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Hambatan Akses Pelayanan Kesehatan Orang Cebol Atik Triratnawati; Yauma Ayu Arista
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.591 KB) | DOI: 10.22146/bkm.44945

Abstract

Barrier of health services access among dwarfishPurpose: Study describes how people with dwarfism seek access and the barriers of accessing healthcare services.Method: Participatory observation method with in-depth interviews among people with dwarfism, family, healthcare officers, midwives and the head village were used in this study. The location was in Sigedang Village, Kejajar District, Wonosobo Regency, Central Java for 2 months between  August-September 2017.Results: The study reveals stigma surrounding dwarfism in Sigedang society that dwarfism was hereditary. According to Sigedang people, abnormality was considered natural. Access to healthcare for people with dwarfism was limited. There were no efforts that has been made by either the village government nor the sub-district government for an increased prevention program for people with dwarfism in Sigedang village. People with dwarfism had limited information about healthcare services available for them. They must travel far to the city or across the regency just to reach the standard health facilities. Therefore, an increase of an integrated health access in Sigedang village is needed, especially for people with dwarfism.In addition, the study shows that health-seeking behavior of the locals was still influenced by the ancestors, where traditional medical practitioners played an important role. The awareness of people suffering from dwarfism and their community towards risk factors should be empowered.Conclusion: The absence of access to health services influenced the poor condition among people with dwarfism. They need empowerment from the local government, public health office and community to support their health service needs.
Mudik during the Covid-19 pandemic, anxiety, and depression among students in Indonesia Metta Rahmadiana; Supra Wimbarti; Ira Paramastri; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 37, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.011 KB) | DOI: 10.22146/bkm.61744

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Purpose: This study explores the occurrence and different levels of anxiety and depression among male and female students who perform or do not perform mudik (homecoming). Investigate the primary source of COVID-19 related information among students. Methods: Online questionnaires consisting of the self-report level of anxiety and depression were delivered to study participants after completing the online informed consent. Quantitative analysis was conducted using the IBM SPSS version 20.0.Results: From a total of 2018 study participants, n=936 were students. Depression (M=8.68; SD= 5.45) was higher among students who did not perform mudik. Meanwhile, the prevalence rate of depression (M=7.18; SD=4.99) was also higher among students who performed mudik. A significant difference [sig (2-tailed) = 0.017; p <0.05)] regarding the level of anxiety was reported higher among female students (M=7.80; SD=4.6) than male students (M=7.03; SD=4.7) and no significant difference [sig (2-tailed) = 0.173; p> 0.05] was reported for the level of depression between male and female students. Instagram was reported as the primary source of COVID-19 related information. Conclusion: This current study supports the notion regarding the occurrence of common mental disorders among students as an impact of the COVID-19 pandemic, regardless of whether homecoming was performed or not. Different levels of anxiety and depression were reported between the male and female student population.
Nutritional Ignorance: Dietary Habit of Under-Five Children With Stunted Growth in Labotan Kandi Village, Banggai Regency, Central Sulawesi Islands Eka Yuniati; Atik Triratnawati
Indonesian Journal of Medical Anthropology Vol. 3 No. 2 (2022): Indonesian Journal of Medical Anthropology
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijma.v3i2.9574

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Stunting in under-five children is mostly due to unbalanced nutritional intake. Stunting is a health problem that requires further treatment. Taking care of the diet is a shortcut to the improvement of child nutrition and growth. This study aimed to examine the dietary habits formed by parents of under-five children with stunted growth. The study was conducted in Labotan Kandi Village, South Bulagi District, Banggai Islands Regency, Central Sulawesi. The data were collected through a series of observations, in-depth interviews, and documentation. This research was carried out from July to August 2022 by conducting interviews with 18 mothers of children under five years that fall into the stunting category (based on weighing data of February 2022). The results show that the formation of dietary habit in under-five children with stunted growth is done in simple and careless manners. Children mainly consume tubers in their daily diet, including bete, kela, ndeke, kasibi, and ubi Banggai. Access to fruits and vegetables (such as chayote, papaya, and ferns leaves) and animal protein (such as fish, chicken, beef, and pork) is still very limited, and they cannot be accessed every day. As long as the child is quiet, does not cry, and eats till full, parents no longer think about the nutritional needs that must be met by their children who fall into the stunting category. Keywords: Under-5 Children, Labotan Kandi Village, Eating Behavior
Acculturation in Javanese Traditional Medicine Practice in Yogyakarta Triratnawati, ATIK
Komunitas Vol 8, No 1 (2016): March 2016
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v8i1.4960

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The rampant practice of traditional medicine in the big cities in Java can not be separated from the influence of globalization. The practice of traditional medicine advertised through flyers, pamphlets, signage, television and internet. In medical practice, it can not be separated from the mixture of elements of the local culture, external/ foreign as well as modern medical later adopted in order to enhance public interest in their treatment. The purpose of this article is to analyze the practice of acculturation in traditional medicine both related to methods, tools, how to advertise and meaning behind the ways the adoption of other culture into the traditional practice.An intergrative ethnographic study was conducted in Bantul and Sleman, Yogyakarta, on traditional healers such as gurah, bekham, metaphysical/ spiritual, herbal, traditional massage therapy, as well as traditional healers specifically hemorrhoids. Other information was obtained from interviews with their patients.Medical pluralism by wrapping traditional therapy combined with health culture from the outside to attract consumers with a dogmatic way in order to improve the clients made by Javanese traditional healers. They advertise with testimony on local television screen with the aim of introducing methods, tools, disease cure rates, fees, in order made populair so the number of patients increases. Acculturation appears that more and more people believe in business practices and its treatment.
The Power of Sugesti in Traditional Javanese Healing Treatment Triratnawati, Atik; Wulandari, Arsanti; Marthias, Tiara
Komunitas Vol 6, No 2 (2014): September 2014
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v6i2.3307

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This paper aims to explore the beliefs in society toward traditional healing regardless of the more accessible, affordable and improved modern health services. This ethnographic study was conducted in Yogyakarta in 2013-2014. Phenomenological approach was used to analyze the data using the theory of health seeking behavior as the guiding principle of this research. The main factor influencing Javanese community’s belief in traditional healing was the power of placebo effect. Placebo can arise from both the patient and the healer. Additionally, other factors such as compatibility between the patients and the healer, patient’s aversion to doctor’s therapy, and the fact that traditional treatment is cheaper, easier, and more effective than modern medicine were the main considerations for patients in choosing traditional treatment. The benefit of psychotherapy provided through traditional medicine is in the form of life advices or counseling. In addition, healers’ attentiveness in listening to patients’ complaints was also the main appeal of the traditional health care service.Tulisan ini mengupas kepercayaan masyarakat pada penyembuhan medis tradisional meski pelayanan kesehatan modern semakin mudah diakses, murah/gratis pembiayaannya serta ditingkatkan pelayanannya. Studi etnografis ini dilakukan di DIY tahun 2013-2014. Pendekatan fenomenologi digunakan untuk menganalisis data disertai teori health seeking behavior. Kunci kepercayaan masyarakat Jawa berobat ke penyembuh tradisional adalah pengaruh sugesti. Sugesti muncul baik dari penderita maupun penyembuh. Selain itu faktor cocok, takut dengan terapi dokter serta murah, mudah dan manjur juga menjadi pertimbangan pasien ke pengobatan tradisional. Manfaat psikoterapi berupa nasihat, wejangan maupun saran serta kemampuan penyembuh tradisional mendengar curahan hati pasien menjadi daya tarik lain pasien merasa cocok ke pengobatan non medis.
Maintaining Mental Health for Javanese People in Retirement Alissa Dian Bratajaya; Atik Triratnawati
Indonesian Journal of Medical Anthropology Vol. 4 No. 1 (2023): Indonesian Journal of Medical Anthropology
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijma.v4i1.11060

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In the elderly age category, a person can no longer be called productive and generally has entered retirement age. Changes during retirement usually happen in a relatively short time, so without the right strategy to deal with these changes, they can cause health problems, especially mental health problems. This paper will discuss the changes that occur in retirees and how these retirees deal with the changes that occur. This paper uses a qualitative method with a phenomenological approach to explain the experiences of each individual in facing retirement. This research was conducted in August and October-November 2022 in the city of Yogyakarta area using a purposive sampling method and got five retirees as informants. Apart from interviews with retirees, some of the retiree’s families were also interviewed to obtain a complete data. The most prominent changes in the lives of the elderly are in the economic and social fields. Economic changes occur due to reduced income and health problems. Changes in social aspects reduced activity, reduced social contact, and loss of facilities. Retirees face these changes by preparing savings, opening businesses, pursuing hobbies, and participating in community activities.
Ethnocaring of Elderly with Dementia in Rural Java Yohana Budi Winarni*; Atik Triratnawati
Indonesian Journal of Medical Anthropology Vol. 4 No. 2 (2023): Indonesian Journal of Medical Anthropology
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijma.v4i2.12957

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Currently, Indonesia is entering the aging population phase. Along with increasing welfare, the life expectancy of the population is getting higher but the quality of a healthy life is low due to the cycle of recurring diseases in old age. One of the cycles of disease that requires long-term care is the elderly with dementia. In rural Java, senility as a disease is not widely known. The term senility is equivalent to dementia. The elderly that suffered from dementia are treated instinctively according to local customs. The way of caring is simple, only based on instinct when seeing symptoms without clinical medical indications. This paper discusses ethnocaring, a community knowledge perspective in the care of the elderly with dementia which describes natural care habits based on experience. The research was conducted in March-May 2023 in Bantul using a purposive sampling method and obtaining 5 caregivers in the selected villages consisting of family and community members. The results showed that senility was treated based on the status of the relationship between caregivers and elderly with dementia and the role of the philosophy of "mikul dhuwur mendhem jero'' which animates behavior and determines its role in quality and type of care.
Belenggu Adat Memutus Stunting: Studi Kasus di Desa Labotan Kandi Atik Triratnawati; Eka Yuniati
Jurnal Ilmu Sosial dan Humaniora Vol 12 No 2 (2023)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jish.v12i2.60536

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Wilayah daerah terisolir (daerah 3T) seperti Desa Labotan Kandi, Banggai Kepulauan, Sulawesi Tengah menghadapi banyak kendala dalam menurunkan angka stunting. Kendala tersebut menyangkut faktor medis dan non medis. Faktor non medis diantaranya seperti adat budaya masyarakat setempat yang cukup kuat mempengaruhi perilaku kesehatan mereka. Adat istiadat yang ada berpengaruh pada cara hidup berdampak pada kondisi kesehatan yang kurang kondusif guna peningkatan status kesehatan masyarakat setempat. Tulisan ini bertujuan mengungkap kendala-kendala adat istiadat masyarakat yang merintangi mereka dalam menurunkan angka stunting di wilayahnya. Studi etnografi dilakukan terhadap 18 ibu balita stunting ditambah informan kunci seperti kepala desa, sekretaris desa, petugas kesehatan di desa serta bapak balita stunting dilakukan pada Juli-Agustus 2022. Observasi dan wawancara dilakukan guna mengungkap pengetahuan mereka terkait stunting, adat istiadat, dan perilaku kesehatan yang mereka jalani. Analisis dilakukan dengan pendekatan sosial budaya guna mengidentifikasi aspek-aspek sosial budaya yang merintangi penanganan stunting. Kuatnya budaya patriarki, kebiasaan menikah usia dini, keterbatasan ekonomi, pendidikan yang kalah dari pesta, relasi gender yang timpang, pemberian makanan tambahan secara dini serta pola pengasuhan anak yang mengutamakan anak asal diam, tidak menangis menjadi deretan penyebab sulitnya penanganan stunting. Perubahan perilaku hidup dan kesehatan harus dilakukan secara komprehensif dengan melibatkan tokoh adat, tokoh agama, stakeholder, serta instansi terkait yang mengurusi KIA (kesehatan ibu dan anak).
Systematic Literature Review: Experience Of Pregnant And Post Partum’s Mother Who Have Baby With Birth Defects Mahmudah Aji Pamungkas, Atik; Triratnawati, Atik; Utami, Fitria Siswi; Suryantoro, Purnomo
Jurnal Kebidanan Midwiferia Vol 6 No 2 (2020): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v6i2.335

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According to Ministry of Health in 2019infant deaths due to birth defects have increased by 1.4% in newborns with birth defects. Mothers who do not know from the beginning of birth defects experienced by the fetus in their womb can increase the occurrence of postpartum mental health disorders. This occurs because of the unpreparedness of the mother in accepting infants who experience congenital abnormalities.The study aims to review experience of pregnant and post partum’s mother who have babies with congenital abnormalities. The data were searched from Proquest and PubMed. Finally, the researcher found 11 documents that were in accordance with the study criteria. The results was foundthat early prevention of birth defects is needed such as consuming adequate micronutrients, such as folic acid and iodine obtained through additional products or vitamins before and during pregnancy. Early detection are possible to determine the abnormalities in the fetus. Supporting examinations that can be done by mothers such as blood tests, pregnancy ultrasound, and examination of amniotic fluid samples in pregnant women, because the review results state that the incidence of stress of pregnant women who know the diagnosis of birth defects after giving birth is higher than mothers who know the diagnosis during pregnancy.. Conclusion of the study experience of pregnant and post partum’s mother who have babies with congenital abnormalities included that screening and special psychological assistance is needed for pregnant and post partum women with congenital abnormalities’s baby.
Mothers’ Experience In Support Of Exclusive Breastfeeding: Scoping Review Nurvitriana, Nidya Comdeca; Triratnawati, Atik; Warsiti
Jurnal Kebidanan Midwiferia Vol 6 No 1 (2020): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v6i1.507

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Exclusive breastfeeding is one of the important strategies to reduce child mortality which has been recommended by the World Health Organization (WHO). Exclusive breastfeeding is defined as the provision of nutritional intake to infants from the first time of birth until at least 6 months can without additional food and drinks. In 2016 WHO showed that the average level of breastfeeding worldwide was only 38% which occurred in urban areas. In the city area it was found that many breastfeeding mothers worked and obstacles and support arose. Working mothers have low trust and intention so as to increase the frequency of failure to give exclusive breastfeeding. This study aims to review support for exclusive breastfeeding. The systematic literature review covers eight stages, namely: Identifying middle frequency problems, Determining priority problems and research questions, Inclusion and Exclusion Criteria, literature search, Selecting articles, data extraction, Critical Assessment, Data collection and Mapping. Data searched from Pubmed and Onesearch. The researchers, then, examined the feasibility of finding documents. Finally, researchers found 9 documents that research criteria. Information on exclusive breastfeeding support was found from 5 journals, namely internal factors (self, family), while external factors (health workers, work environment) were found from 5 journals from 9 journals. The highest influence of support was a work environment characterized by a lack of support from facilities, coworkers, workloads of institutions that influenced the mothers' own intentions. The mother's experience of getting support from exclusive breastfeeding includes internal (self, family) and external (health worker, work environment).