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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
Position and Chance of Indonesia Family Planing to Achieve RPJMN 2015-2019 and FP2020 Targets
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.v14i1.9466

Abstract

Indonesia’s commitment at London Summit 2012 was to reduce TFR by increasing contraceptive users by 2020. This paper aimed to estimate the number, trend and possibility to achieve RPJMN and FP2020 targets in Indonesia. This was a descriptive study using secondary data from Indonesia national survey. Data are presented in line, bar, and pie graphs, also table to explain trend and possibility of Indonesia FP to achieve 2020 targets. Using 2012 data as the baseline, RPJMN and FP2020 targets will be achieved if CPR grows 0.5 point/year. However, recent growth was insufficient, only 0.3 additional points. The current CPR is behind the target and 1 point/year growth rate is needed to approximate the target trajectory. Based on three surveys in 2015 (PMA, SUSENAS and SUPAS), Indonesia’s CPR was predicted to be 61.1% on 2020. This is five points lower than the 2020 target, 66.3%. This discrepancy shows that Indonesia would not achieve FP target on RPJMN 2015-2019. Based on recent survey in 2015, CPR trajectory is predicted to be 5 points below the target. 1.5 points annual growth is needed to achieve the 2020 goals.
The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance
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.v12i1.3933

Abstract

The percentages of referrals for the first level health facilities visits are coming from the health center (Puskesmas) with 16.85% at the highest and from the practicing doctors with 12.45% at the lowest. The aim of the research is to examine the efficiency the promotion, preventive and curative care quality improvement. This study used qualitative exploratory design by case study approach. The collection of data was conducted through field observations, document observation and in-depth interviews. TThe informants consisted of 4 Head of Health Center/Puskesmas, 9 cadres of integrated guiding posts (Pos Pembinaan terpadu /Posbindu) for Non-Communicable Diseases (NCDs), 9 cadres of Integrated Service Post (Pos Pelayanan Terpadu/Posyandu), 33 participants of the National Health Insurance and 23 people from community who have not joined the national health insurance scheme. The results show that mini workshops are held every month in preparing activities with a focus on the causes of most diseases in the previous month. Posyandu may reduce morbidity rate on infants and pregnant women, Posbindu for Non-communicable Diseases can prevent and control non-communicable diseases. Quality of service can improve the perception of the quality of the service and can reduce referrals to hospital.
FAKTOR RISIKO PENYAKIT BATU GINJAL
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.v7i1.1793

Abstract

Masalah penelitian adalah apakah faktor risiko penyakit batu ginjal. Tujuan penelitian ini adalah untuk mengetahui faktor risiko penyakit batu ginjal di wilayah kerja Puskesmas Margasari Kabupaten Tegal. Metode penelitian adalah analitik dengan menggunakan desain kendali kasus. Sampel penelitian terdiri atas 74 responden diantaranya 37 orang menderita penyakit batu ginjal, 37 lainnya tidak. Instrumen yang digunakan dalam penelitian ini adalah lembar kuesioner. Data yang diperoleh dalam penelitian ini dianalisis menggunakan rumus uji chi square. Hasil analisis bivariat menunjukkan kesadahan air sumur gali (nilai p=0,001, OR=4,796), riwayat keluarga (nilai p=0,01, OR=5,346), konsumsi sumber protein (nilai p=0,001, OR=6,781), konsumsi sumber kalsium phospor (nilai p=0,010, OR=3,423), konsumsi sumber asam urat (nilai p=0,001, OR=6,756), konsumsi sumber oksalat (nilai p=0,009, OR=3,660), dan konsumsi sumber asam sitrat (nilai p=0,001, OR=27,429) berhubungan dengan kejadian penyakit batu ginjal. Simpulannya kesadahan air sumur gali, riwayat keluarga, konsumsi sumber protein, konsumsi sumber kalsium phospor, konsumsi sumber asam urat, konsumsi sumber oksalat, dan konsumsi sumber asam sitrat merupakan faktor risiko penyakit batu ginjal.The research problem was the risk factors of nephrolithiasis. The purpose of this study was to determine the risk factors of nephrolithiasis in Margasari Public Health Center, Tegal regency . The method was analytic study using a case control design . The study sample consisted of 74 respondents which 37 people suffering nephrolithiasis, and the other 37 did not. The instrument used in this study was a questionnaire. The data obtained in this study was analyzed by chi square test formula . The results of the bivariate analysis showed dug well water hardness (p=0.001, OR= 4.796) , family history (p=0.01 , OR=5.346), the consumption of protein (p=0.001, OR=6.781), a source of calcium phosphorus consumption (p=0.010, OR=3.423), uric acid consumptions (p value=0.001, OR=6.756 ), the source of oxalate consumption (p=0.009, OR=3.660), and consumption sources of citric acid (p=0.001, OR = 27.429) associated with nephrolithiasis. Conclusion, the risk factors of nephrolithiasis were dug well water hardness, family history, consumption of protein, calcium phosphorus resource consumption, uric acid resource consumption, oxalate resource consumption, and citric acid sources consumption.
Family Function and Misuse of Drug in Adolescents in Indonesia
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.v16i2.23304

Abstract

In Indonesia drug in adolescents shows a number that tends to be high. This phenomenon is certainly an indication that there are character problems in children and adolescents in Indonesia, which certainly cannot be separated from the role of parents. In this case the function of parents and government support is needed in an effort to handle the use of drugs in teenagers in Indonesia. The results showed that the majority of adolescents who used drugs were more in adolescents who had heads of households with low education and had families with a low wealth index, were in whole families, and more in adolescents who lived in rural areas. Teenage boys tend to use drugs more than girls. Teenagers who use drugs have more characteristics of the 20-24 year age group,  low education and are not working. The factors that significantly affect the use of drug use among adolescents include socio-cultural functions, place of residence, adolescence, adolescent sex, work status, adolescent access to PIK-R programs, and knowledge of the impact of drugs.
FAKTOR DETERMINAN TOKSOPLASMOSIS PADA IBU HAMIL
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.v11i1.3459

Abstract

Toksoplasmosis merupakan penyakit yang disebabkan oleh Toxoplasma gondii yang merupakan golongan protozoa yang sifatnya parasite obligat intraseluler. Salah satu Provinsi terbesar di Indonesia yaitu Provinsi Riau terdapat kasus Toksoplasmosis yang menurut data dari rekam medis RSUD Arifin Achmad Provinsi Riau toksoplasmosis merupakan penyakit peringkat 9 tertinggi dari 15 penyakit terbesar dalam kehamilan. Tujuan penelitian ini untuk mengidentifikasi faktor determinan terjadinya toksoplasmosis pada ibu hamil di RSUD Arifin Achmad Provinsi Riau. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian case control. Populasi pada penelitian ini adalah seluruh ibu hamil yang tercatat di rekam medik RSUD Arifin Achmad pada tahun 2012 dengan jumlah sampel sebanyak 60 orang terbagi menjadi 30 orang sebagai kasus dan 30 orang sebagai kontrol (dengan teknik systematic random sampling). Pengumpulan data dilakukan dengan menggunakan kuesioner data analisis multivariat dengan uji multiple logistic regresion. Hasil penelitian menunjukkan adanya dua variabel yang berhubungan secara signifikan yaitu variabel pekerjaan dengan p value (0,008) OR: 7,97 ; CI 95% (1,70-37,34)  dan status paritas dengan p value (0,029) OR: 5,33 ; CI 95% (1,18-24,18). Toxoplasmosis is a disease caused by Toxoplasma gondii is a protozoan group obligate intracellular parasite nature. Riau province there are cases of toxoplasmosis which according to data from medical records General Hospital of Arifin Achmad in Riau Province toxoplasmosis is a disease of the 15 highest ranked 9th largest disease in pregnancy. The purpose of this study to identify the determinants of the occurrence of toxoplasmosis in pregnant women at General Hospital of Arifin Achmad in Riau Province. This research uses quantitative research with case-control study design. The population were all pregnant women recorded in the medical record Arifin Achmad Hospital in 2012 with sample of 60 people divided 30 people as cases and 30 persons as control (with a systematic random sampling technique). Data collection was performed using multivariate analysis of data questionnaire with multiple logistic regresion test. The results presence of two variabels significantly associated job with p value (0.008) OR: 7.97; 95% CI (1.70 to 37.34) and parity status with p value (0.029) OR: 5.33; 95% CI (1.18 to 24.18). Results of the study are expected to health workers to inform about toxoplasmosis complete and CHL counseling and regular prenatal care in the prevention of toxoplasmosis.
Dating and Premarital Sexual Inisiation on Adolescence in Indonesia
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.v15i1.17270

Abstract

Adolescent is the generation that will determine the future of the nation. Indonesia has many adolescents with excellent achievement in national and international level. However, there are still many adolescents who have negative and deviant behavior such as smoking, drinking, using drugs, even to the behavior of free sex. The purpose of this analysis was to examine dating and sexual behavior of adolescents in Indonesia. This analysis was using secondary data from the Survey of Performance Indicators of National Medium Term Development Plan Program of the National Population and Family Planning Year 2015. The survey was conducted in 34 provinces throughout Indonesia. The number of the samples for this analysis were 41.885, who were adolescents aged 15-24 years and have not married yet. The analysis showed that male respondents who had girlfriend were higher than girls who had boyfriends. On average, the first dating age is 15.5 years. The most frequent activities during dating are holding hands, kissing lips, touching and stimulating the sensitive part of body. Boys were more permissive related premarital sex than adolescent girls. Furthermore, boys admitted have had sexual intercourse three times higher than girls. Adolescents who were on dating had higher chances of having premarital sex than those who were not on dating. The chance of premarital sex was likely to increase if the adolescents holding hands, kissing lips, and touching sensitive parts of body while having date.
Building Critical Awareness Through HIV and AIDS Management Policy at Subdistrict and Village Level
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.v13i2.7297

Abstract

The number of PLWHA in Jember Regency has been increasing every year from 2004 to 2016 always, hence HIV/AIDS prevention must involve the community, not just relying on programs from the Department of Health or KPAD. Jember Regent’s policy on HIV/AIDS Management Team at Subdistrict and Village Level strategically involve all components of the society. Society’s participation was not limited to physical participation but extended to critical awareness. This is a descriptive analytic study about logical thinking on fostering critical awareness on HIV/AIDS through subdistrict and village HIV/AIDS team regulated by Jember’s Regent. Policy analysis was done through Triangle of Policy Analysis theory which includes: context, content, process and actors. The result showed that Jember Regent’s policy on HIV/AIDS prevention teams at subdistrict and village level was very effective to foster community’s critical awareness in HIV/AIDS preventive programs at Jember Regency.
Pemanfaatan Voluntary Counseling and Testing oleh Ibu Rumah Tangga Terinfeksi HIV/AIDS
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.v11i2.3912

Abstract

Human Immunodeficiency Virus - Acquired Immuno Deficiency Syndrome (HIV-AIDS)  merupakan penyakit menular yang jumlah penderitanya terus bertambah. Ibu rumah tangga merupakan penderita HIV/AIDS terbanyak di Kabupaten Belu. Pemanfaatan Voluntary Counseling and Testing (VCT) yang rendah oleh  orang dengan HIV/AIDS (odha) termasuk ibu rumah tangga terinfeksi HIV/AIDS menyebabkan  penyebaran HIV/AIDS sulit dikendalikan. Tujuan penelitian ini adalah untuk menganalisis hubungan umur, tingkat pendidikan, persepsi tentang penyakit, persepsi tentang pelayanan kesehatan, pekerjaan suami, pendapatan keluarga, keterjangkauan, persepsi keparahan penyakit dan persepsi stigma diri sendiri dengan pemanfaatan VCT oleh ibu rumah tangga terinfeksi HIV di Kabupaten Belu. Jenis penelitian yang digunakan adalah kuantitatif, disain cross sectional. Jumlah sampel adalah 90 orang yang merupakan total populasi. Penelitian dilakukan di Kabupaten Belu pada bulan Januari sampai Juli 2015. Analisa data secara deskriptif dan bivariat. Hasil analisis bivariat dengan uji chisquaremenunjukkan adanya hubungan pendidikan (p=0,040), persepsi tentang penyakit (p=0,0001), persepsi tentang pelayanan kesehatan (p=0,0001), pendapatan keluarga (p=0,016), pekerjaan suami (0,037), keterjangkauan (p=0,038), persepsi keparahan penyakit (p=0,0001) dan persepsi stigma diri sendiri (p=0,0001) dengan pemanfaatan VCT. Persepsi tentang penyakit dan pelayanan kesehatan perlu ditingkatkan dengan memperluas penyebaran informasi tentang penyakit HIV/AIDS dan manfaat VCT.Kata kunci :  HIV/AIDS, ibu rumah tangga,  pemanfaatan VCT
PERBEDAAN MOTIVASI ANAK, REMAJA, DAN DEWASA PADA PASIEN ORHODONTIC DENTAL CARE
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.v10i1.3066

Abstract

Perawatan orthodonsi tidak hanya dapat memperbaiki susunan gigi geligi, tetapi dalam kasus-kasus tertentu juga mempunyai dampak yang besar pada penampilan wajah seseorang. Salah satu faktor yang mempengaruhi keberhasilan perawatan adalah motivasi pasien. Tujuan dari penelitian ini adalah untuk mengetahui adanya perbedaan motivasi pasien orthodonsi usia anak-anak, remaja dan dewasa dalam merawatkan gigi di klinik gigi Puri Cempaka Semarang. Jenis penelitian ini adalah observasional studi dengan rancangan cross sectional, dengan menggunakan kuesioner. Sampel penelitian ini adalah pasien orthodonsi usia anak-anak, usia remaja dan usia dewasa yang merawatkan gigi di Klinik Gigi Puri Cempaka Semarang sebesar 100 orang. Prosedur penelitian ini membagi kuesioner dengan pertanyaan sebanyak 20 item dan pilihan jawaban Likert scale berisi tentang motivasi mereka datang ke drg, kebutuhan perawatan apa yang mendesak, siapa yang membayar perawatan. Hasil penelitian dalam analisis Kruskal-Wallis Test menunjukkan bahwa ada perbedaan yang bermakna antara motivasi pasien orthodonsi usia anak-anak, remaja dan dewasa dalam merawatkan gigi di klinik gigi Puri Cempaka Semarang.Pasien anak-anak tidak mempunyai motivasi internal, pasien remaja tujuannya untuk meningkatkan kecantikan sedangkan pasien dewasa bertujuan untuk merapikan kelainan posisi gigi.Orthodontics is a significant basis for physical well-being, mental stability and mental ad-aptation upon teenager for the coming days. Orthodontic treatment is not only can fix dental structure, but in the certain cases have a significant impact toward aesthetic of one’s face appearance. One factor that influence success of treatment is patient motivation. The reseach purpose was to know the existence of motivation differences between children, teen-ager and adult patients for orthodontic dental treatment at Puri Cempaka dental clinic of Semarang. This research approach was a observational study with cross-sectional design using a questionionnaire. The research sample was 100 patients with three groups of aged. Research procedure by distributing 20 items of quesionnaire with likert scale contain pur-pose, motivation, chief complain and who will pay the treatment. The research result with in Kruskal-Wallis analysis test demonstrates that there is a significant differences between children, teenager and adult orthodontic patients motivation in getting dental treatment at Puri Cempaka dental clinic of Semarang. Children patients has external motivation, teenager patients have purpose to improve their dental aesthetic and adult patients tend to fix their dental malposition. 
Is the Frequency of Smoking Affecting the Risk of Abusing Cannabis?
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.v16i1.18063

Abstract

The results of previous study found that teens that had a smoking habit were 14 times more likely to smoke cannabis than those who did not smoke. This study aims to determine the relationship between the frequency of smoking and cannabis abuse done through survival analysis. The research samples were 708 students of cannabis abusers who were previously preceded by smoking. The results of this study found that durability or length of time for abusing cannabis was mostly 1 – 4 years. The Wilcoxon test results concluded that there was a difference in survival to abusing cannabis among the frequency groups of smoking. Multivariate analysis also showed that the more number of cigarettes consumed, the greater the risk for abusing cannabis after being controlled by confounders. Conclusion of this study, the frequency of smoking affects the survival rate and the amount of risk to abusing cannabis.

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