Fatwa Sari Tetra Dewi
Departemen Perilaku Kesehatan, Lingkungan Dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada

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Hubungan antara Kepercayaan, Sikap terhadap Pengobatan Suntik dengan Intensi Meminta Suntik di Kabupaten Gunungkidul Muchamad Agus Priyanto, Sumarni D.W., Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 19, No 2 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3732

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Background: The use of injection treatment in Gunungkidul regency is relatively high and has increased continually. Previous research showed that the high use of injection was occurred because of patient's request. This research was aimed to investigate the relationship and influence between: normative belief, attitude toward injection treatment, belief toward injection request, attitude toward patient request and intention of injection request.Methods: This research was using cross-sectional design with quantitative and qualitative approaches. Using multistage sampling chose the sample. The population was the inhabitant of Gunungkidul regency. Qualitative approach was used to collect issues to developed questionnaire. Quantitative data was analyzed by using multiple regressions.Results: The result of this research showed that most of the sample were certain that his or her social environment expected him or her to ask for injection in every treatment; part of the sample were also convinced that the injection request had a beneficial consequence. However, most of the sample did not support the superiority of injection treatment, likewise attitude toward injection request and intention toward injection request.Conclusions: It can be concluded that attitude toward injection request and normative belief could give great influence toward injection request. Indeed, normative belief is the most important direct or indirect intention determinant to ask for injection. Keywords: injection,belief,attitude,intention
Intensi Ketua Rukun Tangga Mengendalikan Rokok: efek dari penyuluhan dengan leaflet dan video di Kabupaten Kutai Kartanegara Rumhanik Yuli Utami; Rendra Widyatama; Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.991 KB) | DOI: 10.22146/bkm.6830

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Neighborhood head intention in tobacco control: the effect of leaflet and video-based health education in Kutai Kartanegara DistrictPurposeThe purpose of this paper was to determine the effect of health education through counseling with leaflets and video in improving knowledge, attitude, and intention in smoking control by the heads of Kutai Kartanegara. MethodsA quasi-experimental study was conducted involving 68 heads of a neighborhood who were divided into an experimental group and a control group with equal people in each group in Kutai Kartanegara. Leaflets-based counseling was given to the experimental group, while video-based counseling was given to the control group. ResultsThe study found that there was an increase in knowledge, attitudes, and intentions in both groups. Results showed the health education using leaflets had better influence compared to the video method. ConclusionHealth education and counseling using leaflet and video media provided a significant influence in increasing knowledge, attitude and intention to control the smoking of the heads of the neighborhood. The method of health education through counseling with leaflets was more effective than video in improving the heads of neighborhood’s knowledge and intention of smoking control. The use of leaflet media and video playback in health education activities needs to be improved for better effectiveness of cigarette control.
Community needs analysis on community preparedness related to health aspect in facing flash floods disaster in afdeling Gunung Pasar Jember Dhyani Ayu Perwiraningrum; Rahmat Hidayat; Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.736 KB) | DOI: 10.22146/bkm.7600

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PurposeThe purpose of this study was  to analyze the needs of the community to improve community preparedness related to health aspects in facing flash floods disaster in afdeling Gunung Pasar, Jember.MethodA phenomenological study was conducted through focused group discussions, indepth interviews and observations of the Afdeling community, community leaders, head of village office, community stakeholders and stakeholders of disaster management (institution of local government)  at Gunung Pasang Jember.ResultsThe study found that first, the community needs a preparedness drive for health preparation and area monitoring, including the provision of disaster facilities and infrastructure, training, coordination and disaster information. Second, efforts to fulfill normative need in health preparedness by stakeholders are still minimal.ConclusionStudy of social representation of community experiences in disasters, stimuli of community needs such as emergency response training, compliance tools, disaster information and coordination with stakeholders. These needs are needed as prevention efforts related to health problems and observation of dangerous zones at Afdeling Gunung Pasang. Education, counseling and emergency response training needs to be done to the community to improve community preparedness and awareness of the hazards of the disaster. 
Evaluasi peraturan kawasan merokok bagi pegawai negeri sipil di Boalemo, Gorontalo Sudarmi I Popa; Fatwa Sari Tetra Dewi; Laksono Trisnantoro
Berita Kedokteran Masyarakat (BKM) Vol 32, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.674 KB) | DOI: 10.22146/bkm.7968

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Evaluation of the implementation of the smoking area banning regulations on smoking behavior of government officials in Boalemo, GorontaloPurposeThis study aimed to investigate implementation of regional regulations for banning smoking on employees smoking behavior in a government office in Boalemo. MethodsThis research used a qualitative approach with a case study design involving 23 subjects. Data collection used systematic observation, regulatory documents, in-depth interviews and focus group discussions. ResultsBackground process of drafting rules were, 1) idea of regent, 2) translation of indicators of clean and health living behavior, 3) Ministry of Health, 4) illness and death data caused by smoking, and 5) impact of smoking. Effectiveness of policy implementation for area smoking ban was largely determined by, 1) input: availability of facilities dedicated to smoking area, effort control, labeling, guidance system and form of communication channel, 2) process: leadership support, stakeholder involvement, social norm, legal regulation regent, monitoring, and evaluation. Rules indirectly provide positive effect for output of small portion of employees in terms of, 1) intention to quit smoking, 2) frequency of smoking in room reduced, and 3) there were some employees who quit smoking. ConclusionImplementation of a policy was determined by: 1) role of leader as indicator of example and role model for subordinates, 2) support and role of all relevant stakeholder, and 3) social norms that encouraged positive behavioral changes in smoking.
Perilaku gaya hidup dan obesitas sebagai faktor risiko kejadian diabetes melitus tipe 2 di RSUD. Aji Batara Agung Dewa Sakti Samboja Kabupaten Kutai Kartanegara Neni Sundari; Fatwa Sari Tetra Dewi; Muhammad Robikhul Ikhsan
Berita Kedokteran Masyarakat (BKM) Vol 32, No 12 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.311 KB) | DOI: 10.22146/bkm.8337

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Lifestyle behavior and obesity as risk factors for the occurrence of type 2 diabetes mellitus at RSUD Aji Batara Agung Dewa Sakti Samboja, Kutai KartanegaraPurposeThe aim of this study was to determine the correlation between knowledge of healthy behavior and obesity on the occurrence of type 2 diabetes mellitus.MethodsThis research was an observational-analytical- quantitative study with a case-control design. The study subjects were selected by purposive sampling totaling 212 outpatients and inpatients in the RSUD Aji Batara Agung Desa Sakti in which 106 patients were suffering type 2 diabetes and 106 control patients that were not suffering diabetes mellitus. All subjects were between 25-64 years old.ResultsKnowledge of healthy behavior was not statistically significant in the occurrence of type 2 diabetes mellitus while in the univariable data analysis, central obesity was statistically significant. This finding was closely related to the behavior of low physical inactivity but central obesity increased with age and the prevalence was greater in women. Multivariable analysis showed that central obesity, physical inactivity (moderate physical activity and low activity) and very high incomes were the main risk factors for type 2 diabetes mellitus.ConclusionThe occurrence of type 2 diabetes mellitus in the community needs to be reduced by improving healthy lifestyles, physical activity and patterns of healthy diet, by eating fruits and vegetables, and not drinking alcohol nor smoking.
Villagers are not affraid to die : qualitative study of community cohesion on pictorial warning on cigarette packaging with Grounded Theory approach in Yogyakarta Dhiya Urrahman; Fatwa Sari Tetra Dewi; Fuad Hamsyah
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (789.592 KB) | DOI: 10.22146/bkm.8699

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PurposeThe purpose of this study was to explore community's coping againts pictorial health warning on cigarettes packaging.MethodA quaitative study was conducted involving in-depth interviews and focus group discussions (FGD) on the subject who were selected purposively with a maximum variation technique in the rural of Sambirejo, Prambanan sub- district, Sleman, YogyakartaResultsThis study found  perceptions, beliefs, coping, adaptation period, and smoking behavior after seeing pictorial warnings on cigarette packaging. Perception of the community consists of knowledge, feelings (disgust, horror, fear, sad and ordinary), and comments on pictorial warnings on cigarette packs. Beliefs include sure, hesitant and unsure. Beliefs are influenced by perception and could determine the coping. Coping appears that the attempt to avoid a pictorial warnings on cigarette packs. The feeling and coping were influenced by the length of exposure to pictorial warnings (period of adaptation). Pictorial health warning made non-smokers did not want to smoke, and brought up the intention to quit smoking in smokers.ConclusionCoping influenced by perceptions, beliefs, period of adaptation  to pictorial health warnings; the period of adaptation changed feelings and coping previously to the pictorial health warning; pictorial health warning on cigarette packs made non-smokers increasingly want to smoke. Images have a visual power in health hazard warnings. Use of more varied images needs to be done periodically.
Eksplorasi peringatan kesehatan bergambar pada kemasan rokok Fahmi Baiquni; Fatwa Sari Tetra Dewi; Rendra Widyatama
Berita Kedokteran Masyarakat (BKM) Vol 32, No 7 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (385.782 KB) | DOI: 10.22146/bkm.11617

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Exploration of pictorial health warnings in cigarette packagesPurposeThis study conducted to examine effectiveness of pictorial health warnings in cigarette packages to reduce smoking intention.MethodA population-based, qualitative study, were used in this study. 20 partisipants were observed and indept-interviewed. ResultsThreats after seeing a picture warnings on cigarette packs is the perception of the dangers of images and feelings of fear, disgust, pity, worry, mediocre. Efficacy after seeing a picture warnings on cigarette packs is the belief of the image and the impact on individuals after viewing images.ConclusionThreat of pictorial warnings are not only affected by the warning image itself but also the experience of the viewer and aspects of the warning image such as color, clarity of image, and message content.
Peringatan kemasan rokok bergambar dan intensi berhenti merokok di Kabupaten Sleman Sendhy Krisnasari; Fatwa Sari Tetra Dewi; Abdul Wahab
Berita Kedokteran Masyarakat (BKM) Vol 33, No 4 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.146 KB) | DOI: 10.22146/bkm.16999

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Warning of illustrated cigarette packaging and smoking cessation intention in SlemanPurposeThis study aimed to identify the relationship of pictorial warnings to cigarette packaging with the intention to stop smoking or not to start smoking in Sleman regency.MethodsThe study used secondary data from the study "The effectiveness of warning images on cigarette packs on smoking behavior in Sleman, Yogyakarta" from 2015 and used a cross- sectional design with 155 respondents. Data were analyzed using chi square tests with significance level 95% (p <0.05) and multiple logistic regression test.ResultsThere was a correlation between pictorial warning, social environment and perceptions of the dangers of cigarettes with the intention of quitting smoking or the intention of not starting to smoke.ConclusionPictorial warning on cigarette packs, good social environment and perception of cigarette hazard may support the intention to stop smoking on smokers and intention not to smoke on non-smokers. Therefore, pictorial warnings that show the danger of smoking should be produced more as an intervention to reduce the intention of smoker to smoke and prevent non-smoker intention from starting smoking. 
Kepatuhan perawat dalam cuci tangan dan angka kuman di satu rumah sakit swasta Yogyakarta Ichtiarini Nurullita Santri; Fatwa Sari Tetra Dewi; Hera Nirwati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.309 KB) | DOI: 10.22146/bkm.17138

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Differences in the number of germs in the palms of nurses according to the level of knowledge and compliance of handwashing in private hospitalsPurposeThis study aimed to measure the difference of germs on the hands of nurses according to level of knowledge and compliance of handwashing in PKU Muhammadiyah Hospital of Yogyakarta.MethodsThis study used observational analytic method with a cross sectional study design. The population in this research was nurses who work in PKU Muhammadiyah Hospital of Yogyakarta totalling 68 people. Measurements used questionnaires and direct observation of handwashing, as well as direct sampling for examination of the number of germs in the palms of nurses.ResultsThere was no difference in the number of germs in the palms of the nurses with knowledge level (p = 0.541), and individual characteristics (p > 0.05). There was a difference in the number of germs in the nurse's hands (p = 0.000) with adherence. The result of observation showed that the lack of compliance of hand washing was due to the lack of awareness of nurses about handwashing.ConclusionThere are differences of germs in the hands of nurses with compliance with handwashing. Therefore, it is necessary to check and supervise handwashing routinely in order to increase awareness of the importance of handwashing by health personnel especially nurses.
Intensi fertilitas wanita usia subur Dan kehamilan tidak diinginkan di Indonesia: analisis performance monitoring and accountability 2020 Supriyatna Supriyatna; Fatwa Sari Tetra Dewi; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (315.386 KB) | DOI: 10.22146/bkm.17802

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Fertility intention of reproductive age women and unique unintended pregnancy in Indonesia: an analysis of performance monitoring and accountability 2020Purpose: This research aimed to study the connection of fertility intention with unintended pregnancy of reproductive women in Indonesia. Methods: This cross-sectional study used performance monitoring and accountability data 2020 phase I of 2015. Subjects were 5,581 reproductive women of age 15-49, married, sexually active, ever pregnant and fecund. Analysis techniques used univariable (descriptive), bivariable (chi-square), while multilevel (general linear model) was used as last analysis technique for hierarchical data such as performance monitoring and accountability data. All tests used confidence interval (CI) 95% and significance rate p<0.05%. Results: Reproductive women with fertility intention who do not want any more children had 1.53 times greater probability to have unintended pregnancy, compared to those undecided about their fertility intention. The majority of low educated reproductive women in province level had risk probability to unintended pregnancy. However, the proportion of poor and poorest residents of province level had protective probability to unintended pregnancy. Relation variation between reproductive women’s fertility intention and unintended pregnancy in community level was statistically significant. Conclusion: Providers should target community groups to be given interventions on the prevention of unwanted pregnancies based on results of the target fertility intent analysis.AbstrakTujuan: Penelitian ini bertujuan untuk mempelajari hubungan intensi fertilitas dengan kehamilan ibu reproduktif yang tidak diinginkan di Indonesia. Metode: Penelitian ini merupakan penelitian cross-sectional dengan menggunakan data PMA 2020 tahap I tahun 2015. Subjek penelitian adalah 5.581 wanita usia subur usia 15-49 tahun, menikah, aktif secara seksual, hamil dan berkepanjangan. Teknik analisis yang digunakan univariable (deskriptif), bivariabel (chi-square), sedangkan multilevel (model linier umum) digunakan sebagai teknik analisis terakhir untuk data hirarkis seperti data PMA. Semua tes menggunakan confidence interval (CI) 95% dan tingkat signifikansi p<0,05. Hasil: Analisis multilevel menunjukkan bahwa wanita reproduktif dengan intensi fertilitas yang tidak menginginkan anak lagi berisiko 1,53 kali lebih besar mengalami kehamilan yang tidak diinginkan dibandingkan dengan mereka yang belum memutuskan tentang niat kesuburan. Mayoritas wanita usia subur yang berpendidikan rendah di tingkat provinsi memiliki probabilitas risiko untuk kehamilan yang tidak diinginkan (OR = 1,07; 95% CI: 1,04-1,09). Namun, proporsi penduduk miskin dan termiskin di tingkat provinsi memiliki probabilitas protektif untuk kehamilan yang tidak diinginkan (OR = 0,96; 95% CI: 0,95-0,98). Variasi hubungan antara niat kesuburan wanita reproduksi dan kehamilan yang tidak diinginkan di tingkat komunitas adalah signifikan secara statistik. Simpulan: Provider sebaiknya menargetkan kelompok masyarakat yang akan diberikan intervensi terhadap pencegahan kehamilan tidak diinginkan berdasarkan hasil analisis intensi fertilitas.