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[Correlation between Acute Stroke and Concentration of Creatine Kinase Myocardial Band, Troponin T, Hemoglobin, and Electroyltes ]]>
<![CDATA[Fahrina, Destika]]>;
<![CDATA[Sinurat, Puji Pinta]]>;
<![CDATA[Rambe, Aldy Sjarifuddin]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.11846
<![CDATA[Currently, there were only a few studies regarding the correlation between concentration of creatine kinase-myocardial band (CKMB), troponin T, hemoglobin, and electrolytes and acute stroke. This study aimed to understand the difference of mean concentration of CKMB, troponin T, hemoglobin, and electrolytes and their relationship with acute stroke. This was a cross sectional study using samples of 30 subjects who were selected with consecutive non random sampling. The subjects were acquired from acute stroke patients who were proven clinically and using computed tomography (CT) scan at Haji Adam Malik General Hospital. Demographic data were analyzed using descriptive statistic. The result showed that there were no difference in demographical characteristics between the subjects. In conclusion, there were no differences in mean of CKMB, troponin T, hemoglobin, and electrolytes in acute stroke. No correlation was found between acute stroke and concentration of CKMB, troponin T, hemoglobin, and electrolytes.]]>
<![CDATA[Precede-Procede Analysis of Prenatal Class Plus Model in the Optimization Education of High Risk Pregnancy ]]>
<![CDATA[Azinar, Muhammad]]>;
<![CDATA[Fibriana, Arulita Ika]]>;
<![CDATA[Wahyuningsih, Anik Setyo]]>;
<![CDATA[Azam, Mahalul]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.11532
<![CDATA[High-risk pregnancies are still common in rural areas. The percentage of high-risk pregnancy in Singorojo sub-district of Kendal District in the last three years has increased significantly. The highest number of cases was in Cening and Singorojo villages. In the past year, 86.88% of pregnancies in Cening village and 55.42% of pregnancies in Singorojo village were categorized as high-risk. The lack in community education limited prevention of high-risk pregnancies. Prenatal Class Plus model is an innovation that was being developed in this study. This is a research and development study with qualitative and quantitative approaches. The “Prenatal Class Plus†model was developed in Cening and Singorojo village. Research subjects were pregnant women, husbands, or families of pregnant women, health cadres, and related stakeholders. Research data were analyzed qualitatively and quantitatively. Prenatal Class Plus model can improve the knowledge, attitude and efforts of pregnant women and their husbands during parturition and prevention of pregnancy complications (P4K).]]>
<![CDATA[The Change of Knowledge and Attitude of Bride and Groom Candidate After Reproductive Health Pre-Marital Course by KUA Officer ]]>
<![CDATA[Nugraheni, Sri Achadi]]>;
<![CDATA[Martini, Martini]]>;
<![CDATA[Kartasurya, M I]]>;
<![CDATA[Johan, I]]>;
<![CDATA[Ambari, Reni Pawestuti]]>;
<![CDATA[Sulistiawati, E]]>;
<![CDATA[Nurchumaida, Nurchumaida]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.13495
<![CDATA[Reproductive health in Indonesia is still very poor, as evidenced by the still high maternal mortality rate (MMR). MMR decline was slow, as well as in the province of Central Java. The highest is in Brebes Regency which has as many as 53 cases of maternal decease. One of the causes of high MMR is the lack of reproductive health sensitivity of bride and groom candidates. The purpose of this research is to analyze the influence of counseling on bride and groom candidates knowledge and attitude related to reproductive health. This research is a quasi experimental research with pre and post test without control group design. The population was bride and groom candidates listed in KUA of Brebes Regency in July and August of 2017, with a sample of 100 pairs selected according to the inclusion criteria. The interventions in the form of a one-day course by KUA officers on reproductive health with Bride and Groom Candidates Reproductive Healt booklet and flipcharts as the tools. The data of knowledge and attitude are obtained by interviewing the bride and groom candidates. Analysis is conducted with Wilcoxon Match Paired Test. The results showed that there is a difference of bride and groom candidates knowledge and attitude before and after intervention (p <0,05), with mean value increased 2.58 points (knowledge) and 3,21 points (attitude). Recommended advised are the pre-marital program socialized by KUA officers is expanded and multiplication of the booklet as a tool for the officers in pre-marital courses implementation.]]>
<![CDATA[Health Care Workers Communication on Diabetes Mellitus Management in Hospital and Community Health Center ]]>
<![CDATA[Maghfirah, Sholihatul]]>;
<![CDATA[Rohmadi, Rohmadi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.11755
<![CDATA[Diabetes Mellitus (DM) patients require DM management for life. Research proved that good quality self-care behavior of DM patients in dr. Harjono Regional Public Hospital Ponorogo and in North Ponorogo Community Health Center were still low (28,6% in dr. Harjono Regional Public Hospital Ponorogo and 50% in North Ponorogo Community Health Center). Health care worker communication is related to self-care behavior of DM patients. Differences in hospital and community health center self-care behavior in the previous study results triggered a question on the differences in hospital and community health center workers communication. This study was conducted in 2017 and aimed to explain the difference of health care workers communication regarding DM management in hospital and community health center. This study used comparative research design with 32 respondents from dr. Harjono Regional Public Hospital Ponorogo and 31 respondents from North Ponorogo Community Health Center. The results showed that 78.1% of respondents in hospitals and 93.5% of respondents in community health center stated good health care workers communication. The Fisher’s Exact test found p value of 0.148 which meant that there was no difference in communication of healthcare workers in hospital and community health center. Most patients in both places suffered from DM for 1-5 years and required the same health care workers communication, therefore there was no difference in the communication of health workers in both places.]]>
<![CDATA[Community Understanding of 13 General Messages of Balanced Nutrition ]]>
<![CDATA[Sukoco, Noor Edi Widya]]>;
<![CDATA[Herawati, Maria Holy]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.11800
<![CDATA[Indonesia still faces a double burden of nutritional problems, especially in children. It is essential to promote balanced nutrition education to mothers of toddler years old. They are more familiar with “4 Healthy and 5 Complete†which has been replaced by “Balanced Nutrition Guidelines†(PUGS). This cross-sectional study aimed to assess the knowledge of mothers about 13 PUGS messages in East Lombok District. This study was conducted using quantitative approach and supported with qualitative data. Data was collected by interviewing 188 mothers, stakeholders, health workers, cadres and community leaders. Data was analyzed using logistic regression to determine which messages are correlated to nutritional status. The result shows that the majority of mothers do not understand PUGS. There is a relationship between mother’s knowledge with children’s nutritional status. Mother’s knowledge of consuming iron-containing foods, drinking clean and sufficient water are associated with children’s nutrition status. PUGS messages are better understood by health workers compared to mothers.]]>
<![CDATA[Side Effects and Determinant of the Use of 3-Month Contraceptive Injection ]]>
<![CDATA[Priyanti, Sari]]>;
<![CDATA[Syalfina, Agustin Dwi]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.9209
<![CDATA[Acceptor of contraceptive injection increased from 11.7% to 27.8% since 2010-2013. Contraceptive injection of Depo Medroxy Progesterone Acetate (DMPA) is given every 3 months by intramuscular. The long-term use of 3-month contraceptive injetion for more than two years can cause side effects such as menstrual disorders and decreased libido due to accumulation of progesterone hormone in the body that suppressed estrogen effect. This study aimed to analyze the association in long-term use of 3-month contraceptive injetion with menstrual disorders and decreased libido in Puskesmas (Primary health care) Puri, Mojokerto Regency in 2016. The study was observational analytics with cross sectional approach with sample 73 contraceptive acceptors. The data were analyzed by using univariate, bivariate and multivariate analysis with logistic regression and multivariate general model. The results showed that the duration of use of 3-month contraceptive injetion was significant with side effect of menstrual disorders (PR=0.142; 95%CI: 0.040-0.502) and decreased libido (PR=0.275; 95%CI: 0.100-0.756). Conclusion: menstrual disorders and decreased libido associated with the duration of use of 3-month contraceptive injetion.]]>
<![CDATA[Evaluation of Administrative Service Quality Towards JKN Patient Satisfaction ]]>
<![CDATA[Indarwati, Molina]]>;
<![CDATA[Phuoc, Phan Thien]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.14915
<![CDATA[Based on BPJS Kesehatan data, there was a decrease in Participant Satisfaction Index by 0.3% in 2016. The number of outpatient visits in RSUD KRT. Setjonegoro Wonosobo has decreased in 2016. Based on preliminary study, there were problems mainly related to health services provided by RSUD KRT. Setjonegoro Wonosobo. The purpose of this study was to determine how the quality of administrative services affect the satisfaction of JKN patients. This research used qualitative research methods. Data collection was conducted using observation and interview techniques. The results showed that the quality of administrative services in RSUD KRT. Setjonegoro seen from the dimensions of tangibles, reliability, responsiveness, assurance, and empathy is good. All the main informants were satisfied enough with the health services provided by the hospital. The advice given was to improve the performance in by conducting regular evaluation of the services provided.]]>
<![CDATA[The Giving of Guava Leaves Boiled Water to Postpartum Perineal Wound Healing ]]>
<![CDATA[Zuhana, Nina]]>;
<![CDATA[Prafitri, Lia Dwi]]>;
<![CDATA[Ersila, Wahyu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.10663
<![CDATA[Labor often results in a tearing of the birth canal, either primigravida or multigravida with a rigid perineum. Approximately 85% of women who give birth spontaneously vaginal have 32-33% perineal trauma due to episiotomy and 52% are spontaneous lacerations. Perineal trauma may occure perineal infection due to poorly maintained perineal hygiene. This can be prevented by treating injuries. The research aims to know the effect of guava boiled water (psidium guajava linn) on the duration of wound healing of the postpartum nurse’s perineum. This research uses quasi-experimental research method with posttes control group design. Population used all postpartum with perineal sew wound in Pekalongan district in 2017 with sampling technique non probability sampling type consecitive sampling. Data analysis using un-paired t test showed that there was influence of guava leaf decoction (Psidium Guajava Linn) on the duration of wound healing of postpartum nurse perineum with significance value p 0,000 (<0,05).]]>
<![CDATA[Parity and Maternal Illness and the Incidence of Imminent Abortion ]]>
<![CDATA[Rangkuti, Layla Fadhilah]]>;
<![CDATA[Lutan, Delfi]]>;
<![CDATA[Sanusi, Sri Rahayu]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.11166
<![CDATA[Imminent abortion is the first stage abortion and a threat of abortion. Most of the studies stated that the incidence of abortion is 15-20% of all pregnancies. Complication in imminent abortion is bleeding or infection which can cause mortality. The objective of this research was to analyze the relationship of parity and maternal illness with the incidence of imminent abortion. The research used observational analytic study with case-control design. The samples were 100 participants. The data were analyzed by using univariate analysis and bivariate analysis with chi square test. The result of the bivariate analysis with chi square test showed that there was significant association of parity (p=0.0001) and maternal illness (p=0.0001) on the incidence of imminent abortion. It is recommended that health care providers can detect abortion earlier and also provide counseling for pregnant women about imminent abortion.]]>
<![CDATA[Nutritional Status and Physical Fitness of Full Day Elementary School Students ]]>
<![CDATA[Wahyudi, Agung]]>;
<![CDATA[Firmansyah, Sofyan Adi]]>;
<![CDATA[Dong, Nguyen Nhat]]>
<![CDATA[ KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018) ]]>
Publisher : <![CDATA[Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang ]]>
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DOI: 10.15294/kemas.v14i1.14381
<![CDATA[Nutritional status can be measured through the adequacy of nutrients obtained from food which are digested every day. The increasing number of healthy food absorbed by the body can increase the physical fitness of the body. The purpose of this research was to do counseling in order to understand the nutritional status and physical fitness level of fifth grade student at Tunas Harapan Islamic Elementary School in Sendangmulyo, Tembalang, Semarang. The physical fitness level was measured using nutritional status and physical fitness test (TKJI). The data were obtained using descriptive method with measurement and test techniques. These data were obtained from measurement of height, weight, age, and physical fitness tests (TKJI). This study found that the nutritional status of fifth grade students in Tunas Harapan Islamic Elementary School were included in normal nutrition category and moderate physical fitness level.]]>
