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All Journal Tropical Medicine Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) VISIKES Jurnal Kesehatan Masyarakat Jurnal Berkala Epidemiologi Journal of Community Empowerment for Health Jurnal Aisyah : Jurnal Ilmu Kesehatan Plusminus: Jurnal Pendidikan Matematika Berita Kedokteran Masyarakat International Journal of Health Science (IJHS) Jurnal Permata Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Fatwa Sari Tetra Dewi

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

Author-ID : 826980

Education Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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FAKTOR-FAKTOR FUNGSI FISIK KUALITAS HIDUP PENDERITA DIABETES MELITUS TIPE 2 DI KABUPATEN SLEMAN, YOGYAKARTA: ANALISIS DATA HDSS SLEMAN TAHUN 2015-2017 Febri Indah Widhowati; Arta Farmawati; Fatwa Sari Tetra Dewi
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Degenerative diseases such ac diabetes mellitus affect many aspects and the prevalence increas in the word. The aims of this study was to determine the relationship of demographic factors, lifestyle, disease complications, and therapy with physical quality of life in patients with type 2 DM (T2DM). A double cross sectional study using data from the HDSS (Demographic Health and Monitoring System) panel of the 2015-2017 Sleman wave with inclusion criteria for T2DM patients aged 25 years or more who were recruited using total sampling. The SF-12v2 questionnaire items 2a and 2b were used to measure physical function of quality of life. Univariate analysis uses t test and Z test while multivariate analysis uses logistic regression test. From this study the results of the factors of young age, which did not have hypertension complications and a history of therapy in the last 12 months had a positive effect on physical function (OR = 5.5), (OR = 5) and (OR = 2.5). It can be concluded that young age, which does not have hypertension complications, and underwent therapy in the past 12 months has a positive effect on physical function in people with T2DM.Keywords: Age, treatment compliance, hypertension complications

The Importance of Community Coalition to Prevent Dengue Fever: An Ethnographic Study in Sidoluhur Village, Sleman District, Yogyakarta Special Region Muhammad Sohel Rana; Fatwa Sari Tetra Dewi; Retna Siwi Padmawati
Tropical Medicine Journal Vol 4, No 1 (2017): Tropical Medicine Journal
Publisher : Pusat Kedokteran Tropis

Intrduction: Dengue fever is an emerging pandemic-prone viral disease in many parts of the world also in Indonesia. Java Island contributed about 71% of all cases occurring in the country. Sleman District represented nearly 30% of total infections in Yogyakarta Province. Godean sub-district contributes 89 cases in 2013 and most of them were come from Sidoluhur village. Instead of community activities Dengue cases are increasing every year. Vector control is one way to control it. This research was tried to explore how community coalition can prevent Dengue fever cases and how Dengue vector can be controlled by engaging community. Methods: This research was used ethnographic study. For collecting data in-depth interview and participatory observation was conduct. Collecting data and analysis data was done simultaneously.Results: Community in Sidoluhur village aware that Dengue fever is a serious health problem. With local knowledge, believes, customs, practice and attitudes community people are most influenced group. After getting fever people try to apply their own knowledge for prevention. Most of them do not know the reason of Dengue spread, how it breed, where it breed also how to control. Practices of Dengue prevention like Friday cleaning movement, mosquito eradication flick and child health task force are good programs but absent of continuity so Dengue cases are increasing. Cultural and medical health seeking behaviors were seen among the people. For building coalition capacity sharing information is also immobile.Conclusion: Dengue fever is still remaining a strong factor that influences public health care in Sidoluhur village. To control Dengue fever capacity building, policy implementation based on community, networking among stakeholders, blending the cultural and medical knowledge of Dengue and overall comprehensive Dengue control approaches need to be developed. Keywords: Dengue fever, community coalitions, social capital, working group.ABSTRAKPendahuluan: Demam Dengue adalah penyakit viral yang berpotensi menimbulkan pandemik di seluruh dunia termasuk Indonesia. Pulau Jawa menyumbang sekitar 70% dari seluruh kasus di Indonesia. Kabupaten Sleman menyumbang hampir 30% total infeksi di Provinsi Daerah Istimewa Yogyakarta. Kecamatan Godean menyumbang 89 kasus di tahun 2013 yang sebagian besar berasal dari desa Sidoluhur. Meskipun berbagai kegiatan pencegahan sudah dilakukan oleh masyarakat, kasus demam Dengue terus meningkat setiap tahunnya. Pengendalian vektor nyamuk merupakan salah satu kegiatan yang dilakukan untuk mencegah demam Dengue. Penelitian ini bertujuan untuk mengetahui bagaimana koalisi masyarakat di desa Sidoluhur dapat mencegah kasus demam Dengue dan bagaimana vektor Dengue dapat dikendalikan dengan melibatkan masyarakat.Metode: Penelitian ini merupakan Studi Etnografi. Pengumpulan data dilakukan dengan wawancara mendalam (in-depth interview) dan pengamatan partisipatif. Data dianalisis dan disajikan secara deskriptif.Hasil: Masyarakat desa Sidoluhur menyadari kalau Demam Dengue merupakan masalah kesehatan yang serius. Tetapi, dengan pengetahuan lokal, kepercayaan, kebiasaan, praktik dan sikap yang dimiliki, masyarakat awam meruapakan kelompok yang rentan untuk terjangkit demam Dengue. Apabila terkena serangan demam, masyarakat akan mecoba menerapkan pengetahuan yang dimiliki untuk mengobati demam dan mencegah perkembangan penyakit. Sebagian besar masyarakat tidak tahu bagaimana cara penyebaran Dengue, bagaimana dan di mana nyamuk berkembang biak dan bagaimana cara mengendalikan perkembangbiakan nyamuk tersebut. Praktik-praktik pencegahan demam Dengue seperti Gerakan Jumat Sehat, Pemberantasan Jentik Nyamuk dan satuan Tugas Kader Kesehatan Cilik merupakan program yang bagus tetapi tidak dilaksanakan secara kontinu sehingga kasus demam Dengue terus meningkat. Budaya dan kesadaran masyarakat untuk mencari pertolongan medis sudah cukup baik. Pengembangan kapasitas koalisi masyarakat perlu ditingkatkan karena kurangnya sharing informasi dalam masyarakat.Simpulan: Demam Dengue merupakan faktor kuat dalam menentukan pelayanan kesehatan masyarakat di desa Sidoluhur. Untuk mengendalikan kasus demam Dengue, pembangunan kapasitas, implementasi kebijakan berdasarkan kondisi masyarakat, kerjasama antar stakeholder, menyelaraskan budaya dan pengetahuan medis tentang Dengue dan pengendalian Dengue dengan pendekatan komprehensif perlu untuk dikembangkan.Kata kunci: demam Dengue, koalisi masyarakat, modal sosial, kelompok kerja.

Prevalence of metabolic syndrome and its components based on International Diabetes Federation (IDF) definition in Yogyakarta Special Region, Indonesia Choo Hao Jian; Fatwa Sari Tetra Dewi; Elizabeth Henny Herningtyas
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 49, No 3 (2017)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

ABSTRACTMetabolic syndrome (MetS) is a group of risk factors which increase morbidity and mortality for cardiovascular disease and diabetes. The prevalence of MetS has been on the rise. No previous study has described the prevalence of MetS in Yogyakarta Special Region and its components. The study aim was to determine the prevalence of MetS and it’s components in Yogyakarta Special Region, Indonesia. A total of 766 male and female subjects aged ≥40 were analyzed in this retrospective study based on secondary data from the Indonesian Family Life Survey batch 4 (IFLS 4). MetS was defined by International Diabetes Federation (IDF) criteria with ethnicity-specific values for waist circumference. Prevalence of MetS and characteristic of each component of MetS were expressed as mean or %. The difference of the MetS components was evaluated by t-test and chi-square. Prevalence of MetS in Yogyakarta Special Region was 13.19%. The most common of MetS component was hypertension (60.44%), followed by dyslipidemia (56.27%), central obesity (32.38%), pro-inflammatory state (15.71%) and insulin resistance (0.78%). There was a higher prevalence of MetS in females compared to males (15.88 vs 10.19%), pre-elderly compared to the elderly (13.90 vs 12.19%), Javanese compared to other ethnicities (13.23 vs 10.00%), and urban compared to rural populations (15.06 vs 8.37%). In conclusion,the prevalence of MetS in Yogyakarta Special Region is 13.19% with hypertension and dyslipidemia as the most common component.

Factors Associated with Independence for Elderly People in Their Activities of Daily Living Sri Wahyuni; Christantie Effendy; Fitrina Mahardani Kusumaningrum; Fatwa Sari Tetra Dewi
Jurnal Berkala Epidemiologi Vol. 9 No. 1 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I12021.44-53

Background: Health in the elderly does not merely refer to a condition free from disease but should also have elements regarding functionality and independence. Purpose: This study aimed to measure Activities of Daily Living (ADLs) and to identify the factors affecting ADLs among the elderly population in Sleman District. Methods: A cross-sectional study was carried out using secondary data from the Multidimensional Elderly Care project, nested on the Health Demographic and Surveillance System in Sleman, involving 549 elderly participants. The independence of these elderly people was measured using an Activities of Daily Living Scale questionnaire. Factors measured were cognitive (using the Mini-Mental State Examination questionnaire), psychological (using the Geriatric Depression Scale or Cornell Scale for Depression in Dementia questionnaires), economic (using the Financial Management Behavior Scale questionnaire), and nutritional status (using the Mini Nutritional Assessment questionnaire). The data were analyzed using the chi-square test, Fisher test, and Poisson test for bivariate analysis, while multivariate analysis using a logistic regression test. Results: The prevalence of elderly dependence was 14.03%. Elderly dependence was significantly related to age, job, residence, financial management, dementia, depression, malnutrition, and stroke disease in the bivariate analysis. However, after multivariate analysis, only age (>86 years) (PR = 4.31; 95% CI = 1.91–9.72), malnutrition (PR = 6.62; 95% CI = 3.79–11.57), and stroke (PR = 3.06; 95% CI = 2.03–4.61) were still shown to be related to elderly dependence. Conclusion: Increasing age, malnutrition, and stroke in elderly people lead to higher dependency in their ADLs.

Developing a system to utilize a surveillance data for evidence-based public health interventions: Sleman HDSS’s experience Fatwa Sari Tetra Dewi; Septi Kurnia Lestari; Ibtidau Niamilah; Hanifah Wulandari
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.47144

Health interventions aim to improve health status in a community. Factors that influence the effectiveness and success of intervention programs include the characteristics of problems and the target population. Sleman Health and Demographic Surveillance System (HDSS) collects data on demographics and public health status annually. By 2018, we have conducted four cycles of data collection from 5,147 households. Results from Sleman HDSS could provide important information regarding the characteristics of target populations and health-related problems they face. The present paper describes how we develop a system that uses the data from a surveillance system to inform the development of health intervention programs. Aside from collecting survey data, Sleman HDSS field staff also recorded statements from respondents and community leader regarding health issues which they thought needed to be addressed. We used both quantitative and qualitative information to identify problems and locations that should be the priority. This priority list then distributed to the academic communities in the Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, (FMPHN-UGM) Yogyakarta, Indonesia. By 2018, we have completed 20 health educations and 10 community empowerment activities in collaboration with academic communities of the FMPHN-UGM. We concluded that health surveillance activities could support the development of effective evidence-based health intervention programs.

Why do we need to empower university staffs and students for tackling the non-communicable diseases? Supriyati Supriyati; Anggi Lukman Wicaksana; Esthy Sundari; Heny Suseani Pangastuti; Fatwa Sari Tetra Dewi
Journal of Community Empowerment for Health Vol 4, No 2 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.61619

Non-communicable diseases (NCDs) are a major cause of death in Indonesia and worldwide. Yogyakarta has the highest prevalence of cancer in Indonesia. Besides, Yogyakarta has high prevalence of diabetes mellitus and other NCDs. The prevention and control of NCDs are direly needed in Yogyakarta. Universitas Gadjah Mada (UGM) is the oldest university in Yogyakarta and has a large number of university staff members and students. This study aimed to empower university staff and students of UGM in the health promotion programs for tackling NCD risk factors through the Health Promoting University initiative. This was a participatory action research that was conducted in UGM, Yogyakarta. A total of 299 respondents (university staff and students in second year) were involved in the need’s assessment survey. Data were collected through online questionnaire and analyzed descriptively. Additionally, advocacy, training, small group discussion, seminars, discussion on WhatsApp group, as well as developing posters for healthy diet, hand washing, physical activities, and smoking behavior were done as the follow-up of the need’s assessment. The need’s assessment showed that most respondents had a poor knowledge on the NCDs and its risk factors (74%), poor knowledge on the smoke free campus (80%), had insufficient vegetables consumption (83%), had insufficient fruit consumption (68%), and had physically inactive behavior (52%). Furthermore, group discussions with the students improved their awareness on the NCD problems among students. Also, training for the university staff members improved their knowledge and skills related to the NCD risk factors’ measurement. The university staff and students’ knowledge and practice concerning the NCD risk factors prevention were poor. Therefore, the Health Promoting University initiative is a good way to empower them about the NCD risk factors prevention.

Efektivitas Role Play, Penayangan VCD dan Modul dalam Meningkatkan Keterampilan Komunikasi Terapeutik Mahasiswa Stikes Jenderal Ahmad Yani Yogyakarta Riduan Zaki, Sri Werdati, Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 25, No 3 (2009)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Previous research found that 75% of one’s life was used for communication. Communication gives the meaning of life. More than half of the surgery clients was not satisfied with the preserved information. Client needs effective communication and social contact which was useful to obtained information. There was a lack of communication between nursing staff and client. Nurses communication style was focused on their duty. Their conversation tend to be short and could not exploitate client’s believe and anxiety. There was a research inhealth behavior trough education especially in therapeutic communication.Objective: This research was aimed to measure the effectiveness of role play, video compact disc (VCD) playing and module in improving therapeutic communication skill of nursing student of STIKES Jenderal Ahmad Yani Yogyakarta.Method: This was a quasi experimental research that used non-equivalent control group design with pretest-posttest. The subject of the research was nursing student of STIKES Jenderal Ahmad Yani and Surya Global Yogyakarta. The intervention group was 42 students while control group was 51 students. The sample was taken with purposive sampling. The instrument being used was questionaire, check list of observation, (VCD), module and role play scenario with a case example. The data collection was conducted by having structured interview and observation. The data was analyzed with independent t-test to measure the difference on knowledge, attitude and skill with significance level of p = 0.05 and paired t test.Result: This research showed that there was a significant influence on the therapeutic communication education toward improvement on knowledge with t = 9.463 and p = 0.000 (p < 0,05), attitude with t = 5.338 and p = 0.000 (p < 0.05), skill after education with t = 9.675 and p = 0.000 (p < 0.05), and skill after one month with t = 5.661 and p = 0.000 (p < 0.05). However, there was no significant difference on the skill after education and there was no significant difference after one month with t = -2.005 and p = 0.052 (p > 0.05).Conclusion: Role play, VCD playing and module were effective in improving knowledge, attitude and skill on therapeutic communication after given education and improving skill after 1 month and yet there was a decreasing on the average of skill value after 1 month compared with after given education.Keywords: therapeutic communication, knowledge, attitude, skill, role play, video compact disc, module

Persepsi masyarakat terhadap program jaminan kesehatan bagi masyarakat miskin Noviansyah Kristiani, Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 22, No 3 (2006)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: The perception of community, particularly poor families towards Health Fund for the Poor Program (PJKMM) influences the utilization level of health services. There are internal and external factors influencing the perception, such as education, knowledge, experience, motivation and socialization.Objective: The objective of the study was to get description about the perception of community in Metro City towards PJKMM.Methods: This study was analytical, using cross sectional design, with quantitative and qualitative methods. For quantitative research, 450 respondents were taken as sample using cluster random sampling method. For qualitative research, community, local government officers, and health service providers were chosen as informants. Data were collected by questionnaires and in-depth interview guide. Quantitative data were analyzed statistically by using regression correlation test, Anova, and multivariate analysis using multiple linear regression and partial correlation lest. Qualitative data were analyzed descriptively.Result: 56 % of the respondents had enough knowledge about managed care and 73.3 % of the respondents had neutral perception towards PJKMM. Statistical analysis showed significant correlation between internal factors (formal education, knowledge, experience, and motivation) and perception towards PJKMM

Pengaruh media ceramah, leaflet dan vcd dalam pencegahan gangguan akibat kekurangan iodium Feby A Metekohy, Toto Sudargo dan Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3699

Background: Iodine Deficiency Disorder (1DD) is still one among nutritional problems in Indonesia. Primary School teachers are the target group of health promotion for IDD control in the education institution because the general impact of IDD toward the primary school students could cause mental retardation and the declining of intelligence level until 10 points below their abilities. The total of Goiter Rate (TGR) of Maluku Province tends to increased. Objectives: This research was aimed at finding out the influence of speech with media of VCD and leaflet through health promotion toward teacher in the effort of IDD prevention among Primary School's students. Methods: This study was quasi experimental with pretest and posttest control group design. The sample was sport and health education teacher (Penjaskes) in the sub district of Amahai and Teon Nila Serua (TNS). It was chosen purposively. Data was taken by using questionnaire. Crosscheck of student's knowledge was also implemented in order to find out teacher's practice. Analysis was using statistical test of paired t-test and t-test for difference test with significance level of p = 0,05. Results: There was a significant influence of a health promotion regarding 1DD toward the improvement of knowledge, attitude and teacher's practice. There was a more significant improvement in the intervention group than control group. There was also a significant improvement on knowledge of primary school children regarding IDD. Conclusion: Speech method that is supported by leaflet and VCD could improve knowledge, attitude and practice of teacher through health promotion regarding IDD as well as it could improve knowledge of students regarding IDD through teacher's practice.Keywords: IDD, Primary School student, Central Maluku

Perancangan Media Promosi Kesehatan Pencegahan Gaki Pada Anak Sd Di Daerah Endemik Di Provinsi Bali I Putu Suiraoka, Suharyanto Supardi dan Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 20, No 2 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3702

Background: Iodine Deficiency Disorders (IDD) is a serious problem in Indonesia. IDD control program was implemented through some preventive action, included iodized salt. Housewives knowledge regarding IDD is a factor that could influence the availability of iodized salt in household. Their knowledge could be improved through knowledge improvement of Primary school children regarding IDD, because they considered as one of message carriers in the household. Health education activity at school was implemented through discourse without using media. Therefore, media is need to make the health education process could run effectively. This research was aimed to design health promotion media that suitable with primary school children in endemic area of IDD in Bali province. Methods: This was a qualitative research that used in-depth interview with subject's teachers, psychologists, education practitioners, and nutrition officers. In addition, this research was also implemented with focus group discussion toward 8 groups of primary school children from two characteristics and Check List of Primary School children response toward media design. Results: Health education problem at primary school children in Karangasem District was media limitation, existence risk of IDD effect, and also social phase of primary school children at concrete operational. The communications strategy in health promotion of IDD prevention consisted by formulated goals, information's, channels and methods. Primary school children (target audience) in this research had a notion that items, channel, media type for them were media with a lot of picture illustration like leaflet, booklet, and pictorial story. Result of pre-testing media indicate that the physical vision from leaflet, booklet, and pictorial story compatible to target specification. The evaluation planning included the process and impact evaluation from health promotion program of IDD prevention at primary school children. Conclusion: According to primary school children, health education at school conducted with the personal communications (discourse). Media type of IDD prevention which primary school children wanted was leaflet, booklet, and pictorial story. Figure of family member as picture illustration in the media will give the reinforcement effect to the massage. Target response to media device was good. Keywords: health promotion media, IDD, primary school children

Co-Authors Andrei Ramani Anggi Lukman Wicaksana Anni Tiurma Mariana Arta Farmawati Choo Hao Jian Christantie Effendy Dhiya Urrahman Dhyani Ayu Perwiraningrum Dhyani Ayu Perwiraningrum Elizabeth Henny Herningtyas Erdius Erdius Esthy Sundari Fahmi Baiquni Febri Indah Widhowati Fitri Handayani Fitrina Mahardani Kusumaningrum Hamsyah, Fuad Hanifah Wulandari Heny Suseani Pangastuti Hera Nirwati Hidayatullah, Farhan Maulana Ibtidau Niamilah Ismail Setyopranoto Iswanto Iswanto Krisnasari, Sendhy Laksono Trisnantoro Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Luqman Afifudin Lutfan Lazuardi M. Dody Izhar Mariana, Anni Tiurma Moch. Lutfianto Muhammad Robikhul Ikhsan Muhammad Sohel Rana Neni Sundari Ni Putu Widarini Nur Rokhman Nurvita Wikansari Nyoman Kertia Ova Emilia Putri Tiara Rosha Rahman Rahman Rahmat Hidayat Rahmat Hidayat Rendra Widyatama Riris Diana Rachmayanti Rumhanik Yuli Utami Safira, Irma Alya Santri, Ichtiarini Nurullita Savitri Citra Budi Septi Kurnia Lestari Setiyawati, Diana Siswanto Agus Wilopo Sri Wahyuni Sudarmi I Popa Sulanto Saleh Danu Sunartini Sunartini Supriyati Supriyatna Supriyatna Theodola Baning Rahayujati Wahab, Abdul Wahyuni Harahap Widyawati Widyawati Windadari Murni Hartini Yuli Kusumawati Yulyani, Vera

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