok intervensi diruang gading 1, gading 2 sebanyak 24 perawat, kelompok kontrol diruang flamboyan, ruang dahlia sebanyak 24 perawat.Results: Terdapat perbedaan yang bermakna sikap perawat sesudah diberikan pelatihan komunikasi SBAR pada kelompok intervensi dengan nilai p value 0,000 dibandingkan kelompok kontrol dengan nilai p value 0,103 (uji paired sample t test). Terdapat perbedaan yang bermakna perilaku perawat sesudah diberikan pelatihan komunikasi SBAR pada kelompok intervensi dengan nilai p value 0,000 dibandingkan kelompok kontrol dengan nilai p value 0,198 (uji paired sample t test).  Conclusion: Penelitian ini menemukan bahwa komunikasi SBAR dapat meningkatkan sikap dan perilaku perawat dalam meningkatkan keselamatan pasien. Keywords:  Komunikasi SBAR; Sikap dan Perilaku Perawat; Keselamatan pasien               
INISIASI SEKS PRANIKAH REMAJA DAN FAKTOR YANG MEMPENGARUHI
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.v10i2.3378

Abstract

Perilaku seks pranikah remaja di Kota Pontianak tahun 2009 menunjukkan 56,9% pernah kissing, 30,7 necking, 13,8% petting, 7,2% oral seks, 5,5% anal seks, dan 14,7% pernah intercourse. Angka intercourse ini lebih tinggi dari angka yang dirilis Kemenkes 2009 (6.9% di Jakarta, Medan, Bandung, dan Surabaya). Tujuan penelitian ini adalah untuk mengetahui inisiasi seks pranikah remaja dan faktor prediktornya pada remaja di Kota Pontianak tahun 2014. Penelitian ini menggunakan pendekatan cross-sectional de ngan menggunakan teknik simple random sampling dalam pengambilan sampel. Jumlah sampel dalam penelitian ini adalah 300 remaja SMP dan SMA yang ada di 6 kecamatan Kota Pontianak.  Hasil penelitian ini menunjukkan inisiasi seks remaja diawali dengan pegangan tangan (82,7%), berpelukan (60,7%), cium pipi (66%), meraba daerah sensitive (19,3%), seks oral (7%), seks anal (4%), dan intercourse (14,7%). Faktor prediktor inisiasi seks pranikah diantaranya: usia pasangan (p value =0,0001; PR=2,461), monitoring orangtua (p value =0,001; PR=1,537), perilaku teman sebaya (p value =0,0001; PR=2,993), sikap seksual (p value =0,0001; PR=1,868), norma subjektif (p value =0,0001; PR=1,309), niat berperilaku (p value =0,0001; PR=3,150), dan paparan media pornografi (p value =0,0001; PR=2,803). Adolescent premarital sexual behavior in Pontianak (2009) showed that 56.9% had been kissing, 30.7 necking, 13.8% petting, 7.2% oral sex, 5.5% anal sex, and 14.7% intercourse. The number of intercourse was higher than free sex adolescent number by the Ministry of Health in 2009 (6.9% in the Jakarta, Medan, Bandung, and Surabaya). The purpose of this study was to investigate and analyze adolescence premarital sexual initiation and associated factors in 2014. A cross-sectional study with simple random sampling data collection was used. The study involved 300 adolescents participated from junior and senior high school at six subdistrict in Pontianak. This study showed initiation of premarital sexual starting from 82.7% hand touching, 60.7% hugging, 66% kissing, 19.3% touching sensitive areas, 7% oral sex, 4% anal sex, and 14.7% intercourse. The associated factors with premarital sex initiation were older age pair (p value = 0.0001; PR = 2.461), low parental monitoring (p value = 0.001; PR = 1.537), risky peers behavior (p value = 0.0001; PR = 2.993), permissive sexual attitude (p value = 0.0001; PR = 1.868), permissive subjective norm (p value = 0.0001; PR = 1.309), risky intention to behave (p value = 0.0001; PR = 3,150), and pornography media exposure (p value = 0.0001; PR = 2.803).
Challenges of PMTCT and MCHS Integration in Indonesia, Analysis by Integration Analysis Framework and CFIR
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (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.v14i3.14570

Abstract

Integration was strategy of PMTCT (Prevention of Mother to Child HIV Transmission) and MCHS (Mother and Child Health Services) since 2006. This systematic review explored integration level between PMTCT and MCHS. Literature searched from June 2015 to January 2016 through Google, Google Scholar, University Library Website, Portal Garuda, ProQuest, PubMed and 90 institutions in Jakarta. Keywords were PMTCT, HIV Mother, PPIA HIV Evaluation and HIV PMTCT Evaluation. We yielded 157 literatures from 1995-2015. Research should be done at Public Primary Health Care (PHC), discussed PMTCT implementation, and captured perspectives of staffs or decision makers. Thematic analysis was done using Atun’s Integration Analysis Framework and CFIR. We included 7 studies. No study explored overall dimensions of integration, especially planning function. Challenges were resources, execution, needs of patients, networks and communications, policies, leadership, and access to information. Only 4 studies showed PMTCT results. Coverage of first visit counseling was 9-100% and percentage of pregnant women tested was 3.9 -60%. PMTCT integration was partial. Integration was not a sole solution to results. Planning should be done together with regional and local level, involving stakeholders to disseminate PMTCT information, increasing ownership and leadership. We proposed Atun’s Framework and CFIR for further research.
Counseling Model Development Based on Analysis of Unwanted Pregnancy Case in Teenagers
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.
INTENSITAS PENCAHAYAAN DAN KELAINAN REFRAKSI MATA TERHADAP KELELAHAN MATA
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.v9i2.2840

Abstract

Keselamatan dan kesehatan kerja ditujukan untuk melindungi perkerja agar tidak membawa dampak atau akibat buruk kepada tenaga kerja yang berupa penyakit atau gangguan kesehatan. Salah satu faktor fisik di tempat kerja yang dapat menyebabkan kecelakaan kerja dan penyakit akibat kerja yaitu penerangan. Masalah penelitian adalah bagaimana hubungan antara intensitas pencahayaan dan kelainan refraksi mata dengan kelelahan mata pada tenaga para medis di bagian rawat inap RSUD dr. Soediran Mangun  Sumarso Wonogiri.Tujuan penelitian ini untuk mengetahui hubungan antara intensitas pencahayaan dan kelainan refraksi mata dengan kelelahan mata pada tenaga para medis. Metode penelitian cross sectional, dengan populasi perawat RSUD dr. Soediran Mangun  Sumarso Wonogiri berjumlah 299 orang. Sampel berjumlah 41 responden, menggunakan random sampling. Instrumen berupa lux meter dan pengukuran reaction timer. Hasil penelitian menunjukkan variabel yang berhubungan dengan kelelahan mata pada tenaga medis adalah intensitas cahaya (p=0,011) dan kelainan refraksi mata (p=0,018). Simpulan penelitian, ada hubungan antara intensitas pencahayaan dan kelainan refraksi mata dengan kelelahan mata pada tenaga para medis di bagian rawat inap RSUD dr. Soediran Mangun Sumarso Wonogiri. Occupational health and safety aimed to protecting worker of bad effect, for example from diseases or health problems. One of the physical factors in the workplace that can lead to accident and occupational disease is lighting. Research problem was how the relationship between light intensity and abnormality eye refractive to eye fatigue on medical staff at dr. Mangun Soediran Sumarso Wonogiri. Research purpose was to determine the relationship between light intensity and abnormality eye refractive to eye fatigue of the medical personnel. Cross-sectional research methods with nurses population from dr. Soediran Mangun Sumarso hospital Wonogiri, amounts 299 people. The samples amounted to 41 respondents, using random sampling. Instruments such as lux meters and reaction timer. The result showed that the variables associated with eye fatigue on medical staff were light intensity (p=0.011) and abnormality eye refractive (p=0.018). The conclusions, there was relationship between light intensity and abnormality eye refractive to eye fatigue on the medical staff at dr. Soediran Mangun Sumarso Wonogiri.
The Effect of Katuk (Sauropus androgunus (L) Merr) Leaf Biscuit on Increasing Prolactine Levels of Breastfeeding Mother
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 1 (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.v16i1.11324

Abstract

Prolactin is one of the important hormones for increasing the synthesis and secretion of breast milk. Katuk (Sauropus androgunus (L) Merr) leaf biscuits are standardized and practical processed food products that are substituted with katuk leaf extract and have met the requirements as additional food for breastfeeding mothers. In addition to nutritional content, katuk leaf biscuits also contain phytochemical compounds, namely steroids and alkaloids. The purpose of this study was to determine the effect of katuk leaf biscuits on increasing serum prolactin levels of breastfeeding mothers. This research was conducted in the city of Bandung. The design used was a randomized controlled trial. The sample was 45 primiparous postpartum mothers who gave birth at the public health center for Obstetrics and Neonatal Basic Emergency Services (Puskesmas PONED) in Bandung City, consisting of 22 treatment groups and 23 control groups. Sampling is conducted by block randomization. Data were analyzed using the Independent T-test. The results showed that there was an effect of katuk leaf biscuits on increasing serum prolactin levels in breastfeeding mothers. It is suggested that katuk leaf biscuits be used as an alternative as an effort to increase breast milk production so that it can support the success of exclusive breastfeeding.

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