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INDONESIA
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 98 Documents
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Search results for , issue "The 12th UGM Public Health Symposium" : 98 Documents clear
Optimalization of VAI Screening Policy: Implementation of Permenkes No. 29/2017 in Improving Early Detection of Cervical Cancer in Indonesia Desriani, Ririn; Febryanti, Indira Puspa; Puspitasari, Sepsiana
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Background: Cervical cancer remain a global health problem that causes death in 9 out of 10 women with cervical cancer in developing countries, also the second most common disease among women in Indonesia. Purpose: To provide recommendations for policy implementation programs to increase coverage of Visual Inspection of uternie cervix with Acetid acid (VIA) screening. Methods: A narrative analysis research using inductive document collection, presented in themes. Results: Rencana Aksi Nasional (RAN) Eliminasi Kanker Leher Rahim 2023-2030 specifies HPV DNA as the primary screening method for cervical cancer. This method is considered more expensive, not covered by social health insurance administration body (BPJS), and there are limited health officer who can deliver the screening. Crossline with Permenkes No. 29 Tahun 2017 article 1 paragraph 2, which stipulates the VIA method as the main one. However, there is a disparity in the national target and achievement of national VIA screening (70% target, 9.3% coverage) by 2022. This raises the urgency of developing a special program to increase cervical cancer screening through the VIA method. Conclusions: There is a necessary to adjust policy implementation through special programs to increase the coverage of screening by VIA method in Indonesia.
The Critical Hazard Factors for Animal Health Workers: a Call for Action Dewi, Kharisma; Santi, Garini Purwara; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Background: Humans, animals, and the environment are always intertwined in an inseparable interaction cycle, as explained through the One Health approach. One entity's health affects the others. Animal health workers are one profession at high risk of zoonotic disease transmission, which leads to public health problems. Unfortunately, occupational safety and health practices in this industry still fall short of expectations. Purpose: To increase awareness about the importance of workplace safety for animal health workers, including veterinarians, paramedics, and field officers. To recommend strategies for preventing zoonotic infection transmission among veterinary workers by implementing hygiene procedure then followed by regular health screenings, mandatory vaccinations, and enhanced training programs. Discussion: Occupational safety and health (OSH) in veterinary practice is crucial, yet there lacks specific clarity in protecting workers directly involved with animals, including veterinarians, despite existing foundational guidelines for policy development. The National Indonesian Work Competency Standards (SKKNI) outlined in the Minister of Manpower Regulation No. 394 of 2014 regarding the Determination of National Indonesian Work Competency Standards in the Professional, Scientific, and Technical Services Categories, Main Group of Animal Health Services, in the Field of Animal Health Management, provide a framework, but gaps remain. Current OSH practices for these professionals are inadequate especially the immediate risk posed by zoonotic diseases from direct contamination, as well as a range of other workplace dangers including handling animals with potential bites and scratches, ergonomic issues, slips, trips, falls, hazards related to motor vehicles, noise exposure, ionizing radiation, and radiation safety concerns, risks linked to needlestick injuries, and physiological stress factors. This shortfall is exacerbated by the lack of courses on zoonotic infection safety in animal health practitioners for veterinary students' curricula which include protective measures for their profession, such as advance hygiene procedure, screening, and vaccination protocols. To address these challenges, we advocate for the implementation of comprehensive measures such as the implementation of hygiene procedure then followed by regular health screenings, mandatory vaccinations in the future, and enhanced training programs. These initiatives will not only safeguard the health of animal health workers but also align with broader public health objectives by curbing the transmission of zoonotic infections. Conclusion: In conclusion, urgent action is needed to address the lack of awareness among veterinarians regarding occupational safety and health practices. The risks of zoonotic disease transmission to animal health workers are significant, requiring immediate implementation of preventive measures such as regular health screenings, mandatory vaccinations, and enhanced training programs. Delaying action could have serious consequences, emphasizing the need to prioritize the safety of these professionals without delay. Additionally, it is important to develop clear policies and procedures regarding workplace safety in the animal health sector, as well as to promote a culture of safety in the workplace. Open communication between the government, relevant institutions, and the animal health worker community is also key to finding effective solutions to enhance their safety.
Aksi Bergizi: Health Promotion Program Supporting Healthy Eating Habits in School Children Fitriyani, Meidina; El Hayatli, Miftahurrahmah; Muflih Faadhilah; Lestari, Puji; Kristina
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: The Aksi Bergizi program aims to cultivate a school community that values healthy, clean, and nutritious food. Its specific objectives include promoting health-oriented policies in schools related to healthy eating habits, creating a supportive environment for healthy eating among school children by establishing Agents of Change (AoC) for the Healthy Eating Movement for School Children (GEMASS), enhancing the capacity and skills of teachers, staff, students, and parents regarding healthy eating habits, and building networks with relevant stakeholders (Puskesmas, BPOM, School Committee) to support healthy eating in schools. Methods: Children spend about a quarter of their time in school daily, often consuming snacks whose nutritional content and cleanliness are unknown, potentially affecting their health. Preventive actions against the adverse effects of unhealthy snacks are necessary. The Aksi Bergizi program addresses the problem of unhealthy food consumption among school children. The program was implemented at SDN Percobaan 2 Yogyakarta, forming a team of AoC GEMASS to supervise, control, and educate the school community about healthy eating habits. The AoC GEMASS team includes students, teachers, the school committee, and parents. Additionally, the program promotes the policy of "No Snacking Fridays" as a flagship initiative. Results: The Aksi Bergizi program established the AoC GEMASS team to monitor and educate the school community on healthy eating practices. This team consists of students, teachers, the school committee, and parents. The program also strengthened the policy of "No Snacking Fridays," a key initiative of the school. Through these efforts, the program aims to create a healthy and nutritious school environment and build networks with stakeholders to support healthy eating in schools. Conclusion: The Aksi Bergizi program effectively promotes healthy eating habits among school children by establishing a supportive environment and engaging the school community and stakeholders. The initiative fosters a healthier school environment and encourages collaboration to sustain healthy eating practices.
Multi-Criteria Decision Analysis in Transportation Safety Management: Prioritizing Solutions for Mitigating Tourist Bus Accidents in Indonesia Kristina, Hana; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Objective: This abstract aims to provide an overview of transportation safety issues in Indonesia, particularly focusing on tourist bus accidents, and propose solutions for preventing similar incidents. Content: Tourist transportation plays a crucial role in the growth of the tourism industry. However, the high incidence of tourist bus accidents in Indonesia poses a significant safety concern that requires urgent attention. Data from national news platforms recorded 43 bus accidents, 14 involving tourist buses between 2022 and 2024. Non-compliance with safety standards is a recurring issue identified as a major cause of accidents, encompassing aspects such as vehicle maintenance, driver competence, and enforcement of transportation safety regulations. A comprehensive approach is essential to address this issue. Implementing Multi-Criteria Decision Analysis (MCDA) can help identify crucial steps. Strict regulations with severe penalties for violators, comprehensive periodic vehicle inspections, standardized training for drivers and mechanics, and robust transportation safety oversight should be prioritized. Additionally, establishing bus checkpoints, maintaining bus incident records, and establishing specialized bus driver schools would significantly enhance transportation safety. Limiting driver working hours, providing incentives for compliant operators, and investing in research and development of safety technologies should not be overlooked. Intensive collaboration between the government, businesses, and the public is key to success. Only through concrete and integrated actions can we create a safe, reliable, and sustainable tourist bus transportation ecosystem, ensuring the safety and comfort of all users.
Merdeka Curriculum for Preventing Low Back Pain in School-aged Children Nababan, Nelly Herawaty; Puspitasari, Putri; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Adolescence is a crucial phase marked by swift growth and progress, where adolescents might encounter musculoskeletal problems like LBP. Several factors, such as bad posture, heavy backpacks, inactive routines, and sports involvement, play a role in the development of LBP. These can affect future health and quality of life, given that school-aged children are crucial periods for physical development and puberty. This abstract highlights the factors contributing to LBP in adolescents and provides recommendations for prevention and management, including integrating occupational health and safety (OHS) topics into the Merdeka Curriculum, to address LBP prevention in schools. Content: This initiative focuses on integrating health topics into the Merdeka Curriculum to educate students on preventing LBP. The current Merdeka Curriculum includes health teaching materials such as nutrition, sanitation, mental health, and physical activity. However, OHS materials for schools have not been developed. The availability of OHS topics related to proper posture and preventing sedentary lifestyles through comics, posters, and videos will attract students' interest. Given that the Merdeka curriculum emphasises student-centred learning, practices such as safety talk, classroom stretching exercises, outdoor activity, and screen-free periods at school could potentially be effective in introducing OHS. The main challenge of this solution is the incomplete adoption of the curriculum across all schools. Other possible solutions include providing lockers and health promotion by health professionals. Preventing and controlling LBP in school-aged children necessitates a comprehensive strategy that tackles their lifestyle choices, surroundings, and availability of medical services. Through the introduction of educational, advocacy for ergonomic practices, promotion of regular physical exercise, regulation of screen usage, and guaranteeing healthcare accessibility, we can alleviate the impact of LBP on adolescents and enhance their general well-being.
The Relationship between Milking Hygiene and Salmonella sp. Contamination on Cow’s Milk in Jember Regency Mufida, Diana Chusna; Shabri, Hammam Arif; Hermansyah, Bagus; Shodikin, M Ali; Suswati, Enny
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Milk is a liquid produced by the mammary glands of female mammals. The nutritional content of milk almost covers the entire nutritional needs required by living things. The appearance of Salmonella sp. in cow's milk is due to milking methods that do not meet the standards, especially regarding milking hygiene management. This study examines the relationship between milking hygiene and Salmonella sp. contamination in cow's milk in Jember Regency. Method: This study used observational analytic research with a cross-sectional research design. Primary data were obtained through direct observation of milkers using a checklist related to milking. observe Salmonella sp. contamination using culture techniques on SCA (Salmonella Chromogenic Agar) as selective media agar for Salmonella sp. and Gram staining. Results: The results from this study show that the hygiene process pre-milking (78.9%), during-milking (71.1%), and post-milking (89.5%) have been implemented. The statistical test results showed a relationship between the pre-milking hygiene process with Salmonella sp. contamination (p-value < 0.05), but insignificant results were seen in the during and post-milking hygiene processes (p-value> 0.05). Conclusion: The conclusion from this study show that the three results only the hygiene processes pre-milking have results associated with Salmonella sp. contamination in cows' milk. Therefore, milkers are expected to maintain and improve dairy hygiene measures, especially before milking to prevent contamination of cow's milk.
Analysis of Dengue Fever Cases Based on Climate Factors in Semarang City 2020-2022 Suciningsih, Ragil; Khimayah
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study aims to visually analyze the impact of rainfall, temperature, and humidity on the incidence of dengue fever cases in Semarang City in 2020-2022. Research on the impact of climate on dengue fever is important in order to help develop more effective mitigation strategies in preventing dengue outbreaks in the future. Methods: This study used secondary data from Semarang City Health Office and BMKG in the form of dengue fever incidence data and climate data (temperature, rainfall, and humidity), with an ecological study design according to time series. The analysis used was descriptive analysis with visualization in the form of graphs to illustrate case trends and their relationship with temperature, humidity, and rainfall factors. Results: The analysis showed that from 2020 to 2022, the incidence rate of DHF cases in Semarang City was low and relatively stable at below 10 per 100,000 population. Although there were some fluctuations, there were no significant spikes in the number of cases during these three years. In general, the temperature from 2020 to 2022 was relatively stable, with no significant changes in temperature in each month, while humidity and rainfall showed similar trends, with fluctuating trends. The visualization results also show that the number of Dengue incidents tends to be more influenced by the air temperature factor. Conclusion: The observed air temperature factor tends to be more influential on the dengue fever incidence rate in Semarang City from 2020 to 2022 compared to the temperature and humidity factors.
Spatial Analysis and Distribution of Leptospirosis in Yogyakarta City: A Case Study for 2022 Daulay, Meilany Syabrina Daulay; Izza, Nurul
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Leptospirosis is a disease caused by the Leptospira bacteria. Leptospirosis is a health issue that needs to be monitored year-round and is categorized as an outbreak (KLB) in the DIY Province because it is a deadly and endemic disease. Therefore, the utilization of spatial analysis of leptospirosis is necessary to map the distribution patterns of leptospirosis cases. This study aims to map and analyze the spatial distribution of leptospirosis incidents in Yogyakarta City in 2022. Method: This research employs descriptive spatial analysis methods to identify and map the distribution of incidence rates and case fatality rates by gender in 14 sub-districts of Yogyakarta City. The study data are secondary data, specifically the leptospirosis case data for 2022 registered with the Yogyakarta City Health Office. The data are processed descriptively with the help of the R program. Results: Based on the case data and spatial visualization conducted in Yogyakarta City, there were 14 leptospirosis cases in 2022 with 2 deaths (Case Fatality Rate of 14.3%). The majority of the patients were male, with 10 cases (Incident Rate of 2.4 per 100,000 population), while there were 4 cases among females (Incident Rate of 1.0 per 100,000 population). Spatial visualization results indicate that the distribution of leptospirosis cases in Yogyakarta City is concentrated in the central part of the city, with high endemic cases in sub-districts bordering Bantul Regency, including Mergangsan Sub-district with 4 cases and 1 death among a population of 31,690 people, and Umbulharjo Sub-district with 3 cases among a population of 70,996 people. Conclusion: Further research is needed to study the social environmental factors in the two sub-districts, Mergangsan and Umbulharjo, to determine what factors may influence the occurrence of leptospirosis cases in these areas.
High rate of multidrug-resistant Escherichia coli isolated from ready to eat: crispy fried chicken in Jember: a real threat to human health Suswati, Enny; Supangat
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study was conducted to assess prevalence and antibiotic resistance profile of E. coli from ready-to-eat crispy fried chicken (CFC) in Jember city, Indonesia. Methods: This cross-sectional study was conducted from November 2020 to April 2021 by collecting a total of 81 CFC samples from 27 food stalls in campus area using a simple random sampling method. Isolation and determination of E. coli use were performed by conventional culture method and an antibiotic susceptibility test was conducted by using Kirby Bauer disk diffusion method on the Mueller–Hinton agar. Result: Out of 81 CFC samples, 77 (95.06%) were positive for E. coli. High E. coli drug resistance was observed on ampicillin, amoxicillin, (100%) followed by cefixime (98.72%), erythromycin (97.59%), sulfamethoxazole (93.59%), azithromycin (83.33%), cefotaxime (78.28%), chloramphenicol (75.64%), and cefixime (74.36%). On the other hand, there was the highest susceptibility for ciprofloxacin (64.10%). Multidrug resistance was also found in 76/77 (98.70%) of the isolates. MAR index was 0.4-1. Conclusion: The resistance pattern CfmCroAmlAmpAzmCtxSxtCE was the most common among the E. coli isolates, with 17 showing it. The multiple antibiotic index (MAR index) ranged from 0.4 to 1. Hygienic measures should be rigorously implemented, and monitoring resistance of E. coli is required to reduce the risks related to the emergence of multi-resistant bacteria.
Overview of Chatbot Usage on Mental Health: A Scoping Review Permatasari, Ririn Indah; Artha, Dian Parama; Wiratama, Bayu Satria; Wulandari, Hanifah
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Mental disorders are the second leading global health burden among adolescents (15-19 years) and the third among adults (20-39 years). One approach to mitigate the medical and socio-economic impacts of mental disorders is the use of digital health technology, including chatbots. Methods: This study aimed to map mental health chatbot technology use through a scoping review. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extensions for Scoping Reviews (PRISMA-ScR) guidelines and involved PubMed, Scopus, ScienceDirect, and Google Scholar searches. The studies were categorized by type of usage, including acceptability, effectiveness, usability, adoption, and features. Study selection was assisted by Rayyan, and data extraction used a narrative approach. Results: Out of 172 research articles, 21 met the inclusion criteria and evaluated the use of mental health chatbots. Most chatbots were standalone applications (10/21). Adults (11/21) and university students (6/21) were the primary populations for testing chatbot usage. The most common mental health issues targeted by chatbots were anxiety, depression, and stress, although the focus was generally ideal for a range of mental health conditions. Conclusion: Numerous chatbots have been used for various mental health disorders, serving multiple purposes such as prevention, training, and therapy. Most applications combine these functions. Further research is needed to understand the changes that occur following mental health chatbot interventions.

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