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All Journal Tropical Medicine Journal Nurse Media Journal of Nursing Media Gizi Mikro Indonesia Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Reproduksi GIZI INDONESIA Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Kesehatan Komunitas Jurnal Kesehatan Reproduksi Media Karya Kesehatan Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of Community Empowerment for Health Indonesian Journal of Cancer Berita Kedokteran Masyarakat Jurnal Kesehatan komunitas Indonesia Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Jurnal Kesehatan Terpadu Ophthalmologica Indonesiana Preventif : Jurnal Kesehatan Masyarakat

Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati

Departemen Perilaku Kesehatan, Lingkungan Dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada

Author-ID : 2970928

Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Fenomena perokok wanita di wilayah kerja Puskesmas Tes, Kabuapten Lebong, Provinsi Bengkulu Tri Addya Karini; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Unique social features of female smokers in Lebong district of Bengkulu IndonesiaPurposeThis study aimed to determine the cause and process of women’s smoking behavior.MethodThis research was a phenomenological study involving 15 women who smoke and live in Tes village, Lebong District of Bengkulu. Data collection was conducted through in-depth interviews and participant observation. The triangulation of data was reached through in-depth interviews on two public health center staff, and four husbands of the participants.ResultsResults showed that imitating friends, having smoking mothers, financial independency, increased sensitivity and desire for cigarette smoke smell when pregnant were the reasons women wanted to smoke. Also, they enjoy cigarette smoking after meals and smoked as part of their culture (smoke on the day received salary and celebrations day “uleak”). If they were not smoking they got headaches, bitter mouth and tongue felt thick, and felt support from husbands towards smoking behavior. The study also found that there was not any education about the impacts of smoking.ConclusionIt is indispensable to do health education about the negative impacts of smoking on health for women which requires a special program to help women smokers to stop smoking and prevent non-smoking women from starting smoking, such as quit smoking counseling services.

Waktu yang dihabiskan oleh kepala puskesmas keluar kantor untuk kegiatan administrasi versus program lapangan: analisis data fasilitas komunitas dari IFLS East 2012 Veronika Suka; Ahmad Watsiq Maula; Dian Mawarni; Retna Siwi Padmawati; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 34, No 3 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Health center manager time spending for outside administrative versus field work in East Indonesian region: an analysis of community facility of 2012 IFLS East PurposeThis study evaluates time spent on administrative and field public health program of physician or non-physician community health center managers in East Indonesian region. MethodThe study used 85 community health center managers from 7 provinces of East Nusa Tenggara, East Kalimantan, Southeast Sulawesi, Maluku, North Maluku, West Papua, and Papua from which the data was available in the community facility section of Indonesian Family Life Survey East (IFLS East) 2012.ResultsPhysician managers spent more hours than non-physician managers for administrative matters. In addition, non-physician managers had more hours per week for field program activities as compared to physician managers.ConclusionResearch shows that physician managers have potential lost of their time in performing their medical service functions, which they are trained for. Policy should be directed to improve the management skills of non physician health workers so that physicians can maximize their time to solve medical problems in health centers.

Budaya merokok pada wanita di Suku Tengger Luqman Afifudin; Fatwa Sari Tetra Dewi; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 11 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Smoking behavior culture of Tenggerese women Purpose: Number of female smokers continues to increase. Most of Tenggerese women who lived in Lumajang district have smoking habit. This study aims to describe the cultural smoking behavior of Tenggerese women.Methods: This was a qualitative research with ethnography approach. The informant was obtained through snowball method based on information from local leader and health cadre, then the informant was chosen used purposive method based on predetermined inclusion criteria. The main informant was 9 Tenggerese women who smoke. Additional informants consist of 13 people consisting of 8 informant’s husband and 5 local leader, shaman, local public figure, midwife, and agricultural officer. Data collection was done by in-depth interview and observation.Results: Cigarettes become one of the material offerings Gedang Ayu or Pitrah. Argosari village is the village of Kalapatra which means having a difference in place, time, and habits have implications on the culture or habits of Tenggerese in terms of smoking so that smoking is a common thing in women and seems not found on other district. The gender perspective in meet with economic needs of the family is a factor supporting women to have smoking habits. The socio-cultural aspects prevailing in society encourage the Tenggerese women’s smoking behavior. Informants know the cigarette and its impact from health warning pictures on cigarette pack. Health promotion efforts in tobacco control are undertaken by health workers through the activities of the Birth Planning Program and prevention of complications (P4K) and school health (UKS).Conclusions: Cigarettes became part of the Tenggerese culture in Argosari Village. Behavior of smoking into Tengger women’s culture and smoking is common place because Argosari Village is Kalapatra Village. But nowadays, many teenage women do not smoke anymore include all pregnant women in young age. People who are respected in the community such as village leader, traditional healers , and community leaders also do not smoke. Perspectives of gender and socio-cultural aspects prevailing in Tengger society are contributing factors to the Tenggerese women’s smoking behavior.

Peran teman sebaya terhadap perilaku seksual pranikah pada remaja SMA di kota Tegal Nadia Ade Pratiwi; Retna Siwi Padmawati; Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018): Proceedings the 3rd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Tujuan: Penelitian ini untuk mengetahui hubungan peran teman sebaya terhadap perilaku seksual pranikah pada remaja SMA di Kota Tegal. Metode: Penelitian kuantitatif menggunakan rancangan cross sectional. Penelitian ini dilaksanakan di SMA Kota Tegal dan lebih menekankan pada remaja yang sedang berada di kelas XI SMA atau berusia antara 15 sampai 19 tahun. Populasi dalam penelitian ini adalah semua siswa dan siswi yang bersekolah di SMA X. Besar sampel dalam penelitian inisebanyak 254 responden. Pengumpulan data mengunakan kuesioner. Analisis bivariat menggunakan Chi square dan analisis multivariat dengan menggunakan regresi logistik dengan tingkat kepercayaan 95% dan α <0,05. Hasil: Sebagian besar peran teman sebaya mendukung untuk melakukan seksual pranikah sebesar 62,60%. Perilaku seksual pranikah pada responden sebagian besar 62,60% beresiko. Peran teman sebaya memiliki hubungan yang signifikan (p<0,05) dengan perilaku seksual pranikah pada remaja SMA. Remaja yang melakukan perilaku seksual pranikah beresiko dan didukung oleh teman sebaya lebih besar 1,75 kali dibandingkan dengan yang tidak mendukung. Akses dan Kontak media pornografi memiliki hubungan yang signifikan (p<0,05) dengan perilaku seksual pranikah pada remaja SMA. Remaja yang melakukan perilaku seksual pranikah beresiko dengan akses dan kontak media pornografi lebih besar 1,92 kali dibanding dengan akses dan kontak media pornografi yang rendah. Simpulan: Peran teman sebaya berhubungan dengan perilaku seksual pranikah pada remaja SMA di Kota Tegal.

Pengelolaan kesehatan reproduksi pengungsi pasca bencana gempa di kabupaten Lombok Timur Nurhidayati Nurhidayati; Retna Siwi Padmawati; Abdul Wahab
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

PENGELOLAAN KESEHATAN REPRODUKSI PENGUNGSI PASCA GEMPA DI KABUPATEN LOMBOK TIMUR Nurhidayati Nurhidayati; Retna Siwi Padmawati; Abdul Wahab
Berita Kedokteran Masyarakat (BKM) Vol 36, No 6 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.45761

Background: MISP (minimum initial service package) is a guideline for post-disaster reproductive health services. After the earthquake in East Lombok Regency, reproductive health services, according to the MISP standards, need to be seen. Suppose the condition does not comply with the standard. In that case, it will cause many pregnant and lactating women and infants and toddlers to be threatened with the quality of their health and safety. It will have an impact on increased maternal and infant mortality rates.Purpose: Describe the management of reproductive health in pregnant women, women giving birth / postpartum mothers with newborns among IDP victims of the earthquake disaster in East Lombok Regency.Research Methods: This research is a qualitative study with a case study design. In-depth interviews were conducted with 21 informants consisting of 6 stakeholders from the East Lombok District Health Office, four service providers, nine service recipients, and two cross-sectoral. Secondary data and document studies were also used as data sources.Result: Most informants have never heard of the term MISP, and the management of IDPs' reproductive health after the earthquake was not well organized. The organizational structure for managing the district-level health care program, both during the emergency response and rehabilitation phase, has not yet been formed. However, health workers' types of service activities such as midwives, nurses, and doctors from unaffected puskesmas are still running. These activities include ANC, delivery assistance, high-risk detection, and case referral. Family planning services and contraceptives, and the need for romance tents are not provided. As a result, there was an increase in mothers and neonates' high-risk cases and an increase in pregnant women K1 during the rehabilitation period. Provision of the "Kespro" tent for delivery services, pregnant women, and maternity services is available in collaboration with overseas organizations, but there is only one for the entire district. Apart from limited facilities and logistics and sanitation, officers are also less sensitive to other basic needs.Conclusion: There is a gap between the services provided and the minimum initial service package, which is the standard for reproductive health services in crisis times. Preparation of the local government through the relevant regional apparatus organizations is required to immediately prepare a Disaster Management Plan at all stages, starting from comprehensive mitigation, contingency, emergency response, and rehabilitation plan.

Faktor Determinan Penolakan Imunisasi di Desa Bonjor Kabupaten Temanggung Tahun 2018 Faridatun Khasanah; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Determinant factors immunization refusal in Bonjor Village Temanggung DistrictPurpose: Temanggung district is one of two districts in Central Java that have refusal immunization. Highest refusal immunization in Temanggung district located in Bonjor Village. Based on this, researchers wanted to see determinants of refusal immunization in Bonjor Village. Method: Study design was sequential explanatory mixed method used 1: 1 paired case-control study, which was equipped with qualitative sequential explanatory. Research sample were parents who refused and did not refuse their children to be immunized who lived in Bonjor Village. Quantitative analysis using bivariate analysis and multivariate analysis, while qualitative analysis using data triangulation.Results: Sample collected was 114 heads of families. The results of study showed that 58% respondents had education level of junior high school, 57% working as farmers and the average age of 31.75 years with youngest age was 19 years and oldest was 48 years. The results of multivariate analysis showed that mother's belief in breastfeeding (OR=5.54; 95% CI=1.91-16.05), vaccine was not an option in increasing immunity (OR=20.32; 95% CI=3, 98-103.68), and the experience of mothers that after immunization her child became fussy (OR = 3.92; 95% CI=1.32-1156) had a relationship with the refusal immunization in Bonjor Village, Temanggung District in 2018. Belief and experience of mothers about immunization supporting occurrence of vaccines is not an option in increasing immunity.Conclusion: Increasing knowledge and restoring public belief are initial choices for increasing immunization coverage. Refusal immunization problem cannot be solved by one sector but requires cross-sector cooperation.

HUBUNGAN FAKTOR LINGKUNGAN DAN PERILAKU DENGAN KEJADIAN STUNTING PADA BALITA : SCOPING REVIEW Siti Novianti; Retna Siwi Padmawati
Jurnal Kesehatan Komunitas Indonesia Vol 16, No 1 (2020)
Publisher : Fakultas Ilmu Kesehatan Universitas Siliwangi

Stunting merupakan gangguan pertumbuhan linear pada anak dan memilikidampak jangka panjang berupa peningkatan morbiditas dan mortalitas sertagangguan produktifitas di masa mendatang. Prevalensi stunting di seluruh duniacenderung menurun tetapi masih menjadi masalah kesehatan masyarakat.Berbagai penelitian menemukan bahwa determinan utama stunting adalah intakenutrisi yang tidak adekuat, pola asuh tidak memadai maupun pengaruh status gizi selama kehamilan. Tetapi beberapa penelitian saat ini menemukan adanya bukti pengaruh faktor lingkungan dengan stunting. Tujuan dari penulisan artikel ini adalah untuk menggali hasil penelitian saat ini dan mengkompilasi faktorlingkungan yang berhubungan dengan stunting, sehingga menemukan gappengetahuan dan bisa menjadi arah untuk penelitian berikutnya. Pencariansistematis dilakukan melalui pencarian dari database elektronik yaitu PubMed,Science Direct, Scopus, Wiley online library dan Google Scholar, serta pencariandatabase penelitian tesis dan disertasi UGM. Artikel yang direview adalah yangberisi hasil penelitian observasional (cros sectional, kohort dan kasus kontrol)yang menganalisis hubungan faktor lingkungan dan kejadian stunting pada balita. Hasil pencarian menemukan 8 artikel penelitian yang memenuhi kriteria insklusi dan dilakukan analisis akhir. Dari sejumlah artikel, diperoleh hasil bahwa sumber dan akses terhadap air bersih dan air minum memiliki hubungan signifikan dengan kejadian stunting balita. Kepemilikan jamban sehat, serta praktik cuci tangan pakai sabun dan air mengalir juga berhubungan dengan stunting balita. Selain faktor air bersih, sanitasi dan higiene, diketahui bahwa faktor kepemilikan unggas dan faktor lingkungan fisik rumah (jenis lantai dan dinding) serta paparan polutan domestik (asap rokok dan bahan bakar memasak) berhubungan dengan stunting meskipun hanya ditemukan pada sedikit penelitian.

PENDEKATAN DINAS KESEHATAN DALAM PEMBERIAN PELAYANAN KESEHATAN DASAR MATERNAL PADA KOMUNITAS ADAT TERPENCIL SUKU ANAK DALAM DI KABUPATEN MERANGIN Lailatul Khoiriyah; Retna Siwi Padmawati
Journal of Health Service Management Vol 24 No 01 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: Based on previous research in Sarolangun District which stated that mothers of Anak Dalam tribes do not want to come to give birth at the Health Service center provided by the government. Meanwhile in Merangin District, there were mothers of AnakDalam tribes who want to do ANC and gave birth to available health services.Objective: To explore the approach taken by the Merangin District Health Office in providing basic maternal health services tothe remote indigenous communities of the Anak Dalam tribe in the Merangin District area.Methods: This research was qualitative research with a single embedded case study design. The respondents were mothers,tumenggung (chief of tribe), health workers, holders of maternal health programs at the health department and the Head of HealthDistrict Office.Results: Maternal health services in Kabupaten Merangin included 14 services that cover the entire community including Anak Dalamtribe. Service delivery efforts were provided with a cultural approach and teamwork. The strategy of providing maternal health servicesto the Anak Dalam tribe was carried out with innovations in health care facilities thus the Anak Dalam tribe community begun to minglewith the community, understand maternal health, and finally accept maternal health services provided by health care facilities. Itwas also inseparable from cross-sectoral support in providing counselling and outreach about healthy life style of the Anak Dalam triberesidents. Therefore, the impact was Anak Dalam tribe begun to understand the importance and need to utilize health care facilitiesprovided by the government.Conclusion: The approach was carried out with cross-sectoral collaboration and initiation of innovation in health service facilities.Evaluation of the approach to providing health services can be viewed from the aspect of mistrust in health services and the acceptance of providing maternal health services to the Anak Dalam tribe.

KAPASITAS SUSTAINABILITY PROGRAM KEBUN GIZI MANDIRI MELALUI PEMBERDAYAAN MASYARAKAT BERSAMA CITA SEHAT FOUNDATION Kurnia Widyastuti; Yodi Mahendradhata; Retna Siwi Padmawati
Journal of Health Service Management Vol 23 No 03 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Background: The success of health programs to provide long-term benefits remains a challenge. Similarly, the study of sustainability capacity in health programs in Indonesia is still limited. Cita Sehat Foundation strives to support SDG achievement by ensuring thatthe program has sustainable capacity so that it can run and be beneficial in the long periods. One of the programs delivered by the foundation is the implementation of Kebun Gizi Mandiri in Bantul,Yogyakarta, for five years with and provide benefits and pride through several awards.Objective: The aim of the research is to assess the sustainability capacity of Kebun Gizi Mandiri.Methods: This research uses mixed-methods approach with convergent parallel strategy, where qualitative and quantitative data are collected, analyzed separately, and then compared to see the findings. Quantitative data was obtained from PSAT (Program Sustainability Assessment Tool). Qualitative data were obtained through in depth-interviews and focus group discussions from selected informants involving beneficiaries, program managers and development program NGOs with maximum total variation sampling.Results: The sustainability of the program is well supported by the availability of support from the cadre team as the main manager, community and local stakeholders. The availability of information and involvement of cross- stakeholder support the sustainability of program. Strengthening cadre team capacity, innovation in program development, availability of evaluation forms capable of recording program progress and becoming the basis for improvement, as well as availability of allocations from various funding sources to ensure program sustainability are components of sustainability capacity that still needs improvement.Conclusion: There are several domains of sustainability capacity that still need improvement. Therefore, the formulation of a sustainability action plan can be undertaken to follow-up the result based on a sustainability domain review that still needs special attention for improvement.

Co-Authors A.A. Ketut Agung Cahyawan W Abdul Wahab Abdul Wahab Adelia Ismarizha, Adelia Aditya Lia Ramadona Afrezah Ageng Brahmadhi Agustina Arundina Triharja Tejoyuwono, Agustina Arundina Triharja Ahmad Watsiq Maula Akrim Wasniyati Andreasta Meliala Anita Meiriana Ari Kurniawati Ari Purwoko Widji Utomo Arko Jatmiko Wicaksono, Arko Jatmiko Astri Ferdiana Bagas Suryo Bintoro Bambang Hasthayoga LB Beni Lestari Budi Wahyuni Cati Martiyana Daniel Detty Siti Nurdiati Dewanto, Agung Dian Mawarni Djauhar Ismail Dwi Maiyanthi E. Elsa Herdiana Murhandarwati Ema Madyaningrum Emy Huriyati Esfandyari, Eldo Fahdilla, Noviyanti Fajar Wahyuni Fajarini, Yuniar Ika Fajrin, Meidina Farahdilla, Zakiya Ammalia Faridatun Khasanah Fatwa Sari Tetra Dewi Fithri Zamzam Hamam Hadi Hanifah Rogayah Hari Kusnanto Hayu Iyaka Nastaina Ida N Faizah Ifta Choiriyyah Inriyani Takesan Intan Agustina Anggraeni Irawati Sagala Iskandar Iskandar Iztihadun Nisa Jehuman, Engelina Suryawaty Jimmi Kifly Putra Sihombing Julita Hendrartini Juminten Saimin, Juminten Juniar Ayuning Wigiyandiaz Khanal, Shreya Khuzaimah, Eriyani Kurnia Widyastuti Kurniawan, Muhammad Chamim Thohari Lailatul Khoiriyah Laksono Trisnantoro Laksono Trisnantoro Laksono Trisnantoro Luqman Afifudin Luthfi Azizatunnisa’ Madarina Julia Mae Sri Hartati Wahyuningsih Mahadewi, IGA Putri Martalena Br Purba, Martalena Br Martalena Br. Purba Mellen, Renie Mitsel Mitsel Mohammad Hakimi Mohammad Hakimi Monanda, Adelia Pramudita Mora Claramita Mubasysyir Hasanbasri Muhammad Sohel Rana Musa Musa Nadia Ade Pratiwi Najiyati, Ifa Ni Komang, Sriwisani S Nilasari Normalita Sulistyanawati Noviar, Ainun Hanin Nurhidayati Nurhidayati Nurhidayati Nurhidayati Prajnawita, Disny Prima Dhewi Ratrikaningtyas Priscilla Bawing Puji Rahayu Purwadi Arifin, Purwadi Putro, Wiradianto Qaimamunazzala, Hayu Ranti, Imaniar Renie Cuyno Mellen Risca Ardhyaningtyas Rizki Hafidzah Baswedan, Rizki Hafidzah Rohadanti Rohadanti Rony Darmawansyah Alnur Rubai, Windri Lesmana Rul Afiyah Syarif Rupiasa, Welresna Juliatri Putri Rusdiana HM Sarto Sentosa, Deri Setyo Purwono Shelly Puspa Anggraini Sigit Riyarto Siswanto Agus Wilopo Siti Novianti Siti Suryati Sitorus, Melina Ebtarina Sitorus, Melina Ebtarina Sri Mumpuni Yuniarsih Sri Peni Wastutiningsih Subronto, Yanri Wijayanto Suharyanto Supardi, Suharyanto Suka, Veronika Sulistyanawati, Normalita Sulistyo, Dwi Handono Susi Ari Kristina Sutena, Marthinus Syafriani Tiara Marthias Toto Sudargo Tri Addya Karini Tsaqiba, Tsania Nurjihan Vena Jaladara Veronika Suka Vina Yulia Anhar Wahab, Abdul Widyandana Widyandana Widyastuti Widyastuti Windri Lesmana Rubai Wiranto Yanri Subronto Yanri Wijayanto Subronto Yayi Suryo Prabandari Yodi Mahendradhata Yuniar Ika Fajarini Zulfa Nur Hasri

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