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Jurnal Kesehatan Masyarakat
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Articles 89 Documents
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FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN BALITA GIZI BURUK (SKOR Z BB/U < -3) DI KABUPATEN WONOGIRI TAHUN 2017 Nurraini, Suci; Suyatno, Suyatno; Aruben, Ronny
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Malnutrition (W/A) is still one of the health problems in Indonesia and the most vulnerable age group suffering from malnutrition is children under five years old. In 2013, the national prevalence of malnutrition-less in children under five is 19.6%, which means malnutrition-less problems in Indonesia are still a public health problem. The number of malnutrition cases in Wonogiri District in 2016 were 158 cases. The purpose of this study is to determine the risk factors associated with the incidence of malnutrition children under five in Wonogiri District. This type of research is an analytical survey with case control study design. The case group is children under five with Z-Score <-3 while the control group is children under five with Z-Score <-3 SD based on the W/A index. The sample was 34 for each group selected by purposive sampling technique. The result showed that there was significant correlation between malnutrition and infectious disease (p=0,011), parenting (p=0,011), maternal education level (p=0,002;) knowledge of mother (p=0,002), mother attitude level (p=0,012), mother practice level (p=0,011) and family economic status (p=0,039). There was no significant correlation between malnutrition and sex (p=1,000), age (p=0,334), energy sufficiency (p=0,582), protein adequacy level (p=0,742), and mother work status (p=0,123). It can be concluded that risk factors associated with the incidence of malnutrition in Wonogiri District are infectious diseases; parenting; mother's education level; level of knowledge, attitude, and practice of mother; and family economic status. Health workers are advised to always give information to society so that mother?s knowledge about baby nutrition increase. 
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PRAKTIK HIDUP BERSIH DAN SEHAT SEBAGAI UPAYA PENCEGAHAN DEMAM TIFOID PADA SISWA DI SDN GENUKSARI 02 SEMARANG Cahyani, Tutut Dwi Adi; Musthofa, Syamsulhadi Budi; Widjanarko, Bagoes
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Typhoid fever is an acute infection of the digestive tract caused by Salmonella typhi. Riskesdas Report in 2007, stated that prevalence of typhoid fever in Central Java province was 1.61%. In Semarang, densely population areas with high potential for typhoid fever for children 4-15 years old are Genuk district with number of percentage 9.8% and noticed as top three in Semarang in 2016. Recent studies in Southeast Asia showed the highest incidence occurring in children due to hygiene factors where it is closely related to the Practice of Clean and Healthy Life. This research aimed to determine the factors that correlated with the practice of clean and healthy life  as prevention of  typhoid fever for students in primary school of Genuksari 02 Semarang.The type of this research is descriptive analytic with quantitative approach.  The sample in this research using total sampling for all students of 5th grade in Primary School of Genuksari 02 who had never suffered typhoid fever with amount 60. The data was collected by interview using questionnaire. This research use univariate and bivariate analysis. The research showed that most of respondents are  11 years old 53.3%, female genders are 51.7%. 61.7% of respondents have good practice of clean and healthy life. Variables that related with practice of clean and healthy life are Knowledge (p = 0,006) and facility of infrastructure (p = 0,005).While the unrelated variables are age of respondent (p=0,907), gender (p=0,876), Attitude (p=0,114), and environmental support (p=0,936).This research is expected to be an input to improve learning about CHLB in order to prevent typhoid fever in school-age children, especially primary school.  
HUBUNGAN KUALITAS MIKROBIOLOGI AIR BAKU DAN HIGIENE SANITASI DENGAN CEMARAN MIKROBA PADA AIR MINUM ISI ULANG DI KECAMATAN TEMBALANG Utami, Endang Sri; Martini, Martini; Saraswati, Lintang Dian; Purwantisari, Susiana
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Based on Indonesian Health Ministry regulation No. 492/ MENKES/PER/ IV/2010, the MPN coliform dan E.coli of drinking water should be 0 of 100 mL sample. A previous research showed that 95% of samples did not require the microbiological contamination. The research aimed to analyze the correlation between microbiological quality of raw water and hygiene sanitation with microbiological contamination of refilled drinking water. The type of this research is analytic with cross sectional approach. The samples are 47 depots and 55 workers. The results showed that 85.1% of samples did not require the microbiological contamination. Using by Chi-square test analysis (?=5%)  indicates that the personal hygiene has p=0.035 (OR=10,000 and CI=1.095 to 91.309). It means personal hygiene have a correlations with microbiological contamination of refilled drinking water. While the microbiological quality of the raw water (p=0.188), the conditions of depots sanitary (p=0.999), the conditions of equipment sanitary (p=0.410) were not associated with the contamination of refilled drinking water. Therefore, it is necessary to optimize the sanitary inspection and testing the sampels frequently. Also, socialization for depot?s workers is needed to increase the hygiene sanitation.
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU VULVA HYGIENE PADA REMAJA PUTRI PANTI ASUHAN DI KECAMATAN TEMBALANG, KOTA SEMARANG Humairoh, Fathin; Musthofa, Syamsulhadi Budi; Widagdo, Laksmono
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Vulva hygiene behavior is an action of maintaining and cleansing the outer part of female reproductive organ. In August 2016, 52 adolescents in Semarang had infections of the reproductive organs (19% Candidiasis, 17% Herpes Simplex virus, 13% bacterial vaginitis, 12% gonorrhoe, 10% Condyloma acuminata, 8% AIDS, 5% NGU, 4% Chlamidya tracomatis, 4% Herpes genitalis, 4% Trichomonas urethralis, and 4% others). Orphanage as the social welfare institution is in charge of giving protection and service including reproduction health service. The purpose of this research was to analyze factors related to vulva hygiene behavior in teenage girl at the orphanages at Tembalang District. Quantitative research, cross sectional approach. Sampling technique was using random sampling with 116 respondents. Data was analyzed using univariate, bivariate with chi square statistical test with 95% significance and multivariate.The results showed that majority of respondents were 12-15 years old, came from orphaned family. The 27,6% respondents were having bad vulva hygiene behavior. Chi square test results showed that knowledge about vulva hygiene (p=0,003) and friends support (p=0,01) were significantly correlated with vulva hygiene behavior. While age (p=0,8), early puberty age (p=0,179), education (p=0,297), background (p=0,966), attitude (p=0,087), availability of facility (p=0,058) and caregiver support (p=0,358) were not significantly correlated with vulva hygiene behavior. Regression binary logistic test result showed that from all variables, only knowledge about vulva hygiene was significantly influenced with vulva hygiene behavior (OR= 3,061). It was suggested for the orphanages to enhance the concern and guidance about vulva hygiene particularly in giving information and supporting facilities related to health and hygiene of reproductive organ.
Pengembangan Aplikasi Edukasi Kesehatan Reproduksi Remaja Berbasis Android Untuk Pembelajaran Biologi di SMA Pius Kabupaten Purworejo Tahun 2017 Novaeni, Nisa; Dharminto, Dharminto; Agusyahbana, Farid; Mawarni, Atik
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Latar Belakang: Salahsatu faktor yang berhubungan dengan permasalahan remaja di Kabupaten Purworejo (280 kasus remaja hamil, 53 kasus HIV/AIDS, dan pernikahan dini) adalah kurangnya pengetahuan remaja tentang kesehatan reproduksi. Untuk mengatasinya, diperlukan edukasi kesehatan reproduksi dengan memanfaatkan media yang banyak dimiliki remaja, yaitu smartphone.Tujuan: Mengembangkan aplikasi edukasi kesehatan reproduksi remaja berbasis android di SMA Pius Purworejo. Metode: Research and development dengan model pengembangan ADDIE dengan tahap analisis kebutuhan, perancangan konsep, dan pengembangan aplikasi. Validasi dilakukan oleh ahli materi, ahli media, dan praktisi pembelajaran kesehatan reproduksi remaja SMA.Aplikasi dinilai oleh 35 siswa kelas XI SMA Pius.Hasil: Fitur yang dibutuhkan berdasarkan analisis kebutuhan meliputi akses offline, login, materi singkat, kuis dengan opsi, kunci jawaban, mitos/ fakta, IMT Converter, musik, dan video edukasi. Perancangan konsep dilakukan dengan penetapan materi dan soal (26 soal kuis AKU dan 20 soal mitos/ fakta), fitur pendukung (akun pemain, pengaturan, tentang, tutorial), konsep skor, dan asset data (simbol, ikon, .png). Aplikasi dibuat lalu divalidasi oleh validator untuk revisi aplikasi.Ahli materi mengoreksi salah ketik dan perombakan kata di materi dan soal.Ahli media menyarankan koreksi tampilan agar lebih menarik.Tidak ada koreksi dari validator terakhir.Persentase penilaian aplikasi oleh siswa adalah 85% (kategori sangat baik).Kesimpulan: Menurut pendapat siswa SMA Pius, aplikasi menarik untuk digunakan, mudah dipahami, dan sesuai dengan kebutuhan remaja SMA. Disarankan adanya pembaharuan tampilan, backsound, dan soal kuis yang lebih banyak.
HUBUNGAN GAYA HIDUP, STATUS GIZI DAN AKTIVITAS FISIK DENGAN TINGKAT KESEGARAN JASMANI (STUDI PADA ATLET SOFTBALL PERGURUAN TINGGI DI SEMARANG TAHUN 2017) Vania, Elvia Raissa; Pradigdo, Siti Fatimah; Nugraheni, Sri Achadi
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

The Achievement of college softball athletes in Semarang has not reached the expectation. This condition can be caused by the low level of physical fitness influenced by lifestyle, nutritional status and physical activity. The aim of this study was to analyse the correlation between lifestyle, nutritional status, physical activity and the level of physical fitness in softball athletes. This study was an explanatory research with a cross sectional design. Population were all of the softball athlete aged 17-25 years old in UNDIP, UNNES and UPGRIS. Total sampling technique was used, 43 respondents met the inclusion criteria. Data were obtained by interview using structured questionnaires and analyzed using Rank Spearman correlation test. The results showed that 20.9% of the respondents were heavy smokers and 16.3% consumed alcohol. As many as 48.8% were overweight and obese by BMI, 70.4% were classified as overweight and obese based on body fat percentage for male athletes, 31.2% were overweight and obese based on body fat percentage for female athletes. Most of the respondents (55.8%) were classified as having low physical activity level and 76.7% were classified as having poor physical fitness. There were positive  correlations between Body Mass Index (BMI) (p = 0.001), male body fat percentage (p = 0.001), female body fat percentage (p = 0.001), physical activity (p = 0.001) and physical fitness level in softball athletes. There was no correlation between smoking and alcohol comsumption with physical fitness level in this study. It is recommended that athletes avoid smoking and alcohol consumption, pay attention to food intake and physical activity to maintain body weight in order to obtain optimal physical fitness.
PENGGUNAAN KAPUR TOHOR (CaO) DALAM PENURUNAN KADAR LOGAM Fe DAN Mn PADA LIMBAH CAIR PEWARNAAN ULANG JEANS KABUPATEN MAGELANG TAHUN 2017 Saswita, Neni; Sulistyani, Sulistyani; Setiani, Onny
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

The industry of recoloring jeans used pigment in the process of fabrication produces liquid waste containing Fe that  was 23.90 mg/l, Mn is 35.18 mg/l that exceeded the threshold according to Central Java Provincial Regulation No. 5 of 2012 about Waste Water Quality Standard for Fe that was 5 mg/l and Mn was 2 mg/l. Waste water that was not in accordance with the quality standard can cause environmental damage and health. The usage of calcium oxide with coagulation-flocculation method is one of the technologies used to decrease the liquid waste metal content. The purpose of this research was to know the use of calcium oxide to decrease metal content of Fe and Mn toward liquid waste recoloring jeans at Magelang district. The type of this research was  true experimental of pretest and posttest with control group design. Sample of this research wasted water of recoloring jeans at Magelang district. Data analysis with Shapiro Wilk test (p? 0.05). The result shown early content of Fe was 0.805 mg/l and the content of Mn was 4.188 mg/l. The average pH and temperature of liquid waste before treatment was 11 and 28.02°C. After treatment the pH and temperature of calcium oxide 4 gr was 11 and 28.47°C then it was 11 and 28.44°C for calcium oxide 5 gr. There was decreasing metal content with distributing calcium oxide 4 gr as 13.7% for Fe and 27% of Mn, meanwhile the decreasing for calcium oxide  5 gr was 30.7% for Fe and 28.2% for Mn. Shapiro Wilk test shown 0.0001 (p?0.05) which means there was a different decrease of metal content of Fe recoloring jeans with various dose treatment of calcium oxide. Instead  for metal content of Mn that shown 0.171 (p?0.05) which means there was no difference decrease of metal content of Mn recoloring jeans with various dose treatment of calcium oxide.
ANALISIS PENYEBAB RENDAHNYA KINERJA ORGANISASI DI PUSKESMAS CANDILAMA KOTA SEMARANG Listiana, Nova; Suryoputro, Antono; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Public Health Centers as public sector organizations that serve the health sector can not be separated from the community's assessment of the increasingly critical of its performance. One of the ways used by Health Office in assessing the success of Puskesmas is by conducting Puskesmas Performance Assessment. Candilama Health Center is one of the urban-type community health centers in Semarang City. Candilama Health Center performance assessment results in the last 4 years starting from 2012 shows a declining trend every year. The purpose of this research is to analyze the factors that are suspected to be the cause of the poor performance of the Candilama Health Center organization. This study is a qualitative research with in-depth interviews to program implementers in Health Center and informants triangulation Head of Puskesmas, Sub Division of Planning and Evaluation of Health Office, Head of Primary Health Service Section of Health Office.The result of the research shows the factors that cause the low performance of Candilama Public Health Center are, the availability of the number and competency of health personnel are still lacking, the supervision process from the Head of Health Center is still not good, the unmistakable leadership of the Head of Health Center in making decisions, work motivation from colleagues and leadership perceived less, and still weak organizational culture at Candilama Community Health Center. To overcome this problem, it is suggested that Candilama Head of Puskesmas can change their leadership style, all employees are expected to build good communication among employees so as to reduce misunderstanding, reward and proper recognition appropriately to employees with achievement of work achieved, and vice versa, also doing recreation together so that all employees feel close to other employees and leaders to further tighten the bonds. Health Office is expected to open the recruitment of health workers who are still lacking in Public Helath Center Semarang City in cooperation with BLUD Puskesmas and willing to provide training to all program implementers in Puskesmas both civil servants and non-civil servants. 
FAKTOR RISIKO KEJADIAN KARIES GIGI PADA ORANG DEWASA USIA 20-39 TAHUN DI KELURAHAN DADAPSARI, KECAMATAN SEMARANG UTARA, KOTA SEMARANG Bebe, Ziyaan Azdzahiy; Susanto, Henry Setyawan; Martini, Martini
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Abstract

Caries is a disease of dental hard tissue, enamel, dentine and cementum, caused by the activity of microorganism in carbohydrate that can be fermented. Based on data from DKK Semarang in 2014-2016, the highest dental caries prevalence belong to 20-44 age group. Calculus incidence reached largest increase and continue at the age 30 years and increases by age. The population in this study is 138 with sample size 103.The purpose of this study is to analyze risk factors of dental caries among adults 20-39 years old. The type of research is analytic observational with cross sectional study design. Dependent variable is dental caries and independent variables are oral hygiene, teeth, pH saliva, score, component of glucose consumption, and toothbrushing practice. Collecting data with index (plaque, oral hygiene, pH saliva), observation, and interview. Data analysis using chi square test. The result of bivariate analysis showed that teeth (p=0.016, POR=5.6), pH saliva (p= 0.015, POR=4.0), plaque (p= 0.038, POR=3.4), and consumption component glucose (p=0.011, POR=7.1) are a risk factor . While, oral hygiene (p = 0.078, POR= 3.3) and tooth brushing practice (p = 0.684, POR = 2.3) are not a risk factor for dental caries. It is recommended adults do the correct steps of tooth brushing (movement of toothbrushes rotating and up-down positioning 45°, duration 2-3 minutes, eight-fold per-septan, and brushing teeth after consumpt glucose), toothbrush <15 minutes after eating, and consumpt cariostatic and anticariogenic foods.
FAKTOR RISIKO KEJADIAN PNEUMONIA PADA ANAK USIA 12-48 BULAN (Studi di Wilayah Kerja Puskesmas Gombong II Kabupaten Kebumen Tahun 2017) Mardani, Ratnaningtyas Ayu; Pradigdo, Siti Fatimah; Mawarni, Atik
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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The findings of pneumonia cases in Kebumen in 2016 as many as 764 cases per 10,000 children under five, where the highest incidence of cases in Puskesmas Gombong II, which is 508 cases. The purpose of this study was to determines the risk factors of pneumonia in children aged 12-48 months in Puskesmas Gombong II in 2017. This study is a descriptive study analitic using case control approach. The research subject as many as 80 children aged 12-48 months consisting of 40 cases and 40 controls taken through criteria inclusion, were analyzed by chi-square test and yates correction. The data were obtained from a questionnaire related to gender, a history of low birth weight, immunization history, nutritional status, history of exclusive breastfeeding, family smoking, and the density of residential living. The results showed the seven risk factors were examined three of them are risk factors for pneumonia, sex (p=0,014; CI=1,234-7,706; OR=3,095), history of exclusive breastfeeding (p=0,014; CI=1,247-7,781; OR=3,115), and the population density (p=0,003; CI=1,598-11,093; OR=4,210), whereas the other four is not a risk factor such a history of low birth weight (p=0,356; CI=0,462-40,608; OR=4,333), history of immunization (p=0,671; CI=0,364-12,240; OR=2,111), nutrition status (p=0,176; CI=0,625-10,950; OR=2,616), and family smoking (p=0,098; CI=0,856-5,742; OR=2,217). Despite smoking inside the house (p=0,012; CI=1,291-11,057; OR=3,778) and near by children (p=0,002; CI=1,787-20,147; OR=6,000) are counted as risk factors of pneumonia. This study recommends to be more intense for Puskesmas Gombong II in educating the citizens related to what is meant of pneumonia and the risk factors.

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