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Kesmas: Jurnal Kesehatan Masyarakat Nasional
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : 10.21109
Core Subject : Health,
Kesmas: National Public Health Journal is on public health as discipline and practices related to preventive and promotive measures to enhance health of the public through scientific approach applying variety of technique. This focus includes area and scope such as biostatistics, epidemiology, health education and promotion, health policy and administration, environmental health, public health nutrition, sexual and reproductive health, and occupational health and safety.
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Search results for , issue " Vol. 5 No. 1 Agustus 2010" : 7 Documents clear
Faktor Risiko Obesitas pada Orang Dewasa Urban dan Rural Nurzakiah, Nurzakiah; Achadi, Endang; Sartika, Ratu Ayu
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.938 KB) | DOI: 10.21109/kesmas.v5i1.159

Abstract

Obesitas yang merupakan faktor risiko penyakit degeneratif di negara berkembang. Hal ini terjadi akibat perubahan gaya hidup masyarakat antara lain aktifitas fisik dan pola makan akibat perkembangan status sosial ekonomi masyarakat perkotaan dan pedesaan. Penelitian ini bertujuan mengetahui cut-off point status gizi obese berdasarkan indikator IMT(Indeks Massa Tubuh). Hasil penelitian menemukan bahwa prevalensi obese berdasarkan indikator PLT (Proporsi Lemak Tubuh) (35%), indikator IMT Depkes (22,7%) dan indikator IMT (40,8%). Faktor risiko obesitas yang paling dominan berdasarkan kategori PLT adalah tempat tinggal (OR=2,51;CI 95%:1,24-5,08); berdasarkan kategori IMT Depkes adalahtempat tinggal (OR=2,11;CI 95%:1,16-3,85); sedangkan berdasarkan kategori IMT sampel adalah asupan karbohidrat (OR=3,32;CI 95%:1,38-7,99). Perlu dilakukan penelitian lanjutan untuk memvalidasi cut off point IMT menurut jenis kelamin sebagai tindakan skrining obese serta penyebarluasan informasi tentang Pedoman Umum Gizi Seimbang khususnya asupan karbohidrat pada masyarakat.Kata kunci: Obesitas, indeks massa tubuh, proporsi lemak tubuh, dewasaAbstractObesity is a risk factor for degenerative diseases, especially in developing countries. Obesity occurs due to changes in lifestyle behaviors such as physical activity and eating habits. One cause of this change is economic development in both urban and rural. The objective of this study is to know the cut-off point the nutritional state of obesity base on BMI indicator. The results showed that the prevalence of obese based on indicator BFP (Body Fat Percentage) (35%), BMI indicator from Ministry Of Health (22.7%) and BMI indicator from samples (40.8%). The results showed that the most dominant risk factor associated with the ‘obese’ according to category ofBody Fat Percentage was a place to stay (OR = 2.51; 95% CI :1,24-5, 08); based on BMI categories from Ministry Of Health was a place to stay (OR = 2.11, CI 95% :1,16-3, 85), while based on BMI categories from sample was carbohydrate intake (OR = 3.32, CI 95% :1,38-7, 99). The need forcontinued research to validate the cut-off point of BMI according to sex as an act of screening the obese and the dissemination of information about PUGS (General Guidelines for Balanced Nutrition) in the community, especially the intake of carbohydrates.Key words: Obese, body mass index, body fat percentage, adult
Pengetahuan Gizi dan Kadar Hemoglobin Anak Sekolah Dasar Penderita Anemia setelah Mendapatkan Suplementasi Besi dan Pendidikan Gizi Zulaekah, Siti; Widajanti, Laksmi
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.025 KB) | DOI: 10.21109/kesmas.v5i1.160

Abstract

Anemia merupakan masalah kesehatan utama yang diderita 26,5% anak usia sekolah dan remaja di Indonesia. Dengan pendidikan gizi pada anak anemia di Sekolah Dasar diharapkan terjadi peningkatan pengetahuan gizi dan pola makan sehingga akan meningkatkan asupan besi dan kadar hemoglobin. Penelitian ini bertujuan mempelajari efek suplementasi besi dan pendidikan gizi terhadap pengetahuan gizi dan kadar hemoglobin anak SD yang anemia. Desain penelitian ini Quasy experiment with pretest postest control group. Penelitian dilakukan pada 107 sampel yang dibagi menjadi tiga kelompok. Pengolahan data dilakukan dengan One Way Anova dan Kruskal Wallis Test untuk uji beda. Hasil penelitian menunjukkan kadar hemoglobin dan pengetahuan gizi pada ketiga kelompok mengalami peningkatan.Peningkatan kadar hemoglobin terbesar pada kelompok suplementasi besi, vitamin C dan pendidikan gizi (2,89 poin), sedangkan peningkatan pengetahuan gizi terbesar pada kelompok suplementasi vitamin C dan pendidikan gizi (17,44 poin). Ada perbedaan bermakna perubahan pengetahuan gizi dan kadar hemoglobin anak SD yang anemia sebelumdan sesudah intervensi pada ketiga kelompok intervensi. Disimpulkan Pendidikan gizi dipadukan dengan pemberian suplementasi besi dan vitamin C pada anak anemia akan memberikan hasil kenaikan kadar hemoglobin yang paling signifikan daripada pendidikan gizi atau suplementasi saja.Kata kunci: Suplementasi besi, pendidikan gizi, kadar hemoglobin, anak SD.AbstractAnemia is the major health problem for 26,5 % of the school children and teenagers in Indonesia. It is expected that by giving nutrition education to the anemic school age children, their nutritional knowledge and their diet pattern improve. Their better food intake especially higher iron intake willthen increase their hemoglobin levels. The study was conducted to investigate the effect of iron supplementation and nutrition education on hemoglobin levels of the anemic school age children. This study was a quasy experimentalresearch with a pretest post test control group design. The research was conducted on 107 subjects who were divided into three groups. Result shows level of hemoglobin and the nutrition knowledge of the three groups were all increased. The group who received iron, vitamin C and nutritioneducation had the highest increase in their hemoglobin level (2.89 point). The group who received vitamin C and nutrition education had the highest improvement in the score of nutrition knowlegde (17.4 point). All of the groups had significantly higher hemoglobin level after the intervention.The combination of nutrition education with iron and vitamin C supplementation improved the hemoglobin levels of the anemic school children better than nutrition education or supplementation in isolated provision.Key words: Iron supplementation, nutritional education, hemoglobin, school children
Kinerja Penyuluhan Keluarga Berencana di Indonesia: Pedoman Pengujian Efektivitas Kinerja pada Era Desentralisasi Kurniawan, Ukik Kusuma; Pratomo, Hadi; Bachtiar, Adang
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.829 KB) | DOI: 10.21109/kesmas.v5i1.155

Abstract

Keberhasilan program KB mengendalikan tingkat kelahiran di Indonesia selama lebih dari tiga dekade tidak terlepas dari peran petugas Penyuluh Keluarga Berencana (PKB). Di Rwanda, keaktifan penyuluhan oleh PKB dapat meningkatkan prevalensi kesertaan akseptor hingga 29%. Sejak tahun 2004, pascakebijakan desentralisasi di Indonesia, jumlah PKBmenurun drastis hingga menyisakan dua pertiga dari jumlah awal sekitar 3.500 petugas. Dampak perubahan tersebut tercermin pada angka fertilitas total (TFR) Indonesia berdasarkan data SDKI 2007 yang bertahan sama dengan data SDKI 2002-2003 (2,6 anak per wanita). Hal tersebutdikhawatirkan dapat semakin meningkat apabila kinerja program KB termasuk kinerja petugas PKB tidak mendapat perhatian. Peningkatan TFR mengancam ledakan penduduk yang dapat menghabiskan sumber daya alam yang terbatas dengan segala konsekuensi negatif. Hal tersebut juga dapat memperberat sasaran BKKBN mencapai pertumbuhan penduduk yang seimbang pada tahun 2015. Direkomendasikan untuk menciptakan iklim kerja yang kondusif dalam lingkungan strategis yang terus berubahsejak kebijakan desentralisasi program KB, antara lain melalui sistem reward dan model pelaporan berbasis teknologi informasi.Kata kunci: Penyuluh, keluarga berencana, desentralisasi, kinerjaAbstractThe success of Family Planning (FP) program in controlling fertility level in Indonesia over the last three decades has been associated with the role of FP field workers. A study from Rwanda indicated that activity of the FP field workers to deliver counseling has increased contraceptive prevalence rate until 29% points. However, since decentralization policy has been adopted and implemented in Indonesia in 2004, later in 2009 it was found that the total number of FP field workers has been decreased to remain two-thirds from the previous number i.e. 35 thousands workers before desentralizationtook place. A reflecting impact from this dynamic situation is a stagnant level of Indonesia’s total fertility rate (TFR) based on IDHS 2007 data that has been similar to that in IDHS 2002-2003, accounted for 2.6 children per woman. A stagnant TFR trend may stimulate fear of increasing TFR after then, when the FP program performance including that the performance of FP field workers are neglected. Increasing TFR would lead to a baby booming that threatens excessive utilization of natural resources that is already limited. This also worsens BKKBN efforts to achieve a zero growth population stage or replacement fertility level by year 2015. It is recommended that an optimum working climate should be pursued to yielding a maximum performance of FP field workers within these dynamic changes since decentralization policy has been applied. The recommendation includes establishing a reward system and recording reporting system with information technology basis.Key words: Field workers, family planning, decentralization, performance
Sekolah Dasar Pintu Masuk Perbaikan Pengetahuan, Sikap, dan Perilaku Gizi Seimbang Masyarakat Achadi, Endang; Pujonarti, Siti A.; Sudiarti, Trini; Rahmawati, Rahmawati; Kusharisupeni, Kusharisupeni; Mardatillah, Mardatillah; Putra, Wahyu K. Y.
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.653 KB) | DOI: 10.21109/kesmas.v5i1.161

Abstract

Indonesia masih menghadapi tantangan besar dalam bidang gizi, yaitu gizi kurang dan gizi lebih. Makanan jadi “tidak sehat” yang melimpahnya dikemas secara sangat menarik, ditambah dengan pengertian salah tentang “4 Sehat 5 Sempurna” sebagai Gizi Seimbang memberikan kontribusi tidak kecil terhadap masalah gizi di Indonesia. Penelitian ini bertujuan untuk mengetahui apakah pendekatan KIE (Komunikasi, Edukasi dan Informasi) di sekolah dapat merubah Pengetahuan, Sikap dan Praktek (PSP) anaksekolah tentang Gizi Seimbang. Penelitian ini dilakukan di dua Sekolah Dasar Negeri (SDN) di Kota Depok, melibatkan 132 anak kelas 4 dan 5. Desain penelitian adalah before and after, dengan metoda pengumpulan data secara kualitatif dan kuantitatif. Sebagian besar siswa dan ibunya ternyata mempunyai pendapat bahwa gizi seimbang sama dengan “4 Sehat 5 Sempurna”. Pengertian ini didapat murid dari apa yang diajarkan gurunya, sedangkan guru bersumber dari Buku Ajar Ilmu Pengetahuan Alam. Intervensi KIE telah meningkatkan pengetahuan dan sikap, serta sebagianpraktek murid dan orang tua. Disimpulkan bahwa pendekatan KIE mempunyai potensi yang baik untuk merubah PSP anak sekolah. Disarankan agar buku ajar guru disesuaikan sehingga materi yang disampaikan kepada murid sekolah berisi pesan yang tepat.Kata kunci: Gizi seimbang, anak sekolah, strategi KIE.AbstractIndonesia is still being challenged by nutritional problems, both under and over nutrition. The availability of various “unhealthy” food with attractive packaging combined with misconception of balance diet as “4 Sehat 5 Sempurna”, might contribute to the situation. This study aims at evaluating the effectiveness of IEC strategy in changing the Knowledge, Attitude and Practice regarding balance diet among elementary school communities. The study design is a before and after, located at two public schools in Depok, with 132 students grade 4 and 5 and their mother. Qualitative approach as well as baseline and endline surveys were used. Most students and their parents considered that balance diet is “4 Sehat 5 Sempurna”. This knowledge was originated from their teachers’ teaching and media. The teachers’ knowledge was based on the school reference book. The interventionhas improved students main knowledge and attitude. While some practices have improved there are others that still need to be improved. It is concluded that IEC intervention is potential to change the KAP of the students. Teachers need to be supported by correct reference book to be in line with what they are teaching.Key words: Balance diet, schoolchildren, IEC strategy
Pelayanan Rumah Sakit bagi Masyarakat Miskin (Studi Kasus di Enam Wilayah Indonesia) Lestari, Tri Rini Puji
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.042 KB) | DOI: 10.21109/kesmas.v5i1.156

Abstract

Pelayanan kepada pasien miskin yang diberikan secara berbeda masih sering terjadi. Penelitian ini bertujuan mendapatkan informasi tentang pelayanan kesehatan yang diberikan oleh rumah sakit kepada masyarakat miskin di enam wilayah Indonesia. Penelitian menggunakan pendekatan kualitatif dengan subjek penelitiannya adalah masyarakat miskin yang sedang dan/atau pernah mendapatkan pelayanan kesehatandi rumah sakit di enam wilayah Indonesia. Hasil penelitian memperlihatkan bahwa pasien miskin di rumah sakit pemerintah maupun rumah sakit swasta, umumnya memiliki tingkat kepuasan yang kurang memadai, di antaranya pada pelayanan administrasi yang dinilai rumit, berbelit, kurang informasi, petugas yang kurang ramah, tidak diberikanresep obat generik, dan pelayanan yang memakan waktu cukup lama. Selain itu, keharusan membayar uang muka juga menjadi penghalang bagi masyarakat miskin untuk mendapatkan pelayanan kesehatan di rumah sakit.Kata kunci: Pelayanan rumah sakit, masyarakat miskinAbstractThe differences in service delivery to poor patients often occurs. This study aimed to get information about health services provided by hospitals on poor communities in six regions of Indonesia. The research uses a qualitative approach with subjects of the study is the poor who areand/or never get the health services in hospitals in six regions of Indonesia. It experimental results showed that poorer patients in government hospitals or private hospitals, which generally have inadequate levels of satisfaction, among others the ministry assessed administrative complex, convoluted, ill-informed, less friendly officers, not given a prescription of generic drugs, and service that takes long enough. Besides, having to pay advances also became a barrier for the poor to health services in hospitals.Key words: Hospital Services, the poor
Kampanye dan Penggunaan Garam Beryodium di Desa Leuwiliang, Jawa Barat Anggorodi, Rina
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.271 KB) | DOI: 10.21109/kesmas.v5i1.157

Abstract

Pada tahun 2002, sekitar 71,8% masyarakat Kabupaten Bogor mengonsumsi garam beryodium dengan kategori cukup yang jauh di bawah target Universal Salt Iodization (USI) > 90%. Penelitian dilakukan terhadap 39 informan para ibu bekerja dan tidak bekerja yang tinggal dan tidak tinggaldengan orang tua, petugas kesehatan, kader, ibu PKK, pedagang sembako yang ada di pasar dan warung di wilayah Kecamatan Leuwiliang. Informan yang tinggal dengan orang tua cenderung memilih garam curah karena orang tua menyukai garam tersebut. Sebaliknya, informan yangtinggal sendiri memilih garam beryodium tanpa dipengaruhi orang tua. Sementara, informan dengan tingakat pendidikan SMA dan D3 segera mengubah perilaku menggunakan garam beryodium. Ketersediaan garam dan daya beli masyarakat sudah baik. Peran kampanye garam beryodium bagi informan yang tinggal dengan orang tua cenderung memilih garamcurah karena orang tua menyukai penggunaan garam tersebut. Sebaiknya informan yang tinggal sendiri memilih garam beryodium tanpa dipengaruhi orang tua. Pesan dalam kampanye mudah dimengerti, sehingga sampai kini masih diingat oleh para informan. Dalam penggunaan garam beryodium, informan tidak dipengaruhi umur dan pekerjaan, tetapi oleh pendidikan. Ketersediaan garam dan daya beli masyarakat sudah baik. Kata kunci: Kampanye, garam beryodium, perubahan perilakuAbstractIn 2002, about 71.8% of community at District of Bogor consumed iodized salt at adequate category. This figure is far beyond the target of Universal Salt Iodization (USI), i.e.>90% of households consume high concentrate iodized salt. If the salt consumed fulfills the requirement it will minimize theproblem of swollen goitre glands in the community. The study used qualitative method. Data were obtained through in-depth interview, focus group discussion, and iodized salt to test. There were 39 informers that consisted of mothers either having an occupation or not who lived or did not live with their parents, providers, cadres, family welfare and empowerment, sellers of daily living necessities in the market or stalls at Subdistrict of Leuwiliang. In general there was a difference between informers living with their parents and those living separately, either in those who worked or did not work. Informers living with their parents tended to choose salt in bricket because the parents liked it. Meanwhile informers living away from parents chose iodized salt without the influence of their parents. All informers said that the message was communicative and clearly delivered. There was no difference in behavioral changes based on age and occupation. There were informers with elementary or junior high school education found it difficult to change their behavior. Whereas informers with senior high school or diploma 3 education soon changed their behavior by consuming iodized salt after watching the campaign. Availability of salt and purchasing power of the community were relatively good. There was no special socialization about iodized salt conducted by providers. Informers living with their parents tended to choose salt in bricket because their parents liked it; on the other hand, informers living away from their parents preferred iodized salt without the influence of their parents. The message in the short campaign was memorable so that informers still remembered it. Behavioral changes of the informers in using iodized salt were not affected by age and occupation but by education. Availability of iodized salt and purchasing power of the community were relatively good.Key words: Campaign, iodized salt, behavioral changes
KIE untuk Peningkatan Pengetahuan, Sikap, dan Praktik Pencegahan dan Penanggulangan Penyakit Flu Burung di Kabupaten Gowa, Sulawesi Selatan Said, Ridwan M.; Thaha, M. Ridwan; Syafar, M.
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.019 KB) | DOI: 10.21109/kesmas.v5i1.158

Abstract

Avian influenza adalah suatu kejadian luar biasa yang disebabkan oleh virus influenza subtipe H5N1, ditularkan oleh ternak liar atau domistik dan kemungkinan menyerang manusia. Tujuan penelitian ini untuk mengungkapkanpeningkatan pengetahuan masyarakat , perubahan sikap danpartisipasi masyarakat dalam pencegahan dan penanganan influenza di Kabupaten Bontonompo, Gowa. Desain riset adalah desain kuantitatif kuasi eksperimen. Penelitian ini dilakukan pada 120 peternak unggas sebagai sampel yang dipilih dengan metode purposive sampling dan menggunakanmetoda analisis uji statistic T-Test. Penelitian membuktikan bahwa sebelum intervensi model pendidikan komunikasi informasi dilakukan, pengetahuan, sikap dan praktik pencegahan dan pengendalian avian influenza terbatas.Setelah intervensi informasi, pendidikan dan komunikasi model pencegahan penyakit, ada perbaikan pengetahuan, sikap dan praktik peternak tentang pencegahan dan perawatan flu burung. Disarankan bahwa kelompok masyarakat tanggap terhadap pencegahan flu burung yang didukung oleh pihak terkait seperti dinas peternakan atau dinas kesehatan daerah melaluipembinaan dan pengawasan. Kata kunci: Model pengembangan KIE, pencegahan, flu burungAbstractAvian influenza is an epidemic caused by type A influenza virus subtype H5N1,transmitted by wildfowl or domestic poultry and may attack human. The study,therefore,aims to reveal the increase of the peoples knowledge, the change in attitude,and the people participation in the prevention and care for avian influenza in bontonompo district of Gowa regency. The research design is quantitative with quasi experiment.The study employs 120 poultry farmers as samples selected by purposive sampling method and theanalysis utilizes statistical T-Test. The study proves that before the intervention of educational information communication model is conducted,the peoples knowledge of,attitude towards,and practice of the prevention of and care for Avian influenza are limited.After the intervention of IEC (information,education and communication)model on the prevention of the disease, there is an improvement in the knowledge,attitude and practice of the farmers in dealing with the prevention of care for avian influenza. It is suggested that the established community group caring for the prevention of avian influenza should be supported by related parties like husbandry office or regional health office through guidance and supervision.Key words: IEC model development, prevention, avian influenza

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