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INDONESIA
Jurnal Kesehatan Masyarakat Nasional
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : -
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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Articles 8 Documents
Search results for , issue " Volume 11, Issue 2, November 2016" : 8 Documents clear
Family Planning Information, Education and Communication with Contaceptive Use Winarni, Endah; Dawam, Muhammad
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.266 KB) | DOI: 10.21109/kesmas.v11i2.801

Abstract

Family Planning Information, Education, Communication (FP IEC) takes an important role in improving achievement of prevalence of Family Planning participation. However, contraceptive use prevalence in Indonesia within the last decade (2002-2012) did not significantly increase, although many FP IEC activities had been performed. This study aimed to determine socioeconomic demographic factors related to FP IEC, any IEC elements related to contraceptive use and IEC elements affecting on contraceptive use. Analysis used Indonesia Demographic and Health Survey 2012 as data source with analysis unit namely married women aged 15-49 years. Samples were 33,465 married women. Analysis used odds ratio (OR) between women receiving FP IEC toward women not getting access to FP IEC related to contraceptive use. This study found that FP IEC, both media and officers were important factors in contraceptive use. IEC through television and poster/flyer had a significant relation with contraceptive use (OR 1.6 and 1.3). Medical officers, FP officers and informal figures in community played an important role in FP information and contraceptive use (OR 2.2; 1.4; and 1.2). In line with results, visits of FP officers and medical officers informing contraception to clients at healthcare facilities significantly affected on contraceptive use (OR 1.5 and 2.6).AbstrakKomunikasi Informasi dan Edukasi (KIE) berperan penting dalam meningkatkan pencapaian prevalensi kesertaan Keluarga Berencana (KB). Namun, prevalensi KB di Indonesia selama satu dekade terakhir (2002-2012) tidak meningkat secara signifikan, walaupun pelbagai kegiatan KIE KB telah dilaksanakan. Penelitian ini bertujuan untuk mengetahui faktor sosio ekonomi demografi yang berkaitan dengan KIE KB, pelbagai unsur KIE yang berkaitan dengan pemakaian KB, dan unsur KIE yang berpengaruh terhadap pemakaian KB. Analisis menggunakan sumber data Survei Demografi dan Kesehatan Indonesia 2012 dengan unit analisis perempuan berstatus kawin usia 15-49 tahun. Jumlah sampel yang dianalisis 33.465 perempuan berstatus kawin. Analisis menggunakan odds ratio atau rasio kecenderungan antara perempuan yang memperoleh KIE KB terhadap perempuan tidak mendapatkan akses KIE KB dalam hubungannya dengan pemakaian KB. Temuan bahwa pemberian KIE KB, baik media maupun petugas, merupakan faktor penting dalam pemakaian KB. KIE melalui televisi dan poster/pamflet memiliki hubungan bermakna dengan pemakaian KB (OR 1,6 dan 1,3). Petugas medis, petugas KB dan tokoh informal di masyarakat berperan penting dalam penyampaian informasi KB dan pemakaian KB (OR 2,2; 1,4; dan 1,2). Sejalan dengan hasil tersebut, kunjungan petugas KB dan petugas kesehatan menjelaskan KB kepada klien di fasilitas kesehatan berpengaruh secara bermakna ke pemakaian KB (OR 1,5 dan 2,6).
Coronary Heart Disease Risk Factors among Women Aged Older than 45 Years Old in Makassar Masriadi, Masriadi; Idrus, Hasta Handayani; Arman, Arman
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (823.293 KB) | DOI: 10.21109/kesmas.v11i2.936

Abstract

Cardiovascular disease causes 8.6 million deaths of women every year, which is the major cause of death by one-third of all deaths of women in the world. Half of all deaths of women older than 50 years old is caused by cardiovascular and stroke diseases. This study aimed to analyze risk factors related to coronary heart disease among women aged older than 45 years at Dody Sarjoto Makassar Air Force Hospital 2016. The total of sample was 76 consisting of 64 cases of coronary heart disease and 12 non-coronary heart disease. Determination of sample used purposive sampling. Primary data were obtained through interview to respondents using questionnaire and direct interview. Data were analyzed by using contingency correlation coefficient (Exp (B)) test to identify significant relation between dependent and independent variables. Results found were hypertension (Exp (B) = 0.309), obesity (Exp (B) = 0.140), diabetes mellitus (Exp (B) = 0.164) and dyslipidemia (Exp (B) = 0.185), as proven having relation with coronary heart disease among women aged older than 45 years, and the factor which had the most significant relation was dyslipidemia.AbstrakPenyakit kardiovaskuler menyebabkan 8.6 juta kematian pada perempuan setiap tahun, yang merupakan penyebab kematian terbanyak, yaitu sepertiga dari seluruh kematian perempuan di seluruh dunia. Setengah dari seluruh kematian perempuan berusia di atas 50 tahun disebabkan oleh penyakit jantung dan stroke. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan penyakit jantung koroner pada perempuan usia > 45 tahun di Rumah Sakit TNI AU Dody Sarjoto Makassar. Besar sampel sebanyak 76 sampel yang terdiri dari 64 kasus penyakit jantung koroner dan 12 kasus non penyakit jantung koroner. Penentuan sampel menggunakan metode purposive sampling. Data primer diperoleh melalui wawancara terhadap responden dengan menggunakan kuesioner dan wawancara langsung. Data dianalisis menggunakan uji koefisien korelasi kontingensi (Exp (B)) terhadap variabel independen dan dependen. Adapun hasil yang ditemukan adalah obesitas (Exp (B) = 0.140), diabetes mellitus (Exp (B) = 0.164), dan dislipidemia (Exp (B) = 0.185) terbukti memiliki hubungan dengan kejadian penyakit jantung koroner pada perempuan usia > 45 tahun dan faktor yang memiliki hubungan paling besar adalah dislipidemia.
Social Determinant of Health of Adults Smoking Behavior: Differences between Urban and Rural Areas in Indonesia Rahim, Fitri Kurnia; Suksaroj, Thunwadee; Jayasvasti, Isareethika
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.907 KB) | DOI: 10.21109/kesmas.v11i2.1237

Abstract

Indonesia has the highest prevalence of smoking behavior among Southeast Asian countries. This study aimed to determine predictors of smoking behavior between rural and urban areas. Data were taken from The Global Adult Tobacco Survey (GATS). This study used ross-sectional analytical study and multiple logistic regression analysis. Samples were 8,305 Indonesian adults aged ≥ 15 years. The study showed that smokers in rural area were higher than in urban area, respectively 36.8% and 31.9%. Significant predictors of smoking behavior in rural and urban areas were age, occupation, sex, education level, economic status as well as smoking rule inside home. In urban area, age was also significant predictor and otherwise in rural area. The strongest predictor was smoking rule inside home and sex for smoking behavior, either in rural or in urban area. Tobacco control program should be relatively increased by considering the appropriate target population both in rural and urban area due to a little different of smoking behavior path, hence sex perspective should be involved also in tobacco control program. Regulation on smoke-free home should be encouraged to be implemented among houses of community.AbstrakIndonesia memiliki prevalensi perilaku merokok tertinggi di antara negara-negara di Asia Tenggara. Penelitian ini bertujuan untuk mengetahui prediktor terhadap perilaku merokok antara wilayah pedesaan dan perkotaan. Data diambil dari Global Adult Tobacco Survey. Penelitian menggunakan studi analitik potong lintang dan analisis regresi logistik ganda. Sampel berjumlah 8.305 orang dewasa Indonesia berusia ≥ 15 tahun. Penelitian menunjukkan bahwa perokok di wilayah pedesaan lebih tinggi dibandingkan di wilayah perkotaan, masing-masing 36,8% dan 31,9%. Prediktor signifikan terhadap perilaku merokok di wilayah pedesaan dan perkotaan adalah usia, pekerjaan, jenis kelamin, tingkat pendidikan, status ekonomi serta aturan merokok di dalam rumah. Di wilayah perkotaan, usia juga merupakan prediktor yang signifikan dan sebaliknya di wilayah pedesaan. Prediktor terkuat adalah aturan merokok di dalam rumah dan jenis kelamin untuk perilaku merokok di wilayah pedesaan atau perkotaan. Program pengendalian tembakau secara relatif harus ditingkatkan dengan mempertimbangkan populasi target yang sesuai, baik di wilayah pedesaan maupun perkotaan karena adanya sedikit perbedaan jalan perilaku merokok, maka sudut pandang jenis kelamin juga harus dilibatkan dalam program pengendalian tembakau. Aturan rumah bebas asap rokok harus didorong untuk diterapkan pada rumah penduduk.
The Risk of Pneumonia among Toddlers in Lambatee, Aceh Sidiq, Rapitos; Ritawati, Ritawati; Sitio, Roma; Hajar, Siti
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.162 KB) | DOI: 10.21109/kesmas.v11i2.1044

Abstract

Pneumonia is one of very important global health problems among toddlers, especially in developing countries. Nowadays, pneumonia is one of largest causes of child mortality, especially in newborn period. In Aceh Province, pneumonia disease is the eighth of 25 biggest diseases found at primary health care with 112 cases, while pneumonia among outpatient sufferers in Aceh reached 434 cases (29.03%).This study aimed to determine factors related to incidence of pneumonia toddlers in Lambatee Village, Darul Kamal Subdistrict, Aceh Besar District. This study was analytical descriptive using cross-sectional design. Samples of study were mothers and toddlers amounted to 48 people. Data were collected on August 3rd – 14th, 2015 by interview, observation. Multivariate analysis used logistic regression. Results of study showed that the factor physical condition of house sanitation influenced to trend among toddlers suffering from pneumonia with p value 0.01< 0.05, the highest OR score 6.431 and 95% CI = 1.559 - 26.532. In conclusion, physical condition of house sanitation had six times risk of causing trend of pneumonia incidence among toddlers in Lambatee Village, Darul Kamal Subdistrict, Aceh Besar District.AbstrakPneumonia merupakan salah satu masalah kesehatan global yang sangat penting pada anak bawah lima tahun (balita), khususnya pada negara-negara berkembang. Saat ini, pneumonia merupakan salah satu kasus penyebab kematian pada anak terbesar, terutama pada periode baru lahir. Di Provinsi Aceh, penyakit pneumonia merupakan penyakit urutan ke-8 dari 25 penyakit terbesar yang ditemukan di puskesmas dengan jumlah 1.112 kasus. Sedangkan besarnya kasus pneumonia pada penderita rawat jalan di Aceh mencapai 434 kasus (29,03%). Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian pneumonia pada balita. Penelitian bersifat analitik dengan desain potong lintang. Sampel penelitian adalah ibu dan balita yang berjumlah 48 orang. Pengumpulan data dilaksanakan tanggal 3 – 14 Agustus 2015 dengan wawancara dan observasi. Analisis multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa faktor kondisi sanitasi rumah secara fisik berpengaruh terhadap kecendrungan balita menderita penyakit pneumonia dengan nilai p 0,01 < 0,05, dengan nilai OR tertinggi 6,431 dan CI 95% = 1.559 - 26.532. Disimpulkan bahwa kondisi sanitasi rumah secara fisik memiliki peluang enam kali menyebabkan terjadinya pneumonia pada balita di Desa Lambatee, Kecamatan Darul Kamal, Kabupaten Aceh Besar.
Motivation Variables to Use Contraceptive among Male in Yogyakarta Sariyati, Susiana; Hati, Febrina Suci; Fatimah, Fatimah
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (947.845 KB) | DOI: 10.21109/kesmas.v11i2.1039

Abstract

Family Planning program is one of very important national development programs in order to embody wealthy Indonesian families. Role of such program has a big influence to a person’s reproductive health, both reproductive health of woman and man. This study aimed to determine factors related to reproductive men’s motivations for contraceptive use in Bumijo Village, Jetis District, Yogyakarta City. This study was conducted in Bumijo Village, Jetis Subdistrict, Yogyakarta. Subjects were 161 men in reproductive age older than 30 years old and had two children or more. This study was quantitative with logistic regression analysis. Results of study showed relation between knowledge and motivation (p value = 0.368), sociocultural and motivation (p value = 0.147), education and motivation (p value = 0.968), information and motivation (p value = 0.296), wife’s support and motivation (p value = 0.001). There was no relation between knowledge, education, information source, social and culture with motivation. There was a relation between wife’s support and motivation.AbstrakProgram Keluarga Berencana (KB) merupakan salah satu program pembangunan nasional yang sangat penting dalam rangka mewujudkan keluarga Indonesia yang sejahtera. Peran program KB sangat besar pengaruhnya terhadap kesehatan reproduksi seseorang, baik untuk kesehatan reproduksi perempuan maupun kesehatan reproduksi laki-laki. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan motivasi laki-laki pasangan usia subur dalam menggunakan kontrasepsi di Desa Bumijo, Kecamatan Jetis, Kota Yogyakarta. Jenis penelitian ini bersifat kuantitatif dengan analisis regresi logistik. Hasil penelitian menunjukkan hubungan pengetahuan dengan motivasi yaitu nilai p = 0,368. Hubungan sosial budaya dengan motivasi yaitu nilai p = 0,147. Hubungan pendidikan dengan motivasi yaitu nilai p = 0,968. Hubungan informasi dengan motivasi yaitu nilai p = 0,296. Hubungan dukungan istri dengan motivasi yaitu nilai p = 0,001. Tidak terdapat hubungan pengetahuan, pendidikan, sumber informasi, sosial budaya dengan motivasi. Terdapat hubungan dukungan istri dengan motivasi.
Effectivity of Foot Care Education Program in Improving Knowledge, Self-Efficacy and Foot Care Behavior among Diabetes Mellitus Patients in Banjarbaru, Indonesia Mahdalena, Mahdalena; Ningsih, Endang Sri Purwanti
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.59 KB) | DOI: 10.21109/kesmas.v11i2.583

Abstract

Diabetic foot problem in Indonesia remains a big problem and still needs an optimum concern. Foot care education is one of efforts that must be performed to prevent foot problem among diabetes mellitus patients. This study aimed to analyze effectivity of foot care education program in improving knowledge, self-efficacy and foot care behavior of diabetes patients in Banjarbaru. This study was quasi experimental with prepost test as conducted at primary health care in Banjarbaru in 2013. Foot care education program was provided to intervention group. Samples were 48 patients (32 persons in intervension group and 16 persons in control group) using purposive sampling technique. Variables measured were knowledge, self-efficacy and foot care behavior of diabetes mellitus patients. Intervension provided on respondents was in form of health education concerning foot care for twice. Every variable was measured twice before and after intervension. Knowledge test was measured using Diabetic Foot Care Knowledge Questionnaire, self-efficacy was measured by using Foot Care Confident Scale Self-Efficacy and foot care behavior was assessed using Behavior Foot Care Questionnaire. Data analysis used Manova. Results showed significant differences on knowledge level (p value = 0.001), self-efficacy (p value = 0.000) and foot care behavior (p value = 0.000) before and after intervension. AbstrakMasalah kaki diabetik di Indonesia masih merupakan masalah besar dan masih memerlukan perhatian yang optimal. Edukasi perawatan kaki adalah salah satu upaya yang harus dilakukan dalam mencegah masalah kaki untuk pasien diabetes melitus. Penelitian ini bertujuan untuk menganalisis efektivitas program pendidikan perawatan kaki dalam meningkatkan pengetahuan, efikasi diri, dan perilaku perawatan kaki pasien diabetes di wilayah Banjarbaru. Jenis penelitian yang digunakan adalah quasi experimental dengan prepost test, dilakukan di puskesmas wilayah Banjarbaru tahun 2013. Kelompok intervensi diberikan program pendidikan perawatan kaki. Sampel berjumlah 48 pasien (32 orang kelompok intervensi dan 16 orang kelompok kontrol) menggunakan teknik purposive sampling. Variabel yang diukur adalah pengetahuan, efikasi diri, dan perilaku perawatan kaki pasien diabetes melitus. Perlakuan yang diberikan pada responden berupa pendidikan kesehatan tentang perawatan kaki sebanyak dua kali. Setiap variabel diukur dua kali sebelum dan setelah intervensi. Uji pengetahuan diukur menggunakan Diabetic Foot Care Knowledge Questionnaire, efikasi diri diukur menggunakan Foot Care Confident Scale Self-Efficacy, dan perilaku perawatan kaki dinilai menggunakan Behavior Foot Care Questionnaire. Analisis data menggunakan Manova. Hasil penelitian menunjukkan perbedaan yang signifikan pada tingkat pengetahuan (nilai p = 0,001), efikasi diri (nilai p = 0,000) dan perilaku perawatan kaki (nilai p = 0,000) sebelum dan setelah intervensi.
Basis for Development of Business Strategic Plan Primary Health Care with Local Public Service Entity Status in Gianyar District Indrayathi, Putu Ayu; Ulandari, Luh Putu Sinthya
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1095.986 KB) | DOI: 10.21109/kesmas.v11i2.846

Abstract

Primary health care as Local Public Service Entity needs to make the right business strategic plan. Arranging business plan needs to pay attention to its competitors operating around its working area. This study aimed to determine internal and external environmental factors in Ubud 1 and Tegallalang 1 Primary Health Care and develop model of business strategic plan development in both primary health cares with Local Public Service Entity status. This study was descriptive explorative conducted in 2014. Data were collected through questionnaires, and documentation study. Samples were determined purposively or taken non-proportionally, consisting of Ubud 1 and Tegallalang 1 Primary Health Care heads and staff. Data were analyzed by descriptive quantitative analysis. Results of internal and external factor analysis in both primary health cares showed similar findings. Most indicators of internal variable were strength, only quantities of medical and non-medical workers were the weaknesses in program development. Meanwhile, external factor analysis showed that most indicators of external variable were opportunities and it was only people’s lifestyle toward environment as the threat in program development. In conclusion, the development strategic position in Ubud 1 Tegallalang 1 was growth strategy.AbstrakPuskesmas yang berbentuk Badan Layanan Umum Daerah (BLUD) perlu membuat rencana strategi bisnis yang tepat. Penyusunan rencana strategi bisnis perlu memerhatikan pesaing yang beroperasi di sekitar wilayah kerja. Penelitian ini bertujuan untuk mempelajari aspek lingkungan internal dan eksternal di Puskesmas Ubud 1 dan Tegallalang 1 serta mengembangkan model pengembangan rencana strategi bisnis di kedua puskesmas yang berstatus BLUD tersebut. Penelitian ini merupakan penelitian deskriptif eksploratif yang dilakukan pada tahun 2014. Data dikumpulkan melalui penyebaran kuesioner dan studi dokumentasi. Sampel penelitian ditentukan secara purposif dan diambil secara non proporsional, terdiri dari kepala dan staf Puskesmas Ubud 1 dan Tegallalalng 1. Data dianalisis secara deskriptif kuantitatif. Hasil analisis faktor internal dan eksternal kedua puskesmas menunjukkan hasil yang sama. Sebagian besar indikator variabel internal merupakan kekuatan, hanya kuantitas tenaga kerja bidang medis dan nonmedis sebagai kelemahan dalam pengembangan program. Sedangkan hasil analisis faktor eksternal menunjukkan sebagian besar indikator variabel eksternal merupakan peluang dan hanya perilaku masyarakat terhadap lingkungan yang merupakan ancaman dalam pengembangan program. Sebagai kesimpulan, posisi strategis pengembangan di Puskesmas Ubud 1 dan Tegallalang 1 adalah strategi pertumbuhan.
Lack of Exclusive Breastfeeding among Working Mothers in Indonesia Sari, Yulia
Jurnal Kesehatan Masyarakat Nasional Volume 11, Issue 2, November 2016
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.333 KB) | DOI: 10.21109/kesmas.v11i2.767

Abstract

Continuity of breastfeeding process when mothers return to work is a serious issue that immediately must be followed up, so that exclusive breastfeeding program within the first six months can be achieved. Beside providing many benefits for babies, breastfeeding is also beneficial for mothers and entrepreneurs. This study aimed to determine relation of working mothers to exclusive breastfeeding. This study used was cross- sectional design with secondary data of Indonesia Demographic and Health Survey 2012 with samples as many as 1,193 mothers aged 15 – 49 years who had 0 – 5-month-old babies. Based on multivariate analysis, working mothers could decrease opportunity of exclusive breastfeeding in which mother who worked all the time were 1.54 times more likely not to give exclusive breastfeeding than mothers who did not work after controlled by maternal age at childbirth, household wealth index, and antenatal care frequency (p = 0.038; 95% CI = 1.0 to 2.3). Fulltime working mothers are twofold more likely to not be able to give exclusive breasfedding than unemployed mothers after being controlled by counfounder variable. AbstrakKeberlangsungan proses menyusui pada saat ibu kembali bekerja merupakan isu serius yang harus segera ditindaklanjuti agar program pemberian Air Susu Ibu (ASI) eksklusif selama enam bulan pertama kehidupan dapat tercapai. Selain memberikan banyak manfaat bagi bayi, ASI juga bermanfaat bagi ibu dan pengusaha. Penelitian ini bertujuan untuk mengetahui hubungan ibu bekerja terhadap pemberian ASI eksklusif. Desain penelitian yang digunakan adalah potong lintang dengan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dengan sampel berjumlah 1.193 ibu berusia 15 – 49 tahun yang memiliki bayi berusia 0-5 bulan. Berdasarkan analisis multivariat, ibu bekerja dapat menurunkan peluang pemberian ASI eksklusif dimana ibu yang bekerja sepanjang waktu lebih berisiko 1,54 kali untuk tidak memberikan ASI eksklusif dibandingkan ibu yang tidak bekerja setelah dikontrol oleh usia melahirkan ibu, indeks kesejahteraan rumah tangga dan frekuensi pemeriksaan kehamilan (p = 0,038; CI 95% = 1,0 - 2,3). Ibu bekerja dua kali memiliki peluang untuk tidak dapat memberikan ASI eksklusif daripada ibu yang tidak bekerja setelah dikontrol oleh variabel perancu.

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