Abdul Wahab
Departemen Biostatistik Epidemiologi Dan Kesehatan Masyarakat, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Journal : Berita Kedokteran Masyarakat

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

Abstract

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.  
Hubungan Kualitas Pelayanan Kunjungan Neonatal Pertama (KN1) dengan Kematian Neonatal: Analisis Data SDKI 2017 Rizka Aziza Darwis; Abdul Wahab; Mohamad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 10 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.56832

Abstract

AbstrakTujuan: Mengkaji hubungan kualitas pelayanan KN1 dengan kematian neonatal di Indonesia. Metode: Penelitian menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 dengan desain kohort retrospektif. Sampel penelitian adalah kelahiran hidup 2 tahun sebelum survei dari wanita 15-49 tahun yang memenuhi kriteria inklusi dan eksklusi sebanyak 6.561 bayi lahir hidup. Hubungan karakteristik pelayanan KIA, neonatal dan ibu dengan kematian neonatal dianalisis dengan uji chi square dan regresi logistik berganda. Hasil: Bayi yang mendapatkan KN1 berkualitas berisiko 98% lebih rendah untuk mengalami kematian neonatal (aOR=0,02; 95%CI=0,00-0,44) sedangkan bayi yang mendapatkan pelayanan KN1 tidak berkualitas berisiko 52% lebih rendah untuk mengalami kematian neonatal (aOR=0,48; 95%CI=0,26-0,9) dibandingkan dengan bayi yang tidak mendapatkan pelayanan KN1 setelah mengontrol variabel berat badan lahir dan jenis kelamin bayi. Kesimpulan: Bayi yang menerima pelayanan KN1 yang berkualitas, bayi dengan berat badan lahir ≥2500 gram dan bayi perempuan berisiko lebih rendah untuk mengalami kematian neonatal. Upaya pencegahan kematian neonatal hendaknya difokuskan pada upaya peningkatan kualitas pelayanan KN1 serta pencegahan dan perawatan bayi berat badan lahir rendah (BBLR). 
HUBUNGAN AKTIVITAS FISIK DENGAN KEJADIAN DISMENORE PRIMER PADA REMAJA PUTRI DI PONDOK PESANTREN AL-FALAH GORONTALO Mursyidah Khairiyah; Abdul Wahab; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 36, No 11 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57244

Abstract

AbstrakTujuan : Untuk membuktikan apakah terdapat hubungan antara aktivitas fisik dengan kejadian dismenore pada remaja putri. Metode : Penelitian ini merupakan penelitian observasional analitik dengan menggunakan studi desain cross-sectional. analisis inferensial menggunakan uji Chi square serta dilanjutkan dengan analisis regresi logistik. Hasil : analisis multivariabel menunjukkan adanya hubungan yang bermakna antara aktivitas fisik dengan dismenore primer dilihat dari nilai P-value 0,023 dan 0,0003 nilai PR = 3,48 dan 3,6. Variabel luar yang memiliki hubungan yang bermakna dengan dismenore primer adalah IMT/U dengan kategori gemuk nilai P-value 0,011 dan nilai PR 0,30, KEK dengan dengan nilai P-value 0,001 PR 3,20, menarche dengan nilai P-value  0,005 dan 0,025, nilai PR 2,92 dan 10,6. Kesimpulan : Aktivitas fisik rendah dan sedang berisiko lebih tinggi untuk mengalami dismenore primer dibandingkan dengan yang memiliki aktivitas fisik tinggi. Faktor yang berhubungan dengan kejadian dismenore primer adalah IMT/U dengan gemuk, Status KEK dengan LILA <23,5, Usia menarche <12 tahun dan >13 tahunKata kunci : Aktivitas Fisik, Dismenore, Remaja
KARAKTERISTIK PILIHAN MAKANAN DAN INFORMASI KANDUNGAN ZAT GIZI MAKANAN; STUDI MELALUI MEDIA SOSIAL INSTAGRAM Valendra Haamiim; R Dwi Budiningsari; Abdul Wahab
Berita Kedokteran Masyarakat (BKM) Vol 35, No 11 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47379

Abstract

Characterizing food choices and nutritional information: study through social media instagramPurpose: Instagram is one of the popular social media platform that provide users to capture and share photos and videos. Instagram serves as an attractive choices to individuals intending to share photos of food they are consuming. Due to the popularity of Instagram, the availability of rich data can be analyzed and produce information. Using Instagram as a food photos database, researcher wants to identify characteristics dietary choices and nutritional information of food based on Instagram.Method: this study presents both qualitative and quantitative data. Qualitative data collection was conducted by semi structured interviews with 11 participants and qualitative data collection was taken from food photos database on Instagram with 400 samples.Results: Food items more extensively mentioned (n=291) 72,75% in Instagram post is high calorie food (554 calories). Instagram manifest consumption is characterized by high carbohydrate (154 grams) 54,25% (n=217), high fat (31 grams) 45,5% (n=182), high sodium (810 mg) 82% (n=328), low protein (16 grams) 65,75% (n=263), and low fiber (7 grams) 70% (n=280) food. There were no differences in food characteristics posts between male and female users (p=7,61).Conclusion: Characteristics of food posts on Instagram are classified as high calorie foods. The nutritional information of food posts on Instagram contains high carbohydrate, high fat, high sodium, low protein, and low fiber. Our participants choose to use Instagram because it provided an easier and more fun for food tracking and journaling. Participants can receive emotional support by finding others similar interested and social interaction between users and also gave them a way to self express through food photos.