Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati
Departemen Perilaku Kesehatan, Lingkungan Dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada

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Persepsi Masyarakat Terhadap Penyakit Rabies I Made Kerta Duana Nida Ul Hasanat Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3398

Abstract

Background: Rabies is a viral disease that causes acute encephalitis (inflammation of the brain) in warm-blooded animals, and human. The rabies virus infects the central nervous system, ultimately causing disease in the brain and death. Rabies in Bali was firstly discovered in Badung District. Rabies was transferred by dog bite. Bali has enourmous dog population, the number reach approximately 540.000 animals or about 96 animals per square kilometer. Meanwhile, domesticated dog population only about 30 percent, the rest is wild dog that live on the street. Rabies in Bali need to be considered by all parties to change the mindset and the behaviour of keeping dog as pet, also efforts in solving of rabiesObjective: To recognizing the perception of Balinese people regarding rabies, preventing and solving efforts of rabies.Method: This research is a qualitative research using phenomenology approach. The data is collected by conducting deep interview technic and focus discussion group (FGD). The subject of the research consists of community with risk of rabies infection in Bali. The data is analysed by using constant comparative method, consists of four activity process; reduction, chategorisation, sintesisation, and interpretation.Result and Discussion: Dog domestication by Balinese community has been conducted for hundreds of year, passed on from one generation to the next, and no prohibition from religion or tribe regulation. Keeping dog at home then set them free will accelerate rabies infections to other dog and human. The high number of dog bite and victims of rabies has caused unsecurity in the community. This will also affect the changing pattern of medication of dog bites.Conclusion: The misperception about rabies was caused by the lack of information that people can get. The ineffectiveness of government program to combat rabies, such as vaccination, elimination, health promotion and community empowerment stimulate the spread of rabies throughout Bali. Some matters that need to be notified are the lack of people’s participation and ineffective illumination, also promoting effective implementation of vaccination and eliminating dog while still considering the culture value of local community.Keywords: perception, rabies, dog, health promotion
Persepsi Remaja Putri di Kota Ambon Tentang Risiko Terpapar Kosmetik Berbahaya dan Perilakunya dalam Memilih dan Menggunakan Kosmetik Bidan Tringani Damanik, Kristiana Etnawati, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 27, No 1 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.284 KB) | DOI: 10.22146/bkm.3412

Abstract

Perception of Female Teenagers In Ambon About Hazardous Cosmetics Exposure Risk and Their Behavior of Choosing and Using CosmeticsBackground: Cosmetics are products that frequently used by female teenagers to attain and maintain beauty instantly according to their beauty concept. There are many cosmetics in the markets unregistered and contain hazardous substances. The wide distribution of unregistered cosmetics becomes a risk factor for hazardous cosmetics exposure. Thus a research is needed to study  the perception of female teenager about hazardous cosmetics exposure risk and their behavior of choosing and using them.Objective: This research intended to study the  perception of female teenagers about hazardous cosmetics, the perception of female teenagers in Ambon about hazardous cosmetics exposure risk and the behavior of choosing and using cosmetics.Method: This research was a survey combined with qualitative method using descriptive explorative approach. Survey was conducted in in 6 private and 6 public High Schools in Ambon. There were 394 female students as responden which is recruited by multistage cluster sampling method. The methods of data collection were descriptive and Focus Group Description (FGD). The participant of FGD was recruited  with purposive sampling method, in which  3 to 4 students from each school recruited as participants of FGD yielding a total of 44 respondents who were split in 6 group discussion.  Thematic was then used for data analysis.Results: More than half of 394 students (57,9%) experienced skin problem after using their cosmetics. The evidence of some skin problems such as  peeled off the skin, reddish skin and burned skin was perceptioned as procedures to make skin become white, but the black spot and acne after using cosmetics was perceptioned as the cosmetics is dangerous.Conclusion: The wrong perception that some skin problems are the procedure to make skin white in teenagers in Ambon,  lead them  to have the risky behaviour in choosing and using cosmetics. The National Agency of Food and Drug Control especially the Institute of Food and Drug Control in Ambon should actively conduct  the health promotion about cosmetics and problems in the high schools and household in  to reduce the potential risk of the exposure to hazardous cosmetics.Keywords: beauty concept, perception, cosmetics, hazardous cosmetics, the behavior of choosing and using cosmetics
Peran Ayah dalam Praktik Menyusui Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.119 KB) | DOI: 10.22146/bkm.3458

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Background: In Indonesia the prevalence of exclusive breastfeeding in 2007 was 32%. Although breastfeeding is a common practice, exclusive breastfeeding remains unpracticed optimally due to some influential factors. One factor to be considered here is father’s role. However, until recently studies regarding father’s role in breastfeeding practice have not been fully explored in Indonesia. In Bukittinggi exclusive breastfeeding rate was 63,5% in 2008.Objective: To investigate the relationship between the father’s role and breastfeeding practices in Bukittinggi Municipality.Method: This was an observational study with cross-sectional study design. Subjects were families with babies aged 0 – 6 months using non probability sampling. The independent variable was the father’s role and the dependent variable was breastfeeding practices. Meanwhile, the extraneous variables included knowledge, attitude, mother’s occupation; father’s working hours in a day, and income. The data were analyzed using univariable analysis, bivariable analysis with chi-square test, and multivariable analysis with logistic regression.Results: The result of multivariable analysis showed that there was a significant relationship between the father’s role and breastfeeding practice, by including father’s knowledge, mother’s knowledge, father’s attitude and mother’s attitude that could predict by 12% (RP= 1.93; 95% CI= 1.36 – 2.74).Conclusion: The prevalence of exclusive breastfeeding practices in the supporting father group was greater than in the group that non-supporting father. The recommendations are that fathers should be targeted audience in the breastfeeding promotion.Keywords: father’s role, breastfeeding practices
Motivasi dan Kepercayaan Pasien untuk Berobat ke Sinse Abdul Haris Jauhari 1 , Muhana Sofiati U Haris Jauhari, Muhana Sofiati Utami, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.782 KB) | DOI: 10.22146/bkm.3601

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Background: Health service may not be obtained only from conventional medication but also traditional medication. The use of traditional medication is getting more popular. This may be supported by local culture and mass media. In Pontianak Municipality with major Chinese ethnic community, the use of Chinese traditional medication is very popular.Objective: The study was aimed at identifying motivation and trust of patients in seeking medication to sinshe.Method: This was a qualitative study using grounded theory approach. Location of the study was Pontianak Municipality. Informants consisted of 12 patients, 6 sinshe(s), 1 staff of health office, 1 doctor, and 1 leader of Chinese ethnic community. Samples were chosen purposively, using maximum variation sampling technique. Research instruments used were observation guide and in depth interview. Triangulation on methods and informants/source were used in examining the trustworthiness of the data. Data analysis was carried out through data transcript, coding, open coding, axial coding, data presentation, and making conclusion.Result: Patients trusted sinshe(s) due to their capabilities of curing chronic diseases. Patients had motivation to go to sinshe(s) because they failed in getting cure from conventional medication, they were worried in using chemical drugs and having operation and they were unsatisfied with conventional medication. According to patients, sinshes’ medication had many advantages, such as comprehensive, cheap and natural. However, there were also disadvantages, such as drugs were impractical, non hygienic, and did not taste good. Triggers which caused patients to go to sinshe were information supporting and culture, affordable cost, and experiences of the informants.Conclusion: Patients turned from conventional medication to sinshe (traditional) medication because of trust, motivation and trigger factors. Improving health service quality and health promotion should be made in order the community could get appropriate medication.Keywords: motivation, trust, patients, traditional medication, sinshe
Kebiasaan merokok keluarga serumah dan pneumonia pada balita Rony Darmawansyah Alnur; Djauhar Ismail; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 3 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.761 KB) | DOI: 10.22146/bkm.12832

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The correlation of family smoking habits at home with the incidence of pneumonia among children in Bantul district in 2015PurposeThis study aimed to analyze the association between family smoking habits at home with the incidence of pneumonia in children.MethodsThis research was a case control study involving 160 children in the district of Bantul (80 with pneumonia and 80 without pneumonia).ResultsThere was an association between family smoking habits at home with the incidence of pneumonia in children at Bantul. Furthermore, it was found the other variables that had a association with the incidence of pneumonia in children at Bantul District included the use of mosquito coils, nutritional status of children and crowded household. The variables of maternal education, immunization status, income parents, history of exclusive breastfeeding, history of vitamin A, the type of household fuel, the location of the kitchen, the type of house walls and the activity of burning trash were not associated with the incidence of child pneumonia in the district of Bantul.ConclusionIt is necessary to conduct health promotion in all households about the impact of family smoking habits on children, especially in a crowded household. Also, there is need to supervise the family members who have the habit of smoking so the are not smoking inside the house, especially in families with children. It is equally important to repair any lowered nutrition status in children.
Kelas Edukasi Menyusui Sebagai Penunjang Keberhasilan Memberikan ASI Eksklusif Shelly Puspa Anggraini; Retna Siwi Padmawati; Madarina Julia
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.233 KB) | DOI: 10.22146/bkm.24547

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Breastfeeding education classes as a support for exclusive breastfeeding successPurposeThe purpose of this paper was to examine the difference of maternal participation in breastfeeding education class AIMI (Indonesian Breastfeeding Association) and the success of exclusive breastfeeding.MethodA cross-sectional study was conducted involving 186 mothers. We used in-depth interviews of mothers who had attended AIMI Yogyakarta's breastfeeding education class.ResultsAs many as 88.6% of respondents gave exclusive breastfeeding. Of those who attended only one class, 88.9% gave exclusive breastfeeding, while 88.6% in the group who attended the two educational classes gave exclusive breastfeeding. There was no difference between mothers who attended one class or two classes of education on exclusive breastfeeding success.ConclusionThis study contributes to the knowledge that there is no difference between mothers attending one class or two classes of education on exclusive breastfeeding success.
Pengaruh ketersediaan layanan informasi pola konsumsi dan komplikasi gigi dan mulut terhadap perilaku pengelolaan penyakit pada penderita diabetes mellitus di Kota Yogyakarta Normalita Sulistyanawati; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.76 KB) | DOI: 10.22146/bkm.25550

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Latar Belakang: Diabetes merupakan penyakit yang kompleks dan mahal yang dapat mempengaruhi hampir setiap organ dalam tubuh dan mengakibatkan konsekuensi yang tinggi. Data Riskesdas menunjukkan bahwa prevalensi diabetes yang terdiagnosis dokter tertinggi terdapat di DI Yogyakarta sebanyak 2,6%. Survei Dinkes Kota Yogyakarta tahun 2015, di Kota Yogyakarta terdapat 2638 orang penderita baru yang mengidap penyakit diabetes mellitus. Pada upaya meningkatkan derajat kesehatan masyarakat, Pemerintah wajib memberikan kemudahan kepada masyarakat untuk memperoleh akses terhadap informasi kesehatan.Metode Penelitian: Penelitian deskriptif analitik dengan rancangan penelitian cross sectional, menggunakan metode penelitian kuantitatif. Populasi adalah seluruh pasien diabetes mellitus yang tercatat di Yogyakarta. Sample penelitian sebanyak 336 orang pada empat puskesmas Kota Yogyakarta yaitu, Puskesmas Tegalrejo, Kotagede I, Mantrijeron, dan Wirobrajan.Hasil: Penelitan ini menunjukkan bahwa tidak ada pengaruh antara ketersediaan layanan informasi pola konsumsi dengan perilaku pengelolaan pada penderita diabetes mellitus ditunjukkan dengan p>0.25 (p=0.763). Sedangkan informasi pola konsumsi (p=0,003), informasi komplikasi gigi mulut (p=0,149), dan dukungan keluarga (p=0.148) memiliki pengaruh terhadap perilaku pengelolaan pada penderita diabetes mellitus ditunjukkan dengan nilai p<0.25.Kesimpulan: Pelayanan Puskesmas terhadap pasien penderita diabetes di kota Yogyakarta secara umum sudah baik akan tetapi masih kurangnya informasi dan kepedulian terhadap kesehatan gigi dan mulut pada penderita diabetes. Perlu adanya kepedulian oleh Puskesmas terhadap kesehatan gigi dan mulut pada penderita diabetes mellitus. Selain itu perlu inovasi pada penyampaian informasi pada pasien, terutama pasien lama. 
Compliance to traditional birth practices and poor perception of formal health facility: exploring actions to social determinants of health and barriers to care access in indigenous “Suku Anak Dalam“ community Inriyani Takesan; Musa Musa; Retna Siwi Padmawati; Mubasysyir Hasanbasri; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.25582

Abstract

People living in isolated communities are vulnerable to suffering from illness because of their lack of access to available known effective treatment in health facilities around them, including in maternal and child issues. The goal of this in-depth interview and one month-direct observation living in the community is to explore the belief and available structure of local health-seeking behavior among the Suku Anak Dalam community. Our findings suggest that the community has its own traditional belief that explains their birth practices. Interpretation of concepts such as anak peranakan, taputangan, pekarom, and delom system are unique and inseparable from the interpretation of their ideal life and their trust in God. In the other side, their poor perception about public health facilities is influenced by their experience dealing with formal health facilities. When a community gets what they perceived as poor services, they will not believe and do not come back to seek help from formal health facilities. Our study confirmed that the cultural explanation of birth and belief related to traditional birth delivery services remain existent and practiced, which limits access to a government health facility. If the community is free to choose alternative care outside their traditional system, people may obtain effective treatments from the surrounding health facilities. SAD women feel comfortable with their cultural practices. They have a negative perception and feel uncomfortable about formal health facilities showed inadequate government efforts to bring services to a specific social group. Health workers in isolated areas with traditional belief should be prepared and paid under a contract basis, different from the regular workers. They need to improve the communication skills that allow them to engage with people from different cultures. They need to work with officers from other sectors, both in formal and informal settings.
Pengetahuan, efikasi diri dan praktik penjamah makanan tentang keamanan pangan pada industri rumah tangga pangan Jimmi Kifly Putra Sihombing; Susi Ari Kristina; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.532 KB) | DOI: 10.22146/bkm.26122

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Tujuan: Untuk mengetahui karakteristik sosiodemografi, pengalaman, tingkat pengetahuan, efikasi diri penjamah makanan pada IRTP di Kota Ambon dan keterkaitannya pada praktik keamanan pangan.Metode: Penelitian cross sectional pada 51 industri rumah tangga pangan dengan jumlah responden sebanyak 135 orang. Uji chi square untuk analisis bivariabel dan regresi logistik untuk analisis multivariabel.Hasil: Terdapat hubungan tingkat pendidikan, pelatihan, pengetahuan dengan efikasi diri keamanan pangan penjamah makanan pada industri rumah tangga pangan.Implikasi Praktis: Penelitian ini menyarankan untuk meningkatkan sistem pemantauan penangan makanan agar tidak terjadi food borne disease.Keaslian: Penelitian ini menyatakan bahwa keamanan pangan di industri rumah tangga bergantung pada praktik penanganan makanan.
Analisis pelaksanaan kebijakan program keluarga berencana (KB): studi kasus di Kabupaten Malinau Priscilla Bawing; Retna Siwi Padmawati; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.3 KB) | DOI: 10.22146/bkm.26301

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Implementation of district level "four children better" family planning policy in MalinauPurposeThis study aimed to analyze the implementation of family planning program policy in Malinau.MethodsA case study was conducted through in-depth interviews with 18 participants.ResultsThe policy of the government in Malinau is ‘four children are better’. Differences in perceptions between stakeholders, providers, and users about family planning affecting social, economic, cultural, beliefs have an impact on contraceptive use in Malinau. The use of contraception is not prohibited for people with medical indications for using contraception, but peo­ple should access the contraception independently in the private sector.ConclusionThe policy of the Ma­linau government to stop the supply of contraceptives to government health facilities since 2012 is an effort by local governments to increase the number of inland and border populations. The unavailability of con­traceptives in government health facilities and the limitations of family planning information, communica­tion and education lead to differences in perceptions between stakeholders, service providers, and users. Therefore, the researcher recommends that the relevant regional apparatus unit does advocacy to legislative and executive boards in Malinau. The local government shall ensure the availability and quality of family planning services for the community on the basis of reproductive health rights.
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Wahab Abdul Wahab Adelia Ismarizha, Adelia Agustina Arundina Triharja Tejoyuwono, Agustina Arundina Triharja Ahmad Watsiq Maula Akrim Wasniyati Anita Meiriana Ari Kurniawati Ari Purwoko Widji Utomo Arko Jatmiko Wicaksono, Arko Jatmiko Bambang Hasthayoga LB Beni Lestari Budi Wahyuni Cati Martiyana Daniel Detty Siti Nurdiati Dian Mawarni Djauhar Ismail Doni Widyandana Ema Madyaningrum Emy Huriyati Esfandyari, Eldo Fajarini, Yuniar Ika Farahdilla, Zakiya Ammalia Faridatun Khasanah Fatwa Sari Tetra Dewi Hamam Hadi Hanifah Rogayah Hari Kusnanto Ifta Choiriyyah Inriyani Takesan Intan Agustina Anggraeni Irawati Sagala Iztihadun Nisa Jimmi Kifly Putra Sihombing Julita Hendrartini Juniar Ayuning Wigiyandiaz Kurnia Widyastuti Lailatul Khoiriyah Laksono Trisnantoro Laksono Trisnantoro Laksono Trisnantoro Luqman Afifudin Madarina Julia Mae Sri Hartati Wahyuningsih Mahadewi, IGA Putri Martalena Br. Purba Mitsel Mitsel Mohammad Hakimi Mora Claramita Mubasysyir Hasanbasri Muhammad Sohel Rana Musa Musa Nadia Ade Pratiwi Najiyati, Ifa Normalita Sulistyanawati Nurhidayati Nurhidayati Nurhidayati Nurhidayati Prajnawita, Disny Priscilla Bawing Purwadi Arifin, Purwadi Putro, Wiradianto Ramadona, Aditya Ranti, Imaniar Renie Cuyno Mellen Risca Ardhyaningtyas Rizki Hafidzah Baswedan Rohadanti Rohadanti Rony Darmawansyah Alnur Rubai, Windri Lesmana Rul Afiyah Syarif Rupiasa, Welresna Juliatri Putri Rusdiana HM Shelly Puspa Anggraini Sigit Riyarto Siswanto Agus Wilopo Siti Novianti Siti Suryati Sitorus, Melina Ebtarina Sitorus, Melina Ebtarina Sri Mumpuni Yuniarsih Subronto, Yanri Wijayanto Suharyanto Supardi, Suharyanto Suka, Veronika Sulistyanawati, Normalita Susi Ari Kristina Tiara Marthias Toto Sudargo Tri Addya Karini Veronika Suka Vina Yulia Anhar Wahab, Abdul Widyastuti Widyastuti Windri Lesmana Rubai Yanri Wijayanto Subronto Yayi Suryo Prabandari Yodi Mahendradhata Yuniar Ika Fajarini