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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : 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
Articles 79 Documents
Search results for , issue "PHS8 Accepted Abstracts" : 79 Documents clear
Laksa Gurih web application in strengthening surveillance and assistance for malnourished children in Tangerang City Amir, Chindy; Fitri, Yuni Pradilla; Arjuna, Tony
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: e-Laksa Gurih is present as an innovation of the Tangerang City Health Office in reducing malnutrition rates. This application innovation is related to strengthening the mentoring and surveillance of malnutrition in the City of Tangerang. Content: Laksa Gurih is a program to overcome malnutrition in the City of Tangerang. The Tangerang City Health Office developed the book into a web-based application starting as a pocketbook for Laksa Gurih cadres. The Health Office cooperated with the Tangerang City Communications and Information Office to make applications targetting the Health Office, nutritionists at the puskesmas, and cadres to accompany malnourished children in Tangerang City. It has been introduced to cadres through a training program for managing malnutrition at the Health Office. Its web application contains a dashboard for the development of malnutrition data, daily data entry for malnourished children, cohort reports, and readable and downloadable reference guidebooks. One companion cadre accompanies one malnourished child. They make home visits to toddlers every day and record the results of these visits into the e-Laksa Gurih application, which are weight, height, upper arm circumference, children's eating diaries, children's activities, other children's activities, and children's conditions. The cadres are very enthusiastic about the application because it makes it easier for them to assist and record during monitoring of malnourished children. The advantages are that monitoring and condition of malnourished children are known faster, more accurately, and more precisely. Health center nutritionists and the Tangerang City Health Office no longer wait for the end of the month to get data on malnourished children to take the next step quickly. The drawback of this application is that access to Laksa Gurih via cellphone is still too complicated, so further development is needed. Objective: e-Laksa Gurih hadir sebagai inovasi Dinas Kesehatan Kota Tangerang dalam menurunkan angka gizi buruk. Inovasi aplikasi ini berkaitan dengan penguatan pendampingan dan surveilans gizi buruk di Kota Tangerang. Content: Laksa gurih merupakan sebuah program penanggulangan gizi buruk di Kota Tangerang. Berawal dari sebuah buku saku kader pendamping laksa gurih, Dinas Kesehatan Kota Tangerang mengembangkan buku tersebut menjadi sebuah aplikasi webbased. Dinas Kesehatan bekerjasama dengan Dinas Kominfo Kota Tangerang dalam pembuatan aplikasi. Sasaran pengguna aplikasi ini yaitu Dinas Kesehatan, ahli gizi puskesmas dan kader pendamping anak gizi buruk di Kota Tangerang. Aplikasi web Laksa Gurih berisi dashboard perkembangan data gizi buruk, entry data harian anak gizi buruk, laporan kohort dan referensi buku-buku panduan yang bisa dibaca serta di download. Satu anak gizi buruk didampingi satu orang kader pendamping. Kader pendamping melakukan kunjungan rumah balita setiap hari dan mencatat hasil kunjungan tersebut kedalam aplikasi e-Laksa Gurih. Data yang harus diinput kader kedalam aplikasi tersebut berupa berat badan, tinggi badan, LLA, catatan harian makan anak, kegiatan anak, kegiatan lain anak dan kondisi anak. Aplikasi ini sudah diperkenalkan kepada kader-kader melalui acara pelatihan tatalaksana gizi buruk di Dinas Kesehatan Kota Tangerang. Para kader sangat antusias terhadap aplikasi tersebut karena memudahkan mereka dalam pendampingan dan pencatatan selama pemantauan anak gizi buruk. Kelebihan aplikasi ini yaitu pemantauan dan keadaan anak gizi buruk lebih cepat diketahui, lebih akurat dan lebih spesifik. Ahli gizi puskesmas dan Dinas Kesehatan Kota Tangerang tidak lagi menunggu akhir bulan untuk mendapatkan data anak gizi buruk sehingga bisa dengan cepat mengambil langkah selanjutnya. Kekurangan aplikasi ini yaitu akses Laksa Gurih melalui handphone masih terlalu rumit, sehingga dibutuhkan pengembangan lebih lanjut.
Therapeutic feeding center in Sigi District: The challenges of reaching malnourished toddlers in mountainous areas Lago, Rossalin
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : Malnutrition in children under the age of 5 years is one of the most common causes of morbidity and mortality. Every year more than 1 million children under five death because of severe acute malnutrition (SAM). Based on 2018 PSG data, malnutrion children in Indonesia are 17.70% spread across all provinces. Central Sulawesi with 13 districts/city contributed 19.6% of children under five with malnutrition and Sigi Regency recorded that 13.9% of children under five suffered from malnutrition in 2019. Content : One of the interventions carried out to overcome malnutrition is the Theurapeutic Feeding Center (TFC) program. TFC is a nutritional recovery tool that provides dietary and medical therapy for malnourished toddlers. In 2020 the Sigi Regency Government established a TFC at the Marawola Health Center which is located about 20 km from the district center. Marawola Health Center was selected as a TFC facility with consideration of trained human resources and supporting infrastructure. TFC Puskesmas Marawola currently serves malnourished toddlers from 176 villages in Sigi Regency. With the geographical condition of Sigi Regency which is a mountainous area, this could be a formidable challenge to bring service access closer. This study aims to analyze the challenges and obstacles to TFC services with targets scattered in mountainous areas and the solutions that have been carried out to bring services closer. Specifically, we will collect data from TFC officers, parents of malnourished toddlers who have been treated at TFC, parents of toddlers who refuse treatment, and authorized stakeholders. From these data, we can determine which solution to be taken to tackle the problems.
Evaluation of anemia in pregnant women based on SIMKIA SEMBADA data at 3 Health Centers in Sleman-Yogyakarta District Rezatiara, Ulva; Kandarina, Istiti; Rahmawati, Vista Ari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Background: Pregnant women are a vulnerable group who experience anemia, increasing the risk of short births and low birth weight babies. In a pandemic situation with the PPKM policy (Enforcement of Community Activity Restrictions), pregnancy examination services (integrated ANC) for pregnant women will still be carried out in accordance with health protocols. In antenatal care (ANC) services for pregnant women, health workers must provide quality services according to the SOPs. Objective: To evaluate anemia in pregnant women based on SIMKIA SEMBADA data. Methods: Data were collected through secondary data at SIMKIA SEMBADA and observation, and data were analyzed using descriptive statistics. Results: There are 3 out of 25 Puskesmas in Sleman Regency, which continues to experience a constant increase in anemia prevalence from 2016-to 2020, namely Seyegan Health Center, Gamping-1 Health Center, and Gamping-2. Judging from the recording and reporting of ANC on the SIMKIA SEMBADA application from 90 anemic pregnant women who have given birth, 3% of babies are born with low birth weight, and 21% of babies are short. Pregnant women with anemia mostly occur in the age range of 20-35 years. Judging from the history of ANC visits, pregnant women in the three puskesmas areas have performed ANC since the first trimester of pregnancy. However, pregnant women still carry out early pregnancy checks in the 2nd and 3rd trimesters. Anemic pregnant women who receive ANC services, according to SOPs, are still low, below 77%. Conclusions and Suggestions: From SIMKIA SEMBADA data, there are still anemic pregnant women who are recorded as not having their HB checked according to the contents of the SOP for the management of anemic pregnant women; therefore, it is necessary to update the policy references in the SOP such as the policy of the Minister of Health of the Republic of Indonesia No. 97 of 2014 and Regulation of the Regent of Sleman No. 15 of 2021 as well as re-socializing the implementation of SOPs aimed at improving service quality and optimizing service outcome data.
Maternal characteristics and toddler food intake in the Sleman area during the COVID-19 pandemic Ryveka, Aurellia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: To determine the relationship between maternal characteristics, which consist of mother's knowledge, mother's employment status, and mother's education level, as well as food access and food intake of toddlers in Sleman Regency. Method: The method used in this study was a cross-sectional method with a purposive sampling technique on 45 pairs of mothers and children in 4 posyandu included in the working area of ​​Depok 3 Puskesmas, namely Nologaten, Kledokan, Janti Barat, and Karangmalang. Maternal characteristics and access to food were measured using a questionnaire, and food intake was measured using the SQ-FFQ questionnaire. The statistical test used was the Fisher exact test. Results: From the results of the descriptive analysis obtained, most of the respondents have a good level of knowledge (75.6%), respondents do not work (71.1%), respondents have a secondary education level (51.1%), respondents have difficult access to food (55,6%). Then, most toddlers have excess energy intake (80%), toddlers have excess protein intake (100%), toddlers have excess fat intake (86.7%), and toddlers have excess carbohydrate intake (71.1%). Mother's knowledge, mother's employment status, mother's education level, and food access are not related to the food intake of children under five. Conclusion: There is no significant relationship between maternal characteristics and access to food with toddler food intake.
The validity of maternal perceptions on child’s nutrition status: An alternative to growth monitoring method during COVID-19 crisis Fika Ilmiyani, Saskia; Hartriyani, Yayuk; Kusuma, Mutiara Tirta Prabandari Lintang
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The purpose of this study were 1) to test the usability of maternal perceptions as method to determine child’s nutrition status and 2) to estimate the preliminary validity of the maternal perceptions questionnaires. Method: A diagnostic test with cross-sectional design among 80 mother and child dyads within the sampling frame of the Sleman Health and Demographic Surveillance System (HDSS Sleman). The maternal perception were assessed using a verbal and visual questionnaire. All anthropometric measurements were conducted by trained community health workers using standardized technique and calibrated tools. Statistical analyses were performed to cross-tabulate child’s nutrition status (Weight/Height) with maternal perceptions. We tested the data for sensitivity, specificity, positive predictive value, negative predictive value, and ROC curve. Results: Most mothers could accurately determine child’s nutrition status using both verbal and visual questionnaires, with 82.5% and 85% respectively. The verbal method has higher sensitivity and negative predictive value than the visual questionnaire. Both questionnaires have similar positive predictive value, yet the specificity was higher in the visual technique The ROC curves of verbal and visual methods were 0,605 and 0,527. Conclusions: Our study found that mothers are generally able to utilize both the verbal and visual questionnaires. Despite the usability of the instruments, the data indicates mothers’ inability to perceive malnutrition in children. It stands to reason that the anthropometric measurements remain the best method to determine nutrition status in children, monitor growth and detect nutrition problems. It is also worth noting that intervention is needed to help promote an accurate perception of children healthy weight among mothers.
Mother perception of child nutritional status and toddler food intake Danumaya, Almira
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Nutritional problems in children under five are still significant. Malnutrition can have a negative impact on the growth and health of toddlers. One of the reasons for this can be improper food intake. Inappropriate food intake for toddlers can occur because the wrong perception of the mother influences it. This wrong perception leads to improper feeding as well. This study aims to determine the relationship between mothers' perception of the nutritional status of children under five with food intake (energy, protein, fat, and carbohydrates) under five. Methods: A quantitative observational research design was used with a cross-sectional design. The study was conducted on 45 pairs of mothers and children aged 12-59 months who live in Sleman who were taken by purposive sampling method. The instrument used was a toddler silhouette scale questionnaire, SQ-FFQ, and knowledge of maternal nutrition, which were filled out independently by the respondents. The analytical method used is Fisher's Exact test for bivariate test and stratification analysis with Haenszel Mantel. Result: The nutritional status of children under five in this study mostly (84.4%) had good nutritional status. Most mothers under five (88.9%) have an appropriate perception of the nutritional status of their children. Toddlers in this study mostly had excessive energy intake (80%), excess fat intake (86.6%), excessive carbohydrate intake (71.1%), and all toddlers had excessive protein intake. There is no statistically significant relationship between mothers' perceptions of the nutritional status of their toddlers and their toddler's food intake (p>0.05).
Self-stigma among people living with HIV/AIDS: revisiting human rights values for inclusive health service Nur Faizah, Ida; Cuyno Mellen, Renie; Syafriani, Syafriani; Wijayanti Subronto, Yanri; Hasanbasri, Mubasysyir; Siwi Padmawati, Retna
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Purpose: This study explores self-stigma in people living with HIV/AIDS (PLHIV) who used Puskesmas services in Yogyakarta and its impact on their health service access. Method: Data come from in-depth interviews with three PLHIVs (one male and two female). Results: Self-stigma occurs among the respondents at the first diagnosis as HIV positive. Self-stigma is triggered by wrong judgments about HIV disease from health workers and communities. Self-stigma is based on negative thoughts of feeling different, having exclusivity (different from their environment). Thus, it is easier to feel rejected, showing the worst if they are discriminated against. The first thought when the respondent was diagnosed with positive HIV was, “how do I die? How will I die tomorrow?” "Not expect, why should I?" "My world has been destroyed; I have no hope anymore.” Feeling of vulnerability and helplessness related to death and illness trigger hypersensitive responses, so they tend to withdraw from social relationships. Continuous exposure will result in a reluctance to access health services due to decreased motivation for treatment. Conclusions Self-stigma is a defense mechanism to fight stigma and discrimination. Hypersensitivity protects to anticipate rejection from the surrounding environment. Thus, PLWHA understands disclosure to reveal the status or not to the closest people. However, this condition needs to be regulated so that self-stigma does not develop to interfere with life functions such as social relations, economy, and work. Self-stigma can reduce treatment prognosis and increase comorbidity and mortality due to lack of a support system, decreased treatment motivation. Therefore, Puskesmas should collaborate with families and communities. Puskesmas can create volunteer groups from people with stigmatized diseases as agents of change to build trust between PLWHA, families, and health workers. For suggestion, meetings with patients as well as an activity to support human rights in celebration day to develop equal and acceptance feelings.
Addressing COVID-19 pandemic implication on mental health in community: Perspective towards important issue behind the crisis Prabandari, Valentina Lakhsmi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: COVID-19 pandemic gives rise to various health problems experienced by everyone in a community, not only physical condition but also psychosocial condition. COVID-19 was stated to be associated with an increased risk of psychiatric disorders. Nevertheless, besides the stigma on COVID-19, COVID-19 survivors may avoid being open and aware of their mental health condition because of public stigma on mental health. This might lead to late management of mental health and psychosocial issues. The purpose of this initiative was to give a view of the management of mental health care and psychosocial support by empowering the role of community and Puskesmas as one of the closest parts of the health system to the community. Content: Mental health has been the concern of health programs done by Puskesmas through promotive, preventive, curative, and rehabilitative efforts. One measure to be done is to perform monitoring of mental health status of COVID-19 survivors using digital health instruments. Mobile phone-based monitoring might allow early detection and treatment toward mental or psychosocial issues experienced by COVID-19 survivors. Promotive and preventive messages can be shown at the end of the questionnaire. Furthermore, there should be a program designed to develop community-based mental health support by implementing DKJPS (Dukungan Kesehatan Jiwa dan Psikososial) through a collaboration of Puskesmas, community health workers, and other public as well as private sectors. This might be achieved by training and mentoring. The last but not least, there is a need to strengthen the capability of Puskesmas in handling mental health and psychosocial issues by sending psychiatrists or psychologists down to Puskesmas. It doesn’t necessarily mean that they have to be there all the time, but improvement of the capacity of health workers in Puskesmas, as well as consultation and mentoring, are all important needs.
Medical students participation on KKN program (community service learning): Improving community health through health promotion Helen Natalia; Hasna Fikriya; Herdifitrianne Saintissa Yanuaristi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study aims to describe the medical students' involvement in KKN Program (community service learning) to improve community health through health promotions. Content: KKN Program is a multidisciplinary research-based community service program to enhance, empower, and enable society to increase control over, and improve, their lives including health. Among community health improvement approaches, KKN Program heavily highlights health promotion. In line with ‘organized effort’ as the core definition of public health by WHO, KKN Program requires collaboration between multidisciplinary students, the community (partners and government), and the university. As a type of experiential learning, KKN Program allows medical students to apply their knowledge and skills in relevant community-based contexts. Students learn to develop critical thinking skills, explore ethical and social justice concerns, and reflect according to their perspectives. KKN Program provides a platform to implement health promotion interventions to boost health outcomes. Numerous examples of health intervention in the KKN program include building health policy, generating a health-promoting environment, community action, helping health care services, and developing personal skills. A range of actions in KKN programs such as community visits, campaigns, facilitated counseling & support, and assistance of current primary health care programs are essential for students to obtain public health skills comprising analytical/assessment skills, program planning skills, communication skills, and management and evaluative reasoning skills. In conclusion, the KKN program provides common ground for medical students to equally learn first-hand from the community and assist their role to become 5-star physicians: care-provider, decision-maker, communicator, community leader, and manager. It equips medical students as future general practitioners with public health skills and the mindset required to improve community health.
Enhancing vulnerable communities’ resilience in public health through intersectoral collaboration: A study case of global empowerment steps’ project in Piyungan landfill Yanuaristi, Herdifitrianne Saintissa; Hidayat, Ikhtiar Anugrah; Putri, Kintansari Adhyna
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Objective: This study explores the role of social community to alleviate public health problems through partner collaboration, by three-sector interventions: economy, environment, and health. Content: Covid-19 pandemic has become a global challenge in public health efforts, mainly due to the barrier for social movements to take place and the shifting focus of government policy in public health intervention. This challenge becomes more tangible in vulnerable communities, namely but not limited to the economically disadvantaged communities. As their health heavily intersects with social factors, including housing environment, poverty, and inadequate information & education, their resilience in facing this pandemic highly depends on it. One example of these vulnerable communities is Piyungan Landfill Yogyakarta as the target population of this study. This study analyses the role of Global Empowerment Steps (GPS), a student-powered organization in the effort of increasing public health resilience by the utilization of multisectoral collaboration of its members and other stakeholders to alleviate public health problems in the area. GPS works with ten other organizations mostly student-powered, with each specific area of concern and conducting numerous projects that encourage society to engage and be responsible for their own health, as well as involving stakeholders responsible for social determinants of health in the area. By far, GPS has conducted serial entrepreneurial classes and empower local women to producing & marketing organic fertilizer to increase the community’s economic resilience, conducted researches and recommendations that has been presented to local government that resulted in technological improvement to separate the landfill from the residence for a better environmental resilience for the inhabitants, and increased health education of the inhabitants through numerous health education projects. In conclusion, the social community plays a significant role in increasing the resilience of vulnerable communities to face the pandemic. Keyword: Intersectoral collaboration; Public health resilience; Vulnerable community

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