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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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Articles 432 Documents
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Health Risk Management Pada Unit Insektisida Padatan Kurnia Ardiansyah Akbar
Jurnal Ilmu Kesehatan Masyarakat Vol 12 No 1 (2016)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Pendahuluan: Kegiatan produksi pada unit insektisida padatan PT Petrosida Gresikmasih menggunakan proses manual secara keseluruhan sangat rentan terhadap risikobahaya bagi pekerja. Bahaya tersebut sangat berpotensi mempengaruhi kesehatan pekerjayang pada akhirnya akan mempengaruhi performa kerja dan produktifitas pekerja.Penggunaan manajemen risiko kesehatan diperlukan dalam upaya preventif terjadinyapenyakit akibat kerja dan kecelakaan akibat kerja.Tujuan Penelitian: melakukan health risk management di unit insektisida PT. PetrosidaGresik..Metode Penelitian : Kegiatan health risk management meliputi mengidentifikasi bahayakesehatan, melakukan analisis penilaian bahaya dan pengendalian risiko bahaya yangtepat di tempat kerja unit insektisida PT. Petrosida GresikMetode observasi partisipatifdigunakan sebagai bahan identifikasi, analisis dan pengendalian health risk management.Perhitungan risiko dan pengolahan data dilakukan menggunakan Quantitative RiskAnalysis Matrix-Level Of Risk The Australia Standards / New Zealand Standards 4360, 2004.Hasil Penelitian: Hasil penelitian menunjukkan terdapat 63 faktor risiko dengan tingkatrisiko Tinggi berasal sejumlah 26 sumber bahaya, risiko sedang berasal sejumlah 35sumber bahaya, dan risiko rendah berasal sejumlah 2 sumber bahaya dengan metodepengendalian menggunakan pengendalian berjenjeng sesuai hirarki pengendalian. Kata Kunci : health risk management, faktor risiko, PT. Petrosida Gresik
KAJIAN PELAKSANAAN SISTEM RUJUKAN BERJENJANG DALAM PROGRAM JAMINAN KESEHATAN NASIONAL (JKN) DI UPT. PELAYANAN KESEHATAN UNIVERSITAS JEMBER Andita Cindy Faulina; Abu Khoiri; Yennike Tri Herawati
Jurnal Ilmu Kesehatan Masyarakat Vol 12 No 2 (2016)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Setiap peserta Jaminan Kesehatan Nasional (JKN) berhak untuk memperoleh pelayanankesehatan secara menyeluruh, berjenjang, efektif, dan efisien sehingga Fasilitas KesehatanTingkat Pertama (FKTP) dan Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL) wajibmenerapkan sistem rujukan berjenjang. Nilai rasio rujukan pasien peserta JKN di UPT.Pelayanan Kesehatan Universitas Jember pada bulan Januari-November 2015 yaitu37,22% dan meningkat menjadi 39,2% hingga bulan Desember 2015 atau melebihi nilairasio rujukan optimal sebesar 10%. Penelitian ini bertujuan untuk mengkaji pelaksanaanSistem Rujukan Berjenjang dalam Program JKN di UPT. Pelayanan Kesehatan UniversitasJember. Jenis penelitian ini adalah deskriptif dengan pendekatan kualitatif. Hasil penelitian menjelaskan bahwa, ketersediaan dokter belum mencukupi apabila dilihat dari statusdokter yang bukan dokter tetap karena apabila semua dokter tidak bisa hadir untukmemberikan pelayanan kesehatan maka poli umum terpaksa akan ditutup. Ketersediaanobat dan alat kesehatan kurang mencukupi karena tidak selengkap pada FormulariumNasional dan Kompendium Alat Kesehatan. Diagnosis penyakit yang banyak dirujukterutama Diabetes Melitus tanpa komplikasi maupun dengan komplikasi dan hipertensiesensial yang merupakan kompetensi FKTP. Pasien peserta JKN yang dirujuk tidaksemuanya membutuhkan pelayanan kesehatan spesialistik/subspesialistik serta masihterdapat pasien yang meminta dirujuk dengan alasan terutama sugesti pasien yang lebihmempercayai kompetensi dokter spesialis. Kata kunci: JKN, FKTP, Sistem Rujukan
EFEK PEMBERIAN SUSU KAMBING ETTAWA TERHADAP KADAR KOLESTEROL TOTAL TIKUS HIPERKOLESTEROLEMIA Hana Ika Putri; Heri Warsito; Dahlia Indah Amareta
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 2 (2014)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Hiperkolesterolemia merupakan faktor risiko penyakit kardiovaskuler yang menjadipenyebab kematian utama di dunia. Susu kambing ettawa mengandung asam lemak rantaisedang/Medium Chain Triglycride (MCT) yang mampu menurunkan kadar kolesterol total.Tujuan penelitian ini adalah untuk menganalisis efek susu kambing ettawa dalammenurunkan kadar kolesterol total. Jenis penelitian ini adalah penelitian eksperimentallaboratorik dengan pre test - post test with control group design. Sampel adalah tikusWistar jantan berusia 2 bulan, diinduksi hiperkolesterolemia, diberi susu kambing ettawadosis 2,70 ml/200g BB/hari, 3,51 ml/200g BB/hari, dan 4,32 ml/200g BB/hari selama 14hari. Kadar kolesterol total diperiksa dengan metode GOD-POD. Data dianalisis denganpaired t-test dan Anova, dilanjutkan uji LSD. Terdapat perbedaan kadar kolesterol totalsebelum dan sesudah pemberian susu kambing ettawa pada masing-masing dosis.Pemberian susu kambing ettawa dengan dosis 2,70 ml/200g BB/hari, 3,51 ml/200gBB/hari, dan 4,32 ml/200g BB/hari dapat menurunkan kadar kolesterol total sebesar8,3%, 12,8% dan 19,2%. Dosis susu kambing ettawa yang paling menurunkan kadarkolesterol tikus hiperkolesterolemia yaitu dosis III (4,32 ml/200g BB/hari). Kata kunci : Susu Kambing Ettawa, Hiperkolesterolemia, Kadar Kolesterol
HUBUNGAN LINGKAR KEPALA BAYI BARU LAHIR DAN KENAIKAN BERAT BADAN IBU SELAMA HAMIL DENGAN KEJADIANRUPTUR PERINEUM DI BPM “Z” BENGKULUTAHUN 2014 Ratna Dewi
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.v13i1.7023

Abstract

The incidence of ruptur in Indonesia which is only about 5% of all deliveries in Indonesia. The most important cause of maternal mortality in Indonesia is 40-60% of bleeding, including bleeding because of the birth canal laceration 4-5%. Objective of this study was to determine the relationship head circumference of newborns and maternal weight gain during pregnancy with rupture of the perineum in BPM Z.type of research is analytic with case control study design. The population in this study all mothers who gave birth in BPM "Z" in 2013 which amounted to 160 people, with 32 people taken in the case of total sampling and control as many as 32 people and taken by systematic random sampling. Data collected were analyzed by chi-square test. The results showed, obtained 64 respondents, birth mothers with rupturperineum 32 (50%) occur in mothers who gave birth to the size of head circumference> 34cm (71.9%), and pregnant women who experience weight gain> 12.5 ( 75.0%). Results of analysis for head circumference obtained by the P value 0.003 OR 5.622. The results of the analysis of maternal weight gain obtained P 0.003 OR 5.727. This means that there is a significant relationship between head circumference of newborns and maternal weight gain during pregnancy with ruptur of the perineum. Advised pregnant women need to do a routine check of at least four times during pregnancy, in order to be pursued maternal weight gain is within the normal enhancement. Keywords : Head circumference of newborn, maternal weight gain during pregnancy, Ruptur of the perineum
PREDIKTOR SIKAP STIGMA DAN DISKRIMINASI TERHADAP ORANG DENGAN HIV DAN AIDS (ODHA) DI KABUPATEN JEMBER Ni’mal Baroya
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.v13i2.7032

Abstract

Globally, the HIV and AIDS epidemic shows stable conditions, but statistically there is still an increase in new infections in some areas including Jember District. The main barriers to HIV prevention are stigma and discrimination against people living with HIV. This study aims to analyze the predictors of stigma and discrimination attitude toward PLHIV in Jember District. This was an observational study used cross sectional design. Research subjects were people aged 15-24 years amounted to 247 respondents. Determination of the sample using a multistage sampling technique, ie the determination of simple random cluster of villages and then determine the respondents of each cluster randomly systematic. Data were collected using structured interview technique with questionnaire then analyzed using chi-square test and logistic regression with 5% significance level. The results showed the majority of respondents (81.4%) stated not willing to buy food if the seller knew HIV +. Fifty percent more they disagree if female teachers who are HIV + keep teaching. Similarly, children with HIV + cannot be admitted to school with HIV negative children. The distribution of stigma and discrimination attitudes toward people living with HIV significantly differed by age, sex, education level, marital status and occupational status. The level of knowledge and residence does not differ significantly. A significant factor to be a predictor of stigma and discrimination against people living with HIV is age and gender. Younger age (15-19 years) and women have a greater likelihood of being stigmatized and discriminating against people living with HIV. Dissemination of information about HIV and AIDS in adolescents aged 15-19 years is still needed to increase knowledge and accelerate the acceptance of PLHIV so that stigma and discrimination attitude toward PLWHA can be reduced. Keywords: attitude, stigma, discrimination people suffering with HIV and AIDS.
HUBUNGAN ASAP ROKOK TERHADAP TERJADINYA HIPERTENSI PADA IBU HAMIL DI DESA BRANGKAL BOJONEGORO Setiawati, Astri Meidah
Jurnal Ilmu Kesehatan Masyarakat Vol 15 No 1 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v15i1.14411

Abstract

Cigarette exposure is one factor in the occurrence of hypertension and can increase blood pressure both for pregnant women and not. Hypertension is a fairly high disease problem in Indonesia. The purpose of this study was to determine the relationship of cigarette smoke to the occurrence of hypertension in pregnant women in Brangkal Village, Kepohbaru District, Bojonegoro City. This study is an observational analytic study and uses a quantitative approach. The design of this study uses cross sectional. The location of this study was conducted in Brangkal Village, Kepohbaru District, Bojonegoro City, from July to August 2018. The sample in this study used a total sampling of the population of all pregnant women in Brangkal Village, namely 10 pregnant women. The results of the study here are from the calculation of the chi-square test above indicating that the root problem of cigarette smoke in hypertension has P Value <α so that the results obtained are Ho accepted or not significant (p = 0.857). The conclusion of this study is that there is no significant relationship to exposure to cigarette smoke in the incidence of hypertension in pregnant women. This occurs due to several factors such as a husband who is working outside the city so that exposure to cigarette smoke is not as often as possible. Supporting factors are such as diet, knowledge and the amount of parity can affect hypertension in pregnant women.
DETERMINAN FAKTOR YANG BERPENGARUH PADA PEMBERIAN ASI EKSKLUSIF DI INDONESIA Fadlliyyah, Ulfi Rizqi
Jurnal Ilmu Kesehatan Masyarakat Vol 15 No 1 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v15i1.14415

Abstract

Exclusive breastfeeding is one of the efforts to reduce the prevalence of infant mortality in Indonesia. If more babies get exclusive breastfeeding, it can improve the quality of baby's health. Breast milk also helps to build the baby's immune system, and giving exclusive breastfeeding during pregnancy to babies can help reduce fat. Indonesia is one of the countries that provides exclusive breast milk, hasn't reached the WHO target. Exclusive breastfeeding in Indonesia is related to several things, such as maternal factors, career woman, cultural factors, and impact formula milk campaign. Giving breast milk which is not done exclusively can increase the risk of stunting, because it easily involves infections and diarrhea. From birth to six months, every baby should get exclusive breastfeeding. However, the implementation of exclusive breastfeeding was not as expected. There are several factors in the practice of exclusive breastfeeding. This article discusses several factors which can affect exclusive breastfeeding. Obtained from the analysis of several review articles or literature, there are 16 factors that can affect exclusive breastfeeding, such as; maternal parity, work cycle, mother's knowledge, mother's attitude, mother's actions, family or husband support, education level, early breastfeeding initiative, maternal age, health worker support, availability of space lactation in the workplace, information exposure, family income, community environment, formula milk, and the psychological condition of the mother it self.
PERAN KOMUNIKASI DAN POLA ASUH ORANGTUA TERHADAP PERILAKU SEKSUAL SISWA SEKOLAH MENENGAH PERTAMA DI KECAMATAN SUKORAMBI KABUPATEN JEMBER Kiptiyah, Holfi Mariyatul; Baroya, Ni'mal
Jurnal Ilmu Kesehatan Masyarakat Vol 15 No 1 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v15i1.14416

Abstract

Problem high-risk sexual behavior that teens when dating is the responbility of everyone, especially parents.. The parental presence of effective communication and appropriate parenting pattern is expected to cope with the increasing high-risk sexual behavior in adolescents. This study attempts to analyze the parental presence by sexual behavior risky on student dating in SMPN Sukorambi Jember Regency. The research is the study analytic by design cross-sectional. 101 students of SMP Sukorambi who claimed to have/was in the dating. The results showed that characteristics of respondents there are two variables related to sexual behavior during dating ie sex and age variable. The variable of parental presence both has a significant relationship with the sexual behavior of parent’s communication and parenting. Teen’s sexual behavior, when dating is classified as high-risk behavior, is mutually attached to the genitals with limited clothing. From this study, it was concluded that the parental presence through effective communication and discussing about sexuality and educating with autoritative parenting can prevent adolescents from high-risk sexual behavior when dating.
FAKTOR KETERPAPARAN BENZENA PADA MEKANIK DI BENGKEL SEPEDA MOTOR Indrayani, Reny; Pujiati, Rahayu Sri; Rusdianto, Agastya Aldi
Jurnal Ilmu Kesehatan Masyarakat Vol 15 No 1 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v15i1.14417

Abstract

The effects of benzene exposure on living things, especially animals and humans, have been studied almost throughout this century. Short exposure and long-term exposure to benzene can cause health problems until cancer occurs. One type of work that is at risk for indoor benzene exposure is the mechanic of a motorbike repair shop. This study aims to examine benzene exposure factors (source of exposure, air concentration, exposure, duration of exposure, and frequency of exposure) in AHASS mechanics in Sumbersari and Patrang Subdistricts, Jember Regency, and compare these exposure factors with threshold values (NAB) that applies. This research is a quantitative preliminary research, carried out from April to October 2017 in 5 AHASS motorcycle workshops spread in Sumbersari and Patrang Districts, Jember Regency. The sample of this study amounted to 30 people. Based on the results of the study it was found that benzene in the air 5 AHASS workshops spread in Sumbersari and Patrang Subdistricts, the main source came from the evaporation of fuel placed in open containers and through the combustion of the customer's motorcycle engine. The greatest concentration of benzene is in Workshop V which is equal to 21.887 mg / m3. Benzene can enter the mechanical body through inhalation and absorb it through the skin. The longest exposure time occurred in mechanics in Workshop W, while the longest duration of exposure was experienced by mechanics / 28th respondents. The frequency of benzene exposure is most often experienced by mechanics working at Y Workshop, which is 341 days a year. Benzene concentrations in air Workshop V, W, X, and Z exceed NAB, while benzene concentrations in air Y Workshop do not exceed or below NAB. To avoid the risk of benzene exposure to mechanics, the manager of Workshop V, W, X and Z is expected to make efforts to minimize benzene exposure through efforts to reduce benzene concentration in the air as well as efforts to reduce time, duration and frequency of exposure. In addition, further research is needed to determine the risk of benzene exposure to mechanics in AHASS Workshop and to determine the amount of reduction in concentration, time, duration, and frequency of exposure to minimize mechanical health risks due to exposure to benzene in the workplace.
FAKTOR DETERMINAN SOSIAL YANG MEMPENGARUHI KEGAGALAN PEMBERIAN ASI EKSKLUSIF DI SRATUREJO, BAURENO, KOTA BOJONEGORO Ramadhani, Febriyanti
Jurnal Ilmu Kesehatan Masyarakat Vol 15 No 1 (2019)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v15i1.14414

Abstract

The breast milk is the best food for babies right for infancy up to 6 months. Breast milk not only benefits the baby, but also brought benefits the mother. Globally, only 38% of infants aged 0 - 6 months are exclusively breastfed. The latest analysis of non-exclusive breastfeeding contributes to 11.6% of deaths in children under 5 years of age. This is equivalent to around 804,000 child deaths in 2011 (WHO, 2012). This research was conducted to analyze the social determinant factors that affect the failure of Exclusive Breast Feeding in Sraturejo, Baureno , Bojonegoro City. This research was an observational analytic study with a quantitative approach. The research was a cross sectional design. The research was conducted in Sraturejo Village, Baureno, Bojonegoro from 3 July to 9 August 2018. The population were 150 mothers who had children aged 0-24 months. The sample is calculated using the simple random sampling formula which resulted to 110 mothers who have babies 0-24 months of age. The data collection technique used primary data, by filling out the questionnaires of knowledges, attitudes, and behaviors. Then the priority of the problem will be determined using the USG matrix, which the proceeded with finding the cause of the problem with the metaplan technique and a fishbone diagram to identify the root causes of a problem. Then the analysis is conducted with the SWOT method. The results showed no corelation between knowledge and behavior, and there was no corelation between attitude and behavior. Other social determinants discovered are information, methods, economics, environment, individuals, and health. The social determinant factors that most affected the failure of exclusive breastfeeding are economic factors, such as working mothers. The conclusion is that working mothers affected the failure of exclusive breastfeeding.

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