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INDONESIA
Berita Kedokteran Masyarakat
Published by Universitas Gadjah Mada
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Nursing Public Health
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 86 Documents
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Search results for , issue "PHS7 Accepted Abstracts" : 86 Documents clear
Mean the levels of 25(OH) D in the II trimester of pregnant women at Sleman, Indonesia Susilani, Amalina Tri; Subagio, Hertanto Wahyu; Pramono, Noor; Kartasurya, Martha Irene
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Pregnant women possess a high risk of suffering from a deficiency of vitamin D3. A deficiency of Vitamin D3 is associated with pregnancy-related complications, such as preterm birth, preeclampsia, gestational diabetes, and babies born small for gestational age. Furthermore, it creates a risk of infection and breathing problems when the baby is born, and affects the life of the child. Methods: A descriptive study was done and consisted of participants who met the following criteria: 20 - 35 years of age, BMI between 18.5-24.9, had a record of their last day of menstruation (HPHT). Informed consent was also obtained and signed by all the participants. Women who had histories of preeclampsia and eclampsia, bleeding, premature rupture of membranes, gemelli pregnancy, abortion, and immature births, and mothers with comorbidities such as heart, lung, liver, intestinal, bone, kidney, thyroid, and immunology diseases were excluded from the study. Examination of 25 (OH) D was done using Enzyme-Linked Immuno Sorbant Assay (ELISA) method with 1.5 ml of the sample which had been centrifuged and had its serum extracted. Results: The study began in July 2020 with a total of 80 pregnant women in their second trimester (TM II). The participants had an average height of 154.5 cm and body weight before pregnancy of 51.8 kg. The results obtained showed insufficient levels of 25 (OH) D levels in 72 (90%) participants and sufficient/normal levels in 8 (10%) participants. Conclusion: Most pregnant women at Sleman Indonesia had insufficient levels of 25 (OH) D.
Model development of factors affecting the effectiveness of puskesmas services Sarifudin, Diding; Hadisaputro, Soeharyo; Suwandono, Agus
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Aim: The study uses all the puskesmas in Cirebon to develop a direct and indirect effect model on health center services' effectiveness.Methods. A mixed-methods design use questionnaire cross-sectional survey and an in-depth qualitative interview. The population is all puskesmas in Cirebon Regency. A sample of 212 respondents was drawn from all puskesmas with inclusion criteria (1) health effort implementer, (2) minimum 1-year working period, (3) continuous health officers at least one year, and a minimum education of D3 health. As the dependent variable, the effectiveness of health center services is measured by [...]. The independent variables include leadership commitment, intermediate variables: strengthening basic health programs and confounding: gender, age, education, years of service. Analysis using Structural Equation Modeling (SEM) and qualitatively based on relevant themes. Conclusion: Puskesmas service effectiveness is influenced by (1) direct effects of (a) leadership commitment, policy governance, and strengthening basic health programs; and (2) indirect effect of (b) commitment to leadership and policy governance through strengthening basic health programs and (c) commitment to leadership, policy governance and strengthening basic health efforts disrupted by gender and education.
Development and implementation of Mental Health Posyandu Program in Adipala Village of Cilacap Regency Setiawan, Iwan Yulis
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The paper reviewed the Mental Health Posyandu's development and implementation, its effectiveness and affordability from the sufferers and their families' perspective in Adipala Village, Adipala District, Cilacap Regency. Results: This analysis used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to measure the benefits of solving health problems in the community, especially mental health. According to BPS (2019), the Cilacap Regency population is 1,937,427 individuals, the target of people with mental disorders (ODGJ) reaches 2,906 sufferers, while Adipala Village in 2021 has a population of 13,549 people with 30 ODGJ sufferers from previously only 12 ODGJ in 2018. ODGJ creates complex problems for the environment and families. Chronic illness, unproductive, unsettling, stressful, shunned by friends and neighbors, negative stigma, families running out of financial resources, decreased interest in caring for / treating, remote access to referral health services, or unavailability of drugs in primary health care facilities. The mental health Posyandu provides empowering services to sufferers and their families, using the "four service tables" approach: Registration. Physical examination. Screening to monitor disease conditions. Discharge planning and group activity therapy (gymnastics and games) by trained health personnel. In collaboration with Puskesmas Adipa 1 and the local village administration, the program is affordable and closely accessible in a flexible time. It allows professionals to speak in the session and do a community needs assessment to build cadres' knowledge and psycho-social support capacity. Conclusion: The key to this program development is the collaboration among the community, local village administration, and the puskesmas. Relevant stakeholders should discuss the program's sustainability.
Analysis for policy: articles related to integrated ANC services in regulation of Health Minister Republic Indonesia No. 97 year 2014 Inge Ayu Wardani Sakinah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Abstract

Indonesia's volatile maternal mortality rate has led the government introduce the Integrated ANC program (the Minister of Health Regulation No. 97/2014). However, in its implementation, many need to be improved. Failing to achieve the targeted four antenatal care visits in several regions, the maldistribution of health personnel and the sub-optimal contribution of regional funding deserve a review. It is necessary to establish a program with perpetual evaluation and improvement, with a more effective policy in health workers' deployment to reach all Indonesian regions. The MMR's expected decrease becomes the goal if integrated antenatal care works. My paper discusses challenges in making integrated antenatal care work in less disadvantaged regions.
Costs of food and meal leftover from modified meal program in the Sanglah Hospital Triwini, Ida Ayu Nyoman
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study describes the cost of meals and the cost of leftovers from the modified feeding program at RSUP Sanglah Denpasar. Methods: This cross-sectional study is based on 76 adult inpatients who received modified meals using the non-randomized purposive sampling technique in three months in RSUP Sanglah Denpasar. Statistical analysis used statistical version 14 with the Shapiro Wilk data normality test, non-parametric tests, namely the chi-square test and the Spearman rank correlation test. Results: The average cost of modified food is IDR 93.917, while the standard price of hospital meals is IDR 47.564. The average amount of food leftovers was 27,94%, with the cost of missing from food scraps of IDR 9.637, while the standard of leftovers was ≤20%, and the cost of leftovers was IDR 9,513. Food and leftovers' cost has a significant relationship with the value of p 0.000 (p <0.05), has a positive correlation, and has a strong relationship with a value of r (+) 0.4944 (r> 0.40). If the cost of food increases, the cost of leftovers will increase as well. Conclusions: The modified feeding program at RSUP Sanglah Denpasar is less effective. Leftovers' cost is greater than the hospital's standard costs. Tujuan: Penelitian ini dilakukan untuk mengetahui gambaran biaya makan dan biaya sisa makanan dari program pemberian makanan modifikasi di RSUP Sanglah Denpasar. Metode: Penelitian ini menggunakan rancangan observasional dengan desain cross sectional dilakukan selama 3 bulan di RSUP Sanglah Denpasar. Subjek penelitian adalah 76 pasien dewasa rawat inap mendapatkan makanan modifikasi dengan teknik nonrandomized purposive sampling. Analisis statistik menggunakan stata versi 14 dengan uji normalitas data shapiro wilk, uji non parametrik, yaitu uji chi-square dan uji korelasi spearman rank. Hasil: Biaya makanan modifikasi rerata sebesar Rp93.917,- sedangkan standar biaya makan rumah sakit sebesar Rp47.564,-. Jumlah sisa makanan modifikasi rerata sebesar 27,94% dengan biaya yang hilang dari sisa makanan modifikasi sebesar Rp9.637,- sedangkan standar sisa makanan ≤20% dengan biaya sisa makanan sebesar Rp9.513,-. Biaya makan dengan biaya sisa makanan modifikasi memiliki hubungan yang signifikan dengan nilai p 0,000 (p<0,05), sifat korelasi positif dan memiliki keeratan kuat dengan nilai r(+)0,4944 (r>0,40) artinya jika biaya makan mengalami kenaikan maka biaya sisa makanan juga akan mengalami kenaikan. Simpulan: Program pemberian makanan modifikasi di RSUP Sanglah Denpasar berjalan kurang efektif dan efisien, terlihat dari nilai biaya makan dan biaya sisa makanan modifikasi lebih besar dibandingkan standar biaya yang ditetapkan rumah sakit.
Evaluation of modified feeding at Sanglah General Hospital Denpasar Hariani, Gusti Ayu Nyoman
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study determines the intake of food and changes in modified food's nutritional status at Sanglah General Hospital Denpasar. Methods: This cross-sectional study used design and non-randomized purposive sampling technique in 76 inpatients in the first, second, and third classes for three months. Food intake, including energy, protein, fat, and carbohydrate intake, was calculated from measuring leftovers using the visual Comstock method. Nutritional status was determined by Body Mass Index (BMI) indicator by dividing body weight in kilograms by height in square meters. Statistical analysis used the Shapiro Wilk data normality test, the non-parametric test chi-square test, and the spearman rank correlation test. Results: There were significant relationship between modified food intake and nutritional status with the value of (p<0.05), including energy intake (p=0.000; r=0,4583), protein intake (p=0.0002; r=0,4126), and carbohydrates (p=0.000; r=0,4552) and also positive correlation with strong relationship (r>0.40), except in fat intake had an insignificant relationship of modified food with nutritional status (p=0.0824; r=0,2005;). Patients with lack intake of modified food would experience a decrease in nutritional status. Conclusions: The modified food intake is related to the nutritional status of hospitalized patients.
Thirty seven confirmed cases of coronavirus disease (Covid-19) from March-June in Yogyakarta City, 2020 Fitriani, Bhekti; Indriani, Citra; Susilawati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: This epidemiological investigation reports a description of Coronavirus Disease (COVID-19) in Yogyakarta City from March-June 2020. Method: In this study, cases were people who confirmed positive COVID-19 using RT-PCR testing from March-June 2020 in Yogyakarta City. Demographic data, the onset date of illness, date of positive specimen, symptoms, comorbidity, exposure, and travel history were collected from Corona Monitoring System, connected to medical records in the hospital. We describe the data using percentages. Results: A total of 37 confirmed cases, 36 (97%) were cured. One case that died was a man, age groups 30-59 years old, with diabetic mellitus, fever, cough, shortness of breath, and diarrhea. The highest attack rate was male (68%). Cases by age group less than five years old (3%), over 60 years old (16%), and 30-59 years old (68%) as the highest. Fever (82%), cough (65%), and shortness of breath (24%) were the most symptoms. We found comorbid diabetic mellitus (86%) and asthma (14%). There were 10 out of 14 sub-districts in Yogyakarta City that have been infected. The highest number of cases was on May 3-9, 2020, because church clusters have been identified. We found 41% cases having a history of travel outside the Yogyakarta Province, and 24% was church cluster. Conclusions: From March 16-June 30, 2020, 37 confirmed cases of COVID-19 in Yogyakarta City. History of travel outside the province of Yogyakarta was a likely risk factor of COVID-19 transmission. Enhance surveillance, contact tracing, mask use, hand hygiene, avoid crowded places are essential to contain the transmission.
Balancing work and life during the COVID-19 pandemic: mental health intervention in FEB UGM Margarini, Dita
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: The purpose of this research was to improve knowledge and behavior about mental health for staff and students in the Faculty of Economics and Business Universitas Gadjah Mada (FEB UGM) during the COVID-19 pandemic through a webinar. The webinar's topic was work-life balance, how to managing stress to balance work and life. A preliminary survey for students and staff found mental health is the biggest of health problems in FEB UGM. This research was the program for implementing Health Promoting University. Method: A mixed methods research design, comprising one group pre-test post-test design and semi-structured interviews. The participants had answered the pre-test using google form before the webinar started and answered the post-test after the speaker had finished the presentation. The data were analyzed using SPSS version 26. Five participants who attended the webinar were interviewed. Results: A total of 153 webinar participants were staff and students in FEB UGM. The average scores for knowledge increased from 78.56 to 87.32. There was a significant difference in knowledge scores between pre-test and post-test (p < 0.05). The interview results show that the participants have changed their attitude and behavior to control their stress and balance their work and life. Conclusion: Webinar during COVID-19 pandemic effectively improved knowledge, attitude, and behavior about mental health, especially to balance work and life during the pandemic. Webinars or other educational strategies should be held periodically to maintain mental health for students and staff.
How effective is cross-sector cooperation and community empowerment during the Covid-19 pandemic? Efforts to handle stunting in Karangsari Village of Kulon Progo Nur Intan Kartika Sari
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: This paper reviewed the effectiveness of cross-sectoral cooperation and community empowerment to handle stunting during the COVID-19 Pandemic in Karangsari Village, Pengasih District, Kulon Progo Regency. Content: Kulon Progo has been appointed by the central government as one of the stunting locus regency since 2017. The criterias that make Kulon Progo as a stunting locus regency is not only by the high prevalence of stunting (16.38% in 2017). But Kulon Progo is an area that has the best practices and high commitment from the local government. The prevalence of stunting in Kulon Progo continues to decline from 14.31% (2018) to 12.57% (2019). However, Kulon Progo Regency Government targets Kulon Progo becomes Zero Stunting at 2030. Among 10 villages in Kulon Progo that were chosen as stunting locus, one of them is Karangsari Village. Karangsari is a village that has high prevalence of stunting by 24.13% (2017) then decreased to 21.07% (2018). COVID-19 pandemic becomes a challenge to run the policy to handle stunting effort. Various efforts such as cross-sector cooperation and community empowerment continue to be carried out. Community empowerment includes Community Cadre Health Training, Non-Smoking Areas, Tari Gemayur and Community-Based Total Sanitation (CBTS). Those stunting handling efforts proved effective. Karangsari Village was crowned as the best CBTS village in Kulon Progo and the prevalence of stunting decreased from 13.72% (2019) to 9.88% (2020). Conclusion: The key of handling stunting efforts is the involvement of the government and cross-sectoral cooperation as well as the capacity of the community to carry it out.
E-Poster: preventing COVID-19 in third parties workers in the UGM Faculty of Economics and Business Sande, Desliana
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: To determine the effectiveness of E-posters in improving attitudes and preventive measures for COVID-19 by third parties, Faculty of Economics and Business, Universitas Gadjah Mada (FEB UGM). Method: This qualitative study interviewed six informants working as gardeners, cleaning service, and security officers in the UGM Faculty of Economics and Business' environment, who had given E-posters related to preventing COVID-19 through a special third-party WhatsApp group. The interview results were transcribed and analyzed using open code version 4.02 to determine the category then interpreted the interview data in narrative form. Results: E-posters can improve the attitudes and actions of third parties in preventing COVID-19. Third parties feel the need to implement this because they can protect themselves and their families. These behavior changes are still being carried out now because third parties believe that by continuing to implement health protocols both at work and at home, they can protect themselves and their families from COVID-19. It is supported by the existence of regulations in the FEB environment that require every employee to apply health protocols in the work environment. Conclusion: E-posters can be an effective Health Promotion media to improve attitudes and actions related to the prevention of COVID-19 in the work environment and at home. The existence of illustrated images that match the message's content to be conveyed makes it easier for third parties to understand and apply it.

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