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Jurnal Kesehatan Masyarakat (IKESMA)
Published by Universitas Jember
ISSN : 18297773     EISSN : 26847035     DOI : https://doi.org/10.19184
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Jurnal Ilmu Kesehatan Masyarakat (IKESMA) diterbitkan oleh Fakultas Kesehatan Masyarakat Uiversitas Jember sejak tahun 2005 dengan frekuensi terbitan 2 kali dalam satu tahun (Maret dan September). Jurnal Ilmu Kesehatan Masyarakat (IKESMA) menerbitkan artikel penelitian di bidang kesehatan masyarakat dengan topik kajian: administrasi dan kebijakan kesehatan, kesehatan lingkungan, kesehatan dan keselamatan kerja, gizi masyarakat, epidemiologi, promosi. kesehatan dan ilmu perilaku, kesehatan ibu dan anak, kesehatan reproduksi, biostatistika, sistem informasi kesehatan, dan demografi/kependudukan. Pada Bulan Agustus 2020, Jurnal Ilmu Kesehatan Masyarakat (IKESMA) memulai kolaborasi dengan Perhimpunan Sarjana dan Profesional Kesehatan Masyarakat Indonesia (PERSAKMI) untuk penerbitan jurnal. Sejak tahun 2022, Jurnal Ilmu Kesehatan Masyarakat (IKESMA) meningkatkan frekuensi terbitan menjadi 4 kali dalam satu tahun (Maret, Juni, September, dan Desember).
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FAKTOR YANG BERHUBUNGAN DENGAN KEPEMILIKAN JAMBAN SEHAT DI DESA MALIKIAN, KALIMANTAN BARAT Otik Widyastutik
Jurnal Ilmu Kesehatan Masyarakat Vol 13 No 1 (2017)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v13i1.5223

Abstract

The World Bank states that the 2010 data 22% of Indonesian people has not had a sanitation facility (latrine). The existence of latrines in Indonesia, according to World Bank data in 2010 about 22% of Indonesia's population does not have latrines. The coverage ofnational guard to urban areas with 79% and 49% for rural areas. Most of the sludge removal is using the river or dug wells which do not have the requirements of health latrine and contiminate the ground water. Based on the data obtained from the Health CenterCommunity Mempawah Hilir in 2014 of 855 homes were inspected as many as 530 households, households have basic sanitation facilities such as latrines in the Health Center Community Mempawah downstream for 420 households or 79%. This study aims todetermine the relationship between the factors of income, knowledge, and attitude, with the ownership of latrines in Malikian, Mempawah Hilir. The research method uses observational design with cross sectional approach. The sample in this study are mothers who have children under five do not have latrines that sebayak 64 respondents. The sampling technique using random sampling. Statistical analysis using chi square test. Decision of research hypothesis testing based on the significance level of 5% (p = 0.05) and confidence interval (CI) 95%. The result show that there are relationship between income and the latrine ownership (p = 0.037), knowledge(p = 0.037) and attitude (p = 0.037). The result shows no relationship between education (p = 0196), and the role of health care workers (p =1.000) with the ownership of latrines in the Malikian, Mempawah Hilir. Keywords: Latrine, income, knowledge, attitude. Keberadaan jamban di Indonesia menurut data Bank Dunia tahun 2010 sekitar 22%. Secara nasional, untuk daerah perkotaan yaitu 79 % dan untuk daerah pedesaan 49%. Sebagian besar pembuangan tinja masih dilakukan ke sungai atau mempergunakansumur galian yang tidak memenuhi persyaratan sehingga mencemari air tanah. Berdasarkan data yang di peroleh dari Puskesmas Mempawah Hilir pada tahun 2014 dari 855 rumah yang dilakukan pemeriksaan sebanyak 530 rumah tangga, rumah tangga yangmemiliki sarana sanitasi dasar berupa jamban di wilayah kerja Puskesmas Mempawah Hilir sebesar 420 rumah tangga atau 79%. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor penghasilan, pengetahuan, dan sikap, dengan kepemilikan jamban di Desa Malikian, Mempawah Hilir, Kalimantan Barat. Metode penelitian menggunakan rancangan observasional dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah rumah tangga yang memiliki balita yaitu sebanyak 64 responden, di ambil dengan menggunakan random sampling. Analisis statistik menggunakan uji chi square. Hasil penelitian menunjukkan bahwa adanya hubungan penghasilan terhadap kepemilikan jamban (p = 0.037), pengetahuan (p = 0.037) dan sikap (p = 0.037). Hasil penelitian menunjukkan tidak ada hubungan antara pendidikan (p = 0.196), dan peran petugas kesehatan (p = 1.000) dengan kepemilikan jamban di Desa Malikian, Mempawah Hilir. Kata kunci : Jamban, penghasilan, pengetahuan, sikap.
ANALISIS RISIKO KESELAMATAN KERJA PADA PROYEK PENGEMBANGAN BANDARA INTERNASIONAL JUANDA TERMINAL 2 SURABAYA Reny Indrayani
Jurnal Ilmu Kesehatan Masyarakat Vol 13 No 2 (2017)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v13i2.7029

Abstract

The construction sector played an important role in development and was the biggest contributor of work accident rate in Indonesia. The aim of the research were to analyze human, methods, machines, materials, and environment element as cause of occupational accidents. This was a cross-sectional observational research conducted in October 2012 to March 2013. This research was carried out with several integrates stages which include risk identification, risk assessment and priorities formulation, root cause analysis, and ended by recommendations for controlling risk and hazard. Risk identificationshowed that there were 100 risks that couldthreaten the workers. The following categories were: 4% low risk categories, 48% moderate risk, 39% high risk, and 9% extreme risk. Through the Q sort technique obtained five priority safety issues: workers falling from height, electric shock, workers stung by material lifted, fires or explosions, and the scaffolding collapsed. Based on root cause analysis, it showed that the most likely root cause of the problems was dominated by the human factor such as: fatigue due to overtime work, lack of experience and understanding of the procedure, lack of awareness of the importance of the ocupational safety and health. Keywords: construstion,risk assessment, root cause.
PROFIL LIPID DAN RESIKO KEJADIAN PENYAKIT JANTUNG KORONER (PJK) PADA WANITA MENOPOUSE DI KOTA MALANG AAG Anom Aswin; Diniyah Kholidah; Rinawati Basuki
Jurnal Ilmu Kesehatan Masyarakat Vol 8 No 2 (2012)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Coronary heart disease is characterized by a high content in addition to blood cholesterol levels, also triggered by the composition of fat in the abdominal cavity. Waist-to-hip ratio (waist to hip ratio / WHR) is one of the anthropometric measurements were used to show a pattern of obesity (central obesity) and increased risk of cardiovascular disease in women.  Cross-sectional study involving 39 women the gym in the morning in the working area of ​​Malang Health Center Arjuno present at the time of the data and are willing to be the subject of research. Waist-to-hip ratio (RLPP) determined by national standards, where the standard ratio of ≤ 0.8 for women is a safe ratio thresholds of risk factors for coronary heart disease.  Characteristics of total cholesterol was found that there was no significant difference in mean total cholesterol, LDL cholesterol and HDL cholesterol among subjects without the risk of CHD and CHD risk in subjects with significance 5%, respectively (p = 0.083, p = 0.629, p = 0.549). The results showed no significant relationship (p> 0.05) between the frequency of consumption of staple foods and vegetable side dish with RLPP on RR 0.907 (a staple food) and RR 0.194 (vegetable side dishes) (95% CI: 0.212 to 3.875 and 0.039 - 0.974). Thus, consumption of staple foods and vegetable side dishes that fat is a protective factor against the occurrence of CHD. But there is a significant correlation (p> 0.05) between the frequency of fruit and vegetable consumption with RLPP on RR 1.17 (vegetable) and RR 01,89 (fruit) (95% confidence level: 0.49 to 2.81 and 0.82 to 4.38). Thus, consumption of vegetables and fruits is a strong protective factor against the occurrence of CHD. There is a significant correlation between the levels of total cholesterol RLPP (p = 0.006) with a value of RR = 0.84 (95% CI: 0.35 to 2.04). It could be argued that individuals with normal RLPP protected category of developing CHD compared with individuals with RLPP high category. The bigger RLPP higher risk of CHD.
PENGARUH PENURUNAN KUALITAS UDARA TERHADAP FUNGSI PARU DAN KELUHAN PERNAFASAN PADA POLISI LALU LINTAS POLWILTABES SURABAYA Christyana Sandra
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 1 (2013)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Some of the air pollutants that may result in respiratory complaints are NO2, SO2, and dust particles. These pollutants may irritate respiratory tract, leading to lung function impairment and respiratory complaints. The objective of this study was to analyze the concentration of NO2, SO2, and dust in Surabaya. This was an observational analytic study conducted cross-sectionally among traffic policemen and staff policemen in Polwiltabes Surabaya. This study was conducted within the working area of Polwiltabes Surabaya from December 2007 to July 2008. Population of study group was the members of traffic policemen and control group was staff policemen who had met the given criteria. Sample size was 42 persons, 21 persons each from study group and control group. Data analysis used independent two sample t test and multiple logistic regression test. Mean of NO2 and dust levels had exceeded the established standard, while mean of SO2 level was still below its established standard. Mean of indoor NO2, SO2 and dust levels were still below the established standard. Lung function test revealed that 13 (61.9%) of study group had normal lung function and 8 (38.1%) had mild restrictive impairment. In control group, 19 (76.2%) had normal lung function and 2 (23.8%) had mild restrictive impairment. Study group had restrictive impairment 4 time higher risk and 1,4 time higher risk having obstruction impairment than control group. Study group had respiratory complaints 2 time higher risk than control group. Method of data analysis using multiple logistic regression test revealed that age and SO2 concentration had significantly affected lung function and respiratory complaints in study group. It must be consider that poor air quality have causative factor into lung function. It is recommended that local government increased public transportation service, provide additional air quality monitoring, transportation arrangement system, and motor exhaust gas should periodically be checked.
EFEKTIFITAS PEMBERIAN TOPIKAL ASI DIBANDING PERAWATAN KERING TERHADAP KECEPATAN WAKTU LEPAS TALI PUSAT DI PUSKESMAS SUMBERSARI JEMBER Eni Subiastutik
Jurnal Ilmu Kesehatan Masyarakat Vol 8 No 1 (2012)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

One of high infant mortality rate causes in developing countries is umbilical cord infection. Umbilical cord is a bacterial colony site that can cause infection in newborns such as omphalitis and sepsis. Umbilical cord care with topical breastmilk which contains anti-infection and anti-inflammation can speed up time of umbilical cord separation and prevent infection in neonatal period. Objective;to find out effect of topical breastmilk administration compared to dry care toward time of umbilical cord separation. Method;this was a clinical trial study with randomized clinical trial design. Subjects were all newly born babies that met inclusion criteria in Sumbersari inpatient community health center of Jember. Sample size was 64 babies divided into two groups, namely treated group consisting of 32 babies and control group consisting of 32 babies as well. Randomization was done with random technique of block 6 allocation. Data were analyzed using bivariate analysis with independent t-test and multivariate analysis with linear regression, with CI 95% and p< 0.05. Result;There was a mean difference in time of umbelical cord separation with topical breastmilk which was shorter (5.69 days) than with dry care (7.06 days), with coefficient value of -1.37 and p=0.000. Result of multivariate analysis showed that there was a significant relationship between umbilical cord care and umbilical cord separation with incidence of local infection, with coefficient value of -2.11 and R2 0.67(67 %). Conclusion;In time of umbilical cord separation in which treatment with topical breastmilk was shorter than that with dry care.   Keywords: topical breastmilk, dry care, time of umbilical cord separation
FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN SUBYEKTIF AKIBAT DEBU PADA PEKERJA PENGGILINGAN PADI DI KECAMATAN SUKOWONO KABUPATEN JEMBER Anita Dewi Prahastuti S.; Maretta Ratinasari
Jurnal Ilmu Kesehatan Masyarakat Vol 7 No 1 (2011)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

In rice mill industry, there are a number of risks that lead to health problems to workers. One of the problems is dust resulted from the process of milling paddy to become rice. Dust can decrease air quality and produces air pollution.District of Sukowono, Jember Regency is one of rice production centres in Jember Regency. Based on preliminary survey on October 7, 2009, 8 of 20 workers at rice mills in District of Sukowono often experienced subjective complaints. The complaints  felt by the workers were itch on skin, eyesore, cough, short-winding, itch in throat and sneezing. This research is intended to analyze factors related with subjective complaints caused by dust on rice mill workers in District of Sukowono, Jember Regency. This research applied analytic-observational method by cross-sectional approach. The research was conducted at PB. Lahan Mas and UD. Wringin Jaya, District of Sukowono, Jember Regency, from December 2009 to January 2010. The population in this research was 155 people and samples were 60 persons. Data analyses applied by the researcher were Spearman Test and Contingency Coefficient Test in purpose of identifying the relation between individual characteristics, dust concentration and dust control due to subjective complaints on workers at rice mills. Based on statistical test, it was obtained that there was correlation between age (p=0.007), length of work period (p=0.000), smoking habit (p=0.040), personal hygiene (p=0.000) and dust concentration (p=0.011) and subjective complaints of breathing. Moreover, sex (p=0.425), level of education (p=0.140), length of work period (p=0.159), exercising habit (p=0.370), the usage of personal protective equipment (p=0.775) did not have correlation with subjective complaints of breathing. From the research results, it is expected that workers reduce cigarette consumption and not smoke while working. Furthermore, to rice mill owner, it is expected that they pay attention to interior matters such as cleaning place of work from dust of rice milling on floor, wall and milling equipment routinely every work day and conduct an inspection on the cleanness and tidiness of workplace, provide personal protective equipment, especially masker to reduce dust inhalation which minimizes breathing complaints, give sanctions to workers who smoke in their job. Keywords: subjective complaints caused by dust, rice mill workers
ANALISIS KEBUTUHAN TENAGA PERAWAT DENGAN METODE WORKLOAD INDICATOR STAFFING NEED (WISN) DI RUANG INTERNA INSTALASI RAWAT INAP RSD Dr. SOEBANDI JEMBER Abu Khoiri; Dyah Kusworini; Ari Purwanto
Jurnal Ilmu Kesehatan Masyarakat Vol 7 No 2 (2011)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Nursing services in the hospital for 24 hours a day, that have constant contact with the patient. Therefore, the nursing services at the hospital is an integral part of health care and contribute highly to determine the quality of hospital services. Based on patient data visit of Inpatient Installation of RSD Dr. Soebandi Jember which have increased from year to year, especially the highest number at interna unit. So that the necessary studies to calculate the optimal needs of nurses in the internal ward inpatient installation by the WISN (Workload Indicator Staffing Need) method . This study aims to determine the optimal number of nursing staff requirements in Section Inpatient Unit Interna of RSD. Dr. Soebandi based on real workload with WISN method. This study is a descriptive study with quantitative data analysis by the method of work sampling. The data was collecting used work sampling form. Samples were chosen activities every ten minutes which done by staff in 24 hours. Primary data collected by observation of worker activity pattern in six days. Secondary data source collected from medical record and human resources unit in Dr. Soebandi Hospital Jember. The results showed that the use of productive time of the total available working time is 76.5%. With details of the productive activity of 26.16% direct, indirect productive by 37.19% and 13.12% of nonfunctional. Based on WISN calculation method, the number of personel that needed is 25 people. So with the result that concludes, this time Interna Ward requires one more personel. Key Words : WISN, work load, nurse
ANALISIS DAN PERANCANGAN SISTEM INFORMASI POSYANDU UNTUK MENDUKUNG SURVEILANS BERBASIS MASYARAKAT Abu Khoiri
Jurnal Ilmu Kesehatan Masyarakat Vol 6 No 2 (2010)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

One of the Alert Village activities is implementation of surveillance based on community namely surveillance of maternal and child health through activities which are conducted at the Integrated Health Services.  Surveillance activities are conducted by a cadre who records and reports using information system of the integrated health services. The resulted information is weight,  child’s nutritional status, immunization, risk level of pregnant women, immunization of Tetanus Toxoid, list of mothers and children who are either life or lifeless, and presence of health workers during providing services. Based on the previous study, resulted information was difficult to re-access and had not resulted the complete, accurate, and clear information. The objective of this research was to analyze and design of the integrated health services information system for supporting surveillance of maternal and child health based on community at the alert village. Design of this research was qualitative. Development of the system was based on the steps of FAST (Framework for the Application of Systems Thinking). Subjects consisted of both the end users (cadres of the integrated health services, Work Group IV of Family Welfare Education, midwives, and nutritional health workers at Health Centers) and the supporting end users (Head of Village and Chairman of the Alert Village). Data were analyzed using a content analysis (for the qualitative data). The results of this research were  scope definition, problem analysis, requirements analysi, logical design, and decision analysis. Keywords : Information System, Integrated Health Services Post, Surveillance of Maternal and Child Health
KUALITAS INFORMASI DARI SISTEM INFORMASI POSYANDU (SIP) BERBASIS KOMPUTER UNTUK MENDUKUNG SURVEILANS KESEHATAN IBU & ANAK OLEH MASYARAKAT PADA DESA SIAGA Abu Khoiri
Jurnal Ilmu Kesehatan Masyarakat Vol 6 No 1 (2010)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

One of the Alert Village activities is implementation of surveillance based on community namely surveillance of maternal and child health through activities which are conducted at the Integrated Health Services Post.  Surveillance activities are conducted by a cadre who records and reports using information system of the integrated health services. The resulted information is weight,  child’s nutritional status, immunization, risk level of pregnant women, immunization of Tetanus Toxoid, list of mothers and children who are either life or lifeless, and presence of health workers during providing services. Based on the previous study, resulted information was difficult to reaccess and had not resulted the complete, accurate, and clear information. The objective of this research was to develop information system of the integrated health services post for supporting surveillance of maternal and child health based on community at the alert village. Design of this research was pre-experimental (one group pretest-posttest). Subject consisted of the end user  (cadres of the integrated health services post). Data were analyzed using considered average of resulted information between before and after developing the information system.The score of the considered average on the new system (3.07) was higher than the score of the considered average on the old system (2.54). It means that the new system could overcome problems related with quality of information namely accessibility, completeness, accurateness, and clarity. Keywords          : Information System, Integrated Health Services Post, Information Quality
INDEKS KEPUASAN MASYARAKAT PENGGUNA JASA PELAYANAN KESEHATAN UPT. UNEJ MEDICAL CENTER (UMC) UNIVERSITAS JEMBER TAHUN 2007 Abu Khoiri; Nuryadi Nuryadi; Alice Anjarsari
Jurnal Ilmu Kesehatan Masyarakat Vol 5 No 2 (2009)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

UPT. UNEJ Medical Center (UMC) is one of the health service provider institutions in Jember. Patient satisfaction is one indicator of the quality of services provided by health providers. Patient satisfaction is also an investment to get more patients and have a high loyalty. Therefore UPT. UMC requires the satisfaction index to identify the extent service user satisfaction levels of services. Community satisfaction index consisting of 14 essential elements which valid and reliable as the minimum elements that must exist. The purpose of this study was to describe the user community satisfaction index of health services in UPT. UMC. Design research using observational studies because they did not give a treatment of the respondent. While time-based research using cross-sectional approach. Respondents research were patients of UPT. UMC as many as 94 people. Results obtained research data and information that the community satisfaction index of UPT. UMC was 68.72 which included in a good performance category. Keywords : Community Satisfaction Index, Health Services, UPT. UMC.

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