Jurnal Kesehatan Masyarakat
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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<![CDATA[The Determinants of Husband Behavior in The Care of Pregnant Women ]]>
<![CDATA[Gamelia, Elviera]]>;
<![CDATA[Masfiah, Siti]]>;
<![CDATA[Sari, Indah Purnama]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.3465
<![CDATA[Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing motherâs health status during pregnancy. This study aims at determining the factors of husbandâs role in womenâs prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husbandâs role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husbandâs role in mother prenatal care. However, husbandâs behavior control (p=0.045) and intention (p=0.000) have relation with husbandâs role in women prenatal care. Variable of intention is the most dominant variable related to husbandâs role in womenâs prenatal care.]]>
<![CDATA[Transovarial Transmission and Dengue Virus Serotypes in Aedes Aegypti In Kupang ]]>
<![CDATA[Wanti, Wanti]]>;
<![CDATA[Sila, Oktovianus]]>;
<![CDATA[Irfan, Irfan]]>;
<![CDATA[Sinaga, Enni]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.4993
<![CDATA[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.]]>
<![CDATA[The Increase of Periodontal Tissue in Type 2 Diabetes Mellitus Patients Based on Index CPITN ]]>
<![CDATA[Budiman, Budiman]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.5954
<![CDATA[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.]]>
<![CDATA[The Role of Public Health Centers (Puskesmas) as the Gatekeeper of National Health Insurance ]]>
<![CDATA[Yandrizal, Yandrizal]]>;
<![CDATA[Anita, Betri]]>;
<![CDATA[Febriawati, Henni]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.3933
<![CDATA[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.]]>
<![CDATA[Malaria Community Health Workers in Eliminating Malaria in Banyumas Regency ]]>
<![CDATA[Rejeki, Dwi Sarwani Sri]]>;
<![CDATA[Nurlaela, Sri]]>;
<![CDATA[Octaviana, Devi]]>;
<![CDATA[Kusnanto, Hari]]>;
<![CDATA[Murhandarwati, Elsa Herdiana]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.4030
<![CDATA[Banyumas has not reached the elimination of malaria yet. One of the efforts is done by community empowerment by establishing malaria Community Health Workers (CHWs/JMD). JMD are people who conduct the discovery and medication of malaria in Active Case Detection (ACD). The research aims at describing JMDs attitude and knowledge towards the malaria elimination in Banyumas Regency in 2015. Quantitative research with cross sectional design was performed in the study. There were 15 JMDs spreading across in 7 public health centers/Puskesmas. The results show that most of JMDs were male with primary education background. They are mostly employed and do not join any training within 3 years. The average age of JMDs is 48.4 years old although there are some workers who are over 65 years old. 33.3% of JMDs are in low-medium categories, and there are 26.7% JMDs who have negative attitude to malaria. All JMDs have less skill such as not to do home visits as scheduled, not to do periodic reports, not to send blood preparations immediately and unstandardized of the blood preparation.]]>
<![CDATA[The Determinants of Infant Mortality in Neonatal Period ]]>
<![CDATA[Sari, Indah Purnama]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.4882
<![CDATA[Neonatal mortality is mortality happening to newborn baby who are alive during the birth but died after first month of life (28 days after being delivered). This study used data from 2013 reports. The aim of this study was to identify determinants of neonatal mortality risk. Case control design was used. Population of cases were newborn baabybies who dying within 28 days after the birth, while the population of controls were newborn baby who do not die within 28 days, selected from the same population of cases. Cases and controls proportion were 1:3 with 39 babies served as cases and 117 babies as controls. Cases were identified form The Health Office and PHC reports, meanwhile controls were selected from neighbor of cases. Univariate, bivariate and multivariate analysis were conducted in this study. The results shows that newborn weight (p=0,03), immediately breastfeeding (p=0,00) and postnatal care (p=0,00) are the risk factors for neonatal mortality.]]>
<![CDATA[Effect of Aquarobic and Weight Training on Cortisol Levels in Obese Women ]]>
<![CDATA[Mukarromah, Siti Baitul]]>;
<![CDATA[Susanto, Hardhono]]>;
<![CDATA[Rahayu, Tandiyo]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.5510
<![CDATA[Exercise is physical stress which potentially causes disruption of homeostasis, especially in sports that is excessively done. Weight Training (LB) and Aquarobic Exercise (LA) can be modulators of handling stress. This research aims at investigating the effect of the difference between LB and LA to physical stress in obese women. The study was conducted in 2014. The method used in this study was randomized experimental pretest-posttest control group design in 36 obese women, aged 45-50 years who were divided into 3 groups, group LB 50% RM, 3 sets, 12 repetition, treatment two times a day for 8 weeks (n = 12), LA 75% HRmax, treatment 2 days for 8 weeks (n = 12) and control group (n = 12). Body Mass Index (BMI) and cortisol levels were measured before and after the treatment. Hypothesis testing was conducted using test (One-Way ANOVA and Kruskal-Wallis) and the mean difference test (Tukey HSD and Mann Whitneyâs). The results of BMI is increased in the WT group and is decreased in LA group as compared to control group (p <0.05). The decrease of cortisol level is higher than in LA and LB group and controls (p <0.05). LB and LA affect the physical stress that is characterized by the increase in cortisol levels in obese women. Conclusion: LB is more dominant than LA in increasing physical stress.]]>
<![CDATA[The Community Diagnosis of Filariasis Endemic Villages in Pekalongan City ]]>
<![CDATA[Indarjo, Sofwan]]>;
<![CDATA[Siwiendrayanti, Arum]]>;
<![CDATA[Pawenang, Eram Tunggul]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.4130
<![CDATA[The percentages of referrals for the first level health facilities visits are coming from Filariasis cases have increased to 11,699 until 2008. In Pekalongan City, there are 117 infected people in 2011. This study aims at investigating social determinants of filariasis endemic communities in several villages. Surveys using a cross-sectional study design, Population studies that tested positive for finger blood survey (FBS) in 2011-2013. Samples were collected by convenience sampling method sequentially through questionnaires and observation. There were 402 people participating in this study. The result shows that the presence of bushes, puddle, Sewerage are in unfavorable conditions and people do not use mosquito net during sleep and hang clothes. The best prevention practice in Padukuhan Kraton Village is by regularly use mosquito repellent and do not go out at night, Padukuhan Kraton endemic filariasis with mf-rate of 3.7%. Filariasis Elimination Program Year 2011-2015 is carried out properly and in accordance with the regulations of filariasis filariasis Mass Drug Administration (MDA) program. FBS is implemented before MDA (Mass Drug Administration) and handling of cases of chronic filariasis. Respondents have a good knowledge of prevention of transmission of filariasis. Hoewever, the practice of taking the MDA medication is still less. Suggestions for the community are to improve environmental sanitation, improvement of MDA medication and the prevention of transmission of filariasis.]]>
<![CDATA[The Analysis of School Health Development Index (SDHI) ]]>
<![CDATA[Dharmadi, Made Agus]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.4201
<![CDATA[The grand strategy of the Ministry of Health is the proper functioning of evidence-based health information systems through basic data and indicators. Therefore, this study aims at formulating an analysis of the needs, dimensions and indicators of School Health Development Index (SHDI). The samples included 50 schools for all units of educational levels in Buleleng Regency. The study employed the method of participant observation, documentation studies, interviews and questionnaires. Based on the results and discussion, it can be concluded that 1) Healthy school is a fixed price for every school, 2) The understanding of School Health Index Development (SHDI) of UKS supervising teachers in schools is still lacking, 3) the use of SHDI in every school is very important to measure the level or health status of each school in Buleleng Regency 4), The dimensions of SHDI are a) School policy, b) Work Program, c) Infrastructures, and d) School community behavior, 5) The existence of the SHDI guidebook becomes one of the bases for SHDI achievement.]]>
<![CDATA[The Implementation of Credentialing for First-Level Health Facilities of Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Denpasar ]]>
<![CDATA[Ulandari, Luh Putu Sinthya]]>;
<![CDATA[Indrayathi, Putu Ayu]]>
<![CDATA[ Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016 ]]>
Publisher : <![CDATA[Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan ]]>
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DOI: 10.15294/kemas.v12i1.4944
<![CDATA[The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.]]>
