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Jurnal Kesehatan Masyarakat
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Articles 1,589 Documents
HUBUNGAN BEBERAPA FAKTOR GIZI DAN KEMOTERAPI DENGAN STATUS GIZI PENDERITA KANKER (STUDI KASUS DI INSTALASI RAWAT JALAN POLI ONKOLOGI RSUD DR. SOEHADI PRIJONEGORO KABUPATEN SRAGEN TAHUN 2017) Habsari, Anggita; Pradigdo, Siti Fatimah; Aruben, Ronny
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Penderita kanker yang melakukan kemoterapi berisiko mengalami penurunan berat badan yang drastis, disebabkan karena efek samping terapi pengobatan maupun hipermetabolisme tubuh. Penderita kanker di RSUD dr. Soehadi Prijonegoro cukup banyak dengan rata-rata kunjungan 22 orang per hari. Tujuan penelitian ini adalah untuk mengetahui hubungan beberapa faktor gizi dan kemoterapi terhadap status gizi penderita kanker di Instalasi Rawat Jalan Poli Onkologi RSUD dr. Soehadi Prijonegoro Kabupaten Sragen. Penelitian ini merupakan penelitian kuantitatif dengan metode cross sectional. Teknik sampling yang digunakan adalah teknik purposive sampling, dengan responden sebanyak 70 orang. Data dikumpulkan dengan wawancara menggunakan kuesioner pengetahuan gizi dan formulir recall 2x24 jam konsumsi gizi, kemudian diolah dengan aplikasi nutrisurvey. Data dianalisis dengan uji Rank Spearman. Hasil penelitian menunjukkan 61,4% responden mempunyai tingkat pengetahuan gizi yang tergolong baik. Sebanyak 88,6% responden mempunyai Tingkat Kecukupan Energi (TKE) yang kurang dan 48,6% responden mempunyai tingkat kecukupan Vitamin A yang kurang. Sebesar 51,4% responden mempunyai Tingkat Kecukupan Protein (TKP) berlebih dan 77,1% responden mempunyai tingkat kecukupan vitamin C berlebih. Sebesar 42,9% responden mempunyai Indeks Massa Tubuh (IMT) tergolong underweight dan sebesar 54,3% responden sedang menjalani kemoterapi siklus 1. Ada hubungan tingkat pengetahuan gizi dengan TKE (?=0,440, p=0,001) dan TKP (?=0,440, p=0,001) serta ada hubungan antara TKE (?=0,333, p=0,005), TKP (?=0,440, p=0,001) dan siklus kemoterapi (?=0,721, p=0,001) dengan IMT penderita kanker. Penelitian ini merekomendasikan penderita kanker untuk meningkatkan konsumsi buah 2-3 porsi dan sayur 3-4 porsi sehari untuk meningkatkan asupan antioksidan.
ANALISIS PENGGUNAAN SEKAM PADI DAN JERAMI SEBAGAI PEREDAM SUARA MESIN DIESEL PADA TINGKAT KEBISINGAN LINGKUNGAN KERJA PENGGILINGAN PADI khakim, Syarah nuur; Setyaningsih, Yuliani; Kurniawan, Bina
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): OKTOBER
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Abstract

Kebisingan dapat menyebabkan kecelakaan dan PAK. Upaya pengendalian kebisingan salah satunya adalah pengendalian pada sumber bising dengan pemasangan peredam suara. Sekam padi dan jerami memiliki kandungan lignocellulose dengan sifat penyerapan suara yang baik. Tujuan penelitian ini yaitu menganalisis pemanfaatan sekam padi dan jerami sebagai peredam suara pada mesin diesel untuk menurunkan kebisingan serta pengaruh pada tekanan darah pekerja sebelum dan sesudah perlakuan. Jenis penelitian adalah eksperimen menggunakan one group pre-test post-test design. Pengukuran intensitas kebisingan dengan menentukan tiga titik pengukuran. Pada titik 1 mengalami penurunan dari 91,16 dBA menjadi 84,52 dBA (p=0,000), titik 2 turun dari 93,33 dBA menjadi 85,02 dBA (p=0,000) serta titik 3 dari 90,14 dBA turun menjadi 80,89 dBA (p=0,018). Hasil analisa uji beda dengan tingkat kepercayaan 95% menghasilkan p < 0,05 untuk semua titik sehingga membuktikan bahwa ada perbedaan yang signifikan. Rata-rata tekanan darah sebelum pemberian peredam mengalami kenaikan dari 131,6/72,8 mmHg menjadi 134,6/75,4 mmHg. Sedangkan setelah pemberian peredam mengalami penurunan dari 128/71 mmHg menjadi 122,2/67,2 mmHg. Hasil analisis paired t-test dengan tingkat kepercayaan 95% didapatkan p sistoik = 0,014 dan p diastolik = 0,009 (p < 0,05) membuktikan terdapat perbedaan tekanan darah secara signifikan. Dari penelitian ini dapat disimpulkan bahwa setelah pemberian peredam dari sekam padi dan jerami dapat menurunkan intensitas kebisingan dan tekanan darah pada pekerja usaha penggilingan padi.
GAMBARAN KEPATUHAN PENGOBATAN MASAL DI DAERAH ENDEMIS KOTA PEKALONGAN Sitohang, Marya Yenita; Saraswati, Lintang Dian; Ginandjar, Praba
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 3 (2017): MEI
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Abstract

According to WHO, filariasis is one of the tropical diseases that can be eliminated through mass drug administration (MDA). Pekalongan City has started MDA since 2011. Through an evaluation in 2016, it was known that microfilaria rate (Mf rate) remained 1%. The purpose of this study was to describe the mass drug administration compliance in filariasis endemic area of Pekalongan City. This study used a rapid survey method. A two-stages random sampling was used in this study. The first stage was selected 25 clusters randomly from 10 villages based on proportionate to population size (PPS) method using C-Survey application. The second stage was selected 10 subjects randomly from each cluster. The sample of this research was 250 people. The results showed that the compliance to MDA was 76%. The characteristics of respondents as age, sex, occupation, knowledge of filariasis POMP, perceived of severity, place of getting information and frequency of getting information significantly had no relation with compliance to MDA (p> 0,050). Recent education, knowledge of filariasis, perceived of susceptibility, perceived of benefits, perceived of barriers, internal cues to action, external cues to action, source  of MDA information and TPE support were significantly related to MDA compliance (p <0.050). Therefore, socialization that reach all levels of society was needed. Increasing the role of TPE in doing follow-up after giving the drug also needed to increase the compliance to MDA.
FAKTOR-FAKTOR YANG BERHUBUNGAN TINDAKAN AWAL PADA PENDERITA INFEKSI DENGUE DI KELURAHAN SENDANGMULYO Chaniago, Fitri Nengsih; Cahyo, Kusyogo; Indraswari, Ratih
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): JANUARI
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Abstract

The case of dengue infectious in Semarang increased since 2015-2016. Tembalang was first ranked based on IR (216,45) and CFR (1,54). While IR of Sendangmulyo 210,42 and CFR of Sendangmulyo 1,23. The condition of a person suffering from dengue virus is relatively same as the usual fever condition, so that required laboratory test for follow-up.This study aims to analyze factors associated with initial actions of dengue infectious patients at Sendangmulyo.This research is quantitative approach with survey analytic method and cross sectional study design. The sample was taken by purposive sampling method as much as 68 people. Data were collected by interview method using questionnaire, while the research result use univariat and bivariate analysis.Respondents were young adults and middle adulthood balanced, male repsonden (69,1%). Patients with dengue infection (DHF) 80,9%. Respondents have married status 98.5%. Level of education is at senior high school (35,3%), most of work is entrepreneurship (32,4%). Small family members is 75,0%. Family income above UMR is 85,3%. Bivariateanalysis showed that family support variables (p=0,018) were associated with initial action in dengue infectious patients, age (p=1,000), sex (p=1,000), type of dengue infection (p=1,000) marriage (p=1,000), education (p=1,000), occupation (p=1,000), family member (p=1,000), income (p=1,000), knowledge (p=1,000), access availability (p=1,000), and perception (p=0,674) were not associated with initial action in dengue infectious patients.
HUBUNGAN KADAR DEBU TERHIRUP DENGAN GANGGUAN FUNGSI PARU PADA PEKERJA INDUSTRI MEBEL PT MARLENY JEPARA Anjani, Nabilla Rachma; Rahardjo, Mursid; Budiyono, Budiyono
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 6 (2018): NOVEMBER
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Abstract

Lung function disorder is one of the most common occupational diseases that cause of morbidity and mortality worldwide. Furniture industry workers are workers with high levels of dust exposure and are at risk of developing lung function disorders. Based on the results of a preliminary study at PT Marleny Jepara showed that the total dust value in 3 parts of furniture production exceeded the quality standards set in the sanding section of 1200.855 ?g/Nm3, finishing section 970.085 ?g/Nm3, seat section 474.359 ?g/Nm3. This research aims to analyze the association of respirable dust exposure and lung function disorders on furniture industry workers of PT Marleny Jepara. This reseacrh was an observasional research with a cross sectional approach. Population of this research were 42 workers with inclusion criteria at furniture industry PT Marleny Jepara, meanwhile the samples were 30 workers by simple random sampling.  Data were analyzed by using Chi Square test with ? = 0.05. The results showed there were 82.6% respondents with respirable dust exposure above the TLV had lung function disorder. The most common type lung function of respondents was mild restriction (85.7%). There ware a significants association between respirable dust exposure (p value = 0.014) and lung function disorder. The research can be concluded that the respondents with the respirable dust value above TLV had a greater risk of having lung function disorder.
EFEKTIVITAS PAC (POLY ALUMINIUM CHLORIDE) DALAM MENURUNKAN KADAR FOSFAT PADA LIMBAH CAIR RUMAH SAKIT JIWA PROF. DR. SOEROJO MAGELANG Andriani, Fitria; Darundiati, Yusniar Hanani; Dangiran, Hanan Lanang
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 5 (2017): SEPTEMBER
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Abstract

Level of phosphate in RSJ Prof. Dr. Soerojo Magelang?s waste water in 2016 still exceeded the quality standard according to Perda Jateng No. 5 of 2012 with average 3,63 mg/l. Advanced treatment processes to reduce phosphate can be done by chemical method that is coagulation flocculation with PAC (Poly Aluminum Chloride). This study aims to determine the effectiveness of PAC in reducing phosphate level of RSJ Prof. Dr. Soerojo Magelang?s waste water. This research is a true experimental research with the post test only control group design. Data analysis using One Way Anova. The population in this research is waste water generated by RSJ Prof. Dr. Soerojo Magelang and the sample consisted of 35 liters effluent of waste water. The results showed that phosphate level before treatment was 3.25 mg/l, control group was 2.99 mg/l, and addition of PAC dose as much as 0.3 gr; 0.4 gr; 0.5 gr; 0.6 gr; and 0.7 gr produced phosphate with value 1.83 mg/l; 1.48 mg/l; 1.43 mg/l; 1.34 mg/l; and 1.08 mg/l. Statistical analysis showed that there was a significant difference in reducing phosphate levels after the addition of PAC with dose 0,3 gr; 0,4 gr; 0,5 gr; 0,6 gr; and 0,7 gr. It can be concluded that PAC dose 0.3 gr is the most effective dose because can decrease phosphate in RSJ Dr. Soerojo Magelang?s waste water with effeciency of 43.69%.
HUBUNGAN LINGKUNGAN FISIK RUMAH DENGAN KEJADIAN DEMAM BERDARA DENGUE DI SEMARANG Sari, Erna; Wahyuningsih, Nur Endah; Murwani, Retno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 5 (2017): SEPTEMBER
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Abstract

Dengue hemorrhagic fever (DHF) or dengue hemorrhagic fever (DHF) is an acute febrile illness accompanied by deep bleeding that has a tendency to cause shock or convulsions and can lead to death, generally affecting children younger than 15 but now the sufferer can come from an adult. Dengue transmission is influenced by environmental factors, both physical environment, chemical and biological. The physical environment directly affects the composition of vector species, mosquito breeding habitat, population, longevity and transmission. This study aims to find the relationship between the physical environmental factors of the house with the incidence of DHF. Using analytic observational research with case-control study design. The sample amounted to 80 consisting of 40 case samples and 40 control samples with a ratio of 1: 1. Data collection in this research using questionnaire and measurement tool that is thermohygro meter and lux meter. The results were analyzed using chi square test and odds ratio. The result showed no relationship between the presence of ventilated vents (p = 0.33) and air humidity with the occurrence of DHF (p = 0,692) and there was correlation between light intensity in house with the incidence of DBD (p = 0,001). The conclusion that can be taken is the environmental factor is very influential in supporting the mosquito breeding process, so if the environment around the house is not maintained and treated properly can increase the risk for dengue fever.
ADAPTASI PSIKOLOGI SOSIAL ISTRI KORBAN KEKERASAN DALAM RUMAH TANGGA (KDRT) DI KABUPATEN PATI (STUDI KUALITATIF PADA ISTRI KORBAN KDRT DI KABUPATEN PATI) Amanullah, Fatma Zakiyya; Cahyo, Kusyogo; Kusumawati, Aditya
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 4 (2018): JULI
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Abstract

In Indonesia, 2011 to 2015, cases of violence against women has increased every year. 2014 until July 2016, there were 15 cases domestic violence against the wife in Pati regency. Among the effects of domestic violence against his wife among other psychological effects and physical effects that cause various physical responses, psychological and social victims of domestic violence itself. The purpose of this study was todescribe social psychological adaptation wife of victims of domestic violence in Pati regency.This qualitative study used a descriptive approach. With purposive sampling techniques showed 6 research subjects who are wives of victims of domestic violence. The data collection was done by in-depth interviews to 6 subjects. Data validation is done by triangulation to 12 people.Results from the study showed that the practice of social psychology adaptation wife do victims of domestic violence arising from the interaction between the environment and cognitive victims. Lack of education about the form of domestic violence, a lot of verbal domestic violence victim's wife did not realize that the word rant receipt included in the violence, so consider fair if domestic squabble by using harsh words. It also affects the awareness of domestic violence victims to report verbally to the police. Society gossip wife to victims of domestic violence is still a culture in Pati regency. This opt out of society in reporting the domestic violence problem caused a perception that domestic violence is an internal matter of the family. Self-perception of domestic violence after the study subjects likely to lead to negative actions. Their strong motivation of the subject and its surroundings make the subject was able to regulate and control himself. Emotional support, informative, and appreciation of the family made the subject was able to interact well withfamily. Maintain contact with peers, being one of the alternatives to forget about the problems of domestic violence.
PENGARUH MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP REMAJA PUTRI TERKAIT KEBERSIHAN DALAM MENSTRUASI DI PONDOK PESANTREN AL-ISHLAH DEMAK TRIWULAN II TAHUN 2017 Puspitaningrum, Wanodya; Agusyahbana, Farid; Mawarni, Atik; Nugroho, Djoko
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 4 (2017): JULI
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Abstract

The poor personal hygiene of menstruation has a major effect on morbidity and complications. One of the factors that led to the lack of personal hygiene behavior during menstruation is because of the lack of knowledge and understanding of menstrual hygiene. More than 50% of young women in India have poor knowledge of menstrual hygiene. Based on previous research, 59.1% of adolescent girls in Pondok Pesantren Ulul Albab Sukoharjo have an unfavorable attitude in personal hygiene during menstruation. The purpose of this study is to determine the effect of booklet media on the knowledge and attitude of young women related to menstrual hygiene at Pondok Pesantren Al-Ishlah Demak. This is a pre-experimental study using a one-pretest-posttest design. The sample in this research used a population of 55 girls. Data analysis of univariate and bivariate using Sign Test with ?=5%. The average score of knowledge of menstrual hygiene prior to the giving of booklet media was 8.29 whereas the mean score of knowledge of menstrual hygiene after giving the booklet was 10.64. The result of the research showed that the influence of media booklet on the change of knowledge (p=0.0001). The average score of menstrual hygiene before presentation of the booklet was 35.75 while the mean postmenopausal hygiene score after giving the booklet was 38.91. The result of this research indicate the effect of media booklet on attitude change (p=0.0001). Suggestions that can be given are increasing knowledge and attitude about hygiene during menstruation by forming small groups with routine mentoring. The conclusion of this research is giving of booklet media influencing knowledge and attitude of adolescent girl related to menstrual hygiene.
HUBUNGAN PENGETAHUAN TENTANG PENGENDALIAN VEKTOR DEMAM BERDARAH DENGUE (DBD) DENGAN PRAKTIK PENGGUNAAN INSEKTISIDA RUMAH TANGGA DI KELURAHAN TEMBALANG Setiawan, Didik; Ginandjar, Praba; Hestiningsih, Retno; Yuliawati, Sri
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): OKTOBER
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Abstract

Pengendalian vektor Demam Berdarah Dengue (DBD) dengan menggunakan insektisida rumah tangga masih dilakukan kurang tepat waktu dan sasaran. Oleh karena itu perlu dilakukan penelitian terkait hubungan pengetahuan tentang pengendalian vektor dengan praktik penggunaan insektisida rumah tangga. Penelitian ini adalah penelitian analitik dengan metode cross-sectional melalui pendekatan kuantitatif. Variabel penelitian ini adalah pengetahuan tentang vektor, pengetahuan tentang insektisida rumah tangga, sikap terhadap penggunaan insektisida rumah tangga, praktik penggunaan insektisida rumah tangga, formulasi dan bahan aktif insektisida rumah tangga. Sampel penelitian ini diambil secara proporsional random sampling yang berjumlah 180 orang. Data diperoleh dari wawancara menggunakan kuesioner kepada responden. Analisis data menggunakan uji statistik Chi-Square dengan derajat kepercayaan 95 %. Hasil penelitian menjukkan bahwa sebagian besar formulasi dan bahan aktif insektisida rumah tangga yang digunakan adalah semprot (36,3 %) dan Preletrin (21,0 %). Tidak ada hubungan yang signifikan antara pengetahuan tentang vektor Demam Berdarah Dengue ( DBD) dengan praktik penggunaan insektisida rumah tangga (p=0,816>0,05). Terdapat hubungan yang signifikan antara pengetahuan insektisida rumah tangga (p=0,017<0,05) dan sikap terhadap penggunaan insektisida rumah tangga (p=0,000<0,05) dengan praktik pengunaan insektisida rumah tangga. Kesimpulan penelitian adalah praktik penggunaan insektisida rumah tangga berhubungan dengan pengetahuan tentang insektisida rumah tangga dan sikap terhadap penggunaan insektisida rumah tangga akan tetapi tidak berhubungan dengan pengetahuan tentang vektor Demam Berdarah Dengue (DBD).

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