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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
Portrait of sexual violence in oil palm plantation Gustia Saputri, Suci
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This paper aims to examine sexual violence against female workers in oil palm plantations. Content: Sexual violence is all unwanted sexual behavior, both physical and psychological, which usually occurs in women. Sexual violence can occur because The strong patriarchal culture in Indonesia makes the perpetrators think that they are stronger and have high positions so that they can do anything to their subordinates, especially those who work in a female minority. In addition, a quiet place is also one of the causes of violence, such as plantations. Plantation areas are far from settlements and minimal lighting makes the perpetrators free to carry out their actions. Most of the victims are helpless because of economic pressure. Offenders in high positions seem to have full control over the economy and make victims surrender to the pressures and conditions they face, often even being threatened with losing their jobs. The perpetrators think that sexual issues are commonplace with workers who are or have been married. On the other hand, they seem to be seen as having no value other than body and sexuality. The workers' lack of knowledge about violence makes them unaware of being victims of violence even though verbally. This matter cause many losses such as career disruption, experiencing anxiety and depression.The still low reporting is because the victim does not know where to complain, if he reports to the superior he is afraid of not being responded to and there is no continuation, because the perpetrator is one of his superiors, and there is no legal protection for the victim. What is very unfortunate is that there are many “stealth workers'' because they are not registered at the Manpower Office. This should be a concern with cross-sector cooperation as an effort to improve worker welfare and safety.
Will the people of Ngawi be able to solve the stunting problem this year? Rismay Pratama, Della
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.1598

Abstract

Stunting in the middle to lower class population in Ngawi Regency only relies on agriculture as their main livelihood. Socio-economic conditions experienced by people living in Ngawi Regency affect the high stunting rate in Ngawi Regency. The majority of the people of Ngawi Regency live their livelihoods and only rely on agriculture, so the poverty rate is still high. Ngawi Regency must be able to look for other opportunities that can support improvements in the economic standard for the community. Families with low socioeconomic status will prioritize the need for foods that contain carbohydrates on the grounds of being full, regardless of the quality of food that supports growth (Priyanti and Syalfina, 2018). The ability of families to meet food needs, both in quantity and nutritional quality, dramatically influences the nutritional status of children. Families with relatively fixed incomes, an underweight prevalence, and a lower prevalence of shortness compared to families with irregular incomes (Ministry of Health, 2010). Mistakes in adopting healthy behavior will affect people's beliefs of the hereditary nature of short stature. This belief can cause parents of children and society at large into a passive attitude, namely only accepting the existing conditions; so they are forced to bear all the consequences of stunting until the child grows up. Whereas if there is no improvement within the 1000 days of the first life period, then the long-term impact will be attached to the child when he grows up because the damage during this critical period cannot be corrected after that period has passed. The belief that there is caused by a lack of messages of health promotion on the prevention of stunting risk that makes communities continue adhering to the social perception blame heredity as the cause of stunting (Liem et al.,2019) The nutritional status of children under five can influence the occurrence of stunting and is influenced by the social environment as indications of socio-economic disparities in society, the existence of differences in the location of residence (ecosystem environment) where they live and develop will produce different behavior. Situations like this can have consequences in patterns and widespread malnutrition problems that lead to stunting child-rearing and implications for the development and quality of life of children (Manongga, 2013). The community is also unable to deal with the environmental conditions in which they live because of the economic limitations they experience. Nutritionists must implement a sensitive nutrition intervention framework to address the problem of stunting. This intervention is carried out through various development activities outside the health sector and contributes to 70% of stunting interventions. To overcome the problem of stunting in socio-economic conditions, local governments can do it by looking for other opportunities that can improve the community’s economic level by increasing market-oriented agribusiness activities (quantity, quality, and continuity (Mangowal, 2013). Resolution of health problems in environmental factors then it can be done by providing and ensuring access to clean water through the PAMSIMAS program (Archda and Tumangger, 2019) Stunting pada penduduk kalangan menengah ke bawah di Kabupaten Ngawi yang hanya mengandalkan pertanian sebagai mata pencaharian utama. Kondisi sosial ekonomi yang dialami oleh masyarakat yang tinggal di Kabupaten Ngawi mempengaruhi tingginya angka stunting di Kabupaten Ngawi. Keluarga dengan sosial ekonomi rendah akan lebih mengutamakan kebutuhan pada makanan yang mengandung karbohidrat dengan alasan hanya supaya kenyang, tanpa melihat kualitas makanan yang menunjang pertumbuhan. Kesalahan dalam mengadopsi perilaku sehat akan akan memperngaruhi keyakinan masyarakat bahwa postur pendek merupakan keturunan. Keyakinan tersebut dapat menyebabkan orangtua anak maupun masyarakat secara luas ke dalam sikap pasif, yaitu hanya menerima kondisi yang ada. Kerangka intervensi gizi sensitif harus dilakukan untuk mengatasi permasalahan stunting. Intervensi ini dilakukan melalui berbagai kegiatan pembangunan di luar sektor kesehatan dan berkontribusi pada 70% Intervensi stunting.
Access and reproductive health rights for women in West Papua, is it affordable? Yustina Tyas Kurniawati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

According to the Indonesian Health Profile 2017 shows that the Maternal Mortality Rate (MMR) shows 305 per 100,000 live births. The coverage of health services K4 for pregnant women explains that West Papua has a percentage of 23.19% in 2017. This percentage is the smallest figure compared to other provinces1. Meanwhile, deliveries percentage at health facilities are still below the national average, which is only 55%. This below average percentage includes births attended by skilled birth attendants and family planning needs that have been met with modern contraceptive methods. In addition, only 56% of adult women and adolescents aged 15–49 years had family planning needs met with modern contraceptive methods in 2015, and one in four births without assistance from a skilled birth attendant. Lower levels of access for mothers and children in rural areas2. There are still many people in West Papua who live with a deficient economy. The Mother and Child program in West Papua should have run well, but it was hampered and not implemented for years (one of which was in the Puskesmas Mare District, Suswa). In addition, the lack of equality in the development of existing health service facilities makes access to quality health unequal. The hospital in Sorong has more resources than the village clinics. Access to health insurance and ASKES is also not as good as in Java, which should be obtained easily and quickly, but in West Papua it takes a long time to get a community health insurance (Jamkesmas) or health insurances (ASKES) card, even up to two years3. People who are non-Papuans but live in West Papua have easier access to health care than indigenous Papuans. This results in inequality and results in differences in socio-economic status in Papua where Papuans have been affected by this system. The transmigrants who have adequate education and skills dominate market economic growth and ignore Papuans, which makes Papuans feel the benefits and impacts on the economy sectors4. Several districts in West Papua are not yet have a hospital due to difficulties in acquiring land or customary rights for the establishment of hospitals5. These conditions make many indigenous Papuan mothers still do not know the importance of their health needs, especially their reproductive health. They surrender to the existing circumstances and limitations. To reduce and overcome this, any several things that can be done.
The correlation of mother's knowledge, mother's attitude, and low birth weight (LBW) with stunting in toddlers at Kulon Progo District, Yogyakarta Ghilari, Yampa Eksa Daidella
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective : This study explores public health issues regarding toddlers of age 0-59 months, the most parental education is high school with job as housewife to prove the correlation of mother`s knowledge, mother`s attitude, and LBW with stunting in toddlers at Kulon Progo District, Yogyakarta in 2019. Method : This type of research was observasional analytic used cross-sectional study. Respondents of this study were children aged 0-59 months where stunting cases were found, there are five subdistricts: Galur, Sentolo, Pengasih, Nanggulan, and Samigaluh with a sample of 729 respondents with total sampling. Data collecting used primary data obtained from questionnaire and secondary data collection from KMS and record data by primary health care in 2019. Analyze data used chi-square test for bivariate and logistic regression analyze for multivariate. Results : The prevalence of stunting among under-five age of children in Kulon Progo district was 37,59%. There was a significant association between mother`s knowledge with stunting (p= 0,000 ; RP= 2,009 ; CI 95%= 1,64-2,45). There was a significant association between mother`s attitude with stunting (p= 0,000 ; RP= 2,29 ; CI 95%= 1,84-2,84), LBW was not necessarily a stunting risk in this study (p= 0,066; RP= 1,25 ; CI 95%= 0,97-0,62). The most affected variable with stunting is mother’s ettitude (OR= 3,297). Conclusion : There was a significant correlation between mother`s knowledge, mother`s attitude with stunting in Kulon Progo district, Yogyakarta in 2019. Improving women's nutrition, child feeding practices and household sanitation to help reduce stunting.
Mental interference in orphanage children: public health literacy for children at orphanage Sintya Clara, Ayu
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.1601

Abstract

Mental health problems are prone to occur in adolescents who are orphaned and live in orphanages. Children / adolescents living in orphanages are at a higher risk of exposure to various emotional disorders, such as depression, anxiety and stress, as well as behavioral problems than children or adolescents who are raised in their own family. Although orphans get substitute parents (caregivers), different from the role of biological parents, children will be more open to people who are close and live with them. Because he lost his biological parents, he was taken to an orphanage by his family, then after that no one ever visited him, making the child feel abandoned. This condition will make children become closed, alone and make it difficult to adapt to their peer environment. Some children do not want to hang out / be friends with someone they think is strange, eventually the orphan is marginalized and gets bullying which can lead to depression and even suicide attempts.
“Cooking and Healthy Girls Club” as alternative education for prevention of stunting for adolescents in Serang Regency Radifan, Muhamad Almas
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examines public health problems related to the prevention of stunting and anemia through practical education for young girls, especially with the Cooking and Healthy Girls Club program. Content: Stunting cases in Serang Regency are dominated by middle to lower economic communities who have misunderstandings in the pattern of intake for pregnant women. Problems during adolescence, specifically inadequate nutritional intake and suffering from anemia for a long time will have a negative impact on future mothers. The long-term impact can have a big chance of giving birth to a stunted baby. Young people today like to go on strict diets because they want to have a slim body without thinking about their health. Therefore, the understanding of health for prospective mothers should have been taught a lot and have entered the high school level through the Education Authorities. Early education, especially in the adolescent phase, is the best solution in preventing prolonged stunting. Cooking and Healthy Girls Club can be alternative education that is able to answer problems related to nutrition and health of adolescent girls. In this club program there is collaboration with certain parties who are experts in the fields of culinary, nutrition, and youth health. In this case, it is necessary to involve catering management, foodpreneurs, and KSR PMI (Indonesian Red Cross). The development of health-based youth education programs is not enough with the lecture method alone, but the need for practice and skills, especially in fulfilling nutritious and healthy food. The ability to do business and entrepreneurship is currently a dream for young people. The development of a healthy food business is a potential that needs to be developed by adolescents.
Health services care for adolescents literacy public health for reproductive health at early marriage in North Lampung Regency Purdalistya, Endah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : Adolescence is a transition period from childhood to adulthood. Various problems that occur in adolescents are influenced by various dimensions of life in them, both biological, cognitive, moral and psychological dimensions as well as the influence of the surrounding environment. These include adolescent reproductive health, which involves free sex, extramarital or unwanted pregnancy, abortion, and young marriage. The Central Bureau of Statistics and UNICEF in 2016 reported that 85% of girls in Indonesia end their education after they marry at a young age. This paper aims to explore adolescents' understanding of health on reproductive health issues through adolescent care health services (PKPR). Method: The method used is interviewing PKPR responsible officers and some students as well as literature from journals and online media. Monitoring and evaluating pkpr program. Results : All Puskesmas in the North Lampung Regency have been able to PKPR. PKPR activities in puskesmas have been running with the availability of a special room for counseling so as to provide a privacy space. The next activity is counseling to both junior high and high school. Students have received material about reproductive health in science lessons but only outlines are not in detail. Puskesmas officers have trained peer counselors from several students in each school. Peer counsellors mean that students feel the presence of someone who can understand themselves and feel more comfortable if they convey their complaints to their peers. It was also found that there are some students who are no longer in school because they are married so they decided to drop out. Conclusion : With these problems, it is expected that the pkpr program has a very important role for teenagers. Through this PKPR, teenagers can gain knowledge about health, socializing places, and get health services that pay attention to the needs of teenagers. So that the health problems of adolescents can be minimized.
Improving the nutritional status of stunting toddlers through local food nutrition of Javan porridge (Setaria Italica) in Sintang Regency, West Kalimantan Nur Hayati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: Stunting is one of the health problems in Sintang Regency, West Kalimantan Province, with a prevalence of 44.1% in 2017. Sintang Regency targets a reduction in prevalence stunting 3%annually as stated in the Regent's Regulation Sintang Number 20 of 2018 concerning prevention Stunting. In 2018 when the policy began to be implemented, stunting prevalence dropped significantly by 33.2%, but the trend continued to decline in 2019-2020, from 32.7% (2019) to 31.3% in 2020. This shows that the policy has not worked well. One of the innovations that can be done as a sensitive nutrition intervention related to the family's ability to fulfill food is by utilizing local food, namely jatropha seeds, which are processed into porridge as nutrition for toddlers who suffer from stunting. Contents: Jatropha seeds are an authentic food that is easy to find in Sintang Regency at an affordable price. Research conducted by Kurniati (2020) on the effectiveness of giving Javan porridge in increasing weight and height in toddlers stunting in Kayan Hilir District showed significant results after the intervention of giving Javan porridge. The results of the Paired T-Test test obtained a P-value of 0.001. The local government followed up by creating a movement to consume jatropha seeds processed into porridge for toddlers stunting. The health insurance in Indonesia can accept activities that include (1) the formation of small and medium enterprises (SMEs) to manage and package jatropha seeds so that they become marketable products, (2) create educational content on print media and social media that contain the benefits of the nutritional content of jatropha seeds, and (3) socialize the use and processing of local food seeds. Responsibility to the community carried out during posyandu activities. Affordable local food with high nutritional content has the potential to be developed to help improve the nutritional status of toddlers stunting. Tujuan: Stunting merupakan salah satu permasalahan kesehatan di Kabupaten Sintang Provinsi Kalimantan Barat dengan prevalensi mencapai 44,1% pada Tahun 2017. Kabupaten Sintang menargetkan penurunan prevalensi stunting 3% tiap tahunnya yang tertuang pada Peraturan Bupati Sintang Nomor 20 Tahun 2018 tentang Pencegahan Stunting. Pada tahun 2018 saat kebijakan mulai terimplementasi Prevalensi stunting turun secara signifikan sebesar 33,2%, namun pada tahun 2019-2020 trennya semakin menurun yakni 32,7% (2019) menjadi 31,3% pada 2020. Hal ini menunjukkan kebijakan belum berjalan baik. Salah satu inovasi yang bisa dilakukan sebagai intervensi gizi sensitif yang berhubungan dengan kemampuan keluarga untuk memenuhi pangan adalah dengan memanfaatkan pangan lokal yakni biji jawak yang diolah menjadi bubur sebagai nutrisi bagi balita yang menderita stunting. Isi: Biji jawak merupakan makanan asli yang mudah ditemukan di Kabupaten Sintang dengan harga yang terjangkau. Penelitian yang dilakukan oleh Kurniati (2020) tentang efektivitas pemberian bubur jawak dalam peningkatan berat dan tinggi badan pada balita stunting di Kecamatan Kayan Hilir menunjukkan hasil yang signifikan setelah dilakukan intervensi pemberian bubur jawak hasil uji Paired T-Test diperoleh P-value 0,001. Pemerintah Daerah menindaklanjuti dengan membuat gerakan konsumsi biji jawak yang diolah menjadi bubur bagi balita stunting. Kegiatan yang dilakukan antara lain: pembentukan usaha kecil menengah (UKM) untuk mengelola dan mengemas biji jawak agar menjadi produk yang layak dipasarkan, pembuatan konten edukasi pada media cetak maupun media sosial yang memuat manfaat kandungan gizi biji jawak serta sosialisasi pemanfaatan dan pengolahan pangan lokal biji jawak pada masyarakat yang dilaksanakan pada saat kegiatan posyandu. Program inovatif pemanfaatan pangan lokal yang terjangkau dengan kandungan gizi tinggi sangat berpotensi untuk dikembangkan dalam membantu meningkatkan status gizi balita stunting.
National dental health month in West Sumatera Zola, Febri
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Access to dental care People from West Sumatra who receive dental care from medical personnel around 35.3 percent. More than half of the Sumbar community has not received treatment because of inadequate facilities and access to services. People in rural areas have more difficulty getting dental health services than in cities. National dental health month activities One of the dental health programs are the National Dental Health Month (BKGN), which conducts dental check-ups, tooth fillings, tooth extractions, tartar cleaning, and free dental education. However, this activity is carried out once a year, and the target is only 1,000 people. This program should be followed up with a dental health program held at least once a month or twice a month. The target of this program must also be evenly distributed to remote areas of West Sumatra. Providing free toothbrushes for the less fortunate. Conducting dental health education and providing free toothbrushes and toothpaste to the community so that people can practice oral health in their respective homes. Village heads and cadres The village Head can gather residents to be given information about the dental health program that will be carried out. Apart from the village head, cadres can also be involved in providing dental health training so that these cadres can provide education about dental health to the community. Dental health month, which is followed up with the community dental health program National Dental Health Month (BKGN), held once a year, must be followed up with a monthly healthy teeth program. This program includes education about dental health, free dental examinations, free tartar cleaning, free dental fillings, and free tooth extraction. This puskesmas program also moves to the people's homes, making the program more evenly distributed. The evaluation of this program is carried out once a month through a dental examination and an examination of their toothbrushes at home.
Kesehatan reproduksi: remaja era digital di saat berlangsungnya pandemi Ramadhani, Aulia Rizqi
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Kekerasan seksual pada remaja era digital di saat berlangsungnya pandemi. Rasa penasaran yang sangat tinggi akan hal-hal baru pasti dirasakan oleh remaja. Mereka cenderung mengeksplorasi segala aspek dalam kehidupannya. Pada masa ini juga terjadi banyak perubahan dalam tubuh para remaja. Pubertas salah satunya, fungsi reproduksi seorang individu mulai aktif pada masa ini. Terdapat hal yang melekat seiring dengan terjadinya pubertas pada setiap remaja yaitu, ketertarikan akan lawan jenis. Hal ini secara tidak langsung menjadi gerbang pertama yang dapat mengarah ke pergaulan bebas pada remaja. Untuk mewujudkan perkembangan remaja yang sehat, perlu adanya edukasi dan pendampingan pada mereka. Di era digital ini perkembangan teknologi meningkat dengan cepat. Apalagi dengan terjadinya pandemi covid-19 memaksa banyak orang untuk memaksimalkan penggunaan teknologi dalam melakukan aktivitas sehari-hari dari pekerjaan hingga pendidikan semuanya dilakukan melalui teknologi dengan berbasis online. Semakin majunya teknologi juga semakin mendorong seorang individu semakin apatis dengan keadaan orang sekitarnya. Pergeseran budaya karena adanya globalisasi menjadikan tolak ukur dalam pergaulan remajapun berubah. Adanya celah antara perbedaan segmen sosial pada remaja menyebabkan beberapa perubahan persepsi. Pemakluman dampak negatif dari globalisasi seperti sikap yang individualistik dan tidak memperdulikan orang lain sehingga remaja akan lupa dengan identitas dirinya karena terbiasa mengaplikasikan budaya barat. Puncaknya, kekerasan seksual pada remaja terjadi.

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