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

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Barrier and facilitators in implementing household waste management program in West Kotawaringin Kurniawan, Muhammad Chamim Thohari; Sutena, Marthinus; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 38 No 06 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i06.3711

Abstract

Purpose: This study aims to evaluate the program at South Arut District to explore barriers and facilitators in the household waste management program. Methods: This qualitative case-explanatory study used a thematic analysis approach. Thirteen respondents were the environmental service chair, the health office, the sub-district of South Arut, the cleaning staff (2 people), the Yayorin manager (NGO), restaurant owners, farmers, fishers, Aisyiyah, Bawi Dayak, Culture and Tourism Association, student, head of RT 15, and household member with at least three years residence in Pangkalan Bun. Results: The parties forming regulations are the Environment Service, Public Works Service, South Arut Sub-district, kelurahan, and village heads. The budget is 21 billion rupiahs. Program coordinators in each unit are still not optimal in managing activities that can produce marketable outputs. The strategies are socialization, distributing pamphlets, and broadcasting broadcasts on regional television channels. The inhibiting factor is the perception of people who do not care about the environment and lack infrastructure. The driving factor is the self-awareness of people who care about environmental cleanliness. Conclusion: Local governments need to consider having an executive manager and operational management team in each unit who can add the necessary infrastructure and closely monitor implementation, which will maximize the production process with marketable products. Also, the management team must promote the utilization of the waste management system to the community.
E-cigarette user compliance with COVID-19 health protocols in Yogyakarta Khuzaimah, Eriyani; Padmawati, Retna Siwi; Bintoro, Bagas Suryo
BKM Public Health and Community Medicine Vol 38 No 01 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i01.3893

Abstract

Purpose: This study aims to explore the compliance of e-cigarette users during the COVID-19 pandemic. Method: This research is qualitative research with a phenomenological approach. Data were collected using in-depth interviews, semi-structured guidelines, and observation. The informants were selected using a snowball sampling approach, with a total of 10 e-cigarette users, two health promotion officers, and two e-cigarette shop employees. The validity of research data using triangulation and member checking. Results: The informants still need to fully comply with the policy on using e-cigarettes during the COVID-19 pandemic because the informants still lend each other e-cigarette devices and do not comply with health protocols when using e-cigarettes outdoors. Although this habit is still practiced, the informants are aware that this habit is risky, especially during a pandemic. The use of e-cigarettes during a pandemic can relieve boredom, boredom, and stress. Informants feel that there are different situations, such as community activities that are not running, and the income of e-cigarette sellers is decreasing. The way to access e-cigarettes is different from before the COVID-19 pandemic. Conclusion: E-cigarettes during the COVID-19 pandemic are dangerous, especially the habit of sharing e-cigarettes and gathering without establishing health protocols. However, e-cigarette users tend to ignore and stick to the habit.
The effect of education and smoke-free home activity contract on changes in husbands' smoking intensity in the home in North Lombok District, West Nusa Tenggara Noviar, Ainun Hanin; Prabandari, Yayi Suryo; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 38 No 03 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i03.3897

Abstract

Purpose: Home is the place most at risk of exposure to cigarette smoke. Indonesia recorded that 85% of households are exposed to cigarette smoke. Smoke-free homes (SFH) were initially introduced by the Environmental Protection Agency, United States, 2001 to increase awareness of the health hazards of second-hand smoke (SHS) and one's ability to limit cigarette consumption in the home. The success and effectiveness of implementing smoke-free homes (SFH) cannot be separated from the modification of the behavior of each individual. This study aims to determine the effect of education and smoking-free house activity contracts on reducing the smoking intensity of husbands in the house in North Lombok Regency, West Nusa Tenggara. Methods: This study is a retrospective, pre-, and post-intervention cohort study using secondary data from the Peer Health SHS-LBW Intervention Study in North Lombok Regency, West Nusa Tenggara Province. The data used were baseline data and 6-month data on 733 active smoking husbands who lived in the same house with pregnant women aged less than 4 months when they were respondents in the study. The data will be tested using Chi-square and logistic regression to determine the most influencing variables. Results: The results of the chi-square analysis showed that most husbands with total income did not know/low income 66.67% did not experience changes or tended to increase the intensity of smoking in the house. In the comparative analysis, the value of p = 0.01 was obtained, which means a statistically significant relationship exists between the amount of income and the change in the smoking intensity of the husband in the house. Age, type of work, level of education, location of residence, and the respondent's willingness to attend education and smoke-free house activity contracts did not show a statistically significant relationship with changes in the husband's smoking intensity in the house (p-value>0.05). Conclusion: Education and smoke-free house activity contracts (SFH) did not affect the reduction in the intensity of husbands' smoking in the house.
The relationship between peer interaction and adolescent’s dating behavior aged 15 – 24 years in Indonesia (IDHS 2017 analysis) Fahdilla, Noviyanti; Wahab, Abdul; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 10 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i10.5063

Abstract

Purpose: This study aims to determine the relationship between peer interaction and risky dating style behavior in adolescents aged 15-24. Methods: A quantitative method using secondary data from the Indonesia Demographic and Health Survey (IDHS) 2017 with a cross-sectional study design. The research sample population used in this study includes male and female adolescents aged 15-24 years in Indonesia who are unmarried and currently or have been in a relationship. Results: The behavior of adolescent dating style in Indonesia is in the low-risk dating style category, including holding hands and hugging. Bivariate analysis showed that there was a relationship between risky peer interactions and high-risk adolescent dating behavior, including kissing, touching and being touched on sensitive body parts, and sexual intercourse (p<0.05 and OR=1.42). The multivariable results showed that no external variables interfere with the relationship between peer interactions and dating style in adolescents. Conclusion: Peer interaction in risky reproductive health issues is associated with high-risk adolescent dating behavior, including kissing, touching sensitive areas, and sexual intercourse. Promotion and increasing education for adolescents related to reproductive health issues need to be done to minimize the incidence of high-risk dating styles among adolescents.
When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

Abstract

Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.
Health education needs in chronic kidney disease patients with continuous ambulatory peritoneal dialysis therapy at Dr. Saiful Anwar Hospital, Malang: a qualitative study Tsaqiba, Tsania Nurjihan; Padmawati, Retna Siwi; Ratrikaningtyas, Prima Dhewi
BKM Public Health and Community Medicine Vol 40 No 08 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i08.12576

Abstract

Purpose: This study aims to describe the need for health education programs for Chronic Kidney Disease (CKD) patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy at Dr. Saiful Anwar Hospital, Malang. Methods: This research employs a qualitative case study approach. Data collection was conducted through in-depth interviews and observations of 18 informants. Results: Patients with chronic kidney disease (CKD) undergoing continuous ambulatory peritoneal dialysis (CAPD) at Dr. Saiful Anwar Hospital in Malang have shared various experiences related to their treatment. For instance, these patients have expressed concerns about being advised against pregnancy. A notable advantage of CAPD therapy is that it allows for fewer dietary restrictions, enabling patients to consume a broader range of foods. However, many CAPD patients also experience feelings of sadness and depression related to their condition. To address these challenges, patients in CAPD therapy require regular health education. Education can be provided through both online and offline methods, with sessions planned every one to six months. Health education content: CKD patients undergoing CAPD therapy require additional content tailored to their specific needs, considering the duration of CAPD use. Novice patients need health education about psychological conditions. Meanwhile, intermediate patients need content about new types of CKD therapy, psychological treatment, vitamins and drugs, and lifestyle for CAPD patients. Long-time patients require content on mental and physical activity, as well as guidance on maintaining healthy bones and skin. Conclusion: CKD patients with CAPD therapy have a positive perception and require additional health education activities regularly. Health education content can be customized to suit the patient's condition and the duration of Continuous Ambulatory Peritoneal Dialysis (CAPD). The delivery of health education for Chronic Kidney Disease (CKD) patients undergoing CAPD therapy can be conducted through group sessions, individual consultations, or mass methods, including the use of patient WhatsApp groups.
Nutritional parenting patterns and their determinants among PKH beneficiaries in Ruteng Sub-District Jehuman, Engelina Suryawaty; Padmawati, Retna Siwi; Daniel
BKM Public Health and Community Medicine Vol 40 No 06 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i06.13210

Abstract

Purpose: To explore the nutritional parenting practices and their determinant factors among beneficiaries of the Family Hope Program (PKH) in Ruteng Sub-District. Methods: This study is qualitative research with a case study design using a snowball sampling technique. The primary informants of the study are parents of toddlers who are beneficiaries of the Family Hope Program. Data is collected through focus group discussions, in-depth interviews, observations, and document studies. Results: Incorrect timing of complementary feeding is still common, and lack of dietary variety and insufficient protein consumption are prevalent issues in the community. The behaviour of proper waste disposal remains very low; the attendance rate of parents at posyandu and receiving immunizations still needs to improve, at 71% or below the standard. Regarding the determinant factors of parenting practices, it is known that most mothers are over 35 years old, parents have a low educational level, and parents' occupations consume their time, large families, and husbands' limited involvement in child care, cultural and habitual factors are also known to influence the parenting practices. Conclusion: The nutritional parenting practices for toddlers among PKH beneficiaries in the Ruteng Sub-District still need to be improved, particularly in providing complementary feeding, feeding practices, hygiene and sanitation, and child healthcare maintenance. Several determinants influence these nutritional parenting practices, such as the mother's age, low educational level, parents' occupations, large family size, cultural factors, and low support from husbands in the child-rearing process.
Gender related factors affecting implementation fidelity of Mass Drug Administration of Lymphatic Filariasis Programme in Jhapa district of Nepal: An Implementation Research Khanal, Shreya; Murhandarwati, Elsa Herdiana; Padmawati, Retna Siwi
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Purpose: This study explores gender related factors affecting implementation fidelity of Mass Drug Administration (MDA) of lymphatic filariasis programme in Jhapa, Nepal. Method: Implementation research was conducted using an explanatory sequential design. For quantitative study, valid secondary data was used. For qualitative study, primary data will be collected from 46 respondents including community members and healthcare providers. Result: Only 77.66% epidemiological coverage was reached during MDA conducted in 2023. Both males and females over the age of two were included in the coverage, with females making up 51.01%. The lowest coverage of 46.24% and 79.81% was found among each urban and rural municipalities, respectively. Further, the qualitative data expects to identify underlying gender-related factors justifying the inequitable coverage among municiplaities, between gender and age groups that influences potential moderators in accessing resources, program adherence influenced by gender roles, social norms and values, and decision-making power in healthcare among men and women in urban and rural areas. Thus, the study results expects to provide crucial insights into how gender interacts with potential moderators of implementation fidelity in programme adherence. A study in Nepal's western terai region found that educated individuals, men working away from home as the household breadwinner, elderly individuals, urban communities, and those with chronic illnesses are more likely to miss or refuse mass drug administration (MDA) due to concerns about drug safety and lack of knowledge. Some community members also lack trust in female community health volunteers due to their lower levels of education and training, leading to lower program adherence rates due to persistent gender barriers. Conclusion: The findings obtained from this study will assist in making evidence-based decisions to address gender disparities and inequitability in accessing and utilizing interventions implemented by national neglected tropical disease programs.
Perception of illness and disease, an overview of a diet of people with type 2 diabetes in the COVID-19 era Nastaina, Hayu Iyaka; Padmawati, Retna Siwi; Purba, Martalena Br
BKM Public Health and Community Medicine Vol 38 No 05 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i5.18220

Abstract

Purpose: One of the management of diabetes mellitus is diet needs special attention, mainly when the pandemic occurred in 2020, which more or less affected people with diabetes in accessing health services. This study aimed to provide an overview of the understanding of type 2 diabetes mellitus and dietary patterns in people with type 2 diabetes (T2DM) with COVID-19. Methods: This is qualitative research with a case study approach. Researchers collected data through in-depth interviews and observations. The case study was conducted in 2 areas of Kampung Tangguh in Malang, a populated village with a lower-middle economic level. Selection of research participants using a purposive sampling method. In this study, a total of 14 participants were diagnosed with diabetes with an age limit of 45-71 years. Results: People with T2DM view diabetes as a disease that must be managed well in terms of medication and diet. The significant role of others, such as family, cadres, and health workers, is needed to support successful diabetes management. Kampung Tangguh, with its health dimension, has not been able to play a role in health resilience in the community. The diet applied is still not adequate. Socio-economic is one of the influencing factors. Conclusions: People with T2DM must anticipate themselves to manage DM and improve their quality of life successfully. The dimension of health resilience in Kampung Tangguh needs to be maximized with the role of cadres as a preventive effort against degenerative diseases in the community.
E-learning situation children with disabilities during the COVID-19 pandemic Monanda, Adelia Pramudita; Padmawati, Retna Siwi; Azizatunnisa', Luthfi
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i04.19515

Abstract

Purpose: Online learning or e-learning is the solution to the COVID-19 pandemic. With this condition, the parents must accompany their children with disabilities in e-learning at home. The research aims to explore the situation of e-learning in children with disabilities. Methods: This qualitative study used a case study approach. Participants were recruited through the purposive sampling technique. There were 11 main participants, parents or learning companions of students with disabilities, and four supporting participants who were the Head of the Kapuas Regency Office, the Principal of the SLB Negeri 2 Kapuas, and one of the teacher representatives in each SLB Negeri 1 and SLB Negeri 2 Kapuas. Results: In the process of e-learning learning activities at SLB Negeri 1 and SLB Negeri 2 Kapuas, very few parents of children with disabilities can provide gadgets and limited internet access in the area where they live. Therefore, learning activities during the COVID-19 pandemic for children with disabilities were implemented using WhatsApp groups and teachers visiting each student's house. Parents must know and maintain their children's learning mood, invite children to do learning activities in a pleasant atmosphere, and parents must be able to divide their time between work and accompanying children to study. Conclusion: In its implementation, the course encounters obstacles; the role of teachers and parents is also very influential, so the e-learning method can run optimally through good cooperation between teachers and parents in educating and motivating disabled students during learning at home.
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