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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
Active standby village/sub-district transformation after the COVID-19 pandemic Novianti, Diana
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The standby village is part of the community empowerment effort developed since 2006 to accelerate the achievement of the Millennium Development Goals. The standby village activities mainly provide primary health services and community empowerment through developing community-based health efforts (UKBM). It encourages community-based surveillance, environmental health, health emergencies, disaster management, and clean and healthy living behavior (PHBS). The COVID-19 pandemic has given rise to various community-based activities made by the government and local initiatives at the village level. Not all villages/subdistricts are responsive and independent in efforts to control and prevent diseases, including COVID-19, by the elements in active-standby villages/subdistricts. Active-standby villages/subdistricts have the potential to play a role in controlling and preventing COVID-19 and being developed for handling other health problems. Content: Strengthening the health system starting from the countryside has a big impact because rural areas are vulnerable to public health crises. In dealing with post-pandemic conditions, it is necessary to transform the health system by utilizing its potential in disease-tracking activities from the central to the village level, an increase in the budget for health financing, an increase and distribution of health workers in all regions, and an adjustment of health services based on the values ​​prevailing in the local community. More than 83 thousand villages/subdistricts with high enough social capital make the health system at the rural level have the potential to help solve health problems, including COVID-19. Strengthening the active-standby village/subdistrict program and increasing development efforts through the role of the village government needs support from the district/city government, as well as integration with community empowerment programs to have a broader impact on the community. The strengthening and development of active-standby villages/subdistricts will bring a healthy, caring, and responsive community to health problems in their area. Objective: Desa siaga adalah bagian dari upaya pemberdayaan masyarakat yang dikembangkan sejak tahun 2006 sebagai bentuk percepatan pencapaian Millennium Development Goals. Kegiatan desa siaga terutama adalah penyediaan pelayanan kesehatan dasar, pemberdayaan masyarakat melalui pengembangan UKBM, mendorong upaya survailans berbasis masyarakat, kedaruratan kesehatan dan penanggulangan bencana serta penyehatan lingkungan, dan PHBS. Pandemi COVID-19 telah memunculkan berbagai kegiatan berbasis masyarakat baik itu yang dibuat pemerintah maupun inisiatif lokal di tingkat desa. Belum semua desa/kelurahan tanggap dan mandiri dalam upaya pengendalian dan pencegahan penyakit termasuk COVID-19 sesuai dengan unsur yang ada pada desa/kelurahan siaga aktif. Desa/kelurahan siaga aktif berpotensi untuk dapat berperan dalam pengendalian dan pencegahan COVID-19 dan dikembangkan untuk penanganan masalah kesehatan lainnya. Content: Penguatan sistem kesehatan mulai dari pedesaan memberikan dampak yang besar karena wilayah pedesaan cukup rentan terhadap krisis kesehatan masyarakat. Dalam menghadapi kondisi pasca pandemi diperlukan transformasi sistem kesehatan dengan memanfaatkan potensi dalam kegiatan pelacakan penyakit. Diperlukan kebijakan yang sama dari tingkat pusat hingga desa, penambahan anggaran pembiayaan kesehatan, peningkatan dan pemerataan tenaga kesehatan di semua wilayah, serta penyesuaian layanan kesehatan yang berdasar pada nilai yang berlaku di masyarakat setempat. Lebih dari 83 ribu desa/kelurahan dengan modal sosial yang cukup tinggi membuat sistem kesehatan di tingkat pedesaan memiliki potensi dalam membantu penyelesaian masalah kesehatan termasuk COVID-19. Penguatan program desa/kelurahan siaga aktif serta peningkatan upaya pengembangan melalui peranan pemerintah desa perlu mendapat dukungan dari pemerintah kabupaten/kota, serta integrasi dengan program pemberdayaan masyarakat untuk memberikan dampak yang lebih luas kepada masyarakat. Penguatan dan pengembangan desa/kelurahan siaga aktif akan menghadirkan masyarakat yang sehat, peduli, dan tanggap terhadap masalah kesehatan di wilayahnya.
Empowered elderly: Assistance in modifying urban elderly lifestyles from hypertension during the COVID-19 pandemic Sundari, Fitriana
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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This study aims to develop a health improvement program for the elderly with hypertension during the COVID-19 pandemic. Based on the guidebook for elderly health services during the Ministry of Health's COVID-19 pandemic, posbindu sessions have been postponed. In addition, the lack of promotional media for the elderly during the COVID-19 pandemic causes an increased risk of hypertension among the elderly population. In achieving healthy, efficient, and independent elderly during in pandemic, it is necessary to improve health services for the elderly by making lifestyle modifications that adapt to the pandemic situation. The proposed program initiative is forming an elderly peer group in each RT, which is empowered by Posbindu cadres. In this program, several activities are formed, including basic health checks such as blood pressure, health consultations, health education, light exercise, sharing stories to increase the physical and mental health of the elderly. Health promotion activities are carried out in direct meetings at the RT level or monitoring by calling the elderly or their family using the telephone, especially those who live alone in their homes, to inquire about their health conditions. The challenge of this program is the commitment of Posbindu cadres, intensive posbindu cadres, and the condition of some older adults whose reception is slow so that it needs good preparation in planning this program. Posbindu cadres' empowerment to form elderly peer groups can be an alternative solution to improve the health of the elderly from hypertension during the COVID-19 pandemic.
Implementation and obstacles to the multi-sectoral approach in COVID-19 tracing and testing at Puskesmas: experience from Cilacap, Central Java Maulana, Yusup
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study describes the Covid-19 tracing and testing activities at the Karangpucung II Health Center, Cilacap, Central Java, and the obstacles and multi-sectoral cooperation in handling them. Contents: The data comes from the daily Covid-19 reports in the work area and describes how to carry out tracing and testing for Covid-19 and handling of Covid-19, the flow of multi-sectoral cooperation, and obstacles regarding the implementation of policies related to tracking and testing. This health center has an area bordering the Banyumas and Brebes regencies, which has the potential to spread cases, especially with high population mobility. The results of tracing and testing found 439 positive points out of 960 PCR swabs. Swabs with antigen got 25 positive out of 250 examined. Further studies need to focus on the coverage of tracing and testing according to WHO standards, examining one person per 1,000 population every week to measure the rate of transmission in the region.
Key populations and PLHIVs’ expectation of inclusive HIV/AIDS services: A study of four puskesmas in Yogyakarta and Cilacap Mellen, Renie; Ida N Faizah; Syafriani; Puji Rahayu; Dwi Maiyanthi; Fithri Zamzam; Fajar Wahyuni; Yanri Subronto; Hasanbasri, Mubasysyir; Retna Siwi Padmawati
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: To describe the expectation of PLHIV and key populations regarding HIV/AIDS services, especially on pandemic COVID-19. Method: This study conducted a pilot questionnaire survey in Puskesmas Tegalrejo and Mantrijeron, Yogyakarta; and Puskesmas Cilacap Selatan 2, Puskesmas Kesugihan 2, in Cilacap Region, Central Java. The participants were 62 PLWHA and 60 key populations (transgender, male sex workers, IDUs, and sex workers). This paper uses the data from an open-ended item in the questionnaire on respondents' expectation of HIV services in the puskesmas. Result: Both PLHIV and key populations expected equal service, friendly and respectful services without differentiating from other patients. Health workers would be better to know about the diversity of gender and sexual orientation and educate about HIV/AIDS transmission to reduce the fear and stigmatization of the community. In addition, the rotation issues of health workers should not change the quality standards of HIV/aids services. PLHIVs expected that health workers do not disclose their status to others (which should have become the standard of health professionals’ practice) and provide complete support and counseling related to HIV/AIDS with explaining details to the patients. ARV stock is expected to get a one-month stock supply, and queuing for taking drugs. Furthermore, key populations expect flexible time on VCT tests, especially in pandemic COVID-19. Conclusion: The availability and access of puskesmas services for PLHIVs and key populations was significant progress in health care systems. Notes from users emphasize the need for management support in building inclusive services, where health and administrative workers and other puskesmas treated everyone in need equitably.
Reasons and obstacles in drug-resistant tuberculosis treatment in Yogyakarta: A qualitative study Handayani, Nur; Riyandini, Kristi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Drug-Resistant Tuberculosis patients need counseling, psychosocial support, nutrition repair, to even family economic support. The study aims to explore the experience of Drug-Resistant Tuberculosis patients receiving treatment. Method: Qualitative research with a design of phenomenology research. Snowball sampling technique and recruitment via WhatsApp to get informants, then informant chose by purposive sampling according to predetermined inclusion criteria. The study was conducted from April through May 2021 in Yogyakarta. The data is gathered via in-depth interviews of three men who have finished the March 2021 treatment, one woman finished April 2019, and 8 as significant others. Validity of data through triangulation and member literacy. Results: The reason for taking medication, not just for health reasons such as wanting to be healthy, can return to normal activities and not wish to harm others. But it's also for non-health reasons, like the economic factors in which informants are the backbone of the family and the family factor. Financial and psychological factors are internal barriers to tuberculosis. And there are external obstacles such as side effects, stigma, medications, and distance from health care facilities. Conclusion: Health and non - health reasons are factors that prompt the patient to accept treatment. Medical barriers come from within as well as from without. Both patients and families need counseling, health education, and motivation, and psychosocial support. Advanced vocational training and venture capital for cured Drug-Resistant Tuberculosis patients are required to regain their power.
Improving mother’s knowledge for stunting prevention through customized health promotion during COVID-19 pandemic Kalesaran, Angela Fitriani Clementine; Lotulung, Cindy Celine; Mandagi, Chreisye Kardinalia Francisca
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study aims to improve the knowledge of mothers of kids with stunting with different types of health promotion depending on the situation and restrictions during the COVID-19 pandemic. Method: This was a quasi-experimental research study with pre and post-test design. Fifty mothers from Wori District in North Sulawesi were included in the study. Twenty-five mothers received conventional health promotions in groups, and twenty-five mothers received health promotions one-on-one by home visits from healthcare workers. A questionnaire about mothers’ knowledge regarding stunting prevention was collected before and after the health promotion. Results: The number of mothers with a low level of knowledge was 36% before the health promotion, but then decreased to only 14% after the health promotion. There was a significant difference (p<.000) between pre and post-test regarding mother’s knowledge. Between groups receiving conventional health promotion and one-on-one health promotion, there were no significant differences regarding the knowledge of mothers after being given health promotion. Conclusion: Health promotion is an effective way to improve the knowledge of mothers with stunting kids. Health promotion one-on-one by the home visit is just as effective as health promotion in groups. Healthcare workers should be flexible and adaptive to the situation during the COVID-19 pandemic, so health promotion can always be delivered.
Local officials and private sectors' initiative in organizing massive COVID-19 vaccination sessions: Experience from the Ngemplak-1 Health Center of Sleman in herd immunity acceleration programs Susila, Seruni Angreni
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : Memberi deskripsi tentang pemberdayaan organisasi dan komunitas lokal serta sektor swasta dalam mengorganisir pelayanan vaksinasi massal di wilayah kerja Puskesmas Ngemplak I, sebagai upaya percepatan Herd Immunity. Content: Puskesmas memiliki peran strategis pemberdayaan sumber daya potensial di wilayah kerja sebagai upaya penanggulangan masalah kesehatan. Pada pandemi COVID-19, vaksinasi merupakan salah satu strategi memberikan perlindungan kepada masyarakat dari dampak berat infeksi COVID-19. Tantangan terberat bagi Puskesmas adalah menjalankan program vaksinasi secara masif bagi masyarakat di wilayah kerja untuk mempercepat Herd Immunity. Bukan perkara mudah mengingat sumber daya Puskesmas yang terbatas sementara Puskesmas harus tetap konsisten menjalankan program rutinnya. Untuk itu, perlu strategi pemberdayaan lintas sektor, agar penyelenggaraan vaksinasi dapat diorganisir oleh aparatur lokal, komunitas lokal, serta sektor swasta, untuk meningkatkan jumlah warga yang dapat divaksin. Sebelum diorganisir bersama lintas sektor, Puskesmas Ngemplak I melaksanakan vaksinasi di gedung Puskesmas dengan kapasitas 400 warga per minggu. Setelah diorganisir bersama lintas sektor, Puskesmas Ngemplak I dapat melaksanakan vaksinasi dengan kapasitas hingga lima kali lipat, bertempat di balai desa di wilayah kerja Puskesmas. Penyelenggaraannya pun mengurangi beban sumber daya manusia dan anggaran Puskesmas, karena setiap desa telah mengorganisir bersama komunitas lokal dan sektor usaha di wilayahnya, untuk merekrut relawan administrasi vaksin, menyediakan sarana prasarana kegiatan, serta menjadi koordinator lapangan saat vaksinasi massal.
How to improve public health centers' service capacity and their accessibility for people living in remote border regions: The case study of Sambas District of West Kalimantan Ika Ardina
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Purpose: To examine service capacity, availability, accessibility, and utilization of public health centers, and explore their improvement options for public health centers in the remote border district of Sambas. Method: This qualitative study used in-depth interviews of local stakeholders, field observation, and documentary reviews. Results: People living in remote border areas have difficulties accessing quality primary health services. It was because of the geographical condition, topography, transportation, communication access, the high level of poverty of the population, knowledge, and various social issues that they were facing. Meanwhile, the availability of human health resources at the public health center was not adequate, and the standard of the minimum staff types was still not fulfilled yet. The limited availability of human health resources is because of the moratorium on health workers. Likewise, the availability of supporting facilities and infrastructure still varies between health facilities. Meanwhile, medical equipment is still not fully fulfilled in primary health facilities. These things affected the quality and level of service. As an effort to overcome development inequality, Indonesia speeds up development in Remote Area Borders and Islands. Specific interventions have been carried out through various programs such as Nusantara Sehat to fill the lack of human health resources. In Sambas District, fulfillment of health services to obtain strategies and policy options related to health services at the remote border regions' health centers was still not optimal. Local governments have not properly fulfilled the availability of facilities and infrastructure for health services at the public health center and its network. The availability of public health center officers at the Remote Area Borders who are not under the duties and needs of fulfilling Health Human Resources in a primary health service. Conclusion: Health services at the remote border regions' health centers were strongly influenced by various factors, especially access and service capacity, which became obstacles to the health service process, more facilities are needed, and the attention of the central and local governments in policy options related to the remote border area health centers.
How can village midwives of the puskesmas work together with village administrator in eliminating malnutrition and preventing stunting: A case study in Tanjung Village, North Lombok Astawan, Wanda Januar
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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How village midwives from puskesmas can become members of the work team of the village head in eliminating malnutrition and preventing stunting: a case study in Tanjung Village, North Lombok How village midwives from puskesmas can become members of the work team of the village head in eliminating malnutrition and preventing stunting: a case study in Tanjung Village, North Lombok Objective: To explore the role of village midwives as the implementing team for village government programs and health centers in developing strategies based on local conditions to reduce malnutrition and prevent stunting. Methods: Qualitative study with in-depth interviews, observation, document review, and journals related to the study of literature. Results: Tanjung Village is one of the villages that is the working area of ​​the Tanjung Health Center, which consists of 12 hamlets with a population of 8,287 people. The sources of income for the people of Tanjung Village are pretty diverse. The livelihoods of the Tanjung Village residents are dominated by 1,759 traders, 1,290 farm/construction workers, 1,149 farmers, 585 casual daily laborers, 450 farmers, and construction workers. Two hundred seventy-six people, 252 entrepreneurs, 170 fishers, 153 civil servants/TNI/POLRI/retirees, 16 craftsmen, ten mechanics, and the rest 2,476 people haven't worked. The implementation of health services for promotive, preventive, and curative efforts at the hamlet level in Tanjung Village is carried out in 12 posyandu in 12 hamlets carried out one time in 1 month. Each posyandu is assisted by five cadres, one village doctor, one nutritionist, and one village midwife. Promotive, preventive, and curative efforts have been made. Meanwhile, the prevalence of malnutrition is still above 30%, which is 34.56% of children under five. This is caused by the village midwife's approach to changing people's behavior for nutritional awareness is still less effective, coordination between implementing integrated stunting prevention programs such as village government and village midwives is still lacking, and adequate village midwife human resources with a reasonably high salary gap and weak government supervision. A village so that the implementation of the program does not run optimally. Conclusion: The program's implementation between the village midwife and the village government has not been well integrated. The need for village midwives to make local-based strategies and village government supervision and rewards to village midwives in program implementation to bring about change in alleviating malnutrition.
ANC in new normal adaptation era: Challenge and opportunity Inge Ayu Wardani Sakinah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Objective: This paper aims to describe challenges and opportunities in implementing various ANC models in the new normal adaptation era based on a literature review. Content: COVID-19 pandemic not only increased morbidity and mortality but also affect various sectors, including the health care system in Indonesia. ANC is one of those affected indicated by decreased coverage of K1 and K4. Restrictions on maternal and newborn health services, recommendations to delay ANC visits, feeling worried about getting infected by COVID-19, are several reasons why mothers decide not to do ANC visits. The barrier to access optimal health services may cause health problems. Other countries overcome this by using various models to deliver ANC, such as telehealth, home visits, hybrid model, and scheduled appointment. In developed countries, telehealth offered several classes to improve maternal and fetus health, and mHealth for mental consultations. Home visits are also carried out by considering mother condition and risk management for both mothers and health workers. Hybrid Models which combine telehealth and in-person visits are important for high-risk pregnancy with some considerations such as USG examination, a complete diagnostic examination in early pregnancy, and complications management. Another model has scheduled appointments based on the time agreement by mother and health workers with the standards for preventing COVID-19 transmission, shortening meeting duration, and arranging consultation schedules to avoid queues. In Indonesia, adopting only one model seems not feasible, but a combination of several models can be applied as an alternative. Home visits and schedule appointments have been implemented, but standard general guideline prevention of transmission and standard services must be made properly. Telehealth and Tele counseling can be used for routine visits, but they can’t guarantee the quality of ANC. More consideration is K1 must be done directly followed by the scheduled appointment model, while telehealth and Tele counseling can be complemented. Conclusion: The ANC service system in the new normal era must combine several models to ensure the quality and quantity of ANC visits.

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