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INDONESIA
Jurnal Ilmu Kesehatan Masyarakat
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 404 Documents
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Penerapan Pendekatan Positive Deviance dalam Menanggulangi Masalah Malnutrisi pada Balita Melalui Program Pos Gizi Ayubi, Dian; Rahayu, Nurdianaturrahma Budi; Yulianti, Y
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

More than half of infant and under five children mortality is caused by malnutrition. Possitive deviance approach is widely used to increase nutrition status of children. This study was aimed to increase nutrition status among underfive children through ”Pos Gizi” intervention. This pre-experimental study design involved 20 mothers and their under five year children. ”Pos Gizi” intervention covered counseling, training and education. Data collection was used self-administered quetionnaires. After the intervention, the study found nutrion status of 70% children increases as well as knowledge of mothers. Home re-visitation should be regularly conducted to monitor and to motivate mothers in improving nutriotion status.
HUBUNGAN PENGETAHUAN IBU TENTANG STIMULASI DINI DENGAN PERKEMBANGAN MOTORIK PADA ANAK USIA 6-24 BULAN DI KECAMATAN MAYANG KABUPATEN JEMBER Kusuma, Irawan Fajar; Syamlan, Ramzi; Yoniko, Ayu
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

More than two third of toddler in some developing countries suffer from declining of their childhood development. In Indonesia, in 2003, Department of Health has conducted childhood development in 30 provinces and reported that 45,12 % of infant has suffered from growth and development disorder. One of factors that influence the development is early stimulation especially from people close to the toddler (mother and other family).The aim of this study is to analyze the relationship between mother’s knowledge about early stimulation and motoric development of toddlers. This is an observational study of case control design. To obtain the samples, the technique is non probability sampling with consecutive sampling. Motoric development of toddlers from 6 – 24 month old are observed by KPSP form. Data are analyzed using bivariate analysis of Marginal Homogeneity test and Conditional Regressiona Logistic (Confidence Interval 95%). The result shows that mother’s knowledge on early stimulation have significant effect to the motoric development of toddlers. The odds ratio shows 4,950 means that the lack of knowledge of the mother on early stimulation may increase the risk of motoric development disorder about nearly 5 times. It can be conclude that there is significant relationship between mother’s knowledge on early stimulation and motoric development disorder. Mother who is in the closest position of toddlers should be educated with this knowledge of education.
GAMBARAN PELAKSANAAN KEGIATAN KIA DI KABUPATEN SERANG Witcahyo, Eri; Ma’rufi, Isa
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

Serang is ones of district of Banten Province which has problem at maternal, neonatal, child health. Maternal and child mortality rate shows increase trend each years. The purpose of this study was to describe Maternal & Child Health activities implementation at communities. Type of research is descriptive by interview technique. Informants on the study are midwife coordinator and manager line at each Community Health Center (Sub District Pamarayan, Kramat Watu and Tirtayasa). The results showed that according to the informant are partnership between midwives and TBA has to improve, reward system is also give to community to increase their participate at all of Maternal & Child Health activities which held by government. Social activities at community are also the meaning part to improve Maternal & Child Health activities. According to the result, it is suggested to create innovative program for communities. It needs to use effective methods and media so that communities impress to join the activity. Participatory approach is also important to improve community participative.
PENGARUH TEKNIK RELAKSASI TERHADAP ADAPTASI NYERI PERSALINAN IBU BERSALINKALA I FASE AKTIF DI BPS WILAYAH PUSKESMAS PATRANG KABUPATEN JEMBER TAHUN 2012 Wildan, Moh.; Purwaningrum, Yuniasih
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

In the first stage of labor uterine contractions that cause pain stimuli, approximately 90% of labor is accompanied by pain. Efforts to reduce or eliminate non-pharmacological pain in childbirth with hypnosis, reduce the perception of pain, cutaneous stimulus and Relaxation Techniques. Relaxation techniques are external actions that affect the internal response of the individual. This study aims to determine the effect of relaxation techniques to adaptation of the first stage of labor pain in the active phase of Public health centers in the district Patrang Jember. The research design was pre Experiment (Quasi experiment) by the method of a "One-Group Pre-test - Post test Design". Samples were 30 respondents, the selection of samples using non-probability sampling technique (Accidential sampling). Data collected by observation intensites pain before and 30 minutes after the technique of relaxation. Data analysis ststistik using Wilcoxon  Mafched Pair Test, with a significance level (df 5%).The results Z count -5.203 was greater than -1.96. Thus Ho is rejected, mean relaxation techniques affect the adaptation of labor pain in the active phase of the first stage in the Public health center Patrang Jember district. Seeing the results of this study provide innovation Midwife charged with using the latest methods to perform care dear mother, one of which is the method of relaxation techniques. A mother has the right to obtain delivery of high quality care delivery so as to avoid inconvenience at the time of delivery.
ANALISIS KINERJA BIDAN DESA DALAM PELAYANAN NEONATUS DI WILAYAH PUSKESMAS KABUPATEN LUMAJANG JAWA TIMUR Jamhariyah, J
IKESMA Vol 9, No 1 (2013)
Publisher : FKM - UNEJ

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Abstract

Lumajang health center data of 2007-2010 showed that the results of the coverage of neonatal doesn’t reach  the target SPM (Minimum Service Standards). Based on a preliminary survey showed that the performance of village midwives in neonatal care not match with the standard set in the SPM, recording the results of neonatal care have not been implemented properly, not maximum utilization of facilities and supervision of the activities carried out by the report results. The aim of this study is to explain how the performance of village midwives in neonatal care in Lumajang. The kind of the research is qualitative descriptive study with cross sectional approach. Main informants is village midwife in Lumajang, by using a purposive sample of 25 sampling.Data collected through in-depth interviews  and data processing using the method of content analysis. The results obtained indicate that the performance of village midwives in neonatal care have good standards of tools, services and service schedules, optimal utilization of funds and facilities are not available yet evenly. Supervision needs to have appropriate midwives in neonatal care activities and interpersonal relationships is not maximized.
PERUBAHAN SIKAP AKSEPTOR SEBELUM DAN SESUDAH KONSELING TENTANG PEMERIKSAAN ULANG PASCA PEMASANGAN IUD DI DESA MANGARAN KECAMATAN AJUNG TAHUN 2011 Suparwati, Ratna; Sasmito, Lulut; Misiyem, M
IKESMA Vol 9, No 1 (2013)
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Abstract

The results BKKBN Center (2010) found that the acceptor inspection afterinstallation of the IUD and some of them do not exercise control on the groundsthere was no suggestion from the officer, did not know and no complaints. Thereason is because the officer did not provide full counseling about the IUD andside effects that may arise after the installation, or due to lack of staff knowledgeabout these devices that cause they do not provide complete and correctinformation. One way to handle it is by counseling. Counseling is an attempt to help resolve conflicts, obstacles and difficulties inmeeting our needs, as well as efforts to improve mental health. This study aims to identify changes in attitude acceptors before and aftercounseling on post-installation re-examination of the IUD. The study design was a one group pre test – post test, the population of IUD acceptors in the working area Ajung Village Health Center in 2011 Mangaran some 54 people with a sample ofsome 47 people. The number of samples that do not meet the criteria of thesample as many as 7 people, so the number of samples that meet the criteria of the sample as many as 40 people. Data were collected with questionnairs measuringinstruments covered by using Likert scale before and after counseling. Results of research prior to counseling 18 acceptors (45%) had a positive attitudeand 22 acceptors (55%) having a negative attitude. After counseling obtained 25acceptors (62,5%) ang 15 acceptors (37,5%) having a negative attitude. Statistical test Wilcoxon Match Pairs Test = 5,513. Because the count Z > Z table(5,513>1,96), so that Ho refused. This means that there is a change in attitudeacceptors before and after counseling on post-installation re-examination of theIUD. Therefore, counseling should be done continuously to increase thepercentage of acceptors who perform post-installation re-visit the IUD.
EFEKTIFITAS PEMBERIAN TOPIKAL ASI DIBANDING PERAWATAN KERING TERHADAP KECEPATAN WAKTU LEPAS TALI PUSAT DI PUSKESMAS SUMBERSARI JEMBER Subiastutik, Eni
IKESMA Vol 8, No 1 (2012)
Publisher : FKM - UNEJ

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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
KERUSAKAN SEL HATI DAN PENINGKATKAN KOLESTEROL SERUM MENCIT AKIBAT PEMBERIAN MINYAK GORENG BEKAS PAKAI Sutejo, Ika Rahmawati
IKESMA Vol 8, No 1 (2012)
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Abstract

The purpose of this study were to prove that the administration of heated palm oil can cause hepatocytes damage and cholesterol serum level incerase in mouse. This research was an experimental research using 38 male Mus musculus, Swiss derived. They were divided into 3 groups; 9 were the first negative control by aquadest administration, 9 were the second negative control by fresh palm oil administration, and 20 were intervention by 27-times heated palm oil administration. The dose of administration was 1 ml/100 gram body weight, every day for 14 days. Parameter used in examining liver microscopically was the percentage of hepatocytes getting degeneration of each vision field by 100-times magnificence. The result of microscopic examination were normal hepatocytes for aquadest administration group, fatty degeneration for fresh palm oil administration group, fatty degeneration and central zone necrosis for 27-times heated palm oil group. The average value of cholesterol serum level in aquadest administration group was 101,44 ± 8,71 mg/dl, in fresh palm oil administration group was 104,66 ± 7,75 mg/dl, and in 27-times heated palm oil group was 130,15 ± 12,26 mg/dl. It could be concluded that administration of 27-times heated palm oil for 14 days can cause degeneration of hepatocytes (p<0,05) and cholesterol serum level increase (p<0,05). Keyword: heated palm oil, fatty degeneration, necrosis hepatocyte, cholesterol
EVALUASI PELAKSANAAN MANAJEMEN PROGRAM ( PIK - KRR ) PUSAT INFORMASI DAN KONSELING KESEHATAN REPRODUKSI REMAJA OLEH PENYULUH KELUARGA BERENCANA DI KABUPATEN JEMBER TAHUN 2011 Kiswati, K
IKESMA Vol 8, No 1 (2012)
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Abstract

KRR problem in Jember (HIV/AIDS, drug, sexuality) and high early marriage. PIK-KRR program implementation by the extension of family planning has not reached all the targets, suspected cause is a commitment that is less optimal than the coach and cross-linked sectors that affect the provision of essential resources in the implementation of policy programs such as funding, infrastructure/facilities and equipment. This type of qualitative research is descriptive, cross sectional approach. Data collection is done by in-depth interview technique (indepth interviews) Analysis of data using the content description of processing methods (content analysis). The results of the implementation of the PIK-KRR is already support from the Regents muddy in the form of SK, but not yet supported by the funds, facilities/amenities are pretty as the motor of the implementation of programs, media campaigns and socialization in quality and quantity is inadequate, the empowerment of human resources by PKB has not been that affect the optimal promotional activities and socialization, yet comprehensive partnership both cross and cross-sectoral programs supported the MoU. Administration system in accordance with the guidelines, but the reporting system has not been routinely every month. Quantity and quality of coaching is less. The conclusion that the implementation of the PIK-KRR Program has not been done properly in accordance with guidelines. Based on this study then recommended continued policy of PIK-KRR and BPPKB need to advocate on policy makers, across sectors/programs on the strategic value of youth service.   Keywords : PIK-KRR, Implementation, PKB
HUBUNGAN POLA ASUH IBU DENGAN PERKEMBANGAN ANAK USIA 1- 3 TAHUN DI WILAYAH SLAWU KECAMATAN PATRANG Armawati, Ni Made
IKESMA Vol 8, No 1 (2012)
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Abstract

The Child development is the higher the ability of the structure and function of the body. One of factor that can be influenced of mother care. Based on justification on March 2011, for the 10 children district of Slawu, Patrang, 10% children happen an deviate, 20% children grown up with doubt, and 70% is normaly. This research to found an relationship of arrange of mother care with the grown up of the children 1-3 years old the district of Slawu, Patrang. The design of research is correlation analytic. Number of population were 60 respondents, and the sample was 52 respondents. The data collection use an likert and KPSP. The data was analysid by spearman rank. The result of mother care, 75% use an kind of autoratife care, 15,38% kind of permissive care, and 9,62% use kind of authority care. The grown up of the children that normal is 76,92%, 13,46% grown up of the children is doubt, 9,62% grown up of the children have an deviate after analyze the data with manual and computerization use an spearman rank technic. Can be conclude that Ha excepted, there is relationship between relationship of arrange of mother carewith the grown up of the children 1-3 years old the district of Slawu, Patrang.Based on the research hope to the mother is an mother care in autorative care, so the grown up of the children follow the rule with the age of the children. Keywords : Mother care, the grown up of the children.

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