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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 79 Documents
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Search results for , issue "PHS8 Accepted Abstracts" : 79 Documents clear
Implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang city during the COVID-19 pandemic Fadhil, Muhammad; Djafri, Defriman; Masnarivan, Yeffi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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​​Objectives: Covid-19 pandemic affected all sectors, including health. Stunting prevalence in Indonesia by 2019 is 26.67%, above 20% of Indonesia’s target. This study aims to review the implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang City during Covid-19 Pandemic. Method: The design in this study uses mixed methods. This study took place in August 2020 – February 2021 at two health centers (Belimbing and Seberang Padang). A systemic approach was made for a qualitative method, and there were 11 informants required in this study determined by purposive sampling. Data collection uses in-depth interviews, observations, and document review, with data source and method triangulation. The quantitative method was analyzed using univariate analysis to observe the differences in 2019 and 2020 specific interventions for stunting. Result: This pandemic affected two study health centers. Most interventions did not reach their targets, such as exclusive breastfeeding, complete basic immunization, health promotion activities, vitamin A and folic acid intake, and pregnancy visits to healthcare facilities. Puskesmas Seberang Padang distinguished Covid-19 task force and stunting interventions team, and in Puskesmas Belimbing add more days for immunization. Diarrheas increased from 92 to 101 cases in 2018 and 2019 at Seberang Padang, while decreased from 101 to 56 cases at the Belimbing. Conclusion: Both health centers have different strategies and priorities for tackling stunting during the Covid-19 pandemic. In short, many interventions did not reach the target. The trend of diarrheal in 2018 and 2019 at Puskesmas Seberang Padang decreased and increased at Puskesmas Belimbing. Both health centers need to maximize the intervention for stunting during the Covid-19 pandemic by sticking to health protocols.
Implementing dengue hemorrhagic fever epidemiological investigation during the COVID-19 pandemic Kamilia, Nadiyah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Dengue epidemiological investigation studies dengue transmission, including activities to search for cases or suspected cases of dengue infection as well as inspection of dengue-transmitting mosquito larvae in the patient's residence and surrounding buildings within a radius of at least 100 meters. This study describes the implementation of an epidemiological investigation of Dengue Hemorrhagic Fever during the Covid-19 pandemic. Methods: This study used a descriptive method conducted from field observations during January – September 2021. Data collection was carried out at the Health Office level with one person Dengue data manager and 18 Dengue program holders in Gunungkidul Regency. Results: Sixty confirmed DHF cases were reported by hospitals and clinics, 21 cases (35%) were not investigated for epidemiology, Median age of PE officers was 44 years (range: 31-52) where there are more male officers than female officers (63%). Using PPE during PE (100%), visiting neighbors' houses (42%), NS-1 screening (0%), larva monitoring (100%), ABATE distribution (85%), and counseling (100%). In 2020, there was never a recorded case of Dengue Hemorrhagic Fever that did not carry out an epidemiological investigation. This obstacle also hampered the Dengue surveillance system in the district. Conclusion: The Covid-19 pandemic has hampered the epidemiological investigation of Dengue Hemorrhagic Fever. Workers did not conduct. There is a need for a strategy to continue to carry out epidemiological investigations in this situation. Keywords: Epidemiological Investigations, Covid-19 Pandemic, Dengue Hemorrhagic Fever Objektif : Penyelidikan Epidemiologi (PE) Dengue adalah upaya penyelidikan fokus penularan penyakit Dengue meliputi kegiatan pencarian adanya kasus atau suspek infeksi Dengue serta pemeriksaan jentik nyamuk penular Dengue di tempat tinggal penderita dan bangunan sekitar dalam radius sekurang-kurangnya 100 meter. Penelitian ini bertujuan untuk menggambarkan pelaksanaan penyelidikan epidemiologi Demam Berdarah Dengue yang berlangsung selama pandemi Covid-19 di Kabupaten Gunungkidul. Metode : Penelitian ini menggunakan metode deskriptif yang dilakukan dari pengamatan lapangan selama Januari – September 2021. Pengambilan data dilakukan di level Dinas Kesehatan dengan 1 orang data manager Dengue dan 18 orang pemegang program Dengue di Kabupaten Gunungkidul. Hasil : Sebanyak 60 kasus konfirmasi Demam Berdarah Dengue yang dilaporkan oleh Rumah sakit dan klinik , 21 kasus (35%) tidak dilakukan penyelidikan epidemiologi , Median usia petugas PE adalah 44 tahun (range : 31-52) dimana petugas laki-laki lebih banyak dari petugas perempuan (63%). Menggunakan APD saat PE (100%), kunjungan rumah tetangga ( 42%), Screening NS-1 (0%), pemantauan jentik (100%), pembagian ABATE (85%), dan penyuluhan (100%). Pada tahun 2020 tidak pernah tercatat kasus Demam Berdarah Dengue yang tidak dilakukan penyelidikan epidemiologi sehingga hambatan ini juga menghambat sistem surveilans Dengue di Kabupaten Gunungkidul. Kesimpulan : Pandemi Covid-19 menghambat pelaksanaan penyelidikan epidemiologi Demam Berdarah Dengue di Kabupaten Gunungkidul, adapun pelaksanaan penyelidikan epidemiologi tidak melakukan kunjungan rumah sekitar penderita. Perlu adanya strategi untuk tetap melakukan penyelidikan epidemiologi di situasi ini. Kata Kunci : Penyelidikan Epidemiologi, Pandemi Covid-19, Demam Berdarah Dengue
Analysis of the COVID-19 situation in DIY and the efforts for adjustment of COVID-19 data between the central government and local governments Lestari, Nining Puji
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract Objective: This study describes the COVID-19 situation in DIY and the efforts to adjust COVID-19 data between the local government and the central government. Methods: COVID-19 data was obtained from the Health Office of DIY Province with the main data source coming from the All Record TC-19 application. Results: there was a decrease in COVID-19 cases from the week before PPKM to October 18, 2021 (PPKM level 3), from an average of 272 cases per day to 88 cases per day. The average number of active cases also decreased from 30.93% to 2%. The death rate is still the same, namely 6 deaths per day. The distribution of the most COVID-19 cases was at the age of 21-30 years as much as 18.49%, and the lowest was found at the age of >81 years as much as 1.22%. The proportion of COVID-19 cases in DIY was more found in women by 52% than in men as much as 48%. As of October 20, 2021, the highest positive cases were in Bantul Regency at 31.98% of the total COVID-19 cases in DIY, and the lowest was in Kulon Progo Regency at 10.54%. Meanwhile, the highest recovery rate was in Kulon Progo Regency at 97.43% and the lowest was in Gunung Kidul Regency at 95.08%. The most COVID-19 case fatality rate was in Gunung Kidul Regency at 4.53% and the lowest was in Kulon Progo Regency at 2.18%. COVID-19 daily reporting is not fully real-time because the TC-19 all record application has not yet become a tool for executing COVID-19 reporting in districts in DIY while the central government uses all records as a tool for executing daily COVID-19 reporting. Conclusion: There was a decrease in the number of daily cases and active cases during the PPKM period in DIY, however, reporting was not fully real-time so efforts to create better COVID-19 data management becomes a challenge to be able to make COVID-19 reporting more reliable.
Overview of descriptive epidemiology and types of COVID-19 cluster transmission at Puskesmas Sentolo I in 2020-2021 Susilaningsih, Tutik Inayah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The aim of this study was to find out the epidemiological description and types of Covid-19 cluster transmission at Puskesmas Sentolo I until May 2021. Contents: Descriptive of epidemiological analysis was used in this study from the daily data and the report of epidemiological investigation of Covid-19 cases. During the period March 2020 until May 2021, the amount of Covid-19 cases at Puskesmas Sentolo I tend to increase every month. Covid-19 cases were very highest in April 2021 especially at Kalurahan Sentolo up to 40.3%. The higher incidence of case was in the female group than the male (54%). The age group of 46-59 years old has 30.9% as the highest rank and the least cases in the 0-5 years group only 1.7%. Percentage of rapid antibody test comparison to PCR as a gold standar reached 57% especially on IgM examination detected. Case Fatality Rate (CFR) of Covid-19 at Puskesmas Sentolo I was 2.9% with comorbid such as diabetes mellitus, hypertension, stroke, and obesity. Types of cluster transmission was mostly at the family cluster up to 59% of the total cases (31 family clusters). If the cluster transmission of Covid-19 in the family could be prevented and detected early, it was possible that Puskesmas Sentolo I just had 40% of the total Covid-19 cases without any household transmission. This required multi stake holders collaboration.
Nutrition education using eBook as an alternative to severely wasted prevention in underprivileged families during the COVID-19 pandemic at the Bambanglipuro Health Center Johannis, Amanda Jelita Eka Riani
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examines the severely wasted prevention eBook as an alternative to severely wasted prevention in underprivileged families during the COVID-19 pandemic at the Bambanglipuro Health Center. Content: The COVID-19 pandemic has hampered many health facilities, one of which is the Integrated Service Post. Active Integrated Service Post experience reporting problems because door-to-door implementation cannot be carried out in just one day. Meanwhile, the inactive Integrated Service Post makes it difficult to prevent severely wasted. Mothers do not realize that their child's nutritional status is deteriorating and must immediately seek treatment at the Public Health Center. This makes it difficult for mothers to get nutrition education, especially mothers from underprivileged families. Based on the above problems, the preventive steps taken began with online reporting of wasted and severely wasted toddlers using spreadsheets by cadres. Mothers and toddlers who are registered in online reporting must come to the Public Health Center for an integrated examination by doctors, midwives, nutritionists, and psychologists. However not all mothers accept the fact that their children are wasted or severely wasted. It is still a challenge for the Public Health Center to provide nutrition education to mothers. In the nutritionist section, an eBook on the prevention of severely wasted will be given. This eBook is expected to be an alternative so that nutrition education can still be carried out during the pandemic and can prevent severely wasted in underprivileged families. This is expected to help faster reporting and more accurate prevention of severely wasted in underprivileged families at the Bambanglipuro Health Center.
Primagravida usability and user satisfaction as a digital health initiative for pregnancy educational media and remote rural monitoring Sumunar, Dimas; Lismidiati, Wiwin; Kusumawati, Happy Indah; Lazuardi, Lutfan; Purnama, Mia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Background: Nutritional status during pregnancy is one of the critical factors to determine maternal and fetal development status, which impacts birth weight, perinatal mortality, and infant growth. The Special Region of Yogyakarta government sets a target for reducing the number of maternal and child mortality as a health priority. Monitoring pregnant women's health regularly is crucial as preventive measures and promotive approaches for mothers and fetuses. Primagravida, a web-based system, was developed to assist pregnant women in rural areas in monitoring their health, especially during the COVID-19 pandemic. This study evaluate the usability and users' satisfaction in using Primagravida. Methods: This was quantitative descriptive research with a cross-sectional design. We conducted the study in the Kalibawang Primary Health Center (PHC) service area between June - October 2021. One hundred ten pregnant women and five midwives participated in this study. Pregnant women were registered and monitored their pregnancy through a web-based service that was integrated with maternal and child health care delivered by the PHC. Pregnant women reported their health status through the Primagravida system periodically and received feedback from the PHC’s midwives. To evaluate users’ usability, the System Usability Scale (SUS), which was developed by Brooke (1996) was utilized while the researcher developed the users’ satisfaction questionnaire to measure satisfaction. Results and Discussion: Results indicated that most of the participants were satisfied with the benefits, information relevance, content adequacy and clarity, platform availability, and up-to-the-minute curated knowledge provided by the system. The utilization of this system reduced the number of visits to PHC since health monitoring could be assessed online. Regarding system usability, respondents reported a score of 70, and the average score of respondents is 66. Conclusion: Primagravida system is well adopted by pregnant women in Kalibawang District, Kulon Progo, to monitor their health and fetal status. Feature development is required to accommodate the upcoming demands in providing holistic maternal and perinatal.
Epidemiological investigation of COVID-19 transmission at takziah cluster: The case from Gunungkidul Yogyakarta Adiratna, Widia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Objective: Up to 1.5 years of the pandemic, Gunungkidul Regency reported approximately 12 types of clusters, one of which was the Takziah Cluster in Dusun Panggang I, Giriharjo, Panggang. On March 27, 2021, the Gunungkidul Regency Health Office received a report of 6 people from a family who were symptomatic with positive RT-PCR results. It is known that the family head of the family died with probable status. Epidemiological investigations are carried out to determine the magnitude of the problem, contact history with the suspect, and prevent the spread of the case. Method: This research uses a descriptive approach. Cases are people in Dusun Panggang I who have an epidemiological relationship with people who take part in takziah activities with positive RT-PCR results. Data were collected by interview and secondary data obtained from the Puskesmas and the Health Office. Results: Cases started from probable who were buried without a health protocol. A total of 40 confirmed cases were found through mass screening of 630 residents on March 27- April 26, 2021 (Attack Rate=6.50%) with 2 deaths (Case Fatality Rate=4.88%). The majority of cases were women (73.17%) and aged >60 years (41.46%). The most common symptoms experienced were fever (43.34%), cough (34.15%), and fatigue (29.3%). From the interviews, family and neighbors gather to cook and mourn without maintaining distance, and wearing masks are not correct. Conclusions: There has been a transmission of COVID-19 in Dusun Panggang I caused by a takziah event. The lack of proper use of masks and crowding without keeping a distance is one of the risk factors for transmission during takziah. Takziah by following health protocols is mandatory during the COVID-19 pandemic. Education and clear enforcement of regulations from local governments are very much needed.
One health approach & COVID-19 for public health system strengthening: A literature review Dewi, Kharisma
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Objective: This study identified the importance and the benefits of one health approach for strengthening the public health system during the Covid-19 pandemic. Method: This research was done using a literature review from Google Scholar and PubMed. The journals chosen were recruited based on inclusion criteria using the keywords of “One Health” AND “Covid-19”. Results: The journals emphasized the importance of cross-sector collaboration. Human activities resulted in environmental changes such as deforestation and land-use shifts, forcing wildlife and their microorganisms to seek new hosts and triggering disease transmission, resulting in zoonoses disease. The coronavirus is known for its ability to mutate easily. There have been reports of disease transmission from human to animal. The first case was in the Bronx Zoo in New York, where two tigers and lions tested positive for SARS CoV-2. The transmission was traced back to their zookeeper, according to investigations. The Ragunan Zoo in Jakarta reported the first human-to-animal transmission in two tigers. The virus appears to be susceptible to the tiger and its family (Felidae). However, there had been no cats and their relatives (Felidae) to humans transmission reports until the writers completed this paper. Therefore, coordination and communication are needed to tackle and acknowledge the disease. These disease transmissions from animal to human, human to human, and human to animal (zoonotic) underlined the importance of surveillance between sectors under the same roof to strengthen the the public health system. Moreover, the One Health approach regained its recognition,, especially during the G-20 summit 2021 for the Ministry of Health meeting, as a resilience strategy in overcoming the next pandemic. One Health approach is considered suitable for preventing and combating the pandemic since experts in human, animal, and environmental health work together. Conclusions: One strategy to strengthen the public health system is establishing trust and collaborating across sectors for better public health outcomes. Since its integrity could manage developing public health challenges, one health is considered a great method of overcoming the pandemic.
The role of community organizations in controlling the COVID-19 pandemic in community health centers: An example from Sawah Lega, Cicalengka, Bandung Regency, West Java Purbaningrum, Ratih Puspitaningtyas; Rahmawati, Alvina
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Objective: To describe the role of community organizations in overcoming the Covid-19 pandemic in the work area of ​​the Sawah Lega Health Center, Cicalengka District, Bandung Regency, West Java. Contents: In the third week of June 2021, an increase in Covid-19 cases began in the work area of ​​the Sawah Lega Health Center with an average of 13 daily cases and reached the highest in the fourth week of June 2021, which was 42 cases. 92.5% of Covid-19 cases have mild-moderate symptoms and are required to self-isolate (isolasi mandiri, “isoman”) at home. However, health workers were overwhelmed with handling Covid-19 patients at the puskesmas and had difficulty monitoring the movement of villagers. The ratio of health workers compared to Covid-19 cases is 1:14 cases. Luckily, community organizations in the village took the initiative to share the task of helping health workers deal with Covid-19. Village officials and PKK cadres provide food to self-isolated residents. Karang Taruna members and youth posyandu cadres deliver medicine from the puskesmas, offer goods and services, monitor the progress of residents, report to the Puskesmas if any residents are showing worse symptoms, and be a liaison between the puskesmas and self-isolated residents if it is difficult to contact or don’t have a phone. In addition, they also help disinfect the village area. There is still a negative stigma among villagers on other residents who did self-isolation. Many residents still do not understand the importance of self-isolation (isolasi mandiri, ”isomanism”), so village youth are actively involved in promoting health protocols for villagers and invite residents to immediately take part in vaccines through approaches to community informal and religious leaders. WhatsApp uses in various citizen social groups. Contributions from community organizations have played a positive role in reducing Covid-19 cases in the Sawah Lega Health Center work area. Entering the second week of July 2021, the daily number of Covid-19 cases has decreased. Cross-sectoral cooperation has sped up the handling of the Covid-19 pandemic in the work area of ​​the Sawah Lega Health Center.
Investigation of a COVID-19 Islamic boarding school cluster outbreak in Kokap District, Kulon Progo Regency 2021 Rosadi, Ahmad
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Background: Wednesday, April 14, 2021, the Kokap I Public Health Center received information that some students in Islamic boarding school X experienced symptoms of anosmia. The puskesmas epidemiologist investigated to confirm and describe the outbreak that occurred according to the variables of person, place, and time and find and control the disease. Method: This research used a descriptive design. Case definitions were students and boarding school administrators who have confirmed COVID-19 through AG and PCR tests. Researchers collected data in two ways: primary data obtained from interviews using a structured questionnaire according to the guidelines and secondary data, namely confirmation case data obtained from Kokap Health Center 1. Result: There were 68 confirmed cases of 134 students and boarding school administrators (Attack Rate = 50.75%), with 34% of the cases being men. The highest proportion of cases occurred at the age of 12-25 years (84%), the highest education level was in junior high school (47%), and the distribution of places mainly was in the Hargotirto area (24%). The predominant symptoms were anosmia (15%) and cough (10%). The Islamic boarding schools' conditions that caused the COVID-19 cluster were that the schools did not strictly enforce health protocols, students were allowed to go in and out, and boarding school administrators and teachers did not all live in the school area. The conditions of residence of Islamic boarding school students do not meet reasonable requirements. Conclusion: There was a COVID-19 outbreak at Islamic boarding school X on April 16, 2021, with the primary symptom of anosmia. The application of health protocols in social distancing could not be applied so that transmission occurred. Socialization and implementation of strict health protocols are essential to prevent similar incidents. Latar Belakang: Hari rabu tanggal 14 april 2021 puskesmas kokap I mendapatkan informasi bahwa sejumlah siswa pondok pesantren X mengalami gejala anosmia. Investigasi dilakukan oleh petugas epidemiolog puskesmas untuk mengkonfirmasi KLB tersebut. Tujuan penyelidikan KLB ini adalah mengkonfirmasi KLB, mendeskripsikan KLB, memberikan gambaran KLB yang terjadi menurut variable orang tempat dan waktu, menemukan dan melakukan pengendalian penyakit. Metode: Penyelidikan ini menggunakan rancangan deskriptif. Definisi kasus adalah siswa dan pengurus pondok pesantren yang terkonfirmasi COVID-19 melalui tes AG dan PCR. Pengumpulan data dilakukan dengan dua cara yaitu data primer yang diperoleh dari hasil wawancara dengan menggunakan kuesioner terstruktur sesuai pedoman dan data sekunder yaitu data kasus konfirmasi yang diperoleh dari Puskesmas Kokap 1. Hasil: Ditemukan sebanyak 68 kasus konfirmasi (Attack Rate= 50,75%) dari 134 siswa dan pengurus pondok pesantren. Sebanyak 34% kasus adalah laki-laki. Proporsi kasus paling banyak terjadi pada usia 12-25 tahun (84%), tingkat pendidikan paling tinggi pada SMP (47%), distribusi tempat paling banyak pada wilayah hargotirto (24%). Gejala dominan adalah anosmia (15%) dan batuk (10%). Kondisi pondok pesantren penyebab klaster COVID-19 adalah pondok pesantren tidak menerepkan protokol kesehatan dengan ketat, siswa diperbolehkan keluar masuk pondok pesantren, pengurus dan guru pondok pesantren tidak semuanya tinggal di dalam pondok pesantren, kondisi tempat tinggal siswa pondok pesantren belum memenuhi syarat yang baik. Kesimpulan: Terjadi sebuah KLB COVID-19 di pondok pesantren X pada tanggal 16 april 2021, gejala utama anosmia. Penerapan protokol kesehatan berupa social distancing tidak dapat diterapkan sehingga terjadinya transmisi. Sosialisasi dan penerapan protokol kesehatan yang ketat sangat penting dilakukan untuk mencegah kajadian serupa.

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