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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
The role of the father's class in the prevention of pregnant women with chronic energy deficiency : Lessons learned from Ngemplak-1 Health Center Hassanah, Aprilya
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Chronic energy deficiency is a state of a person's nutritional status is in an unfavorable condition. Pregnant women who have arm circumference >23.5 cm are considered to have poor nutritional status and experience chronic energy deficiency. The role of fathers in supporting the preparation of pregnant women until delivery is very much needed. It is hoped that this can reduce the incidence of pregnant women with chronic energy deficiency. Content: One of the causes of pregnant women with chronic energy deficiency is the lack of support from the community, especially the family, specifically husband. In this case, the father's participation in supporting the mother's pregnancy is very needed. Husband's support plays an important role in determining the health status of the mother during pregnancy because a husband not just meet the need financially but pregnant women also need psychological and biological support with the result that the mother is expected to be emotionally stable during pregnancy, Nutritional needs during pregnancy are considered and fulfilled, be a standby husband when women needs. To support the role of the father during pregnancy and prepare for the birth of the mother is to by making “father class”. Procurement of "father class" is one of the innovations carried out at the Ngemplak 1 Health Center. This program also needs support from community leaders, one of which is the village. Cross-sectoral collaboration between puskesmas and villages can reduce the burden on puskesmas so that program implementation can be maximized. Implementation can be done at the village level and as one of the village programs and the health center becomes the resource person.
Descriptive analysis of COVID-19 in Manokwari Regency, West Papua Province (March 2020-October 2021) Damanik, Brema J.K.
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: The study is to provide a descriptive analysis Covid-19 in Manokwari Regency in March 2020 until October 2021. Method: Analysis in the study uses secondary data from Manokwari Health Office “Pelaporan Daftar Kasus Terkonfirmasi Covid-19 di Kabupaten Manokwari 2020-2021”. The study uses univariate analysis which aims to describe the description of Covid-19 cases in Manokwari Regency in 2020-2021. Results: The study found Covid19 case in Manokwari Regency was 8.709 case. With the distribution of cases in West Manokwari district (49,30%), South Manokwari district (22,79%), Masni district (11,78%), Prafi district (4,34%), outside the area Manokwari (4,30%) East Manokwari district (4,10%), Sidey district (1,70%), Warmare district (1,50%), North Manokwari district (0,11%), and Tanah Rubuh district (0,03%). The cases recovered (99,03%) cases died (0,83%) and cases under treatment (0,12%). There was no significant difference by sex. The adult group (26-45 years) is the most positive Covid-19 (47,73%), teenager group (12-25 years) was 23,44%, elderly group (>45 years) was 20,83%,child (6-11 years) was 4,46% and child under five years old was 3,51 %. Conclusions: The recovery rate for Covid-19 cases in Manokwari Regency is good. Where the case of the spread of Covid-19 in center of the capital of Manokwari (West Manokwari district). There is no difference in Covid-19 cases by sex. The adult grup and teenager group are the most affected by Covid-19. Futher research can be done to see the relationship of risk factors to Covid-19 in Manokwari Regency.
Puskesmas head's role in mobilizing across sectors in handling stunting problems during the pandemic in Puskesmas Mlati II working area Aim, Markus; Radifan, Muhamad Almas; Setyaningrum, Veronika Evita; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study examined the puskesmas (public health center) head's role in mobilizing across sectors in handling the stunting problem, especially in the community working area of ​​the Puskesmas Mlati II. Contents: The head of the puskesmas is a manager and a leader in coordinating every activity carried out at the puskesmas, including handling stunting problems. As much as 70% of the factors for stunting are outside the health sector. Some institutions have budgets that are top-down but not communicated to other cross-sectors. In addition, at the sub-district level, someone has to take on the role of a stunting program manager who can map the problem and then divide tasks into implementation. It requires the expertise of a head of the puskesmas to explain to parties outside of health to be willing and able to play a role in handling stunting in the community. The advocacy ability of a puskesmas head determines the success of the program carried out. Personal closeness is usually more successful in transferring knowledge and fostering a willingness to be involved in problem-solving. Advocacy of social networking integration & mobilization, interpersonal communication, negotiation, and media use to generate public pressure. Therefore, there is a need for a new way of using advocacy communication strategies to deal with the stunting problem, especially during the pandemic. Evaluating and monitoring activities reported at cross-sectoral meetings every three months led by the sub-district head accompanied by the head of the puskesmas to the synergy of stunting prevention activities and programs can be directed with more explicit goals. In addition, advocacy can also be carried out together with local village heads by creating awareness and concern for stunting, such as forming an alliance or the First 1000 Days of Life (HPK) movement for its citizens and others. Tujuan: Penelitian ini mengkaji peran kepala puskesmas dalam menggerakkan lintas sektor untuk menangani masalah stunting, khususnya pada masyarakat di wilayah kerja Puskesmas Mlati II. Isi: Kepala puskesmas merupakan manajer sekaligus leader yang berperan dalam mengkoordinir setiap kegiatan yang dilakukan di Puskesmas, termasuk dalam menangani masalah stunting. Sebesar 70% faktor terjadinya stunting justru adalah di luar sektor kesehatan. Beberapa institusi telah memiliki anggaran yang sifatnya top down, namun tidak dikomunikasikan dengan lintas sektor yang lain. Selain itu, di tingkat kecamatan juga harus ada yang mau mengambil peran sebagai manajer program stunting, karena program tersebut dalam pelaksanaan di lapangan masih terfragmentasi. Oleh karenanya perlu seorang manajer program yang memahami peta masalah dan kemudian membagi tugas agar tidak tumpang tindih dalam pelaksanaan di lapangan, sehingga sasaran bisa mendapatkan manfaat yang optimal. Hal ini tentunya membutuhkan keahlian dari seorang kepala puskesmas untuk dapat menjelaskan kepada pihak di luar kesehatan untuk mau dan mampu berperan dalam penanganan stunting di masyarakat. Kemampuan advokasi seorang kepala puskesmas menentukan keberhasilan program yang dilakukan. Kedekatan secara personal biasanya lebih banyak berhasil dalam transfer pengetahuan yang pada akhirnya mampu menumbuhkan kemauan untuk terlibat dalam penyelesaian masalah. Advokasi penggabungan jejaring sosial & mobilisasi, komunikasi interpersonal, negosiasi, serta penggunaan media untuk menghasilkan tekanan publik. Oleh karena itu perlu adanya cara baru dalam menggunakan strategi komunikasi advokasi untuk menangani masalah stunting, terlebih di masa pandemi. Ini bisa dilakukan dimulai dari proses evaluasi dan monitoring kegiatan yang telah dilaporkan pada pertemuan lintas sektor setiap 3 bulan yang dipimpin oleh camat dengan didampingi kepala puskesmas, sehingga adanya sinergi kegiatan dan program penanggulangan stunting yang bisa diarahkan dengan tujuan yang lebih jelas. Selain itu advokasi juga bisa dilakukan bersama-sama dengan kepala desa setempat dengan menciptakan awareness dan kepedulian terhadap stunting, misalnya dibentuk aliansi atau gerakan 1000 Hari Pertama Kehidupan (HPK) pada warganya, dan lainnya.
Obstetric telemedicine during COVID-19 pandemic: Experience from teman ibu telemedicine for strengthening antenatal care Brian Sahar Afifah; Dyah Krisnawati Satia Pratiwi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This paper explores midwives’role in developing yoga and pregnancy online class in the context of making pregnancy safer during COVID-19 pandemic, where obstetric telemedicine is more accessible as compared to face to face antenatal care. Content: Almost all over the world, antenatal care is restricted during COVID-19 pandemic, this risk delaying the progress of overcoming the danger signs of pregnancy which can lead to maternal mortality. In Indonesia, 90% of independent practice midwife services are closed and the coverage of K4 midwifery services antenatal care services for pregnant women 4 times during pregnancy continues to decline. Midwives’ have a strategic role in strengthening midwifery services through obstetric telemedicine, remote midwifery services from health facilities through audio and video. The services provided include antenatal care, classes for pregnant women including communication, information and education (KIE) on healthy lifestyles, as well as KIE COVID-19, and prenatal gentle yoga online, so as to provide safe, effective services, and minimize the risk of COVID-19 transmission. Within a year of the pandemic, temaniibu telemedicine provided service approximately 1,064 pregnant women from various regions in Indonesia through the Zoom meeting application. Technical barriers were found from users such as unstable internet signals, internal obstacles is such as unaccustomed in using electronic medical records, and the lack of insurance service providers that cover obstetric telemedicine services. Therefore, it is necessary to develop an Electronic Medica Record (EMR) and sustainable technology, in collaboration with donor and academia. Furthermore, the future of obstetric telemedicine can be used to strengthen health services during pandemic, since it reduces transportation usage to reach obstetric services, reduce waiting time for obstetric patients, and reduce the risk of maternal complications and newborn emergencies.
Whatsapp based education in pandemic COVID-19 situation: Evaluating video and handbook's effect on knowledge of village community health-volunteers Puspita Mardika Sari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective : Scope of iron supplementation in area of Puskesmas Mlati 2 have been reach targeted of RENSTRA of Sleman distric 2020. However, cases of anemia in pregnant woman still become a serious problem in this area. Based on “Root Caused Analysis” method, it was suggested that this problem was due to lack of knowledge about anemia and lack of precise instruction in consumption of iron suplement in pregnant woman. Therefore, program to increase knowledge about anemia and instruction of iron suplement consumption for pregnant woman was needed. However, in covid-19 pandemic situation, limitation of information accessed mainly in offline program become one of problem in community. Therefore, online program was needed. One of platform that can be used to organized these education was by using whatsapp group. It aslso completed with video and online handbook as media of education. Content : This article was report study of education program with video and online handbook media by using whatsapp group platform. This activity was implemented on 10 persons of community health-volunteers in Tlogoadi village as pilot project. Event was implemented on 2021, 8th June. Whatsapp group was named “Tlogoadi Cegah Stunting”. Program was evaluated by using pre test and post test method. Result was found that there were increasing of knowledge about anemia and precise instruction of iron supplement consumption on community health-volunteers after participated on this program. Conclusion: Education program by using whatsapp group platform, with video and online handboook were recommended as solution of education program in covid-19 pandemic situation. For the next target, community health-volunteers were recomended to convey the information as well as video and online handbook from this education program to public community in their area mainly to pregnant woman. This program also recommended to be implemented to other village of Puskesmas Mlati 2 area during covid-19 pandemic situation.
Promoting exercise prescription among community health centers physiotherapists Wibowo, Tri
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.3293

Abstract

Background: Based on Riskesdas 2018, the number of Non-Communicable Diseases in Indonesia continues to increase nationally, Heart Disease-Stroke 10.9%, Cancer at 1.8%, Diabetes at 8.5%, Hypertension at 34% (Ministry of Health, 2018). Objective: Looking for a model of appropriate and efficient health services to prevent and control the number of Non-Communicable Diseases (NCDs) in primary care. Result: Prevention-based Physiotherapy services with prescription Physical activity/Sport is a modern preventive-based medical concept that is effective and efficient in preventing several non-infectious diseases.
Applying the health belief model and theory of planned behaviour to nutrition counselling in malnourished pregnant women in Seyegan, Sleman Nabilla Ersya Audina
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This program was established to improve the performance of the nutritionists of Puskesmas Seyegan in providing nutrition counselling for malnourished pregnant women. This program initiated the arrangement of a nutrition counselling guidebook based on the combination of the health belief model (HBM) dan the theory of planned behaviour (TPB) and its application in nutrition practice. Content: The program was started in September 2020 by arranging a nutrition counselling guidebook based on HBM and TPB to provide clear guidance to the nutritionists in performing counselling. The guidebook was complemented by a nutrition care documentation form and a leaflet referring to the approaches applied. This program targeted the system of the pre-existing program at Puskesmas Seyegan in managing malnourished pregnant women. By strengthening the system, we expected that this program could be sustainable. Within the first month of implementation, 12 malnourished pregnant women were exposed to this program. During the implementation, the nutritionists found that the guidebook was very useful in assisting them to perform nutrition counselling. The nutritionists of Puskesmas Seyegan were very open to new knowledge making it easy to introducing some approaches of counselling that were relatively new for them. However, the lack of collaboration with doctors/midwives caused it a lot more challenging to confirm the women’s attendance to the whole counselling series (3 sessions). Inability to monitor any nutritional status changes was the main issue. Considering the increased risk of low birth weight in neonates born from malnourished pregnant women, we collected the data and found that 7 women (58%) born babies with normal birth weight. In conclusion, the application of HBM and TPB to nutrition counselling could be a potential alternative to strengthen the system of Puskesmas Seyegan in managing malnutrition among pregnant women, if it was supported by a good interprofessional collaboration.
Interventions to reduce the stunting prevalence in children under five through nutrition education: A systematic review Amanto, Adibah Rasikhah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: To determine the effectiveness of nutrition education in increasing child growth and development and reducing the stunting prevalence in children under five years old. Method: The study used Cochrane Collaboration Methodology and Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). The literature search used three electronic bibliographic databases, the Wiley Online Library, Public Health, or gray literature Electronic Thesis/Dissertation Universitas Gadjah Mada. Researchers independently did the abstract screening process, data extraction, and bias assessment. Some of the keywords used in the literature search were nutrition training/education, Infant and Child Feeding (PMBA), cadres, and growth. Results: We analyzed the effectiveness of nutrition education in three studies that met the inclusion criteria from 39 collected papers using external factors, such as changes in children's intake and growth and development. We found several strategy methods in nutrition education that could improve the implementation of stunting prevention programs, such as routine home visits by cadres, regular monitoring and evaluation, and PMBA practices. In several studies, nutrition education classes can increase the intake of children under five and reduce the prevalence of stunting. Several studies still need to be added to see the effectiveness of nutrition education in areas with different population characteristics. Conclusion: Interventions in the form of nutrition education, either in lecture, practice, or discussion, can increase the nutritional intake of children under five, as seen in the improvement in nutritional status, behavioral development, or reduced number of malnutrition and stunting prevalence. However, it is still necessary to use targeted methods and materials according to the needs of educational targets to achieve maximum results.
Making anemia education media through the “getaran garpu tala” program for junior high school students at the Tempel I Community Health Center in catchment areas during the COVID-19 pandemic Diana Citrasari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objectives: This activity aims to provide anemia education media through the Getar Thala program (Gerakan Tanggulangan Anemia and Thalassemia) during the pandemic, increasing the knowledge of junior high school (SMP) students in Turi about anemia and improving adherence to taking blood-supplementing tablets (TTD). Contents: the media that has been created are videos and educational leaflets used during the Covid-19 pandemic and delivered online. This educational media will facilitate online education for Puskesmas officers in introducing the Getar Thala program, which has been prepared by the Sleman District Health Office in 2019. Educational services can be delivered through the school’s WhatsApp group social media, the Zoom Meeting application, or the Google Meet application. Through these media, we hope it can increase the knowledge of high school students in the working area of ​​the Tempel I Health Center about anemia and increase the compliance of adolescent girls in consuming blood-added tablets.
Validity and reliability of Traditional Chinese Medicine Constitution (TCMC) In Indonesian language Nurjannah, Intansari; Japaries, Willie; Khiong, Tjhia Khie
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Abstract Objectives: There are several methods to measure the condition of human health. In the field of complementary medicine, and which has the oldest history is Traditional Chinese medicine. One of the instruments to measure the level of a person's health condition is by using the Traditional Chinese Medicine Constitution (TCMC) in the form of questions with Likert scale and this instrument is divided into 9 dimensions. There are no publications regarding the validity and reliability of this tool in Indonesian. This study is to assess the construct validity and reliability of the TCMC in Indonesian. Method: TCMC Indonesian’s translation was checked by Indonesian’s expert of traditional Chinese medicine, then it was tested on 50 people to find out whether the items in the questionnaire were understood or not. In the next step, TCMC was used for data collection in community service activities and as many as 391 TCMC filling data collected. After checking the completeness of the data, there were 377 data for analysis. Pearson correlation was used for measuring construct validity. Reliability analysis of this instrument was performed using Cronbach's alpha. Results: Complaints experienced by 377 respondents can be divided into several groups, namely headache (77), pain in extremities (75), digestive system (65), respiratory system (29), back pain (28), circulation system (13), hip pain (15), neck pain (12), problem in face (11), fever (7), eye problem (8), urinary system (8), toothache (5) and other complaints (24). All items from TCMC were valid with Sig value. (2-tailed) < 0.05. As for reliability, the value of Cronbach Alpha on Qi-Deficiency was 0.608 (moderate); Yang-deficiency was 0.728 (high); Yin-deficiency was 0.769 (high); Phleghm-dampness was 0.672 (moderate); Damp-heat was 0,501 (moderate); Blood Stasis was 0.531 (moderate); Qi-stagnation was 0.777 (high); Inherited special was 0.719 (high) and Balanced was 0.727 (high). Conclusions: TCMC in Indonesian is valid and reliable and can be used to measure human health from the perspective of Traditional Chinese Medicine. Key words: Validity, Reliability, Traditional Chinese Medicine Constitution

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