A. A. Zainuddin, A. S. Soma, Muhammad Firdaus Kasim, Sri Ramadany, Irawati Djaharuddin
{"title":"Spatial Distribution of Drug-Resistant Tuberculosisin Makassar City, South Sulawesi Province, Indonesia","authors":"A. A. Zainuddin, A. S. Soma, Muhammad Firdaus Kasim, Sri Ramadany, Irawati Djaharuddin","doi":"10.15294/kemas.v18i2.36436","DOIUrl":"https://doi.org/10.15294/kemas.v18i2.36436","url":null,"abstract":"This study aims to determine the domicile distribution, find out the high-risk areas, and determine the risk of drug-resistant tuberculosis patients based on patient location in 15 districts of Makassar City from Tuberculosis register data of South Sulawesi Provincial Health Office in December 2017 – April 2019 period. Gen Xpert rapid or drug sensitivity examinations were used to define drug-resistant tuberculosis. The domicile location of patients was geocoded by maps in Google Earth and aggregated per area by using Kernel Density analysis using ArcView GIS 10.3 software. We found that drug-resistant tuberculosis cases tended to be clustered in the western part of Makassar City, an area with a fairly high population density. There were areas with the highest concentration of predicted cases as a high risk of transmission of drug-resistant TB, around the Bontoala District, Makassar District, and Mamajang District. Healthcare facilities located in hot spots area need to be equipped with molecular rapid test facilities and conduct drug sensitivity tests for all suspected tuberculosis patients. Further research needs to be carried out to determine the distribution of tuberculosis patients who are sensitive and resistant to drugs.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89926272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minarni Wartiningsih, H. T. Silitonga, Imelda Ritunga, Michelle Christina Prayogo, E. Wijaya
{"title":"Patient Satisfaction Improvement by Comprehensive Holistic Services at Public Health Centre X Surabaya","authors":"Minarni Wartiningsih, H. T. Silitonga, Imelda Ritunga, Michelle Christina Prayogo, E. Wijaya","doi":"10.15294/kemas.v18i2.31555","DOIUrl":"https://doi.org/10.15294/kemas.v18i2.31555","url":null,"abstract":"Comprehensive holistic health services are a form of improving the quality of health services by measuring IKM. The result of a survey by BPJS Kesehatan is that the IKM has not reached targeted satisfaction in 2016 and 2017. Public Health Center X has an index value that exceeds the existing IKM target, but the index value is lower than the index value in 2016. This study will analyze the decrease in the satisfaction index of BPJS participants towards First-Level Healthcare Facilities (FKTP). Then the low satisfaction index of BPJS participants getting their treatments in Public Health Center X. The study aims to understand the relationship between comprehensive holistic service and the satisfaction of outpatients at Public Health Center X. The research was an analytical observational study with a cross-sectional design. The samples obtained in this study were 242 respondents. The data were next processed using the PLS-SEM application. The results show that comprehensive holistic services affect satisfaction (t=7.983). The holistic service affects loyalty (t=6.112). The customer value affects satisfaction (t=2.155) and loyalty (t=3.527). Satisfaction affects loyalty (t=4.488). This research concludes that comprehensive holistic service and customer value affect satisfaction and loyalty. In addition, satisfaction has a direct effect on loyalty.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87631579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contribution of Contraception to Fertility in the Province of the Special Region of Yogyakarta","authors":"Arga Nugraha, Syahmida S Arsyad, S. Nurhayati","doi":"10.15294/kemas.v18i1.26135","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.26135","url":null,"abstract":"The condition of the total fertility rate in Yogyakarta Province has tended to increase in the last decade. But there has also been a decline in the use of modern contraception. This study aims to study the determinant trend between fertility in the Province of Special Region (DI) Yogyakarta using the 2002/03 IDHS data and the 2017 IDHS with aggregate data for women of childbearing age 15-49 years. The results show that the pattern of marriage, the use and effectiveness of contraception, and the pattern of infertility during breastfeeding are intermediate determinants of fertility in DI Yogyakarta Province. Patterns of use and effectiveness of contraception are the main determinants of fertility in the two survey periods. The increasing marital index shows that the reproductive period of women in married status is getting longer and can cause them to be exposed to the possibility of giving birth to more children. The role of the use and effectiveness of contraception is still dominant in contributing to fertility decline. Therefore the use of contraception as a birth control still needs to be strengthened either through advocacy to stake holders in the local government.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79605884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Availability of Infrastructure and Covid-19 Prevention Behavior in Public Place","authors":"P. Lestari, Gusti Kumala Dewi","doi":"10.15294/kemas.v18i1.33478","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.33478","url":null,"abstract":"Public places or facilities are places that can be the locus of the spread of Covid-19. Previous research shows that the application of health protocols in public places is still low in the discipline. The purpose of this study is to find out how the availability of infrastructure impacts the behavior of preventing Covid-19 in public places. This research is a cross-sectional study, with the independent variable being the availability of infrastructure in public places and the dependent variable being the behavior of preventing Covid-19. It took time in 2021. Public places, include malls/shopping centers, traditional markets, places of worship, and public service places. The sample is 264 people with incidental sampling techniques. Data collection was through the distribution of online questionnaires. Data were analyzed by univariate and bivariate with the Chi-Square test (α 0.05). There is a relationship between the availability of infrastructure and behavior in preventing Covid-19 in public places. Public Places with adequate infrastructure are more supportive of the implementation of the behavior of Covid-19 prevention. The government, community leaders, and public place managers must monitor the availability of infrastructure to prevent the spread of Covid-19. There needs to be special attention to the implementation of Covid-19 prevention in public places, especially in traditional markets or street vendors.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73607821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. V. Suryadinata, Bambang Wirjatmadi, Merryana Andriani, Sri Sumarmi
{"title":"The Expression Change of Mmp-8 and Collagen Type-2 Intracell in Lung Tissue Due to Electronic Smoke Exposure","authors":"R. V. Suryadinata, Bambang Wirjatmadi, Merryana Andriani, Sri Sumarmi","doi":"10.15294/kemas.v17i2.26557","DOIUrl":"https://doi.org/10.15294/kemas.v17i2.26557","url":null,"abstract":"The number of electronic smokers has increased annually. Exposure to an electronic cigarette will increase free radicals in the body and result in oxidative stress causing lung tissue damage. The severity degree of lung tissue damage caused by electronic smoke exposure depends on the duration of electronic cigarette smoke exposure, and will affect Matrix Metalloproteinase-8 and collagen type-2 in the cells. The study aims to understand the change degree of Matrix Metalloproteinase-8 and collagen type-2in lung tissue due to electronic cigarette smoke exposure. This study applied the experimental method with a post control group design. The male Wistar rats were used as the animal models in this research to assess cell damage through the Matrix Metalloproteinase-8 expression and collagen type-2 in the lung tissue using immunohistochemical staining. Exposure to electronic smoke cigarettes was given to each group of animal models with the difference in amount and time duration. The expression of Matrix Metalloproteinase-8 indicated a significant increase due to electronic smoke exposure (ANOVA, p=0.000). Meanwhile the expression of collagen type-2 showed a significant decrease because of electronic smoke exposure (ANOVA, p=0.000). Besides, MMP-8 and collagen type-2 manifested relationship existence and strong impact (r=0.948, p=0.000). The negative impact of exposure to electric cigarette smoke causes increased expression of Matrix Metalloproteinase-8 and decreased expression of type-2 collagen in lung tissue.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83744863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Related Factors of Anxiety Level in Covid-19 Patient during Self Quarantine","authors":"P. Husna, N. Ratnasari, Marni Marni","doi":"10.15294/kemas.v18i1.33715","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.33715","url":null,"abstract":"Coronavirus disease-19 was a pandemic in the world. One of the efforts to reduce the spread of Covid-19 cases was to self-quarantine. Self-quarantine impacted emotional mental disorders in the form of anxiety. This study aimed to identify factors related to the anxiety of Covid-19 patients who were undergoing self-quarantine. METHODS: This study used a descriptive research design with a cross-sectional study. The population was all confirmed COVID-19 patients who underwent self-quarantine in Wonogiri Regency as many as 70 respondents. Samples used clustered randomized sampling with 40 respondents. The instrument used a sociodemographic questionnaire, and anxiety was measured using Hamilton Rating Scale-Anxiety. Data were analyzed using multiple linear regression. RESULTS: The results showed that the mean age was 33.58 ± 11.08 years. Most participants were women 52.5%, 87.5% of the respondents had high education background, 37.5% were medical workers, 37.5% were private workers, and 95% of the participants had received information about covid-19. The mean of the time they were self-quarantined was 8.1 ± 4.77 days. 55% of the participants had no anxiety, 15% had mild anxiety, 10% had moderate anxiety, and 20% had severe anxiety. Factors that affect the level of anxiety are age (p-value = 0.047), occupation (p-value = 0.031), education (p-value = 0.035) and length of self-quarantine (0.023). CONCLUSION: The conclusion said that age, occupation, education, and length of self-quarantine have a strong relationship and have a significant effect on anxiety. Social support is needed to reduce the anxiety of COVID-19 patients during self-quarantine.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87887254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Psychological Impact of Covid 19 Restrictions on Athletes: A Descriptive Analytical Study","authors":"Hermahayu Hermahayu, Rayinda Faizah, A. Candra","doi":"10.15294/kemas.v18i1.31787","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.31787","url":null,"abstract":"Restrictions on community activities implemented by the government to resolve the spread of the Covid 19 virus have closed several sports facilities, deactivated sports clubs, and national and international sports competitions have been delayed or canceled. This study aims to explore the effect of these restrictions on the psychological condition of athletes. This research uses the descriptive analysis method by surveying to obtain information from the respondents. There are three things to examine (i.e. athletes’ feelings about the condition, how they deal with negative feelings that arise, and the actions they take during restriction). The subjects of this study were 179 athletes from 22 sports associations managed by regional governments and sports committees. The survey method was used in this research. Open questionnaires are sent to athletes to fill out. The results can be used as a recommendation for coaches and the government.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76419149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Sawir, Rif'iy Qomarrullah, Usman Pakasi, Lestari Wulandari S
{"title":"Social Dynamics Covid-19 and Student Perceptions in Papua","authors":"Muhammad Sawir, Rif'iy Qomarrullah, Usman Pakasi, Lestari Wulandari S","doi":"10.15294/kemas.v18i1.31618","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.31618","url":null,"abstract":"The social dynamics faced by the people of Jayapura City related to the Covid-19 outbreak, namely increasing anxiety and even fear of the sound of ambulance sirens carrying patients so that a negative stigma appears on residents exposed to the virus. The purpose of the research carried out is to describe and analyze student perceptions as part of the community regarding the knowledge, handling, and sound of the Covid-19 ambulance siren especially in Jayapura City, in July 2021. This research is a quantitative study using a cross-sectional design, a sample totaling 63 Cenderawasih University students obtained from direct interviews as well as filling out questionnaires and google forms online. Data analysis used Chi-Square, univariate, bivariate, and multivariate with multiple logistic regression statistics. The univariate, bivariate, and multivariate values: (1) P=0.099, P=0.32, P=0.486, P=0.242, P=0.996, P=0.066, means that there is no relationship between age and gender with student perceptions of Covid-19; (2) P=0.000, P=0.005, there is a relationship between knowledge about Covid-19 and students’ perceptions of vaccines; (3) P=0.411, P=0.715, there is no relationship between gender and age with students’ perceptions of handling Covid-19; (4) P=0.593, P=0.000, there is no relationship between students’ perceptions of the ambulance siren sound. Based on the results of the discussion in this study, namely: (1) Respondents have good knowledge or understanding of the endemic Covid-19 virus; (2) Most of the respondents saw the handling of Covid-19 in the fairly good range of categories; and (3) Respondents generally have a bad perception of the sound of ambulance sirens passing by carrying Covid-19 patients. Knowledge of influencing student perceptions is needed to provide comprehensive and equitable information to all communities about handling, prevention, and all information regarding joint efforts in overcoming COVID-19 in Papua.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90076090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Demsa Simbolon, Rosalia Rina Bathari, R. Rahmadewi, Frensi Riastuti
{"title":"Family Planning and Mother’s Practice In Children’s Feeding In Bengkulu Province, Indonesia","authors":"Demsa Simbolon, Rosalia Rina Bathari, R. Rahmadewi, Frensi Riastuti","doi":"10.15294/kemas.v18i1.27966","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.27966","url":null,"abstract":"Family planning will affect the mother’s ability in parenting which will affect the children’s growth and development. This study aims to determine the relationship between family planning and the practice of child feeding (PCF). The study used Indonesian Demographic and Health Survey 2017 data with a cross-sectional approach. Family planning is measured by variables age at first marriage, the distance between births, parity, number of children under five, and pregnancy desired. The PCF is based on the variable composite of Early Initiation of Breastfeeding, Exclusive Breastfeeding, Infant and Child Feeding, and Consumption of food sources of vitamin A. The sample size is 97 children aged 6-23 months. Data analysis using multivariate logistic regression. The study results that almost part of the mother did not PCF well (45.4%). Most (69.1%) mothers were not good at family planning. Family planning related to poor PCF was age at first marriage less than 18 years (p = 0.003) primiparous parity (p = 0.017), 2-5 years birth spacing (p = 0.033) and the number of children under five (p = 0.025). There need to be more educational efforts, outreach and family planning movements so that people, especially teenagers, understand the importance of family planning.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73773083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of COVID-19 Outbreak on Women Quality of Life in Indonesia","authors":"D. Sufyan, Muh. Nur Hasan Syah, Nurbaya Nurbaya","doi":"10.15294/kemas.v18i1.31523","DOIUrl":"https://doi.org/10.15294/kemas.v18i1.31523","url":null,"abstract":"The COVID-19 outbreak and its designated policy conveyed unprecedented impacts on the life of women. This study aims to assess women’s quality of life (QOL) during the pandemic. This cross-sectional study was conducted in Java and Sulawesi, as both sites implemented the large-scale social restriction policy. The Indonesian version of the WHO Quality of Life Instrument, Short Form (WHOQOL-BREF) was used to collect the QOL data. The whole questionnaire was self-administered online by 191 women using Google Form. Descriptive analysis and Mann-Whitney test were carried out to analyze the data in statistical software. Overall, women who were involved in this study conveyed a relatively moderate quality of life (4.08 + 0.76 SD). The highest and lowest mean scores of QOL were observed in the social relationship (78.3 + 17.05 SD) and physical health domain (60.8 + 10.76SD). Family monthly income and type of family were significantly associated with environmental health (p0.05). Astoundingly, during the outbreak women described high satisfaction on social relationship. These results may advocate policy in regards to women’s welfare.","PeriodicalId":30682,"journal":{"name":"KEMAS Jurnal Kesehatan Masyarakat","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73301312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}