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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
Implementation of management of chronic disease (PROLANIS) national health insurance’s programme in community health centers in Malang Wahyudi, Dicky Dwi; Eko Rahman Setiawan; Anggi Ardhiasti
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.v0i0.1611

Abstract

Diabetes Mellitus and Hypertension are non-communicable diseases that have increased from year to year, both internationally and nationally. The 2018 East Java Basic Health Research Data explains that Malang City with the 4th highest Hypertension patient, following Malang Regency and Probolinggo Regency with the category of patients age ≥ 18 years. One of the benefits by National Health Insurance participants is a program that supports promotive and preventive services, namely the Chronic Disease Management Program (Prolanis) which is a National Health Insurance program for promotive and preventive services at First Level Health Facilities to overcome this diseases.Objective: To obtain an overview of implementation of the National Health Insurance Chronic Disease Management Program (Prolanis) at Malang Community Health Center. Method: In this study, data and information were collected descriptively through questionnaires filled out by Prolanis officers at 8 Puskesmas in Malang City who were randomly selected by examining Prolanis activities including: medical consultation, group education, SMS gateway reminders, and home visits. Results: Of the 8 Puskesmas studied, there was 1 community health center that did not carry out the Home visit activity. In a series of Prolanis activities (medical consultations, group education, gateway SMS reminders, and home visits) in mid-March 2020. Prolanis activities stopped due to the Covid-19 pandemic. So that Prolanis activities are carried out online via the WhatsApp group and telephone. Conclusions: Prolanis activities (medical consultation, group education, SMS gateway reminder, and home visit) at 8 Puskesmas in Malang City as a whole have been carried out in an orderly and scheduled manner, even though there are Puskesmas that do not carry out any of the home visit activities. During the Covid-19 pandemic, Puskesmas adjusted activities by making online contacts with Prolanis participants Keywords: Prolanis; JKN; Promotif; Preventif
Analysis for policy : the complicated problem of abortion regulations in Indonesia Maulida, Uci Putri
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective This paper reviewed analysis for policy the Government Regulations Republic of Indonesia No. 61 of 2014 concerning Reproductive Health that also received a lot of comments because the discussion regarding the purpose of "abortion" was still inadequate. Content Reproductive health problems in adolescence are one of the main focuses in Reproductive Health. According to the ARH report (2017), it is estimated that 19% of adolescents in developing countries have experienced pregnancy. Girls under 15 years even contributed about 2 million of the 7.3 million births in adolescents under 18. In 2014, an estimated 3 million adolescents aged 15-19 years had unsafe abortions. In a study conducted by Utomo in 2011, it was stated that 32% of sexually active adolescents end up in deliberate abortion (Diarsvitri et al in the ARH Report, 2017). The incidence of criminal provocative abortion itself, in Indonesia reaches 2.5 million cases per year, or 43 abortions for every 100 pregnancies, and 30% of them are performed on people aged 15-24 years (Nugroho et al. 2018). Abortion itself contributes to the high incidence of MMR in Indonesia and in other countries, especially in the incidence of unsafe abortion. According to WHO, about 10-50% of deaths are caused by abortion. The policy regarding the issue of abortion has been discussed in the Government Regulations Republic of Indonesia No. 61 of 2014 concerning Reproductive Health, which in its contents also discusses the purpose of medical emergencies. As the policy progressed, this regulation also received a lot of comments. Conclusion Evaluation criteria are more effective in preventive efforts to prevent abortion, namely by preventing unwanted pregnancies through strengthening regulations related to reproductive health and reproductive health education programs since adolescence in all lines.
Factors related with adherence score to iron chelation treatment in thalassemia patient (study at RSUD Tidar Magelang in 2019) Adiratna, Widia
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study is to analyze the factors associated with adherence score to iron chelation treatment in thalassemia patients at RSUD Tidar Magelang in 2019. Methods: Quantitative methods are used in this research.An analytical study was carried out with a cross-sectional design with total sampling. Subjects were thalassemia patients who had routine transfusions at RSUD Tidar in 2019.A list of patients was obtained from the transfusion visit book at Thalassemia’s Room, RSUD Tidar. Primary data was collected by interview using a standardized questionnaire. Interview with parents is done for respondents below 16 years old. The statistical test used was Pearson correlation and Independent sample t-test. Results: Of the 90 patients on the list, 84 were successfully interviewed. From that, 54 (64,4%) patients had an adherence score of iron chelation medication below the average. Duration of taking medication from patients was 1-16 years with an average of 7.5 years Results of bivariate analysis show that age (p=0,086;r=-0,189),sex (p=0,737;r=0,190),knowledge about thalassemia (p=0,000;r=0,491-0,554),knowledge about iron chelation (p=0,000;r=0,554), family support (p=0,000;r=0,570), health workers support (p=0,000; r=0,468), duration of taking medicine(p=0,040;r=-0,224),side effects (p=0,000;r=-0,518),access to hospital (p=0,403) and type of iron chelation (p=0,023). Conclusions: It can be concluded that knowledge about thalassemia, knowledge about iron chelation, family support, health workers support, side effects of medicine, type of iron chelation, duration of taking medicine have a significant relationship with adherence score to taking iron chelation in thalassemia patient. Update on knowledge related to thalassemia and iron chelation is needed for patients and their families. Attention and motivation from families and health workers are needed, especially for patients who are bored with treatment.
The Children's dental health program Widiya Ulfa
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Challenge 1: The current problem Dental caries is one of the teeth and mouth diseases that is often found in school-age children which is very disturbing to the health of their teeth. The behavior of not maintaining dental hygiene can lead to pathological conditions in the oral cavity. These problems need special handling and preventive measures so that they don't experience toothaches. Challenge 2: What are the efforts for them to have healthy living practices The reading source explains that they only get education from health center personnel, and it is held within a year. Challenge 3: What are the little things that can help children free from dental caries? Conducting counseling for elementary students about the dangers of dental caries if left unchecked. Home care or preventive measures that children can take at home, such as brushing their teeth regularly and limiting eating cariogenic foods, these home care measures can be given in advance through the counseling process and monitoring is carried out every week. Challenge 4: Community groups that can be involved Public health centers, cadres or students who participate in community service activities can be involved in conducting outreach activities, preventive action to target groups Challenge 5: How can your breakthrough be embedded in an existing A program that has been implemented is carrying out activities counseling in schools, the program is already running but requires other programs, namely preventive action (scaling and fissure sealants), implementation of activities, namely making observations first, then students who are at risk of dental caries are carried out by fissure sealant action and a free scaling program for students with low economics. Challenge 6: News links and social media related to news regarding outreach activities have indeed been done a lot, but for preventive action it is still quite minimal, it is hoped that this program can improve dental health for school children, followed by monitoring to build children's habits to maintain their dental health.
Foodborne outbreak after a village festival — Kulon Progo District, Indonesia, 2019 Laksono, Bima Adi
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Background : On November 16, 2019, Pengasih 1 Public Health Center (PHC) reported three cases of suspected foodborne outbreak after a village festival in Paingan Village, Pengasih Kulon Progo. Investigation was done to ensure outbreak, identify the risk factors and prevention measure. Methods : The design of this study used Case Control 1:1, a sample taken from a population at risk of 109 respondents, the instrument used was an interview with an epidemiological investigation form. Results : of the 300 Rice boxes served, 109 people were successfully interviewed. There were 63 cases (AR=57.8%), with the main symptoms of nausea, vomiting, and dizziness. The incubation period is 4 - 31 hours. Of all the types of food served, Kerik meat is significantly associated with food poisoning (OR = 9.78 95% CI = 2.6-25.37). Meat is cooked 12 hours before serving and stored at room temperature, meat dishes are cooked by some people. Meat samples, positive laboratory results contain Escherchia Coli. Conclusion : Food poisoning outbreak on November 16, 2019 after consuming kerik meat contaminated with Escherchia Coli. Based on the results of epidemiological studies and laboratory examinations on kerik meat samples, the causative agent of food poisoning is Escherchia Coli. Recommendations by conducting health promotion related to food sanitation hygiene because Escherchia Coli enters through the mouth.
The regent's involvement with the village of peduli TBC (tuberculosis) Widiastuti, Yunita
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.v0i0.1616

Abstract

TBC is still a serious problem for the government to date. TBC services are still widely available in urban areas, making it difficult for some people in rural areas to access services. Village-based TB services, if any, are still not optimal for prevention, even if they exist, they are only perfunctory. TB Care Village is expected to be able to accelerate the prevention and control of TB. The service program TB Care Village can be reached by all people, especially TB sufferers, which include : TB sufferers obey medical services, provision of additional TB nutrition and Rewards Service providers face the population directly. A public health service officer called P2M is assisted by a female health cadre, are recruited from local residents who understand the local culture.
Pelecehan seksual : health literacy pada buruh perempuan di perkebunan sawit Yuyun Feriyanti Amandasari
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Buruh perempuan di perkebunan kelapa sawit yang rentan menerima pelecehan seksual. Di hampir setiap perkebunan sawit, laki-laki menjadi pengawas. Hal tersebut membuka pintu untuk pelecehan seksual oleh laki-laki amoral pada buruh perempuan. Setiap mengajukan laporan ke polisi, pengaduan dibatalkan dengan alasan kurangnya bukti. Meskipun bekerja di perkebunan sawit sangat berisiko, namun mereka tidak memiliki pilihan. Ada kondisi dimana mereka mau tidak mau harus melakukan pekerjaan tersebut. Banyak perempuan yang sengaja dipekerjakan oleh subkontraktor dengan upah yang minim dan beban kerja yang tinggi. Pelaku pelecehan seksual terhadap buruh perempuan seringkali adalah seseorang yang memiliki kuasa.Statusnya sebagai buruh harian lepas dan tidak terdaftar di Dinas Tenaga Kerja membuat mereka kesulitan mendapat haknya dan mengalami kendala ketika hendak melaporkan tindak kekerasan yang dialaminya selama bekerja. Indonesia belum memiliki aturan spesifik untuk memberikan perlindungan terhadap buruh sawit perempuan. Buruh perempuan harus bekerja demi memenuhi kebutuhan hidup dan bekerja dalam ketidakberdayaan dari kondisi-kondisi yang tercipta di lingkungannya. Agar buruh perempuan memiliki kesempatan untuk mendapat hak-haknya sebagai pekerja, maka salah satunya yang bisa dilakukan adalah membangun health literacy mengenai hak-hak mereka sebagai pekerja dan sebagai perempuan, termasuk hak untuk mendapat perlindungan dari tindak pelecehan seksual, diskriminatif, dan hak-hak reproduktif. Aksi yang juga penting untuk dilakukan adalah menindak tegas pelaku yang melakukan tindak kekerasan dan pelecehan seksual terhadap buruh perempuan, serta pembuatan kebijakan yang mengatur perlindungan terhadap buruh perempuan di perkebunan sawit secara spesifik.
Stunting toddlers from vulnerable families in Pekanbaru City: findings feasible programs to reduce poverty Atriana, Dinda
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

WHO ARE THE VICTIMS OF THIS INABILITY? Toddlers with stunting conditions in Pekanbaru City WHO AFFECTS THIS POWERFUL CONDITION? Communities with the majority of low family income fulfill their food needs as long as they are full even though they are poor in nutrition (1). WHAT CAUSES THIS CONDITION TO CONTINUE TO HAPPEN? Socio-economic conditions play an essential role in the incidence of stunting under five. In families with low incomes, the likelihood of experiencing nutritional problems such as stunting will be higher (2). Low income causes the most basic needs, namely food, which often cannot be met (1). So this is what triggers mothers to fulfill their food needs "merely" or as long as they are full even though they are poor in nutrition (1). Even with government assistance, the fulfillment of this nutrition is temporary. When the assistance provided has run out, the next food supply will remain "merely" because family income is still low. HOW POWERFUL ARE THE VICTIMS OF THIS CONDITION? The victims of this social condition are toddlers. The low family income impacts the lack of access to family food which results in difficulties to meet the nutritional adequacy of toddlers so that indirectly access to family food can affect the nutritional status of toddlers through the level of nutritional adequacy in toddlers (4). The quality and type of food given to toddlers and the feeding frequency are important factors related to the incidence of stunting in toddlers (3). CAN THIS POWERFULNESS BE OVERCOME? To overcome stunting in toddlers, it can be done by: Empowering families with low incomes (poor families) Expanding the Sustainable Food House Area (KRPL) (5) Creating a Continuity Of Care program that focuses on stunting toddlers Disseminating information about stunting through various media ( 5). Kondisi sosial ekonomi berperan penting terhadap kejadian stunting balita. Pada keluarga dengan pendapatan rendah, kemungkinan untuk mengalami kejadian masalah gizi seperti stunting akan lebih tinggi. Pendapatan rendah menyebabkan kebutuhan paling mendasar, yaitu pangan pun seringkali tidak bisa terpenuhi. Sehingga hal inilah yang memicu ibu-ibu untuk memenuhi kebutuhan pangan dengan “sekadarnya” atau asal kenyang padahal miskin gizi. Rendahnya pendapatan keluarga berdampak pada kurangnya akses pangan keluarga yang berakibat pada kesulitan untuk memenuhi kecukupan zat gizi balita, sehingga secara tidak langsung akses pangan keluarga dapat mempengaruhi status gizi balita melalui tingkat kecukupan zat gizi pada balita. Kualitas dan jenis makanan yang diberikan kepada balita serta frekuensi pemberian makanan merupakan faktor penting yang berkaitan dengan kejadian stunting pada balita.
Maintain oral hygiene for children with special needs Alifailmazurao, Chindy
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Challenge 1: the problem of most children is still neglecting to maintain oral hygiene, especially for children with special needs. Most of the reasons they are lazy, too tired, forgetful, and have limited movement in brushing their teeth. Usually, parents and children come to the health service only when the tooth hurts. For that we need people who drive a good and correct tooth brushing action program, especially for those with special needs according to health recommendations Challenge 2: program action that can be practiced today We can study the success of brushing teeth, especially for children with special needs, there are many methods and media that we can learn from various regions to abroad regarding how to maintain oral hygiene, especially children with special needs. Challenge 3: Little things that can help children with special needs in fulfilling their success in cleaning the oral cavity? education for parents and caregivers who are very active in cleaning the teeth of children with special needs by paying attention to the food consumed by children. Because if you eat sweet foods too often, it's easy to make cavities Challenge 4: community groups that can be involved in this activity Community support such as cadres of posyandu, RT, disability community, activists engaged in providing services for children with special needs, teachers in schools, health professionals can be invited to support this creative idea. Challenge 5: how can your innovation be inserted into the existing program? It is better because if the program already exists we can improve the shortcomings of the program so that the program runs better in accordance with our expectations. Challenge 6: related social media The number of programs from the government is still not fully realized because it still requires active silverware from health professionals in addressing dental and oral health problems, especially for children with special needs.
Epidemiological studies of traffic accident in the resort police of Sleman District, Yogyakarta 2015 – 2017 Cahyaningtyas, Ayu; Wibowo, Trisno Agung
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: In 2010, the number of deaths caused by traffic accidents in Indonesia had reached 31.234 casualties (Lestari, 2012). In 2015, transportation accidents were the highest cause of death with 475 deaths out of 893 all cause deaths (53%). This research aims to determine the proportion and trends of traffic accidents and the relationship between the characteristics of casualties and the risk of deaths in traffic crashes. Method: This research was using observational analytic study design with cross sectional method. The research was conducted in Sleman District Police during April – June 2018. Samples of this research were all of the traffic accidents which collected secondary data from the police register during 2015-2017 in Sleman District Police. This research was using chi-square analysis. Result: There are a total of 3794 casualties from 2015-2017. Characteristic of the person which got the traffic accidents were male (76%), 15 – 24 years old (35%), have the drivers license (55%), entrepreneur (47%), upper secondary school (73%), ride the motorcycle (80%). Almost all the risk factor of the accidents was human factor (99%). Results of chi square analysis based on age : RP = 0.643 & p Value = 0.002, sex: RP = 1.504 & p Value = 0.027, type of vehicle: RP = 2,520 & p Value = 0.000, time of occurrence: RP = 0,741 & p Value = 0,046. Conclusion: Males and who used motorcycles were risk factors of traffic accidents in Sleman District. Supplying safe and comfortable public transportation can improve the used public transportation in the community, so it has reduced the incidence of traffic accidents.

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